Mindray Accutorr 7 Quick Reference Manual 22
Mindray Accutorr 7 Quick Reference Manual 22
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Accutorr®
Q u i c k R e fe re n ce G u i d e
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Table of Contents
Keys. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Hard Keys. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Menu Quick Keys. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Patient Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Admit Patient And Enter Demographics (Barcode Scanner). . . . . . . . . . . . . . . . . 2
Admit Patient And Enter Demographics (Manual Entry) . . . . . . . . . . . . . . . . . . . . 2
Admit Patient And Enter Demographics (Local Patient List and ADT Database)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Adjust Patient Size . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Discharge A Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Standby . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Enter Standby. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Resume Monitoring. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Record . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Realtime Waveforms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Adjust Recorder’s Waveforms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
NIBP. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Factors that Affect Blood Pressure Measurement Accuracy. . . . . . . . . . . . . . . . . . 6
Initiate A Non-Invasive Blood Pressure Measurement (NIBP) . . . . . . . . . . . . . . . . 8
Stop Non-Invasive Blood Pressure Measurement (NIBP) . . . . . . . . . . . . . . . . . . . . 8
Set A Non-Invasive Blood Pressure Measurement Interval . . . . . . . . . . . . . . . . . . 9
Configure A Custom Program. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Adjust Alarm Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Adjust Alarm Responses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Alarm Status Symbols. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
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Reset Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Pause ALL Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Send Patient Data to the EMR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Screen Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Historical Trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
MEWS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Volumes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Alarm Volume. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Key Volume. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Sterilization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
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KEYS
Hard Keys
Power ON/OFF Switch
•• Press this key to turn the monitor on.
•• Press this key to enter/exit Standby mode.
•• Press and hold this key for more than 2 seconds to turn the
monitor off.
Alarm Reset Key
•• Press this key to turn off the present alarm sounds.
•• Press and hold this key for more than 2 seconds to pause or
restore alarms.
NIBP Start/Stop Key
•• Press to start or stop NIBP measurements.
Admit Patient Key
•• Press this key to admit a new patient.
•• Press this key again to return to the main screen.
Knob
•• Rotate the knob to scroll through parameters or menus.
•• Press the knob to access a menu or select an item.
Patient List •• Accesses the Local Patient List or ADT Database pages to
admit a patient and enter demographics.
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PATIENT SETUP*
Admit Patient And Enter Demographics (Barcode Scanner)
The Patient Setup menu allows the clinician to admit a patient through a barcode
scanner.
To admit a patient through linear barcode scanner on the Accutorr 7 monitor:
a. Connect the barcode scanner to the USB connector on the monitor.
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b. Aim the barcode scanner at the barcode.
c. Select Ok in Patient Demographics menu.
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To admit a patient through two-dimension barcode scanner on the Accutorr 7
monitor:
a. Connect the barcode scanner to the USB connector on the monitor.
b. Aim the scanner at the clinician barcode and press the scan button at the
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barcode scanner.
c. Aim the scanner at the patient barcode and press the scan button on the
barcode scanner.
d. Select Ok in Patient Demographics menu.
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NOTE: The monitor must be configured to use the two-dimension format in order
to work this way.
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Admit Patient And Enter Demographics (Local Patient List and ADT
Database)
The Patient Setup menu allows the clinician to enter patient demographics from
the local patient list or the ADT database (hospital's patient database).
To enter demographics from the local patient list on the Accutorr 7 monitor:
a. Select the Patient List quick key to access the Local Patient List tab.
b. Select the page key (for example ), and then use the up or
down arrow beside this key to turn the page.
c. Select Scroll, use the up or down arrow beside this key to highlight the
desired patient.
d. Select Admit to access the Patient Demographics menu.
e. If necessary, you can modify patient’s information using the onscreen
keyboard.
f. Select Ok to return to main display.
To enter demographics from the ADT database on the Accutorr 7 monitor:
a. Select the Patient List quick key, and select the ADT Database tab.
b. Search a patient.
• I nput Department name, and then the system will search the patient
within the department.
• I nput MRN, and then the system will search the patient according to the
medical record number.
• I nput Last Name and/or First Name, and then the system will search the
patient upon the name.
Or
b. Select the page key (for example ), and then use the up or
down arrow beside this key to turn the page.
c. Select Scroll, use the up or down arrow beside this key to highlight the
desired patient.
d. Select Admit to access the Patient Demographics menu.
e. If necessary, you can modify patient’s information using the onscreen
keyboard.
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Discharge A Patient
The Discharge function clears all patient information and restores default
(preconfigured) settings.
To discharge a patient on the Accutorr 7 monitor:
•• Admit a new patient
•• Place the monitor into Standby
•• Turn the monitor off
•• Select the Save quick key
NOTE: Discharge Patient at Spot Check Saving must be selected in the "Save"
Button Options menu in order for the monitor to work this way.
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STANDBY*
Enter Standby
The Standby function allows the clinician to suspend monitoring on a patient.
While in standby, the patient is not monitored; however, all data and settings are
preserved.
To place a patient into Standby on the Accutorr 7 monitor:
a. Press the hardkey.
b. Select Yes to confirm.
Resume Monitoring
To exit Standby and resume monitoring, select any key on the Accutorr 7 monitor.
*If Standby is enabled in the Remote Control menu of BeneVision Central
Monitoring System (BeneVision CMS): Selecting any key on the BeneVision
CentralStation and BeneVision WorkStation will remove patient from Standby on
the Accutorr 7 monitor.
RECORD
Realtime Waveforms
To record a waveform on a patient on the Accutorr 7 monitor’s integrated
recorder press the hardkey on the monitor’s recorder.
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NIBP*
Factors that Affect Blood Pressure Measurement Accuracy
The accuracy of non-invasive blood pressure (BP) measurement has been shown
to be affected by numerous factors. Some of the more important aspects (based
on published literature) to consider while measuring BP are:
• T he cuff should fit snugly, but with enough room for two fingers to be
placed between the cuff and the patient’s arm (on adults), and loosely on
neonates with little or no air present within the cuff.
• U
se the Guidance Table provided to select the proper size cuff. Too small
a cuff has been shown to result in the overestimation of BP (systolic and
diastolic) while too large a cuff results in the underestimation of BP. Errors
in the 10 to 40 mmHg range can occur.
Ensure that the cuff is wrapped directly over the patient’s skin. BP measurement
could be 10 to 40 mmHg higher or lower than actual when the cuff is applied
over clothing.
• T he cuff should be applied so that the center of the bladder in the cuff is
over the brachial artery. Use the reference marker for this.
• F or best results, the cuff should be placed on the arm at heart level and
the lower arm supported passively. Published data indicates that BP can
increase about 2 mmHg for every inch that the cuff is below heart level
and decrease by the same amount if above heart level.
• A
void compression or restriction of the pressure hose. Do not place the
NIBP cuff on a limb that is being utilized for any other medical procedure,
for example, an I.V. catheter.
• H
ave the patient sit quietly for several minutes before BP measurement
and remain still during measurement to avoid unnecessary motion
artifact. If the patient has not rested before measurement, BP could be
elevated by 10 to 20 mmHg.
• D
o not talk to the patient during BP measurement as talking has been
shown to result in a 10 to 15 mmHg overestimation of BP.
• The patient’s back and feet should be properly supported with the
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Cuff Description Limb Circumference
Child 10 - 19 cm
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Small Adult 18 - 26 cm
Adult 25 - 35 cm
Large Adult 33 - 47 cm
Thigh 46 - 66 cm
Adult Long 25 - 35 cm
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Large Adult Long 33 - 47 cm
References:
1. American Association on Critical-Care Nurses (AACN): Practice Alert,
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ALARMS*
Adjust Alarm Limits
The Alarm Setup tab allows the clinician to configure alarm limits and alarm
responses on the Accutorr 7 monitor.
To adjust a patient’s alarm limit on the Accutorr 7 monitor:
a. Select parameter’s waveform or numeric tile to open the parameter's Setup
menu.
b. Select Alarm Setup >>.
c. Select High or Low limit value and adjust using the up and down arrows.
d. Select Off in the limit value area to switch off the parameter’s alarm limit(s).
e. Select the Main quick key or to return to the main display.
Or
a. Select the Main quick key to access the Main menu.
b. Select Alarm Setup >>.
c. Scroll and select the parameter
d. Select High or Low limit value and adjust using the up and down arrows
e. Select Off in the limit value area to switch off the parameter’s alarm limit(s)
f. Select the Main quick key or to return to the main display.
*If Alarm Setup is enabled in the Remote Control menu of BeneVision Central
Monitoring System (BeneVision CMS): Adjusting alarm limits on BeneVision
CentralStation and BeneVision WorkStation automatically adjust alarm limits on
the Accutorr 7 monitor. Adjusting alarm limits on the Accutorr 7 monitor can
automatically adjust alarm limits on BeneVision CentralStation and BeneVision
WorkStation.
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RESET ALARMS*
To reset an alarm for the duration of the alarm on the Accutorr 7 monitor, press
the hardkey on the front panel of monitor.
*If Alarm Pause&Audio Pause&Alarm Reset is enabled in the Remote Control
menu of BeneVision Central Monitoring System (BeneVision CMS): Pressing the
hardkey on the Accutorr 7 monitor can reset the alarm for that device on
the BeneVision CentralStation and BeneVision WorkStation for the duration of
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the alarm. Selecting Alarm Reset on BeneVision CentralStation and BeneVision
WorkStation can reset the alarm on the Accutorr 7 monitor for the duration of the
alarm.
system.
To send patient data on the Accutorr 7 monitor to the EMR system:
a. Select the Review quick key.
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SCREEN DISPLAY
The Accutorr 7 monitor allows the clinician to adjust the main display based on
patient acuity.
To adjust the main screen’s layout on the Accutorr 7 monitor:
a. Select the Main quick key to access the Main menu.
b. Select the General Setup>>.
c. Set Display Setup
• A
ll Parameters: Real time waveforms and numeric parameters on the
main display
• Trend: Split screen with tabular trend on the lower portion of the display
with real time waveforms and numeric parameters
• N
IBP List: Split screen with NIBP list on the lower portion of the display
with real time waveforms and numeric parameters
HISTORICAL TRENDS
To display and record Tabular (List) trends on a patient on the Accutorr 7 monitor:
a. Select the Review quick key.
b. Select the Spot Check Trends tab.
• Select MRN or Name, and then select the desired patient.
• Select Filter to select the desired parameter trends.
• S elect the page key (for example ), and then use the up or
down arrow beside this key to turn the page.
• S elect Edit to edit patient demographics or manual input data of selected
patient.
• Select Delete to delete the trend data of selected patient.
• Select Print to print the trend data of selected patient.
• Select Send to transfer the trend data of selected patient.
c. Select the Main quick key or to return to the main display.
BeneVision Central Monitoring System (BeneVision CMS): Trend storage, display
interval, and printing length on the Accutorr 7 monitor and BeneVision CMS are
independent.
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MEWS
The MEWS (Modified Early Warning Score) calculates a total score and provides a
clinical response based on the entered parameters.
To calculate a clinical scoring on a patient on the Accutorr 7 monitor:
a. Obtain all parameter values.
b. Enter all required manual inputs.
c. Clinical score will be automatically be calculated and displayed.
VOLUMES
The alarm volume and key volume can be adjusted on the Accutorr 7 monitor.
Alarm Volume
To adjust the alarm volume on the Accutorr 7 monitor:
a. Select the Main quick key to access the Main menu.
b. Select General Setup >> and select Alarm Volume.
c. Select volume ranging from X*-10 (0=Off 10=Max).
d. Select the Main quick key or to return to the main display.
*The minimum volume range(X) is configurable.
Key Volume
To adjust the key volume on the Accutorr 7 monitor:
a. Select the Main quick key to access the Main menu.
b. Select General Setup >> and select Key Volume.
c. Select volume ranging from 0-10 (0=Off 10=Max)
d. Select the Main quick key or to return to the main display.
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CLEANING/DISINFECTING
Cleaning
Clean your equipment on a regular basis. Before cleaning, consult your hospital's
regulations for cleaning the equipment.
The following table lists approved cleaning agents.
NOTE:
1. Refer to the Operating Instructions for important notes about cleaning.
2. The "*" symbol indicates a cleaning solution should be prepared
according to the concentration directed by the accompanying
instructions for use.
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Disinfecting
Disinfect your equipment as required in your hospital's servicing schedule.
Cleaning equipment before disinfecting is recommended.
The following table lists approved disinfectants.
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Isopropanol Liquid Isopropanol 70%
Perform® Powder Used as 1% solution*
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100g contains 45g
Pentapotassium bis
(peroxymonosulphate) bis
(sulphate).
5 % to 15% anionic surfactants;
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<5% non-ionic surfactants;
<5% soap and phosphonates,
perfumes
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NOTE:
1. Refer to the Operating Instructions for important notes about disinfecting.
2. The "*" symbol indicates a disinfectant should be prepared according to the
concentration directed by the accompanying instructions for use.
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STERILIZATION
Sterilization is not recommended for this equipment, related products,
accessories, or supplies unless otherwise indicated in the Instructions for Use that
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046 - 005844 - 00 ( 3 . 0 )