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HBP-T105/S series

1. 3 a x Appendix 11 33 Environmental Conditions Power supply AC ADAPTER Input voltage range Rated Current Frequency Output voltage range AC Plug Battery Type Measurement Time AC 100V to 240V 4 28A 50 60Hz DC 14V 5 NEMAS5 15P 12V 3 2Ah 6 hours maximum E When operating under the following conditions e Ambient temperature 25 C 77 F e Cuff blood pressure measurement interval 15 minutes e Recorder Not used e Battery operation SAVE Operational temperature and humidity Temperature range Humidity range Atmospheric pressure Storage and transportation Temperature range Humidity range Atmospheric pressure EMC Reference standard 11 Z 3 o 2 2 lt 11 34 Appendix 0 to 40 C 32 to 104 F 30 to 85 not condensed 700 to 1060hPa 20 to 60 C 4 to 140 F 10 to 95 not condensed 500 to 1060hPa IEC60601 1 2 2001 Medical electrical equipment Part1 General requirements for safety 2 Collateral Standard Electromagnetic compatibility Requirements and tests EN55011 1998 Group1 Class B Non Invasive Blood Pressure NIBP Measurement technology Measurement method Pressure display range Adult pediatric mode Neonatal mode Pressure display accuracy NIBP measurement range Adult pediatric mode SYS MAP DIA Pulse rate Neonatal mode SYS MAP DIA Pulse rate NIBP accuracy Pulse rate accuracy Defibrillator protection Oscillometric Dyn
2. E When measurement ends and the Cuff Interval is set to OFF HBP T105only This is not applicable when NIBP and SpO measurements are simultaneously taken Non Invasive Blood Pressure Measurement 3 17 Clear Display HBP T105S only Clear Each time you press the Clear switch the measurement value display is cleared measurement value Press this when the patient is changed display Usage method Press the Clear switch Clear switch Display 3 18 Non Invasive Blood Pressure Measurement 4 Pulse Oximeter SpO3 Only models with SpO Pulse Oximeter SpO gt Measurement Preparation Connecting the SpO Sensor SpO gt s Sensor Selection Attaching SpO Sensor Reusable SpO Sensor Disposable SpO Sensor Measurement Screen Display Exampl e MEASUREMENT PREPARATION Connecting the SpO Sensor Models with 1 Plug the DOC 10 extension cable into the SpO connector on the side of the Nellcor device SpO N To disconnect press the top and bottom arrow sections and remove Insertion direction caution Connector only fits one way 2 Insert the OXISENSOR onto the extension cable lower the cover and lock it Models with 1 Plug the LNC 10 extension cable into the SpO connector on the side of the device To disconnect press the top and bottom arrow A Masimo sections and remove SpO2 DA Insertion direction caution Connector o
3. When changing a device setting this moves the setting value for the selected item to the next alternative forward This is used for making settings Silences the alarm The AC adapter is connected here Store the temperature probe cover box here Store the temperature probe here Lights up or flashes when an alarm occurs To read patient ID connect BAR CODE READER here BAR CODE READER is an option To use a BAR CODE READER refer to the manual HBP BCRD A series Bar Code Reader Instruction Manual 1 Only models with body temperature measurement Temperature Measurement 1 Internal Battery Cover Roll Paper Holder 2 Non Invasive Blood Pressure Measurement NIBP Pulse Oximeter SpO2 3 Record Switch 2 The body temperature measurement probe is connected here Remove this cover when mounting or replacing the internal battery The roll paper is placed here The air hose for the cuff measurement is connected here The SpO cable is connected here Starts and stops recorder printing 1 Only models with body temperature measurement 2 Only models with recorder 3 Only models with SpO 9 Outline 1 5 Explanation of Display SYS LED Displays the Systolic Pressure MAP LED Displays the Mean Arterial Pressure DIA LED Displays the Diastolic Pressure INT LED Displays the Cuff Interval HBP T105 Only For the setting method see Page 3 8
4. 4 Keep the level of the cuff at the same level as the heart during the measurement 5 Maintain the height of the cuff wrapped upper arm artery to that of the heart s right ventricle during measurements Heart Upper arm artery Select a cuff to suitably fit the patient by wrapping the cuff edge around the arm and seeing that it fits well into the cuff size indicator as shown in the diagram below The hose should be brought out from the peripheral side without bending 1 1 a rtery Alignment Caution concerning relationship between cuff and heart height Ms The blood pressure reading will be incorrect if the height of the cuff side position etc and the heart differ A 4 in difference may cause the blood pressure reading to differ by a maximum of 7 to 8 mmHg 3 6 Non Invasive Blood Pressure Measurement MANUAL MEASUREMENT Commencing a Measurement Display of the Measurement Results Press the Cuff Start Stop switch Monitor will inflate to the initial inflation pressure value then measure Cuff Start Stop switch Re measure if the measurement cannot be performed If pressurization is insufficient the pressure will automatically increase until the correct pressure is reached this may occur even during a measurement M To interrupt a measurement press the Cuff Start Stop switch When the measurement is complete the measured value is displayed and the air in the cuff is rapidly exha
5. E f E30 38 occurs before the first measurement value is obtained either there is no sound or no display Appendix 11 9 gt ke 3 3 a x LL Body Temperature Error Code Table ee riori ape Siene Temperature probe is not connected The measured temperature is lower than A 0 0 C or higher than Medium Possible 50 0 C g N2 aes Temperature is T lt 26 6 C 41 2 C lt T Possible Causes Probe breakdown Heater abnormality Possible Internal module abnormality e A breakdown was detected in the main unit s internal module e Communication with the main unit s internal module was cut off e An impossible measurement value was obtained For HBP T105S the alarm does not sound or no display 11 10 Appendix Check items Sensor not connected to the main unit If connected the cable may be damaged Replace with a new cable If replacing the cable has no effect the problem may be within the device In this case cease use immediately and contact Omron Technical Service A measurement reading outside the measurement range was obtained It is possible that the temperature in the vicinity of the sensor is extremely low less than 14 5 C or extremely high more than 45 5 C Adjust the ambient temperature and measure again Replace the probe If replacing the probe does not solve the problem stop using body temperature measurement and contact Omron Technical Service
6. Note Do not use any probe or probe cover other than those specified Temperature Measurement 5 1 MEASUREMENT Mounting the Probe Cover Mounting the Body Temperature Probe For oral measurement Always mount the probe cover before using the body temperature probe Securely plug the tip of the body temperature probe all the way into the probe cover If the cover is not securely mounted there is a danger of it coming loose or coming off in use Also be careful not to press the probe cover removal button by mistake during use Probe cover removal button Body temperature probe e Probe cover Place the tip of the probe in the hollow under the tongue After about 10 seconds the body temperature can be measured M Hold the probe in such a way that its tip is touching the skin during body temperature measurement HM During body temperature measurement do not change the position of the body temperature probe or have the patient hold it Body temperature 5 2 Temperature Measurement For armpit measurement Body temperature measurement mode Put the tip of the body temperature probe into the patient s armpit and have the patient sandwich it in place After about 10 seconds the body temperature can be measured HM Hold the body temperature probe position constant and in such a way that its tip is touching the patient s skin during body temperature measurement
7. gt ke 3 5 a x LL Population Pulse rate accuracy Display update Defibrillator protection Alarm range SpO upper SpO gt lower Pulse rate upper Pulse rate lower Alarm delay time Maximum delay time Average delay time 11 Z 3 o 2 2 lt 11 38 Appendix Healthy and recruited from local population Comprised of both men and women subjects spanned a range of skin pigmentations and ranged in age from 18 50 years old MAX N Clinical functionality has been demonstrated on a population of hospitalized neonate patients The observed SpO accuracy was 2 5 in a study of 42 patients with ages of 1 to 23 days weight from 750 to 4 100 grams and 63 observations made spanning a range of 85 to 99 SaO For more information visit http Awww nelicor com 3 min Less than 30sec Protected limit 71 to 100 SpOs Default 100 SpO limit 70 to 99 SpOo Default 90 SpO limit 30 to 260 min Default 180 min adult 200 min Neo limit 25 to 255 min Default 40 min adult 50 min Neo 10 sec 10 sec Pulse Oximeter Models with Masimo SpO Measurement method 2 wave length pulse wave type Measurement range 1 to 100 SpO2 Pulse rate 25 to 240 min Accuracy Specifications Accuracy specifications are based on controlled hypoxia studies with healthy non smoking adult volunteers over the specified saturation SpO range s Pulse oximeter SpO readings were compared to SaO values o
8. Adult or Neo Arterial oxygen saturation W Attach the SpO sensor to a finger and check that the value is displayed by pulse oximeter SpO gt measurement section gt xe me 0 3 2 x Appendix 11 21 Printer Non Invasive blood pressure measurement NIBP Arterial oxygen saturation by pulse oximeter measurement SpO Temperature measurement 11 Z 3 o 2 2 lt 11 22 Appendix Press the Record switch and check that the instrument is recording The person checking the cuff should wrap the cuff around arm perform cuff measurement and check to see that blood pressure is in the vicinity of normal measurements While measurement is in progress bend the relevant arm and move body to halt discharge and during this halt check that cuff pressure does not drop Check to see that a normal reading is displayed when the SpO sensor is placed on the patient s finger If the measurement reading seems dubious replace the sensor with a new one and compare the difference in measurement readings If the difference is large use the new sensor Place probes in a beaker of water 26 C to 41 C 80 F to 106 F and check that the temperature difference is within 0 2 C 0 4 F Only for models with the optional recorder Only for models with the optional SpOp Only for models with the optional temperature POWER ON DISPLAY Once the power is turned ON the f
9. Battery Icon Display katt ncattetaciis estorientitatdcelt bint trvcettan bdmvsdmstamendatal ce 10 2 Battery LOW is oioi saaat tenaa annaa A AE a aaan iai 10 3 Battery Not Mounted iiscsencuass aud sar sand cram card Maceta died nad adv edueuieatds 10 3 Operating TING sorire e esa ibe E A E teat R oes 10 3 Battery and Ambient Temperature ccc cecccceceeeeeeeeeeeeeeeeeeeeeeeeeeeea 10 3 Warranty e eriei iuti aa a e e E E a e iai e 10 3 INTERNAL BATTERY About the Internal Battery When Using the Internal Battery for the First Time Battery Indicator and Battery Icon Charging Types and Battery Indicator Display When the accessory battery unit is mounted in the main unit the device can be run by battery Also even when using the AC power supply if the AC power supply should be disconnected for any reason the device switches automatically to battery operation This makes continuous monitoring possible even without AC power This battery is a lead acid battery When using the internal battery for the first time it is necessary to mount it in the main unit and charge it Following the instructions in Preparations Before Use Page 2 1 Installing the Internal Battery and Charging the Internal Battery install and charge the battery e TER wW Battery icon p a Battery indicator When the device s AC adapter is connected to the main unit and the AC adapter cable is plugged into an AC socket the battery un
10. Environmental Conditions c cccecceeeeeeeeeeeeeeeeeeeeeeeecaaeeeeeeeeeeeeeenaeeeee 11 34 Non Invasive Blood Pressure NIBP cccceeesseeeeeeeeeeeeeeeeeeeeeeeenaeeeeee 11 35 Pulse Oximeter Models with Nellcor POs hese Hier tem ede a daatinte 11 37 Pulse Oximeter Models with Masimo SpOo ccscsccssscssesssesesesteseteteees 11 39 E Temp Models with Body Temperature Measuremen 0 cccceees 11 41 POC STATEMENT ifun Genuine Sensei a ue nce witout ner ee noe 11 42 Manufacturers Declaration icici ctesdtechetind eee tite iets Lei ae 11 42 Optional ACCESSONCS 2s seis evsgeccctccecuhtntentpeccadlccdt pan vanwadndeicccediaauwbastpbexes 11 46 ERROR CODE TABLE System Error Code Table riori ontents eck Items ROM checksum error An error was detected in the main unit s internal ROM Switch the power for the main unit OFF then ON again If this does not solve the problem there is a possibility that the device is broken Immediately stop using A Possible monitor and contact Omron T Technical Service RAM error An error was detected in the main unit s internal RAM Switch the power for the main unit OFF then ON again If this does not solve the problem immediately stop using monitor and contact Omron Technical Service E01 High E02 E81 Battery is discharged An error was detected Charge the battery High Possible If this does not solve the problem immediately stop using mo
11. LST 1 Default Detailed List Recording LST 2 Measurement Value Recording OSCL Al list recording Time when the Record switch was pressed PRINT 2007 04 05 TE Date of the head data in the recorded list data DATA DATE 2007 04 04 PR aa a Aai For the following data the time section is displayed shaded to make later identification easier SYS DI PR Sp02 TEMP Data for manual blood pressure measurement _mmHe __ min__ _Sp02___ C_ HBP T105 only 11 00 0000000000000001 20 60 A 60100365 NIBP measurement information l When the blood pressure values are displayed the 110 1 2000000000000019 NIBP information changes as below 21 61 A 60 98 36 6 I The body moved during measurement 1 20 0000000000000012 A The measurement mode was measured as an Adult 165 105 A 60 96 36 7 Pediatric 1 N 0 0000000000000011 N The measurement mode was measured as a 40 O A 60 91 36 6 Neonate 1 40 0000000000000016 The shading shows when an alarm occurred ci A 60 4 365 HBP T105 only 1 5X 0000000000000029 19 NA 60 94 36 3 An error code is printed when an error occurs HM Patient IDs are recorded only if there are IDs in the list data If none are present this is left blank E The ID section is left blank or printed as Unknown if ID is not entered or when the patient changes M The SpO data is displayed only for models with SpO measurement E The TEMP data is displayed only for mode
12. Manual Recording Page 8 5 o m PRT MAN is displayed mt GH LSTI Simple list recording GE g LST2 Detailed list recording mE OSL L osc Measurement value recording One of the above is displayed 9 14 Setup 10 External output selection 11 Battery operation selection Battery operation selection screen Selecting SAVE CONT Entering the selection Exiting the selection screen 12 Hour setting This screen makes settings related to external output selection Contact Omron Technical Service when making these selections When this function is switched to SAVE the LED screen turns off after 3 minutes of no activity If any operation is carried out or an alarm is generated the display resumes Press the Menu Enter switch until the Battery Operation Selection screen appears When the Battery Operation Selection screen appears the display becomes as follows BAT MDE is displayed The current selection is displayed Display example GAUE TEMP Lont SAVE Power saving mode CONT Continuous mode One of the above is displayed Use the Forward or Back switch to select SAVE or CONT When you have selected SAVE or CONT press the Menu Enter switch to enter the selection When you do the selection screen display moves to the next setting item To end Utility Mode and return to the basic screen switch the power OF
13. failure of or faulty electrical power that have been used or operated in any way other than described in the Instruction Manual to which any nonstandard accessory attachment has been affixed on which the serial number has been removed or made illegible or that has been modified or improperly disassembled serviced or reassembled by anyone other Omron unless authorized by Omron Omron makes no warranty a with respect to any consumable or disposable products that are not warranted products b with respect to any product purchased from a person other than Omron or an Omron authorized distributor or c with any respect to any product sold under a brand name other than Colin or Omron Omron will not be responsible for the safety reliability and or performance of the product if a assembly operations extension readjustments modifications or repairs are carried out by persons other than Omron or persons authorized by Omron to perform repair service on Omron s behalf or b the electrical installation does not comply with the requirements of the applicable national and international standards including requirements of the IEC or c the product is not used in accordance with Omron s instruction for use Service Limitations Shipping Procedures Returning the Unit In the event of a proven defect in the product Omron may be liable for injury or death of any actual person or damage to property to the extent but only to
14. then S 660 S 905 x R which is the same relationship for the traditional pulse oximeter The equation for the noise reference is based on the value of R the value being sought to determine the SpO The MS board software sweeps through possible values of R that correspond to SpO values between 1 and 100 and generates an N value for each of these R values The S 660 and S 905 signals are processed with each possible N noise reference through an adaptive correlation canceler ACC which yields an output power for each possible value of R i e each possible SpO from 1 to 100 The result is a Discrete Saturation Transform DST plot of relative output power versus possible SpO value as shown in the following figure where R corresponds to SpO 97 Discrete Saturation Transform Energy Output Relative Correlation Canceler SpO5 The DST plot has two peaks the peak corresponding to the higher saturation is selected as the SpO value This entire sequence is repeated once every two seconds on the most recent four seconds of raw data The MS board SpO therefore corresponds to a running average of arterial hemoglobin saturation that is updated every two seconds LL DST is a registered trademark of Masimo Corporation gt ke 5 a x Appendix 11 15 DEFAULT SETTING The setting items factory settings and backup information for this device are listed in the table below All settings can be r
15. x Appendix 11 41 11 Z 3 2 2 lt FCC STATEMENT POTENTIAL FOR RADIO TELEVISION INTERFERENCE for U S A only This product has been tested and found to comply with the limits for a Class B digital device pursuant to part 15 of the FCC rules These limits are designed to provide reasonable protection against harmful interference in a residential installation The product generates uses and can radiate radio frequency energy and if not installed and used in accordance with the instructions may cause harmful interference to radio communications However there is no guarantee that interference will not occur in a particular installation If the product does cause harmful interference to radio or television reception which can be determined by turning the product on and off the user is encouraged to try to correct the interference by one or more of the following measures e Reorient or relocate the receiving antenna e Increase the separation between the product and the receiver e Connect the product into an outlet on a circuit different from that to which the receiver is connected e Consult the dealer or an experienced radio TV technician for help POTENTIAL FOR RADIO TELEVISION INTERFERENCE for Canada only This digital apparatus does not exceed the Class B limits for radio noise emissions from digital apparatus as set out in the interference causing equipment standard entitled Digital Apparatus ICES 003
16. An abnormality was detected in the body temperature measurement heater Replace the body temperature probe with a new one If replacing the probe does not solve the problem switch the power OFF then ON again If this does not solve the problem there is a possibility that the device has broken down so immediately stop using it and contact Omron Technical Service An abnormality was detected in the body temperature module Switch the power OFF then ON again If this does not solve the problem there is a possibility that the device has broken down so immediately stop using it and contact Omron Technical Service mM Incase of E40 E41 the error code may not be displayed depending on the setting E f E40 43 occurs before the first measurement value is obtained either there is no sound PRINCIPLES Non Invasive Pressure Measurement Principles Oscillometric The beat in the pulsation generated by the contraction of the heart is captured as method the pressure inside the cuff to measure the blood pressure If the cuff wrapped around the upper arm is pressurized sufficiently the blood flow stops but the beat of the pulsation is present and the pressure inside the cuff receives this and oscillates Next as the pressure inside the cuff gradually decreases the oscillation of the pressure within the cuff gradually increases and reaches a peak As the pressure within the cuff decreases further the oscillation dec
17. E17 error code is displayed and measurement becomes impossible BPM pressure sensor fault Pump operated for ten seconds however pressure does not change Check the connection of the cuff hose The problem may be due to a fault if no improvement is apparent Cease use immediately in this case and contact Omron Technical Service Fault detected in A potentially dangerous situation was detected during measurement It is possible that the situation was detected incorrectly due to vibration being applied to the cuff and cuff hose from an external source or occurrence of a blockage Check the patient and conditions of measurement and measure again with the cuff Cease use immediately if the E09 error recurs and contact Omron Technical Service Check the condition of the patient Readings outside NIBP range Adult mM Incase of E10 NIBP measurement value and the error code are displayed alternately Appendix 11 3 Possible Causes Check items gt ke 3 a x LL 11 fe 3 o 2 2 lt Sound e A Possible N2 Error Se Per Ls E11 High 1st through 2nd time Low Re mea sure 3rd time High For HBP T105S the alarm does not sound 1st through 2nd time Low Re mea sure 3rd time High 11 4 Appendix Possible Causes Pressure rise not completed within required time Required time 60 seconds adult 20 seconds neonate Cann
18. Forward or Back switch to change the setting value value Entering the setting When you have selected the setting value press the Menu Enter switch to enter value the value When you do the setting screen display moves to the next setting item Exiting the setting If you do not press a switch for 10 seconds or press Cuff Start Stop or Alarm screen Silence Setting Mode ends and the display returns to the basic screen 10 Pulse rate This sets the pulse rate volume volume setting The setting procedure is as follows Pulse rate volume Press the Menu Enter switch until the Pulse Rate Volume Setting screen appears setting screen When the Pulse Rate Volume Setting screen appears the display becomes as follows VOL PLS is displayed The current setting value is displayed Display example 3 Changing the Use the Forward or Back switch to change the setting value setting value Entering the setting When you have selected the setting value press the Menu Enter switch to enter value the value When you do the setting screen display moves to the next setting item Exiting the setting If you do not press a switch for 10 seconds or press Cuff Start Stop or Alarm screen Silence Setting Mode ends and the display returns to the basic screen 9 6 Setup 11 Cuff measurement interval selection HBP T105 only Cuff measurement interval selection screen Selecting the value Entering the selec
19. Warranty When the battery is running low and it becomes impossible to run the unit on the battery the battery indicator flashes red and the alarm sounds M Connect the AC adapter to the main unit and the AC adapter cable to an AC outlet and charge immediately M The alarm can be silenced with the Alarm Silence switch If the battery is not mounted the E90 error is displayed when the power is switched ON E The alarm can be silenced with the Alarm Silence switch M The unit can be used with the AC adapter but clock data and settings data are not stored With a new battery the operating time is about 6 hours when the battery has been fully charged M When operating under the following conditions e Ambient temperature 25 C e Cuff blood pressure measurement interval 15 minutes 4 times hour e Recorder Not used e Battery operation SAVE When the operating time even for a fully charged battery falls below 3 hours it is necessary to replace the battery HM The battery operating time depends on the ambient temperature If the ambient temperature during use is lower than 10 C or higher than 30 C the operating time may be 20 30 shorter than at normal temperature M Always charge the battery in a location with an ambient temperature of 0 to 40 C Charging the battery outside this temperature range can cause battery fluid leakage heat generation etc This can also reduce performance and service life The i
20. Wavelength 2 wave length pulse wave type 70 to 100 SpO 20 to 250 min Accuracy specifications are based on controlled hypoxia studies with healthy non smoking adult volunteers over the specified saturation SpO range s Pulse oximeter SpO readings were compared to SaO values of drawn blood samples measured by hemoximetry All accuracies are expressed as X digits Pulse oximeter equipment measurements are statistically distributed about two thirds of pulse oximeter measurements can be expected to fall in this accuracy ARMS range Because scatter and bias of pulse oximeter SpO and blood SaO comparisons commonly increase as the saturation decreases and accuracy specifications are calculated from data spanning the stated range different accuracy values may result when describing partially overlapping ranges Oxygen saturation accuracy can be affected by certain environmental equipment and patient physiologic conditions that influence readings of SpO SaO or both Accordingly observations of clinical accuracy may not achieve the same levels as those obtained under controlled laboratory conditions 70 100 MAX A 2 MAX N 2 MAX P 2 MAX I 2 MAX FAST 2 MAX R2 3 5 DS 100A 3 Pulse oximeter sensors contain LEDs that emit red light at a wavelength of approximately 660nm and infrared light at a wavelength of approximately 920nm The total optical power of the sensor LEDs is less than 15mw Appendix 11 37
21. When operating under the following conditions e Ambient temperature 25 C e Cuff blood pressure measurement interval 15 minutes 4 times hour e Recorder Not used e Battery operation SAVE Service The monitor requires no routine service other than cleaning battery maintenance and service activity which is mandated by the user s institution For more information refer to the monitor service manual Qualified service personnel in the user s institution should perform periodic inspections of the monitor If service is necessary contact qualified service personnel or Omron Technical Service LL gt ke 3 5 a x Appendix 11 19 11 Z 3 2 2 lt Accessory Care Non Invasive Blood Pressure Measurement NIBP Cuff and air hose Arterial Oxygen Saturation by Pulse Oximeter Measurement SpO2 Sensor and extension cable Temperature Probe 11 20 Appendix Wipe clean with 70 diluted ethyl alcohol or 30 to 50 diluted isopropyl alcohol Keep liquids out of the inside of the cuff and the air hose If liquids do get in the inside of the cuff may stick Clean the interface cable with 30 50 isopropyl alcohol or 70 ethyl alcohol It is good practice to periodically clean the instrument surface by wiping it with a soft cloth dampened with a mild detergent and warm water Refer to Housekeeping Central Service or Infection Control departments in your facility for further information You
22. When the mode becomes Year set mode the Year flashes and the current revising the date date is displayed as below mE IAA g UO toc O a H a g 5 aT Display example August 25 2007 e If it is necessary to revise the current date do so with the following procedure Change the value with the Forward or Back switch Enter the setting value with the Menu Enter switch and move to the next setting item Exiting the setting To end Utility Mode and return to the basic screen switch the power OFF screen then ON again 2 4 Preparation 3 Non Invasive Blood Pressure Measurement Non Invasive Blood Pressure Measurement Measurement Preparation cccecceeeeeeeeeeeeeeeeeaeeeeaeeseeseeeeeeeeeeeeeeeneea 3 1 Connecting the Air HOS aie saiecce fas eh See iess Me csectacdetesh acs teecasectsesecteerdeeise 3 1 GUN Selection ai n a Landinndnen ti a Aa A A E A A a ae Ea tate 3 1 Check before Start of Blood Pressure Measurement ceceeeeeeeeeneeeeeee 3 2 Selecting the Measurement Mode ceeeeeeeeeeeeeeceeeeeeeaeeeseeeeeeeeeeaeeeeeeas 3 3 Cuff CONNECCION pein eaea OaE a A evadetaneidacvedietisdonisante 3 4 How to Apply the GUffi aeaii uc aaaeeeaa raaire r aiana raa aaee CEEA 3 5 Attachingithe QUIT cezare nenda aaae ee e EEEa ARESE 3 5 Attaching Neonatal Cutt cecieuc vec cceseareieenreesetes atau sexed ive hcaescieeeseeusienaneens 3 6 Manual MeaSurement ceeceeees
23. a patient with extremity or circulatory obstruction failure to change the sensor location can cause a rash low temperature burn or other problems E SpOz sensors single patient use only can be reused only with the same patient E Do not insert the SpO sensor all the way onto the finger Doing so could cause injury This device has no alarm function for SpO HBP T105S only For models with Masimo SpO 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 more of the patents relating to this device Temperature m CAUTION For best product performance and measurement accuracy use only accessories supplied or recommended by Omron Use accessories according to the manufacturer s directions for use and your facility s standards Never reuse a probe cover Doing so would create a danger of infection When measuring in the mouth cavity be careful not to damage any mucous membrane To avoid injury only use probes according to the manufacturer s directions for use Be careful when using probes for children and neonates When measuring in the mouth cavity make sure the patient does not swallow the probe or probe cover If the body temperature is measured without the probe cover there is a danger of infection allergic reaction or injury of the person being m
24. and ranged in age from 21 40 years old LL For more information visit http Awww masimo com cpub clinpubs htm gt ke 3 a x Appendix 11 39 Pulse rate accuracy 3 min Display update Less than 30sec Defibrillator protection Protected Alarm range SpO upper limit 71 to 100 SpOo Default 100 SpO SpOp lower limit 70 to 99 SpOs Default 90 SpO Pulse rate upper limit 30 to 260 min Default 180 min adult 200 min Neo Pulse rate lower limit 25 to 255 min Default 40 min adult 50 min Neo Alarm delay time Maximum delay time 10 sec Average delay time 10 sec 11 Z 3 o 2 2 lt 11 40 Appendix E Temp Models with Body Temperature Measurement Method TurboTemp Electronic Predictive Thermometer Probe types Oral 2887A Modes Predictive Measurement complete within 7 seconds of tissue contact Monitoring Continuous temperature measurement Display resol 0 1 C 0 2 F Display range Predictive Mode 35 6 41 1 C 96 1 105 9 F Monitoring Mode 26 7 41 1 C 80 1 105 9 F Accuracy Monitoring Mode 0 1 C 0 2 F Accuracy test method ASTM E 1112 Scale Selectable from F to C This thermometer conforms to all of the requirements established in ASTM standard E 1112 Full responsibility for conformance of this product to the specification is assumed by Omron Healthcare Co LL TurboTemp is a registered trademark of Cardinal Health 303 Inc gt ke 3
25. blood pressure measurement end sound selection Exiting the selection screen Use the Forward or Back switch to blood pressure measurement end sound ON OFF When you have selected the desired value press the Menu Enter switch to enter that value When you do the selection screen display moves to the next setting item To end Utility Mode and return to the basic screen switch the power OFF then ON again 3 16 Non Invasive Blood Pressure Measurement gt AFTER MEASUREMENT When measurement ends remove the cuff from the patient and use the procedure below to switch the Cuff Measurement Interval to OFF For details about how to check the data see 6 List screen Page 6 1 or 8 Recorder Page 8 1 The HBP T105S has no interval setting Cuff measurement 1 When you press the Cuff Interval switch the cuff measurement interval interval OFF setting value flashes HBP T105 only Forward switch Cuff Interval switch 2 Use the Forward or Back switch to set the setting to OFF The setting is set to OFF 3 If you press the Cuff Interval switch or wait for 10 seconds without pressing any other switch Setting Mode ends and the display returns to the basic screen Clear display In the following cases the display is automatically cleared E When measurement ends HBP T105S only This is not applicable when NIBP and SpO measurements are simultaneously taken
26. device Refer to manual Alarm Mute CUFF Start Stop Cuff Interval HBP T105 only Clear Display HBP T105S only Menu switching Measurement mode Adult Pediatric Measurement mode Neonate Current time Elapsed time Record Start Stop Power ON Power OFF Internal battery Body temperature measurement terminal Cuff connection terminal External input output terminal Indoor use only Outline Configured Products EE EA uiscts so uc gave AET wee aaone ba Lape des A 1 1 UTII N p eee eee nee aoe iene ane ae ania DPN ORCI E E Inti CRD Bie DN PCIe Ci EER DPS IES 1 1 Standard Accessories for Main Unit 0 cece ccccecceeeseeeeeseeeeeueseseneeeeeeenes 1 2 Names and Functions of Parts c ccccccceccceeeseeceeneeseeeeeeeeeeeeeeesanees 1 4 MAn se ccskec Std e Be he ee hd ae eee ea ca els he 1 4 Explanation of Display CONFIGURED PRODUCTS Before using the HBP T105 S series monitor be sure to check that all of the accessories are included and that the main unit and accessories are not damaged If for some reason the contents are not complete please contact Omron Healthcare Main Unit PATIENT MONITOR AC ADAPTER AC ADAPTER CABLE INTERNAL BATTERY HBP AC 14V4 C0440004A HBP BAT 3212U INSTRUCTION MANUAL QUICK GUIDE 105 OM HBP QMANU Outline 1 1 Standard The standard accessories for this main unit are one each of the following items Accessories for Main Unit NIBP MEASU
27. if defective Probe out of well on power up Insert probe into probe well then try measurement again Defective Probe If E40 message is shown this normally indicates a defective probe Replace probe and place new probe into and out and back into probe well to reset message gt xe Ss 0 3 a x Appendix 11 29 11 Z 3 o 2 2 lt Temperature reading unreasonable 11 30 Appendix Cause Patients mouth was open Improper probe placement Action Ask patient to keep mouth closed during measurement Verify placement of probe as shown on page 5 2 Unlike slower temperature measurement techniques this fast measurement requires the user to make sure the probe is placed directly against the sublingual artery in the back center of the tongue DISPOSAL Description As there is a risk of environmental pollution follow your applicable Federal state and local legal regulations regarding disposal or recycling of this equipment and batteries The main constituents of each part are listed in the table below As there is a risk of infection do not recycle patient attachments such as cuffs and sensors but dispose of them as instructed by your facility s procedures and applicable regulations a Package Box Corrugated Paper Cushion Corrugated Paper Envelope Vinyl Main Unit and Accessories Enclosure ABS Internal parts General Electronic Parts Chassis Aluminum and Iron Batter
28. is pressed the setting screen switches in order as follows Some screens are only displayed if the corresponding option is installed Menu Enter switch Press the Menu Enter switch until you reach the desired setting screen Measurement mode Adult Neonate selection Adult initial inflation pressure value setting Neonate initial inflation pressure value setting Smart Inflation ON OFF selection High speed measurement ON OFF selection Default is OFF BP silent mode selection Blood pressure measurement end sound ON OFF selection Measurement record selection only for models with recorder Reg OF ral ON One Gk eS List record pattern selection only for models with recorder 10 External output switching 11 Battery operation selection For example to make the List 12 Hour setting Record Pattern Selection 13 Minute setting press the Menu Enter switch until you reach that screen 14 Year setting 15 Month setting 16 Day setting 17 Date format selection only for models with recorder 18 Map display ON OFF selection 19 LAN group number setting 20 LAN bed number setting 21 Default setting May not display depending on the External output switching Setup 9 9 3 Changing the setting contents 4 Entering the setting contents 5 Exiting Utility Mode 9 10 Setup Change the setting contents with the Forward switch or the Back switch Z Forward swit
29. ist Cuff is too large or too Patient to be measured and through small cuff size used do not match 2nd time This error may occur if the Low etal blood pressure measurement Re mea mode setting is incorrect if the sure cuff has been applied tightly in Possible the adult mode loosely in the neonatal mode or if the arm has been bent during 3rd time measurement High Check the measurement mode setting and application of the cuff and measure again A problem with the cuff A problem with the BP blood pressure module measurement function has built into the unit been detected The BP measurement function does Possible not operate If switching power OFF ON has no effect it is possible that a fault has occured Contact Omron Technical Service For HBP T105S the alarm does not sound E For remeasurement a period is displayed at the error code ref J Example E12 remeasurement C l C mM In case of E10 to E21 the error code may not be displayed depending on the setting It can be checked at List screen or Recorder E The number of remeasurements is counted irrespective of which error code is detected gt xo mo 0 3 2 x Appendix 11 7 SpO Error Code Table PAO Bitoni Possible Causes Check Items Code J E30 SpO sensor not Sensor not connected If connected connected the cable or connector may be damaged Replace with a new cable If Medium AD Possible replacing the cable has no RJ e
30. not damaged core wire exposure breaks etc There is no smoke or odor coming from the device The device is not making any unusual noises Press each switch and check that it works Do items light up that should light up when a switch is pressed Is the warning sound clearly audible Check to see that the time is correct TROUBLESHOOTING If the device is not functioning properly check the following before contacting Omron Technical Service Power cannot be turned ON Action The AC adapter cable is Check the AC adapter cable disconnected or loose connections Main unit heats up Action Check to see if item s have been Provide ventilation around the placed on or very near the device device The main unit may be malfunctioning if it is so hot it is unbearable to touch gt xo mo 0 3 a x Appendix 11 25 Non Invasive Blood Pressure Measurement NIBP Pressure does not rise after Cuff Start Stop switch is pressed Cause Action Cuff hose connection is loose Check air hose connection Cuff air is leaking Hose is kinked Replace cuff Check for kinks and if pressure is displayed remove them Measurement failure First give patient a physical examination Next read error codes on display screen and check selections using the Error Code Table Page 11 1 in this manual Abnormal measurement readings The following are possible causes Re measure while physically examini
31. only if there are IDs when recording starts The ID section is left blank or printed as Unknown if ID is not entered or when the patient changes The SpO data is recorded only for models with SpO measurement The TEMP data is recorded only for models with body temperature measurement The SpO measurement value list storage data for cuff blood pressure measurement is the data for when cuff measurement starts Inputting an ID requires the optional bar code reader If you hold down the record switch for 3 seconds or longer the entire list is printed Up to 400 items can be printed in a list As an exception when you select OSCL as the list type LST1 list will be printed automatically in the all list recording List Record Pattern Selection About Utility Mode List record pattern selection screen List record pattern selection Entering the list record pattern Exiting the selection screen In order to select the list record pattern it is necessary to put this unit into Utility Mode For details on Utility Mode see 9 Setup Utility Mode Page 9 9 The list record pattern is selected on the List Record Pattern Selection screen Press the Menu Enter switch until the List Record Pattern Selection screen appears When the List Record Pattern Selection screen appears the display becomes as follows PRT MAN is displayed LST1 Simple list recording LST2 Detailed list rec
32. selection 12 Delete List HBP T105 only 9 2 Setup 3 Changing the Use the Forward or Back switch to change the contents of the setting setting contents OS Forward switch Se Back switch 4 Entering the Press the Menu Enter switch setting contents The setting content is entered and the display moves to the next setting item 5 Exiting Setting If you do not press a switch for 10 seconds or press Cuff Start Stop or Alarm Mode Silence Setting Mode ends and the display returns to the basic screen Setting operations can not be carried out when an alarm is being triggered Press the Alarm Silence switch to stop the alarm sound then carry out the operation If an alarm occurs during a setting operation the setting operation is stopped and the display returns to the basic screen In this case the setting value at that time is finalized HBP T105 only Note Setup 9 3 Setting Method for Each Item es SYS upper limit alarm setting HBP T105 only This sets the SYS upper limit alarm value For details see 7 Alarms Alarm Setting Page 7 1 The current setting value 2 SYS lower limit alarm setting HBP T105 only This sets the SYS lower limit alarm value For details see 7 Alarms Alarm Setting Page 7 1 The current setting value 3 DIA upper limit alarm setting HBP T105 only This sets the DIA upper limit alarm value For detail
33. sensors HM Non invasive blood pressure NIBP measurement section Reusable cuffs E Arterial Oxygen Saturation by Pulse Oximeter SpO gt measurement section Extension cables Reusable sensors E Body temperature measurement section Body temperature probes M Main unit AC ADAPTER AC ADAPTER CABLE Only when the optional recorder is installed Only for models with the optional SpO Device Maintenance Do not soak the main unit or accessories in any liquid Also keep liquids out of them When using sterilizing solutions be sure to follow manufacturer instructions Do not use solvents such as thinner and benzene or abrasive cleaning powders for cleaning as these may damage the surface of the device Do not sterilize the main unit with autoclave or gases EOG formaldehyde gas high density ozone etc Cleaning and Cleaning and disinfecting should be performed in accordance with your facility s disinfecting infection control practice and OSHA regulations Surface cleaning Use a well wrung soft cloth with diluted neutral detergent or diluted sterilizing alcohol added to wipe off surface dirt Note however that connectors should not be wiped or wetted in any way Removing dust Use a moistened cotton bud to remove dust that has accumulated on the vent ports Battery When the operating time even for a fully charged battery falls below 3 hours it maintenance is necessary to replace the battery E
34. the Menu Enter switch until the Delete List screen appears When the Delete List screen appears the display becomes as follows DEL LST is displayed O 1 o On rif 2 Exiting the setting If you do not press a switch for 10 seconds or press Cuff Start Stop or Alarm screen Silence Setting Mode ends and the display returns to the basic screen Exiting The list display ends once the following condition takes place List Display 10 seconds passes without any key operation If a switch other than the Forward or Back switch is pressed If the alarm is activated If blood pressure measurement is started 6 2 List Screen The HBP T105 only Alarms Alarm Settings HBP T105 only Racer atau a vee meni eae heaa E S 7 1 Alarm Operations HBP T105 Onlly ssssseeseeeseeeeeeeeeeeeeeeeeeeeeeeeeees 7 2 Alarm Triggering ern ariei nea ee cei deere aaa haste 7 2 Silencing an ALAN Ls aceasta dy ada aaea tai aaar Eea anaa a Ae a aaaea ainada 7 3 Recovering from an Alarm c4 d0ieseiten is au eeearee theta eh een teeetes wles 7 3 Extinguishing AAEM Goss aneen p ao anna tact aot o a a aude 7 3 Alarm Setting Range ALARM SETTINGS tep r105 ony About Setting Mode Alarm Setting Screens In order to set an alarm it is necessary to put this unit into Setting Mode by pressing the Menu Enter switch For additional information on Setting Mode see 9 Setup Set
35. the Nellcor model is shown below as an example E Open the DURASENSOR and fit it securely on a finger tip Have the cable on the fingernail side Check that the clip is not pressing too hard and creating excess pressure on the finger Be particularly careful of the finger tip If the clip is pressing too hard the sensor can be mounted on the little finger 4 4 Pulse Oximeter SpO gt Disposable For disposable SpO gt sensors carefully read the instruction manual that comes SpO Sensor with the sensors The example below uses a Nellcor OXISENSOR Peel off the protective film from the sticky surface Light Source Photodetector HM Attach being aware that accurate measurement is made possible by the light emitting section and the light receiving section working together as a pair When attaching to a finger have the light emitting surface on the nail side Light emitting surface Always attach on the corresponding surface Light receiving surface Pulse Oximeter SpO gt 4 5 MEASUREMENT Screen Display The measurement reading is displayed when this sensor is connected to the main Example unit sys PR PR value through SpO ico j MAP m g Spo2 SpO value ez mmHg JD i min am If the SpO sensor has been dropped or subjected to strong physical shock check for faults before use Select the sensor appropriate for the patient The device may display meanin
36. the extent that such liability is mandated under laws applicable to manufacturers in general and to manufacturers of the product category to which the product belongs and to the extent such damage is proven to have been caused by the defect Omron s sole responsibility shall be to repair or replace the product within the terms stated in this Limited Warranty Statement OMRON SHALL NOT BE LIABLE FOR ANY LOSS OR DAMAGE OF ANY KIND INCLUDING INCIDENTAL OR CONSEQUENTIAL DAMAGES RESULTING DIRECTLY OR INDIRECTLY FROM ANY BREACH OF ANY WARRANTY EXPRESS OR IMPLIED OR ANY OTHER FAILURE OF THIS PRODUCT ALL IMPLIED WARRANTIES INCLUDING THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE ARE LIMITED TO THE DURATION OF THE APPLICBLE WRITTEN WARRANTY WHICH SHALL SUPERSEDE ALL OTHER ORAL OR WRITTEN WARRANTIES Maintenance and repair services performed by user personnel on the equipment covered in this manual apply only to products that are out of warranty All warranty repairs must be performed only by qualified service technicians authorized by Omron A comprehensive technical service manual for the Colin HBP T105 S containing specific information about operation calibration parts listing and schematics can be obtained by contacting the Omron Technical Service Department at 800 829 NIBP 6427 or 210 690 6200 If Omron reasonably determines that a repair or replacement is covered by this Warranty Omron shall bear the c
37. the power OFF then Possible ON again If the error recurs repeatedly stop using this device and contact Omron Technical Service System error A device error was detected Switch the power OFF then Possible ON again If the error recurs repeatedly stop using this device and contact Omron Technical Service fe o re o 2 2 lt 11 2 Appendix Non Invasive Blood Pressure NIBP Measurement Section Error Code List Re measure Error WE Cuff E measurement not possible error Y ype Sience SYS lt 60 SYS gt 250 MAP lt 45 MAP gt 235 Low None DIA lt 40 DIA gt 200 Neo SYS lt 40 SYS gt 120 MAP lt 30 MAP gt 100 DIA lt 20 DIA gt 90 High A Possible accordance with safety 4 monitoring to BPM IEC standards Repeat the measurement when a measurement is not possible and this error code is displayed Measurements can be automatically repeated up to two times If a measurement is still not possible after two repeat measurements the measurements will cease Note that a measurement can be automatically repeated three times when the error code E14 is displayed This message is displayed when a measurement is not possible even with the two re measurements or when error contents E03 or E11 prevent re measure When measurements are repeated at the point where 160 seconds 80 seconds in neonatal mode have elapsed from the initial measurement to the end of the last measurement the
38. up before starting blood pressure measurement Pressure stability check underway After completion of pressure stability check Example When Adult Pediatric and mmHg are set 3 2 Non Invasive Blood Pressure Measurement Selecting the Measurement Mode About Utility Mode Measurement mode selection screen Selecting the measurement mode Entering the measurement mode Exiting the selection screen In order to select the measurement mode it is necessary to put this unit into Utility Mode For details on Utility Mode see 9 Setup Utility Mode Page 9 9 The measurement mode is selected on the Measurement Mode Adult Neonate Selection screen Press the Menu Enter switch until the Measurement Mode Adult Neonate Selection screen appears When the Measurement Mode Adult Neonate Selection screen appears either the Adult Pediatric or the Neonate icon flashes f Adult Pediatric Neonate Use the Forward or Back switch to make the icon for the desired measurement mode flash E When using a disposable cuff for a neonate or infant with a cuff width of 5 cm or less align the cursor with Neonate E When using any other cuff select Adult Pediatric When you have selected the measurement mode press the Menu Enter switch When you do the selection screen display moves to the next setting item To end Utility Mode and return to the basic screen switch the p
39. value is displayed Display example ON 9 12 Setup 6 BP silent mode selection 7 Blood pressure measurement end sound ON OFF selection When this function is switched ON the pump sound is suppressed For details see 3 Non Invasive Blood Pressure Measurement NIBP BP silent mode Page 3 15 BP SLT is displayed The current selection is displayed Display example ON When this function is switched ON a sound is played when blood pressure measurement ends For details see 3 Non Invasive Blood Pressure Measurement NIBP Blood Pressure Measurement End Sound Page 3 15 BP SND is displayed The current selection is displayed Display example ON Setup 9 13 8 Measurement This selects the list record pattern for measurement record selection OFF Do not record LST Simple list recording OSCL Measurement value recording Select any one of the above For details see 8 Recorder Automatic Recording Page 8 8 b Ja PRT AUT is displayed F F OFF Do not record i GE LST Simple list recording CT OSCL Measurement value OIL recording One of the above is displayed 9 List record This selects the list record pattern for manual recording pattern LST1 Simple list recording selection LST2 Detailed list recording OSCL Measurement value recording Select any one of the above For details see 8 Recorder
40. 11 25 i After Measurement 3 17 Disposal 11 31 S gi Specifications 11 32 S 4 Pulse Oximeter Optional Accessories 11 46 SpO2 gt Measurement Preparation 4 1 3 Attaching SpO Sensor 4 4 o Measurement 4 6 J 5 Temperature Mea 8 o surement 6 Measurement Preparation 5 1 Measurement 5 2 6 List Screen List Screen 6 1 7 Alarms E Alarm Settings HBP T105 only 7 1 FER Alarm Operations E L HBP T105 only 7 2 x pu ddy LL PREVIEW Thank you very much for choosing an HBP T105 S series monitor This manual contains operational information for the HBP T105 S series monitors Your HBP T105 S series monitor is a medical device suitable for overall patient monitoring in locales such as hospital wards and outpatient clinic examining rooms The built in functions are as follows E Non invasive Blood Pressure NIBP measurement using the oscillometric method Arterial Oxygen Saturation measurement by Pulse Oximeter SpO7 E Body temperature measurement Note the device configuration varies depending on the model purchased The use of this device is restricted to one patient at a time Please be sure to read this Instruction Manual thoroughly to fully understand device operation cautions performance and limitations NIBP Nellcor NXTP ne NXTP ma NXP ne NTP nw ge Oo N Temp Recorder Alarm Interval Masimo x x x HBP T105 Z r x 0 4 5 x x x x x x x x NT N NXTP
41. 60 96 36 7 11 30 0000000000000011 I The body moved during measurement TA OA so a 36 6 A The measurement mode was measured as an 11 4 0000000000000016 Adult Pediatric 130 85 A 60 94 36 5 N The measurement mode was measured as a 11 50 0000000000000029 Neonate 119 MEA 60 94 The shading shows when an alarm occurred HBP T105 only HM Patient IDs are recorded only if there are IDs in the list data If none are present this is left blank M The ID section is left blank or printed as Unknown if ID is not entered or when the patient changes M The SpO data is displayed only for models with SpO measurement E The TEMP data is displayed only for models with body temperature measurement Note Inputting an ID requires the optional bar code reader i E O o D ao 8 6 Recorder Measurement value recording OSCL This level meter shows the size of the pulse wave SYS DIA 2007 04 04 15 30 1D 0000000000000019 ADULT Adult The measurement PR S 60 min mode was measured as an Adult Pediatric NEO The measurement mode was measured as a ihly Sp02 100 sro Neonate SYS 120 me o i PR S SpO 90 mmg TEMP 36 5 C meas temeri value DIA 60 me PR N NIBP measurement value The shading shows when an alarm occurred HBP T105 only If there is no NIBP measurement value this printing is not executed Records the meas
42. 91 A2 1995 EN60601 1 1990 A1 1993 A2 1995 Medical electrical equipment Part1 General requirements for safety Protection Class Class Internal powered equipment Degree of Protection SpO Type BF with defibrillator protection 4 NIBP Type BF with defibrillator protection l Temperature Type BF Mode of Operation Continuous MDD Classification Class II a HBP T105S only Class II b HBP T105 only Output Terminals Optional Serial Port RS232C Conformity Serial interface D sub 15pin connector Reference Standard IEC 60601 1 1 2000 EN 60601 1 1 2001 Medical electrical equipment Part 1 General requirements for safety 1 Collateral standard Safety requirements for medical electrical systems Accessory equipment connected to the output terminals must be in compliance with the respective nationally harmonized IEC standards i e IEC 60950 for data processing equipment IEC 60065 for video equipment IEC 61010 1 for laboratory equipment and IEC 60601 1 for medical equipment Furthermore all configurations shall comply with the system standard IEC 60601 1 1 Everybody who connects additional equipment to the signal input part or signal output part configures a medical system and is therefore responsible that the system complies with the requirements of the system standard IEC 60601 1 1 If in doubt consult your technical services department or Omron Technical Service LL gt ke
43. Body temperature measurement has two built in measurement methods estimated and actual measurement Measurement always starts with the estimated measurement but under the conditions below measurement automatically switches to actual measurement From that point in time the body temperature unit display flashes An estimated measurement switches to an actual measurement under the following condition E The ambient temperature when starting measurement is lower than 16 0 C 60 8 F or higher than 33 3 C 91 9 F HM The probe temperature fails to reach the standard temperature 34 4 C 94 F within 7 seconds from starting the measurement M Failed to estimated body temperature after 60 seconds when the measurement was started Temperature Measurement 5 3 Screen Display Example f P 5 H o iy dimin Body temperature value i Eae el KI pa 07 0 JD i 12245 a Exiting After the end of measurement hold the body temperature probe in the same way Measurement as in the instructions for a syringe press the probe cover removal button and dispose of the used probe cover in a waste container Probe cover Probe cover removal button it Return the body temperature probe to the probe holder on the top of the main unit After measurement For details about how to check the data see 6 List screen Page 6 1 or 8 Recorder Page 8 1 Clear display MH When using on a different patient p
44. C 61000 4 6 150 kHz to 80 MHz 80 AM 2Hz 3 Vrms 800 MHz to 2 5 GHz 80 AM 2Hz Radiated RF IEC 61000 4 3 Portable and mobile RF communications equipment should be used no closer to any part of the HBP T105 including cables than the recommended separa tion distance calculated from the equa tion applicable to the frequency of the transmitter Recommend separation distance 21 2 VP 80 MHz to 800 MHz 3 VP 800 MHz to 2 5 GHz where P is the maximum output power rating of the transmitter in watts W according to he transmitter manufacturer and d is the recommended separation distance in meters m Field strengths from fixed RF transmit ters as determined by an electromag netic 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 symbol Note1 At 80 MHz and 800 MHz the higher frequency range applies Note2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people 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 pre dicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF trans mitters an electromagnetic site survey
45. DS 100A Patient Weight 40kg or over EXTENSION CABLE DOC 10 Nellcor is a registered trademark of Nellcor Puritan Bennett Incorporated DURASENSOR is a registered trademark of Nellcor Puritan Bennett Incorporated OXISENSOR is a registered trademark of Nellcor Puritan Bennett Incorporated MAX FAST is a registered trademark of Mallinckrodt Inc For Masimo SpOo Pulse oximeter optional accessory Except for LNCS DC I products below are for single patient use only When in use they are connected to the extension cable LNC 10 SpO SENSOR LNCS Adtx Patient Weight 30kg or over SpO SENSOR LNCS Pdtx Patient Weight 10 50kg SpO SENSOR LNCS Neo L Patient Weight lt 3kg or gt 40kg SpO SENSOR LNCS NeoPt Patient Weight 1kg or less SpO SENSOR LNCS DC I Patient Weight 30kg or over EXTENSION CABLE LNC 10 Masimo is a registered trademark of Masimo Corporation Appendix 11 49 gt ke 3 3 a x LL Temperature optional accesory Only models with body temperature measurement Optional accesory Only models with recorder 11 Z 3 o 2 2 lt 11 50 Appendix TEMPERATURE PROBE X2887A D TEMPERATURE PROBE COVER XP850 ROLL PAPER 10 Rolls HBP T105 PAPER Distributor OMRON HEALTHCARE INC 1200 Lakeside Drive Bannockburn Illinois 60015 M
46. F then ON again This sets the hour for the clock For details see 2 Preparations Before Use Checking and Revising the Date and Time Page 2 4 Hour setting Setup 9 15 13 Minute setting 14 Year setting 15 Month setting 16 Day setting 9 16 Setup This sets the minute for the clock For details see 2 Preparations Before Use Checking and Revising the Date and Time Page 2 4 Minute setting This sets the year for the clock For details see 2 Preparations Before Use Checking and Revising the Date and Time Page 2 4 This sets the month for the clock For details see 2 Preparations Before Use Checking and Revising the Date and Time Page 2 4 Month setting This sets the day for the clock For details see 2 Preparations Before Use Checking and Revising the Date and Time Page 2 4 gt AA Day setting 17 Date format selection Date format selection screen Selecting the date format Entering the date format Exiting the selection screen The date format for printing can be selected from the following YMD YYYY MM DD DMY DD MM YYYY YMD YYYY MM DD DMY DD MM YYYY The setting procedure is as follows Press the Menu Enter switch until the Date Format Selection screen appears When the Date Format Selection screen appears the display becomes as follows YMD FMT is disp
47. M Patient IDs are recorded only if there are IDs in the list data If none are present the ID section is not recorded M The ID section is left blank or printed as Unknown if ID is not entered or when the patient changes M The SpO data is displayed only for models with SpO measurement E The TEMP data is displayed only for models with body temperature measurement M The latest 10 data items are printed on one page M When any of the NIBP unit mmHg kPa TEMP unit C F or measurement mode Adult Neonate changes it starts to print from next page Note Inputting an ID requires the optional bar code reader mel D 3 Q 2 o 2 Recorder 8 3 i D O OG D a Measurement value recording OSCL All list recording 8 4 Recorder This level meter shows the size of the pulse wave SYS DIA RINT 2007 04 05 15 00 007 04 04 15 30 il il NEO The measurement Hl rli nidlernodi Sp02 100 4Sp02 mode was measured as a 1D 0000000000000019 Adult The measurement PR S 60 min mode was measured as an Adult Pediatric sys 1 20 imie Neonate MAP 90 mmHg PR S SpO2 an 60 ene TEMP 36 z 5 C measurement value PR N NIBP measurement value The shading shows when an alarm occurred HBP T105 only If there is no NIBP measurement value this printing is not executed Records the measurement value data being displayed at the moment IDs are recorded
48. NIBP Unit Displays the Blood Pressure Unit Icon NIBP Patient Displays the Blood Pressure Measurement mode Icon Select either Adult Pediatric or Neonate For the setting method see Page 3 3 PR LED Displays the Pulse Rate SpO LED Displays the SpO3 TEMP LED Displays the Body Temperature TEMP Unit Displays the Body Temperature Unit Icon Recorder Displays details if an error occurs in the Recorder Indicator For details see Page 8 9 KE Battery Displays the charge status of the internal battery Indicator For details see Page 10 1 Battery Icon Displays the operability status of the internal battery For details see Page 10 1 Note Some models of the lineup lack some LEDs icons and indicators 1 6 Outline 2 Preparation 2 c fo pe Q o a Preparation Preparations Before WSO iiaiisccec sc saceussasaevstusscaticn vseueicureiueus ysis dussaunesbicaniens 2 1 Installing the Internal Battery ee eee eeeeee eter eeeeeeeeee terre eneeeaaeeeeeeeeneeaaa 2 1 Connecting the Power Supply s ccccdect endear nded ct nailed 2 2 Charging the Internal Battery ccccceeeeeeeeeeeeee eee eeeneeeeeeeeaeeeeeteneeeeeeeaeeeenea 2 2 Moving the Device sxcecte gigs tccevecrtiesled eden tea ta eae eee 2 3 Checking and Revising the Date and Time PREPARATIONS BEFORE USE Installing the Before connecting the power supply use the following procedure to inst
49. OMRON HBP 1T105 S series Instruction Manual Important Be sure to fully read this manual before using the HBP T105 S series monitor to ensure correct and safe use After you have read this manual store it near the monitor so that it can be used for reference coLin CAUTION Notes Limited Warranty Exclusions e No part of this instruction manual shall be reproduced without permission e The contents of this manual are subject to change without notice e The contents of this manual should be correct If for some reason there are any questionable points please do not hesitate to contact Omron Healthcare Inc e The manual will be replaced if any pages are missing or collation is incorrect Omron Healthcare Inc is committed to distributing the highest quality products equipped with unsurpassed speed accuracy reliability quality and comfort Every Colin HBP T105 S monitor purchased through Omron Healthcare or one of our dealers is warranted to be free from defects in material and workmanship for a period of two 2 years from date of purchase Accessories and the rechargeable battery are warranted to be free from defects in materials and workmanship for a period of ninety 90 days from date purchase This warranty does not extend to any products or parts thereof that have been subject to misuse neglect or accident that have been damaged by causes extemal to the product including but not limited to
50. OR attachments Do not immerse in water or cleaning solutions Do not resterilize Do not use any SpO sensor other than those specified Purchase of this instrument confers no express or implied license under any Nellcor patent to use this instrument with any oximetry sensor that is not manufactured or licensed by Nellcor Nellcor is a registered trademark of Nellcor Puritan Bennett Incorporated DURASENSOR is a registered trademark of Nellcor Puritan Bennett Incorporated MAX FAST is a registered trademark of Mallinckrodt Inc 4 2 Pulse Oximeter SpO For Masimo SpO gt s SpO SENSOR SpO SENSOR SpO SENSOR LNCS Adtx LNCS Pdtx LNCS Neo L Patient Weight 30kg or Patient Weight 10 to Patient Weight lt 3kg or over 50kg gt 40kg SpO SENSOR SpO SENSOR SpO2 SENSOR LNCS NeoPt L LNCS Inf L LNCS DC Patient Weight 1kg or Patient Weight 3 to 20kg Patient Weight 30kg or less over E The LNCS DC I is a short term reusable finger sensor The other disposable sensors can be reused on the same patient only while the tape remains adhesive Note Do not use any SpOs sensor other than those specified Pulse Oximeter SpO gt 4 3 ATTACHING SpO SENSOR Reusable SpO For a reusable SpO sensor carefully read the instruction manual that comes Sensor with the sensor For Nellcor models the DURASENSOR DS 100A for Masimo models the SpO SENSOR LNCS DC I The SpO sensor for
51. REMENT Reusable Cuff Adult C030107A NLR SpO MEASUREMENT Models with Nellcor SpO DURASENSOR DS 100A Patient Weight 40kg or over Models with Masimo SpO SpO SENSOR LNCS DC I Patient Weight 30kg or over 1 2 Outline Rectus Cuff Hose Adult 3 5m HOSE ADULT PII EXTENSION CABLE DOC 10 EXTENSION CABLE LNC 10 TEMPERATURE MEASUREMENT Models with Body Temperature Measurement TEMPERATURE PROBE TEMPERATURE Alaris IVAC X2887A PROBE COVER Alaris IVAC XP850 OTHER Models with Recorder ROLL PAPER 2pcs 105 PAP Note Do not use any probe or probe cover other than those specified Alaris and IVAC are registered trademarks of Cardinal Health 303 Inc Outline 1 3 NAMES AND FUNCTIONS OF PARTS Main Unit 8 O Power Switch Cuff Start Stop Cuff Interval HBP T105 only Clear Display HBP T105S only Back Switch Forward Switch Menu Enter Switch Alarm Silence Switch Power Connector Temperature Probe Cover 1 Temperature Probe 1 Alarm Lamp USB Port 1 4 Outline Switches the power ON OFF To switch OFF the power hold down this switch for 3 seconds Starts and stops cuff measurement The interval for cuff measurement can be set Clear the measurement value display When changing a device setting this moves the setting value for the selected item to the next alternative back
52. Smart Inflation is ON or when high speed measurement is enabled In order to set the initial inflation pressure value it is necessary to put this unit into Utility Mode For details on Utility Mode see 9 Setup Utility Mode Page 9 9 There are two settings for the initial inflation pressure value adult and neonate The adult mode initial inflation pressure setting is made on the Adult Initial Inflation Pressure Setting screen Press the Menu Enter switch until you reach the Adult Initial Inflation Pressure Setting screen When you reach the Adult Initial Inflation Pressure Setting screen the display becomes as follows INI PRS is displayed The current initial inflation pressure value is displayed Display example 180 mmHg The adult mode icon is lit up Use the Forward or Back switch to change the initial inflation pressure value When you have selected the desired value press the Menu Enter switch to enter that value To end Utility Mode and return to the basic screen switch the power OFF then ON again Non Invasive Blood Pressure Measurement 3 11 Neonate Initial inflation pressure value setting screen Changing the neonate initial inflation pressure value Entering the neonate initial inflation pressure value Exiting the setting screen Elapsed Time The neonate mode initial inflation pressure value setting is made on the Neonate Initial Inflation Press
53. When the patient s measurement value returns into the monitoring range the an Alarm above display returns to normal Alarms 7 3 Alarm Setting The following shows the alarm setting ranges Range Lower Limit Upper Limit Parameter Setting range Default Sound Setting range Default Sound PR PR Neo SpOos SpO Neo min SpOo HM Noalarm is issued until the measured value exceeds the upper alarm setting or falls below the lower alarm setting MsFor details on the alarm sound see Other Labels gt Page 4 7 4 Alarms Only models with recorder Recorder Preparations Before US viciccccccicscssssvsvevsisvaccnacnsseuescusccueus veassecuscseerenieestaws 8 1 Setting Up the Roll Paper eceeceeseceeeeeceesseeeeeeneeeneneesesneesenaeeeseneeneneeeaes 8 1 Manual Record s Accvantas Frances sctavees aaa A Oa aaRS 8 2 List Record Pattern Selection cccceecceceeeecceeeeeeeeeeeeeseseeeeeeeaaeeeeesaaeeseeaees 8 5 Automati Recording aee a a a a a a eaa iaaa adean 8 6 Measurement Record Selection cccccccceceeeceeeeceeaeeeeeeeeeeeeeeeneeeeesssaeeeenaes 8 8 Deleting List Data vertivcca sca ticaierneiiote esha eira tates ie AAEE aras ais 8 9 Recorder Error i E O OG D ao PREPARATIONS BEFORE USE Setting Up the Open the recorder cover and set the roll paper in the direction shown in the figure Roll Paper below The rec
54. all the Internal Battery internal battery in the rear of the main unit 1 Loosen the three screws and remove the battery cover v iv GS 2 2 z o gt Screw Battery cover 2 Connect connector A of the internal battery to connector B of the main unit When inserting the connector be careful to insert it in the correct direction These connectors are designed so that they can not be inserted with the polarity reversed 3 Fit the internal battery into the rear of the main unit 4 Use the three screws to fasten the battery cover in its original place battery Battery cover Preparation 2 1 4 2 c e pes Q o s a Connecting the Power Supply Charging the Internal Battery 2 2 Preparation Connect the power supply with the following procedure 1 Connect the power supply connector of the AC adapter to the main unit 2 Plug the AC adapter cable plug side into a medical 3 pole wall socket with ground connector Ji D AC adapter cable al AC adapter Power supply connector of the AC adapter When you connect the power supply charging of the internal battery starts Completely charge the battery before starting to use this device When the charge is complete the battery indicator changes from orange to green Battery indicator a Net Battery icon Moving the Device Battery indicator When starting to charge Or
55. amic Linear Deflation method 0 to 299mmHg 0 to 149mmHg Less than 3mmHg 60 to 250mmHg 45 to 235mmHg 40 to 200mmHg 40 to 200 min 40 to 120mmHg 30 to 100mmHg 20 to 90mmHg 40 to 240 min Maximum mean error within 5mmHg Maximum standard deviation within 8mmHg 2 or 2 beats Protected Appendix 11 35 gt ke 3 5 a x LL Alarm range Adult pedlatric mode SYS upper limit Default SYS lower limit Default DIA upper limit Default DIA lower limit Default Pulse rate upper limit Default Pulse rate lower limit Default Neonatal mode 60 to 260mmHg 200mmHg 50 to 250mmHg 70mmHg 40 to 240mmHg 160mmHg 30 to 230mmHg 30mmHg 30 to 260 min 180 min 25 to 255 min 40 min SYS upper limit 40 to 130mmHg Default 130mmHg SYS lower limit 30 to 120mmHg Default 50mmHg DIA upper limit 20 to 100mmHg Default 100mmHg DIA lower limit 10 to 90mmHg Default 10mmHg Pulse rate upper limit 30 to 260 min Default 200 min Pulse rate lower limit 25 to 255 min Default 50 min Reference Standard EN1060 1 1995 A1 2002 Non invasive sphygmomanometers General requirements EN1060 3 1997 Non Invasive sohygmomanometers Part3 Supplementary requirements for electro mechanical blood pressure measuring systems 11 Z 3 o 2 2 lt 11 36 Appendix Pulse Oximeter Models with Nellcor SpO Measurement method Measurement range Pulse rate Accuracy Specifications Range of Peak
56. ange When charge complete Green Battery not loaded OFF Battery icon Running on AC power supply Battery loaded OFF Battery not loaded Red Running on battery Battery remaining Green Over about 30 Battery remaining Orange Flashing Under about 30 Battery remaining Under about 5 Red Flashing rapidly When moving this device carry it with both hands holding the bottom with one hand Preparation 2 3 v iv GS g 2 z e gt 4 Checking and Revising the Date and Time 2 About Utility Mode To check the date and time it is necessary to put the unit into Utility Mode For details on Utility Mode see 9 Setup Utility Mode Page 9 9 The time is checked in Hour set mode and the date is checked in Year set e x p Q o a mode Press the Menu Enter switch until you reach the desired setting screen Checking and When the mode becomes Hour set mode the Hour flashes and the current revising the time time is displayed as below TEMP ore z g U 5 m Display example 12 45 If the current time is correct continue on to check the current date with Year set mode e If it is necessary to revise the current time do so with the following procedure Change the value with the Forward or Back switch Enter the setting value with the Menu Enter switch and move to the next setting item Checking and
57. anufacturer OMRON COLIN MEDICAL CORP 5850 Farinon Drive San Antonio Texas 78249 Printed in USA 5 2008 Made in USA 1664420 4A
58. arm does not sound Possible Causes Check Items Sensor breakdown Internal module initializing Internal module abnormality e A breakdown was detected in the main unit s internal module e Communication with the main unit s internal module was cut off e An impossible measurement value was obtained Replace the sensor If replacing the sensor does not solve the problem stop using SpO measurement and contact Omron Technical Service Do not move the sensor mounting location If this state continues for longer than one minute stop using SpO measurement and contact Omron Technical Service A problem with the SpO measurement has been detected The SpO measurement function does not operate If switching power OFF ON has no effect it is possible that a fault has occurred Cease use immediately and contact Omron Technical Service E Incase of some errors for example E33 E34 E36 the SpO measurement value and the error code are displayed alternately The SoO gt measurement value is displayed for about 9 seconds and the error code for about 1 second E Incase of the SpOs errors for example E31 E32 E33 E36 during blood pressure measurement it is possible that the blood pressure and SpO gt are being measured on the same arm so no alarm sounds However for continuous measurement the alarm does sound E Incase of E30 to E36 E38 the error code may not be displayed depending on the setting
59. aser is responsible for any damage to or loss of any loaner equipment while it is at Purchaser s location Purchaser must return loaner equipment within 10 days after receiving the repaired or replaced product or receiving notice from Omron that the product returned by Purchaser is not covered by the warranty If Purchaser does not return loaner equipment within 20 days after the return due date Purchaser agrees to pay Omron the reasonable value of the loaner equipment or reasonable daily rental fee whichever Omron selects OMRON is a registered trademark of OMRON CORPORATION COLIN is a registered trademark of Omron Healthcare CO LTD 2008 Omron Healthcare Inc All rights reserved INDEX ig Seat 8 Recorder aa ee eran 42 Preparations Before Use 8 1 Manual Recording 8 2 3 1 Outline Automatic Recording 8 6 E Configured Products 1 1 o Names and Functions of Parts 1 4 9 Setu How to Setup 9 1 2 Preparation Setting Mode 9 2 Preparations Before Use 2 1 Utility Mode 9 9 3 Non Invasive Blood 10 Internal Battery N nternal Battery Pressure Measure l ment 11 Appendix Measurement Preparation 3 1 Error Code Table 11 1 How to Apply the Cuff 3 5 Principles 11 11 Manual Measurement 3 7 Default Setting 11 16 J Automatic Measurement Maintenance 11 18 EKG HBP T105 only 3 8 Checking Before Use 11 21 ig Continuous Measurement Power on Display 11 23 HBP T105 only 3 9 Maintenance Checks 11 224 E Other Functions 3 11 Troubleshooting
60. bnormal change in through measured pulse 2nd time Low Re mea sure Possible 3rd time High For HBP T105S the alarm does not sound Check items Measurement failed because of insufficient pressurizing There is a possibility that standard cuff pressure might be detected incorrectly due to noises motion artifact or vibration from outside Check to make sure cuff is not wrapped around thick clothing the patient stays still and that the cuff is free from outside vibrations measure again Blood pressure could not be measured because oscillation graph was not normal There is a possibility that motion artifact or vibration from outside may be interrupting the measurement Check whether patient stays still and cuff is free from outside vibration then measure again Blood pressure could not be measured because noise interrupted pulse waveform signal There is a possibility that motion artifact or vibration from outside may be interrupting the measurement Check whether patient stays still and cuff is free from outside vibration measure again Appendix 11 5 gt ke 3 x LL High A Possible NZ ist through 2nd time Low Re mea sure 3rd time High 1st through 2nd time Low Re mea sure 3rd time High For HBP T105S the alarm does not sound 11 Z 3 o 2 2 lt 11 6 Appendix Possible Causes Measurement time has exceeded spe
61. ccccceeeeeeee eee eeeeeeeeeeeeeeeeeeeeeeeeeeeeees 9 4 Utility Modesa ton voll aana aal AaS tata ae eter eee tlk 9 9 Setting Procedure Dee ere te ere enh ere eer rer rene ar rere eerie renee ort ee rereceer 9 9 Setting Method for Each Item HOW TO SETUP Settings in Setting Mode Settings in Utility Mode For adjusting settings there are two modes Setting Mode and Utility Mode The following settings are made in Setting Mode 0 02 SON ee eS ja D SYS upper limit alarm setting SYS lower limit alarm setting DIA upper limit alarm setting DIA lower limit alarm setting PR upper limit alarm setting PR lower limit alarm setting SpO upper limit alarm setting only for models with SpO measurement SpO lower limit alarm setting only for models with SpO measurement Alarm volume setting Pulse rate volume setting only for models with SpO measurement Cuff measurement interval selection Delete list The following settings are made in Utility Mode SOOO SONS OS SOUS oe d jak N e e e e e e e el E a SA 9 ES 21 Measurement mode Adult Neonate selection Adult initial inflation pressure value setting Neonate initial inflation pressure value setting Smart Inflation ON OFF selection High speed measurement ON OFF selection Default is OFF BP silent mode selection Blood pressure measurement end sound ON OFF selection Measurement record selection on
62. ch O Back switch Press the Menu Enter switch The setting content is entered and the display moves to the next setting item To end Utility Mode and return to the basic screen switch OFF the power for the main unit then switch it ON again Setting Method for Each Item 1 Measurement mode Adult Neonate selection 2 Adult initial inflation pressure value setting 3 Neonate initial inflation pressure value setting Adult Set to this value when using reusable or disposable cuffs for adult and pediatric patients Neonate Set to this value when using the disposable cuffs for neonates For details see 3 Non Invasive Blood Pressure Measurement NIBP Selecting the Measurement Mode Page 3 3 Adult Pediatric amp Neonate This is the inflation pressure value applied when the Cuff Interval and Smart Inflation are set to OFF the Cuff Start Stop switch is pressed and the blood pressure is measured HBP T105 only For the HBP T105S this is the inflation value when Smart Inflation is set to OFF For details see 3 Non Invasive Blood Pressure Measurement NIBP Other Function Initial Inflation Pressure Value Page 3 11 INI PRS is displayed The current initial inflation pressure value is displayed Display example 180 mmHg Available value 140 180 220mmHg The adult mode icon is lit up This is the inflation pressure value applied when the Cu
63. cified time Specified time 160 seconds adult 80 seconds neonate Specified number of pulses exceeded too many pulses detected Specified number of pulses 100 pulses same for adult and neonate Cuff pressure has exceeded the specified pressure for patient safety Specified pressure 300mmHg adult 150mmHg neonate Check items The measurement time exceeds the expected time so the measurement was ended in order to avoid patient discomfort There is a possibility that measurement is being repeated over and over due to air leaking from the cuff or air hose Pulse waveform signals for more than 100 beats are detected during measurement There is a possibility that noises might interrupt signal Motion artifact or vibration from outside possibly affected cuffs Check whether a patient stays still and cuff is free from outside vibration measure again During measurement the cuff pressure exceeded the expected pressure There is a possibility that the patient moved or strong pressure from outside might be added to the cuff Considering above measure again ee Priorit Possible Causes Check items Maximum value for Amplitude of pulse obtained measured pulse too low from cuff is too weak This error possibly occurs when cuffs are wrapped around loosely in ASO Possible patients or when cuffs are wrapped around thick clothing Wrap cuff around properly then measure again
64. display returns to the basic screen The first time is 180 mmHg for an adult in case of Smart Inflation OFF or 120 mmHg for a neonate From the second time on it is the previous systolic pressure value an appropriate value However if manual measurement is made during the measurement interval the inflation pressure value is 180 mmHg if the measurement mode is adult and 120 mmHg if the measurement mode is neonate Measurements are synchronized with the time display For example in the case of a five minute interval the measurement will automatically commence when the time display reads 00 05 10 etc For patient safety beware of the following when the time interval is one minute Ms The measurement interval will automatically become 2 5 minutes after 12 minutes have elapsed HI ifthe monitor is turned off the cuff measurement interval becomes 2 5 minutes 3 8 Non Invasive Blood Pressure Measurement CONTINUOUS MEASUREMENT mer t105 oniy Continuous Measurements CON Inflation pressure value 1 4 When you press the Cuff Interval switch the cuff measurement interval setting value flashes Cuff Interval switch Cuff Start Stop switch Use the Forward or Back switch to set the setting to CON C21 l l fomitg ae r SL ON ly 1 WT The setting is set to CON If you do not press a switch for 10 seconds or press Cuff Start Stop Alarm S
65. e device has been dropped or impacted by an object E Liquid or foreign matter gets inside the device f you think the device may be broken If there is condensation on the device dry it thoroughly before turning the power ON Follow your facility s procedures and applicable regulations when disposing of anything that has been used on patients Observe the following points when using a defibrillator E Have everyone in the area stand back from the patient and from any cords and devices connected to the patient Otherwise they could receive an electrical shock from the energy conducted by the defibrillator E Stand as far away as possible from the electrodes mounted on the chest section when applying the defibrillation or switch the electrodes to an appropriate position Applying defibrillation with the defibrillator paddles touching the electrodes will cause burns Observe the following points when using electrosurgical cautery equipment E ifthe electrode and ground pad are not properly mounted they may cause burns where they are attached to the patient For details carefully read the cautions in the electrosurgical cautery equipment operation manual E Noise from the electrosurgical cautery equipment may cause incorrect measurements to be displayed Always carry out pre work inspections and maintenance inspections Do not open disassemble or alter the device m CAUTION ps The HBP T105 S series conforms to the re
66. easured Do not measure body temperature without using a probe cover Alarm HBP T105 only m CAUTION Set the alarm volume loud enough to be heard adequately in the actual use environment If the alarm sounds first check the patient s condition For the alarm range set the value appropriate to the patient to whom this device is attached Internal Battery ee In the following cases battery solution could erupt out of the battery and cause heating fire and rupture if the battery is thrown into a fire or overheated If the battery is disassembled or altered If a battery that is leaking deformed or discolored is used If the battery unit is subject to strong mechanical shock If the battery is forced into the device main unit If the and terminals of the battery are connected with a metal needle or the like If the battery is carried together with a metal object such as a metal necklace or hair pin E ifthe battery is charged in any manner other than that specified If battery solution comes into contact with skin or clothing wash it off with clean water If battery solution comes into contact with the eye rinse the eye out thoroughly with clean water and seek immediate medical attention There is a danger of loss of eyesight moms CAUTION Keep water off the battery and do not allow it to become wet If the battery gets wet rust may be generated and leakage may then occur Do not leave the battery unused fo
67. ed The alarm sounds The alarm lamp flashes The edge of the Alarm Silence switch flashes The corresponding measurement value is displayed flashing The data is automatically stored in the list A The alarm sounds b The corresponding measurement value is The alarm lamp flashes displayed flashing The edge of the Alarm Silence switch flashes i 6 89 ng SpO2 b Jms ow O O al 70 2 45 a The data is automatically stored in the list 7 2 Alarms Silencing an Press the Alarm Silence switch Alarm The alarm sound stops The alarm lamp lights up The edge of the Alarm Silence switch lights up The corresponding measurement value continues to flash A The alarm sound stops The alarm lamp lights up The corresponding measurement value continues to flash The edge of the Alarm Silence switch lights up Ueb aa b dros 0 K IU i 2 49 a Recovering E Ifan alarm other than for a cuff measurement value set with the alarm from an Alarm settings is silenced but the alarm status has not ended within two minutes of the last time that alarm was silenced that alarm sounds again E Ifsome other alarm connection check or the like is silenced even if the alarm status has not ended within two minutes that alarm does not sound again For either type of alarm if an alarm has ended then occurs again the alarm sounds Extinguishing
68. eeeeeeeeeeeeeeeeeeeeeeaaaeaaeaeeeseeeeeeeeeeeeeeeneea 3 7 Commencing a Measurement ccceeeeeeeeeeeeeeeeeeeeeeaeeeee teases eeeeneeeeeeeneeeeees 3 7 Display of the Measurement Results cc cccceeeeeeeeeeeeeeeeeeeeeeeeenaeeeeeeeeteeaaa 3 7 Automatic Measurement HBP T105 Omnly seseeecccccceeeeeeeeeeeeeeeeees 3 8 Monitoring Using Cuff Intervals cecccceeesceeeeeeceeeeeeeeneeeeeeeaaeeeeensaaeeeeneaees 3 8 Continuous Measurement HBP T105 only eeescccccceeeeeeeeeeeeeeeeeees 3 9 Continuous Measurements CON cccccccecceseeeseeeeeeeeeeeesseseeeeeeeeeesessseaaes 3 9 Quick SYS ess an chee chaise eal teu a a aor cadeaeta yl sug ceg dias 3 10 Other PUNCUONS cia riina aea alvin aai aa aaa eiiie 3 11 Initial Inflation Valier a a a e E 3 11 Initial Inflation Pressure Value Setting sssessseeeseeneessnrrssrrrnrerennnerneresnne 3 11 Elapsed MMC eiea aae e etna a Eo a gets 3 12 Saina AEE EA E EE ea a EE A oats eta 3 13 High Speed Measurement Default setting is OFF ccccccsssesreeeees 3 14 BP SIGE MOG a a e hucaucomuiteess done e aih 3 15 Blood Pressure Measurement End Sound cccceceeeeeeeeeeeeeeeeeeeeeeeeeeeee 3 15 Atter MEASUlEMOMlscaccecivtiscnteideoindectinicsenrnacovsayihcdtanesdoidenteantiancaeeaco ee 3 17 Clear Display HBP T105S only eccccccesseeeceeeeeeeeeeeeseeeeeeeseeeeeeeeeaeeeeen 3 18 MEASUREMENT PREPARATION Connecting the C
69. election screen appears the display becomes as follows BP SPD is displayed The current setting value is displayed Display example ON High speed Use the Forward or Back switch to high speed measurement ON OFF measurement selection Entering the high When you have selected the desired value press the Menu Enter switch to speed measurement enter that value selection When you do the selection screen display moves to the next setting item Exiting the To end Utility Mode and return to the basic screen switch the power OFF selection screen then ON again The high speed measurement function can not be used in the following cases Hs When the pulse amplitude is low and the heartbeat is 40 min or less Hi When there is a lot of body movement HM When there is an irregular pulse 3 14 Non Invasive Blood Pressure Measurement BP Silent Mode About Utility Mode BP silent mode ON OFF selection screen BP silent mode selection Entering the BP silent mode selection Exiting the selection screen Blood Pressure Measurement End Sound About Utility Mode Blood pressure measurement end sound ON OFF selection screen When this function is switched ON the pump sound is suppressed In order to switch BP silent mode ON OFF it is necessary to put this unit into Utility Mode For details on Utility Mode see 9 Setup Utility Mode Page 9 9 Press the Menu Ent
70. er switch until the BP Silent Mode Selection screen appears When the BP Silent Mode Selection screen appears the display becomes as follows BP SLT is displayed The current setting value is displayed _ Display example ON TEMP o N Use the Forward or Back switch to select ON or OFF When you have selected ON or OFF press the Menu Enter switch to enter the selection When you do the selection screen display moves to the next setting item To end Utility Mode and return to the basic screen switch the power OFF then ON again When this function is switched ON when blood pressure measurement ends the notice sound is issued In order to switch blood pressure measurement end sound ON OFF it is necessary to put this unit into Utility Mode For details on Utility Mode see 9 Setup Utility Mode Page 9 9 Blood pressure measurement end sound is switched ON OFF on the Blood Pressure Measurement End Sound ON OFF Selection screen Press the Menu Enter switch until the Blood Pressure Measurement End Sound ON OFF Selection screen appears When the Blood Pressure Measurement End Sound ON OFF Selection screen appears the display becomes as follows yT BP SND is displayed The current setting value is displayed Display example ON Non Invasive Blood Pressure Measurement 3 15 Blood pressure measurement end sound selection Entering the
71. estimated and the cuff pressure raised to that pressure Smart Inflation operates in the following cases HM When the measurement mode is set to Adult Pediatric When the Cuff Interval is set to OFF and the Cuff Start Stop switch is pressed and the blood pressure is measured manually HBP T105 only When the Cuff Interval is set to 2 minutes or more HBP T105 only E Smart Inflation is set to ON The HBP T105S has no interval condition In order to switch Smart Inflation ON OFF it is necessary to put this unit into Utility Mode For details on Utility Mode see 9 Setup Utility Mode Page 9 9 Smart Inflation is switched ON OFF on the Smart Inflation ON OFF Selection screen Press the Menu Enter switch until the Smart Inflation ON OFF Selection screen appears When the Smart Inflation ON OFF Selection screen appears the display becomes as follows BP SMT is displayed The current setting value is displayed Display example ON Use the Forward or Back switch to switch Smart Inflation ON OFF When you have selected the desired value press the Menu Enter switch to enter that value When you do the selection screen display moves to the next setting item To end Utility Mode and return to the basic screen switch the power OFF then ON again Note The Smart Inflation function detects oscillometric signals during the cuff pressure rise and estimates
72. eturned to their factory set values with Utility Mode Default setting For details see Page 9 19 The backups are as follows Items with O Settings are retained even if the power is switched off Items with A If the operator sets a value for this setting lower than the factory setting value the setting returns to the factory setting value the next time the monitor is restarted Operation When power is lost for less than or equal to 30 seconds the alarm settings prior Following to the power loss are restored automatically Interruption of When power is lost for more than 30 seconds some settings return to factory The Power defaults mentioned above and others to the last settings used Supply eee Factory Upper limit 200mmHg Lower limit 70mmHg Upper limit 130mmHg Lower limit 50mmHg Upper limit 160mmHg Lower limit 30mmHg Upper limit 100mmHg Lower limit 10mmHg Upper limit 180 min Lower limit 40 min Upper limit 200 min Lower limit 50 min Upper limit 100 SpO gt Lower limit 90 SpOo Upper limit 100 SpO gt O 1bp O o0 0 O OF O F O OO O PR oO 1Pplo Lower limit 85 SpOo HBP T105 only 11 Z o o 2 2 lt 11 16 Appendix EEE l Mode Blood pressure unit mmHg Adult 180mmHg Neo 120mmHg init Pres High speed OFF Measurment Smart Inflation NIBP Interval BP silent mode Ala
73. f drawn blood samples measured by hemoximetry All accuracies are expressed as X digits Pulse oximeter equipment measurements are statistically distributed about two thirds of pulse oximeter measurements can be expected to fall in this accuracy ARMS range Because scatter and bias of pulse oximeter SpO and blood SaO comparisons commonly increase as the saturation decreases and accuracy specifications are calculated from data spanning the stated range different accuracy values may result when describing partially overlapping ranges Oxygen saturation accuracy can be affected by certain environmental equipment and patient physiologic conditions that influence readings of SpOz SaO or both Accordingly observations of clinical accuracy may not achieve the same levels as those obtained under controlled laboratory conditions Saturation Sp0O3 During No Motion Conditions Adult pediatric 70 to 100 2digits 0 to 69 Unspecified Neonatal 70 to 100 3digits 0 to 69 Unspecified Saturation SpOz During Motion Conditions Adult pediatric 70 to 100 3digits 0 to 69 Unspecified Neonatal 70 to 100 3digits 0 to 69 Unspecified Range of Peak Wavelength Pulse oximeter sensors contain LEDs that emit red light at a wavelength of approximately 660nm and infrared light at a wavelength of approximately 905nm Population Healthy and non smoker Comprised of both men and women subjects spanned a range of skin pigmentations
74. f inflow light by arterial blood during systole of the heart chamber changes Subtraction of the standard reading from the systolic reading provides a reading that is the level of oxygen saturation for arterial blood LL gt ke 3 a x Appendix 11 13 Principle of Operation For Masimo model Principle Of The Masimo SET MS board pulse oximeter is based on three principles operation 1 Oxyhemoglobin and deoxyhemoglobin differ in their absorption of red and in infrared light spectrophotometry 2 The volume of arterial blood in tissue and the light absorbed by the blood changes during the pulse plethysmograpby 3 Arterio venous shunting is highly variable and that fluctuating absorbance by venous blood is a major component of noise during the pulse The Masimo SET MS board pulse oximeter as well as traditional pulse oximetry determines SpO by passing red and infrared light into a capillary bed and measuring changes in light absorption during the pulsatile cycle Red and infrared light emitting diodes LEDs in oximetry sensors serve as the light sources a photodiode serves as the photodetector Traditional pulse oximetry assumes that all pulsations in the light absorbance signal are caused by oscillations in the arterial blood volume This assumes that the blood flow in the region of the sensor passes entirely through the capillary bed rather than through any arterio venous shunts The traditional pulse oximeter calc
75. ff Interval and Smart Inflation are set to OFF the Cuff Start Stop switch is pressed and the blood pressure is measured HBP T105 only For the HBP T105S this is the inflation value when Smart Inflation is set to OFF For details see 3 Non Invasive Blood Pressure Measurement NIBP Other Function Initial Inflation Pressure Value Page 3 11 The current initial inflation pressure value is displayed Display example 120 mmHg Available value 80 120 140mmHg The neo mode icon is lit up Setup 9 11 4 Smart Inflation ON OFF selection 5 High Speed measurement ON OFF selection Default is OFF When this function is switched ON the cuff pressure appropriate to the patient s blood pressure value is automatically estimated and the cuff pressure raised to that pressure For details see 3 Non Invasive Blood Pressure Measurement NIBP Smart Inflation Page 3 13 BP SMT is displayed The current setting value is displayed Display example ON When this function is switched ON blood pressure is measured in a shortened time When this function is used the time the blood vessel is occluded is shorter so potential discomfort due to the measurement and possible damage to subcutaneous tissue is reduced For details see 3 Non Invasive Blood Pressure Measurement NIBP High Speed Measurement Page 3 14 BP SPD is displayed The current setting
76. ffect the problem may be within the device In this case cease use immediately and contact Omron Technical Service E31 Low signal level Pulse Signal obtained from sensor is wave cannot be weak SpO could not be recognized properly measured There may be a problem with fitting of the f SpO sensor or blood flow at High Roselle the sensor site may be unsatisfactory Check the condition of the patient and fitting of the sensor or replace the sensor and measure again E32 SpO sensor has come off Sensor is not in contact with patient patient SpO could not be Medium A Possible measured Fit the sensor correctly to the patient and measure again o o a aea Low None progress mounting location E34 The current measurement SpO gt could not be measured has been affected by due to signal noise thought to Low None patient movement be due to body movement Ensure that the patient remains at rest and measure again E35 Outside of pulse count Check the condition of the measurement range patient Medium AD Possible Also do not move the sensor mounting location E36 Pulse signal weak Check the condition of the patient Low None Also check that the sensor is correctly mounted For HBP T105S the alarm does not sound 11 e o o 2 2 lt 11 8 Appendix Era eae Sound riori Type T Silence E37 Medium Possible G BER E39 High A Possible NF For HBP T105S the al
77. gless measurement readings when the SpO sensor is detached from measurement site and when light intensity changes when a person walks by and temporarily blocks out light In the following cases measurement is not possible or correct measurement is not possible e Insufficient peripheral circulation acute cases of low blood pressure low temperature due to insufficient blood flow in the body part being measured e The patient is moving e When cardiac massage is performed or when there are weak but continuous vibrations spasm venous pulsation etc e During blood pressure measurements if the SpO sensor is placed on the same arm as the cuff e If selection and attachment of the SpO sensor are not correct e Patients with carbon monoxide poisoning and heavy smokers Functional disorders of hemoglobin such as carboxyhemoglobin and methemoglobin cannot be differentiated e When there is much of a high reagent color component within the arteries indocyanine green methylene blue etc e When there is nail polish colored cream or other pigmented substance that interferes with light where the sensor is mounted e When there is strong light such as direct illumination or direct sunlight Block off the light e Measurements on patients using a heart lung machine since there is no pulsebeat After measurement For details about how to check the data see 6 List screen Page 6 1 or 8 Recorder Page 8 1 Clea
78. ilence or Cuff Interval Setting Mode ends and the display returns to the basic screen Settings are not finalized until you press the Cuff Start Stop switch Pressing the Cuff Start Stop switch starts measurement The initial inflation pressure value is 180 mmHg for an adult 120 mmHg for a neonate From the second time on it is the previous systolic pressure value an appropriate value For patient safety beware of the following for continuous measurements The measurement interval will automatically become 2 5 minutes after 12 minutes have elapsed If the monitor is turned off the cuff measurement interval becomes 2 5 minutes After a setting is made if 5 minutes pass without the Cuff Start Stop switch being pressed the cuff measurement interval becomes 2 5 minutes Non Invasive Blood Pressure Measurement 3 9 Quick SYS This device has a function for estimating the systolic pressure during the second and subsequent measurements in continuous measurement in adult mode This function is called Quick SYS There are some cases in which Quick SYS does not work i e when the systolic pressure cannot be estimated Not displayed when high speed measurement is enabled When Quick SYS When Quick SYS is working when the systolic pressure can be estimated the is working estimated systolic pressure value is displayed at SYS and is displayed at DIA 7 Quick SYS display Systolic pressure esti
79. ing apparatuses are used such as an MRI room CT room X ray room etc Do not place anything on this device Before moving this device remove all accessories from the patient turn the power OFF and unplug the AC adapter cable Observe the following cautions when connecting this device with other equipment E Ensure that the connected equipment is in accordance with the IEC60601 1 or IEC safety standards HM Employ additional protective measures e g additional protective earthing as necessary This device meets the restricted level of leakage current required for medical devices Therefore this device cannot be connected to a device that would give a combined total of leakage current beyond the restricted level Do not connect devices that do not meet medical safety standards NIBP lt A a Do not wrap the cuff around any of the following locations Doing so can cause an accident E Anywhere on the four limbs that a venous pulse is secured such as where there is an IV or blood transfusion E Any limb with an artificial dialysis shunt When the cuff hose is bent or blocked there could still be air in the cuff even though the pressure display reads OmmHg This may block the blood flow in the arm which may in turn cause peripheral function disorders m CAUTION Never set the measurement mode to Adult Pediatric when using a neonate infant cuff Doing so could cause the cuff to be inflated to a dangerously high p
80. it is charged whether the main unit power is ON or OFF However the charging type depends on the state of the battery as explained below Device power supply Battery indicator display Charging types Features It takes about 6 hours to fully charge a battery that was completely discharged Normal charge OFF Orange Charging with a small current just enough to compensate for the battery s self discharge when the battery is fully charged Trickle charge ON or OFF Green Internal Battery 10 1 Battery Icon Display 10 2 Internal Battery The battery icon display shows the usage state Power Supply Battery icon display Battery state Charging Battery indicator Orange y Off Fully charged state Running on AC ae Battery indicator Green power supply Red Battery not connected battery abnormality Battery indicator Off Adequate charge Green aq f g Battery remaining over about 30 Orange State in which the remaining Flashing A operating time has run low Running on The alarm Battery remaining under about 30 battery sounds Red Flashing rapidly A The alarm sounds If this state occurs the power supply is automatically cut off after about 1 minute Battery remaining under about 5 Battery Low a Battery Not Mounted a Operating Time Battery and Ambient Temperature
81. itch to enter that value When you do the selection display moves to the next setting item To end Utility Mode and return to the basic screen switch the power OFF then ON again 8 8 Recorder Deleting List Data Recorder Error Refer to Chapter 6 List Screen Recorder errors are detected and announced with the RECORDER INDICATOR RECORDER INDICATOR status Error details Solution Lit Out of paper Load paper Flashing rapidly Hardware error Flashing somewhat rapidly Head voltage error Flashing slowly Head temperature error A device error was detected Switch the power OFF then ON again If the error recurs repeatedly stop using this device and contact Omron Technical Service If the paper runs out during printing reload paper The printing does not resume automatically Press the Record switch Note that the printing starts over from the beginning mel D 3 Q 2 o 2 Recorder 8 9 MEMO i D O OG D oc 8 10 Recorder How to Setup PA ert cee ce ce A E eae te A ae ee 9 1 Settings in Setting Mode isi iat sees vehertcduds new Aantorveleveatoertevebinanipsysunreadis 9 1 Settings in Utility MOd Goins cedar ew aur tava went eenarneiertes 9 1 MSS CIN IOC a ces Se ct ered ne Bedesem anes E E E 9 2 Setting POC COUN G ltt iaeaea a aaa aaa EAA A AE PT A aee 9 2 Setting Method for Each ltem c
82. ive humidity should be at least 30 Electric fast transient 2 kV for 2 kV for Mains power quality should be burst power supply lines power supply lines _ that of a typical commercial or IEC 61000 4 4 1 kV for 1 KV for hospital environment input output lines input output lines Surge 1 kV 1 kV Mains power quality should be IEC 61000 4 5 normal mode normal mode that of a typical commercial or 42 kV 2 kV hospital environment common mode common mode Voltage dips short lt 5 UT lt 5 UT Mains power quality should be interruptions and for 0 5 cycle for 0 5 cycle that of a typical commercial or voltage variations on hospital environment If the power supply 40 Ur 40 UT user of the HBP T105 requires continued operation during IEC 61000 4 11 fore Cycles for cycles power mains interruptions it is 70 Ur 70 Uy recommended that the HBP T105 be powered from an unin Tor 2S Gycies lovee cyues terruptible power supply or a lt 5 Ur lt 5 Uy battery for 5 sec for 5 sec Power frequency 3 A m 3 A m Power frequency magnetic 50 60 Hz magnetic fields should be at levels char field acteristic of a typical location in a typical commercial or hospital IEC 61000 4 8 environment Note Uy is the a c mains voltage prior to application of the test level Appendix 11 43 gt ke 3 a x LL 11 Z 3 o 2 2 lt A IEC60601 1 2 IEC60601 1 2 Electromagnetic Conducted RF 3 Vrms IE
83. l Neonatal 3 C0400005B 10 With Slip Luer Fitting 2 Neonatal 4 C0400007B 10 Neonatal 5 C0400009B 10 Cuff Assortment Pack Rectus Reusable Assortment Pack Includes Adult Cuff Child Small Adult Infant Cuff Large Adult Cuff Thigh Cuff C030191A NLR Disposable Assortment Pack Includes 3 Adult Cuffs 2 Pediatric Cuffs 2 Large Adult Thigh Cuffs 2 Small Pediatric Cuffs C0400081A Cuff Hoses Rectus Cuff Hose Adult 3 5m HOSE ADULT PII Rectus Cuff Hose Neonatal 3 5m HOSE NEO PIl Conversion adapter HBP ADAPT 10500 10 500 adapter 1 HOSE ADULT PII and 10 500 adapter are required 2 HOSE NEO PII are required Appendix 11 47 gt ke 3 a x LL For Nellcor SpOo Pulse oximeter optional accessory 11 Z o 2 2 lt 11 48 Appendix Except for DURASENSOR products below are for single patient use only When in use they are connected to the standard accessory extension cable DOC 10 A ADULT FINGER OXISENSOR MAX A Patient Weight 30 kg or over CHILD FINGER OXISENSOR MAX P Patient Weight 10 50 kg ws AT E e N ADULT NASAL OXISENSOR MAX R Patient Weight 50 kg or over 7 INFANT OXISENSOR MAX I Patient Weight 3 20 kg NEONATAL OXISENSOR MAX N Patient Weight 3 kg or less 40kg or over MAX FAST For Patient s forehead DURASENSOR
84. layed ERA e e Ste ae eerece aie om Spaz A YMD YYYY MM DD J YA DMY DD MM YYYY e YMD YYYY MM DD J TiY DMY DD MM YYYY One of the above is displayed Use the Forward or Back switch to select the date format When you have selected the date format press the Menu Enter switch to enter the selection When you do the selection screen display moves to the next setting item To end Utility Mode and return to the basic screen switch the power OFF then ON again Setup 9 17 18 MAP display ON OFF selection MAP display ON OFF selection screen Selecting ON OFF Entering the selection Exiting the selection screen 19 LAN group number setting 20 LAN bed number setting 9 18 Setup When this function is switched OFF the MAP is not displayed during blood pressure measurement Nor is it printed Press the Menu Enter switch until the MAP Display ON OFF Selection screen appears When the MAP Display ON OFF Selection screen appears the display becomes as follows DSP MAP is displayed The current setting value is displayed Display example ON Use the Forward or Back switch to select ON or OFF When you have selected ON or OFF press the Menu Enter switch to enter the selection When you do the selection screen display moves to the next setting item To end Utility Mode and return to the basic sc
85. ls with body temperature measurement M The latest 10 data items are printed on one page Note Inputting an ID requires the optional bar code reader 8 2 Recorder Detailed list The shading shows when an alarm occurred recording HBP T105 only LST 2 PRINT 2007 04 05 10 30 TIME ID NIBP SYS DIA MAP PR Sp02 TEMP 2007 04 04 _ mhe __ t min 48902 CI MNO 0000000000000001 1207 60 90 A 60 100 36 5 11 10 0000000000000002 J121 61 91 j 100 99 36 6 11 20 0000000000000003 122 62 92 80 98 36 7 41 30 0000000000000004 1237 63 93 85 97 368 11 40 0000000000000005 124 64 94 11 75 93 3691 11 50 0000000000000006 125 65 95 80 96 36 8 12 00 0000000000000007 65 105 135 60 95 36 7 12 10 0000000000000008 155 95020 65 j 94 j 36 6 12 20 0000000000000009 135 80 105 70 92 365 42 30 0000000000000010 130 75 100 75 o 3641 NIBP measurement information When the blood pressure values are displayed the NIBP informa tion changes as below I The body moved during mea surement A The measurement mode was measured as an Adult Pediatric For the following data the time sec N The measurement mode tion is displayed shaded to make was measured as a Neonate later identification easier e Data for manual blood pressure measurement HBP T105 only
86. ly for models with recorder List record pattern selection only for models with recorder External output selection Battery operation selection Hour setting Minute setting Year setting Month setting Day setting Date format selection only for models with recorder Map display ON OFF selection LAN group number setting LAN bed number setting Default setting HBP T105 only Only when External output is selected Setup 9 1 SETTING MODE Setting Procedure 1 How to enter Press the Menu Enter switch setting mode The system goes into Setting Mode Menu Enter switch 2 Setting screen Press the Menu Enter switch until the desired setting screen appears selection Each time you press the Menu Enter switch the setting screen changes in the following order SYS upper limit alarm setting SYS lower limit alarm setting For example to access the SYS Upper Limit Alarm Setting press DIA upper limit alarm setting oe ok the Menu Enter switch until that DIA lower limit alarm setting Serer app i PR upper limit alarm setting PR lower limit alarm setting 1 2 3 4 5 6 7 SpO upper limit alarm setting only for models with SpO measurement 8 SpO lower limit alarm setting only for models with SpO measurement 9 Alarm volume setting 10 Pulse rate volume setting only for models with SpO measurement 11 Cuff measurement interval
87. mated value DIA ig displayed 7 at this section When Quick SYS When Quick SYS is not working when the systolic pressure can not be is not working estimated the last measured values are displayed at SYS MAP and DIA The last measured values are displayed 5 J a ov E mmHg y Loni 2245 a min When The measurement results are displayed measurement ends The value displayed for Quick SYS is an estimated value so it does not necessarily match the measured systolic pressure 3 10 Non Invasive Blood Pressure Measurement OTHER FUNCTIONS Initial Inflation Value Initial Inflation Pressure Value Setting About Utility Mode Adult Initial inflation pressure value setting screen Changing the adult initial inflation pressure value Entering the adult initial inflation pressure value Exiting the setting screen The Initial Inflation Pressure is the inflation value applied when the Cuff Interval and Smart Inflation is set to OFF when the Cuff Start Stop switch is pressed and the blood pressure is measured HBP T105 only For the HBP T105S this is the inflation value when Smart Inflation is set to OFF M Adult mode You can select from 140 mmHg 180 mmHg and 220 mmHg The factory setting is 180 mmHg E Neomode_ You can select from 80 mmHg 120 mmHg and 140 mmHg The factory setting is 120 mmHg The initial inflation value can not be used when
88. may use the following cleaning solutions Cidex Betadine 10 solution of bleach 9 parts water one part bleach 3 Hydrogen peroxide Cidex is a registered trademark of Johnson amp Johnson Betadine is a registered trademark of Purdue Products L P CHECKING BEFORE USE Each Day Prior to daily use the following points should be checked Before Turning M Is there any deformation or damage due to the unit or accessories being ON the Power dropped Check for the Following External MH The device is not dirty appearance MM The device is not wet AC ADAPTER The AC ADAPTER is firmly connected to the connector on the main unit AC ADAPTER There are no heavy objects laying on the AC ADAPTER CABLE CABLE The AC ADAPTER CABLE is not damaged core wire exposure breaks etc After Turning M There is no smoke or odor coming from the device ON the Power Check for the Following External MH The device is not making any unusual noises appearance Time check MH The time display is correct Care must be taken because if the time is incorrect the records kept will be incorrect Alarm volume The alarm volume is at an appropriate level check Non invasive blood MH Make sure that a suitable cuff is attached one that fits the circumference of pressure NIBP the patient s arm measurement section MM The air hose and cuff are firmly connected E The measurement mode is correctly set in accordance with the patient
89. ne NXTP ma NXP ne lt x x HBP T105S TP P XT ne XT ma X ne X ma T x xj x x x x x x x lt gt lt x lt x lt x lt x lt x lt x lt x lt x lt Nellcor is a registered trademark of Nellcor Puritan Bennett Incorporated Masimo is a registered trademark of Masimo Corporation Symbols and Safety Terms Safety symbols and terms pointing out incorrect or potentially unsafe use are shown in this manual and on the actual products The symbols and meanings are shown below so please read thoroughly and familiarize yourself with them A DANGER DANGER indicates an imminently hazardous situation which if not avoided will result in death or serious injury A WARNING WARNING indicates a potentially hazardous situation which if not avoided will result in death or serious injury CAUTION CAUTION indicates a potentially hazardous situation which if not avoided may result in minor or moderate injury Other Labels Note This indicates necessary information that should be taken into account when using the device This symbol appearing in the text indicates that a highest priority alarm sounds in association with the error content When the alarm sounds switch the power OFF then ON again Highest priority rhythm DDD DDD Dees Continues to sound until the power is cut off This symbol appearing in the text indicates that a high priority alarm sounds in associa
90. ng patient Body moved shivering due to cold etc e Arrhythmia occurred e Noise in cuff Nearby person touched patient or heart massage was being performed 11 2 o 2 2 lt 11 26 Appendix Measurement readings unreliable Air discharge is fast Check for loose cuff hose connection Perform measurement in tandem with stethoscope examination of Stethoscope pulse Place stethoscope on artery and listen while watching Blood Pressure Monitor pressure display Blood pressure fluctuates greatly due to physiological reactions Check the following items as one of them may be the cause e Patient was agitated Cuff was painfully tight or patient was nervous of treatment e Cuff size and or cuff wrapping were incorrect e Cuff was wrapped at a position on the upper arm not parallel to the heart e Patient blood pressure was unstable due to alternating pulse and respiration fluctuations etc gt xo mo 0 3 2 x Appendix 11 27 Arterial Oxygen Saturation by Pulse Oximeter Measurement SpO gt Measurement not possible e Check the patient as shock poor peripheral circulation due to low blood pressure or constriction of arteries at sensor attachment point may be possible causes e Check to see if sensor has become detached e Check to see if sensor attachment is over tight e Check to see if the artery catheter and vein line are attached on the same arm e If the senso
91. niauptarcteddcaeetietaataes 11 19 Accessory Care iise ee haa OS cect Nvre a a S 11 20 Non Invasive Blood Pressure Measurement NIBP ccceeeeeeeeeeeees 11 20 Arterial Oxygen Saturation by Pulse Oximeter Measurement SpO gt 11 20 Temperature Prob Gs a ccc ccacstnas ep geceehntccteens ees aviene ecto teexvemaadtd 11 20 Checking Before Use 4 2 sosseviienrgterkaeet Habs cossyavbenenshenee rato atess dete 11 21 Each DAY secasceldoadualeacueiser actus aaa un EANAN dda ves AEAN EAA NEEE TA AREA ear ATASS aaiae 11 21 Before Turning ON the Power Check for the Following ceceeeee 11 21 After Turning ON the Power Check for the Following eseeeeeee 11 21 Power on DISPIAY icici tersndcncndnsscainan E e aa 11 23 Maintenance Checks tuts rosie avs ons ee en eats 11 24 Before Turning ON the Powel ccccccceeeeecceeeeeeaeeeeeeeaaeeeeeseeeeeeeaaeeeeee 11 24 After Turning ON the POWE cccccceeeeeeeceeeeeceeeeeeseeeeeseaeeeeeenaeeeneenaeees 11 24 THOUDISSTOO UNG isis reesei Ga Ron a a ia tine tintin een a e 11 25 Disposal itn es csirevediaeciasasavantncntadates ath idk arenas E E E E ERE 11 31 DOSCPUON gekent iaeiei eat noaei SE anaE a ARAE EARRA ARAA EAEN aiar 11 31 SPSCIMICALOMS E E E E tate tate eure el nad state 11 32 CNG e ch eatite tere ott atta Reasa car eaccieaas Ba cela te E nee tes 11 32 Output Terminals Optional cccccceeeeseeeeeeeeeeeeeeeeeeeeseaeeeeesneeeeeseaeeees 11 33
92. nitor and contact Omron Technical Service E90 Either no internal battery is Either no internal battery is mounted or it cannot be mounted or it cannot be High A Possible detected detected Check the internal battery cable connection gt xo gei 0 3 2 x Appendix 11 1 Contents Check items Internal voltage error An internal voltage error was detected A device error was detected Switch the power OFF then ON again If the error recurs repeatedly stop using this device and contact Omron Technical Service Possible Internal temperature error The temperature in the device has risen Check the ambient temperature If the temperature has risen even though the device is being used within the usage temperature range stop using this device and contact Omron Technical Service Backup error The backup memory was Possible initialized All data are erased and returned to factory defaults RTC error An error was detected in the main unit s internal clock IC Switch the power for the main Possible unit OFF then ON again If this does not solve the prob lem immediately stop using it and contact Omron Technical Service Sound IC error A sound function error was detected Switch the power OFF then ON again If the error recurs repeatedly stop using this device and contact Omron Technical Service Serial communication error An external communication function error was detected Switch
93. nly fits one way 2 Insert the SpO sensor onto the extension cable lower the cover and lock it OXISENSOR is a registered trademark of Nellcor Puritan Bennett Incorporated Pulse Oximeter SpOz 4 1 SpO Sensor The use of a patient suitable sensor is an important factor for obtaining correct measurement Selection results Carefully select a patient suitable sensor from among those shown below For Nellcor ADULT FINGER CHILD FINGER INFANT OXISENSOR OXISENSOR MAX A OXISENSOR MAX P MAX I mode i Disposable sensor should Disposable finger sensor Disposable sensors for be applied to adults for patients weighing from Infants weighing from 3 to weighing over 30kg 10 to 50kg 20kg NEONATAL OXISENSOR MAX N ADULT NASAL Disposable sensor for Neonates weighing 3 kg or less OXISENSOR MAX R use on a leg or arm Or for use on the index finger for Disposable nasal sensor for adults weighing over 40kg adults weighing over 50kg _ _ AT S DURASENSOR DS MAX FAST 100A Reusable sensor For Patient s forehead should be applied to adults weighing over 40kg The DURASENSOR DS 100A is a short term usage sensor that can be used repeatedly The OXISENSOR sensors are single patient use only These sensors can be reused on the same patient only while the tape remains adhesive Read the included instruction manual thoroughly before using OXISENS
94. nternal battery is a consumable part so it is not covered by the limited warranty Internal Battery 10 3 MEMO 10 4 Internal Battery 11 Appendix 11 Appendix Appendix Ein COG Tahle teen 2st ce oes sis sc oe ceca tues nce eee eee rake a Aa N 11 1 System Error Code Table aes acesig sacertacnesseuceandusytsenadesniaccereedecuetee aden gi onicate 11 1 Non Invasive Blood Pressure NIBP Measurement Section Eror Code Listino eds ec ae antl Med eis a mnt UNA de a Rt 11 3 SpOs Error Code Tables isisct ee cssiuccass cacbs ceive ches acsscedassiecdees actavladsandgcueareees 11 8 Body Temperature Error Code Table cccceeeceeeeeeeeeeeeeeeeeeeeeeeeeenaeeeeees 11 10 PPI CUS esgic ote ia at ah susie cack see uate aa vee E A 11 11 Non Invasive Pressure Measurement Principles 11 11 Basic Principles of SpO gt Measurement cccceceeeeeeeeeeeeeeeeeeeeeetenaeeeeees 11 12 Principle of Operation For Masimo model ccccsecsssesssssseeesstsseeeeeees 11 14 BIE SO UUING fos scene E treats lesen cen eceeee ree ses stoma ene saad eres 11 16 Operation Following Interruption of The Power Supply ccceeeeee 11 16 Malinienaneer aauccartn inca a ea atti oes ah lei 11 18 Maintenance Inspection and Safety Management ceeeeeeeeeeeeees 11 18 Managing Consumables c cccceeeeseceeeeeseeeeeeeeaeeeseseeeeeeeeaaeeeeenaaeeeeees 11 18 Device Maintenance cccnchatichissiericweiabgaivede
95. o oxygen in arterial blood and reduced hemoglobin that is not linked is known as the SpO ratio and the pulse oximeter method is used to measure that ratio Functional saturtion HbO SpO 100 x Rea HbO Hb HbO Oxidized hemoglobin Hb Reduced hemoglobin Usually an artery with a high ratio of oxidized hemoglobin is red while a low ratio will cause the venous blood to look blackish This is easily understood when the light absorbency coefficient of wavelengths for each hemoglobin type are viewed 1000 Light 100 Hb Absorbency 10 600 700 800 900 1000nm Here an infrared beam at a wavelength of 920 nm and a red beam at a wavelength of 660 nm are alternately flashed ON and OFF and transmitted through the measurement section in this case a finger The light volume ratio of these transmitted lights is calculated to enable measurement of the level of oxygen saturation Infrared light source Red light source YH Light sensor However the lights transmitted through the measurement site also contain data other than the arterial blood targeted for measurement Information on Arterial Blood Absorption baik Light Absorption by Venous Blood Rate __ Light Absorption by Organs Time At this time the data for diastole of the heart chamber includes data other than arterial blood data so this reading is used as the standard reading for measurements Next the absorbency o
96. of the Canadian Department of Communications Cet appareil numerique respecte les limites de bruits radioelectriques applicables aux appareils numeriques de Clase B prescrites dans la norme sur le materiel brouilleur Appareils Numeriques ICES 003 edictee par le minister des communications Changes or modifications not expressly approved by the party responsible for compliance could void the user s authority to operate the equipment Manufacturer s Declaration Use the HBP T105 in an electromagnetic environment as described below The user should check that the HBP T105 is used in such an environment Electromagnetic Emissions IEC60601 1 2 Eledromagnatc Environment RF emission The HBP T105 uses RF energy only for inter CISPR 11 nal functions Therefore this RF emission is extremely weak and there is little chance of it creating any kind of interference whatsoever with nearby electronic equipment RF emissions Class B The HBP T105 is suitable for use in all estab Harmonic emissions Class A esiosa o Sn Voltage fluctuations flicker Class 5 feces oS 0S 11 42 Appendix Electromagnetic Immunity IEC60601 1 2 IEC60601 1 2 P Electromagnetic Immunity test Compliance level test level environment guidance Electrostatic 6 kV contact 6 kV contact Floors should be wood con discharge ESD 8 kV air 8 kV air crete or ceramic tile If floors IEC 61000 4 2 are covered with synthetic _ material the relat
97. ollowing display will appear in order in roughly 2 second intervals ae eae BBE BEA A CT HA Al qeag g ow Reig ps 0 0 BBB i AA 88 T105S Type S T105 Type Not Displayed Nellcor Model NE T105S Type Display S Masimo Model MA T105 Type Not Displayed Printer YES Display P Printer NO Not Displaye SpOz YES Display X TEMP YES Display T SpOz NO Not Displayed TEMP NO Not Displayed LL gt ke 3 3 a x Appendix 11 23 MAINTENANCE CHECKS Before conducting safety checks be sure to implement the items in the Device Maintenance Page 11 19 and Accessory Care Page 11 20 sections Before Turning ON the Power External appearance AC ADAPTER AC ADAPTER CABLE After Turning ON the Power External appearance Switches amp Lamps Alarm volume check Time 11 Z 3 o 2 2 lt 11 24 Appendix The device is not misshapen due to being dropped or other impacts The device is not wet Cords are not damaged and connections are not loose The sensors attached to the patient are only those supplied or specified by Omron The roll paper is the specified type and enough stock is maintained The AC ADAPTER is firmly connected to the connector on the main unit Check to see that the AC ADAPTER CABLE is completely connected When plugging into a 3 pin wall socket do not use a 3pin 2pin adapter The AC ADAPTER CABLE is
98. once you reach the oldest data or the newest data regardless of which key is pressed The Cuff Interval LED alternates between displaying LST which indicates list display and displaying the current list data number f O B0 ag 1nn LI LI Displays the current D G TEMP J F 5 measurement unit 5 ic MAP am a 4 wn oD 2 o o 5 Displays the time Displays Adult neonate L the list data was List Data Count List Save Timing stored List display isn t displayed in the following cases When measuring the blood pressure When measuring the SpO When measuring the body temperature When the alarm is activated When there is no list data A maximum of 400 data items can be stored in memory Data older than the last 400 data items is overwritten by newer data in order from the oldest data The measurement reading is saved in the list as follows When measurement with the cuff is completed including error When an alarm occurs with each measurement reading HBP T105 only When SpO measurement starts When estimated body temperature ends List Screen 6 1 Deleting In order to delete list data it is necessary to put this unit into Setting Mode by List Data pressing the Menu Enter switch For additional information on Setting Mode see 9 Setup Setting Mode Page 9 2 Delete list screen List data deletion is set on the Delete List screen Press
99. onnect the air hose to the Cuff Connection Port Air Hose Insert securely in the direction of the arrow until it clicks into place N Cuff Connection Port SX K Air Hose 4 To remove move in the direction that pulls out this section On the end of the air hose install the cuff appropriate for the patient Cuff Selection The use of a patient suitable cuff is an important factor for obtaining correct measurement results Carefully select a patient suitable cuff from among those shown below CUFF Part Measurement Air hose mode Reusable Cuff Infant C030101A NLR Rectus Cuff Hose Adult 3 5 Reusable Cuff Child Small Adult C030103A NLR ee HOSE ADULT PII Reusable Cuff Adult C030107A NLR Adult Reusable Cuff Large Adult C030109A NLR Reusable Cuff Thigh C030111A NLR Reusable Cuff Long Adult XC030115A NLR Disposable Neonatal Cuff 1 C0400001B Rectus Cuff Hose Neonatal 3 5 m Disposable Neonatal Cuff 2 C0400003B HOSE NEO PIl Disposable Neonatal Cuff 3 C0400005B Neo Disposable Neonatal Cuff 4 C0400007B Disposable Neonatal Cuff 5 C0400009B Non Invasive Blood Pressure Measurement 3 1 Check before When you switch on the main unit power check that the blood pressure Start of Blood automatically stabilizes Pressure After the check ends the NIBP UNIT ICON and NIBP PATIENT ICON are lit Measurement up Check that these icons are lit
100. order will not record if the paper is loaded reversely so be careful to load the paper in the correct direction After setting the roll paper in place bring the leading edge of the roll paper so that it sticks out slightly from the gap at the top of the recorder cover then close the recorder cover Roll paper The outside is the color generating surface Do not use with the recorder cover left open The final meter of roll paper contains a red line When this becomes visible replace with specified roll paper The roll paper is thermosensitive so the roll paper may color and recording may fade Examples of coloration causes Glues felt pens containing organic solvents adhesives Examples of fading causes Sunlight ultraviolet rays fluorescent pens tapes transparent case for storage desk pads For the above reasons make a copy when storing as a document of permanent record Please use only roll paper from Omron If you use other paper the printing may be thin or it may cause a paper jam or other breakdown J D 8 Q 2 o Recorder 8 1 i E O OG D a MANUAL RECORDING List types Simple list recording LST 1 Press the Record switch The measurement data is recorded The recorded list will be one of the three types below You can set the type you want For details about how to set the list type see List Record Pattern Selection Page 8 5 Simple List Recording
101. ording OSCL Measurement value recording One of the above is displayed mel D 8 Q 2 o 2 Use the Forward or Back switch to select the record pattern When you have selected the desired value press the Menu Enter switch to enter that value When you do the selection screen display moves to the next setting item To end Utility Mode and return to the basic screen switch the power OFF then ON again Recorder 8 5 AUTOMATIC RECORDING When the measurement record selection becomes anything other than OFF in Utility Mode the measurement value at the moment measurement ends is recorded The recorded list will be one of the two types below You can select the desired type with a setting For details on how to make this setting please see Page 8 8 M Simple List Recording LST HM Measurement Value Recording OSCL Simple list recording a Date of the head data in the recorded list data LST DATA DATE 2007 04 04 TIME D For the following data the time section is displayed SYS DIA PR Sp02 TEMP shaded to make later identification easier mmHg __ min__ _ Sp02__ _ C__ e Data for manual blood pressure measurement 11 00 0000000000000001 HBP T105 only 120 60 A 60 100 36 5 11 10 0000000000000019 121 61 A 60 98 36 6 f NIBP measurement information When the blood pressure values are displayed the NIBP information changes as below 11 20 0000000000000012 165 105 A
102. osts of shipping a loaner product and the repaired or replacement product to Purchaser Purchaser shall pay all other shipping cost Risk of loss or damage during shipments under this Warranty shall be borne by party shipping the product Products shipped by Purchaser under this Warranty shall be suitably packaged to protect the product If Purchaser ships a product to Omron in unsuitable packaging any physical damage present in the product on receipt by Omron and not previously reported will be presumed to have occurred in transit and will be the responsibility of the Purchaser Prior to returning a unit for any reason please e Call Omron Technical Service at 800 829 NIBP 6427 or 210 690 6200 explain problems observed verify the warranty and obtain a Return of Merchandise Authorization RMA number e Remove all accessories from the unit unless directed otherwise by an Omron representative Optional Extended Limited Warranty Responsibility for Loaned Equipment e Package the monitor appropriately to prevent damage during transit If a loaner unit was requested use that packaging for the monitor being returned e Ship to OMRON COLIN MEDICAL CORP Attn RMA Number _ the number provided when you called 12691 Silicon Drive San Antonio TX 78249 3429 If an extended warranty was purchased at time of sale it will cover only components manufactured by Omron not the SpO module thermometry module or printer Purch
103. ot compute a measured value despite cuff pressure being below specified pressure Specified pressure 10mmHg adult 5mmug neonate Deflation speed too slow due to patient movement and noise Check items The cuff pressure rise was not completed even though the pump was operated for longer than the usual time There is a possibility that the cuff hose may not be securely connected or the cuff may not be wrapped around an arm Check cuff and cuff hose This error possibly occurs in the case of large cuffs that are applied loosely When the error still occurs even after checking above there is a possibility that the cuff is torn and air is leaking Replace it with a new one Blood pressure could not be measured even after cuff pressure decreased It is possibly because pulse was not strong enough for measurement or because change of pulse amplitude could not be obtained Check to make sure cuff is not wrapped around thick clothing After wrapping cuff around properly measure again Measurement failed because patient frequently moved during measurement Tell the patient to stay still then measure again riori ossibie Lauses E14 Insufficient pressurizing 14st value to compute patient through blood pressure 3rd time Low Re mea sure Possible 4th time High E15 ist Too many faults due to through arrhythmia and noise 2nd time Low Re mea sure Possible 3rd time High E16 ist A
104. ower OFF then ON again Non Invasive Blood Pressure Measurement 3 3 Cuff Connection Connect the cuff hose to the air hose Adult Pediatric Insert in the direction of the arrow Cuffs _ Imsert securely until it clicks into place Air tube side Cuff side To remove move in the direction that pulls out this section Neonatal Infant Firmly insert the for single use cuff hose connector into the cuff hose connector For Single Use Cuff For Single Use Cuff Cuff Hose Pink Optional Make sure that the connectors are tightly connected as air leaks will prevent accurate Note measurement 3 4 Non Invasive Blood Pressure Measurement HOW TO APPLY THE CUFF Attaching the 1 Place the hand of the patient with the palm of hand facing upward Cuff 3 Wrap the cuff snugly using both hands and securely fasten it with the hook and loop tape At this time the lower edge of the cuff must be placed 1 2 to 1 above the inner side of elbow joint E If the INDEX is positioned outside the RANGE select the cuff suitable for the patient s arm circumference and wrap it again E Wrap the cuff so that you can insert only two fingers between the cuff and arm above and below the cuff Adult E Wrap the cuff so that you can insert only one finger between the cuff and arm above and below the cuff Child Infant Non Invasive Blood Pressure Measurement 3 5 Attaching Neonatal Cuff Note
105. quirements of the EMC standard IEC 60601 1 2 2001 so it can be used at the same time as other electrical simulators However it may be affected by electrical scalpels and microwave treatment devices and there may be an impact on measurement precision for patients using cardiac pacemakers and the like Check the operation of this device during and after use of such equipment and with such patients Installation Se Z DANGER EO Do not take or use the device in locations where combustible anesthetics or flammable gases are used or in high pressure oxygen rooms or inside oxygen tents m CA Use with the specified AC voltage and frequency Use a grounded AC outlet for the power supply and ground this device Do not connect a grounding wire to a gas pipe or water pipe For accessories mounted on the patient optional parts and consumables use only those supplied or specified by Omron Do not plug the AC adapter cable into an AC outlet or unplug it with wet hands m CAUTION Do not install this device in the following locations Locations where gases and flames are used Locations where the air includes dust salt or sulfur Locations exposed to prolonged direct sunlight Locations where water and steam may come into contact with device Locations that vibrate or are subject to sharp impacts Locations near heating equipment Locations where chemicals are stored This device can not be used in any room in which noise generat
106. r a prolonged period of time more than two years Doing so could cause battery solution leakage Do not leave a battery mounted in the main unit if the use time between charges has become short or the battery has stopped working Doing so could result in battery solution leaking within the battery unit causing corrosion and fire The battery used in the battery unit is a lead acid battery Follow local government ordinances and recycling instructions regarding disposal or recycling of batteries 10 Maintenance m CAUTION O Before conducting maintenance work turn the power OFF and unplug the AC adapter cable from the AC socket to prevent electric shock Do not soak the main unit or accessories in any medical liquid Also keep liquids out of the main unit and accessories When using disinfectant solutions follow the manufacturer s directions After cleaning allow complete drying before plugging in Using this device with the ventilation port blocked could cause a breakdown Clean this device with care 11 EXPLANATION OF ACRONYMS AND SYMBOLS SYS MAP DIA PR SpO gt TEMP Meaning of the Symbols 4 Systolic Pressure Mean Arterial Pressure Diastolic Pressure Pulse Rate Arterial Oxygen Saturation by Pulse Oximeter Temperature gt CHPOCOMNCOC we wil RES 9 re e This shows the type BF device with defibrillator protection This shows the type BF
107. r display MM When using on a different patient press the Clear switch Page 3 18 HBP T105S only In the following cases the display is automatically cleared mM After measurement starts HBP T105S only After measurement starts and the Cuff Interval is set to OFF HBP T105 only 4 6 Pulse Oximeter SpO 5 Temperature Measurement Only models with body temperature measurement Temperature Measurement Measurement Preparation Connecting the Body Temperature Probe ccccceceeeeeeeeeeeeeeeeeeeeeeeeneeeeees 5 1 Measurement iuasiu dice SeCeucbauseascanevanardsnscon A A 5 2 Mounting the Probe Covelr cccccceseeccceeessneceeeeesaeeeeeeeneeeeeeeaaaeeeensaeeeeeeaees 5 2 Mounting the Body Temperature Probe c ccceceeeeeeeeenneeeeeeeeeeeeennnneeeeeeees 5 2 Screen Display Example ccctttass cwcrert aeametacents weargenetsl aration wearesmeeeases 5 4 Exiting Measurement MEASUREMENT PREPARATION Connecting the Connect the body temperature probe connector to the body temperature probe Body connection port on the rear of the main unit Temperature Be careful to insert the connector in the correct direction It can only be inserted Probe with the correct orientation Body temperature probe a When connecting the connector Ur Push in until the connector clicks into place When disconnecting the connector EA While restraining the upper section lock pull out
108. r is attached to the same arm as the cuff sensor measurement will not be possible while cuff measurement is in progress Measurement reading unreliable Try checking the following e When there is fluctuation in the blood other than the pulse there may be a mistake in the display Fluctuation other than pulse can be due to cardiac massage weak continuous vibration from the outside technician noise etc patient spasm or other body movement venous pulse etc Attach sensor correctly to ensure accurate measurement readings Also use patient suitable sensor Pulse oximeter cannot identify functional disorder hemoglobin such as carboxyhemoglobin and methemoglobin Therefore measurement discrepancies will occur for patients suffering from carbon monoxide poisoning or who are heavy smokers Measurement discrepancies will occur for patients with coloring reagents indocyanine green methylene blue etc in arteries Discrepancies may occur due to intense light such as theater lighting or direct sunlight so if this is the case filter block light source e If sensor becomes detached or light intensity changes due to somebody blocking out light source as he she walks by etc erroneous measurement readings may be displayed 11 Z 3 2 2 lt 11 28 Appendix Problems with E Temp Verify against Error Messages for further information No temperature measurement Disconnected probe or cable Connect probe or change
109. reases from its peak The pressure within the cuff and the relationship with the increase and decrease of the oscillation within the cuff in this series of processes are stored into memory calculations are carried out and the blood pressure value is determined The pressure within the cuff when the oscillation increases drastically is the systolic pressure and the pressure within the cuff when the oscillation decreases drastically is the diastolic pressure Also the pressure within the cuff when the oscillation peaks is taken as the average pulsation pressure The oscillometric method does not determine the blood pressure value instantly like a microphone type automatic blood pressure gauge with the auscultation method but rather determines it from the series of change curves as explained above Therefore it is not easily affected by external noise an electric scalpel or other electro surgical instruments KOROTKOV SOUNDS CUFF PRESSURE 200 OSCILLATIONS IN CUFF PRESSURE RADIAL PULSE s 5 SEC Comparison between the auscultatory oscillometric and palpatory methods of measuring blood pressure L A Geddes The Direct and Indirect Measurement of Blood Pressure Year Book Medical Publishers Inc 1970 LL gt ke 3 x Appendix 11 11 11 Z 3 o 2 2 lt Basic Principles of SpO Measurement Pulse oximetry method 11 12 Appendix The ratio of oxidized hemoglobin linked t
110. reen switch the power OFF then ON again This screen makes settings related to LAN group numbers Contact Omron Technical Service when making these settings May not display depending on the External output switching This screen makes settings related to LAN bed numbers Contact Omron Technical Service when making these settings May not display depending on the External output switching 21 Default setting All the setting values are set to their factory set values For details on the factory settings see Default Setting Page 11 16 Default setting Press the Menu Enter switch until the Default Setting screen appears screen When the Default Setting screen appears the display becomes as follows ALL CLR is displayed DONE is displayed Exiting the setting To end Utility Mode and return to the basic screen switch the power OFF screen then ON again Setup 9 19 MEMO 9 20 Setup 10 Internal Battery Internal Battery Internal Battery et ices aaa sitam ni lueetonan cn seumouitanurtadenseanausrcuremman wa vauumususuclacieaned 10 1 About the Internal Battery siccbssccwsit acids pedi teme bebe via sale Mavetiwouebacenitas 10 1 When Using the Internal Battery for the First Time cere 10 1 Battery Indicator and Battery ICON eeeeeeeeeeeee eee eeeeeeeeeeeeeneeeeeeea 10 1 Charging Types and Battery Indicator Display ccseeeeeeee 10 1
111. ress the Clear switch Page 3 18 HBP T105S only In the following cases the display is automatically cleared HM When an estimated measurement ends HBP T105S only This is not applicable when TEMP and SpO measurements are simultaneously taken E When an estimated measurement ends and the Cuff Interval is set to OFF HBP T105 only This is not applicable when TEMP and SpO measurements are simultaneously taken 5 4 Temperature Measurement 6 List Screen List Screen List Ga a eee len ce Wc oe ie ng ees cc ene tees ete Gaa 6 1 Explanation List Sereen xi ck Koda ccacs itsees Keck cieciactecscs eevseoeeadnetesnenb snare ries 6 1 List Data Co nts ree eeaeee ea onc A E Satu Be each Recah arate 6 1 List Save TIMINg cerren e a E EE ER T cate 6 1 D leting St Date mereinen betes a A E eee 6 2 Exiting List DisSplaypin ieies aaa ia a Ra nes a a a taia ah 6 2 c O 1 o On vis 2 LIST SCREEN Explanation List Screen Displays the current measurement unit Alternately displays the list number and LST This can display past measurements List Data stored in memory To list the display either press the Forward or Back switch while the basic screen is displayed Forward switch Each time this switch is pressed one old list data is displayed in reverse chronological order Back switch Each time this switch is pressed one new list data is displayed The search will stop
112. ressure Check at least every eight hours to see that there is no abnormality or damage to the area measured If there is change the measurement site as failure to do so may lead to patient perspiration related inflammation or damage With any patient whom the doctor has pointed out as having a tendency to bleed or hypercoagulation circulatory obstruction due to a thrombus or dot hemorrhage may occur after measurement Do not measure continuously for a long time This can cause extremity function obstruction If the cuff is touched or the patient moves the device may interpret that the inflation pressure is insufficient and inflate to high pressure In the following cases pressurization may rupture the cuff bladder E if acuff is used with a frayed cuff cover E if a blood pressure measurement starts with the cuff not wrapped around an arm E ifthe cuff measurement interval is not set to OFF when cuff is removed from the patient Always follow your facility s infection control procedures and applicable regulations when disposing of anything that has been used on patients SpOs m CAUTION O Do not look at the light from the SpO sensor for a long period of time If the adhesive tape irritates the patient s skin stop using it Do not fasten sensors with tape This can cause hemostasis or edema E The SpO sensor should be checked every two to three hours and the sensor location changed when abnormality is observed For
113. rm volume Pulse rate volum Sound ulse rate volume Sound when blood pressure measure ment ends Recording for blood pressure measure ment Recorder A List record pattern Simple Ie recording External output switching Battery operation SAVE Date format YYYY MM DD System MAP display LAN group number LAN bed number HBP T105 only gt xo mo 0 3 a x Appendix 11 17 11 Z 3 o 2 2 lt MAINTENANCE Maintenance Inspection and Safety Management Managing Consumables Daily consumables Recommended spare accessories 11 18 Appendix Medical equipment including the HBP T105 S series must be maintained to ensure functionality and to secure the safety of patients and operators Daily checks and maintenance should be performed by the operator In addition qualified personnel are necessary to maintain the performance and the safety and to conduct periodic inspections We recommend that the verification test be performed at least once a year Disposable products used on a daily basis and products such as cuff hoses that are attached to patients are consumables A stock of such products spares should be maintained for replacement purposes wire breaks etc HM Main unit Roll Paper HM Non invasive blood pressure NIBP measurement section Disposable cuffs E Arterial Oxygen Saturation by Pulse Oximeter SpO gt measurement section Disposable SpO
114. s see 7 Alarms Alarm Setting Page 7 1 i I The current setting value ib OUFE PRN fa aan Lae HI upper limit 4 DIA lower limit alarm setting HBP T105 only This sets the DIA lower limit alarm value For details see 7 Alarms Alarm Setting Page 7 1 LO lower limit 9 4 Setup 5 PR upper limit This sets the PR upper limit alarm value alarm setting For details see 7 Alarms Alarm Setting Page 7 1 HBP T105 only 6 PR lower limit This sets the PR lower limit alarm value alarm setting For details see 7 Alarms Alarm Setting Page 7 1 HBP T105 only 7 SpO upperlimit This sets the SpO upper limit alarm value alarm setting For details see 7 Alarms Alarm Setting Page 7 1 HBP T105 only The current setting value 8 SpOs lower limit This sets the SpO lower limit alarm value alarm setting For details see 7 Alarms Alarm Setting Page 7 1 HBP T105 only The current setting value Setup 9 5 9 Alarm volume This sets the alarm volume setting Alarm volume Press the Menu Enter switch until the Alarm Volume Setting screen appears setting screen When the Alarm Volume Setting screen appears the display becomes as follows P1 _ VOL ALM is displayed The current setting value is displayed Display example 3 spoz dj Changing the setting Use the
115. should be considered If the measured field strength in the location in which the HBP T105 is used exceeds the applicable RF compliance level above the HBP T105 should be observed to verify normal operation If abnormal performance is observed b 11 44 Appendix additional measures may be necessary such as reorienting or relocating the HBP T105 Over the frequency range 150 kHz to 80MHz field strengths should be less than 3 V m Recommended Separation Distances Recommended separation distance between portable and mobile RF communications equipment and the HBP T105 The HBP T105 is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the HBP T105 can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the HBP T105 as recommended below according to the maximum output power of the communications equipment Rated maximum Separation distance according to frequency of transmitter output power of m Nansminer 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz For transmitters rated at a maximum output power not listed above the recommended separation distance d in metres m can be determined using the equation applicable to the frequency of the transmitter where P is the maximum output power rating of the transmitter in watts W according to the
116. the pressure rise value so there may be errors in the estimate in cases such as the following Hs When the patient s pulse is weak when measuring through thick clothing and any other case in which an adequate oscillometric signal can not be detected HM When noise for example from body movement is mixed in with the oscillometric signal SMART INFLATION is a trademark of Omron Healthcare Inc Non Invasive Blood Pressure Measurement 3 13 High Speed This is a high speed measurement function that can measure more quickly than Measurement conventional blood pressure measurement The time the blood vessel is Default setting occluded is shorter so the discomfort due to the measurement and any potential is OFF damage to subcutaneous tissue is reduced This function is only available when the measurement mode is set to Adult Pediatric When high speed measurement is set Smart Inflation is always used About Utility Mode In order to switch high speed measurement ON OFF it is necessary to put this unit into Utility Mode For details on Utility Mode see 9 Setup Utility Mode Page 9 9 Note Default setting is set to OFF High speed High speed measurement is switched ON OFF on the High Speed measurement ON Measurement ON OFF Selection screen OFF selection Press the Menu Enter switch until the High Speed Measurement ON OFF screen Selection screen appears When the High Speed Measurement ON OFF S
117. ting Mode Page 9 2 Press the Menu Enter switch until the Alarm Setting screen you want to change appears Here are the following types of Alarm Setting screens SYS upper limit SYS lower limit DIA upper limit DIA lower limit PR upper limit PR lower limit SpO gt upper limit ORSEOLO SpO lower limit When an Alarm Setting screen is displayed the display appears as follows Display example SYS upper limit Changing the alarm setting value Entering the alarm setting value Exiting the setting screen The current setting value is displayed The display positions are SYS upper limit lower limit SYS display section DIA upper limit lower limit DIA display section PR upper limit lower limit PR display section SpOz upper limit lower limit SpOz display section When setting upper limit HI When setting lower limit LO is displayed Use the Forward or Back switch to change the alarm setting value When you have made the desired change press the Menu Enter switch to enter it When you do the setting screen display moves to the next setting item If you do not press a switch for 10 seconds or press Cuff Start Stop or Alarm Silence Setting Mode ends and the display returns to the basic screen Alarms 7 1 ALARM OPERATIONS ep r105 oniy Alarm If the patient s measurement exceeds the value set for an alarm an alarm is Triggering triggered When an alarm is trigger
118. tion Exiting the selection screen This sets the cuff measurement interval HBP T105 only Press the Menu Enter switch until the Cuff Measurement Interval Selection screen appears or press the Cuff Interval switch When the Cuff Measurement Interval Selection screen appears the display becomes as follows The cuff measurement interval value flashes Display example OFF Only manual mea surement Use the Forward or Back switch to change the value Cle mmHg Set the measurement interval Display example 30 minute in terval Available intervals are off con 1 2 2 5 3 5 10 15 20 30 45 60 90 120 and 180 minutes When you have selected the value press the Menu Enter switch to enter the selection When you do the selection screen display moves to the next setting item If you do not press a switch for 10 seconds or press Cuff Start Stop or Alarm Silence Setting Mode ends and the display returns to the basic screen Setup 9 7 12 Delete list 9 8 Setup The list data is erased For details see 6 List Screen Deleting List Data Page 6 2 DEL LST is displayed UTILITY MODE Setting Procedure 1 How to enter Utility Mode 2 Setting screen selection Switch the power OFF While holding down the Cuff Start Stop switch press the Power switch The device goes into Utility Mode Each time the Menu Enter switch
119. tion with the error content Take appropriate measures if the alarm sounds At this time the measurement reading will be displayed flashing The format of the high priority alarm is as follows DdDdy ddy ILT This alarm is sounded twice at 8 k second intervals 2 Sec This symbol appearing in the text indicates that a medium priority alarm sounds in association with the error content Measurement is prevented if this alarm sounds Check the patient and the machine The measurement reading will be displayed flashing The format of the medium priority alarm is as follows Dydy Dyyyyyyyyyy This alarm is sounded twice at 24 second 3 Sec intervals ee ae ZA WARNING Only properly trained medical personnel should use this device Do not allow patients to operate this device If the monitor cannot take a measurement or the measurement readings seem dubious check the condition of the patient first If any abnormality is found in the patient or the device take appropriate measures such as stopping the device to ensure the safety of the patient ms CAUTION O Before use thoroughly read this Instruction Manual and the manuals supplied with accessories and options to ensure correct use When any of the following occur remove all accessories cuffs probes etc from the patient turn the power OFF and unplug the AC adapter cable from the AC socket E There is smoke or a strange odor leaking out of the device E Th
120. transmitter manufacturer Note1 At 80MHz and 800MHz the separation distance for the higher frequency range applies Note2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people gt xo mo 0 3 2 x Appendix 11 45 OPTIONAL ACCESSORIES Optional Accessories for consumption and options may be required from the start accessories depending on conditions of use In view of this please order the necessary accessories AC ADAPTER AC ADAPTER INTERNAL BATTERY HBP AC 14V4 CABLE HBP BAT 3212U C0440004A BAR CODE READER RS 232 PORT RS 232 PORT HBP BCRD A with TEMP without TEMP HBP T105 IOT HBP T105 IO QUICK GUIDE HBP QMANU 11 Z 3 o 2 2 lt 11 46 Appendix NIBP optional accessory Name Parts Name Parts Code QTY Infant C030101A NLR 5 Child Small Adult C030103A NLR 5 Reusable Cuffs Adult C0301 07A NLR 5 With Rectus Fitting Large Adult C030109A NLR 5 Thigh C030111A NLR 5 Long Adult XC030115A NLR 1 Large Adult Thigh C0400011B 10 Adult C0400013B 10 Small Adult Pediatric C0400015B 10 Disposable Cuff for Adult or Child Infant C0400017B 10 With Luer Fitting 1 7 AT Child Small Pediatric C0400019B 10 Long Adult C0400021A 10 Thigh C0400023A 10 Neonatal 1 C0400001B 10 Neonatal 2 C0400003B 10 Disposable Cuff for Neonata
121. ulates the ratio of pulsatile absorbance AC to the mean absorbance DC at each of two wavelengths 660nm and 905nm S 660 AC 660 DC 660 905 AC 905 DC 905 The oximeter then calculates the ratio of these two arterial pulse added absorbance signals R S 660 S 905 This value of R is used to find the saturation SpO in a look up table built into the oximeter s software The values in the look up table are based upon human blood studies against a laboratory co oximeter on healthy adult volunteers in induced hypoxia studies The Masimo SET MS board pulse oximeter assumes that arterio venous shunting is highly variable and that fluctuating absorbance by venous blood is the major component of noise during the pulse MS board decomposes S 660 and S 905 into an arterial signal plus a noise component and calculates the ratio of the arterial signals without the noise S 660 S1 N1 S 905 S2 N2 R S1 S2 11 Z o 2 2 lt 11 14 Appendix Again R is the ratio of two arterial pulse added absorbance signals and its value is used to find the saturation SpO in an empirically derived equation into the oximeter s software The values in the empirically derived equation are based upon human blood studies against a laboratory co oximeter on healthy adult volunteers in induced hypoxia studies The above equations are combined and a noise reference N is determined N S 660 S 905 x R If there is no noise N 0
122. ure Setting screen Press the Menu Enter switch until you reach the Neonate Initial Inflation Pressure Setting screen When you reach the Neonate Initial Inflation Pressure Setting screen the display becomes as follows INI PRS is displayed The current initial inflation pressure value is displayed Display example 120 mmHg The neo mode icon is lit up Use the Forward or Back switch to change the initial inflation pressure value When you have selected the desired value press the Menu Enter switch to enter that value When you do the setting screen display moves to the next setting item To end Utility Mode and return to the basic screen switch the power OFF then ON again Displays the elapsed time since the most recent blood pressure measurement was obtained The elapsed time is displayed after 1 minute has passed Current time display The current time and the elapsed time are displayed alternating O O El d time displ m m e m pa example Wiel Li Li Li g EAA ihe When 180 minutes have passed the elapsed time display ends 3 12 Non Invasive Blood Pressure Measurement Smart Inflation About Utility Mode Smart Inflation ON OFF selection screen Smart Inflation selection Entering the Smart Inflation selection Exiting the selection screen Smart Inflation means that the cuff pressure appropriate to the patient s blood pressure value is automatically
123. urement value data being displayed at the moment recording starts IDs are recorded only if there are IDs when recording starts The ID section is left blank or printed as Unknown if ID is not entered or when the patient changes The SpO data is recorded only for models with SpO measurement The TEMP data is recorded only for models with body temperature measurement Note Inputting an ID requires the optional bar code reader mel D 8 Q 2 o 2 Recorder 8 7 Measurement Record Selection About Utility Mode Measurement record selection screen i E O OG D oc Selecting the recording for measurement Entering the recording for measurement Exiting the selection screen In order to select the recording for measurement it is necessary to put this unit into Utility Mode For details on Utility Mode see 9 Setup Utility Mode Page 9 9 This function will print measurement data automatically at the end of the measurement Press the Menu Enter switch until the Measurement Record Selection screen appears When the Measurement Record Selection screen appears the display becomes as follows Do not record aF F TEMP a D L LST Simple list recording OSCL Measurement value recording One of the above is displayed Use the Forward or Back switch to select the recording for measurement When you have selected the desired value press the Menu Enter sw
124. usted The measured value disappears after 180 minutes if there is no subsequent measurement Systolic Pressure S 2 5 PR I SpO2 Mean Blood Feet E g g l Hi Ht D J TEMP Diastolic Pressure a o mmHg J0 min Blood pressure measurement involves constriction of the arm Some patients will find that subcutaneous hemorrhaging leads to temporary blemishes Such blemishes will heal with time but we suggest the following be tried if the blemishes concern patients Wrap a thin piece of cloth or towel around the arm and then wrap the cuff over the cloth Be careful not to use too thick of a piece of cloth as this prevents sufficient constriction of the arm which will cause the blood pressure measurement to be high Non Invasive Blood Pressure Measurement 3 7 AUTOMATIC MEASUREMENT trer r105 ony Monitoring Using Cuff Intervals Inflation pressure value Smart clock cuff measurements 1 When you press the Cuff Interval switch the cuff measurement interval setting value flashes 2 Use the Forward or Back switch to change the measurement interval Available intervals are off con 1 2 2 5 3 5 10 15 20 30 45 60 90 120 and 180 minutes or A ring IU Set the measurement interval Display example 30 minute interval 3 If you do not press a switch for 10 seconds or press Cuff Start Stop Alarm Silence or Cuff Interval Setting Mode ends and the
125. y Lead acid Option Module Enclosure PC Bar Code Reader Trigger Button POM Internal parts General Electric Parts Option Module Enclosure ABS External Output Unit Internal parts General Electric Parts gt xe me 0 3 2 x Appendix 11 31 SPECIFICATIONS General Measurement Parameter Dimension Weight Display NIBP SYS NIBP MAP NIBP DIA Pulse Rate SpPOo TEMP Cuff Interval TIME Blood pressure unit display Measurement mode display Recorder display Battery Charging Indicator Volume Sound pressure range Alarm Signals Recorder Print method Resolution Print speed Paper width Valid width 11 Z 3 o 2 2 lt 11 32 Appendix NIBP SpO 1 Temperature 2 1 Only models with SpO 2 Only models with body temperature measurement Main unit 239 W x150 H x239 D mm 9 41x5 90x9 41 in AC ADAPTER 150 W x47 H x75 D mm 5 90x1 85x2 95in Main Unit with Recorder 2 1kg 4 63lbs No recorder 1 9kg 4 19lbs AC ADAPTER 0 5kg 1 11Ibs Internal Battery 1 5kg 3 31lbs 7 segment Red LED x 3 7 segment Red LED x 3 7 segment Red LED x 3 7 segment Green LED x 3 7 segment Orange LED x 3 7 segment Green LED x 4 7 segment Green LED x 3 7 segment Green LED x 4 Green Flat LED Green Flat LED Red Flat LED Green Orange Red Flat LED 40 to 53 dB Thermal line head 8 dot mm 25 mm sec 0 98in sec 58 mm 2 28in 54 mm 2 13in Safety Standards IEC60601 1 1988 A1 19

HBP-T105/S series

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