Datascope Accutorr 3, Accutorr 4 BP User manual

OPERATING

INSTRUCTIONS

V:\.:-.-.

ACCUTORR

ACCUTORR

3/ACCUTORR

4/ACCUTORR

Datascopef

3SAT/

4SAT

Table

of

Contents

FOREWORD

SAFETY

PRODUCT

CONSIDERATIONS

LIMITATIONS

UNPACKING

SERVICING

10

GENERAL

1.1

General

1.2

Specifications 1-3

INFORMATION

DESCRIPTION

AND

SPECIFICATIONS

Description 1-1

Sa02

NIBP

LCD Display 1-4

Trend

Printer
Mechanical

Power

Environmental

Requirements

Battery 1-5
Agency

Compliancies

Mi

Hi
iv

v

vi

M

1-3

1-3

1-4

1-4
1-4

1-5

1-5

1-5

2.0

CONTROLS

2.1

2.2

3TQ

Front

Rear

Panels

Panel

OPERATION

Abbrievated
Detailed

Operating

3.1 Setting-Up

3.2

Turning

3.3

Initial

3.3.1 View

3.4

Operation

3.4.1

3.4.2

3.4.3

Manual

Automatic

NIBP

Power

Control

Angle

Pressure

Operating

On

Settings

(Contrast)

Initiation

Initiation

AND

INDICATORS

Instructions

Instructions

of

NIBP

of

Limit

Fail

Measurements

NIBP

Measurements

Safe

, . , .

2-1

2-2

2-7

3=1

3-1
3-2

3-2

.3-2

3-3

3-3

3-4

3-4

3-6

3-7

Revised

12/21/89

3.4.4

3X5

3.4.6

3.4.7

3.4.8

3.4.9

3.4.10

3.4.11

3.4.12

3.4.13

Cuff

Inflation

START

Sequence

Sensors

LCD

Messages

Alarms

Trend

Printer

User

Configuration 3-21

Time

and

HOLDFunctions 3-7

for Establishing

and

Indicators

Sa02

3-7

3-8

3-8

3-13

3-15

3-18
3-20

Interfacing 3-24

4.0

4.1

4.2

4.3

4.4

4.5

4.6

4.7

4.8

5.0

5.1

5.2

6.0

6.1

6.2

6.3

6.4

6.5

6.6

USER

Introduction

Care

Care

Sterilization

Battery

Paper

Sterilization of

MAINTENANCE

and

Cleaning of Monitor 4-1

and

CleaningofSensors

of

Sensors

Replacement

Replacement

Disposable

and

Maintenance 4-2

Cuffs 4-4

HorizontaltoVertical Configuration 4-4

ACCESSORIES

Standard

Optional

Accessories

Accessories

APPENDIX

Warranty

Indirect

Precautions

Cuff

User

References

Blood

with Using Automatically Cycled Blood

Bleed

Verification

Rate

Pressure

Selections

of

ACCUTORR

Measurements

Measurements

and

Associated

Pressure

Errors

Cuffs

...

4J.

4-1

4-1

4-2

4-3

5=1

5-1

5-1

6=1

6-1

6-2

6-2

6-3

6-3

6-5

Revised

08/01/90

FOREWORD

This manual is intended to provide informationfor the proper operation of

the

Datascope ACCUTORR 3/4 Monitor.

General knowledge of monitoring and an understanding of the features

of

the

Datascope

DO

NOT

OPERATE

Information for servicing this instrument is contained in

ACCUTORR

ACCUTORR

THIS

3/4 Service

3/4

MONITOR

Manual,

are

prerequisites for its

BEFORE

Part

No.

0070-00-0221. Foradditional information"

READING

proper

THESE

the

Datascope

use.

INSTRUCTIONS.

and

functions

or assistance, please contact an authorized Datascope representative inyour area.

Federal Law restricts this device to

titioner licensed by

NOTE: Inordertoensure

state

law to

the

to prevent the voiding of the warranty, it is recommended that only parts

sories

provided by

Datascope

sale

use

by or on the

or order

the

order

use

of this device.

of a physicianorother

proper performance of your monitoring equipment

and

acces

be

used

with your monitor.

SAFETY CONSIDERATIONS

Please

this

read

instrument:

and

adheretothe

following safety considerations regarding

the

use

of

,

prac

and

•

Possible

presence

Association

no

less

• Internal Electrical

Explosion Hazard - This instrument is not explosion-proof. In

of flammable

Code,

than

five

feet

gases

NFPA 56A,

above

Shock

the

Hazard

and

in accordance with

the

Datascope

floor.

- This unit

the

ACCUTORR

does

not

contain

National Fire Protection

3/4

must

any

the

be

operated

user-service

able parts. Do not remove instrument covers. Refer servicing to qualified person

nel.

•

Observe

•

RS232

on

this unit

• Always

• Never

• For

type

Do

ment.

all

Connector

place

place

continued

and

rating.

not

leave

CAUTION

-

may

cause

the

monitorona rigid, flat surface.

fluids

on

protection

See

the

patient

and

WARNING

Connection

chassis

top

of this monitor.

against

the

ACCUTORR

unattended

labels

of

non-isolated

leakagetoexceed

a fire hazard,

3/4

on

the

monitor.

devices

replace

to

the

specification

all

the

fuses

RS232

with

Connector

standards.

the

Service Manual, P/N 0070-00-0221.

for long periods of time while using this instru

specified

Revised 03/11/91

III

• Cuffs mustbeused

•

Use

only

Datascope

with Datascope hoses because of safety luer

accessories

with this product.

fitting.

• This instrument is calibrated to read percentage

oxygen

saturationoffunctional

hemoglobin (Sa02). Significant levels of dysfunctional hemoglobin,

carboxyhemoglobin or methemoglobin, affect the accuracy of the

ment.

• This instrument
on

See

the

appendix for a bibliography of related articles.

may

have

trouble obtaining heart rate,

patients undergoing intra-aortic balloon

pump

Sa02

treatment.

Sa02

and

NIBP readings

• Administrationofcertain vasoconstrictive drugs, i.e., norepinephrine,

peripheral perfusiontoa level that prevents

ACCUTORR4SAT

• Arterial

compression,

perfusionofthe

ACCUTORR

• Intravascular

Sa02

•

Wrapping

measurement.

the

• Overwrapping

3/4

dyes,

cuffs

from taking

tricuspid regurgitation, or other conditions

plethysmograph

from

taking

depending

too

of

SD FLEXISENSOR

Sa02

tightly

Sa02

waveform to a level that

on

concentration,

may

cause

and

and

bandage

the

Datascope

pulse rate

pulse

rate

measurements.

may

a hazardtothe

may

cause

ACCUTORR3SAT

measurements.

may

prevents

affect

the

accuracyofthe

patient.

a hazardtothe

the

such

measure

may

reduce

as

reduce

and

patient.

This

unit

must

•

•

When

the

equipment

PRODUCT

onlybeoperated

integrityofthe

should

LIMITATIONS

• Monitor accuracy

•

• If

•

3.4.1

The

The

the

for

detailed

sions

the

ment

monitor

or

pressure

may

heart rate

will

tremors.

cuffisnot

be

subjecttoerror,

data

measurementofperipheral pulses (peripheral

urement

from

that

cycle).

the

rateofan

may

not always result in a peripheral pulse.

protective earth

be

operated

depends

information.

not

operate

placedatthe

displayedonthe

The

rate

measuredbythe

ECG monitor.

with Datascope

conductor

from its internal battery.

on

the

application of

effectively on patients

patient's heart level,

duetothe

hydrostatic effect.

Datascope ACCUTORR

Datascope ACCUTORR 3/4

Thisisbecause

approved

arrangement

the

proper cuff size.

who

pulses

the

software.

are experiencing convul

taken

ECG is

is in

doubt,

See

the

NIBP

measure

3/4iscomputed

only during a

may

an

electrical signal

the

Section

from

meas

differ

iv

Revised

07/02/90

• Administrationofcertain vasoconstrictive drugs i.e., norepinephrine,

peripheral

and

•

Arterial

fusion or

taking

pulse

perfusion to a

rate

measurements.

level

that prevents the

ACCUTORR

3/4

from

compression, tricuspidregurgitation, or other conditions may reduce per

the

Sa02

Sa02

and

waveform to a level that prevents the ACCUTORR 3/4 from

pulse

rate

measurements.

may

reduce

taking Sa02

• The presence of arrhythmias may increase the time required to complete a
urement and may extend this time to a pointwhere a measurement cannot be

completed.

• The Datascope ACCUTORR 3/4 is not intended for
uses

an oscillometric technique

blood

pressure

measurements.

based

on normal peripheral circulation to compute

• On occasion, increased motion, prolonged crying, or hyperactivity

measurements

UNABLE

TO

with an advisory indication of RETRY-MOTION ARTIFACT or

MEASURE.

use

during CPR. The monitor

may

UNPACKING

Remove

damage.

process

to

tact

tance

the

instrument from

Save

all packing materials, invoice, and

a claim with

the

Datascope

in resolving shipping problems.

Customer

the

the

carrier.

Service

shipping carton and examine it for

billoflading.

Check

all

materials against

Department [phone] for

These
the

signs

packing list.

of shipping

may

be

prompt

meas

produce

required

Con

assis

SERVICING

INFORMATION

DATASCOPE

maintains a network of service representatives and factory-trained dis

tributors. Priorto requesting service, perform a complete operational check of the in

strumenttoverify proper control settings.Ifoperational problems continue to exist
contact

determining

the

Datascope

the

nearest

Customer

field

service

Service Department [phone] for

location.

assistance

Please include the instrument model number, the serial number, and a description of

the

problem with all

Any

questions

Domestic

Service

Datascope

30

Paramus,

Park

Manager

Corp.

Place

NJ

[phone]

[phone]

Service
Datascope

1133

Fullerton,

Manager

S.

Placentia

CA

Corp.

[phone]

Offices:

07652

92631

requests

regarding

Ave.

for service.

the

warranty should

Service

Datascope

Manager

Corp.

be

1111 Pasquinelli Dr.,Su'ite

Westmont,

III

60559

[phone]

Service

Datascope

4100

Ft.

Manager

Amon

Worth,

Corp.

Carter

TX

Blvd.,

76155

[phone]

directed to:

200

Suite

106

Service

Datascope

1900

Smyrna,

Manager

Lake

GA

Corp.

Park

[phone]

Dr.,

30080

Suite

in

300

International

Service

Datascope

Postbox

Hoevelaken,

03495-34514

Service

Datascope

Immeuble
65
93100

France
011-331-485

Copyright

Avenue

Montreuil

99844

Manager

B.V.

26,

3870

Holland

Manager

S.A.R.L

Rond

DU

General

(c)Datascope

of this publication

Datascope

Corp.

Offices:

CA

Point

Sous

93

may

Service

Datascope

Am

West

421-321818/19

Gallieni

Bois

Manager

Dobben

Germany

Corp.

10,

Corp., 1989. Printed in

not

be

reproducedinany

2800

Bremen

USA.

form without

Service

Datascope

1

Science

Cambridge

0223-860333

All

rights reserved. Contents

permission

Manager

Medical

Park,

CB 44BH, England

of

Co.,

Milton Rd.

Ltd.

vi

1.0

GENERAL

DESCRIPTION

AND

SPECIFICATIONS

SYSTOLIC DIASTOLIC

ALARMS

11:44

<^/IEW

MAP

ANGLER

SB

^

INTERVAL

TREND

V,

Datascope Accutorr

START

SELECT

ON

~

180mm

3$AT

PAGE

Sa02

MED

ADULT

DURATION

% RATE

VOLUME

MIN

PAPER

FEED

bPm

ET

^

1.1

General

The

Datascope

accurately

measure

ACCUTORR3 SAT
The

monitor

NIBP

measurement

tation of

clock,

The
ic

rate

and

automatic

sequential

and

features

trended

when

NIBP

measurements

Sa02

measurements,

a listorgraphic

Revised

08/01/90

Description

ACCUTORR 3/4

non-invasive blood

and

ACCUTORR 4 SAT models, oxygen saturation (Sa02).

large, front panel digital readouts; manually-initiated or automatic

cycles;

data,

availableaSa02

measurement

format.

and

advisory

of NIBP.

uses

the

oscillometric

pressure

(NIBP),

techniquetorapidly

heart

an integral liquidcrystal display

messages,

waveform.

cycle

These

can

be

alarm conditions,

usesacontinuous

NIBP

measurements,

displayed on

the

timer, permitting

LCDastrended

rate,

(LCD)

elapsed

along

and

and

with

the

for

the

presen

time, a 24-hour

automat

with

heart

data

in either

1-1

The

LCD

also displays advisory messages

operation, and when necessary, the
ment cycle or display messages to

LCD

qualify

indicating

will

alsodisplay messages during a measure- /

correct or incorrect monitor

a completed measurement cycle.

The Datascope ACCUTORR 3/4 allows you to select audible and visual alarm

alarm

plays.

The monitorisavailable in

ACCUTORR4, is configured

SAT

The Datascope ACCUTORR 3 is equipped
heart rate information. Use the Datascope

heart rate, and

violations

adds

Sa02.

are

Sa02

indicated

by an

four

for

audible

alarm

tone and

configurations. The basic model, the Datascope

NIBP

and heart rate.The Datascope ACCUTORR 4

with

a recorder

ACCUTORR

is desired. Each printout includes

flashing

for

documenting

front

3 SAT ifa printout of

the

time and dateofeach

limits.

panel

NIBP

NIBP,

measurementtaken and when displayed, patientadvisory messages.

All

four configurations feature battery operation and User-Configuration .

When

the

unit is

notinthe

process

of performing an NIBP

measurement

it continuous

ly recalibratesto zero pressure, updatingthe offset pressure once every second.

All

dis

and

1-2

1.2

Sa02

Sa02

NIBP

Specifications

# of digits Difference

Accuracy (%)

Mean

3

70to100%
60to70%

<60%,

unspecified

< +1-2%

<+/-4%Sa02

Sa02

Measurement

Adult

0to100

Range

Neonate

0to100(%)

# of digits

Systolic

Diastolic

Mean

Heart

Pressure

Pressure

Pressure

Rate

Accuracy

Measurement

Cycle:

3

3

3

Initial Cuff Inflation (Auto Mode)

Adult/Pediatric:

Neonate:

Meets

(For

Less

AAMI

all

availablesize cuffs except the thigh cuff.)

than30seconds

Measurement

Adult

50to235

30

to

200

70

to

220

30 to 220

standard

for

averageat72

Range

Neonate

30to200

10

to

150

20

to

170

30to250

automatic

(mmHg)

(mmHg)

(mmHg)

(bpm)

sphygmomanometers.

bpm

without

motion artifact or arrhythmia. Cycle time is affected by

arm size and wrapping technique, which determine cuff

capacity.

180

+/-15

120

+/-15mmHg

mmHg

Cuff

Pressure

Adult/Pediatric:

Neonate:

Maximum

(Adult Mode)

Hose

Revised

Connections:

06/06/90

Cuff

Range

Pressure:

0to270

0to230

mmHg

mmHg

330 mmHg

than

five

minutes)

LUER-Lock

(will

not

Connecter.

exceed

10 mmHg for longer

1-3

LCD

Display

Resolution:

Trend

Printer

Chart

Paper

Type:

Width:

Length:

Roll

Diameter

Printed

Format:

Character

Data

-

-

Size:

128

vertical

The

graphic

NIBP

and

to

120

manuallyorautomatically if

stand-by

when

NEONATE

switching from ADULTtoNEONATE

When

-

annotated

and

mean

values

-

annotated

- List Trend; Graphic

- Graphic Trend of

- Graphic display of frozen

Thermal

dotsx240

trend

Sa02

NIBP

measurement

mode

to

ADULT

equipped,

and

blood

saturated

memory

data.

for

The

one

modes.

provides a

trended

pressure

oxygen

Trend

Sa02/Heart

horizontal

stores

list
cycles.

turned

hour.

permanent

waveforms

values

of NIBP/Heart Rate;

Sa02

58 mm (2.28 in)

25 m (82 ft)

48

mm

(1.89 in)

5x7

pixels

1.5 mm x 2.4 mm (.06 x .09 in)

dots

upto24

trend

Can

offorleft in

Trend

and

values

Rate;

waveform

memory

be

hours

erased

stores

of

up

the

will

also

be

erased

or

record

of:

of systolic, diastolic,

heart

rate

Mechanical

Size:

Weight:

1-4

9 3/4" Hx 6 1/4" W x 13 3/4" D (vertical)

ACCUTORR
ACCUTORR

ACCUTORR

ACCUTORR

Battery

3
4

3

4

SAT

SAT

13 lbs. 8
12

lbs. 4

14 lbs. 0

12 lbs. 12

1lb14

ozs.
ozs.

ozs.

ozs.

without
without

without

ozs.

without battery

Revised

battery
battery

battery

04/19/90

Power

Requirements

Voltage Input:

Environmental

Operating
Operating

Storage
Storage

Operating

Temp:

Humidity:

Temp:

Humidity:

Altitude:

Battery

Type:

Operating

Recharge

Agency

This

productisdesignedtocomply

Time:

Time:

Compliancies

Models

Models

10to40

90%

-40to70

5to95%.,

4000

Sealed,
2

hrs.

1

hrs.

16

with:

max.,

feet

hrs.

-10, -11,

57-63 Hz

-20,

-21,

47-57 Hz

degrees

non-condensing

degrees

non-condensing

below

lead-acid,

with

timer

with

timer

-12,

-13;

30

-22,

-23;

30

C

C

sea

level

12V,
interval
interval

108to132

Watts

198

Watts

to

1.9Ah
set
set

VAC;

typical

to

264

VAC;

typical, 0.2A maximum

8000

feet

above

to5minutes;
to5minutes;

sea

without
with

Sa02

level.

Sa02

*

UL544 Underwriters Laboratory, Medical

Canadian

601.1 IEC,

BS5724

This product

Standard

revision
Regulation Amendment,

Fuses

Replace with IEC 127

Standards

Standards

BSI

meetsorexceeds

Association

for Safety of Medical Equipment

the

accuracy

for Electronic or Automated

Canadian

Standard

(proposed) for

Schedule

type

fuse rated T0.25; 250V only on 120V units.

C-22.2,#125-M1984

IX,

and

Dental

requirements specified in:

Equipment

Sphygmomanometers,

sphygmomanometers:

5 Sept., 1987.

AMMI,

February 1987

Medical Device

Replace with IEC 127 type fuse rated T0.50; 250V only on 220V units.

Replacement:

screwdriver into

Datascope Corp. maintainsa policyof continual product improvement and reserves the

change

materials

Disconnect

the

slot

and

specifications without notice.

and

the

line cord from unit.

prying

open.

Open

input module by placing a

Remove fuse carriers

and

replace fuses.

right

to

Revised

01/30/92

1-5

2.0

CONTROLS

AND

INDICATORS

This section of the Operating Instructions identifies and describes each control and

display of

the

Datascope ACCUTORR 3/4.

Refer

to the paragraph numbers

displays.

Step-by-step instructions

Typical Operation.

Paragraph

Number

2.1

2.2

SYMBOL

DESCRIPTION

DIRECT CURRENT (DC)

ALTERNATING CURRENT(AC)

listed

for

operating the instrument are containedinSection 3.4,

below

for

the

location

of specificcontrols and

Control/Display

Description

Front

Rear

Panels

Panel

-

SYMBOL

Number

1

-29

30-39

DESCRIPTION

REPLACE

MARKED

FUSE

AS

l

•±J

A

O

SI

m

-s-

PROTECTIVE

EQUIPOTENTIAUTY

ATTENTION.

DOCUMENTS/

ON

OFF (powerdisconnectionfrom

TYPEBEQUIPMENT

TYPEBFEQUIPMENT

TYPECFEQUIPMENT

DEFIBRILLATOR

(power

EARTH

(Ground)

CONSULT

connectionto

ACCOMPANYING

REFERTO

PROOFCFEQUIPMENT

MANUAL

the

mains)

the

mains)

6

i

ON/STANDBY

EARTH(Ground)

LAMP

DANGEROUS

SWITCH

VOLTAGE

Revised

07/02/90

2-1

2.1

Front

Panels

18 17

ACCUTORR

16

15

14

J3

12.

3SAT

2-2

ACCUTORR

3

Revised

04/18/90

ACCUTORR

4SAT

Revised

04/18/90

ACCUTORR

4

2-3

1.

2.

3.

4.

5.

6.

7.

8.

9.

1.

Systolic

-

Systolic

-

Diastolic

-

Sa02%

-

Rate

-

Mute

-

Beep

-

ET

-

Printer

-

Cuff

bpm

(Alarm)
Volume

Elapsed

Module

Pressure

- A 3-digit,

(Sa02]

Time

amber

10.

•-

Patient

11.

•

-

Record

12.

•

•

Cuff

13.

•

-

Sa02

14.

••

ON/STBY

15.

•

-

Paper

16.

•- Duration (Trend)

17.

••

PageDown

.

18.

19.

PageUp

•

•-

Hold

Size

Patient

Feed

LEDdisplay indicating systolic

20.

21.

22.

23.

24.

25.

26.

27.

28.

29.

pressure

••

Select

•

•

Mains

•

•

Interval

-

Start

•

•

•

LCD

••

Volume

--

Hi

(Alarm Limit)

-

•

Select

-• Lo

(Alarm

•

Mean

-

in mmHg.

(Trend)

On

Display

(Alarm)

(Alarm)

Limit)

2. Diastolic - A 3-digit,

3.

4.

SaOa

Heart

- A 3-digit,

Rate

- A 3-digit,

amber

(bpm).

5.

Mute

next

minutes. MUTE

twice

6.

SaOo

select

7. ET

8. Printer

9.

Cuff

(Alarm) -

Cancels

measurement

does

within3seconds

Beep

the

(Elapsed

Volume

volumeofthe

Time)

Module-Usedtoproduce

Pressure

-

Selects

amber

LED

display indicating diastolic

LEDdisplay indicating saturated oxygen in %.

amber

cycle.

not

all

- (ACCUTORR3SAT

continuous

- Displays

LED display indicating

the

volume of

Cancels

affect

alarms

the

will

the

the

volume of

flashing digitsormessages.

be

Sa02

the

amount of time since

a "hard copy" of

the

initial

NIBP

NIBP

muted

and

beep.

cuff

heart

audible alarm until

the

Sa02 audible alarm for two

for2minutes.

ACCUTORR4SAT only)

the

the

data

inflation

values.

pressure

in mmHg.

rateinbeats

the

IfMUTE is

last

NIBP

obtained

per

minute

endofthe

pressed

Used

to

measurement.

by

the

monitor.

10.

11.

Patient

The

Record

Size-Selects

selection is displayed in

- (ACCUTORR 3

selectedordesignated

12. NIBP

monitor.

13.

SaOs

the

2-4

Connector

Patient

monitor.

the

interval timed

- A

connector

Connector

desired

the

and

operating mode,

LCDwindow.

ACCUTORR3 SATonly)

data.

usedtoattach

- A

connector

usedtoattach

ADULT/CHILDorNEONATE.

the

Usedtobegin

NIBP cuff

the

Sa02

assemblytothe

the

Sensor

Revised

printing of

assembly

08/01/90

to

14.

ON/ST'BY

intoaST'BY

15.

Paper

the

Feed

recorder.

Switch

mode.

- A

push-button

- (ACCUTORR 3

switch

and

ACCUTORR 3 SAT only)

usedtoturn

the

monitor ONorto

Usedtofeed

place

paper

it

into

16. Duration (Trend) -

scales

clear

17.

Page

18.

Page

19.

Hold

(The "hold

urement

20.

Select

order

21.

Mains

state.

22.

Interval

urements.

are

1-, 2-, 4-, 8-, 12-,or24-hours. Hold this key

the

trended

Down-Usedtoscroll

Up -

Usedtoscroll

- A

touch

cycle

switch

mode"

alreadyinprogress

(Trend)-Selects

(ListTrend, NIBP

On

- A

green

- A

touch

INTERVALS ARE:

urement immediately after

10-, 15-, 20-,

30-,

Selects

memory.

time

through

through

used

to

place

suspendsaseries

the

desired

switch

OFF

45-,

Graphic

LED

used

(only

60

and

Trend,

used

to

to

appliestothe

the

other

120-minutes.

scales

select

for graphically

the

tabularorgraphic

the

tabularorgraphic

the

measurement

of timed

(deflates cuff)).

trend

Sa02

notify

the

the

measurements

and

Graphic Trend,

operatorofthe

automatic

Interval feature),

trended

down

for

data.

three

displays.

displays.

cycle

into a

or

terminatesameas

waveform display in

Sa02

monitor's

timer

intervals

Continuous

Available time

seconds

"hold

the

mode."

following

Waveform).

mains

for

NIBP

(one

on/off

for a maximum period of five minutes), 1-, 2.5-, 5-,

to

meas

meas

At

power

pressed.

up

CONTINUOUS is

of five minutes. At

five

minutes.

23.

Start-

sequence.

24. LCD
able

form;

waveform.

Revised

Usedtobegin

Display

Sa02,

trended

08/01/90

the

timer

interval

one

measurement

the

endofthe

an

will

NIBP

- A liquid crystal display

measurements

in a tabular form;

Sa02/heart rate

be

as

last

immediately after

five minutes a

measurement

used

data

in graphic form;

set,

but

measurement

sequence

to exhibit

trended

will

not

be

the

other

ortobegin

NIBR

heart

NIBP/heart

and

when

activated

until START is

for a maximum period

willbetaken

the

rate,

rate

data

available,

once

interval timer

and

when

in graphic

an

Sa02

every

avail

2-5

25.

Volume

(OFF,

Mode.

marker

disabled,

(Alarm) -

LO,

MED,

See

Section 3.4.12.Ifthe

will

appearinthe

then

HI).

no

Sets

The

marker

the

volume of the audible alarm to

OFF selection maybedisabled in

alarm OFF selection is activated, a rectangular

upper

will

left

appear.

cornerofthe

VOLUME

one

offour settings

the

User Configuration

window.Ifthe

alarm

OFF

is

26.HILimit (Alarm) - When in

selected parameter. The high alarm

is highlighted in
play. When in

27.

Select

sure,

mean

If

this key is

low

limit,

28. LO

29.

Limit

selected

is highlighted in
play. When in

Mean

- A 3-digit,

measurement
ment cycle

(Alarm) - Selects

which

(Alarm)-Wheninthe

parameter.

the

window superimposed in

the

normal mode,

pressure,

pressed

the

cycle

the

for 3

willbesetto85.

The

the

window

normal

amber

the

mean

an

heart

seconds

low alarm

mode,

LEDdisplay indicating

mean

pressure

the

Alarm

Set

limit

changes

Mode,

can only be

sets

the

trend display

the

high alarm

set

for

the

area

the view angle (contrast).

limit

for

alarm parameterthat

on

the

alarm parameter, i.e., systolic pressure, diastolic

rate,oroptional

the

Alarm

limit

superimposedinthe

changes

pressure

represents

Sa02.

alarm limits

Set

Mode,

can

only

the

view angle (contrast).

mean

represents

mean

arterial

willbesettoOFF

sets

the

low alarm limitfor

be

set

for

the

trend display

pressure

the

cuff

area

pressure.

pressure.

except

alarm

in mmHg. During a

parameter

on

the

After a

the

LCDdis

pres

for

Sa02

the

that

LCD dis

measure

2-6

Revised

08/01/90

2.2

Rear

Panel

30.

Battery

31. Potential

the

ground

ACCUTORR

32.

Power

33.

Power

line

cord.

34.

Mains

35.

Datasette

unit.

Input

Input

cord

Power

Compartment

Equalization

potential

3/4.

Label

between

- Identifies

Module

receptacle,

Switch

Module

Port

ALL

-

Contains

the

Lug-(Equipotential

- (Line

fuse

- A

other

Cord

holder,

switch

hospital

the

power input.

Receptacle,

and

usedtoactasthe

- An input slot

UNITS

optional

rechargeable

Post)

equipment

Fuse

voltage

selector

usedtoconnect

battery.

- A

connector

and

the

used

Datascope

to equalize

Holder, Voltage Selector) - A

for mating with a

line

power

the

(mains)

software

detachable

disconnect.

moduletothe

line

2-7

36.

RS232

al high

Connector* (Data Out) - A25-pin D-typeconnector used to provide addition

speed

channels

of non-isolated devices to

leakagetoexceed

for Datascope peripheral communications. Note: Connection

the

the

specifications.

RS232 Connector on this unit may

cause

chassis

Interface

37.
with only

38. Serial

rating of

39.

Leakage

ing only to 220V units.

Connector*

Datascope

Number

the

unit.

Label (for220V only) - A label used to identify leakage information pertain

equipment.

Label

- A 24-pin IEEE

#488-1978

type

receptacle

- Identifies model number, serial number,

fuse

used

type,

to interface

and

AC

* Before using

for

assistance.

2-8

the

communication connectors, contact authorized service personnel

Revised 02/16/90

3.0

OPERATION

This section of

the

Operating Instructions provides general guidelines

and

step-by-

step instructions for the proper operation of the monitor. Numbers in parentheses
identify the displays

INDICATORS.

Abbrievated

CAUTION: Only

familiar

structions

A.

with

this

in

the

Setting-Up

1.

Set

rear

2. If

desired,

3.

4.

5.

6.

Attach

Set

Press

Set

power

Mains

ON/ST'BY

(when appropriate)

-Patient Size (Adult/Child or Neonate)

-Alarm

-Alarm

-Sa02

Limits

Volume

Beep

-View Angle (Contrast)

and

the controls described inSection 2.0,

Operating

use

Abbrievated Operating Instructions if

product.Ifnot

remainder

Instructions

please

of

this

chapter.

continue

panel Mains Power Switch to OFF.

interface

any

peripheral equipment.

cord.

Power

Switch

Switch

Volume

to

to

the

ON.

ON.

following:

with

CONTROLS

you

the

Detailed

AND

are already

Operating

()

In

B.

Initiating

1.

Select

2. Attach cuff

3.

Select

4. Select cuff

5.

Press

6.

Press

C.

Establishing

1.

Select

2. Attach

3.

Press

D.

Recording

1.

Select

2.

Press

3.

Press

NIBP

cuff.

Measurement

hosetoNIBP

timer

interval, if

desired.

pressure,ifnecessary.

Starttobegin

Holdtosuspend

Sa02

appropriate

sensortothe

Trend

Selecttoobtain

NIBP

measurement.

(ACCUTORR

sensor.

Sa02

Information

desired

Recordtostart

trend

screen

recording function.

Record againtostop

connector

and

measurement.

3/4

SAT

connector

Sa02

or

Sa02

and

waveform,ifnecessary.

waveform

recording function.

place cuff on patient.

only)

applytothe

to

patient.

record.

Revised

12/21/89 3-1

Detailed

3.1

Sefflng-Up

1.

Set

the

Operating

rear

panel

Instructions

MAINS

POWER SWITCH (34) OFF.

2. Check
configuration.

the

serial number label (38) and voltage indicated. Confirm proper voltage

If

the

monitor is not wired correctly, contact a Datascope Service Repre

sentativeorqualified hospital personnel.

3. Ifinterfacing with
cable
and

4. Ifadditional

Cabletothe
terface

5. Attach
MODULE (33)

use

(P/N 0012-00-0271)

the

corresponding

rear

connector

the

AC

an

adaptortodefeat

When

chassis

other

communications

panel

on

power

and

into a

compatible

between

interface

RS232

the

peripheral

cord

grounded

the

into
U-ground.

attached

leakage

currents

Datascope

the

connector

capabilities

Connector.*

instruments).

the

Datascope

(3-prong) Hospital

WARNING

to

other

*

3.2

Turning

Power

On

rear

panel

on

are

Data Out (36)

products

of

all

100

ua.

instruments,

INTERFACE CONNECTOR* (37)

the

peripheral

required,

ACCUTORR's

Grade

insure

units

(total)

attach

instruments).

attach

and

the

the

rear

AC

that

do

the

interface

RS232 Interface

corresponding

panel

receptacle.

the

not

INPUT

total

exceed

v '

Do

in

not

1.

Place

(21),

2.

Press

The

The

(initial

•

• All

•

•

NOTE:

Advisory

The

the

should

the

message

following

power

Internal

Front

The

LCD Advisory

The

Alarm

To

insure

Paneltolight up.

monitor is

rear

illuminate

front panel ON/ST'BY switch (14) to ON.

Self-Check

• Before using

for

assistance.

panel

on

"INTERNAL

items

up):

Panel

are

LEDs

Panel

Tones

proper

ready

the

for

communication connectors, contact authorized service personnel

MAINS

the

TEST

checked

function,

use

when

POWER SWITCH (34) to ON. A

front panel.

IN

PROGRESS"

during

the

watch

the

messageiserased

first 10

for all front panel LEDs

displays

seconds

from

green

on

the

LCD advisory panel.

of monitor

and

the

LCD.

LED,

the

MAINS

operation

LCD

ON

3-2

Revised 02/16/90

If

the

self-test is

LCD:

If

anyofthese messages are displayed, the

3.4.8, LCD

not

RAM
RS232

TEST

PORT

Messages,

successful,

FAILED

FAILURE

one

of the following

for further instructions.

ROM
D.S.

monitor

messages

TEST

BUS

will

not operate. See Section

willbedisplayed on the

FAILED

FAILURE

3.3

Initial

The

following

FUNCTION

Timer

Hold

Patient

Trend

Control

initial

Interval

Size

Display

Systolic Alarm Limits

Diastolic

Mean
Rate

Alarm

Sa02

Record

Initial

Alarm

Alarm

Alarm

Volume

Beep

Cuff

Limits

Volume

Inflation

View Angle

Settings

settings are automaticallyselected at power on.

Limits

Limits

INITIAL

ON

As

OFF

As

Tabular

As

As

As
As
As
As

OFF

Adult/Child:

Neonate:

As

POWER

last

set

last

set

last

set

last

set

last

set
last
last
last

last

SETTING

UP

List

set
set
set

180

120mmHg

set

mmHg

DEFAULT

SETTINGS

OFF
OFF

Adult

Tabular

OFF

OFF

OFF

OFF

MED

LO

OFF

List

Adult/Child:

Neonate:

12

o'clock

180mmHg

120mmHg

view

nominal

3.3.1

The

during

View

view

Angle

(Contrast)

angle is changed by pressing theHI(26)

normaloperation (exceptwheninthe

Alarm

and

Set

LO

(28)

Mode).

keys at any time

Abeep is heard each

time one ofthese keys is pressed. Adouble beep is heard when the last setting has

been

NOTE:

keys are used to setthe alarm

Set

Revised

reached

TheHIand

Mode

08/01/90

will

for

not

that

LO

alter

key.

keys have a dual function. When inthe

the

view

limits.

angle.

Therefore, pressing these keys inthe

Alarm

Set Modethe

Alarms

3-3

3.4

Operation

All

ACCUTORRmodels

automatically

also

obtain

timed

Sa02

can

be

intervals.

measurements.

initiatedto obtain

The

ACCUTORR 3 SAT

NIBP

measurements manually or by

and

ACCUTORR 4 SAT

can

3.4.1

Manual

Initiation

of

NIBP

Measurements

1. Select a pressure cuffthat is approximately 20%widerthan the diameter ofthe

on

whichitistobe

A cuff that is

rect

sizeofthe

too

directbearingon the accuracyofthe obtained

tion of

cates

design dimensions of

tions

the

cuff

the

available

of

the

Limb

Diameter

45-65

30-45

24-36

18-27

16-25

11.5-19

6-11

32-42

24-32

17-25

11-17

9-13

7-10
6-

8

American

used.

narrowfor

pressure

size

on

Datascope

(cm)

the

cuff

foragiven

the

limb

the

cuffs

Heart

Association.

Description

Cuff

Thigh*

Large Adult

Adult
Child

Small

Infant

New

Large

Adult
Child

Neonatal,

Neonatal,
Neonatal,
Neonatal,

limb

will

result in erroneously high readings. The

patient

NIBP

circumferenceofthe

cuffs for

and

Name

Child

Born

Adult

use

with

their intended

Size

3

Size

2

Size

1

Size

0

Reusable

0998-00-0003-05
0998-00-0003-02
0998-00-0003-01

0998-00-0003-03
0998-00-0003-04

0998-00-0003-06
0998-00-0003-07

has,

among

other

considerations,

measurements. Base yourselec

patient.

the

Datascope

uses

are

based

Datascope

Part

The

following

ACCUTORR.

on

recommenda

Number

Disposable

0683-07-0001-01
0683-07-0002-01

0683-07-0003-01

0683-03-0003-02
0683-03-0002-02
0683-03-0001-02

0683-03-0004-02

table

The

limb

cor

a

indi

NOTE: Disposable cuffs may

instructions.

NOTE:

folds

should

The

wrapped

The

longer timer interval

over

ding

This

* when using

standards.

3-4

Cuffs

that can

be

pressure

skin is

become moresupple as theyape and sometimesdeveloppermanent

leave

replaced.

on

too

tightly. Therefore,

sometimes

temporary markson the

the

limb may

should

a period of time. In

maybeapplied to

measure

may

affect NIBP performance

the

thigh cuff this product

fragile (i.e., on pediatrics, geriatrics, etc.) In

be

extreme

the

limb in order to cushion

be

sterilized. Refer to Chapter 4 for sterilization

not

assure

limb.

fall

to zero between

that

the

Any

cuffs

that

exhibit

measurementsifthe

cuff is properly applied.

these

considered to

cases,

decrease

the

number

of cuff inflations

a thin layer of soft roilorwebril

the

skin

and

should

will

not comply with

be

when

used

the

with caution.

AAMI

accuracy

this

effect

cuff is

cases,

cotton

a

pad

cuff is inflated.

Revised

03/11/91

2. Attach cuff

hose

to

NIBP

Connector

(12).

NOTE: The distal

edgeofthe

cuff should be placed higher on

the

patient's arm (away

fromthe elbow) to avoid differential pressure damageto the radial nerve. Referto

tion 6.3, Precautions with Using Automatically Cycled Blood Pressure Cuffs for more

information.

3. Place the cuffat the patient's heart

be

introduced

fitted

snugly,

against the patient's skin. No

4.

Press

5. Select

secondstochange

6.Ifnecessary, Press CUFF

into

the

measurements.

with

little

or no air present

clothing

the

ON/ST'BYswitch (14) ON. Waitfor a successful self-check routine.

PATIENT

SIZE (10) - either Adult/Child or Neonate. Press key forthree

the

mode.

PRESSURE

Cuffinflation values depend on the

tion

is:

PATIENT SIZE Setting

Adult 180, 200, 220, 240, 260, 100,

Neonate

level

or an error,

To

reduce

within

additional

the

cuff.

due

to hydrostatic effect, may

errors,

the

Be sure the cuffliesdirectly

should come between the patientand the

(9)

to change the cuffpressure value.

PATIENT

Initial

120,140,40,

SIZEsetting. The

Cuff InflationValues

60,

80,100,120...mmHg

sequence

120,140,

cuff

should

cuff.

of cuff

160, 180...mmHg

infla

sec

be

7.

Press

NOTE: Inflate

START (23)tobegin

the

cuff only after proper application to

an

NIBP

measurement.

the

patient's limb. Cuff

damage can resultifthe cuff is leftunwrapped and then inflated.

The

cuff

begins to

selected value the cuff begins to

to collect oscillometric pulsations.

If

the

initial

cuff inflation is foundtobe

inflate

to the selected

slowly

cuff

pressure value.

After

deflate and the Datascope

inadequate,

the

unit retries with a higher infla

reachingthe

ACCUTORR

tion pressure (+50mmHg inthe adult mode; +30mmHg in the neonate mode).

Havethe patient remain

After

the cuff pressure drops below the diastolicpressure, the results of the measure

ment are displayed on the discrete

the

completion of

During

or after an

played on the

tions.

ELAPSED

TIME

the

NIBP

LCD

(7) indicates the amount oftime since the completion of the last meas

urement. Elapsed time is updated each minute

still

to avoid the introductionof unnecessary motion artifact.

LED

readouts. Atwo tone audible beep indicates

measurement.

measurement, one ofseveral advisory messages may be dis

window. Referto Section 3.4.8,

LCD

Messages, for their explana

until

a new measurement is made.

begins

8.Ifdesired, press

Revised

12/12/90

HOLD

(19)

to cancel a measurement.

3-5

3.4.2 Automatic Initiation

1.

2.

Press

The

Press

INTERVAL (22) until

LCD Advisory (24)

Off,

Contin*,

START (23)tobegin

1-,

2.5-,

will

5-,

the

display

10-, 15-,

an

of

NIBP

desired

oneofthe

automatic, timed

Measurements ^

timed-interval setting is

following:

20-,

30-,

45-,

selected.

60-,or120-minutes.

measurement

sequence.

Automatic

In

the

reading of

cuff inflation
systolic

Suspension

To

suspend

cycle

To

Note:

alreadyinprogress

Press

-

resumeasuspended

-

Press

minate a

Interval

Pressing

mode, I

the

Interval

not

be

Adlustment

timer

mode,

the

systolic

pressure

+50mmHginthe

of

an

HOLD (19).

START

Press

activated until START (23) is

HOLD (19)atany

measurement

Set

Mode

the

INTERVAL key (22)

INTERVAL]

Mode

In

the

Timer

the

unit

adjusts

pressure.

display

Automatic

automatically timed

reads

Adult

(deflate cuff):

timed

Mode

NIBP

measurement

Mode

the

inflation

After

the

first

"AUTO"

and

Feature

measurement

pressure

accordingtothe

measurementinthe

and

the

inflation

+30mmHginthe

sequence

sequence:

pressureisthe

neonate

ortoendameasurement

(23).

timetopostponeascheduled

cycle already in progress.

enters

the

unit into

the

is displayed inreverse graphics on the monitor.Ifthe

when

turned

off, when

pressed.

powered

up it

will

measurement

Interval Mode.

stillbein this

timer

mode.

previous

mode,

previous

ortoter

When

in this

unit is leftin

mode,

the

but

will

Observe

Pediatrics,

Reports
blood pressure cuffs.

Blood

* A five-minute limitis

ACCUTORR

taking

one

3-6

have

been

Pressure

will

automatically switch to a five-minute

measurement

Extreme

and

made

of nerve injury occurring during

See

the

Cuffs".

placed

on

every five minutes.

CAUTION

Caution

Adults)

Continuous

Appendix, "Precautions

continuous

On

All

When

Mode.

measurements.

Patients(Neonates,

NIBPisstet

use

of automatically

when

Using Automatically Cycled

measurement

to

After five

interval cycle,

the

cycled

minutes

Revised 08/01/90

the

3.4.3

If

the

the

SURE.

The

any

NIBP

cuff

pressureisoverpressurized,

alarm

new

toneissounded,

unit

must

measurements

Pressure

be

turned

off

are

Limit

and

and

taken.

Fail

Safe

the

the

advisoryonthe

back

on

againtoreset

cuff

will

automatically

LCD

reads

the

overpressure

venttoatmosphere,

CUFF

OVERPRES

switch

before

3.4.4

If

the

orifthe

vented

3.4.5

The

sequence.

• INTERVAL is

An

not

that

taken

with

•

The

Cuff

cuff

pressure

target

and

the

START

START

unscheduled

affect

follow

for

the

and

the

willbetakenasif

each

scheduled

INTERVAL

timed

measurementissuspended

deflation).

Inflation

pressureisnot

RETRYorUNABLETO MEASURE

and

HOLD functions

set

measurement

timing of

measurement

isset and you press

Time

does

not

attain 20mmHg within40seconds

HOLD

and

you

the

interval cycle. In

there

measurement.

reached

Functions

have

Press

is

within

the

START (23):

made.

Taking this

following effects

other

werenointerruptions.Only

cycle -

evenifthe

HOLD

or

(19):

the

another

60

message

unscheduled

words,

the

unscheduled

measurement

of

the

seconds,

will

on

then

appearinthe

the

timed

measurement

scheduled

one

measurement

measurement

cycleisstopped

start

of inflation

the

cuff is

LCD.

measurement

does

measurements

coincides

(cuff

is

•

INTERVALisset

The

HOLD

mentisbegun

the

interval

Hold

mode

minutes:

Time

10:00

10:04

10:05 Timer
10:07 Hold
10:10 Timer

Revised

08/01/90

and

you

modeiscancelled,

by

pressing

timer's

affects

Mode/Timer

Notinhold

Hold

request.

scheduled

modeisentered

START,or

Interaction

mode

requestsameasurement

mode

is exited Hold

requestsameasurement

Press

i.e.,

HOLD

the

cuff

another

measurements.

(19) a

remains

second

deflated

time:

until

measurement

For

example,

Result

Measurement

Hold

message

with

Measurementisskipped

message

Measurement

another

measure

is automatically

the

interval

taken

is

displayed

no

longer

is displayed

taken

begun

settofive

on

LCD

by

3-7

on

LCD

3.4.6

Sequence

for

Establishing

SaO?

Sa02

ACCUTORR

1. Select

the

Guidelines for

2. Follow

3.

4.

measurements

the

information

the

The

Sa02

Press

PAGE DOWN (17) or PAGE UP (18) to

can

be

4

SAT

monitors.

appropriate

included

the

selection of a

obtained from

sensor

in

this

for

section.

sensor

the

the

patient.

are

provided in

Datascope

Base

patient application instructions provided in

waveform displaysonthe

LCD.

change

played. (The selected waveform size is remembered

5.

Press

available settings including OFF.

ing levels to maximum then

the

current volume

generated

3.4.7

Awide

3/4

SAT.

patients

BEEP

VOLUME

willbegenerated.Ifa

as

the

volumeisincreased.

Sensors

rangeofsensors

The

sensors

ranging

from

neonates

(6) to

are

cover

set

off,

the volume of

If

held

etc.Ifa

depressed,

Sa02

the

sensor

sensorisconnectedabeep

available for connectiontothe

both

short-term

to

large adults.

and

long-term monitoring

ACCUTORR 3 SAT

your selection of

the

Sensor

each

sensor

the

size of

onceithas

Sa02

beep.

the volume

been

will

the

Selection Chart.

package.

the

waveform dis

selected.)

There

are

change

is not connected, then a

will

Datascope

ACCUTORR

needs

and

sensor

eight

in increas

beep

not

be

on

the

on

at

The DIGISENSOR is intended for short-term adult monitoring.

The FLEXISENSOR SD, available in

long-term monitoring for large adults, adults, pediatrics, infants,

FLEXISENSOR

The

ear

sensor

monitoring site for

A

rangeofdisposable

They

are

available in 2 styles, butterfly (used for large adults, adults,

and

coban

Useofthe
electrical

The

tor).

contactortransferofexcessive

sensoriscomposed

The

emitter

SDisused

when

is intended for long-term adult monitoring. It is a convienient alternate

the

anesthesiologist.

bandages

(used

sensors

for infants

does

not

and

cause

of a lightemittingdiode (emitter)

discharges

two colors (wave lengths) of light into

five

differentsizes, provides both short-term

the

DIGISENSORisnot

are

available for

neonates).

any

penentration of

heattothe

use

convienient

with

the

patient.

and

and

neonates.

the

FLEXISENSOR SDs.

and

skin,

noristhere

a photodiode (detec

the

tremity (finger, toe, ear). The detector receives that amount of light not

the

bloodortissue

the

two

light

wavelengthstocompute

components.

The

ACCUTORR

and

display

then

uses

Sa02 and

the

relative

Rate

measurements. )

or

suitable.

pediatrics)

any

patient's ex

absorbed

absorbtion

and

The

by

of

3"8

Revised

09/22/89

The

key

benefitsofthe

sensors

are:

-electrocautery

noise

(ESU) rejection

-the monitoring of restless patients

-tracking of

-rejectionofambient

-long

-can

-patient isolation

-easeofapplication

The

term

be

• Electrocautery

sensor

uninterrupted monitoring and

can

be

the

monitor, via

• Monitoring

weak

patient

resterilized (ETO sterilization - 3 times)

configuration of both

set

at any power level). This design prevents electro-surgical noise entering

peripheral pulse levels

light

comfort

and

removal

Noise

the

Restless

(ESU) Rejection

the

DIGISENSORand

absence

of false alarms during

sensor, and interfering with unit operation.

Patients

Motion artifact rejection is achieved in several ways.

1.

The

the

sensortothe

sensor

design

patient.

used

with their

recommended

the

FLEXISENSOR SD provide

the

bandages

use

of ESU (ESU

assuresasnug

fit

of

2. Light emitting diodes (LEDs) and detectors gather a strong signal from

3. Software in the ACCUTORR evaluates the

rejects noisy

4.

Wheninthe

creasing itto a maximum of 15

and

unreliable pulses.

presence

of motion,

seconds

the

during quiet periodstoobtain a fast response. This combination
of monitoring interruptions

• TrackingofWeak

and

false alarms from patient motion.

Peripheral Pulse Levels

Many patients suffer poor peripheral perfusion

The

reduced cardiac output, etc.

ACCUTORR is designed to automatically increase

shape

software adjusts

of each pulse and automatically

the

"averaging-period", in

during motion, and automatically reducing it

reduces

due

to hyothermia, hypovolemia,

the

the

patient.

number

its gaintotrack patients with poor peripheral perfusion.

• RejectionofAmbient

Light

Many monitoring situations involve high levels of ambient light, ie., operating room

lights, neonatal phototherapy, heat warmers, etc.

and

bandages

ically

measures

the

DIGISENSOR prohibits

with

sensor

bandages,

each

and

operation.

which are

contribute to

the

rejection of

corrects for high levels of ambient light.

the

interference of high levelsofambient

And

the

used

with

opague

the

material

FLEXISENSOR SD,

The

ACCUTORR Monitor, sensors,

ambient

usedinthe

light.

helps

The

monitor

The

enclosed

lightonadults

compositionofthe

keep

out

ambient

automat

design

of

light.

3-9

•

Patient

The

FLEXISENSOR SD line is designed to slip into a disposable

(butterfly

anatomy.

A.

Sensor

Comfort

and

coban)

Selection

which conform comfortably

and

Application

and

safely to

bandage

the

particular patient's

of two styles

Selection of a specific

and

expected

monitoring duration.

General guidelines for

Chart,

Instructions for

package.

B.

1. Align

(13)

which

Sensor

on

the

follows.

the

Connection

the

cable

ACCUTORR 3SAT/4SAT.

sensorisbased

the

selection of a

application of a

to

connector

2. Push the cable connector

cable

TO

WHEN

C.

connectorissecurely

OBTAIN MAXIMUM CABLE

ATTACHING

Sensor

Inspection

TO

OR

on the patient's age, sex, physical condition,

sensor

sensor

the

ACCUTORR

on

the

sensor

into

the Sa02 Patient Connector

in place.

USE,

DISCONNECTING

to a patient

assembly with

DO NOT TWIST

are

provided in

3SAT/4SAT

FROM

are

provided in

the

THE

CABLE

THE

the

Sensor

each

Sa02

ACCUTORR

Patient

(13).

Confirm

CONNECTOR

Selection

sensor

Connector

that the

3SAT/4SAT.

Before

use,

always inspect

abrasions. Do not

good

For

-Do not

Between

accessory

using

-Avoid running

-Avoid

-Watch for

3-10

long

For

accessory

working

sensor

drop

use,

pouch,orcoil

the

optional

strong

cracksinthe

sensor.

life:

on

the

store

part

any

pulls

sensors,

use

the

sensor,

floor, or give other

the

sensorsinthe

the

sensor

cable

number

cart,

on

the

retainer.

information

bed,orany

sensor

DIGISENSOR housing.

cables,

cable or connector if

sharp

and

connectors for

shockstothe

damage,

damaged.

sensor(s).

optional FLEXISENSOR SD Organizer,

cable

piece of

and

store

see

Section 5.2, "Optional Accessories".

equipment

on

the

sideofthe

over

the

sensor

cable (10 lbs/4kg).

ie.,

cuts

Replace with a

ACCUTORR

cable.

and

-Watch for

D.

Sensor

For

the

BEST

cracks,

Performance

performance

cuts,

rips, fogging,orsigns

of all

Datascope

of moisture in

sensors:

the

FLEXISENSOR SD.

-DO NOT PLACE

sure

cuff in

tremity

place.

may

FLEXISENSORSD is

posite

-Encourage

the

siteofthe

any

sensor

Placementofan

obstruct

normal

placed

arterial

the

patienttoremain still. Patient motion

mance.Ifit is not possible for
on

the

FLEXISENSOR SD to

DIGISENSOR.

-Check

for
culation

If

necessary,

tions

NOTE:

-Placement of
tificial
signal,

FLEXISENSORSD if

the

the

sensor

indications

impairment.

occur,

immediately

Check

remove

the

site

daily

of

skin

abrasions,

Check

and

reapply

remove

the

sensor

site

DIGISENSOR may

nails (over 1/4" long). Incorrect placement

and

therefore

fingernails interfere with

compromise

the

sensor

the

on

an

extremity with

arterial

blood

on

catheterorblood

assure

flow.

that

same

the

patient to remain

good

on

adults

sensor

the

sensor

the

the

sensor

more

frequently on infant

be

catheter

False

extremity.

adhesion, or

and

displacement,

site

sensor.Ifanyofthe

difficult on patients with long fingernails or ar

and

an

or

pulse

pressure

rate

still,

every4hours

every4hoursifthe

find

an

can

performance. Selectanalternate site (toe)oruse

can

notbeplaced

on

acquisition of a reliable signal.

arterial

blood

Place

may

catheter

pressure

information

the

cuff.

affect

replace

change

on

sensor

above

or

blood

cuff

on

may

result if

sensor

the

the

the

neonatal

on

sensor's

sensor

site of

the

bandage

the

patients

damage,

ear

clipisused.

mentioned indica

alternate site.

and

active pateints.

also

reduce

the

patient's finger correctly or if

the

acquired

pres

an

ex

limb

perfor

or

cir

sensor

the

op

a

-Use of

Pressure
damagetothe

reposition

the

DIGISENSOR is not recommended for long-term monitoring (4-6 hours).

from

the

spring mechanism on the DIGISENSOR may

finger/toe

the

DIGISENSOR every 4-6 hours to a different site (finger/toe) or

used.

For monitoring situations exceeding 4-6 hours, either

FLEXISENSORSD with its appropriate

-Do

not

can
sure

over-tighten

affect

can

Sa02

also

result in

the

readings

pressure

sensor

and

bandages.

may

reduce

necrosis

bandage.

Excessive

readings below

and

other sking

pressure

true

damage.

cause

on

the

Sa02.

minor skin

use

a

monitoring site

Excessive

pres

3-11

E.

ACCUTORR

Sensor

Selection

Chart

Patient Group

SensorType

Large Adult

Adult (A)

Pediatric (P)

Infant

(1)

Neonate

(N)

Adult Ear (AE)

(LA)

Approximate

Patient

Weight kg/lbs

>80kg/

>176

lbs

30-90kg/

66-198

lbs

10-40kg/

22

-88

lbs

4.5-10kg/

10-22

lbs

Upto 5kg/

Upto 11 lbs

> 40kg/

>88

lbs

Whereto

be

used

Fingers,

Toes

Fingers,

Toes

Fingers,

Toes

Feet, Palms,

Big

Toes

Feet,

Palms,

Heel,

Calf

Adult

Ear

Long or

Short

Term

Monitoring

Long&

Short

Term

Long&

Short

Term

Long&

Short

Term

Long&

Short

Term

Long &

Short

Term

Long&

Short

Term

ESIS

Included

Included

Included

Included

Included

Included

Re

usable

Yes

Up

20

Yes

Uptp

20

uses

Yes

Up

20

uses

Yes

Up

20

uses

Yes

Up

20

uses

Yes

Up

20

uses

to

uses

to

to

to

to

Bandage

Type

Adhesive,

Disposable

Adhesive,

Disposable

Adhesive,

Disposable

Non-Adhesive*,

Disposable

Non-Adhesive*,

Disposable

N/A

Part

Numbers**

Sensors Bandages

0998-00-0076-03

0998-00-0076-02

0998-00-0076-01

0998-00-0074-03

0998-00-0074-02

0998-00-0074-01

0683-00-0409-01

0683-00-0409-02

0683-00-0409-03

0683-00-0415

0683-00-0440

N/A

DIGISENSOR

*Non-adhesive bandagesarerecommended

40 +kg/

90+lbs

Fingers,

Toes

for

premature

Short

**See Accessories, Chapter 5, for more detailed information.

J

Term

Included

infantstominimize

Yes

6-

months

prenatal

N/A

skindamage.

0998-00-0088-02

N/A

3.4.8

LCD

Messages

The following

cycle. The

messages

messages

Monitor Operation,

A.

NIBP

Measurement

Message

RETRY-MOTION

RETRY-PUMP

CUFF

RETRY

OVERPRESSURE

HIGHER

may be displayed on the

are divided intothree major categories:

and

Sa02.

Messages

fie_as_o_n

ARTIFACT

Too

much

Cuff

not

measure

Cuff

pressure

preset

motion

inflated

patient's

trip point (330mmHg).

Measurement

artifact.

enough

pressure.

exceeds

cycle

long or no pulsations

dectected.

LCD

too

during a

to

the

NIBP

NIBP

measurement

Measurement,

Response

Unit

begins

measurement

the

cuff

Unit

begins

measurement

the

cuff

Cuff

vents

a retry

after venting

for5seconds.

a retry

after venting

for5seconds.

and

remains

vented. Cycle power to

reset

The

measurement

the

this

condition

alarm

for5seconds.

Unit

beings

cuff

for5seconds.

tone

a retry

sounds

after

venting

UNABLE

B.

Monitor

TO

The following

Message.

LOW

INTERNAL

PROGRESS

RAM

ROM

BATTERY

TEST

TEST

TEST

MEASURE

Operation

messages

IN

FAILED

FAILED

Unit

complete

measurement

attempts.

Messages

pertain to

Season

Battery requires

recharging.

Self
performed.

Message

unitisturned

was

Message appears

unitisturned

was

cannot

the

test

not

successfully

the

NIBP

after

four

operation ofthe monitor.

is being

appears

successful.

off.

until

Self

test

until

off.

Self

test

not

successful.

Alarm

for

five

tone

seconds.

sounds

problem.

Response

Recharge/Replace

battery.

See

Section 4.3.

Waitfor completion

of

self-test.

Power

Power

See

cycle

unit.

cycle unit.

Section

Correct

3.2.

Revised

03/13/91

3-13

CHKSUM

FAIL

Message appears

unitisturned

test

was

not

off.

successful.

until

Self

Power

cycle

unit.

OFFSET

PRINTER

ERROR

ERROR

C.

SaOg

The

following

Message

NO

SENSOR

SENSOR

FAIL

FAILURE

ON

DSB

ON

RS232

Messages

messages

OFF

Message appears

unitisturned

test

was

Message
problem

recorder

Message

collision

the

Datascope Serial Bus.

Message

collision

the

RS232C

pertaintoSa02

Reason

Sensor

to

Sensor

not

ACCUTORR.

not

to patient.

off.

not

successful.

indicates a

with

the

mechanism.

indicates a

or

data

error

indicates a

or

data

error

Bus.

Operation.

connected

connected

until

Self

on

on

Power

cycle

Message

the

situation

Message

a

successful

Message

a

successful

Response

Connect

Connect

unit.

remains

is

until

corrected.

remains until

transmission.

remains until

transmission.

sensor

if

desired.

sensortopatient.

INTERFERENCE

PULSE

WEAK

NO

PR

PR

SA02

CHECK

FILTER

SEARCH

PULSE

PULSE

UNDER

OVER

UNCAL

30

250

SENSOR

FAIL

Patient

motion.

ACCUTORR establishing

patient pulse level.

Low patient pulse

amplitude.

Patient pulse

detected.

Pulse

rate

not

below

operating limits.

Pulse

rate

above

operating limits.

Sa02

value

below

specified accuracy.
Sensor

incorrectly

applied. Defective

sensor.

System

unsuccessful.

self

test

was

Wait

for

motion

to

Wait or reposition

Check

Check

Check

Power

patient.

patient.

sensor

cycle

site.

unit.

end.

sensor.

3-14

Revised

03/13/91

3.4.9

The

diastolic

A.

1.

desired alarm parameter. The alarm

Alarms

Datascope

pressure,

Setting

Press

ALARMS

and

Indicators

ACCUTORR provides high

Alarm

mean

Limits

pressure,

SELECT (27) to activate

heart rate,

the

limits

for each parameter

and

low alarm limitsfor systolic pressure,

and

Sa02*.

ALARM

SET MODE

dow superimposed on the trend display. Continue to press

cycle through the availablealarm parameters.

ting the alarm

limits

once

you

are

inthe

ALARM

Thirty

SET

seconds is allowed to begin

MODE.

andtochoose

are

displayed ina win

ALARMS

SELECT

(27)

set

a

to

NOTE: Pressing

of

the

alarm limits.

to

85.

11:44

Alarm

—

Window

4.

Press

VOLUME

and

SiflQjtSQj

HR:

50-130

10:56
10:57

10:57

11:03
11:12*

OFF

holding

All

limits

MAP=

TT8"

123

119

126

107
106

(25) until

the

ALARMS

SELECT key for 3

willbesettoOFF

91

D:

50-100

^82"

83
82

83

73
75

180mm

the

desired alarm

W

93

89

95

86

91

MED

SAT:

M:

70-OFF

73

75

74

71

65

ADULT

except

40-100

tone

for

1

MIN

"SET

99
99
98

98

98

levelfor systolic

tolic pressure, mean pressure, and heart rate is achieved

The OFF selection may

section 3.4.12.Ifthe

pearinthe

the

alarm

upper

left

OFFisdisabled,

be

disabled or activated in

the

User Configuration Mode,

alarm OFF selection is activated, a rectangular

cornerofthe

then

VOLUME

no

marker

window.

will

appear.

If

seconds

Sa02

Low, which

2.

Press

the

desired

value for

limitdisplays.

tion

3.4.9,

Limits,

high alarm limits.

3.

Press

the

desired

value

limitdisplays.

tion

3.4.9,

Limits,

lo

alarm

(off,

low,

ED

Mi

Activated

will

cancel all

will

be

set

HI (26) until

numerical

the

high alarm

See

Sec

B,

Alarm

for

the

available

LO (28) until

numerical

for

the

low

alarm

See Sec

B,

Alarm

for

the

available

limits.

pressure,

dias

medium, or high).

see

marker

will

MED

ap-

Disabled

5. If

you

VOLUME

6.Ifdesired,

ment.

Notes:

can

* if

Revised

The

1. An NIBP

not

set

equipped

08/01/90

are

using

(6) until

press

Sa02

the

an

ACCUTORR 3 SATor an ACCUTORR 4 SAT,

the

desired

MUTE (5) to silence

alarm

tone

measurement

will

alarm

be

tone

muted

can

level for

the

for

be

taken

alarm

two

alarm limits while printing data. 3.

Sa02

tone

minutes.

while

All

is achieved (low,

for

the

current

setting

alarms

the

alarm

disable

press

BEEP

etc.).

NIBP

measure

limits. 2. You

while being

set.

3-15

B.

Alarm

The

mean

Limits

following

pressure,

chart

heart

defines

rate,

the

and

alarm

Sa02.

limits

for systolic pressure, diastolic pressure,

Systolic(mmHg)

Diastolic(mmHg)
Mean (mmHg)

Rate

(BPM)

Sa02

All

LO

C.

An alarm violation
sure,

The

(%)

NIBPsettings

Sa02

Alarm

incrementsinsteps

Violations

heart

following

•

The

LEDs of

• A

steady

rate,orSa02

occurs

alarm

ALARM

HIGH

Adult/Child

Off,

130-240

Off,

Off,
Off,

Off,

are

40-130

80-140

100-240

80-100

in increments of 5mmHg.

Neonate

Off,

Off,

Off,
Off,100-250

Off,

of 5% from 50-85%,

occurs

the

tone

when

values

with a

related

recognized

parameter(s)

soundsatthe

the

systolic

equalorexceed

PARAMETERS

40-130

30-100

30-100

80-100

HI

Sa02

andinsteps

pressure,

their

alarm condition:

begin to flash.

currently

selected

LO

Adult/Child

Off,

40-120

Off,

20-90

Off,

30-90

Off,

30-80

50-95

increments in

of 1% from 86-95%.

diastolic

set

pressure,

limits.

alarm volume level.

Neonate

Off,

Off,

Off,

Off,

steps

mean

20-90

30-100

30-100

30-80

50-95

of 1%.

pres

The

alarm

LCD, with

The

tone

continues

•

The

alarm violation no longer exists.

• The

•

Alarm

The

MUTEkey (5) is

mentorfor

within3seconds

Additional

Fifteen

•

•

•

An

seconds

SENSOR

NO

PULSE

CHECK

alarm

message

the

violated

Limits

two

Sa02

OFF

SENSOR

of 3

short

window

until:

minutes

will

Alarms:

after

oneofthese

beeps

appears

alarm

limits flashing in

AreChanged

pressed.

for

Sa02

mute

will

all

alarms

sound

superimposed

reverse

(if

alarm

(Alarms

limit

are

alarm violations.)

for2minutes.

messages

for 5

appears.

seconds.

over

the

trend

display

graphics.

isset outside alarming range).

muted until

the

Pressing

next NIBP

the

MUTE key twice

measure

area

on

the

3-16

Revised

08/01/90

D.

Battery

Indicators

When a battery is installed in

the

unit a battery symbol

will

display.

"fc.

Battery

JZL

',SfrLjV,V

Symbol

When

• A LOW

the

battery

BATTERY

charge

advisory

is low

the

following

message

will

will

occur:

appear

on

the

display.

• An audio alarm consisting of a short lowtone followed by a long low

sounded

•

The

NOTE: When a battery is installed, the battery symbol

sage

display

once

recorder

even

per

will

while

minute.

be

inactive while

the

unit is running from AC power.

the

pump

motor

is running.

and

the

LOW

tone

will

BATTERY

be

mes

Revised

05/28/92

3-17

3.4.10

Trend

The Datascope

NIBP

data,

The

data

can

trended

rate

With

is

taken

A.

1.

Data

NIBP,

data;

andagraphic

power on,

once

Operation

Numerical

trended

ACCUTORR

heart

be

presented on the

heart rate,

data

every

of

Trend

for

NIBP,

The listconsists of

Mean,

r

11:44

TIME

10:55

10:55

10:56

10:57

10:57
11:03

11:12*

HR,

and

J

Sa02.

MAP

SYS

121

118

123
119

126

107

106

rate

data,

Sa02*

display of

from

each

measurement.

Trend

List

heart rate,

the

time of

=91

DIA

\

B0
B2

I

\

B3

32

I

I

B3

73

75

can display and provide a permanent record* of trended

and

Sa02*

data; a graphic display of

data.

LCDinone

trended

Sa02

of three ways: a numerical listof

and

heart

trended

rate

NIBP

data.

and

heart

available parameter automatically accumulates. Data

and

Sa02*can

each

measurement, and values for Systolic, Diastolic,

|

MED

MAP

98

97

93
89

95

86
91

|

HR

71

76

73

75

74
71
65

:

be

1

SA02

99

98

99

99

98

98

98

presented

MIN

in a numerical list.

a.

Press

(20) until

trend

on

the

b.

Press

SELECT

the

screen

LCD.

PAGE

desired

displays

(18)toproceed
through
data

the

display of

(seven linesata

time).

UP

OFF

c. Press

PAGE

time). The display

whenanew

NOTE:

An * is placed next to the time ofthe most recent measurement. Readings

,

DOWN

will

measurement

that have violated alarm

NOTE: Pressing

the

screen

if

equipped

3-18

redraw

TREND

and

180mm

ADULT

^

(17)to go back through the display of data (seven linesat a

automatically return to the "page" that displays the current time

is

entered.

limits

are displayed in reverse graphics.

SELECTbefore a screen

begin drawing the next trend screen.

has

been

fully

updated

Revised

will

cancel

08/01/90

2.

Graphic

Data

There

11:44

250
200

150
100

50

0

trended

are

two

MAP=86

13:22

Trend

for NIBP,

heart

typesofgraphic

Jjl

! IIIJJJJ IL(

13:52

MED

rate,

and

Sa02

can

also

displays - NIBP/Heart Rate

1

MIN

NIBP/HR

14:22

be

presented

and

Sa02/Heart

a.

Press

the

desired

displays

b.

Press

until

the

scale

data

can

1-,

2-.4-.8-,

time

scale.

in

graphic

Rate.

SELECT

trend

on

the

LCD.

DURATION (16)

desired

displays.

be

trend

Trended

displayed

12-,or24-hr.

form.

(20) until

screen

time

on

a

OFF

11:44

250
200

150

100

50

0

OFF

In

the

that

trend

scale

MAP=

1 '

13:22

examples

new

data

enters

duration is

setting,

data

180mm

NIBP

TREND

86

•I

.,

||

13:52

JOmm

14

Sa02

TREND

above

from

changed,

GRAPHIC

MED

|'- |

GRAPHIC

the

ADULT

||

SA02/HR

OW

i

ADULT

trend

the

right

the

right-hand time is held

is either displaced to

1

MIN

HI

\ls"

H

14:22

'

duration is

and

displaces

the

Note:

trend

pearstothe

current

the

c.

Sa02

HR

Press

PAGEDOWN

the

Note

a

scale

Note:

the

play,

(11)
picturetobe

one

hour.

older

The

current

datatothe

constant,

leftor pulled infrom

Between

updates

graphic

a line

right of

time

representing

accumulating

PAGE

UP (18)

(17)toshift

horizontal

that

of

If

Graphics

pressing

will

cause

Heart

0-250.

SELECT

Trend

scale.

Rate

RECORD

the

printed.

time is 14:22. Note

left.

When

but

depending

the

left.

ap

the

average.

or

is

on

is

set

for

dis

trend

the

on

the

The

for

the

the

graph

Duration

1

2hr

4hr

8hr

12

24

Revised

data

one

hr

hr

hr

update

hour

represents

08/01/90

rate varies with

mode

and

the

upto15 minutes for

average

the

duration that

data

sample over a period of time

Time

Slice

37.5

sec

1.25

min

2.5

min

5

min

7.5

min

15

min

the

(2 pixels

has

wide)

24

been

hour

selected. (37.5

mode.)

Each

as

shown below:

seconds

point

on

3-19

B.

Clearing

1.

Press

The

LCD advisory

any

other

2.

The

monitor automatically returns to a normal operational

memory is

Trend

and

hold DURATION (16) for

message

message.)

cleared

and

The

the

alarm

alarm

reads,

tone

three

TREND

soundsatthe

tone

stops.

seconds.

CLEARED.

high volume for

(This

message

three

state

once

supercedes

seconds.

the

trend

NOTE:

3.4.11

The

record of a patient's: systolic pressures, diastolic pressures,

rates,

A.

1.Ifnecessary,

2.

Clear

Printer

DATASCOPE

and

Sa02.*

Operation

Press

RECORD (11) to enter into a continuous listrecording mode.

trend

after

ACCUTORR

of

Printerinthe

press

each

patient.

3 and the

NIBP

Trend

ACCUTORR

PAPER FEED (15) to

List

Mode

advance

3 SATprovidea permanent

the

paperinthe

mean

pressures,

printer.

trend listis printed. Subsequent measurements are also recorded. The

shows

3.

B.

1.Ifnecessary,

the

status of the recorder, CONfor continuous

Press

Operation

RECORD a

of

Printer in

press

second

PAPER

time to

the

FEED

and

blank for standby.

stop

the

recording feature.

Graphic

Trend

or

Sa02

Waveform

(15)to advance the paper inthe printer.

Mode

The

LCD

heart

entire

display

2.
LCD

3.

Press

Press

RECORD (11) to produce a permanent record of the graphic display on

trend area. The

RECORD

LCD

graphic display is frozen

until

at anytime during printingto abort the

the recording is completed.

process

NOTE: When tearing offrecording, tear at an angle to avoid

See

* if

equipped

Section

4.4, for

Paper

Replacement instructions.

3-20

pulling

the

of printing.

out excess paper.

Revised 08/01/90

3.4.12

To

enter

1.

Press

The

unit

User-Configuration

into

the

user

configuration

PAGE DOWN (17),orPAGE UP (18),

will

display

the

following

mode:

menu:

or

both

while turning

the

power

on.

USER

CLOCK

RESTRICT
RS232C

ALARM

FACTORY

PRESSURE
EXIT

USER

Oneofthe

knownasthe

menu

"cursor".

items

(18)orPAGE DOWN (17).

CONFIGURATION

SET

MODE

PATIENT

ON/

OFF

SETTINGS

CALIBRATION

CONFIGURATION

will

be

The

When

TREND SELECT (20)toenter

describedinthe

A.

CLOCK

When

Time, 24

follows:

the

clock

hour

SET

following

MODE

set

modeisselected,

sections.

format) is displayed

SIZE

MODE

displayedinreverse

cursor

into

maybemoved up or

the

cursorisat

that

function.

the

current

on

the

LCDpanel.

graphics.

the

desired

The

function of

date

The

The

reverse

downbypressing

menu

option,

each

and

time

(Eastern

format of

menu

the

display is

graphics

PAGE UP

press

item is

Standard

is

as

CLOCK

SET

MODE

DATE xx/xx/xx (m/d/y)

The

next

cursor

is initially

parameter,

TIME

xx:xx

on

which is

the

month. Pressing

the

day,

then

PAGE UP (18) or PAGE DOWN (17) key

ting.

TREND

may

To

SELECT

be

pressed

exit

the

clock

enters

at

any

set

the

time

mode

time

during

press

thatisdisplayed

the

Revised 08/01/90

the

START key

the

year, hours,

changes

the

TREND SELECT (20) key.

clock

set

each

on

mode.

and

parametertothe

the

LCD

moves

the

cursortothe

minutes. Pressing

desired

Pressing

panel.

TREND

SELECT

the

set

3-21

B.

RESTRICT

PATIENT

SIZE

When this

played

mode
(23) key until

the

displayed

C.

RS232C

When this

baud rate

on

menu

the

option is

selected

LCD panel. There

only", "adultorneonate

the

setting

menu

desired

option is

setting is displayed. Then

and

exit

selected

willbedisplayed on the

the

current setting for

are

three possible settings for

available", or

the

RESTRICT PATIENT SIZE

the

LCD

"neonate

current setting for

panel. There

mode

press

are

the

patient size

the

only".

the

HOLD

mode.

the

RS232C serial channel

seven

available settings for

the baud rate: 300, 600, 900,1200, 2400,4800, and 9600. Press

until

the

desired

played

D.

When this

displayed

MODE",or"eliminate

setting

ALARM

menu

on

is selected,

desired setting is displayed. Then

ting

and

exit

setting is displayed. Then

and

exit

the

RS232C

ON/OFF

option is

the

LCD panel.

the

alarm volume

the

ALARM

selected

ALARM

ON/OFF

The

OFF

can

press

the

mode.

the

current setting for

two available settings

MODE".

notbesettooff.

press

the

When

HOLD

the

Press

key (19) to enter

mode.

HOLD

"eliminate

key (19)toenter

the

ALARM

are

"allow

the

STARTkey (23) untilthe

willbedis

patient size: "adult

Press

the

START

(19) keytoenter

the

START

key (23)

the

ON/OFF

ALARM

ALARM

the

OFF

displayed

will

OFF

MODE"

dis

be

set

E.

FACTORY

SETTINGS

Selecting this menu option returns the user configuration parameters to their factory

settings.

The

factory settings

VIEW

PATIENT

RS232C

ALARM

ALARM
ALARM

ANGLE

SIZE

ON/OFF

VOLUME

LIMITS

are

displayed for 15

adult or neonate available (adult

9600

allow alarm off setting

allOFF,

12

o'clock

medium

baud

seconds

view

except

and

nominal

for

Sa02

areasfollows:

mode

LO which is

selected)

set

to 85

3-22

Revised

08/01/90

F.

PRESSURE

The

pressure

sitivityof
three

separate

calibration

the

transducer

CALIBRATION

circuit for optimal

points.

test

modeisentered

into for

accuracy

the

and

purpose

for

checking

of adjusting

the

linearity

the

sen

at

1.

When

TEST

pressure
played

2.

optionisselected,

calibration

on

Connect

manometer

(Ifatest

cuff

chamberisnot

wrapped

ACCUTORR

the

PRESSURE

the

the

as

-x;

3/4

options

LCD

panelasfollows:

700cc

test

showninthe

around

a towel may

°na

CALIBRATION

the

menu

willbedis

chamber

figure below.

available,

T"

CONNECTOR

0=7^=0

ft_

700~ccTEST

for

the

and

an

adult

be

subsituted for

murcury column

CANISTER

PRESSURE

LOW

MID
HI

QUIT

RANGE

RANGE

RANGE

the

CALIBRATION

CALIBRATION

CALIBRATION

CALIBRATION

Pressure

The

cursor

pressing

When

the

desired

Calibration Test.)

may

the

arrow

cursor

menu

MODES

MODE

be

moved

keys.

isatthe

option,

MODE

MODE

press

TREND SELECTtoperform

that

function. Selecting QUIT

exits

the

mode.

3.

Select

range

pressure

LOW, MID,orHI

calibrationtoinflate

calibration

cuff (or calibration canister)

to

approximately

(for LOW),

MID,or250mmHg

50mmHg

1Q0mmHg(for

(for HI).

by

the

During this time

"PRESS HOLD TO VENT CUFF"

get

pressure

user

presses

tion

may

be

4. Compare the

manometer.

+/-

3mmHg

+/-

3mmHg

+/-

4mmHg

G.

EXIT

USER

the

pressure

is reached,

the

HOLD

the

key. Then

performed after

The

MEAN

calibration

display on the

for LOW RANGE
for MID RANGE

for HI RANGE

CONFIGURATION

willbedisplayed in the

will

pump

the

display

will

turn off

the

pressure

on

and

pressure

drops

the

to OmmHg.

ACCUTORR

tolerance

is

MODE

as

follows:

MEAN

window

LCD panel. After

the pressure

willbereleased

with

the reading on the

NOTE:Ifthe

call a

Section

manual.

service

and

the

will

be held

and

another calibra

unitisoutofcalibration,

representativeorsee

4,

Calibrationinthe

When this menu option is selected the unit performs the internal power-up

returnstothe

Revised

normal

08/01/90

operation

mode.

the

message

desired

until

tests

tar

the

Service

and

3-23

3.4.13

Interfacing

The ACCUTORR maybeconnected

or

via

an

RS232-C port.

A .

DATASCOPE

This

connector

are

used

PIN#

9

12

21

24

as

defined below.

INTERFACE

is for

attachmenttothe

All

Description

Transmit/Receive

Open

Cable

Collector TTLCompatible

Shield/Chassis

Serial Data Ground (digital Ground)
Ground (analog)

to other equipment via

CONNECTOR*

Datascope Serial Bus. Pins

other pins

Serial

are

Data

Ground

open

circuit.

Signal Level

0-5V
OV

OV

OV

the

Datascope Serial Bus

9,12,

21,

and

24

NOTE: The maximum non-destructive voltage which may be applied to the

Datascope

B.

RS232

Interface

CONNECTOR*

connector

is

+/-12

volts.

This is an RS232-C port which can be connected to an external, compatible computer.

Pins 1, 2, 3, 4, 5, 7,

All

below.

other

pins

and

are

25

open

are

connected

circuit.

per

standard

RS232 definitions

as

defined

PIN#

1

2

3

4
5

7

25

NOTE:

connector

The maximum non-destructive voltagewhich may

C. InterfacingtoPersonal

The

ACCUTORR

access

patient data, alarm

Description

GND

TXD

RXD

RTS

CTS

Chassis

Transmit

Receive

RequesttoSend

Clear

SGND Signal Ground

AGND Analog

is

+/-25

volts.

allows

users

Ground/Cable

Data

Data

to

Send

Ground

Computers

with

limits,

and

properly

ACCUTORR

Signal Level

Shield

OV

RS232C
RS232C
RS232C
RS232C

OV

OV

be

applied to the RS232C

equippedpersonal computersto

operational status over a wire cable

remotely

(not supplied). Personnal computers must have RS232 serial communications

* Before using the communication connectors, contact authorized service personnel

for

assistance.

3-24

Revised

08/01/90

capabilities with

the

following characteristics:

FORMAT:

DATA

STOP

PARITY

BAUD RATE:

Connectiontothe

connector

manual for specific wiring requirements.

BITS:

BITS:

BIT:

described

Once properly connected

ACCUTORR

face.

D.

INTERCONNECTION

by simple commands.

ASCII

8

1

none

Selectable

ACCUTORR is

above

from

in Section B. Refertothe

and

configured, the computer

OF

OTHER

User

done

See

Onlyequipment which complies

A

shouldbeconnectedtothe

removed.

Configuration

by a wire cable

connectedtothe

personal

can

request

Appendixfor details on using

EQUIPMENT

with

the relevant IECor BSsafety standards

signal

input/output

sockets

computer

data

the

when

25-pin RS232

operator's

from the

PC Inter

the

covers

are

Revised

08/01/90 3-25

4.0

USER

4.1

Introduction

This

sectionofthe

the

user.

The

ACCUTORR

time

and

beyond

tenance

often

4.2

as

Care

MAINTENANCE

manual

3/4

Monitor is

under

that

calibration

required by local statutoryorhospital administration practice.

normal

described

and

and

Cleaning

outlines routine

designed

circumstances

in this section. However, it is

safety

checks

of

Monitor

maintenance

for stable operation

should
be

not

require technical

performedatleast

that

should

over

recommended

once

long periods of

a year,ormore

be

performed

maintenance

that

routine main

by

The monitor enclosure may

be

cleaned witha

mild

soap

and

water solution or am­moniated window cleaner. Applycleaning solution to the cloth, not directly onto the
monitor. DO NOTapply large amounts of

agentsororganic solvents.

liquid.

DO NOT

use

abrasive cleaning

To prevent scratches on the front panel display screens, blowor carefully brush dust

and

dirt particles with a soft

be

removed by using a liquid lens cleaner and a soft cloth. Do NOTwipe a dry

or

use

alcoholorchlorinated

4.3

•

Care

Daily,

and

Cleaning

check the sensors and cables forsigns of damage. Replace as required.

sponge

use

abrasive cleaning materials. Fingerprints

hydrocarbon

of

moistened

Sensors

with

solvents.

cleaner solution; or a fine, soft-

and

stains may

screen

• Check for the proper sensor connection to the pulse oximeter.

• Check for proper operation ofthe spring mechanism on the

•

The

sensors

•

Disconnect

• Clean and disinfectthe sensors.

and

mild

used

to

should

the

soap

remove

be

sensor

cleaned

from

the

before

pulse

Wipe

and

after

each

patient's

oximeter.

the patient contact area

and water solution or isopropyl alcohol. Hydrogen peroxide can be

dried

blood

on

all

accessible

surfaces.

DIGISENSOR.

use.

with

a soft cloth

• Let

CAUTION: When cleaning sensors: Do not use excessive amounts of

the

The

mum

the

sensor

sensor

DIGISENSOR

surface with a soft cloth, dampened withthe cleaning soultion.

completely dry before using.

can

be

temperatureof130°F.

sterilized with a

The

aeration

12%/88%

mixture of

temperature

ETO/Freonata maxi

mustbeless

liquid.

than

Wipe

130°F.

Referto the Operator's Manual, ofthe actual sterilization unit used, for the correct

sterilization

procedure.

Revised 07/02/90 4-1

4.4

Sterilization

of

Sensors

The DIGISENSOR

tion

levelof80%RH

Inspect

4.5

Battery

1.

up

2.

3. Plug

4.

battery.

5. Tighten

sensors

Battery

Replacement:

Remove

and

then

To

remove

cable

Replace

Replacement

battery

out.

old

assembly,ofnew

door

screws.

can

be

sterilized by using 12% ETO/88% Freon 12 at a humidifica-

and a temperature

levelof130°F

max.

after strerilization for defects. DO NOT

and

Maintenance

compartment

battery

making

pullonplastic

sure

door

battery, into

that

plastic

by loosening

tab

and

unplug

connector

tab

is laying flat

the

use

damaged

two

screws

cable

and

assembly.

slide battery into place.

across

the

sensors.

and

pulling

front of

door

the

Battery

Duetothe

charged

Maintenance:

self-discharge characteristics of this type of battery, it is imperative

after 6to9

monthsofstorage

capacitymay occur as a resultof

83%.

(or unit not in use).Ifnot,

sulfation.

Charge retension at 20°C is6 months to

permanent

that

loss

it is

of

4-2

Revised 07/02/90

4.6

Paper

Replacement

To obtain satisfactory recordings

the

printer. Do

Order

Replace

A. To

B.

Remove

replacement

paperasfollows: (numbers in parentheses refer to

open

not

carriage

empty

use

chemicalorwax

paper,

P/N 0683-00-0300-01.

compartment

paper

spool.

use

the

thermal type

treated

pull on carriage

paper.

doorbythe

paper

that

is compatible with

the

figures below)

top

edge

cut-out.

C. Place new paper spool inthe compartment so that the leadingedge of the paper is

coming off

D. Insert the

E.

Press

slot

(3).

NOTE:

label.

the

backofthe

edge

RECORD

of the paper intothe

FEEDto thread paper through the printer

role (1).

first

slot above the paper spool (2).

and

exit at the top

When tearing offa strip of paper, tear offinthe direction indicated on the tear

Figurel

TearLabel

Figure

2

4-3

A7

Care

and

StorageofThermal

Chart

Paper

Thermal

fectedbystorage and

We

Long

• Storage Temperature

Keep

temperature

•

Donot store the recordings in plasticbags acetate sheet protectors, and

made

will,

•

Never

pound

Chart

Paperischemically

recommencTstoring

term

exposuretonaturalorartificial

the

recordingsina

and

humidity

Solvent

overa period of

Adhesive

from

place

and the

Reactions

petroleum

time,

Tape

adhesive tape

Chemical/Thermal

treated

handling

the

and

cool

products.

conditions.

recordingsina

Humidity

and

drv

(above

80°Fand

These

deterioratethe imageon the chart paper.

over

recordings..

papercan destroy the

and

These

filing

U.V.

area

foralonger

products

the

cabinet

sources

80%

Humidity)

emitasmall

The

reaction

permanencyofa

conditions

withinafew

maybedetrimental.

...

lasting

image

recordingisaf

are:

daysof

image.

shouldbeavoided.

x

amountofvapor

between

the adhesive com

within

Extreme

_,..,*

similar

hours.

printing.

items

which

Werecommendthatiflongterm archives are required, makea photocopyofthe

recordings as

retain acceptable image qualityfor about 5 years.

4.8

Sterilization

Disposable

4.9

Horizontal

The

ACCUTORR

viceRepresentative or

Instructions, Section 2 in

back-up.

cuffs

Under

of

Disposable

may be sterilizedifdesired. Use

to

Vertical

3/4 can be configuredina horizontal or vertical format. Contact Ser

qualified

the

normal

Configuration

hospital personnel and referto the Disassembly

Service Manual (P/N 0070-00-0221).

office

Cuffs

filing

conditions

ETO

sterilization

the recordings

procedures.

should

4-4

Revised

07/05/91

5.0

ACCESSORIES

5.1

Standard

Operating

Service

Adult

Printer

Hose

Hose

Cable

Cable

Cable

5.2

Optional

Accessories

Instructions

Manual

Cuff

Paper

0998-00-0003-01

0683-00-0300-01

Manual

(3.5m) 0683-00-0189-80

(1.5m) 0683-00-0189-81

Assy., 3 CNDT

Assy., 3 CNDT, AC line

10'

Assy., 3 CNDT, AC line 2.5M

Accessories

DATASCOPE

Domestic

0070-00-0220
0070-00-0221

0998-00-0003-01

0683-00-0300-01
0683-00-0189-80

0683-00-0189-81

0012-25-0001

PART

UK

0070-00-0220

0070-00-0221

"

0998-00-0003-01

0998-00-0300-01

0683-00-0189-80

0683-00-0189-81

0012-25-0003

0012-25-0002

NUMBERS

In -

Service

Pressure

Thigh Cuff (45 -

Video

Cuffs:

Tape

65cm)

*

Large Adult (30 - 45cm)

Adult (24 -

Child

Small Child
Infant

New Born

36cm)

(18-27cm)

(16-25cm)

(11.5-19cm)

(6-

11cm)

Large Adult (32 - 42cm): Box of 10

Adult (24 -

Child

Pressure

Size 3

Size 2

Sizel

Size

0 (6 -

32cm):

(17-25cm):

Cuffs

(11-

17cm): Qty.

Qty.

(9-13cm):

Qty.

(7-10cm):

Qty.

8cm):

Qtv.

Box of 10

Box of 10

for

Neonates

50

Qty. 10

50

Qty. 10

50

Qty.

10

50

10

0061-00-0337

Reusable

0998-00-0003-05

0998-00-0003-02
0998-00-0003-01

0998-00-0003-03
0998-00-0003-04
0998-00-0003-06

0998-00-0003-07

Disposable

0683-07-0001-01
0683-07-0002-01

0683-07-0003-01

0683-03-0003-01
0683-03-0003-02

0683-03-0002-01

0683-03-0002-02

0683-03-0001-01
0683-03-0001-02

0683-03-0004-01

0683-03-0004-02

Revised

* when using

standards.

02/25/93

the

thigh cuffthis product

will

not comply with

AAMI

accuracy

5-1

Pressure
Pressure

Pressure
Pressure

SENSORS

Cuff
Cuff

Cuff
Cuff

DIGISENSOR

DATASENSOR

DATASENSOR

DATASENSOR

Hose-Adult/Ped

Hose-Adult/Ped

Hose-Neonate
Hose-Neonate

reusable

w/3'

w/10'

Starter

adult

cable

cable

Kit

1.5m

3.5m

1.5m

3.5m

finger

sensor

Datascope

0683-00-0189-81

0683-00-0189-80
0683-04-0001

0683-04-0002

0998-00-0062-02

0600-00-0026-01
0600-00-0026-02

0020-00-0071-01

Part

No.

FLEXISENSOR

Starter

S.D.

GUARD

Kit-Each

sensor

bandages

and

S.D.

Series

starter

(with

exception of Adult Ear sensor)

(24/pack

Large Adult (LA)non-sterile
Adult (A)non-sterile
Pediatric (P)non-sterile
Infant

Neonate

Adult

FLEXISENSOR

(I)

(N)

Ear

(AE)*non-sterile

SD3Packs:-Contains

Large Adult (LA)non-sterile

Adult (A)non-sterile

Pediatric (P)non-sterile

Infant
Neonate

Adult

(I)

(N)

Ear

(AE)non-sterile

with

kit

includes

LA,

SENSOR

one

GUARD

instrument

A, P; 12/pack l,N)

Reusable

0998-00-0093
0998-00-0082

0998-00-0083
0998-00-0084

0998-00-0085

3

sensors

Disposable

cable,

one

package

of

the

same

Bandages

one

FLEXISENSOR

of SENSOR

Disposable

0998-00-0094

size.

0998-00-0076-06

0998-00-0076-05

0998-00-0076-04
0998-00-0074-03
0998-00-0074-02

0998-00-0074-05

SENSOR

Large

Adult (A) (3

Pediatric (P) (3

Coban

-3

boxes

Instrument

FLEXISENSOR SD

Cable

GUARD

adult

(used

of

Retainer

Bandages

(LA)(3packs
packs

of 24)

packs

of 24)

for Infants

12

Cable

Organizer

of 24)

and

Neonates)

*Adult Ear FLEXISENSOR is supplied withanear

5-2

(I)

(N):

0354-00-0017

clip

0683-00-0409-01
0683-00-0409-02
0683-00-0409-03

0683-00-0440

0012-00-0516-02

0683-00-0421

and

no

bandage.

Revised

11/10/92

Chart

Chart

Paper,

Paper

Thermal

5-Roll

Datascope

Type (1 roll) 0683-00-0300-01

Pack,

Thermal

0683-00-0300-02

Part

No.

Anesthesia

Mobile

Wall Mount with 12"

Mobile

Mount

Stacking

ACCUTORR

ACCUTORR

ACCUTORR

Kit,

Probe

Machine

Operating

Stand

for

Assembly

Mobile

Bracket

3/4
3/4

3/4

Pole

Room

Equipment

Stand

Kits:

with

3000

with

MULTINEX

with

Other

with 12"

Stand

Equipment

Tray 0436-00-0044-01

with 12" Equipment Tray 0436-00-0045-01

Tray 0436-00-0046-01

0683-00-0429

0683-00-0430

0020-00-0060
0020-00-0062

Side

Frame Style Units 0020-00-0061

Optional Accessories A3/4 0020-00-0080

Battery Assembly 0997-00-0262
Genius Probe Covers (12,600) 0683-00-0445-01

*Adult Ear FLEXISENSOR is supplied with an

ear

clip

and

no

bandage.

Revised

01/05/93

5-3

5.3

Stacking

Bracket

Instructions

5.3.1

3000

ACCUTORR

1. Install

or

MULTINEX.

3/4

the

shoulder screws (item3) into the outer holes on the

2. Attach the stacking plate

1/4" flat

aligning

in

place.

plate.

head

3. Place

screws

the

ACCUTORR

(item 2).

the key hole slots over the shoulder screws.

4. Install the two

Stacking

ACCUTORR

ACCUTORR

Bracket

3/4

3/4

#4-40

Kits:

with

with

with

the

3000

or

MULTINEX

(item

3/4

with

1)to the

the

ACCUTORR

stacking plate

x 5/16" pan head screws (item4) to

3000

MULTINEX

P/N

0020-00-0060

P/N

0020-00-0062

top

panel of

3/4 using the four #6-32 x

onto

the

3000orMULTINEX

Pull

foward

locking

the

rear of

the top

the

stacking

the

unit

ACCUTORR

To

3000

5-4

Monitor

3/4

Revised

09/27/90

5.3.2

ACCUTORR

3/4

with

Existing

Units

1. Attach

using

and

screws

2.
slide

3.

the

Place

Secure

Stacking

ACCUTORR

the

four

the

the

ACCUTORR

the

(item 4).

Bracket

left

#6-32

front of

stacking

3/4

and

flat

Kit:

with

right

stacking

head

the

screws

stacking

3/4

forward into place.

bracketstothe

Other

Side

brackets

(item 3).

brackets

Frame

(items 1 & 2)tothe

under

lower unit

Stlye Units P/N

the

using

trim of

the

side

the

two

#4-40

0020-00-0061

ACCUTORR

frame

pan

style unit

head

3/4

Revised

ACCUTORR

To

Other

09/27/90

Side

3/4

Frame

Style Units

5-5

6.0

6.1

APPENDIX

Warranty

Datascope

and

materials for a

posableorone-time

ship

and

use,

whicheverissooner.

Datascope
damage,orexpense
under

servicingorreplacing at

Datascope Distributor, any product which shall under normal

to

the

No agent, employee, or representative of Datascope Corp.

Corp.

materialsuptoadate

Corp. shall

this warranty

Company

warrants

periodofone

use

not

directlyorindirectly arising from

and

to have

that

its

products

one

be

liable for

the

buyer's

Datascope

been

defective in material or workmanship.

products

year

from

are

year

exclusive remedy

Corp's

willbefree from

the

warranted to

from

the

any

incidental, special,orconsequential loss,

option at

defectsinworkmanship

dateofpurchase

be

free from

dateofpurchase

the

use

of its products, liability

under

the

this warranty is limited to

factory oratan

use

has

except

defects

that

in workman

or

the

dis

date

of first

authorized

and

service

appear

any authority to bind
Datascope Corp. to any affirmation,representation, or warranty concerning its
products,

employee,orrepresentative shall notbeenforceable by buyer.

This warranty is expressly in

and

any affirmation, representation or warranty

lieu

of any other express or implied warranties, including

made

by any agent,

any implied warranty or merchantability or fitness, and of any other obligation on the

partofthe

Damage to any product or parts through misuse, neglect, accident, or by

non-standard

seller.

accessory

affixing

any

attachments or by any customer modification voids this war

ranty. Datascope Corp. makes no warranty whatever in regard to trade accessories,

such

being subjectto

the

warranty of their respective manufacturers.

Acondition of this warranty is that this equipment or any accessories which are

claimedtobe

Datascope Corp., Paramus,

defective

be

returned when authorized by Datascope, freight prepaid to

New

Jersey

07652.

Datascope Corp. shall not have any

responsibility in the event of loss or damage in transit.

6-1

6.2

Indirect

Blood

Pressure

Measurements

and

Associated

Errors

Place
is not at
physiological pressure. Instead, the readings

the

patient in a supine position to obtain true physiological pressure.Ifthe

the

patient's heart level, the pressure values obtained

willbedecreased

every inch the cuff is placed above the heart level

the

every inch

pressure.

Blood

The

has

valueofthe

respecttothe
enoughtothe

6.3

Precautions

Cuffs

Reports

blood

automatically

• Position

have

pressure

weight exertion

• Avoid cuff

not

exit

cuff is placed below the heart level. This effect is

weight

and

the

and

it is this weight

weight of blood

heart. When

heart

level

with

been

made

cuffs.

cycled

placement

cuff

The

blood

support

on

affected nerves.

over

the

that

influences

depends

the

patient is supine,

so

no adjustment of

Using

of nerve injury occurring during

authors

pressure

the

limb in

that

course

Automatically

recommend

such

applies

of

on

cuffs:

a wayasto

pressure

the

ulnar

where

the

the

on

and

increased by 1.86mmHg for

these

the

on

a flat surface,

NIBP

readings

Cycled

following

minimize stretching of

the

ulnar nerve.Cuff tubing should

nerve

at

will

not reflect

by 1.86mmHg for

duetohydrostatic

blood

measurementistaken

pressure

the

armisnear

readings.

willbenecessary.

use

the

Blood

of automatically cycled

practices

elbow.

Pressure

when

and

the

with

using

cuff

true

•

Selectameasurement

deflation.

• Periodically

Cuff

Size

inspect

Using a narrow cuff gives erroneously high pressure readings.Ifa

pliedtoan

sipate

artery. On

the

obese

applied

the

patientora patient with large biceps,

pressure,

other hand, over-wrapping a slender arm gives erroneously low

interval

the

limb bearing

requiring

that

provides

the

cuff in

an

additional

adequate

venous

ordertodetect

the

pressure

drainage

venostasis.

standard

extra

tissue

and

increasetocollapse

sure readings. Too much force per unitarea is exerted. This requires less

to

collapse

Other

An

accurate

diac rhythm is very irregular. Irregular cardiac rhythm

beattobeat. This

CUTORR to

cessive

four tries,

the

artery.

Factors

determination of blood

changing

make

attemptstoobtainameasurement.

the

a measurement.

numeric

stroke

displays

pressurebythe

volume may

All

four ACCUTORR models

are

zeroed.

increase

Ifa

measurement

ACCUTORR

changes

the

the

time it

cannot

can

stroke

takes

make

be

difficult if

the

up to four

be

made

during cuff

cuff is

fat

will

ap

dis

the

pres

pressure

car

volume from

AC

suc

after

6-2

Revised 08/01/90

6.4

Cuff

The

ACCUTORR

the

end

ment is determined
previous measurement.

of

Bleed

each

Rate

has

measurement.

and

Selection

3 independent bleed valves

The

adjusted ifnecessary, from

The

bleed rate is

pulses but no more than 40 pulses,

phases

6.5

of

User

the

measurement.

Verification

of

ACCUTORR

selection

are

detected between

of

the

set

by valve selection

Measurements

and

a larger valve to vent

bleed

the

valve

for

measured

such

the

systolic

the

each

measure

bleed rate of

that at least 8

and

diastolic

cuff at

the

Regular servicetoblood

pressure

equipment

will

help insure

Consult your service manual for appropriate information.

If

you question the accuracy of

manometer.

Auscultatory verification

See

the

Calibration

can

measurement. Apply a bell

stethoscope to touch either the patient's clothing or

6.6

PC

All

characters

checksums,

standard

8

data

1

start

1

stop

no

parity

baud

Interface

received

etc.

asynchronous

bits
bit

bit

rate

selectable

For

Other

and

detailsofthe

from

the

ACCUTORR

Section

be

made

stethoscope

The

ACCUTORR

sent

areinstandard

mode

the

User

check it (the

of

the

ACCUTORR

at the

over

same

time

the

brachial artery. Do not allow

the

ASCII format.

RS232

interface

are:

Configuration Menu

accurate

measurements.

ACCUTORR)

Service

the

ACCUTORR is taking a

Manual.

pressure cuff.

There

are

with a

no

packets,

the

At

powerupthe

ACCUTORR

Atthis point the

following

PC

ACCUTORR

executed by sending

present.

Command

Show

Show

Prompt

Revised

There

alarm

are

limits

patient information

request

08/01/90

willbesent:

Interface is

the

ACCUTORR

three

valid

ready

will

be availableto accept a command. Acommand is

a single characterwhen

the"

>" prompt is

commands:

Character

in

H

npti

iiAQ"

Notes

Assures

AC=ASCIIcode03

prompt

available

6-3

The

ACCUTORR

mand

The

character,^

last

digit fields

a field is

this

(all

characters

will

respond to a command (except

colon

number

and

will

be

the

meaningofeach

notinuse,itwill

are printable):

thenasequence

followed

by

a carriage return

field is

be

represented

of 3 digit

dependent

by"

--".

"AC")

numbers

and

on

An

example

by displaying the com

separated

line feed.

the

particular

would look exactly like

byacomma.

The

numberof3

command.

If

>P:-,85,120,

Command

Responses:

45,

80,000,010,000,

5

The following is returned by the "Prompt request" command

The

following is returnedbythe

L:aaa,bbb,ccc,ddd,eee,fff,ggg,hhh,iii,iij

The

fields

a:

b:

Sa02

Sa02

are

as

high limit

low

follows;

limit

c: Pulse rate high limit

d:

Pulse

e:

Systolic

f:

Systolic low limit

g:

Mean
Mean

h:

i:

Diastolic high limit

j:

Diastolic low limit

rate

low

high limit

blood

blood

limit

pressure
pressure

"Show

high limit

low limit

alarm limts"

command

("AC")

("L"):

The

following is returned

by

the

P:aaa,bbbfccc,ddd,eee,fff,ggg,hhh,iii

The

fifeds

a^s02

b:

c: Systolic blood

d: Mean

e: Diastolic

•,

f:

g: Status Byte 1

h:

i:

are

Pulse

rate

blood

Status

Status

Elapsed

as

follows:

^r

blood

Byte 0

Byte 2

time

"

pressure

pressure

pressure

(see

next

(see

next page)

(see

next

(minutes)

page)

page)

since

6-4

"Show patient data"

last

NIBP

measurement

command

("P"):

Revised 08/01/90

The

bered

shown

Status

three

as

below:

status

follows:

bytes

76543210.

0: Bit0:

Bit 1:

Bit2:Sa02

Bit 3:
Bit 4:

Bit5:Sa02

Bit6:

Bit 7:

are

Sa02
Sa02

Sa02
Sa02

Sa02

Sa02

a binary

sequence

The

meaningofeach

of flags.

Each

indicating NO SENSOR
indicating SENSOR

indicating

INTERFERENCE

OFF

indicating PULSE SEARCH
indicating PULSE LEVEL WEAK

indicating

NO

PULSE

indicating CHECK SENSOR SITE

indicating PULSE RATE UNDER

bit in

byte

the

contains

status

' ^

30

BPM

8 bits

num

bytesisas.

J

:

"'

Status

Status

6.7

1: BitO:

Bit

Bit

Bit

Bit4:

Bit

Bit

Bit

1:

2:

3:

5:

6:

7:

Sa02

Sa02

Sa02

Sa02

Sa02

Sa02

Sa02

Sa02

indicating PULSE

UNCALIBRATED

ALARM

RAM

OVERLAPPED

TEST

RATE

FAILURE

ROM TEST FAILURE T

OFFSET

FILTER

SYSTEM

MISMATCH

MISMATCH

TEST

IN

PROGRESS

2: BitO: NIBPindicating CUFF OVERPRESSURE

References

Bit 1: NIBP indicating

Bit2thru

7:

Not

used

MOTION

ARTIFACT

OVER 250 BPM

The following bibliography provides several articles and books of interest on pujs©, 3 ,

oximetry

and issues affecting

Sa02

accuracy (carboxyhemoglobin, methemoglobin,

dyes, variation incalibration of algorithmsbetween manufacturers, and excessive sen

sor

pressure).

Recommendations

for Human

Blood

Pressure

Determination

Sphygmomanometers. American Heart Association.

Clancy, Fred. FactorsAffecting

Pressure Measurements.

HazardofAutomatic Non-Invasive

718,1981.

Added

08/01/90

Journal

Correlation

Between Directand Indirect

of Clinical Engineering,

Blood

Pressure Monitoring. Anesthesiology 55:717-

by

3:49,1978.

Arterial

~

Blood

6.5

Sy, W.P.

Pressure

Ulnar

Cuff.

Nerve Palsy Possibly Related to Use of Automatically Cycled Blood /m*

Anesthesia

and

Analgesia

60:687-688,

September

1981.

Harrison, G., G. Roth,

culation, 22:419,

Harrington,

sure Measurements., CVP, pg. 40-44,

Hanning,

Operative,

Hay,

William

BOC Health Care,

Jennis, Michael S.

the

Assessment

28

pp.

D.

Disparities Between Direct and Indirect ArterialSystolic Blood Pres

CD.

Oximetry

and

Critical Care). Ohmeda, BOC Health Care, 1985, Form

W. Jr. Application ofPulse Oximetry in Neonatal Medicine. Ohmeda,

of Oxygenation in Newborn

Nelson, Cynthia M., Everett N. Murphy,

cal

UseofPulse Oximetry to Determine Oxygen Prescriptions forPatients with

Hypoxemia. Respiratory Care, 31:8, August 1986,673-80 pp.

and

September

and

1986,1-13

and

Joyce

E. Hines. Bilateral Indirect

1960.

August/September

and

DirectArterial Pressure. Cir

1978.

Anesthetic Practice (Pre-Operativef lntra-Operativet Post-

#8601M.

pp.

L. Peabody. Pulse Oximetry:An Alternative

Infants.

Pediatrics.79:4,

April

Method

1987, 524-

JamesK.Bradley, and RobertH.Durie. Clini

for

Payne, J.P., and J.W. Severinghaus, editors. Pulse Oximetry. London: Springer-Ver-

lag.

1986.

Rasanen,

sions

change.

Jukka,

and

Oxyhemoglobin Saturations in the

CriticalCare Medicine, 15:11,1058-51 pp.

John

B. Downs, Donald J. Malec, Kenneth J.

Oates.

AssessmentofPulmonary

Oxygen Ten

Gas

Ex

and

Scheller, MS
Pulse Oximetry Readings. Anesthesiology, 65:3A,

Sidi,

A.,

W.R.

Indocyanine Green,

Pulse Oximetry.

R.J. Unger. The InfluenceofIntravenously Administered

Rush,

D.A. Paulis, N.

and

Methylene Blueofthe MeasurementofOxygen Saturation

Anesthesiology,

Gravenstein,

65:3A,

September

September

R.F. Davis. The EffectofFluorescein,

1986,

1986, A161 pp.

A132

pp.

Toledo, LauraWorthington. Pulse Oximetry: ClinicalImplications in the

of

Post

Anesthesia

Nursing, 2:1, February

1987,12-17

pp.

Dyes

PACU.

on

by

Journal

6-6

Added

08/01/90

Corp.*58a'Wlnters

TWX#710-990-6630 Telex 7109906630

Avenue,P.O.

Box5•Paramus,

N.J.

07653-0005;

U.S.A.

•Tel.

(201)

265-8800

•

B;V.•Drs.

Telephone

W. van Royenstraat 8 •

31-3495-44911 • Fax [phone]

3871

AN Hoevelaken •

P.O.

Box26:*3870 CA Hoevelaken

Printed

in U.S.A.

•The

Netherlands •

0070-00-0220