Summary of Contents for CNAP MONITOR 500 HD
- Page 1 CNAP MONITOR 500 “HD“ ® QUICK GUIDE Version 07/2016 | V1.5.5 EN This Quick Guide DOES NOT REPLACE the user manual!
- Page 2 CONTENT SET UP MEASUREMENT NAVIGATION FUNCTIONS: FAQs FAST ACCESS...
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Page 3: Table Of Contents
Monitor Patient Set Up .......12 ® Choose correct CNAP finger sensor size.........13 ® Place CNAP finger sensor and CNAP Controller....14 ® ® Place NBP Cuff ................15 Measurement Select Measurement Mode / Start Measurement....16 Started Measurement: Perfusion Index / Signal Quality..17 Choose Patient Category / Enter Biometric Data....18... - Page 4 3. Enabling hemodynamic parameters for a measurement?...33 4. How can I improve measurement quality?........34 5. How can I adjust trend, signal and time settings?......35 6. The battery?..................36 7. Service intervals for the CNAP Monitor? ........37 ® 8. What to do if CNAP needs service ?..........38...
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Page 5: Hemodynamic Parameters
HEMODYNAMIC PARAMETERS CNAP Monitor Measurement Type ® BP + PPV BP + HD CNAP continuous noninvasive arterial pressure, sys, ® dia, mean noninvasive oscillometric blood pressure sys, dia Pulse pulse rate pulse pressure variation stroke volume variation continuous noninvasive cardiac output... -
Page 6: Set Up Checklist For Fast Set Up
® ® STEP 2 sensor size for the patient. (see p. 13) Slide the finger sensor over two neighbouring fingers, and fix the CNAP ® STEP 3 Controller on the forearm using the Velcro fixation cuff. (see p. 14) Be sure that the CNAP Controller is in the center of the forearm cuff so ®... -
Page 7: Power Up Cnap ® Monitor
POWER UP CNAP MONITOR ® Press POWER ON / OFF button When alarm sounds, confirm by pressing the yellow alarm button. SET UP... -
Page 8: Prepare Cnap ® Monitor For Measurement - Components
SET UP PREPARE CNAP MONITOR FOR MEASUREMENT ® COMPONENTS CNAP Monitor ® CNAP Controller Cable ® CNAP Controller ® CNAP Finger sensor ® NBP Cuff NBP Air hose... -
Page 9: Prepare Cnap ® Monitor For Measurement - Connections
CNAP Controller. ® Connect the NBP air hose and the Connect finger CNAP Controller ® sensor to black cable to the CNAP ® connection Monitor. CNAP Controller. ® Plug in straight, not ATTENTION tilted! SET UP... -
Page 10: Connecting To A Patient Monitor
Interface Cable (Chapter 4-5-2) and and connect it to the connect it to the BP arterial port of your wave out port on the patient monitor. CNAP Monitor. ® Interface cable Transducer Cable connect to BP Wave Connect Transducer cable and Out port patient monitor interface cable. -
Page 11: Zeroing Of Cnap ® And Patient Monitor
Stop Zeroing *click* ® on CNAP Select IBP: Zeroing Stop - *click* ® ® CNAP Zeroing is automatically active when the CNAP Monitor is on and connected to the patient monitor but no measurement has been started so far. SET UP... -
Page 12: Overview Cnap ® Monitor Patient Set Up
SET UP OVERVIEW: PATIENT SET UP Connections NBP Cuff CNAP Controller ® CNAP Finger sensor ®... -
Page 13: Choose Correct Cnap ® Finger Sensor Size
STEP 1. CHOOSE CORRECT CNAP FINGER SENSOR SIZE ® AVAILABLE SIZES: small, medium or large Choose the sensor size indicated on the shortest bar which is still visible. ATTENTION Put proximal phalanx of Always choose the index finger on indicator... -
Page 14: Finger Sensor And Cnap Controller
SET UP STEP 2. PLACE CNAP FINGER SENSOR AND CNAP CONTROLLER ® ® Slide the finger sensor over two ATTENTION neighbouring fingers, make sure that it is not placed on the finger joints! NOTE 12 hours before lifetime expiration of the finger sensor a message slide back fully! appears. -
Page 15: Place Nbp Cuff
STEP 3. PLACE NBP CUFF Choose the right NBP cuff from 4 different sizes by using the size indicator on the inside of the cuff. See also: Operators Manual – chapters 3.2.3 and 10. Fasten NBP cuff on the upper arm (ipsilaterally or contralaterally to arm with fingersensor). -
Page 16: Measurement Select Measurement Mode / Start Measurement
MEASUREMENT SELECT MEASUREMENT MODE / START MEASUREMENT Once the patient set up is completed, select the measurement mode in the pop-up menu from three options: > BP only > BP + PPV > BP + HD (full hemodynamics) *click* Confirm by clicking the wheel. To start the measurement, select “Start New Measurement“... -
Page 17: Started Measurement: Perfusion Index / Signal Quality
STARTED MEASUREMENT Once measurement has started, finger sensor checks perfusion index (PI): If perfusion is poor (=red), try pushing the finger sensor to the back of the finger, warming the hand (use exam glove or towel), changing finger sensor size, or changing hands. -
Page 18: Choose Patient Category / Enter Biometric Data
MEASUREMENT CHOOSE PATIENT CATEGORY AND ENTER BIOMETRIC DATA Choose patient category (Adult or Pedi- atric) in the pop-up menu and enter biometric patient data (for full hemo- dynamics). This is important as NOTE alarm ranges and NBP inflation pressure are different! *click* Confirm with “ok“... -
Page 19: Stop / Resume Measurement
STOP / RESUME MEASUREMENT Press the Start/Stop Button to STOP measurement (e.g. when finished or to readjust set-up). ATTENTION Do not remove the CNAP finger sensor when ® measurement is still in progress! STOP MEASUREMENT FIRST! RESUME a measurement with the Start/Stop Button (e.g. -
Page 20: Navigation Navigation Frames
NAVIGATION NAVIGATION FRAMES The monitor has a clickwheel and 5 different “frames“ on the screen to access all menus / functions. Alarm frame Signal & Trend Signal and frame Trend View selector frame *turn* *click* clickwheel Parameter frame Hemodynamic (= default) frame... -
Page 21: Function Of Navigation Frames
FUNCTION OF NAVIGATION FRAMES Parameter frame Signal & Trend frame Alarm & Status frame This is the default frame! > intervention setting > display of alarm and status messages > manual NBP triggering > change of trend view > (graphic numeric) direct access to alarm >... - Page 22 NAVIGATION FUNCTION OF NAVIGATION FRAMES Signal & Trend View Selector Hemodynamic frame > > activating/ deactivating HD changes between absolute and indexed values > > switch between signal manual entry or change of patient data > manual entry of external view and parameter trends CO value for calibration >...
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Page 23: Functions
MAIN KEYS FOR FAST ACCESS FAST ACCESS KEYS and STATUS INDICATORS MAIN SCREEN: return to main screen from any submenu power “on“ indicator: SETUP: POWER ON / OFF: > green: switched on hold for 2 seconds to access to configuration >... - Page 24 FUNCTIONS MAIN KEYS FOR FAST ACCESS ALARM PAUSE/ OFF: alarm functions control: > Press once: alarm acknowledgement > Press twice: set alarm to pause / off > Press three times: re-activate alarm function PRINTING START/ STOP: Battery charge status: START/ STOP: >...
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Page 25: Fast Access The "Setup" Key
Access PPU measurement statistics 2. Measurement Settings > NBP Mode: select calibration mode (see next page) > NBP Interval > CNAP Calibr. Interval > Hemodynamic (on/off, change settings) > Display Options: Interventions, Views, Scales,etc. > Trend Parameters: select parameters to be displayed in the trend view 3. -
Page 26: Calibration Modes: Function / Benefits
Blood pressure curve is displayed only 10 secs after on an emipric database for bridging the short start-up for a quick trending prior to calibration to time until CNAP is calibrated to a measured or ® the directly measured reference value. -
Page 27: Triggering A Manual Nbp - Fast Access
TRIGGERING A MANUAL NBP Triggering a manual NBP is possible at ANY TIME in any mode! NOTE Choose NBP: Start - *click* Go to parameter frame: *click* *click* FUNCTIONS... -
Page 28: When Is It Recommended To Trigger A Manual Nbp
FUNCTIONS WHEN IS IT RECOMMENDED TO TRIGGER A MANUAL NBP ? 1. Upon hand movement 2. In situations that quickly or patient repositioning require updated calibration After an intervention or whenever Trigger a manual NBP after moving you feel that an update to the NBP or repositioning the patient or the reading may be beneficial. -
Page 29: Change Finger" Manually
Switching a measurement to the other finger is possible at NOTE ANY TIME except during a NBP measurement! Go to parameter frame: Choose CNAP: Change Finger - *click* *click* FAST ACCESS: Parameter frame is the default frame. If not *click*... - Page 30 3. Enabling hemodynamic parameters for a measurement?...33 4. How can I improve measurement quality?........34 5. How can I adjust trend, signal and time settings?......35 6. The battery?..................36 7. Service intervals for the CNAP Monitor? ........37 ® 8. What to do if CNAP needs service ?..........38...
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Page 31: Faqs: 1. How Can I Change Alarm Settings For Current Measurement
1. HOW TO CHANGE ALARM SETTINGS: CURRENT MEASUREMENT ALARMS OFF/ON AND CHANGE LIMITS • Go to parameter frame with click-wheel and *click* *click* • Select “Adult alarm limits“ and turn values to “Off“ or change limits Whenever a physiologi- cal alarm is active, the settings can be directly changed by clicking on the alarm frame. -
Page 32: How Can I Change Alarm Settings Permanently
FAQs 2. HOW TO CHANGE ALARM SETTINGS: PERMANENTLY ALARMS OFF/ON AND CHANGE LIMITS • Press Setup key. • Change the alarm default settings in the submenu Service | Alarm Defaults (Password: 8737) -
Page 33: Enabling Hemodynamic Parameters For A Measurement
3. ENABLING HEMODYNAMIC PARAMETERS FOR A MEASUREMENT • If HD is not enabled, hemodynamic frame shows question marks: select with click-wheel - *click* *click* Choose Measurement Mode: “BP+HD“ and confirm with“ok“. NOTE Hemo- If BP + HD is active, dynamic BP + PPV is automatically parameters enabled. -
Page 34: How Can I Improve Measurement Quality
Reasons / limitations: > poor peripheral perfusion (shock, severe Raynaud‘s, hypothermia, vasoconstriction) > edema for improving signal quality: > Check position of CNAP finger sensor: ® Do not place on finger joints! > Check if CNAP finger sensor size is correct ®... -
Page 35: How Can I Adjust Trend, Signal And Time Settings
5. HOW TO ADJUST TREND SETTINGS, SIGNAL AND TIME SCALES Trend Go to Signal & Trend frame with Menu: click-wheel and *click* Trend adjustments TREND PARAMETERS *click* > Parameter 1+2: You can choose up to 2 additional para- meters shown in Trend TREND DISPLAY TIME SCALE / TIME SHIFT view (SVV, PPV, CO, SV,... -
Page 36: The Battery
FAQs 6. THE BATTERY HOW LONG CAN I MEASURE RUNNING ON BATTERY POWER? up to 120 minutes • • Battery charge status is indicated with Battery-status-LED. green = ok • Battery charge status is also shown in right orange = 25% left edge of alarm &... -
Page 37: Service Intervals For The Cnap ® Monitor
7. CNAP MONITOR SERVICE INTERVALS ® WHAT ARE THE DEFINED SERVICE INTERVALS? EVERY 12 months SAFETY CONTROL: is usually done according to medical directives. • Please contact your biomedical department. See Service Manual for Users for more details. EVERY 24 months CALIBRATION/ METROLOGICAL CONTROL: must be done by CNSystems •... -
Page 38: What To Do If Cnap ® Needs Service
FAQs 8. WHAT TO DO IF CNAP MONITOR NEEDS SERVICE ® Metrological control or repair work must be performed by ATTENTION CNSystems or an authorized service partner! • For all service requests let us know serial number and software version (displayed on start-up screen). -
Page 39: Service Hotline
9. SERVICE HOTLINE Service hotline QR-Code: SERVICE HOTLINE: +43 316 723456 33 NOTE Service work is usually finished within five working days. Express-Service is possible on request! FAQs... -
Page 40: Where Can I Get Additional Information
FAQs 10. WHERE TO GET ADDITIONAL INFORMATION CNSYSTEMS INFO LIBRARY CNAP Monitor - Operators Manual ® Comes in hard copy with every CNAP Monitor ® - Available as PDF-file by CNSystems Website - Applications - http://www.cnsystems.com/applications Still didn‘t find what Downloads –... -
Page 41: How Can I Contact Cnsystems Directly
11. HOW TO CONTACT CNSystems DIRECTLY GENERAL REQUESTS Contact form: http://www.cnsystems.com/support/contact Email: office@cnsystems.com Phone: +43 316 723456 Fax: +43 316 723456 2 REGISTER FOR OUR NEWSLETTER Online: http://www.cnsystems.com/ news-events/newsletter Email: feedback@cnsystems.com Newsletter registration FAQs... - Page 43 CNAP Monitor 500 HD Quickguide ® © CNSystems Medizintechnik AG, 2016 Version: 07/2016, V1.5.5 EN...
- Page 44 Backcover: Currently using your Upgrade to the full set of hemodynamic parameters: CNAP Monitor ® for blood pressure BP I PR I CO I SV I SVR I PPV I SVV monitoring only? with Software Upgrade V5.2: Full hemodynamics available •...
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