Fisher INNERVATOR272 User manual

_INNERVATOR272

Constant

Current

OPERATING

The

NS272

nerve
neuromuscular

A.

/

Peripheral

location

for

OPERATOR

ON/OFF,

a“

où

Switches

the

INNERVATOR272

Switches

the

pressed

INNERVATOR272

and

held

DU

Sets

the

amount

external

or

deliver
Programming

Mutes
Cannot

0.2mA

80 - 160

Features)

audible

pulse

be

used

Peripheral

REF

185042351

English

INNERV/TOR

==

Nerve

anesthesia

for

general

Stimulator

regional

block

CONTROL

POWER,

mA

MUTE

simultaneously

of

current

to

in

to

be

internal.

(external)

delivery

sound.

mute

the

Nerve

Stimulator & Locator

Rev

F

INSTRUCTIONS

272

and

Locator

and

monitoring

provide

anesthesia.

BUTTONS

BUTTONS

on & off.

on

in

external

mode

with

ON/OFF

delivered

Maximum

or

set

0.2 - 10mA

-

To

cancel

audio alarm

when

switch.

by

10mA

steps

current

is

(internal)

press

sound.

of

in

160mA,

see

again.

B.

DEMAND

BUTTONS

TW

Delivers a single

TOF,

(External

Delivers a train
apart

TET,

(External

Delivers a 5

hutton

button.

DBS,

Delivers a Double
750

ms

features).

PTC,

(External

Post

Tetantic

pause,

activated

1.

REPEAT

1

SEC

Single
12

SEC

Train

of

2.

PROGRAM

PROG

Activates

settings,

RUN

Starts
10sec

INTERNAL/EXTERNAL

The

appropriate

operation.

pulse.

Mode

of

four

Mode

second

a 5

minute

safety

(External

Mode

Burst

lull

then

two

Mode

Count.

twenty

twitch

once

every

BUTTONS

TW,

(1

Second

pulse

delivered

TOF,

(12

four

pulses

BUTTONS

programming

twice

to

store

stored

program,

twitch.

VISUAL

word

Only)

pulses

where

Only)

tetanus

pulse

lockout

Only)

pulse

train.

OR

three

20ms

Only)

Consists

of

pulses

at 1 Hz.

five

minutes.

Twitch

at

one

second

Second

Train-of Four)

repeated

every

capabilities.

program.

press

again

INDICATORS

MODE

will

be

displayed

CURRENT

Current

delivered

to

the

patient,

PULSE

DELIVERY

Shown

as a solid

dot

in

the

pulse

center

signal

(To

a

pulse

is

delivered.

MUTE

Indicates

that

audible

PROGRAM

Indicates

INNERVATOR272

is

RUN RUN

Indicates

that

the

stored

program

each

pulse

train.

After

prevents

access

DBS = three

pulses,

five

sec

TET

For safety,

(1Hz))

intervals.

12

seconds.

Press

to

stop.

indicating

shown

in

milliamps.

of a circle.

is

muted.

in

programming

is

running.

is

0.5

activating

to

pulses

(see

programming

pulse,

PTC

once

to

change

Default

EXTERNAL
INTERNAL

current

It

flashes

4

mode

seconds

the

the

PTC

20 ms,

three

can

only

program

mode

mA

©

every

&

P

<

TET

sec

=

a

be

of

time

4.

PTC

Flashes

to

indicate

that

running

OR

continuous

PTC,
display

REPEAT

Indicates

that

one

of

the

12

SEC

TOF

or

10

SEC

three
TW

ERROR

Indicates

that

the
specified
disconnected

LOW

BATTERY

Indicates

PULSE
Monotone,

AUDIBLE

Half

second,

incorrectly

second
tolerance

excessive
electrodes.

e
e

USE & CONNECTION

A.

EXTERNAL

Only

shrouded

200NS031

1.

Ensure

2.

Connect

(red,
black

3.

Connect

200NS003,

(red)
connector

INNERVATOR272

current.

Indicates

leads

or

that

the

batteries

AUDIO

DELIVERY

single

beep

ALARM

monotone

AND,

at

continuous

the

beep.

limits

each

impedance,

if

the

alarm

Do

not

continue

Donot

deliver

the

condition

MODE

lead

sets

or

200NS037)

that

the

external

positive)

to

socket.

the

other

usually

connector

to

distal

dry

with

(EXTERNAL

beep

completion

side

disconnected

sound

any

is

(200NS033

INNERVATOR272

lead

red

end

attached

to

proximal

(black}

PTC

Post

Tetanic

safety

Count

lockout

if

REPEAT

repeat

pulse

(RUN)

excessive

patient

require

patterns,

is

running.

is

not

able

impedance,

electrodes.

replacing

as

INDICATORS

every

pulse.

MODE)

each

time

pulse

of

the

Indicates
of

the

is

running a repeat

further

repaired.

pulse

pulse

set

current.

leads

occurring

pulses

does

May

or

repeatedly;

function.

until

TO A PATIENT

(Peripheral nerve

be

used

to

the

INNERVATOR272,

and

of

the

lead

along

(red)

electrode.

(supplied),

with

INNERVATOR272.

is

switched

distal

(black,

to

the

the

ulnar

electrode,

may

socket

«4

pattern

is

is

still in

effect.

<q

1SEC

TW,

ERROR

is

dry

patient

«

to

deliver

the

or

soon

as

possible.

delivered

train

there

is

not

be

patient

the

stimulation)

200NS032,

nerve.

distal,

a 2

fall

within

caused

„

~

fault

causing

OFF.

proximal

negative),

electrodes

Proximal

(black),

]

the

by,

to

Following

pressing

Increase
stimulation

5.

Select

e

DEMAND

e

REPEAT

Press

+

PROGRAM

or

e

PTC

NOTE: A two
conditions
dried

6.

After
switched

B.

INTERNAL

Only

200NS034)

1.

Connect

2.

Connect

placed

clip

3.

Switch

ON/OFF

4.

Select

1SEC

5.

Advance

removal

and a stimulus

6.

After

switched

Auto

INNERVATOR272

within

Press

minutes.
Will

not

A.

PROGRAMMING A PULSE

1.

2.

Red

Black

the

and

holding

the

current

has

been

desired

BUTTONS - Activates

BUTTONS - Activates a repetitive

again

to

BUTTONS - Press

change

Program

button

cannot

second

exist.

faulty

electrode(s),

use,

always ensure

This

or

OFF.

MODE

shrouded

lead sets

may

be

the

internal

RED

proximal

or

pin

to

the

the

INNERVATOR272

button.

desired

TW

or

RUN

the

needle

of

the

use,

always

OFF.

power

shut-off

next

minute,

any

button

to

occur

if

running a repeat

HOW

İn

internal

mode

push

PROG

can

DEMAND

or

~60

button

be

timings.

pulses max.

program

Use

pattern

order.

induction

pulse

switch

ON/OFF

until

desired

attained.

pattern

pattern

of

anesthesia,

and

level

using

settings.

be

used

when

continuous
may

tone

be

caused

or

disconnected

that the

(Nerve

(200NS036

used

with

the

locator

lead

clip

on

patient

to

needle.

current

error

is

administered.

ensure

after

will

emit

INNERVATOR272

cancel

push

stored.

BUTTONS*

end

the

site

to

and

stimulus

(activates a stored

through

skin.

indicator

thatthe

30

minutes

three

beeps,

the

automatic

function.

TO

PROGRAM

PROG

twice.

Display

ONLY

Any

number

EXT

buttons

simultaneously.

of

supramaximal

the

appropriate

pulse

pattern

ONCE

pulse

switch

off.

to

store

and

execute

storing a program.

indicates

that

by

excessive

impedance,

or

faulty

INNERVATOR272

location)

(supplied),

INNERVATOR272.

be

anesthetized.

into

confirms

200NS035

to

the

unit

of

lead

to

an

electrode

Connect

internal

mode

pattern

using

program).

An

audible

tone

leads

are

-

INNERVATOR272

of

non-use.

if

no

buttons

will

automatically

shut

down

PATTERN

button

once,

In

read

deliver

be

pressed

external

00P

desired

Page 1 of

will

to

may

"

unit

on by

buttons:

ONLY.

pattem.

program

alarm

leads.

is

or

black

using

the

the

TW,

and

connected

15

are

pressed

switch

for

another

mode

indicating

pulse

in

any

2

off.

30

a

Only

TW

can

5mA,

the

CURRENT

released

each

3.

Allow

desired

button

pushes,

upwards

in

display

pushes

PROG

the

INNERVATOR272

(current

RUN

The

seconds).

returns

to

4.

5.

6.

the
button

Push

Reset

level,

Push

current.
running.

*

PTC

button

cannot

B.

PROGRAMMING
or

10mA

(EXTERNAL

1.

Push

PROG

2.

Push

the

CURRENT

desired

increment

C.

PROGRAMMING

100HZ

(EXTERNAL

1.

Push

PROG

2.

Cycle

the

TET

frequency

will

NOTE:

There

is

in

use.

delivery

D.

no

However

sound

than

PROGRAMMING
SETTING
(EXTERNAL

1.

Push

PROG

2.

Push

CURRENT

80mA.

“Lo”

is

80mA.

Pressing

the

maximum

80mA

is

programed,

will

increase

programed,

increase
80mA,

released

E.

PROGRAMMING
STIMULATION
ONLY).

1.

Push

2.

Push

The

depressing

the

the

CURRENT

each

PROG

the

DBS

display

be

used

in

UP

time a further

time

button

interval

e.g. 2 per

Each

to

zero.

is

199

seconds.

again

to

store

is

automatically

execute

the

RUN

indicator

be

used

CURRENT

button

ONCE,

DOWN

setting

TETANUS

MODE

button

ONCE,

button

to

select

be

displayed

visual

indicator

the

100Hz

audio

the

50Hz.

THE

TO

80mA

OR

MODE

ONLY).

button

ONCE,

UP

button

will

be

displayed

the

CURRENT

current

at

160mA

depressing

the

current

in

current

button

the

in

10mA

UP

time a further

THE

PATTERN

ONCE,

button

to

will

select

indicate

internal

mode.

must

be

increment

between

second

when

pulses

(the

display

time a demand

Maximum

the

stored

will

program.

to

the

zeroed

program

be

displayed

elapsed

desired

during

storing a program.

INCREMENTS

MODE

ONLY).

(display

will

button

to

select

PULSE

ONLY).

(display

will

Tetanus

as

“50”

or

“100”.

to

display

indicator

MAXIMUM

160mA

(display

will

to

select

maximum

to

indicate

UP

and

“Hi”

the

CURRENT

10mA

steps

CURRENT

steps

to

must

increment

(EXTERNAL

(display

will

either

the 3:2

“3:2”

or

80mA.

BURST

button

DOUBLE

either

To

set

beyond

pressed

and

of

1mA

is

desired.

to

elapse

will

count

button

time

current

programming).

at

set

output

while

read

P).
the

TO

50HZ

read

P).

frequency.

TET

frequency

is a

faster

pulse

CURRENT

read

P).

current

the

maximum

button

again

will

be

displayed.

UP

to

80mA.

If

UP

button

To

set

be

pressed

of

10mA

is

MODE

.

read

P).

or

3:3

“3:3”.

between

is

pressed

between

delivery

program

TO

5mA

OR

The

when

at

current

will

select

button

160mA

will

beyond

and

desired.

pattern.

F.

e
e
removed

batteries

return

is

e

WARNING: A WARNING

possibility
correctly.
CAUTION: A Caution
equipment

NOTE: A Note
points,

WARNING:

e

e

e

e

e

If

is

CAUTION:

Interference

experienced.
from

electrocautery

at

any

Remove

time.
Clean
disinfectants:
Sporicidin™.
your

IMPORTANT

All

programs

Programs

to

default,

are

to

allow

removed

NOTES:

are

retained

sufficient

for

(see

λ

Type

BF

Applied

Part

ile,

procedures

This

thoracic

Use

location
Dangerous

minutes

This
flammable
nitrous

This
practitioners

totally

before

‘PERIPHERAL

CLASSIFIED

US

WITH

MECHANICAL

WITH

of

injury

to

the

exists

device

statement

if a procedure

statement

or

instructions.

should

stimulation.

recommended

needles

voltages

after

removal

device

is

not

anesthetic

oxide.

product

is

intended

and

familiar

with

using

the

device.

from

electrocautery

Ensure

electrocautery

lead

unit.

and

stage.

batteries

if

case

and
Isopropyl
For

equipment

leadsets

further

Healthcare

All

maintenance

the

Fisher & Paykel

retained

when

unit

is

for 5 minutes

time

for

longer

battery

than 5 minutes,

specifications).

DEFINITIONS

A

ATTENTION
Consult
accompanying
documents

NERVE

BY

UNDERWRITERS

RESPECT

TO

HAZARDS

UL

2601-1,

САМСЗА

840

statement

patient

or

user

indicates

is

not

provides

additional

not

be

lead

sets

should

be

may

exist

of

the

suitable

mixture

for

such

persons

the

use

that

the

Nerve

Lead-set

should

must

be

with

Alcohol,

information

93/4Y/EEC

STIMULATORILOCATOR'

ELECTRIC

ONLY

С22.2

refers

to

the

exists

if a procedure

the

followed

correctly.

information

used

in a manner

only . Only

used.

within

batteries.

for

use

in

with

air

use

by

qualified

should

of

the

nerve

units

Stimulator

should

not

cross

is

not

likely

carried

out

one

of

the

Dy-Gest™,

and

dealer.

switched

when

off.

batteries

are

replacement.

program

features

Class

{lb

LABORATORIES

SHOCK,

IN

ACCORDANCE

№.

601.1

conditions

possibility

shielded

this

device

the

presence

or

with

ensure

FIRE,

when

is

not

of

damage

intended

that

allows

nerve

for

of

oxygen

medical

that

they

INC

the

followed

to

to

clarify

trans-

up

to

a

or

are

stimulator/locator

(diathermy),

not run

the

electrocautery

to

be

by

qualified

following

Cidex™

technical

may

is

positioned

parallel

used

for

some

personnel.

OPA,

data

contact

away

to

If

the

ten

be

the

lead

To

OUTPUT

e

TETANUS

e

OUTPUT

e

OUTPUT

»

OUTPUT
e

OUTPUT

e

e

MAXIMUM

‧

e

:

SET
e

e

ALARM

e

BATTERY

replace

batteries

CURRENT

In

External

Internal

Mode

and

2.0mA,

between

5.0

FREQUENCY

Programmable

PULSE

Square

wave, constant

PULSE

195

microseconds + 5us

PULSE

<10

microseconds

VOLTAGE

External

350V + 10%,

420V + 10%,

Internal

10V + 10%,

15V + 10%,

LOAD

External

TW,

TOF,

160mA

İnternal
TW - 1K

ohm

CURRENT
External
at

0-80mA

at

85-160mA

Internal
at

0-2mA

at

2.5-10mA

TOLERANCE
External
+

2.5mA

of

REPLACEMENT

use

three

1.5

volt

“AA”

SPECIFICATIONS

RANGE

Mode

0-160

mA

at

between

or

100Hz

current,

maximum

max

max

max

max

PTC - 4K

+25mA

+

5.0mA

+

0.15mA

+

0.3mA

LIMITS

current

selectable

increments

2.0

and

monophasic,

TIME

(resistive

output

internal

output

voltage

internal

voltage

ohms

1-10mA

0.5mA
and

10.0mA.

50Hz

FORM

WIDTH

RISE/FALL

IMPEDANCE

TET,

DBS,

at

10mA

OFFSET

the

set

batteries

in 5

or

of

0.2mA

5.0mA

load)

voltage

voltage

at

80mA,

10mA

steps.

between

and

0.0

1.0mA

一

unidirectional

1.8K

ohms

e

İnternal
+

0.1mA

DEFAULT

e

DEFAULT

10sec

PROGRAM

twitch

PROGRAM

e = TET = 50Hz,

=

3:3

POWER

REQUIREMENT

e

Internally

BATTERY

e

More

LIFE

than

DIMENSIONS
e

Height - 175mm/6.9"

e

Width

e

Depth

e

In

Weight

EXTERNAL
e

200NS033

e

200NS032:

»

200NS031:

e

200NS037:

All

external

INTERNAL

e

200NS036

e

200NS035:

+

—200NS034:

LEAD

leadsets

LEAD

ENVIRONMENTAL

Temperature

Humidity

‘Ordinary

equipment

INTERNATIONAL P O
Zealand

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Caution:

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the

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of, a physician.

REF

185042351

of

the

set

current

SETTINGS

Current

Max = 80mA,

powered.

Three

160

hours

continuous

-73mm/29"

-43mm/

1.7"

-0.18kg/6.30z,

SETS

(supplied):

alligator

pin

connectors.

clips.

alligator

clips

are

electrocautery

dome

SETS

(supplied):

0°Cto

alligator

clip/pin

alligator

clip/dome

Operation

35°C

dome

0%to65%

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(EXTERNAL

1.5

volt

use

(without

Current

“AA”

batteries

with

alkaline

batteries)

ONLY)
steps

10mA,

batteries

connectors.

2m.

resistant

clip/pin

connector.

connector.

connector.

Transport

-25°Cto

0%t085%

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Site:

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626

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A

HEALTHCARE

page 2 of

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5232

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on

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