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Accutorr 3 Operators Manual

1. 6 1 AB MS A 62 Selectirig Measurement Site cerei tette ttis teret tire dbet eeu NNE 6 3 Taking a TEMPpPerature ccsesecssseccssssccsseccssseccsseccsssecesssccssneccssusccsssecesasecssucecsssecesseecssneeessusecssecssneesse 6 3 1 Entering Predictive Mode and Monitor Mode ee 6 3 2 Taking a Temperature in the Predictive Mode eee 6 3 3 Taking a Temperature in Monitor Mode ssescssssscsssseccssecccsseccsseccesseeccssccesseeesssecsenseess 6 4 Disinfecting Temperature Probe ssssscssssssssssssssessssssssssssssssecssssssecsssssssssssnssesssssnsessessusessssssseesss rA 7 1 PERGIT 7 1 7 2 Charging Battery eere A e apetece p rie ede 7 1 7 3 Replaci g a Battery sscsssssssssesssasssassssscavassasccoaistsancessusccnnbasacacaastsnscodsssoacosdutsatoassasacoasainacnasasctonsiaiesornincts 7 2 FA Battery Guidelifies 55 etie tes iteiebdec iecit aiiai 7 2 PADIECcarcs 7 3 7 5 1 Conditioning a Battery os csseessccsssessscssseesscsssesecessssececssssssecssssecessssnseceessnsecsessnsecesennneseee 7 3 7 5 2 Checking a Battery 2 Accutorr 3 Operator s Manual 7 6 Recycling a Battety reete E e peer iet se eto Ai 7 4 8 Careand Maintenance scesccasessssecsssensveceacossscscsersacosssssesevenscassvscseseteeasbetosssdsesessencacsveeseeses 8 1 8 1 Cleaning and D
2. Type Model Patient Category Part No LNCS Pdtx Pediatric 0600 00 0122 LNCS Adtx Adult 0600 00 0121 Disposable LNCS NeoPt Neonate 1 kg 0600 00 0156 LNCS Neo Adult and Pediatric 240 Kg 0600 00 0157 neonate 3 Kg LNCS Inf Pediatric and Neonate 3 to 20 Kg 0600 00 0158 LNCS DCI Adult Finger 0600 00 0126 Reusable LNCS DCIP Pediatric Finger 0600 00 0127 Accutorr 3 Operator s Manual 9 1 W LNCS NeoPt L LNCS Neo L LNCS Pdtx LNCS Adtx LNCS DCI LNCS DCIP and LNCS YI red light 660 nm infrared light 940 nm W Nellcor MAX A MAX P MAX I MAX N DS 100A OXI P I OXI A N and D YS red light 660 nm infrared light 890 nm The maximum photic output consumption of the sensor is less than 18 mW The information about the wavelength range and maximum photic output consumption can be especially useful to clinicians for example clinicians performing photodynamic therapy 9 2 NIBP Accessories Tubing Type Patient Category Part No Adult Small Adult Child 6200 30 09688 Reusable Neonate 6200 30 11560 Reusable Cuff Patient Category Eheu ctis Limb Circumference cm Part No Child 10 to 19 0683 15 0001 01 Small Adult 18 to 26 0683 15 0002 01 Adult 24 to 35 0683 15 0003 01 Arm Adult Long 27 5 to 36 5 0683 15 0006 01 Large Adult 33 to 47 0683 15 0004 01 Large Adult Long 35 5 to 46 0683 15 000
3. When the SpO sensor is applied for neonatal patients as indicated the specified accuracy range is increased by 1 to compensate for the theoretical effect on oximeter measurements of fetal hemoglobin in neonatal blood indicates the essential performance A 6 2 PR PR from Masimo SpO Module Measurement range 25 to 240 bpm Resolution 1 bpm 3 bpm without motion Accuracy 5 bpm with motion Refreshing rate 1s indicates the essential performance PR from Nellcor SpO Module Measurement range 20 to 300 bpm Resolution 1 bpm 20 to 250 bpm 3 bpm Accuracy d ii E 251 to 300 bpm not specified Refreshing rate 1s indicates the essential performance A 4 Accutorr 3 Operator s Manual PR from NIBP Module Measurement range 40 to 240 bpm Resolution 1 bpm Accuracy 3 bpm or 3 whichever is greater indicates the essential performance A 6 3 NIBP Soran Meet standards of IEC80601 2 30 EN1060 1 EN1060 3 EN1060 4 and SP10 Technique Oscillometry Adult pediatric 180s Max measurement time Neonate 90s Adult Pediatric Neonate Measurement ranges Systolic 40 to 270 40 to 200 40 to 135 mmHg Diastolic 10 to 210 10 to 150 10 to 100 Max mean error 5 mmH Accuracy s A 3 Max standard deviation 8 mmHg Static pressure measurement range mmHg to
4. Accutorr 3 Operator s Manual 2 7 FOR YOUR NOTES 2 8 Accutorr 3 Operator s Manual 3 Basic Operation 3 1 Installation Zane The equipment should be installed by authorized Mindray personnel Do not open the equipment housings All servicing and upgrades must be carried out by Mindray trained and authorized personnel The software copyright of the equipment is solely owned by us No organization or individual shall resort to altering copying or exchanging it or to any other infringement on it in any form or by any means without due permission Connect only approved devices to this equipment Devices connected to the equipment must meet the requirements of the applicable IEC standards e g IEC 60950 safety standards for information technology equipment and IEC 60601 1 safety standards for medical electrical equipment The system configuration must meet the requirements of the IEC 60601 1 medical electrical systems standard Any personnel who connects devices to the equipment s signal input output port is responsible for providing evidence that the safety certification of the devices has been performed in accordance to the IEC 60601 1 If you have any questions please contact Mindray If it is not evident from the equipment specifications whether a particular combination with other devices is hazardous for example due to summation of leakage currents please consult the manufacturers or else an expert in the field t
5. Do not come into contact with patients during defibrillation Otherwise serious injury or death could result Do not touch the equipment s metal parts or connectors when in contact with the patient otherwise patient injury may result The physiological data and prompt information displayed on the equipment is not intended to be directly used for diagnostic interpretation and replace the competent judgment of a clinician To avoid inadvertent disconnection route all cables to prevent a stumbling hazard Wrap and secure excess cabling to reduce risk of entanglement by patients or personnel When disposing of the packaging material be sure to observe the applicable waste control regulations and keep it out of children s reach When no battery is installed make sure that the power supply is continuous A power interruption will result in data loss Put the equipment in a location where you can easily see the screen access the operating controls and disconnect the equipment from AC power The equipment uses a mains plug as isolation means to the mains power supply Please do not position the equipment in a place difficult to access the mains plug The equipment is not intended to be used within the magnetic resonance MR environment 1 2 Accutorr 3 Operator s Manual 1 1 2 Cautions Heimon Only use parts and accessories specified in this manual Remove the battery before shipping the monitor or if it will not b
6. Mindray shall not be liable for any incidental special or consequential loss damage or expense directly or indirectly arising from the use of its products Liability under this warranty and the buyer s exclusive remedy under this warranty is limited to servicing or replacing the affected products at Mindray s option at the factory or at an authorized distributor for any product which shall under normal use and service appear to Mindray to have been defective in material or workmanship Recommended preventative maintenance as prescribed in the service manual is the responsibility of the user and is not covered by this warranty No agent employee or representative of Mindray has any authority to bind Mindray to any affirmation representation or warranty concerning its products and any affirmation representation or warranty made by any agent employee or representative shall not be enforceable by buyer or user THIS WARRANTY IS EXPRESSLY IN LIEU OF AND MINDRAY EXPRESSLY DISCLAIMS ANY OTHER EXPRESS OR IMPLIED WARRANTIES INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY NON INFRINGEMENT OR FITNESS FOR A PARTICULAR PURPOSE AND OF ANY OTHER OBLIGATION ON THE PART OF MINDRAY Damage to any product or parts through misuse neglect accident or by affixing any non standard accessory attachments or by any customer modification voids this warranty Mindray makes no warranty whatsoever in regard to trade accessories such being subjec
7. NIBP module and a battery x17 kg with NIBP module and a battery A 5 Hardware Specifications A 5 1 Display Screen type Segment display Screen Size 90mm x 99mm A 5 2 LEDs Power on LED 1 two color yellow green AC power LED 1 green Battery LED 1 green A 2 Accutorr 3 Operator s Manual A 5 3 Audio Indicator Buzzer Give pulse tone power on self check tone A 5 4 Monitor Interface Specifications Power 1 AC power input connector RS 232 connector 1 Equipotential Grounding Terminal A 6 Measurement Specifications A 6 1 SpO2 Masimo SpO Module Standards Meet standards of ISO 9919 ISO 80601 2 61 SpO2 Measurement range 1 to 100 PI measurement range 0 0296 to 2096 SpO Resolution 196 70 to 100 2 measured without motion in adult pediatric mode 70 to 100 396 measured without motion in neonate mode 70 to 100 3 measured with motion 196 to 6996 Not specified Accuracy Refreshing rate 1s Pulse amplitude 70 0296 Low perfusion conditions Light penetration gt 5 Low perfusion SpO 2 2 accuracy 1 The Masimo pulse oximeter with sensors has been validated for no motion accuracy in human blood studies on healthy adult volunteers in induced hypoxia studies in the range of 7096 to 10096 SpO2 against a laboratory co oximeter and ECG monitor
8. This variation equals plus or minus one standard deviation Plus or minus one standard deviation encompasses 6896 of the population The Masimo pulse oximeter with sensors has been validated for motion accuracy in human blood studies on healthy adult volunteers in induced hypoxia studies while performing rubbing and tapping motions at 2 to 4 Hz At an amplitude of 1 to 2 cm and non repetitive motion between 1 to 5 Hz At an amplitude of 2 to 3 cm in induced hypoxia studies in the range of 70 to 10096 SpO against a laboratory co oximeter and ECG monitor This variation Accutorr 3 Operator s Manual A 3 equals plus or minus one standard deviation Plus or minus one standard deviation encompasses 68 of the population The Masimo pulse oximeter has been validated for low perfusion accuracy in bench top testing against a Biotek Index 2 simulator and Masimo s simulator with signal strengths of greater than 0 02 and a transmission of greater than 5 for saturations ranging from 70 to 100 This variation equals plus or minus one standard deviation Plus or minus one standard deviation encompasses 68 of the population indicates the essential performance Nellcor SpO Module Standards Meet standards of ISO 9919 ISO 80601 2 61 Measurement range 0 to 10096 Resolution 196 70 to 100 2 adult pediatric Accuracy 70 to 100 3 neonate 0 to 69 Not specified Refreshing rate 1s
9. another probe or probe cover or not using probe cover may cause damage to the monitor or failure to meet the declared specifications in this manual The temperature probe cover is disposable Re use of probe cover may result in patient cross contamination Use disposable probe covers for temperature measurement Failure to use a probe cover can cause inaccurate temperature measurements and patient cross contamination Check the disposable probe cover for damage before using Never use any probe cover for temperature measurement if damaged or contaminated Be careful to avoid damaging the temperature probe Place the temperature probe in the probe well when not in use Prior to taking a temperature instruct the patient not to bite down on the probe as patient injury and damage to the probe may result Ensure that the probe covers are disposed of according to local regulations or hospital s requirements Accuracy verification of the temperature module is required every two years or according to your hospital s policy Please contact Mindray if accuracy verification is needed Accutorr 3 Operator s Manual 6 1 NOTE Patient actions may interfere with oral temperature measurements Ingesting hot or cold liquids eating food chewing gum brushing teeth smoking or performing strenuous activities may affect temperature measurements for up to 20 minutes after ending the activity Inthe axillary mode the probe should
10. is an indicator of the pulsatile strength You can also use it to assess the quality of the SpO2 measurement Above 1 is optimal between 0 3 and 1 is acceptable Below 0 3 indicates low perfusion reposition the SpO sensor or find a better site If low perfusion persists choose another method to measure oxygen saturation if possible 3 Pl Indicator Graphic Indication of arterial pulse signal strength Pulse rate PR detected pulsations per minute Obtain PR through the SpO or NIBP measurement When simultaneously measuring NIBP and SpO the PR source is from SpO NOTE A functional tester or SpO simulator can be used to verify the sensor functions A functional tester or SpO simulator can be used to determine the pulse rate accuracy A functional tester or SpO simulator cannot be used to assess the accuracy of an SpO2 module or an SpO sensor Accutorr 3 Operator s Manual 4 1 4 2 Safety NwaRNING e Only use SpO sensors specified in this manual Follow the SpO sensor s instructions for use and adhere to all warnings and cautions When a trend toward patient deoxygenation is indicated blood samples should be analyzed by a laboratory co oximeter to completely understand the patient s condition Prolonged monitoring may increase the risk of undesirable changes in skin characteristics such as irritation reddening blistering or burns Inspect the sensor site every two hours and move the
11. limb at the same level as the patient s heart If the cuff is not at the heart level do the following to the displayed value W Add0 75 mmHg 0 10 kPa for each centimetre higher or W Deduct 0 75 mmHg 0 10 kPa for each centimeter lower 5 5 Understanding the NIBP Numerics The NIBP display generally shows numerics as shown below Your display may be configured to look slightly different Unit of pressure mmHg or kPa Refer to 3 7 1 Selecting NIBP Unit of Measure of Measure to set the unit of measure to mmHg or kPa 2 Systolic pressure Accutorr 3 Operator s Manual Pulse rate PR detected pulsations per minute PR can be obtained through SpO or NIBP measurement The PR source is SpO if SpO2 and NIBP are measured simultaneously 4 Diastolic pressure 5 6 Care and Cleaning of Reusable Cuffs NOTE Accuracy of cuff pressure transducers indicators is to be verified at intervals specified by the manufacturer 5 6 1 Reusable Cuffs with Bladders Take out the bladder before cleaning and disinfecting the cuff 5 6 1 1 Cleaning Hand or machine washes the cuff in warm water or with mild detergent Clean the bladder with a damp cloth Air dry the cuff thoroughly after washing NOTE Machine washing may shorten the service life of the cuff 5 6 1 2 Disinfection Disinfect the cuff with a cloth dampened in 70 isopropanol or with ultraviolet Also clean the bladder with ultraviolet NOTE Pr
12. oUm Static pressure measurement accuracy comme Resolution 1 mmHg RM arene Adult 160 Default initial cuff inflation Pediatric 140 pressure mmHg Neonate 90 Adult 297 3 mmHg sofware o obe Pediatric 240 3 mmHg protection Neonate 1473 3 mmHg T Adult 330 mmHg a WOIE VE PAESE Pediatric lt 330 mmHg protection Neonate lt 165 mmHg Measurement accuracy verification In adult and pediatric modes the blood pressure measurements measured with this device are in compliance with the American National Standard for Electronic or Automated Sphymomanometers ANSI AAMI SP10 in terms of mean error and standard deviation by comparing with intra arterial or auscultatory measurements depending on the configuration in a typical patient population For auscultatory reference the 5th Korotkoff sound was used to determine the diastolic pressure Accutorr 3 Operator s Manual A 5 In neonatal mode the blood pressure measurements measured with this device are in compliance with the American National Standard for Electronic or Automated Sphymomanometers ANSI AAMI SP10 in terms of mean error and standard deviation by comparing with intra arterial measurements depending on the configuration in a typical patient population indicates the essential performance A 6 4 Temp Standards Meets standards of ASTM E1112 ASTM E1104 ISO 80601 2 56 Technique Thermal resistance use thermistor to measure temperature M
13. or ME SYSTEM is used exceeds the applicable RF compliance level above the ME EQUIPMENT or ME SYSTEM should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as re orienting or relocating the ME EQUIPMENT or ME SYSTEM gt Over the frequency range 150 kHz to 80 MHz field strengths should be less than3V m Recommended separation distances between portable and mobile RF communications equipment and the device The device is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the device can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the device as recommended below according to the maximum output power of the communications equipment Rated maximum Separation distance in meters m according to frequency of the output power of transmitter transmitter W 160 KHz 80MHz 80MHz 800MHz 800MHz 2 5GHz d 1 2 4P d 1 2 4P d 2 34 P 0 01 0 12 0 12 0 23 0 1 0 38 0 38 0 73 1 1 20 1 20 2 30 10 3 80 3 80 7 30 100 12 00 12 00 23 00 For transmitters rated at a maximum output power not listed above the recommended separation distance d in metres m can be estimated using the equation applicable to the frequency of the transmitter where P is
14. or part itself EC Representative Address Tel Fax Company Contact Manufacturer Shenzhen Mindray Bio Medical Electronics Co Ltd Address Mindray Building Keji 12th Road South Hi tech industrial park Nanshan Shenzhen 518057 P R China Website www mindray com E mail Address service mindray com cn Tel 86 755 81888998 Fax 86 755 26582680 Distributor Mindray DS USA Inc Address 800 MacArthur Boulevard Mahwah New Jersey 07430 USA Tel 1 800 288 2121 1 201 995 8000 Website www mindray com Shanghai International Holding Corp GmbH Europe Eiffestra e 80 20537 Hamburg Germany 0049 40 2513175 0049 40 255726 Accutorr 3 Operator s Manual Preface Manual Purpose This manual contains the instructions necessary to operate the product safely and in accordance with its function and intended use Observance of this manual is a prerequisite for proper product performance and correct operation and ensures patient and operator safety This manual is based on the maximum configuration and therefore some contents may not apply to your product If you have any questions please contact Mindray This manual is an integral part of the product It should always be kept close to the equipment so that it can be conveniently obtained when needed Intended Audience This manual is intended for clinical professionals who are expected to have a corresponding working knowledge of medical procedures practices and terminology a
15. up time is about 2 seconds at room temperature The monitor sounds two beeps and the Temp parameter area displays when the warm up is complete Then you can place the probe at the measurement site Place the probe at the measurement site and wait until the measurement stabilizes When the segment moves clockwise it indicates that the monitor is taking the measurement When taking an oral temperature apply the probe under the patient s tongue from either side of the mouth Make sure that the probe reaches the rear sublingual pocket Have the patient close his her lips to hold the probe Use your hand to hold the probe in place Make sure that the probe contacts with the patient s oral tissue throughout the measurement When taking an axillary temperature lift the patient s arm to expose the entire armpit Apply the probe as high as possible in the armpit Check that the probe tip is completely surrounded by the axillary tissue Lower the patient s arm so that it is tightly placed at the patient s side Keep the patient s arm and the probe in place throughout the measurement When taking a rectal temperature separate the patient s buttocks with one hand and gently glide the probe 0 6 inch 1 5 cm inside the rectum with the other hand For pediatric patients the depth of insertion is less Lubricant can be used in rectal mode Accutorr 3 Operator s Manual 6 3 The monitor sounds a beep when the temperature measuremen
16. 0 W OFF Keepcurrent configuration Operated Time Check the total operated time of the monitor C Decrease screen brightness Brightness Setup ia Increase screen brightness DIAP Communication Setup PR parameter area Toggle between 9600 and 19200 bps displays 001 Accutorr 3 Operators Manual 3 7 3 6 Parameter Setup Mode 1 In Measurement mode press and hold the e hardkey for more than 2 seconds to enter Parameter Setup mode 2 Pressthe hardkey to toggle between the Temp measurement site setup screen and pulse tone setup screen 3 Press the hardkey to set up the installed parameters Only installed parameters will be available for setup Select the measurement site in the Temp measurement site setup screen Turn on off the pulse tone in the pulse tone setup screen 3 Pressand hold the hardkey for more than 2 seconds to return to Measurement mode 3 7 Maintenance Mode 1 Startthe monitor Within 10 seconds after you hear a beep press and hold the hardkey to enter Maintenance mode 2 Pressthe e hardkey to switch among maintenance items 3 Turn off the monitor The settings take effect after the monitor restarts 3 7 1 Selecting NIBP Unit of Measure 1 Enter Maintenance mode 2 Pressthe hardkey to switch to the NIBP unit of measure setup screen The following is the setup screen D 3 Pressthe hardkey to toggle between mmHg and kPa 3 8 Accutorr 3 O
17. 0 4 3 80MHz to 80 MHz 800 MHz 2 5GHz d 1 2 4P 800MHz 2 5GHz d 2 3VP Where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separation distance in meters m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency range Interference may occur in the vicinity of equipment marked with the following e symbol Accutorr 3 Operator s Manual Note 1 At 80 MHz to 800 MHz the separation distance for the higher frequency range applies Note 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people Note 3 The device that intentionally receives RF electromagnetic energy at the exclusion band 2395 825MHz 2487 645MHz is exempt from the essential performance requirements but remains safe a Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the ME EQUIPMENT
18. 7 01 Adult Thigh 44 to 66 0683 15 0005 01 Disposable Cuff Patient Category Measurement Limb Circumference Part No Site cm 3 1 to 5 7 001B 30 70692 4 3 to 8 0 001B 30 70693 Neonate 5 8 to 10 9 001B 30 70694 Arm 7 1 to 13 1 001B 30 70695 Child 10 to 19 0683 14 0001 01 Small Adult 18 to 26 0683 14 0002 01 Adult 24 to 35 0683 14 0003 01 9 2 Accutorr 3 Operator s Manual Patient Category peta s Circumference Part No Adult Long 27 5 to 36 5 0683 14 0006 01 Large adult 33to 47 0683 14 0004 01 Large Adult Long 35 5 to 46 0683 14 0007 01 Adult Thigh 46 to 66 0683 14 0005 01 9 3 Temp Accessories Probe Well Type Description Part No Blue Oral Axillary MO9A 20 62062 Reusable Red Rectal MO9A 20 62062 51 Temp Probes Type Patient Category Measurement Site Part No Adult Pediatric Neonate Oral Axillary 6006 30 39598 Reusable Adult Pediatric Rectal 6006 30 39599 Probe Cover Type Patient Category Description Part No Adult Pediatric Neonate Cover 20 pcs pack MO9A 20 62124 Disposable Adult Pediatric Neonate Cover 2000 pcs pack M094A 30 62128 Accutorr 3 Operator s Manual 9 4 Others Material Part No Welch Allyn SureTemp Plus Probe Covers 0198 00 0044 Welch Allyn SureTemp Plus Thermometer Module 0992 00 0198 Welch Allyn SureTemp Plus Oral Probe 0992 00 0213 02 Quick Release Mo
19. Accutorr 3 Vital Signs Monitor Operator s Manual C 0123 Copyright 2013 2014 Shenzhen Mindray Bio Medical Electronics Co Ltd All rights reserved For this Operator s Manual the issue date is October 2014 Accutorr 3 Operator s Manual Intellectual Property Statement SHENZHEN MINDRAY BIO MEDICAL ELECTRONICS CO LTD hereinafter called Mindray owns the intellectual property rights to this Mindray product and this manual This manual may refer to information protected by copyrights or patents and does not convey any license under the patent rights of Mindray nor the rights of others Mindray intends to maintain the contents of this manual as confidential information Disclosure of the information in this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden Release amendment reproduction distribution rental adaption and translation of this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden i mindray m and MINDRAY are the registered trademarks or trademarks owned by Mindray in China and other countries All other trademarks that appear in this manual are used only for editorial purposes without the intention of improperly using them They are the property of their respective owners Manufacturer s Responsibility Contents of this manual are subject to changes without prior notice All information contained
20. Off Select ME to load the factory default configurations Select DEH to retain the current configurations You cannot change factory default configurations You can choose to load the factory default configurations if necessary The factory default configurations are W NIBP unit of measure setup mmHg W Temp unit of measure setup C Wi Patient Category Adult W Pulse tone On E Temp measurement site Oral W Brightness 5 3 7 6 Viewing Operated Time 1 Enter Maintenance mode 2 Pressthe hardkey to switch to the operated time screen nn in Lu i The system time area displays the monitor s total operated days For example 00 10 represents that the monitor worked a total of 10 days or 240 hours Accutorr 3 Operator s Manual 3 11 3 7 7 Adjusting the Screen Brightness 1 Enter Maintenance mode 2 Pressthe e hardkey to switch to the brightness setup screen In brightness setup all the fields and icons are shown The error code area displays the current brightness level Brightness level 3 Press the c hardkey to decrease screen brightness or the hardkey to increase screen brightness The screen brightness range is 1 10 The default brightness is 5 The brightness setting takes effect immediately 3 12 Accutorr 3 Operator s Manual 3 7 8 DIAP Communication Setup The monitor provides an Input Output connector RS 232 connector to communicate with the external devices using DIAP To
21. Ormation ssssssssssccccssssessescecccsssnsseesccceccssseesecseeccssnnnessecceecennsuessceseeesssnmsseceeeennsneeeseeeeesseee 4 5 EE Dedi NIBP e 5 1 MESI Uu 5 1 BD Sabet 5 1 5 3 Measurement LIMITATIONS ensscsssscssssscsssiscssnscsssisssessoscaseseasascouenscosssstbonscoissatbasscbasiescesssbesseseasisbbseseadies 5 2 5 4 Measuring NIBP ise tacsescsissens cette eet EORR SE Ct deba ter delete ue pee tenus 5 2 54 1 Preparing the Patierit circiter teteteeesth ceperint testet beso bee retos SEAE adn 5 2 5 4 2 Preparing to Measure NIBP 5 3 5 4 3 Starting and Stopping M aSUreMeMNts sseccsssecsssscccsecccsseccssececsseecsueccssseeessecesseeesees 5 4 5 4 4 Correcting the Measurement when Cuff is not at Heart Level 5 4 5 5 Understanding the NIBP NUMETICS sssssssccssscccseccsseeccsseccsssecesssecssssccesseccessecesnsecesueesesneeesseees 5 4 5 6 Care and Cleaning of Reusable Cuffs ssssssssssssscssssssssssssssesssssssessssssseesssssseesssssssesssssnsessessnsesss 5 5 5 6 1 Reusable Cuffs with Bladders sssssssssssssccssssssessseccesnssssssceecssssnsssesccecesnnuesseseeeeensnneseeeeeee 5 5 5 6 2 Reusable Bladderless Cuffs sssscssssssssssssseccsssssssescccecesnsssseccescesssnssesseceeesnnsesseceeeeessnnesseeeeee 5 6 6 Monitoring Temp
22. P AUTHORISED REPRESENTATIVE IN THE EUROPEAN COMMUNITY The product bears CE mark indicating its conformity with the provisions C 0 23 of the Council Directive 93 42 EEC concerning medical devices and fulfills the essential requirements of Annex of this directive Accutorr 3 Operator s Manual 1 5 The following definition of the WEEE label applies to EU member states only This symbol indicates that this product should not be treated as household waste By ensuring that this product is disposed of correctly you will help prevent bringing potential negative consequences to the environment and human health For more detailed information with regard to returning and recycling this product please consult the distributor from whom you purchased it For system products this label may be attached to the main unit only ETL CLASSIFIED Intertek 3191955 The presence of this label indicates the machine was certified by ETL with the statement Conforms to AAMI Std ES 60601 1 IEC Std 60601 1 6 IEC Std 80601 2 30 ISO Std 80601 2 56 ISO Std 80601 2 61 Certified to CSA Std C22 2 NO 60601 1 NO 60601 1 6 NO 80601 2 30 NO 80601 2 56 NO 80601 2 61 Accutorr 3 Operator s Manual 2 The Basics 2 1 Intended Use The monitor is intended for spot check monitoring physiologic parameters including Pulse Oximetry SpO Pulse Rate PR Non Invasive Blood Pressure NIBP and Tempe
23. S 4 Accutorr 3 Operator s Manual 1 Safety 1 1 Safety Information S amns Indicates a potential hazard situation or unsafe practice that if not avoided could result in death or serious injury Iason Indicates a potential hazard or unsafe practice that if not avoided could result in minor personal injury or product property damage NOTE Provides application tips or other useful information to ensure that you get the most from your product Accutorr 3 Operator s Manual 1 1 1 1 1 Warnings Nie The monitor does not provide any alarms It only provides error codes and is not intended for continuous monitoring Keep the patient under close surveillance when using this monitor This equipment is restricted to one patient at a time Before putting the system into operation the operator must verify that the equipment connecting cables and accessories are in working order and operating condition To avoid risk of electric shock this equipment must only be connected to a properly grounded power outlet If a properly grounded power outlet is not available operate the monitor on battery power To avoid an explosion hazard do not use the equipment in the presence of oxygen rich atmospheres flammable anesthetics or other flammable agents such as gasoline Do not open the equipment housings All servicing or upgrades must be carried out by Mindray trained and authorized personnel
24. a low temperature or vasoconstrictor Accutorr 3 Operator s Manual 4 7 Masimo Information NOST Masimo Patents This device is covered under one or more the following U S A patents 5 758 644 6 011 986 6 699 194 7 215 986 7 254 433 7 530 955 and other applicable patents listed at www masimo com patents htm No Implied License Possession or purchase of this device does not convey any express or implied license to use the device with unauthorized sensors or cables which would alone or in combination with this device fall within the scope of one or more of the patents relating to this device 4 8 Nellcor Information NELLCOR Nellcor Patents This device may be covered by one or more of the following US patents and foreign equivalents 5 485 847 5 676 141 5 743 263 6 035 223 6 226 539 6 411 833 6 463 310 6 591 123 6 708 049 7 016 715 7 039 538 7 120 479 7 120 480 7 142 142 7 162 288 7 190 985 7 194 293 7 209 774 7 212 847 7 400 919 No Implied License Possession or purchase of this device does not convey any express or implied license to use the device with unauthorized replacement parts which would alone or in combination with this device fall within the scope of one or more of the patents relating to this device Accutorr 3 Operator s Manual 4 5 FOR YOUR NOTES 4 6 Accutorr 3 Operator s Manual 5 Monitoring NIBP 5 1 Overview The monitor uses the oscillometric method to measu
25. and stored lithium ion battery its life expectancy is about 3 years For more aggressive use models life expectancy can be less We recommend replacing lithium ion batteries after 500 full charge discharge cycles or 3 years from first use whichever occurs first To get the most out of the battery observe the following guidelines The battery performance test must be performed once a year before monitor repairs or whenever the battery performance is suspect Condition the batteries every three months or when their run time becomes noticeably shorter Remove the battery before shipping the monitor or if it will not be used for an extended period of time Remove the battery from the monitor if it is not being used regularly Leaving the battery in a monitor that is not in regular use will shorten the battery life When storing batteries make sure that the battery terminals do not come into contact with metallic objects If batteries are stored for an extended period of time they should be placed in a cool place with a partial charge of 40 to 60 capacity Storing batteries at a high temperature for an extended period of time will significantly shorten the life expectancy of a battery Do not store the battery at a temperature beyond 20 C 60 C 4 F 140 F AN WARNING Keep the battery out of children s reach Use only specified batteries If the battery shows signs of damage or signs of leakage replace it imm
26. be is not or in the probe well or 27 Temp probe error incorrectly inserted into cool the probe and the probe well re insert into the probe well No The environmental Change the 28 Ambient temp temperature is out of environment and retry overrange range of the monitor s measurement No The measured Temp value Contact Mindray or 29 Temp overrange exceeds the measurement your service personnel range No No data from the power Restart the monitor If Power board ta AM module has been received the problem still exists 40 communication error for 10 seconds contact Mindray or your service personnel Accutorr 3 Operator s Manual C 3 FOR YOUR NOTES C 4 Accutorr 3 Operator s Manual D Symbols and Abbreviations D 1 Symbols HA microampere HV microvolt Hs microsecond A ampere Ah ampere hour bpm beat per minute bps bit per second C centigrade cm centimeter dB decibel DS dyne second F fahrenheit g gram GHz gigahertz h hour Hz hertz in inch k kilo kg kilogram kPa kilopascal L litre Ib pound m meter mAh milliampere hour Mb mega byte mg milligram min minute ml milliliter mm millimeter mmHg millimeters of mercury Accutorr 3 Operator s Manual ms mV mW MQ nm rpm VA X H VN millisecond millivolt milliwatt megaohm nanometer breaths per minute second volt volt ampere ohm watt minus negative percent per d
27. being fully charged The operating time depends on the configuration and operation For example measuring NIBP more frequently also shortens the operating time Replace a battery that has visual signs of damage or no longer holds a charge Remove the old battery from the monitor and recycle it according to local laws 7 6 Recycling a Battery Remove the old battery from the monitor and recycle it properly Follow local laws for proper battery disposal AN WARNING Donotdisassemble batteries dispose of them in fire or cause them to short circuit They may ignite explode leak or heat up causing personal injury 7 4 Accutorr 3 Operator s Manual 8 Care and Maintenance The monitor should be maintained and cleaned on a regular basis This chapter describes the basic cleaning disinfection and test method A sue Failure of the responsible individual hospital or institution using this equipment to implement a satisfactory maintenance schedule may cause undue equipment failure and possible health hazards The safety checks or maintenance involving any disassembly of the equipment should be performed by professional servicing personnel Otherwise undue equipment failure and possible health hazards could result If you discover a problem with any of the equipment contact your service personnel or Mindray The responsible hospital or institution should carry out all cleaning and disinfection proced
28. cified accessories are applied W Make sure that the battery meets the performance requirements W Make sure that the monitor is in good working condition In case of any damage or abnormality do not use the equipment Contact the hospital s biomedical engineers or your service personnel immediately 8 3 Maintenance and Testing Schedule The following maintenance and tests except for visual inspection power on test and battery check should be carried out by the service personnel only Ensure the monitor is safety and performance tested by qualified service personnel before initial installation after repair or upgrade or during regularly scheduled maintenance Contact your service personnel if any maintenance is required Make sure to clean and disinfect if required the equipment before any test and maintenance Z esonos Service personnel should acquaint themselves with the test tools and make sure that test tools and cables are applicable Check Maintenance Item Recommended Frequency Visual inspection When first installed or after reinstalled Power on test 1 When first installed or after reinstalled 2 Following any maintenance or the replacement of any main unit parts 1 When first installed Functionality test Battery E 2 Whenever a battery is replaced check Performance test Once a year or if the battery run time reduced significantly Pressure check 1 If the use
29. cuff indicator Clear the flashing SpO sensor indicator Stop the flashing parameter label due to a module failure W Remove the low battery reminder tone e Press and hold for more than 2 seconds to enter Parameter Setup mode Parameter Setup Mode Refer to section 3 6 Parameter Setup Mode W Pressand hold for more than 2 seconds to return to Measurement mode W Pressto toggle among the parameters Switch on off pulse tone toggle among Temp measurement sites Maintenance Mode Refer to section 3 7 Maintenance Mode e Press to toggle among maintenance items 3 6 Accutorr 3 Operator s Manual Mode Keys and Functions NIBP Unit of Measure Setup Toggle between mmHg and kPa Temp Unit of Measure Setup Toggle between C and F Toggle among hour and minute digits System Time Setup Add one number based on current value NIBP Leak Test PR parameter area Start Stop leak test displays 550 NIBP Accuracy Test PR parameter area 0 0 0000 Start Stop accuracy test displays 555 E NIBP Cuff Overpressure test v S PR parameter area Start NIBP cuff overpressure test g displays 520 t S m Software Version C View the software version of each module Factory Default F Configuration Toggle between ON and OFF PR parameter area W ON Restore the factory default configuration displays 00
30. dditional information regarding battery installation NOTE When a battery has been stored for a long time or the battery is depleted recharge the battery at once Otherwise the low battery may not be sufficient to power the monitor if AC power is unavailable Charging a Battery The battery is charged whenever the monitor is connected to an AC power source regardless of whether the monitor is turned on or not When the battery is charging the battery indicator is On The battery charge icon on the screen dynamically displays the charging status when the monitor is powered on 3 2 3 Connecting Accessories Insert the hose part of NIBP cuff to the connector provided on the side of monitor insert the SpO cable into the SpO2 cable connector on the side of the monitor insert the temperature probe cable into the TEMP probe connector on the back of the monitor Accutorr 3 Operators Manual 3 3 3 3 Turning On Off Power 3 3 1 Turning Power On Once the monitor is installed before beginning measurements 1 4 Check the monitor for any mechanical damage and make sure that all external cables plug ins and accessories are properly connected Check the power supply specification is met if mains power is used Only use a power outlet that is properly grounded Plug the power cord into the AC power source If you run the monitor on battery power ensure that the battery is sufficiently charged Press the power on off switch
31. detect In the presence of excessive and continuous patient movement such as shivering or convulsions During certain cardiac arrhythmias Rapid blood pressure changes Severe shock or hypothermia that reduces blood flow to the peripheries Obesity where a thick layer of fat surrounding a limb dampens the oscillations emanating from the artery 5 4 Measuring NIBP 5 4 1 Preparing the Patient In order to minimize NIBP measurement errors whenever possible check that the patient E s comfortably seated W Has legs uncrossed W Has feet flat on the floor W Has back and arm supported and W Themiddle of the cuff is at the level of the right atrium of the heart NOTE It is recommended that the patient relax as much as possible before the NIBP measurement is performed and that the patient does not talk during measurement itis recommended that the patient sit still for 5 min before the first measurement is taken Theoperator should not touch the cuff and tubing during the NIBP measurement Accutorr 3 Operator s Manual 5 4 2 Preparing to Measure NIBP 1 Power on the monitor 2 Verify that the patient category is correct If not continue pressing the c hardkey to cyclically change the patient category 3 Connect the NIBP hose to the monitor Select the appropriate sized cuff by referring to the limb circumference marked on the cuff The width of the cuff should be 4096 5096 for neonates of t
32. directly contact the patient s skin Measuring through patient s clothes or long term exposure of the patient s armpit to the air may result in inaccurate temperature readings Choose appropriate probe according to measurement site Using the incorrect probe may cause patient s discomfort and inaccurate measurements Improper use of probe may also cause patient s discomfort and inaccurate measurements Inthe rectal mode incorrect probe placement may result in bowel perforation Hospital staff should wash their hands after the patient s temperature measurement is taken This will significantly reduce the risk of cross contamination and nosocomial contamination 6 2 Selecting Measurement Site NOTE Youcanonly select the measurement site when the probe is in the probe well The temperature module can be configured with 2 types of temperature probes W oral axillary probe blue or E rectal probe red Use the blue oral axillary probe with the blue probe well and use the red rectal probe with the red well Be sure to select the correct probe according to the measurement site W Oral Axillary probe this probe type is intended for taking oral or axillary temperature of adult and pediatric patients or axillary temperature for neonatal patients E Rectal probe this probe type is intended for taking rectal temperature for adult and pediatric patients 1 In Measurement mode press and hold the hardkey for mor
33. e The clinician determines if NIBP measurement is suitable for the patient Besureto select the correct patient category setting for your patient before measurement Incorrect patient category selection may present a safety hazard Do not measure NIBP on patients with sickle cell disease or on the limb where Skin damage has occurred or is expected Donotuse the NIBP cuff on a limb with an intravenous infusion or arterial catheter in place This could cause tissue damage around the catheter when the infusion is slowed or blocked during cuff inflation NIBP measurements can be affected by the measurement site the position of the patient patient movement or the patient s physiologic condition If the NIBP measurement seems out of range or inaccurate determine the patient s Accutorr 3 Operator s Manual 5 1 Z warnine vital signs by alternative means and then verify that the monitor is working correctly Make sure the hose connecting the NIBP cuff and the monitor is not blocked twisted or tangled Do not apply the cuff on the arm on the side of a mastectomy 5 3 Measurement Limitations The equipment cannot measure blood pressure when the patient s heart rate is below 40 bpm or above 240 bpm or if the patient is on a heart lung machine The equipment may fail to measure or produce inaccurate blood pressure measurements under the following conditions If arterial pressure pulses are hard to
34. e than 2 seconds to enter Parameter Setup mode Temp HA Oral lt Axillary 4 Rectal 6 2 Accutorr 3 Operator s Manual Press the hardkey to switch to the Temp parameter setup Press the hardkey to toggle between measurement sites Press and hold the e hardkey for more than 2 seconds to return to Measurement mode and make the settings take effect Or press and hold the o hardkey for more than 2 seconds to shut down the monitor The settings take effect once the monitor is restarted 6 3 Taking a Temperature 6 3 1 Entering Predictive Mode and Monitor Mode After turning on the monitor it automatically enters Predictive mode The monitor switches from Predictive mode to Monitor mode when either no measurement is taken or the probe is not replaced in the probe well within 60 seconds after it has been withdrawn Place the probe in the well to restore the Predictive mode 6 3 2 Taking a Temperature in the Predictive Mode In Predictive mode after obtaining a temperature value the value always displays on the screen 1 2 3 Make sure that the probe is placed in the probe well Make sure that the temperature measurement site setting is correct Remove the probe from the probe well and insert it into a cover in the probe cover pack Press the probe handle down firmly until the cover engages with the probe The temperature module starts to warm up when the probe is taken out of the probe well The warming
35. e used for an extended period of time Carefully route patient cabling to reduce the possibility of patient entanglement Disposable accessories are not designed to be reused Reuse may cause a risk of contamination and affect the measurement accuracy Attheend of its service life the equipment and accessories must be disposed of in compliance with the guidelines regulating the disposal of such products If you have any questions concerning disposal of the equipment please contact Mindray Magnetic and electrical fields are capable of interfering with the proper performance of the equipment For this reason make sure that all external devices operated in the vicinity of the equipment comply with the relevant EMC requirements Mobile phones and X ray equipment are a possible source of interference as they may emit higher levels of electromagnetic radiation Before connecting the equipment to the power line check that the voltage and frequency ratings of the power line are compatible those indicated on the equipment s label or in this manual Alwaysinstall or carry the equipment properly to avoid damage caused by a drop impact strong vibration or other mechanical force If you spill liquid on the equipment or accessories contact Mindray or your service personnel Accutorr 3 Operator s Manual 1 3 1 1 3 Notes NOTE The equipment is intended to be used for immediate supervised point of care mo
36. easurement range Monitor mode 25 C to 44 C 77 F to 111 2 F Predictive mode 35 C to 43 C 95 F to 109 4 F Accuracy Monitor mode 25 C to 32 C not include 32 C 0 2 C 32 C to 44 C include 32 C 0 1 C or 77 F to 89 6 F not include 89 6 F 0 4 F 89 6 F to 111 2 F include 89 6 F 0 2 F Resolution 0 1 C Response Time Monitor mode lt 60 s Predictive mode lt 20 s typical test lt 12s indicates the essential performance A 6 Accutorr 3 Operator s Manual B EMC The device meets the requirements of IEC 60601 1 2 All the accessories listed in Chapter 9 also meet the requirements of IEC 60601 1 2 when in use with this device NOTE Using accessories transducers and cables other than those specified may result in increased electromagnetic emission or decreased electromagnetic immunity of the equipment The device or its components should not be used adjacent to or stacked with other equipment If adjacent or stacked use is necessary the device or its components should be observed to verify normal operation in the configuration in which it will be used The device needs special precautions regarding EMC and needs to be installed and put into service according to the EMC information provided below Other devices may interfere with this device even though they meet the requirements of CISPR When the input signal is b
37. ecifications Main Unit Item Operating conditions Storage conditions 0 to 40 without Temp module Temperature C 20 to 60 n ue 5 to 40 with Temp module Ratcive numieiy 15 to 95 10 to 95 noncondensing Barometric kPa 57 0 to 107 4 16 0 to 107 4 A WARNING The equipment may not meet the performance specifications given here if stored or used outside the specified temperature and humidity ranges NOTE The environmental specifications of parameter modules are the same as those of the main unit Accutorr 3 Operator s Manual A 3 Power Supply Specifications AC Power Line voltage 100 to 240 VAC 10 Current 0 9 to 0 5A Frequency 50 60 Hz 3Hz Fuse T2AL 250V Battery Battery Type Rechargeable lithium ion LI235002A Voltage 11 1 VDC Capacity 4500 mAh At least 22 hours when powered by a new fully charged Run time battery at 25 C 5 C 77 F 41 F with SpO2 cable connected and auto NIBP measurements at an interval of 15 minutes Monitor power off less than 5 5 hours to 90 less than 6 5 hours to 10096 Charge time Monitor power on less than 10 5 hours to 9096 less than 11 5 hours to 10096 Shutdown delay At least 20 minutes after a low battery prompt first occurs A 4 Physical Specifications Size 134mm x 120mm x 243mm Weight 1 9 kg with SpO2 module
38. ediately Do not use a faulty battery in the monitor The Lithium ion batteries have a service life of 3 years Please replace your battery when it reaches the end of its service life Failure to replace the battery may cause serious damage to your device from battery overheating 7 2 Accutorr 3 Operator s Manual 7 5 Battery Maintenance 7 5 1 Conditioning a Battery A battery should be conditioned before it is used for the first time A battery conditioning cycle is one complete uninterrupted charge of the battery followed by an uninterrupted battery discharge and charge The battery should be conditioned regularly to maintain its useful life To condition a battery 1 Disconnect the monitor from the patient and stop all monitoring or measuring 2 Turn off the monitor Disconnect the monitor from the AC power 3 Insert the battery in need of conditioning in the battery slot of the monitor 4 Connect the monitor to the AC power Allow the battery to be charged uninterrupted for 6 5 hours until the battery is full 5 Remove the AC power and allow the monitor to run from the battery until the battery is completely depleted and the monitor automatically shuts off 6 Again connect the monitor to the AC power Fully charge the battery again for use or charge it to 40 60 for storage NOTE Thebattery charge level indicator does not indicate the capacity or operating time of the battery It only indicates the cur
39. elow the minimum amplitude provided in technical specifications erroneous measurements could result Portableand mobile communication equipment may affect the performance of this device Otherdevices that have RF transmitter or source may affect this device e g cell phones PDAs and PCs with wireless function Guidance and Declaration Electromagnetic Emissions The device is intended for use in the electromagnetic environment specified below The customer or the user of the device should assure that it is used in such an environment Emission tests Compliance Electromagnetic environment guidance Radio frequency RF Group 1 The device uses RF energy only for its internal emissions CISPR 11 function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment RF emissions CISPR 11 Class A The device is suitable for use in all E ER Class A establishments other than domestic and those IEC61000 3 2 directly connected to the public low voltage power supply network that supplies buildings Voltage Complies used for domestic purposes Fluctuations Flicker Emissions IEC 61000 3 3 Accutorr 3 Operator s Manual B 1 A WARNING This equipment system is intended for use by healthcare professionals only This equipment system may cause radio interference or may disrupt the operation of nearby equipment It may be necessary t
40. er supply unplug the power cord 3 4 Standby 3 4 1 Entering Standby Mode If no parameter is being measured you can press the power on off switch to enter Standby mode The monitor automatically enters the Standby mode if there is no key operation and no parameter measurement for 10 minutes NOTE When the monitor enters Standby mode all the previous messages and measurements clear InStandby mode the display automatically shuts down and the built in indicator on the power switch turns yellow When the monitor exits Standby mode the display brightness is restored to the level it was at prior to entering Standby mode Accutorr 3 Operator s Manual 3 5 3 4 2 Exiting Standby Mode To exit Standby mode you can use any of the following W Press any hardkey on the front panel E Connect the SpO sensor and let the monitor receive SpO signals for more than 5 seconds W Remove the temperature probe from the probe well NOTE A low battery when B displays causes the monitor to automatically exit Standby mode 3 5 Using Keys In different modes the key functions vary Mode Keys and Functions Measurement Mode c Continue pressing this key to cyclically change the patient category to adult pediatric or neonatal Start stop NIBP measurements e Press to a Clear the parameter value displayed on the screen such as NIBP Temp value Clear the error code Clear NIBP
41. ff the MODnItOF ai e PRG ARR RS RR AERE RENE eRG 3 4 Standby 3 4 1 Entering Standby Mode 3 4 2 Exiting Standby Mode eter tteennntttennnnttennnntttnnnnnttennnnsttenn 3 5 Using Keys 3 6 Parameter Setup Mode 3 7 Maintenance Mode ptt e ede certe needs 3 7 1 Selecting NIBP Unit of Measure 3 7 2 Selecting Temp Unit of Measure 3 7 3 Setting System TIM saccaseocssesatssacesoveescesescosseacnesncnbsisesGencobsbsctivaceosbcesebsndesoseesnsanrbensebtesetdeaetiuie 37 4 Viewing Software Version 3 7 5 Loading Factory Default Configuration 37 6 Viewing O perated Time rennene es edite indie Ivo hehe pee eee iken Accutorr 3 Operator s Manual 3 7 7 Adjusting the Screen Brightness sssssscssssccsssecssseeccsseccsssecssssecessecesssccesseceenecesnessees 3 12 3 7 8 DIAP Communication Setup eee eee teen tentent tenente nn ttenitonnttnnten 3 13 A iDTiieis necp 4 1 aMWeau p t 4 1 AD Safe eL M 4 2 4 3 Identifying SpO Module a iet E E A N AA R EANNAN 4 2 4 4 Applying the Sensor 4 3 4 5 Switching Pulse Tone On Off ssseesssssscccsssnssessccceesssseecceccessnssessscccescssssesseeeeeessnnsesseceeeessnneeeeseeeessnee 4 3 4 6 Measurement Limitations sessssssssssesssssesssssesssssecsssssssseesssscsssseesssscsssssesssesssseesssneessesesssneesss 4 4 4 7 Masimo InformatiOn ies trices e etie IARE ER CCP cR es E EN AONA 4 5 4 8 Nellcor INf
42. he limb circumference or 2 3 of the upper arm s length The inflatable part of the cuff should be long enough to encircle at least 5096 to 8096 of the limb 5 Apply the cuff to the patient s upper arm or thigh and make sure the marking on the cuff is aligned with the artery Do not wrap the cuff too tightly around the limb This could cause discoloration and ischemia of the extremities Make sure that the edge of cuff is within the marked range If it is not use a cuff that fits properly 6 Connectthe cuff to the NIBP hose Avoid compression or restriction of NIBP hose Air must pass unrestricted through the tubing NwaRNING Sustained cuff pressure due to a kinked hose may interfere with blood flow and could lead to patient injury NOTE The use of the equipment is restricted to one patient at a time Accutorr 3 Operator s Manual 5 3 5 4 3 Starting and Stopping Measurements Press the hardkey on the monitor s front panel to start or stop an NIBP measurement NwaRNING e Long term non invasive blood pressure measurements may cause purpura ischemia and neuropathy in the limb with the cuff Periodically examine the limb under the cuff to ensure skin color and integrity If anything abnormal is seen move the cuff to another site or stop the non invasive blood pressure measurements immediately 5 4 4 Correcting the Measurement when Cuff is not at Heart Level Apply the cuff to a
43. hes 5 cm away from surrounding objects When the equipment is moved from one place to another condensation may occur as a result of temperature or humidity difference In this case never start the system before the condensation disappears onus Make sure that the equipment operating environment meets the specifications Otherwise unexpected consequences e g damage to the equipment could result 3 2 Accutorr 3 Operator s Manual 3 2 General Operation Read this operator s manual carefully before using this monitor Familiarize yourself with the equipment s function and operation and observe the warnings and cautions included in the manual 3 2 1 Connection to AC Power This monitor can be powered by AC power or battery Connect the power cord to the AC input on the back of the monitor and connect the other end of the power cord to the power outlet Zins Alwaysuse the accompanying power cord with the monitor The battery is to be used if the integrity of the protective earth conductor or the protective earthing system in the installation is in doubt 3 2 2 Using a Battery This monitor can be equipped with a rechargeable lithium ion battery If a battery is installed the monitor system automatically switches to the battery for power if AC power is interrupted Installing a Battery The battery compartment cover is on the bottom of the monitor Refer to 7 3 Replacing a Battery for a
44. in this manual is believed to be correct Mindray is not liable for errors contained herein nor for incidental or consequential damages in connection with the furnishing performance or use of this manual Mindray is responsible for the effects on safety reliability and performance of this product only if E allinstallation operations expansions changes modifications and repairs of this product are conducted by Mindray authorized personnel W the electrical installation of the relevant room complies with the applicable national and local requirements W the product is used in accordance with the instructions for use A WARNING Only skilled trained clinical professionals should operate this equipment Itis important for the hospital or organization that uses this equipment to perform a reasonable service maintenance plan Neglecting this may result in machine breakdown or personal injury Accutorr 3 Operator s Manual Warranty Mindray warrants that components within its products will be free from defects in workmanship and materials for a period of three years from the date of purchase except that disposable or one time use products are warranted to be free from defects in workmanship and materials up to a date one year from the date of purchase or the date of first use whichever is sooner This warranty does not cover consumable items such as but not limited to batteries external cables and sensors
45. ion is 90 seconds Yes The cuff type applied Verify the patient 10 NIBP cuff type does not match the category and either wrong patient category change the category or replace the cuff Yes The cuff is not properly Correctly apply and use applied or connected or the cuff If the problem 11 NIBP air leak the airway leaks air still exists contact Mindray or your service personnel No There is a problem with Do not use the module SpO board fault i 17 the SpO measurement and contact Mindray or Masimo f board your service personnel No SpO2 module error or Restart the monitor If 18 SpO2 module communication error the error remains error between SpO2 module contact Mindray or and main unit your service personnel PR overrange No SpO2 The measured PR value Contact Mindray or 19 Yes NIBP exceeds the measurement your service personnel SpO2 NIBP Eo ge SpO low No The SpO signal is too Move the sensor to a 20 perfusion weak site with better Masimo Nellcor perfusion No Temp module Restart the monitor If initialization error or the error remains 26 Temp module communication error contact Mindray or error between Temp module your service personnel and main unit too high or too low power voltage no C2 Accutorr 3 Operator s Manual Error Description clearable Causes Solution Code P Yes No Temp module or Temp module error No Temp probe cannot work Verify that the probe is or the pro
46. isinfection sscssssssssssssssssssssssssssssssesssssnssssssssscsssssseesssssseesssssssesssssneessssnesssssnseesss 8 1 8 1 1 Cleaning 8 1 2 Disinfecting 82 General Inspectioris ire ERR EE ald An Gas 8 3 Maintenance and Testing Schedule 8 4 Checking Monitor Information 8 5 Visual INSPECTION cci oit nesen THREE ben biH nica 8 6 Power on Test 8 7 Battery Check 9 ACCOSSOMIES E EE EEEE S E ESET AIA EE cndescvecesssesolsorssonssdececssesesvesaconeeees 9 1 9 1 SpO Accessories 9 2 NIBP Accessories QPS TEMP ACCESSONIOS pe 9 3 DA Others oceans e ae desto eR MIROR Rue ARA dt ed te ME EIER 9 4 PW gren Ta delere E PH P ets A 1 A 4 Classifications 5 eee etm ci tee SH eret cir e ett A 2 Environmental Specifications sssssscssssssscssssssscsssssssesssssssecsssssssssssssscssssssesssssssessssssseesessnseesssses A 3 Power Supply Specifications A 4 Physical Specifications A 5 Hardware Specifications ER Ree aca es A 6 Measurement Specifications sssscssssssssssssssssssssssessssnssesssssssesssssssessssnssessssssessssssseesssssneessssnseesssses BEM pde B 1 r C 1 D Symbols and Abbreviations esee e eere eene entente nens en sensn etas ens senses senses sonata sens D 1 D 1 Symbols D 2 Abbreviations Accutorr 3 Operator s Manual FOR YOUR NOTE
47. ivide or to plus equal to less than greater than less than or equal to greater than or equal to plus or minus multiply copyright D 2 Abbreviations AC alternating current CE Conformit Europ enne DC direct current DIAP Datascope Improved ASCII Protocol EMC electromagnetic compatibility Err error D 2 Accutorr 3 Operator s Manual IEC ISO MDD MRI NIBP PR SpO2 TEMP International Electrotechnical Commission International organization for standardization Monitoring Medical Device Directive magnetic resonance imaging noninvasive blood pressure power Predictive pulse rate arterial oxygen saturation from pulse oximetry temperature Accutorr 3 Operator s Manual D 3 FOR YOUR NOTES D 4 Accutorr 3 Operator s Manual P N 046 005275 00 2 0 SW Version 03 01 00
48. ng to the connector type and plug this cable into the SpO connector 5 Connect the sensor cable to the adapter cable 4 5 Switching Pulse Tone On Off To switch pulse tone on off 1 In Measurement mode press and hold the e hardkey for more than 2 seconds to enter Parameter Setup mode Press the c hardkey to switch to pulse tone setup 2 3 Press the hardkey to switch the pulse tone on off When PR parameter area displays OFFI it indicates that pulse tone is switched off When PR parameter area displays WE it indicates that pulse tone is switched on 4 Thesettings take effect after you exit Parameter Setup mode NOTE If pulse tone is set to NR the monitor sounds a beep at each pulsation during the SpO measurement Accutorr 3 Operator s Manual 4 3 4 6 Measurement Limitations If the SoO2 measurement seems out of range or inaccurate check the patient s vital signs Then check the equipment and SpO sensor The following factors may influence the accuracy of measurement Ambient light Physical movement Low perfusion Electromagnetic interference such as MRI environment Electrosurgical units Dysfunctional hemoglobin such as carboxyhemoglobin COHb and methemoglobin MetHb Presence of certain dyes such as methylene and indigo carmine Inappropriate positioning of the SpO sensor or use of incorrect SpO2 sensor W Drop of arterial blood flow to immeasurable levels caused by shock anemi
49. nitoring and not for continuous monitoring The equipment cannot be configured to obtain periodic physiological measurements at set intervals rather it is used by a healthcare provider to obtain an immediate measurement Keep this manual in the vicinity of the equipment so that it can be easily located when needed The software was developed in compliance with IEC60601 1 4 The possibility of hazards arising from software errors is minimized This manual describes all the equipment features and options Your equipment may not have all of them Only connect the specified device into an RS 232 connector During normal use the operator is expected to face the front of the equipment Accutorr 3 Operator s Manual 1 2 Equipment Symbols Some symbols may not appear on your equipment Caution Neonate CYO ON OFF for a part of Pediatric equipment Clear key Adult Alternating current Equipotentiality 408 Battery indicator Input Output DEFIBRILLATION PROOF TAR APPLEDPART DATE OF MANUAFACTURE NIBP Start Stop key MANUFACTURER Protection against fluid Insertion Direction ingress Serial number Alarm inhibit Refer to instruction manual booklet Atmospheric pressure limitation Temperature limit Humidity limitation Interference may occur in the vicinity of equipment marked with this symbol CATALOGUE NUMBER E ORLA Os m mee Uu gosse 7D E
50. nt site The monitor automatically stops measuring temperature after 10 minutes from the start of the measurement 6 4 Accutorr 3 Operator s Manual 6 4 Disinfecting Temperature Probe The recommended disinfectants include ethanol 70 isopropanol 70 glutaraldehyde type 2 liquid disinfectants To disinfect the temperature probe 1 Disconnect the temperature probe from Temp connector 2 Disinfect the probe with a soft cloth dampened with the recommended disinfectant 3 Wipe off all the remaining disinfectants from the probe with a soft cloth dampened with water 4 Dry the probe in a cool place AN WARNING Properly dispose of the used soft cloth Accutorr 3 Operator s Manual 6 5 FOR YOUR NOTES Accutorr 3 Operator s Manual 7 Battery 7 1 Overview The monitor is designed to operate from battery power when AC power is not available In case of power failure the equipment automatically runs from the battery The battery is to be used if the integrity of the protective earth conductor or the protective earthing system in the installation is in doubt NOTE Itis recommended to always keep a fully charged battery in the monitor to ensure normal monitoring in case of accidental power failure The on screen battery symbol indicates the battery status as follows A W C3 Indicates that the battery is fully charged The solid portion represents the current charge level of the battery in proportion t
51. o ensure the necessary safety of patients and all devices concerned will not be impaired by the proposed combination Put the equipment in a location where you can easily see the screen access the operating controls and disconnect the equipment from AC power 3 1 1 Unpacking and Checking Before unpacking examine the packing case carefully for signs of damage If any damage is detected contact the carrier or Mindray If the packing case is intact open the package and remove the equipment and accessories carefully Check all materials against the packing list and check for any mechanical damage Contact Mindray in case of any problem TA sene When disposing of the packaging material be sure to observe the applicable waste control regulations and keep it out of children s reach Before use please verify whether the packages are intact especially the packages of single use accessories In case of any damage do not apply it to patients Accutorr 3 Operators Manual 3 1 NOTE Save the packing case and packaging material as they can be used if the equipment must be reshipped 3 1 2 Environmental Requirements The equipment operating environment must meet the requirements specified in this manual The equipment operating environment should be reasonably free from noise vibration dust corrosive flammable and explosive substances To maintain good ventilation the equipment should be at least 2 inc
52. o its maximum charge level m B Indicates that the battery has low charge level and needs to be charged a E Indicates that the battery is almost depleted and needs to be charged immediately Otherwise the monitor automatically shuts down The capacity of the internal battery is limited When the battery is low the B symbol persistently flashes and the monitor sounds a beep every 10 seconds to remind you to charge the battery Press the hardkey to switch off the reminder tone If the battery is depleted the battery symbol ul flashes and the monitor sounds a beep every 5 seconds to remind you to charge the battery The reminder tone cannot be switched off 7 2 Charging a Battery The battery is charged whenever the monitor is connected to an AC power source regardless of whether or not the monitor is turned on When the battery is charging the AC power indicator and battery indicator are both on If the monitor is powered on the battery status symbol on the monitor screen displays when the charging is complete Accutorr 3 Operator s Manual 7 1 7 3 Replacing a Battery Oo be NS Turn off the monitor Open the battery compartment door Push aside the battery latch and remove the battery Place a new battery into the slot with its contact point inward Close the battery compartment door 7 4 Battery Guidelines Life expectancy of a battery depends on how frequently and how long it is used Fora properly maintained
53. o take mitigation measures such as re orienting or relocating the ME EQUIPMENT or ME SYSTEM or shielding the location Guidance and Declaration Electromagnetic Immunity The device is intended for use in the electromagnetic environment specified below The customer or the user of the device should assure that it is used in such an environment Immunity test 1EC60601 test level Compliance level Electromagnetic environment guidance Electrostatic discharge ESD IEC 61000 4 2 6 kV contact 8 kV air 6 kV contact 8 kV air Floors should be wood concrete or ceramic tile If floors are covered with synthetic material the relative humidity should be at least 30 Electrical fast transient burst 2 kV for power 2 kV for power Mains power quality should be that of a supply lines supply lines i j IEC 61000 4 4 1 kV for 1 kV for typical commercial or i hospital environment input output lines input output lines Surge IEC 1 kV line s to line s 3 1 kV line s to S10 2kVline s toearth ne s 2 kV line s to earth Voltage dips lt 5 Ur gt 95 dipin lt 5 Ur gt 95 96 dip Mains power quality short Ur for 0 5 cycle in Ur for 0 5 cycle should be that of a interruptions typical commercial or and voltage 40 Ur 60 96 dip in 40 Ur 60 96 dip in hospital environment If variations on the user of our product Ur for 5 cycles Ur for 5 c
54. olonged use of disinfectant may cause discoloration of the cuff Replace the bladder after cleaning and disinfecting the cuff 1 Place the bladder on the top of the cuff as shown below 2 Rollthe bladder lengthwise and insert it into the large opening A a E Ld 3 Hold the hose and the cuff and shake the complete cuff until the bladder is in position Accutorr 3 Operator s Manual 4 Thread the hose from inside the cuff and out through the small hole under the internal flap 5 6 2 Reusable Bladderless Cuffs Clean cuffs with warm water and a mild detergent Do not use a detergent containing hand conditioners softeners or fragrances Antimicrobial Definition Bladderless cuffs are treated with an antimicrobial coating Antimicrobial technology effectively controls a broad spectrum of bacteria fungi algae and yeasts on a wide variety of treated substrates 5 6 Accutorr 3 Operator s Manual 6 Monitoring Temp 6 1 Overview The SmarTemp Temp module is intended for monitoring oral axillary and rectal temperature of adult and pediatric patients and axillary temperature of neonatal patients Temperature can be measured in either Predictive mode or Monitor mode The default is Pred ictive mode AN WARNING Do not take oral temperature on an infant 0 3 years Do not take rectal temperature on a neonate 0 28 days Use only the specified temperature probe and probe cover Using
55. on the monitor s front panel After pressing the power button all contents on the display are shown refer to the figure in section 2 4 Display Screen and then the system sounds a beep after the self test finishes Then the monitor enters the normal monitoring screen A WARNING Do not use the monitor on a patient if you suspect it is not working properly or if itis mechanically damaged Contact your service personnel or Mindray NOTE Carefully check if the system performs the self test as described above Contact your service personnel or Mindray if the self test is abnormal Ifthe displayed contents are not clearly seen during the system self test they can be checked in the brightness adjustment screen Refer to 3 7 7 Adjusting the Screen Brightness Accutorr 3 Operator s Manual 3 3 2 Turning off the Monitor Before turning off the monitor 1 Ensure that monitoring of the patient has been completed 2 Disconnect cables and sensors from the patient Then press and hold the power on off switch for more than 2 seconds to turn off the monitor A CAUTION e Press and hold the power on off switch for 10 seconds to forcibly shut down the monitor when it could not be shut down normally or under some special situations This may cause loss of patient data When a power failure occurs the monitor restores the last configuration after it restarts NOTE Tocompletely disconnect the pow
56. perator s Manual 3 7 2 Selecting Temp Unit of Measure If the Temp module is installed set up the Temp unit of measure by following 1 Enter Maintenance mode 2 Press the hardkey to switch to the Temp unit of measure setup screen The following is the setup screen 3 Press the hardkey to toggle between C and F 3 7 3 Setting System Time 1 Enter Maintenance mode 2 Pressthe e hardkey to switch to the time setup screen The system time format is 00 00 3 Press the c hardkey to switch to the digit to be modified The selected digit flashes 4 Press the hardkey to modify the value Accutorr 3 Operator s Manual 3 9 5 After all the digits are properly set press the hardkey to exit time setup 3 7 4 Viewing Software Version 1 Enter Maintenance mode 2 Press the hardkey to switch to the system software version screen ft 3 Press the c hardkey to view each module software version The monitor displays the system software version NIBP module version SpO2 module version Temp module version and power management software version If some parameter module is not installed its software version does not display 3 7 5 Loading Factory Default Configuration 1 Enter Maintenance mode 2 Pressthe hardkey to switch to the default factory setup screen The PR parameter area displays 000 3 10 Accutorr 3 Operator s Manual 3 Press the hardkey to toggle between On and
57. r suspects that the measurement is NIBP tests incorrect Leakage test 2 Following any repairs or replacement of the module SpOz test 3 Once a year for NIBP tests Temp test 4 Once every two years for SpO test and Temp test Electrical safety tests Once every two years or as required Accutorr 3 Operator s Manual 8 3 8 4 Checking Monitor Information 1 2 Enter Maintenance mode Refer to 3 7 Maintenance Mode Press the hardkey to switch to system software version screen Refer to 3 7 4 Viewing Software Version Press the c hardkey to display the version of each module 8 5 Visual Inspection Perform an overall inspection on the appearance of the equipment The test is passed if the equipment has no obvious signs of damage Follow these guidelines when inspecting the equipment Carefully inspect the case display screen buttons and knob for obvious signs of damage Inspect all external connections for loose connectors bent pins or frayed cables Inspect all connectors on the equipment for loose connectors or bent pins Make sure that safety labels and data plates on the equipment are clearly legible 8 6 Power on Test This test is to verify that the equipment can power up correctly This test is passed if the equipment starts up by following this procedure 1 Insert the battery in the battery compartment and connect the equipment to the AC mains The AC mains indicator and batte
58. rature TEMP on adult pediatric and neonatal patients in healthcare facilities by physicians or appropriate medical staff under the direction of physicians This monitor is intended for use only by clinical professionals or under their guidance It must only be used by persons who have received adequate training in its use 2 2 Applied Parts The applied parts of the monitor are SpO sensor and cable NIBP tubing and cuff and Temp probes and cable Accutorr 3 Operator s Manual 2 1 2 3 Main unit 2 3 1 Front View mindray Accutorr 3 1 Display screen 2 AC power indicator On indicates that the monitor is connected to the AC power Off indicates that the monitor is not connected to the AC power 3 Power ON OFF switch Pressthis key to turn the monitor on Ifnoparameter is being measured press this key to enter Standby mode Whenthe monitor is on press and hold this key for more than 2 seconds to turn the monitor off An indicator is built into this switch It turns green when the monitor is on turns yellow when the monitor enters Standby mode and turns off when the monitor is off 2 2 Accutorr 3 Operator s Manual 4 Battery indicator On indicates that the battery is installed and the AC power is connected Off indicates that no battery is installed when AC power is connected or indicates that the battery is installed b
59. re non invasive blood pressure NIBP This measurement can be used for adult pediatric and neonatal patients To understand how this method works we will compare it to the auscultative method With auscultation clinicians listen to the Korotkoff sounds to determine blood pressure when using the auscultatory method Since the monitor cannot hear the Korotkoff sounds to determine the blood pressure it measures cuff pressure oscillation amplitudes Oscillations are caused by blood pressure pulses against the cuff This is the most accurate parameter measured by the oscillometric method The auscultation determines systolic and diastolic pressures The oscillometric method calculates the systolic and diastolic pressures As specified by IEC 80601 2 30 NIBP measurements can be performed during electro surgery and discharge of defibrillator NIBP diagnostic significance must be decided by the clinician who performs the measurement Blood pressure measurements determined with this device are equivalent to those obtained by a trained observer using the cuff stethoscope auscultatory method or an intra arterial blood pressure measurement device within the limits prescribed by the American National Standard Manual electronic automated sphygmomanometers or standards of IEC80601 2 30 EN1060 1 EN1060 3 EN1060 4 and SP10 5 2 Safety A warnine e During NIBP measurement the inflated cuff applies pressure on the application sit
60. rent battery charge level The actual battery capacity decreases over time with the use of the battery For an old battery its capacity and operating time may not fulfill battery specifications even if the battery charge level indicates the battery is fully charged Please replace the battery if its operating time is significantly lower than the specified time 7 5 2 Checking a Battery The performance of a rechargeable battery will deteriorate over time The battery performance test must be performed once a year before monitor repairs or whenever the battery performance is suspect To check battery performance 1 Disconnect the monitor from the patient and stop all monitoring or measuring 2 Turn off the monitor Disconnect the monitor from the AC power 3 Install the battery 4 Connect the monitor to AC power Allow the battery to be charged uninterrupted for 6 5 hours until the battery is full 5 Note the time Remove AC power and allow the monitor to run from the battery until it shuts off Note the time again Calculate the run time by subtracting the start time from the end time The operating time of a battery directly reflects its performance If the operating time of a battery is noticeably shorter than that stated in the specifications contact your Mindray service personnel Accutorr 3 Operator s Manual 7 3 NOTE The battery may be damaged or may have malfunctioned if it only operates for a short time after
61. ry indicator light up Press the o button on the front panel to turn on the equipment The work status indicator lights up inside the Power button The screen lights up The main interface is displayed Now the equipment is correctly started 8 7 Battery Check Refer to 7 5 2 Checking a Battery for battery check instructions Accutorr 3 Operator s Manual 9 Accessories The material that patients will come into contact with has passed the bio compatibility test and is verified to be in compliance with ISO 10993 1 ence Only use accessories specified in this chapter Using other accessories may cause damage to the equipment or not meet the claimed specifications Disposable accessories are not designed to be reused Reuse may cause a risk of contamination and affect the measurement accuracy Check the accessories and their packages for any sign of damage Do not use them if any damage is detected Dispose of accessories according to your hospital s regulations Usethe accessories before the expiration date if their expiration date is indicated Formore details about the accessories refer to the instructions for use of corresponding accessories 9 1 SpO Accessories Extension Cable Module Type Remarks Part No Masimo SpO Module 8 pins 2 1 m 115 020768 00 Nellcor SpO Module 8 pins 2 5 m 0010 20 42712 SpO Sensors Masimo SpO module
62. s required for the monitoring of patients Illustrations All illustrations in this manual serve as examples only They may not necessarily reflect the setup or data displayed on your equipment Manual Conventions W Italictext is used to quote the referenced chapters or sections W lisusedtoenclose screen text W isusedto indicate operational procedures Accutorr 3 Operator s Manual V FOR YOUR NOTES VI Accutorr 3 Operator s Manual Contents TS AFSC e E E E T E E E E E 1 1 1T Safety Informatloh tct dines p isl cp RORE 1 1 1 1 1 Warnings 1 1 2 Cautions T13 NOTES koniino RE AEAEE E EA 1 2 EquipmentSymbols agere inte ebbe drerit Merten a ES 1 5 2TH BASICS fe E 2 1 2 1 Intended Use 2 2 Applied Parts 2 3 Main unit 2 3 V EFODEVIGW iecoris be deti p Str coach ibt ia destodrie ee tub pets t E ba a ees bic S 2 2 2 3 2 Side View 2 3 3 Rear View 23A Duende n 2 5 2 4 Display SCreen c sese ete tdem aee e ei e dte 2 6 3 Basic Operation mem 3 1 ENMciemR EE 3 1 1 Unpacking and Checking 3 1 2 Environmental Requirements 32 General Operation 15 e eas a rib te tee edi ore k 3 2 1 Connection to AC Power 3 2 2 Using a Battery 3 2 3 Connecting ACCESSOTLICS csssccseccssscsscccseccsscesseecssccssecsseccssecssecssccuscenecesseesseceasecsneesseecseeeste 3 3 Turning On Off Power 3 3 1 Turning Power On 3 3 2 Turning o
63. sensor if the skin quality changes Change the application site every four hours For neonates or patients with poor peripheral blood circulation or sensitive skin inspect the sensor site more frequently NOTE Do not perform SpO monitoring and NIBP measurements simultaneously on the same limb Obstruction of blood flow during NIBP measurements may adversely affect the SpO reading 4 3 Identifying SpO Module To identify which SpO module is installed into your monitor see the company logo located at the side panel The cable connector color corresponds to the company as shown below OM so W Masimo SpO2 module a purple connector with the Masimo SET logo oh ANO b wow W Nellcor SpO2 module a grey connector with the Nellcor logo a The SpO sensor connectors are mutually exclusive 4 2 Accutorr 3 Operator s Manual 4 4 Applying the Sensor NOTE Place the SpO sensor so that the light source is against the application site Checkifthe sensor is in normal condition before monitoring Do not use the SpO sensor once the package or the sensor is found damaged Donotapply the sensor on a limb with an intravenous infusion or arterial catheter in place 1 Select an appropriate sensor according to the module type patient category and weight 2 Clean the application site For example remove colored nail polish 3 Apply the sensor to the patient 4 Selectan appropriate adapter cable accordi
64. set up the communication use the serial cable P N 0012 00 1275 01 to connect the external device to the Intput Output connector of the monitor and then follow this procedure 1 Enter Maintenance mode 2 Pressthe hardkey to switch to the default factory setup screen The PR parameter area displays 001 4 3 Press the hardkey to toggle between 9600 bps and 19200 bps NOTE Refer to the DIAP Communications Protocol Service Manual P N 0070 00 0307 for additional information Accutorr 3 Operator s Manual 3 13 FOR YOUR NOTES 3 14 Accutorr 3 Operator s Manual 4 Monitoring SpO2 4 1 Overview SpO2 monitoring is a non invasive technique used to measure the amount of oxygenated hemoglobin by measuring the absorption of selected wavelengths of light The light generated in the probe passes through the tissue and is converted into electrical signals by the photodetector in the probe The SpO2 module processes the electrical signal and displays digital values for SpO and pulse rate This device is calibrated to display functional oxygen saturation It provides the following SpO ry Bee ie 2 4 1 Oxygen saturation of arterial blood SpO2 percentage of oxygenated hemoglobin in relation to the sum of oxyhemoglobin and deoxyhemoglobin 2 Perfusion index PI Pl is available for Masimo SpO2 module PI gives the numerical value for the pulsatile portion of the measured signal caused by arterial pulsation PI
65. ssible difference in ground potential 2 4 Accutorr 3 Operator s Manual 2 3 4 Bottom View 1 Battery compartment door 2 Quick release mount latch point Accutorr 3 Operator s Manual 2 4 Display Screen M oO 0 MO wm PW 10 11 12 13 8 9 6 7 10 12 13 15 16 18 17 19 22 20 21 Patient category Adult Pediatric Neonate Error code Refer to C Error Codes for additional information System time Charge level indicator NIBP label NIBP unit of measure Systolic pressure Cuff pressure displayed during NIBP measurement NIBP cuff indicator When errors such as air leak incorrect air pressure weak signal overpressure incorrect cuff type or excessive patient motion etc occur the cuff indicator displays Diastolic pressure SpO label SpO unit of measure SpO value Perfusion index Accutorr 3 Operator s Manual 16 17 18 19 20 21 22 SpO gt 2 sensor indicator Flashes for5 seconds indicates the SpO sensor is off Persistently flashes indicates a weak SpO signal no pulse or too much light On indicates SpO sensor error or no sensor PR label PR unit of measure PR value Temperature unit of measure F C and measurement mode M or P M for Monitor P for Predictive Temperature label Temperature value Temperature measurement site Oral Axillary Rectal
66. t to the warranty of their respective manufacturers A condition of this warranty is that the equipment or accessories which are claimed to be defective be returned when authorized freight prepaid to Mindray DS USA Inc Mahwah New Jersey 07430 or its authorized representative Mindray shall not have any responsibility in the event of loss or damage in transit Exemptions Mindray s obligation or liability under this warranty does not include any transportation or other charges or liability for direct indirect or consequential damages or delay resulting from the improper use or application of the product or the use of parts or accessories not approved by Mindray or repairs by people other than Mindray authorized personnel This warranty does not extend to W Malfunction or damage caused by improper use or man made failure Accutorr 3 Operator s Manual Il W Malfunction or damage caused by unstable or out of range power input W Malfunction or damage caused by force majeure events such as i flood fire and earthquake or other similar elements of nature or acts of God ii riots war civil disorders rebellions or revolutions in any country or iii any other cause beyond the reasonable control of Mindray W Malfunction or damage caused by improper operation or repair by unqualified or unauthorized service people W Malfunction of the instrument or part whose serial number is not legible W Others not caused by instrument
67. t is complete 5 Withdraw the probe Firmly press the ejection button on the top of the probe to eject the probe cover Replace the probe into the probe well NOTE In Predictive mode place the temperature probe at the measurement site as soon as probe warmup is complete otherwise an inaccurate temperature reading may result In Predictive mode if the probe temperature is high due to the environmental temperature or other causes cool the probe and then measure the patient s temperature The temperature reading displays continuously until the probe is again removed from the probe well 6 3 3 Taking a Temperature in Monitor Mode To measure a temperature in Monitor mode 1 Make sure that the temperature measurement site setting is correct 2 Remove the probe from the probe well and hold it for 60 seconds until the monitor automatically enters Monitor mode 3 Insert the probe into a cover in the probe cover pack Press the probe handle down firmly until the cover engages with the probe 4 Place the probe at the measurement site and the monitor measures the site temperature Refer to Step 4 in 6 3 2 Taking a Temperature in the Predictive Mode for how to place a probe 5 Withdraw the probe Firmly press the ejection button on the top of the probe to eject the probe cover Replace the probe into the probe well NOTE In Monitor mode record the measured value prior to taking the probe away from the measureme
68. the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer Note 1 At 80 MHz and 800 MHz the separation distance for the higher frequency range applies Note 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people B 4 Accutorr 3 Operator s Manual C Error Codes This chapter lists all the error codes that may appear on your monitor In the Solution column corresponding solutions are given instructing you to troubleshoot problems If the problem persists contact your service personnel When an error occurs the Error Code area on the screen displays the code If the error is related with parameter module the corresponding parameter label also flashes Some error codes can be cleared but some cannot In Measurement mode you can press the hardkey to remove the clearable code in the Error Code area and stop the parameter label from flashing When multiple errors occur the error codes scroll Error Description slsarabpie Causes Solution Code Yes No Yes The measured NIBP value Contact Mindray or 01 NIBP overrange exceeds the measurement your service personnel range No 1 Self test failure Restart the monitor If 2 NIBP module error or the error remains communication error contact Mindray or between NIBP and main your service personnel
69. ult your hospital s Infection Control Officer or Epidemiologist icion Ifyou spill liquid on the equipment or accessories contact Mindray or your service personnel 8 1 1 Cleaning Clean your equipment on a regular basis Consult your hospital s regulations before cleaning the equipment The recommendedd cleaning agents include W Sodium hypochlorite bleach 10 W isopropanol 70 To clean your equipment 1 Shutdown the monitor and disconnect it from AC power 2 Clean the display screen using a soft clean cloth dampened with a cleaning agent 3 Clean the exterior surface of the equipment using a soft cloth dampened with a cleaning agent 4 Wipe off all the cleaning solution with a dry cloth after cleaning if necessary 5 Dry your equipment in a ventilated cool place 8 1 2 Disinfecting If disinfecting is required because of hospital policy cleaning the equipment before disinfecting is recommended The recommended disinfectants include W Ethanol 70 W isopropanol 70 E Perform classic concentrate OXY 8 2 Accutorr 3 Operator s Manual 8 2 General Inspection Before first use follow these guidelines when inspecting the equipment W Make sure that the environment and power supply meet the specifications E Inspect the equipment and its accessories for mechanical damage E Inspect all power cords for damage and make sure that their insulation is in good condition W Make sure that only spe
70. unit 02 NIBP module error 3 System error After startup pump A D sampling or pressure transducer error or pointer error during software running NIBP No NIBP module error or 03 Comm nicaton communication error between NIBP and main error unit No The NIBP airway may be Check the air pressure occluded or the cuff is Restart the monitor 04 NIBP air pressure squeezed during and retry If the error error deflation remains contact Mindray or your service personnel Yes The patient s pulse is Check the patient s weak or the cuff is loose condition and change 05 NIBP weak signal the cuff application site If the error persists replace the cuff Accutorr 3 Operator s Manual C1 Error Clearable Code Description Yes No Causes Solution i Yes Patient s arm moves too Check the patient s NIBP excessive ee 06 much condition and reduce motion S the patient s motion 07 NIBP cuff Yes The NIBP airway may be Check the airway and overpressure occluded measure again Yes An illegal reset occurred Check if the airway is 08 NIBP illegally reset during NIBP occluded measurement Yes Maximum measurement Check the patient s duration exceeded In condition and NIBP Adult Pediatric mode the connections or replace 09 NIBP timeout maximum measurement the cuff duration is 120 seconds in neonate mode the maximum measurement durat
71. unting Bracket for Rolling Stand 045 001054 00 Quick Release Mounting Bracket for Wall Mount 045 001055 00 Rolling Stand with Quick Release Mount 045 001057 00 Wall Mount Bracket 045 001059 00 Serial Cable Assembly 0012 00 1275 01 U S Power Cord 0012 25 0001 Accessories Kit Component Part No Accutorr 3 Welch Allyn Accutorr 3 Welch Allyn Temp Support 115 022900 00 Temp Support Kit Assembly 115 025042 00 Accutorr 3 Welch Allyn Temp Support 046 006015 00 Installation Guide Li ion Battery Kit Li ion Battery 11 1V 4500mAh 022 000008 00 115 018012 00 9 4 Accutorr 3 Operator s Manual A Product Specifications A 1 Classifications The equipment is classified according to IEC60601 1 Type of protection against electrical shock CLASS EQUIPMENT equipment energized from an external and internal electrical power source Degree of protection against electrical shock DEFIBRILLATION PROOF TYPE CF APPLIED PART for SpO NIBP and TEMP Mode of operation Continuous Degree of protection against harmful ingress of water IPX1 protection against vertically falling water drops Degree of safety of application in the presence of a FLAMMABLE ANAESTHETIC MIXTURE WITH AIR or WITH OXYGEN OR NITROUS OXIDE EQUIPMENT not suitable for use in the presence of a FLAMMABLE ANAESTHETIC MIXTURE WITH AIR or WITH OXYGEN OR NITROUS OXIDE Degree of mobility Portable A 2 Environmental Sp
72. ure specified in this chapter Do not open the equipment housings All servicing or upgrades must be carried out by Mindray trained and authorized personnel No modification of this equipment is allowed 8 1 Cleaning and Disinfection This section describes cleaning and disinfection procedure for the monitor only For the cleaning and disinfection of other reusable accessories refer to instructions for use of corresponding accessories Keep the equipment and accessories clean To avoid damage to the equipment follow these guidelines Always dilute cleaners and disinfectants according the manufacturer s instructions or use lowest possible concentration Do not immerse any part of the equipment into liquid Do not pour liquid onto the equipment or accessories Do not allow liquid to enter the case Never use abrasive materials or corrosive cleaners such as acetone or acetone based cleaners AY Be sure to turn off the monitor and disconnect all power cables from the outlets before cleaning the equipment Use only Mindray approved cleaners and disinfectants and methods listed in this chapter to clean or disinfect your equipment Warranty does not cover damage caused by unapproved substances or methods Accutorr 3 Operator s Manual 8 1 ZA nnns Wemake no claims regarding the efficacy of the listed chemicals or methods as a means for controlling infection For infection control methods cons
73. ut no AC power is connected when the monitor is powered off Flashing indicates that the monitor is powered by battery 5 Clear key In Measurement mode press this key to clear currently displayed measurements and error code In Measurement mode press and hold this key for more than 2 seconds to access the Parameter Setup mode When the monitor is starting up and a beep is heard press and hold this key immediately within 10 seconds after the beep to access the Maintenance mode 6 Patient Category key In Measurement mode press this key to toggle among adult pediatric and neonate 7 NIBP Start Stop key In Measurement mode press this key to start or stop an NIBP measurement 8 Probe cover pack holder 9 Temperature probe well 10 Handle 2 3 2 Side View 1 Connector for SpO2 cable 2 Connector for NIBP cuff Accutorr 3 Operator s Manual 2 3 2 3 3 Rear View Da 100 240V Handle Temperature probe well Connector for temperature probe Input Output connector RS 232 connector This connector can be used for software upgrade and DIAP Datascope Improved ASCII Protocol communication AC power input 6 Equipotential grounding terminal TU tN Ui NOTE When using the equipment with other devices their equipotential grounding terminals should be connected together to eliminate a po
74. ycles power supply requires continued input lines IEC operation during power 61000 4 11 70 96 Ur 30 96 dip in 7096 Ur 3096 dipin mains interruptions it is Ur for 25 cycles Ur for 25 cycles recommended that our product be powered lt 5 Ur gt 95 dipin lt 5 Ur gt 95 dip FOM an uninterruptible Ur for 5s in Ur for 5 s power supply or a battery B 2 Accutorr 3 Operator s Manual Power frequency 50 60 HZ magnetic field IEC 61000 4 8 3 A m 3 A m Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment Note Uris the AC mains voltage prior to application of the test level Guidance and Declaration Electromagnetic Immunity The device is intended for use in the specified electromagnetic environment The customer or the user of the device should assure that it is used in such an environment as described below Immunity IEC60601 Compliance Electromagnetic environment test test level level guidance Conduced RF 3 Vrms 3Vrms Portable and mobile RF communications IEC61000 4 6 150 kHz to 80 equipment should be used no closer to MHz any part of the system including cables than the recommended separation distance calculated from the equation appropriate for the frequency of the transmitter Recommended separation distances d 1 2VP Radiated RF 3V m 3V m Recommended separation distances IEC6100

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