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User`s Manual SunTech® 247™ Blood Pressure Blood Pressure

1. sssesssssssessseeeeneneeenee nennen nnns 17 Placing the Device on a Tabletop ssssssssssessssseseeenee nennen nennen nnns n nnne 17 First Pime etl ND EE E ER EE 18 e eroiTespieib eO aaau ee 18 Charging the Battery cede oe ie dive tees dax aana NEN aTe DEEN AEE a a NE Sg dades 19 Selecting Temperature Unit of Measurement sssssssssssesssesesenrnee enne enne 19 Powering Up oos oi os e aea Lac oa Lad aUa a aaa aca aca a d viata 19 MEASURING BLOOD PRESSURE WITH THE SUNTECH 247 eene 20 Prepping Your Patent ooo anton acai Geena UMEN TUM DE MM 20 Selecting the Right Cuff nico iioenne dei ee decet zestdeni pente niDen ele ia De piena DADO Taa SEAE 21 Taking a Measufement ou eerie irte eie eei be teat bere s eue ob tepr b ag dae 22 Taking an Automated Measurement ssssssssssseeseeee nennen nnne nnne nnne nnne 22 Taking a Manual Measurement sssssssssssesesseeeenee nhe hhnennn tnn nnn h nnns rrr en nnns 23 K Sounds A Primeros oeeie iesene mnt one E senile RID AR AS uM EE RIPE Lc IUE 24 MEASURING TEMPERATURE WITH THE SUNTECH 247 ecce 25 Temperature Units of Measurement essesssessesssseeee nennen nnne nnne nnns nnne nnne 25 Temperature Measurement Modes sssesssesessseseeeee nenne nennen nnne nnne nnne nnne nnne 25 Using temperature probe and probe covers ssssssssseeeeee nennen nnne nnne
2. 4 Attach the temperature probe connector to part B as follows with the black surface facing downward hold the probe connector end against the notches on the probe Side view of probe in place Front view of probe in place 5 Rotate the connector upwards until it snaps securely into place step2 shown above The black surface faces outward and the cord extends upward 6 Slide part B onto part A as shown this connects the temperature probe connector to the temperature unit connector and insert the temperature probe into the well Temperature u 7 Turn the device on using the power button on the connector not right side of the BP module At the end of the start shown up sequence the temperature module display will blank except for the appropriate temperature unit icon F or C A short beep indicates that the Sun Tech 247 is ready Note If the temperature module does not appear to be working properly cycle the power several times using the power button on the right side of the BP module This will synchronize all the modules The modules are synchronized when after you turn the power on all segments on all module displays light simultaneously for 3 to 5 seconds followed by a short beep and all displays go to their ready state BP battery icon and middle segments of the systolic value are lit Temperature appropriate temperature units icon is lit Pulse Oximetry the SpO2
3. icon is lit You can remove the unit by taking Part B the probe holder off and depressing the two tabs at the bottom rear of Part A the display and pulling forward 37 Attaching the Pulse Oximetry Module Should you need to attach or remove the pulse oximetry module the following instructions give an overview of its attachment to the BP module The pulse oximetry module attaches to the bottom of the BP module 1 Using the power button on the right side of the BP module ensure that the SunTech 247 is off gn Ow 9 cn ow 2 Remove the cover plate from the bottom of the main BP module Seg 49 c 3 Slide the pulse oximetry module along the guides on the bottom of the main BP module from front to back until it snaps into place All the segments of the pulse oximetry module display will light when the modules have been connected correctly o 4 Turn the device on using the power button on the right side of the BP module At the end of the start up sequence the pulse oximetry module display will blank except for the SpO2 symbol 5 Turn the device off connect the adult reusable sensor to the 6 extension cable and then the cable to the connector on the module Secure the cable to your device using the retention clip Cae ia 6 Turn the device on All display segments light up for three to five seconds A short beep indicates that the Sun
4. e Increase the separation between the equipment e Connect the equipment into an outlet on a circuit different from that to which the other device s are connected e Consult the manufacturer or field service technician for help Use only SunTech approved cables and accessories with this device Use of unauthorized cables or accessories may result in increased emissions or decreased immunity Portable and mobile RF communications equipment can affect Medical Electrical Equipment 52 Guidance and manufacturer s declaration electromagnetic emissions The SunTech 247is intended for use in the electromagnetic environment specified below The customer or the user of the SunTech 247 should assure that it is used in such an environment Emissions test Compliance Electromagnetic environment guidance RF emissions Group 1 The SunTech 247uses RF energy only for its internal CISPR 11 function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment RF emissions Class B The SunTech 247is suitable for use in all CISPR 11 establishments including domestic establishments and Harmonic emissions Class A those directly connected to the public low voltage IEC 61000 3 2 power supply network that supplies buildings used for Voltage fluctuations Complies domestic purposes flicker emissions IEC 61000 3 3 53 Guidance and manufactur
5. Blood Pressure Cuff 98 0084 24 All Purpose Cuff Small Adult Blood Pressure Cuff 98 0084 25 All Purpose Cuff Small Adult Blood Pressure Cuff 60 98 0084 26 All Purpose Cuff Adult Blood Pressure Cuff 98 0084 27 All Purpose Cuff Adult LONG Blood Pressure Cuff 98 0084 28 All Purpose Cuff Large Adult Blood Pressure Cuff 98 0084 29 All Purpose Cuff Large Adult Blood Pressure Cuff LONG 98 0084 30 All Purpose Cuff Thigh Blood Pressure Cuff Pulse Oximetry Accessories Dolphin 52 0005 00 Adult digit reusable oximetry 36 cable Nellcor sensor 2010 compatible sensor DS 100A 52 0005 01 Y multi site reusable oximetry Includes ear clip 36 sensor 2210 cable Nellcor compatible sensor D YS and D YSE 52 0005 02 Adult digit disposable oximetry 24 box 18 cable foam sensor 3311 Nellcor compatible sensor D 25 52 0005 03 Pediatric digit disposable oximetry 24 box 18 cable foam sensor 3312 Nellcor compatible sensor D 20 52 0005 04 6 foot Extension Cable 2411 52 0005 05 10 foot Extension Cable 2421 61 Thermometry Accessories Kendall FASTemp 52 0004 00 Blue Oral Axillary Probe ee 98 0131 01 Disposable Probe Covers 500 52 0004 02 Calibration plug Kendall part number 202099 Miscellaneous Accessories 45 0001 00 Mobile stand kit 98 0148 00 Wall mount kit Includes wall mountable basket 98 0149 00 Tabletop stand kit EE 19 0013 00 Power supply for the SunTech 6V 247 19
6. worn missing incomplete damaged or contaminated e Contact the nearest factory approved service center should repair or replacement become necessary A list of approved service centers appears on page 46 or on our website at www SunTechMed com Further the user of the device bears sole responsibility for any malfunction that results from improper use faulty maintenance improper repair damage or alteration by anyone other than SunTech Medical or authorized service personnel Warnings and Contraindications Please read this manual thoroughly before starting to use your SunTech 247 Only those clinicians trained to measure record and interpret vital signs should use this device neonates A Do not use this device on pediatric patients under 3 years old infants or For accurate blood pressure measurements ensure that the circumference of the arm fits within the range markings on the cuff The SunTech 247 is not intended for continuous monitoring Although the blood pressure cuff and cable are defibrillator proof the temperature probe and SpO sensor are not Do not leave the device unattended while taking measurements on a patient Only use such accessories as are recommended for use with this device A list of recommended accessories is on page 59 Do not operate the SunTech 247near flammable anesthetics or volatile vapors An explosion may result Compressing the pneumatic tubing may caus
7. 0 1 C Functional oxygen saturation range 40 100 Functional oxygen saturation accuracy 70 100 2 digits Note because pulse oximeter equipment measurements are statistically distributed only about two thirds of pulse oximeter equipment measurements can be expected to fall within 2 digits of the value measured by a CO oximeter Operating conditions 10 C 50 F to 40 C 104 F Less than 95 RH Storage conditions 20 C 4 F to 50 C 122 F Less than 95 RH Power External power supply for non battery version Globtek model GTM21089 1506 T3 SunTech part number 19 0013 00 External power supply for Battery version rechargeable by Globtek model GTM21089 1509 T3 SunTech part number 19 0014 00 Calibration Check once per year for BP and Temperature 50 Safety systems Independent hardware over pressure circuit and redundant software overpressure algorithm to limit cuff pressure to less than 330 mmHg Independent hardware timing circuit and redundant software timer algorithm to limit the duration of a blood pressure cycle to less than 180 seconds Dimensions Length 5 5 inches Height 11 5 inches Width 3 8 inches Length 14 0 cm Height 29 2 cm Width 9 7 cm Standards UL60601 1 CAN CSA C22 2 601 1 IEC 60601 1 IEC 60601 1 2 EMC IEC 60601 1 4 ISO 9919 AAMI SP10 2002 ASTM E 1112 EN 12470 3 Meets Non invasive Sphygmomanometers General Requirements amp Supplementary Requirements f
8. 150 kHz to 80 MHz 3V d 3 5 Vi VP Radiated RF 3V m 3 V m d 3 5 Ei VP 80MHz to 800MHz IEC 61000 4 3 80 MHz to 2 5 GHz d 7 E VP 800MHz to 2 5GHz where Pis the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and dis 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 gt Interference may occur in the vicinity of equipment marked with the following symbol NOTE 1 At 80 MHz and 800 MHz 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 Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the SunTech 247 device is used exceeds the applicable RF compliance level above the SunTech 247 device should be observed to verify normal operation If abnormal performance is observed additional measures may be n
9. 44 0 1865 884 235 The instrument will be repaired in the shortest possible time and returned prepaid by the same shipping method as received by the factory This limited warranty is void if the instrument has been damaged by accident misuse negligence act of God or serviced by any person not authorized by SunTech Medical Inc 57 This limited warranty contains the entire obligation of Sun Tech Medical Inc and no other warranties expressed implied or statutory are given No representative or employee of SunTech Medical Inc is authorized to assume any further liability or grant any further warranties except as herein 58 Purchasing Parts and Accessories We recommend that you purchase parts and accessories for your SunTech 247from your authorized SunTech 247 distributor A consolidated list of parts and accessories appears below SunTech 247Systems 99 0061 00 SunTech 247Battery Mobile BP Device with SpO Temp System BP Temperature amp Rechargeable Battery and SpO2 mobile stand amp basket 99 0062 00 SunTech 247 Battery Mobile BP Device with Rechargeable System BP Battery and mobile stand amp basket 99 0063 00 SunTech 247Battery Mobile BP Device with Temp System BP amp Temperature Rechargeable Battery and mobile stand amp basket 99 0064 00 SunTech 247 Battery Mobile BP Device with SpO System BP amp SpO Rechargeable Battery and mobile stand amp basket 99 0065 00 SunTech 247 WallSystem BP B
10. Cuff hose icon When displayed indicates that the cuff and or pneumatic hose need to be checked and adjusted in order to take a measurement See page 40 for details e Warning icon When displayed indicates that the system needs to be checked See page 40 for details e Pressure column Displays the pressure in the cuff Each segment represents approximately 10mmHg Optional temperature and pulse oximetry modules Temperature units lm select recessed z Pn Temperature mode ue Lt I select A 131 ILLI nn z LILI 9 rn LILI l Sun Tech Ae und SpO2 sensor l ry r1 connector LI TNI A Buttons on the optional temperature module e Temperature units select Recessed momentary switch that toggles the display between F and C e Temperature mode select symbol on button v Momentary switch that selects oral vs axillary measurements for the oral temperature probe and selects predictive vs direct measurement methods for all probes 6 Connectors on the optional temperature module e Temperature unit connector Located on the temperature module connects to the temperature probe housed in the temperature probe well Temperature probe connector Temperature unit connector not shown Buttons on the optional pulse oximetry module None Connectors on the optional pulse oximetry mod
11. Fahrenheit To choose a unit of measurement depress the recessed button on the left side of the temperature module The icon for the selected unit is illuminated This is now the default selection Temperature Measurement Modes The device can measure temperature via three modes e Oral indicated by on the display and measured using the blue probe e Axillary indicated by 7 7 onthe display and measured using the blue probe E e Rectal indicated by on the display and measured using the red probe All three modes can be used for both predictive and direct measurement In the default predictive mode your SunTech 247 predicts temperature in 10 15 seconds with an accuracy of 0 2 F 0 1 C When a fever is detected the measurement may last longer In direct mode the display continually updates until a stable reading is reached This mode is used in certain difficult conditions when a predictive reading is not preferred or possible f Axillary and rectal modes are preferred for children and compromised patients Using temperature probe and probe covers In addition to the safety instructions for your SunTech 247 here are some additional tips on using the probe and probe covers for the optional temperature module 25 e Use only Filac FasTemp probe covers with this device e The device and probe covers are non sterile Do not use on abraded tissue e To limit cross contamination use blue probes for taking
12. Temperature Module 34 Replace the Temperature Probe with the Calibration Plug Replace the Temperature Well Initiate a measurement by inserting and removing the Temperature probe from the well 5 Verify the accuracy of the measurement Probe accuracy can be checked by using the thermometer as you would on a patient in any mode with a cover but place it in a calibrated water bath Direct mode is accurate to 0 1 C of the calibrated water bath temperature Predictive mode accuracy is accurate to 0 2 C of the calibrated water bath temperature Replacing the Rechargeable Battery Replace the battery According to your regular maintenance schedule When the battery no longer charges After heavy use if necessary To replace the battery 1 Remove the four screws securing the battery bay door 2 Carefully remove the battery from the battery bay being careful not to pull on the wires attached to the battery terminals 3 Disconnect the wires from the battery terminals The rechargeable battery contains lead Please dispose of the old battery properly 5 Connect the wires to the terminals of the replacement battery ensuring the red wire is attached to the red terminal and the black wire to the black terminal If the wires are reversed no damage will occur however the SunTech 247 will not operate Be sure to use SunTech part number 17 0014 00 for the replacement battery in order to maintain optimum performance Re s
13. and skin integrity Patient sensitivity may vary due to medical status or skin condition Discontinue use of adhesive tape strips if the patient exhibits an allergic reaction to the adhesive materials Measuring Oxygen Saturation with Sensor on Finger For best results clip the sensor on the index middle or ring finger avoiding the little finger or thumb 1 For the reusable finger sensor insert the patient s digit index most preferable into the sensor Ensure that the tip of the digit touches the rear guide posts of the sensor and the sensor cable extends along the top of the patient s hand For disposable finger sensors place one sensor paddle on top of the finger and the other on the bottom of the same finger Secure sensor with wrap tape or bandage SpO2 measurement will begin automatically Once the SpO determination begins a traveling dash IZI will be displayed until a measurement is determined usually in 10 seconds This reading will be updated once per second SpO can be measured without interruption for up to 10 minutes Along with the functional oxygen saturation value the signal strength will also display 30 2 When you remove the sensor from the patient s finger the display will flash the last measurement for 8 seconds The measurement will then be displayed for 2 minutes or until another measurement is made Note the patient s reading and confirm normal venous return Measuring Oxygen S
14. area also displays the status code when the warning symbol is lit 13 QUICK START GUIDE If the device is off turn it on by depressing the power button on the right side Measuring Blood Pressure and Heart Rate Automatically 1 Wrap an appropriately sized cuff sizes are tabulated on page 21 snugly around the upper arm midway between the elbow and shoulder 2 Ask the patient to stay still and quiet before taking the measurement 3 Press the automatic button on your unit The cuff begins to inflate and the cuff pressure is shown in the systolic display In about 35 seconds depending on the size of the cuff you will hear a beep to indicate cycle completion The systolic and diastolic values are shown in their respective locations If MAP mode is enabled the heart rate and MAP values will alternate Measuring Blood Pressure and Heart Rate Manually 1 Wrap an appropriately sized cuff sizes are tabulated on page 21 snugly around the upper arm midway between the elbow and shoulder 2 Ask the patient to stay still and quiet 3 Press and hold the manual button to inflate the cuff Watch the pressure displayed and release the button to take a manual measurement If you see the cuff and or warning icon A you will need to take another measurement Please refer to the troubleshooting section on page 40 14 Measuring Temperature 1 To measure temperature orally lift the blue temperature probe from its hold
15. authorized service representative The SunTech 247 must be placed on a stable slip proof surface Only recommended hardware should be used to mount your device to a wall pole or tabletop carrier At no point should the contents of the storage basket exceed five lbs in weight Do not immerse the device in water or attempt to gas sterilize or autoclave it The reliability of your SunTech 247 depends upon conformance with the operation and service instructions as detailed in this manual 16 Mounting Your Device For convenience you may mount your unit on the wall or attach it to a mobile stand or a tabletop stand A storage basket is included and can be used to hold cuffs boxes of probe covers for the optional temperature module and SpO sensors for the optional pulse oximetry module All compatible accessories for mounting your SunTech 247can be found in the list starting on page 59 All versions of the SunTech 247can be mounted in the following ways Mounting the Device on a Wall Mount the SunTech 247 on the wall in place of an aneroid manometer To affix your SunTech 247to the wall 1 Attach the bracket to the wall using 4 wall screws and the basket using 2 screws 2 Insert the shoulder bolts into the top 2 mounting holes on the rear panel of the BP device 3 Position the shoulder bolts into the bracket slots and slide the device down until it locks into place never exceed five pounds Please do not store heavy item
16. contact 8 You will hear a long beep at the end of the measurement The result will be displayed for two minutes or until you initiate a new measurement 9 Remove the probe discard the probe cover and place back in the probe holder Note the reading If the temperature reading is out of range the device will beep and flash the JA limit that is exceeded So if the reading is greater than 109 4 F 43 0 C V 109 4 or 43 0 will flash on the display followed by a sequence of rising S LED s If the reading is less than 86 0 F 30 0 C 86 0 or 30 0 will flash on the display followed by a sequence of falling LED s 28 MEASURING OXYGEN SATURATION WITH THE SUNTECH 247 The SunTech 247 optional pulse oximeter module measures functional oxygen saturation ranging from 40 to 100 A signal strength display assists the clinician in the proper placement of the sensor The SunTech 2471s a spot check device and is not used for patient monitoring Therefore there are no SpO alarms Steps for measuring functional oxygen saturation e Prepping the patient and affixing the sensor e Taking a reading Prepping the Patient Selecting the Right Sensor Your choice of sensor is affected by many factors including e Patient s body weight e Patient activity e Infection control concerns For most patients greater than 30kg use an adult sensor for patients 10 50kg a pediatric sensor may provide better f
17. customers in Europe the Middle East and Africa SunTech Medical Ltd Service Department Oakfield Industrial Estate Eynsham Oxfordshire OX29 4TS United Kingdom Tel 44 0 1865 884 234 Fax 44 0 1865 884 235 46 For customers in Asia and the Pacific SunTech Medical Ltd L 25 Bank of China Tower 1 Garden Road Central Hong Kong Tel 852 2251 1949 Fax 852 2251 1950 47 SPECIAL SITUATIONS Special Situations Unique circumstances such as the patient s age or physiological disturbances require you to take special care while measuring blood pressure or vital signs The more common examples of such circumstances are described here to assist you in using your SunTech 247 optimally under such conditions You can find recommendations on dealing with each of these special situations in the American Heart Association s current scientific statement on recommendations for blood pressure measurement or the British Hypertension Society s current guidelines for management of hypertension Measuring Blood Pressure in Children Typically children exhibit greater variability in blood pressure than do adults They are more likely to be crying eating or restless in a clinical situation further increasing the potential for variability Measuring Blood Pressure in Obese Patients There appears to be a positive correlation between obesity and hypertension Due to the increased arm circumference of obese patients use of a
18. of your SunTech 247 On a routine basis you should inspect the device cables and pneumatic hoses for cracks fraying or kinks and immediately replace any damaged parts Remember to check the calibration of the BP module annually If available a biomedical technician may help in maintaining your equipment Cleaning Cleaning the Device 1 Wipe the device with a soft damp cloth to remove surface dust and dirt Never immerse the device in any fluid or attempt to employ cleaning fluids or solvents Cleaning the Cuffs 1 Between uses wipe cuff sleeves and the insides of cuffs with a medical grade cleaning agent 2 Periodically remove the bladders and machine wash the cuffs in cold water 3 Line dry Cleaning the SpO Sensors 1 Clean sensors and clips with a soft cloth dampened with water a mild soap solution or isopropyl alcohol 2 Remove all tape residues by rubbing off 33 3 Dry sensors and clips thoroughly before re use Never immerse sensors and clips in fluids Do not pour or spray any liquids on them either Caustic or abrasive cleaners will cause permanent damage Prying the finger clip sensor to an angle greater than 90 can permanently damage its casing Checking the Calibration of Your Device It is recommended that you check the BP calibration of your SumTech 247 once a year To check calibration l Start with the device powered off While holding down the automatic button on the front of t
19. oral and axillary temperature only Use red probes for rectal temperatures only e Dispose used probe covers in accordance with current medical practices or local regulations regarding disposal of infectious biological medical waste Taking an Oral Temperature 1 Remove the blue probe from its holder and secure a disposable cover on it The probe pre heating process begins with the display of a five second countdown A short beep signals the end of the countdown 77 will be displayed for 2 seconds 2 By default the predictive method is selected This is indicated by a traveling dash I To select direct measurement press the temperature mode select button located on left side of the temperature module for three seconds or until you hear two short quick beeps When using direct measurement the display will slowly flash the temperature values on and off Heat pockets 3 Place the probe carefully under the patient s tongue as denoted by the heat pockets shown to the right The posterior medial sublingual pocket is preferred for accuracy Hold the probe in place so that its tip maintains tissue contact Close the patient s mouth The temperature measurement cycle begins In the direct method the temperature value will be updated once per second 4 Along beep signals the end of the measurement cycle The temperature will display for two minutes or until you initiate a new measurement 5 Remove the probe from the patient disca
20. 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 56 Limited Warranty SunTech 247 Device SunTech Medical Inc provides the original purchaser the following limited warranty from date of invoice All serialized devices 24 months APC Cuff s 6 months Accessories i e patient cables disposables 90 days SunTech Medical Inc warrants each instrument to be free from defects in material and workmanship Liability under this warranty covers servicing of the instrument when returned from the customer s facility within the United States prepaid to the factory SunTech Medical Inc will repair any component s or part s that it finds to be defective during the period of this limited warranty Should a defect become apparent the original purchaser should first notify Sun Tech Medical Inc of the suspected defect The instrument should be carefully packaged and shipped prepaid to For customers in the Americas SunTech Medical Inc Service Department 507 Airport Boulevard Suite 117 Morrisville NC 27560 USA Tel 919 654 2300 Fax 919 654 2301 OR For customers in Europe Middle East Africa Asia and the Pacific SunTech Medical Ltd Service Department Oakfield Industrial Estate Stanton Harcourt Road Eynsham Oxfordshire OX29 4TS England Tel 44 0 1865 884 234 Fax
21. seeeeeeeesseeeeeee 48 Measuring Blood Pressure During Pregnancy sssessesessseeeeeneennne ener nnne 48 Measuring Blood Pressure in the Elderly sssessesseseseneeenneeennn nennen 49 Measuring Blood Pressure in the Emergency ROOM sssssesseseeeneeeennn nennen 49 Measuring Blood Pressure in the Presence of Orthostatic Hypotension ssss 49 APPENDICES e m 50 Specifications oss Roe DRS DO DE DIE E DID M TS OT 50 Oi i MM 51 Satety Requitremients oiii etie etae eet extre uet Reto i ode a ob oet PE etd desees ob PEePdPs 5 EMG Sta eM e AE ES 51 Limited Warranty ia eee ee ee eer Tee ge E eer Teen geen EE er rere 57 Purchasing Parts and Accessories ssssssssssssssessessessessessessessessessessessessessessessesseseesesees 59 xi GETTING TO KNOW THE SUNTECH 247 Your SunTech 247 is a powerhouse of functionality offering consistent blood pressure measurements along with reliable temperature and functional oxygen saturation readings Package Contents The SunTech 247 is available in two versions with and without a rechargeable battery Contents for each version are listed below f Upon opening your kit please ensure that all listed contents are included If any contents are missing or damaged please contact Sun Tech The SunTech 247 Kit Th
22. throughout the body of the manual are tips notes and warnings to enable you to use your SunTech 247 easily safely and effectively i Changes and Reissues This manual is identified as Part Number 80 0040 00 Changes occurring between issues of this document are addressed through change information sheets addenda or replacement pages If none of these accompany this manual the manual is correct as printed Should you notice errors or omissions in this manual please notify us at SunTech Medical 507 Airport Boulevard 117 Morrisville North Carolina 27560 8200 USA Phone 919 654 2300 Fax 919 654 2301 E mail CustomerService SunTechMed com Copyright Information All content in this manual is the proprietary information of SunTech Medical and is provided solely for purposes of operation maintenance or service of the SunTech 247 This manual and the SunTech 247 described in it are protected under copyright law under which they may not be copied in whole or in part without written consent of Sun Tech Medical SunTech is a registered trademark of SunTech Medical Inc All other trademark names are the trademarks of their respective holders The information in this manual is furnished for guidance only is subject to change without notice and should not be construed as a commitment by SunTech Medical SunTech Medical assumes no liability for errors or inaccuracies that may appear in this manual O 2007 SunTech Medical Al
23. 0014 00 Power supply for the SunTech 9V 247 Battery 25 boxes 20 probe covers box Includes base pole storage basket and handle 91 0003 05 EU power cord 91 0003 06 UK power cord 62 91 0003 00 US power cord re 17 0014 00 Rechargeable battery 9V sealed lead acid Part 80 0040 00 Rev A 63
24. MAP wil alternate between HR and MAP To exit MAP mode power the device ior NOD off and again hold down the manual button as you toggle power to on e On power up the MAP icon will flash and disappear MAP will no longer available in the US be displayed 22 3 Ifthere is an error in obtaining a measurement indicated by three beeps please refer to the troubleshooting tips on page 40 and take the appropriate remedial measure Taking a measurement on each arm helps rule out dissecting aneurysms coarctation of the aorta vascular obstruction and possible errors in measurement You can find more tips like this in the American Heart Association s current scientific statement on recommendations for blood pressure measurement Taking a Manual Measurement 1 With the patient prepped as described earlier page 20 and the device powered on palpate the brachial artery at the antecubital fossa Place your stethoscope over this space 2 Press and hold the manual button until you inflate the cuff to a level at least 30 mmHg higher than the patient s systolic pressure 3 Once the cuff has been inflated to the desired level release the manual button The cuff begins to deflate at approximately 3mmHg sec and the device displays the cuff pressure 4 While listening to your stethoscope note the systolic and diastolic pressures corresponding to the first and last Korotkoff sounds K sounds heard Press the automatic but
25. P Device with SpO Temp Temperature amp SpO2 and wall mount kit amp basket 99 0066 00 SunTech 247 Wall System BP BP Device and wall mount kit amp basket 99 0067 00 SunTech 247 Wall System BP BP Device with Temp and wall amp Temperature mount kit amp basket 99 0068 00 SunTech 247 Wall System BP BP Device with SpO and wall amp SpO2 mount kit amp basket 99 0069 00 SunTech 247 Battery Tabletop BP Device with SpO2 Temp System BP Temperature amp Rechargeable Battery and SpO2 tabletop stand 59 99 0070 00 SunTech 247 Battery Tabletop BP Device with Rechargeable System BP Battery and tabletop stand 99 0071 00 SunTech 247 Battery Tabletop BP Device with Temp System BP amp Temperature Rechargeable Battery and tabletop stand 99 0072 00 SunTech 247 Battery Tabletop BP Device with SpO2 System BP amp SpO2 Rechargeable Battery and tabletop stand SunTech 247 Accessories 98 0128 00 SunTech 247 Temperature Thermometry Module for Module SunTech 247 BP 98 0129 00 SunTech 247SpO Module SpO2 Module for SunTech 247 BP All Purpose General Clinical Use Cuffs 98 0144 00 All Purpose Cuff package Adult Includes Small Adult Adult Adult Long Large Adult cuffs 98 0145 00 All Purpose Cuff package Includes Child Child Pediatric Long Small Adult Small Adult Long cuffs 98 0084 22 All Purpose Cuff Child Blood Pressure Cuff 98 0084 23 All Purpose Cuff Child LONG
26. SunTech Medical SunTech 247 Blood Pressure Device for Automated and Manual Measurement EEE I AN iz senTech 5b User s Manual About this Manual This manual describes features and uses of the SunTech 247 by SunTech Medical Inc a non invasive clinical grade automated device to measure blood pressure heart rate and mean arterial pressure Optional modules to measure temperature and functional oxygen saturation are available and their use is also described in this manual e This manual accompanies all the versions of the SunTech 247 SunTech 247 Versions Item Name SunTech 247 BP SunTech 247 BP amp Temperature SunTech 247 BP amp SpO2z SunTech 247 BP Temperature amp SpO SunTech 247 Battery BP SunTech 247 Battery BP amp Temperature SunTech 247 Battery BP amp SpO SunTech 247 Battery BP Temperature amp SpO BP device with temperature BP device with SpO BP device with SpO and temperature BP device with rechargeable battery BP device with temperature and rechargeable battery BP device with SpO and rechargeable battery BP device with SpO temperature and rechargeable battery This document is designed to help you quickly familiarize yourself with your SunTech 247 and subsequently to use it to its full potential Dispersed
27. Tech 247 is ready Note If the pulse oximetry module does not appear to be working properly cycle the power several times using the power button on the right side of the BP module This will synchronize all the modules The modules are synchronized when after you turn the power on all segments on all module displays light simultaneously for 3 to 5 seconds followed by a short beep and all displays go to their ready state BP battery icon and middle segments of the systolic value are lit Temperature appropriate temperature units icon is lit Pulse Oximetry the SpO2 icon is lit 38 You can remove the unit by depressing the two tabs at the top rear of the SpO module and pulling forward Storage Shutdown Transport Storage The SunTech 247 must be stored between 20 C 4 F and 50 C 122 F Relative humidity must be less than 95 If you are storing the SunTech 247 Battery for 30 days or longer it is recommended that you disconnect the battery from the device Moving Your Device To pack your device for repair or transport 1 Detach the cuff temperature probe SpO sensor power supply and other ancillary products from the device 2 Disconnect the battery and remove it from the device 3 Place the device in the original shipping carton preferably with its original packing material 4 Ensure that the device will be kept at between 20 C 4 F and 50 C 122 F and in relative humidity
28. al ol cal a a uu aad Sect iet Ns iv DOCUMENE Key T Soest iv Indications for USC EE v User Responsibility oir ri essa ciaiecauledsadessiesaiaisdsiasaasdesscasdaed ee PEPESE a aPN Nin OR P SPP Y V Warnings and Contraindications ssseesssssssssesssesseee eene ennn nnn nnn n nnn arn r nnns V TABLE OF Neon np Tc VIII GETTING TO KNOW THE SUNTECH 247 eeeeeeeeeeeeee eene nennen nennt nnn nnn 1 Package Contents oerte roe beni teat Ge eects et ee hot s iSS 1 The SunTech 247 KIU cnet oss ssscicccedisssdasieasxscacisonasasavactpadssoadiasddasecedddoadianadaseceddsoadisscasaszeaens The Sun LECH 247 Battery Kili c ssiccrieccde cess pods sedecede stdceccectacuedcctiectiestss ar ee ata 2 Accessory Module Sari aiai aiaiai EE aaa AAAA A Aaa EA Na Aaa a ia a aaa aAa aai aana 2 Other Accessories iiaaaeaoe bE anaana E cies 2 A Bifds Eye VIEW Se EE E EE LL E 3 idu 3 BP display iiie f EINE E RER ER ER FREE ERR ER EE RARE ERA E ERR sand REL OR RARE KE eis sata isedaasa cians 5 Optional temperature and pulse oximetry modules seesseeeseeeeeenn eene 6 Optional temperature and pulse oximetry displays cccsccccseceeeeeeeeeeeaeeeeseeeeseeeeseeeeaeees 8 icons and E t T PEE oor s usse E mE LI I ET MM M 9 AN ditory GUes esee oer esae eure auae T UE e PAR ERERREUA EUER EUR CER RE SUELE CREE E E ates 9 Visual Cues Battery ICOM eesseesseeeeeeee nennen nennen nenn
29. aring any constricting clothing on the selected arm e Has no injury or tissue damage on the selected arm e Keeps the cuffed arm at heart level e Keeps the cuffed arm motion free and relaxed without any muscle tension in the biceps and triceps during the measurement e Does not cross his her legs for the measurement Keep aware of current practices as recommended by the American Heart Association British Hypertension Society and other medical practice associations LM d 1 Ready the patient into a sitting W standing ll or supine position Remember that a patient s BP can vary with position The stress of being in a clinical situation often causes patients to undergo white coat hypertension leading to higher than normal readings Help your patient to relax as you prepare to take the measurement 20 Selecting the Right Cuff Your device comes with durable two piece All Purpose Cuffs APC from SunTech Medical Inc Cuffs are available in a range of sizes from Childto Thigh Note that your SunTech 247 works optimally with APC cuffs Using the table below select a cuff you estimate to be of the right circumference SER Child 12 19 cm SEN Child Long 12 19 cm SEN Small Adult 17 25 cm SEEN SmallAdult Long 17 25cm SEND Adui 23 33 cm SER Adult Long 23 33 cm GEN Large Adult 31 40 cm GENE Large AdultLong 31 40 cm GENER Thigh 38 50 cm 2 Wrap the cuff around the patient s upper arm midway between the el
30. aturation with a Earlobe Sensor 1 Rub the earlobe vigorously for five seconds to stimulate blood flow Insert paddles into the ear clip so that pegs on back of sensor paddles have slid completely to the top of each clip arm Place ear clip with sensor onto earlobe so that the detector side identified by raised dot on back of paddle is behind the earlobe Press sensor paddles into measurement site once to ensure firm sensor placement The SpO determination will begin Once the SpO determination begins a traveling dash IZI will be displayed until a measurement is determined usually in 10 seconds This reading will be updated once per second SpO2 can be measured without interruption for up to 10 minutes Along with the functional oxygen saturation value the signal strength will also display 2 Note the patient s reading and remove the clip gently When you remove the sensors from the patient s ear the display will flash the last measurement for 8 seconds The measurement will then be displayed for 2 minutes or until another measurement is made Note the patient s reading and confirm normal venous return After 10 minutes of continuous measurement the measurement is automatically terminated and status code 01 is displayed To view the last measurement prior to automatic termination press and hold the automatic button for more than two seconds see page 32 for details 31 MANAGING READINGS Recallin
31. bow and the shoulder 3 Ensure the ARTERY arrow is over the brachial artery between the biceps and triceps muscles on the inside of the arm 4 Use the range indicator MeRange and the INDEX line on the inside of the cuff to check that the arm circumference falls within the specified range of the cuff If the arm is within range this cuff size is correct for your patient If the measurement is outside the RANGE indicator use the appropriate larger or smaller cuff and re check Using a cuff that is too small commonly called undercuffing can result in overestimating a patient s BP Using a cuff that is too large or overcuffing can result in underestimating a patient s BP For most accurate results take care in selecting the appropriate size cuff for your patient 5 Ensure that the BP pressure hose is connected to the cuff Confirm that the hose is neither compressed nor kinked 6 Ask the patient to stay still and quiet before taking the measurement A Do not place the cuff on an arm currently being used for other procedures such as intravenous infusions or oximetry readings 21 Taking a Measurement The SunTech 247 allows you to take BP measurements automatically like a monitor or manually like a sphygmomanometer In automatic mode the cuff inflates and deflates automatically Initial inflation reaches a cuff pressure of 160 mmHg the cuff then re inflates as necessary to obtain a reading Deflation is optimized to reduc
32. d See page 42 for details Icons and Cues Your SunTech 247is designed to provide unambiguous visual and auditory cues before during and after a measurement For easy reference all cues are tabulated in this chapter e Audible cues or beeps identify stages in the measurement cycle e Icons illuminated within a module s display indicate measurement modes processes or warnings Auditory Cues The temperature and BP modules of the SunTech 247are programmed with auditory cues A listing of these cues appears below NUMBER OF BEEPS INDICATES The device is powered up and ready use or the device is about to turn off One short beep after power up or right before powering down One short beep after Success measurement taking a measurement taken BP measurement error Three short beeps Please check or take another measurement A system error has occurred Three long beeps Please refer to page 41 for troubleshooting One short beep followed You have aborted this BP by a long beep measurement Visual Cues Battery Icon If your SunTech 247 does not have a battery all segments of the battery icon are lit when the power supply is connected If your device has a battery then the icon indicates the status of the power supply as follows ICON DISPLAY INDICATES E Battery is charging segments animated OLl3 we As the charge level drops the segments will be turned off in sequence from the right t
33. e SunTech 247 kit contains your AC powered device Your kit will also contain e An8 foot blood pressure hose e Adult and large adult size all purpose cuffs e A wall mounting kit e A power supply e A geography specific power cord e ACD with this manual e A quick start guide e A warranty card The SunTech 247 Battery Kit The SunTech 247 Battery kit consists of a rechargeable battery powered device The remainder of its contents matches the SunTech 247kit Accessory Modules Accessory modules that you can purchase from your distributor or unTech to enhance usability of your SunTech 247 include e Atemperature module that includes the oral axillary probe and one box of disposable probe covers e A pulse oximetry module with an adult reusable finger sensor and 6 foot sensor extension cable Other Accessories Many other accessories and sources for purchasing them are listed in the Appendix on page 59 A few to note include e An APC Adult package contains one each of the following cuff sizes Small Adult Adult Adult Long and Large Adult e An APC Pediatric cuff package contains one each of the following cuff sizes Child Child Long Small Adult Small Adult Long A Bird s Eye View BP module sys _ 1 ILLI Automatic BIA l button r1 l1 Power button j LILI asc recessed Manua mmHg button e MAP wi E l Power LiL J H _ Eee mmHg pressure h
34. e device like Tango for treadmill stress or Cycle for ergometer stress both monitors from SunTech Medical Should I wait between temperature measurements Yes Accurate temperature measurement requires the probe to be at normal room temperature After taking a measurement wait for the probe to return to room temperature or wipe the probe with an alcohol wipe before taking a subsequent measurement Do I need to calibrate the temperature or pulse oximetry modules For calibration or service on the SunTech 247temperature and pulse oximeter modules contact an authorized service center on page 46 How accurately does the Sun Tech 247temperature module measure temperature The SunTech 247temperature module is accurate to 0 2 F 0 1 C 45 What is the accuracy of the SunTech 247 pulse oximetry module The SunTech 247 pulse oximetry module is 2 in the 70 to 100 range for no motion and normal perfusion For motion or low perfusion the accuracy is 3 When does the warranty period begin The warranty for your SunTech 247 begins on the date of shipment of your device How do I make a warranty claim for the SunTech 247 Simply contact an authorized service center on page 46 Web Resources www SunTechMed com Service Centers For customers in the Americas SunTech Medical Inc Service Department 507 Airport Boulevard Suite 117 Morrisville NC 27560 USA Tel 919 654 2300 Fax 919 654 2301 For
35. e measurement time and obtain an accurate result In manual mode you inflate the cuff manually using the MAN button in place of an inflation bulb of a sphygmomanometer When you release the MAN button the cuff automatically deflates at the AHA recommended rate of 3mmHg sec Simply use your stethoscope to determine your patient s blood pressure Taking an Automated Measurement 1 With the patient prepped as described earlier page 20 and the device powered on depress the automatic button that is located in front of the BP module and denoted by the cuffed arm icon The cuff inflates to approximately 160 mmHg as indicated in the systolic area of the display 2 Once the cuff pressure reaches its target the device controls the deflation and in some instances re inflation of the cuff in order to accurately measure BP The cuff pressure displays in the systolic area and is also indicated by the vertical LED bar to the left When you hear a single short beep indicating the end of the measurement cycle read the systolic and diastolic pressures displayed under the SYS and DIA symbols and the heart rate displayed under the 9 min symbol By default your SunTech 247 measures systolic and diastolic BP and HR To obtain a Mean Arterial Pressure MAP reading hold down the manual ann button as you toggle power to on On power up the MAP icon lights j up on the LED display Now once measurements are complete the display Wanta
36. e system errors Do not use the device if it has failed its diagnostic self test or if it displays a greater than zero pressure with no cuff attached or a value of functional oxygen saturation or temperature with no sensor attached vi Prevent water or other fluids from entering any connectors or vents on the device Should this happen all connectors should be dried with warm air Then check the calibration of the device and operating functions before reusing Do not make repairs yourself Equipment must be returned to SunTech or authorized service personnel for repairs Substitution of a component different from that supplied may result in measurement error If the SunTech 247is dropped or mishandled please have it checked by a authorized service center before bringing it back into use The SunTech 247 is not intended for patients connected to a cardiopulmonary bypass machine At least every three months inspect probes cords and accessories for fraying or other mechanical damage Replace as necessary Check the calibration of your SunTech 247 at least once a year vil TABLE OF CONTENTS Changes and Reissues cceeeeeeeeee eee ee ee cee teens cea ae eee eaaa ee ecaaa eee saaaeeeesaaaeeeseaaaeeesaaaeeeeaaaaees iii Copyright Information c eee eei eNaieunieI Uii iii KEYS AND ACRONYMS T IV PCT OMY MS A oo Be BS a A ash aes Sata ani en Se che s
37. ecessary such as re orienting or relocating the SunTech 247 device gt Over the frequency range 150 kHz to 80 MHz field strengths should be less than 3 V m 55 Recommended separation distances between portable and mobile RF communications equipment and the SunTech 247 device The SunTech 247 device is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the SunTech 247 device can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the SunTech 247 device as recommended below according to the maximum output power of the communications equipment Rated maximum Separation distance according to frequency of transmitter output power of m transmitter 150 kHz to 80 MHz 80 MHzto 800 MHz 800MHz to 2 5GHz W d 3 5 Vi VP d 3 5 Vi VP d 7 E VP 0 01 0 12 0 12 0 23 0 10 0 38 0 38 0 73 1 1 2 1 2 2 3 10 3 8 3 8 7 3 100 12 12 23 For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters 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
38. ecure the battery bay door with the four screws removed in step 1 7 Connect the power supply to turn the device on and charge the replacement battery fully before using A If the rechargeable battery is disconnected for any reason the device must ES be connected to AC mains power via the power supply before the unit will wv turn on this is required even if the battery has been properly reconnected Disposal This symbol indicates the device contains materials such as electrical components which are hazardous Please return to SunTech Medical for disposal 35 Attaching the Temperature Module Should you need to attach or remove the temperature module the following instructions give an overview of its attachment to the BP module The temperature module attaches to the top of the BP module It is made up of the following two pieces e Part A with the display e Part B the probe holder which holds the temperature probe and probe cover box 1 Using the power button on the right side of the BP module ensure that the SunTech 247 is off M 13 h 2 Remove the cover plate from the top of the BP module pn Sitech 3 Slide part A of the temperature module along the guides on the pim top of the BP module from front to back until it snaps into abis place All the segments of the temperature module display will light when the modules have been connected correctly 36
39. eeesaaaeeeeaaaeeeeeaaes 34 Replacing the Rechargeable Battery ssesesssssssssssesseseeseneeennn nnne hne nnne 35 Attaching the Temperature Module ssessssseseseeeeeeenenenn ener hene nnne nnn nnns 36 Attaching the Pulse Oximetry Module ssssssssssssseseseerenrn eene nhe nensis 38 Storage Shutdown Transport eese enne ntn nnn nnne nntn nennen 39 cb AP mE 39 Moving Your Device 5 2 xerox ro Denn kx hentia e FR Roa Rex y RR RAP RR TERRIER NEAN SEEREN 39 TROUBLESHOOTING oropani daea aaae ra aaea aaa aaae ae ae aea aaia aaraa 40 PAROS E E E 44 borse D 46 Service CENTES ee AA aw aa O Ne See eRe Ne A eee ee ee Bee Ne 46 For customers in the Americas hne nnn nnne nennen nnns 46 For customers in Europe the Middle East and Africa cccccccceccseeceeeceeeeeeeeeeseeeeeeeaees 46 For customers in Asia and the Pacific cccccescesssseeeeeeeeeeeeaaaaeeeeeeeeeeeeaaaaaeeeeeesaeeaaaaaees 47 SPECIAL SITUATIONS iiic etin deu ix qe ERE RE ar ue o Ra e a oae Een eux MUb ee ee uob eco odes sede 48 MuseuribsiiairhureTPCCC de 48 Measuring Blood Pressure in Children sssesssesesesseeeesenneeennneennn nnne nnne 48 Measuring Blood Pressure in Obese Patients eesssssssssessseeeeeneeenen nennen 48 Measuring Blood Pressure in the Presence of Arrhythmia
40. ement 2 Ifthis is unsuccessful power down then power up the unit using the power button on the right side of the unit If the error does not recur immediately take another measurement 3 Ifthe error recurs remove power from the unit unplug any power supplies and remove the battery if there is one then reconnect the power Ifthe error does not recur immediately take another measurement 4 Ifthe error recurs contact SunTech Medical Inc or an authorized service center Troubleshooting Temperature Module A AN Status Code 5 Problem Temperature probe missing or outside of well Solution Place the probe in the well The error should no longer be displayed Take a new measurement Status Code 10 Problem Defective temperature probe Solution Replace the probe Turn the device off After it has shut down turn it on The error should no longer be displayed Take a new measurement Status Code 15 Problem Stuck button Solution Depress the Temperature units select button and or the Temperature mode select button until the button becomes unstuck When the button is unstuck the error will no longer be displayed If you cannot un stick the button contact SunTech or an authorized service center 41 Status Code 20 Problem Hardware error Solutions 1 Take another measurement 2 Ifthis is unsuccessful power down then power up the unit using the power button on the right side of the unit If the error do
41. er s declaration electromagnetic immunity The SunTech 247is intended for use in the electromagnetic environment specified below The customer or the user of the SunTech 247 should assure that it is used in such an environment Immunity test IEC 60601 test Compliance level Electromagnetic environment level guidance Electrostatic 6 kV contact 6 kV contact Floors should be wood concrete discharge 8 kV air 8 kV air or ceramic tile If floors are ESD IEC covered with synthetic material 61000 4 2 the relative humidity should be at least 30 Electrical fast 2 kV for power 2 kV for power Mains power quality should be transient burst supply supply that of a typical commercial or IEC 61000 4 4 1 kV for 1 kV for hospital environment input output lines input output lines Surge IEC 1 kV differential 1 kV differential Mains power quality should be 61000 4 5 mode mode that of a typical commercial or 2 kV common 2 kV common hospital environment mode mode Voltage dips 596 Ur gt 95 dip 596 Ur gt 95 dip Mains power quality should be short in Ur for 0 5 cycle in Ur for 0 5 cycle that of a typical commercial or interruptions hospital environment If the user and voltage variations on power supply input lines 40 Ur 60 dip in Ur for 5 cycles 70 Ur 30 dip 40 Ur 60 dip in Ur for 5 cycles 70 Ur 30 dip of the SunTech 247 requires continued op
42. er and slide a fresh disposable probe cover over it A five second countdown will be initiated which indicates the probe pre heating process At the end of the countdown you will hear a short beep and Or L will be displayed for 2 seconds 2 Place the probe under the patient s tongue The temperature will be measured using the predictive method You will see a traveling dash Cl In approximately 5 20 seconds you will hear a long beep and the temperature reading will display Heat pockets 3 Remove the probe from the patient s mouth discard the probe cover by pressing the button on the end of the probe handle and replace the probe in its holder ready for the next measurement Measuring Oxygen Saturation 1 For the reusable finger sensor insert the patient s digit index most preferable into the sensor You will see a traveling dash until a valid reading is available typically in 10 20 seconds This reading is displayed along with the signal strength f When selecting a sensor site give priority to an extremity free of an arterial catheter blood pressure cuff or intravascular infusion 2 Detach the sensor carefully and replace it in the basket At the end of the measurement the last valid reading will flash for 8 seconds and then be displayed for two minutes or until the next measurement 15 SETTING UP THE SUNTECH 247 Safety Precautions As a clinically trained professional usi
43. eration during power mains interruptions it is recommended that the SunTech IEC 61000 4 in Ur for 25 in Ur for 25 cycles 247be powered from an 11 cycles uninterruptible power supply or a battery 596 Ur gt 95 dip 596 Ur gt 95 dip in Ur for 5 sec in Ur for 5 sec Power Power frequency magnetic fields frequency should be at levels characteristic 50 60 Hz 3 A m 3 A m of a typical commercial or magnetic field IEC 61000 4 8 hospital environment NOTE Ur is the AC mains voltage prior to application of the test level In the event of a power loss to the device all user settings are saved The device will power up with the same settings as prior to the power loss The device does not store patient data 54 Guidance and manufacturer s declaration electromagnetic immunity The SunTech 247 device is intended for use in the electromagnetic environment specified below The customer or the user of the SunTech 247 device should assure that it is used in such an environment Immunity test IEC 60601 Compliance Electromagnetic environment guidance test level level Portable and mobile RF communications equipment should be used no closer to any part of the SunTech 247 including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Conducted RF 3 Vrms Recommended separation distance IEC 61000 4 6
44. es not recur immediately take another measurement 3 Ifthe error recurs remove power from the unit unplug any power supplies and remove the battery if there is one then reconnect the power Ifthe error does not recur immediately take another measurement 4 Ifthe error recurs contact SunTech or an authorized service center Troubleshooting Pulse Oximetry Module Status Code 01 Problem Measurement time out The measurement time exceeded the 10 minute time limit Solution Remove the sensor from the patient Redisplay the last measurement prior to the timeout or take a new measurement by placing the sensor on the patient Status Code 02 Problem Poor sensor position signal is inadequate for a reliable measurement Solution Adjust position of sensor on patient by placing sensor on opposite hand or ear or alternate site Avoid fingers with nail polish or artificial nails Status Code 05 Problem The sensor has been disconnected from the device Solution Reconnect the sensor If you wish you may leave the sensor disconnected as this code is only displayed once at the time the sensor is disconnected Status Code 10 Problem Defective sensor Solution Replace the sensor and take a new measurement 42 Status Code 20 Problem Hardware error Solutions 1 Take another measurement 2 Ifthis is unsuccessful power down then power up the unit using the power button on the right side of the unit If the erro
45. fifth phase is the point at which sounds cease to be heard altogether Systolic pressure is registered at K 1 and diastolic at K 5 K 4 or K 5 There exists some debate about whether K 4 or K 5 should be recorded as the diastolic BP In most cases K 5 is preferred However if the sound persists even after the cuff is completely deflated it is recommended that K 4 be recorded as the diastolic blood pressure You can find more tips like this in the British Hypertension Society s current guidelines for management of hypertension B Williams NR Poulter MJ Brown M Davis GT McInnes JF Potter PS Sever S McG Thom British Hypertension Society Guidelines Guidelines for management of hypertension report of the fourth working party of the British Hypertension Society 2004 BHS IV Journal of Human Hypertension 2004 18 139 185 24 MEASURING TEMPERATURE WITH THE SUNTECH 247 Your SunTech 247 device can measure temperature with the optional temperature module This module enables you to take rapid accurate temperature measurements ranging from 86 F 109 4 F Typically predictive readings are obtained within ten to fifteen seconds and direct readings within two minutes The module is equipped with the temperature probe for oral axillary measurement color coded blue A rectal probe that is color coded red is optionally available Temperature Units of Measurement The device displays the temperature measurement in e Celsius e
46. g the Last Set of Readings To redisplay the last set of readings depress the automatic button on the BP module for more than two seconds until the last reading is displayed If your Sun Tech 247 has temperature and or pulse oximetry modules the last set of readings includes these readings as well If the last attempted reading resulted in an error and or warning then this will be displayed The device will display dashes if no reading is in memory a reading was aborted or the previous BP was a manual measurement For the pulse oximetry module In the event of the 10 minute measurement timeout the module will terminate the measurement and status code 01 will display on the main module The last valid reading recorded at the end of the ten minute period will be the recalled reading Clearing the Last Set of Readings To clear the values from the last automatic BP measurement and the accessories press and hold the automatic button more than 5 seconds Previous values will be displayed momentarily Then the display blanks On redisplay you will see dashes for all the values that have been cleared Your SunTech 247 displays the most recent set of readings for two minutes If patient privacy is a concern you can clear these readings from the display before collecting vital signs from another patient 32 MAINTAINING THE SUNTECH 247 Routine Maintenance Establishing simple care guidelines helps protect the performance and life
47. he BP module toggle on the power button on the right side of the main enclosure The CAL message is displayed in the pulse rate display to indicate that the system is in the calibration mode During this mode the system pressure displays in the systolic BP display area 2 Using a T connector connect a calibrated pressure reference and control such as a manometer and inflation bulb to the pressure hose connector of the SunTech 247 See page 59 for details on ordering the calibration kit which includes a T connector 3 Compare the pressure reference to the SunTech 247throughout the pressure range 0 to 270mmHg If the difference between the pressure reference and the SunTech 247 is no larger than 2mmHg the SunTech 247is calibrated correctly for operation If the SunTech 247needs calibrating contact an authorized service center on page 46 4 Exit the calibration check by pressing the automatic button again Once the display shows dashes as the systolic BP you are now ready to take a measurement It is recommended that you check the temperature calibration of your unTech 247 temperature module annually A FasTemp Calibration Plug see page 59 for details is available to check accuracy of the Filac FasTemp technology It replaces the regular probe and verifies the accuracy of the temperature electronics Replace the temperature module if error is greater than 0 1 C To check the calibration 1 Remove the Temperature Well from the
48. it Disposable sensors can provide a more secure connection to the patient Protecting Your Pulse Oximetry Sensors In addition to the safety instructions for your SunTech 247 here are some additional tips on caring for the sensors of the optional pulse oximetry module e To prevent damage do not autoclave or immerse the sensor in liquid e For peak performance and accurate measurements do not expose the sensors to excessive ambient light electromagnetic interference dysfunctional hemoglobin low perfusion intravascular dyes finger nail polish and long or artificial finger nails 29 e Do not use a damaged sensor as it may cause patient injury or equipment failure e The use of this sensor is contraindicated in patients with allergies to adhesive tape Guidelines for Use e When selecting a sensor site give priority to an extremity free of an arterial catheter blood pressure cuff or intravascular infusion line e Clean reusable sensors after use e Ensure that the optical components of the sensor are properly affixed to the patient and aligned e Artificial nails or dark shades of nail polish may reduce light transmissions and affect pulse oximetry accuracy Clean off nail polish or detach artificial nails before applying the sensors e Secure sensor cable firmly but lightly at the base of the finger e Inspect the sensor application site at least every 6 to 8 hours to ensure correct sensor alignment
49. l rights reserved ii Acronyms KEYS AND ACRONYMS Acronyms commonly used in this document include K sound A SunTech proprietary acronym for All Purpose Cuff Blood pressure Heart rate Korotkoff sound Mean arterial pressure Non invasive blood pressure Document Key This manual uses the following icons to call attention to specific instructions or guidance TIP A step or process that eases or enhances your use of your SunTech 247 device NOTE Indicates something you must do to use your device correctly and effectively CAUTION Warns you that not following these instructions can cause injury harm or serious damage iv Indications for Use The SunTech 247 NIBP Temperature and Pulse Oximeter device is indicated for use in measuring and displaying Systolic and Diastolic blood pressures heart rate temperature and functional oxygen saturation SpO2 of adult and pediatric patients in hospitals medical facilities clinics physicians offices and other subacute environments User Responsibility Your SunTech 247product is designed to perform in conformity with the description contained in this operation manual and accompanying labels and inserts when assembled operated maintained and repaired in accordance with the instructions provided It is your responsibility to e Check calibration of the device annually e Never knowingly use a defective device e Immediately replace parts that are broken
50. less than 95 during transshipment 39 TROUBLESHOOTING The troubleshooting chart provides pointers on diagnosing issues associated with error or status codes Troubleshooting Blood Pressure Module Problem Wrong size cuff Misplaced cuff or Blocked brachial artery Solutions 1 oO wu PF WN Check that the cuff is in the correct position Check that the cuff is properly tightened Check that there is no excessive clothing between the arm and the cuff Check that the cuff applied is of the correct size The patient may have been moving too much Take another BP reading Problem Too much patient or environment motion or conditions causing tremors Solutions 1 2 3 Check that the cuff is in the correct position The patient may have been moving too much Take another BP reading AO Problem Air leak Loose cuff or Blocked or pinched hose ON ON DUI ES GN Solutions Check that the hose has no sharp bends or is pinched Check that the patient is not lying on the cuff Check that the cuff is in the correct position Check that the hose is connected to the system and the cuff Check that the cuff is properly tightened Check that the correct size cuff is being applied Check that the cuff is not leaking air Check that the hose connections are not damaged or loose Take another BP reading 40 Status Codes 900 910 970 980 or 990 Problem System error Solutions 1 Take another measur
51. ll segments will be lit OBA fully charged battery provides enough power for the device to make at least 200 measurements within a 12 hour period Selecting Temperature Unit of Measurement With the device powered on select the unit of measurement for temperature by depressing the recessed button on the side of the temperature module to toggle between the C and F icons The selected icon will be lit in the display and becomes your default selection Powering Up 1 Depress the power button located on the right side of the main enclosure The power up sequence begins All display segments light up for three seconds A short beep indicates that the SunTech 247 is ready 2 Check the status of the power level indicator If the power level indicator shows one segment flashing connect the device to the power supply before using You are now ready to use your SunTech 247 19 MEASURING BLOOD PRESSURE WITH THE SUNTECH 247 Your SunTech 247 device is designed to take accurate blood pressure readings by the oscillometric method Systolic pressures from 60 to 270 mmHg and diastolic pressures from 30 to 170 mm Hg lie within the range of your device In most cases you will be able to take accurate blood pressure BP and heart rate HR measurements within 40 seconds Steps in taking a BP measurement are e Prepping the patient and attaching the cuff e Taking the measurement Prepping Your Patient Ensure that the patient e Is not we
52. mode Traveling dash in temperature display Warning There is an error in the measurement or module Please check the status code in the troubleshooting section on page 41 for details and solutions 11 ICON DISPLAY INDICATES The device is set to measure an oral temperature The device is set to measure an axillary temperature The device is set to measure a rectal temperature The unit is taking a measurement in direct Temperature value flashes slowly measurement mode The unit is taking a measurement in direct Temperature value flashes rapidly measurement mode but the reading is currently out of range Temperature value flashes in an upward Final measurement is greater than direction 109 4 F 43 0 C Temperature value flashes in a downward Final measurement is less than 86 F 30 0 C direction Temperature value is steady no flashing This is the final temperature value Visual Cues Pulse Oximetry Module ICON DISPLAY INDICATES J The unit is taking a measurement EP Traveling dash in SpO display Warning Indicates an error in the optional pulse oximetry module Please refer to the troubleshooting section on page 42 12 ICON DISPLAY INDICATES Indicates signal strength and quality from the pulse oximeter sensor If there is no measurement and the signal quality is low try a different site or sensor Indicates the functional oxygen saturation SpO value This
53. n Ensure the battery is fully charged before use See page 35 for detailed instructions Why won t my SunTech 247 Battery turn on Ensure that the rechargeable battery is properly connected refer to the instructions on page 35 Make sure to connect the device to AC mains power via the power supply before using the device How often should I calibrate the BP Module for the Sun Tech 247 You should check the calibration once a year If there is a difference larger than 2 mmHg against the pressure reference then contact an authorized service center on page 46 How accurate is the Sun Tech 247 blood pressure device The SunTech 247 designed for accuracy has been manufactured to comply with AAMI SP10 44 protocol What method of blood pressure measurement is used in the SunTech 247 The SunTech 247takes automated BP measurements using the oscillometric method It supplements this with the ability to take measurements as you would if you were using a mechanical sphygmomanometer Can I upgrade my current version of SunTech 247at a later date To upgrade your Sun Tech 247 device please review the list of accessories on page 59 or on our website Contact your local distributor for details Could I use the Sun Tech 247to measure blood pressure during a stress test Although your SunTech 247 is a robust device that has been manufactured with motion tolerance it is not intended for use during stress testing Please use an alternat
54. ng the Sun Tech 247 your responsibilities include safeguarding your patients yourself and your equipment Many setup functions will be performed either only once or very occasionally and it is important that you pay close attention Before you set up your SunTech 247 please review these safety guidelines Protecting Your Patient While your SunTech 247 is designed for accurate reliable vital signs measurement for adults and children it is not to be used on patients connected to cardiopulmonary bypass machines patients needing continuous monitoring or patients under three years of age If you feel that a particular blood pressure reading is questionable use the SunTech 247 and your stethoscope to take a second manual reading If you would like confirmation for an SpO or temperature reading please use an alternate device After taking confirmatory readings check the device for proper functioning Arrange the power supply and cabling so that it does not constitute a hazard to your patient your co workers or yourself Protecting Yourself Removing the cover or the back of the device can cause electric shocks Do not attempt to service your SunTech 247unless you are authorized Protecting Your SunTech 247 Do not use your SumTech 247around flammable substances Use only SunTech approved accessories to power your SunTech 247 A listing of these is in the Appendix on page 59 Use only those batteries supplied by SunTech or an
55. nnn 25 Taking am Oral Tem peratiire f de 26 Taking an Axillary Temperature cssssssssssssssessessessessessessessessessessessessessessesseseeseeseees 26 Taking a Rectal Temperature cssssssssscsscssessessessessessessesseseessessessesesessessesesesssesoeses 27 MEASURING OXYGEN SATURATION WITH THE SUNTECH 247 eee 29 Prepping the Patient cis a6 ae ets ated och AS ated icai pn ibe hes T ES eM 29 Selecting the Right Sensor eec dee es vs am arasa ana ariaa aa Tana ai Sani Tiia miSa 29 Protecting Your Pulse Oximetry Sensors sssssssssssesesseeeesee nenne nnns nnne rne nn 29 eI aro 30 ix Measuring Oxygen Saturation with Sensor on Finger eere 30 Measuring Oxygen Saturation with a Earlobe Sensor eee 31 MANAGING READINGS eer toes po reete totae cea oie Ponce eee ana ales nce Se ncaa 32 Recalling the Last Set of Readinigs 0 s ssessvesssessbeostercsensbeossonebessbeosbonebnennesdiachueaas 32 Clearing the Last Set of ReadingS ssssssssssssssessssessessessessessessessessessessessessssessesseeses 32 MAINTAINING THE SUNTECH 247 eerte trennen trees 33 ROUTING Maintenance wuss 2c cceccceceseccee cen eeeteeecseseccescntenencseceteuencuecaueneueeeeateeetVessatenetenseaes 33 GS ANI et c C pE E 33 Checking the Calibration of Your DeViCe ccceceeeeeeeeee eee eeeeecaeeeeeeaaee
56. o the left The battery charge is very low Recharge before using segment flashing Visual Cues Blood Pressure Module Icons and numeric displays on your device assist you in taking quick and accurate readings The systolic BP read in mmHg displays immediately below this symbol The diastolic BP read in mmHg displays immediately below this symbol Unit of measurement for SYS DIA and MAP Heart rate in beats per minute displays immediately below this symbol 10 ICON DISPLAY INDICATES If this icon is lit on power up MAP mode is enabled After a measurement this icon is lit when MAP is displayed in the space below These letters are displayed in the heart rate display area when you are checking the device s calibration Indicates an issue associated with the cuff its position or connection Please check the cuff and hose and try again Additionally check page 40 for troubleshooting details Warning The device is unable to take a valid reading See page 40 for troubleshooting details A measurement is in progress If the column is rising the cuff is being inflated if the column is falling the cuff is deflating Each segment lit is approximately equivalent to 10 mmHg Visual Cues Temperature Module ICON DISPLAY INDICATES a ee Temperature shown in degrees Fahrenheit Temperature shown in degrees Celsius J The unit is taking a measurement in predictive measurement
57. or Electro Mechanical BP Measuring Systems EN 1060 1 EN 1060 3 Classification Protection against electric shock Class II for non battery version Internally Powered Equipment for battery version Applied parts Type BF Mode of operation Continuous Compliance Safety Requirements Clinical grade BP measurement accuracy defined by fully meeting the requirements of e AAMI SP 10 2002 e EN 1060 4 EMC Statement This equipment has been tested and found to comply with the limits for medical devices to IEC60601 1 2 2001 These limits are designed to provide reasonable protection against harmful interference in a typical medical 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 other devices in the vicinity This equipment should not be used adjacent to or stacked with other equipment If this is necessary the equipment should be observed to verify normal operation in the configuration in which it will be used However even if used properly there is no guarantee that interference will not occur in a particular installation If this equipment does cause harmful interference to other devices 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 e Reorient or relocate the receiving device 51
58. ose connector ee SS rec AG raum connector Connectors on the main BP module e Power Connector Connects to the power supply e Blood Pressure Hose Connector Connects to the 8 foot pressure hose Buttons The buttons are used for all actions on the interface and provide tactile feedback when pressed Buttons on the main BP module Button Functionality for the BP Module Button Device Status Action Result Select for less than 2 Start an automatic BP seconds measurement Idle Select for 2 to 5 Redisplay last measurement values seconds for all modules Select for more than 5 Clear last measurement values for seconds all modules Taking an Select Aborts the BP measurement in automatic or progress Automatic manual BP In Calibration Select Device exits Calibration Check Check mode mode and is ready to take measurements Idle Select Inflates the cuff as long as the button is selected Taking a Select Re inflates the cuff as long as the Qo manual BP button is selected Taking an Select Aborts the BP measurement in Manual automatic BP progress In Calibration Select Device exits Calibration Check Check mode mode and is ready to take measurements 5 Power off Select Turns on the device Power Power on Select Turns off the device Automatic Power off Hold the Automatic Device enters the Calibration Power button down while Check mode selecting the Power but
59. r does not recur immediately take another measurement 3 Ifthe error recurs remove power from the unit unplug any power supplies and remove the battery if there is one then reconnect the power Ifthe error does not recur immediately take another measurement 4 Ifthe error recurs contact SunTech Medical Inc or an authorized service center Problem Inadequate signal strength Solution If there is no measurement and the signal quality is low try a different site or sensor Avoid fingers with nail polish or artificial nails If there is no improvement in signal quality then discontinue use 43 FAQs Can I obtain replacement copies of the SunTech 247 CD and manual Copies of the Sun Tech 247 manual are available through the Customer Service area of our website To download the manual please visit http www SunTechMed com and navigate to Customer Service For a replacement CD please email Customer Service at CustomerService SunTechMed com How do I clean the SunTech 247 device The SunTech 247requires only minimal cleaning Wipe it down occasionally with a soft damp cloth Never immerse the device or apply cleaning fluid or solvents How do I install the rechargeable battery in the SunTech 247 Remove the battery bay cover and position the rechargeable battery within ensuring proper alignment of polarities Replace the cover securely and connect the device to AC mains power via the power supply to turn the device o
60. rd the probe cover by pressing the end of the probe handle and return the probe to the probe holder Note the temperature reading Taking an Axillary Temperature 1 Remove the blue probe from its holder and secure a disposable cover on it A five second countdown indicates the probe pre heating process At the end of the countdown you will hear a short beep and will be displayed for 2 seconds 26 2 Briefly less than 2 seconds press the temperature mode select button until it displays OLS for axillary 3 By default the predictive method is selected This is indicated by a traveling dash IZI To select direct measurement press for three seconds or until you hear two short quick beeps the temperature mode select 4 button located on the left side of the temperature module The display will slowly flash the temperature values on 1 m and off In the direct method the temperature value will be updated once per second 4 Lift the patient s upper arm and place the probe high under the patient s axilla Apply pressure gently to assure good contact between the probe and axilla and make sure there is no interference such as clothing Hold the probe in place so that its tip maintains tissue contact 5 Place the arm by the patient s side The temperature measurement cycle begins 6 Along beep signals the end of the measurement cycle The temperature will display for two minutes or until you initiate a new measu
61. rement 7 Remove the probe discard the probe cover and place back in the probe holder Note the temperature reading Taking a Rectal Temperature 1 Remove the blue probe and well by sliding the pieces upward until they detach from the module 2 Place the red probe in the holder of the red well and the probe connector in the notched space as shown to the right see page 37 for detailed instructions Slide the red well vertically onto the back of the module thus replacing the blue well Notched space Probe connector 27 3 Assist patient into a prone facedown position and ensure that the patient is relaxed 4 Remove the red probe from its holder and secure a disposable cover on it A five second countdown indicates the probe pre heating process At the end of the countdown you will hear a short beep and c will be displayed for 2 seconds 5 By default the predictive method is selected This is indicated by a traveling dash p 6 To select direct measurement hold down for three seconds or until you hear two short quick beeps the temperature mode select button located on the left side of the temperature module The display will slowly flash the temperature values on and off 7 Separate the patient s buttocks and apply a thin coat of water based lubricant for smooth entry of the probe Insert the probe gently 1 cm inside the sphincter Tilt the probe to keep it in place and hold it in position to ensure tissue
62. s in the storage i The weight of the contents of the wall mounted storage basket should basket Affixing the Device to a Mobile Stand Attaching the SunTech 247to a mobile stand facilitates portability To mount the SunTech 247to the mobile stand l Assemble the mobile stand according to the manufacturer s directions 2 Using the three thumb screws secure the rear panel of the BP device to the stand Placing the Device on a Tabletop Use the SunTech 247 with the tabletop stand to make it easier to carry with you To mount the SunTech 247to the tabletop stand 1 Using the three thumb screws secure the rear panel of the BP device to the stand 17 First Time Setup Connecting Your Device To maintain the easy readability and streamlined facade of your SunTech 247 all connections are made through the back or sides of the enclosure Connectors on the BP enclosure are for e Blood pressure hose e Power supply Connectors on the optional modules are for e A pulse oximetry sensor on the pulse oximetry module e A temperature probe on the temperature module To connect the SunTech 247 1 For blood pressure measurements the blood pressure hose should already be attached to the BP device If not push the open end of the blood pressure hose one without the plastic connector over the blood pressure hose connector on the module Secure the end with the plastic connector to an appropriately sized cuff by twisting
63. standard cuff may lead to blood pressure being erroneously elevated a condition known as cuff hypertension Selecting an Appropriate Cuff for Obese Patients e For larger than normal upper arms use a wider and longer cuff than you would otherwise use e Prominent biceps in a muscular upper arm require a large cuff Measuring Blood Pressure in the Presence of Arrhythmia Irregular cardiac rhythms can result in a large variation in blood pressure from beat to beat If you are using the SunTech 247on a patient with known arrhythmia we recommend that you follow up with a manual BP reading as a confirmatory measure In patients with severe regular bradycardia take manual rather than automatic readings Measuring Blood Pressure During Pregnancy Hypertension is a common medical disorder of pregnancy occurring in about ten percent of pregnancies Detection of elevated blood pressure is essential to optimal prenatal care 48 For clinically relevant hypertension in pregnancy use the SunTech 247 to take a manual measurement Measuring Blood Pressure in the Elderly In the elderly the combination of hypertension and ageing can manifest as a decrease in arterial compliance Variability in blood pressure can lead to a number of circadian blood pressure patterns that are best identified using ambulatory blood pressure measurement The clinical consequence of this blood pressure variability is inaccurate readings Measuring Blood Press
64. t nnne ri aE tesa sena sese senses ns 10 Visual Cues Blood Pressure Module sssssssseee nennen 10 Visual Cues Temperature Module ssssssessseeeeeeeee nennen nennen nennen nnne senes 11 Visual Cues Pulse Oximetry Module sess nennen nennen nennen senes 12 QUICK START GUIDE ies eeeeoce cuu oe uo e teh aep ona ee xau s ep ahai eneee EEEE E se ec E dune Ee 14 Measuring Blood Pressure and Heart Rate Automatically eee 14 Measuring Blood Pressure and Heart Rate Manually eee 14 Measuring Temperature ossee oeri oe ooreet ennenen enkei eode s oaeee eee VE UAR Mr ERR ARMAR 15 Measuring Oxygen Saturation c ici scisiessdescdesatetesssedeiaiebesonstencssedevenstedsunsetebunstennsvoonsadevs 15 SETTING UP THE SON TECH 2M ue eei ete auro peo ao tu e ee sue e Roe ERRU RN cux UR erue reps 16 viii Safety Preca tions enn oou po ILIAD DINI NA RI LII eM RM A 16 Protecting Your Patient oerte gence reperi Per reri rex S E PP Ul TAA AAA EANAN 16 Protecting Yourself aciei iiei certi rN E Nr E ku esa RR RR A ONE aE R SR IP UR AYD anani 16 Protecting Your SumTech 247 eese lesen eh a dete net acne ie ta EEEE RAM RR USER MERDA steceuseeed 16 Mounting Your Device iooeoneeae dedo Bande iasa eSa ditis uiridi RD 17 Mounting the Device on a Wall ssessssseseeeeeneee nennen nennen nnne nnne 17 Affixing the Device to a Mobile Stand
65. the two mating connectors together 2 Attach the temperature probe connector to part B as follows with the black surface facing downward hold the probe connector end against the notches on the probe holder as shown in red step 1 shown below Rotate the connector upwards until it snaps securely into place step2 shown below The black surface faces outward and the cord extends upward Side view of probe in place Front view of probe in place 18 3 Slide part B onto part A as shown and insert the temperature probe into the well 4 For SpO2 measurements attach the pulse oximetry sensor to the extension cable Connect the other end of the extension cable to the connector on the module Flip the retention clip to hold the connector in the module 5 Once the optional modules and the main module are assembled connect the power supply to the main BP module Then connect the power supply to an AC mains power source The device will turn on automatically Charging the Battery The SunTech 247 Battery is powered by a rechargeable 6V lead acid battery or by AC power To turn the device on for the first time connect the device to the power supply then the power supply to an AC mains power source Leave it connected for 8 to 12 hours to fully charge the battery The charging status is indicated by the rotating sequence of lit segments L Soin the battery icon When the battery is fully charged a
66. ton Manual Power off Hold the Manual Device enables disables MAP Power button down while mode selecting the Power button BP display sYs Systolic blood pressure Pressure column TT 3 3 Diastolic blood Lr DIA IN cdi pos us M ES Mean arterial Pulse rate icon Pulse rat Sun Tech e aul aii il Mean arterial pressure Status Warningicon Cuff hose Power level code error icon indicator Information on the BP module display Systolic blood pressure At the end of a measurement or when the last measurement is recalled the patient s systolic BP is displayed During a measurement the cuff pressure is displayed Diastolic blood pressure At the end of a measurement or when the last measurement is recalled the patient s diastolic BP is displayed Pulse rate Mean arterial pressure MAP At the end of a measurement or when the last measurement is recalled the patient s pulse rate is displayed When the MAP feature is enabled MAP toggles with pulse rate If the cuff hose error and warning icons are lit a status code may appear in this space See page 41 for details Pulse rate icon When displayed the value below is the patient s pulse rate Mean arterial pressure icon When displayed the value below is the patient s MAP Power level indicator Displays connection to AC power or for the battery version the charge level of the battery
67. ton from the cuff Circulation AHA Scientific Statement Recommendations for Blood Pressure Measurement in Humans and Experimental Animals Part 1 Blood Pressure Measurement in Humans A Statement for Professionals From the Subcommittee of Professional and Public Education of the American Heart Associations Council on High Blood Pressure Research Thomas G Pickering MD DPhil John E Hall PhD Lawrence J Appel MD Bonita E Falkner MD John Graves MD Martha N Hill RN PhD Daniel W Jones MD Theodore Kurtz MD Sheldon G Sheps MD Edward J Roccella PhD MPH 2005 111 697 716 23 K Sounds A Primer Korotkoff sounds commonly called K sounds are the sounds you detect through your stethoscope when you measure blood pressure with a sphygmomanometer or an aneroid device Named for the Russian physician who identified them there are five phases of K sounds each phase characterized by a distinct volume and quality of sound K sounds are heard through the stethoscope as the blood pressure cuff deflates The first sound K 1 is heard when cuff pressure equals systolic pressure K 1 is a sharp tapping sound The K 2 phase is characterized by a swishing sound caused by the swirling currents in the blood as the flow through the artery increases In the K 3 phase there is a resumption of crisp tapping sounds similar to those heard during phase 1 An abrupt muffling of sound identifies K 4 the fourth phase The end or
68. ule e SpO2 sensor connector Connects to an SpO extension cable or sensor See page 61 for compatible accessories Optional temperature and pulse oximetry displays n Celsius icon Fahrenheit icon Ct a Lir ILI E a Temperature ile Warning icon In ILLI on B ow 9 cn LILI Suntech 4e e vo SpO Signal quality e F LIL Warning icon Information on the optional temperature module display e Temperature At the end of a measurement the patient s temperature is displayed During a measurement displays the probe type and related information If the warning icon is lit displays the status code See page 41 for details e Celsius icon When lit the value below is displayed in degrees Celsius e Fahrenheit icon When lit the value is displayed in degrees Fahrenheit e Warning icon When displayed indicates that the system needs to be checked See page 41 for details Information on the optional pulse oximetry module display e SpO2 At the end of a measurement the functional oxygen saturation of the patient is displayed If the warning icon is lit displays the status code See page 42 for details e Signal quality During a measurement indicates the quality of signal from the pulse oximeter sensor e Warning icon When displayed indicates that the system needs to be checke
69. ure in the Emergency Room Measuring blood pressure in the emergency room can be done through automated blood pressure measurements For critically ill or injured patients blood pressure should be measured through the invasive arterial pressure method Measuring Blood Pressure in the Presence of Orthostatic Hypotension Orthostatic hypotension is defined as a decrease in systolic blood pressure of 20 mmHg or more or diastolic blood pressure of 10 mmHg or more measured after three minutes of standing up from a supine position Food ingestion time of day age and hydration can impact this form of hypotension as can a history of Parkinsonism diabetes or multiple myeloma 49 APPENDICES Specifications Patient population Adult and pediatric patients age 3 and above Method of measurement Oscillometric Initial inflation pressure 160mmHg 20mmHg Blood pressure range mmHg 60 lt Systolic BP lt 270 30 lt Diastolic BP 170 Blood pressure accuracy Measurements determined with this device are equivalent to those obtained by a trained observer using the cuff stethoscope auscultation method within the limits prescribed by the American National Standard Electronic or automated sphygmomanometers Blood pressure determination time 35 40 seconds typical for Adult cuff Heart rate range 30 200 bpm 2 or 3 bpm whichever is greater Temperature range 86 F 30 0 C 109 4 F 43 0 C Temperate accuracy 0 2 F

User`s Manual SunTech® 247™ Blood Pressure Blood Pressure

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User`s Manual SunTech&reg; 247&trade; Blood Pressure Blood Pressure

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User`s Manual SunTech® 247™ Blood Pressure Blood Pressure