Welch Allyn QuietTrak User manual

Arden, North Carolina USA

Manuals

Service Manual

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Operator’s Manual

QuietTrak Serial Number: __________________________________

Date of Purchase:_________________________________________

Dealer Name: ____________________________________________

Telephone: ___________________________________________

Dealer Representative Name:_______________________________

Telephone: ___________________________________________

Welch Allyn/Tycos

Sales Representative:__________________________________

WARNING

This device not intended for use with a defibrillator,

for neonatal use, or with any intravascular fluid system.

The CE mark on this product indicates it has been

tested to and conforms with the provisions noted

within the 93/42/EEC Medical Device Directive.

0050

European Regulatory Manager

Medical Division
Welch Allyn Ltd.

Navan, Co. Meath

Republic of Ireland

Welch Allyn/Tycos QuietTrak™ ABPM Operator’s Manual

Copyright 1993 Welch Allyn/Tycos Instruments, Inc. All rights reserved.

Patent No. 5,556,073

Contents

i About the Manual
iii Quick Guide to Hookup & Operation

1 Product & Report Features

1-2 Product Features
1-4 Specifications
1-6 The Report

2 Getting Started

2-2 Unpacking Checklist
2-4 Features at a Glance
2-7 Battery Requirements
2-8 Loading the Batteries
2-9 The Power-On Self-Test
2-10 Setting Date & Time

3 Choosing Program Options

3-2 Overview of Program Options
3-7 Basic Parameters —

3-15 Advanced Parameters —
3-19 Special Parameters —
3-23 Flow Charts for Parameter Programming

3-27 Office Record of Program Selections

Step-By-Step Programming
Step-by-Step Programming
Step-by-Step Programming

4 Patient Hookup

4-2 Before the Patient Arrives
4-4 Preparing the ABP Monitor for Use
4-12 Sizing the Cuff to the Patient
4-14 Positioning the Cuff & Microphone
4-21 Taking the Office Runs
4-24 Verifying the Setup
4-26 Beginning the Regular Runs
4-27 Positioning the Pouch & Tubing
4-29 Instructing the Patient

5 When the Patient Returns

5-2 Disconnecting the ABP Monitor
5-3 Ending the ABP Monitoring Session
5-5 Reviewing the Data
5-7 Printing the Data

6 Clinical Recommendations

6-2 The Clinical Usefulness of Ambulatory

Blood Pressure Monitoring
6-5 Application of ABPM to Your Practice
6-6 Patient Benefits of ABPM

7 Troubleshooting Guide

7-3 Error Messages (in alphabetical order)
7-5 Error Codes
7-7 Special Messages
7-8 Trouble Chart

8 Service, Supplies & Maintenance

8-2 Calibration Check
8-6 Maintenance & Cleaning
8-7 Warranty
8-8 Welch Allyn/Tycos Service Centers
8-9 Ordering Supplies & Accessories

About the Manual

This Operator’s Manual is designed to help you get the
most out of your Tycos QuietTrak Ambulatory Blood Pres­sure Monitor. The manual has eight tabbed sections. The
first page of each section outlines the contents so you can
readily find what you need.

The first section, Product & Report Features, introduces
you to the product and its capabilities. The next four sec­tions (Getting Started, Choosing Program Options,
Patient Hookup and When the Patient Returns) take
you step-by-step through the functional operation of the
ABP monitor in a logical sequence.

The last three sections, Clinical Recommendations,

Troubleshooting Guide, and Service, Supplies & Main­tenance, are informative resources which offer trouble-

shooting or special help as needed.

Recommendations for First-Time Users.

First-time users may want to begin learning about the Tycos
QuietTrak ABPM by reading Product & Report Features. Or,
for hands-on instruction to begin using the ABP monitor, turn
to Getting Started. Next, familiarize yourself with Patient

Hookup and When the Patient Returns.

Recommendations for
More Experienced Users.

For day-to-day operation, experienced operators can refer to
the convenient Quick Guide to Hookup & Operation found
on page iii.

For those interested in learning and customizing the ABP monitor’s
optional features, Choosing Program Options guides you step­by-step in selecting the options you want.

This manual is also available in German, French, Spanish, and
Italian. Contact your local Welch Allyn/Tycos Service Center for
more information.

i

Style Features of the Manual

The manual is written in a logical sequence so that you can follow
the events page-by-page and step-by-step. Each step is identi­fied with a bold subheading in the left margin...

(example of style features)

Setting the Date (example of a subheading)

...and detailed instructions follow. With this format, you can rap­idly skim over the parts you are familiar with and advance to the
steps you need.

The instructions are enhanced with illustrations and graphics.
Each instructional step is paired with a graphic representation of
the corresponding ABP monitor display:

Yes No Next
Set Date ?

When the Set Date ? message appears, you are ready. Press
Yes in response to the Set Date ? message. A new message

will appear.
Additional comments are placed in shaded boxes to draw atten-

tion to them. They are also identified by the following symbols
appearing in the margin:

Important note or caution

!

Helpful hints, notes or suggestions

*

Conditional statements

?

(example of a box frame)

The boxed messages are important.
Be sure to read them.

(example of a graphic)

!

At the conclusion of each section, there are suggestions to guide
you where to go next. So, regardless of where you choose to
begin, the manual conveniently directs you to related topics.

Suggestion for First-Time Users:

• Learn more about the ABP monitor in Product & Report
Features, Section 1, and

• Practice using the monitor in Getting Started, Section 2.

ii

Quick Guide to Hookup & Operation

The Quick Guide briefly outlines the steps needed to operate the
Tycos QuietTrak ABPM and hook up the patient. The complete
instructions are found in Sections 2, 3, and 4.

1. Select appropriate
cuff size.

Carefully attach microphone
over brachial artery 1 to 1.5
inches (2.5 to 3.8 cm) above
elbow (use microphone anchor­ing pad). Be sure the labeled

side of the microphone faces
away from the arm.

2. Wrap cuff on patient’s
arm and secure it with
cuff anchoring pad.

AAA

AAA

AAA

AAA

3. Load four new
AAA batteries.

Wait while ambulatory blood
pressure monitor completes
Self-Test.

iii

4. Get ready to set
patient ID :

If Set Patient ID ? is not
shown, respond to displays
as follows:

Review Data ? No.

Print Data ? No.

Erase Data ? Yes.

Are You Sure ? Yes.

Yes No Next
Set Patient ID ?

Up Down Next
071

Ê

Set parameters, including :

• Number of periods,

• Beginning time of each period, and measurement interval

• Maximum pressure,

• Display On or Off,

• Patient Activation Button On or Off

5. Set the patient’s ID.

Answer Yes.
(Use Up or Down to rotate to

the number, then Next to pro­ceed to each space, and finally
to proceed to next display.)

6. Connect ABP monitor to
patient’s cuff assembly.

Take three or more office runs.
Begin Regular Runs.
Insert ABP monitor into pouch and position

pouch on patient with belt or shoulder strap.

iviv

7. Instruct patient…

concerning Patient Diary, Patient Activation Button, how to can­cel readings, and to remain still during readings.

8. When patient returns

1. Remove cuff assembly and ABP monitor from patient.

2. Review diary entries with patient.

3. End ABP monitoring session
by pressing all three buttons
simultaneously.

4. Press Yes to begin
reviewing data on the
ABP monitor’s display.

5. Press Next to move to
Print Data ? screen.

6. Connect ABP monitor to printer and print data.

Yes No Next
Review Data ?

v

Product & Report Featur es

The features and specifications of the Tycos QuietTrak Am­bulatory Blood Pressure Monitor explained in this section
will help you understand its capabilities. You may not use
every feature offered, but knowing what’s available will help
you optimize your monitoring procedures.

At the end of this section, the pages of the report are illus­trated and explained so that you can get the most out of
the ambulatory blood pressure data.

Page Topic

1-2 Product Features
1-4 Specifications
1-6 The Report

1

1-1

Product Features

Accurate Measurement

What makes the Tycos QuietTrak Ambulatory Blood Pressure
Monitor accurate? Developed and tested by a leader in the blood
pressure industry, the Tycos QuietTrak ABPM sets unbeatable
standards.

• Auscultatory method — the gold standard in the physician’s
office.

• Tested scientifically by Tycos and validated by leading institu­tions, to meet accuracy standards set by The Association for
the Advancement of Medical Instrumentation (AAMI) and The
British Hypertension Society.

• Blood pressure measurements determined by this device are
equivalent to those obtained by a trained observer using the
auscultation method. Measurements are within the limits
prescribed by ANSI for electronic sphygmomanometers.

• Verifiable accuracy. With the Calibration Check feature, you
can compare the ABP monitor’s measurement with your of­fice manometer and be assured that the results are reliable.

• Linear deflation is adjustable at 2, 3, 4, 5, or 6 mmHg per
heartbeat.

1-2

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Patient-Friendly Design

Tycos developed a small, quiet ABP monitor with the patient’s
comfort in mind, and there are no electrodes to wear.

• Lightweight — only 12.5 ounces (355 gms) with batteries.

• Small package — 4.5 x 3.4 x 1.6 inches (11.43 x 8.6 x 4.1 cm).

• Quiet cuff inflation and silent deflation make the Tycos
QuietTrak ABPM ideal in the ambulatory environment be­cause it is hardly noticed. That’s so the ABP monitor can
do its job while the patient does his.

• Patient Activation Button is easily accessible by the patient;
an opening on the pouch guides the patient’s finger to the
button by touch, without having to look.

• Real time clock on the ABP monitor’s display assists the
patient with diary notations.

Programmability

• Programming is quick and uncomplicated, with simple three­button control and the LCD.

• Programmable periods — The automatic measurement inter­vals are selectable from 5 to 120 minutes, with up to four
different time periods.

• The Start Button allows patient activation of readings, but
can be disabled.

• Measurement Parameters can be modified from one ABP
monitoring procedure to the next, and customized to the
patient’s needs or the type of study being done.

• The parameters you select are stored in memory so that you
won’t have to reselect ABP monitoring parameters from one
procedure to the next.

Data Retrieval

• All measurement data can be quickly reviewed on the
QuietTrak liquid crystal display

• Direct connection to Epson compatible printer for standard
hard copy report.

• Optional PC program allows customized data and report
generation via a variety of printers.

1-3

Specifications

Power Requirements:

Four alkaline AAA (1.5V) batteries (nickel cadmium optional)
One lithium 3V internal battery

Dimensions:

11.43 x 8.6 x 4.1 cm (4.5 x 3.4 x 1.6 in.)

Weight:

355 gms with batteries (12.5 oz.)

Leakage Current:

Meets AAMI, UL, and IEC specifications with regard to

leakage current.

Environmental Operating Requirements:

Temperature: 0° to 43.3°C (32° to 110°F)
Humidity: 15% to 95% non-condensing
Altitude: 150 m (500 ft.) below sea level to 1500 m (5000 ft.)

above sea level

Environmental Storage Requirements:

Temperature: -20° to 50°C (-4° to 122°F)
Humidity: 15% to 95% non-condensing
Altitude: 150 m (500 ft.) below sea level to 1500 m (5000 ft.)

above sea level

Measurement Ranges:

Systolic pressures 60-250 mmHg;
Diastolic pressures 30-160 mmHg;
Cuff pressures 0-300 mmHg;
Heart rates 40-160 bpm.
Up to 300 measurements may be taken on one set of AAA

alkaline batteries (based on a medium size cuff).

Measurement Cycles:

Able to store up to 300 measurements.
Each measurement includes date/time/Systolic pressure/Diastolic

pressure/heart rate/initiation reason code/error code.

Cuff Inflation Time:

Typically 15 seconds; will vary with cuff size and target pressure.

Overpressure Detection:

Hardware: 300 mmHg

1-4

Over 10 mmHg Detection:

Hardware: No longer than 180 seconds

Safety Feature for Deflation:

Can deflate from 250 mmHg to 20 mmHg in less than 4 seconds.

Deflation Rates:

Adjustable at 2, 3, 4, 5 or 6 mmHg per heartbeat

Accuracy:

Meets 1987 AAMI standards (at 3 mmHg/second deflation rate)

Pressure Accuracy:

± 3 mmHg or 2% of reading, whichever is greater.

Clock Accuracy:

± 2 seconds per day, or 1 min./month

Reliability:

50,000 typical cycles

Pressure Measurement Method:

Auscultatory (Diastolic based on fifth Korotkoff sound)

Automatic Measurement Intervals:

Selectable from 5 to 120 minutes, with up to four different

time periods.

Autozeroing:

Pressure transducer is autozeroed before each cycle.

Silent Deflation:

Continuous silent linear deflation

Liquid Crystal Display (LCD):

2 rows by 16 characters

Operator Control:

3-button control and LCD

Printer Specifications:

The QuietTrak ABP Monitor is also compatible with many other

Epson compatible printers equipped with the following serial
interface specifications:

9600 BAUD, 8 data bits, 1 stop bit, No parity checking.
X-on/X-off handshaking is used.

1-5

The Report

The Tycos QuietTrak ABPM report consists of three or more
pages. The actual size of the report will depend on the length of
the ABP monitoring period and the number of readings taken.
The report includes the following sections:

• Patient Information

• ABPM Parameter Settings

• Summary

• Hourly Averages

• Time Period Averages

• Readings Included in Averages

• Readings Excluded from Averages

The Sample Report

The basic format of the report is illustrated and detailed on the
following pages.

An optional IBM compatible computer program is available
which provides custom report features, and full ABP monitor
programming capabilities. The customized reports which are

*

available with the program are not shown here. Ask your
Welch Allyn/Tycos Dealer for more information.

1-6

Ambulatory Blood Pressure Report —
The Heading Page

A

The Header appears at the top of each page and identifies

the date and time when the report is printed. The Patient ID is
the patient’s unique identifying number.

B

Patient Information provides space for writing data such

as patient name, address, phone number, age, sex, height,
and weight.

Additional space is provided for medication, physician name,
reason for test and comments.

C

ABPM Parameter Settings list the settings programmed in

the unit during this ABP monitoring procedure.

D

The Footer identifies the serial number of the ABP monitor

that took the readings and the current revision number of the ABP
monitor’s software as a reference. (It is 2.00, in this example.)

(Sample of ABPM Report, Page 1)

1-7

Ambulatory Blood Pressure Report —
The Data Summary

A

Summary contains information about the Regular Run read-

ings, including the time and date of the first and last attempted
Regular Run readings.

Number of readings expected includes all programmed

➊

and manual readings.
Number of readings used is the number of accepted

➋

readings.

Minimum, Maximum, Average, Number of Systolic >

➌

140 mmHg, Number of Diastolic Readings > 90: These
are calculated from the accepted Regular Run readings.

B

Hourly Averages are presented in a table that includes data

from the Regular Run readings for each of the 24 one-hour inter­vals in a day. If ABP monitoring was conducted for more than a
one-day period, then the hourly averages include the values ob­tained during that hour for all days of use.

The table contains these values:

Hour always begins on the hour (i.e., 07 AM) and ends after

➊

the last minute of the hour.
Num is the number of Regular Runs taken during each one-

➋

hour period.
Sys is the average Systolic value for each hour.

➌

Dia is the average Diastolic value for each hour.

➍

HR is the average heart rate value for each hour.

➎

The data is also represented graphically to the right of the

➏

data table. The average Systolic and Diastolic values are
shown as “*”, and the average heart rate values are indicated
with an “0”.

C

Time Period Averages provide the calculated statistics

from each ABP monitoring period.

1-8

(Sample of ABPM Report, Page 2)

1-9

Ambulatory Blood Pressure Report —
The Readings

In the final page or pages of the report, results from each reading
are listed separately. The length of the final report section varies
with the total number of readings that were taken. (The example
shown here was shortened so that each part can be explained
on one page.)

Readings Included in Averages. The data from each reading
are provided, including the day (➊), time (➋), Systolic and Dia­stolic pressures (➌), heart rate (➍), and an initiation code (➎)
designating which type of reading was taken.

The data are also pr esented graphically for convenient reference.

➏

1-10

(Sample of ABPM Report, Page 3)

1-11

A

Initiation Codes. Initiation code explanations are listed be-

low the table of included readings.

B

Readings Excluded from Averages. The data from any

excluded readings are presented in this table with the error code
or retry reason code.

C

Error Codes Error code explanations are listed below the

table of excluded readings.

1-12

(Sample of ABPM Report, Page 4)

1-13

(Sample of ABPM Report, Page 5)

1-14

Getting Started

This section identifies all of the product components in­cluded with the Tycos QuietTrak Ambulatory Blood Pres­sure Monitor. You will learn about the control keys of the
ABP monitor and setup basics so that you can get started
using the ABP monitor.

Page Topic

2-2 Unpacking Checklist
2-4 Features at a Glance
2-7 Battery Requirements
2-8 Loading the Batteries
2-9 The Power-On Self-Test
2-10 Setting Date & Time

2

2-1

Unpacking Checklist

After you have unpacked the Tycos QuietTrak ABPM and the
components, identify each item with the checklist that follows
and inspect for missing items. Retain the shipping materials in
case of shipping damage or for return, if necessary, to Welch
Allyn/Tycos for repair or warranty service.

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SIZE

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LEFT ARM

TERY

LEFT ARM

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2-2

Content Checklist

A Tycos QuietTrak ABPM: The Tycos QuietTrak ABPM is a

compact, lightweight unit that is carried in a pouch and worn
by the patient during the ABP monitoring period.

B Operator Manual: (This manual) Review and save this helpful

product reference.

C ABP monitor Pouch: The pouch covers the ABP monitor and

adapts to either a belt, worn at the patient’s waist, or a
shoulder strap.

D Belt and Shoulder Straps: (One each) Adjustable to a wide

range of sizes.

E Medium Cuff with Bladder: (One each)
F Large Cuff with Bladder: (One each)
G Microphone and Pneumatic Assembly: (One each) Comes

pre-connected to the Medium size cuff with bladder.

H Batteries: (Five sets) Four AAA batteries are required for each

ABP monitoring procedure.

I Hookup Kits: (Five each) Each kit includes Patient Diary, mi-

crophone anchoring pad, and cuff anchoring pad.

J Cuff Anchoring Straps: (Three each) The straps stabilize the

cuff during the ABP monitoring period.

K Calibration T-connector: (One each) Allows connection of

Tycos QuietTrak ABPM to standard sphygmomanometer for
calibration check and simultaneous arm measurement.

L Instrument Warranty Card: Fill this out today and return it to

the Welch Allyn/Tycos Service Center. This card validates
your warranty.

M QuietTrak ABPM Carrying Case: (One each)

Note: Report any signs of shipping damage to the carrier. If

an item is missing or damaged, contact the Welch Allyn/
Tycos Service Center nearest you, or your distributor.

!

2-3

Features at a Glance

The uncomplicated design of the Tycos QuietTrak ABPM is one
of its best features. There are only a few parts to learn.

ABP monitor Anatomy

Top/Front View of the Tycos ABP Monitor. The three control
buttons, LCD (liquid crystal display), cuff hose connector, and the
microphone connector are shown here.

Three Control Buttons

2-4

S Y S / D I A mmHg

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Microphone Connector

Cuff Hose Connector

LCD Display

Side View of the Tycos
QuietTrak ABPM. To open

the battery compartment,
apply gentle pressure with
your finger and slide the
door in the direction of the
arrow. The door will unlatch
and open.

To close the door, first press the door closed while sliding it in the
direction of the arrow. Once the door is flush with the ABP monitor,
allow the door to spring back in the opposite direction to latch.

Setup
Instructions

QuietTrak™Model No. 5100-01

Patient Setup Instructions

•Insert new AAA batteries prior to every setup.

•Carefully position and secure the microphone over the
brachial artery, approximately 1 to 1.5 inches (2.5 to

3.8 cm) above the elbow. Position cuff with artery
marker directly over microphone.

•Confirm proper setup by completing three office runs.

•Program the unit for the regular run mode.

•Instruct the patient to remain as motionless as
possible during readings.

•Instruct patient on the use of the diary and patient
activation button.

9302255EF7

Model
Number

Serial
Number

95 Old Shoals Road, Arden, NC 28704 USA 45P3245E

Bottom View of the Tycos QuietTrak ABPM. The label on the
bottom of the ABP monitor lists the model number, serial number
and a summary of setup instructions.

Data Output
Connector

Back View of the Tycos QuietTrak ABPM. The connector on the
back of the ABP monitor is for data output to a printer or an optional
PC interface.

Turning the ABP Monitor’s Power On or Off

There is no On/Off switch to operate. The ABP monitor is
On when batteries are loaded and Off when the batteries
are removed.

2-5

Description of Control Buttons

The Tycos QuietTrak ABPM has only three buttons, but with
them, the operator can:

• Set the date and time

• Enter patient data

• Choose programming features

• Retrieve the ABP monitoring data.

What each button does depends on the command or choice that
is shown on the display screen beneath it.

Three-Button Control. You will
press a button to respond to a

Yes No Next
Do Office Run 1 ?

message on the display screen.
The Display Screen. The bottom

line of the display screen provides
a question or message, while the
top line of the display offers
choices. The buttons correspond
with the choices.

2-6

Battery Requirements

Replace Batteries for Every Patient Study.

Install four new AAA alkaline batteries prior to each patient hookup.
Fresh batteries provide the power to inflate the arm cuff 100-300
times during a one- or multi-day period. For maximum ABP
monitoring periods, fresh batteries are required.

If the ABP monitor reaches a low battery state, it automatically
discontinues the measurement cycle to reserve the power it will
later need to transfer the data. Partially-used batteries shorten
the ABP monitoring session. Therefore, attempting an ABP moni­toring session with used batteries is not recommended.

Data Storage Protection: An internal battery of the Tycos
QuietTrak ABPM powers the data’s memory storage and
protects the data even if the AAA batteries wear down. Data

!

is preserved even during battery replacement.

Concerning the Use of Rechargeable Batteries:

Rechargeable NiCad batteries can be used in place of alka­line batteries. With fully-charged NiCad batteries, 100 mea-

!

surement cycles are achievable with average case usage
(Medium size cuff and 180 mmHg average inflation level). The
length of the ABP monitoring session could vary with differ­ent cuff sizes or with batteries which are not fully charged.

Remove the Batteries to Store the ABP monitor.

At the conclusion of an ABPM procedure, we recommend that
you print the report and remove the used batteries from the unit.
This will eliminate the risk of attempting a new patient study with
used batteries. If you want to wait to print the report at a later
time, go ahead and remove the batteries; the internal lithium
battery will retain all patient data until you retrieve it or intention­ally erase the data.

Internal Battery

An internal lithium battery powers the time, date, parameters,
and data retention for at least five years. The internal battery en­sures that the ABP monitor won’t lose data when you remove or
replace the AAA batteries.

When the internal battery needs replacement, return the ABP
monitor to the nearest Welch Allyn/Tycos Service Center.

2-7

Loading the Batteries

If batteries were previously loaded, remove them now. Open the
battery compartment, tilt the ABP monitor, and slide the used
batteries into your hand. Keep the used batteries separate from
your fresh battery supply so that you don’t accidentally re-insert
them into the ABP monitor. (Dispose of the used batteries ac­cording to local regulations.)

AAA

AAA

AAA

AAA

Slide two fresh batteries, tab end
out, into the battery chamber illus­trated with a battery tab. Slide the
two remaining fresh batteries, flat
end out, into the battery chamber
illustrated with a flat end of a battery.
Close the battery compartment door.

After powering up, the ABP monitor
will briefly display a sequence of
messages as it performs a Self-Test
of its functions.

2-8

The Power-On Self-Test

The Tycos QuietTrak Ambulatory Blood Pressure Monitor checks
itself each time the battery door is closed. Five Self-Test mes­sages appear quickly in sequence, and then the ABP monitor
pauses to wait for a command. Each Self-Test message is shown
and explained here.

LCD Test: This is a quick visual test for the operator. If all ele­ments of the LCD are working, a grid pattern appears.

Autozeroing

Autozeroing: The ABP monitor checks the pressure sensor and
ensures that the starting point is at zero pressure.

Jul 05 03:22P
Version 02.00

Date/Time/Version: Today’s date, the current time, and the
software version of the ABP monitor appear briefly.

Patient ID Num
123 45 6789

Patient ID: The patient number identifies the patient data cur­rently stored in memory.

Unit contains
000 BP readings

BP Readings: The ABP monitor displays the number of blood
pressure readings currently stored in memory.

Error Messages

If the ABP monitor’s Self-Test fails, an error message ap­pears. The Troubleshooting Guide in Section 7 explains

?

each message and offers guidance.

The ABP Monitor is Ready

After completing a Self-Test, the ABP monitor pauses and waits
for a command.

2-9

Setting Date & Time

You should only need to set the date and time when you first
receive your Tycos QuietTrak Ambulatory Blood Pressure Monitor,
or after the internal battery is replaced. After the date and time
have been set, the internal battery keeps the clock and calendar
running.

To set the date and time, or to recheck that the settings are cor­rect, proceed as follows:

Always check the date and time settings prior to patient
hookup, and before any readings have been taken.

!

Yes No Next
Set Patient ID ?

Set Patient ID ? This message will appear if there are no

patient readings currently stored in the unit’s memory. In this
case, you are clear to proceed with setting the date and time.
Respond with No to this question by pressing the middle button.

The display will change to Set Date ? and you can proceed to
Setting the Date.

2-10

Setting the Date

Yes No Next
Set Date ?

To set the date, press Yes in response to the Set Date ? mes­sage. A new message will appear.

Up Down Next
Sep 10, 1993

The new display shows today’s date, and a cursor highlights
the month.

If the month is correct, press Next to move the cursor to the
next field.

OR
If the month is incorrect, press Up or Down to rotate through the

calendar and select the correct month. When the correct month is
showing, move the cursor to the next field by pressing Next.

After setting the month, set the day and then the year. Press Next
to return to the Set Date ? display.

Yes No Next
Set Date ?

You’ve just set the date, so press Next to proceed.
(Or, press Yes if you want to review what you just did or re-set

the date.)

Setting the Time

Yes No Next
Set Time ?

Setting the time works like setting the date. Press Yes to set
the time.

Up Down Next
11:08PM

The display shows the current time, and a cursor highlights the
hour (11:08PM).

If the hour shown is correct, press Next to move the cursor to
the minutes.

OR
If the hour is incorrect, press Up or Down to move to a later or

earlier hour. When the hour is correct, press Next to move the
cursor to the minutes.

After setting the hour, set the minutes. Press Next to return to
the Set Time ? menu.

2-11

Yes No Next
Set Time ?

Press Next if you would like to continue using the ABP monitor.
(Or, Press Yes if you want to set the time again, or review what

you just did.)

If the displayed date and time do not remain current in
subsequent ABP monitor use, then the internal lithium bat-

?

tery may need replacement. Refer to Section 7 for trouble­shooting help.

Some suggestions for continued learning:

• Review the ABP monitor’s programmable options in Choos­ing Program Options, Section 3,

• Learn how to use the ABP monitor in Patient Hookup,
Section 4.

2-12

Choosing Program Options

This section introduces the programmable parameters of
the Tycos QuietTrak Ambulatory Blood Pressure Monitor,
and explains step-by-step how to select them.

Flow charts illustrate the programming sequences, and can
be used like road maps as you review or change the pro­gram of the ABP monitor.

The last page of the section provides space to record your
programming selections for future reference.

Page Topic

3-2 Overview of Program Options
3-7 Basic Parameters —

Step-By-Step Programming

3-15 Advanced Parameters —

Step-by-Step Programming

3-19 Special Parameters —

Step-by-Step Programming

3

3-23 Flow Charts for Parameter Programming
3-27 Office Record of Program Selections

3-1

Overview of Program Options

The Tycos QuietTrak ABPM is designed with flexible program
options (parameters) to fit typical needs, as well as special clinical
cases so you can adapt the ABP monitor to your needs. There
are three groupings of parameters.

Basic Parameters typically are reviewed and modified from one
ABP monitoring procedure to the next, customized to the
patient’s needs or the type of study being done.

Advanced Parameters specify the deflation rate of the cuff, turn
the dynamic pressure feature On or Off, and define the criteria for
identifying data that fall outside specified levels (retry parameters).

The Advanced Parameters are preset at values optimum
for most clinical conditions. To ensure maximum perform­ance of the ABP monitor during typical procedures, use the

*

default settings.

Special Parameters establish the routine of the ABP monitoring
procedure, such as the format in which time is displayed, and the
language of the ABP monitor’s messages. Generally, these re­main the same from one procedure to the next, unless there is a
specialized procedural need.

3-2

Concerning Defaults: A default is the setting the ABP
monitor has as it arrives from the factory. Each parameter
has a default. If you change a parameter, your selection is

*

continually stored by the ABP monitor’s internal memory
until it is changed again or until the internal battery fails.

If your ABP monitor is serviced at a service center, the ABP
monitor would probably be returned to you with the default
settings. For that reason, we suggest you keep a record of
your selections. Space is provided at the end of this section
to write down your parameter settings.

Basic Parameters — Overview

Basic Parameters give you flexibility to customize the ABP

monitoring periods and frequency of measurements to the
patient’s routine. The Basic Parameters let you decide whether
or not you want the patient to activate readings or see the
blood pressure measurements on the display. And, the maxi­mum cuff inflation pressure can be set in the Basic Parameters.

Because these parameters often vary from patient to patient,
they are easy to review and change in the Basic Parameters.

Number of periods

Number of ABP monitoring periods; can be 1, 2, 3, or 4. Default
is 2.

Beginning Time

Time of day when each period begins. Default is 7 a.m. for first
period, 11 p.m. for second.

Interval

Interval of automatic measurements taken during each period.
Interval is determined by the length of time between readings.
Options: Manual, 5, 10, 15, 20, 30, 60, or 120 minutes. Default
is 15 for first period; 30 minutes for second period.

Maximum Pressure

Maximum cuff inflation pressure, selectable in 10 mmHg incre­ments within 160-270 range. Default is 200.

Display

Turn measurement readings On or Off to patient’s view. Default
is On.

Patient Activation Button

Patient Activation Button allows the patient to initiate a meas­urement with the push of a button. Turn button On or Off.
Default is On.

3-3

Advanced Parameters — Overview

The Advanced Parameters specify the deflation rate of the cuff,
turn the dynamic pressure feature On or Off, and define the crite­ria for identifying data that fall outside specified levels. These
parameters are adaptable when needed for specialized studies.

The Advanced Parameters are preset at values optimum
for most clinical conditions. To ensure maximum perform­ance of the ABP monitor during typical procedures, use the

!

default settings.

Deflation Rate

Set deflation rate of cuff. Unit of measure is mmHg/second until
pulse rate is detected, after which it becomes mmHg/heartbeat.
Range is 2-6. Default is 3.

Dynamic Pressure

Turn dynamic pressure function On or Off. If On, cuff inflates to a
pressure of 30 mmHg greater pressure than the previous Systolic
measurement, otherwise, unit inflates to Maximum Inflation Pres­sure. Default is On.

Retry Parameters

The following retry parameters allow you to set boundaries for
acceptable measurements. If one or more of the boundaries is
violated, the unit will automatically trigger a retry reading. The
purpose of the retry parameters is to identify and reject readings
which are beyond the scope of “believable”, and do not reflect a
true blood pressure measurement. A new reading will then be
taken to replace the unacceptable data.

Max Allowable Systolic Pressure

Maximum allowable Systolic pressure can be set from 60-250
mmHg in increments of 10. Pressures exceeding this generate a
retry request. Default is 250.

3-4

Min Allowable Systolic Pressure

Minimum allowable Systolic pressure can be set from 60-240
mmHg in increments of 10. Pressures below this generate a retry
request. Default is 60.

Max Allowable Change in Systolic Pressure

Maximum allowable change in Systolic pressure from one valid
reading to the next can be set from 30-150 mmHg in increments
of 10. Systolic pressure changes exceeding this generate a retry
request. Default is 150.

Max Allowable Diastolic Pressure

Maximum allowable Diastolic pressure can be set from 40-160
mmHg in increments of 10. Pressures exceeding this generate a
retry request. Default is 160.

Min Allowable Diastolic Pressure

Minimum allowable Diastolic pressure is selectable from 30-160
mmHg in increments of 10. Pressures below this generate a retry
request. Default is 30.

Max Allowable Change in Diastolic Pressure

Maximum allowable change in Diastolic pressure from one valid
reading to next can be set from 20-100 mmHg in increments of

10. Changes exceeding this level generate a retry request. De­fault is 100.

Max Allowable Pulse Pressure

Maximum allowable pulse pressure (difference between Systolic
and Diastolic pressures) is selectable from 10-150 mmHg in in­crements of 10. Default is 150.

Min Allowable Pulse Pressure

Minimum allowable pulse pressure is selectable from 10-150
mmHg in increments of 10. Default is 10.

3-5

Special Parameters — Overview

With the Special Parameters, you select your preference for the
time format, the ABP monitor’s language, and the maximum
length of the ABP monitoring period. You probably won’t change
these parameters from one procedure to the next.

For best results, we recommend that the Auto Dump feature
be left On unless there is a specialized procedural need to
turn it Off.

*

ABP Monitor Language

This specifies the language used in ABP monitor’s display. Lan­guages available are: English, Italian, French, German and Spanish.
Default is English.

Time Display

Time can be represented as a.m./p.m. time, or 24-hour time.
Default is a.m./p.m.

Auto Dump

If Auto Dump feature is On, the cuff rapidly deflates at 20 mmHg
below the Diastolic pressure. If Off, slow deflation continues until
the cuff pressure is only 20 mmHg. This allows simultaneous
same-arm efficacy studies. Default is On.

One Day Maximum

If One Day Maximum is On, the ABP monitor will discontinue
taking measurements (automatic and patient-activated) when 24
hours have elapsed from the first Regular Run measurement. The
default is On.

3-6

Basic Parameters —
Step-By-Step Programming

The following information will guide you step-by-step in selecting
the Basic Parameters.

Ready the ABP Monitor

Load four new AAA batteries into the ABP monitor and wait as
the ABP monitor completes its Self-Test.

One of three messages appears following the Self-Test. The mes­sage that comes up reflects what the ABP monitor was doing
when it was last used.

One of Three Messages Appears Following the Self-Test:

Yes No Next
Set Patient ID ?

Set Patient ID ? This message will appear if there are no

patient readings currently stored in the unit’s memory. In this
case, you are clear to proceed with setting the Basic Parameters.

Yes No Next
Review Data ?

Review Data ? This message will appear if data from a pa-

tient study remains in memory. The data will remain in the
memory until it is intentionally erased.

Yes No Next
Resume Readings ?

Resume Readings ? This message will appear if a 24-hour

ABP monitoring period has been interrupted. Most often this
would occur if a patient removes the batteries, or opens and
closes the battery door, during the 24-hour period.

This message will be displayed for one minute. If no commands are
made, the unit will automatically resume the Regular Run cycles.

3-7

If the Review Data ? or Resume Readings ? mes­sages appear following the Self-Test, it will be necessary to
erase existing Regular Run patient data from memory prior

!

to changing the Basic Parameters. Refer to Section 4, page
4-5 for instructions.

You are allowed to change Basic Parameters if only Office
Run data is stored.

Once you have printed out and erased any existing Regular Run
data from memory, you can proceed with programming the Basic
Parameters:

Yes No Next
Set Patient ID ?

Set Patient ID ? Respond with No to this question by press-

ing the middle button. Then answer the sequence of questions
that follow as indicated here:

Set Date ? Choose No.
Set Time ? Choose No.

The display will change to Set Parameters ? and you can
proceed to Reviewing or Selecting Basic Parameters.

3-8

Reviewing or Selecting Basic Parameters

Hint: If you lose your place and need help getting back on

track, you can press either the No or Next buttons multiple
times until you see Set Parameters ? in the display.

*

The Basic Parameter Flow chart provides a helpful diagram
of the sequence of displays, and can be used like a road
map. See page 3-24.

Yes No Next
Set Parameters ?

Set Parameters ? When this display appears, you are ready

to review current parameter settings and either accept them or
change them.

To review the first parameter, respond with Yes by pressing the left
button. The display will change to the Set Periods ? message.

OR

The Set Periods Parameter

Yes No Next
Set Periods ?

Set Periods ? This allows you to select the number of ABP

monitoring periods (1, 2, 3, or 4), define when those periods
begin, and select the frequency of the automatic blood pressure
measurements taken during each period.

To omit setting the periods and go on to the next Basic Param­eter, press No or Next and proceed to Setting the Maximum
Pressure further in this section,

OR
Press Yes to review or change the periods.

3-9

Up Down Next
# of Periods 2

Reviewing or Selecting the Number of Periods. This allows
you to select the number of ABP monitoring periods (1, 2, 3, or

4). 2 is the default setting and means that two ABP monitoring
periods are selected.

2 is a good choice if you plan to vary the frequency of measure­ments during two periods, such as daytime and nighttime, or
working hours and non-working hours.

3 and 4 periods give you even more flexibility to customize the
periods to the patient’s day: at home, at work, during leisure, and
during sleep.

Select 1 period if you want an unchanging rate of automatic
measurement.

Selecting the Number of Periods. To change the number shown
on the ABP monitor’s display, press the Up or Down buttons to
rotate through the sequence of 1 to 4. (When you r each the last
number of the sequence, the sequence rolls over to the first num­ber.)

When the number of periods you want to select is displayed,
press Next to accept the number. The message will change.

3-10

Up Down Next
Prd 1 07AM 15m

Defining Each Period. You will need to define the ABP monitor­ing periods selected. First, you will set the beginning time of the
period, then you will enter the time interval between blood pres­sure measurements taken automatically during that period.

Up Down Next
Prd 1

07AM 15m

Setting the Beginning Time of the Period. A cursor high­lights the beginning time for the first period, Prd 1. Period 1 is
customarily set at the patient’s normal waking time. The default
setting for the beginning time is shown here in a.m./p.m. The
end time of a period is automatically determined by the start time
of the next period.

Note: Time can be presented as a.m./p.m. or as 24-hour
time. This is an option in Special Parameters, covered later
in this section.

*

To adjust the period’s beginning time for Period 1, press the Up
or Down buttons to move in one-hour increments to a later or
earlier time.

Note: Period 1 always specifies the start time of the report.

*

To accept the time currently shown, press Next. The cursor will
move to highlight the next field, the frequency setting.

Up Down Next
Prd 1 07AM

Setting Measurement Frequency/First Period. Measurement
frequency is the time interval, in minutes, between automatic
readings. The choices are: MANual, 5, 10, 15, 20, 30, 60, or
120 minutes.

The default for the first period is 15. That means that the ABP
monitor will initiate a blood pressure measurement every 15­minute interval during this period.

If MAN (manually-requested readings) is chosen, the automatic
measurements are cancelled during the period, but the patient
can initiate measurements by pressing the Patient Activation
Button (if the patient activation button is not turned off).

To select the frequency of measurements, press the Up or
Down button to move through the sequence until the one you
want appears.

After selecting the measurement frequency, or if you want to
accept the frequency currently shown, press Next.

15m

3-11

Up Down Next
Prd 2

Setting Measurement Frequency/Next Period(s). If two or
more ABP monitoring periods were selected, then the second
period will be displayed.

Define this period and any others selected by following the same
steps you used with the first period.

Repeat the same steps to define the third and fourth periods, if
needed.

Note: If the Up or Down button seems to be frozen be-
cause the time won’t change, you may be trying to select
the beginning time of a previous period. A design feature

*

prevents the periods from overlapping.

Up Down Next
Maximum Pres 270

Setting the Maximum Pressure. This determines the maximum
cuff inflation pressure, selectable in 10 mmHg increments within a
range of 160-270 mmHg. The ABP monitor will never inflate above
this setting.

08AM 15m

3-12

Reducing the maximum cuff pressure to match the patient’s up­per range more closely is a comfort benefit to the patient. How­ever, be careful not to set the maximum too low, so that normal
blood pressure fluctuations cannot be accommodated. The Dy­namic Pressure feature (page 3-18), if utilized, will automatically
adjust the inflation level to track the patient’s previous Systolic
measurements. This will enhance patient comfort.

To change the pressure, press the Up or Down buttons and
scroll through the pressures until the desired one appears.

Press Next to accept the displayed pressure.

Off On Next
Display On

Turning the Display On or Off. This turns the ABP monitor’s
display of blood pressure readings On so they are visible to the
patient, or Off so the patient does not see them.

Some patients may react to seeing their blood pressure readings
and this could affect their results. For other patients, having the
measurements visible may be a tool to better understand their
health and to gain compliance with taking medication. The choice
to display or not display may be a one-time decision to suit the
clinical practice, or it can be decided patient-to-patient.

Note: Even if the display is Off, the Office Runs (test meas­urements) that follow the patient hookup will be displayed,
and date and time will be displayed throughout the ABP

*

monitoring period.

Press On or Off according to your display preference. Then,
press Next.

Off On Next
Start Button On

Turning the Patient Activation Button On or Off. If On, the
patient can initiate a blood pressure measurement by pressing
the green button. If Off, the patient cannot initiate readings, and
only the programmed readings are taken.

By pressing the green Patient Activation Button, the patient can
cancel a measurement attempt. This feature is available even if
the Patient Activation Button is Off. Normal operation will resume
at the next programmed cycle time.

The Patient Activation Button can be a helpful tool with a patient
who experiences transient symptoms. The patient can activate a
measurement during the symptom if this feature is On. Special
studies may call for measurements taken only at specified inter­vals, so the Patient Activation Button can be turned Off.

Press On or Off according to your preference. Then, press Next.

3-13

Yes No Next
Set Adv Param?

When you have completed reviewing or selecting the Basic
Parameters, you can continue with the Advanced Parameters,
or you can exit the parameter program.

If you are going to quit now, remove and dispose of the AAA
batteries before storage so that no one attempts an ABP
monitoring period with used batteries.

!

OR
To exit now and return to the main menu, press Next in re-

sponse to Set Adv Param ?, then press Next again in
response to Set Param ?

OR
To review the Advanced Parameters, press Yes in response to

Set Adv Param ? and continue on to the next page.

3-14

Advanced Parameters —
Step-by-Step Programming

The Advanced Parameters make it possible to adapt the ABP
monitor to very specialized studies. However, to ensure maximum
performance in typical procedures do not change the defaults.

Yes No Next
Set Adv Param ?

Reviewing or Selecting Advanced Parameters. At this dis­play, you are ready to review the Advanced Parameter settings
and accept or change them.

To review the first one, press Yes.

The flow chart of Advanced Parameter Programming is an
optional reference that might be helpful as you work through
the display sequence. See page 3-25.

*

Up Down Next
Deflation Rate 3

Setting the Deflation Rate. This determines the deflation rate
of the blood pressure cuff. The unit of measure is mmHg per
second until pulse rate detection, after which it becomes mmHg
per heartbeat.

The range of rates is 2-6. The default setting is 3, and recom­mended for best results.

Press Up or Down to raise or lower the rate. When the desired
rate appears on the display, press Next to accept it and continue.

The Retry Parameters

Up Down Next
Set Retry Param ?

Set Retry Param ? The Retry Parameters set criteria for

identifying inaccurate measurement data. When a measurement
meets the criteria, the ABP monitor attempts to retry the meas­urement.

3-15

There are eight Retry Parameters to review and accept or
change. The directions apply to all eight parameters. Each Retry
Parameter is defined in the same sequence as it will appear on
the display.

Selecting the Eight Retry Parameters. For each of the Retry
Parameter displays, press Up or Down to raise or lower the
setting. When the desired setting is shown in the display, press

Next to accept it and continue to the next.

Up Down Next
Reject Sys > 250

The Maximum Allowable Systolic Pressure can be set from
60-250 mmHg in increments of 10. The default is 250.

Up Down Next
Reject Sys < 60

The Minimum Allowable Systolic Pressure can be set from
60-240 mmHg in increments of 10. The default is 60.

Up Down Next
Reject Sys Chg > 150

3-16

The Maximum Allowable Change in Systolic Pressure from
one valid reading to the next can be set from 30-150 mmHg in
increments of 10. The default is 150.

Up Down Next
Reject Dia > 160

The Maximum Allowable Diastolic Pressure can range from
40-160 mmHg in increments of 10. The default is 160.

Up Down Next
Reject Dia < 30

The Minimum Allowable Diastolic Pressure is selectable from
30-160 mmHg in increments of 10. The default is 30.

Up Down Next
Reject Dia Chg > 100

The Maximum Allowable Change in Diastolic Pressure from
one valid reading to the next ranges from 20-100 mmHg in incre­ments of 10. The default is 100.

Up Down Next
Reject PP > 100

The Maximum Allowable Pulse Pressure (pulse pressure is
the difference between Systolic and Diastolic pressures) is select­able from 10-150 mmHg in increments of 10. The default is 150.

Up Down Next
Reject PP < 10

The Minimum Allowable Pulse Pressure is selectable from
10-150 mmHg in increments of 10. The default is 10.

Yes No Next
Set Retry Param ?

Completing the Retry Parameters. When the last Retry
Parameter is selected and this display appears, the Retry Pa­rameters are completed.

Error codes 2, 4, 5, 8, 9, 10, 11, 12 and 13 will cause the ABP
monitor to attempt a retry reading. For Manual and period
intervals of 5 minutes, there are no retries. For period inter­vals of 10, 15 or 20 minutes, there is a maximum of one

*

retry per error. For period intervals of 30, 60 and 120 min­utes, there is a maximum of two retries.

Press Next to complete the one remaining Advanced Parameter.

3-17

Off On Next
Dynamic Pres On

Setting the Dynamic Pressure. If the Dynamic Pressure is
turned On, the ABP monitor will inflate the cuff to 30 mmHg
greater pressure than the previous Systolic measurement. This
will enhance patient comfort. If Off, the cuff will inflate to the
specified Maximum Inflation Pressure for every measurement.
The default is On.

Make your selection and then press Next to accept it.

Yes No Next
Set Adv Param ?

Completing the Advanced Parameters. When you have com­pleted reviewing or selecting the Advanced Parameters, you can
exit the parameter program and return to the main menu to begin
a patient hookup.

To quit using the ABP monitor, simply remove the batteries and
put it away; there is no Off switch.

If you are going to quit now, remove and dispose of the AAA
batteries and store the ABP monitor empty, so that no one

!

attempts an ABP monitoring period with used batteries.

3-18

OR
To exit now and return to the main menu, press Next in re-

sponse to Set Adv Param ?, then press Next again in re­sponse to Set Param ?

OR
To review the Special Parameters, continue on to the next page.

Special Parameters —
Step-by-Step Programming

The Special Parameters establish the routine of the ABP monitor­ing procedure, such as the time format, the ABP monitor’s lan­guage, and the maximum length of the ABP monitoring period.
After your initial selection, you probably won’t need to change
these parameters from one procedure to the next.

Readying the ABP Monitor. The Special Parameters are not found in the ABP monitor’s main menu, but are easily accessible.

To get to the Special Parameters, load four AAA batteries (or just
open the battery compartment if the batteries are already loaded)
and close the battery compartment.

➡

As the ABP monitor begins its Self-Test, press the left button and
hold it down.

Jul 05 03:22P
Version 00.56

Continue holding the button down until the date/time/version
display disappears and the Change Language ? menu ap­pears. Now release the button.

Yes No Next
Change Language ?

The ABP monitor display shows the first of the Special Parame­ters, Change Language ? You are now ready to review and
select the Special Parameters.

The flow chart of Special Parameter Programming might be
a useful reference as you work through the reviewing and
selecting sequence. See page 3-26.

*

3-19

Reviewing or Selecting Special Parameters

Yes No Next
Change Language ?

Selecting the ABP Monitor and Report Language. This speci­fies the language used in the ABP monitor’s display and report.
There are five languages available (and corresponding Operator
Manuals, too):

English, Italiano, Français, Deutsch, and Español.
Press No or Next to continue to the next Special Parameter, or

press Yes if you want to change the language from the one cur­rently shown.

Once you select a language and press Next, the ABP moni­tor will display all messages in that language, so choose a
language that is familiar to you.

!

If you mistakenly enter a foreign language, keep pushing the
green button until Change Language ? appears again.

Up Down Next
English

3-20

Press Up or Down to review the other choices or change
the selection.

When the language you want is shown in the display, press

Next to accept it and continue to the next parameter.

Yes No Next
AM/PM Yes

Selecting the Time Display Format. Time can be represented
as a.m./p.m. time, or as 24-hour time.

The display will say AM/PM Yes if a.m./p.m. time is selected,
or AM/PM No if 24-hour time is selected.

To change the display, press No for 24-hour time, or press Yes
for a.m./p.m. time.

Press Next to accept the time display format as shown, then
continue to the next parameter.

Yes No Next
Check Calib ?

The Calibration Check Feature. The ABP monitor’s pressure
measurement accuracy and microphone sensitivity can be veri­fied with this feature. This is explained in Service, Supplies &
Maintenance, Section 8.

This is not one of the Special Parameters, so press Next to
continue to the next parameter.

Off On Next
Auto Dump On

Selecting Auto Dump. Auto Dump initiates rapid cuff deflation
at 20 mmHg below the Diastolic pressure. This is a comfort fea­ture to the patient, because the arm gets quicker relief from the
cuff pressure. Auto Dump is On in the default.

If the automatic dumping feature is Off, slow deflation continues
until the cuff pressure is only 20 mmHg. The ability to turn off
Auto Dump is useful in the special case of simultaneous, same­arm efficacy studies. In most cases, it is preferable to turn on the
Auto Dump feature.

Press On if you need to turn Auto Dump On, or press Off if you
want to turn it Off.

After making your selection, press Next to continue.

Off On Next
1 Day Max On

Selecting the One Day Maximum Feature. If One Day Maxi­mum is On, the ABP monitor will discontinue taking measure­ments (automatic and patient-activated) when 24 hours have
elapsed from the first measurement. The default is On.

If One Day Max is Off, the ABP monitor continues taking measure­ments until the batteries are low. If multi-day ABP monitoring is
planned, then choose Off.

Press the Off or On button to choose On or Off.

3-21

Yes No Next

Exiting the Special Parameters Menu. Press Yes if you have
made the selections you wanted and are ready to return to the
main menu or quit. Exiting from here continues the Power-On
sequence of Self-Tests, and entry into the main menu.

OR
Press No or Next if you would like to review the Special Param-

eters again.

If you are going to quit now, remove and dispose of the AAA
batteries before storage. (Removing the batteries now pre­vents someone from attempting to begin the next ABP

!

monitoring period with used batteries.)

Exit ?

3-22

Flow Charts for Parameter Programming

Flow charts are diagrams that show the sequence of messages
or questions that you follow while operating the ABP monitor.

The flow charts can be used like road maps to illustrate the path­ways of selecting and reviewing the parameters.

You may find it helpful to use the flow charts to accompany your
progression through this section’s written instruction. The flow
charts can also be used as a shortcut to the instructions to help
you reset a particular parameter at a later date.

Main Menu Flow Chart

Yes

No Next

Set Patient ID ?

No/Next

No/Next

Yes

Set Date ?

Set Time ?

No Next

No/Next

No Next

No/Next

No NextYes

Erase Data ?

Yes

No NextYes

Print Data ?

No/Next

No/Next

No Next

Set Parameters ?

Yes

No Next

Do Office Run 1 ?

Basic Parameters

No/Next

No/Next

If memory contains readings

Yes
Review Data ?

Yes
Begin Reg Runs ?

No/Next

No NextYes

No/Next

No NextYes

If no readings are in memory

3-23

Basic Parameter Programming Flow Chart

Main Menu

No/Next

Yes

Up

Down Next

# of Periods 2

No Next

Set Parameters ?

Yes

Up Down
Prd 1 07AM 15M

Up Down
Prd 2 05PM 20M

Up Down
Prd 3 08PM 30M

Up Down
Prd 4 11PM 60M

Next

Next

Next

Next

Next

Next

Next

Next

Next

Yes

Next

Next

Next

Yes

No Next

Set Periods ?

No/Next

Up

Down Next

Maximum Pres 200

160-270

Next

(10 mmHg
Increments)

Yes
Set Adv Param ?

Off
Start Button On

Off
Display On

No/Next

No Next

Yes

Next

On Next

Next

On Next

3-24

Advanced Parameters

Advanced Parameter Programming
Flow Chart

Yes

No Next

Set Adv Param ?

Yes

Down Next

Deflation Rate 3

(2, 3, 4, 5, 6 mmHg/sec.)

Next

Yes

Up Down
Reject Sys >250

Next

60-250
(10 mmHg Increments)

Next

Yes

No Next

Set Retry Param ?

Off
Dynamic Pres On

Up
Reject PP <10

10-150
(10 mmHg Increments)

Next

On NextUp

No/Next

Next

Down Next

Next

Up Down
Reject Sys <60

Next

60-240
(10 mmHg Increments)

Up Down
Rej Sys Chg >150

Next

30-150
(10 mmHg Increments)

Up Down
Reject Dia >160

40-160
(10 mmHg Increments)

Next

Up Down
Reject PP >100

10-150
(10 mmHg Increments)

Up Down
Rej Dia Chg >150

20-100
(10 mmHg Increments)

Up Down
Reject Dia <30

30-160
(10 mmHg Increments)

NextNext

Next

NextNext

Next

NextNext

3-25

Special Parameter Programming Flow Chart

(To access, close battery door and hold down left button during
Self-Test.)

Main Menu

Yes

No Next

Yes

Change Language ?

No/Next

Up Down
English

English
Italiano
Français
Deutch
Español

Pressure=+011
Microphone=0512

Next

Next

Yes No
AM/PM Yes

Yes No
Check Calib ?

Yes

Press any Key

Next

No/Next

No/Next

Yes No
Exit ?

Next

Off On
1 Day Max On

Next

Off On
Auto Dump On

Yes

NextNext

NextNext

Next

3-26

Office Recor d of Program Selections

Keep a record of your program selections here. Note that the
ABP monitor returns itself to the default settings whenever it is
serviced or the internal battery is removed. Because of this, it is
helpful to have this reference handy to remember your selections.

Basic Parameters

Parameters Choices Selection

Number of
Periods

Beginning
Time

Frequency Manual, 5, 10, 15, 20, 30, 60,

Maximum
Pressure

Display On or Off. Default is On.
Patient

Activation
Button

1, 2, 3, or 4. Default is 2.

Default is 7 a.m. for first period;
11 p.m. for second.

or 120 minutes. Default is
15 for first period; 30 for
second period.

160-270 mmHg in increments
of 10. Default is 200.

On or Off. Default is On.

Period 1:
Period 2:
Period 3:
Period 4:
Period 1:
Period 2:
Period 3:
Period 4:

3-27

Advanced Parameters

Parameters Choices Selection

Deflation Rate Range is 2-6. Default is 3.
Max Allowable

Sys Pressure
Min Allowable

Sys Pressure
Max Allowable

Change in
Sys Pressure

Max Allowable
Diastolic
Pressure

Min Allowable
Diastolic
Pressure

Max Allowable
Change in Dias
Pressure

Max Allowable
Pulse Pressure

Min Allowable
Pulse Pressure

Dynamic
Pressure

60-250 mmHg in increments
of 10. Default is 250.

60-240 mmHg in increments
of 10. Default is 60.

30-150 mmHg in increments
of 10. Default is 150.

40-160 mmHg in increments
of 10. Default is 160.

30-160 mmHg in increments
of 10. Default is 30.

20-100 mmHg in increments
of 10. Default is 100.

10-150 mmHg in increments
of 10. Default is 150.

10-150 mmHg in increments
of 10. Default is 10.

On or Off. Default is On.

3-28

Special Parameters

Parameters Choices Selection

ABP Monitor
Language

Time Display a.m./p.m. time, or 24-hour time

Auto Dump On or Off. Default is On.
One Day

Maximum

English, Italiano, Français,
Deutsch, and Español

On or Off. Default is On.

3-29

Patient Hookup

This section will guide you step-by-step through the hookup
procedure. The illustrations and explanations will help you
learn the routine for the ABPM hookup procedure.

Page Topic

4-2 Before the Patient Arrives
4-4 Preparing the ABP Monitor for Use
4-12 Sizing the Cuff to the Patient
4-14 Positioning the Cuff & Microphone
4-21 Taking the Office Runs
4-24 Verifying the Setup
4-26 Beginning the Regular Runs
4-27 Positioning the Pouch & Tubing
4-29 Instructing the Patient

4

NOTE: If you are already familiar with the hookup and

don’t need the details provided in this section, refer to the
Quick Guide to Hookup. This is on page iii, right before

*

Section 1.

Note to First Time Users: It is important to have a basic
understanding of the ABP monitor before beginning a pa­tient hookup. If you have not worked with the ABP monitor

*

yet, you need to read and work through Getting Started,
Section 2 before continuing in this section.

Also, if you want to customize the ABP monitoring proce­dure but are unfamiliar with selecting the ABP monitoring
parameters, we suggest that you work through Basic Pa­rameters, in Section 3, before beginning a patient hookup.

4-1

Before the Patient Arrives

When scheduling the procedure, inform the patient in general
how ambulatory blood pressure ABP monitoring works, what to
expect, and what to wear.

Advising the Patient What to Wear

Men — Suggest garments with loose-fitting sleeves or short

sleeves. Men may prefer to wear an undershirt beneath a dress
shirt.

Women — Long-sleeve sweaters or dresses should not be worn
on the day of the hookup. Blouses with loose-fitting sleeves are
suggested. Loose-fitting cardigan sweaters may also be worn.

Advising the Patient of Activity Restrictions

While the Tycos QuietTrak Ambulatory Blood Pressure Monitor is
designed for ambulatory use, the patient should not plan to swim
or bathe during the ABP monitoring period. Also, the vibrations
from power tools or heavy equipment may disrupt the ABP moni­toring attempts and should be avoided.

Carefully advise the patient to plan a day free of these activities.

4-2

Preparing the Items Needed for
ABPM Hookup

Prior to the patient’s arrival, gather the items needed for the
hookup procedure.

Hookup Checklist:

• Tycos QuietTrak ABPM

• Cuff assemblies (have both Medium and Large sizes avail­able, to ensure you can properly fit the patient), including an
anchoring strap

• ABP monitor pouch and belt or shoulder strap

• Four new AAA batteries

• Hookup kit, including: Patient Diary, microphone anchoring
pad, and cuff anchoring pad.

Write the patient’s name, identification number, and today’s date
on the diary cover. The patient identification number can be en­tered into the ambulatory blood pressure monitor (up to eleven
digits in length) and will be printed in the patient’s report.

Suggestion: Record the patient’s name and a unique identi­fying number in a log book. You’ll have a record of where
the ABPM is, and you’ll be able to track usage.

*

4-3

Preparing the ABP Monitor for Use

Begin by loading fresh batteries. Remove any used batteries

from the ABP monitor. Keep the used batteries separate from
your fresh battery supply so that you don’t accidently re-insert
them into the ABP monitor. (Dispose of the used batteries ac­cording to local regulation.)

Load four fresh AAA batteries and close the battery compart­ment door.

The Power-On Self-Test

Wait while the ABP monitor completes the Self-Test. Verify that
the date and time shown during the test are correct.

LCD Test

Autozeroing

Jul05 03:22P
Version 00.56

Patient ID Num

Unit contains
000 BP readings

Autozeroing

Date/Time/Version

Patient ID

BP Readings

Error Messages

If the ABP monitor’s Self-Test fails, an error message ap­pears. The Troubleshooting Guide, Section 7 explains each
message and offers help.

!

4-4

One of Three Messages Appears Following the Self-Test:

The message that comes up following the Self-Test reflects what
the ABP monitor was doing when it was last used.

Yes No Next
Set Patient ID ?

Set Patient ID ? This message will appear if there are no

patient readings currently stored in the unit’s memory. In this
case, you are clear to proceed with setting the Basic Parameters.

Yes No Next
Review Data ?

Review Data? This message will appear if data from a previous

patient study remains in memory. The data will remain stored in the
memory until it is intentionally erased. If you want to review or print
the data now stored in memory, refer to Section 5 for instructions.

To proceed with clearing the data from memory and preparing for
a new patient, press Next until you see the following:

Erase Data ? Choose Yes.
Are You Sure ? Choose Yes.

The display will change to Set Patient ID ? and you can pro­ceed to Setting the Patient ID on the next page.

Yes No Next
Resume Readings ?

Resume Readings? This message will appear if a 24-hour

ABP monitoring period has been interrupted. Most often this
would occur if a patient removes the batteries, or opens and
closes the battery door, during the 24-hour period.

This message will be displayed for one minute. If no commands are
made, the unit will automatically resume the Regular Run cycles.

4-5

To prepare for a new patient study, you must review and/or print out
the current data and then clear the memory. Refer to Section 5 for
instructions on reviewing and printing data. To proceed with clear­ing the memory, press No or Next until you see the following:

Erase Data ? Choose Yes.
Are You Sure ? Choose Yes.

This will clear all data from memory and the display will change
to Set Patient ID ? You can proceed to Setting the Patient
ID, below.

Hint: If you accidentally pass Set Patient ID ?, continue
pressing No or Next until the message appears again.

*

Setting the Patient ID

Yes No Next
Set Patient ID ?

Set Patient ID ? At this display, you are ready to begin enter-

ing the patient’s identification number. Press Yes.

4-6

Up Down Next
Ê

A cursor will appear in the first character space. There is room to
enter up to eleven digits or spaces.

To enter the first number of the patient’s ID, press Up or Down
until the number you want is shown. Press Next to accept the
number and move to the next character space.

Up Down Next
5

Ê

Enter the second number of the patient’s ID using the Up or
Down button in the same way.

To leave a blank space after a number, press Next while
the cursor is highlighting a blank space.

*

Continue selecting numbers and pressing Next until you have
entered the entire ID number.

When all digits have been selected, press Next one or more
times until the Set Patient ID ? message appears.

Yes No Next
Set Patient ID ?

You’ve just set the patient ID, so press Next to proceed.
(Or, press Yes to review what you just did or re-set the patient ID.)

Setting the Date

Yes No Next
Set Date ?

The Set Date ? message appears next. If the date shown dur­ing the Self-Test sequence was correct, then you don’t need to
set the date. Press Next to omit setting the date and go to Set­ting the Time on the next page.

Or, press Yes if you want to check or set the date, and continue
from here.

Up Down Next
Sep 10, 1993

The new display shows today’s date, and a cursor highlights
the month.

If the month is correct, press Next to move the cursor to the
next field.

OR
If the month is incorrect, press Up or Down to rotate through

the calendar and select the correct month. When the correct
month is showing, move the cursor to the next field by pressing
Next.

After setting the month, set the day and then the year. When all
fields are set, press Next to return to the Set Date ? display.

4-7

Yes No Next
Set Date ?

You’ve just set the date, so press Next to proceed.
(Or, press Yes if you want to review what you just did or re-set

the date.)

Setting the Time

Yes No Next
Set Time ?

Setting the time works like setting the date. If the time shown
during the Self-Test sequence was correct, then press Next to
omit setting the time and proceed to Setting the Parameters.

Or, press Yes to set the time, and continue from here.

Up Down Next
11:08PM

The display shows the current time, and a cursor highlights the hour.
If the hour shown is correct, press Next to move the cursor to

the minutes.

4-8

OR
If the hour is incorrect, press Up or Down to move to a later or

earlier hour. When the hour is correct, press Next to move the
cursor to the minutes.

After setting the hour, set the minutes. Press Next.

Yes No Next
Set Time ?

You’ve just set the time, so press Next to continue.
(Or, press Yes if you want to set the time again, or review what

you just did.)

To change from a.m./p.m. to 24-hour clock, refer to Special
Parameters in Section 3, page 3-18.

*

Setting the Parameters

Yes No Next
Set Parameters ?

Set Parameters ? When this display appears, you may review

the current parameter settings and either accept or change them.
If you would like to accept the current parameter settings, press

Next and refer to Sizing the Cuff to the Patient, page 4-12.
Or, to review or change the parameters, respond with Yes. The

Set Periods ? message will appear.
An abbreviated guide to setting the parameters is provided here.

If you are not familiar with the ABP monitoring parameters and
need more information, review Basic Parameters in Section 3.

The Set Periods Parameter

Yes No Next
Set Periods ?

Set Periods ? This allows you to select the number of ABP

monitoring periods (1, 2, 3, or 4), define when those periods
begin, and select the frequency of the automatic blood pressure
measurements taken during each period.

To omit setting the periods and go on to the next Basic Pa­rameter, Press No or Next and proceed to Setting the Maxi­mum Pressure,

OR
Press Yes to review or define each period.

Up Down Next
# of Periods 2

Selecting the Number of Periods. This allows you to select the
number of ABP monitoring periods (1, 2, 3, or 4).

Press Up or Down to change the number shown on the ABP
monitor’s display. When the number of periods you want is
displayed, press Next to accept the number.

Set the beginning time of the first period next.

4-9

Up Down Next
Prd 1

07AM 15m

Setting the Beginning Time of the Period. A cursor highlights
the beginning time for the first period, Prd 1.

Select the period’s beginning time by pressing Up or Down to
move to a later or earlier time.

Press Next when the correct beginning time is shown. The cur­sor will move to highlight the next field, the frequency setting.

Next, set the measurement frequency for this period.

Up Down Next
Prd 1 07AM

15m

Measurement frequency is the time interval, in minutes, between
automatic readings. The choices are Manual, 5, 10, 15, 20,
30, 60, or 120 minutes.

Select the frequency of measurements with the Up or Down
button until the one you want appears.

After selecting the measurement frequency, or if you want to
accept the frequency currently shown, press Next.

The next period that needs to be defined will be displayed.

4-10

Up Down Next
Prd 2

06PM 30m

Define the next period by following the same steps you used with
the first period.

Repeat the same steps to define the third and fourth periods,
if needed.

Up Down Next
Maximum Pres 200

Setting the Maximum Pressure. This determines the maximum
cuff inflation pressure.

To change the pressure, press the Up or Down buttons and
scroll through the pressures until the desired one appears.

Press Next to accept the selected pressure.

Off On Next
Display On

Turning the Display On or Off. This turns the ABP monitor’s
display of blood pressure readings On so they are visible to the
patient, or Off so the patient does not see them.

Press On or Off according to your display preference. Then,
press Next.

Off On Next
Start Button On

Turning the Patient Activation Button On or Off. If On, the
patient can initiate a blood pressure measurement by pressing a
button. If Off, the patient cannot initiate a blood pressure mea­surement; only the programmed readings are taken.

Press On or Off according to your preference. Then, press Next.

Yes No Next
Set Adv Param ?

When you have completed reviewing or selecting the Basic Pa­rameters, you can continue with the Advanced Parameters, or
you can proceed with preparing for the Office Runs. Press Next
to ready the ABP monitor for Office Runs. Set the ABP monitor
aside and move on to Sizing the Cuff to the Patient.

The Advanced Parameters are explained in Section 3. Here,
we will assume you are accepting the Advanced Parameter
settings as they are, since they generally are not changed

*

from one patient hookup to the next.

4-11

Sizing the Cuff to the Patient

When preparing to put the cuff on the patient, seat the patient
comfortably in a private room. If the patient has long sleeves,
have him or her remove the shirt so the upper arms are acces­sible for the hookup.

Determine Which Arm to Take the
Readings From

In most cases, you can simply ask the patient whether he/she is
right-handed or left-handed, and select the non-dominant arm for
the hookup. The best arm for cuff placement is the one used less
frequently, so the arm can be relaxed and motion-free during the
measurements.

After identifying the arm that will be used, you need to fit the cuff.
Medium and Large cuffs will fit most adult arms, and are included
with the ABP monitor. A small size is available as an option from
your Welch Allyn/Tycos Distributor.

The Importance of Correct Cuff Size

There are two simple methods for determining the right size cuff
for the patient. Use either method.

4-12

Careful sizing of the cuff is important to the accuracy of the
blood pressure readings. If the cuff is too small, the read­ings could be falsely high.

!

Determining Cuff Size with the Cuff Markings

UM

ERY

LEFT ARM

RANGE

One way to ensure proper cuff size is to wrap the cuff around the
patient’s upper arm and visually check it. The cuff is marked with
two divisions that indicate “range”. When the cuff is properly fit,
the cuff edge will meet the cuff at some point within the range.

Chart for Determining Cuff Size

You can also determine cuff size by measuring the patient’s arm
circumference midway between the elbow and shoulder, and
then use the chart below to select the correct cuff.

Cuff Size Arm Circumference

Small 12 to 21 cm
Medium 18 to 32 cm
Large 21 to 39 cm

4-13

Positioning the Cuff & Microphone

Obtain a cuff assembly and pneumatic assembly in the proper
size for the patient. The cuff assembly is made up of the cuff and
bladder. The pneumatic assembly is made up of the air hose and
the microphone assembly. If the cuff and pneumatic assembly
have been taken apart for cuff washing or to change cuff sizes,
you will need to reassemble them. Please follow these steps:

Inserting the Bladder into the Cuff

Slide the bladder into the cuff, making sure the bladder lies flat
and unfolded.

MEDIUM

RANGE

This illustration shows the bladder insertion for Left-Arm placement.

MEDIUM

RANGE

4-14

If the cuff will be worn on the Right Arm, the bladder orientation
is reversed.

M

T

H

A

R

G

I

R

TERY

R

Z

E

I

S

X

A

M

m

c

5

.

1

3

A

LEFT ARM

Pull the bladder’s tubing through the small opening (marked
Left Arm for Left-Arm placement) near the edge of the cuff.
Note that there are two openings. One is for Right-Arm cuff
placement, and one is for Left. (They are labeled on the face
of the cuff.)

M

T

H

A

R

G

I

R

TERY

R

Z

E

I

S

X

A

M

m

c

5

.

1

3

A

LEFT ARM

Attach the tubing from the bladder to the pneumatic assembly.

4-15

LEFT ARM

TERY

R

A

Next, thread the microphone back through the same small open­ing with the bladder tube.

M

T

H

A

R

G

I

R

TERY

R

SIZE

X

A

M

m

c

5

.

1

3

A

LEFT ARM

Push the microphone through the cuff and out through the small
opening labeled Artery as shown. Make sure the microphone
cable was threaded on top of the bladder, not on the side that
will be next to the arm.

4-16

Locate the Brachial Artery

1-1.5"
(2.5 to 3.8 cm)

Have the patient flex the arm and locate the area between the
bicep and tricep, 1 to 1.5 inches (2.5 to 3.8 cm) above the elbow
on the inside of the patient’s arm. With your index and middle
fingers, press into the area and feel for the pulse of the brachial
artery. To confirm that you have located the artery, palpate the
wrist at the same time; the pulses should beat at the same rate.

Mark the Location of the Artery

Boldly mark the location of the brachial artery with a felt pen to
identify the site for microphone placement.

4-17

Use of the Microphone Anchoring Pad

Find the adhesive microphone anchoring pad in the hookup kit.
Peel the backing off the pad and insert the microphone with
the label side facing microphone pad and away from arm. Posi­tion the microphone cable through the slit in the pad.

4-18

Attach the microphone anchoring pad with microphone to the
brachial artery location. Firmly seal the adhesive to the arm.

Incorrect microphone placement or orientation, or incorrect
cuff placement, can cause inaccurate measurements.

!

Wrapping the Cuff

Center the circle on the cuff marked Artery over the microphone.
A slight bit of white microphone pad should be showing under
the edge of the cuff. Wrap the cuff snugly around the patient’s
arm. Check that the cuff is not so tight that it impedes circulation
or arm movement.

A
S

U
a
n
i

l
o
r

a

C
h
t

r

o
N
,

n

e
d
r

A

Y

R

E

T

R

A

Make sure the tubing comes out of the opening at the top of cuff
and follows up towards the shoulder.

4-19

Secure the Cuff

The cuff should be secured to prevent slippage during the ABP
monitoring period. Locate the cuff anchoring pad from the
hookup kit and snap it onto a cuff anchor strap. Attach the fabric
fastener to the top of the cuff near the shoulder. Peel off the
backing of the pad and apply the anchoring pad to the patient’s
arm, leaving a small amount of slack.

4-20

Lead the tubing up the arm and over the shoulder. Drape the
tubing loosely around the patient’s neck to the front of the body
or to either side.

Taking the Office Runs

Connecting the ABP Monitor to the Patient’s
Cuff Assembly

Attach the cuff assembly’s connector to the port on the front of
the ABP monitor with a backwards (counterclockwise) twist
(about a quarter turn), and then twist it clockwise until it is snugly
attached to the ABP monitor. With this method, the connector
should be securely locked in place.

Do not overtighten the connector; only moderate tighten­ing is required.

!

Align Red

Dots

To attach the microphone cable, align the red dot on the micro­phone cable connector with the red dot on the ABP monitor’s
microphone port, and then insert the microphone. You should
hear or feel a slight “click” as the microphone locks in place.

Check that the arm cuff and tubing are still positioned properly on
the patient. Hold the ABP monitor or carefully place it on a nearby
table.

4-21

Taking the Office Runs

Office Runs are important for several reasons. Besides being a
good test of the ABP monitor’s function and the patient hookup,
the Office Runs help prepare the patient for what to expect dur­ing the ABP monitoring period. And importantly, during the Office
Runs, the ABP monitor’s microphone adjusts its gain level,
adapting to the patient’s own Korotkoff sounds.

For these reasons, we recommend that you complete at least
three Office Runs during every patient hookup.

Yes No Next
Do Office Run 1 ?

Before beginning an Office Run, ask the patient to relax the arm
and to remain as motionless as possible. When the patient is
ready, press Yes.

Exit Exit Start

Next, press Start to initiate the run.

Nov13 03:22P
140/82 o HR=80

4-22

The first Office Run will always inflate to the preset maximum
pressure. Subsequent Office Runs will inflate 30 mmHg above
the previous Systolic reading, if Dynamic Pressure is turned on.

When the run is complete, the date, time, blood pressure mea­surement, and heart rate will be displayed for two minutes.
Then another Office Run can be taken. To move to Do Office
Run 2Ê? before two minutes are up, press the green button.

The small o between the blood pressure reading and the heart
rate (HR) indicates that the measurement was an Office Run.
Symbols that appear here are called Initiation Codes.

If there were any difficulties, now is a good time to adjust the cuff,
check all tubing connections, and recheck the microphone posi­tioning before taking the next run.

Nov13 03:22P 10
140/82 o HR=80

About Error Codes: A two-digit Error Code may appear in the
upper right corner of the display if a problem was encountered
during the measurement. For an explanation of Error Codes,
review the measurement Error Codes in the Troubleshooting
Guide, Section 7.

During Office Runs, it is normal to encounter Error Codes.
The unit is becoming adjusted to the Korotkoff sounds of
the individual. It may be necessary to take three or more

!

Office Runs to eliminate the Error Codes.

Yes No Next
Do Office Run 2 ?

When you are ready to take another Office Run, press Yes, then
press Start to initiate the second run.

You can repeat as many Office Runs as needed to help the
patient understand the procedure and practice relaxing for
the measurement.

If the ABP monitor’s display is turned On in the Basic
Parameters, show the patient how the readings will ap­pear in the display.

*

When you have completed three or more Office Runs success­fully, you can proceed to the next section, Verifying the Setup, or
to Beginning the Regular Runs by pressing Next.

4-23

Verifying the Setup

Once you have successfully completed three Office Runs, you
may wish to take a simultaneous blood pressure reading to verify
that the Tycos QuietTrak ABPM is set up and operating correctly.

You should not attempt to do a simultaneous reading until at
least three Office Runs have been completed and no Error
Codes are present.

!

Items Needed for Simultaneous Measurement:

• Accurate office sphygmomanometer

• Calibration T-connector

• Tubing adaptor

• ABP monitor and cuff assembly

Instructions for Setup

Disconnect the Tycos QuietTrak cuff and microphone assembly
from the ABP monitor. Assemble the T-connector to the ABP
monitor’s cuff hose (Leur) connector. Connect the QuietTrak cuff
and microphone assembly to the T-connector. Attach one end of
the tubing adaptor to the T-connector, and the other to a prop­erly-calibrated office manometer. Refer to setup shown below.

4-24

S Y S / D I A mmHg

A well-trained observer will now use a stethoscope to measure
the patient’s blood pressure simultaneously with the QuietTrak
ABP Monitor.

♥

Yes No Next
Do Office Run 4 ?

Proceed by answering Yes to the next Office Run.

Exit Exit Start

Press Start to initiate the run.

Allow the ABP monitor time to complete its measurement cycle
before concluding the reading or moving the patient.

Important

Expect to see minor variations between the reading given by
the QuietTrak and the observer’s measurement. Just as no

!

two people would determine the exact same measurement,
this discrepancy is unavoidable and normal. Variation be­tween the ABP monitor and the observer of ±5 mmHg or less
is considered acceptable. If encountering problems, call your
local Welch Allyn/Tycos Service Center for assistance.

When you have completed Setup Verification, remove the T-con­nector and reconnect the cuff to the ABP monitor. You can now
proceed to Beginning the Regular Runs by pressing Next.

4-25

Beginning the Regular Runs

Yes No Next
Begin Reg Run ??

!

Prior to sending a patient out for a 24-hour study, you must
put the ABP monitor into the Regular Run mode. This will
initiate the preset automatic measurements.

Nov13 03:22P
140/82 o HR=80

If an Office Run measurement is still displayed, press the green
button to get back to the menu.

Yes No Next
Do Office Run ?

Press Next.

Yes No Next
Begin Reg Run ?

4-26

To begin the Regular Runs of the ABP monitoring process,
press Yes. The first measurement will be taken after the speci­fied interval for the current time period has elapsed. Times are
adjusted to the hour.

Positioning the Pouch & Tubing

Shoulder Strap or Belt? Ask the patient for any preference

towards a shoulder strap or belt. A person who is mostly going
to be seated may find the strap is most comfortable, because the
ABP monitor can rest in the lap. A person who will be up and
down frequently may find the belt more comfortable. If pre­ferred, the patient’s own belt can be used, as long as it is narrow
enough to slip through the pouch’s loops.

If using the strap, clip the strap’s fasteners to the rings on the
pouch. If using a belt, slide the belt through the loop on the
back of the pouch. Help the patient put on the shoulder strap
or the belt.

Inserting the ABP monitor into the Pouch

Insert the ABP monitor into the pouch as shown, making sure the
display is fully visible and the green Patient Activation Button is
positioned directly under the open cutout locator. Close the pouch.

4-27

Deciding Where to Place the ABP monitor

The pouch should be placed where it is comfortable for the pa­tient, and where it won’t restrict movement. Assist the patient
with any needed adjustments, making sure the patient can easily
reach the Patient Activation Button as needed.

The straps and tubing can be concealed inside the patient’s
clothing, or can be positioned on the outside. Decide with the
patient which would be preferable. Have the patient replace his
or her shirt if it was removed earlier, and check that the tubing is
secured but does not restrict the patient’s movement. Below
are suggestions.

4-28

Instructing the Patient

Reposition the ABP monitor if necessary so the patient can acti­vate readings, cancel readings and view the display.

Viewing the Display

Nov13 03:25P

Show the patient where the display is, and that the date and time
will appear continuously.

Nov13 03:22P
140/82 o HR=80

Optional: If the display is turned On in the Basic Parameters,
then point out where the blood pressure readings will appear
following each measurement.

Explaining the Diary

Give the patient the diary and explain how to fill it out with time of
day, symptoms/mood and activity/position. Give some examples
of what you mean by:

• Symptoms (such as chest pain, tenseness, feeling fine)

• Activities (washing dishes, sitting to read, lying down,
watching TV)

Demonstrating the Patient Activation Button

If the Patient Activation Button is turned On in the Basic Param­eters, explain how to initiate readings by pressing and releasing the
button when a symptom appears. Show the patient where the
button is and ask the patient to press it now to take a reading.

Advise the patient to PRESS and RELEASE the button;
DO NOT hold the button down. Holding the button down

can turn the ABP monitor off. See Instructions to Patient on

!

page 4-30 for more details.

4-29

Cancelling the Readings

The Patient Activation Button is able to cancel readings when
necessary, too. This is a safety feature that is available even if the
Patient Activation Button is turned Off in the Basic Parameters.

Explain to the patient that he or she can press and release the
Patient Activation Button while a reading is in progress to cancel
the reading. For example, a reading can be cancelled if the pa­tient gets in the middle of a task and cannot momentarily pause
for the reading.

Positioning the ABP monitor at Bedtime

Explain how to detach the ABP monitor and remove the strap or
belt to change clothing at bedtime. Suggest that the patient sit on
the bed and carefully place the ABP monitor beside him while
changing so that it doesn’t drop to the floor. For sleeping, have the
patient position the ABP monitor alongside the body or near the
head of the bed. It might be more comfortable and quiet if a pillow
is placed over the ABP monitor; this also helps prevent the patient
from rolling on it.

Instructions to the Patient

To Deactivate the ABP monitor: If the patient must remove the

ABP monitor and cuff prior to returning to the clinical site, he/she
can PRESS and HOLD the Patient Activation Button for SIX SEC­ONDS. The ABP monitor will cease taking readings and can be
removed from the patient’s arm. The ABP monitor stores the data
for retrieval later; no data is lost.

4-30

Hold Button

to Quit

PRESS and HOLD the green Patient Activation Button for THREE
SECONDS and the Hold Button to Quit message will appear.

Off

Continue holding the button for THREE MORE SECONDS, and
the message Off will appear. The unit will cease taking any
measurements.

Press Button
to Resume

Upon releasing the button, the message Press Button to
Resume will stay on indefinitely as a reminder to the patient.

Auto Readings
will Resume

To restart the regular cycle, the patient can press the green but­ton and the message Auto Readings will Resume will ap­pear. This message will stay on for two minutes. Readings will
resume per the current period interval.

It is inadvisable to allow the patient to deactivate and remove
the cuff and microphone assembly unless no more readings
are required. Once the adhesive microphone anchoring pad is

!

removed, the patient will have difficulty in correctly reposition­ing the microphone over the brachial artery.

Scheduling the Patient’s Return

Remind the patient of the day and time to return with the ABP
monitor and the diary. If the patient cannot return at the time
coinciding with the end of the ABP monitoring session, explain
how to turn the ABP monitor Off by pressing and holding the
Patient Activation button for at least six seconds. Then the ABP
monitor can be removed from the patient and safely set aside
until the scheduled return date.

4-31

Summary of Patient Do’s and Don’ts

Do’s

• Record time, symptom/mood, and activity/position in diary.

• Press Patient Activation Button to take a reading when any
symptoms are felt.

• Keep arm as motionless as possible during measurement.

• Keep travel time in car or other vehicle to a minimum.

• Return on the specified date and time, and bring the diary
with you.

Don’ts

• Don’t remove the cuff and microphone from original location.

• Don’t get the ABP monitor wet.

• Don’t attempt to operate a power tool or heavy equipment
during a reading.

Advising the patient to keep his or her arm motionless dur­ing the measurement is crucial to attaining accurate and
reliable readings. If the QuietTrak ABP Monitor detects sig-

!

nificant noise, motion or Korotkoff sounds at the end of
inflation, the ABP monitor will re-inflate the cuff and start
the measurement over. Re-inflations will continue until no
Korotkoff sounds or noises are detected, or until maximum
inflation pressure is reached.

Advise the patient to be careful while operating a vehicle.
While the ABP monitor is taking a measurement, the
patient’s ability to operate a vehicle may be impaired due
to restriction in arm motion.

4-32

When the Patient Returns

This section instructs the operator how to disconnect the
patient and retrieve the Tycos QuietTrak ABPM report.

Page Topic

5-2 Disconnecting the ABP Monitor
5-3 Ending the ABP Monitoring Session
5-5 Reviewing the Data
5-7 Printing the Data

5

5-1

Disconnecting the ABP Monitor

When the patient returns at the end of the ABP monitoring ses­sion, remove the ABP monitor from its pouch, disconnect the
microphone cable and cuff tubing, and set the ABP monitor aside
for a moment. Remove the anchoring pads and the arm cuff,
then assist the patient in removing the belt or shoulder strap.

Disconnecting the microphone cable from
the ABP Monitor:

To remove microphone connector, place your index finger and
thumb on the knurled portion of the connector and pull straight
back (away from the monitor). Do not twist!

Grasp here

5-2

Review the Diary With the Patient

Ask for the diary and review it together in case the patient now
remembers something that was omitted. Add any missing details
and clarify any words you don’t understand. The patient is now
finished and can go home.

Ending the ABP Monitoring Session

When the patient returns the ABP monitor, one of the follow­ing three messages will be displayed. The message that is
displayed will reflect the status of the unit:

1 Day Max Limit

1 Day Max Limit will be displayed if the unit is returned

after 24 hours since the first Regular Run reading was taken,
and the unit has not been turned off or the batteries removed.

Note: To program the ABP monitor to go beyond the 24­hour maximum, refer to Section 3, Choosing Program

*

Options.

Nov15 02:28P

If the 24-hour time limit has not elapsed and the Regular Runs
are still in progress, the time and date will appear as normal.

If either of the above two messages are displayed, you will need
to end the ABP monitoring session by pressing all three but­tons simultaneously. The display will change, and you will be
presented with the Review Data ? screen. You have effec­tively ended the ABP monitoring session.

5-3

Yes No Next
Resume Readings ?

The third possible message, Resume Readings ? will appear
if the patient removes the batteries prior to returning to the clini­cal site, and before the programmed ABP monitoring period had
elapsed. This message will appear when batteries are inserted
and the unit completes the Self-Test.

Respond with No, and the Review Data ? message will appear.

In rare circumstances, the messages Battery Failure or
300 RDG Limit may appear. Refer to Section 7, page 7-7

for an explanation. Press all three buttons to return to the

*

main menu.

Yes No Next
Review Data ?

When the question Review Data ? appears, respond with
Yes if you would like to review the data on the ABP monitor’s

display, or press Next and proceed to Printing the Data if you
prefer to print the report now.

5-4