Dear users, thank you very much for purchasing the Pulse Oximeter.
This Manual is written and compiled in accordance with the
medical devices and harmonized standards. In case of modifications and software upgrades, the
information contained in this document is subject to change without notice.
The Manual describes, in accordance with the Pulse Oximeter’s features and requirements, main
structure, functions, specifications, correct methods for transportation, installation, usage, operation,
repair, maintenance and storage, etc. As well as the safety procedures to protect both the user and
equipment. Refer to the respective chapters for details.
Please read the User Manual carefully before using this product. The User Manual which describes
the operating procedures should be followed strictly.Failure to follow the User Manual may cause
measuring abnormality, equipment damage and human injury. The manufacturer is NOT responsible
for the safety, reliability and performance issues and any monitoring abnormality, human injury and
equipment damage due to users' negligence of the operation instructions. The manufacturer’s
warranty service does not cover such faults.
Owing to the forthcoming renovation, the specific products you received may not be totally in
accordance with the description of this User Manual. We would sincerely regret for that.
This product is medical device, which can be used repeatedly.
WARNING:
council directive MDD93/42/EEC for
0 Uncomfortable or painful feeling may appear if using the device ceaselessly, especially for
the microcirculation barrier patients. It is recommended that the sensor should not be
applied to the same finger for over 2 hours.
0 For the special patients, there should be a more prudent inspecting in the placing process.
The device can not be clipped on the edema and tender tissue.
0 The light (the infrared is invisible) emitted from the device is harmful to the eyes, so the
user and the maintenance man should not stare at the light.
0 Testee can not use enamel or other makeup.
0 Testee’s fingernail can not be too long.
0 Please refer to the correlative literature about the clinical restrictions and caution.
0 This device is not intended for treatment.
The User Manual is published by our company. All rights reserved.
Check the main unit and all accessories periodically to make sure that there is no visible
damage that may affect patient’s safety and monitoring performance about cables and transducers. It
is recommended that the device should be inspected at least once a week. Please stop using the
oximeter if there is obvious damage to the device.
Necessary maintenance must be performed by qualified service engineers ONLY. The users are
not permitted to service the device by themselves.
The oximeter cannot be used together with devices not specified in User’s Manual.Only the
accessory that is appointed or recommendatory by manufacture can be used with this device.
This product is calibrated before leaving factory.
Do not maintain the device while the equipment is in use.
1.2. Warning
0Explosive hazard—DO NOT use the oximeter in environment with inflammable gas such as
some ignitable anesthetic.
0 DO NOT use the oximeter while the patient is being scanned by MRI or CT.
0 DO NOT strand the lanyard in order to avoid device drop and damage.The lanyard is made of
non-sensitive material.Please do not use lanyard if the user is allergic to lanyard.Do not enwind neck
with lanyard in order to avoid accident.
0The disposal of scrap instrument and its accessories and packings(including battery, plastic
bags, foams and paper boxes) should follow the local laws and regulations.
0 The person who is allergic to rubber can not use this device.
0 Please check the packing before use to make sure the device and accessories are totally in
accordance with the packing list, or else the device may have the possibility of working abnormally.
0The product is suitable for children above four years old and adults (Weight should be
between 15kg to 110kg).
0Please choose the accessories which are appointed or recommended by the manufacturer for
avoiding device damage.
0Please choose the battery chargers which should be ensured compliance with the requirements
of IEC 60601-1, or else it may damage the device.
0 Please don't use the device in the course of charging.
0 The device can only be matched with the compatible probe( optional ).
0 Please don't measure this device with functional tester for the device's related information.
3
0 Please don’t change the battery yourself.
0 The patient is an intended operator.
0 The probe of the device is the applied part.
0 Please don’t use multiple wireless devices connected to the product at the same time.
1.3. Hazards
Keep the oximeter away from dust, vibration, corrosive substances, explosive materials, high
temperature and moisture.
If the oximeter gets wet, please stop using it immediately.
When it is carried from cold environment to warm or humid environment, please do not use it
immediately
DO NOT operate keys on front panel with sharp materials.
High temperature or high pressure steam disinfection of the oximeter is not permitted. Refer to
User Manual in the relative chapter (7.1)for instructions of cleaning and disinfection.
Do not have the oximeter immerged in liquid. When it needs cleaning, please wipe its surface
with medical alcohol by soft material. Do not spray any liquid on the device directly.
When cleaning the device with water, the temperature should be lower than 60℃.
The fingers which are too thin or too cold may affect the measure accuracy , please clip the
thicker finger such as thumb or middle finger deeply enough into the probe.
The pulse oximeter can be used to adult or infant. Whether the device is used to adult or
infant,it depends on the probe selected ( optional ).
The update period of data is less than 5 seconds, which is changeable according to different
individual pulse rate.
Please read the measured value when the waveform on screen is equably and steady-going,
This measured value is optimal value. And the waveform at the moment is the standard one.
If some abnormal conditions appear on the screen during test process, pull out the finger and
reinsert to restore normal use.
The device has normal life for three years since the first electrified use.
This device has the function of alarming, users can check on this function according to chapter
6.1 as a reference.
The device has the function of limits alarming, when the measured data is beyond the highest
or lowest limit, the device would start alarming automatically on the premise of the alarming
function is on.
The device has the function of alarming, this function can either be paused, or closed (default
setting) for good.This function could be turned on through menu operation if you need.please check
4
the chapter 6.1 as a reference.
The device may not work for all patients. If you are unable to achieve stable reading,
discontinue use.
Do not contort or drag the connection of the device.
1.4. Indication for Use
This device complies with part 15 of the FCC Rules. Operation is subject to the following two
conditions:
A. This device may not cause harmful interference;
B. This device must accept any interference received, including interference that may cause
undesired operation.
Any changes or modifications not expressly approved by the party responsible for compliance
could void the user's authority to operate the equipment.
Some electronic devices are susceptible to electromagnetic interference sent by this equipment if
inadequately shielded. Please use this equipment at least 20cm or as far as you can from TV set,
radio and other automated office equipment so as to avoid interference.
This device is a radio transmitter and receiver. It is designed and manufactured not to exceed limits
for exposure to radio frequency (RF) energy set by the Federal Communications Commission (FCC)
of the U.S. Government. These limits are part of comprehensive guidelines and establish permitted
levels of RF energy for the general population. The guidelines are based on standards that were
developed by independent scientific organizations through periodic and thorough evaluation of
scientific studies. The standards include a substantial safety margin designed to assure the safety of
all persons, regardless of age or health.
This equipment has been tested and found to comply with the limits for a Class B digital device,
pursuant to part 15 of the FCC Rules. These limits are designed to provide reasonable protection
against harmful interference in a residential installation. This equipment generates, uses and can
radiate radio frequency energy and, if not installed and used in accordance with the instructions, may
cause harmful interference to radio communications. However, there is no guarantee that
interference will not occur in a particular installation. If this equipment does cause harmful
interference to radio or television reception, which can be determined by turning the equipment off
and on, the user is encouraged to try to correct the interference by one or more of the following
measures:
A. Reorient or relocate the receiving antenna.
B. Increase the separation between the equipment and receiver.
C. Connect the equipment into an outlet on a circuit different from that to which the receiver is
connected.
D. Consult the dealer or an experienced radio/ TV technician for help.
A minimum separation distance of at least 0.2m between this equipment and all persons shall be
guaranteed to satisfy the RF exposure compliance.
5
2. Overview
The pulse oxygen saturation is the percentage of HbO
in the total Hb in the blood, so-called the O
2
2
concentration in the blood. It is an important bio-parameter for the respiration. A number of diseases
relating to respiratory system may cause the decrease of SpO
in the blood, furthermore, some other
2
causes such as the malfunction of human body's self-adjustment, damages during surgery, and the
injuries caused by some medical checkup would also lead to the difficulty of oxygen supply in
human body, and the corresponding symptoms would appear as a consequence, such as vertigo,
impotence, vomit etc. Serious symptoms might bring danger to human's life. Therefore, prompt
information of patients' SpO
is of great help for the doctor to discover the potential danger, and is of
2
great importance in the clinical medical field. The Pulse Oximeter features in small volume, low
power consumption, convenient operation and being portable.It is only necessary for patients to put
one of his fingers into a probe for diagnosis, and a display screen will directly show the measured
value of pulse oxygen saturation with the high veracity and repetition.
2.1. Classification
Class II b(MDD93/42/EEC IX Rule 10)
2.2. Features
A. Operation of the product is simple and convenient.
B. The product is small in volume, light in weight and convenient in carrying.
C. Low power consumption.
2.3. Major applications and scope of application
The Pulse Oximeter can be used in measuring the pulse oxygen saturation and pulse rate through
finger. The product is suitable for being used in family, hospital, oxygen bar, community healthcare,
physical care in sports (It can be used before or after doing sports, and it is not recommended to use
the device during the process of having sport) and etc.
The problem of overrating would emerge when the patient is suffering from toxicosis which
caused by carbon monoxide, the device is not recommended to be used under this circumstance.
2.4. Environment requirements
Storage Environment
a) Temperature :-40℃~+60℃
b) Relative humidity :≤95%
c) Atmospheric pressure :500hPa~1060hPa
Operating Environment
a) Temperature:10℃~40℃
b) Relative Humidity :≤75%
c) Atmospheric pressure:700hPa~1060hPa
6
3. Principle
Principle of the Oximeter is as follows: An experience formula of data process is established taking
use of Lambert Beer Law according to Spectrum Absorption Characteristics of Reductive
Hemoglobin (Hb) and Oxyhemoglobin (HbO
the device is: Photoelectric Oxyhemoglobin Inspection Technology is adopted in accordance with
Capacity Pulse Scanning & Recording Technology, so that two beams of different wavelength of
lights can be focused onto human nail tip through perspective clamp finger-type sensor. Then
measured signal can be obtained by a photosensitive element, information acquired through which
will be shown on screen through treatment in electronic circuits and microprocessor.
) in glow & near-infrared zones. Operation principle of
2
Figure 1
4. Technical specifications
4.1. Main performance
A. SpO2 value display
B. Pulse rate value display, bar graph display
C. Pulse waveform display
D. Low-voltage indication: low-voltage indicator appears before working abnormally which is due
to low-voltage
E. Automatically power off function: when the device is under the state of measuring interface
(without external probe), it will automatically power off within 5 seconds if the finger falls out of
probe.
F. The display mode can be changed
G. Screen brightness can be changed
H. With pulse rate sound indication
I. With alarm function
J. With SpO
K. It can be connected with an external oximeter probe( optional )
L. Data can be observed on computers synchronously by PC software
M. With two kinds of data transmission mode:data line and bluetooth.
and pulse rate value record function, the record data can be uploaded to computer.
2
7
4.2. Main Parameters
A. Measurement of SpO2
Measurement Range:0%~100%
Accuracy:70~100%,±2%;0~69%,unspecified
B. Measurement of pulse rate
Measurement Range:30bpm~250bpm
Accuracy: ±2 bpm or ±2% (select the larger)
C. Resolution
SpO
: 1%, Pulse rate: 1bpm.
2
D. Measurement Performance in Weak Filling Condition:
SpO
and pulse rate can be shown correctly when pulse-filling ratio is 0.4%. SpO2 error is ±4%,
2
pulse rate error is ±2 bpm or ±2% (select the larger).
E. Resistance to surrounding light:
The deviation between the value measured in the condition of man-made light or indoor natural light
and that of darkroom is less than ±1%.
F. Power supply requirement: : DC 3.6 V ~ 4.2V.
G. Optical Sensor
Red light (wavelength is 660nm,6.65mW)
Infrared (wavelength is 880nm, 6.75mW)
H. Adjustable alarm range:
SpO
: 0%~100%
2
Pulse Rate: 0bpm~254bpm
I. Bluetooth specifications
Bluetooth protocol:Bluetooth Specification v2.0+EDR、V2.0、V1.2
USB protocol:USB V1.1、V2.0
Operating frequency:2.4GHz ISM band
Modulation:GFSK(Gaussian Frequency Shift Keying)
Transmitting power:≤4dBm, Class 2
Sensitivity:≤-84dBm at 0.1% BER
Transfer rate:Asynchronous: 2.1Mbps(Max) / 160 kbps Synchronous: 1Mbps/1Mbps
Safety features:Authentication and encryption
Support Services:Bluetooth SPP
J. FCC ID:2AB0GCMS50EW
8
5. Installation
5.1. View of the front panel
Figure 2. Front View
5.2. Installing the hanging rope
A. Put the thinner side of the rope through the hole.
B. Put the wider side of the rope through the thinner side which has been put through the hole, then
tighten it.
5.3. Accessories
A. a hanging rope
B. a user manual
C. a power adapter
D. a data line
E. a disk (PC software)
F. a oximeter probe( optional )
6. Operating Guide
6.1. Application method
6.1.1 Measurement
A Squeeze the clamp, put a finger into the rubber hole, then release it.
B Press the button on the front panel until the device turns on.
C Do not shake the finger and keep the patient in a stable state during the process.
D The data can be read directly from the screen in the measuring interface.
9
6.1.2 Lay finger
The right method of laying finger is as Figure 3 or Figure 4.
Figure 3
(Actual probe may be different from the probe as Figure 3, please accept the actual probe with the
device)
Figure 4
Fingernails and the luminescent tube should be in the same side.
If the alarm function is on,the device will provide medium-priority alarm signal when probe or
finger is out.Intermittent alarm will occur and the user interface presents "FINGER OUT".
Medium priority indicating that prompt operator response is required.
6.1.3 Change display mode:
In the measuring interface, you can change the display mode by short pressing the button .
6.1.4 Pause alarm:
A Alarm includes the alarm of measure data's going beyond the limits, the alarm of low-power, and
the alarm of finger out.
B In the measuring interface, if the alarm function is on, during the period of alarming, alarm can
be suspended by short pressing the button, but the function will be renewed in about 60 seconds.
10
C If you want to turn off the alarm for good, you should enter the menu for operation.
6.1.5 Menu operations:
In the measuring interface,the display direction can be changed by pressing the button with a short
push (click). There are four modes of data display that can be viewed.
Press the button with a prolonged push (1 second) to enter the Settings Menu Interface (see Figure
5 ).Please Note: When the display direction is lengthways, you can not enter the main menu
interface.Click the power button to switch to landscape orientation.
The user can setup the following content in the Settings Menu:Backlight Brightness, Alarm
setting,ID setting, data storage (Record), turning on/off Wireless.The specific operation methods are
as follows:
Please note in the Settings Menu:
CLICK = short push of button and PRESS = prolonged push of power button (1sec)
Figure 5 Main Menu Interface
A Backlight adjustment
In the main menu interface, click the button to select “Brightness”, press the power button and hold
to adjust the backlight brightness.
B Alarm setting
In the main menu interface, click the power button to select “Alarm”, press the power button (1sec)
to enter the alarm setting interface as shown in Figure 6:
a) Adjusting the high and low limits of alarms
Click button to change the position of menu selection bar,and press button to set menu item.Move
the selection bar to“Dir”,and press button to choose value adjusting direction : up or down.By
pressing button operation,the user could adjust the value of SpO
Calculate the Average value in every 4 measure value.
Average value
The deviation between average value and true value does
not exceed 1%.
Pulse Parameter Specification
Measuring range 30bpm~250bpm, (the resolution is 1bpm)
Accuracy ±2bpm or ±2% (select the larger)
Moving calculate the Average pulse rate every 4
cardio-beat's cycle.
Average pulse rate
The deviation between average value and true value does
not exceed 1%
Safety T ype
Interior Battery,BFType
Pulse Intensity
Range
Continuous bar-graph display, the higher display indicate
the stronger pulse.
Battery Requirement
Voltage 3.7 rechargeable lithium battery × 1 (The red wire on the battery denotes anode,the black wire
on the battery denotes cathode.)
Battery working life
Charge and discharge no less than 500 times.
17
Power Adapter
Input Voltage 100 to 240 VAC, 50/60 Hz
Output voltage 5 V DC
Output current 1000mA
Output power 5 W
Oximeter Probe
Wavelength:660nm 880nm
Dimensions and Weight
Dimensions 57(L) × 32(W) × 32 (H) mm
Weight About 50g (with the lithium battery*1)
Appendix 1
State Alarm condition delay Alarm signal generation delay
Low voltage alarm 1s 20ms
SpO2 alarm 330ms 20ms
Pulse rate alarm 330ms 20ms
Probe error alarm 16ms 20ms
Appendix 2
Guidance and manufacturer’s declaration – electromagnetic emissions-
for all EQUIPMENT and SYSTEMS
Guidance and manufacturer’s declaration – electromagnetic emission
The CMS50EW is intended for use in the electromagnetic environment specified below. The customer of the user of the CMS50EW
should assure that it is used in such and environment.
Emission test Compliance Electromagnetic environment – guidance
The
CMS50EW uses RF energy only for its internal
RF emissions
CISPR 11
Group 1
function. Therefore, its RF emissions are very low and
are not likely to cause any interference in nearby
electronic equipment.
18
The
CMS50EW is suitable for use in all establishments,
RF emission
CISPR 11
Class B
including domestic and those directly connected to a low
voltage power supply network which supplies buildings
used for domestic purposes.
Guidance and manufacturer’s declaration – electromagnetic immunity
The CMS50EW is intended for use in the electromagnetic environment specified below. The customer or the user of CMS50EW
should assure that it is used in such an environment.
Immunity test IEC 60601 test level Compliance level
Electrostatic
discharge (ESD)
±6 kV contact
±8 kV air
±6 kV contact
±8 kV air
IEC 61000-4-2
Electromagnetic environment -
guidance
Floors should be wood, concrete or
ceramic tile. If floor are covered
with synthetic material, the relative
humidity should be at least 30%.
Power frequency
(50/60Hz) magnetic
field
3A/m 3A/m Mains power quality should be that
of a typical commercial or hospital
environment.
IEC 61000-4-8
NOTE
Guidance and manufacturer’s declaration – electromagnetic immunity –
for EQUIPMENT and SYSTEMS that are not LIFE-SUPPORTING
Guidance and manufacturer’s declaration – electromagnetic immunity
The CMS50EW is intended for use in the electromagnetic environment specified below. The customer or the user of CMS50EW
should assure that it is used in such an environment.
Immunity test IEC 60601 test level
Conducted RF
IEC 61000-4-6
Radiated RF
IEC 61000-4-3
3 V
rms
150 kHz to 80 MHz
3 V/m
80 MHz to 2.5 GHz
Compliance
level
3 V
rms
3 V/m
Electromagnetic environment - guidance
Portable and mobile RF communications equipment should
be used no closer to any part of the CMS50EW, including
cables, than the recommended separation distance
calculated from the equation applicable to the frequency of
the transmitter.
Recommended separation distance
⎤
⎡
d
d
d
5.3
=
⎢
V
1
⎣
⎡
5.3
=
⎢
E
1
⎣
⎡
7
=
⎢
E
1
⎣
P
⎥
⎦
⎤
80 MHz to 800 MHz
P
⎥
⎦
⎤
800 MHz to 2.5 GHz
P
⎥
⎦
19
Where P is the maximum output power rating of the
transmitter in watts (W) according to the transmitter
manufacturer and d is the recommended separation
distance in metres (m).
Field strengths from fixed RF transmitters, as determined
by an electromagnetic site survey,
compliance level in each frequency range.
Interference may occur in the vicinity of equipment
marked with the following symbol:
NOTE 1 At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection
from structures, objects and people.
a
Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios,
amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the
electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured
field strength in the location in which the CMS50EW is used exceeds the applicable RF compliance level above, the CMS50EW
should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary,
such as reorienting or relocating the CMS50EW.
b
Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.
a
should be less than the
b
Recommended separation distances between portable and mobile
RF communications equipment and the EQUIPMENT or SYSTEM –
for EQUIPMENT or SYSTEM that are not LIFE-SUPPORTING
Recommended separation distances between
portable and mobile RF communications equipment and the CMS50EW
The CMS50EW is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The
customer or the user of the CMS50EW can help prevent electromagnetic interference by maintaining a minimum distance between
portable and mobile RF communications equipment (transmitters) and the CMS50EW as recommended below, according to the
maximum output power of the communications equipment.
Rated maximum
output power of
transmitter
(W)
150 kHz to 80 MHz
⎡
d
=
⎢
⎣
0.01
0.1
1
10
100
For transmitters rated at a maximum output power not listed above, the recommended separation distance d in metres (m) can be
estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the
transmitter in watts (W) according to the transmitter manufacturer.
0.120.120.23
0.370.370.74
1.171.172.33
3.693.697.38
11.6711.6723.33
Separation distance according to frequency of transmitter
(m)
80 MHz to 800 MHz
⎤
5.3
P
⎥
V
1
⎦
d
=
⎤
⎡
5.3
P
⎥
⎢
E
1
⎦
⎣
800 MHz to 2.5 GHz
⎤
⎡
7
d
=
⎢
⎣
P
⎥
E
1
⎦
20
NOTE 1 At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection
from structures, objects and people.
21
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