Ramsey Medical petMAP+ II User manual

1
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NowyourpetMAP+II
canmonitorECG

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ThismanualappliestotheoperationoftheECGModule(REF#9026),
availableasanoptionwiththepetMAP+II.TheECGModulerequiresa
petMAP+IItobeuseful.ReadthismanualandthepetMAP+IImanual
completelybeforeusingtheequipment.
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petMAP+IIistobeoperatedbyqualifiedpersonnelonly.Beforeuse,
familiarizeyourselfwiththedeviceandreadthemanuals,includingall
warningsandcautions.TheusershouldcheckthatpetMAP+II,alongwith
itsaccessories,isfunctioningbothsafelyandeffectivelypriortouse.
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COPYRIGHT©2012‐2018RamseyMedical,Inc.
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Allrightsreserved.Noportionofthismanualmaybereproducedwithout
thewrittenpermissionofRamseyMedical,Inc.

3
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ECGModuleOPERATOR’SMANUAL
TABLEOFCONTENTS
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Introduction    Page
DeviceDescription  4
IntendedUses4
Configurations&Accessories 6
Symbols,Warnings&Cautions  7
EMCDeclaration10
DeviceOverviewandOperatingInstructions
Controls&Connections  11
PatientPreparation&
Lead/CatheterPlacement 12
UseofEsophagealCatheters
vs.SurfaceLeadWires  12
OperatingInstructions/
UserSelections13
Alarms15
Maintenance17
Troubleshooting18
Warranty/Service20
Specifications22
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4
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INTRODUCTION
DeviceDescription
petMAP+IIisasmall,lightweightandportablebatteryoperated
monitoringdevicedesignedforveterinaryuse.Initsvariousbaseunit
configurations,itiscapableofmeasuringbloodpressure(systolic,diastolic
andmeanarterialpressures),heartrate,temperatureandoxygen
saturation(SpO2).Themeasuredvaluesaredisplayedandtrendedonthe
devicecontinuously.DatatrendedonthepetMAP+II canoptionallybe
savedonaSDmemorycardviathepetMAP+II’sintegratedSDmemory
cardslot.
ModulesforECGandCO2canalsobepurchasedandaddedtothebase
unit.
UseoftheECGModuleallowsthepetMAP+IItodisplayanECGwaveform
andtheHRderivedfromtheECGsignal.TheECGModuleisconnectedtoa
flatfive‐footcablethatplugsintothesideofthepetMAP+II.TheModule
hasconnectionsforthreesurfaceECGleadwiresandanesophagealprobe
thathasECGelectrodesonit(soldseparately).OnlyonesetofECG
electrodescanbeusedatonetime.Theusercanswitchbetweensurface
leadsandtheesophagealprobeusingaslideswitchontheECGModule.
TheusercanalsoadjustthegainontheECGwaveformusingaslideswitch
ontheECGModule.
IntendedUses
petMAP+IIisintendedforuseonveterinarypatientswhenmeasuringor
monitoringofbloodpressure,heartrate,temperatureand/orSpO2is
desired.WhenconfiguredwithanECGModuleandpatientelectrodes
properlyattached,thepetMAP+IIwillalsodisplaytheECGwaveformand
ECGHR.Itcanbeusedonawidevarietyofveterinarypatients,butis
primarilydesignedforcompanionanimals.petMAP+IIcanbeusedon
bothawakeandanesthetizedpatients,butawakepatientsareoften
uncooperative.ECGapplicationsincludeuseforsurgical,ICUandtrauma
monitoringaswellasuseduringprocedures(imaging,dentals,etc.).

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TheECGModuleisasingleECGlead(uses3electrodes)system,andwhen
usedwithsurfaceleadsattachedasdirected,theECGwaveformisLeadII
andisusedforHRcalculation.Whenusedwiththeesophagealelectrodes
theleadissimilartoaLeadII,butitisbetterreferredtoassimplythe
EsophagealLeadsinceitisnotidenticaltoasurfaceECGleadII.
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Configurations&Accessories
Thefollowingtablesummarizesthestandardaccessoriesandoptional
accessoriesavailableforthepetMAP+IIECGModule:
ProductCodeDescription
Standard
Accessories
(included
withthe
Module)
9026
ECGModule
ECGModule
ConnectorCable(5’)
3LeadWireSet(w/alligatorclips)
Operator’sManual
Optional
Accessories
3205‐0001 CatCatheter (esophageal ECG electrodes
andTemperature)
3207‐0001 DogCatheter (esophageal ECGelectrodes
andTemperature)
Replacement
Items
9030 3ECGLeadWireSet
R316000 ECGModuleConnectorCable(5’)

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EsophagealCatheters
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3205-0001
Cat Catheter 3207-0001
Dog Catheter

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SYMBOLS
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CautionSymbol ConsultManualSymbol
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WARNINGS&CAUTIONS
(Pleasereadandunderstand) 
ThepetMAP+IIanditsECGModuleareintendedforVETERINARY
USEONLY.Donotuseonahumanpatient.
 TheusershouldbeawarethatthepresenceofanECGwaveform
doesnotmeanthatthepatienthasausefulheartbeat.Electromechanical
dissociation(EMD)canoccurundervariouscircumstancesandthoughthe
ECGappearstobenormalorabnormal,thereisnoactualcontractionof
theheartandthusthereisnopulseorbloodpressurebeinggeneratedand
theanimaliseffectivelydeadunlesscorrectedquickly.Neverrelyonlyon
theECGtojudgethepatient’scirculatorycondition.AlwaysusetheSpO2,
CO2andBPinadditiontoECGtojudgetheconditionofthepatient's
circulatorystatus.ThepatientcandieandstillhaveanormallookingECG
foraperiodoftime.
 Whenapatient'sheartisbeingpaced,thepacercurrentcan
potentiallyproduceartifactsthatappeartolooklikeanormaloran
abnormalECG.TheECGmoduleattemptstofilteroutthepacemaker
pulses(incertaincircumstancesitisnotpossibletofilterthem),andthe
usermustbeabletodistinguishtrueECGwaveformsfrompaceartifact
inducedwaveformsthatcanlooklikeanECGwaveform.Alwaysjudgethe
adequacyofthepatient’scirculationusingotherparametersinadditionto
theECG,sincetheECGcanappeartobepresenteventhoughthereisno
effectiveheartbeatcontraction.SpO2,CO2,andBPareimportant
parameterstomonitorinordertojudgethepatient’scardio/respiratory
statusandshouldalwaysbeusedinadditiontotheECG.

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 UseofanElectrosurgicalUnit(ESU)willoftenresultininterference
ontheECGtraceandpotentiallyerroneousheartrates.NeverusetheECG
fordeterminingheartrateuntiltheECGwaveformhasbeenstablefor10
secondsormoreafterESUuse.TheBPandSpO2aretypicallynot
adverselyaffectedbyESUusage,butundercertaincircumstancestheESU
couldadverselyaffectthem.AlwaysassurethattheESUgroundplateis
wellplacedonthepatientandplaceddistantfromtheECGelectrodes.
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 InaccurateECGheartratereadingsmayresultwhenan
electrosurgicalunit(ESU)isusedwhilemonitoringwiththepetMAP+II.If
thisissuspected,discontinueuseofthepetMAP+IIwhiletheESUisinuse.
WhenESUisused,patientleadsandwiresshouldbeawayfromthe
surgicaloperationsiteandotherdevices.Thisreducestheburningriskdue
toapoorconnectionoftheESUneutralelectrode.
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Thescientificliteraturedescribesinterferencefromanumberof
electricaldevicesthatcanproduceartifactsthatlooklikenormalor
abnormalECGwaveformsbutarenotactualECGwaveforms,andthese
potentialECGartifactgeneratorsincludeIVpumps,lineisolationmonitors,
electrosurgicalunits,pacemakersandotherstimulators,fluidwarmers,
bronchoscopes,etc.Insuchinstances,thesedevicesareusually
malfunctioninginsomewaywhenproducingECGartifacts,butnotalways.
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 Inrarepatientarrhythmiastheremaybe1ormorepeaked
complexeswitheachactualbeatthatresembletheactual,trueQRS
complex.Insuchcircumstancestheunitcanmistaketheadditionalpeaked
complexesforaQRSandhencetheheartratedisplayedwillbehigherthan
thetrueheartrate.OnthedisplaywhereeachQRSisdetectedthereisa
smallindicatormark(yelloworred)belowthedetectedQRSwaveformto
indicateithasbeendetectedasaQRS.IfindoubtabouttheECGheart
rate,confirmthatonlytrueQRScomplexesarebeingidentifiedassuchby
lookingatthesmallmarks.Eveninthepresenceofsuchrarearrhythmias,
theBPandtheSpO2heartratesshouldreadproperly.

9
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 DonotimmersetheECGModuleinwateroranyliquid.Ifthe
Moduleisaccidentallywetted,itshouldbethoroughlydriedbeforeuse.If
theECGModulehasbeendroppedintowaterorotherfluid,itshouldnot
beusedandshouldbereturnedtothemanufacturerforservice.
 IftheECGModulehasbeendroppedordamagedinanyway,it
shouldbecheckedbyqualifiedservicepersonneltoensureproper
operationpriortouse.
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 UseofaccessoriesotherthanthosespecifiedbyRamseyMedical
mayresultindangertothepatient,malfunctionofthemonitoringunit,
andadditionalincreasedelectro‐magnetic(EM)emissionsordecreasedEM
immunityofthedevice.
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 Followlocalgoverningordinancesandrecyclinginstructions
regardingdisposalandrecyclingofdevicecomponentsandpackaging.

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ThepetMAP+IIisnotintendedforuseonpatientsbeingimaged
withanMRIdevicesincethepetMAPdevicecontainsmagneticallyactive
materialsandcouldresultininjuryifusedtooclosetoanMRIdevice,even
iftheMRIisnotoperatingsincetheMRImagnetisstillactiveevenifnotin
use.

Donotgassterilizeorautoclavethedevice.
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10
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EMCDECLARATION
TheECGModule(REF#9026)hasbeentestedtogetherwiththepetMAP+II
asasystem.PleaserefertothepetMAP+IIManual(R400257)fordetailed
EMCcomplianceinformation.