User Guide
Contents
1. Figure 5 Location of brachial artery 21 b Slide the cuff sleeve up the patient s arm ensuring the ARTERY marker points down the arm Figure 6 Figure 6 Sliding of cuff up the arm c Place the ARTERY marker which is where the microphone is located in the sleeve over the brachial artery about 3 5 cm above the elbow The microphone should be on the medial part of the arm not the top of the bicep Figure 7 Figure 7 Proper placement of microphone KS 3 Wrap the cuff around the arm and secure Figure 8 Use the wrist strap to secure the cables to the patient Figure 8 Wrapping of cuff around arm Replacing the Microphone When you receive the Tango cuff the microphone should already be properly inserted If you need to replace the microphone follow these simple steps 1 Open the Velcro strap on the cuff and pull out the old microphone 2 Insert the new microphone through the sleeve following the dash line until the microphone is touching the bottom of the sleeve and is right under the ARTERY marker 3 Connect the microphone to the bladder hose using the rubber ties 4 Close the Velcro flap over the cable Note Annual replacement of the microphone is recommended 23 Operation of Tango Taking a Blood Pressure Measurement 1 The Tango requires an ECG signal to take a measurement e For Tango monitors that are interfaced with a stress system ensure that your stress system s ECG2. Choose from 20 to 150 mmHg with increments of 10 or set to Of When the heart rate exceeds this setting an alarm sounds Choose from 40 to 200 beats per minute with increments of 10 or set to Off Measurement Table The Measurement Table shows the most recent blood pressure measurements in a tabular format Scrolls up or down the most SYS DIA recent 50 readings 120 80 Select Exits table and gives you 120 80 the option to clear all data from the table End Test Use this menu to clear readings and prepare for a new patient Yes Choose this to clear readings and prepare the monitor for a new patient Keeps the readings and settings 20 Proper Cuff Placement To accurately measure blood pressure during a stress test it is important that the Orbit K cuff is the correct size and is placed correctly on the arm 1 Choose the appropriate Orbit K cuff size a Without using the sleeve of the cuff wrap the cuff around the patient s upper arm Figure 4 Figure 4 Sizing of cuff b To verity the correct size cuff make sure the INDEX falls within the cutt s RANGE arrow located on the inside of the cuff If the INDEX is outside the RANGE indicator select a new cuff size Caution Remember that using a cuff that is the wrong size will result in false and misleading measurements 2 Place the Orbit K cuff on the patient s arm a Palpate the brachial artery between the bicep and the tricep Figure 5
3. The diastolic reading is above Therefore dashed lines will appear for that 150 mmHg 20 0 diastolic reading kPa SYS gt 280 mmHg 37 3 kPa SYS lt 50 mmHg 6 7 kPa DIA gt 150 mmHg 20 0 kPa DIA lt 20 mmHg 2 7 kPa HR gt 200 BP gt 280 150 mmHg 37 3 20 0 kPa BP lt 50 20 mmHg 6 7 2 7 kPa The diastolic reading is below 20 mmHg 2 7 kPa Heart rate is above 200 bom Heart rate is below 40 bpm BP reading both the systolic and diastolic readings are above 280 160 mmHg 37 3 20 0 kPa BP reading both the systolic and diastolic readings are below 50 20 mmHg or 6 7 2 7 kPa Therefore dashed lines will appear for that diastolic reading Therefore the reading can not be displayed Note this will be displayed in the heart rate box when the heart rate is out of range Therefore the reading can not be displayed Note this will be displayed in the heart rate box when the heart rate is out of range Therefore dashed lines will appear tor both readings Therefore dashed lines will appear for both readings SYSTEM ERRORS A System Error monitor displays a System Error screen with a 5 digit error code indicates a possible problem with the monitor s hardware or sottware When this error occurs the alarm will sound continuously This alarm can be muted by pressing the Down key Pressing the Select key will clear the alarm
4. War e EE 46 4 Copyright Information All content in this manual is the proprietary information of SunTech Medical and is provided solely for purposes of operation maintenance or service of Tango This manual and the Tango described in it are protected under copyright law under which they may not be copied in whole or in part without written consent of SunTech Medical SunTech is a registered trademark of SunTech Medical Inc All other trademark names are the trademarks of their respective holders The information in this manual is furnished for guidance only is subject to change without notice and should not be construed as a commitment by SunTech Medical SunTech Medical assumes no liability for errors or inaccuracies that may appear in this manual 2008 SunTech Medical All rights reserved Safety and Effectiveness Considerations is a non invasive multi parameter j Ahi O oxygen saturation for use in cardiac or exercise stress testing It measures and diastolic blood pressure and the percent oxygen saturation of arterial monitor measuring blood pressure and STRESS BP and displays an adult patient s systolic blood Indications for Use Consider the following safety and effectiveness issues prior to using the Tango Stress Test Blood Pressure Monitor e Use Tango only with adult patients while they undergo a cardiac or exercise stress test under the supervision of a physician Ensure that appropriate
5. a greater than zero pressure with no cuff attached The monitor does not contain any user serviceable parts and should only be opened by an authorized service representative DO NOT remove covers or break the warranty seal as this will void the manutacturer s warranty Calibration It is recommended that the Tango have its calibration checked annually to verity the accuracy of the pressure transducers and indicators Equipment Required 1 Calibrated electronic manometer or equivalent 2 500mL volume or the Orbit K Adult Plus cuff wrapped around something that will not break or crush no glass 3 Hand Inflation Bulb with bleed valve 4 Tubing Tee pieces and miscellaneous connectors or you can order the T Tube Kit SunTech Part 98 0030 00 Procedure 1 When the Main Measurement View is displayed press the SELECT button 2 times This will bring up the MAIN MENU screen 2 Using the UP or DOWN arrows highlight MONITOR SET UP and press the SELECT button 3 Using the UP or DOWN arrows highlight VERIFY CALIBRATION and press the SELECT button The monitor will close its bleed valves and will display on its screen the pressure applied to the patient hose connector 4 Verity the Tango calibration by manually inflating and checking the manometer against the pressure reading on the Tango display The Display should be within 2mmHg of the pressure value on the mercury manometer through a range of pressures trom 0 300mmHg If n
6. by absorption and reflection from structures objects and people Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the Tango is used exceeds the applicable RF compliance level above the Tango should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as reorienting or relocating the Tango e Over the frequency range 150kHz to 80 Mhz field strengths should be less than V1 V m 4l Recommended separation distances between portable and mobile RF communications equipment and the Tango The Tango is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the Tango can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the Tango as recommended below according to the maximum output power of the communications equipment Rated Separation distance according to frequency of transmitter meters maximum m output power 150 kHz to 80 MHz
7. e Consult the manufacturer or field service technician for help Portable and mobile RF communications equipment can affect Medical Electrical Equipment Use of accessories transducers and cables other than those specitied may result in increased emissions or decreased immunity of the Tango The Tango should not be used adjacent to or stacked with other equipment If adjacent or stacked use is necessary the Tango should be observed to verify normal operation in the configuration in which it will be used Guidance and manufacturer s declaration electromagnetic emissions The Tango Monitor is intended for use in the electromagnetic environment specified below The customer or the user of the Tango Monitor should assure that it is used in such an environment Emissions test Compliance Electromagnetic environment guidance The Tango Monitor uses RF energy only for RF emissions Cue its internal function Therefore its RF emissions CISPR 11 are very low and are not likely to cause any interference in nearby electronic equipment Harmonic The Tango Monitor is suitable for use emissions Class A in all establishments including domestic IEC 61000 3 2 establishments and those directly connected to Voltage the public low voltage power supply network fluctuations that supplies buildings used tor domestic flicker emissions Complies purposes IEC 61000 3 3 39 Guidance and manufacturer s declaration electromagnetic
8. emissions The Tango Monitor is intended for use in the electromagnetic environment specified below The customer or the user of the Tango Monitor should assure that it is used in such an environment IEC 60601 Compliance Electromagnetic environment Immunity test test level level guidance Electrostatic Floors should be wood concrete or discharge ESD 6 kV contact ceramic tile If floors are covered IEC 61000 4 2 8 kV air with synthetic material the relative humidity should be at least 30 Electrical fast 2 kV for power supply transient burst lines l l IEC 61000 4 4 1 kV for input output Mains power quality should be that lines environment Surge kV differential mode IEC 61000 4 5 2 kV common mode of a typical commercial or hospital Voltage dips lt 5 U gt 95 dip in U short for 0 5 cycle Mains power quality should be that interruptions of a typical commercial or hospital and voltage 40 U 60 dip in U environment If the user of the variations on for 5 cycles Tango Monitor requires continued power supply operation during power mains input lines 70 U 30 dip in UI interruptions it is recommended that IEC 61000 4 1 for 25 cycles the Tango Monitor be powered from an uninterruptible power lt 5 U gt 95 dip in U supply or a battery for 5 sec Power frequency 50 60 Hz magnetic field IEC 61000 4 8 NOTE U is the a c mains voltage prior to application of the test l
9. is erratic Weak missing or no K sounds detected No BP reported The monitor will terminate a BP reading if the patient cable or BP cuff has reached an unreasonably high pressure No BP reported Excessive K sound noise or arm movement May result in no BP reading Review the solutions for CHECK ECG and CHECK MIC e Check that the microphone is positioned over the brachial artery on the patient see Proper Cutt Placement page 20 e Check that the patient cable microphone and the connection to rear panel of the Tango are secure e Review instructions for your stress system interface with the Tango Check that the ECG trigger under Main menu gt Monitor setup B Stress System is correctly set e Check that the microphone is flat not bent and that its wire is securely connected It they are not the microphone needs to be replaced e Test microphone by tapping the cuff and checking for a rising and falling signal on the Waveform Display If there is no movement in the signal the microphone needs to be replaced e Replace microphone and cuff annually e Instruct your patient to drop his arm by his side while a BP reading is in progress avoid excessive bending of the arm e Check that the patient cable is not being pinched or blocked Instruct your patient to drop his her arm by their side and relax their arm while the BP reading is in progress K sounds were BP reading may be inaccur
10. monitor NOTE During a stress test some patients K sounds may continue to a very low pressure or in some cases all the way to O mmHg This is due to increased arterial compliance occurring as arteries dilate in response to exercise When this occurs there is usually a point where the K sound amplitude drops off sharply continuing at a reduced level The pressure at which this sudden decrease in amplitude occurs will be reported as the first diastolic reading If the K sounds continue past that point for 10 mmHg or more the second and final diastolic diastolic tail will be reported as the cuff pressure where the sound disappears An example of how this is displayed is as follows BP 180 93 58 mmHg where 180 is systolic 93 is first diastolic and 58 is the second diastolic K sound disappears If the difference between the two diastolic points is less than 10 mmHg only the first diastolic is displayed If interfaced with a stress system the Tango will report the BP result as the systolic and first diastolic blood pressure to the stress system REES Kit The headphone option of the Tango will allow you to listen to the sounds that are picked up by the microphone in the cuff These sounds are similar to those heard when taking a manual BP Simply plug in the headphones to the phono jack on the Tango e The headphone kit should only be used as an evaluation reterence tool The headphones should not be used as a di
11. the patient seated or standing still a With the patient sitting or standing still take a measurement using your stress system or by pressing the START STOP button b As the measurement is being taken watch the display for the cuff pressure and wavetorm display With the waveform display showing K sounds you should see K sounds just as you would hear them it taking a manual BP measurement with a stethoscope c Once you take a reliable measurement with Tango you can proceed with the stress test If after two attempts you are unable to get an accurate measurement with the Tango consult the manual for Advice and Troubleshooting tips page 34 movement during a BP reading 2 Conduct the Stress Test a Advise and support your patient to get accurate BP measurements during the stress test Make sure the patient s arm is relaxed while a BP is measured Below are a few tips tor keeping the arm relaxed during a stress test e If the patient is holding onto the treadmill bar for support advise ih the patient to lightly grip the bar is Alternatively ask the patient to turn This is an unacceptable his her hand over so that the palm arm movement during a BP is facing upward and resting on the reading treadmill bar e Help your patient relax his her Figure 10 Limitations to arm when a measurement is taken arm movement during see Figure 10 stress test 26 As you take measurements with the Tango pay close
12. 0087 00 T SpO2 kit Adult Includes Xpod and Adult Finger Clip Finger Clip See 9 1 0088 00 52 0003 00 Purelight Adult Finger ell Sensor 80 0001 06 30 00020 Se 27 0054 B1 Tutorial CD 99 0027 06 e Sie eas Extended warranty year arranty 99 0027 07 oe one Neat mace Extended warranty year Warranty 99 0027 08 E tec Extended warranty year Warranty 99 0027 09 Three Year Extended Extended warranty 3 years purchased Warranty one time 51 0000 00 91 0076 00 Extension cable for headphones 29 RS 232 amp ECG Interface Cables RS 232 AMEDTEC ECGpro 91 0013 00 91 0066 00 Burdick Quest 91 0013 00 91 0011 00 Cambridge Heart CH 2000 amp 91 0065 00 RS 232 and ECG Hearlwave II Delmar Reynolds CardioDirect with 91 0013 00 91 0066 00 CardioCollect Esaote Formul Biosound Esaote 91 0048 00 Formula P N 91 0049 00 Formul for Archimed l i Formul P N 91 0072 00 GE CardioSoft 91 0013 00 91 0009 00 GE CASE 91 0013 00 91 0009 00 GE CASE 8000 91 0013 00 91 0009 00 Marquette CASE 12 91 0012 00 91 0011 00 Marquette CASE 15 91 0012 00 91 0011 00 Marquette CASE 16 91 0012 00 91 0011 00 91 0012 00 Marquette Centra 91 0013 00 91 0011 00 Marquette Mac 5000 5500 Marquette Mac VU Stress Marquette Sensormedics Max Marquette Hellige CardioSys Midmark Diagnostics Qmark EZ Stress 91 0013 00 91 001 1 00 Mortara X Scribe 91 0013 00 91 001 1 00 Nasiff Associates Car
13. 80 MHz to 800 MHz 800 MHz to 2 5 GHz of transmitter ya 7 Watts W Se e Note 1 at 80 MHz and 800 MHz the separation distance for the higher frequency range applies Note 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m can be estimated using the equation applicable to the frequency of the transmitter where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer 42 Frequently Asked Questions FAQ s Q A gt How do set up the Tango monitor to work with my stress system To setup the Tango with your stress system please visit the Tango Interface Notes on the Sunlech Medical website at www SunTechMed com and select Customer Service Downloads and under the Products section select Tango If your stress system is not listed please contact us at 1 800 421 8626 The Tango displays a status message What does it mean and what do do See the reference guide that is attached to your Tango or the Advice and Troubleshooting section pg 34 for details on the Status Message and solution The Tango monitor returns results of 0 0 after blood pressure measurements What do need to do to get a BP reading There are certain
14. ECG signal and the Korotkoff sounds collected by the microphone in the cuff originate from the same source meaning the patient DISCLAIMER If the stress ECG system manufacturer modifies the communication protocol with the Tango monitor without informing SunTech Medical you may experience difficulties communicating with the stress system 13 At a Glance Front Display Main Measurement View Double Product Heart Rate Blood Pressure Result SpO Stat Key Up Key Down Key Select Key E Start Stop Key Interval Indicator Timer Waveform Indicator Status Display Cuff Pressure Waveform Display Figure 2 Front Display Main Measurement View STAT KEY Starts or stops the Stat mode page 24 UP DOWN Helps you navigate through the screens Selects measurement views of the data Main Mea SELECT KEY surement View or Graph View Also lets you access the Main Menu Selection and settings page 16 START STOP Initiates a measurement or terminates one in prog ress Also lets you stop the Stat mode 14 When the monitor is turned on the Main Measurement View is displayed This screen displays the following elements while you take a measurement e Blood Pressure Result Displays latest or most current blood pressure e Double Product Displays the current workload on the heart in mmHg beats per minute SYS x HR 1000 e SpO Displays the current percentage of oxygen saturation in
15. SE SunTech Tango STRESS BP User Guide 0 ES 115 83 2 BP MODE Table of Contents Copyright Int rmalion gange gesteet Aeren 4 Safety and Effectiveness Considerations cceccscceeeeecceccecceeesececeecees 5 IVAN Fs enee ed 5 buerger eege 5 Warnings and Contraindications cccceeceecseceeceecsceececsceeeeeceeceesenees 6 stane el 7 dere TS ee Ee 7 Rear Pone Oe I Eed EE dE 8 We ee 9 Power Supply Ledeieevtiesdtesd uet erenn re ANE EAR Get 10 CO TNOCN IIS reos EN 1 oiress Systemi E 12 E ENEE eet 13 Front Display Main Measurement View LS Froni Display raphi ENEE EE kee la Main Menu Selections and Geittngs 16 E E ea a E EE 16 Neier E 17 IEF E AE fo passed EE 18 EE 19 Measurement Table cccccceccceecceeeeeeueeeeueeeeueeeeueeeeueeeeueeteueeeeaeeeeneeees 19 E dE 19 Proper Cuff PIGCEMEGIN E 20 Operation of Tangot egesgd eegugteeheer eege ege 23 Taking a Blood Pressure Measurement 0 ceccceccceeceeeeeeeueeeeuneeenneeenes 29 Beer Mii cererea E EE ER 24 EE 24 CG ndudihg an Exercise eege To ssincswncinsiained sbsuavansntienvanaaninbiersanenspnuiiiane 25 EE eebe 27 SE E 2 Pe Oe ECO Inerace Cables ssureiiis oran 29 Maintenance and Cleonmg 31 Advice amp Troubleshooting BEE 34 SE tee 34 SC 38 Frequently Asked Questions IEACHTel 42 Slop hee Mele EE 43 Specifications Blood Pressure Measurement cceeceecesceeceeceeeeeeeness 44 Lieti
16. Tango See Figure 1 The monitor will turn on If the monitor is attached to a stress system the Tango will turn on and off along with the stress system c Connect the patient cable P N 91 0001 00 to the K sound Microphone and Pneumatic Hose Connector on the rear of the Tango See Figure 1 It the Tango has the Internal ECG option the unit will come with an ECG patient cable P N 91 0004 00 Connect the ECG patient cable to the Internal ECG con nection on the rear of the Tango See Figure 1 Figure 1 Rear panel connections DC Power In BNC External ECG Pneumatic Hose Connector RS 232 K Sound Microphone SpO optional Connector Power Reset Switch Internal ECG optional 8 Rear Panel Connections Symbol Power Reset Switch RESET Resets the power on the monitor For measurement of oxygen saturation Type BF Applied Part eg se sas Serial communication port for interfacing RS 232 with stress systems or computers BNC TTL port that allows a stress system BNC External ECG to send an external analog or digital ECG trigger signal to the monitor SPO Option DC Power In le 9V DC input ECG patient cable connection Internal ECG Option Detibrillator protected J Connection for the patient s cable K Sound Microphone Ze microphone cable Defibrillator protected Connection for the patient cable s air P tic Hos ibri NEUMNO OSS hose Defibrillator protected Located on the side of the u
17. agnostic tool Stat Mode Tango has the ability to take continuous BP measurements for time sensitive or emergency situations by pressing the STAT key The monitor will continue to take measurements every 2 10 seconds for up to 15 minutes or until the STAT or START STOP key is pressed e Stat Mode will measure either a Systolic and Diastolic BP measurement or just Systolic BP measurement Go to the Main Menu gt Measurement Setup gt Stat Mode Key to set the type of BP measurement to be taken in Stat Mode BP Systolic and Diastolic or SYS Systolic only e Full BP measurements can take as little as 30 seconds to display a measurement e Sys measurement can take as little as 15 seconds to display at measurement e The measurement displayed on the screen will flash to indicate that the monitor is in STAT mode When the STAT mode is ended the monitor will return to its previous mode 25 Conducting an Exercise Stress Test Atter your patient is properly prepared and a heart rate is displayed on Tango you are ready to conduct a stress test Remember you can stop a measurement in process by pressing the START STOP button If your patient s condition becomes unstable and you need to monitor their BP more closely remember that you can place the monitor into Stat mode by pressing the STAT Key You can stop a measurement and or exit Stat mode by pressing the STAT or START STOP button 1 Take 1 2 blood pressure measurements with
18. and the monitor will rerun its internal tests If the error occurs repeatedly please contact the SunTech Service Department or an authorized service agent To test the System Error alarm tunction press the Up key when power is applied to the monitor System Error 30000 should appear on the screen Pressing the Down key will mute the alarm Pressing the Select key will end the test the monitor will complete its power up sequence and display the Main Measurement View 38 EMC Statement This equipment has been tested and tound to comply with the limits for medical devices to IEC60601 1 2 2001 These limits are designed to provide reasonable protection against harmful interference in a typical medical installation This equipment generates uses and can radiate radio frequency energy and it not installed and used in accordance with the instructions may cause harmtul interterence to other devices in the vicinity However there is no guarantee that interterence will not occur in a particular installation It this equipment does cause harmtul interference to other devices which can be determined by turning the equipment off and on the user is encouraged to try to correct the interference by one or more of the following measures e Reorient or relocate the receiving device e Increase the separation between the equipment e Connect the equipment into an outlet on a circuit different from that to which the other device s are connected
19. ar Fibrillation Pacemakers etc that may limit the ability of Tango to obtain an accurate reading Range Pressure Heart Rate 40 200 BPM Dia 20 150 mmHg beats per minute Sys 50 280 mmHg Accuracy Blood pressure measurements determined with this device are equivalent to those obtained by a trained observer using the cuff stethoscope auscultation method within the limits prescribed by the American National Standard Manual electronic or automated sphygmomanometers Conditions for Operating Use 10 C 50 F to 40 C 104 F Less than 95 RH non condensing Storage 20 C 4 F to 50 C 122 F Less than 95 RH non condensing The system might not meet its performance specifications if used or stored outside the specified temperature and humidity ranges listed above Power External power supply use only SunTech part number 19 0012 00 Input 100 240 VAC 1 6A max 50 60 Hz Output 9VDC 5A IEC 320 type input connector Calibration The accuracy of cuff pressure transducers indicators should be verified annually Safety Systems Independent hardware over pressure circuit and redundant software overpressure algorithm to limit cuff pressure to less than 300 mmHg 20 1O0mmHg Independent hardware timing circuit and redundant software timer algorithm to limit the duration ot a blood pressure cycle to less than 180 seconds Dimensions Sizes 77 6 cm x 15 7 cm x 9 7 ep ET xX 6 5 KAT Weight 1 2 Kg 42 6
20. arterial blood e Heart Rate Displays current heart rate in beats per minute e Waveform Display Displays either the K sound or the ECG signal see View gt Waveform Display on page 18 e Waveform Indicator Displays K for K sound or E for ECG e Status Display Displays current measurement mode BP or SYS see Measurement Setup Measurement Mode on page 17 e Interval Indicator Displays the interval mode the monitor is in see Measurement Setup gt Interval on page 17 e Timer When Interval Indicator is set to MAN displays how old the BP measurement is When set to a time interval the timer displays the time until next reading occurs e Cuff Pressure Displays current pressure in the cuff 15 Front Display Graph View Current BP Cuff Graph of all BP results Pressure Selected measurement Figure 3 Front Display Graph View If you are on the Main Measurement View pressing the SELECT key once will navigate to the Graph View The Graph view displays the same information in the bottom section as the Main Measurement View The top of the Graph View shows the following elements while you take a measurement e Graph of all BP results Displays all blood pressure results in a study up to 30 measurements Use UP DOWN buttons to navigate through the measurements e Note Measurements with status messages will be omitted from the graph e Current BP Cuff Pressure Displays current blood pressure at the end o
21. asurement Select a setting trom 120 to 280 mmHg increments of 10 Deflate Rate Choose AUTO for normal deflation of the cuff pressure Otherwise enter a rate for special situations such as standards testing Enter a rate trom 3 to 8 mmHg sec Beeper Choose when the Tango will make a sound indicating when the measurement is started or completed BOTH Beeps at the beginning and end of a measurement NONE The system will not beep START Beeps at the beginning of a measurement FINISH Beeps at the end of a measurement Stat Mode Key Choose the measurement made by the monitor when in Stat mode BP systolic and diastolic measurements SYS systolic measurements only All measurements are made with the AUTO deflate rate 18 View Use to modity the display settings Waveform Choose the type of waveform that will be displayed Display K sound This will display the Korotkott sounds detected by the Orbit K cuff microphone Choose this tor normal operation ECG Choose this when you are checking for a proper triggering signal Note ECG waveform is not for patient diagnosis ECG wavetorm will automatically reset to the K sound mode atter 60 seconds Graph Display Choose the measurement you want to view in the Graph view HR DP or SpOsz BP Reset After Set how long the last BP displays Choose between in minutes 1 2 3 5 10 or select Never to always display the last BP BP Shrink Set how long the last BP displays
22. ate Advise the detected within patient to drop arm to the side during the 1O0mmHg of BP reading avoid excessive bending Take the target another BP reading cuff inflation pressure DP Note Cuff will inflate to max pressure on reported next BP reading INFLATION TOO LOW Due to safety reason a BP MEASUREMENT measurement DELAYED could not be taken at that time The next BP reading will occur as scheduled e Review instructions for your stress system interface with the Tango See Tango Setup page 7 Check to see that your Stress System if Custom check the ECG The monitor is Trigger is correctly set not receiving an Check that the cables referred to in the ECG signal instructions are correctly seated to their connectors and show no signs of damage e Set the Waveform Display under View NO ECG DETECTED in the Main Menu to ECG to verity the monitor is receiving an ECG Signal The BP measurement Initiate a new BP reading via the Stress needs to be System or the Tango START STOP key repeated REPEAT BP Contact your nearest Sun lech Medical SERVICE Service Department or authorized service REQUIRED agent The unit must be sent to SunTech Medical tor repair Systolic reading is above 280 Therefore dashed lines will appear for that mmHg 37 3 systolic reading kPa The systolic reading is below Therefore dashed lines will appear for that 50 mmHg 6 7 systolic reading kPa
23. attention to the status display and waveform display It the status display shows a status message consult the manual tor Advice and Troubleshooting tips page 34 3 End Study a When the stress test is over and you no longer need to take blood pressures press the SELECT key to display the main menu Select END TEST and YES to clear the display of the last measurement and prepare the monitor for the next patient If you have the New Patient setting under Main Menu gt View gt New Patient see page 18 for details set to AUTO Tango will automatically prepare for a new patient once the ECG trigger signal is lost for 1 minute 27 Accessories Pulse Oximetry SpO optional The Tango is equipped with an option for pulse oximetry P N 98 0087 00 This option allows you to measure the oxygen saturation of arterial blood Simply plug in the sensor module cable to the Spa receptacle on the rear panel of the Tango and attach the sensor to your patient as described below After a few seconds a measurement will be displayed on the main measurement screen The Sp value is updated once per second Spa can also be displayed in the graph view Go to Main menu gt View gt Graph Display and choose Sp Please note the precautions that apply to pulse oximetry You can replace the sensor by unplugging it from the module and plugging in the new sensor CAUTION Patient sensitivity may vary due to medical status or skin condition D
24. connections are properly prepared and connect the electrodes to the patient e For Tango monitors with the Internal ECG option prepare and connect the 3 ECG electrode sites RL V2 and V6 to the patient Figure 9 Figure 9 ECG Connections o Ensure that each electrode is placed over a bony area and not over a large muscle mass which may cause excessive noise o Prepare the skin at each electrode by shaving any body hair and cleaning the site thoroughly with alcohol o For best results the skin impedance should be less than 5 kohms as measured by a skin impedance meter o Connect the ECG cable to the electrodes as follows o Green lead to RL o Yellow lead to V2 o Violet lead to V6 2 Place the Orbit K cuff on the patient e Ensure the cuff is properly placed on the arm for reliable and accurate blood pressure measurements 3 Ensure a stable heart rate is displayed on the monitor e A stable heart rate must be displayed on the monitor tor Tango to be able to obtain an accurate reading e fno heart rate is displayed on the monitor or the heart rate is erratic consult the NO ECG DETECTED status message located in the Advice and Troubleshooting section of this manual page 34 24 4 Take a Blood Pressure Reading e tthe Tango is interfaced to a stress system prompt Tango for a measurement via the stress system e f the Tango has the Internal ECG option prompt Tango for a measurement by pressing the START STOP on the
25. dio Card Nihon Kohden Cardiofax ECG 9320A Nihon Kohden Cardiofax 1550 1560 Norav Stress Oxford Medilog Stress PBI QRS Card Philips Stress Vue Quinton T a e Quinton Q4500 91 0013 00 91 0018 00 Medset Flashlight Ergo 91 0013 00 30 RS 232 amp ECG Interface Cables RS 232 A Quinton Q5000 91 0020 00 91 0018 00 91 0013 00 91 0018 00 Schiller AT10 AT60 CS 200 91 0035 00 91 0022 00 Welch Allyn CardioPerfect Workstation 91 0013 00 91 0018 00 Splitter Cables GE CASE use with echocardiograph 91 0053 00 GE CASE 8000 use with echocardiograph 91 0053 00 Marquette Sensormedics Max 1 use with echocardiograph 91 0053 00 Marquette MAC 5000 5500 required 91 0069 00 31 Maintenance and Cleaning Preventative Maintenance Establishing simple care guidelines helps protect the performance and life of your Tango Ona routine basis you should inspect the device cables and pneumatic hoses for cracks traying or kinks and immediately replace any damaged parts The monitor performs a range of system and software checks during normal operation reporting to the user the operational status via the Status Display Once the monitor is on and the Main Measurement View is displayed ensure that the monitor s status display indicates the correct measurement mode Also verity that the cuff pressure is 0 mmHg when no cuff is attached DO NOT use the monitor if it has failed any of its diagnostic self tests or if it displays
26. e following stress systems are compatible with Tango AMEDTEC ECGpro Burdick Quest Cambridge Heart CH 2000 Hearlwave II Delmar Reynolds CardioDirect with CardioCollect Esaote Formul Biosound Esaote Formul for Archimed GE CASE CASE 8000 GE CardioSott Marquette CASE 12 15 16 Centra Marquette Hellige CardioSys Marquette MAC 5000 5500 Marquette MAC VU Stress Marquette Sensormedics Max Medset Flashlight Ergo Midmark IQmark EZ Stress Mortara X Scribe Nasitt Associates Cardio Card Nihon Kohden ECG 9320A 1550 1560 Norav Stress ECG Oxtord Medilog Stress Pulse Biomedical QRS Card Philips StressVue Quinton Q Stress Q 5000 Q 4500 Q 4000 Q 3000 710 Schiller AT 10 AT 60 CS 200 Sensormedics Vmax Viasys Encore Vmax Welch Allyn CardioPertect 12 Stress System Setup To setup the Tango with your stress system please visit the Tango Interface Notes on the SunTech Medical website at www SunTechMed com Select Customer Service gt Downloads and under the Products section select Tango If your stress system is not listed please contact 1 919 654 2300 US 44 0 1865 884 234 EMEA 852 2251 1949 Asia amp Pacific To test the stress system setup with Tango you will need to hook up a patient with ECG leads and take a blood pressure measurement You cannot use a heart rate or blood pressure simulator to test whether the Tango is working with your stress system The Tango monitor requires that the
27. elf by pressing any key If you turn it on the monitor will turn off after the time selected in this setting System Info Displays firmware version and internal serial board number of the Tango Power Off After Set the time after which the monitor turns off after no activity 17 Measurement Setup Use to modity the blood pressure measurement settings Measurement Choose the monitor measurement BP or SYS Mode BP includes both systolic and diastolic measurements and detlates at the specified deflate rate see Deflate Rate below SYS is a systolic measurement only and detlates at the AUTO deflate rate resulting in faster measurement times Interval Set to MAN when interfacing a stress system with Tango so the stress system can prompt Tango tor a measurement Also used it you want to initiate each measurement using the START STOP key Otherwise select a time interval in minutes between BP measurements The time intervals are 1 00 1 30 2 00 2 30 3 00 4 00 5 00 10 00 or 20 00 It a specitic time interval is chosen you must press the START STOP key for Tango to take the first measurement The Tango will then automatically initiate BP measurements at the specitied interval Initial Inflate Choose the pressure to which the cuff will inflate on the first measurement of a study Select a setting trom 120 to 280 mmHg increments of 10 Max Inflate Choose the maximum pressure allowed in the cuff during a me
28. equently to determine the positioning of the sensor and the circulation and skin sensitivity of the patient Factors that may affect the accuracy of pulse oximetry electrosurgical interference arterial catheters blood pressure cuffs infusion lines etc moisture in the sensor improperly attached sensor incorrect sensor type poor pulse quality venous pulsations anemia or low hemoglobin concentrations cardiovascular dyes sensor not at heart level Adverse Reactions In the area of the cuff or sensor allergic exanthema symptomatic eruption may result including the formation of urticaria allergic reaction including raised edematous patches of skin or mucous membrane and intense itching caused by the fabric material of the cuff sensor or electrodes Following the application of the cuff petechia a minute reddish or purplish spot containing blood that appears in the skin formation or Rumpel Leede phenomenon multiple petechia on the arm which may lead to idiopathic thrombocytopenia spontaneous persistent decrease in the number of platelets associated with hemorrhagic conditions or phlebitis inflammation of a vein may be observed Tango Setup Tango Hardware Setup Your Tango will come with a power supply a patient cable and an Orbit K cuft s with a microphone a Connect the power supply to a power cable and plug the cable into an avail able outlet b Connect the power supply P N 19 0012 00 to
29. evel In the event of a power loss to the monitor all data and user settings are saved The monitor will power up with the same settings and data as prior to the power loss Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment 40 Immunity IEC 60601 Compliance Electromagnetic environment test test level level guidance Portable and mobile RF communications equipment should be used no closer to any part of the Tango including cables than the recommended separation distance calculated trom the equation applicable to the frequency of the transmitter Recommended separation distance d 22 vp V ai 3 Vrms J9 150 kHz to Ge 80 MHz S 61000 4 6 d j 800 Mhz to 2 5 GHz 3 V m a Radiated Where P is the maximum output 80 MHz to Sep RF IEC 25 GHz power rating of the transmitter in 6 1000 4 3 watts W according to the transmitter manufacturer and d is the recommended separation distance in meters m VP 80 Mhz to 800 Mhz Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency Interference may occur in the WI vicinity of equipment marked with the following symbol Note 1 At 80 MHz and 800 MHz the higher frequency range applies Note 2 These guidelines may not apply in all situations Electromagnetic propagation is atfected
30. f a measurement Displays current pressure in the cuff during a measurement e Selected Measurement Displays one of the following measurements HR SpO or Double Product See View gt Graph Display on page 18 16 Main Menu Selections and Settings Press the Select key to access the MAIN MENU Press the UP DOWN keys to navigate through the MAIN MENU and then press the SELECT key to confirm your choice To exit out of the MAIN MENU select EXIT and you will return to the Main Measurement View MAIN MENU MONITOR SETUP MEASUREMENT SETUP VIEW ALARMS MEASUREMENT TABLE END TEST EXIT Monitor Setup Use to set up and maintain the monitor Select your stress system model that will interface to the Tango Fora custom model select CUSTOM and then choose the correct protocol and type of ECG trigger If you are using the Internal ECG option you must select CUSTOM and then set the ECG Trigger to INTERNAL Choose English French German Italian or Spanish Set this to the current time Defaults as 00 00 Contrast Set monitor contrast for optimum display trom 0 255 where O is darkest and 255 is lightest Verify Displays cuff pressure for veritying calibration of the monitor Calibration Press the Select Key to quit Stress System Set it to 10 minutes 30 minutes or Never If Tango is attached to a stress system the Tango turns on and off along with the stress system However you can turn the monitor on yours
31. f a blood pressure reading To avoid this problem with subsequent measurements follow the appropriate solutions below The monitor will terminate a BP eCheck that the cuff or the patient cable is reading if the not leaking on inflation target inflation is Check that the patient cable is properly not reached in connected to the monitor 60 seconds AIR LEAK Ensure that a heart rate is displayed on the Tango If so try again Set the Waveform Display under View in the Main Menu to ECG to verity the monitor is receiving an ECG Signal elt the signal is present take another BP reading It it fails to measure a BP the patient may have ECG problems which prevent the Tango trom working properly elf the signal is not present eCheck ECG lead connections are secure along the ECG patient cable and at the electrodes e Ensure electrodes are correctly positioned prepared and attached e Review instructions for your stress system interface with the Tango See Tango Setup page 7 Check to see that your Stress System if Custom check the ECG Trigger is correctly set e Check that the cables referred to in the instructions are correctly seated to their connectors and show no signs of damage ECG signal is weak erratic or CHECK ECG missing for more than 3 seconds No BP reported CHECK ECG MIC CHECK MIC CUFF OVER PRESSURE EXCESSIVE ARM MOVEMENT Weak or missing K Sounds and the ECG signal
32. in a larger font Choose After between in minutes 1 2 3 5 10 or select Never to always display the larger font New Patient Set how the monitor prepares for a new patient Auto The system automatically prepares for a new patient Prompt The system will ask you if you have a new patient To prepare the monitor for a new patient Tango will do the following e Set back to the Initial Inflate Pressure e The Main Measurement View will display for all parameters until they are measured e The Graph View will not display any data points BP Pressure Choose the units of measurement you want the BP measurements Units to be displayed in mmHG or kPa 19 Alarms Alarms alert you to changes in blood pressure or heart rate Alarms are only activated at the end of a BP measurement An alarm of 5 beeps will sound along with a message in the status display Alarms can be set for systolic blood pressure being too high SYS HIGH or too rapid of a decrease SYS DROP and for diastolic blood pressure or heart rate being too high DIA HIGH or HR HIGH respectively Sys High When the systolic BP exceeds this setting the alarm sounds Choose trom 50 to 280 mmHg with increments of 10 or set to Off Sys Drop When a drop in systolic BP between measurements exceeds this setting an alarm sounds Choose from 10 to 100 mmHg with increments of 5 or set to Off Dia High When the diastolic BP exceeds this setting an alarm sounds
33. iscontinue use of adhesive tape strips if the patient exhibits an allergic reaction to the adhesive materials Preparing the Patient for Pulse Oximetry Finger Application CAUTION Some nail polish colors particularly dark shades or artificial nails may reduce light transmission and affect pulse oximetry accuracy Remove any nail polish or artificial nails betore using the sensors To Attach the Adult Articulated Finger Clip Sensor 1 Insert a finger preferably the index middle or ring finger into the Adult Articulated Finger Clip Sensor Figure 13 until the end of the finger reaches the finger stop Keep the fingernail facing the sensor top Ensure that long tingernails are not interfering with proper finger position 2 For the best results when using the sensor for data collection secure the sensor cable independently from the sensor with medical tape preterably around the base of the fingers Make sure that the tape securing the cable does not restrict the blood tlow The thumb is not recommended for use with the Adult Articulated Finger Clip Sensor Figure 13 Note It the sensor is not positioned properly light may by pass the tissue and result in pulse oximetry inaccuracies Proper sensor placement is critical for good performance 28 Se 19 0012 00 Powersu O OOS 71 0001 00 Patient Cobi 15 SSS 91 0004 00 ECG Patient Cable only for Tango with internal SCrewsS 28 0003 00 98 0030 00 For a check 98
34. lbrand disinfectant 2 glutaraldehyde solution or Wescodyne If disinfectants are intended to control infection use your facility s established protocol For sterilizing use your tacility s established protocol Do not use the following methods for sterilization autoclave radiation or steam When necessary cables and leads can be sterilized in ethylene oxide ETO gas SpO Sensors Clean the sensor with a soft cloth dampened with a mild detergent or isopropyl alcohol Ensure that all tape residues are removed Allow the sensor to dry thoroughly before reusing CAUTION Never immerse sensors and clips in fluids Do not pour or spray any liquids onto the sensor Caustic or abrasive cleaners will cause permanent damage NOTE Do not open the case of the adult tinger clip sensor more than 90 or the case may be damaged Figure 11 shows the appropriate opening of the case for cleaning 34 Advice amp Troubleshooting Status Messages If there is significant noise as you may note on the Waveform Display during a measurement the Tango will have problems getting a reliable measurement Status messages appear over the Status Display in the Main Measurement view or the Graph View immediately atter a reading to indicate that there was a problem during that measurement Some errors will produce prompts that will appear over the BP measurement that provide suggestions to resolving an issue Status messages inform you of the validity o
35. lly packaged and shipped prepaid To Sunlech Medical Inc OR Suntech Medical Ltd Service Department Service Department 507 Airport Boulevard Suite 117 Oaktield Industrial Estate Morrisville NC 27560 8200 USA Enysham Oxtordshire OX29 4TS UK Tel 1 919 654 2300 Tel 44 0 1865 884 234 1 800 421 8626 Fax 44 0 1865 884 235 Fax 1 919 654 2301 The instrument will be repaired in the shortest possible time and returned prepaid by the same shipping method as received by the factory This limited warranty is void if the instrument has been damaged by accident misuse negligence act of God or serviced by any person not authorized by Sun lech Medical Inc This limited warranty contains the entire obligation of Sun lech Medical Inc and no other warranties expressed implied or statutory are given No representative or employee of Sun lech Medical Inc is authorized to assume any further liability or grant any further warranties except as herein 48 Index A C F M Main Menu P S T Accessories Interface Cables Pulse Oximetry Finger Application Pulse Oximetry SpO2 Copyright Information EMC Statement Front Display Graph View Main Measurement View Alarms End Test Measurement Setup Measurement Table Monitor Setup View Proper Cuff Placement Replace Microphone Safety and Effectiveness Indications for Use User Responsibility Specifications BP Measurement Pulse Oximet
36. modify the contrast of the screen When you are finished and press the SELECT button to confirm the choice 5 Using the UP or DOWN arrows select EXIT twice to return to the Main Measurement View 43 Q How do clean the cuff after a stress test A To clean the cuff after a stress test you can do either of the following e Remove the bladder and microphone trom the shell Machine wash the shell in warm water with a mild detergent 50 140 F or 10 60 C Line dry the cuff e Use a medical grade mild disinfectant on the cuff Afterwards line dry Service Centers For customers in the Americas Sunlech Medical Inc Service Department 507 Airport Boulevard Suite 117 Morrisville NC 27560 USA Tel 919 654 2300 Fax 919 654 2301 For customers in Europe the Middle East Africa Asia and the Pacific Sunlech Medical Ltd Service Department Oaktield Industrial Estate Eynsham Oxtordshire OX29 4TS United Kingdom Tel 44 0 1865 884 234 Fax 44 0 1865 884 235 44 Specifications Blood Pressure Measurement Measurement Auscultatory using R wave gating and k sound analysis during all static and active phases of stress testing Systolic pressures correlate to a K 1 Korotkoff sound Diastolic pressures correlate to K 5 Korotkoff sound The device is designed to function in the presence of a normal ECG sinus rhythm There are some physical conditions i e Bundle Branch Block Arrhythmias Arial Fibrillation Ventricul
37. nit next to the Headphone Kit Power Reset switch not pictured above Tango Rear Labels ETL Certitied Y Power supply contains materials which are hazardous Must be disposed of properly No SpO alarm A Attention consult accompanying documents Class Il isolation equipment C CE Approval 413 A im ech Warranty Seal BROKEN my Manutactured By Manufacture Date 10 Power Supply Labels External power supply only use the Sun lech power supply with Tango Input 100 240 VAC 1 6A max 50 60 Hz Output 9VDC 5A Em Recognized component certitied by UL to both Canada and U S A requirements TUV International Approval Attention Class Il Isolation Equipment Earth Ground TUV Canada and United States Approval Power Supply contains material which are hazardous Must be disposed of properly seg connection configuration positive voltage negative shield PSE Mark 11 Compatible Stress Systems Tango can be setup to work directly with your stress system If the Tango is interfaced with a stress system the stress system can prompt Tango to take a BP measurement while you are conducting a stress test In addition some stress systems will transfer the blood pressure measurement and heart rate trom Tango to your stress system where it will be displayed on the screen and printed on any reports The Tango can be used as a stand alone only if the unit has the Internal ECG option Th
38. noisy conditions where the Tango cannot accurately measure BP When the Tango encounters these situations it returns a reading of 0 0 Placement of the microphone attached to the cuff is critical for reliable operation of the Tango Follow the instructions in the Cuff Tutorial located on the Sunlech Medical website at www SunlechMed com and select Products gt Tango amp View Orbit K Cuff Tutorial for correct microphone placement Follow steps 1 and 2 in Conducting the Stress Test in the User s Guide to provide the best conditions to obtain a measurement Can use a heart rate or blood pressure simulator to test whether the Tango is working correctly with my stress system You cannot use a heart rate or blood pressure simulator to test whether the Tango is working with your stress system The Tango monitor requires that the ECG signal and the Korotkotf sounds collected by the microphone in the cuff originate from the same source meaning the patient cannot clearly see the Tango display How do fix this If you cannot clearly read Tango you can adjust the contrast of the display by following these steps 1 When the Main Measurement View is displayed press the SELECT button 2 times This will bring up the MAIN MENU screen 2 Using the UP or DOWN arrows highlight MONITOR SET UP and press the SELECT button 3 Using the UP or DOWN arrows highlight CONTRAST and press the SELECT button 4 Using the UP or DOWN arrows
39. ntraindications CAUTION Federal U S law restricts this device to sale by or on the order of a physician DO NOT USE THE MONITOR IF it has failed its diagnostic self test or if it displays a greater than zero pressure with no cuff attached or a value of saturation with no sensor attached The values displayed by such a unit may be inaccurate DO NOT USE ON NEONATES CHILDREN and patients known to be readily susceptible to bruising DO NOT ATTACH THE CUFF to a limb being used for IV infusions as the cuff inflation can block the intusion causing harm to the patient DO NOT ATTACH THE PULSE OXIMETER SENSOR to the same limb as the CUFF or any other blood flow restrictors Loss of monitoring can occur due to the hindering of pulse measurements DO NOT USE IN THE PRESENCE OF FLAMMABLE anesthetics this could cause an explosion DO NOT IMMERSE the monitor in any fluid place fluids on top of or attempt to clean the unit with any liquid detergents or cleaning agents This may cause an electrical hazard Refer to Maintenance amp Cleaning for instructions on cleaning If any of these situations occur please contact SunTech Medical DO NOT REMOVE UNIT COVERS Doing so may expose hazardous voltage and cause electrical shock The monitor does not contain any user serviceable components Refer to Maintenance amp Cleaning for service instructions DO NOT MAKE REPAIRS YOURSELF No repair should be undertaken or at
40. ot contact Sun lech Medical about calibration 5 Once the calibration has been completed press the SELECT button to exit the calibration screen Then press the UP or DOWN arrows to select EXIT twice and return to the Main Measurement View 32 Disposal This symbol indicates the monitor contains materials such as electrical components which are hazardous Please return to SunTech Medical tor disposal WARNING Fire explosion and severe burn hazard The unit contains a lithium battery that must be disposed of properly or returned to Sun lech Medical tor disposal Pulse Oximeter Cautions Do not immerse the sensor in liquid Do not use caustic or abrasive cleaning agents on the sensors 33 Cleaning Monitor Betore cleaning disconnect the power supply from the monitor Wipe the device with a soft damp cloth to remove surface dust and dirt CAUTION The Tango is not sterilizable Do not immerse the monitor in any fluid or attempt to clean with any liquid detergents cleaning agents or solvents Cuffs Use a mild medical grade disinfectant on the cuff sleeve and inside of the cuff between patients Periodically remove the bladder machine wash the shell of the cuff in cold water and line dry ECG Cables For routine cleaning use a soft cloth to apply a mild soap and water mixture Remove any residue and wipe dry For disinfecting the cables use a hospital approved disintectant such as 1 10 chlorine bleach Lyso
41. oz Standards UL60601 1 CAN CSA C22 2 601 1 EN 60601 1 IEC 60601 2 30 IEC 60601 1 2 EMC IEC 60601 2 49 ISO 9919 AAMI SP10 2002 Al 2003 Meets EN 1060 1 Specitication for non invasive sphygmomanometers Part 1 General requirements and EN 1060 3 Non invasive sohygmomanometers Part 3 Supplementary Requirements for Electro Mechanical BP Measuring Systems Classifications Equipment Classification Class Il Mode of Operation Continuous Specifications Pulse Oximetry 70 100 2 digits 1 Standard Deviation Standard Deviation is a statistical measure up to 32 of the readings may fall outside those limits 46 Limited Warranty Sunlech Medical Inc provides to the original purchaser the following limited warranty trom date of invoice All serialized monitors 24 months Orbit K Cuffs 6 months Accessories i e patient 90 days cables disposables Sunlech Medical Inc warrants each instrument to be free from defects in material and workmanship Liability under this warranty covers servicing of the instrument when returned from the customer s facility within the United States prepaid to the factory Sunlech Medical Inc will repair any component s or part s that it finds to be defective during the period of this limited warranty Should a defect become apparent the original purchaser should first notify Sun lech Medical Inc of the suspected defect The instrument should be carefu
42. resuscitation equipment and personnel are available at all times during the procedure e The Tango BP monitor is defibrillator protected The pulse oximeter is not defibrillator protected e All alarms indicate an increasing risk of injury if the test is continued e The reliability of the device depends upon conformance with the operation and service instructions as detailed in this manual User Responsibility Your Tango is designed to perform in conformity with the description thereof contained in this operation manual and accompanying labels and inserts when assembled operated maintained and repaired in accordance with the instructions provided It is your responsibility to e Check calibration of this device annually e Never knowingly use a defective device e Immediately replace parts that are broken warn missing incomplete damaged or contaminated e Contact the nearest factory approved service center should repair or replacement become necessary A list of approved service centers appears on page 42 or on our website at www SunlechMed com e The reliability of the device depends upon conformance with the operation and service instructions as detailed in this manual Further the user of the device bears sole responsibility for any malfunction that results from improper use fault maintenance improper repair damage or alteration by anyone other than SunTech Medical or authorized service personnel 6 Warnings and Co
43. ry Tango Operation Calibration Cleaning Cuffs ECG Cables Monitor SpO2 Sensors Disposal Exercise Stress Test Headphone Kit Maintenance Pulse Oximeter Stat Mode Taking BP Measurement 38 13 15 13 23 3 33 33 33 Ee 25 3 32 23 Tango Setup Hardware Setup Power Supply Labels Rear Panel Connections Stress Systems Stress System Setup Tango Rear Labels Troubleshooting FAQ s Service Centers Status Messages W Warnings Warranty 10 1 12 34 42 34 SunTech Medical Sum lech Medical Inc 507 Airport Boulevard Suite 117 Morale Fan Oa solo ene VA0 ORUNYAN Tel 1 919 654 2300 1 800 421 8626 Fax 1 919 654 2301 www SunlechMed com Sun Tech Medical Ltd Oakfield Industrial Estate Eynsham Oxfordshire OX29 4TS UK Tel 44 0 1865 884 234 Fax 44 0 1865 884 235 Ee www SunlechMed com SunTech Medical Ltd Level 25 Bank of China Tower 1 Garden Road Central Hong Kong Te 832223 e C Rone 9322253119250 0413 www Sun TechMed com par 80 0001 06 Rev F 11 10 08
44. tempted by anyone not having been service trained by Sun lech Medical or having a thorough understanding of the repair and operation of automatic blood pressure equipment Substitution of a component different from that supplied might result in measurement error DO NOT allow the pulse oximeter sensor to become wet DO NOT use a damaged pulse oximeter sensor DO NOT CONNECT THE MONITOR TO EQUIPMENT THAT DOES NOT MEET EN60601 1 WHEN THE MONITOR IS ATTACHED TO A PATIENT THE MONITOR S RS 232 CONNECTOR CAN ONLY BE CONNECTED TO EQUIPMENT THAT MEETS EN60601 1 PRECAUTIONS Observe the patient carefully during the procedure Ensure pressure compatibility to all patients If any abnormality occurs either in the unit or the patient suspend the operation immediately and disconnect the cuff pulse oximeter sensor and electrodes if applicable trom the patient Accuracy of any blood pressure recording or oxygen saturation measurement may be affected by the position of the subject his or her physical condition and use outside of the operating instructions detailed in this manual The interpretation of blood pressure and oxygen saturation measurements should only be made by a physician Satety and effectiveness in pregnant women children under the age of 18 years of age and neonates have not been established Only use pulse oximeter sensors supplied by SunTech Medical Check the application site of the pulse oximeter sensor fr
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