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
ExpressionMR400InstructionsforUseMonitoringNIBP12‐5
Positioning the NIBPCuff
WARNINGS
• Avoid compression, kinking or restriction of the NIBP cuff hose, as the effect of blood
flow interference can result in patient injury caused by continuous cuff pressure.
• Do not use the NIBP cuff on a limb with an intravenous infusion or where an arterial
catheter or arterio-venous (A-V) shunt is in place because of temporary interference to
blood flow. This could result in injury to the patient.
• Do not place the NIBP cuff over a wound, as this can cause further injury.
• Do not place the NIBP cuff on the same or adjacent arm to a mastectomy, or where the
lymph nodes were removed, or if a shunt is on that arm. This can lead to bruising,
inaccurate readings, or negatively impact the drainage of fluids because of temporary
interference to blood flow.
TheNIBPcuffshouldbepositionedasitwouldbeforanauscultatorybloodpressure
determination.ThecurrentguidelinesoftheAmericanHeartAssociationmustbefollowed.Wrap
theNIBPcufffirmly(notsnuggly)aroundthearmorlegofthepatient,makingsurethatthecuff
isatthe
approximatelevelofthehearttoensureaccuracyoftheobtainedvalues.
Connecting the NIBP Cuff
WARNING
Routinely inspect the NIBPcuff and hose assemblies for proper connection and orientation.
Replace accessories that have cracks, holes, tears, or cuts that could cause leaks in the
system. If such damaged NIBP cuff or hose assemblies are used, prolonged and/or inaccurate
patient readings could result.
ToconnecttheNIBPcuffandhose
Step Action
1InserttheappropriateinterconnecthoseconnectorontotheNIBP
port.Pushthehoseconnectorforwardandthenturnitclockwise.
NIBP port