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 37

Tr

oubleshooting

13.3  Guidance for Reliable Performance

To improve the reliability of the results, the following points should be 
noted:

• 

Cell/smart phones etc, must be at least 4 feet away from the unit.  

• 

The couch should be separated from adjacent walls etc. as pressure on the 
arms or cuffs must be avoided.

• 

Check that the clothing is not too thick. The cuffs can be applied over thin 
shirts, socks or pantyhose. If in doubt, remove the socks.

• 

Always brief the patient before the test, explaining that the cuffs will tighten, 
and that the test will take approximately 3 minutes to complete.

• 

The patient’s arms must be supported by the couch.

• 

The patient’s arms must be completely relaxed during the test and not 
pulled tight against the body.

• 

The patients heels must be supported on the couch and not be allowed to 
overhang the end.

• 

The cuffs must have the correct tension – a snug fi t (taut but not tight)

• 

The arm sense chamber must be located just below the elbow on the 
largest diameter part of the forearm. The connecting strap between the two 
chambers should not be fl at.

• 

The patient must lie supine, be relaxed, remain still, and refrain from 
talking, coughing etc.

• 

The operator must not talk to the patient – this always prompts responses 
from the patient.

• 

The operator must not touch the cuffs or knock the tubing during the test.

• 

When performing repeat tests on the same patient, allow at least 5 minutes 
for stabilization between tests.

Summary of Contents for dopplex ABIlity

Page 1: ......

Page 2: ...s 13 9 Battery Operation 14 10 Product Identification 15 10 1 Front Panel 15 10 2 Rear Panel 15 10 3 Base 16 10 4 Product Labelling 16 11 System Connection 18 11 1 USB Port 18 12 Operation 19 12 1 Get...

Page 3: ...39 14 3 Cleaning and Disinfecting the Ability Unit 40 15 Maintenance 40 16 Accessories 41 16 1 Carry bag 41 16 2 Roll Stand 42 17 Specifications 45 17 1 Equipment Classification 45 17 2 Performance 45...

Page 4: ...f personal injury or material damage Attention consult accompanying documents Instructions for Use 1 1 Warnings WARNING A possible explosion hazard exists if used in the presence of flammable anesthet...

Page 5: ...ctrical cables 1 2 Residual Risks Residual risks are those risks that require a warning or caution to be entered into this manual They are identified by the proximity of this symbol 1 3 Patient Applie...

Page 6: ...al disease PAD Dopplex Ability is intended for the rapid measurement of ankle brachial pressure index ABPI or ankle brachial index ABI in adults and pulse volume recording PVR volume plethysmography A...

Page 7: ...analysis are recommended WARNING Dopplex Ability is not intended to be used in the following patient conditions a suspected or present Deep Vein Thrombosis DVT severe congestive cardiac failure or sim...

Page 8: ...the product or its accessories The product will be damaged and there is a risk of patient and user harm CAUTION If using the dopplex Ability roll stand ensure the unit is properly locked in place oth...

Page 9: ...ired for immediate use it should be re sealed into its original packing after carrying out the initial delivery inspection and stored under covered conditions at a temperature between 4 F 20 C to 122...

Page 10: ...onnect the battery please see instructions below 1 Invert the unit and remove the battery cover by removing the securing screw using the allen key provided 2 Lift the battery out and connect the batte...

Page 11: ...s to Select 6 3 Battery Conditioning Immediately after the language has been selected the battery conditioning screen will be displayed Battery Conditioning Do Not Disconnect From Mains Note The batte...

Page 12: ...ng over the cables and tubes Use is not recommended in areas that are used as access walkways Use in strong sunlight should be avoided as display visibility is greatly reduced The patient support surf...

Page 13: ...earth is not available operate the dopplex Ability from its internal battery pack Note To isolate the dopplex Ability from the mains or line supply disconnect the power cable from the mains inlet at t...

Page 14: ...will flash continuously The unit will then switch off automatically when the battery is completely discharged If the battery is disconnected for any reason it must be conditioned immediately after re...

Page 15: ...entifi cation 10 Product Identification 10 1 Front Panel V1 2 1 4 3 2 1 On Off button 2 Display 3 Function Buttons 4 Colour Coded Tubes 10 2 Rear Panel 1 2 3 1 Mains Inlet 2 Printer Cover 3 COM Port C...

Page 16: ...to the definitions in BS EN 60601 1 1990 Applied parts cuffs are type BF according to the definitions in BS EN 60601 1 1990 Functional Earth Power On Off Alternating current AC This symbol signifies...

Page 17: ...C22 2 No 601 1 E364052 The UL mark indicates that Dopplex Ability complies with Underwriters Laboratories requirements for safety and is subject to UL s follow up services program which verifies that...

Page 18: ...medical grade isolating transformer Suitable types are available via Huntleigh sales agents 5 Anyone who connects additional equipment to signal input or signal output parts of the system is configuri...

Page 19: ...1 Getting Started 1 Connect to mains supply V1 2 2 Press 3 Connect colour coded tubing Note Use the function buttons below the display to access and change the system setting and patient measurement...

Page 20: ...e unit Note If using label paper ensure roll ends are smooth If not press end of roll onto a flat surface CAUTION Only use paper approved by Huntleigh Note The printer lid is designed to detach if for...

Page 21: ...s the system settings Exit Contrast Set time date Paper type 24 11 10 14 34 Exit Contrast Set time date Paper type Audio volume Classification Waveforms Language Battery conditioner Demo Mode Cuff Lea...

Page 22: ...Confirm Press to set Date Note As the Time and Date are printed on the printout the time and date must be set correctly c Paper Type Press to select Paper type Press to Confirm Exit Contrast Set time...

Page 23: ...UTION The ABI Classification thresholds which are adjustable via the front panel function buttons should only be adjusted by a suitably qualified clinician f PVR Waveforms Press to select Waveforms ON...

Page 24: ...mo Mode Press to select Demo Mode The Demo Mode shows results that have been pre stored in the Ability This mode is useful at exhibitions without the need for a full test The printout is clearly marke...

Page 25: ...he patient has a known infection or skin is not intact use an infection control barrier sleeve with aseptic technique WARNING Do not apply cuff directly to non intact skin If a wound is present ensure...

Page 26: ...cuffs on the patient CAUTION Ensure all cuffs are fitted correctly and aligned on limbs according to the instructions Measurement error may occur if cuffs are fitted incorrectly Please Note For clari...

Page 27: ...acement Adult 22cm 36cm 8 7 14 2 Max Max Adult 22cm 36cm 8 7 14 2 Adult 18cm 28cm 7 1 11 0 Max Mi Adult 18cm 28cm 7 1 11 0 Max Min YELLOW LEFT ARM RED RIGHT ARM GREEN LEFT ANKLE BLACK RIGHT ANKLE Min...

Page 28: ...p with white line over the inside of the arm Over brachial artery Place distal chamber just below elbow on largest diameter part of the forearm Leg Foot Adult 18cm 28cm 7 1 11 0 Max Min Infection Cont...

Page 29: ...Measurement error or failure to take correct measurement may occur if cuffs are fitted incorrectly Ad ult 18c m 28c m 7 1 11 0 Max Min Ensure the cuffs are fitted in the correct orientation Measuremen...

Page 30: ...d that the test can be stopped at any time if they find the test unbearable This is done by pressing the centre key below the display The patient should also be asked to remain perfectly still during...

Page 31: ...not only classification as marginal results could be overlooked CAUTION Systolic pressures are displayed for information only and should not be used to form a clinical diagnosis 12 4 6 Example reports...

Page 32: ...out the following message will be displayed No Paper 12 4 8 Report Storage Guidance Store in a cool dry place Do not expose to sunlight temperatures greater than 100 F 38 C relative humidity over 80 o...

Page 33: ...power source 2 Defective power cable 3 Mains input fuses blown Unit will not turn on Connect to live power source Printout blank Paper inserted incorrectly Battery Low symbol showing Connect to the po...

Page 34: ...ction Run the Cuff Leak test in Section 13 2 Inflation Problem If any cuff fails to inflate correctly one of the following messages is displayed Left Right Arm Cuff Inflation Problem Left Right Ankle...

Page 35: ...s indicates that systolic pressure may be less than 80 mmHg or greater than 230 mmHg 120 196 124 L R 1 10 ABI 136 134 L R ABI Recommended Action Follow local clinical protocols for patient referral Un...

Page 36: ...f cuffs to the ankle cuff connectors black green on the unit 2 Open the cuffs and lay them flat on a suitable surface 3 Connect the unit to a mains supply and switch on 4 Select the Setup menu 5 Scrol...

Page 37: ...upported by the couch The patient s arms must be completely relaxed during the test and not pulled tight against the body The patients heels must be supported on the couch and not be allowed to overha...

Page 38: ...control policy and medical equipment cleaning procedures Observe warnings and guidance on cleaning fluid labelling regarding use and personal protective equipment PPE Do not use abrasive cloths or cle...

Page 39: ...ailable chlorine 3 Wipe with a cloth dampened in clean water 4 Completely dry with a clean lint free cloth 2 Medium High Risk Definition Procedure The patient has a known infection or skin is not inta...

Page 40: ...a clean dry cloth 3 Wipe with a cloth dampened in 70 Isopropyl Alcohol 4 Completely dry with a clean dry lint free cloth If the product becomes contaminated follow the low risk cleaning and disinfecti...

Page 41: ...ported The bag includes a central compartment for the main unit The side compartments each hold two cuffs The cuff tubing must be wrapped around the cuffs neatly before they are placed in the bag This...

Page 42: ...unt that allows the unit to be fitted and removed safely and quickly Note To use the roll stand a mounting plate Part No ACC VAS 012 is required to be fitted to the base of the Ability unit Mounting P...

Page 43: ...Release the lock pin and ensure it locates in the hole in the mounting plate This can be verified by attempting to slide the Ability unit sideways It must be securely locked into position Release loc...

Page 44: ...t firmly into position CAUTION Ensure the platform is firmly locked into position before use Cuff Storage The cuffs should be stored in the basket provided on the roll stand The tubing should be fitte...

Page 45: ...application in the presence of a flammable anaesthetic Equipment not suitable for use in the presence of a FLAMMABLE ANAESTHETIC MIXTURE WITH AIR OXYGEN OR NITROUS OXIDE 17 2 Performance Systolic Pres...

Page 46: ...o 1060mb Pressure 860mb to 1060mb Paper Shelf Life Up to 5 years if stored in the original wrapping in a dark place at an approximate relative humidity of 50 and a temperature below 77 F 25 C 17 5 Sta...

Page 47: ...18 28cm ACC VAS 024 Adult Left Arm Cuff 8 5 14 22 36cm ACC VAS 025 Adult Left Ankle Cuff 7 11 18 28cm ACC VAS 026 Large Adult Cuff Set arm and ankle cuffs ACC VAS 011 Large Adult Right Arm Cuff 13 18...

Page 48: ...ption of transducers and cables sold by the manufacturer of the dopplex Ability as replacement parts for internal components may result in increased emissions or decreased immunity of the dopplex Abil...

Page 49: ...rs as determined by an electromagnetic site survey a should be less than the compliance level in each frequency range b Interference may occur in the vicinity of the equipment marked with the followin...

Page 50: ...ine s to line s 2 kV line s to earth 1 kV line s to line s 2 kV line s to earth Mains power quality should be that of a typical commercial or hospital environment Voltage dips short interruptions and...

Page 51: ...2 3 10 3 8 3 8 7 3 100 12 12 23 For transmitters rated at a maximum output power not listed above the recommended separation distance d in metres m can be estimated using the equation applicable to t...

Page 52: ...isposal This symbol signifies that this product including its accessories and consumables is subject to the WEEE Waste Electrical and Electronic Equipment regulations and should be disposed of respons...

Page 53: ...ed other than with manufacturer s written authorization using its approved procedures or by any party other than manufacturer s properly qualified and trained technicians c Customer must provide writt...

Page 54: ...ure and properties of the Goods ordered and of any hazards they involve and the proper treatment storage and handling thereof Any technical advice furnished by ArjoHuntleigh Inc or its representatives...

Page 55: ...to the conformity assurance procedures laid down by the Council Directive Manufactured in the UK by Huntleigh Healthcare Ltd As part of the ongoing development programme the company reserves the right...

Page 56: ...771528 4 ENGLISH USA 2011...

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