Fluke Cufflink User Manual

CuffLink

NIBP Analyzer

Operators Manual

PN 2242915
December 2007, Rev. 1, 9/09

© 2007, 2009 Fluke Corporation, All rights reserved. Printed in USA. Specifications subject to change without notice.
All product names are trademarks of their respective companies.

Warranty and Product Support

Fluke Biomedical warrants this instrument against defects in materials and workmanship
for one year from the date of original purchase. During the warranty period, we will
repair or at our option replace, at no charge, a product that proves to be defective,
provided you return the product, shipping prepaid, to Fluke Biomedical. This warranty
covers the original purchaser only and is not transferable. The warranty does not apply if
the product has been damaged by accident or misuse or has been serviced or modified by
anyone other than an authorized Fluke Biomedical service facility. NO OTHER
WARRANTIES, SUCH AS FITNESS FOR A PARTICULAR PURPOSE, ARE
EXPRESSED OR IMPLIED. FLUKE SHALL NOT BE LIABLE FOR ANY SPECIAL,
INDIRECT, INCIDENTAL OR CONSEQUENTIAL DAMAGES OR LOSSES,
INCLUDING LOSS OF DATA, ARISING FROM ANY CAUSE OR THEORY.

This warranty covers only serialized products and their accessory items that bear a
distinct serial number tag. Recalibration of instruments is not covered under the warranty

This warranty gives you specific legal rights and you may also have other rights that vary
in different jurisdictions. Since some jurisdictions do not allow the exclusion or limitation
of an implied warranty or of incidental or consequential damages, this limitation of
liability may not apply to you. If any provision of this warranty is held invalid or
unenforceable by a court or other decision-maker of competent jurisdiction, such holding
will not affect the validity or enforceability of any other provision.

07/07

Notices

All Rights Reserved

© Copyright 2007, Fluke Biomedical. No part of this publication may be reproduced, transmitted, transcribed, stored in a retrieval
system, or translated into any language without the written permission of Fluke Biomedical.

Copyright Release

Fluke Biomedical agrees to a limited copyright release that allows you to reproduce manuals and other printed materials for use in
service training programs and other technical publications. If you would like other reproductions or distributions, submit a written
request to Fluke Biomedical.

Unpacking and Inspection

Follow standard receiving practices upon receipt of the instrument. Check the shipping carton for damage. If damage is found, stop
unpacking the instrument. Notify the carrier and ask for an agent to be present while the instrument is unpacked. There are no special
unpacking instructions, but be careful not to damage the instrument when unpacking it. Inspect the instrument for physical damage such
as bent or broken parts, dents, or scratches.

Technical Support

For application support or answers to technical questions, either email [e-mail] or call 1-800- 648-7952 or
1-425-446-6945.

Claims

Our routine method of shipment is via common carrier, FOB origin. Upon delivery, if physical damage is found, retain all packing
materials in their original condition and contact the carrier immediately to file a claim. If the instrument is delivered in good physical
condition but does not operate within specifications, or if there are any other problems not caused by shipping damage, please contact
Fluke Biomedical or your local sales representative.

Standard Terms and Conditions

Refunds and Credits

Please note that only serialized products and their accessory items (i.e., products and items bearing a distinct serial number
tag) are eligible for partial refund and/or credit. Nonserialized parts and accessory items (e.g., cables, carrying cases,
auxiliary modules, etc.) are not eligible for return or refund. Only products returned within 90 days from the date of original
purchase are eligible for refund/credit. In order to receive a partial refund/credit of a product purchase price on a serialized product, the
product must not have been damaged by the customer or by the carrier chosen by the customer to return the goods, and the product
must be returned complete (meaning with all manuals, cables, accessories, etc.) and in “as new” and resalable condition. Products not
returned within 90 days of purchase, or products which are not in “as new” and resalable condition, are not eligible for credit return and
will be returned to the customer. The Return Procedure (see below) must be followed to assure prompt refund/credit.

Restocking Charges

Products returned within 30 days of original purchase are subject to a minimum restocking fee of 15 %. Products returned in excess of
30 days after purchase, but prior to 90 days, are subject to a minimum restocking fee of 20 %. Additional charges for damage and/or
missing parts and accessories will be applied to all returns.

Return Procedure

All items being returned (including all warranty-claim shipments) must be sent freight-prepaid to our factory location. When you return
an instrument to Fluke Biomedical, we recommend using United Parcel Service, Federal Express, or Air Parcel Post. We also
recommend that you insure your shipment for its actual replacement cost. Fluke Biomedical will not be responsible for lost shipments
or instruments that are received in damaged condition due to improper packaging or handling.

Use the original carton and packaging material for shipment. If they are not available, we recommend the following guide for
repackaging:

 Use a double-walled carton of sufficient strength for the weight being shipped.
 Use heavy paper or cardboard to protect all instrument surfaces. Use nonabrasive material around all projecting parts.
 Use at least four inches of tightly packed, industry-approved, shock-absorbent material around the instrument.

Returns for partial refund/credit:

Every product returned for refund/credit must be accompanied by a Return Material Authorization (RMA) number, obtained from our
Order Entry Group at 1-800-648-7952 or 1-425-446-6945.

Repair and calibration:

To find the nearest service center, go to www.flukebiomedical.com/service

In the U.S.A.:
Cleveland Calibration Lab
Tel: [phone]
Email: [e-mail]

Everett Calibration Lab
Tel: [phone]
Email: [e-mail]

In Europe, Middle East, and Africa:
Eindhoven Calibration Lab
Tel: [phone]
Email: [e-mail]

In Asia:
Everett Calibration Lab
Tel: [phone]
Email: [e-mail]

, or

Certification

This instrument was thoroughly tested and inspected. It was found to meet Fluke Biomedical’s manufacturing specifications when it
was shipped from the factory. Calibration measurements are traceable to the National Institute of Standards and Technology (NIST).
Devices for which there are no NIST calibration standards are measured against in-house performance standards using accepted test
procedures.

WARNING

Unauthorized user modifications or application beyond the published specifications may result in electrical shock hazards or
improper operation. Fluke Biomedical will not be responsible for any injuries sustained due to unauthorized equipment
modifications.

Restrictions and Liabilities

Information in this document is subject to change and does not represent a commitment by Fluke Biomedical. Changes made
to the information in this document will be incorporated in new editions of the publication. No responsibility is assumed by
Fluke Biomedical for the use or reliability of software or equipment that is not supplied by Fluke Biomedical, or by its
affiliated dealers.

Manufacturing Location

The CuffLink NIBP Analyzer is manufactured in Everett, Washington by Fluke Biomedical, 6920 Seaway Blvd., Everett,
WA, U.S.A.

Table of Contents

Chapter Title Page

1 Introduction and Specifications......................................................... 1-1

Introduction........................................................................................................ 1-3

Standard Features............................................................................................... 1-4

New Features (Firmware Revision 3.0 and Later)............................................. 1-4

Arrhythmias................................................................................................... 1-4

Pressure Testing............................................................................................. 1-5

Remote Commands ....................................................................................... 1-6

General Safety Considerations........................................................................... 1-6

Symbols ......................................................................................................... 1-6

Warnings and Cautions.................................................................................. 1-7

Instrument Familiarity ....................................................................................... 1-8

Specifications..................................................................................................... 1-12

Accessories ........................................................................................................ 1-16

2 Operation ............................................................................................. 2-1

Powering Up the Analyzer................................................................................. 2-3

Menu Structure and Navigation ......................................................................... 2-3

Preliminary Procedures...................................................................................... 2-6

Assembling Equipment ................................................................................. 2-6

Making Connections...................................................................................... 2-8

Observing Results.......................................................................................... 2-9

Selecting Heart Rate (HtRate) ....................................................................... 2-10

Adjusting the Pressure Envelope (AdjEnv)................................................... 2-11

Simulating Adult Blood Pressure....................................................................... 2-14

Setting Zero Pressure..................................................................................... 2-15

Simulating Other ADAMS Family Target Values ........................................ 2-16

NIBP Monitor Testing Sequence................................................................... 2-16

Simulating Neonatal Blood Pressure ................................................................. 2-17

Simulating Arrhythmias..................................................................................... 2-18

Pressure Testing................................................................................................. 2-19

Leak Testing .................................................................................................. 2-19

Manometer Function ..................................................................................... 2-20

Pop Off Test .................................................................................................. 2-21

Utility Functions ................................................................................................ 2-22

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Set Clock ....................................................................................................... 2-22

Pop Time ....................................................................................................... 2-24

Logo............................................................................................................... 2-25

System Functions........................................................................................... 2-25

Establishing Communications ........................................................................... 2-31

Configuring RS232........................................................................................ 2-31

Testing the RS232 Port and Connections ...................................................... 2-32

Using Auto Sequences ....................................................................................... 2-33

Executing an Auto Sequence......................................................................... 2-33

Utilities .......................................................................................................... 2-34

Printing Documents ........................................................................................... 2-37

Printing Blood Pressure Test Results ............................................................ 2-37

Printing Manometer, Leak Test, and Overpressure Test Results .................. 2-38

Printing Auto Sequences ............................................................................... 2-38

3 Remote Operation ............................................................................... 3-1

Introduction........................................................................................................ 3-3

Setting Up the medTester .................................................................................. 3-3

Remote Command Syntax ................................................................................. 3-4

Command Syntax for medTester................................................................... 3-4

Command Syntax for Computer.................................................................... 3-4

Command Parameters.................................................................................... 3-4

Terminating Characters ................................................................................. 3-5

Error Messages .............................................................................................. 3-5

Command Descriptions...................................................................................... 3-7

BEEP ............................................................................................................. 3-7

CALPUCKPOS ............................................................................................. 3-8

DEFLATE ..................................................................................................... 3-8

DRAWENV................................................................................................... 3-8

DRAWENVNEO .......................................................................................... 3-11

DRAWPULSE............................................................................................... 3-15

GLOBALINIT............................................................................................... 3-17

GOTOLOCAL............................................................................................... 3-18

IDENT ........................................................................................................... 3-18

INFLATE ...................................................................................................... 3-18

KEYTEST ..................................................................................................... 3-19

LEAKTEST................................................................................................... 3-19

MAKEARM .................................................................................................. 3-20

MAKEARMNEO .......................................................................................... 3-23

MANOMETER ............................................................................................. 3-27

MKARM10.................................................................................................... 3-27

MKARM20.................................................................................................... 3-27

MKARM30.................................................................................................... 3-28

MKARM40.................................................................................................... 3-28

MKARM50.................................................................................................... 3-28

MKARM60.................................................................................................... 3-28

MKARM70.................................................................................................... 3-29

MKARMNEO10 ........................................................................................... 3-29

MKARMNEO20 ........................................................................................... 3-29

MKARMNEO30 ........................................................................................... 3-29

MKARMNEO40 ........................................................................................... 3-30

MKARMNEO50 ........................................................................................... 3-30

MKARR_AF ................................................................................................. 3-30

MKARR_MB ................................................................................................ 3-30

ii

Contents (continued)

MKARR_PAC............................................................................................... 3-31

MKARR_PVC............................................................................................... 3-31

MKARR_AS ................................................................................................. 3-31

POPOFF ........................................................................................................ 3-32

PRINTTEST .................................................................................................. 3-32

PSCALE ........................................................................................................ 3-33

PULSE........................................................................................................... 3-34

PUMPPCB..................................................................................................... 3-36

RCUSERENV ............................................................................................... 3-36

RDCLOCK.................................................................................................... 3-36

RDENVGAIN ............................................................................................... 3-36

RDENVSHIFT .............................................................................................. 3-37

RDPEAKDIV................................................................................................ 3-37

RDQCDATE ................................................................................................. 3-37

RDUSERENV ............................................................................................... 3-37

READPRESS ................................................................................................ 3-38

RESET........................................................................................................... 3-38

STUSERENV................................................................................................ 3-39

WRCLOCK ................................................................................................... 3-39

WRPEAKDIV ............................................................................................... 3-40

WRUSERENV .............................................................................................. 3-40

ZEROPRESS................................................................................................. 3-41

Programming with Analyzer Commands........................................................... 3-41

Checklist Generated in BASIC...................................................................... 3-41

Adult BP Checklists and Test Results ........................................................... 3-43

Neonate BP Checklists and Test Results....................................................... 3-47

Adult Arrhythmic BP Checklists and Test Results........................................ 3-51

Additional Command Descriptions (Firmware Version 3.20)........................... 3-55

PUMPON ...................................................................................................... 3-55

PUMPOFF..................................................................................................... 3-55

VALVEOPEN ............................................................................................... 3-55

VALVECLOSED .......................................................................................... 3-56

4 Maintenance, Service, and Calibration.............................................. 4-1

Maintenance....................................................................................................... 4-3

Avoiding Damage.......................................................................................... 4-3

Cleaning......................................................................................................... 4-3

Service and Calibration...................................................................................... 4-3

Appendices

A Non-Invasive Blood Pressure (NIBP) Monitoring Tutorial ........................ A-1

B Glossary....................................................................................................... B-1

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iv

List of Tables

Table Title Page

1-1. New RS232 Remote Commands............................................................................ 1-6

1-2. Symbols.................................................................................................................. 1-6

1-3. Analyzer Top and Front Panel Controls and Indicators ......................................... 1-8

1-4. Rear Panel Controls and Indicators........................................................................ 1-11

1-5. Standard Accessories ............................................................................................. 1-16

2-1. Blood Pressure Parameters Provided by the Select BP Option.............................. 2-6

2-2. Measured Test Parameters ..................................................................................... 2-10

2-3. Arrhythmia Types .................................................................................................. 2-18

2-4. Leak Test Utility Options....................................................................................... 2-20

2-5. Measured Leak Test Parameters ............................................................................ 2-20

2-6. Measured Manometer Parameters.......................................................................... 2-21

2-7. Measured Pop Off Test Parameters........................................................................ 2-22

2-8. Speaker Tests and Adjustments.............................................................................. 2-27

2-9. Display Test Descriptions ...................................................................................... 2-28

2-10. Pop Time and Comm Port Default Values ............................................................. 2-29

2-11. Auto Sequence Defaults ......................................................................................... 2-30

2-12. RS232 Settings ....................................................................................................... 2-32

3-1. medTester Remote Configuration Settings ............................................................ 3-3

3-2. Available Error Messages ...................................................................................... 3-6

3-3. Autosequence Defaults........................................................................................... 3-17

3-4. Pop Time and Comm Port Default Values............................................................. 3-17

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Cufflink

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vi

List of Figures

Figure Title Page

1-1. CuffLink Non-Invasive Blood Pressure Analyzer ................................................. 1-3

1-2. Cuff pressure waveform during blood pressure measurement............................... 1-4

1-3. Analyzer Top and Front Panel Controls and Indicators ......................................... 1-8

1-4. Rear Panel Controls and Indicators........................................................................ 1-11

2-1. Analyzer Menu Map .............................................................................................. 2-4

2-2. Adjustments for Adult Cuff Mandrel..................................................................... 2-7

2-3. Neonate Mandrel.................................................................................................... 2-7

2-4. NIBP Test System Diagram ................................................................................... 2-8

2-5. Makearm Display of Test Results .......................................................................... 2-9

2-6. Sample Printout of Auto Sequence Content........................................................... 2-36

2-7. Sample Printout of Adams Adult Family 120/80 Test Results .............................. 2-38

2-8. Sample Printout of Manometer Test Results.......................................................... 2-38

2-9. Sample Printout of Leak Test Results .................................................................... 2-38

2-10. Sample Printout of Overpressure Test Results....................................................... 2-38

2-11. Sample Printout of Adult Auto Sequence Content................................................. 2-40

2-12. Sample Printout of Adult Auto Sequence Test Results.......................................... 2-41

2-13. Sample Printout of Adult BP with Arrhythmia Auto Sequence Content ............... 2-42

2-14. Sample Printout of Adult BP with Arrhythmia Auto Sequence Test Results ........ 2-43

2-15. Sample Printout of Neonate Auto Sequence Content ............................................ 2-44

2-16. Sample Printout of Neonate Auto Sequence Test Results ..................................... 2-46

3-1. Analyzer Adult Blood Pressure Envelope (BP = 120/80)...................................... 3-8

3-2. Analyzer Neonate Blood Pressure Envelope (BP = 120/80).................................. 3-11

3-3. Analyzer Pressure Pulse #3 .................................................................................... 3-15

3-4. POPOFF Command Display .................................................................................. 3-32

3-5. Scale Pulse Amplitude Display.............................................................................. 3-33

3-6. A BASIC Program using Analyzer Remote Commands........................................ 3-42

3-7. medBase Adult BP Checklist ................................................................................. 3-43

3-8. medBase Adult BP Test Results............................................................................. 3-44

3-9. Sentinel Adult BP Checklist................................................................................... 3-45

3-10. Sentinel Adult BP Test Results .............................................................................. 3-46

3-11. medBase Neonate BP Checklist............................................................................. 3-47

3-12. medBase Neonate BP Test Results ........................................................................ 3-48

3-13. Sentinel Neonate BP Checklist .............................................................................. 3-49

3-14. Sentinel Neonate BP Test Results .......................................................................... 3-50

3-15. medBase Adult Arrhythmic BP Checklist.............................................................. 3-51

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3-16. medBase Adult Arrhythmic BP Test Results......................................................... 3-52

3-17. Sentinel Adult Arrhythmic BP Checklist ............................................................... 3-53

3-18. Sentinel Adult Arrhythmic BP Test Results........................................................... 3-54

viii

Chapter 1

Introduction and Specifications

Title Page

Introduction........................................................................................................ 1-3

Standard Features............................................................................................... 1-4

New Features (Firmware Revision 3.0 and Later)............................................. 1-4

Arrhythmias................................................................................................... 1-4

Pressure Testing............................................................................................. 1-5

Remote Commands ....................................................................................... 1-6

General Safety Considerations........................................................................... 1-6

Symbols ......................................................................................................... 1-6

Warnings and Cautions.................................................................................. 1-7

Instrument Familiarity ....................................................................................... 1-8

Specifications..................................................................................................... 1-12

Accessories ........................................................................................................ 1-16

1-1

Cufflink

Operators Manual

1-2

Introduction and Specifications

Introduction 1

Introduction

The CuffLink Non-Invasive Blood Pressure Analyzer, hereafter referred to as the
Analyzer, provides accurate and repeatable dynamic blood pressure (BP) waveforms for
evaluation of both semi and fully automated oscillometric non-invasive blood pressure
(NIBP) devices. The Analyzer is shown in Figure 1-1.

CuffLink

NON-INVASIVE BLOOD PRESSURE ANA

LYZER

ESC

F1

F2

F3

F4

F5

BEEPER

V

OLUM

ENT

DISPL

E

AY

VIEW

Max

Da

r

k

fcv001.eps

CUFF

CONNECT

mmHg

CUFF

mmHg

OUTPUTS

PULSE

mHg

DC

Figure 1-1. CuffLink Non-Invasive Blood Pressure Analyzer

To test a device, wrap the BP cuff around the supplied mandrel and insert the cuff adapter
in the pressurized line. All tests are conducted with the BP cuff connected to the system.

The Analyzer can generate BP waveforms for seven adult (oscillometric), five neonate
(oscillometric), and 5 arrhythmias. The different systolic/diastolic pressure gradients
simulate a physiological range of normal, hypotensive, and hypertensive adult or neonate
patients. Actual patient data was used to design the preprogrammed peripheral pulse
waveforms and envelopes.

The Analyzer can produce qualitative measurements of BP cuff pressure and inflate /
deflate timing, as shown in Figure 1-2.

1-3

Cufflink

Operators Manual

CUFF

PRESSURE

TIME

Figure 1-2. Cuff pressure waveform during blood pressure measurement

The Analyzer also offers automated leak testing of NIBP monitors. An internal pump
pressurizes the NIBP system under test. Press a key to initiate a 60 second leak test once
the desired pressure is reached. Use the Analyzer’s digital manometer instead of a
mercury column for doing pressure measurements. The Analyzer facilitates overpressure
testing of NIBP monitors by automatically detecting and displaying the overpressure
point.

Standard Features

The Analyzer has the following standard features:

• Dynamic oscillometric noninvasive blood pressure simulation

SYS

OSCILLATION AMPLITUDE

MAP

DIA

fcv002.eps

• Automated static pressure measurements, leakage testing, and relief-valve testing

• Five automated NIBP testing autosequences

• Five arrhythmia selections

• Adult and neonatal NIBP selections

• Direct interface with medTester 5000C

• Adjustable heart rate values

• Calendar clock with battery backup

• Internal PCB expansion slot

New Features (Firmware Revision 3.0 and Later)

Firmware revision 3.0 included the following additions and updates, including a set of
adult arrhythmias, an internal pump, and additions to pressure testing.

Arrhythmias

The Analyzer features five new arrhythmias to test NIBP monitors in the presence of
typical patient arrhythmias. These clinically derived simulations are representations of
the peripheral pulse, as seen by an oscillometric NIBP monitor.

Each arrhythmia is generated on a random basis throughout the entire pressure curve
cycle. The variations in pulse timing and amplitude are relatively small.

1-4

Introduction and Specifications

New Features (Firmware Revision 3.0 and Later) 1

Premature Atrial Contraction (PAC)

The first pulse of the PAC cycle is premature and lower in amplitude than a normal sinus
pulse. The next pulse would be back in sync with normal sinus and slightly higher in
amplitude. All subsequent pulses are normal.

Premature Ventricular Contraction (PVC)

This is a representation of the peripheral pulse similar to PAC

Atrial Fibrillation (AF)

The AF cycle has an irregular R to R interval. Its occurrence and properties (early vs.
late) are random throughout the pressure curve cycle.

Missed Beat (MB)

A complete beat is randomly skipped during the pressure curve cycle. The following beat
reverts to normal R to R intervals.

Aberrant Sinus Conduction (AS)

The AS cycle inserts one pulse so low that it is virtually non-existent. This causes the
Analyzer to skip one diastolic pulse and then return to normal sinus pulses.

Pressure Testing

The Analyzer now has the following enhancements to its pressure testing capability.

Internal Pump

The Analyzer now has an internal compressor which eliminates the need to manually
inflate the cuff for NIBP monitor testing. This automates static pressure measurements,
leak testing, and relief valve testing.

Pop Off Added to Press Menu

Perform over-pressure tests on NIBP monitors with this addition to the PRESS menu.

Utility Menu Added to Leak Test

Select cuff size, turn printing on or off, and choose a target pressure for leak testing.

Manometer

The Analyzer simulates a digital manometer with pump capabilities.

1-5

Cufflink

Operators Manual

Remote Commands

Table 1-1 lists new CuffLink RS232 commands to support new functions.

Table 1-1. New RS232 Remote Commands

Command Function

DEFLATE Releases pressure inside CuffLink

INFLATE Pumps CuffLink to 200 mmHg or specified pressure

KEYTEST Tests CuffLink's keyboard

MKARR_AF Simulates atrial fibrillation

MKARR_MB Simulates a missed beat

MKARR_PAC Simulates premature atrial contraction

MKARR_PVC Simulates premature ventricular contraction

MKARR_AS As Simulates aberrant sinus conduction

POPOFF Tests monitor's overpressure valve

PUMPPCB Determines if pump PCB is installed in CuffLink

General Safety Considerations

Read the Users Manual before operating the Analyzer.

Symbols

Table 1-2 describes the symbols associated with the Analyzer.

Table 1-2. Symbols

Symbol Description

X Hazardous voltage
W Important information; refer to manual.

Œ

P Conforms to European Union directives

~

Hg Contains mercury. Dispose properly.

Conforms to UL Std 3101-1; certified to CAN/USA Std C22.2 No.

1010.1

Do not dispose of this product as unsorted municipal waste. Go
to Fluke’s website for recycling information.

1-6

Introduction and Specifications

General Safety Considerations 1

Warnings and Cautions

A Warning identifies hazardous conditions and actions that could cause bodily harm or
death.

A Caution identifies conditions and actions that could damage the Analyzer, the
equipment under test, or cause permanent loss of data.

XW Warning

To avoid possible electrical shock or personal injury, follow
these guidelines:

• Use this Analyzer only in the manner specified by the

manufacturer.

• Do not use the product if it operates abnormally.

• Do not connect the Analyzer to a patient or equipment

connected to a patient. The Analyzer is intended for
equipment evaluation only and should never be used in
diagnostics, treatment or in any other capacity where the
Analyzer would come in contact with a patient.

• Do not use the product in wet locations, around explosive

gases or dust.

• Never open the Analyzer's case. Dangerous voltages are

present. There are no user replaceable parts in the
Analyzer.

• Have the Analyzer serviced only by qualified personnel.

• The Analyzer must be properly earthed. Only use a supply

socket that has a protective earth contact. If there is any
doubt as to the effectiveness of the supply socket earth, do
not connect the Analyzer.

• Do not use a two-conductor adapter or extension cord; this

will break the protective ground connection.

W Caution

To avoid damage to the Analyzer or adverse affects on its
performance, follow these guidelines:

• Do not expose the system to temperature extremes. Ambient

temperatures should remain between 0 °C and 50 °C. System
performance may be adversely affected if temperatures fluctuate
above or below this range.

• Clean the Analyzer only by wiping it down with a clean, lint-free

cloth dampened with a mild detergent solution. Do not spray
liquid directly on or immerse the unit.

1-7

Cufflink

Operators Manual

Instrument Familiarity

Figure 1-3 shows the top and front panel controls and indicators of the Analyzer.
Table 1-3 lists these components with accompanying descriptions. Figure 1-4 shows the
rear panel controls and indicators, and Table 1-4 lists and describes these components.

1

CuffLink

NON-INVASIVE BLOOD PRESSURE ANA

L

YZE

R

2

ESC

F1

F2

F3

F4

F5

BEEPER

V

OLUM

ENT

11

DISPL

E

AY

VIEW

Max

Da

r

k

10

CUFF

CONNECT

CUFF

OUTPUTS

mmHg

PULSE

mHg

DC

3

mmHg

4

5

6

7

8

9

Figure 1-3. Analyzer Top and Front Panel Controls and Indicators

Table 1-3. Analyzer Top and Front Panel Controls and Indicators

Label Component Description

A Display The LCD (Liquid Crystal Display) is a full alphanumeric and

graphic display. The maximum number of characters able
to be on a single line at any given time is 40, and the
number of lines from top to bottom is 8, thereby producing a
possible 320 character display. The graphics mode of the
display is defined by a grid of 64 vertical pixels by 240
horizontal pixels. This mode enables display of the cuff
pressure waveform.

fcv003.eps

1-8

Display viewing angle is adjustable, so if the display appears
blank (view angle set too low), or dark (view angle set too
high) the view angle may need to be adjusted for optimum
visibility (see Display View Control Knob).

Introduction and Specifications

Table 1-3. Analyzer Top and Front Panel Controls and Indicators (cont.)

Label Component Description

Instrument Familiarity 1

B Esc Key The Esc (escape) key enables the user to exit any menu,

exit without saving new data, or abort any function of
CuffLink. Continuously holding down the Esc key will return
the user to the CuffLink logo display from any menu.

C Function Keys The function keys are labeled Fl through F5. Pressing any

one of these keys will execute the function, defined by
software, that is displayed above that particular key.

D Cuff Connect A quick disconnect type of port provides the output

connection from the pulse producing motor inside Cufflink,
to the line connecting the cuff and the BP patient monitor.

E Cuff Output This is a voltage output proportional to cuff pressure

(10mv/mmHg). It is always active with a range of -5 V dc to
+5 V dc (-500 mmHg to +500 mmHg). The accuracy is
specified for positive pressures only.

Example:

1.0 V = 100 mmHg

2.5 V = 250 mmHg

This signal is also useful when connected to a storage
oscilloscope or strip recorder to observe the cuff
inflate/deflate cycle.

Output impedance is 100 Ω.

F Pulse output This is a voltage output proportional to pulse pressure. It is

only active when Cufflink is outputting pressure pulses. The
output is at 0 V in the inactive state. The pulse voltage is
taken from the pressure transducer and the large static cuff
pressure is subtracted. For example, if the cuff is inflated to
150 mmHg and the pulse is 1.2 mmHg in amplitude, only the

1.2 mmHg portion of the signal is presented at this output.

The pulse output voltage is 1 V dc/mmHg and has a range
of -5 VDC to +5 VDC (-5 mmHg to +5 mmHg).

Example:

1.0 V = 1.0 mmHg pulse

0.5 V = 0.5 mmHg pulse

When Cufflink is simulating blood pressure it removes the
static cuff pressure from the pulse output (forcing it to 0
VDC) at the beginning of each heartbeat. During the
heartbeat the amplitude of the pulse is output. As the cuff
deflates (or inflates) this process is repeated for each
heartbeat.

Output impedance is 100 Ω.

1-9

Cufflink

Operators Manual

Table 1-3. Analyzer Top and Front Panel Controls and Indicators (cont.)

Label Component Description

G Sync Output This is a logic level (0 to 5VDC) that outputs a pulse at the

start of every heartbeat. When CuffLink is not outputting
pressure pulses this output is at OVDC. When CuffLink is
outputting pressure pulses the output is high (5VDC) during
the pulse and low between the end of one pulse and the
start of the next pulse. This output is useful for measuring
heart rate and synchronizing a scope trigger for viewing
individual pressure pulses on the pulse output.

Output impedance is 100 Ω.

H Beeper Volume Control Knob The amplitude of the CuffLink audible feedback may be

adjusted by turning the beeper volume control knob. Turning
the knob clockwise (towards the MAX label next to the knob)
will increase the volume of the beeper, while turning the
knob counterclockwise will decrease the beeper volume.

I Display View Control Knob The angle at which the display is most visible is adjustable

with the display view control knob. Turning the knob
clockwise (towards the DARK label next to the knob) will
increase the contrast of the display, or make the display
darker. Turning the knob counterclockwise will decrease the
contrast, making the display lighter.

J Ent Key Pressing the Ent (enter) key will select a highlighted menu,

initiate a CuffLink function, or store data in EEROM. In
effect, the enter key is the opposite of the Esc key.

K Arrow keys The arrow keys are the cursor control keys. Pressing the up

arrow key moves the cursor on the display in a upward
direction or increases the highlighted value. Pressing the
down arrow key moves the cursor on the display in a
downward direction or decreases the highlighted value. The
down arrow key is also capable of pulling down the
submenus of a highlighted main menu. Pressing the left or
right arrow keys will produce cursor movement in the
corresponding direction. Holding any arrow key down
continuously will cause a repeating of the action of that key.

L Handle The handle for transporting CuffLink is located on the right

side of the instrument case.

1-10

Introduction and Specifications

1

2

3

115

I

O

4 5

CuffLink sn 3480

Instrument Familiarity 1

FUSE T3.15a 100-115 VAC 50/60Hz
FUSE T1A 200-230 VAC 50/60Hz

SERIAL NUMBER

PRINTER

3480

INPUT POWER 60 VA

FLUKE BIOMEDICAL CORPORATION

CARSON CITY, NEVADA

MADE IN THE U.S.A

RS232

679 8

Figure 1-4. Rear Panel Controls and Indicators

fcv004.eps

Table 1-4. Rear Panel Controls and Indicators

Label Component Description

A Power Cord Input The input for the Cufflink power cord is located next to the

power switch. This is the connection for the detachable
power cord.

B Power Switch The on position of the power switch is represented by 1 and

the off position is labeled 0.

C Fuse Cover The fuse(s) are located behind the fuse cover. The fuse

cover may be carefully pried open at 3a.

D Voltage Selector CuffLink is able to operate on two different line voltages.

The voltage selector indicates the voltage (either 120V or
240V) at which CuffLink will operate. There are an
additional two voltages (100V and 220V) listed on the back
panel. These do not apply to CuffLink.

E Fan Intake A hole cut in the rear panel of the case provides ventilation

for Cufflink from the fan. Care should be exercised not to
block the fan intake or to insert anything into the metal
protector.

F RS232 Port This is the connector for the RS-232 serial interface. It

is a 25 pin (DB25), male, D shell connector (same
pinout as PC compatible computer).

G Printer Port The connector for the parallel printer is a 25 pin

(DB25), female, D shell connector. The printer port is
Centronics compatible (same pinout as a PC
compatible computer).

1-11

Cufflink

Operators Manual

Table 1-4. Rear Panel Controls and Indicators

Label Component Description

H Serial Port The four digit Cufflink serial number is located above

the printer port. The serial number should be
documented along with the model number whenever
Cufflink is shipped to Dynatech Nevada.

I Fuse Label The fuse label documents the type of fuses needed.

Use one 1ASB 250 V ac fuse (DNI part no. 1005-

0184) if Cufflink is set for 120 V operation, and two
1/2 A 250 V ac fuses (DNI part no. 1005-0185) if
Cufflink is set for 240 V operation.

Replacing Fuses

1. Turn Cufflink's power off and unplug the power cord.

2. Remove the fuse cover with a small blade screwdriver.
The plastic fuse holder should pop out of the Cufflink
case.

3. Use the screwdriver to pry the old fuse out of the plastic
holder.

4. Install the new fuse.

5. Replace the fuse holder by simply pushing the fuse
holder back into place.

Specifications

The following are general and electrical specifications for the Analyzer.

Physical Dimensions

Size ......................................................................... Width 12.5 inches

Weight..................................................................... 15 pounds

Power Requirements

Power ..................................................................... 120/250 V ac

Input voltage range...................................................... 60 VA

Fuses ...................................................................... T3.15a 110-115 V ac 50/60 Hz

Environmental Conditions

Operating Temperature........................................... 15 °C to 40 °C

Storage Temperature.............................................. -20 °C to +65 °C

Relative Humidity.................................................... 90 % max

Height 5.0 inches
Length 15.0 inches

50 Watts average
100 Watts peak
50/60 Hz

T1A 200-300 V ac 50/60 Hz

1-12

Introduction and Specifications

Specifications 1

Display

Alphanumeric and Graphic LCD Display

Alphanumeric Mode............................................ 8 lines by 40 characters

Graphics Mode ................................................... 64 vertical by 240 horizontal dot matrix

Illumination.............................................................. Backlight with Viewing Angle Adjustment

Displayed Graphics................................................. Dynamic real-time NIBP cuff-pressure waveform, programmed

peripheral pulse and envelope waveforms

Control Keys

Function Keys ........................................................ F1 to F5

Cursor .................................................................... Up

Enter
Escape

Down
Left
Right

Parameter Selections

Menus ..................................................................... Pull down with on-screen help

Function keys.......................................................... Software defined, F1 to F5

Storage

Environment............................................................ Store in a dry area, temperature range of 32°F to 122°F.

Inspection or maintenance during storage.............. None required

Digital Interfaces

RS232/Serial........................................................... Baud Rates: 300, 600, 1200, 2400, 4800, 9600

Parallel Port (Printer) .............................................. Centronics compatible

Pulse Sync .............................................................. 0 to 5 V dc (TTL)

Stop Bits: 1, 2
Parity: Odd, Even, Off
Handshake: Xon/Xoff, RTS/CTS, None

Target Blood Pressure Selections

Select BP

Target Value (MAP)

(mmHg)

Adult 60/30 (40)

80/50 (62)
100/65 (75)
120/80 (90)
150/100 (115)
200/150 (165)
255/195 (215)

Neonate 60/30 (40)

80/50 (62)
100/65 (75)
120/80 (90)
150/100 (115)

Arrhythmias 120/80 (90) 80 Premature Atrial Contraction

HR

(BPM)

30
40

60
120
160
200
240

30

40

60
120
160
200
240

Waveform Type

Normal Sinus

Normal Sinus

Premature Ventricular Contraction
Atrial Fibrillation
Missed Beat
Aberrant Sinus Conduction

1-13

Cufflink

Operators Manual

Preprogrammed Pulse Envelope

Horizontal Axis (cuff pressure) ............................... 0 to 300 mmHg in 1.0 mmHg steps

Vertical Axis ............................................................ 2.0 mmHg (nominal)

Pulse Amplitude (adult) .......................................... 2.0 mmHg @ MAP 100% gain

Repeatability ........................................................... ±1 % of selected target value

Pulse Waveforms

100% gain with normal adult cuff
0 to 2% selectable

Pulse ID # Pulse Width (ms) Rise Time (ms)

0 800 270

1 500 165
2 250 85
3 720 90

4 230 80
5 280 96
6 350 100
7 480 108
8 980 180
9 1980 460

10 1480 330

Digital Manometer

Pressure Range ...................................................... Maximum = 499.75 mmHg

Measurement Parameters ...................................... Instantaneous and peak

Pump....................................................................... 2.0 liter/minute minimum (free flow)

Automated Leak Testing

Start Pressure ......................................................... Maximum = 499.75 mmHg

Elapsed Time .......................................................... Fixed at 60 seconds

Leak Rate Range .................................................... 0.25 to 499.75 mmHg/minute

Pump....................................................................... 2.0 liter/minute minimum (free flow)

Monitor Pop-off Relief Valve Testing

Measurement Parameters ...................................... Instantaneous and peak pressure

Maximum Pressure ................................................. 499.75 mmHg

Accuracy

Dynamic NIBP Response Repeatability

(Systolic/Diastalic/Mean)......................................... ±1 % of Target Value

Cuff Pressure .......................................................... ±1.0 % of reading (±1 mmHg)

Input Overpressure Limit......................................... ±1500 mmHg

1-14

Introduction and Specifications

Specifications 1

Ranges for MAKEARM Test Values

On Line Cuff Pressure ............................................ 0.0 to 500 mmHg on display

Peak Cuff Pressure................................................. 500 mmHg peak

Inflate Time ............................................................. 0.1 to 999.9 seconds

Inflate Rate.............................................................. 0.1 to 999.9 mmHg/second

Deflate Time............................................................ 0.1 to 999.9 seconds

Deflate Rate ............................................................ 0.1 to 999.9 mmHg/second

Total Measurement Time ........................................ 999.9 seconds maximum

Heart Rate............................................................... 30

0.0 to 300 mmHg on graph

40
60
80
120
160
200
240

Analog Outputs

Cuff Pressure .......................................................... 0 to 499.75 mmHg FS, ±1.0 % of reading,

Pulse Pressure........................................................ 0 to 5.0 mmHg FS, ±1.0 % of reading

±±.0 mmHg (cuff)
10 mV/mmHg

1.0 V/mmHg

Mandrels

Adult........................................................................ Five interlocking plastic blocks that produce four circumferences;

Large Adult................................................................ 39.5 cm; use all blocks

Adult.................................................................... 33 cm; use 2 curved end blocks and 2 rectangle blocks

Small Adult.......................................................... 26.6 cm; use 2 curved end blocks and 1 rectangle block

Child.................................................................... 20 cm; use 2 curved end blocks

Neonate .................................................................. One plastic truncated cylinder that accommodates three different

circumferences: 14 cm, 10 cm, and 7.6 cm; maximum cuff width of

7.6 cm.

a maximum cuff width of 15.25 cm:

1-15

Cufflink

Operators Manual

Accessories

Soft vinyl accessory pouch 2248408

Operators Manual 2242915

Hospital grade power cord set 2198846

Adult cuff mandrel spacer blocks 2392381

Table 1-5 lists standard accessories provided with the Analyzer.

Table 1-5. Standard Accessories

Accessory Part Number

Cuff/hose adapters (8)

Male/Female LUER Locking

Female/Mole LUER Non-Locking Taper

5/32" Male/Male Hose Barb

¼” Male/Male Hose Barb

1/8" Male/Male Hose Barb

Male/Female Clippard (Critikon, Siemens)

Colder/CPC (Marquette, Protocol)

OBAC Quick Release (Hewlett Packard)

Adult cuff mandrel end blocks (two required) 2230305

External cuff mandrel neonatal (truncated plastic
cylinder diameters: 7, 6, 10, and 14 cm)

2242233

2242225

2242257

2242284

2242240

2242190

2242202

2242216

2392328

1-16

Chapter 2

Operation

Title Page

Powering Up the Analyzer................................................................................. 2-3

Menu Structure and Navigation ......................................................................... 2-3

Preliminary Procedures...................................................................................... 2-6

Assembling Equipment ................................................................................. 2-6

Making Connections...................................................................................... 2-8

Observing Results.......................................................................................... 2-9

Selecting Heart Rate (HtRate) ....................................................................... 2-10

Adjusting the Pressure Envelope (AdjEnv)................................................... 2-11

Simulating Adult Blood Pressure....................................................................... 2-14

Setting Zero Pressure..................................................................................... 2-15

Simulating Other ADAMS Family Target Values ........................................ 2-16

NIBP Monitor Testing Sequence................................................................... 2-16

Simulating Neonatal Blood Pressure ................................................................. 2-17

Simulating Arrhythmias..................................................................................... 2-18

Pressure Testing................................................................................................. 2-19

Leak Testing .................................................................................................. 2-19

Manometer Function ..................................................................................... 2-20

Pop Off Test .................................................................................................. 2-21

Utility Functions ................................................................................................ 2-22

Set Clock ....................................................................................................... 2-22

Pop Time ....................................................................................................... 2-24

Logo............................................................................................................... 2-25

System Functions........................................................................................... 2-25

Establishing Communications ........................................................................... 2-31

Configuring RS232........................................................................................ 2-31

Testing the RS232 Port and Connections ...................................................... 2-32

Using Auto Sequences ....................................................................................... 2-33

Executing an Auto Sequence......................................................................... 2-33

Utilities .......................................................................................................... 2-34

Printing Documents ........................................................................................... 2-37

Printing Blood Pressure Test Results ............................................................ 2-37

Printing Manometer, Leak Test, and Overpressure Test Results .................. 2-38

Printing Auto Sequences ............................................................................... 2-38

2-1

Cufflink

Operators Manual

2-2

Operation

Select BP

ADAMS Adult

Powering Up the Analyzer 2

Powering Up the Analyzer

To power up the Analyzer, follow these directions:

1. Attach the supplied power cord to the power cord input on the back panel.

2. Plug the unit into a properly rated outlet.

3. Turn the Analyzer on by pushing the power switch on the back panel to the ON

position (marked I). The Analyzer performs a self test and system initialization,
during which the logo display is visible for about five seconds:

16:15:36
09/19/07
CuffLink

3.21, Pump

Non-Invasive Blood Pressure Analyzer

F1 F2 F3 F4 F5

The current time and date is in the upper right hand corner, and the software revision,
along with installed options, appears directly below the Analyzer name. After the
five-second logo display, the Main Menu displays:

Press Util Comm Auto

ADAMS Adult
ADAMS Neonate
Arrythmias

Select adult ADAMS family blood pressure

F1 F2 F3 F4 F5

Menu Structure and Navigation

The Main Menu options listed across the top of the display are:

• Select BP (Select Blood Pressure)

• Press (Pressure Tests)

• Util (Utilities)

fcv101.eps

fcv096.eps

• Comm (Communications Ports)

• Auto (Auto Sequences)

Each of these options has its own submenu. See Figure 2-1 for a complete menu map.
Along the bottom of the Main Menu display is a brief description of the contents or

purpose of the highlighted menu option. If a pull down menu, or submenu, is visible
below the highlighted Main Menu option, the menu description refers to what is
available in the highlighted submenu.

2-3

Cufflink

Operators Manual

After initialization, ADAMS Adult (in the Select BP submenu) is highlighted as the
default. Pressing the Esc key twice returns to the logo display and initialization
procedure.

Select BP Press Util Comm Auto

ADAMS Adult Leak Test Set Clock Configure Execute
60/30 (40) Manometer Pop Time Comm Test Utility
80/50 (62) Pop Off Logo Edit
100/65 (75) System View
120/80 (90) Print Test Name
150/100 (115) Key Test Print
200/150 (165) Speaker Test Init
255/195 (215) 440 Print All
HiRate Adjust Play Init All
AdjEnv Adjust Freq
Print Adjust Period
Zero Pressure Sweep
ADAMS Neonate Display Test
60/30 (40) Short
80/50 (62) Long
100/65 (75) Disply QC Date
120/80 (90) ROM Checksums
150/100 (115) U2
HiRate U3
AdjEnv U4
Print Config Init
Zero Pressure User Envelope
Arrhythmias Store User
NSR Recall User
PAC Draw User
PVC Print User
AF Make Arm
MB Pulse
ASC Select
Scale
Draw
Rate

2-4

Figure 2-1. Analyzer Menu Map

Operation

Menu Structure and Navigation 2

To navigate the system of menus:

Note

Holding any of the keys down results in a repeating action of that key

1. Highlight a Main Menu option by pressing a left or right arrow key.

Note

When the desired menu is highlighted and no submenu is shown, press the
Down arrow to pull down the submenu.

2. Press either the Up or Down arrow key to move the dark blue rectangle (hereafter

referred to as the cursor) up or down in the submenu.

3. When the cursor is at the desired location on any menu, press the Ent (enter) key to

select or activate the highlighted option.

4. When finished, take one of the following actions:

a. Press the Esc key to return to the previous menu. For example, pressing Esc

when the Set Clock display is visible returns one step back to the Util submenu.

b. Hold the Esc key down to return from any menu or submenu back to the logo

display and initialization procedure.

2-5

Cufflink

Operators Manual

Preliminary Procedures

The analyzer simulates a human arm and produces target value blood pressures for the
purpose of testing the accuracy of blood pressure readings on an NIBP monitor. The test
is initiated from the Select BP Main Menu option that provides the parameters listed in
Table 2-1.

Table 2-1. Blood Pressure Parameters Provided by the Select BP Option

Blood

Pressure

(mmHg)

60/30

80/50

400/65

120/80

150/100

200/150

255/195

Adult Neonate

Mean Arterial

Pressure (mmHg)

40

62

75

90

115

165

215

Heart Rate Selections

Blood Pressure

(mmHg)

60/30

80/50

400/65

120/80

150/100

30
40
60

80
120
160
200
240

Mean Arterial

Pressure (mmHg)

40
62
75
90

115

Adult

Arrhythmias

Premature Atrial
Contractions

Premature
Ventricular
Contraction

Atrial fibrillation
Missed Beat
Aberrant Sinus

Conductions

Blood Pressure

and Heart Rate

Blood Pressure
fixed at 120/80 (90)

Heart Rate fixed at
80 BPM

2-6

Assembling Equipment

The following equipment is needed to test NIBP monitor blood pressure readings. Figure
2-2 shows the proper way to combine Adult cuff mandrels to simulate various sizes of
arms.

• NIBP monitor

• NIBP Analyzer

• Mandrel (supplied with the Analyzer)

• BP cuff

• Hoses to attach the cuff to the monitor

• Cuff adapter for the monitor DUT (device under test) (supplied with the Analyzer)

Operation

Adult Cuff Mandrel Sizes:

Preliminary Procedures 2

Large Adult

Adult

Small Adult

Child

Figure 2-2. Adjustments for Adult Cuff Mandrel

Figure 2-3 shows the neonate mandrel.

Large

Medium

Use 2 end blocks and

3 spacer blocks

Use 2 end blocks and

2 spacer blocks

Use 2 end blocks and

1 spacer blocks

Use 2 end blocks and

no spacer blocks

fcv011.eps

Figure 2-3. Neonate Mandrel

Small

fcv012.eps

2-7

Cufflink

Operators Manual

Making Connections

Figure 2-4 is an annotated diagram of the properly-connected test system.

NIBP Monitor

Cuff Connector

Pneumatic Hose(s)

Cuff Connect Port

Dual hose systems: connect
Cuff Adapter to hose
marked “Sense”. If both
hoses are unmarked,
connect Cuff Adapter to
either hose.

(front panel)

To connect: Push Cuff Adapter
in until a click is heard.
To disconnect: push sleeve
back to release Cuff Adapter.

“T” Connector

Must be connected closer
to cuff than monitor

Wraps around mandrel

Cuff Adapter

BP Cuff

Figure 2-4. NIBP Test System Diagram

Cuff Mandrel

Cufflink

fcv015.eps

To correctly connect the components of the test system:

1. Attach the BP cuff to the NIBP monitor as shown in Figure 2-4. Refer to the monitor

operators manual, as necessary.

2. Wrap the cuff tightly around the appropriate mandrel. See Figures 2-2, and 2-3.

3. Connect the cuff adapter T connector into the line nearest the cuff.

If the NIBP monitor has two pneumatic hoses connected to the cuff, insert the cuff
adapter into the hose labeled Sense. If neither hose is labeled, insert the cuff adapter
into either hose.

2-8

Note

Do not connect the cuff adapter to the Analyzer until the Analyzer has
warmed up for at least 15 minutes.

4. Power up both the Analyzer and the NIBP monitor.

Operation

Preliminary Procedures 2

The Analyzer is now ready to simulate the human arm and reliably evaluate the accuracy
of the NIBP monitor.

Observing Results

Results of the analysis are provided by the Analyzer Makearm display, shown in Figure
2-5.

Cuff Pressure

in mmHg

200

160

120

80

40

010

Elapsed time in seconds

Cuff Pressure Waveform

(drawn during testing)

20 30

Heart Rate Indicator

(appears during testing)

Measured

parameters

CuffPres
CuffPeak
DeflRate
DeflTime
InflRate
InflTime
TotlTime
120/80

Current BP

Target Value

0

162

5.1

17.5

46.7

3.3

22.0

(90) A

MAP

fcv016.eps

Figure 2-5. Makearm Display of Test Results

The Makearm display includes a graph, the vertical axis of which indicates the cuff
pressure in millimeters of mercury (mmHg). The horizontal axis indicates elapsed time in
seconds. The graph is auto-ranging; if the cuff pressure curve values extend beyond the
displayed ranges, the entire graph is redrawn on the display to make the curve appear
more compact.

On the right side of the display are listed the measured test parameters, as defined in
Table 2-2.

2-9

Cufflink

100/80 (75)

Operators Manual

Selecting Heart Rate (HtRate)

Table 2-2. Measured Test Parameters

Abbreviation Parameter Unit of Measurement

CuffPres On-line Cuff Pressure mmHg

CuffPeak Peak Cuff Pressure mmHg

DeflRate Deflate Rate mmHg/second

DeflTime Deflate Time seconds

InflRate Inflate Rate mmHg/second

InflTime Inflate Time seconds

TotlTime Total Measurement Time seconds

The current blood pressure target value is shown just below the list of test parameters on
the Makearm display and indicates which BP target value is currently being simulated
by the Analyzer.

To select the heart rate to be tested:

1. From the Select BP submenu, highlight ADAMS Adult (or ADAMS Neonate)
and press the Ent key. The ADAMS Adult Family Target Values screen
displays:

*** ADAMS Adult Family ***
Target Values

60/30 (40) 150/100 (115)
80/50 (62) 200/150 (165)
100/80 (75)

HtRate AdjEnv Print ZeroPres

F1 F2 F3 F4 F5

fcv100.eps

2. Highlight the blood pressure target value to be simulated.

3. Press F1 HtRate.

Note

The term ADAMS Family refers collectively to Adult and Neonate options.

2-10

Operation

Preliminary Procedures 2

The Analyzer displays the available heart rates:

*** Select Heart Rate (BPM) ***

30 40 60 80 120 160 200 240

Use arrow keys to select new heart rate.

F1 F2 F3 F4 F5

fcv017.eps

4. Use the arrow keys to choose a heart rate and then press the Ent key. A popup
window briefly displays, confirming the heart rate chosen.

80 BPM

5. When the target value display reappears, press the Ent key to display the Makearm
graph. The current heart rate setting is shown in the upper part of the Makearm graph
next to CuffPres:

Current Heart Rate Setting

200

160

120

80

40

0102030

80 BPM

CuffPres
CuffPeak
DeflRate
DeflTime
InflRate
InflTime
TotlTime
120/80

0
162

5.1

17.5

46.7

3.3

22.0
(90) A

fcv018.eps

Adjusting the Pressure Envelope (AdjEnv)

To modify the gain (amplitude) or shift (BP value) of the blood pressure envelope and to
draw the envelope specified:

1. From the Select BP submenu, highlight ADAMS Adult or ADAMS Neonate and
press the Ent key.

2. Highlight the blood pressure target value to be simulated.

3. Press F2 AdjEnv to display the Pressure Curve Adjust screen:

2-11

Cufflink

Operators Manual

*** Pressure Curve Adjust ***
120/ 80 (90)

Shift Gain%

F1 F2 F3 F4 F5

Draw

fcv111.eps

1. Press F1 Gain% to move the selection box to Gain% and use the Up and Down
arrow keys to change the percent of gain. This factor affects the pressure pulse

amplitude. The default value is 100 %, and the range is from 1 % to 200 %. A change
in the Gain% appears below the heart rate on the Makearm graph:

Envelope Gain%

200

160

120

80

40

0102030

80 BPM

G 50
S 12

CuffPres
CuffPeak
DeflRate
DeflTime
InflRate
InflTime
TotlTime
120/80

0
162

5.1

17.5

46.7

3.3

22.0
(90) A

fcv020.eps

2. Press F2 Shift to move the selection box to Shift and use the Up and Down arrow
keys to shift the entire blood pressure envelope to the left (- shift, Down arrow) or

right (+ shift, Up arrow). If a target value of 120/80 is selected with a shift of +10
mmHg, the actual blood pressure target value simulated changes to 130/90. The
default value for a shift is 0 mmHg, and the range is from -100 mmHg to +100
mmHg.

2-12

The graphs below illustrate a blood pressure envelope with no shift, a negative shift,
and a positive shift, respectively:

Operation

Pressure Envelope

1.0

0.8

0.6

0.4

0.2

04080 120 160 200

Preliminary Procedures 2

Max

1000

Min

1

mm

fcv021.eps

1.0

0.8

0.6

0.4

0.2

04080 120

Negative 10 mmHg Shift

120/80/Envelope

1.0

0.8

0.6

0.4

0.2

04080 120

Positive 10 mmHg Shift

Max

1000

Min

1

mm

160 200

Max

1000

Min

1

mm

160 200

fcv022.eps

A change in the Shift appears below the Gain% on the Makearm graph:

2-13

Cufflink

Operators Manual

Envelope Shift

200

160

120

80

40

0102030

80 BPM

G 50
S 12

CuffPres
CuffPeak
DeflRate
DeflTime
InflRate
InflTime
TotlTime
120/80

0
162

5.1

17.5

46.7

3.3

22.0
(90) A

3. Press the Esc key to undo any changes.

4. When finished, press the Ent key to save the pressure envelope and return to the
Pressure Curve Adjust screen.

5. When finished, press F3 Draw to view the pressure envelope.

6. Press the Ent key.

The user is now ready to start the NIBP monitor, simulate the blood pressure, and take
measurements.

fcv023.eps

Simulating Adult Blood Pressure

To simulate the ADAMS Adult 120/80 Blood Pressure target value:

1. From the Select BP submenu, highlight ADAMS Adult and press the Ent key.
Target values and available blood pressures are displayed for the ADAMS Adult
Family Target Values screen. The cursor is initially at 120/80. The heart rate is
fixed at 80 BPM.

2. Press the Ent key to enter the Makearm function for a blood pressure of 120/80. The
Analyzer briefly displays a confirmation, verifying which parameter was chosen:

120/80 (90)

Note

The analyzer pop-up windows are not visible if Pop Time is set to 0.00

2-14

Operation

100/80 (75)

Simulating Adult Blood Pressure 2

The Makearm display appears:

Cuff Pressure

in mmHg

200

160

120

80

40

010

Elapsed time in seconds

Setting Zero Pressure

The value for cuff pressure (CuffPres) in the upper right corner of the Makearm
display should be zero (0 mmHg) before a test is started.

After warm-up, the value for CuffPres becomes stable, making it
unnecessary to continually zero the cuff pressure.

Cuff Pressure Waveform

(drawn during testing)

20 30

Heart Rate Indicator

(appears during testing)

Note

Measured

parameters

CuffPres
CuffPeak
DeflRate
DeflTime
InflRate
InflTime
TotlTime
120/80

Current BP

Target Value

162

5.1

17.5

46.7

3.3

22.0

(90) A

0

MAP

fcv024.eps

To zero the cuff pressure during the 15 - 20 minute warm up period:

1. If the value is not zero, press the Esc key to return to the previous menu.

Note

Make sure that nothing is connected to the Analyzer CUFF CONNECT
port.

*** ADAMS Adult Family ***
Target Values

60/30 (40) 150/100 (115)
80/50 (62) 200/150 (165)
100/80 (75)

HtRate AdjEnv Print ZeroPres

F1 F2 F3 F4 F5

fcv100.eps

2. Press F5 ZeroPres to zero the pressure. A popup message appears, indicating that
the cuff pressure has been set to match the atmospheric pressure:

n.nn mmHg removed

2-15

Cufflink

Operators Manual

Simulating Other ADAMS Family Target Values

NIBP Monitor Testing Sequence

3. Press the Ent key to view the Makearm graph. If the cuff pressure is not set to zero,
repeat the above procedure.

Simulation of any of the ADAMS Family target values follows the same procedure as
that of the 120/80 simulation:

1. From the 120/80 Makearm display, press the Esc key to return to the ADAMS
Family Target Values screen.

2. Choose the desired target value, as indicated in Table 2-1.

3. Press the Ent key. The Makearm display reappears with a new target value listed
below TotlTime.

To test the accuracy of the NIBP monitor:

1. When the cuff pressure is zero, connect the cuff adapter to the Analyzer.

2. Initiate the NIBP monitor testing sequence, referring to the monitor operators manual
as needed. The following sequence occurs:

• The cuff inflates around the mandrel.

• The analyzer starts the peripheral pulse simulation and draws a curve

representing the cuff pressure (oscillometric technique) as the test progresses.

• The analyzer initiates blood pressure simulation when the inflate pressure reaches

8.0 mmHg.

• When simulation begins, a small flashing heart becomes visible to the left of

Total Test Time (TotlTime, on right side of graph). This represents the heart
rate. Each color change of the heart signifies one heartbeat.

• The analyzer terminates the simulation when the pressure upon deflate reaches

6.0 mmHg.

• The NIBP monitor interprets and displays the measured blood pressure values

and heart rate at the completion of the test.

3. Compare the monitor values with the target values displayed on the Makearm
display.

Note

It is normal for the monitor to have a different reading from the target
value displayed on the Makearm display. Readings may also be different
when the monitor is in the stat mode rather than the normal (automatic) or
manual mode. The objective is that readings be consistent and repeatable.
Accuracy for the target values cannot be specified because no standard for
blood pressure measurements exists.

2-16

Operation

100/80 (75)

Simulating Neonatal Blood Pressure 2

Simulating Neonatal Blood Pressure

Neonatal blood pressure is simulated and the monitor is tested in the same way as for
Adult blood pressure, with appropriate cuff and value differences. Target values are also
chosen from the Select BP submenu.

Note

Use the neonate mandrel with a neonate cuff when simulating neonatal
blood pressure.

To simulate neonatal blood pressure:

1. From the Select BP submenu, highlight ADAMS Neonate and press the Ent key.
The ADAMS Neonate Family Target Values screen displays:

*** ADAMS Neonate Family ***
Target Values

60/30 (40) 150/100 (115)
80/50 (62) 200/150 (165)
100/80 (75)

HtRate AdjEnv Print ZeroPres

F1 F2 F3 F4 F5

2. See Table 2-1 for desired neonate target blood pressure values.

3. Use the same steps as for Simulating Adult Blood Pressure:

• Select the heart rate

• Adjust the pressure envelope

• Set zero pressure

• Run the NIBP monitor testing sequence

4. Compare the monitor values with the target values displayed on the Makearm
display.

fcv103.eps

2-17

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Operators Manual

Simulating Arrhythmias

The analyzer simulates five typical patient arrhythmias to test NIBP monitors. These
simulations are a representation of the peripheral pulse as seen by an oscillometric NIBP
monitor during arrhythmic activity. Each arrhythmia is generated on a random basis
throughout the entire pressure curve cycle. Arrhythmia types are described in Table 2-3.

Table 2-3. Arrhythmia Types

Parameter Description

Premature Atrial Contraction (PAC) The first pulse of the PAC cycle is premature and

lower in amplitude than a normal sinus pulse. The
next pulse is back in sync with normal sinus and
slightly higher in amplitude. All subsequent pulses
are normal.

Premature Ventricular Contraction (PVC) This is a representation of the peripheral pulse

similar to PAC but with a different amplitude.

Atrial Fibrillation (AF) The AF cycle has an irregular R to R interval. Its

occurrence and properties (early vs. late) are
random throughout the pressure curve cycle.

Missed Beat (MB)

A complete beat is randomly skipped during the
pressure curve cycle. The following beat reverts to
normal R to R intervals.

Aberrant Sinus Conduction (AS) The AS cycle inserts one pulse so low that is

virtually non-existent. This causes the Analyzer to
skip one distal pulse and then return to normal
sinus pulses.

Testing with Adult Arrhythmias

To test the monitor with simulated adult arrhythmias:

1. Connect the Analyzer to the NIBP monitor, as shown in Figure 2-4. Use an adult
mandrel.

2. From the Select BP submenu, highlight Arrhythmias and press the Ent key. The
Arrythmia Selections screen displays:

*** Arrythmia Selections ***

Norm. Sinus (NSR) Atrial Fib. (AF)
Atrial (PAC) Missed Beat (MB)
Ventricular (PVC) Aberr Sinus (AS)

DrawPrint ZeroPres

F1 F2 F3 F4 F5

fcv102.eps

3. Select an arrhythmia type and press the Ent key. See Table 2-3 for available adult
arrhythmia simulation types.

2-18

4. If the cuff pressure is not zero, press F5 ZeroPres to return the pressure to zero
before testing.

5. Start the NIBP monitor and begin testing.

Operation

Pressure Testing 2

Note

The baseline heart rate for all arrhythmias is set to 80 BPM.

6. Compare the monitor values with the target values displayed on the Makearm
display.

7. Press F3 Print to print the arrhythmia test results.

8. Press F4 Draw to display the pressure envelope pulse.

Pressure Testing

The analyzer enables the user to test for pressure leaks in the test system, measure general
pressure, and evaluate the monitor’s pressure release valve. All three of these functions
are accessed from the Press submenu:

Leak Testing

The Leak Test option allows testing of NIBP equipment, including cuff and tubing, for
air leaks.

If the NIBP device has an internal system leak test or one that vents the
cuff inflation pneumatic circuit to the atmosphere when idle, do not use
the Leak Test option. Rather, use the Manometer option to check for
internal system leaks. Refer to the NIBP monitor operators manual for the
recommended test protocol.

To test for pressure leaks in the NIBP test system:

1. From the Press submenu, highlight Leak Test and press the Ent key. The Leak

Test screen displays:

F1 F2 F3 F4 F5

Note

*** Leak Test ***
Pressure actual

Pressure drop (mmHg): 15.50 200
Elapsed time (min:sec): 1: 0
Leak rate (mmHg/min): 15.50

(mmHg): -0.75 Target

Start Pump

Reset

Release
Pressure

Utility

fcv099.eps

F1 F2 F3 F4 F5

fcv027.eps

From the Leak Test screen, several options can be selected.

2. If necessary, set the cuff pressure to zero, as described in Simulating Adult Blood
Pressure: Setting Zero Pressure, above.

2-19

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Operators Manual

3. Press F5 Utility to display the Utility options, as described in Table 2-4. Use the
arrow keys to highlight a desired option and press the Ent key to select it. When
finished, press the Esc key once to return to the Leak Test screen.

Table 2-4. Leak Test Utility Options

Option Description

Small, Medium, or Large Cuff Cuff size, or volume, affects the way the Analyzer

inflates the cuff for leak testing. Highlight the option
and press the Esc key to set the size.

Zero Pressure After pressing the Ent key, the amount of pressure

removed (in mmHg) is displayed.

Reset Resets Target Value to 200 mmHg.

Set Target Use the arrow keys to change the Target Value. To

save the new value, press Ent. Press Esc to cancel
and return to the Leak Test menu.

Print On/Off Use this utility to print Leak Test results.

4. Press F1 Pump to pump air into the system. The pump stops inflating when the
actual pressure is equal to the Target value set in the Utility options. This value
should be that suggested in the NIBP monitor operators manual.

5. Press F2 Start Test to begin testing for leakage. The Analyzer measures any
pressure drop in the system for the duration of one minute. An audible tone sounds at
the end of the test period, and measurement stops. Table 2-5 describes the measured
parameters.

Table 2-5. Measured Leak Test Parameters

Parameter Description

Pressure actual (mmHg) The actual pressure of the BP cuff

Pressure drop (mmHg) The measured drop in cuff pressure as the test progresses

Elapsed time (min:sec) How much time the leak test has taken

Leak rate (mmHg/min) The rate of air leakage at the end of the one-minute test

Target (mmHg) The pressure to which the Analyzer inflates and begins leak testing

6. When finished, press F3 Reset to reset the measurements back to zero.

7. Press the Esc key to exit the Leak Test.

2-20

Manometer Function

The Manometer option invokes a digital manometer to use for general pressure
measurements.

To monitor pressure in the NIBP test system with the manometer capability:

1. From the Press submenu, highlight Manometer and press the Ent key. The
Manometer screen displays:

Operation

Pressure Testing 2

From the Manometer screen, several options can be selected.

2. Press F5 Zero Pressure to zero the pressure if Pressure actual is not zero.

3. Press F1 Pump On/Off to start the pump and inflate the cuff until the NIBP
monitor indicates that the overpressure point has been reached (see the NIBP monitor
operators manual).

4. Press F1 Pump On/Off again to stop the pump. The Analyzer displays the pressure
in mmHg.

5. Press and hold F2 Release Press to return Pressure actual to zero. If
Pressure actual is still not zero, press F5 Zero Pressure.

6. Press F3 Print to print the test results. Table 2-5 describes the measured parameters.

7. Press the Esc key to quit the Manometer mode.

Pressure actual (mmHg) Pressure in the blood pressure cuff

Pop Off Test

The Pop Off test is an overpressure test that evaluates an NIBP monitor's emergency
release valve.

Table 2-6. Measured Manometer Parameters

Parameter Description

fcv028.eps

To monitor pressure in the monitor emergency release valve:

1. From the Press submenu, highlight Pop Off and press the Ent key. The Pop Off
screen displays:

*** Pop Off ***

Pressure actual (mmHg): 2.52
Pressure peak (mmHg): 46.32

Pop Off
Pump

F1 F2 F3 F4 F5

Print

Release
Pressure

Zero
Pressure Reset

fcv057.eps

2. Press F5 Zero Pressure to zero pressure if Pressure actual is not zero.

3. Press F1 Pop Off Pump to start the pump. The Analyzer inflates until the
monitor's release valve activates.

2-21

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Util

Set Clock

Operators Manual

Utility Functions

4. Press F2 Reset to return Pressure actual and Pressure peak to zero. If
Pressure actual is still not zero, press F5 Zero Pressure.

5. Press F3 Print to print the test results. Table 2-5 describes the measured parameters.

Table 2-7. Measured Pop Off Test Parameters

Parameter Description

Pressure Actual (mmHg) The current pressure in the blood pressure cuff

Pressure Peak (mmHg) The maximum pressure in the system before

release of the monitor's emergency valve

6. Press F4 Release Pressure to release all pressure in the system.

7. Press the Esc key to quit the Manometer mode.

The analyzer enables the user to set the clock, adjust pop time, view the logo display, and
perform system tests from the Util submenu:

All of these functions are system tests or adjustments and affect only the Analyzer itself.
The NIBP monitor is not affected by the Util options.

Set Clock

The Set Clock function allows changes to be made to the clock or calendar, as shown in
the upper right corner of the logo display. The time is displayed in an hour, minutes,
seconds format, while the date is displayed in the date, day, year format.

To set the Analyzer clock:

1. From the Util submenu, highlight Set Clock and press the Ent key. The Set Clock

Select BP Press Util

Set Clock
Pop Time
Logo
System

Set calendar clock

F1 F2 F3 F4 F5

Comm Auto

( labeled Set Time and Date) screen displays:

fcv098.eps

2-22

Operation

*** Set Time and Date ***
Time Date Day Mode

---- ---- --- ---­Current: 01:58:35 09/25/07 Tue 12hr
Adjust: 01:53:24 09/25/07 Tue 12hr

ESC=Exit, ENT=Store <-> Select, ][ Modify

F1 F2 F3 F4 F5

Utility Functions 2

fcv104.eps

The Current row indicates settings for time, date, day, and mode that are currently
stored in Random Access Memory (RAM). The Adjust row is where the cursor
marks a value to be modified. This is where any changes are made.

Note

The Left and Right arrow keys select the time or date value to modify. The
Up and Down arrow keys modify the selected value. The arrow key func­tions are shown in the lower right corner of the Set Clock screen. Holding
down any key repeats the key's action.

2. Change the hour by putting the cursor on the first two digits in the Time column of
the Adjust row, pressing the Up arrow key to increase the value of the number or
pressing the Down arrow key to decrease the value of the number.

3. Change the minutes and seconds by moving the cursor to the corresponding position
in the Time column and using the arrow keys to change the value.

4. Change the month by putting the cursor on the first two digits in the Date column
and using the arrow keys to change the value.

5. Change the day and the year by moving the cursor to the corresponding position in
the Date column and using the arrow keys to change the value.

6. Change the mode (a 12-hour or 24-hour clock) by putting the cursor on the first two
digits in the Mode column and using the Up and Down arrow keys to toggle the
value between the 12-hour and the 24-hour modes.

In the 12-hour mode, the clock reads 12:00:00 at midnight. Most clocks display in the
12-hour mode. In the 24-hour mode, the clock reads 24:00:00 at midnight. The 24­hour mode is sometimes referred to as military time.

Note

Selecting the 12-hour mode causes an am or pm designator to appear at the
end of the Time column

7. To exit the Set Clock function without saving the data, press the Esc key.

8. To save the new data, press the Ent key. New information is stored and available the
next time the Analyzer is powered up. The Analyzer briefly displays a confirmation
that the new data has been saved:

Storing DATA

2-23

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Operators Manual

Pop Time

The Pop Time option enables the user to adjust the popup window delay time. When
certain functions are chosen from a display (for example, when choosing a blood pressure
target value from the Select BP submenu), a message surrounded by a box briefly
appears over the information on the display. The box containing this information is called
the popup window. The period of time during which the popup window displays is called
the pop time.

An adjustment in the pop time may be necessary if the popup window flashes on the
display too fast to read or if the window stays on the display too long and produces
unwanted delays in the testing procedure.

Note

The pop up window can be completely eliminated by setting the pop time to

0.00 seconds, a desirable option for the experienced user who does not
need such reminders.

To adjust the pop time:

1. From the Util submenu, highlight Pop Time and press the Ent key. The Pop Time
screen displays (actually labeled Adjust Pop Window Delay Time), showing the
current pop time (delay time) value in seconds:

*** Adjust Pop Window Delay Time ***

Delay Time (sec): 3.00

F1 F2 F3 F4 F5

fcv105.eps

2. Change the pop time by using the Up and Down arrow keys; the cursor is not
visible on the Pop Time display. The range of values for Pop Time is from 0.00
seconds to 5.00 seconds and changes by 0.25 second steps. Pressing the Up arrow
key once increases the value by 0.25 seconds. Holding the key down quickly
increases the displayed value to 5.00 seconds. Pressing the Down arrow key once
decreases the value by 0.25 seconds. Holding the key down quickly decreases the pop
time to 0.00 seconds.

3. Press the Esc key to discard changes, retaining the current pop time, the Analyzer
briefly displays the following confirmation and exits to the Util submenu:

No DATA Stored

4. Press the Ent key to save the modified pop time value. Before exiting to the Util
submenu, the Analyzer briefly displays a confirmation that the new value for pop up
window delay has been saved:

2-24

Storing DATA

Operation

Utility Functions 2

Logo

The Logo option shows the Analyzer name, current software revision, time, and date.

To view the logo:

1. From the Util submenu, highlight Logo and press the Ent key. The logo is
displayed:

16:15:36
09/19/07
CuffLink

3.21, Pump

Non-Invasive Blood Pressure Analyzer

F1 F2 F3 F4 F5

2. Press the Esc key to return the display to the Util submenu.

No adjustments are possible in the Logo option.

System Functions

The System functions, accessed from the Util submenu, are primarily functional self
tests, available from the System Utilities screen:

Print Test

The Print Test verifies that the Analyzer can communicate with a connected printer.

Note

*** System Utilities ***

Print Test ROM Checksums

Key Test Config Init
Speaker Test User Envelope
Display Test Pulse

Send test string to printer

F1 F2 F3 F4 F5

fcv101.eps

fcv110.eps

To carry out the Print Test:

1. Connect the printer to the Analyzer printer port on the rear panel and power on the
printer.

2. On the System Utilities screen, highlight the Print Test option and press the Ent
key. The Analyzer sends a test string through the printer port to the printer. If the
Analyzer is communicating correctly, the printer should print the following each time
the Ent key is pressed:

Printer test message

2-25

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Operators Manual

Key Test

5. If the printer is not connected properly or if there is a fault in the printer system,
including the cable, the Analyzer displays:

Printer Not Ready
ENT = Retry
ESC = Abort

3. Press the Ent key to attempt the print test again or press the Esc key to exit the print
test.

The Key Test verifies that the Analyzer front panel keyboard is functional.

To carry out the Key Test:

1. On the System Utilities screen, highlight the Key Test option and press the Ent
key. The Key Test screen displays.

2. Press each key on the keyboard one at a time. A description of each key should
appear after the word Keyboard. If a description of the key that has been pressed
does not display, contact the Fluke Biomedical Service Center.

3. Press the Esc key four times to exit the Key Test.

Speaker Test

The Speaker Test verifies speaker operation by activating it with signals of various
frequencies. Adjustments of frequency (pitch of the sound) and period (length of sound)
are also possible.

To carry out the Speaker Test:

1. On the System Utilities screen, highlight the Speaker Test option and press the
Ent key. The Speaker Test screen displays.

2. Test the various parameters as desired, according to the instructions in Table 2-8.

2-26

Operation

Table 2-8. Speaker Tests and Adjustments

Parameter Procedure

440 Press F1; the speaker produces a 440 hertz, 500 millisecond tone

Adjust Play Press F2, the speaker produces a tone determined by the settings determined by

the Adjust Frequency and Adjust Period values (see below for description)
shown in the center of the display.

Adjust Freq Press F3; the cursor moves to the Adjust Frequency value. When the cursor is at

this position, the frequency of the Adjust Play tone may be modified. Use the Up
or Down arrow keys to change the value. The Left and Right arrow keys have no
effect on this function. Change the value of the frequency and then press F2
(Adjust Play) to hear the difference in the pitch of the tone. As the value of the
frequency increases, so does the pitch.

Utility Functions 2

Adjust
Period

Sweep Press F5; the speaker produces a long tone of various frequencies, starting with a

3. To exit the Speaker Test option, press the Esc key.

Display Test

The Display Test verifies the operation of the Analyzer liquid crystal display by writing
(displaying) a series of test patterns to the display. Any sections of the display that are not
functioning correctly become apparent during this test.

To carry out the Display Test:

1. On the System Utilities screen, highlight the Display Test option and press the
Ent key. The Display Test screen displays.

2. Test the various parameters as desired, according to the instructions in Table 2-9.

Press F4; the cursor moves to the Adjust Period value, displayed in milliseconds
(ms). When the cursor is at this position, the length of the Adjust Play tone may be
modified. Use the Up or Down arrow keys to change the value. The Left and
Right arrow keys have no effect on this function. Change the value of the period
and press F2 (Adjust Play) to hear the difference in length of the tone. As the
value of the period increases, so does the length

low frequency (pitch), gradually increasing to a higher frequency, then returning to
the low frequency from which it began.

2-27

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Operators Manual

Table 2-9. Display Test Descriptions

Test Description

Short Test Press F1 to initiate; this test lasts about 15 seconds and displays two

patterns: the Text plane - Character test and the Graphic plane - Solid
fill test.

Long Test Press F2 to initiate; this test lasts about 1 minute 10 seconds and displays

two patterns: the Text plane - Character test and the Graphic plane - Solid
fill test.

Text plane –
Character Test

Graphic plane ­Solid fill Test

6. At the end of the Short and Long tests, the Analyzer briefly displays the following
confirmation:

7. Press any key to return to the System submenu.

ROM Checksums

ROM (Read Only Memory) contains the software that operates the Analyzer. It is located
within an Integrated Circuit chip. This type of memory may be read by the Analyzer
microprocessor. ROM normally cannot be written to or altered in any way, but
information within ROM may occasionally become corrupted for various reasons.

The ROM Checksums function performs an evaluation of the ROM installed in the
Analyzer system to ensure that the integrity of the ROM is intact. A checksum is a
mathematical sum of the code (bytes) in the software program installed in ROM. When
the test is finished, a hexadecimal value is displayed that can be verified by contacting the
Fluke Biomedical Service Center.

This test shows all of the characters or symbols (character set) that the
Analyzer produces, including letters, numbers, and other assorted symbols.

This test evaluates the display's graphic capabilities. The test fills the entire
grid of 240 by 64 pixels (the tiny dark squares visible on the display during
this test) with a dark blue color. This test demonstrates that all the pixels
may be activated correctly.

Display test complete

Hit any key…

2-28

Note

ROM Checksums currently can test ROMs U2, U3, and U4, even though U4
has not been installed. Performing a checksum test on ROMs that have not
been installed results in an erroneous value.

To carry out the ROM Checksums Test:

1. On the System Utilities screen, highlight the ROM Checksums Test option and
press the Ent key. The ROM Checksums screen displays.

This display shows the IC to test, the memory range (in hexadecimal) for the IC, and
the calculated checksum value. The checksum values are at xxxx when the ROM
Checksum display first appears.

2. Press F1 to select U2. The Analyzer displays the following confirmation for a short
period of time while the checksum is taking place:

Operation

Utility Functions 2

Calculating U2

3. Then, a value is displayed for U2 (example: 3B29) :

3B29

4. Verify this number with the Fluke Biomedical Service Center. The checksum value
changes with every Analyzer software revision.

5. Press Esc to exit the ROM Checksums Test and return to the System Utilities
screen.

Config Init

The Config Init option reinstalls factory default values for Pop Time, Comm port, and
auto sequences, as listed in Tables 2-10 and.2-11

Table 2-10. Pop Time and Comm Port Default Values

Parameter Value

Pop Time 1 second

Communications

Baud Rate 9600

Bits/Character 8

Parity None

Stop Bits 1

Flow Control Xon/Xoff

2-29

Cufflink

Operators Manual

Table 2-11. Auto Sequence Defaults

BP HR

A1 A2 A3 A4 A5

60/30 (40) Adult 40 1 2 3 4 5

80/50 (62) Adult 60 1 2 3 4 5

100/65 (75) Adult 80 1 2 3 4 5

120/80 (90) Adult 80 1 2 3 4 5

150/100 (115) Adult 120 1 2 3 4 5

200/150 (165) Adult 160 1 2 3 4 5

255/195 (215) Adult 200 1 2 3 4 5

120/80 (80) Adult 80 1 2 3 4 5

Utilities

Pressure Test Yes

Leak Test Yes

Pop Off Test Yes

Print BP Results Yes

Cycles *

* Cycles refer to the number of time that the Analyzer simulates a target value.

To carry out the Config Init function to restore default values:

1. On the System Utilities screen, highlight the Config Init option and press the Ent
key. The Config Init screen displays:

2. If resetting the Analyzer to its default values is not desired, press the Esc key. If
restoration to the default values is desired, press the Ent key. In either case, the
Analyzer returns to the System submenu.

User Envelope

Factory use only.

Pulse

Factory use only.

2-30

Operation

Comm

Configure

Establishing Communications 2

Establishing Communications

The Comm function allows the user to modify and test the Analyzer’s RS232
configuration. These functions are accessed from the Comm submenu:

Configuring RS232

To configure the RS232 communications settings:

1. From the Comm submenu, highlight Configure and press the Ent key. The
Configure screen displays:

Select BP Press Util Comm

Configure
Comm Test

Set baud date, parity and handshake

F1 F2 F3 F4 F5

Baud Bits Parity Stop Flow
Port 1: Rate Char Mode Bits Control

---- ---- ------ ----- -------­Current: 9600 8 none 1 XON/XOFF
Adjust: 9600 8 none 1 XON/XOFF

ESC=Exit, ENT=Store <-> Select, ][ Modify

F1 F2 F3 F4 F5

Auto

fcv106.eps

2. Press the Left and Right arrow keys to select the desired parameter and the Up and

2-31

Down arrow keys to modify its value. The available settings are listed in Table
2-12.

fcv107.eps

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Operators Manual

Table 2-12. RS232 Settings

Parameter Value

Baud Rate

Bits/Character

Parity Mode

Stop Bits

Flow Control

300

600

1200

2400

4800

9600

7

8

Even

Odd

None

1

2

Xon/Xoff

RTS/CTS

None

3. If saving the new values is not desired, press the Esc key. If saving the new values is
desired, press the Ent key. In either case, the Analyzer returns to the Comm
submenu.

Testing the RS232 Port and Connections

To test the RS232 port and its connections:

1. From the Comm submenu, highlight Comm Test and press the Ent key. The
Comm Test screen displays:

*** Comm port test ***
Baud, Len, Parity,Stop: 9600,8,none,1

Flow Control: XON/XOFF
Transmit Receive
Hit F2 to send Hit F4 to clear
CuffLink Test this box

Transmit Clear

F1 F2 F3 F4 F5

At the top of the screen are the current settings for the RS232 port.

2. Press F2 Transmit to transmit a signal to whatever is being used as the controller.
The phrase Analyzer Test should appear on the controller's monitor.

fcv108.eps

2-32

Operation

Auto

Execute

Using Auto Sequences 2

3. Press F4 Clear to clear the receive box on the Analyzer display. When sending data
from the controller, information appears in the receive box.

4. Press the Esc key to exit and return to the Comm submenu.

Using Auto Sequences

Using auto sequences, the user can simulate any of eight different blood pressures with
each of the adult, neonate, and arrhythmias categories, in any combination. In addition,
the user can also select the heart rate and cycle count (number of times that the Analyzer
simulates a specific blood pressure — from 1 to 99). These functions are accessed from
the Auto submenu:

Select BP Press Util Comm Auto

Execute
Utility

Execute auto sequences

F1 F2 F3 F4 F5

Executing an Auto Sequence

To execute an auto sequence:

1. From the Auto submenu, highlight Execute and press the Ent key. The Execute
Auto Sequence screen displays:

*** Execute Auto Sequence ***

F1 F2 F3 F4 F5

2. Press the function key below the auto sequence name to start the desired auto
sequence.

3. If there is a pressure test, leak test, or pop off test in the auto sequence, press F4
when these tests are done to advance the auto sequence. The Analyzer completes the
blood pressure simulations of the auto sequence automatically.

AUTO-2 AUTO-1

AUTO-3

AUTO-4

AUTO-5

fcv097.eps

fcv109.eps

If the auto sequence is configured to print, it will do so when the cuff deflates after
the last blood pressure test. Otherwise the Analyzer returns to the Execute Auto
Sequence display.

2-33

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Operators Manual

Utilities

Edit

Note

If an auto sequence is configured to print and is run before a printer is
properly connected to the Analyzer, a Printer Not Ready message
displays.If a printout is not desired, select Edit and make sure the Print
BP Results line says NO.

The auto sequence utilities, accessible from the Utility submenu, lets the user edit, view,
name, and print auto sequences. To access any of the utilities described below from the
Utility submenu (the Auto Sequence Utilities screen), highlight the desired utility
option and press the Ent key. The appropriate screen displays.

The Edit utility lets the user change the settings of an auto sequence.

To modify the content of an auto sequence:

1. From the Auto Sequence Utilities screen, highlight Edit and select an auto
sequence with the function keys. The three Analyzer auto sequence editing pages are
shown below:

Auto-1
Pressure Test. : YES

Leak Test..... : YES

Pop Off Test.. : YES
Print BP Results YES

F1 F2 F3 F4 F5

Auto-1 2
Blood Pressure HR (BPM) CYCLES

(1) 60/ 30 ( 40) Adult 40 1
(2) 80/ 50 ( 62) Adult 60 1
(3) 100/ 55 ( 75) Adult 80 1
(4) 120/ 80 ( 90) Adult 80 1

F1 F2 F3 F4 F5

PgDn PgUp

PgDn PgUp

Store

Store

Yes/Inc

Yes/Inc

No/Dec

No/Dec

fcv112.eps

2-34

Operation

Auto-1 3
Blood Pressure HR (BPM) CYCLES

(5) 150/100 ( 40) Adult 120 1
(6) 120/ 80 (ASC)Arrhyth 80 1
(7) 200/150 (165) Adult 160 1
(8) 120/ 80 (PVC)Arrhyth 80 1

F1 F2 F3 F4 F5

PgDn PgUp

Store

Yes/Inc

No/Dec

Using Auto Sequences 2

fcv113.eps

View

Name

fcv114.eps

2. Use the Up and Down arrow keys to highlight a test parameter.

3. Press F4 or F5 to increase or decrease the value, respectively.

4. Press F3 Store to save the new data.

5. Press F1 PgUp or F2 PgDn to scroll up or down, respectively, between pages.

6. Select and change parameters on the new page as described in the previous steps.

7. Press the Esc key to quit and return to the Auto Sequence Utilities screen.

The View utility lets the user see the current configuration of an auto sequence. These
displays are view only; to change settings, use the Edit utility.

To view the content of an auto sequence:

1. From the Auto Sequence Utilities screen, highlight View and select an auto
sequence with the function keys.

2. Press F1 or F2 to scroll up or down, respectively, between pages.

3. Press the Esc key to quit and return to the Auto Sequence Utilities screen.

The Name utility lets the user change the eight character name of an auto sequence.

To change the name of an auto sequence:

1. From the Auto Sequence Utilities screen, highlight Name and select an auto
sequence with the function keys. A box with the current auto sequence name appears.

AUTO-1

2. Press the Left and Right arrow keys to move the blinking cursor to the character to
be changed; then use the Up and Down arrow keys to scroll through the choices.

3. If saving the new name is not desired, press the Esc key. If saving the new name is
desired, press the Ent key. In either case, the Analyzer returns to the Utility
submenu.

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Operators Manual

Print

The Print utility lets the user print the content of the selected auto sequence. For more
information about printing auto sequence content and test results, refer to Printing
Documents: Printing Auto Sequences, below.

To print the content of an auto sequence:
From the Auto Sequence Utilities screen, highlight Print and select an auto sequence

with the function keys. A Printing Auto Sequence message displays until the document
has printed.

For example, to print the content of auto sequence #3 (AUTO-3), highlight Print and
press F3. Figure 2-6 is a sample printout of auto sequence content.

Description of Terms

Defl Pr Ref = Deflate Pressure Reference
Defl Time = Deflate Time
Defl Tm Ref = Deflate Time Reference

Cuff Pressure

Peak Press

Infl Time = Inflate Time
Peak Press = Peak Cuff Pressure
Physt = Hysterisis Pressure
Pthresh = Threshold Pressure
Totl Time = Total Time

Defl Pr Ref

Pthresh

Pthresh-Physt

Defl Time

Infl Time

Totl Time

Totl Time is variable
Set to zero at this point

Figure 2-6. Sample Printout of Auto Sequence Content

Defl Tm Ref

Time

fcv036.eps

2-36

Operation

Init

The Init utility lets the user reset an auto sequence to factory default values.

To reset an auto sequence to factory default values:

1. From the Auto Sequence Utilities screen, highlight Init and select an auto
sequence with the function keys. The Analyzer warns that the auto sequence is about
to be reset.

2. Press the Ent key to reset the values or press the Esc key to return to the Utilities
submenu without resetting.

Print All

The Print All utility lets the user print the content of all auto sequences.

To print the content of all auto sequences:

1. From the Auto Sequence Utilities screen, highlight Print All and press the Ent
key. The Analyzer displays Printing all Auto Sequences while the documents are
printing.

Init All

The Init All utility lets the user reset all auto sequences to factory defaults.

Printing Documents 2

To reset all auto sequences to default values:

1. From the Auto Sequence Utilities screen, highlight Init All and press the Ent
key. The Analyzer warns that all auto sequences are about to be reset.

2. Press the Ent key to reset all values to the default or press the Esc key to return to
the Auto Sequence Utilities screen without resetting. Refer to Figure 2-11 for a
list of auto sequence defaults.

Printing Documents

Test results can be printed from the Analyzer to any parallel printer suitable for use with
a PC-compatible computer. Connect the printer cable to the port labeled Printer on the
Analyzer rear panel.

If the user tries to print a document when the printer is the wrong type, out
of paper, not on line, or not properly connected, the Analyzer displays an
error message stating Printer not ready.

Printing Blood Pressure Test Results

To print the results of blood pressure tests:

1. Use the arrow keys to choose one of the selections under Select BP on the Analyzer
Main Menu and press the Ent key.

Note

2. Press F3 Print to enable printing. A Printing enabled message displays.

3. Choose the blood pressure value to simulate and press the Ent key.

4. Start the NIBP monitor to begin the test. The Analyzer sends the test results to the
printer when the cuff has completely deflated. Figure 2-7 is a sample printout.

2-37

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Operators Manual

Printing Manometer, Leak Test, and Overpressure Test Results

--------------------------------------------------------------------­ ***** Make Arm Results *****
Heart Peak Deflate Deflate Inflate Inflate Total

Blood Rate Press Rate Time Rate Time Time
Pressure (BPM) (mmHg) (mmHg/s) (sec) (mmHg/s) (sec) (sec)

---------- ----- ------ -------- ------- -------- ------- ----­___/___(___) ___ 179 7.0 17.9 59.0 2.9 21.5
120/80 ( 90) 80 Gain=100 Shift=0
___/___(___) ___ 159 6.9 15.6 68.6 2.2 18.5
120/80 ( 90) 80 Gain=100 Shift=0

fcv082.eps

Figure 2-7. Sample Printout of Adams Adult Family 120/80 Test Results

5. To discontinue printing blood pressure test results, press the Esc key.

6. Return to the Target Values display and press the F3 Print key again. A Printing
disabled message is displayed. At this point, continue with blood pressure
simulations; the Analyzer does not print any of the results.

After performing a manometer measurement, leak test, or overpressure test, press F3
Print to print the results. Figures 2-8, 2-9, and 2-10 are sample printouts.

***** Pressure Test *****

Pressure : 108 mmHg

Figure 2-8. Sample Printout of Manometer Test Results

***** Leak Test *****

Leak Start: 200.00mmHg; Leak Rate:8.75mmHg/m

Figure 2-9. Sample Printout of Leak Test Results

***** Over Pressure Test *****

Pop Off: 289.00 mmHg

Figure 2-10. Sample Printout of Overpressure Test Results

fcv083.eps

fcv084.eps

fcv085.eps

2-38

Printing Auto Sequences

Auto sequence content (the tests and their order) or auto sequence test results can be
printed, as described in this section.

Printing Auto Sequence Content

To print auto sequence content:

Operation

Printing Documents 2

1. Highlight Auto on the Main Menu by pressing a Left or Right arrow key.

2. From the Auto submenu, highlight Utility and press the Ent key.

3. Highlight Print and press the function key below the auto sequence to be printed.
For example, to print the content of auto sequence #3, highlight Print and press F3.
To print content of all the auto sequences, select Print All and press the Ent key.

Printing Auto Sequence Test Results

To print auto sequence test results:

1. Highlight Auto on the Main Menu by pressing a Left or Right arrow key.

2. From the Auto submenu, highlight Utility and press the Ent key.

3. Highlight Edit and press the function key below the auto sequence to be printed. The
Auto-1 screen displays:

Auto-1
Pressure Test. : YES

Leak Test..... : YES

Pop Off Test.. : YES
Print BP Results YES

PgDn PgUp

Store

Yes/Inc

No/Dec

F1 F2 F3 F4 F5

fcv115.eps

4. Use the arrow keys to move the cursor to the Print BP Results line.

5. Press F4 to enter a YES and then press F3 to store the change.

6. If a printout of an auto sequence is not desired, press F5 to enter a NO on this line
and then press F3 to store the change.

Note

Before starting an auto sequence that will print, make sure the printer is
ready or a Printer not ready message displays, and the auto sequence does
not run.

2-39

Cufflink

Operators Manual

Sample Auto Sequence Test Printouts

Figures 2-11 through 2-16 illustrate sample auto sequence printouts, as described by their
captions.

AUTO-3

CuffLink Auto Sequence Test Procedure

04/13/93

Pressure Test ......YES

Leak Test ..........YES

Pop Off Test .......YES

Print Results ......YES

Blood Pressure

Blood Pressure

80/ 50( 62) Adult
100/ 65( 75) Adult
120/ 80( 90) Adult
200/150(165) Adult

-------- Off -------

-------- Off -------

-------- Off -------

-------- Off -------

Heart Rate (BPM) Cycles

40
60

80
120
120
160
200

80

3
3
3
3
3
3
3
3

Figure 2-11. Sample Printout of Adult Auto Sequence Content

fcv120.eps

2-40

Operation

Printing Documents 2

Time: 08:00

Manufacturer:____________

Control#: ____________

Software Rev:____________

***** Pressure Test *****

Pressure: 287.75 mmHg

Leak Start: 322.75 mmHg

***** Over Pressure Test *****

Pop Off: 294.00 mmHg

***** Make Arm Results *****

Blood
Pressure

80/50 (62) 40
80/50 (62)A
79/50 (60) 40
80/50 (62)A

80/48 (61) 40
80/50 (62)A

98/61 (79) 60

100/65 (75)A

99/62 (73) 60

100/65 (75)A
100/63 (73) 60

100/65 (75)A

116/79 (89) 80
120/80 (90)A

116/77 (90) 80
120/80 (90)A

116/79 (91) 80
120/80 (90)A

200/155 (172) 205
200/150 (165)A

202/148 (165) 205
200/150 (165)A

202/149 (166) 205
200/150 (165)A

Cufflink Auto Sequence

ABC Co XXX 101

A200 CCU

3.0

***** Leak Test *****

Heart
Rate
(BPM)

Peak
Press
(mmHg)

40

4097Gain=100

4095Gain=100

60

60

60

80

80

80

200

200

200

161

Gain=100

180

Gain=100

143

Gain=100

142

Gain=100

145

Gain=100

161

Gain=100

165

Gain=100

163

Gain=100

216

Gain=100

223

Gain=100

ADULT3 Page 1Date:09/25/93

Model:____________

Dept :____________

Notes:________________________________

UUT Indicates:_____mmHg

Leak Rate: mmHg/m

Deflate
Rate
(mmHg/s)

5.5 27.5 58.8 2.6 30.1

Shift=0

3.2 27.6 63.6 1.4 29.0

Shift=0

3.1 27.1 79.1 1.1 28.2

Shift=0

6.6 22.0 61.4 2.8 24.8

Shift=0

6.7 17.6 64.3 2.1 19.7

Shift=0

6.8 17.9 78.8 1.7 19.6

Shift=0

6.7 14.0 59.6 2.3 16.8

Shift=0

7.0 15.5 66.5 2.3 18.3

Shift=0

7.0 16.1 65.4 2.4 19.1

Shift=0

7.8 11.6 62.0 2.5 15.2

Shift=0

8.5 11.6 69.3 3.0 16.0

Shift=0

8.4 12.5 69.4 3.1 17.0

Shift=0

287

0.75

Deflate
Time
(sec)

Ser:____________

Loc:____________

Inflate
Rate
(mmHg/s)

Inflate
Time
(sec)

BED 5

Total
Time
(sec)

NOTE:Bold type represents data hand-entered by user

fcv086.eps

Figure 2-12. Sample Printout of Adult Auto Sequence Test Results

2-41

Cufflink

Operators Manual

AUTO-1

Cufflink Auto Sequence Test Procedure

03/24/93

Pressure Test ........YES

Leak Test.............YES

Pop Off Test..........NO

Print Results.........YES

Blood Pressure

60/ 30( 40) Adult
80/ 50( 62) Adult
120/ 80(PAC) Arrhyth
120/ 80(PAC) Arrhyth

------- Off ------

------- Off ------

------- Off ------

------- Off ------

Heart Rate (BPM) Cycles

40
60
80

80
120
160

80

80

1
1
1
1
1
1
1
1

Figure 2-13. Sample Printout of Adult BP with Arrhythmia Auto Sequence Content

fcv087.eps

2-42

Operation

Printing Documents 2

Date:09/25/93
Time: 08:41

Manufacturer:_______________

Control#: _______________

Software Rev: _______________

Blood
Pressure

66/27 ( 35)
60/30 ( 40)A

77/46 ( 62)
80/50 ( 62)A

113/76 ( 89)
120/80 (PAC)AR

119/80 ( 88)
120/80 (PVC)AR

ABC Co

Heart
Rate
(BPM)

Cufflink Auto Sequence

A100

3.0

* * * * * Make Arm Results * * * * *

39
40

Gain=100

60
60

Gain=100

80
80

Gain=100

80
80

Gain=100

AUTO-1 Page 1

2.9

3.7

4.9

5.2

XXX

CCU

Deflate
Time
(sec)

47.8

16.3

21.2

16.6

Ser:_______________

Loc: ____________

Inflate
Rate
(mmHg/s)

44.2

35.6

19.1

53.6

Peak
Press
(mmHg)

145

97

174

158

Model:_______________

Dept: ____________

Notes: ___________________________________

Deflate
Rate
(mmHg/s)

Shift=0

Shift=0

Shift=0

Shift=0

00102

BED 5

Inflate
Time
(sec)

3.1

2.5

8.7

2.8

Total
Time
(sec)

50.9

19.5

31.3

20.8

NOTE: Bold type represents data hand-entered by user

Figure 2-14. Sample Printout of Adult BP with Arrhythmia Auto Sequence Test Results

fcv088.eps

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Operators Manual

NEO-2

Cufflink Auto Sequence Test Procedure

04/13/93

Pressure Test ........YES

Leak Test.............YES

Pop Off Test..........NO

Print Results.........YES

Blood Pressure

100/ 65( 75) Neonate
80/ 50( 62) Neonate
60/ 30( 40) Neonate
100/ 65( 75) Neonate

------- Off ------

------- Off ------

------- Off ------

------- Off ------

Heart Rate (BPM) Cycles

120
120
160
200

40

40

40

40

Figure 2-15. Sample Printout of Neonate Auto Sequence Content

1
1
1
1
1
1
1
1

fcv089.eps

2-44

Operation

Printing Documents 2

Time: 08:23

Manufacturer:____________

Control#: ________

Software Rev:____________

Leak Start: 337.00 mmHg

***** Over Pressure Test *****

Pop Off: 263.25 mmHg

***** Make Arm Results *****

Blood
Pressure

100/63 (77) 120
100/65 (75)A

98/63 (76) 122
100/65 (75)A

099/63 (79) 122
100/65 (75)A

79/48 (59) 120

80/50 (62)A

80/49 (61) 121

80/50 (62)A
79/49 (62) 122

80/50 (62)A

59/29 (39) 122
60/30 (40)A

59/29 (39) 94
60/30 (40)A

59/28 (43) 97
60/30 (40)A

99/ 65 (75) 205
100/ 65 (75)A

100/ 64 (78) 205
100/ 65 (75)A

98/ 64 (76) 205
100/ 65 (75)A

Cufflink Auto Sequence

ABC Co YYY 00104

N200 PICU

3.0

***** Leak Test *****

120

120

120

120
122

120
120

120

163
160

163
160

160
160

200

200

200

Peak
Press
(mmHg)

Gain=100

Gain=100

Gain=100

Gain=100

Gain=100

Gain=100

Gain=100

Gain=100

Gain=100

Gain=100

Gain=100

Gain=100

Heart
Rate
(BPM)

NEO-2 Page 1Date:09/25/93

Model:____________

Dept :___________

Notes:________________________________

Leak Rate: mmHg/m

Deflate
Rate
(mmHg/s)

195

137

138

135

149

140

141

6.0 31.1 49.2 3.8 34.9

Shift=0

5.2 18.7 61.4 2.1 22.0

Shift=0

5.9 16.7 65.0 2.0 19.9

Shift=0

5.8 22.1 45.4 2.8 24.9

Shift=0

6.6 17.4 56.5 2.0 19.4

Shift=0

5.3 16.7 54.3 2.1 19.5

Shift=0

6.5 17.5 42.2 2.7 20.2

Shift=0

6.1 14.1 53.8 1.6 15.7

Shift=0

6.7 13.1 38.7 2.3 15.4

Shift=0

10.6 13.2 23.9 5.9 19.1

Shift=0

8.1 10.9 45.5 2.9 15.1

Shift=0

10.1 13.2 51.2 2.6 15.8

Shift=0

5.25

Deflate
Time
(sec)

Ser:____________

Loc:____________

Inflate
Rate
(mmHg/s)

Inflate
Time
(sec)

BED 2

Total
Time
(sec)

NOTE:Bold type represents data hand-entered by user

fcv090.eps

Figure 2-16. Sample Printout of Neonate Auto Sequence Test Results

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Cufflink

Operators Manual

2-46

Chapter 3

Remote Operation

Title Page

Introduction.......................................................................................................... 3-3

Setting Up the medTester .................................................................................... 3-3

Remote Command Syntax ................................................................................... 3-4

Command Syntax for medTester..................................................................... 3-4

Command Syntax for Computer...................................................................... 3-4

Command Parameters...................................................................................... 3-4

Terminating Characters ................................................................................... 3-5

Error Messages ................................................................................................ 3-5

Command Descriptions........................................................................................ 3-7

BEEP ............................................................................................................... 3-7

CALPUCKPOS ............................................................................................... 3-8

DEFLATE ....................................................................................................... 3-8

DRAWENV..................................................................................................... 3-8

DRAWENVNEO ............................................................................................ 3-11

DRAWPULSE................................................................................................. 3-15

GLOBALINIT................................................................................................. 3-17

GOTOLOCAL................................................................................................. 3-18

IDENT ............................................................................................................. 3-18

INFLATE ........................................................................................................ 3-18

KEYTEST ....................................................................................................... 3-19

LEAKTEST..................................................................................................... 3-19

MAKEARM .................................................................................................... 3-20

MAKEARMNEO ............................................................................................ 3-23

MANOMETER ............................................................................................... 3-27

MKARM10...................................................................................................... 3-27

MKARM20...................................................................................................... 3-27

MKARM30...................................................................................................... 3-28

MKARM40...................................................................................................... 3-28

MKARM50...................................................................................................... 3-28

MKARM60...................................................................................................... 3-28

MKARM70...................................................................................................... 3-29

MKARMNEO10 ............................................................................................. 3-29

MKARMNEO20 ............................................................................................. 3-29

MKARMNEO30 ............................................................................................. 3-29

MKARMNEO40 ............................................................................................. 3-30

3-1

Cufflink

Operators Manual

MKARMNEO50 ............................................................................................. 3-30

MKARR_AF ................................................................................................... 3-30

MKARR_MB .................................................................................................. 3-30

MKARR_PAC................................................................................................. 3-31

MKARR_PVC................................................................................................. 3-31

MKARR_AS ................................................................................................... 3-31

POPOFF .......................................................................................................... 3-32

PRINTTEST .................................................................................................... 3-32

PSCALE .......................................................................................................... 3-33

PULSE............................................................................................................. 3-34

PUMPPCB....................................................................................................... 3-36

RCUSERENV ................................................................................................. 3-36

RDCLOCK...................................................................................................... 3-36

RDENVGAIN ................................................................................................. 3-36

RDENVSHIFT ................................................................................................ 3-37

RDPEAKDIV.................................................................................................. 3-37

RDQCDATE ................................................................................................... 3-37

RDUSERENV ................................................................................................. 3-37

READPRESS .................................................................................................. 3-38

RESET............................................................................................................. 3-38

STUSERENV.................................................................................................. 3-39

WRCLOCK ..................................................................................................... 3-39

WRPEAKDIV ................................................................................................. 3-40

WRUSERENV ................................................................................................ 3-40

ZEROPRESS................................................................................................... 3-41

Programming with Analyzer Commands............................................................. 3-41

Checklist Generated in BASIC........................................................................ 3-41

Adult BP Checklists and Test Results ............................................................. 3-43

Neonate BP Checklists and Test Results......................................................... 3-47

Adult Arrhythmic BP Checklists and Test Results.......................................... 3-51

Additional Command Descriptions (Firmware Version 3.20)............................. 3-55

PUMPON ........................................................................................................ 3-55

PUMPOFF....................................................................................................... 3-55

VALVEOPEN ................................................................................................. 3-55

VALVECLOSED ............................................................................................ 3-56

3-2

Remote Operation

Introduction 3

Introduction

Two operating modes—local or remote—control the Analyzer. When the Analyzer is
powered on, it initializes in local mode. The Analyzer keyboard is enabled, and the
Analyzer can understand information input from its front panel.

The remote mode allows communication with the Analyzer, using a serial controller (a
computer with an RS232 port or a medTester with medCheck). Connect the Analyzer to
the controller with a null modem cable. As soon as the Analyzer receives a remote
command from a controller, it goes into the remote mode and recognizes commands from
only that controller.

The Analyzer keyboard is completely disabled during remote operation, except during
some procedures in which the Esc or function keys are needed. To return the Analyzer to
the local mode, use the GOTOLOCAL command. Program examples are given at the
end of this chapter.

There are two types of commands associated with the Analyzer:

• Those that instruct the Analyzer to simply perform a procedure

• Those that cause the Analyzer to perform a procedure and send test results (data)

back to the controlling device.

If the command instructs the Analyzer to do a procedure that generates no data, such as
drawing a pressure envelope, the Analyzer completes the procedure, then sends an
asterisk (*) to the controller. When the asterisk displays, the Analyzer has received,
understood, and carried out a command.

The following sections on remote commands include instructions on writing commands,
an error message list, a section of detailed command descriptions, and examples of how
to use the Analyzer commands in a computer program.

Setting Up the medTester

Before the Analyzer can communicate with a medTester, the medTester must be
configured, using the values listed in Table 3-1.

Table 3-1. medTester Remote Configuration Settings

medTester RS232 Setting

Com1 Off

Com2 On

Baud Rate 9600

Connect null modem cable from the Analyzer to
Com2.

Stop bits 1

Parity Off

CTS Off

.

3-3

Cufflink

Operators Manual

Remote Command Syntax

Command Syntax for medTester

Command Syntax for Computer

A computer or a medTester with medCheck can be used to control the Analyzer. For both
controllers, start remote commands with a command verb and add optional parameters
(values that further define the remote command).

Remote commands are not case sensitive; either upper or lower case letters can be used
anywhere in the command, and the Analyzer understands it. The differences in syntax for
each controller are explained below (n represents the parameter value).

When the Analyzer is controlled with a medTester, separate the command verb from the
parameter list with a colon and separate each parameter with a semicolon. Do not put
spaces anywhere in the command line. The syntax is:

CommandVerb:parameter=n;parameter=n

Example: makearm:hr=60,envshift=50

When the Analyzer is controlled with a computer, separate the command verb from the
parameter list with a space or a colon. Separate the parameters with a comma or
semicolon. The syntax is:

CommandVerb parameter=n,parameter--r-

Example: makearm hr=60,envshift=50

or

CommandVerb:parameter=n;parameter=n

Example: makearm:hr=60;envshift=50

Command Parameters

Command parameters are values specified to further define remote commands. For
example, different heart rates can be specified for the makearm command.

If no command parameters are specified, the Analyzer uses current values. Current values
are either the default values or the values used in a previous command.

Parameters for each command are described in the Command Descriptions section later
in this chapter.

Default Values

Default values are reassigned to all remote commands each time the Analyzer is powered
up. The Analyzer uses default values for the first command given to it if no parameters
have been specified. For example, the command makearm has no parameters defining it,
so the Analyzer uses default values. However, if "malcearm:hr=30" were specified as a
parameter that sets the heart rate at 30 BPM, the Analyzer would use that value instead of
the 80 BPM default value.

3-4

Remote Operation

Remote Command Syntax 3

Exercise at the Controlling Device

The RESET command can be used to set values to default. The following exercise shows
how the Analyzer retains current parameter values until new values are assigned:

1. Enter the command makeann:bp=adams-150/100. This simulates a blood pressure of

150/100. The Analyzer uses default values for all other parameters.

2. Enter the command makearm. Blood pressure is still set at 150/100 from the previous

command.

3. Enter the command makearm:bp=adams-80/50. A new blood pressure of 80/50

replaces the blood pressure of 150/100.

4. Enter the command reset. The Analyzer is reset to default values. All succeeding

commands will have parameters set to the default until other values are specified.

Terminating Characters

When writing programs to control the Analyzer, place a terminating character after the
command line to mark the end of the command line. Terminate commands with any of
the following characters.

• CR – Carriage Return

• LF – Line Feed

• CR LF – Carriage Return and Line Feed

• LF CR – Line Feed and Carriage Return

If the Analyzer receives a terminating character that is not preceded by a remote
command, it sends a question mark (?) back to the controller. Use this feature to do a
communication check and verify that the Analyzer is properly connected to the
controller. After sending the terminating character to the Analyzer, wait five seconds for
the Analyzer to send a "?" back to the controller. If, after the third time, a question mark
does not appear on the controller's display, assume that the Analyzer is not correctly
connected to the controller, a cable wiring error exists, or the setup (baud rate, parity,
etc.) is wrong.

After selecting a terminating character, use the same one to terminate all commands. For
example, do not start writing a program using LF as the terminating character and then
switch to CR. If starting with LF, use it throughout the entire program.

Error Messages

The Analyzer evaluates all remote commands for validity. If a command generates an
error, an error message displays. Table 3-2 lists available error messages.

3-5

Cufflink

Operators Manual

Table 3-2. Available Error Messages

Error Number Description

0 * - Successful command

1 Illegal parameter

2 Unknown command

3 Missing parameter(s)

4 Illegal beep frequency

5 Illegal beep period

6 Illegal time string, must be 22 chars

7 Parallel printer fault

8 Illegal ROM number

9 General failure

10 Illegal heart rate

11 Illegal pulse ID number

12 Pulse width exceeds heart rate period

13 Pulse amplitude too high

14 Pulse amplitude too low

15 Illegal motion command

16 Maximum motor velocity exceeded

17 Pressure engine motion fault

18 Illegal motor direction

19 Illegal motor step count

20 Illegal blood pressure

21 Pressure envelope gain too high

22 Pressure envelope gain too low

23 Pressure envelope shift too high

24 Pressure envelope shift too low

25 Target pressure too high

26 Target, pressure too low

3-6

27 Illegal cal memory type

28 Illegal cal gain value

29 Illegal microphone value

30 Illegal Pop Time

31 Illegal display test number

Remote Operation

Command Descriptions 3

Command Descriptions

This alphabetized section contains detailed descriptions of the Analyzer's remote
commands. Examples for each command show exactly how to type the command, the
results, and the data returned to the controller, as it appears on the controller's display.

Commands in the Examples sections were written in command syntax for computers. For
information on medTester syntax, refer to Command Syntax for medTester.

Note

Different results from those shown in the examples may be obtained. Except for asterisks,
the Returned Data listed in the following examples is varied, depending on the Analyzer
and the parameter values assigned to the command.

BEEP

Use this command to test Cufflink's speaker and modify the frequency (pitch) and period
(length of the beep). Because the speaker is more difficult to hear at very low and very
high frequencies, be sure the Beeper Volume control on the front panel is set high
enough. Parameters for this command are described below.

Parameter Definition Range Default

FREQ Frequency (Hertz) 76 to 10,000 Hz 440 Hz

PERIOD Period (milliseconds) 50 to 32,000 ms 500 ms

Example

Beep the speaker using Cufflink's default values.

Command beep

Results A 440 Hz tone sounds for 500 milliseconds.

Returned Data *

Example

Beep the speaker at a frequency of 300 Hz for 800 milliseconds.

Command beep freq=300,period=800

Results A 440 Hz tone sounds for 500 milliseconds.

Returned Data *

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Cufflink

Operators Manual

CALPUCKPOS

Use this command to calibrate puck position. This procedure positions the puck at a
known location or reference point from which subsequent puck movement is calculated.
During this procedure, the Analyzer moves the puck in a downward direction until it
extends to its full range of movement (to the chamber bottom). Then the puck moves
up and stops as soon as it is detected by an opto sensor. The Analyzer records the
number of motor steps necessary to move the puck this distance and stores the number in
EEROM. There are no parameters for this command.

Example

Calibrate the puck position.

Command calpuckpos

Results The Analyzer calibrates the puck. Returned data is

Returned Data 5681; varies with each Analyzer

DEFLATE

Use this command to release all pressure inside the Analyzer. There are no parameters for
this command.

Example

Eliminate the pressure inside the Analyzer.

Command deflate

Results The Analyzer releases pressure.

Returned Data *

DRAWENV

Use this command to draw an ADAMS Adult pressure envelope on the Analyzer display,
as shown in Figure 3-1. Envelope gain, shift, and pulse width can be modified.

the value that

the Analyzer stores in EEROM

Pressure Envelope

3-8

1.0

0.8

0.6

0.4

0.2

04080 120 160 200

Figure 3-1. Analyzer Adult Blood Pressure Envelope (BP = 120/80)

Max

1000

Min

mm

1

fcv037.eps

Remote Operation

Command Descriptions 3

Parameters for this command are described below.

Parameter Definition Range Default Description

HR Heart Rate

(Beats/Minute)

BP Blood Pressure

(mmHg)

PULSEID Pulse

Identification
(milliseconds)

30 BPM to 240
BPM in 1 BPM
Steps

ADAMS-60/30
ADAMS-80/50
ADAMS-100/65
ADAMS-120/80
ADAMS-150/100
ADAMS-200/150
ADAMS-255/195

ID# / WIDTH
0 / 800 ms
1 / 500 ms
2 / 250 ms
3 / 720 ms
4 / 230 ms
5 / 280 ms
6 / 350 ms
7 / 480 ms
8 / 980 ms
9 / 1980 ms
10 / 1480 ms

80 BPM 1 BPM resolution

ADAMS­120/80

ID# 3
(720 ms)

Pulse width affects the rise
time of pulse

ENVGAIN Pressure

Envelope Gain

ENVSHIFT Pressure

Envelope Shift

1 to 200%
(10 to 2000
RVDUs)

-100 to +100
mmHg

100% is a
typical value
for adult
cuffs.

0 mmHg Modifies existing pressure

Affects pulse strength or
amplitude

envelope to simulate another
BP

Example: 0 +10 mmHg shift
causes 120/80 to read
130/90 on most monitors.

Example

Draw a pressure envelope showing a BP of 80/50 with a heart rate of 60 BPM

Command drawenv hx=60,bp=adams-80/50

Results The specified pressure envelope is drawn on the

Analyzer display:

3-9

Cufflink

Operators Manual

BP = 80/50, HR = 60 BPM

1.0

0.8

0.6

0.4

0.2

04080 120 160 200

Max

1000

Min

mm

7

fcv038.eps

Returned Data *

Example

Draw a pressure envelope with a heart rate of 30 BPM, a blood pressure of 200/150, a 50% gain, and a
shift of 20 mmHg.

Command drawenv hr---30,bp=adams200/150,envgain=50,envshift=20

Results The specified pressure envelope is drawn on the Analyzer display:

BP = 200/150, HR = 30 BPM, gain = 50%, shift = 20 mmHg

Max

1.0

0.8

500

Min

63

0.6

0.4

0.2
mm

0 120 160 200 240 280

fcv039.eps

Returned Data *

3-10

Remote Operation

Command Descriptions 3

DRAWENVNEO

Use this command to draw an ADAMS Neonate pressure envelope on the Analyzer
display, as shown in Figure 3-2. Envelope gain, shift, and pulse width can be modified.

Pressure Envelope

Max

1.0

0.8

0.6

0.4

0.2

04080 120 160 200

1000

Min

1

mm

Figure 3-2. Analyzer Neonate Blood Pressure Envelope (BP = 120/80)

fcv040.eps

3-11

Cufflink

Operators Manual

Parameters for this command are described below.

Parameter Definition Range Default Description

HR Heart Rate

(Beats/Minute)

BP Blood Pressure

(mmHg)

PULSEID Pulse

Identification
(milliseconds)

ENVGAIN Pressure

Envelope Gain

30 BPM to 240 BPM
in 1 BPM Steps

ADAMSNEO-60/30
ADAMSNEO-80/50
ADAMSNEO-100/65
ADAMSNEO-120/80
ADAMSNEO­150/100

ID# / WIDTH

0 / 800 ms
1 / 500 ms
2 / 250 ms
3 / 720 ms
4 / 230 ms
5 / 280 ms
6 / 350 ms
7 / 480 ms
8 / 980 ms
9 / 1980 ms
10 / 1480 ms

1 to 200%
(10 to 2000 RVDUs)

80 BPM 1 BPM resolution

ADAMSNEO­120/80

ID# 3
(720 ms)

100% is a
typical value
for neonate
cuffs.

Pulse width affects
the rise time of
pulse

Affects pulse
strength or
amplitude

ENVSHIFT Pressure

Envelope Shift

-100 to +100 mmHg 0 mmHg Modifies existing
pressure envelope
to simulate
another BP

Example: 0 +10
mmHg shift
causes 120/80 to
read 130/90 on
most monitors.

3-12

Remote Operation

Command Descriptions 3

Example

Draw a neonatal pressure envelope with a BP of 80/50 with a heart rate of 60 BPM.

Command drawenvneo hr=60,bp=adamsneo-80/50

Results The specified pressure envelope is drawn on the

Analyzer display:

BP = 80/50, HR = 60 BPM

1.0

0.8

0.6

0.4

0.2

04080 120 160 200

Max

1000

Min

mm

7

fcv041.eps

Returned Data *

Example

Draw a neonatal pressure envelope with a heart rate of 30 BPM, a blood pressure of 150/100, a 50% gain,
and a shift of 20 mmHg.

Command drawenvneo hr=30,bp=adamsneo-150/100,envgain=50,envshift=-20

Results The specified pressure envelope is drawn on the Analyzer display:

3-13

Cufflink

Operators Manual

BP = 150/100, HR = 30 BPM, gain = 50%, shift = 20 mmHg

1.0

0.8

0.6

0.4

0.2

20 60 100 140 180 220

Returned Data *

Max
500

Min

68

mm

fcv042.eps

3-14

Remote Operation

Command Descriptions 3

DRAWPULSE

Use this command to draw an individual pressure pulse, as shown in Figure . Different
pulse widths can be specified for this command.

Pulse # 3 (720 milliseconds)

1.0

0.8

0.6

0.4

0.2

0 0.2 0.4 0.6 0.8 1.0

Figure 3-3. Analyzer Pressure Pulse #3

msec
716

sec

Parameters for this command are described below.

Parameter Definition Range Default Description

PULSEID Pulse

Identification
(milliseconds)

ID# /
WIDTH

0 / 800 ms

1 / 500 ms

2 / 250 ms

3 / 720 ms

ID# 3
(720
ms)

Pulse width affects the rise time
of pulse

fcv043.eps

4 / 230 ms

5 / 280 ms

6 / 350 ms

7 / 480 ms

8 / 980 ms

9 / 1980 ms

10 / 1480
ms

3-15

Cufflink

Operators Manual

Example

Draw a 720 millisecond wide pressure pulse.

Command drawpulse

Results The 720 millisecond wide pressure pulse (default value)

is drawn on the Analyzer display:

Pulse # 3 (720 milliseconds)

1.0

0.8

0.6

0.4

0.2

0 0.2 0.4 0.6 0.8 1.0

msec
716

sec

fcv043.eps

Returned Data *

Example

Draw a 480 millisecond wide pressure pulse (pulse number 7).

Command drawpulse pulseid=7

Results The specified pressure pulse is drawn on the Analyzer

display:

Pulse # 7 (480 milliseconds)

3-16

1.0

0.8

0.6

0.4

0.2

0 0.1 0.2 0.3 0.4 0.5

Returned Data *

msec

476

sec

fcv045.eps

Remote Operation

Command Descriptions 3

GLOBALINIT

Use this command to reset the Analyzer to factory defaults. There are no parameters for
this command. The default values are listed below.

Table 3-3. Autosequence Defaults

BP HR

A1 A2 A3 A4 A5

60/30 (40) Adult 40 1 2 3 4 5

80/50 (62) Adult 60 1 2 3 4 5

100/65 (75) Adult 80 1 2 3 4 5

120/80 (90) Adult 80 1 2 3 4 5

150/100 (115) Adult 120 1 2 3 4 5

200/150 (165) Adult 160 1 2 3 4 5

255/195 (215) Adult 200 1 2 3 4 5

120/80 (80) Adult 80 1 2 3 4 5

Utilities

Pressure Test Yes

Leak Test Yes

Pop Off Test Yes

Print BP Results Yes

Cycles *

* Cycles refer to the number of time that the Analyzer simulates a target value.

Table 3-4. Pop Time and Comm Port Default Values

Parameter Value

Pop Time 1 second

Communications

Baud Rate 9600

Bits/Character 8

Parity None

Stop Bits 1

Flow Control Xon/Xoff

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Cufflink

Operators Manual

GOTOLOCAL

Example

Do a global initialization.

Command globalinit

Results All user modifications for Pop Time, RS232 port, and autosequences

are reset to factory defaults.

Returned Data *

Use this command to switch control of the Analyzer fro a serial controller to the Analyzer
keyboard. There are no parameters for this command.

Example

Return the Analyzer control to its front panel.

Command gotolocal

Results The Analyzer logo displays, and it returns to the local mode. The front

panel keyboard is now active.

Returned Data *

IDENT

Use this command to show the Analyzer name and firmware version on the controller
display. There are no parameters for this command.

Example

Command ident

Results Display of Analyzer identification and firmware version

Returned Data CuffLink, 3.00, Pump; varies with each Analyzer, depending on the

INFLATE

Use this command to pump up the pressure inside the Analyzer. Parameters for this
command are described below.

PRESSURE Pressure (mmHg) 0 to 499.75 mmHg 200 mmHg

Example

Identify the Analyzer and firmware version.

installed firmware and options

Parameter Definition Range Default

3-18

Pump Analyzer pressure up to 275 mmHg.

Command Inflate pressure=275

Results The Analyzer internal pump increases pressure to 275 mmHg.

Returned Data *

Remote Operation

Example

Pump Analyzer pressure up to 200 mmHg.

Command inflate

Results The Analyzer internal pump increases pressure to 200 mmHg.

Returned Data *

Command Descriptions 3

KEYTEST

Use this command to test the Analyzer keyboard. There are no parameters for this
command.

Example

Test the keyboard.

Command keytest

Results The Analyzer echoes the key pressed. To exit the keytest, press Esc

four times.

Returned Data F1

LEAKTEST

Use this command to put the Analyzer in the leak test mode. The keys on the Analyzer
front panel become active during this test so a user can zero pressure, perform the leak
test, do a reset, or print the test results. To exit the leak test mode, simply issue to the
Analyzer another remote command. There are no parameters for this command.

Example

Enter the Analyzer leak test mode.

Command leaktest

Results The Analyzer enters the leak test mode and shows the Leak Test

Returned Data *

display. Press F1 on the keyboard to begin the leak test. The leak test
runs for one minute and then displays the leak rate in mmHg/min.

F1 F2 F3 F4 F5

fcv046.eps

3-19

Cufflink

Operators Manual

MAKEARM

Use this command to simulate blood pressures from the ADAMS Adult Family target
values. Heart rate, BP, and pressure envelope gain and shift can be modified. Parameters
for this command are described below.

Parameter Definition Range Default Description

HR Heart Rate

(Beats/Minute)

BP Blood Pressure

(mmHg)

PULSEID Pulse

Identification
(milliseconds)

30 BPM to 240
BPM in 1 BPM
Steps

ADAMS-60/30
ADAMS-80/50
ADAMS-100/65
ADAMS-120/80
ADAMS-

150/100
ADAMS-

200/150
ADAMS-

255/195
ID# / WIDTH
0 / 800 ms
1 / 500 ms
2 / 250 ms
3 / 720 ms
4 / 230 ms
5 / 280 ms
6 / 350 ms
7 / 480 ms
8 / 980 ms
9 / 1980 ms
10 / 1480 ms

80 BPM 1 BPM resolution

ADAMS-120/80

ID# 3
(720 ms)

Pulse width affects
the rise time of
pulse

3-20

ENVGAIN Pressure

Envelope Gain

ENVSHIFT Pressure

Envelope Shift

1 to 200%
(10 to 2000
RVDUs)

-100 to +100
mmHg

100% is a typical
value for adult
cuffs.

0 mmHg Modifies existing

Affects pulse
strength or
amplitude

pressure envelope
to simulate
another BP

Example: 0 +10
mmHg shift
causes 120/80 to
read 130/90 on
most monitors.

Remote Operation

Command Descriptions 3

Make all necessary connections from the Analyzer to the NIBP monitor before sending a
makearm command to the Analyzer. When the Analyzer receives the makearm
command, it displays a graph where the pressure envelope will be drawn.

Start the NIBP monitor; the Analyzer begins BP simulation and draws the pressure
envelope. When the blood pressure cycle is complete, the following are displayed on the
computer monitor:

• Peak pressure

• Deflate time

• Deflate rate

• Inflate time

• Inflate rate

• Total time

Returned Data

The NIBP monitor can run as many times as needed or until a new command is issued to
the Analyzer. The Analyzer sends the makearm data (format shown below) to the com­puter in six different fields separated by commas. If the data is positive, it is preceded by
a space; if the data is negative, it is preceded by a minus sign (-).

Data Field Number Field Length Field Content

peak pressure 1 4 characters [sign n n n)

deflate time 2 6 characters [sign n n n .n)

deflate rate 3 6 characters [sign n n n .n]

inflate time 4 6 characters [sign n n n .n]

inflate rate 5 6 characters [sign n n n .n]

total time 6 6 characters [sign n n n .n]

The following example is a data string of positive values as it might appear on the
controller display. The peak pressure of 79 mmHg is in field 1, and the total time of 3.3
minutes is in field 6.

3-21

Cufflink

Operators Manual

Peak Pressure (mmHg)

Deflate Time

Deflate Rate

Inflate Time

Inflate Rate

Total Time

(minutes)

(mmHg/min)

(minutes)

(mmHg/min)

(minutes)

79, 4.0, 2.0, 78.9, 0.9, 3.3

Example

Simulate a blood pressure of 100/65 with a heart rate of 60 BPM.

Command makearm bp=adams-100/65,hr=60

Results The Analyzer draws the makearm graph and begins

arm simulation when the NIBP monitor starts inflating
the cuff. Test results are sent to the controller when the
cuff deflates.

fcv047.eps

200

160

120

80

40

0204060

60 BPM

CuffPres
CuffPeak
DeflRate
DeflTime
InflRate
InflTime
TotlTime
120/80

0
197

4.9

39.1

39.4

4.8

43.8
(75) A

fcv048.eps

Returned Data 197, 4.9, 39.1, 39.4, 4.8, 43.8; varies, depending on

parameter values

3-22

Remote Operation

Command Descriptions 3

Example

Simulate a blood pressure of 120/80 with a heart rate of 30 BPM, a gain of 50%, and a shift of
12 mmHg.

Command makearm bp=adams-120/80,hr=30,

envgain=50,envshift=12

Results The Analyzer draws the makearm graph and begins

arm simulation when the NIBP monitor starts inflating
the cuff. Test results are sent to the controller when the
cuff deflates.

200

160

120

80

40

Returned Data 142, 3.1, 45.1, 43.2, 3.1, 48.1; varies, depending on

MAKEARMNEO

Use this command to simulate blood pressures from the ADAMS Neonate Family target
values. Heart rate, BP, and pressure envelope gain and shift can be modified. Parameters
for this command are described below.

Parameter Definition Range Default Description

HR Heart Rate

BP Blood Pressure

30 BPM

G 50
S 12

0204060

CuffPres
CuffPeak
DeflRate
DeflTime
InflRate
InflTime
TotlTime
120/80

parameter values

80 BPM 1 BPM resolution

(Beats/Minute)

30 BPM to 240
BPM in 1 BPM
Steps

(mmHg)

ADAMSNEO­60/30

ADAMSNEO­120/80

ADAMSNEO­80/50

ADAMSNEO­100/65

ADAMSNEO­120/80

ADAMSNEO­150/100

ADAMSNEO­200/150

ADAMSNEO­255/195

0
142

3.1

45.1

43.2

3.1

48.1
(90) A

fcv049.eps

3-23

Cufflink

Operators Manual

PULSEID Pulse

Identification
(milliseconds)

ENVGAIN Pressure

Envelope Gain

ENVSHIFT Pressure

Envelope Shift

ID# / WIDTH
0 / 800 ms
1 / 500 ms
2 / 250 ms
3 / 720 ms
4 / 230 ms
5 / 280 ms
6 / 350 ms
7 / 480 ms
8 / 980 ms
9 / 1980 ms
10 / 1480 ms

1 to 200%
(10 to 2000
RVDUs)

-100 to +100
mmHg

ID# 3
(720 ms)

100% is a
typical value
for adult cuffs.

0 mmHg Modifies existing

Pulse width
affects the rise
time of pulse

Affects pulse
strength or
amplitude

pressure
envelope to
simulate another
BP

Example: 0 +10
mmHg shift
causes 120/80 to
read 130/90 on
most monitors.

Make all necessary connections from the Analyzer to the NIBP monitor before sending a
makearmneo command to the Analyzer. When the Analyzer receives the makearmneo
command, it displays a graph where the pressure envelope will be drawn.

Start the NIBP monitor; the Analyzer begins BP simulation and draws the pressure
envelope. When the blood pressure cycle is complete, the following are displayed on the
computer monitor:

• Peak pressure

• Deflate time

• Deflate rate

• Inflate time

• Inflate rate

• Total time

3-24

Remote Operation

Command Descriptions 3

Returned Data

The NIBP monitor can run as many times as needed or until a new command is issued to
the Analyzer. The Analyzer sends the makearmneo data (format shown below) to the
computer in six different fields separated by commas. If the data is positive, it is preceded
by a space; if the data is negative, it is preceded by a minus sign (-).

Data Field Number Field Length Field Content

peak pressure 1 4 characters [sign n n n)

deflate time 2 6 characters [sign n n n .n)

deflate rate 3 6 characters [sign n n n .n]

inflate time 4 6 characters [sign n n n .n]

inflate rate 5 6 characters [sign n n n .n]

total time 6 6 characters [sign n n n .n]

The following example is a data string of positive values as it might appear on the
controller display. The peak pressure of 79 mmHg is in field 1, and the total time of 3.3
minutes is in field 6.

Peak Pressure (mmHg)

Deflate Time

Deflate Rate

Inflate Time

Inflate Rate

Total Time

79, 4.0, 2.0, 78.9, 0.9, 3.3

Example

Simulate a neonatal arm with a heart rate of 40 BPM.

Command makearmneo hr=40

Results The Analyzer draws the makearmneo graph and begins arm

simulation when the NIBP monitor starts inflating the cuff. In
this case, default values are used for all parameters except
heart rate. Test results are sent to the controller when the
cuff deflates.

(minutes)

(mmHg/min)

(minutes)

(mmHg/min)

(minutes)

fcv053.eps

3-25

Cufflink

Operators Manual

200

160

120

80

40

0204060

40 BPM

CuffPres
CuffPeak
DeflRate
DeflTime
InflRate
InflTime
TotlTime
120/80

0
194

3.5

53.2

45.4

4.1

57.3
(90) N

fcv054.eps

Returned Data 194, 3.5, 53.2, 45.4, 4.1, 57.3; varies, depending on

parameter values

Example

Simulate a neonatal arm with a blood pressure of 120/80 , a heart rate of 30 BPM, a gain of
50%, and a +12 mmHg shift.

Command makearmneo bp=adamsneo-120/80,hr=160, pulseid--

=8,envgain=50,envshift--12

Results The Analyzer draws the makearmneo graph and

begins arm simulation when the NIBP monitor starts
inflating the cuff and results are sent to the controller
when the cuff deflates.

200

160

120

80

40

0204060

30 BPM

G 50
S 12

CuffPres
CuffPeak
DeflRate
DeflTime
InflRate
InflTime
TotlTime
120/80

0
142

3.1

45.1

43.2

3.1

48.1
(90) N

fcv055.eps

Returned Data 142, 3.1, 45.1, 43.2, 3.1, 48.1; varies, depending on

parameter values

3-26