Home

User`s Manual - Frank`s Hospital Workshop

1. 3 SpOs Principles 0f Operation o eer t er D D GERA nee ERE 3 Indications and Usage iii tee ae t ede Eee v erue 4 Patient Safety auno dicus 5 Warnings acte eei 5 Cations 6 7 Front Panel 1 3 it te d LITER ERR REPRE 7 Rear and Top Panel 5 5 oe petere rer tee bere e PR eerta ee 8 Monitor M 9 AC Mains Line Cord and Battery Power eet 9 AC Operation si pice A Re HERR RE d e e eges 9 Battery Operation tee e E e Rp HERR 9 POWER Key Eu D HERE Rr BER pa EO ER ere 10 AUDIO Key tess iiia eee eade Rep IR HEU OU et oq 10 ALERT RESET Key geo ee eit e e a E ede ga oda e ERU Deeds 10 EVENT Key edo 11 CONTRAST Key ge eit a aeneis eal 11 The Ment SOFTKBYS recti ete e edt i d ge 11 The Main Menu ed od Ra od ru e c i een ei eee en toad dental 12 Default Menu Selectable Parameters essen enne 12 Returning to Factory Default Settings essere eee 13 Alert Volume roa E eR EE OE RECETTES IESUS 13 Pulse Beep Volume dette eren rdi eee tal en 13
2. ds nd Saunivad Olanv LAS NH SAV olanv SNOI1dO WALSAS NANNAN NIV 16 d94 Z 2 UOISIAOH wiHLATdAXO NIVIN lt GALYVLS LNOLNId A si QHVOVAON nuew dnes y ul Ajuo 3215 pue LNIHd T 4 19599 XX XX 3015 13S nual nus 8 7 Y 19599 d9vd elt 3NON XX XX LHVLS LAS NOISS3HdINOO 1931385 NNIN 1uened 0 NIV NNAW NIV QI juayed 1uvd gt ANA NIVIA 6 1 splen S198195 H LH3 ld 9 121539 6 0 seouenbeg SUH 1577 Sung ISVI 1 4 aS Las t BN SHHrISYI SHH 1571 gt JM NYL HH 1571 LANOLNIYd 9NLIVNINB3L SNOILdO 1NIHd 198185 SNIN 0 1577 NIV 1597 5199195 ANAN 1NOO dOLS 55 NI LNIHd sek QYVOVAON 01 OJU 8101 TVNOIS 3ZIS3H LONNVO
3. lt CR gt lt LF gt Where aaa and bbb are the values on the monitor s displays and where the status section ccc will display any message 20 character max as shown in the Message Center this section is padded with blank spaces if no messages are shown CR LF is a carriage return and line feed sequence To view or alter the current Full Format Mode settings 1 Press and hold the MENU key for 3 seconds SPO2 SETUP OPTIONS is displayed Repeatedly press the NEXT key until MONITOR OPTIONS 2 appears Press SER Repeatedly press PREV or NEXT to select FULL FORMAT MODE Press SET SELECT BAUD RATE using the NEXT or PREV keys Press SET Baud rate settings are 1200 2400 4800 and 9600 5 Press SET SELECT PARITY using the NEXT or PREV keys Press SET Parity settings are None Odd and Even 6 Press SET SELECT DATA BITS using the NEXT or PREV keys Press SET Data Bit settings are 8 or 7 7 Press SET SELECT STOP BITS using the NEXT or PREV keys Press SET Stop Bit settings are 1 or 2 8 The MONITOR OPTIONS 2 menu appears Press RUN to return to the Main Menu To pss Rev 03 OXYPLETH User s Manual 53 Section 9 54 User s Manual Serial Output Interface Saracap Interface Mode Saracap Interface Mode allows the OXYPLETH to communicate with the SARA System PPG Biomedical Systems The software within the SARA itself is crucial to proper operation of the interface Old
4. essere eee 63 Connecting the Hewlett Packard ThinkJet Printer eese 65 Connecting the Model 315 Printer essent 65 Print 65 Displayed Trend Printo t Rt e eere e rei rg eec 66 Tabular Mode Text Printout een potat e eet tote id teet 66 Plethysmogram Waveform Printout esseeseseeeeseeseeeeneee nennen 66 Zoom Trend Prntout ande ere Ie a Pee e perti 67 Conipressed Trend Printout i te e Hr tree teet ERR T ves DER RSV 67 Interpreting Printer Output ettet ped ipi 68 dr e ete tete eaa qi Re e EC RR cabal 68 Graphical oueteen utu p eR HE Ee RR 68 Ehstogram Data dte ee e e ra Ree riu dete 68 Tabular Data Format ene eee Ee mg e t lasses 69 Plethysmogram Waveform Format eese eene rennen eene 69 Analog Output Module renidet 71 Analog Output Setup 1 2 n erae Ha dee dpi ttc ced eie tenent 72 Cleaning amp Sterilization 73 OXYPLETH Monitor 35 ee ee ER HER ERR ERE Ob teak tea 73 SpOs Fing r Sensor nee e e deer t e p it petiit dien 73 NOBILES 73 SpO Y Strip Tapes and Foam Wraps sese 74 cali p naa aid bal S 74 OXYPLETH User s Manual Vii SPecifiCatiOnS RR 75 G netal one eek Deis
5. IHE RECHTE 15 COVER VIEW EE 15 Defrmtions 15 Lamut Alerts RERO PER ERRARE 16 If SpO or Pulse Rate violates an alert limit setting sees 16 If the parameter returns within its limits before 10 seconds elapse 16 If the limit alert lasts for more than 10 seconds eeeeeeeeneee 16 If the parameter returns within limits after 10 seconds of alerting 16 Auto Alert LAMIS dr P 16 SpO5 AutozAlert Roter a Rei ER ire 17 Pulse Rate Auto Alert Limits eese e ee y e eine eis 17 Setting Alert Limits Manually sessi entente nnne enne 17 Rev 03 OXYPLETH User s Manual Limit Alerts Latched Unlatched 0 ccccccccccccccccccccccecccsesesesesssensnsssccceseseseesessseececcesesesssenetsnetenees 18 Alert Limit Settings Retained Defaults 00 0 cececeeeseceeeeseeseceseeaeeseeeseeeecseseaeeaeeeaeeaeeneens 18 Alerts Delayed Instatit e e EE ED ERE rte TOA 19 Alert Bar Latched Unlatched Off ER RR 20 Alert Volume aka na o re GM ee ee Raa e RES 20 Audio MULE retro e enr ER e rem tar i avs tauren eene 21 Faults Alerts amp Ertors au aus etu au aaa initiis 22 Alert Linit Messages a e t e e d etie 22 Fault and Error Condition Messages
6. NNIN NIVIN ii 48875 LSNV AGOW SNIIVH3dO 193138 SNOILdO WALSAS 99 Jeedde exyos dgvi j swollv SHA d av IlIVAv AON ey uondo eui 99S 1 330 5215 1 OudS NAH SHAWL 2085 NH 4 NIVIN 3215 dgy 3GON Nnu SNOILdO dNLAS 2085 A MNAW Ploy pue J91uoo 46 994 1 2 UOISIA9H 29941 NUB wi LA TIdAXO uondo 12 ON SHA AV 13Q LIWN LH3 IV 93S 01 uondo 12 330 ON SHA 183 lV eoeyelu QHVOVAON 90995 4 NNIN dNLAS 2045 S ejds a Pe di HV8 NAY Z SNOILdO 1H31V IX3N 3ud 13S 3OVJH3LNI QHVOVAON eoepelu LINOOVAON sores 4 IX3N 135 T AOVAYALNI LWOOVAON SLE l3flL OMAS AdAL HALNIYd 193
7. essen eene 22 Miscellaneous MeSSages ette re teo hee qe pee tre 23 EIePEIJDII 25 OxySnap Connectors peg HO e n pei terere e ire aeaiia 25 Finger Sensof o RR Heo e ee n er rende 26 Finger Sensor Quick Check eae ettet e tior ideo 26 5 eii eh Hee de rta s a ER d i be EE n tei GRE ee 27 Y Sensor Application using Y Strip Tapes sesseeeeeneeneeneen ee 27 Non Adhesive Foam Wrap e eee et ret ere nte to etta Re ee Rae ee 29 Adhesive Foam Wraps need uo eve Dg b dre 31 Y Sensor Application using the Ear Clip 33 Y Sensor Quick Check wc hand ie eDim awh 34 Single Patient Use SpO Sensors esee eee nenne trennen tente nne 34 Single Patient Use SpO Sensor Application sseseseeeeeeeeeeeeeeen eene nennen 35 Single Patient Use SpO Sensor Quick Check eeeeeeeeeneeennens 37 SpO and Pulse eene ce EIL uil 39 SpOs5 Display Averaging sesira tape pir e bi ba dig de 39 Pulse Rate Display Averaging 39 Pulse Beep Volume 5 5 c rer reete orare reni tated 40 Signal Bat auis UE bee RR ur EU tbe o d Sen LAA ur RR ELS 40 Plethysmogram Display treten een a it Rete ep edet beo de 40 Waveform Autosize edet etes reno eoe tee e ar epe reped ei s tede dee etd 40 Usi
8. QuVOVAON ul Oju sesej3 sseiboid ui Bunuug i DurziseJ 10 jueseud jeufis 3WIL 38015 NAY ANAW QHVOVAON SNOILdO nueu 2 SNOILdO HOLINOW eq HOLINOIN snu uondo qHVOVAON 941 SNOLLdO dNLAS cOdS NO eq 3215 OLNV INHOHSAVM ANNAN QuvoO LNdd 325 l1HlV 48jueo 48juao 48jueo nus SNoIAeld 20 00 ANaW NIV Iq 1ueuno uo aje eui S S 591 YAWIL uonoejes JUNO Aejap 14eje eroeds eui 9100 95 BAEN 501 59 Av HQ LHJ 10335 eui 512 5 3 5 NO 1H31V 2 UOIsIAeH NU N wiH LA IdAXO tX XL Nod AWNIOA LAS 10102 sueAu JUBIND 1xeu Qo sfeidsiq NIYIN MOD t SNOILdO HOLINOW Spuooes JO 26 994 eH joejes nual
9. Before connecting to the patient or to OXYPLETH ensure sensor extension cables and or sensors are physically intact with no broken frayed or damaged components Verify the sensor s integrity by performing the Quick Check associated with the proper sensor See Finger Sensor Quick Check on page 26 and Y Sensor Quick Check on page 34 To attach a SuperBright sensor or sensor extension cable to OXYPLETH 1 Plug the connector into the front panel SpO Input The connector clicks into place when properly seated Do not twist the connector Sensors may be connected to or removed from the monitor whether or not the monitor is turned on 2 disconnect press the latch release lever pull the connector from the monitor Do not twist the connector PRESS DOWN ON LATCH RELEASE THEN PULL OUT gt EB Oxy Snap Connectors To connect an OxySnap extension cable to an OxySnap SuperBright sensor 1 Align the arrows on the OxySnap connectors and press the connectors together Figure 3 OxySnap Connector 2 To disconnect grasp the connectors at the finger grips and pull them apart Rev 03 OXYPLETH User s Manual 25 Section 6 Finger Sensor Finger Sensor The Finger Sensor is intended for adult fingers or appropriate sized pediatric fingers and is not designed for neonatal applications 4207722222472 2 2222222 eur Figure 4 Finger Sensor with OxySnap Extension Cable
10. To apply the finger sensor to the patient 1 Gently squeeze the grips at the rear of the sensor indicated by arrows below Figure 5 Applying the Finger Sensor to the Patient Cable exits above finger Placement Guide 2 Position fingertip against placement guide with fingernail towards the red light Do not position the finger so as to protrude past the placement guide 3 Release the finger grips 4 Inspect the site often for adequate circulation at least once every four hours 5 To remove sensor gently squeeze grips and slide the sensor from the finger Finger Sensor Quick Check 1l Is PROBE OFF PATIENT displayed when the sensor is connected to the monitor but not applied to the patient 2 Apply the sensor to your index finger Are reasonable SpO and pulse rate values displayed 3 AYES to BOTH 1 and 2 indicates the sensor is OK Apply the sensor to the patient as instructed above 26 OXYPLETH User s Manual Rev 03 Y Sensor SpO2 Sensors Y Sensor The reusable Y Sensor is a flexible sensor designed for use on any patient roe Ih Figure 6 Y Sensor with OxySnap Extension Cable The Y Sensor s Center Strip is not a functional part of the sensor Its purpose is to aid in the placement of the sensor into the tape or other securing system The center strip may be removed carefully cut away if the distance between the sensor heads needs to be other than 25 mm Sensor Heads Fig
11. ON will not illuminates unless AC line power is connected and the rear panel POWER switch is set to I If AUDIO OFF DISABLED appears when the user activates AUDIO OFF refer to Audio Mute on page 21 10 OXYPLETH User s Manual Rev 03 EVENT Key Rev 03 Monitor Basics Press the ALERT RESET key to stop an alert condition that is not currently active Any alert messages flashing indicators or audible alarms will be disabled Currently active alert alarm conditions will be reset and again become active once the appropriate time out period has elapsed In certain non monitoring conditions such as CONNECT SPO2 PROBE or PROBE OFF PATIENT pressing ALERT RESET will reset silence the audible alarms until monitoring is resumed and the monitor again receives valid signals from the sensor EVENT Key Press the EVENT key to place an event marker into the monitor s trend memory Pressing the EVENT key while in the Main Menu will freeze the waveform for sixty seconds the message WAVEFORM FROZEN appears on the display To return to the real time display before the sixty second time out press the RUN softkey Pressing the EVENT softkey in menus other than the Main Menu will not freeze the waveform the event will however be recorded in trend memory Events are stored in trend memory for use in printouts and trend data examination The message EVENT MARKED is displayed each time an event is marked from the Main Menu When the OXYPLETH is co
12. PATENTS 5 190 038 5 398 680 DANGER RISQUE D EXPLOSION NE PAS EMPLOYER EN PRESENCE D ANESTHESIQUES INFLAMMABLES ATTENTION RISQUE DE D CHARGES PAS ENLEVER LES COUVERCLES OU LES P REFERER POUR L ENTRETIEN A UN PERSONNEL GUALIFE Top Cover Carrying Handle Monitor carrying handle molded into case Warning Label Explosion and electrical shock warnings Patient Isolation Label The Model 520A is Type BF equipment X Indicates heavy metal content specifically lead Found on the internal battery and monitor enclosure Refer to qualified service personnel when battery replacement is required Not shown eS Recyclable item Found on the internal battery Refer to qualified service personnel when battery replacement is required Not shown Pb Separate collection Ensure that spent batteries are collected separately when disposed of Found on the internal battery Refer to qualified service personnel when battery replacement is required Not shown Rev 03 Section 4 Monitor Basics AC Mains Line Cord and Battery Power OXYPLETH can operate from AC Mains line cord power or from its internal battery AC Operation The rear panel power input module must be set to the proper voltage setting and the proper fuses must be installed for safe AC Mains line cord operation The module should indicate the proper voltage setting 115 VAC for use in the U S A Refer to the OXYPLETH Service Manual if this
13. is printed out and the printer returns to ON LINE mode CAUTION Never turn the printer off while it is writing the new settings to memory Wait until DIP SW setting complete is printed then the printer power may be turned off Connecting the Seiko DPU 411 Printer The Seiko DPU 411 thermal printer Cat No 5702 00 for 120 vac 5703 00 for 220 vac can be used with the OXYPLETH for trend or tabular printouts The Seiko DPU 411 printer and the OXYPLETH must be correctly configured before they can operate properly An interface cable connects the two devices Rev 03 OXYPLETH User s Manual 63 Section 10 Selecting a Specific Printer Interface cable Catalog No 5861 00 is twelve inches long and allows the Seiko DPU 411 printer to be powered from the OXYPLETH The printer s AC adapter is not needed Interface cable Catalog No 6887 00 is a six foot cable that requires the Seiko DPU 411 printer to be powered from its AC adapter To configure and connect the Seiko DPU 411 thermal printer 1 Ensure that the printer is off 2 Setthe DIP switches on the bottom of the DPU 411 to the proper settings First set of eight switches 1 2 OFF 3 4 ON 5 6 OFF 7 8 ON Second set of six switches 1 3 ON 4 6 OFF 3 Connect a printer interface cable between the OXYPLETH s RS232 connector and the printer s upper rear panel connector If using the 6887 00 cable connect the printer s external power supply to its
14. 03 OXYPLETH User s Manual 55 Section 9 Serial Output Interface Mode 4 SpO Waveform In SpO Waveform mode the saturation pulse rate and SpO display messages are continually transmitted at one second intervals Plethysmogram waveform data is also continually transmitted 50 times a second To enter SpO Waveform mode the computer must send an ASCII 4 character The OXYPLETH will echo the 4 followed by a lt cr gt lt 1f gt and then enable communication The data format is MS P 7 lt cr gt lt 1f gt sent once a second ptt lt cr gt lt lf gt sent 50 times a second where M Event Marker identifier event marked no event S an identifier for a 3 digit ASCII SpO value to follow P an identifier for a 3 digit ASCII Pulse rate value to follow 2 an identifier for a 2 digit ASCII SpO status value 3 digit ASCII value a 2 digit ASCII value p an identifier for a 2 digit waveform data point to follow 2 digit ASCII value in the range 0 99 cr lf is carriage return line feed sequence The Z SpO message value represents the current status of the parameter A value of O00 is returned if no error is active Refer to Mode 1 Real Time on page 55 for a complete list of error messages To exit SpO Waveform mode the computer must send an ASCII x or X character The OXYPLETH will echo x and stop communicat
15. Indicates a potentially harmful condition that can lead to personal injury Explosion Hazard Do NOT use OXYPLETH in the presence of flammable anesthetics Use of this instrument in such an environment may present an explosion hazard Electrical Shock Hazard Always turn OXYPLETH off and remove line cord before cleaning it Do NOT use a damaged sensor or one with exposed electrical contacts Refer servicing to qualified service personnel Do not operate OXYPLETH when it is wet due to spills or condensation Do not operate OXYPLETH if it appears to have been dropped or damaged Patient Safety Extreme care should be exercised with neonates to assure continued circulation distal to the sensor site after application Failure of Operation If the monitor fails to respond as described do not use it until the situation has been corrected by qualified personnel Patient Safety Care should be exercised to assure continued peripheral perfusion distal to the SpO sensor site after application OXYPLETH User s Manual 5 Section 2 Cautions e Data Validity Inaccurate SpO and or Pulse Rate measurements can be caused by any of the following Incorrect application or use of a sensor Significant levels of dysfunctional hemoglobin such as carboxyhemoglobin or methemoglobin Significant levels of indocyanine green methylene blue or other intravascular dyes Exposure to excessive illumination such as surgical lamps especially
16. Menu is comprised of the following keys ALRT used to set alert limits either manually or with Auto Alerts TRND brings up the trend page menus and displays MENU brings up the SYSTEM MENU Audio volumes display brightness and SpO2 averaging times can be set here The following keys may also appear in the Main Menu SIZE displayed only if WAVEFORM AUTOSIZE set to OFF Refer to Waveform Autosize on page 40 PRNT displayed only if PRINTER INTERFACE is selected Refer to Printer Interface Mode on page 54 CARD displayed only if NOVACARD INTERFACE is selected Refer to NOVACARD Interface Mode on page 54 Default Menu Selectable Parameters OXYPLETH retains measurement parameters and system setup information in its memory even while it is turned off When the monitor is turned back on the retained settings are restored and will be in effect until they are changed by the user OXYPLETH is shipped from the factory with its operating parameters set to these default values Alert Bar Unlatched Alert Limit Delay On 10 seconds Alert Limits SpO 100 85 Pulse 150 40 Alert Limits Retained on start up Alerts Latched Alert Volume Max 07 Audio Off Allowed Averaging SpO2 8 seconds Pulse Rate 8 seconds fixed Display Brightness High Display Contrast Center of range Display Held Timer Off Display Mode Blue wave on white background White text on blue background IABP Mode Available No Key
17. To the right of the bar graphs are numerical tabulations also showing how long the parameter was within that category OXYPLETH User s Manual 49 Section 8 Erase Trend Memory Erase Trend Memory Trend information is retained in the monitor s memory even if the monitor is turned off and on Each time the monitor is turned on the message ERASE STORED TREND is displayed The user can select YES to erase the contents of trend memory or press NO to keep the previously stored trend data intact If trend information is not erased at power up new data will be appended to the old data already in memory Additionally the user can enter the trend menu and erase stored trend information To erase stored trend information from within the trend menus 1 Press the softkey to select the SpO2 only display 2 Press the NEXT key and TREND OPTIONS are displayed 3 Press ERASE and ERASE STORED TRENDS appears 4 Press YES to erase trend data or to keep trend data intact Trend Print If PRINTER INTERFACE is selected in the MONITOR OPTIONS portion of the menu system a PRNT key is displayed in the TREND OPTIONS menu Press the PRNT key after connecting the selected printer and readying for printing and the displayed trend duration is graphically printed along with a histogram covering the same time frame Refer to Using a Printer on page 61 for printer details Trend and NOVACARD Memory Module If NOVACARD INTERFACE is sel
18. does not have to press the ALERT RESET when unlatched alerts are in use To select Latched or Unlatched alerts 1 Press and hold the MENU key for 3 seconds SPO2 SETUP OPTIONS is displayed 2 Repeatedly press the NEXT key until ALERT OPTIONS 1 appears 3 Press LATCH and ALERTS LATCHED appears The current setting flashes 4 Press YES or NO as desired YES provides latched alerts that require the user to press ALERT RESET to clear them NO provides unlatched alerts that reset automatically without user intervention Once the choice of Latched or Unlatched alerts is made that choice will remain in effect even if the monitor is turned off and on until changed by the user 5 ALERT OPTIONS 1 reappears Press RUN to return to the Main Menu Alert Limit Settings Retained Defaults When OXYPLETH is powered on it restores the Retained alert limit settings that were in effect when the monitor was last turned off However the monitor can be configured to use its Default start up values at each power up instead To use Retained or Default alert limit settings at power up 1 Press and hold the MENU key for 3 seconds SPO2 SETUP OPTIONS is displayed 18 OXYPLETH User s Manual Rev 03 Alerts Delayed Instant Alerts 2 Repeatedly press the NEXT key until ALERT OPTIONS 1 appears 3 Press DFLT default and RETAIN ALERT LIMITS appears The current setting flashes 4 Press YES or NO as desired YES The monitor po
19. remains in effect even if the monitor is turned off and on until changed by the user ALERT OPTIONS 1 reappears Press RUN to return to the Main Menu OXYPLETH User s Manual 21 Section 5 22 Faults Alerts amp Errors Faults Alerts amp Errors Listed below are the fault alert and error conditions displayed by OXYPLETH Alert Limit Messages PULSE HIGH Selected pulse rate high alert limit has been violated PULSE LOW Selected pulse rate low alert limit has been violated PULSE OUT OF RANGE Pulse rate is less than 30 bpm or is greater than 250 bpm SpO2 HIGH Selected saturation high alert limit has been violated SpO2 LOW Selected saturation low alert limit has been violated Fault and Error Condition Messages PROBE OFF PATIENT BAD SIGNAL TIMEOUT CONNECT SpO2 PROBE CAN T I D PROBE ERROR FAULTY PROBE INCOMPATIBLE PROBE INSUFFIC LIGHT INSUFFICIENT LIGHT LIGHT INTERF LIGHT INTERFERENCE OXYPLETH User s Manual Sensor disconnected from patient improperly applied or placed on an area too translucent for proper sensor operation Reposition sensor Monitor not receiving valid signals from sensor May be caused by excessive motion cardiac arrhythmia or other situations leading to poor signal Check patient status reposition sensor 1 Sensor is disconnected from the monitor 2 Sensor is faulty Remove sensor from use and contact qualified service personnel 1 A non SuperBr
20. 13S IX3N 135 jeoeyuelu GOW 1VI AHOH 1103 5120 5 4 H3 LNIHd 185 POPROM ON 5 L7 59 83015 LOATAS x 1 135 GASNNN lX3N 135 010 092 spejes 8 519 193135 1 13S 3OVJHA2LNI 0101 0921 LAS 5 909 95 4 ANON ALIH Vd 199195 1 13S AOVAYALNI dvovuvs 1 13S 0021 d1vH anva 193 13S uondo wares 1 198 3800 1v NHOH 7103 ON SHA 1deooy QSHOLV1 SLYA1V LAS 5 sS ex YIM enjeA 195 0 13S esn vendo ers jc de ce dm 13S 13S 4 ON SIA AA WININ QG WIN HH SLIIATT LH3TV NIVL3H AL S 0 eAnoedsaJ 0 Bojeuy 1ndino 5195 nue ON SHA TINA A1VWH 0882 Nhu 330 Olanv MOTIV 43040934 1 NNAN NIV NIV IX3N ALNW Ildd NOY 39010 YAS NOY SNOILdO 1H31V SNOILdO HOLINOW A 5 wol4
21. Continue Push On line SW Write Push Paper feed SW To change the DIP switch settings push the ON LINE button to leave the DIP switch settings unchanged push the FEED button 4 DIP SW 1 will print Enter the new settings for switches 1 8 ON is set by pushing the ON LINE button once OFF is set by pushing the FEED button once The printer will confirm each selection Repeat for DIP SW 2 and 3 62 OXYPLETH User s Manual Rev 03 Selecting a Specific Printer The DIP switch settings for the Model 520A are as follows Continue Write Data Length Data Parity No Parity Condition Odd Busy Control H W Busy Baud DIP SW settings mode Input Serial Printing Speed High Auto Loading ON Auto LF OFF Setting Command Enable Printing Density 100 Printing Columns 40 User Font Back up ON Character Select Normal Zero Normal International Character Set 8 bits Rate Select 9600 bps Push On line SW Push Paper feed SW CAUTION Using a Printer setting DIP SW Set Mode cannot be cancelled once it is initiated Answer ON or OFF for every Note More information about DIP switch settings can be found in the Seiko DPU 414 Thermal Printer Operation Manual 5 When the printer finishes writing the new settings to memory DIP SW setting complete
22. Dual trends displays SpO2 60 100 for full scale and 80 100 for half scale Pulse Rate of 50 250 beats min for full scale and 50 150 beats min for half scale with approximate resolutions of two SpO percent per vertical pixel and ten Pulse Rate beats min per vertical pixel Selecting only or Dual display To select Dual SpO and Pulse Rate or SpO2 only trend displays Press the softkey to select trend display Press the NEXT key and TREND OPTIONS are displayed Press VIEW and TREND VIEW is displayed Press DUAL to display both SpO2 and Pulse Rate trends or press SpO2 to display only SpO2 trend data qe The monitor will retain the display option selected even when the monitor is turned off 48 OXYPLETH User s Manual Rev 03 Histogram Trend Display Trend Memory ED cL hec Rev 03 Changing Scale in Dual Trend display To select Full or Half scale display for SpO or Pulse in dual display Select dual trend display as described above Press NEXT key and TREND OPTIONS are displayed Press VIEW and TREND VIEW appears Press SCALE and TREND SCALE is displayed Press SPO2 or PULSE as desired FULL or HALF will appear The current selection will flash The vertical scale for SpO2 at Half will be 80 100 at Full 60 100 The vertical scale for Pulse at Half will be 50 150 beats min at Full 50 250 beats min Histogram Trend Display Histogram display provides a neatly tab
23. NN SUWI LH31V 135 151 sfejdsiq asind zOds ON 8 SQN3H 38015 ASVHA si 1SIH zods avos juo 1eedde jim 37705 Y 1 NNAW NIVIA p aud 3SvH3 g SNOlLdO WOE HZ H8 sues JO euo XX XX eBueuo IIM NNSW NIYIN 4051 2 1XaN lt gt d 5 SSWWHH 1 5 GNYL IHW g Jajueo NNAW NIVIA 46 994 1 BIEMYOS 2 994 wiH lA IdAXO qasvua 1 5 t f SaNJHL GAYOLS 35743 NO sg sz SNIOVH3AV 2085 199135 sereno T a 3dON 19313S 26 995 OIEMYOS 2 NUS 4 SNOLLdO dNLas 2095 Ajuo 1eedde 40 ubnoiu 00 XX S HLA nua ANA NIV 7X X AWNIOA 1H3 V 195 NOH 4 40 uBnoiu 00 XX 9J9UuM S LA nue v tTXXY NH nua gt AWNIOA AS1Nd 13S ANA NIV
24. New trend data is continually collected and enters the graph from the right pushing older already displayed data towards the left If less than 12 hours of data have been collected the graph will be shortened accordingly Points in the trend where the monitor was turned off are indicated by dotted vertical lines Move the cursor by pressing the or arrow keys to the desired time Information displayed above the graph is specific to the data at the cursor the dashed vertical line flashing in the display Press the arrow left key to move the cursor towards older data Press the gt arrow right key to move the cursor towards more recent data Press the EXPAND softkey Successive presses of the EXPAND key cause the 8 hour 2 hour and 30 minute trends to be displayed Press EXPAND again to return to the 12 hour trend display OXYPLETH User s Manual 47 Section 8 Trend Data Compression 4 Use the arrow keys to fine tune the cursor to the desired location in the trend The information above the graph includes the date in the form MMMDD JANO1 the time in 24 hour format in the form HH MM SS 13 30 00 1 30 p m SpO2 S 97 97 Pulse Rate P 59 59 beats min If a trend Event was marked an E appears 5 Press the RUN key to return to the Main Menu Trend Data Compression SpO2 and Pulse Rate data is stored in trend memory every eight seconds OXYPLETH can display any 12 hour 8 hour 2 hou
25. and apply the sensor tape to the patient WARNING Do not wrap the tape around the limb so tightly that circulation is restricted Inspect the site often for adequate circulation at least once every four hours WARNING Care should be exercised to ensure Clinically reasonable alert limit settings are selected Novametrix does not recommend the setting of limit values to such a wide span as to effectively render alert limit feature useless Once the limit values are properly set the user should periodically confirm patient status by alternate means and not rely solely on alerts generated when a limit is violated Ensure that the sensor heads are directly opposite each other through the tissue This prevents the sensor from being placed on a site too thick high arch for proper operation Position the sensor so that the tape does not extend over the space between the fingers or toes to insure there will be no light transmission through this space 6 To maximize sensor life secure the sensor to the patient with additional tape 28 OXYPLETH User s Manual Rev 03 Non Adhesive Foam Wrap SpO2 Sensors Leave slack in the wires between the tape and the sensor Adult Pediatric Finger Neonatal Hand Figure 10 Y Sensor applied to patient Neonatal Pediatric Foot Pediatric Toe 7 Inspect the site often for adequate circulation at least once every four hours Non Adhesive Foam Wrap Use t
26. and dim settings Press RUN to return to the Main Menu Display Colors The default OXYPLETH display white text on a blue background and a blue wave over a white background can be changed This display colors feature coupled with the bright and dim backlight settings allows OXYPLETH to provide a very visible display over a wide range of lighting conditions To change the display colors Press and hold the MENU key for 3 seconds SPO2 SETUP OPTIONS is displayed Repeatedly press the NEXT key until MONITOR OPTIONS 1 appears Press DISP display and the display colors change OXYPLETH User s Manual 51 Section 9 Menu System Lockout There are four possible display modes white text on blue and a blue wave on white the default display blue text on white and a blue wave on white blue text on white and a white wave on blue white text on blue and a white wave on blue 4 When the display is as desired press RUN to return to the Main Menu Menu System Lockout A Menu System Lockout feature allows advanced users to configure the monitor s user selectable features such as alert limits audio features and averaging times then activate the lockout feature to prevent those settings from being changed by less advanced or unauthorized users Once activated turning the monitor off and on will NOT deactivate Menu Lockout To activate the Menu Lockout feature 1 Turn the monitor on and use the menus to configure the monitor as de
27. e Battery Type lead acid gel cell Battery Life 3 hours Note Excessive alerting reduces battery life When 15 minutes of battery life remain the low battery indicator illuminates When the battery becomes exhausted the monitor display shuts down Connect to AC power to recharge battery Recharge Time battery fully recharged in 12 15 hours max Additional Features e 2 Minute Silence When AUDIO key is pressed deactivates audible alerts for two minutes Indicated by illuminated 2 Min LED e Audio Off Feature user selectable If enabled press and hold AUDIO key for 3 seconds and audible alarms will not activate Indicated by flashing QU OFF LED e Battery Backed Trend Memory Trend memory print of any 30 minutes 2 hours 8 hours 12 hours or 24 hours when used with the Seiko DPU 414 Seiko DPU 411 Hewlett Packard ThinkJet or Model 315 Printer e Analog Recorder Output Module Optional Provides analog output for strip chart applications at the following levels Oxygen Saturation value 1OmV 100 1 V Pulse Rate value 4mV bpm 250 bpm 1 V Plethysmograph pulse waveform 0 1V max AGC e Serial RS232 Data Output Provides RS232 data interface compatible with Seiko DPU 414 Thermal Printer Seiko DPU 411 Thermal Printer Hewlett Packard ThinkJet Printer Novametrix Model 315 Printer Novametrix Model 1260 Capnograph Novametrix Model 1010 Telemetry Central Station SARACAP monitor RS232 computer interface NOVACARD M
28. limit alerts Definitions Limit Alerts are audible and visible signals from the monitor which are generated in response to SpO or Pulse Rate values outside the range of the Alert Limits the maximum and minimum allowable values for SpO and Pulse Rate Alert Limits are the smaller numbers displayed to the left of the SpO and Pulse Rate displays OXYPLETH is very flexible in handling alerts because it provides several alert options e Alert limits can be adjusted automatically with the Auto Alerts feature or manually from within the menu system e Pulse Rate limits may be turned off e Limit alerts require user action to be reset but they can be set to automatically reset Alert limit settings are retained memory and restored each time the monitor is turned on the monitor can be set to power up each time using default settings Audible alerts are delayed 10 seconds from the occurrence of a limit alert the delay can be eliminated to allow instant activation e Audible alert volume can be adjusted e Audible alerts can be temporarily silenced for two minutes Audible alerts can be suppressed altogether via the Audio Off feature furthermore the Audio Off feature can itself be disabled for use in situations where suppressing audible alerts is undesired e The Alert Bar stops flashing automatically if the parameter that caused a limit alert returns within its limits the Alert Bar can instead be set to continue flashing until the
29. off 2 Connect the interface cable Catalog No 4913 00 to the monitors RS232 connector and to the printer s serial input connector 3 Connect the printer s AC adapter if desired 4 Turn the printer on first then turn the oximeter on 5 Referto the Model 315 documentation for further printer details Print Formats The information output by the printers is the same However due to printer differences the format of the printed information will vary slightly between printers The following print types are available e Displayed Trend Printout e Tabular Mode Text Printout e Plethysmogram Waveform Printout Zoom Trend Printout e Compressed Trend Printout Rev 03 OXYPLETH User s Manual 65 Section 10 Displayed Trend Printout Displayed Trend Printout To create a Displayed Trend Printout from the graphical or histogram trend display 1 Ensure the selected printer is connected and ready to print 2 Press the key to display trend data 3 Press EXPAND to select the 12 hour 8 hour 2 hour or 30 minute trend display The start and stop times for the printed graph and histogram are approximately the same due to compression as those displayed on the monitor trend display when the printout is initiated 4 Press the NEXT key TREND OPTIONS appears 5 Press PRNT PRINTOUT STARTED is displayed and printing starts The user can also press PRNT in the histogram display the printout will be the same The p
30. on the end of the Single Patient Use sensor Close the locking clip until it snaps around the sensor cable DB 9 CONNECTOR ON EXTENSION CABLE LOCKING CLIP SENSOR CONNECTOR Rev 03 OXYPLETH User s Manual 35 Section 6 Single Patient Use SpO Sensor Application 3 disconnect the DB 9 extension cable from the sensor open the locking clip grasp the connectors and pull them apart To disconnect the DB 9 connector from the Model 520A press the latch release lever on the extension cable connector and pull the connector straight back away from the monitor DO NOT twist the connector PRESS DOWN ON LATCH RELEASE THEN PULL OUT gt 4 Select the appropriate size sensor based on the patient type PEDIATRIC ADULT SENSOR Adult toe NEONATAL PEDIATRIC SENSOR 22 Neonatal hand N LU _ Neonatal foot Pediatric toe Adult finger er 36 OXYPLETH User s Manual Rev 03 Single Patient Use Sensor Quick Check SpO2 Sensors 5 To apply the sensor place the blue side of the sensor wrap against the skin wrap it around the site and secure with Velcro tab The Velcro tab on the neonatal pediatric version is removable to allow the foam wrap to be cut before applying to the patient NEONATAL PEDIATRIC SENSOR CUT EXCESS OFF KA 2 Bs Ensure that the sensor heads are positioned directly opposite each other through the tissue The
31. seconds SPO2 SETUP OPTIONS is displayed Press the NEXT key and SPO2 TIMERS appears Press the BAD key and ALERT ON BAD SIGNAL appears The current setting flashes Press Os 15s 30s 60s as desired SPO2 TIMERS reappears Press RUN to return to the Main Menu IABP Mode Advanced signal processing algorithms used in the OXYPLETH distinguish valid pulsatile signals from signals generated by motion or other artifact This artifact very common in all but heavily sedated patients can swamp the true pulsatile signal or distort it enough to produce significant errors in the SpO and Pulse Rate calculations OXYPLETH s Validator algorithms reject distorted plethysmographic signals or those that lack a regular rhythmic pattern therefore only valid i e pulsatile signals are allowed to affect the monitor s SpO and Pulse Rate calculations Unfortunately rare conditions exist where the pulsatile waveform truly is distorted and lacks a fixed rhythm specifically during use of an Intra Aortic Balloon Pump IABP During IABP procedures the pulsatile signal can be massively distorted without affecting the patient s SpO In order to accommodate these IABP procedures without compromising the superior artifact rejection algorithm in the OXYPLETH IABP Mode is available IABP Mode allows the user to turn off Note however that other alerts Low Signal Strength Light Interference Insufficient Light Probe Off Patient etc may activate pri
32. the connectors are clean and dry with OXYPLETH User s Manual 73 Section 12 no signs of contamination or corrosion Do not use a broken or damaged sensor or one with wet contaminated or corroded connectors e Perform a Quick Check to verify the integrity of the sensor See Y Sensor Quick Check on page 34 SpO gt Y Strip Tapes and Foam Wraps e Treat Y Strip Tapes and foam wraps in accordance with hospital protocol for single patient use items Ear Clip e Clean the ear clip with a cloth dampened with 70 isopropyl alcohol After cleaning wipe the ear clip down thoroughly with a clean water dampened cloth to rinse 74 User s Manual Rev 03 Rev 03 Section 13 Specifications General Specifications for the Novametrix OXYPLETH Pulse Oximeter Model 520A are listed for informational purposes only and are subject to change without notice Oxygen Saturation 5 0 Section Range 0 100 Accuracy 80 100 2 0 79 unspecified Approximately 68 of the observations are within the accuracy claim Display Resolution 1 Averaging Time menu selectable times of 2 and 8 seconds Audible SpO Trend Feature Pitch of user selectable Pulse Rate beep tracks the SpO value i e decreasing SpO values are signalled by lower pitched beeps Settling Time Display settles to within 1 of the final reading less than 15 seconds after the sensor is properly applied Alerts Continu
33. the user if desired When disabled the timer display will not appear but the SpO and Pulse Rate displays will still blank out if the Special Alert Delay is exceeded To determine or alter the current setting of the Display Held Timer display Press and hold the MENU key for 3 seconds SPO2 SETUP OPTIONS is displayed Press the NEXT key and SPO2 TIMERS appears Press the HELD key and DISPLAY HELD TIMER appears The current setting flashes Press ON or OFF as desired SPO2 TIMERS reappears ON allows the timer to be displayed in the Message Center OFF prevents the timer from being displayed Press RUN to return to the Main Menu Special Alert Delay The Special Alert Delay alert feature allows the user to adjust the time interval between the occurrence of special conditions and the activation of audible and visible alerts Special alerts include Low Signal Strength Light Interference and Insufficient Light These conditions are usually transitory in nature and allowing the user to vary the delay before alarm activation helps to avoid nuisance alarms while still alerting the user to a persistent condition An alert message is displayed as soon as a special alert occurs If the duration of the special alert exceeds the Special Alert Delay setting the SpO2 and Pulse Rate displays will blank out and display the A indicator starts to flash and the audible alarm will sound unless disabled by the user The Special
34. to the Main Menu When Printer Interface Mode is selected a PRNT print softkey is added to the Main Menu and to the Trend Options menu DN ode uM Connecting the Seiko DPU 414 Thermal Printer To connect a Seiko DPU 414 Thermal Printer PN 9140 00 to the OXYPLETH 1 Connect the 9085 00 interface cable to the monitor s RS232 connector and to the printer s serial input connector the 9 pin D connector 2 Connect the AC adapter and turn the printer on 1 See Analog Output Module on page 71 for details on analog type printers and recorders 2 Only the Seiko DPU 414 Thermal Printer is currently available Information on the Seiko DPU 411 HP Thinkjet and Model 315 printers remains for backward compatibility Rev 03 OXYPLETH User s Manual 61 Section 10 Selecting a Specific Printer Configuring the Seiko DPU 414 Printer The Seiko DPU 414 Thermal Printer Cat No 9140 00 must be configured to communicate with the OXYPLETH When properly configured the Seiko printer will retain the settings even when turned off Top view Rear view Serial connection AC adapter On Off switch 1 Slide the printer s power switch to OFF 2 Press and hold the ON LINE button then slide the power switch ON I Release the ON LINE button after the list of current settings starts printing out Setting the DIP switches 3 The printout of the current settings is followed by the prompt
35. user presses ALERT RESET the Alert Bar can be turned off altogether Audible and visible alerts may also be generated for reasons including violated alert limits improper sensor placement interference from electrosurgical units or excessive motion ambient light interference or low signal strength Broken or damaged sensors extension cables or monitors can also cause alerts to occur OXYPLETH User s Manual 15 Section 5 Limit Alerts Limit Alerts If SpO2 or Pulse Rate violates an alert limit setting e The violated alert limit display starts to flash The red bell shaped indicator next to the ALERT RESET key starts to flash e A message flashes in the Message Center for example SpO2 LOW If the parameter returns within its limits before 10 seconds elapse Assuming the 10 SECOND ALERT LIMIT DELAY is ON the default setting The A indicator the violated limit display and the alert message stop flashing If the limit alert lasts for more than 10 seconds Or the 10 SECOND ALERT LIMIT DELAY is OFE e An audible alarm will sound Two Minute Silence and Audio Off features silence the audio Refer to AUDIO Key on page 10 The Alert Bar to the right of the display starts to flash unless Bar option in the Alert Options menu has been changed Refer to Alert Bar Latched Unlatched Off on page 20 e The violated limit becomes latched unless the Latched option in the Alert Options menu has been chang
36. using the first and third holes on the foam wrap it may be necessary to cut the center strip off the Y sensor Remove both sides of the release liner we Peel off paper liner E LSP ars Gy TF OXYPLETH User s Manual 31 Section 6 Adhesive Foam Wraps 3 Face the blue side of the wrap toward the skin and wrap around the site If using the neonatal pediatric foam wrap Velcro tab may be removed and replaced to allow excess foam to be cut if necessary Secure with the Velcro tab WARNING Do not wrap around the limb so tightly that circulation is restricted Inspect the site often at least once every four hours for adequate circulation 4 Ensure the sensor heads are directly opposite each other through the tissue This prevents the sensor from being placed on a site too thick for proper operation CATALOG NO 6968 NEONATAL PEDIATRIC Neonatal hand 3 ON Pediatric toe Neonatal pediatric foot A ll 0 CATALOG NO 6929 LARGE Adult pediatric finger Adult toe WARNING Treat foam wrap in accordance with hospital protocol for single patient use Check site regularly to ensure adequate circulation and proper sensor positioning 32 OXYPLETH User s Manual Rev 03 Y Sensor Application using the Ear Clip SpO2 Sensors Y Sensor Application using the Ear Clip 1 Remove center strip from the Y Sensor Sensor Heads Center Strip remove 2 Slide eac
37. your choice of any Y Strip Taping Systems Y 36 Plan The Plan warranty is 36 months Includes 9 boxes your choice of any Y Strip Taping Systems Finger 24 Plan The Plan warranty is 24 months Finger 36 Plan The Plan warranty is 36 months Y SENSOR APPLICATORS tapes wraps earclips 20mm Wrap Style Y Strip Taping System 100 per box Use on neonatal foot and hand or on pediatric toe or finger 20mm tapes use Blue color coded liners 25mm Wrap Style Y Strip Taping System 100 per box Use on neonatal foot and hand 25mm tapes use Green color coded liners 20mm Finger Style Y Strip Taping System 100 per box Use on pediatric finger or on small adult finger 20mm tapes use Blue color coded liners 25mm Finger Style Y Strip Taping System 100 per box Use on adult finger 25mm tapes use Green color coded liners Adhesive Foam Wraps Large 25 per box Adhesive Foam Wraps Small 25 per box Non Adhesive Foam Wraps Large 25 per box Non Adhesive Foam Wraps Small 25 per box Ear Clips 5 per box Ear Clips 25 per box Adhesive Dots 250 per box 78 User s Manual Rev 03 OXYPLETH Pulse Oximeter Accessories Catalog No Description PRINTERS 9140 00 Seiko DPU 414 Thermal Printer with battery pack 5140 00 Hewlett Packard ThinkJet Printer discontinued 4912 00 Model 315 Printer discontinued 4913 00 Cable to Model 315 Printer 5331 Cable t
38. 3 seconds SPO2 SETUP OPTIONS is displayed Repeatedly press the NEXT key until MONITOR OPTIONS 1 appears Press the VER version softkey The software version number appears Press the NEXT key The date of the software version appears Press the NEXT key and MONITOR OPTIONS 1 appears DS oo dio Tod oS Press RUN to return to the Main Menu OXYPLETH User s Manual 59 Section 9 Display Monitor Software Revision Level This page intentionally blank 60 OXYPLETH User s Manual Rev 03 Section 10 Using a Printer OXYPLETH Model 520A directly supports specific RS232 serial printers They include the Seiko DPU 414 and DPU 411 Thermal Printers the Hewlett Packard ThinkJet Printer and the Novametrix Model 315 Thermal Printer The information output by the printers is the same However due to printer differences the format of the printed information will vary slightly between printers Selecting a Specific Printer The OXYPLETH must be set to the appropriate printer interface 1 Press and hold the MENU key for 3 seconds SPO2 SETUP OPTIONS is displayed Repeatedly press the NEXT key until MONITOR OPTIONS 2 appears Press SER serial interface and the currently selected interface appears Press PREV previous or NEXT to select PRINTER INTERFACE Press SET SELECT PRINTER TYPE appears The currently selected printer type flashes 6 Select a printer type SEIKO TJET or 315 7 MONITOR OPTIONS 2 appears Press RUN to return
39. AS 51 Display Brightness cess eterne oe mo deter ee laces RE PP I erige 51 Display Colors 25 ete t RE ttp lame er nr e eres UR 51 Menu Systemi Lockout ies ona SO ena e Hee GO egt toe ies 52 Serial Output Interface 4 2e eet aee ertt atten bene ages 52 Selecting a Serial Output Interface sees 53 Format Mode n tt enamel mir qe tes 53 Saracap Interface Mode r oe edere 54 12601010 Interface M Ode er etre rt pete reed 54 Printer Interface Mode oae eet e m eaves 54 NOVACARD Interface Mode eese emen nre eene 54 NOVACOMI Interface Mode eese eene nennen nennen eene 55 Real Time nie e e e ERE ERE en ainda 55 Mode 4 SpO etit De ode to E ein edens 56 Mode 6 Trend Dump teer tee e eee 56 Mode d Date and Time neant etie eds 58 Mode c Clear Trends ie e Rete ret ues ER HI RR 58 Setting the Clock Calenda r tette o e eere iue 59 Display Monitor Software Revision Level eese nennen 59 Using Printer iiio ceca 61 Selecting a Specific Printer nien oni teret RP td tb ieri edes 61 Connecting the Seiko DPU 414 Thermal Printer see 61 Configuring the Seiko DPU 414 Printer esee 62 Connecting the Seiko DPU 411 Printer
40. ASE STORED TRENDS is briefly displayed after power on To keep the trend data from previous monitoring episodes intact let the menu time out or press the key below the NO menu choice Press YES to erase the stored trend data AUDIO Key Audible alarms can be silenced in two ways temporarily or permanently Two Minute Alarm Silence Press the AUDIO key The two minute silence indicator to the left of the AUDIO illuminates and audible alarms are silenced for two minutes After two minutes the indicator turns off and audible alarms are again allowed to sound To cancel the two minute silence before the two minutes have elapsed press the AUDIO key again and the silence condition will be cancelled e Permanent Audio Off Press and hold the AUDIO key until the audio off indicator to the right of the AUDIO key starts flashing No audible alarms will be generated To cancel the audio off condition press the AUDIO key again it will stop flashing and audible alarms are again allowed to sound ALERT RESET Key An alert occurs if SpO or pulse rate exceeds the displayed alert limits Alerts are also generated by conditions such as PROBE OFF PATIENT When an alert occurs the alert indicator flashes and violated limit displays menu center messages and the red alert bar may flash and an alarm may sound Once the alert condition is fixed and other flashing displays may continue even though the audible alarms stop
41. Alert Delay also controls the blanking of the SpO and Pulse Rate displays refer to the discussion of the Display Held Timer To determine or alter the current setting of the Special Alert Delay Press and hold the MENU key for 3 seconds SPO2 SETUP OPTIONS is displayed Press the NEXT key and SPO2 TIMERS appears Press the SPEC key and SPECIAL ALERT DELAY appears The current setting flashes Press 15s 30s 45s 60s or 90s seconds as desired SPO2 TIMERS reappears 15 second delay only available for version 2 7 and up Press RUN to return to the Main Menu Bad Signal Timer The Bad Signal Timer feature provides audible unless disabled by the user and visible alerts in the event the monitor does not receive valid pulse and saturation data from the sensor i e a regular and rhythmic pulsatile signal for an extended period of time Typically conditions such as continuous excessive motion cardiac arrhythmia or other physiologic conditions providing extremely poor plethysmogram signals will cause the BAD SIGNAL TIMEOUT message and alerts to activate OXYPLETH User s Manual 43 Section 7 IABP Mode The timer has selectable delay times of 0 15 30 or 60 seconds from the monitor s special alert delay time out to activation of the alerts The Bad Signal Timer feature works in conjunction with the Display Held Timer and Special Alert Delay For example monitor detected and continued to receive bad signals
42. DO NOT REMOVE COVERS OR PANELS REFER SERVICING TO QUALIFIED PERSONNEL Ground symbol Equipotentiality Connection to monitor s chassis Line Cord Clip This clip can be set around the line cord strain relief so that the cord cannot be pulled out of the connector Line Cord Connector The AC Mains line cord attaches to the monitor here AC Mains Power Switch With switch in O position AC Mains voltage does not enter monitor With switch in I position AC Mains voltage allowed into monitor to power unit and or charge internal battery Fuse Compartment The AC Mains line fuse s are inside this compartment Pry open with small screwdriver AC Mains Voltage The currently selected AC Mains input voltage is identified here Serial Output Connector Serial RS232 data output here for use with RS232 interfaces A female 25 pin D connector serves as the interface connector Rear Feet Rubber tipped rear feet 2 Attention Consult manual for detailed information 8 User s Manual RS232C NOVAMETRIX ACCESSORIES A REPLACE FUSE AS MARKED 0 5 S B 2 100 120V 250 2 200 240V 10 11 12 13 14 15 16 CAUTION FEDERAL Us A LAW RESTRICTS THIS DEVICE TO SALE DISTRIBUTION OR USE BY OR ON THE ORDER OF ALICENSED MEDICALFRACTITIONER CAUTION EQUIPMENT MUST BE TO AVOID DANGEROUS ELECTRICAL SHOCK HAZARD
43. Manual Rev 03 Audio Mute Rev 03 Alerts Press the ALERT softkey and SET ALERT VOLUME appears An audible tone sounds and the current alert volume setting 01 07 is displayed between the up and down arrows Press or J to increase or decrease the alert volume setting Press RUN to return to the Main Menu Audio Mute In situations where preventing the occurrence of audible alarms by use of the Audio Off feature is not desired the monitor can be set to disallow use of Audio Off Once the monitor is set to disallow use of Audio Off AUDIO OFF DISABLED is briefly displayed in the Message Center each time the user tries to enable Audio Off Unlike Audio Off the Two Minute Silence feature which temporarily silences the audible alarms for two minutes and then reactivates them is a separate feature and is not affected by the status of Audio Mute feature To enable or disable the monitor s ability to permanently silence the audible alarms Press and hold the MENU key for 3 seconds SPO2 SETUP OPTIONS is displayed Repeatedly press the NEXT key until ALERT OPTIONS 1 appears Press MUTE and ALLOW AUDIO OFF appears The current setting flashes Press YES or NO as desired YES The user can use Audio Off to permanently silence audible alerts NO The user cannot use Audio Off AUDIO OFF DISABLED is displayed instead NOTE Once the decision to allow or disallow the user to use Audio Off is made that choice
44. NST SLEEP Menu Enabled Enabled Enabled Selectable Trend Erase on power up Enabled Enabled Enabled Disabled Deuit apaia A tower 60 flower 40 flower Off Default limits on power up Yes No Yes No Backlight High High High Low Alert volume 7 3 5 1 Pulse volume 4 0 3 0 SpO2 averaging time 8s 8s 2s 2s IABP mode enable Disabled Disabled Enabled Disabled OXYPLETH User s Manual 41 Section 7 SpO Timers IABP mode Off Off Off Off Special alert delay 30s 30s 15s 90s Display held timer On Off On Off Bad signal alert 30s 30s Os 60s Permanent mute status Disabled Enabled Enabled Enabled Waveform autoscale Off On On On Alert bar latched Yes Yes No Off Alerts latched Yes Yes No No Allow audio off No Yes Yes Yes 10 second alert delay On On Off On Serial interface NovaCard NovaCard NovaCOMI NovaCOM1 Keyclick volume 1 Off Off Off To select a particular mode of operation Press and hold the MENU key for 3 seconds SPO2 SETUP OPTIONS is displayed Press the MODE key and SELECT OPERATING MODE appears Press NICU ICU ANST or SLEEP to select an operating mode Press PREV to return to SPO2 SETUP OPTIONS without making a selection When the desired mode has been selected the settings for that particular mode will be set then the monitor will return to the Main Menu SpO Timers OXYPLETH ensures only valid pulsatile signals are process
45. OXYPLETH Pulse Oximeter Model 520A June 11 1999 Catalog No 5693 23 03 Novametrix Medical Systems Inc 5 Technology Drive Wallingford Connecticut U S A 06492 Copyright 1998 All rights reserved No part of this manual may be reproduced without the written permission of Novametrix Medical Systems Inc Rev 03 OXYPLETH User s Manual M Revision History Revision History 02 May 92 Release Version 23 Apr 93 Revision 01 based on version 2 4 software 01 Apr 98 Revision 02 version 2 7 software and addenda added 11 Jun 99 Revision 03 CR N Declaration of Conformity with European Union Directive The authorized representative for Novametrix Equipment is D R M Green European Compliance Services Limited Oakdene House Oak Road Watchfiled Swindon Wilts SN 6 8TD United Kingdom Rev 03 OXYPLETH User s Manual MI Guarantee Equipment manufactured or distributed by Novametrix Medical Systems Inc is fully guaranteed covering materials and workmanship for a period of one year from the date of shipment except for certain disposable products and products with stated guarantees other than one year Novametrix reserves the right to perform guarantee service s at its factory at an authorized repair station or at the customer s installation Novametrix obligations under this guarantee are limited to repairs or at Novametrix option replacement of any defective parts of our equipment except fuses
46. PLETH User s Manual 39 Section 7 40 1 Pulse Beep Volume Pulse Beep Volume OXYPLETH is equipped with an audible pulse beep feature that allows the user to hear changes in the patient s SpO and pulse rate An audible beep occurs with each detected pulse beat The time between beeps indicates the pulse rate The pitch of the beep varies with the SpO value While SpO is greater than or equal to three digits below the SpO high alert limit setting the highest pitched tone sounds The beep s pitch decreases with each one digit drop in SpO below that level There are thirty two different tones If the SpO2 value drops more than 35 percent below the SpO high alert limit setting the beep remains at the lowest pitched level To vary the pulse beep volume Press the MENU softkey and the SYSTEM OPTIONS appears Press the AUDIO softkey and SET AUDIO FEATURES appears Press the PULSE softkey and SET PULSE VOLUME appears The current pulse volume setting 00 07 is displayed between the up and down arrows A setting of 00 turns off the pulse beep feature Press or 4 to increase or decrease the pulse volume setting Press RUN to return to the Main Menu Signal Bar The SIGNAL bar reflects pulsatile signal strength as detected by the SpO sensor Strong signals produce a tall bar weak signals produce a short bar Typical signals are 25 75 of the signal bar height Plethysmogram Display OXYPLETH di
47. adhesive dots Catalog No 8700 which are included with each sensor can be applied to the sensor before patient application for additional adhesion to the site 6 For additional support secure the cable along the limb with tape WARNING Do not wrap the sensor around the limb so tightly that circulation is restricted Inspect the site often at least every four hours for adequate circulation When applying sensors take note of patient s physiological condition For example burn patients may exhibit more sensitivity to heat and pressure and therefore additional consideration such as more frequent site checks may be appropriate Single Patient Use SpO Sensor Quick Check 1 With the sensor connected to monitor but not applied to the patient position the sensor heads so that they face each other the red light shines at the detector Is PROBE OFF PATIENT displayed 2 Secure the sensor on your index finger Does the monitor show reasonable SpO and pulse rate values 3 YES to BOTH 1 and 2 indicates that the sensor is OK Apply the sensor to the patient as instructed above This quick check also tests the functionality of the extension cable Rev 03 OXYPLETH User s Manual 37 Section 6 Single Patient Use Sensor Quick Check This page intentionally blank 38 J OXYPLETH User s Manual Rev 03 Rev 03 Section 7 SpO and Pulse Rate Once an SpO sensor is connected to the monitor and pr
48. and Pulse Rate values are recorded Average refers to the most often recorded value and not the mathematical mean of all readings End of Trend Printout Message shows Histogram is a part of the Print Trend feature 68 OXYPLETH User s Manual Rev 03 Interpreting Printer Output Using a Printer Rev 03 Tabular Data Format Tabular Mode Text Printouts start off with a header Refer to previous section followed by a one line of text printed at 30 seconds intervals The format of the tabular text line is HH MM SS SPO2 XXX PULSE YYY bpm where HH MM SS is the hour minute and seconds 24 hour format XXX is the displayed saturation value and YYY is the displayed pulse rate Plethysmogram Waveform Format Plethysmogram Waveform Printouts start off with a header refer to previous section followed by graphical depiction of the last 5 seconds of plethysmogram data The printout represents the five seconds of plethysmogram data immediately prior to when the WAVE key was pressed Graphically the WAVE key press corresponds to the bottom of the printout the top of the printout is five seconds before WAVE was pressed The SpO Pulse Rate and time values that are printed reflect the displayed values at the time the WAVE key was pressed OXYPLETH User s Manual 69 Section 10 Interpreting Printer Output This page intentionally blank 70 User s Manual Rev 03 Section 11 Analog Output Module OXYPLETH s
49. ase to disable Audio Off Audio Off Indicator Flashes yellow as a warning that the audible alarms are disabled ALERT RESET key Press to disable active alert indicators Alerts will reactivate if alert condition still exists Alert Indicator Flashes red when an alert alarm occurs Continues to flash until condition corrected and ALERT RESET is pressed 10 EVENT Key Press to place an event 12 13 14 15 16 17 Illustrations 10 11 12 Softkeys 1 5 Press softkeys 1 5 left to right to initiate action listed above each key Kickstand and bedrail bracket marker into the trend Red Alert Bar Flashes red when an alert alarm occurs Continues to flash until condition corrected and ALERT RESET is pressed SpO Sensor Input Connector Contrast key Press to adjust display for optimum viewing Waveform or trend data displayed here Menu Display Softkey functions and menu messages displayed here Parameter Numerical Displays Numerical displays and alert limit settings for measured parameters displayed here Also display units and special display options noted here OXYPLETH User s Manual 7 Figure 2 Top and Rear Panel Illustration Rear and Top Panel E NOVA METRIX lt gt MEDICAL SYSTEMS INC WALLINGFORD CONNECTICUT U S A DANGER EXPLOSION HAZARD DO NOT USE IN THE PRESENCE OF FLAMMABLE ANESTHETICS CAUTION ELECTRIC SHOCK HAZARD
50. ature that allows the user to hear changes in the patient s SpO and pulse rate An audible beep occurs with each detected pulse beat The time between beeps indicates the pulse rate The pitch of the beep varies with the SpO value While SpO2 is greater than or equal to three digits below the SpO high alert limit setting the highest pitched tone sounds The beep s pitch decreases with each one digit drop in SpO below that level There are thirty two different tones If the SpO2 value drops more than 35 percent below the SpO high alert limit setting the beep remains at the lowest pitched level To vary the pulse beep volume 1 Press the MENU softkey and the SYSTEMS MENU appears 2 Press the AUDIO softkey and SET AUDIO FEATURES appears 3 Press the PULSE softkey and SET PULSE VOLUME appears The current pulse volume setting 00 07 is displayed between the up and down arrows A setting of 00 turns off the pulse beep feature 4 Press T to increase or decrease the pulse volume setting 5 Press RUN to return to the Main Menu Rev 03 OXYPLETH User s Manual 1 Section 4 Pulse Beep Volume This page intentionally blank 14 OXYPLETH User s Manual Rev 03 Rev 03 Section 5 Alerts Overview This section explains OXYPLETH alerts and their possible causes OXYPLETH provides audible and visible limit alerts for oxygen saturation and pulse rate SpO and Pulse Rate each have separate alert limits and
51. batteries and calibration gasses without charge if said defects occur during normal service Claims for damages during shipment must be filed promptly with the transportation company All correspondence concerning the equipment must specify both the model name and number and the serial number as it appears on the equipment Improper use mishandling tampering with or operation of the equipment without following specific operating instructions will void this guarantee and release Novametrix from any further guarantee obligations Service Department For factory repair service call toll free 1 800 243 3444 In Connecticut call Collect 203 265 7701 Facsimile 203 284 0753 World Wide Web http www novametrix com Internet techline 9 novametrix com Caution Federal U S A law restricts this device to sale distribution or use by or on the order of a licensed medical practitioner CopyrightO 1998 Novametrix Medical Systems Inc This document contains information which is proprietary and the property of Novametrix Medical Systems Inc and may not be reproduced stored in a retrieval system translated transcribed or transmitted in any form or by any means without prior explicit written permission from Novametrix Medical Systems Inc Rev 03 OXYPLETH User s Manual IV Contents About This Manual 1 Acknowledgments 253 2 xot eee ea Ada A E EXON Bass Read a oe een NE 1
52. ce issued To clear the OXYPLETH trend memory the computer must send an ASCII c character The OXYPLETH will echo the followed by a lt cr gt lt 1f gt and then the trend memory will be cleared 58 OXYPLETH User s Manual Rev 03 Setting the Clock Calendar Advanced Monitor Features Rev 03 Setting the Clock Calendar OXYPLETH contains a clock calendar feature that operates even when the monitor is turned off This feature allows OXYPLETH to time stamp trend data as well as data that is output to external devices such as printers Unlike other monitor settings the clock calendar is not reset by the power up with Alert Reset key feature The clock calendar must be reset manually To view alter the current time and date setting Press and hold the MENU key for 3 seconds SPO2 SETUP OPTIONS is displayed 2 Repeatedly press the NEXT key until MONITOR OPTIONS 2 appears 3 Press CLOCK and the clock calendar setup menu appears The current hour setting is highlighted by flashing Each press of the SEL select key selects a new item to highlight Press or Y to increase or decrease the setting of the highlighted item When the time and date are correct press SET MONITOR OPTIONS 2 appears GL gv xU 35 Press RUN to return to the Main Menu Display Monitor Software Revision Level To check the revision level and date of the system software installed in the OXYPLETH 1 Press and hold the MENU key for
53. click Volume Off 00 Menu Lockout Off Plethysmogram Autosize On Pulse Alert Limits On Pulse Volume Off 00 Serial Interface Unused Special Alert Delay 60 seconds Bad Signal Timeout 30 seconds 12 OXYPLETH User s Manual Rev 03 Alert Volume Monitor Basics Returning to Factory Default Settings The user can reset the monitor back to the factory default settings at any time To return the monitor to its factory default settings 1 Turn the monitor on while depressing the ALERT RESET key 2 The message PARAMETERS RESET TO FACTORY DEFAULTS is displayed The monitor enters its normal operational mode using the factory default values Alert Volume The volume of the monitor s audible alert is user adjustable The alert volume feature cannot be used to eliminate audible alerts because the alert is still audible at its lowest setting Use Two Minute Silence or Audio to silence audible alerts Refer to AUDIO Key on page 10 To vary the audible alert volume 1 Press the MENU softkey and the SYSTEMS MENU appears 2 Press the AUDIO softkey and SET AUDIO FEATURES appears 3 Press the ALERT softkey and SET ALERT VOLUME appears An audible tone sounds and the current alert volume setting 01 07 is displayed between the up and down arrows 4 Press T or J to increase or decrease the alert volume setting 5 Press RUN to return to the Main Menu Pulse Beep Volume OXYPLETH is equipped with an audible pulse beep fe
54. display and alerts for functional pulsatile oxygen saturation SpO and pulse rate The monitor can be powered from the AC Mains line voltage or from its rechargeable internal battery Numerical and waveform information is presented on a bright Cold Cathode Display CCD with user adjustable contrast to optimize viewing angles A simple menu system allows user selection of measurement and display options Alerts are menu programmable or automatic Numerical and plethysmogram displays are continually updated Presence of a pulse is indicated audibly by a user selectable beep Separate 24 hour trends for SpO and pulse rate are updated every 8 seconds In addition trend events and audible alarm status Audio Off are also stored in trend memory The monitor is equipped with an RS232 serial output port for easy interfacing to external equipment An optional Analog Output module provides analog outputs SpO Principles of Operation Equation 1 Functional Saturation Calculation Rev 03 OXYPLETH measures oxygen saturation and pulse rate with sensors that contain red and infrared light sources called LEDs Since oxygen saturated blood absorbs different amounts of light at each wavelength red and infrared as compared to unsaturated blood the amount of light absorbed by the blood in each pulse can be used to calculate oxygen saturation The light energy from red 660 nm and infrared 940 nm LEDs is beamed through a sample cel
55. e PRNT key SELECT PRINT OPTIONS appears Press TRND EXPANDED TREND PRINT appears Press PART The SET START time menu appears Press or to select the point time in trend memory to start the printout Press ENTER The SET STOP time menu appears Or press RESET to reset the start time to the beginning of trend memory Press or to select the point time in trend memory to stop the printout Press PRINT Or press RESET to set the stop time to the end of trend memory PRINTOUT STARTED is displayed and printing starts The printer stops automatically when the printout is complete If PRNT is pressed again before the printout finishes PRINT IN PROGRESS appears Press STOP to terminate printing or press CONT continue to resume printing Compressed Trend Printout To create a Compressed Trend Printout Ensure the selected printer is connected and ready to print Press the PRNT key SELECT PRINT OPTIONS appears Press TRND EXPANDED TREND PRINT appears Press ALL SELECT PRINT COMPRESSION appears Select NONE 1 2 1 4 or PAGE NONE Printout length of up to 12 sheets of paper standard 8 5 x 11 inch sheets 1 2 Printout length of up to 6 sheets of paper 1 4 Printout length of up to 3 sheets of paper PAGE Printout sized to fit a single sheet of paper PRINTOUT STARTED is displayed and printing starts The printer stops automatically when the printout is complete If PRNT is pressed again before the printout finis
56. e SYSTEM MENU 4 SYSTEM OPTIONS reappears Press RUN to return to the Main Menu Using IABP Mode When IABP Mode is turned on the message IABP appears below the SpO display With IABP Mode turned on the clinician must exercise prudence in assessing the validity of the SpO and Pulse Rate displays because any motion or other artifact not just that associated with the IABP can have a significant affect on the SpO and Pulse Rate calculations While in IABP Mode the displayed Pulse Rate reflects true pulsatile signal heart rate plus the IABP ratio Example 1 heart rate 120 bpm IABP ratio 1 1 then displayed Pulse Rate should be 120 120 1 240 beats min Example 2 heart rate 120 bpm IABP ratio 1 3 then displayed Pulse Rate should be 120 120 3 160 beats min Since while in IABP Mode the pulse rate display will be affected by motion or other artifact the accuracy of the Pulse Rate display can usually be used as an indicator of the quality of the 5 display To avoid nuisance alarms the Pulse Alert Limits are automatically turned Off when IABP Mode is turned on The Pulse Rate Alert Limits can be turned back on in the standard manner Press ALRT Press SEL to move the indicator over a Pulse limit Press the arrow keys to reset the Pulse Rate alert limits Even if IABP Mode is on VERY poor sensor signals activate the Display Held Timer if enabled SpO limit alerts func
57. e SpO Sensors The Single Patient Use SpO sensors Catalog No 6480 and 6455 can be used when monitoring adult pediatric or neonatal patients with Novametrix Pulse Oximeters SuperBright series These sensors are used with the DB 9 extension cables Catalog No 8933 and 8936 Pediatric aduk sensor WARNING Use the Single Patient Use sensor and DB9 extension cable only with Novametrix SuperBright compatible pulse oximeters Use with any other device may result in equipment damage or patient injury CAUTION These SpO sensors are intended for single patient use The sensors can be reapplied to various sites on the same patient but should not be used on multiple patients Do not attempt to clean or disinfect the sensor as system performance will be compromised 34 OXYPLETH User s Manual Rev 03 Single Patient Use Sensor Application SpO2 Sensors NOTE The Single Patient Use sensor should be discarded if sensor integrity becomes questionable Single Patient Use SpO Sensor Application 1 Connect the DB 9 extension cable to the Model 520A front panel connector NOVAMETRIX SATURATION 90 purse oxmeTeROXYPLETH NOVAMETRIX L PULSE beatsinin I ms aie e s D0000 SuperBright SERIES CONNECTOR 2 Press the white connector on the end of the extension cable into the gray connector
58. e SpO value displayed when AUTO was pressed minimum setting 50 For example if the SpO 98 when AUTO is pushed the system will set the upper alert limit to 100 98 5 103 with max of 100 and the lower alert limit to 93 98 5293 Pulse Rate Auto Alert Limits The pulse rate high auto alert limit is set at 25 more than and the low auto alert limit is 25 less than the pulse rate value that was displayed before AUTO was selected maximum 249 and minimum 30 For example if the pulse rate 72 when AUTO is pushed the system will set the upper alert limit to 90 72425 72x1 25 90 and the lower alert to 54 72 25 72 0 75 54 Setting Alert Limits Manually The user can manually adjust the SpO2 and Pulse Rate alert limits WARNING Care should be exercised to ensure clinically reasonable alert limit settings are selected Novametrix does not recommend the setting of limit values to such a wide span as to effectively render alert limit feature useless Once the limit values are properly set the user should periodically confirm patient status by alternate means and not rely solely on alerts generated when a limit is violated Alert limit adjustment ranges are e SpO2 High 100 55 Low 95 50 e Pulse Rate High 249 35 Low 244 30 Pulse Rate alerts can be turned off if the High limit is raised above 249 or the Low limit is dropped below 30 If the Pulse Rate limits are off the limits display OFF and no Pulse Ra
59. ected in the MONITOR OPTIONS 2 portion of the menu system a CARD key is displayed in the main menu and TREND OPTIONS menu Press the CARD key after connecting the NOVACARD MEMORY MODULE and installing a NOVACARD and the NOVACARD MENU will appear From this menu trend data can be stored to the memory card patient ID can be entered or changed or the NOVACARD can be erased See NOVACARD Memory Module User s Manual for more information 50 OXYPLETH User s Manual Rev 03 Rev 03 Section 9 Advanced Monitor Features Keyclick Volume OXYPLETH can respond to each key press with an audible tone a keyclick assuring the user that the monitor recognized a key was pressed To turn on or alter the keyclick volume Press and hold the MENU key for 3 seconds SPO2 SETUP OPTIONS is displayed Repeatedly press the NEXT key until MONITOR OPTIONS 1 appears Press KLCK keyclick and SET KEYCLICK VOLUME appears The current keyclick volume setting 00 07 is displayed between the up and down arrows A 00 setting means the keyclick feature is turned off Press or 4 to increase or decrease the keyclick volume setting Each key press will cause a keyclick tone to sound Press RUN to return to the Main Menu Display Brightness OXYPLETH has two user selectable display brightness settings To select a display brightness setting Press the MENU key and the SYSTEMS MENU appears Press the LITE key to switch the backlight between its bright
60. ed Bad or invalid data causes alerts to occur These alerts are accomplished with the use of SpO Timers including the Display Held Timer the Special Alert Delay and the Bad Signal Timer Display Held Timer If selected the Display Held Timer is displayed in the Message Center if the monitor cannot detect a regular and rhythmic pulsatile signal for periods longer than 10 seconds While the Display Held Timer is active SpO and Pulse Rate displays are not updated the last valid values are Held The timer display indicates how old the displayed SpO and Pulse Rate information is The Display Held Timer can be activated by e excessive motion e improper sensor placement Insufficient Light or Probe Off Patient messages e interference from electrosurgical units or excessive motion e ambient Light Interference Low pulsatile Signal Strength The SpO and Pulse Rate displays blank out and display if the duration of the invalid data exceeds the Special Alert Delay setting Once started the Display Held Timer remains active for as long as invalid data is received from the sensor After 99 seconds the timer display will show 42 OXYPLETH User s Manual Rev 03 SpO Timers Rev 03 SpO and Pulse Rate The Display Held Timer is reset to zero seconds and the timer message disappears as soon as a regular and rhythmic pulsatile signal is detected The timer display message can be enabled or disabled by
61. ed to No Refer to Limit Alerts Latched Unlatched on page 18 If the parameter returns within limits after 10 seconds of alerting e The audible alarm will turn off e The Alert Bar will stop flashing unless Bar option in the Alert Options menu has been changed Refer to Alert Bar Latched Unlatched Off on page 20 fthe limits are latched Y indicator and violated limit display continue to flash until the user presses the ALERT RESET key This allows the user to determine which limit was violated Ifthe limits are unlatched the V indicator and violated limit display stop flashing Auto Alert Limits Auto Alerts allow the user to bracket the alert limits based on recent patient data To set Auto Alert Limits 1 The sensor must be applied and the monitor displaying SpO and Pulse Rate NOT ENOUGH DATA TO SET AUTO LIMITS is displayed if AUTO is pressed and no SpO and Pulse Rate values are displayed The limits are not changed 16 OXYPLETH User s Manual Rev 03 Setting Alert Limits Manually Alerts 2 Press the ALRT softkey and SET ALERT LIMITS appears 3 Press the AUTO softkey The monitor sets the new limit values and displays AUTO ALERT LIMITS SET 4 The Main Menu returns automatically SpO gt Auto Alert Limits The SpO high auto alert limit is set to 5 more than the SpO value displayed when the AUTO was pressed maximum setting 2100 The low auto alert limit is set to 5 less than th
62. ees I NU ee 75 Oxygen Saturation SpO7 Section 75 Pulse Rate Sect Ons tien a eate ed dt 75 General Specifications sesen eee ete oS A AR ed e 76 Additional Eeat tes eere rr ee etae 76 MEET 77 OXYPLETH Pulse OA OT ianitor 77 Men Trees adeceecscsccanazecessoeccaeteccnstavar acs utdesstscmenacssSauece dos sovaaeusesesuasdauserecataestes 81 viii OXYPLETH User s Manual Rev 03 About This Manual This manual describes the OXYPLETH Pulse Oximeter Model 520A manufactured by Novametrix Medical Systems Inc Section 1 Introduction provides a brief description of the monitor indications and usage and general SpO principles of operation Section 2 Patient Safety lists important safety information including warnings and cautions Section 3 Front Panel Illustration describes the front panel features and controls Rear and Top Panel Illustrations are provided Section 4 Monitor Basics provides basic monitor features and operations All OXYPLETH users should become familiar with the information presented here Section 5 Alerts provide complete information regarding the various monitor alerts Section 6 SpO Sensors describes sensors available for use with OXYPLETH Section 7 SpO and Pulse Rate describes those
63. emory Module NOVACOM1 Interface Internal Real Time Clock e Alert Bar 76 User s Manual Rev 03 Rev 03 Section 14 Accessories OXYPLETH Pulse Oximeter Catalog No 5693 00 8793 8744 8853 8898 4941 4942 4943 6147 5266 8776 8791 8789 5238 8894 00 6455 00 6455 25 6480 00 6480 25 8933 00 8936 00 Description OXYPLETH Pulse Oximeter Model 520A with choice of sensor OxySnap SENSORS and CABLES OxySnap Y Sensor use with OxySnap Extension Cable OxySnap Finger Sensor use with OxySnap Extension Cable OxySnap Extension Cable 8 ft use with OxySnap sensors OxySnap Long Extension Cable 12 ft use with OxySnap sensors Saturation Sensor Extension Cable 4 feet Saturation Sensor Extension Cable 6 feet Saturation Sensor Extension Cable 10 feet Saturation Sensor Extension Cable 50 feet Saturation Sensor Extension Cable 25 feet SuperBright Finger Sensor 10 ft sensor cable SuperBright Y Sensor 10 ft sensor cable Special Use SuperBright Finger Sensor 8 inch sensor cable Special Use SuperBright Finger Sensor amp 25 ft shielded cable OxySnap Connector Strap 25 per box SINGLE PATIENT USE SpO SENSOR Single Patient Use Pediatric Adult Sensor 10 per box Single Patient Use Pediatric Adult Sensor 25 per box Single Patient Use Neonatal Pediatric Sensor 10 pe
64. er revision SARA s may require updating before the interface will operate properly OXYPLETH and the Sara system are connected using Novametrix interface cable Catalog No 4832 00 Connect the 25 pin connector to the OXYPLETH the 9 pin EXP connector to the SARA Expansion port and the 9 pin male BP connector to the SARA Blood Pressure port If a cable is already connected to the Blood Pressure port remove that cable install the male BP connector in its place and connect the original cable to the female BP connector on the interface cable Once connected OXYPLETH becomes an expansion device to the SARA monitor Refer to the SARA documentation for further information 1260 1010 Interface Mode Selecting 1260 1010 Interface Mode allows the OXYPLETH to communicate with a Novametrix Model 1260 Capnograph monitor using the Novametrix interface cable Catalog No 5134 00 or to communicate with the Novametrix Model 1010 Central Telemetry Station via a Model 101 Telemetry Transmitter attached to the rear panel of the OXYPLETH Refer to the Model 1260 or 1010 documentation for further details Printer Interface Mode Printer Interface Mode directly supports the Seiko DPU 414 Thermal Printer Seiko DPU 41 1 Thermal Printer the Hewlett Packard ThinkJet Printer and the Novametrix Model 315 Thermal Printer When Printer Interface Mode is selected a PRNT print softkey is added to the Main Menu and to the Trend Options menu Refe
65. erts for violated alert limits are delayed 10 seconds NO Audible and Alert Bar alerts occur as soon as an alert limit is violated NOTE Once the Alert Delay setting is decided that choice remains in effect even if the monitor is turned off and on until changed by the user 5 ALERT OPTIONS 2 reappears Press RUN to return to the Main Menu Rev 03 OXYPLETH User s Manual 19 Section 5 Alert Bar Latched Unlatched Off Alert Bar Latched Unlatched Off The Alert Bar to the right of the monitor display can be set to operate in three different modes The Alert Bar can be Latched Unlatched or turned off altogether A Latched Alert Bar starts to flash as soon as a limit alert occurs If the alerting parameter returns within its limits before 10 seconds elapse the Alert Bar turns off If the alert condition lasts for more than 10 seconds the flashing Alert Bar becomes latched and will continue to flash even if the alerting parameter returns within its limits until the user presses the ALERT RESET key An Unlatched Alert Bar starts flashing 10 seconds after an alert limit violation occurs and turns off as soon as the alerting parameter returns within its limits regardless of the duration of the alert The Alert Bar will not flash under any condition if it has been turned Off The red bell shaped indicator to the left of the ALERT RESET key will always flash whenever a limit alert occurs Unlike
66. ervice personnel PROBE FAULTY IR Sensor faulty Remove sensor from use and contact qualified service personnel Miscellaneous Messages AUDIO OFF DISABLED Displayed if user tries to enable Audio Off mode by pressing and holding the AUDIO key while the Allow Audio Off portion of the Options Menu is set to No BATTERY VERY LOW 1 Monitor is running on battery power and the battery power has PLUG IN AC POWER been depleted Connect line cord to AC Mains power source and set the rear panel switch to 2 Monitor s rear panel fuse has blown monitor switched over to battery power and has depleted battery life Contact qualified service personnel EVENT MARKED An event was successfully entered into trend memory MONITOR PERFORMING Monitor is performing its power up system diagnostic tests SELF TEST Parameters Reset Displayed when monitor is turned on while pressing the To Factory Default ALERT RESET key or if an error found in battery backed RAM during power on Monitor now using factory default settings Rev 03 OXYPLETH User s Manual 23 Section 5 Faults Alerts amp Errors This page intentionally blank 24 OXYPLETH User s Manual Rev 03 Section 6 SpO Sensors The OXYPLETH Pulse Oximeter supports SuperBright SpO Finger and Y Sensors WARNING Connect only Novametrix saturation sensor extension cables and or SuperBright SpO sensors to the OXYPLETH DO NOT use other sensors or accessories with OXYPLETH
67. ex that corresponds to 30 decimal will indicate an SpO2 value of 90 00 no data available EVENT marker on if MSB is set AUDIO off is 2nd MSB is set byte 8 8 byte pulse rate data range 00 FA Hex 0 250 15 decimal FB Hex 251 decimal no data available over period lt cr gt carriage return lt lf gt line feed Mode d Date and Time Date and Time mode causes the OXYPLETH to transmit on request the date and time as calculated by the monitor s internal calendar clock To request the date and time the computer must send an ASCII d character The monitor echoes back the d character and sends the date and time on the same line The Mode d data format is deMMM DD YYehh mm ss lt cr gt lt lf gt where d the echoed command character is an ASCII space character MMM a 3 character month Jan Dec DD a 2 digit ASCII day 01 31 YY the last 2 digits of the year 1990 is 90 hh a 2 digit hour based on a 24 hour clock 00 23 mm a 2 digit minute ss a 2 digit second lt cr gt lt 1f gt is carriage return line feed sequence Mode c Clear Trends Clear Trends mode allows the user to remotely clear the OXYPLETH trend memory This action has the same result as the monitor s Clear Trend function in that trend memory and the Trend Page displays are cleared Use this remote Clear Trends function with care as there is no way to undo the clear command on
68. from the sensor due to excessive motion etc the Display Held Timer would display if enabled at 10 seconds It would continue to count up until it reached the Special Alert Delay setting At this point the monitor s saturation and pulse rate display values would blank out and display The signal bar and plethysmogram will remain visible allowing evaluation of the patient pulsatile signal e A Re acquiring Signal message will be displayed during motion artifact this will appear after the selected special alert delay times out e Providing the monitor is still receiving bad signals from the sensor the timer display continues to count up to 99 seconds after which it will show Once the user selected 0 15 30 60 seconds bad signal delay has elapsed the message BAD SIGNAL TIMEOUT is displayed and the monitor s audible and visible alerts will activate providing they have not been previously disabled by the user This alert condition will remain active until OXYPLETH again starts to receive valid plethysmogram data from the sensor at which point the saturation and pulse rate displays will re enable the error message will disappear and the audible and visible alerts will stop e Tf at any time before the BAD SIGNAL TIMEOUT message appears the monitor receives good signals the timers are reset and no alerts occur To determine or alter the current setting of the Bad Signal Timer Press and hold the MENU key for 3
69. ging device 52 OXYPLETH User s Manual Rev 03 Serial Output Interface Advanced Monitor Features Selecting a Serial Output Interface To view or alter the current serial communications mode Press and hold the MENU key for 3 seconds SPO2 SETUP OPTIONS is displayed Repeatedly press the NEXT key until MONITOR OPTIONS 2 appears Press SER serial interface and the currently selected interface appears Repeatedly press PREV previous or NEXT to select the desired interface Qno dx Mas CBS When the desired interface is displayed press SET If Full Format or Printer Interface modes are selected additional menu choices will be presented Refer to the following sections for details 6 MONITOR OPTIONS 2 menu appears Press RUN to return to the Main Menu Full Format Mode Full Format Mode allows for data communication from the OXYPLETH to a device such as a personal computer or data logging system fitted with an RS232 interface Full Format Mode is OXYPLETH s factory default serial interface The default parameters are 1200 baud no parity 8 data bits and 1 stop bit An interface cable from the OXYPLETH with transmit pin 3 and ground pin 7 is used to perform the data link Handshake lines pins 6 and 20 should be connected together at the OXYPLETH end of the cable An ASCII string consisting of the following characters is transmitted once each second aaa Rate bbb Status
70. h Y Sensor head into the ear clip receptacles the heads should face each other Sensor Head 9 SA Ear Clip Receptacle Sensor cable fits in groove on clip Squeeze here to apply gt 4 3 Gently squeeze the end of the ear clip shown in diagram and apply the sensor to the patient If a satisfactory reading cannot be obtained rub the site and or use adhesive dots for better response The adhesive dots PN 8700 00 included with the ear clips will also help in preventing the ear clip from falling off e g during exercising Adult Ear Optional Placements Rev 03 OXYPLETH User s Manual 33 Section 6 Y Sensor Quick Check WARNING Inspect the site often for adequate circulation at least once every four hours When applying sensors take note of patient s physiological condition For example burn patients may exhibit more sensitivity to heat and pressure and therefore additional consideration such as more frequent site checks may be appropriate Y Sensor Quick Check 1l the Y Sensor connected to monitor but not applied to patient position the sensor heads so that they face each other the red light shines at the detector Is PROBE OFF PATIENT displayed 2 Tape the Y Sensor to your index finger Does the monitor show reasonable SpO and pulse rate values 3 YES to BOTH 1 and 2 indicates that the sensor is OK Apply the sensor to the patient as instructed above Single Patient Us
71. he SYSTEM MENU that appears when the MENU key is pressed contains a softkey labelled IABP To allow IABP Mode to be selected from the Main Menu system Press and hold the MENU key for 3 seconds SPO2 SETUP OPTIONS is displayed Press the IABP key and IABP MODE AVAILABLE appears The current setting flashes Press YES or NO as desired YES An IABP softkey appears in the SYSTEM MENU when the MENU key is pressed NO IABP Mode cannot be activated from the Main Menu Once the decision on IABP Mode Main Menu availability is made that choice will remain in effect even if the monitor is turned off and on until changed by the user SPO2 SETUP OPTIONS reappears Press RUN to return to the Main Menu Turning IABP Mode On Off Once IABP Mode is made available to the Main Menu refer to the previous section IABP Mode can be turned on or off as desired To turn IABP MODE on or off Press and the MENU key SYSTEM OPTIONS is displayed Press the IABP key and SELECT IABP MODE appears The current setting flashes Press ON or OFF as desired OXYPLETH User s Manual 45 Section 7 IABP Mode ON IABP Mode is turned on The message IABP appears below the SpO display OFF IABP Mode is turned off NOTE While availability of IABP Mode to the Main Menu is retained in memory and restored each time the monitor is turned on OXYPLETH always power up with IABP Mode turned off The user must intentionally select IABP Mode from th
72. he non adhesive foam wrap with Novametrix SpO Y Sensor s catalog No 8793 or 8791 Select a foam wrap based on the patient type Catalog No 8836 Large adult pediatric finger neonatal pediatric foot or hand Catalog No 8943 Small neonatal foot or hand pediatric toe or finger To use the non adhesive foam wrap 1 With the blue side of the foam wrap facing up press the buttons on the back of each Y sensor head through the holes in the foam wrap The wrap will stretch to fit the buttons Head ae Head ESS 9g Button Blue Foam Cross section Center Strip of Sensor head White Fabric may be removed in the foam wrap Center Strip removed Rev 03 OXYPLETH User s Manual 29 Section 6 Non Adhesive Foam Wrap NOTE If using the first and third holes on the foam wrap it may be necessary to cut the center strip off the Y sensor 2 Face the blue side of the wrap toward the skin and wrap around the site If using the neonatal pediatric foam wrap the Velcro tab may be removed and replaced to allow excess foam to be cut if necessary Secure with the Velcro tab WARNING Do not wrap around the limb so tightly that circulation is restricted Inspect the site often at least once every four hours for adequate circulation 3 Ensure the sensor heads are directly opposite each other through the tissue This prevents the sensor from being placed on a site too thick for proper o
73. hes PRINT IN PROGRESS appears Press STOP to terminate printing or press CONT continue to resume printing OXYPLETH User s Manual 67 Section 10 Interpreting Printer Output Interpreting Printer Output Header Each printout starts with a header that identifies the oximeter Model 520A and printer type SEIKO ThinkJet or Model 315 The date and time of the printout is furnished by the monitor s calendar clock Space is then provided to enter patient information The type of printout Zoom Compressed etc is then identified Graphical Data A graphical depiction of trend memory is printed after the header for all printouts except the tabular and waveform modes Column A and B Information The next two lines refer to Columns A and B in the printout Column A represents the monitor s audible alarm status A mark black bar in this column indicates that the audible alarms were silenced during this portion of the printout Column B shows marks where Events were added to trend memory Data Scales The Pulse Rate and Oxygen Saturation scales are printed and dotted lines within the data section correspond to the major divisions shown on the scale lines Data Ratio The line following the data scales shows the date the recording was initiated and the data ratio The data compression ratio depends on the type of printout selected For example one dot on the printout may correspond to 8 or 64 seconds Alert Limit Settings Fol
74. ight sensor is connected use only 87xx series sensors 2 Sensor is faulty Remove sensor from use and contact qualified service personnel 3 Sensor is placed on too thick of a site Reposition the sensor on a thinner less opaque section of tissue Sensor faulty Remove sensor from use and contact qualified service personnel 1 A non SuperBright sensor is connected use only 87xx series sensors 2 Sensor is faulty Remove sensor from use and contact qualified service personnel Insufficient Light where is the duration of the fault in seconds after 90 seconds display shows Sensor placed on a site too thick or opaque for adequate light transmission Reposition sensor Light Interference where is the duration of the fault in seconds after 90 seconds display shows Ambient light sources sunlight warming lights etc are interfering with sensor light sources Shield the sensor from ambient light sources Rev 03 Faults Alerts amp Errors Alerts LOW SIGNAL Low Signal Strength where is the duration of the fault in seconds LOW SIGNAL after 90 seconds display shows Pulse strength as detected by STRENGTH sensor is too weak for proper monitor operation Reposition sensor MONITOR ERROR Monitor faulty Record error message appearing on bottom line of display and contact qualified service personnel PROBE FAULTY RD Sensor faulty Remove sensor from use and contact qualified s
75. ion Mode 6 Trend Dump Trend data is transmitted as a succession of records The record size for OXYPLETH is 16 bytes of ASCII Hexadecimal data A record can be one of two types an INFO record or a DATA record The INFO record contains monitor information such as time of day date limit settings and units The DATA record contains event marker audio disable SpO and pulse rate values The first record sent is always an INFO record This record reflects the oldest data in the buffer then records would continue being sent in chronological order from the oldest record to the newest record In normal monitoring use an INFO record would be followed by 15 data records followed by another INFO record and then another 15 data records etc Turning the monitor off or changing the limits will disrupt this sequence When this occurs a new INFO record will be sent and indicate the time and date along with the current limits At this point unless another exception occurs the next INFO record will be followed by 15 DATA records An INFO record can be distinguished from a DATA record by the first byte of the record The first byte of an INFO record is FF the first byte of a DATA record is 00 C8 0 200 decimal or FB pen lift or no data available Any other values are not applicable The DATA record uses 8 data points per parameter at 8 second resolution for a total of 64 seconds of trend data per data record To request trend dump the comp
76. l a pulsating vascular bed the patient s finger or toe for example The remaining light energy not absorbed by the sample cell reaches a light receptor called a photodiode on the opposing side of the sensor The data received at the photodiode is sent back to the monitor where it is split into its red and infrared components digitized processed by a microprocessor chip and finally displayed as a numerical value for oxygen saturation and a plethysmogram OXYPLETH is calibrated to display functional saturation This differs from the fractional saturation value displayed by most co oximeters HbO 100 COHb METHb HbO Fractional Hemoglobin COHb Carboxyhemoglobin METHb Methemoglobin Functional Saturation OXYPLETH User s Manual 3 Section 1 Indications and Usage Functional saturation represents the amount of oxyhemoglobin as a percentage of the hemoglobin that can be oxygenated Dysfunctional hemoglobins COHb and METHb are not included in the measurement of functional saturation Pulse Rate is calculated by measuring the time interval between the peaks of the infrared light waveform The inverse of this measurement is displayed as pulse rate OXYPLETH must be used in conjunction with SuperBright saturation sensors An INCOMPATIBLE PROBE display message indicates a non SuperBright Sensor is in use Indications and Usage The OXYPLETH Pulse Oximeter Monitor Model 520A is intended to be used for monito
77. lowing the data ratio and just before the actual data are the alert limit settings Both the pulse rate and saturation scales have two triangle shaped markers that represent the upper and lower alert limit settings as shown on the monitor s display Dashed lines extend from these markers down into the data section of the printout If the alert limits were changed during the time the printed data was originally collected the new alert limits will be printed with a message indicating that the limits were changed Data Section The data is printed based on the ratio A time stamp is placed at regular intervals and appears as a horizontal line printed between the scales Histogram Data A histogram based on the printed portion of trend memory is printed after the graphical data for all trend printouts Total Elapsed Time Time trending was active the total time covered by the printout Non Monitoring Time Time spent in a Probe Off Patient Connect Probe or other non monitoring condition Limit Alert Status Percent of monitoring time spent above below and within the parameter alert limits as shown on the printout Histogram Data A numerical and graphical display of the percentage of monitoring time non monitoring time excluded spent in each of the saturation ranges listed Note that some time but less than one percent of the total time can be spent in any category Average Min and Max The minimum and maximum recorded SpO
78. mode the saturation values and respiration rate are continually transmitted at one second intervals To enter Real Time mode the computer must send an ACSII 1 character The OXYPLETH will echo back the 1 followed by a cr 1f and enable real time communication The data format is MS p Z or clf where M Event Marker identifier event marked no event S an identifier for a 3 digit ASCII SpO value to follow 0 100 P an identifier for a 3 digit ASCII Pulse value to follow 0 250 Z an identifier for a 2 digit ASCII SpO status message value 3 digit ASCII value a 2 digit ASCII value lt cr gt lt lf gt carriage return line feed sequence The Z SpO values correspond to OXYPLETH display messages The messages corresponding to the displayed numbers are shown below m et is SpO messages E UO message 00 No error 01 N A 02 SpO Low Signal 03 5 Insuf Light 04 Pulse Out of Range 05 N A 06 SpO Light Interf 07 N A 08 SpO Probe Off Patient 09 Connect SpO Probe 10 Incomp 5 Probe 11 Can t ID SpO Probe 12 SpO Faulty Probe Ir 13 SpO Faulty Probe Rd 14 SpO Faulty Probe 15 N A 16 SpO Hardware Err 17 SpO Bad Signal To exit Real Time mode the computer must send an x or X character The OXYPLETH will echo the x and then stop real time communication Rev
79. monitor features directly related to monitoring oxygen saturation and pulse rate Section 8 Trend Memory details the monitor s battery backed trend memory features Section 9 Advanced Monitor Features describes features not normally associated with day to day operation of the monitor Section 10 Using a Printer describes the various printers supported by OXYPLETH and the formats of the various print features Section 11 Analog Output Module describes the optional analog output module Section 12 Cleaning and Sterilization lists monitor and sensor cleaning and sterilization instructions Section 13 Specifications are listed for the OXYPLETH Pulse Oximeter Model 520A Section 14 Accessories for the OXYPLETH Pulse Oximeter Model 520A are listed Section 15 Menu Trees displays the various OXYPLETH function menus Acknowledgments OXYPLETH SuperBright Y Sensor Y Strip and Tele Sat are trademarks TM of Novametrix Medical Systems Inc Other trademarks and registered trademarks are owned by their respective companies Rev 03 OXYPLETH User s Manual 1 Acknowledgments This page intentionally blank 2 OXYPLETH User s Manual Rev 03 Section 1 Introduction This manual describes the use and operation of the OXYPLETH Pulse Oximeter Monitor Model 520A from Novametrix Medical Systems Inc OXYPLETH is a lightweight easy to use pulse oximeter designed to be used in a variety of clinical settings It provides reliable measurement
80. nalog Output Module To access this feature Press and hold the MENU key for 3 seconds SPO2 SETUP OPTIONS is displayed Repeatedly press the NEXT key until MONITOR OPTIONS 2 appears Press REC recorder and CALIBRATE RECORDER appears Press ZERO HALF and FULL to set the analog outputs ZERO SpO2 0 0 volts Pulse Rate 0 bpm 0 volts pleth 0 volts HALF SpO2 50 0 50 volts Pulse Rate 125 bpm 0 50 volts pleth 0 50 volts FULL SpO2 100 1 00 volts Pulse Rate 250 bpm 1 00 volts pleth 1 00 volts 5 the recorder is calibrated press RUN to return to the Main Menu This setup procedure does not have to be performed each time the monitor is turned on the monitor will always automatically output analog information via the Analog Output Module This procedure simply helps calibrate the recorder to the OXYPLETH signals 72 OXYPLETH User s Manual Rev 03 Rev 03 Section 12 Cleaning amp Sterilization Follow the cleaning and sterilization instructions listed below to clean and or sterilize the OXYPLETH and its accessories OXYPLETH Monitor Turn the monitor off and unplug the line cord from the AC power source before cleaning The monitor can be cleaned and disinfected with solutions such as a 70 isopropyl alcohol 2 glutheralhyde or 10 bleach solution Then wipe down with a water dampened clean cloth to rinse Dry before use Do not immerse the monitor Do not attempt
81. nfigured for operation with a printer and the EVENT key is pressed the message PRINT WAVEFORM will be displayed for 60 seconds Pressing the PRINT key during this time will cause a printout of the waveform this printout will be the 5 seconds proceeding the pressing of the freezing of the display When the OXYPLETH is configured for operation with the NOVACARD memory module and the EVENT key is pressed the message STORE WAVEFORM will be displayed for 60 seconds Pressing STORE will store the waveform to the NOVACARD Pressing ID will bring up the patient ID menu The ERASE softkey will erase the card Pressing RUN will return to real time display CONTRAST Key Press the contrast key to adjust the display for optimum viewing The Menu SOFTKEYS The Menu Center display area is located just above the five unmarked softkeys Softkeys perform the action displayed above each key For example above the rightmost softkey in the Main or Base Menu is a MENU key Press MENU and new menu and softkey functions are displayed Press RUN to return to the Main Menu NOTE RUN always displays the Main Menu NEXT and PREV previous move through the menus one level at a time The Main Menu will reappear if no key is pressed for one minute except if trends are displayed when the time out is extended to five minutes OXYPLETH User s Manual 11 Section 4 Default Menu Selectable Parameters The Main Menu The Main or Base
82. ng the SIZE softkey eu eerte ener ir tei ete irsi 41 Operating Mode Selection isins tei eee Reg Re re robes Ee eee bio set 41 SpO DR Loo e ER DI ERES 42 Display Held Timer edet ee ette ree ee EE Cadet 42 Special Alert Delay sisri cete ep iter 43 Bad Signal Remember 43 TA BP Mode uita ib aos ao Ut i t og i TE Recte toe d 44 Making IABP Mode Available esee 45 Turning IABP Mode On Off eene eene 45 Using IABP Mode rni e RR RE Re PU ee testes RETE ics ERE RO RET 46 Trend eere 47 Trend Data Compression tete etel e e igiene ep t pie ipe 48 SpO and Dual Trend Displays 48 Selecting SpOs5only Dual display esee 48 Changing Scale in Dual Trend display eene 49 Histogram Trend Display iter tr RC TER eter nde 49 Erase Trend 50 Trend Prints iaceo est ep e ue e tu etude 50 Trend and NOVACARD Memory Module essent 50 vi OXYPLETH User s Manual Rev 03 Rev 03 Advanced Monitor Features RR RR RO AR nnana 51 Keychck Volume RON OI RETURN ERREUR ER
83. nsor cable e Overstretching the pulse oximeter finger sensor can damage the sensor and potentially affect pulse oximeter readings Do not stretch the finger sensor open beyond the limit for which it was designed Overstretching can be prevented avoid opening the sensor by any means other than squeezing the grips Do NOT force the sensor onto large objects such as the bed rail e Do not store the monitor or sensors at temperatures less than 14 F 10 C or greater than 131 F 55 C e Donotoperate the monitor or sensors at temperatures less than 50 F 10 C or greater than 104 F 40 C e Federal U S A law restricts this device to sale distribution or use by or on the order of a licensed medical practitioner 6 OXYPLETH User s Manual Rev 03 Figure 1 Front Panel Illustration Rev 03 Section 3 Front Panel 23 45 6 7 8 POWER key Press to turn on monitor Low Battery Indicator Illuminates red if monitor powered from battery Flashes to warn of low battery voltage condition AC Power Indicator Illuminates green if monitor is connected to AC Mains and the rear panel power switch is set to P Two Minute Silence Indicator Illuminates yellow when AUDIO key is pressed Alarms silenced for two minutes AUDIO key Press and release to turn on off the two minute silence function Press and hold to enable the Audio Off feature unless disabled via Options Menu Press and rele
84. o Hewlett Packard ThinkJet Printer 9028 00 Cable to Seiko DPU 414 Printer 9 to 15 pin Model 511M 9085 00 Cable to Seiko DPU 414 Printer 9 to 25 pin Model 515A 520A 860 1265 7100 9086 00 Cable to Seiko DPU 414 Printer 9 to 9 pin Model 610 4917 Thermal printer paper for Model 315 Printer 8 rolls per box 300013 Hewlett Packard ThinkJet Printer Ink Cartridge 300014 Hewlett Packard ThinkJet Printer Paper 2500 sheets Z fold 300017 Seiko DPU 414 411 Thermal Printer Paper 5 rolls per box 400051 Seiko battery pack 400052 AC Adapter 120 VAC 400053 AC Adapter 100 VAC 400054 Adapter 230 VAC ACCESSORIES 6064 00 NovaCARD Startup Kit includes 1 each Writer module Reader module SRAM Memory Card 128k and NovaCARD for MS DOS software NovaCARD Computer Archive Recall and Display is a hardware software combination that allows users to transfer patient trend data user stored waveforms and monitored parameter values from supported Novametrix monitors to a personal computer 5962 00 NovaCARD Writer Module connects to Novametrix monitor 6062 00 NovaCARD Reader Module includes power supply and cable to PC serial port 6065 00 NovaCARD for Windows 3 2 disk and license 6066 07 NovaCARD for MS DOS 3 disk and license 6068 07 SRAM Memory Card 128k byte 600048 Cable connects NovaCARD Reader to PC 6 ft 600049 Cable PC Serial Port adap
85. ones with a xenon light source or direct sunlight Excessive patient movement venous pulsations electrosurgical interference Data Validity The Pulse Oximeter should not be used as a substitute for an ECG monitor The oximeter s Pulse Rate display reflects the pulsatile flow found at the patient extremity connected to the sensor This rate can be affected by many factors and may occasionally be frozen e Do NOT attach an SpO sensor distal to a blood pressure cuff Valid data CANNOT be processed when the cuff is inflated Attach the sensor to the limb opposite to the site used for the blood pressure cuff Do NOT apply Y Sensor tapes or wraps so tightly that the circulation is restricted Inspect site often for adequate circulation at least once every four hours When applying sensors take note of the patient s physiological condition For example burn patients may exhibit more sensitivity to heat and pressure and therefore additional consideration such as more frequent site checks may be appropriate Cautions CAUTION Indicates a condition that may lead to equipment damage or malfunction e Do not operate OXYPLETH when it is wet due to spills or condensation e Do not operate OXYPLETH if it appears to have been dropped or damaged e Never sterilize or immerse the monitor in liquids e Do not sterilize or immerse sensors except as directed in this manual e Tension should not be applied to the se
86. operly applied to the patient numerical SpO and Pulse Rate values appears in the SATURATION SpO2 and PULSE RATE beats min portion of the display respectively A plethysmographic waveform is displayed and the SIGNAL bar display gives an qualitative indication of the strength of the pulsatile signal the monitor is receiving SpO gt Display Averaging The Oxygen Saturation value is determined in part by the user selected SpO display averaging Averaging affects only the numerical display and not the plethysmogram A short averaging time provides faster response to changing patient conditions while a longer averaging time helps eliminate the interference from motion or other artifact With two second 2s averaging displayed SpO is based on the two most recent seconds of collected saturation data With eight second 8s averaging displayed SpO is based on the eight most recent seconds of saturation data AII data collected within the sliding 2 or 8 second time period is averaged the result is displayed as 5 To change the SpO display averaging Press the MENU key and the SYSTEM OPTIONS appears Press the AVG averaging key and SELECT SPO2 AVERAGING appears The currently selected averaging time flashes Press 2S two second or 8S eight second averaging The SYSTEM MENU reappears Press RUN to return to the Main Menu Pulse Rate Display Averaging Pulse Rate is determined by a fixed eight second averaging period OXY
87. optional Analog Output Module Catalog No 9622 01 provides the necessary analog output voltages for use with analog instruments such as strip chart recorders OXYPLETH does not directly support analog devices NOVAMETRIX MEDICAL SYSTEMS INC Figure 11 Analog Output Module maa O mens o 22520222970 The Analog Output Module attaches OXYPLETH and provides analog output voltages via a 9 pin connector and RS232C pass through via a 25 pin connector so that both analog and serial devices can be used simultaneously Two screws supplied with the module are passed through the module and screw into the pre tapped holes in the OXYPLETH rear panel and secure the Analog Output Module in place The 9 pin analog output connector is described below Pin 1 Pulse Rate 4 mV bpm 0 1 0 V Pin 2 3 GNDI Interface ground Pin 4 5 Saturation 10 mV 0 1 V Pin 8 9 Plethysmogram 0 1 0 V Auto Gain Control The 25 pin RS232C output connector is described below Pin 2 RX Receive In Pin 3 TX Transmit Out Pin 6 CTS Clear To Send input Pin 7 GNDI Interface ground Pin 20 DTR Data Transmit Ready output Pin 21 22 GNDI Interface ground Pin 24 25 VDI Interface 5 volts Rev 03 OXYPLETH User s Manual 71 Section 11 Analog Output Setup Analog Output Setup A CALIBRATE RECORDER menu within the OXYPLETH software allows the user to easily calibrate analog recorders to the voltage levels produced by the A
88. or to the BAD SIGNAL TIMEOUT These alerts also serve to notify the user that a potentially adverse situation exists 44 OXYPLETH User s Manual Rev 03 IABP Mode Rev 03 SpO and Pulse Rate the Validator algorithm so that all pulsatile data including the normally rejected artifact generated by the IABP are allowed to influence the SpO and Pulse Rate calculations NOTE With IABP Mode turned the clinician must exercise prudence in assessing the validity of the SpO and Pulse Rate displays because any motion or other artifact not just that associated with IABP can have a significant affect on the SpO and Pulse Rate calculations While in IABP Mode the displayed Pulse Rate reflects true pulsatile signal heart rate plus the IABP ratio Example 1 heart rate 120 bpm IABP ratio 1 1 then displayed Pulse Rate should be 120 120 1 240 beats min Example 2 heart rate 120 bpm IABP ratio 1 3 then displayed Pulse Rate should be 120 120 3 160 beats min Since while in IABP Mode the pulse rate display will be affected by motion or other artifact the accuracy of the Pulse Rate display can usually be used as an indicator of the quality of the SpO display Making IABP Mode Available Before the clinician can use IABP Mode the mode must be made available to the Main Menu The monitor s factory default settings do not allow use of IABP Mode Once IABP Mode is available to the Main Menu t
89. ously displayed Menu selectable high and low limits 100 50 Visible alarm is immediate Audible alarm occurs after 10 seconds of continuous violation of the set limit or immediately Limit values are retained in memory when monitor is turned off or the monitor can be set to use its default settings each time it is turned on Pulse Rate Section Range 30 250 beats per minute bpm Accuracy 1 of full scale Approximately 68 of the observations are within the accuracy claim Display Resolution 1 bpm Averaging Time fixed at 8 seconds Settling Time Display settles to within 1 of the final reading less than 15 seconds after the sensor is properly applied Alerts Continuously displayed Menu selectable high and low limits 249 30 or Off Visible alarm is immediate Audible alarm occurs after 10 seconds of continuous violation of the set limit or immediately Limit values are retained in memory when monitor is turned off or the monitor can be set to use its default settings each time it is turned on OXYPLETH User s Manual 75 Section 13 General Specifications General Specifications Operating Environment 50 104 F 10 40 C 0 90 relative humidity non condensing Weight 7 Ibs 5 oz 3 32 kg e Dimensions Height 3 3 inches 8 38 cm Width 9 inches 22 86 cm Depth 8 inches 20 32 cm e Power 100 120 200 240 V AC 50 60 Hz e Fuse Rating U S A 0 5 A 250 V Slo Blo x2 European T 250 mA 250 V x2
90. peration CATALOG NO 8943 SMALL SS Neonatal hand Neonatal pediatric foot Pediatric toe CATALOG NO 8836 LARGE Adult pediatric finger T Adult toe 4 Position the sensor so that the foam wrap does not extend over the spaces between the fingers or toes This ensures no light transmission through this space WARNING Treat foam wrap in accordance with hospital protocol for single patient use Check site regularly to ensure adequate circulation and proper sensor positioning 30 OXYPLETH User s Manual Rev 03 Adhesive Foam Wraps 2 Rev 03 SpO2 Sensors Adhesive Foam Wraps Adhesive foam wraps are for use when applying the Novametrix Y Sensor catalog No 8793 or 8791 to adult pediatric or neonatal patients Select a foam wrap based on the patient type Catalog No 6929 Large adult pediatric finger neonatal pediatric foot or hand Catalog No 6968 Small neonatal foot or hand pediatric toe or finger To use the adhesive foam wrap With the blue side of the foam wrap facing up press the buttons on the back of each Y sensor head through the holes in the foam wrap The wrap will stretch to fit the buttons The white side of foam should show two blue circles where the buttons were pushed through Y Sensor Blue foam Center strip Cross section 4 _ White fabric may be removed of sensor head strip the foam wrap NOTE If
91. personnel may require to determine the functional integrity and or accuracy of the system Service Test Kit OXYPLETH Model 520A Pulse Oximeter Focus Technical Training Seminar 1 day course For class schedules call 1 800 243 3444 Ext 2565 OXYPLETH User s Manual Rev 03 Section 15 Menu Trees The OXYPLETH menus are described on the following pages Rev 03 OXYPLETH User s Manual 81 WOE HZL jo euo 2 t f 1 10s1n2 WOE gt jo euo 2 Q3NIVL3H JOSIND NIV pcr sg lt 22 QNvdX3 4H XX 2095 gt QNVvdX3 NANY uH xx J1VH 10 1105 129195 3SV3 ld 5 NIV SLINIT 13S OL LON LAS SLIAIT LH31V OLOV oy 104 eeg sok esind pue uoneinieg 40 spw pue 9919S oi 55914 JejoureJed peioejes uo eseoJoop eseoJo QE md P orny t 135
92. r or 30 minute portion of its 24 hour trend memory Since the size of the trend display is a fixed width the monitor must compress the trend data to fit onto the display the more data present the more it must be compressed to fit onto the display The OXYPLETH trend display is approximately 200 pixels picture element wide Each horizontal pixel data point is equivalent to the following times 1 data point per 8 seconds in a 30 minute trend 1 data point per 32 seconds in a 2 hour trend 1 data point per 128 seconds approx 2 minutes in an 8 hour trend 1 data point per 192 seconds approx 3 minutes in an 12 hour trend The monitor determines the trend duration and compresses that amount of data to fit the screen older data to the left the most recent to the right Because of the data compression data at any horizontal pixel may look like a vertical bar The upper extent of the bar represents the maximum value and the bottom of the bar the minimum value stored during that particular compression period The SpO and Pulse Rate values displayed above the graph represent the minimum values stored over the compression period SpO and Dual Trend Displays When the TRND key is pushed the graphical trend is displayed The monitor can be set to display SpO only or both SpO and Pulse rate simultaneously SpO only trends display 60 100 with resolution of approximately one SpO percent per vertical pixel picture element or dot
93. r box Single Patient Use Neonatal Pediatric Sensor 25 per box Cable DB 9 Extension Cable DB 9 to OxySnap Jumper Cable OXYPLETH User s Manual T7 Section 14 Catalog No 8793 12 8793 24 8793 36 8744 24 8744 36 8828 8829 8831 8832 6929 6968 8836 8943 6131 50 6131 25 8700 OXYPLETH Pulse Oximeter Description OxySnap SENSOR ACQUISITION PLANS Select an OxySnap Finger Sensor or Y Sensor Plan for each SuperBright Pulse Oximeter The plan you select determines the warranty period 12 24 or 36 months How the Plans Work Included in each Plan are TWO sensors one for immediate use the other one for back up If a sensor becomes inoperative place the back up sensor into use and return the inoperative sensor in the convenient pre paid mailer A replacement sensor will be shipped within two business days of receipt of the inoperative sensor This simple return replacement method will be used for the entire warranty period thereby guaranteeing your costs and virtually eliminating sensor tracking hassles Warranty The Plan warranty not individual sensors is 12 24 or 36 months Replacement sensors provided under terms of the Plan shall carry the remaining Plan warranty replacements do not extend the warranty Y 12 Plan The Plan warranty is 12 months Includes 3 boxes your choice of any Y Strip Taping Systems Y 24 Plan The Plan warranty is 24 months Includes 6 boxes
94. r to Using a Printer on page 61 for specific printer setup and use instructions NOVACARD Interface Mode The OXYPLETH can store patient trend information and waveforms into a memory card through the use of the NOVACARD Memory Module The NOVACARD Memory Module connects to 5 rear panel RS232 connector See Selecting a Serial Output Interface on page 53 The information stored in the memory card can then be read by a computer using the NOVACARD Reader For more information on the VOVACARD Memory Module reference VOVACARD Memory Module Operator s Manual Cat No 5962 23 For more information on the NOVACARD Reader reference NOVACARD Reader Operator s Manual Cat No 6062 23 When NOVACARD Interface is selected a CARD softkey is added to the SYSTEM OPTIONS menu A STORE WAVEFORM TO CARD prompt appears when the EVENT key is pressed and the waveform is frozen The Seiko DPU 411 Thermal Printer has been discontinued and replaced by the Model DPU 414 The DPU 411 interface remains for backward compatibility Hev 03 Serial Output Interface Advanced Monitor Features NOVACOM Interface Mode The NOVACOM1 interface is designed to output data in formats easily read by a computer or data logging device The computer interface provides the user several communication modes to choose from The communication format is 9600 baud 8 bits no parity 1 stop bit and XON XOFF handshaking Mode 1 Real Time In Real Time
95. rear panel and the AC supply If using the 5861 00 cable connect the cable s power supply connector to the printer power input connector Interface Cable top connector 4 Turn the printer ON Refer to the Seiko Model DPU 411 documentation for specific printer operation and maintenance instructions 64 OXYPLETH User s Manual Rev 03 Print Formats Using a Printer Connecting the Hewlett Packard ThinkJet Printer To connect the Hewlett Packard ThinkJet Printer to the OXYPLETH 1 ThinkJet must be a Hewlett Packard Model 2225D 5232 serial interface 2 Setthe DIP switches on the rear panel of the ThinkJet as indicated below Mode switches 1 2 5 6 up on and 3 4 7 8 down off RS 232C switches 1 up on and 2 3 4 5 down off 3 Connect interface cable Catalog No 5331 00 to the monitors RS232 connector and to the printer s serial input connector NOTE Markings at each end of the cable help orient it properly 4 Connect the printer s power cord and turn the printer on 5 Refer to the ThinkJet Owner s Manual for further printer details Connecting the Model 315 Printer While the Model 315 Printer supports all OXYPLETH print modes only the Tabular Text Printout Mode does not require lengthy print times To connect the Model 315 Printer to the OXYPLETH 1 Set the dip switches on the Model 315 rear panel as indicated below Switches 1 5 up off 6 7 down on and 8 up
96. ring oxygen saturation and pulse rate in all critical monitoring environments including ventilatory support and anesthesia OXYPLETH is designed to monitor all patient areas including adult pediatric and neonatal 4 OXYPLETH User s Manual Rev 03 Section 2 Patient Safety The OXYPLETH Pulse Oximeter Monitor Model 520A SpO Input is electrically isolated Patient leakage current flowing from the instrument to ground is limited to less than 10 at 120 VAC 60 Hz Patient isolation is greater than 10 MQ 2500 VAC rms at 60 Hz For maximum patient and operator safety the following are recommended Failure of Operation If the monitor fails to respond as described do not use it until the situation has been corrected by qualified personnel Keep OXYPLETH and its accessories clean Do not operate OXYPLETH when it is wet due to spills or condensation Do not operate OXYPLETH if it appears to have been dropped or damaged Connect the line cord only to a grounded hospital grade outlet OXYPLETH should be connected to the same electrical circuit as other equipment in use on the patient Outlets on the same circuit can be identified by the hospital s engineering department Care should be exercised to assure continued peripheral perfusion distal to the SpO sensor site after application Components of this product and its associated accessories which may have patient contact are free of latex Warnings Rev 03 WARNING
97. rinter stops automatically when the printout is complete If PRNT is pressed again before the printout finishes PRINT IN PROGRESS appears Press STOP to terminate printing or press CONT continue to resume printing 6 TREND OPTIONS reappears Press RUN to return to the Main Menu Tabular Mode Text Printout To start a Tabular Mode Printout Ensure the selected printer is connected and ready to print 2 Press the PRNT key SELECT PRINT OPTIONS appears 3 Press TAB PRINTOUT STARTED is displayed and printing starts To stop a Tabular Mode Printout Press the key PRINT IN PROGRESS appears 2 Press STOP to stop the printout Or press CONT to continue with the Tabular Mode Text Printout Plethysmogram Waveform Printout To start a Plethysmogram Waveform Printout Ensure the selected printer is connected and ready to print 2 Press the PRNT key SELECT PRINT OPTIONS appears 3 Press WAVE PRINTOUT STARTED is displayed and printing starts The printer stops automatically when the printout is complete If PRNT is pressed again before the printout finishes PRINT IN PROGRESS appears Press STOP to terminate printing or press CONT continue to resume printing 66 OXYPLETH User s Manual Rev 03 Zoom Trend Printout Using a Printer OE SU 9 Rev 03 Zoom Trend Printout To create a Zoom Trend Printout Ensure the selected printer is connected and ready to print Press th
98. setting needs to be changed To operate from AC Mains line cord power plug the line cord into the rear panel power input connector and set the rear panel POWER switch to Connect the other end of the line cord to a properly grounded three wire outlet Battery Operation OXYPLETH can operate for up to three hours while powered from its internal battery excessive alerting reduces battery life The monitor is powered from its internal battery whenever the line cord is disconnected or the rear panel POWER switch is set to the 0 off position While on battery power OXYPLETH displays a battery icon to the left of the Signal Bar indicates fully charged battery half charge and 7 3 indicates less than 30 minutes of battery life remain Note The battery icon appears fully charged for the first minute after switching to battery power after that it will reflect the true battery charge When approximately 15 minutes of battery life remain the front panel LOW BAT indicator illuminates Reconnect the monitor to the AC Mains to recharge the battery The monitor can be operated from the AC Mains while the battery is being recharged The battery will be fully recharged in 12 15 hours If the monitor continues operating on battery power while in the low battery state illuminated the battery becomes exhausted and the monitor stops operating The message BATTERY VERY LOW PLUG IN AC POWER is displayed and a continuo
99. sired 2 Turn the monitor off 3 Simultaneously press and hold the three leftmost softkeys While still pressing the softkeys press the POWER key The monitor will turn on 4 Continue holding the softkeys until a double beep sounds Let go of the softkeys 5 The menu keys are not displayed and Menu Lockout is active To cancel Menu Lockout and allow access to the menus 1 Turn the monitor off 2 Simultaneously press and hold the three leftmost softkeys While still pressing the softkeys press the POWER key The monitor will turn on 3 Continue holding the softkeys until a double beep sounds Let go of the softkeys 4 menu keys are displayed and Menu Lockout is cancelled Serial Output Interface OXYPLETH can communicate with other devices using the built in RS232 compatible serial port Several serial communications modes are available They include Format Mode Default mode used for general purpose data collection Saracap Interface Connects to SARACAP system e 1260 1010 Interface Novametrix 1260 Capnograph or 1010 Telemetry System e Printer Interface Supported printers are Seiko DPU 414 Seiko DPU 411 Hewlett Packard ThinkJet and Novametrix Model 315 e NOVACARD Interface Store patient trend information and waveforms into a memory card through the use of Memory Module e NOVACOMI Interface Designed to output data in formats easily read by a computer or data log
100. splays a plethysmogram a representation of the pulsatile waveform as detected by the SpO sensor The display is continually updated from left to right The monitor automatically adjusts the vertical size of the plethysmogram to best fit the display area maximizing viewability of the waveform However this means the waveform gives no indication of pulsitile signal magnitude Refer to the Signal Bar Waveform Autosize The Waveform Autosize feature can be turned off if the user wants the plethysmogram magnitude to reflect detected signal strength NOTE If Waveform Autosize is set to OFF a SIZE key is displayed in the Main Menu To turn the Waveform Autosize feature on or off Press and hold the MENU key for 3 seconds SPO2 SETUP OPTIONS is displayed OXYPLETH User s Manual Rev 03 Plethysmogram Display 2 SpO and Pulse Rate Press the SIZE key and WAVEFORM AUTOSIZE appears The current setting flashes Press ON or OFF as desired SPO2 SETUP OPTIONS reappears ON allows continual automatic adjustment of the magnitude of the plethysmogram OFF allows the user to lock plethysmogram s vertical scaling making the waveform magnitude reflect relative signal strength Press RUN to return to the Main Menu Using the SIZE softkey With Waveform Autosize turned off a SIZE key appears in the Main Menu and during the first thirty seconds after the SpO sensor is applied to the patient the monitor adjusts the
101. te limit alerts are generated To manually set the alert limits Press the ALRT softkey and SET ALERT LIMITS appears 2 Press SEL select to move 4 to the limit to be changed 3 Press T or 4 to increase or decrease the selected limit Rev 03 OXYPLETH User s Manual 17 Section 5 Limit Alerts Latched Unlatched Press and release the arrow keys to change the limit value one digit at a time Press and hold the arrow keys to make the value change more rapidly WARNING OXYPLETH will not allow a parameter s high and low alert limits to be set to within 5 digits of each other For example using default values if the upper Pulse Rate limit is lowered to 44 the Pulse Rate low limit will change from 40 to 39 in order to maintain the 5 digit difference between limits 4 Once all limits are set as desired press RUN Limit Alerts Latched Unlatched Alerts caused by a parameter violating an alert limit setting are normally Latched Once a latched alert is active for 10 seconds even if the parameter then returns within its limits the violated alert limit display and J indicator continue to flash until the user presses the ALERT RESET key This indicates which parameter caused the alert OXYPLETH also supports Unlatched alerts that automatically stop the flashing of the violated alert limit display and the V indicator as soon as the alerting parameter returns within its limits The user
102. ter 25 to 9 pin 1 ft 6064 81 NovaCARD warranty extended an additional 1 year at time of purchase hardware only SRAM cards not included 9622 Analog Module includes RS232 pass thru 600026 Power Cord included with monitor 7104 10 Side Accessory Pouch 5333 Cable for Optional Analog Output Module open ended Rev 03 OXYPLETH User s Manual 79 Section 14 80 Catalog No 5334 5335 140030 140031 140032 140033 140034 140035 140036 140037 140038 140082 5693 81 5777 00 9999 96 OXYPLETH Pulse Oximeter Description Cable Serial Output to Personal Computer with 25 pin connector Cable Serial Output to Personal Computer with 9 pin connector Custom Cables Consult factory for specifications and pricing MOUNTING SYSTEMS Wall Mount Wall Mount less Wall Channel Pivot Block Mount Transport Mount without swivel head Transport Mount with swivel head Countertop Mount 11 inch Base Countertop Mount 5 inch Base Portable Instrument Housing Rollstand T Mount Bracket for Rollstand EXTENDED WARRANTY Normal warranty Monitor 1 year Finger Sensor 6 months OXYPLETH Model 520A Pulse Oximeter warranty extended an additional 1 year Total Warranty Monitor 2 years BIOMEDICAL ENGINEERING SERVICE TEST KIT Service Test Kits include items and materials qualified service
103. the Alert Bar the cannot be turned off To turn the Alert Bar on latched or unlatched or off Press and hold the MENU key for 3 seconds SPO2 SETUP OPTIONS is displayed 2 Repeatedly press the NEXT key until ALERT OPTIONS 2 appears 3 Press BAR and ALERT BAR LATCHED appears The current setting flashes 4 YES or NO or OFF as desired YES Alert Bar starts to flash as soon as a limit alert occurs NO Alert Bar starts flashing 10 seconds after an alert limit violation occurs OFF Alert Bar will not flash under any condition NOTE Once the Alert Bar setting is decided that choice remains in effect even if the monitor is turned off and on until changed by the user 5 ALERT OPTIONS 2 reappears Press RUN to return to the Main Menu Alert Volume The volume of the monitor s audible alert is user adjustable The alert volume feature cannot be used to eliminate audible alerts because the alert is still audible at its lowest setting Use the Two Minute Silence or Audio features to silence audible alerts Refer to AUDIO Key on page 10 To vary the audible alert volume Press the MENU softkey and the SYSTEM OPTIONS appears 2 Press the AUDIO softkey and SET AUDIO FEATURES appears However if UNlatched Alerts are selected See Limit Alerts Latched Unlatched on page 18 the Alert Bar will turn off once the alerting parameter returns within its limits 20 OXYPLETH User s
104. tion as usual while IABP Mode is turned on Pulse Rate limits if re enabled by the user also function as usual while IABP Mode is turned on 46 OXYPLETH User s Manual Rev 03 Rev 03 Section 8 Trend Memory OXYPLETH maintains trend information for SpO and Pulse Rate The 24 hour battery backed trend memory is continually and automatically updated Trend memory features include e Graphical trend memory displays are user selectable to show any 12 hour 8 hour 2 hour or 30 minute portion of that data Histogram trend memory displays are user selectable to show any 12 hour 8 hour 2 hour or 30 minute portion of that data e Graphical trend memory displays are user selectable to show SpO only or SpO and Pulse Rate on the same display e User selected Events are stored with the trend data Trend memory data in graphical and histogram formats can be output to a printer The user can choose to erase stored trend memory at monitor power up or at any time via the trend menus To display trend memory Press the TRND softkey The message DRAWING TREND PLEASE WAIT is momentarily displayed The message is then replaced with a graphical trend display NOTE OXYPLETH continues uninterrupted patient monitoring while trends are displayed Any latched alert that occurs while viewing trend data causes the Main Menu to reappear If no keys are pressed for 5 minutes the Main Menu replaces the trend display
105. to sterilize the monitor SpO gt Finger Sensor The sensor can be cleaned and disinfected with solutions such as a 70 isopropyl alcohol 2 glutheralhyde or 10 bleach solution Then wipe down with a water dampened clean cloth to rinse Dry before use Make certain that the finger sensor window is clean and dry before reuse Do not immerse the finger sensor Do not attempt to sterilize the finger sensor After cleaning the finger sensor verify that the sensor is physically intact with no broken or frayed wires or damaged parts Make certain that the connectors are clean and dry with no signs of contamination or corrosion Do not use a broken or damaged sensor or one with wet contaminated or corroded connectors Perform a Quick Check to verify the integrity of the sensor See Finger Sensor Quick Check on page 26 SpO Y Sensor Do not immerse connector on the Y Sensor The Y Sensor may be immersed up to but not including the connector in a 2 glutheralhyde solution or 10 bleach solution Refer to manufacturer s instructions and standard hospital protocols to determine recommended times for disinfection and sterilization Rinse thoroughly with water and dry before use do not rinse the connector Do not attempt to sterilize Y Sensor except as stated above After cleaning or sterilizing the Y Sensor verify that the sensor is physically intact with no broken or frayed wires or damaged parts Make certain that
106. ulated and easily interpreted summary of SpO2 and Pulse Rate trend memory The histogram display reflects the currently selected graphical trend expansion setting For example if the graphic display is set to 12 hours the resulting histogram will also reflect that 12 hours and if the graphic display is set to 30 minutes the resulting histogram only uses those 30 minutes as the basis for its tabulations Histogram displays reflect only active monitoring time non monitoring times such as PROBE OFF PATIENT are not reflected in the histogram displays To activate a histogram trend display Press the TRND softkey to select the SpO2 only display Move the cursor by pressing the or arrow keys to the desired time Press the EXPAND softkey to select the desired trend duration Use the arrow keys to fine tune the cursor to the desired location in the trend Press the NEXT key and TREND OPTIONS are displayed Press VIEW and TREND VIEW is displayed Press HIST to display the histogram The top line of the histogram display shows the start and stop dates and times 24 hour format used to tabulate the data SpO data is tabulated on the left side of the display and Pulse Rate data is displayed on the right half Data for each parameter is tabulated into six categories Each category represents a range of possible values For each category a bar graph is drawn showing the percentage of the total time the parameter was within the category
107. ure 7 Y Sensor showing Center Strip removed Y Sensor Application using Y Strip Tapes 1 Select a Y Strip based on the patient type and intended sensor location Y Strips come in two color coded sizes 25 mm tapes are coded green and 20 mm tapes are coded blue The size refers to the distance between the holes in the tape Wrap Style Tape Finger Style Tape Table 1 Y Strip Application Cat No 8829 Cat No 8828 Cat No 8832 Cat No 8831 Catalog 25 mm Green 20 mm Blue 25mm Green 20mm Blue Neonatal Foot Hand Neonatal Foot Hand Adult Finger Pediatric Finger Pediatric Toe Finger Adult Finger 2 Remove the portion of the release liner containing the holes Figure 8 Remove release liner E 3 Skip this step if using the 25 mm Y Strip tape If using the 20 mm Y Strip tape carefully remove the sensor s center strip using a pair of scissors or a sharp blade The center strip does not effect sensor operation its purpose is to aid putting the sensor into the 25 mm tape Rev 03 OXYPLETH User s Manual 27 Section 6 Y Sensor 4 the button on the back of each sensor head through a hole in the tape Press in from the sticky side of the tape The tape will stretch to fit the sensor button Figure 9 Y Sensor placed on Y Strip tape Liner this side top Y Strip Tape Cross Section Button 5 Remove the remaining release liner
108. us audible tone will sound The audible tone cannot be silenced the monitor must be connected to AC Mains for continued operation and to recharge the battery If the monitor is allowed to continue operation while in the battery exhausted state the monitor will automatically shut itself off to avoid excessive discharge and damage to the battery Rev 03 OXYPLETH User s Manual 9 Section 4 POWER Key POWER Key e If ACON is illuminated OXYPLETH is connected to AC Mains line cord power the internal battery is being charged and the monitor uses line power if turned on To operate from AC Mains line cord power plug the line cord into the rear panel AC input connector and set the rear panel POWER switch to I Plug the other end of the line cord to a properly grounded three wire outlet e OXYPLETH can operate for up to 3 hours on battery power LOW BAT illuminates when 15 minutes of battery power remain If AC ON is not illuminated the monitor will operate from battery power To turn the monitor on or off press POWER Ensure the monitor operates as stated below before applying a sensor to the patient e displays and indicators illuminate briefly e A beep indicates the audio is functional e MONITOR PERFORMING SELF TEST message is replaced by the Main Menu 2 Press the contrast key to adjust the display for optimum viewing 3 Press YES to erase or press NO to retain stored trend information ER
109. uter must send an ASCII 6 character The monitor echoes back the 6 character and transmits the first INFO record The Mode 6 data format is 56 OXYPLETH User s Manual Rev 03 Serial Output Interface Advanced Monitor Features INFO record byte 0 dO Tung byte 15 where T Trend mode identifier INFO byte starting at byte 0 and ending at byte 15 see below byte 0 flag byte FF for INFO record Table 3 INFO record byte byte 1 information type FE power on FD limit change FC time stamp byte 2 model code 2 byte 3 compression ratio 8 i e 1 point 8 seconds byte 4 seconds 0 59 byte 5 minute 0 59 byte 6 hour 0 23 byte 7 day 1 31 byte 8 month 1 12 byte 9 year 0 99 byte 10 SpO2 limit high byte 11 SpO2 limit low byte 12 Heart Rate limit high byte 13 Heart Rate limit low byte 14 unused byte 15 unused cr carriage return lt lf gt line feed DATA record byte 0 FL d DEG kk ke Ak c kk kk kkkkt okkk kk kk kkXk oorscelfo L byte 15 T Trend mode identifier _DATA byte starting at byte 0 and ending at byte 39 see below Rev 03 OXYPLETH User s Manual 57 Section 9 Serial Output Interface Table 4 DATA record byte byte 0 8 byte SpO2 data range 01 28 Hex 1 40 decimal assignments 7 corresponds to 60 100 i e a value of 1E H
110. vertical size of the plethysmogram to best fit the display area The monitor then locks the vertical scaling of the plethysmogram so that subsequent changes in the magnitude of the pulsatile signal cause the plethysmogram to grow smaller or larger and provide an indication of changes in pulsatile signal strength relative to the lock point The lock point is indicated on the Signal Bar by dots on either side of the bar Once locked stronger or weaker signals will still cause the Signal Bar to grow or shrink but the dots marking the lock point remain in place These lock points remain fixed until the user presses SIZE and a new lock point is determined If the magnitude of the patient s pulsatile signal strength changes to the point where the plethysmogram is too small or too large to be of practical value press the SIZE key The monitor will unlock the vertical scaling and Signal Bar lock point display RESIZING PLETH and allow five seconds for the display to reach an optimal display size then re lock the Signal Bar and plethysmogram display s vertical scale Operating Mode Selection A feature to allow selection of particular modes of operation has been included There are four choices available NICU Neonatal Intensive Care Unit ICU Intensive Care Unit ANST Anesthesia and SLEEP sleep studies The parameter settings are listed below Rev 03 Parameters NICU ICU A
111. wers up using the alert limit settings from the previous use NO The monitor powers up using default alert limits SpO 100 85 Pulse Rate 150 40 Once the choice of Retained or Default alert limit settings is made that choice will remain in effect even if the monitor is turned off and on until changed by the user 5 ALERT OPTIONS 1 reappears Press RUN to return to the Main Menu Alerts Delayed Instant When SpO or Pulse Rate violates an alert limit the violated limit display and the indicator start to flash immediately but the audible alarm and Alert Bar if enabled are delayed 10 seconds This delay helps avoid nuisance alarms because if during that first ten seconds the parameter return within its limits the alert is cancelled The 10 second audible and Alert Bar delay can be eliminated if the user desires the monitor activate audible and Alert Bar alerts as soon as an alert limit is violated Eliminating the delay also has the effect of latching the alert as soon as it occurs Refer to Limit Alerts Latched Unlatched on page 18 To select or eliminate the 10 second audible and Alert Bar delay for limit alerts Press and hold the MENU key for 3 seconds SPO2 SETUP OPTIONS is displayed 2 Repeatedly press the NEXT key until ALERT OPTIONS 2 appears 3 Press DELAY and 10 SEC LIMIT ALERT DELAY violation appears The current setting flashes 4 Press YES or NO as desired YES Audible and Alert Bar al

User`s Manual - Frank`s Hospital Workshop

Contents

Download Pdf Manuals

Related Search

Related Contents