Safety considerations, Cuff and hose safety, General nibp safety – ZOLL R Series Monitor Defibrillator Rev A NIBP User Manual
9650-0914-01 Rev. A
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
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
Check patient regularly for signs of skin irritation or impaired circulation in the monitored
Do not use the NIBP option on a patient when the R Series unit is connected to an ECG
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 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.
Do not use damaged cuffs, hoses, or connectors.
Ensure proper cuff selection and placement to avoid inaccurate measurements or patient
Position the cuff so it is level with the heart during measurement.
Do not attach the cuff to a limb being used for IV infusion or SpO
inflation might block the infusion, causing harm to the patient or inaccurate SpO
Do not repeat NIBP measurements (particularly STAT measurements) at intervals less than
3-5 minutes over an extended period of time. Rapidly repeating measurement can impair
circulation in the monitored limb.
Do not sterilize or immerse the cuffs or hoses.