Spacelabs Healthcare 90217A User manual

Ambulatory Blood Pressure Monitor
90217A
070-2177-01 Rev B | www.spacelabshealthcare.com
OPERATIONS MANUAL

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iii
070-2177-01 Rev B
©2016 Spacelabs Healthcare Ltd.
All rights reserved. Contents of this publicaon may not be reproduced in any form without the
wrien permission of Spacelabs Healthcare. Products of Spacelabs Healthcare are covered by
U.S. and foreign patents and/or pending patents. Specificaons and price change privileges are
reserved.
Spacelabs Healthcare considers itself responsible for the eects on safety, reliability and
performance of the equipment only if:
• assembly operaons, re-adjustments, modificaons or repairs are carried out by
persons authorized by Spacelabs Healthcare, and
• the electrical installaon of the relevant room complies with the requirements of
the standard in force, and
• the equipment is used in accordance with the operaons manual.
Spacelabs Healthcare will make available, on request, such circuit diagrams, component part
lists, descripons, calibraon instrucons or other informaon which will assist appropriately
qualified technical personnel to repair those parts of the equipment which are classified by
Spacelabs Healthcare as fi eld repairable.
Spacelabs Healthcare is commied to providing comprehensive customer support beginning
with your inial inquiry through purchase, training, and service for the life of your Spacelabs
Healthcare equipment.
CORPORATE OFFICES
Spacelabs Healthcare Inc
35301 SE Center Street
Snoqualmie, WA 98065.
USA.
Tel: [phone]
Fax: [phone]
Spacelabs Healthcare Ltd
Unit B, Foxholes Centre,
John Tate Road,
Herord.
SG13 7DT. UK.
Tel: [phone]
Fax: [phone]
Brands and product names are trademarks of their respecve owners.
Caution:
Federal (USA) law restricts this device to sale by or on the order of a
medical praconer licensed by the law of the state in which he pracces
to use or order the use of the device.
CE marked in accordance with the Medical Device Direcve, 93/42/EEC
Security-related informaon is indicated in the following manner in this manual:.
“WARNING” - Actions or circumastances that may result in personal injury or
death.
“ATTENTION” - Acons or circumastances that could damage the equipment, produce
inaccurate data, or invalidate a procedure.
“NOTE” - Useful informaon for a product feature, funcon, or procedure.

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070-2177-01 Rev B
1. Operaon
1.1 Overview 1-1
1.1.1 ABP Monitor 1-1
1.2 ReplacingtheBaeries 1-2
1.2.1 MainBaeryReplacement 1-2
1.3 InializingtheMonitor 1-3
1.3.1 ConnecngDirectlytoaLocalReportGenerator 1-3
1.3.2 ConnecngDirectlytothePCInterface 1-4
1.3.3 ConnecngtotheBaseStaonviaModem 1-4
1.3.4 ModemSpeedandCompabilityIssues 1-5
1.3.5 OceCheckMode 1-6
1.4 PreparingthePaentandPrecauonsforUse 1-7
1.4.1 UsingCuSupport 1-11
1.4.2 OponalAccessories 1-11
1.4.3 CorrelangwithManualReadings 1-11
1.4.4 PaentInstrucons 1-12
1.5 DataTransferandReports 1-12
1.6 Cleaning/Disinfecng 1-12
1.6.1 CleaningtheCuandCarryingPouch 1-13
1.6.2 Removing/InstallingtheBladder 1-14
1.7 EventCodes 1-14
2 Accuracy
2.1 Checking Accuracy 2-1
2.1.1 Accuracy Procedure 2-2
3. Technical Data
3.1 90217A Ultralite ABP Monitor 3-1
3.2 ElectromagnecCompability 3-5
Table of Contents

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3.2.1 Generalnotes 3-5
3.2.2 Guidanceandmanufacturer’sdeclaraon–electromagnecemissions 3-6
3.2.3 Guidanceandmanufacturer’sdeclaraon–electromagnecimmunity 3-7
3.2.4 Guidanceandmanufacturer’sdeclaraon–electromagnecimmunity 3-8
3.2.5 RecommendedseparaondistancesbetweenportableandmobileRF 
communicaonsequipmentandthe90217A 3-9
4. Troubleshoong
4.1 ProblemSolvingChecklist 4-1
4.2 Servicing 4-2
Appendix - Signs and Symbols

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070-2177-01 Rev B
1. Operaon
1.1 Overview
The Spacelabs Healthcare Models 90217A Ambulatory Blood Pressure (ABP) monitors are
small, lightweight, battery-powered monitors designed to take blood pressure and heart
ratemeasurementsfor24or48hours,orforlongerperiodsoftime.
ThesemeasurementsarerecordedwithinthemonitorsandmaybetransferredtoLocal
ReportGenerator90239A,toReportManagementSoftware(90121or92506)(optionally
in Remote Connection mode using modems) or to CardioNavigator or Sentinel Cardiology
InformationManagementSystems.
The device shall be operated only by suitably competent personnel trained in the use and
proceduresofAmbulatoryBloodPressuremonitorsfordiagnosticpurposes.
EachABPmonitorwhenpurchasedcomeswithaStandardCuff,anABPpouch,1xbelt,1x
shoulder harness, 1 x Patient Instruction Diary.
1.1.1 ABP Monitor
The monitor has the following features:
• Four-digitliquidcrystaldisplay(LCD)
• Battery powered
• Serial communications port
• Power ON/OFF switch
• Reading START/STOP button
• Bloodpressurecuff
Themonitorsarecarriedinpouchesthatarestrappedand/orbeltedtothesideofthe
patient. Blood pressure and heart rate measurements are taken using a blood pressure

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cuffattachedtothepatient’sarm.Thisinformationisrecordedinthemonitorsandcanbe
transferredoveramodemlinkorbydirectconnectionbetweenthemonitorsandoneof
the ABP analysis systems.
The monitors can be programmed to either activate or deactivate the following
features:
• Displaythecuffpressureateachbleedstep.
• Displaythesystole,diastole,andheartrateattheendofeachmeasurement.
• Bleedto40mmHgratherthanstoppingatthediastolicvalue.
• Beepbeforeandaftereachreading.
1.1.1.1 Front Panel
The90217AmonitorfrontpanelsincludetheLCDdisplay,cuffhoseconnector,andaSTART/
STOP switch.
1.1.1.2 Rear Panel
Therearpanelofthemonitorcontainsprograminputandoutputcommunicationports.
The ON/OFF switch is located on the top panel.
1.2 Replacing the Batteries
Three“AA”batteriesprovidethemainpowersourceforthemonitor.Thesebatteries
shouldbereplacedorrechargedbeforethestartofeachpatientmonitoringsession.Use
either alkaline or rechargeable batteries.
The90217Amonitorbackupbatteryshouldnotrequirereplacement.
1.2.1 Main Battery Replacement
1. Power the monitor OFF, and remove the door over the battery compartment.
2. Replacethe“AA”alkalineorrechargeablebatteries,beingcarefultoobserve
polarities.
• The monitor will not operate if the batteries are incorrectly installed. If
the monitor is going to be stored for an extended period of time, remove
the batteries to prevent the possibility of leakage or discharge.
• Spacelabs Healthcare is not responsible for product damage incurred
as a result of “AA” battery leakage. In the event your monitor has been
damaged by a leaking battery, contact the battery manufacturer for any
recoverable repair or replacement costs. Spacelabs Healthcare will assist
you in determining those costs.
3. Gently replace the battery cover and secure the latch.

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PowerthemonitorON.CheckthattheLCDdisplayisON.Ifthereisnodisplay,powerthe
monitorOFFandreviewtheproblem-solvingchecklistinSection4.Troubleshooting.
Please ensure that discharged batteries, of all types, are disposed of in
accordance with local regulations.
1.3 Initializing the Monitor
TheABPmonitorsmustbeinitializedpriortothestartofpatientmonitoring.Initialization
specifiesthemonitoringperiod,patientinformation,timeformat,measurementinterval,
monitor tone ON/OFF during selected periods, event code display, and whether or not to
displaypressurevalues.Toinitializethemonitor,connectittooneofthefollowinganalysis
systems.
1.3.1 Connecting Directly to a Local Report Generator
For a direct connection, place the 90217A monitor into the chute on the Report Generator
(Model 90239A), See Fig. 1-1.
Figure 1-1: Report Generator

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1.3.2 Connecting Directly to the PC Interface
ForadirectconnectiontoaPC-compatiblecomputerviaaModel90121,92506orSentinel:
1. ConnectoneendoftheABPinterfacecabletotheappropriateportonthe
computerwherethe90121,92506orSentinelsoftwareisinstalled.
2. ConnecttheotherendoftheinterfacecabletotheABPmonitor.
Refertoeitherthe90121ABPReportManagementSystemOperationsManual,the92506
ABP Report Management System Client Application Operations Manual, or the Sentinel
OperationsManualformoreinformationonthereportmanagementsystem.
ABP Monitor
PCwith92506orSentinel
softwareinstalled
USB or Serial
interfacecable
Fig 1-2: Configuration of direct connection to PC
1.3.3 Connecting to the Base Station via Modem
ForamodemconnectiontoaremotePCbasestation,refertoFigure1-3below.
To base station
modem Public telephone
network Modem
Phone
Cable to
serial port ABP
Monitor
Figure 1-3: Modem connection configuration
Note: The actual initialization procedure is discussed in the 90121 ABP Report
Management System Operations Manual (P/N 070-0529-xx) and in the 92506
ABP Report Management System Client Application Operations Manual (P/N
070-2160-xx).

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1.3.4 Modem Speed and Compatibility Issues
The 90217A monitor operates Hayes-compatible modems only. The maximum
communication speed is 9600 baud. When the communications cable is plugged into the
monitor it should display 0999/9999
1.3.4.1 ConneconProcedure
Connect the serial port cable (P/N 012-0096-01) between the 90217A monitor and the
modem.
Note: If call waiting or call forwarding are options on a telephone used to transfer
data, ensure that both are deactivated. Otherwise modem communications
may be interrupted. In addition, telephone systems such as CBX or PBX can
cause interference with the modem, or the modem can cause interference
with the switching system..
To initialize the monitor for remote connection:
1. Contactthebasestationbytelephone(forremoteoperationonly).
2. Askthebasestationoperatortoinitializethemonitor.Givethefollowing
informationtotheoperator:
• Patient’sname
• Patient ID number
• Whether monitor display is to be active or not
• Timeofday(12-or24-hourformat)
• Whether to display measurement (systolic/diastolic and heart rate)
• Multipleorsinglecycletimes.Ifusingasinglecycleforthe24-hour
monitoring period, indicate the cycle interval and whether the tone is ON
orOFF.Formultiplecycletimes,specifyeachcycleintervalandwhetherthe
toneisONorOFFforeachcycle.
• Anyotherinformationthebasestationoperatormayrequest
Thebasestationoperatorwillenterthepatientinformationinthecomputer.
3. Preparethemonitortoreceivethepatientdatafromthebasestation.
• Power ON the modem.
• When instructed by the base station operator, power ON the ABP monitor.
Note: The modem link must be established within 45 seconds. If this does not
occur, power the monitor OFF and then ON again to retry establishing the
link.

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Whenthetransferofinformationiscomplete,theABPmonitorwillbeep.Voice
communicationisrestoredafterthemonitorbeeps.
• PowerOFFthemonitoranddisconnectthemonitorfromthemodem.
• Ifadirectconnectionbetweenthemonitorandthebasestationisused,power
OFFthemonitorandthendisconnectitfromtheABPdatainterfaceunit.
1.3.4.2 Modem Indicator Lights
Modemindicatorsatthelocalmodemarelit,flashing,orunlitdependingonthestageof
operation. When the monitor is powered ON, the RD (Receive Data) and SD (Send Data)
lightswillflashforseveralseconds.TheOH(OnHook)indicatorbecomeslitwhenthe
monitor starts communicating with the remote modem. When the modems connect, the
CD(CarrierDetect)islit.TheSDandRDlightsflashasdataisbeingtransferred.
AfterthetransmissioniscompleteandthemonitorispoweredOFF,theHS,TR,andMR
indicators will always remain lit at the local modem
1.3.4.3 Setup Test
Note: Verify that the cable connections are secure.
Power ON the ABP monitor. It will display “9999.” While the monitor is being read or
initialized,thedigitswillchangetoindicatethatcommunicationistakingplacebetween
the monitor and the analysis system. When communication is complete, the digits will no
longer change.
1.3.5 Office Check Mode
ThemonitorautomaticallyentersanOfficeCheckmodeforthefirstfivemeasurements
immediatelyfollowinginitialization.Thisallowsyoutoverifytheperformanceofthe
monitoronanindividualpatientwithouttheneedforre-initializationtoresetthedisplay
features.
Note: The 90217A enforces a 30 second minimum pause between measurements
to allow reperfusion. If the START/STOP key is pressed too soon after the
previous measurement, the monitor will count down the required period
before automatically starting the measurement.
While in the Office Check mode, the monitor operates as follows:
• Displaysthecuffpressureoneachbleedstep.
• Displayssystole,diastole,andheartrateattheendofthemeasurement.
• Bleeds one step below the diastolic value as determined by the monitor.

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1.3.5.1 TerminangOceCheckMode
PresstheSTART/STOPkeytwicetocancelasinglebloodpressurereading.TheOfficeCheck
mode is terminated when a blood pressure reading is cancelled.
Anyeventthatpreventsasuccessfulbloodpressuremeasurement(otherthanamanual
cancel)isnotcountedasoneofthefiveOfficeCheckmodereadings.
1.3.5.2 ReinstangOceCheckMode
TheOfficeCheckmodemaybereinstatedinthe90217A.
To reinstate the Office Check mode without initialization of the monitor:
1. Power ON the monitor.
2. Press and hold the START/STOP key when the version displays on the LCD.
3. Release the START/STOP key when EC03 displays on the LCD.
AnEC13willbeloggedtoindicatethetimeatwhichtheOfficeCheckwasreinstated.The
OfficeCheckmodewillbeenabledforfiveadditionalsuccessfulmeasurements.
1.4 Preparing the Patient and Precautions for Use
This unit is NOT for neonatal use, do not use on patients under the age of 3
years.
• The effectiveness of this unit has not been established in pregnant
(including pre-eclamptic) patients and therefore its use in these
circumstances is not recommended.
• Kinking of the tubing can result in interference of blood flow and
resulting harmful injury to the PATIENT caused by continuous CUFF
pressure.
• Excessively frequent measurements can cause injury to the PATIENT due to
blood flow interference.
• Do not apply the CUFF over a wound, as this can cause further injury.
• Do not apply the CUFF on any limb where intravascular access or therapy,
or an arterio-venous (A-V) shunt, is present as temporary interference to
blood flow could result in injury to the PATIENT.
• Do not apply the CUFF on the arm on the side of a mastectomy.
• Pressurization of the CUFF can temporarily cause loss of function of
simultaneously used monitoring ME EQUIPMENT on the same limb.
• Check (for example, by observation of the limb concerned) that operation
of the monitor does not result in prolonged impairment of the circulation
of the blood of the PATIENT.

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• The performance of the device can be affected by extremes of
temperature, humidity and altitude that are outside the product’s
operating parameters.
• Factors such as common arrhythmias (e.g. atrial or ventricular premature
beats or atrial fibrillation), arterial sclerosis, poor perfusion, diabetes,
age, pregnancy, pre-eclampsia, renal diseases, patient motion, trembling,
shivering can all affect the performance of the device and its blood
pressure reading.
• The monitor should not be used in close proximity to any electrosurgical
equipment as the radiation from such equipment may affect the reading,
also the monitor and its accessories do not have protection against burns
to the patient from electrosurgical equipment
Note: • Blood pressure measurements determined with this device are equivalent
to those obtained by a trained observer using the cuff/stethoscope
auscultation method, within the limits prescribed by the ANSI/AAMI
standard SP10, ‘Manual, Electronic ofAutomated sphygmomanometers’.
• The fifth Korotkoff sound was used to determine overall efficiency.
• As in manual auscultatory methods, accurate readings may not always
be achieved under some conditions. Patient movement, the position of
the cuff relative to the level of the heart, extreme heart rates and blood
pressures, various arrhythmias, and the subject’s physiological condition
and other factors may hinder an accurate reading. Vibration, such as that
in a moving automobile, is an environmental problem that may affect
readings.
• Consult a physician for interpretation of pressure measurements.
After the monitor has been initialized, prepare the patient for monitoring as
follows:
• The monitor should be checked for damage before every procedure.
• The monitor should be cleaned between each patient. Refer to section 1.6
for further information.
1. PowerONthemonitor,itperformsself-testsatstart-up.WhentheLCDdisplays
thecurrenttime,themonitorisreadyforoperation.
2. Strapthemonitortothepatient’shipoppositethesideonwhichthecuff
isworn.Securethemonitorusingthepatient’sownbeltortheABPpouch
strapped over the opposite shoulder. When using the shoulder strap, use
thebeltsuppliedwiththemonitororthepatient’sbelttoprovideadditional
security.
3. Ensure the accuracy of blood pressure measurements through proper
cuff selection and application. To select the proper cuff, first measure the

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070-2177-01 Rev B
circumference of the limb at the point where the cuff will be applied. Match the
limb measurement to the range of appropriate circumferences (in centimetres)
specified on each cuff.
Table2:CuffSizes,CircumferenceRangesandPartNumbers
Description Part Number Shelf Life Warranty
Childcuff,12-20cm,latexfreewithQuick/
Luer connect
015-0118-04Q 5years 90 days
Smalladultcuff,17-26cm,latexfree,with
Quick/Luerconnect
015-0067-04Q 5years 90 days
Adultcuff,24-32cm,latexfree,withQuick/
Luer connect
015-0068-05Q 5years 90 days
Largeadultcuff,32-42cm,latexfree,with
Quick/Luerconnect
016-0077-05Q 5years 90 days
Extralargeadultcuff,38to50cm,latexfree,
withQuick/Luerconnect
016-0109-04Q 5years 90 days
4. Positionthecuffsothatthecentreoftheinflatablebladderisdirectlyoverthe
brachialartery.Thecentreofthebladderlocationismarkedontheoutsideof
thecuff.Oncetheproperpositionisdetermined,thecuffmustbetightened
toensurethatitisequallysnugatthetopandbottomedgesandthatitisnot
kinked.Thisisespeciallyimportantonlargerarms.Insertafingerbetweenthe
cuffandthelimbtoensureitisnottootight.Itmaybenecessarytowrapthe
cuffwithitstailatanangletoachieveuniformtightness.Ifthecuffisnotequally
snugatthetopandbottomedges,thenumberofreadingsavailablewillbe
limitedandthemonitormayindicatethatthecuffisimproperlyapplied.
Toensurethebestresultsthepatientshouldbe:
1) Comfortablyseatedwith:-
 a)thearmshouldberelaxedatthepatient’sside.
b) legs uncrossed,
 c)bothfeetflatonthefloor,
d) back and arm supported.
2) ThemiddleoftheCUFFshouldbeattheleveloftherightatriumofthe
heart.
It is recommended that the PATIENT relax as much as possible and not talk
duringthemeasurementPROCEDURE,andthat5minshouldelapsebeforethe
firstreadingistaken.

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1-10
• Avoid compression or restriction of pressure in the NIBP patient connector
tubes. Check that operation of the equipment does not result in prolonged
impairment of circulation.
• Do not apply cuff to areas of breached or injured skin.
• Use only Spacelabs Healthcare cuffs with this monitor. Using other
manufacturer’s cuffs may result in inaccurate readings, even if the
manufacturer’s recommended size is observed.
• If the cuff is too small, pressure readings may be falsely high; if a cuff is
too large it produces a falsely low reading. The bladder can be positioned
in the cuff for either the left or right arm.
• Do not use older ABP equipment fitted with Luer-lock hoses in any area
where other medical equipment using Luer fittings may be present. There
is a risk of misconnection of the ABP monitor to an IV line, with serious or
fatal consequences.
• Dispose of cuffs in a manner that conforms to local regulations.
5. Leadthehoseupthearmwiththecuff
Alternative
Position
Position 1
andplaceitacrossthebackofthe
patient. Drape the hose so it does not
causethepatientdiscomfortandis
not pinched shut by too tight a radius.
Thefollowinggraphicdisplaysthe
mostcommonpositionsforthecuff
hose.
Ensure that that hose and
strap are routed in such
a way that minmises the
possibility of becoming
wrapped around the
patient’s neck.
6. Connect the hose to the monitor.
7. Verifypropermonitoroperationbytakingoneormorebloodpressurereadings.
Push the START/STOP key to begin a measurement. Spacelabs Healthcare
recommendstakingthreereadingsintheofficesothatthepatientbecomes
comfortablewithoperationofthemonitorandthemeasurementprocess.
The operator should be close to the patient to ensure the conditions above are
met, where possible.
Ifanunexpectedreadingoccursthenafurtherreadingshouldbetaken.(The
unitwillenforcea30secondwaitafteranyreading)Ifanyeventcodemessage
appearsonthescreenconsultsection1.7fortheexplanation.

1-11
070-2177-01 Rev B
8. ShowthepatienthowtoenterinformationinthePatientDiary.Makesure
thepatientknowswhattodoifthecuffbecomesveryuncomfortableduring
ameasurement,ifitslipsoutofplace,orifeventcodesaredisplayedonthe
monitorscreen(refertoPatientInstructionsonpage1-9).Also,ensurethatthe
patientknowshowtocareforthemonitor.
9. Whenyouaresatisfiedthatthemonitorisoperatingproperly,theremaining
measurementsintheOfficeCheckmodemaybecancelled.RefertoOffice
Check Modeonpage1-8.
1.4.1 Using Cuff Support
Note: Keeping the blood pressure cuff in place is very important both for patient
comfort and for the accuracy of the readings. This becomes particularly
challenging when the arm has considerable taper, as is often the case with
obese patients.
1. Putthelargeloopofthesupportaroundtheoppositearm.Oncethecuffis
successfullyappliedtothepatient,adjustthelengthsothatthejunctionofthe
strapsfitswellbackontheshouldertowardstheneck.
2. Fastentherearshortstraptotherearofthearmpit.Becarefultocliptothe
material only and not to the bladder.
3. Fastenthefrontstraptothetoplayerofthecuffmaterialatthelocationwhere
thehoseexitsthecuff.Adjustthelengthofthesestrapstoapplyaminor
amountoftensiontoholdthecuffinthecorrectposition.
1.4.2 Optional Accessories
Table 3: Optional Accessories
Accessories Part Number
CuffSupportHarness 015-0070-00
Service Manual 070-2157-02
QuickDisconnectCoupling 712-0794-00
MaleQuickDisconnecttoLuerAdapter 712-0773-00
1.4.3 Correlating with Manual Readings
The monitor bleeds pressure in discrete steps (not continuously), using the oscillometric
methodofbloodpressuredetermination.Ifmanualpressurereadingsaretaken
simultaneouslywiththemonitorreadings,interpolationisrequiredtoaccuratelycorrelate
monitor systolic and diastolic pressure values with the manual auscultatory pressures.
• Forsystole,recordthefirstpressureatwhichaKorotkoffsoundisheard.Actual
systolic pressure is somewhere between the pressure when the sound is heard

ABP 90217A Operations Manual
1-12
andtheprevious(higher)pressurewherenosoundwasheard.Theintervalof
uncertaintycanbereducedbyhalfbyaddingonehalfofthebleedstepsize
(4mmHg)tothemanualsystolicpressure.
• Fordiastole,recordthecuffpressureatwhichthelastKorotkoffsoundwas
heard. Actual diastolic pressure is somewhere between that pressure and the
nextlowerpressure.Theintervalofuncertaintycanbereducedbyhalfby
subtractingonehalfofthebleedstepsize(4mmHg)fromthemanualdiastolic
pressure.
1.4.4 Patient Instructions
Ifthecuffbecomesuncomfortableduringareading,makecertainthatthepatientknows
howtoterminatethereadingsbypressingtheSTOPkeyonthefrontofthemonitor,andin
theeventthatdiscomfortpersiststheyshouldfullyremovethecuffandinformthedoctor.
Ifthecuffslipsoutofplace,makecertainthatthepatientknowshowtocorrectly
repositionthecuffforsuccessfulreadings.Ifthecuffisnotproperlypositioned,event
codes may appear on the monitor.
• The patient should make every effort to keep the monitor dry. However,
there is no hazard if the monitor does get wet. If this occurs, power the
monitor OFF and return it to Spacelabs Healthcare for service.
• The monitor should be kept within the pouch at all times.
1.5 Data Transfer and Reports
Aftermonitoringiscomplete,connectthemonitortoeitheraPCDirectorBaseStation
interfacetotransmitpatientdataandgeneratebloodpressurereports.Refertothe90121
ABPReportManagementSystem,the92506ABPReportManagementSystemClient
Application, Cardionavigator CIMS User Manual or Sentinel CIMS User Manual, or the
90239ABPReportGeneratorOperationsManualsformoredetails.
Note: Pulse rates obtained from the ABP monitor should be used only as an
indication for the heart rate.
1.6 Cleaning/Disinfecting
Visuallyinspectthemonitor,airhose,andpressurecufffordirt,debris,frayedorworn
areas, etc. prior to patient use.

1-13
070-2177-01 Rev B
• Use only recommended cleaning solutions, or you may void the
manufacturers warranty.
• Harsh chemical agents degrade plastics and will compromise the safety of
the device.
• Before cleaning the monitor or cuff, disconnect from the patient.
• Do not allow liquid to enter the interior of the equipment.
• Do not immerse the equipment or cables in water or cleaning solutions.
• Do not autoclave - this unit CANNOT be sterilized.
To clean the exterior of monitors, modules, and cables:
• Preparethecleaningsolutionaccordingtothemanufacturer’sinstructions.
• Wet a clean cloth with the selected cleaning solution.
• Removeexcessliquidfromtheclothandsqueezedry.
• Wipeexposedsurfacesoftheequipmentandcables.
• Remove any soap residue by gently wiping with a clean damp cloth.
• Wipe dry with a clean dry cloth.
Use only the following recommended cleaning solutions:
• Mild soap and water solution.
• U.S. Pharmacopoeia (USP) green soap.
• Sodiumhypochloritesolution(1:10dilutionofhouseholdchlorinebleachin
water).
• Phenolicgermicidaldetergent(1%aqueoussolution).
• Glutaraldehyde(2.4%)(Cidexorequivalent).
• Isopropyl alcohol (70% solution).
Note: Over time, repeated use of a chlorine bleach solution may cause some
colors to fade.
Tape adhesive can be removed with Spacelabs Healthcare adhesive tape remover pads (P/N
392196-001).
QuestionsandconcernsaboutcleaningissuesshouldbedirectedtoaSpacelabsHealthcare
fieldserviceengineer.
1.6.1 Cleaning the Cuff and Carrying Pouch
Small soiled or stained areas may be cleaned by gentle scrubbing with a sponge or cloth
soaked in a mild soap and water solution.
Thecuffwrap(withtheairbladderremoved)andthepoucharemachinewashableon

ABP 90217A Operations Manual
1-14
“delicate” cycle only. Do not wash them in large commercial-type washers or with bed
linens or gowns.
Ensurethatthecarryingpouchisdrybeforere-use.
1.6.2 Removing/Installing the Bladder
Toremovethebladder,followthestepslistedbelow:
1. Usingfingersonly,foldorrollupthebladderinsidethecuff.Donotusepencils,
pens,orotherhardobjects,becausethesemaydamagethebladder.
2. Remove the bladder through the hose exit opening.
Oncethebladderisremoved,matetogetherthehook-and-loopsurfacesofthevelcro
attachmentbeforewashing.
Re-installthebladderintothecuffwrapinreverseorder.Makecertainthatallfoldsinthe
bladderareremovedandthatthelongendofthebladderfitsintothelongendofthecuff
(refertoBladderconfiguration).
Note: The cu hose can exit from either opening in the cu, depending on whether
you plan a right arm or le arm applicaon.
1.7 Event Codes
Themonitorsdisplayaneventcodewheneveraneventpreventsthemonitorfrom
successfullycompletingabloodpressuremeasurement.Thetwonumericaldigitsofthe
event code indicate the reason the measurement was aborted. The table below lists event
codes that are displayed on the monitor, as well as event codes that appear on the Event
Code Report.
Monitor Report Condition
EC00
EC10 Excessmovementartifact.FrequentEC10messagesmayindicateanair
leak.
EC20 A)Averylargenumberofmovementartifacts
B) Heart rate arrhythmia
EC30 A)Movementartifactatmeanarterialpressure
B) Heart rate arrhythmia
EC40 A)Movementartifactatsystole
B) Heart rate arrhythmia
EC50 A)Movementartifactatdiastole
B) Heart rate arrhythmia