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Accutorr 7 Operator’s Manual

E - 3

E.2

Abbreviations

AAMI

Association for Advancement of Medical Instrumentation

alternating current

ADT

Admit/Discharge/Transfer

Adu

adult

AVPU

Alert, Reacting to Voice, Reacting to Pain, Unresponsive

awRR

Air way respiratory rate

BTPS

body temperature and pressure, saturated

Conformité Européenne

CISPR

International Special Committee on Radio Interference

CMOS

complementary metal oxide semiconductor

CMS

central monitoring system

carbon dioxide

direct current

Des

desflurane

Dia

diastolic

DIAP

Datascope Improved ASCII Protocol

DPI

dot per inch

EEC

European Economic Community

EMC

electromagnetic compatibility

EMI

electromagnetic interference

EMR

Electronic Medical Record

Enf

enflurane

end-tidal

EtCO

end-tidal carbon dioxide

fraction of inspired

FiCO

fraction of inspired carbon oxygen

GCS

Glasgow Comma Scale

Hal

Halothane

identification

IEC

International Electrotechnical Commission

Summary of Contents for Accutorr 7

Page 1: ...Accutorr 7 Vital Signs Monitor Operator s Manual ...

Page 2: ......

Page 4: ...for editorial purposes without the intention of improperly using them They are the property of their respective owners Manufacturer s Responsibility Contents of this manual are subject to changes without prior notice All information contained in this manual is believed to be correct Mindray shall not be liable for errors contained herein nor for incidental or consequential damages in connection wi...

Page 5: ...ibed in the service manual is the responsibility of the user and is not covered by this warranty No agent employee or representative of Mindray has any authority to bind Mindray to any affirmation representation or warranty concerning its products and any affirmation representation or warranty made by any agent employee or representative shall not be enforceable by buyer or user THIS WARRANTY IS E...

Page 6: ...lified or unauthorized service people Malfunction of the instrument or part whose serial number is not legible Others not caused by instrument or part itself Service Mindray maintains a network of service representatives and factory trained distributors Prior to requesting service perform a complete operational check of the instrument to verify proper control settings If operational problems conti...

Page 7: ...R China Website www mindray com E mail Address service mindray com cn Tel 86 755 81888998 Fax 86 755 26582680 Distributor Mindray DS USA Inc Address 800 MacArthur Boulevard Mahwah New Jersey 07430 USA Tel 1 800 288 2121 1 201 995 8000 Website www mindray com EC Representative Shanghai International Holding Corp GmbH Europe Address Eiffestraβe 80 20537 Hamburg Germany Tel 0049 40 2513175 Fax 0049 4...

Page 8: ...This manual is an integral part of the product It should always be kept close to the equipment so that it can be obtained conveniently when needed Intended Audience This manual is geared for clinical professionals who are expected to have a working knowledge of medical procedures practices and terminology as required for monitoring of critically ill patients Illustrations All illustrations in this...

Page 9: ...e 2 12 2 6 2 Spot Check Mode 2 12 2 6 3 Standby Mode 2 13 2 6 4 Demo Mode 2 13 3 Basic Operation 3 1 3 1 Installation 3 1 3 1 1 Unpacking and Checking 3 2 3 1 2 Environmental Requirements 3 2 3 2 General Operation 3 3 3 2 1 Connection to AC Power 3 3 3 2 2 Using a Battery 3 3 3 2 3 Connecting Accessories 3 3 3 3 Turning On Off Power 3 4 3 3 1 Turning Power On 3 4 3 3 2 Turning off the Monitor 3 4 ...

Page 10: ...t 4 1 4 1 1 Admitting a Patient by the Admit Patient Hardkey 4 1 4 1 2 Admitting a Patient by Barcode Scanner 4 2 4 1 3 Admitting a Patient from Patient List 4 4 4 2 Manually Input Patient Data 4 5 4 3 Setting the Monitor Location 4 6 4 4 Manually Save Patient Data 4 7 4 5 Reviewing Patient Data 4 7 4 5 1 Spot Check Trends 4 7 4 5 2 Continuous Trends 4 9 4 5 3 Graphic Trends 4 10 4 5 4 Scoring Rev...

Page 11: ...ne 6 11 6 11 Latching Alarms 6 11 6 12 Actions for Alarm Occurrence 6 13 6 13 Nurse Call 6 13 7 Monitoring SpO2 7 1 7 1 Overview 7 1 7 2 Safety 7 2 7 3 Identifying SpO2 Module 7 3 7 4 Applying the Sensor 7 3 7 5 Changing SpO2 Settings 7 4 7 5 1 Accessing SpO2 Menu 7 4 7 5 2 Adjusting the Desat Alarm 7 4 7 5 3 Setting SpO2 Sensitivity 7 4 7 5 4 Changing Averaging Time 7 4 7 5 5 Monitoring SpO2 and ...

Page 12: ...7 7 Setting the Pressure Unit 9 8 9 8 Assisting Venous Puncture 9 8 9 9 Care and Cleaning of Reusable Cuffs 9 8 9 9 1 Reusable Cuffs with Bladders 9 8 9 9 2 Cleaning 9 8 9 9 3 Disinfection 9 9 9 9 4 Reusable Bladderless Cuffs 9 9 10 Monitoring Temp 10 1 10 1 Overview 10 1 10 1 1 Setting Temp 10 2 10 2 Preparation 10 2 10 2 1 Selecting Measuring Site 10 2 10 2 2 Taking a Temperature in Predictive M...

Page 13: ...in Screen 12 3 12 4 2 Scoring Screen 12 4 12 5 Obtaining the Total Score 12 6 12 6 Unfreezing the Screen 12 7 12 7 Managing Scorings 12 8 12 7 1 Allowing Measured Values to be Edited 12 8 12 7 2 Importing Scoring 12 8 12 7 3 Selecting a Default Scoring 12 8 12 7 4 Deleting a Scoring 12 8 12 7 5 Loading a Scoring 12 9 13 Recording 13 1 13 1 Using a Recorder 13 1 13 2 Loading Paper 13 1 13 3 Setting...

Page 14: ...CMS at Startup 14 8 14 4 Managing Certificates 14 8 14 5 Setting the Multicast Parameters 14 8 14 5 1 DIAP Communication Setup 14 8 14 6 MLDAP 14 9 14 6 1 Setting MLDAP 14 9 14 6 2 Selecting Password for User Authentication 14 9 15 Battery 15 1 15 1 Overview 15 1 15 2 Charging a Battery 15 2 15 3 Replacing a Battery 15 3 15 4 Battery Guidelines 15 3 15 5 Battery Maintenance 15 4 15 5 1 Conditionin...

Page 15: ... Hardware Specifications A 3 A 5 1 LEDs A 3 A 5 2 Audio Indicator A 3 A 5 3 Monitor Interface Specifications A 4 A 5 4 Outputs A 4 A 5 5 Data Storage A 4 A 6 Wireless Network Optional A 4 A 7 Measurement Specifications A 6 A 7 1 SpO2 A 6 A 7 2 PR A 8 A 7 3 NIBP A 9 A 7 4 Temp A 11 A 8 CO2 A 11 B EMC and Radio Regulatory Compliance B 1 B 1 EMC B 1 B 2 Radio Regulatory Compliance B 6 C Default Confi...

Page 16: ... 2 D 2 1 NIBP Alarm Messages D 2 D 2 2 SpO2 Alarm Messages D 5 D 2 3 Temperature Alarm Messages D 7 D 2 4 CO2 Alarm Messages D 8 D 2 5 Recorder Alarm Messages D 10 D 2 6 Power Alarm Messages D 11 D 2 7 System Alarm Messages D 12 E Symbols and Abbreviations E 1 E 1 Symbols E 1 E 2 Abbreviations E 3 F Anomalies F 1 F 1 NIBP Smart Inflation Anomaly F 1 ...

Page 17: ...stricted to one patient at a time Before putting the system into operation the operator must verify that the equipment connecting cables and accessories are in correct working order and operating condition To avoid risk of electric shock this equipment must only be connected to a properly grounded power outlet If a properly grounded power outlet is not available operate the monitor on battery powe...

Page 18: ...t reliable way for safe patient monitoring The physiological data and alarm messages displayed on the equipment should be reviewed by a clinician before being used for diagnostic interpretation and treatment To avoid inadvertent disconnection route all cables in a way to prevent a stumbling hazard Wrap and secure excess cabling to reduce risk of entanglement by patients or personnel The equipment ...

Page 19: ...hat it can be easily located when needed The software was developed in compliance with IEC60601 1 4 The possibility of hazards arising from software errors is minimized This manual describes all the equipment features and options Your equipment may not have all of them During normal use the operator is expected to face the front of the equipment Put the equipment in a location where you can easily...

Page 20: ...c pressure limitation Alternating current Battery indicator Alarm Reset NIBP Start Stop key ALARM PAUSED Graphical recorder Admit patient key Insertion Direction DEFIBRILLATION PROOF TYPE CF APPLIED PART Input Output Network connector Equipotentiality USB connector MANUFACTURER Serial number DATE OF MANUAFACTURE CATALOGUE NUMBER Protection against fluid ingress Temperature limit Humidity limitatio...

Page 21: ...product is disposed of correctly you will help prevent bringing potential negative consequences to the environment and human health For more detailed information with regard to returning and recycling this product please consult the distributor from whom you purchased it For system products this label may be attached to the main unit only The presence of this label indicates the machine was certif...

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Page 23: ...ppropriate medical staff under the direction of physicians The monitor also supports MEWS for clinical assessment which is only used on adult patients WARNING This equipment is intended for use only by clinical professionals or under their guidance It must only be used by persons who have received adequate training in its use Anyone unauthorized or untrained must not perform any operation on it 2 ...

Page 24: ...priority alarm the lamp quickly flashes red Medium priority alarm the lamp slowly flashes yellow Low priority alarm the lamp is yellow without flashing 2 Display screen 3 Temperature probe well 4 Probe cover pack holder 5 AC power indicator On indicates that the monitor is connected to the AC power Off indicates that the monitor is not connected to the AC power 1 2 3 4 6 5 7 8 9 10 11 ...

Page 25: ...no battery is installed when AC power is connected or indicates that the battery is installed but no AC power is connected when the monitor is powered off Flashing indicates that the monitor is powered by battery 8 Alarm Reset key Press this key to disable the audio of present alarms Press and hold this key for more than 2 seconds to pause or restore alarms 9 NIBP Start Stop key Press to start or ...

Page 26: ...ew 1 Handle 2 Recorder indicator 3 Start stop recording key 4 Paper outlet 5 Recorder door 6 Connector for NIBP cuff 7 Connector for SpO2 cable 8 CO2 gas outlet 9 CO2 sampling line connector 10 Recorder door latch SpO2 NIBP CO2 1 10 9 3 2 4 5 6 7 8 ...

Page 27: ...or upgrading the system software 4 Multi function connector connects to the hospital s nurse call system or connects external devices through DIAP protocol 5 USB connector connects to barcode scanner or USB disk 6 AC power input 7 Equipotential grounding terminal NOTE When using the equipment with other devices their equipotential grounding terminals should be connected together to eliminate a pos...

Page 28: ...2 6 Accutorr 7 Operator s Manual 2 3 4 Bottom View 1 Battery compartment door 2 Quick release mount latch point 2 1 ...

Page 29: ...Accutorr 7 Operator s Manual 2 7 2 4 Main Screen The main screen has three display modes They are all parameter screen trend screen and NIBP list screen All Parameter Screen 2 6 3 4 5 1 8 7 ...

Page 30: ...2 8 Accutorr 7 Operator s Manual Trend Screen 2 6 3 9 5 1 8 7 ...

Page 31: ...ond line of this area will display the system prompt message for 30 seconds The patient information in this area will be covered temporarily 2 Alarm Information Area There are three sections in this area The left side of this area shows the technical alarm message or prompt message the middle area shows the physiological alarm message and the right side of this area shows the alarm symbol When the...

Page 32: ...splays the spot check trends continuous trends Scoring Review and graphic trends Refer to 4 5 Reviewing Patient Data Save Accesses the Results screen to manually save patient data Refer to 4 4 Manually Save Patient Data 6 Network and USB connection area Display CMS information or Spot Check mode For details for how to configure CMS refer to 14 3 Connecting the monitor to the CMS Indicate the conne...

Page 33: ...s usually composed of 1 Heading provide a title or description for the current menu 2 Main body displays options buttons prompt messages etc A menu button followed by opens a secondary window to reveal more options or information 3 select to exit the current menu 1 3 2 ...

Page 34: ...Network and USB connection area at the top of the screen To enter Spot Check mode select Main Maintenance User Settings Enter required password Set Spot Check to On NOTE CO2 monitoring is not available in Spot Check Mode In Spot Check mode technical alarms and prompt messages are supported but no physiological alarms Monitor Mode vs Spot Check Mode The Monitor mode and Spot Check modes have all th...

Page 35: ...e the knob Connect SpO2 sensor and let the monitor receive SpO2 signal for more than 5 seconds Remove the temperature probe from the probe well NOTE If the monitor enters and then exits Standby mode during patient monitoring you must re admit the patient before continuing monitoring The device will not allow the user to enter Standby mode when the battery power is low 2 6 4 Demo Mode Demo mode is ...

Page 36: ...2 14 Accutorr 7 Operator s Manual do not enter the Demo mode while monitoring a patient Otherwise improper patient monitoring and delayed treatment could result ...

Page 37: ...e to the IEC 60601 1 If you have any questions please contact Mindray If it is not evident from the equipment specifications whether a particular combination with other devices is hazardous for example due to summation of leakage currents please consult the manufacturers or else an expert in the field to ensure the necessary safety of patients and all devices concerned will not be impaired by the ...

Page 38: ...kaging material as they can be used if the equipment must be reshipped If your monitor contains the CO2 module connect the CO2 adapter to the CO2 receptacle soon after you unpack the monitor to avoid losing the CO2 adapter 3 1 2 Environmental Requirements The operating environment of the equipment must meet the requirements specified in this manual The equipment operating environment should be rea...

Page 39: ...lling a Battery The battery compartment cover is on the bottom of the monitor Refer to 15 3 Replacing a Battery for additional information regarding battery installation NOTE When a battery has been stored for a long time or the battery is depleted recharge the battery at once Otherwise the low battery may not be sufficient to power the monitor if the AC power is unavailable Charging a Battery The...

Page 40: ... simultaneously turns yellow then red and then turns off with the start up screen being shown Then the start up screen disappears The alarm system self test succeeds The monitor enters the normal monitoring screen WARNING Check that visual and auditory alarm signals are presented correctly when the equipment is powered on Do not use the equipment for any monitoring procedure on a patient if you su...

Page 41: ...ed battery installed or remove the battery before shutting down the monitor NOTE To completely disconnect the power supply unplug the power cord 3 4 Using Key Knob Touchscreen 3 4 1 Using Keys The monitor has three types of keys Softkey A softkey is a graphic key on the screen giving you fast access to certain menus or functions The monitor has two types of softkeys Parameter keys Each parameter a...

Page 42: ...g the Main Quickkey for 3 seconds 3 5 Using the Timer The monitor has a Timer function to notify you when a preset time period is expired 3 5 1 Displaying the Timer To display the timer follow this procedure 1 Select the Main Quickkey 2 Select Timer to enter Timer window 3 5 2 Controlling the Timer The timer provides the following controls Select Setup to access the Timer Setup window in which you...

Page 43: ...User Settings Enter the required password Select Ok to access User Settings menu 2 Select Language and then select the desired language 3 Restart the monitor 3 6 3 Configuring the Timeout of Clinician ID You can configure the retention time of a clinician ID each time it is entered If a clinician ID is entered but there is no activity on the monitor for a configured period of time the monitor will...

Page 44: ...nd then select the appropriate volume 0 10 in which 0 means off and 10 the maximum volume The monitor can provide a tone according to the settings in key volume when you press the knob or hard key or touch the screen 3 6 7 Adjusting the Screen Brightness 1 Select Main General Setup 2 Select Brightness and select the appropriate setting for the screen brightness 10 is the brightest and 1 is the dim...

Page 45: ...emperature measurement will display on the screen until a new measured value replaces it 3 6 10 Configuring Measurement Colors You can set the desired color for SpO2 NIBP Temp and PR Select Main General Setup Parameter Color Setup and then the Select Color menu pops up 3 6 11 Setting the Date and Time 1 Select Main General Setup System Time 2 Set Date and Time 3 Select Date Format and toggle betwe...

Page 46: ...light savings time follow this procedure 1 Select the Main Maintenance User Settings Enter the required password Select Ok 2 Select the Others Time Setup 3 Switch on Auto Daylight Savings Time 4 Adjust daylight savings time settings as necessary 3 6 14 Configuring Unit You can configure the measurement unit To enter the Unit Setup menu select Main General Setup Unit Setup and then the Unit Setup m...

Page 47: ...king devices NOTE If the monitor enters and then exits Standby mode during patient monitoring you must re admit the patient before continuing monitoring 4 1 1 Admitting a Patient by the Admit Patient Hardkey 1 Press the hardkey to access the Patient Demographics menu 2 Enter the demographic details If the monitor is connected to ADT server when you input patient MRN the monitor performs as follows...

Page 48: ... In the Patient Demographics menu the items with the symbol indicate a required field The patient data cannot be sent to eGateway until all the required data is entered If a clinician ID is entered but there is no activity on the monitor for a configured period of time the monitor clears the clinician ID Refer to 3 6 3 Configuring the Timeout of Clinician ID 4 1 2 Admitting a Patient by Barcode Sc...

Page 49: ...ntenance User Settings enter the required password select Ok Others 2 Select Scanner Setup 2D Barcode Setup The setup screen displays 3 Establish the relationship between the monitor data and barcode data for selectable patient demographics For example the monitor has an option of Adult for patient category In your hospital barcode the text may read as Adu You need to input Adu for the field Adult...

Page 50: ...le and then use the up or down arrow beside the key to turn to another page or select Scroll and then use the up or down arrow beside the key to select the desired patient 3 Select Admit to access Patient Demographics menu 4 Select Ok If necessary you can modify patient information and then select Ok In Local Patient List you also can Select Add New and then Patient Demographics menu displays Inpu...

Page 51: ...d or first name 3 Select the page key for example and then use the up or down arrow beside the key to turn to another page or select Scroll and then use the up or down arrow beside the key to select the desired patient 4 Select Admit to access Patient Demographics menu 5 Select Ok If necessary you can modify patient information and then select Ok 4 2 Manually Input Patient Data You can choose whet...

Page 52: ...en if Manual Input Area is turned on After the manual input area is selected the Manual Inputs menu pops up The displayed items correspond to the settings in Manual Inputs Setup 4 Select to save the configuration and exit the menu 4 3 Setting the Monitor Location To set the monitor location follow this procedure 1 Select Main Maintenance User Settings enter the required password Select Ok to acces...

Page 53: ...ckKey is selected and confirmed Clear Clinician ID at Saving the data saves locally and the monitor clears the clinician ID when the Save Quickkey is selected Open Results Menu at Saving the data saves locally and the Results menu displays when the Save QuickKey is selected You can edit patient demographics and manual input data at Results menu Discharge Patient at Spot Check Saving the data saves...

Page 54: ... or down arrow beside the key to turn the page Select Edit to edit patient demographics or manual input data of selected patient Select Delete to delete the trend data of selected patient Select Print to print the trend data of selected patient Select Send to transmit the selected patient s trend data to the EMR through an eGateway or HL7 NOTE The trend data can only be sent out when the monitor i...

Page 55: ...at is cached on the device but not transmitted displays as 4 5 2 Continuous Trends Select Continuous Trends tab to access the Continuous Trends screen 1 Tabular trend 2 Button area 3 Parameter value triggering alarm In this tab you can Select MRN Name or Visit to select the desired patient Select Interval to set the interval for the data to be displayed Select the page key for example and then use...

Page 56: ...rsor 6 Button area A timestamp indicating your current position is displayed above the parameter area The parameter value corresponding to the cursor time appears in the parameter area The measurement value that triggered a high level alarm has red background The measurement that triggered the medium low level alarm has a yellow background Events are marked with colors in the event mark area Red r...

Page 57: ...n NOTE Pausing or switching off alarms will not be recorded as events The time of these operations will not be recorded in the system log A total loss of power has no impact on the saved events Events recorded earlier might be overwritten by later ones if the storage memory reaches capacity 4 5 4 Scoring Review Select Scoring Review tab to access the Scoring Review screen The Scoring Review screen...

Page 58: ...cess User Settings menu 3 Select Others Transfer Data to USB 4 Select Period and select your desired time 5 Select Transfer Data We recommend that you implement the following cybersecurity controls on any computer that is used to receive data by a USB drive from the monitors The computer should be protected by up to date antivirus software The computer should contain access controls to limit its u...

Page 59: ...tion is password protected The configuration management tasks must be performed by clinical professionals The system configuration items can be classified as Parameter configuration items These items relate to parameters e g alarm switch alarm limits Conventional configuration items These items define how the monitor works e g display setup print and alarm settings User maintenance items These ite...

Page 60: ...onfiguration can be either factory configuration or saved user configuration Take adult as an example select Default Adult Config and toggle between Defaults and user configuration s NOTE When the monitor powers on it shows what configuration is restored in the message area for about 30 seconds 5 3 Saving Current Settings Current settings can be saved as user configuration Up to 3 user configurati...

Page 61: ... changes to some settings during operation However these changes or the pre selected configuration may not be appropriate for the newly admitted patient Therefore the monitor allows you to load a desired configuration so as to ensure that all the settings are appropriate for your patient To load a configuration 1 Select Main Load Configuration The popup menu shows the existing configurations on th...

Page 62: ...5 4 Accutorr 7 Operator s Manual the latest configuration or the default configuration if it restarts from 60 120 seconds after a power failure ...

Page 63: ... can be classified into two categories physiological alarms and technical alarms 1 Physiological alarms Physiological alarms also called patient status alarms are triggered by a monitored parameter value that violates set alarm limits or an abnormal patient condition The physiological alarms occur only in Monitor mode 2 Technical alarms Technical alarms also called system status alarms are trigger...

Page 64: ...e sounds according to the alarm of the highest level and the alarm messages are displayed circularly Physiological Alarms Technical Alarms High level Indicate that your patient is in a life threatening situation and an emergency treatment is demanded Indicate a severe device malfunction or an improper operation which could make it possible that the monitor cannot detect critical patient status and...

Page 65: ...ve alarm sounds accordingly Multiple alarm messages scroll on the screen Some physiological alarms such as the Desat alarm are exclusive They have identical alarm tones and alarm lights as normal high level physiological alarms but their alarm messages are displayed exclusively When an exclusive physiological alarm and a normal high level physiological alarm are triggered simultaneously only the e...

Page 66: ...larms are reset indicates the alarm sound is turned off 6 4 Setting Alarms You can set the switch limit and level of physiological alarms Select Main Alarm Setup and then access the Alarm Setup screen Auto Set The monitor will create new alarm limits based on the measured values Restore Defaults The restored defaults depend on the settings in Select Default Config screen If the latest configuratio...

Page 67: ...m Alarm Volume and 10 is the maximum volume When alarm volume is set to 0 the alarm sound is turned off and a symbol appears on the screen 6 5 2 Setting the Minimum Alarm Volume The minimum alarm volume refers to the minimum value you can set for the alarm volume which is not affected by user or factory default configurations 1 Select Main Maintenance User Settings Enter the required password Sele...

Page 68: ...uto alarm limits you need to collect a set of measured vital signs as a baseline Then in the main menu select Main Alarm Setup Auto Set Select Ok in the pop up window The monitor will create new alarm limits based on the measured values Before applying these automatically created alarm limits confirm if they are appropriate for your patient If not you can adjust them manually The monitor calculate...

Page 69: ...6 32 mmHg Dia 15 or 80 mmHg whichever is smaller Adult 25 to 225 mmHg Pediatric 25 to 150 mmHg Neonate 20 to 90 mmHg NIBP M Mean 0 68 8 mmHg Mean 15 or 35 mmHg whichever is greater Mean 0 86 35 mmHg Mean 15 or 95 mmHg whichever is smaller Adult 30 to 245 mmHg Pediatric 30 to 180 mmHg Neonate 25 to 105 mmHg Temp T 0 5 C T 0 5 C T 0 5 C T 0 5 C Same as the measurement range Parameter Low alarm Limit...

Page 70: ...o 35mmHg 41mmHg 35 to 45mmHg EtCO2 6 mmHg 35 to 45mmHg EtCO2 6 mmHg 35 to 45mmHg EtCO2 6 mmHg 35 to 45mmHg EtCO2 6 mmHg 46 to 48mmHg 39 mmHg 46 to 48mmHg 39 mmHg 46 to 48mmHg 51 mmHg 46 to 48mmHg 51 mmHg 48mmHg does not have auto adjustable alarm limit 48mmHg does not have auto adjustable alarm limit 48mmHg does not have auto adjustable alarm limit 48mmHg doesnothave auto adjustable alarm limit Fi...

Page 71: ...olume is set to 0 the alarm sound is turned off In the audio alarm off state The Audio Off symbol is displayed Audio indication of all alarms is suspended You can cancel the alarm sound off status by setting alarm volume to a value from 1 to 10 WARNING Pausing or switching off alarms may result in a hazard to the patient Please be very careful 6 8 Switching Off No CO2 Change Detected Alarm To swit...

Page 72: ...lamp remains flashing When Alarm Light on Alarm Reset is set to Off the alarm lamp stops flashing To set Alarm Light on Alarm Reset 1 Select Main Maintenance User Settings enter the required password Select Ok to access User Settings menu 2 Select Alarm Setup to enter the Alarm Setup menu 3 Select Alarm Light on Alarm Reset and toggle between On and Off The default setting for Alarm Light on Alarm...

Page 73: ...end except that The parameter reading and violated alarm limit stop flashing The time when the alarm is last triggered is displayed after the alarm message If an alarm is not latched the alarm indications disappear as soon as the alarm conditions end When the alarm system is reset the latched physiological alarms are cleared To latch a physiological alarm 1 Select Main Maintenance User Settings En...

Page 74: ...e multi function connector of the monitor and then follow this procedure 1 Select Main Maintenance User Settings Enter required password Select Ok Others 2 Select Nurse Call to access the Nurse Call Setup menu 3 Select Signal Type and toggle between Pulse and Continuous Pulse the nurse call signal is a pulse signal and each pulse lasts 1 second When multiple alarms occur simultaneously only one pu...

Page 75: ...rom Alarm Level or Alarm Category no nurse call signal will be triggered if alarms occur WARNING To obtain the nurse call signal use the nurse call cable PN 009 003116 00 we supply Otherwise the nurse call function will not work and the monitor may be damaged Do not rely exclusively on the nurse call system for alarm notification Remember that the most reliable alarm notification combines audible ...

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Page 77: ...to display functional oxygen saturation It provides the following 1 Pleth waveform Pleth visual indication of patient s pulse The waveform is not normalized 2 PI indicator Graphic Indication of arterial pulse signal strength 3 Oxygen saturation of arterial blood SpO2 percentage of oxygenated hemoglobin in relation to the sum of oxyhemoglobin and deoxyhemoglobin 4 Perfusion index PI PI is available...

Page 78: ...rify the sensor functions A function tester or SpO2 simulator can be used to determine the pulse rate accuracy A function tester or SpO2 simulator cannot be used to assess the accuracy of an SpO2 module or an SpO2 sensor 7 2 Safety WARNING Only use SpO2 sensors specified in this manual Follow the SpO2 sensor s instructions for use and adhere to all warnings and cautions When a trend toward patient...

Page 79: ...riods may result in venous congestion distal from the application site leading to interstitial edema and tissue ischemia NOTE Place the SpO2 sensor so that the light source is against the application site Check if the sensor is in normal condition before monitoring Do not use the SpO2 sensor if the package or the sensor is found damaged Do not apply the sensor on a limb with an intravenous infusio...

Page 80: ...ered and therefore the measurement stability can be ensured 7 5 4 Changing Averaging Time The SpO2 value displayed on the monitor screen is the average of data collected within a specific time The shorter the averaging time is the quicker the equipment responds to changes in the patient s oxygen saturation level Contrarily the longer the averaging time is the slower the equipment responds to chang...

Page 81: ...lows the number of percentage points that the SpO2 saturation falls outside the alarm limit is multiplied by the number of seconds that it remains outside the limit This can be stated as the equation Sat Seconds Points Seconds Only when the Sat Seconds limit is reached the monitor gives a Sat Seconds alarm For example the figure below demonstrates the alarm response time with a Sat Seconds limit s...

Page 82: ... Electrosurgical units Dysfunctional hemoglobin such as carboxyhemoglobin COHb and methemoglobin MetHb Presence of certain dyes such as methylene and indigo carmine Inappropriate positioning of the SpO 2 sensor or use of incorrect SpO2 sensor Drop of arterial blood flow to immeasurable levels caused by shock anemia low temperature or vasoconstrictor 7 7 Masimo Information Masimo Patents This devic...

Page 83: ... 6 463 310 6 591 123 6 708 049 7 016 715 7 039 538 7 120 479 7 120 480 7 142 142 7 162 288 7 190 985 7 194 293 7 209 774 7 212 847 7 400 919 No Implied License Possession or purchase of this device does not convey any express or implied license to use the device with unauthorized replacement parts which would alone or in combination with this device fall within the scope of one or more of the pate...

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Page 85: ...rce NOTE A function tester or SpO2 simulator can be used to determine the pulse rate accuracy 8 2 PR Source The current pulse source is displayed in the PR parameter area The pulse rate is stored in the monitor s database and reviewed in the graphic tabular trends sent via the network to the central monitoring system if available 8 3 Pulse Tone You can change the pulse tone volume by adjusting Bea...

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Page 87: ...e most accurate parameter measured by the oscillometric method Once the mean pressure is determined the systolic and diastolic pressures are calculated with reference to the mean The auscultation determines systolic and diastolic pressures and calculates the mean pressure The oscillometric method measures the mean pressure and determines the systolic and diastolic pressures As specified by IEC 806...

Page 88: ...d during cuff inflation NIBP measurements can be affected by the measurement site the position of the patient patient movement or the patient s physiologic condition If the NIBP measurement seems out of range or inaccurate determine the patient s vital signs by alternative means and then verify that the monitor is working correctly Make sure the hose connecting the NIBP cuff and the monitor is not...

Page 89: ...NIBP parameter area to access NIBP Setup menu Select Interval to select manual mode or auto NIBP measurement interval Select NIBP STAT to start a continuous NIBP measurement 9 5 MeasuringNIBP 9 5 1 Preparing the Patient In normal use perform NIBP measurement on a patient who is in the following position Comfortably seated Legs uncrossed Feet flat on the floor Back arm and feet supported Middle of ...

Page 90: ...or thigh and make sure the Φ marking on the cuff is aligned with the artery Do not wrap the cuff too tightly around the limb It may cause discoloration and ischemia of the extremities Make sure that the edge of cuff is within the marked range If it is not use a cuff that fits properly 6 Connect the cuff to the NIBP hose Avoid compression or restriction of NIBP hose Air must pass unrestricted throu...

Page 91: ...ect Stop All to stop all the NIBP measurement including manual continuous and auto NIBP measurement 9 5 5 Correcting the Measurement when Cuff is not at Heart Level Apply the cuff to a limb at the same level as the patient s heart If the cuff is not at the heart level do the following to the displayed value Add 0 75 mmHg 0 10 kPa for each centimetre higher or Deduct 0 75 mmHg 0 10 kPa for each cen...

Page 92: ...easures NIBP based on a program configured by user 9 7 2 Setting the Initial Cuff Inflation Pressure You can set the initial cuff inflation pressure manually In the NIBP Setup menu select Initial Pressure and then select the appropriate setting The initial inflation pressure range is as follows NOTE For known hypertensive patients you need to set the initial cuff pressure to a higher value to redu...

Page 93: ...ogram 1 and program 2 Each program can at most include five cycles A B C D and E In each cycle the Duration and Interval can be set individually You can start the programmed NIBP measurement manually and then the monitor automatically performs the measurement based on the cycle and interval you have defined To start the sequence measurement follow this procedure 1 Select the NIBP parameter window ...

Page 94: ...re key or press the hardkey on the monitor s front panel to deflate the cuff The cuff deflates automatically after a set time if you do not deflate it During puncture the NIBP display shows the real time inflation pressure of the cuff destination inflation pressure and the remaining time in venous puncture mode 9 9 Care and Cleaning of Reusable Cuffs Accuracy of cuff pressure transducers indicator...

Page 95: ...ise and insert it into the large opening 3 Hold the hose and the cuff and shake the complete cuff until the bladder is in position 4 Thread the hose from inside the cuff and out through the small hole under the internal flap 9 9 4 Reusable Bladderless Cuffs Clean cuffs with warm water and a mild detergent Do not use a detergent containing hand conditioners softeners or fragrances Antimicrobial Def...

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Page 97: ...probe cover may result in patient cross contamination Use disposable probe covers for temperature measurement Failure to use a probe cover can cause inaccurate temperature readings and patient cross contamination Check the disposable probe cover for damage before using Never use any probe cover that show signs of damage or contamination for temperature measurement Be careful to avoid damaging the ...

Page 98: ...acement may result in bowel perforation Hospital staff should wash their hands after the patient s temperature measurement is taken This will significantly reduce the risk of cross contamination and nosocomial contamination 10 1 1 Setting Temp Select Temp parameter area to access Temp Setup menu You can set Temp type Predictive or Monitor Temperature measurement site the measurement site is relate...

Page 99: ...surement site and wait until the measurement stabilizes When the dynamic symbol appears it indicates that the monitor starts to take the measurement When taking an oral temperature apply the probe under the patient s tongue from either side of the mouth Make sure that the probe reaches the rear sublingual pocket Have the patient close his her lips to hold the probe Use your hand to hold the probe ...

Page 100: ... the probe is again removed from the probe well 10 2 3 Taking a Temperature in Monitor Mode To measure a temperature in the Monitor mode 1 Make sure that the probe is placed in the probe well 2 Make sure that the temperature measurement type and site settings are correct 3 Remove the probe from the probe well and insert it into a cover in the probe cover pack Press the probe handle down firmly unt...

Page 101: ... disinfectants To disinfect the temperature probe 1 Disconnect the temperature probe from Temp connector 2 Disinfect the probe with a soft cloth dampened with the recommended disinfectant 3 Wipe off all the remaining disinfectants from the probe with a soft cloth dampened with water 4 Dry the probe in a cool place WARNING Properly dispose of the used soft cloth ...

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Page 103: ...nt of IR light measured the concentration of CO2 is calculated The CO2 measurement is used to monitor the patient s respiratory status CO2 monitoring is intended for adult pediatric and neonatal patients 11 2 Safety WARNING Remove the airway sampling line from the patient s airway while nebulized medications are being delivered Leakage in the breathing or sampling system may cause the displayed Et...

Page 104: ...n for breath rate 60 bpm and I E ratio 1 1 EtCO2 value is within specification for breath rate 30 bpm and I E ratio 2 1 Measurement accuracy is unspecified for breath rate larger than 60 bpm 11 4 CO2 Display The CO2 parameter and waveform areas provide FiCO2 measurement EtCO2 measurement awRR measurement and a CO2 waveform 1 End tidal CO2 EtCO2 2 Fraction of inspired CO2 FiCO2 3 Airway respiration...

Page 105: ...te before taking measurement To measure CO2 follow this procedure 1 Select an appropriate sampling line according to the patient category 2 Connect the sampling line to the CO2 adapter that is installed on the monitor 3 Connect the other end of the sampling line to the patient For intubated patients requiring an airway adapter install the airway adapter between the patient circuit and the ventilat...

Page 106: ... 1 Changing CO2 Alarm Settings To change the CO2 alarm settings follow this procedure 1 Select the CO2 numeric area or waveform area to enter the CO2 Setup menu 2 Select Alarm Setup 3 Set the following alarm properties Switch on or switch off the alarms Adjust the alarm limits and alarm priority 11 7 2 Setting the No CO2 Changes Detected Alarm Delay The monitor will alarm if the patient has stoppe...

Page 107: ...us Select Measure mode when you want to use the CO2 module for monitoring Select Standby mode when not using the CO2 module The Accutorr 7 monitor is preset to monitor when the it is turned on and the CO2 accessory is connected The preset operating mode of the CO2 module is Measure It is recommended to place the CO2 pump in Standby when it is not being used to preserve the pump s longevity You can...

Page 108: ...the gas compensation The configured concentration of the interfering gas should be in accordance with its actual proportion WARNING Make sure to use the appropriate compensations Inappropriate compensations may cause inaccurate measurement values and result in misdiagnosis To set the gas compensation follow this procedure 1 Select the CO2 numeric area or waveform area to enter the CO2 Setup menu 2...

Page 109: ...n who require increased levels of care in the HDU or ICU A clinical pathway could be created using nurse practitioners and or critical care physicians to respond to high scores and intervene with appropriate changes in clinical management The Clinical Scoring function helps a clinician quickly determine the severity of illness of a patient based on a calculated score so that the clinician can take...

Page 110: ...ng seven parameters Respiration Rate SpO2 Supplemental Oxygen Temperature Systolic NIBP Pulse Rate AVPU This scoring is only applicable to adult patients 12 1 3 Customizable Scoring The customizable scoring can provides a clinical response based on the selected multiple parameters or single parameter Multiple parameter scoring calculate a total score and provide a clinical response based on the mu...

Page 111: ...en 12 2 2 Score Tile The score tile is located in the main screen By default the scoring tile is not displayed The scoring tile will activate when you select a default scoring or load a scoring 12 3 Calculating a Score To calculate a score follow this procedure 1 Select the default scoring or load a scoring for the applicable patient category Refer to 12 7 3 Selecting a Default Scoring or 12 7 5 L...

Page 112: ...t the warning level increases from top to bottom The current level is enclosed in the square frame 12 4 2 Scoring Screen The MEWS NEWS or multi parameter score screen display as follows 1 Icon for manual input You need to manually input the parameter 2 Icon for real time monitoring The parameter value is from the monitor 3 Recommended clinical response 3 1 2 1 2 4 4 3 ...

Page 113: ...ult is valid 12 5 Obtaining the Total Score The total score will automatically be calculated when each required parameter tile has a value To calculate a score follow this procedure 1 Start monitoring parameters Their values are automatically obtained 2 Manually input the values for the parameters that are not monitored NOTE If the value is measured by the monitor the monitor can obtain the value ...

Page 114: ...mperature 0 1 C 50 0 C 32 1 F 122 0 F Level of Consciousness AVPU Alert Reacting to Voice Reacting to Pain Unresponsive GCS 1 15 Supplemental Oxygen Yes No SpO2 0 100 Urine Output 0 300 mml h 0 10 ml h kg Catheter Yes No Blood Sugar 1 0 mg dl 720 0 mg dl 0 06 mmol L 40 00 mmol L Pain Score 0 10 Pain None Mild Moderate Severe Inspired O2 21 100 Airway Clear Obstruction Customizable parameter The in...

Page 115: ...otocols can be imported into the monitor 1 Connect the USB drive to the USB connector on the monitor 2 Select Main Maintenance User Settings Enter the required password Manage Scoring Import Scoring 3 In the Import Scoring menu select the scorings to be imported Then select Import A status message will report completion of the import NOTE To load the customized scoring protocols to the USB drive r...

Page 116: ... Scoring menu select the scoring to be deleted 3 Select Delete 12 7 5 Loading a Scoring The default scoring may not be appropriately for the new patient You can load a scoring so as that the scoring is appropriate for your patient To load a scoring 1 Select Scoring Setup Load Scoring 2 Select the desired scoring to be loaded 3 Select Load Scoring ...

Page 117: ...tart a recording or stop the current recording 2 Indicator On when the recorder is working properly Off when the monitor is switched off Flash when a recorder error has occurred e g the recorder runs out of paper 3 Paper outlet 4 Recorder door 5 Latch 13 2 Loading Paper 1 Press the latch in the upper right corner of the recorder door to open the door 2 Insert a new roll into the compartment as sho...

Page 118: ...placing the recorder paper or correcting an error 13 3 Setting the Recorder Select Main General Setup Print Setup to access the Print Setup menu and select the items as you want 13 4 Starting and Stopping Recordings To manually start a recording you can either Press hardkey on the recorder Select Record key in graphic or tabular trend The monitor will automatically start recording when the Save Qu...

Page 119: ...includes patient information recording time and graphic trends of all the parameters on the screen In graphic trends strip The mark A is shown on the event time NIBP measurement taken in Spot Check mode shows as The predictive temperature and PR from NIBP measurement show as 13 5 3 Continuous Trends Recording The continuous trends strip includes patient information recording time measured value th...

Page 120: ...ut the paper and tear off the wrinkled or torn part 3 Reload the paper and close the recorder door Refer to 13 2 Loading Paper for additional information 13 7 Cleaning the Recorder Printhead If the recorder has been used for a long time deposits of paper debris may collect on the printhead compromising the print quality and shortening the lifetime of the roller Follow this procedure to clean the p...

Page 121: ...essage to the ADT system When the ADT system receives the query command message the ADT system will transmit the patients information to the Accutorr 7 The Accutorr 7 transmits numerics of Temp SpO2 NIBP related alarms and alarm settings patient information operating mode and historical data including trends and events to the EMR When the EMR receives the data the EMR will send a success message t...

Page 122: ... or Manual If Address Type is set to DHCP the monitor can automatically acquire network parameters If Address Type is set to Manual you need to manually input the monitor IP address subnet mask and gateway address 5 Click Ok to confirm the setting 14 1 3 Setting the Wireless Network Optional The monitor can be connected to a wireless network via a built in Wi Fi module To set the wireless network ...

Page 123: ... User Settings enter the required password Select Ok to access the User Settings menu 2 Select Network Monitor Network Setup to access the Monitor Network Setup menu 3 Set the Network Type to WLAN 4 Select Ok 5 Select WLAN Test in the Network Setup menu 6 Enter the IP Address of wireless AP in the WLAN Test menu 7 Click Connection Test You should not change the monitor s IP address randomly If you...

Page 124: ...network will have the following capabilities Support the 802 11a b g n wireless protocol Have a channel bandwidth of 20 MHz Support WPA2 PSK WPA Enterprise or WPA2 Enterprise Provide a signal strength at the monitor of no less than 65 dBm NOTE Keep network authentication information e g password safe to protect the network from being accessed by unauthorized users The total throughput of all the w...

Page 125: ...assword Select Ok to access User Settings menu 2 Select Network Monitor Network Setup DNS Setup 3 Set Address Type Preferred DNS Server and Alternate DNS Server 14 2 2 ADT Communication Setup 1 Select Main Maintenance User Settings Enter the required password Select Ok to access User Settings menu 2 Select Network ADT Communication to access ADT Communication Setup menu 3 Make the following settin...

Page 126: ...s Set IP address and port Set the interval 4 Select Ok to exit the menu To manually start one time synchronization with the NTP server follow this procedure 1 Select Main Maintenance User Settings Enter the required password Select Ok to access User Settings menu 2 Select Network NTP Setup Manual 14 2 5 Realtime Data Send Interval for HL7 only The monitor will send out the monitored parameter data...

Page 127: ...intenance User Settings enter the required password Select Ok Network Monitor Network Setup 2 Set Network Type and Address Type 3 Input the monitor IP address subnet mask and gateway address if the Address Type is set to Manual 4 Connect the monitor to the CMS through either of the following methods Admit the monitor on the CMS Refer to the Hypervisor VI Operator s Manual PN 300B 20 47610 for deta...

Page 128: ...not be cleared when only one CMS is configured or the monitor is restarted within 2 minutes This function is switched off by default 14 4 Managing Certificates You can import or delete the monitor s certificates 1 Select Main Maintenance User Settings enter the required password Network Certificates Maintenance 2 Select Import certificates or Delete certificates 14 5 Setting the Multicast Paramete...

Page 129: ...rt of the MLDAP server 14 6 2 Selecting Password for User Authentication You can select what password is used when changing alarm settings sending data to the EMR and accessing the User Settings menu To do so follow this procedure 1 Select Main Maintenance User Settings Enter the required password Select Ok to access the User Settings menu 2 Select Password Protection to access the Password Protec...

Page 130: ...ings is password protected The monitor s local password is required for accessing the User Settings menu is required User Password Changing user maintenance settings is password protected The user name and password saved in the MLDAP server are required to access the User Settings menu To change the monitor s local password for modifying alarm settings select Modify Local Alarm Setup Password ente...

Page 131: ...The solid portion represents the current charge level of the battery in proportion to its maximum charge level Indicates that the battery has a low charge level and needs to be charged Indicates that the battery is almost depleted and needs to be charged immediately Otherwise the monitor automatically shuts down Indicates that no battery is installed The capacity of the battery is limited When the...

Page 132: ... after 500 full charge discharge cycles or every 3 years from first use whichever occurs first To get the most out of the battery observe the following guidelines The battery performance test must be performed once a year before monitor repairs or whenever battery performance is suspect Condition the batteries every three months or when their run time becomes noticeably shorter Remove the battery ...

Page 133: ...y may cause serious damage to your device from battery overheating NOTE Remove the battery before shipping the monitor or if it will not be used for an extended period of time Charge the battery in this monitor 15 5 Battery Maintenance 15 5 1 Conditioning a Battery A battery should be conditioned before it is used for the first time A battery conditioning cycle is one uninterrupted charge of the b...

Page 134: ...m the AC power 3 Install the battery 4 Connect the monitor to AC power Allow the battery to be charged uninterrupted for 6 5 hours until the battery is full 5 Note the time Remove AC power and allow the monitor to run from the battery until it shuts off Note the time again Calculate the run time by subtracting the start time from the end time The operating time of a battery directly reflects its p...

Page 135: ...Accutorr 7 Operator s Manual 15 5 WARNING Do not disassemble batteries dispose of them in fire or cause them to short circuit They may ignite explode leak or heat up causing personal injury ...

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Page 137: ... all cleaning and disinfection procedure specified in this chapter Do not open the equipment housings All servicing and future upgrades must be carried out by the personnel trained and authorized by Mindray only No modification of this equipment is allowed The service personnel must be properly qualified and thoroughly familiar with the operation of the equipment 16 1 Cleaning and Disinfection Thi...

Page 138: ... the equipment or accessories contact Mindray or your service personnel 16 1 1 Cleaning Clean your equipment on a regular basis Consult your hospital s regulations before cleaning the equipment The recommended cleaning agents include Sodium hypochlorite bleach 10 Isopropanol 70 To clean your equipment follow these rules 1 Shut down the monitor and disconnect it from AC power 2 Clean the display sc...

Page 139: ... that the battery meets the performance requirements Make sure that the monitor is in good working condition In case of any damage or abnormality do not use the equipment Contact the hospital s biomedical engineers or your service personnel immediately 16 3 Maintenance and Testing Schedule The following maintenance and tests except for visual inspection power on test touchscreen calibration and ba...

Page 140: ...Nurse call relay performance test If user suspects that the nurse call or analog output does not work well Electrical safety tests Electrical safety tests Once every two years or as required Other tests Power on test 1 When first installed or after reinstalled 2 Following any maintenance or the replacement of any main unit parts Touchscreen calibration 1 When the touchscreen appears abnormal 2 Aft...

Page 141: ...itor Log menu to do recording The information will not be saved after system shutdown 16 5 Visual Inspection Perform an overall inspection on the appearance of the equipment The test is passed if the equipment has no obvious signs of damage Follow these guidelines when inspecting the equipment 1 Carefully inspect the case display screen buttons and knob for obvious signs of damage 2 Inspect all ex...

Page 142: ...en the measured values have a great deviation from the specified measurement range Calibration for the CO2 module can be performed only when the module enters the full accuracy mode WARNING Connect an exhaust tube to the gas outlet connector of the monitor to remove the calibration gases to a scavenging system Tools required A steel gas cylinder with 5 CO2 21 O2 and balance gas N2 P N 0075 00 0033...

Page 143: ...on fails the message Calibration Failed is displayed In this case attempt to calibrate the CO2 module again If the problem still exists contact Mindray service personnel 16 8 Battery Check Refer to 15 5 2 Checking a Battery for battery check instructions 16 9 Calibrating the Touchscreen Recalibrate the touchscreen whenever the touch interface becomes difficult to maneuver 1 Select Main Maintenance...

Page 144: ...he Storage Card The monitor is configured with an SD card for saving data To format the storage card 1 Select Main Maintenance User Settings Enter the required password Select Ok Others 2 Select Format Storage Card and then select Ok in the pop up dialog ...

Page 145: ...affect the measurement accuracy Check the accessories and their packages for any sign of damage Do not use them if any damage is detected Dispose of accessories according to your hospital regulations Use the accessories before the expiration date if their expiration date is indicated For more details about the accessories refer to the instructions for use of corresponding accessories 17 1 SpO2 Acc...

Page 146: ...able LNCS DCI Adult Finger 0600 00 0126 LNCS DCIP Pediatric Finger 0600 00 0127 Reusable 4050 Adult 30 kg finger or toe 040 003376 00 4051 Pediatric finger or toe 040 003377 00 4053 Adult ear 040 003380 00 Disposable 4000 Adult 30 kg finger or toe 040 003382 00 4001 Pediatric 10 to 50 kg finger or toe 040 003383 00 4002 Infant 3 to 20 kg thumb or great toe 040 003384 00 4003 Adult 40 kg finger or ...

Page 147: ... photodynamic therapy is performed 17 2 NIBP Accessories Tubing Reusable Cuff Type Patient Category Part No Reusable Adult Small Adult Child 6200 30 09688 Neonate 6200 30 11560 Patient Category Measurement Site Limb Circumference cm Part No Child Arm 10 to 19 115 027713 00 Small Adult 18 to 26 115 027714 00 Adult 24 to 35 115 027715 00 Large Adult 33 to 47 115 027716 00 Adult Thigh 46 to 66 115 02...

Page 148: ...Small Adult Arm 18 to 26 10 pcs box 115 027564 00 Adult 24 to 35 10 pcs box 115 027565 00 Large Adult 33 to 47 10 pcs box 115 027566 00 Adult Thigh 46 to 66 5 pcs box 115 027567 00 Adult Long Arm 24 to 35 10 pcs box 115 027568 00 Large Adult 33 to 47 10 pcs box 115 027569 00 Type Description Part No Reusable Blue Oral Axillary M09A 20 62062 Red Rectal M09A 20 62062 51 Type Patient Category Measure...

Page 149: ...llyn SureTemp Plus Probe Covers 0198 00 0044 Welch Allyn SureTemp Plus Thermometer Module 0992 00 0198 Welch Allyn SureTemp Plus Oral Probe 0992 00 0213 02 Quick Release Mounting Bracket for Rolling Stand 045 001054 00 Quick Release Mounting Bracket for Wall Mount 045 001055 00 Rolling Stand with Quick Release Mount 045 002960 00 Bin for Rolling Stand with Cable Management Accessories 045 002840 0...

Page 150: ...00254 00 USB Cable of ASYMBOL Scanner 009 001397 00 Accutorr 7 Welch Allyn Temp Support Kit 115 025041 00 Accutorr 7 Welch Allyn Temp Support Assembly 115 022908 00 Accutorr 7 Welch Allyn Temp Support Installation Guide 046 006016 00 Li ion Battery Kit 115 018012 00 Li ion Battery LI23S002A 11 1V 4500mAh 022 000008 00 2D Barcode Scanner Kit 115 039575 00 2D Barcode Scanner 023 001286 00 USB Cable ...

Page 151: ...APPLIED PART for CO2 Mode of operation Continuous Degree of protection against harmful ingress of water IPX1 protection against vertically falling water drops degree of safety of application in the presence of a FLAMMABLE ANAESTHETIC MIXTURE WITH AIR or WITH OXYGEN OR NITROUS OXIDE EQUIPMENT not suitable for use in the presence of a FLAMMABLE ANAESTHETIC MIXTURE WITH AIR or WITH OXYGEN OR NITROUS ...

Page 152: ...0 VAC 10 Current 0 9 to 0 5A Frequency 50 60 Hz 3Hz Fuse T2AL 250V Battery Type Rechargeable lithium ion LI23S002A Voltage 11 1 VDC Capacity 4500 mAh Run time At least 8 hours when powered by a new fully charged battery at 25 C 5 C 77 F 41 F with SpO2 cable connected and auto NIBP measurements at an interval of 15 minutes Charge time Monitor power off less than 5 5 hours to 90 less than 6 5 hours ...

Page 153: ...der module and a battery Screen type Color TFT LCD Screen Size diagonal 8 4 Resolution 800 600 pixels Method Thermal dot array Paper speed 25 mm s Number of waveform channels 1 Alarm lamp 1 two color coded yellow and red Power on LED 1 green AC power LED 1 green Battery LED 1 green Speaker Give alarm tones 45 to 85 dB key tones pulse tone power on self check tone support PITCH TONE and multi level...

Page 154: ...urrent Low level 0 5 V receiving a maximum of 5 mA input current Rising and falling time 1 ms Alarm Output Network connector Alarm delay time from monitor to remote equipment The alarm delay time form the monitor to remote equipment is 2 seconds measured at the monitor s signal output connector Trends 5000 groups Standards IEEE 802 11a b g n Modulation mode DSSS and OFDM Operating frequency For 2 ...

Page 155: ...P TLS EAP FAST and EAP LEAP Encryption modes TKIP and AES Resistance to wireless interference The wireless functions of Accutorr 7 are normal when the following conditions exist simultaneously The distance between interfering devices including wireless devices at the frequency of 2 4GHz such as cellular communication devices microwave ovens intercoms cordless phones and electro surgical units excl...

Page 156: ... 2 61 SpO2 Measurement range 1 to 100 PI measurement range 0 02 to 20 SpO2 Resolution 1 Accuracy1 70 to 100 2 measured without motion in adult pediatric mode 70 to 100 3 measured without motion in neonate mode 70 to 100 3 measured with motion 1 to 69 Not specified Refreshing rate 1 s Response time 20 s PR 75 bpm average time 8 s SpO2 value rises from 60 to 95 SpO2 averaging time 2 4 s 4 6 s 8 s 10...

Page 157: ...riation equals plus or minus one standard deviation Plus or minus one standard deviation encompasses 68 of the population 2 The Masimo pulse oximeter has been validated for low perfusion accuracy in bench top testing against a Biotek Index 2 simulator and Masimo s simulator with signal strengths of greater than 0 02 and a transmission of greater than 5 for saturations ranging from 70 to 100 This v...

Page 158: ... to 300 30 to high limit 2 Measurement range 25 to 240 bpm Resolution 1 bpm Response time 20 s PR value sudden change within 25 240 bpm Accuracy 3 bpm without motion 5 bpm with motion Refreshing rate 1 s Measurement range 20 to 300 bpm Resolution 1 bpm Response time 30 s PI 0 3 no disturbance PR value sudden change within 25 250 bpm Accuracy 20 to 250 bpm 3 bpm 251 to 300 bpm not specified Refresh...

Page 159: ...t time Adult pediatric 180 s Neonate 90 s Heart rate range 30 to 300 bpm Measurement ranges mmHg Adult Pediatric Neonate Systolic 25 to 290 25 to 240 25 to 140 Diastolic 10 to 250 10 to 200 10 to 115 Mean 15 to 260 15 to 215 15 to 125 Accuracy Max mean error 5 mmHg Max standard deviation 8 mmHg Static pressure measurement range 0 mmHg to 300 mmHg Static pressure measurement accuracy 3 mmHg Resolut...

Page 160: ...dard for Electronic or Automated Sphymomanometers ANSI AAMI SP10 in terms of mean error and standard deviation by comparing with intra arterial measurements depending on the configuration in a typical patient population Default initial cuff inflation pressure mmHg Adult Pediatric Neonate 160 140 90 Software overpressure protection Adult Pediatric Neonate 297 3 mmHg 297 3 mmHg 147 3 mmHg Hardware o...

Page 161: ...ot include 89 6 F 0 4 F 89 6 F to 111 2 F include 89 6 F 0 2 F Resolution 0 1 C Minimum measurement time for accurate readings Monitor mode 60 s Predictive mode 20 s typical test 12s Alarm limit Range Step Temp High low limit 1 C to 44 C low limit 1 8 C to 111 2 F 0 1 C 0 2 F Temp Low 25 C to high limit 1 C 77 F to high limit 1 8 F Clinical BIAS Δcb Limits ofAgreement LA Clinical Repeatability σr ...

Page 162: ...5 ml min whichever is greater Rise time Measured with a Oridion sampling line 250 ms 50 ml min standard sampling line or 280 ms 50 ml min extended sampling line Response time Measured with a Oridion sampling line 5 s 50 ml min standard sampling line or 6 5 s 50 ml min extended sampling line awRR measurement range 0 to 150 rpm awRR accuracy 60 rpm 1 rpm 60 to 150 rpm 2 rpm awRR resolution 1 rpm Ala...

Page 163: ... Iso 5 Enf 5 O2 100 Des 15 2 mmHg means an extra error should be added in case of gas interference when CO2 measurements are performed between 0 40mmHg Inaccuracy specifications are affected by the breath rate and I E change The EtCO2 accuracy is within specification for breath rate 60rpm and I E ratio 1 1 or breath rate 30rpm and I E ratio 2 1 ...

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Page 165: ...f adjacent or stacked use is necessary the device or its components should be observed to verify normal operation in the configuration in which it will be used The device needs special precautions regarding EMC and needs to be installed and put into service according to the EMC information provided below Other devices may interfere with this device even though they meet the requirements of CISPR W...

Page 166: ...omer or the user of the device should assure that it is used in such an environment Emissions test Compliance Electromagnetic Environment Guidance Radio frequency RF emissions CISPR 11 Group 1 The device uses RF energy only for its internal function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment RF emissions CISPR 11 Class A The ...

Page 167: ... 1 kV lines s to line s 2 kV line s to earth Voltage dips Short interruptions and voltage variation on power supply input lines IEC 61000 4 11 5 UT 95 dip in UT for 0 5 cycle 40 UT 60 dip in UT for 5 cycles 70 UT 30 dip in UT for 25 cycles 5 UT 95 dip in UT for 5 seconds 5 UT 95 dip in UT for 0 5 cycle 40 UT 60 dip in UT for 5 cycles 70 UT 30 dip in UT for 25 cycles 5 UT 95 dip in UT for 5 seconds...

Page 168: ...rference may occur in the vicinity of equipment marked with the following symbol Note 1 At 80 MHz to 800 MHz the separation distance for the higher frequency range applies Note 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people Note 3 The device that intentionally receives RF electromagnetic ene...

Page 169: ...put power of the communications equipment Rated maximum output power of transmitter W Separation distance in meters m according to frequency of the transmitter 150kHz to 80MHz 80MHz to 800MHz 800MHz to 2 5GHz 0 01 0 12 0 12 0 23 0 1 0 38 0 38 0 73 1 1 20 1 20 2 30 10 3 80 3 80 7 30 100 12 00 12 00 23 00 For transmitters rated at a maximum output power not listed above the recommended separation di...

Page 170: ... subject to the condition that this device does not cause harmful interference Operation of this equipment requires the prior coordination with a frequency coordinator designated by the FCC for the Wireless Medical Telemetry Service This Wi Fi device complies with Canadian ICES 001 Cet appareil ISM est conforme a la norme NMB 001 du Canada Item IEEE 802 11b IEEE 802 11g IEEE 802 11n Operating Freq...

Page 171: ...ccordance with the instructions may cause harmful interference to radio communications However there is no guarantee that interference will not occur in a particular installation If this equipment does cause harmful interference to radio or television reception which can be determined by turning the equipment off and on the user is encouraged to try to correct the interference by one or more of th...

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Page 173: ...iguration as a user configuration C 1 Parameter Configuration C 1 1 NIBP Name Default Config Saved at Power Failure Affected by Defaults Alarm On Off On Yes Yes Alarm Priority Med Yes Yes Interval Manual Yes Yes Clock On Yes Yes NIBP End Tone 0 Yes Yes Program Program 1 Yes Yes Cuff Press mmHg in VeniPuncture Adult 80 Yes Yes Pediatric 60 Neonate 40 Initial Pressure Adult 160 Yes No Pediatric 140 ...

Page 174: ...es Yes Pediatric 40 Neonate 20 Name Default Config Saved at Power Failure Affected by Defaults Name Default Config Saved at Power Failure Affected by Defaults Alarm On Off On Yes Yes Alarm Priority Med SpO2 High Adult pediatric 100 Neonate 95 SpO2 Low 90 Desat Low 80 Sat Seconds Nellcor 0 s NIBP Simultaneous Off Sweep 25 mm sec Beat Volume 2 SpO2 Sensor Off Lev Monitor mode Low Spot Check mode Off...

Page 175: ...ic 160 Neonate 200 PR Low Adult 50 Pediatric 75 Neonate 100 PR Source SpO2 Beat Volume 2 Name Default Config Saved at Power Failure Affected by Defaults Alarm On Off Off Yes Yes Alarm Priority Med Yes Yes Temp High 38 0 Yes Yes Temp Low 35 0 Yes Yes Temp Type Predictive No No Temp Position Oral Axillary probe Oral for adult and pediatric Axillary for neonate No No Rectal probe Rectal ...

Page 176: ...ow 8 Parameter EtCO2 Alarm On Off On Yes Yes Alarm Priority Med EtCO2 High 50 EtCO2 Low 25 Parameter FiO2 Alarm On Off On Yes Yes Alarm Priority Med FiCO2 High 4 No CO2 Changes Detected 20 s Yes Yes Operating Mode Measure Yes Yes BTPS Compensate Off Yes Yes Scale 50 Sweep 6 25 mm s Wave Type Draw O2 Compensate 21 N2O Compensate 0 AA Compensate 0 Auto Standby 60 min ...

Page 177: ...2 High Alarm Interval s 10 s Med Alarm Interval s 20 s Low Alarm Interval s 20 s Reminder Tone On Alarm Light on Alarm Reset On Name Default Config Saved at Power Failure Affected by Defaults Spot Check Trends Name MRN button MRN Yes No Option for Name MRN button All Filter All Continuous Trends Name MRN button MRN Option for Name MRN button Current patient Interval 30 s Graphic Trends Zoom 6 h ...

Page 178: ...Manual Inputs Selected Name Default Config Saved at Power Failure Affected by Defaults Brightness 5 Yes Yes Alarm Volume 2 Key Volume 2 Display Setup All Parameters Parameter Time Out 15 min Height cm Yes No Weight kg Pressure mmHg Temp C Glucose mg dl I O Fluid ml Date Current date Time Current time Date Format yyyy mm dd Yes No Time Format 24 h Yes No ...

Page 179: ...er Maintenance Items Name Default Config Saved at Power Failure Affected by Defaults Spot Check Off Yes No SPO2 Tone Mode 1 Clinician ID Time Out 10 min Language English Network Type LAN Clear CMS IP at Startup Off Data Send Method eGateway ...

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Page 181: ...High Med XX value exceeds the upper alarm limit Check the patient s condition and check if the patient category and alarm limit settings are correct XX Too Low Med XX value is lower than the lower alarm limit SpO2 Desat High The SpO2 value has fallen below the desaturation alarm limit Check the patient s condition and check if the alarm limit settings are correct No Pulse High The pulse signal was...

Page 182: ...nnel NIBP Dia Over Upper Limit Yes Low NIBP Mean Over Upper Limit Yes Low NIBP Sys Over Lower Limit Yes Low The measured pressure is lower than the specified NIBP measurement lower limit Restart the monitor and retry If the error remains contact Mindray or your service personnel NIBP Dia Over Lower Limit Yes Low NIBP Mean Over Lower Limit Yes Low NIBP SelfTest Err Yes High SelfTest Failed The caus...

Page 183: ...essure Err Yes Low An error occurred to the air pressure Check the air pressure Restartthe monitor and retry If the error remains contact Mindray or your service personnel NIBP Weak Signal Yes Low The patient s pulse is weak or the cuff is loose Check the patient s condition and change the cuff application site If the error persists replace the cuff NIBP Overrange Yes Low The measured NIBP value i...

Page 184: ...ning Check the patient s condition and NIBP connections or replace the cuff NIBP Timeout Yes Low Time is out In Adult Pediatric mode the measurement time is over 120 seconds in neonate mode the time is over 90 seconds NIBP Cuff Type Wrong Yes Low The cuff type applied mismatches the patient category Verify the patient category and replace the cuff NIBP Illegally Reset Yes Low An illegal reset occu...

Page 185: ...mo No Low SpO2 Too Much Light Masimo No Low There is too much light on the SpO2 sensor Move the sensor to a place with lower level of ambient light or cover the sensor to minimize the ambient light SpO2 No Pulse Nellcor No Low SpO2 sensor failed to obtain pulse signal Move the sensor to a site with better perfusion SpO2 Comm Stop Masimo Nellcor No High An error occurred to the SpO2 module or there...

Page 186: ...ed to the SpO2 module or there is a problem with the communications between the module and the monitor Restart the monitor If the error remains contact Mindray or your service personnel SpO2 Limit Err Masimo Nellcor No Low The alarm limit of SpO2 is changed inadvertently Contact Mindray or your service personnel PR Limit Err Masimo Nellcor No Low The alarm limit of PR is changed inadvertently Cont...

Page 187: ...nitor If the error remains contact Mindray or service personnel TempAlarmLimit Err No High The alarm limit of Temp is changed inadvertently Contact Mindray or your service personnel Warmup Timed Out Yes Med The initial probe temperature in measurement is too high Cool the probe and retry WarmingResistor Err No Med The thermal resistor on the temperature probe has an error Can not work properly Rep...

Page 188: ... Yes Med The temperature probe is not well placed or not inserted into probe well 1 Check if the probe well is installed 2 Properly re insert the probe into probe well Temp Measuring Timeout Yes Med The measuring time is over 5 minutes in Monitor mode Return the sensor to the probe well and take a temperature again Alarm Message Clearable Yes No Alarm Level Cause Solution Alarm Message Clearable Y...

Page 189: ...ervice personnel CO2 Zero Failed No Low The zeroing failed Check the CO2 connections If the alarm persists contact Mindray or your service personnel CO2 No Filterline Yes Low The sample line is off or has been disconnected Make sure that the sample line is connected CO2 FilterLine Occluded No Low The airway or water trap is occluded Check the airway and remove the occlusion XX Overrange No Low The...

Page 190: ... Comm Error Yes Low Recorder Vlt High No Low There is a problem with the system power supply Restart the monitor If the message is prompted for several times contact Mindray or your service personnel Recorder Vlt Low No Low Recorder Head Hot No Low The recorder has been working for too long time Stop the recording and resume the recording until the recorder s print head cools down Rec Head Wrong P...

Page 191: ...ce and allow the batteries to charge immediately Battery Depleted No High The battery charge is almost depleted Power Board Comm Err No High No data from power module has been received for 5 seconds Restart the monitor If the problem still exists contact Mindray or your service personnel RT Clock Need Reset No Low There is a problem with the button cell Reset the system time and restart the monito...

Page 192: ...D 12 Accutorr 7 Operator s Manual D 2 7 System Alarm Messages Alarm Message Clearable Yes No Alarm Level Cause Solution No CMS Yes Low The monitor is disconnected from the CMS Check network connection ...

Page 193: ...microvolt μs Microsecond A ampere Ah ampere hour bpm beat per minute bps bit per second ºC centigrade cm centimeter dB decibel DS dyne second ºF fahrenheit g gram GHz gigahertz h hour Hz hertz in inch k kilo kg kilogram kPa kilopascal L litre lb pound m meter mAh milliampere hour Mb mega byte ...

Page 194: ...s of mercury ms millisecond mV millivolt mW milliwatt MΩ megaohm nm nanometer rpm breaths per minute s second V volt VA volt ampere Ω ohm W watt minus negative percent per divide or to plus equal to less than greater than less than or equal to greater than or equal to plus or minus multiply copyright ...

Page 195: ...on Radio Interference CMOS complementary metal oxide semiconductor CMS central monitoring system CO2 carbon dioxide DC direct current Des desflurane Dia diastolic DIAP Datascope Improved ASCII Protocol DPI dot per inch EEC European Economic Community EMC electromagnetic compatibility EMI electromagnetic interference EMR Electronic Medical Record Enf enflurane Et end tidal EtCO2 end tidal carbon di...

Page 196: ...ed Early Warning Score MRI magnetic resonance imaging N A not applied Neo neonate NEWS National Early Warning Score NIBP noninvasive blood pressure NIBP D NIBP diastolic pressure NIBP M NIBP mean pressure NIBP S NIBP systolic pressure N2O nitrous oxide O2 oxygen P power PD photodetector Ped pediatric Pleth plethysmogram PR pulse rate RAM random access memory ROM read only memory Sev sevoflurane Sp...

Page 197: ...so may not perform as expected The function accessible only through the Factory Maintenance menu is used for research and development only Although there is no distinct difference between smart inflation and normal inflation it is recommended to keep the function Off NOTE The anomaly does not present a safety hazard to either the operator or the patient ...

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Page 200: ...P N 046 005276 00 7 0 SW Version 03 10 XX ...

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