Spacelabs 90239 User manual

Ambulatory Blood Pressure

Report Generator

90239A

Operations Manual

070-0399-03 Rev. E

Copyright 2003 Datex-Ohmeda, Inc.

C

All rights reserved. Contents of this publication may not be reproduced in any form without the written permission of Datex-Ohmeda,
Inc. Products of Spacelabs Medical, a Division of Instrumentarium, Datex-Ohmeda, Inc. (“Spacelabs Medical”) are covered by U.S.
and foreign patents and/or pending patents. Printed in U.S.A. Specifications and price change privileges are reserved.

Spacelabs Medical considers itself responsible for the effects on safety, reliability and performance of the equipment only if:

• assembly operations, re-adjustments, modifications or repairs are carried out by persons authorized by Spacelabs
Medical, and

• the electrical installation of the relevant room complies with the requirements of the standard in force, and

• the equipment is used in accordance with the operations manual.

Spacelabs Medical will make available, on request, such circuit diagrams, component part lists, descriptions, calibration instructions
or other information which will assist appropriately qualified technical personnel to repair those parts of the equipment which are
classified by Spacelabs Medical as field repairable.

Spacelabs Medical is committed to providing comprehensive customer support beginning with your initial inquiry through purchase,
training, and service for the life of your Spacelabs Medical equipment.

CORPORATE OFFICES

U.S.A.

Spacelabs Medical
5150 220th Ave SE
Issaquah, WA 98029
Telephone: [phone]
Telephone: [phone]
Fax: [phone]

AUSTRALIA

Datex-Ohmeda Pty Ltd
Unit 1, 149 Arthur Street
Locked Bag 356
Homebush, NSW 2140
Telephone: [phone]
Fax: [phone]

AUSTRIA & BELGIUM

Meda n.v.
Oeyvaersbosch 12
B-2630 Aartselaar
Belgium
Telephone: [phone]
Fax: [phone]

CANADA

Datex-Ohmeda Inc.
1093 Meyerside Drive, Unit 2
Mississauga, Ontario L5T 1J6
Telephone: [phone]
Fax: [phone]

CHINA

Datex-Ohmeda Pte Ltd
Shanghai Representative Office
Room 2509 Lippo Plaza
No. 222 Huaihai Road (M)
Shanghai 200021
Telephone: [phone]
Fax: [phone]

FRANCE

Spacelabs Medical
ZAC de Sans-Souci
1211 Chemin de la Bruyére
69760 Limonest
Telephone: [phone]
Fax: [phone]

GERMANY

Datex-Ohmeda GmbH
Dr. -Alfred-Herrhausen-Allee 24
D-47228 Duisburg
Telephone: [phone]
Fax: [phone]

HONG KONG

Spacelabs Medical Limited
Suite 901 Tower 1
China Hong Kong City
33 Canton Road, Tsimshatsui
Kowloon
Telephone: [phone]
Fax: [phone]

INDIA

Datex-Ohmeda India Pvt. Ltd.
International Trade Tower
S 3 Level, Block E
Nehru Place
New Delhi 110019
Telephone: [phone]
Fax: [phone]

ITALY

Datex-Ohmeda S.p.A.
Via Cassanese, 100
20090 Segrate (MI)
Telephone: [phone]
Fax: [phone]

SPAIN

Datex-Ohmeda SL
Manuel Tovar, 26
28034 Madrid
Telephone: [phone]
Fax: [phone]

TAI WAN

Datex-Ohmeda Pte Ltd
Taiwan Representative Office
2/FI No. 85 Sec. 2
Chien-Kuo N. RD.
Telephone: [phone]
Fax: [phone]

THE NETHERLANDS

Datex-Ohmeda B.V.
De Wel 18 3871 MV
Hoevelaken
Telephone: [phone]
Fax: [phone]

Authorized EC Representative
UNITED KINGDOM

Datex-Ohmeda Ltd
71 Great North Road, Hatfield
Herts AL9 5EN
Telephone: [phone]
Fax: [phone]

AUTION:

• US Federal law restricts the devices documented herein to sale by, or on the order of, a
physician.

Contents

Chapter Page

Report Generator

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-1

Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-4

Report Generator Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-9

Routine Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-12

Sample Printouts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-13

Symbols

i

Report Generator

Contents

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Report Generator Operation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Routine Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

Sample Printouts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

Overview

Report Generator

The 90239A ABP Report Generator works in conjunction with a Spacelabs Medical ambulatory
blood pressure (ABP) monitor (90207, 90217). It receives patient data collected by the monitor,
processes that data, and prints it out in graphical and/or tabular formats on either its small built-in
printer or an optional external printer.

The report generator can be configured by the user via a simple-to-use menu system. You can step
through the entire menu and change every setting, or you can quickly access just those parameters
that you wish to alter. The menu items are self-explanatory, requiring you simply to enter a numeric
value.

The report generator software can be upgraded via a ROM card that fits into a card slot below the
control panel. Contact your sales representative for details.

Data Card Option

The Data Card option (P/N 040-0549-00) permits multiple blood pressure reports to be stored to and
printed from a data card that inserts into the card slot under the control panel (refer to Figure 1-1,

).

item

When you connect the serial port on the report generator to a serial port on a PC running 90219-02
or 90219-03 ABP Analysis software (version 4.00.00 or higher) the report generator becomes a data
card reader. Patient data can then be transferred from the data card to the computer’s memory and
printed.

External Printer Option

90239A Report Generators with software versions 1.13.04 and higher can print reports and
messages on an external printer connected to the 25-pin connector located on the back panel (refer
to Figure 1-2, item ). This configuration requires use of a parallel printer cable and, if the Data
Card option is used, a data key must be installed between the 90239A rear panel connector and the
printer cable. (Refer to Figure 1-5.)

1-1

Ambulatory Blood Pressure Report Generator







Figure 1-1: 90239A ABP Report Generator





 ABP monitor placed in chute of 90239A Report Generator for data transfer

 Label providing definitions for menu items

 User control panel

 Card slot for Data Card option

 Removable plastic cover to access printer paper












Figure 1-2: 90239A rear view

 Input connector for power adapter, 9 VDC, 800 ma (110 V: P/N 655-0636-00;

230 V: P/N 119-0125-00)

 Serial port for connection to a PC containing 90219-02 or 90219-03 ABP Analysis software

 Data key and data key/external printer port

Attaching a data key to this connector enables the data card option and adds menu items for
printing report summaries and selecting patient data for printing.

1-2

Report Generator

!

Control Panel Keys

The control panel keys are functionally divided into a group of five keys on the left and a group of
four keys on the right (refer to Figure 1-3 below).

• The ABP monitor must be switched ON and placed in the report generator’s chute
before most control panel keys will function. Otherwise, an error message will
print.



INITIALIZE

Figure 1-3: Control Panel keys

 The group of five keys on the left provides printing and menu configuring functions. Refer to

Printing the Configuration Menu on page 1-8 and Configuration Menu Setup on page 1-6 for
details.

PRINT HELP

LINEFEED

PRINT REPORT

 The four keys on the right are as follows: Print Help, Linefeed, Initialize, and Print Report.

PRINT HELP

Press this key once to print brief definitions of the four keys on the right. When printing is complete,
press it again to print brief definitions of the five keys on the left. This key also prints specified menu
items (refer to Changing Menu Configurations on page 1-8). Press this key during printing to abort
printing the key definitions.

LINEFEED

This key feeds one line of paper and moves the print head across the print area each time it is
pushed. This is the only key that is functional when an ABP monitor is not in the chute. If the paper
jams while printing, clear the jam and then press this key to clear the error from memory and stop
the ABP monitor from beeping. (Beeping indicates an error condition.)

1-3

Ambulatory Blood Pressure Report Generator

!

INITIALIZE

Press this key to erase any patient data stored in the ABP monitor and to load current ABP monitor
settings from the menu (refer to Initializing the ABP Monitor on page 1-9).

PRINT REPORT

Press this key to print a patient data report. Press it again during printing to abort the print process
(refer to Printing Patient Data on page 1-10 for more information). With the Data Card option
installed, this key copies patient data from the ABP monitor onto a data card inserted into the card
slot rather than printing the report on paper. Remove the data card to physically print a report.

Setup

Paper Loading and Clearing (internal printer)

CAUTION:

• Use only Spacelabs Medical thermal paper in the printer (P/N 006-0210-02).
The print mechanism may be permanently damaged if other brands of paper
are used.

1. Ensure that the print head is positioned at the far left. If not, apply electrical power to the report
generator. The print head will now make one or more passes across the print area. When it
holds its position against the left side for several seconds, disconnect electrical power.

2. Remove the plastic cover over the cradle for the thermal paper and orient the roll so that the
paper feeds from the bottom. Fold the left corner back so that the right corner forms a point
(Figure 1-4).

Figure 1-4: Loading the paper

3. Feed the point of the thermal paper through the slot in the bottom of the paper roll cradle until
the point emerges up in the print area. Use tweezers to help pull the paper through until the
entire fold clears the print head.

4. Thread the point through the slot in the plastic cover for the paper cradle and replace the
plastic cover. This cover MUST be in place during printing.

• If an external printer is used, consult its operator’s manual for paper loading
instructions.

1-4

Report Generator

External Printer Configuration

Beginning with software version 1.13.04, the 90239A can print reports and messages on an external
printer connected to the 25-pin connector located on the back of the report generator. This
configuration requires use of a centronics parallel printer cable and, if the Data Card option is used,
a data key installed between the 90239A rear panel connector and printer cable. Refer to Figure 1-5
below.

data key

(if Data Card used)

25-pin rear panel
connector

parallel printer
cable

90239A

printer centronics
connector

External
Printer

Figure 1-5: External printer configuration

Either of these two printers can be used:

• Okidata Microline 320 (or 100% compatible)

• IBM ProPrinter (or 100% compatible)

Two additional menu items now appear on the 90239A to support use of an external printer.

Menu Item

37 00 Messages printed on internal printer.

38 01 An Okidata is connected to the 90239A.

Selections

Available

01 Messages printed on external printer.

02 An IBM ProPrinter is connected to the 90239A.

Description

1-5

Ambulatory Blood Pressure Report Generator

!

Configuration Menu Setup

The report generator’s configuration menu allows you to define certain modes of its operation
according to individual requirements. Each menu item is identified on a front panel label (refer to
Figure 1-1, item ). To select a menu item, press the left UP or DOWN arrow key on the report
generator control panel until the desired two-digit menu item appears as the left pair of digits in the
ABP monitor display.

The right pair of digits on the monitor display reflects the current setting for the menu item; press the
right UP or DOWN arrow key on the control panel to display the desired value, then press ENTER to
select that value.

• When a YES or NO response is required, 00 = NO and 01 = YES.

Menu Functions

Item # Function (for software versions 1.17.00 or higher) Default

01 Press ENTER to print a description of all menu items and their current

settings.

02 Specify start of waking hours. 06:00

03 Specify start of sleeping hours. 23:00

04 Specify time interval between each measurement during waking

hours.

05 Is a tone to sound 5 seconds before each programmed reading taken

during waking hours (yes or no)?

06 Specify the time interval between each measurement during sleeping

hours.

07 Is a reading to be displayed on the monitor after each measurement

(yes or no)?

08 Is cuff pressure to be displayed during each measurement

(yes or no)?

09 Specify how time is to be displayed (A.M./P.M. or 24-hour format) on

the monitor.

10-14 Specify current hour, minute, year, month, and day, respectively. ---

15 Specify the maximum allowable cuff pressure (displayed on monitor

as value divided by 10).

---

20 minutes

Yes

60 minutes

Yes

Yes

24

290

16 Are summary tables to be printed on report (yes or no)? Yes

17 Are raw data tables to be printed on report (yes or no)?

Refer to Sample Printouts on page 1-13.

18 Are hourly average blood pressure graphs to be printed on report

(yes or no)?
Refer to Sample Printouts on page 1-13.

1-6

Yes

Yes

Report Generator

Item # Function (for software versions 1.17.00 or higher) Default

19 Are raw blood pressure data graphs to be printed on reports

(yes or no)?
Refer to Sample Printouts on page 1-13.

20 Are heart rate graphs to be printed on reports (yes or no)?

Refer to Sample Printouts on page 1-13.

21 Specify the waking hours systolic statistical boundary used to

compute the statistical summaries (displayed as value minus 100).

22 Specify the waking hours diastolic statistical boundary used to

compute the statistical summaries.

23 Specify the sleep hours systolic statistical boundary (displayed on

monitor as value minus 100).

24 Specify the sleep hours diastolic statistical boundary. 80

25 Are readings that violate the auto edit limits to be removed

(yes or no)?

26 Specify the auto edit limit for maximum systolic (displayed on monitor

as value divided by 10).

27 Specify the auto edit limit for minimum systolic (displayed on monitor

as value divided by 10).

28 Specify the auto edit limit for maximum diastolic (displayed on monitor

as value divided by 10).

Yes

Yes

140

90

120

Yes

260

70

150

29 Specify the auto edit limit for minimum diastolic (displayed on monitor

as value divided by 10).

30 Specify the auto edit limit for maximum pulse pressure (displayed on

monitor as value divided by 10).

31 Specify the auto edit limit for minimum pulse pressure (displayed on

the monitor as value divided by 10).

32 Specify the auto edit limit for maximum heart rate (displayed on

monitor as value divided by 10).

33 Specify the auto edit limit for minimum heart rate (displayed on

monitor as value divided by 10). Default: 40

34 Specify the language (1 = English, 2 = French, 3 = German,

4 = Italian, 5 = Spanish).

35 Should graphs be automatically scaled to match data values

(yes or no)?

36 Press ENTER to reset all menu items to factory default settings. ---

37 Should messages be printed on an external printer (yes or no)? No

38 Specify the external printer type (01 = Okidata, 02 = IBM). 01

39 Press ENTER to print a summary of the reports stored on the data

card. (Optional Data Card must be installed.)

40

150

20

200

40

---

Yes

---

1-7