Vmed technology Bp-accugard User manual

Vmed Technology

BP-AccuGard

TM

Blood Pressure

Monitor

with

PC-DISPLAY

software

User Manual

1

ACCESSORIES AND COMPONENTS

Check packaging and ensure the following standard items are included

• BP-AccuGard Monitor

• Storage pouch

• 6 cuffs (# , 2, 3, 4, 7, 8)

• 8 ft. airline

• Quick-Start Manual

• Software Manual (if Bluetooth included)

• PC-Display install CD (if Bluetooth included)

• Bluetooth USB Adaptor (if Bluetooth included)

PRECAUTIONS

o CAUTION: Use only the patient isolated battery charger provided by Vmed.

Laptop charging plugs may appear identical but the use of these on the BP-

AccuGard may damage electronics and voids the warranty.

o Do not operate or mount the BP-AccuGard on its side. Vertical mounting is

OK.

o BP-AccuGard not registered with the FDA for human use.

o Do not use in the presence of flammable anesthetics.

o Do not immerse the BP-AccuGard, or cables in water or other fluids. Avoid

spilling fluids on the BP-AccuGard or accessories.

o Do not autoclave the BP-AccuGard or accessories.

o Do not disassemble the BP-AccuGard enclosure. It contains no operator

serviceable components and opening the enclosure voids the warranty.

2

Table of Contents

Chapter 1 Description and Stand-Alone Mode .................................................................. 3

Monitor Description ......................................................................................................... 3

Stand-Alone Mode .......................................................................................................... 4

Device Interface .............................................................................................................. 4

Top Panel .................................................................................................................. 4

Description of Controls and Indicators ....................................................................... 5

Connector Panel ........................................................................................................ 6

Preparation ......................................................................................................................

Manual Measurement ..................................................................................................... 8

Chapter 2 Computer Connected Mode ........................................................................... 20

The PC-Display Screen ................................................................................................. 20

Pulse Rate Display .................................................................................................. 23

Blood Pressure Display ............................................................................................ 23

Status Display .......................................................................................................... 24

Cuff Pressure Waveform Display ............................................................................. 25

Oscillometric Waveform Display .............................................................................. 25

Controlling Measurements with PC-Display .................................................................. 26

Controlling Measurements from the BP-AccuGard ....................................................... 32

Recording Measurements ............................................................................................. 35

Chapter 3 Configuration Options .................................................................................... 36

Device Configuration ..................................................................................................... 36

PC-Display Configuration .............................................................................................. 42

Chapter 4 Service and Maintenance .............................................................................. 48

Service and Support ...................................................................................................... 48

Cleaning and Maintenance............................................................................................ 49

Cleaning ................................................................................................................... 49

Maintenance ............................................................................................................ 49

Charging the Battery ................................................................................................ 49

Device Error Messages ................................................................................................. 49

Troubleshooting Guide .................................................................................................. 52

Appendix A Limited Warranty ......................................................................................... 53

Appendix B Accessories and Replacement Parts ........................................................... 56

3

Chapter 1 Description an Stan -Alone Mo e

The BP-AccuGard is a digital oscillometric blood pressure monitor optimized for

small animals. Oscillometric devices measure the oscillation of the vessel wall as

the cuff deflates. The BP-AccuGard uses sophisticated algorithms to calculate the

blood pressure measurements from these oscillations based on the pressure in the

cuff. While all oscillometric devices have limitations especially with patient

movement and the relatively small size of arteries in small animals the BP-

AccuGard software is successful in significantly reducing motion artifacts resulting

in faster more accurate measurements. Accurate measurements are possible on

patients under anesthesia as small as 1.5 kg. Measurements are displayed on the

device or on a computer screen when used in conjunction with Bluetooth hardware

and PC-Display software.

Monitor Description

The BP-AccuGard is a small, table-top device powered by a rechargeable LI-ion

battery with built-in digital display. An optional Bluetooth configuration is available

for wireless connection to a Windows computer for the real-time display of pressure

waveforms and digital measurements.

The BP-AccuGard includes manual and automatic modes for diagnostic and surgical

applications. In manual mode, measurements take place when initiated by the

operator as desired. Automatic mode allows repeat measurements taken at user-

defined intervals. Motion tolerant software reduces the computational time for

awake animals without compromising accuracy.

Use the BP-AccuGard as a stand-alone blood pressure monitor or use the optional

PC-Display software and Bluetooth wireless link to display measurements, real-time

blood pressure waveforms and a trend graph on your computer screen. PC-Display

software can store the measurements for the surgical or diagnostic record and these

files can be attached to patient records in most practice management programs.

Chapter

1

4

Print reports using your computer or network printer or automatically attached to an

E-mail message.

Included with the BP-AccuGard is a power supply cord for recharging the internal

battery, an airway hose and a set of six cuffs.

Stan -Alone Mo e

The BP-AccuGard can be used as a “standalone” monitor where blood pressure

measurements are performed on the patient without any computer interaction.

Chapter 1 will describe this mode of operation and describe the steps necessary to

perform such measurements

.

Device Interface

The description the user interface, controls and indicators are described.

Top Panel

The top panel includes the character display, indicator and the keypad as shown

below.

Figure Top panel with display, indicator lights and keypad

5

Description of Controls an In icators

In icator Lights (LEDs)



COMPUTER

The computer LED will only be functional on units with the

Bluetooth option installed. When power is applied, the computer

LED will first turn red and then after a moment turn amber (also

described as orange or yellow). The amber color indicates that the

BP-AccuGard is in its Bluetooth standby state, waiting for a

computer connection. Once the wireless connection is made the

LED will begin flashing green.



CHARGE

The CHARGE LED illuminates only when the power supply cord is

plugged into the remote. The LED will be amber when the battery

is charging and green when the battery is fully charged.

 ALARM ON/OFF

The ALARM ON/OFF LED and its corresponding button are not

functional when the remote is connected to a computer. In

stand-alone mode, this LED illuminates when the unit’s alarm

tone is enabled.

Display (Also LCD Display)

The 6 digit, 2-line digital display near the middle of the top panel shows the various

options, commands and measurements for the device. The bottom row of the

display often shows the various commands available using the three corresponding

“soft keys” beneath the display.

Keypa Buttons



SELECTION KEYS

The three blank buttons beneath the Display correspond directly

to each of the different command options shown on the bottom

line of the display. These buttons are referred to as “keys” in this

manual. The left, middle and right keys relate to the command

option shown directly above each key on the bottom line of the

Display.

6



ALARM

The yellow “Silence Alarms” button with an image of a speaker

enables and disables the alarm audio. Pressing this button will

toggle this alarm on and off.

NOTE: Alarms must be enabled in

the configuration menu to be operative



POWER

Press and immediately release the power button to turn the BP-

AccuGard on. Press and hold this button down to turn the device

off. If the BP-AccuGard is equipped with Bluetooth, turning the

device on will also power up Bluetooth.

Connector Panel

The connector panel includes the battery charge port and the blood pressure hose

receptacle as shown below.

Figure 2 Connector panel



CHARGE

Plug the power supply/battery charge adapter in to charge the

battery.

CAUTION: Use the power supply adapter provided with

the BP-AccuGard ONLY Use of any other power supply adapter

could damage the unit and void the warranty



AIRLINE

Connect the blood pressure airline to this receptacle. Use the

proper end of the airline and screw in securely.



ID NO

The number beneath the device Serial number identifies the

unique BP-AccuGard that will link wirelessly to your computer.

See the PC-Display User’s Manual for more details.

7

Preparation

Figure 3 Connecting airline to monitor

.

Connect the airline to the monitor and to a cuff of appropriate size for the

patient by screwing the correct end of the airline onto the cuff receptacle.

Figure 4 Connecting cuff to airline

2.

Wrap the cuff around the leg or base of tail so that the artery reference mark

on the cuff is over the vessel and fits within the range marks on the cuff. The

cuff should not be loose around the patient. Select a different cuff when the

artery line does not fall within the range marks.

8

Figure 5 Reference mark should fall within range Figure 6 Cuff is too small

Manual Measurement

Use the manual measurement feature for exam room screening and spot-checking

blood pressure. Initiate measurements manually by pressing the “MAN” soft key

from the “Home” screen as shown below. A repeat option will appear at the

completion of each measurement. Press the corresponding key under “Repeat” to

take another measurement on the same patient.

Turn on the BP-AccuGard by pressing and immediately releasing the red power

button on the keypad. Do not hold the button down unless you wish to turn the

device off.

Press the “Man” key to enter the manual mode of operation:

S

e

l

e

c

t

M

o

d

e

M

a

n

C

o

n

f

i g

A

u

t

o

9

The screen below will appear for less than a second,

M

a

n

u

a

l

M

o

d

e

S

e

l

e

c

t e

d

The following message will appear.

C

u

f

y

U

p

D

o

w

n

O

K

Cuff size “yyyyyyyyyyy” can be:

Adult

Child / # 8

# 5-7

# 4

# 3

# 2

#

Press the appropriate key to move up and down the selections to highlight the

correct cuff size.

Press the “OK” key to save the selection and start the initial measurement as

shown below.

NOTE: A brief tone will sound to alert the user to a new

measurement In the event of a measurement error, an error message screen

will appear (See Error screens in the Service and Maintenance section)

10

S Y

S

x

D

I

A

x

M

A

P

x

H

R

x

The

The display will show the text above then cycle to the text below;

back to the text above and so on, until any key is pressed.

S Y

S

x

D

I A

x

M

e

a

n

R

e

p

e

a

t

E

x

i

t

NOTE: “Mean” option will not appear after only one measurement

since the average value with one sample is not meaningful

EXIT Key

Pressing the “Exit” key returns the device to the home screen.

S

e

l

e

c

t

M

o

d

e

M

a

n

C

o

n

f

i g

A

u

t

o

REPEAT Key

11

Pressing the “Repeat” key causes the device to repeat another measurement

with the existing cuff selection.

NOTE: Should more than 10 repeat

measurements be attempted, the device will display the following message

for 1 5 seconds, then return to the previous screen

M

a

x

1

0

B

P

m

e

a

s

.

When fewer than 0 measurements are recorded, the following

message will appear for over a second:

M

e

a

s

u

r

e

m

e

n

t

x

NOTE: “xx” refers to the number of measurements previously taken each

time the “Repeat” key is pressed This cycle counter resets upon starting a

new measurement from the home screen with the “Man”or “Auto” keys

Then the measurement cycle will begin again as described above

M

e

a

s

u

r

i n

g

. .

. S

Y

S

T

O

P

(

NOTE: The top line of the display will scroll the text "Measuring SYS:xx

DIA:xx MAP:xx HR:xx " showing up to the last three previous

12

measurements for systolic, diastolic, MAP and heart rate as they become

available The earliest measurement is shown first followed by

subsequent measurements separated by commas as follows: "Measuring

SYS:xx,yy,zz A:xx,yy,zz MAP:xx,yy,zz HR:xx,yy,zz ") where xx are the

earliest recorded values and zz the latest values

MEAN Key

Pressing the “Mean” key will calculate the mean of all recorded measurements

NOTE: If the measurement counter is too small to perform the mean

calculation per the device’s mean calculation configuration, the following

message will appear for over a second:

O

n

l

y

x

B

P

m

e

a

s

.

U

s i

n

g

a

l l

m

e

a

s

.

13

Otherwise, the screen below will be displayed:

S Y

S

x

D

I A

x

M

A

P

x

H

R

x

The device will display the text above for 2 seconds; then switch to the text

below for 2 seconds, then cycle back to the text above and so on, until any key

is pressed

M

e

a

n

B

P

o

f

x

E

x

i t

Note: If an error occurs and no actual measurement is taken; the

BP numbers “xxx” will read “---“

Pressing the “Exit” key returns the device to the home screen.

S

e

l

e

c

t

M

o

d

e

M

a

n

C

o

n

f

i g

A

u

t

o

14

Automatic Measurement Mo e

The automatic measurement mode is very similar to the manual mode Press

the “Auto” key to enter this mode.

S

e

l

e

c

t

M

o

d

e

M

a

n

C

o

n

f

i g

A

u

t

o

The following message will appear for less than a second:

A

u

t

o

m

a

t

i

c

M

o

d

e

S

e

l

e

c

t e

d

Then the following message will be displayed:

C

u

f

y

U

p

D

o

w

n

O

K

15

Cuff size “yyyyyyyyyyy” can be:

Adult

Child / # 8

# 5

-

7

# 4

# 3

# 2

#

Press the “Up” or “Down” key to scroll to the desired cuff size, then press the

“OK” key to save the selection in the temporary memory file for this series of

measurements.

Next, select the interval between measurements as below:

I n

t

e

r

v

a

l x

x

m

i n

.

U

p

D

o

w

n

O

K

Interval “xx” can be:

30 sec.

min.

3 min.

5 min.

0 min.

5 min

30 min.

60 min.

Press the up or down key to select the desired interval, then press the “OK”

key to save the selection.

16

This will start the automatic sequence.

NOTE: The dots [ ] following the

word MEASURING indicate the first measurement cycle is in progress

M

e

a

s

u

r

i n

g

. .

. . . . .

S

T

O

P

Pressing the “STOP” key to instantly abort the measurement and deflate the

cuff. The following text will appear when the “Stop” key is depressed:

D e

f

l a t i n

g C

u

f f

T

he display will default to the home screen after the cuff deflates:

S

e

l

e c t M

o

d

e

M

a n

C

o

n

f i g

A

u

t

o

17

The measurement will continue if not stopped. A brief tone will sound

signaling the start of a new measurement and the screen below will appear

when the measurement is calculated.

NOTE: In the event of a measurement

error, an error message screen will appear (See Error screens

)

S Y

S

x

D

I

A

x

M

A

P

x

H

R

x

S

Y

S

x

D

I A

x

N

e

x

t

B

P

i n

X

:

Y

NOTE: The display will show the text above counting elapsed time

“xx:yy” to the next cycle and then switch to the text below , then cycle

back to the text at the top of the page and so on until any key is pressed

S

Y

S

x

D

I

A

x

S

T

A

T

H

I S

T

S

T

O

P

Note: If an error occurs and no actual measurement is taken, the BP numbers

“xxx” will read “---“

18

STAT Key

Press the “STAT” key under the display on the previous page to start an

instant measurement cycle at anytime during the “Auto” sequence without

effecting the automatic measurement and the screen below will appear.

NOTE: The top line of the display will scroll the text "Measuring SYS:xx

DIA:xx MAP:xx HR:xx " showing up to the last three previous

measurements for systolic, diastolic, MAP and heart rate as they become

available The earliest measurement is shown first followed by subsequent

measurements separated by commas as follows: "Measuring SYS:xx,yy,zz

A:xx,yy,zz MAP:xx,yy,zz HR:xx,yy,zz " where xx are the earliest recorded

values and zz the latest values

M

e

a

s

u

r

i n

g

. .

. S

Y

S

T

O

P

The next automatic measurement cycle will begin when the interval time has

expired. As before, pressing the “STOP” key interrupts the `measurement

cycle and instantly deflates the cuff

19

HIST Key

Press the “HIST” key to display the history of previous measurements

beginning with the display of systolic and diastolic for 5 seconds, the earliest

first, followed by the latest as shown below.

NOTE: Values of zero will

display as “---“

S

Y

S

x

D

I A

x

After 5 seconds, the display above will alternate with MAP and heart rate as

shown below:

M

A

P

x

H

R

x

Following this screen the display will return to its previous operation.

20

Chapter 2 Computer Connecte Mo e

The Computer-Connected mode allows the user to display digital measurements

and pressure waveforms on the computer screen while displaying measurements

only on the device’s display. The computer will display both cuff pressure and

oscillometric waveforms. Waveforms are useful in determining if patient

movement is affecting the measurements. Digital measurements are stored to file

in table format on the computer.

NOTE: Refer to the PC-Display User’s Manual for

instructions on how to set up Bluetooth and PC-Display software

The PC-Display Screen

When the BP-AccuGard is used in conjunction with a computer, the PC-Display

software provided with each wireless monitor is the Windows program used. PC-

Display software automatically detects the particular device used. When connected

to a BP-AccuGard, the screen changes to accommodate blood pressure information

as shown below.

NOTE: Some icons on the PC-Display Toolbar are grayed out since

they do not apply to the BP-AccuGard

Chapter

2

Toolbar

Pulse Rate

BP and

Alarms

Connection

Status

Cuff Pressure

Waveform

Oscillometric

Waveform

21

Toolbar

The PC-Display Toolbar provides quick access to many of the commonly used

functions. Each button on the Toolbar uses an icon to represent the function for

which it is used. In most cases, these button needs only a single left mouse click to

activate. Some buttons allow functions to be clicked on and off. The table below

describes the icons used with the BP-AccuGard. More information about all of the

configuration options appears in the PC-Display manual.

The Grid Enable button is a toggle button that will overlay a

wire-frame grid over both the cuff pressure waveform and

oscillometric waveform. The height of each rectangle within

the grid is directly associated with the pressure marker at the

bottom left of each waveform window.

The Current Configuration button allows quick access to the

configuration of the current session. Any values that are

modified here will return to the default values upon exiting PC-

Display.

The Silence Alarms button is a toggle button. The default

setting is “enabled”, meaning that any tripped alarm will sound

the alarm tone. When disabled the alarm sound will cease

regardless of how many parameters are out of range.

The Monitor Alarms button is also a toggle button that is

enabled by factory default. When enabled, the default alarm

limits beside each measurement are displayed and a recorded

alarm event and audible alarm tone, if enabled. However,

even if those options are still enabled they will not happen if

the Monitor Alarms button is disabled.

The Trend Graph button, when clicked, will open the Trend

Graph window. For the BP-AccuGard, pulse rate and the Mean

Arterial Pressure trend curves are displayed. See the PC-

Display manual for more information about the Trend Graph

window.

The Record Episode button is a toggle button enabled by

factory default. When enabled, this button will record a

patient episode file. Parameters will not be recorded when

disabled unless the Print function is selected. See the end of

this chapter for more details.

22

The Patient Information button allows the user to change the

patient information for the current recording session. This

window also appears during initial connection.

The Review Episode button allows the user to open any of the

patient episode files recorded in the current session directly

into the reviewing software. See the end of this chapter for

more details.

The Stop/Start button is a toggle button that by default is set

to Start (play). Pressing this button will stop the waveforms on

the screen for easier viewing. Clicking the button again will

restart the trace. Measurements and data collection and

recording is not affected.

The BP Measurement button is a toggle button that is “OFF” by

default. Once enabled, the automatic measurement process

will begin provided a cuff size is selected.

The Marker button

marks the trace and automatically logs

vital signs for the event (“marker event”) if an episode is being

recorded.

The Info button opens a screen with o version information for

PC-Display as well as any connected wireless remote. This

button may only be necessary when speaking to a support

representative.

NOTE: Some Toolbar icons with toggle functionality have either a green

check mark or a red ‘x’ at the base of the icon as shown below Button has

a 3D appearance when enabled

Figure 7 Alarm audio enabled and disabled

23

Pulse Rate Display

The Pulse Rate Box shows a large number associated with the calculated average

pulse rate for the last measurement (in beats per minute). To the right of this

number are two smaller numbers corresponding to the upper and lower alarm limits

that have been set for this parameter

.

If the alarm limit Pulse Rate exceeds either of these values, an alarm event is

triggered, a red box will appear around the parameter and an alarm audio will sound

(if alarm audio is enabled). The preset alarm limits will not appear if the Monitor

Alarms button on the Toolbar is disabled. The bell in the upper right corner of the

display will have a green check mark if the Monitor Alarms button is enabled or a red

‘x’ if disabled.

Bloo Pressure Display

Calculated Average

Pulse Rate

Upper Alarm Limit

Lower Alarm Limit

Alarm Status Icon

Upper Alarm Limit

Exceeded

Measured Systolic Value

Measured Diastolic Value

Measured Mean Arterial

Pressure Value

Upper Alarm Limit

Lower Alarm Limit

Measurement Status Icon

Selected Cuff Size

24

The Display shows the last measurements for systolic (Sys), diastolic (Dia) and MAP.

The preset upper and lower alarm limits appear in smaller characters to the right of

each measurement. Like the Pulse Rate Display, pressure alarm limits are highlighted

with a red box when the alarm limit is exceeded.

The title bar for this Display contains the cuff size currently selected or the default

cuff size (#3) if not selected. The top right of this Display shows the measurement

status icon. This icon will start as a large red ‘X’ to denote that the blood pressure

measurement is disabled. When a measurement begins, this icon will change to

several concentric circles moving in and out to denote that a measurement is in

progress. Once the measurement is complete, the icon will change to a stopwatch to

denote that it is in the preset interval between measurements until the next

automatic measurement occurs.

BP measurement disabled BP measurement in progress BP measurement pending

Status Display

The Status Box shows various parameters related to the current monitoring session.

The title bar shows both the current date and time. The selected species for the

patient being monitored is displayed below the date. The battery life icon,

representing BP-AccuGard battery life remaining in increments of 25%, appears at

the top right. If recording, the Status Box will show the elapsed time since the

recording began. Beneath this is the end of the file name for this recorded episode.

Current Date/Time

Selected Species

Remote Battery Level

Recording Elapsed Time

and File Name

25

Cuff Pressure Waveform Display

The Cuff Pressure Waveform Display displays a continuous graph of the cuff pressure

in mmHg. This waveform will repeat continuously as long as the BP-AccuGard is

wirelessly connected to PC-Display.

The Pressure Reference Marker indicates the vertical scale of the waveform area and

corresponds to the height of each of the grid rectangles when the grid is enabled. A

time reference scale (Seconds Reference Marker), in seconds, is displayed on the

lower edge of this display.

Oscillometric Waveform Display

Cuff Pressure

Waveform

Pressure Reference

Marker Seconds Reference Marker

Oscillometric Waveform

Pressure Reference

Marker

Seconds Reference

Marker

26

The Oscillometric Waveform Display shows a continuous graph of the oscillometric

pressure pulses of the patient’s blood vessel wall. This waveform will repeat

continuously as long as the BP-AccuGard is wirelessly connected to PC-Display.

The Pressure Reference Marker indicates the vertical scale of the waveform area and

corresponds to the height of each of the grid rectangles when the grid is enabled. A

time reference scale (Seconds Reference Marker), in seconds, is displayed on the

lower edge of this display.

The oscillometric waveform is helpful for visualizing the measurement process and

can indicate patient movement if drastic spikes are seen instead of a gradual rise and

fall of the pulse heights.

Controlling Measurements with PC-Display

NOTE: This section assumes that you have already performed the necessary Vmed

software installation and Bluetooth pairing procedures listed in the PC-Display

User’s Manual If you have not done this, please do so before proceeding.

The BP-AccuGard can perform a blood pressure measurement while connected to

PC-Display with the user controlling this process from the computer itself or from the

BP-AccuGard remote. The following steps will demonstrate how to connect to a BP-

AccuGard remote with the PC-Display software and then perform a blood pressure

measurement from the PC-Display software.

.

Press and release the BP-AccuGard power switch after the completing the

Bluetooth discovery procedure.

NOTE: Each device must be discovered once

for each computer used

The “COMPUTER” light on the BP-AccuGard will turn

red and then yellow.

2.

Double-click the PC-Display icon on the desktop to open the window below:

27

Figure 8 Connection window showing device ID number

Select the device you wish to use in the drop-down window and click “Connect”.

NOTE: If you have discovered multiple wireless monitors, the device last discovered

or connected to your computer will appear in the text box in the above window

Press the “down” arrow to view the other discovered devices and highlight the one

you want to use before connecting

3.

After selecting the desired ID Number from the list, press the “Connect”

button to connect to the device as shown below.

28

Wireless connection is confirmed when the “Computer” light on the device

flashes green and there are lines traversing the screen in both the “Cuff” and

“Oscillometric” waveform windows on the computer display. In addition, the

BP-AccuGard will display the following:

S

e

l

e

c

t

M

o

d

e

M

a

n

C

o

n

f

I

g

A

u

t

o

Next, connect the blood pressure hose to the rear of the BP-AccuGard by

twisting its connector onto the BP-AccuGard “AIRLINE” receptacle

.

Figure 9 Connecting airline to monitor

29

4.

Connect the blood pressure airline to a cuff of appropriate size for the patient

by twisting the hose connector onto the cuff connector.

Figure 0 Connecting cuff to airline

5.

Wrap the cuff around the leg or base of tail so that artery reference mark on

the cuff is over the vessel and falls within the range marks on the cuff when

wrapped around the limb. The cuff should not be loose around the patient. If

the artery line does not fall within the range marks, select a proper size cuff.

Figure Cuff size in range Figure 2 Cuff size too small

30

6.

After correctly fitting the cuff to the patient, click the “BP” icon on the PC-

Display Toolbar.

7.

The menu below will appear. Select the correct cuff size from this drop-down

box and then click the OK button.

8.

The blood pressure measurement will immediately begin and the animated

circular measurement status icon will appear in the Blood Pressure Display.

9.

To stop the measurement simply click on the same BP icon on the toolbar and

this will deflate the cuff immediately.

31

0.

During the measurement, the top waveform will display the cuff pressure (in

mmHg); bottom waveform will display the oscillometric pressure (in smaller

increments of mmHg). If there is no patient movement, the oscillometric

waveform will look like a series of pulses as shown below.

.

The default interval between measurements as set in PC-Display Configuration

is five minutes. During the interval between measurements, the status icon in

the Blood Pressure Display will change to an animated stopwatch icon and the

last measured values (including pulse rate) will remain in their designated

areas.

32

If you wish to change the interval between measurements, you may do so by

selecting the icon on the PC-Display toolbar and selecting the menu

show below.

NOTE: Selections will return to those set in the PC-Display

Configuration upon conclusion of the monitoring episode

Figure 3 Window to change settings for a particular patient

Controlling Measurements from the BP-AccuGar

While connected to the compute settings and measurements can be controlled from

the computer, as previously described. To also control from the BP-AccuGard, follow

these steps:

Perform steps -7 above in order to prepare the BP-AccuGard with the patient and

with PC-Display.

33

. Once you have connected the BP-AccuGard remote to PC-Display, the screen

below will appear on the unit’s display. Press the button below “BP” on the

screen.

P

C

o

n

e

c

t

e

d

M

e

n

u

R

e

c

o

r

d

B

P

2. The text on the screen will change as shown below:

P

C

o

n

e

c

t

e

d

U

p

D

o

w

n

O

K

The menu below will appear on the computer screen.

34

3. Use the soft key beneath either “Up” or “Down” on the screen to select the

desired cuff size from the pop-up menu in PC-Display.

After selecting cuff, press the soft key beneath “OK”.

P

C

o

n

e

c

t

e

d

U

p

D

o

w

n

O

K

4. The measurement cycle will begin and the LCD screen will change to the

following text:

M

e

a

s

u

r

i

n

g

.

S

T

O

P

5. At any time during the measurement, you can stop the measurement by

pressing the soft key beneath the word “STOP” and the cuff will deflate.

However, if allowed to complete, then PC-Display will show the measurements

on your computer screen. The BP-AccuGard remote will display the

measurements on its screen as shown below:

S

x

D

I

A

x

M

A

P

x

H

R

x

“Xxx” refers to the specific measurement. The text above will alternate with

the following until the next measurement begins.

P

C

o

n

e

c

t

e

d

M

e

n

u

R

e

c

o

r

d

B

P

The BP-AccuGard and PC-Display will continue to make blood pressure

measurements until stopped – either at the remote or from the PC- Display

screen.

35

Recor ing Measurements

One of the main reasons for using PC-Display with the BP-AccuGard is its ability to

record blood pressure measurements. Recorded data is put into a file known as a

patient episode

. Each patient episode can include the patient’s name, the client’s

name and other information pertinent to the patient, including species, breed,

weight and birth date as well as various measured vital signs data from the BP-

AccuGard.

With "AutoSave" enabled patient episode recording will begin by default each time

the BP-AccuGard is connected to PC-Display. While other Vmed wireless monitors

will record waveforms, PC-Display with the BP-AccuGard will only record vital signs in

tabular form. Pressure waveforms are not recorded. In addition to saving

measurements automatically at the interval selected (see Chapter 3), PC-Display will

also record vital signs when an alarm is triggered or if the Marker button is pressed.

The result is a table of blood pressure measurements for the entire monitoring

episode.

Refer to the PC-Display manual for more detail about recording episodes and how to

open recorded episodes with the Reviewer software.

36

Chapter 3 Configuration Options

The BP-AccuGard has several preset values including alarm limits that affect its use.

Configure settings within the device itself if used in stand-alone mode or use the

PC-Display Configuration Settings screen under the “Tools” selection when the

computer connection is used. This chapter will describe how to configure both.

Device Configuration

Perform the device configuration using the LCD screen and soft keys. Use the

following steps to view the current configuration and make changes on the device

itself.

. Turn on the BP-AccuGard by pressing and immediately releasing the red power

button on the keypad of the BP-AccuGard. Do not hold this button down

unless you wish to turn the device off.

2. The following screen will appear for 3 seconds:

V

m

e

d

T

e

c

h

n

o

l

o

g

y

,

I

n

c

.

(

c

)

2

0

1

0

3.

Then the screen will show this text for 5 seconds

:

B

P

-

A

c

u

G

a

r

d

w

i

t

h

B

l

u

e

t

o

t

h

NOTE: The bottom row will be blank if you unit is not equipped with

Bluetooth

Chapter

3

37

4. Finally, the screen below showing the “home” text will appear. Use the blue

buttons beneath the screen to select the option immediately above each one.

S

e

l

e

c

t

M

o

d

e

M

a

n

C

o

n

f

i

g

A

u

t

o

5. Select the button beneath “Config” to open the configuration sub-menu.

S

e

l

e

c

t

M

o

d

e

M

a

n

C

o

n

f

i

g

A

u

t

o

6.

The following screen will appear

:

z

E

d

i

t

N

e

x

t

D

o

n

e

Where “zzzzzzzzzzz” (above) represents one of the following

configuration items and xxx (below) represents the current value for

that item:

Initial mmHg xxx

Contrast xxx %

Backlight xxx %

Key Clicks xxx

Alarm SYS Hi xxx

SYS Hi Limit xxx

Alarm SYS Lo xxx

SYS Lo Limit xxx

Alarm DIA Hi xxx

DIA Hi Limit xxx

Alarm DIA Lo xxx

DIA Lo Limit xxx

Alarm MAP Hi xxx

MAP Hi Limit xxx

Alarm MAP Lo xxx

MAP Lo Limit xxx

Averaging Mo e

Battery Level

Device Status

38

7. Press the soft key beneath “Next” in order to cycle through each of the items

in the list above.

I

n

i

t

i

a

l

m

H

g

1

6

0

E

d

i

t

N

e

x

t

D

o

n

e

8. When you have chosen a configuration item to edit, press the soft key beneath

“Edit”.

K

e

y

C

l

i

c

k

s

O

N

E

d

i

t

N

e

x

t

D

o

n

e

9. Some items, like “Key Clicks”, have only two states, "ON" and "OFF" and one

button toggles between the two states.

K

e

y

C

l

i

c

k

s

O

N

O

n

/

O

f

O

K

Otherwise, an adjustment option will appear as below:

B

a

c

k

l

i

g

h

t

7

5

%

U

p

D

o

w

n

O

K

0. After editing the given configuration as desired, press the soft key beneath

“OK” to accept it and return to the previous menu.

39

B

a

c

k

l

i

g

h

t

9

0

%

U

p

D

o

w

n

O

K

. Repeat these steps for the other configuration items.

Configuration Options an what they mean



Initial mmHg xxx

This value, in mmHg, is the initial cuff inflation pressure for each measurement

before the device begins is controlled deflation cycle. Typically, this is set at

about 30 mmHg over the expected systolic blood pressure. If the cuff inflates

twice at the beginning of each measurement, set the value a bit higher.

WARNING: Do not set it too high since this could be harmful to the patient

The available range is 60 mmHg to 280 mmHg DEFAULT VALUE: 160



Contrast xxx %

The contrast, given in percent, is how much visual contrast is shown on the

screen. The available range is 0% to 00% in increments of 5%.

DEFAULT

VALUE: 50



Backlight xxx %

The backlight, given in percent determines screen brightness. The available

range is 0% to 00% in increments of 5%. Please note that battery life

between charges will decrease with higher backlight settings.

DEFAULT

VALUE: 75



Key Clicks xxx

When the “Key Clicks” option is set to “ON”, a very short beep or click will

sound.

DEFAULT VALUE: ON



Alarm SYS Hi xxx

The “Alarm SYS Hi” setting is a toggle to turn the Systolic High alarm “ON” or

“OFF”. If set to “ON”, the alarm is active and the pressure value set in the “SYS

Hi Limit” option will be displayed. The available range for systolic high limits is

Vmed Technology BP-AccuGard User manual

Popular Blood Pressure Monitor manuals by other brands