Mindray accutorr plus Operating Instructions Manual Download Page 44

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Accutorr Plus™ Operating Instructions

0070-10-0692-02

3 - 11

Operation

Alarms

Alarm Limit Table

PARAMETER

RANGE

UNITS

FACTORY

DEFAULT

UNITS OF

INCREMENT

Systolic High
Adult
Pediatric
Neonate

Off, 60-260
Off, 60-160
Off, 50-125

mmHg

Off

Systolic Low
Adult
Pediatric
Neonate

Off, 55-150
Off, 55-130
Off, 45-115

mmHg

Off

Diastolic High
Adult
Pediatric
Neonate

Off, 40-200
Off, 40-150
Off, 35-100

mmHg

Off

Diastolic Low
Adult
Pediatric
Neonate

Off, 30-120
Off, 30-50
Off, 25-50

mmHg

Off

MAP High
Adult
Pediatric
Neonate

Off, 90-200
Off, 90-150
Off, 60-110

mmHg

Off

MAP Low
Adult
Pediatric
Neonate

Off, 40-100
Off, 40-70
Off, 30-70

mmHg

Off

Pulse Rate High
Adult
Pediatric
Neonate

Off, 100-245
Off, 100-245
Off, 100-245

bpm

Off

Pulse Rate Low
Adult
Pediatric
Neonate

Off, 35-120
Off, 35-150
Off, 75-200

bpm

Off

SpO

High

Adult
Pediatric
Neonate

Off, 61-99
Off, 61-99
Off, 61-99

%SpO

Off

SpO

Low

Adult
Pediatric
Neonate

60-95
60-95
60-95

%SpO

Summary of Contents for accutorr plus

Page 1: ...Accutorr Datascope Accutorr Operating Instructions 0070 01 0428 02_revC indd 1 4 8 10 11 51 13 AM...

Page 2: ...Accutorr Datascope Accutorr Operating Instructions...

Page 3: ...ation Nellcor Oxiband and Durasensor are U S registered trademarks of Nellcor Puritan Bennett Inc Oxisensor is a trademark of Nellcor Puritan Bennett Inc Velcro is a registered trademark of Velcro Ind...

Page 4: ...al Setting 3 9 Effects of Changing the Room Number and or Bed Letter on the Interval Setting 3 9 START and DEFLATE Functions 3 9 Alarms 3 10 Setting Alarm Limits 3 10 Alarm Violations 3 12 How to Mute...

Page 5: ...ll Paper 4 6 Thermal Paper Durability 4 7 Accutorr Plus Versions and Accessories 5 1 Accutorr Plus Versions 5 1 Accutorr Plus with Lithium Ion Battery 5 1 Accutorr Plus with Nellcor Pulse Oximetry and...

Page 6: ...ristics 6 8 Agency Compliance 6 9 Electromagnetic Compatibility 6 10 Indirect Blood Pressure Measurements and Associated Errors 6 14 Precautions With Using Automatically Cycled Blood Pressure Cuffs 6...

Page 7: ...Table of Contents iv 0070 10 0692 02 Accutorr Plus Operating Instructions This page intentionally left blank...

Page 8: ...ALL INSTRUCTIONS Information for servicing this instrument is contained in the Accutorr Plus Service Manuals Part Numbers 0070 00 0691 0998 00 0444 9XX For additional information or assistance please...

Page 9: ...in serious injury but about which the user should be aware A NOTE is provided when additional general information is available Mindray DS USA Inc maintains a policy of continual product improvement an...

Page 10: ...risk to hospital personnel patients and visitors WARNING Do not use a damaged or broken unit or accessory WARNING Do not clean the monitor while it is on and or plugged in WARNING Operation of the Ac...

Page 11: ...set as required CAUTION Do not place the sensor on an extremity with an invasive catheter or blood pressure cuff in place CAUTION A pulse oximeter should not be used as an apnea monitor CAUTION A pul...

Page 12: ...luding MASIMO LNOP patient dedicated adhesive sensors and MASIMO PC Series Patient Cable Use of other oxygen transducers may cause improper Oximetry performance CAUTION Many patients suffer from poor...

Page 13: ...qualified service personnel only CAUTION Batteries used in this device may present a risk of fire or chemical burn if mistreated Do not disassemble heat above 100 C 212 F or incinerate Replace Lithium...

Page 14: ...onitor Type B applied part NIBP Type BF defibrillation protected applied part SpO2 Type BF protected applied part Supply Connection 100 120 VAC 220 240 VAC 50 60 Hz 0 85 0 5 A 11 1 VDC Lithium Ion Int...

Page 15: ...level that prevents the Accutorr Plus from taking pulse rate measurements Arterial compression tricuspid regurgitation or other conditions may reduce perfusion to a level that prevents the Accutorr P...

Page 16: ...odels of the Accutorr Plus SYMBOL DESCRIPTION SYMBOL DESCRIPTION Attention Consult Accompanying Documents Refer to Manual Type BF Equipment Refer Servicing to Qualified Service Personnel Defibrillator...

Page 17: ...Introduction Symbols and Descriptions xiv 0070 10 0692 02 Accutorr Plus Operating Instructions This page intentionally left blank...

Page 18: ...Accutorr Plus Operating Instructions 0070 10 0692 02 1 1 1 0 General Description 1 1 General Description FIGURE 1 1 Accutorr Plus advanced model Historical Trend Display and Oximeter optional features...

Page 19: ...d measurements trend to access a menu system for setting the alarm volume and SpO2 beep volume and to display the view angle Advanced models also add automatic SpO2 measurement function with your choi...

Page 20: ...odels only Alarms Interval Mode Large Light Emitting Diode LED Displays Trend Memory Up to 100 Measurements Communications DIAP Nurse Call function Universal Power Supply Automatic Power Saver User Co...

Page 21: ...General Description General Description 1 4 0070 10 0692 02 Accutorr Plus Operating Instructions This page intentionally left blank...

Page 22: ...ol and display of the Accutorr Plus For step by step operating instructions see Chapter 3 0 Operation The following is a list of all controls connectors and indicators their item number and the page n...

Page 23: ...torr Plus advanced models 2 4 38 START NIBP KEY 2 8 11 Select Key optional feature with the Accutorr Plus advanced models 2 4 39 Start NIBP Indicator 2 8 12 PRINT KEY 2 4 40 Patient Size Indicators 2...

Page 24: ...play NIBP error codes and systolic alarm limits 2 NIBP DIASTOLIC DISPLAY Displays the diastolic blood pressure data from NIBP measurements It is also used to display diastolic alarm limits 3 NIBP MAP...

Page 25: ...to enter the adjustment mode Use the Arrow keys 9 10 to change the contrast 9 LCD UP ARROW KEY optional feature with the Accutorr Plus advanced models This key is used to scroll the trend data so tha...

Page 26: ...hen the LED begins flashing at least 10 minutes minimum of battery time remain on the Accutorr Plus 18 NIBP Connector This connector is used to attach specified NIBP hoses 19 ON STANDBY KEY This key i...

Page 27: ...User Configuration items 26 Room Number Display This display is used to show the current patient room number It is also used to display status codes for NIBP SpO2 and Temperature indicates which alar...

Page 28: ...measurement the display will flash as the number increases When the final temperature measurement is determined the display will no longer flash and a beep tone is generated When the AccuTemp IR therm...

Page 29: ...Press and hold 2 beep tones approx 3 seconds to display the current inflation pressure in the MAP display Use the Patient Info Up Down Arrow keys 27 28 to change the cuff pressure 38 START NIBP KEY P...

Page 30: ...al bonding between hospital equipment 43 AC Power Connector Allows for A C power cord connection 44 Communications Connector Provides compatible communications to external devices and hospital s nurse...

Page 31: ...Instructions 2 3 Predictive Thermometer Module PTM FIGURE 2 3 Predictive Thermometer Module 47 Probe Cover Holder Used to store a box of probe covers 48 Probe Chamber Used to store the temperature pro...

Page 32: ...corder Module 2 4 Recorder Module FIGURE 2 4 Recorder Module 50 Paper Door Open this door when loading recorder paper 51 Paper Tear Edge The paper tear edge is used to tear off printed recorder strips...

Page 33: ...Recorder Module Controls and Indicators 2 12 0070 10 0692 02 Accutorr Plus Operating Instructions This page intentionally left blank...

Page 34: ...step 5 For the recorder press the PRINT key and the recorder will feed the paper to verify proper function For the Predictive thermometer remove the probe from its holder and verify 85 0 29 4 appears...

Page 35: ...opriate LED See section 3 16 for a list of status codes At the end of power up all of the displays illuminate and then blank except the Bed Letter and Room Number displays 25 26 which does not blank A...

Page 36: ...uff Inflation Pressure The initial cuff inflation pressure depends on the Patient Size setting The initial cuff inflation pressures are listed in the table below The initial cuff inflation pressures c...

Page 37: ...s and Indicators 1 Press the ROOM BED key 24 The ROOM LED flashes indicating that the room number can now be changed 2 Press the PATIENT INFO Up or Down Arrow key 27 28 to increment or decrement the r...

Page 38: ...orized accessories Use of unauthorized accessories may result in erroneous measurements LIMB CIRCUMFERENCE CM DESCRIPTION CUFF NAME PART NUMBER DISPOSABLE CUFFS QUICK CONNECT LATEX FREE 10 19 Small Ch...

Page 39: ...directly against the patient s skin For best results the cuff should be placed on the arm at heart level and no clothing should come between the patient and the cuff NOTE Avoid compression or restric...

Page 40: ...e over pressure switch error code 987 before any new measurements can be taken 3 3 2 Cuff Inflation Time If the cuff pressure does not attain 20 mmHg within 40 seconds of the start of inflation or if...

Page 41: ...d changes the display back to Elap Time 7 If the START NIBP key 38 has not already been pressed press to take a measurement and to activate the interval mode NOTE If the interval time is changed the S...

Page 42: ...n the Room Number and or Bed Letter is changed the interval setting will remain the same NOTE The interval setting can be changed if required Also if an NIBP measurement is in progress the measurement...

Page 43: ...play 33 The second time the SET ALARMS key 29 is pressed the Systolic LO parameter is selected The word LO is displayed in the Interval Elap Time Temp display 33 When the unit has been configured to d...

Page 44: ...f 40 150 Off 35 100 mmHg Off 5 Diastolic Low Adult Pediatric Neonate Off 30 120 Off 30 50 Off 25 50 mmHg Off 5 MAP High Adult Pediatric Neonate Off 90 200 Off 90 150 Off 60 110 mmHg Off 5 MAP Low Adul...

Page 45: ...t is within the acceptable range and then returns to a value that is outside the set alarm limit the alarm tone will return before the two minutes elapse Example within 2 minutes SpO2 low alarm limit...

Page 46: ...the patient size and alarm settings are set as required MEASUREMENT ORDER ROOM BED PATIENT SIZE ALARM SETTINGS 1 1 a Adult Have been manually set 2 1 b Adult Remain the same 3 2 a Pediatric Changed t...

Page 47: ...r Plus advanced models display up to 5 measurements at a time The stored data that is viewed is for the currently selected patient indicated by the room number bed letter 3 6 1 To View the Stored Meas...

Page 48: ...n through the rooms bed with stored data only once 2 On the Accutorr Plus NIBP only when the desired room bed is displayed press the DATA SCAN key 22 1 beep tone The DATA SCAN Indicator 23 illuminates...

Page 49: ...re 3 4 The alarm volume is initially highlighted when the menu is displayed The highlighting indicates this item can be changed 2 Press the LCD Up and Down Arrow keys 9 10 to change the current select...

Page 50: ...rily press either the LCD Up or Down Arrow key 3 The LCD contrast adjustment is saved by either pressing the MENU key 8 again or not pressing either the LCD Up or Down Arrow keys 9 10 for 15 seconds N...

Page 51: ...vent you are unable to obtain a reading or the reading is inaccurate check the patients vital signs by alternate means and consider the following If your patient is poorly perfused try applying the se...

Page 52: ...nsor on an extremity with an arterial catheter or blood pressure cuff in place Placement of an arterial catheter or blood pressure cuff on an extremity may obstruct normal blood flow False pulse rate...

Page 53: ...e sensor site periodically or failing to position it appropriately Carefully read the sensor directions for use the Accutorr Plus operating instructions and all precautionary information before use CA...

Page 54: ...NUMBER PATIENT SIZE DISPOSABLE REUSABLE LNOP Adt Adult Disposable Finger Sensor 0600 00 0043 01 30 kg Disposable LNOP ADT Pediatric Slender Digit Disposable Sensor 0600 00 0044 01 10 to 50 kg Disposa...

Page 55: ...by incorrect sensor application or use such as wrapping it too tightly applying supplemental tape failing to inspect the sensor site periodically or failing to position it appropriately Carefully read...

Page 56: ...gs CAUTION The SpO2 sensor site should be checked at least every eight 8 hours every two 2 hours with the Adult re usable finger sensor Ensure proper adhesion skin integrity and proper alignment Exerc...

Page 57: ...Failure to do so may result in inaccurate measurements Light sources that can affect performance include surgical lights especially those with a xenon light source bilirubin lamps fluorescent lights i...

Page 58: ...nt and physiological activity Consequently attempts to estimate the temperature of one site based on the temperature of any other site e g rectal temperature axillary temperature have met with less th...

Page 59: ...or the measurement The thermometer reading will begin to flash then will indicate the rising temperature as the measurement proceeds FIGURE 3 7 Probe Placement for Oral Temperatures 2 The display will...

Page 60: ...is her arm Place the probe tip in the axilla pressing gently to assure good contact Have the patient lower his her arm holding the probe in position almost parallel to the arm The measurement will pro...

Page 61: ...stored in the trend memory When a temperature measurement is completed within 2 minutes before or after an NIBP measurement it is stored as occurring at the same time as the NIBP measurement If more...

Page 62: ...ermometer is used P is printed next to the temperature measurement When the IR thermometer is used I is printed next to the temperature measurement When NIBP is used to obtain a pulse rate measurement...

Page 63: ...he time or date does NOT cause data to be erased 1 Press and hold the TIMER TEMP key 32 2 beep tones approx 6 seconds The hour digit only displays FIGURE 3 12 Setting the Hour 2 Press the PATIENT INFO...

Page 64: ...new information To cancel a changed value while that value is still displayed press the DEFAULTS key 14 for less than 3 seconds If the TIMER TEMP or Arrow keys have not been pressed for 15 seconds th...

Page 65: ...remain When the battery charge drops below the cutoff voltage the Accutorr Plus will automatically turn off Patient information will be retained for later use Battery run time for the Accutorr Plus ba...

Page 66: ...the PATIENT INFO Up or Down Arrow key 27 or 28 to change the default setting 5 Press the START NIBP key 38 to enter the changed default setting 6 Repeat Step 2 for additional choices The following ta...

Page 67: ...size patient The choices are 100 to 260 mmHg at 5 mmHg increments 180 mmHg 6b Pediatric Initial Inflation Pressure Set the initial cuff inflation pressure for a pediatric size patient The choices are...

Page 68: ...The choices are 1 2 3 4 5 5 is the loudest 4 10b SpO2 Volume Set the volume of the SpO2 beep The choices are Off or 1 2 3 4 5 5 is the loudest OFF 11 Continuous Print Choices are ON or OFF If User Co...

Page 69: ...igher Insufficient cuff pressure A triple beep tone is generated 8812 Stop Cuff Overpressure Excessive cuff pressure detected by the software A triple beep tone is generated 8813 Stop Unable to Measur...

Page 70: ...ing The two pressure transducers are not tracking each other 987 Stop Hardware Overpressure Excessive cuff pressure detected by hardware over pressure sensor A triple beep tone is generated 988 TEMP B...

Page 71: ...ector 48 on the Accutorr Plus Push firmly to seat properly 3 Use the 2 screws provided to secure the Recorder Module to the Accutorr Plus 3 17 2 To Attach the Thermometer Module Looking at the rear pa...

Page 72: ...of front panel keys on one side and on the other side provides descriptions of the status codes To attach the Quick Reference card thread the NIBP hose through the two holes in the card FIGURE 3 15 Pl...

Page 73: ...92 02 Accutorr Plus Operating Instructions 3 19 Placement of Recorder Paper Loading Label The Recorder Paper Loading label is designed to be placed on the recorder module Attach label as shown in the...

Page 74: ...ctly onto the monitor DO NOT apply large amounts of liquid DO NOT use abrasive cleaning agents or organic solvents Remove dust and dirt particles with a soft sponge moistened with cleaner solution or...

Page 75: ...let NOTE Prolonged use of disinfectant may cause discoloration of the cuff Replace the bladder after cleaning and disinfecting the cuff as follows 1 Place the bladder on the top of the cuff as the fig...

Page 76: ...cuff Steam sterilization is not recommended Use of a washing liquid containing bleach is not recommended because chlorine will chemically break down the urethane on the inside of the cuff Antimicrobi...

Page 77: ...mble heat above 100 C 212 F or incinerate Replace Lithium Ion battery with P N 0146 00 0069 only Use of another battery may present a risk of fire or explosion CAUTION Dispose of used battery promptly...

Page 78: ...eject the battery Slide out the old battery 3 Slide in the replacement battery until it clicks into place 4 Close the battery compartment door 5 Batteries are shipped partially charged and therefore r...

Page 79: ...ad life and poor print quality 4 5 1 To Install Paper 1 Open recorder door by pulling the door on the upper left side An indented area is provided there for ease of opening the door 2 Remove empty pap...

Page 80: ...ceptable legibility for many years the exact period is dependent upon actual conditions Under adverse storage conditions such as high temperatures and or humidity papers are less stable Our thermal pa...

Page 81: ...Thermal Paper Durability User Maintenance 4 8 0070 10 0692 02 Accutorr Plus Operating Instructions This page intentionally left blank...

Page 82: ...r Plus NIBP Lithium Ion battery Italian 0998 00 0444 91T DESCRIPTION PART NUMBER Accutorr Plus NIBP Trend Nellcor OxiMax SpO2 Lithium Ion battery English 0998 00 0444 93A Accutorr Plus NIBP Trend Nell...

Page 83: ...orr Plus NIBP Trend Masimo SET SpO2 Lithium Ion battery English 0998 00 0444 94A Accutorr Plus NIBP Trend Masimo SET SpO2 Lithium Ion battery German 0998 00 0444 94G Accutorr Plus NIBP Trend Masimo SE...

Page 84: ...quick connect 0683 15 0001 01 Reusable NIBP cuff small adult 18 26 cm quick connect 0683 15 0002 01 Reusable NIBP cuff adult 25 35 cm quick connect 0683 15 0003 01 Reusable NIBP cuff large adult 33 4...

Page 85: ...x Free DESCRIPTION PART NUMBER Neonatal Size 1 3 6 cm box of 10 0683 23 0001 01 Neonatal Size 2 5 8 cm box of 10 0683 23 0002 01 Neonatal Size 3 7 10 cm box of 10 0683 23 0003 01 Neonatal Size 4 9 13...

Page 86: ...600 00 0043 01 LNOP Pdt Pediatric slender digit single patient sensors for patients more than 10 kgs and less than 50 kgs pkg of 20 0600 00 0044 01 LNOP II Inf L Infant L single patient adhesive senso...

Page 87: ...e patient adhesive sensor and one 3 1m cable 0020 00 0155 LNCS DC I Adult finger reusable sensor 0600 00 0126 LNCS DC IP Pediatric finger reusable sensor 0600 00 0127 LNCS TC 1 Reusable Adult Ear Sens...

Page 88: ...ve Thermometer Module Includes one oral and one rectal thermometer and one box of 20 disposable probe covers DESCRIPTION PART NUMBER Adult 0998 00 0128 01 Pediatric 0998 00 0128 02 Neonatal 0998 00 01...

Page 89: ...lus 0020 00 0153 Non locking mounting bracket kit SureTemp Plus 0020 00 0477 SureTemp Plus oral probe 2 7m cable and well 0992 00 0213 02 SureTemp Plus rectal probe 2 7m cable and well 0992 00 0212 02...

Page 90: ...Accutorr Plus Operating Instructions 0070 10 0692 02 5 9 Accutorr Plus Versions and Accessories Accessories 5 2 10 Battery DESCRIPTION PART NUMBER Battery Lithium Ion 0146 00 0069...

Page 91: ...10 0070 10 0692 02 Accutorr Plus Operating Instructions FIGURE 5 1 Universal Wall Mount Kit P N 0436 00 0247 FIGURE 5 2 Universal Rolling Stand P N ACCTROLLSTD Sample Wall Mount Accutorr Plus Wall Mou...

Page 92: ...roper control settings If operational problems continue to exist contact the Service Department at 800 288 2121 U S A and Canada or 201 995 8116 outside U S A and Canada for assistance in determining...

Page 93: ...ure to 330mmHg for Adults 220mmHg for Pediatrics and 165mmHg for Neonates A software overpressure monitor which vents if the pressure exceeds 300mmHg for Adults 200mmHg for Pediatrics and 150mmHg for...

Page 94: ...olume at a differential pressure of 250 mmHg Cuff Vent Rate When the unit is vented a volume of at least 700 cc s is reduced from a pressure of 250 mmHg to a pressure of 20 mmHg in a maximum of 14 sec...

Page 95: ...rcentage of fetal hemoglobin in neonatal blood declines the theoretical effect on accuracy due to this source is reduced Range 70 100 SpO2 Display Resolution 1 SpO2 Display Update 4 secs SpO2 Accuracy...

Page 96: ...an amplitude of 1 to 2 cm and non repetitive motion between 1 to 5 Hz At an amplitude of 2 to 3 cm in induced hypoxia studies in the range of 70 to 100 SpO2 against a laboratory co Oximetry and ECG mo...

Page 97: ...n use Accutorr Plus advanced models 7 hours from full charge with new battery at 25 C with 1 NIBP measurement every 5 minutes continuous SpO2 measurement and recorder not in use Recharge Time 4 Hours...

Page 98: ...0 C 50 F to 104 F Accutorr Plus Recorder 10 C to 32 C 50 F to 90 F Predictive Thermometer Humidity 15 to 90 max non condensing Altitude 1013 hPa to 697 hPa 0 to 10 000 ft Shock and Vibration Meets IEC...

Page 99: ...part and live parts between patient leads and AC mains hot or neutral Ground Resistance 0 1 ohm from the AC mains power inlet module s ground contact pin to any exposed metal part which may become en...

Page 100: ...mable EN 60601 1 4 1996 A1 1999 IEC 60601 1 4 1996 A1 1999 Temperature ASTM E1112 00 2006 EN12470 3 2000 Biological ISO 10993 1 2003 Risk EN 14971 2000 A3 2003 Acoustics EN 60601 1 8 2004 A1 2006 Rand...

Page 101: ...intended for use in the electromagnetic environment specified below The customer or the user of the Accutorr Plus should assure that it is used in such an environment EMISSIONS TEST COMPLIANCE ELECTR...

Page 102: ...ironment Surge IEC 61000 4 5 1 kV differential mode 2 kV common mode 1 kV differential mode 2 kV common mode Mains power quality should be that of a typical commercial or hospital environment Voltage...

Page 103: ...n meters m Field strengths from fixed RF transmitters 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...

Page 104: ...Plus as recommended below according to the maximum output power of the communications equipment RATED MAXIMUM OUTPUT POWER OF TRANSMITTER W WATTS SEPARATION DISTANCE ACCORDING TO FREQUENCY OF TRANSMI...

Page 105: ...tomatically cycled blood pressure cuffs Position and support the limb in such a way as to minimize stretching of and weight exertion on affected nerves Avoid cuff placement that applies pressure on th...

Page 106: ...urements Consult your service manual for appropriate information If you question the accuracy of the Accutorr Plus check it the Accutorr Plus with a manometer See the Calibration Section of the Accuto...

Page 107: ...Mindray DS USA Inc 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 enforc...

Page 108: ...Accutorr Plus Operating Instructions 0070 10 0692 02 6 17 Appendix Manufacturer s Responsibility This page intentionally left blank...

Page 109: ...0070 10 0692 02 Rev D July 1 2010...

Page 110: ...621 Mindray UK Limited 3 Percy Road St John s Park Huntingdon Cambridgeshire PE29 6SZ United Kingdom Tel 01480 416840 Fax 01480 436588 Mindray Medical France SARL Europarc Cr teil 123 Chemin des Bass...

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