ZOLL R Series Monitor Defibrillator Rev A NIBP - Manual (Page 4)

R S ERIES — N ON -I NVASIVE B LOOD P RESSURE (NIBP) O PTION I NSERT
2 www.zoll.com 9650-0914-01 Rev. A
Safety Considerations
General NIBP Safety
• Read the R Series Operator’s Guide and this manual insert before use.
• Ensure that the R Series NIBP option is operated by qualified personnel only.
• Consult a physician for the proper interpretation of pressure measurements.
• Do not use on patients known to be susceptible to bruising.
• Use caution when using on elderly hypertensive patients, as such patients may be more
susceptible to bruising.
• Route patient hoses carefully to avoid patient entanglement, strangulation or compression of
hose.
• Do not select a cuff inflation pressure that exceeds the patient’s expected systolic pressure
by more than 30-40 mmHg (4.0-5.3 kPa). The factory-installed default adult cuff inflation
pressure is 160 mmHg (21.3 kPa) for adult patients, 120 mmHg (16.0 kPa) for pediatric
patients, and 90 mmHg (12.0 kPa) for neonatal patients.
• Keep patient, hose and cuff as still as possible during measurement. Patient movement or
vibrations from outside sources, particularly moving vehicles, can degrade measurement
accuracy.
• Check patient regularly for signs of skin irritation or impaired circulation in the monitored
limb.
• Do not use the NIBP option on a patient when the R Series unit is connected to an ECG
simulator.
• If an alarm occurs while the audible alarm indicators are disabled, alarms do not sound;
rather only the visual alarm indicators are displayed.
• If the accuracy of measurements is suspect, first check the patient's vital signs by alternate
means. Then check the cuff, hose and R Series NIBP option for proper functioning.
• The cuff, hose, and fitting are defibrillation-protected. Using the NIBP option introduces no
risk for shock due to defibrillation. The cuff and hose are non-conductive. Using the NIBP
option introduces no risk for burns due to electrosurgery.
Cuff and Hose Safety
• Only use cuffs, hoses, and connectors supplied or specified by ZOLL.
• Ensure that the hose is not kinked or obstructed before taking measurement.
• Do not use damaged cuffs, hoses, or connectors.
• Ensure proper cuff selection and placement to avoid inaccurate measurements or patient
injury.
• Position the cuff so it is level with the heart during measurement.
• Do not attach the cuff to a limb being used for IV infusion or SpO
2
monitoring. Cuff
inflation might block the infusion, causing harm to the patient or inaccurate SpO
2
measurements.
• Do not repeat NIBP measurements (particularly STAT measurements) at intervals less than
3-5 minutes over an extended period of time. Rapidly repeating measurement can impair
circulation in the monitored limb.
• Do not sterilize or immerse the cuffs or hoses.