GE Dinamap Pro 100-400 User manual

DlNAMAP@

Series 100-400 Monitor

Operation Manual

PRO

Df

NAMAP” PRO Monitor

Operation Manual

This manual is for
200, 300, and

l PRO 100: BP and Pulse
l PRO 200: BP, Pulse, and Temp
l PRO 300: BP, Pulse, and
l PRO 400: BP, Pulse, Temp, and

DINAMAP@

400, all with printers.

PRO Monitor Models 100,

SpO,

SpO,

The model of the Monitor determines which menu option

buttons appear on the LCD. Please refer to applicable

sections.

Reissues and Updates

Changes occurring between issues are addressed through
Change Information Sheets, Addendums, and replacement

pages. If a Change Information Sheet does not accompany

this manual, it is correct as printed.

Errors and Omissions

If errors or omissions are found in this manual, please
notify:
Critikon
Marketing Services
4502 Woodland Corporate Boulevard

Tampa, FL 33614

1-877-274-8456

Part No. 776995C

The content of this document including all figures and

drawings is proprietary information of Critikon, provided
solely for purposes of operation, maintenance or repair, and
dissemination for other purposes or copying thereof is

prohibited without prior written consent by Critikon, Tampa,

Florida.

Illustrations may show design models; production units may

incorporate changes.

Contents

Introduction

About

Product Compliance
Symbols

the

......................

Getting Started

Unpacking
Power
Powering
Rear Panel Connections.

Switching the Monitor On
Liquid Crystal Display (LCD)
Using the Printer

Sources

t.he

Front Panel Controls and

Installing the Paper
Printer Alarms
Storage

......................................................................................................................

Using the Monitor

Noninvasive Blood Pressure Determination
Procedures
Manual Mode
Auto

Mode

Stat

Mode
Predictive Temperature
Procedures
spa*

........

Procedures
Troubleshooting

Using the Menu System

Introduction
Liquid Crystal Display

....

Rotor
Menu Tree
Main Menu
Vitals Button

More Button
SetBPButton
Alarms Button
Trend

Print Button

More

SpO2

Config Button

Pwr

Time

Rotor
Display Button
Service Button
Clinician Menu
Error and Warning Messages
Alarms

......................................................................................................................

...

Button

Menu

...

Button (Models 300 and 400)

Sav

(Sleep

..........................................................................................................................

..........................................................................................................................

Button

Appendix A

Technical Specifications

..........................................................................

DINAMAP@

........

..............................................................................................

.

PRO

Monitor..

......................................................................................

.................................................................

....................................................................

.

Monitor

the

..........

Monitor

........................................................................................................

and

Accessories

.............................................................................................

.

........................................................................

.......................................................................................

Indicators

and

...............................................................................

....................................................................................................

.................................................................................................

...................................................................

....................................................................

Off

............

.

........................

....................

.

.

...............

...

...............................................................

.....................................................

.

...................................................................

.........................................................................................................

...............................................................................................................

.................................................................................................................

Determination

...............................................................................................................

....................

.............

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..

............

..............

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.............................................................

.,..,...,................,.............................................,........................,

........

...........................................

......................................................

.............................................................................................................

............................................................................................

................................................................................................................

..............................................................................

...........................

All

(UK:

.........................................................................................................

BP

(UK:

.........................................................................................................

............................................................................................................

..............................................................................................................

...........................................................................................................

.........................................................................................................

Mode)

........................................................................................................

........................................................................................................

.......................................................................................................

.........................................................................................................

.

..................................................................................

Obs)

.

Mode)

...........................................................................................

.................

..............................................................................

...........................................................

..................................................................

..........................................................................

.

..................................................................................

.....

7

7

70

11

13

13
13
13
16
17
19
19
20
20
21
21

23

23
27
29

29
30

3 1

32
34

..........

36
39

43

43
43
46
46

.__

46

47
48
48
49

51
53

53
54
54
54
55

56
56
57
58

.62

62

63

63

BP. . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

IVAC

Temperature

.,.........,.....

SpOz
Mechanical

Power Requirements
Environmental

Appendix B

Patient Alarms
System Alarms . .

Failsafe Alarm
Hierarchy

of

Appendix C

Principles

of

Appendix D

Compatibility Table and Reorder Codes

Appendix E

Warranty,
Repairs
Packing
Service Manuals .

Service,

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Instructions

Appendix F

Maintenance
Cleaning the

Cuff Cleaning and Disinfection
Temperature

SpOz

Sensors

Storage and Battery Care

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Fuses

Calibration . .

Leak Testing . .
Disposal of Product Waste . . .

Appendix

Connection
Host

Port Connector

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

..,......._,._,....,..,.,......,,.........

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

_...........

. . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..*.............

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

_..__...._....,............................................................................................

Alarms

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Pressure

Noninvasive

Blood

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..*.*......

Parts

Spare

and

. . . . . . . . . . . . . . .

.._............................,....,.....................

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..*...........................

. . . . . . . . . .

Monitor . . . . . . . . . . . . .

Devices

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

.._...._.....

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

G

Details

.._.....................................

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

.._..._....._..............................................~...................

. . . . . . . . . . . . . . . . . .

(rear pane)) . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

,......

Determination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81

._..............................................

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . 63

.._..............__......_.......

,.......

.._,.

. . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . 82

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . 86

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

63
64

66
66

:;

69
69

69

70

75

79

79

81

82
82

83

83

83
83
84
84
a5

86
86

86

89

a9
89

.I

,a

Introduction

About the

DINAMAP@

DINAMAP

PRO Monitors provide noninvasive

PRO Monitor

determination of systolic blood pressure, diastolic blood

pressure, mean arterial pressure, pulse rate, temperature,

and oxygen saturation. These portable AC- and

DC-
operated monitors are primarily intended for use in hospital
acute care settings such as outpatient surgery, accident and
emergency, labor and delivery,

Gl/endoscopy,

and medical/

surgical units.

The PRO

200, 300, and

9

PRO 100: BP and Pulse

l PRO 200: BP, Pulse, and Temp

. PRO 300: BP, Pulse, and

l PRO 400: BP, Pulse, Temp, and

Monitor comes in four different models: PRO 100,

400, all with printers.

SpO,

SpO,

All of the main operations of the PRO Monitor are easy to
use. Please review the factory default settings and, where
applicable, enter settings appropriate for your use. The
“Using the Monitor” section of this manual explains how to
use the Monitor in its most simple form, while the “Using
the Menu System” section explains how to customize
measurements by using the menu system.

lndica tions

The PRO Monitor is intended to monitor one patient at the
bedside.

Contraindications

This device is not designed, sold, or intended for use except

as indicated.

Federal law (U.S.A.) restricts this device to sale by or on the

order of a clinician.

Warnings

. .

l Do not use the PRO Monitor in the

magnetic resonance imaging (MRI)

presence of

devices. There
have been reports of sensors causing patient burns
when operating in an MRI environment.

l Do not use the Monitor in the presence of flammable

anesthetics.

l To help prevent unintended current return paths with

the use of high frequency (HF) surgical equipment,
ensure that the HF surgical neutral electrode is
properly connected.

l To avoid personal injury, do not perform any servicing

unless qualified to do so.

l WARNING: These Monitors should not be used on

patients who are connected to cardiopulmonary
bypass machines.

. If powering the Monitor from an external power

adapter or converter, use only Critikon-approved
power adapters and converters.

l The Monitor does not include any user-replaceable

fuses. Refer servicing to qualified service personnel.

l To reduce the risk of electric shock, do not remove the

cover or the back. Refer servicing to a qualified
service person.

l If the accuracy of any determination reading is

questionable, first check the patient’s vital signs by
alternate means and then check the PRO Monitor for

proper functioning.

Cautions

l Do not use replacement batteries other than the type

supplied with the Monitor. Replacement batteries are
available from Critikon. See Appendix D.

l The PRO Monitor is designed to conform to

Electromagnetic Compatibility (EMC) standard IEC
601-l -2, 1993 and will operate accurately in
conjunction with other medical equipment which also

meets this requirement. To avoid interference

problems affecting the Monitor, do not use the

Monitor in the presence of equipment which does not

conform to these specifications.

8-

Introduction

Place the PRO Monitor on a rigid, secure surface.

Monitor must only be used with mounting hardware,
poles, and stands recommended by Critikon. See

Appendix D.

The weight of the accessory basket contents should

not exceed 6.6 lb (3 kg).

Arrange the power cord, air hoses, and all cables

carefully so they do not constitute a hazard.

Verify calibration of BP parameter (temp and pulse

oximeter do not require calibration). Ensure that the
display is functioning properly before operating the

PRO Monitor.

Do not immerse the Monitor in water. If the Monitor
is splashed with water or becomes wet, wipe it
immediately with a dry cloth.

Do not gas sterilize or autoclave.

The PRO Monitor, when used with Critikon-approved

applied parts and accessories, is protected against
defibrillator damage.

Notes

l Waveforms may be distorted and readings inaccurate

when electrosurgical cautery equipment is used while

monitoring

-

The electromagnetic compatibility profile of the PRO

with the PRO Monitor.

Monitor may change if accessories other than those
specified for use with the PRO Monitor are used.

l Trend data are retained in the PRO Monitor when it is

turned off, except when the default is overridden by
selecting the Trend button under the Service menu.

Product Compliance

DINAMAP@

The

categories for compliance with

l Class
l Transportable
l For continuous operation

l Not suitable for use in the presence of flammable

I,

anesthetics

l Not for use in the presence of an oxygen-enriched

atmosphere (oxygen tent)

l Type BF applied parts

IPXl,

l

l Sterilization/Disinfection, see Appendix F

degree of protection against ingress of water

PRO Monitor is classified in the following

IEC

601-l :

internally powered

QD

@
C

DINAMAP@

us

PRO MONITOR

CLASSIFIED WITH RESPECT TO ELECTRIC SHOCK, FIRE
AND MECHANICAL AND OTHER SPECIFIED HAZARDS
ONLY IN ACCORDANCE WITH CAN/CSA C22.2 NO.

.l

601

. ALSO EVALUATED TO IEC-601-2-30.

CC

0086

This product conforms with the essential requirements

of the Medical Device Directive. Accessories without
the CE mark are not guaranteed to meet the Essential

Requirements of the Medical Device Directive.

10

Getting Started

Unpacking the Monitor and Accessories

Before attempting to use the PRO Monitor, take a few
minutes to
accessories. Unpack the
against the contents checklist enclosed in one of the
accessory boxes. This is also a good

damage or shortage. If there is a problem or shortage,
contact Critikon.

become acquainted with the Monitor and its

items carefully, and check them

time to check for any

It is recommended that all the packaging
case the Monitor

must be returned for service in the future.

be retained, in

Power Sources

The PRO Monitor is designed to operate from either an

internal lead-acid battery, AC mains or an IEC 601-l
compliant DC power source (see Appendix A).

replacement rechargeable batteries, please refer to the

Service

The Monitor contains five fuses. Two AC line input fuses

are mounted internally and are replaceable only by qualified
service personnel. The remaining three fuses are
resetable and mounted within the Monitor. These fuses
protect the low voltage DC input, the battery, and the
output on the host port connector.

section of this manual.

For

auto-

+5

Powering the Monitor

Before the PRO Monitor is used for the first time, the
battery should be charged in the Monitor for at least 8
hours.

V

Refer to the illustration of the rear panel connections.
Looking at the rear of the PRO Monitor, remove the battery
compartment cover. Insert the rechargeable battery into the
compartment so that the battery terminals fit into the power

clips at the bottom of the compartment. Then replace the
cover. Insert the power cord plug into the mains external
power socket (2) and plug into an AC outlet.

Refer to the illustration of the front panel controls and
indicators. With mains or
the green external power indicator LED (14) will light to
indicate that external power is being applied and that the

battery is charging. If the battery is not inserted, the external

externat DC power connected,

power indicator LED will flash (short flash approx. every 4

When the Monitor is running on battery

appears in

LCD area 3 (toggling with the time indicator)

power, a battery icon

set).

indicating the charge status.

During battery-only operation, the yellow battery power
indicator LED (17) will light. When the battery becomes
discharged beyond the low battery threshold, the indicator will
begin to flash, and the Monitor will sound warning beeps
every 30 seconds. At this point, the Monitor should be
connected to an AC outlet to recharge the battery. If the

Monitor continues to be used without charging the battery,
the message WARNING: THE

BAlTERY

IS TOO LOW FOR

MONITOR TO FUNCTION. TURN MONITOR OFF appears.

The Monitor shuts down all functions until it is turned off and
the battery is recharged or replaced. To run the Monitor on
AC power, it must be powered off and then on again.

Battery charging will take place as long as the Monitor remains

connected to an external AC power source. A battery that is
fully discharged can be fully recharged in

1 hour 50 minutes

when the Monitor is switched off or 8 hours if the Monitor is
switched on.

.,:

Notes

l To prolong the life of the battery, keep the Monitor

connected to an AC outlet whenever possible. NEVER
allow the battery to become completely discharged. A

fully charged battery will power the Monitor for

approximately 2 hours and should survive between
and 500 charge/discharge cycles. When it is necessary to
replace the battery, refer to the “Compatibility Table and
Reorder Codes” listed in Appendix D. To ensure full
charge cycles, replace only with a recommended battery.

If the Monitor is to be stored for some time, first charge

the battery and then remove it and store it separately from

the Monitor.

9

For continued safety, use only a power cord of listed type

SJT, three-conductor, min. No. 18 AWG, terminated in a
medical/hospital grade attachment plug, provided with
the following cord tag:

“Hospital Grade Plug.” Grounding

200

14

Getting Started

integrity can only be maintained when equipment is

connected to an equivalent receptacle marked “Hospital
Grade.”

l Where the integrity of the external earth conductor in the

installation or its arrangement is in doubt, the Monitor

be operated from its internal battery.

General Caution

Do not touch either the pin of the DC input connector (3)
or the terminals within the battery compartment (1) and
the patient at the same time.

must

15

**a

l

.:::::t:.

l

a**me*oe

l

53’

***e
:gg::gp

Rear Panel

Battery compartment cover: Retains and protects

1

internal battery
Mains input: Used to connect to AC power supply

2

External power

3

Critikon

Inactive temperature cable storage: Inactive temperature

4

probe cable attaches here (Models

Pole clamp: Used to clamp monitor to

5

Data interface connector: Host communications port

6

(15

way D-type RS-232 serial port) for use only with

Connections

socket: To be used with approved

AC-DC power converter ONLY

200

and

pole or stand

400)

equipment conforming to IEC 601-1, configured to
comply with IEC 601-l-l

16

Getting Started

15
16

17
18

I

I

Front Panel Controls and Indicators

7

Systolic pressure display:

measured systolic BP in

8

Active temperature probe holster: Temperature probe
that is being used stored here (Models 200 and

9

Diastolic pressure display: 3-digit red LED indicates

measured diastolic BP

10 Temperature probe cover storage: Box of probe covers

stored here (Models 200 and 400)

11 Inactive temperature probe holster: Extra temperature

probe can be stored here (Models 200 and 400)

12 Temperature display: 4-digit red LED indicates measured

temperature (Models 200 and 400)

“F

display: Indicates whether temperature is being

“C

13

displayed in degrees Celsius or Fahrenheit (Models

400)

and

3-digit red LED indicates

mmHg

mmHg

in

400)

200

14 External power indicator: Green LED indicates external

power status and battery charging status of monitor

15 Temperature probe connector: Temperature probe cable

attaches here (Models 200 and 400)

16

ON/OFF switch: Controls on/off state of monitor; push

for power on and push again for power off

17 Battery power indicator: Yellow LED indicates operation

and charge status of internal battery

18

SpOz

sensor connector:

SpOz sensor extension cable

attaches here (Models 300 and 400)

19 Mean arterial pressure display:

measured MAP in

mmHg

and shows instantaneous cuff

3-digit red LED indicates

pressure during BP determination

20

SpOz

pulse indicator: Yellow LED in heart symbol flashes
to indicate that real-time pulse rate measurements are
being derived from

SpOz

signals (Models 300 and 400)

21 Rotor: Used to highlight and select items in LCD

menus; if monitor is off, pressing rotor will switch
monitor on

22 Pulse BPM display: 3-digit yellow LED shows pulse rate

in beats per minute

23

24

SpOz

display:
in

% (Models 300 and 400)

SpOz

artifact indicator LED: Illuminates when motion

3-digit red LED indicates oxygen saturation

artifact is detected (Models 300 and 400)

25 LCD (liquid crystal display): Displays all alarms, user

interface messages, and configuration options

26 Alarm silence switch: Alternately mutes and enables

audible alarms; when pushed once after alarm sounds
(silence

on), switch lights to indicate that audible alarms

have been silenced for 2 minutes

27 AUTO BP key: Press to start Auto BP mode
28 Light sensor: Automatically measures ambient light to set

LED display intensity

29 START/STOP BP key: Press to start or stop a BP, Auto,

Stat, or Vitals determination

30 Cuff connector: BP cuff hose attaches here

-18

.s>

Getting Started

Switching the Monitor On and Off

@

To switch the

ON/OFF

As the Monitor powers up, it will run a short self-test

routine, which will flash all the indicator lights and then

beep the warning speaker. After a few seconds the system

will be ready for operation, as indicated by the appearance

of the main menu on the

To switch the Monitor off, push the power ON/OFF switch

(16) again. This will terminate any measurements that may

be in progress and automatically deflate the cuff.

When the Monitor is operating on the internal battery only,
battery life is enhanced by the use of the sleep

However, the PRO Monitor will not enter sleep mode if an
alarm is active. If no controls are used and no
determinations are being made, the Monitor will enter sleep
mode after a time which can be preset by the operator. All
LED displays will be blanked except for a dash in the far-left
systolic position, and any existing readings will be
transferred to the LCD, which displays the message “Sleep
Mode Active.” Moving the rotor or pressing a key will
“wake up” the Monitor.

DINAMAP

switch (16) or press the rotor (21).

PRO Monitor on, push the power

LCD (25).

mode.

liquid Crystal Display (LCD)

MENU AREA

Menu Area

This area displays the name of the menu that has option

buttons available for selection. Normal text in the menu

area appears dark on a light background, while the text of

selected buttons appears light on a dark background.

Note: Some menus have six option buttons. In these cases,

is no space available to display the menu

title.

Area 2

This area displays

l Source 1:

. Source 2: Last three BP readings

data

from one of three different sources.

SpO,

plethysmograph (Models 300 and 400)

. Source 3: Error and warning messages

Note: Refer to “Display Button” in the “Using the Menu
System”

section for instructions on setting Area 2.

Area 3

This area displays the time, the time lapsed since the last Auto

BP determination

(if in Auto BP mode), the battery icon (if

operating on battery power, the time and battery icon toggle),
and the BP and Printer

modes.

there

Using the Printer

Installing the Paper

Turn the PRO Monitor so that the side is facing you. While

grasping the side of the Monitor, firmly press the notched

indentations on the printer
pop open. With the Monitor powered on, place the roll of paper
into the compartment so that the end of the paper comes off
the top, and thread it between
paper touches the plates, the paper will begin to auto-feed itself
into the printer. Feeding the end of the paper strip through the
slot in the door, firmly press the notched indentation on the side
of the printer door to close it. Use the paper release lever to clear
a paper jam or manually feed the paper.
Note: Make sure that the roll of paper is tightly wound.

door to open it. The printer door will

the two printer plates. As the

_

Getting Started

Any time the paper is loaded, the printer automatically prints a
test strip with the

visible on the paper, check that the paper roll

installed in
the printout, use a slight sideways action to pull the paper
sharply up across the serrated edge of the door.

Printer Alarms

If the Monitor is
the printer door
next to “PRNT” in Area 3 of the LCD. When new paper is
installed and the printer door is closed, the message will
change to “Manual” for Manual print or “Auto” for Auto print,
depending on the status before the paper change.

If the paper runs out during a print request or if an attempt is
made to print when no paper is installed, the message “Printer
No Paper” will appear in Area 2 of the LCD and an audible
alarm will sound. In addition, the message “No Paper” will
appear next to “PRNT” in Area 3 of the LCD. To clear the
alarm, press the rotor. The message in Area 3 of the LCD will
remain until new paper is installed and the printer door is
closed. (See “Using the Menu System.“)

the correct position (refer to diagram). To tear off

DINAMAP@

switched on with no paper installed or with

open, the message “No Paper” will appear

PRO name on it. If no print is

has been

-

Installing new paper will cause the Critikon
header to be printed, thereby confirming that the paper is
installed correctly and that the printer is operational. The message
next to “PRNT” in Area 3 of the LCD will change to “Auto” or
“Manual” to identify the operating mode of the printer. After
power-off, the operating mode of the printer returns to the
previous user-selected setting (Auto or Manual) unless specified
otherwise in the Print button under the Service Button.

Storage

Store thermal paper in a cool, dry place. The printed strip
(thermal paper recording) should not be

exposed

.

exposed to temperatures over 100
humidity over

.

placed in contact with adhesives, adhesive tapes, or
plasticizers such as those found in all PVC page protectors.

to direct sunlight,

80%,

or

DINAMAP

“C

OF/38

PRO

or relative

Note: When in doubt about long-term storage conditions, store a

photocopy of the thermal paper recording.

&ions

Ca

l The paper is thermally activated; therefore, do not store it in a

hot place as discoloration may result.

l Use only replacement paper rolls (58 mm) from Critikon.

i

22

Using the Monitor

Noninvasive

Blood Pressure Determination

Description

The BP parameter is included in Models 100, 200, 300, and

400. Blood pressure is monitored noninvasively

in the

PRO Monitor by the oscillometric method, which measures

the amplitude of the pressure oscillations within the blood

pressure cuff. Further information about the oscillometric
method is in Appendix C.

The PRO Monitor has four BP modes: 1. Manual,

2. Auto, 3. Stat, and 4. Vitals
which is selected by the user, is

The

BP measurements are automatic, and once the cycle is
complete the LED displays (7, 9, 19, 22) show systolic
pressure, diastolic pressure, mean arterial pressure, and
pulse rate.

Manual BP determinations are started by pressing the

1.
START/STOP BP

key (29). In the Manual mode, the

(UK: All Obs). The mode,

shown on the LCD (25).

blood pressure is determined one time.

Auto BP determinations are started by selecting the

2.
AUTO BP key (27) or the Auto button under the Set

(UK: BP

Mode) button in the Main menu.

When Auto mode is selected, a number at the right of

the Auto button indicates the time interval between each

reading. To change the time interval, choose the box
around the number and turn the rotor until the desired
interval is reached. The interval can be set between
and 120 minutes (1, 2, 3, 4, 5, 10, 15, 20, 25, 30, 45, 60,

90, and 120 minutes).

Press the rotor to confirm the

setting.

Stat determinations are started by selecting the Stat

3.

button under the Set BP button

(UK: BP Mode) in the
Main menu. In the Stat mode, the blood pressure is
determined as many times as possible in

Vitals (UK: All Obs) determinations are started by

4.

5

minutes.

selecting the Vitals (UK: All Obs) button in the Main
menu. (Refer to the “Using the Menu System” section.)
Selection of this button initiates a BP determination

BP

1

?-%

F

”

h

23

SpOz

while allowing

and predictive temperature
determinations to be monitored and recorded
(depending on Monitor model). In the Vitals (UK:

All

Obs) mode, the blood pressure is determined one time.

Before

to ensure that the cuff pressure

each BP determination, the Monitor performs a test

is below a specified level.

The determination is delayed until this condition is met.

During the delay, the

BP values are displayed as zero.

The Monitor senses the type of hose being used and

automatically uses adult/pediatric monitoring parameters or
neonatal monitoring parameters, as appropriate.

Audible and visible alarms occur when a value for systolic
pressure, diastolic pressure, mean arterial pressure, or pulse
rate is outside the selected high or low limit.

Instructions for cleaning and disinfecting BP cuffs are in

Appendix F.

Genera/ Warnings

l The PRO Monitor will not measure blood pressure

effectively on patients who are experiencing seizures
or tremors.

l Arrhythmias will increase the time required by the

PRO Monitor to determine a blood pressure and may
extend the time beyond the capabilities of the
Monitor.

l In Manual mode, the PRO Monitor displays the results

of the last blood pressure determination for 2 minutes
or until another determination is completed. If a
patient’s condition changes between one
determination and the next, the Monitor will not
detect the change or indicate an alarm condition.

l

Devices that exert pressure on tissue have been

associated with purpura, skin avulsion, compartmental
syndrome, ischemia and/or neuropathy. To minimize
these potential problems, especially when monitoring

at frequent intervals or over extended periods of time,
make sure the cuff is applied appropriately and

-24

Using

the Monitor

examine the cuff site and

the limb distal to the cuff

regularly for signs of impeded blood flow.

.

Do not apply external pressure against cuff while

monitoring. Doing so may cause inaccurate blood
pressure values.

l Use care when placing cuff on extremity used to

monitor other patient parameters.

l The PRO Monitor is designed for use only with

dual-

tube cuffs.

l Use only accessories recommended by Critikon.

Failure to use recommended accessories may result in
inaccurate readings. See Appendix D.

l Blood pressure cuffs should be removed from the

patient when the Monitor is powered off. If the
extremity remains cuffed under these conditions or if

the interval between blood pressure determinations is

prolonged, the patient’s limb should be observed

frequently and the cuff placement site should be

rotated as needed.

General Cautions

.

Accuracy of BP measurement depends on using a cuff

of the proper size. It is essential to measure the
circumference of the limb and to select the proper
size cuff. The air hoses are color-coded according to
size of the patient. The gray
m or 7.3 m) is required on patients who require cuff
sizes from infant through thigh cuffs. The teal
green)

neonatal cuff sizes

.

If it becomes necessary to move the cuff to another

12-foot

hose (3.66 m) is required for the

#l

through

limb, make sure the appropriate size cuff is used.

.

The pulse rate derived from a BP determination may

differ from the heart rate derived from an EKG

waveform because the PRO Monitor measures actual

peripheral pulses, not electrical signals or
contractions from the heart. Differences may occur
because electrical signals at the heart occasionally fail

12-

or

24-foot hose (3.66

#5.

(blue-

to produce a peripheral pulse or the patient may have

poor peripheral perfusion. Also, if a patient’s

beat-to-

beat pulse amplitude varies significantly (e.g., because

atrial

of pulsus alternans,

fibrillation, or the use of a
rapid-cycling artificial ventilator), blood pressure and
pulse rate readings can be erratic, and an alternate
measuring method should be used for confirmation.

General Notes

l A patient’s vital signs may vary dramatically during the

use of cardiovascular agents such as those that raise or

lower blood pressure or those that increase or decrease
heart rate.

9

Because treatment protocols based on the patient’s

blood pressure may

measurement methods,

rely on specific values and differing

such as auscultatory, clinicians

should note a possible variance from values obtained

with the PRO Monitor

management.
the oscillometric method of noninvasive blood pressure
measurement and correspond to comparisons

inn-a-aortic

The PRO Monitor values are based on

values within ANSI
accuracy (a mean difference of
standard deviation of

in planning patient care

+

8

/AAMI

mmHg).

Standards for

mmHg, and a

+ 5

with

. Several conditions may cause the

calculate and display

only the mean arterial pressure

BP parameter to

(MAP) without a systolic and diastolic reading. These
conditions include very low systolic and amplitude

fluctuations, so an accurate calculation for these values

can’t be made (e.g., patient in shock); too small of a
difference between systolic and MAP calculations in
relationship to the difference between diastolic and
MAP; or a leak has occurred in the

(1.

Check all BP connections 2. Monitor may need

PRO Monitor

calibration and leak testing). If only the MAP value is

displayed, the systolic and diastolic will display dashes
(-) and an alarm message

displayed.

“N99-BP

FAILED” will be

26

Using the Monitor

Procedures

Connect the end of the air hose which has quick-release

1.
clips to the cuff connector (30) on the front of the Monitor.
Make

Note: To

the quick-release clips together and pull the plug from the
cuff connector (30).
Select the appropriate blood pressure measurement site.

2.
Because normative values are generally based on this site
and as a matter of convenience, the upper arm is preferred.
When upper arm size or shape, the patient’s clinical
condition, or other factors prohibit use of the upper arm,
the clinician must plan patient care accordingly, taking into
account the patient’s cardiovascular status and the effect of
an alternative site on blood pressure values, proper cuff
size, and comfort. The figure shows the recommended sites

for placing cuffs.

Warning: Do not place the cuff on a limb being used
for intravenous infusion or any area where circulation
is compromised or has the potential to be

sure that the hose is not kinked or compressed.

disconnect the hose from the Monitor, squeeze

compromised.

I

mmHg

Neonate

from values for

Adult/Pediatric

3.4.If patient is standing, sitting, or inclined, ensure that cuffed
limb is supported to maintain cuff at level of patient’s
heart. If cuff is not at heart level, the difference in systolic
and diastolic values due to hydrostatic effect must be
considered. Add
cm) above heart level. Subtract
every inch (2.54 cm) below heart level.
Select appropriate cuff size. Measure patient’s limb and
select appropriately sized cuff according to size marked on

cuff or cuff packaging. When cuff sizes overlap for a

specified circumference, choose the larger size cuff.

Precaution: Accuracy depends on use of proper size cuff.

1.80

mmHg

to values for every inch (2.54

1.80

f

5.

Inspect cuff for damage. Replace cuff when aging,
tearing, or weak closure is apparent. Do not inflate
cuff when unwrapped.

Precaution: Do not use cuff if structural integrity is

suspect.

6.

Connect the cuff to the air hose. Thread the cuff
connectors onto the hose connectors until finger tight.

Do not overtighten.

Warning: It is mandatory that the appropriate hose and

cuff combination be used. Any attempt to modify the
hose will inhibit the Monitor from switching between

the neonatal and adult measurement modes.

Note: In normal use, each cuff will have its own hose, so

it will not usually be necessary to disconnect them. If it is

necessary to do so, carefully unscrew the cuff from the
hose. Care should be taken in reconnecting the cuff to a
hose, ensuring that threads of the cuff and hose are in
alignment and no cross-threading occurs.

Inspect patient’s limb prior to application.

7.
Precaution: Do not apply cuff to areas where skin is not

intact or tissue is injured.
Palpate artery and place cuff so that patient’s artery is

8.

aligned with cuff arrow marked “artery.”

Squeeze all air from cuff and confirm that connection is

9.

secure and unoccluded and that tubing is not kinked.

1 O.Wrap cuff snugly around the patient’s limb. Cuff index

line must fall within the range markings. Ensure that hook
and loop closures are properly engaged so that pressure
is evenly distributed throughout cuff. If upper arm is
used, place cuff as far proximally as possible.

11

.Proper cuff wrapping should be snug, but should still

allow space for a finger between patient and cuff. Cuff
should not be so tight as to prevent venous return
between determinations.

Warning: Using a cuff that is too tight will cause
venous congestion and discoloration of the limb, but

using a cuff that is too loose may result in no readings
and/or inaccurate readings.

12.Proceed with monitoring in the Manual, Auto, Stat, or
Vitals (UK: All Obs) mode.

28

Using the Monitor

Manual Mode

@

To start a determination, press the START/STOP BP key (29).
A

normal, uninterrupted Manual cycle takes about 40

seconds.

(neonate) or 15
determination can be started.

displayed

determination is started within that time frame. This applies

to Manual and Vitals (UK:

the operating

The default setting of Manual can be overridden to return to

the previous user-selected setting (Auto or Manual) by
selecting Set

Note: The START/STOP BP key is an on-off switch; pressing
it will stop any BP determination (Manual, Auto, Stat, or

Vitals) that is in progress.

The cuff pressure must drop below 5

mmHg

for 2 minutes on the LED unless another

mode returns to the default setting of Manual.

BP (UK: BP Mode) under the Service menu.

(adult) before another

BP information will be

All Obs) modes. After power-off,

mmHg

Auto Mode

&Z?)

Auto BP determinations are started by selecting the AUTO
BP key (27) or the Auto button under the Set BP button
(UK: BP Mode) in the Main menu.

Selecting the AUTO BP key (27) brings up the Set BP menu
(UK: BP Mode) and automatically starts an Auto BP

determination as long as the Monitor is in Manual BP mode.

If the Monitor is already in Auto BP mode, selection of the

AUTO BP key (27) brings up the Set BP menu (UK: BP

Mode) without starting a new determination until the preset
time interval has expired. Pressing the START/STOP

during

determination in progress.
When Auto mode is selected, a number at the right of the

Auto button indicates the time interval between each

reading. To change the time interval, choose the box around

the number and turn the rotor until the desired interval is

reached. The interval can be set between
minutes (1, 2, 3, 4, 5,

a series of Auto BP determinations will cancel the

1 and 120

10, 15, 20, 25, 30, 45, 60, 90, and

BP key

29

120 minutes). Press the rotor to confirm the setting. After
power-off, the operating mode returns to the default

of Manual.

The default setting of Manual can be overridden

to return to the previous user-selected setting (Auto or

Manual) by selecting Set BP (UK: BP Mode) under the

Service menu.

setting

In the Auto mode, the pressure must be below 5

(neonate) or 15

mmHg

(adult) for at least 30 seconds

mmHg

before another determination can be started. BP

information will be displayed on the LED until the next
determination is started. This applies to Auto

mode only.
Note: To cancel an Auto BP determination, select the
Manual button in

the Set BP menu (UK: BP Mode).

Stat Mode

Multiple
the Stat button under the Set

BP readings can be taken at any time by selecting

BP button (UK: BP Mode) in

the Main menu. Stat mode can also be accessed by
pressing the AUTO

BP key (27) and then selecting the Stat

button when the Set BP menu (UK: BP Mode) appears.

If a Manual determination is not in progress, a S-minute

series of determinations will start. If a Manual determination
is in progress, that determination will become the first in the

series. A normal, uninterrupted Stat sequence will give the
first set of systolic, diastolic, and mean arterial pressure
values and pulse rate within

15

to

20

seconds. Selecting the

Stat button during a series of Stat determinations will cancel

the determination in progress and the rest of the series. BP
information will be displayed on the LED until the
determination has been canceled or completed. This applies

to Stat mode only.
The series begins with cuff inflation to a pressure above the

previous systolic pressure or, if no previous systolic value is
stored, to approximately 160

mmHg

for adult/pediatrics.

The initial target pressure selection for neonates is 110

mmHg.

Artifact rejection is relaxed in the Stat mode for

adult/pediatric patients to allow for accelerated
determinations. If a BP or Stat reading has been made
previously, the first new systolic value will flash

display (7) within

a few seconds and will continue to flash

on the LED

until the end of the determination. At that point a short tone

will sound and the updated systolic, diastolic, and mean

30

t;

Using the Monitor

arterial pressures and pulse rate will appear on their LED
displays (7, 9, 19, 22).

determination once the pressure is

seconds (neonates) or 15

unless the S-minute period has ended or the determination

has been canceled.
Note: Alarm limits are disabled while in Stat mode.

The Monitor will begin another

mmHg

mmHg

below 5

for 4 seconds (adults),

for 8

Predic

Tempera ture De termina tion

five

Q

Description

The temperature parameter is included in Models 200 and

400. The PRO Monitor uses
used with both oral and rectal temperature probes. Two
modes of operation are available: predictive and monitor.

In predictive mode, a final temperature is displayed with an
audible tone. In monitor mode, the display is updated
continually as the patient’s temperature rises or falls.
Note: If the PRO is unable to complete a predictive
determination, then it enters monitor mode. These
temperature readings are not stored in trends and not
reported via host

During a temperature determination, the temperature
display
indicator. In the far-left position, a single horizontal line
indicates the probe is ready to start a determination after
removal from the probe holster. In the far-right position of

the temperature display, a “chase sequence” around the

outside space indicates a predictive temperature
determination is in progress. During monitor mode, the

temperature readings flash constantly.

(12) provides a progress meter and probe ready

comms.

IVAC*

technology and can be

Temperature is shown on the temperature display in

degrees Celsius or Fahrenheit, and the unit of measure is

indicated by the

Celsius, can be changed in the Clinician Menu (please refer
to the “Using the Menu System” section of this manual).

*IVAC

is a trademark of

“F

display (13). The default, which is

“C

Alaris

Medical Systems

General Warning

l The performance of the Monitor may be degraded if it

is operated outside of the environmental conditions
specified in Appendix A.

General Cautions

l Be careful not to overextend the coiled cord of the

temperature probe. Overextension can damage the
probe coil connector interfaces.

l Accurate oral temperatures (blue) can only be

obtained by placing the probe under the tongue in the

right or left sublingual pocket. Temperatures in other

locations in the mouth can vary by more than 2

OC.

1

l Accurate rectal temperatures can only be obtained by

using the red temperature probe. Red and blue
temperature probes are

not

interchangeable.

OF

or

l Do not allow the tip of the predictive temperature

probe to come into contact with a heat source (e.g.,
hands or fingers) prior to taking a temperature

determination. If this occurs, allow

5

seconds for the

probe tip to cool before proceeding.

l Use only

IVAC*

probes and probe covers. The size,
shape, and thermal characteristics of the probe covers
can affect the performance of the instrument.

Inaccurate readings or retention problems may occur

unless

IVAC probes and probe covers are used.

Procedures

1.

Connect the temperature probe cable to the
temperature probe connector (15).

2.

Remove the temperature probe from the probe holster.
Place a protective temperature probe cover on the
probe and insert the probe appropriately.

The determination begins automatically.

3.

Hold the
temperature probe steady until the determination is
complete. This takes approximately 60 seconds, during

which time a pattern of lines on the temperature display

(12) appears as a “chase sequence” to indicate progress.

*IVAC

is a trademark of

Alaris

Medical Systems

32

Using the Monitor

When the determination is complete, an audible tone

sounds and the temperature appears on the display.
Record the temperature and

4.

the disposable cover by holding the probe as you would

a syringe and pressing the button on the probe handle.
Place the probe
probe in the probe holster, the temperature values will

in the probe holster. Once you place the

be cleared.

Notes

l

If the probe tip temperature is 94.0” F or higher

(34.4”
thermometer will not be able to perform a predictive
measurement. Instead, the thermometer will
automatically go

C) when taken out of the probe holster, the

into monitor mode. The temperature
reading will then flash. A correct final temperature
reading may require 3 minutes or longer.
will not beep at final temperature. It will continue to
monitor the patient’s temperature until the probe is
removed from the patient and returned to the probe
holster.

l

To cool the temperature probe down, wipe with alcohol.

l

If there is a long delay from the time the probe is
removed from the probe holster until it is inserted into
the patient’s mouth, it is possible that the instrument will
not display a final temperature.
probe into the probe holster, remove it again, and start a
new measurement.

-

If an alarm is actively sounding, an audible tone will not

sound.

l

If tissue contact is lost, the chase sequence on the

temperature display

(12) stops. If tissue contact is not

made within 1 minute, the Monitor will alarm.

remove the probe. Discard

Th.e

Monitor

If this occurs, insert the

spa,

Description

SpOz

The
begin

the patient’s finger; monitoring begins automatically.

Functional oxygen saturation
noninvasively and continuously monitored

PRO Monitor using pulse oximetry technology from

NELLCOR*. Functional
hemoglobin to hemoglobin that is capable of transporting
oxygen. This ratio, expressed as a percentage, is shown on
the

SpOz

Heart rate derived from
display
synchronization

that are derived from the

rate corresponding to the pulse rate and at a pitch

corresponding to the

highest at 100% oxygen saturation, and it
the saturation level falls. The Monitor can display a pulse

amplitude bar and a plethysmographic waveform on the

LCD (25). The pulse amplitude bar graph is proportional to
the arterial blood flow. The artifact indicator LED (24) lights
continuously when the Monitor detects motion sufficient
enough to affect readings.

parameter is included in Models 300 and 400. To

SpOZ

SpOz

monitoring, simply place the

(SpOJ

of arterial blood is

sensor on

in the

SpOz

is the ratio of oxygenated

(23),

display

(22),

and the

which is continually updated.

Sp02

appears in the Pulse BPM

SpOz pulse indicator (20) flashes

with the real-time pulse rate measurements

SpOz

signal. A tone sounds at a

SpOZ

saturation level. The pitch is

becomes lower as

Audible and visible alarms occur when

SpOz:

levels are
outside the alarm limits. When a limit alarm occurs, a
message appears in Area 2 of the LCD display.

If you select the Alarms button, the Alarms menu appears.

This menu is used to adjust the violation limits for BP and

SpOz.

Refer to “Alarms Button” in the “Using the Menu

System” section.

*NELLCOR is a trademark of Mallinckrodt,

Inc.

34

Using the Monitor

SpOz

If you select the Suspend button, the

for 2 minutes and

then the PRO returns to normal

monitoring. A message informing the user that

suspending appears

LED while the
Selecting Cancel

return to monitoring

in Area 2 and dashes appear in the

Sp02

alarm suspend is counting down.

will cancel the

Sp02.

SpOz

Low

SpOZ

is suspending

alarm is suspended

alarm suspension and

Sp02

SpOz

is

SpOz

2:oo

ICancel

If the Monitor is unable to detect a pulse for 10 seconds
during normal

SpOz

monitoring, the values in the LED flash,
alternating patient values with dashes. The Monitor returns to
normal

SpOz

reporting of values when several consecutive

good pulse determinations are made.

Genera/ Warnings

SpOZ

l Do not use the

resonance imaging (MRI). Adverse reactions include
potential burns to patients as a result of contact with
attachments heated by the MRI radio frequency pulse,

potential degradation of the magnetic resonance image,
and potential reduced accuracy of
Always remove oximetry devices and attachments from
the MRI environment before scanning a patient.

function during magnetic

SpOZ

measurements.

l The use of cardio-green and other intravascular dyes at

certain concentrations may affect the accuracy of the

SpOZ

measurement.

SpOZ

l The

function is calibrated to read functional
arterial oxygen saturation. Significant levels of
dysfunctional hemoglobins such as carboxyhemoglobin
or methemoglobin may affect the accuracy of the

measurement.

General Cautions

l

As with any clip-on sensor, pressure is exerted. The

clinician should be cautious in using a clip-on sensor on

SpOZ

patients with compromised circulation (e.g., because of

peripheral vascular disease or vasoconstricting
medications).

l Do not perform any testing or maintenance on a sensor

while it is being used to monitor a patient.

.

Bright light sources (e.g., infrared heat lamps, bilirubin
lights, direct sunlight, operating room lights) may interfere

with the performance of the
such interference, cover the sensor with opaque material.

SpOZ

function. To prevent

General Notes

.

A patient’s vital signs may vary dramatically during the use of

cardiovascular agents

pressure

l The PRO Monitor is compatible only with NELLCOR sensors.
l Software development, software validation, and Risk and

or those that increase or decrease heart rate.

Hazard Analysis has been performed to a registered quality

system.

Procedures

1. Select a sensor that is appropriate for the patient and the

clinical situation.

Warning: Do not use a damaged sensor or one with
exposed electrical contacts.

Note: Use only NELLCOR sensors, which are available

from:

such as those that raise or lower blood

_,

.

I

>T

,

_,

USA

UK

Mallinckrodt, Inc.
675

MacDonnell

Blvd
PO Box 5840
St. Louis, MO 63

Phone: 1-800-NELLCOR (USA) Fax: l-888-222-9799

134

Nellcor

10 Talisman Business Center

London Road
Bicester

Oxfordshire

0X6-OJX

UK
Phone: [phone]

1

Using the Monitor

Following the directions for use supplied with the sensor,

2

apply the sensor to the patient.

Warnings

Patient safety:

If you fail to apply the sensor properly, the patient’s
skin could be injured or the ability of the PRO

Monitor to measure oxygen saturation could be

compromised, For example, a clip-on

never be taped shut. Taping the sensor could damage

the patient’s skin or impair the venous return, thus

causing venous pulsation and inaccurate
measurement of oxygen saturation.

Excessive pressure from the sensor may cause necrosis

of the skin.

Monitor performance:

SpOZ

When an

pressure cuff, the

the cuff is inflated. If

sensor is on a limb that has a blood

SpOZ

data will not be valid when

SpOZ

readings are required
during the entire blood pressure determination, attach
the

SpO, sensor to the limb opposite the one with the

blood pressure cuff.

sensor should

Remove nail polish and artificial nails. Placing a sensor

on a polished or an artificial nail may affect accuracy.

Cautions

Patient safety:

Do not place any clip-on sensor in a patient’s mouth

or on a patient’s nose or toe.

Do not place a clip-on finger sensor on a patient’s

thumb or across a child’s foot or hand.

Observe the sensor site to assure adequate distal

circulation.

Monitor performance:

l For best performance, place the sensor at heart level.

l Placing a sensor distal to an arterial line may interfere

with adequate arterial pulsation and compromise the

measurement of

SpOZ.

37

LEDs

l Place the sensor so that the

and the photodiode are

opposite each other.

SpOz

Plug the

3.

Then plug the

sensor into the

SpOZ

sensor extension cable into the

Sp02 sensor extension cable.

sensor connector (18).

SpOz

Proceed with monitoring.

4.

determinations run

continuously and can run simultaneously with other

measurements.

SpOz

. .

.;

,

38

Using the Monitor

Troubleshooting

This section discusses potential difficulties and suggestions for

resolving them. If the difficulty persists, contact a qualified service
person or your local Critikon representative.

The service manual, which is for use by qualified service personnel

provides additional troubleshooting information.
PROBLEM: The pulse amplitude bar indicates a pulse, but no

oxygen saturation or pulse rate values appear on the screen.

CAUSE:

l Excessive patient motion may be making

SpOz

function to find a pulse pattern.

l The sensor may be damaged.
l The patient’s perfusion may be too low to allow the

it impossible for

function to measure saturation and pulse rate.

SOLUTION:

Check the patient.

l If possible, keep the patient still; check whether the

sensor is applied securely and properly, and replace it if
necessary; move the sensor to a new site; or use a disposable
adhesive sensor that may tolerate more motion.

l Replace the sensor.

SpO2

PROBLEM: The

value or the pulse rate changes rapidly; the

puise amplitude bar is erratic.

CAUSE:

the

SpOz

SpOz

.

Excessive patient motion may be making it impossible for the

SpOz

function to find a pulse pattern.

l An electrosurgical unit (ESU) may be interfering with

performance.

SOLUTION:

Check the patient.

l If possible, keep the patient still; check whether the sensor is

applied securely and properly, and replace it if necessary;
move the sensor to a new site; use a sensor that tolerates more
motion.

Y-

i”

LI

39

ESU

If

an

l Move the
l Plug the Monitor and the ESU into different AC circuits.
l Move the ESU ground pad as close to the surgical site as

is interfering:

SpOz

cable as far from the ESU as possible.

possible.

0

The sensor may be damp or may need to be replaced with a

new

sensor.

l If the patient weighs less than 3 kg or more than 40 kg, apply

an

OXISENSOR

N-25 oxygen transducer to an appropriate
site. This sensor has added protection against electrosurgical
interference.

PROBLEM: The oxygen saturation measurement does not
correlate with the value calculated from a blood gas
determination.

CAUSE:

l The

Sp02 calculation may not have correctly adjusted for the

CO,;

effects of

fetal hemoglobin; or pH; temperature;

DPG.

l Accuracy can be affected by incorrect sensor application or

use; intravascular dyes; bright light; excessive patient
movement; venous pulsations; electrosurgical interference;
and placement of a sensor on an extremity that has a blood
pressure

cuff, arterial catheter, or intravascular line.

SOLUTION:

l Check that calculations have been corrected appropriately for

the relevant variable. In general, calculated saturation values
are not as reliable as direct laboratory hemoximeter
measurements.

l If there is excessive light, cover the sensor with opaque

material.

l Circulation distal to the sensor site should be checked

routinely. The site must be inspected every

8 hours to ensure

adhesion, skin integrity, and correct optical alignment. If skin

integrity changes, move the sensor to another site.

2,3-

-40

l Try to keep the patient still, or change the sensor site to one with

less motion.

l Observe all instructions, warnings, and cautions in this manual

and in the directions

PROBLEM: A valid

for use of the sensor.

SpO2

signal was present but has disappeared.

CAUSE:

l A BP determination on the same limb is in progress.

SOLUTION:

l An alarm message (No signal) will appear on the screen, and the

audible alarm will sound immediately.

occurred.

PROBLEM: A bad signal error

has

CAUSE:

l Weak or “noisy” signal.

SOLUTION:

Check the patient.

. If possible, keep the patient still; check whether the sensor is

applied securely and properly, and replace it if necessary; move
the sensor to a new site; or replace the sensor.

l Change sensor type.
l Consider increasing perfusion using heat.
l If there is excessive light, cover the sensor with opaque material.

PROBLEM: A sensor error indicating a bad sensor has occurred.
CAUSE:

l The sensor or cable may be defective, or the cabling may be

improperly connected.

SOLUTION:

Check the patient.

l If possible, keep the patient still; check whether the sensor/cable

is applied securely and properly, and replace it if necessary.

l Disconnect and reconnect the sensor.

41

L

Using the Menu System

Introduction

The PRO Monitor is equipped with a liquid crystal display

(25) and a rotor (21). Used together, these allow the

operator to view and edit most of the Monitor’s parameters

and functions. When the Monitor is in use, a number of

option buttons appear on the liquid crystal display (LCD).

The model of the Monitor determines which menu option

buttons appear on the LCD. The number of buttons and the

specific options depend on the menu level. The rotor

provides the means of choosing menu options and

changing monitor

Liquid Crystal Display

The LCD is divided into three areas, each of which
distinct function.

MENU AREA

settings.

has a

AREA 3

Menu Area

This area displays the menu buttons that are available for
selection. Normal text in the menu area appears dark on a
light background, while the text of selected buttons appears
light on a dark background.

Area 2

This area displays BP and

messages. The Display

data to be displayed.

Area 3

This area displays the time, the time lapsed since the last
Auto BP determination (if in Auto BP mode), the battery

icon (if operating on battery power, the time and battery
icon toggle), and the BP and printer modes.
Note: In
updates on the LCD can be delayed by approximately

second. This delay on the LCD does not affect the

performance of the Monitor.

cold ambient temperatures (below 50

Sp02 data and error and warning

mode menu is used to select the

10”

/ OF

C),

1

Menu Tree

”

SYS

DIA

1

Stat

)

MAP BPM

Display

1

Main

1

1

POWER SAVE MENU

r’

L

SpO2

TIME

SYS

,I:37

___

,,:a2

c
+

___ ___

,,:q

,,:S2

__ _

_ _

DIA

-__

__ _
__

_.

MAP BPM

-_-

_--

__-

__ _

-- _

--- ---

__- --- ---

TEMP

.,

-- _
__

-- - -- -

-- -

-- -

.._

r

_

Using the Menu System

Menu Tree

ROTOR BEEP

Automaticalley

Restore Print mode on power-up?

I

Restore BP mode on power-up?

Enter

Clear Trend on Power-up?

alarm configuration mode?

Set

I

24-Aug-1999

Day

Mon

Yew

I999

14-J&

pi-,,

How

.

20: 21 11

Min

Notes

l

The

model of the Monitor determines which menu option buttons appear on the LCD.

45

Rotor

Rotating the rotor causes option buttons to be highlighted
(light text on a dark background). Turning the rotor

produces a click. Turning it clockwise moves the
highlighting clockwise over the available buttons, while

turning it counterclockwise

highlighting. Pressing the rotor selects the highlighted
button and produces an audible tone.

Some menus (e.g., Alarms) contain values that can be
changed by the operator. After the value is highlighted, the

reverses the direction of the

user selects it by pressing the rotor. Turning the rotor

clockwise will cause the value to increase, and turning the

rotor counterclockwise will cause the value to decrease.
Pressing the

rotor again will confirm the changed value.

Menu Tree

a//

The menu tree on the previous page shows

choices available within the menu structure, from the top

level

downward.

possible

Main Menu

This menu is the top level menu. It is displayed when the

Monitor is first switched on and after the rotor has been
inactive for

(Pwr Sav).

2 minutes, unless the Monitor is in sleep mode

46

-

Using the Menu System

Vitals Button (UK: All Obs)

Selection of this button initiates a BP determination while
allowing
be monitored and recorded (depending on Monitor model).
When the Vitals determination is complete, a single “warble”
sounds and all patient data are displayed on the
held for 2 minutes or until cleared by the user. The
shows:

Notes

l If the Monitor is performing a Vitals determination, the

SpO,

and predictive temperature determinations to

Values Held

Note:

If the

mode, the Print button does not

appear as an option.

Vitals button cannot be selected.

printer is in “Auto”

LEDs

LCD

and

l If a BP determination is in progress, the Vitals button

cannot be selected.

l A Vitals determination is canceled if the BP determination

is canceled.

. A Vitals determination can be canceled by pressing either

the AUTO

l During the 2 minute freeze period,

BP or START/STOP key.

SpO, monitoring and

alarms are suspended.

Clear

Selection of this button halts measurements and returns the
user to the Main menu.

Note: If the

the waveform pauses

selected.

SpO, plethysmograph is displayed on the LCD,

for 2 minutes or until the Clear button is

SpO,values are also retained the same manner as

the BP and Temperature values.

Print

Selection of

this button causes the current data to be printed.

Notes

l The Print button appears only when Print is set to Manual

mode.

. If

the printer is in Auto print mode, the data will be printed

automatically.

More... Button

Selection of this button displays the More... menu. The More...

menu has six options (depending on model of Monitor), most of

which have submenus.

For this reason, instructions for the More...

button are in a separate section.

Set BP Button (UK: BP Mode)

Selection of this button displays the Auto, Stat, and Manual BP menu.

Auto BP

Manual

Tgt

Pressure

Auto

Selection of this option starts an

Auto BP determination. When

Auto Mode is selected, a number at the right of the Auto button
indicates the time interval between each reading. To change the
time interval, choose the box around the number and turn the
rotor until the desired interval is reached. The interval can be set
between

60, 90, and 120 minutes).

1 and 120 minutes (1, 2, 3, 4, 5, 10, 15, 20, 25, 30, 45,

Press the rotor to confirm the setting.

After power-off, the operating mode returns to the default setting

of Manual. The default setting of Manual can be overridden to
return to the previous user-selected setting (Auto or Manual) by
selecting Set BP under the Service menu. To cancel an Auto BP

determination, select the Manual button in the Set BP (UK: BP
Mode) menu.

Manual

Selection of this option starts a Manual BP determination. After
power-off, the operating mode returns to the default setting of
Manual. The default setting of Manual can be overridden to
return to the previous user-selected setting (Auto or Manual) by
selecting Set BP under the Service menu.

-48

B

Using the Menu System

Tgt

Pressure

Selection of this option allows the user to set the BP target
inflation pressure.

between 100 and 250
factory default is 160

neonates. (This is indicated by “AUTO” at the end of
adjustable range.) When using a neonate blood pressure cuff,
if the target pressure is set to greater than
the Set BP or Clinical menu, the Monitor automatically
defaults to a target pressure of 110
pressure is set between 100 and 140
is the target pressure that will be used. When the target
pressure is changed, the next determination will use the new
target inflation value if no systolic is available. Initial target

pressure is restored to the factory default

power-off.

in the Clinician menu of the Service mode (refer to “Press”
in the “Using the Menu System” section).

The target pressure can be adjusted permanently

The initial target pressure can be set

mmHg

mmHg

mmHg

in 5

for adults and 110 for

mmHg. If the target

increments. The

mmHg

140

mmHg, then that setting

setting after

under

stat

Selection of this option allows the user to start Stat
determinations. When Stat is selected, blood pressure is
determined as many times as possible in

Note: Alarm limits are disabled while in Stat mode.

Main

Selection of this button returns the user to the Main menu.

Alarms Button

Selection of this button displays the Alarms menu. This

menu is used to adjust the violation limits for BP, Pulse Rate,
and

SpO,.

not stored when the Monitor is turned off. The

edit the limits, but they are restored to the default values

each time the Monitor is switched on. To permanently
change the alarm limits, refer to “Alarms” under “Service
Button” in the “Using the Menu System” section.

The values and ranges for these parameters are

5

minutes.

user may

SYS

DIA MAP

BPM

spoz

Kl

cl

FF

90

___.

1

Auto

/

.._.. . . .

j
I

I

’

_._----

_--

Default

---

180

30

40

Off

Parameter

Systolic High
Systolic Low
Diastolic

Heart Rate

L

SpO2

spo2

Hiah

High

Low

130

cl

cl

15

Lo\

140

cl

cl

I
/

,
/

50

Range

245-.-~..-

_

35

-

240

30
15

-

195

-

245

30

51-100

-

99 90

50

Volume

Selection of this button displays the alarm volume submenu.
The volume range is from 1 to 10, with 10 being the

loudest. The alarm volume is stored when the Monitor is
turned off and restored to the user’s preference each time
the Monitor is switched on. Selection of the Check button
allows the current volume setting to be heard. Selection of
the Main button returns the user to the Main menu.

1

--

,.

J

.

A

_,I

IL,

_>

ALARM VOLUME

Main

I

Auto

Selection of this button updates the alarm limits on the LCD

relative to the current parameter values. Pressing this button

will automatically cancel any limit violation alarm that

becomes invalid as a result of a limit change. Alarm limits

are updated as follows:

50

I

I

Using the Menu System

1

Parameter Label

Systolic
Diastolic

MAP
Heart Rate
span

1

*

If the reading plus the limit is greater than the valid range of measurement (e.g.,

is greater than 100%

Notes

.

In no case will the updated alarm limits be set beyond

the valid limits

l If no values are available, the limits will remain

unchanged.

),

Label

SYS

j

DIA

MAP
BPM
span

the valid range of measurement becomes the limits.

in the preceding table.

High Limit

+30SYS

DIA

MAP
BPM
spo2

+30
+30
+30

+5*

Low Limit

SYS

DIA -30
MAP -30
BPM -30
spo2 -5

SpO2

Main

Selection of this

button returns the

user to the Main menu.

Trend Button

Selection of this

button displays the Trend mode menu.

-30

+5

(

Display

I

1

1

Print All

Clear

1

I

Display

Selection of this button allows the operator to view the

trend data.

Note:

settings have been changed), the message “Trend Empty”

If the trend data have been lost (e.g., if the clock

will appear instead of the Newer, Older, and Print page
buttons.

SpO2

TEMPTIME SYS DIA MAP BPM

II:37

___ ___ ___ ___ ___ ___

11~42

___ ___ ___ ___ ___ ___

II:47

___ ___ ___ ___ ___ ___

_- _

Newer

__ _ 11:52

and

Older. These buttons may be used to move

__ _

__ -

__ -

forward and backward through the recorded data. If no

information is available, these buttons will not appear.

oaae.

Print

Selection of this button causes the displayed

information to be printed. If no information is available, this
button will not appear.

Main. Selection of this button returns the user to the Main

menu.

Clear

Selection of this button produces an advisory that the trend

will be lost. Choosing Yes will erase the trend memory.

Choosing No will retain the trend memory. This button
disappears from the menu while printing and when Trend is

empty.

-

- -

Print All

Selection of this button prints all the historical data available.

When selected, this button temporarily changes to Cancel

until the history has completed printing. Once printing is
complete, the Cancel button returns back to the Print All
button. This button disappears from the menu when Trend
is empty.

Main

Selection of this button returns the user to the Main menu.

52

;;

1

Using the Menu System

Print Button

Selection of this button displays the Print menu.

PRINT

Auto/Man

Pressing this button toggles between Automatic and Manual
Printing
the LCD. The Automatic mode prints the readings after each
determination. The Manual mode, which is the factory
default mode, requires the user to press the Now button to
print the readings.

Now
Selection of this button causes the last readings of the
available parameters to be printed. If no readings are
available, the message “No reading” is printed for that
parameter. An error message appears if there is no paper in
the printer.

modes. The current mode is displayed on Area 3 of

MENU

His tory

Selection of this button causes the entire contents of the

trend memory to be printed. When selected, this button
temporarily changes to Cancel until the history has

completed printing.

Main

Selection of this button returns the user to the Main menu.

More... Menu

This menu is used to set the various operating modes of the

Monitor.

SpO, Button (Models 300 and 400)

Selection of this button displays the
which

is used to set the

SpOZ

pulse tone volume.

SpOz

mode menu,

Volume

[

Main

Volume

The pulse tone volume can be set in the range of Off to 9.

The value Off should be selected if no pulse tone is desired.

The volume

and is restored to the user’s preference each time the
Monitor is switched on.

Main

Selection of this button

Config

Selection of this button

which allows the Power

Button

setting is stored when the Monitor is turned off

returns the user to the Main menu.

displays the

Save

5

1

Config

mode and time to be adjusted.

mode menu,

Rotor

I

Pwr Sav (Sleep Mode)

Selection of this button allows the operator to specify the
time, in minutes, that elapses before the Monitor goes into
“sleep” mode
from

LEDs).

operating from its battery. Sleep mode conserves

while the Monitor is not in use. Once the Monitor

Sleep mode, the user can return it to normal operation by

touching any button or the rotor.

(LEDs

Sleep mode is available only if the Monitor is

blanked and LCD displaying values

t

54

Main

I

I

power

is in

C

Using the Menu System

-

POWER SAVE MENU

Monitor enters Sleep mode only if the following are true:

The

.

No alarm is active

.

SpO,

is not actively reporting patient statistics

.

The keys and rotor have not been used for the preset

time
The Monitor is running from its battery
No determinations are

The Monitor

entire preset

The

Monitor awakens from Sleep mode if any of the

following occur:

The

rotor is turned or pressed

has been running from the battery for the

time

in progress

Any of the keys are pressed
An alarm condition is issued
The battery supply level becomes discharged to a

critical level

A mains or suitable DC supply is connected
An

Auto BP or Temp determination starts

An

SpO, signal is detected

A BP

determination is started through the host

comm

P

L.

I-*,

Time

Selection of this button allows the operator to change the
internal time and date of the Monitor.

maintained by an internal battery after power

2Qhour

format. The date is in the British format of

The clock, which is

down, uses

dd/
mmm/yyyy; however, to avoid confusion the month number
has been substituted with a three-letter abbreviation. Leap

years are calculated automatically.

55

20

:

21

24-Aug-1999

11

.;

,_

1

, Hour,

,

Min , ,

Set

,

Mon ,

,

,

Day

,

,Year

1,

Accept. Selection of this button produces an advisory to the

user that the trend will be lost when the clock settings are

changed. Choosing Yes will cause the Monitor to accept the

new clock settings and erase the trend memory. Choosing
No will cause the Monitor to retain the existing clock
settings and the trend memory. Either choice returns the
user to the Main menu.

Main Selection of this button returns the user to the Main

d

menu.

Rotor

Selection of this button displays a panel for setting the
volume of the beep that sounds when the rotor is turned.

The range of adjustment is Off (default) to 9, and the setting

is retained when the Monitor is turned off.

,

ROTOR BEEP

Volume

1

Main

Main

Selection of this button returns the user to the Main menu.

Display Button

Selection of this button displays the Display mode menu.
This menu is used to specify whether Area 2 of the LCD

SpO,

display

selected, Area 2 of the LCD will remain blank except for the

pulse amplitude bar (if

error or warning messages that may appear. The Display

mode setting is maintained when the Monitor is switched
off and on.

or BP data. If neither

Sp02 data are available) and any

SpO,

3

1

nor 3

NIBP

is

will

Using the Menu System

SpO2

Pleth

SpOz

Pleth

When

the plethysmograph waveform and the pulse amplitude bar
will be displayed.

3

When this option is checked, the last 3

be displayed. If

this option is checked and

N/BP

Sp0~

data is available, the pulse amplitude

i

SpO;!

4X 4

data are available,

NIBP

readings will

bar will also be displayed.

Main

Selection of this button returns the user to the Main menu.

Service Button

Selection of this button displays a keypad that allows the

clinician to access some parts of the Service mode menu.

To access the Clinician menu, use the rotor to select the

numbers 1, 2, 3, 4

sequentially.

Notes

SpO2

l

is automatically disabled when entering Service

mode.

l Service modes that affect the calibration or alignment

of the instrument are not available to the user. These

modes are described in the Service Manual.

Clinician Menu

Press. Selection of this button displays a panel for setting the

default

BP target inflation pressure. Adjusting the default target

pressure will automatically update the current inflation target

pressure and will be used for the next reading.

adjustment

is 100

mmHg

to 180

mmHg,

and the setting is

The range of

retained when the Monitor is turned off.

The initial target pressure can be set between 100 and 180

mmHg

in 5

mmHg

increments. The factory default is 160

mmHg

for adults and 110 for neonates. This is indicated by the “AUTO”

label at the end of the adjustable range. When the target pressure
is changed, the next determination will use the new target inflation

value if no systolic is available.

menu

of the Service mode, the target pressure is adjusted

When adjusted under the Clinician

permanently.

*

___*’

.>I

i

_I

.r’

_.A

-i

..,

TARGET PRESSURE

Default

100

i

OK. Selection of this button returns the user to the Clinician

menu.

Temp. Selection of this button displays the temperature

submenu, which allows the user to choose the temperature

label. When C (Celsius) is selected, the

“F

F (Fahrenheit) is selected, the

indicator lights.

58

“C

indicator lights. When

Using the Menu System

OK

I

F.

C or

between Celsius and Fahrenheit and produces an advisory that the
trend will be lost. Choosing Yes will cause the Monitor to accept
the new temperature label and erase the trend memory. Choosing
No will cause the Monitor to retain the existing temperature label
and the trend memory.

OK. Selection of this button returns the user to the Clinician menu.

Info. Selection of
date of the
the user to the Clinician menu.

Selection of this button toggles the temperature display

TREND WILL BE LOST

this button causes the most recent calibration

NIBP

system to be displayed. Selection of OK returns

t

Last Calibration

NIBP 14-Jul-1999

OK. Selection of this button returns the user to the Clinician menu.

More.... Selection

allows the user to permanently change default mode settings.

of this button displays the More... menu, which

Trend. Selection of this button displays the message:

Automatically clear trend on power-up? Selection of Yes
overrides the default setting by clearing all trends on power-up and
returns the Monitor to the More... menu. Selection of No retains
the default setting by saving all trends after power-off and returns
the Monitor to the More... menu. Selection of Cancel returns the
user to the More... menu.

Print. Selection of this button displays the message: Restore Print
mode on power-up? Selection of Yes restores the Print mode to

the default setting (previous user-selected mode) after power-off
and returns the Monitor to the More... menu. Selection of No
restores the Print mode to the Manual mode after power-off and
returns the Monitor to the More... menu. Selection of Cancel
returns the Monitor to the More... menu.

Set BP. Selection of this button displays the message: Restore BP

mode on power-up? Selection of Yes restores the BP mode to

previous user-selected mode after power-off and returns the
Monitor to the More... menu. Selection of No restores the BP
mode to the default setting of Manual after power-off and returns
the Monitor to the More... menu. Selection of Cancel returns the
Monitor to the More... menu.

A/arms. Selection of this button displays the message: Enter alarm

configuration mode? Selection of No returns the Monitor to the

More... menu. Selection of Yes brings up the Alarms menu.
Selection of Reset changes all alarm limits back to the factory
defaults and returns the Monitor to the More... menu. Selection of
Save permanently saves the user-selected alarm limits and returns
the Monitor to the More... menu. Selection of Cancel returns the
Monitor to the More... menu.

SYS

DIA

MAP BPM

60

_.

k

Using the Menu System

Main. Selection of this button returns the user to the Main menu.

Silence. Selection of this button will cause all alarms except the
FAILSAFE alarm to be muted. A confirmation menu will appear in

Area 2 of the LED. Selection of either Yes or No returns the user to
the Clinician

button (26) illuminates and alarms are permanently muted.

silence is not confirmed, the alarm will be audible.

Caution: Alarms will be muted until either the Monitor is
switched off and on again or the Alarm Silence
pressed.

mode menu. If silence is confirmed, the Alarm Silence

If

button (26) is

Confirm silence

Main Selection of this button returns the user to

-*

the Main menu.

Error and Warning Messages

The error panel appears in Area 2 of the LCD and indicates the

error and its code, if it has one. In this example, a limit violation
alarm (which has no error code) has occurred. A list of alarm
error messages and their codes is in Appendix B.

_

,

HIGH SYSTOLIC

pi-1

j

L

Alarm conditions are addressed in two ways: the Alarms button
and OK button.

Alarms Button

Selection of this button takes the user to the Alarms menu,
where the alarm limits can be adjusted. This button is available
only when a parameter alarm limit has been violated.

OK Button

Selection of this button acknowledges the error. The Monitor
clears the identified error and

then returns the user to the Main

menu.

,’

.I

.i

62

i

Technical Specifications

Hz

Cuff Pressure Range
(Normal operating range)

Appendix A

0 to 290
0 to 140

mmHg
mmHg

(adult)

(neonate)

160

f

+

15

15

mmHg

Default Target: Cuff Inflation

Target Cuff Inflation:
Adjustment Range

(in 5

mmHg

increments)

110

100 to 250
100 to 140

Blood Pressure Measurement

Range
Adult

(mmHg)

Systolic

30-245

MAP

15-215

Neonate 40-140 30-115

Blood Pressure Accuracy

Maximum Determination Time

Meets

AAMI

(mean error
standard deviation 18

mmHg)

120 s (adult)

85 s (neonate)

or exceeds ANSI/

standard SP-10

mmHg

mmHg

mmHg

<5

(adult)

(neonate)

(adult)

(neonate)

Diastolic

10

-195

20

-100

mmHg,

Overpressure Cutoff

Pulse Rate Range

Pulse Rate Accuracy

IVAC*

Temoeraturq

Scale

Range

Predictive

*IVAC

is a trademark of

mode

300 to 330

150 to 165

I!I

3.5%

“Fahrenheit (F)
“Celsius (C)

Max: 42.2’ C; 108.0” F

Min: 3 1.6” C; 88.9” F

ALARIS Medical Systems

mmHg

mmHg

200

30 to

beats/min (adult)

200

beats/min (neonate)30 to

(adult)

(neonate)

Monitor mode

Max: 42.2” C; 108.0”

Min: 26.7” C; 80.0” F

F

Monitor mode accuracy

&O.l”C
+

0.2” F (when tested in a

calibrated liquid bath; meets
ASTM

El 112, Table 1, in

range specified)

.O”

Predictive mode accuracy

Determination time

IVAC

Use only

probes and probe covers. The size, shape, and thermal

+

3~

less than 60

F

1

0.6” C

seconds

characteristics of the probe covers can affect the performance of the
instrument. Inaccurate readings or retention problems may occur unless
IVAC

probes and probe covers are used. Refer to Appendix D for

reorder codes.

Functional Oxygen Saturation:
Range
Accuracy

0 to 100%
0 to 69%: unspecified

1

100%)

-

Adult Accuracv (70%
NELLCOR Sensor

OXICLIQ-P pediatric sensor

OXICLIQ-I

infant sensor

OXICLIQ-A adult sensor
OXICLIQ-N neonatal/adult sensor
OXIBAND pediatric/infant sensor
OXIBAND adult/neonatal sensor

DURA-Y ear clip
REFLECTANCE

DURASENSOR adult
PEDI-CHECK pediatric spot-check clip

OXISENSOR

OXISENSOR

sensor

II D-20 pediatric sensor

II

D-25 adult sensor
OXISENSOR II N-25 neonatal/adult sensor
OXISENSOR II l-20 infant sensor
OXISENSOR II D-25L adult sensor, long cable

Accuracv

2.5

digits

2.5

digits

2.5

digits

2.5

digits

3.0

digits

3.0

digits

3.5 digits

3.5

digits

3.5

digits

3.5

digits

2.0

digits

2.0

digits

2.0

digits

2.0

digits

2.0

digits

Appendix A

OXISENSOR
*Accuracy: 80% to 100%; 0 to 79%: unspecified.

Neonatal

R-l 5 adult nasal sensor*

100%)

-

(70% Accuracv

3.5 digits

When sensors are used on neonatal subjects as recommended,
the specified accuracy range is increased by

+_l

digit to account
for the theoretical effect on oximeter measurements of fetal
hemoglobin in neonatal blood (e.g.,

is

+3,

rather than

Note: Refer to

+2).

NEI_I_COR’s

sensor specifications.

Pulse Rate Range

Accuracy

Audible Indicator

N-25 accuracy on neonates

30 to 250 beats/min

beats/min

f3

Pitch changes with
saturation; volume
selectable from 0 (off) to 9

Waveforms

Pulse plethysmograph
waveform on LCD gain
compensated

Sensor Connect/
Disconnect From Patient

Pulse Detection

Loss of Pulse

Sensor Light Source
Wavelength

Power Dissipation

Monitor will detect

attachment or

disconnection of sensor
from patient within

15 s

Monitor will detect pulse

or enter no signal state

within 15 s of being

attached to patient

Monitor will detect loss of

pulse from patient and enter

no signal state within 10 s

Infrared: 920 nm (nominal)

Red: 660 nm (nominal)

mW

Infrared: 22.5

Red: 30

mW

(max)

(max)

Dimensions

Weight, Including Battery
Mountings

Height: 9.8 in (25.0 cm)

Width: 9.8 in (24.8 cm)

Depth: 6.9 in

7.8

lb (3.5 kg)

(17.5 cm)

Self-supporting on rubber

feet or pole mountable

_I*

I

>.

,

Portability

Classification Information

.

Power

Rewemen&

Carried by recessed
handle or pole mounted

Mode of operation:
continuous

Degree of protection
against harmful ingress of
water: Drip-proof

AC input voltage:

50

/

60 Hz (nominal)

90

-

253 VAC, 47

SOVA.

Protection against electrical

shock: Class 1

DC input voltage: 24

(nominal), 12-30 VDC,

supplied from a source conforming
to IEC 601-l.
AC input is protected by two
internal fuses, replaceable by
qualified service personnel only. DC

IPXl

loo-240

-

63 Hz (range),

VAC,

VDC

36VA,

input line is protected by an internal
auto-resetting

Battery: 12 volt, 2.3 amp- hours

protected by internal auto-resetting

fuse.

fuse.

Minimum operation time:

2

hrs (5 min cycle with adult cuff at

25

“C

with power save mode

,

_>
_,

66

nvlronmental

Operating Temperature

Appendix A

enabled) from full charge. Time

for full recharge:

from full discharge

Monitor is switched off and 8
hrs when the Monitor is
switched on.

“C

+ 5
(+ 41

to + 40

“F to + 104

1 hr 50 min

when the

“C

“F)

hPa

Operating Atmospheric Pressure 700

-

Storage Temperature

Storage/Transportation

Atmospheric Pressure 500

Humidity Range 0% to 95% noncondensing

Radio Frequency Complies with IEC

20

(- 4

Publication 601-l-2 (April

1993) Medical Electrical

Equipment, Electromagnetic
Compatibility Requirements
and Tests and
(Group 1, Class A) for
radiated and conducted
emissions.

to 1060

“C to + 50

-I-

122 “F to

hPa

to 1060

hPa

“C

“F)

hPa

CISPR

11

IPXI

DINAMAP@

The

against vertically falling drops of water and
conforms with the IEC 529 standard at
level of

of vertically falling drops of water making

contact with the Monitor.

IPXl.

PRO Monitor is protected

No harmful effects will come

67

Appendix B

Alarm Codes

All alarm indications are accompanied by an audible signal

unless Alarm Silence is selected.

A

microprocessor system failure will generate a high-pitched

audible alarm regardless of the setting of the Alarm Silence

switch.

There are three categories of alarms: patient alarms, system

alarms, and failsafe alarm.

Patient Alarms

Patient alarms include those alarms issued when the
patient’s systolic pressure, diastolic pressure, pulse rate, or
oxygen saturation is outside the set limits. Whenever one

of these conditions

(SYSTOLIC, MAP, DIASTOLIC, PULSE, or

the most

recent reading and an audible alarm will be issued.

occurs, the associated display

SpO,)

will flash

Pressing the Alarm Silence switch (causing the integral LED
to

be lit) silences the audible alarm for 2 minutes, but the
alarm display reading and SILENCE LED indicator will
continue to flash at the same rate.

System

Alarms

System alarms alert the operator to certain abnormal
conditions or internal system failures. Pressing

cancels the alarm information box which is displayed on the
LCD. Codes for different procedural and system alarms are
on the next page.

the rotor

Failsafe Alarm

The failsafe alarm, which is the most powerful alarm of the

PRO Monitor, indicates a serious failure of the Monitor.

This alarm

and indicates system failure. When the failsafe alarm occurs,
the Monitor disables all features to ensure patient safety.

occurs immediately upon any failure of a self-test

7

-.

7.

69

Hierarchy of Alarms

Alarms in the

levels. They are:

DINAMAP@ PRO Monitor are in three priority

Alarm

Failsafe
Patient and system
Low battery

The Priority 1 alarm (i.e., Failsafe) will override any other

alarm. Priority 2 alarms will override only the low battery
alarm. The low battery alarm will not override any other
alarm.

Priority Level

1
2 (High priority alarm)
3

-70

N33

N44

N55

N99

Alarm

Code Display

zknge

NO0

NO0

-

PRESSURE

OVER

adjustable

%%!?%&e

. .

fl~~:~tes

change TIMEOUT:

No

N33

-

change TIMEOUT: TOTAL

No

N44

-

INFLT

adjustable

alarm. Volume Clear

silence

adjustable

High priority

2 minutes

silence

alarm. Volume

2 minutes

change TIMEOUT: PRESS

No

N55

-

adjustable

High priority

alarm. Volume

2 minutes

silence

change

NIBP
FAILED

High priority

adjustable

alarm. Volume

silence

No

N99

-

High priority

and Volume

2 minutes

Switch

LED

LCD

Display

Procedural and Error Alarm Codes

Audible

Tone

Alarm Silence Clear via

Effect of

I

Clear

Overpressure detected

or air leak detected

Clear

Determination time

Inflation time

minutes. Motion artifact

Clear

One cuff pressure for

minute. Motion artifact

Clear

determination due to

insufficient signal

SelectKno b

Unable to make an

Effect of

Probable Cause

Code

No

EOO

E33

Code

No

Code

No

PO0

P55

4larm

Code

Blank

HIGH TEMP

2dj$ahIe

High Priority

alarm. Volume

silence

2

minutes

change

No

TEMP: FAIL

EOO

-

adjustable

High Priority

alarm. Volume

silence

2
minutes

change

No

TEMP: FAIL

E33

-

alarm. Volume

High priority

adjustable

silence

2
minutes

Values

zeroed

SpO,
CABLE?

High priority

alarm. Volume

adjustable

silence

2
minutes

change

No

PLACEMENT?

SPO,

adjustable

alarm. Volume

2

silence

minutes

adjustable

High priority

No

change

NO

PO0

SpO,

-

SENSOR

High priority

alarm. Volume

;ilence

2
minutes

Ehange

;pO,
NO SIGNAL

adjustable

;ilence

NO

‘55

-

High priority

alarm. Volume

2

minutes

Display

LED

LCD Description

and Volume

4larm Silence

Switch

.

Procedural and Error Alarm Codes (cont.)

Audible

Tone

Effect of

Clear

exceeds upper range

Predictive temperature

Clear

determination

attempting axillary temp

Predictive temperature

Clear

Temperature probe not

connected or inoperable

Clear

SpO, sensor or cable

possibly defective. Cable

not connected properly

Clear

Sensor failure

SpO, signal weak or noisy.

Clear

SpO, sensor not connected.

Sensor failure

No sensor code detected.

Zlear

Check or reposition sensor

No or very low

SelectKnob

Clear via

Effect of

Probable Cause

E,
1,

S

3ther:

N,
P,

Blank

Code Posted

No

Code Change NO PAPER

Values

No No

,“,z,
Blank

Code Change

No No

Alarm

Code Display

LED

description

Error code,

volume

maximum

Steady tone,

No effect

No effect Internal system fault

ERROR

adjustable

alarm. Volume

silence

Clear

NIBP
RANGE

adjustable

High Priority

2 minutes

silence

PRINTER

-

alarm. Volume

High Priority

2 minutes

Clear

SYSTEM

DISABLED

volume

maximum

No effect

No effect

LOW BATTERY,

Flashing

LOW BATTERY

-

Steady tone,

battery icon

volume

adjustable

10 seconds,

2 minutes

silence

No effect measurements available.

LCD Description

3 beeps every

and Volume

Alarm Silence

Switch

SelectKno b

Clear via

Procedural and Error Alarm Codes (cont.)

Audible Tone

Effect of

Effect of

value outside specified

accuracy range

NIBP

door open

Paper ran out or printer

algorithm returned

From onset of alarm. 5

Replace or recharge battery.

NIBP

as battery discharges

Beep rate increases linearly

Replace or recharge battery.

measurement disabled

Probable Cause

Appendix

Principles of Noninvasive Blood Pressure
Determination

The oscillometric method of determining BP is
accomplished by a sensitive transducer which measures cuff
pressure and minute pressure oscillations within the cuff.

The first determination sequence initially pumps up to a cuff

pressure of about

1 10

mmHg

pressure preset. After inflating the cuff, the Monitor begins
to deflate it and measures systolic pressure, mean pressure,
and diastolic pressure. When the diastolic pressure has been
determined, the Monitor finishes deflating the cuff and
updates the systolic, diastolic, and MAP displays on the
front panel.

The Monitor deflates the cuff one step each time it detects

two pulsations of relatively equal amplitude. The time
between deflation steps depends on the frequency of these
matched pulses (pulse rate of the patient). However, if the
Monitor is unable to find any pulse within several seconds,
it will deflate to the

matched pulses at each step provides artifact rejection due
to patient movement and greatly enhances the accuracy of
the Monitor. The figure

sequence.

for neonates depending on the initial target

mmHg

160

next step. The process of finding two

shows the BP determination

for adult/pediatric patients, or

C

OSCILLATION

t

1

TIME

BP Determination Sequence

75

-1

nq

i3l#

qeM

uo!yel4u!

‘al3h3

uoya~~a)u!

l!eM

-au_q
:s]Jed

8ugeJadO

‘3pOl.U

S!

paJXj4P

pue

moj

40

3!seg

Jo)eJado

(enuew)

i3pOUJ

0)

uoyenlem

%uJ!~

pasoduro3

‘(ap0~U

aql

s~oys

JO

ayl

(ap0~1

Sa!JPA

LUOJ4

‘auq

al3A3

s!

aJn%j

O$r’I\d)

uo!3eljap

$$eJadO

~LIJ!]

al3b

‘Xll!~Y3!YM

‘auy

ayl

‘elep

Sa)el4ap

a41

le303

uog~ajap

ayssamns

---.--q

‘amswd

paJO]S

Uaq]

pau!lu~a]ap

JO Hn3

aslnd

uaamjaq

ay$

JO)!UOW

payxeur

jjm

*sAelds!p

SaZ/i(eUe

ayl

s!

pue

sa.ioy~

laued

‘(aJnssaJd

‘8#ULll

aJnSSaJd

uo!leljap

rossa3oJdo+u

mloJse!p

‘apnj!ldLue

aye

1~0~4
pa]Xlap

MOlaq

L

paddaIs

I!gun

ayl pue awg

aye

salepdn

OJaZ

a.mssaJdSIIej

sanuguo:,

ayl

payweLuaslnd

01)

xaslnd

y3ea

pue

#-I3

dais

l\d

Appendix

absence of a systolic value, stop deflation, reinflate to a
higher (than initial) inflation pressure (290
maximum), and resume normal deflation sequence. This

additional inflation will

If a previous valid systolic pressure is displayed, and the new
systolic pressure oscillations are compared with the
previous valid determination and the Monitor “thinks” that

the systolic was not obtained, the Monitor will inflate the
cuff to a pressure of an additional 50
immediately preceding inflation. This additional inflation will

occur only once per determination.

occur only once per determination.

mmHg

mmHg

above the

C

Do not use the

of the Monitor. Because of differences in technique and

technology, values may differ. The

of the PRO Monitor compares BP values to an invasive
arterial BP measurement technology.

method uses audible sounds heard through a stethoscope
and determines BP by the corresponding height of a

column of mercury.

Invasive pressure monitoring directly measures the pressure

exerted on a transducer and displays this pressure as a

value. Noninvasive blood pressure monitoring is dependent

on the flow of blood through the peripheral circulation.

auscultatory method to verify the accuracy

DINAMAP@

The auscultatory

Technology

77

-1

Appendix D

Compatibility Table and Reorder Codes

Description of Compatible Parts

SOFT-CUP”, Infant
SOFT-CUFT”,
SOFT-CUFT”,

SOFT-CUFT”,
SOFT-CUP”, Large Adult

SOFT-CUP”,

SOFT-CUP”, Neonatal Type

SOFT-CU
SOFT-CUp”,

SOFT-CUP”, Neonatal Type

SOFT-CUP”, Neonatal Type 5

DURA-CUF@

DURA-CUF@

DURA-CUF@

DURA-CUF@

DURA-CUF@

DURA-CUF@

DURA-CUF@

DURA-CUF@

CLASSIC-CUFC”,

CLASSIC-CIJp”, Child 2613

CLASSIC-CUP”, Small Adult 2608

CLASSIC-CIJp”, Adult 2603

CLASSIC-CU

CLASSIC-CUFT”, Thigh

CLASSIC-CUp”, Neonatal Type 2 2633

CLASSIC-CUFT”,

CLASSIC-CUp”, Neonatal Type 4 2623

CLASSIC-CIJFC”,

12 Foot (approx. 3.7 m) Long Adult

24 Foot (approx. 7.3 m) Long Adult

12 Foot (approx. 3.7 m) Long Neonatal Hose 107368
12 Foot (approx. 3.7 m) Long A/P Hose Quick
IVAC** Oral Temperature Probe
IVAC** Rectal Temperature Probe

IVAC** Temperature Probe Covers
DINAMAP@

DINAMAP@

Child
Small Adult
Adult

Thigh

1

FT”,

Neonatal Type 2

Neonatal Type 3

4

Cuff, Infant
Cuff, Child
Cuff, Small Adult
Cuff, Adult
Cuff, Large Adult
Cuff, Thigh

Cuff, Assortment Cuff Pack
Cuff, Child Pack

Infant 2618

M,

Large Adult

f

1

Neonatal Type 3 2628

Neonatal Type 5 2619

/

Pediatric Hose 107365

/

Pediatric Hose 107366

Discon.

PRO Monitor Operation Manual
PRO Monitor Service Manual 777105’

Code

2500

2501

2502

2503
2504
2505

2521

2422
2523
2524
2525
2783
2781
2779

2774
2791

2796
2699
2697

2643
2648
2638CLASSIC-CUp”, Neonatal Type

88847
088012
088013

088015

776995’

*PRO Monitor unique parts
**IVAC

is a trademark of

ALAR6

Medcial

Systems

12 Volt Lead Acid Battery

Accessory Pole/Basket

Accessory Base

Power Converter
Printer Paper (box of 10)
Power Cable

SpOz

NELLCOR

Extension Cable
NELLCOR Finger Sensor
BP Cal Kit

*PRO Monitor unique parts
NELLCOR is a trademark of Mallickrodt, Inc.

633132
3210
3211
621262’
089 1 00*
316579
SCPl o*
DSlOOA
320246

NEONATAL

CUFF TYPE

#l

#2

#3

#4

#5

ADULT/PEDIATRIC

CUFF TYPE

Infant

Child

Small Adult

Adult

Large Adult

Thigh

LIMB

CIRCUMFERENCE

-

6 cm

3 cm

-

8 cm

4 cm

6cm-11

cm 252312628

7cm-13cm

8cm-15cm

LIMB

CIRCUMFERENCE

8cm-13cm

l2cm-19cm

17cm-25cm

23 cm-33cm

31 cm-40cm

38cm-50cm

REFERENCE

USE WITH HOSE

NUMBER

252112638

2422/2633

107368 Teal Green,

Neonatal, 12

2524/2623

252512619

REFERENCE NUMBER

2703/2500/2618

2781/2501/2613

2779/2502/2608/2607

2774/2503/2603/2602

2791/2504/2643/2642

2796/2505/2648

NO.

ft (366

cm)

USE WITH HOSE

NO.

107365 Adult 12 ft

(366 cm) Air Hose

Gray (made with

Clippard screw

connectors at cuff

end)

or
107366 Adult 24 ft
(732 cm) Air Hose

Gray (made with

Clippard screw

connectors at cuff

end)

or

88847 Long

12 ft (366 cm) Air

Hose (quick
disconnect)

A/P

Appendix F

Maintenance

Cleaning the Monitor

The Monitor and accessories are to be kept clean and

according to the instructions provided here and

Service Manual.

The exterior of the Monitor may be wiped clean with a soft

cloth slightly dampened with mild detergents. The Monitor
and accessories should be inspected once yearly for wear
and damage.

l Do not immerse unit.

.

Do not clean with isopropyl alcohol or other solvents.

l Do not immerse hoses.

Cuff Cleaning and Disinfection

General

The cuff must be thoroughly cleaned with the specified
detergent before reuse. The additional use of household

bleach as described below provides at least
level disinfection.

in the

intermediate-

used

.

Apply cuff hose plugs before cleaning.

l

The following cleansing procedure was repeated 20

times on

SOFT-CUF@

DURA-CUF@Blood

Blood Pressure Cuffs without affecting the

Pressure Cuffs and once on

performance of the cuff.

While this procedure is adequate for cleaning/

disinfection, it may not remove all stains.

.

Do

not immerse hoses.

.

nof

Do

immerse cuffs without prior application of cuff

hose caps.

Materials

l Enzymatic detergent such as ENZOL* enzymatic

detergent (US)

l Distilled water

or Cidezyme* enzymatic detergent (UK)

l 10% solution of household bleach (5.25% sodium

,-

*Trademark

K

hypochlorite) in distilled water

83

l Soft cloths and soft-bristled brushes

.,/:

-

Spray bottles

Procedure

1. Prepare the enzymatic detergent according to the
manufacturer’s instructions and the 10% bleach solution,

in separate spray bottles.

2. Spray the detergent liberally on device. If the material is
dried on, allow the cuff to sit for 1 minute. For soil on

the soft part of the closure or the cuff itself, wipe the
material off with a soft cloth. For persistent
contamination on the soft part of the closure, use a soft-
bristled brush to loosen particles. Rinse with copious
amounts of distilled water. Repeat until no visible
contamination remains. For soil on the hook part of the
closure, use a soft-bristled brush to remove the material,
and rinse with copious amounts of distilled water. Repeat
until no visible contamination remains.

3. Spray the 10% bleach solution on the affected area until
the area is saturated. Allow the cuff to sit for 5 minutes.

4. Wipe away any excess solution and rinse the cuff again
with distilled water. Allow 2 hours for drying.

.I

.:

I

.,.

./,

II

,I

.

,*

i

_.

The user has the responsibility to validate any deviations

from the recommended method of cleaning and
disinfection.

For additional information

on infection control procedures,

contact Critikon Technical Support.

Temperature Devices

Do not immerse predictive temperature probes. The probe
may be cleaned with an alcohol solution. Use a cloth or
sponge-just damp, not wet-and avoid getting any liquid
into the interior of the probe.

SpO, Sensors

Adhesive sensors are sterile and for single use only.

Reusable

70% alcohol solution. Do not immerse the sensor

sensors should be cleaned before reuse with a

completely in water, solvents, or cleaning solutions

(because the connector is not waterproof). Do not sterilize
the sensor by irradiation, steam, or ethylene oxide. If

1-i

84

Appendix F

disposable sensors or their packaging are damaged, they

must be disposed of as advised

Storage and Battery Care

If it becomes necessary to store the Monitor for an

extended period of time, first fully charge then remove the

battery.
original packaging materials.

Batteries should always be fully charged before being
placed in

charged battery can retain about 80% of its charge. A fully
charged battery

power to operate a Monitor for approximately 2 hours,
including temperature and BP

S-minute intervals.

It

is best to keep the battery charged as fully as practical
and
condition. When the battery will no longer hold a charge,
remove and replace it with one of the same part number.

Failure to replace the battery with the same Critikon part
number may result in shorter battery life.

Then store the Monitor and the battery in the

storage. Even after 6 months of storage, a fully

in good condition will provide sufficient

never store the Monitor with the battery in a discharged

in Appendix F.

measurements made at

To charge the battery, insert the plug from either the AC

mains power

cord or the AC-DC power converter into an

appropriate AC outlet. The battery will charge regardless of
the

position of any switches.

Battery charging will take place as

remains connected to an external AC power source. A

battery that is fully discharged can be fully recharged in

hour 50 minutes when the Monitor is switched

long as the Monitor

off or 8

hours if the Monitor is switched on.

Cautions

.

To ensure that the battery will be ready for portable

operation, keep the Monitor connected to a mains
supply whenever possible.

.

Repeated failure to fully charge the battery will result
in a significant reduction in battery life.

1

l The expected lifetime of the battery largely depends on

the way in which the Monitor is used. If the battery is

allowed to completely discharge before being fully
recharged, the battery should survive around 200
recharge cycles. If the battery is used in such a way that
it never becomes more than one third discharged and is

fully recharged whenever possible, it can survive up to

1200 cycles. This means that by thoughtful usage, the

lifetime

Replacement batteries may be obtained from Critikon.
Note: The replacement part number of the battery is 63313.
Do not use other types.

of the battery can be extended up to six times.

Fuses

The Monitor contains five fuses. Two AC line input fuses are

mounted internally and are replaceable only by qualified
service personnel. The remaining three fuses are auto-
resetable and mounted within the Monitor. These fuses
protect the low voltage DC input, the battery, and the
output

on the host port connector.

+5

V

Calibration

Calibration of the BP parameter should be checked at least
once a year or when there is doubt about the validity of the
readings.

Leak Testing

A leak test of the BP parameter should be performed at least

once a year or when there is doubt about the validity of the

pressure readings.

Caution: Refer calibration and leak testing to qualified
service personnel. Full calibration details are available in the

DINAMAP
Critikon.

PRO Monitor Service Manual, available from

Disposal of Product Waste

As you use the PRO Monitor, you will accumulate solid wastes
that require proper disposal or recycling. These include

batteries, patient applied parts, and packaging material.

.

._

.

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._

Appendix F

Batteries
Caution: Do not incinerate batteries.

The sealed, rechargeable backup battery contains lead and
can be recycled.

the Nickel Metal Hydride form. Discharge this battery prior

to disposal. Place the battery

electrically isolates

the battery in a trash compactor. Do not

battery or expose it to fire or high temperatures. Dispose in
accordance with regional body controlled guideline.

Patient Applied Parts

Certain patient applied parts, such as those with adhesive
(disposable
should be disposed of properly as medical waste in
accordance with regional body controlled guideline.

Other patient applied parts, such as blood pressure cuffs,
should be cleaned according to instructions. Inspect
reusable applied parts for wear, replace as necessary, and
dispose of used product as medical waste in accordance
with regional body controlled guideline.

SpO, sensors), are intended for single use and

The rechargeable memory battery is of

in packaging which

its contents. Do not puncture or place

incinerate the

Packaging Material

Retain original packaging materials for future use in storing

or shipping the Monitor and accessories. This

recommendation includes corrugated shippers and inserts.

Whenever possible recycle the packaging of accessories

and patient applied parts.

87