Table of Contents
Advertisement
Quick Links
CRITIKON 1998, TAMPA, FL 33634
All rights reserved.
3
0
8796EM05 (UK; Printed in UK)
The content of this document including all figures and
drawings is proprietary information of Critikon, provided
solely for purposes of operation, maintenance or repair, and
dissemination for other purposes or copying thereof is
prohibited without prior written consent by Critikon, Tampa,
Florida.
Illustrations may show design models; production units may
incorporate changes.
SpO,
l
Model BP: BP and Pulse
The model of the Monitor determines which menu option
buttons appear on the LCD. Please refer to applicable
sections.
Reissues and Updates
Changes occurring between issues are addressed through
Change Information Sheets, Addendums, and replacement
pages. If a Change Information Sheet does not accompany
this manual, it is correct as printed.
Errors and Omissions
If errors or omissions are found in this manual, please
notify:
Critikon
47 10 George Road
Tampa, FL 33634
l-800-23 7-2033
Part No. 776980A (USA; Printed in USA)
Part No.
SpO,
l
Model TS: BP, Pulse, Temp, and
T: BP, Pulse, and Temp
l
Model S: BP, Pulse, and
DINAMAP@ Compact Monitor
Models T, S, TS, and BP, with and without printers.
l
Model
DINAMAP" Compact
Monitor
Operation Manual
This manual is for
Advertisement
Table of Contents
Related Manuals for Critikon Dinamap T
Summary of Contents for Critikon Dinamap T
- Page 1 Critikon, provided solely for purposes of operation, maintenance or repair, and dissemination for other purposes or copying thereof is prohibited without prior written consent by Critikon, Tampa, Florida. Illustrations may show design models; production units may incorporate changes.
-
Page 2: Table Of Contents
Contents Introduction ................About the DINAMAP@ Compact Monitor ............Indications ......................... Contraindications ...................... Warnings ........................Cautions ........................8 Product Compliance ....................Symbols ........................Getting Started ..............Unpacking the Monitor and Accessories ............1 3 Power Sources ......................Powering the Monitor .................... 13 Rear Panel Connections .................. - Page 3 ........53 (SelectKnob) ............. . Rotor .
-
Page 4: Introduction
Introduction About the DINAMAP Compact Monitor DINAMAP Compact Monitors provide noninvasive determination of systolic blood pressure, diastolic blood pressure, mean arterial pressure, pulse rate, temperature, and oxygen saturation. These portable AC- and operated monitors are primarily intended for use in hospital acute care settings such as outpatient surgery, accident and emergency, labor and delivery, GI/endoscopy, and medical/... -
Page 5: Cautions
Cautions 9 Do not use replacement batteries other than the type supplied with the Monitor. Replacement batteries are available from Critikon. See Appendix D. The DINAMAP Compacf Monitor is designed to conform to Electromagnetic Compatibility (EMC) standard IEC 601-l-2, 1993 and will operate accurately in conjunction with other medical equipment which also meets this requirement. - Page 6 Place the Compact Monitor on a rigid, secure surface. Monitor must only be used with mounting hardware, poles, and stands recommended by Critikon. See Appendix D. The weight of the accessory basket contents should not exceed 6.6 lb (3 kg).
-
Page 7: Getting Started
This is also a good time to check for any damage or shortage. If there is a problem or shortage, contact Critikon. It is recommended that all the packaging be retained, in case the Monitor must be returned for service in the future. - Page 8 external power is being applied and that the battery is charging. If the battery is not inserted, the external power indicator LED will flash. When the Monitor is running on battery power, a battery icon appears in LCD area 3 (toggling with the time indicator) indicating the charge status.
- Page 9 Getting Started following cord tag: “Hospital Grade Plug.” Grounding integrity can only be maintained when equipment is connected to an equivalent receptacle marked “Hospital Grade.” Where the integrity of the external earth conductor in the installation or its arrangement is in doubt, the Monitor must be operated from its internal battery.
-
Page 10: Rear Panel Connections
Rear Panel Connections Pole clamp: Used to clamp Monitor to pole or stand Battery compartment cover: Retains and protects internal battery External power socket: To be used with supplied AC-DC power converter 0 N LY Fuse holder: Holds external power source line fuse Data interface connector (15-way D-type socket): Host communications port (RS-232E serial port);... -
Page 11: Front Panel Controls And Indicators
Getting Started Front Panel Controls and lndica tors Power on/off switch: Controls on/off state of Monitor; push for power on and push again for power off External power indicator: Green LED indicates external power status and battery charging status of Monitor Battery power indicator: Yellow LED indicates operation and charge status of internal battery SelectKnob: Used to highlight and select items in LCD... -
Page 12: Symbols
Stat key: Press to start or stop BP Stat mode Systolic pressure display: 3-digit red LED indicates measured systolic BP in mmHg Diastolic pressure display: 3-digit red LED indicates measured diastolic BP in mmHg Mean arterial pressure display: 3-digit red LED indicates measured MAP in mmHg and shows instantaneous cuff pressure during BP determination... -
Page 13: Installing The Temp Probe Holder
Getting Started Installing the Temp Probe Holder Attach the temperature probe holder to the side of the DINAMAP Compact Monitor (Models T and TS) by aligning the back and bottom edges of the holder and the Monitor and pressing the holder firmly to the Monitor. A distinct snap will sound when the Dual LockTM fasteners are properly engaged. -
Page 14: Liquid Crystal Display (Lcd)
determinations are being made, the Monitor will enter sleep mode after a time which can be preset by the operator. All LED displays will be blanked and any existing readings will be transferred to the LCD, which will also display the message “Sleep Mode Active.”... -
Page 15: Using The Printer
Getting Started Using the Printer Paper Installing the (Models With Printer) Tilt the DINAMAP Compact Monitor back and grasp the tabs at the-sides of the printer door (26). Squeeze the tabs together and pull the printer door down. Place the roll of paper into the compartment so that the end of the paper comes off the top of the roll and extends approximately 1 inch... -
Page 16: Cautions
SelectKnob. The message in Area 3 of the LCD will remain until new paper is installed and the printer door is closed. (See “Using the Menu System.“) Installing new paper will cause the Critikon DINAMAP Compact header to be printed, thereby confirming that the paper is installed correctly and that the printer is operational. -
Page 17: Using The Monitor
Using the Monitor Noninvasive Blood Pressure Determination Description The BP parameter is included in Models T, S, TS, and BP. Blood pressure is monitored noninvasively in the DINAMAP Compact Monitor by the oscillometric method, which measures the amplitude of the pressure oscillations within the blood pressure cuff. -
Page 18: General Warnings
4. Vitals determinations are started by selecting the Vitals button in the Main menu. (Refer to the “Using the Menu System” section.) Selection of this button initiates SpOZ, and predictive temperature determinations (depending on Monitor model). In the Vitals mode, the blood pressure is determined one time. -
Page 19: General Cautions
The Compact Monitor is designed for use only with dual-tube cuffs. Use only accessories recommended by Critikon. Failure to use recommended accessories may result in inaccurate readings. See Appendix D. Blood pressure cuffs should be removed from the patient when the Monitor is powered off. - Page 20 contractions from the heart. Differences may occur because electrical signals at the heart occasionally fail to produce a peripheral pulse or the patient may have poor peripheral perfusion. Also, if a patient’s beat-to- beat pulse amplitude varies significantly (e.g., because pulsus alternans, atrial fibrillation, or the use of a rapid-cycling artificial ventilator), blood pressure and...
- Page 21 Using the Monitor Procedures Connect the end of the air hose which has quick-release clips to the cuff connector (24) on the front of the Monitor. Make sure that the hose is not kinked or compressed. Note: To disconnect the hose from the Monitor, squeeze the quick-release clips together and pull the plug from the cuff connector (24).
- Page 22 Inspect cuff for damage. Replace cuff when aging, ,...J tearing, or weak closure is apparent. Do not inflate cuff when unwrapped. Precaution: Do not use cuff if structural integrity is suspect. Connect the cuff to the air hose. Thread the cuff connectors onto the hose connectors until finger tight.
- Page 23 Using the Monitor Manual Mode To start a determination, press the BP key (12). A normal, uninterrupted Manual cycle takes about 40 seconds. The cuff pressure must drop below 5 mmHg (neonate) or 15 mmHg (adult) before another determination can be started. BP information will be displayed for 2 minutes on the LED unless another determination is started within that time frame.
- Page 24 Stat Mode 4E?9 Multiple BP readings can be taken at any time by pressing the Stat key (13). If a Manual determination is not in progress, a 5-minute series of determinations will start. If a Manual determination is in progress, that determination will become the first in the series.
-
Page 25: Predictive Temperature Determination
Using the Monitor Predictive Temperature Determination Description The Temp parameter is included in Models T and TS. DINAMAP Compact Monitor can be used with both oral and rectal temperature probes. The Monitor automatically detects the type of probe being used and sets the correct predictive mode. - Page 26 determination. If this occurs, allow 5 seconds for the probe tip to cool before proceeding. Procedures >’ Connect the temperature probe cable to the temperature probe connector (22). Place a protective temperature probe cover on the *.,J probe and insert the probe appropriately. While observing the LCD (lo), turn the...
-
Page 27: General Warnings
Using the Monitor that are derived from the SpOZ signal. A tone sounds at a rate corresponding to the pulse rate and at.a pitch corresponding to the SpOz saturation level. The pitch is highest at 100% oxygen saturation, and it becomes lower as the saturation level falls. -
Page 28: General Cautions
potential degradation of the magnetic resonance image, and potential reduced accuracy of SpOZ measurements. Always remove oximetry devices and attachments from the MRI environment before scanning a patient. The use of cardio-green and other intravascular dyes at certain concentrations may affect the accuracy of the SpOZ measurement. -
Page 29: Warnings
Using the Monitor Procedures Select a sensor that is appropriate for the patient and the clinical situation. Warning: Do not use a damaged sensor or one with exposed electrical contacts. Note: Use only NELLCOR sensors, which are available from: Mallinckrodt, Inc. MacDonnell Blvd PO Box 5840 St. - Page 30 Do not place a clip-on finger sensor on a patient’s or across a child’s foot or hand. thumb Observe the sensor site to assure adequate distal circulation. Monitor performance: For best performance, place the sensor at heart level..
- Page 31 Troubleshooting This section discusses potential difficulties and suggestions for resolving them. If the difficulty persists, contact a qualified service person or your local Critikon representative. The service manual, which is for use by qualified service personnel provides additional troubleshooting information.
- Page 32 necessary; move the sensor to a new site; use a sensor that tolerates more motion. If an ESU is interfering: Move the SpOZ cable as far from the ESU as possible. Plug the Monitor and the ESU into different AC circuits. Move the ESU ground pad as close to the surgical site as possible.
- Page 33 Using the Monitor Circulation distal to the sensor site should be checked routinely. The site must be inspected every 8 hours to ensure adhesion, skin integrity, and correct optical alignment. If skin integrity changes, move the sensor to another site. Try to keep the patient still, or change the sensor site to one with less motion.
-
Page 34: Introduction
Introduction DINAMAP Compact Monitor is equipped with a liquid crystal display (10) and a SelectKnob (9). Used together, these allow the operator to view and edit most of the Monitor’s parameters and functions. When the Monitor is in use, a number of option buttons appear on the liquid crystal display (LCD). - Page 35 Menu Tree POWER SAVE MEhW MOdC pas, Volume 11:37 ll:q 11:47 11:s2...
-
Page 36: Using The Menu System
I Using the Menu System Menu Tree Automaticalley Clear Trend on POWCT-up? Restore previously Print Auto mode Restore BP mode on power-up? configuration Enter alarm mode? Lastcalibtatim 14-J&1997 Tcmp: 14-lul-1997 20 : 21 11 ‘M-Aug-1997 Quik BP menu? Enable Notes The model of the Monitor determines which menu option buttons appear on the LCD. -
Page 37: Main Menu
SelectKnob Rotating the SelectKnob causes option buttons to be highlighted (light text on a dark background). Turning the SelectKnob produces a click. Turning it clockwise moves the highlighting clockwise over the available buttons, while turning it counterclockwise reverses the direction of the highlighting. -
Page 38: Vitals Button (Uk: All Obs)
m Using the Menu System Vitals Button (UK: All Obs) Selection of this button initiates BP, Sp02, and predictive temperature determinations (depending on Monitor model). When the BP determination is complete, all patient data are displayed on the LEDs and held for minutes or until cleared by the user. -
Page 39: Set Bp Button (Uk: Bp Mode)
Set BP Button (UK: BP Mode) Selection of this button displays the Auto and Manual BP menu. Auto BP Manual Auto Selection of this option starts an Auto BP determination. When Auto Mode is selected, a number at the right of the Auto button indicates the time interval between each reading. -
Page 40: Alarms Button
- Using the Menu System mode (refer to “Press” in the “Using the Menu System” section). Main Selection of this button returns the user to the Main menu. Alarms Button Selection of this button displays the Alarms menu. This menu is used to adjust the violation limits for BP, Pulse Rate, SpO,. -
Page 41: Temp Button (Models T And
Auto Selection of this button updates the alarm limits on the LCD relative to the current parameter values. Pressing this button will automatically cancel any limit violation alarm that becomes invalid as a result of a limit change. Alarm limits are updated as follows: Parameter High Limit... -
Page 42: Print Button
m Using the Menu System When the Temp button is pressed, any temperature display from a previous reading will be blanked, and a new determination.will begin. Pressing the button during a Temp determination cancels it. While the new determination is being performed, the pattern of lines on the temperature LED display (20) will blink to indicate progress. -
Page 43: History
His tory Selection of this button causes the entire contents of the trend memory to be printed. When selected, this button temporarily changes to Cancel until the history has completed printing. Main Selection of this button returns the user to the Main menu. More... -
Page 44: Config Button
m Using the Menu System Notes Mode 3 suppresses the SpOz-derived heart rate, but allows a heart rate to be displayed from BP (if one is available and valid). When changing from Mode to Mode 3, the heart rate will be removed from the LEDs, and ”... -
Page 45: Pwr Sav (Sleep Mode)
Pwr Sav (Sleep Mode) Selection of this button allows the operator to specify the time, in minutes, that elapses before the Monitor goes into “sleep” mode (LEDs blanked and LCD displaying values from LEDs). Sleep mode is available only if the Monitor is operating from its battery. -
Page 46: Trend Button
I Using the Menu System Rotor (SelectKnob) Selection of this button displays a panel for setting the volume of the beep that sounds when the SelectKnob is turned. The range of adjustment is Off (default) to 9, and the setting is retained when the Monitor is turned off. Note: The Monitor’s LCD may display the word Rotor for SelectKnob. -
Page 47: Newer And Older
Newer and Older. These buttons may be used to move ._,..l forward and backward through the recorded data. If no information is available, these buttons will not appear. l _ ---_J Print page. Selection of this button causes the displayed information to be printed. -
Page 48: Service Button
Using the Menu System SpO2 Pleth 3 NIBP Sp02 Pleth When this option is checked and SpO, data are available, the plethysmograph waveform and the pulse amplitude bar will be displayed. N/BP When this option is checked, the last 3 NIBP readings will be displayed. -
Page 49: Clinician Menu
Clinician Menu Press. Selection of this button displays a panel for setting the default BP target inflation pressure. Adjusting the default target . . _ pressure will automatically update the current inflation target pressure and will be used for the next reading. The range of adjustment is 100 mmHg to 180 mmHg, and the setting is... -
Page 50: More ... Menu
Using the Menu System I-r- L or I-. Selection of this button toggles the temperature display between Celsius and Fahrenheit and produces an advisory that the trend will be lost. Choosing Yes will cause the Monitor to accept the new temperature label and erase the trend memory. Choosing No will cause the Monitor to retain the existing temperature label and the trend memory. - Page 51 Trend. Selection of this button displays the message: Automatically clear trend on power-up? Selection of either Y’es, overrides the default setting by clearing all trends on power-up and returns the Monitor to the More... menu. Selection of No retains the default setting by saving all trends after power-off and returns the Monitor to the More...
- Page 52 _ Using the Menu System Set BP. Selection of this button displays the message: Restore BP mode on power-up? Selection of Yes restores the BP mode to previous user-selected mode after power-off and returns the Monitor to the More... menu. Selection of No restores the BP mode to the default setting of Manual after power-off and returns the Monitor to the More...
-
Page 53: Appendix A
Appendix A Technical Specifications to 290 mmHg (adult) Cuff Pressure Range 0 to 140 mmHg (neonate) + 15 mmHg (adult) Default Target: Cuff Inflation & 15 mmHg (neonate) 100 to 250 mmHg (adult) Target Cuff Inflation: 100 to 140 mmHg (neonate) Adjustment Range (in 5 mmHg increments) - Page 54 “C “C: 4 0.6 36.1 “C to 39.4 Predictive Temperature “F to 103 “F: I!I 1 “F Accuracy > 39.4 < 36.1 “C and unspecified <97OFand> 103 unspecified -’ 30 seconds typical; 60 Determination Time seconds max Functional Oxygen Saturation: 100% Range 0% to 69%: unspecified...
- Page 55 Appendix A Neonatal Accuracy When sensors are used on neonatal subjects as recommended, the specified accuracy range is increased by &l digit to account for the theoretical effect on oximeter measurements of fetal hemoglobin in neonatal blood (e.g., N-25 accuracy on neonates is +3, rather than f2.) Note: Refer to NELLCOR’s sensor specifications.
- Page 56 Mechanical Height: 9.1 in (23.0 cm) Dimensions Width: 7.3 in (18.5 Depth: 6.9 in (17.5 cm) Weight, Including Battery lb (3.75 Self-supporting on rubber Mountings feet or pole mountable Carried by recessed Portability handle or pole mounted Mode of operation: Classification Information continuous Degree of protection...
-
Page 57: Environmental
Appendix A Environmental +5”Cto+40°C(+41 “F Operating Temperature to+104”F) Operating Atmospheric Pressure hPa to 1060 Storage Temperature - 20 “C to + 50 “C (- 4 to + 122 “F) Storage/Transportation hPa to 1060 Atmospheric Pressure 0% to 95% noncondensing Humidity Range Radio Frequency Complies with IEC Publication 601-l-2 (April... -
Page 58: Patient Alarms
Appendix B Alarm Codes All alarm indications are accompanied by an audible signal unless Alarm Silence is selected. microprocessor system failure will generate a high-pitched audible alarm regardless of the setting of the Alarm Silence switch. There are three categories of alarms: patient alarms, system alarms, and failsafe alarm. -
Page 59: Hierarchy Of Alarms
Hierarchy of Alarms Alarms in the DINAMAP Compact Monitor are in three priority levels. They are: Priority Level Alarm Failsafe Patient and system Low battery The Priority 1 alarm (i.e., Failsafe) will override any other alarm. Priority 2 alarms will override only the low battery .J , . -
Page 63: Principles Of Noninvasive Blood Pressure Determination
Appendix C Blood Pressure Principles of Noninvasive Determination The oscillometric method of determining accomplished by a sensitive transducer which measures cuff pressure and minute pressure oscillations within the cuff. The first determination sequence initially pumps up to a cuff pressure of about mmHg for adult/pediatric patients, or for neonates depending on the initial target mmHg... -
Page 64: Systolic Search
At each step the microprocessor stores cuff pressure, the matched pulse amplitude, and the time between successive pulses. The stepped deflation and matched pulse detection continues until diastolic pressure is determined or total cuff pressure falls below 7 mmHg. The Monitor then deflates the cuff (to zero detected pressure), analyzes the stored data, and updates the front panel displays. - Page 65 Appendix C absence of a systolic value, stop deflation, reinflate to a higher (than initial) inflation pressure (290 mmHg maximum), and resume normal deflation sequence. This additional inflation will occur only once per determination. If a previous valid systolic pressure is displayed, and the new systolic pressure oscillations are compared with the previous valid determination and the Monitor “thinks”...
-
Page 66: Appendix D
CRITIKON@ Soft Cuff, infant 2501 CRlTlKON@ Soft Cuff, Child 2502 CRlTlKON@ Soft Cuff, Small Adult 2503 CRlTlKON@ Soft Cuff, Adult 2504 CRITIKON@ Soft Cuff, Large Adult 2505 Thigh CRlTlKON@ Soft Cuff, CRITIKON@ Soft Cuff, Neonatal 2521 Type 1 CRITIKON@ Soft... - Page 67 USE WITH HOSE REFERENCE NEONATAL LIMB NUMBER CUFF TYPE CIRCUMFERENCE 2521 4cm-8cm 2422 107368 Teal Green, Neonatal, 12 ft (366 6cm-11 cm 2523 7cm-13cm 2524 2525 8cm-15cm USE WITH HOSE REFERENCE ADULT/PEDIATRIC LIMB NUMBER CIRCUMFERENCE CUFF TYPE 107361 Adult 12 2703f2500 8cm-13cm Infant...
-
Page 68: Service Manuals
Appendix F Maintenance Cleaning the Monitor The Monitor and accessories are to be kept clean and used according to the instructions provided here and in the Service Manual. The exterior of the Monitor may be wiped clean with a soft cloth slightly dampened with mild detergents. - Page 69 For additional information on infection control procedures, contact Critikon Technical Support. Printer If the print quality is reduced, the print head can be cleaned with a cotton swap saturated with isopropyl alcohol. For preventive maintenance, clean the print head once a month.
-
Page 70: Storage And Battery Care
When the battery will no longer hold a charge, remove and replace it with one of the same part number. Failure to replace the battery with the same Critikon part number may result in shorter battery life. To charge the battery, insert the plug from the AC-DC power converter into the external power socket and then plug the converter into an appropriate AC outlet. -
Page 71: Fuses
1200 cycles. This means that by thoughtful usage, the lifetime of the battery can be extended up to six times. _.“i Replacement batteries may be obtained from Critikon. Note: The replacement part number of the battery is US: 63313 or UK: 200000. -
Page 72: Calibration
Caution: Refer calibration and leak testing to qualified service personnel. Full calibration details are available in DINAMAP Compact Monitor Service Manual, available from Critikon. Disposal of Product Waste As you use the Compact Monitor, you will accumulate solid wastes that require proper disposal or recycling. These include batteries, patient applied parts, and packaging material.