Zoll M Options User manual
Non-Invasive
Blood
Pressure
9650-0214-01 Rev. F
The issue date or revision level for this operation guide is shown on the front cover.
ZOLL and M Series are trademarks of ZOLL Medical Corporation.
2003 by ZOLL Medical Corporation. All rights reserved.
Table of Contents
P
REFACE
........................................................................................................................................................................
How Do I Use This Manual?.......................................................................................................................... v
Safety Summary.............................................................................................................................................. v
General NIBP Safety ............................................................................................................................... v
Cuff and Hose Safety.............................................................................................................................. vi
Indications for Use.........................................................................................................................................vi
Contraindications for Use.............................................................................................................................. vi
SunTech CE Contact..................................................................................................................................... vii
I
NTRODUCTION
.............................................................................................................................................................. 1
What Can I Do With the NIBP Option? ......................................................................................................... 1
How Do I Use the NIBP Option? ................................................................................................................... 1
How Does the NIBP Option Work? ............................................................................................................... 2
How Do I Read the Display?.......................................................................................................................... 3
P
REPARING TO TAKE MEASUREMENTS
Setting Up the Hose and the Cuff...................................................................................................................5
Selecting the Cuff.................................................................................................................................... 5
Connecting the Hose................................................................................................................................ 5
Applying the Cuff to the Patient.............................................................................................................. 6
Accessing NIBP Features ............................................................................................................................... 6
Displaying the NIBP Menu ............................................................................................................................ 7
Displaying the NIBP Menu ..................................................................................................................... 7
Selecting the Patient Type (CCT units only)..................................................................................................8
Selecting Cuff Inflation Settings ....................................................................................................................8
Auto Adjust ............................................................................................................................................. 9
Setting Cuff Inflation Pressure ................................................................................................................ 9
Turning Off Auto Adjust.......................................................................................................................10
Setting Alarms .............................................................................................................................................. 11
Setting Alarm Limits ............................................................................................................................. 11
Enabling, Disabling, and Suspending Alarms....................................................................................... 12
Triggering NIBP Measurements............................................................................................................ 12
V
.........................................................................................................................5
T
AKING MEASUREMENTS
Taking a Single Measurement ...................................................................................................................... 13
Taking STAT Measurements........................................................................................................................ 14
Starting STAT Measurements ............................................................................................................... 14
Aborting STAT Measurements ............................................................................................................. 14
Taking Automatic Measurements................................................................................................................. 14
Setting the Measurement Interval.......................................................................................................... 15
Starting Automatic Measurements ........................................................................................................ 15
Taking an Additional Measurement ......................................................................................................15
Aborting a Single Measurement............................................................................................................ 16
Stopping all automatic measurements................................................................................................... 16
Aborting Measurements................................................................................................................................ 16
P
RINTING DATA
M
AINTAINING THE
........................................................................................................................................................... 17
NIBP O
Performing the Daily Checkout Procedure................................................................................................... 18
Cleaning the Hose......................................................................................................................................... 18
Cleaning Reusable Cuffs .............................................................................................................................. 18
S
PECIFICATIONS
S
OFTWARE LICENSE
O
RDERING ACCESSORIES
........................................................................................................................................................... 19
............................................................................................................................................ 12
............................................................................................................................... 18
PTION
.................................................................................................................................................... 21
............................................................................................................................................. 21
ZOLL M Series Non-Invasive Blood Pressure iii
NON-I
NVASIVE BLOOD PRESSURE
(NIBP)
T
ROUBLESHOOTING
..................................................................................................................................................... 23
iv ZOLL M Series Operator’s Guide - Option Insert
Preface
How Do I Use This Manual?
This manual insert describes the set up and use of the M Series Non-Invasive Blood Pressure option.
If you already know how to use the M Series unit, start by reading the "Safety Summary", "Indications
for Use" and "Introduction" sections of this insert. Familiarize yourself with all the procedures in this
insert before you use the NIBP option. Consult the "Troubleshooting" section if the M Series unit fails
to operate as expected.
If you do not know how to use the M Series unit, see the M Series Operator’s Guide and the relevant
inserts. Thoroughly read the Safety Considerations and Warnings sections in both the MSeries
Operator’s Guide and the relevant inserts before operating your M Series product.
Place this insert in the three-ring binder along with the M Series Operator’s Guide and all other option
inserts.
Safety Summary
The following section summarizes the warnings, cautions and other safety information related to the
NIBP option. Additional warnings and cautions are in the text of this insert. Read this section
thoroughly before operating the NIBP Option.
Preface
General NIBP Safety
• Read the M Series Operator’s Guide and this manual insert before use.
• Ensure that the M Series NIBP option is operated by qualified personnel only.
• Consult a physician for the proper interpretation of pressure measurements.
• Do not use the NIBP option on newborns or infants whose upper arm circumference is less than
13 cm unless the unit is an M Series CCT unit.
• Do not use on patients known to be susceptible to bruising.
• Use caution when using on elderly hypertensive patients, as such patients may be more susceptible
to bruising.
• Do not use in the presence of oxygen-rich atmospheres, flammable anesthetics or other flammable
agents (such as gasoline). Do not use near the site of a gasoline spill. Explosion may result.
• Route patient cabling and hoses carefully to avoid patient entanglement, strangulation or
compression of hose.
• Do not select a cuff inflation pressure that exceeds the patient’s expected systolic pressure by more
than 30-40 mmHg (4.0-5.3 kPa). The factory-installed default cuff inflation pressure is 160 mmHg
(21.3 kPa) for adult patients. On M Series CCT units, the default cuff inflation pressure is
160 mmHg (21.3 kPa) for adult patients, 120 mmHg (16.0 kPa) for pediatric patients, and
90 mmHg (12.0 kPa) for neonatal patients.
• Do not attach the cuff to a limb being used for IV infusion or SpO
block the infusion, causing harm to the patient or inaccurate measurements.
• Keep patients as still as possible during measurement. Patient movement or vibrations from outside
sources, particularly moving vehicles, can degrade the measurement accuracy.
• Do not touch the bed, patient, or any equipment connected to the patient during defibrillation. A
severe shock to the operator can result.
monitoring. Cuff inflation might
2
ZOLL M Series Operator’s Guide - Option Insert v
NON-I
NVASIVE BLOOD PRESSURE
• Do not allow exposed portions of the patient’s body to come in contact with metal objects, such as
a bed frame during defibrillation. Unwanted electrical pathways can result.
• Check patient regularly for signs of skin irritation or impaired circulation in the monitored limb.
• If an alarm occurs while the alarms are audibly disabled, audio alarms do not sound, only visual
alarms display.
• If the accuracy of measurements is suspect, first check the patient's vital signs by alternate means.
Then check the cuff, hose and M Series NIBP option for proper functioning.
• Do not immerse the M Series device, batteries, patient cables, sensors or airway adapters in water,
solvents, or cleaning solutions.
• Do not sterilize.
• Connect the ECG-out jack and modem (if available) only to other equipment with galvanically
isolated circuits.
• The cuff, hose and fitting are defibrillator proof. Using the NIBP option introduces no risk for shock
due to defibrillation. The cuff and hose are non-conductive. Using the NIBP option introduces no
risk for burns due to electro-surgery.
(NIBP)
Cuff and Hose Safety
• Only use cuffs, hoses and connectors supplied or specified by ZOLL.
• Ensure that the hose is not kinked or obstructed before taking measurement.
• Do not use damaged cuffs, hoses or connectors.
• Ensure proper cuff selection and placement to avoid inaccurate measurements or patient injury.
• Position the cuff so it is level with the heart during measurement.
• Do not place the cuff on a limb with an SpO
• Do not repeat NIBP measurements (particularly STAT measurements) at intervals less than
3-5 minutes over an extended period of time. Rapidly repeating measurement can impair circulation
in the monitored limb.
• Do not sterilize or immerse the cuffs or hoses.
sensor or an infusion line.
2
Indications for Use
The ZOLL M Series NIBP option is indicated for the noninvasive measurement of arterial blood
pressure for resting patients in critical care and transport. The NIBP option on standard M Series units
is designed to measure blood pressure for adult and pediatric patients only. The NIBP option on
M Series CCT units is designed to measure blood pressure for adult, pediatric, and neonatal patients.
Contraindications for Use
Use of the ZOLL M Series NIBP option is not indicated for use on neonatal patients or infants whose
upper arm circumference is less than 13 cm unless the unit is an M Series CCT unit.
vi ZOLL M Series Operator’s Guide - Option Insert
Preface
SunTech CE Contact
All cuff, hose and NIBP questions with regards to the Declaration of Conformity with European
Union Directives should be directed to the authorized representative for SunTech:
SunTech Medical Instruments Ltd.
Oakfield Industrial Estate
Stantom Harcourt Road
Eynsham, Witney
OX8 ITS
UK
ZOLL M Series Operator’s Guide - Option Insert vii
NON-I
NVASIVE BLOOD PRESSURE
(NIBP)
viii ZOLL M Series Operator’s Guide - Option Insert
Introduction
What Can I Do With the NIBP Option?
With the NIBP option you can do the following in Monitor, Pacer, or Defib mode:
• Take a single blood pressure measurement.
• Take a STAT measurement - as many measurements (up to ten) as possible within five minutes.
• Take repeated measurements at user-programmable intervals.
• Immediately abort any measurement in progress by pressing one button.
• Set the cuff inflation pressure to adjust automatically based on the previously measured systolic
value.
• Display systolic, diastolic and mean blood pressure on the screen.
• Configure alarms to go off when the unit detects blood pressure values above or below
user-programmable limits.
How Do I Use the NIBP Option?
To take safe and accurate blood pressure measurements using the M Series NIBP option, you must do
all of the following:
1. Select the proper sized cuff.
2. Connect the hose to the M Series unit and to the cuff.
3. Apply the cuff to the patient.
4. Display the NIBP menu.
5. Set the cuff inflation pressure (if the current setting is not appropriate).
6. Configure alarms (if the current settings are not appropriate).
7. Take blood pressure measurement(s).
8. Read the display.
Introduction
NOTE To facilitate quick reactions in emergency situations, press the NIBP button instead of completing
steps 4 - 7.
Each step corresponds to a section in this chapter. Read each section carefully before you use the
M Series NIBP option.
WARNING Do not use the NIBP option without proper training. Setting initial inflation pressure too high can
result in serious injury to the patient. Patient movement, very low pulse volume or vibration from
outside sources can influence the accuracy of blood pressure measurements.
ZOLL M Series Operator’s Guide - Option Insert 1
NON-I
NVASIVE BLOOD PRESSURE
How Does the NIBP Option Work?
The NIBP option uses the oscillometric method to measure arterial blood pressure and consists of the
following parts:
• Blood pressure cuff.
•Hose.
• Pump.
• Pressure sensor and signal processing electronics/software (inside the M Series unit).
When taking a measurement, the M Series unit performs the following cycle:
1. Cuff inflates to preset pressure, cutting off the flow of blood through the arteries in the monitored
limb.
2. Cuff deflates incrementally.
3. When the cuff pressure drops far enough, the blood flow in the patient’s arteries resumes.
4. Pressure oscillations caused by the restricted blood flow travel from the cuff, through the hose, and
to the M Series unit.
5. A sensor inside the M Series unit measures the pressure oscillations and calculates the
corresponding systolic, diastolic, mean blood pressure and pulse rate values.
6. Blood pressure values display on the screen.
This cycle takes approximately 30 seconds. If set to do so, the M Series unit repeats the cycle at a userselected interval.
If the sensor cannot detect systolic pressure, the M Series unit immediately increases the cuff inflation
pressure and completes the measurement. If the M Series unit finds a fault, it displays a corresponding
message on the screen. If after 180 seconds the M Series unit has not been able to determine systolic,
diastolic or mean pressure, it aborts the measurement and deflates the cuff.
When taking automatic interval measurements, the M Series unit does not start a new measurement
unless 30 seconds have elapsed since the end of the previously completed measurement cycle.
(NIBP)
2 ZOLL M Series Operator’s Guide - Option Insert
Introduction
How Do I Read the Display?
After each measurement, the NIBP display area displays systolic, diastolic, and mean blood pressure
values.
To access most NIBP features you must press a softkey with the appropriate softkey label. To facilitate
quick reaction in emergency situations, you can control certain NIBP features by pressing the NIBP
button (see the following figure):
Figure 1 M Series Front Panel with NIBP Option
LEAD
NIBP Display
Area
NIBP
CO2
ECG
100
120
80
38
SpO2%
m
Hg
m
24
98
24
ECG
RR
SIZE HR
II 120
x2
LEAD
SIZE
ALARM
SUSPEND
RECORDER
MONITOR
CHARGE
ENERGY
SELECT
ANALYZE
2
SHOCK
3
DEFIB
1
OFF
PACER
4:1
PACER
RATE
ppm
Softkey Labels
MONITOR
00:15
Param Wave 2 Alarms
ID#
12 Lead
PACER
OUTPUT
mA
Softkeys
CHARGER ON
RELEASE
SUMMARY
CODE
MARKER
NIBP
NIBP
NIBP Button NIBP Connector
NOTE Depending on the options included in your M Series unit, your front panel and display may differ
slightly from the illustrations in this insert.
ZOLL M Series Operator’s Guide - Option Insert 3
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