CNSystems CNAP Monitor 500 HD Operator's Manual
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CNSystems CNAP Monitor 500 HD Operator's Manual

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CNAP
MONITOR 500
OPERATOR'S MANUAL

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  • Page 1 ® CNAP MONITOR 500 OPERATOR’S MANUAL...
  • Page 2 Reininghausstrasse 13 8020 Graz Austria T: +43 316 7 23456-0 F: +43 316 7 23456-2 E: service@cnsystems.com I: www.cnsystems.com © CNSystems Medizintechnik AG, 2017 Version: 5.2.5, h 21-FHZU-10002 Edition: January 31 2017 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 3: Table Of Contents

    4.2.2 External calibration .................. 4-3 4.2.3 Height correction ..................4-4 4.2.4 NBP calibration ..................4-4 4.2.5 Optimizing Signal Quality ................. 4-5 Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page i Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...
  • Page 4 Printing ........................8-1 Launching print reports ..................8-1 Canceling print reports ..................8-2 Print reports ....................... 8-2 Print options ....................... 8-3 Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page ii Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...
  • Page 5 Printer......................14-4 14.3.1 Technical alarms ................... 14-4 ® 14.4 CNAP ......................14-4 14.4.1 Status messages ................... 14-4 14.4.2 Technical alarms ................... 14-5 Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page iii Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...
  • Page 6 Recurrent inspections ..................17-9 17.4.1 Safety control (SC) ................17-9 17.4.2 Metrological control (MC) ..............17-10 17.4.3 Maintenance ..................17-10 17.5 Standards ....................... 17-10 Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page iv Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 7: About This Manual

    Settings available for menu entries are listed as: Minimum (Increment) Maximum Menu item Description Setting Brightness 20(20)100, Auto Regulates the brightness of the TFT-display Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 1-1 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 8: General Information

    (e.g. by bending the cables) as this could impair the quality of the measuring signals and be a risk for the patient. Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 2-1 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 9: Blood Pressure

    CNSystems will not warrant for faultless functioning and operation if third par- ty manufacturer replacement parts and accessories are used. • CNSystems Medizintechnik AG is not liable for any warranty claim for possible damages if parts of third party manufacturers are used. •...

  • Page 10: Disposal

    ® • Dispose of the CNAP Monitor 500 and any accessories at the end of the products' lifecycles in accordance with respective national regulations or send the parts back to CNSystems Medi- zintechnik AG. 2.4 Declaration of intended use ®...

  • Page 11: Indications For Use

    Deviations from the recommended environmental conditions for the operation of the CNAP Monitor (see section 17.1) can affect the accuracy of the measurement. Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 2-4 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 12: Introduction

    3. NBP cuff 3.2.1 CNAP® Monitor 500 Carrying handle Display Battery LED Click-wheel control Power LED Control panel Illustration 1: Front view Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 3-1 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 13: Illustration 2: Patient Connectors

    Ethernet connector AUX: analog output port (only functioning with ® CNAP Monitor 500at) Illustration 3 : Printer, interface, power supply Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 3-2 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 14: Illustration 4: Back View

    Introduction Holding device channel (op- tional) Type plate Illustration 4: Back view Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 3-3 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...
  • Page 15 Recycle damaged sealed lead gel battery • Caution: see accompanying documents • Separate disposal of electric and electronic appliances • Protection class II Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 3-4 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...
  • Page 16 • Serial number • Don’t sit on the device • Batch code • Authorized representative in the European Community EC REP Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 3-5 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 17: Cnap Hardware

    ® The CNAP double finger cuff comes in three sizes, each size being marked by a differently colored cap. Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 3-6 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 18: Cnap ® Double Finger Cuff

    ® 3.2.2.3 CNAP cable ® The CNAP cable connects the monitor with the ® CNAP controller. ® Illustration 8: CNAP cable Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 3-7 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 19: Nbp Cuff

    The battery status indicates the present battery charge status when the monitor is running on battery (without mains power supply). CAUTION: • Do not use any power supply accessories, but those intended and authorized by CNSystems Medizintechnik AG for utilization with the monitor! Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 3-8 Distributed by BIOPAC Systems, Inc.

  • Page 20: Battery Operation

    The accuracy of the device's battery charge status is only guaran- teed when using undamaged batteries and under normal operation conditions. Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 3-9 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...
  • Page 21 • ® The battery of the CNAP Monitor must be replaced by CNSystems or by especially trained service staff only. • Prior to initial operation of the monitor, make sure to charge the integrated sealed lead gel battery for 4.5 hours.

  • Page 22: First Steps

    In addition, the monitor also performs an automatic function test of its alarm system during the boot-up period (see chapter 6 – Alarm system). Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 3-11 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 23: Access/Return To Main Screen

    Signal/trend switch Parameter frame Hemodynamic frame BP calibration informa- tion field HD information field Illustration 13: Main screen Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 3-12 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 24: Fast Access Keys

    ® tient dialog for continuing a measurement. When applying the CNAP finger cuff, the patient setup dialog is displayed automatically. Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 3-13 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 25: Menu Navigation - Click-Wheel Control

    3.4.4 – Menu navigation – click-wheel control). wheel Parameter frame Signal- Alarm/status field trend frame click Signal/trend switch Hemodynamik frame wheel Illustration 16: Menu selection Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 3-14 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 26: Performing A Measurement

    Applying the NBP cuff: Make sure that only NBP cuffs authorized by CNSystems are used and that you apply the correct size to the patient (Child, Small Adult, Adult, Large Adult). Place the blood pressure cuff on the patient's upper arm, preferably contra-laterally, at heart level.

  • Page 27: Improving The Measurement Quality

    (see illustration below). This avoids tension due to possible dislocation of the ® patient during a measurement which can disturb the CNAP measurement signifi- cantly. ® Illustration 18: CNAP controller-fixation Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 3-16 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 28: Timer

    CNAP: Cal In- means a reset of both the CNAP and the NBP countdown to the terval NBP: Cal Interval set. Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 3-17 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 29: Perfusion Index

    Monitor 500 remains unaffected by this. Example 1: maximum found = 4 – good signal quality Example 2: current PI ≤ 1 - bad signal quality Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 3-18 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...
  • Page 30 • ® a misplaced CNAP finger cuff Before starting a new measurement the position of the finger cuff must be checked. Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 3-19 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 31: Monitor Configuration

    Setting of trend view: Display and scaling Submenu tions… Output Op- Setting of analog out interace and print options Submenu tions… Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 4-1 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 32: Trending Calibration

    It is highly recommended to calibrate the CNAP signal to a internal or external NBP measurement before performing any blood pressure therapy on a patient. Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 4-2 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 33: External Calibration

    Monitor. Entering obso- lete external NBP values results in scaling to a possibly false reference and in show- ing wrong absolute values! Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 4-3 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 34: Height Correction

    (mechanically). If so please in- itiate a change of finger. In all other cases initiate a NBP measurement. Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 4-4 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 35: Optimizing Signal Quality

    -PPV measurement(the monitor type is changed to 500i/at+PPV) – v3.6 ® • CNAP hemodynamic measurement (the monitor type is changed to 500i/at+HD) – v5.0 Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 4-5 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 36: Bp Wave Out (Patient Monitors)

    Monitor configuration The additional features can be activated by entering a valid license key in the menu Setup/Monitor/Device Features/License Key. To get the license keys for activating features contact your local distribution partner or CNSystems directly. NOTE: ® • After activation of CNAP -PPV or Hemodynamic with a license key the features are disabled per default.

  • Page 37: Compatibility List

    RJ11 6P4C connector. The compatible CNAP Transducer Cable is a component for ® the CNAP Monitor 500 and is only available from CNSystems Medizintechnik AG. • IBP Interface Cable: connects the IBP port of a patient monitor to the RJ11 6P4C ®...

  • Page 38: Zeroing

    Different settings for (see chapter 4.2 – Parameter Av- eraging menu item) c) Physiological differences due to different measuring positions (e.g. left-right, Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 4-8 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 39: Interfaces (Optional)

    Pulse Rate (PR) Cardiac Output (CO) Stroke Volume (SV) Systemic Vascular Resistance (SVR) Pulse Pressure Variation (PPV) Stroke Volume Variations (SVV) Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 4-9 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 40: Ethernet

    Because of a possible influence on the patient safety it is not allowed to connect USB ® hard drives or any other devices using external power supplies to the CNAP Monitor 500. Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 4-10 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...
  • Page 41 If a USB stick has been removed improperly, it can only be re-integrated in the ® CNAP Monitor and re-used for further data recording by re-starting the device. Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 4-11 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 42: Output Options

    5 sec, 10 Snapshot Setting of delay time of print reports for Snapshot Delay sec, 15 Print On Alarm Default: 10 sec Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 4-12 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 43: Management Of Patient Data

    CNAP double finger cuff (detection error) or if Start/Stop the measurement is continued, it can be displayed by pressing the key. Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 5-1 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 44: Illustration 25: Start Measurement Dialog

    Start Measurement dialog. NOTE: • In case of a pay-per-use a continued measurement will be charged the same way as a new measurement. Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 5-2 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 45: Editing Of Patient Data

    By selecting the Current Patient Data Setup Patient option in the dialog, the currently entered patient data will be used. Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 5-3 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 46: Discharge

    In such a case, this patient data will be used in Setup Patient Use Current Patient Data the following dialog by selecting Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 5-4 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 47: Pay-Per-Use Measurement

    At the end of a measurement the CNAP Monitor shows what measurement counter was de- cremented – a receipt can be printed on user request. Illustration 26: Pay-per-use receipt Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 5-5 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 48: Alarm System

    The physiological alarm with the highest priority will be accompanied by an acoustic signal, • New alarms and technical malfunction alarms will be displayed immediately. Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 6-1 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 49: Visual Alarm Signals

    Alarm message: a text with an alarm message describing the cause for the alarm signal appears Alarm frame in the • Alarm frame Flashing for physiological alarms Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 6-2 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 50: Acoustic Alarm Signals

    The sound pressure at one meter distance to the device is defined for the different acoustic alarm signals within the following ranges: Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 6-3 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 51: Alarm System Control

    The alarm reminder operator setting may be set in the menu, Service which is opened from the menu by using the click-wheel control. Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 6-4 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 52: Pausing/Switching Off Alarms - Alarms Paused, Alarms Off

    Parameter frame (refer to chapter 6.1 – Visual alarm signals). Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 6-5 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 53: Alarm Setup

    Volume settings for alarms, 20 – 100% Alarm Reminder Off, 1 min, 2 Function to set alarm reminders (see chapter 6.3.1 Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 6-6 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 54: Auto Limits

    Auto limits Alarm limits set by means of are based on the patient's parameters measured at the time of function activation. Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 6-7 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 55: Alarm Limits - Factory Settings

    Alarm limits (PEDIATRIC): Lower limits Upper limits Parameter Lower limits Defaults Upper limits Lower limits Defaults Upper limits [mmHg] [mmHg] [mmHg] Pulse [bpm] Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 6-8 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 56: Alarm History

    Alarm Pause/Off pressing • Alarm Self-Test Visual alarm signal: * Alarm message: • Acoustic alarm signal: LOW PRIORITY Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 6-9 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 57: Physiological Alarms

    All technical malfunction alarm messages of the CNAP Monitor 500 or its components can be found directly in the chapters describing the respective system components. Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 6-10 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 58: Deactivation Of Alarm Limits

    The reminder signal can be activated or deactivated in the menu Setup | Service | Alarm De- faults | Adult/Pediatric Alarm Limits | Alarm Reminder. Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 6-11 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 59: Trends

    (see chapter 8 – Printing). Illustration 31: Trend frame Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 7-1 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 60: Trend - The Menu For Display Options

    Optionally it is poss- ible to display all other measured parameters as well. A maximum of 3 parameters can be dis- played. Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 7-2 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 61: Illustration 32: Graphic Trend Display

    In case of an adjustment of the time scale, the current point of time is displayed on Trend frame. the right end of the Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 7-3 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 62: Numeric Trends

    The displayed data dialog can be adjusted by means of the click-wheel control in Time Scale Navigation frame in the , which also determines the amount of data to be printed. Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 7-4 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 63: Alarm History

    500 last released alarms and malfunction reports. Each re- port of the alarm history includes the following information: • Date • Time • Priority • Alarm message Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 7-5 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 64: Scrolling Of Trend Views

    Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 7-6 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 65: Interventions

    These interventions can be set manually at any time during a measurement or automati- cally for system events (e. g. CNAP change finger, NBP measurement). Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 7-7 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 66: Automatic Interventions

    HDcal HD calibration finished CO or CI End of manual BP cali- BPman Manual calibration to external blood pressure value bration Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 7-8 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 67: Manual Interventions

    Also the Order of the interventions can be changed in the menu Setup | Measurement | Display Options | Intervention Order by changing the position number for each entry. Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 7-9 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 68: Printing

    Monitor 500 is on battery operation and battery charge status is ≤ 25%, printing will be deactivated. Current print tasks will be cancelled immediately for safety reasons. Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 8-1 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 69: Canceling Print Reports

    Last NBP (values and time of the last NBP measurement) Illustration 37: Graphic Trend Report Illustration 38: Numeric Trend Report Illustration 39: Alarm History Report Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 8-2 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 70: Print Options

    8.4 Print options The print options can be set in the menu Setup | Measurement | Output Options (see chapter 4.7). Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 8-3 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 71: Illustration 41: Cnap Technology

    (see chapter 10.6 - NBP options) or use the options to manually enter BP calibration values or the height offset (see chapter 4.2.2 and 4.2.3). Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 9-1 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 72: Cnap

    500 by placing the device accordingly (e.g. do not cover it with sheets or blankets). • ® In some cases, CNAP measurement is not suitable (see chapter 2.2.2 – Limitations). Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 9-2 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 73: Setup

    Illustration 42: CNAP hardware NOTE: • ® CNSystems recommends placing the CNAP double finger cuff on the index and the ® middle finger of a patient. In rare cases – if necessary – the CNAP double finger cuff may also be placed on the middle and the ring finger. Thumb and little fingers are ®...

  • Page 74: Finger Cuff

    To prevent a loss of pressure in the pneumatic system all connectors needs to be well connected during operation. A possible leakage will lead to a technical alarm and the measurement will be stopped. Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 9-4 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 75: View Features

    The signal speed of the CNAP blood pressure waveform is set to 12.5 mm/sec and cannot be adjusted in any way. Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 9-5 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 76: Trend View

    Therefore the optimization phase will be labled with the text „Optimizing Signal Quality“ at the bot- tom of the parameter frame. Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 9-6 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 77: Cnap Options

    Averaging of display parameters Adult, Pe- Presetting of the focus on Adult or Pediatric for new Patient Category patient setup diatric Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 9-7 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 78: Cnap Values During Calibration

    The rectangular calibration signal may trigger false positive alarms on patient moni- tors, when connected to the BP Wave Out or AUX Analog Out interface. Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 9-8 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 79: Cnap

    ® Do NOT hook the CNAP Controller on the CNAP finger sensor bracket with the atta- ® ched CNAP finger sensor. Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 9-9 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 80: Nbp

    During measurement the patient should try to relax and avoid speaking and other body movement. Prior to the first measurement a resting phase of at least 5 minutes is recommended. Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 10-1 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 81: Venous Stasis

    • Neither manual NBP nor manual change of finger can be performed during venous stasis. Illustration 50: Venous stasis Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 10-2 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 82: Safety Precautions

    NBP cuff (Child, Small adult, Adult, Large adult) • ® NBP module (integrated into the CNAP Monitor 500) • NBP air connector Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 10-3 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 83: Illustration 51: Cnap

    Illustration 51: CNAP Monitor 500 with NBP air connector Start/Stop a measurement: 1. Make sure you are using an NBP cuff authorized by CNSystems and always use the correct size. NOTE: • The width of the cuff should be between 37% and 47% of the circumference of the patient's limb.

  • Page 84: View Features

    Illustration 52: Parameter frame NOTE: Parameter frame always displays the most recent NBP values as well as the time of measurement. Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 10-5 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 85: Nbp Options

    Parameter Averaging Averaging of display parameters Adult, Presetting of the focus on Adult or Pediatric for Patient Category new patient setup Pediatric Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 10-6 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 86: Pulse Pressure Variation (Ppv) And Stroke Volume Variation (Svv)

    For patients with acute right ventricular dysfunction (“cor pulmonale”) CNAP -PPV/SVV may deliver inaccurate values. ® • The CNAP -PPV/SVV measurement has been validated only for adult patients. Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 11-1 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 87: Performing Cnap -Ppv/Svv Measurements

    Monitor 500 the value of the CNAP -PPV/SVV (orange) is displayed in the hemodynamic field and in the trend frame (see illustration 47). Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 11-2 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...
  • Page 88 During the initialization of the PPV-Algorithm (takes at least three breathing cycles) ® Artifacts or arrhythmia in the CNAP signal. ® After a technical alarm regarding the CNAP subsystem has occurred. Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 11-3 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 89: Hemodynamics

    (available with one click in the hemodynamic frame in the upper right corner of the display). The Hemodynamic option must be set to “HD” (see screenshot below). Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 12-1 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 90: Illustration 55: Activation Of The Hemodynamic Measurement

    Only if all necessary patient data have been entered in the patient dialog (gender, age, weight and height) the hemodynamic parameters are displayed. Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 12-2 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 91: Manual Calibration

    Hemodynamic | CVP. The default value for the CVP is set to 7 mmHg. Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 12-3 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 92: Parameter Display

    • In the case of severe artifacts (such as motion artifacts or arrhythmias) no hemodynamic parameters may be calculated and displayed. Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 12-4 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 93: Cleaning And Disinfection

    CNSystems’ warranty does not cover any damage caused by the use of unsuitable cleaning agents or methods. The warranty of CNSystems does not apply to the effectiveness of the mentioned cleaning agents and methods for the purpose of infection prevention and control. When in doubt, the operator should contact the hospital hygiene department.

  • Page 94: Disinfection

    ® ECOLAB - Indicidin Liquid ® • B.Braun – Meliseptol • ® BODE – Bacillol plus • Hartmann – Mikrobac forte Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 13-2 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 95: Technical Alarms And Status Messages

    You will find the pass- ® word for the service menu in the CNAP Monitor 500 "Service manual for users". Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 14-1 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 96: Main Unit

    - Immediately switch to mains Shutdown Low * tion possible for 5 minutes operation via power adapter at most; monitor is Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 14-2 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 97: Bp Wave Out (Ibp)

    Low * of patient monitor (refer to Bridge Voltage (BP Wave Out) chapter 4.4) - In case of persistent error, contact service Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 14-3 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 98: Printer

    - Patient setup Cuff setup and measurement ® - CNAP calibration phase in CNAP: Calibration… - Wait for end of calibration progress Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 14-4 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...
  • Page 99 - A too small finger cuff was small used - Check the correct placement of the finger cuff 14.4.2 Technical alarms Message Priority Possible cause Measures Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 14-5 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...
  • Page 100 - Check patient for low peri- ® Low * CNAP finger cuff Low Light Signal pheral blood flow (PI too low) Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 14-6 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...
  • Page 101 - Memory chip in CNAP: Cuff Fault – ® - Replace CNAP double finger ® Low * CNAP double finger Memory cuff cuff defective Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 14-7 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...
  • Page 102 - Check for permutation with CNAP: Controller Low * not licensed for equipment from third party Fault – Unlicensed ® CNAP Monitor 500 devices Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 14-8 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 103: Status Messages

    - Avoid artifacts (e.g. movement) Low * oscillometric signal - Check for proper NBP cuff size - Check ECG for sinus rhythm Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 14-9 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...
  • Page 104 - NBP measurement Out Of Range Fail- Low * - Check position and fit of NBP values out of range cuff Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 14-10 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...
  • Page 105 Monitor 500 NBP: Calibration - Faulty EEPROM Low * Failure - In case of persistent error, con- calibration data tact service Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 14-11 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 106: Appendix A - Glossary

    Monitored biosignal (e.g. pulse rate, blood pressure) Pulse Pulse rate Pulse pressure variation Sys or systolic Systolic blood pressure Second Liquid crystal display Volts Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 15-1 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 107: Illustrations

    Illustration 57: Manual CO calibration ................12-3 Illustration 58: Normalized HD parameter display ............... 12-4 Illustration 59: Status messages ..................14-1 Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 15-2 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 108: Appendix B - Accessories

    Appendix B 16 Appendix B – Accessories STOP: In order to ensure operational reliability, functional safety as well as patients' safety, only original CNSystems Medizintechnik AG accessories and replacement parts are to be used. ® 16.1 CNAP Items Number ®...

  • Page 109: Nbp

    For these reasons, only use the recommended paper brands or a thermal paper marked as top- quality by the manufacturer. However, when using other paper brands, CNSystems Medizintechnik AG cannot guarantee for the printer’s economic lifespan as this can cause damage or staining of the print head.

  • Page 110: Connections

    CNAP component organizer set 21-FHSG-02001 Operator's Manual German 21-FHZU-10001 Operator's Manual English 21-FHZU-10002 Operator's Manual French 21-FHZU-10003 Operator's Manual Italian 21-FHZU-10004 Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 16-3 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...
  • Page 111 Appendix B Operator's Manual Spanish 21-FHZU-10005 Manufacturer: M + R Multitronik GmbH Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 16-4 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 112: Appendix C - Technical Specifications

    500 - 1060 hPa User interface Controls Fast access keys, click-wheel control Physiological alarms: medium priority Alarming Technical alarm messages: low priority Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 17-1 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 113: External Mains Adapter

    100 – 240 VAC Power frequency ~47 – 63 Hz Power output 18 V; 3.33 A Safety class Class II Operability Continuous Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 17-2 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 114: Cnap - Continuous Non-Invasive Arterial Pressure

    ± 3mmHg between 0 - 300 mmHg at operating temperatures of 0 – recording 50°C Calibration interval for 12 months pressure recording Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 17-3 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 115: Printer

    2 - 10 VDC Input current max @10V 1.3mA Sensitivity 5 µV/V/mmHg bridge excitation voltage ® from CNAP to other monitor *5*10 *Pressure [mmHg] Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 17-4 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...
  • Page 116 • Read the instructions on the info sheet of the AUX analog out connector how to build up the electrical connection. Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 17-5 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 117: Electromagnetic Compatibility

    Monitor 500 must be closely observed to ensure its normal operability within this arrangement of devices. Only original CNSystems Medizintechnik AG accessories and power cords are to be used with this device! Authorized accessories and replacement parts are listed in "Appendix B – Accessories" in this operator's manual.
  • Page 118 Note: U is the a.c. mains voltage prior to application of the test level. Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 17-7 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...
  • Page 119 CNAP Monitor 500. Above the frequency range 150 kHz to 80 MHz, field strengths should be less than 1 V/m. Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 17-8 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 120: Recurrent Inspections

    Safety test including leakage current measurement acc. EN 60601-1 • Calibration of NBP module • Documentation including: safety protocol, inspection sticker, shipping documents Version 5.2.5, h 21-FHZU-10002 ® CNAP Monitor 500 Page 17-9 Distributed by BIOPAC Systems, Inc. Manufactured by CNSystems AG...

  • Page 121: Metrological Control (Mc)

    Documentation including: safety protocol, inspection sticker, shipping documents • Packing and shipment (standard delivery) from CNSystems to the customer. NOTE: • The MC and maintenance is always performed by CNSystems Medizintechnik AG or through a certified service partner. 17.5 Standards ® The CNAP...

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