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CARDELL® Veterinary Vital Signs Monitors

1. Table Of Contents CARDELL Veterinary Monitors Press the CANCEL pushbutton at any time to stop a measurement and deflate the cuff during the measurement process The monitor s front panel NIBP displays will indicate all dashes and the Message Window returns to Ready The CANCEL pushbutton can be pressed after a measurement is taken to clear the current reading from the displays The monitor s front panel NIBP displays will indicate all dashes and the Message Window returns to Ready NOTE If any displayed NIBP measurement were to be left on the display for up to twenty four 24 hours the monitor will automatically blank the displays to all dashes and the Message Window returns to Ready AUTOMATIC CYCLE FOR BLOOD PRESSURE DETERMINATION The CARDELL Monitor can automatically take blood pressure measurements at pre selected time intervals To choose a time interval press the CYCLE TIME pushbutton The Message Window displays the format Auto Where is the time interval in minutes Choose the time interval using one of the following methods Press the CYCLE TIME pushbutton to advance through the available time intervals Press the ARROW UP or ARROW DOWN pushbutton keys to advance forward or backwards through the available time intervals Once a time interval has been selected press the START pushbutton to begin the first measureme
2. 17 INTRODUCTION E M 17 INDICATIONS FOR USE sirning deae Rena ra Rn ba Rc 17 CONTRAINDIGAT IONS dE I 17 BRIEF DEVICE DESCRIPTION 17 18 DERINITION OF TERMS T 19 2 UNPACKING THE 2 21 INITTALINGP EC ON cmm 21 MONITOR CHECKLIO derat Eb Bat 21 OPTIONAL ACCESSORIES 21 3 SYMBOL kS te 23 4 SAFETY MEASURES AND 2 27 AUTOMATIC SAFETY FEATURES 32 5 BLOOD PRESSURE 33 CUFF SELECTION AND 33 SELECTION cs T 34 CUFF PLACEMENT FOR A 34 CUFF PLACEMENT FOR A 35 oic Sanib m 36 CUFF SIZE SELECTION actin arin ates i nc 36 BLOOD PRESSURE REFERENCE VALUES
3. 53 DISPLAYING THE TIME 53 LARGE CUFF SMALL CUFF OPERATING 53 MANUAL MODE FOR BLOOD PRESSURE DETERMINATION 54 AUTOMATIC CYCLE FOR BLOOD PRESSURE DETERMINATION 55 SIATMODE n oru EE au 56 HISTORY MODES EM da INN 57 EVENT HISTORY EVENT N 58 TREND 58 PRINT HISTORY to optional printer 59 CLEARING HISTORY erm 59 59 PATIENT ALARM MODE qc 60 CHANGING ALARM EIMI ES nn tiet beca arto rhe Fui renta ree 60 SAVING ALARM LIMITS 60 RESTORE FACTORY DEFAULT S te 61 ALARM LIMIT VALUES C raa 61 AUDIBLE AND VISUAL INDICATORS eese 62 GCGLEARING ALARMS 63 NIBP PATIENT ALARMS uis castceesnht iss tuu t bte ta epar ater danh armen 63 HIGH LOW 5 ALARMS sii taki a sut 63 Spas PULSE RATE ALARM erai 63 EQUIPMENT ALARMS TE 64 ADJUSTING THE AUDIO ALARM VOLUME 64 ADJU
4. 11 68 Error Messages on the Message Window 76 Monitor Configurations 101 21 02 0285 06 07 11 16 Table Of Contents CARDELL Veterinary Monitors 1 INTRODUCTION AND INTENDED USE INTRODUCTION The CARDELL Veterinary Monitors Models 9401 and 9402 are vital signs monitors measuring blood pressure and oxygen saturation The monitors are restricted for use one patient at a time Non invasive blood pressure is measured using the oscillometric technique determining systolic diastolic mean arterial pressure and pulse rate The pulse oximeter function continuously monitors and displays values for functional arterial hemoglobin saturation and a pulse rate INDICATIONS FOR USE The CARDELL Monitor is a portable device intended to be used by trained clinicians for multi parameter vital signs monitoring of veterinary patients Parameters displayed are the non invasive blood pressure systolic diastolic and mean arterial pressure pulse rate and functional oxygen saturation of arterial hemoglobin 5 WARNING The CARDELL Monitor is intended only as an adjunct in patient assessment It must be used in conjunction with clinical signs and symptoms CONTRAINDICATIONS No contraindications are known at this time BRIEF DEVICE DESCRIPTION The CARDE
5. 37 6 PULSE OXIMETRY MONITORING Model 9402 only 41 INSTRUCTIONS FOR SE ribus 41 SENSOR REMOVAL 43 REMOVING THE INTERFACE CABLE renda ita sim bas 43 PERFORMANCE CONSIDERATIONS FER FAR enean 44 7 MONITOR OPERA TON 45 FRONT PANEL acento o Pa na FRE en Oan a nd DRE SER RES 45 DIGITAL DISPLAY AND INDICATORS eee 45 FRONT PANEL GON TROLS btt asit rud 47 21 02 0285 REV 06 07 11 11 Table Of Contents CARDELL Veterinary Monitors REAR PANEL ae eer aE I MU IE 50 AC LINE POWER CONNECT OR ern ether tuin arte 50 FUSE COMPARTMENT cri an RE UD d dn 50 BATTERY COMPARTMENT ERES 50 EQUIPOTENTIALIT Y GROUND POST 50 EXTERNAL DEVICE INTERERGE uns 50 LEFT SIDE VIEW oat up de bestia but itte P Rut hen er 51 CUFF HOSE CONNEGTIONL 51 NELLCOR VET SpO SENSOR 51 MONITOR OPERATING INSTRUCTIONS eene 52 TURNING THE CARDELL MONITOR ON 2 0 52 FRONT PANEL INTENSITY
6. 51 Figure 10 Turning the Monitor OT rire 52 Figure 11 Printer Controls and Indicators 42 1 80 Figure 12 Sample Printouts tn bos kt 82 Figure 13 84 Figure 14 Opening the Battery 85 Figure 15 Installing the New Battery 86 Figure 16 Removing the Battery Pack 96 21 02 0285 REV 06 07 11 15 Table Of Contents CARDELL Veterinary Monitors TABLES Table 1 Table 2 Table 3 Table 4 Table 5 Table 6 Table 7 Table 8 Parts af the System a esi aria ran Ere bn KA a past a rapis BRE PACK iE 18 Small Animal Cuff Selection 2 2 2 22 222 37 Large Animal Cuff 4 4 4 2 11 37 Default Alarm Values 61 Audible and Visual Indicators 2 2 4 4 22 11 62 Software
7. Table Of Contents CARDELL Veterinary Vital Signs Monitors Models 9401 and 9402 User s Manual Manufactured for lt CASMED FOR WHAT S VITAL 21 02 0285 REV 06 07 11 Go Table Of Contents 21 02 0285 REV 06 07 11 Table Of Contents CARDELL Veterinary Vital Signs Monitors MODEL DESCRIPTION 9401 Non invasive Blood Pressure and Pulse Rate 9402 Non invasive Blood Pressure Pulse Rate and Pulse Oximeter IMPORTANT This manual addresses all parameters of the CARDELL Veterinary Vital Signs Monitor Not all monitors have all the parameters referred to in this manual Read this Manual completely before using this equipment WARNING The CARDELL Monitor is to be operated by qualified personnel only Before use carefully read this manual including accessory directions for use all precautionary information and specifications The user must check that the equipment functions safely and see that it is in proper working condition before being used 21 02 0285 REV 06 07 11 Back Table Of Contents In the U S the following caution applies CAUTION Federal law restricts this device to sale by or on the order of a veterinarian First Printing 01 04 Revised 02 04 Revised 08 04 Revised 07 05 Revised 09 07 Revised 05 08 Revised 05 09 21 02 0285 REV 06 07 11 B
8. 21 02 0285 REV 06 07 11 42 Back Table Of Contents CARDELL Veterinary Monitors SENSOR REMOVAL CAUTION For the comfort of the patient and to avoid damaging the sensor do not pull on the cable when removing the sensor and clip from the sensor site When SpO monitoring is completed remove the sensor from the patient To remove the sensor and clip from the patient press the clip open and remove When the probe is removed from the patient the message Prb OFF appears in the Message Window and an audible alarm sounds indicating a connection has been lost Press the SILENCE RESET pushbutton The monitor silences the audible alarm tone but the message remains To remove the sensor from the clip grasp the end of each sensor pad and pull it through to the inside of the clip The sensor should pop out of the clip easily Do not pull on the cable NOTE If either the 2 Minute Audio Off or Permanent Audio Off is enabled no audio will be heard but a visual message will appear in the Message Window REMOVING THE INTERFACE CABLE When SpO monitoring is not required disconnect the Interface Cable by squeezing the grey tabs with your thumb and index finger while pulling the connector away from the monitor NOTE To avoid damage to the Interface Cable always hold it by the connector rather than the cable when connecting or disconnecting either end To obtain longer life avoid excessi
9. ELE RE RUDI E 74 SpOs USER MESSAGES an phani UNA bash curd cap ORUM ME UE 75 ERROR MESSAGES ON THE MESSAGE WINDOW 76 8 EXTERNAL PRINTER optional 79 PRINTER OVERVIEW 79 PRINTER CONTROLS AND 80 PRINTER OPERA A 81 DIRECT CONNECTION s RE n 81 INFRARED CONNECTION adeo Ru RR Kec 81 CHARGING THE PRINTER BATTERY 22 83 INSTALLING PAPER 84 REPLACING THE BATTERY PACK 4 tnde Va qo Cepit te n eed tae 85 INSTALLING A NEW BATTERY 86 9 CLEANING 87 ea 87 ORB der 87 88 ed ll 88 REUSABLE CUFFS Brani adio die 88 DISPOSABLE CUFFS 88 21 02 0285 06 07 11 13 Ta
10. SERIAL INTERFACE Characteristic Specification Interface Bidirectional serial communication Speed 9600 for Printer 115200 for CAS Serial Protocol Signal Level RS232C Data Length 8 bits Start Bit 1 bit Stop Bit 1 bit Parity None Flow Control None 21 02 0285 REV 06 07 11 108 Table Of Contents CARDELL Veterinary Monitors STANDARDS Units comply with the following requirements IEC 60601 1 EN 60601 1 2 EN 60601 2 49 EN 865 ETL Listed UL 2601 CAN CSA C22 2 No 601 1 CARDELLO is a registered trademark of Midmark CASMED MAXETES Tuff Cuff Safe Cuff SoftCheck UltraCheck amp and FOR WHAT S VITAL are registered trademarks of CAS Medical Systems Inc Nellcor amp VetSat amp and OxiMaxQ are registered trademarks of Mallinckrodt Inc SatSeconds is a trademark of Mallinckrodt Inc Velcro is a registered trademark of Velcro USA Inc All units covered by U S patent 4 796 184 5 022 403 Other patents pending Monitors are C marked 21 02 0285 REV 06 07 11 109 Go Table Of Contents CARDELL Veterinary Monitors This page is intentionally left blank 21 02 0285 REV 06 07 11 110 Back Table Of Contents CARDELL Veterinary Monitors 14 PURCHASING RECORD CARDELL VETERINARY MONITOR Model Purchased select
11. SpO Range 1 100 5 Accuracy 70 100 2 digits 1 S D Adult 70 100 3 digits 1 S D Neonate Measurement Wavelengths Red 660 Nanometers Infrared 890 Nanometers Power Not exceeding 15 mW Pulse Rate Range 20 300 BPM Pulse Rate Accuracy 3 digits Numerics Updated every one 1 second NOTE Accuracy is specified for adult human hemoglobin measured at the fingertip Although animal hemoglobin has similar optical characteristics other types of hemoglobin may affect the accuracy 21 02 0285 REV 06 07 11 105 Back Table Of Contents CARDELL Veterinary Monitors PATIENT ALARMS 9401 9402 Patient Parameters Low Limit High Limit Low Limit High Limit SYS 30 260 30 260 30 260 30 260 DIA 20 215 20 215 20 215 20 215 25 230 25 230 25 230 25 230 Pulse 35 295 35 295 35 295 35 295 SpOz 70 95 80 99 SpO Pulse 25 295 25 295 NOTE Each alarm limit may also be selected OFF individually or as a whole Low Limits cannot be set above the associated High Limit High Limits cannot be set lower than the associated Low Limit CONTROL PANEL Characteristic Specification Display LED display of measurement results instructions troubleshooti
12. ENTERING THE CONFIGURATION MENU To enter the monitor s Configuration Menu press and hold the VOLUME ALARM LIMITS pushbutton keys while the monitor is being turned ON Once in the menu use one of the NEXT HISTORY AUDIO or PREVIOUS CYCLE TIME ALARM LIMITS programmed pushbutton keys to advance onto the next or go back to the previous parameter in the Configuration Menu NOTE While in the Configuration Menu if no pushbutton is pressed within 60 seconds the monitor will automatically save all changes made and exit the Monitor Configuration menu The Message Window will briefly display Saving and return to the Ready mode SAVING YOUR CHANGES When you have completed configuring the monitor press the CANCEL pushbutton to exit and lock in your selection s The Message Window will briefly display Saving and return to the Ready mode 21 02 0285 REV 06 07 11 67 Table Of Contents CARDELL Veterinary Monitors SOFTWARE REVISIONS The CARDELL Monitor displays the current software revision of its operating system and that of the internal modules being used inside The software versions are displayed in the following order Table 6 Software Revisions Software Module Message Window CARDELL Monitor Control Board Ver X X Boot Loader Boot X XX Power Supply PIC Processor PIC X X CAS NIBP Module ND X X Nellcor SpO
13. 1 Align the Battery Pack guides with the bottom of the monitor 2 Slowly close the battery door to ensure the connector in the monitor and the connector on the battery pack mate together 3 Lock the battery door closed Refer to Page 72 BATTERY POWER for additional battery information NOTE When the battery pack is re installed the monitor will automatically turn ON WARNING Do not disassemble the battery pack or batteries The batteries contain electrolytes which can cause injury to eyes skin and clothing NOTE This product contains a rechargeable battery that is recyclable Under various state and local laws it may be illegal to dispose of this battery into the municipal waste stream Check with your local authorities for instructions on recycling options in your area CHANGING THE FUSES The CARDELL Monitor uses a dual fuse power input receptacle The receptacle incorporates fuses in the hot and neutral AC input lines that are user serviceable Refer to Section 11 ACCESSORIES for part number information NOTE Refer to the monitor s rear panel label for the proper fuse rating CAUTION For continued protection against fire hazard replace only with identically rated fuses A fuse may need to be replaced if the monitor is plugged into an electrical outlet but the Battery Power Visual Indicator is not illuminated the color Green WARNING Before changing the fuse u
14. During either a High or Low Alarm Limit Violation the monitor flashes the 5 LED display provides a Patient Alarm Limit Violation audible tone and displays the appropriate message 5 Hi or SpO Lo in the Message Window To acknowledge the alarm and temporarily mute the audio press the SILENCE RESET pushbutton The monitor silences the audible tone for a maximum of fifteen 15 seconds the parameter in alarm continues to flash on the front panel and the appropriate message will be displayed in the Message Window If the current patient alarm condition becomes inactive during the 15 seconds and then recurs OR a different patient alarm condition occurs during the 15 seconds the audio alarm is reactivated If the alarm condition continues uninterrupted for the 15 seconds the audio alarm is reactivated SpO PULSE RATE ALARM During a SpO Pulse Rate Alarm Limit Violation the monitor flashes the BPM LED display and provides a Patient Alarm Limit Violation audible tone To acknowledge the alarm and temporarily mute the audio press the SILENCE RESET pushbutton The monitor silences the audible tone for a maximum of fifteen 15 seconds and the parameter in alarm continues to flash on the front panel If the current patient alarm condition becomes inactive during the 15 seconds and then recurs OR a different patient alarm condition occurs during the 15 seconds the audio alarm is reactivated If the alarm condition con
15. Table 2 Small Animal Cuff Selection Cuff Model Bladder Size Limb Circumference Number Width Range 2 0 cm 0 8 in 3 6 1 2 2 4 in SV1 4 0 cm 1 75 in 7 13 2 8 5 1 5 0 cm 2 0 in 8 15 cm 3 1 5 9 in Table 3 Large Animal Cuff Selection Cuff Model Bladder Size Limb Circumference Number Width Range SV8 9 cm 3 12 in 13 20 cm 5 1 7 9 in SV10 12 cm 4 0 in 18 26 cm 7 1 10 2 in BLOOD PRESSURE REFERENCE VALUES Which Blood Pressure is Normal in Dogs or Cats It is essential to know the reference range of blood pressure in a given species in order to properly evaluate the animal s blood pressure and detect hypertension or hypotension When using different measurement techniques oscillometry or direct blood pressure measurements one must also remember that methodological factors influence results Therefore technique specific reference values should be known Species specific breed specific and individual differences in normal blood pressure ranges can be observed The most accurate assessments are made by comparing different blood pressure readings over time using serial measurements made at regular intervals at least once yearly This makes it possible to detect the initial signs of related disease e g cardiovascular and renal disease more sensitively and at an earlier stage The normal values for dogs and cats are not iden
16. The CARDELL Monitor is operating on battery power No or SpO readings were taken in the past ten 10 minutes e No key presses were made in the past ten 10 minutes The monitor cannot be in the Automatic NIBP cycle mode POWER FAIL The CARDELL Monitor incorporates a Power Fail feature Whenever the power is disconnected from the monitor and the monitor is not allowed to shut down in an orderly fashion the monitor when re powered alerts the user The message Pwr Fail is displayed in the Message Window and three 3 audio beeps followed by two 2 audio beeps are heard every ten 10 seconds During this condition all other pushbuttons are inactive except for the POWER and SILENCE RESET To clear the Power Fail condition and return to Ready press the SILENCE RESET pushbutton or properly recycle the monitor s power USER MESSAGES The CARDELL Monitor displays a variety of messages to aid the user in monitor operation If a troubleshooting message is displayed during a measurement follow the actions listed to correct the situation If the monitor does not turn on or exhibits a flashing display and failure to operate the battery is most likely below the Dead Battery point Connect the monitor to an AC wall outlet and allow it to charge for four 4 hours Refer to Table 7 Error Messages on the Message Window for more information If the monitor is in need of repair it must be referred to the appropriat
17. 21 02 0285 REV 06 07 11 Go Table Of Contents Guidance and Manufacturer s Declaration Electromagnetic Immunity The Model 9401 9402 Monitor is intended for use in the electromagnetic environment specified below The customer or the user of the Model 9401 9402 Monitor should insure that it is used in such an environment Immunity Test IEC 60601 Test Level Compliance Electromagnetic Environment Guidance Level Portable and mobile RF communications equipment should be used no closer to any part of the Model 9401 9402 Monitor including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Recommended separation distance Conducted RF 3 Vrms 3 Vrms d 1 2 P IEC 61000 4 6 150 kHz to 80 MHz Radiated RF 3 Vim 3 V m 1 2NP 80 MHz to 800 MHz IEC 61000 4 3 80 MHz to 2 5 GHz 2 3 800 MHz to 2 5 GHz Where P is the maximum output power rating of the transmitter in watts according to the transmitter manufacturer and d is the recommended separation distance in meters Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency range Interference may occur in the vicinity of equipment marked with the following symbol NOTE 1 At 80 MHz 800 MHZ the higher frequency range applies NOTE 2 These guidelin
18. 9401 9402 Serial Number Date of Purchase Distributor Name Representative Phone Number Fax Number Email 21 02 0285 REV 06 07 11 111 Go Table Of Contents Midmark Corporation 60 Vista Drive Versailles OH 45380 0286 Phone 937 526 3662 937 526 5542 MIDMARI lt midmark com Because we care Midmark Corporation 2009
19. 60 Table Of Contents CARDELL Veterinary Monitors The Message Window will display Saving and the current value s will be saved When finished press the CANCEL pushbutton to return to the Ready state These values will be retained in memory even after the monitor is turned OFF RESTORE FACTORY DEFAULTS To restore the factory default settings press ALARM LIMITS pushbutton to enter the Alarm Limits mode Press and Hold the ALARM LIMITS pushbutton for 2 seconds until the message Saving N appears in the Message Window Press the ALARM LIMITS pushbutton to bring up the Recall menu The message Recall N appears in the Message Window Pressing either the ARROW UP or ARROR DOWN pushbutton will display the message Recall Y in the Message Window Press the ALARM LIMITS pushbutton The Message Window will display Restore and return to the Alarm Limit menu When finished press the CANCEL pushbutton to return to the Ready state ALARM LIMIT VALUES Table 4 lists the Alarm Limit Default Values used by the CARDELL Monitor Table 4 Default Alarm Values Systolic Diastolic MAP Pulse 5 gt High 240 130 220 290 OFF Low OFF OFF OFF OFF 88 NOTE Patient alarms for Systolic Diastolic and MAP values are produced at the time the measurement is taken Alarms for 5 have a ten 10 second delay Alarm for Pulse Rate will be immediat
20. ALARMS SILENCE RESET Pushbutton for more information The status of the LED is e continuously 2 Minute Audio Disable e Flash one second second OFF Permanent Audio Disable 21 02 0285 REV 06 07 11 46 Back Table Of Contents CARDELL Veterinary Monitors FRONT PANEL CONTROLS Figure 7 Front Panel Controls On Standby Silence Reset NIBP Start Cancel OA D amp Hold Cancel S O ON STANDBY Press once turns ON the CARDELL Monitor s display if it was OFF Press again turns the monitor s display OFF SILENCE RESET When pressed during an active patient alarm silences the audio portion of that alarm for fifteen 15 seconds To Select Cuff Size When pressed during an active equipment alarm the alarm condition shall be acknowledged along with the audio and visual shall be removed Used to enable and disable the two 2 Minute Audio Off or Permanent Audio Off feature Refer to Page 63 CLEARING ALARMS for more information Allows the user to clear NIBP and messages from the front panel display 21 02 0285 REV 06 07 11 AT Back Table Of Contents CARDELL Veterinary Monitors START STAT START Initiates a blood pressure measurement in the Manual Mode or begins the selected automatic cycle STAT Starts a series of NIBP measurements press and hold for two 2 seconds Continues for
21. Go Table Of Contents CARDELL Veterinary Monitors This page is intentionally left blank 21 02 0285 REV 06 07 11 40 Table Of Contents CARDELL Veterinary Monitors 6 PULSE OXIMETRY MONITORING model 9402 oniy The CARDELL Model 9402 Monitor is intended for animal monitoring by trained personnel It displays numerical values for oxygen saturation and pulse rate The Model 9402 has provisions for alarm settings WARNING Use only Nellcor amp VetSat veterinary oxygen transducer sensor and clips Use of other oxygen transducers may cause improper oximeter performance Monitors equipped with Nellcor oximetry will have the Nellcor OxiMax logo next to the connector For more information refer to the Directions for Use pamphlet included with each Nellcor VetSat sensor INSTRUCTIONS FOR USE NOTE Reusable sensors may be used on the same site for a maximum of four 4 hours provided the site is inspected routinely to ensure skin integrity and correct positioning Because individual skin condition affects the ability of the skin to tolerate sensor placement it may be necessary to change the sensor site more frequently with some patients 1 Select a sensor and clip that is appropriate for the patient There are two 2 sizes of VetSat veterinary sensor clips model VSC S small and model VSC L large 2 Clean the VetSat sensor and sensor clip separately before
22. Inflation Hose The hose must not be kinked or pinched It can be placed in any position but it should be kept off the table surface to avoid equipment vibrations WARNING The cuff should not be applied on a limb being used for an intravenous infusion Do not place the cuff on any extremity being used for SpO monitoring See Section 11 ACCESSORIES for CAS Medical Systems cuff size and part number information 21 02 0285 REV 06 07 11 33 Back Go Table Of Contents CARDELL Veterinary Monitors SITE SELECTION Place the patient on a padded surface or chair to provide comfort Shivering will inhibit the monitor from making a determination CUFF PLACEMENT FOR A CAT A cat may be left in its owner s lap to keep it calm Measurements are best done in an area of the hospital away from noise and bright lights The animal may be held so that the front limbs are free for cuff placement In conscious patients the tail may be the most appropriate location for placement of the cuff Cats may be most comfortable in sternal recumbency making the tail a more preferable site For the median artery on the foreleg place the cuff around the forelimb between the elbow and carpus Hair need not be clipped except when heavily matted In cats less than five 5 pounds when measurements are difficult to obtain place the cuff around the leg above the elbow to obtain measurements from the brachial artery Measure
23. Line Feed button press once for one 1 line paper feed press down and hold for continuous paper feed to any length Paper Cover Release Button Press down to open cover Paper Cutting Edge Paper Cover 21 02 0285 REV 06 07 11 80 Table Of Contents CARDELL Veterinary Monitors PRINTER OPERATION DIRECT CONNECTION The monitor uses the optional DB9 connector located on the rear panel of the monitor to interface to the RS232 port on the printer Use the cable which is supplied with the printer NOTE When using the direct connect method connect the printer s serial cable to the printer before turning the printer on INFRARED CONNECTION NOTE When using the infrared port disconnect the printer s serial cable from the printer before turning the printer on Position the printer s IrDA port window in line with the IrDA window of the CARDELL Monitor OR connect the RS232 direct cable from the printer to the 9 pin RS 232 connector located on the rear panel of the CARDELL Monitor NOTE When using the IrDA port for printing it is recommended to keep all items clear of the communications path between the monitor and the printer Turn the printer ON To turn the printer ON press and hold the ON OFF pushbutton for one 1 second The Power LED illuminates Green To turn the printer OFF press and hold the ON OFF pushbutton The Power LED will illuminate Red
24. Module NEL X X Use the ARROW UP or ARROW DOWN pushbuttons to view the messages Press one of the NEXT programmed pushbutton keys to advance onto the next menu or use the CANCEL pushbutton to exit to the Ready mode SETTING THE LANGUAGE The CARDELL Monitor can operate in one 1 of ten 10 languages English German French Italian Spanish Dutch Swedish Portuguese Norwegian or Danish To configure the monitor s operating language first enter the Monitor Configuration menu Once in the menu use one of the NEXT programmed pushbutton keys until the Message Window displays the current language being used Use the ARROW UP or ARROW DOWN pushbuttons to make your selection Press one of the NEXT programmed pushbutton keys to advance onto the next menu or use the CANCEL pushbutton to exit to the Ready mode AUDIO ALARMS SILENCE RESET Pushbutton The CARDELL Monitor s SILENCE RESET pushbutton can be configured to have the audio associated with patient alarms set to one of three selections The selections are 2 Minute Audio Alarm Off Default e Permanent Audio Alarm Off e Alarm Limit Off 1 In the Model 9401 monitor this message is skipped 21 02 0285 REV 06 07 11 68 Table Of Contents CARDELL Veterinary Monitors To configure the alarms first enter the Monitor Configuration menu Once in the menu use one of the NEXT programmed pushbutton keys until the Message Window
25. according to the maximum output power of the communications equipment Separation distance according to frequency of transmitter Meters Rated maximum output 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz power of transmitter Watts 1 24P d 1 24P 2 34P 0 01 0 12 0 12 0 23 0 1 0 38 0 38 0 73 1 1 2 1 2 2 3 10 3 8 3 8 7 3 100 12 12 23 For transmitters operating at a maximum output power not listed above the recommended separation distance d in meters can be estimated using the equation applicable to the frequency of the transmitter where P is the maximum output power rating of the transmitter in watts according to the transmitter manufacturer NOTE 1 At 80 MHz and 800 MHz the separation distance for the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people 21 02 0285 REV 06 07 11 Back Table Of Contents WARRANTY POLICY MONITORS CAS Medical Systems Inc warrants the monitor when new to be free from defects in material and workmanship and to perform in accordance with manufacturer s specifications for a period of three 3 years from the date of original purchase from CAS or its authorized distributors or agents except as noted below The same warranty conditions are made for a period of one 1 year with respect
26. and change back to Green When the LED illuminates Green remove your finger from the pushbutton NOTE If the printer was powered during the monitor s power up sequence the Midmark logo is printed MIDMARIK The CMP 10 Mobile Printer contains an Auto Power Off feature If the monitor and printer become separated and after ten 10 minutes during which no data has been sent to the printer and the Line Feed LF pushbutton has not been pressed the printer will automatically shutoff The CARDELL Monitor will periodically send to the printer a wake up message that will disable the Auto Power Off feature 21 02 0285 REV 06 07 11 81 Back Table Of Contents CARDELL Veterinary Monitors Sample printouts of both History Modes are shown below Figure 12 Sample Printouts 940V Series Monitor 940V Series Monitor 04 Oct 06 13 56 04 Oct 06 13 56 Patient Patient Notes Notes Events Trends Hr Mn Sys Dia MAP Pls 02 Hr Mn Sys Dia MAP Pls 502 13 57 135 92 114 156 13 57 135 92 114 156 13 59 140 88 125 125 98 13 58 155 97 14 01 135 89 102 176 13 59 140 88 125 125 98 14 01 119 84 96 157 14 03 153 91 123 191 98 14 01 135 89 102 176 14 04 148 102 117 159 14 01 119 84 96 157 14 02 160 99 14 03 153 91 123 191 98 940V Series Monitor 14 04 148 102 117 159 04 Oct 06 15 02 Patient 940V Se
27. displays the current value of the Audio Alarms menus Use the ARROW UP or ARROW DOWN pushbuttons to make your selection Press one of the NEXT programmed pushbutton keys to advance onto the next menu or use the CANCEL pushbutton to exit to the Ready mode 2 MINUTE AUDIO ALARM OFF When the monitor is configured for the 2 Minute Audio Alarm Off setting use the SILENCE RESET pushbutton to enable or disable audio alarms for a two 2 minute period The SILENCE visual indicator located on the front panel of the monitor will be illuminated constantly and the message 2Min Aud will be displayed on the Message Window as a reminder when enabled At the end of two 2 minutes the monitor will automatically exit the 2 Minute Audio Alarm Off setting and return to normal operation During a two minute silence period if an alarm patient or equipment occurs except for Low Battery and Dead Battery the audio alarm remains silenced for the remainder of the two minutes and only a visual indicator is provided PERMANENT AUDIO ALARM OFF When the monitor is configured to the Permanent Audio Alarm Off setting use the SILENCE RESET pushbutton to enable or disable audio alarms The SILENCE visual indicator located on the front panel of the monitor will flash at a rate of one 1 second ON and one 1 second OFF and the message Perm Aud will be displayed on the Message Window as a reminder when enabled During a perman
28. exposure to rain Exposure to extreme moisture levels may cause incorrect or inaccurate performance or device failure during or after exposure AUTOMATIC SAFETY FEATURES The monitor has been designed for patient safety The maximum amount of time allowed to complete a blood pressure measurement is 150 seconds If the measurement has not been completed within that time the cuff is deflated automatically and a message is displayed indicating the problem To prevent exposure of the extremity to an inordinately high pressure the cuff is deflated automatically when the pressure in the system is greater than 290 mmHg In the event of a microprocessor failure the cuff will be deflated automatically within ten 10 seconds All equipment parts are protected against the effects of the discharge of a defibrillator No separate actions are required when using this equipment with a defibrillator Should the AC or DC power be interrupted coming into the monitor the monitor automatically runs off battery power An indication of this would be a change in color of the Battery Charge LED from Green to either Orange or Red Whenever the power is disconnected from the monitor and the monitor is not allowed to shut down in an orderly fashion the monitor when re powered alerts the user Refer to Page 74 POWER FAIL for more information CAUTION Regardless of these safety features always be sure to check that there are no signs of prolonged
29. fail the message Err will appear in the 96SpO display window Press the SILENCE RESET pushbutton The monitor silences the audio alarm tone but the message remains Should the problem persist contact CAS Medical Systems Inc 21 02 0285 REV 06 07 11 75 Table Of Contents CARDELL Veterinary Monitors ERROR MESSAGES ON THE MESSAGE WINDOW Table 7 Error Messages on the Message Window ERROR MESSAGE POSSIBLE CAUSE POSSIBLE SOLUTION Air Leak Cuff applied too loosely Leak in cuff monitor pneumatic system Appl Err Small Cuff is detected in Large Cuff Mode ChksumEr An electronic failure has occurred within the monitor s Main Control Board Flow Err Stable cuff pressure cannot be maintained by the pneumatic system Cuff applied too loosely Low Batt The battery is almost discharged Motion There was too much extremity motion for the monitor to accurately complete the measurement in 120 seconds NBP Cal Pressure calibration data corrupted within NIBP module Check cuff for snug fit on patient Check that the cuff monitor connection is secure Check cuff for leaks Do not use a known leaky cuff Check cuff Replace cuff or change operating mode Contact CAS Medical Systems Inc to have the monitor serviced Recharge the battery for at least 4 hours Check the external tube for kinks Perform a Pneumatic Check as det
30. five minutes V CANCEL Cancels any active blood pressure function and immediately deflates the cuff Press and hold for two 2 seconds to change between Large Cuff and Small Cuff NIBP Modes Also used to Cancel out of a menu and return to Ready min 7 CYCLE TIME Allows the user to select a time interval for Automatic blood pressure measurement Automatic measurement cycles of 1 2 3 4 5 10 15 30 60 or 90 minutes may be chosen Also used to read the monitor s current time press and hold for two 2 seconds HISTORY Allows the user to review stored patient readings Refer to Page 57 HISTORY MODES for more information 21 02 0285 REV 06 07 11 48 Back Table Of Contents CARDELL Veterinary Monitors VOLUME Used to set the volume level of the Alarms and the Beep Model 9402 Use the Up and Down Arrows to change Also used to adjust the brightness of the front panel displays press and hold for two 2 seconds ALARM LIMITS Allows the user to enter and set the monitor s Alarm Limits ARROW UP Allows forward Adjustment Auto Cycle History Inflation Pressure Limits and Monitor Configuration Press to cycle through menu selections or press and hold for quicker advance ARROW DOWN Allows backwards Adjustment Auto Cycle History Inflation Pressure Limits and Monitor Configuration Press to cycle through m
31. impairment of patient circulation and that the monitor is functioning properly 21 02 0285 REV 06 07 11 32 Table Of Contents CARDELL Veterinary Monitors 5 BLOOD PRESSURE MONITORING CUFF SELECTION AND APPLICATION The use of properly designed and sized cuffs is essential for the accurate non invasive measurement of blood pressure Midmark cuffs are recommended for use with the CARDELL Monitor NOTE CAS recommends the use of Midmark cuffs with the CARDELL Monitor CAS recommends the use of the inflation hose supplied with the monitor or a replacement from CAS The widest cuff that can be placed around the limb should be used A cuff that is too small for the limb will not supply sufficient occlusion pressure to the artery This can cause an erroneously high blood pressure reading Ideally cuff width should be 40 of the limb circumference Substitution of a cuff different from that supplied might result in a measurement error NOTE Overlapping the cuff will not affect the measurement results For best results a cuff should be wrapped for a snug fit and be positioned reasonably close to heart level Measurements made above the level of the heart will give reduced blood pressure readings Measurements made below the heart level will give increased readings These errors are mainly due to the weight of the blood NOTE Avoid compression or restriction of the NIBP
32. measurement NOTE Turning the power OFF does not clear the History memory Measurements will remain in memory for up to twenty four 24 hours Any measurement older than twenty four hours is deleted It is suggested to manually clear History between patients See CLEARING HISTORY on Page 59 21 02 0285 REV 06 07 11 58 Table Of Contents CARDELL Veterinary Monitors PRINT HISTORY to optional printer The stored Event History and Trend History data are printed individually Press and Hold the HISTORY pushbutton for two 2 seconds while in either the Event or Trend History screens The message Print N appears in the Message Window Use either the ARROW UP or ARROW DOWN pushbutton until the message Print Y appears in the Message Window Press the HISTORY pushbutton again to start printing the History data The message Printing appears in the Message Window as a status indicator NOTE Prior to accessing the Print History mode the printer should have paper installed and the power turned ON Refer to Section 8 for more information about printing and sample printouts of both History screens CLEARING HISTORY The History data can be manually cleared by pressing and holding for two 2 seconds the HISTORY pushbutton while in either of the History modes The message Print N appears in the Message Window Press the HISTORY pushbutton again and the mess
33. no longer The probe is no longer in contact with the receiving a patient signal from patient the probe Check the probe site Pwr Fail Power was disconnected from Press the SILENCE RESET pushbutton to the monitor clear the message OR Re cycle the monitor s power RangeErr The systolic reading exceeds Repeat measurement the measurement range of 265 mmHg If the message is displayed again use another method to measure the patient s blood pressure SetClock The monitor s clock needs to be The monitor s time and date values are set incorrect Refer to Page 70 and for information to set the Time and Date The monitor s internal clock battery needs to be replaced Contact CAS Medical Systems 21 02 0285 REV 06 07 11 77 Table Of Contents CARDELL Veterinary Monitors ERROR MESSAGES ON THE MESSAGE WINDOW cont Table 7 Error Messages on the Message Window ERROR POSSIBLE CAUSE POSSIBLE SOLUTION MESSAGE Sig Sat Motion pulses too strong Limit patient activity Repeat measurement Time Out The monitor was unable to An extremely long measurement can be due complete a measurement within to a loose cuff high blood pressure or 150 seconds monitor re pumps Try measurement again Try higher initial pressure If message consistently reappears try using another means to obtain patient s blood pressure Weak Sig The monitor did not detect any Check the fi
34. pushbuttons to make your selection Press one of the NEXT programmed pushbutton keys to advance to the next parameter to set within the Date menu Press one of the NEXT programmed pushbutton keys to advance onto the next menu or use the CANCEL pushbutton to exit to the Ready mode 21 02 0285 REV 06 07 11 70 Table Of Contents CARDELL Veterinary Monitors SETTING THE TIME CARDELL Monitor s Time value is set for Eastern Time and is set at the factory Should it need to be changed enter the Monitor Configuration menu and use one of the NEXT programmed pushbutton keys until the Message Window displays the monitor s time using the following format HH MM Where HH Hour of the Day 0 23 and MM Minute of the Hour 0 59 The flashing parameter indicated the parameter that can be changed Use the ARROW UP or ARROW DOWN pushbuttons to make your selection Press one of the NEXT programmed pushbutton keys to advance to the next parameter to set within the Time menu NOTE Altering the Date and Time will affect the History readings but not erase them Press one of the NEXT programmed pushbutton keys to advance onto the next menu or use the CANCEL pushbutton to exit to the Ready mode DAYLIGHT SAVING TIME OPTION The CARDELL Monitor can be configured to automatically respond to time changes associated with Daylight Saving Time The monitor can be configured to one o
35. that it is Ready for use FRONT PANEL INTENSITY CONTROL The CARDELL Monitor utilizes Super Bright LED displays in its front panel for better viewing in a variety of environments If the displays are too bright or should the need come to operate the monitor in a dimly lit environment the monitor incorporates a user selectable Intensity Control Press and hold the front panel AUDIO pushbutton for two 2 seconds The monitor s front panel LED displays will toggle from their bright to their dim intensity level Continue to press the AUDIO pushbutton and every two 2 seconds the monitor s front panel LED displays will toggle dim to bright bright to dim Release the AUDIO pushbutton and select the intensity level required The CARDELL Monitor remembers this setting and will power up the next time to the intensity level selected DISPLAYING THE TIME The CARDELL Monitor can be used to display the current Time of day as set by the user at any time Press and Hold the CYCLE TIME pushbutton for two 2 seconds The monitor displays the Time in 24 Hr format in the Message Window for as long as the pushbutton is pressed LARGE CUFF SMALL CUFF OPERATING MODES NIBP function is affected by changing between LARGE CUFF and SMALL CUFF operating modes Once the monitor s power is on a visual indicator located on the front panel of the monitor indicates the current operating mode Press and Hold the CANCEL pushbutton for two 2 se
36. the monitor will inflate to the default setting or the Initial Inflation Pressure selected NOTE When the monitor is configured in the Alarms Off mode the message Alrm Off is displayed in the Message Window the cuff inflation pressure will always be set to 150 mmHg Also as an example if the Initial Inflation Pressure was set to 100 mmHg the first NIBP inflation pressure would be 100 mmHg followed by pressures at 150 mmHg The monitor s front panel NIBP displays will indicate all dashes while the measurement is in progress and the Message Window displays the Inflation Pressure in the format Meas XXX where is the pressure value For subsequent measurements the monitor will inflate approximately 30 mmHg higher than the previously determined Systolic pressure The measurement typically takes less than 30 seconds to complete In no case will the cuff remain pressurized for more than 150 seconds When the measurement is completed the cuff will automatically deflate and the monitor will display the Systolic Diastolic MAP if enabled and Pulse Rate values on the front panel displays The Message Window displays a time stamp of the NIBP measurement in the format HH MM Where is the hour and is the minute of the measurement taken NOTE If SpOs is active the Pulse Rate value will be determined from the SpO measurement 21 02 0285 REV 06 07 11 54
37. 5 REV 06 07 11 18 Back Table Of Contents CARDELL Veterinary Monitors DEFINITION OF TERMS In this manual WARNING CAUTION IMPORTANT and NOTE mean the following WARNING Directions that warn of conditions that put the patient or caregiver at risk CAUTION Directions that help you avoid damaging your monitor or losing data IMPORTANT Directions you should be particularly aware of something not readily apparent NOTE Directions that make it easier to use your monitor 21 02 0285 REV 06 07 11 19 Go Table Of Contents CARDELL Veterinary Monitors This page is intentionally left blank 21 02 0285 REV 06 07 11 20 Table Of Contents CARDELL Veterinary Monitors 2 UNPACKING THE MONITOR INITIAL INSPECTION Before unpacking the monitor inspect the packaging for damage If there are any signs of damage to the package a claim should be filed immediately with the shipping agent It is the receiver s responsibility to notify the carrier s local office to arrange for the pickup of the damaged items Save the damaged shipping carton as evidence Contact CAS Medical Systems Inc to report external damage and to arrange for repair or replacement of damaged equipment The shipping carton should contain the items listed below Unpack the monitor and account for each item Inspect each item for signs of
38. BLOOD PRESSURE CUP Fe Debe t 99 OXIME TRY dm T 99 OTHER ACCESSORIES sisri 100 ED Ennis 101 12 2 RAE AKESE EuN XSPAXARRXREQ PII Er IiiIIErOSESOSES SEden 103 19 SPECIFICATIONS iiti e t eii e de e iie ie eee 105 14 PURCHASING RECORD ha e tea Ree ER xe eua Rea CR e rta Ree 111 21 02 0285 REV 06 07 11 14 Table Of Contents CARDELL Veterinary Monitors FIGURES Figure 1 Patient ERR nA RR rts ERE a Rn DER 18 Figure 2 Cat Cuff Pla rene me 34 Figure 3 Dog Curt 35 Figure 4 Full Velcro 36 Figure 5 Sensor to Interface Cable 42 Figure 6 Front Panel VIGW cire 45 Figure 7 Front Panel Controls oor rre be reta 47 Figure 8 Rear Panel View tuli Mancini 50 Figure 9 Lett Side Panel VIGW ene
39. IBP readings when the monitor is set in the 5 minute Automatic Mode NOTE The serial number label is located on the bottom of the monitor EQUIPOTENTIALITY GROUND POST This terminal can be used to provide an auxiliary ground for the monitor EXTERNAL DEVICE INTERFACE The CARDELL Monitor is available with an optional DB9 RS232 serial output connector that is used to interface to the Citizen CMP 10 Mobile Printer or another serial printing device Refer to Section 8 EXTERNAL PRINTER optional for more information 21 02 0285 REV 06 07 11 50 J Back Table Of Contents CARDELL Veterinary Monitors LEFT SIDE VIEW Figure 9 Left Side Panel View MAXEN CUFF HOSE CONNECTION The six 6 foot Inflation Hose is connected to the monitor where the MAXNIBP logo is located as shown in Figure 9 The hose must be connected to the cuff prior to use NELLCOR VET SpO SENSOR CONNECTION Model 9402 only The SpO connector is compatible only with Nellcor amp VetSat veterinary sensor Connect the Interface Sensor cable in this receptacle for SpO monitoring 21 02 0285 REV 06 07 11 51 Back Table Of Contents CARDELL Veterinary Monitors MONITOR OPERATING INSTRUCTIONS TURNING THE CARDELL MONITOR ON Press the ON STANDBY pushbutton on the front panel to turn the monitor ON Figure 10 Turning the Monitor On On Standby Silen
40. LL Monitor is compact lightweight and portable allowing it to be easily carried and used in a variety of clinical settings The monitor is powered by AC Line Power or by a Nickel Metal Hydride NiMH rechargeable battery pack The internal battery pack charges when the monitor is plugged into the AC wall outlet The CARDELL Monitor can be set to operate in one 1 of ten 10 different languages English German French Italian Spanish Dutch Swedish Portuguese Norwegian or Danish The message window can display various system alarm messages These messages direct the user to check conditions such as the battery state air leaks and measurement problems The message window also displays the operational mode of the monitor automatic or manual The non invasive blood pressure NIBP parameter automatically inflates an occluding cuff and using the oscillometric measurement technique determines systolic diastolic and mean arterial pressure and pulse rate Measurement results along with operator prompts and error messages are displayed on the front panel The frequency of NIBP determination can be selected by the operator in varied times between one and ninety minutes The auto and manual operating modes cover a variety of clinical uses The pulse oximeter parameter 5 2 determines arterial oxyhemoglobin saturation by measuring the absorption of red and infrared light passing through the tissue Changes in absorption caused by pulsations of b
41. Printer Mount Attachment for Monitor 28 02 0077 Printer Paper One 1 Roll 01 02 0266 Printer Power Supply Adapter Plug European 01 02 0267 Printer Power Supply Adapter Plug UK 01 02 0268 Printer Power Supply Adapter Plug Australian 01 03 0162 Cardell NIBP Inflation Hose Six 6 Feet 01 03 0239 Equine NIBP Inflation Hose Ten 10 Feet 09 01 0002 Fuse 250V 500mA 5x20 mm Slow Blow 2 per monitor per labeling on monitor s rear panel 09 01 0034 Fuse 250V 1 25A 5x20 mm Slow Blow 2 per monitor per labeling on monitor s rear panel 01 02 0176 RS232 Communication Module 21 02 0285 Cardell Monitors Model 9401 and 9402 User s Manual 21 02 0285 REV 06 07 11 100 Table Of Contents CARDELL Veterinary Monitors MONITOR CONFIGURATIONS Table 8 Monitor Configurations Model Description 9401 MAXNIBP Non invasive Blood Pressure and Pulse Rate 100 240V 50 60HZ AC Power Supply and Battery 9402 MAXNIBP Non invasive Blood Pressure Pulse Rate and Nellcor Veterinary 5 100 240V 50 60HZ AC Power Supply and Battery 21 02 0285 REV 06 07 11 101 Go Table Of Contents CARDELL Veterinary Monitors This page is intentionally left blank 21 02 0285 REV 06 07 11 102 Table Of Contents CARDELL Veterinary Monitors 12 GLOSSARY Diastolic The Diastolic pressure is the bottom
42. RESET pushbutton again The visual indicator will go out If the button is not pressed audible alarms will be re armed automatically after two 2 minutes Refer to Page 68 AUDIO ALARMS SILENCE RESET Pushbutton for more information PERMANENT AUDIO ALARM SILENCE NOTE Enabling the Permanent Audio Alarm Off mode can only be accomplished after all active alarm conditions have been addressed To clear an alarm refer to Page 63 CLEARING ALARMS for more information If the Permanent Audio Off mode is selected in the Monitor Configuration menu refer to section MONITOR CONFIGURATION pressing the SILENCE RESET pushbutton will deactivate the audio alarms The visual indicator next to the SILENCE RESET pushbutton will flash at a rate of one 1 second ON and one 1 second OFF and the message Perm Aud will be displayed in the Message Window as a reminder NOTE If the Message Window is currently displaying a time stamp from a previously taken NIBP measurement the Perm Aud message will alternately be displayed with the time stamp message 21 02 0285 REV 06 07 11 65 Table Of Contents CARDELL Veterinary Monitors When enabled the monitor will not alarm for patient related High and Low alarms NIBP Application Error and SpO Probe Alarm The monitor will alarm for Low Battery and Dead Battery To re activate the audio alarm press the SILENCE RESET p
43. STING THE SpQ2 VOLUME 64 2 MINUTE AUDIO SIEENGE 65 PERMANENT AUDIO ALARM 2 65 ALARM UMITS OFf POETE 66 21 02 0285 REV 06 07 11 12 Table Of Contents CARDELL Veterinary Monitors MONITOR CONFIGURATION 67 ENTERING THE CONFIGURATION 67 SAVING YOUR CHABGEBB Ph dubbi 67 SOFTWARE REVISIONS isecite giani EI III 68 SETTING TE 68 AUDIO ALARMS SILENCE RESET Pushbutton 68 2 MINUTE AUDIO ALARM OFF peau RR 69 PERMANENT AUDIO ALARM OFT inn Rice 69 OF F mt 69 VALUE ENABLE DISABLE tori dde b Cb 70 SET THE 5pOs ALARM DEL A seen Ea odii E E Ye raa ide 70 SETTING THE DA 70 SETTING THE MME 71 DAYLIGHT SAVING TIME 71 BATTERY POWER 72 CHECKING BATTERY SUAS ve viera 73 AUTO OFF PEAT RE 73 A aE NS 74 USER MESSAGES dace ue
44. SV8 and SV10 size cuffs or larger A lighted LED to indicate NIBP operating with SV1 SV5 size cuffs A tri colored LED used to indicate the status of the monitors power source 21 02 0285 REV 06 07 11 25 Table Of Contents CARDELL Veterinary Monitors SYMBOLS CONT These symbols appear on the battery pack in place of text Recycling suggested see General Notes These symbols appear on the packaging in place of text Symbol used to indicate where Relative Humidity information concerning storage and transport can be located Symbol used to indicate the minimum and maximum storage and transport Temperatures This symbol appears on the printer in place of text v WARNING Before removing read instructions in Section 8 21 02 0285 REV 06 07 11 26 Back Table Of Contents CARDELL Veterinary Monitors 4 SAFETY MEASURES AND WARNINGS WARNING The CARDELL MODEL 9401 and 9402 monitors are intended for VETERINARY USE ONLY Do no use on human patient Do not use this instrument for any purpose other than specified in this manual Doing so will invalidate the monitor s warranty Do not connect more than one 1 patient to the monitor Do not plug the monitor into an outlet controlled by a wall switch Before each use verify that the alarm limits are appropriate for the patient being monitored The position of subject physiological condi
45. The Message Window will briefly display Saving and return to the Ready state 21 02 0285 REV 06 07 11 92 Table Of Contents CARDELL Veterinary Monitors LED CHECK The CARDELL Monitor incorporates an all lights ON check to verify the functionality of the front panel LED displays and indicators Enter the Test Mode The Message Window will briefly display TestMode followed by 0 mmHg Press and hold either the ARROW UP or ARROW DOWN pushbuttons The monitor will illuminate all appropriate 7 segment displays bar graph bell icon and patient mode indicators for as long as the button is pressed NIBP CALIBRATION CHECK Verify the calibration of the monitor once per year A Calibration Kit product P9 is included with the monitor The kit contains a T connector with a male and a female luer fitting for a Calibration Check and a male luer plug to be used for the Pneumatic Check Manometer Mode e Overpressure Test e Pneumatic Test The following equipment is required to perform the pressure checks e Assembled P9 Calibration Kit e Mercury manometer whose accuracy meets the AAMI ANSI Standard for Non Automated Sphygmomanometers 2002 MANOMETER MODE Assemble the Calibration Kit according to the diagram provided in the P9 kit 1 Assemble the Calibration Kit according to the diagram provided in the P9 kit 2 Remove the manometer tubing from the inflation bulb Con
46. The CARDELL Monitor must be equipped with the RS232 Communication Module optional CAUTION For safe and proper usage of the external printer please observe the following When using the printer e Avoid placing monitor in areas where fluid may enter the printer opening accidentally Do not drop or bump the monitor Avoid places subject to high or low temperature extremes Avoid direct sunlight Avoid dusty places and where corrosive gasses are generated Never attempt to dismantle or repair the printer mechanism When handling the thermal paper e Store in a dark cool and dry place Do not place near organic solvents Avoid contact with vinyl chloride films erasers or adhesive tapes for extended periods Avoid exposure to high temperature humidity liquid or sunlight Always use specified thermal paper CAS P N 28 02 0077 21 02 0285 REV 06 07 11 79 Table Of Contents CARDELL Veterinary Monitors PRINTER CONTROLS AND INDICATORS 9 UL ds ooN Figure 11 Printer Controls and Indicators LED Indicators Bicolor Red and Green CHARGE LED Red on Charging Battery Green on Battery is fully charged Power Error LED Green on Device is switched or self testing is in progress Red Green blinking fast End of paper Red Green blinking slow Print Head Overheated Controls Infrared IrDA port RS 232 Serial Port Power ON OFF switch
47. Window displays the monitor s current setting for the MAP value MAP or MAP Off Use the ARROW UP or ARROW DOWN pushbuttons to make your selection NOTE When MAP Off is selected MAP values are omitted from History Display and Printing as well All alarms associated with MAP values are also disabled Press one of the NEXT programmed pushbutton keys to advance onto the next menu or use the CANCEL pushbutton to exit to the Ready mode SET THE SpO ALARM DELAY The delay time until an alarm is generated for 5 and Pulse Rate can be configured to be either zero 0 seconds Delay 05 or ten 10 seconds Delay10S The default value used by the CARDELL Monitor is ten 10 seconds Use the ARROW UP or ARROW DOWN pushbuttons to make your selection Press one of the NEXT programmed pushbutton keys to advance onto the next menu or use the CANCEL pushbutton to exit to the Ready mode SETTING THE DATE The CARDELL Monitor s Date value is set at the factory Should it need to be changed enter the Monitor Configuration menu and use one of the NEXT programmed pushbutton keys until the Message Window displays the monitor s date using the following format DDMMMYY Where DD Day of the Month Month of the Year Jan Feb etc and Last 2 digits of the year 2002 is displayed as 02 The flashing parameter indicates the parameter that can be changed Use the ARROW UP or ARROW DOWN
48. ack Go Table Of Contents Manufacturers Declaration of Conformity Electronic Emissions and Immunity The Model 9401 9402 Monitor is intended for use in the electromagnetic environment specified below The customer or the user of the Model 9401 9402 Monitor should assure it is used in such an environment Emissions Test Compliance Electromagnetic Environment RF emissions CISPR 11 Group 1 The Model 9401 9402 Monitor uses RF energy only for its internal function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment RF emissions CISPR 11 Class B The Model 9401 9402 Monitor is suitable for use in all Harmonic emissions Class B establishments including domestic establishments and IEC 61000 3 2 those directly connected to the public low voltage power Voltage fluctuations Complies supply network that supplies buildings used for domestic flicker emissions purposes Immunity Test IEC 60601 Test Compliance Level Electromagnetic Environment Level Guidance Electrostatic 6 kV contact 6 kV contact Floors should be wood concrete discharge ESD 8 kV air 8 kV air or ceramic tile If floors are 61000 4 2 covered with synthetic material the relative humidity should be at least 3096 Electrical fast 2 kV for power 2 kV for power Mains power quality should be transient bur
49. ads Out of box failure only THERE ARE NO WARRANTIES WHICH EXTEND BEYOND THOSE EXPRESSLY DESCRIBED IN THIS AGREEMENT AND THE COMPANY MAKES NO WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE 21 02 0285 REV 06 07 11 Go Table Of Contents This page is intentionally left blank 21 02 0285 REV 06 07 11 Table Of Contents HOW TO CONTACT US For Warranty Issues CAS Medical Systems Inc 44 East Industrial Road Branford CT 06405 U S A For Product Usage Information Midmark 10008 N Dale Mabry Hwy Suite 110 Tampa FL 33618 U S A Phone 800 227 4414 203 488 6056 Phone Toll Free 800 Midmark 643 6275 Fax Fax 813 264 6218 203 488 9438 E Mail E Mail techsrv casmed com www Midmark com Pages Contactus aspx Web Web www casmed com www Midmark com Copyright 2007 CAS Medical Systems Inc All rights reserved No part of this manual may be reproduced without the written permission of CAS Medical Systems Inc CAS reserves the right to make changes to this manual and improvements to the product it describes at any time without notice or obligation 21 02 0285 REV 06 07 11 Go Table Of Contents This page is intentionally left blank 21 02 0285 REV 06 07 11 Back CARDELL Veterinary Monitors TABLE OF CONTENTS 1 INTRODUCTION AND INTENDED USE
50. age Erase appears in the Message Window Use either the ARROW UP or ARROW DOWN pushbutton until the message Erase appears in the Message Window Pressing the HISTORY pushbutton a final time and the message Erasing appears in the Message Window The monitor erases the memory exits the History mode and returns to the Ready state REAL TIME CLOCK RTC The CARDELL Monitor uses an internal Real Time Clock to time stamp all entries that are stored in History Changes made to either the time or date settings should be performed in between patients being monitored Refer to Page 53 DISPLAYING THE TIME and Page 71 SETTING THE TIME for more information 21 02 0285 REV 06 07 11 59 Table Of Contents CARDELL Veterinary Monitors PATIENT ALARM MODE WARNING Configuring the CARDELL Monitor s alarm settings to OFF will disable all audible and visual alarms This mode should only be selected for spot check applications where the patient is receiving bedside surveillance by a trained clinician Refer to Page 68 AUDIO ALARMS SILENCE RESET Pushbutton for more information The CARDELL Monitor is equipped with patient alarms to warn the user if any measurement parameter is outside the range of a user set value This feature will allow the user to set values for Systolic High and Low Diastolic High and Low MAP High and Low Pulse High and Low 5 High and Low Mo
51. ailed in the Maintenance section of this manual Replace cuff Check cuff for proper fit on patient At least 30 minutes of operation are available from when the message first appears Recharge the battery as soon as possible Measurements can be obtained when there is limited extremity movement but the measurement time may be extended Measurement time is limited to 120 seconds Restrain patient extremity motion Pressure module needs recalibration Contact CAS Medical Systems Inc to have the monitor serviced 21 02 0285 REV 06 07 11 76 Table Of Contents CARDELL Veterinary Monitors ERROR MESSAGES ON THE MESSAGE WINDOW cont Table 7 Error Messages on the Message Window ERROR POSSIBLE CAUSE POSSIBLE SOLUTION MESSAGE NIBP Err An electronic failure has Contact CAS Medical Systems Inc to have occurred within the NIBP the monitor serviced module No Probe The monitor is not detecting the The probe was disconnected SpO probe OverPres Cuff pressure exceeded 290 Very rapid squeezing of the cuff can cause mmHg this error Repeat the measurement If this message repeatedly occurs during normal use the monitor must be serviced P Search The monitor is searching for a Normal at power up as the monitor searches Pulse signal for a pulse The probe position may have changed Check the probe site Prb OFF The monitor is
52. and after each use Refer to Page 87 CLEANING for more information 3 Open the clip by pressing with the thumb and forefinger 4 Slide one of the sensor s alignment buttons along the clip slot until the sensor pad is fully engaged in the clip 5 Slide the second sensor button along the other clip slot until the second sensor pad is fully engaged in its side of the clip NOTE Check that the VetSat optical sensor pads are facing each other directly 6 The sensor is now ready to be applied to the patient The preferred sensor application site for canine feline and equine animals is on the tongue with the sensor s optical components positioned on the center of the tongue Alternatively the sensor and clip may be applied to the animal s lip toe ear prepuce or vulva NOTE If the sensor does not track the pulse reliably it may be incorrectly positioned or the sensor site may be too thick thin or deeply pigmented to permit appropriate light transmission If any of these situations occurs reposition the sensor or try another sensor site If the sensor site is one that is covered with fur try shaving the site and reapplying the sensor 21 02 0285 REV 06 07 11 41 Back Table Of Contents CARDELL Veterinary Monitors 7 Be sure that the sensor cable is positioned along the side of the animal s face and body to avoid entanglement with the animal WARNING Do not use
53. are that in certain situations the cuff may become soiled during its use In these situations a water based detergent is suitable for wiping the cuff As necessary the preferred method for cleaning the cuff is to wipe it down with a damp soapy cloth A damp detergent free cloth should then be used to rinse the cuff NOTE CAS does not recommend submersion of the cuff Liquid should not be permitted to enter the cuff bladder because instrument damage may occur The cuff should be allowed to thoroughly dry before use PNEUMATIC TUBING Prior to each patient use inspect the NIBP Inflation Hose for proper connection cracks and kinks As necessary clean the pneumatic tubing using a soft cloth dampened with a germicidal solution 21 02 0285 REV 06 07 11 88 Table Of Contents CARDELL Veterinary Monitors PRINTER When the printer becomes dirty wipe with a soft dry cloth For extreme dirt buildup soak a cloth with mild detergent wring well and wipe Dry by wiping with a soft dry cloth CAUTION Before cleaning the printer disconnect the AC adapter from the printer Do not use volatile chemicals such as thinner benzine etc Never wet the inside of the printer mechanism Refer to the printer User s Manual for more information SPO INTERCONNECT CABLE Prior to each patient use inspect the Interconnect cable for damage As necessary clean the cable using a s
54. arger Continued charging of the battery may cause its performance to degrade 21 02 0285 REV 06 07 11 83 Back Table Of Contents CARDELL Veterinary Monitors INSTALLING PAPER NOTE A red line appears when the remaining supply of thermal paper becomes low 1 Switch the printer OFF 2 Press the Cover Open button to access the paper compartment Remove any remaining paper before installing the new roll 3 Place the new paper roll as shown on the illustration and pull out enough paper to reach out over the control panel of the printer 4 Close the paper door Figure 13 Paper Installation NOTE Make sure that the paper is correctly placed If it is tilted in one or another direction and does not come out straight from under the cover open the door and reposition the roll again WARNING Do not touch the print head or paper cutter while replacing the printer paper 21 02 0285 REV 06 07 11 84 Table Of Contents CARDELL Veterinary Monitors REPLACING THE BATTERY PACK WARNING Do not operate the printer or connect the printer to the CARDELL Monitor with the battery pack removed WARNING Never change the battery pack while the battery charger is plugged in and or the CARDELL Monitor is being operated 1 Switch the printer OFF 2 Disconnect the printer from the CARDELL Monitor and unp
55. atient s cardiovascular system A calibration check is recommended once every year Do not alter the monitor s air hose CAS Medical Systems cannot ensure proper monitor performance if the tubing is altered Modification of the air hose will void the warranty Avoid compression or restriction of pressure tubes If the cuff is applied on a limb being used for oxygen saturation monitoring SpO gt results will be altered during each blood pressure measurement due to the occlusion of blood flow Inspect the monitor air hose and sensors for any damage prior to operation If any damage is noted the monitor should not be used until it has been serviced The monitor should be repaired only by personnel authorized to do so by CAS Medical Systems Inc Use only CAS Medical Systems approved accessories and sensors to preserve the integrity accuracy and the electromagnetic compatibility of the monitor Consult a physician for interpretation of blood pressure measurements The oximeter is factory calibrated to determine the percentage of arterial oxygen saturation of functional hemoglobin Significant levels of dysfunctional hemoglobins such as carboxyhemoglobin or methemoglobin may affect the accuracy of the measurement Cardiogreen and other intravascular dyes depending on the concentration may affect the accuracy of the oximeter measurement Some sensors may not be appropriate for a particular patient If at least ten seconds of one bar p
56. ble Of Contents CARDELL Veterinary Monitors PNEUMATIC TUBING 88 PRINTER 89 89 SENSOR AND 89 10 MAINTENANGE ciation 91 MAINTENANCE INTER VAIS soltero ci b Ft ciat 91 iliis os c 92 PRE TEST ele cm 92 e 93 NIBP CALIBRATION 93 MANOMETER ME ERR ERE 93 94 PNEUMATIC PRESSURE 94 PLUG TUBE eR 94 95 OAIMETRY CALIBRATION CHECK 555 i res 96 REPLACING THE MONITOR BAT TERY 96 REMOVING THE 96 INSTALLING THE BATTERY animpeni kanske 97 CHANGING THE FUSES aei eaan Naeata iet 97 211952216 S 98 11 99
57. bration of the monitor should not be necessary during the warranty period If the monitor is in need of repair it must be referred to the appropriate service personnel Service performed by unauthorized personnel could be detrimental to the monitor and may void the warranty For service contact CAS Medical Systems Inc Following the warranty period preventative maintenance can be an important factor in ensuring the monitor s continuing accurate and reliable performance The next section of this manual details how the user can perform preventative maintenance and testing Alternatively the following program is offered by CAS Medical Systems and it is recommended that it be performed every two 2 years following the warranty period CUSTOMER CARE PLAN Flat rate list price Preventative maintenance includes the following Visual inspection of unit inside and out Update hardware and software as required through ECN changes Battery Replacement Calibration and or adjustments to monitor All Accessories sent in are evaluated Pneumatic Check SpO Functional Check Pressure Calibration Check Monitor Safety Leakage Check Hi Pot Test 10 Update labeling where needed 11 Final Factory Test Procedure using Auto test station 12 Cleaning 13 QA Inspection 14 One new large adult cuff Or one VET cuff which ever applies See Ae mc Parts replaced if needed at no additional charge Parts replacements to be determined by r
58. cations or other methods Do not use extension cords of any type Do not connect the monitor to an electrical outlet controlled by a wall switch or dimmer INTERFACING OTHER EQUIPMENT Monitoring equipment must be interfaced with other types of medical equipment by qualified biomedical engineering personnel Be certain to consult manufacturers specifications to maintain safe operation STACKING Where monitor is used adjacent to or stacked with other equipment the monitor should be observed to verify normal operation in the configuration in which it will be used 21 02 0285 REV 06 07 11 31 Table Of Contents CARDELL Veterinary Monitors GENERAL NOTES There are no known risks with common disposal of equipment or accessories however the disposing of accessories should follow in accordance with local hospital policies The user should ensure these policies do not conflict with any local state or federal guidelines The monitor is suitable for use in the presence of electro surgery The monitor is suitable to be connected to public AC mains power The CARDELL Monitor is not Category AP or APG Equipment The CARDELL Monitor is for Continuous Operation The CARDELL Monitor applied parts are Type BF Defibrillation Proof The CARDELL Monitor provides DRIP PROOF level of protection from ingress to moisture Do not expose the CARDELL Monitor to extreme moisture levels such as direct
59. ce Reset Each time the monitor is turned a brief electronic song will play while the Power On Self Test POST is conducted to ensure that its internal circuits are functioning properly NOTE The user should use the Power On Self Test as a verification tool that all front panel visual indicators and the audio are functioning properly The one 1 second Configuration Setup Test is a visual indication of the CARDELL Monitor s Model number 9401 or 9402 The four 4 second Power On Self Test consists of The monitor plays its start up song from the internal speaker All equipped parameter segments are lit for one 1 second All High Alarm Values are displayed for one 1 second in their corresponding numeric display window and an audible tone is emitted from the monitor s internal speaker The Message Window indicates HI LIMS All Low Alarm Values are displayed for one 1 second in their corresponding numeric display window and an audible tone is emitted from the monitor s internal speaker The Message Window indicates LO LIMS e The current time is displayed for 1 second 21 02 0285 REV 06 07 11 52 Go Table Of Contents CARDELL Veterinary Monitors NOTE If the printer was powered ON during the monitor s power up sequence the Midmark logo is printed MIDMARIK Once the Power On Self Test is completed the monitor indicates
60. conds to change the operating mode IMPORTANT Prior to patient monitoring ensure the monitor is configured to the appropriate patient mode Large Cuff or Small Cuff The factory default is SMALL CUFF mode 21 02 0285 REV 06 07 11 53 Table Of Contents CARDELL Veterinary Monitors MANUAL MODE FOR BLOOD PRESSURE DETERMINATION Select the appropriate sized cuff for the patient being monitored Refer to Section 5 BLOOD PRESSURE MONITORING for more information Connect the cuff to the end of the monitor tubing Connect the monitor tubing to the NIBP connector located on the left side of the monitor The default Initial Inflation Pressure is 150 mmHg To select an alternate Initial Inflation Pressure press either the ARROW UP or the ARROW DOWN pushbutton IMPORTANT Excessive patient motion can contribute to inaccurate measurements Itis important that the animal be kept still during a measurement Make every attempt to alleviate fear anxiety and pain Stroking the animal before and during the measurement or having the animal held by the owner may be helpful Since fear and anxiety may affect the blood pressure it is advisable to take at least three measurements to allow the animal to relax Taking five measurements will allow you to discard the upper and lower values and average the middle three Press the START pushbutton to begin a measurement For the first measurement
61. ction after five 5 seconds Should the monitor fail the 500 ml Pressure Check it is recommended the monitor be returned to CAS Medical Systems for service 21 02 0285 REV 06 07 11 95 Table Of Contents CARDELL Veterinary Monitors OXIMETRY CALIBRATION CHECK The oximeter is factory calibrated to determine the percentage of arterial oxygen saturation of functional hemoglobin No user calibration is required REPLACING THE MONITOR BATTERY A part number for the battery can be found in the ACCESSORIES section of this manual or on the label located on the inside panel of the battery pack When the battery fails to hold a charge it will need to be replaced CAS Medical Systems recommends the battery be changed every two 2 years REMOVING THE BATTERY 1 Turn the monitor OFF and disconnect the power cord 2 Push down on the battery latch to unlock the battery door from the rear panel of the monitor 3 Carefully remove the battery pack from the rear panel of the monitor Refer to Figure 16 Figure 16 Removing the Battery Pack 100 240 V y 50 60Hz FUSE TL25AL250V CAUTION U S FEDERAL LAW RESTRICTS THIS DEVICE TO SALE ON OR BY THE ORDER OF A VETERINARIAN U S PATENT 4 796 184 5 022 403 OTHER PATENTS PENDING 21 02 0285 REV 06 07 11 96 Table Of Contents CARDELL Veterinary Monitors INSTALLING THE BATTERY
62. del 9402 CHANGING ALARM LIMITS The CARDELL Monitor incorporates a two 2 step process for reviewing and changing Alarm Limit values Press the ALARM LIMITS pushbutton once and the monitor s front panel displays indicate the current values of all High Alarm Limit values for two 2 seconds then toggles to indicate all Low Alarm Limit values for two 2 seconds This reviewing of all High and Low Alarm Limit values continues for thirty 30 seconds if no other pushbutton is pressed To change the value of an Alarm Limit press the ALARM LIMITS pushbutton again The Alarm Limit value is displayed in its corresponding display window and the Message Window will display the limit s name Use the ARROW UP or ARROW DOWN pushbuttons to change the limit value Use the ALARM LIMITS pushbutton key to advance onto the next parameter value Press the CANCEL pushbutton to return to Ready or after thirty 30 seconds of button inactivity the monitor will automatically return to Ready The alarm value s set will now be used until power is turned OFF SAVING ALARM LIMITS To save the Alarm Limit values to non volatile memory press and hold the ALARM LIMITS pushbutton for two 2 seconds while in the Alarm Limits set value mode The Message Window will display Save N Press either the ARROW UP or ARROW DOWN pushbuttons will display Save Y in the Message Window Press the ALARM LIMIT pushbutton a final time 21 02 0285 REV 06 07 11
63. e Blood Pressure Cuffs single tube Catalog Number Width Range SV8 8 0 cm 13 20 cm SV10 10 2 cm 18 26 cm Disposable Blood Pressure Cuffs single tube Catalog Number Width Range SV1 2 0 cm 3 6 SV2 2 5 cm 4 8 SV3 3 5 cm 6 11 cm SVA 4 0 cm 7 13 5 5 5 0 cm 8 15cm SV600 Box of 5 one each SV1 SV5 OXIMETRY Catalog No Description 01 02 0183 Patient Interface Cable DOC 10 10 Feet 01 02 0299 SpO Sensor and Clips MaxFast 1 Reflectance Sensor amp Posey wrap 21 02 0285 REV 06 07 11 99 Table Of Contents CARDELL Veterinary Monitors OTHER ACCESSORIES Catalog No Description 01 02 0395 Replacement Power Cord U S A 01 02 0386 Replacement Power Cord European 01 02 0385 Replacement Power Cord Australian 01 02 0384 Replacement Power Cord U K 03 08 0450 Monitor Battery Pack 7 2 VDC 3700 mAhr 01 01 0047 P9 Calibration Kit includes T connector with tubing and male luer plug 01 02 0248 500 ml Fixed Volume Cylinder 01 02 0172G Roll Stand with Basket 01 02 0174 Carry Bag 01 02 0189 Printer includes Battery RS232 Cable Power Supply One 1 Roll of Paper and Manual 01 02 0181 Printer Bracket Attachment for Roll Stand 01 02 0300
64. e if taken from the NIBP or have a ten 10 second delay if taken from the SpO signal 21 02 0285 REV 06 07 11 61 Table Of Contents CARDELL Veterinary Monitors AUDIBLE AND VISUAL INDICATORS The CARDELL Monitor is capable of producing both an audible and a visual indicator for a variety of monitor conditions The following table provides a cross reference for audible and visual indications Table 5 Audible and Visual Indicators Alarm Condition Priority Audible Tone Visual Indication Level Dead Battery High Beeps followed by 2 Beeps The message is displayed every 10 seconds continuously in the Message Window The Battery Power Visual Indicator is Red Patient Alarm Limit High 3 Beeps followed by 2 Beeps The associated 7 segment LED Violations every 10 seconds flashes for one second on one second off for the parameter limit in violation 5 0 Alarm Limit The message is displayed for one Violations second every two to six seconds in the Message Window Power Fail High 3 Beeps followed by 2 Beeps The message is displayed for one every 10 seconds second every two to four seconds in the Message Window Low Battery Alarm Medium 3 Beeps every 25 seconds The message is displayed for one second every two to six seconds in the Message Window The Battery Power Visual Indicator is Red NIBP Application Medium 3 Beeps ever
65. e service personnel Service performed by unauthorized personnel could be detrimental to the monitor and will void the warranty For service contact CAS Medical Systems Inc 21 02 0285 REV 06 07 11 74 Table Of Contents CARDELL Veterinary Monitors SpO USER MESSAGES Model 9402 only If the accuracy of any measurement does not seem reasonable first check the patient s vital signs by an alternate method NOTE The SpO probe must be kept as motionless as possible to make a proper determination Use the 5 strength bar graph to determine if a strong rhythmic pulse signal is present When no oximeter probe is attached to the monitor the 5 window and signal strength window will be blank When no SpO pulse data is available the monitor will display the last NIBP pulse When the probe is connected to the monitor but is off of the patient the message is displayed in 5 and Pulse Rate windows The Message Window flashes the message Prb OFF and three 3 audio are heard every twenty five 25 seconds Press the SILENCE RESET pushbutton The monitor silences the audible alarm tone but the message remains If the message Prb should appear in the 5 window verify that the probe being used is not defective by replacing the defective one and trying a different probe If the 5 Module located inside the CARDELL Monitor should
66. e time if necessary and begin a new NIBP measurement WARNING When monitoring over an extended period of time or at frequent intervals periodically observe the patient s limb to make sure that the circulation is not impaired for a prolonged period of time 21 02 0285 REV 06 07 11 56 Table Of Contents CARDELL Veterinary Monitors HISTORY MODES The History Mode allows the user to recall previously taken measurements The measurement results and the time the measurement was taken are also displayed Patient History is organized in two visually displayed lists Event History Pressing the HISTORY pushbutton the first time reveals the first viewable list that contains up to 480 entries of NIBP Event History readings along with the corresponding SpO2 results Model 9402 Trend History Pressing the HISTORY pushbutton again reveals the second viewable list that contains up to 480 entries of Trend History at one 1 minute intervals The Trend History contains all the events from the Event History log combined with a one 1 minute average of the SpO values Model 9402 that are saved every minute NOTE Both Event and Trend History data are only available for twenty four 24 hours Data older than twenty four 24 hours is automatically removed from the History lists Once the HISTORY pushbutton has been pressed use the HISTORY pushbutton to toggle between the two His
67. ent audio alarm off period if an alarm patient or equipment occurs except for Low Battery and Dead Battery the audio alarm remains silenced and only a visual indicator is provided ALARM LIMIT OFF When the monitor is configured to the Alarm Limit Off setting all alarms associated with patient alarms are OFF Also when a NIBP measurement is started using the Manual mode the inflation pressure will always be set to 150 mmHg This mode is useful for spot check applications or if the monitor is being moved from patient to patient and the user may not want to be disturbed by any audible alarms The SILENCE visual indicator located on the front panel of the monitor will flash at a rate of two 2 seconds ON and two 2 seconds OFF and the message Alrm Off will be displayed on the Message Window as a reminder when enabled During an alarm limit off period if an equipment alarm occurs except for Low Battery and Dead Battery the audio alarm remains silenced and only a visual indicator is provided 21 02 0285 REV 06 07 11 69 Table Of Contents CARDELL Veterinary Monitors MAP VALUE ENABLE DISABLE During a blood pressure reading the user can elect to display or not to display the MAP value Should it need to be changed first enter the Configuration menu Refer to Page 67 ENTERING THE CONFIGURATION MENU Once in the menu use one of the NEXT programmed pushbutton keys until the Message
68. enu selections or press and hold for quicker advance NEXT The HISTORY and VOLUME pushbutton keys right side of the Up and Down Arrow keys have been programmed to allow the user to advance forward to the next selection in the Monitor Configuration menu PREVIOUS The CYCLE TIME and ALARM LIMITS pushbutton keys left side of the Up and Down Arrow keys have been programmed to allow the user to advance backwards to the previous selection in the Monitor Configuration menu 21 02 0285 REV 06 07 11 49 Back Table Of Contents CARDELL Veterinary Monitors REAR PANEL Figure 8 Rear Panel View Monitor shown with optional 5232 Communications Module Battery Compartment Manufactured for gt SHARN VETERINARY INC 4 Tampa FL 33618 Equipotentiality External Device Interface Ground Post 100 240 VA 5A 50 60Hz FUSE T125AL280V 9 CAUTION U S FEDERAL LAW RESTRICTS THIS DEVICE TO SALE ON OR BY THE ORDER AVETERINARIAN US PATENT 4 796 184 5 022 403 OTHER PATENTS PENDING AC Input Connector Fuse Compartment AC LINE POWER CONNECTOR Receptacle for the AC power cord FUSE COMPARTMENT The power input receptacle incorporates dual fuses located in the hot and neutral lines BATTERY COMPARTMENT The CARDELL Monitor is equipped with a 7 2 Volt 3700 mAhr battery pack that when fully charged is capable of taking 100 N
69. epair technician 1 Front panel key switch 2 Front housing 3 Rear housing Any circuit boards which need to be replaced due to malfunction will have an additional charge on the PM Price Customers will be provided with an estimate prior to repairs PM Price also does not apply to units and accessories that have been misused or damaged Note Pricing can change without notice 21 02 0285 REV 06 07 11 91 Table Of Contents CARDELL Veterinary Monitors TEST MODE WARNING Do not place the monitor in the TEST MODE when a cuff is attached to a patient NOTE While in the Test Mode if no pushbutton is pressed within 15 minutes the monitor will automatically terminate the Monitor Configuration menu and return to the Ready mode The monitor must be in the Configuration Mode in order to perform the following functions e All LEDs ON Check e NIBP Calibration Check o Manometer Mode o Over Pressure e Pneumatic Pressure Checks To enter the monitor s Configuration Menu press and hold the ALARM LIMITS VOLUME 0 pushbutton keys while the monitor is being turned Once in the menu press one of the PREVIOUS CYCLE TIME ALARM LIMITS programmed pushbutton keys until the Message Window briefly displays TestMode followed by 0 mmHg EXIT THE TEST MODE When you have completed with the Test Mode press the CANCEL pushbutton to exit
70. es may not apply in all situations Electromagnetic propagation is effected by absorption and reflection from structures objects and people Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the Model 9401 9402 Monitor is used exceeds the applicable RF compliance level above the Model 9401 9402 Monitor should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as re orienting or relocating the Model 9401 9402 Monitor Over the frequency range 150 kHz to 80 MHz field strengths should be less than V m Recommended Separation Distances Between Portable and Mobile RF Communications Equipment and the Model 9401 9402 Monitor The Model 9401 9402 Monitor is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the Model 9401 9402 Monitor can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the Model 9401 9402 Monitor as recommended below
71. examine the animal for any signs of distress and only then re examine sensor placement Inadequate perfusion thick fur dark skin or foreign matter that blocks light or an improperly applied sensor can result in erratic and inaccurate oxygen saturation and or pulse rate measurement Should the perfusion bar graph be at a low level reposition the sensor or try a different sensor If proper operation cannot be verified remove the sensor from the animal and do not use the oximeter on this animal In the event the sensor becomes dislodged from the animal audible and visual alarms are activated requiring that a veterinary professional investigate the reason for the alarm status The veterinary professional should investigate status and sensor attachment after every sensor alarm indication It is possible when the sensor is dislodged from the animal under certain conditions of light and vibration of the sensor for the pulse oximeter to display normal physiological values 21 02 0285 REV 06 07 11 28 Table Of Contents CARDELL Veterinary Monitors WARNING ACCURACY If the accuracy of any measurement does not seem reasonable first check the patient s vital signs by alternate means and then check the CARDELL Monitor for proper functioning CABLES Route all cables away from patient s throat to avoid possible strangulation DEFIBRILLATION Do not come in contact with patients during defibrillat
72. external damage dents cracks scratches etc If an item is missing or damaged contact CAS Medical Systems Inc Record the monitor model serial number and date of purchase at the back of this manual MONITOR CHECKLIST Qty Description 1 Monitor 9401 or 9402 1 Hospital Grade AC Power Cord 1 Six 6 Foot Inflation Hose 13 Midmark Blood Pressure Cuffs 7 sizes Nellcor amp Model DOC 10 SpO Interface Cable for Model 9402 Nellcor VetSat amp Veterinary SpO Sensor and Clips for Model 9402 P9 Calibration Kit includes T connector with tubing and male luer plug 1 1 1 1 Monitor User s Manual NOTE The monitor is shipped with the appropriate line cord for the country and or voltage being used OPTIONAL ACCESSORIES The CARDELL Veterinary Monitor is available with a rolling stand and basket a soft sided carrying case and other optional accessories to fit your needs Refer to Section 11 ACCESSORIES for part number information Contact Midmark for more information 21 02 0285 REV 06 07 11 21 Go Table Of Contents CARDELL Veterinary Monitors This page is intentionally left blank 21 02 0285 REV 06 07 11 22 Table Of Contents CARDELL Veterinary Monitors 3 SYMBOLS Units may display the following symbols gt lt Alternating Current CAUTION Before using read instructions included The CE Mark s
73. f five Daylight Saving Time Option settings They are e DST OFF Daylight Saving Time is OFF The user is responsible for changing the time if needed This is the default setting for the monitor e DSTNAM Daylight Saving Time North America Use this setting and the monitor will automatically change time accordingly to the Daylight Saving Time for countries in North America DST EU 1 Daylight Saving Time for all European countries using Greenwich Mean Time DST EU 2 Daylight Saving Time for all European countries 1 hour ahead of Greenwich Mean Time DST EU 3 Daylight Saving Time for all European countries 2 hours ahead of Greenwich Mean Time NOTE Enabling Daylight Saving Time will affect the History readings but not erase them Press one of the NEXT programmed pushbutton keys to advance onto the next menu or use the CANCEL pushbutton to exit to the Ready mode 21 02 0285 REV 06 07 11 71 Table Of Contents CARDELL Veterinary Monitors BATTERY POWER The CARDELL Monitor is equipped with an internal rechargeable battery The battery is charging whenever the monitor is plugged into the AC wall outlet A Battery Power Visual Indicator located on the front panel indicates the status condition of the monitor s battery Batteries will self discharge when they are not used It is recommended that the battery be maintained at full charge by leaving the monitor connected t
74. ff site and cuffed extremity regularly when blood pressure is measured at frequent intervals or over extended periods of time The CARDELL Monitor can automatically take a series of blood pressure measurements for a five 5 minute interval with a brief approx ten 10 second pause between determinations to allow venous blood return Press and hold the START STAT pushbutton for two 2 seconds to activate this feature The Message Window will display STAT XXX where is the real time cuff pressure Between readings the Message Window will display 0 XX S where is the 10 second count down until the next measurement After five 5 minutes of determinations the monitor will stop taking measurements and exit the STAT mode The monitor will return to the Manual mode and the Message Window will return to the Ready message In the STAT Mode while during a measurement or in the idle time between measurements pressing the CANCEL pushbutton will cause the monitor to exit the STAT mode and return to the Manual mode The monitor s front panel NIBP numeric displays will indicate the reading of the previous measurement taken and the Message Window will display the time stamp of that reading NOTE Pressing the CYCLE pushbutton during the Manual Automatic or STAT Modes will terminate the current NIBP measurement if active and place the monitor in the Automatic Cycle mode The user will then be allowed to alter the Cycl
75. h saturated with a 10 1 10 solution of chlorine bleach in tap water When all of the surfaces have been disinfected wipe the entire surface of the monitor using a soft cloth dampened with fresh water to remove any trace amounts of residue and or fumes NOTE Thoroughly wipe off any excess cleaning solutions Care should be taken to prevent water or cleaning solution to run into connector openings or crevices 21 02 0285 REV 06 07 11 87 Back Table Of Contents CARDELL Veterinary Monitors THE DISPLAY CAUTION Use care when cleaning the display Scratches may occur Occasionally as needed clean the display window using a soft lint free cloth sprayed with an alcohol free glass cleaner Do not use either isopropyl alcohol or solvent to clean the display Use of these cleaners can cause damage to the display The use of paper towels is not recommended as it may scratch the surface CUFFS Prior to each patient use inspect the blood pressure cuff and its hose for damage REUSABLE CUFFS As necessary for normal cleaning with mild detergents dilute bleach solution 1 2 wipe the cuff with the cleaning solution rinse with water and dry NOTE CAS does not recommend submersion of the cuff Liquid should not be permitted to enter the cuff bladder because instrument damage may occur The cuff should be allowed to thoroughly dry before use DISPOSABLE CUFFS CAS is aw
76. iates from normal Breed Systolic Diastolic Pulse Rate mmHg mmHg Labrador Retriever 118 17 66 13 99 19 Golden Retriever 122 14 7011 95 15 Great Pyrenees 120 16 66 6 95 15 Yorkshire Terrier 121 x 12 69 13 120 14 West Highland 126 6 83 7 112 13 Border Collie 131 14 75 12 101 21 King Charles Spaniel 131 16 72 14 124 24 German Shepherd 132 13 75 10 108 23 Terrier 136 16 76 12 104 16 Bullterrier 134 x 12 77 X17 122 6 Chihuahua 134 9 84 12 109 12 Miniature Breeds 136 13 74417 117 13 Pomeranian 136 12 76 13 131 14 Beagle 140 15 79 13 104 16 Dachshound 142 10 85 15 98 17 143 16 88 10 98 22 Greyhound 149 20 87 16 114 28 Pointer 145 x 17 83 15 102 14 21 02 0285 REV 06 07 11 38 Back Table Of Contents CARDELL Veterinary Monitors GUIDELINES Mean Arterial Pressure MAP Minimum to adequately perfuse all peripheral tissue beds 60 70 mmHg Hypertension Suspect with systolic pressure greater than 150 mmHg affirmed when above 160 170 mmHg also affirmed in cats when diastolic pressure is above 100 mmHg Hypotension During anesthesia generally maintain systolic pressure above 80 mmHg For more information call Midmark 2 Info per Dr Donald Sawyer Michigan State University 21 02 0285 REV 06 07 11 39
77. ignifies the device has met all essential requirements of European Medical Device Directive 89 336EEC This symbol appears here instead of on the unit The first two digits of the unit s serial number indicate the year of manufacture in the 21 century Indicates this monitor is subject to the Waste Electrical and Electronic Equipment Directive in the European Union Indicates protection against the effects of the discharge of a cardiac defibrillator Patient connections are Type BF and protected against defibrillation Equipotentiality Ground Post 21 02 0285 REV 06 07 11 23 Table Of Contents CARDELL Veterinary Monitors SYMBOLS CONT IPX1 Protection against ingress of water MAXIE NIBP Hose and Cuff Connector SpO Pulse Oximeter Probe Input Connector Two way Communications Port RS232 Interface Connector These symbols may be used in place of text on the front panel ON STANDBY Turns the monitor s display SILENCE RESET START STAT CANCEL min p CYCLE TIME 21 02 0285 REV 06 07 11 24 Table Of Contents CARDELL Veterinary Monitors SYMBOLS CONT 7 V BPM Large Cuff Small Cuff HISTORY VOLUME ALARM LIMITS ARROW UP ARROW DOWN Bar graph display of 5 signal strength Pulse Rate Display A lighted LED to indicate NIBP operating with
78. ion Serious injury or death could result DISPOSAL Dispose of the packaging material observing the applicable waste control regulations LEAKAGE CURRENT TEST The interconnection of auxiliary equipment with this device may increase the total leakage current When interfacing with other equipment a test for leakage current must be performed by a qualified biomedical engineering personnel before using with patients Serious injury or death could result if the leakage current exceeds applicable standards SITE REQUIREMENTS For safety reasons all connectors for patient cables and sensor leads are designed to prevent inadvertent disconnection should someone pull on them Do not route cables in a way that they may present a stumbling hazard For devices installed above the patient adequate precautions must be taken to prevent them from dropping on the patient 21 02 0285 REV 06 07 11 29 Table Of Contents CARDELL Veterinary Monitors CAUTION Before each use make sure that the monitor default alarm settings are appropriate for the specific patient being monitored Pressing the front panel keyswitch with a sharp or pointed instrument may permanently damage the keyswitch Press the keyswitch using only your finger As with any non invasive oscillometric blood pressure monitor the accuracy of the measurements obtained may be adversely affected by the presence of agents which alter the p
79. izontal plane with the heart 21 02 0285 REV 06 07 11 35 Table Of Contents CARDELL Veterinary Monitors LARGER ANIMALS A large animal such as a horse should be in a stock standing still or lying down For horses and cows the cuff can be wrapped around the base of the tail using the coccygeal artery on the ventral surface WARNING When monitoring over an extended period of time or at frequent intervals periodically observe the patient s limb to make sure that the circulation is not impaired for a prolonged period of time CUFF SIZE SELECTION The widest cuff that can be placed on the patient without extending beyond the joint should be selected Appropriate sized cuffs may be selected based on published guidelines that cuff width should be 40 60 of limb circumference The cuff should be wrapped for a snug fit Overlapping the cuff will not affect measurement results Make sure the hook and loop sections of the cuff are fully engaged when it is wrapped around the limb If not fully engaged the cuff will detach during bladder inflation If that happens select the next size bigger cuff Adhesive tape or other material should not be used to secure the cuff Figure 4 Full Velcro Engagement UL 21 02 0285 REV 06 07 11 36 Back Table Of Contents CARDELL Veterinary Monitors Use the following table as a guide to select the correct size
80. lood in the vascular bed are used to determine arterial saturation and pulse rate The oximeter requires no routine calibration or maintenance Oxygen saturation and heart rate are displayed on light emitting diode LED digital displays 21 02 0285 REV 06 07 11 17 Back Table Of Contents CARDELL Veterinary Monitors On each detected pulse the perfusion LED does indicate patient perfusion signals This bar graph gives the user a pulse by pulse visual indication of waveform signal quality An audio can be enabled that is generated each time the SpO2 module detects a pulse NOTE The bar graph is not proportional to the pulse volume PATIENT ENVIRONMENT The CARDELL Monitor has been tested with specific parts of the system used within the Patient Environment Figure 1 defines the Patient Environment Figure 1 Patient Environment E Ho mu ay 4 mom The parts of the CARDELL Monitor system that can be used in the Patient Environment are defined as Table 1 Parts of the System The CARDELL Monitor 9401 9402 Appropriate Accessories listed in the ACCESSORIES section of this User s Manual Line Cord RS232 Communications Citizen CMP 10 Mobile Printer RS232 Interconnect Cable supplied with printer AC Adapter Charger Model TRC 09 1100 M from Group West or equivalent supplied with printer 21 02 028
81. lower number given in a reading This number represents the amount of pressure present in the system between heartbeats NIBP Non Invasive Blood Pressure Abbreviation used when a blood pressure reading is taken externally using a non invasive procedure SpO SpOz Abbreviation used when oxygen saturation level of the blood is measured with a pulse oximeter Systolic The Systolic pressure is the upper top number given in a reading This number represents the maximum pressure present in the artery 21 02 0285 REV 06 07 11 103 Go Table Of Contents CARDELL Veterinary Monitors This page is intentionally left blank 21 02 0285 REV 06 07 11 104 Table Of Contents CARDELL Veterinary Monitors 13 SPECIFICATIONS NIBP MEASUREMENT Characteristic Specification Technique Oscillometric MAXNIBP Technology Microprocessor software eliminates most ambient noise and motion artifact Blood Pressure Range Systolic 25 265 mmHg Diastolic 15 220 mmHg MAP 20 235 mmHg Pulse Rate Range 30 300 BPM Accuracy Blood Pressure 5 mmHg with a standard deviation no greater than 8 mmHg See Standards Pulse Rate 2 or 2 BPM whichever is greater SpO2 MEASUREMENT Characteristic Specification Nellcor Type Functional Oxygen Saturation
82. lug the wall charger cord 3 Open the battery door by pressing in on the battery cover and pushing upward Figure 14 Opening the Battery Door 4 Remove the battery cover 5 Remove the battery pack from the compartment and disconnect its connecting cable 21 02 0285 REV 06 07 11 85 Back Table Of Contents CARDELL Veterinary Monitors INSTALLING A NEW BATTERY PACK 1 Connect the battery cable into the battery connector 2 Insert the battery and its connecting cable into the battery compartment Figure 15 Installing the New Battery 3 Replace the battery cover by sliding it in from the back of the printer and pushing down to lock it in place CAUTION Be sure to place the battery cover firmly in its position after installing the new battery pack WARNING Do not disassemble the battery pack or batteries The batteries contain electrolytes which can cause injury to eyes skin and clothing NOTE This product contains a rechargeable battery that is recyclable Under various state and local laws it may be illegal to dispose of this battery into the municipal waste stream Check with your local authorities for instructions on recycling options in your area 21 02 0285 REV 06 07 11 86 Table Of Contents CARDELL Veterinary Monitors 9 CLEANING CLEANING OVERVIEW WARNING Do not under any circumstances perform an
83. lume message 5 Use the ARROW UP and ARROW DOWN pushbuttons to adjust the volume level desired Altering the SpO2 Volume will produce a single tone at a selected non off volume level Press the CANCEL pushbutton when completed 21 02 0285 REV 06 07 11 64 Table Of Contents CARDELL Veterinary Monitors 2 MINUTE AUDIO SILENCE NOTE Enabling the 2 Minute Audio Alarm Off mode can only be accomplished after all active alarm conditions have been addressed To clear an alarm refer to Page 63 CLEARING ALARMS for more information If the 2 Minute Audio Off mode is selected in the Monitor Configuration menu refer to section MONITOR CONFIGURATION pressing the SILENCE RESET pushbutton will temporarily deactivate the audio alarms for two 2 minutes The visual indicator next to the SILENCE RESET pushbutton will illuminate continuously and the message 2Min Aud will be displayed in the Message Window as a reminder NOTE If the Message Window is currently displaying a time stamp from a previously taken NIBP measurement the 2Min Aud message will alternately be displayed with the time stamp message When the 2 Minute Audio Off is enabled the monitor will not alarm for patient related High and Low alarms NIBP Application Error SpO Probe Alarm The monitor will alarm for Low Battery and Dead Battery To re activate the audio alarm press the SILENCE
84. ments from the coccygeal artery may be used by placing the cuff around the base of the tail but not in anesthetized patients Figure 2 Cat Cuff Placement j Im UM da Ve 2 5795 7 4 ers k 21 02 0285 REV 06 07 11 34 Back Go Table Of Contents CARDELL Veterinary Monitors CUFF PLACEMENT FOR A DOG For measurements in dogs it is preferable to use the right lateral sternal or dorsal recumbent positions That is not a problem in anesthetized patients but it may be difficult to get large dogs to cooperate for proper positioning If the dog is in a sitting position place the front paw on the operator s knee and take measurements from the metacarpus Sites for cuff placement are the metacarpus metatarsus and anterior tibial In anesthetized patients most surgeries are done on the posterior part of the body so the metacarpal area of the forelimb is most convenient In situations where this is not possible the cuff should be wrapped around the metatarsus just proximal to the tarsal pad or around the hind leg just distal to the hock The tail site should not be used for cuff placement during anesthesia If the hair over the artery site is too thick or matted for good contact it should be clipped Figure 3 Dog Cuff Placement NOTE Use metacarpus or metatarsus To achieve the most accurate readings it is important to keep the cuff on a hor
85. mp Hold Cancel Key To Select Cuff Size m wm a e bv DIGITAL DISPLAY AND INDICATORS SYSTOLIC mmHg Red colored LEDs indicate the Systolic pressure measurement in mmHg DIASTOLIC mmHg Red colored LEDs indicate the Diastolic pressure measurement in mmHg MAP mmHg Red colored LEDs indicate the Mean Arterial Pressure in mmHg 5 Model 9402 Green colored LEDs indicate the 5 value 21 02 0285 REV 06 07 11 45 BPM LARGE CUFF SMALL CUFF Ready Table Of Contents CARDELL Veterinary Monitors Red colored LEDs indicate the Pulse Rate in BPM beats per minute Green colored LEDs provide a visual indication of the 5 signal strength in a bar graph form Model 9402 A yellow LED indicating NIBP operating with SV8 and SV10 size cuffs or larger A yellow LED indicating NIBP operating with SV1 SV5 size cuffs Message Window area used to display various messages that aid the user in monitor operation A tri colored visual indicator used to indicate the status of the power source and battery condition e GREEN Monitor connected to AC wall outlet ORANGE In Use on Battery RED Battery Low or Dead Battery A Yellow LED visual indicator used along with the SILENCE RESET pushbutton to display the status of the Audio Alarm Silence feature Refer to Page 68 AUDIO
86. n either of these messages appears it is necessary to recharge the battery A depleted battery may be fully recharged in four 4 hours The monitor can be used to obtain measurements while the battery is charging NOTE Using the monitor while charging may lengthen the time to restore battery charge NOTE During charging of the battery the case may feel warm to the touch 21 02 0285 REV 06 07 11 72 Table Of Contents CARDELL Veterinary Monitors CHECKING BATTERY STATUS NOTE The monitor when connected to AC Line Power and is powered OFF will display CHARGING in the Message Window until the battery reaches a full charge condition Once the battery reaches full charge the monitor is capable of supplying battery charge information as described below The monitor s Main Board receives information from electronics enclosed within the battery pack The status of the battery pack can be verified using one of the following methods 1 When the monitor is connected to AC Line Power and is powered press and hold the SILENCE RESET pushbutton for two 2 seconds The monitor will display in the Message Window for as long as the button is pressed XXX where represents the percent 0 to 100 of the full charge condition of the battery 2 When the monitor is connected to AC Line Power and is powered OFF the Message Wind
87. nect the open ended tubing of the T connector to the inflation bulb 3 Connect the female luer fitting to the inflation tube leading to the manometer 4 Connect the male luer fitting to the manometer tubing 5 Enter the Test Mode The Message Window will briefly display TestMode followed by 0 mmHg 21 02 0285 REV 06 07 11 93 6 Table Of Contents CARDELL Veterinary Monitors Use the manometer inflation bulb to slowly inflate the system pausing for 30 seconds at the following points and verify calibration according to the following table 0 mmHg 1 mmHg 50 mmHg 4 mmHg 100 mmHg 4 mmHg 150 mmHg 4 mmHg 200 mmHg 5 mmHg NOTE If the monitor does not display the test pressure for the 30 second period deflate to zero and verify the proper assembly of the calibration set up Re inflate the system If the monitor again fails to hold the pressure it is recommended the monitor be returned to CAS Medical Systems for service OVERPRESSURE 1 2 3 While still in the Manometer Mode test inflate the pressure slowly until 290 mmHg 10 mmHg is reached The Message Window should stop updating display the message OverPres and provide a NIBP Application Error audible tone Press the CANCEL pushbutton to exit the Overpressure Test The monitor returns to the Manometer Mode selection If the monitor does not meet the above specifications it is recommended the mo
88. ng messages and signal strength bar Parameters Displayed Systolic Pressure Diastolic Pressure and Mean Arterial Pressure MAP Pulse Rate 5 gt OPERATING MODES Characteristic Specification Patient Veterinary NIBP Manual STAT or Automatic at preset intervals History Reviews previous measurements 5 Continuous Monitoring 21 02 0285 REV 06 07 11 106 POWER Table Of Contents CARDELL Veterinary Monitors Characteristic Specification Source External line or internal battery AC Power Option 100 240 VAC 50 60 Hz 0 5A Fuse Rating T500mAL250V or T1 25AL250V two provided Refer to monitor rear panel labeling for actual fuse rating Battery Nickel Metal Hydride NiMH battery pack user removable Charge Time 4 hours Operation on battery 100 NIBP readings when set in the 5 minute Automatic Mode Leakage Current 100 microamp maximum FEATURES Characteristic Specification Self Test System self test is performed each time power is turned on Auto Zero Zero pressure reference is automatically established after every reading Inflation Initial inflation to 150 mmHg or user selectable 100 120 140 150 160 180 200 Subsequent inflation to approximately 30 mmHg greater than
89. nitor be returned to CAS Medical Systems for service PNEUMATIC PRESSURE CHECKS Check the monitor s pneumatic system for air leakage every six 6 months PLUG TUBE 1 2 3 4 Obtain the male luer plug found in the Calibration Kit product P9 supplied with the monitor Place this plug into the cuff connector at the end of the monitor tubing and twist one quarter turn The plug must fit securely into the connector for this test to be performed properly Enter the Test Mode The Message Window will briefly display TestMode followed by 0 mmHg Press the START pushbutton to begin the Pressure Check 21 02 0285 REV 06 07 11 94 5 Table Of Contents CARDELL Veterinary Monitors The Message Window will display Chk Pres will inflate to approximately 180 mmHg and attempt to hold this pressure The pressure value will be displayed in the SYSTOLIC display window This test takes about fifteen 15 seconds At the completion of a successful Pressure Check the Message Window will display Passed the monitor will beep two 2 times and will return to the Calibration Check function after five 5 seconds If the monitor fails the Pneumatic Pressure Check the Message Window will display Leak the monitor will beep three 3 times and the return to the Calibration Check function after five 5 seconds If the monitor fails the Pressure Check the Message Window will dis
90. nplug the power cord The fuse holder is incorporated into the power input receptacle and located under the power cord input connector 21 02 0285 REV 06 07 11 97 Table Of Contents CARDELL Veterinary Monitors To replace the fuses 1 Turn the monitor OFF and disconnect the power cord from the back of the monitor 2 Press down on the locking tab which holds the fuse holder in the power input receptacle 3 While holding down on the tab pull the fuse holder out 4 Remove the fuses 5 Place new fuses directly into the fuse holder 6 Insert the fuse holder into the power input receptacle There should be an audible click when it is secure STORAGE WARNING If it becomes necessary to store the monitor for longer than six 6 months remove the monitor s battery pack and place the monitor in its original packing container if available WARNING Use of unapproved batteries will invalidate the product s warranty and may result in serious safety consequences for the patient and user NOTE Batteries not charged and left in storage for more than six months could degrade and not recharge to full capacity See Section 13 SPECIFICATIONS for storage temperature information 21 02 0285 REV 06 07 11 98 Back Table Of Contents CARDELL Veterinary Monitors 11 ACCESSORIES BLOOD PRESSURE CUFFS Reusabl
91. nt Between each measurement the Message Window will display the time remaining until the next measurement as well as the cycle time chosen in the format MM SS CC where is the minutes SS is the seconds and is the cycle time selected The measurement results are displayed on the front panel until the start of the next measurement cycle NOTE If a measurement is desired between measurement cycles press the START pushbutton After this measurement the monitor will re enter the Automatic Cycle mode and countdown to the next measurement based on the Cycle time selected In the Automatic Mode while during a measurement or in the idle time between measurements pressing the CANCEL pushbutton will cause the monitor to exit the Automatic mode and return to the Manual mode The monitor s front panel NIBP numeric displays will indicate the reading of the previous measurement taken and the Message Window will display the time stamp of that reading 21 02 0285 REV 06 07 11 55 Table Of Contents CARDELL Veterinary Monitors STAT MODE WARNING Readings obtained during STAT mode may not meet the stated accuracy of this monitor WARNING In some cases rapid prolonged cycling of an oscillometric noninvasive blood pressure monitor cuff has been associated with ischemia Apply the oscillometric cuff appropriately according to instructions and check the cu
92. o the AC wall outlet whenever possible The standard 7 2 Volt 3700 mAhr battery pack when fully charged is capable of taking 100 NIBP readings when the monitor is in the 5 minute Automatic Mode When the message Low Batt appears in the Message Window at least thirty 30 minutes of battery operation remain The Low Batt message will alternate continuously with the Ready message to indicate that the battery should be charged as soon as possible Also the monitor s front panel Battery Power Visual Indicator will change from Orange to Red and three 3 audio beeps are heard every twenty five 25 seconds WARNING Upon the detection of a Low Battery condition and if the battery is not charged by the user the monitor may no longer function as intended The monitor should be plugged into an AC wall outlet as soon as possible and the battery allowed to charge for four 4 hours When the Dead Bat message appears the battery is no longer able to power a measurement The message Dead Bat is displayed continuously in the Message Window the Battery Power Visual Indicator is colored Red and three 3 audio beeps followed by two 2 audio beeps once every ten 10 seconds are heard until the power is turned off WARNING Upon the detection of a Dead Battery condition and if the monitor is not turned off by the user the monitor shuts down and turns OFF after three 3 minutes of operations Whe
93. of damage Contact Midmark for assistance Equipment not suitable for use in the presence of a FLAMMABLE ANESTHETICS Equipment is not intended to be used in Oxygen Enriched Atmospheres 21 02 0285 REV 06 07 11 27 Table Of Contents CARDELL Veterinary Monitors WARNING The use of accessory equipment not complying with the equivalent safety requirements of this equipment may lead to a reduced level of safety of the resulting system Consideration relating to the choice shall include Use of the accessory in the Patient Environment Evidence that the safety certification of the accessory has been performed in accordance with the appropriate IEC 60601 1 and or IEC 60601 1 1 harmonized national standard Do not gas sterilize or autoclave the monitor Do not use the monitor in the presence of Magnetic Resonance Imaging MRI equipment Do not apply the blood pressure cuff on an extremity being used for an intravenous infusion Do not place liquids on top of the monitor Do not immerse the monitor or power cord in water or any liquid If unit is accidentally wetted it should be thoroughly dried The rear cover can be removed by a qualified service technician to verify absence of water Accurate oxygen saturation measurement cannot be obtained with the Model 9402 when the oximeter is not measuring the pulse properly If the perfusion bar graph or the PULSE RATE be erratic or inaccurate first
94. oft cloth dampened with a germicidal solution SENSOR AND CLIPS CAUTION To avoid damage to the VetSat sensor remove it from the clip before cleaning either piece CAUTION Do not sterilize the sensor or clips by irradiation steam or ethylene oxide Do not immerse the sensors in water or cleaning solution When necessary the sensor may be surface cleaned by wiping it with an agent such as 7096 Isopropyl Alcohol The clip may be cleaned by either wiping it with or soaking it for ten 10 minutes in 7096 Isopropyl Alcohol If the clip is soaked be sure to rinse it with water and air dry it prior to use on the next patient After each cleaning and prior to each use inspect the sensor and cable for fraying cracking breakage or other damage Inspect the clip for cracking or breakage or loss of spring tension that would allow slippage or movement of the sensor from its proper position NOTE If defects are noted do not use the sensor or clip 21 02 0285 REV 06 07 11 89 Go Table Of Contents CARDELL Veterinary Monitors This page is intentionally left blank 21 02 0285 REV 06 07 11 90 Table Of Contents CARDELL Veterinary Monitors 10 MAINTENANCE MAINTENANCE INTERVALS Besides the routine cleaning of the monitor and accessories outlined in the previous section and replacement of accessories due to normal wear and tear cali
95. ow will display where represents the percent 0 to 100 of the full charge condition of the battery 3 When the monitor is running on battery power and is powered press and hold the SILENCE RESET pushbutton for two 2 seconds The Message Window will display for as long as the button is pressed XXX where XXX represents the percent 0 to 100 of the full charge condition of the battery CAUTION This product contains a rechargeable battery that is recyclable Under various state and local laws it may be illegal to dispose of this battery into the municipal waste stream Check with your local authorities for instructions on recycling options in your area AUTO OFF FEATURE The CARDELL Monitor incorporates an Auto OFF feature to preserve battery life The Auto Off feature is enabled automatically when the user selects the Alrm Off option in the Configuration Menu When the monitor is in this mode and if accidentally left powered ON for ten 10 minutes without any key presses or any parameters active the monitor will beep for five 5 seconds prior to automatically shutting itself down to preserve battery life 21 02 0285 REV 06 07 11 73 Back Table Of Contents CARDELL Veterinary Monitors For the Auto OFF feature to work properly the following conditions must apply Off is selected in the Configuration Menu
96. play Leak the monitor will beep three 3 times and the return to the Calibration Check function after five 5 seconds Due to the volume differences of the hoses used with the CARDELL Monitor the monitor may incorrectly fail the Plug Tube check Should the monitor fail the Plug Tube Pressure Check obtain a 500 ml Pressure Cylinder and follow the 500 ml Pressure Check 500 ml PRESSURE CHECK 1 2 3 4 5 6 7 Obtain fixed volume 500 ml Pressure Cylinder CAS 01 02 0248 Place the end of the monitor s inflation hose securely onto the luer fitting at the top of the pressure cylinder The hose must fit securely onto the connector for this test to be performed properly Enter the Test Mode The Message Window will briefly display TestMode followed by 0 mmHg Press the START pushbutton to begin the Pressure Check The Message Window will display Chk will inflate to approximately 160 mmHg and attempt to hold this pressure The pressure value will be displayed in the SYSTOLIC display window This test takes about fifteen 15 seconds At the completion of a successful Pressure Check the Message Window will display Passed the monitor will beep two 2 times and will return to the Calibration Check function after five 5 seconds If the monitor fails the Pressure Check the Message Window will display Leak the monitor will beep three 3 times and the return to the Calibration Check fun
97. previous Systolic pressure Deflation Automatic Max Measurement Time Limited to 150 seconds SAFETY LIMITS Characteristic Specification Automatic Cuff Deflation If cuff pressure exceeds 290 mmHg If measurement time exceeds 150 seconds If safety timer detects microprocessor failure 21 02 0285 REV 06 07 11 107 Table Of Contents CARDELL Veterinary Monitors OPERATING ENVIRONMENT Characteristic Specification Operating Temperature 0 C to 50 C 32 F to 122 F for NIBP 5 Humidity 15 95 non condensing Altitude 10 000 to 1 250 ft 700 1050 hPa Monitors may not meet performance specifications if stored or used outside temperature and humidity ranges When moving the monitor from a storage location wait at least one hour prior to use to allow the monitor to adjust to room temperature STORAGE TRANSPORT ENVIRONMENT Characteristic Specification Storage Transport Temperature 20 C to 65 4 F to 149 F Humidity 15 9596 non condensing Altitude 10 000 to 1 250 ft 700 1050 hPa PHYSICAL DIMENSIONS amp WEIGHT Characteristic Specification Base Unit HxW xD 6 75 in x 8 5 in x 3 0 in 17 cm x 21 5 cm x 7 5 cm Weight 3 approx 1 4 kg
98. ries Monitor 04 Oct 06 15 02 Notes Patient Notes Events Hr Mn Sys Dia MAP Pls 502 15 04 135 72 93 73 15 09 161 103 128 171 98 Trends Hr Mn Sys Dia MAP Pls 502 15 04 135 72 293 73 15 09 161 103 128 171 98 NOTE When no patient information is stored in the Trend History for consecutive minute storage a break appears in the Trends printout If the 02 reading is then the Pulse value Pls shown is associated with the NIBP reading 21 02 0285 REV 06 07 11 82 Table Of Contents CARDELL Veterinary Monitors CHARGING THE PRINTER BATTERY The printer is equipped with a rechargeable Lithium lon battery pack When the printer detects a Low Battery condition within itself the message Low Battery is printed and an audio indicator located inside the printer sounds three 3 times WARNING Charge the printer battery using the AC Adapter Model TRC 09 1100 M from GROUP WEST or equivalent supplied with printer 1 Plug the battery charger s cord into the printer battery charger jack located on the rear panel 2 Plug the charger into an AC wall outlet of the appropriate voltage 3 Verify the CHARGE LED indicator is lit Red Battery charge time is approximately three 3 hours Once the battery is fully charged the CHARGE LED indicator switches to Green CAUTION Once the battery has reached a full charge remove it from the ch
99. st supply lines supply lines that of a typical commercial or IEC 61000 4 4 1 kV for 1 kV for hospital environment input output lines input output lines Surge 1 kV differential 1 kV differential Mains power quality should be IEC 61000 4 5 mode mode that of a typical commercial or 2 common mode 2 common mode hospital environment Voltage Dips short interruptions and voltage variations on power supply input lines IEC 61000 4 11 lt 5 gt 95 dip in U for 0 5 cycle 40 0 60 dip in U for 5 cycles 70 Ur 30 dip in 0 for 25 cycles lt 5 Ur gt 95 dip in for 5 seconds lt 5 gt 95 dip in U for 0 5 cycle 40 60 dip in U for 5 cycles 70 Us 30 dip in U for 25 cycles lt 5 gt 95 dip in U for 5 seconds Mains power quality should be that of a typical commercial or hospital environment If user of the Model 9401 9402 Monitor requires continued operation during power mains interruptions it is recommended that the Model 9401 9402 Monitor be powered from an uninterruptible power supply or a battery Power frequency 50 60 Hz magnetic field IEC 61000 4 8 3 A m 3 A m Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment NOTE U is the A C mains voltage prior to application of the test level
100. supplemental tape to adhere the clip and sensor directly to the site this can restrict blood flow and cause inaccurate measurements For best results secure the sensor cable independently from the sensor 8 Connect the sensor assembly to the Interface Cable a Place the plastic hinged cover in the unlocked position perpendicular to the connector b Connect the sensor assembly to the Interface Cable Lock the plastic hinged cover to prevent accidental cable disconnection Figure 5 Sensor to Interface Cable 9 Plug the Interface Cable into the 5 connector on the side panel of the monitor The connector is shaped like a D Line up the D on the Interface Cable with the D on the receptacle Push the cable in until you hear an audible click 10 Press the ON STANDBY pushbutton to turn ON the monitor 11 Verify that the sensor is properly positioned by observing at least ten seconds of continuous green blinking of the signal strength bar perfusion LED Should the perfusion light be at a low level reposition the sensor or try a different sensor If normal operation cannot be achieved call a Midmark representative for assistance 12 Check the Alarm Limits and configure them appropriately for the patient Refer to Page 60 PATIENT ALARM MODE for more information 13 If an audio beep is required based on the SpOsz refer to 64 ADJUSTING THE 5 BEEP VOLUME for more information
101. t of the cuff pulses during a NIBP measurement Repeat measurement 21 02 0285 REV 06 07 11 78 Table Of Contents CARDELL Veterinary Monitors 8 EXTERNAL PRINTER optional The following section is provided as an overview of the Citizen CMP 10 Mobile Printer as it is used with the CARDELL Monitor NOTE The Citizen Model CMP 10 Mobile Printer that is used with the CARDELL Monitor has proprietary software installed in it for communications NOTE For more detailed information on the Citizen Model CMP 10 Mobile Printer refer to the User s Manual that was supplied with the printer WARNING The CARDELL Monitor has been tested with the Citizen CMP 10 Mobile printer to comply with IEC 60601 1 1 and is the only printer that is recommended to be used with the monitor If another printer is to be used the user must read the Warning on Page 29 under LEAKAGE CURRENT TEST and follow the guidance given PRINTER OVERVIEW The Citizen CMP 10 Mobile Printer interfaces to the CARDELL Monitor via an infrared IrDA port or by using the direct connect RS232 cable supplied with printer The IrDA ports are located on the top of the printer and on the bottom front panel of the CARDELL Monitor When using the IrDA port it is important to keep the two devices close together less than three 3 feet one 1 one meter and in line to maintain proper communications NOTE
102. tical FELINE NORMAL VALUES The blood pressure values for cats are not breed specific However the most sensitive way to detect changes in feline blood pressure is also by comparing individual blood pressure readings taken over time 1 Adapted from Essential Facts of Blood Pressure in Dogs and Cats Egner Carr amp Brown 2003 21 02 0285 REV 06 07 11 37 Back Table Of Contents CARDELL Veterinary Monitors Normal feline blood pressure 124 84 Other investigators have reported comparable reference values Feline Reference Values Systolic Diastolic mmHg mmHg 125 11 89 9 Brown et al 1997 123 14 88 15 Curtet 2001 125 12 86 15 Weber et al 2002 CANINE NORMAL VALUES The normal values for dogs are breed specific Those for Golden Retrievers Labradors and giant breeds tend to be lower than the overall average and those for greyhounds and in general racing hounds tend to be higher The table that follows lists the normal values for common dog breeds using oscillometric blood pressure monitors Average canine blood pressure 133 75 This figure was calculated as the mean of 1782 oscillometric measurement in clinically healthy dogs of different breeds The overall average is therefore serves as a point of reference only The individual or at least breed specific value must be known to most accurately determine whether a given patient s blood pressure dev
103. tinues uninterrupted for the 15 seconds the audio alarm is reactivated 21 02 0285 REV 06 07 11 63 Table Of Contents CARDELL Veterinary Monitors EQUIPMENT ALARMS During an Equipment Alarm the monitor displays the alarm parameter in either the Message Window or flashes the LED display of the alarmed parameter and provides an audible Alarm Tone To clear the alarm press the SILENCE RESET pushbutton The monitor silences the audible tone and clears the parameter NOTE The Low Battery and Dead Battery alarms cannot be silenced ADJUSTING THE AUDIO ALARM VOLUME The Alarm Volume can be adjusted to one 1 of five 5 volume levels Press the AUDIO pushbutton The Message Window displays the current value of the Audio Alarm Volume ALARM Use the ARROW UP and ARROW DOWN pushbuttons to adjust the volume level desired Altering the Alarm Volume will produce a single tone at the selected volume level Press the CANCEL pushbutton when completed NOTE The Volume Level cannot be set to OFF NOTE No Key Click will be heard when the Audio Volume is set to a MINIMUM setting ADJUSTING THE SpO VOLUME Model 9402 only The Volume for the SpO Beep can be adjusted to one 1 of five 5 levels and OFF This setup menu follows directly after the Audio Alarm Volume Press the AUDIO pushbutton until the Message Window displays the SpO Vo
104. tion and other factors affect the readings Blood pressure and pulse can fluctuate greatly between measurements the monitor cannot alert the user to changes in vital signs occurring between measurement cycles Occasionally electrical signals at the heart do not produce a peripheral pulse If a patient s beat to beat pulse amplitude varies significantly for example pulsus alternans atrial fibrillation rapid cycling artificial ventilator blood pressure and pulse rate readings be erratic and alternate measuring method should be used for confirmation Where the integrity of the external protective conductor in the installation or its arrangement is in doubt EQUIPMENT shall be operated from its INTERNAL ELECTRICAL POWER SOURCE Isolation of product from mains can only be achieved by removal of external power cord Do not under any circumstances perform any testing or maintenance on the monitor or power cord while the unit is being used to monitor a patient Unplug the power cord before cleaning or servicing the monitor The operator should not perform any servicing except as specifically stated in this manual Do not touch part of non medical electrical equipment in the patient environment after removal of covers connectors etc without the use of a tool which operate at voltages not exceeding 25 VAC or 60 VDC and the patient at the same time Do not use a frayed or damaged power cord or any accessory if you notice any sign
105. to printer and battery and six 6 months on non disposable accessories and certain components consisting of reusable SpO sensors and other accessories provided by CAS as part of the original purchase CAS warrants blood pressure cuffs and disposable or single patient use products for out of box failure only Where the accessory is not a CAS manufactured product the manufacturer s own warranty conditions apply CAS reserves the right to perform warranty service operations in its own factory or at an authorized repair station Our obligation under this warranty is limited to repairing or at our option replacing any defective parts or our equipment without charge if such defects occur in normal service and with prompt notification Damage to any part through misuse neglect or accident or by affixing any accessories or attachments other than CAS or Nellcor amp manufactured accessories or attachments is not covered by this warranty ACCESSORIES BATTERIES CUFFS AND CERTAIN COMPONENTS In all cases policy applies from date of purchase from CAS or its authorized distributors or agents Batteries 1 Year Chargers 1 Year not including power cord see other accessories Cuffs all Out of box failure only 5 Cable and Sensor 6 Months Nellcor Cable and Sensor Other Accessories Out of box failure only Certain Components 1 Year Printer mechanism but not including Thermal Print Heads Print He
106. tory menus When completed press the CANCEL pushbutton to return to Ready or after thirty 30 seconds of button inactivity the monitor will automatically return to Ready NOTE History data values for NIBP are saved as they occur History data values for 5 are saved once a minute one 1 minute average NOTE Turning the power OFF does not clear the History memory Measurements will remain in memory for up to twenty four 24 hours Any measurement older than twenty four hours is deleted It is suggested to manually clear History between patients See CLEARING HISTORY on Page 59 21 02 0285 REV 06 07 11 57 Table Of Contents CARDELL Veterinary Monitors EVENT HISTORY EVENT Ev To review History based on Event readings press the HISTORY pushbutton The most current NIBP measurement and the time of measurement HH MM Ev are displayed on the front panel along with its corresponding values If there are no readings the History the message No Evnts is displayed in the Message Window Press the ARROW DOWN pushbutton to review preceding measurements The word Oldest will be displayed briefly on the Message Window when there are no more readings left in the memory The oldest measurement will then be redisplayed Press the ARROW UP pushbutton to advance the measurements towards the most current measurement taken The word Newest will be displa
107. ulses cannot be observed for a given sensor change sensor location until this condition is achieved If the monitor fails to respond do not use it until the situation has been corrected by qualified personnel 21 02 0285 REV 06 07 11 30 Table Of Contents CARDELL Veterinary Monitors CAUTION ACCIDENTAL SPILLS In the event that fluids are accidentally spilled on the monitor take the monitor out of operation and inspect for damage BATTERY POWER If the monitor will not be used or not connected to AC line power for a period over six 6 months remove the battery ELECTRICAL SHOCK To reduce the risk of electrical shock do not remove the back cover Refer all servicing to qualified personnel ELECTROMAGNETIC COMPATIBILITY EMC The equipment needs special precautions regarding EMC Be aware that strong electromagnetic fields may interfere with monitor operation Interference prevents the clear reception of signals by the monitor If the hospital is close to a strong transmitter such as TV AM or FM radio police or fire stations a HAM radio operator an airport or cellular phone their signals could be picked up as signals by the monitor ELECTROSURGERY Measurements may be affected in the presence of strong electromagnetic sources such as electro surgery equipment GROUNDING Do not defeat the three wire grounding feature of the power cord by means of adaptors plug modifi
108. ushbutton again The visual indicators will go out Refer to Page 68 AUDIO ALARMS SILENCE RESET Pushbutton for more information ALARM LIMITS OFF If the Alarm Limits Off mode is selected in the Monitor Configuration menu all alarms associated with patient alarms are OFF except for Low Battery and Dead Battery The visual indicator next to the SILENCE RESET pushbutton will flash at a rate of two 2 second ON and two 2 seconds OFF and the message Alrm Off will be displayed in the Message Window as a reminder NOTE If the Message Window is currently displaying a time stamp from a previously taken NIBP measurement the Off message will alternately be displayed with the time stamp message To re activate the audio alarms refer to Page 68 AUDIO ALARMS SILENCE RESET Pushbutton for more information 21 02 0285 REV 06 07 11 66 Back Table Of Contents CARDELL Veterinary Monitors MONITOR CONFIGURATION The Monitor Configuration section allows the user to configure the CARDELL Monitor to your individual needs Once entered the user can Review the monitor s internal Software Revisions Select the Operating Language Make selections for Audio Alarms Choose to display the MAP value Set the SpO Alarm Delay Set the Date Set the Time Set Daylight Saving Time Option Perform System Checks Refer to Page 93 NIBP CALIBRATION CHECK o Manometer Mode o Leak Check
109. ve kinking or coiling the sensor cable When the probe is disconnected from the monitor the message No Probe appears in the Message Window and an audible alarm sounds indicating a connection has been broken Press the SILENCE RESET pushbutton to silence the visual and audible alarm NOTE If either the 2 Minute Audio Off or Permanent Audio Off is enabled no audio will be heard but a visual message will appear in the Message Window See Section 11 ACCESSORIES for Nellcor oximeter probe types and part number information 21 02 0285 REV 06 07 11 43 Table Of Contents CARDELL Veterinary Monitors PERFORMANCE CONSIDERATIONS If there is excessive ambient light cover the sensor site with opaque material Failure to do so may result in inaccurate measurements Light sources that can affect performance include surgical lights especially those with a xeon light source bilirubin lamps fluorescent lights infrared heating lamps and direct sunlight 21 02 0285 REV 06 07 11 44 Back Go Table Of Contents CARDELL Veterinary Monitors 7 MONITOR OPERATION FRONT PANEL Figure 6 Front Panel View CARDELL Veterinary Monitor 9402 NIBP SpO I i2z Hc SYSTOLIC mmHg DIASTOLIC mmHg LARGE SMALL CUFF CUFF MAP mmHg Ready 1 BPM On Standby Silence Reset NIBP Start Cancel q D Press a
110. y 25 seconds The message is displayed for one Error second every two to six seconds in the Message Window SpO Probe Alarms Medium 3 Beeps every 25 seconds The message is displayed for one second every two to six seconds in the Message Window NIBP Complete Low 1 Beep when blood pressure Numerics are updated with each is completed blood pressure taken 5 Pulse Beat Low 1 Beep coincides with each Numerics are updated with each received SpO pulse rate received SpO pulse rate value Key Click Low 1 Beep associated with each None button action The message interval time will vary based on what monitor conditions are present NOTE Refer to Table 7 on Page 76 for a listing of messages that may be displayed in the Message Window 21 02 0285 REV 06 07 11 62 Table Of Contents CARDELL Veterinary Monitors CLEARING ALARMS The CARDELL Monitor provides to the user with an audible and visual indication for both patient and equipment alarm conditions NIBP PATIENT ALARMS During an active NIBP Patient Alarm Limit Violation Low High Systolic or Low High Diastolic the monitor flashes the LED display of the parameter in alarm and provides a Patient Alarm Limit Violation audible tone To acknowledge the alarm press the SILENCE RESET pushbutton The monitor silences the audible tone and the parameter in alarm stops flashing HIGH LOW ALARMS
111. y testing or maintenance on the monitor while the monitor is being used to monitor a patient The monitor must be turned OFF Unplug the monitor from the AC power source and remove the internal battery CAUTION Do not open the monitor to clean or repair it Contact CAS Medical System for service needs CAUTION Disconnect all accessories from the monitor before cleaning Do not immerse any part of the electrical connector of the cable or accessories in the cleaning or disinfection solution at any time Do not use an abrasive cloth or cleaner on the accessories THE MONITOR On a daily basis examine the monitor case for any damages and check the AC power cord for bent or broken prongs cracks or fraying Neither the monitor nor the power cord should be used if damaged If any damage is noted contact the appropriate service personnel CAUTION Do not spray any water or cleaning solution directly onto the monitor As needed clean the monitor using a soft cloth dampened with a mild dishwashing detergent solution and gently rub the soiled area until clean Use a clean soft cloth to dry the monitor Do not use abrasive cleaners on the monitor Do not use either isopropyl alcohol or solvent to clean the monitor Use of these cleaners can cause damage to the monitors surface Do not immerse the monitor or power cord in the cleaning solution When necessary the monitor surfaces may be disinfected using a soft clot
112. yed briefly on the Message Window when there are no more current readings The most recent measurement will then be redisplayed To exit the History Mode and return to Ready press the CANCEL pushbutton If a measurement is desired immediately while in the History Mode simply press START This will exit the History Mode and begin a measurement TREND HISTORY TREND Tr NOTE For the Model 9401 no Trend History menu will be available To review Trend History press the HISTORY pushbutton twice The most current measurement NIBP or a one 1 minute averaged 5 values and the time of measurement HH MM Tr are displayed on the front panel If there are no readings in the History the message No Trend is displayed in the Message Window Press the ARROW DOWN pushbutton to review preceding measurements The word Oldest will be displayed briefly on the Message Window when there are no more readings left in the memory The oldest measurement will then be redisplayed Press the ARROW UP pushbutton to advance the measurements towards the most current measurement taken The word Newest will be displayed briefly on the Message Window when there are no more current readings The most recent measurement will then be redisplayed To exit the History Mode and return to Ready press the CANCEL pushbutton If a measurement is desired immediately while in the History Mode simply press START This will exit the History Mode and begin a

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CARDELL® Veterinary Vital Signs Monitors