Pulse Metric DYNAPULSE 5000A Installation instructions

24-Hour Ambulatory Blood Pressure Monitoring and
Recording
Hardware Guide
DYNAPULSE 5000A

Copyright 2007 by Pulse Metric, Incorporated
All rights reserved.
All DynaPulse products are covered by patents and/or
pending patents from the United States and other
governments.
Trademarks: DynaPulse is a registered trademark of Pulse
Metric, Inc. General notice: Other product names used
herein are for identification purposes only and may be
trademarks of their respective companies.
Pulse Metric, Inc.
2100 Hawley Drive
Vista, CA 92084
U.S.A.
Phone: [phone]
Fax: [phone]
Email: [e-mail]
Website: www.dynapulse.com
January 2007

Table of Contents
5000A Hardware Guide
I. INTRODUCTION 1
Equipment Overview 2
DP5000A Hardware 4
DP5000A Equipment Specifications: 4
DP5000A System Requirements: 6
II. GETTING STARTED 7
Battery Installation 7
DP5000A Monitor Display and Layout 7
DP5000A Control Buttons and Switch 8
LCD Display: Sequence and General Descriptions 10
Operating Modes 10
Setup Procedure 11
Clear Memory 13
Select Measuring Range and Deflation Rate 14
Safety Features and Emergency Procedures 15
III. TAKING A MANUAL MEASUREMENT 16
IV. AMBULATORY (AB) MODE OPERATIONS 17
Ambulatory Operational Flow Diagram: 17
Patient Education and Instruction 18
Guidelines for Accurate and Safe Monitoring 18
Prepare Patient Record Table and Monitor 19
Clear Memory 20
Initialize AB Mode 20
Check Date and Time 20
Setup of Ambulatory Parameters 20
Position DP5000A Monitor and Cuff 23
Starting the 24-hour Ambulatory Recording Sequence 25
Transfer Data to a PC 26
Disable Ambulatory Mode 26
V. AUTOMATIC MEASUREMENT OPERATION 27

Automatic Operational Diagram 27
Add Patient or Select from List 27
Patient Education 28
Select Measuring Range 28
Setup, Check Date and Time 28
Select Mode 29
Clear Memory 30
Position Cuff 30
Start Measurement 30
Display Measured Data 31
VI. EQUIPMENT MAINTENANCE 33
Equipment Care 33
Battery Upkeep 33
Cuff Cleaning and Replacement 34
Storage 34
VII. TROUBLESHOOTING 35
DP5000A Operations 35
Blood Pressure Measurement 36
PC Interface 37
Technical Support 37
VIII. REPAIR AND SERVICES 38
DP5000A Calibration 38
DP5000A Hardware Repair 38
DP5000A Software Update Services 39
Accessory Replacement 39
Extended Warranty Services 39
IX. WARRANTY INFORMATION 40
X. APPENDICES 42
Patient Diary (sample): 42
Appendix: Checking Calibration 45
Appendix: COM Port Configuration: Windows
98/ME/2000/NT/XP 46
Appendix: Warranty Information 47
Appendix: Company Information 49

1
I. INTRODUCTION
This User’s Guide is divided into two sections: Software
Guide and Hardware Guide. Together, they provide
technical and operational information, along with
procedures for the setup and use of the DynaPulse 5000A
(DP5000A) non-invasive 24-hour blood pressure
monitoring and recording system.
The DP5000A is intended to be used by operators who are
familiar with automated, digital, non-invasive blood
pressure monitors. Since the documentation contains
important safety and operational information, all operators
of the DP5000A system should read both manuals before
using the system. Pulse Metric, Inc., recommends that this
User’s Guide be kept together with the DP5000A system at
all times for quick reference.
Interpretation of the blood pressure and heart rate data
recorded by the DP5000A system shall be performed by a
physician or qualified operator only. No changes in
medication should be made without first consulting a
physician.
Pulse Metric, Inc. does not claim complete accuracy of the
DP5000A under certain conditions such as excessive motion
or vibration. Patient conditions such as extreme heart rates,
extreme blood pressures, and various arrhythmias may also
hinder the readings.

2
Equipment Overview
Inspection and Preparation
Upon receiving the unit, inspect all equipment and
accessories for damage resulting from shipping, such as:
• Leaky cuff connector
• Loosened or broken monitor On/Off switch
• Loosened or broken monitor control buttons
Make a note of any tears, dents, or other forms of damage.
The cuff, air hose, monitors, and LCD should all be
checked. The battery compartment should also be examined.
If any damage is found, please contact Pulse Metric
Technical Support or its authorized distributor.
DynaPulse 5000A System Contents:
• DynaPulse 5000A monitor
• Storage case
• DP5000A holster
• Three different sized blood pressure cuffs
• Software CD
• USB cable
• Manual
• Cuff support strap

3
Equipment Layout:

4
DP5000A Hardware
The DynaPulse 5000A system includes the following
accessories in order to perform certain functions and/or
applications:
A. The DP5000A software program on CD allows the
transfer of data from the DP5000A unit to the Physician
or Health Care Provider’s PC. The software also
provides the capability to view, comment, and analyze
trend and waveform data, and to enable ambulatory
operations.
B. Storage Case provides transportation and storage
protection.
C. DP5000A Holster used in ambulatory applications.
D. USB Cable connects monitor to a PC’s COM port.
E. Three Sized Blood Pressure Cuffs.
F. Cuff Support Strap provides additional cuff support
during ambulatory operations.
DP5000A Equipment Specifications:
Measurement Method Pulse Dynamic Oscillometrics
Measurement Range Systolic 60–240 mm Hg
Diastolic 30–200 mm Hg
Mean 40–240 mm Hg
Heart Rate 20–200 BPM
Accuracy Pressure: ± 5 mm Hg vs. auscultatory
methods per ANSI/AAMI standards
Inflation Micro-rolling pump
Deflation Slow air release: Mechanical needle valve
Fast air release: Electromagnetic valve

5
Default Pressure 160 mm Hg
Ambulatory Mode 5, 10, 15, 20, 30, 60, 120 min.
Measurement Periods 2 different measurement periods per
24-hour period
Automatic Interval 2, 3, 5, 10, 15, 20, 30, 60, 120 min.
Between Measurements
Automatic Mode 2, 3, 5, 10, 20, 50, 100 measure-
Preset Number of ments per setting Measurements
Measurement Storage Up to 100 measurements including
pressure waveform data
Display LCD 16 x 60 mm 2 x 16 characters On/Off
option (for Auto Mode)
System Power 6V DC with 4 AA standard batteries Low
battery warning on LCD
Memory Power 3.6V Lithium battery Low battery
warning on LCD
Power Consumption 380–500 mA during pumping 10–15
mA while idle
Patient Safety 2 hardware and 2 software controls
Sound Level During 40–50 dB (A) at 60 cm (24 in)
Pumping distance
Operating Temp. Range 5–40°C (41–104°F)
Dimensions 86(W) x 130(L) x 38(H) mm
3.4(W) x 5.1(L) x 1.4(H) in
Weight10 oz. without batteries, 13 oz. with batteries

6
DP5000A System Requirements:
A complete DP5000A system requires:
• DP5000A monitor and system accessories
• IBM PC or compatible computer with at least 486x/66
processor, 16 MB of RAM, a hard drive, and a CD-
ROM disk drive

7
II. Getting Started
Battery Installation
To open the main battery compartment, push in and upward
to loosen the battery cover, or place a coin or flat object in
between the gap of the cover and the housing to lift up the
cover. Install four AA batteries according to the directions
indicated on the inside of the battery case.
Alkaline batteries are recommended. Four alkaline batteries
provide an estimated 150 measurements when using a
standard adult size cuff. If a large adult size cuff is used, the
results may be closer to 100 measurements.
Pulse Metric, Inc. recommends the installation of fresh
batteries prior to each ambulatory monitoring session.
DP5000A Monitor Display and Layout
The DP5000A is a microprocessor-supported automated
digital blood pressure device that uses an oscillometric cuff-
based technology. The monitor utilizes a pressure transducer
and a patented algorithm to measure blood pressure. No
microphone is used. The system runs on four 1.5-volt AA
batteries. The DP5000A monitor memory can store up to
100 measurements (each measurement includes blood
pressure, heart rate, and pulse waveform data). A 3.6-volt
lithium battery supports the memory. The unit is equipped
with an USB port to communicate with a personal
computer. A two-line LCD screen is used to display
operational information and instructions.

8
Measurement Number: Indicates the number of the next
measurement to be taken. This value will increase after each
measurement is stored in the memory.
Measurement Mode: Displays the operational mode:
M(manual), AB (ambulatory) or A(auto).
Unit Status: System messages include Ready, Pumping,
Pump Off, and Measuring.
Systolic Upper Limit: Indicates the systolic pump-up
pressure used to obtain a measurement. Typically this is
approximately 30mmHg above resting Systolic blood
pressure.
System Cursor: Used to highlight and/or change a value or
mode option.
DP5000A Control Buttons and Switch
There are three control buttons in addition to an On/Off
button on the front of the unit and an On/Off switch on the
side of the monitor.
On/Off Switch (side): Connects the battery power to the
DP5000A unit when switched on. This switch can be used
as an emergency shut off in the event that the unit
malfunctions when pumping.
On/Off Button (front): Turns on/off the unit electronically
(including LCD and microprocessor). Functions as an
emergency shut off button during pumping.
Start/Stop Button: Used to initiate, halt measurement and
retrieve a stored measurement from the monitor. Also acts
as an emergency button to stop pumping action and release
cuff pressure.
Mode Button: Used to select setup and operation functions.

9
Value Button: Used to advance, select, or set a parameter
determined by first using the Mode button.
The general procedure in selecting options and changing
values is determined by using the Mode and Value buttons:
The Value button will perform different functions
depending upon what option has been selected using the
Mode button. Pressing the Value button will select between
a Yes/No or On/Off setting, or will increase the value in the
option.

10
LCD Display: Sequence and General Descriptions
The DP5000A will display the following screens when
operating correctly:
1.
2.
3.
4.
Operating Modes
The DP5000A can operate in either ambulatory or manual
patient mode.
M (manual) Mode: For a single measurement, press the
Start/Stop button. This is the default setting of the unit.
AB (ambulatory) Mode: For 24-hour measurement. A
physician or other trained operator using the DP5000A
software enables this operational mode.
A (auto) Mode: For automated measurements.
The DP5000A has a power management feature to save
battery power. If the unit is inactive for a 3-minute period,
the LCD will turn off automatically. During ambulatory
operation, the LCD will turn off between measurements.
Each operating mode will be described in detail in the
following sections.

11
Setup Procedure
To activate Setup mode, press the Mode button within 5 sec.
of turning on the DP5000A. The LCD will display the
Pressure Unit screen.
Setting Pressure Unit:
Use the Mode button to select
pressure unit option. Press Value
button to place cursor under
appropriate pressure unit.
Setting the Date/Time:
Use the Mode button to select
the Change Time option.
Press the Value button to change
the system cursor to Yes.
Press Mode to enable the setting
of the time and date.
Place the system cursor under
mm (minutes) and press Value
to set the minutes forward.
Start/Stop will move settings
backwards. Press Mode to move
the system cursor to HH (hours)
and press Value to set the hour.
Repeat the same sequence to set
the Y (years), DD (days) and
MM (month).

12
Press Mode when the system cursor is at MM (month) to
exit the set Date/Time option.
Note: Options for different date displays, e.g., DD.MM.YY,
may be available by request.
This Auto setting will be
discussed in section V of this
manual.
Use Mode to select the
Memory Clear option. The
Memory Clear option is
protected against accidental
erasure by requiring the user to
confirm their action with an
additional Yes/No function.
Press the Value button to move
the system cursor to Yes.
Press the Mode button to
complete the first confirmation
sequence.
The second part of the Memory
Clear option is now initiated.
To abort the erasure process,
exit by selecting the No option
with the cursor and pressing
Mode.
Press Value to move the system
cursor to Yes.

13
Clear Memory
The DP5000A can store 100 measurements. Transfer any
pertinent data first, and then clear the data from memory.
Once the memory has been cleared, measurement data
CANNOT be recovered.
Here is your final chance to abort
the memory clear sequence. To
complete the Yes decision, press
the Mode button.
-Or-
To exit at this point, press Value to
move the cursor to No. Then press
Mode. When Yes is selected to
delete the memory, press Mode.
The DP5000A will delete its stored
memory and the display will flash
the message Memory Cleared for
2 seconds, prior to exiting.
This screen is default for checking
the pressure calibration of the
DP5000A after the memory
clearing option.
Press Mode, this will bring you to
the Quit Setup Mode screen.
The default is YES. To exit setup if
all settings are correct, press Mode.
Otherwise, go to the next step.

14
Setup Corrections
If at anytime during Setup you decide to modify a previous
setting, the Quit Setup Mode option allows another search
through the Setup menu.
Use the Value button to display
Quit Setup Mode
Select No.
Press Mode to go back through
the Setup options again.
Select Measuring Range and Deflation Rate
Use the Mode button to move the cursor to the range
number and press the Value button to select a desired
systolic upper limit. Adjust the upper limit from 110 mmHg
to 240 mmHg. The default value is set at 160 mmHg.
The deflation rate of the set range can be adjusted manually
using the thumb-wheel (on the right side of the unit). To
speed up the deflation rate, or decrease bleed time, turn
towards F, and towards Sto increase the bleed time. The
deflation rate has been preset to deflate from 160 mmHg to
50 mmHg in approximately 30 seconds for a standard adult
size cuff. The composition of the arm greatly affects this
deflation rate so adjustments will be necessary. Adjustments
should be made when applying oversized adult (faster
deflation rate needed) or child size cuffs (slower deflation
rate needed).

15
Safety Features and Emergency Procedures
Automatic Cuff Pressure Sensing and Pump/Air Release
Control: DP5000A measures the cuff pressure during the
pumping process. The system turns off the pump and
releases cuff pressure automatically when:
1. Cuff cannot pressurize to 16 mmHg in 12 seconds.
2. Cuff pressure with continuous pumping exceeds 200
mmHg over 30 seconds.
3. Total pumping time exceeds 60 seconds.
4. Cuff pressure remains over 200 mmHg for longer
than 20 seconds after pumping ceases.
Independent Real Time Clock (RTC) Pump/Air Release
Control: DP5000A uses an independent timer (RTC) to
begin a 60-second time-out pump shut off and a cuff
pressure release control each time pumping begins. This will
prevent any chance of over pressurizing the cuff in case the
microprocessor fails during pumping.
Emergency Button: The Start/Stop Button on top of the
unit will both automatically shut off the pump and release
cuff pressure if pressed during pumping sequence.
Emergency Switch: The On/Off Switch at the side of the
DP5000A unit will turn off the main power supply to the
unit, shut off the pump, and release cuff pressure.
The operator should be completely aware of the above
safety features and procedures. When the DP5000A is used
as an ambulatory device, the technician should instruct the
patient on all safety procedures and how to use the
emergency controls.