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Diasys Integra Access - Manual - GB - Rev 2

1. Introduction

4

2. Guarantee

5

2.1. Specific Guarantees concerning units

5

2.2. Accessories

5

2.3. Restrictions of the Guarantee

5

2.4. Responsibilities

5

2.5. User Information

6

2.6. Rights

6

3. How the Diasys Integra Access Functions

7

4. Description of the equipment

8

Diasys Integra Access and Standard Accessories

8

Optional  accessories

8

4.1. The Diasys Integra Access recorder

9

4.2. The battery charger

10

4.3. The cuff and the connecting tube to the Diasys Integra Access

11

5. Preparing the Diasys Integra Access for monitoring

12

5.1. Preparing the battery

13

5.1.1.  The battery charger

13

5.1.2. The battery

15

5.1.3. Charging the battery

15

5.1.4. End of charge

16

5.2. Inserting the battery into  the recorder

17

5.2.1. Insertion

17

5.2.2 Safeguard battery (non-rechargeable lithium)

18

5.3. Programming the Diasys Integra Access

18

5.3.1. Programming the time

20

5.3.2. Programming the date

21

5.3.3.  Programming the intervals

22

5.4. Placing the unit on the patient

23

5.4.1. Positioning

23

5.4.2. Recommendations for placing the cuff

25

5.4.3. Changing arms

26

5.4.4. Positioning the Diasys Integra Access with the integrated position

sensor (optional) 

27

Manuel Access GB.qxd  24/02/2004  11:32  Page 2

Summary of Contents for Diasys Integra Access

Page 1: ...ys Integra Access English NOVACOR SA 4 passage Saint Antoine 92508 Rueil Malmaison cedex France Manual Diasys Integra Access 1999 NOVACOR SA All rights reserved Manuel Access GB qxd 24 02 2004 11 32 Page 1 ...

Page 2: ...1 5 Preparing the Diasys Integra Access for monitoring 12 5 1 Preparing the battery 13 5 1 1 The battery charger 13 5 1 2 The battery 15 5 1 3 Charging the battery 15 5 1 4 End of charge 16 5 2 Inserting the battery into the recorder 17 5 2 1 Insertion 17 5 2 2 Safeguard battery non rechargeable lithium 18 5 3 Programming the Diasys Integra Access 18 5 3 1 Programming the time 20 5 3 2 Programming...

Page 3: ...des 32 7 Reading the recordings 33 7 1 Transfer to a PC or a printer 33 7 2 Modem Data Transmission optional 34 8 Maintenance 36 8 1 Handling the equipment 36 8 2 Cleaning the equipment 36 8 3 Maintenance 36 8 4 Calibration test 37 8 5 Replacing the safeguard battery 38 8 6 Storing and dispatching 38 8 7 Preventative maintenance 39 8 8 Electrical safety standards 39 8 9 Precautions of use 40 8 10 ...

Page 4: ...he electronic system and pneumatic inflation module It is linked to the patient s cuff with a tubing system The measurements made by the Diasys Integra Access can be printed out directly in report form by a printer connected to the unit If a computer is used recording conditions and criteria can be fixed and the results of the procedure can be selected organised stored and printed out in a fully c...

Page 5: ... guarantee The guarantee does not apply to 1 units repaired or opened outside our workshop 2 units damaged by negligence by accident or if the user instructions have not been followed correctly If necessary contact your distributor or our after sales service We do not accept units returned without prior agreement 2 4 Responsibilities NOVACOR will not under any circumstances be held responsible for...

Page 6: ...s as they become available 2 6 Copyrights Diasys Integra Access Manual 1999 Novacor S A All rights reserved Diasys Integra Access DiasySoft and their respective logos are registered trademarks of NOVACOR S A Macintosh is a registered trademark of Apple Computer International MS DOS and Windows are registered trademarks of Microsoft Corporation 6 Diasys Integra Access Manual GB Rev 2 Manuel Access ...

Page 7: ... of the cuff pressure of which the maximum point represents the mean pressure The patient s arm must stay still during measurement The Diasys Integra Access also has an optional integrated position sensor enabling the unit to detect whether the patient is vertical awake or horizontal resting Diasys Integra Access Manual GB Rev 2 7 3 H o w t h e D i a s y s I n t e g r a A c c e s s f u n c t i o n...

Page 8: ...s Standard adult sized cuff Protective pouch and belt Optional accessories Battery charger DiasySoft software customised according to the programming options required and the user s language and access key Printer Diasys Printer or Diasys Computer linking cabl e Diasys Modem linking cable 8 Diasys Integra Access Manual GB Rev 2 Manuel Access GB qxd 24 02 2004 11 32 Page 8 ...

Page 9: ...f options Valid M mode monitoring started On and activation of a manual recording Rec P mode next choice Select M mode stop measurements Stop RS232 connector for printer or modem P M Stop Rec On Valid Select Diasys Integra Access Manual GB Rev 2 9 4 D e s c r i p t i o n o f t h e e q u i p m e n t English Manuel Access GB qxd 24 02 2004 11 32 Page 9 ...

Page 10: ...able battery NiMH making it economical and environmentally friendly Batteries are recharged with a fast battery charger specially designed for the Diasys to ensure optimum performance and long life The charger is connected to the mains outlet via a transformer and has two lights on the front panel Manuel Access GB qxd 24 02 2004 11 32 Page 10 ...

Page 11: ...lly designed for ambulatory recording Cone shaped for better ergonomics Stabilising flap for optimal positioning to be used with adhesive pads Easy handling Washable material Diasys Integra Access Manual GB Rev 2 11 4 D e s c r i p t i o n o f t h e e q u i p m e n t English Manuel Access GB qxd 24 02 2004 11 32 Page 11 ...

Page 12: ... the unit follow the instructions below Charge the battery Insert the battery Program the unit Place the unit on the patient Start up the unit and carry out the test measurements 12 Diasys Integra Access Manual GB Rev 2 Manuel Access GB qxd 24 02 2004 11 32 Page 12 ...

Page 13: ...ED light indicates That the charger is working correctly when it is plugged into the mains outlet fixed light low brightness That the battery is being discharged when discharge prior to charge has been programmed see chapter 5 1 3 blinking light normal brightness That the battery is being charged fixed light normal brightness Green light end of charge low brightness power normal brightness blinkin...

Page 14: ...by changing the position of switch 1 SWITCH 1 ON discharges the battery before recharging it factory setting SWITCH 1 OFF immediate charge Whichever mode is chosen the green light comes on when the battery is charged indicating that it is ready to be used The position of switch 2 should never be changed and should always remain in the position shown above Never use the charger with any batteries o...

Page 15: ... not exceed the recommended recharge time otherwise the unit risks stopping during a recording 5 1 3 Charging the Battery Plug the charger into a compatible mains outlet check carefully that the voltage marked on the charger transformer corresponds to the voltage of your mains supply the red light will come on immediately with low brightness Place the battery in the charger taking care to match th...

Page 16: ... has been stored out of the charger for more than 2 weeks since last being charged 5 1 4 End of charge When the green light is on the battery is ready to be used and can be removed for storage or left in the charger up to one week until required Caution if a charged battery is removed from the charger and not used for more than two weeks we recommend that it be recharged Do not leave a battery in ...

Page 17: ...f it is difficult to insert the battery do not force it Check that the above instructions have been carefully followed before trying again Holding the battery in place slot the battery cover back into the grooves and slide it into place The battery must be replaced before each new clinical procedure Do not store the Diasys with a discharged battery inside Do not leave a recharged battery in the Di...

Page 18: ...utomatically tests the safeguard battery and displays one of the following messages for 3 seconds either indicating that the lithium battery is functioning properly or indicating that the lithium battery is not functioning see chapter 8 replacing the safeguard battery 5 3 Programming the Diasys integra Access mode selector in Programming position This manual only concerns manual programming Softwa...

Page 19: ... m o n i t o r i n g English During programming if the selector or the two programming keys are not used for a certain time the screen will switch off to save battery power Press one of the keys to retrieve the time screen Manuel Access GB qxd 24 02 2004 11 32 Page 19 ...

Page 20: ...o obtain the correct digit Press Valid to confirm The second digit will flash Adjust the second digit and press valid to confirm The AM PM setting will flash Press Valid to make AM flash If PM is required press Select then Valid Adjust the two minute digits as above When the last digit has been validated all four digits will flash Press Valid to confirm the time The date will be displayed Rec On V...

Page 21: ...her digits as above Press Valid to confirm When the last digit has been confirmed all four digits will flash Press Valid to confirm the date The year will be diplayed Press Select to adjust the last digit of the year and press valid to confirm Press Valid again and the interval programming will appear or press Select year 2000 onwards For the year 2000 onwards adjust the digits one by one as above...

Page 22: ...ternately next to the corresponding intervals Press Select to adjust the daytime interval Press Select to adjust the night time interval Press Valid and the new intervals will flash alternately Press Valid to end the programming The time screen will be displayed Press Select and the daytime interval will flash Press Valid to confirm the daytime interval The night time interval will flash Stop Sele...

Page 23: ...ut 2cm above the crease of the elbow Clean the inside of the arm and apply an antiperspirant if necessary We recommend you place a single use cuff protector on the inside of the cuff for hygiene reasons Take the protections off the adhesive strips Apply the adhesive strips on the inside of the cuff lining the cuff connector up to the edge of the pouch fig 2 Diasys Integra Access Manual GB Rev 2 23...

Page 24: ...tioning the cuff Pass the tubing behind the patient s neck and connect the cuff connector to the Diasys preferably already in the protective pouch fig 4 Fig 4 Connection of the cuff to the Diasys Diasys is shown without pouch for better illustration I N T E G R A Stop Select 24 Diasys Integra Access Manual GB Rev 2 Manuel Access GB qxd 24 02 2004 11 32 Page 24 ...

Page 25: ... Clicking an adhesive patch onto the stabilising flap and placing it on the patient s arm 5 4 2 Recommendations for positioning the cuff Cuff size It is essential to choose the appropriate size of cuff for the circumference of the patient s arm to avoid any discomfort or measurement errors The maximum arm circumference for the cuff is given by lining up the two vertical lines where MAXI is printed...

Page 26: ...nd result in a malfunction in which case the relevant error code would be displayed nor too tightly wound around the patient s arm uncomfortable 5 4 3 Changing arm The cuff has been designed so that it can if necessary be worn on the right arm This is done as follows Disconnect the air tubing from the Diasys Open the cuff cover and remove the bladder passing the tube under the stabilising flap Tur...

Page 27: ...t must be vertical it should be positioned as normal on the belt fig 1 Lying position patient laying down the unit must be horizontal The patient can therefore keep it attached to the belt if lying down He can also take the belt off but must keep the unit down flat fig 8 Fig 8 Recommended Diasys position when patient lying down 3 2 1 Diasys Integra Access Manual GB Rev 2 27 5 P r e p a r i n g f o...

Page 28: ...tery not replaced since previous start up battery should be charged Press the pink key briefly during this 10 second display and monitoring will be initiated in the oscillometric mode 6 2 Test measurements Mode selector in measurement position At the start of the monitoring the Diasys Integra Access automatically carries out two test measurements in oscillometric mode separated by a two minute int...

Page 29: ...enables manual measurements to be triggered whenever required Measurements activated manually are carried out in the unit s operating mode The next pre programmed measurement will be cancelled if it is due to occur in less than two minutes 6 4 Palliative measurements If a measurement is defective a palliative measurement will be triggered two minutes after the beginning of this defective measureme...

Page 30: ...s initially programmed 6 6 Measurements which are not memorised By pressing the two keys simultaneously the physician can trigger at any time a measurement which will not be memorised measurements are displayed only without affecting the ongoing program 6 7 Display of measurements After each measurement the unit displays successively Stop Rec On Valid Select Press Valid and Select simultaneously t...

Page 31: ...y will trigger two test measurements and the recording will continue normally To stop an ongoing measurement press the green key briefly Error 17 will be displayed see the display table overleaf Monitoring can be stopped at any time by holding the green key down you will hear a series of beeps STOP will be displayed Rec On Valid Rec On Valid Stop Select Stop Select Patient s position Options Diasy...

Page 32: ...on Tubing disconnected bent pierced or blocked or cuff too loose Check the air tubing and connector and that the cuff is properly wound around patient s arm Er 04 Measurement not validated Diastole 50mm not confirmed Er 05 Abnormal pressure variation Muscular contraction or excessive exercise Er 07 Excessive measurement time Measurement time 120 s Er 09 Excessive cuff pressure Er 10 Excessive nois...

Page 33: ...rinted as soon as the printer is ready If the battery is dead keys blocked and blank display or run down Er 14 disconnect the cable and change the battery to resume printing Wait until 8888 is no longer displayed before connecting the Diasys Note that it is always possible to make a print out as long as a new recording has not been initiated Also a recording can be continued after data transmissio...

Page 34: ...eption computer must be on and the NovaModem tele reception module open and waiting reception The modem must be plugged into the mains and the telephone socket and switched on before transmission Simply connect the Diasys to the modem using the specific cable to automatically initiate transmission Mod is displayed during transmission replaced by Good at the end of a successful transmission If COMM...

Page 35: ...order at his end computer with modem and NovaModem open awaiting reception After transmission the monitoring can continue by simply pressing the pink key Diasys Integra Access Manual GB Rev 2 35 7 R e a d i n g t h e r e c o r d i n g s English Manuel Access GB qxd 24 02 2004 11 32 Page 35 ...

Page 36: ...tergents Avoid all contact with liquids For hygiene clean the cuff cover in soapy water after each patient by hand or in a washing machine on delicate cycle 30 40 8 3 Maintenance Maintenance is carried out in our workshop as rapidly as possible We are unable however to provide a loan unit during the repair period or to provide compensation of any kind Transport costs are the customer s liability i...

Page 37: ...measurements match Press one of the keys or switch the mode selector to the Measurement position to end the test phase Calibration test Stop Rec On Valid Select Press both keys simultaneously The unit displays TEST Put the mode selector in the Programming position Press the On Valid to display Time then Zero after about 5 seconds P M Rec On Valid Rec On Valid Rec On Valid Stop Select Stop Select S...

Page 38: ...to the correct functioning of the Diasys Integra Access When it is completely run down the message LITH is displayed see chapter 5 2 2 It can only be replaced in an authorised workshop Should this message be displayed contact your distributor who will tell you where to send the unit 8 6 Storage and dispatching Remove the battery if the Diasys is to be stored for more than a few days The Diasys Int...

Page 39: ... be carried out upon reception of a customer order 8 8 Electrical safety standards The Diasys Integra Access Complies with standards of protection against low frequency electrical shocks Works exclusively with an internal power source Is not protected against water penetration Is designed to work on an irregular basis Can not be used in the presence of an inflammable anaesthetic and air mix oxygen...

Page 40: ... IEC 950 standards can be connected 8 9 Precautions of use Certain particular physiological characteristics of a patient ausculatory gapss arrhythmia could influence the reliability of the measurement We recommend checking the unit is working correctly by comparing a measurement with that of a stethoscope before beginning the monitoring This equipment must be used by qualified medical personnel tr...

Page 41: ...mum measurements 200 measurement precision 3 mmHg deflation levels 8 12 mmHg Signal input output type type RS 232 measurement ranges systole 295 50 mmHg diastole 180 30 mmHg mean 295 30 mmHg heart rate 240 40 min 1 DIASYS CHARGER Length 93 mm 88 mm Width 63 mm 88 mm Height 27 mm 34 mm Weight with batteries 195 g 130 g Storage temperature 40 C 70 C 40 C 70 C Functioning temperature 0 C 50 C 0 C 50 ...

Page 42: ... 0254 00 Adult bladder ACC 0300 00 Large bladder ACC 0301 00 Diasys PC cable ACC 0150 00 Diasys Integra Access Manual on CD Rom Diasys Integra Access DiasySoft quick reference guide ACM 0203 01 Standard adult cuff bladder included ACC 0203 00 Standard large adult cuff bladder included ACC 0204 00 Adhesive pads for stabilising flap ACC 0600 00 Diasys Integra Access protective pouch ACC 0502 00 Adul...

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