R SERIES — NON-INVASIVE BLOOD PRESSURE (NIBP) OPTION INSERT
2 www.zoll.com 9650-0914-01 Rev. C
Safety Considerations
General NIBP Safety
• Read the R Series Operator’s Guide and this manual insert before use.
• Ensure that the R Series NIBP option is operated by qualified personnel only.
• Consult a physician for the proper interpretation of pressure measurements.
• Do not use on patients known to be susceptible to bruising.
• Use caution when using on elderly hypertensive patients, as such patients may be more
susceptible to bruising.
• Route patient hoses carefully to avoid patient entanglement, strangulation or compression of
hose.
• Do not select a cuff inflation pressure that exceeds the patient’s expected systolic pressure
by more than 30-40 mmHg (4.0-5.3 kPa). The factory-installed default adult cuff inflation
pressure is 160 mmHg (21.3 kPa) for adult patients, 120 mmHg (16.0 kPa) for pediatric
patients, and 90 mmHg (12.0 kPa) for neonatal patients.
• Keep patient, hose and cuff as still as possible during measurement. Patient movement or
vibrations from outside sources, particularly moving vehicles, can degrade measurement
accuracy.
• Check patient regularly for signs of skin irritation or impaired circulation in the monitored
limb.
• Do not use the NIBP option on a patient when the R Series unit is connected to an ECG
simulator.
• If an alarm occurs while the audible alarm indicators are disabled, alarms do not sound;
rather only the visual alarm indicators are displayed.
• If the accuracy of measurements is suspect, first check the patient's vital signs by alternate
means. Then check the cuff, hose and R Series NIBP option for proper functioning.
• The cuff, hose, and fitting are defibrillation-protected. Using the NIBP option introduces no
risk for shock due to defibrillation. The cuff and hose are non-conductive. Using the NIBP
option introduces no risk for burns due to electrosurgery.
• Cuff safety and effectiveness have not been proven on pregnant women.
• Do not attach the cuff to a limb being used for IV infusions or any other intravascular
access, therapy or an arterio-venous (AV) shunt.The cuff inflation can temporarily block
blood flow, potentially causing harm to the patient.
• Applying the cuff over a wound can cause further injury.
• For patients that have had a mastectomy, cuff should be applied to opposite arm.
• Blood pressure measurements can be affected by the position of the patient, physiologic
condition, activity level, improper cuff size/application, environment and use outside of the
operating instructions detailed in this manual.
• The NIBP module may not operate correctly if used or stored outside the relevant
temperature or humidity ranges described in the specifications on page 28.
Cuff and Hose Safety
• Only use cuffs, hoses, and connectors supplied or specified by ZOLL.
• Ensure that the hose is not kinked or obstructed before taking measurement.
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