User Manual
Table Of Contents
- Manufacturer
- Identification and Publication Details
- Regulatory
- Explanation of Symbols
- Conventions
- Important Information
- About
- Intended Use
- Compatibility
- Indications for Use
- Contra-indications
- Training
- Safety
- Electromagnetic Compatibility (EMC)
- Using Batteries Safely
- Examining the Shipment
- Initial Setup
- Rear Panel Connections
- Understanding Battery Operations
- Understanding Wireless Network Operations
- Advanced User Options
- Accessory List
- System Overview
- Getting Started
- Alarms
- Monitoring ECG
- ECG Monitoring Considerations for the MR Environment
- wECG Module and ECG Lead Cable
- Quadtrode Electrodes
- Work Flow for ECG Monitoring
- Selecting the ECG Lead Cable and Quadtrode Electrode Type
- Identifying the Placement Site for the Quadtrode Electrode
- Preparing the Quadtrode Electrode Site
- Attaching the ECG Lead Cable
- Checking the ECG Signal Strength
- Minimizing ECG Waveform Noise
- Positioning the ECG Lead Cable and wECG Module for Scanning
- ECG Waveforms and VS Box
- ECG Menu
- Monitoring SPO2
- Monitoring CO2 (LoFlo Option)
- Monitoring Invasive Blood Pressure
- Indications and Contraindications
- Patient Preparation for IBP Monitoring
- Transducer Component, Connection, and Feature Locations
- MR 400 Preparation for IBP Monitoring
- Adult and Pediatric Patients: Expression MR IBP DPT Kit, A/P (REF 989803194631)
- I. Connecting the Reusable Cable to the MR400
- II. Kit Set Up
- III. Purging Air from the Monitoring Line
- IV. Zeroing, Leveling and Calibration
- V. Connecting the Monitoring Kit to the Patient
- The IBP transducer must not be mounted to the patient, or patient burn may result.
- VI. Fast Flushing
- VII. Checking for Leaks
- VIII. In the MR Room
- Neonatal Patients: Expression MR IBP DPT Kit, I/N (REF 989803194641)
- Adult and Pediatric Patients: Expression MR IBP DPT Kit, A/P (REF 989803194631)
- Zeroing the Pressure Transducer
- P1 (and P2) Menu
- Monitoring Agents and Gases (AGENT Option)
- Monitoring RESP
- Monitoring Temperature
- Monitoring NIBP
- Trend Data and Printing
- Maintenance and Troubleshooting
- General Cleaning Guidelines
- Removing all Power to the MR400
- Removing Power from the Wireless Modules
- User Routine-Checks and Planned Maintenance
- Cleaning, Disinfection, and Damage Inspection
- Sterilization
- Testing Alarms
- Testing a Dropped Wireless Module
- Verification Testing
- Anesthetic Oxygen (O2) Sensor Depletion
- Updating Software
- Calibrating the Touch Screen
- Troubleshooting
- Repair
- Environmental Requirements
- Passing the Product on to another User
- Final Disposal of the Product
- Specifications
- Warranty
- Regulatory Information
- Gating Feature
- Guidelines and References
ExpressionMR400InstructionsforUseMonitoringNIBP12‐7
Making Manual Measurements
Youcanmanuallydefinethemeasurementintervalofapatient’ sbloodpressure.
Tocontrolmanualoperation
Initial Inflation Pressures and Reading Durations
WARNINGS
• Performing NIBP measurements too frequently can cause injury to the patient due to
blood flow interference.
• Always monitor the NIBP cuff site (for example, by observation of the limb concerned)
to ensure that operation of the automated sphygmometer does not result in prolonged
impairment of the circulation of the blood of the patient.
• Pressurization of the NIBP cuff can temporarily cause loss of function of
simultaneously used monitoring ME equipment on the same limb.
TheinitialinflationpressureistheamountthattheNIBPcuffwillinflateforthefirstNIBP
measurement:
• Adultisusedformostadultpatients:Initialinflationpressure:165±15mmHg
• Pediatricisusedforanypatientexhibitinglowpulseamplitudes(aconditionexhibitedby
pediatric‐sizepatients):
Initialinflationpressure:130±15mmHg
• Neoisusedformostneonatalpatients:Initialinflationpressure:100±15mmHg
WhensubsequentNIBPmeasurementsaretakenonthesamepatient(andifnotinsuspend
mode),themonitoradjuststheinflationvalueupordownbasedonthepreviousreading
results.
4 SelecttheNIBPVSbox.OntheNIBPmenu,toggleAutoModeto
On.
5Tobeginautomaticoperation,presstheNIBPStart/Stopkey.
Step Action
Step Action
1 SelectthePatientType.
SeeSelectingthePatientTypeonpage3‐11.
2Tostartorstopthemeasurement,presstheNIBPStart/Stopkey.