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Instructions for Use RAUMEDIC

 MPR2 logO 

 

 

Manufacturer:  

 

zwo-400EN 

RAUMEDIC AG, Hermann-Staudinger-Strasse 2, 95233 Helmbrechts, Germany 

Rev. 9 2020-09-22 

 

Page 1 of 99 

Instructions for Use

 

 

RAUMEDIC

®

 MPR2 logO 

REF 095254-001 and 095254-002 

Firmware version  

2.10.0068 HW2  

 

 

 

 

 

 

 

This 

document 

is 

for 

information 

only

Summary of Contents for MPR2 logO

Page 1: ...RAUMEDIC AG Hermann Staudinger Strasse 2 95233 Helmbrechts Germany Rev 9 2020 09 22 Page 1 of 99 Instructions for Use RAUMEDIC MPR2 logO REF 095254 001 and 095254 002 Firmware version 2 10 0068 HW2 T...

Page 2: ...of the MPR2 16 2 9 Catheter location and signal designations 16 3 Patient monitoring 17 3 1 Invasive pressure measurement IBP 17 3 1 1 General aspects 17 3 1 2 Preparation of the invasive pressure me...

Page 3: ...m values 49 4 4 3 5 1 Setting the pO2 limiting values 50 4 4 3 5 2 Activating and deactivating pO2 alarms 50 4 4 3 6 pO2 graphics 51 4 4 3 7 pO2 trend 52 4 4 3 8 Technical alarms during partial oxygen...

Page 4: ...ions 82 7 Cleaning and maintenance 86 7 1 Cleaning the MPR2 86 7 2 Cleaning disinfecting and sterilising the cables and sensors 86 7 2 1 Cleaning 86 7 2 2 Disinfection 86 7 2 3 Sterilisation 86 7 3 Cl...

Page 5: ...e the pre requisite for the intended use and correct handling of the appliance as well as the safety of patient and operator dependent thereupon These instructions for use can be supplemented by a Qui...

Page 6: ...of the reference LED a far reaching monitoring has been ensured When the apparatus is switched on a signal is sounded which is intended to check the alarm sounding unit If the signal is not sounded th...

Page 7: ...nsation water forming or any condensation water already developed has completely dried Please also observe the safety instructions in conjunction with the use of sensors and transducers which have bee...

Page 8: ...settings 2 2 Indications 2 2 1 Conditions The use of the MPR2 is indicated when the doctor considers it necessary to measure and monitor several physiological parameters such as invasive pressure oxyg...

Page 9: ...surement location erasing the memory create patient file performing a simple functional pre test of the alarm signals configure alarms deactivating the alarms measure display trend set storage mode mo...

Page 10: ...operated mode toggle function After 60 seconds the lighting is switched off automatically During mains operation this key has no function 4 The bell symbol switches the AUDIO OFF function of the acti...

Page 11: ...for temperature measurement 21 P1 multi purpose port for invasive pressure P1 cf chapter 4 4 2 Transducer for invasive blood pressure IBP 22 Out 2 analogue output 2 cf chapter 4 6 1 Combine analogue o...

Page 12: ...owing significance The instructions for use must be read The triangular LED at the left hand top has the following significance Display for alarms Flashing yellow LED if alarm has average priority Fla...

Page 13: ...284027 001 may be used according to the type plate of the MPR2 Ext Bi directional digital input output The caution sign below port E indicates that only accessory parts authorised by the manufacturer...

Page 14: ...the marking plate and the packaging label have the following significance Manufacturer Date of manufacture Reference number Serial number Consult instructions for use Keep dry Keep away from sunlight...

Page 15: ...mitting Diode LP Long Play memory mode FOC Fibre Optical Cable MPBV German Medical Products Operator Regulations MPG German Act on Medical Products MRT Magnetic Resonance Tomography MTK Electrical mea...

Page 16: ...pO2 connection port for fibre optical partial oxygen pressure sensor T1 connection port for temperature sensor T1 2 9 Catheter location and signal designations ART Arterial pressure CPP Cerebral Perfu...

Page 17: ...only which are listed in the overview in chapter 9 Accessories No splitting into spatially separate sensors for pressure and temperature may be effected at the multi purpose port P2 T2 Use transducers...

Page 18: ...three way cock to open the hose to the patient In conjunction with external transducers use the Conventional zeroing option on the MPR2 only Figure 5 Pressure measurement with external transducer 3 1...

Page 19: ...etention of zero value Conventional zeroing 3 1 2 3 1 Zeroing RAUMEDIC catheter During their manufacture RAUMEDIC catheters are subjected to extensive measurements Based on the evaluation of these mea...

Page 20: ...20 Application see below When a special fibre optical catheter NEUROVENT PTO made by RAUMEDIC has been fitted the MPR2 can be used to measure and display the partial oxygen pressure The pressure chann...

Page 21: ...re probe The allocation of the measuring location of the channel sets its scale alarm source and alarm limits As the partial oxygen pressure probes are multi purpose probes as a rule which combine par...

Page 22: ...d on the same side see 4 4 3 1 Connecting the cable to the catheter The ICP Temp cable is not suitable for the connection of the oxygen catheter because the catheter data saved to the catheter connect...

Page 23: ...s 0 01 Celsius and thus is higher than the accuracy mentioned above The higher resolution has been provided intentionally to recognise short time changes in temperature without the necessity of having...

Page 24: ...party system When using the analogue output it is imperative that you proceed in keeping with chapter 4 6 1 Combine analogue outputs As from 17th March 2004 the following third party systems shall be...

Page 25: ...can be used to connect a laptop which by means of the DataView software RAUMEDIC article No 296900 001 is used for on line display of the values measured for the extended storage of the values measure...

Page 26: ...the presence of loose parts by shaking or tipping the appliance for example If loose parts are present the appliance must not be used If the MPR2 is operated on battery pack please check the charge c...

Page 27: ...on is indicated right next to the respective key when the key has been allocated to a function by the software of the MPR2 4 1 2 3 Data field The data field is used to display the data measured There...

Page 28: ...t installed on your device Further you can in this view delete the patient data saved define a new patient and select the memory mode If the memory is more than 50 full the user now receives the recom...

Page 29: ...Please observe The memory mode set has a decisive influence on the potential recording duration Only a fraction of the memory which is required for the recording of the curves and trends in short play...

Page 30: ...on of the Del key For irretrievable erasure of the data saved press the Del delete key The successful deletion of the data is confirmed by an acoustic signal as well as a short note on the screen Afte...

Page 31: ...ve been deleted cf chapter 4 2 2 Deleting the memory a new patient is set up automatically If the measurement is continued this measurement will be allocated to a patient automatically when the data a...

Page 32: ...version If the memory mode displayed is okay no other selection needs to be done If you want to continue with the displayed memory mode press the Menu key first of all The works settings are Trend cur...

Page 33: ...s omitted 4 2 5 No storage As an alternative to the memory modes Short play SP and Long play LP from firmware version 2 00 0053 there is an option of selected a third memory mode No storage The advant...

Page 34: ...ly deleted The deletion process lasts for a short period After data deletion alarm limit selection is carried out Specification of the site of measurement and the possibility of zeroing in case a pres...

Page 35: ...n View last measurement Confirm with OK This function is only available if data are stored on the device Software version Confirm the selected Function with OK This function is only available if data...

Page 36: ...ting of this channel by cable into spatially separated units is impermissible as the measuring transducers of the multi purpose channel are not galvanically separated However a single channel pressure...

Page 37: ...Observe chapter 3 1 Invasive pressure measurement IBP Keep the connection cable ready prior to connecting the pressure transducer Use approved accessories only Observe the instructions for use of the...

Page 38: ...cation Use the arrow keys to select the requested measuring location and then acknowledge by pressing OK Display of the selected measuring location In the next step the pressure sensor has to be zeroe...

Page 39: ...ether the pressure signal is to be switched to one of the two analogue outputs whether you want to change the settings of the limiting alarm values and whether the limiting value monitor of the select...

Page 40: ...displayed Limiting values for ICP Alarm active not active for ICP Limiting values for ICPA Alarm active not active for ICPA Limiting values for CPP Alarm active not active for CPP The settings rendere...

Page 41: ...et the limiting values to extreme values which could render the alarm system useless 4 4 2 2 1 Changing the limiting value Increasing the lower limiting value Keep the LL key pressed until the request...

Page 42: ...mbine analogue outputs The MPR2 has two analogue outputs The analogue outputs can be used to index two random pressure signals to a third party system Pressure signals could be two random pressures bu...

Page 43: ...re thus activated as well Set alarm limits to a maximum of 350 mmHg on third party systems if monitoring is required 4 4 2 4 Invasive pressure measurement Graphics In order to skip to the graphics scr...

Page 44: ...l times subsequently you can set a higher resolution for the time range of your choice Six time ranges are available width of the time axis in the trend graphics which you can switch over by using the...

Page 45: ...he correct connection of the catheter connector and the cable connector mechanical coding colour coding Please observe that a wrong combination of catheter and connector with the catheter data will le...

Page 46: ...miting alarm values have been selected the measurement is started immediately when this setting mode is left There is no query for the measuring location of the invasive pressure neither will the cath...

Page 47: ...ntervals has a distinct influence on the achievable mobile time when the MPR2 is operated on battery pack Step 6 After acknowledgement of the selected measuring interval this is acknowledged by pressi...

Page 48: ...window to set the limiting alarm values Subsequently press the Menu key Step 2 Select the option in the menu Acknowledge the selection by pressing OK The settings are accepted with the second OK Step...

Page 49: ...e measurement has been switched off 4 4 3 5 pO2 limiting alarm values The right hand column of the display holds the navigation field in which you can use the soft keys to carry out further adjustment...

Page 50: ...d Only now will the settings be active You will now access the overview of the measured values The new limiting values will be displayed provided Yes has been activated for the parameter Active 4 4 3...

Page 51: ...r recording speeds are available 1 5 10 und 30 mm s Reduce recording speed Numeric display measured value pO2 Recording speed Set marker Use the key or to switch over the plotting speed 30 mm s corres...

Page 52: ...ral times subsequently you can set a higher resolution for the time range of your choice Six time ranges are available width of the time axis in the trend graphics which you can switch over by using t...

Page 53: ...ing error messages may be generated if there is a faulty or defective T2 temperature measurement Measuring location Display of the parameter in window 1 Error messages after the INFO key has been pres...

Page 54: ...ensors port T1 temperature sensors made by Exacon or RAUMEDIC multi parameter catheters with integrated temperature measurements port P2 T2 multi purpose port to be used for the connection of a PTO ca...

Page 55: ...been allocated to the temperature input will display the numerical value of the temperature measured For the settings of the limiting alarm values the settings mode is active first which you have sele...

Page 56: ...et alarm limits and whether the limiting value monitor of the selected measuring value is to be active or not Proceed correspondingly if you want to change the settings for temperature T2 Do not set t...

Page 57: ...s A graphical display for the temperature is not available in the graphics screen The temperature is displayed in the footer of the graphics screen in the form of a numerical value cf chapter 4 4 4 Tr...

Page 58: ...ess the Shift key and thus change the allocation of the F keys the parameters available for the F keys are displayed Step 2 Select the F key parameters which you want to select or deselect as graphics...

Page 59: ...Step 3 Carry out the zero calibration at the pressure input of the third party system Press the OK key when the zero calibration has been completed successfully Step 4 Check whether the third party s...

Page 60: ...well as the pressure input of the third party system These errors sum up If you want to link the analogue output Out2 please proceed as with Out1 Specification of the temperature measurement cf chapt...

Page 61: ...measurement at the pressure inputs of the external system Press the OK key once the null measurement has successfully completed for both pressure inputs Step 4 A control signal of 20 mmHg is output on...

Page 62: ...f the temperature channels in T1 T2 Other information on the pO2 functions can be retrieved by pressing the key F key pO2 Press Diag F key to access appartus diagnostics Current Softwareversion Power...

Page 63: ...owing steps 1 to 6 Step 1 Call the Device setup and press the Dis key Step 2 Use the arrow keys to access the number in Contrast Step 3 After having changed to Contrast press the Menu key Step 4 By pr...

Page 64: ...ian Spanish French Portuguese Russian For the availability of other language versions please get in touch with the manufacturer Step 1 Call the Device setup and press the Dis key Step 2 Press the Menu...

Page 65: ...rior to the time setting will not be displayed any more They will remain saved however Now skip to the set up screen by pressing the screen selector key several times if and when required and carry ou...

Page 66: ...o navigate in the date field Step 6 Press the Menu key to set the date Step 7 By pressing the or key the year month and day can be set Press the ESC key to return to the previous step Complete your se...

Page 67: ...this case Automatic has been set as the works settings have not been changed yet In order to change the setting press the Menu key The available settings will be rendered in the pull down menu The arr...

Page 68: ...overview screen and press the Shift F5 key key symbol A pop up window will render information on the active key lock Button block active to unblock button press F5 and hold This note will disappear ag...

Page 69: ...f average priority CPP Temperature Technical alarms with the exception of severe technical alarms Sensor alarms The appliance releases optical and acoustical alarms according to the alarm priority In...

Page 70: ...a reminder signal In case of global AUDIO OFF the reminder signal releases a beep of 0 5 sec every 5 minutes AUDIO OFF can be used even when the key lock has been switched on Global AUDIO OFF however...

Page 71: ...ed to the measuring signal of the pressure sensor and the amplitude is then evaluated Under the highly unlikely assumption that at the measuring location of ART with relatively high physiological pres...

Page 72: ...P 0 30 Yes 20 400 1 Pressure ICP1 ICPA 0 20 No 0 400 1 Pressure ICP2 ICP 0 30 Yes 20 400 1 Pressure ICP2 ICPA 0 20 No 0 400 1 Pressure ICP1 2 CPP 50 100 Yes 0 400 1 Pressure GP1 SYS 100 180 Yes 20 400...

Page 73: ...ded into alarms which indicate conditions under which a correct operation of the apparatus is no longer ensured or where this fact has to be expected respectively and into those alarms in which measur...

Page 74: ...ority will be released 5 pO2 sensor error In screen 4 the following further pO2 sensor catheter data are displayed under Diagnosis pO2 Remaining cycles LOT Expiry date Remaining running time In contra...

Page 75: ...ule off yellow Sensor Module approx 30 sec break medium priority 3 off yellow value flashes approx 20 sec break high priority red red value flashes approx 6 sec break Table 7 Alarm conditions 1 Cf Tab...

Page 76: ...a deep discharging protection system Approximately half an hour before the apparatus is switched off automatically an acoustic alarm is sounded If the apparatus is not switched off at the end of the...

Page 77: ...nd that the charging current has to be reduced at an ambient temperature of over 35 Celsius and that the charging time thus increases If the operating period of the battery is too low after this proce...

Page 78: ...ery is adequately charged The mains power adapter is connected and charging is taking place Sufficient free storage is available If not then the measurement data on the device should be stored to a PC...

Page 79: ...rking properly and pO2 measurement is activated a green blinking light at the cable end catheter side must be visible in dark environment ST Connector Connector pO2 at MPR2 is defect Change MPR2 MPR2...

Page 80: ...ain subject the apparatus to an inspection 6 4 Internal error temperature Internal defect in temperature channel TNo Remove sensor and use other channel if needs be TNo stands for temperature channel...

Page 81: ...essure is not working correctly Note It is imperative to note down the error number before switching the device off The most probable cause is a fault in the power supply of the device If the error is...

Page 82: ...most probably a sensor defect Please check this and replace the sensor if necessary The pressure sensor P2 was removed Confirm this with OK If you haven t removed the sensor the cause is most probabl...

Page 83: ...another catheter Use another catheter Fault T12 Internal error in the O2 channel The accuracy of the measured value cannot be ensured anymore Error in the reference measurement similar to the interna...

Page 84: ...an accuracy ranging from 0 5 mmHg to 0 3 mmHg Please check the cable and catheter Fault T22 The partial oxygen pressure cannot be determined An error has arisen in the communication with the oxygen mo...

Page 85: ...alog software has been started up Save data on PC2 has been selected download Press Start the following message is displayed on the MPR2 whilst downloading data The user can close the message at any t...

Page 86: ...can be re used Please observe the recommendations below to avoid damage or functional impairment 7 2 1 Cleaning Use a moist cloth to wipe off If and when necessary add conventional non alcohol soap o...

Page 87: ...provide you with the option of having the necessary checks carried out by RAUMEDIC These checks may only be carried out by appropriately qualified specialist personnel suitable training knowledge and...

Page 88: ...283959 002 Table Stand DATALOGGER 094858 001 Cable DATALOGGER GE MARQUETTE length 2 00 m 094868 002 Cable DATALOGGER Philips HP length 2 00 m 094878 002 Cable DATALOGGER Siemens Draeger Infinity lengt...

Page 89: ...25 37 C 0 2 K 37 39 C 0 1 K 39 45 C 0 2 K The catheter is placed in the water and dimmed during the tests 10 1 2 General information Use of this equipment adjacent to or stacked with other equipment s...

Page 90: ...2700 MHz 1 kHz AM 80 3 V m at 2 Hz Immunity to proximity fields from RF wireless communications equipment according IEC 61000 4 3 385 MHz Pulse modulation 18 Hz 27 V m 450 MHz FM 5Hz deviation 1 kHz...

Page 91: ...ssary configuration Interference effects may arise from other devices even if the other devices conform to the CISPR emission requirements If the amplitude of the physiological signal from the patient...

Page 92: ...uter conductor outer conductor 2 kV voltage outer conductor earth The quality of the supply voltage should correspond to that of a typical commercial or hospital environment Voltage drops short tempor...

Page 93: ...han the conformity level at all frequencies as demonstrated by an on sitea investigation b Interference is possible in the area surrounding devices carrying the following symbol At 80 MHz and 800 MHz...

Page 94: ...rated power W Safe distance dependent on emitter frequency m 150 kHz to 80 MHz d 1 17 P1 2 80 MHz to 800 MHz d 1 17 P1 2 800 MHz to 2 5 GHz d 2 33 P1 2 0 01 0 12 0 12 0 24 0 1 0 37 0 37 0 74 1 1 17 1...

Page 95: ...of defined value approx 70 mmHg is transferred to the measuring signal of the pressure sensor and the amplitude is then evaluated Under the highly unlikely assumption that at the measuring location of...

Page 96: ...B A typical 60 dB A 1 m in stand holder Display black white LCD 320 x 240 pixel 1 4 VGA 74 x 97 mm Trend display optional 4 min 8 min 20 min 40 min 80 min or 4 h Alarm limits to be selected by menu La...

Page 97: ...for which the use of the 284027 002 mains adapter is specified the permissible range is 620 to 1050 hPa 12 Environment and disposal All components of the MPR2 inclusive of its packaging have been sele...

Page 98: ...3 Invasive blood pressure measurement IBP 17 invasive pressure measurement settings 39 K Key lock 68 L LCD background illumination 69 M Maintenance Cables 86 Cleaning of the monitor 86 Measurement rel...

Page 99: ...p no 0038 Name of the conformity group RAUMEDIC MPR2 logO DATALOGGER Class IIb are developed produced tested and sold in accordance with the requirements of EC directive 93 42 EEC Appendix I The EC co...

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