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Accutorr 7 Operators Manual

1. Alarm Clearable Alarm Cause Solution Message Yes No Level Temp Over No High The patient s Reduce the patient s High Limit temperature is too temperature or high or an error replace the module occurs Temp Over No High The patient s Raise the patient s Low Limit temperature is too temperature or low or an error replace the module occurs Temp No Yes Med The probe is Reconnect the probe Probe disconnected Temp Probe Yes Med The temperature 1 Check if the probe Misplaced probe is not well well is installed placed or not 2 Properly re insert inserted into probe the probe into probe well well Temp Yes Med The measuring time Return the sensor to Measuring is over 5 minutes in the probe well and Timeout Monitor mode take a temperature again D 2 4 Recorder Alarm Messages Alarm Clearable Alarm Cause Solution Message Yes No Level Recorder Init yes Low An error occurred to Restart the monitor If Error the module or there the problem still Recorder Yes Low is a problem with exists contact Selftest Error the communication Mindray or your between the service personnel Recorder Yes Low module and the Unavailable monitor Recorder Yes Low Comm Error Recorder Vit No Low There is a problem If the message is High with the system prompted for several power supply times contact Mindray a Vit No Low Restart the monitor or y
2. Measurement accuracy verification In adult and pediatric modes the blood pressure measurements measured with this device are in compliance with the American National Standard for Electronic or Automated Sphymomanometers ANSI AAMI SP10 in terms of mean error and standard deviation by comparing with intra arterial or auscultatory measurements depending on the configuration in a typical patient population For auscultatory reference the 5 Korotkoff sound was used to determine the diastolic pressure In neonatal mode the blood pressure measurements measured with this device are in compliance with the American National Standard for Electronic or Automated Sphymomanometers ANSI AAMI SP10 in terms of mean error and standard deviation by comparing with intra arterial measurements depending on the configuration in a typical patient population A 8 Accutorr 7 Operator s Manual A 6 4 Temp Standards Meets standards of ASTM E1112 ASTM E1104 ISO 80601 2 56 Technique Thermal resistance use thermistor to measure temperature Measurement range Monitor mode 25 to 44 C 77 to 111 2 F Predictive mode 35 to 43 C 95 to 109 4 F Accuracy Monitor mode 25 C to 32 C not include 32 C 0 2 C 32 C to 44 C include 32 C 0 1 C or 77 F to 89 6 F not include 89 6 F 0 4 F 89 6 F to 111 2 F include 89 6 F 0 2 F Resolution 0 1 C Response Time
3. Alarm delay time from monitor to remote equipment The alarm delay time form the monitor to remote equipment is lt 2 seconds measured at the monitor s signal output connector A 5 5 Data Storage Trends 5000 groups Accutorr 7 Operator s Manual A 5 6 Wireless Network Optional Standards IEEE 802 11b g n support Wi Fi Code error of wireless layer lt 100 ppm Priority All communication data types shall have the same priority Transmission delay Total delay of data transmission from the monitor to the CMS lt 2s Delay of configuration settings transmission from CMS to Accutorr 7 lt 2s measured from configuring on CMS to the settings take effect on the monitor Roaming Network switchover is automatically executed when the Accutorr 7 moves from the coverage area of one AP to that of another AP System capacity Number of the Accutorr 7 supported by a single AP is lt 16 Each Accutorr 7 can communicate with the CMS Dynamic networking stability The Accutorr 7 meets its functional requirements when it moves at a rate of no more than 3 75 m s within a 15 m non blocking linear distance Network interruption alarm When a network interruption occurs the equipment shows a disconnection icon on the screen and presents the related alarms When the network interruption is resolved wireless connection recovers automatic
4. Alarm Alarm Cause Solution Message Priority XX Too High Med XX value exceeds the upper alarm Check the patient s limit condition and check if the patient category XX Too Low Med a sere K lower than the lower and alarm limit aN settings are correct SpO2 Desat High The SpO value has fallen below Check the patient s the desaturation alarm limit condition and check if the alarm limit settings are correct No Pulse High The pulse signal was so weak that Check the patient s the monitor cannot perform pulse analysis condition SpO2 sensor and measurement site D 2 Technical Alarm Messages D 2 1 NIBP Alarm Messages Alarm Clearable Alarm Cause Solution Message Yes No Level NIBP Sys Limit No Low The parameter alarm Contact Mindray or Err limit is inadvertently your service NIBP Dia Limit No Low changed personnel Err NIBP Mean No Low Limit Err NIBP Sys Over Yes Low The measured Check the patient s Upper Limit pressure is greater condition and keep than the specified the patient relaxed Peer A res Low NIBP measurement and still If the error Pee upper limit remains contact NIBP Mean Yes Low Mindray or your Over Upper service personnel Limit Accutorr 7 Operator s Manual D 1 Alarm Clearable Alarm Cause Solution Message Yes No Level NIBP Sys Over Yes Low The measured Restart the moni
5. Nurse Call Cable 009 003116 00 Serial Port Cable 009 003436 00 Recorder Paper 0683 00 0505 02 U S Power Cord 0012 25 0001 USB disk 023 000217 00 Accessories Kit Component Part No Barcode Scanner Kit 1D Bar Code Scanners 023 000254 00 Accutorr 7 Operator s Manual 15 3 Material Part No 115 008393 00 USB Cable of ASYMBOL Scanner 009 001397 00 Accutorr 7 Welch Allyn Temp Support Kit 115 025041 00 Accutorr 7 Welch Allyn Temp Support Assembly 115 022908 00 Accutorr 7 Welch Allyn Temp Support Installation Guide 046 006016 00 Li ion Battery Kit 115 018012 00 Li ion Battery LI23S002A 11 1V 4500mAh 022 000008 00 15 4 Accutorr 7 Operator s Manual A Product Specifications A 1 Classifications The equipment is classified according to IEC60601 1 Type of protection against electrical shock CLASS EQUIPMENT equipment energized from an external and internal electrical power source Degree of protection against electrical shock DEFIBRILLATION PROOF TYPE CF AAPPLIED PART for SpO2 NIBP and TEMP Mode of operation Continuous Degree of protection against harmful ingress of water IPX1 protection against vertically falling water drops degree of safety of application in the presence of a FLAMMABLE ANAESTHETIC MIXTURE WITH AIR or WITH OXYGEN OR NITROU
6. Type Model Patient Category Part No LNCS Pdtx Pediatric 0600 00 0122 LNCS Adtx Adult 0600 00 0121 Disposable LNCS NeoPt Neonate lt 1 kg 0600 00 0156 LNCS Neo Adult and Pediatric gt 40 Kg 0600 00 0157 neonate lt 3 Kg LNCS Inf Pediatric and Neonate 3 to 20 Kg 0600 00 0158 LNCS DCI Adult Finger 0600 00 0126 Reusable LNCS DCIP Pediatric Finger 0600 00 0127 Wavelength emited by the sensors is between 600 nm and 1000 nm Accutorr 7 Operator s Manual 15 1 The maximum photic output consumption of the sensor is less than 18 mW The information about the wavelength range and maximum photic output consumption can be especially useful to clinicians for example when photodynamic therapy is performed 15 2 NIBP Accessories Tubing Type Patient Category Part No Adult Small Adult Child 6200 30 09688 Reusable Neonate 6200 30 11560 Reusable Cuff Patent Measurement Limb Circumference cm Part No Category Site Child 10 to 19 0683 15 0001 01 Small Adult 18 to 26 0683 15 0002 01 Adult r 24 to 35 0683 15 0003 01 rm Adult Long 27 5 to 36 5 0683 15 0006 01 Large Adult 33 to 47 0683 15 0004 01 Large Adult Long 35 5 to 46 0683 15 0007 01 Adult Thigh 44 to 66 0683 15 0005 01 Disposable Cuff paver Measurement Limb Circumference cm Part No Category Site 3 1 to 5 7 001B 30 70692 4 3
7. Company Contact Manufacturer Shenzhen Mindray Bio Medical Electronics Co Ltd d ress Mindray Building Keji 12th Road South Hi tech industrial park Nanshan Shenzhen 518057 P R China Website www mindray com E mail Address service mindray com cn Tel 86 755 81888998 Fax 86 755 26582680 Distributor Mindray DS USA Inc Address 800 MacArthur Boulevard Mahwah New Jersey 07430 USA Tel 1 800 288 2121 1 201 995 8000 Website www mindray com EC Representative Address Tel Fax Shanghai International Holding Corp GmbH Europe EiffestraBe 80 20537 Hamburg Germany 0049 40 2513175 0049 40 255726 Accutorr 7 Operator s Manual Preface Manual Purpose This manual contains the instructions necessary to operate the product safely and in accordance with its function and intended use Observance of this manual is a prerequisite for proper product performance and correct operation and ensures patient and operator safety This manual is based on the maximum configuration and therefore some contents may not apply to your product If you have any question please contact Mindray This manual is an integral part of the product It should always be kept close to the equipment so that it can be conveniently obtained when needed Intended Audience This manual is intended for clinical professionals who are expected to have corresponding working knowledge of medical procedures practices and terminology as required for t
8. A When the alarm sound is switched off the equipment will give no audible alarm tones even if a new alarm occurs Therefore the user should be very careful about whether to switch off the alarm sound or not Do not rely exclusively on the audible alarm system for patient monitoring Adjustment of alarm volume to a low level may result in a hazard to the patient Always keep the patient under close surveillance 6 5 4 Adjusting Alarm Limits Automatically The monitor can automatically adjust alarm limits according to the measured vital signs using the auto limits function When auto limits are selected the monitor calculates safe auto limits based on the latest measured values To get accurate auto alarm limits you need to collect a set of measured vital signs as a baseline Then in the main menu select Main Alarm Setup gt gt Auto Set Select Ok in the pop up window The monitor will create new alarm limits based on the measured values Before applying these automatically created alarm limits confirm if they are appropriate for your patient If not you can adjust them manually The monitor calculates the auto limits based on the following rules Parameter Low alarm Limit High alarm Limit Auto set alarm limit Adult Pediatric Neonate Adult Pediatric Neonate Range SpO2 Same as the Sameasthe Sameas the Same asthe Same as the default alarm default alarm default alarm default alarm measurement
9. At least 20 minutes after a low battery alarm first occurs A 4 Physical Specifications Size 178mmx150mmx260mm 70 08 inch x 59 05 inch x 102 36 inch Weight lt 2 5 kg 5 51 Ib with SpO2 module NIBP module recorder module and a battery A 5 Hardware Specifications Display Screen type Color TFT LCD Screen Size diagonal 8 4 Resolution 800x600 pixels Recorder Method Thermal dot array Paper speed 25 mm s Number of waveform channels 1 Accutorr 7 Operator s Manual A 5 1 LEDs Alarm lamp 1 two color coded yellow and red Power on LED 1 green AC power LED 1 green Battery LED 1 green A 5 2 Audio Indicator Speaker Give alarm tones 45 to 85 dB key tones pulse tone power on self check tone support PITCH TONE and multi level tone modulation alarm tones comply with IEC 60601 1 8 A 5 3 Monitor Interface Specifications Power 1 AC power input connector Wired network 1 RJ45 connector USB 2 standard connectors USB 2 0 Equipotential Grounding Terminal 1 Multi Functions Connector 1 MINI D RIBBON connector A 5 4 Outputs Nurse Call Signal Amplitude High level gt 3V providing a maximum of 3 mA output current Low level lt 0 5 V receiving a maximum of 5 mA input current Rising and falling time lt 1ms Alarm Output Network connector
10. Do not connect non approved devices to the wireless network Where the monitor is located the signal strength of other Wi Fi devices on the same channel should be no greater than 85 dBm Where the monitor is located the signal strength of other Wi Fi devices on adjacent channels should be no greater than 50 dBm The recommended distance between the patient monitor and other non Wi Fi wireless devices including wireless devices at the frequency of 2 4GHz e g cellular mobile communication networks microwave ovens interphones cordless phones and electro surgical units is no less than 20 cm 12 2 4 ADT Communication Setup 1 Select Main Maintenance gt gt User Settings gt gt Enter the required password Select Ok to access User Settings menu 2 Select Network gt gt ADT Communication gt gt to access ADT Communication Setup menu 3 Set IP address and port and switch on off ADT query 4 Select Ok to exit the menu 12 4 Accutorr 7 Operator s Manual 12 2 5 EMR Communication Setup 1 Select Main Maintenance gt gt User Settings gt gt Enter the required password Select Ok to access User Settings menu Select Network gt gt EMR Communication gt gt to access EMR Communication Setup menu Set the IP address and port Select Ok to exit the menu 12 2 6 DIAP Communication Setup 1 Select Main Maintenance gt gt User Setti
11. 3 Basic Operation coscssscscicscnsssacscccctecassedsicssseacssesdecetsesececestensseucscesseedsoessadonsssessceonscesstess susse 3 1 EATA ILEITO oNN E EE EEEE E EEE E E EE AEE 3 1 1 Unpacking and Checking 3 1 2 Environmental Requirements 32 General O pea O E N AEE EN TAE E ETENN 3 2 1 Connection to AC Power 3 2 2 Using a Battery 3 2 3 Connecting ACCeSSOrieS sssssssssseseeeececccceeeeeeeessesessessssssssosseeteerceeeeeseeeeeeeeeesssesesssssssssssesteet 3 3 Turning On Off Power 3 3 1 Turning Power On 3 3 2 T rning off The Monitors neia RA ANE AANEREN 3 4 Using Key Knob Touchscreen 3 4 1 Using Keys 34 2 Using the KHO Disina a a a iat aar 3 4 3 Using the Touchscreen 3 5 Changing General Settings 3 5 1 Setting upa Monito aeann an eE ONE NANAS Accutorr 7 Operator s Manual 3 5 2 Changing Language 3 5 3 Configuring the Timeout of Clinician ID 3 5 4 Adjusting Alarm VOlUME scsssssscssssecsssccsseecssssccsssecsssscesueccsssecesssecesscecssucecessecssaecesaseesaes 3 5 5 Adjusting Key Volume 3 5 6 Adjusting the Screen Brightness 3 5 7 SCUING SCLEON sccsscicssosssasssatscassstiescasseciescbaceaasistatonsseadianaistazesasnscntsaivteasssenaciannsadagaccantauieanatss 3 5 8 Configuring the Timeout of Measured Value 3 5 9 Configuring Measurement Colors 3 5 10 Setting the Date and Time essssscssssccssssessssccsssecssusccsssecssseeccssecessseessueccssseecsseecesseeessaes 3 5 11 Configuring Unit 3 5 12 Co
12. Auto mode repetition intervals 1 2 2 5 3 5 10 15 20 30 60 90 or 120 min STAT mode cycle time 5 min Max measurement time AFMI REARS i Neonate 90s Heart rate range 40 to 240 bpm Adult Pediatric Neonate Measurement ranges Systolic 40 to 270 40 to 200 40 to 135 mmHg Diastolic 10 to 210 10 to 150 10 to 100 Mean 20 to 230 20 to 165 20 to 110 Accuracy Max mean error 5 mmHg Max standard deviation 8 mmHg Static pressure 0 mmHg to 300 mmHg measurement range Static pressure measurement accuracy Sang Resolution 1mmHg Accutorr 7 Operator s Manual A 7 Adult 80 to 280 Initial cuff inflation Pediatric 80 to 210 sate al oA Aaa Neonate 60 to 140 ENAA Adult 160 efault initial cu ein inflation pressure mmHg oo eonate Adult 297 3 mmHg Software overpressure Pediatric 240 3 mmHg protection i Neonate 147 3 mmHg Adult lt 330 mmHg SAE OS Pediatric lt 330 mmHg Neonate lt 165 mmHg Alarm limit Range mmHg Step mmHg Adult low limit 5 to 270 Sys High Pediatric low limit 5 to 200 Neonate low limit 5 to 135 Sys Low 40 to high limit 5 Adult low limit 5 to 230 Mean High Pediatric low limit 5 to 165 Neonate low limit 5 to 110 Mean Low 20 to high limit 5 Adult low limit 5 to 210 Dia High Pediatric low limit 5 to 150 Neonate low limit 5 to 100 Dia Low 10 to high limit 5
13. Interval 30s Graphic Trends Zoom on C 2 3 Record Saved at Power Affected by Name Default Config Failure Defaults SpO2 wave Selected Yes No Manual Inputs Selected Accutorr 7 Operator s Manual C 2 4 Others Name Default Config ane power as aie by Brightness 5 Alarm Volume 2 Key Volume 2 Yes Yes Display Setup All Parameters Parameter Time Out 15 min Height cm Weight kg Pressure mmHg Tene T Yes No Glucose mg dl 1 0 Fluid ml Date Current date Time Current time Date Format yyyy mm dd Yes No Time Format 24h Yes No C 3 User Maintenance Items Name Default Config ated power aie by Spot Check Off SPO2 Tone Mode 1 Clinician ID Time Out 10 min Yes No Language English Network Type LAN Clear CMS IP at Startup Off Accutorr 7 Operator s Manual FOR YOUR NOTES C 6 Accutorr 7 Operator s Manual D Alarm Messages This chapter lists only the most important physiological and technical alarm messages Some messages appearing on your monitor may not be included In the Solution column corresponding solutions are given instructing you to troubleshoot problems If the problem persists contact your service personnel m means the alarm level is user adjustable mM XX represents a measurement or parameter label such as NIBP PR etc D 1 Physiological Alarm Messages
14. Pe NS A Insert a USB drive into the USB connector on the monitor Select Main Transfer Data to USB Select Period and select your desired time Select Transfer Data CAUTION The USB drive you use may have write protect function In this case please make sure the USB drive for data transfer is in read write mode Do not remove the storage medium during data transfer process Otherwise data files may be damaged The normal monitoring function will be affected during data export Do not perform any monitoring activity during data export Accutorr 7 Operator s Manual 4 9 FOR YOUR NOTES Accutorr 7 Operator s Manual 5 Managing Configurations 5 1 Overview When performing continuous patient monitoring the clinical professional often needs to adjust the monitor s settings according to the patient s condition The collection of all these settings is called a configuration The monitor provides different sets of configurations to accommodate the varying patient categories and departments You can change the settings from a default configuration and then save it as a user configuration A WARNING The configuration management function is password protected The configuration management tasks must be performed by clinical professionals The system configuration items can be classified as E Parameter configuration items These items relate to parameters e g alarm switch alarm limits H
15. Plug the power cord into the AC power source If you run the monitor on battery power ensure that the battery is sufficiently charged 4 Press the power on off switch on the monitor s front panel The monitor will perform alarm system self test during start up After pressing the power on off button the system sounds a beep and the alarm lamp simultaneously turns yellow then red and then turns off with the start up screen being shown Then the start up screen disappears The alarm system self test succeeds The monitor enters the normal monitoring screen Vi Swsinnic Do not use the monitor on a patient if you suspect it is not working properly or if it is mechanically damaged Contact your service personnel or Mindray Check that visual and auditory alarm signals are presented correctly when the equipment is powered on Do not use the equipment for any monitoring procedure on a patient if you suspect it is not working properly or if it is mechanically damaged Contact your service personnel or Mindray NOTE Carefully check if the system performs the self test as described above Contact your service personnel or Mindray if the self test is abnormal 3 4 Accutorr 7 Operator s Manual 3 3 2 Turning off the Monitor Before turning off the monitor 1 2 3 Ensure that monitoring of the patient has been completed Disconnect cables and sensors from the patient Make sure to save or clear the pat
16. Pulse and Continuous Pulse the nurse call signal is a pulse signal and each pulse lasts 1 second When multiple alarms occur simultaneously only one pulse signal is output If an alarm occurs but the previous one is not cleared yet a new pulse signal will also be outputted Continuous the nurse call signal lasts until the alarm ends i e the duration of a nurse call signal equals to that of the alarm condition 4 Select Contact Type and toggle between Normally Open and Normally Closed Normally Open Select if your hospital s nurse call relay contact is normally open Normally Closed Select if your hospital s nurse call relay contact is normally closed 5 Select Alarm Level and set the alarm level for nurse call triggering alarms Select Alarm Category and then select the category to which the nurse call triggering alarms belong Alarm conditions are indicated to nurses only when 1 The nurse call system is enabled 6 10 Accutorr 7 Operator s Manual 2 Analarm that meets your preset requirements occurs and 3 The monitor is not in the alarm paused or silence status If no setting is selected from Alarm Level or Alarm Category no nurse call signal will be triggered if alarms occur A WARNING e To obtain the nurse call signal use the nurse call cable PN 009 003116 00 we supply Otherwise the nurse call function will not work and the monitor may be damaged
17. loose the cuff application site If the error persists replace the cuff D 2 Accutorr 7 Operator s Manual Alarm Clearable Alarm Cause Solution Message Yes No Level NIBP Yes Low The measured NIBP Contact Mindray or Overrange value is not within your service the specified range Personnel NIBP Yes Low Patient s arm moves Check the patient s Excessive too much condition and reduce Motion the patient motion NIBP Cuff Yes Low The NIBP airway may Check the airway and Overpress be occluded measure again NIBP Signal Yes Low The NIBP signal is Check the patient s Saturated saturated condition and reduce the patient motion or other sources NIBP Air Leak Yes Low The NIBP airway may The NIBP cuff is not leak air properly connected or there is a leak in the airway NIBP Equip Err Yes High System error or Check the patient s pump A D sampling condition and NIBP or pressure connections or transducer error or replace the cuff pointer error during software running NIBP Timeout Yes Low Time is out In Adult Pediatric mode the measurement time is over 120 seconds in neonate mode the time is over 90 seconds NIBP Cuff Yes Low The cuff type Verify the patient Type Wrong applied mismatches category and replace the patient category the cuff NIBP Illegally Yes Low An illegal reset Check if the airway is Reset occurred during occlud
18. 0 38 0 73 1 1 20 1 20 2 30 10 3 80 3 80 7 30 100 12 00 12 00 23 00 For transmitters rated at a maximum output power not listed above the recommended separation distance d in metres m can be estimated using the equation applicable to the frequency of the transmitter where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer Note 1 At 80 MHz and 800 MHz the separation distance for the higher frequency range applies Note 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people B 4 Accutorr 7 Operator s Manual B 2 Radio Regulatory Compliance RF parameters Protocol IEEE 802 11b g n Modulation mode DSSS and OFDM Operating frequency 2412 2472 MHz Channel spacing 5 MHz Wireless baud rate IEEE 802 11b 1 11 Mbps IEEE 802 119 6 54 Mbps IEEE 802 1 1n 6 5 65 Mbps Output power lt 20 dBm CE requirement detection mode RMS lt 30 dBm FCC requirement detection mode peak power Operating mode Infrastructure Data security WPA2 PSK encryption supported The device when configured with the WM1010BGN wireless module complies with part 15 of the FCC Rules Operation is subject to the condition that this device does not cause harmful interference Operation of this
19. Clearable Alarm Cause Solution Message Yes No Level Temp Init Err Yes High An error occurred to Restart the monitor If the Temp module or the error remains there is a problem contact your service with the personnel communications between the module and the monitor or Temp calibration error Temp Comm No High An error occurred to Restart the monitor If Err the Temp module or the error remains there is a problem contact Mindray or with the service personnel communications between the module and the monitor Temp Alarm No High The alarm limit of Contact Mindray or Limit Err Temp is changed your service inadvertently personnel Warmup Yes Med The initial probe Cool the probe and Timed Out temperature in retry measurement is too high Warming No Med The thermal resistor Replace temperature Resistor Err on the temperature probe probe has an error Can not work properly Ambient Yes Med The environmental Change an Temp temperature is out environment and Overrange the range of the retry monitor s measurement Temp Voltage Yes Med The voltage is too Check the power Err high or too low supply Temp Yes Low The measuring Retry the Prediction Err operation is measurement improper Temp SelfTest No High An error occurs Replace the module Err during Temp module initialization D 6 Accutorr 7 Operator s Manual
20. Male DOB ryyymmd 1963 4 a1 Obtain Patient Information gt gt Ok Cancel 2 Enter the demographic details If the monitor is connected to ADT database through the eGateway when you input patient MRN the patient information in the same MRN stored in ADT database will automatically synchronize to patient demographics of the monitor 3 Select Ok You can configure the Patient Demographics menu 1 Select Main Maintenance gt gt User Settings gt gt enter the required password select Ok to access User Settings menu 2 Select Patient Demographics gt gt Accutorr 7 Operator s Manual 4 1 3 Enter information in Patient Demographics menu Required Information these items are required and must be entered when you select the Save QuickKey to manually save patient information and Optional Information this information is optional and not required when admitting a patient 4 Select to save the configuration and exit the menu NOTE In User Settings gt gt Patient Demographics gt gt gt Patient Demographics Setup menu the symbol indicates a required field The patient demographic information cannot be saved until all the required data is entered Ifaclinician ID is entered but there is no activity on the monitor fora configured period of time the monitor clears the ID Refer to Section 3 5 3 Configuring the Timeout of Clinician ID 4 1 2 Admitting a Pati
21. Monitor mode lt 60 s Predictive mode lt 20 s typical test lt 12s Alarm limit Range Step z low limit 1 C to 44 C Temp High ARS low limit 1 8 C to 111 2 F 0 1 C 25 C to high limit 1 C 0 2 F Temp Low Sra aaa 77 F to high limit 1 8 F Statistical Results of Clinical Investigation Data Clinical BIAS Acb Limits of Agreement LA Clinical Repeatability or Oral 0 02 0 33 0 1 Axilla 0 06 0 38 0 13 Rectum 0 05 0 48 0 14 Accutorr 7 Operator s Manual A 9 FOR YOUR NOTES Accutorr 7 Operator s Manual B EMC and Radio Regulatory Compliance B 1 EMC The device meets the requirements of IEC 60601 1 2 All the accessories listed in Chapter 15 also meet the requirements of IEC 60601 1 2 when in use with this device NOTE Using accessories transducers and cables other than those specified may result in increased electromagnetic emission or decreased electromagnetic immunity of the equipment The device or its components should not be used adjacent to or stacked with other equipment If adjacent or stacked use is necessary the device or its components should be observed to verify normal operation in the configuration in which it will be used The device needs special precautions regarding EMC and needs to be installed and put into service according to the EMC information provided below Other devices may interfere with this de
22. acetone based cleaners Accutorr 7 Operator s Manual 14 1 ne Be sure to turn off the monitor and disconnect all power cables from the outlets before cleaning the equipment Use only Mindray approved cleaners and disinfectants and methods listed in this chapter to clean or disinfect your equipment Warranty does not cover damage caused by unapproved substances or methods We make no claims regarding the efficacy of the listed chemicals or methods as a means for controlling infection For infection control methods consult your hospital s Infection Control Officer or Epidemiologist Deacon If you spill liquid on the equipment or accessories contact Mindray or your service personnel 14 1 1 Cleaning Clean your equipment on a regular basis Consult your hospital s regulations before cleaning the equipment The recommended cleaning agents include Sodium hypochlorite bleach 10 Isopropanol 70 To clean your equipment follow these rules 1 2 3 4 5 Shut down the monitor and disconnect it from AC power Clean the display screen using a soft clean cloth dampened with a cleaning agent Clean the exterior surface of the equipment using a soft cloth dampened with a cleaning agent Wipe off all the cleaning solution with a dry cloth after cleaning if necessary Dry your equipment in a ventilated cool place 14 1 2 Disinfecting If disinfecting is required because of hospital policy
23. alarms of different levels occur simultaneously the monitor will select the alarm of the highest level light the alarm lamp and give alarm sounds accordingly Multiple alarm messages scroll on the screen Some physiological alarms such as the Desat alarm are exclusive They have identical alarm tones and alarm lights as normal high level physiological alarms but their alarm messages are displayed exclusively When an exclusive physiological alarm and a normal high level physiological alarm are triggered simultaneously only the exclusive physiological alarm message is displayed 6 3 3 Alarm Messages When an alarm occurs an alarm message will appear in the technical or physiological alarm area The alarm message has different background color which matches the alarm level High level alarms red E Medium level alarms yellow m Low level alarms yellow For physiological alarms the asterisk symbols before the alarm message match the alarm level as follows High level alarms ee E Medium level alarms eS E Low level alarms X When there are multiple messages the messages scroll 6 3 4 Flashing Numerics If an alarm triggered by an alarm limit violation occurs the numeric of the measurement in alarm will flash every second and the corresponding alarm limit will also flash at the same frequency indicating the high or low alarm limit is violated 6 3 5 Alarm Status Symbols Apart from the aforementioned alarm indicato
24. and the remaining alarm pause time are displayed in For physiological alarms alarm indicators are not shown New physiological alarms will not be presented If the alarm condition still exists once the pause time expires the alarms will be presented remain presented For technical alarms alarm sounds are paused but alarm lamps and alarm messages The default alarm pause time is 2 minutes When the alarm pause time expires or the low cancel the alarm paused status by pressing and holding the 2 seconds battery alarm occurs the alarm paused status is automatically deactivated You can also hardkey for more than Accutorr 7 Operator s Manual 6 7 Switching Off Alarm Sound When alarm volume is set to 0 the alarm sound is turned off In the audio alarm off state E The Audio Off symbol is displayed Audio indication of all alarms is suspended You can cancel the alarm sound off status by setting alarm volume to a value from 1 to 10 A WARNING Pausing or switching off alarms may result in a hazard to the patient Please be very careful 6 8 Resetting Alarms By pressing the hardkey you can reset the alarm system to acknowledging the on going alarms and enable the alarm system to respond to a subsequent alarm condition For physiological alarms except the NIBP related alarms when the alarm system is reset The alarm sound is silenced A V appears before the alarm message indic
25. between 0 3 and 1 is acceptable Below 0 3 indicates low perfusion reposition the SpO2 sensor or find a better site If low perfusion persists choose another method to measure oxygen saturation if possible Pulse rate derived from pleth wave detected pulsations per minute Obtain PR through the SpO or NIBP measurement When simultaneously measuring NIBP and SpO2 the PR source is from SpO2 w A ni Accutorr 7 Operator s Manual 7 1 NOTE If the message SpO Low Perf or SpO2 Weak Pulse displays check sensor application re apply or remove the sensor if necessary to obtain a better signal A function tester or SpO simulator can be used to verify the sensor functions A function tester or SpO simulator can be used to determine the pulse rate accuracy e A function tester or SpO2 simulator cannot be used to assess the accuracy of an SpO2 module or an SpO sensor 7 2 Safety WARNING A Only use SpO sensors specified in this manual Follow the SpO2 sensor s instructions for use and adhere to all warnings and cautions When a trend toward patient deoxygenation is indicated blood samples should be analyzed by a laboratory co oximeter to completely understand the patient s condition Prolonged monitoring may increase the risk of undesirable changes in skin characteristics such as irritation reddening blistering or burns Inspect the sensor site every two hours and move the sensor if the ski
26. high priority alarms and medium priority alarms are latched Only the unacknowledged physiological alarm can be latched The latched alarms will be cleared when the monitor enters the alarm reset state Accutorr 7 Operator s Manual 6 9 NOTE Changing of alarm priority may affect the latching status of corresponding alarm Determine if you need to reset the latching status for the specific alarm after changing its alarm priority 6 11 Actions for Alarm Occurrence When an alarm occurs observe the following steps and take proper actions 1 Check the patient s condition Confirm the alarming parameter or alarm category Identify the source of the alarm Take proper action to eliminate the alarm condition Make sure the alarm condition is corrected BO NS For details about how to deal with specific alarms refer to Appendix D Alarm Messages 6 12 Nurse Call The monitor provides a multi function connector to output nurse call signals when a user defined alarm occurs To obtain a nurse call signal use the nurse call cable P N 009 003116 00 we supply to connect the hospital nurse call system to the multi function connector of the monitor and then follow this procedure 1 Select Main Maintenance gt gt User Settings gt gt Enter required password Select Ok and then access User Settings menu 2 Select Nurse Call gt gt to access the Nurse Call Setup menu 3 Select Signal Type and toggle between
27. may fluctuate rather than remaining steady for a period of several seconds Often the patient SpO2 may fluctuate above and below an alarm limit re entering the non alarm range several times During such fluctuation the monitor integrates the number of SpO points both positive and negative until either the Sat Seconds limit is reached or the patient SpO gt 2 re enters the non alarm range and remains there Accutorr 7 Operator s Manual 7 5 7 5 7 Changing the Speed of Pleth Wave In the SpO2 Setup menu select Sweep and then select the appropriate setting The faster the waveform sweeps the wider the waveform is 7 5 8 Setting the Alarm Level for SpO2 Sensor Off Alarm In the SpO2 Setup menu select SpO2SensorOff Lev and then select the appropriate setting 7 6 Measurement Limitations If the SoO2 measurement seems out of range or inaccurate check the patient s vital signs Then check the equipment and SpO sensor The following factors may influence the accuracy of measurement Ambient light Physical movement Low perfusion Electromagnetic interference such as MRI environment Electrosurgical units Dysfunctional hemoglobin such as carboxyhemoglobin COHb and methemoglobin MetHb Presence of certain dyes such as methylene and indigo carmine Inappropriate positioning of the SpO2 sensor or use of incorrect SpO2 sensor E Drop of arterial blood flow to immeasurable levels caused by shock anemia low
28. min 1 h 1 5 h 2 h The monitor automatically measures NIBP based on the specified time interval E Program 1 and Program 2 The monitor automatically measures NIBP based ona program configured by user 9 7 2 Setting the Initial Cuff Inflation Pressure You can set the initial cuff inflation pressure manually In the NIBP Setup menu select Initial Pressure and then select the appropriate setting The initial inflation pressure range is as follows Patient Category Range mmHg Default mmHg Adult 80 280 160 Pediatric 80 210 140 Neonate 60 140 90 NOTE For known hypertensive patients you need to set the initial cuff pressure to a higher value to reduce the measurement time 9 7 3 Setting NIBP End Tone The monitor can issue a reminder tone at the completion of NIBP measurement The NIBP End Tone is off by default You can switch it on by accessing the NIBP Setup menu 9 7 4 Switching On Off Measurement on Clock In auto measuring mode if the clock is enabled the NIBP automatic measurement interval will be synchronized with the real time clock For example if Clock is set to On and Interval is set to 20min and then you start an NIBP auto measurement at 14 03 the next measurement will be taken at 14 20 and the following measurement time will be 14 40 15 00 and so on Accutorr 7 Operator s Manual 9 7 9 7 5 Configuring a Custom Program In the NIBP Setup menu yo
29. on a heart lung machine The equipment may fail to measure or produce inaccurate blood pressure measurements under the following conditions m farterial pressure pulses are hard to detect E Inthe presence of excessive and continuous patient movement such as shivering or convulsions During certain cardiac arrhythmias For pregnant or pre eclamptic patients Rapid blood pressure changes Severe shock or hypothermia that reduces blood flow to the peripheries Obesity where a thick layer of fat surrounding a limb dampens the oscillations emanating from the artery 9 4 NIBP Measurement Mode There are the following modes of measuring NIBP m Manual measurement on demand Auto continually repeated measurements at set intervals E STAT continually rapid series of measurements over a five minute period then return to the previous mode To set NIBP measurement mode select NIBP parameter area to access NIBP Setup menu E Select Interval to select manual mode or auto NIBP measurement interval E Select NIBP STAT to start a continuous NIBP measurement If the monitor is in Spot Check mode you can only manually measure the NIBP If the monitor is in Monitor mode you can measure auto continuous and manual NIBP To enable or disable Spot Check refer to 2 6 2Spot Check Mode Accutorr 7 Operator s Manual 9 3 9 5 Measuring NIBP 9 5 1 Preparing the Patient In order to minimize NIBP measurement measurement error
30. power failure the equipment stores the configuration in real time The saved configuration is the latest configuration The monitor restores the latest configuration if it restarts within 60 seconds after a power failure And it restores the default configuration rather than the latest configuration if it restarts 120 seconds after a power failure The monitor loads either the latest configuration or the default configuration if it restarts from 60 120 seconds after a power failure Accutorr 7 Operator s Manual 5 3 FOR YOUR NOTES 5 4 Accutorr 7 Operator s Manual 6 Alarms Alarms triggered by an abnormal vital sign or technical issue with the monitor are visually and audibly indicated to the user WARNING A A potential hazard can exist if different alarm presets are used for the same or similar equipment in any single area e g an intensive care unit or cardiac operating room If your equipment is connected to a CMS remote suspension inhibition and reset of monitor alarms via the CMS may cause a potential hazard For details refer to the CMS s instructions for use 6 1 Alarm Categories The equipment s alarms can be classified into two categories physiological alarms and technical alarms 1 Physiological alarms Physiological alarms also called patient status alarms are triggered by a monitored parameter value that violates set alarm limits or an abnormal patient condition The physiologic
31. protocol 12 2 Network 12 2 1 Network Connection The monitor can be connected to the central station through the network E The Accutorr 7 transmits waveforms and numerics of parameters Temp SpO2 NIBP related alarms and alarm settings patient information and operating mode to the central station The waveforms numerics alarms alarm settings patient information and operating mode displayed on central station are consistent with Accutorr 7 E The central station transmits alarm settings parameter settings patient information and operating mode settings enter or exit the Standby mode to the Accutorr 7 The alarm settings parameter settings patients information and operating mode settings of the Accutorr 7 are consistent with central station The monitor can be connected to the ADT system and the EMR system through the eGateway The Accutorr 7 transmits the query command message to the ADT system When the ADT system receives the query command message the ADT system will transmit the patients information to the Accutorr 7 E The Accutorr 7 transmits numerics of Temp SpO2 NIBP related alarms and alarm settings patient information operating mode and historical data including trends and events to the EMR When the EMR receives the data the EMR will send a success message to the Accutorr 7 CAUTION Disconnecting from the network may result in data loss including parameter waveforms and measureme
32. s Manual 2 13 FOR YOUR NOTES 2 14 Accutorr 7 Operator s Manual 3 Basic Operation 3 1 Installation Winne The equipment should be installed by authorized Mindray personnel Do not open the equipment housings All servicing and future upgrades must be carried out by Mindray trained and authorized personnel The software copyright of the equipment is solely owned by us No organization or individual shall resort to altering copying or exchanging it or to any other infringement on it in any form or by any means without due permission Connect only approved devices to this equipment Devices connected to the equipment must meet the requirements of the applicable IEC standards e g IEC 60950 safety standards for information technology equipment and IEC 60601 1 safety standards for medical electrical equipment The system configuration must meet the requirements of the IEC 60601 1 medical electrical systems standard Any personnel who connect devices to the equipment s signal input output port is responsible for providing evidence that the safety certification of the devices has been performed in accordance to the IEC 60601 1 If you have any questions please contact Mindray If it is not evident from the equipment specifications whether a particular combination with other devices is hazardous for example due to summation of leakage currents please consult the manufacturers or else an expert in the field to ensure th
33. sent out when the monitor is connected to Electronic Medical Record system EMR 4 6 Accutorr 7 Operator s Manual In the spot check tabular trends Parameter value triggering high level alarm has a red background parameter value triggering medium or low level alarm has a yellow background Patient data successfully sent to the EMR displays as v Patient data that failed to transmit to the EMR displays as x Patient data that is cached on the device but not transmitted displays as Q 4 4 2 Continuous Trends Select Continuous Trends tab to access the Continuous Trends screen 1 Spot Check Trends Continuous Trends Graphic Trends Delete All 2 Tabular trend 2 Button area 3 Parameter value triggering alarm In this tab you can Select MRN or Name to select the desired patient Select Interval to set the interval for the data to be displayed Select the page key for example _ and then use up or down arrow beside the key to turn the page Select Print to print the trend data of selected patient Select Delete All to delete the trend data of selected patient Parameter value triggering high level alarm has a red background parameter value triggering medium or low level alarm has a yellow background Accutorr 7 Operator s Manual 4 7 4 4 3 Graphic Trends Select Graphic Trends tab to access the Graphic Trends screen The Graphic Trend screen displays the current patient s physiologi
34. system time Reset with the button cell and restart the monitor If the problem still exists contact Mindray or your service personnel PWR Yes Low Power supply to the Check the interrupted monitor was measurements when Check meas interupted the monitor restarts If State the problem still exists contact your service personnel or Mindray Accutorr 7 Operator s Manual D 2 6 System Alarm Messages Alarm Clearable Alarm Cause Solution Message Yes No Level No CMS Yes Low The monitor is Check network disconnected from the CMS connection Accutorr 7 Operator s Manual FOR YOUR NOTES D 10 Accutorr 7 Operator s Manual E Symbols and Abbreviations E 1 Symbols pA uV Us A Ah bpm bps C cm dB DS oF GHz min ml mm mmHg ms microampere microvolt Microsecond ampere ampere hour beat per minute bit per second centigrade centimeter decibel dyne second fahrenheit gram gigahertz hour hertz inch kilo kilogram kilopascal litre pound meter milliampere hour mega byte milligram minute milliliter millimeter millimeters of mercury millisecond Accutorr 7 Operator s Manual mV millivolt mW milliwatt MQ megaohm nm nanometer rpm breaths per minute s second V volt VA volt ampere Q ohm WwW watt minus negative percent per divide or ae to plus equal to lt less
35. the monitor is powered on the battery status symbol on the monitor screen displays is when the charging is complete 13 3 Replacing a Battery 1 Power off the monitor Open the battery compartment door Push aside the battery latch and remove the battery Place a new battery into the slot with its contact point inward E ae la a Close the battery compartment door 13 4 Battery Guidelines Life expectancy of a battery depends on how frequently and how long it is used Fora properly maintained and stored lithium ion battery its life expectancy is about 3 years For more aggressive use models life expectancy can be less We recommend replacing lithium ion batteries after 500 full charge discharge cycles or every 3 years from first use whichever occurs first To get the most out of the battery observe the following guidelines E The battery performance test must be performed once a year before monitor repairs or whenever battery performance is suspect H Condition the batteries every three months or when their run time becomes noticeably shorter E Remove the battery before shipping the monitor or if it will not be used for an extended period of time E Remove the battery from the monitor if it is not being used regularly Leaving the battery in a monitor that is not in regular use will shorten the battery life m When storing batteries make sure that the battery terminals do not come into contact with metallic objec
36. 1 D 2 Technical Alarm M SSaQe S sssssssssssssssssssssssssssssesssssssesssssssecsssssseessssnscessssnseessssnseesssssseesssssseesssssess D 1 E Symbols and Abbreviations cccccsssssscsssssssscsssssscesssssessssssessessscssessscssessssssessossees E 1 E Fe SWIMS sisastscssssassasccsssaassassssscossnsssaadasscarsacsscausdegepnsusiasssebsconsisastsosnachsistaas ebsssshasssassecgongasasiasoscssnoasssedtaies E 1 E22 Ab reviatio NS aisean esai Eoia E n a ATTER EO ans ESE AER NEEESE E 3 F I R A T T E EE S EE F 1 F 1 NIBP Smart Inflation ANOMAly sssssssscccccsssssssscseccsssssseeeccesesssssessceeeeessssssesseeeeesnsneeseeseeesnnnseeeseeee F 1 6 Accutorr 7 Operator s Manual 1 Safety 1 1 Safety Information Miani Indicates a potential hazard situation or unsafe practice that if not avoided could result in death or serious injury ee Indicates a potential hazard or unsafe practice that if not avoided could result in minor personal injury or product property damage NOTE Provides application tips or other useful information to ensure that you get the most from your product Accutorr 7 Operator s Manual 1 1 1 1 1 Warnings Because This equipment is restricted to one patient at a time Before putting the system into operation the operator must verify that the equipment connecting cables and accessories are in correct working order and operating condition To avoid risk of elec
37. 5 hours until the battery is full 4 Remove the AC power and allow the monitor to run from the battery until the battery is completely depleted and the monitor automatically shuts off 5 Again connect the monitor to the AC power Fully charge the battery again for use or charge it to 40 60 for storage NOTE The battery charge level indicator does not indicate the capacity or operating time of the battery It only indicates the current battery charge level The actual battery capacity decreases over time with the use of the battery For an old battery its capacity and operating time may not fulfill battery specifications even if the battery charge level indicates the battery is in full charge Please replace the battery if its operating time is significantly lower than the specified time Accutorr 7 Operator s Manual 13 3 13 5 2 Checking a Battery The performance of a rechargeable battery will deteriorate over time The battery performance test must be performed once a year before monitor repairs or whenever battery performance is suspect To check battery performance 1 Disconnect the monitor from the patient and stop all monitoring or measuring 2 Turn off the monitor Disconnect the monitor from the AC power 3 Install the battery 4 Connect the monitor to AC power Allow the battery to be charged uninterrupted for 6 5 hours until the battery is full 5 Note the time Remove AC power and allow the monitor to run from
38. 6 1 6 1 Alarm Categories 6 2 Alarm Levels 6 3 Alarm Indicators 6 3 1 Alarm Lamp 6 3 2 Audible Alarm Tones 6 3 3 Alarm Messages 6 3 4 Flashing NUMELICS c cssssccssssccsssscssseccssseccsseccssscecsssecesseecssnecesssecesnsecesuscccssccesusecesaeecsasecesseees 2 Accutorr 7 Operator s Manual 6 3 5 Alarm Status SYMbOIS cssssssscccssssescccsssscecssssecsessnseceessnnsecsessnseceesssssssessnsseessannsesseenseeseste 6 3 GA SECC Ala MS csesscccssascssssassacasecssceasacscuscssssasstasuedessiacasisscoasdecasacesdsicaayasosussscsscacousiscsscataastscassasotayensiasies 6 4 6 5 Selecting Alarm Properties 6 5 6 5 1 Changing the Alarm VOlUME sssssssscssssscssseccssseccsssecesuscesssecesuecesssecssneecssueecssseessnecesaeees 6 5 6 5 2 Setting the Minimum Alarm VOIUME ssessssseccsseccssseccsseccssseccsseccssneecssseessueeessneessneeess 6 5 6 5 3 Setting the Interval between Alarm SOUNAS escssssccsseccsseeccssssccseecsseccssseecsnecesseees 6 5 6 5 4 Adjusting Alarm Limits Automatically ssssssscccssssesscsssessscsnnsesessnseesecsnssesessnneesseenee 6 6 6 6 Pusing Alarm S esesissssccesssscosssssnssscnsdezenasescsazasonsgsctazsacaissasasasecasvedatenscadscoaisecossschana asaigctessiscosateiobisesaiaencs 6 7 6 7 Switching Off Alarm Sound cssssssssssssssssssssssssssssssssesssssnsesssssssscsssssuesessssssecssssueecssssnsecssssnseessssnsesss 6 8 6 8 Resetting Alarms 0 6 9 Setting th
39. ADT database through the eGateway the monitor can obtain patient information from the ADT database 1 2 3 Select Patient List QuickKey Select ADT Database and the ADT database screen displays Search a patient Input Department name and then the system searches for the patient within the department Input MRN and then the system searches for the patient according to the input medical record number Input Last Name and or First Name and the system searches for the patient by last name and or first name Select the page key for example Y and then use the up or down arrow beside the key to turn to another page or select Scroll and then use the up or down arrow beside the key to select the desired patient Select Admit to access Patient Demographics menu Select Ok If necessary you can modify patient information and then select Ok 4 2 Manually Input Patient Data You can choose whether to display the manual input area on the screen and configure the items to be displayed in the manual input area 1 Select Main Maintenance gt gt User Settings gt gt enter the required password Select Ok to access User Settings menu Select Manual Inputs gt gt In the Manual Inputs Setup menu you can Configure the items to be displayed in the manual input area Select Manual Input Area and toggle between On and Off to display or hide the manual input a
40. Accutorr 7 Vital Signs Monitor Operator s Manual C 0123 Copyright 2013 2015 Shenzhen Mindray Bio Medical Electronics Co Ltd All rights reserved Release date January 2015 Revision 3 0 Accutorr 7 Operator s Manual Intellectual Property Statement SHENZHEN MINDRAY BIO MEDICAL ELECTRONICS CO LTD hereinafter called Mindray owns the intellectual property rights to this Mindray product and this manual This manual may refer to information protected by copyrights or patents and does not convey any license under the patent rights of Mindray nor the rights of others Mindray intends to maintain the contents of this manual as confidential information Disclosure of the information in this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden Release amendment reproduction distribution rental adaption and translation of this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden Il mindray minpray aNd MINDRAY are the registered trademarks or trademarks owned by Mindray in China and other countries All other trademarks that appear in this manual are used only for editorial purposes without the intention of improperly using them They are the property of their respective owners Manufacturer s Responsibility Contents of this manual are subject to changes without prior notice All information contained in this
41. Conventional configuration items These items define how the monitor works e g display setup print and alarm settings m User maintenance items These items relate to user maintenance settings e g unit setup time format For the important configuration items and their default values and user maintenance items see Appendix C Default Configurations 5 2 Accessing Manage Configuration Menu 1 Select Main Maintenance gt gt User Settings gt gt Enter the required password and then select Ok 2 Select Manage Configuration gt gt Accutorr 7 Operator s Manual 5 1 5 2 1 Setting Default Configuration The monitor will load the pre set default configuration in the following cases E The monitor restarts after being switched off for more than 120 seconds E A patient is admitted m A patient is discharged Patient category is changed The default configuration may come from the latest configuration the factory default configuration or the user configuration To set the default configuration 1 Select Select Default Config gt gt in the Mange Configuration menu 2 Select Load the Latest Config or Load the Specified Config in Select Default Config menu When you select Load the Specified Config the configuration adult pediatric or neonate to be restored is subject to the patient category This configuration can be either factory configuration or saved user configuration Take ad
42. Do not rely exclusively on the nurse call system for alarm notification Remember that the most reliable alarm notification combines audible and visual alarm indications with the patient s clinical condition Accutorr 7 Operator s Manual 6 11 FOR YOUR NOTES Accutorr 7 Operator s Manual 7 Monitoring SpO gt 2 7 1 Overview SpO2 monitoring is a non invasive technique used to measure the amount of oxygenated hemoglobin by measuring the absorption of selected wavelengths of light The light generated in the probe passes through the tissue and is converted into electrical signals by the photodetector in the probe The SpO2 module processes the electrical signal and displays a waveform and digital values for SpO2 and pulse rate This device is calibrated to display functional oxygen saturation It provides the following 3 4 5 1 Pleth waveform Pleth visual indication of patient s pulse The waveform is not normalized Y PI indicator Graphic Indication of arterial pulse signal strength Oxygen saturation of arterial blood SpO2 percentage of oxygenated hemoglobin in relation to the sum of oxyhemoglobin and deoxyhemoglobin Perfusion index PI Pl is available for Masimo SpO2 module PI gives the numerical value for the pulsatile portion of the measured signal caused by arterial pulsation PI is an indicator of the pulsatile strength You can also use it to assess the quality of SpO2 measurement Above 1 is optimal
43. EMP temperature E 4 Accutorr 7 Operator s Manual F Anomalies F 1 NIBP Smart Inflation Anomaly The NIBP smart inflation function is not fully functional at this time and so may not perform as expected The function accessible only through the Factory Maintenance menu is used for research and development only Although there is no distinct difference between smart inflation and normal inflation it is recommended to keep the function Off NOTE The anomaly would not present a safety hazard to either the operator or the patient Accutorr 7 Operator s Manual F 1 FOR YOUR NOTES F 2 Accutorr 7 Operator s Manual P N 046 005276 00 3 0 SW Version 03 06 00
44. IONS sccisscesssscssescocssccsessscscsvessoonssesessostessesescossssccsessoosssecedessseonsseiess svecssssesceees T2 MEWS Syste Msns aa RA EANA O A EAEE A AEE A E ESEE E A EET 12 2 1 Network Connection 4 Accutorr 7 Operator s Manual 12 2 2 Network Type and Settings ssseessccsssessscssssesecessseseccsssesccessseececssnsecsessnseceessnnesseesnneesees 12 3 12 2 3 Setting up the Wireless Network Optional ssssccsssecssseccseccssteccsseeceseeeenees 12 4 12 2 4 ADT Communication Setup 12 2 5 EMR Communication Setup 12 2 6 DIAP COMMUNICATION SETUP eseescseecseccssccsseccsecessccsseccnsccssecsnecsuesseccuscenseesseeeneeesees 12 5 12 2 7 Central Monitoring System Setup sssssssccsssseccessssececessnseceessssecesesnseceecsnsessseanseessees 12 5 12 2 8 Setting the Multicast Parameters esccsssesssseeccsseccssteccsseccssseeesssecesseecssnsecsseecssneeeesnees 12 5 13 Battery cccccsssssssscsccsssssssccssccsssccsssssssssscsesssssssscscssssssesscssssesssssessssssessssssssesssssssooses 13 1 TIT OVORMICWictssscccssseacssctavsesest aiene ipat es Ee ES ee E RE IEI EE Eer EAEn ii iani 13 2Cha ging a Battery aeaa N E A RNE EN E RN RAR 13 3 Replacing a Battery ynstee eent eeskiri enanset 13 Batt ry Guidelines sy sissccecswcecsscssscccsesceles sits cdessueessscssiccecesccesvastssenss EN Aa 13 5 Battery Maintenance cessssssssssscssssscsseessssessssscssssscessscesssssessssssssscesssueesssessssseesssseessseesssse
45. If several patients are selected the recorder will print the data in sequence Data from different patients are separated by 11 6 Removing a Paper Jam If the recorder works incorrectly or produces unusual sound check if there is a paper jam If a paper jam is detected follow this procedure to remove it 1 Open the recorder door 2 Take out the paper and tear off the wrinkled or torn part 3 Reload the paper and close the recorder door Refer to section 11 2 Loading Paper for additional information 11 7 Cleaning the Recorder Printhead If the recorder has been used for a long time deposits of paper debris may collect on the printhead compromising the print quality and shortening the lifetime of the roller Follow this procedure to clean the printhead 1 Take measures against the static electricity such as Disposable Wrist Strap for the work Open the recorder door and take out the paper 3 Gently wipe around the printhead using cotton swabs dampened with alcohol After the alcohol has completely been dried reload the paper and close the recorder door Refer to section 11 2 Loading Paper for additional information A CAUTION Do not use anything that may destroy the thermal element Do not add unnecessary force to the thermal head 11 4 Accutorr 7 Operator s Manual 12 Other Functions 12 1 MEWS System The MEWS Modified Early Warning Score system facilitates a doctor to quickly determine the degre
46. S OXIDE EQUIPMENT not suitable for use in the presence of a FLAMMABLE ANAESTHETIC MIXTURE WITH AIR or WITH OXYGEN OR NITROUS OXIDE Degree of mobility Portable A 2 Environmental Specifications Main Unit Item Operating conditions Storage conditions 0 to 40 without Temp module Temperature C 20 to 60 p co 5 to 40 with Temp module Raive humieiy 15 to 95 10 to 95 noncondensing Barometric kPa 57 0 to 107 4 16 0 to 107 4 AA WARNING The equipment may not meet the performance specifications given here if stored or used outside the specified temperature and humidity ranges NOTE The environmental specifications of parameter modules are the same as those of the main unit Accutorr 7 Operator s Manual A 3 Power Supply Specifications AC Power Line voltage 100 to 240 VAC 410 Current 0 9 to 0 5A Frequency 50 60 Hz 3Hz Fuse T2AL 250V Battery Battery Type Rechargeable lithium ion LI23S002A Voltage 11 1 VDC Capacity 4500 mAh At least 8 hours when powered by a new fully charged battery Run time at 25 C 5 C 77 F 41 F with SpO2 cable connected and auto NIBP measurements at an interval of 15 minutes Monitor power off less than 5 5 hours to 90 less than 6 5 n hours to 100 Charge time Monitor power on less than 10 5 hours to 90 less than 11 5 hours to 100 Shutdown delay
47. al alarms occur only in Monitor mode Technical alarms Technical alarms also called system status alarms are triggered by a device malfunction or a patient data distortion due to improper operation or mechanical problems Apart from the physiological and technical alarm messages the monitor shows some messages telling the system status or patient status System related messages are displayed in system message area parameter related messages are displayed in the respective parameter message area Accuto rr 7 Operator s Manual 6 1 6 2 Alarm Levels By severity the equipment s alarms can be classified into three categories high level medium level and low level Physiological Alarms Technical Alarms High level Indicate that your patient isin Indicate a severe device malfunction or an a life threatening situation improper operation which could make it and anemergency treatment possible that the monitor cannot detect is demanded critical patient status and thus threaten the patient s life such as low battery Medium Indicate that your patient s Indicate a device malfunction or an improper level vital signs appear abnormal operation which may not threaten the and an immediate treatment patient s life but may compromise the is required monitoring of vital physiological parameters Low level Indicates that your patient s Indicate a device malfunction or an improper vital signs appear abnormal and im
48. all not be liable for any incidental special or consequential loss damage or expense directly or indirectly arising from the use of its products Liability under this warranty and the buyer s exclusive remedy under this warranty is limited to servicing or replacing the affected products at Mindray option at the factory or at an authorized distributor for any product which shall under normal use and service appear to Mindray to have been defective in material or workmanship Recommended preventative maintenance as prescribed in the service manual is the responsibility of the user and is not covered by this warranty No agent employee or representative of Mindray has any authority to bind Mindray to any affirmation representation or warranty concerning its products and any affirmation representation or warranty made by any agent employee or representative shall not be enforceable by buyer or user THIS WARRANTY IS EXPRESSLY IN LIEU OF AND MINDRAY EXPRESSLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED WARRANTIES INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY NON INFRINGEMENT OR FITNESS FOR A PARTICULAR PURPOSE AND OF ANY OTHER OBLIGATION ON THE PART OF MINDRAY Damage to any product or parts through misuse neglect accident or by affixing any non standard accessory attachments or by any customer modification voids this warranty Mindray makes no warranty whatsoever in regard to trade accessories such being subject to the warrant
49. ally A 6 Measurement Specifications A 6 1 SpO Alarm limit Range Step SpO2 High low limit 2 to 100 Masimo Desat to high limit 2 SpO2 Low Nellcor Desat or 20 whichever is greater to 1 high limit 2 Desat 0 to high limit 2 Masimo SpO2 Module Standards Meet standards of ISO 9919 ISO 80601 2 61 SpO2 Measurement range 1 to 100 PI measurement range 0 02 to 20 SpO Resolution 1 Accuracy 70 to 100 2 measured without motion in adult pediatric A 4 Accutorr 7 Operator s Manual mode 70 to 100 3 measured without motion in neonate mode 70 to 100 3 measured with motion 1 to 69 Not specified Refreshing rate 1s lt 20 s PR75 bpm average time 8 s SpO value rises from Response time J s paniei 60 to 95 SpO averaging time 2 4 s 4 6 s 8 s 10s 12s 14s 16s Pulse amplitude gt 0 02 Low perfusion conditions R Light penetration gt 5 Low perfusion SpO2 2 accuracy 1The Masimo pulse oximeter with sensors has been validated for no motion accuracy in human blood studies on healthy adult volunteers in induced hypoxia studies in the range of 70 to 100 SpO2 against a laboratory co oximeter and ECG monitor This variation equals plus or minus one standard deviation Plus or minus one standard deviation encompasses 68 of the population The Masimo pulse oximeter with senso
50. ameter values displayed on the screen as well as SoO2 waveform patient information and manual inputs as configured in the Print Setup menu 11 5 2 Graphic Trend Recording Graphic trend strip includes patient information recording time and graphic trends of all the parameters on the screen In graphic trends strip m The mark A is shown on the event time E NIBP measurement taken in Spot Check mode shows as i E The predictive temperature and PR from NIBP measurement show as m 11 5 3 Continuous Trends Recording The continuous trends strip includes patient information recording time measured value the saving time for each measurement and NIBP and Temp complete time To print the continuous trends 1 Choose one patient and then select Record in the Continuous Trends screen 2 Set the start and end time for the recording 3 Select Record to start recording In the continuous trends strip E The mark before the time indicates that system time is changed E The mark before the parameter value indicates that an alarm is triggerd Accutorr 7 Operator s Manual 11 3 11 5 4 Spot Check Trends Recording The spot check trends strip includes patient information recording time measured value and measurement complete time When Filter is set to Manually Saved or All the manual input data can be recorded To print the spot check trends 1 Select the patient and filter 2 Select Print
51. any maintenance is required Make sure to clean and disinfect if required the equipment before any test and maintenance Z caution Care should be taken to change the settings in User Settings gt gt and Factory Maintenance gt gt menus to avoid data loss Service personnel should acquaint themselves with the test tools and make sure that test tools and cables are applicable Accutorr 7 Operator s Manual 14 3 Check Maintenance Item Recommended Frequency Performance Test Visual inspection When first installed or after reinstalled Pressure check NIBP test Leakage test SpO2test Temp test 1 If the user suspects that the measurement is incorrect 2 Following any repairs or replacement of the module 3 Once a year for NIBP tests 4 Once every two years for SpO2 test and Temp test Nurse call relay performance test If user suspects that the nurse call or analog output does not work well Electrical safety tests Electrical safety tests Once every two years or as required Other tests Power on test 1 When first installed or after reinstalled 2 Following any maintenance or the replacement of any main unit parts Touchscreen calibration 1 When the touchscreen appears abnormal 2 After the touchscreen is replaced Recorder check Following any repair or replacement of the recorder Functionality test Battery che
52. ategory setting for your patient before measurement Incorrect patient category selection may present a safety hazard Do not measure NIBP on patients with sickle cell disease or on the limb where skin damage has occurred or is expected Use clinical judgement to determine whether to perform frequent unattended blood pressure measurements on patients with severe blood clotting disorders because of the risk of hematoma in the limb fitted with the cuff Do not use the NIBP cuff on a limb with an intravenous infusion or arterial catheter in place This could cause tissue damage around the catheter when the infusion is slowed or blocked during cuff inflation NIBP measurements can be affected by the measurement site the position of the patient patient movement or the patient s physiologic condition If the NIBP measurement seems out of range or inaccurate determine the patient s vital signs by alternative means and then verify that the monitor is working correctly Make sure the hose connecting the NIBP cuff and the monitor is not blocked twisted or tangled Do not apply the cuff on the arm on the side of a mastectomy Continuous cuff pressure due to connection tubing kinking may cause blood flow interference resulting injury to the patient 9 2 Accutorr 7 Operator s Manual 9 3 Measurement Limitations The equipment cannot measure blood pressure when the patient s heart rate is below 40 bpm or above 240 bpm or if the patient is
53. ating that the alarm is acknowledged a E Theicon appears in the alarm symbol area E The parameter numeric and alarm limits still flash The indication of alarm lamp for the physiological alarm depends on the alarm light setting E When Alarm Light on Alarm Reset is set to On the alarm lamp remains flashing E When Alarm Light on Alarm Reset is set to Off the alarm lamp stops flashing To set Alarm Light on Alarm Reset 1 Select Main Maintenance gt gt gt User Settings gt gt enter the required password Select Ok to access User Settings menu 2 Select Alarm Setup gt gt to enter the Alarm Setup menu 3 Select Alarm Light on Alarm Reset and toggle between On and Off The default setting for Alarm Light on Alarm Reset is On 6 8 Accutorr 7 Operator s Manual Technical alarms give different alarm indicators when the alarm system is reset For some technical alarms including the NIBP related alarms a v appears before EN b EE EEA the alarm message and appears in the alarm symbol area indicating that the alarm is acknowledged The indication of the alarm lamp depends on the alarm light setting Some technical alarms are changed to the prompt messages Some technical alarms are cleared The monitor gives no alarm indications For details about the indications of technical alarms when the alarm system is reset refer to D 2 Technical Alarm Messages 6 9 Setting the Remi
54. attery for power if AC power is interrupted Installing a Battery The battery compartment cover is on the bottom of the monitor Refer to 13 3 Replacing a Battery for additional information regarding battery installation NOTE When a battery has been stored for a long time or the battery is depleted recharge the battery at once Otherwise the low battery may not be sufficient to power the monitor if the AC power is unavailable Charging a Battery The battery is charged whenever the monitor is connected to an AC power source regardless of whether the monitor is turned on or not When the battery is charging the battery indicator is On The battery charge icon on the screen dynamically displays the charging status when the monitor is powered on 3 2 3 Connecting Accessories Insert the hose part of NIBP cuff to the connector on the side of monitor insert the SoO2 cable into the SpO2 cable connector on the side of the monitor insert the temperature probe cable into the TEMP probe connector on the back of the monitor Accutorr 7 Operator s Manual 3 3 3 3 Turning On Off Power 3 3 1 Turning Power On Once the monitor is installed before beginning measurements 1 Check the monitor for any mechanical damage and make sure that all external cables plug ins and accessories are properly connected 2 Check the power supply specification is met if mains power is used Only use a power outlet that is properly grounded 3
55. ble Accutorr 7 Operator s Manual 2 1 2 3 Main unit 2 3 1 Front View wf wn mindray Accutorr 7 Alarm indicator When a physiological alarm or a technical alarm occurs this indicator will flash as defined below High priority alarm the lamp quickly flashes red Medium priority alarm the lamp slowly flashes yellow Low priority alarm the lamp is yellow without flashing Display screen Temperature probe well Probe cover pack holder AC power indicator On indicates that the monitor is connected to the AC power Off indicates that the monitor is not connected to the AC power Power ON OFF switch Press this key to turn the monitor on Ifno parameter is being measured press this key to enter Standby mode When the monitor is on press and hold this key for more than 2 seconds to turn the monitor off An indicator is built into this switch It turns on when the monitor is on and turns off when the monitor is off Accutorr 7 Operator s Manual 7 Battery indicator On indicates that the battery is installed and the AC power is connected Off indicates that no battery is installed when AC power is connected or indicates that the battery is installed but no AC power is connected when the monitor is powered off Flashing indicates that the monitor is powered by battery 8 Alarm Reset key Press this key to disable the audio of present alarms Press and hold t
56. cal trend Spot Check Trends Continuous Trends a Scroll gt 30 min 1 Event mark area 2 Time scale 3 Graphic area 4 Parameter area 5 Cursor 6 Button area A timestamp indicating your current position is displayed above the parameter area The parameter value corresponding to the cursor time appears in the parameter area The measurement value that triggered a high level alarm has red background The measurement that triggered the medium low level alarm has a yellow background Events are marked with colors in the event mark area Red represents a high level alarm event Yellow represents a medium low level alarm event In the Graphic Trends screen you can E Select Zoom to set the time length of the trend displayed on the screen m Select Scroll and control or key to move the cursor Select or gt to move the cursor to the previous or next page lt Select Event and control or key to quickly locate the event E Select Print to print the selected patient s graphic trend data currently on the screen Accutorr 7 Operator s Manual NOTE Pausing or switching off alarms will not be recorded as events The time of these operations will not be recorded in the system log A total loss of power has no impact on the saved events Events recorded earlier might be overwritten by later ones if the storage memory reaches capacity 4 5 Transferring Data from the Monitor to USB Drive
57. ce to radio or television reception which can be determined by turning the equipment off and on the user is encouraged to try to correct the interference by one or more of the following measures Accutorr 7 Operator s Manual B 5 Reorient or relocate the receiving antenna Increase the separation between the equipment and receiver Connect the equipment into an outlet on a circuit different from that to which the receiver is connected Consult the dealer or an experienced radio TV technician for help The maximum antenna gain permitted complies with the e i r p limits as stated in RSS 210 The maximum antenna gain permitted complies with the e i r p limits specified for point to point operation as stated in RSS 210 CE The radio device used in this product is in compliance with the essential requirements and other relevant provisions of Directive 1999 5 EC Radio Equipment and Telecommunications Terminal Equipment Directive J WARNING This compliance to general radiation exposure limits for an uncontrolled environment and minimum of 20 cm separation between monitor and human body B 6 Accutorr 7 Operator s Manual C Default Configurations This chapter lists some of the most important factory default settings in configuration management You cannot change the factory default configuration itself However you can make changes to the settings from the factory default configuration and then save th
58. ck 1 When first installed 2 Whenever a battery is replaced Performance test Once a year or if the battery run time reduced significantly 14 4 Accutorr 7 Operator s Manual 14 4 Checking Monitor Information Select Main Maintenance gt gt Monitor Information gt gt you can view system software version copyright information system configuration by selecting Monitor Configuration gt gt or status information such as start time self test error and so on by selecting Monitor Log gt gt Monitor Information x System Software Version V3 0 Internal Version 01 00 00 SVN 3367 Mar 21 2013 10 13 15 C 2005 2013 Mindray Co Ltd All rights reserved Monitor Configuration gt gt Monitor Log gt gt You can print out the log information for the convenience of troubleshooting Select Recorder from the Monitor Log menu to do recording The information will not be saved after system shutdown 14 5 Visual Inspection Perform an overall inspection on the appearance of the equipment The test is passed if the equipment has no obvious signs of damage Follow these guidelines when inspecting the equipment 1 Carefully inspect the case display screen buttons and knob for obvious signs of damage Inspect all external connections for loose connectors bent pins or frayed cables Inspect all connectors on the equipment for loose connectors or bent pins Make sure that saf
59. cleaning the equipment before disinfecting is recommended The recommended disinfectants include E Ethanol 70 E isopropanol 70 E Perform classic concentrate OXY 14 2 Accutorr 7 Operator s Manual 14 2 General Inspection Before first use follow these guidelines when inspecting the equipment E Make sure that the environment and power supply meet the specifications E Inspect the equipment and its accessories for mechanical damage E Inspect all power cords for damage and make sure that their insulation is in good condition Make sure that only specified accessories are applied E Inspect if the alarm system functions correctly E Make sure that the recorder functions correctly and the recorder paper meets the requirements E Make sure that the battery meets the performance requirements m Make sure that the monitor is in good working condition In case of any damage or abnormality do not use the equipment Contact the hospital s biomedical engineers or your service personnel immediately 14 3 Maintenance and Testing Schedule The following maintenance and tests except for visual inspection power on test touchscreen calibration and battery check should be carried out by the service personnel only Ensure the monitor is safety and performance tested by qualified service personnel before initial installation after repair or upgrade or during regularly scheduled maintenance Contact your service personnel if
60. csseccsssecesseecssueccsssecssnecssueecesseessaees 10 2 10 3 2 Taking a Temperature in Predictive MOCE sssssssscsssccsseesssssecssecesseecsseeseneeeesnees 10 3 10 3 3 Taking a Temperature in Monitor MOde eesssssscssescssesccsssccsssecesseecesntecsssecesneecesnees 10 4 10 4 Disinfecting Temperature Probe cscscssssssssssssssssssssessssssssesssssssessssnsesssssnsesssssnseessssnssessssnseessees 10 5 TT RECOPGING siccssisssicesiccsiicacssessecssccesscessesesstessaescecesacessscetsccscdoessceoseadesestssessiodsscsssssessesssdsess 11 1 TUT Usinga Recorde oansein a i aiia VAD LOA Gig PaPe a Eaa A RE E E aE eS 113 Settingth Recorder asiain ana Ea a a ahei 11 4 Starting and Stopping Recordings s 11 5 T 016 p PAEA A EEE POAR E E PEE OAE EAE E EOE OEE E 11 5 1 Real time Recording ssssescsssseccsssccsseecesuteccsseccsssccesseecesnecesssecesssccssuscesssecesaseessuecessseessases 11 5 2 Graphic Trend Re ording sssscssssecssssccsseccsseccsssecesseccssseessssecesnecessusccsssecssuseesssecesneessnees 11 5 3 CONTINUOUS Trends RECOFING ssssccssseccssecccseeccsseccesseecsssecessecessuecesseecesueecsssecesneeeesnees 11 3 11 5 4 Spot Check Trends Recording ssscsssseccssssccsssccsseccesssecsseccessccesssecesseecesneeessseeesaeeessnees 11 4 11 6 REMOVING a Paper JAM rsecssescossecneecnssccsscesecenscesssesseesseserssceneesnesseneesnesecnseeneeensssessceneersseeneesse 11 7 Cleaning the Recorder Printhead 12 Other FUNCC
61. de for monitoring patient vital signs NOTE In Monitor mode physiological and technical alarms and prompt messages are supported In Monitor mode NIBP continuous and auto measuring is enabled Accutorr 7 Operator s Manual 2 11 2 6 2 Spot Check Mode The Spot Check mode is intended for on spot measurement in a short time period When Spot Check mode is On Spot Check displays in the Network and USB connection area at the top of the screen To enter Spot Check mode select Main Maintenance gt gt gt User Settings gt gt Enter required password gt Set Spot Check to On NOTE In Spot Check mode technical alarms and prompt messages are supported but no physiological alarms In Spot Check mode NIBP continuous and auto measuring is disabled Monitor Mode vs Spot Check Mode The Monitor mode and Spot Check modes have all the features in common except the following Functions Monitor Mode Spot Check Mode Configure and use NIBP Interval Yes No Configure and use NIBP Clock Yes No Configure and use NIBP Simultaneous Yes No Use STAT NIBP Yes No Configure and use Sat Seconds Nellcor Yes No Access Custom Program tab NIBP Yes No Access Alarm Setup tab Yes No Access Continuous Trends tab Yes No Access Graphic Trends tab Yes No Connect to the CMS Yes No 2 12 Accutorr 7 Operator s Manual 2 6 3 Standby Mode In Standby mode the patien
62. e Reminder Tone 6 10 LatchiingG Alariniss zsscssssscsictececssteaccetess tecvacteceseetaaeanmniarsatech a epn a aniei ia 6 11 Actions for Alarm OCCUrrenCe weeesesssssssssseessccceesssseesscsceccssssssesecceeeesssusssecseceensnuesesceeesennseeteeeseeeets 6 10 6 12 Nurse Call 7 Monitoring SpO2z ccccccsssssccscsssscscsssscssesssssscsvesssccsessscssssossscssessssssssesssessossnsssessssees 7 1 TW OVER WIGW anenai EER AAAA NASEN TEE TAEAE EEE AEE ETE AE EEEE EAT 73 Identifying SOs MOC Ue nnn onena ENEE A REANA 7 4 Applying the SCNsor sssessccsssessscsssssseccssssecssssesccsssseecsssssssecssssseesesssseceesssssesessnsecseennseeseesssesesesnsessee 7 5 CHANGING SPOs SettiNgS isise an is aiina 7 5 1 ACCESSING SPOMENU nissin inani eisein riesia 7 5 2 Adjusting the Desat Alarim scssssscsssseccsseesssssccsseecsssscesseccssusccsssecesssecesueecssneessneecesneeessnes 73 3 Setting SPOaSENSIIVITY sssini aa a a 7 5 4 Changing Averaging Time sssscsssssccssseccsseccssscccsssecssssccssseccsssscessecessueessnsecesseecsssecesseeessass 7 5 5 Monitoring SpO2 and NIBP Simultaneously 7 5 6 Sat Seconds Alarm Management csccssssccssssccsssecssecesseccsssecessecssseecssusceessecssasecsaseessnees 7 5 7 Changing the Speed of Pleth Wave sssssscsssssssssssssessssssessssssssesssssnsessssnecssssnsesssssnseesses 7 5 8 Setting the Alarm Level for SpO2 Sensor Off Alarm w n csssssssssssssceccsssseesesceeecsnsneeeeees 7 6 7 6 Measureme
63. e changed configuration as a user configuration C 1 Parameter Configuration C 1 1 NIBP Name Default Saved at Power Affected by Config Failure Defaults Alarm On Off On Yes Yes Alarm Priority Med Yes Yes Interval Manual Yes Yes Clock On Yes Yes NIBP End Tone 0 Yes Yes Program Program 1 Yes Yes Adult 80 Cuff Press mmHg in Pediatric 60 Yes Yes VeniPuncture Neonate 40 Adult 160 Initial Pressure Pediatric 140 No No Neonate 90 Adult 160 NIBP Sys High Pediatric 120 Yes Yes mmHg Neonate 90 Adult 90 NIBE SYS LOW Pediatric 70 Yes Yes mmHg Neonate 40 Adult 110 NIBP Mean High Pediatric 90 Yes Yes mmHg Neonate 70 Adult 60 NIBP Meai Low Pediatric 50 Yes Yes mmHg Neonate 25 Accutorr 7 Operator s Manual hone Default Saved at Power Affected by Config Failure Defaults Adult 90 NIBP Dia High Pediatric 70 Yes Yes mmHg Neonate 60 Adult 50 NIBE Dlg LOW Pediatric 40 Yes Yes mmHg Neonate 20 C 1 2 Spo Name Default Config Saved at Power Affected by Failure Defaults Alarm On Off On Alarm Priority Med Adult pediatric 100 SpO2 High eee tet Neonate 95 SpO2 Low 90 Desat Low 80 Yes Yes Sat Seconds 0s Nellcor NIBP Simultaneous Off Sweep 25 mm sec Beat Volume 2 Monitor mode Low SpOz2 Sensor Off Lev Yes No Spot Chec
64. e equipment will not be used for a long time NOTE Itis recommended to always install a fully charged battery in the monitor to ensure normal monitoring in case of accidental power failure The on screen battery symbol indicates the battery status as follows a i Indicates that the battery is fully charged The solid portion represents the current charge level of the battery in proportion to its maximum charge level a Hi Indicates that the battery has a low charge level and needs to be charged a i Indicates that the battery is almost depleted and needs to be charged immediately Otherwise the monitor automatically shuts down a e lt Indicates that no battery is installed The capacity of the battery is limited When the battery is low the technical alarm area displays Low Battery the alarm lamp flashes and monitor produces an alarm sound If the battery is depleted the battery symbol on the screen flashes the technical alarm area displays Battery Depleted the alarm lamp flashes and the monitor produces alarm sound Connect the equipment to AC mains to run the equipment and charge the battery Otherwise the equipment will shut down Accutorr 7 Operator s Manual 13 1 13 2 Charging a Battery The battery is charged whenever the monitor is connected to an AC power source regardless of whether or not the monitor is turned on When the battery is charging the AC power indicator and battery indicator are both On If
65. e necessary safety of patients and all devices concerned will not be impaired by the proposed combination Put the equipment in a location where you can easily see the screen access the operating controls and disconnect the equipment from AC power Accutorr 7 Operator s Manual 3 1 3 1 1 Unpacking and Checking Before unpacking examine the packing case carefully for signs of damage If any damage is detected contact the carrier or Mindray If the packing case is intact open the package and remove the equipment and accessories carefully Check all materials against the packing list and check for any mechanical damage Contact Mindray in case of any problem Ti TE When disposing of the packaging material be sure to observe the applicable waste control regulations and keep it out of children s reach Before use please verify whether the packages are intact especially the packages of single use accessories In case of any damage do not apply it to patients NOTE Save the packing case and packaging material as they can be used if the equipment must be reshipped 3 1 2 Environmental Requirements The operating environment of the equipment must meet the requirements specified in this manual The equipment operating environment should be reasonably free from noise vibration dust corrosive flammable and explosive substances To maintain good ventilation the equipment should be at least 2 i
66. e of illness of a patient based on a calculated score so that the doctor can take a preventive measure according to the provided protocol in MEWS The MEWS system is only applicable to adult patients ne The MEWS score and protocol are for reference only and cannot be directly used for diagnostic interpretation Select the MEWS QuickKey to access the MEWS scoring screen MEWS Scoring x PR 80 RESP 18 NIBP mmHg 166 4 100 Temp C 38 0 AVPU Alert Calculate MEWS Clear MEWS Protocol gt gt Print Review In the menu you can E Start MEWS auto scoring by entering parameter values selecting consciousness status of a patient and then selecting Calculate Select Review to view all the MEWS scores Select Clear to remove the parameter values and score from current screen Select MEWS Protocol gt gt to view actions to be taken according to MEWS protocol Select Print to print the parameter values and calculated score Accutorr 7 Operator s Manual 12 1 You can define your own MEWS protocol by using the MEWS Protocol Customize Tool that came with the monitor CD P N 047 014049 00 1 Select MEWS QuickKey MEWS Protocol gt gt Customize Enter the required password and then the MEWS Protocol screen displays 2 Select Import to import your own protocol In the MEWS Protocol screen you can also export the current protocol or restore to the default
67. e user of variations on Ux for 5 cycles Ur for 5 cycles our product requires power supply continued operation during input lines IEC 70 Ur 30 dip in 70 Ur 30 dipin Power mains interruptions 61000 4 11 Ux for 25 cycles Ux for 25 cycles it is recommended that our product be powered from lt 5 Ur gt 95 dip lt 5 Ur gt 95 dip an uninterruptible power in Ur for 5 s in Ux for 5 s supply or a battery Power 3 A m 3 A m Power frequency magnetic frequency fields should be at levels 50 60 HZ characteristic of a typical magnetic field location in a typical IEC 61000 4 8 commercial or hospital environment Note Ur is the AC mains voltage prior to application of the test level B 2 Accutorr 7 Operator s Manual Guidance and Declaration Electromagnetic Immunity The device is intended for use in the specified electromagnetic environment The customer or the user of the device should assure that it is used in such an environment as described below Immunity 1EC60601 Compliance Electromagnetic environment test test level level guidance Conduced RF 3 Vrms 3Vrms Portable and mobile RF IEC61000 4 6 150 kHz to 80 communications equipment should be MHz used no closer to any part of the system including cables than the recommended separation distance calculated from the equation appropriate for the frequency of the transmitter Recommended separation distances d 1 2VP Radiated RF 3V
68. easurement Failure to use a probe cover can cause inaccurate temperature readings and patient cross contamination Check the disposable probe cover for damage before using Never use any probe cover that show signs of damage or contamination for temperature measurement Be careful to avoid damaging the temperature probe Place the temperature probe in the probe well when not in use Prior to taking a temperature instruct the patient not to bite down on the probe as patient injury and damage to the probe may result Ensure that probe covers are disposed of according to local regulations or hospital s requirements Accuracy verification of the temperature module is required every two years or according to your hospital s policy Please contact Mindray Technical Support department if accuracy verification is needed Accutorr 7 Operator s Manual 10 1 NOTE Patient actions may interfere with oral temperature measurements Ingesting hot or cold liquids eating food chewing gum brushing teeth smoking or performing strenuous activities may affect temperature readings for up to 20 minutes after ending the activity Inthe axillary mode the probe should directly contact the patient s skin Measuring through patient s clothes or long term exposure of patient s armpit to the air may result in inaccurate temperature readings Choose appropriate probe according to measurement site Using the incorrect probe may cause pa
69. ecorder may be unable to print or poor print quality may result Never pull the recorder paper with force when a recording is in process Otherwise it may cause damage to the recorder Do not leave the recorder door open unless you are replacing the recorder paper or correcting an error 11 3 Setting the Recorder Select Main General Setup gt gt Print Setup gt gt to access the Print Setup menu and select the items as you want 11 4 Starting and Stopping Recordings To manually start a recording you can either m Press E hardkey on the recorder Select Record key in graphic or tabular trend The monitor will automatically start recording when the Save QuickKey is selected to save the manual input patient data if Automatically Record on Manual Save is enabled from the User Settings gt gt menu H To manually stop the current recording you select E hardkey 11 2 Accutorr 7 Operator s Manual Recordings stop automatically when m A recording is completed E The recorder runs out of paper m When the recorder has an alarm condition When a recording is stopped the following markers will be added E Automatically stopped recording print two columns of at the end of the printout Manually or abnormally stopped recording print one column of at the end of the printout 11 5 Reports 11 5 1 Real time Recording Real time recording strip includes recording time par
70. ed NIBP measurement VeniPuncture Yes Low System deflates the No operation is timeout cuff after a certain time required Accutorr 7 Operator s Manual D 2 2 SpO Alarm Messages Alarm Clearable Alarm Level Cause Solution Message Yes No SpO2 Sensor Yes Med Monitor The SpO2 sensor Check the sensor Off mode has become application site and Masimo Off Spot detached from the the sensor type and Nellcor Check mode patient or the make sure if the module or there is sensor is damaged SpO2 Sensor No Low a fault with the Reconnect the sensor Fault SpO2 sensor or an or use a new sensor Masimo unspecified SpO2 has b SpO2 No Yes Low rte aoe used Sensor Masimo Nellcor SpO2 No Low Unknown Sensor Masimo SpO2 Too No Low There is too much Move the sensor to a Much Light light on the SpOz place with lower level Masimo sensor of ambient light or cover the sensor to minimize the ambient light SpO2 No No Low SpO2 sensor failed Move the sensor to a Pulse to obtain pulse site with better Nellcor signal perfusion SpO2 Comm No High An error occurred Restart the monitor If Stop to the SpO2 the error remains Masimo module or there is contact your service Nellcor a problem with personnel the SpO2 Comm Yes High communications Abnormal between the Masimo module and the Nellcor mo
71. en a system related message is presented the second line of this area will display the system prompt message for 30 seconds The patient information in this area will be covered temporarily 2 Alarm Information Area There are three sections in this area The left side of this area shows the technical alarm message or prompt message the middle area shows the physiological alarm message and the right side of this area shows the alarm symbol When there are multiple messages they will scroll IN indicates alarms are paused indicates alarms are reset a indicates alarm sounds are turned off 3 Parameter and waveform area displays parameters and waveforms Manual input area manually input physiological related values This area does not display by default Refer to 4 2 Manually Input Patient Data for additional information 5 Menu QuickKeys Main Accesses the Main screen to configure the monitor or quickly returns to the main screen Accutorr 7 Operator s Manual 2 9 MEWS Accesses the MEWS Scoring screen to evaluate a patient s condition Refer to 12 1 MEWS System Patient List Accesses the Local Patient List and ADT Database screen to admit a patient stored in the monitor or ADT database Refer to 4 1 3 Admitting a Patient from Patient List Review Displays the spot check trends continuous trends and graphic trends Refer to 4 4 Reviewing Patient Data Save Accesses the Results screen to
72. ent by Barcode Scanner 1 Connect the barcode scanner to the USB connector on the monitor 2 Aim the barcode scanner at the barcode 3 Select Ok on the Patient Demographics menu to admit the patient NOTE If the patient demographics are obtained from barcode scanner the patient demographics cannot be changed 4 1 3 Admitting a Patient from Patient List Admit a Patient from Local Patient List 1 2 Press Patient List QuickKey and then Local Patient List screen displays Select the page key for example and then use the up or down arrow beside the key to turn to another page or select Scroll and then use the up or down arrow beside the key to select the desired patient Select Admit to access Patient Demographics menu Select Ok If necessary you can modify patient information and then select Ok In Local Patient List you also can Select Add New and then Patient Demographics menu displays Input patient information and then select Ok to admit the patient Select Delete to remove currently selected patient from the monitor Select Delete All to remove all the patients from the monitor Accutorr 7 Operator s Manual NOTE When a patient s demographics are deleted the corresponding patient data is also deleted from the montior You cannot delete the patient currently being monitored Admitting a Patient from ADT Database When the monitor is connected to
73. enu by selecting its corresponding parameter area or waveform area QuickKeys QuickKeys are configurable graphical keys located at the bottom of the main screen Hardkeys A hardkey is a physical key on a monitoring device such as the Alarm Reset hardkey and admit patient hardkey on the front panel Pop Up Keys Pop up keys are task related menu keys that appear automatically on the monitor screen when required For example the confirm pop up key appears only when you need to confirm a change Accutorr 7 Operator s Manual 3 5 3 4 2 Using the Knob Using the knob on the front panel of the monitor can do the following operations E Rotate the knob clockwise or counterclockwise to move the cursor E Press the knob to select one item such as accessing a menu or confirming the selection 3 4 3 Using the Touchscreen Select screen items by pressing them directly on the monitor s screen You can disable touchscreen operation by pressing and holding the Main QuickKey for 3 seconds Then a padlock symbol A on the Main QuickKey is displayed When the screen is locked you can enable the touchscreen operation by pressing and holding the Main Quickkey for 3 seconds 3 5 Changing General Settings This section covers only general settings such as language brightness date and time etc Measurement settings and other settings can be referred to in the respective sections 3 5 1 Setting up a Monitor To install a m
74. equipment requires the prior coordination with a frequency coordinator designated by the FCC for the Wireless Medical Telemetry Service This Wi Fi device complies with Canadian ICES 001 Cet appareil ISM est conforme a la norme NMB 001 du Canada FCC and Industry Canada Radio Compliance of the device configured with WM1010BGN wireless module This device complies with Part 15 of the FCC Rules and RSS 210 of Industry Canada Operation is subject to the following two conditions 1 this device may not cause harmful interference and 2 this device must accept any interference received including interference that may cause undesired operation Any changes or modifications to this equipment not expressly approved by Mindray may cause harmful radio frequency interference and void your authority to operate this equipment Federal Communications Commission FCC Statement The wireless module has been tested and found to comply with the limits for a class B digital device pursuant to Part 15 of the FCC rules These limits are designed to provide reasonable protection against harmful interference in a residential installation This equipment generates uses and can radiate radio frequency energy and if not installed and used in accordance with the instructions may cause harmful interference to radio communications However there is no guarantee that interference will not occur ina particular installation If this equipment does cause harmful interferen
75. essure it measures cuff pressure oscillation amplitudes Oscillations are caused by blood pressure pulses against the cuff The oscillation with the greatest amplitude is the mean pressure This is the most accurate parameter measured by the oscillometric method Once the mean pressure is determined the systolic and diastolic pressures are calculated with reference to the mean The auscultation determines systolic and diastolic pressures and calculates the mean pressure The oscillometric method measures the mean pressure and determines the systolic and diastolic pressures As specified by IEC 80601 2 30 NIBP measurements can be performed during electro surgery and discharge of defibrillator NIBP diagnostic significance must be decided by the clinician who performs the measurement Blood pressure measurements determined with this device are equivalent to those obtained by a trained observer using the cuff stethoscope auscultatory method or an intra arterial blood pressure measurement device within the limits prescribed by the American National Standard Manual electronic automated sohygmomanometers or standards of IEC80601 2 30 EN1060 1 EN1060 3 EN1060 4 and SP10 Accutorr 7 Operator s Manual 9 1 9 2 Safety WARNING A During NIBP measurement the inflated cuff applies pressure on the application site The clinician determines if NIBP measurement is suitable for the patient Be sure to select the correct patient c
76. ety labels and data plates on the equipment are clearly legible Accutorr 7 Operator s Manual 14 5 14 6 Power on Test This test is to verify that the equipment can power up correctly This test is passed if the equipment starts up by following this procedure 1 Insert the battery in the battery compartment and connect the equipment to the AC mains The AC mains indicator and battery indicator light up 2 Press the button on the front panel to turn on the equipment The work status indicator lights up inside the Power button 3 The screen lights up The main interface is displayed Now the equipment is correctly started 14 7 Battery Check Refer to 13 5 2 Checking a Battery for battery check instructions 14 8 Calibrating the Touchscreen Recalibrate the touchscreen whenever the touch interface becomes difficult to maneuver 1 Select Main Maintenance gt gt Touchscreen Calibration The symbol will appear at different positions of the screen 2 Select in turn the central point of the symbol After the calibration is completed the message Screen Calibration Completed is displayed 3 Select Ok to confirm the completion of the calibration 14 9 Formatting the Storage Card The monitor is configured with an SD card for saving data To format the storage card 1 Select Main Maintenance gt gt User Settings gt gt Enter the required password Select Ok to access the User Setti
77. external devices when the Save QuickKey is selected and confirmed and or Automatically Record On Manual Save the data saves locally and prints to the recorder when the Save QuickKey is selected and confirmed Select to save the configuration and exit the menu 4 4 Reviewing Patient Data Select Review QuickKey and you can review the trends In Monitor mode you can view Spot check trends E Continuous trends E Graphic trends In Spot Check mode you can only view Spot Check Trends Accutorr 7 Operator s Manual 4 5 4 4 1 Spot Check Trends Select the Spot Check Trends tab to access the Spot Check Trends screen Continuous Trends Graphic Trends Filter Temp Send Successful S Send Fahso 1 201 Delete 1 Tabular trend 2 Button area 3 Data status 4 Parameter value triggering alarm In this tab you can Select MRN or Name and then select the desired patient E Select Filter to select parameter trends you want to review m Select the page key for example _ and then use up or down arrow beside the key to turn the page E Select Edit to edit patient demographics or manual input data of selected patient E Select Delete to delete the trend data of selected patient E Select Print to print the trend data of selected patient E Select Send to transmit the selected patient s trend data to the EMR through an eGateway NOTE The trend data can only be
78. false alarms caused by motion artifacts To set the Sat Seconds limit select Sat Seconds in the SpO2 Setup menu and then select the appropriate setting With Sat Seconds alarm management high and low alarm limits are set in the same way as traditional alarm management A Sat Seconds limit is also set The Sat Seconds limit controls the amount of time that SpO2 saturation may be outside the set limits before an alarm sounds The method of calculation is as follows the number of percentage points that the SpO saturation falls outside the alarm limit is multiplied by the number of seconds that it remains outside the limit This can be stated as the equation Sat Seconds Points x Seconds Only when the Sat Seconds limit is reached the monitor gives a Sat Seconds alarm For example the figure below demonstrates the alarm response time with a Sat Seconds limit set at 50 and a low SpO limit set at 90 In this example the patient SpO2 drops to 88 2 points and remains there for 2 seconds Then it drops to 86 4 points for 3 seconds and then to 84 6 points for 6 seconds The resulting Sat Seconds are 7 4 Accutorr 7 Operator s Manual SpO2 Seconds Sat Seconds 2x 2 4 4x 3 12 6x 6 36 Total Sat Seconds 52 bossrasee reer retire 0123 4 5 6 7 8 9 10 11 Seconds After approximately 10 9 seconds a Sat Second alarm would sound because the limit of 50 Sat Seconds would have been exceeded Saturation levels
79. ging potential negative consequences to the environment and human health For more detailed information with regard to returning and recycling this product please consult the distributor from whom you purchased it For system products this label may be attached to the main unit only ETL CLASSIFIED Intertek 3191955 The presence of this label indicates the machine was certified by ETL with the statement Conforms to AAMI Std ES 60601 1 IEC Std 60601 1 6 IEC Std 60601 1 8 IEC Std 60601 2 49 IEC Std 80601 2 30 ISO Std 80601 2 56 ISO Std 80601 2 61 Certified to CSA Std C22 2 NO 60601 1 NO 60601 1 6 NO 60601 1 8 NO 60601 2 49 NO 80601 2 30 NO 80601 2 56 NO 80601 2 61 Accutorr 7 Operator s Manual 1 5 FOR YOUR NOTES 1 6 Accutorr 7 Operator s Manual 2 The Basics 2 1 Intended Use The monitor is intended for monitoring physiologic parameters including Pulse Oximetry SpO2 Pulse Rate PR Non Invasive Blood Pressure NIBP and Temperature TEMP on adult pediatric and neonatal patients in healthcare facilities by physicians or appropriate medical staff under the direction of physicians This monitor is intended for use only by clinical professionals or under their guidance It must only be used by persons who have received adequate training in its use 2 2 Applied Parts The applied parts of the monitor are SpO2 sensor and cable NIBP tubing and cuff and Temp probes and ca
80. he monitoring of patients Illustrations All illustrations in this manual serve as examples only They may not necessarily reflect the setup or data displayed on your equipment Manual Conventions italic text is used to quote the referenced chapters or sections E Jis used to enclose screen text m gt is used to indicate operational procedures Accutorr 7 Operator s Manual V FOR YOUR NOTES VI Accutorr 7 Operator s Manual Contents EET a E E E E E E 1 1 Te Ti Safety INformations tias aT iii 1 1 1 1 1 Warnings 1 1 2 Cautions 11 3 NOTES kenorin o R E A aE 1 2 Equipment Symbols nip ata a Aai ES 1 4 2 THE Basics ons ssasccdissccccscccvescncesescsucessntaesescecescseneseocesessensecsesaesessncassenccssesoocesencescssseseesesneteesess 2 1 2 1 Intended Use 2 2 Applied Parts 2 3 Main unit DS VFO VIEW ios csssdcvoss esscerccaseasisdasabcchssedesse utousdoosh cdeescnttedeaghsatabechadces Aa 2 2 2 3 2 Side View 2 3 3 Rear View 23 4 BOttOM Vi CW sasscccccocscsssscssscasscasssciicoaseccsoncoacoassastasonasoacsanasstageonsescuasaiateasessvacsasasndsdostcoaiteassenseains 2 6 2 4 Main Screen 2 5 Menu 2 6 O Peratiing MOGES wicca sccccsciccsssccccchcsacssczctticspe sss daesadeigacuacscadighcuacseauvscensgacoauscnassconagaletdsegebcietpesaatbvebenus 2 6 1 Monitor Mode 2 6 2 Spot Check Mode 26 3 Standby MOE kaion eeaeee ean ara Ea Ea EEEE Eon ea E Saarai Ninia 2 64 Demo Mod rna asii eiiie iaaii tiai iaaa
81. he Selected CMS at Startup You can clear the selected CMS when the monitor restarts 1 Select Main Maintenance gt gt User Settings gt gt Enter the required password Select Ok to access User Settings menu 2 Select Network gt gt Clear CMS IP at Startup and then select On or Off On If configured with more than one CMS the monitor will clear the selected CMS when it restarts 2 minutes after power off The selected CMS will not be cleared when only one CMS is configured or the monitor is restarted within 2 minutes Off The monitor retains the selected CMS when it restarts Accutorr 7 Operator s Manual 3 9 FOR YOUR NOTES 3 10 Accutorr 7 Operator s Manual 4 Patient Data Management 4 1 Admitting a Patient The monitor displays and stores physiological data in the trends as soon as a patient is connected This allows you to monitor a patient that is not admitted yet However it is recommended that you fully admit a patient so that you can clearly identify your patient on recordings reports and networking devices NOTE Ifthe monitor enters and then exits Standby mode during patient monitoring you must re admit the patient before continuing monitoring 4 1 1 Admitting a Patient by the Admit Patient Hardkey 1 Press the hardkey to access the Patient Demographics menu Patient Demographics MRN 12 Last Name Brown First Name Jack Bed No 1 Gender
82. his key for more than 2 seconds to pause or restore alarms 9 NIBP Start Stop key Press to start or stop NIBP measurements 10 Admit patient key Press this key to admit a new patient Press this key to return to the main screen 11 Knob Rotate the knob clockwise or counterclockwise to move the cursor Press the knob to select one item such as accessing a menu or confirming the selection Accutorr 7 Operator s Manual 2 3 2 3 2 Side View ON AMR WN gt Handle Recorder indicator Start stop recording key Paper outlet Recorder door Connector for NIBP cuff Recorder door latch Connector for SpO2 cable Accutorr 7 Operator s Manual 2 3 3 Rear View 1 Temperature probe well 2 Connector for temperature probe 3 Network connector It is a standard RJ45 connector used to communicate with external devices such as central monitoring system eGateway or for upgrading the system software 4 Multi function connector connects to the hospital s nurse call system or connects external devices through DIAP protocol 5 USB connector connects to barcode scanner or USB disk AC power input 7 Equipotential grounding terminal NOTE When using the equipment with other devices their equipotential grounding terminals should be connected together to eliminate a possible difference in ground po
83. ient monitoring data as required Then press and hold the power on off switch for more than 2 seconds to turn off monitor There is a prompt message when the system is shutting down T E Press and hold the power on off switch for 10 seconds to forcibly shut down the monitor when it could not be shut down normally or under some special situations This may cause loss of patient data The monitor restores the latest configuration if it restarts within 60 seconds after a power failure The monitor restores the default configuration rather than the latest configuration if it restarts 120 seconds after a power failure The monitor may load either the latest configuration or the default configuration if it restarts from 60 120 seconds after a power failure Power failure may cause data corruption on the SD card It is recommended to turn off the monitor according to the normal procedures Do not directly unplug the power cord unless there is a charged battery installed or remove the battery before shutting down the monitor NOTE To completely disconnect the power supply unplug the power cord 3 4 Using Key Knob Touchscreen 3 4 1 Using Keys The monitor has three types of keys Softkey A softkey is a graphic key on the screen giving you fast access to certain menus or functions The monitor has two types of softkeys Parameter keys Each parameter area or waveform area can be seen as a softkey You can enter a parameter setup m
84. inuous and auto NIBP measurement 9 5 5 Correcting the Measurement when Cuff is not at Heart Level Apply the cuff to a limb at the same level as the patient s heart If the cuff is not at the heart level do the following to the displayed value E Add 0 75 mmHg 0 10 kPa for each centimetre higher or E Deduct 0 75 mmHg 0 10 kPa for each centimeter lower Accutorr 7 Operator s Manual 9 5 9 6 Understanding the NIBP Numerics The NIBP display generally shows numerics as shown below Your display may be configured to look slightly different 2 3 4 oN S an NIBP 1 125 80 93 00 02 28 Program 1 A 3 min 10 34 5 6 7 Unit of pressure mmHg or kPa Systolic pressure Diastolic pressure Mean pressure obtained after the measurement and cuff pressure obtained during the measurement Time of last measurement Time remaining to next measurement Measurement mode 9 7 Setting NIBP Select NIBP parameter area to access the NIBP Setup menu In Spot Check mode you can only set Initial cuff inflation pressure NIBP end tone and Venous Puncture In Monitor mode you can additionally set Interval Measurement on clock Custom program Alarms STAT NIBP Accutorr 7 Operator s Manual 9 7 1 Setting Interval In NIBP Setup menu you can select Interval and set to Manual NIBP measurement is started manually B 1 min 2 min 2 5 min 3 min 5 min 10 min 15 min 20 min 30
85. is complete otherwise an inaccurate temperature reading may result In Predictive mode if the probe temperature is high due to the environmental temperature or other causes cool the probe and then measure the patient s temperature The temperature reading displays continuously until the probe is again removed from the probe well 10 3 3 Taking a Temperature in Monitor Mode To measure a temperature in the Monitor mode 1 Make sure that the probe is placed in the probe well 2 Make sure that the temperature measurement type and site settings are correct 3 Remove the probe from the probe well and insert it into a cover in the probe cover pack Press the probe handle down firmly until the cover engages with the probe 4 Place the probe at the measurement site and then the monitor measures the site temperature Refer to Step 4 in 10 3 2 Taking a Temperature in Predictive Mode for how to place a probe 5 Withdraw the probe Firmly press the ejection button on the top of the probe to eject the probe cover Replace the probe into the probe well NOTE In Monitor mode record the measured value prior to taking the probe away from the measurement site The monitor will automatically stop measuring temperature after 10 minutes from the start of the measurement 10 4 Accutorr 7 Operator s Manual 10 4 Disinfecting Temperature Probe The recommended disinfectants include ethanol 70 isopropanol 70 glutaraldehyde type 2 liquid di
86. is within the marked range If it is not use a cuff that fits properly 6 Connect the cuff to the NIBP hose Avoid compression or restriction of NIBP hose Air must pass unrestricted through the tubing 9 4 Accutorr 7 Operator s Manual A warnine Sustained cuff pressure due to a kinked hose may interfere with blood flow and could lead to patient injury NOTE The use of the equipment is restricted to one patient at a time 9 5 3 Starting NIBP measurement Start the NIBP measurement in one of the following ways E Press the hardkey on the monitor s front panel E Access NIBP Setup menu and then select Start NIBP key to start a manual programmed or automatic NIBP measurement with preset interval Access NIBP Setup menu and then select NIBP STAT to start a continuous NIBP measurement A warnine Continuous non invasive blood pressure measurements may cause purpura ischemia and neuropathy in the limb with the cuff Periodically examine the limb under the cuff to ensure skin color and integrity If anything abnormal is seen move the cuff to another site or stop the non invasive blood pressure measurements immediately 9 5 4 Stopping NIBP Measurement E Press the hardkey on the monitor s front panel to stop a manual NIBP measurement or a continuous NIBP measurement E Access NIBP Setup menu and then select Stop All to stop all the NIBP measurement including manual cont
87. issue throughout the measurement When taking an axillary temperature lift the patient s arm to expose the entire armpit Apply the probe as high as possible in the armpit Check that the probe tip is completely surrounded by the axillary tissue Lower the patient s arm so that it is tightly placed at the patient s side Keep the patient s arm and the probe in place throughout the measurement When taking a rectal temperature separate the patient s buttocks with one hand and gently glide the probe 0 6 inch 1 5 cm inside the rectum with the other hand For pediatric patients the depth of insertion is less Tilt the probe so that it always contacts with patient s tissue Lubricant can be used in rectal mode The monitor sounds a beep when the temperature measurement is complete Withdraw the probe Firmly press the ejection button on the top of the probe to eject the probe cover Replace the probe into the probe well In Predictive mode the monitor automatically enters Monitor mode in the following cases Accurate temperature is not reached m Neither measurement is taken nor is the probe replaced in the probe well in 60 seconds after the probe is withdrawn from the well The temperature type automatically changes to Predictive mode when the probe returns to the probe well Accutorr 7 Operator s Manual 10 3 NOTE In Predictive mode place the temperature probe at the measurement site as soon as probe warmup
88. k mode Off Sensitivity Masimo Normal Averaging Masimo 8s Accutorr 7 Operator s Manual C 1 3 PR Saved at Power Affected by Name Default Config Failure Defaults Alarm On Off On Alarm Priority Med Adult 120 PR ree High Pediatric 160 Neonate 200 Yes Yes Adult 50 PR Pediatric 75 Low Neonate 100 PR Source SpO2 Beat Volume 2 C 1 4 Temp Name Default Config Saved at Power Affected by Failure Defaults Alarm On Off off Yes Yes Alarm Priority Med Yes Yes Temp High 38 0 Yes Yes Temp Low 35 0 Yes Yes Temp Type Predictive No No Oral Axillary probe Oral for adult and pediatric Temp Position No No Axillary for neonate Rectal probe Rectal Accutorr 7 Operator s Manual C 3 C 2 General Configuration C 2 1 Alarm 7 Saved at Power Affected by Name Default Config Failure Defaults Latching Alarm Off Minimum Alarm 2 Volume High Alarm Interval s 10 s Med Alarm Interval s 20 s Yes No Low Alarm Interval s 20s Reminder Tone On Alarm Light on Alarm On Reset C 2 2 Review Name Default Saved at Power Affected by Config Failure Defaults Name MRN button MRN Spot Check Option for All Trends Name MRN button Filter All Name MRN button MRN Yes No Continuous Option for Current patient Trends Name MRN button
89. l of the equipment please contact Mindray Magnetic and electrical fields are capable of interfering with the proper performance of the equipment For this reason make sure that all external devices operated in the vicinity of the equipment comply with the relevant EMC requirements Mobile phones and X ray equipment are a possible source of interference as they may emit higher levels of electromagnetic radiation Before connecting the equipment to the power line check that the voltage and frequency ratings of the power line are compatible with those indicated on the equipment s label or in this manual Always install or carry the equipment properly to avoid damage caused by a drop impact strong vibration or other mechanical force If you spill liquid on the equipment or accessories contact Mindray or your service personnel Accutorr 7 Operator s Manual 1 3 1 1 3 Notes NOTE Keep this manual in the vicinity of the equipment so that it can be easily located when needed The software was developed in compliance with IEC60601 1 4 The possibility of hazards arising from software errors is minimized This manual describes all the equipment features and options Your equipment may not have all of them During normal use the operator is expected to face the front of the equipment Put the equipment in a location where you can easily view and operate the equipment The equipment uses a mains plug asa means of isola
90. les in a way to prevent a stumbling hazard Wrap and secure excess cabling to reduce risk of entanglement by patients or personnel When disposing of the packaging material be sure to observe the applicable waste control regulations and keep it out of children s reach When no battery is installed make sure that the power supply is continuous A power interruption will result in patient data loss Put the equipment in a location where you can easily see the screen access the operating controls and disconnect the equipment from AC power The equipment uses a mains plug as isolation means to the mains power supply Please do not position the equipment in a place difficult to operate the mains plug The equipment is not intended to be used within the magnetic resonance MR environment 1 2 Accutorr 7 Operator s Manual 1 1 2 Cautions kamion Only use parts and accessories specified in this manual Remove the battery before shipping the monitor or if it will not be used for an extended period of time Carefully route patient cabling to reduce the possibility of patient entanglement Disposable accessories are not designed to be reused Reuse may cause a risk of contamination and affect the measurement accuracy At the end of its service life the equipment and its accessories must be disposed of in compliance with the guidelines regulating the disposal of such products If you have any questions concerning disposa
91. limit limit limit limit range PR PRx0 8 or 40 PR 30 or 90 PRX1 25 or 240 PR 40 or Adult Pediatric bpm whichever bpm bpm whichever 200 bpm 35 to 240 bpm is greater whichever is jis smaller whichever is Neanate greater smaller i 55 to 225 bpm NIBP S SYSx0 68 10 SYS 15 or 45 SYSx0 86 38 SYS 15 or Adult mmHg mmHg mmHg 105 mmHg 45 to 270 mmHg Vesta Is whichever is pediatric greater smaller 45 to 185 mmHg Neonate 35 to 115 mmHg 6 6 Accutorr 7 Operator s Manual Parameter Low alarm Limit High alarm Limit Auto set alarm Adult Pediatric Neonate Adult Pediatric Neonate limit Range NIBP D Diax0 68 6 Dia 15 or 20 Diax0 86 32 Diat 15 or Adult mmHg mmHg mmHg 80 mmHg 25 to225 mmHg whichever is whichever is Pediatric ti grea er smaller 25 to 150 mmHg Neonate 20 to 90 mmHg NIBP M Meanx0 68 8 Mean 15 or Meanx0 86 Mean 15 Adult mmHg 35mmHg 35 mmHg jor 95 30 to 245 mmHg whichever is mmHg Pediatric t greater whichever is 30 to 180 mmHg smaller Neonate 25 to 105 mmHg Temp T 0 5 C T 0 5 C I T 0 5 C T 0 5 C Same as the measurement range 6 6 Pausing Alarms You can temporarily disable alarm sound of all alarms by pressing and holding hardkey on the panel for above 2 seconds When alarms are paused Alarm Information area The alarms pause symbol A
92. m 3V m Recommended separation distances IEC61000 4 3 80MHz to 80 MHz 800 MHz 2 5GHz d 1 2 4P 800MHz 2 5GHz d 2 3VP Where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separation distance in meters m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency range Interference may occur in the vicinity of equipment marked with the following Kad symbol Note 1 At 80 MHz to 800 MHz the separation distance for the higher frequency range applies Note 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people Note 3 The device that intentionally receives RF electromagnetic energy at the exclusion band 2395 825MHz 2487 645MHz is exempt from the essential performance requirements but remains safe Accutorr 7 Operator s Manual B 3 a Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the mea
93. manual is believed to be correct Mindray is not liable for errors contained herein nor for incidental or consequential damages in connection with the furnishing performance or use of this manual Mindray is responsible for the effects on safety reliability and performance of this product only if E allinstallation operations expansions changes modifications and repairs of this product are conducted by Mindray authorized personnel m the electrical installation of the relevant room complies with the applicable national and local requirements E the product is used in accordance with the instructions for use ee Only skilled trained clinical professionals should operate this equipment Itis important for the hospital or organization that uses this equipment to perform a reasonable service maintenance plan Neglect of this may result in machine breakdown or personal injury Accutorr 7 Operator s Manual Warranty Mindray warrants that components within its products will be free from defects in workmanship and materials for a period of three years from the date of purchase except that disposable or one time use products are warranted to be free from defects in workmanship and materials up to a date one year from the date of purchase or the date of first use whichever is sooner This warranty does not cover consumable items such as but not limited to batteries external cables and sensors Mindray sh
94. manually save patient data Refer to 4 3 Manually Save Patient Data Network and USB connection area Display CMS information or Spot Check mode For details for how to configure CMS refer to 12 2 7 Central Monitoring System Setup Indicate the connection of network or USB to this monitor indicates monitor is successfully connected to a wired network indicates the wireless function optional is working indicates monitor has failed to connect a wired network indicates the wireless function optional is not working indicates a USB drive is inserted Battery status indicates the status of the battery For details refer to Chapter 13 Battery System time Tabular trend area This area displays only in Trend screen mode NIBP list area This area displays only in NIBP List screen mode Accutorr 7 Operator s Manual 2 5 Menu 3 General Setup gt gt Alarm Setup gt gt Transfer Data to USB Load Configuration gt gt 2 Maintenance gt gt A menu in this monitor is usually composed of 1 Heading provide a title or description for the current menu 2 Main body displays options buttons prompt messages etc A menu button followed by gt gt opens a secondary window to reveal more options or information 3 x select to exit the current menu 2 6 Operating Modes 2 6 1 Monitor Mode The monitor will automatically enter monitor mode after power on Monitor mode is a common mo
95. mediate treatment may be required operation which may compromise a certain monitoring function but will not threaten the patient s life 6 3 Alarm Indicators When an alarm occurs the equipment will indicate it to the user through visual or audible alarm indications E Alarm lamp Audible alarm tones E E Alarm message E Flashing numerics 6 3 1 Alarm Lamp If a technical alarm or physiological alarm occurs the alarm lamp will flash The color and flashing frequency match the alarm level as follows High level alarms E Medium level alarms E Low level alarms NOTE the lamp quickly flashes red the lamp slowly flashes yellow the lamp lights yellow without flashing When multiple alarms of different levels occur simultaneously the alarm lamp flashes and the alarm tone sounds according to the alarm of the highest level and the alarm messages are displayed circularly 6 3 2 Audible Alarm Tones The monitor uses different alarm tone patterns to match the alarm priority 6 2 Accutorr 7 Operator s Manual The alarm tone is distinct from keystroke tone and pulse tone in frequency The alarm tones identify the alarm levels as follows m High level alarms triple double beeps triple double beep E Medium level alarms triple beep E Low level alarms single beep The interval of alarm tone is configurable Refer to section 6 5 3 Setting the Interval between Alarm Sounds NOTE When multiple
96. monitor uses the wireless optional network to obtain data and the screen displays the icon of wireless optional network The design installation and maintenance of the wireless optional network s distribution should be performed by authorized personnel Ina wireless optional network the existence of obstacles such as walls will affect data transmission or even cause wireless optional network interruption Anaccess point AP supports a maximum of 16 monitors through the wireless optional network Accutorr 7 Operator s Manual 12 3 12 2 3 Setting up the Wireless Network Optional A Mindray proprietary wireless network installed by approved Mindray service personnel is required to support wireless networking This proprietary network will have the following capabilities E Support the 802 11g wireless protocol M Have a channel bandwidth of 20 MHz E Support WPA2 PSK security Provide a signal strength at the monitor of no less than 65 dBm NOTE Keep network authentication information e g password safe to protect the network from being accessed by unauthorized users Authentication and encryption other than WPA2 PSK may expose sensitive data or allow malicious settings The total throughput of all the wireless devices connected to the wireless network should be less than the effective transmitting capability of the wireless network The throughput capacity of a single Accutorr 7 is 700 kbps
97. n quality changes Change the application site every four hours For neonates or patients with poor peripheral blood circulation or sensitive skin inspect the sensor site more frequently 7 3 Identifying SpO Module To id entify which SpO2 module is incorporated into your monitor see the company logo located at the side panel The color of the cable connector matches the company as shown below No Masimo SpO2 module a purple connector with the Masimo SET logo 9 ASMO D WORKS Nellcor SpO2 module a grey connector with the Nellcor logo The SpO2 sensor connectors are mutually exclusive Accutorr 7 Operator s Manual 7 4 Applying the Sensor WARNING A If the sensor is too tight because the application site is too large or becomes too large due to edema excessive pressure for prolonged periods may result in venous congestion distal from the application site leading to interstitial edema and tissue ischemia NOTE Place the SpO sensor so that the light source is against the application site Check if the sensor is in normal condition before monitoring Do not use the SpO sensor if the package or the sensor is found damaged Do not apply the sensor ona limb with an intravenous infusion or arterial catheter in place 1 Select an appropriate sensor according to the module type patient category and weight Clean the application site For example remove colored nail polish Appl
98. n the patient s oxygen saturation level Contrarily the longer the averaging time is the slower the equipment responds to changes in the patient s oxygen saturation level but the measurement accuracy will be improved For critically ill patients selecting shorter averaging time will help understanding the patient s state To set the Masimo SpO averaging time select Averaging in the SpO2 Setup menu and then toggle between 2 4 s 4 6 s 8 s 10 s 12 s 14 s and 16 s 7 5 5 Monitoring SpO and NIBP Simultaneously When monitoring SpO2 and NIBP on the same limb simultaneously you can switch NIBP Simultaneous on in the SpO2 Setup menu to lock the SpO2 alarm status until the NIBP measurement ends If you switch NIBP Simultaneous off low perfusion caused by NIBP measurement may lead to inaccurate SpO2 readings and therefore cause false physiological alarms 7 5 6 Sat Seconds Alarm Management With traditional alarm management high and low alarm limits are set for monitoring oxygen saturation During monitoring as soon as an alarm limit is violated an audible alarm immediately sounds When the patient SpO fluctuates near an alarm limit the alarm sounds each time the limit is violated Such frequent alarms can be distracting Nellcor s Sat Seconds alarm management technique is used to reduce these nuisance alarms The Sat Seconds feature is available with the Nellcor SpO2 module to decrease the likelihood of
99. nce settings to be exported Then select the Export button A status message will report completion of the transfer To import the configuration from the USB drive to the monitor 1 Insert a USB drive into the monitor s external device connector 2 Select Import Config gt gt in the Manage Configuration menu 3 In the Import Config menu select the configurations and the user maintenance settings to be imported Then select the Import button A status message will report completion of the transfer 5 6 Loading a Configuration You may make changes to some settings during operation However these changes or the pre selected configuration may not be appropriate for the newly admitted patient Therefore the monitor allows you to load a desired configuration so as to ensure that all the settings are appropriate for your patient To load a configuration 1 Select Main Load Configuration gt gt The popup menu shows the existing configurations on the monitor Selecting Config on USB drive gt gt will show the existing configurations on the USB drive 2 Select a desired configuration 3 Select Load The current configuration is shown at the top of the Load Configuration menu 5 7 Restoring the Latest Configuration Automatically During operation you may make changes to some settings However these changes may not be saved as user configurations To prevent the changes from being lost in case of a sudden
100. nches 5 cm away from surrounding objects When the equipment is moved from one place to another condensation may occur as a result of temperature or humidity difference In this case never start the system before the condensation disappears i ee Make sure that the equipment operating environment meets the specifications Otherwise unexpected consequences e g damage to the equipment could result NOTE The equipment uses a mains plug asa means of isolation to the mains power supply Do not position the equipment in a place difficult to access the mains plug Accutorr 7 Operator s Manual 3 2 General Operation Read this operator s manual carefully before using this monitor Familiarize yourself with the equipment s function and operation and observe the warnings and cautions included in the manual 3 2 1 Connection to AC Power This monitor can be powered by AC power or battery Connect the power cord to the AC input on the back of the monitor and connect the other end of the power cord to the power outlet ne Always use the accompanying power cord with the monitor The battery is to be used if the integrity of the protective earth conductor or the protective earthing system in the installation is in doubt 3 2 2 Using a Battery This monitor can be equipped with rechargeable lithium ion battery If a battery is installed the monitor system automatically switches to the b
101. ncture key Puncture vein and draw blood sample 4 When the puncture is complete select VeniPuncture key or press the TD hardkey on the monitor s front panel to deflate the cuff The cuff deflates automatically after a set time if you do not deflate it During puncture the NIBP display shows the real time inflation pressure of the cuff 9 8 Accutorr 7 Operator s Manual destination inflation pressure and the remaining time in venous puncture mode NIBP 18 80 00 02 41 9 9 Care and Cleaning of Reusable Cuffs NOTE Accuracy of cuff pressure transducers indicators is to be verified at intervals specified by the manufacturer 9 9 1 Reusable Cuffs with Bladders Take out the bladder before cleaning and disinfecting the cuff 9 9 1 1 Cleaning Hand or machine washes the cuff in warm water or with mild detergent Clean the bladder with a damp cloth Air dry the cuff thoroughly after washing NOTE Machine washing may shorten the service life of the cuff 9 9 1 2 Disinfection Disinfect the cuff with a cloth dampened in 70 isopropanol or with ultraviolet light Also disinfect the bladder with ultraviolet light NOTE Prolonged use of disinfectant may cause discoloration of the cuff Replace the bladder after cleaning and disinfecting the cuff 1 Place the bladder on the top of the cuff as shown below 2 Roll the bladder lengthwise and insert it into the large opening Accutorr 7 Operator
102. nder Tone When the alarm volume is set to zero or alarm is reset the monitor can issue a periodical reminder tone The interval of the reminder tone is 1 minute You can switch on or off the reminder tone 1 Select Main Maintenance gt gt User Settings gt gt Enter required password Select Ok to access User Settings menu Select Alarm Setup gt gt to access Alarm Setup menu Set Reminder Tone to On or Off 6 10 Latching Alarms The latching setting for physiological alarms defines how alarm indicators behave when you do not acknowledge them If an alarm is latched alarm indications remain presented even though alarm conditions end except that The parameter reading and violated alarm limit stop flashing The time when the alarm is last triggered is displayed after the alarm message If an alarm is not latched the alarm indications disappear as soon as the alarm conditions end When the alarm system is reset the latched physiological alarms are cleared To latch a physiological alarm 1 Select Main Maintenance gt gt User Settings gt gt Enter required password Select Ok and then access User Settings menu Select Alarm Setup gt gt Set Alarm Latch to High only High amp Medj All or Off High only only high priority alarms are latched AIl all alarms are latched and Off no alarm will be latched Hi amp Med both
103. nds on the setting of minimum alarm volume refer to 6 5 2 Setting the Minimum Alarm Volume and 10 the maximum volume The alarm tone is switched off when the volume is set to 0 ee Do not rely exclusively on the audible alarm system for patient monitoring Adjustment of alarm volume to a low level may result in a hazard to the patient Always keep the patient under close surveillance 3 5 5 Adjusting Key Volume 1 Select Main General Setup gt gt 2 Select Key Volume and then select the appropriate volume 0 10 in which 0 means off and 10 the maximum volume The monitor can provide a tone according to the settings in key volume when you press the knob or hard key or touch the screen 3 5 6 Adjusting the Screen Brightness 1 Select Main General Setup gt gt 2 Select Brightness and select the appropriate setting for the screen brightness 10 is the brightest and 1 is the dimmest If the monitor operates on battery power you can set a dimmer screen to prolong the battery operating time When the monitor enters Standby mode the screen automatically changes to the dimmest setting Accutorr 7 Operator s Manual 3 7 3 5 7 Setting Screen You can set the main screen to one of the three pre defined layouts as desired To set the screen 1 2 Select Main General Setup gt gt Select Display Setup and set the main screen to different layout All Parameters display T
104. nfiguring Printout 4 Patient Data Management essessessseesossosscsssessossoseosesessossosecossosesossessossosesossoseosssessossssee 4 1 4 1 Admitting a Patient 4 1 1 Admitting a Patient by the Admit Patient Hardkey 4 1 2 Admitting a Patient by Barcode Scanner sssssecsessssesseesssecescsssesescsnnseseesnsesssennsesseeese 4 1 3 Admitting a Patient from Patient List 4 2 Manually Input Patient Data 4 3 Manually Save Patient Data sssssssssssssessssessccsssessecssseseccssssseecsssseseessssseeeensnseesssnsecesesnseesesesnsessee 4 4 Reviewing Patient Data 4 4 1 Spot Check Trends 4 4 2 CONTINUOUS TLENS 0 sssssessccsssessecssssssecsnsessecssssssecssssecsecsnsecsessnsecescssseescsssessesssneesssensnsesesssees 4 4 3 Graphic Trends 4 5 Transferring Data from the Monitor to USB Drive 5 Managing Configurations i scccscsssseesscscsessccessssnscoasecvenascasoscsnsssadonssnsseesecesesesasvansocesoeses 5 1 5 1 Overview 5 2 Accessing Manage Configuration Menu 5 2 1 Setting Default Configuration ssssccssssseesssssseesssssessssssseessssssessssssssesssssnsesssssusecssssnesses 5 3 Saving Current Settings 5 4 Deleting a Configuration 5 5 Transferring a CONFIQUIATION cssssssccsssssscssssseesssssssecsssssecsssssesssssusecssssuseessssnsecssssnsecsssssnecsssssseeess 5 6 Loading a Configuration 5 7 Restoring the Latest Configuration Automatically CFAE A EE E AEE OAE EEE doeseveeacs AE E AA E OR
105. ngs gt gt Enter the required password Select Ok to access User Settings menu Select DIAP Communication gt gt to access DIAP Communication Setup menu Set the baud rate Select Ok to exit the menu 12 2 7 Central Monitoring System Setup You can set up to 30 CMSs for the monitor 1 2 3 4 Select Main Maintenance gt gt User Settings gt gt Enter the required password Select Ok to access User Settings menu Select Network gt gt Central Station Setup gt gt to access Central Station Setup menu Set the name of the CMS and IP addresses Select Ok to exit the menu 12 2 8 Setting the Multicast Parameters To set the Multicast parameters 1 Select Main Maintenance gt gt User Settings gt gt Enter the required password Select Ok to access User Settings menu Select Network gt gt Multicast Setup gt gt Set Multicast Addr and TTL Accutorr 7 Operator s Manual 12 5 FOR YOUR NOTES 12 6 Accutorr 7 Operator s Manual 13 Battery 13 1 Overview The monitor is designed to operate from battery power when AC power is not available In case of power failure the equipment automatically runs from the battery The battery is to be used if the integrity of the protective earth conductor or the protective earthing system in the installation is in doubt A CAUTION Remove the battery before transporting the equipment or if th
106. ngs menu 2 Select Format Storage Card and then select Ok in the pop up dialog 14 10 Modifying Password 1 Select Main Maintenance gt gt User Settings gt gt Enter the required password Select Ok to access the User Settings menu Select Modify Password gt gt Enter new password and then select Ok 14 6 Accutorr 7 Operator s Manual 15 Accessories The material that patients will come into contact with has passed the bio compatibility test and is verified to be in compliance with ISO 10993 1 ince Only use accessories specified in this chapter Using other accessories may cause damage to the equipment or not meet the claimed specifications Single use accessories are not designed to be reused Reuse may cause a risk of contamination and affect the measurement accuracy Check the accessories and their packages for any sign of damage Do not use them if any damage is detected Dispose of accessories according to your hospital regulations Use the accessories before the expiration date if their expiration date is indicated For more details about the accessories refer to the instructions for use of corresponding accessories 15 1 SpO Accessories Extension Cable Module type Remarks Part No Masimo SpO2 Module 8 pins 2 1m 115 020768 00 Nellcor SpO2 Module 8 pins 2 5m 0010 20 42712 SpO2 SensorsMasimo SpO2 module
107. nitor SpOz2 Init Err Yes High SpO2 Board No Low There isa problem Do not use the Fault with the SpO2 module and contact Masimo measurement your service board personnel SpO2 Low No Low The SpO2 signal is Adjust the sensor Signal too low or too application site Masimo weak D 4 Accutorr 7 Operator s Manual Alarm Clearable Alarm Level Cause Solution Message Yes No SpO2 Weak No Low Signal Nellcor SpO2 No Low The SpO2 signal Check for any possible Interference has been sources of signal noise Masimo interfered around the sensor and check the patient for great motion SpO2 Comm Yes High An error occurred Restart the monitor If Err Masimo to the SpO2 the error remains Nellcor module or there is contact Mindray a problem with service personnel the communications between the module and the monitor SpO2 Limit No Low The alarm limit of Contact your service Err SpO2 is changed personnel Masimo inadvertently Nellcor PR Limit Err No Low The alarm limit of Contact your service Masimo PR is changed personnel Nellcor inadvertently PR No Low The measured PR Contact your service Overrange value exceeds the Personnel Masimo measurement Nellcor or range from NIBP means the alarm level is user adjustable Accutorr 7 Operator s Manual D 5 D 2 3 Temperature Alarm Messages Alarm
108. nsideration do NOT set the high alarm limit to 100 which is equivalent to switching the alarm off 6 5 Selecting Alarm Properties 6 5 1 C hanging the Alarm Volume Select Main General Setup gt gt Alarm Volume The alarm volume range is between X and10 X is the minimum volume which depends on the setting of minimum alarm volume refer to 6 5 2 Setting the Minimum Alarm Volume and 10 is the maximum volume When alarm volume is set to 0 the alarm sound is turned off and a symbol appears on the screen 6 5 2 Setting the Minimum Alarm Volume The minimum alarm volume refers to the minimum value you can set for the alarm volume which is not affected by user or factory default configurations Select Main Maintenance gt gt User Settings gt gt Enter the required password Select Ok to access User Settings menu Select Alarm Setup gt gt to access Alarm Setup menu Select Minimum Alarm Volume and then select the appropriate settings 6 5 3 Setting the Interval between Alarm Sounds 1 Select Main Maintenance gt gt User Settings gt gt Enter the required password Select Ok to access User Settings menu Select Alarm Setup gt gt to access Alarm Setup menu Select High Alarm Interval s Med Alarm Interval s and Low Alarm Interval s in turn and then select the appropriate settings Accutorr 7 Operator s Manual 6 5 WARNING
109. nt Limitations sssessssssssssesssseessssecessecssssecssssessssscesssessssseesssscsssseesssseessseessseesssseess 7 6 7 7 Masimo Afora t ON sisses 7 6 7 8 N llcor Inf rmati os ssnaisoncnniinnnasannnnenennaninninnn eines 7 7 8 Monitoring PR cssscciiccssscccsceocescsssesescssosessecssoousssusseessscecesescsesssonssoncscesaevessessscesesesesoousseessenes 8 1 8T OVET VIEW nesini paagi t iTi iesse iaaa EEEIEI Raai TE eoat SESAR Na ESRAS S ieia iie 8 1 8 2 PR SOURCE irn EARNAN AE AEE N AONANE ONENEN E 8 1 83 Pulse TONE rayina a A a a 8 1 9 Monitoring NIBP sesscccccscicsccsccesseacssedsscessetccssecstncseadseacasessseansecasosesesadccoaasectsedecscessaccsceesseees 9 1 SRDAN E AA AEE ETE AEE 9 1 DD Safe a a O E A A i 9 2 9 3 M asurement Limitations ascsssss cssccsssissesscesvsistessescossncossadcosst enussscuvdsesussseuyancoussnzeisesntbcennsaseboacenbiasees 9 3 9 4 NIBP Measurement Mode Accutorr 7 Operator s Manual 9 5 Measuring NIBP eea E E TE ANAE 9 5 1 Preparing the Patient asisssssssccscsscsssccassacsasscasssesosascscsacasadassssscsdetaasvsnsscassscsoaassbasassoaauctasasscaains 9 5 2 Preparing to Measure NIBP i 9 5 3 Starting NIBP measurement ssessssssssssessooscercoeccceeeeesessssssssssssssoseoeeeeeceeeeeeeeeeeeeeseessesssssss 9 5 4 Stopping NIBP Measurement esssescsssscsescsescsseecneecssecsneccnsecssecsscecssccnscesscenscesseeeneeesees 9 5 9 5 5 Correcting the Measurement when Cuff is not at Heart Level
110. nts alarm events trends and patient data or cause functional failure In the case of network disconnection check the patient and solve the network problem as soon as possible 12 2 Accutorr 7 Operator s Manual 12 2 2 Network Type and Settings The equipment supports both wired and wireless optional networking To set the network type 1 Select Main Maintenance gt gt User Settings gt gt Enter the required password Select Ok to access the User Settings menu 2 Select Network gt gt Monitor Network Setup gt gt to access the Monitor Network Setup menu In the Monitor Network Setup menu you can E Set Network Type to LAN or WLAN E Set Address Type to DHCP or Manual if Address Type is set to DHCP the monitor can automatically acquire network parameters if Address Type is set to Manual you need to manually input the monitor IP address subnet mask and gateway address If your network is WLAN in the Monitor Network Setup menu you can E Set Network Name SSID and Password E Select WLAN Test gt gt to perform wireless optional network connection test NOTE The option Network Type is active only when the monitor is equipped with an optional Wi Fi module When the network type is set to LAN the monitor uses the wired network to obtain data and the screen displays the icon of wired network When the network type is set to WLAN the
111. onitor or change the monitor s location you need to set it as follows 1 Select Main Maintenance gt gt User Settings gt gt Enter the required password Select Ok and then access User Settings menu 2 Set up Monitor Name Department and Bed No You can set Changing Bed No to E Unprotected enables you to change Bed No from the Patient Demographics menu E Protected prevents you from changing Bed No from the Patient Demographics menu 3 5 2 Changing Language 1 Select Main Maintenance gt gt User Settings gt gt Enter the required password Select Ok to access User Settings menu Select Language and then select the desired language Restart the monitor 3 5 3 Configuring the Timeout of Clinician ID You can configure the retention time of a clinician ID each time it is entered If a clinician ID is entered but there is no activity on the monitor for a configured period of time the monitor will clears the ID 1 Select Main Maintenance gt gt User Settings gt gt Enter the required password Select Ok and then access User Settings menu 2 Select Clinician ID Time out and then set the time 3 6 Accutorr 7 Operator s Manual 3 5 4 Adjusting Alarm Volume 1 Select Main General Setup gt gt 2 Select Alarm Volume and then select the appropriate volume The alarm volume range is between X to 10 X is the minimum volume which depe
112. or adult and pediatric patients When oral axillary probe is used the measurement site will automatically be set to Oral You can change the site in Temp Setup menu 10 2 Accutorr 7 Operator s Manual 10 3 2 Taking a Temperature in Predictive Mode 1 2 3 Make sure that the probe is placed in the probe well Make sure that the temperature measurement type and site settings are correct Remove the probe from the probe well and insert it into a cover in the probe cover pack Press the probe handle down firmly until the cover engages with the probe The temperature module starts to warm up when the probe is taken out of the probe well The message Temp Warming Up displays in Temp parameter area The warming up time is about 2 seconds at room temperature The monitor sounds two beeps and displays the message Temp Prediction Ready on the screen when warm up is complete Then you can place the probe at the measurement site Place the probe at the measurement site and wait until the measurement stabilizes d When the dynamic symbol appears it indicates that the monitor starts to take the measurement When taking an oral temperature apply the probe under the patient s tongue from either side of the mouth Make sure that the probe reaches the rear sublingual pocket Have the patient close his her lips to hold the probe Use your hand to hold the probe in place Make sure that the probe contacts with the patient s oral t
113. ord any needed data prior to changing the date and time Accutorr 7 Operator s Manual 3 5 11 Configuring Unit You can configure the measurement unit To enter the Unit Setup menu select Main General Setup gt gt gt Unit Setup gt gt and then the Unit Setup menu pops up 3 5 12 Configuring Printout You can select the items to be printed on the strip By default all items are selected To enter the Print Setup menu select Main General Setup gt gt gt Print Setup gt gt and then the Print Setup menu pops up 3 5 13 Selecting a Central Monitoring System The monitor can be configured with multiple central monitoring systems CMS If Select CMS is enabled you can select one CMS for the current monitoring In Monitor mode when a CMS is selected the Network and USB connection area will display the CMS name when no CMS is selected the area displays To select a central monitoring system select Main General Setup gt gt Select Central Station gt gt and then select a CMS in the pop up menu Refer to section 12 2 7 Central Monitoring System Setup for configuring the name and IP address of a CMS To enable the select CMS function 1 Select Main Maintenance gt gt User Settings gt gt Enter the required password and then select Ok to access User Settings menu 2 Select Network gt gt Select CMS and then select On 3 5 14 Clearing t
114. our service OM personnel Recorder No Low The recorder has Stop the recording Head Hot been working for and resume the too long time recording until the recorder s print head cools down Accutorr 7 Operator s Manual D 7 Alarm Clearable Alarm Cause Solution Message Yes No Level Rec Head Yes Low The thermal head of Restore the control Wrong Pos the recorder is in lever of the recorder wrong position to its previous position Recorder out Yes Low The recorder paper Replace with a new of paper is used up paper roll D 2 5 Power Alarm Messages Alarm Clearable Alarm Cause Solution Message Yes No Level 12V Too High No High There is a problem Restart the monitor If with the system the problem still Te Too Low No High power supply exists contact 5V Too High No High Mindray or your 7 service personnel 5V Too Low No High 3 3V Too High No High 3 3V Too Low No High Battery Too No Med The battery charge is Connect the monitor Low too low to an AC power source and allow the Ee J No High ms aa eas iS atteis to charge eplete almost depleted immediately Power Board No High No data from power Restart the monitor If Comm Err module has been the problem still received for 5 exists contact seconds Mindray or your service personnel RT Clock Need No Low There is a problem Reset the
115. pensate for the theoretical effect on oximeter measurements of fetal hemoglobin in neonatal blood Information of the Test Subjects of the Clinical Study Report Skin color Gender Number Age years Health Black Male 1 28 2 9 19 Healthy Female 1 Yellow Male 3 Female 9 A 6 2 PR Module PR High Limit PR Low Limit Step bpm Masimo SpO2 Module low limit 2 to 240 25 to high limit 2 Nellcor SpO2 Module low limit 2 to 300 20 to high limit 2 1 NIBP Module low limit 2 to 240 40 to high limit 2 PR from Masimo SpO2 Module Measurement range 25 to 240 bpm Resolution 1 bpm Response time lt 20 s PR value sudden change within 25 240 bpm Accuracy 3 bpm without motion 5 bpm with motion Refreshing rate 1s Accutorr 7 Operator s Manual PR from Nellcor SpO2 Module Measurement range 20 to 300 bpm Resolution 1 bpm Response time lt 30s PI gt 0 3 no disturbance PR value sudden change within 25 250 bpm 20 to 250 bpm 3 bpm easily 251 to 300 bpm not specified Refreshing rate 1s PR from NIBP Module Measurement range 40 to 240 bpm Resolution 1 bpm Accuracy 3 bpm or 3 whichever is greater A 6 3 NIBP Sener Meet standards of IEC80601 2 30 EN1060 1 EN1060 3 EN1060 4 and SP10 Technique Oscillometry Mode of operation Manual Auto and STAT
116. rea Accutorr 7 Operator s Manual 4 3 Manual Inputs Manual Inputs Pain Level Loc RESP Patent Poston NIBP Location Temp Posifon Ora Ok Tere c VO Fluid 1 m Glucose myd 02 Source 02 02 Fow Rato LPM Cancel 4 Select tosave the configuration and exit the menu The following picture shows the manual input area which is located at the bottom of the screen if turned on Pain Level RESP 1 Glucose Temp 1 0 Fluid After the manual input area is selected the Manual Inputs menu pops up The displayed items correspond to the settings in Manual Inputs Setup Manual Inputs as a Parameter2 LOC Parameters RESP Modifier B Patient Postion B NIBP Location O Temp Position Display Manual input Area On ParameterS VO Fluid Parameter6 Glucose B 02 Source BO2 B 02 Flow Rate 4 4 Accutorr 7 Operator s Manual 4 3 Manually Save Patient Data Select the Save QuickKey to save the demographics measurements and manually entered data for the current patient You can configure the data processing mode for the manually saved data 1 Select Main Maintenance gt gt User Settings gt gt enter the required password gt select Ok to access User Settings menu Select Save Button Options gt gt In Save Button Setup menu select Automatically Send On Manual Save the data saves locally and is sent to the
117. rend display or NIBP List display All Parameters display includes parameter area waveform area but no trend Trend display includes parameter area tabular trends but no waveform area NIBP List display includes parameter area NIBP list but no waveform area Refer to 2 4 Main Screen for additional information 3 5 8 Configuring the Timeout of Measured Value You can configure the retention time for the digital value of the current NIBP and temperature measurement displayed on the screen To set the timeout 1 2 Select Main General Setup gt gt Select Parameter Time Out and select an appropriate setting The options are 5 min 10 min 15 min and 30 min and off When Off is selected the digital value of the current NIBP and temperature measurement will display on the screen until a new measured value replaces it 3 5 9 Configuring Measurement Colors You can set the desired color for SpO2 NIBP Temp and PR Select Main General Setup gt gt Parameter Color Setup gt gt and then the Select Color menu pops up 3 5 10 Setting the Date and Time 1 Select Main General Setup gt gt System Time gt gt Set Date and Time Select Date Format and toggle between yyyy mm dd mm dd yyyy and dd mm yyyy Select Time Format and toggle between 24h and 12h Aimon Changing date and time affects the storage of trends and events and may cause data loss Save or rec
118. rs the equipment also uses the following Accutorr 7 Operator s Manual 6 3 symbols telling the alarm status a indicates alarms are paused PN a indicates alarms are reset a indicates the alarm sound is turned off 6 4 Setting Alarms You can set the switch limit and level of physiological alarms Select Main Alarm Setup gt gt and then access the Alarm Setup screen Parameter Onoff High Low Level Spo2 On 100 390 Med Desat On 80 High NIBP Sys On 160 30 Med NIBP Dia On 30 50 Med NIBP Mean On 110 60 Med Temp On 38 0 35 0 Med PR On 120 50 Med Auto Set Restore Defaults Auto Set The monitor will create new alarm limits based on the measured values Restore Defaults The restored defaults depend on the settings in Select Default Config screen If the latest configuration is set as the default configuration then the factory configuration will be loaded for the alarm settings if a specified configuration is set as the default configuration then the specified configuration will be loaded for the alarm settings Refer to 5 2 1 Setting Default Configuration 6 4 Accutorr 7 Operator s Manual WARNING A Make sure that the alarm limits settings are appropriate for your patient before monitoring Setting alarm limits to extreme values may cause the alarm system to become ineffective For example High oxygen levels may predispose a premature infant to retrolental fibroplasia If this is a co
119. rs has been validated for motion accuracy in human blood studies on healthy adult volunteers in induced hypoxia studies while performing rubbing and tapping motions at 2 to 4 Hz At an amplitude of 1 to 2 cm and non repetitive motion between 1 to 5 Hz At an amplitude of 2 to 3 cm in induced hypoxia studies in the range of 70 to 100 SpO2 against a laboratory co oximeter and ECG monitor This variation equals plus or minus one standard deviation Plus or minus one standard deviation encompasses 68 of the population The Masimo pulse oximeter has been validated for low perfusion accuracy in bench top testing against a Biotek Index 2 simulator and Masimo s simulator with signal strengths of greater than 0 02 and a transmission of greater than 5 for saturations ranging from 70 to 100 This variation equals plus or minus one standard deviation Plus or minus one standard deviation encompasses 68 of the population Accutorr 7 Operator s Manual A 5 Nellcor SpO2 Module Standards Meet standards of ISO 9919 ISO 80601 2 61 Measurement range 0 to 100 Resolution 1 70 to 100 2 adult pediatric Accuracy 70 to 100 3 neonate 0 to 69 Not specified Refreshing rate 1s Response time lt 30s PI gt 0 3 no disturbance SpO2 value sudden change within 70 100 When the SpO2sensor is applied for neonatal patients as indicated the specified accuracy range is increased by 1 to com
120. s whenever possible check that the patient E Is comfortably seated M Has legs uncrossed E Has feet flat on the floor E Has back and arm supported and E The middle of the cuff at the level of the right atrium of the heart NOTE It is recommended that the patient relax as much as possible before the NIBP measurement is performed and that the patient does not talk during measurement It is recommended that the patient sit still for 5 min before the first measurement is taken The operator should not touch the cuff and tubing during the NIBP measurement 9 5 2 Preparing to Measure NIBP 1 Power on the monitor 2 Verify that the patient category is correct If not select the hardkey Patient Demographics Patient Category and set the patient category to Adult Pediatric or Neonatal 3 Connect the NIBP hose to the monitor Select the appropriate sized cuff by referring to the limb circumference marked on the cuff The width of the cuff should be 40 50 for neonates of the limb circumference or 2 3 of the upper arm s length The inflatable part of the cuff should be long enough to encircle at least 50 to 80 of the limb 5 Apply the cuff to the patient s upper arm or thigh and make sure the marking on the cuff is aligned with the artery Do not wrap the cuff too tightly around the limb It may cause discoloration and ischemia of the extremities Make sure that the edge of cuff
121. s Manual 9 9 3 Hold the hose and the cuff and shake the complete cuff until the bladder is in position 4 Thread the hose from inside the cuff and out through the small hole under the internal flap 9 9 2 Reusable Bladderless Cuffs Clean cuffs with warm water and a mild detergent Do not use a detergent containing hand conditioners softeners or fragrances Antimicrobial Definition Bladderless cuffs are treated with an antimicrobial coating Antimicrobial technology effectively controls a broad spectrum of bacteria fungi algae and yeasts on a wide variety of treated substrates 9 10 Accutorr 7 Operator s Manual 10 Monitoring Temp 10 1 Overview The SmarTemp Temp module is intended for monitoring oral axillary and rectal temperature of adult and pediatric patients and axillary temperature of neonatal patients Temperature can be measured in either Predictive mode or Monitor mode The default is Pred ictive mode A WARNING Do not take oral temperature on the infant 0 3 years Do not take rectal temperature on the neonate 0 28 days Use only the specified temperature probe and probe cover Using other probe or probe cover or not using probe cover may cause damage to the monitor or failure to meet the declared specifications in this manual The temperature probe cover is disposable Re use of probe cover may result in patient cross contamination Use disposable probe covers for temperature m
122. s that result from the mechanical activity of the heart The pulse value can be from SpO gt or NIBP The PR parameter area displays its source 1 3 2 4 1 PR high limit 2 PRlow limit 3 Pulse rate PR detected pulsations per minute 4 PR Source NOTE A function tester or SpO simulator can be used to determine the pulse rate accuracy 8 2 PR Source The current pulse source is displayed in the PR parameter area The pulse rate is stored in the monitor s database and reviewed in the graphic tabular trends sent via the network to the central monitoring system if available 8 3 Pulse Tone You can change the pulse tone volume by adjusting Beat Volume in the SpO2 Setup menu When a valid SpO value exists the system will adjust the pulse tone according to the SpO value Accutorr 7 Operator s Manual 8 1 FOR YOUR NOTES 8 2 Accutorr 7 Operator s Manual 9 Monitoring NIBP 9 1 Overview The monitor uses the oscillometric method to measure the non invasive blood pressure NIBP This measurement can be used for adults pediatric and neonatal patients To understand how this method works we will compare it to the auscultative method With auscultation Clinicians listen to the Korotkoff sounds to determine blood pressure when using the auscultatory method The estimated mean pressure can then be calculated with reference to these Since the monitor cannot hear the Korotkoff sounds to determine the blood pr
123. scedenssaseecssiesbdadeusenstacvaessasensboesedeveddeeeseseseesossnceeasee A 1 AYA Classification Seine t E E N ER N Ri A 1 A 2 Environmental Specifications csssssccsssssscssssssssssssnssesssssssesssssssssssssssessssnseesssssssesssssseessssnseessssss A 1 A 3 Power Supply Specifications sssssssessssccccsssseesecceecssssnsesesceecenssssssesessssnsseseeseeecennneeeeseeeessnssesess A 2 A 4 Physical Specifications ssssssssssccssssssssseescecccssssssseceessssnsseeeeceecsnsusssecceeecsssnnsseeseeecennsesecseeesnnneesees A 2 A 5 Hardware Specifications A 2 A 6 Measurement Specifications sssccsssssssssssssscsssssssssssssssessssssesssssnsessssnseessssnseesssssseessessueessssnseesssses A 4 Accutorr 7 Operator s Manual Bit EMG E ETE ice sentine arses Ma oni ial Mai neni eae daa B 1 B 2 Radio Regulatory COMpliance ssssessssccscssssesssseccssssseeesececsnnssseeseesessnsesseeeeeeeannuesseceesesnnnneseeeeeees B 5 CE Default CONFI GUPALIONS s nessas sogana rosaa srs nias C 1 C 1 Parameter Configuration ssscscsssssssssssssssssssssessssssessssssssesssssusesssssnsesssssnseessssneessssnseesssssneesssssseesss C 1 C 2 General Configuration C 3 User Maintenance Items D Alarm Messages ssccscssssesscscccsscssscccscccsscsescccsccsssccssecssccsssccssscsescccsscsssccssccssscssscssees D 1 D 1 Physiological Alarm Messages sssssssccsssssssessscssccsssssssesceeecsnsssssecesecessssnseeseceeeansueesscesecennseseeeseeee D
124. sinfectants To disinfect the temperature probe 1 Disconnect the temperature probe from Temp connector 2 Disinfect the probe with a soft cloth dampened with the recommended disinfectant 3 Wipe off all the remaining disinfectants from the probe with a soft cloth dampened with water 4 Dry the probe in a cool place A WARNING Properly dispose of the used soft cloth Accutorr 7 Operator s Manual 10 5 FOR YOUR NOTES 10 6 Accutorr 7 Operator s Manual 11 Recording 11 1 Using a Recorder The thermal recorder records patient information parameters numerics measured value and manual input value SoO2 waveforms if configured and so on A Start Stop key press to start a recording or stop the current recording Indicator On when the recorder is working properly Off when the monitor is switched off Flash when a recorder error has occurred e g the recorder runs out of paper Paper outlet Recorder door Latch 11 2 Loading Paper 1 2 3 4 Press the latch in the upper right corner of the recorder door to open the door Insert a new roll into the compartment as shown below Close the recorder door Check if paper is loaded correctly and the paper end is feeding from the top Accutorr 7 Operator s Manual 11 1 Paper roll A CAUTION e Use only specified thermal paper Otherwise it may cause damage to the recorder s printhead the r
125. sssseeess 13 5 1 Conditioning a Battery oe 1325 2 CHECKING a Battery iseitis iseset iteiten 13 6 Recycling a BALCONY sajenssaactccesveccensnsssscecteueedes ehecensoc ERA A seus a deena TA Care and Maintenance siscssccsscccscscicscccsssescssedessestusisccssosssenscossesetsesesssdeuscedsevossssesessvenseds 14 1 14 1 Cleaning and Disinfection VA AGT ClO EEEIEE AE EAA T4A 2 Disinfect gassene A eee eh N E AEEA aa is 14 2 G ne ral Inspection ceassssasscosassssnscccnsacsasvscsitucsssascsatsatesasesatasanseadeasaviaasssnisssaascassussarssstansicoaasssiaennatincs 14 3 Maintenance and Testing SCHECUIe ssssssssssccsssecssesccsssccsssecessscccssccesssecesnecssueccssecssneess 14 3 14 4 Checking Monitor Information sssscsssssssscsssssssssssssssssssssessssnssesssssssesssssnsssssssnecssssnsesssneessess 14 5 14 7 Batter yGHECK ninis i scccsia cetecabenecttescsdeacascsectoassustacaatecchsnustichoassphctbea A NE ie a 14 8 Calibrating the Touchscreen 14 9 Formatting the Storage Card sscssssssssssccssseccsssccsssecssseecssusecssseccsuecessecssasecssuceecaeccsneecssneess 14 10 Modifying Password csssssssssssssseccesssseesssceccessssesscscecessssussesceeeccsnsuesscseeeesssuneseeceecennneeecseesssnnsees ERAL E T R 15 1 15 1 SpO2 Accessories f 15 2 NIBP ACCESSOTIES sitiseni isaisa isisisi iiaiai sepies i ieradas dedii oie ia 15 3 Temp Accessories TSA OPENS iin aA R i a A Product Specificati hS ascsisisccssecsecsensssc
126. ssssscssssssessessseessesees 9 5 9 6 Understanding the NIBP NUMELICS sssssecsssssccssscccssecssseccesseceessecesssccesneecsssecesssecesasecesueesenneeese OF SOCHIMGINIB Pesesssasscssssnasctesacissscasscucsscasesesscavezctstessicascessaevssacoasacssuta O AEAT ZV SOUCHIAG UNTO Va cs iccascacsasiccosscceags cotnseszctqsenacnighiescsenaveusasgacnavsuadsncdeighcsdvocasusc echdesigu stetecobeiebendees 9 7 2 Setting the Initial Cuff Inflation Pressure 9 7 3 Setting NIBP ENA TONE shssessissssccsascicsiscsscssensasescasvacssagacoasacntsseceucnchetncobincehogh oben cadensdconasterbeted 9 7 4 Switching On Off Measurement ON ClOCK u cssssssseessccccessssseceseccsssnsseeecceeecnnseseeeeeeeee 9 7 9 7 5 Configuring a CUSTOM PLOGKAIM ssssscssssssssssssssssssssssesssssnssessssssesssssssssssssuscesssssseessssneeessssses 9 7 6 Setting NIBP Alarm Properties i 9 7 7 Setting the Pressure Umit cesccsccssccssescastasisewscrsassssvossssscezectashccessnccavecssicosteuensscsssuleteeceetectes 9 8 Assisting VENOUS PUNCTULEC escsescsseccsescnsecsseccseccnsccssccssecenscessecsssccusecsneesssecusecsseesseccuscenscesseesseessees 10 Monitoring Temp cccsccccscscsccssscscccescccssccescccscccssccsscccsccsssccssccssscssssssssccssccssscsssese 10 1 TOs OVER VIG W ita anean aE ENEE AEON EKN ENES ENEN 10 1 10 2 Setting TeM Prinia i i ii ini 10 2 10 3 Prepatation ngan E 10 2 10 3 1 Selecting Measuring Site ou sssesssssseccsseccsssecesscc
127. sured field strength in the location in which the ME EQUIPMENT or ME SYSTEM is used exceeds the applicable RF compliance level above the ME EQUIPMENT or ME SYSTEM should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as re orienting or relocating the ME EQUIPMENT or ME SYSTEM gt Over the frequency range 150 kHz to 80 MHz field strengths should be less than3V m A WARNING The device may be configured with a wireless network module to receive wireless signals Other devices may interfere with this device even though they meet the requirements of CISPR Recommended separation distances between portable and mobile RF communications equipment and the device The device is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the device can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the device as recommended below according to the maximum output power of the communications equipment Rated maximum Separation distance in meters m according to frequency of the output power of transmitter W transmitter 150 kHz 80 MHz d 1 24P 80 MHz 800 MHz d 1 2 4P 800 MHz 2 5 GHz d 2 34 P 0 01 0 12 0 12 0 23 0 1 0 38
128. t failure and possible health hazards The safety checks or maintenance involving any disassembly of the equipment should be performed by professional servicing personnel Otherwise undue equipment failure and possible health hazards could result If you discover a problem with any of the equipment contact your service personnel or Mindray The responsible hospital or institution shall carry out all cleaning and disinfection procedure specified in this chapter Do not open the equipment housings All servicing and future upgrades must be carried out by the personnel trained and authorized by Mindray only No modification of this equipment is allowed The service personnel must be properly qualified and thoroughly familiar with the operation of the equipment 14 1 Cleaning and Disinfection This section describes cleaning and disinfection procedure for the monitor only For the cleaning and disinfection of other reusable accessories refer to instructions for use of corresponding accessories Keep the equipment and accessories clean To avoid damage to the equipment follow these guidelines Always dilute cleaners and disinfectants according the manufacturer s instructions or use lowest possible concentration Do not immerse any part of the equipment into liquid Do not pour liquid onto the equipment or accessories Do not allow liquid to enter the case Never use abrasive materials or corrosive cleaners such as acetone or
129. t is not being monitored but the monitor is still powered on If no parameter is being measured you can press the power switch to enter Standby mode A warning pops up Select Yes to enter the Standby mode When the monitor is powered by a battery it will automatically enter the Standby mode when the following conditions are satisfied E No key operation within 10 minutes E No unacknowledged alarms To exit Standby mode use any one of the following methods E Press any hardkey on the front panel E Rotate the knob E Connect SpO sensor and let the monitor receive SpO2 signal for more than 5 seconds E Remove the temperature probe from the probe well NOTE Ifthe monitor enters and then exits Standby mode during patient monitoring you must re admit the patient before continuing monitoring 2 6 4 Demo Mode Demo mode is password protected and it is used for demonstration purpose only To enter Demo mode 1 Select Main Maintenance gt gt 2 Select Demo gt gt Enter required password Select Ok To exit Demo mode 1 Select Main Maintenance gt gt 2 Select Exit Demo unine The Demo mode is for demonstration purpose only To avoid the potential risk of the simulated data being mistaken for the monitored patient s data do not enter the Demo mode while monitoring a patient Otherwise improper patient monitoring and delayed treatment could result Accutorr 7 Operator
130. temperature or vasoconstrictor 7 7 Masimo Information YME E Masimo Patents This device is covered under one or more the following U S A patents 5 758 644 6 011 986 6 699 194 7 215 986 7 254 433 7 530 955 and other applicable patents listed at www masimo com patents htm m Nolmplied License Possession or purchase of this device does not convey any express or implied license to use the device with unauthorized sensors or cables which would alone or in combination with this device fall within the scope of one or more of the patents relating to this device Accutorr 7 Operator s Manual 7 8 Nellcor Information NELLCOR Nellcor Patents This device may be covered by one or more of the following US patents and foreign equivalents 5 485 847 5 676 141 5 743 263 6 035 223 6 226 539 6 411 833 6 463 310 6 591 123 6 708 049 7 016 715 7 039 538 7 120 479 7 120 480 7 142 142 7 162 288 7 190 985 7 194 293 7 209 774 7 212 847 7 400 919 mE Nolmplied License Possession or purchase of this device does not convey any express or implied license to use the device with unauthorized replacement parts which would alone or in combination with this device fall within the scope of one or more of the patents relating to this device Accutorr 7 Operator s Manual 7 7 FOR YOUR NOTES 7 8 Accutorr 7 Operator s Manual 8 Monitoring PR 8 1 Overview The pulse numeric counts the arterial pulsation
131. tential Accutorr 7 Operator s Manual 2 5 2 3 4 Bottom View 1 Battery compartment door 2 Quick release mount latch point 2 6 Accutorr 7 Operator s Manual 2 4 Main Screen The main screen has three display modes They are all parameter screen trend screen and NIBP list screen E All Parameter Screen 1 8 7 aean JACKSON TOM 2013 04 09 13 50 16 4 MRN 213 Centrat S 6 2 NIBP mmHg 166 100 122 13 43 Manual 3 Temp P Axillary Cc 3 8 e 0 Temp Prediction Over mp V Fluid Glucose 4 j 5 MEWS Patient List Review Accutorr 7 Operator s Manual 2 7 E Trend Screen JACKSON TOM MRN 213 NIBP mmHg 2013 04 09 14 12 24 1 Centrali gt 166 100 122 13 43 Axillary Temp P c 38 0 Temp Prediction Over 2013 04 09 14 12 00 14 11 14 11 00 2013 04 0 14 10 30 2013 04 09 14 10 00 14 09 30 2013 04 09 2013 04 09 g Main MEWS Patient List Manual Review 2 8 Accutorr 7 Operator s Manual m NIBP List Screen 1 8 JACKSON TOM 2013 04 09 18 33 30 MRN 213 Centrali 6 2 NIBP mmHg Manual 3 Temp P Axillary c m m Temp Prediction Ready 2013 04 09 166 100 10 5 a man MEWS Patient List Review 1 Patient Information System Message Area This area normally shows patient information such as patient medical record number patient name patient category room bed number clinician ID Wh
132. than gt greater than lt less than or equal to gt greater than or equal to plus or minus x multiply copyright E 2 Accutorr 7 Operator s Manual E 2 Abbreviations AAMI AC ADT Adu CE CISPR CMOS CMS DC Dia DIAP DPI EEC EMC EMI EMR ID IEC ISO IEEE LED MDD MetHb MEWS MRI N A Neo NIBP NIBP D NIBP M NIBP S Association for Advancement of Medical Instrumentation alternating current Admit Discharge Transfer adult Conformit Europ enne International Special Committee on Radio Interference complementary metal oxide semiconductor central monitoring system direct current diastolic Datascope Improved ASCII Protocol dot per inch European Economic Community electromagnetic compatibility electromagnetic interference Electronic Medical Record identification International Electrotechnical Commission International organization for standardization Institute of Electrical and Electronic Engineers internet protocol light emitting diode Medical Device Directive methemoglobin Modified Early Warning Score magnetic resonance imaging not applied neonate noninvasive blood pressure NIBP diastolic pressure NIBP mean pressure NIBP systolic pressure power Accutorr 7 Operator s Manual PD photodetector Ped pediatric Pleth plethysmogram PR pulse rate RAM random access memory ROM read only memory SpO2 arterial oxygen saturation from pulse oximetry TD temperature difference T
133. the battery until it shuts off Note the time again Calculate the run time by subtracting the start time from the end time The operating time of a battery directly reflects its performance If the operating time of a battery is noticeably shorter than that stated in the specifications contact your Mindray service personnel NOTE The battery may be damaged or may have malfunctioned if it only operates for a short time after being fully charged The operating time depends on the configuration and operation For example measuring NIBP more frequently will also shorten the operating time Replace a battery that has visual signs of damage or no longer holds a charge Remove the old battery from the monitor and recycle it according to local laws 13 6 Recycling a Battery Remove the old battery from the monitor and recycle it properly Follow local laws for proper battery disposal A WARNING Do not disassemble batteries dispose of them in fire or cause them to short circuit They may ignite explode leak or heat up causing personal injury 13 4 Accutorr 7 Operator s Manual 14 Care and Maintenance The monitor should be maintained and cleaned on a regular basis This chapter describes the basic cleaning disinfection and test method Arane Failure of the responsible individual hospital or institution using this equipment to implement a satisfactory maintenance schedule may cause undue equipmen
134. tient s discomfort and inaccurate measurements Improper use of probe may also cause patient s discomfort and inaccurate measurements Inthe rectal mode incorrect probe placement may result in bowel perforation Hospital staff should wash their hands after the patient s temperature measurement is taken This will significantly reduce the risk of cross contamination and nosocomial contamination 10 2 Setting Temp Select Temp parameter area to access Temp Setup menu You can set E Temp type Predictive or Monitor E Temperature measurement site the measurement site is related to the probe type When using oral axillary probe you can select the site Oral and Axillary when using rectal probe you can select Rectal You can select the temperature type and measurement site only when the probe is in the probe well 10 3 Preparation 10 3 1 Selecting Measuring Site The temperature module can be configured with 2 types of temperature probe E oral axillary probe blue and E rectal probe red Use the blue oral axillary probe with blue probe well and use the red rectal probe with red well Be sure to select correct probe according to the measurement site E Oral Axillary probe this probe type is intended for taking oral or axillary temperature of adult and pediatric patients or axillary temperature for neonatal patients E Rectal probe this probe type is intended for taking rectal temperature f
135. tion to the mains power supply Do not position the equipment in a place difficult to access the mains plug 1 2 Equipment Symbols Some symbols may not appear on your equipment f 5 ON OFF for a part of Caution C O equipment Alternating current Battery indicator Alarm Reset NIBP Start Stop key ALARM PAUSED Graphical recorder ORES Admit patient key Insertion Direction g DEFIBRILLATION PROOF TYPE CF APPLIED PART Input Output Network connector Equipotentiality USB connector MANUFACTURER Ed Amg E 1 mPa Accutorr 7 Operator s Manual SN Serial number m DATE OF MANUAFACTURE Protection against fluid CATALOGUE NUMBER IPX1 fae 4 Temperature limit Humidity limitation T Atmospheric pressure Refer to instruction manual limitation booklet AUTHORISED keJ Interference may occur in REPRESENTATIVE IN THE the vicinity of equipment EUROPEAN COMMUNITY marked with this symbol oo The product bears CE mark indicating its conformity with the provisions of the Council Directive 93 42 EEC concerning medical devices and fulfills the essential requirements of Annex of this directive A M oO NO The following definition of the WEEE label applies to EU member states only This symbol indicates that this product should not be treated as household waste By ensuring that this product is disposed of correctly you will help prevent brin
136. to 8 0 001B 30 70693 Neonate 5 8 to 10 9 001B 30 70694 7 1 to 13 1 001B 30 70695 Child 10 to 19 0683 14 0001 01 Arm Small Adult 18 to 26 0683 14 0002 01 Adult 24 to 35 0683 14 0003 01 Adult Long 27 5 to 36 5 0683 14 0006 01 Large Adult 33 to 47 0683 14 0004 01 Large Adult Long 35 5 to 46 0683 14 0007 01 Adult Thigh 46 to 66 0683 14 0005 01 15 2 Accutorr 7 Operator s Manual 15 3 Temp Accessories Probe Well Type Description Part No Blue Oral Axillary MO9A 20 62062 Reusable Red Rectal MO9A 20 62062 51 Temp Probes Type Patient Category Measurement Site Part No Adult Pediatric Neonate Oral Axillary 6006 30 39598 Reusable Adult Pediatric Rectal 6006 30 39599 Probe Cover Type Patient Category Description Part No Adult Pediatric Neonate Cover 20 pcs pack MO9A 20 62124 Disposable Adult Pediatric Neonate Cover 2000 pcs pack MO09A 30 62128 15 4 Others Material Part No Welch Allyn SureTemp Plus Probe Covers 0198 00 0044 Welch Allyn SureTemp Plus Thermometer Module 0992 00 0198 Welch Allyn SureTemp Plus Oral Probe 0992 00 0213 02 Quick Release Mounting Bracket for Rolling Stand 045 001054 00 Quick Release Mounting Bracket for Wall Mount 045 001055 00 Rolling Stand with Quick Release Mount 045 001057 00 Wall Mount Bracket 045 001059 00 Wall Mount Kit 6 Arm 115 025386 00 Bedrail Clamp 115 020575 00
137. tor Lower Limit pressure is lower and retry If the error A than the specified remains contact NIBP Dia Over Yes Low NIBP AR Mindray or your Lower Limit lower limit service personnel NIBP Mean Yes Low Over Lower Limit NIBP SelfTest Yes High SelfTest Failed The Restart the monitor Err cause may be the and retry If the error transducer or A D remains contact sampling error Mindray or your service personnel NIBP Init Err Yes Low An error occurred to Restart the monitor If the NIBP module or the error remains there is a problem contact Mindray or with the your service communications personnel between the module and the monitor NIBP Comm Yes High An error occurred to Restart the monitor If Err the NIBP module or the error remains there is a problem contact Mindray or with the your service communications personnel between the module and the monitor NIBP Loose Yes Low The NIBP cuff is not Check the patient s Cuff properly connected condition and verify or there is a leak in patient type Replace the airway with an appropriate cuff and connect it correctly If the problem still exists contact your service personnel NIBP Air Yes Low An error occurred to Check the air pressure Pressure Err the air pressure Restart the monitor and retry If the error remains contact your service personnel NIBP Weak Yes Low The patient s pulse is Check the patient s Signal weak or the cuff is condition and change
138. tric shock this equipment must only be connected toa properly grounded power outlet If a properly grounded power outlet is not available operate the monitor on battery power Ensure that the equipment is supplied with continuous electric power during operation Sudden power failure may lead to the loss of patient data To avoid an explosion hazard do not use the equipment in the presence of oxygen rich atmospheres flammable anesthetics or other flammable agents such as gasoline Do not open the equipment housings All servicing or future upgrades must be carried out by Mindray trained and authorized personnel Do not come into contact with patients during defibrillation Otherwise serious injury or death could result Do not touch the equipment s metal parts or connectors when in contact with the patient otherwise patient injury may result Do not rely exclusively on the audible alarm system for patient monitoring Adjustment of alarm volume to a low level or off may result in a hazard to the patient Remember that alarm settings should be customized according to different patient situations and always keeping the patient under close surveillance is the most reliable way for safe patient monitoring The physiological data and alarm messages displayed on the equipment is not intended to be directly used for diagnostic interpretation and replace the competent judgment of a clinician To avoid inadvertent disconnection route all cab
139. ts If batteries are stored for an extended period of time they should be placed in a cool place with a partial charge of 40 to 60 capacity Storing batteries at a high temperature for an extended period of time will significantly shorten the life expectancy of a battery Do not store the battery at a temperature beyond 20 C 60 C 4 F 140 F 13 2 Accutorr 7 Operator s Manual A WARNING Keep the battery out of children s reach Use only specified batteries Ifthe battery shows signs of damage or signs of leakage replace it immediately Do not use a faulty battery in the monitor The Lithium ion batteries have a service life of 3 years Please replace your battery when it reaches the end of its service life Failure to replace the battery may cause serious damage to your device from battery overheating 13 5 Battery Maintenance 13 5 1 Conditioning a Battery A battery should be conditioned before it is used for the first time A battery conditioning cycle is one uninterrupted charge of the battery followed by an uninterrupted battery discharge and charge Batteries should be conditioned regularly to maintain their useful life To condition a battery 1 Disconnect the monitor from the patient and stop all monitoring or measuring 2 Turn off the monitor Disconnect the monitor from the AC power 3 Connect the monitor to the AC power Allow the battery to be charged uninterrupted for 6
140. u can select Custom Program gt gt to configure the duration of automatic measurement cycle and the time interval between two NIBP measurements You can define two programs respectively program 1 and program 2 Each program can at most include five cycles A B C D and E In each cycle the Duration and Interval can be set individually You can start the programmed NIBP measurement manually and then the monitor automatically performs the measurement based on the cycle and interval you have defined When the programmed NIBP measurement is in use the NIBP parameter area displays as follows NIBP mmHg 125 80 93 10 34 00 02 28 Program 1 A 3 min In which Program 1 A 3 min means E Program 1 program name E A cycle name E 3 min interval 9 7 6 Setting NIBP Alarm Properties Select Alarm Setup gt gt from NIBP Setup menu You can set the alarm properties for this parameter in the popup menu 9 7 7 Setting the Pressure Unit 1 Select Main General Setup gt gt gt Unit Setup gt gt 2 Inthe popup menu select Pressure and toggle between mmHg and kPa 9 8 Assisting Venous Puncture You can use the NIBP cuff to cause sub diastolic pressure to block the venous blood vessel and therefore help venous puncture 1 Select VeniPuncture gt gt from the NIBP Setup menu In the pop up menu verify that the Cuff Press value is appropriate Change it if necessary Select the VeniPu
141. ult as an example select Default Adult Config and toggle between Defaults and user configuration s NOTE When the monitor powers on it shows what configuration is restored in the message area for about 30 seconds 5 3 Saving Current Settings Current settings can be saved as user configuration Up to 3 user configurations can be saved To save current settings 1 Select Save Current Settings As gt gt in the Manage Configuration menu 2 In the popup dialog box enter the configuration name and then select Ok 5 4 Deleting a Configuration To delete a configuration 1 Select Delete Config gt gt in the Manage Configuration menu The popup menu shows the existing user configurations on the monitor Selecting Config on USB drive gt gt will show the existing user configurations on the USB drive Select the user configurations you want to delete and then select Delete Select Yes in the popup Accutorr 7 Operator s Manual 5 5 Transferring a Configuration When installing several monitors with identical user configuration it is not necessary to set each unit separately Use a USB drive to transfer the configuration from monitor to monitor To export the current monitor s configuration 1 Insert a USB disk to the monitor s external device connector 2 Select Export Config gt gt in the Manage Configuration menu 3 Inthe Export Config menu select the configurations and the user maintena
142. vice even though they meet the requirements of CISPR When the input signal is below the minimum amplitude provided in technical specifications erroneous measurements could result Portable and mobile communication equipment may affect the performance of this device Other devices that have RF transmitter or source may affect this device e g cell phones PDAs and PCs with wireless function Guidance and Declaration Electromagnetic Emissions The device is intended for use in the electromagnetic environment specified below The customer or the user of the device should assure that it is used in such an environment Emission tests Compliance Electromagnetic environment guidance Radio frequency RF Group 1 The device uses RF energy only for its internal emissions CISPR 11 function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment RF emissions CISPR 11 Class A The device is suitable for use in all establishments other than domestic and those directly connected to the public low voltage power supply network that supplies buildings Harmonic emissions Class A IEC61000 3 2 Voltage Complies used for domestic purposes Fluctuations Flicker Emissions IEC 61000 3 3 Accutorr 7 Operator s Manual B 1 A WARNING This equipment system is intended for use by healthcare professionals only This equipment system ma
143. y cause radio interference or may disrupt the operation of nearby equipment It may be necessary to take mitigation measures such as re orienting or relocating the ME EQUIPMENT or ME SYSTEM or shielding the location Guidance and Declaration Electromagnetic Immunity The device is intended for use in the electromagnetic environment specified below The customer or the user of the device should assure that it is used in such an environment Immunity test IEC60601 test level Compliance level Electromagnetic environment guidance Electrostatic discharge ESD IEC 61000 4 2 6 kV contact 8 kV air 6 kV contact 8 kV air Floors should be wood concrete or ceramic tile If floors are covered with synthetic material the relative humidity should be at least 30 Electrical fast 2 kV for power 2 kV for power Mains power quality should transient burst supply lines supply lines be that of a typical IEC 61000 4 4 1 kV for 1 kV for commercial or hospital input output lines input output lines environment Surge IEC 1 kV line s to 1 kV line s to 61000 4 5 line s line s 2 kV line s to 2 kV line s to earth earth Voltage dips lt 5 Ur gt 95 dip lt 5 Ur gt 95 dip Mains power quality should short in Ur for 0 5 cycle in Ur for 0 5 cycle be that of a typical interruptions commercial or hospital and voltage 40 Ur 60 dipin 40 Ur 60 dipin environment If th
144. y of their respective manufacturers A condition of this warranty is that the equipment or accessories which are claimed to be defective be returned when authorized freight prepaid to Mindray DS USA Inc Mahwah New Jersey 07430 or its authorized representative Mindray shall not have any responsibility in the event of loss or damage in transit Accutorr 7 Operator s Manual Il Exemptions Mindray s obligation or liability under this warranty does not include any transportation or other charges or liability for direct indirect or consequential damages or delay resulting from the improper use or application of the product or the use of parts or accessories not approved by Mindray or repairs by people other than Mindray authorized personnel This warranty does not extend to Malfunction or damage caused by improper use or man made failure m Malfunction or damage caused by unstable or out of range power input Malfunction or damage caused by force majeure events such as i flood fire and earthquake or other similar elements of nature or acts of God ii riots war civil disorders rebellions or revolutions in any country or iii any other cause beyond the reasonable control of Mindray Malfunction or damage caused by improper operation or repair by unqualified or unauthorized service people E Malfunction of the instrument or part whose serial number is not legible E Others not caused by instrument or part itself
145. y the sensor to the patient Select an appropriate adapter cable according to the connector type and plug this cable into the SpO2 connector 5 Connect the sensor cable to the adapter cable 7 5 Changing SpO Settings 7 5 1 Accessing SpO Menu By selecting the SpO2 parameter or waveform area you can access the SpO2 Setup men u 7 5 2 Adjusting the Desat Alarm The Desat alarm is a high level alarm notifying you of potentially life threatening drops in oxygen saturation Select Alarm Setup gt gt from the SpO2 Setup menu From the pop up menu you can set low alarm limit and alarm switch for Desat When the SpO gt value is below the Desat alarm limit and Desat alarm switch is set to ON the message SpOz Desat is displayed 7 5 3 Setting SpO Sensitivity For Masimo SpO2 module you can set Sensitivity to Maximum or Normal in the SpO2 Setup menu Accutorr 7 Operator s Manual 7 3 When monitoring neonatal or non critically ill patients who tend to move a lot noise or invalid signals may be caused In this case it is recommended that the sensitivity is set to Low or Normal so that the interference caused by motion can be filtered and therefore the measurement stability can be ensured 7 5 4 Changing Averaging Time The SpO gt value displayed on the monitor screen is the average of data collected within a specific time The shorter the averaging time is the quicker the equipment responds to changes i

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