Mindray Accutorr 7 User manual

Accutorr®
Quick Reference Guide

Note: The Accutorr 7 Quick Reference Guide is not
intended as a replacement to the Operating Instructions.
Prior to operating the equipment, the user must be
familiar with the Operating Instructions Manual contents.
This document is a guideline only to be used as an aid to
comprehensive Inservice Training.

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
Table of Contents

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
Date And Time ....................................................15
Parameter Colors ..................................................15
Load Default (Preset) Settings......................................15
Lock/Unlock Touchscreen Display ..................................16
Cleaning/Disinfecting .............................................16
Cleaning .................................................................16
Disinfecting..............................................................17
Sterilization .......................................................17
Table of Contents (cont'd)

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Accutorr®Quick Reference Guide
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 o.
Alarm Reset Key
•Press this key to turn o 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.
Menu Quick Keys
Main •Accesses the Main screen , or quickly returns to the main
display.
Scoring •Accesses the Scoring screen to evaluate a patient’s condition.
Patient List •Accesses the Local Patient List or ADT Database pages to
admit a patient and enter demographics.
Review •Views and prints historical trends data.
Save •Accesses the Results screen to manually save patient data.

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Accutorr®Quick Reference Guide
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.
b. Aim the barcode scanner at the barcode.
c. Select Ok in Patient Demographics menu.
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
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.
NOTE: The monitor must be configured to use the two-dimension format in order
to work this way.
Admit Patient And Enter Demographics (Manual Entry)
The Patient Setup menu allows the clinician to admit a patient and enter patient
demographics. Admitting also restores default (preconfigured) settings and clears
the previous patient’s information.
To manually admit a patient and enter demographics on the Accutorr 7 monitor:
a. Press the hardkey to access the Patient Demographics menu.
b. Select patient demographic field (Last Name, First Name, etc.).
c. Enter patient’s information using onscreen keyboard.
d. Select to accept the information.
e. Select Ok to return to main display.

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Accutorr®Quick Reference Guide
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.
  • InputDepartment name, and then the system will search the patient
within the department.
  • InputMRN, and then the system will search the patient according to the
medical record number.
  • Input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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Accutorr®Quick Reference Guide
f. Select Ok to return to main display.
*If Modify Patient Demographics is enabled in the Remote Control menu
of BeneVision Central Monitoring System (BeneVision CMS): Entering
demographic information on the BeneVision CentralStation and BeneVision
WorkStation automatically enters it on the monitor. Entering demographic
information on the monitor automatically enters it on the BeneVision
CentralStation and BeneVision WorkStation.
Adjust Patient Size
The Patient Setup menu allows the clinician to adjust patient size. To adjust
patient size on the Accutorr 7 monitor:
a. Press the hardkey to access the Patient Demographics menu.
Or
a. Admitting a patient from the Local Patient List or ADT Database page will
automatically access the Patient Demographics menu.
b. Select Patient Category.
c. Select current size and adjust to Adu (adult), Ped (pediatric), or Neo
(Neonate).
d. Select Ok to return to main display.
NOTE: Adjusting patient size restores the monitor to the default (preconfigured)
settings but does not clear patient information or data.
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 o
•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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Accutorr®Quick Reference Guide
*If Discharge Patient is enabled in the Remote Control menu of BeneVision
Central Monitoring System (BeneVision CMS): Discharging a patient on the
Accutorr 7 monitor will automatically discharge the patient on the BeneVision
CentralStation and BeneVision WorkStation. Discharging the patient on the
BeneVision CentralStation and BeneVision WorkStation will discharge the patient
on the Accutorr 7 monitor.
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.
Adjust Recorder’s Waveforms
To adjust recorded waveforms on a patient on the Accutorr 7 monitor's
integrated recorder:
a. Select the Main quick key to access the Main menu.
b. Select General Setup >>, and then select Print Setup >>.
c. Select the waveforms for recording.

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Accutorr®Quick Reference Guide
d. Select the Main quick key or to return to the main display.
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:
  • The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.
  • Use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.
  • The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.
  • For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.
  • Avoid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.
  • Have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.
  • Do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