GE Critikon Dinamap 1846 SX User manual

DINAMAP™

ADULT/PEDIATRIC

NEONATAL

VITAL

SIGNS

MODEL

OPERATION

MONITOR

1846

MANUAL

AND

DINAMAP™

©

Critikon,

Printed

Critikon,

4110

Tampa,

(813)

is a trademark

Inc.

1984

in

U.S.A. Patent

of

Critikon,

887-2000

Inc.

George

Florida

Inc.

Road

33614

Telex

52658

U.S,

U.S.

Patent

Pending

4,349,034

4,360,029

Part

No./Rev. 776-321A 776-321B

776-3210

LIST

17,

28,

33/34,

OF

Page

fi,

1-11, 23/24-28,

ii,

2,

3,

18,

А2-А6,

9/10,

39/40,

EFFECTIVE

No.

ΑΙ

14,

17-21

30

8,9,

11-14

20,

22, 25,

SA1,

2,

3/4,

13,

17-19

35/36,

41,

37/38 42

27

5/6

PAGES

Date

Original

Revision

|

of

Latest

(October

Revision

(June

(July

1983)

1984)

Proprietary

The content

of

this

document

proprietary information

poses

other out

of

operation,

purposes

prior

written

maintenance

or

publication

consent

of

CRITIKON,

by

CRITIKON,

information

including

INC.,

or

repair,

or

copying

all

figures

provided

and

thereof

INC.,

Tampa,

and

drawings

solely

for

dissemination

is

prohibited

Florida.

is

pur-

for

with-

TABLE

OF

CONTENTS

Section

一

. . .

COO た

.

の

.

ONO

10.

11.

No.

List

of

Effective

List

of

illustrations...

List

of

Tables.....

Frontispiece

Warranty

Introduction

Operating

Indications

Functional

Physical

Monitor

.

Operating

.

Operating

.

Periodic

Alarm

Indication

Troubleshooting

Pages…

Features.....

and

Contraindications..

Description....

Description

Installation

Precautions

the

Monitor.

Maintenance

and

FRONT

DESCRIPTION

INSTRUCTIONS

MAINTENANCE

Interpretation.

MATTER

Part

1.

『8

2. FOR

Part

3.

AND

TROUBLESHOOTING

USE

Page

No.

i

6080

8 00

12.

Product

13.

Mechanical

14.

Environmental

15.

Power

16.

Performance

Accessories..

Specifications..

Specifications

Specifications...

SPECIFICATIONS

eee

Part

4.

a

30

iii

LIST

OF

ILLUSTRATIONS

Figure

4-4 4-2 4-3 5-4 5-2 6-1 9-1

No.

Frontispiece

Determination

Timing

Low Front

Rear Cuff Calibration

Sequence..

Diagram

Amplitude

Panel Panel

Placement.....................

Waveform

Controls

Check

and

Set-Up

Diagram..

Indicators.

Indicators.....

LIST

OF

.

„12

TABLES

Table

5-1 5-2 5-3 6-1 6-2 8-1 9-1

10-1

No.

General

Front Rear Monitor

Cuff-to-Hose

Preset Calibration Systems

Characteristics/Operating

Panel

Controls

Panel

Controls

Checklist...................

and

Indicators

Compatability.

Default

Alarm

Check................

Alarms

Limits

Summary

Requirements...

Defined...

Defined

-

DINAMAP'W

Vital

Signs

Adul/Pediatric

Monitor,

and

Model

Neonatal

1846

WARRANTY

CRITIKON,

exclusive workmanship

respect

option,

This

warranty

the

warranty

This

warranty

have

other

This

warranty

chaser OR

IMPLIED

INC.

of

expendable

for a period

to

any

such

replacement

is

period.

extends

been

altered,

than

in

accordance

represents

regarding

WARRANTIES,

(“Critikon”)

made

defects

FOR A PARTICULAR

AUTHORIZED

Critikon from

breach

shall

of

TO

MODIFY,

not,

in

warranty,

parts

of

defect

of

on

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the

Critikon

to

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subjected

with

the

in a monitor.

PURPOSE,

IN

any

case,

breach

warrants

and

one

year

limited

monitor.

condition

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have

original

to

misuse,

the

instructions.

exclusive

INCLUDING

WHICH

ANY

MANNER,

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liable

of

to

the

other

accessories,

from

the

to

the

repair

that

prompt

the

sole

purchaser

negligence,

obligation

THIS

WARRANTY

THE

WARRANTIES

for

special,

contract,

purchaser

shall

date

of

with

new

notification

right

to

only.

This

unauthorized

of

Critikon

WARRANTY

CRITIKON’S

incidental

negligence

that the

be

free

DINAMAP™

purchase.

or

remanufactured

of a

determine

warranty

and

the

IS

GIVEN

OF

MERCHANTABILITY

ARE

DISCLAIMED.

OBLIGATION

or

consequential

or

any

other

Vital

from

defects

Critikon’s

defect

is

given

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parts

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whether a defect

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repair,

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IN

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accident,

remedy

OF

ANY

NO

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Signs

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Critikon

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EXPRESSED OR

FITNESS

PERSON

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1.1

General

The

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The

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This

of

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To read

the

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Results

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DINAMAP™

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Operation

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DINAMAP”

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manual

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Scope

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Signs

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pressure,

rate

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measurement

hospital

variables.

Monitor

during

area

example,

room,

dialysis

intensive care

unit,

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Manual

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Vital

use,

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performance

thoroughly

Section

Monitor

mean

Neonatal

internal

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effective

most

methods where

emergency

Effectivity

prepared

Signs

applications,

verification

results,

before

on

large,

compensate

clinical

burn

Monitor.

the

was

measure

arterial

or

critical

unit,

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designed

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pressure

Adult/Pediatric

easy-to-read

programs

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may

room,

unit,

etc.

for

operator

reject

for

versatile.

crises

when

fail.

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care

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operating

cardiac

the

operator

It

contains

limitations,

procedures.

must

to

1.

Introduction

If,

in

to

the

or

incorrect

lications

of

this

manual.

a

It

1.3

ad-

INSTRUCTION the

operator

These

and information

cards

will

TROLS ALARM

malfunctions.

SERVICE vice

and

mation

use

qualified

normal

data

Change

use

of

this

are

noted,

Request

Submit

Marketing

Critikon,

4110

George

Tampa,

the

Florida

Publications

CARDS:

will

find

five

are

permanently

slide

out

for

easy

and

instructions

and

INDICATORS,

MANUAL: A service repair

parts

information

contained

service

in

the

service

personnel.

manual,

please

Form

form

Services

errors,

complete

included

to:

Inc.

Road

33614

Just

below

tabbed

Instruction

attached

access.

on

The

INITIAL

OPERATING

and

TROUBLESHOOTING

manual

is

manual

omissions,

the

in

the

front

panel,

cards.

to

the

cards

include

SETUP

CON-

SEQUENCES,

containing

available.

is

directed

Pub-

back

unit

ser-

Infor-

to

Changes puts

accomplished

ring Change

to

or

to

continuing

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Information

if a Change

this

manual,

this

manual,

product

through

printings

Sheets

Information

it

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Correct

either

in

response

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reprinting.

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Sheet

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Changes

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through

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in- be

|

2.1

Monitor

Features

Section

2.

Operating

Features

Feature

1.

Fully

automatic

and

monitoring

2.

Noninvasive

3.

Oscillometric

4.

Artifact

5.

Systolic

6.

Audible/visual

7.

Microprocessor

8.

Automatic

patient

and

rejection

search

alarm

based

pressure

selection

objective

system

design

zeroing

Senses monitoring grammed between 1 and

Helps subjective

No

By

monitor (auto

Tracks

cuff

size

to

automatically

eliminate

interpretation

microphones

observing

and

is

capable

manual

rapid

pulsations

pressure

Neonatal

90

Provides a visual sures, high/low

MAP.

limits,

or

pulse and

failure.

System

Microcomputer

ence stant

fully

upgradable.

will

before

calibration

each

verification.

Benefit

and

automatically

monitoring

make

minutes.

risks

associated

of

auscultatory

or

external

of

transducers

of

matched

eliminating

modes),

changes.

and

audible

rate

of

automatically

indication

fall

abnormal

determination,

switches

or

vice-versa.

determinations

with

invasive

methods,

are

amplitude

most

noise

if

systolic

outside

of

system

establish

thus

reducing

operator

conditions

the

from

Adult/Pediatric

Can

at

various

monitoring

required.

and

frequency,

and

motion

or

diastolic

programmable

or

zero

pressure

the

need

be

pro-

intervals

and

the

artifact

pres-

hardware

refer-

for

con-

9.

Stat

10.

Digital

11.

Two

12.

Printer

13.

Real time

14,

Analog

15.

RS-232

*1

mmHg

mode

displays

units

of

Interface

clock

outputs

interface

(or

Torr) = 0.133

measurement

kPa

Provides systolic cal

Large,

an

update

situations.

easy-to-read

parameter

Can

be

set kilopascals only)

(Reference

Rear

panel

Printer

graphic

Provides monitor Time

Rear

ence

industry systems.

providing

representation

(24

is

used

of

day

panel

Service

standard

(Reference

accelerated

over a five

displays

vaiues.

to

display

(kPa)*.

output

hour

may

outputs

(German,

Service

for

hard

format)

in

conjunction be

displayed

for

Manual).

interface

series

minute

provide

values

in

Manual)

connection

copy

record

of

patient

time

with a Critikon

connection

for

Service

Manual)

of

determinations

period

to

continuous

millimeters

British

and

of a Critikon

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measured

trends.

of

determination

on

front

panel.

to

strip

compatibility

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effectively

readout

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mercury

French

language

Trend

parameters

indication

Trend

Recorder/Printer.

chart

recorders.

with

most

intermediate

manage

(mmHg)

of

patient

criti-

or

in

units

Recorder/

and

when

the

(Refer-

computer

3.1

General

The

DINAMAP™ intended blood

for

pressure designed, indicated.

Section

Vital

Signs

use

in

the

and

pulse

sold,

or

intended

3.

Indications

Monitor,

Model

non-invasive

rate.

The

for

use

1846,

monitoring

device

is

except

is

of

not

as

and

Contraindications

5) À patients during

change

those

used

raise

or

vital

the

application

the

to

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heart

signs

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of

cardiovascular

raise

or

lower

rate.

vary

agents

status

blood

dramatically intenced

such

pressure

to

as

or

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or

on

the

3.2

Contraindications

1)

Monitor

tion

limb proper Section

2)

The

patients tremors.

3)

The

who

4)

If

the should be

inch

must

ings

accuracy

of

the

circumference

size

6.

monitor

who

monitor

are

linked

the

cuff

reading

be

added

above

be

for

every

CAUTION

law

restricts

order

of a

is

proper

cuff

be

will

are

should

to

heart/lung

is

not

at

due

noted.

subtracted

to

the

heart

The

displayed

level.

inch

this

device

physician.

and

Limitations

dependent

size

cuff.

It

be

measured

selected

not

operate

experiencing

not

be

machines.

heart

level,

to

the

hydrostatic

value

of

readings

The

value

from

the

below

heart

to

sale

on

the

is

essential

as

described

effectively

convulsions

used

on

the

difference

1.80

mmHg

of

1.80

displayed

level.

by

applica-

that

and

the

patients

effect

must

for

every

mmHg

read-

in

on

or

in

6)

The

pulse

differ monitor

tor

measures

cal

signals

sionally,

rate

from

the

because

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electrical

duce a peripheral

7)

If a patient increase

may

beyond

8)

The

monitor

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for

is

completed. during the

monitor

an

alarm

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even

the

monitor's

90

minutes

the

time

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condition.

displayed

heart

rate

the

DINAMAP™

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signals

pulse.

encountering monitors

extend

the

capabilities

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results

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until

If a patient's

interval

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detect

by

the

monitor

displayed

Vital

pulses,

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the

heart.

at

the

heart

arrhythmias,

determination

(120

ofthe

last

another

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the

determination

condition

determinations,

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ECG

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this

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time

and

time

to

seconds).

determina-

changes

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The

DINAMAP™

processor

matically pressure, neonates,

technique.

easy-to-read quency increments operating and

Alarms

tolic,

values

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nal

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*Pre-set

found

not

patient.

4.1

A

determination

switch

manual

when The

to a cuff patients,

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the accomplished only sure

The detects Time quency

patient),

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controlled,

measures

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children

Results

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between

modes

stat)

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diastolic,

exceed

high/low

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for

which

internal

useful

be

considered

Determination

(or

optional

or

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the

cycle

first

determination

pressure

or

125

initial

pump-up

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the

oscillometric

measures oscillations

monitor

two

between

of however,

within

The

process

Section

Vital

Signs

non-invasive

systolic

arterial

digital

be

selected

cover a variety

mean

pre-set”

the

will

and

in

normal

sequence

modes,

time

mmHg

systole,

diastole

cuff

by a sensitive

cuff

within

deflates

pulsations

deflation

these

1.6

seconds,

pressure,

or

adults

are

displayed

displays.

by

one and

are

also

selectable

to

alert

arterial

default

limits.

The

connection

keep a hard

graphic

alarm

limits

clinical

as

safe

Sequence

footswitch)

upon

has

expired

sequence

of

178

mmHg

for

pressure

deflation

then

MAP

and

at

the

varied

method

pressure,

the

cuff

of

relatively

steps

matched

if

the

monitor

of

finding

4.

Monitor

pressure,

using

Determination

the

ninety

of

clinical

the

operator

pressures

monitor

of a Trend

copy

representation

are

situations.

limits

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begins

is

depressed

entry

Neonates.

is

reached,

seguence

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pulse

pressure

of

determination transducer which but

cuff.

one

is

dependent

pulses

is

it

will

two

is a micro-

device

and

pulse

the

oscillometric

on

operator

minutes.

(auto,

situations.

or

operator

provides

record

limits

They

for

any

Figure

when

into

auto

in

the

initially

for

Adult/Pediatric

arterial

rate

from

also

minute

step

equal

(pulse

unable

deflate

matched

Functional

which

auto-

diastolic

rate

for

four

large,

fre-

in

varied

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manual,

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auto

each

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or

pulse

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Recorder/

of

each

of

patient

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the

START

in

either

mode,

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mode.

pumps

levels.

amplitude.

on

to

the

moni-

that

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pulses

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time

the rate

find

the

pulses

up

first

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any

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Description

each

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each

step

sure,

the

matched

tween

successive

matched

pressure falls

cuff data,

time Trend

4.2

4.2.1 The

itor

190

systolic

The tected mmHg

mmHg

The

mmHg

Neonates.

10

mmHg

The 200

bpm

ted

4.3

The

Inflation

prise for Wait

is

explained

pulse

is

below 7 mmHg.

(to

zero

updates

(24

hour

Recorder/Printer

General

Maximum-Minimum

maximum

is

245

mmHg

pressure

maximum

is

225

for

Neonates.

for

ali

maximum

for

maximum

bpm

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for

Neonates,

is

40

bpm

Basic

Operating

time,

the

determination

all

modes

time

however,

provides

and

determined

artifact

greatly

the

enhances

microprocessor pulse

amplitude,

pulses.

detection

or

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detected

the

format)

Operating

systolic

mmHg

for

mmHg

pressure),

front

panel

and

if

Parameters

pressure

for

Adult/Pediatric

Neonates.

is

30

mmHg

MAP

(mean

for

Minimum

attached.

patients.

diastolic

pressure

Adult/Pediatrics

Minimum

all

Operating

deflation

in

detectable

patients.

pulse

rate

per

minute)

and

for

all

patients.

cycle

is

+

Inflation

«

Deflation

*

Evaluation

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Wait time

of

operation

will

more

detail

detected

the

Cycle

comprised

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rejection

the

accuracy

due

stores

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the

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continues

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monitor

displays

determination

Ranges

detected

deflation

until

total

cuff

then

analyzes

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deflates

results

by

patients,

The

minimum

for

all

arterial

Adult/Pediatrics

detectable

and

diastolic

for

Adult/Pediatrics,

minimum

time

detectable

patients.

pressure)

detected

160

mmHg

pressure

by

the

pulse

of

four

time

and

evaluation

and

are

(auto

manual,

from

mode

to

below.

to

patient

of

cuff

pres-

time

diastolic

pressure

the

stored

prints

on

the

mon-

and

MAP

is

monitor

rate

detec-

parts:

time

com-

the

same

and

stat).

mode

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be-

and

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a

and

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170

20

210

for

is

220

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PRESSURE

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Figure

4-1

TIME

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OSCILLATION

AMPLITUDE

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INFLATION

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[+

CUFF

PRESSURE

|

TIME

Determination

TIME

WAIT

TIME

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+—

DETERMINATION

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DEFLATION

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CYCLE

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|«—

TIME

TIME 一一

TIME 一ーーーーーーーー

Figure

4-2

一

Timing

EVALUATION

テ

Diagram

TIME

4.4

Operating

4.41

Manual

The

manual

eration

for

cally after default up

but

alarm

may

particular

8.2).

In

the

made

each pressed. is

pressed

update)

to monitor

90

minutes

flashes

begins

pressure

Modes

Mode

mode

the

monitor

pressing

limits

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changed

patient

manual

time

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time

again.

at

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in

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determination.

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determination

pressing

deflate

cycle

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determination

pressing

silence

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pre-set

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MANUAL

tion detected, a second

the the

UTES

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elapsed

to

the

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determination

pressing deflate played

the

cuff,

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leave

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indicators

the

and

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the

monitor

default

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Auto

Mode

auto

mode

switch.

will

be

initiated

alarm.

Subsequent

expiration

display

(or

Pump-up

of

the

display

time

since

operator

the

cuff,

in

the

CYCLE

CANCEL

place

has

CANCEL

power

of

the

alarm

prior

may

of

last

will

set

CANCEL

and

is

the

normal

(ihe

mode

the

POWER

automatically

by

the

(see

Set

Alarms

mode, a single

only

when)

is

indefinite

Elapsed

the

may

CYCLE

time

90

on

the

be

cancelled

time

all minute

switch.

the

monitor

any

operator-set

can

be

caused

an

switch.

all

patient

set

alarm

limits

NOTE

interruption

POWER

to

revert

limits

to

be

In

the

immediately. determination

ON/OFF

to

manual

in

effect

interruption.

entered

auto

mode

determinations

time

displayed

at

any

time

when

pressure

determination.

periodically

the

last

data

cycle

time.

may

be

cancelled

switch.

begin a new

MINUTES

power-up

entered

ON

switch).

activate

operator

Procedure

determination

the

START

until

the

START

(since

MINUTES

displays

count.

results

at

This

operation

back

alarm

cancelled

alarm

condition)

This

operation

alarm

unaltered,

(blackout,

switch

mode

regardiess

by

pressing

the

first

If a patient

is

initiated

in

the

START

is

based

The

show

or

update,

at

This

operation

wait

display).

mode

of

automati-

Pre-set

at

power-

to

suit

Section

switch

the

last

display

zero

and

Pump

of

the

any

time

into

the

limits

unal-

(after

indicators

brown-

etc.) with

of

the

AUTO/

determina-

alarm

to

verify

will

occur

CYCLE

MIN-

switch

on

CYCLE

MIN-

“flash”

then

return

any

time

(as

Any

opera-

op-

any

is is

data

up

the

up

last

by

will

wait

a

by

will

will the

the

is

at

the

by

will

dis-

tor

set

alarm

limits

can

be

cancelled

an

alarm

condition)

This

operation

alarm

indicators, played any

4.4.3 The

ing

tor

minute tion onds will vious

The

above tolic

125 in

tions.

down,

is

begins).

“flash”

window

When

determined, these

play

cease

in

the

operator

Stat

stat the will

programmed

Mode

mode

STAT

MODE

initiate a series

period. A determination

of

the

five

for

example)

be

displayed

mode

(manual

series

is

mmHg

the

begins

previous stored,

for

stat

mode

in

the

stat

systolic

determined

The

the

value

to

indicate

MAP

pulse,

the

updated

windows.

to

“flash.”

determination

or

the

operator

Patient mode, alarm attached) tions ute switch, mode (manual

4.4.4

These

tains patients

default

internal

alarm

however,

will

and

or

display

stat

mode

the

of

operation

or

Neonatal

are

two

sets

and

alarm

algorithms

be

monitor

auto).

switched

the

limits

will

be

unaltered.

(after a determination

by

pressing

will

silence

and

begin a new

CYCLE

MINUTES

alarm

may

be

entered

switch.

minute

will

before

with

systolic

to

178

Neonates.

to

allow

mode,

pressure

(usually a few

monitor

in

the

that

and

monitor

values

The

systolic

The

unless

has

limits

cannot

the

noted

will

not

of

values.

period

prior

or

Adult/Pediatric

of

standards:

other

as

are

In

the

of

determinations

period

cycle

or

mmHg

(at 4 minutes,

to

the

monitor

auto).

cuff

inflation

value,

for

Artifact

for

accelerated

as

the

is

displayed

seconds

will

sound a short

SYSTOLIC

this

is

diastolic

sounds a short

will

appear

value

monitor

will

the 5 minute

pressed

be

occurrence

on a Trend

inhibit

the

At

the

or

after

will

automatically

to

initiation

automatically.

One

for

Neonatal

well

as

pump-up

altered

Alarm

indicators

has

the

CANCEL

extinguish

wait

display),

limits

at

any

stat

all

period

and

unaltered.

time

by

mode,

the for a five

begun

conclusion

before

and

reverts

to

to a pressure

or

if

no

rejection

is

determina-

monitor

begins

the

after

instant

stepdown

tone

pressure

updated

pressure

information.

values

tone

in

the

respective

will

be

updated

then

begin

period

the

accessed

has

CANCEL

of

an

out-of-limits

during

Recorder/Printer

series

of

determina-

expiration

pressing

of

the 5 min-

the

CANCEL

revert

of

the

stat

Monitoring

The

monitor

for

Adult/Pediatric

patients.

pressure

in

the

Neonatal

caused

switch. patient

(as

dis-

leave

press-

moni-

expira-

55

sec-

results

the

pre-

sys-

and

relaxed

step-

that

it

and

display

are

and

dis-

and

another

expired

switch.

stat

(if

to

the

mode

con-

Pre-set

and

mode.

a

The

monitor

mode

by

sensing

will

intervention.

44.5

Systolic

In

any

operating

pressure

the

unit

exceed

will:

Begin Detect Stop Re-inflate

fons

pressure

§.

Resume

The

monitor

pressure

will

through

automatically

cuff

size

Search

mode,

the

monitors

normal

the

deflation

absence

deflation

to a higher

(250mmHg

normal

deflation

continue

subsequent

switch

and

should a patient’s systolic

into

requires

pump-up

the

proper

no

operator

pressure,

sequence

of a systolic

(than

re-inflate

value

initial)

pump-up

maximum)

sequence

to

use a higher

determinations

pump-up

until

such

time

as

the

unit

will

then

lower

4.5

Undetermined Pressures Under

play only diastolic

tolic/diastolic

ations

Because

systolic

only played.

monitor

tions

certain

MAP

pressures.

waveform

as

shown

of

the

and

diastolic

MAP

can

If

this

will

attempt

after a 15

patient's

systolic

pump-up

Systolic

pressure

and

circumstances,

and

not

display

If

the

patient

has

very

below.

relatively

be

accurately

should

one

second

small

pressure

occur

when

or

more

delay.

pressure

accordingly.

Diastolic

the

monitor

values

for

is

in

shock,

low

amplitude

difference

in a shock

determined

in

auto

additional

fails.

The

may

dis-

systolic

the

and

sys-

fluctu-

between

situation,

and

dis-

mode,

determina-

the

Normal Pressure

Pressure in

Shock

Situation

Adult

SYS MAP DIA

SYS MAP

DIA

120

86

70

30

23

20

Figure

Neonate

(SYS (MAP (DIA (SYS (MAP (DIA

4-3

80)

47)

30) 20}

14)

10)

Low

-~

Amplitude

Waveform

E

2

Diagram

ーー

SYS/DIA

Difference

50mmHg

SYS/DIA Difference

>

10mmHg

Section

5.1

Operating

Section 5 contains a physical

5-1

are

general,

tions

refer

5.1.1

Physical

Requirements

to

Sections

physical

characteristics

13

through

Characteristics/Operating

description

16.

5.

Physical

of

the

monitor's

and

operating

Requirements

Description

controls,

requirements.

indicators,

For

the

complete

and

connectors.

list

of

Covered

technical

in

Table

specifica-

MONITOR

Height

Width

Depth

WEIGHT

POWER

REQUIREMENTS

Input

FUSE

REQUIREMENTS

PRINTER

OPERATING

STORAGE

HUMIDITY

ALTITUDE

DIMENSIONS

Power

Voltage

(Domestic)

(International)

FUSES

TEMPERATURE

RANGE

4.85

inches

10.75

inches

10.75

inches

18

lbs.

max

19

lbs.

max

0.8

Amps

max.@100,

0.5

Amps

max.@220,

120

VAC/60

§7-63

100

VAC/50 47-63

220

VAC/50 47-63

240

VAC/50 47-63

120

VAC/60 SLO-BLO @ 250

100

VAC/50 SLO-BLO @ 250

220

VAC/50

SLO-BLO @ 250

240

VAC/50

SLO-BLO @ 250

100/120

220/240

+50°F —

0

to

—

to + 104°F

29°F

95%

1000

VAC,

to + 140°F

non-condensing

to + 15,000

(60

Hz

Unit)

(50

Hz

Unit)

Hz

(nom.),

Hz

(nom.),

Hz

(nom.),

Hz

(nom.),

Hz

Hz-1

each, 1 1/2A,

Hz-1

each, 1 1/2A,

Hz-2

each,

Hz-2

each,

3A

SLO-BLO @ 250V

3.15A

SLO-BLO

(+

(—

feet

120 240

104-132

88-112

194-246

212-268

V

0.8A,

V

0.8A,

V.

10°C

34°C

VAC VAC

VAC/

SAG,

3AG,

FST,

FST

@

250V

to + 40°C)

to

+60°C)

5.2

Controls

DINAMAP™ Table

5-2.

Vital

The

and

Signs

rear

Table 5 - 1 General

Indicators

Monitor.

panel

Controls

The

controls

and

front

and

indicators

Characteristics/Operating

indicators

pane!

controls

are

and

shown

situated

indicators

in

Figure

Requirements

on

both

the front

are

shown

5-2

and

in

figure

defined

and

in

rear

5-1

Table

panels

and

5-3.

of

the

defined

in

κ

SYSTOLICÍ

mmHg

PULSE

bpm

ALESIGNS

NONITORH1646

CYCLE

TUE)

SET

m

DIASTOLIG

a.

Bi

È |

Reference

1

17

MAP

Table

Placard

mmHg

Figure

5-2

Front

5-1

Front

Panel

This

3-digit red

In

addition

+

Flashes

«

Shows

pressed

«

Displays

15

Panel

Controls

this

cuff

hours

MAP

14

Controls

and

LED

display

display:

pressure

contained

alarm

limits

13

and

Indicators

Function

shows

during

in

the

(see

deflation

24

12

Defined

mean

arterial

time

hour

clock

reference

pressure.

when

4,

SELECT).

11

TIME

OF

10

DAY

is

de-

CUFF

kPa

SELECT

This

illuminated

kPa

indicators

and

French

This

momentary

played. SYSTOLIC, to

Pressing

allow high third

limits

return

ond

matically

Pressing

display

the

and

respectively

the

time

indicator

will

only

language

pushbutton

the

and

allow

the

high

and

the

switch a second

HIGH

LIMIT

low

MAP

alarm

fourth

time

in

values

limit

returns

for

of

the

each

to

signifies

light

units

switch

the

HIGH

low

and

LOW

limits

will

allow

the

same

last

determination

of

these

the

if

internal

only).

switch

the

first

LIMIT

systolic

alarm

time

will

LIMIT

in

the

setting

manner.

operations,

displays.

kPa

switch

selects

time

will

and

LOW

limits

blank

switches

MAP

display.

pulse

rate

Pressing

to

aii

at

is

the

alarm

blank

LIMIT

in

the

all

displays,

to

be

and

the

displays.

which

is

in

progress.

set

(German,

limits

to

all

displays,

switches

SYSTOLIC

used Pressing diastolic

switch a fifth

There

time

except

to

the

high

the

monitor

to

display

is a 10

British

be

dis-

except

be

used

display.

MAP

and

the

switch

and

low

time

will

sec-

auto-

a

Table

5-2

Front

Panel

Controls

and

Indicators

Defined

(Cont'd)

5

6

7

AUTO/MANUAL

START

STAT

MODE

This

momentary

and

indicates

will

change

LED.

Manual

Asingle

is

determination

pressed. Subsequent the

CYCLE

initlated

The

at

This or wait

ual

in

by

cycle

the

beginning

momentary

auto

mode.

time;

mode,

auto

mode,

timer

if

begin a new

This

momentary

the

stat

mode

manual

minute

however,

or

period.

the Recorder/ tions

or

display

return

to

the

was

auto,

cycle mode. state. ing was

GEL

If

that

Exit

from

CANCEL.

initiated.

is

pressed.

pushbutton

the

mode

the

operating

mode

is

entered

is

In

auto

mode

determinations

MINUTES

pressing

is

started

of

each

display the

pushbutton

The

START

pressed

determinations

during

pressing

the

cycle.

pushbutton

of

operation.

auto

mode

and

Patient

alarms

occurrence

Printer

of

mode

time

mode

the

This

If

that

(if

attached)

values.

it

was

will

was

stat

mode

will

return

mode

switch

of

operation

mode

when

made

each

one

occur

(reference

START

when

auto

automatic

switch

any

other

are

initiated

START

switch

Stat

will

perform

cannot

of

an

out-of-limits

and

Atthe

end

in

before

begin

at

manual,

may

the

was

auto,

with

adjacent

for

the

as

indicated

power

time

the

determination

at

the

end

12).

switch

(or

mode

determination.

will

initiate a determination

will

initiate a determination

time,

only

switch

mode

and

will

yellow

may

LED

monitor.

by

is

first

applied

START

is

of

the

Determinations

footswitch)

is

first

entered

there

will

by

pressing

initiate a determination

LED

be

entered

continuous

be

accessed

alarm

will

not

inhibit

the

of

the 5 minute

stat

mode

was

the

end

of

the

last

the

monitor

be

accomplished

monitor

the

to

the

cycle

will

mode

time

return

indicators

Pressing

the

associated

switch

initiated

cycle

controls

this

to

the

monitor.

(or

footswitch)

immediately.

time

shown

may

during

and

wait

is

restarted

in

only

be

no

effect.

the

START

selects

at

and

any

indicates

time

determinations

during

be

series

period,

initiated.

STAT

noted

of

the

If

on a Trend

determina-

monitor

that

determination

to

the

wait

at

it

will

anytime was begin

by

in

before

when CAN-

switch

green

in

also

be

time.

manual

during

In

man-

switch.

and

from

for a 5

made,

will

mode

in

stat

time

press-

stat

10

11

CANCEL

SYSTOLIC

DIASTOLIC

POWER

ON

OFF

mmHg

This

momentary

this

switch

alarms

exit

the

CANCEL ted.

Visual

displays

This

3-digit

In

addition

+

Shows pressed

«

Displays

This

3-digit

In

addition

e

Displays

This

pushbutton

will

except

certain

calibrate

is

pressed

and

will

maintain

red

this

minutes

systolic

red

this diastolic

pushbutton

switch

performs

terminate a determination,

system

mode.

during

audible

the

LED

display

if

CANCEL

stepping

alarms

last

shows

alarms

(see

is

time,

may

be

cancelled

determined

systolic

Table

pressed

the

values.

display:

contained

alarm

LED

display

display:

alarm

latching

in

limits

shows

limits

switch

the

24

(see

reference

the

(see

reference

controls

hr.

diastolic

the

several

cancel

functions.

all

10-1),

during

visual exit

determination

during

pressure.

clock

when

4,

SELECT).

pressure.

4,

SELECT).

AC

power

and

stat

mode,

inflation

will

wait

time

TIME

OF DAY

to

the

monitor.

Pressing

audible

and

time,

or

be

abor-

and

the

if

is

Table

5-2

Front

Panel

Controls

and

Indicators

Defined

(Cont'd)

12

13

14

(CYCLE)

SET

HIGH

LIMIT

MINUTES

This

2-digit,

matic

mode.

in

auto

or

manual flashed the

using played data

Pressing

ation. cuff

This

auto

and calibrate

pressing

manual

This

selected the

in

the

display

the

SET

periodically

update.

START

Pressing

and

begin a new

momentary

mode.

90

minutes.

mode

CANCEL.

mode.

momentary

by

display

overlapping

played limit

at

alarm

the

red

LED

display

The

display

mode,

CYCLE

indicates

switch.

to

at

any

CANCEL

pushbutton

The

MINUTES

Pressing

(see

pushbutton

the

SELECT

to

step

through

the

low

time

the

setting.

is

blanked

elapsed

MINUTES

the

cycle

The

elapsed

indicate

time

cycle.

increments

SET,

Section

This

will

switch.

the

limit

will

HIGH

shows

the

cycle

time

in

minutes

when

in

time

display.

time

of 3 minutes, time

the

amount

will

begin a new

manual

(since

When

of

the

of

the

auto

mode

This

current

time

elapsed

cycle

or

last

during a determination

switch

zero

switch

not

LIMIT

as

power

9).

Calibrate

the

displays

If

pushed

entire

range

be

displayed).

switch

increments

are

1,

2,3, 4,5,

is

applied,

displays

the

and

held,

of

high

is

released

the

mode

and

current

the

limit

Whatever

stat

data

is

may

be

cycle

and

new

will

MINUTES

10, 15,

will

place

can

return

high

switch

settings

will

be

when

in

auto-

modes.

When

update)

first

entered,

changed

is

briefly

since

the

determin-

deflate

when

20, 30, 45,

the

unit

be

exited

the

unit

alarm

will

cause

(settings

setting

the

is

new

is

by

dis-

last

the

in

60

in

by

to

limit

dis-

high

15

16

17

LOW

LIMIT

ALARMS

PULSE

ON/OFF

bpm

This

momentary

selected the

by

display

to overlapping play

at

the

time

alarm

setting.

This

momentary

of

the

audio

when

an

alarm

green

LED

will

wil!

be

lit

and

inhibited

This

In

+

Displays (refer

+

Displays

and

3-digit

addition

to

Section

this

the

pulse

pushbutton

the

SELECT

step

the

high

the

pushbutton

alarm.

condition

flash

when

the

yellow

red

LED

display:

800

rate

switch.

through

limit

will

LOW

LIMIT

in

the

is

on

and

an

alarm

LED

display

series

11). alarm

switch

If

pushed

the

entire

not

be

switch

with

ON

state,

detected,

off.

in

the

condition

will

flash

shows

alarm

codes

limits

(see

displays

range

and

of

the

heid,

low

displayed).

is

released,

LED

indicators

the

green

the

audio

OFF

state,

is

detected,

on

and

off.

the

pulse

rate.

during

reference

current

the

limit

Whatever

will

be

(top)

LED

alarm

will

the

yellow

the

audio

certain

4,

SELECT).

low

alarm

switch

will

settings

setting

the

new

controls

will

be

sound

(bottom)

alarm

conditions

limit

cause

(settings

is

dis-

low

limit

the

state

lit

and

the

LED

will

be

11

CRITIKON

EO

DST

EE

E

INC

<<:

Reference

1

Placard

TIME

OF DAY

PRINTER

DATA

INTERFACE

ALARM

Table

VOL.

Figure

5-3

Rear

This

for

tion

displays. SYSTOLIC cates

replacement.

Connector

computer.

This safe). wise

alarm,

7

5-2

Rear

Panei

Panel

Controls

3-position

procedure).

displays

potentiometer

Turning

will

Hours

display.

that

the

port

decrease

it

can

the

only

Controls

and

switch

Moving

contents

are

If

the

clock

for

connection

for

connection

adjusts

control

the

attenuate

and

Indicators

Function

displays

this

switch

of

the

displayed

time

of

baitery

on

the

clockwise

volume.

it.

6

indicators

Defined

and

sets

the

to

the

24

hour

clock

in

the

day

is

flashed

the

CPU

of

Trend

Recorder/Printer

of

analog

volume

wiil

This

of

increase

control

time

of

momentary

in

the

MAP

display;

ata 1 Hertz

board

strip

chart

the

audio

the

cannot

day.

(See

TIME

MAP

is

low

recorder

alarms

volume,

silence

Section

OF

DAY

posi-

and

SYSTOLIC

minutes

rate,

and

cable.

counterclock-

in

this

in

need

or

external

(except

the

audio

indi-

fail-

8.6

the

of

12

SWITCH

CUFF

TONE

CONNECTOR

This

3-position

When a valid

generated

three nates

Screw

at

lower

these

type

switch

front

panel

the

rear

frequency

audio

tones.

connectors

controls

switch

panel

speaker.

audio

for

connection

the

entry

tones

volume

is

are

of

made, a single,

When

an

generated.

of

pneumatic

the

audible

invalid

The

short

entry

OFF

position

(cuff)

hose.

switch

is

tones.

audio

tone

atternpted,

is

elimi-

Table

5-3

Rear

Panel

Controls

and

Indicators

Defined

(Cont'd)

PRINTER

LINE

POWER

Power

Cord

Connector

Fuse

Printer

fuse

Section

Monitor

AC

power

(functional

15

for

rating.)

fuse,

(See

cord

when

Section

connector

Trend

15

for

with

Recorder/Printer

rating).

retaining

clip.

is

attached).

(See

13

| ]

6.1

Initial

Section 6 contains

instructions,

tions,

6.1.1

The

items inspect

representative,

1-800-237-7517

instrument

1-800-237-5591

1 - Vital 1 - Operation

1 -

Cuff

1 -

Pneumatic

Adult/Pediatric)

1-

Pneumatic

Neonatal)

1-Set

1 -

Calibration

1 - Power

6.1.2

With

1.

Check

number

and receptacle

Set

electrical

as well as

Unpacking

monitors

listed

each

is

it

is

advisable

erials

(box,inserts)

was

shipped

store

the

Center

for

Signs

(Standard

Neonatal

Cord

Electrical

Monitor

the

plate

make

Up

cuff

the

shipping

in

Table

item.

If

or

(1-800-282-7533

damaged,

(1-800-282-9151

unit

repair.

Monitor

Manual

Hose

Cuffs

Kit

and

Off:

voltage

attached

sure

to

be

Section

preparation

and

pneumatic

size

and

Monitor

carton

6-1

below.

an

item

is

Critikon,

to

in

or

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with

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it

matches

used.

contact

NOTE

keep

in

which

the

event

return

Checklist

Model

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Luer

(4

per

set)

Table

Connections

rating

to

inc.

6-1

and

placement

should

Account

missing

Customer

in

Florida).

Field

in

Florida).

the

original

your

that

you

it

to a Service

1846

Connector

(5

per

set - Dec

stamped

the

rear

the

line

6.

Monitor

initial

set-up

hose

connec-

instructions.

contain

for

call

your

sales

Service

If

Service

mat-

monitor

wish

to

(12

ft.

-

Block

(8

1984)

on

the

serial

of

the

monitor

voltage

of

the

and

at

the

at

ft.

the

-

Installation

panel. age

.

Connect at

connection; either

monitor TIGHTEN. tightening

.

Measure

proper

cuff

.

Plug

the

receptacie.

the

dual-pneumatic

the

rear

panel.

either

port.

Thread

ports

The

the

limb

size

cuff

or

cuff

package.

Cuff

Type

Neonate

Neonate Neonate

Infant

Child

Smail

#1

#2

#3

#4 #5*

Adult

Large

Adult

Thigh

*

available

Table

6-2

Cuff-to-

Connect

connectors

the

cuff

onto

OVERTIGHTEN.

Squeeze

Place

6-1.

be

so

determinations.

all

the

Observe

placed

tight

as

the

cuff

the

over

to

EXCESSIVE CONGESTION THE

LIMB.

other

until

pneumatic

connector.

on

end

There

hose

the

hose

finger-tight

of

the

according

December

Hose

to

the

hose

air

from

the

patient

mark

on

the

artery.

prevent

venous

NOTE

TIGHTNESS

AND

DISCOLORATION

into

an

appropriate

hoses

to

is

no

preferred

may

be

connected

connectors

DO

NOT

seal

is

NOT

patient

to

the

Use

and

size

Hose

330-020

330-020 330-020

330-017 330-017

330-017

1984

Compatibility

hoses.

the

Thread

connectors.

cuff.

as

shown

inside

of

Be

sure

the

return

WILL

CAUSE

the

monitor

order

onto

OVER-

made

select

marked

No.

the cuff

DO

in

Figure

the

cuff

between

OF

volt-

the

by

the

on

NOT

is

not

of to

to

Connect

monitor

14

the

detachable

and

engage

10-foot

the

cord

power

lock

cord

on

the

to

the

rear

“Note:

Do

ity

being

not

used

place

the

for

cuff

on

an

intravenous

extrem-

infusion.

一一

一

CRECOMMENDEDCUFFREPLACEMENT

)ーーーーーーーーーーー」

u

8.

If

another is

it

becomes

used.

To

obtain

ity

and

ADULT/PEDIATRIC

limb,

accurate

cuff

necessary

make

motion

to

sure

the

NOTE

determinations,

must

be

-一

Figure

change

appropriate

minimized.

the

extrem-

一

cuff

size

6-1

to

cuff

Cuff

Placement

9.

Before

operating

NEONATE

powering

precautions

up

the

monitor,

listed

in

Section

read/review

7.

all

15

7.1

Operating

Although

been

designed

in

medical

observe and

reliable

1)

Read

material

2)

Read labels

3)

Place

Section

Precautions

the

DINAMAP™

to

provide

environments, a responsible

the

following

operation

and

have a thorough

presented

and

observe

affixed

the

to

monitor

the

Vital

safe

and

precautions

of

this

unit.

understanding

in

this

manual.

all

the

caution

unit.

on a rigid,

Signs

to

secure

7.

Monitor

reliable

operator

ensure

and

surface.

Operating

has

operation

will

the

safe

of

the

warning

4)

5)

6)

7)

8) A momentary

Precautions

Arrange carefully

Allow of

Do

Do able

monitor

default

the

so

they

for

heat

the

chassis

not

place

not

use

the

anesthetics.

to

revert

alarm

power

do

dissipation

is

unobstructed.

fluids

monitor

power

to

limits

cord

and

pneumatic

not

constitute a hazard.

by

ensuring

on

the

monitor.

in

the

presence

interruption

manual

in

effect.

will

mode

that

of

cause

with

hoses

the

rear

flamm-

the

preset

16

8.1

Power-up

Push

serve

eights

in

that

in all

1,

tors as a check

audio

alarm

ation.

.

Setthe

itor and

Set

to

on

the

ALARM

the

while

SWITCH

monitor

Set

the

audio

panel

to

itor

will

generate

dition

and

ALARM

tient

and yellow 866,

Table

Check

.

OF

Set limits

from

8.2

The each

Neonatal with

LED

or

10-1).

DAY

the

if

the

Set

Alarm

Adult

time

Neonatal

877

and/or

it

limits

inspecting

are

as

follows:

SYSTOLIC SYSTOLIC

Procedure

the

locking

the

digital

for

is

also

VOL.

desired

adjusting

TONE

to

the

desired

ALARM

the

desired

an

the

green

OFF

the

audio

excess

indicator

alarm

set

switch

systolic,

preset

is

desired

on

MAP

values.

Limits

preset

power

default

is

are

desired

cuff

or

changing

high

limit = 240

low

limit

Section

POWER

monitor

displays

the

warbled

level

mode.

audio

time

cannot

the

Procedure

first

and

=

operation

control

by

the

switch

position.

ON/OFF

In

alarm

LED

alarm

will

flash.

be

time

rear

pulse,

that

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alarm

applied

make

hose

limits.

Adult

O

momentarily

and

as a check

on

turning

control.

indicator

of

mmHg mmHg

8.

ON

switch

flashes

of

all

the

rear

the

on

the

switch

ALARM

is

audio

day

and

These

ON,

for

any

will

inhibited

conditions

Any

800,

disabled

using

the

unit.

diastolic

limits

be

limits

are

to

the

one

determination

attached

default

240

Operating

and

ob-

displays

all

indica-

LEDs.

The

for

its

oper-

of

the

mon-

monitor

rear

on

alarm

monitor.

Neonate

0

off

of

the

front

the

mon-

con-

flash.

for

all

pa-

and

the

811,

822,

(See

`

the

TIME

alarm

changed

in

effect

prior

limits

mmHg mmHg

In

if

to

the

If it

is

desired

lowing

1.

steps:

Momentarily

SYSTOLIC its.

All

SYSTOLIC

vaiue

.

Momentarily

current LIMIT

the

high

LIMIT switch

Momentarily piay

the

play.

monitor range

desired

Momentarily

the

MAP

All

other

display ous

determination

Momentarily

current

hold

HIGH

ment

lease

setting.

.

Momentarily play Press

the

monitor

range

the

desired

Monitor

to

change

press

display

other

displays

display

of

the

systolic high

to

cause

alarm

range

at

press

current

Press

and

to

increment

settings.

setting.

press

display

displays

will

show

press

high

limit

LIMIT

through

the

and

settings.

the

HIGH

press

current

hold

to

setting.

these

SELECT

to

show

will

show

determination).

HIGH

limit.

the

monitor

settings.

the

desired

the

LOW

low

limit

hold

LOW

through

Release

the

to

show

will

zero

if

the

SELECT

be

(or

one

HIGH

in

the

MAP

to

cause

high

alarm

LIMIT

the

LOW

low

limit

the

LOW

increment

Release

the

fimits,

the

systolic

be

blanked

zero

LIMIT

Press

to

increment

Release

setting.

LIMIT

in

the

LIMIT

LOW

switch

the

MAP

blanked

the

MAP

was

performed).

LIMIT

display.

the

monitor

range

switch

LIMIT

in

the LIMIT through

LOW

perform

to

enable

alarm

(or

the

to

display

and

hold

the

switch

SYSTOLIC

to

cause

the

low

LIMIT

switch

to

alarm

and

the

of

the

to

display

Press

settings.

at

the

switch

MAP

switch

the

LiMIT

to

low

switch

the

fol-

the

lim-

and

the

systolic

the

HIGH

through

HIGH

to

dis- dis-

the

alarm

at

enabie

limits.

MAP

previ-

the

and

to

incre-

Re-

desired

to

dis-

display.

cause

alarm

at

MAP

high

MAP

low

PULSE PULSE

high fow

DIASTOLIC

Table

limit

fimt

high

low

8-1

=

limit = 130

limit

=

Preset

140

mmHg

50

mmHg

220

bpm

40

bpm

mmHg

0

mmHg

Default

Alarm

100

mmHg

30

mmHg

220

bpm

40

bpm

130

0

Limits

mmHg

.

Momentarily

the

PULSE

its.

All

other

pulse

display

current

press

the

display

displays

will

show

determination

press

high

limit

in

to

show

HIGH

the

SELECT

the

will

be

zero

(or

if

one

LIMIT

PULSE

switch

pulse

blanked

the

was

performed).

to

display.

to

enable

alarm

and

pulse

display

lim-

the

of

the

Press

17

and crement Release

setting.

Momentarily play Press

the

range the

10.

Momentarily DIASTOLIC limits. DIASTOLIC stolic

Momentarily

11. current LIMIT

the

LIMIT

Momentarily

12.

play play.

monitor

range

desired

Momentarily

13.

switch if

no

while

return

8.3

Manual

1.

Press

hold

HIGH through the

the

current

and

hold

monitor

settings.

desired

All

other

value

diastolic

to

cause

high

alarm

switch

the

current

Press and

to

settings.

setting.

to

return

switch

setting

to

the

Mode

START

LIMIT

the

HIGH

LIMIT

press

the

low

the

LOW

to

increment

Release

setting.

press

display

to

displays

display

of

the

high

the

monitor

range

at

the

desired

press

the

low

hold

increment

Release

press

the

is

pressed

limits,

the

normal

to

begin

to

cause

high

alarm

switch

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LIMIT

limit

in

the LIMIT through

the

LOW

SELECT

show

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be

will

show

determination).

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LIMIT

limit.

Press

to

settings.

setting.

LOW

limit

in

the

LOW

through

the

LOW

the

SELECT

display

to

within a 10

monitor

display.

each

determination.

the

monitor

range

at

tne

switch

PULSE

switch

the

LIMIT

to

enable

the

diastolic

blanked

zero

(or

to

and

increment

Release

LIMIT

switch

DIASTOLIC

LIMIT

to

the

LIMIT

or

normal

second

will

automatically

to

in-

settings,

desired

to

dis-

display.

to

cause

low

alarm

switch

the

alarm

and

the

dia-

display

hold

the

HIGH

through

the

HIGH

to

dis- dis-

cause

low

the

alarm

switch

CANCEL

operation.

period

at

then

release

show

the

last

ated

manualiy

by

pressing

new

wait

.

Press

CANCEL

flate

cuff,

alarm

indicators.

8.5

Stat

Mode

i.

Press

STAT

tinual

determinations.

the cuff

Patient

mode,

alarm

will

attached)

nations

tered

from

During

exceeded,

be

noted

and

the

ute

period

.

After 5 minutes, is

pressed,

operating

new

wait

the

amount

data

of

update. A determination

at

any

the

START

cycle,

to

or

to

cancel

MODE

is

deflated

alarms

however,

or

cannot

the

be

noted

and

will

display

manual

stat

mode,

the

alarms

on a Trend

determinations

is

completed.

or

the

monitor

mode.

cycle

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will

initiate a determination

entering

8.6

Setting

1.

Momentarily

the

and hour

rear

the

clock.

auto

from

Time

push

panel

to

minutes

of

display

switch.

The display

time

which

has

expired

may

time

during

switch.

abort a determination

excess

to

start

a 5

After

to

allow

be

accessed

occurence

on a Trend

not

inhibit

of

values.

or

auto

mode

if

any

patient

will

not

Recorder/

will

continue

whenever

will

the

started.

the

This

will

time

and

minute

each

period

determination,

for

venous

during

of

an

Recorder/Printer

the

series

Stat

mode

during

alarm

be

generated

Printer

until

the

CANCEL

return

to

the

mode

The

monitor

immediately

stat

mode.

Day

up

the

TIME

OF

DAY

the

hours

(MAP

(SYSTOLIC

display)

will

briefly

since

be

initi-

wait

period

begin

a

and

de-

patient

of

con-

return.

STAT

out-of-limits

(if

of

determi-

may

be

en-

wait

time.

limits

are

but

will

(if

attached}

the 5 min-

switch

auto,

a

will

not

after

re-

switch

on

display)

of

the

24

2.

Press

8.4

1.

flate alarm

Auto

Press

CANCEL

cuff,

indicators.

Mode

AUTO/MANUAL

or

to

start a determination. the

LED

above

the

appearance

MINUTES

Preset

cycle

until

cycle

time,

the

display.

time

press and

desired

18

abort a determination

cancel

the

of

cycle

excess

to

enter

Auto

mode

AUTO/

the

is 3 minutes.

cycle

hold

time

MANUAL

time

the

CYCLE

appears

time

auto

is

To

and

patient

mode

indicated

switch and

in

the

CYCLE

change

SET

switch

in

the

display

de-

and

by

the

.

Push

SYSTOLIC the

switch

cycles

.

When

push

the

hours

(units)

.

When

push the

hours

(tens)

up

and

hold

and

observe

between 1 and

the

correct

the

TIME

OF

(tens)

digit

begins

the

correct

the

TIME

OF

(units)

digit

begins

the

TIME

OF

MAP

displays

that

2.

digit

is

displayed,

DAY

switch

is

up

fixed

incrementing

digit

is

displayed,

DAY

switch

is

fixed

and

incrementing

DAY

zero.

hours

and

that

from 0 to

up

and

that

from 0 to

switch

until

Release

(tens)

digit

momentarily

observe

the

that

hours

9.

momentarily

observe

the

that

minutes

5.

When

push

the

utes

.

When

push

the

reverts the with duration

years

of

SYSTOLIC

changed

the

minutes

(units)

the

minutes

to

time

power

of

minimum.

day

will

correct

TIME

correct

TIME

the

of

the

OF

(tens)

digit

begins

OF

(units)

normal

day

clock

off

or

battery

digit

DAY

switch

digit

DAY

switch

digit

operating

the

monitor

life.

When

flash

when

displays.

by a qualified

is

displayed,

up

and

is

fixed

and

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is

displayed,

up

and

is

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and

mode.

will

continue

unplugged)

Battery

the

battery

displayed

The

service

life

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in

battery

representative.

momentarily

observe

that

the

min-

from 0 to

momentarily

observe

the

monitor

Once

to

run

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for

is

rated

low,

the

MAP

must

that

9.

that

set,

the

at 2

time

and

be

~

19

9.1

Performing

Calibration once a month

ity

of

check,

.

Obtain supplied

of

the

pressure

follow

Calibration

kept

dry

Moisture duced cause

into

damage

the

with

Connect a mercury ing

the

parts

„shown

Plug

in

the

monitor

outlet.

Press

and

POWER UTES

been CUFF

MAP

Using pressure by

release

.

Verify

ON

display

entered. indicator,

display.

the

to

the

mercury

valve

that

manometer

12mmHg

in

binations.

12mmHg junctions or

breaks.

to

qualified

and

Calibration

the

monitor

or

when

there

readings.

these

procedural

equipment

and

free

or

foreign

the

pneumatic

to

the

calibration

the

unit.

supplied

Figure

hold

switch.

confirms

9-1,

into

the

The

anc

inflation

200

mmHg,

manometér

on

manometer

the

pressure

does

60

seconds

lf

the

in

60

seconds,

rubber

If

no

cuff

service

Section

Check

should

NOTE

of

kit

manometer

SET

Flashing

unit display

bulb,

not

leak

“O”

or

hose

personnel.

be

is

doubt

To

perform a calibration

steps:

should

particulate

substances

unit.

(Reorder

with

the

specified

switch

88's

that

calibration

will

turn

cuff

manually

+1

mmHg,

and

bulb.

indicated

decrease

for

all

cuff

down

check

rings

leaks

9.

checked

about

the

always

system

to

the

calibration

while

in

pressure

close

by the

and

is

for

are

matter.

intro-

can

number

monitor

line

pressing

CYCLE

mode

on,

light

pump

as

indicated

pneumatic

more

hose

greater

cuff

and

cracks,

found,

be

mercury

Periodic

at

least

valid-

8

8886)

us-

kit

as

power

the

MIN-

has

the

in

the

up

the

than

com-

than

hose

tears,

refer

10.

9.2

Th

cloth

NOT hol

9.3

If

ex

inserts,

carton.

mation,

Maintenance

Manometer

Pressure

200

mmHg,

150

mmHg,

100

mmHg, = tmmHg

50

mmHg,

0

mmHg

. H the

ance, qualified

Pump

and

285

plays,

an

800

If

the

(275

switch

vice

Cleaning

e

exterior

slightly

immerse

or

other

Storage

it

becomes

tended

and place

See Section

Indicated

Level

+1mmHg +tmmHg

+1mmHg

Table

9-1

indicated

the

monitor

service

up

manometer

verify

at a pressure

mmHg

then

the

opens

alarm.

overpressure

mmHg

must

personnel.

of

the

+

be

monitor

dampened

unit.

DO

solvents.

necessary

period

of

the

adjusted.

time,

14

200 150 100

50

0

Calibration

pressures

must

be

personnel.

using

between

monitor

10

the

point

mmHg),

briefly

deflate

is

Refer

may

with

NOT

clean

to

store

attach

unit into

for

storage

MAP

Display

mmHg, mmHg, mmHg, mmHg, mmHg,

are

Check

not

+5 +4 +4 +4

1

within

calibrated.

the

manometer

265

blanks

valves

not

within

the

overpressure

to

qualified

be

wiped

clean

mild

detergents.

with

isopropyl

the

monitor

the

original

the

original

temperature

mmHg mmHg mmHg mmHg

mmHg

toler-

Refer

bulb

mmHg

and

the

issues

and

dis-

tolerance

ser-

with

alco-

for

packing

shipping

infor-

to

a

DO

an

Verify

pressure

20

that

at

the

MAP

display

following

indicates

pressure

the

correct

levels:

MERCURY

MANOMETER

(Open

Position}

CUFF

HOSE

CUFF

HOSE

|

ヘー

CONNECTORS

{REAR

MONITOR

| | | |

|

CUFF

PANEL)

CALIBRATION

KIT

INFLATION

BULB

Figure

9-1

Calibration

Check

Set-up

21

Section

All

alarm indications

signal

tion

A tinuous, ting

There

associated DIASTOLIC)

alternating

issued. monitor, in show

unless

OFF

state.

In

the

(other

than a microprocessor

dicated

LED).

may

alarms

by a flashing

In

the

ALARM

be

adjusted

except a microprocessor

microprocessor

high

level

of

the

ALARM

control.

are

two

and

system

10.1 Patient patient’s pulse its.

Whenever

alarms.

Patient

alarms

systolic

rate,

or

display

diastolic

will

high/low

If a Trend

the

printed

the

alarm

condition

that

the

limit

the

Alarms

include

10.

are

accompanied

ALARM

by

system

audio

ON/OFF

categories

pressure,

one

of

flash

Recorder/Printer

for

ON/OFF

OFF

ALARM

ON

state,

the

AUDIO

failure

alarm

switch

of

those

pressure

these

(SYSTOLIC,

the

determined

frequency

numeric

is

preceded

that

value

Alarm

switch

state,

an

system

OFF

indicator

the

alarm

VOL.

system

will

generate a con-

regardless

or

the

alarms:

alarms

mean

conditions

value

has

Patient

issued

arterial

is

outside

MAP,

audio alarm

is

attached

of

the

with

been

Indications

by

an

audio

is in

the

alarm

condi-

failure)

control

AUDIO

occurs,

value

an

exceeded.

is

(yellow

audio

level

for

failure.

of

the

VOL.

alarms

when

pressure,

the

set

PULSE,

and

will

to

parameter

asterisk

in-

all

set-

the

lim-

the

or

an

be

the

to

and

An asterisk out

indicates

exceeded.

Pressing

silence

display and

flash

Pressing indications.

Whenever condition alarms tion

(unless condition. initiate a second condition made.

10.2

There operator

system discussed

provided

(*)

the

audio

at

the

same

the

in

auto

and

immediately

CANCEL

To

persists,

System

are

thirteen

to

certain

failures.

in

for

ALARM

CANCEL

verify

Section

quick

Interpretation

preceding

one

ALARM

alarm,

rate.

monitor

mode,

manual

Alarms

Alarm

reference.

the

systolic/diastolic

or

both

ON/OFF

but

the

OFF

indicator

switch

detects a patient

the

monitor

begin

is

pressed)

an

alarm

while

determination.

no

further

system

abnormal

level

conditions

11,

however,

values

switch

alarming

will

cancel

will

one

more

to

verify

in

determinations

alarms

and

Table

have

to

OFF

parameter

continue

all

activate

determina-

the

manual

lf

the

to

alert

or

internat

remedies

10-1

print-

been

will

to

alarm

the

alarm

mode,

alarm

are

the

are

is

also

22

Insert

11x17

pages

here

11.1

Determination

This

alarm

unable

include: sive

arrhythmias,

tion.

In

minations

seven

cessful

retries sists. another

11.2

The

power

interrupted

minutes

seconds,

eights

indicators

warble,

new

header.

After

manual

alarm

11.3

A

microcomputer tone, silenced ing

HYOFF

blanked,

ure

has

number

failure.

this

would

In

any

Refer

11.4 This

and a flashing generated level hose initiate

to

qualified

11.5

This

condition

to

make a determination.

sudden

auto

at a higher

at

the

determination

will

be

Move

determination.

Power

up

and

in

during

in

the

on

and

the

alarm

mode

limits

in

Microcomputer

high

volume

by

alarm

this

occurred.

877,

if

the

indicate a random

case,

to

qualified

Excess

alarm

is

if

for

more

connections

another

service

Excess

alarm

is

Unsuccessful

indicates

changes

cuff

too

mode,

the

monitor

pump-up

original

pump-up

is

made

cuff

Up

cal

causes

to

Alarm

alarm

then

mode.

which

digital

and

off,

the

is

issued,

of

operation

if

the

another

(888)

occurs

restored

time

displays,

issues a one

printer

effect.

Alarm

alarm

is

audio

ALARM

would

this

PULSE

it's

Time

indicated

the

OFF

tone

(adjustable).

indicate

If

the

would

indicate a read-only

display

an

indication

service

At

One

by an

855

in

the

cuff

pressure

than

60

seconds.

for

kinks

determination.

personnel.

Determination

indicated

by

Section

Alarm

that

the

monitor

Possible

in

blood

pressure,

loose,

or

arterial

will

initiate

pressure,

pressure

made.

899

No

alarm

location

anytime

to

the

The

alarm

the

monitor

toggles

(if

attached)

the

monitor

with

the

(Blank,

indicated

alarm

or

that a microprocessor

PULSE

which

CANCEL

display flashes

flashes

access

of a hardware

personnel.

Pressure

alternating

PULSE

display.

is

held

Check

or

blockages

If

alarm

Time

an

alternating

Alarm

two

followed

until a suc-

more

condition

and

that

monitor

lasts

displays

second

reverts

preset

877

by a steady

cannot

or

an

If

all

displays

the

number

memory

Alarm

The

at

one

the

persists

(844)

11.

(899)

causes

exces-

obstruc-

deter-

than

nine

per-

attempt

power

or

after

for

three

ail

LED

audio

to

print

to

the

default

OR

866) high

alternat-

fail-

memory

866,

failure. failure.

(855)

alarm

tone

alarm

pressure

cuff

and

then refer

alarm

tone

Troubleshooting

is

by

all

be

are

the

and a flashing

generated

seconds

patient patient Move

determination.

patient's

11.6 This

tone alarm

is

exceeds

in

3

connections

If

alarm

11.7 This

a

tone

alarm set

determination.

11.8

This

tone alarm that

are

is sonnel.

11.9 This

and a flashing generated

one

wrong

service

is

11.10

This

alarm The and

lowing

844

if

which

movement movement

the

cuff

blood

Excess

alarm

Inflation

is

indicated

and a flashing

is

generated

30

seconds

the

pneumatic

for

persists

Needs

alarm

and a flashing

the

Voltage

alarm

and a flashing

one

out

within

Check

alarm

or

Pressure

is

indicated

is

generated

proper

is

indicated

is

generated

or

more

of

tolerance.

Internal

is

when

more

of

position

personnel.

Out

indicated

802

Excess

alarm

is

indicated

tone

and a flashing alarm can on.

The

alarm

conditions

in

determination

is

usually

and/or and

to

another

/f

the

pressure

system.

leaks

refer

if

zero

Refer

of

when

internai

in

the

internal

or

Pressure

only

be

is

occur:

the

PULSE

display.

time

caused

erratic

check

alarm

by

Time

by an

833

in

if

the

and

is

and

to

qualified

Calibration

by an

822

in

the

microprocessor

offset

to

qualified

Limits

by an

811

in

the

DC

Make

Refer

Switches

by an

the

PULSE

microprocessor

has

failed.

Alarm

by a continuous

800

cleared

pulse

the

patient's

location

persists,

an

alternate

Alarm

alternating

the

PULSE

initial

cuff

usually

Check

try

the

another

service

Alarm

alternating

the

PULSE

at

the

service

Alarm

(811)

alternating

the

PULSE

microprocessor

power

sure

the

to

qualified

(802)

alternating

display.

dip

switches

Refer

(800)

in

the

by

generated when

The

alarm

exceeds

by

excessive

rate.

Restrain

pulse

and

try

another

check

method.

(833)

audio

display.

inflation

caused

by

cuff

and

determination.

personnel.

(822)

audio

display.

is

unable

beginning

personnel.

audio

display.

detects

supply

AC

PULSE

turning

line

service

audio

This

detects

is

set

to

qualified

HI/OFF

power

any

of

voltages

voltage

alarm

display.

the

is

120

rate.

the

alarm

The

time

aleak

hose

alarm

The

to

of

a

alarm

This

per-

tone

is

that

in

the

audio

off

fol-

25

» If

the

sensed

20

mmHg

wait

cycle.

« İf

the

sensed

with

an

Adult/Pediatric

«

if

the

sensed

with a Neonate

»

If

the

sensed

for a period termination

cuff

for

more

cuff

longer

with

pressure

than

pressure

cuff

pressure

cuff

attached.

pressure

than

20

an

Adult/Pediatric

remains

20

seconds

exceeds

attached.

exceeds

seconds

higher

during

275

mmHg

235

mmHg

250

mmHg

during a de-

cuff

attached.

than

the

Check rear

alarm

function.

This Check source.

This

too

every

This

too

every

of

11.11 condition

lem

persists,

11.12 condition

small, level. heart

level.

level,

then

11.13

condition

large,

level. heart

level.

level,

to

see

the

persists,

Refer

Monitor

that

Check

Monitor

Use

inch

Monitor

Use

then

inch

if

the cuff

unit

is

kinked

it

is

to

qualified

Will

could

monitor

fuse

refer

to

Displays

could

or

by the cuff

the

proper

If

the

cuff

compensate

below

heart

Displays

could

or

by

the

cuff

the

proper

If

the

cuff

compensate

above

heart

RETURN

or

otherwise

an

indication

service

Not

Power

be

caused

is

connected

(unplug

qualified

Extremely

be

caused

being

size

cuff

cannot

by

subtracting

level.

Extremely Low

be

caused

being

size

cuff

cannot

by

level.

hose

of a hardware

personnel.

Up

by

lack

to

the

monitor

service

by

using a cuff

positioned

or

reposition

be

positioned

by

using a cuff

positioned

or

reposition

be

positioned

adding

attached

blocked.

of

AC

an

AC

first).

personnel.

High

Readings

below

1.8

mmHg

Readings

above

1.8

mmHg

to

the

If

the

mal-

power.

power

!f

prob-

that

heart

cuff

at

heart

that

heart

cuff

at

heart

is

at

for

is

at

for

11.14

Patient mination This

condition

alarm

limits.

tion

8.2)

26

Alarms

could

Reset alarm

and

try

Activate

be

another

After

Every

caused

limits

by

as

required

narrow

determination.

Deter-

high/low

(see

Sec-

Section

12.

Product

Accessories

Accessory

DISPOSA-CUF™

Disposable

Large

Adult Adult Small

Adult Thigh Child

Infant *Neonatal *Neonatal *Neonatal *Neonatal *Neonatal

DURA-CUF™

Bladder-less

Large

Adult

*Adult

Small

Adult Thigh Child Infant

Blood

#1 #2

#3

#4

#5

(available

Blood

Pressure

Dec.

Pressure

Cuff

84)

Cuff

Regular

(White)

2643 2603

2608 2648 2613 2618 2638 2633 2628 2623

2619

2691 2674 2679 2696 2681 2683

Reorder

Infection

Control

(Yellow)

2642 2602 2607

No.

Sterile

(White)

8311 8312 8313 8314

Hose,

Pneumatic, *Hose, “Hose, *Calibration *Power

Model

Printer

Universal

Universal Universal

Model *Operation Service

Pneumatic, 8 foot,

Pneumatic,

Kit

Cord

1900

Trend

Paper

Mounting

Paper

Wall

Pole Wall/Pole

903

or

904

to

1903

or

1904

902

Mobile Manual

Manual

*Standard

(shipped

24

foot,

(Adult/Pediatric

(Neonate

12

foot

(Adult/Ped

(Domestic)

(International)

Recorder/Printer

(Model

1900)

Bracket

(Model

1846P)

Mount

style

Mount

wall

Kit

or

pole

mounts)

Stand

(776-321)

(776-334)

with

monitor)

Cuffs)

(40

(adapts

mounts

only)

Cuffs}

column)

8974 8887 8973 8886 8884 8885 8240 B855 0908 8955

1903 1904

1905

0902

27

Section

13.

Mechanical

Specifications

ως

Specification Size:

Weight:

Color:

Mountings:

Portability:

Printer

Operator's

Power

Attachment:

Cards:

Cable:

4.85

inches

18

Ibs

Biue

case

Self-supporting

rear).

Heavy

Provisions

the

monitor

Five

operator's

unit,

accessible

Domestic - 10

3-prong

international - 10

Max

with

duty

carrying

are

case

hospital

high;

(60

Hz

black

on

made

instruction

10.75

unit)

front

rubber

handie

to

using

from

the

foot,

detachable,

grade

foot,

Compliance

inches

19

attach

an

plug.

detachable,

wide;

Ibs

Max

panel.

feet.

One

on

the

adapter

cards

front.

side,

optional

are

10.75

(50

Hz

hinged

with

bracket.

secured

blue

jacketed,

blue

jacketed,

inches

unit).

bail

cord

Trend/Recorder

deep.

at

the

wrap

in a tray

16

front

mounted

on

gauge

(relocatable

on

rear

Printer

the

to

the

underside

terminated

un-terminated.

to

of

unit.

top

of

the

of

the

with

Section

Specification Operating

Storage

Humidity:

Altitude:

Temperature:

14.

Temperature:

Environmental

+50°F

—299F

0 to

95%

~1000

Specifications

Compliance

to + 104°F

to + 1409F

non-condensing

to + 15,000

(+

(-349C

10°C

to

feet.

to

+40°C)

+60ºC)

28

LS

Section

15.

Power

Specifications

Specification Input

Voltage:

Input

Power:

Fuses:

Printer

Fuses:

Domestic - 120

VAC/

57-63

Hz

intntl. - 100

VAC/

Intnil. - 220

VAC/

intntl. - 240

VAC/

120

VAC/60

47-63

0.8

Amps

0.5

Amps

VAC/50

Hz

VAC/50

Hz

VAC/50

Hz

SLO-BLO @ 250 100

VAC/50

Hz - 1

SLO-BLO @ 250

220

VAC/50

Hz - 2

SLO-BLO @ 250

240

VAC/50

Hz - 2

SLO-BLO @ 250

100/120 220/240

VAC, 3 Amp., VAC/

3.15

Compliance

VAC/60

Hz

maximum maximum

- 1

each, 1 1/2

VAC.

each, 1 1/2

VAC.

each,

VAC.

each,

VAC.

3AG

Amp.,

Hz

(nom.),

@ @

104-132

88-112

194-246

212-268

100,

120

220,

240

Amp.,

0.8

Amp.,

0.8

Amp.,

SLO-BLO @ 250V

FST

SLO-BLO @ 250V

VAC. VAC.

3AG,

FST,

FST

29

Section

16.

Performance

Specifications

Specification Cuff

pressure

Initial

cuff

inflation:

Cutt

inflation

Systolic

rate:

determination

(Adult/Pediatric):

(Neonate):

MAP

Determination

(Adult/

Diastolic

Determination

(Adult/Pediatric):

range:

Pediatric}:

(Neonate):

Compliance

(Adult/Pediatric) 0 to

(Neonate)

(Adult/Pediatric)

(Neonate)

Not

greater

(Maximum)

0 to

178 + 15 125 + 15

than

80

(Minimum)

(Maximurn)

(Minimum)

(Maximum)

(Minimum)

(Maximum)

(Minimum)

(Maximum)

(Minimum)

250

mmHg

235

mmHg

mmHg mmHg

mmHg/sec.

245

mmHg

30

mmHg

190

mmHg

30

mmHg

225

mmHg

20

mmHg

170

mmHg

20

mmHg

210

mmHg

10

mmHg

Pressure

Pulse

Determination

Overpressure

display

rate

determination:

rate

accuracy:

(Neonate):

accuracy:

time:

cutoff:

20

to

45

Neonates

(Max)

(Min)

seconds

(15

seconds

(Maximum)

(Minimum)

Refer

to

Table

Adults/Pediatric

220

bpm

40

bpm

typical,

(Adult/Pediatric)

120

seconds

typical

stat

(Neonate)

mode)

275 + 10 235 + 10

9-1,

200

*3.5

160

mmHg

10

mmHg

Section

bom

40

bpm

percent

maximum

mmHg mmHg

9.

λα

ο

APPENDIX

A.

Model 1846P

Printer

Operations

This

appendix

tions

for

Monitor

ing

instructions

1846P

instructions

preceeding

A

1.0

General

The

DINAMAP™ (shown printer

right ON,

manent pressures,

graphic printed.

Table

“REPLACE

printer mounted module

in

Figure

housed

side

of

the

Monitor

record

and pulse

(trend

Alarm

10-1,

PRINTER

PAPER”

reaches

on a slide-out

for

easy

replacement.

NOTE

describes

the

DINAMAP™

Model

are

1846P.

for

both

described

in

the

this

appendix.

Description

Vital

Signs

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Description

characteristics

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1846

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23.6

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NOTE

unit

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operations

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wheel

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Section

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to

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the

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parameter

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output

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the

module.

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Maintenance

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CRITIKON

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the

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release

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paper

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Service

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A-5)

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the

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Figure

A-5

DINAMAP™

VITAL

SIGNS

MONITOR

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The

information

the

evaluation

qualified

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electronics

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FIELD

FORM

Page

SAZ

이노

SA3/4

SA5/6 SA7/8

SA9/10 SA11-14

SA15/16 SA17/18

SA19-20 SA21/22

SA23/24 SA25

SA27/28 SA29 SA31/32

SA33/34

SA35/36 SA37/38

SA39/40

SA41-42

OF

No.

for

by

of

not

A

SA

General

Information

Service

The

warranty

tion

Manual.

nance period

while

has

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ranty.

Should

tenance

sales nearest

toll

you

of

representative,

to

free

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your

*

the

name

*

address

*

telephone

*

unit

model

*

unit

serial

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brief

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for

the

monitor

Should

under

expired,

warranty

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Technical

experience

your

monitor,

you,

or

call

1-800-237-5591

Repair

monitor

Regional

Field

serviced

Service

Engineering.

name

of

your

number

description

of

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is

presented

your

monitor

or

you

may

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contact

the

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(or

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in

the

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the

your

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use

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warranty

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the

or

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Engineering

1-800-282-9151

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call

nearest

Please

or

provide:

area

code)

malfunction

to

war-

main-

Center

in

the

to

you

If

you

are

for

repair,

CRITIKON

Please

pack

shipping

a

purchase

advised

to

ship

Service

with

adequate

materials

order

for

return

your

monitor transportation Center

in

your

protection

if

possible.

units

Remember

with

expired

to

prepaid

area.

using

warranty.

CRITIKON

to

the

original

to

include

SA2

Insert

11x17

pages

here

GE Critikon Dinamap 1846 SX User manual

Specifications and Main Features

Frequently Asked Questions

User Manual