SOMNOmedics NIBP User manual

SOMNOmedics GmbH –Am Sonnenstuhl 63 –D-97236 Randersacker
Tel. (+49) 931 / 35 90 94-0 –Fax (+49) 931 / 35 90 94-49
E-Mail [e-mail] –Internet www.somnomedics.eu
SOMNOtouch™ NIBP
3 Channel ECG
with Position
I
NSTRUCTION MANUAL

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SOMNOmedics GmbH –Am Sonnenstuhl 63 –D-97236 Randersacker
Tel.: (+49) 931 / 35 90 94 - 0 –Fax: (+49) 931 / 35 90 94 - 49
E-Mail: [e-mail] - Internet: www.somnomedics.eu
Rev. 0
24.04.2014
All proper names marked with TM are copyright protected by
SOMNOmedics.

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Content
1Introduction...................................................................................................................................... 4
2Initialization...................................................................................................................................... 4
3Applying the Sensor ........................................................................................................................ 6
4Body Position Analysis and Report ................................................................................................. 7
5Technical Specifications.................................................................................................................. 8
6Cleaning / Desinfection.................................................................................................................... 9

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1 Introduction
The ECG with position sensor expands the possibilities of your SOMNOtouchTM NIBP to record a three
lead ECG and the body position in addition.
This instruction manual gives you information on the application and sensor specific settings. Please
note the main instruction manual of the SOMNOtouchTM NIBP.
Please refer to the safety notes in the main manual of the SOMNOtouch NIBP.
Device and sensors may not be used in live sustaining or life supervising
measures.
2 Initialization
In the Easystart menu, click “change to advanced mode” in the upper bar. Enter the patient data (see
chapter 6.1 of the main manual) and switch to the tab “montage”. In the appearing window select the
existing montage “SOT NIBP (xx)” (red arrow in figure below).

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As Domino light automatically saves any changes to a selected montage, it is recommended to save
the new montage right now, in order to keep the original montage untouched. Therefore, press the
“Save as” button (blue arrow) and enter a name as depicted in the figure below. After clicking the “OK”
button, the new montage will appear in the list of available montages.
Now add the ECG with position sensor to the sensor bar (green ellipse in former figure) click at the
small black arrow indicated by the green arrow.
The following window opens. Select the ECG 3 + Position sensor and assign it to the list of “Selected”
sensors.
The ECG 3 + Position sensor will appear in the picture below. Deselect the standard ECG sensor by
clicking on its icon. Then, add the new ECG 3 + Position sensor to your montage by clicking on its
icon.

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Having completed the initialization steps (see chapter 6.1 of the main manual), you can proceed to
attaching the ECG 3 + Position sensors which is described in the next chapter.
3 Applying the Sensor
Attach the SOMNOtouch™ NIBP to the patent’s left wrist by means of the watch strap.

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Before applying the electrodes clean the skin with Nuprep or something similar. Then apply the
electrodes as shown in the figure below (or indicated on the label of the sensor).
Finally, lock the sensor in the correct position, i.e., the cable to the green electrode going straight
down, by fixing the two lower cables by means of an adhesive tape (red arrow). This is an important
step for a valid recording of the body position.
Connect the sensor to the SOMNOtouch NIBP as usual.
4 Body Position Analysis and Report
The body position sensor which is built into the TOS013 allows activating the body position analysis.
This can be configured either via the global settings for all measurements or via the analysis settings
for the particular measurement. The following figure depicts the configuration dialog.
oder
or

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„Analysis Window [s]“
Size of the time window within which the body position is evaluated.
Body Position Assignment
By means of the various drop down lists the body position assignment can be adjusted to the position
at which the TOS013 was fixed to the body.
However, in general, this should not be required for normal application.
„Position Source“
This drop down list allows selecting a data source for the body position analysis. In case of the
TOS013 “Pos. Ext.” needs to be selected.
An activated body position analysis allows including a Body Position Blood Pressure into the report.
This is shown in the following figure.
(MAD = Mean arterial blood pressure)
The Body Position Blood Pressure shows the mean blood pressure values with respect to the
respective body position. Hence, it allows assessing significant blood pressure increases depending
on the body position, e.g. a blood pressure increase in supine position due to sleep apnea events.
5 Technical Specifications
Name
Measuring range
Frequency range
3 channel ECG
± 6 mV ± 5%
0.03 –150 Hz ± 20%
Position
± 3 g
0 –10 Hz
Pos. Ext.

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6 Cleaning / Desinfection
Clean the sensors according to the directions of the SOMNOtouch NIBP main manual.