to view the Vista AVS Quick Guide
Contents
1. use a 12 cm cuff for the arms and a 10 cm cuff for the ankles Step 3 Using a tape measure or a yardstick measure the vertical distance in centimeters between the middle of the arm cuff to the floor and the middle of the ankle cuff to the floor Next subtract the ankle distance from the arm distance to acquire the vertical distance between cuffs Step 4 Press the ENTER MENU key to open the OPTIONS menu and press the number 1 key to configure the exam Press the number 1 key to select the ABI with PVR Waveform option Step 5 Press the ENTER MENU key again to open the OPTIONS menu and press the number 2 key for the SYSTEM SETTINGS menu Press the number 5 key to turn the Dual Ankle Pressure setting to OFF Press the number 6 key to use the Doppler probe to obtain pressures and press the ENTER MENU key to exit Step 6 Press the ENTER MENU key again to open the OPTIONS menu and press the number 7 key for the hydrostatic correction Enter the vertical distance between cuffs in centimeters and press the SAVE key when finished SEATED ABI EXAM INSTRUCTIONS Step 1 Start at the right brachial artery site and connect the hose to the cuff Apply gel to the site and use the Doppler probe to listen to the blood flow Step 2 While holding the probe steady on the artery site press and hold the PUMP key to about 20 mmHg above the occlusion pressure Release PUMP and the cuff will automatically begin to deflate Step 3 Press the SAVE ke2. key when the pulsations return and press the UP or DOWN key to move the caliper tool to the beginning of the first upward slope This is the systolic pressure Press the SAVE key to record it and the protocol marker will move to the next location Step 4 Now obtain the ankle waveform using PVR Move the hose to the right ankle and connect it to the cuff Step 5 Press and hold the PUMP key to inflate the cuff to 75 mmHg Release the PUMP key when the inflation automatically stops Pressure will deflate to 65 mmHg for optimum PVR Wait for the Cuff Deflating message on screen to disappear Step 6 Once the desired waveform is obtained press the FREEZE key to hold the waveform The pressure will automatically deflate pressure from the cuff If the waveform is acceptable press the SAVE key again Or use the UP or DOWN key to scroll to the optimum waveform view and press SAVE to record it Press the SAVE key again and the marker will then move to the Right Toe Step 7 Move the hose to the digit cuff at the right toe Apply the PPG probe to the underside of the great toe opposite the toe nail and above the digit cuff Wait several seconds for the waveform to stabilize and press the SCALE key to properly size the waveform on the screen Step 8 Once a valid waveform is viewable on the screen press and hold the PUMP key until the PPG pulsations disappear Release the PUMP key and the cuff will automatically start to deflate Step 9 Pre
3. on the PC MKT0124E
4. IONS menu and press the number 1 key to configure the exam Press the number 5 to select the Segmental with PVR Waveform option Step 3 Press the numbers 1 through 5 to toggle through the various arterial sites to select desired sites to measure Press the number 6 key to choose between performing the exam In Line down the leg Press ENTER MENU when finished Step 4 Wrap a cuff at each site to prepare for the exam Commonly a 10 cm cuff is used at the ankle a 12 cm cuff is used at the calf and a 17 cm contoured thigh cuff is used at the thigh SEGMENTAL EXAMINATION INSTRUCTIONS Step 1 Start at the right brachial artery and connect the hose to the cuff Apply gel to over the site and use the Doppler probe to listen to the blood flow Step 2 While holding the probe steady press and hold the PUMP key to about 20 mmHg above the occlusion pressure Release the PUMP key and the cuff will automatically begin to deflate Step 3 When the first pulsation returns press the SAVE key If you were late pressing SAVE use the UP or DOWN keys to adjust the pressure reading Press the SAVE key to record the systolic pressure and the marker will move to the first leg site Step 4 Move the hose to the next site to be measured and connect it to the cuff Step 5 Press and hold the PUMP key to inflate the cuff to 75 mmHg Release the PUMP key when the inflation automatically stops Pressure will deflate to 65 mmHg for optimum PVR Wait for
5. S Step 1 Turn on the Vista AVS system by pressing the power button Step 2 Press the ENTER MENU key to open the OPTIONS menu Press the number 2 key for SYSTEM SETTINGS Set Dual Ankle Pressure to either HIGH or LOW by pressing the number 5 key until the desired setting appears Press the number 6 key to select DOPPLER for obtaining the pressures then press ENTER MENU again to exit SYSTEM SETTINGS Step 3 Press the ENTER MENU key again to open the OPTIONS menu Press the number 1 key for CONFIGURE EXAMINATION Press the number 2 key to select the ABI with Doppler Waveform option Step 4 Wrap a cuff at each arm and ankle to prepare for the exam Typically use a 12 cm cuff for the arms and a 10 cm cuff for the ankles ABI EXAMINATION INSTRUCTIONS Step 1 Start at the right brachial artery site and connect the hose to the cuff Step 2 Apply gel to the right brachial artery site and use the Doppler probe to listen to the blood flow Step 3 While holding the probe steady on the artery press and hold the PUMP key until the blood flow is no longer audible Release the PUMP key and the cuff will automatically start to deflate Step 4 When the arterial blood flow is audible again press the SAVE key If the pressure is correct press the SAVE key again If the pressure needs adjusting use the UP or DOWN key to enter the desired number from the keypad and then press SAVE again The marker will move to the Right WAV
6. Step 5 Move the hose to the right ankle and connect it to the cuff Step 6 Apply gel to the posterior tibial PT artery and use the Doppler probe to listen to the blood flow NOTE The PT or dorsalis pedis DP artery can be used to obtain an ankle waveform Step 7 Once the desired waveform is obtained press the FREEZE key to hold the waveform If the waveform is correct press the SAVE key again Or use the UP or DOWN key to scroll to the optimum waveform view then press SAVE to record it Press SAVE again and the marker will then move to to the Right PT Step 8 While holding the probe steady on the PT artery press and hold the PUMP key until the blood flow is no longer audible Release the PUMP key and the cuff will automatically start to deflate Step 9 When the arterial blood flow is audible again press the SAVE key If the pressure is correct press the SAVE key again If the pressure needs adjusting use the UP or DOWN keys or enter the desired number from the keypad and then press SAVE again The marker will move to the Right DP Step 10 Apply gel to the dorsalis pedis DP artery and use the Doppler probe to listen to the blood flow Step 11 While holding the probe steady on the DP artery press and hold the PUMP key until the blood flow is no longer audible Release the PUMP key and the cuff will automatically start to deflate Step 12 When the arterial blood flow is audible again press the SAVE key If the pres
7. VE key again to record the systolic pressure and the marker will move to the next protocol location Step 9 Continue these steps to measure the remaining sites to complete the exam The Vista AVS makes the hydrostatic correction based on the vertical distance entered prior to obtaining pressures The corrected values are displayed REPORT FORM RESULTS Step 1 Review the pressure corrected ABI values and waveforms Step 2 Press the PRINT key to print the results Step 3 Peel the adhesive backing off the paper and apply to the report form Step 4 Complete the report form by including the patient information Step 5 To save the exam to one of the 10 storage locations open the OPTIONS menu select FILE MANAGEMENT and save the current exam as described in Section 11 of the manual TM elt acti S tC File Management Save Recall Delete and Download Data PLEASE READ THE USER S MANUAL PRIOR TO OPERATING THE VISTA AVS SAVING INSTRUCTIONS Step 1 Perform an exam in any of the automated modes as described in the previous Quick Guides Exams can be stored in either numeric or alpha characters To change the filename configuration press the ENTER MENU key to open the OPTIONS menu and press the number 4 key to select NAME or NUMBER Press ENTER MENU to exit SYSTEM SETTINGS Step 2 Press the ENTER MENU key again to open the OPTIONS screen Press the number 3 key for File Management Press the number 1 key to select Sav
8. current exam as described in Section 11 of the manual TM Roa S tC TBI with PPG Pressures and PVR Waveforms Single Pressure Per Ankle PLEASE READ THE USER S MANUAL PRIOR TO OPERATING THE VISTA AVS SET UP INSTRUCTIONS Step 1 Turn on the Vista AVS system by pressing the power button Step 2 Press the ENTER MENU key to open the OPTIONS menu Press the number 2 key for SYSTEM SETTINGS Press the number 6 key to select PPG for obtaining pressures Press the ENTER MENU key again to exit SYSTEM SETTINGS Step 3 Press the ENTER MENU key to open the OPTIONS menu again Press the number 1 key for CONFIGURE EXAMINATION Press the number 3 key to select the TBI with PVR Waveform option Step 4 Wrap a cuff at each arm and ankle to prepare for the exam Typically use a 12 cm cuff for the arms and a 10 cm cuff for the ankles TBI EXAMINATION INSTRUCTIONS Step 1 Start at the right brachial artery site and connect the hose to the cuff Place the PPG probe on the index finger with the blue side of the probe against the skin The patient must remain still to acquire a PPG signal Step 2 Wait several seconds for the waveform to stabilize and press the SCALE key to properly size the waveform on the screen Once stable press the PUMP key to inflate the cuff to approximately 20 mmHg above the pressure where the PPG pulsations disappear The cuff will begin to deflate automatically once the pump stops Step 3 Press the FREEZE
9. e Current Exam to File There are 10 storage locations that retain data if power is lost Step 3 Press the number of a file location that is open When the area is highlighted enter the patient name or ID in the location using the numeric keypad Use the DOWN key to backspace and the UP key to toggle between letters on the same key Press the SAVE key to complete the storage process RECALLING A SAVED EXAM INSTRUCTIONS Step 1 Press the ENTER MENU key to open the OPTIONS menu Press the number 3 key for File Management Press the number 3 key to Recall Exam Step 2 Press the number of a file location to recall Note Recalling a file will overwrite the current examination Save current data prior to recall if desired RESTORING DATA INSTRUCTIONS Step 1 Press the ENTER MENU key to open the OPTIONS menu Step 2 Press the number 3 key for File Management and press the number 3 key again for Recall Exam from File Step 3 Press the UP key to highlight Restore Data and press ENTER MENU to open the exam DELETING A SAVED EXAM INSTRUCTIONS Step 1 Press the ENTER MENU key to open the OPTIONS menu Press the number 3 key for File Management Press the number 2 key for Delete Exam from File Step 2 Press the number of a file location to delete Press that number key again to confirm file selection Step 3 Alternatively select DELETE ALL to clear the entire stored memory Press ENTER MENU to confirm or any other k
10. ey to cancel NEW EXAM INSTRUCTIONS Step 1 Press the ENTER MENU key for the OPTIONS menu Press the number 6 key to clear all data and start a new exam You may enter a filename at this time using the keypad see Saving Instructions above Alternatively press the number 5 key to start a new exam on a current patient in which the brachial pressures can be used again DOWNLOADING AN EXAM AVS REPORT INSTRUCTIONS NOTE File to be downloaded was previously saved Step 1 Perform an exam in any of the automated modes as described in the previous Quick Guides or recall a previously saved exam Step 2 Set up the AVS Report software by double clicking on the application icon on the installed PC Consult the user manual if the AVS Report software has not already been installed on the PC Step 3 Connect the USB cable from the PC to the Vista AVS Step 4 Press the ENTER MENU key to open the OPTIONS menu Press the number 3 key for File Management Press the number 4 key for Download Exam from File Step 5 Press the number of a file location to recall and download Note Recalling a file will overwrite the current examination Save current data prior to recalling if desired To download all files at once use the UP or DOWN key to move the marker to DOWNLOAD ALL and press ENTER MENU Step 6 Data will be transferred to the AVS Report software Consult the Vista AVS User s Manual to save recall or export and AVS Report file
11. g the probe If needed use the SCALE key to optimize the waveform Step 2 Once the waveform is stable press the PUMP key to inflate the cuff until the PPG pulsations disappear Release the PUMP key and the cuff will begin to deflate Step 3 When the pulsations return press the FREEZE key Use the caliper by pressing the UP or DOWN key to move the caliper to the beginning of the first upward slope at the start of the pulsation This is the systolic pressure Press the SAVE key to save the systolic pressure and the marker will move to the first leg site Step 4 Move the PPG probe from the finger to the great toe Move the hose to the cuff at the next site to be measured Step 5 Press and hold the PUMP key to inflate the cuff to 75 mmHg Release the PUMP key when the inflation automatically stops Pressure will deflate to 65 mmHg for optimum PVR Wait for the Cuff Deflating message on screen to disappear If needed use the SCALE key to optimize the waveform Step 6 Once the desired waveform is obtained you have two options press the FREEZE key and use the UP or DOWN key to scroll to the optimum view or if the waveform view is acceptable press the SAVE key to record it Press SAVE again and the marker will move to obtain the pressure Step 6 Next obtain the pressure at the next site using the PPG probe Once a stable waveform is obtained press the PUMP key to inflate the cuff to about 20 mmHg above the occlusion pressure and
12. he inflation automatically stops Pressure will deflate to 65 mmHg for optimum PVR Wait for the Cuff Deflating message on screen to disappear Step 6 After the waveform stabilizes press the FREEZE key to hold the waveform The pressure will automatically deflate pressure from the cuff If the waveform is acceptable press the SAVE key Or use the UP or DOWN key to move the waveform to the optimum view and press the SAVE key Press SAVE again and the marker will move to the Right ANK Step 7 Obtain the pressure using PPG probe as described in steps 2 and 3 above Press and hold the PUMP key to inflate the cuff until the PPG pulsations disappear on the display Release the PUMP key and the cuff will begin to deflate Step 8 When the first pulsation returns press the FREEZE key Use the caliper tool to adjust the pressure reading Press the SAVE key to save the systolic pressure and the marker will move to obtain a waveform from the next site location Step 9 Continue these steps to measure the remaining sites to complete the exam REPORT FORM RESULTS Step 1 Review the pressure ABI values and waveforms Step 2 Press the PRINT key to print the results Step 3 Peel the adhesive backing off the paper and apply to the report form Step 4 Complete the report form by including the patient information Step 5 To save the exam to one of the 10 storage locations open the OPTIONS menu select FILE MANAGEMENT and save the
13. o M RN AAE S tO ABI with Doppler Pressures and PVR Waveforms Dual Pressures Per Ankle PLEASE READ THE USER S MANUAL PRIOR TO OPERATING THE VISTA AVS SET UP INSTRUCTIONS Step 1 Turn on the Vista AVS system by pressing the power button Step 2 Press the ENTER MENU key to open the OPTIONS menu Press the number 2 key for SYSTEM SETTINGS Set Dual Ankle Pressure to either HIGH or LOW by pressing the number 5 key until the desired setting appears Press the number 6 key to select DOPPLER for obtaining pressures Press the ENTER MENU key to exit SYSTEM SETTINGS Step 3 Press the ENTER MENU key to open the OPTIONS menu Press the number 1 key for CONFIGURE EXAMINATION Press the number 1 key again for the ABI with PVR Waveform option Step 4 Wrap a cuff at each arm and ankle to prepare for the exam Typically use a 12 cm cuff for the arms and a 10 cm cuff for the ankles ABI EXAMINATION INSTRUCTIONS Step 1 Start at the right brachial artery site and connect the hose to the cuff Step 2 Apply gel to the right brachial artery site and use the Doppler probe to listen to the blood flow Step 3 While holding the probe steady on the artery press and hold the PUMP key until the blood flow is no longer audible Release the PUMP key and the cuff will automatically start to deflate Step 4 When the arterial blood flow is audible again press the SAVE key If the pressure is correct press the SAVE key again If the pre
14. release the PUMP key The cuff will begin to deflate automatically once the pump stops Step 7 After the pulsations reappear press the FREEZE key and use the UP or DOWN key to move the caliper tool to the first upward slope Press the SAVE key to record the systolic pressure and the marker will move to the next arterial site Step 8 Continue these steps for the remaining sites to complete the segmental exam REPORT FORM RESULTS Step 1 After completing the segmental exam review the pressures index values and waveforms Step 2 Press the PRINT key to print the results and carefully tear the label from the printer Step 3 Peel the adhesive backing off the paper and apply to the report form Step 4 Complete the report form by including the patient information Step 5 To save the exam to one of the 10 storage locations open the OPTIONS menu select FILE MANAGEMENT and save the current exam as described in Section 11 of the manual TM e e 5 Quick Guide S Q Seated ABI with Doppler Pressures and PVR Waveform Single Pressure Per Ankle PLEASE READ THE USER S MANUAL PRIOR TO OPERATING THE VISTA AVS SET UP INSTRUCTIONS Step 1 Turn on the Vista AVS system by pressing the power button Step 2 The patient must sit erect in a chair so that their knees are at a 90 degree angle and feet rest flat on the floor or on an elevated platform feet should not be dangling Wrap the cuffs around the arms and ankles Typically
15. s DP artery and use the Doppler probe to listen to the blood flow Step 12 While holding the probe steady on the DP artery press and hold the PUMP key until the blood flow is no longer audible Release the PUMP key and the cuff will automatically begin to deflate Step 13 When the arterial blood flow is audible again press the SAVE key If the pressure is correct press the SAVE key again If the pressure needs adjusting use the UP or DOWN key or enter the desired number from the keypad and then press SAVE again The marker will then move to Left WAV Step 14 Switch the hose to the cuff at the left ankle and repeat steps 6 through 13 to obtain the left ankle waveform and the left PT and DP pressures Step 15 Switch the hose to the cuff at the left brachial and repeat steps 2 through 4 to complete the exam REPORT FORM RESULTS Step 1 Review the pressure ABI values and waveforms and press the PRINT key to print the results Step 2 Peel the adhesive backing off the paper and apply to the report form Step 3 Complete the report form by including the patient information Step 4 To save the exam to one of the 10 storage locations open the OPTIONS menu select FILE MANAGEMENT and save the current exam as described in Section 11 of the manual TM Roti det els S j Q ABI with Doppler Pressures and Waveforms Dual Pressures Per Ankle PLEASE READ THE USER S MANUAL PRIOR TO OPERATING THE VISTA AVS SET UP INSTRUCTION
16. ss the FREEZE key when the pulsations return and press the UP or DOWN key to move the caliper tool to the beginning of the first upward slope This is the systolic pressure Press the SAVE key to record it and the protocol marker will move to the next location Step 10 Switch the hose to the left ankle cuff and repeat steps 5 through 9 The marker will then move to Left BRA Step 11 Switch the hose to the left brachial cuff and repeat steps 1 through 3 The marker will move to Right BRA at the completion of the exam REPORT FORM RESULTS Step 1 Review the pressure TBI values and waveforms Step 2 Press the PRINT key to print the results Step 3 Peel the adhesive backing off the paper and apply to the report form Step 4 Complete the report form by including the patient information Step 5 To save an exam to one of the 10 storage locations open the OPTIONS menu select FILE MANAGEMENT and save the current exams described in Section 11 of the manual TM Rom EAT S tC Segmental Study with Doppler Pressures and PVR Waveforms 3 Cuff Method PLEASE READ THE USER S MANUAL PRIOR TO OPERATING THE VISTA AVS SET UP INSTRUCTIONS Step 1 Press the ENTER MENU key to open the OPTIONS menu again and press the number 2 key to open the SYSTEM SETTINGS menu Press the number 6 key to select DOPPLER for obtaining pressures Press the ENTER MENU key to exit SYSTEM SETTINGS Step 2 Press the ENTER MENU key to open the OPT
17. ssure needs adjusting use the UP or DOWN key to enter the desired number from the keypad and then press SAVE again The marker will then move to the Right WAV Step 5 Move the hose to the right ankle and connect it to the cuff Step 6 Press and hold the PUMP key to inflate the cuff to 75 mmHg Release the key when the inflation automatically stops Pressure will deflate to 65 mmHg for optimum PVR Wait for the Cuff Deflating message on screen to disappear Step 7 After the waveform stabilizes press the FREEZE key to hold the waveform The pressure will automatically deflate pressure from the cuff If the waveform is acceptable press the SAVE key Or use the UP or DOWN key to move the waveform to the optimum view and press the SAVE key Press SAVE again and the marker will move to the Right PT Step 8 Apply gel to the posterior tibial PT artery and use the Doppler probe to listen to the blood flow Step 9 While holding the probe steady on the PT artery press and hold the PUMP key until the blood flow is no longer audible Release the PUMP key and the cuff will automatically begin to deflate Step 10 When the arterial blood flow is audible again press the SAVE key If the pressure is correct press the SAVE key again If the pressure needs adjusting use the UP or DOWN key or enter the desired number from the keypad and then press SAVE again The marker will then move to Right DP Step 11 Apply gel to the dorsalis pedi
18. sure is correct press the SAVE key again If the pressure needs adjusting use the UP or DOWN keys or enter the desired number from the keypad and then press SAVE again The marker will move to the Left WAV Step 13 Switch the hose to the left ankle cuff and repeat steps 6 through 12 to obtain the left ankle waveform and the left PT and DP pressures Step 14 Switch the hose to the cuff at the left brachial site and repeat steps 2 through 4 to complete the exam REPORT FORM RESULTS Step 1 Review the pressure ABI values and waveforms and press the PRINT key to print the results Step 2 Peel the adhesive backing off the paper and apply to the report form Step 3 Complete the report form by including the patient information Step 4 To save an exam to one of the 10 storage locations open the OPTIONS menu select FILE MANAGEMENT and save the current exams described in Section 11 of the manual TM 2 Quick Guide S Q ABI with PPG Pressures and PVR Waveform Single Pressures Per Ankle PLEASE READ THE USER S MANUAL PRIOR TO OPERATING THE VISTA AVS SET UP INSTRUCTIONS Step 1 Turn on the Vista AVS system by pressing the power button Step 2 Press the ENTER MENU key to open the OPTIONS menu Press the number 2 key for SYSTEM SETTINGS Ensure Dual Ankle Pressure is OFF by pressing the number 5 key until the setting is OFF Press the number 6 key to select PPG for obtaining pressures and then press the ENTER MENU ke
19. the Cuff Deflating message on screen to disappear If needed use the SCALE key to optimize the waveform Step 6 Once the desired waveform is obtained you have two options press the FREEZE key and use the UP or DOWN key to scroll to the optimum view If the waveform view is acceptable press the SAVE key to record it Press SAVE again and the marker will move to obtain the site pressure Step 7 Next obtain the pressure using the Doppler probe Apply gel to the arterial ankle site and hold the probe steady on the site until you have a good signal Press and hold the PUMP key to about 20 mmHg above the occlusion pressure Release PUMP and the cuff will begin to deflate Step 8 When the first pulsation returns press the SAVE key If you were late pressing SAVE use the UP or DOWN keys to adjust the pressure reading Press the SAVE key to record the systolic pressure and the marker will move to the next site Step 9 Continue these steps as described above to measure the remaining sites to complete the segmental exam REPORT FORM RESULTS Step 1 After completing the segmental exam review the pressures index values and waveforms Step 2 Press the PRINT key to print the results and carefully tear the label from the printer Step 3 Peel the adhesive backing off the paper and apply to the report form Step 4 Complete the report form by including the patient information Step 5 To save the exam to one of the 10 storage loca
20. tions open the OPTIONS menu select FILE MANAGEMENT and save the current exam as described in Section 11 of the manual TM RoKi aA S j Segmental Study with PPG Pressures and PVR Waveforms 3 Cuff Method PLEASE READ THE USER S MANUAL PRIOR TO OPERATING THE VISTA AVS SET UP INSTRUCTIONS Step 1 Press the ENTER MENU key to open the OPTIONS menu again and press the number 2 key to open the SYSTEM SETTINGS menu Press the number 6 key to select PPG Please the ENTER MENU key to exit SYSTEM SETTINGS Step 2 Press the ENTER MENU key to open the OPTIONS menu and press the number 1 key to configure the exam Press the number 5 to select the Segmental with PVR Waveform option Step 3 Press the numbers 1 through 5 to toggle through the various arterial sites to select desired sites to measure Press the number 6 key to choose between performing the exam In Line down the leg Press ENTER MENU when finished Step 4 Wrap a cuff at each site to prepare for the exam Commonly a 10 cm cuff is used at the ankle a 12 cm cuff is used at the calf and a 17 cm contoured thigh cuff is used at the thigh Step 5 Place the PPG probe on the right index finger with the blue side of the probe against the skin The patient must remain still to acquire a PPG signal SEGMENTAL EXAMINATION INSTRUCTIONS Step 1 Start at the right brachial artery and connect the hose to the cuff Wait a few seconds for the waveform to stabilize after applyin
21. y to exit SYSTEM SETTINGS Step 3 Press the ENTER MENU key again to open the OPTIONS menu Press the number 1 key for CONFIGURE EXAMINATION Press the number 1 key again to select the ABI with PVR Waveform option Step 4 Wrap a cuff at each arm and ankle to prepare for the exam Typically use a 12 cm cuff for the arms and a 10 cm cuff for the ankles see pages 18 of the manual Place the PPG probe on the right index finger with the blue side of the probe against the skin ABI EXAMINATION INSTRUCTIONS Step 1 Start at the right brachial artery site and connect the hose to the cuff Step 2 Wait several seconds for the waveform to stabilize and press the SCALE key to properly size the waveform on the screen Once the waveform is stable press the PUMP key to inflate the cuff until the PPG pulsations disappear on the display Release the PUMP key and the cuff will begin to deflate Step 3 When the first pulsation returns press the FREEZE key Use the caliper by pressing the UP or DOWN key to adjust the pressure reading Move the caliper to the beginning of the first upward slope at the start of the pulsation Press the SAVE key to save the systolic pressure and the marker will move to obtain a PVR waveform at the ankle Step 4 Move the PPG probe from the finger to the great toe Move the hose to the ankle site and connect it to the cuff Step 5 Press and hold the PUMP key to inflate the cuff to 75 mmHg Release the key when t
22. y when you hear the pulsation return If you were late pressing SAVE adjust the pressure reading by using the UP or DOWN key Press the SAVE key again to record the systolic pressure and the marker will move to the next protocol location Step 4 Now obtain the ankle waveform using PVR Move the hose to the ankle site and connect it to the cuff Step 5 Press the PUMP key to inflate the cuff to 75 mmHg and release with the inflation automatically stops Pressure will deflate to 65 mmHg for optimum PVR Wait for the cuff deflating message on the display to disappear If needed use the SCALE key to optimize the waveform Step 6 After the waveform stabilizes press the FREEZE key If the waveform is acceptable press SAVE to record it Or use the UP or DOWN key to scroll to the optimum waveform then press the SAVE key to record it Press SAVE again to move the marker to the next protocol location Step 7 Next obtain the ankle pressure by applying gel to either the posterior tibial PT artery or the dorsalis pedis DP artery and using the Doppler probe to listen to the blood flow Step 8 While holding the probe steady on the artery site press and hold the PUMP key to about 20 mmHg above the occlusion pressure Release PUMP and the cuff will automatically begin to deflate Step 9 Press the SAVE key when you hear the pulsation return If you were late pressing SAVE adjust the pressure reading by using the UP or DOWN key Press the SA
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