Mindray Accutorr V Operating Instructions
Operating Instructions
0070-01-0699-02_Acctr V ops color.indd 1 2/18/11 9:08 AM
Operating Instructions
0070-02-0699-02_Acctr V ops b_w.indd 1 2/18/11 9:21 AM
Accutorr® is a registered trademark of Mindray DS USA, Inc.
f
Masimo SET
®
Mindray
®
Nellcor
is a U.S. registered trademark of Nellcor Puritan Bennett LLC.
SmarTemp
®
is a U.S. registered trademark of Masimo Corp.
is a trademark or a registered trademark of Shenzhen Mindray Bio-Medical Electronics Co., Ltd.
™
is a trademark of Shenzhen Mindray Bio-Medical Electronics Co., Ltd.
Copyright © Mindray DS USA, Inc., 2009. All rights reserved. Contents of this publication may not be reproduced in any
orm without permission of Mindray DS USA, Inc.
0070-10-0699-02 Accutorr V Operating Instructions
Table of Contents
Foreword .................................................................................................................................... v
Warnings, Cautions, and Notes..................................................................................................... vi
Warnings.................................................................................................................................... vi
Cautions ..................................................................................................................................... vii
Notes ......................................................................................................................................... ix
Safety Designations ...................................................................................................................... ix
Indications For Use ....................................................................................................................... x
Product Limitations........................................................................................................................ x
Unpacking................................................................................................................................... xi
Symbols and Descriptions.............................................................................................................. xi
General Description .......................................................................................................... 1 - 1
General Product Description ..........................................................................................................1 - 2
Product Features...........................................................................................................................1 - 4
Recommended Test and Calibration Frequency ................................................................................ 1 - 5
Controls and Indicators ..................................................................................................... 2 - 1
Introduction ................................................................................................................................. 2 - 2
Front Panel ..................................................................................................................................2 - 3
Rear Panel...................................................................................................................................2 - 7
Recorder Module .........................................................................................................................2 - 8
Operation......................................................................................................................... 3 - 1
Introduction ................................................................................................................................. 3 - 2
Operator Position .........................................................................................................................3 - 2
Setting-up and Turning Power On...................................................................................................3 - 2
Standby and Power OFF ...............................................................................................................3 - 4
Entering Standby ...................................................................................................................3 - 4
Exiting Standby ..................................................................................................................... 3 - 4
Turning Power Off..................................................................................................................3 - 4
Selecting a Configuration .......................................................................................................3 - 4
Patient Setup................................................................................................................................ 3 - 6
Entering Patient Information..................................................................................................... 3 - 6
Quick Admit .................................................................................................................. 3 -7
Selecting the Patient Size ........................................................................................................3 - 7
Setting Initial Cuff Inflation Pressure..........................................................................................3 - 8
Manual NIBP Measurements.......................................................................................................... 3 - 11
NIBP Pressure Limit Fail Safe ...................................................................................................3 - 13
Cuff Inflation Time..................................................................................................................3 - 13
Automatic Retry .....................................................................................................................3 - 13
Automatic NIBP Measurements (Interval Mode) ................................................................................ 3 - 14
Starting an Automatic Measurement ......................................................................................... 3 - 14
Canceling an Automatic NIBP Measurement ............................................................................. 3 - 14
Changing the Interval Setting .................................................................................................. 3-15
START and DEFLATE Functions.................................................................................................3 - 15
Automatic Adjustment of Cuff Inflation Pressure (Adaptive Inflation)..............................................3 - 15
Automatic Retry .....................................................................................................................3 - 16
Alarms ........................................................................................................................................3 - 17
Accutorr V Operating Instructions 0070-10-0699-02 i
Table of Contents
Setting Alarm Limits................................................................................................................3 - 17
Alarm Violations .................................................................................................................... 3 - 19
Pausing and Silencing Alarms ................................................................................................. 3 - 20
Viewing and Deleting Stored Trend Data......................................................................................... 3-21
Storing Measurements ............................................................................................................3 - 21
Viewing Stored/Trend Data ....................................................................................................3 - 21
Reviewing and Deleting Stored/Trend Data ..............................................................................3 - 22
Selecting a Patient ID ...................................................................................................... 3 - 22
Reviewing Trend Data ..................................................................................................... 3 - 22
Deleting Trend Data ........................................................................................................3 - 23
Exiting the REVIEW SETUP Dialog ....................................................................................3 - 23
Common Setup ............................................................................................................................3 - 24
Setting the Alarm Volume, Key Volume, and Pulse Volume, and NIBP End Tone Volume .................3 - 24
Setting the LCD Brightness and Contrast....................................................................................3 - 24
Measurements ....................................................................................................................3 - 26
SpO
2
Pulse Oximetry Sensors........................................................................................................... 3 - 26
Sequence for Establishing SpO
with Nellcor® Pulse Oximetry .................................................... 3 - 28
2
NELLCOR® Sensors ........................................................................................................3 - 29
Sequence for Establishing SpO
®
MASIMO
Sensors and Patient Cable .............................................................................. 3 - 31
with Masimo® Pulse Oximetry ...................................................3 - 29
2
DPM SpO2........................................................................................................................... 3 - 31
Temperature Measurement ............................................................................................................3 - 34
Setting Temperature Properties ................................................................................................3 -34
Applying a Probe Cover (SmarTemp) .......................................................................................3 - 35
Taking an Oral Temperature Measurement ............................................................................... 3 - 35
Taking an Axillary Temperature Measurement ...........................................................................3 - 36
Measuring Rectal Temperature ............................................................................................... 3 - 37
Recorder .....................................................................................................................................3 - 39
Setting The Clock (Date and Time) .................................................................................................. 3 - 40
Battery Operation......................................................................................................................... 3 - 41
Creating a User Configuration ....................................................................................................... 3 - 42
Turning Barcode Power On or Off ...........................................................................................3 - 43
Selecting a Language............................................................................................................. 3 - 43
Turning Alarm Tones Off.........................................................................................................3 - 44
Sensor Off ...................................................................................................................3 -44
SpO
2
Saving a user configuration .................................................................................................... 3-44
Setting a Default Power-on Configuration..................................................................................3 - 45
Status and Error Codes .................................................................................................................3 - 47
Physiological Alarm Messages ................................................................................................3 - 47
Technical Alarm Messages...................................................................................................... 3 -47
General Alarm Messages of Parameter Modules........................................................................ 3 - 48
NIBP Module Alarm Messages ................................................................................................ 3 - 48
Masimo SpO
Nellcor SpO
DPM SpO
Module Alarm Messages...................................................................................3 - 50
2
Module Alarm Messages.................................................................................... 3 - 51
2
Module Alarm Messages .......................................................................................3 - 51
2
SmarTemp™ TEMP Module Alarm Messages .............................................................................3 - 53
Recorder Module Alarm Messages........................................................................................... 3 - 53
ii 0070-10-0699-02 Accutorr V Operating Instructions
Table of Contents
System Alarm Messages ........................................................................................................ 3 -55
Prompt Messages................................................................................................................... 3 - 55
User Maintenance............................................................................................................. 4 - 1
Introduction ................................................................................................................................. 4 - 2
Cleaning and Disinfection of the Accutorr V Monitor.........................................................................4 - 3
™
Decontamination of the Optional SmarTemp
TEMP Probe ............................................................... 4 - 4
Sterilization and Cleaning of Reusable Cuffs....................................................................................4 - 5
Battery Maintenance and Replacement ...........................................................................................4 -6
Battery Maintenance ..............................................................................................................4 - 6
Battery Replacement...............................................................................................................4 - 6
Recorder Maintenance.................................................................................................................. 4 - 7
Recorder Paper Replacement................................................................................................... 4 - 7
Care and Storage of Thermal Paper ...............................................................................................4 - 9
Resetting the NIBP ........................................................................................................................4 - 10
Nurse Call Set-up .........................................................................................................................4 - 12
Accutorr V Accessories ...................................................................................................... 5 - 1
Accessories .................................................................................................................................5 - 2
Hoses, Non Invasive Blood Pressure.........................................................................................5 - 2
Oximetry Sensors and Accessories........................................................................................... 5 - 3
Pulse Oximetry DPM SpO
..............................................................................................5 - 3
2
Pulse Oximetry-Masimo SET® LNOP® SpO2 ...................................................................... 5 - 4
®
Pulse Oximetry-Masimo SET
Pulse Oximetry-Nellcor
LNCS® SpO2 ....................................................................... 5 - 5
®
SpO2 .........................................................................................5 - 5
SmarTemp Temperature Accessories......................................................................................... 5 - 5
®
Welch Allyn SureTemp
Plus Thermometer Accessories ..............................................................5 - 6
Nurse Call Connector............................................................................................................. 5 - 6
Recorder Paper......................................................................................................................5 - 6
Barcode Scanner ................................................................................................................... 5 - 6
Battery and Power Cords ........................................................................................................5-6
Mounting Assemblies .............................................................................................................5 - 6
Appendix ......................................................................................................................... 6 - 1
How To Get Assistance ................................................................................................................. 6 - 2
Specifications .............................................................................................................................. 6 - 3
Systolic Pressure Readout........................................................................................................6 - 3
Diastolic Pressure Readout ......................................................................................................6 - 3
Mean Pressure Readout .......................................................................................................... 6-3
NIBP Measurement Cycle Time ................................................................................................ 6 - 3
Pulse Rate .............................................................................................................................6 - 4
Maximum Cuff Pressure ..........................................................................................................6-4
Temperature.......................................................................................................................... 6 - 5
®
Nellcor
Performance Specifications ........................................................................................6 - 5
Masimo Performance Specifications ......................................................................................... 6 - 6
DPM Performance Specifications.............................................................................................. 6 - 8
Battery.................................................................................................................................. 6 - 8
Real Time Clock.....................................................................................................................6 - 10
Physical Characteristics ..........................................................................................................6 - 10
Accutorr V Operating Instructions 0070-10-0699-02 iii
Recovery from Power Loss ..........................................................................................................6 - 11
Alarm Restoration from Power Loss ....................................................................................... 6 - 11
Data Logging after Power Loss ............................................................................................. 6 - 11
Environmental Characteristics .....................................................................................................6 - 12
Electrical Ratings.......................................................................................................................6 - 13
Agency Compliance.................................................................................................................. 6 - 14
Electromagnetic Compatibility.....................................................................................................6 - 15
Indirect Blood Pressure Measurements and Associated Errors.......................................................... 6 - 19
Precautions With Using Automatically Cycled Blood Pressure Cuffs .................................................6 - 20
Cuff Size ...........................................................................................................................6 - 20
Other Factors .....................................................................................................................6 - 20
User Verification Of The Accutorr V NIBP Measurements................................................................ 6 - 21
Warranty.................................................................................................................................6 - 22
Manufacturer’s Responsibility .....................................................................................................6 - 23
i - iv 0070-10-0699-02 Accutorr V Operating Instructions
Foreword Introduction
Foreword
These operating instructions are intended to provide information for the proper operation of
the Mindray DS USA, Inc./Shenzhen Mindray Bio-Medical Electronics Co., Ltd Accutorr V.
The Accutorr V configurations are:
®
• Accutorr V with Nellcor
includes NIBP, Nellcor SpO2, a Trend Display, and Recorder
• Accutorr V with Nellcor® Pulse Oximetry and SmarTemp™—
includes NIBP, Nellcor SpO2, SmarTemp, a Trend Display, and Recorder
• Accutorr V with Masimo SET® Pulse Oximetry—
includes NIBP, Masimo SpO2, a Trend Display, and Recorder
• Accutorr V with Masimo SET® Pulse Oximetry and SmarTemp™—
includes NIBP, Masimo SpO2, SmarTemp, a Trend Display, and Recorder
• Accutorr V with DPM Pulse Oximetry—
includes NIBP, DPM SpO2, a Liquid Crystal Display (LCD), and Recorder
• Accutorr V with DPM Pulse Oximetry and SmarTemp™—
includes NIBP, DPM SpO2, SmarTemp, a Liquid Crystal Display (LCD), and Recorder
• Accutorr V with DPM NIBP and SmarTemp™—
includes NIBP, SmarTemp, a Trend Display, and Recorder
• Accutorr V with DPM NIBP only—
includes NIBP, a Trend Display, and Recorder
Pulse Oximetry—
All Accutorr V configurations can be upgraded with a barcode scanner.
In this manual, when a described feature refers to a particular Accutorr V configuration, it
will be noted. When the name Accutorr V is used, it refers to all configurations.
General knowledge of monitoring and an understanding of the features and functions of the
Accutorr V are prerequisites for its proper use.
DO NOT OPERATE THIS UNIT BEFORE READING ALL INSTRUCTIONS.
Refer to the Accutorr V Service Manual: P/N 0070-00-0702 for information for servicing this
instrument. For additional information or assistance, contact an authorized representative.
U.S. Federal Law restricts this device to sale by or on the order of a physician or other
practitioner licensed by state law to use or order the use of this device.
Mindray maintains a policy of continual product improvement and reserves the right to
change materials and specifications without notice.
Masimo Patents: This device (MASIMO SpO
following U.S. Patents 5,758,644, 5,823,950, 6,011,986, 6,157,850, 6,263,222,
6,501,975, and other applicable patents listed at: www.masimo.com/patents.htm.
Possession or purchase of this device does not convey any express or implied license to use
the device with replacement parts which would, alone, or in combination with this device,
fall within the scope of one or more of the patents relating to this device.
Module) is covered under one or more of the
2
Accutorr V Operating Instructions 0070-10-0699-02 v
Introduction Warnings, Cautions, and Notes
Nellcor Patents: This device (Nellcor SpO2 Module) is covered under one or more of the
following U.S. Patents Patent No. 5,485,847, 5,676,141, 5,743,263, 6,035,223,
6,226,539, 6,411,833, 6,463,310, 6,591,123, 6,708,049, 7,016,715, 7,039,538,
7,120,479, 7,120,480, 7,142,142, 7,162,288, 7,190,985, 7,194,293, 7,209,774,
7,212,847, and 7,400,919. Possession or purchase of this device does not convey any
express or implied license to use the device with replacement parts which would, alone, or in
combination with this device, fall within the scope of one or more of the patents relating to
this device.
Warnings, Cautions, and Notes
Read and adhere to all of the warnings and cautions listed throughout this manual.
A WARNING is provided to alert the user to potentially serious outcomes (death, injury or
serious adverse events) to the patient or the user.
A CAUTION is provided to alert the user that special care should be taken for the safe and
effective use of the device. They will include actions to be taken to avoid effects on patients
or users that will not be potentially life threatening or result in serious injury, but about which
the user should be aware.
A NOTE is provided when additional general information is available.
Warnings
WARNING: Internal Electrical Shock Hazard - This unit does not contain
any user-serviceable parts. Do not remove instrument
covers. Refer servicing to qualified personnel. When the
integrity of the protective earth conductor, in the installation
or its arrangement, is in doubt, the equipment should be
operated from its internal battery. Observe all CAUTION and
WARNING labels on the unit.
WARNING: Possible explosion hazard. Do not operate machine near
WARNING: Continued use of the STAT NIBP mode or short term
WARNING: Always place the unit on a flat, rigid surface or onto a
WARNING: To ensure proper performance and safety and to prevent
flammable anesthetic agents or other flammable
substances. Do not use flammable anesthetic agents (i.e.,
ether or cyclopropane.)
automatic mode may result in surface vessel rupture
(petechia).
Mindray approved stable mounting bracket.
the voiding of the warranty, only use authorized parts and
accessories with the Accutorr V. Use of unauthorized
accessories may result in erroneous readings.
WARNING: Use only cuffs with approved quick connect type connectors.
WARNING: The Accutorr V is not intended for use in a magnetic
vi 0070-10-0699-02 Accutorr V Operating Instructions
resonance imaging (MRI) environment and may interfere
with MRI procedures.
Cautions Introduction
WARNING: Danger of explosion if battery is incorrectly replaced.
WARNING: Do not use a damaged or broken unit or accessory.
WARNING: Operation of the Accutorr V below the minimum amplitude
WARNING: Use of accessories, transducers, and cables other than those
WARNING: Perform the decontamination or cleaning process with the
WARNING: Use only authorized single use disposable probe covers
Replace only with the same or equivalent type
recommended by the manufacturer. Dispose of used
batteries according to the manufacturers instructions and
local regulations. Batteries used in this device may present a
risk of fire or chemical burn if mistreated. Do not incinerate
battery, possible explosion may occur.
or value of patient physiological signal may cause
inaccurate results.
specified in the manual may result in increased
Electromagnetic Emissions or decreased Electromagnetic
Immunity of the Accutorr V. It can also cause delayed
recovery after the discharge of a cardiac defibrillator.
unit powered down and power cord removed.
when taking temperature measurements. Use of any other
probe cover may result in erroneous readings or damage to
the probe.
Cautions
CAUTION: Observe extreme caution when a defibrillator is in use. Do
not touch any part of the patient, table, or monitor when a
defibrillator is in use. The Accutorr V should not be used
adjacent to or stacked with other equipment. If adjacent or
stacked use is necessary, the Accutorr V should be observed
to verify normal operation in the configuration in which it
will be used.
CAUTION: The unit should be checked periodically for obstructed vents.
If an obstruction is found, refer the unit to qualified service
personnel.
CAUTION: At the end of their life, dispose of the Accutorr V,
accessories, and single use supplies in accordance with local
regulations. Dispose of packaging waste in accordance with
local regulations.
CAUTION: Wrapping the cuffs too tightly may cause a hazard to the
patient.
®
CAUTION: When equipped with Nellcor
CAUTION: When equipped with MASIMO
oxygen transducers including Nellcor
dedicated adhesive sensors. Use of other oxygen
transducers may cause improper oximeter performance.
oxygen transducers including MASIMO LNOP
®
patient dedicated adhesive sensors and MASIMO PC
LNCS
Series Patient Cable. Use of other oxygen transducers may
cause improper oximetry performance.
SpO2, use only Nellcor®
®
Oxisensor® patient
®
SpO2, use only MASIMO®
®
, MASIMO
Accutorr V Operating Instructions 0070-10-0699-02 vii
Introduction Cautions
CAUTION: When equipped with DPM SpO
sensors and cables. Use of other oxygen sensors may cause
, use only DPM oxygen
2
improper oximeter performance.
CAUTION: Excessive ambient light may cause inaccurate SpO
measurements. Cover the sensor with opaque materials.
2
CAUTION: Inaccurate readings may be caused by incorrect sensor
application or use; significant levels of dysfunctional
hemoglobins (i.e. carbohemoglobins or methemoglobin); or
intra-vascular dyes such as indocyanine green or methylene
blue; exposure to excessive illumination, such as surgical
lamps (especially ones with a Xenon light source), bilirubin
lamps, fluorescent lights, infrared heating lamps, or direct
sunlight; excessive patient movement; venous pulsations;
electro-surgical interference; and placement of a sensor on
an extremity that has a blood pressure cuff, arterial
catheter, or intra-vascular line.
CAUTION: Route cables neatly. Ensure cables, hoses, and wires are
kept away from patient’s neck to avoid strangulation. Keep
floors and walkways free of cables to reduce risk to
hospital personnel, patients, and visitors. If the sensor or
patient cable is damaged in any way, discontinue use
immediately.
CAUTION: When cleaning sensors, do not use excessive amounts of
liquid. Wipe the sensor surface with a soft cloth, dampened
with the cleaning solution. To prevent damage, do not soak
or immerse the sensor in any liquid solution. DO NOT
ATTEMPT TO STERILIZE.
CAUTION: Prolonged and continuous monitoring may increase the risk
of skin erosion and pressure necrosis at the site of the
sensor. Check the SpO
proper positioning, alignment, and skin integrity at least
sensor site frequently to ensure
2
every eight (8) hours; with the Adult and Pediatric re-usable
finger sensor, check every four (4) hours; for neonates and
patients of poor perfusion or with skin sensitive to light,
check every 2 - 3 hours; more frequent examinations may
be required for different patients. Change the sensor site if
signs of circulatory compromise occur. Ensure proper
adhesion, skin integrity, and proper alignment. Exercise
extreme caution with poorly perfused patients. When
sensors are not frequently monitored, skin erosion and
pressure necrosis can occur. Assess the site every two (2)
hours with poorly perfused patients and neonates.
CAUTION: Recharge the Lithium ion battery while in the unit at room
temperature. If using the Accutorr V in a hot environment,
the Lithium ion battery may not charge when the unit is
connected to the AC mains.
CAUTION: Remove the battery if the Accutorr V is not likely to be used
for an extended period of time.
CAUTION: The Communications Connectors on the Accutorr V are only
for use with IEC 60601-1-1 compliant equipment.
CAUTION: Never place fluids on top of this monitor. If fluid spills on the
unit, wipe clean immediately and refer the unit to qualified
service personnel.
viii 0070-10-0699-02 Accutorr V Operating Instructions
Notes Introduction
Notes
NOTE: The Accutorr V should be operated only by trained and
qualified personnel.
NOTE: Use disposable and single use accessories only once.
NOTE: Place the equipment in a location where the screen can
easily be seen and the operating controls can easily be
accessed.
NOTE: In certain situations in which perfusion and signal strength
are low, such as in patients with thick or pigmented skin,
inaccurately low SpO
oxygenation should be made, especially in preterm infants
and patients with chronic lung disease, before instituting
any therapy or intervention.
readings will result. Verification of
2
NOTE: The instructions in this manual are based on the maximum
NOTE: The optional Temperature module kit must be installed only
NOTE: Only devices specified by Mindray DS USA, Inc./Shenzhen Mindray
NOTE: When the RS-232 connector is used for DIAP, barcode power
NOTE: Disconnect the Accutorr V from the mains to isolate it from
configuration.
by trained personnel, and proper ESD prevention methods
must be followed.
Bio-Medical Electronics Co., Ltd shall be connected the RS-232 port.
must be set to OFF.
the mains power during an emergency.
Safety Designations
Safety designations per IEC 60601-1 Standard:
Type of protection against electric shock Class 1 with internal electric power source.
Where the integrity of the external protective
earth (ground) in the installation or its
conductors is in doubt, the equipment shall be
operated from its internal electric power
source.
Degree of protection against electric shock Monitor - Type B applied part.
NIBP - Type BF defibrillation protected
applied part.
SpO
- Type BF protected applied part.
2
Temp - Type BF protected applied part.
Supply Connection 100 – 240 VAC
50/60 Hz
0.85 – 0.5 A
Accutorr V Operating Instructions 0070-10-0699-02 ix
Introduction Indications For Use
Mode of Operation Continuous
Protection Against Hazard of Explosion Not Protected (Ordinary)
Protection Against Ingress of Liquids IPX1
Degree of Electrical Connection Between
Equipment and Patient
Degree of Mobility Portable
Equipment designed for direct electrical and
non-electrical connection to the patient.
Indications For Use
The Accutorr V is intended for intra-hospital use under the direct supervision of a licensed
healthcare practitioner. The Indications for Use for the Accutorr V include the monitoring of
the following human physiological parameters:
• Noninvasive blood pressure (NIBP)
• Pulse oximetry (SpO
• Heart Rate
• Temperature
)
2
Product Limitations
Non-invasive blood pressure (NIBP) accuracy depends on the application of the proper cuff
size. See Chapter 3.0 for detailed information.
The Accutorr V will not operate effectively on patients who are experiencing convulsions or
tremors.
The Accutorr V is a portable device intended for intra-hospital use.
If the pressure cuff is not placed at the patient’s heart level, the NIBP measurement may be
subject to error, due to the hydrostatic effect.
The pulse rate data displayed on the Accutorr V is computed from the measurement of
peripheral pulses (peripheral pulses taken only during a measurement cycle). The rate
measured by the Accutorr V may differ from the rate of an ECG monitor. This is because the
ECG is an electrical signal that may not always result in a peripheral pulse.
Administration of certain vasoconstrictor drugs (for example, norepinephrine), may reduce
peripheral perfusion to a level that prevents the Accutorr V from taking pulse rate
measurements.
Arterial compression, tricuspid regurgitation, or other conditions may reduce perfusion to a
level that prevents the Accutorr V from taking pulse rate measurements.
The presence of arrhythmias may increase the time required to complete a measurement and
may extend this time so that a measurement cannot complete.
x 0070-10-0699-02 Accutorr V Operating Instructions
Unpacking Introduction
T1
The Accutorr V is not intended for use during CPR. The monitor uses an oscillometric
technique based on normal peripheral circulation to compute blood pressure.
Unpacking
Remove the instrument from the shipping carton and examine it for signs of shipping
damage. Save all packing materials, invoice, and bill of lading. These may be required to
process a claim with the carrier. Check all materials against the packing list. Contact the
Customer Service Department (800) 288-2121 or (201) 265-8800 for prompt assistance in
resolving shipping problems.
NOTE: The Accutorr V should only be shipped in its original
packing materials to avoid shipping damage.
Symbols and Descriptions
SYMBOL DESCRIPTION SYMBOL DESCRIPTION
Attention, Consult
Accompanying Documents /
Refer to Manual
Type BF Equipment
SpO
Equipotentiality
Equipotential grounding
Alternating Current (AC) Adult
Predictive Thermometer
Connector
SpO
Connector Neonate
2
2
Operating on battery power Manufacturer
Connected to AC mains
Power On/Off – Standby Recycle
Defibrillator-proof Type BF
Equipment
Pediatric/Child
NIBP Connector
Serial number Up key
Accutorr V Operating Instructions 0070-10-0699-02 xi
Introduction Symbols and Descriptions
SYMBOL DESCRIPTION SYMBOL DESCRIPTION
REF
Part Number Confirm key
Patient Information key Down key
Main menu key Deflate Cuff key
Set alarms key Patient Size key
Start NIBP key Alarm Silence key
Display Tabular Trends/Pleth
Wav e
NIBP interval key SP1
NC1 Nurse Call connector
RS-232 connector
(Serial Port 1)
Print key (front panel) CS1 Network connector
Print key (recorder)
Alarm Silenced indicator on
LCD display
Alarm Disabled indicator on
LCD display
Audio Alarm Off indicator on
LCD display
Classified by Underwriters Laboratories Inc. with respect to electric shock, fire and
mechanical hazards, only in accordance with UL 60601-1, CAN/CSA C22.2
NO.601-1, IEC 60601-1-1, IEC 60601-2-30, IEC 60601-2-49.
xii 0070-10-0699-02 Accutorr V Operating Instructions
1.0
General Description
General Product Description ............................................................................ 1-2
Product Features ............................................................................................. 1-4
Recommended Test and Calibration Frequency................................................... 1-5
Accutorr V Operating Instructions 0070-10-0699-02 1 - 1
General Product Description General Description
1.1 General Product Description
The Accutorr V monitors vital signs non-invasive blood pressure (NIBP), pulse oxygen
saturation (SpO2), pulse rate (PR), and temperature (Temp) for a single adult, pediatric, or
neonatal patient. Temperature is measured using the optional Temperature Module.
FIGURE 1-1 View of Accutorr V Front Panel
An Accutorr V contains an NIBP module, SpO
and an internal printer.
1 - 2 0070-10-0699-02 Accutorr V Operating Instructions
module, a rechargable Lithium ion battery,
2
General Description General Product Description
Product Configurations:
NIBP
MODULE SPO2 MODULE
DPM NIBP DPM SpO
DPM NIBP DPM SpO
DPM NIBP Masimo SET
DPM NIBP Masimo SET
DPM NIBP Nellcor Oximax
DPM NIBP Nellcor Oximax
DPM NIBP - SmarTemp™ Lithium ion Recorder
DPM NIBP --Lithium ion Recorder
NOTE: For any of these configurations, the Barcode Scanner is
optional.
2
2
®
SpO2 (MS-2013) — Lithium ion Recorder
®
SpO2 (MS-2013) SmarTemp™ Lithium ion Recorder
®
SpO2 (NELL-3) — Lithium ion Recorder
®
SpO2 (NELL-3) SmarTemp™ Lithium ion Recorder
All configurations measure NIBP, pulse rate, and SpO
PREDICTIVE
TEMPERATURE
MODULE BATTERY RECORDER
— Lithium ion Recorder
SmarTemp™ Lithium ion Recorder
(optional). The Accutorr V features
2
front panel digital displays for Mean Arterial Pressures, Temperature, and Interval Mode
Timer. It has extra large displays for the Systolic, Diastolic, Pulse Rate, optional Temperature,
and SpO
with a choice of Nellcor, Masimo, or DPM. The Accutorr V incorporates a Liquid
2
Crystal Display (LCD) to view stored measurements and to access system setting menus.
On all units, temperature can be measured with the optional Predictive Thermometer Module
(SmarTemp). All units are equipped with a recorder module for documenting NIBP, pulse rate,
SpO
and temperature information. Each printout includes the time and date of each
2,
measurement.
The Accutorr V stores a maximum of 1,200 groups of measurement data in memory. These
1,200 groups of measurement data are shared by the number of patients that are monitored
(one patient at a time) by the Accutorr V. When only one patient is monitored, the Accutorr V
can store up to 1,200 groups of measurement data for that one patient. When more than
one patient is monitored, the Accutorr V can store any number of measurements for each
patient provided the total number of stored groups of measurement data for all patients
equals 1,200 or less.
The Accutorr V has an Interval Mode that enables the unit to take automatic NIBP
measurements at timed intervals.
Alarm limits can be set for Accutorr V parameters. All alarm violations are indicated by an
audible alarm tone, flashing front panel displays, parenthesis around the violated parameter
on the recorder printouts, and reverse video on the Trend display.
The Accutorr V can operate from a battery.
Accutorr V Operating Instructions 0070-10-0699-02 1 - 3
Product Features General Description
1.2 Product Features
Some key features of the Accutorr V are:
• Non-Invasive Blood Pressure (NIBP)
• Pulse Rate
• Nellcor, Masimo, or DPM SpO
•Alarms
•Interval Mode
• Large Light Emitting Diode (LED) Displays
• Trend Memory—Up to 1,200 Measurements
• Communications—Improved ASCII Protocol (DIAP) using straight serial cable
• Nurse Call function
• Universal Power Supply
• User Configured Settings
• Optional Predictive Thermometer Module (SmarTemp)
•Recorder
• High Contrast LCD
• Customer Replaceable Lithium ion Battery
• Universal mounting adapter for rolling stands and wall mounts
• Barcode ready
2
1 - 4 0070-10-0699-02 Accutorr V Operating Instructions
General Description Recommended Test and Calibration Frequency
1.3 Recommended Test and Calibration Frequency
CHECK/MAINTENANCE ITEM FREQUENCY
Visual test When first installing or after reinstalling.
Power on test 1. When first installing or after reinstalling.
2. Following any maintenance or replacement of any main unit
part.
NIBP tests Accuracy test 1. If the user suspects that the measurement is incorrect.
Leakage test
Calibration
SpO
test
2
Temperature test
Analog output test If the user suspects that analog output is abnormal.
Bar code scanner test If the user suspects that bar code scan is incorrect.
Electrical safety tests Enclosure leakage
current test
Earth leakage current
test
Patient leakage
current test
Patient auxiliary
current test
Recorder check Following any repair or replacement of the recorder.
2. Following any repairs or replacement of the NIBP module.
3. At least once per year.
1. Following any repair or replacement of the power module.
2. At least once every two years.
Accutorr V Operating Instructions 0070-10-0699-02 1 - 5
Recommended Test and Calibration Frequency General Description
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1 - 6 0070-10-0699-02 Accutorr V Operating Instructions
2.0
Controls and Indicators
Introduction.................................................................................................... 2-2
Front Panel .................................................................................................... 2-3
Rear Panel..................................................................................................... 2-7
Recorder Module............................................................................................ 2-8
Accutorr V Operating Instructions 0070-10-0699-02 2 - 1
Introduction Controls and Indicators
2.1 Introduction
This section of the Operating Instructions identifies and describes each control and display of
the Accutorr V. For step-by-step operating instructions, see Chapter 3.0.
The following is a list of all controls, connectors, and indicators, their item numbers and the
page numbers. The item number refers to the call-outs on the drawings within this chapter.
The page number refers to the page where the item description is found.
FRONT PANEL PAGE FRONT PANEL PAGE
1. Alarm lamp 2-3 25. DEFLATE key 2-5
2. Systolic pressure (SYS) 2-4 26. INTERVAL key 2-6
3. Mean pressure (MAP) 2-4 27. NIBP Interval indicator 2-6
4. Diastolic pressure (DIA) 2-4 28. Pulse strength indicator 2-6
5. Pulse Rate (PR) Source indicator 2-4 29. SILENCE key 2-6
6. Pulse rate (PR) 2-4 30. Silence indicator 2-6
7. Oxygen saturation (SpO2) 2-4 31. Temperature site 2-6
8. Temperature (Temp) 2-4 32. Temperature Unit indicator 2-6
9. PATIENT INFO key 2-4 33. PRINT key 2-6
10. SET ALARMS key 2-4 34. NIBP connector 2-6
11. DISPLAY key 2-4 REAR PANEL
12. MENU key 2-4 35. TEMP probe sheath 2-7
13. ON/STANDBY key/indicator 2-4 36. TEMP probe covers 2-7
14. AC power indicator 2-4 37. TEMP probe connector 2-7
15. Battery status indicator 2-5 38. RS-232 connector 2-7
16. UP ARROW key 2-5 39. Nurse call connector 2-7
17. LCD Display 2-5 40. Network connector 2-8
18. OK key 2-5 41. Equipotential grounding connector 2-8
19. DOWN Arrow key 2-5 42. AC power input connector 2-8
20. SpO2 Connector 2-5 RECORDER MODULE
21. Patient size indicator 2-5 43. Paper outlet 2-8
22. NIBP status indicator 2-5 44. Recorder door 2-8
23. PATIENT SIZE key 2-5 45.
24. START NIBP key 2-5 46. Recorder door latch 2-8
Power indicator 2-8
2 - 2 0070-10-0699-02 Accutorr V Operating Instructions
Controls and Indicators Front Panel
2.2 Front Panel
2221
1
10
11
12
2
3
4
5
6
7
8
9
23
24
25
26
27
28
29
30
31
32
33
13
15 18
14
16
17
19
20
34
FIGURE 2-1 Accutorr V Front Panel
NOTE: The numbers in parentheses ( ) refer to the items described
as follows and shown in Figures 2-1 through 2-3.
1. Alarm lamp
Flashes red for a high priority alarm and shows continuous yellow for a low priority alarm.
NOTE: In the event that a high alarm and a low alarm occur
simultaneously, only the high priority red lamp flashes.
Accutorr V Operating Instructions 0070-10-0699-02 2 - 3
Front Panel Controls and Indicators
2. Systolic pressure (SYS)
The value of systolic pressure is obtained by the NIBP module. When no other LEDs illuminate
and the SYS LED displays three (3) flashing dashes and the LCD display (17) is blank, the
Accutorr V is in the standby state.
3. Mean pressure (MAP)
The value of mean pressure is obtained by the NIBP module.
4. Diastolic pressure (DIA)
The value of diastolic pressure is obtained by the NIBP module.
5. Pulse Rate (PR) Source indicator
The PR source is either SpO
or NIBP.
2
6. Pulse rate (PR)
The value of the pulse rate is obtained by the NIBP module or SpO
module. The PR unit is
2
beats per minute (bpm).
7. Oxygen saturation (SpO2)
The monitor displays the SpO
value in %.
2
8. Temperature (Temp)
The monitor displays the temperature value in degrees C or degrees F, selectable in the Temp
SETUP dialog. The currently applied unit is illuminated as shown in callout (32).
9. PATIENT INFO key
Press to switch to the PATIENT INFORMATION dialog and automatically create a patient ID.
10. SET ALARMS key
Press to switch between the SET ALARMS dialog and the Trend display.
11. DISPLAY key
Press to switch between the PLETH display and Trend display.
12. MENU key
Press to switch between the SYSTEM SETUP dialog and the Trend display.
13. ON/STANDBY key/indicator
Press to turn the monitor on or off or to enter/exit the standby state. In the operating state,
press and hold for less than 1second to switch the device to standby. To turn off the monitor,
press and hold for more than 2 seconds.
Inside this key there is a working status indicator:
• Illuminated: Indicates the monitor is powered on.
• Dark: Indicates the monitor is powered off.
14. AC power indicator
• Illuminated: Indicates the AC power is connected.
2 - 4 0070-10-0699-02 Accutorr V Operating Instructions
Controls and Indicators Front Panel
• Dark: Indicates the AC power is not connected.
15. Battery status indicator
• Illuminated: Indicates the unit is on and the battery is inserted.
• Flashes: Indicates the system is on and in low battery status.
• Dark: Indicates the battery is not inserted. The battery indicator also remains
dark when monitor power is off.
16. UP ARROW key
Moves the cursor up within the LCD display (17).
17. LCD Display
Displays startup screen, menus, trend data, PLETH waveforms, and current date and time.
18. OK key
Selects the highlighted option. In the trend view, pressing this key displays the REVIEW
SETUP dialog.
19. DOWN Arrow key
Moves the cursor down within the LCD display (17).
20. SpO
Connector
2
Used to attach an SpO2 sensor to the Accutorr V.
21. Patient size indicator
Patient sizes include adult, pediatric, or neonate from left to right.
22. NIBP status indicator
• Illuminated: Indicates the monitor is ready to perform an NIBP measurement.
• Dark: Indicates that interval NIBP measurement is in progress or device not
ready to perform an NIBP measurement.
23. PATIENT SIZE key
Changes the patient size by cycling through adult, pediatric, and neonate. Patient size
changes only when this key is pressed and held for one second.
24. START NIBP key
Starts an NIBP measurement.
25. DEFLATE key
Stops an NIBP measurement that is in progress and deflates the cuff. Pressing this key while
in the interval mode suspends the interval mode operation until the Start NIBP key is pressed
again.
NOTE: Interval display flashes between pressing the Deflate key
Accutorr V Operating Instructions 0070-10-0699-02 2 - 5
and pressing the Start NIBP key.
Front Panel Controls and Indicators
26. INTERVAL key
Changes the NIBP measuring mode and interval by cycling through the modes and intervals
displayed in the NIBP Interval indicator (27), as follows:
OFF (manual), STAT, or 1, 2, 3, 5, 10, 15, 20, 30, 60, 120, 240 minutes
Pressing and holding the Interval key for 3 seconds directly goes to OFF, i.e. the manual
mode.
27. NIBP Interval indicator
Indicates the current NIBP measuring mode or interval.
28. Pulse strength indicator
Indicates the patient’s relative pulse strength by the number of stacked bars.
29. SILENCE key
A quick press of this key pauses the current alarm for two (2) minutes, after which alarm tone
resumes if alarm limits are still violated. If a new alarm condition occurs during the two (2)
minutes, a new alarm tone sounds. Pressing and holding this key for more than two (2)
seconds disables alarm tones indefinitely. If a new alarm condition occurs while in this state,
the monitor automatically exits the alarm silenced state.
30. Silence indicator
• Dark (Normal state): when an alarm occurs, the monitor presents an alarm tone,
visual indication, and message according to the alarm level.
• Illuminated: Alarm silenced state: when an alarm occurs, the monitor presents a
visible alarm and alarm message, but no alarm tone is given. If a new alarm condition
occurs, the monitor automatically exits the alarm silenced state.
• Flash (Alarm paused status): when an alarm occurs, the monitor displays a visible
alarm and alarm message, but no alarm tone is given. The alarm paused time is 120
seconds, after which the alarm tone sounds again if alarm limits are still violated. The
unit counts down the 120 seconds on the LCD Display (17) in place of the date and
time. If a new alarm occurs during this period, the monitor automatically exits the
alarm paused state.
31. Temperature site
The temperature measuring position and monitoring mode, oral, auxiliary, and rectal
selection illuminates.
32. Temperature Unit indicator
The current temperature unit.
33. PRINT key
Starts or stops the recorder.
34. NIBP connector
Used to attach the specified NIBP hose to the Accutorr V.
2 - 6 0070-10-0699-02 Accutorr V Operating Instructions
Controls and Indicators Rear Panel
2.3 Rear Panel
35
36
37
41
38
39
40
42
43
FIGURE 2-2 Accutorr V — Rear Panel
35. TEMP probe sheath
Holds the temperature probe when not in use.
36. TEMP probe covers
Holds the temperature probe covers for easy access.
37. TEMP probe connector
Used to attach a temperature probe to the Accutorr V.
NOTE: The Temperature Module is an optional kit.
38. RS-232 connector
Used to attach a bar code scanner or DIAP.
NOTE: When the RS-232 connector is used for DIAP, barcode power
must be set to OFF. Refer to Section 3.16.1 for turning
BARCODE POWER to OFF.
39. Nurse call connector
Provides compatible communication from the Accutorr V to the hospital’s nurse call system.
NOTE: All equipment attached to the communications ports on the
Accutorr V must meet the requirements as specified in
EN 60601-1-1.
Accutorr V Operating Instructions 0070-10-0699-02 2 - 7
Recorder Module Controls and Indicators
40. Network connector
For software updates only.
41. Recorder
Recorder for printing trend data and PLETH waveform.
42. Equipotential grounding connector
Used to connect the equipotential grounding connectors of other devices.
43. AC power input connector
Connects the monitor to the AC power through a 3-core power cable.
2.4 Recorder Module
47
44
45
46
FIGURE 2-3 Accutorr V — Recorder Module
44. Print button
Prints the PLETH curve or the trend data on the current display.
45. Paper outlet
Recorder feeds paper out of slot.
46. Recorder door
Access to paper roll.
48
47. Power indicator
Indicates power to the recorder.
48. Recorder door latch
Secures the recorder door.
2 - 8 0070-10-0699-02 Accutorr V Operating Instructions
3.0
Operation
Introduction.................................................................................................... 3-2
Operator Position ........................................................................................... 3-2
Setting-up and Turning Power On ..................................................................... 3-2
Standby and Power OFF ................................................................................. 3-4
Patient Setup.................................................................................................. 3-6
Manual NIBP Measurements ............................................................................ 3-11
Automatic NIBP Measurements (Interval Mode) .................................................. 3-14
Alarms .......................................................................................................... 3-17
Viewing and Deleting Stored Trend Data........................................................... 3-21
Common Setup .............................................................................................. 3-24
SpO2 Measurements ...................................................................................... 3-26
Temperature Measurement ............................................................................... 3-34
Recorder ....................................................................................................... 3-39
Setting The Clock (Date and Time) .................................................................... 3-40
Battery Operation........................................................................................... 3-41
Creating a User Configuration ......................................................................... 3-42
Status and Error Codes ................................................................................... 3-47
Accutorr V Operating Instructions 0070-10-0699-02 3 - 1
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