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CNSystems CNAP Monitor 500 HD, Operator'S Manual

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CNSystems CNAP Monitor 500 HD Operator'S Manual Download Page 88

Pulse Pressure Variation (PPV) 

 

CNAP

®

 Monitor 500 

Page 11-3 

Version 5.2.5, 

h

 21-FHZU-10002

 

 
Under the following circumstances no CNAP

®

-PPV values are displayed: 

 

o

 

No valid CNAP

®

 values are available (during initialization phase of CNAP

®

) 

o

 

During the initialization of the PPV-Algorithm (takes at least three breathing cycles) 

o

 

Artifacts or arrhythmia in the CNAP

®

 signal. 

o

 

After a technical alarm regarding the CNAP

®

 subsystem has occurred. 

 

Distributed by BIOPAC Systems, Inc.

Manufactured by CNSystems AG

Summary of Contents for CNAP Monitor 500 HD

Page 1: ...CNAP MONITOR 500 OPERATOR S MANUAL...

Page 2: ...the standards UL 60601 1 2003 and CAN CSA C22 2 No 60601 1 08 This manual refers to the following products Types models CNAP Monitor 500 HD CNAP Monitor 500i CNAP Monitor 500at CNAP Monitor 500i at P...

Page 3: ...roller 3 7 3 2 2 3 CNAP cable 3 7 3 2 3 NBP cuff 3 8 3 3 Power supply 3 8 3 3 1 Mains operation 3 8 3 3 2 Battery operation 3 9 3 4 First steps 3 11 3 4 1 Power On Off 3 11 3 4 2 Access return to main...

Page 4: ...2 Pausing switching off alarms Alarms Paused Alarms Off 6 5 6 3 3 Reactivation of paused alarms Alarms Off 6 5 6 4 Alarm limits 6 5 6 4 1 Display of individual alarm limits 6 5 6 4 2 Alarm setup 6 6 6...

Page 5: ...lse Pressure Variation PPV and Stroke Volume Variation SVV 11 1 11 1 Warnings 11 1 11 2 Performing CNAP PPV SVV measurements 11 2 12 Hemodynamics 12 1 12 1 Warnings 12 1 12 2 Start of the HD measureme...

Page 6: ...l Features 16 3 16 6 Other accessories 16 3 17 Appendix C Technical specifications 17 1 17 1 CNAP Monitor 500 17 1 17 1 1 External mains adapter 17 2 17 1 2 CNAP continuous non invasive arterial press...

Page 7: ...e charge the battery at every op portunity NOTE The NOTE icon indicates helpful information referring to the utilization of the CNAP Monitor 500 and its components NOTE Use the graphics on the CNAP co...

Page 8: ...a time Never measure two or more patients at the same time applying only one device Please pay attention to the precautions regarding electromagnetic compatibility see chapter 17 3 Electromagnetic co...

Page 9: ...less functioning accuracy of measurement and immunity of interference as well as the patients safety only use original CNSystems accessories and re placement parts CNSystems will not warrant for fault...

Page 10: ...the end of the products lifecycles in accordance with respective national regulations or send the parts back to CNSystems Medi zintechnik AG 2 4 Declaration of intended use The CNAP Monitor 500 is in...

Page 11: ...rements for Using Following are the requirements for the application of CNAP Monitor o Application in medical facilities hospitals clinics nursing homes etc o Only use in enclosed spaces o Must not be...

Page 12: ...ly enables the AUX analog output port for transferring the analog blood pressure waveform to other devices The CNAP Monitor 500i at PPV has the additional feature to measure the Pulse Pressure Variati...

Page 13: ...t analog output port NBP cuff connector Illustration 3 Printer interface power supply Thermal printer Mains power port USB connector software up dates data storage Ethernet connector AUX analog output...

Page 14: ...troduction CNAP Monitor 500 Page 3 3 Version 5 2 5 h 21 FHZU 10002 Illustration 4 Back view Holding device channel op tional Type plate 1 2 Distributed by BIOPAC Systems Inc Manufactured by CNSystems...

Page 15: ...tart Stop of a measurement 6 Alarm Pause Off see chapter 6 7 Applied part of type BF is protected from defibrillation pulses 8 Ethernet connector 9 USB connector 10 DC supply required 11 AUX Analog ou...

Page 16: ...for use 22 Transport in upright position 23 p Keep try 24 j Fragile handle with care 25 L Don t use device if containment is damaged contact ser vice department 26 w Keep away from sun light 27 Altern...

Page 17: ...w restricts this device to sale by or on the order of a licensed healthcare practitioner 3 2 2 CNAP hardware Illustration 5 CNAP Monitor 500 CNAP Monitor 500 CNAP hardware NBP hardware 3 2 2 1 CNAP do...

Page 18: ...designed so as to avoid any confusion when putting the cables into the corresponding jacks The graphics on the upside of the CNAP controller help choosing the right size of CNAP double finger cuff The...

Page 19: ...n the CNAP Monitor 500 is connected to the mains power supply the integrated sealed lead gel battery is recharged as well There is no time limit on the monitor being on mains operation The power adapt...

Page 20: ...ery charge status is also indicated via the battery LED on the front side of the monitor LED color Battery charge status Green Device runs on battery battery charge status 100 25 Orange Device runs on...

Page 21: ...ter 24 months in the course of maintenance service NOTE When switching from mains operation to battery operation it can take up to a minute until the battery charge status is displayed The thermal pri...

Page 22: ...ront side of the device for two seconds While the CNAP Monitor 500 is booting up device and soft ware information is displayed on the splash screen The green power LED indicates the operation status o...

Page 23: ...pt power supply the operator needs to disconnect the power cord 3 4 2 Access return to main screen After having started the monitor the main screen is displayed showing all measuring parameters and si...

Page 24: ...y if this is not displayed auto matically Stop Stop measurement CNAP or NBP 6 Alarm Pause Off Alarm functions control Press Alarm Pause Off key once set alarm reminder Press Alarm Pause Off key twice...

Page 25: ...ing the click wheel control then confirms the selection Subsequently either a drop down list appears or the function is activated automatically e g from on to off 3 Wheeling the click wheel control dr...

Page 26: ...tension or pressure is exerted on the CNAP double finger cuff via the cable connection 3 Applying the NBP cuff a Make sure that only NBP cuffs authorized by CNSystems are used and that you apply the c...

Page 27: ...econd hand in order to achieve better results 3 5 3 Shutting down the device The measurement is terminated by pressing the Start Stop button at the front bottom of the CNAP Monitor To remove the CNAP...

Page 28: ...or NBP to the left next to the bar graph display and numerically as a countdown mm ss to the right of the bar graph dis play Example 1 The immediate next interruption is a CNAP change of finger NBP me...

Page 29: ...tery in the CNAP double finger cuff on a scale from 0 no signal to 6 very good signal The current PI is shown on the screen as a white bar The maximum value that was found during the ca libration phas...

Page 30: ...he initialization phase until a continuous blood waveform is displayed NOTE The reason for a low light signal may be insufficient peripheral circulation a misplaced CNAP finger cuff Before starting a...

Page 31: ...e saved automatically Loss of settings only occurs in the case of interruption of power supply no mains operation followed by battery depletion 4 2 Measurement settings Menu item Description Settings...

Page 32: ...tor expects a manually entered blood pressure value e g measured with a NBP module from a patient monitor for calibrating the CNAP signal NBP Calibration The CNAP Monitor calibrates automatically to a...

Page 33: ...on will be displayed auto matically In this menu the systolic and diastolic blood pressure values can be entered Illustration 20 Manual input of blood pressure calibration values The calibration value...

Page 34: ...e special applications it is possible to trigger an NBP measurement directly after the start of the measurement without any repeating NBP measurement afterwards NOTE An automatically triggered NBP mea...

Page 35: ...menu in the CNAP Monitor 500 Service manual for users You will find the password for the service menu in the CNAP Monitor 500 Instruc tions for service service manual Menu item Description Settings Re...

Page 36: ...ber of measurements has a sequence number It is important to enter the license keys in ascending sequence The sequence number of the next valid key is displayed next to the number of available measure...

Page 37: ...e chapter 4 6 Interfaces the CNAP blood pressure waveform signal via the BP Wave Out is standardized Its sensitivity always amounts to 5 V V mmHg The bridge voltage on the CNAP Monitor 500 depends on...

Page 38: ...ort successful zeroing must be within 32 mmHg e g by signaling zero completed offset is xx mmHg If you do not deactivate IBP Zeroing Stop and leave it on Stop the pressure signal on the patient monito...

Page 39: ...tion 4 6 Interfaces optional On the right side of the CNAP Monitor 500 the following connectors can be found see chapter 3 2 1 illustration 3 4 6 1 AUX Analog Out analog output port The AUX Analog Out...

Page 40: ...or Advanced The settings for Record cannot be changed during a measurement NOTE Do not remove a connected USB flash drive during an ongoing measurement Only USB flash drives formatted with FAT32 are...

Page 41: ...data deleted 2 Turn off the CNAP Monitor 500 3 Connect USB stick 4 Turn on the CNAP Monitor 500 5 Open the monitor menu in Setup Monitor and select one of the following settings for record ing Setting...

Page 42: ...1 Chanel 1 shows always the BP wave form Label Analog Out 2 Select MAP or Pulse for Chanel 2 Default MAP MAP Pulse Analog Out 3 Select CO SV or SVR for output on Chanel 3 Default CO CO SV SVR Analog...

Page 43: ...Entering the respective patient category for instance results in the subsequent adjustment of the alarm limits as well as of the NBP cuff inflation pressure 5 1 Start Measurement Patient entry and us...

Page 44: ...blood pressure and all hemodynamic parameters New BP PPV Measurement Measures blood pressure and PPV New BP Measurement Only the measurement of blood pressure is started b Use Current Patient Data co...

Page 45: ...rol ID Patient file number e g 12345678 max 15 characters Keyboard click wheel control Gender Patient gender M F Age Patients age in yeas 4 99 Weight Weight of patient in kg 20 200 Height Patient s bo...

Page 46: ...in screen Select Discharge and confirm your selection in the input di alog b Setup of a new patient Immediately after a new patient has been set up with the CNAP double finger cuff and the device s se...

Page 47: ...epending on the used measurement mode BP PPV or HD Behaviour of pay per use measurements For one measurement only one parameter counter is decremented o Blood pressure only BP o Measurement of blood p...

Page 48: ...malfunction the operator may have to take a measure e g replace a defective CNAP double finger cuff NOTE The CNAP Monitor 500 has no other than the mentioned 2 alarm levels physiologi cal alarms yello...

Page 49: ...l alarm signals Alarm frame Background color YELLOW Physiological alarms medium priority CYAN Technical malfunction alarms low priority BLUE Status messages Alarm priority medium priority low priority...

Page 50: ...arm signals The differently coded alarm signals are repeated until acknowledged by pressing the Alarm Pause Off key NOTE Repetition rate for acoustic alarm signals is 5 seconds for physiological alarm...

Page 51: ...ff 6 3 1 Acknowledgement of alarms In order to acknowledge all activated alarms physiological and technical malfunction alarms press Alarm Pause Off once Depending on the respective settings of the Al...

Page 52: ...NOTE Pausing alarms is only possible if no physiological alarms are activated During measurements Alarm Pause setting changes will only become active with the next activated alarm pause i e after rest...

Page 53: ...operator to adjust the alarm functions of all parameters Menu item Description Settings Auto Limits Automatic setting of alarm limits for activated alarms Narrow Wide Cancel Off Sys Alarm limits for s...

Page 54: ...ings can be found in the CNAP Monitor 500 Service manual for users STOP The parallel use of different alarm settings for the same device or similar instruments used in different areas e g in the inten...

Page 55: ...Lower limits Defaults Upper limits Lower limits Defaults Upper limits sBP mmHg 40 90 255 45 140 260 dBP mmHg 30 50 245 35 90 250 mBP mmHg 35 60 250 40 110 255 Pulse bpm 30 50 195 35 110 200 Alarm lim...

Page 56: ...arms and malfunction reports In order to view the Alarm History use the click wheel control to first select Trend frame and then to open Alarm History Each report of the alarm history includes the fol...

Page 57: ...r alarm limit In addition Sys MAP Dia indicates which parameter has exceeded the alarm limit Flashing CNAP values alarm message and acoustic alarm signal CNAP Sys Low CNAP Dia Low CNAP MAP Low Medium...

Page 58: ...uring venous stasis Sys Dia MAP Puls Start of Measurement until calibration to NBP or external BP value was finished Sys Dia MAP The alarm limits are deactivated only for the continuous CNAP measureme...

Page 59: ...and CO can be changed by the user are saved on a beat to beat or averaged basis for a maximum of 24 hours Saved recordings can be displayed in the Trend frame at any time see chapter 7 2 1 Trend view...

Page 60: ...1h 2h 4h 8h 12h 24h Numeric 1min 5min default 15min 30min 1h Time Shift Shift displayed time frame in trend view 7 2 Setup 7 2 1 Trend views Recorded data are automatically displayed in the Trend fra...

Page 61: ...cale factor of the displayed parameters can be configured in the menu Display Options Trend Parameters The scaling is determined with two parameters Mean Determines the middle value of the parameter s...

Page 62: ...isplay allows a numeric view of the following selected parameters on a time axis Per default the blood pressure and the CO values are displayed The selection of para meters is described in chapter 7 2...

Page 63: ...he selected Time Scale time interval In case of an adjustment of the time scale the current point of time is displayed in the far right column of the Trend frame STOP Time labels displayed in the Navi...

Page 64: ...MAP Dia and Pulse as well as the Time Scale see chapter 5 3 Discharge 7 2 5 Scrolling of trend views The time slot of the data displayed in the Trend frame can be adjusted in the Display Op tions Tim...

Page 65: ...Interventions During a measurement it is possible to mark a specific event with a graphical marker called inter vention These interventions can be set manually at any time during a measurement or auto...

Page 66: ...ion is displayed in cyan color see illustration 32 If this option is active default an intervention is set in case of one of the following events Label Description Event NBPcal NBP measurement with su...

Page 67: ...lect a marker from the list The marker of a manual intervention is displayed in yellow see illustration 32 The labels for the customer defined interventions are changed in the menu Setup Measurement D...

Page 68: ...y determines the selected Trend Report Graphic Trend Report Graphical see chapter 8 3 Illustration 37 Numeric Trend Report Numerical see chapter 8 3 Illustration 38 Alarm History Report Alarm History...

Page 69: ...edefined print reports All print reports have the same header containing the following information Print report type Name Patient ID Gender Birth date Printed date and time Last NBP values and time of...

Page 70: ...alarms will be printed Snapshot Report In the case of multiple alarms a separate snapshot for each alarm will be printed last 10 seconds before to 3 seconds after the alarm All reports are uniformly i...

Page 71: ...P cuff can be placed on the patient s upper arm either on the same ipsilsateral or on the other contralateral arm as the CNAP double finger cuff NBP measurement is essential to ensure absolute accurac...

Page 72: ...art Stop on the front panel of the CNAP Monitor 500 Pain or strong feelings of discomfort are in no way normal and are not a part of CNAP measurements Should a patient report any of these feelings sto...

Page 73: ...all CNAP double finger cuff may result in faulty blood pressure recordings Selection of the appropriate finger cuff Choose the right size of the finger cuff by using the graphic on the CNAP controller...

Page 74: ...CNAP finger cuff in a comfortable position for the patient Place the NBP blood pressure cuff on the patient s upper arm calibration for CNAP contralate rally or if necessary on the same arm as the dou...

Page 75: ...are displayed directly in the Main Screen of the CNAP Monitor 500 Blood pressure waveform morphology Blood pressure trends o Sys o Dia o MAP o Pulse Numeric blood pressure values o Sys o Dia o MAP o...

Page 76: ...s The CNAP Parameter frame displays the current blood pressure parameters Sys MAP Dia and Pulse Systolic blood pressure Diastolic blood pressure Mean blood pressure Alarm limit settings Illustration 4...

Page 77: ...moni tors before and after an active CNAP measurement available CNAP values Zeroing which can be activated deactivated ma nually for interface to external patient monitors during an active CNAP measur...

Page 78: ...a subsequent CNAP change finger the signal on the BP Wave Out AUX Analog Out interface is a rectangular curve with minimum maximum values and frequency resembling the last valid systolic and diastolic...

Page 79: ...n 48 CNAP Component Organizer Set NOTE To avoid damages always store the CNAP Controller in the provided CNAP Control ler bracket CAUTION Do NOT hook the CNAP Controller on the CNAP finger sensor brac...

Page 80: ...ined by the selected patient category see chapter 5 2 Patient entry During NBP measurement it is graphically and numeri cally displayed as a bar at the bottom of the Parameter frame see illustration 4...

Page 81: ...e of 80 60mmHg is reached the pressure is displayed numer ically to the right of the bar After the target pressure has been reached the numeric display of pressure is re placed by the time remaining u...

Page 82: ...re mea surements Interference by external devices Results of NBP recordings are not to be used if the measured oscillometric pulse has been influenced by other devices or techniques e g contrapulsatio...

Page 83: ...tach the NBP cuff on the upper arm of the patient at heart level The marker on the NBP cuff should be directly above the brachial artery NOTE Do not attach the cuff too tightly around the limb as this...

Page 84: ...single measurement by using the click wheel control to access the Parame ter menu NOTE The NBP measurement serves to calibrate the CNAP blood pressure measurement at the heart level 1 10 5 View featur...

Page 85: ...itors before and after an active CNAP mea surement available CNAP values Zeroing which can be activated deactivated ma nually for interface to external patient monitors during an active CNAP measureme...

Page 86: ...terature the clinical relevance of PPV information is restricted to sedated patients receiving controlled mechanical ventilation and who are mainly free from cardiac arrhythmia The CNAP Monitor calcul...

Page 87: ...be set as a default for all measure ments in the menu Setup Measurements Hemodynamic by enabling PPV or HD For the activation of the CNAP SVV the above mentioned menu entry Hemodynamic must be set to...

Page 88: ...isplayed o No valid CNAP values are available during initialization phase of CNAP o During the initialization of the PPV Algorithm takes at least three breathing cycles o Artifacts or arrhythmia in th...

Page 89: ...he HD parameters may re sult in severe deviations and high variability The measurement of hemodynamic parameters must not be performed while using an in tra aortic balloon pump on the same patient Dur...

Page 90: ...tient dialog will be displayed automatically For calibrating the hemodynamic parameters it is necessary to enter the correct values for gender age weight and height The patient dialog can be closed by...

Page 91: ...ion value needs to be confirmed with Ok to calibrate the HD parameter values An advisory message will be shown when the calibration value has been accepted and the time of calibration and the referenc...

Page 92: ...ed HD parameter display The selection of parameters to be displayed in the trend view can be changed in the menu Display Options Trend Parameters There can be selected between o CO or SV o Pulse or SV...

Page 93: ...liquid Do not pour any liquid directly on the device Do not let residues of detergents air dry on any parts of the device Wipe them off with a cloth moist with water and then dry the instruments with...

Page 94: ...long term damage of any kind The device is to be cleaned before disinfection Find recommended disinfectants listed below Disinfectant Concentration Glutaraldehyd 3 4 n Alkyl Alkohol 0 28 8 Hypo chlori...

Page 95: ...sts all technical alarms and device status messages that may occur during the use of the CNAP Monitor 500 NOTE In case you require service support for your CNAP Monitor 500 please report the exact tec...

Page 96: ...w Internal error CNAP monitor must not be used for further measurements Reboot CNAP Monitor 500 In case of persistent error con tact service MU CNAP Fail ure Low Failure in CNAP hardware Reboot CNAP M...

Page 97: ...is complete IBP Disconnected BP Wave Out is discon nected from patient monitor n a 14 2 2 Technical alarms Message Priority Possible cause Measures IBP Fault Low Internal controller prob lem Reboot C...

Page 98: ...ervice 14 4 CNAP 14 4 1 Status messages Message Possible cause Measures CNAP Check Connections CNAP controller is not con nected Check connection of CNAP controller CNAP Check Cuff Con nections CNAP d...

Page 99: ...ing end of lifecycle thus providing low quality of measurement remaining lifetime less than 12 hours Replace CNAP double finger cuff CNAP Cuff Ambient Light Ambient light interferes with CNAP double f...

Page 100: ...CNAP hardware In case of persistent error contact service for faulty CNAP controller CNAP Failure Reservoir Overpres sure Low Pressure exceeded 450mmHg for more than 10 sec in CNAP air reservoir Disco...

Page 101: ...g warm patient s hand CNAP Cuff Fault Overpressure Low Pressure exceeded 330mmHg for more than 2 sec in CNAP finger cuff Check CNAP double finger cuff for patient movement Disconnect and reconnect CNA...

Page 102: ...her cuff size In case of persistent error replace CNAP double finger cuff CNAP Cuff Fault Leakage Right Low Leakage in right CNAP double finger cuff Check connections of CNAP hardware Replace CNAP dou...

Page 103: ...cking CNAP NBP check measure ment as CNAP blood pressure changed more than 25mmHg within one minute compared with last NBP measurement n a NBP Venous Stasis Venous stasis is per formed n a 14 5 2 Tech...

Page 104: ...fit of NBP cuff Check for proper NBP cuff size NBP Safety Timeout Low Safety time limit exceeded Check position and fit of NBP cuff Avoid artifacts e g movement Check for proper NBP cuff size Start ne...

Page 105: ...nt error con tact service NBP ADC Failure Low Analog digital con verter out of mea suring range Reboot CNAP Monitor 500 In case of persistent error con tact service NBP Calibration Failure Low Faulty...

Page 106: ...emitting diode M Main Screen Monitor main screen can be accessed from any menu via pressing Main Screen fixed key MAP Mean arterial blood pressure min Minute mm sec Millimeters per second mmHg Millim...

Page 107: ...Illustration 33 Numeric Trend Display 7 4 Illustration 34 Alarm History with entries 7 6 Illustration 35 Navigation frame including time specification 7 7 Illustration 36 Automatic and manual interve...

Page 108: ...20E CNAP double finger cuff small Maximum Lifecycle1 20 FVMA 15420M CNAP double finger cuff medium Standard 1 20 FVMA 15520 CNAP double finger cuff medium Extended Lifecycle1 20 FVMA 15520E CNAP doubl...

Page 109: ...d properly KANZAN guarantees archivability of at least 7 to 10 years when using this kind of paper High quality non topcoated thermal papers like this are also resistant to the influence of external s...

Page 110: ...1 HHCS 02201 Upgrade 500i to 500at 21 HHCS 02100 Option HD unlimited 21 HHCS 02300 16 6 Other accessories Items Number External mains adapter1 21 FHET 01010 Power cord Standard 20 HEKA 01014 Power cor...

Page 111: ...endix B CNAP Monitor 500 Page 16 4 Version 5 2 5 h 21 FHZU 10002 Operator s Manual Spanish 21 FHZU 10005 1 Manufacturer M R Multitronik GmbH Distributed by BIOPAC Systems Inc Manufactured by CNSystems...

Page 112: ...VDC 10 Nominal current 3 A Operability No time limit if powered by external mains adapter at least 2h if on battery operation fully charged battery Environmental conditions for operation Temperature O...

Page 113: ...resolution Beat to beat 17 1 1 External mains adapter External mains adapter Type BACS60M 18 C8 D62 M R Multitronik GmbH Connectors IEC mains power plug DC connector for CNAP Monitor 500 Cooling syst...

Page 114: ...ction against electric shock Defibrillation protected applied part Type BF Defibrillation protection According to IEC 60601 1 HF surgery No restrictions 17 1 3 NBP non invasive blood pressure NBP non...

Page 115: ...ion protected applied part Type BF Defibrillation protection According to IEC 60601 1 HF surgery No restrictions 17 1 4 Printer Printer Type Integrated thermal paper printer Width 58mm Roll diameter 6...

Page 116: ...configurable 0 5 V or 5 5 V Sampling fre quency 100 Hz Output Offset 50 mV Output Accuracy 5 Output Internal Resistor 100 Ohm Output Current max 2 mA Resolution Im pedance 12bit Isolation 1sec 4 KVDC...

Page 117: ...omagnetic emission or in decreased functional immunity of the CNAP Monitor 500 As electric and magnetic fields may interfere with the functional reliability of the device avoid us ing the CNAP Monitor...

Page 118: ...ial or hospital envi ronment Surge IEC 61000 4 5 1 kV differential mode 2 kV common mode NA Mains power supply quality should be that of a typical commercial or hospital environ ment Voltage dips shor...

Page 119: ...om fixed RF trans mitters as determined by an elec tromagnetic site survey should be less than the compliance level in each frequency range b Interference may occur in the vicini ty of equipment marke...

Page 120: ...ng frequency and rated power output by means of the respective formula whereas the maximum rated power output is P in watts W according to the specifi cation of the manufacturer Note 1 At 80 MHz and 8...

Page 121: ...ocol shipping documents 17 4 3 Maintenance The maintenance includes the following activities Exchange of the following components o CNAP pump o Battery o CNAP controller cable Service of seals Test me...

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