Fluke Biomedical Cufflink User Manual

CuffLink NIBP Analyzer
Operators Manual
PN 2242915
December 2007, Rev. 1, 9/09
© 2007, 2009 Fluke Corporation, All rights reserved. Printed in USA. Specifications subject to change without notice.
All product names are trademarks of their respective companies.
Warranty and Product Support
Fluke Biomedical warrants this instrument against defects in materials and workmanship
for one year from the date of original purchase. During the warranty period, we will
repair or at our option replace, at no charge, a product that proves to be defective,
provided you return the product, shipping prepaid, to Fluke Biomedical. This warranty
covers the original purchaser only and is not transferable. The warranty does not apply if
the product has been damaged by accident or misuse or has been serviced or modified by
anyone other than an authorized Fluke Biomedical service facility. NO OTHER
WARRANTIES, SUCH AS FITNESS FOR A PARTICULAR PURPOSE, ARE
EXPRESSED OR IMPLIED. FLUKE SHALL NOT BE LIABLE FOR ANY SPECIAL,
INDIRECT, INCIDENTAL OR CONSEQUENTIAL DAMAGES OR LOSSES,
INCLUDING LOSS OF DATA, ARISING FROM ANY CAUSE OR THEORY.
This warranty covers only serialized products and their accessory items that bear a
distinct serial number tag. Recalibration of instruments is not covered under the warranty
This warranty gives you specific legal rights and you may also have other rights that vary
in different jurisdictions. Since some jurisdictions do not allow the exclusion or limitation
of an implied warranty or of incidental or consequential damages, this limitation of
liability may not apply to you. If any provision of this warranty is held invalid or
unenforceable by a court or other decision-maker of competent jurisdiction, such holding
will not affect the validity or enforceability of any other provision.
07/07
Notices
All Rights Reserved

© Copyright 2007, Fluke Biomedical. No part of this publication may be reproduced, transmitted, transcribed, stored in a retrieval
system, or translated into any language without the written permission of Fluke Biomedical.
Copyright Release
Fluke Biomedical agrees to a limited copyright release that allows you to reproduce manuals and other printed materials for use in
service training programs and other technical publications. If you would like other reproductions or distributions, submit a written
request to Fluke Biomedical.
Unpacking and Inspection

Follow standard receiving practices upon receipt of the instrument. Check the shipping carton for damage. If damage is found, stop
unpacking the instrument. Notify the carrier and ask for an agent to be present while the instrument is unpacked. There are no special
unpacking instructions, but be careful not to damage the instrument when unpacking it. Inspect the instrument for physical damage such
as bent or broken parts, dents, or scratches.
Technical Support
For application support or answers to technical questions, either email techservices@flukebiomedical.com or call 1-800- 648-7952 or
1-425-446-6945.
Claims
Our routine method of shipment is via common carrier, FOB origin. Upon delivery, if physical damage is found, retain all packing
materials in their original condition and contact the carrier immediately to file a claim. If the instrument is delivered in good physical
condition but does not operate within specifications, or if there are any other problems not caused by shipping damage, please contact
Fluke Biomedical or your local sales representative.
Standard Terms and Conditions

Refunds and Credits
Please note that only serialized products and their accessory items (i.e., products and items bearing a distinct serial number
tag) are eligible for partial refund and/or credit. Nonserialized parts and accessory items (e.g., cables, carrying cases,
auxiliary modules, etc.) are not eligible for return or refund. Only products returned within 90 days from the date of original
purchase are eligible for refund/credit. In order to receive a partial refund/credit of a product purchase price on a serialized product, the
product must not have been damaged by the customer or by the carrier chosen by the customer to return the goods, and the product
must be returned complete (meaning with all manuals, cables, accessories, etc.) and in “as new” and resalable condition. Products not
returned within 90 days of purchase, or products which are not in “as new” and resalable condition, are not eligible for credit return and
will be returned to the customer. The Return Procedure (see below) must be followed to assure prompt refund/credit.
Restocking Charges
Products returned within 30 days of original purchase are subject to a minimum restocking fee of 15 %. Products returned in excess of
30 days after purchase, but prior to 90 days, are subject to a minimum restocking fee of 20 %. Additional charges for damage and/or
missing parts and accessories will be applied to all returns.
Return Procedure
All items being returned (including all warranty-claim shipments) must be sent freight-prepaid to our factory location. When you return
an instrument to Fluke Biomedical, we recommend using United Parcel Service, Federal Express, or Air Parcel Post. We also
recommend that you insure your shipment for its actual replacement cost. Fluke Biomedical will not be responsible for lost shipments
or instruments that are received in damaged condition due to improper packaging or handling.
Use the original carton and packaging material for shipment. If they are not available, we recommend the following guide for
repackaging:
Use a double-walled carton of sufficient strength for the weight being shipped.
Use heavy paper or cardboard to protect all instrument surfaces. Use nonabrasive material around all projecting parts.
Use at least four inches of tightly packed, industry-approved, shock-absorbent material around the instrument.
Returns for partial refund/credit:

Every product returned for refund/credit must be accompanied by a Return Material Authorization (RMA) number, obtained from our
Order Entry Group at 1-800-648-7952 or 1-425-446-6945.
Repair and calibration:
To find the nearest service center, go to www.flukebiomedical.com/service, or
In the U.S.A.:
Cleveland Calibration Lab
Tel: 1-800-850-4606
Email: globalcal@flukebiomedical.com
Everett Calibration Lab

Tel: 1-888-993-5853
Email: service.status@fluke.com
In Europe, Middle East, and Africa:

Eindhoven Calibration Lab
Tel: +31-402-675300
Email: ServiceDesk@fluke.com
In Asia:
Everett Calibration Lab
Tel: +425-446-6945
Email: service.international@fluke.com
Certification
This instrument was thoroughly tested and inspected. It was found to meet Fluke Biomedical’s manufacturing specifications when it
was shipped from the factory. Calibration measurements are traceable to the National Institute of Standards and Technology (NIST).
Devices for which there are no NIST calibration standards are measured against in-house performance standards using accepted test
procedures.
WARNING
Unauthorized user modifications or application beyond the published specifications may result in electrical shock hazards or
improper operation. Fluke Biomedical will not be responsible for any injuries sustained due to unauthorized equipment
modifications.
Restrictions and Liabilities

Information in this document is subject to change and does not represent a commitment by Fluke Biomedical. Changes made
to the information in this document will be incorporated in new editions of the publication. No responsibility is assumed by
Fluke Biomedical for the use or reliability of software or equipment that is not supplied by Fluke Biomedical, or by its
affiliated dealers.
Manufacturing Location
The CuffLink NIBP Analyzer is manufactured in Everett, Washington by Fluke Biomedical, 6920 Seaway Blvd., Everett,
WA, U.S.A.
Table of Contents
Chapter Title Page
1 Introduction and Specifications......................................................... 1-1

Introduction........................................................................................................ 1-3
Standard Features............................................................................................... 1-4
New Features (Firmware Revision 3.0 and Later)............................................. 1-4
Arrhythmias................................................................................................... 1-4
Pressure Testing............................................................................................. 1-5
Remote Commands ....................................................................................... 1-6
General Safety Considerations........................................................................... 1-6
Symbols ......................................................................................................... 1-6
Warnings and Cautions.................................................................................. 1-7
Instrument Familiarity ....................................................................................... 1-8
Specifications..................................................................................................... 1-12
Accessories ........................................................................................................ 1-16
2 Operation ............................................................................................. 2-1

Powering Up the Analyzer................................................................................. 2-3
Menu Structure and Navigation ......................................................................... 2-3
Preliminary Procedures...................................................................................... 2-6
Assembling Equipment ................................................................................. 2-6
Making Connections...................................................................................... 2-8
Observing Results.......................................................................................... 2-9
Selecting Heart Rate (HtRate) ....................................................................... 2-10
Adjusting the Pressure Envelope (AdjEnv)................................................... 2-11
Simulating Adult Blood Pressure....................................................................... 2-14
Setting Zero Pressure..................................................................................... 2-15
Simulating Other ADAMS Family Target Values ........................................ 2-16
NIBP Monitor Testing Sequence................................................................... 2-16
Simulating Neonatal Blood Pressure ................................................................. 2-17
Simulating Arrhythmias..................................................................................... 2-18
Pressure Testing................................................................................................. 2-19
Leak Testing .................................................................................................. 2-19
Manometer Function ..................................................................................... 2-20
Pop Off Test .................................................................................................. 2-21
Utility Functions ................................................................................................ 2-22
i
Cufflink
Operators Manual
Set Clock ....................................................................................................... 2-22

Pop Time ....................................................................................................... 2-24
Logo............................................................................................................... 2-25
System Functions........................................................................................... 2-25
Establishing Communications ........................................................................... 2-31
Configuring RS232........................................................................................ 2-31
Testing the RS232 Port and Connections ...................................................... 2-32
Using Auto Sequences ....................................................................................... 2-33
Executing an Auto Sequence......................................................................... 2-33
Utilities .......................................................................................................... 2-34
Printing Documents ........................................................................................... 2-37
Printing Blood Pressure Test Results ............................................................ 2-37
Printing Manometer, Leak Test, and Overpressure Test Results .................. 2-38
Printing Auto Sequences ............................................................................... 2-38
3 Remote Operation ............................................................................... 3-1

Introduction........................................................................................................ 3-3
Setting Up the medTester .................................................................................. 3-3
Remote Command Syntax ................................................................................. 3-4
Command Syntax for medTester................................................................... 3-4
Command Syntax for Computer.................................................................... 3-4
Command Parameters.................................................................................... 3-4
Terminating Characters ................................................................................. 3-5
Error Messages .............................................................................................. 3-5
Command Descriptions...................................................................................... 3-7
BEEP ............................................................................................................. 3-7
CALPUCKPOS ............................................................................................. 3-8
DEFLATE ..................................................................................................... 3-8
DRAWENV................................................................................................... 3-8
DRAWENVNEO .......................................................................................... 3-11
DRAWPULSE............................................................................................... 3-15
GLOBALINIT............................................................................................... 3-17
GOTOLOCAL............................................................................................... 3-18
IDENT ........................................................................................................... 3-18
INFLATE ...................................................................................................... 3-18
KEYTEST ..................................................................................................... 3-19
LEAKTEST................................................................................................... 3-19
MAKEARM .................................................................................................. 3-20
MAKEARMNEO .......................................................................................... 3-23
MANOMETER ............................................................................................. 3-27
MKARM10.................................................................................................... 3-27
MKARM20.................................................................................................... 3-27
MKARM30.................................................................................................... 3-28
MKARM40.................................................................................................... 3-28
MKARM50.................................................................................................... 3-28
MKARM60.................................................................................................... 3-28
MKARM70.................................................................................................... 3-29
MKARMNEO10 ........................................................................................... 3-29
MKARMNEO20 ........................................................................................... 3-29
MKARMNEO30 ........................................................................................... 3-29
MKARMNEO40 ........................................................................................... 3-30
MKARMNEO50 ........................................................................................... 3-30
MKARR_AF ................................................................................................. 3-30
MKARR_MB ................................................................................................ 3-30
ii
Contents (continued)
MKARR_PAC............................................................................................... 3-31
MKARR_PVC............................................................................................... 3-31
MKARR_AS ................................................................................................. 3-31
POPOFF ........................................................................................................ 3-32
PRINTTEST .................................................................................................. 3-32
PSCALE ........................................................................................................ 3-33
PULSE........................................................................................................... 3-34
PUMPPCB..................................................................................................... 3-36
RCUSERENV ............................................................................................... 3-36
RDCLOCK .................................................................................................... 3-36
RDENVGAIN ............................................................................................... 3-36
RDENVSHIFT .............................................................................................. 3-37
RDPEAKDIV ................................................................................................ 3-37
RDQCDATE ................................................................................................. 3-37
RDUSERENV ............................................................................................... 3-37
READPRESS ................................................................................................ 3-38
RESET........................................................................................................... 3-38
STUSERENV ................................................................................................ 3-39
WRCLOCK ................................................................................................... 3-39
WRPEAKDIV ............................................................................................... 3-40
WRUSERENV .............................................................................................. 3-40
ZEROPRESS................................................................................................. 3-41
Programming with Analyzer Commands........................................................... 3-41
Checklist Generated in BASIC...................................................................... 3-41
Adult BP Checklists and Test Results ........................................................... 3-43
Neonate BP Checklists and Test Results....................................................... 3-47
Adult Arrhythmic BP Checklists and Test Results........................................ 3-51
Additional Command Descriptions (Firmware Version 3.20)........................... 3-55
PUMPON ...................................................................................................... 3-55
PUMPOFF..................................................................................................... 3-55
VALVEOPEN ............................................................................................... 3-55
VALVECLOSED .......................................................................................... 3-56
4 Maintenance, Service, and Calibration.............................................. 4-1

Maintenance....................................................................................................... 4-3
Avoiding Damage.......................................................................................... 4-3
Cleaning......................................................................................................... 4-3
Service and Calibration...................................................................................... 4-3
Appendices
A Non-Invasive Blood Pressure (NIBP) Monitoring Tutorial ........................ A-1
B Glossary....................................................................................................... B-1
iii
Cufflink
Operators Manual
iv
List of Tables
Table Title Page
1-1. New RS232 Remote Commands............................................................................ 1-6

1-2. Symbols.................................................................................................................. 1-6
1-3. Analyzer Top and Front Panel Controls and Indicators ......................................... 1-8
1-4. Rear Panel Controls and Indicators ........................................................................ 1-11
1-5. Standard Accessories ............................................................................................. 1-16
2-1. Blood Pressure Parameters Provided by the Select BP Option.............................. 2-6
2-2. Measured Test Parameters ..................................................................................... 2-10
2-3. Arrhythmia Types .................................................................................................. 2-18
2-4. Leak Test Utility Options....................................................................................... 2-20
2-5. Measured Leak Test Parameters ............................................................................ 2-20
2-6. Measured Manometer Parameters .......................................................................... 2-21
2-7. Measured Pop Off Test Parameters........................................................................ 2-22
2-8. Speaker Tests and Adjustments.............................................................................. 2-27
2-9. Display Test Descriptions ...................................................................................... 2-28
2-10. Pop Time and Comm Port Default Values............................................................. 2-29
2-11. Auto Sequence Defaults ......................................................................................... 2-30
2-12. RS232 Settings ....................................................................................................... 2-32
3-1. medTester Remote Configuration Settings ............................................................ 3-3
3-2. Available Error Messages ...................................................................................... 3-6
3-3. Autosequence Defaults........................................................................................... 3-17
3-4. Pop Time and Comm Port Default Values............................................................. 3-17
v
Cufflink
Operators Manual
vi
List of Figures
Figure Title Page
1-1. CuffLink Non-Invasive Blood Pressure Analyzer ................................................. 1-3

1-2. Cuff pressure waveform during blood pressure measurement ............................... 1-4
1-3. Analyzer Top and Front Panel Controls and Indicators ......................................... 1-8
1-4. Rear Panel Controls and Indicators ........................................................................ 1-11
2-1. Analyzer Menu Map .............................................................................................. 2-4
2-2. Adjustments for Adult Cuff Mandrel ..................................................................... 2-7
2-3. Neonate Mandrel.................................................................................................... 2-7
2-4. NIBP Test System Diagram ................................................................................... 2-8
2-5. Makearm Display of Test Results .......................................................................... 2-9
2-6. Sample Printout of Auto Sequence Content........................................................... 2-36
2-7. Sample Printout of Adams Adult Family 120/80 Test Results .............................. 2-38
2-8. Sample Printout of Manometer Test Results.......................................................... 2-38
2-9. Sample Printout of Leak Test Results .................................................................... 2-38
2-10. Sample Printout of Overpressure Test Results....................................................... 2-38
2-11. Sample Printout of Adult Auto Sequence Content................................................. 2-40
2-12. Sample Printout of Adult Auto Sequence Test Results.......................................... 2-41
2-13. Sample Printout of Adult BP with Arrhythmia Auto Sequence Content ............... 2-42
2-14. Sample Printout of Adult BP with Arrhythmia Auto Sequence Test Results ........ 2-43
2-15. Sample Printout of Neonate Auto Sequence Content ............................................ 2-44
2-16. Sample Printout of Neonate Auto Sequence Test Results ..................................... 2-46
3-1. Analyzer Adult Blood Pressure Envelope (BP = 120/80)...................................... 3-8
3-2. Analyzer Neonate Blood Pressure Envelope (BP = 120/80).................................. 3-11
3-3. Analyzer Pressure Pulse #3 .................................................................................... 3-15
3-4. POPOFF Command Display .................................................................................. 3-32
3-5. Scale Pulse Amplitude Display .............................................................................. 3-33
3-6. A BASIC Program using Analyzer Remote Commands........................................ 3-42
3-7. medBase Adult BP Checklist ................................................................................. 3-43
3-8. medBase Adult BP Test Results............................................................................. 3-44
3-9. Sentinel Adult BP Checklist................................................................................... 3-45
3-10. Sentinel Adult BP Test Results .............................................................................. 3-46
3-11. medBase Neonate BP Checklist............................................................................. 3-47
3-12. medBase Neonate BP Test Results ........................................................................ 3-48
3-13. Sentinel Neonate BP Checklist .............................................................................. 3-49
3-14. Sentinel Neonate BP Test Results.......................................................................... 3-50
3-15. medBase Adult Arrhythmic BP Checklist.............................................................. 3-51
vii
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Operators Manual
3-16. medBase Adult Arrhythmic BP Test Results ......................................................... 3-52

3-17. Sentinel Adult Arrhythmic BP Checklist ............................................................... 3-53
3-18. Sentinel Adult Arrhythmic BP Test Results........................................................... 3-54
viii
Chapter 1
Introduction and Specifications
Title Page
Introduction........................................................................................................ 1-3
Standard Features............................................................................................... 1-4
New Features (Firmware Revision 3.0 and Later)............................................. 1-4
Arrhythmias................................................................................................... 1-4
Pressure Testing............................................................................................. 1-5
Remote Commands ....................................................................................... 1-6
General Safety Considerations........................................................................... 1-6
Symbols ......................................................................................................... 1-6
Warnings and Cautions.................................................................................. 1-7
Instrument Familiarity ....................................................................................... 1-8
Specifications..................................................................................................... 1-12
Accessories ........................................................................................................ 1-16
1-1
Cufflink
Operators Manual
1-2
Introduction 1
Introduction
The CuffLink Non-Invasive Blood Pressure Analyzer, hereafter referred to as the
Analyzer, provides accurate and repeatable dynamic blood pressure (BP) waveforms for
evaluation of both semi and fully automated oscillometric non-invasive blood pressure
(NIBP) devices. The Analyzer is shown in Figure 1-1.
CuffL
NON- ink
INVA
SIVE BL
OOD
PRES
SURE
ANAL
YZER
ESC
F1
F2
F3
F4
F5
ENT
CU
CO FF
NN
EC
T
CU
FF OU
TPU
TS
mm PU
Hg LSE
mm
Hg BEE
VO PER
mH LUM
g E DIS
PL
VIE AY
DC W
Ma
x
Dark
fcv001.eps
Figure 1-1. CuffLink Non-Invasive Blood Pressure Analyzer
To test a device, wrap the BP cuff around the supplied mandrel and insert the cuff adapter
in the pressurized line. All tests are conducted with the BP cuff connected to the system.
The Analyzer can generate BP waveforms for seven adult (oscillometric), five neonate
(oscillometric), and 5 arrhythmias. The different systolic/diastolic pressure gradients
simulate a physiological range of normal, hypotensive, and hypertensive adult or neonate
patients. Actual patient data was used to design the preprogrammed peripheral pulse
waveforms and envelopes.
The Analyzer can produce qualitative measurements of BP cuff pressure and inflate /
deflate timing, as shown in Figure 1-2.
1-3
Cufflink
Operators Manual
SYS
MAP
DIA
PRESSURE
CUFF
OSCILLATION AMPLITUDE
TIME
fcv002.eps
Figure 1-2. Cuff pressure waveform during blood pressure measurement
The Analyzer also offers automated leak testing of NIBP monitors. An internal pump
pressurizes the NIBP system under test. Press a key to initiate a 60 second leak test once
the desired pressure is reached. Use the Analyzer’s digital manometer instead of a
mercury column for doing pressure measurements. The Analyzer facilitates overpressure
testing of NIBP monitors by automatically detecting and displaying the overpressure
point.
Standard Features
The Analyzer has the following standard features:
• Dynamic oscillometric noninvasive blood pressure simulation
• Automated static pressure measurements, leakage testing, and relief-valve testing
• Five automated NIBP testing autosequences
• Five arrhythmia selections
• Adult and neonatal NIBP selections
• Direct interface with medTester 5000C
• Adjustable heart rate values
• Calendar clock with battery backup
• Internal PCB expansion slot
New Features (Firmware Revision 3.0 and Later)

Firmware revision 3.0 included the following additions and updates, including a set of
adult arrhythmias, an internal pump, and additions to pressure testing.
Arrhythmias
The Analyzer features five new arrhythmias to test NIBP monitors in the presence of
typical patient arrhythmias. These clinically derived simulations are representations of
the peripheral pulse, as seen by an oscillometric NIBP monitor.
Each arrhythmia is generated on a random basis throughout the entire pressure curve
cycle. The variations in pulse timing and amplitude are relatively small.
1-4
New Features (Firmware Revision 3.0 and Later) 1
Premature Atrial Contraction (PAC)
The first pulse of the PAC cycle is premature and lower in amplitude than a normal sinus
pulse. The next pulse would be back in sync with normal sinus and slightly higher in
amplitude. All subsequent pulses are normal.
Premature Ventricular Contraction (PVC)

This is a representation of the peripheral pulse similar to PAC
Atrial Fibrillation (AF)

The AF cycle has an irregular R to R interval. Its occurrence and properties (early vs.
late) are random throughout the pressure curve cycle.
Missed Beat (MB)

A complete beat is randomly skipped during the pressure curve cycle. The following beat
reverts to normal R to R intervals.
Aberrant Sinus Conduction (AS)

The AS cycle inserts one pulse so low that it is virtually non-existent. This causes the
Analyzer to skip one diastolic pulse and then return to normal sinus pulses.
Pressure Testing
The Analyzer now has the following enhancements to its pressure testing capability.
Internal Pump
The Analyzer now has an internal compressor which eliminates the need to manually
inflate the cuff for NIBP monitor testing. This automates static pressure measurements,
leak testing, and relief valve testing.
Pop Off Added to Press Menu

Perform over-pressure tests on NIBP monitors with this addition to the PRESS menu.
Utility Menu Added to Leak Test

Select cuff size, turn printing on or off, and choose a target pressure for leak testing.
Manometer
The Analyzer simulates a digital manometer with pump capabilities.
1-5
Cufflink
Operators Manual
Remote Commands
Table 1-1 lists new CuffLink RS232 commands to support new functions.
Table 1-1. New RS232 Remote Commands
Command Function
DEFLATE Releases pressure inside CuffLink
INFLATE Pumps CuffLink to 200 mmHg or specified pressure
KEYTEST Tests CuffLink's keyboard
MKARR_AF Simulates atrial fibrillation
MKARR_MB Simulates a missed beat
MKARR_PAC Simulates premature atrial contraction
MKARR_PVC Simulates premature ventricular contraction
MKARR_AS As Simulates aberrant sinus conduction
POPOFF Tests monitor's overpressure valve
PUMPPCB Determines if pump PCB is installed in CuffLink
General Safety Considerations

Read the Users Manual before operating the Analyzer.
Symbols
Table 1-2 describes the symbols associated with the Analyzer.
Table 1-2. Symbols
Symbol Description
X Hazardous voltage
W Important information; refer to manual.
Conforms to UL Std 3101-1; certified to CAN/USA Std C22.2 No.

Œ 1010.1
P Conforms to European Union directives
Do not dispose of this product as unsorted municipal waste. Go

~ to Fluke’s website for recycling information.
Hg Contains mercury. Dispose properly.
1-6
General Safety Considerations 1
Warnings and Cautions
A Warning identifies hazardous conditions and actions that could cause bodily harm or
death.
A Caution identifies conditions and actions that could damage the Analyzer, the
equipment under test, or cause permanent loss of data.
XW Warning
To avoid possible electrical shock or personal injury, follow
these guidelines:
• Use this Analyzer only in the manner specified by the
manufacturer.
• Do not use the product if it operates abnormally.
• Do not connect the Analyzer to a patient or equipment
connected to a patient. The Analyzer is intended for
equipment evaluation only and should never be used in
diagnostics, treatment or in any other capacity where the
Analyzer would come in contact with a patient.
• Do not use the product in wet locations, around explosive
gases or dust.
• Never open the Analyzer's case. Dangerous voltages are
present. There are no user replaceable parts in the
Analyzer.
• Have the Analyzer serviced only by qualified personnel.
• The Analyzer must be properly earthed. Only use a supply
socket that has a protective earth contact. If there is any
doubt as to the effectiveness of the supply socket earth, do
not connect the Analyzer.
• Do not use a two-conductor adapter or extension cord; this
will break the protective ground connection.
W Caution
To avoid damage to the Analyzer or adverse affects on its
performance, follow these guidelines:
• Do not expose the system to temperature extremes. Ambient
temperatures should remain between 0 °C and 50 °C. System
performance may be adversely affected if temperatures fluctuate
above or below this range.
• Clean the Analyzer only by wiping it down with a clean, lint-free
cloth dampened with a mild detergent solution. Do not spray
liquid directly on or immerse the unit.
1-7
Cufflink
Operators Manual
Instrument Familiarity
Figure 1-3 shows the top and front panel controls and indicators of the Analyzer.
Table 1-3 lists these components with accompanying descriptions. Figure 1-4 shows the
rear panel controls and indicators, and Table 1-4 lists and describes these components.
CuffL
NON- ink
INVA
SIVE BL
OOD
PRES
SURE
ANAL
YZER
ESC
F1
F2
F3
F4
F5
ENT
CU
CO FF
NN
EC
T
CU
FF OU
TPU
3 mm
Hg
PU
TS
LSE
mm
Hg BEE 11
VO PER
mH LUM
g E DIS
PL
VIE AY
DC W
Ma
x
Dark
4
10
5
6
7
8
9
fcv003.eps
Figure 1-3. Analyzer Top and Front Panel Controls and Indicators
Table 1-3. Analyzer Top and Front Panel Controls and Indicators
Label Component Description
A Display The LCD (Liquid Crystal Display) is a full alphanumeric and

graphic display. The maximum number of characters able
to be on a single line at any given time is 40, and the
number of lines from top to bottom is 8, thereby producing a
possible 320 character display. The graphics mode of the
display is defined by a grid of 64 vertical pixels by 240
horizontal pixels. This mode enables display of the cuff
pressure waveform.
Display viewing angle is adjustable, so if the display appears

blank (view angle set too low), or dark (view angle set too
high) the view angle may need to be adjusted for optimum
visibility (see Display View Control Knob).
1-8
Instrument Familiarity 1
Table 1-3. Analyzer Top and Front Panel Controls and Indicators (cont.)
B Esc Key The Esc (escape) key enables the user to exit any menu,
exit without saving new data, or abort any function of
CuffLink. Continuously holding down the Esc key will return
the user to the CuffLink logo display from any menu.
C Function Keys The function keys are labeled Fl through F5. Pressing any
one of these keys will execute the function, defined by
software, that is displayed above that particular key.
D Cuff Connect A quick disconnect type of port provides the output

connection from the pulse producing motor inside Cufflink,
to the line connecting the cuff and the BP patient monitor.
E Cuff Output This is a voltage output proportional to cuff pressure

(10mv/mmHg). It is always active with a range of -5 V dc to
+5 V dc (-500 mmHg to +500 mmHg). The accuracy is
specified for positive pressures only.
Example:
1.0 V = 100 mmHg

2.5 V = 250 mmHg
This signal is also useful when connected to a storage

oscilloscope or strip recorder to observe the cuff
inflate/deflate cycle.
Output impedance is 100 Ω.
F Pulse output This is a voltage output proportional to pulse pressure. It is

only active when Cufflink is outputting pressure pulses. The
output is at 0 V in the inactive state. The pulse voltage is
taken from the pressure transducer and the large static cuff
pressure is subtracted. For example, if the cuff is inflated to
150 mmHg and the pulse is 1.2 mmHg in amplitude, only the
1.2 mmHg portion of the signal is presented at this output.
The pulse output voltage is 1 V dc/mmHg and has a range
of -5 VDC to +5 VDC (-5 mmHg to +5 mmHg).
Example:
1.0 V = 1.0 mmHg pulse
0.5 V = 0.5 mmHg pulse
When Cufflink is simulating blood pressure it removes the

static cuff pressure from the pulse output (forcing it to 0
VDC) at the beginning of each heartbeat. During the
heartbeat the amplitude of the pulse is output. As the cuff
deflates (or inflates) this process is repeated for each
heartbeat.
1-9
Cufflink
Operators Manual
Table 1-3. Analyzer Top and Front Panel Controls and Indicators (cont.)
G Sync Output This is a logic level (0 to 5VDC) that outputs a pulse at the
start of every heartbeat. When CuffLink is not outputting
pressure pulses this output is at OVDC. When CuffLink is
outputting pressure pulses the output is high (5VDC) during
the pulse and low between the end of one pulse and the
start of the next pulse. This output is useful for measuring
heart rate and synchronizing a scope trigger for viewing
individual pressure pulses on the pulse output.
H Beeper Volume Control Knob The amplitude of the CuffLink audible feedback may be
adjusted by turning the beeper volume control knob. Turning
the knob clockwise (towards the MAX label next to the knob)
will increase the volume of the beeper, while turning the
knob counterclockwise will decrease the beeper volume.
I Display View Control Knob The angle at which the display is most visible is adjustable
with the display view control knob. Turning the knob
clockwise (towards the DARK label next to the knob) will
increase the contrast of the display, or make the display
darker. Turning the knob counterclockwise will decrease the
contrast, making the display lighter.
J Ent Key Pressing the Ent (enter) key will select a highlighted menu,
initiate a CuffLink function, or store data in EEROM. In
effect, the enter key is the opposite of the Esc key.
K Arrow keys The arrow keys are the cursor control keys. Pressing the up
arrow key moves the cursor on the display in a upward
direction or increases the highlighted value. Pressing the
down arrow key moves the cursor on the display in a
downward direction or decreases the highlighted value. The
down arrow key is also capable of pulling down the
submenus of a highlighted main menu. Pressing the left or
right arrow keys will produce cursor movement in the
corresponding direction. Holding any arrow key down
continuously will cause a repeating of the action of that key.
L Handle The handle for transporting CuffLink is located on the right

side of the instrument case.
1-10
Instrument Familiarity 1
1 2 3 4 5
CuffLink sn 3480
115
O
FUSE T3.15a 100-115 VAC 50/60Hz

FUSE T1A 200-230 VAC 50/60Hz INPUT POWER 60 VA
FLUKE BIOMEDICAL CORPORATION
SERIAL NUMBER 3480 CARSON CITY, NEVADA
MADE IN THE U.S.A
PRINTER RS232
9 7 8 6
fcv004.eps
Figure 1-4. Rear Panel Controls and Indicators
Table 1-4. Rear Panel Controls and Indicators
A Power Cord Input The input for the Cufflink power cord is located next to the
power switch. This is the connection for the detachable
power cord.
B Power Switch The on position of the power switch is represented by 1 and

the off position is labeled 0.
C Fuse Cover The fuse(s) are located behind the fuse cover. The fuse
cover may be carefully pried open at 3a.
D Voltage Selector CuffLink is able to operate on two different line voltages.

The voltage selector indicates the voltage (either 120V or
240V) at which CuffLink will operate. There are an
additional two voltages (100V and 220V) listed on the back
panel. These do not apply to CuffLink.
E Fan Intake A hole cut in the rear panel of the case provides ventilation
for Cufflink from the fan. Care should be exercised not to
block the fan intake or to insert anything into the metal
protector.
F RS232 Port This is the connector for the RS-232 serial interface. It
is a 25 pin (DB25), male, D shell connector (same
pinout as PC compatible computer).
G Printer Port The connector for the parallel printer is a 25 pin
(DB25), female, D shell connector. The printer port is
Centronics compatible (same pinout as a PC
compatible computer).
1-11
Cufflink
Operators Manual
Table 1-4. Rear Panel Controls and Indicators
H Serial Port The four digit Cufflink serial number is located above
the printer port. The serial number should be
documented along with the model number whenever
Cufflink is shipped to Dynatech Nevada.
I Fuse Label The fuse label documents the type of fuses needed.
Use one 1ASB 250 V ac fuse (DNI part no. 1005-
0184) if Cufflink is set for 120 V operation, and two
1/2 A 250 V ac fuses (DNI part no. 1005-0185) if
Cufflink is set for 240 V operation.
Replacing Fuses
1. Turn Cufflink's power off and unplug the power cord.
2. Remove the fuse cover with a small blade screwdriver.

The plastic fuse holder should pop out of the Cufflink
case.
3. Use the screwdriver to pry the old fuse out of the plastic
holder.
4. Install the new fuse.
5. Replace the fuse holder by simply pushing the fuse

holder back into place.
Specifications
The following are general and electrical specifications for the Analyzer.
Physical Dimensions
Size ......................................................................... Width 12.5 inches
Height 5.0 inches
Length 15.0 inches
Weight..................................................................... 15 pounds
Power Requirements
Power ..................................................................... 120/250 V ac
50 Watts average
100 Watts peak
50/60 Hz
Input voltage range...................................................... 60 VA
Fuses ...................................................................... T3.15a 110-115 V ac 50/60 Hz
T1A 200-300 V ac 50/60 Hz
Environmental Conditions
Operating Temperature........................................... 15 °C to 40 °C
Storage Temperature.............................................. -20 °C to +65 °C
Relative Humidity .................................................... 90 % max
1-12
Specifications 1
Display
Alphanumeric and Graphic LCD Display
Alphanumeric Mode ............................................ 8 lines by 40 characters
Graphics Mode ................................................... 64 vertical by 240 horizontal dot matrix
Illumination.............................................................. Backlight with Viewing Angle Adjustment
Displayed Graphics................................................. Dynamic real-time NIBP cuff-pressure waveform, programmed
peripheral pulse and envelope waveforms
Control Keys
Function Keys ........................................................ F1 to F5
Enter
Escape
Cursor .................................................................... Up
Down
Left
Right
Parameter Selections
Menus ..................................................................... Pull down with on-screen help
Function keys.......................................................... Software defined, F1 to F5
Storage
Environment............................................................ Store in a dry area, temperature range of 32°F to 122°F.
Inspection or maintenance during storage.............. None required
Digital Interfaces
RS232/Serial........................................................... Baud Rates: 300, 600, 1200, 2400, 4800, 9600
Stop Bits: 1, 2
Parity: Odd, Even, Off
Handshake: Xon/Xoff, RTS/CTS, None
Parallel Port (Printer) .............................................. Centronics compatible
Pulse Sync .............................................................. 0 to 5 V dc (TTL)
Target Blood Pressure Selections

Target Value (MAP) HR
Select BP Waveform Type
(mmHg) (BPM)
Adult 60/30 (40) 30 Normal Sinus
80/50 (62) 40
100/65 (75) 60
120/80 (90) 120
150/100 (115) 160
200/150 (165) 200
255/195 (215) 240
Neonate 60/30 (40) 30 Normal Sinus
80/50 (62) 40
100/65 (75) 60
120/80 (90) 120
150/100 (115) 160
200
240
Arrhythmias 120/80 (90) 80 Premature Atrial Contraction
Premature Ventricular Contraction
Atrial Fibrillation
Missed Beat
Aberrant Sinus Conduction
1-13
Cufflink
Operators Manual
Preprogrammed Pulse Envelope

Horizontal Axis (cuff pressure) ............................... 0 to 300 mmHg in 1.0 mmHg steps
Vertical Axis ............................................................ 2.0 mmHg (nominal)
100% gain with normal adult cuff
0 to 2% selectable
Pulse Amplitude (adult) .......................................... 2.0 mmHg @ MAP 100% gain
Repeatability ........................................................... ±1 % of selected target value
Pulse Waveforms
Pulse ID # Pulse Width (ms) Rise Time (ms)
0 800 270
1 500 165
2 250 85
3 720 90
4 230 80
5 280 96
6 350 100
7 480 108
8 980 180
9 1980 460
10 1480 330
Digital Manometer
Pressure Range ...................................................... Maximum = 499.75 mmHg
Measurement Parameters ...................................... Instantaneous and peak
Pump....................................................................... 2.0 liter/minute minimum (free flow)
Automated Leak Testing

Start Pressure ......................................................... Maximum = 499.75 mmHg
Elapsed Time .......................................................... Fixed at 60 seconds
Leak Rate Range .................................................... 0.25 to 499.75 mmHg/minute
Pump....................................................................... 2.0 liter/minute minimum (free flow)
Monitor Pop-off Relief Valve Testing

Measurement Parameters ...................................... Instantaneous and peak pressure
Maximum Pressure ................................................. 499.75 mmHg
Accuracy
Dynamic NIBP Response Repeatability
(Systolic/Diastalic/Mean)......................................... ±1 % of Target Value
Cuff Pressure .......................................................... ±1.0 % of reading (±1 mmHg)
Input Overpressure Limit......................................... ±1500 mmHg
1-14
Specifications 1
Ranges for MAKEARM Test Values
On Line Cuff Pressure ............................................ 0.0 to 500 mmHg on display
0.0 to 300 mmHg on graph
Peak Cuff Pressure................................................. 500 mmHg peak
Inflate Time ............................................................. 0.1 to 999.9 seconds
Inflate Rate.............................................................. 0.1 to 999.9 mmHg/second
Deflate Time............................................................ 0.1 to 999.9 seconds
Deflate Rate ............................................................ 0.1 to 999.9 mmHg/second
Total Measurement Time ........................................ 999.9 seconds maximum
Heart Rate............................................................... 30
40
60
80
120
160
200
240
Analog Outputs
Cuff Pressure .......................................................... 0 to 499.75 mmHg FS, ±1.0 % of reading,
±±.0 mmHg (cuff)
10 mV/mmHg
Pulse Pressure........................................................ 0 to 5.0 mmHg FS, ±1.0 % of reading
1.0 V/mmHg
Mandrels
Adult........................................................................ Five interlocking plastic blocks that produce four circumferences;
a maximum cuff width of 15.25 cm:
Large Adult................................................................ 39.5 cm; use all blocks
Adult.................................................................... 33 cm; use 2 curved end blocks and 2 rectangle blocks
Small Adult.......................................................... 26.6 cm; use 2 curved end blocks and 1 rectangle block
Child.................................................................... 20 cm; use 2 curved end blocks
Neonate .................................................................. One plastic truncated cylinder that accommodates three different
circumferences: 14 cm, 10 cm, and 7.6 cm; maximum cuff width of
7.6 cm.
1-15
Cufflink
Operators Manual
Accessories
Table 1-5 lists standard accessories provided with the Analyzer.
Table 1-5. Standard Accessories
Accessory Part Number
Soft vinyl accessory pouch 2248408
Operators Manual 2242915
Hospital grade power cord set 2198846
Adult cuff mandrel spacer blocks 2392381
Cuff/hose adapters (8)
Male/Female LUER Locking 2242233
Female/Mole LUER Non-Locking Taper 2242225
5/32" Male/Male Hose Barb 2242257
¼” Male/Male Hose Barb 2242284
1/8" Male/Male Hose Barb 2242240
Male/Female Clippard (Critikon, Siemens) 2242190
Colder/CPC (Marquette, Protocol) 2242202
OBAC Quick Release (Hewlett Packard) 2242216
Adult cuff mandrel end blocks (two required) 2230305
External cuff mandrel neonatal (truncated plastic 2392328

cylinder diameters: 7, 6, 10, and 14 cm)
1-16
Chapter 2
Operation
Title Page
Powering Up the Analyzer................................................................................. 2-3

Menu Structure and Navigation ......................................................................... 2-3
Preliminary Procedures...................................................................................... 2-6
Assembling Equipment ................................................................................. 2-6
Making Connections...................................................................................... 2-8
Observing Results.......................................................................................... 2-9
Selecting Heart Rate (HtRate) ....................................................................... 2-10
Adjusting the Pressure Envelope (AdjEnv)................................................... 2-11
Simulating Adult Blood Pressure....................................................................... 2-14
Setting Zero Pressure..................................................................................... 2-15
Simulating Other ADAMS Family Target Values ........................................ 2-16
NIBP Monitor Testing Sequence................................................................... 2-16
Simulating Neonatal Blood Pressure ................................................................. 2-17
Simulating Arrhythmias..................................................................................... 2-18
Pressure Testing................................................................................................. 2-19
Leak Testing .................................................................................................. 2-19
Manometer Function ..................................................................................... 2-20
Pop Off Test .................................................................................................. 2-21
Utility Functions ................................................................................................ 2-22
Set Clock ....................................................................................................... 2-22
Pop Time ....................................................................................................... 2-24
Logo............................................................................................................... 2-25
System Functions........................................................................................... 2-25
Establishing Communications ........................................................................... 2-31
Configuring RS232........................................................................................ 2-31
Testing the RS232 Port and Connections ...................................................... 2-32
Using Auto Sequences ....................................................................................... 2-33
Executing an Auto Sequence......................................................................... 2-33
Utilities .......................................................................................................... 2-34
Printing Documents ........................................................................................... 2-37
Printing Blood Pressure Test Results ............................................................ 2-37
Printing Manometer, Leak Test, and Overpressure Test Results .................. 2-38
Printing Auto Sequences ............................................................................... 2-38
2-1
Cufflink
Operators Manual
2-2
Operation
Powering Up the Analyzer 2
Powering Up the Analyzer
To power up the Analyzer, follow these directions:
1. Attach the supplied power cord to the power cord input on the back panel.
2. Plug the unit into a properly rated outlet.
3. Turn the Analyzer on by pushing the power switch on the back panel to the ON
position (marked I). The Analyzer performs a self test and system initialization,
during which the logo display is visible for about five seconds:
16:15:36
09/19/07
CuffLink
3.21, Pump
Non-Invasive Blood Pressure Analyzer
F1 F2 F3 F4 F5
fcv101.eps
The current time and date is in the upper right hand corner, and the software revision,
along with installed options, appears directly below the Analyzer name. After the
five-second logo display, the Main Menu displays:
Select BP Press Util Comm Auto

ADAMS Adult
ADAMS Neonate
Arrythmias
Select adult ADAMS family blood pressure
F1 F2 F3 F4 F5
fcv096.eps
Menu Structure and Navigation

The Main Menu options listed across the top of the display are:
• Select BP (Select Blood Pressure)
• Press (Pressure Tests)
• Util (Utilities)
• Comm (Communications Ports)
• Auto (Auto Sequences)
Each of these options has its own submenu. See Figure 2-1 for a complete menu map.
Along the bottom of the Main Menu display is a brief description of the contents or
purpose of the highlighted menu option. If a pull down menu, or submenu, is visible
below the highlighted Main Menu option, the menu description refers to what is
available in the highlighted submenu.
2-3
Cufflink
Operators Manual
After initialization, ADAMS Adult (in the Select BP submenu) is highlighted as the
default. Pressing the Esc key twice returns to the logo display and initialization
procedure.

ADAMS Adult Leak Test Set Clock Configure Execute
60/30 (40) Manometer Pop Time Comm Test Utility
80/50 (62) Pop Off Logo Edit
100/65 (75) System View
120/80 (90) Print Test Name
150/100 (115) Key Test Print
200/150 (165) Speaker Test Init
255/195 (215) 440 Print All
HiRate Adjust Play Init All
AdjEnv Adjust Freq
Print Adjust Period
Zero Pressure Sweep
ADAMS Neonate Display Test
60/30 (40) Short
80/50 (62) Long
100/65 (75) Disply QC Date
120/80 (90) ROM Checksums
150/100 (115) U2
HiRate U3
AdjEnv U4
Print Config Init
Zero Pressure User Envelope
Arrhythmias Store User
NSR Recall User
PAC Draw User
PVC Print User
AF Make Arm
MB Pulse
ASC Select
Scale
Draw
Rate
Figure 2-1. Analyzer Menu Map
2-4
Operation
Menu Structure and Navigation 2
To navigate the system of menus:
Note
Holding any of the keys down results in a repeating action of that key
1. Highlight a Main Menu option by pressing a left or right arrow key.
Note
When the desired menu is highlighted and no submenu is shown, press the
Down arrow to pull down the submenu.
2. Press either the Up or Down arrow key to move the dark blue rectangle (hereafter
referred to as the cursor) up or down in the submenu.
3. When the cursor is at the desired location on any menu, press the Ent (enter) key to
select or activate the highlighted option.
4. When finished, take one of the following actions:
a. Press the Esc key to return to the previous menu. For example, pressing Esc
when the Set Clock display is visible returns one step back to the Util submenu.
b. Hold the Esc key down to return from any menu or submenu back to the logo
display and initialization procedure.
2-5
Cufflink
Operators Manual
Preliminary Procedures
The analyzer simulates a human arm and produces target value blood pressures for the
purpose of testing the accuracy of blood pressure readings on an NIBP monitor. The test
is initiated from the Select BP Main Menu option that provides the parameters listed in
Table 2-1.
Table 2-1. Blood Pressure Parameters Provided by the Select BP Option
Adult
Adult Neonate
Arrhythmias
Blood Premature Atrial

Mean Arterial Blood Pressure Mean Arterial
Pressure Contractions
Pressure (mmHg) (mmHg) Pressure (mmHg)
(mmHg) Premature
60/30 40 60/30 40 Ventricular
80/50 62 80/50 62 Contraction
400/65 75 400/65 75 Atrial fibrillation
120/80 90 120/80 90 Missed Beat
150/100 115 150/100 115
200/150 165 Aberrant Sinus
255/195 215 Conductions
Heart Rate Selections
30
40 Blood Pressure
60 and Heart Rate
80
120 Blood Pressure
160 fixed at 120/80 (90)
200
Heart Rate fixed at
240
80 BPM
Assembling Equipment
The following equipment is needed to test NIBP monitor blood pressure readings. Figure
2-2 shows the proper way to combine Adult cuff mandrels to simulate various sizes of
arms.
• NIBP monitor
• NIBP Analyzer
• Mandrel (supplied with the Analyzer)
• BP cuff
• Hoses to attach the cuff to the monitor
• Cuff adapter for the monitor DUT (device under test) (supplied with the Analyzer)
2-6
Operation
Preliminary Procedures 2
Adult Cuff Mandrel Sizes:
Large Adult Use 2 end blocks and

3 spacer blocks
Adult Use 2 end blocks and

2 spacer blocks
Small Adult Use 2 end blocks and

1 spacer blocks
Use 2 end blocks and

Child no spacer blocks
fcv011.eps
Figure 2-2. Adjustments for Adult Cuff Mandrel
Figure 2-3 shows the neonate mandrel.
Large
Medium
Small
fcv012.eps
Figure 2-3. Neonate Mandrel
2-7
Cufflink
Operators Manual
Making Connections
Figure 2-4 is an annotated diagram of the properly-connected test system.
NIBP Monitor
Cuff Connector
Pneumatic Hose(s)
Cuff Connect Port
Dual hose systems: connect (front panel)
Cuff Adapter to hose
marked “Sense”. If both To connect: Push Cuff Adapter
hoses are unmarked, in until a click is heard.
connect Cuff Adapter to To disconnect: push sleeve
either hose. back to release Cuff Adapter.
Cuff Adapter
“T” Connector Cufflink
Must be connected closer

to cuff than monitor
BP Cuff Cuff Mandrel
Wraps around mandrel
fcv015.eps
Figure 2-4. NIBP Test System Diagram
To correctly connect the components of the test system:

1. Attach the BP cuff to the NIBP monitor as shown in Figure 2-4. Refer to the monitor
operators manual, as necessary.
2. Wrap the cuff tightly around the appropriate mandrel. See Figures 2-2, and 2-3.
3. Connect the cuff adapter T connector into the line nearest the cuff.
If the NIBP monitor has two pneumatic hoses connected to the cuff, insert the cuff
adapter into the hose labeled Sense. If neither hose is labeled, insert the cuff adapter
into either hose.
Note
Do not connect the cuff adapter to the Analyzer until the Analyzer has
warmed up for at least 15 minutes.
4. Power up both the Analyzer and the NIBP monitor.
2-8
Operation
The Analyzer is now ready to simulate the human arm and reliably evaluate the accuracy
of the NIBP monitor.
Observing Results
Results of the analysis are provided by the Analyzer Makearm display, shown in Figure
2-5.
Cuff Pressure Measured

in mmHg parameters
200
Cuff Pressure Waveform CuffPres 0
160 (drawn during testing) CuffPeak 162
DeflRate 5.1
120
DeflTime 17.5
80 InflRate 46.7
InflTime 3.3
40 TotlTime 22.0
120/80 (90) A
0 10 20 30
Elapsed time in seconds

Current BP
Heart Rate Indicator Target Value MAP
(appears during testing)
fcv016.eps
Figure 2-5. Makearm Display of Test Results
The Makearm display includes a graph, the vertical axis of which indicates the cuff
pressure in millimeters of mercury (mmHg). The horizontal axis indicates elapsed time in
seconds. The graph is auto-ranging; if the cuff pressure curve values extend beyond the
displayed ranges, the entire graph is redrawn on the display to make the curve appear
more compact.
On the right side of the display are listed the measured test parameters, as defined in
Table 2-2.
2-9
Cufflink
Operators Manual
Table 2-2. Measured Test Parameters
Abbreviation Parameter Unit of Measurement
CuffPres On-line Cuff Pressure mmHg
CuffPeak Peak Cuff Pressure mmHg
DeflRate Deflate Rate mmHg/second
DeflTime Deflate Time seconds
InflRate Inflate Rate mmHg/second
InflTime Inflate Time seconds
TotlTime Total Measurement Time seconds
The current blood pressure target value is shown just below the list of test parameters on
the Makearm display and indicates which BP target value is currently being simulated
by the Analyzer.
Selecting Heart Rate (HtRate)

To select the heart rate to be tested:
1. From the Select BP submenu, highlight ADAMS Adult (or ADAMS Neonate)
and press the Ent key. The ADAMS Adult Family Target Values screen
displays:
*** ADAMS Adult Family ***

Target Values
60/30 (40) 150/100 (115)
80/50 (62) 200/150 (165)
100/80 (75)
HtRate AdjEnv Print ZeroPres
F1 F2 F3 F4 F5
fcv100.eps
2. Highlight the blood pressure target value to be simulated.

3. Press F1 HtRate.
Note
The term ADAMS Family refers collectively to Adult and Neonate options.
2-10
Operation
The Analyzer displays the available heart rates:
*** Select Heart Rate (BPM) ***
30 40 60 80 120 160 200 240
Use arrow keys to select new heart rate.
F1 F2 F3 F4 F5
fcv017.eps
4. Use the arrow keys to choose a heart rate and then press the Ent key. A popup
window briefly displays, confirming the heart rate chosen.
80 BPM
5. When the target value display reappears, press the Ent key to display the Makearm
graph. The current heart rate setting is shown in the upper part of the Makearm graph
next to CuffPres:
Current Heart Rate Setting
CuffPres 0
200 80 BPM
CuffPeak 162
160 DeflRate 5.1
DeflTime 17.5
120
InflRate 46.7
80 InflTime 3.3
TotlTime 22.0
40
120/80 (90) A
0 10 20 30
fcv018.eps
Adjusting the Pressure Envelope (AdjEnv)

To modify the gain (amplitude) or shift (BP value) of the blood pressure envelope and to
draw the envelope specified:
1. From the Select BP submenu, highlight ADAMS Adult or ADAMS Neonate and
press the Ent key.
2. Highlight the blood pressure target value to be simulated.
3. Press F2 AdjEnv to display the Pressure Curve Adjust screen:
2-11
Cufflink
Operators Manual
*** Pressure Curve Adjust ***

120/ 80 (90)
Gain% Shift Draw
F1 F2 F3 F4 F5
fcv111.eps
1. Press F1 Gain% to move the selection box to Gain% and use the Up and Down
arrow keys to change the percent of gain. This factor affects the pressure pulse
amplitude. The default value is 100 %, and the range is from 1 % to 200 %. A change
in the Gain% appears below the heart rate on the Makearm graph:
Envelope Gain%
CuffPres 0
200 80 BPM
CuffPeak 162
160
G 50 DeflRate 5.1
120 S 12
DeflTime 17.5
80 InflRate 46.7
40 InflTime 3.3
TotlTime 22.0
0 10 20 30
120/80 (90) A
fcv020.eps
2. Press F2 Shift to move the selection box to Shift and use the Up and Down arrow
keys to shift the entire blood pressure envelope to the left (- shift, Down arrow) or
right (+ shift, Up arrow). If a target value of 120/80 is selected with a shift of +10
mmHg, the actual blood pressure target value simulated changes to 130/90. The
default value for a shift is 0 mmHg, and the range is from -100 mmHg to +100
mmHg.
The graphs below illustrate a blood pressure envelope with no shift, a negative shift,
and a positive shift, respectively:
2-12
Operation
Pressure Envelope
Max
1.0 1000
Min
0.8
1
0.6
0.4
0.2
mm
0 40 80 120 160 200
fcv021.eps
Max
1.0 1000
Min
0.8
1
0.6
0.4
0.2
mm
0 40 80 120 160 200
Negative 10 mmHg Shift
120/80/Envelope
Max
1.0 1000
Min
0.8
1
0.6
0.4
0.2
mm
0 40 80 120 160 200
Positive 10 mmHg Shift
fcv022.eps
A change in the Shift appears below the Gain% on the Makearm graph:
2-13
Cufflink
Operators Manual
Envelope Shift
CuffPres 0
200 80 BPM
CuffPeak 162
160 DeflRate 5.1
G 50
DeflTime 17.5
120 S 12
InflRate 46.7
80 InflTime 3.3
TotlTime 22.0
40
120/80 (90) A
0 10 20 30
fcv023.eps
3. Press the Esc key to undo any changes.

4. When finished, press the Ent key to save the pressure envelope and return to the
Pressure Curve Adjust screen.
5. When finished, press F3 Draw to view the pressure envelope.
6. Press the Ent key.
The user is now ready to start the NIBP monitor, simulate the blood pressure, and take
measurements.
Simulating Adult Blood Pressure

To simulate the ADAMS Adult 120/80 Blood Pressure target value:
1. From the Select BP submenu, highlight ADAMS Adult and press the Ent key.
Target values and available blood pressures are displayed for the ADAMS Adult
Family Target Values screen. The cursor is initially at 120/80. The heart rate is
fixed at 80 BPM.
2. Press the Ent key to enter the Makearm function for a blood pressure of 120/80. The
Analyzer briefly displays a confirmation, verifying which parameter was chosen:
120/80 (90)
Note
The analyzer pop-up windows are not visible if Pop Time is set to 0.00
2-14
Operation
Simulating Adult Blood Pressure 2
The Makearm display appears:
Cuff Pressure Measured

in mmHg parameters
200
Cuff Pressure Waveform CuffPres 0
160 (drawn during testing) CuffPeak 162
DeflRate 5.1
120
DeflTime 17.5
80 InflRate 46.7
InflTime 3.3
40 TotlTime 22.0
120/80 (90) A
0 10 20 30
Elapsed time in seconds

Current BP
Heart Rate Indicator Target Value MAP
(appears during testing)
fcv024.eps
Setting Zero Pressure

The value for cuff pressure (CuffPres) in the upper right corner of the Makearm
display should be zero (0 mmHg) before a test is started.
Note
After warm-up, the value for CuffPres becomes stable, making it
unnecessary to continually zero the cuff pressure.
To zero the cuff pressure during the 15 - 20 minute warm up period:
1. If the value is not zero, press the Esc key to return to the previous menu.
Note
Make sure that nothing is connected to the Analyzer CUFF CONNECT
port.
*** ADAMS Adult Family ***

Target Values
60/30 (40) 150/100 (115)
80/50 (62) 200/150 (165)
100/80 (75)
F1 F2 F3 F4 F5
fcv100.eps
2. Press F5 ZeroPres to zero the pressure. A popup message appears, indicating that
the cuff pressure has been set to match the atmospheric pressure:
n.nn mmHg removed
2-15
Cufflink
Operators Manual
3. Press the Ent key to view the Makearm graph. If the cuff pressure is not set to zero,
repeat the above procedure.
Simulating Other ADAMS Family Target Values

Simulation of any of the ADAMS Family target values follows the same procedure as
that of the 120/80 simulation:
1. From the 120/80 Makearm display, press the Esc key to return to the ADAMS
Family Target Values screen.
2. Choose the desired target value, as indicated in Table 2-1.
3. Press the Ent key. The Makearm display reappears with a new target value listed
below TotlTime.
NIBP Monitor Testing Sequence

To test the accuracy of the NIBP monitor:
1. When the cuff pressure is zero, connect the cuff adapter to the Analyzer.
2. Initiate the NIBP monitor testing sequence, referring to the monitor operators manual
as needed. The following sequence occurs:
• The cuff inflates around the mandrel.
• The analyzer starts the peripheral pulse simulation and draws a curve
representing the cuff pressure (oscillometric technique) as the test progresses.
• The analyzer initiates blood pressure simulation when the inflate pressure reaches
8.0 mmHg.
• When simulation begins, a small flashing heart becomes visible to the left of
Total Test Time (TotlTime, on right side of graph). This represents the heart
rate. Each color change of the heart signifies one heartbeat.
• The analyzer terminates the simulation when the pressure upon deflate reaches
6.0 mmHg.
• The NIBP monitor interprets and displays the measured blood pressure values
and heart rate at the completion of the test.
3. Compare the monitor values with the target values displayed on the Makearm
display.
Note
It is normal for the monitor to have a different reading from the target
value displayed on the Makearm display. Readings may also be different
when the monitor is in the stat mode rather than the normal (automatic) or
manual mode. The objective is that readings be consistent and repeatable.
Accuracy for the target values cannot be specified because no standard for
blood pressure measurements exists.
2-16
Operation
Simulating Neonatal Blood Pressure 2
Simulating Neonatal Blood Pressure
Neonatal blood pressure is simulated and the monitor is tested in the same way as for
Adult blood pressure, with appropriate cuff and value differences. Target values are also
chosen from the Select BP submenu.
Note
Use the neonate mandrel with a neonate cuff when simulating neonatal
blood pressure.
To simulate neonatal blood pressure:
1. From the Select BP submenu, highlight ADAMS Neonate and press the Ent key.
The ADAMS Neonate Family Target Values screen displays:
*** ADAMS Neonate Family ***

Target Values
60/30 (40) 150/100 (115)
80/50 (62) 200/150 (165)
100/80 (75)
F1 F2 F3 F4 F5
fcv103.eps
2. See Table 2-1 for desired neonate target blood pressure values.
3. Use the same steps as for Simulating Adult Blood Pressure:
• Select the heart rate
• Adjust the pressure envelope
• Set zero pressure
• Run the NIBP monitor testing sequence
display.
2-17
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Operators Manual
Simulating Arrhythmias
The analyzer simulates five typical patient arrhythmias to test NIBP monitors. These
simulations are a representation of the peripheral pulse as seen by an oscillometric NIBP
monitor during arrhythmic activity. Each arrhythmia is generated on a random basis
throughout the entire pressure curve cycle. Arrhythmia types are described in Table 2-3.
Table 2-3. Arrhythmia Types
Parameter Description
Premature Atrial Contraction (PAC) The first pulse of the PAC cycle is premature and
lower in amplitude than a normal sinus pulse. The
next pulse is back in sync with normal sinus and
slightly higher in amplitude. All subsequent pulses
are normal.
Premature Ventricular Contraction (PVC) This is a representation of the peripheral pulse
similar to PAC but with a different amplitude.
Atrial Fibrillation (AF) The AF cycle has an irregular R to R interval. Its
occurrence and properties (early vs. late) are
random throughout the pressure curve cycle.
Missed Beat (MB) A complete beat is randomly skipped during the
pressure curve cycle. The following beat reverts to
normal R to R intervals.
Aberrant Sinus Conduction (AS) The AS cycle inserts one pulse so low that is
virtually non-existent. This causes the Analyzer to
skip one distal pulse and then return to normal
sinus pulses.
Testing with Adult Arrhythmias

To test the monitor with simulated adult arrhythmias:
1. Connect the Analyzer to the NIBP monitor, as shown in Figure 2-4. Use an adult
mandrel.
2. From the Select BP submenu, highlight Arrhythmias and press the Ent key. The
Arrythmia Selections screen displays:
*** Arrythmia Selections ***

Norm. Sinus (NSR) Atrial Fib. (AF)
Atrial (PAC) Missed Beat (MB)
Ventricular (PVC) Aberr Sinus (AS)
Print Draw ZeroPres
F1 F2 F3 F4 F5
fcv102.eps
3. Select an arrhythmia type and press the Ent key. See Table 2-3 for available adult
arrhythmia simulation types.
4. If the cuff pressure is not zero, press F5 ZeroPres to return the pressure to zero
before testing.
5. Start the NIBP monitor and begin testing.
2-18
Operation
Pressure Testing 2
Note
The baseline heart rate for all arrhythmias is set to 80 BPM.
display.
7. Press F3 Print to print the arrhythmia test results.
8. Press F4 Draw to display the pressure envelope pulse.
Pressure Testing
The analyzer enables the user to test for pressure leaks in the test system, measure general
pressure, and evaluate the monitor’s pressure release valve. All three of these functions
are accessed from the Press submenu:
F1 F2 F3 F4 F5
fcv099.eps
Leak Testing
The Leak Test option allows testing of NIBP equipment, including cuff and tubing, for
air leaks.
Note
If the NIBP device has an internal system leak test or one that vents the
cuff inflation pneumatic circuit to the atmosphere when idle, do not use
the Leak Test option. Rather, use the Manometer option to check for
internal system leaks. Refer to the NIBP monitor operators manual for the
recommended test protocol.
To test for pressure leaks in the NIBP test system:
1. From the Press submenu, highlight Leak Test and press the Ent key. The Leak
Test screen displays:
*** Leak Test ***

Pressure actual (mmHg): -0.75 Target
Pressure drop (mmHg): 15.50 200
Elapsed time (min:sec): 1: 0
Leak rate (mmHg/min): 15.50
Release
Pump Start Reset Pressure Utility
F1 F2 F3 F4 F5
fcv027.eps
From the Leak Test screen, several options can be selected.

2. If necessary, set the cuff pressure to zero, as described in Simulating Adult Blood
Pressure: Setting Zero Pressure, above.
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Operators Manual
3. Press F5 Utility to display the Utility options, as described in Table 2-4. Use the
arrow keys to highlight a desired option and press the Ent key to select it. When
finished, press the Esc key once to return to the Leak Test screen.
Table 2-4. Leak Test Utility Options
Option Description
Small, Medium, or Large Cuff Cuff size, or volume, affects the way the Analyzer
inflates the cuff for leak testing. Highlight the option
and press the Esc key to set the size.
Zero Pressure After pressing the Ent key, the amount of pressure
removed (in mmHg) is displayed.
Reset Resets Target Value to 200 mmHg.
Set Target Use the arrow keys to change the Target Value. To
save the new value, press Ent. Press Esc to cancel
and return to the Leak Test menu.
Print On/Off Use this utility to print Leak Test results.
4. Press F1 Pump to pump air into the system. The pump stops inflating when the
actual pressure is equal to the Target value set in the Utility options. This value
should be that suggested in the NIBP monitor operators manual.
5. Press F2 Start Test to begin testing for leakage. The Analyzer measures any
pressure drop in the system for the duration of one minute. An audible tone sounds at
the end of the test period, and measurement stops. Table 2-5 describes the measured
parameters.
Table 2-5. Measured Leak Test Parameters
Pressure actual (mmHg) The actual pressure of the BP cuff
Pressure drop (mmHg) The measured drop in cuff pressure as the test progresses
Elapsed time (min:sec) How much time the leak test has taken
Leak rate (mmHg/min) The rate of air leakage at the end of the one-minute test
Target (mmHg) The pressure to which the Analyzer inflates and begins leak testing
6. When finished, press F3 Reset to reset the measurements back to zero.
7. Press the Esc key to exit the Leak Test.
Manometer Function
The Manometer option invokes a digital manometer to use for general pressure
measurements.
To monitor pressure in the NIBP test system with the manometer capability:
1. From the Press submenu, highlight Manometer and press the Ent key. The
Manometer screen displays:
2-20
Operation
Pressure Testing 2
fcv028.eps
From the Manometer screen, several options can be selected.

2. Press F5 Zero Pressure to zero the pressure if Pressure actual is not zero.
3. Press F1 Pump On/Off to start the pump and inflate the cuff until the NIBP
monitor indicates that the overpressure point has been reached (see the NIBP monitor
operators manual).
4. Press F1 Pump On/Off again to stop the pump. The Analyzer displays the pressure
in mmHg.
5. Press and hold F2 Release Press to return Pressure actual to zero. If
Pressure actual is still not zero, press F5 Zero Pressure.
6. Press F3 Print to print the test results. Table 2-5 describes the measured parameters.
7. Press the Esc key to quit the Manometer mode.
Table 2-6. Measured Manometer Parameters
Pressure actual (mmHg) Pressure in the blood pressure cuff
Pop Off Test

The Pop Off test is an overpressure test that evaluates an NIBP monitor's emergency
release valve.
To monitor pressure in the monitor emergency release valve:
1. From the Press submenu, highlight Pop Off and press the Ent key. The Pop Off
screen displays:
*** Pop Off ***

Pressure actual (mmHg): 2.52
Pressure peak (mmHg): 46.32
Pop Off Release Zero

Pump Reset Print Pressure Pressure
F1 F2 F3 F4 F5
fcv057.eps
2. Press F5 Zero Pressure to zero pressure if Pressure actual is not zero.

3. Press F1 Pop Off Pump to start the pump. The Analyzer inflates until the
monitor's release valve activates.
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Operators Manual
4. Press F2 Reset to return Pressure actual and Pressure peak to zero. If

Pressure actual is still not zero, press F5 Zero Pressure.
5. Press F3 Print to print the test results. Table 2-5 describes the measured parameters.
Table 2-7. Measured Pop Off Test Parameters
Pressure Actual (mmHg) The current pressure in the blood pressure cuff
Pressure Peak (mmHg) The maximum pressure in the system before

release of the monitor's emergency valve
6. Press F4 Release Pressure to release all pressure in the system.

7. Press the Esc key to quit the Manometer mode.
Utility Functions
The analyzer enables the user to set the clock, adjust pop time, view the logo display, and
perform system tests from the Util submenu:

Set Clock
Pop Time
Logo
System
Set calendar clock
F1 F2 F3 F4 F5
fcv098.eps
All of these functions are system tests or adjustments and affect only the Analyzer itself.
The NIBP monitor is not affected by the Util options.
Set Clock
The Set Clock function allows changes to be made to the clock or calendar, as shown in
the upper right corner of the logo display. The time is displayed in an hour, minutes,
seconds format, while the date is displayed in the date, day, year format.
To set the Analyzer clock:
1. From the Util submenu, highlight Set Clock and press the Ent key. The Set Clock
( labeled Set Time and Date) screen displays:
2-22
Operation
Utility Functions 2
*** Set Time and Date ***
Time Date Day Mode
---- ---- --- ----
Current: 01:58:35 09/25/07 Tue 12hr
Adjust: 01:53:24 09/25/07 Tue 12hr
ESC=Exit, ENT=Store <-> Select, ][ Modify
F1 F2 F3 F4 F5
fcv104.eps
The Current row indicates settings for time, date, day, and mode that are currently
stored in Random Access Memory (RAM). The Adjust row is where the cursor
marks a value to be modified. This is where any changes are made.
Note
The Left and Right arrow keys select the time or date value to modify. The
Up and Down arrow keys modify the selected value. The arrow key func-
tions are shown in the lower right corner of the Set Clock screen. Holding
down any key repeats the key's action.
2. Change the hour by putting the cursor on the first two digits in the Time column of
the Adjust row, pressing the Up arrow key to increase the value of the number or
pressing the Down arrow key to decrease the value of the number.
3. Change the minutes and seconds by moving the cursor to the corresponding position
in the Time column and using the arrow keys to change the value.
4. Change the month by putting the cursor on the first two digits in the Date column
and using the arrow keys to change the value.
5. Change the day and the year by moving the cursor to the corresponding position in
the Date column and using the arrow keys to change the value.
6. Change the mode (a 12-hour or 24-hour clock) by putting the cursor on the first two
digits in the Mode column and using the Up and Down arrow keys to toggle the
value between the 12-hour and the 24-hour modes.
In the 12-hour mode, the clock reads 12:00:00 at midnight. Most clocks display in the
12-hour mode. In the 24-hour mode, the clock reads 24:00:00 at midnight. The 24-
hour mode is sometimes referred to as military time.
Note
Selecting the 12-hour mode causes an am or pm designator to appear at the
end of the Time column
7. To exit the Set Clock function without saving the data, press the Esc key.
8. To save the new data, press the Ent key. New information is stored and available the
next time the Analyzer is powered up. The Analyzer briefly displays a confirmation
that the new data has been saved:
Storing DATA
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Operators Manual
Pop Time
The Pop Time option enables the user to adjust the popup window delay time. When
certain functions are chosen from a display (for example, when choosing a blood pressure
target value from the Select BP submenu), a message surrounded by a box briefly
appears over the information on the display. The box containing this information is called
the popup window. The period of time during which the popup window displays is called
the pop time.
An adjustment in the pop time may be necessary if the popup window flashes on the
display too fast to read or if the window stays on the display too long and produces
unwanted delays in the testing procedure.
Note
The pop up window can be completely eliminated by setting the pop time to
0.00 seconds, a desirable option for the experienced user who does not
need such reminders.
To adjust the pop time:
1. From the Util submenu, highlight Pop Time and press the Ent key. The Pop Time
screen displays (actually labeled Adjust Pop Window Delay Time), showing the
current pop time (delay time) value in seconds:
*** Adjust Pop Window Delay Time ***
Delay Time (sec): 3.00
F1 F2 F3 F4 F5
fcv105.eps
2. Change the pop time by using the Up and Down arrow keys; the cursor is not
visible on the Pop Time display. The range of values for Pop Time is from 0.00
seconds to 5.00 seconds and changes by 0.25 second steps. Pressing the Up arrow
key once increases the value by 0.25 seconds. Holding the key down quickly
increases the displayed value to 5.00 seconds. Pressing the Down arrow key once
decreases the value by 0.25 seconds. Holding the key down quickly decreases the pop
time to 0.00 seconds.
3. Press the Esc key to discard changes, retaining the current pop time, the Analyzer
briefly displays the following confirmation and exits to the Util submenu:
No DATA Stored
4. Press the Ent key to save the modified pop time value. Before exiting to the Util
submenu, the Analyzer briefly displays a confirmation that the new value for pop up
window delay has been saved:
Storing DATA
2-24
Operation
Utility Functions 2
Logo
The Logo option shows the Analyzer name, current software revision, time, and date.
To view the logo:
1. From the Util submenu, highlight Logo and press the Ent key. The logo is
displayed:
16:15:36
09/19/07
CuffLink
3.21, Pump
Non-Invasive Blood Pressure Analyzer
F1 F2 F3 F4 F5
fcv101.eps
2. Press the Esc key to return the display to the Util submenu.
Note
No adjustments are possible in the Logo option.
System Functions
The System functions, accessed from the Util submenu, are primarily functional self
tests, available from the System Utilities screen:
*** System Utilities ***

Print Test ROM Checksums
Key Test Config Init
Speaker Test User Envelope
Display Test Pulse
Send test string to printer
F1 F2 F3 F4 F5
fcv110.eps
Print Test
The Print Test verifies that the Analyzer can communicate with a connected printer.
To carry out the Print Test:
1. Connect the printer to the Analyzer printer port on the rear panel and power on the
printer.
2. On the System Utilities screen, highlight the Print Test option and press the Ent
key. The Analyzer sends a test string through the printer port to the printer. If the
Analyzer is communicating correctly, the printer should print the following each time
the Ent key is pressed:
Printer test message
2-25
Cufflink
Operators Manual
5. If the printer is not connected properly or if there is a fault in the printer system,
including the cable, the Analyzer displays:
Printer Not Ready
ENT = Retry
ESC = Abort
3. Press the Ent key to attempt the print test again or press the Esc key to exit the print
test.
Key Test
The Key Test verifies that the Analyzer front panel keyboard is functional.
To carry out the Key Test:
1. On the System Utilities screen, highlight the Key Test option and press the Ent
key. The Key Test screen displays.
2. Press each key on the keyboard one at a time. A description of each key should
appear after the word Keyboard. If a description of the key that has been pressed
does not display, contact the Fluke Biomedical Service Center.
3. Press the Esc key four times to exit the Key Test.
Speaker Test
The Speaker Test verifies speaker operation by activating it with signals of various
frequencies. Adjustments of frequency (pitch of the sound) and period (length of sound)
are also possible.
To carry out the Speaker Test:
1. On the System Utilities screen, highlight the Speaker Test option and press the
Ent key. The Speaker Test screen displays.
2. Test the various parameters as desired, according to the instructions in Table 2-8.
2-26
Operation
Utility Functions 2
Table 2-8. Speaker Tests and Adjustments
Parameter Procedure
440 Press F1; the speaker produces a 440 hertz, 500 millisecond tone
Adjust Play Press F2, the speaker produces a tone determined by the settings determined by
the Adjust Frequency and Adjust Period values (see below for description)
shown in the center of the display.
Adjust Freq Press F3; the cursor moves to the Adjust Frequency value. When the cursor is at
this position, the frequency of the Adjust Play tone may be modified. Use the Up
or Down arrow keys to change the value. The Left and Right arrow keys have no
effect on this function. Change the value of the frequency and then press F2
(Adjust Play) to hear the difference in the pitch of the tone. As the value of the
frequency increases, so does the pitch.
Adjust Press F4; the cursor moves to the Adjust Period value, displayed in milliseconds
Period (ms). When the cursor is at this position, the length of the Adjust Play tone may be
modified. Use the Up or Down arrow keys to change the value. The Left and
Right arrow keys have no effect on this function. Change the value of the period
and press F2 (Adjust Play) to hear the difference in length of the tone. As the
value of the period increases, so does the length
Sweep Press F5; the speaker produces a long tone of various frequencies, starting with a
low frequency (pitch), gradually increasing to a higher frequency, then returning to
the low frequency from which it began.
3. To exit the Speaker Test option, press the Esc key.
Display Test
The Display Test verifies the operation of the Analyzer liquid crystal display by writing
(displaying) a series of test patterns to the display. Any sections of the display that are not
functioning correctly become apparent during this test.
To carry out the Display Test:
1. On the System Utilities screen, highlight the Display Test option and press the
Ent key. The Display Test screen displays.
2. Test the various parameters as desired, according to the instructions in Table 2-9.
2-27
Cufflink
Operators Manual
Table 2-9. Display Test Descriptions
Test Description
Short Test Press F1 to initiate; this test lasts about 15 seconds and displays two
patterns: the Text plane - Character test and the Graphic plane - Solid
fill test.
Long Test Press F2 to initiate; this test lasts about 1 minute 10 seconds and displays
two patterns: the Text plane - Character test and the Graphic plane - Solid
fill test.
Text plane – This test shows all of the characters or symbols (character set) that the
Character Test Analyzer produces, including letters, numbers, and other assorted symbols.
Graphic plane - This test evaluates the display's graphic capabilities. The test fills the entire
Solid fill Test grid of 240 by 64 pixels (the tiny dark squares visible on the display during
this test) with a dark blue color. This test demonstrates that all the pixels
may be activated correctly.
6. At the end of the Short and Long tests, the Analyzer briefly displays the following
confirmation:
Display test complete

Hit any key…
7. Press any key to return to the System submenu.
ROM Checksums
ROM (Read Only Memory) contains the software that operates the Analyzer. It is located
within an Integrated Circuit chip. This type of memory may be read by the Analyzer
microprocessor. ROM normally cannot be written to or altered in any way, but
information within ROM may occasionally become corrupted for various reasons.
The ROM Checksums function performs an evaluation of the ROM installed in the
Analyzer system to ensure that the integrity of the ROM is intact. A checksum is a
mathematical sum of the code (bytes) in the software program installed in ROM. When
the test is finished, a hexadecimal value is displayed that can be verified by contacting the
Fluke Biomedical Service Center.
Note
ROM Checksums currently can test ROMs U2, U3, and U4, even though U4
has not been installed. Performing a checksum test on ROMs that have not
been installed results in an erroneous value.
To carry out the ROM Checksums Test:
1. On the System Utilities screen, highlight the ROM Checksums Test option and
press the Ent key. The ROM Checksums screen displays.
This display shows the IC to test, the memory range (in hexadecimal) for the IC, and
the calculated checksum value. The checksum values are at xxxx when the ROM
Checksum display first appears.
2. Press F1 to select U2. The Analyzer displays the following confirmation for a short
period of time while the checksum is taking place:
2-28
Operation
Utility Functions 2
Calculating U2
3. Then, a value is displayed for U2 (example: 3B29) :
3B29
4. Verify this number with the Fluke Biomedical Service Center. The checksum value
changes with every Analyzer software revision.
5. Press Esc to exit the ROM Checksums Test and return to the System Utilities
screen.
Config Init
The Config Init option reinstalls factory default values for Pop Time, Comm port, and
auto sequences, as listed in Tables 2-10 and.2-11
Table 2-10. Pop Time and Comm Port Default Values
Parameter Value
Pop Time 1 second
Communications
Baud Rate 9600
Bits/Character 8
Parity None
Stop Bits 1
Flow Control Xon/Xoff
2-29
Cufflink
Operators Manual
Table 2-11. Auto Sequence Defaults
Cycles *
BP HR
A1 A2 A3 A4 A5
60/30 (40) Adult 40 1 2 3 4 5
80/50 (62) Adult 60 1 2 3 4 5
100/65 (75) Adult 80 1 2 3 4 5
120/80 (90) Adult 80 1 2 3 4 5
150/100 (115) Adult 120 1 2 3 4 5
200/150 (165) Adult 160 1 2 3 4 5
255/195 (215) Adult 200 1 2 3 4 5
120/80 (80) Adult 80 1 2 3 4 5
Utilities
Pressure Test Yes
Leak Test Yes
Pop Off Test Yes
Print BP Results Yes
* Cycles refer to the number of time that the Analyzer simulates a target value.
To carry out the Config Init function to restore default values:

1. On the System Utilities screen, highlight the Config Init option and press the Ent
key. The Config Init screen displays:
2. If resetting the Analyzer to its default values is not desired, press the Esc key. If
restoration to the default values is desired, press the Ent key. In either case, the
Analyzer returns to the System submenu.
User Envelope
Factory use only.
Pulse
Factory use only.
2-30
Operation
Establishing Communications 2
Establishing Communications
The Comm function allows the user to modify and test the Analyzer’s RS232
configuration. These functions are accessed from the Comm submenu:

Configure
Comm Test
Set baud date, parity and handshake
F1 F2 F3 F4 F5
fcv106.eps
Configuring RS232
To configure the RS232 communications settings:
1. From the Comm submenu, highlight Configure and press the Ent key. The
Configure screen displays:
Baud Bits Parity Stop Flow

Port 1: Rate Char Mode Bits Control
---- ---- ------ ----- --------
Current: 9600 8 none 1 XON/XOFF
Adjust: 9600 8 none 1 XON/XOFF
ESC=Exit, ENT=Store <-> Select, ][ Modify
F1 F2 F3 F4 F5
fcv107.eps
2. Press the Left and Right arrow keys to select the desired parameter and the Up and
Down arrow keys to modify its value. The available settings are listed in Table
2-12.
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Cufflink
Operators Manual
Table 2-12. RS232 Settings
Parameter Value
Baud Rate 300
600
1200
2400
4800
9600
Bits/Character 7
Parity Mode Even
Odd
None
Stop Bits 1

RTS/CTS
None
3. If saving the new values is not desired, press the Esc key. If saving the new values is
desired, press the Ent key. In either case, the Analyzer returns to the Comm
submenu.
Testing the RS232 Port and Connections

To test the RS232 port and its connections:
1. From the Comm submenu, highlight Comm Test and press the Ent key. The
Comm Test screen displays:
*** Comm port test ***

Baud, Len, Parity,Stop: 9600,8,none,1
Flow Control: XON/XOFF
Transmit Receive
Hit F2 to send Hit F4 to clear
CuffLink Test this box
Transmit Clear
F1 F2 F3 F4 F5
fcv108.eps
At the top of the screen are the current settings for the RS232 port.
2. Press F2 Transmit to transmit a signal to whatever is being used as the controller.
The phrase Analyzer Test should appear on the controller's monitor.
2-32
Operation
Using Auto Sequences 2
3. Press F4 Clear to clear the receive box on the Analyzer display. When sending data
from the controller, information appears in the receive box.
4. Press the Esc key to exit and return to the Comm submenu.
Using Auto Sequences

Using auto sequences, the user can simulate any of eight different blood pressures with
each of the adult, neonate, and arrhythmias categories, in any combination. In addition,
the user can also select the heart rate and cycle count (number of times that the Analyzer
simulates a specific blood pressure — from 1 to 99). These functions are accessed from
the Auto submenu:

Execute
Utility
Execute auto sequences
F1 F2 F3 F4 F5
fcv097.eps
Executing an Auto Sequence

To execute an auto sequence:
1. From the Auto submenu, highlight Execute and press the Ent key. The Execute
Auto Sequence screen displays:
*** Execute Auto Sequence ***
AUTO-1 AUTO-2 AUTO-3 AUTO-4 AUTO-5
F1 F2 F3 F4 F5
fcv109.eps
2. Press the function key below the auto sequence name to start the desired auto
sequence.
3. If there is a pressure test, leak test, or pop off test in the auto sequence, press F4
when these tests are done to advance the auto sequence. The Analyzer completes the
blood pressure simulations of the auto sequence automatically.
If the auto sequence is configured to print, it will do so when the cuff deflates after
the last blood pressure test. Otherwise the Analyzer returns to the Execute Auto
Sequence display.
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Cufflink
Operators Manual
Note
If an auto sequence is configured to print and is run before a printer is
properly connected to the Analyzer, a Printer Not Ready message
displays.If a printout is not desired, select Edit and make sure the Print
BP Results line says NO.
Utilities
The auto sequence utilities, accessible from the Utility submenu, lets the user edit, view,
name, and print auto sequences. To access any of the utilities described below from the
Utility submenu (the Auto Sequence Utilities screen), highlight the desired utility
option and press the Ent key. The appropriate screen displays.
Edit
The Edit utility lets the user change the settings of an auto sequence.
To modify the content of an auto sequence:
1. From the Auto Sequence Utilities screen, highlight Edit and select an auto
sequence with the function keys. The three Analyzer auto sequence editing pages are
shown below:
Auto-1
Pressure Test. : YES
Leak Test..... : YES
Pop Off Test.. : YES
Print BP Results YES
PgUp PgDn Store Yes/Inc No/Dec
F1 F2 F3 F4 F5
fcv112.eps
Auto-1 2
Blood Pressure HR (BPM) CYCLES
(1) 60/ 30 ( 40) Adult 40 1
(2) 80/ 50 ( 62) Adult 60 1
(3) 100/ 55 ( 75) Adult 80 1
(4) 120/ 80 ( 90) Adult 80 1
F1 F2 F3 F4 F5
2-34
Operation
Using Auto Sequences 2
fcv113.eps
Auto-1 3
Blood Pressure HR (BPM) CYCLES
(5) 150/100 ( 40) Adult 120 1
(6) 120/ 80 (ASC)Arrhyth 80 1
(7) 200/150 (165) Adult 160 1
(8) 120/ 80 (PVC)Arrhyth 80 1
F1 F2 F3 F4 F5
fcv114.eps
2. Use the Up and Down arrow keys to highlight a test parameter.

3. Press F4 or F5 to increase or decrease the value, respectively.
4. Press F3 Store to save the new data.
5. Press F1 PgUp or F2 PgDn to scroll up or down, respectively, between pages.
6. Select and change parameters on the new page as described in the previous steps.
7. Press the Esc key to quit and return to the Auto Sequence Utilities screen.
View
The View utility lets the user see the current configuration of an auto sequence. These
displays are view only; to change settings, use the Edit utility.
To view the content of an auto sequence:
1. From the Auto Sequence Utilities screen, highlight View and select an auto
sequence with the function keys.
2. Press F1 or F2 to scroll up or down, respectively, between pages.
3. Press the Esc key to quit and return to the Auto Sequence Utilities screen.
Name
The Name utility lets the user change the eight character name of an auto sequence.
To change the name of an auto sequence:
1. From the Auto Sequence Utilities screen, highlight Name and select an auto
sequence with the function keys. A box with the current auto sequence name appears.
AUTO-1
2. Press the Left and Right arrow keys to move the blinking cursor to the character to
be changed; then use the Up and Down arrow keys to scroll through the choices.
3. If saving the new name is not desired, press the Esc key. If saving the new name is
desired, press the Ent key. In either case, the Analyzer returns to the Utility
submenu.
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Cufflink
Operators Manual
Print
The Print utility lets the user print the content of the selected auto sequence. For more
information about printing auto sequence content and test results, refer to Printing
Documents: Printing Auto Sequences, below.
To print the content of an auto sequence:
From the Auto Sequence Utilities screen, highlight Print and select an auto sequence
with the function keys. A Printing Auto Sequence message displays until the document
has printed.
For example, to print the content of auto sequence #3 (AUTO-3), highlight Print and
press F3. Figure 2-6 is a sample printout of auto sequence content.
Description of Terms
Defl Pr Ref = Deflate Pressure Reference

Defl Time = Deflate Time
Defl Tm Ref = Deflate Time Reference
Cuff Pressure Infl Time = Inflate Time
Peak Press = Peak Cuff Pressure
Peak Press Physt = Hysterisis Pressure
Pthresh = Threshold Pressure
Totl Time = Total Time
Defl Pr Ref
Pthresh
Pthresh-Physt
Time
Defl Time
Infl Time Defl Tm Ref

Totl Time
Totl Time is variable

Set to zero at this point
fcv036.eps
Figure 2-6. Sample Printout of Auto Sequence Content
2-36
Operation
Printing Documents 2
Init
The Init utility lets the user reset an auto sequence to factory default values.
To reset an auto sequence to factory default values:
1. From the Auto Sequence Utilities screen, highlight Init and select an auto
sequence with the function keys. The Analyzer warns that the auto sequence is about
to be reset.
2. Press the Ent key to reset the values or press the Esc key to return to the Utilities
submenu without resetting.
Print All
The Print All utility lets the user print the content of all auto sequences.
To print the content of all auto sequences:
1. From the Auto Sequence Utilities screen, highlight Print All and press the Ent
key. The Analyzer displays Printing all Auto Sequences while the documents are
printing.
Init All
The Init All utility lets the user reset all auto sequences to factory defaults.
To reset all auto sequences to default values:
1. From the Auto Sequence Utilities screen, highlight Init All and press the Ent
key. The Analyzer warns that all auto sequences are about to be reset.
2. Press the Ent key to reset all values to the default or press the Esc key to return to
the Auto Sequence Utilities screen without resetting. Refer to Figure 2-11 for a
list of auto sequence defaults.
Printing Documents
Test results can be printed from the Analyzer to any parallel printer suitable for use with
a PC-compatible computer. Connect the printer cable to the port labeled Printer on the
Analyzer rear panel.
Note
If the user tries to print a document when the printer is the wrong type, out
of paper, not on line, or not properly connected, the Analyzer displays an
error message stating Printer not ready.
Printing Blood Pressure Test Results

To print the results of blood pressure tests:
1. Use the arrow keys to choose one of the selections under Select BP on the Analyzer
Main Menu and press the Ent key.
2. Press F3 Print to enable printing. A Printing enabled message displays.
3. Choose the blood pressure value to simulate and press the Ent key.
4. Start the NIBP monitor to begin the test. The Analyzer sends the test results to the
printer when the cuff has completely deflated. Figure 2-7 is a sample printout.
2-37
Cufflink
Operators Manual
---------------------------------------------------------------------
***** Make Arm Results *****
Heart Peak Deflate Deflate Inflate Inflate Total
Blood Rate Press Rate Time Rate Time Time
Pressure (BPM) (mmHg) (mmHg/s) (sec) (mmHg/s) (sec) (sec)
---------- ----- ------ -------- ------- -------- ------- -----
___/___(___) ___ 179 7.0 17.9 59.0 2.9 21.5
120/80 ( 90) 80 Gain=100 Shift=0
___/___(___) ___ 159 6.9 15.6 68.6 2.2 18.5
120/80 ( 90) 80 Gain=100 Shift=0
fcv082.eps
Figure 2-7. Sample Printout of Adams Adult Family 120/80 Test Results
5. To discontinue printing blood pressure test results, press the Esc key.
6. Return to the Target Values display and press the F3 Print key again. A Printing
disabled message is displayed. At this point, continue with blood pressure
simulations; the Analyzer does not print any of the results.
Printing Manometer, Leak Test, and Overpressure Test Results

After performing a manometer measurement, leak test, or overpressure test, press F3
Print to print the results. Figures 2-8, 2-9, and 2-10 are sample printouts.
***** Pressure Test *****
Pressure : 108 mmHg
fcv083.eps
Figure 2-8. Sample Printout of Manometer Test Results
***** Leak Test *****
Leak Start: 200.00mmHg; Leak Rate:8.75mmHg/m
fcv084.eps
Figure 2-9. Sample Printout of Leak Test Results
***** Over Pressure Test *****
Pop Off: 289.00 mmHg
fcv085.eps
Figure 2-10. Sample Printout of Overpressure Test Results
Printing Auto Sequences

Auto sequence content (the tests and their order) or auto sequence test results can be
printed, as described in this section.
Printing Auto Sequence Content

To print auto sequence content:
2-38
Operation
1. Highlight Auto on the Main Menu by pressing a Left or Right arrow key.
2. From the Auto submenu, highlight Utility and press the Ent key.
3. Highlight Print and press the function key below the auto sequence to be printed.
For example, to print the content of auto sequence #3, highlight Print and press F3.
To print content of all the auto sequences, select Print All and press the Ent key.
Printing Auto Sequence Test Results

To print auto sequence test results:
1. Highlight Auto on the Main Menu by pressing a Left or Right arrow key.
2. From the Auto submenu, highlight Utility and press the Ent key.
3. Highlight Edit and press the function key below the auto sequence to be printed. The
Auto-1 screen displays:
Auto-1
Pressure Test. : YES
Leak Test..... : YES
Pop Off Test.. : YES
Print BP Results YES
F1 F2 F3 F4 F5
fcv115.eps
4. Use the arrow keys to move the cursor to the Print BP Results line.
5. Press F4 to enter a YES and then press F3 to store the change.
6. If a printout of an auto sequence is not desired, press F5 to enter a NO on this line
and then press F3 to store the change.
Note
Before starting an auto sequence that will print, make sure the printer is
ready or a Printer not ready message displays, and the auto sequence does
not run.
2-39
Cufflink
Operators Manual
Sample Auto Sequence Test Printouts

Figures 2-11 through 2-16 illustrate sample auto sequence printouts, as described by their
captions.
AUTO-3
CuffLink Auto Sequence Test Procedure
04/13/93
Pressure Test ......YES

Leak Test ..........YES
Pop Off Test .......YES
Print Results ......YES
Blood Pressure
Blood Pressure Heart Rate (BPM) Cycles
80/ 50( 62) Adult 40 3

100/ 65( 75) Adult 60 3
120/ 80( 90) Adult 80 3
200/150(165) Adult 120 3
-------- Off ------- 120 3
-------- Off ------- 160 3
-------- Off ------- 200 3
-------- Off ------- 80 3
fcv120.eps
Figure 2-11. Sample Printout of Adult Auto Sequence Content
2-40
Operation
Date:09/25/93 ADULT3 Page 1
Time: 08:00 Cufflink Auto Sequence
ABC Co
Manufacturer:____________ XXX
Model:____________ 101
Ser:____________
Control#: A200
____________ CCU
Dept :____________ BED 5
Loc:____________
3.0
Software Rev:____________ Notes:________________________________
***** Pressure Test *****
Pressure: 287.75 mmHg 287

UUT Indicates:_____mmHg
***** Leak Test *****

Leak Start: 322.75 mmHg Leak Rate: 0.75 mmHg/m


80/50 (62) 40 161 5.5 27.5 58.8 2.6 30.1
80/50 (62)A 40 Gain=100 Shift=0
79/50 (60) 40 97 3.2 27.6 63.6 1.4 29.0
80/50 (62)A 40 Gain=100 Shift=0
80/48 (61) 40 95 3.1 27.1 79.1 1.1 28.2
80/50 (62)A 40 Gain=100 Shift=0
98/61 (79) 60 180 6.6 22.0 61.4 2.8 24.8
100/65 (75)A 60 Gain=100 Shift=0
99/62 (73) 60 143 6.7 17.6 64.3 2.1 19.7
100/65 (75)A 60 Gain=100 Shift=0
100/63 (73) 60 142 6.8 17.9 78.8 1.7 19.6
100/65 (75)A 60 Gain=100 Shift=0
116/79 (89) 80 145 6.7 14.0 59.6 2.3 16.8
120/80 (90)A 80 Gain=100 Shift=0
116/77 (90) 80 161 7.0 15.5 66.5 2.3 18.3
120/80 (90)A 80 Gain=100 Shift=0
116/79 (91) 80 165 7.0 16.1 65.4 2.4 19.1
120/80 (90)A 80 Gain=100 Shift=0
200/155 (172) 205 163 7.8 11.6 62.0 2.5 15.2
200/150 (165)A 200 Gain=100 Shift=0
202/148 (165) 205 216 8.5 11.6 69.3 3.0 16.0
200/150 (165)A 200 Gain=100 Shift=0
202/149 (166) 205 223 8.4 12.5 69.4 3.1 17.0
200/150 (165)A 200 Gain=100 Shift=0
NOTE:Bold type represents data hand-entered by user

fcv086.eps
Figure 2-12. Sample Printout of Adult Auto Sequence Test Results
2-41
Cufflink
Operators Manual
AUTO-1
Cufflink Auto Sequence Test Procedure
03/24/93
Pressure Test ........YES

Leak Test.............YES
Pop Off Test..........NO
Print Results.........YES
60/ 30( 40) Adult 40 1

80/ 50( 62) Adult 60 1
120/ 80(PAC) Arrhyth 80 1
120/ 80(PAC) Arrhyth 80 1
------- Off ------ 120 1
------- Off ------ 160 1
------- Off ------ 80 1
------- Off ------ 80 1
fcv087.eps
Figure 2-13. Sample Printout of Adult BP with Arrhythmia Auto Sequence Content
2-42
Operation
Date:09/25/93 AUTO-1 Page 1
ABC Co
Manufacturer:_______________ XXX
Model:_______________ 00102
Ser:_______________
Control#: A100
_______________ Dept: CCU
____________ Loc: BED 5
____________
3.0
Software Rev: _______________ Notes: ___________________________________
* * * * * Make Arm Results * * * * *

66/27 ( 35) 39 145 2.9 47.8 44.2 3.1 50.9

60/30 ( 40)A 40 Gain=100 Shift=0
77/46 ( 62) 60 97 3.7 16.3 35.6 2.5 19.5
80/50 ( 62)A 60 Gain=100 Shift=0
113/76 ( 89) 80 174 4.9 21.2 19.1 8.7 31.3
120/80 (PAC)AR 80 Gain=100 Shift=0
119/80 ( 88) 80 158 5.2 16.6 53.6 2.8 20.8
120/80 (PVC)AR 80 Gain=100 Shift=0
NOTE: Bold type represents data hand-entered by user
fcv088.eps
Figure 2-14. Sample Printout of Adult BP with Arrhythmia Auto Sequence Test Results
2-43
Cufflink
Operators Manual
NEO-2
Cufflink Auto Sequence Test Procedure
04/13/93
Pressure Test ........YES

Leak Test.............YES
Pop Off Test..........NO
Print Results.........YES
100/ 65( 75) Neonate 120 1

80/ 50( 62) Neonate 120 1
60/ 30( 40) Neonate 160 1
100/ 65( 75) Neonate 200 1
------- Off ------ 40 1
------- Off ------ 40 1
------- Off ------ 40 1
------- Off ------ 40 1
fcv089.eps
Figure 2-15. Sample Printout of Neonate Auto Sequence Content
2-44
Operation
Date:09/25/93 NEO-2 Page 1
ABC Co
Manufacturer:____________ YYY
Model:____________ 00104
Ser:____________
Control#: N200
________ PICU
Dept :___________ BED 2
Loc:____________
3.0
Software Rev:____________ Notes:________________________________
***** Leak Test *****

Leak Start: 337.00 mmHg Leak Rate: 5.25 mmHg/m


100/63 (77) 120 195 6.0 31.1 49.2 3.8 34.9
100/65 (75)A 120 Gain=100 Shift=0
98/63 (76) 122 137 5.2 18.7 61.4 2.1 22.0
100/65 (75)A 120 Gain=100 Shift=0
099/63 (79) 122 138 5.9 16.7 65.0 2.0 19.9
100/65 (75)A 120 Gain=100 Shift=0
79/48 (59) 120 135 5.8 22.1 45.4 2.8 24.9
80/50 (62)A 120 Gain=100 Shift=0
80/49 (61) 122 121 6.6 17.4 56.5 2.0 19.4
80/50 (62)A 120 Gain=100 Shift=0
79/49 (62) 120 122 5.3 16.7 54.3 2.1 19.5
80/50 (62)A 120 Gain=100 Shift=0
59/29 (39) 163 122 6.5 17.5 42.2 2.7 20.2
60/30 (40)A 160 Gain=100 Shift=0
59/29 (39) 163 94 6.1 14.1 53.8 1.6 15.7
60/30 (40)A 160 Gain=100 Shift=0
59/28 (43) 160 97 6.7 13.1 38.7 2.3 15.4
60/30 (40)A 160 Gain=100 Shift=0
99/ 65 (75) 205 149 10.6 13.2 23.9 5.9 19.1
100/ 65 (75)A 200 Gain=100 Shift=0
100/ 64 (78) 205 140 8.1 10.9 45.5 2.9 15.1
100/ 65 (75)A 200 Gain=100 Shift=0
98/ 64 (76) 205 141 10.1 13.2 51.2 2.6 15.8
100/ 65 (75)A 200 Gain=100 Shift=0
NOTE:Bold type represents data hand-entered by user

fcv090.eps
Figure 2-16. Sample Printout of Neonate Auto Sequence Test Results
2-45
Cufflink
Operators Manual
2-46
Chapter 3
Remote Operation
Title Page
Introduction.......................................................................................................... 3-3
Setting Up the medTester .................................................................................... 3-3
Remote Command Syntax ................................................................................... 3-4
Command Syntax for medTester..................................................................... 3-4
Command Syntax for Computer...................................................................... 3-4
Command Parameters...................................................................................... 3-4
Terminating Characters ................................................................................... 3-5
Error Messages ................................................................................................ 3-5
Command Descriptions........................................................................................ 3-7
BEEP ............................................................................................................... 3-7
CALPUCKPOS ............................................................................................... 3-8
DEFLATE ....................................................................................................... 3-8
DRAWENV..................................................................................................... 3-8
DRAWENVNEO ............................................................................................ 3-11
DRAWPULSE................................................................................................. 3-15
GLOBALINIT................................................................................................. 3-17
GOTOLOCAL................................................................................................. 3-18
IDENT ............................................................................................................. 3-18
INFLATE ........................................................................................................ 3-18
KEYTEST ....................................................................................................... 3-19
LEAKTEST..................................................................................................... 3-19
MAKEARM .................................................................................................... 3-20
MAKEARMNEO ............................................................................................ 3-23
MANOMETER ............................................................................................... 3-27
MKARM10...................................................................................................... 3-27
MKARM20...................................................................................................... 3-27
MKARM30...................................................................................................... 3-28
MKARM40...................................................................................................... 3-28
MKARM50...................................................................................................... 3-28
MKARM60...................................................................................................... 3-28
MKARM70...................................................................................................... 3-29
MKARMNEO10 ............................................................................................. 3-29
MKARMNEO20 ............................................................................................. 3-29
MKARMNEO30 ............................................................................................. 3-29
MKARMNEO40 ............................................................................................. 3-30
3-1
Cufflink
Operators Manual
MKARMNEO50 ............................................................................................. 3-30

MKARR_AF ................................................................................................... 3-30
MKARR_MB .................................................................................................. 3-30
MKARR_PAC................................................................................................. 3-31
MKARR_PVC................................................................................................. 3-31
MKARR_AS ................................................................................................... 3-31
POPOFF .......................................................................................................... 3-32
PRINTTEST .................................................................................................... 3-32
PSCALE .......................................................................................................... 3-33
PULSE............................................................................................................. 3-34
PUMPPCB....................................................................................................... 3-36
RCUSERENV ................................................................................................. 3-36
RDCLOCK ...................................................................................................... 3-36
RDENVGAIN ................................................................................................. 3-36
RDENVSHIFT ................................................................................................ 3-37
RDPEAKDIV .................................................................................................. 3-37
RDQCDATE ................................................................................................... 3-37
RDUSERENV ................................................................................................. 3-37
READPRESS .................................................................................................. 3-38
RESET............................................................................................................. 3-38
STUSERENV .................................................................................................. 3-39
WRCLOCK ..................................................................................................... 3-39
WRPEAKDIV ................................................................................................. 3-40
WRUSERENV ................................................................................................ 3-40
ZEROPRESS................................................................................................... 3-41
Programming with Analyzer Commands............................................................. 3-41
Checklist Generated in BASIC........................................................................ 3-41
Adult BP Checklists and Test Results ............................................................. 3-43
Neonate BP Checklists and Test Results......................................................... 3-47
Adult Arrhythmic BP Checklists and Test Results.......................................... 3-51
Additional Command Descriptions (Firmware Version 3.20)............................. 3-55
PUMPON ........................................................................................................ 3-55
PUMPOFF....................................................................................................... 3-55
VALVEOPEN ................................................................................................. 3-55
VALVECLOSED ............................................................................................ 3-56
3-2
Remote Operation
Introduction 3
Introduction
Two operating modes—local or remote—control the Analyzer. When the Analyzer is
powered on, it initializes in local mode. The Analyzer keyboard is enabled, and the
Analyzer can understand information input from its front panel.
The remote mode allows communication with the Analyzer, using a serial controller (a
computer with an RS232 port or a medTester with medCheck). Connect the Analyzer to
the controller with a null modem cable. As soon as the Analyzer receives a remote
command from a controller, it goes into the remote mode and recognizes commands from
only that controller.
The Analyzer keyboard is completely disabled during remote operation, except during
some procedures in which the Esc or function keys are needed. To return the Analyzer to
the local mode, use the GOTOLOCAL command. Program examples are given at the
end of this chapter.
There are two types of commands associated with the Analyzer:
• Those that instruct the Analyzer to simply perform a procedure
• Those that cause the Analyzer to perform a procedure and send test results (data)
back to the controlling device.
If the command instructs the Analyzer to do a procedure that generates no data, such as
drawing a pressure envelope, the Analyzer completes the procedure, then sends an
asterisk (*) to the controller. When the asterisk displays, the Analyzer has received,
understood, and carried out a command.
The following sections on remote commands include instructions on writing commands,
an error message list, a section of detailed command descriptions, and examples of how
to use the Analyzer commands in a computer program.
Setting Up the medTester

Before the Analyzer can communicate with a medTester, the medTester must be
configured, using the values listed in Table 3-1.
Table 3-1. medTester Remote Configuration Settings
medTester RS232 Setting
Com1 Off
Com2 On
Connect null modem cable from the Analyzer to

Com2.
Baud Rate 9600
Stop bits 1
Parity Off
CTS Off
.
3-3
Cufflink
Operators Manual
Remote Command Syntax

A computer or a medTester with medCheck can be used to control the Analyzer. For both
controllers, start remote commands with a command verb and add optional parameters
(values that further define the remote command).
Remote commands are not case sensitive; either upper or lower case letters can be used
anywhere in the command, and the Analyzer understands it. The differences in syntax for
each controller are explained below (n represents the parameter value).
Command Syntax for medTester

When the Analyzer is controlled with a medTester, separate the command verb from the
parameter list with a colon and separate each parameter with a semicolon. Do not put
spaces anywhere in the command line. The syntax is:
CommandVerb:parameter=n;parameter=n
Example: makearm:hr=60,envshift=50
Command Syntax for Computer

When the Analyzer is controlled with a computer, separate the command verb from the
parameter list with a space or a colon. Separate the parameters with a comma or
semicolon. The syntax is:
CommandVerb parameter=n,parameter--r-
Example: makearm hr=60,envshift=50
or
CommandVerb:parameter=n;parameter=n
Example: makearm:hr=60;envshift=50
Command Parameters
Command parameters are values specified to further define remote commands. For
example, different heart rates can be specified for the makearm command.
If no command parameters are specified, the Analyzer uses current values. Current values
are either the default values or the values used in a previous command.
Parameters for each command are described in the Command Descriptions section later
in this chapter.
Default Values
Default values are reassigned to all remote commands each time the Analyzer is powered
up. The Analyzer uses default values for the first command given to it if no parameters
have been specified. For example, the command makearm has no parameters defining it,
so the Analyzer uses default values. However, if "malcearm:hr=30" were specified as a
parameter that sets the heart rate at 30 BPM, the Analyzer would use that value instead of
the 80 BPM default value.
3-4
Remote Operation
Remote Command Syntax 3
Exercise at the Controlling Device
The RESET command can be used to set values to default. The following exercise shows
how the Analyzer retains current parameter values until new values are assigned:
1. Enter the command makeann:bp=adams-150/100. This simulates a blood pressure of
150/100. The Analyzer uses default values for all other parameters.
2. Enter the command makearm. Blood pressure is still set at 150/100 from the previous
command.
3. Enter the command makearm:bp=adams-80/50. A new blood pressure of 80/50
replaces the blood pressure of 150/100.
4. Enter the command reset. The Analyzer is reset to default values. All succeeding
commands will have parameters set to the default until other values are specified.
Terminating Characters
When writing programs to control the Analyzer, place a terminating character after the
command line to mark the end of the command line. Terminate commands with any of
the following characters.
• CR – Carriage Return
• LF – Line Feed
• CR LF – Carriage Return and Line Feed
• LF CR – Line Feed and Carriage Return
If the Analyzer receives a terminating character that is not preceded by a remote
command, it sends a question mark (?) back to the controller. Use this feature to do a
communication check and verify that the Analyzer is properly connected to the
controller. After sending the terminating character to the Analyzer, wait five seconds for
the Analyzer to send a "?" back to the controller. If, after the third time, a question mark
does not appear on the controller's display, assume that the Analyzer is not correctly
connected to the controller, a cable wiring error exists, or the setup (baud rate, parity,
etc.) is wrong.
After selecting a terminating character, use the same one to terminate all commands. For
example, do not start writing a program using LF as the terminating character and then
switch to CR. If starting with LF, use it throughout the entire program.
Error Messages
The Analyzer evaluates all remote commands for validity. If a command generates an
error, an error message displays. Table 3-2 lists available error messages.
3-5
Cufflink
Operators Manual
Table 3-2. Available Error Messages
Error Number Description
0 * - Successful command
1 Illegal parameter
2 Unknown command
3 Missing parameter(s)
4 Illegal beep frequency
5 Illegal beep period
6 Illegal time string, must be 22 chars
7 Parallel printer fault
8 Illegal ROM number
9 General failure
10 Illegal heart rate
11 Illegal pulse ID number
12 Pulse width exceeds heart rate period
13 Pulse amplitude too high
14 Pulse amplitude too low
15 Illegal motion command
16 Maximum motor velocity exceeded
17 Pressure engine motion fault
18 Illegal motor direction
19 Illegal motor step count
20 Illegal blood pressure
21 Pressure envelope gain too high
22 Pressure envelope gain too low
23 Pressure envelope shift too high
24 Pressure envelope shift too low
25 Target pressure too high
26 Target, pressure too low
27 Illegal cal memory type
28 Illegal cal gain value
29 Illegal microphone value
30 Illegal Pop Time
31 Illegal display test number
3-6
Remote Operation
Command Descriptions 3
Command Descriptions
This alphabetized section contains detailed descriptions of the Analyzer's remote
commands. Examples for each command show exactly how to type the command, the
results, and the data returned to the controller, as it appears on the controller's display.
Commands in the Examples sections were written in command syntax for computers. For
information on medTester syntax, refer to Command Syntax for medTester.
Note
Different results from those shown in the examples may be obtained. Except for asterisks,
the Returned Data listed in the following examples is varied, depending on the Analyzer
and the parameter values assigned to the command.
BEEP
Use this command to test Cufflink's speaker and modify the frequency (pitch) and period
(length of the beep). Because the speaker is more difficult to hear at very low and very
high frequencies, be sure the Beeper Volume control on the front panel is set high
enough. Parameters for this command are described below.
Parameter Definition Range Default
FREQ Frequency (Hertz) 76 to 10,000 Hz 440 Hz
PERIOD Period (milliseconds) 50 to 32,000 ms 500 ms
Example
Beep the speaker using Cufflink's default values.
Command beep
Results A 440 Hz tone sounds for 500 milliseconds.
Returned Data *
Example
Beep the speaker at a frequency of 300 Hz for 800 milliseconds.
Command beep freq=300,period=800
Results A 440 Hz tone sounds for 500 milliseconds.
Returned Data *
3-7
Cufflink
Operators Manual
CALPUCKPOS
Use this command to calibrate puck position. This procedure positions the puck at a
known location or reference point from which subsequent puck movement is calculated.
During this procedure, the Analyzer moves the puck in a downward direction until it
extends to its full range of movement (to the chamber bottom). Then the puck moves
up and stops as soon as it is detected by an opto sensor. The Analyzer records the
number of motor steps necessary to move the puck this distance and stores the number in
EEROM. There are no parameters for this command.
Example
Calibrate the puck position.
Command calpuckpos
Results The Analyzer calibrates the puck. Returned data is the value that
the Analyzer stores in EEROM
Returned Data 5681; varies with each Analyzer
DEFLATE
Use this command to release all pressure inside the Analyzer. There are no parameters for
this command.
Example
Eliminate the pressure inside the Analyzer.
Command deflate
Results The Analyzer releases pressure.
Returned Data *
DRAWENV
Use this command to draw an ADAMS Adult pressure envelope on the Analyzer display,
as shown in Figure 3-1. Envelope gain, shift, and pulse width can be modified.
Pressure Envelope
Max
1.0 1000
Min
0.8
1
0.6
0.4
0.2
mm
0 40 80 120 160 200
fcv037.eps
Figure 3-1. Analyzer Adult Blood Pressure Envelope (BP = 120/80)
3-8
Remote Operation
Parameters for this command are described below.
Parameter Definition Range Default Description
HR Heart Rate 30 BPM to 240 80 BPM 1 BPM resolution

(Beats/Minute) BPM in 1 BPM
Steps
BP Blood Pressure ADAMS-60/30 ADAMS-

(mmHg) ADAMS-80/50 120/80
ADAMS-100/65
ADAMS-120/80
ADAMS-150/100
ADAMS-200/150
ADAMS-255/195
PULSEID Pulse ID# / WIDTH ID# 3 Pulse width affects the rise
Identification 0 / 800 ms (720 ms) time of pulse
(milliseconds)
1 / 500 ms
2 / 250 ms
3 / 720 ms
4 / 230 ms
5 / 280 ms
6 / 350 ms
7 / 480 ms
8 / 980 ms
9 / 1980 ms
10 / 1480 ms
ENVGAIN Pressure 1 to 200% 100% is a Affects pulse strength or

Envelope Gain (10 to 2000 typical value amplitude
RVDUs) for adult
cuffs.
ENVSHIFT Pressure -100 to +100 0 mmHg Modifies existing pressure

Envelope Shift mmHg envelope to simulate another
BP
Example: 0 +10 mmHg shift

causes 120/80 to read
130/90 on most monitors.
Example
Draw a pressure envelope showing a BP of 80/50 with a heart rate of 60 BPM
Command drawenv hx=60,bp=adams-80/50
Results The specified pressure envelope is drawn on the

Analyzer display:
3-9
Cufflink
Operators Manual
BP = 80/50, HR = 60 BPM
Max
1.0 1000
Min
0.8
7
0.6
0.4
0.2
mm
0 40 80 120 160 200
fcv038.eps
Returned Data *
Example
Draw a pressure envelope with a heart rate of 30 BPM, a blood pressure of 200/150, a 50% gain, and a
shift of 20 mmHg.
Command drawenv hr---30,bp=adams200/150,envgain=50,envshift=20
Results The specified pressure envelope is drawn on the Analyzer display:
BP = 200/150, HR = 30 BPM, gain = 50%, shift = 20 mmHg
Max
1.0 500
Min
0.8
63
0.6
0.4
0.2
mm
0 120 160 200 240 280
fcv039.eps
Returned Data *
3-10
Remote Operation
DRAWENVNEO
Use this command to draw an ADAMS Neonate pressure envelope on the Analyzer
display, as shown in Figure 3-2. Envelope gain, shift, and pulse width can be modified.
Pressure Envelope
Max
1.0 1000
Min
0.8
1
0.6
0.4
0.2
mm
0 40 80 120 160 200
fcv040.eps
Figure 3-2. Analyzer Neonate Blood Pressure Envelope (BP = 120/80)
3-11
Cufflink
Operators Manual

HR Heart Rate 30 BPM to 240 BPM 80 BPM 1 BPM resolution

(Beats/Minute) in 1 BPM Steps
BP Blood Pressure ADAMSNEO-60/30 ADAMSNEO-

(mmHg) ADAMSNEO-80/50 120/80
ADAMSNEO-100/65
ADAMSNEO-120/80
ADAMSNEO-
150/100
PULSEID Pulse ID# / WIDTH ID# 3 Pulse width affects

Identification (720 ms) the rise time of
(milliseconds) pulse
0 / 800 ms
1 / 500 ms
2 / 250 ms
3 / 720 ms
4 / 230 ms
5 / 280 ms
6 / 350 ms
7 / 480 ms
8 / 980 ms
9 / 1980 ms
10 / 1480 ms
ENVGAIN Pressure 1 to 200% 100% is a Affects pulse

Envelope Gain (10 to 2000 RVDUs) typical value strength or
for neonate amplitude
cuffs.
ENVSHIFT Pressure -100 to +100 mmHg 0 mmHg Modifies existing

Envelope Shift pressure envelope
to simulate
another BP
Example: 0 +10
mmHg shift
causes 120/80 to
read 130/90 on
most monitors.
3-12
Remote Operation
Example
Draw a neonatal pressure envelope with a BP of 80/50 with a heart rate of 60 BPM.
Command drawenvneo hr=60,bp=adamsneo-80/50
Results The specified pressure envelope is drawn on the

Analyzer display:
BP = 80/50, HR = 60 BPM
Max
1.0 1000
Min
0.8
7
0.6
0.4
0.2
mm
0 40 80 120 160 200
fcv041.eps
Returned Data *
Example
Draw a neonatal pressure envelope with a heart rate of 30 BPM, a blood pressure of 150/100, a 50% gain,
and a shift of 20 mmHg.
Command drawenvneo hr=30,bp=adamsneo-150/100,envgain=50,envshift=-20

Results The specified pressure envelope is drawn on the Analyzer display:
3-13
Cufflink
Operators Manual
BP = 150/100, HR = 30 BPM, gain = 50%, shift = 20 mmHg
Max
1.0 500
Min
0.8
68
0.6
0.4
0.2
mm
20 60 100 140 180 220
fcv042.eps
Returned Data *
3-14
Remote Operation
DRAWPULSE
Use this command to draw an individual pressure pulse, as shown in Figure . Different
pulse widths can be specified for this command.
Pulse # 3 (720 milliseconds)
msec
1.0 716
0.8
0.6
0.4
0.2
sec
0 0.2 0.4 0.6 0.8 1.0
fcv043.eps
Figure 3-3. Analyzer Pressure Pulse #3

PULSEID Pulse ID# / ID# 3 Pulse width affects the rise time
Identification WIDTH (720 of pulse
(milliseconds) ms)
0 / 800 ms
1 / 500 ms
2 / 250 ms
3 / 720 ms
4 / 230 ms
5 / 280 ms
6 / 350 ms
7 / 480 ms
8 / 980 ms
9 / 1980 ms
10 / 1480
ms
3-15
Cufflink
Operators Manual
Example
Draw a 720 millisecond wide pressure pulse.
Command drawpulse
Results The 720 millisecond wide pressure pulse (default value)

is drawn on the Analyzer display:
msec
1.0 716
0.8
0.6
0.4
0.2
sec
0 0.2 0.4 0.6 0.8 1.0
fcv043.eps
Returned Data *
Example
Draw a 480 millisecond wide pressure pulse (pulse number 7).
Command drawpulse pulseid=7
Results The specified pressure pulse is drawn on the Analyzer

display:
msec
1.0 476
0.8
0.6
0.4
0.2
sec
0 0.1 0.2 0.3 0.4 0.5
fcv045.eps
Returned Data *
3-16
Remote Operation
GLOBALINIT
Use this command to reset the Analyzer to factory defaults. There are no parameters for
this command. The default values are listed below.
Table 3-3. Autosequence Defaults
Cycles *
BP HR
A1 A2 A3 A4 A5
60/30 (40) Adult 40 1 2 3 4 5
80/50 (62) Adult 60 1 2 3 4 5
100/65 (75) Adult 80 1 2 3 4 5
120/80 (90) Adult 80 1 2 3 4 5
150/100 (115) Adult 120 1 2 3 4 5
200/150 (165) Adult 160 1 2 3 4 5
255/195 (215) Adult 200 1 2 3 4 5
120/80 (80) Adult 80 1 2 3 4 5
Utilities
Pressure Test Yes
Leak Test Yes
Pop Off Test Yes
Print BP Results Yes
* Cycles refer to the number of time that the Analyzer simulates a target value.
Table 3-4. Pop Time and Comm Port Default Values
Parameter Value
Pop Time 1 second
Communications
Baud Rate 9600
Bits/Character 8
Parity None
Stop Bits 1
3-17
Cufflink
Operators Manual
Example
Do a global initialization.
Command globalinit
Results All user modifications for Pop Time, RS232 port, and autosequences
are reset to factory defaults.
Returned Data *
GOTOLOCAL
Use this command to switch control of the Analyzer fro a serial controller to the Analyzer
keyboard. There are no parameters for this command.
Example
Return the Analyzer control to its front panel.
Command gotolocal
Results The Analyzer logo displays, and it returns to the local mode. The front
panel keyboard is now active.
Returned Data *
IDENT
Use this command to show the Analyzer name and firmware version on the controller
display. There are no parameters for this command.
Example
Identify the Analyzer and firmware version.
Command ident
Results Display of Analyzer identification and firmware version
Returned Data CuffLink, 3.00, Pump; varies with each Analyzer, depending on the
installed firmware and options
INFLATE
Use this command to pump up the pressure inside the Analyzer. Parameters for this
command are described below.
PRESSURE Pressure (mmHg) 0 to 499.75 mmHg 200 mmHg
Example
Pump Analyzer pressure up to 275 mmHg.
Command Inflate pressure=275
Results The Analyzer internal pump increases pressure to 275 mmHg.
Returned Data *
3-18
Remote Operation
Example
Pump Analyzer pressure up to 200 mmHg.
Command inflate
Results The Analyzer internal pump increases pressure to 200 mmHg.
Returned Data *
KEYTEST
Use this command to test the Analyzer keyboard. There are no parameters for this
command.
Example
Test the keyboard.
Command keytest
Results The Analyzer echoes the key pressed. To exit the keytest, press Esc
four times.
Returned Data F1
LEAKTEST
Use this command to put the Analyzer in the leak test mode. The keys on the Analyzer
front panel become active during this test so a user can zero pressure, perform the leak
test, do a reset, or print the test results. To exit the leak test mode, simply issue to the
Analyzer another remote command. There are no parameters for this command.
Example
Enter the Analyzer leak test mode.
Command leaktest
Results The Analyzer enters the leak test mode and shows the Leak Test
display. Press F1 on the keyboard to begin the leak test. The leak test
runs for one minute and then displays the leak rate in mmHg/min.
F1 F2 F3 F4 F5
fcv046.eps
Returned Data *
3-19
Cufflink
Operators Manual
MAKEARM
Use this command to simulate blood pressures from the ADAMS Adult Family target
values. Heart rate, BP, and pressure envelope gain and shift can be modified. Parameters
for this command are described below.

Steps
BP Blood Pressure ADAMS-60/30 ADAMS-120/80

(mmHg) ADAMS-80/50
ADAMS-100/65
ADAMS-120/80
ADAMS-
150/100
ADAMS-
200/150
ADAMS-
255/195
PULSEID Pulse ID# / WIDTH ID# 3 Pulse width affects
Identification 0 / 800 ms (720 ms) the rise time of
(milliseconds) pulse
1 / 500 ms
2 / 250 ms
3 / 720 ms
4 / 230 ms
5 / 280 ms
6 / 350 ms
7 / 480 ms
8 / 980 ms
9 / 1980 ms
10 / 1480 ms
ENVGAIN Pressure 1 to 200% 100% is a typical Affects pulse

Envelope Gain (10 to 2000 value for adult strength or
RVDUs) cuffs. amplitude
ENVSHIFT Pressure -100 to +100 0 mmHg Modifies existing

Envelope Shift mmHg pressure envelope
to simulate
another BP
Example: 0 +10
mmHg shift
causes 120/80 to
read 130/90 on
most monitors.
3-20
Remote Operation
Make all necessary connections from the Analyzer to the NIBP monitor before sending a
makearm command to the Analyzer. When the Analyzer receives the makearm
command, it displays a graph where the pressure envelope will be drawn.
Start the NIBP monitor; the Analyzer begins BP simulation and draws the pressure
envelope. When the blood pressure cycle is complete, the following are displayed on the
computer monitor:
• Peak pressure
• Deflate time
• Deflate rate
• Inflate time
• Inflate rate
• Total time
Returned Data
The NIBP monitor can run as many times as needed or until a new command is issued to
the Analyzer. The Analyzer sends the makearm data (format shown below) to the com-
puter in six different fields separated by commas. If the data is positive, it is preceded by
a space; if the data is negative, it is preceded by a minus sign (-).
Data Field Number Field Length Field Content
peak pressure 1 4 characters [sign n n n)
deflate time 2 6 characters [sign n n n .n)
deflate rate 3 6 characters [sign n n n .n]
inflate time 4 6 characters [sign n n n .n]
inflate rate 5 6 characters [sign n n n .n]
total time 6 6 characters [sign n n n .n]
The following example is a data string of positive values as it might appear on the
controller display. The peak pressure of 79 mmHg is in field 1, and the total time of 3.3
minutes is in field 6.
3-21
Cufflink
Operators Manual
Peak Pressure (mmHg)
Deflate Time (minutes)
Deflate Rate (mmHg/min)
Inflate Time (minutes)
Inflate Rate (mmHg/min)
Total Time (minutes)
79, 4.0, 2.0, 78.9, 0.9, 3.3
fcv047.eps
Example
Simulate a blood pressure of 100/65 with a heart rate of 60 BPM.
Command makearm bp=adams-100/65,hr=60
Results The Analyzer draws the makearm graph and begins

arm simulation when the NIBP monitor starts inflating
the cuff. Test results are sent to the controller when the
cuff deflates.
60 BPM CuffPres 0
200 CuffPeak 197
160 DeflRate 4.9
DeflTime 39.1
120
InflRate 39.4
80 InflTime 4.8
TotlTime 43.8
40
120/80 (75) A
0 20 40 60
fcv048.eps
Returned Data 197, 4.9, 39.1, 39.4, 4.8, 43.8; varies, depending on
parameter values
3-22
Remote Operation
Example
Simulate a blood pressure of 120/80 with a heart rate of 30 BPM, a gain of 50%, and a shift of
12 mmHg.
Command makearm bp=adams-120/80,hr=30,

envgain=50,envshift=12
Results The Analyzer draws the makearm graph and begins

arm simulation when the NIBP monitor starts inflating
the cuff. Test results are sent to the controller when the
cuff deflates.
30 BPM CuffPres 0
200 CuffPeak 142
160 G 50 DeflRate 3.1
S 12 DeflTime 45.1
120
InflRate 43.2
80 InflTime 3.1
TotlTime 48.1
40
120/80 (90) A
0 20 40 60
fcv049.eps
parameter values
MAKEARMNEO
Use this command to simulate blood pressures from the ADAMS Neonate Family target
values. Heart rate, BP, and pressure envelope gain and shift can be modified. Parameters
for this command are described below.

Steps
BP Blood Pressure ADAMSNEO- ADAMSNEO-

(mmHg) 60/30 120/80
ADAMSNEO-
80/50
ADAMSNEO-
100/65
ADAMSNEO-
120/80
ADAMSNEO-
150/100
ADAMSNEO-
200/150
ADAMSNEO-
255/195
3-23
Cufflink
Operators Manual
PULSEID Pulse ID# / WIDTH ID# 3 Pulse width

Identification 0 / 800 ms (720 ms) affects the rise
(milliseconds) time of pulse
1 / 500 ms
2 / 250 ms
3 / 720 ms
4 / 230 ms
5 / 280 ms
6 / 350 ms
7 / 480 ms
8 / 980 ms
9 / 1980 ms
10 / 1480 ms
ENVGAIN Pressure 1 to 200% 100% is a Affects pulse

Envelope Gain (10 to 2000 typical value strength or
RVDUs) for adult cuffs. amplitude
ENVSHIFT Pressure -100 to +100 0 mmHg Modifies existing

Envelope Shift mmHg pressure
envelope to
simulate another
BP
Example: 0 +10
mmHg shift
causes 120/80 to
read 130/90 on
most monitors.
Make all necessary connections from the Analyzer to the NIBP monitor before sending a
makearmneo command to the Analyzer. When the Analyzer receives the makearmneo
command, it displays a graph where the pressure envelope will be drawn.
Start the NIBP monitor; the Analyzer begins BP simulation and draws the pressure
envelope. When the blood pressure cycle is complete, the following are displayed on the
computer monitor:
• Peak pressure
• Deflate time
• Deflate rate
• Inflate time
• Inflate rate
• Total time
3-24
Remote Operation
Returned Data
The NIBP monitor can run as many times as needed or until a new command is issued to
the Analyzer. The Analyzer sends the makearmneo data (format shown below) to the
computer in six different fields separated by commas. If the data is positive, it is preceded
by a space; if the data is negative, it is preceded by a minus sign (-).
Data Field Number Field Length Field Content
peak pressure 1 4 characters [sign n n n)
deflate time 2 6 characters [sign n n n .n)
deflate rate 3 6 characters [sign n n n .n]
inflate time 4 6 characters [sign n n n .n]
inflate rate 5 6 characters [sign n n n .n]
total time 6 6 characters [sign n n n .n]
The following example is a data string of positive values as it might appear on the
controller display. The peak pressure of 79 mmHg is in field 1, and the total time of 3.3
minutes is in field 6.
Peak Pressure (mmHg)
Deflate Time (minutes)
Deflate Rate (mmHg/min)
Inflate Time (minutes)
Inflate Rate (mmHg/min)
Total Time (minutes)
79, 4.0, 2.0, 78.9, 0.9, 3.3
fcv053.eps
Example
Simulate a neonatal arm with a heart rate of 40 BPM.
Command makearmneo hr=40
Results The Analyzer draws the makearmneo graph and begins arm
simulation when the NIBP monitor starts inflating the cuff. In
this case, default values are used for all parameters except
heart rate. Test results are sent to the controller when the
cuff deflates.
3-25
Cufflink
Operators Manual
40 BPM CuffPres 0
200 CuffPeak 194
160 DeflRate 3.5
DeflTime 53.2
120
InflRate 45.4
80 InflTime 4.1
TotlTime 57.3
40
120/80 (90) N
0 20 40 60
fcv054.eps
parameter values
Example
Simulate a neonatal arm with a blood pressure of 120/80 , a heart rate of 30 BPM, a gain of
50%, and a +12 mmHg shift.
Command makearmneo bp=adamsneo-120/80,hr=160, pulseid--

=8,envgain=50,envshift--12
Results The Analyzer draws the makearmneo graph and

begins arm simulation when the NIBP monitor starts
inflating the cuff and results are sent to the controller
when the cuff deflates.
30 BPM CuffPres 0
200 CuffPeak 142
160 DeflRate 3.1
G 50
DeflTime 45.1
120 S 12
InflRate 43.2
80 InflTime 3.1
TotlTime 48.1
40
120/80 (90) N
0 20 40 60
fcv055.eps
parameter values
3-26
Remote Operation
MANOMETER
Use this command to put the Analyzer into the manometer mode. The keys on the
Analyzer front panel become active during this test so a user can zero pressure, do a reset,
or print test results. Press F1 to start measurements. See also: Pop Off Test. There are no
parameters for this command.
Example
Put CuffLink into the manometer mode.
Command manometer
Results The Analyzer enters the manometer test mode and

shows the Manometer display. Press Fl on the
Analyzer keyboard to begin.
fcv056.eps
Returned Data *
MKARM10
Use this command to set blood pressure simulation to Adams Adult 60/30, with a heart
rate of 40 BPM. There are no parameters for this command.
Example
Simulate a specific adult BP of 60/30 at 40 BPM.
Command Mkarm10
Results The Analyzer runs the Adams Adult 60/30, heart rate is set to 40
BPM.
Returned Data *
MKARM20
Example
Command Mkarm20
BPM.
Returned Data *
3-27
Cufflink
Operators Manual
MKARM30
Example
Command Mkarm30
BPM.
Returned Data *
MKARM40
Example
Command Mkarm40
BPM.
Returned Data *
MKARM50
Example
Command Mkarm50
BPM.
Returned Data *
MKARM60
Example
Command Mkarm60
BPM.
Returned Data *
3-28
Remote Operation
MKARM70
Example
Command Mkarm70
BPM.
Returned Data *
MKARMNEO10
Use this command to set blood pressure simulation to Adams Neonate 60/30, with a heart
Example
Simulate a specific neonate BP of 60/30 at 40 BPM.
Command mkarmneo10
Results The Analyzer runs the Adams Neonate 60/30, heart rate is set to 40
BPM.
Returned Data *
MKARMNEO20
Use this command to set blood pressure simulation to Adams Neonate 80/50, with a heart
Example
Command mkarmneo20
BPM.
Returned Data *
MKARMNEO30
Use this command to set blood pressure simulation to Adams Neonate 100/65, with a
heart rate of 80 BPM. There are no parameters for this command.
Example
Command mkarmneo30
BPM.
Returned Data *
3-29
Cufflink
Operators Manual
MKARMNEO40
Example
Command mkarmneo40
BPM.
Returned Data *
MKARMNEO50
Example
Command mkarmneo50
Results The Analyzer runs the Adams Neonate 150/100, heart rate is set to
120 BPM.
Returned Data *
MKARR_AF
Use this command to set blood pressure simulation to the Atrial Fibrillation Arrhythmia
at the fixed BP and heart rate of 120/80 and 80 BPM. There are no parameters for this
command.
Example
Simulate an atrial fibrillation.
Command mlcarr_af
Results The Analyzer runs atrial fibrillation at 120/80 with the

heart rate set to 80 BPM.
Returned Data *
MKARR_MB
Use this command to set blood pressure simulation to the Missed Beat Arrhythmia at the
fixed BP and heart rate of 120/80 and 80 BPM. There are no parameters for this
command.
Example
Simulate a missed beat.
Command mitarr_mb
Results The Analyzer runs missed beat at 120/80 with the heart rate set to 80
BPM.
Returned Data *
3-30
Remote Operation
MKARR_PAC
Use this command to set blood pressure simulation to the Premature Atrial Contraction
Arrhythmia at the fixed BP and heart rate of 120/80 and 80 BPM. There are no
Example
Simulate a premature atrial contraction.
Command mkarr_pac
Results The Analyzer runs premature atrial contraction at 120/80 with the
heart rate set to 80 BPM
Returned Data *
MKARR_PVC
Use this command to set blood pressure simulation to the Premature Ventricular
Contraction Arrhythmia at the fixed BP and heart rate of 120/80 and 80 BPM. There are
no parameters for this command.
Example
Simulate premature ventricular contraction.
Command mkarr_pvc
Results The Analyzer runs premature ventricular contraction at 120/80 with

the heart rate set to 80 BPM.
Returned Data *
.
MKARR_AS
Use this command to set blood pressure simulation to the Aberrant Sinus Conduction
Arrhythmia at the fixed BP and heart rate of 120/80 and 80 BPM. There are no
Example
Simulate aberrant sinus conduction.
Command mkarr_as
Results The Analyzer runs premature aberrant sinus conduction at 120/80

with the heart rate set to 80 BPM.
Returned Data *
3-31
Cufflink
Operators Manual
POPOFF
Use this command to test the NIBP monitor's emergency release valve via the Pop Off
display shown in Figure 3-4. Although the Esc key is disabled during this test, the
function keys remain enabled. This characteristic is useful when using the Analyzer with
the medTester in the checklist mode. There are no parameters for this command.
*** Pop Off ***

Pressure actual (mmHg): 2.52
Pressure peak (mmHg): 46.32
Pop Off Release Zero

Pump Reset Print Pressure Pressure
F1 F2 F3 F4 F5
fcv057.eps
Figure 3-4.
Example
Test the overpressure valve
Command popoff
Results The Analyzer tests the overpressure valve.
Returned Data *
PRINTTEST
Use this command to test the parallel printer. The Analyzer sends a data string that says
Printer test message. If this message prints, the printer is connected and working
properly. If the printer is not ready to print (unconnected, turned off), the Analyzer
displays a Printer Not Ready message. In response to this message, press the Ent key on
the keyboard to try again or the Esc key to quit.
Example
Do a print test.
Command printtest
Results The printer prints Printer test message.
Returned Data *
3-32
Remote Operation
PSCALE
Use this command to produce a constant pulse amplitude that is independent of pressure,
via the Scale Pulse Amplitude display shown in Figure 3-5. This signal is present at all
Analyzer front panel outputs; the signal can be monitored at the PULSE output. The
Analyzer keyboard is enabled during this test. Heart rate, pulse width, pulse amplitude,
and puck motion can be modified.
*** Scale Pulse Amplitude ***

Motion : Stopped Enter toggles
Amplitude : 1000 motion start/
Pressure : 0.00 stop
Rate (BPM) 80
Rate Shape 250 500 1000
F1 F2 F3 F4 F5
fcv058.eps
Figure 3-5. Scale Pulse Amplitude Display

HR Heart Rote 30 BPM to 240 BPM 80 BPM

(Beats/Minute) in 1 BPM Steps 1 BPM resolution
PULSEAMP Pulse Amplitude 1 to 1000 RVDUs 1000 RVDUs

(RVDU)
MOTION Puck Motion On On

Off
PULSEID Pulse Identification ID# / WIDTH Pulse #3

(720 ms)
0 / 800 ms
1 / 500 ms
2 / 250 ms
3 / 720 ms
4 / 230 ms
5 / 280 ms
6 / 350 ms
7 / 480 ms
8 / 980 ms
9 / 1980 ms
10 / 1480 ms
*RVDU = Relative Volume Displacement Unit, or the volume display when the pressure engine
moves one increment (one microstep).
3-33
Cufflink
Operators Manual
Example
Output the default pulse.
Command pscale
Results Pulse is output at PULSE output jack on the Analyzer.
Motion : Running Enter toggles

Rate (BPM) 80
Rate Shape 250 500 1000
F1 F2 F3 F4 F5
fcv059.eps
Returned Data *
Example
Output a 28 millisecond pulse at 40 BPM with an amplitude of 500 RVDUs.
Command pscale hr=40,pulseid=5,pulseamp=500
Results Pulse is output at PULSE output jack on the Analyzer.
Motion : Running Enter toggles

Rate (BPM) 40
Rate Shape 250 500 1000
F1 F2 F3 F4 F5
fcv060.eps
Returned Data *
PULSE
Use this command to output a single, specific pressure pulse. If parameters are not
specified, the Analyzer uses a current value for pulse width and calculates pulse
amplitude. The Analyzer calculates pulse amplitude by reading the cuff pressure and
applying it to the active pressure envelope.
This command is useful for synchronizing Analyzer pulse output to another device and
for custom pressure envelopes with random pulse selection. Parameters for this command
are described below.
3-34
Remote Operation
PULSEAMP Pulse Amplitude 1 to 1000 RVDUs 1000 RVDUs

(RVDU)
PULSEID Pulse Identification ID# / WIDTH Pulse #3

(720 ms)
0 / 800 ms
1 / 500 ms Pulse width affects the
2 / 250 ms rise time of the pulse.
3 / 720 ms
4 / 230 ms
5 / 280 ms
6 / 350 ms
7 / 480 ms
8 / 980 ms
9 / 1980 ms
10 / 1480 ms
*RVDU = Relative Volume Displacement Unit, or the volume display when the pressure engine
moves one increment (one microstep).
Example
Output a pulse using the active pressure envelope and pulse width (ID).
Command pulse
Results No parameters were specified in this example, so Cufflink determines

amplitude by reading cuff pressure and applies it to the active
pressure envelope. Cufflink also uses the current pulse width and
drives the motor to output a single pulse and then stop. Pulse is
output at PULSE output jack on the Cufflink front panel.
Returned Data *
Example
Output a pulse that is 231 steps in amplitude and 23 ms wide.
Command pulse pulseamp=231,pulseid=4
Results Pulse #4 becomes the active pulse. If another pulse command is

issued without specifying parameters, the Analyzer uses pulseid #4.
Pulse is output at the PULSE output jack on the Analyzer front panel.
Returned Data *
3-35
Cufflink
Operators Manual
PUMPPCB
Use this command to determine if a pump circuit board is installed in the Analyzer. There
are no parameters for this command.
Example
Check for pump PCB.
Command pumppcb
Results The analyzer scans for the board.
Returned Data Pump PCB installed or Pump PCB not installed
RCUSERENV
Use this command to copy the user envelope data from EEROM to RAM. There are no
Example
Recall user envelope data.
Command rcuserenv
Results Cufflink writes the user envelope data stored in EEROM to RAM.
Returned Data *
RDCLOCK
Use this command to display the current time, day, and date. The data returned to the
controller is configured as hour:min:sec mo/date/yr day (0 = Sunday, 6 = Saturday).
There are no parameters for this command.
Example
Display the time and date for Monday, December 5th.
Command rdclock
Results The Analyzer reads the clock information.
Returned Data 13:14:12 12/05/91 1; varies, depending on the current date
RDENVGAIN
Use this command to show the pressure envelope gain value (displayed in %) on the
controller's display. There are no parameters for this command.
Example
Display the envelope gain value.
Command rdenvgain
Results reads the envelope gain value from ROM.
Returned Data 101; varies, depending on the current setting for envelope gain
3-36
Remote Operation
RDENVSHIFT
Use this command to show the pressure envelope shift value (in mmHg) on the
controller's display. The range for envelope shift is from -100 mmHg to +100 mmHg.
There are no parameters for this command.
Example
Display the pressure envelope shift value.
Command rdenvshift
Results The Analyzer reads the pressure envelope shift value stored in RAM.
Returned Data 42; varies, depending on the current setting for envelope shift
RDPEAKDIV
Use this command to display the peak divide ratio on the controller's display. Peak divide
ratio is the variable used to detect the point of rapid cuff deflate or when to stop blood
pressure simulation, during the makearm process. There are no parameters for this
command.
Example
Read the peak divide ratio.
Command rdpeakdiv
Results The Analyzer reads the peak divide ratio stored in EEROM and sends
this value to the computer.
Returned Data 8.8; varies, depending on the current setting for peak divide ratio
RDQCDATE
Use this command to display the last date on which the Analyzer was calibrated at the
factory. There are no parameters for this command.
Example
Read the QC (Quality Control) date.
Command rdqcdate
Results The Analyzer reads the QC date stored in EEROM.
Returned Data 02/04/91; varies, depending on the last time the Analyzer was at the
factory.
RDUSERENV
Use this command to transmit the user pressure envelope array data. The array is a series
of values 300 lines long and consists of two fields: one for the line number and one for
the pressure envelope data. These fields are separated by a colon. The end of the array
transmission is marked with a star character (*).
The Analyzer stores the user envelope array in RAM to retrieve it when a rduserenv
command is issued. This data may be different from what is stored in EEROM. When the
Analyzer is powered on, it writes the user envelope stored in EEROM to RAM. As soon
as new user envelope information is sent via the RS232 port, the user envelope in RAM
is different from EEROM. To read the EEROM user envelope data instead of that stored
in RAM, issue the rcuserenv command followed by a rduserenv command. There are no
3-37
Cufflink
Operators Manual
Example
Read the user envelope
Command rduserenv
Results The Analyzer takes data for the user envelope in RAM and sends it
out the RS232 port.
Returned Data 1:100. 2:100, 3:100, 4:105, 5:110 …. 298:150, 299:140, 300:130, *
READPRESS
Use this command to show a value (in 0.25 mmHg increments) on the controller's display
for the Analyzer pressure transducer. There are no parameters for this command.
Example
Read the pressure transducer value.
Command readpress
Results The Analyzer reads the pressure transducer value stored in EEROM.
Returned Data 123.25; varies for each Analyzer
RESET
Use this command to reset the Analyzer back to factory default values. This affects the
parameters listed below. There are no parameters for this command.
Parameter Default Value
Pulse ID number 3
Heart Rate 80 BPM
Pressure Curve ID number A120 80
Pressure Curve Vertical Gain 100%
Pressure Curve Horizontal Shift 0 mmHg
Example
Reset CuffLink to default values
Command Reset
Results The Analyzer resets to factory values.
Returned Data *
3-38
Remote Operation
STUSERENV
Use this command to store the user envelope data from RAM to EEROM. This command
is useful for loading new user envelope data into EEROM, where it will be permanently
stored until changed again. There are no parameters for this command.
Example
Store new user envelope information permanently in EEROM.
Command stuserenv
Results The Analyzer writes a new user envelope (in RAM) to EEROM.
Returned Data *
WRCLOCK
Use this command to write data to the Analyzer clock. The data string sent must be
complete, as partial strings cause errors in the clock. Issue to the Analyzer an rdclock
command to verify that the correct information was written to the clock.
Use the following format when sending a clock information data string to the analyzer.
08:23:33pm 12/15/89 6

Parameter Description String Positions
TIME Time and Date data string 0 hour 10s digit
1 hour 1s digit
2 :
3 minute 10s digit
4 minute 1s digit
5 :
6 seconds 10s digit
7 seconds 1s digit
8 space, a, or p
9 space or m
10 space
11 space
12 month 10s digit
13 month 1s digit
14 /
15 day 10s digit
16 day 1s digit
17 /
18 year 10s digit
19 year 1s digit
20 space
21 day of week (0 - sun, 6 = sat)
22 null (0 x 00)
3-39
Cufflink
Operators Manual
Example
Send a clock information data string to the Analyzer.
Command wrclock
Results A data string is sent to the Analyzer.
Returned Data *
WRPEAKDIV
Use this command to store a new peak divide ratio in EEROM. Peak divide ratio is the
variable used to detect the point of rapid cuff deflate or when to stop blood pressure
simulation during the makearm process. Set a divide ratio factor for this command.
Parameter Default Value Range
DIV Divide Ratio Factor 2.0 to 20.0
Example
Set the peak divide ratio to 8.8.
Command wrpeakdiv div=8.8
Results The Analyzer stores a value of 8.8 in RAM for peak divide ratio.
Returned Data *
WRUSERENV
Use this command to write new user envelope data from Cufflink's RS232 port to RAM.
This action overwrites user envelope data already in RAM. Information can be written to
RAM (not to EEROM) only by using the wruserenv command. To write data to EEROM,
which is permanent, use the stuserenv command.
When the Analyzer receives a wruserenv command, it acknowledges that it is ready to
receive data by sending a star character (*) back to the controller. The controller can
begin sending the data, one line at a time, until all 300 lines have been received by the
Analyzer. The Analyzer marks the end of the transmission with another star character. A
PC utility program (PC3CUFF) is available that transfers the array text file from a 1PC to
the Analyzer. There are no parameters for this command.
Example
Write a new user envelope to RAM.
Command wruserenv
Results The Analyzer writes new user envelope data from its RS232 port to
RAM.
Returned Data 1:100. 2:100, 3:100, 4:105, 5:110 …. 298:150, 299:140, 300:130, *
3-40
Remote Operation
Programming with Analyzer Commands 3
ZEROPRESS
Use this command to zero the pressure transducer. This removes any offset errors during
a pressure measurement. To get an idea of how often pressure should be zeroed,
periodically make a pressure measurement with nothing connected to the Cuff Connect
output to see if the reading is zero. If it is not zero, issue to the Analyzer a zeropress
command. There are no parameters for this command.
Example
Zero the pressure transducer.
Command zeropress
Results The Analyzer removes any offset occurring at the pressure transducer
and sets it to zero.
Returned Data *
Programming with Analyzer Commands

With the Analyzer remote commands, custom programs can be created that automate
calibration and testing protocols. This section contains samples of BASIC code,
checklists, and test results.
Checklist Generated in BASIC

The BASIC program shown in Figure 3-6 tells the Analyzer to display its firmware
version, simulate an adult blood pressure, display the test results on the computer's
display, and return to local mode.
3-41
Cufflink
Operators Manual
10 REM Demonstration program for Cufflinks RS-232 Communications.

20 REM The system used for this demonstration has a mouse on COM1
30 REM so COM2 is used.
40 CLOSE #2 ‘Ensures that #2 file is closed.
50 CLS ’Clears the screen.
60 OPEN “COM2:9600,N,8,1,CDO,CSO,DSO,OPO,RS,TB2048,RB2048” FOR RANDOM AS #2
70 REM OPEN “COM2:9600,N,8,1,CDO,CSO,DSO,OPO,RS,TB2048,RB2048”
80 ‘Opens communications channel 2 in
90 ‘random-access mode at speed of
100 ‘9600 baud with no parity bit, 8 data bits
110 ‘ and 1 stop bit. The program can now
120 ‘access channel 2 as file number 2.
130 ‘____________________
140 CUFFOUT$= “IDENT” ‘Displays the current firmware version.
150 PRINT #2, CUFFOUT$ ‘Sends command to the Cufflink.
160 ’
170 INDATA$ = INOUT$(13, #2) ‘Gets return data from the Cufflink.
180 REM The return from the Cufflink is “Cufflink, 3.20, Ausc, Pump”
190 REM that is 25 characters for the input string. For shorter strings,
200 REM the number must be smaller and longer strings will carry over to
210 REM the next input string.
211 REM
220 PRINT “Press any key to continue”: a$ = INPUT$(1)
230 PRINT INDATA$ ‘Prints data on screen
240 ‘
250 ’____________________
260 ‘The next command shows a MAKEARM command with parameters.’
270 ‘
280 CUFFOUT$ = “MAKEARM HR=60,BP=ADAMS-150/.100,PULSEID=3”
290 PRINT #2, CUFFOUT$ ‘Sends command to the Cufflink.
300 ’
310 CLOSE #2
320 OPEN “COM2:9600,N,8,1,CDO,CSO,DSO,OPO,RS,TB2048,RB2048” FOR RANDOM AS #2
330 REM The two previous lines close and clear the communications buffer
340 REM that is used. This wipes extra characters that list options and
350 REM the “*” returns when Cufflink receives the MAKEARM command.
351 REM
360 PRINT “press any key when test is completed”: a$ = INPUT$(1)
370 INDATA$ = INPUT$(39,#2) ‘Gets return data from the Cufflink.
380 REM Again the length of the returned string affects the Input$.
390 REM If the string is longer than the Input$, the system will hang up.
391 REM
400 PRINT INDATA$
410 PRINT “Press any key to return Cufflink to LOCAL” : a$ = INPUT$(!)
420 CUFFOUT$ = “GOTOLOCAL”
430 PRINT #2, CUFFOUT$
440 CLOSE #2
450 END
fcv061.eps
Figure 3-6. A BASIC Program using Analyzer Remote Commands
3-42
Remote Operation
Adult BP Checklists and Test Results
Figures 3-7 shows a medBase Adult BP checklist that creates results like those shown in
Figure 3-8. Figure 3-9 shows a Sentinel Adult BP checklist that creates results like those
shown in Figure 3-10.
DATE: 06/05/1993 CHECKLIST CONTENTS PAGE: 3
CHECKLIST NUMBER: 18 (start) CHECKLIST DESCRIPTION: ADULT*NIBP
Ln Item Check Item Type
1 1 \P GENERAL CONDITION OF EQUIPMENT GEN/PHYS

2 2 \P LINE CORD/STRAIN RELIEF GEN/MECH
3 37 \M TRPN (POWER ON) REMOTE
4 6 \P INDICATORS/DISPLAYS GEN/ELEC
5 7 \P CONTROLS/SWITCHES GEN/ELEC
6 13 \P TUBES/HOSES GEN/PLMB
7 15 \P FITTINGS/CONNECTORS GEN/PHYS
8 38 \M IDENT CL
9 39 \M LEAKTEST CL
10 40 \P LEAK TEST: APPLY 200 NMHG (<10/MIN) CL
11 41 \M MANOMETER CL
12 42 \P STATIC PRESSURE CHECK: APPLY 200 MMHG CL
14 73 \P POP OFF/RELIEF VALVE: APPLY >250 MMHG CL
15 61 \M MAKEARM:HR=100;BP=ADAMS-120/80 CL
16 62 \P ADULT 120/80 AT 100 BPM CL
18 64 \P ADULT 150/100 AT 80 BPM CL
20 66 \P ADULT 200/150 AT 60 BPM CL
21 50 \M GOTOLOCAL CL
22 51 \M GTOL CL
23 -----> through line 79 - unused -
80 25 -l4 AUTO SEQ
--- end of checklist #18 --
fcv062.eps
Figure 3-7. medBase Adult BP Checklist
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Operators Manual
MedTester REC # 15
SEQUENCE: 4 DATE: 6/05/93 TIME: 15:38:28
OP CODE: TEO
DEVICE INFORMATION
TYPE: ADULT*NIBP MANF: LOC:DNI
MODEL: SN: CN: ADULT*NIBP
PHYSICAL INSPECTION
LINE VOLTAGES
L1-L2 L1-GND L2-GND
120.5 .4 120.5 VOLTS RMS
GROUND RESISTANCE: .002 OHMS
LEAKAGE TESTS, EQUIPMENT PWR OFF

CASE EXT LEAD NORM POL CLSD GND .0 µAMPS RMS
CASE EXT LEAD NORM POL OPEN GND .0 µAMPS RMS
CASE EXT LEAD REV POL OPEN GND .0 µAMPS RMS
LEAKAGE TESTS, EQUIPMENT PWR ON

EUT CURRENT DRAWN: .5 amps
COMMENTS:
NEXT TEST DUE DATE:
USER TIME:
ELAPSED TEST TIME: 62 SECONDS
fcv063.eps
Figure 3-8. medBase Adult BP Test Results
3-44
Remote Operation
DEMO ROOM
Date: 06/05/93 Relational Checklist Report Page: 1

Time: 12:32 AM Listed In Order Of Relational Procedure
Proc. Name PM Labor Time
SENT*ADULT 0.00
Description Type medTester Control
GENERAL CONDITION OF EQUIPMENT GEN/PHYS Pass/Fail

LINE CORD/STRAIN RELIEF GEN/MECH Pass/Fail
TRPN (POWER ON) REMOTE medTester remote command
INDICATORS/DISPLAYS GEN/ELEC Pass/Fail
CONTROLS/SWITCHES GEN/ELEC Pass/Fail
TUBES/HOSES GEN/PLMB Pass/Fail
FITTINGS/CONNECTORS GEN/PHYS Pass/Fail
IDENT CL medTester remote command
LEAKTEST CL medTester remote command
LEAK TEST: APPLY 200 MMHG (<10/MIN) CL Pass/Fail
MANOMETER CL medTester remote command
STATIC PRESSURE CHECK: APPLY 200 MMHG CL Pass/Fail
POP OFF/RELIEF VALVE: APPLY >250 MMHG CL Pass/Fail
MAKEARM:HR=100;BP=ADAMS-120/80 CL medTester remote command
ADULT 120/80 AT 100 BPM CL Pass/Fail
GOTOLOCAL CL medTester remote command
GTOL CL medTester remote command
5 AUTO SEQ medTester autosequence
fcv067.eps
Figure 3-9. Sentinel Adult BP Checklist
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Cufflink
Operators Manual
MedTester REC # 16
CHECKLIST: ADULT*NIBP DATE: 6/05/93 TIME: 15:39:31
OP CODE:TEO
DEVICE INFORMATION
TYPE: ADULT*NIBP MANF: LOC: DNI
MODEL: SN: CN: ADULT*NIBP
PHYSICAL INSPECTION
GENERAL CONDITION OF EQUIPMENT........PASS

LINE CORD/STRAIN RELIEF...............PASS
TRPN (POWER ON).......................REMOTE CMD, NO DATA
INDICATORS/DISPLAYS...................PASS
CONTROLS/SWITCHES.....................PASS
TUBES/HOSES...........................PASS
FITTINGS/CONNECTORS...................PASS
IDENT.................................CUFFLINK,3.00,AUSC,PUMP
LEAKTEST..............................*
LEAK TEST: APPLY 200 MMHG (<10/MIN)...PASS
MANOMETER.............................*
STATIC PRESSURE CHECK: APPLY 200 MMHG.PASS
POP OFF/RELIEF VALVE: APPLY >250 MMHG.PASS
MAKEARM:HR=100;BP=ADAMS-120/80........*
ADULT 120/80 AT 100 BPM...............PASS
ADULT 150/100 AT 80 BPM...............PASS
ADULT 200/150 AT 60 BPM...............PASS
GOTOLOCAL.............................*
GTOL..................................REMOTE CMD, NO DATA
COMMENTS:
NEXT TEST DUE DATE:
USER TIME:
ELAPSED TEST TIME: 209 SECS
fcv064.eps
Figure 3-10. Sentinel Adult BP Test Results
3-46
Remote Operation
Neonate BP Checklists and Test Results
Figure 3-11 shows a medBase Neonate BP checklist that creates results like those shown
in Figure 3-12. Figure 3-13 shows a Sentinel Neonate BP checklist that creates results
like those shown in Figure 3-14.
CHECKLIST NUMBER: 19 (start) CHECKLIST DESCRIPTION: NIBP*NEO

8 38 \M IDENT CL
9 39 \M LEAKTEST CL
15 67 \M MAKEARMNEO:HR=60;BP=ADAMSNEO-150/100 CL
16 68 \P ADAMS NEONATE 150/100 AT 60 BPM CL
22 51 \M GTOL CL
80 25 -A 4 AUTO SEQ
fcv068.eps
Figure 3-11. medBase Neonate BP Checklist
3-47
Cufflink
Operators Manual
MedTester REC # 17
OP CODE: TEO
DEVICE INFORMATION
TYPE: NIBP*NEO MANF: LOC:DNI
MODEL: SN: CN: NIBP*NEO
PHYSICAL INSPECTION
LINE VOLTAGES
L1-L2 L1-GND L2-GND
119.3 .3 120.4 VOLTS RMS


COMMENTS:
NEXT TEST DUE DATE:
USER TIME:
fcv069.eps
Figure 3-12. medBase Neonate BP Test Results
3-48
Remote Operation
DEMO ROOM

SENT*NEO 0.00

LEAK TEST: APPLY 200 MMHG (<10/MIN) CL Pass/Fail
MAKEARMNEO:HR=60;BP=ADAMSNEO-150/100 CL medTester remote command
ADAMS NEONATE 150/100 AT 60 BPM CL Pass/Fail
fcv073.eps
Figure 3-13. Sentinel Neonate BP Checklist
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Cufflink
Operators Manual
MedTester REC # 18
CHECKLIST: NIBP*NEO DATE: 6/05/93 TIME: 15:44:19
OP CODE: TEO
DEVICE INFORMATION
TYPE: NIBP*NEO MANF: LOC: DNI
MODEL: SN: CN: NIBP*NEO
PHYSICAL INSPECTION

TUBES/HOSES...........................PASS
LEAKTEST..............................*
MANOMETER.............................*
MAKEARMNEO:HR=60;BP=ADAMSNEO-150/100.....*
ADAMS NEONATE 150/100 AT 60 BPM.......PASS
MAKEARMNEO:HR=120;BP=ADAMSNEO-100/65..*
ADAMS NEONATE 100/65 AT 120 BPM.......PASS
MAKEARMNEO:HR=200;BP=ADAMSNEO-60/30...*
ADAMS NEONATE 60/30 AT 200 BPM........PASS
GOTOLOCAL.............................*
COMMENTS:
NEXT TEST DUE DATE:
USER TIME:
fcv071.eps
Figure 3-14. Sentinel Neonate BP Test Results
3-50
Remote Operation
Adult Arrhythmic BP Checklists and Test Results
Figure 3-15 shows a medBase Adult BP Arrhythmic checklist that creates results like
those shown in Figure 3-16. Figure 3-17 shows a Sentinel Adult Arrhythmic BP checklist
that creates results like those shown in Figure 3-18.
CHECKLIST NUMBER: 17 (start) CHECKLIST DESCRIPTION: NIBP*ARR

8 38 \M IDENT CL
9 39 \M LEAKTEST CL
15 44 \M MKARR_PAC PRE. ATRIAL CONTRACTION CL
16 45 \P ARRHYTHMIA PAC 120/80 @ 80 BPM CL
17 46 \M MKARR_PVC PRE. VENTRICULAR CONTRACTION CL
18 47 \P ARRHYTHMIA PVC 120/80 @ 80 BPM CL
19 48 \M MKARR_AF ATRIAL FIBRILLATION CL
20 49 \P ARRHYTHMIA ATRIAL FIB 120/80 @ 80 BPM CL
22 51 \M GTOL CL
80 25 -A4 AUTO SEQ
fcv074.eps
Figure 3-15. medBase Adult Arrhythmic BP Checklist
3-51
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Operators Manual
MedTester REC # 19
OP CODE: TEO
DEVICE INFORMATION
TYPE: NIBP*ARR MANF: LOC:DNI
MODEL: SN: CN: NIBP*ARR
PHYSICAL INSPECTION
LINE VOLTAGES
L1-L2 L1-GND L2-GND
120.0 .2 120.5 VOLTS RMS


COMMENTS:
NEXT TEST DUE DATE:
USER TIME:
fcv076.eps
Figure 3-16. medBase Adult Arrhythmic BP Test Results
3-52
Remote Operation
DEMO ROOM

SENT*ARR 0.00

LEAKTEST: APPLY 200 MMHG (<10/MIN) CL Pass/Fail
MKARR_PAC PRE. ATRIAL CONTRACTION CL medTester remote command
AARRHYTHMIA PAC 120/80 AT 80 BPM CL Pass/Fail
MKARR_PVC PRE VENTRICULAR CONTRACTION CL medTester remote command
AARRHYTHMIA PVC 120/80 AT 80 BPM CL Pass/Fail
MKARR_AF ATRIAL FIBRILLATION CL medTester remote command
AARRHYTHMIA ATRIAL FIB 120/80 AT 80 BPM CL Pass/Fail
fcv079.eps
Figure 3-17. Sentinel Adult Arrhythmic BP Checklist
3-53
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Operators Manual
MedTester REC # 20
CHECKLIST: NIBP*ARR DATE: 6/05/93 TIME: 15:49:44
OP CODE: TEO
DEVICE INFORMATION
TYPE: NIBP*ARR MANF: LOC: DNI
MODEL: SN: CN: NIBP*ARR
PHYSICAL INSPECTION

TUBES/HOSES...........................PASS
LEAKTEST..............................*
MANOMETER.............................*
MKARR_PAC PRE. ATRIAL CONTRACTION.....*
ARRHYTHMIA PAC 120/80 @ 80 BPM........PASS
MKARR_PVC PRE VENTRICULAR CONTRACTION*
ARRHYTHMIA PAC 120/80 @ 80 BPM........PASS
MKARR_AF ATRIAL FIBRILLATION..........*
ARRHYTHMIA ATRIAL FIB 120/80 @ 80 BPM.PASS
GOTOLOCAL.............................REMOTE CMD, NO DATA
COMMENTS:
NEXT TEST DUE DATE:
USER TIME:
fcv077.eps
Figure 3-18. Sentinel Adult Arrhythmic BP Test Results
3-54
Remote Operation
Additional Command Descriptions (Firmware Version 3.20) 3
Additional Command Descriptions (Firmware Version 3.20)
The remote commands described in this section were added with firmware version 3.20.
PUMPON
Use this command to turn the pump on and close the release valve. The pump runs until it
is turned off or the default parameters are reached. Parameters for this command are
described below.
TIME On time for the 1 to 900 seconds 900 seconds The time that the
pump pump is on
PRESSURE Target pressure for 0 to 499 mmHg 200 mmHg The pump runs
pump operation when pressure is
below this point.
Example
Send a command for the pump to run for two minutes or a pressure of 50 mmHg.
Command pumpon time=120,pressure=50
Results XXXX.XX, YY:YY; XXXX.XX is the Analyzer system pressure; YY:YY

is the time the pump was running.
Returned Data *
PUMPOFF
Use this command to turn the pump off. There are no parameters for this command.
Example
Turn the pump off.
Command pumpoff
Results The Analyzer turns the pump off.

Returned Data *
VALVEOPEN
Use this command to turn the pump off and open the release valve. There are no
Example
Turn the pump off and open the release valve.
Command valveopen
Results The Analyzer turns the pump off and opens the release valve.
Returned Data *
3-55
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Operators Manual
VALVECLOSED
Use this command to close the release valve. There are no parameters for this command.
Example
Close the release valve.
Command Valveclosed
Results The Analyzer closes the release valve.
Returned Data *
3-56
Chapter 4
Maintenance, Service, and Calibration
Title Page
Maintenance....................................................................................................... 4-3
Avoiding Damage.......................................................................................... 4-3
Cleaning......................................................................................................... 4-3
Service and Calibration...................................................................................... 4-3
4-1
Cufflink
Operators Manual
4-2
Maintenance, Service, and Calibration
Maintenance 4
Maintenance
The Analyzer requires little maintenance or special care; however, it is a calibrated
measuring instrument and should be treated as such. The optional carry case is
recommended for storage. It is further recommended that the storage environment be free
from vibration.
Avoiding Damage
Do not drop the instrument or subject it to any mechanical abuse that could cause a shift
in the calibrated settings.
W Caution
performance, do not expose the system to temperature
extremes. Ambient temperatures should remain between 0 °C
and 50 °C.
Cleaning
Clean the exterior of the Analyzer occasionally with a cloth dampened with a mild
detergent solution.
W Caution
performance, do not spray liquid directly on or immerse the
unit.
Service and Calibration

If your new Analyzer fails to operate successfully or if it needs a recommended yearly
calibration, please contact the Fluke Biomedical Service Center immediately, as indicated
under Warranty and Product Support.
W Caution
performance, allow only qualified technical personnel to service
the Analyzer.
Packing
If repairs or calibration are required, return the Analyzer to the factory or the nearest
service center.
1. Before returning the Analyzer for factory service, contact Fluke Biomedical Service
Center for a required Return Authorization Number.
2. Provide the following information:
3. The Analyzer serial number
4. The specific steps that reproduce your problem
5. A daytime phone number
6. Your name / company
7. A fax number (if available)
4-3
Cufflink
Operators Manual
8. Pack the instrument carefully, using the original shipping container and packing
materials supplied by Fluke Biomedical. If the original packing materials are not
available, refer to Return Procedures for a list of preferred materials or contact Fluke
Biomedical for replacement packing.
Note
Failure to pack the instrument properly could void the warranty.
Shipping
1. Place the Return Authorization Number in a prominent place on the outside of the
packing box, and refer to the number in any correspondence with Fluke Biomedical
Service.
2. Enclose your return address and Return Authorization Number.
3. Insure the unit for full retail value and ship to the nearest Fluke Biomedical Service
Center.
4-4
Appendices
Appendix Title Page
A Non-Invasive Blood Pressure (NIBP) Monitoring Tutorial ................................ A-1

B Glossary............................................................................................................... B-1
Cufflink
Operators Manual
Appendix A
Non-Invasive Blood Pressure (NIBP)
Monitoring Tutorial
Introduction
Manufacturers of NIBP monitors that use the oscillometric technique have performed
clinical trials to determine the correlation between both auscultatory techniques and
invasive (arterial line) methods of measuring blood pressure to the oscillometric
technique. Various interpretations have emerged from these manufacturers with varying
degrees of agreement. Because no regulatory agency has put forth a standard as to how
pulse amplitudes should be interpreted to determine blood pressure, the accuracy and
repeatability of these monitors is difficult to determine.
Because the Analyzer produces a stable live subject response to the cuff during the
measurement cycle, it is possible to determine the repeatability and agreement of these
monitors. The Analyzer produces the same response, independent of the inflate/deflate
cycle or the algorithm used by the monitor; therefore, we offer the term Target Value as
an approximation of the patient's actual blood pressure.
Absolute dynamic accuracy cannot be assigned to MAP, diastolic, and systolic target
values at this time because no standard exists. Should any public standards emerge, the
Analyzer can be programmed to implement them and test blood pressure monitor
accuracy.
NIBP Monitoring
Blood pressure can be measured using a variety of techniques. They can be classified
into two major categories. They are known as invasive and non-invasive. The invasive
approach inserts a catheter into an artery of a test subject. The catheter may contain a
pressure transducer at its tip or it may be fluid filled and couple the blood pressure thru
the fluid to an external transducer. The change of fluid pressure (blood pressure) in the
subject's artery is said to be measured invasively. This technique is also referred to
as a direct measurement, because the parameter being measured is directly coupled to the
transducer.
The non-invasive technique can be realized several ways. It usually involves the use of an
inflatable cuff wrapped around the limb of a test subject. The cuff is inflated and deflated
at a controlled rate and physical parameters are observed. The auscultatory and
A-1
Cufflink
Operators Manual
oscillometric techniques are well known non-invasive methods. These methods are
indirect because they do not couple directly to the artery.
Auscultatory Technique (not available in Analyzer)

The auscultatory technique is based on the sounds caused by the blood flow through the
artery that is surrounded by the cuff. These sounds are known as Korotkoff (K) sounds.
In manual blood pressure measurement these sounds are detected by a human observer
using a stethoscope.
Automated blood pressure monitors use an audio transducer (e.g. microphone) to convert
the K sounds into electric signals. The cuff is inflated to a point that occludes the artery.
The pressure in the cuff is lowered. The cuff pressure at which the K sounds are first
detected is the systolic pressure. The monitor continues to decrease the cuff pressure until
the K sounds disappear. The cuff pressure at this point is called diastolic pressure
Oscillometric Technique
The oscillometric technique does not use K sounds to determine blood pressure. The
oscillometric technique monitors the changes in cuff pressure caused by the flow of blood
thru the artery. The monitor inflates the cuff to a pressure that occludes the artery. Even
when the artery is occluded, the pumping of the heart against the artery can cause small
pressure pulses in the cuff baseline pressure.
The monitor lowers cuff pressure at a controlled rate. As the cuff pressure goes down,
blood starts to flow thru the artery. The increasing blood flow causes the amplitude of the
pressure pulses in the cuff to increase. These pressure pulses continue to increase in
amplitude with decreasing cuff pressure until they reach a maximum amplitude at which
point they begin to decrease with decreasing cuff pressure. The cuff pressure at which the
pulse amplitude is the greatest is known as Mean Arterial Pressure (MAP).
The manner in which the pulse amplitudes vary is often referred to as a pulse envelope.
The envelope is an imaginary line that connects the peak of each pressure pulse and
forms an outline. The shape of the envelope is observed by the monitor using a variety of
techniques to determine the diastolic and systolic blood pressures.
Auscultatory vs. Oscillometric Techniques

The auscultatory response is based on the sounds heard with a microphone. The cuff is
inflated to a pressure much higher than systole. As the cuff is deflated the observer (or
automated monitor) listens for the onset of K sounds. The cuff pressure at which the K
sounds are first detected is treated as systolic pressure.
In Figure A-1, some smaller K sounds are shown to appear before the systolic point. In
many cases there is a threshold point. The point at which the sounds jump from some
very low level to a much larger level is more typical with live subjects. The K sound
amplitude does not change much as the cuff continues to deflate until the point of diastole
is reached. At this point, there is an abrupt drop in K sound amplitude.
A-2
Appendices
Non-Invasive Blood Pressure (NIBP) Monitoring Tutorial A
MAP
Distole
Oscillometric Response Systole
(Pressure Pulses)
Time
Auscultatory Response
(Korotkoff Sounds)
Time
Systole
MAP
Distole
Cuff Pressure
Time
fcv006.eps
Figure A-1. Auscultatory vs. Oscillometric Techniques
Also in Figure A-1, the oscillometric pulse amplitudes are depicted as constantly
changing. There is no point where the pulses abruptly change in amplitude, but there is a
point where the pulse amplitude reaches a peak. It is generally agreed that the cuff
pressure at peak pulse amplitude is the MAP, a value not easily identified using the
auscultatory method.
A-3
Cufflink
Operators Manual
Pulse Amplitude
The amplitude of the oscillometric pulses (hereafter referred to as pulses) is quite small
when compared to the static pressure in the cuff. As shown in Figure A-2, these pulses
appear as very small spikes on the cuff pressure waveform. They are depicted in
amplified form with the cuff pressure stripped off to reveal how the amplitude varies as a
function of cuff pressure. The peak pulse amplitude is 2 mmHg at a cuff pressure of
115 mmHg in the example shown.
mmHg mmHg
200
Pulse Amplitude
Cuff Pressure
Cuff Pressure
Pulse
Envelope
2.0 100
1.0
Time
fcv007.eps
Figure A-2. Pulse Amplitude and Cuff Pressure vs. Time: Linear Deflate
In general, the peak pulse amplitude is 1-3 % of the cuff pressure at which it occurs.
Therefore, the monitor must be able to strip off the large static cuff pressure to measure
the individual pulse. Because the pulses are so small, it is possible for artifact conditions
to obscure the pulse. Patient motion and respiration are common artifacts that the monitor
must reject. When the cuff pressure is quite high the pulse amplitude is small. As the cuff
deflates, the pulse amplitudes increase to a maximum and then decrease to a minimum.
A-4
Appendices
Cuff Deflation
The linear deflate method is also known as continuous bleed. This is the method a nurse
typically uses when measuring blood pressure manually. If the deflate is slow, accuracy
is improved.
For example, if the bleed rate is 1 mmHg/sec and the heart rate is 60 BPM, the cuff
pressure changes 1 mmHg per heart beat. Therefore, the error due to change in cuff
pressure is limited to 1 mmHg. If the bleed rate is 10 mmHg/sec, then the cuff pressure
changes 10 mmHg per heartbeat, and the potential error due to change in cuff pressure is
10 mmHg. This error is in addition to the error of the method being used to determine
blood pressure. The tradeoff is accuracy versus patient discomfort.
Note
If someone taking a subject’s blood pressure deflates the cuff faster than
3 mmHg/sec, an appreciable error in the ability to measure blood pressure
may be introduced. For example, if the cuff is inflated to 180 mmHg and
then deflated to 60 mmHg, it should take 40 seconds at a deflation rate of
3 mmHg/second.
Automated monitors employ algorithms to interpret the measurement points to minimize
error due to rapid deflate. A typical deflate method used by automated monitors is known
as a step or stepwise deflate, as shown in Figure A-3.
mmHg Pulse Pair
150
Step Deflate
100
Rapid Deflate
mmHg Amplified Pulses
50 2.0
Pulse Aplitude
Cuff Pressure
1.0
Time
fcv008.eps
Figure A-3. Cuff Pressure and Pulse Amplitude vs. Time: Commercial Monitor
The cuff is inflated to a pressure much greater than systole and deflated in discrete steps.
Typical step deflate size is from 4 to 10 mmHg depending on the monitor and cuff size
being used. After the deflate, the monitor measures some number of pulses before
A-5
Cufflink
Operators Manual
deflating again. The number of pulses gathered depends on the monitor software and the
algorithm used. In a stat mode, it is common to gather only one pulse per step. In normal
mode, it is common to gather pulses until at least two pulses are within some tolerance of
each other in amplitude for artifact rejection.
When a monitor step deflates in large steps, it must interpolate the shape of the pulse
envelope. The larger the step size the larger the potential for error when interpolating. If
the step size is small, the potential for error is reduced. Much effort has been spent by
manufacturers to maximize step size and minimize error with varying degrees of success.
With the introduction of the Analyzer, it is now possible to compare normal mode to stat
mode and observe the repeatability of the monitor as a function of step size and pulse pair
matching. The end of the measurement cycle is defined as the point at which diastolic
pressure has been determined. At this time the cuff is rapidly deflated to further minimize
patient discomfort.
BP Determination
The manner in which oscillometric pulses vary as a function of cuff pressure is open to
interpretation. Height-based and slope-based algorithms are used to determine blood
pressure based on pulse amplitudes. Figure A-4 shows the same pulse envelope
interpreted by these two different methods.
Pulse Pulse
Amplitude Amplitude
Map %
Distole %
Systole %
Cuff Cuff
Pressure Pressure
Map
Distole Systole Distole Systole
Height Interpretation Slope Interpretation
fcv009.eps
Figure A-4. Height/Slope Interpretations for Determining BP from Pulse Amplitude Data
Height Method
The peak pulse amplitude is treated as MAP and normalized to a value of 100%. The cuff
pressure at MAP is the MAP pressure. Systole and diastole are fixed percentages based
on MAP. The cuff pressure under diastole is the diastolic pressure and the cuff pressure
under systole is the systolic pressure.
There is no standard to suggest what the percentages for systole and diastole should be or
even that they should be fixed percentages. Manufacturers using height-based algorithms
have performed their own clinical trials and drawn their own conclusions about what the
percentages should be and whether they are fixed as a function of MAP pressure.
A-6
Appendices
Slope Method
There are many methods employed to determine how many slopes should be drawn and
what conclusions can be made about their intersection. As shown in Figure A-4, the cuff
pressure under the intersection of the slopes is treated as the systolic and diastolic
pressures. There is no standard for slope algorithms, just as there is no standard for height
algorithms.
A-7
Cufflink
Operators Manual
A-8
Appendix B
Glossary
ADAMS Adult Family Set of Analyzer target values designed to simulate adult blood
pressure
ADAMS Neonate Family Set of Analyzer target values designed to simulate neonatal blood
pressure
AdjEnv Adjust Envelope is a selection on Analyzer ADAMS Adult or ADAMS

Neonate menus from which one can adjust envelope gain and shift or
draw the pressure envelope.
A to D (or A/D) converter Analog to Digital Converter. This is an electronic device or circuit that
converts analog input voltage to a number of equivalent digital output
levels.
arrhythmia Alteration in time or force of the normal heartbeat rhythm
auscultatory blood pressure Blood pressure measurement done by interpreting sounds of blood
measurement flow (K sounds) through an artery that is surrounded by the cuff
baud rate Rate of serial transmission measured in bits per second.
bits/character The number of bits needed to define one keyboard character
blood pressure Pressure in the brachial artery at heart level.
blood pressure cycle One Analyzer blood pressure simulation, completed by deflation of
the BP cuff
BPM Beats per minute
Checklist A set of instructions performed on a piece of equipment
Checklists are generated by the Sentinel or medBase programs and

can include any medTester remote commands for the Analyzer.
Controller A device capable of controlling Analyzer operations
A medTester with Checklist or a computer with a serial port
B-1
Cufflink
Operators Manual
Cuff adapter Specialized connecting hose (consists of T connector, plastic tubing,

and quick release connector) that provides the link from the Analyzer
to the NIBP system
There are several different types of cuff adapters available to

accommodate many different types of NIBP monitors.
CuffPeak Cuff Peak
Value on the makearm display that indicates peak cuff pressure

reached during the blood pressure cycle
CuffPress Cuff Pressure
Value on the makearm display that indicates current cuff pressure

during the blood pressure cycle
Cuff pressure Pressure inside the sphygmomanometer cuff

Cursor Dark blue rectangle on the Analyzer display that indicates a current
selection
Cycle See blood pressure cycle.
data string A serial data transmission
In this case, the data is values that the Analyzer sends to the
controller.
Default values Values assigned to remote commands each time the Analyzer is
powered on
DeflRate Deflate Rate
Value on the makearm display that indicates the rate of cuff deflation
(in mmHg/sec) at the end of the blood pressure cycle
Demme Deflate Time
Value on the makearm display that indicates how long (in seconds) it
took for the cuff to deflate at the end of the blood pressure cycle
Diastole Relaxation of the heart during the cardiac cycle
diastolic blood pressure The blood pressure that occurs during the relaxation period of the
cardiac cycle
Display test Analyzer self test
A series of patterns shown on the display to verify correct display

operation
EEROM Electrically Erasable Read Only Memory; a memory device pro-

grammed with high voltage signals and erased electrically
In the Analyzer, all user modifications are stored in EEROM.
Flow control The handshaking method used by peripherals and microprocessors

to inform each other when data is available to be sent or received
This is useful when the microprocessor is faster than the peripheral

device (printer, etc.). The Analyzer microprocessor can fill the output
buffer, go on to other tasks, and resume sending data to the
peripheral when it needs more data.
B-2
Appendices
Glossary B
Gain Amplitude, voltage
Gain affects the Analyzer pressure pulse amplitude
HtRate Heart Rate adjustable from the Analyzer Target Values menu for
both ADAMS Adult and ADAMS Neonate.
Hz hertz
impedance Resistance or opposition to AC (sinusoidal) current (W)
Expressed in Ω.
inflRate Inflate Rate
Value on the makearm display that indicates the rate of cuff inflation
(in mmHg/second) during the blood pressure cycle
inflTime Inflate Time
took for the cuff to inflate during the blood pressure cycle
Korotkoff sounds The sounds that blood creates when moving through vessels partially
occluded by a sphygmomanometer cuff
For blood pressure determination, systolic pressure is at the point

where Korotkoff sounds are first heard as the cuff begins to deflate.
Diastolic pressure is at the point where the Korotkoff sounds become
muffled.
K sounds Korotkoff sounds
LCD Liquid Crystal Display
leak test Test in which an NIBP device is evaluated for leaks in the cuff or
hose connections caused by incorrect or broken connections, cracks
in the cuff, 0 ring deterioration, etc. Maximum leak rates are
documented in the manual for each NIBP device.
local mode The Analyzer operating mode controlled with the keys on its front
panel
makearm Name for the Analyzer blood pressure simulation process.
mandrel Adjustable plastic form (supplied with the Analyzer) that replaces the
human arm inside the sphygmomanometer cuff
The complete adult mandrel assembly consists of 2 end blocks and 3

spacer blocks. The optional auscultatory mandrel assembly contains
the auscultatory puck and connects to the adult mandrel. The
neonate mandrel is a single plastic cylinder that has 3 different
diameters (mandrel size is determined by cuff position).
manometer Device for measuring pressure
MAP Mean Arterial Pressure
The minimum cuff pressure at which pulse amplitude is the greatest.
The maximum perfusion (transfer) of oxygen from the arterial blood

supply to the surrounding tissue also occurs at MAP
millisecond One thousandth of a second.
B-3
Cufflink
Operators Manual
mmHg Millimeters of mercury
Standard unit of pressure measurement
neonatal Of or relating to a newborn
NIBP Non-invasive Blood Pressure
A blood pressure measurement that involves no direct contact with

the artery
Ω ohm
opto sensor Electronic device that acts as a switch
When the Analyzer puck moves down far enough to break the light
beam of this device, the switch turns off. When the light beam is not
broken, the switch is on.
oscillometric blood pressure A measurement of blood pressure by monitoring changes in cuff

measurement pressure caused by the flow of blood through the artery
overpressure test Test in which an NIBP device's overpressure point is exceeded, or

the point at which cuff pressure is great enough to cause emergency
deflation
parallel communications Data transmission in which all bits are received or transmitted at the
same time
parallel printer port Connection for a parallel, Centronics compatible printer

parameter Additional values that further define the Analyzer remote commands
One can specify many different parameters for remote commands.
parity The number of (binary) ones in a serial data stream
Even parity means the data stream has an even number of ones.
Odd parity means the data stream has an odd number of ones.
Different peripheral devices may need different types of parity. It is
necessary to configure the Analyzer to be compatible with whatever
parity the peripheral device requires (Odd, Even, or Off).
peak divide ratio The value that the Analyzer uses to calculate the point of rapid cuff
deflate at the end of the blood pressure cycle
peak pressure Maximum cuff pressure attained during the blood pressure cycle
pixel When referring to monitors or displays, the small elements (seen as

small squares on the Analyzer display) that comprise the display
Pixels are arranged in a horizontal and vertical grid pixel number is

directly related to display resolution. The greater the number of pixels
in the display, the greater the resolution will be.
pop off test See overpressure test.
PopTime The amount of time the Analyzer displays pop-up windows;

adjustable from 0 to 5 seconds
Pop-Up Window Informational boxes that appear momentarily on the Analyzer display
Pop-up windows appear to confirm a choice made or an action the

Analyzer has performed.
B-4
Appendices
Glossary B
pressure cycle See blood pressure cycle.
pressure envelope Graphic representation of cuff pressure as a function of time during a

blood pressure cycle
pressure envelope gain Increase or decrease in pressure envelope amplitude
pressure envelope shift Change of blood pressure envelope position along the pressure axis
pressure pulse Pulse, or temporary increase in blood pressure caused by the

intermittent rush of blood in the arteries due to the heart's pumping
action
pressure transducer Electronic device that converts pressure to a proportional voltage

signal
print test Test that the Analyzer performs to check printer operation
puck Small, moveable disk that creates positive and negative pressures
inside a chamber when moved by the Analyzer pressure engine
The action of the puck moving up and down within the puck chamber
produces the Analyzer oscillometric blood pressure simulations. The
puck inside the auscultatory mandrel simulates auscultatory blood
pressure.
pulse amplitude Height of the peripheral pulse
pulse envelope Imaginary line that connects the peak of each pressure pulse to form
an outline
NIBP monitors use pulse envelope shape to determine diastolic and

systolic blood pressures.
RAM Random Access Memory
remote mode Analyzer operating mode mediated with a controller (a medTester

with Checklist or a PC with an RS232 port)
returned data Information (values) sent to a controller from the Analyzer as a result
of a remote command
These values can be test results, information stored in the Analyzer

memory, or, if the remote command does not generate data, an
asterisk.
ROM Read Only Memory
The software program that operates the Analyzer is located in ROM
ROM checksum The mathematical sum of the software program code (in bytes)
stored in ROM
The code in ROM should never change once programmed at the

factory, and a ROM checksum value indicates the integrity of the
code when analyzed by a qualified service technician.
RS232 Electronics industry standard for serial communications
RTS/CTS Request To Send/Clear To Send
Handshaking protocol in which an RTS signal generated by the

Analyzer indicates there is data to send and a CTS signal generated
by the peripheral device indicates it is ready to receive data from the
Analyzer
B-5
Cufflink
Operators Manual
RVDU Relative Volume Displacement Unit
The volume displaced inside the puck chamber when the Analyzer
pressure engine moves one increment (one micro step)
Sentinel Equipment management system (available from Dynatech Nevada)

that tracks items such as preventative maintenance and plant
operations
serial communication Transmission or reception of data in a bit stream, one bit at a time
shift See pressure envelope shift.
stop bit The last bit added to the bit stream by the transmitting hardware that
indicates the end of the bit stream to the receiving hardware
One can specify either 1 or 2 stop bits for the Analyzer.
systole Contraction of the heart during the cardiac cycle
systolic blood pressure The blood pressure that occurs during the cardiac cycle when the
heart contracts
target value A blood pressure defined by specific systolic, diastolic, and MAP
values that can be simulated by Analyzer
terminating character Character that, when entered from a controller's keyboard, informs
the Analyzer where the end of a serial transmission (remote
command) is
TotITime Total Time
took for the complete blood pressure cycle
Xon/Xoff Transmit On/Transmit Off
A handshaking protocol in which a transmit on signal generated

indicates data may be received
zero pressure Analyzer feature that allows one to zero the pressure transducer and
remove any offset errors during pressure measurements
B-6

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CuffLink NIBP Analyzer

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Unpacking and Inspection

Standard Terms and Conditions

Returns for partial refund/credit:

Everett Calibration Lab

In Europe, Middle East, and Africa:

Restrictions and Liabilities

Chapter Title Page

1 Introduction and Specifications......................................................... 1-1

2 Operation ............................................................................................. 2-1

Set Clock ....................................................................................................... 2-22

3 Remote Operation ............................................................................... 3-1

4 Maintenance, Service, and Calibration.............................................. 4-1

Table Title Page

1-1. New RS232 Remote Commands............................................................................ 1-6

Figure Title Page

1-1. CuffLink Non-Invasive Blood Pressure Analyzer ................................................. 1-3

3-16. medBase Adult Arrhythmic BP Test Results ......................................................... 3-52

New Features (Firmware Revision 3.0 and Later)

Premature Ventricular Contraction (PVC)

Atrial Fibrillation (AF)

Missed Beat (MB)

Aberrant Sinus Conduction (AS)

Pop Off Added to Press Menu

Utility Menu Added to Leak Test

Table 1-1. New RS232 Remote Commands

DEFLATE Releases pressure inside CuffLink

INFLATE Pumps CuffLink to 200 mmHg or specified pressure

KEYTEST Tests CuffLink's keyboard

MKARR_AF Simulates atrial fibrillation

MKARR_MB Simulates a missed beat

MKARR_PAC Simulates premature atrial contraction

MKARR_PVC Simulates premature ventricular contraction

MKARR_AS As Simulates aberrant sinus conduction

POPOFF Tests monitor's overpressure valve

PUMPPCB Determines if pump PCB is installed in CuffLink

General Safety Considerations

Table 1-2. Symbols

W Important information; refer to manual.

Conforms to UL Std 3101-1; certified to CAN/USA Std C22.2 No.

P Conforms to European Union directives

Do not dispose of this product as unsorted municipal waste. Go

Hg Contains mercury. Dispose properly.

Label Component Description

A Display The LCD (Liquid Crystal Display) is a full alphanumeric and

Display viewing angle is adjustable, so if the display appears

Label Component Description

D Cuff Connect A quick disconnect type of port provides the output

E Cuff Output This is a voltage output proportional to cuff pressure

1.0 V = 100 mmHg

This signal is also useful when connected to a storage

Output impedance is 100 Ω.

F Pulse output This is a voltage output proportional to pulse pressure. It is

1.0 V = 1.0 mmHg pulse

0.5 V = 0.5 mmHg pulse

When Cufflink is simulating blood pressure it removes the

Output impedance is 100 Ω.

Label Component Description

Output impedance is 100 Ω.

* ADAMS Adult Family *

* Select Heart Rate (BPM) *