Oxygen Saturation Monitor
PULSOX™-2
INSTRUCTION MANUAL
Safety Symbols
Warnings and precautions noted in this manual are indicated by the
following markings, designed to prevent accidents caused by erroneous
handling of the equipment.
This indicates text consisting of a warning or precaution relating to
safety. Please read the text carefully and use the equipment safely.
This indicates an action which is prohibited.
The prohibited action should never be carried out, under any circumstances.
This indicates instructions concerning an action.
Always follow the instructions carefully.
This indicates an action which is prohibited.
Never disassemble the product or unit.
This symbol indicates type BF applied part.
The instrument provide a particular degree of protection against
electric shock, particularly the leakage current and reliability of the
protective earth connection with an F-TYPE APPLIED PART.
F-TYPE APPLIED PART indicates applied part isolated from all other
parts of the instrument to such a degree that the patient leakage
current allowable in single fault condition is not exceeded when a
voltage equal to 1.1 times the highest rated mains voltage is applied
between the applied part and earth.
IPX4
This symbol indicates Splash-proof equipment.
Authorized Standards
For North America
UL, C_ UL:
WITH RESPECT TO ELECTRIC SHOCK, FIRE AND MECHANICAL HAZARDS ONL Y IN ACCORDANCE WITH UL 2601-1, CAN/
CSA C22.2 No.601.1
MEDICAL EQUIPMENT (70SA
)
For Europe
CE (Medical Device Directive):
This instrument complies with EN60601-1, EN60601-1-2,
EN1441, EN46001.
SAFETY PRECAUTIONS
To ensure correct use of this instrument, read the following points
carefully and adhere to them. After you have read this manual, keep
it in a safe place where it can be referred to anytime a question
arises.
WARNING
(Failure to adhere to the following points may result in death or
serious injury.)
Do not use the instrument in places where flammable or combustible
gases (anesthetic gas etc.) are present. Doing so may cause a fire.
Do not put the batteries on a fire, short-circuit them, heat them or
disassemble them. Doing so may cause explosion or heat generation,
resulting in fire or injury.
This device is designed to measure the oxygen saturation level (SpO2)
and the pulse rate. It should not be used as a warning device to detect
cessation of breathing or irregular breathing during sleep.
1
CAUTION
(Failure to adhere to the following points may result in injury or
damage to the instrument or other property.)
Do not use batteries other than those specified by MINOLTA. When
installing batteries in the instrument, make sure that they are correctly
oriented according to the (+) and (–) marks. For a model which use
more than one battery, do not mix new and old batteries, or mix batteries
of different types. Failure to adhere to these instructions may cause
explosion of the batteries or leakage of electrolyte, resulting in fire,
injury or corrosion.
Do not place the instrument on an unstable or sloping surface. Doing
so may result in its dropping or overturning, causing injury. Take care
not to drop the instrument when carrying it.
Do not operate the instrument for long periods of time with a finger
holder attached to a patient. Low-temperature burn, redness or rash
may result. If you feel pain or itchiness, stop use of the instrument
immediately and consult a doctor. A doctor should also be consulted
before using the instrument on infants, those with peripheral blood
circulation problems or those with sensitive skins.
If alkali fluid from the battery comes in contact with eyes, skin, or
clothing, immediately wash the affected area and see a physician for
treatment.
Do not use wet batteries. do not use instrument if the battery
compartment contains water . Doing so may cause explosion or heat
generation, resulting in fire or injury.
Do not disassemble or modify the instrument. Doing so may cause a
fire or electric shock
2
1. BEFORE OPERATION
Safety Notes
CAUTION: Federal law restricts this device to sale by or on the
order of a physician.
The PULSOX-2 is a medical instrument, so instructions given by a
doctor must be adhered to.
The instrument is designed for measurement of the oxygen
saturation (SpO2) of arterial blood and the pulse rate. Do not use
it for any other purposes, such as warning of sleep apnea and
breathing abnormalities.
Package Contents
Make sure that all the following items are supplied with the instrument.
1 PULSOX-2 main unit (×1)
2 Neck strap NS-M (×1)
3 AAA-size alkaline battery (×2)
Main Features
This pulse type oximeter emits light to the user’s finger to measure the
oxygen saturation (SpO
• Compact, lightweight and portable
The light weight, compactness, and portability of the PULSOX-2 allows it
to be used for inspection of both outpatients and inpatients. In addition, it
is easily transported by both doctors and nurses for house calls or homecare patients.
2 %) of arterial blood and the pulse rate.
• Battery-operated
The PULSOX-2 is operated by two AAA-size alkaline batteries.
4
2. NAMES OF PARTS
■ Main unit
Battery cover lock
Battery cover
Finger holder
Strap eyelet
Display
Thumb rest
Battery cover: Open or close this cover when replacing the
batteries with new ones.
Battery cover: It is used to lock the battery cover.
lock
Strap eyelet: Attach the neck strap to this hook.
Finger holder: Holds finger when inserted for measurement.
A light source is located in the upper side, and a
sensor in the lower side.
Thumb rest: Put the thumb here when you hold this instrument.
Display: Displays measured value, pulse level meter and error
messages
.
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3. NOTES ON USE
• This instrument should be used in areas with an ambient temperature of 0 to
40°C (32 to 104°F) and a relative humidity of 30 to 95%, with no condensation.
• This is a precision instrument. To avoid the possibility of it being damaged,
the instrument should not be dropped nor should heavy objects be placed
on top of it.
• This instrument conforms to water-seal rating of IPX4 (IEC 60529), which
ensures that the instrument will show no adverse damage even if exposed
to water splashing from any direction. However, the instrument is not waterproof, so it should never be washed with water or left immersed in water.
• When the water remains in finger holder, the measurement value is not
accurate.Turn the part of strap eyelet to the bottom, and remove the water.
• This instrument should not be used in areas subject to strong vibrations, nor
should it be subjected to physical shock. Doing so may cause breakdown.
• The finger holder is a delicate device and should not be handled roughly nor
should objects be placed on top of it.
• The accuracy of this instrument, like that of all other dual-wavelength
oximeters, can be influenced by the presence of abnormal hemoglobins such
as carboxyhemoglobin (HbCO) and methemoglobin. Tables 1 and 2 below
show the errors which may occur due to these hemoglobins. The instrument
may also be affected by cardiogreen or intravascular dyes.
• Do not use a mobile telephone when using this instrument. Doing so may
result in measurement error.
• This instrument may interfere with magnetic resonance imaging (MRI)
procedure.
• The disposal method of AAA batteries varies according to local government
regulation.
• Dispose of the battery according to the instructions given by local government
regulations or ask a specialized waste service company to dispose of it.
6
This equipment has been tested and found to comply with the limits for
medical devices to the IEC 60601-1-2:2001, Medical Device Directive
93/42/EEC . These limits are designed to provide reasonable protection
against harmful interference in a typical medicitl 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 other devices in the vicinity. However, there is no
guarantee that interference will not occur in a particular installation. If
this equipment does cause harmful interference to other devices, 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:
• Reorient or relocate the receiving device.
• Increase the separation between the equipment.
• Connect the equipment into an outlet on a circuit different from that
to which the other device's are connected.
• Consult the manufacture or field service technician for help.
7
4. OPERATING METHOD
2
3
Preparations
(1) Installing Batteries
(Two AAA-size batteries are required.)
1. Push the battery cover, and unlock
the battery cover lock.
2. Open the battery cover.
3. Insert two AAA-size batteries into the
battery chamber.
4. Close the battery cover and hold it
with a finger.
1
4
8
5. Close the battery cover lock until it
clicks.
• The batteries will last approxi-
mately 80 hours.
• The battery mark will begin to
blink when the battery power is
5
low.
Notes on Use
• Battery replacement is the Only User Serviceable item.
• When replacing the batteries with new ones, do not mix battery types or
ages.
• If the instrument will not be used for a long period of time, remove the
batteries from the battery chamber. Also remove the batteries as soon as
possible if they are dead.
(2) Installing the Neck Strap
By attaching the neck strap to the instrument, the instrument can be
hung from the neck.
1. Pass the neck strap through the
strap eyelet as shown in the figure.
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Measurements
Measurements must be taken with the index finger placed in the
finger holder. This instrument must be held tightly. Put the thumb
only on the thumb rest. Y ou must not put the thumb on other positions.
Don't take the pressure which is unnecessary for the forefinger. Those
are important for the accurate measurement.
1. Open the finger holder.
2. Insert the index finger and release
the finger holder.
• Opening the finger holder will start
measurement automatically.
The finger should be put on the
position shown in the figure below.
Measurement
display
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Safety Notes
This finger holder is designed only for use on the fingers of adults,
so it should not be used on any other body parts.
Never secure the finger holder with tape or such like. Doing so
may cause hemostasia or dropsy.
Notes on Use
• Remove nail polish before taking measurements.
• If no measurement values are displayed, attach the finger holder to a
thinner finger to take measurements.
• It may not be possible to take measurements in case of blood circulation
or blood stream problems. In this case, remove the finger holder, rub or
warm the finger to improve blood circulation, then re-attach the finger
holder.
• Do not use the instrument in areas where it is exposed to strong light
such as direct sunlight.
Notes on Measurements
• Check that the pulse level meter changes in synchronization with the pulse
rate during measurements. In the following cases, the level meter may
not operate properly, hindering display of correct values.
• Rapid body movement
• Finger Holder is not attached to the patient properly.
• Arm or finger is pressed, causing bad blood circulation.
• When using the instrument, take care not to expose the finger holder to
strong light.
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Ending Measurements
1. Open the finger holder and remove the finger.
• Measurement will stop automatically, and the display will go
off after 10 seconds.
Notes on Use
• If the instrument will not be used for a long period of time, remove the
batteries from the battery chamber.
12
How to Read the Measurement Values
Pulse level meter: Indicates the pulse level in 8 levels (0 to 10%, full
scale if 10% or higher). The pulse level is defined as follows. (For
stable measurements, adjust the measuring point of the finger holder
or rub or warm the measuring point to improve blood circulation, so
that the pulse level meter constantly indicates level 2 or higher.)
Pulse level (%) =
Calculation method for displayed values
Oxygen saturation value (SpO2):
Value obtained by performing moving averaging for the
last 5 seconds is updated and displayed every second.
Pulse rate (P.R.):
Value obtained by performing moving averaging for the
last 8 pulse rates is updated and displayed every second.
Variable transmittance
Constant transmittance
Battery indication: The battery mark will be-
Oxygen saturation value
(SpO
× 100
gin to blink when the battery power level is low.
(For details regarding
batteries, refer to page 8.)
Pulse rate (P.R.)
2)
Pulse level meter
13
Back Light
The backlight will light up automatically when the surroundings
become dark.
When backlight isn’t turned by the bright surroundings, cover the
backlight sensor window with finger.
Backlight sensor window
• Once the backlight is lit, it will remain lit until measurement stops.
• When battery mark is blinking, backlight isn’t turned on. Please
replace the battery.
14
Error Messages
■ Messages relating to connection of the finger holder and attachment to
the patient
15
■ Messages relating to the condition of the main unit
16
5. TROUBLESHOOTING
■ Main Unit
17
6. In Case of Malfunction
• If a malfunction occurs, contact the nearest authorized service facility.
Never disassemble the unit or attempt to repair it yourself.
7. Maintenance and Storage
• This instrument should be stored at temperatures of between –10 and
60°C (14 and 140°F) at 30 to 95% relative humidity. Do not store this
instrument in areas subject to high temperatures or high humidity, and do
not subject this instrument to sudden temperature changes which may
result in condensation. For protection, this instrument should be stored
with a drying agent such as silica gel.
• When storing the instrument:
• Do not store the instrument in an area where it will be exposed
to water.
• Do not store the instrument in an area where direct sunlight,
pressure, temperature, humidity, ventilation, sunlight, dust,
strong magnetic fields, and/or saline or sulphurous atmospheres may affect the instrument.
• Do not store the instrument on an inclined surface or on a
surface which may be subject to vibrations or physical shock.
(Also avoid vibrations or physical shock during transportation.)
• Do not store the instrument in areas where chemicals are stored
or where gas may be emitted.
• To avoid any problems occurring the next time the instrument is used,
make sure the instrument and finger holders are cleaned and stored safely.
• If the PULSOX-2 will not be used for more than two weeks, remove
batteries to avoid the possibility of damage due to leakage of electrolyte.
8. Maintenance and inspections
• Before using the instrument, carefully check that the instrument is operating
safely and correctly.
9. Cleaning
• When cleaning the main unit, clean it with a cloth moistened with neutral
detergent or water. Never clean it by any other methods or with any kind
of solvent.
•
When cleaning a finger holder, clean it using a soft cloth moistened with ethyl
alcohol or cationic soap, and wipe it off using a dry soft cloth or dry it naturally.
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10.SPECIFICATIONS
PULSOX-2
■ Dual-wavelength pulse-type oximeter
■ Functions:
• Measuring range: SpO
• Accuracy: SpO
■ Display
Display type: Liquid crystal display
Oxygen saturation (SpO
Pulse rate number
Pulse level meter
Error messages
■ Operating temperature/humidity range
0 to 40°C (32 to 104°F); 30 to 95% relative humidity with no
condensation
■ Storage temperature/humidity range
–10 to 60°C (14 to 140°F); 30 to 95% relative humidity with no
condensation
■ Power
2 AAA-size batteries 3V
(This instrument can use about 80 hours continuously, when the use of the AAA alkaline battery.)
■ Dimensions (W × H × D)
69 × 60 × 28 mm
■ Weight
57 g
■ Accessory
Standard Accessory: Neck strap
■ Equipment Classification
・ Protection against electric shock : Internally powered
・ Type of applied part : BF
・ Degree of protection against harmful ingress of water : Splash-
ploof equipment(IPX4)
・ Not suitability for use in the presence of flammable anaesthetic
mixture with air or oxygen or nitrous oxide.
・
Mode of operation of Equipment : Continuous while in Use (IEC60601-1)
2: 0 to 100%
Pulse rate: 20 to 250 bpm
2 ±2% (SpO2:70 to 100%, 1 s.d.)
Pulse rate: ±2 bpm
2)
80mW
19
11.REFERENCE
Measurement Principle
Oxygen Saturation Monitor PULSOX-2 is a photometric instrument
that non-invasively and continuously measures the oxyhemoglobin
saturation of arterial blood (SpO
described by the equation:
2) and the pulse rate. SpO2 is
SpO2 =
C (HbO
C (HbO
2)
2) + C (Hb)
× 100 (% SpO
2)
where
C (Hb): Concentration of reduced hemoglobin
C (HbO
2): Concentration of oxyhemoglobin
The light-absorption characteristics of reduced hemoglobin (Hb) are
very different from those of oxyhemoglobin. The PULSOX-2
measures the changes in the absorption of red and infrared lights
passing through the tissue to determine the SpO2 of the blood. Thus,
this method is free from the effects of skin color, muscles, bones,
and veins.
Spectral Absorption of Hb and HbO
2
cm
-6
×10
mole
1.0
0.5
Absorption coefficient
Red light Infrared light
Hb
HbO
2
600 700 800 900nm880665
2
Wavelength
20
Relation between Oxygen Saturation and Partial Pressure
The relation between oxygen saturation (SpO2, %) and oxygen partial
pressure (PaO
the oxygen saturation as measured by pulse oximeters.
Oxygen Saturation vs. Oxygen Partial Pressure
2
Oxygen Partial Pressure SpO
The curve of the above graph may shift to the right or left according
to the pH of the blood or the body temperature. (Shift to right: acidosis,
high body temperature; shift to left: alkalosis, low body temperature)
2, torr or mmHg) is shown in the graph below. SpO2 is
%
100
90
85
80
70
60
50
40
30
20
10
0 102030405060708090100110
Oxygen Partial Pressure
Adult hemoglobin
pH=7.4
37°C
2
PaO
Torr
(mmHg)
21
EMC Declaration
22
23
9222-1731-13
3-13, 2-Chome, Azuchi-Machi,Chuo-Ku, Osaka 541-8556, Japan
Minolta Co.,Ltd.
2003 Minolta Co., Ltd.
(1)
ADDAPX
Printed in Japan
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