GE Dinamap PRO Series User manual

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DINAMAP®PRO
Series 100-400V2
Monitor
Operation Manual

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DINAMAP®PRO 400V2 Monitor

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DINAMAP®PRO Monitor
Operation Manual
This manual is for DINAMAP®PRO Monitor Models 100V2,
200V2, 300V2, and 400V2, all with printers.
• PRO 100V2: BP and Pulse
• PRO 200V2: BP, Pulse, and Temp
• PRO 300V2: BP, Pulse, and SpO2
• PRO 400V2: BP, Pulse, Temp, and SpO2
The model of the Monitor determines which menu option
buttons appear on the LCD. Please refer to applicable
sections.
The Model Number 100-400V2 is generic in nature and
reflects the range of product codes available. Your product
may be labeled with a specific product code such as
DINAMAP® PRO Model 410. "V2" refers to the second
version of the product's design.
Reissues and Updates
Changes occurring between issues are addressed through
Change Information Sheets, Addendums, and replacement
pages. If a Change Information Sheet does not accompany
this manual, it is correct as printed.
Errors and Omissions
If errors or omissions are found in this manual, please notify:
GE Medical Systems Information Technologies
4502 Woodland Corporate Boulevard
Tampa, FL 33614
1-877-274-8456
Part No. 2009802-001B
The content of this document including all figures and
drawings is proprietary information of GE Medical Systems
Information Technologies, provided solely for purposes of
operation, maintenance or repair, and dissemination for

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other purposes or copying thereof is prohibited without prior
written consent by GE Medical Systems Information
Technologies, Tampa, Florida.
Illustrations may show design models; production units may
incorporate changes.
Hierarchy of Warnings and Cautions
A general warning is a statement that alerts the user to the
possibility of injury, death, or other serious adverse reactions
associated with the misuse of the device. A warning relates
to steps in a procedure.
A general caution is a statement that alerts the user to the
possibility of a problem with the device associated with its
use or misuse. Such problems include device malfunction,
device failure, damage to the device or damage to other
property. A caution relates to steps in a procedure.
© GE Medical Systems Information Technologies, 2002. All
rights reserved. Tampa, FL 33614
Printed in the U.S.A.
United States
GE Medical Systems Information Technologies
4502 Woodland Corporate Boulevard
Tampa, FL 33614
European Representative
GE Medical Systems
Information Technologies GmbH
Postfach 60 02 65
D-79032 Freiburg, Germany
Tel. [phone] - 0
Fax [phone] - 233

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Introduction ............................................................................ 7
About the DINAMAP®PRO Monitor ....................................................................7
Product Compliance ...............................................................................................10
Symbols ......................................................................................................................11
Getting Started......................................................................13
Unpacking the Monitor and Accessories ...........................................................13
Power Sources ..........................................................................................................13
Powering the Monitor .............................................................................................13
Rear Panel Connections ..........................................................................................16
Front Panel Controls and Indicators .....................................................................17
Switching the Monitor On and Off.......................................................................19
Liquid Crystal Display (LCD)...................................................................................19
Using the Printer .......................................................................................................20
Installing the Paper ...................................................................................................20
Printer Alarms ............................................................................................................21
Storage ........................................................................................................................22
Using the Monitor ................................................................23
Noninvasive Blood Pressure Determination .......................................................23
Procedures..................................................................................................................27
Manual Mode ............................................................................................................29
Auto Mode.................................................................................................................29
Stat Mode ...................................................................................................................30
TURBO*TEMP............................................................................................................31
Masimo SET®SpO2..................................................................................................37
NELLCOR®OxiMAXTM SpO2.................................................................................46
Using the Menu System .......................................................55
Introduction................................................................................................................55
Liquid Crystal Display...............................................................................................55
Rotor ............................................................................................................................58
Menu Tree ..................................................................................................................58
Main Menu.................................................................................................................58
Vitals Button (UK: All Obs) .....................................................................................59
More... Button............................................................................................................60
Set BP Button (UK: BP Mode)................................................................................60
Alarms Button ............................................................................................................62
Trend Button ..............................................................................................................63
Print Button ................................................................................................................65
More... Menu .............................................................................................................66
SpO2Button .............................................................................................................66
Config Button.............................................................................................................67
Pwr Sav (Sleep Mode) .............................................................................................68
Time .............................................................................................................................69
Rotor ............................................................................................................................69
Temp............................................................................................................................70
Display Button ...........................................................................................................70
Service Button............................................................................................................71
Clinician Menu ..........................................................................................................72
Error and Warning Messages .................................................................................75
Alarms Button ............................................................................................................75
OK Button...................................................................................................................76
Contents

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Appendix A............................................................................77
Technical Specifications...........................................................................................77
BP .................................................................................................................................77
Temperature...............................................................................................................78
SpO2............................................................................................................................78
Mechanical.................................................................................................................82
Power Requirements................................................................................................82
Environmental ............................................................................................................83
Appendix B ............................................................................85
Patient Alarms............................................................................................................85
System Alarms ...........................................................................................................85
Failsafe Alarm.............................................................................................................85
Hierarchy of Alarms..................................................................................................86
Appendix C............................................................................91
Principles of Noninvasive Blood Pressure Determination................................91
Appendix D ...........................................................................95
Reorder Codes...........................................................................................................95
Appendix E ............................................................................97
Warranty, Service, and Spare Parts.......................................................................97
Repairs.........................................................................................................................98
Packing Instructions..................................................................................................98
Service Manuals ........................................................................................................98
Appendix F ............................................................................99
Maintenance ..............................................................................................................99
Cleaning the Monitor...............................................................................................99
Cuff Cleaning and Disinfection..............................................................................99
Temperature Devices............................................................................................ 100
SpO2Sensors.......................................................................................................... 100
Storage and Battery Care ..................................................................................... 101
Fuses ......................................................................................................................... 102
Calibration ............................................................................................................... 102
Leak Testing............................................................................................................. 102
Disposal of Product Waste .................................................................................. 103
Appendix G .........................................................................105
Host Port Connector (rear panel)....................................................................... 105

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About the DINAMAP®PRO Monitor
DINAMAP®PRO Monitors provide noninvasive
determination of systolic blood pressure, diastolic blood
pressure, mean arterial pressure, pulse rate, temperature, and
oxygen saturation. These portable AC- and DC-operated
monitors are primarily intended for use in hospital acute care
settings such as outpatient surgery, accident and emergency,
labor and delivery, GI/endoscopy, and medical/surgical
units.
The PRO Monitor comes in four different models: PRO
100V2, 200V2, 300V2, and 400V2, all with printers.
• PRO 100V2: BP and Pulse
• PRO 200V2: BP, Pulse, and Temp
• PRO 300V2: BP, Pulse, and SpO2
• PRO 400V2: BP, Pulse, Temp, and SpO2
All of the main operations of the PRO Monitor are easy to
use. Please review the factory default settings and, where
applicable, enter settings appropriate for your use. The
“Using the Monitor” section of this manual explains how to
use the Monitor in its most simple form, while the “Using the
Menu System” section explains how to customize
measurements by using the menu system.
Indications
The PRO Monitor is intended to monitor one patient at the
bedside.
Contraindications
This device is not designed, sold, or intended for use except
as indicated.
Federal law (U.S.A.) restricts this device to sale by or on the
order of a clinician.
Warnings
• Do not use the PRO Monitor in the presence of
magnetic resonance imaging (MRI) devices. There have
Introduction

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been reports of sensors causing patient burns when
operating in an MRI environment.
• Do not use the Monitor in the presence of flammable
anesthetics.
• To help prevent unintended current return paths with
the use of high frequency (HF) surgical equipment,
ensure that the HF surgical neutral electrode is
properly connected.
• To avoid personal injury, do not perform any servicing
unless qualified to do so.
• WARNING: These Monitors should not be used on
patients who are connected to cardiopulmonary bypass
machines.
• If powering the Monitor from an external power
adapter or converter, use only power adapters and
converters approved by GE Medical Systems
Information Technologies.
• The Monitor does not include any user-replaceable
fuses. Refer servicing to qualified service personnel.
• To reduce the risk of electric shock, do not remove the
cover or the back. Refer servicing to a qualified service
person.
• If the accuracy of any determination reading is
questionable, first check the patient’s vital signs by
alternate means and then check the PRO Monitor for
proper functioning.
Cautions
• Do not use replacement batteries other than the type
supplied with the Monitor. Replacement batteries are
available from GE Medical Systems Information
Technologies. See Appendix D.
• The PRO Monitor is designed to conform to
Electromagnetic Compatibility (EMC) standard IEC
601-1-2, 1993 and will operate accurately in
conjunction with other medical equipment which also
meets this requirement. To avoid interference problems
affecting the Monitor, do not use the Monitor in the

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presence of equipment which does not conform to
these specifications.
• Place the PRO Monitor on a rigid, secure surface.
Monitor must only be used with mounting hardware,
poles, and stands recommended by GE Medical
Systems Information Technologies. See Appendix D.
• The weight of the accessory basket contents should not
exceed 6.6 lb (3 kg).
• Arrange the power cord, air hoses, and all cables
carefully so they do not constitute a hazard.
• Verify calibration of BP parameter (temp and pulse
oximeter do not require calibration). Ensure that the
display is functioning properly before operating the
PRO Monitor.
• Do not immerse the Monitor in water. If the Monitor is
splashed with water or becomes wet, wipe it
immediately with a dry cloth.
• Do not gas sterilize or autoclave.
• The PRO Monitor, when used with applied parts and
accessories approved by GE Medical Systems
Information Technologies, is protected against
defibrillator damage.
Notes
• Waveforms may be distorted and readings inaccurate
when electrosurgical cautery equipment is used while
monitoring with the PRO Monitor.
• The electromagnetic compatibility profile of the PRO
Monitor may change if accessories other than those
specified for use with the PRO Monitor are used.
• Trend data are retained in the PRO Monitor when it is
turned off, except when the default is overridden by
selecting the Trend button under the Service menu.

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Product Compliance
The DINAMAP®PRO Monitor is classified in the following
categories for compliance with IEC 601-1:
• Class l, internally powered
•Transportable
• For continuous operation
• Not suitable for use in the presence of flammable
anesthetics
• Not for use in the presence of an oxygen-enriched
atmosphere (oxygen tent)
• Type BF applied parts
• IPX1, degree of protection against ingress of water
• Sterilization/Disinfection, see Appendix F
DINAMAP®PRO MONITOR
CLASSIFIED WITH RESPECT TO ELECTRIC SHOCK, FIRE
AND MECHANICAL AND OTHER SPECIFIED HAZARDS
ONLY IN ACCORDANCE WITH CAN/CSA C22.2 NO.
601.1. ALSO EVALUATED TO IEC-601-2-30.
0086
This product conforms with the essential requirements
of the Medical Device Directive. Accessories without
the CE mark are not guaranteed to meet the Essential
Requirements of the Medical Device Directive.

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Symbols
The following symbols are associated with the PRO Monitor.
Note: The type of model determines which symbols appear
on the Monitor.
Attention, consult accompanying documents
Defibrillator-proof type BF equipment
Power ON/OFF
SpO2
START/STOP BP
AUTO BP
Battery Power
MAP (Mean Arterial Pressure)
Temperature
Beats Per Minute
SILENCE
External Communications Port Connector
External AC or DC Power Indicator
External DC Power Input
External AC Power Input
SpO2Motion Artifact / Low Perfusion (US)
SpO2Motion Artifact / Low Perfusion (Europe)
MAP
mmHg
BPM
Artifact

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Packaging label depicting the
transportation and storage
atmospheric pressure range
of 500 to 1060 hPa.
The DINAMAP®PRO Monitor is protected
against vertically falling drops of water and
conforms to IEC-529 standard at level of
IPX1. Vertically falling drops of water shall
have no harmful effects to the Monitor.
IPX1

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Getting Started
Unpacking the Monitor and Accessories
Before attempting to use the PRO Monitor, take a few
minutes to become acquainted with the Monitor and its
accessories. Unpack the items carefully, and check them
against the contents checklist enclosed in one of the
accessory boxes. This is also a good time to check for any
damage or shortage. If there is a problem or shortage,
contact GE Medical Systems Information Technologies.
It is recommended that all the packaging be retained, in case
the Monitor must be returned for service in the future.
Power Sources
The PRO Monitor is designed to operate from either an
internal lead-acid battery, AC mains or an IEC 601-1
compliant DC power source (see Appendix A). For
replacement rechargeable batteries, please refer to the
Service section of this manual.
The Monitor contains five fuses. Two AC line input fuses are
mounted internally and are replaceable only by qualified
service personnel. The remaining three fuses are auto-
resetable and mounted within the Monitor. These fuses
protect the low voltage DC input, the battery, and the +5 V
output on the host port connector.
Powering the Monitor
Before the PRO Monitor is used for the first time, the battery
should be charged in the Monitor for at least 8 hours.
Refer to the illustration of the rear panel connections.
Looking at the rear of the PRO Monitor, remove the battery
compartment cover. Insert the rechargeable battery into the
compartment so that the battery terminals fit into the power
clips at the bottom of the compartment. Then replace the
cover. Insert the power cord plug into the mains external
power socket (2) and plug into an AC outlet.
Refer to the illustration of the front panel controls and
indicators. With mains or external DC power connected, the
green external power indicator LED (14) will light to indicate
that external power is being applied and that the battery is

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charging. If the battery is not inserted, the external power
indicator LED will flash (short flash approx. every 4 sec).
When the Monitor is running on battery power, a battery
icon appears in LCD area 3 (toggling with the time indicator)
indicating the charge status.
During battery-only operation, the yellow battery power
indicator LED (17) will light. When the battery becomes
discharged beyond the low battery threshold, the indicator
will begin to flash, and the Monitor will sound warning beeps
every 30 seconds. At this point, the Monitor should be
connected to an AC outlet to recharge the battery. If the
Monitor continues to be used without charging the battery,
the message WARNING: THE BATTERY IS TOO LOW FOR
MONITOR TO FUNCTION. TURN MONITOR OFF
appears. The Monitor shuts down all functions until it is
turned off and the battery is recharged or replaced. To run
the Monitor on AC power, it must be powered off and then
on again.
Battery charging will take place as long as the Monitor
remains connected to an external AC power source. A
battery that is fully discharged can be fully recharged in 1
hour 50 minutes when the Monitor is switched off or 8 hours
if the Monitor is switched on.
Notes
• To prolong the life of the battery, keep the Monitor
connected to an AC outlet whenever possible. NEVER
allow the battery to become completely discharged. A
fully charged battery will power the Monitor for
approximately 2 hours and should survive between 200
and 500 charge/discharge cycles. When it is necessary
to replace the battery, refer to the “Compatibility Table
and Reorder Codes” listed in Appendix D. To ensure full
charge cycles, replace only with a recommended
battery. If the Monitor is to be stored for some time, first
charge the battery and then remove it and store it
separately from the Monitor.
• For continued safety, use only a power cord of listed
type SJT, three-conductor, min. No. 18 AWG, terminated

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Getting Started
in a medical/hospital grade attachment plug, provided
with the following cord tag: “Hospital Grade Plug."
Grounding integrity can only be maintained when
equipment is connected to an equivalent receptacle
marked "Hospital Grade."
• Where the integrity of the external earth conductor in
the installation or its arrangement is in doubt, the
Monitor must be operated from its internal battery.
General Caution
• Do not touch either the pin of the DC input connector
(3) or the terminals within the battery compartment (1)
and the patient at the same time.

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Rear Panel Connections
1Battery compartment cover: Retains and protects internal
battery.
2Mains input: Used to connect to AC power supply.
3External power socket: To be used with approved GE
Medical Systems Information Technologies AC-DC power
converter ONLY.
4Inactive temperature cable storage: Inactive temperature
probe cable attaches here (Models 200V2 and 400V2).
5Pole clamp: Used to clamp monitor to pole or stand.
6Data interface connector: Host communications port
(15 way D-type RS-232 serial port) for use only with
equipment conforming to IEC 601-1, configured to
comply with IEC 601-1-1.

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Getting Started
Front Panel Controls and Indicators
7Systolic pressure display: 3-digit red LED indicates
measured systolic BP in mmHg.
8Active temperature probe holster: Temperature probe
that is being used stored here (Models 200V2 and
400V2).
9Diastolic pressure display: 3-digit red LED indicates
measured diastolic BP in mmHg.
10 Temperature probe cover storage: Box of probe covers
stored here (Models 200V2 and 400V2).
11 Inactive temperature probe holster: Extra temperature
probe can be stored here (Models 200V2 and 400V2).
12 Temperature display: 4-digit red LED indicates measured
temperature (Models 200V2 and 400V2).
13 °C °F display: Indicates whether temperature is being
displayed in degrees Celsius or Fahrenheit (Models
200V2 and 400V2).

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14 External power indicator: Green LED indicates external
power status and battery charging status of monitor.
15 Temperature probe connector: Temperature probe cable
attaches here (Models 200V2 and 400V2).
16 ON/OFF switch: Controls on/off state of monitor; push
for power on and push again for power off.
17 Battery power indicator: Yellow LED indicates operation
and charge status of internal battery.
18 SpO2sensor connector: SpO2sensor extension cable
attaches here (Models 300V2 and 400V2).
19 Mean arterial pressure display: 3-digit red LED indicates
measured MAP in mmHg and shows instantaneous cuff
pressure during BP determination.
20 SpO2 pulse indicator: Yellow LED in heart symbol flashes
to indicate that real-time pulse rate measurements are
being derived from SpO2signals (Models 300V2 and
400V2).
21 Rotor: Used to highlight and select items in LCD menus; if
monitor is off, pressing rotor will switch monitor on.
22 Pulse BPM display: 3-digit yellow LED shows pulse rate in
beats per minute.
23 SpO2 display: 3-digit red LED indicates oxygen saturation
in % (Models 300V2 and 400V2).
24 SpO2 motion/artifact indicator LED: For NELLCOR, LED
Illuminates when motion artifact is detected (Models
300V2 and 400V2). For Masimo, LED illuminates when
low perfusion or low signal quality is detected. (Models
300V2 and 400V2).
25 LCD (liquid crystal display): Displays all alarms, user
interface messages, and configuration options.
26 Alarm silence switch: Alternately mutes and enables
audible alarms; when pushed once after alarm sounds
(silence on), switch lights to indicate that audible alarms
have been silenced for 2 minutes.
27 AUTO BP key: Press to start Auto BP mode.
28 Light sensor: Automatically measures ambient light to set
LED display intensity.
29 START/STOP BP key: Press to start or stop a BP, Auto,
Stat, or Vitals determination.
30 Cuff connector: BP cuff hose attaches here.

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Getting Started
Switching the Monitor On and Off
To switch the DINAMAP PRO Monitor on, press and hold
the power ON/OFF switch (16) for at least 10 seconds or
press the rotor (21).
As the Monitor powers up, it will run a short self-test routine,
which will flash all the indicator lights and then beep the
warning speaker. After a few seconds the system will be
ready for operation, as indicated by the appearance of the
main menu on the LCD (25).
To switch the Monitor off, push the power ON/OFF switch
(16) again. This will terminate any measurements that may be
in progress and automatically deflate the cuff.
When the Monitor is operating on the internal battery only,
battery life is enhanced by the use of the sleep mode.
However, the PRO Monitor will not enter sleep mode if an
alarm is active. If no controls are used and no determinations
are being made, the Monitor will enter sleep mode after a
time which can be preset by the operator. All LED displays
will be blanked except for a dash in the far-left systolic
position, and any existing readings will be transferred to the
LCD, which displays the message “Sleep Mode Active.”
Moving the rotor or pressing a key will “wake up” the
Monitor.
Liquid Crystal Display (LCD)
Menu Area
This area displays the name of the menu that has option
buttons available for selection. Normal text in the menu area

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appears dark on a light background, while the text of
selected buttons appears light on a dark background.
Note: Some menus have six option buttons. In these cases,
there is no space available to display the menu title.
Area 2
This area displays data from one of three different sources.
• Source 1: SpO2plethysmograph (Models 300V2 and
400V2)
• Source 2: Last three BP readings
• Source 3: Error and warning messages
Note: Refer to “Display Button” in the “Using the Menu
System” section for instructions on setting Area 2.
Area 3
This area displays the time, the time lapsed since the last BP
determination, the battery icon (if operating on battery
power, the time and battery icon toggle), and the BP and
Printer modes.
Using the Printer
Installing the Paper
Turn the PRO Monitor so that the side is facing you. While
grasping the side of the Monitor, firmly press the notched
indentations on the printer door to open it. The printer door
will pop open. With the Monitor powered on, place the roll
of paper into the compartment so that the end of the paper
comes off the top, and thread it between the two printer
plates. As the paper touches the plates, the paper will begin
to auto-feed itself into the printer. Feeding the end of the
paper strip through the slot in the door, firmly press the
notched indentation on the side of the printer door to close
it. Use the paper release lever to clear a paper jam or
manually feed the paper.
Note: Make sure that the roll of paper is tightly wound.