Mindray Datascope Accutorr Plus User manual

Datascope’

INTRODUCTION

Chapters

본

.

Operation

NY

.

Theory

WwW

.

Specifications

.

Repair

MN wR

«

Schematics

.

Parts

A

.

Calibration

.

Preventive

on

A

complete,

chapter a table

FOREWORD

of

Operation

Information

Maintenance

detailed

of

table

contents

of

contents

for

that

begins

chapter

on

page

is

provided.

iii.

Also,

on

the

first

page

of

each

This

Service
personnel,
number
unit

for

and

Predictive

The

information

This

publication
improvements.
replacement

Manual

to

use

0998-00-0444-XX).

part

number

pages

NOTE

Unauthorized
factory

warranty

NOTE:

or

with a local

status

This

produce

(P/N

0070-00-0429)

during

Temperacure

in

may

Any

servicing

of a particular

repair

identification.

this

manual

have

such

changes

and

instructions

may

authorized

is

year

and

NOTE:

Modules.

has

been

updated

to

void

the

Datascope

instrument.

2000

is

intended

calibration

See the

This

been

this

for

inserting

remainder

compliant.

procedures

serial

manual

divided

to

reflect

manual

representative

number

also

includes

into

product

would

or

affixing

of

the

as a guide,

for

the

label

information

the

eight

chapters

design

be

accomplished

them

warranty.

to

determine

for

technically

Accutorr

on

the

rear

on

listed

changes

by

into

the

Check

with

the

qualified

Plus

(part

panel

the

Recorder

above.

and/or

manual.

manual

supplying

the

of

the

Copyright © Datascope

publication

Accutorr

Chapter 1 -

may

Plus,

Service

Operation

not

be

reproduced

Manual

Corp.,

1999.
in

any

Printed

form

in

without

U.S.A.

All

permission

rights

reserved.

of

Datascope

Contents

Corp.

of

this

TABLE

OF

CONTENTS

INTRODUCTION

10

OPERATION..................

1.1

Introducrdon.................

1.2

Controls

1.2.1

1.2.2

1.2.3

1.2.4

1.3

Operation.

1.3.1

1.3.2

1.3.2.1

1.3.2.2

13.23

1.3.3

1.3.3.1
1332

1.3.3.3

1.3.4

1.3.4.1

1.3.4.2

1.3.4.3 Effects

1.3.4.4

1.3.5

1.3.5.1

1.3.5.2
1353

1.3.5.4

1.3.6

1.3.6.1

1.3.6.2

and

ee

Indicators.

Front

Panel..............................,,..

RearPanel
Predictive
Recorder

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

Serting-Up / Turning
Patient

Selecting

Cuff
Room

Manual

Measurement

NIBP
Cuff
Automatic

(Adaptive

Automatic

Canceling

Changingthelntemalsetting....................

Letter

Start

Aiarms

Setting

Alarm

Howto
Alarms

Bed
To
To

Plus

To

Plus

NIBP

Module

Setup

the

Inflation

Number

NIBP

Pressure

Inflation Time.

of

Changing

on

the

and

Deflate

..

Alarm

Violarions

Mute

and

Letter..........

View

and

View

the

NIBP

View

the

NIBP

with

κ

ον

еее

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

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

Thermometer

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

and

Room/Bed

Patient

Pressure . ........................

and

Measurements

Information.

Limit

Adjustment

Inflation)

NIBP

an

Measurements

Automatic

Interval

Functions.

ν

Limits

Alarms

Changing

Delete

Stored

«νεο

Stored

with

Trend

Trend

Module

Power

Size

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

Bed

Letter

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

Fail Safe

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

of

Cuff

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

NIBP

the

Room

Setting

ων ω ων ω νο

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

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

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

the

Room

2...

Stored

Measurements

ν

εν

Measurements

Screen

Screen

and

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

On..................

Assignment...........

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

and

General

Inflation

(Interval

Measurement

Number

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

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

ον

Number

Data

(Trend

on

εν

ων ν νο

on

and

the

SpO2................

NIBP

Pressure

Mode)

and

/or

ων

ενω

ων ως

and/or

ee

Mode).......

the

Accutorr

κενο

the

Accutorr

ων

Accutorr

ーー

еенньня

4.6...

.....

........

Bed

φως

ως

eee

εν

εως

Plus

Accutorr
Introduction

Plus

Service

Manual

iii

1.3.6.3

1.3.7

1.3.8

1.3.9

1.3.10

1.3.10.1

1.3.10.2

1.3.10.3

13.11

1.3.11.1

1.3.11.2

1.3.11.3

1.3.11.4

1.3.12

13.13

1.3.14

1.3.15

1.3.16

1.3.17

1.3.18

1.3.19

To

Delete

Models
Setting

Setting

Display
SpO2
Datascope
Sequence
Oximetry*
Sequence

Oximetry*

Temperature

Predictive
How
How

Storing

Recorder
How

Battery
User

Status

How

RecorderModules.............................

Placement
Placement

the

Stored

of

the

Accutorr

the

Alarm

the

LCD

Time

Out

Measurements

Pulse

for

Establishing

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

for

Establishing

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

Measurement

Thermometer

to

Apply

to

Take

Oral,

Temperature

(optional)............................

to

Set

the

Operation...............

Configuration............................

and

Error

to

Attach

of

the

of

Recorder

Measurements

Plus

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

Volume

Contrast

Mode........................

Oximetry

Probe Cover

Rectal,

and

(View

(Accutorr

Sensors

SpO2

SpO2

(optional)

Measurements

(PTM)................

and

Measurements

Clock

(Date

and

Codes

Optional

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

Thermometer

Quick

Reference

Paper

on

all

Beep

Volume

Angle

Plus

with

with

Axillary

Adjustment)

model

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

with

Nellcor®

Masimo®

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

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

Temperatures . 1-44

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

Time).............

and

Card

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

Loading

Label

........

SpO2).

Pulse

Pulse

ω

εν κ ων

.........

..

1-29
1-30

1-31

1-32
1-33

1-33

1-37

1-40

1-43

1-43
1-43

1-45

1-46

1-47

1-48
1-49

1-51

1-52
1-53
1-54

iv

Revised

2.0

THEORY

2.1

Block

2.2

Detailed

2.2.1

2.2.1.1

2.2.1.2

2.2.1.3

2.2.2

2.2.3

2.2.4

2.2.5

2.2.6

2.2.7

2.2.8

2.2.9

12/20/00

2.2.10

OF

OPERATION

Diagrams

Circuit

LED/CPU
Hardware
Software
Detailed
NIBP

Recorder
Predicrive

SpO2

Main

Communication

LCD

Descriptions.

Module,

Module

Power

Inverter

Nelicor®

Theory
Interface

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

Module,

Overview
Overview
Hardware

Module

Thermometer

MP

of

Operation

Nellcor®

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

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

0670-00-0650-03,-04..........

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

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

Description.

Linear

(Accutorr

Bleed

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

Plus

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

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

Module

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

with

SpOz

only)

.......

Supply............................

Board

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

Module - 0670-00-0649 . ............

304

SpO>

Circuit

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

Board

Board

Theory

of

Operation

Accutorr

.......

Plus

2-1
2-1

2-2
2-9
2-9
2-9
2-10

2-17
2-20
2-21

2-22

2-25

2-26

2-28

Service

Manual

Introduction

2-29
2-30

2.2.11

2.2.12

3.0

SPECIFICATIONS

3.1.

PerformenceSpecificatilons..............................

3.2

Safety

3.3

Physical

3.4

Environmental

3.5

Electrical

3.6

Agency

3.7

Electromagnetic

4.0

REPAIR

4.1

Introduction.

4.2

Safety

4.3

General

4.4

Test

4.5

Troubleshooting
451

4.5.2

4.5.3

45.4

4.6

Disassembly

4.6.1

4.6.2

4.6.3

4.6.4

4.6.5

4.6.6

4.6.7

4.6.8

4.6.9

4.6.10

4.6.11

4.6.12

4.6.13

4.6.14

4.6.15

4.6.16

Masimo
Masimo

Characteristics

Characteristics

Ratings

Compliance

SET?
Interface

Characteristics

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

Compatibility.

INFORMATION

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

Precautions.

Troubleshooting

Equipment

Isolating
Isolating
Isolating
Clinical

Removal

Removal

Removal
Removal
Removal

Removal
Removal
High
Removal
Removal

Removal

Removal

Lead

Removal

Thermal
Thermometer,

AccuTemp
module)

AccuTemp

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

Required

(Problem

the
the

the

Issues.

Instructions

of

of
of

of
of

of
of

Voltage

of

of

of

and

Acid

of

Printer

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

Technology.

Board

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

Theory

of

Operation

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

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

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

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

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

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

Guidelines

.......

Isolation)
Problem,
Problem

Problem

the

che
the
the
the

the
the

the

the

the

Replacement

or

Li-lon

the

IR,

IR

with

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

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

Rear

Housing

Front
Keyboard
CPU
NIBP

Power
Motor

Assembly

NIBP

LCD

Dispiay

SpOz

Battery

AC

Input

(Optional

Predictive

Infrared

Mounting

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

A...

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

System

within

Bezel

Board

Circuit

Supply
Filter

Air

Circuit

Level

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

the

Main

Unit.........

Optional

(2)...................

Assembly

Assembly

(35)

Pump

of

Receptacle

Module)

(Optional

Thermometer

Cradle..................

Accessory

(27)

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

(4).............

Assembly

Assembly

and

LCD

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

Assembly

Assembly

Board

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

(40)............

the

Internal

Assembly

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

Module)

Modules.

(8)

...........

(30)

(41)

(37)

and

Back

Sealed

(optional

........

ーー

. .

........

........

......

Light

(5)

(16). . .

........

2-31
2-32

3-1

3-1
3-6

3-7
3-7
3-7
3-8

3-8

4-1

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

4-9
4-9
4-10
4-10

4-10

4-11
4-11

4-11

4-11

4-12
4-12

4.12
4-13

4-13

4.13

Accutorr
Introduction

Plus

Service

Manual

.

Revised

12/20/00

4.6.17

Communication

Board

(45)......................

4-13

ASSEMBLY

5.0

6.0

REPLACEMENT

6.1

Introduction.

6.2

Available

Product

6.3

6.4

ExchangeProgram............................

Replacement

6.5

6.6

Ordering

6.7

Abbreviations.

6.8

Isometric

6.8.1

6.8.2

6.8.3

6.8.4

6.8.5

6.8.6
Circuit

6.9

AND

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

Replacement

Variations

Parts

Information.

Drawings

Accutorr

Recorder
Predictive
Mobile

Mobile
Mounting

Board

SCHEMATIC

PARTS

and

Pricing

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

and

Plus

Module

Temperature

Stand

Stand

Options

Parts

Lists.

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

Parts

Options

Information

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

Parts

Isometric

Isometric

Type 1 (Gray

Type 2 (Black

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

DIAGRAMS

and

Sub-Assemblies

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

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

List

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

Parts

List (All

Parts

List..............

Module

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

Isometric

Base)

Assembly

Base)

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

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

Models)

Parts

Assembly

ων

......

List.

Parts

List . 6-17

Parts

5-1

6-1
6-1

6-1

6-1

ων

6-1

6-2
6-2
6-3

6-5

6-5

6-13

. .

6-15

List . 6-19

6-19
6-21

7.0

CALIBRATION...............

7.1

Introduction.

7.2

Warnings

7.3

Test

74

Power-Up

Service

7.5

751

7.5.2

753

7.5.4

7.5.5

7.5.6

7.5.6.1

7.5.7

7.5.8

7.5.9

7.5.10

7.5.11

7.5.12

Equipment

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

and

Guidelines.

and

Special

Sequence,

Diagnostics.

Introduction
Software

Keypad

LED
Communications

Recorder

Recorder

Pump

Leak

Over
Pulse
Pulse

Main

(118,

Internal

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

Version

Test

Test

(2a,

Test

Print

Test

(5)........:........................

Test

(7).................................

Pressure

Channel
Channel

Pressure

11b,11c).........................,..,..

esse

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

Tools

Required.

Testing.

(Hidden

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

2b).............................

(4)

Head

Test

DC
Average

Transducer

Key)......................

Test

(0a,

Ob)....................

Test

(3a,

3b)

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

Adjustment

(8a,

8b,

Offset

Test

Noise

Verification

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

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

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

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

8c)...................

(9a,

9b,

9c)

..........

Test

(10a,

10b,

10c)....

Test

7-1

7-3

7-3

7-3
7-4

7-4

7-4
7-5

7-6

7-7
7-7
7-7

7-8

7-8

7-9

7-10
7-10

7-11

7-11

vi

Revised

12/20/00

Accutorr

Plus

Service

Manual

Introduction

7.5.13

7.5.14

7.5.15

7.5.16

7.5.17

7.6

Predictive

7.6.1

7.62

7.63

7.6.4

7.6.5

7.7

Battery

7.74

7.7.2

7.8

NIBP

7.9

Trend

7.10

SpO2

Verification
Using
Check
Main

Over

Battery

Thermometer

Temperature

Predicrive

Water

System
Temperature
Thermometer
Low

Battery

Test

for

Low

Set

the

Normal

Memory

Normal

Operation

of

Accutorr

the

“Cufflink”

Over

Pressure

Pressure

Pressure

Selection

Bath

Calibration

Accutorr

Battery

Current

Operation

Initialization

Transducer

Transducer

(13)..........................

Verification

Accuracy

Temperature

Method

Verification

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

Sensing

Plus

Indicator..........................

Time

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

(Accutorr

Plus

Pneumatic

NIBP

Reference

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

Procedure

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

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

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

Emulator

(12a,

Calibration

Calibration..............

and

Calibration..........

Verification

Simulator

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

Test,

Infrared

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

Plus

with

Performance,

(11d)

.........

12b,

12c).......

(llc)

.........

with

the

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

SpO2

only).

......

7-11
7-12
7-12

7-13

7-13

7-14

7-14

7-15

7-15

7-16
7-17

7-18

7-18

7-18
7-19

7-20

7-20

8.0

PREVENTIVE

8.1

Introduction.........................................

8.2

Limitations

8.3

Preventive

8.3.1

8.3.2

Mechanical

(One

Electrical

(One

MAINTENANCE.............,.........

of

Physiological

Maintenance

and

Year

Interval)............................

Safety

Year

Interval)............................

Simulators

Schedule............

Physical

and

Performance

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

Visual

Inspection

Checks

l

8-1

8-1

8-1

8-2

8-2

8-2

Accutorr
Introduction

Plus

Service

Manual

Revised

12/20/00

vii

1.0

OPERATION

CONTENTS

1.1

Inttoduction..

1.2

Controls

13

Operatlon................

1.1

This

section

of

the

Accutorr

Plus

NIBP
encouraged
complete

OF

THIS

CHAPTER

and

Indicators

INTRODUCTION

of

the

Service

Plus

NIBP,

with

Trend

Screen

to

refer

to

the

details.

Page

ν

νεο

νο

νεο

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

0.

eee

Manual

Operating

the

Accutorr

and

(P/N

0070-00-0429)

Plus

NIBP

SpO2

functions

Instructions,

ών

with

and

operation.

P/N

0070-00-0428,

οω

νο

is

provided

Trend

ω ο

νε

ον

as a review

Screen

and

The

reader

for

νο

1-1
1-3

1-17

the

is

more

Accutorr

Accutorr

Chapter 1 -

Plus,

Service

Operation

Manual

Revised

06/25/99

1-1

Accutorr

Chapter 1 -

Plus,

Service

Operation

Manual

1.2

CONTROLS

This

section
Datascope
Accutorr
see

The

the
chapter.

Plus

Chapter

following

page

number.

The

found.

CONTROL
FRONT

16.

17.

18.

19.

20.

21.

22.

23.

24.

25.

26.

27.

28.

29.

NIBP

는

NIBP

NIBP

Pulse

EN

NIBP/SpO2
9ΡΟ2
Liquid

Menu

LCD

vom

.

LCD

은

ピロ

.

Select

=

.

Print

N

Print
Defaults

du

.

Datascope,

o

U

SpO2
AC
Battery
NIBP
On/Standby

Memory
Delete
Data
Data
Room/Bed

Bed

Room

Patient

Patient

Set

PANEL

Systolic

Rate

Display

Up

Down

Key
Indicator

Connector

Power

Scan

Scan

Letter

Alarms

of

the

Accutorr

NIBP

1.3,

“Operation”.

is a list

page

Display

Diastolic

MAP

Display

Display

Pulse

Crystal

Display

Key

Arrow

Arrow

Key

Key

Nellcor ® or

Indicator

Indicator

Connector

Key

Full

Indicator

Info.

Key
Key
Indicator

Key

Display

Number

Info.

Down

Info.

Up

Key

AND

Service

Plus

with

of

The

item

number

Display

Rate

Indicator

(LCD)

Key

Key

Display

Arrow

Arrow

Manual

NIBP,

Trend

all

controls,

number

refers

Masimo

Key

Key

INDICATORS

identifies

the

Accutorr

Screen

connectors

refers

to

the

Page

1-8
1-8
1-8
1-8
1-8
1-8
1-8

1-8

1-8

1-8
1-9

1-9

1-9
1-9

1-9
1-9
1-9

1-9

1-9

and describes

Plus

and

SpOo.

to

the

page

where

#

19

1-10

1-10
1-10
1-10
1-10
1-10

1-10
1-10

1-11

NIBP

For

step-by-step

and

indicators,

call

outs

the

description

CONTROL

30.

Mute

Key

31.

Mute

Indicator

32.

Timer/Temp

33.

Interval/Elap.

34.

Interval

35.

Interval

36.

Deflate

37.

Patient

38.

Start

NIBP

39.

Scart

NIBP

40.

Patient

41.

Hidden

REAR

PANEL

42.

Thermometer

43.

Equipotential

44,

AC

Power

45.

Communications

46.

Datascope

47.

Pole

Mounting

48.

Recorder

PREDICTIVE

49.

Probe

50.

Probe

51.

Probe

RECORDER

52.

Paper

53.

Paper

each control

with

Trend

and

Screen

operating

their

item

on

the

drawings

of

the

item

Key

Time/Temp

Key
Indicator

Key

Setup

Key

Key

indicator 1-12

Size

Indicators

Key

Module

Lug

Connector

Connector

Handle

Module

THERMOMETER

Cover

Holder

Chamber

Connector

MODULE

Door

Tear

Edge

Display

Connector

Connector

and

Cam

Connector

display

and

of

the

the

instructions

number

within

can

Page#

1-10

1-11

1-11

1-11

1-11
1-11

1-12

1-12

1-12

1-12
1-12

1-13

1-13
1-13

1-13

1-13

1-13
1-13

MODULE

1-14
1-14
1-14

1-15

1-15

and

this

be

Accutorr

Chapter

Plus

Service

1,

Operation

Manual

Revised

02/15/00

1-3

1.2.1

Front

Panel

,

2

3
a

5

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7

4

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一

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37

36

34

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Figure

1-1

Front

Panel - Accutorr

Plus

123/61

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162.

with

83

84
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63

60
58

=

Screen

O8.

98.5

97.6

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and

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2

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24

19

Accutorr

Chapter

Plus

Service

1,

Operation

Manual

M

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3

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38

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32

31

30

29

28

28

25

24

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21

20

=

Figure

1-2

Front Panel - Accutorr

Accutorr
Chapter

Plus

Service

1,

Operation

Manual

Plus

NIBP

with

Trend

Screen

and

Nellcor®

or

Masimo

SpO2

19

„Revised

02/15/00

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26

24

20

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25

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21

Figure

1-3

Front

Panel - Accutorr

Plus

NIBP

with

Trend

Screen

19

Accutorr

Chapter

Plus

Service

1,

Operation

Manual

40

Accutorr

Plus”

Figure

1-4

Front

Panel - Accutorr

Plus

2

NIBP

43 14

16 17

Accutorr

Chapter

Plus

Service

1,

Operation

Manual

NIBP
Displays

display

NIBP
Displays

Systolic

NIBP

Diastolic

to

display

NIBP

MAP

Displays
During a measurement,
MAP

alarm

Display

the

systolic

error

Display

the

diastolic

diastolic

Display

the

mean

limits

blood pressure

codes

blood

alarm

arterial

and

pressure.

Pulse

Rate

Display

Displays
reading
limits.

the

pulse

(Accurorr

rate

Plus

and

systolic

pressure

limits.

pressure

it

will

display

the

inflation

information
model

with SpOz).

data

from

alarm

data

from

(MAP)

from

information

the

cuff

pressure

either

It

NIBP

limits.

NIBP

pressure.

when

selecting

the

NIBP

is

also

measurements.

measurements.

from

NIBP

It

is

also

used

the initial

measurement

used

to

display

It

is

also

used

It

is

also

used

measurements.

to

display

inflation

or

pulse

rate

the

the

SpO2

alarm

to

NIBP/SpO2
When

the

pulse
minated.
(Accutorr

SpOz
Displays

the

Liguid
The

list)

Menu
This

LCD.

is

also

the

LCD

This
displayed

it

Use

When

Plus

Display (Accutorr

the

%SpOz

Liguid

for

key

adjustment

on.

the

Crystal

the

Key

is

When

used

Up

key

is

This

Menu

alarm

Crystal

selected

(Accutorr

used

to

Arrow

used

in

key

Pulse

rate
the

model

%SpO2

Display

to

the

back

adjust

mode.

to

the

LCD.

is

also

key

Rate

Indicator

displayed

pulse

rate

with

Plus

measurement

limits.

(LCD)

Display

patient,

toggle

Key

scroll

(8)

or a menu

Plus

berween

light

the

LCD

Use

the

(Accutorr

the

When

used

to

enter

is

based

displayed

SpO2),

model

(Accutorr

(LCD)

models

in

the

contrast.

Atrow

trend

the

back

to

adjust

the

on

an

NIBP

is

based

then

SpO

is

with

SpO2)

information.

Plus

is

used

to

display

that

controls

with

Trend

the

trend

list

LCD

is

off,

pressing

Press

and

keys

(9

and

Plus

models

data

so

that

light

in

the

LCD

contrast

adjustment

measurement,

on

an

SpO2

illuminated.

This

area

is

models

the

screen

hold

10)

with

more

the

mode.

with

previous

beep

Screen)

and

this

the

to

change

Trend

recent

LCD

is

when

volume

then

measurement

also

used

to

Trend

measurements

the

key

turns

key

for

and

menu

it

two

the

contrast.

Screen)

alarm

screen

Screen)

measurements

off,

pressing

in

the

adjustment

NIBP

display

volume.

on.

This

beeps

are

this

key turns

is

illu-

(trend

in

the

key

to

enter

mode.

10.

LCD
This

the

LCD.

key

Menu

Down

key

is

is

When

also

key

Arrow

used

used

(8)

to

to

scroll

the

to

adjust

enter

Key

the

back

the

the

(Accutorr

trend

data

light

in

the

LCD

contrast

adjustment

Plus

so

LCD

mode.

models

that

older

is

off,

when

with

Trend

measurements

pressing

in

this

the

adjustment

Screen)

are

key

turns

mode.

displayed

it

on.

This

Use

the

in

Accutorr

Chapter

Plus

Service

1,

Operation

Manual

11.

Select

When

items,

12.

Print

Press

printing

seconds)
Continuous
roll

13.

Print

This

14.

Defaults

Press

back

etc...
original
press
for

15.

SpO2

This

Key

(Accutorr

the

menu

When

Key

this

key

that

to

change

mode,

of

recorder

Indicator

indicator

Key

and

hold

to

the

hospital

When

setting

and

hold

details

on

Connector

connector

screen

the

back

to

print

is

in

process.

the

the

paper,

is

illuminated

this

key

default

in

the

process

by

momentarily

this

key

default

(Accutorr

is

used

Plus

models

is

displayed

light

in

all

stored

Press

print

mode

PRINT

press

this

when

(2

single

settings.

of

making a change

(1

beep

settings

to

attach

and

Plus

with

in

the

the

LCD

is

information

and

hold

berween

Indicator

key

beep

pressing

tone),

model

Datascope,

LED

to

feed

continuous

tones,

This

includes

while turning

User

Configuration.

with

Trend

LCD,
off,

this

this

Screen)

this

key

is

pressing

for

key

Continuous

is

the

paper

printing

approx. 3 seconds)

to a setting,

key.

Datascope,

Nellcor®

this

the

selected

(2

single

and

illuminated.

through

of

alarms,

To

the

inflation

enter

unit

or

Masimo

Nellcor®

used

to

select

key

turns

it

on.

patient.

beep

Request.

When

measurements

you

the

on.

tones,

the

printer.

to

reset

pressure,

can

User

See

SpO2

Press

approx.

When

loading

all

return

Configuration,

section

or

Masimo

sensors.

the

menu

to

stop

a

3

in

the

in a new

is

selected.

parameters

interval,

to

the

1.3.15

SpO2)

16.

AC

Power

This

green

17.

Battery
This

green

LED

will

approximately

minutes
Accutorr

18.

NIBP

This

connector

19.

On/Standby
This

key

unit

does

does

need

20.

Memory

This

LED

used.
manually
oldest

delete

Indicator

LED

illuminates

Indicator

LED

illuminates

flash

when
30

on

the

Accutorr

Plus

NIBP

Connector

is

Key

is

used

to

not

have

to

be

plugged

Full

Indicator

indicator

This

LED

is

using

the
measurement
data

that

is

the

battery

minutes

used

activate

to

with

to

be

of

Plus

Trend

attach

“ON”

into

flashes

on

continuously

DELETE

for

the

24

hours

whenever

whenever

requires

battery

NIBP

Screen

specified

the

unit,

for

the

an

AC

when

80 - 99

when

INFO.
current
old.

patient.

AC

power

the

unit

is

charging.

cime

remain

with

Trend

and

SpOn).

NIBP

enabling

internal

receptacle

key

of

the

100
or

the

it

battery

for

are

NOTE:

is

applied

operating

When

on

the

Accutorr

Screen

and

hoses.

to

begin

to

the

battery

100

available

used.

Delete

unit

will
The

co

the unit.

on

battery

the

LED

10

taking

charge.

to

entries

automatically
unit

will

power.

begins

Plus

NIBP

minutes

measurements.

be

measurements.

on

However,

charging.

of

trend

delete

also

automatically

The

flashing,

(20

the

The

the

unit

are

the

Accutorr

Chapter

Plus Service

Operation

1,

Manual

Revised

02/15/00

1-9

21.

Delete
Press

the

and

SpO2

to

delete

measurement,

information
all

information

22.

Data

Scan

Press

this

on

the

out

Trend

Accutorr

scroll

through

Accutorr

the

rooms

on a particular

23.

Data

Scan

This

LED

24.

Room/Bed
Press

this
Patient
is

also

Info.

Key

Data Scan

only).

the

most

press

for

for

Key

key

(1

Aceutorr

and

SpO2

Plus

NIBP,

the

Plus,

press

and

beds

room/bed.

Indicator

indicator

Number

key

to

Info.

Up & Down

used

when

key

to

enable

Once

enabled,

recent

reading

and

hold

the

currently

all

patients.

beep

tone)

to

Plus

NIBP

and

only).

The

use the

stored

measurements

and

hold

for

stored

Press

is

illuminated

Key

change

the

Arrow

selecting a User

the

Delete

press

and

hold

when

it

is

this

key

(2

beep

selected

Patient

this
measurements,

displayed

patient.

view

previous

to

enable

LED

indicator

Info.

for

key

(2

beep

the

Data

Scan

when

viewing

Room/Bed.

keys

(27 & 28)

Configuration

the

Info.

key

this

key

displayed.

cones,

approx. 6 seconds)

Press

and hold

measurements

Delete

next

to

Up & Down

the

selected

tones,

Press

the

key

again

prior

After

to

change

item.

(Accutorr

(1

beep

When

Info.

the

Arrow

patient.

approx. 6 seconds)

Data

to

data.

pressing

Plus

tone,

approx. 3 seconds)

displaying

at

power

for

the

selected

key

(Accucorr

key

illuminates.

keys

On

Scan

key

exit this

this

the

Room/Bed.

without

up

(27 & 28)

all

again

view

key

any

to

delete

to

delete

patient

Plus

On

models

to

scan

to

mode.

use

This

Trend

all

with-

the

to

of

the

all

of

stop

the

key

25.

26.

27.

28.

Bed
This

Room

Letter

display

status

codes

items,

Number

This

display
display
being

Patient

This

displays

mode.
and

status

set

key

This

to

change

Info.

Patient

This

key
displays
mode.

This

to

change

and

Display

is

for

is

codes

(Hi

or

Down

is

used

and

to

key

Info.

Up Arrow

is

used

and

to

key

used

to

show

NIBP,

used

decrement

initial

increment

initial

Display

to

for

Lo),

and

Arrow

to

decrement

is

also

inflation

to

increment

is

also

inflation

SpO2

show

NIBP,

used

used

the

current

and

Temperature

the

current

SpO2

and

displays a User

Key

the

alarm

the

hours,

minutes,

to

change
pressure.

the

Key

the

alarm

the

hours,

minutes,

to

change
pressure.

the

patient

patient

Configuration

limits

limits

bed

letter.

and

to

display

room

number.

Temperatute,

when

they

month,

Room/Bed,

when

they

month,

Room/Bed,

It

is

User

indicates
item.

are

shown

day

and

to

scroll

through

are

shown

day

and

year

to

scroll

through

also

used

to

Configuration

It

is

also

used

which

alarm

on

the

year

in

the

previous

on

che

in

the

previous

display

to

is

LED

clock

LED

clock

set

data

set

data

1-10

Accutorr

Chapter

Plus

Service

1,

Operation

Manual

29.

Set

This

alarms

Systolic

Pulse
press
use

the

30.

Mute
Press

new
hold

this

31.

Mute

This
and

32.

Timer/Temp

„This

the
Accutorr
time

Alarms

key

the
alarm

alarm

(2

key

LED

when

Interval/Elap.

Key

is

used

to

be

changed.

Hi,

Systolic

Rate

Lo,

returns

Patient

values.

Key

this

key

is

beep

again

Indicator

indicator
the

key

is

used

Plus

of

the

measurement.

to

select

$pO2

the

unit

Info.

(one

beep

detected

tones,

(1

beep

alarm

Key

to

Time/Temp

NIBP,

the

NIBP

and

Repeated

Lo,

Diastolic

Hi

and

to

normal

Up & Down

tone),

during

approx. 3 seconds)

tone),

is

illuminated

volume

switch

press

presses

Hi,

Diastolic

SpO2

Lo.

operation.

Arrow

to

silence

the 2 minutes, a new

to

activate

when

is

set

to

OFF.

between

this

viewing

Display.

key

to

SpO2

(Accutorr

of

this

key

Lo,

After

che

Once

keys

(27 & 28)

the

current

to

permanently

alarm

tones.

the

alarm

the

When

viewing

switch

between

Plus

model

sequences through

Map

Hi,

Map

last

available

the

desired

alarm

alarm

silence

tone

has

elapsed

parameter,

parameter

to

increment

tone

tone

all

been

time

or

stored

viewing

will

measurements

with

SpO2)

the

choices

Lo,

Pulse

Rate

the

next

is

flashing,

or

decrement

for 2 minutes.

sound,

alarm

silenced

the

the

temperature

Press

tones.

permanently

temperature

on

of

Hi,

Ifa

and

Press

in

the

and

33.

Interval/Elap.
This

displays

Time

is

the

current

probe

is

Either

"85.0"

the

Predictive
number
will

no

longer

is

used,
thermometer
time

and

34.

Interval
Press

to

measurement

set

to

display

240

minutes,

in

the

Interval/Elap.

enter

the

have

elapsed

35.

Interval

When

an

‘When

Time/Temp

the

time,

illuminated).

Interval

removed

increases.

the

temperature

date

Key

enter

interval

Indicator

interval

the

interval

setting

from

its

(°F)

or

"29.4"

thermometer

When

flash

and a beep

is

placed

when

setting

the

set

cycles.

To

graphics),

repeatedly

Time/Temp

setting

without

setting

mode

Display

in

minutes

When

time

the

(Interval

holder,

(°C)

is

the

final

tone

is

not

back

into

the

interval

sequence

CONT
press

or,

the

pressing

is

selected,

is

activated

since

the

last

successful

Interval

the

will

taking a measurement,

temperature

displayed

its

clock.

(Continuous),

the

Interval

Display

displayed

the

key

is

illuminated).

Elap.

Time

display;

is

generated.

until

holder.

mode.

through

Patient

This

An

the

key.

the

setting

Info.

except

the

Interval

for

is

pressed,

When

changes

this

is

measurement

When

after

display

interval

interval

1,

2.5,

When

TIMER/TEMP

will

Up

Off,

Indicator

NIBP

the

Elap.

the

to

Temp

an

internal

the

display

is

the

AccuTemp

the

measurement

will

also

is

set for

choices

5,

10,

the

desired

be

entered

or

Down

the

Interval

illuminates

measurement

Time

Predictive

(Temp

is

illuminated).

self test

will flash

determined,

IR

thermometer

is

show

the

automatic

of:

OFF

(

15,

20,

30,

interval

key

may

be

when

arrow

keys

Indicator

continuously.

(Elap.

changes

thermometer

feature.

taken

60,

is

15

(27 & 28).

to

As

as

the

the

display

and

current

NIBP

,

when

120

and

displayed

pressed

seconds

flashes.

the

to

Accutorr
Chapter

Plus

Service

1,

Operation

Manual

Revised

06/25/99

1-11

36.

37.

Deflate
Press

this

new

measurement

key.

The

begin.

Press

Patient
Press

this
patient
Adult,

size

Pediatric,

Key

key

Start

this

Setup

key

will

to

stop

cycle

NIBP

key

Key

(1

beep

change.

Neonate,

an

NIBP

will
LED
while

tone)

The

measurement

not

be

allowed

indicator

in

to

etc...

is

the

interval

select

choices

that

for

illuminated

mode

the

patient

will

cycle

from

is

in

progress

10

seconds

when a new

to

suspend

size.

Each

Adult,

and

deflate

following

measurement

the

interval

time

the

key

Pediatric,

the

the

use

of

can

operation.

is

pressed

Neonate,

cuff.

A

this

the

PRECAUTION:

patient

This

key

Press

pressure

28)

to

Start

38.

Press
progress, a new
after
NIBP

Start

39.

This
NIBP

40.

Patient

of

One

41.

Hidden

To

enter

the

Accutorr
LEDs).
that

are

power

It

size

and

alarm

is

also

used

and

hold

(2

in

the

MAP

change

NIBP

this

the

LED

NIBP

LED

measurement.

down

the

Key

key

to

end

of

indicator

Indicator

indicator

Size

Indicators

theses

LEDs

Key

the

Service

Plus

The

Service

to

be

done

the

initiate
measurement
the

Accutorr

és

the

users

settings

to

view

beep

tones,

display.

cuff

pressure.

an

one

in

progress

is

illuminated

is

illuminated

illuminates

Diagnostics

is

powering

Diagnostics

by

technical

Plus

responsibility,

ave

set

as

the

cuff

approx. 3 seconds)

Use

the

NIBP

measurement.

can

not

(30

when a measurement

when

to

indicate

mode,

on

and
mode
service

by

pressing

when

required.

inflation

Patient

be

initiated

seconds

the

Accutorr

the

press

running

is

used

personnel

the

changing

pressure

to

Info.

If a measurement

until a minimum

when

selected

and

hold

the

to

initiate

only.

On/Standby

the

for

an
display
Up & Down

self

the

in

the

can

Plus

patient

this

tests

various

To

exit

is

key

roomlbed,

NIBP

measurement.

current

Arrow

is

already

of

interval

(all

key.

mode).

begin.

ready

to

size.

(1

beep

“8"s

performance

Service

to

assure

the

inflation

keys

(27

&

in

10

seconds

The

Start

initiate

displayed

Diagnostics,

tone)

an

while

in

tests

the

Accutorr

Chapter

Plus

Service

1,

Operation

Manual

1.2.2

Rear

Panel

Figure

1-5

Rear

Panel - All

Units

Thermometer

42.
Used

to

AccuTemp

Equipotential

43.

Provides

.

AC

Power

Allows

Communications

45.
Provides

system.

Datascope

46.

Used

by

Pole

47.

48.

Mounting

Provides

Recorder
Used

Module

attached

equipotential

for

compatible

Datascope

the

to

connect

one

IR).

Lug

Connector

A.C.

power

Connector

Handle

ability

Module

the

Connector

of

the

optional

bonding between

cord

connection.

Connector

communications

Technical

to

quickly

Connector

oprional

Service

and

Cam

Datascope

mount

Datascope

hospital

to

external

Personnel.

the

Accutorr

recorder

thermometer

equipment.

devices

module.

and

Plus

to a rolling

modules

hospital’s

(PTM

information

pole.

or

Accutorr
Chapter

Plus

Service

1,

Operation

Manual

1-13

1.2.3

Predictive

Thermometer

Module

a

(PTM)

49

Figure

1-6

Predictive

49.

50.

51.

Probe

Used

Probe
Used

Probe
Used

Cover

to

store a box

Chamber

to

store

Connector

to

connect

Thermometer

Holder

the

the

Module

of

probe

temperature

thermometer

CLX

L

工

covers.

probe

ES

SK

[E]

一

when

not

probe

to

the

>

50

5]

in

use.

PTM

module.

Accutorr

Chapter

Plus

Service

1,

Operation

Manual

1.2.4

Recorder

Module

|

\

Figure

1-7

Recorder

52.

Paper

Door

Open

this

door

53.

Paper

Tear

The

paper

tear

removed

in

Module

when

Edge

edge

the

event

—

53

é

loading

is

used

of a paper

recorder

to

tear

jam

paper.

off

printed

that

recorder

needs

—

to

be

xe!

strips.

The

cleared.

edge

can

be

Accutorr

Chapter

Plus

Service

1,

Operation

Manual

1-15

1.3.

OPERATION

This

section

operation

Plus

NIBP

in

Section

model,

it

of

of

the

with

1.2,

will

the

Service

Accutorr

Trend

Screen

“Controls

be

noted.

Manual

Plus

NIBP,

and

and

Indicators”.

When

the

provides

Accutorr

SpO2.

The

name

guidelines

numbers

When a described

Accutorr

Plus

and

step-by-step

NIBP

wich

in

parentheses

Plus

is

used,

Trend

()

feature

it

refers

instructions

Screen,

refer

refers

and

to

the

items described

to a particular

to

all 5 models.

for

proper

the

Accutorr

1.3.1

1.

Before

proper

2.

Before

thermometer).

Upon

installation

For

the
proper
and

verify

3.

If

additional
interface
the

corresponding

4.

Attach

grounded
the

ground.

has

been

WARNING:
all

units

SETTING-UP / TURNING

turning

voltage

turning

recorder,

function.

the

the

power

is

available.

the

power

For

instructions

of

press

For

85.0

(29.4)

communications

cable

to

the

interface

AC

power

(3-prong)

The

applied.

(combined)

Hospital

green AC

The

When

do not

on,

on,

any

optional

the

print

the

Predictive

appears

rear

panel

connector

cord

into

POWER

intemal

attached

to

exceed

check

the

connect

on

connecting

modules, a test

key

and

thermometer,

in

the

Interval/Elap.

capabilities

COMMUNICATIONS

the

rear

Grade

AC

INDICATOR

battery

other

products

100WA.

charges

POWER

rear

panel

any

required

modules,

the

recorder

are

required,

on

the

peripheral

panel AC

receptacle.

automatically

ensure

ON

for

voltage

modules

see

is

required

will

remove

Time/Temp

attach a communications

CONNECTOR
instrament.

POWER

Do

not use

(16)

illuminates,

that

the

requirements.

(recorder,

section

feed

the

CONNECTOR

when

total

1.3.17.

after

power

the

paper

probe

from

display.

an

adapter

indicating

AC

chassis

Confirm

up

(step

to

verify

its

holder

(45)

(44)

and

to

AC

power

is

leakage

currents

5).

and

to

into

defeat

power

applied.

of

a

5.

Press

the

ON/STANDBY

User

Configuration

powering

6.

The

status
status

Accutorr

Letrer
sound during
the

7.

On

necessary.
approx. 3 seconds).

the

Accutorr

Chapter

on.

unit

begins a countdown

codes

are

codes.

Plus

and

Room

time

and

an

Accutorr

To

contrast.

Plus

Service

Operation

1,

mode,

See

section

displayed

At

the

models

Number

the

power

date

need

Plus

adjust

Use

See

section

Manual

1.3.15

end

of

wich

up

to

models

the

contrast,

the

1.3.8,

key

(19)

press

and

for

from

in

the

appropriate

power

up,

Trend

displays

sequence

be

set,

see

with

press

LCD

UP & LCD

Setting

to

activate

hold

the

more

details

20

and

all

of

Screen)

Trend

illuminate

(25 & 26)

to

confirm

section

Screen,

and

the

the

unit.

DEFAULTS

on

the

performs

LED.

the

1.3.13

hold

Down

LCD

internal

See

displays

which

does

the

operation

for

adjust

the

MENU

ARROW

Contrast,

If

it is

required

key

(14)

User

Configuration

diagnostic

section

and then

instructions.

1.3.16

(including

blank,

not

blank. A beep

of

the

the

contrast

key

(8)

keys

for

more

to

enter

while

the

tests.

for a list

the

LCD

except

audio

indicator.

on

the

(2

beep

(9 & 10)

details.

che

unit

mode.

Any

of

on

the

the

Bed

tone

LCD

tones,
to

adjust

is

will

If

if

Revised

12/20/00

1-17

1.3.2

PATIENT

SETUP

AND

ROOM/BED

ASSIGNMENT

1.3.2.1

The

Patient

1.

Press

the

select

the

available:
Each

time

size

changes.

graphic

indicate
factory

size

Configuration”
setting.
the
patient

key,

pressure

of

which

default

is

Adult.

NOTE:

PATIENT

size.

enter

change

1.3.2.2

The

initial

cuff
inflation
be

powered

pressures

modified

down,

Selecting

Size

PATIENT

Patient

Adult,

the

the

Pressing

the

Cuff

inflation

from

these

the

is

selected

SETUP

size.

Three

Pediatric

key

is

pressed

The

indicator

patient

setting

See

initial

size

size

is

selected.

for

section

to

set a custom

Do

not

SETUP

and

cuff

mode.

Inflation

pressure

are

listed

the

default

modifications

Patient

1.3.15,

press

key

Size

using

the

key

(37)

choices

and

Neonate.

the

patient

under

illuminates

The

che

Patient

“User

default

and

to

change

holding

inflation

Pressure

depends

in

the

table

(custom

are

PATIENT

to

are

the

to

hold

che

this

below.

or

factory)

deleted.

on

the

SETUP

Figure

Patient

The

initial

settings.

key

(37).

Adult

Pediatric

hes

1-8 - Patient

Size

When

setting.

cuff

inflation

the

Size

Graphics

The

Accutorr

Neonate

and

Indicators

initial

cuff

pressures

can

Plus

is

1.

To

change
(37)
selected

2.

Use

3.

Once
this

PATIENT
SETTING

Adult

Pediatric

Neonate

NOTE:

section 1.3.15,

(2

beep

patient

the

Patient

the

desired

value.

SIZE

The

default

the

initial

tones,

size

Info.

pressure

NOTE:

[INITIAL
DEFAULT
INFLATION

180

mmHg

140

mmHg

100

mmHg

patient

“User

cuff

inflation

approx. 3 seconds).

displays

Up

Waiting

FACTORY.

CUFF

Configuration”

in

the

and

Down

is

displayed,

15

seconds

VALUES | PRESSURE

size

and

pressure,

The

MAP

display.

Arrow

press

will

LOWEST

SELECTABLE

100

mmHg

60

mmHg

40

mmHg

initial

cuff

for

details

press

and

current

keys

(27 & 28)

the

PATIENT

also

enter

initial

inflation

on

how

hold

the

cuff

pressure

to

change

SETUP

this

value.

HIGHEST
SELECTABLE
PRESSURE

260

mmHg

160

mmHg

120

mmHg

pressure

to

set

custom

PATIENT

the

key

INCREMENT

5
5

5

can

be

customized.

defaults.

SETUP

for

the

pressure.

(37)

to

enter

mmHg
mmHg

mmHg

key

See

Revised

06/25/99

Accutorr

Plus

Service

Chapter

Manual

1,

Operation

1.3.2.3

To

monitor

bed

letter.

bed

letter

and

bed

lerter

Room

more

Use

as

a,

default

Number

than

che

ROOM/BED

b, c or

and

Bed

Letter

one patient, assign

key

(24)

d.

On

initial

power

to

0,a.

each

to

set

up

(no

patient

the

room

stored

to a particular

number

patient

room

from 0 to

data),

che

number

99

room

and

and

the

number

1.

Press

ROOM

room

2.

Press
key

the

3.

Press
BED

4.

Press
key
the

5.

Press

to

exit this

key

Once

measurements

unit

is

and

bed

and

bed

the

ROOM/BED

LED

number

the

Patient

(27

& 28)

room

number.

the

ROOM/BED

LED

the

Parient

(27

& 28)

bed

letter.

the

ROOM/BED

for

15

powered

letter

where

flashes

can

now

Info.

to

increment

flashes.

Info.

to

increment

mode,

or

seconds.

have

off

and

will

default

data

is

currently

key

(24).

indicating

be

Up

key

Up

key a third

do

not

been

on,

to

that

changed.

or

Down

or

decrement

again.

or

Down

or

decrement

press

taken,

the

room

the

lowest

stored.

The

the

Arrow

The

Arrow

time

the

and

number

the

room

SE

PATIENT

0

INFO.

1a

Fu

Figure

0

esp

worm

1-9 - Room

*

Press

decrease

Number

OA

Number

to

increase

the

and

e

Press

the

and

and

Keys

or

Room

Bed

Letter

to

change

Room

Bed

Letter

Bed

and

Indicators

Number

Letter

Accutorr
Chapter

Plus

Service

1,

Operation

Manual

1.3.3.

MANUAL

NIBP

MEASUREMENT

1.

Select a pressure
as a guideline.

Limb

Circumference

Disposable

30-45

24 - 36
18-27
16-25

Disposuble

Approximate

Size
Size

Size

Size

Color

45 - 66

30-47
24-36

18-27

6-11 New

Cuffs - Latex

Neonatal

Limb

0: 5 -8

cm

1: 7 - 10

2: 9 -

3:

cm

13

cm

12 - 17

Coded

Cuffs** - Reusable

cuff

(cm)

Cuffs

Circumference:

cm

that

Free

(box

is

|

Adult

Child

of

Cuffs

MEASUREMENTS

INFORMATION

appropriate

Description / Cuff

Large

Small Child

10)

Thigh - Tan*

Large
Adult - Brown

Child - Red

Infant

for

Adult

Adult - Gray

Born - Blue

the

size

Name

of

AND

the

GENERAL

patient.

|

Dotascope

0683-07-0001-01

0683-07-0001-02

0683-07-0001-03
0683-07-0001-04

0683-03-0004-01
0683-03-0001-01

0683-03-0002-01

0683-03-0003-01

0998-00-0003-36

0998-00-0003-35
0998-00-0003-34

0998-00-0003-33

0998-00-0003-31
0998-00-0003-32

Use

Part

the

chart

Number

NIBP

below

A

cuff

that

is

too

small

for

che

limb

size

of

the

pressure
bearing
cuff
Datascope
their

NOTE:
Adapter
Section

WARNING:

erroneous

The
wrapped

The

timer
of
may
measure

*
#* = The

on

size

on

cuffs

intended

The
hoses

5.2

measurements.

pressure

too

skin

is

interval

time.

NOTE:

be

applied

may

When

using

limb

circumferences

index

and

The

range

bladder

the

the

in

sometimes

the

has a dacron

cuff

accuracy

limb

circumference

for

use

uses

are

cuffs

that

are

available

the

Operating

Use

only

on

the

limb

tightly.

should

affect

thigh

In

to

cuff,

lines

to

be

extreme

the

NIBP

of

the

assist

cover.

for a given

of

the

obtained

with

the

Accutorr

based

on

recommendations

are

used

with

to

connect

Instructions

Datascope

may

not

Therefore,

fragile

(i.e.,

considered

cases, a thin

limb

in

order

performance

this

product

may

color

coded

in

cuffs

cuff

selection.

will

patient

NIBP

of

the

the

older

cuffs.

Use

fall

to

assure

that

on

pediatrics,

to

decrease

to

cushion

not

comply

adhere

The

result

in

erroneously

has,

among

measurements.

patient.

Plus.

Accutorr

style
for a detailed

of

zero

layer

and

to

sf

The

The

cuff

other

than

between

the

cuff

geriatrics,

the

number

of

soft

the

should

with

product

the

AHA

bladder

and

of

Plus

guidelines

high

other

considerations, a direct

Base

table

above

design

dimensions

the

American

use

special

connectors.

Datascope

measurements

is

properly

roli

skin

be

used

specifications

hose

list

of

cuffs

etc.).

of

cuff

or

webril

when

with

for

size,

contain

Natural

See

the

listed

readings.

your

selection

indicates

of

the

Heart

Association.

snap

on

Optional

and

adapter

cuffs

may

result

if

the

applied.

In

these

cases, a longer

inflations

caution.

They

cotton

cuff

is

in

chapter

also

Latex

over a period

inflated.

incorporate

rubber.

The

correct

of

the

the

available

cuffs

and

connectors.

Accessories,

hoses.

in

cuff

is

padding

This

3.

1-20

Revised

06/25/99

Accutorr

Plus

Service

1,

apter

Manuel

Operation

2.

Attach
the
heard.

3.

Apply
enough

adults),

neonates.
brachial
RANGE
against

heart
Avoid
NOTE:

other

4.

If

up,

used.

5.
after a completed

the

knurled

To

the

room

and

the

level

compression

medical

required,

the

configurable

Initial

section

Press

1.3.2.2

the

Apply

artery.

lines.

The

START

cuff

hose

pressure

remove,

cuff

and

select

hold

to

the

for

two

with

little

the

Be

If

not, a larger

patient’s

no

clothing

NIBP

procedure.

the

default

for

NIBP
measurement.

to

the

NIBP

fitting

the

knurled

patient.

fingers

or

no

cuff

so

sure

that

skin.

For

should

or

restriction

cuff

should

For

patient

default

cuff

inflation

details

on

key

cuff

(female).

female

To

reduce

to

be

placed

air

present

that

the

center

the

INDEX

or

smaller

best

results,

come

of

the

not

be

example,

size

with

the

setting

is

pressures

changing

(38)

co

begin

connector

Push

onto

fitting

errors,

between

within

of

the

line

on

cuff

is

the

berween

pressure

placed

an I.V.

PATIENT

used.

Otherwise,

depend

the

initial

an

on a limb

NIBP

(18).

To

do

this,

the

male

connector

and

pull

firmly

the

cuff

should

the

cuff

and

the

cuff.

Cuff

should

inflation

the

required.

cuff

should

the

hose.

catheter.

on

cuff

bag

cuff

falls

between

Be

sure

be

placed

patient and

that

is

SETUP

measurement. A beep

key

the

last

the

Patient

inflation

hold

the

until a click

to

release.

fit

snugly,

the

patient's

fit

loosely

(bladder)

the

the

cuff

on the

the

cuff.

being

utilized

(37).

On

selected

Size

setting.

pressure.

hose

behind

bue

with

arm

on

is

over

the

two

lies

directly

arm

at

NOTE:

for

initial

power

patient

See

is

sounded

is

(on

any

size

is

NOTE:
damage

The

cuff
selected
oscillometric

If

the

initial

inflation
mmHg

is
Systolic,

Have
pressure
displayed

If
Display,
successful

in

an

unsuccessful

the

an

error

ROOM/BED

6.

When

required,

deflate.

NOTE:
continue

Once

to

Inflate
can

the

result

begins

to

pressure,

pressure

NIBP

patient

drops

and

refer

measurement

the

pulsations.

cuff

inflation

(+50

the

neonate

NIBP

HR,

remain

below

the

cuff

code

displays

to

Section

NUMBER

press

the

initial

use the

selected

cuff

only

after

proper

if

the

cuff

is

left

unwrapped

inflate

to

the

selected

cuff

begins

mmHg

mode). A triple

measurement, a triple

MAP

still to

the

diastolic

is

vented

in

1.3.16,

clears a status

key

the

DEFLATE

measurement

patient

is

found

in

and

Timer/Temp

avoid

to

the

Systolic

Status

(24).

size.

to

to

the

pressure,

atmosphere.

application

cuff

pressure.

slowly

is

deflate

be

inadequate,

adult

mode;

beep

tone

LED's

unnecessary

the

Display
and

Error

code.

To

key

(36)

to

taken

for a room/bed,

to

the

and

then

inflated.

After

and

the

the

unit

+50

in

is

generated.

beep

cone

is

will

be

motion

results

or a status

clear a status

of

Codes,

the

for

patient’s

reaching

Accutorr

the

generated

replaced

artifact.

code

its

limb.

the

Plus

retries

with a higher

pediatric

NOTE:

measurement

explanation.

code, press

in

Any

and

with

After

the

Room/Bed

interrupt a measurement.

the

Accutorr

Cuff

collects

mode;

+40

time

the

Diastolic,

dashes.
the

cuff

are

A

the

The

cuff

Plus

will

there

will

NOTE:

Accutorr
Chapter

Check

Plus

Service

1,

Operation

the

patient’s

Manual

limb

for

any

indications

of

circulation

impairment.

1-21

1.3.3.1

If

the

(STOP - CUFF

OVERPRESSURE)
The

overpressure

cuff

unit

NIBP

is

over-pressurized,

must

switch

Pressure

OVERPRESSURE)

will

be

turned

(error

Limit

it

be

displayed

off

and

code 987)

Fail

Safe

will

automatically

ot

error

in

the

back

on

again

before any

code

987

Room/Bed

to

reset

new

deflate

and

the

status

(STOP - HARDWARE

or

display.

the

hardware

measurements

can

code

be

taken.

8812

1.3.3.2

If

the

cuff

or

if

the

target

and

status

error

and

1.3.3.3

The

unit
pressure.
systolic
mmHg

To view
seconds)
display.
the

It
section

+50

in

the

the

If

inflation

is

also

possible

1.3.15

Cuff

Inflation

pressure

codes

status

does

pressure

will be

codes.

Automatic
Inflation)

adjusts
After

the

the

first

mmHg

the

neonate

current

Patient

required,

pressure.

inflation pressure,

use

to

permanently

for

details.

inflation

in

Setup

Time

not

attain

20

is

not

reached

displayed

in

Adjustment

pressure

successful

the

mode.

the

adult

mode

Key

(37).

Patient

measurement,

override

mmHg

within

the

Room/Bed

of

Cuff

according

and

press

The

current

Info.

Up & Down

this

within

another

display.

Inflation

to

the

the

+50

mmHg

and

hold

inflation

adjustment

40

seconds

60

seconds,

See

-

Pressure

previous

inflation

(2

Arrow

pressure

in

the

beep

tones,

pressure

keys

in

the

of

the

start

then

the

section

1.3.16

(Adaptive

reading

pediatric

User

of

is

the

mode

approximately

is

shown

(27 & 28)

Configuration.

of

inflation

cuff

is

deflated

for a list

the

systolic

previous

and

in

the

to

change

of

+40

3

MAP

See

1-22

Accutorr

Chapter

Plus

Service

1,

Operation

Manual

1.3.4

The

Accutorr

power

up, the

used

to

for

details.

AUTOMATIC

Plus

interval

set

custom

can

be

set

setting

defaults

NIBP

to

will

for

MEASUREMENTS

automatically

default

the

Interval

to

OFF.

Mode.

take

NIBP

The

See

(Interval

measurements.

User

Configuration

section

1.3.15,

Mode)

On

mode

User

Configuration

initial

can

be

Follow
cuff

5.

6.

Steps 1 - 4 in

and

to

adjust

Press

the

INTERVAL
Elap.Time/Temp.
interval

(continuous),

setting
mode

The

for

selection.

is

selected,

is

activated

displayed

15

seconds

or,

when

the

TIMER/TEMP

or,

when

the

START

activates

7. If
and
NIBP

time

NOTE:
to

back
minute
will

automatically

reduce

che

START

to

key

interval

When
(one
limit

the

the

activate

right

chance

the

Manual

the

initial

key

display

The

selections

1,

2.5,

5,

10,

except

the

Interval

interval

Interval

NIBP

the

does

has

the

after

is

placed

of

time

key

NIBP

Mode,

key

interval

not

need

elapsed, a measurement

NIBP

continuous

the

on

continuous

switch

to

surface

Procedure,

cuff

inflation

(34).

The

current

(33).

Press

the

are:

Off

15,

20,

30, 60,

for

Off,

the

Interval

Indicator

is

entered

(32)

is

pressed,

key

(38)

is

pressed,

and

changes

(38)

has

not

already

mode.

NOTE:

to

be

pressed

interval

other)

blood

measurements.

measurements

vessel

rupture

Section

pressure.

selection

INTERVAL

(—~-

when

120

Indicator

illuminates

when

the

which

which

the

display

been

If

the

for

the

new

will

be

is

chosen,

pressure

readings.

taken

(petechia).

1.3.3,

to

select,

is

displayed

key

to

scroll

set

to

graphic

and

240

minutes.

(35)

flashes.

continuously.

INTERVAL

changes

interval

once

the

display

initiates

back

to

pressed,

interval

taken.

After 5 minutes,

press

time

to

the

Accutorr

As a safety

every 5 minutes.

attach

and

in

the

Interval/

to

the

next

display),

When

an

When

key

has

not

back

to

an

NIBP

measurement,

Elap.

Time.

to

take a measurement

is

changed,

initiate.

When

Plus

will

precaution, a five

the

NIBP

This

apply

available

CONT

interval

the

interval

been

pressed

Elap.

Time

the

START

the

take

interval

is

done

the

new

back

to

1.3.4.1

To
timed
indicator
NOTE:
already

To
NIBP

For

30
longer
section

Accutorr
Chapter

Canceling

cancel a scheduled

NIBP

measurements

will

flash.

Pressing

in

progress.

take

an

immediate

key

(38).

example,

minutes

if

after

required,

3.4

for

Plus

Service

1,

Operation

measurement,

See

the

DEFLATE

measurement

The

next

the

interval

the

START

set

the

details

on

Manual

an

Automatic

until

section

interval

1.3.4.4

timed

measurement

was

NIBP

changing

the

key

set

to

press

START

for

(36)

and

to

to

30

key

“OFF”

the

interval

NIBP

Measurement

the

DEFLATE

NIBP

more

details

will

also

reactivate

will

minutes,

was

pressed.

prior

to

mode.

key

(36).

key

(38)

is

pressed.

on

the

start

end a measurement

the

Interval

be

taken

the

next

NOTE:

pressing

at

the

timed

If

the

mode,

time

measurement

the

START

This

will

The

and

deflate

cycle

press

set

by the

Interval

NIBP

suspend

interval

function.

that

is

the

START

interval.

will

mode

is

key.

See

the

be

no

1-23

NOTE:
measurement

when

If

the

ready.

DEFLATE

can

be

key

taken.

(36)

The

is

START

pressed,

NIBP

it

will

INDICATOR

take

10

seconds

(39)

before

will

another

be

illuminated,

NOTE:

suspended

1.3.4.2

If
interval
minutes.
the
Accutorr

every

1.3.4.3

When

the

interval

time

interval

10

minutes.

(interval

Changing

Thirty

Plus

Effects

the

‘When

the

Room

the

same.

NOTE:
measurement
timed

interval

START

NIBP

in

the

Interval

indicator

time

is

changed

is

used

once

minutes

time

is

changed

will

take

of

Interval

Number

The

is

in

progress,

measurements

key

(38)

mode

flashes)

the

Interval

while

it

is

entered.

have

elapsed

to

10

minutes.

an

automatic

Changing

Setting

and/or

Bed

interval

is

setting

the

measurement

will

pressed.

not

and

the

until

the

Setting

the

Accutorr

For

since

NIBP

the

Room

Letter

can

activate

Room/Bed

NIBP

Start

Plus

example:

the
Once
measurement

last

timed

the

The

interval

Number

is

changed,

be

changed

will

stop

again

(interval

is

changed,

key

is

in

the

interval

automatic

time

in

10

and/or

the

interval

if

required.

and

the

indicator

the

is

pressed.

interval

time

measurement

is

entered,

minutes

Bed

setting

Also,

cuff

will

interval

mode,

the

is

set

to

60

the

and

then

Letter

will

ifan

NIBP

deflate.

flashes)

until

mode

new

and

once

on

remain

The

is

the

1.3.4.4

The

measurement

e@

INTERVAL
unscheduled
affect

taken
measurement

START

the

as

START

timing

if

measurement.

e@

INTERVAL

INDICATOR

NIBP

key

suspended

e@

INTERVAL
reset

with

elapsed.

and

NIBP

and

sequence.

mode

is

measurement

of

the

there

were

cycle - even

mode

is

(35)

flashes.

(38)

is

pressed.

and

the

cuff

mode

is

the

new

interval. A

DEFLATE

DEFLATE

active

interval

no

interruptions.

if

active

deflates.

active

Functions

functions

and

the

to

be

taken.

cycle,

the

unscheduled

and

the

No

additional

If a timed

and

the

measurement

have

START

therefore,

DEFLATE

NIBP

Taking

Only

one

measurement

measurements

measurement

interval

time

will

the

following

key

(38)

this

unscheduled

the

scheduled

measurement

key

(36)

is

is

in

progress,

is

changed.

be

taken

effects

is

pressed causing

measurement

measurements

is

taken

coincides

pressed.

will

after

The

be

taken

the

The

measurement

the

new

on the

timed

an

does

will

for

each

with

the

scheduled

INTERVAL

until

the

START

measurement

cycle

interval

time

not

still

be

is

is
has

1-24

Accutorr

Plus

Service

Chapter

Manual

1,

Operation

1.3.5

The
MAP,
parameters

ALARMS

Accutorr

pulse

Plus

rate

and

equals

provides

SpOz.

or

falls

outside

“HI”

An

and

alarm

the

“LO”

alarm

violation

limits

occurs

that

limit

settings

when

have been

for

systolic,

one

or

more

specified.

diastolic,

patient

1.3.5.1

The

Factory
factory
See
alarms
SET
used

1.

default

section

can

ALARMS

to

set

Press

the

The

first
display
in

che

Interval/Elap.
display
top

lines

The

second
selected.
When

displayed.
low

alarm

Each

time

setting

LO,

Diastolic

LO,

SpO2

the

next

operation.

Setting

1.3.15,

be

alarm

which

graphics,

the

(all

Alarm

Default

is

86.
User

changed

key

(29)

values.

SET

ALARMS

time

this

shows

blink.

This

time

The

word

unit

has

When

is

selected.

the

SET

other

HI,

HI

and

press

of

for

the

the

Limits

all

parameter

The

User

Configuration

Configuration

as

required

and

the

Patient

key

(29)

key

is

pressed,

the

current

Time/Temp

the

symbol

indicates
SET

ALARMS

LO

is

displayed

been

configured

the

graphic

ALARMS

displays

Diastolic

SpO2

SET

blank).

LO,

LO.

When

ALARMS

alarms,

for

to

accommodate

Info.

(1

beep)

all

NIBP

high

systolic

display

3=5=

is

the

high

key

in

the

to

is

displayed,

key

(29)

The

order

MAP

all

of

key

except
mode

details.

Up

to

(33).

displayed.

alarm

(29)

Interval/Elap.

display

is

pressed a new

HI,

the

returns

Low

can

The

the

and

Down

enter

into

displays

alarm

When

When

is

selected.

is

pressed

graphics,

the

bottom

they

are

MAP

LO,

available

the

SpO,

be

used

to

factory

needs

Accutorr

and

of

Arrow

the

alarm

blank

except

value.

The

the

unit

the

graphic

the

Systolic

Time/Temp

the

symbol

lines

blink.

parameter

available

Pulse

Rate

parameters

is

OFF.

The

set

custom

custom

individual

keys

word

has

is:

Plus

defaults

patients.

(27 & 28)

set

mode.

for

the

HI

been

configured

is

displayed,

LO

parameter

display

====

This

is

selected

Systolic

HI,

and

have

been

to

normal

Low

SpO2

defaults.

for

The

are

systolic
is

displayed

the

(33).

is

indicates

HI,

Pulse

the

for

alarm

Systolic

Rate

selected,

to

is

2.

To

change

28).
the

alarm

To

cancel

DEFAULTS

If

the

Accutorr

NOTE:
settings

Accutorr
Chapter

The

Up

SET

Plus

If
for

Plus

1,

Operation

an

alarm

arrow

limit

setting.

all

of

the

key

ALARMS

returns

the

patient

che

Service

limit

increments

changed

(14)

(1

or

Arrow

to
size

new

patient

Manual

setting,

the

alarm

beep

tone).

keys

normal

is

changed,

size.

use

the

Patient

alarm

limit

values

while

have

not

operation

the

and

alarm

Info.

setting.

still in

been

pressed

saves

any

settings

Up & Down
The

Down

progress

alarm

for

will

of

15

limit

change

Arrow

arrow

decrements

changing,

seconds,

changes.

co

the

keys

press

the

default

Revised

(27

the

&

12/20/00

1-25

Alarm

PARAMETER

Systolic

Adult

Pediatric

Neonate

Systolic

Aduit

Pediatric

Neonate

Diastolic

Adult

Pediatric
Neonate

Diastolic

Adult

Pediatric

Neonate

MAP

Adult

Pediatric

Neonate

MAP

Adult

Pediatric

Neonare

Pulse

Adult

Pediatric

Neonate

Pulse

Adult

Pediatric

Neonate

SpO2

Adult

Pediatric

Neonate

SpO2

Pediatric

Neonate

High

Low

Rate

Rate

High

Low

Adult

Limit

High

Low

High

Low

High

Low

Table

RANGE

Off,

60-260

Off,

60-160

Off,

50-125

Off,

55-150

Off,

55-130

Off,

45-115

Off,

40-200

Off,

40-150

Off,

35-100

Off,

30-120

Off,

30-50

Off,

25-50

Off,

90-200

Off,

90-150

Off,

60-110

Off,

40-100

Off,

40-70

Off,

30-70

Off,

100-245

Off,

100-245

Off,

100-245

Off,

35-120

Off,

35-150

Off,

75-200

Off,

61-99

Off,

61-99

OFf,61-99

60-95

60-95
60-95

UNITS

mmHg

mmHg

mmHg

mmHg

mmHg

mmHg

bpm

bpm

%SpO2

%SpO2

FACTORY
DEFAULT

Off

Off

Off

Off

Of

Of

Off

Of

Of

86

UNITS

OF

INCREMENT

5

5

5

5

5

5

5

5

1

1

1-26

1.3.5.2

An

range

e

The

e

The
with

«

The alarm

e

The
the

Alarm

alarm

condition

that

has

LEDs

for

parameter

Trend

tone

parameter(s)

recorder.

Violations

exists

been

set.

When

the

parameter

in

an

alarm

Screen).

is

sounded

chat

was

if

the

parameter

an

alarm

in

an

condition

(unless

in

an

alarm

limit

alarm

is

in

muted

condition

is

equal

to

is

violated,

condition
reverse

with

video

the

will

or

is

outside

the

following

flashes.

on the

MUTE

be

in

key

brackets

the

LCD

(Accutorr

(30)).

[ ]

Accutorr

high/low

actions

Plus

when

Plus

Service

Chapter

1,

limit

occur:

models

printed

Manual

Operation

on

1.3.5.3

When

tone

ment

When
tone
value
SpO2
a

value
minutes
©

SpO2
MUTE
display
flashing. ® SpO2

Press
silence
parameter

key

How

an

NIBP

for 2 minutes.

has

been

an

SpO2

for

two

minutes.

changes

value

and

(30)

and

changes

that

is

outside

elapse.

is

measured

key

is

pressed. ¢ SpO2

flashes. + SpO2

hold

the

alarm

will

again.

to

Mute

alarm

exists,

The

taken

and

alarm

exists,
The

is

within

to a value

the

Example

at

89;

is

measured

the

MUTE

tone.

continue

Alarms

press

the

MUTE

alarm

tone

will

is

within

alarm

set

(within 2 minutes): ¢ SpO2

the

is

measured

key

The

to

flash.

the

press

the

tone

the

alarm

that

is

alarm

limit,

alarm

is

measured

ar

at

89; the

(30)

(2

MUTE

LED

To reactivate

alarm

MUTE

will

limits.

within

tone

91;

beep

key

return

limits.

key

return

If

the

the

alarm

sounds

at

88;

no

alarm

alarm

tone

tones,

(31)

illuminated.

(30)

(1

beep

after

two

minutes,

(30)

(1

beep

after

two

minutes,

during

the

that

two

acceptable

tone

and

there

tone

sounds

approx. 3 seconds)

alarm

low

the

is

range,

will

return

alarm
SpO2
no

alarm

sounds

and

The

tone

function,

tone)

to

unless a new

tone)

to

unless

minutes

and

before

limit

has

display

tone,

and

the

the

SpOz

to

LEDs

for

silence

silence

then

flashes. e The

permanently

press

the

measure-

the

the

SpOz

the

measured

returns

the

two

been

set

but

the

display

display

the

alarming

the

alarm

to

SpO2

stops

flashes.

MUTE

alarm

to

90.

1.3.5.4

‘When

changing
displayed
detected,

1.3.15

The

sizes,

for

table

and

Measurement

1

2

3

4

5

6

Alarms

is a different

the

information

below

the

Order

and

the

rooms

alarm

settings

describes 6 measurements

effect

on

Room

lia
1

2/a

dla

dla

Va

Changing

and

patient

change

on

custom

the

alarm

/Bed

beds,

the

size

than

to

defaults.

settings.

Adult
Adult

Pediatric

Adult

Adult

Adult

the

Room

alarm

the

original

the

defaults

in

Patient

Size

Number

settings

room/bed.

for

the

different

rooms/beds

and/or

will

change

When a new

different

Alarm

Settings

Have

been

Remain

Changed

pediatric

Changed
size

patient.

Remain

Remain

settings

ist

measurement

they

need

manually.

Bed

if

the

patient

and

different

manually

the

same.

to

defaults

size

patient.

to

defaults

the

same.

the

same.

that

were

to

be

Letter

final

patient

size.

See

set.

for

for

If

the

set

from

are

required,

set

again

room/bed

size

is

section

patient

a

an

adult

alarm

the

NOTE:
and

PRECAUTION:
size

Accutorr

Chapter

the

and

The

patient

alarm

Plus

1,

Operation

alarm

settings

size

is

It

settings

Service

the

is

the

users

are

as

Manual

can

be

changed,

same.

responsibility,

required,

if

necessary,

when

changing

when

the

roomlbed,

changing

to

the

room/bed

assure

the

patient

1-27

1.3.6

All

data.

in

memory.

two

measurement.
separate
information

When
flash.

(20)

manually
automatically
NOTE:

The

stored
measurements

patient

TO

models

Each

minutes

entry.

80

entries

When

will

illuminate

for

The

Accutorr

data.

(indicated

of

the

time a successful

When a temperature

after

is

100

any

unit

The

VIEW

If a temperature

When

available,

are
entries

patient;

delete

Plus

Accutorr

at a time.

AND

Accutorr

an

will

NIBP

by

Plus

NIBP

measurement,

either

then

stored

into

are

continuously.

or

the

oldest

also

automatically

uses

Plus

The

the

room

NIBP

NIBP

the

stored

when

stored

DELETE

are

capable

measurement

measurement

measurement

or

temperature

SpO2

data

trend

memory,

into

trend

Once

100

new

data

data

for

the

delete

the

Systolic,

models

number/bed

with

data

that

STORED

of

storing

is

made,

is

made

it is

stored

is

made

measurements

is

also

stored.

the

MEMORY

memory,

entries

is

available,

currently

data

Diastolic,

Trend

Screen

is

viewed

letter).

DATA

up

to

100

the

data

between

as

the

sare

outside

are

displayed

that

MAP,

the

MEMORY

stored,

the

Accutorr

is

24

and

use

is

for

this

the

(Trend

entries

is

automatically

two

minutes

entry

time,

are

stored

FULL

old

data

patient.

hours

old.

Temp

the

LCD

currently

Mode)

of

measurement

before and

with

the

it

is

stored

and

Indicator

FULL

Indicator

can

be

Plus

will

displays

to

display

selected

stored

NIBP

as

a

SpO2

(20)

will

deleted

to

view

up

to

5

1.3.6.1

1.

Press
illuminates.

2.

Press

current
Rate

3.

To

To

che

the

and

Consecutive
allow

the
wrap, a double
for

the

NIBP
Time/Temp
key

(32).

exit

View

DATA

Patient

patient.

the

The

Temp

displays.

presses

stored

measurements

beep

measurement

display

view

the

Stored

SCAN

Info.

stored

or

tone

(33).

stored

Measurements

key

(22)

Up

and

Down

data

is

pressing

data

will

that

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view

mode,

and

to

sound.

(1

beep

tone).

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displayed

holding

continuously

is

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the

press

keys

in

the

If a temperature

time

of

the

DATA

on

the

Accutorr

The

DATA

(27 & 28)

the

Systolic,

UP

wrap

around.

then

- - - -

measurements,

SCAN

to

or

DOWN

measurement

is

shown

SCAN

key

Plus

NIBP

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view

stored

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When

press the

arrow

the

in

(22)

MAP,

will

measurements

is

not

the

(1

(23)

data

for

the

Pulse

available

Interval/Elap.

TIME/TEMP

beep).

1-28

Revised

12/20/00

Accutorr

Plus

Service

Chapter

Manual

1,

Operation

1.3.6.2

The

stored

LCD.

Up

time

order,

display
one

1.

on

arrow

To

view

Date

To

View

the

Screen

measurements

to 5 stored

with

the

displays,

and

measurements

the

newest

side

of

the

more

more

measurements

Time,

20/05
20/05 02:58

Stored

the

LCD

measurements

Measurements

Accutorr

on

the

Accutorr

are

measurement

when

more

press

VW.

03:00

S/D/M

114/64
123/61

Plus

NIBP

Plus

models

displayed

are

the

at

at

the

top. A scroll

measurements

only

available

LCD

Up

83

84

on

the

with

with

one

time.

or

e

61
60

Accutorr

Trend

are

in

Down

Screen

Trend

Measurements

bar

with

available

the

direction

Arrow

°FIC

98.7
985

Plus

NIBP

and

Screen

are

displayed

are

one

or

both

to

view.

of

the

key

(9 & 10).

%SPO2

96

=

97

with

Trend

SpO2

displayed

arrows

When

only

arrow.

Scroll

in

the

in

will

Figure

1-10 - LCD

1.3.6.3

While

stored

1.

Select a room/bed

details

2.
DATA
scan

the

Plus

2.

On

DATA

To

viewing

measurements

on

When

SCAN

through

Accutorr

will

the

Accutorr
SCAN

a

20/05

Trend

Delete

selecting a room/bed.)

you

scan

the

stored

for

where

are

uncertain

key

all

of

Plus

is

through

Plus

key

i

02:30

List

Display

Stored

data,

you

the

currently

stored

(22)

(2

the

rooms/beds

scanning,

the

NIBP

(22)

(1

Measurements

can

what

beep

press

rooms/bed

only,

beep

185/105

129/62

delete

information

If
rooms/beds

tones,

when

tone).

184

the

displayed

it

is

the

more

that

have

the

DATA

with

the

The

ES

135

|

Alarm

most

patient.

can

currently

have

than 3 seconds).

data

stored

desired

DATA

59

Violated

on

all

recent

be

deleted.

stored

stored.

SCAN

data

room/bed

SCAN

ーー

98.2

Models

measurement

displayed

data,

To

key

only

Indicator

97+

Measurement

of

the

(See

section

room/bed,

press

and

The

Accutorr

stop

on a Room/Bed

(22).

NOTE:

once.

is

displayed,

(23)

Accutorr

or

all

of

the

1.3.2.3

hold

illuminates.

go

Plus

The

press

for

to

step

the

will

Accutorr

Plus

as

the

3.

When

key

(21)

4.

When
key
current

5.

On

the

exit

NOTE:

NOTE:

(21)

while

Accutorr

Chapter

the

(1

viewing

(21)

(2

patient.

Accutorr

che

delete
The
To

delete

powering

Plus

1,

Operation

most

beep

any

beep

data

unit

will also

al!

Service

recent

stored

tone,

approx. 3 seconds)

of

the

stored

tones,

approx. 6 seconds)

When

all

dara

Plus

NIBP

mode.

automatically

information

on

the

unit.

Manual

data

is

displayed,

measurements,

is

cleared

only, press

delete

for

all

patients,

to

to

the

the

press

delete

press

delete

patient

DATA

data

that

press

and

hold

this

measurement.

and

hold

all

stored

size

will

SCAN

is

and

key

24

hours

hold

the

DELETE

the

DELETE
measurements
be

the

default

(22)

(1

beep

old.

the

DELETE

INFO.

INFO.

for

the

selection.

tone)

to

INFO.

key

1-29

1.3.7

The

LCD

List

as

described

the

alarm

Down

Arrow

User

Configuration

beep

volume.

1.

Press

the
alarm
indicates

2.

Press

the

the

alarm

3.

Press

the

4.

Press

the

the

SpO2

5.

Press

the

SETTING

on

the

Accurorr
in

volume

volume

and

keys

(9 & 10),

See

section

MENU

is

this

item

LCD

Up

volume.

SELECT

LCD

Up

volume.

MENU

THE

Plus

section

mode

initially

the

key

can

and

The

key

and

The

key

1.3.6.

SpO2

and

can

1.3.15,

(8)

to
highlighted

be

Down

selections

(11)

Down

selections

(8)

again

ALARM

models

It

is

beep

volume.

the

SELECT

be

used

User

display

changed.

Arrow

are:

to

move

Arrow

are:

to

exit

VOLUME

with

Trend

also

used

to

display a menu

The

MENU

key

(12)

to

set

custom

Configuration

the

menu.

The

when

the

menu

keys

(9 & 10)

OFF,

1,

2,

the

highlighting

keys

(9 & 10)

OFF,

1,

2, 3,

the

menu

AND

Screen

is

used

key

are

used

defaults

for

3, 4,

and

for

details.

menu

is

shown

is

displayed.

to

change

and 5 with 5 being

to

SpO2

to

change

4,

and 5 with 5 being

return

BEEP

to

display

which

(8),

the

to

set

the

alarm

*

the

current

beep

the

current

to

the

VOLUME

the

is

used

LCD

Up

these

volumes.

volume

in

figure

The

highlighting

selection

the

volume.

selection

the

Trend

screen.

Trend

to set

and

The

and

3-4.

The

loudest.

loudest.

for

for

NOTE:

the

unit

Alarm
SpO2

Volume

Figure

Any

is

Volume
Beep

1-11

changes

turned

Menu

off

made

and

‘

to

then

the

back

alarm

on

again.

3

volume

or

the

SpO2

volume

will

be

erased

when

1-30

Accutorr

Plus

Service

Chapter

Manual

1,

Operation

1.3.8

The

LCD
viewing.
to

adjust

1.

Press
generated
second

2.

To

quickly

key

(9

Arrow

3.

The

LCD

not

pressing

SETTING

on

the

Accutorr

The

MENU

the

contrast.

and

hold

when

beep

tone

adjust

or

10).

For

key.

contrast

either

THE

key

the

MENU

the

key

is

generated,

the

contrast,

fine

adjustment,

adjustment

the

LCD

Plus

(8)

and

is

first

LCD

CONTRAST

models

the

key

(8)
pressed

release

press

is

saved

UP

or

with

Trend

LCD

Up

and

(2

beep

tones,

and

the

the

key.

and

hold

momentarily

by

either

Down

Arrow

(View

Screen
Down

approx. 3 seconds). A beep

display

either

press

pressing

keys

Angle

can

be

Arrow

changes

the

LCD

either

the

(9 & 10)

adjusted

keys

(9 & 10)

to

the

Up

or

the

LCD

MENU

for

15

Adjustment)

Down

key

seconds.

for

optimum

menu.

Up

or

(8)

are

used

tone

When

Arrow

Down

again

is

a

or

NOTE:
readjusted

The

by

contrast

the

setting

user.

will

be

the

same

each

rime

the

unit

is

turned

on,

unless

Accutorr
Chapter

Plus

Service

1,

Operation

Manual

1-31

1.3.9

DISPLAY

TIME

OUT

MODE

To conserve
time
between 5 and
DC

source,

power

time

To

turn

any

key.

power,

out can

the

source.

out

minutes.

on

the

be

most

set

berween 3 and

60

minutes.

user

configuration

See

User

LCD

light,

displays

Configuration,

Since

press

will

15

the

allows

the

MENU

blank

at

user

minutes.

Accutorr

the

setting

section

key

selected

The

LED

Plus

can

1.3.15

(8).

display

be

of

separate

for

more

To

turn

times.

The

time

powered

times

information

on

the

LCD

out can

from

for

LED

illumination

be

set

either

an

AC

each

type

of

on

setting

displays,

press

or

che

1-32

Accutorr

Chapter

Plus

Service

1,

Operation

Manual

1.3.10

To

obtain

See

Section

section

3.10.2;

SpO2

SpOz

measurements

3.10.1

for

MEASUREMENTS

and

SpOz

for

units

with

Datascope

units

with

Masimo

(Accutorr

Heart

Rate

SpO2;

SpO2

see

from

the

for

units

section

Plus

model

Accutorr

with

1.3.10.3)

Plus

mode!

Nellcor

with

with

SpO2

SpO2)

SpO2:

see

CAUTION:
cuff

in

place.
CAUTION:
CAUTION:

patient

deoxygenation

completely
CAUTION:

NOTE:

check

understand

In

the

patients

e

Ifyour
different

e

Check

e

İn

electrosurgery,

e

Check
needed.

1.3.10.1

A.

Introduction

Do

not

place

A

pulse

oximeter

A

pulse

oximeter

is

indicated,

the

Ensure

proper

the

event

you

vital

patient

chat

to

finger

the

make

Nail

polish

is

or

sensor

sure

Datascope

the

sensor

should
should

blood

patients

signs

poorly

routing

are

unable

by

perfused,

toe).

is

properly

make

sure

che

site

and

condition.

fungus

Pulse

on

an

extremity with

not

be

used

be

considered

samples

of

the

patient

to

obtain a reading,

alternate

area

means

try

aligned.

the

sensor

is

clean / non-greasy. Clean

should

Oximeiry

as

an

apeana

an

early

should

be

analyzed

cable

to

avoid

and

applying

is

not

too

be

removed.

Sensors

an

invasive

mnitor.

warning

by a laboratory

entanglement

or

the

consider

the

sensor

close

the

to

catheter

device.

reading

As a trend

andlor

is

following:

to

another

ESU

devices

the

site

or

blood

pressure

towards

co-oximeter

strangulation

inaccurate,

site

(i.e.

A

or

cables.

and

sensor

to

if

A

wide

range

model

with

SpOz.

patients

The

The

long-term

FLEXISENSOR“

The
are
GUARD™

GUARD™

Use
contact

The

diode

patient’s

blood

ranging

DATASENSOR

FLEXISENSOR®

monitoring

ear

sensor

available

for
(used

(used

of

the

sensors

or

transfer

sensor

is

(detector).

extremity

or

tissue

of

Datascope

The

sensors

from

infants

is

intended

SD,

for

SD

is

used

is

intended

use

with

for

large

for

infants).

does

not

of

excessive

composed

The

emitter

(finger,

components.

sensors

cover

to

large

for

available

large

adults,

when

for

long-term

the

FLEXISENSOR®

adults,

cause

any

heat

of a dual

light

discharges

toe,

ear).

The

Accutorr

are

available

both

short-term

adults.

short-term

in

five

adult

the

DATASENSOR

adult

adults

and

penetration

to

the

patient.

emitting

two

The

detector

Plus

for

connection

and

long-term

adult

monitoring.

different

ear,

monitoring. A range

colors

sizes,

provides

adults,

SDs.
pediatrics),

diode

model

pediatrics,

is

not

They

are

and

of

the

skin,

(LED)

(wave

receives

with

available

lengths)

the

convenient

Coban

nor

(emitter) and a photo

SpO2

to

the

of

is

of

light

then

Accutorr

monitoring

both

short-term

and

infants.

or

suitable.

disposable

in

2styles,

with

SENSOR

there any

light

not

electrical

into

absorbed

uses

the

Plus

needs

and

The

bandages

SENSOR

the

by

the

on

Accutorr

Chapter

Plus

Service

Operation

1,

;

Manual

Revised

02/15/00

1-33

relative
saturation)

The

absorption

and

Pulse

key

benefits

eElectro-Surgical

DATASENSOR
absence

design

prevents

ing

with

e

Monitoring

1.

2.

3.

e

Tracking

perfusion
Plus

model

poor

peripheral

of

of

false

alarms

unit

operation.

Restless

The

sensor

the

sensor

Light

emitting

When

in
increasing
reducing
reduces

of

due

with

the

Weak

to

of

the

two

light

wavelengths

Rate

measurements.

the

sensors

Noise

and

che

electro-surgical

design

to

the

the

presence

it

to a maximum

it

during

number

Peripheral

hypothermia,

SpO2

perfusion.

are:

(ESU)

FLEXISENSOR®

during

Patients - Motion

used

patient.

diodes

of

is

designed

Rejection - The

the

use

noise

with

(LEDs)

of

motion,

quiet

periods

monitoring

Pulse

hypovolemia,

to

to

compute

SD

provide

of

ESU

(ESU

can

entering

their

and

of 15

Levels - Many

automatically

the

monitor,

artifact

detectors

to

interruptions

rejection

recommended

gather a strong

the

software

seconds

during

obtain a fast

reduced

increase

and display

sensor

be

and

configuration

uninterrupted

set

at

any

via

is

achieved

bandages

adjusts

patients

cardiac

the

motion,

response.

false

alarms

suffer

output,

its

gain

SpO2

(functional

of

both

monitoring

power

level).

the

sensor,

in

several

assures a snug

signal

from

“averaging-period”,

and

automatically

This

combination

from

patient

poor

peripheral

etc.

to

track

and

This

and

interfer-

ways.

fit

the

patient.

motion.

The

Accutorr

patients

with

the

of

#

Rejection
ambient

Accutorr

rejection
levels
of

in
keep

Patient
bandage
and

B.

Sensor

Selection
monitoring
Sensor
are

provided

placement

light,

of

ambient

high

levels

the

composition

out

Comfort - The

safely

of a specific

Selection

ensure

Cable

of

Ambient

i.e..,

operating

Plus

model

with

of

ambient

of

ambient

of

two

to

the

Selection

duration.

in

each

on

Top

light.

light.

ambient

of

light.

styles

particular

and

sensor

General

Table,

sensor

that

page

cable

Light - Many

room

SpO2,

the

The

monitor

The

enclosed

light

on

adults

the

bandages, which

FLEXISENSOR

(SENSOR

GUARD

patient’s

Application

is

based

on

guidelines

3-25.

Instructions

package.

side

is

placed

monitoring

lights,

neonatal

sensors,

automatically

design

of

the

with

are

SD

TM

anatomy.

the

patient’s

for

the

For

optimal

in

the

situations

phototherapy,

and

the

bandages

DATASENSOR

sensor

operation.

used

with

line

is

and

Coban)

size,

selection

for

the

DATASENSOR

correct

involve

each

measures

the

designed

physical

of a sensor

application

position.

and

prohibits

The

FLEXISENSOR®

to

work

which

condition,

of a sensor

and

See

Cable

on

Bottom

high

levels

heat

warmers,

contribute

corrects

opaque

conform

are

FLEXISENSOR®

figures

to

the

for

the

interference

material

SD,

with a disposable

comfortably

and

expected

provided

to a patient

below.

of

etc.

The

high

used

helps

in

the

1-34

Figure

1-12

Datasensor

Durasensor

Placement

Revised

02/15/00

or

Figure

1-13

Flexisensor”

Placement

Accutorr

Service

Plus

Chapter

Manual

1,

Operation

C.

Sensor

1.

Align

the

2.

Push
connector

3.

The

Rate

4.

If

desired,

Beep

D.

Sensor

Before

Do

not

For

long

e

Do

not
sensors
Plus
see

Section

Connection

the

cable

Accutorr

che

digital

LED's.

Volume,

use,

use

rolling

Plus

cable

is

securely

SpO2

adjust

Inspection

always

the

sensor,

sensor
drop

on

in

the

accessory

stand

5.2,

to

connector

model

connector

in

place.

values

the

beep

for

details

inspect

life:

the

sensors,

cable

floor,

pouch,

using

the

“Optional

the

Accutorr

on

the

sensor

with

5002.

into

the

SpO2

and

SpO2

pulse

volume.

on

or

connector

or

give

optional

Accessories”.

See

adjusting

cables,

other

or

coil

cable

Plus

assembly

Connector

rate

section

the

and

connectors

if

damaged.

sharp

the

sensor

retainer.

model

will

3.7,

beep

volume.

shocks

cable

with

with

the

(15).

Confirm

be

displayed

Setting

for

damage,

Replace

to

the

sensor(s).

and

store

For

accessory

SpO2

SpO2

Connector

that

in

the

the

Alarm

i.e.,

cuts

with a good

Between

on

the

side

part

number

(15)

the

cable

$pO2

and

Volume

and

abrasions.

working

use,

of

the

information

on

pulse

and

sensor.

store

the

Accutorr

e

Avoid

running

@

Avoid

strong

e

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e

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For

e

@

for
for

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the

BEST

DO

NOT
pressure
extremity
FLEXISENSOR®
opposite

Encourage

is

not

possible & the

FLEXISENSOR®

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the

every 8 hours
circulation
necessary,
immediately
more

frequently

any

cart,

pulls

on

the

cracks

in

the

cracks,

cuts,

Performance

performance:

PLACE

cuff

may

the

the

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impairment.

remove

any

in

place.

obstruct

SD

is

site

of

the

patient

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for

indications

and

remove

on

infant

sensor

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to

to

reapply

the

bed,

or

any

sensor

cable

DATASENSOR

rips,

fogging,

on

an

of

normal

arterial
remain

placed

catheter

still.

patient

assure

good

site

of

skin

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the

sensor

and

active

blood

on

to

every 2 hours

the

sensor.

and

piece

of

equipment

(10

1bs/4kg).

housing.

or

signs

extremity
an

arterial

flow. False

that

same

or

blood

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abrasions,

motion

remain

adhesion,

sensor

site

If

any

find

an

alternate

patients.

over

of

moisture

with

an

arterial

catheter

extremity.

still,

or

and

sensor

every 4 hours

of

or

pulse

rate

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pressure

may

affect

replace

change

the

the

check

the

displacement,

above

site.

the

sensor

in

the

FLEXISENSOR®

catheter

blood

pressure

information

the

sensor

cuff.

the

sensor's

the

sensor

site

of

the

FLEXISENSOR®

sensor

if

the

ear

mentioned

NOTE:

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cable.

or

blood

cuff

on

an

may

result

if

on

the

limb

performance.

bandage

DATASENSOR.

damage,
clip
indications

is

the

on

SD

or

used.

occur,

sensor

SD

the

If

the

site

If

site

it

Accutorr

Chapter

Plus

Service

1,

Operation

Manual

Revised

02/15/00

1-35

e

Incorrect
performance.

not
acquisition

e

Use
monitoring

2-4
bandage.

©

Do
affect
also

e

Sensor
situations:

Electro-cautery

Motion
during
monitoring

Weak
pulses

placement

be

placed

of a reliable

of

the

DATASENSOR

situations

hours

to a different

not

over-tighten

SpO2

result

in

configuration

Artifact - The

motion

Peripheral

on

patients

can

also

reduce

Select

an

alternate

on

the

patient's

signal.

exceeding

site

the

sensor

readings

pressure

interruptions

and

necrosis

provides

Noise - Electro-cautery

monitor’s

and

reducing

Pulses - The

with

site

finger

is

not

(finger/toe)

bandages.

may

reduce
and

virtually

it

and

false

decreased

the

acquired

(toe)

or

use a FLEXISENSOR®

correctly

recommended

4-6

hours,

either

or

use a FLEXISENSOR®

Excessive

readings

other

skin

uninterrupted

noise

software

during

alarms.

monitor's

peripheral

adjusts

inactivity.

gain

sensor

signal,

or

if

the

fingernails

for

long-term

reposition

pressure

below

true

damage.

monitoring

rejection

is

perfusion.

is

the

“averaging

This

decreases

automatically

and

therefore

interfere

monitoring

the

DATASENSOR

SD

on

the

monitoring

SpOz.

Excessive

during

designed

period”
the

increased

compromise

SD

if

the

(4-6

with

its

following

into the

increasing

number

sensor

can

with

the

hours).

appropriate

site

pressure

sensors.

to

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every

can

can

it

of

track

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bandages

ave

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choices:

cable

plus

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Ibs

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to

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for

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&

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damage.

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_|(3’
N/A

kg/
jbs

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Term

sensor

cable)***

1-36

Revised

02/15/00

Accutorr

Service

Plus

Chapter

Manual

1,

Operation

1.3.10.2

*

This

1.Select

2.

Plug
SC10
catheter

CAUTION:

CAUTION:

Sequence

feature

applicable

the

the

extension

or

for

only

if

available

appropriate

sensor

directly

cable.

blood

pressure

When

equipped

including
oxygen

transducers

Tissue

damage

application

Sailing

to
Carefully
instructions,

establishing

or

installed

sensor

for

into

the

NOTE:

cuff

with

Nellcor®

or

or

use,

inspect

the

read

the

and

SpO2

on

your

the

patient

SpO2

Do

not

place

in

place.

Nellcor®

Oxisensor™

may

cause

inaccurate

such

as

sensor

site

sensor

directions

all

precautionary

with

Nellcor®

unit.

from

Page

connector

improper

measurements

wrapping

periodically,

(15)

the

sensor

Sp02,

use

patient

dedicated

oximeter

it

too

for

use,

information

3-28

or

if

necessary,

on

an

extremity

only

Nellcor®

adbesive

performance.

may

be

caused

tightly,

applying

or

failing
the

Accutorr

before

Pulse

Oximetry*

oxygen

sensors.

by

to

position

Plus

use.

use a Nellcor®

with

an

invasive

transducers

Use

of

other

incorrect sensor
supplemental

it

appropriately.

operating

tape,

CAUTION:

CAUTION:

CAUTION:

CAUTION:

3.

The

digital

Rate

LED’s.

Excessive
with

Inaccurate
significant

methemoglobin);
exposure
Xenon
or
interference;
cuff,

In

patients

result.
and
interventation.

If

immediately.

solution.

SpO2

ambient

opaque

readings

levels

to

excessive

light

direct

sunlight;

arterial

certain

situations

with

Verification

patients

the

sensor

DO

value

and

materials.

source),

and

catheter,

thick

with

or

To

NOT

light

may

cause

may

be

caused

of

dysfunctional

or

intra-vascular

illumination,

bilirubin

excessive

placement

chronic

patient

prevent

patient

of a sensor

or

intra-vascular

in

which

or

pigmented

of

oxygenation

lung

cable

is

damage

ATTEMPT

SpO2

Pulse

inaccurate

by

incorrect

hemoglobins,

dyes

such

such

as

lamps,

florescent

movement;

on

perfusion

disease,

damaged

Rate

and

skin,

inaccurately

should

before

do not

TO

STERILIZE.

will

measurements.

sensor

(i.e.

carbobemoglobins

as

indocyanine

surgical

an

line.

be

in
soak

be

lamps

lights,

venous

pulsations;

extremity

signal

strength

low

made,

especially

instituting

any

way,

or

immerse

displayed

Cover

application

infrared

that

SpO2

discontinue

on

or

green

methylene

(especially

heating

electro-surgical

has a blood

are

low,

readings

in

preterm

any

therapy

use

the

sensor

che

$pO2

the

sensor

use;

or

ones

lamps,

pressure

such

will

or

in

any

and

blue;

with

à

as

in

infants

liquid

Pulse

4,

If

desired,

Beep

Accutorr
Chapter

adjust

Volume”,

Plus

Service

1,

Operation

the

for

details

Manual

beep

volume.

on

adjusting

See

Section

the

3.7,

beep

“Setting

volume.

the

Alarm

Volume

and

Revised

02/15/00

1-37

1.3.10.2.1

NELLCOR®

Sensors

NELLCOR®

and

patients.

OXISENSOR™
mounted
oxygen
The

DURASENSOR

its

optical

oxygen

NOTE:

of

NELLCOR®

NELLCOR

A.

Selecting a Sensor

Sensors

the

appropriate

which

sensor

tion

of

B.

Cleaning

provides a family

Specific

oxygen

on

adhesive

transducer

components

transducer

NELLCOR® * OXIBAND

Incorporated.

Incorporated.

are

designed

sensor,

sites

monitoring.

and

sensors

transducers

tape.

system

is

are

are

®

DS-100A

mounted

an

adhesive

for

specific
consider
available,

Re-Use

of

sensors

have

been

are

OXIBAND®

reusable

adult

in a plastic

sensor

OXISENSOR™

sites

the

patient’s

whether

suitable

developed

sterile

oxygen

sensors

digit

oxygen

casing.

for

application

and

DURASENSOR®

on

patients

weight,

sterility

for a wide

for

neonates,

adhesive

transducers

that

are

applied

transducer

The

NELLCOR®
to

and

DURAFORM™

with

designated

level

is

required,

variety

infants,

sensors

and

with

forehead

are

of

activity,

and

of

clinical

children,

with

optical

the

DURAFORM™

disposable

is a reusable

RS-10

or

registered

weight

adequacy

the

reflectance

temple.

trademarks

are

trademarks

ranges.

of

anticipated

settings

and

adults.

components

adhesive.

sensor

with

of

To

select

perfusion,

dura-

Do

not

immerse
oxygen
adhesive
DURAFORM™

wiping

ethylene
each

C.

To
observe

If
do
surgical
lights,
performance,
OXISENSOR™
measurements
internal
relatively

transducer,

in

water

with a disinfectant

oxide.

patient.

Performance

insure

optimal

all

warnings

excessive

so

reflectance

ambient

may

result

lights,

infrared

carotid,

poor.

oxygen

any

ORISENSOR™,
the

NELLCOR™

or

cleaning

oxygen

Use a new

Do

not

transducers,

re-sterilize

Considerations

performance,

and

cautions.

light

is

in

inaccurate
especially
heating

and

from

For

lamps,

the

patient

R-15

adult

the

nasal

this

sensor

low

peripheral

transducer,

DURASENSOR®,

RS-10

solution.

and

such

as

70%

OXIBAN

present,

measurements.

those

nasal

may

D®

OXISENSOR™

use

an

cover

with a xenon

and

direct

weighs

septal

more

oxygen

anterior

obtain

perfusion,

which

is

oxygen

Clean

DURASENSOR®,

the

NELLCOR®

alcohol.

adhesive

appropriate

measurements

applied

Do

wrap

oxygen

the

sensor

Light

sources

light

source,

sunlight.

than

50 kg

transducer.

ethmoid

consider

to

the

OXIBAND®

transducer,

not

or

sensor,

site

with

that

If

poor

(110

Because

artery,

when

using

forehead

or

RS-10 oxygen

sterilize

FORM-A

transducers.

apply

opaque

can

affect

bilirubin

perfusion

lbs.),

the

an

peripheral

the

NELLCOR®

ος

any

NELLCOR®

OXIBAND®

by

irradiation,

adhesive

it

as

directed,

material.
performance

lamps,

affects

consider

R-15

artery

supplied

or

temple.

DURAFORM™

„and

transducer

steam,

bandage

and

Failure

include

fluorescent

instrument

using

the

obtains

perfusion

its

by

is

RS-10

by

or

for

co

the

1-38

Revised

02/15/00

Accutorr

Service

Plus

Chapter

Manual

1,

Operation

If

patient

e

Verify

e

Use a new

e

Move

e

Use a type

D-25,

NELLCORO

SELECTION

GUIDE

Patient

Size

Duration | Short
of

Sterility | Sterile!

Patient | Limited

Activity, | Activity

Use

movement

that

the

sensor

sensor

the

sensor

of

sensor

D-20,

N-25,

SENSOR

|D25/D25L — [R-15

Adult

|>30kg

or

Term

OXISENSOR | OXISENSOR | OXISENSOR | OXISENSOR | OXISENSOR | RS-10

adult

digit

oxygen

transducer

presents a problem:

is

properly

with

fresh

adhesive

to a less

FAMILY

Long | Short

active

that

tolerates

or

120

oxygen

Adult

>50

kg

or

Long

Term

Sterile?

Inactive

[adult

nasal | neonatal
oxygen
|transducer

site.

and

securely

backing.

some

transducer.

N-25

Neonatal

<3

kg

>40
Short
|Long

Sterile! Sterile? Sterile!

Limited

Activity

oxygen

{transducer

patient

kg

or

Term

_|

applied.

motion,

+20

Infant

1-20

Short
[Long

Limited

Activity

infant

oxygen

transducer transducer

such

as

the

D-20

Pediatric

kg

or

Term

digit | pediatric

10-50

Short
{Long

Limited

Activity

digit

Term

oxygen

OXISENSORTM

RS-10

Adult

kg

or

>40

Short

Non-

sterile
Limited

Activity

reflectance
|oxygen

__|

transducer

kg

Term

"In

an

unopened,

undamaged,

All

NELLCOR™

25495

Whirehall

1-800-NELLCOR.

D.

Automatic

The

oximetry

automatically

whenever a new
adjusted

Each

sensor

LED

is

determined
instrument’s
calibration

Calibration

subsystem

calibrated

sensor

automatically

is

calibrated

software

coefficients

package.

accessories

Street,

and

and

Hayward,

of

incorporates

each

is

connected.

to

compensate

when

encoded

reads

this

for

the

sensors

NELLCOR®

time

manufactured;

into a calibration

calibration

measurements

must

Ca.

94545.

automatic

it

is

turned

Also,

for

differences

Sensors

the

resistor

be

purchased

To

contact

calibration

on,

at

periodic

intensity

in

the

effective

resistor

to

determine

obtained

form

NELLCOR®

mechanisms.

of

the

tissue

mean

in

the

by

that

NELLCOR®

„call

intervals

sensor's

thickness.

sensor.

thereafter,

LEDs

wavelength

sensor

plug.

the

appropriate

It

Inc.,

is

is

of

The

and

the red

Accutorr
Chapter

Plus

Service

1,

Operation

Manual

Revised

02/15/00

1-39

1.3.10.3

*

This

1.

Select
are

MASIMO®

LNOP® - Adt

Disposable

LNOP®

Slender
Sensor

LNOP® - Neo

Disposable

LNOP® - Neo

Pre-term

LNOP® - DCI
Reusable

PC12
Extension

2.

Attach

other

Sequence

feature

applicable

the

non-sterile

SENSOR

SELECTION

Finger

-Pdr

Digit

Sensor

Disposable

Finger

Patient

the

end

for

establishing

only

if

available

or

installed

on

your

appropriate

and can

FAMILY

Adult

Sensor

Pediatric/

Disposable

Neonatal

Pt

Neonatal | 0600-00-0046-01

Adult

Sensor

Cable

Sensor

sensor

for

the

be

used

during

PART

NUMBER | PATIENT

0600-00-0043-01

0600-00-0044-01

0600-00-0045-01

0600-00-0047

0012-00-1099-02

PC12

of

the

patient

Patient

Cable

cable

(P/N

into

SpO2

with

Masimo

unit.

patient

from

patient

the

movement.

>

10

to

<

<1kg.

>

Al

0012-00-1099-02)

the

SpO2

connector

table

30

50

10

30

SIZE

kg.

kg.

kg.

kg.

(15)

Set®

below.

to

the

Pulse

Oximetry*

All

sensors

DISPOSABLE/

REUSABLE

Disposable

Disposable

Disposable

Disposable

Re-usable

Re-usable

sensor

and

below

plug

che

NOTE:

pressure

NOTE:
strangulation.

CAUTION:

CAUTION:

CAUTION:

CAUTION:

Do

not

place

the

cuff

in

place.

Ensure

proper

When
including
PC12*

performance.

Tissue

application

failing

appropriately.
operating

Excessive

with

opaque

Inaccurate

significant
methemoglobin);
exposure
xenon

light

direct

sunlight;

interference;

arterial

routing

equipped

Patient

damage

to

with

MASIMO

or

or

use,

inspect

Carefully

instructions,

ambient

material.

measurements

levels

to

excessive

source),

excessive

and

catheter,

sensor

of

MASIMO®

LNOP®

Cable.

Use

inaccurate

such

as

the

sensor

and

light

may

of

dysfunctional

or

intra-vascular

illumination,

bilirubin

patient

placement

or

intra-vascular

on

an

extremity

patient

wrapping

read

may

cable

Sp02,

patient

of

other

measurements

site

periodically,

the

sensor

all

precautionary

cause

inaccurate

be

caused

hemoglobins,

dyes such

such

lamps,

movement;

of a sensor

line.

with

an

to

avoid

use

only

MASIMO®

dedicated

oxygen

it

too

as

fluorescent

on

adhesive

transducers

may

be

tightly,

or

failing

directions

information

measurements.

by

incorrect

(¢.g.,

as

indocyanine

surgical

lights,

venous

an

extremity

invasive

entanglement

caused
applying

for

use,

sensor

carboxyhemoglobin

lamps

pulsations;

catheter

oxygen

sensors

and

may

cause

by

incorrect

supplemental

to

position

the

Accutorr

before

use.

Cover

application

green

(especially

infrared

that

heating

electro-surgical

has a blood

and/or

transducers

improper

it

the

methylene

or

blood

MASIMO

oximeter

sensor

tape,

Plus

sensor

or

use;

or

blue;

ones

with

lamps,

pressure

site

a

or

cuff,

1-40

Revised

12/20/00

Accutorr

Plus

Service

Chapter

Manual

1,

Operation

CAUTION:

In

certain

situations

patients

Verification
with

with

of

chronic

lung

thick

in

which

or

pigmented

oxygenation

disease,

should

before

perfusion

skin,

instituting

and

inaccurately

be

made,

signal

strength

low

SpO2

especially

any

in

therapy

are

low,

such

readings

preterm

or

infants

intervention.

as

will

and

in

result.

patients

CAUTION:

Many

severe

vital

CAUTION:

CAUTION:

3.

The

Rate

4.

If

Beep

The

the

alignment.

poorly

are

patients.

prevent

to

digital

LED's.

desired,

Volume”,

1.3.10.3.1

patients

suffer

vasoconstriction,

sign

readings.

site

should

be

checked

Adult

re-usable

Nail

polish

perfused

not

frequently

If the

sensor

sterilize.
SpO2

adjust

for

MASIMO®

or

damage

value

the

beep

details

patients.

monitored.

patient

do

not

and

volume.

on

Sensors

from

poor

peripheral

reduced cardiac

at

least

finger

sensor).

and

fungus may

Skin

erosion

Assess

cable

is

damaged

soak

or

immerse

SpO2

Pulse

See

Section

adjusting

and

the

Patient

output,

every

eight

Ensure

and

the

site

the

Rate

will

beep

perfusion

etc.

(8)

hours

proper

adhesion,

effect

readings.

pressure

every

two

in

any

way,

sensor

in

be

displayed

3.7,

“Setting

volume.

Cable

due

to

hypothermia,

These

symptoms

(every

skin

Exercise

necrosis

any

can

(2)

hours

discontinue

liquid

on

the

hypovolemia,

may

cause a loss

four

(4)

hours

integrity,

extreme

be

caused

when

with

poorly

use

immediately.

solution.

Alarm

the

Do

SpOz

Volume

with

and

proper

caution

with

sensors

perfused

not

attempt

and

Pulse

and

in

To

MASIMO?
patients.
All

sensors
saturation
also

be

patient

A.

Selecting a Sensor

Sensors

the

appropriate
which

B.

Cleaning

The
clear

by

wiping

replacement

provides a family

Specific

are

indicated

(SpO2)

used

for

use

only”

are

designed

sensor

sites

sensor

may

and

the

adhesive

with

on

sensors

and

“spot

except

sensor,

and

be

an

the

have

for

continuous

pulse

rate.

check”

for

are

applications

for

the

specific

consider

available

Re-use

reattached

still

adheres

alcohol

wipe

patient.

of

sensors

been

developed

The

LNOP® - DC1

LNOP® - DC1

sites

on

the

patient’s

and

the

to

the

same

to

the

and

allowing

suitable

non

patients

anticipated

for a wide

for

invasive

if

needed.

Adult

with

weight,

patient

skin.

The

the

neonates,

level

duration

if

sensor

variety

infants,

monitoring

Adult

Re-usable

All

sensors

“Re-usable”

designated

of

activity,

of

the

emitter and

adhesive

can

to

thoroughly

of

clinical

children,

of

arterial

are

intended

Finger

weight

adequacy

monitoring.

be

partially

oxygen

Finger

Sensor.

ranges.

detector

air

dry prior

settings

and

Sensor

for

of

windows

rejuvenated

and

adults.

can

“single-

To

select

perfusion,

are

to

Accutorr
Chapter

Service

Plus

Operation

1,

Manuai

Added

.

02/15/00

1-41

C.

Performance

To

insure

optimal

all

warnings

If

excessive

to

do
include
fluorescent

ambient

so

may

surgical

lights,

Considerations

performance,

and cautions.

light

is

result

in

inaccurate

lights,

especially

infrared

use

an

present,

measurements.

those

heating

lamps,

appropriate

cover

the

sensor

with a xenon

and

direct

sensor,

site

Light

light
sunlight.

apply

with

sources

source,

it

as

directed,

opaque

that

can

bilirubin

and

material.

affect

Failure

performance

lamps,

observe

Special

D.

The
automatically
whenever a new

automatically

Each
LED
instrument's
calibration

E.

The
saturation,

Features

Automatic

oximetry

sensor

is

Oximetry

Accutorr

subsystem
calibrated

to

is

calibrated

determined

software

coefficients

Plus

pulse

Calibration

incorporates

each

time

sensor

is

connected.

compensate

and

Sensitivity

sensitivity

rate,

when

encoded

reads

this

for

the

Mode

and

signal

for

automatic

it

is

turned

Also,

the

differences

manufactured;

into a calibration

calibration

measurements

and

mode

for

strength

in

the

resistor

obtained

Post

Averaging

SpO2

is

measurements

calibration

on,

at

periodic

intensity

tissue

set

of

thickness.

effective

resistor

to

determine

by

to

normal

mechanisms.

intervals

the

sensor’s

mean

wavelength

in

the

sensor

the

that

sensor.

Time

and

the

for

SpO

Ic

is

thereafter,

LEDs

plug.

appropriate

averaging

is

set

to 8 seconds

and

is

adjusted

of

the

The

of

the

red

1-42

02/15/00

Added

Accutorr

Chapter

Plus

Service

1,

Operation

Manual

1.3.11

TEMPERATURE

MEASUREMENT

(optional)

NOTE:
Operating

For

information

Instructions

0070-00-0346.

NOTE:
Instructions

For

information

manual

70873-0000D

An

optional
Accutorr
approximately
axillary

For

instructions

Patient
typically
While

differences
attempts

site

(e.g.,

results.

WARNING:
temperature

Predictive

Plus.

The
30

temperatures.

temperature

substicuced

correlation

among

to

estimate

rectal

It

is

measurements,

on

manual

on

that

is

Thermometer

Predictive

seconds.

on

how

among

sites

temperature

essential

The

to

depends

for

mercury

these

will

the

temperature

that a single

the

optional

that

is

the

Welch

provided

Thermometer

Predictive

connect

vary

the

upon

the

thermometers

various

by

patient

vs.

axillary

AccuTemp

provided

Allyn

Sure

with

the

thermometer,

Module

site

of

use

(PTM)

provides

Thermometer

temperature

measured.

sites

is

generally

and

one

site

temperature)

disposable

IR

Thermometer

with

the

thermometer,

Temp

Thermometer,

Welch

is

available

temperature

module

module

to

measure

physiological

based

probe

see

Predictive

oral,

good,

on

the

temperature

have

met

cover

is

Module

part

see

the

Allyn

part

to

connect

measurements

takes

oral,

section 1.3.17.

Thermometers
rectal

and

axillary

actual

temperature

activity.

with

used

Consequently,

of

less

than favorable

when

taking

see

the

number

Operating

number

to

the

in

rectal

or

are

sites.

any other

1.3.11.1

When

Time/Temp
probe
(29.4°C) , the

measurement
NOTE:

the

next

1.3.11.2

1.

To

2.

Place
opening

3.

Remove
thermometer.

4.

Insert
handle

Predictive

the

predictive

display

is

in

place

After a measurement

measurement.

How

open

probe

the

to

the

the

until

thermometer

shows

in

the

Time/Temp

is

complete,

to

cover

box

of

probe

the

bottom.

probe

probe

into a probe

you

feel

Thermometer

85°F

(29.4°C).

patient

Apply

from

display

the

box,

covers

its

the

probe

and

display

allow

Probe

remove

into

chamber

cover

probe

the

probe

will

begin

will

60

seconds

Cover

the

the

in

cover

Measurements

is

removed

This

detects a temperature

stop

from

is

an

internal

flashing.

for

When

flashing

the

tip

(PTM}

“tear

out”

tab

on

holder

in

the

“snap”

of

the

the

thermometer.

box,

and

into

thermometer

push

place.

its

holder,

self test

the

temperature

and a beep

to

cool

before

the

end

This

turns

firmly

the

Interval/Elap.

feature.

greater

tone

of

on

is

sounded.

proceeding

the

box

module

on

the

the

cap

then

Once

85°F

top:

with

of

the

the

with

the

probe

PRECAUTION:
result

in

erroneous

Accutorr

Chapter

Plus

Operation

1,

Use

readings

Service

only

or

Manual

Datascope

damage

recommended

to

the

probe.

probe

covers.

Use

of

any

other

probe

cover

Revised

may

.

07/26/00

1-43

1.3.11.3

1.

ORAL

oral
firmly

frenulum
in
of
can
this
in

(one

steady
must

thermometer

will
measurement

2.

The

is

generated
reached.
approximately 1 minute.

How

TEMPERATURES

probe

assembly,

in

the

linguae

the

middle

the

mouth.

only

be

location.

the

mouth

degree

in

this

be

closed

indicate

display

The

to

sublingual

(the

of

the

NOTE:

obtained

Temperatures

may

C)

or

more.

location.

for

reading

the

rising

proceeds.

will

stop

when

final

take

Oral,

-

place

the

pocket

vertical

tongue)

Accurate

in

che

“hear

vary

by

two

Hold

The

patient’s

the

measurement.

will

begin

temperature

flashing

the

final

temperature

reading

will be

Rectal,

Using

the

probe

tip

next

to

fold

of

tissue

toward

in

the

temperatures

pocket”

other

locations

degrees

the

probe

mouth

The

to

flash,

as

and a beep

displayed

BLUE

the

back

F

then

the

tone

has

and

Axillary

ar

been

for

Temperatures

Frenulu

Linguas

Figure

Temperatures

_

CNY

1-1 4 Probe

Placement

for

Sublingual
Pocket

Oral

3.

Remove
and

discard

the

burton

used

probe

procedures.

4.

After

the
temperature,
chamber

another

taking

cool

down.

5.

RECTAL

sectal

probe
instructed
the

probe

proper

tissue

slightly
recommended

1/4"

to

used

if

similarly

final

reading

display

the

probe

from

the

used

on

the

probe

cover

according

Accutorr

(50).

TEMPERATURES

for

into

after

Ya"

for

desired.

to

stops

Plus

replace

Wait

temperature

assembly.

oral

temperatures,

the

patient’s

contact,

insertion.

at

%"

children. A lubricant

The

the

oral

will be

flashing.

the

patient’s

probe

cover

handle.

records

the

probe

at

least

Install a probe

angle

Insercion

to

3/4"

measurement

measurement,

displayed

Discard

to

standard

the

in

60

seconds

allow

to

-

Use a RED

rectum.

the

probe

for

adults

when

mouth,

by

pressing

hospital

patient's

the

probe

before

probe

cover

and

insert

To

insure

depth

is

and

may

will

proceed

and

the

the

be

the

on

to

<

as

CO

EEO

Figure

Temperatures

E

1-15

{

Probe

Placement

for

)

Rectal

1-44

Revised

02/15/00

Accutorr

Chapter

Plus

Manual

Service

1,

Operation

6.

AXILLARY

rectal

RED
the

normal

her

arm.

pressing
patient
position

measurement

measurement,

displayed

NOTE:

does

hands
this
tip

NOTE:

3
is

store the

completely

It

not

come

or

finger) prior

should

to

cool

The

minutes

returned

probe

TEMPERATURES - Using

new

a

install

probe,

manner.

Place

gently

lower

almost

when

is

important

into

happen,

before

thermometer

after

turning

to

the

in

to

obtain

Have

the

probe

to

assure

his/her

will

arm,

parallel

proceed

and

the

final

the

display

that

contact

to

taking a temperature.

allow

at

proceeding

will

it

on,

probe

chamber

the

chamber,

maximum

the

patient

tip

in

good

contact.

holding

to

the

similarly

reading

stops

the

tip

with a heat

least 5 seconds

with

turn

or

when

or

battery

cover

probe

raise

the axilla,

Have

the

probe

arm.

The

to

the

will be

flashing.

of

the

probe

source

for

the

reading.

itself

off

the

probe

(50).

Always

disconnect

life.

the

in

his/

the

in

oral

(i.e.,

If

the

about

it

|

Figure

1-16

Probe

Temperatures

4

一

Placement

for

M

}

!

&

>

6

Axillary

L

=.

NOTE:
if

above

1.3.11.4

Predictive

AccuTemp

AccuTemp

Welch

When a temperature

NIBP

If
temperature

When a temperature
as

minutes

more

will

The

thermometer

the

patient

the

ambient

Storing

temperature

IR

thermometer

Allyn

Sure

measurement,

more

than

one

measurement

an

individual

of

each

than 2 minutes

be

stored.

temperature

temperature.

temperature

Temp

temperature

item.

other,

will

not

take a reading

is

less

than

Temperature

measurements

measurements

is

returned

Thermometer

measurement

it

is

stored

is

stored.

measurement

Also,

when

the

newer

passes

between

Measurements

to

is

as

occurring

measure

is

temperature

measurement

6°F

(3.3°C)

are

automatically

are

stored

the

Accutorr

measurements

completed

is

taken

taken

temperature

within 2 minutes

at

the

during

outside

measurements

replaces

measurements,

де"

Figure

1-17

Probe

Temperatures

stored

in

the

in

the

trend

memory

Plus

are

same

this

of

this

within

the

not

time

+2

+2

older

60

seconds

stored

in

before

as

the

minutes,

minutes,
are

taken
measurement.

then

Placement

trend

the

NIBP

for

memory.

only

of

the

trend

or

after an

measurement.

then

only

then

it

within

each

measurement

Axillary

if

the

reading.

memory.

the

last

is

stored

two

When

Accutorr
Chapter

Plus

Service

1,

Operation

Manual

Revised

07/26/00

1-45

1.3.12

The

Accutorr

(12).

There

are

In

the

Continuous
Temperature
stored

information

1.

Attach

2.

Press
will
PRINT

3.

Press

print

Print
NOTE:
and/or

the

the

print

key

and

mode

LED

When a printing

Bed

Letter

RECORDER

Plus

can

provide a permanent

two

print

Print

mode

measurement.

for

the

Recorder

PRINT

all

stored

(1

hold

between

(13)

Module

key

measurements

beep

tone)

the

PRINT

Continuous

is

illuminated.

is

changed,

(optional)

modes

available.

the

printer

In

the

Request

displayed

(12)

while a printing

is

in

patient.

as

shown

(1

beep

key

(12)

and

progress

the

printing

They

will

Print

in

tone)

to

for

the

(2

beep

Request.

and

will stop.

record

of

patient

are

Continuous

print

each

time

mode

the

printer

section

currently

the

1.3.17.

generate a Request

displayed

is

in

progress,

tones,

approx. 3 seconds)

When

in

the

PRINT

key

data

using

Print

there

is a

will

printing.

patient.

to

stop

the

Continuous

is

pressed

the

PRINT

or

Request
valid

print

The

Press

printing.

to

switch

mode

or

Room

Print.

NIBP

all

of

the

recorder

the

the

the

Number

key

or

Figure

1-18

When

the

Predictive

the

IR

thermometer

to

obtain a pulse

is

used

to

obtain a pulse

is

not

available

that

violated

Recorder

rate

for

alarm

Strip

thermometer

is

any

limits

M/D/Y

11/25/97

HMM

SYS

15:25(122) [ 88} 1 991

HH:MM

15:20

HMM
15:15

HH:MM

15:10

HH:MM

15:05

used,

measurement,

rate

given

DİA

BPM

SPOZ

15

643[

BPM

$64

BPM

5

64

BPM

[S

BPM

S64

Sample

“I”

are

‘F/C

99] P 98.9

SYS

DIA

120 [ 100

SPOZ

‘F/C

99 9 98.9

SYS DIA

120

88

5202

°F/¢

35

—---

SYS

DIA

mae

120 [ 88]

SPO2

$4]

*F/C

99 P 98.9

S

(1201

88

«te

SPO2

99 P 99.9

is

used,

is

printed

“N”

measurement,

parameter,

indicated

2a

at

MAP

MAI P

99

99

MAP

‘hat

“P”

is

next

to

is

printed

“S”

“—-”

by

the

The

Sor N is

measurement,

acquired

is

brackets

Date

and

each group

Parameter
line

rackets

Indicating
Predictive

‘When

parameter,

printed

the

is

Room/Bad

of

measurements.

Headings

of

measurements.

are

printed

caused

an

alam

or I is

printed

with

the

temperature

of

the

AccuTemp

no

information

dashes

printed

with

ad

with

indicating

from

Sp02

next

temperature

next

to

the

printed

next

printed under

“{

is

printed

are

repsated

for

around

measurement

violation.

the

Temp

measurement,

was

acquired

IR

thermometer.

is

available

ara

i

DE

}’.

for a particular

printed.

the

Pulse

Rate (BPM)

the

Pulse

Rate

NBP,

to

the

temperature

measurement.

pulse

rate

to

the

pulse

that

for

each

=

from

a

was

measurement.

When

NIBP

measurement. W hen

rate

measurement.

parameter.

Parameter

When

is

used

SpO2

If

data

values

1-46

Revised

02/15/00

Accutorr

Chapter

Plus

Manual

Service

1,

Operation

1.3.13

The

clock

1.3.15,

Interval/Elap.

used

to

will

cause

the

time

can

for

set

all

or

HOW

details

the

stored

date

TO

be

set

during

on

entering

Time/Temp

time

and

patient

does

NOT

SET

THE

normal

the

Display

date.

PRECAUTION:

information

cause

CLOCK

operation

User

Configuration.

(33),

and

(trend

data

to

be

(Date

or

in

the

the

Up

Changing

data)

erased.

and

User

The

and

Down

to

be

permanently

Time)

Configuration.

Timer/Temp

arrow

any

part

of

keys

the

key

erased.

See

(32),

(27

time

section

& 28)

are

or

date

Viewing

1.

Press

and

(2

beep

tones,

only

digit

2.

Press

the

key.(27
NOTE:
time

3.

Press

che

4.

Press

key

Continue

and

and

5.

After
press
clock

information.

To

cancel a changed

is

still

key

or

y

The

a

in

the

minute

the

(27

or

the

Arrow

year

the

of

che

set

displayed,

(14)

for

hold

the

Timer/Temp

approx. 6 seconds).

displays.

Patient

24

Timer/Temp

Patient

pressing

(in

year

mode

less

Info.

Up

change

to

28)

formar.

Info.
change

che

to set

order).

been

and

enters

value

the

Plus

Timer/Temp

Accutorr
hour

display.

28)

to

keys

that

has

Timer/Temp

press

than 3 seconds.

or

Down

numb

the

always

key

(32)

Up

or

Down

the

number.

the

month,

selected,

key

(32)

the

new

while

that

DEFAULTS

key

(32)

The

Arrow

er.

displays

to

activate

Arrow

key

day,

che

next

exits the

value

hour

vá

ní

::

S

©

fer

ee

=~

(Lo)

&

-

Figare

1-19 - Setting

Figure

1-20 - Setting

|

Sat

Press

and

to

enter

the

mode,

set

je.

ado

After

the

and

date

been

set,

tw

exit

the

set

mode.

hold

clock

Seth

hour,

Set

tbe

time

have

press

clock

the

Hour

Minute

If

che

TIMER/TEMP

been

pressed

Plus

returns

any

Time/Date

‘When
(current
viewing
‘When

between
continuously.
colon

Accutorr

Chapter

for 15

to

the

clock
time).
previous

frozen

time

the

hours

between

Plus

Service

Operation

1,

When

or

seconds,
normal
changes.

When

the

operation

is

displayed,

the

data,

frozen

is

displayed,

and

minutes

real-time

hours and

Manual

Arrow

the

it

clock

minutes

keys

have

Accutorr

and

saves

displays

is

displayed

time

is

displayed.

the

colon

is

illuminated

is

displayed

not

real-time

while

the

flashes.

Revised

02/15/00

1-47

1.3.14

When

illuminated

To

conserve

illumination
can

be

an

AC

type

of

setting

When

flash

and

units,

approximately
minutes
Plus

NIBP

approximately

When

automatically

BATTERY

the

Accutorr

continuously.

power,

time

set

between 5 and

or

DC

source,

power

source.

the

time

the

battery

the

recorder

for

the

with

the

battery

Plus

most

out

the

out

minutes.

charge

30

Accutorr

Trend

10

minutes

charge

turn

off.

OPERATION

is

powered

displays

can

be

60

minutes.

user

See

User

is

low,

will

not

minutes

Plus

Screen

of

drops

Patient

from

the

will

blank

set

between 3 and

Since

configuration

Configuration,

but

not

below

operate.

NIBP

and

low

information

of

battery

with

SpO2.

battery

below

When

Trend
Units
warning

the

cutoff

time

will

battery,

(time

15

the

Accutorr

allows

section

the

cutoff

the

LED

remain

Screen

with

voltage

be

the

Battery

out)

at

user

minutes.

Plus

the

setting

3.15

voltage,

begins

for

and

Lithium

time.

the

retained

Indicator

selected

The

LED

can

be

of

separate

for

more

the

to

flash

the

Accutorr

10

minutes

ion

batteries

Accutorr

for

later

(17)

times.

The

displays

powered

information

battery

on

Plus

use.

times

LED
Sealed
Plus

for

che

will

will

time

from

for

NIBP,

Accutorr

provide

is

LCD

out

either

each

on

will

lead

acid

20

Battery
acid

25°C

Battery
for a Sealed
charged

recorder

Datascope
Lithium

taken

run

approximately 2 hours

using a new
continuous

The
plugged
lead acid

CAUTION:
Accutorr
unaffected

run

time

for

battery

time

Accutorr

or 8 hours

with a NIBP

run

time

for

lead

acid
battery
not

ion

every 5 minutes

into

at

in

use.

SpOz

is

battery

for

the

Accutorr

fully

charged

SpOz

Plus

an

AC

or 2 hours

To

avoid

Plus

is

connected

by

battery

the

measurement

the

battery

25°C

Battery

approximately

using a new

measurement

automatically

receptacle.

for

replacement.

Accutorr

with a Lithium

Accutorr

with a NIBP

continuous

Plus

for a Sealed

battery

Lithium

loss

Plus

taken every 5 minutes

Plus

or 8 hours

run

time

for

1.5

fully

SpO2

NIBP

lead

at

25°C

and

the

recharges

Maximum

ion.

of

patient

to

an

AC

NIBP

is

approximately 5 hours

ion

battery

NIBP

with

for a Lithium

measurement

the

Accutorr

hours

for a Sealed

charged

with

data

receptacle.

battery

measurement

Trend

Screen

acid

battery

with a NIBP

recorder

not

the

battery,

battery

(trend), do

Hospital

using a new

and

Trend

Screen

ion

battery

taken

every 5 minutes

Plus

NIBP

lead

acid

at

25°C

and

the

and

or

4.5

hours

measurement

in

use.

when

recharge

not

replace

defaults

with a Sealed

fully

charged

the

recorder

is

approximately 3 hours

using a new

with
battery

with a NIBP

recorder

Masimo

for a Lithium

taken every 5 minutes

required,

time

is 8 hours

the

and

not

Trend

or

3.5

not

or

Nellcor

when

battery

the

time

and

Screen

measurement

in

for

battery

in

use.

fully

the

and

hours

for

use.

Battery

SpO2

ion

battery

the

unit

Sealed

unless

the

are

lead

at

a

is

is

1-48

Revised

12/20/00

Accutorr

Plus

Chapter

Manual

Service

Operation

1,

1.3.15

The

User

settings.

turned
is

to

turn

1.

To

turning

2.

To
display
(25 & 26).
setting

3.

Press

setting

4.

Press

5.

Press

6.

Repeat

The

following

User

Configuration
Number

la

ib

2

3

4

Sa

56

*1231

USER

Configuration

These

custom

on.

Once

the

off

the

Accutorr

enter

the

User

the

unit

ON.

select a User

the

for

the

flashes.

the

Patient

the

START

step 2 for

Fonction

mains.

Configuration

desired

See

table

that

item

NIBP

START

Info.

additional

table

list

Clock

Set

Date

Format

Reserved

use.

Text / Symbols

Patient

Size

Time

Out,

and

LCD

when

unit

powered

Time

Out,

and

LCD

Characters

unit

is

powered

from

the

battery.

represents

12

montbs/31

CONFIGURATION

Mode

allows

the

default

User

Configuration

User

below

NIBP

che

for

LEDs

Characters | information

is

from

LEDs | Set

when

internal

settings

Configuration

Plus

using

the

Mode,

Release

displays.

Up

furure

days

after

item

Configuration

for

User

key

(38)

to

or

Down

Arrow

key

(38)

to

choices.

functions

AC

_{

and

that

Description

Setting
section

the

clock.

Set the

or

D/M/Y

Set

the

limit

is

graphic

Interval

Set the

Adult,
|Set

how

keys

have

|LEDs

and

blanked
choices
minutes.

is

not

erased,

how

tion

is
have been
and

LCD

[to

conserve

are:

5,
NOTE:
erased.

3112

represents

will

Mode

the

number,

Configuration

be

enter

can

the

1.3.13

format

description

being

====.

of

default

Pediatric

long

to

are:

long

displayed,

15,

The

operator

ON/STANDBY

press

third

Number

able

date

(3112)*

OFF

been

LCD

conserve

5,

NOTE:

pressed,

before

energy.

20

the

be

used

is

entered,

and

beep.

press

co

change

key

(27

the

changed

be

configured

and

time.

for

details

as

M/D/Y

of

set,

Hi

Also

to

patient

and

Neonate.

the

numeric

is

displayed,

pressed,

before

energy.

15,

30

The

the

numeric

when

in

they

The

or

30

minutes.

information

31

days/12

opportunity

each

time

the

key

hold

the

the

ROOM/BED

in

the

ROOM

Numbers.

the

default

or

28)

to

default

in

che

See

on

setting

(1231)*

which

alarm | The

and

Lo

or

the | then

change

or

are

the

.

size

to

be | Adult

when

no

in

the

they

are

The

60

information

informa-|5

no

keys

the

LEDs

blanked

choices

is

not

months.

to

set

custom

the

Accutorr

only

way

(19).

DEFAULTS

and

The

change

setting.

user

Factory

|D/M/Y

|the

Interval.

15

minutes

minutes

Plus

to

exit

this

key

(14)

key

(24)

BED

displays

current

value.

the

configuration

word

indicators.

The

default

Default

(3112)*

“Hi”

use

Hi

default

default

setting.

which

and

Lo

OFF

default

is

mode

while

to

mode.

will

as

for

Accutorr

Chapter

Plus Service

1,

Operation

Manual

Revised

02/15/00

1-49

User

Configurotion

Number
Sc

5d

Ga

6b

6c

7

8

9a

9b

9c

10a

10b

li

12

Fonction

Time

Out,

Light | Set

in

the

LCD

when

the

unit

is

powered | the

from

AC

mains.

Time

Out,

Light | Set

in

the

LCD

when

the

unit

is

powered

internal
Adult

Inflation

Pediatric
Inflation

Neonate
Inflation

Adaptive

Interval

Adult

Limits

Pediatric

Limits

Neonate

Limits

Alarm

SpOz

Continuous

Reset

Defaults

from

battery.

Initial

Pressure | for

Initial

Pressure | for a pediatric

Initial

Pressure | pressure

Inflation | Choices

Setting

Alarm

Alarm

Alarm

Volume

Volume

Print

to

Factory

Description

how

Jon,

when

LCD.

or

15

how

Jon,

when

the

LCD.

the

|or

15

Set

the

an

choices

5

mmHg

Set

the

choices

mmHg

See

the

The
at 5 mmHg

Configuration
graphics,

Set

the

choices

(Continuous),

20, 30,

Set

the

an

Adult

for

details

Set

the

for a Pediatric

Section
alarm
See
for

an
Section
alarm
Set
The
the

Set

The

2,3, 4 &

|Choices

Configuration

graphics,

|To

change
Configuration
Factory

Config.

START

long

no

The

minutes.

long

no

The

minutes.

initial

adult

size

are:

100

increments.

initial

are:

60

increments.

initial

for a neonate

choices

are:

are

ON

the

NIBP

are:

OFF

60,

120,

default

size

on

default

1.3.5

limits.

the

default

Neonate

1.3.5

limits.

the

volume

choices

loudest.

the

volume

choices

5.5

are

ON

the

all

Defaults,

#12,

NIBP

the

light

will

keys

are

pressed,

choices

the light

keys

cuff

cuff

increments.

choices

Interval

patient.

setting

for

for

are:

are:

choices

press

are:

will

are

pressed,

choices

are:

inflation

patient.

to

260

inflation

size

patient.

to

180

mmHg

cuff

inflation

size

40

to

120

or

OFF. K User

#3

is

set to

are

Time.

(or

1,

2.5,

5,

and

240

alarm

limit

See

alarm

alarm

limit

size

patient.

details

alarm

limit

size

patient.

details

of an

alarm

1,

2,

3, 4 &

of

the

SpOz

Off

(or

is

the

loudest.

or

OFF.

#3

is

set

are

of

the

User

items

back

while

and

key

for 3 seconds.

mmHg

Section

hold

Factory

stay 3 minutes

in

3,

5,

10

stay 3 minutes

in

3, 5,

10

pressure}

The

pressure | 140
The

patient.

mmHg

display

-I-

or

),

Cont.

10,

minutes.

values

limits.

values | OFF,

See

on

setting

values | OFF,

See

on

setting

signal. | 4

If

User | OFF

to

display

-l-

to

in

User

180

at

at

5

100

(ON

-O-.

The | OFF

15,

for | OFF,

1.3.5 | which

which

which

5. 5 is

beep. |

or

),

1,

-O-.

the

the

OFF

Default

mmHg

mmHg

mmHg

(or

except

is

86

except

is

86

except

is

86

)

SpO2

$pOz

SpO2

low

low

low

1-50

Revised

02/15/00

Accurorr

Chapter

Plus

Service

1,

Operation

Manual

1.3.16

The

Accutorr

status.

Status

some

error

qualified

back
cleared

technical

of

the

from

STATUS

Plus

and

error

codes,

which

Quick

the

Room

AND

uses

the

various

codes

are

marked

service

Reference

person.

and

Bed

ERROR

listed

These

card.

NOTE:

displays

CODES

displays

below

can

with

an

codes

Status

by

on

the

front

generally

asterisk

with

their

codes

pressing

panel

be

resolved

(*),

may

descriptions

8810

through

the

Room/Bed

to

display

by

require

key

the

operational

the

user

however,

resolution

are
8858

(24).

by

listed

on

can

be

a

the

Status

and

Error

Code

Table

TYPE | CODE | DESCRIPTION

NIBP

TEMP
(РТМ)

SpO,

SYSTEM

8810

|Retry - Unable

Measure

8811 | Retry - Pump

Higher

8812

|Stop - Cuff

Overpressure

8813

|Stop - Unable

Measure

|8830 | Check

[8831
8832 | Baccery
8850
8851

8852

8853 | Pulse

8854 | Weak

8855 | No

8856

8857
8857
8857
8858
8858
8858
|984* | NIBP
985* | NIBP

986* | NIBP

987*

988* | TEMP
990*

991*

995*
996*

Probe Tissue

|Replace

Probe

Low

|No

Sensor

|Sensor

Off

|Interference

Search

Pulse

Pulse

|Check Sensor

|PR<30
|PR<21

|PR<26
IPR>249
¡PR>239
|PR>250

Hardware
Overpressure

Circuit

not

“|

Programmed

Overpressure

Circuit

not

Tracking

|Stop - Hardware

Overpressure

Bad

Calibration

|TEMP

Illegal

|TEMP

Module

|SpO,

Uncalibrared

|SpO,

Failure

to

to

Failure | NIBP

Mode.

Failed

REASON

Motion

artifact,

cycle

time-out,

tions. A triple

Insufficient

Excessive
tone

is

A

successive

generated.

Defective
The

9V

No

sensor

Sensor

(Datascope

Interference

{Datascope

Unit

cannot

“Pulse

Weak
(Datascope

No

pulse

Sensor

(Datascope
Pulse

rate
Pulse
Pulse
Pulse

cate

Pulse

rate

Pulse

rate

The

overpressure

The

two

Excessive
sor. A triple

|‘Thermometer
Thermometer

|Thermometer

SpO,
SpO,

beep

cuff

cuff

pressure

generated.

measurement

contact

may

probe

battery

connected.

not

on

patient.

and

on

and

find

Search”

-8853-

pulse

detected.

and

detected.

problem.

and

is

less

rate

is

less

rate

is

less

is

greater

is

greater

is

greater

A/D

failure

pressure

cuff

pressure

beep

needs

switch

internal

fails

calibration

failed

self-test.

tone

pressure. A triple

derected

have

or

connection.

needs

replacement.

Masimo

signal.

Masimo

signal.

when

Masimo

(Datascope

Masimo

than

30

than

21

than

26

than

249

than

239

than

250

detected.

circuit

transducers

tone

is

calibration.

is

failure.

check.

weak

is

generated.

by

attempts

been

lost.

SpO2

only)

SpO>

only}

(Nellcor

the

SpO>

only)

SpO2

SpO>

only)

bpm.

(Datascope

bpm.

(Nellcor

bpm.

(Masimo
bpm.
bpm.

bpm.

(Datascope

is

not

set

are

detected

generated.

set

wrong.

pulsations

beep

tone

the

software. A triple

failed. A triple

S$pOz

Module

sensor

is

not

only)

$pOz

SpO2

SpOz

(Nellcor

SpOz

(Masimo

SpO

SpO»

to

the

current patient

not

tracking

by

hardware

or

no

pulsa-

is

generated.

beep

beep

tone

will

report

on

the

patient.)

only)
only)

only)

only)

only)

only)

size.

each

other.

over-pressure

is

sen-

Accutorr
Chapter

Plus

Service

1,

Operation

Manual

Revised

02/15/00

1-51

1.3.17

The

Accutorr

To

Attach

HOW
RECORDER

Plus

can

the

Recorder

TO

ATTACH

be

configured

Module:

OPTIONAL

MODULES

with a Recorder

THERMOMETER

Module

and

Thermometer

and

Module.

Looking

the

Accutorr

1.

Insure

2.

Insert
the

Accutorr

3.

Use

To

Attach

Looking

side

of

the

1.

Insure

2.

Insert
(42)

3.

Use

at

che

rear

panel

Plus.

that the

the

the 2 screws

at

Accutorr

that

the tab

on

the 2 screws

Accutorr

tab

on

Plus.

the

Thermometer

the

rear

the

Accutorr

on

the

Accutorr

of

the

Recorder

Push

firmly

provided

panel

of

Plus.

the

Thermometer

Plus.

provided

the

Plus

to

Module:

the

Plus

Push

to

unit,

is

OFF.

Module

to

seat

secure

unit,

is

OFF.

firmly

secure

the

Recorder

into the

properly.

the

Recorder

che

Thermometer

Module

to

the

Thermometer

into

seat

properly.

Module

Recorder

Module

Module

the

Thermometer

Module

is

attached

Module

to

the

is

to

the

Connector

Accutorr

attached

Module

to

the

Accutorr

right

(48)

Plus.

to

the

left

Connector

Plus.

side

on

of

1-52

Recorder

Module

Figure 1-21

Attaching

Optional

Revised

02/15/00

Accutorr

Trend

Modules

with

Plus

Screen

and

SpO,

Sy

Accutorr

a

a

Screw

Predictive
Thermometer

Module

Service

Plus

Chapter

1,

Manual

Operation

1.3.18

The

Quick

side,

and

Reference

PLACEMENT

Reference

on

the

other

card,

thread

card

side

the

OF

provides

provides
NIBP

hose

THE

QUICK

abbreviated

descriptions

through

—

ED

„=

the

ae

FATENTINFO.

GE)

Es

REFERENCE

descriptions

of

the

two

一

toe

gato

Cossa

use

ron

status

holes

alert

A

of

in

Oy.

©

a

ve

Te

rs

emo

esa)

emo recon

ели,

DA

SC, o pra od

M

front

codes.

the

一

m

CARD

panel

To

attach

card.

keys

the

on

one

Quick

Figure

1-22

NOTE:
actual

Placement

The

card

may

card

2

of

Quick

shown

differ.

Thread

the

hose

holes

in

NIBP

through

in

the

Quick

Reference

Card.

Reference

figure

SI

tres

tp

the

Label

1-22

Suite

is a sample

to

show

iat

how

to

attach

the

card.

The

Accutorr

Chapter

Plus

1,

Operation

Service

Manual

Revised

02/15/00

1-53

1.3.19

The

Recorder

Attach

label

PLACEMENT

Paper

Loading

as

shown

in

the

label

figure

OF

RECORDER

is

designed

below.

to

be

placed

PAPER

on

LOADING

the

recorder

LABEL

module.

Figure

1-23

Placement

of

Recorder

Paper

Loading

Label

1-54

Revised

02/15/00

‘Accutort

Plus

Chapter

Manual

Service

Operation

1,