Accutorr Plus Operating Instructions Rev AC Sept 2007

Operating Instructions

Accutorr® Datascope

Accutorr®

Accutorr Plus™ is a U.S. registered trademark of Datascope Corp. FLEXISENSOR® SD is a U.S. registered trademark of Datascope Corp. Masimo SET® and LNOP® are registered trademarks of Masimo Corporation. Nellcor®, Oxismart®, 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 Industries B.V. SENSOR GUARD™ is a U.S. registered trademark of Datascope Corp.

Copyright © Datascope Corp., 1999. Printed in U.S.A. All rights reserved. Contents of this publication may not be reproduced in any form without permission of Datascope Corp.

0070-10-0428-02

Accutorr Plus™ Operating Instructions

Table of Contents

Foreword ... v Warnings, Precautions and Notes... vi Warnings ... vi Cautions ... viii Safety Designations... xi Product Limitations ... xii Unpacking ... xii Symbols and Descriptions ... xiii

General Description ... 1 - 1 General Description ... 1 - 1

Controls and Indicators ... 2 - 1 Front Panel... 2 - 4 Rear Panel ... 2 - 10 Predictive Thermometer Module (PTM) ... 2 - 11 Recorder Module ... 2 - 12

Operation... 3 - 1 Setting-up / Turning Power On ... 3 - 1 Patient Setup and Room/Bed Assignment... 3 - 3 Selecting the Patient Size... 3 - 3 Cuff Inflation Pressure... 3 - 3 Room Number and Bed Letter ... 3 - 4 Manual NIBP Measurements and General NIBP Measurement Information ... 3 - 5 NIBP Pressure Limit Fail Safe ... 3 - 7 Cuff Inflation Time... 3 - 7 Automatic Adjustment of Cuff Inflation Pressure (Adaptive Inflation)... 3 - 7 Automatic NIBP Measurements (Interval Mode)... 3 - 8 Canceling an Automatic NIBP Measurement ... 3 - 8 Changing the Interval 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 Alarms ... 3 - 12 Alarms and Changing the Room Number and/or Bed Letter ... 3 - 12 To View and Delete Stored Data (Trend Mode) ... 3 - 14 To View the Stored Measurements on the Accutorr Plus NIBP ... 3 - 14 To View the Stored Measurements on the Accutorr Plus NIBP with Trend Screen and the Accutorr Plus NIBP with Trend Screen and SpO2 ... 3 - 14 To Delete the Stored Measurements on all Models of the Accutorr Plus ... 3 - 15 Setting the Alarm Volume and Beep Volume... 3 - 16 Setting the LCD Contrast (View Angle Adjustment)... 3 - 17 Display Time Out Mode... 3 - 17 SpO2 Measurements (Accutorr Plus Model with SpO2) ... 3 - 18 Datascope Pulse Oximetry Sensors ... 3 - 18 Sequence for establishing SpO2 with Nellcor® Pulse Oximetry... 3 - 22

Sequence for Establishing SpO2 with Masimo® Pulse Oximetry... 3 - 25 Temperature Measurement (Optional)... 3 - 29 Datascope Predictive Thermometer Measurements ... 3 - 29 How to Apply Datascope Probe Cover (PTM) ... 3 - 29 How to take Oral, Rectal, and Axillary Temperatures ... 3 - 30 Storing Temperature Measurements ... 3 - 32

Accutorr Plus™ Operating Instructions

0070-10-0428-02

i

Table of Contents

Recorder (Optional) ... 3 - 33 How To Set The Clock (Date and Time)... 3 - 34 Battery Operation ... 3 - 36 User Configuration... 3 - 37 Status and Error Codes... 3 - 40 How to Attach Optional Thermometer and Recorder Modules... 3 - 42 To Attach the Recorder Module: ... 3 - 42 To Attach the Thermometer Module:... 3 - 42 Placement Of The Quick Reference Card ... 3 - 43 Placement of Recorder Paper Loading Label ... 3 - 44

User Maintenance ... 4 - 1 Introduction ... 4 - 1 Care and Cleaning Of Monitor ... 4 - 1 Decontamination of the Accutorr Plus ... 4 - 1 Sterilization and Cleaning of Reusable Cuffs ... 4 - 2 Cleaning Cuffs with Bladders ... 4 - 2 Cleaning Bladderless Cuffs ... 4 - 2 Care and Cleaning Of Datascope Flexisensors and Datasensors ... 4 - 3 Battery Maintenance and Replacement ... 4 - 4 Battery Maintenance ... 4 - 4 Battery Replacement ... 4 - 5 Recorder Paper Replacement... 4 - 6 To Install Paper... 4 - 6 Datascope 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 Lithium Ion Battery... 5 - 1 Accutorr Plus with Masimo SET® Pulse Oximetry and Lithium Ion Battery... 5 - 2 Accessories ... 5 - 3 Accessory Kits Lithium Ion Battery ... 5 - 3 Hoses, Non Invasive Blood Pressure... 5 - 3 Cuffs, Non Invasive Blood Pressure, Latex Free... 5 - 3 Oximetry Sensors and Accessories... 5 - 5 Recorder Module... 5 - 6 Temperature Modules/Probes ... 5 - 7 Upgrades ... 5 - 8 Manuals ... 5 - 8 Mounting Assemblies ... 5 - 8 Recorder Paper ... 5 - 9 Batteries ... 5 - 9 Replacement Connectors... 5 - 10 Adapter Hoses to Connect Existing Hoses and Cuffs to the Accutorr Plus ... 5 - 10

Appendix ... 6 - 1 Phone Numbers and How To Get Assistance... 6 - 1 Specifications ... 6 - 2 Systolic Pressure Readout... 6 - 2 Diastolic Pressure Readout ... 6 - 2 NIBP Measurement Cycle Time... 6 - 2 Pulse Rate ... 6 - 2 Maximum Cuff Pressure ... 6 - 2 Temperature (Predictive) ... 6 - 3

ii

0070-10-0428-02

Accutorr Plus™ Operating Instructions

Table of Contents

SpO2 - Datascope and Nellcor® Performance Requirements ... 6 - 3 SpO2 – Masimo Performance Specifications ... 6 - 4 Battery ... 6 - 6 Real Time Clock ... 6 - 7 Physical Characteristics ... 6 - 8 Environmental Characteristics... 6 - 8 Electrical Ratings ... 6 - 9 Safety Characteristics... 6 - 9 Agency Compliance ... 6 - 10 Electromagnetic Compatibility ... 6 - 11 Indirect Blood Pressure Measurements and Associated Errors ... 6 - 15 Precautions With Using Automatically Cycled Blood Pressure Cuffs ... 6 - 15 Cuff Size ... 6 - 15 Other Factors ... 6 - 15 User Verification Of The Accutorr Plus NIBP Measurements ... 6 - 16 Warranty... 6 - 17 Datascope’s Responsibility ... 6 - 17

Accutorr Plus™ Operating Instructions

0070-10-0428-02

iii

Table of Contents

This page intentionally left blank.

iv

0070-10-0428-02

Accutorr Plus™ Operating Instructions

Foreword

Introduction

Foreword This operating instructions is intended to provide information for the proper operation of the Datascope Accutorr Plus. This manual describes 3 models of the Accutorr Plus. Each model is available with either Sealed Lead Acid or Lithium Ion Battery technology. One is a basic model, the Accutorr Plus NIBP which measures NIBP and Pulse Rate. The second model, is the Accutorr Plus NIBP with Trend Screen, which incorporates a Liquid Crystal Display (LCD). The third, fourth and fifth models, are the Accutorr Plus NIBP with Trend Screen and SpO2 which also incorporates the LCD and adds SpO2 (Datascope, Nellcor, or Masimo). In this manual, when a described feature refers to a particular model, it will be noted. When the name Accutorr Plus is used, it refers to all 3 models. General knowledge of monitoring and an understanding of the features and functions of the Datascope Accutorr Plus are prerequisites for its proper use. DO NOT OPERATE THIS UNIT BEFORE READING ALL INSTRUCTIONS. Information for servicing this instrument are contained in the Datascope Accutorr Plus Service Manuals: Part Numbers 0070-00-0429 (0998-00-0444-XX/-LXX) and 0070-00-0543 (0998-00-0444-CXX/-JXX). For additional information or assistance, please contact an authorized Datascope representative in your area. U.S. Federal Law restricts this device to sale by or on the order of a physician or other practitioner licensed by state law to use or order the use of this device. NOTE:

In order to ensure the proper performance and to prevent the voiding of the warranty, only parts and accessories provided by Datascope are to be used with the Accutorr Plus.

NOTE:

Potential hazards due to errors in software or hardware have been minimized by actions taken in accordance with IEC 60601-1-4.

Datascope maintains a policy of continual product improvement and reserves the right to change materials and specifications without notice. Masimo Patents: This device (MASIMO SpO2 Module) is covered under one or more of the following U.S. Patents 5,482,036, 5,490,505, 5,632,272, 5,685,299, 5,758,644 and 5,769,785, 6,002,952, 6,036,642, 6,067,462, 6,157,850 and 6,206,830. Possession or purchase of this device does not convey any express or implied license to use the device with replacement parts which would, alone, or in combination with this device, fall within the scope of one or more of the patents relating to this device.

Accutorr Plus™ Operating Instructions

0070-10-0428-02

v

Introduction

Warnings, Precautions and Notes

Nellcor Patents: This device (Nellcor SpO2 Module) is covered under one or more of the following U.S. Patents 4,621,643, 4,653,498, 4,700,708, 4,770,179, 4,802,486, 4,869,254, 4, 928,692, 4,934,372, 5,078,136, 5,351,685, 5,421,329, 5,485,847, 5,533,507, 8,577,500, 5,803,910, 5,853,364, 5,865,736, 6,083,172, Re. 35, 122. Possession or purchase of this device does not convey any express or implied license to use the device with replacement parts which would, alone, or in combination with this device, fall within the scope of one or more of the patents relating to this device. NOTE:

This product is year 2000 compliant.

Warnings, Precautions and Notes Please read and adhere to all of the warnings and precautions listed throughout this manual. A WARNING is provided to alert the user to potentially serious outcomes (death, injury or serious adverse events) to the patient or the user. A CAUTION is provided to alert the user that special care should be taken for the safe and effective use of the device. They will include actions to be taken to avoid effects on patients or users that will not be potentially life threatening or result in serious injury, but about which the user should be aware. A NOTE is provided when additional general information is available. Datascope maintains a policy of continual product improvement and reserves the right to change materials and specifications without notice.

Warnings WARNING: Internal Electrical Shock Hazard - This unit does not contain any user-serviceable parts. Do not remove instrument covers. Refer servicing to qualified personnel. When the integrity of the protective earth conductor, in the installation or its arrangement, is in doubt, the equipment should be operated from its internal battery. Observe all CAUTION and WARNING labels on the unit. WARNING: Communications Connector - Connection of non-isolated devices to the Communications Connector on this unit may cause chassis leakage to exceed the specification standards. WARNING: Always place the unit on a flat, rigid surface or onto a stable mounting pole. WARNING: Never place fluids on top of this unit. In case of accidental wetting, remove power, dry it immediately and have the unit serviced to insure no hazard exists. WARNING: If fluid spills on the unit or if the unit is damaged, refer to qualified service personnel.

vi

0070-10-0428-02

Accutorr Plus™ Operating Instructions

Warnings

Introduction

WARNING: Observe extreme caution when a defibrillator is in use. Do not touch any part of the patient, table or monitor when a defibrillator is in use. WARNING: Do not leave the patient unattended for long periods of time while using this instrument. WARNING: Use only Datascope approved accessories with this product. Use of other accessories may result in erroneous readings. WARNING: This instrument may have trouble obtaining pulse rate and NIBP readings on patients undergoing intra-aortic balloon pump treatment. WARNING: Wrapping the cuffs too tightly may cause a hazard to the patient. WARNING: Only connect NIBP Luer fittings to Blood Pressure Cuff or Monitor. WARNING: The Accutorr Plus is not intended for use in a magnetic resonance imaging (MRI) environment and may interfere with MRI procedures. WARNING: Do not incinerate battery, possible explosion may occur. WARNING: Route cables neatly. Ensure cables, hoses and wires are kept away from patient’s neck to avoid strangulation. Keep floors and walkways free of cables to reduce 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 Accutorr Plus below the minimum amplitude or value of PATIENT physiological signal may cause inaccurate results. WARNING: Use of ACCESSORIES, transducers and cables other than those specified in the manual may result in increased Electromagnetic Emissions or decreased Electromagnetic Immunity of the Accutorr Plus. It can also cause delayed recovery after the discharge of a cardiac defibrillator. WARNING: The Accutorr Plus should not be used adjacent to or stacked with other equipment. If adjacent or stacked use is necessary, the Accutorr Plus should be observed to verify normal operation in the configuration in which it will be used. WARNING: Perform the decontamination or cleaning process with the unit powered down and power cord removed. WARNING: When attached to other products ensure that the total chassis leakage currents of all units (combined) do not exceed 300µa. WARNING: Use only Datascope accessories. Use of other than Datascope accessories may result in erroneous measurements.

Accutorr Plus™ Operating Instructions

0070-10-0428-02

vii

Introduction

Cautions

WARNING: It is essential that a single use disposable probe cover is used when taking temperature measurements. WARNING: Perform this process with the unit powered down and power cord removed.

Cautions

viii

CAUTION:

NIBP cuffs used with this product contain natural rubber latex which may cause allergic reactions.

CAUTION:

The unit should be checked periodically for obstructed vents. If an obstruction is found refer to qualified service personnel.

CAUTION:

Operation of the Accutorr Plus below the minimum amplitude or value of patient physiological signal may cause inaccurate results.

CAUTION:

Use of accessories, transducers and cables other than those specified in the manual may result in increased Electromagnetic Emissions or decreased Electromagnetic Immunity of the Accutorr Plus. It can also cause delayed recovery after the discharge of a cardiac defibrillator.

CAUTION:

This battery type may be subject tolocal regulations regarding disposal. At the end of the battery life dispose of the batteries in accordance with local regulations.

CAUTION:

It is the users responsibility, when changing the room/bed, to assure the patient size and alarm settings are 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 pulse oximeter should be considered an early warning device. As a trend towards patient deoxygenation is indicated, blood samples should be analyzed by a laboratory co-oximeter to completely understand the patient’s condition.

CAUTION:

Ensure proper routing of the patient cable to avoid entanglement and/or strangulation.

CAUTION:

When equipped with Nellcor® SpO2, use only Nellcor® oxygen transducers including Nellcor® Oxisensor® patient dedicated adhesive sensors. Use of other oxygen transducers may cause improper oximeter performance.

CAUTION:

Tissue damage or inaccurate measurements may be caused 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 the sensor directions for use, the Accutorr Plus operating instructions, and all precautionary information before use.

CAUTION:

Excessive ambient light may cause inaccurate measurements. Cover the sensor with opaque materials.

0070-10-0428-02

Accutorr Plus™ Operating Instructions

Cautions

Introduction

CAUTION:

Inaccurate reading may be caused by incorrect sensor application or use; significant levels of dysfunctional hemoglobins, (i.e. carbohemoglobins or methemoglobin); or intra-vascular dyes such as indocyanine green methylene blue; exposure to excessive illumination, such as surgical lamps (especially ones with a Xenon light source), bilirubin lamps, fluorescent lights, infrared heating lamps, or direct sunlight; excessive patient movement; venous pulsations; electro-surgical interference; and placement of a sensor on an extremity that has a blood pressure cuff, arterial catheter, or intra-vascular line.

CAUTION:

In certain situations in which perfusion and signal strength are low, such as in patients with thick or pigmented skin, inaccurately low SpO2 readings will result. Verification of oxygenation should be made, especially in preterm infants and patients with chronic lung disease, before instituting any therapy or intervention.

CAUTION:

If the sensor or patient cable is damaged in any way, discontinue use immediately. To prevent damage do not soak or immerse the sensor in any liquid solution. DO NOT ATTEMPT TO STERILIZE.

CAUTION:

When equipped with MASIMO® SpO2, use only MASIMO® oxygen transducers including 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 peripheral perfusion due to hypothermia, hypovolemia, severe vasoconstriction, reduced cardiac output, etc. These symptoms may cause a loss in vital sign readings.

CAUTION:

The site should be checked at least every eight (8) hours (every four (4) hours with the Adult re-usable finger sensor). Ensure proper adhesion, skin integrity, and proper alignment. Nail polish and fungus may effect readings. Exercise extreme caution with poorly perfused patients. Skin erosion and pressure necrosis can be caused when sensors are not frequently monitored. Assess the site every two (2) hours with poorly perfused patients.

CAUTION:

If the sensor or patient cable is damaged in any way, discontinue use immediately. To prevent damage do not soak or immerse the sensor in any liquid solution. Do not attempt to sterilize.

CAUTION:

Use only Datascope recommended probe covers. Use of any other probe cover may result in erroneous readings or damage to the probe.

CAUTION:

Changing any part of the time or date will cause all stored patient information (trend data) to be permanently erased. Viewing the time or date does NOT cause data to be erased.

CAUTION:

To avoid loss of patient data (trend), do not replace the battery unless the Accutorr Plus is connected to an AC receptacle. Hospital defaults and the time are unaffected by battery replacement.

Accutorr Plus™ Operating Instructions

0070-10-0428-02

ix

Introduction

Cautions

CAUTION:

It is the users responsibility, when changing the room/bed, to assure the patient size and alarm settings are as required.

CAUTION:

Do not get the detergent into any vent openings.

CAUTION:

Some disinfectants may cause skin irritation. Please rinse cuff thoroughly with water to remove any residual disinfectants.

CAUTION:

Using dark colored soaks may stain the cuffs. Test a single cuff to ensure that no damage will occur.

CAUTION:

When ironing or pressing the cuffs, be aware that the Velcro® fasteners can melt at temperatures above 325°F (162°C).

CAUTION:

Cuffs with bladders contain natural rubber latex which may cause allergic reactions.

CAUTION:

When cleaning sensors do not use excessive amounts of liquid. Wipe the sensor surface with a soft cloth, dampened with the cleaning solution.

CAUTION:

Li-Ion batteries are intended for replacement by 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 Sealed lead acid battery with Datascope P/N: 0146-00-0043 only. Replace Lithium Ion battery with Datascope P/N: 0146-00-0069 only. Use of another battery may present a risk of fire or explosion.

CAUTION:

Dispose of used battery promptly in accordance with local laws. Keep away from children. Do not disassemble and do not dispose of in fire. Due to the self-discharge characteristics of a Sealed Lead Acid type battery, it is imperative that it is charged for 8 hours after 6 to 9 months of storage (or unit not in use). If not, permanent loss of capacity may occur as a result of sulfation. Charge retention at 20°C is 6 months to 83%. Sealed Lead Acid and Lithium Ion batteries have no “memory” characteristics, therefore, deep cycling is not recommended.

x

CAUTION:

Recharge the Sealed Lead Acid battery with the Datascope Charger P/N 0014-00-0032-02 or while the battery is inside the unit.

CAUTION:

Recharge the Lithium ion battery while in the unit at room temperature. If the Accutorr Plus is being used in a hot environment, the Lithium Ion battery may not charge when the unit is connected to AC. This safety feature is important because charging a hot battery shortens the battery’s life span.

0070-10-0428-02

Accutorr Plus™ Operating Instructions

Safety Designations

Introduction

CAUTION:

Remove the battery if the Accutorr Plus is not likely to be used for an extended period of time. The batteries used in the optional thermometer modules are 9 volt alkaline type. (NOTE: These batteries are not rechargeable.) Replace when error code 8832 appears in the Temp/Elap. Time/Interval display on the front panel display.

CAUTION:

To minimize the chance of thermometer damage from battery leakage, remove the 9 volt battery if the thermometer is not intended to be used for an extended period of time.

Safety Designations Safety designations per IEC 601-1 Standard: Type of protection against electric shock

Class 1 and Internal Power Source. Where the integrity of the external protective earth in installation or its conductor arrangement is in doubt, equipment shall be operated from its internal power source

Degree of protection against electric shock

SpO2, Type BF NIBP, Type BF Monitor, Type B

Supply Connection

100-120 VAC / 220-240 VAC 50-60 Hz; 0.6 / 0.3 A 12 VDC Lead Acid or 10.8 VDC Lithium Ion Internal Battery

Mode of Operation

Continuous

Protection Against Hazard of Explosion

Not Protected (Ordinary)

Protection Against Ingress of Liquids

Not Protected (Ordinary)

Degree of Electrical Connection Between

Equipment designed for direct electrical and

Equipment and Patient

non-electrical connection to the patient.

Degree of Mobility

Mobile and/or hand held

Accutorr Plus™ Operating Instructions

0070-10-0428-02

xi

Introduction

Product Limitations

Product Limitations Non-invasive blood pressure (NIBP) accuracy depends on the application of the proper cuff size. See Section 3.0 for detailed information. The Accutorr Plus will not operate effectively on patients who are experiencing convulsions or tremors. The Accutorr Plus is a portable device intended for intra-hospital use. If the pressure cuff is not placed at the patient’s heart level, the NIBP measurement may be subject to error, due to the hydrostatic effect. The pulse rate data displayed on the Datascope Accutorr Plus is computed from the measurement of peripheral pulses (peripheral pulses taken only during a measurement cycle). The rate measured by the Datascope Accutorr Plus may differ from the rate of an ECG monitor. This is because the ECG is an electrical signal that may not always result in a peripheral pulse. Administration of certain vasoconstrictive drugs (for example, norepinephrine), may reduce peripheral perfusion to a 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 Plus from taking pulse rate measurements. The presence of arrhythmias may increase the time required to complete a measurement and may extend this time to a point where a measurement cannot be completed. The Datascope Accutorr Plus is not intended for use during CPR. The monitor uses an oscillometric technique based on normal peripheral circulation to compute blood pressure. On occasion, increased motion, prolonged crying, or hyperactivity may produce measurements with a status code of 8810 (RETRY-UNABLE TO MEASURE) or 8813 (STOPUNABLE TO MEASURE). See section 3.16 for a list of status and error codes.

Unpacking Remove the instrument from the shipping carton and examine it for signs of shipping damage. Save all packing materials, invoice, and bill of lading. These may be required to process a claim with the carrier. Check all materials against the packing list. Contact the Datascope Customer Service Department (800) 288-2121 or (201) 265-8800 for prompt assistance in resolving shipping problems.

xii

0070-10-0428-02

Accutorr Plus™ Operating Instructions

Symbols and Descriptions

Introduction

Symbols and Descriptions Most of the symbols in the table below are defined in the IEC Publication 878 and ISO Standard 7000. These symbols are used on all models of the Accutorr Plus. SYMBOL

DESCRIPTION

SYMBOL

DESCRIPTION

Attention, Consult Accompanying Documents /

Type BF Equipment

Refer to Manual

Refer Servicing to Qualified

Defibrillator-proof Type

Service Personnel

BF Equipment

Equipotentiality

Pulse Rate

Alternating Current (AC)

Adult

Direct Current (DC)

Pediatric/Child

On (only for a part of the

Neonate

equipment)

Standby (only for a part

Finger Pinch Hazard

of the equipment)

Cont.

Temperature

Alarm Volume

Interval Setting / Timer

Beep Volume

Continuous NIBP Mode

----

Off

Do Not Incinerate

Accutorr Plus™ Operating Instructions

0070-10-0428-02

xiii

Introduction

Symbols and Descriptions

This page intentionally left blank.

xiv

0070-10-0428-02

Accutorr Plus™ Operating Instructions

1.0

General Description

1.1

General Description

FIGURE 1-1 Accutorr Plus NIBP with Trend Screen and SpO2 (Historical Trend Display and Oximeter Optional Features)

Accutorr Plus™ Operating Instructions

0070-10-0428-02

1-1

General Description

General Description

The Datascope Accutorr Plus is available in 3 models. They are, the Accutorr Plus NIBP, the Accutorr Plus NIBP with Trend Screen and the Accutorr Plus NIBP with Trend Screen and SpO2 (Nellcor, or Masimo). Each model is supplied with Lithium Ion Battery Technology. The Accutorr Plus NIBP measures non-invasive blood pressure (NIBP) and pulse rate. The Accutorr Plus with Trend Screen incorporates a liquid crystal display (LCD). The LCD is used to view stored measurements (trend) and to access a menu system which is used to set the alarm volume and the SpO2 beep volume and display view angle. The Accutorr Plus with Trend Screen and SpO2 adds the automatic SpO2 measurement function with your choice of Nellcor, or Masimo SpO2. In this manual, when a feature is described and it only refers to a particular model, it will be noted. When the name Accutorr Plus is used, it refers to all 3 models. On all units temperature can be measured with the optional Predictive Thermometer Module (PTM) or the optional AccuTemp IR Infrared Thermometer Module. All units can also be optionally equipped with a recorder module for documenting NIBP, pulse rate, SpO2 and temperature information. Each printout includes the time and date of each measurement taken. The Accutorr Plus can store up to 100 measurements in memory. These 100 measurements are shared by the number of patients that are monitored by the Accutorr Plus. When only one patient is monitored, then that one patient can have up to 100 measurements stored. When more than one patient is monitored each patient can have any number of measurements stored as long as the total number of stored measurements for all patients equals 100 or less. The Accutorr Plus features front panel digital displays for Mean Arterial Pressures, Temperature and Time and extra large displays for the Systolic, Diastolic, Pulse Rate and SpO2. The Accutorr Plus models with Trend Screen incorporate a Liquid Crystal Display (LCD) for viewing trend data. The Accutorr Plus has an Interval Mode which enables the unit to take automatic NIBP measurements at timed intervals. The Accutorr Plus allows setting of alarm limits. All alarm violations are indicated by an audible alarm tone, flashing front panel displays and brackets around the violated parameter on the recorder print outs. The Accutorr Plus also has the capability of operating from a battery. Some key features of the Accutorr Plus are: • Non-Invasive Blood Pressure (NIBP) • Pulse Rate • Datascope, Nellcor, or Masimo SpO2 (Model with SpO2 only) • Alarms • Interval Mode • Large Light Emitting Diode (LED) Displays • Trend Memory - Up to 100 Measurements

1-2

0070-10-0428-02

Accutorr Plus™ Operating Instructions

General Description

General Description

• Communications - Datascope Improved ASCII Protocol (DIAP) • Universal Power Supply • Automatic Power Saver • User Configured Settings • Thermometry, PTM or AccuTemp IR (Optional) • Recorder (Optional) • High Contrast LCD (Models with Trend Screen only) • Customer Replaceable Lithium Ion Battery • Universal mounting adapter for rolling stands and wall mounts

Accutorr Plus™ Operating Instructions

0070-10-0428-02

1-3