User manual - PMS (Instruments)
Contents
1. c archive al o Select the folder in the destination directory in which you want the examinations to be saved You should type in or select the name of the destination directory to archive to the hard disc 4 If you have made sure that the size of the data to be archived does not exceed the size of the free space on the destination drive you can start the process The speed and the duration of the process depend on the size of the recordings 5 When the process is completed a message window will notify you about it Click the Close button to exit the window The archived examinations will be coloured purple in your database To open the examination like this the program will ask the destination route of the archived data If you have saved the data on the hard disc just simply select the source file After archiving your files to a PC you can copy data to a CD or DVD as well If you choose this solution write the name of the disc into the Label field in order you can open the archived files easily later If you want to have access to yout archived files place the disc in the drive with the appropriate label then select the source file 25 CardioYisions 1 15 2 File Edit View Format Device Tools Help E Gle PESAS PACIEN CEA Archive gt Patients 5 Select folder Database i 1963 11 16 0000 0003 Gy Guest a Main 1990 01 01 0000 0004 SS EE Dare r 1959 01 20 4443 2386 RENE r 1980 01 01 DEMO2. 1944 09 15 0001 5621 Archive filename 13 SMO David Kallai gt Examinations Start of examination x ES 2004 09 22 11 26 6 If you have started archiving to free up space in your database enter the software as a system administrator and click l ools System administrator s tools Maintenance Using this command will compress your database Put a tickmark next to Integrity to make sure that your database does not contain any injured data Put a tickmark next to Packing to create a smaller database Note please that the process will require at least as much free space as the size of your database The maintenance may take several minutes and the compression cannot be cancelled The compression vvill take effect only if you have deleted data from the recycle bin v Integrity check V Packing 26 15 Meditech product warranty information a RECORDER WARRANTY The main recorder unit will be free from defects in materials and workmanship under normal use and service for a period of two 2 years from the date of receipt This warranty covers the recorder unit only This warranty does not cover any accessories that might come with the recorder unit b ACCESSORIES WARRANTY The non disposable accessories delivered with the recorder unit will be free from defects in materials and workmanship under normal use and setvice for a period of one 1 year from the date of receipt This warranty does not cover disp
3. LAN 100 Mbit s HDD about 40 MB for the software disk space for database Operating system Windows 98 SE Me 2000 XP Windows 7 Please note that certain features of CardioVisions require a lot of calculations so the faster your computer is the shorter time you will need to have the analysis ready Duration of data transfer depends on the card reader or in case of Network Edition the transfer speed of the computer network The disk space necessary for the database depends on recorder type number of patients and number of examinations Typically it takes 40 50 MB to store 1 apneABP recording The installation of demo data requires about 200 MB 19 Installation and first start There are two very common errors that occur installing CardioVisions software The default user is admin and this account is created with the installation In order to use the device you must create a user account The Admin cannot access the recorder or patient data Registration does not apply to apneABP monitors Installing Cardio Visions Personal Edition CardioVisions Personal Edition should be installed if you want to use the software on one PC or if you need demo data only You need to go through the following steps Select your preferred language Read and accept the License Agreement Choose components to install Here the installation of the USB driver is strongly advised Choose recorder types you want to use Select
4. alkaline batteries Display liquid crystal Data storage Removable flash memory card Supported memory card types MMC SD SD HC Data transfer Optical interface a card reader is necessary for receiving data Operating environment Device temperature 10 45 C Cuff and pulse oximeter temperature 10 40 C humidity relative 10 90 non condensing atmospheric pressure 83 103 kPa Storage and shipping conditions temperature 20 50 C humidity relative 10 95 non condensing Size 82 124 33 5 mm Weight batteries included Blood pressure measurement method oscillometric Blood pressure maximum storage Minimum 400 programmed measurements additional measurements and event markers Measurement range blood pressure 30 260 mmHg 4 35 kPa pulse 40 200 beat minute Passive accuracy 0 4 kPa or 2 of measured value stability 2 years Blood pressure measurement accuracy algorithm validated to BHS and AAMI protocol Blood pressure curve sampling rate 100Hz Pressure sensor On O YO piezo resistive Inflation automatically controlled pump Safety maximum inflation 300 mmHg independent safety release valve Deflation and rapid air release automatic pressure release valve Blood oxygen saturation sampling and measurement range 4 beat average 0 100 Blood oxygen measurement accuracy 3 70 100 SpO g 0 4 kPa ty 2 yeats Blood pressure measurement accuracy algorithm validated to BHS and AAMI proto
5. lines IEC 61000 4 4 hospital environment Mains power quali 1KV differential P 1 y is that of a typical Surge mode Not applicable commercial and or IEC 61000 4 5 2KV common PP hospital mode environment Mains power quality is that of a typical commercial and or hospital environment If the user of Meditech ambulatory blood pressure monitors requires CLINICAL UTILITY during power mains interruptions it is recommended that patts of the Meditech ABPM 05 lt 5 UT gt 95 dip fot 0 5 cycle Voltage dips short 40 UT 60 dip fot interruptions and voltage 5 cycles variations on power 70 UT 30 dip for Not applicable supply input lines 25 cycles IEC 61000 4 11 lt 5 UT gt 95 dip for 5 sec system where applicable be powered from an uninterruptible power supply Power frequency magnetic fields are Power frequency at levels 50 60Hz magnetic a characteristic of a field typical location in a TEC 61000 4 8 typical commercial and or hospital environment Note Ur is the nominal voltage of mains 31 Immunity IECO60601 test Compliance Electromagnetic environment test level level Conducted RF IEC 6100 4 6 Radiated RF IEC 61000 4 3 3V eff 150K Hz 80MHz 3V m S0MHz 2 5GHz Not applicable Portable and mobile RF communications equipment are used no closer to any part of Meditech apneABP including cables than the Recommended Separation Distance calcu
6. not automatically provide a diagnosis of any kind During the evaluation of recorded values possible artefacts due to external disturbances motion artefacts and electrical noise should be observed and handled with caution 11 9 The use of the monitor The recorders can be programmed by CardioVisions software installed on a personal computer Once the pre programmed time is reached the recorder starts operating automatically it continuously stores pulse oximeter and activity data for the whole period and measures blood pressure according to the monitoring plan Connecting the recorder to the PC apneABP is equipped with a connector slot for a special optoelectronic communication cable In case of this recorder the computer end of the interface cable has to be properly plugged into a corresponding socket on the computer before inserting its small recorder end plug into the socket on the recorder for communication between the CardioVisions software and the recorder Steps to follow for the first connection Locate a free 9 pin serial port also called RS232 or USB port often labelled on your computet Take the optoelectronic interface unit with the optical cable out of package Connect the interface unit to the port If you have a serial RS232 port on your computer just plug in the serial optoelectronic interface If you have a USB port on your computer but you have a serial optoelectronic interface use a USB to serial
7. the recorder type s to use you are asked to select an IP address a network property through which the database engine can communicate with the client s running on any workstation This is a question only 1f the server has multiple network adaptors either for intra or extranet purposes ot because of different physical subnets To complete your CardioVisions Network Edition installation you have to manually share the CLIENT folder of yout installation with read only access from all workstations and you have to create a shortcut on each workstation pointing to the CardioVisions client application executable file in this folder its name is CV0O1 EXE This is best done manually as automatic sharing is either impossible or can have serious security risks and once the shortcut is created you can simply copy paste it to all workstations where you want to use CardioVisions If you have any doubt consult your computer network administratot It is possible to configure your own CardioVisions database engine application to use different options in the unlikely case of networking problems Since database engine is an auto configuring application change a working configuration only if it 1s absolutely necessary and always with the close assistance of an experienced network specialist To change database engine configuration first request all users to log out from CardioVisions and close all CardioVisions clients on all wotkstations then bring
8. with such putative defects are subject to service checkup charge Removing the closing label from the back side of the recorder unit or opening the unit any other way voids this warranty Exclusion of biohazard Meditech will not accept for repair potentially infectious products or accessories especially pouches and cuffs that might have been in direct contact with the patient and could not be or potentially were not properly disinfected even within the warranty period If a problem occurs within the warranty period such accessories will be replaced without any physical inspection reserving the rights to hold an inspection when found necessaty No other warranties Meditech disclaims all other warranties expressed or implied including but not limited to implied warranties of merchantability and fitness for a particular purpose with regard to the recorder unit any accessory or other accompanying hardware and the software No liability for consequential damages In no event shall Meditech be liable for any special incidental indirect or consequential damages whatsoever including without limitation damages for loss of business profits business interruption loss of business information loss of data or any other pecuniary loss arising out of the use of or inability to use the recorder unit its accessories and or the CardioVisions software even if Meditech has been advised of the possibility of such damages 27 16 Car
9. Its component patts may not be separated for any purposes Rental You may not rent or lease the SOFTWARE from anyone except from Meditech or an authorized representative of Meditech Demonstration You may only demonstrate SOFTWARE if all the information described in this Agreement is disclosed to third parties Software Transfer You may not transfer any of your rights under this Agreement to any other party without the prior written consent of Meditech Ltd Termination Without prejudice to any other rights Meditech may terminate this Agreement if you fail to comply with the terms and conditions of this Agreement If such event occuts you must destroy all copies of the SOFTWARE and all of its components Copyright All title and copyrights in and to the SOFTWARE the accompanying electronic and printed materials and any copies of the SOFTWARE ate owned by Meditech Ltd The SOFTWARE is protected by copyright laws and international treaty provisions therefore you must treat the SOFTWARE like any other copyrighted material except that you are allowed to make a copy of the software only for control and evaluation purposes You may not copy the printed materials accompanying the SOFTWARE 28 Miscellaneous This Agreement is governed by the laws of Hungary Should you have any questions concerning this Agreement please contact Meditech Ltd Limited warranty Meditech Ltd guarantees that a the SOFTWARE under normal use will
10. Meditech OOO 000 01701 Budapest Pf 27 eTel 1 280 8232 1 280 8233 eFax 1 282 9388 ewww meditech hu UK Distributor P M S Instruments Ltd Waldeck House Waldeck Road Maidenhead SL6 8BR Tel 01628 773233 email sales pmsinstruments co uk User manual apneABP combined ambulatory blood pressure pulse oximeter and activity monitor with CardioVisions softwate from version 1 18 Recommended use of combined ambulatory blood pressure and pulse oximetry monitor 5 DD CVC Sie ore Seascale m T UU UU XE 6 DANO CESS Oe NETTE T TT OU TERT E EE 6 Ar AO SUN the UCL ONG Re P auparhiasastdyed E EO 7 SUID M T 8 O Technical parametro i n 9 JC ate and acl tials ciel nal oo ea eec eemumn CUI RON pa E DD TOT US EE TE 10 Peot cio mand clea i ata 10 Revulat checks warranty Gey CE heraa a a N 10 RoG aeea et acre A cL cmt cL Lace bad 11 DEAL CONCE nda iv 11 Ilecine shock hazard PLOC UOT orar diia ri iia 11 Ocompras pios tios 11 op be POOLS tii 11 isc ob Jneotfeot IAD nO sis oi 11 D Theo E O M MM A IL MM EISE EID 12 Connecuno merecora cis EQUO Te oa 12 Mn T E T A A A E A 14 IC grs Andana pPI AA E E A A 15 I2 sensorsahnd thieit appl Atl Ot aiana an E E E E OA NONNO 16 Usaca memory tard With Apne DD eno betur AO 18 Id Uso C ascTOMISIOBIS SOL are iio oo 18 Cardio Visions editions and system requirements so ea b i aae o eee Eo Ede eae 19 astallation and HESE SEXE ae nee ee ne recta Du aqu dus e 20 Installing Cardio Visions Personal E
11. ash memory cards to record data during the monitoring session Fully insert the Meditech supplied memory card into the recorder All data stored on the card will be erased during programming You will need a card reader unit built into or connected to your computer to transfer the recorded data to your database after a monitoring session It is not possible to transfer such data using the optical interface cable the only way is to remove the card from the recorder and insert it in a card reader unit Use a USB 2 0 reader to transfer data to your PC All data stored on the catd when inserted into the recorder will be erased during programming the recorder Please note that Meditech assumes no responsibility for the loss or destruction of such data It is highly recommended to use a card exclusively for monitoring with one device using the same card for other purposes may result in data loss malfunction or a failed monitoring session Never remove the card or remove the batteries from a card based recorder while accessing the card 1 e during storage deletion or initialization operations since data stored in the card may be destroyed Remove the card from a recorder only if the monitoring session is completed If you use a card from another source or need to re format the card supplied note that according to Microsoft recommendations the SD card should be formatted for a FAT16 file system to work properly with Windows systems apneABP will wor
12. can be checked by the voltage display function The device can be connected to any standard PC with its optical interface cable Js Accessories Set delivery either in plastic case or carton box 1 apneABP device 1 memoty card 1 USB interface cable 1 pouch with shoulder and waist straps 1 normal size cuff 1 adult pulse oximeter sensor 1 battery charger with two sets of rechargeable batteries 1 CD with the latest software and manual 1 quality certificate Recorder package delivety in a carton box 1 apneABP device 1 memory card 1 pouch with shoulder and waist straps 1 normal size cuff 1 adult pulse oximeter sensor 1 quality certificate Accessories may vary from place to place 4 Using the buttons On the front side of the device there is the unmarked START and the EVENT button which is marked by a circle Each button press is accompanied by a short beeping sound Cancel a blood pressure measurement The patient can interrupt a blood pressure measurement by pressing a button at any time while the cuff is inflated This will result in immediate fast cuff deflation Manual blood pressure measurement If it seems necessaty the patient can start an additional manual blood pressure measurement by pressing the START button shortly less than 5 seconds Results with a manual measurement matker will be stored in the memory of the device Typical causes for this use dizziness pain angina pectoris or
13. cation also called the database server and another for the so called CardioVisions client application i e the user end of the program to ask for data over the network from the database engine on any wotkstation Therefore the Network Edition has to be installed on a properly configured server computer After the installation the CardioVisions database engine will be automatically started by default whenever the server computer is started The Network Edition has to be installed on the server computer on the individual workstations only a shortcut has to be created Then as a result the database engine will run on the server computer continuously and the CardioVisions client can be started on any workstation with a proper shortcut startup icon For all normal user purposes the CardioVisions client of the Network Edition is indistinguishable from the program used in the Personal Edition There is one important difference in behaviour however if you use the Network Edition and the server computer is shut down it will not be possible to start CardioVisions from the workstations Similarly even if the server computer is switched on but the CardioVisions database engine 1s not running it is stopped shut down or not started at all it will be impossible to use CardioVisions Compared to the installation of CardioVisions Personal Edition there is one additional step to take during the installation of the Network Edition After you have chosen
14. col Z O Z o Blood pressure curve sampling rate RR O Presse sensor S O piezo resistive S O aaa automatically controlled pump O o 0 000S O Safety maim inflation 300 mmHg independent safety release valve Deflationamdrrapid air release Automatic pressure release valve Blood oxygen saturation sampling and measurement range Ab eeat average 0 100 Blood oxygen measurement accuracy Plethysmograph sampling and measurement range 75 Hz automatic sensitivity setting Please note that the device may not meet its performance specifications 1f stored or used outside the specified environmental conditions 5 Care and maintenance Protection and cleaning The device is not specially protected against spills or ingression of water or other liquids Do not immerse the recorder in water or any cleaning fluid and protect it from spills and splashes Do not expose it to heavy rain or steam and do not wear it in wet environment e g shower bath or swimming pool In case of minor effects of wet environment wipe off water drops with a dty cloth Keep the recorder in a normal dry room for at least one hour before use if condensation is suspected In case of ingress of water in the recorder remove the sensor and the batteries from the unit and refer the unit to authorized service Never place a recorder unit in a disinfecting or sterilizing machine A recommended means of cleaning is to w
15. converter If you have a USB port on your computer then connect the USB type optoelectronic interface from Meditech Connect the recorder to the optical cable Connect the small optical plug at the free end of the optical cable into the socket on the device matching the red mark on the cable to the red mark on the recorder labels Insert and push it gently until it clicks in place Simply pull to remove Do not pull the cable itself always handle the plug A recorder so connected is ready for communication with the software The interface unit convetts optical signals to electric ones and vice versa The twin optical cable transfers optical signals between the interface unit and the recorder The cable is flexible but it 1s sensitive to overfolding and to cutting forces If you fold the optical cable in too small radius or if a strong cutting force e g by the edge of a drawer is applied to it the optical cable may become optically distorted which might result in communication errors In the CardioVisions software click the Tools menu then the Options command and in the appearing Options dialog select Communication on the left On the right panel select the required recorder type then select the Meditech USB or the Serial port option as appropriate for the interface unit you have connected to the computer To check communication connect the recorder with batteries in it and switched on to the recorder end of the optical cable sele
16. ct the required port or enable the Auto search com port checkbox and click the Test button 12 Monitoring step by step Before you begin you should have the CardioVisions software properly installed and configured on your computer and then the recorder is ready to be connected Programming 1 Inform your patient about the monitoring rules well in advance 2 Programming Start the CardioVisions programme and select apneABP from the device types Click on Device Programming device 3 Enter new patient data or select patient from the database 4 Create monitoring plan adjusted to the patient s daily routine 5 Insert four fully charged AA size batteries into the battery compartment and check their voltage 6 Connect the recorder to the computer 7 Send the monitoring plan from the computer to the recorder unit 8 Apply the cuff and the sensor to the patient with the device placed in the pouch 9 Give the patient diary to the patient along with detailed instructions about the rules and the use of the device In case of apneABP the software enables to write the monitoring plan directly to the memory card which makes it possible to create the plan in the absence of the devices as well Rules of monitoring Inform the patient about the goal and expected results of the monitoring Provide an event diary and inform him or her about the rules to consider Put the device into the pouch The patient should fit the adj
17. different battery types do not mix new and old batteries Never use batteries of low or unknown quality or pre used batteries as they may not cover the power needs of the recorder and they may damage the recorder or they may contain acidic electrolytes which may leak and corrode electronic components Never use batteries damaged in any way Should the batteries run down during a monitoring session they can be replaced Monitoring will continue and data will not be lost If you do not use the recorder it is advisable to remove batteries since they may run down due to the constant small power consumption of the integrated circuits of the device Data in the recorder are not lost even if batteries run down or are removed Used batteries may fall under the category of hazardous waste and should be disposed of propetly Important It is strongly recommended to use freshly charged accumulators or new batteries with each patient so that batteries do not run down during monitoring even in case of very high blood pressure values and or a long monitoring session After inserting batteries in the device it is advised to check their voltage before programming them Do not start a new monitoring session with low batteries The typical voltage for fully charged rechargeable batteries should be 14 over 5 2V and for fresh alkaline batteries over 6V It is possible to check battery voltage with the START button Please check the Using the buttons topic f
18. dioVisions software license agreement Important read carefully This License Agreement is a legal agreement between you either an individual or a single legal entity and Meditech Ltd for the CardioVisions software which includes computer software SOFTWARE and may contain accompanying data carrier printed material and on line or electronic documentation By installing copying or otherwise using the SOFTWARE you agree to be bound by the terms and all the information and conditions described in this Agreement If you do not agree to the terms of this Agreement promptly return the unused SOFTWARE to the place from which you obtained it Software license The SOFTWARE is protected by copyright laws and international copyright treaties as well as other intellectual property laws and treaties The SOFTWARE is licensed not sold Grant of license This Agreement grants you the following rights Software You may install and use one copy of the SOFTWARE only on one computer Storage Network Use You may also store or install a copy of the SOFTWARE on a storage device such as a network server used only to install or run the SOFTWARE on your other computers over an internal network Description of other rights and limitations Limitations on Reverse Engineering Decompilation and Disassembly You may not reverse engineer decompile or disassemble the SOFTWARE Separation of Components The SOFTWARE is licensed as a single product
19. dition susce dee t E epu Esa tee ede R tetas 20 Installing Cardio Visions Network BOOTE a 239 IB AC qui mr EET 24 owes MN 24 15 Meditech product warranty Into tato pis 27 16 Cardio Visions software license abteeEDeDT ai 28 TAME ORD O A ia 30 PIS CIO MAC ME HS Cossio a 30 Elcctrorao etie MEYEDUTHD ari rere oe grt en Terr EOS 3 Recommended separation distancia luin etes putre tid 33 Important information on apneABP systems Please read carefully This symbol on a Meditech recorder is a warning that you should read BH the accompanying documentation this manual Meditech apneABP combined ambulatory blood pressure and pulse oximeter 8 monitors and CardioVisions software ate manufactured and developed by Meditech Ltd All title and copyrights in and to the CardioVisions software the accompanying electronic and printed materials and any copies of the CardioVisions software are owned by Meditech Ltd The CardioVisions software is protected by copyright laws and international treaty provisions Fot details please read the software license agreement Contact details Meditech Ltd 1184 Budapest Miksz th Kalman utca 24 Hungary Tel 1 280 8232 1 280 8233 Fax 1 282 9388 Mail meditech Wmeditech eu Web www meditech eu Contact us for further product and service information Meditech Ltd maintains a quality assurance system certified according to ISO 9001 2008 and ISO 13485 2003 Notified body SGS Yarsl
20. e patient can mark events e g taking medication etc If necessaty any blood pressure measurement can be interrupted by pressing any of the device buttons Should the batteries run down during a monitoring session they can simply be replaced Monitoring will continue and data will not be lost The patient should never measure anybody else s blood pressure or pulse oximeter level with the recorder during a monitoring session Monitoring session typically 24 hours 10 Remove the unit the cuff and the sensor from the returned patient 11 Ask for the patient diary and ask the patient for any events symptoms observations or complaints 12 Start the software and select the proper recorder type 13 Connect the device to the PC and transfer the collected data from the recorder to your database In CardioVisions software select apneABP from the device types and click on Device Read data If the device has been programmed from another database record patient information into the database after reading in data 14 Analyse the recorded measurement values 15 Create and print the report 10 Batteries apneABP operates either with four 1 5V AA batteries or with four 1 2V AA rechargeable batteries Use only standard long life alkaline batteries or standard NiCd or NiMH rechargeable batteries of the proper size A 27 hour monitoring session requires at least 1300mAh batteries Do not use lithium batteries Do not mix
21. environment as described below Emissiontest Compliance Electromagnetic environment Meditech devices use RF energy Radiated and conducted RF emission only for their internal function Group 1 Therefore the emission is very low CISPR 11 and it is not likely to cause any interference in nearby electronic o A ES Meditech devices ate suitable for use in domestic establishments and Radiated and conducted RF emission in establishments directly connected Class B CISPR 11 to the low voltage power supply network which supplies buildings used for domestic use Harmonic emission IEC61000 3 2 Not applicable Meditech devices are suitable for Voltage fluctuations Flickers eli use in establishments directly IEC61000 3 3 P connected to a public low voltage mains network 30 Electromagnetic immunity The apneABP device is suitable for use in the specified electromagnetic environment The purchaser or user of the product should assure that they are used in an electromagnetic environment as described below environment Floors are wood concrete or ceramic tile or floors ate 6KV contact covered with 8 KV air synthetic material and the relative humidity is at least Electrostatic discharge 6KV contact ESD 8 KV ait IEC 61000 4 2 30 percent Mains power quality 2KV for power j Electrical fast is that of a typical transient burst SEES Not applicable commercial and or 1KV input output
22. et shock hazard protection standards or strict safety regulations applicable to medical devices Therefore during the computer based use of Meditech recorders keep at least a 2 meter distance between the patient and the computer This is the required minimum safety distance The recorder communicates using a standard 3 meter long plastic optical cable which allows the required safety distance The plastic optical cable ensures perfect electric separation and reduces the effects of external electric noise It does not conduct electricity Biocompatibility To avoid infection risks and for general hygienic reasons the device cuff and tubing should never contact the patient s skin directly The surface of the sensor that contacts the patient s skin complies with ISO 10993 standard Hazardous materials Used batteries qualify as hazardous waste and should be disposed with care Meditech recorders do not contain any materials qualified as pharmaceutical substance or tissue of animal origin They emit no material hazardous to humans Risk of incorrect diagnosis The basic intended use of apneABP is to record blood pressure and pulse rate values and to measure activity and blood oxygen levels Patients should be informed about rules of cooperative behaviour proper handling of the recorder used and expected results of monitoring in advance The recorders only provide data to support diagnostic decisions of a qualified physician they do
23. ey Unit 202b Worle Parkway Weston super Mare BS22 OWA Fax 44 1934 522 137 Web www sgs com Always consult a physician for the interpretation of the measurements Note that any blood pressure recording and pulse oximeter signal may be affected by the body position the physiological condition of the patient and other factors REF Device type SP1 apneABP SP1 Each device complies with the requirements of the EU Medical Devices 0120 Directive 0120 is the identifier of Notified Body SGS Yarsley MDD Ila MDD classification IIa EMC class B EMC group 1 apneABP is internally powered type CF devices Protection vs ingress of watet none Mode of operation continuous The device is not protected against defibrillators or other high frequency surgical equipments The first four digits of the serial number of a recorder YYYY show the year of production followed by the three characters of the model s rT ee identification SP1 and a eight digit identification number For example 2012SP112345678 SN This symbol shows that according to regulations the monitors should be handled as electronic waste during rollout No user serviceable parts inside Meditech recorders contain high complexity electronic and fine mechanical components If you have any problems please contact your qualified service personnel Date of production The first four digits of the serial number of a recorder show the year of p
24. gulation disturbances e Patients with serious mobility or other impairments without supervision e Children without supervision or children younger than 8 years e Though the blood pressure measurement algorithm used in the monitors has been found to function properly on patients with atrial fibrillation or other common arrhythmias the oscillometric blood pressure measurement method is generally recommended for use only with special caution in patients with arrhythmias Parkinson s disease or other diseases with tremor 2 Devices apneABP 1s a silent PC based combined ambulatory blood pressure pulse oximeter and activity monitor which can be programmed for even 27 hours 300 measurements can be made by a battery set while the device itself can store 600 measurements Cuff and sensor cable connector fa Dr LCD apneABP Memory card slot Optical interface socket The patient can start extra measurement indicate events or switch between day and night modes by pressing a device button apneABP operates with Meditech normal small and large cuffs For the pulse oximeter monitoring four types of Meditech sensors are available adult pediatric neonatal and ear sensor Data are stored on a standard SD HC MMC memory card you will need a card reader to transfer the recorded data to your computer You can find the memory card slot on the right side of the device Operation is ensured by 4 AA accumulators The state of the batteries
25. he LCD These codes stored together with recorded data will be listed in the device memoty and can be displayed by the software Information displayed on each device Notmal status time 1s displayed Blood pressure measurement is initiated mmHg Pumping for measurement current pressure is displayed mmHg Battery voltage display 5 13V Systolic value of just completed measurement mmHg Communication with a personal computer Pumping for measurement current pressure is displayed kPa LCD check all segments are displayed Systolic value of a just completed measurement kPa Rectangle blinking measurement in progress synchronized with the pulse mmHg Error code display Pulse rate value of just completed measurements beats minute Event marker set during a button push Deflation during measurement current pressure is displayed mmHg Low battery voltage three dots below Diastolic value of just completed measurement mmHg Blood pressure measurement is initiated kPa Deflation during measurement current pressure displayed kPa Rectangle blinking measurement in progress synchronized with the pulse kPa Diastolic value of a just completed measurement kPa The blood pressure measurement is cancelled by pressing a button SpO error code display Technical parameters Power supply 4 AA rechargeable NiCd or NiMH batteries or 4 AA
26. he patient s shoulder and the bladder is placed above the brachial artery if possible Contrary to the usual placement with the tube pointing downwards the advantage is that the patient can wear a loose jacket over the cuff Connect the air connector of the cuff into the air connector socket of the device which you can find on the top of the recorder Connect the cuff turning it clockwise with slight pressure Note The cuff should be applied as tightly as comfortable for the patient A too loose application may result in longer or aborted measurements because the device has to pump even to reach the proper tightness Longer measurements may cause inconvenience for the patient and aborted measurements result in less data for evaluation If the patient removes the cuff for a period during the monitoring session it should be reapplied with appropriate tightness with help from another person if necessary Should blood pressure measurements cause bloodshot torpidity or pain in the hand the cuff should be removed from the arm and disconnected from the recorder Such occurrence should be reported to the physician at once but latest after the monitoring session The monitors recognize three different cuff sizes The size to be used should be set during programming of the device Attention inappropriate setting of the cuff size may lead to device malfunctioning which is inconvenient for the patient and may lead to an unsuccessful measu
27. headache palpitation LCD check Press and hold the START button to light up all segments of the LCD to check 1f they all work correctly Battery voltage check Press and hold the START button for mote than 5 seconds to display voltage on the LCD e g 2 64 is equal to 2 64V After checking the voltage release the button The unit will then return to display time The voltage for fully charged accumulators should be over 5 1V and for fresh alkaline batteries over 6 1V Switching the device off and on apneABP has no switch off or switch on button The monitor carries out the examinations according to the preset program Set a patient event marker The patient can mark any event without starting a manual blood pressure measurement by pressing the EVENT button briefly Typical cause for this use 1s taking medicine The patient should be instructed to record the reason for setting an event marker in a diary Switch between active and passive blood pressure measurement frequency If this function 1s enabled during the programming of the monitor the patient can manually shift the measurement frequency period day or night by pressing the EVENT button at least for 5 seconds 5 Display The LCD display shows important status information the processes and the results of individual readings The most important displays are listed here in addition to these a lot of extraordinary situations and errors have their own code displayed on t
28. ipe the recorder with a disinfectant cleaning tissue Alternatively wipe with a slightly damp cloth then dry it with an antistatic tissue Do not expose recorders to extreme heat or radiation including long exposure to direct strong sunlight Cleaning and disinfecting of the pulse oximeter For cleaning use a clean soft cloth to wipe the sensor with 70 isopropyl alcohol Do not use undiluted bleach 5 5 25 sodium hypochlorite or any cleaning solution other than those recommended here because it may result in permanent damage To clean and disinfect the sensor 1 Damp a soft clean tissue with isopropyl alcohol Wring the tissue to extract excess isoptopyl alcohol and wipe the sensor and the cable 2 Dry the sensor and cable with a soft clean tissue Caution Do not sterilize by irradiation steam or ethylene oxide Such sterilization may damage the sensor Cleaning of the cuff 1 Remove the bladder 2 Wash by hand the sleeve with lukewarm water and regular washing liquid suitable for black material Rinse well If required wipe the bladder with a mild cleaning tissue Allow both bladder and sleeve to air dry 5 Replace bladder in the sleeve sah cad Regular checks warranty service Verification of the pressure measurement accuracy is recommended biannually All the devices are covered by a two year warranty under certain warranty conditions see chapter Meditech product warranty conditions This warranty does n
29. k with FAT32 formatted cards but you may experience data access problems with cards formatted so on your computer The memoty catd is a precision electronic device Place it in the antistatic case provided when carrying and storing it Failure to do so may result in damage to the catd caused by static electricity Do not apply strong force or impact to the card nor bend or drop it Do not put the card in the pocket of your pants etc Do not use or store the card in an environment with possibly strong static electricity electric noise including immediate proximity of mobile phones Do not use ot store the card in high temperature or humidity nor subject it to a corrosive environment Protect the contacts from dirt and particles that may come in contact with or adhere to the card Use only dry soft cloth to wipe away dirt Keep the card out of the reach of children to prevent accidental ingestion If the card is swallowed seek medical assistance immediately The lifetime of the card is limited because it uses flash memory It will not be able to save data after it has been used for a period exceeding its lifetime In this case replace the card with a new one Please note that as a secutity measure postal department might subject all articles sent through mail to high level radiation High level radiation erases all data stored on an SD card and renders the card useless Please check and verify postal service policies before sending memory cards by
30. lated the formula written below Recommended Separation distance d 3 5 V1 NP d 3 5 3V m NP SOMHz 800MHz d 7 3V m NP 800MHz 2 5G Hz where P is the highest radiated power disclosed by the manufacturer of transmitter W d 1s the recommended separation distance m 1 Note in case of frequency 80MHz or 800 Mhz the formula for the higher range 1s applicable 2 Note these are guidelines Actual conditions may vary 32 Recommended separation distance Meditech ambulatory blood pressure and pulse oximeter monitors are intended to be used in electromagnetic environment with controlled RF disturbances The purchaser or user of the devices may help to reduce electromagnetic disturbances by defining the separation distance between the transportable or mobile RF telecommunication equipment transmitters and the device depending on the highest output power of the telecommunication equipment Separation distance in function of the frequency of the transmitter m The highest output power 150KHz 80M Hz 80MHz 800M Hz 800M Hz 2 5GHz of the transmitter W d 3 5 V1 VP d 3 5 E1 VP d 7 E1 VP 0 01 Not applicable 0 12 0 23 0 1 Not applicable 0 38 0 73 1 Not applicable 2 2 3 10 Not applicable 3 8 7 3 100 Not applicable 12 23 If this table does not contain the highest output power of the transmitter the d separation distance m can be calculated by
31. mail 14 Using CardioVisions software The CardioVisions software package provides means to handle Meditech ambulatory blood pressure and ECG recorders With CardioVisions it is possible to initialize programme a recorder transfer read collected data from a recorder to your computer and analyze them CardioVisions stores data transferred to the computer in its database for easy future access The database offers user access control organizing patient data in folders similar in appearance to those used for normal document storage but with a high degree of safety for sensitive medical data It also offers a comfortable archive and restore feature for a safe backup of large size recordings Please create safety backups of your files and folders regularly because this is the only way to restore data with this feature CardioVisions provides detailed graphical and tabular displays of recorded data a comprehensive set of editing features and full statistical analysis all in a highly customizable user interface Its efficient report generator and editor can create standard 18 reports automatically but also allows for free editing of any report component like a word processor In summary CardioVisions lets you manage select initialize and read data from recorders browse patients and results of monitoring sessions in database view edit and analyze data in a recording create save and print a freely editable report Cauti
32. ne compared to the last backup in the preset schedule Archiving CardioVisions data archiving refers to the long term storage of the large size recordings in order to free up space in the database Archiving can be done either by the User or the system administrator The process is the following 1 Enter the software and select the Database 1con amp 3 2 Create a new folder into which you can collect the selected examinations which have to be atchived 24 CardioVisions 1 15 2 File Edit View Format Device Tools Help CarcioTens Ala Glaxo 731 36 G3 e alcee o tE ERE Select folder Archive gt Patients 5 Database Firstname Lastname Dateotbith Guest i Kallai 1963 11 16 0000 0003 E Main i Lenart 1990 01 01 0000 0004 S Qu Medtech Szabo 1959 01 20 4443 2386 Szegedi 1980 01 01 DEMO Werle 1944 09 15 0001 5621 Eva Werle gt Examinations 1 Start of examination Y gt l 1980 01 01 CardioClip HC1 00000001 Reported 3 After clicking Tools Archive examinations from the selected folder a new panel will appear on your screen which will inform you about the number and the size of the measurements in the folder and the size of your destination drive The number of the measurements to be archived 5 The size of the destination drive 29 29 Gbyte free disk space 5 58 Gbyte The size of the examination s in the destination drive 112 73 Mbyte Label fi Destination directory
33. of the sensor 1s the patient s index finger but alternatively it can be placed on the middle or the ring finger as well 2 Application Adult sensor type reference 100A Place the patient s index finger into the rubber sensor until it stops The sensor cable should point towards the patient s hand JZ oon Neonatal Ear sensor type reference 102A place the LED and the AP photo detector into the neonatal foot strap and then locate the sensor to the patient s finger in a way that the LED 1s above the nail and the photo detector below the fingertip If the patient weights less than 4 kilograms it is advisable to place the sensor on the foot near to the toes with the sensor cable pointing towards the foot If this is not possible you can place the sensor around the patient s palm with the sensor cable pointing towards the hand The neonatal sensor can be converted to ear sensor the following way Place the LED and the photo detector into the clip in a way that the sensor cables are paralleled to each other and they are Ww A adjusted downwards AD nN Pediatric sensor type reference 101A Place the patient s index finger into the plastic sensor until it stops The sensor cable should point towards the patient s hand The sensor should be oriented in such a way that the cable is positioned along the top of the hand 16 Warnings UP 10 11 12 13 14 Statement Specifications Check
34. on Summary ECG registration should be checked click on the Next button Finish to proceed with the registration The registration process consists of two phases In the first phase Cardiowisions creates a registration request code based on your choice of program options and data input Please e mail this automatically generated document to Meditech Ltd In the second phase you can validate your registration by entering the respons code you have received from Meditech as reply on your request If you have special requirements such as using more than 10 ECG recorders of the same type put the tickmark in the 4dvanced options Registration is not necessary for apneABP monitors This function is for other devices only You can quit and exit pushing the Fzzis button If you want to make recordings login as a User into the software 22 Installing Cardio Visions Network Edition If you wish to access CardioVisions functions from several workstations in a computer network you have to install CardioVisions Network Edition The installation procedure looks quite similar to that of the Personal Edition see above but the result is quite different While Personal Edition setup installs a typical program where you have a single executable file to start and then you can access all functions the Network Edition setup will install two separate applications two executable files one for the networked CardioVisions database engine appli
35. on Certain antivirus software programs can severely slow down CardioVisions This can be avoided by adding the CardioVisions file formats as exceptions in the antivirus software E g ff2 and sm0 files CardioVisions editions and system requirements Personal and Network Edition Cardio Visions comes in two different editions CardioVisions Personal Edition can be installed on a single computer and used only by one user at a time Multiple users can work with one database in a computer network at the same time using CardioVisions Network Edition This edition has to be installed on a server computer in a network where users have access to CardioVisions over the network from the workstations The use of the Network Edition requires registration Using Personal Edition for demo purposes Demo data of ambulatory blood pressure monitors and ECG event recorders in CardioVisions Personal Edition are specifically included so that all features which would otherwise require registration will still work in an unregistered installation There is no demo feature of CardioVisions Network Edition Computer requirements CardioVisions can be installed on most Windows based personal computers but check before installation whether your computer meets the following requirements Minimum CPU 350 MHz Pentium II RAM 64 MB VGA 800 600 16 bit colour LAN 10Mbit s Suggested CPU 2 GHz P4 or equivalent RAM 512 MB VGA 1024x768 16 bit colour
36. or more details Important If a recorder is not used for a long three to six month period the in built backup cell ensuring the operation of the internal clock may get discharged In this case keep freshly charged batteries in the recorder for at least one day this will recharge the backup cell It is possible to use the recorder afterwards If the backup cell is not properly charged the internal clock may work incorrectly and the recorder may not start measurements in the due time In case of being permanently out of use the replacement of the backup cell might be necessary Two sets of rechargeable batteries and a charger are by default included in the complete set Please consider the relevant instructions while recharging the batteries If you use alkaline batteries choose high capacity long life products to enable reliable operation In order to change batteries take the recorder out of the holder pouch and remove the battery compartment cover on the back side Place four propetly charged high capacity AA rechargeable ot four new long life AA alkaline batteries into the compartment then close the compartment 11 Cuffs and their application It is advisable to wear a thin shirt or blouse under the cuff This does not influence the accuracy of the blood pressure measurements but it prevents possible problems caused by long time wear sweating itching etc Place the cuff on the upper atm so that the rubber tube points towards t
37. osable accessories packaging materials accumulators and batteries cuffs or any of their compohents o CUFF WARRANTY The cuff s if delivered with a recorder unit will be free from defects in materials and workmanship under normal use and service for a period of six 6 months from the date of receipt This warranty covers the cuff s delivered with a recorder unit exclusively d SOFTWARE WARRANTY The CardioVisions software under normal use will perform substantially in accordance with the accompanying written electronic documents for a period of ninety 90 days from the date of receipt This warranty is valid at the representative address of Meditech Ltd unless otherwise displayed upon a commercial invoice ot any other valid business document duly signed by the supplier and the recipient of the Meditech product If such business document displaying a certain site for warranty validity cannot be presented this warranty is valid at Meditech HQ office in Budapest Hungary This warranty does not cover any malfunction or defects of the recorder unit or any of its accessories arising from improper use the use of inadequate accessories accident theft or use of the recorder unit outside its operating environmental specifications and intended measurement range Warranty conditions do not apply to putative defects that are considered to be defects by the Partner due to inadequate knowledge or improper use of the products Products returned
38. ot cover any malfunction or defects arising from improper use the use of inadequate accessories accident theft or use of the device outside 10 Operating environmental specifications or intended measurement range Removing the closing label from the back side of the device voids this warranty There are no uset serviceable parts inside the Meditech recorder it contains high complexity electronic and fine mechanical components If you have any problems please refer the recorder to qualified service personnel All consequences of improper servicing are the sole responsibility of the user Contact Meditech or your distributor for more service information Roll out The recorder includes an internal NiCd coin cell which falls under the category of hazardous waste and should be disposed with proper care The other parts of the device should be handled as normal electronic waste at roll out 8 Safety concerns WARNING Due to validation and safety reasons the modification of this equipment is not allowed Electric shock hazard protection The recorder meets the relevant shock hazard protection standards The device uses four 1 5V AA batteries or four 1 2V rechargeable batteries These exclude all electric shock hazards even in the unlikely case of multiple device errors According to electric shock hazard protection standards the applied parts pulse oximeter sensor cuff are categorized in class CF Many personal computers do not me
39. perform substantially in accordance with the accompanying written electronic documents for a period of ninety 90 days and all supplementary hardware will be free from defects in materials and workmanship under normal use for one 1 year from the date of receipt No other warranties Meditech disclaims all other warranties either expressed or implified including but not limited to implied warranties of merchantability and fitted for a particular putpose with regard to the recorder unit any accessoty or other accompanying hardware and the CardioVisions softwate No liability for consequential damages In no event shall Meditech be liable for any special incidental indirect or consequential damages whatsoever including without limitation damages for loss of business profits business interruption loss of business information loss of data or any other pecuniary loss arising out of the use or inability to use this product even if Meditech has been advised of the possibility of such damages 29 17 EMC information Medical electrical equipment should be used with precautions according to EMC and must be installed according to the EMC notices disclosed in this manual as mobile RF transceivers could adversely affect it Electromagnetic emission Meditech monitors are suitable for use in the specified electromagnetic environment The purchaser or user of the device should assure that they are used in an electromagnetic
40. pply non invasive blood pressure monitor or any other equipment which may cause strangulation to the place of sensor location as interrupted blood flow can result in the loss of pulse Do not transform or modify the sensor Otherwise the performance or accuracy of the sensors may be affected Do not disassemble or repair the sensors as you lose warranty and it may result in product damage or injury If you have any problem please contact qualified service personnel Disposal of the sensor must comply with local regulations Skin contacting sensor materials comply with EN ISO 10993 series standards The pulse oximeter sensor is calibrated by the manufacturer before shipment The sensor has been validated and tested in compliance with EN ISO 9919 2005 standard The sensor has been validated and tested in compliance with EN IEC 60601 1 2 standard For details please refer to the section about electromagnetic emissions electromagnetic immunity and the recommended separation distance between portable and mobile RF communications equipment and the sensors Peak wavelength Red 660 666 nm IR 895 920 nm Maximum optical output power 2mW Measurement range SpO 70 100 Ams 80 100 SpO 3 70 100 SpO 4 Operating conditions Temperature 10 40 C Relative humidity 30 75 Storage conditions Temperature 40 70 C Relative humidity lt 93 17 13 Using a memory card The apneABP recorder uses SD HC or MMC fl
41. rement Name Bladder Sleeve Arm circumference dimensions dimensions range Normal adult 12 x 25 cm 15 x 56 cm 29 38 cm Small adult 0x 18 cm 11x 32 cm max 32 cm Large adult 15 x 33 cm 17 x 77 cm 35 46 cm Take care to avoid blocking the air flow in the tube of the cuff and twisting the tube Make sure the cuff and its tubing do not cause strangulation or a circulation problem Should the patient When properly applied the end of the sleeve the one closer to the tube should fall in the indicated range 15 experience arm numbness or pain remaining after any blood pressure reading is completed the cuff should be removed to avoid permanent vascular or neural injury The cuff is the component which by definition of the relevant standard is protected against a defibrillator discharge The substitution of a cuff different from that supplied by Meditech might result in measurement error and or in certain cases it causes damage to the main recorder unit 12 Sensors and their application The intended use of non invasive pulse oximeter sensors is the monitoring of arterial oxygen saturation and pulse rate Contraindications the sensor may be used on the same location for a maximum of 4 hours if cotrect application and skin integrity are provided Since sensor tolerance is influenced by individual skin condition more frequent change of the sensor location may be necessary The use of the sensor 1 The preferred location
42. roduction The device operates with direct current ID SP1L20130503 en Blood pressure measurements determined with apneABP recorders are equivalent to those obtained by a trained observer using the cuff stethoscope auscultation method within the limits prescribed by the American National Standard for Electronic or Automated Sphygmomanometers The device fulfills the requirements of the British Hypertension Society Validation Protocol for Automated Blood Pressure Measuring Devices 1 Recommended use of combined ambulatory blood pressure and pulse oximeter monitors Indications for ambulatory blood pressure monitoring The following indications are listed in the European Society of Hypertension recommendations for ambulatory blood pressure measurement 2003 e Suspected white coat hypertension e Suspected nocturnal hypertension e To establish dipper status e Resistant hypertension e Elderly patient e Asa guide to antihypertensive drug treatment e Type 1 diabetes e Hypertension of pregnancy e Evaluation of hypotension e Autonomic failure Indications for pulse oximeter monitoring e Cardiovascular problems e Lung disease in case of diminution of the oxygen absorbing capacity of the lungs e Sleep related respiratory disorders diagnosis of apnea or hypopnea Contraindications e Non cooperative patients unconscious or otherwise incapable patients e Patients requiring urgency emergency cardiac care e Patients with coa
43. ss to measurements Add a CardioVisions user Registration Wizard w Welcome to CardioVisions System administrator gt Add user Report header Registration User information Recorder Program components Remark Summary Finish Here you are required to create a user account by filling in the empty spaces but at least the bold entries Creating a user is necessary to see medical data 2 Modity the default report header Registration Wizard Welcome to CardioWisions System administrator Add user Report header Report header 1stline Mee kt s C 2ndine Budapest 1191 DM 2 ss S 3rd line re 3605280 82 32 C CU 4th line fFax 36 1 282 93 88 ss i sSCS TASS Registration User information Recorder Program components Remark Summary Finish Please type the letterhead information you would like to see printed in the header of all CardioVisions reports Click Next to proceed to the next screen In this screen you can change the report header data which can be seen on the top of all printed report pages Registration Registration Wizard Current status Registration User information If you have ABPM devices ECG registration should be unchecked click on the Finish button Recorder Program components Remark If you have ECG monitors or if you want to use CardioVisions Network Editi
44. the formula depending on the frequency of the transmitter where P is the rated highest output power of the transmitter W 1 Note in case of frequency 80MHz or 800 MHz the formula for the higher range is applicable 2 Note These are guidelines Actual conditions may vary 33
45. the proper application of the sensor 1f pulse is recorded unreliably The selected sensor location may be too thick too thin pigmented or coloured other way as a result of the use of nail polish or cream therefore it is inappropriate for proper light transmission If any of these situations occur reposition the sensor The operator of the sensor is responsible for checking the compatibility of the monitor sensor and cable Incompatible components may result in degraded performance Improper application of the sensor may result in incorrect measurements Using under strong light exposure conditions may result in inaccurate measurements In such cases cover the sensor location with a tight fabric Intravascular dyes or externally applied colouring such as nail polish or pigmented cream may lead to inaccurate measurements Sensor performance is affected by motion therefore the use of the sensors is contraindicated for too active patients Do not fix the sensor to the place of use because venous pulsation may result in inaccurate saturation measurements Apply the cable carefully in order to enable free patient movement and to avoid strangulation Do not use the sensor during MRI scanning Conducted current may cause burns Also the sensor may affect the quality of the MRI image and the MRI unit may affect the measurement accuracy of the oximeter Do not check sensor accuracy by functional measuring meter by oximeter simulator Don t a
46. the target folder of the installation Choose a Start menu folder for usual shortcuts After finishing the installation CardioVisions setup creates a startup icon on your desktop First start You can start CardioVisions with the created shortcut on your desktop At first you will be logged in as a system administrator admin who can start a registration add new users or change data access levels After the first start you will see the following screens Welcome screen Registration Wizard gt Welcome to CardioVisions System administrator Add user Welcome to CardioWisions Report header Registration Congratulations on the successful first startup of your new User information ambulatory blood pressure and ECG monitoring software Recorder Program components Remark Summary Finish Please follow the instructions to personalize and register your installation This field vill provide short information on each screen Click the Net button below to continue 20 System Administrator settings Registration Wizard Welcome to CardioVisions gt System administrator Add user Report header Registration User information Recorder Program components Remark Summary Finist Your default login name and password is admin admin Default settings can be modified here Reminder the system administrator cannot see medical data as it is only the user who has acce
47. up the database engine application from the system tray on the server computer by double clicking its icon then choose Server Stop then select the required command of the Config menu After your changes choose Server Start to make the CardioVisions database engine services available to users again 29 Backup Creating a backup from CardioVisions database is strongly recommended to prevent data loss It is advised to create a backup often monthly weekly or even daily depending on the frequency of the software usage The function is available both for the User Tools Backup and for the System Administrator Tools System administrator tools Backup and restore While the former can create backups only manually the latter has the possibility to create backups both manually and automatically according to preset intervals Backup and restore Save folder of the system administrator Backups Schedule System ecrnistrator Bacup 2012 04 11 08 37 336 56 Mbyte 2012 04 11 08 41 336 56 Mbyte Restore User 2012 04 11 08 35 336 56 Mbyte Delete 2012 04 11 08 39 336 56 Mbyte The User s backups from which only the last two can be stored are saved into C Meditech CV Backup_U while the System Administrator s backups the number of which is unlimited are saved into C Meditech CV Backup_A Automatic backup can be made weekly fortnightly or monthly If the function is selected the backup will automatically be do
48. ustable straps of the pouch Wearing a thin shirt under the cuff is recommended It does not influence the accuracy of the blood pressure measurement but it prevents problems caused by long time wearing the cuff sweat itching soreness etc The cuff should be properly placed on and connected Patients should avoid excess movement during blood pressure measurements They should hold their arm loose slightly away from their chest Should the blood pressure measurements cause bloodshot torpidity or pain in the hand the cuff should be removed from the arm immediately and disconnected from the recorder Such occurrence should be reported to the physician latest after the monitoring session The pulse oximeter sensor operates via optical signals therefore no external substance should remain between the sensor and the body part which contacts the sensor Factors that may influence measurement values nail polish dye or pigmented cream Preferred location for adult patient is the index finger alternatively it can be placed on the middle finger or ring finger 13 The patient should not remove the recorder even at night When turning into sleep problems can be avoided by loosening the straps The recorder does not disturb most patients at night The patient can initiate extra blood pressure measurements with the START button of the recorder unmarked button By pressing the EVENT button matked with a circle th
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