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911 Series Operators Manual - Pacetech

1. e MINIPACK 911 SERIES OPERATORS MANUAL Page 60 APPENDIX III MAINTENANCE A Monitor When necessary clean the exterior surfaces of the monitor with a cloth or swab dampened with a warm and mild detergent solution Do not allow liquids to enter the interior of the instrument WARNING Electrical shock and flammability hazard always turn the monitor off and disconnect it from AC main power before cleaning CAUTION Do not autoclave or pressure sterilize this monitor Do not stack or immerse this monitor in any liquid Do not gas sterilize this monitor Do not touch or rub the display panel with abrasive cleaning compounds instruments brushes rough surfaced materials or make contact with anything that can scratch the panel B Probes Pulse Oximetry Temperature The probes are the only surfaces of this monitor that come in contact with the patient Clean the probes after each patient use Clean the monitor s probes with a commercial cleaning solution before attaching a new patient Probes should be cleaned until signs of wear or splitting occur At this time a new probe is required If disinfection is required wipe the surfaces with Isopropyl alcohol or cidex and use a water rinse When sterilization is required use ethylene oxide and be sure to follow hospital procedures Inspect the probe for wear or splitting after every disinfection sterilization process is completed If wearing or splitting o
2. C Skin and Rectal Esophageal Temperature Monitoring 1 REUSABLE a Select the appropriate Medtronics Electromedics reusable temperature probe s and connect to the temperature receptacle on the side panel of the monitor b Insert the rectal esophageal disposable probe s into the rectum or esophagus or attach the disposable skin surface probe to the desired site for monitoring c Apply the temperature sensor to the patient according to the standards of practice and care and according to the temperature sensor manufacturer s instructions Reusable Skin Surface Temperature Probe 4603 CL HEHE gt Reusable Esophageal Rectal Probe 4017 Reusable probes must be cleaned with a commercial cleaning solution before attaching to a new patient If disinfection is required wipe the surfaces with Isopropyl alcohol or Cidex and use a water rinse When sterilization is required use ethylene oxide and be sure to follow hospital procedures Inspect the probe for wear or splitting after every disinfection sterilization process is complete If wearing or splitting of the probe is found upon visual inspection a new probe should be used 2 Disposable a Connect the probe adapter cable plug to the temperature receptacle on the side panel of the monitor b Select the appropriate Medtronics Electromedics compatible disposable temperature probe and connect it to the probe adapter cable
3. MINIPACK 911 SERIES OPERATORS MANUAL Page 39 c Insert the rectal esophageal disposable probe into the rectum or esophagus of the patient or attach the disposable skin surface probe to the desired site for monitoring d Apply the temperature sensor to the patient according to the standards of practice and care and according to the temperature sensor manufacturer s instructions TAH Probe Adapter Cable 4005 eo T Disposable Esophageal Rectal Probe 4003 E no A CN gt cTROMEDICS 00 as bei Disposable Skin Surface Probe 4004 Disposable probes are for single use only Do NOT attempt to reuse the products The first temperature reading will be displayed in approximately 15 to 20 seconds for rectal esophageal 35 seconds for skin One minute later the reading will be updated and then continuously updated every second NOTE Since the initial temperature reading is predictive in the Manual mode of operation it will take longer to reach the actual temperature in patients with compromised circulation If the temperature probe is disconnected from the patient the reading 68 F 20 C will be displayed and the alarm will be active until HOLD is depressed twice in succession If the temperature mode is not utilizes or if the probe is allowed to cool down below body temperature the monitor will display a temperature of 94 0 F 34 4 C which corresponds to the lowest tempera
4. inCO2 RESP LO BAT AC ON MEMORY TEMP 2 digit numeric display Model STC only shows the percentage of Carbon Dioxide in exhaled breath EtCO2 displays EtCO alarm limits indicates a violation of an EtCO9 alarm limit by flashing 2 digit numeric display Model STC only shows the percentage of Carbon Dioxide in inspired breath inCO7 displays inCO9 alarm limits indicates a violation of an inCO9 alarm limit by flashing 2 digit numeric display Model STC only displays Respiration rate per minute displays Respiration alarm limits indicates a violation of a Respiration alarm limit by flashing LED which lights up when the battery is discharged and indicates the need of charging with AC current LED which lights up when the monitor is connected to AC current LED which lights up when Memory Recall is initiated 4 digit numeric display shows Temperature in either Fahrenheit or Celsius readings displays Temperature alarm limits indicates a violation of a Temperature alarm limit by flashing OCCL occlusion LED which lights up when the CO sample line is kinked or BREATH APNEA HI CAL LO CAL BT BT obstructed Model STC only LED which lights up with each exhalation Model STC only LED which lights up after a 20 second period of undetected breathing Model STC only LED which indicates the monitor is being calibrated with a known mixture of gas Model STC only LED which indi
5. MINIPACK 911 SERIES OPERATORS MANUAL Page 50 CV The printer operates from the battery of the monitor Remember to turn the printer OFF when the monitor is turned OFF so the printer does not deplete the battery of the monitor IN The printer will not print out any vital signs the monitor does not detect i e temperature respiration SpO if that probe is not used C RS 232 Output A RS 232 serial output connector on the rear panel is an option available which provides serial data to most RS 232 devices capable of receiving 9600 Baud For the RS 232 protocol please contact Pace Tech IN Connection of non isolated devices to the RS 232 connector may cause chassis leakage to exceed the specification standards MINIPACK 911 SERIES OPERATORS MANUAL Page 51 APPENDIX I PRODUCT SPECIFICATIONS A Mechanical Description MINIPACK 911 911 S 911 ST 911 T Size 3 25 high x 6 25 wide x 10 25 deep 8 26 cm high x 15 88 cm wide x 26 04 cm deep Weight 7 Ibs 5 4 oz 3 33 kg Color Beige and Aqua MINIPACK 911 STC Size 3 5 high x 7 44 wide x 10 75 deep 8 89 cm high x 18 90 cm wide x 27 30 cm deep Weight 8 Ibs 12 oz 4 0 kg Color Beige and Aqua B Power Requirements Operation AC DC Internal Battery 6V 7 0 AH Sealed Lead Acid Battery operating time 6 8 hours full charge Battery charge time 12 hours minimum AC Adapter Battery Charger AC mains input Domestic AC Adapter with 3 prong Hospital grade plug 100 250 V 50 60 Hz
6. Systolic Upper 0 255 mmHg 0 34 0 kPa Lower 0 254 mmHg 0 33 9 kPa Diastolic Upper 0 255 mmHg 0 34 0 kPa Lower 0 254 mmHg 0 33 9 kPa Page 53 Pulse rate determinations Pulse rate averaging Pulse rate accuracy Pulse rate alarm limits Cuffs Mean Upper 0 255 mmHg 0 34 0 kPa Lower 0 254 mmHg 0 33 9 kPa 30 254 bpm 4 beat average 3 bpm 40 120 bpm 10 bpm 121 200 bpm Upper 0 250 bpm Lower 0 254 bpm Reusable and disposable cuffs Neonate infant pediatric standard adult large adult thigh with 6 foot air hose 2 PULSE OXIMETRY SpO2 Saturation range Saturation averaging Saturation accuracy Saturation alarm limits Pulse rate range Pulse rate averaging Pulse rate accuracy Pulse alarm limits Pulse tone Pulse rate display Sensor types 3 TEMPERATURE 0 100 adult pediatric neonate 8 beat average 2 70 100 39 50 69 0 49 unspecified Upper 0 100 Lower 0 99 30 254 8 second average 2 30 100 bpm Upper 0 250 bpm Lower 0 249 bpm Pitch adjusts to Spo value Volume adjustable Digital pulse amplitude Finger Universal Y ear lobe clip disposable and reusable wrap probes MINIPACK 911 SERIES OPERATORS MANUAL Page 54 Temp scale Temp range Temp accuracy Temp alarm limits Temp probes F or C 82 4 109 8 F 28 0 43 2 C 0 2 F 0 1 C 83 0 110 0 F 28 3 43 3 C 83 0 109 9 F 28 3 43 2 C Upper Lower Skin
7. 8 12VAC 2 4 3 0 A Output UL Listed International AC Adapter with unterminated plug 220 240V 50 60 Hz 8 12V AC 2 4 3 0 A Output Vehicle battery input 10 16 VDC via optional charging cable Fuses Two 3 0 A 250 V Fast Blow MINIPACK 911 SERIES OPERATORS MANUAL Page 52 C Performance Specifications 1 NON INVASIVE BLOOD PRESSURE NIBP Method Parameters measured Scale Operating modes Repeat cycles Rapid cycle update Measurement range Measurement time Cuff inflation rate Cuff inflation pressure Cuff pressure range Initial cuff inflation Auto deflate pressure NIBP display accuracy NIBP alarm limits MINIPACK 911 SERIES OPERATORS MANUAL Automatic oscillometric Systolic diastolic mean arterial pressure pulse mmHg or kPa Manual Automatic Stat Hands Off 10 50 seconds 1 99 minutes 1 4 minutes STAT mode Systolic Adult pediatric 30 250mmHg 4 0 33 3 kPa Neonate 20 160mmHg 2 7 21 3 kPa Diastolic Adult pediatric 10 180mmHg 1 3 24 0 kPa Neonate 10 140mmHg 1 3 18 7kPa Typical 50 seconds Maximum 120 seconds Typical Stat 30 seconds Not greater than 40 50 mmHg sec 5 33 6 66 kPa sec 30 mmHg above last systolic 4 0 kPa Adult pediatric 0 250 mmHg 0 33 3 kPa Neonate 0 140 mmHg 0 18 7 kPa Adult pediatric 170 10 mmHg 22 7 1 3 kPa Neonate 120 10 mmHg 16 0 1 3 kPa Adult pediatric 280mmHg 5mmHg 36 7 38 0 kPa Neonate 235 mmHg 5mmHg 30 7 32 0 kPa 3 mmHg 0 4 kPa
8. MINIPACK 911 SERIES OPERATORS MANUAL Page 12 1 SOUND This control knob adjusts the volume of the pulse sounds turning the knob clockwise will increase the volume turning the knob counter clockwise will decrease the volume This knob does not adjust the audio alarm 2 FUSE HOLDERS The monitor is equipped with two fuses designated Fl and F2 which each protect a different power input F1 This fuse protects the internal battery If it is blown then the monitor can continue to operate on the AC power supply Battery operation is not possible until the fuse is replaced F2 This fuse protects the AC power supply line If it is blown then the monitor can continue to operate under battery power However the monitor cannot be recharged until this fuse is replaced 3 PRINTER This receptacle provides parallel signal lines to the optional add on 27 column thermal printer 4 RS 232 This digital interface connector provides serial data to most RS232 devices capable of receiving 9600 Baud Optional For the RS 232 protocol please contact Pace Tech 5 AC ADAPTER This receptacle accepts the AC adapter used for continuous AC operation or to charge the battery 6 BATTERY DISPOSAL SYMBOL Contains lead acid battery please dispose of properly in recycle container Do not in cinerateor throw in the trash e 7 POWER This toggle switch turns the power from on to off O The monitor will continue to charge the battery as long as
9. SECTION 1 INTRODUCTION A About This Manual This operators manual has been prepared to provide information on the correct use of the MINIPACK 911 SERIES compact digital vital sign monitor It contains performance specifications and information for routine installation operation and maintenance It is intended for health care professionals trained in monitoring cardiovascular and respiratory activity It is up to the user to ensure that any applicable regulations respecting the installation and operation of the monitor be observed The operator should read this manual carefully and thoroughly before attempting to use the monitor If the monitor is being used for the first time follow each section in the manual sequentially Each section builds on descriptions from the previous Since this manual describes a full featured monitor disregard any descriptions that refer to features not installed in your monitor If the monitor is set up and you are already familiar with its operations then proceed to the section that describes those functions you will use B e Warranty Pace Tech Inc warrants each monitor to be free of defects in materials and workmanship for a period of one 1 year from the date of purchase The warranty on all cuffs probes printers and accessories is three 3 months If you discover a defect Pace Tech will at its option replace or repair the product at no charge provided the monitor is returned to Pace Tech d
10. Micorfoam Surgical Tape 1 x 5 5 yds 2 Rolls 4535 Ear Lobe Clip use w Universal Y Probe One 4565 Adult Wrap Probe Disposable Pack of 10 4588 Pediatric Wrap probe Disposable Pack of 10 4589 MINIPACK 911 SERIES OPERATORS MANUAL Page 27 1 CONNECTING A PROBE a Properly align the connector on the patient cable with the Spo receptacle located on side panel of the monitor b Push in firmly until the connector fully seats 2 DISCONNECTING A PROBE Holding the patient cable collar gentle pull on the cable Select the appropriate oximeter probe and application technique from the following pictures and descriptions Earlobe Clip 4565 and Universal Y Probe Earlobe Clip Application for Adults 4520 Reusable Attach the optional Earlobe clip to the Rub the patients earlobe with an alcohol prep Universal Y probe by sliding the Y probe s for 1 2 minutes Then attach the probe and light source side labeled top into the earlobe clip to a fleshy portion of the patient s earlobe clip s open side labeled rop and the earlobe with the light source to the outside Y probe s detector side into the earlobe clip s opaque side MINIPACK 911 SERIES OPERATORS MANUAL Page 28 To Monitor Finger Probe Application for Adults 4510 Reusable Attach the finger probe to the patient as shown Be sure to fully insert the patient s finger into the probe Run the cable along the ba
11. NEXT CYCLE d Two seconds after either the UP or DOWN pushbutton is released the first Stat blood pressure reading will begin If the previously selected Stat cycle time is desired and changes are not required it is unnecessary to do anything after pressing the STAT pushbutton The first Stat reading will begin two seconds after releasing the STAT pushbutton There are no factory preset Stat cycle times The CYCLE TIME display will indicate the previously selected Stat cycle time The choices are 1 2 3 or 4 minutes At the end of the Stat cycle press the STAT pushbutton to return the monitor to the Manual mode B Auto Cycle Interruption To obtain an additional blood pressure reading during a cycle in the Auto mode press the NIBP HOLD pushbutton once to restart the Auto Cycle mode MINIPACK 911 SERIES OPERATORS MANUAL Page 23 To obtain a blood pressure reading during a reading in the Auto Cycle mode press the NIBP HOLD pushbutton twice When the NIBP HOLD pushbutton is pressed it deflates the blood pressure cuff and freezes the previous blood pressure reading on the SYSTOLIC DIASTOLIC and MAP displays The CYCLE TIME and NEXT CYCLE displays will blink until the NIBP HOLD pushbutton is again pressed to restart the Auto Cycle C e Hold If for some reason a blood pressure reading must be canceled the blood pressure reading can be aborted at any time by pressing the NIBP HOLD pushbutton When the NIBP HOLD pushbutton i
12. TEMP continuous programmed as possible RESP auxiliary cycle time for duration SpO functions if gt continuous of stat cycle time one BP connected auxiliary gt continuous if cuff gt return to hands functions if auxiliary applied off when done connected functions if connected 1 HANDS OFF Hands Off is the normal power up mode of operation for the monitor This is a semiautomatic mode for the auxiliary functions of the monitor temperature respiration SpO2 and pulse The Hands Off mode is entered automatically by powering up the monitor The monitor will detect if the temperature probe or SpO probe has been applied and will initiate the first NIBP reading automatically If a temperature probe has been applied or if an SpO gt probe has been connected the monitor will also begin to inflate the blood pressure cuff If the blood pressure cuff has not been applied to the patient and a consistent or steady pressure is not built up in the blood pressure cuff after ten seconds the blood pressure reading will be aborted Meanwhile the readings of the auxiliary functions will be monitored continuously NOTE The pulse can be obtained from both the blood pressure cuff and from the SpO gt probe If the SpO probe is connected the SpO gt pulse has priority 2 MANUAL The Manual mode can be used when a blood pressure reading is desired without an auxiliary function MINIPACK 911 SERIES OPERATORS MANUAL Page 21 a After applyi
13. pulse amplitude at the lowest pressure level B Cuff Selection It is important to select the proper size blood pressure cuff Use the following chart to match the proper cuff to the circumference of the patient s limb These are available from Pace Tech using the following part number Blood Pressure Cuffs Size Range Order No Standard Adult 28 41 cm 11 16 2 in 4200 Large Adult 33 47cm 13 18 5in 4210 Thigh 40 58 cm 15 8 22 9 in 4240 Child 20 28cm 7 9 11 in 4220 Pediatric Infant 13 19 cm 5 1 7 5 in 4230 Neonatal 6 11 cm 2 4 4 7 in 4250 Disposable Blood Pressure cuffs also available by special order 1 ARM Locate the cuff as you would to do an auscultatory blood pressure Place the cuff around the patient s upper arm with the bottom edge of the cuff at least one inch above the inner aspect of the arm As the cuff is wrapped around the arm be sure it fits snugly and evenly and the bladder of the cuff is over the brachial artery 2 THIGH Place the cuff around the patient s thigh with the bottom edge of the cuff at least one inch above the inner aspect of the knee Be sure the cuff fits snugly and evenly and the bladder of the cuff is over the popliteal artery When patient is not horizontal ensure that the cuff is at the level of the heart MINIPACK 911 SERIES OPERATORS MANUAL Page 34 3 CALF OF LEG Place the cuff around the calf of the leg with the top edge of the cuff at least one inch below
14. set to a selected interval of time form 10 seconds to 5 minutes or 99 minutes To change this interval of time from 10 seconds to 5 minutes 1 Press and hold down the SILENCE pushbutton for 6 seconds until you hear the second beep sound The previously selected alarm reset interval then will be displayed in the CYCLE TIME display Ze Press the UP or DOWN pushbutton until the desired interval is displayed in the CYCLE TIME display between ten seconds and five minutes To obtain a selected interval of 99 minutes 1 Press only the DOWN pushbutton until 99 is displayed in the CYCLE TIME display Ten seconds after the UP or DOWN pushbutton is released the monitor will resume normal operations H Alarm Override The operator may choose to override the programmed alarm intervals if he or she is in full time attendance To override the programmed alarm intervals simply push the SILENCE pushbutton twice MINIPACK 911 SERIES OPERATORS MANUAL Page 19 To re establish the alarm follow the programmable automatic alarm reset instructions in the previous paragraph MINIPACK 911 SERIES OPERATORS MANUAL Page 20 SECTION 5 MONITOR OPERATION A Modes of Operation The MINIPACK 911 SERIES has four operating modes Manual Auto Stat and Hands Off This illustration will give an overview of the four Modes of Operation POWER UP HANDS OFF MODE MANUAL MODE AUTO MODE STAT MODE gt continuous b one BP gt BP every gt BP as often
15. the unit is plugged in even if the power switch is in the off position 8 CO EXHAUST This port provides an outlet for the capnometer pneumatic exhaust Model STC only MINIPACK 911 SERIES OPERATORS MANUAL Page 13 SECTION 3 DISPLAYS and INDICATORS A Front Panel o o ee Y SYSTOLIC Mini Pack 911 Series ig NIBP HB HOLD AUTO STAT DIASTOLIC CYCLE TIME NE ALARM LIMITS HIGH UP a Zs 000 oa ao systouc Mini Pack 911 STC e i Lh PULSE inco2 MEMORY a Low DOWN TIME DATE RESP Sch i 1 SILENCE LOBAT TEMP APNEA _BT BT eee RBS CO agon prem Loca LOCAL H a EH 5 eS USION HI CAL LJ PaceTech 7 d gi dae 1 SYSTOLIC 3 digit numeric display MINIPACK 911 SERIES OPERATORS MANUAL Page 14 2 DIASTOLIC 3 MAP 4 SILENCE 5 AUTO 6 STAT 7 CYCLE TIME 8 NEXT CYCLE 9 PULSE 10 Spa 11 BAR GRAPH shows NIBP Systolic pressure in mmHg or kPa displays Systolic alarm limits indicates a violation of a Systolic alarm limit by flashing 3 digit numeric display shows NIBP Diastolic pressure in mmHg or kPa displays Diastolic alarm limits indicates a violation of a Diastolic alarm limit by flashing
16. to change the respiration and CO averaging rate from every 4 breaths to breath to breath or vice versa simultaneously press the HI CAL and the LO CAL pushbuttons for two seconds Immediately the averaging rate will change When the BT TO BT LED is lit the respiration and CO averaging rate is on a breath to breath rate e LO CAL Indicates the monitor is being calibrated to atmospheric pressure f HI CAL Indicates the monitor is being calibrated with a known mixture of gas 4 CAUTIONS MINIPACK 911 SERIES OPERATORS MANUAL Page 47 CO measurement can be affected by changes in atmospheric pressure halogenated anesthetic vapors N90 Oo and water vapor calibration drift fluid contamination Inaccurate determinations of CO2 readings can be caused by reuse of or failure to change disposable cannula water trap cannula not positioned properly Never reuse the disposable single use cannula water traps The automatic occlusion purge should clear the tubing of moisture within one minute If not check for tubing kinks full trap or thick fluids Replace line or trap if necessary The common causes of occlusion are condensed water patient secretions or kinked sample line Thick secretions can occlude tubing Replace occluded disposable traps and lines do not try to clean them It is highly unlikely that fluids will enter the monitor nevertheless do not let unit tilt more than 40 from horizontal to prevent aspi
17. 3 digit numeric display shows NIBP Mean Arterial Pressure MAP of NIBP displays Mean Arterial Pressure alarm limits indicates a violation of a Mean Arterial Pressure alarm limit by flashing shows cuff pressure as the blood pressure cuff is inflating and deflating throughout a blood pressure determination LED which lights up when the alarm audio indicator is turned off LED which lights up when the Auto mode is initiated LED which lights up when the Stat mode in initiated 2 SH numeric display shows programmable Auto and Stat cycle time shows programmable automatic alarm reset interval displays real time and date flashes when the Auto cycle is on Hold displays barometric pressure Model STC only 2 digit numeric display shows the time left before the next Auto and Stat cycle begins displays real time and date flashes when the monitor is on Hold displays barometric pressure Model STC only 3 digit numeric display shows Pulse rate per minute displays Pulse alarm limits indicates a violation of a Pulse alarm limit by flashing 2 digit numeric display shows percentage of Oxygen Saturation SpO7 in the blood displays Spo alarm limits indicates a violation of an Spo alarm limit by flashing indicates the SpO and NIBP pulse signal relative strength MINIPACK 911 SERIES OPERATORS MANUAL Page 15 12 13 14 15 16 17 18 19 20 21 22 23 24 FCO
18. 6 0 kPa the monitor will automatically reinflate to either 140 or 160 mmHg 18 6 or 21 3 kPa to obtain an accurate reading 2 AUTO MODE When the monitor is in the Auto mode of operation it will begin to inflate at the beginning of each cycle time If for some reason the cuff has not been applied or has been removed the NIBP reading will be aborted after pressure has not built up in the cuff within ten seconds 3 STAT MODE The Stat mode is used when continuous blood pressure readings are desired quickly continuously and as often as possible for a maximum of four 4 minutes During the Stat mode all parameters are stored in memory The monitor displays the results of the last blood pressure reading indefinitely until another reading is taken If the patient s condition changes during the time interval between blood pressure readings the MINIPACK 911 SERIES OPERATORS MANUAL Page 35 monitor will not detect the change nor indicate an alarm condition A patient s vital sign readings may vary dramatically during the administration of medications intended to raise or lower blood pressure or heart rate For optimal performance it is important that the proper cuff size be selected Refer to the Cuff Selection guide in this manual Some causes of inaccurate determination of NIBP readings are leaky cuff bladder improper cuff size improper cuff application hose or monitor not isolated from excessive disturbance cuff not a
19. 9 SECTION 5 MONITOR OPERATION Aw Modes of Operathon s 21 By Auto Cycle Interrupt N siessen pees a deci 23 Cold tia 24 D Power Interruptions 45 asa an a NENG GAGANA RN AGA TAG EN a aa KANGA GUN EN E TE Nga aeng aaa a 24 E Memory Recalde 24 F Time and Dit ti cz 25 MINIPACK 911 SERIES OPERATORS MANUAL Page 2 SECTION 6 OXYGEN SATURATION MONITORING A Theory Of Operators aaa 27 B Patient ConnectONS EE id idad eee vhs ae ee dsd 27 C SpO Monitoring ed 31 De Pulse DL DAE AE EEE EE EE EEEE EEEE EEE EEE ETEEN PET 33 SECTION 7 BLOOD PRESSURE MONITORING A We E LL 34 B C Select On cise aa A Ng NG a Na a Ng caerse 34 C Blood Pressure Monitoring ciclista Sa aaa 35 D BIGOd Pressure Scale ricino ia 36 Es Motion Artifacts A A a ob uh Laa NE a ana a 36 A Theory of Operations samasa gon a is tree iid di Ad tab AD be eee Ed 38 B Patient Connect en aan NGA NANANG feck a to bade EH dass ipod tieso noten ses 38 C Skin and Rectal Esophageal Temperature Momttorng eeeeeseeeceseeeeesecseeseeeeeecsaeeeeeeseaees 39 D Oral Temperature Monitoring ooococccononononnncononononononnonnncn nono naen anana anna anane na naen eran oran nenen n nenen nee 40 Ro Temperature Scalen sisin ws ma si eeh iii 41 F Hypothermia Modenie isi bina a I aba a eh a BNN da a NG E a EGS ee ev a a Kas a naa 41 SECTION 9 CO and RESPIRATION MONITORING Model STC Only A Theory of Operation EES Aiea Ad nb A be eee dE 43 B Patient COmnectOn
20. AUTIONS Indicate a condition that may lead to equipment damage or malfunction This monitor is intended to be operated from a main power source of nominally 110 120V 50 60 AN Hz or 220 240V 50 60 Hz AC through the external AC adapter or from the internal battery MINIPACK 911 SERIES OPERATORS MANUAL Page 7 Do not autoclave ethylene oxide sterilize or immerse the monitor in liquid Unplug the monitor before cleaning or disinfecting D Symbols Chart The following symbols are used on the monitors to mark equipment functions and or features Symbol Description Symbol Description Thu only for a part of the equipment d N Atenton consult accompanying documents E OW only fora part of the equipment Contams lead acid batter please dispose of properly in recyeke container Do mot meinerate battery will comte Io charge even d ot throw in the trash power is buried oll Tepe B Equipment provides a particular ei Adjust sound volume degree of protection against electro shock SOUND especially regarding the following 1 allowable leakage current 2 reliability of the protective carth Fuse informa ion emmection if present Type BF Equipment is solated from all 4 3 A other parts to a degree so that patent Functional Earth leakage currem e below EF Jvt standards A Delfibrillator proof BF Equipment AER Direct Current DC power supply a information MINIPACK 911 SERIES OPERATORS MANUAL Page 8 SECTI
21. Calibration Gas 10 CO 21 O 7113 balance N2 Airway Adapter straight pack of 10 7016 CO Calibration Assembly 7023 Endotracheal tube Connectors with Side Port pack of 10 7004 3 0mm Endotracheal tube Connectors with Side Port pack of 10 7003 MINIPACK 911 SERIES OPERATORS MANUAL Page 42 2 5mm Nasal CO Sample Line Infant Neonatal pack of 10 7020 Nasal CO Sample Line Pediatric pack of 10 7021 Airway adapter elbow 7005 Airway Adapter Straight 7016 Airway Adapter Elbow 7005 Endotracheal tube connector Straight circuit adapter to be inserted between and endotracheal tube and an anesthesia or ventilator circuit with a side stream outlet 6 CO Coupler 7025 Female to female connector used between the water trap sample line and nasal CO sample line H Water Trap w sample tubing 7019 Moisture removal system Disposable and removable MINIPACK 911 SERIES OPERATORS MANUAL Endotracheal tube connector Elbow circuit adapter to be inserted between and endotracheal tube and an anesthesia or ventilator circuit with a side stream outlet Tube Sideport 7003 amp 7004 Circuit sample adapter to be inserted between and endotracheal tube and an anesthesia or ventilator circuit with a side stream outlet Endotracheal Connector with 25 RSP CO Calibation gas 10 CQ 21 O balance No Calibration gas used to establish a CO c
22. In 10 15 seconds up to a minute at low temperatures the sampling pump will start Allow the pump to run for 10 15 seconds C Press either the LO CAL or HI CAL pushbutton for about one second until a beep sounds the EtCO display shows the current CO level and the previously established barometric pressure compensation appears in the CYCLE TIME and NEXT CYCLE display 760 mmHg for sea level d Adjust the barometric pressure compensation to the value nearest the local barometric pressure by pressing either the UP or the DOWN pushbutton as needed E As soon as the compensation value is adjusted the monitor will return to normal operation in approximately ten seconds Resume operations or proceed immediately to the HI LO calibration 2 CALIBRATION HI LO CAL Perform the two point calibration or HI LO CAL approximately once per month at least every six months to maintain the CO measurement accuracy of the unit as follows NOTE The correct concentration of calibration gas must be used Selecting the wrong calibration gas may result in inaccurate readings For MINIPACK 911 STC use 10 CO 21 O balance Na Order 7113 a Assemble the calibration gas canister valve and the vented connecting tubing as shown in the following illustration b Connect the other end of the vented connecting tubing to a new water trap securely installed on the unit Leave the valve turned off c Ensure that the unit is drawing
23. MINIPACK 911 SERIES OPERATORS MANUAL Page 32 D Pulse Beep The monitor is programmed to beep with each pulse signal The volume of the SpO pulse beep can be adjusted but it cannot be turned off The pulse beep varies in pitch to reflect the increase or decrease in oxygen saturation rising and falling proportionately as saturation increases and decreases MINIPACK 911 SERIES OPERATORS MANUAL Page 33 SECTION 7 BLOOD PRESSURE MONITORING A Theory of Operation The monitor s automatic electronic sphygmomanometer measures and displays a patient s arterial blood pressure mean arterial pressure and pulse rate using the oscillometric technique When the pressure in the cuff decreases a sensor located in the monitor detects pressure fluctuations in the cuff These pressure fluctuations are due to arterial volume changes that result from the blood flow as cuff pressure falls The first number of a typical blood pressure reading systolic represents the maximum pressure generated when the left ventricle of the heart contracts When the ventricles relax pressure in the arteries decrease as blood flows out of the arterial system into the capillary system The lowest point that the pressure reaches before the next ventricular contraction represents the second number of the blood pressure measurement diastolic The mean arterial pressure MAP or MEAN which is calculated by the equation 1 3 systolic 2 x diastolic corresponds to the maximum
24. MINIPACK 911 Series COMPACT DIGITAL VITAL SIGN MONITOR OPERATOR S MANUAL CAUTION Federal law U S restricts this device to sale by or on the order of a physician Pace Medical Monitor a Excellence in Patient Monitoring Rev 5 10 96 510 Garden Avenue N Clearwater FL 34615 4126 Phone 813 442 8118 Fax 813 443 7257 Table of Contents SECTION 1 INTRODUCTION A About This Manual 2 asas 555 kaen sensei ga a Ng NG eG ANA GG NGU ga O A be ese doa ee 5 Bis Wat Yesica nih bios a itso ein A ho Ge Oe A AA es obi ies 5 C General Safety sasi senna atk Ra EE RS Oa AL aana aan 6 De Symbols Charro A A tdt 8 SECTION 2 CONTROLS and CONNECTORS As Eront Panel sa kesana aaa anana aaa tdi 9 Be Panel sisan ag a NG AN a a a a a AN En 11 Co Rear Panel RT EN 11 SECTION 3 DISPLAYS and INDICATORS A rem PANS ee Eeer ee Se EE 14 SECTION 4 ALARM LIMITS SETUP and VIOLATIONS A Determining Previously Selected Alarm Limits cc ccesscssscsseesceseneeeeceeeeecsaecseesecaeeseenecneeseenee 17 B Changing Setting Alarm um ee eee eeceeecesecesecesecsaeceaecaeecaeeeaecaaecaeseaeseeeeeeeeeeeeeensees 17 C Activating Preset Factory Alarm Lumts 000000000000 0a0eneeon onone anan an anan an an nana nane anane nana nnn 17 D Viola ii ii A 18 E Sensor Off Alai cagan 18 NA O Ya a NGA PEN nee 19 G Programmable Automatic Alarm Reese 19 H Alarm Override at ee ah 1
25. ON 2 CONTROLS and CONNECTORS A Front Panels yf Mini Pack 911 Series Se E SYSTOLIC NIBP HOLD AUTO ELE CYCLE i NEXT CYCLE LOW DOWN TIME DATE MEMORY cs DIASTOLIC ALARM LIMITS Spo Mini Pack 9 se PULSE coz NIBP HOLD AUTO E STAT DIASTOLIC CYCLE TIME NEXT CYCLE Spo inco2 ALARM LIMITS HIGH uP L RESP LOW DOWN TIME DATE 7 MEMORY SILENCE LO BAT TEMP APNEA BT BT co El AG ON BREATH LO CAL LO CAL HI CAL E En BEELUSION HI CAL EN DODA O Y e MINIPACK 911 SERIES OPERATORS MANUAL Page 9 1 NIBP HOLD 2 AUTO 3 STAT 4 HIGH 5 LOW 6 SILENCE 7 DOWN 9 TIME DATE 10 MEMORY 11 POWER 12 LO CAL 13 HI CAL This pushbutton will initiate one blood pressure determination stop the Auto print cycles or abort the blood pressure reading in progress This pushbutton places the monitor into the Auto mode of operation Repeated blood pressure readings will be taken at desired set intervals of time This pushbutton places the monitor into the Stat mode of operation Repeated blood pressure readings will be taken as often as possible for a desired set period of time up to 4 minutes This pushbutton will display the previously program
26. RATORS MANUAL Page 58 E Battery Disposal This is the universal symbol which indicates that proper disposal is required for the lead acid battery Do not throw the battery in the trash or incinerate the battery The lead acid battery should be placed in the recycling bin F Fuses The monitor is equipped with two fuses which are located on the rear panel Designated F1 and F2 each fuse protects a different power input Fl This fuse protects the internal battery If this fuse is blown the monitor will continue to operate on the AC Power supply Battery operation is not possible until the fuse is replaced continue to operate under battery power However the battery cannot be charged until this fuse is replaced F2 This fuse protects the AC Power supply line If it is blown themonitor can To determine if a fuse is blown look to see if it has a grey dark or shiny coating on the inside of the glass portion or if the wire is broken distorted or melted as illustrated to the right mos R or To replace a blown fuse follow these instructions 1 Turn the fuse holder counter clockwise until it comes free and remove it from the monitor s rear panel 2 Remove the fuse from the fuse holder and replace it only with a 3 0A 250V fuse fast blow 3 Insert the fuse holder back into the rear panel and turn it clockwise until it is snug MINIPACK 911 SERIES OPERATORS MANUAL Page 59 TI
27. alibration for monitors Page 43 gt Calibration Gas Catalog No 7113 10 CO2 21 CO2 Ss Balance N2 The ambient barometric pressure may significantly affect the CO measurement The capnometer subsystem uses the barometric pressure adjustment to compensate for this pressure effect C e Calibration The two point calibration allows the capnometer subsystem to compensate for changes due to aging that may affect the accuracy of the CO measurement 1 ADJUSTING BAROMETRIC PRESSURE COMPENSATION The CO module uses barometric pressure compensation to correct the CO readings for the local atmospheric conditions The monitors are calibrated in the factory to the mean barometric pressure at the sea level value of 760 mmHg NOTE A change in elevation of 2000 feet 600 meters from sea level will reduce the barometricpressure by about 50 mmHg resulting in a reduction of about 3 mmHg in a reading that should be 38 mmHg CO The National Weather Service is a good source to obtain the mean barometric pressure in your area It is necessary to adjust the local barometric pressure compensation Initially if you are at a higher elevation than sea level Before monitoring if the local barometric pressure changes by 10 or more Before calibrating the unit To verify or adjust the monitor barometric compensation MINIPACK 911 SERIES OPERATORS MANUAL Page 44 a Turn on the Power switch on the rear panel b
28. anged from either Fahrenheit to Celsius or Celsius to Fahrenheit F Hypothermia Mode In severe cases of hypothermia temperatures below 84 F or 29 89 C the normal low end of the temperature determination range can be monitored To put the monitor in the hypothermia mode press and hold the AUTO pushbutton for approximately 5 seconds This will reprogram the monitor so temperature recordings as low as 69 F 20 56 C can be recorded When the power is turned off at the end of the monitoring period the unit will automatically reset itself to the normal temperature ranges MINIPACK 911 SERIES OPERATORS MANUAL Page 41 SECTION 9 CO and RESPIRATION MONITORING Model STC Only A Theory of Operation Carbon dioxide monitoring detects the presence or absence of carbon dioxide during respiration The carbon dioxide measurement made at the end of the exhalation when CO7 has reached its maximum level is referred to as end tidal CO2 ETCO gt Measurement made at the end of the inhalation when CO has reached its minimum is referred to as minimum inspired CO inCO gt Carbon dioxide is produced in the body during cellular metabolism and eliminated through the circulatory and respiratory systems The level of CO exhaled from the lungs reflects changes in metabolic rate and the status of the circulatory and pulmonary systems Increased CO values can indicate hypermetabolic metabolic conditions such as sepsis blood poisoning and mali
29. auses the blister MR Reposition the probe to another site at least once every 18 20 hours maximum 24 hours to allow the patient s skin to respire CVS Loss of pulse signal can occur if the sensor is too tight there is excessive illumination e g a surgical or bilirubin lamp or direct sunlight the sensor is placed on an extremity with a blood pressure cuff arterial catheter or intravascular line or the patient experiences shock hypotension severe vasoconstriction severe anemia hypothermia arterial occlusion proximal to the sensor or cardiac arrest Y Inaccurate measurements may be caused by incorrect application or use of a sensor significant levels of dysfunctional hemoglobins such as carboxyhemoglobin or methemoglobin significant levels of indocyanine green methylene blue or other intravascular dyes exposure to excessive illumination such as surgical lamps especially ones with a xenon light source bilirubin lamps fluorescent lights infrared heating lamps or direct sunlight excessive patient movement venous pulsations electrosurgical interference or placement of the sensor on an extremity that has a blood pressure cuff arterial catheter or intravascular line CVS Do not attach a probe to the same limb with a blood pressure cuff The data received will not be valid when the cuff is inflated Attach the probe to the limb opposite the site used for the blood pressure cuff
30. blood pressure reading will begin after the cycle time is displayed in the CYCLE TIME display PROGRAM CYCLE TIME NEXT CYCLE e There are no factory preset cycle times The CYCLE TIME display will indicate the cycle time in the memory from the previously selected cycle time The choices of cycle times are Seconds 10 20 7330 40 50 Seconds displayed as A 2 3 A 5 MINIPACK 911 SERIES OPERATORS MANUAL Page 22 Minutes 1 through 99 The NEXT CYCLE display indicates the minutes remaining until the next cycle will begin 10 5 2 etc The time will be displayed in minutes until there is less than one minute left then the time remaining will be displayed in seconds such as 5 4 3 etc The printer will print a new heading each time a new round of determinations begins A maximum of 250 readings can be printed or saved in the memory for recall 4 STAT The Stat mode is used when repeated blood pressure reading are desired as quickly and as often as possible for up to 4 minutes a The Stat mode can be entered at any time by pressing the STAT pushbutton b This will override any existing mode and a series of blood pressure readings will be taken repeatedly and as often as possible for the duration of the Stat cycle time c To change the Stat cycle time press either the UP or DOWN pushbutton until the desired cycle time appears on the CYCLE TIME display The maximum Stat cycle time is 4 minutes PROGRAM CYCLE TIME
31. cates the monitor is being calibrated to atmospheric pressure Model STC only LED which indicates breath to breath analysis of CO gt Model STC only MINIPACK 911 SERIES OPERATORS MANUAL Page 16 SECTION 4 ALARM LIMITS SETUP and VIOLATIONS A Determining Previously Selected Alarm Limits The factory alarm limits are not in effect each time the monitor is powered up the previously selected alarm limits remain in the memory The alarm limits are checked by pressing the HIGH pushbutton to determine the upper alarm limits and by pressing the LOW pushbutton to determine the lower alarm limits The parameters are displayed individually in the following sequential order on the respective display as either the HIGH or LOW pushbutton is pressed 1 Systolic 6 Temp 2 Diastolic 7 EtCO 3 MAP 8 inCO 4 SpO2 9 Resp 5 Pulse All the high alarms limits can be determined by continuing to press HIGH pushbutton The high and low alarm limits of the individual parameter can be checked by pressing the HIGH then LOW pushbutton as you continue through the cycle B Changing Setting Alarm Limits The alarm limits are set or changed by pressing the UP pushbutton to increase the alarm limit or by pressing the DOWN pushbutton to decrease the alarm limit while each parameter is displayed in the respective display If no change is desired or after a change has been made wait five 5 seconds and the monitor will return to normal opera
32. ck of the hand For patients with long fingernails use the Universal Y probe or adult neonatal warp probe f Universal Y Probe API plication for Adult or Pediatric Finger 4520 Reusable Attach the Universal Y probe to the finger with the light source side to the fingernail Line up the light source side with the detector side so the source and detector are in the same plane Secure the probe and cable with Microfoam tape being careful not to overly tighten the tape Universal Y Probe Application For Infants Hand Foot 4520 Reusable Attach the Universal Y probe to a fleshy portion of the infant s hand foot Attach the probe with the light source side on the top or outside of the hand foot to keep the detector side away from ambient light Line up the light source side with the detector side so the source and detector are in the same plane Secure the probe with Microfoam tape being careful not to overly tighten the tape MINIPACK 911 SERIES OPERATORS MANUAL Page 29 Infant Wrap Probe Application Toe 4550 Infant Wrap Probe Application Foot 4550 Reusable Reusable Attach the optional Infant Wrap probe with the Attach the optional Infant Wrap probe with the light source side to the toenail fleshy portion of the foot Attach the probe with the light source side on the top or outside of the toe foot to keep the detector side away from ambient light Line up the
33. d paper is used To ensure conformance with all safety and performance specifications use only the recommended accessories These are available from Pace Tech using the following part number Thermal Printer Paper 27 Column 4 rolls Order No 3006 Thermal paper should be stored in the dark at an average ambient temperature of less than 25 C and a relative humidity of less than 65 Under these conditions the paper remains printable for at least 5 years Also printed paper when stored under these conditions will retain its printed image legibility for a minimum of 7 years 2 LOADING THE PAPER Cut the end of the paper horizontally as shown in Illustration 9 a To open the paper holder place your thumb on the paper holder cover and pull the cover up and back as shown in Illustration 9 b Insert the tip of the paper into the insertion slot and press the PAPER FEED pushbutton The outside of the thermal paper is in the front Insert the paper as shown in illustration 9 a Keep the PAPER FEED pushbutton depressed until the end of the paper comes out of the paper cutter Illustration 9 a Illustration 9 b MINIPACK 911 SERIES OPERATORS MANUAL Page 49 B Printing Mode Options 1 TO PREPARE FOR USE Attach the connectors of the printer cable to the receptacles on the back of the printer and on the rear panel of the monitor Turn ON the power to both the printer and the monitor Remember to turn OFF the printer whenever the
34. e of time zones When the monitor is powered up the time will be displayed in the 4 digit LED display labeled CYCLE TIME and NEXT CYCLE in the following format 16 10 MINIPACK 911 SERIES OPERATORS MANUAL Page 25 PROGRAM CYCLE TIME NEXT CYCLE TIME 3 MEMORY DATE RECALL To check or change the time or date 1 Press the TIME DATE pushbutton 2 Press the UP pushbutton to increase or the DOWN pushbutton to decrease the number The readings will cycle in the following sequence each time the TIME DATE pushbutton is pressed 10 minute 16 hour 5 Day 1 month 1996 year 16 10 military time or 24 hour clock If you check or change the time and do not continue the cycle to another reading after ten seconds the monitor will revert to normal operations and again display the time of day 16 10 When the monitor is in the Hold mode the readout in the CYCLE TIME and NEXT CYCLE display will continue to blink until the HOLD pushbutton is pressed again MINIPACK 911 SERIES OPERATORS MANUAL Page 26 SECTION 6 OXYGEN SATURATION MONITORING A Theory of Operation The monitor uses the infrared method IR to determine the SpO and pulse rate Two wavelengths of light one red and one infrared are passed through body tissue to a photo detector Plethysmographic waveform techniques are used to identify the pulse Spectrophotometric oximetry principles which are used for each light source are dependent upon the color and thickne
35. er paper 7m L x 58mm W 25mm roll diameter F Environment Specifications Temperature Operating 19 0 C to 30 0 C 66 F to 86 F Storage 4 4 C to 43 3 C 40 F to 110 F Relative humidity Operating 20 80 non condensing Storage 10 90 non condensing SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE MINIPACK 911 SERIES OPERATORS MANUAL Page 56 APPENDIX II BATTERY OPERATION A Battery The monitor is equipped with an internal battery 6V 7 0 AH sealed lead acid This allows the monitor to operate for up to 6 8 hours under its own power The battery is continuously charged whenever the AC power is connected to the monitor Charging time when the battery is fully discharged is between 15 and 20 hours Continuous charging will not harm the battery s expected service life with daily on battery use The LO BAT LED indicator lights up when the battery is discharged and should be charged with AC current Do not turn the monitor on after the LO BAT LED indicator is lit without first connecting it to AC main power B Power Supply The internal battery of the monitor is charged with an AC adapter Two AC adapters are available in order to allow the battery to be charged from AC input voltage either 110 120V 50 60 Hz or 220 240 50 60 Hz CAUTION Equipment damage may result 1f an incorrect power supply is used Excessively long power cords may affect the safety and effectiveness of the delivered power Be su
36. f the probe is found upon visual inspection a new probe should be used Cc Patient Cables Temperature Pulse Oximetry Do not autoclave the patient cables Wipe the cables using soap and water or alcohol Never submerge the cables in any liquid or allow liquids to enter the electrical connections D Blood Pressure Calibration Check The MINIPACK 911 sensitivity threshold may be checked occasionally for proper calibration using the following procedure MINIPACK 911 SERIES OPERATORS MANUAL Page 61 1 Squeeze all the air form the cuff and place it on the arm of an assistant 2 As in the auscultatory method place a stethoscope on the brachial artery below the cuff 3 Power up the monitor and press the NIBP HOLD pushbutton 4 Listen for the Korotkoff sounds with the stethoscope vo not watch the numbers on the screen 5 Record the pressure when the first Korotkoff sound is detected for the systolic pressure and when the diastolic pressure is determined 6 When the MINIPACK 911 has displayed the determination compare the readings to assess any differences between the auscultatory and oscillometric determinations 7 If there is a discrepancy repeat the procedure in five minutes 8 If consistent discrepancies of more than a few mmHg or a few tenths kPa persist refer to the Service Manual or send the monitor to Pace Tech for calibration MINIPACK 911 SERIES OPERATORS MANUAL Page 62
37. gnant hyperthermia Decreased ETCO is usually a result of lowered cardiac output cardiac arrest or pulmonary embolism due to the decrease in the amount of blood flow and CO delivery to the lungs CO monitors are being utilized to monitor patients during anesthesia alert hospital staff if there is an occurrence of inadequate ventilation airway obstruction or blood flow mismatch between ventilation and perfusion pulmonary embolism or decreased metabolic production of carbon dioxide hypothermia Measurement of carbon dioxide is expressed as a partial pressure in mmHg or torr Accepted normal concentration range of ETCO is 38 mmHg 5 at atmospheric pressure of 760 mmHg Normally the CO concentration in expired breath changes rapidly from 0 at start to about 5 at end To measure maximum concentration accurately the analyzer must respond rapidly The value of the CO gt which is displayed represents the peak expired CO9 value on either a breath by breath or a four breath average B Patient Connections To ensure conformance with all safety and performance specifications use only the recommended accessories These are available from Pace Tech using the following part numbers CO Supplies and Accessories Order No CO Calibration Kit Includes 7114 CO Water Trap w Sample Tubing 7019 Nasal CO2 Sample Line pack of 10 7001 CO Coupler pack of 10 7025 Flow Controller with Gauge 7012 CO
38. helf inside the vehicle if possible with 1 1 4 inch of foam underneath the monitor in order to absorb the vibration of the vehicle The arm of the patient should be stabilized on a pillow The hose of the NIBP cuff should be stabilized so it is not exposed to any bumps or vibration MINIPACK 911 SERIES OPERATORS MANUAL Page 37 SECTION 8 TEMPERATURE MONITORING A Theory of Operation The monitor utilizes a temperature probe with a thermistor to give continuous or one time electronic temperature readings The monitor provides one temperature measurement channel 1 SCREENING PATIENTS A routine or one time temperature reading can be obtained in the Hands Off or Manual mode In the Hands Off and Manual mode the initial temperature reading is predictive The monitor computes the patient s temperature based upon probe response during the initial cycle All subsequent readings on the same patient are actual temperatures In the Auto and Stat mode all the temperatures displayed are actual temperatures 2 CONTINUOUS MONITORING A continuous temperature monitor is used to measure a patient s core body temperature during the administration of general anesthesia detection and treatment of hyperthermia and hypothermia post surgical recovery and other various cases which may require constant body temperature monitoring The monitor will display continuous electronic temperature readings of the core body temperature via either a rec
39. ies supplied with this monitor or specifically intended to be used with this monitor Do not use this device in the presence of flammable anesthetics Electrical shock hazard may occur when covers are removed Do not remove covers or panels Refer servicing to qualified personnel There is no defibrillator synchronization output on this monitor Make no connections between this monitor and a defibrillator Enclosure leakage current is limited internally by this monitor s adapter to less than 100 micro amperes uA however always consider additional leakage current that can be caused by other equipment used on the patient at the same time as this monitor To ensure that the leakage current protection remains within the specifications use only the AC adapter supplied with or specifically intended to be used with this monitor Connection of non isolated devices to the RS 232 connector may cause chassis leakage to exceed the specification standards To prevent electrical hazards to all personnel this monitor must be properly grounded The AC adapter supplied with the equipment provides for this protection Do not attempt to defeat this protection by modifying the cords or using ungrounded adapters gt PPP PBPBPPP Patient connections are Type B Use insulated probes for all connections Do not let patient connections contact other conductive parts including earth See instructions for patient connections in this manual gt 5 C
40. justs the volume of the pulse sounds turning the knob clockwise will increase the volume turning the knob counter clockwise will decrease the volume This knob does not adjust the audio alarm Model STC only 5 WATER TRAP RECEPTACLE CONNECTOR This disposable water trap attaches to this fixture Model STC only 6 WATER TRAP This disposable plastic container collects condensation from the CO line Model STC only 7 SAMPLE LINE CONNECTOR This connector attaches the water trap to the respiratory gas sample line Model STC only MINIPACK 911 SERIES OPERATORS MANUAL Page 11 C Rear Panels PRINTER MINIPACK 911 STC A CAUTION Federal law restricts this instrument to sale by or PAGE TECH INC onthe order of a physician Clearwater FL 34615 CAUTION Equipment must be grounded at all times to avoid Made in U S A dangerous electrical shock hazard LN REPLACE FUSE AS MARKED ANCAUTION AC Adapter Input DC Voltage 10 15 5 Volt 2 4 3 6 Am RS 232 CO EXHAUST S S A F1 ZN LN REPLACE FUSE AS MARKED F2 PRINTER N kad MINIPACK 911 els CAUTION Federal law restricts this instrument to PACE TECH INC on the order of a physician Clearwater FL 34615 CAUTION Equipment must be grounded at all times d X _ Made in U S A dangerous electrical shock hazard y ABAUTION AC Adapter Input DC Voltage 8 12 Volt 2 4 3 0 Amp
41. lay of the first reading To recall other readings 1 Press the MEMORY RECALL pushbutton Ze Press the UP pushbutton to sequence through the readings in ascending order PROGRAM CYCLE TIME NEXT CYCLE 3 The readings of the patient will be displayed in the respective displays and the corresponding number of the reading 2 3 4 etc will be indicated in the NEXT CYCLE display 4 The readings can be recalled in ascending order forward by pressing the UP pushbutton in descending order backward by pressing the DOWN pushbutton 4 3 2 etc 5 During the Memory Recall mode the monitor will continue to take readings without interruption 6 When the MEMORY RECALL pushbutton is pressed again the monitor will revert to normal operations and display the current readings Up to 250 readings can be recalled in ascending or descending order All readings are lost when the monitor is turned OFF NOTE Patient readings are stored in the memory only when the AUTO or STAT pushbuttons are pressed and the respective LED indicator is lit F Time and Date The monitor has a built in time and date microchip clock chip which displays the time of day in military time or a 24 hour clock This microchip has 1ts own battery backup time keeper which will not lose time when the monitor is turned off The clock chip is set in the factory to the correct time and date but it will have to be changed for daylight savings time leap year or chang
42. light source side with the detector side so the source and detector are an the same plane Secure the probe with Microfoam tape being careful not to over tighten the tape Adult Neonatal Wrap Probe Application Hand Adult Neonatal Wrap Probe Application Finger 4555 4555 Reusable Attach the optional Adult Neonatal Wrap Attach the optional Adult Neonatal Wrap probe to the fleshy part of the hand probe to the finger with the light source side to the fingernail LC Line up the light source side with the detector side so the source and detector are in the same plane Secure the wrap probe and cable with Microfoam tape being careful not to over tighten the tape Application of the Disposable Adult Wrap Probe Order 4588 and Disposable Pediatric Wrap ProbeOrder 4589 Step 1 Choose an application site on the patient s finger or toe where the light source will be directly over and in line with the detector as shown to the right Step 2 Peel off the adhesive backing and place on the patient s foot or hand Step 3 Then fold down the top half of the transducer and secure to the underside of the foot or hand making sure that the emitter lights align properly MINIPACK 911 SERIES OPERATORS MANUAL Page 30 i Appleton inmi cra kai Se Lepcezet e Prii ramadan noe 4407 4 4406 Step 4 Finally route the cable along the top of the hand or foot and secure with adhesive tape if necessary C SpO Moni
43. med upper alarm limits This pushbutton will display the previously programmed lower alarm limits This pushbutton will Silence the alarms for a selected period of time or program the automatic alarm reset interval This pushbutton will decrease the alarm limits print cycle time alarm reset interval time and date or initiate the memory recall in descending order adjust the barometric pressure compensation Model STC only This pushbutton will increase the alarm limits print cycle time alarm reset interval time and date or initiate the memory recall in ascending order adjust the barometric pressure compensation Model STC only This pushbutton allows viewing and setting of the time and date This pushbutton will recall previous readings in the memory while monitoring in the Auto or Stat modes o This toggle switch turns the power from on O to off O The monitor will continue to charge the battery as long as the unit is plugged in even if the power switch is in the off position This pushbutton initiates a low calibration Model STC only This pushbutton initiates a high calibration Model STC only MINIPACK 911 SERIES OPERATORS MANUAL Page 10 B Side Panel 1 NIBP This receptacle accepts the connector from the blood pressure cuff hose 2 SpO2 This receptacle accepts the pulse oximetry extension cable plug 3 TEMP This receptacle accepts the temperature probe 4 SOUND This control knob ad
44. monitor is turned OFF so the printer will not deplete the battery of the monitor 2 TO PRINT IN REAL TIME In order to obtain a print out during the entire monitoring period turn the printer ON at the beginning of the patient monitoring procedure When the AUTO pushbutton is pressed all parameters will be automatically displayed at the end of each determination cycle Up to 250 readings can be printed ANAA ABA ABA AA NON INN YN YN patient unit room bed 3 21 96 sys dia map pls 02 temp resp etco2 inco2 time 117 81 96 81 e AAA 119 82 97 81 11 18 Dee ee ee ee ee D 00588 3 TO PRINT ONLY AT CONCLUSION OF MONITORING The printer should be in the OFF position during the Auto Print monitoring period Then at the end of the patient monitoring procedure but before the monitor is turned off turn the printer ON Previously collected data which has been stored in the unit will then be down loaded to the printer providing one set of vitals for each programmed cycle 4 TO OBTAIN A DUPLICATE PRINTOUT In order to obtain a duplicate copy of the printout whether option 2 or 3 above was used with the monitor still ON turn the printer OFF then turn the printer back ON again A duplicate copy of the original vital sign data will be printed LV As long as the monitor is not turned off all programmed cycle data will remain stored in the unit turning the monitor off clears the monitor s memory of all information
45. ng the correct size cuff press the NIBP HOLD pushbutton and a blood pressure determination will be initiated immediately b The NIBP HOLD pushbutton must be pressed if another blood pressure reading is desired c If the Manual mode is used for a blood pressure reading with auxiliary functions the temperature respiration pulse and SpO gt will be monitored continuously after the monitor reverts to the Hands Off mode but the blood pressure cuff will not inflate a second time d The printer will print a new heading each time the NIBP HOLD pushbutton is pressed as a convenience for screening e At the end of blood pressure determination in Manual mode the monitor will revert to the Hands Off mode NOTE Patient readings are not stored in the memory in the Manual mode of operation 3 AUTO The Auto mode is used when continuous blood pressure determinations are desired at intervals called Cycle Times a After pressing the POWER switch press the AUTO pushbutton The previously selected cycle time will appear on the CYCLE TIME display b To change the cycle time press either the UP or DOWN pushbutton until the desired cycle time appears on the CYCLE TIME display C After either the UP or DOWN pushbutton is released the first reading of the cycle will begin d If the previously selected cycle time is desired and changes are not required it is unnecessary to do anything after first pressing the AUTO pushbutton The first
46. o avoid deep discharges of the battery Try to charge the battery at every suitable opportunity preferably before the LO BAT LED comes on 2 TEMPERATURE Heat also accelerates the battery s aging becoming quite significant above 86 F 30 C Avoid storing the monitor in sun exposed compartments It is preferable to store the monitor in a cool environment 3 STATE OF CHARGE A fully charged battery ages more slowly than a discharged batterry Charge the monitor promptly after using it on battery If the monitor stands discharged for an extended period of time days the battery capacity may take either several charge discharge cycles or an extended charge time several days to fully recover 4 EXTENDED IDLE TIME Continuous charging will not harm the battery s expected service life with daily on battery use However if the monitor is not going to be used for a long period of time weeks or months charge with the power switch turned off for about 16 hours Then unplug the AC power and store the monitor in a cool dry area protected from dust At least every month charge the battery for about 16 hours When use is anticipated again charge the battery about 16 hours in advance to develop full available charge While in storage protect the power switch from accidental activation If the battery were to become discharged this way for an extended time weeks it would permanently lose capacity MINIPACK 911 SERIES OPE
47. or rectal esophageal Medtronics M Electromedics 2100 Series TM compatible Oral or Rectal Ivac M temperature probe assemblies 4 END TIDAL CO inCO min and RESPIRATION Type Method Connector CO averaging CO range CO accuracy Rise time CO calibration Sample aspiration rate Sample line purging Water trap Respiration range Respiration rate accuracy Alarm limits MINIPACK 911 SERIES OPERATORS MANUAL Side stream non dispersive infrared CO sample line with nasal cannula or endotracheal tube 4 breaths or breath to breath 0 99 mmHg adult pediatric 0 13 2 kPa 2 mmHg 0 40 mmHg 0 27 kPa 0 5 33 kPa 5 of reading 40 99 mmHg 5 33 13 2 kPa lt lt 300 ms 10 to 90 Manual with room air and 10 CO every six months 75 ml min 10 ml Automatic Disposable Volume 4cc 4 99 rpm respirations per minute adult pediatric 2 rpm Respiration Upper 4 99 rpm Page 55 Lower 4 98 rpm EtCO gt Upper 0 99 mmHg 13 2 kPa Lower 0 98 mmHg inCO Upper 0 99 mmHg 0 13 2 kPa Lower 0 98 mmHg Alarm volume Fixed D Displays Parameters Alarms Limits High Intensity Red Led 0 56 Time and Date High Intensity Red Led 0 3 Pulse Strength 10 segment Logarithmic Red LED bar graph Signal Indicators Yellow amp Green Signal LED E Printer Type Add on 27 column thermal printer Output ASCII parallel Printing width 46mm Printing speed Approx 0 8 lines per second Paper requirements Thermal print
48. rating patient fluids into the monitor from the trap Remove used traps when transporting the unit to prevent fluids from entering the monitor Fluid entry into the monitor may be suspected if the water trap has become completely full and triggered an occlusion alarm during normal operation the monitor has been tilted beyond 40 degrees while a fluid filled water trap is mounted large droplets of fluid are observed above the steel ball in the water trap Entry of fluid into the monitor should be presumed if the CO shows a high reading that does not return to within a few mmHg of zero when drawing only room air If fluids have entered the monitor remove it from service immediately Let it run for two hours drawing room air through a new trap Perform a calibration If it is successful the unit may be returned to service If the unit fails to perform properly return the unit to the factory for servicing MINIPACK 911 SERIES OPERATORS MANUAL Page 48 SECTION 10 PRINTER OPERATION A 27 column thermal printer is available for use with the MINIPACK 911 and will produce a hard copy of the patient s vital signs time and date A Printer Operation 1 RECOMMENDED THERMAL PAPER Thermal paper can vary considerably in thermal sensitivity and abrasiveness Using the proper thermal paper helps to ensure that the print quality will be acceptably dark and reduces print head wear The recorder s warranty may be limited if an unspecifie
49. re the power cord is suitably heavy gauged and rugged for the application Avoid a light gauge power cord sharing a heavy load Replace an old worn damaged or kinked power cord with a new one suited for the application C Charging the Battery Recharging is more rapid if it is done soon after on battery use and even more so if the monitor is not turned on while charging 1 Connect the AC Adapter to the receptacle on the rear panel of the monitor Plug the power cord into a 100 250V 50 60 Hz AC current using a hospital grade USA grounding receptacle 2 Verify that the AC ON LED comes on and stays on brightly and continuously after connecting to the power outlet An unusually dim AC ON LED may indicate that the AC power is weak at the outlet Unusual brightness may indicate excessive voltage Either condition merits a checkup by a qualified technician MINIPACK 911 SERIES OPERATORS MANUAL Page 57 3 After the battery has been charged unplug the power cord and turn the monitor on If the display lights up and the number 8 appears momentarily the monitor should be fully charged and is ready for normal operations Be aware that any power connection that is often cycled or flexed over an extended period of time will eventually wear out and thereby become unreliable or dangerous D Optimizing The Battery Life 1 DISCHARGE CYCLES AND DEPTH Each discharge cycle advances the battery s age in particular a deep discharge Try t
50. room air 0 CO at this time and throughout the procedure Keep the CO sample inlet away from breath streams and vehicular exhaust d Check the current CO level by pressing the LO CAL pushbutton until a beep is heard The EtCO gt must show either O or 1 If not check for and remove any CO sources near the CO sample inlet If this does not reduce the level to O or 1 either the room air has too much CO gt in it for successful calibration or you should return the unit to the factory for service e At this time you can also verify and adjust the atmospheric pressure compensation to within 5 mmHg of the local barometric pressure This will be displayed in the TIME display MINIPACK 911 SERIES OPERATORS MANUAL Page 45 f Press the LO CAL pushbutton momentarily Immediately a beep sound will be heard The beep tone indicates that the low calibration is complete g Turn on the control valve of the gas calibration bottle and allow a few seconds to pass h Press the HI CAL pushbutton until a beep is heard Immediately press the HI CAL pushbutton again The number displayed in the EtCO window should be 10 of the atmospheric pressure compensation If not repeat this step The HI LO CAL portion of the calibration procedure is now complete 1 To resume normal operation press the MEMORY pushbutton twice Otherwise normal operation will resume in 15 seconds j Turn off the gas canister valve by t
51. s pressed it deflates the blood pressure cuff and freezes the previous blood pressure readings on the SYSTOLIC and DIASTOLIC displays The CYCLE TIME and NEXT CYCLE displays will blink until the NIBP HOLD pushbutton is again pressed to revert to the previous mode The NIBP HOLD pushbutton does not affect the readings that may be in progress for temperature respiration pulse or Spo since the auxiliary readings always operate in the semiautomatic Hands Off mode D Power Interruption 1 AC Operation If momentary power interruption occurs the monitor will automatically switch to battery operation The monitor will not turn off and the readings in the memory will be retained 2 BATTERY OPERATION If the POWER switch is turned off and on the monitor will revert to the Hands Off mode and the display will not show the readings All readings in the memory are lost when the monitor is turned off E Memory Recall The readings are stored in memory when the monitor is in the Auto or Stat mode The previous readings in the memory can be recalled by pressing the MEMORY RECALL pushbutton The MEMORY RECALL LED will light up as long as the monitor is in the Memory Recall mode indicating observation of previous readings MINIPACK 911 SERIES OPERATORS MANUAL Page 24 The first initial reading of the patient will be displayed in the respective displays readouts and the number 1 will be displayed in the NEXT CYCLE display to indicate disp
52. s veais AN Ga a NGANG KE NANGKE A GA cds 43 Ce Calibrations li 45 D CO and Respiration Monitoring 00e0000ee0e0enneneen nenen nnen nn nen nne nen an nean anana nenen anae n nee 47 SECTION 10 PRINTER OPERATION A Printer Operations eege ness eet nes Hep AA 50 Bz Print Mode Options iia 50 C RS 232 Output os 2 8 ee ee ao 52 MINIPACK 911 SERIES OPERATORS MANUAL Page 3 APPENDIX I PRODUCT SPECIFICATIONS As Mechamcal Descriptions ss sas i043 sapaa ah an tee abas oh SKA ang Gb aa aga TEGAN Ag Ng gah ioe anah yana KK 53 B Power Requite Men cuca AA REN Bes Ee SEA Se en ete 53 C Performance Specifications a GA SA GG EE NAN Eiet hee gan yah e pean A 54 Ds DISPLAYS asa aa S TER titi li Da Agen e a A a Na aaa ana pa aas 57 E PENS nga AAN Aa KAMA aia 57 F Environment SPecificati0ns 5 5550505 mp TENGENE GN a EEN ENGGON ENGGEN aa EEEE E NB a an 57 APPENDIX II BATTERY OPERATION Ay Balli loo 58 B Power Supply iia ii 58 C Chargingthe Batey e O 58 D OptimizinsThe Battery Dile ia soko sanan sd eese irar ESen E NENDRA DE A Ken ea EEN EN Na EEEE ES S SS 59 E Battery DiSposal enee 60 F e 60 APPENDIX III MAINTENANCE As MOMO on a 62 B Probes Pulse Oximetry Temperature 62 C Patient Cables Temperature Pulse OxiMetry ooonooncnnonicconnnnnononononanononncnnonnnnon arco nono nono nenen 62 D Blood Pressure Calibration Check 62 MINIPACK 911 SERIES OPERATORS MANUAL Page 4
53. ss of body tissue sensor placement intensity of light sources and absorption of arterial and venous blood in the body tissue during measurement This includes time varying effects of the pulse OOOOOO To identify the pulse and calculate oxygen saturation the monitor processes these signals separating the time invariant parameters venous blood tissue thickness and skin color from the time varying parameters arterial volume Blood saturated with oxygen predictably absorbs less red light than oxygen depleted blood thus oxygen saturation calculations are obtained Measurements are displayed both visibly and audibly Oxygen saturation and pulse rate measurements are displayed digitally and are updated with each pulse beat Pulse amplitude is displayed qualitatively Additionally the tone that signals each pulse beat varies in pitch to reflect the increase or decrease in oxygen saturation rising and falling proportionately as saturation increases and decreases B Patient Connections To ensure conformance with all safety and performance specifications use only the recommended accessories These are available from Pace Tech using the following part numbers Pulse Oximeter Accessories Quantity Order No Finger Probe Reusable One 4510 Universal Y Probe Reusable One 4520 Patient Extension Cable 6 ft One 4536 Infant Wrap Probe Reusable One 4550 Adult Neonatal Wrap Probe Reusable One 4555
54. t heart level during determination D Blood Pressure Scale The blood pressure readings can be displayed in either mmHg millimeter mercury or kPa kilo Pascal To change the blood pressure scale a Start with the power off Turn the POWER switch to turn the power on b Press and hold the HIGH pushbutton for three seconds C As soon as the beep tone sounds release the HIGH pushbutton The blood pressure readings will change either from mmHg to kPa or from kPa to mmHg The most recently selected scale will remain in the memory E Motion Artifacts The monitor is programmed to detect and screen artifacts due to patient movement When motion artifacts occur the cuff will stop deflating momentarily analyze the incoming signals and make a determination whether the signals are pressure pulses or motion artifacts The monitor will pause maximum of 8 seconds until the regular pressure pulses resume If the motion artifacts continue the cuff will deflate 5 mmHg 0 7 kPa and again pause momentarily until regular pressure pulses resume If pressure pulses do not resume and or the motion artifact continues for up to 2 minutes the blood pressure reading will be aborted and the display will read 00 Y This monitor may not operate effectively on patients who are experiencing convulsions or tremors Follow these precautions during transport MINIPACK 911 SERIES OPERATORS MANUAL Page 36 The monitor should be positioned on a s
55. tal esophageal probe or skin temperature with an external sensor B Patient Connections Choose a temperature sensor appropriate for your application requirements To ensure conformance with all safety and performance specifications use only the recommended accessories These are available from Pace Tech using the part numbers on the following page Temperature Probes and Accessories Order No DISPOSABLE TEMPERATURE PROBES MEDTRONICS ELECTROMEDICS COMPATIBLE Esophageal Rectal Temp Probe Disposable requires 4005 One 4003 Esophageal Rectal Temp Probe Disposable requires 4005 Pack of 10 4013 Esophageal Rectal Temp Probe Disposable requires 4005 Pack of 50 4014 Skin Surface Temp Probe Disposable requires 4005 One 4004 Skin Surface Temp Probe Disposable requires 4005 Pack of 10 4015 Skin Surface Temp Probe Disposable requires 4005 Pack of 50 4016 Probe Adapter Cable Reusable use w 4003 and 4004 probes One 4005 REUSABLE TEMPERATURE PROBES MEDTRONICS ELECTROMEDICS COMPATIBLE Esophageal Rectal probe adult Reusable One 4017 Esophageal Rectal probe neonatal Reusable One 4018 Skin Surface Temp Probe Reusable One 4019 MINIPACK 911 SERIES OPERATORS MANUAL Page 38 IVAC TEMPERATURE PROBE ASSEMBLIES Oral Temperature Probe Assembly 1880L w phone jack One 4104 Rectal Temperature Probe Assembly 1882L w phone jack One 4105
56. terial pressure MEAN or MAP values e Blood oxygen saturation SpO gt or Pulse oximetry e Pulse SpO7 and NIBP signal strength e Pulse rate SpO and NIBP e Temperature End tidal CO concentration etCO gt e Inspired CO concentration inCO gt e Respiration rate Additional options offered are e Add on 27 column thermal printer e RS 232 option e Carrying case e Mobile cart with accessory compartment e Pole mount assembly The MINIPACK 9 1 SERIES is available in the following five models Model 911 NIBP Non Invasive Blood Pressure Model 911 S NIBP SpO gt Model 911 ST NIBP Spo TemperatureModel 911 T NIBP TemperatureModel 911 STC NIBP SpO Temperature etCO7 inCO gt and Respiration 2 CONTRAINDICATIONS Situations where risks associated with the use of the monitor are greater than the benefits AN This monitor is not intended to be used as an apnea monitor AN This monitor is not intended to be used during MRI Magnetic Resonance Imaging MINIPACK 911 SERIES OPERATORS MANUAL Page 6 3 NOTES Supplemental information which is relevant to the equipment but should not be used to direct action NOTE Notes will appear throughout the operators manual in this format 4 WARNINGS Indicate the possibility of injury due to patient or operator associated with the use or the misuse of the monitor Federal law restricts this device to sale by or on the order of a physician Use only accessor
57. the connector at the end of the nasal sample line to the sample line from the water trap with the use of a CO coupler MINIPACK 911 SERIES OPERATORS MANUAL Page 46 2 AIRWAY ADAPTER AND SAMPLE LINE Intubated patients Use the airway adapter endotracheal tube connector with intubated patients endotracheal or nasal tracheal tubes Connect the airway adapter between the ventilator and the endotracheal tube The sample line connects between the airway adapter and the monitor The monitor will proceed to continuously monitor the EtCO7 and inCO gt percentages as well as the respiration rate The readings will be updated on a continual basis either as breath by breath or a four breath average The respiration rate is updated continuously 3 LED INDICATORS APNEA BT BT Gi E BREATH LO CAL OCCL HI CAL o 5 a APNEA Lights up after a 20 second period of undetected breathing b BREATH Lights up with each exhalation c OCCL occlusion Lights up when the CO sample line is kinked or obstructed The automatic occlusion purge should clear the tubing of moisture within one minute If not check for tubing kinks a full water trap or thick fluids The common causes of occlusion are condensed water patient secretions or a kinked sample line Thick secretions can occlude tubing Replace occluded disposable water traps and sample lines do not try to clean them d BT TO BT Indicates breath to breath analysis of CO and respiration In order
58. the inner aspect of the knee Be sure the cuff fits snugly and evenly and the bladder of the cuff is over the popliteal artery Ensure that the cuff is at the level of the heart when doing blood pressure determinations to avoid biasing the pressure measurements If this is impractical correct the blood pressure readings by adding 2 mmHg for each inch the cuff is above the heart Subtract 2 mmHg for each inch the cuff is below the heart 0 1 kPa for each cm C Blood Pressure Monitoring Choose the mode of operation desired according to the instructions in Section 5 Monitor Operation If continuous monitoring of the patient is desired set cycle time and alarm limits at this time 1 MANUAL MODE When the monitor is in the Manual mode of operation one blood pressure determination will be initiated immediately when the MANUAL pushbutton is pressed The monitor will automatically inflate the cuff to 170 mmHg 22 6 kPa for adult pediatric and 120 mmHg 16 0 kPa for neonates The inflation rate is 40 50 mmHg 5 3 kPa 6 7 kPa per second After deflation approx 30 seconds the blood pressure and other vital signs will be displayed If the adult pediatric blood pressure is above 170 mmHg 22 6 kPa the monitor will automatically reinflate to either 200 or 230 mmHg 26 6 or 30 6 kPa or an even higher level depending on the intensity of the pressure to obtain an accurate reading If the neonatal blood pressure is above 120 mmHg 1
59. tions C Activating Preset Factory Alarm Limits To set or activate the preset factory alarm limits simultaneously press the HIGH and LOW pushbuttons for two 2 seconds A beep will sound and immediately all the alarms limits will set to the factory default limits The factory alarm limits and range of programmable limits non overlapping are MINIPACK 911 SERIES OPERATORS MANUAL Page 17 PARAMETERS FACTORY LIMITS RANGE OF PROGRAMMABLE LIMITS LOWER LIMIT UPPER LIMIT LOWER LIMIT UPPER LIMIT Systolic 100 mmHg 160 mmHg 0 254 mmHg 0 255 mmHg 13 2 kPa 21 2 kPa 0 33 9 kPa 0 34 0 kPa Diastolic 60 mmHg 100 mmHg 0 254 mmHg 0 255 mmHg 7 9 kPa 13 2 kPa 0 33 9 kPa 0 34 0 kPa MAP 80 mmHg 120 mmHg 0 254 mmHg 0 255 mmHg 10 6 kPa 15 9 kPa 0 33 9 kPa 0 34 0 kPa SpO 90 100 0 99 0 100 Pulse 40 bpm 120 bpm 0 249 bpm 0 250 bpm Temp 96 0 F 102 5 F 83 0 109 9 F 83 0 110 0 F 35 5 C 39 2 C 28 3 43 2 C 28 3 43 3 C EtCO 8 mmHg 50 mmHg 0 98 mmHg 0 99 mmHg inCO 0 mmHg 8 mmHg 0 98 mmHg 0 99 mmHg Respiration 6 rpm 40 rpm 4 98 rpm 4 99 rpm NOTE e The high SpO limit will be displays as 00 since the SpO2 LED numeric display is a two digit display D Violations When a parameter reading violates an alarm limit the audible alarm will sound and the display will continue to flash until another reading is taken which is within the alarm limits the alarm limit is changed or the moni
60. tor is turned off In addition the audible alarm will sound until the SILENCE pushbutton is pressed E Sensor Off Alarm The monitor will alert the operator if the Sp probe becomes disconnected from the patient there is no data input or the extension cable becomes disconnected from the monitor Immediately the SpO display will register O and the alarm will sound When the pulse signal is restored the monitor will resume normal operations MINIPACK 911 SERIES OPERATORS MANUAL Page 18 F Alarm Silence 1 AUTO MODE When the SILENCE pushbutton is pressed the SILENCE LED just above the pushbutton will light up indicating that the audible alarm has been silenced The LED indicator will remain lit until the SILENCE pushbutton has been pressed again or the programmed interval time for the audible alarm has passed The audible alarms are reactivated at that time 2 MANUAL MODE When you follow the above procedure in Manual mode the LED indicator will remain lit until the SILENCE pushbutton has been pressed again or the programmed interval time for the audible alarm has passed but the audible alarm will not be reactivated automatically G Programmable Automatic Alarm Reset The monitor is programmed for the audible alarm to be reactivated after a selected interval of time There is no factory set interval for the automatic alarm reset The previously selected alarm reset interval will be displayed This interval can be
61. toring 1 OPERATING INSTRUCTIONS a Connect the patient extension cable to the receptacle on the side panel of the monitor b Select an SpO gt transducer based on application requirements and connect the appropriate probe to either the patient extension cable or directly to the monitor Refer to the illustration of SpO gt accessories for the correct probe application on the previous pages c Turn the POWER switch on the front panel to on When powered up all display digits will momentarily show 8 to give visual assurance that the display is fully functional MINIPACK 911 SERIES OPERATORS MANUAL Page 31 d Set alarms according to instructions listed previously in Section 4 of this manual The monitor will immediately proceed to continuously monitor the SpO 7 The percentage of oxygen saturation is averaged over eight beats and the pulse rate is averaged over eight seconds The LED bar graph will indicate the SpO gt pulse signal strength with variable height display The pulse beep sounds as each pulse beat is detected When a drop in SpO gt value is detected a lower beep tone will sound The volume of the SpO tone and other non alarm sounds can be adjusted by the SOUND knob located on the side panel 2 CAUTIONS AND WARNINGS IN Stretching the Microfoam tape and attaching the tape too tightly to the skin may generate inaccurate readings and cause blisters on the patient s skin Lack of skin respiration not heat c
62. ture the monitor can register D e Oral Temperature Monitoring The MINIPACK 911 SERIES can be special ordered to utilize a temperature probe which will give oral temperature readings The temperature is obtained from a thermistor in the temperature probe tip of the temperature probe MINIPACK 911 SERIES OPERATORS MANUAL Page 40 To prepare the oral temperature probe for use 1 Connect it to the TEMP receptacle on the side panel of the monitor 2 Insert the probe fully into a disposable probe cover and withdraw from box S Place oral temperature probe into the patient s mouth to insure proper positioning of the probe under the patient s nostrils a nurse or technician may need to hold the probe in place AY Y Y The oral temperature will be displayed in 25 35 seconds One minute after the first readings are displayed the temperature reading will be continuously updated every second Inaccurate determination of temperature can be caused by improper positioning of the probe E Temperature Scale The temperature readings can be displayed in either Fahrenheit or Celsius readings To change the temperature scale a Press and release the HIGH pushbutton until the parameters cycle through until the temperature reading is displayed in the TEMP display b Press the NIBP HOLD pushbutton until the monitor beeps twice c As soon as the second beep sounds release the NIBP HOLD pushbutton The temperature reading will be ch
63. uring the warranty period transportation charges prepaid This warranty does not apply if the product e has been damaged from improper operation misuse or failure to follow operating instructions provided with the product misapplication or negligence e has been damaged because it has been improperly connected to other equipment e has been damaged by accident e has been tampered with or modified without the express permission of Pace Tech e has had the serial number removed or defaced This is the only warranty from Pace Tech and supersedes all other warranties expressed or implied otherwise This warranty is non transferable and applies only to the original purchaser and does not extend to subsequent owners of the product MINIPACK 911 SERIES OPERATORS MANUAL Page 5 Please fill out the self addressed warranty registration card enclosed in the back of this Operators Manual and return it to Pace Tech Inc Also save the original shipping container for service and repair returns For technical and service information refer to the Service Manual your dealer or the Customer Service Department at Pace Tech Inc 510 Garden Ave N Clearwater Florida 34615 phone 813 442 8118 800 722 3024 fax 813 443 7257 C General Safety 1 INDICATIONS The MINIPACK 911 SERIES is intended for use by persons trained in professional health care to measure and monitor the following parameters e NIBP systolic diastolic and mean ar
64. urning the black knob counterclockwise k Disconnect the assembly from the water trap NOTE If the beep tone does not sound check the calibration equipment and repeat the procedure Return the unit to the factory for repair 1f repeated calibration failures are obtained After the calibration is complete the monitor will return to normal operation in approximately ten seconds D CO and Respiration Monitoring Grip the bottom of the water trap tilt the top back slightly and gently push the trap up and into the side panel opening Make sure the water trap is firmly seated The water trap is a disposable item It is intended for single use only Accurate measurements require a leak free system To verify that the system is free of leaks place a finger over the input port on the water trap for two or three seconds If occlusion does not appear on the display in one second a leak exists The seals on the water trap are the most likely source of leaks Examine the seals to make sure that the water trap is properly positioned Erratic low readings indicate a leak Set alarms if values should be changed Refer to the section on ALARM LIMITS SETUP 1 NASAL SAMPLE LINE Using a CO sample line place the prongs in the patient s nostrils Then route the sample line over and behind the ears Move the slide up to the patient s chin to minimize the sample line movement Secure the sample line to the cheeks if necessary Attach

911 Series Operators Manual - Pacetech

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