Nellcor NPB-4000, N-4000C User manual
OPERATOR’S MANUAL
NPB-4000/4000C Patient Monitor
Nellcor Puritan Bennett Inc. is an affiliate of Tyco Healthcare. Nellcor, Nellcor
Puritan Bennett, Durasensor, C-LOCK, Oxisensor II, Dura-Y, and the Nellcor
Puritan Bennett knob configuration are trademarks of Nellcor Puritan Bennett Inc.
To obtain information about a warranty, if any, for this product, contact Nellcor’s
Technical Services Department, or your local Nellcor representative.
Covered by one or more of the following U.S. Patents and foreign equivalents:
4,621,643; 4,653,498; 4,700,708; 4,770,179; 4,869,254; 5,368,224 Re. 35,122;
4,928,692; 4,934,372; 5,078,136.
CONTENTS
Figures
Tables
Safety Information ......................................................................1
General Safety Information ...................................................1
Introduction.................................................................................5
Intended Use.........................................................................5
About This Manual ................................................................5
Controls, Indicators, And Symbols...........................................7
Front Panel ...........................................................................7
Rear Panel ..........................................................................13
Quick Guide To Operation .......................................................15
Features.....................................................................................17
Physical/Mechanical ...........................................................17
Electrical .............................................................................18
Display ................................................................................18
Auxiliary Outputs.................................................................19
Options and Accessories ....................................................19
Setup and Use...........................................................................21
Unpacking and Inspection ..................................................21
Power Cable Connections ..................................................22
Measurement Cable Connections ......................................22
Power On and Self-Test .....................................................24
Set Date and Time ..............................................................26
Display and Operation .............................................................29
The Display Configuration...................................................29
Controlling Monitor Operation and Display Elements .........35
Alarms and Limits.....................................................................41
General ...............................................................................41
Alarm Priority ......................................................................42
Loss-Of-Monitoring Alarm ...................................................43
Visual Alarm Indicators .......................................................43
Audible Alarm Indicators .....................................................44
Setting And Changing Alarm Limits ....................................45
Using The Alarm/Limits Screen ..........................................45
Auto-Set Alarm Limits .........................................................50
Using The Numeric Frame .................................................50
Alarm Limits and Factory-Set Default Values .....................50
Alarm Silence Switch ..........................................................51
Alarm Suspend ...................................................................52
ECG Monitoring ........................................................................55
General ...............................................................................55
ECG Safety Information ......................................................55
iii
Contents
Setup Connections............................................................. 57
Controlling ECG Functions Via Numeric Frame ................ 60
Controlling ECG Waveform Via Graphic Frame ................ 61
NIBP Monitoring....................................................................... 65
General .............................................................................. 65
NIBP Safety Information..................................................... 65
Setup Connections............................................................. 67
NIBP Measurement Modes ................................................ 68
Controlling NIBP Functions Via Numeric Frame................ 71
Monitoring ...................................................................... 73
2
SpO
General .............................................................................. 73
Safety Information .................................................... 74
2
SpO
Setup Connection............................................................... 75
Functions Via Numeric Frame ............... 78
Controlling SpO
Controlling SpO
2
Waveform Via Graphic Frame ............... 80
2
Respiration Monitoring............................................................ 83
General .............................................................................. 83
Respiration Safety Information........................................... 83
Setup Connections............................................................. 84
Controlling Respiration Functions Via Numeric Frame ...... 84
Controlling Respiration Waveform Via Graphic Frame...... 86
Temperature Monitoring.......................................................... 89
General .............................................................................. 89
Controlling Temperature Functions Via Numeric Frame ... 90
Trends ....................................................................................... 91
General .............................................................................. 91
Displaying Trend Data........................................................ 92
Selecting A 2-Hour Portion Of The Graphical Trend For
Display:............................................................................... 94
Printing Trend Information (Printer Option Installed): ........ 95
Changing The Vertical Scale Range .................................. 95
Selecting Different Trend Records..................................... 96
Graphical Trend Operation Summary ................................ 97
Tabular Trend Data ............................................................ 98
Transferring Trends Via RS-232 ........................................ 98
Printing ..................................................................................... 99
General .............................................................................. 99
Operator Maintenance and Troubleshooting...................... 103
Error Messages................................................................ 103
Service ............................................................................. 103
Obtaining Technical Assistance ....................................... 105
Returning System Components ....................................... 105
Printer Paper Replacement.............................................. 106
Specifications......................................................................... 109
Scope ............................................................................... 109
iv
RS-232 Interface......................................................................117
Defib Sync Output ..................................................................122
Optional Accessories.............................................................123
FIGURES
Figure 1: Front Panel, NPB-4000/C.............................................7
Figure 2: Rear Panel, NPB-4000/C ...........................................13
Figure 3: NPB-4000/C Patient Monitor ......................................17
Figure 4: Copyright Screen........................................................25
Figure 5: Typical Screen for No Patient Leads ..........................25
Figure 6: Typical Screen, Valid Monitored Signals ....................26
Figure 7: A Typical Monitoring Screen.......................................30
Figure 8: Big Numbers Screen ..................................................34
Figure 9: Highlighted ECG Graphic;
Figure 10: SpO2 Screen ............................................................38
Figure 11: Alarm/Limits Screen Presentation ............................46
Figure 12: Alarm Suspend Screen ............................................52
Figure 13: Standard ECG Leads Placement .............................58
Figure 14: Modified Chest Lead (MCL1) Placement
Figure 15: Heart Rate Display ...................................................60
Figure 16: ECG Waveform ........................................................62
Figure 17: NIBP Screen.............................................................71
Figure 18: SpO2 Screen ............................................................78
Figure 19: SpO2 Waveform Screen ..........................................80
Figure 20: Respiration Rate Screen ..........................................84
Contents
General .............................................................................109
Electrical ...........................................................................110
Environmental ...................................................................111
Measuring Parameters .....................................................111
Trends...............................................................................115
Overview ...........................................................................117
Cable Connection .............................................................117
Nurse-Call .........................................................................118
Exporting Trend Data........................................................118
Defib Sync Output.............................................................122
NPB-4000/C Defib Sync ...................................................122
Printer ...............................................................................123
GCX Mount .......................................................................123
Accessory Bag ..................................................................123
Defib Sync Cable ..............................................................123
DC Input Cable .................................................................123
Level 1 and Level 2 Menus.........................................37
(if using MCL1, select Lead II) ..................................59
v
Contents
TABLES
Figure 21: Respiration Waveform Screen ................................ 86
Figure 22: Temperature Screen................................................ 90
Figure 23: Graphical and Tabular Trend Screens .................... 93
Figure 24: Accessing the Trend Scroll Capability ..................... 96
Figure 25: Printer Operator Controls......................................... 99
Figure 26: Real-Time Printout................................................. 100
Figure 27: Graphic Trend Printout .......................................... 101
Figure 28: Tabular Trend Printout........................................... 101
Figure 29: Loading Thermal Paper in Printer .......................... 106
Table 1: Front Panel Connectors ................................................ 8
Table 2: Switch Panel Symbols .................................................. 8
Table 3: Display Symbols.......................................................... 10
Table 4: Rear Panel Connectors............................................... 13
Table 5: Quick Guide Procedure .............................................. 15
Table 6: Battery Charging Front panel Indications.................... 24
Table 7: NPB-4000C Color Description .................................... 31
Table 8: NPB-4000C Battery Icon............................................. 33
Table 9: SpO2 Screen Menus................................................... 39
Table 10: Visual Alarm Flashing Rates..................................... 43
Table 11: Audible Alarm Characteristics................................... 44
Table 12: Alarm/Limits Menu .................................................... 46
Table 13: Auto-Set Limits Formulas ......................................... 50
Table 14: Alarm Limits Ranges and Factory-Set Limits............ 51
Table 15: ECG Lead Color Coding ........................................... 58
Table 16: ECG Lead Pairs (for Standard Leads Placement).... 59
Table 17: Heart Rate Menu....................................................... 60
Table 18: ECG Waveform Menu .............................................. 63
Table 19: Cuff Sizes.................................................................. 67
Table 20: Low Priority NIBP Alarms.......................................... 70
Table 21: NIBP Menu................................................................ 72
Table 22: SpO2 Sensors........................................................... 76
Table 23: SpO2 Menu............................................................... 79
Table 24: SpO2 Waveform ....................................................... 81
Table 25: Respiration Rate Menu ............................................. 85
Table 26: Respiration Waveform Menu .................................... 87
Table 27: Temperature Menu ................................................... 90
Table 28: SpO2 Graphical Trend Menu .................................... 97
Table 29: RS-232 Serial Interface Connections ..................... 117
vi
SAFETY INFORMATION
General Safety Information
GENERAL SAFETY INFORMATION
This section contains important safety information related to
general use of the NPB-4000 monochrome display patient
monitor and NPB-4000C color display patient monitor. Other
important safety information appears throughout the manual in
sections that relate specifically to the precautionary information.
Read all text surrounding all precautionary information. The
monitors will be referred to as NPB-4000/C throughout this
manual.
Important! Before use, carefully read this manual,
accessory directions for use, all precautionary information
in boldface type, and specifications.
WARNING: In the USA, do not connect to an electrical
outlet controlled by a wall switch because the device may be
accidentally turned off.
WARNING: As with any medical equipment, carefully
route patient cabling to reduce the possibility of patient
entanglement or strangulation.
Warning: Do not use the NPB-4000/C patient monitor to
monitor neonates.
WARNING: Explosion hazard. Do not use the NPB-4000/C
in the presence of flammable anesthetics or gases.
WARNING: The NPB-4000/C patient monitor is a
prescription device and is to be operated by qualified
personnel only.
WARNING: The user must check the equipment prior to
use and ensure its safe and proper use.
1
Safety Information
WARNING: The NPB-4000/C is defibrillator proof. It may
remain attached to the patient during defibrillation or while
an electrosurgical unit is in use, but the readings may be
inaccurate during use and shortly thereafter.
WARNING: The NPB-4000/C is intended only as an
adjunct in patient assessment. It must be used in
conjunction with clinical signs and symptoms.
WARNING: To ensure patient safety, do not place the
monitor in any position that might cause it to fall on the
patient.
WARNING: Disconnect the NPB-4000/C and sensors
during magnetic resonance imaging (MRI) scanning. Use
during MRI could cause burns or adversely affect the MRI
image or the monitor’s accuracy. Also, to avoid burns,
remove the sensors from the patient before conducting MRI.
WARNING: Do not lift the monitor by the sensor cable,
blood pressure hose, or power cord because the cable, lead,
or cord could disconnect from the monitor, causing the
monitor to drop on the patient.
WARNING: Do not use the NPB-4000/C to monitor patients
who are linked to heart/lung machines.
WARNING: The NPB-4000/C may not operate effectively
on patients who are experiencing convulsions or tremors.
WARNING: Occasionally, electrical signals at the heart do
not produce a peripheral pulse. If a patient’s beat-to-beat
pulse amplitude varies significantly (for example, pulsus
alternans, atrial fibrillation, rapid-cycling artificial
ventilator), blood pressure and pulse rate readings can be
erratic and an alternate measuring method should be used
for confirmation.
2
Safety Information
CAUTION: When connecting the NPB-4000/C patient
monitor to any instrument, verify proper operation before
clinical use. Both the NPB-4000/C and the instrument
connected to it must be connected to a grounded outlet.
Accessory equipment connected to the monitor’s data
interface must be certified according to IEC Standard 950
for data-processing equipment or IEC Standard 601-1 for
electromedical equipment. All combinations of equipment
must be in compliance with IEC Standard 601-1 system
requirements. Anyone who connects additional equipment
to the signal input or signal output port configures a medical
system and is therefore responsible that the system complies
with the requirements of standard IEC Standard 601-1-1. If
in doubt, consult Nellcor’s Technical Services Department or
your local Nellcor’s representative.
3
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INTRODUCTION
Intended Use
About this Manual
INTENDED USE
The purpose and function of the Nellcor NPB-4000/C patient
monitor is to monitor ECG, heart rate, noninvasive blood
pressure (systolic, diastolic, and mean arterial pressures),
functional arterial oxygen saturation, respiration, and
temperature for adult and pediatric patients in all hospital areas
and hospital-type facilities. It may be used during hospital
transport and in mobile, land-based environments, such as
ambulances.
WARNING: The NPB-4000/C is intended only as an
adjunct in patient assessment. It must be used in
conjunction with clinical signs and symptoms.
ABOUT THIS MANUAL
This manual explains how to set up and use the NPB-4000/C
patient monitor. Important safety information relating to general
use of the NPB-4000/C appears before this introduction. Other
important safety information is located throughout the text
where applicable. Read the entire manual including the
Safety Information section, before you operate the monitor.
5
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CONTROLS, INDICATORS, AND SYMBOLS
Front Panel
Rear Panel
FRONT PANEL
See Figure 1. The front panel controls and indicators are
arranged in groups:
123
1
2
3
4
Figure 1: Front Panel, NPB-4000/C
1. Display: (the major area of the panel)
2. Switch Panel: (to the right of the display)
3. Patient Connectors: (along the bottom of the panel)
4. Control Knob: (the lower right corner of the panel)
7
Controls, Indicators, and Symbols
Patient Monitoring Connectors
All patient connections to the NPB-4000/C are classified as type
CF, which specifies their degree of protection against electrical
shock, and all are rated as defibrillator-proof. Consequently,
each connector is marked with the following symbol.
Symbol for Defibrillator-proof
Type CF Equipment
A unique icon identifying the parameter being monitored
through that connector identifies each connection. Table 1
defines the monitored parameter, connector compatibility, and
icon.
Table 1: Front Panel Connectors
Monitored
Parameter
ECG
Compatible with Nellcor CE-10 ECG
Cables
SpO
2
Compatible with Nellcor sensors and
sensor extension cables
NIBP
Compatible with Nellcor SHBP-10 blood
pressure hose
Temperature
Compatible with YSI Series 400
temperature probes
Switch Panel
The symbols identifying the switches and light emitting diode
(LED) indicators on the Switch Panel are described in Table 2.
Switched/LED
Descriptor
On/Standby Switch
Connector Compatibility Icon
SpO
2
T
Table 2: Switch Panel Symbols
Icon Operation
Toggles NPB-4000/C
between ON and
STANDBY modes
%
8
Controls, Indicators, and Symbols
Table 2: Switch Panel Symbols
Switched/LED
Descriptor
AC source LED
Indicator
DC source LED
Indicator
NIBP Start/Stop
Switch
NIBP STAT icon
Alarm Silence
Switch
Heart Rate Tone
Volume Switch
Icon Operation
When lit, indicates an AC
source connected and
charging the battery
When lit, indicates a DC
source connected and
charging the battery
Toggles between starting
and stopping NIBP
measurement
Indicates STAT mode,
which is activated by
pressing and holding the
NIBP switch for 2 seconds
Temporarily silences the
audible alarm sound for a
pre-set interval
Enables the knob to adjust
volume of the audible tone
Contrast Adjust
Switch
NPB-4000 Pressing switch
causes screen contrast to
change to an average
setting. Also enables the
knob to adjust the contrast
of the display.
NPB-4000C Pressing
switch causes the screen to
switch to the alternate set of
colors (black background
vs. white background).
9
Controls, Indicators, and Symbols
Display Symbols
The symbols and icons used in the NPB-4000/C patient monitor
display are described in Table 3.
Table 3: Display Symbols
Display - Numeric Frame Symbols
Heart Rate
SpO2
SpO2
SpO
/min
%
%
2
Heart rate icon. Identifies the frame and indicates the
units, beats per second. Always displayed.
Heart rate determined from SpO2 sensor. Displayed
when heart rate is derived from the SpO
Heart rate determined from ECG measurement.
Displayed when heart rate is derived from the ECG
measurement.
Heart rate determined from NIBP measurement.
Displayed when heart rate is derived from the NIBP
measurement.
Heart rate alarm. Displayed when a heart rate alarm
limit has been violated.
Audible Alarm Off. Displayed when audible alarm is
silenced. This icon is in reverse video to indicate that
the audible alarm is temporarily silenced.
SpO2 frame icon. Identifies the frame and indicates
the units (percent). Always displayed.
Pulse amplitude indicator.
sensor.
2
10
SpO2alarm. Displayed when an SpO2 alarm limit has
been violated.
Audible Alarm Off. Displayed when the audible
alarm is silenced. This icon is in reverse video to
indicate that the audible alarm is temporarily silenced.
NIBP
Controls, Indicators, and Symbols
Table 3: Display Symbols
mmHg
140/90
(106)
30
180
17
Respiration Rate
/min
NIBP icon and units of measure
Systolic blood pressure/Diastolic blood pressure
(Mean arterial pressure value)
Auto mode icon and minutes between automatic NIBP
measurement
STAT mode icon appears when STAT mode is active
Display of the initial cuff pressure to be used on the
next measurement.
Timer icon and minutes since last NIBP measurement
NIBP alarm. Displayed when an NIBP alarm limit has
been violated.
Audible Alarm Off. Displayed when audible alarm is
silenced
Respiration icon and units of measure
Respiration alarm. Displayed when a respiration rate
alarm limit has been violated.
Temperature
T
C
Audible Alarm Off. Displayed when audible alarm is
silenced
Temperature icon
Temperature unit of measure, ° C or ° F
Temperature alarm. Displayed when a temperature
alarm limit has been violated.
Audible Alarm Off. Displayed when audible alarm is
silenced.
11
Controls, Indicators, and Symbols
Table 3: Display Symbols
Display - Graphic Frame Symbols
ECG Waveform
ECG icon
Size bar, 1 cm high
mV
0.5
cm
Size scale
II
Lead pair
SpO2 Waveform
SpO
%
2
SpO2 icon
Respiration Waveform
( )
Respiration icon
12
REAR PANEL
Five connectors are located on the rear panel of NPB-4000/C.
See Figure 2 and refer to Table 4. The rear panel includes
threaded standoffs for attaching a GCX mounting system
accessory.
Controls, Indicators, and Symbols
1
2
3
4
5
Figure 2
Description Connector Type Icon
Callout
1 DC Input
2 Equipotential
3 Defib Sync
4 AC Input
5 RS-232 I/O
Figure 2: Rear Panel, NPB-4000/C
Table 4: Rear Panel Connectors
2-line; + and ground
Equipotential
ground
2.5 mm subminature
phone jack
3-line connector,
100 - 240V ~
IEC 320 receptacle
DB-9 (male)
10 - 16V
5A
50 - 60 Hz
1 A
RS-232
13
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QUICK GUIDE TO OPERATION
Table 5: Quick Guide Procedure
Step Icon Operation
1 … Connect patient cables to front panel connectors
(refer to Setup & Use, page21).
2 … As appropriate, attach cuff, sensor, electrodes,
probe to patient and cables to the monitor (refer
to Monitoring sections pages 55, 65, 73, 83 and
89).
3 Press On/Standby switch to turn monitor on. The
NPB-4000/C will go through a self-test before
displaying the monitoring screen.
4 Check the alarm limits; adjust if required. Rotate
the knob to highlight the Alarm Limits icon, then
press the knob to view all alarm limits. To
change a limit, rotate the knob until the desired
limit is highlighted, then press the knob. Rotate
the knob again until desired value is obtained.
Repeat as necessary. Upon completion, rotate the
knob to highlight Return, then press the knob to
exit the monitoring screen (refer to Alarms &
Limits, page 41).
—
— To adjust the heart rate tone volume, press the
NPB-4000 To adjust the screen contrast, press
the Contrast Adjust switch and rotate the knob to
give the best viewing angle.
NPB-4000C To adjust color set, press the
Contrast switch until the screen provides an
optimum contrast in the intended setting.
Heart Rate Tone Volume switch and rotate the
knob to give the desired volume.
15
Quick Guide to Operation
Table 5: Quick Guide Procedure
Step Icon Operation
— To initiate a blood pressure measurement, press
the NIBP Start/Stop switch. Press and hold the
NIBP Start/Stop switch for 2 seconds to initiate
STAT mode. A press during any measurement
terminates the measurement and deflates the cuff
(refer to NIBP Monitoring, page 65).
— To temporarily silence an audible alarm, press the
Alarm Silence switch (refer to Alarms & Limits,
page 41).
— To produce a 20-second printout (if optional
printer installed), press Snapshot switch on the
printer. Press the Continuous switch to produce a
continuous printout (refer to Printing, page 99).
5 Press the On/Standby switch to terminate
monitoring and blank the screen.
16
FEATURES
Physical/Mechanical
Electrical
Display
Auxiliary Outputs
Options and Accessories
PHYSICAL/MECHANICAL
The NPB-4000/C patient monitor is a lightweight, compact,
multi-parameter patient monitor measuring 10.6 in x 8.6 in x 6.5
in (26.5 cm x 21.8 cm x 16.5 cm) and weighing 10.8 lb (4.9 kg)
without printer, cable, and accessories. Its carrying handle is
designed for instrument transport while battery-powered
monitoring continues.
The optional printer is installed within the case, adding 0.9 lb
(0.4 kg) to the monitor weight.
Mounting attachments are provided on the case for use with an
optional GCX mounting system. Refer to OPTIONAL
ACCESSORIES section, page 123.
Figure 3: NPB-4000/C Patient Monitor
17
Features
ELECTRICAL
The NPB-4000 is powered by an internal battery pack that
provides 4 hours of monitoring from fully charged batteries
(typical, performance is at 25º C, with no printing, and one
NIBP measurement every 15 minutes). The batteries are
continuously recharged when AC or DC power is connected to
the monitor.
The NPB-4000C is powered by an internal battery pack that
provides 3 hours of monitoring from fully charged batteries
(typical, performance is at 25º C, with no printing, and one
NIBP measurement every 15 minutes). The batteries are
continuously recharged when AC or DC power is connected to
the monitor.
Battery charging is indicated by front panel green LCDs. Two
LCDs are used, one for AC and one for DC. When operating on
batteries, a battery “gauge” icon in the lower part of the display
indicates the battery charge condition.
A warning message appears on the screen and an audible alarm
sounds when the remaining battery power is only enough for 15
minutes of operation. The user should connect the monitor to an
external power source to avoid loss of patient monitoring action.
External power sources may be connected, disconnected, and
reconnected without interrupting the monitoring action.
DISPLAY
The NPB-4000 monitoring screen is a monochrome LCD display
that shows all graphic and numeric patient information as well
as alphanumeric status conditions and warning messages.
The NPB-4000C monitoring screen is a color LCD that shows
all graphic and numeric patient information as well as
alphanumeric status conditions and warning messages.
The graphics, text, and numeric information are grouped into
areas through which the user interacts to control the monitoring
functions and elements of the screen information.
18
Control Knob and Menus
The Control Knob provides user interaction with the display and
the monitor functions.
Features
Rotating and pressing the knob
allows a user to navigate and
make changes to the display
elements and monitor
functions. Details of this
interactive operation are
described in the Display &
Operation section, page 29.
AUXILIARY OUTPUTS
The NPB-4000/C monitor exports trend data via an RS-232 I/O
port. The port also provides the capability for initiating a Nurse
Call upon alarm. Refer to the RS-232 INTERFACE section,
page117, for additional information.
The monitor generates a defibrillator synchronization signal,
Defib Sync. The Defib Sync signal is available at the monitor
rear panel. Refer to the DEFIB SYNC OUTPUT section, page
122.
OPTIONS AND ACCESSORIES
Refer to the OPTIONAL ACCESSORIES section, page 123,
for descriptions of the monitor’s options and accessories.
Rotate
Press
19
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SETUP and USE
Unpacking and Inspection
Power Cable Connections
Measurement Cable Connections
Power On and Self Test
WARNING: The NPB-4000/C is a prescription device and is
to be operated by qualified personnel only.
WARNING: In the USA, do not connect to an electrical
outlet controlled by a wall switch because the device may be
accidentally turned off.
WARNING: As with all medical equipment, carefully route
patient cabling to reduce the possibility of patient
entanglement or strangulation.
WARNING: Do not use the NPB-4000/C patient monitor to
monitor neonates.
CAUTION: If the NPB-4000/C is to be stored for a period of
2 months or longer, notify service personnel to remove the
battery from the monitor prior to storage. Recharge the
battery when the battery has not been recharged for 2 or
more months.
CAUTION: Follow local government ordinances and
recycle instructions regarding disposal or recycling of device
components, including batteries.
UNPACKING AND INSPECTION
The NPB-4000/C patient monitor is shipped in one carton.
Examine the carton carefully for evidence of damage. Contact
the carrier immediately if any damage is discovered.
Retain all packing material. Refer to the Operator
Maintenance and Troubleshooting section, page 103, for
instructions on returning damaged items.
21
Setup and Use
POWER CABLE CONNECTIONS
AC Power
Ensure that the AC outlet is properly grounded and of the
specified voltage and frequency (100-240 VAC, 50-60 Hz).
Connect the AC power cord to the monitor rear panel connector
identified with the AC power icon. See Figure 2, page 13. Use
only a Nellcor supplied power cord. If in doubt about the
integrity of the grounding of the AC power source, the monitor
must be operated from its internal battery.
DC Power
Connect an external DC power source (10 to 16 volts DC) to the
monitor rear panel connector identified with the DC power icon.
See Figure 2, page 13. Use only a Nellcor DC input cable. The
user must ensure that connection to the external DC supply
meets all applicable safety codes.
MEASUREMENT CABLE CONNECTIONS
WARNING: Do not lift the monitor by the sensor cables,
blood pressure hose, or power cord because the cable, lead,
or cord could disconnect from the monitor, causing the
monitor to drop on the patient.
ECG Cable and Leads
Use only a Nellcor CE-10 ECG cable and LE-Series ECG leads
with the NPB-4000/C or, or an ECG cable and leads
recommended by Nellcor Technical Services.
Connect the cable to the front panel connector marked with the
ECG icon. See Figure 1, page 7, and refer to Table 1, page 8.
Connect leads to the patient as described in the ECG
Monitoring section, page 55.
22
NIBP Hose and Cuff
Use only a Nellcor SHBP series hose and SCBP-Series cuff with
the NPB-4000/C, or a hose and cuff recommended by Nellcor
Technical Services.
Refer to the NIBP Monitoring section, page 65. Select the
appropriate size cuff for the patient. Apply the cuff to the
selected limb. Connect the hose to the front panel connector
marked with the NIBP icon. See Figure 1, page 7, and refer to
Table 1, page 8.
SpO2 Cable and Sensor
Use only Nellcor sensor extension cables and SpO2 sensors with
the NPB-4000/C.
Setup and Use
Refer to the SpO
appropriate sensor for the patient and desired application. Apply
the sensor to the selected site. Connect the sensor to the cable,
and connect the cable to the front panel connector identified
with the SpO
page 8.
Temperature Probe
The monitor uses YSI Series 400-compatible temperature
probes. Insert the plug into the compatible jack on the monitor
front panel marked with the temperature icon. See Figure 1,
page 7, and refer to Table 1, page 8. Refer to Temperature
Monitoring section, page 115 for details.
2 Monitoring section, page 73. Select an
icon. See Figure 1, page 7, and refer to Table 1,
2
23
Setup and Use
POWER ON AND SELF-TEST
WARNING: If you do not hear the POST (power on
self-test) pass tone, do not use the monitor.
WARNING: Disconnect the NPB-4000/C and sensors
during magnetic resonance imaging (MRI) scanning. Use
during MRI may cause burns or adversely affect the MRI
image or the monitor’s accuracy
CAUTION: If any indicator or display element does not
light, do not use the monitor. Instead, contact qualified
service personnel, your local Nellcor representative, or the
Nellcor’s Technical Services Department.
Note: The battery may be discharged upon receipt. It will be
fully charged after the first 8 hours the monitor is
connected to an AC or DC power source.
Internal batteries that are charged by NPB-4000/C connection to
external AC or DC sources supply the monitor power. The front
panel display indicates the status of external power sources, as
summarized in Table 6.
24
Table 6: Battery Charging Front Panel Indications
External Power
Front panel Indications
Connections
AC source AC icon lighted
DC source DC icon lighted
None Battery “gauge” appears in display.
No LED lit
After patient sensors are connected to their input cables, turn the
monitor ON by pressure the front panel On/Standby switch.
Audible feedback after pressing a front panel switch indicates
that the monitor is processing the action.
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