Nellcor N-180 User manual

NELLCOR

N-180

Pulse

Operator’s

1992

Oximeter

Manual

NEL-14

AOS

ORE
AR

ACR

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OPERATOR’S

NELLCOR®

N-180

MANUAL

Pulse

Oximeter

こつ

ここ

\

どの
どこ

つと
OO

ひひ
どど

で

NEL

©,

1992

|

Nellcor

COR’

Incorporated.

Nellcor

Incorporated

25495

Whitesell
Hayward,
U.S.A.

To

contact

or

510

887-5858;

Caution:
a

physician

Street

California

Nelicor's

outside

Federal

law

94545

representative:

of

the

United

(U.S.)

restricts

in

the

States,

this

device

Nellcor
Hambakenwetering
5231

DD

The

Netherlands

31.73.426565

United

States,

call

Nelicor's

to

sale

Europe

B.V.

's-Hertogenbosch

call

local

by

or

1

1-800-NELLCOR

representative.

on

the

order

|

024446A-0392

of

で

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TABLE

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人

Vu

VII

IX

LIST

1
2
3
4

OF

CONTENTS

Sl
Safety
Quick

Features

Prineiples

AAA
Information...
Guide

of

the

of

sn

to

Operation

N-180

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OperatOn

..........uurrirrrriererierierieienezizion

N-180

Unpacking
TeSB

Components

NELLCOR
Guide

Sensor$

to

Operations...

Basic

Pulse

Connecting

A

RS-232

VELO

ERA

SeTVi
Cleaning

Battery
Determining
Technical
AA

Troubleshooting….................

Status

Troubleshooting

and

Inspection

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Operation

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Other

MM

Subsystem

Instruments...

AAA

Communication

Instructions

Testing

Software

Assistance...

A
sine

MessageS

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SpecificatonS

Configuration
κο

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Environmental
Electrical
Physical

Warranty 一 For

OF

TABLES

Default
SERIAL
Output
Baud

Alarm

COMM

Format

Rate

Switch

meme

μμ

Characteristics

CharacteristCS

Replacement

Settings

Connector

Switch

Settings

μμ.

RequirementS

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inner

Pin

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Assignments

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EE

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SEERE

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LENE

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ase

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arenas

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το

κοκ

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λό

νε

τος

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nie

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пливонениививаииливитьионьни

sanan

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serie

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nzonnee

15

15

17

17
17

17
17
19
20

23

22

23

23
23
26
26
26
27

11

ss

Le

canon

torera

rernes

15
16
16

iii

LIST

1

2
3

OF

FIGURES

Oxyhemoglobin

N-180
N-180

Front
Кеаг

Panel

Рапе!

Dissociation

.......

нина

Curve

sense

enes

озимая

dasst

eee

reie

rece

озу

nen

irenieerzivenirie

zen

изиятизенк,

4

iieiionioninne

ee

5
6

The

following

other

countries;

the

Nellcor

Covered

4,621,643; 4,653,498; 4,700,708;

iv

by

are

DURASENSOR,

knob.

one

or

trademarks

more

of

of

Nellcor

and

the

following

4,770,179;

Incorporated:

OXIBAND,

patents

4,802,486; 4,869,254;

which

and

corresponding

NELLCOR,

are

registered

4,928,692; 4,934,372.

which

foreign

in

is

the

registered

United

patents:

in

States;

U.S.

the

United

and

patent

States

OXISENSOR,

numbers

and

and

SYMBOLS

N-180

/N

SYMBOLS

Vo

W

~

Power

on/off

Dangerous

Eguipotential

Caution:

Alternating

voltage.

refer

current

switch

(ground)

to

manual

terminal

会

一、

|

SY

A

SpO2

SpO2

Fuse

replacement

Patient

(Type

electrically

BF

equipment)

On/standby

High

saturation

Low

saturation

symbol

isolated

switch

limit

limit

Y

A

O

High

heart

rate

limit

SYMBOLS

N-180

SYMBOLS

O

Y

(continued)

Low

heart

rate

limit

NN

NN

NN

a

D

Audible

Battery

Low

battery

Pulse

search

alarm

in

use

off

indicator

vi

ON

SAFETY

INFORMATION

NON

X

A

—

一 、

一

一

一

一
一

一

一

一

一

一

WARNINGS

DANGER!

Explosion

anesthetics.
Carefully

precautionary
specifications

The
be

used

Shock
There

Do
Tissue

(e.g.,
failing

Loss

+

+
*

+

read

N-180

in

hazard.

are

no

not

silence

damage

wrapping

to

inspect

of

pulse

the

sensor

there

is

the

sensor

arterial

the

patient

this

information

before

is

intended

conjunction

Cover

user-serviceable

the

can

the

signal

is

excessive

is

catheter,

is

hypothermia,

Inaccurate

e

incorrect

*

significant

measurements

application

levels

carboxyhemoglobin

*

significant

levels

intravascular

*

exposure

to

excessive
ones with a xenon
infrared

*

excessive

*

venous

。

electrosurgical

e

placement
cuff,

Do

not
Conducted
image,

heating

patient

pulsations;

arterial

use

the
current

and

the

of

N-180

MRI

measurements.

Do

not

use a damaged

not

immerse

oxide.

in

liquids.

hazard.

operator’s

manual,

(which

application

only

as

with

clinical

to

be

removed

parts

audible

be
sensor

the

too

caused

sensor

can

occur

tight;

alarm

by

too

site

illumination:

placed

on

or

intravascular

in

shock,

arterial

occlusion

an

has

may

or

use

of

dysfunctional

or

methemoglobin;

of

indocyanine

dyes;

illumination,

light

source;

lamps;

or

movement;

interference;

the

sensor

catheter,

may

unit

or

or

oximetry

cause

may

sensor

Do

not

on

intravascular

affect

or

Do

not use

in

accessory

is

set

in

boldface

and

use

of

the

an

adjunct

signs

only

in
and

by

inside.

if

patient

incorrect

tightly,

safety
application

applying

periodically).

if:

e.g., a surgical

extremity

with a blood

line;

hypotension,

proximal

be

caused

by:

of a sensor;

hemoglobins,

green,

methylene

such

bilirubin

direct

sunlight;

an

extremity

line.

sensors

burns.

one

sterilize

during

Also,

the

the

accuracy

with

exposed

by

irradiation,

the

presence

directions

type),

equipment.

patient

qualified

severe

that

assessment.

symptoms.

could

supplemental

or

bilirubin

vasoconstriction

to

the

sensor,

such

as

surgical

lamps;

fluorescent

has a blood

MRI

N-180

of

oximetry

electrical

of

flammable

for

and

service

or

pressure

blue

personnel.

be

compromised.

use

of a sensor

tape,

lamp

or

cardiac

as

or

lamps,

pressure

scanning.

may

affect

contacts.

steam

or

use,

all

It

must

or

|

or

sunlight;

cuff,

or

anemia,

arrest.

other

especially

lights;

the

MRI

Do

ethylene

一

и

и

vii

ページ

x

ペー

м >

>

хи

ци

>

м

хи

мии

ми

и

С

С

BASIC

OPERATION

QUICK

WARNING:
assessment.

Jsymptoms.

WARNING:
directions
boldface

1.

Select

sensor

required,

2.

Turn

position

(see

page

When

indicates

GUIDE

for

type)

TO

The

N-180

It

must

be

Carefully

use,

and

before

appropriate

directions

use a NELLCOR

on

system:

and

11).

rear

power

switch

panel

switch

switch

is

OPERATION

is

intended

used

in

conjunction

read

this

all

precautionary

use.

NELLCOR

for

use.

Connect

EC-4

N-180's

front-panel

is

in

on

and

battery

_

only

as

operator’s

information

sensor

the “ |

and

sensor

or

EC-8

rear-panel

ON/STDBY

“position,

is

being

an

adjunct

with

clinical

manual,

apply

to

N-180

sensor

extension

power

switch

the

charged.

in

patient

signs

accessory

(which

to

patient,

(see

page

switch

to

ON

light

in

and

is

set

in

following

9).

If

cable.

to | (on)

position

the

switch

ALARM
FUNCTIONS

Alternatively,

6

hours.

3.

Check

alarm

(see

page

For a quick
information.

Check

(see

alarm

page

10)

11).

guide

limits

operate

limits.

to

the

If

N-180's

the

N-180

on

necessary,

alarm

Press

appropriate

SAT,

LOW

its

internal

adjust

them

functions,

SAT,

to

refer

alarm

HIGH

battery

suit

patient’s

to

the

button

RATE,

for

up

following

(HIGH

or

LOW

to

needs

RATE).

Adjust
(see

Adjust

(see

一

alarm

page

alarm

page

10)

11)

limits

volume

Press

appropriate

SAT,

LOW

RATE),

desired

Press

at
desired

SATURATION
activates
volume.

the

then

setting

LOW

same

setting

audible

SAT,

HIGH

turn

appears.

SAT

and

time.

appears

display.

alarm

control

HIGH

Turn

control

alarm

button

RATE,

knob

SAT

in

OXYGEN

Turning

to

indicate

(HIGH

or

LOW

until

buttons

knob

knob

until

Silence

rarily

Adjust
period

alarm

(see

alarm

(see

page

silence

page

tempo-

12)

12)

Press

AUDIO

ALARM

during

Press
turn

(30-120

OFF

the

AUDIO

control

seconds)

SATURATION

ALARM

indicator

alarm-off

ALARM

knob

until

appears

display.

OFF

button.

lights

period.

OFF

button

desired

in

OXYGEN

steadily

and

setting

Q-1

QUICK

GUIDE

TO

OPERATION

Disable
(see

page

audio

12)

alarm

Press

AUDIO

turn

control

appears
display.

in

AUDIO

ALARM

knob

OXYGEN

ALARM

OFF

clockwise

SATURATION

OFF

button

until

“OFF”

flashes.

and

Section

OVERVIEW

Automatic

Start-Up

|

Self-Test

and

FEATURES

WARNING:
assessment.

symptoms.

WARNING:
directions

boldface

The

NELLCOR

saturation

monitors

measurements

supply
its

internal

external
The

N-180

operator

e

Automatic

It

for

type)

of

SpO2

provides

batteries.

data

provides

calibration

OF

THE

The

N-180

must

be

Carefully

use,

and

before

N-180

arterial

and

use.

pulse

hemoglobin

pulse

updated

isolated

In

recording

immediate

or

configuration.

self-test

N-180

is

intended

used

in

conjunction

read

this

operator’s

all

precautionary

oximeter

(SpO2),

rate

continuously

at

each

pulse

power

addition,

devices.

and

for

use

error

the

messages.

.

only

as

manual,

information

measures

and

and

beat.

An

operating

N-180

after

provides a digital

power-up,

It

offers:

an

adjunct

with

clinical

accessory

(which

functional

pulse

rate.

noninvasively,

internal

the

AC

monitor

without

in

patient

signs

oxygen

The

power

and

need

and

is

set

N-180

with

charging

output

for

in

for

* | Automatic

e

Visible

e

Early
SpO2
with

e

Operator-configured
limits
saturation
condition.

e

Battery

Operator

~

Configurable

The

N-180

for

specific

+

Audible
alarm

‧

Three
averaging

oximetry

and

audible

warning

and

pulse

changes

preset

for

displays

operation

provides

clinical

alarms

tone

has

oximetry

time

calibration.

oximetry

system

that

rate: a tone

in

SpO2.

audible

adults

the

applications.

that

adjustable

operating

to

or

neonates.

change

up

to 6 hours.

operator

can

be

volume.

suit

varied

modes

displays.

provides

signals

oximetry

from

with

Capabilities

silenced

clinical

an

each

Pulse

green

the

capability

temporarily

that

change

applications.

audible

pulse

and

alarms,

rate

and

to

red

during

include:

measurement

indicator

its

pitch

with

default

oxygen

an

alarm

to

tailor

the

or

disabled;

for

both

varies

alarm

system

the

NS

NN

LO

Mar

ID

x

VLN

>

V

*

+ 1

Section

PULSE
SUBSYSTEM

OXIMETRY

Il

PRINCIPLES

The

N-180
plethysmography.
microprocessor-based

emitting

photodetector.

emits
through
measures
absorption.

With
sensor
hemoglobin

measures
functional

Light

reflects
does
reference

measured
corrects

present.

determines

diodes

infrared

the

the light

each

site.

red

absorption

absorption

not

change

measurement

this

The

OF

OPERATION

is

based

on

the

It

includes

monitor.

(LEDs)

One

(nominal

sensor

LED

site,

that

as

part

passes

heartbeat, a pulse

Oxygenated

in

its

relative

and

infrared

hemoglobin

when

that

that

is

measured

by

tissue

substantially

of a spectrophotometer.

pulsatile,

measurement

ratio

of

the

arterial

oxygen

principles

an

electro-optical

The

sensor

light

sources

emits

red

light

920

nm).

When

of

it

is

absorbed.

through,

of

oxygenated

hemoglobin

red

and

infrared

absorption

is

saturated

when

and

nonpulsatile

during

arterial

for

corrected

blood

absorption

absorption

saturation

of

spectrophotometry

sensor

has

two

low-voltage

and

one

photodiode

(nominal

the

which

differs

660

light

from

The

photodetector

indicates

arterial

from

blood

deoxygenated

nm)

the

absorption,

to

determine

with

pulsatile

the

pulse.

is

in

when

the

oxygen.

blood

blood—absorption

This

is

Absorption

the

tissue.

the

pulsatile

at

each

wavelength

(SpO2).

and

and

a

light-

as

a

and

the

LEDs

passes

red

and

infrared

flows

to

and

the

N-180

percentage

is

not

present

analogous

is

also

The

N-180

blood

other

the

of

that

to

the

then

is

not

Automatic

Functional
Fractional

一

EN

“一

Calibration

versus

Saturation

The

oximetry
mechanisms.
periodic

Also,

the

compensate

Each

sensor

wavelength

resistor
calibration

for

the

measurements

Because
measurements

fractional

as a percentage
oxygen.
oxygenated

does

not

or

methemoglobin.

In

contrast,

Laboratory
hemoglobin
whether

Measured

subsystem

It

intervals

intensity

for

is

calibrated

of

in

the

sensor

resistor

the

N-180

SpO2.

Because

and

detect

some
282

expressed

or

not

dysfunctional

incorporates

is

automatically

thereafter,

of

the

differences

the

red

plug.

to

determine

and

sensor’s

in

when

LED

is

The

determined

obtained

measures

that

differ

Functional

of

the

the

N-180

deoxygenated

functional

from

SpO2

hemoglobin

uses

dysfunctional

laboratory

CO-Oximeter

that

hemoglobin

instruments

report

as a percentage

hemoglobins

automatic

calibrated

whenever a new

LEDs

tissue

manufactured:

each

is

adjusted

thickness.

and

instrument’s

the

appropriate

by

that

sensor.

SpO2,

those

of

instruments

is

oxygenated

that

is

capable

two

wavelengths,

hemoglobin,

hemoglobin,

such

fractional

of

all

is

available

are

included.

calibration

time

it

is

sensor

automatically

the

effective

encoded

software

it

may

into a calibration

reads

calibration

produce

that

hemoglobin

of

transporting

it

measures

yielding

such

as

measured

for

functional

as

carboxyhemoglobin

the

Instrumentation

SpO2—oxygenated

hemoglobin,

oxygen

transport.

turned

on,

is

connected.

to

mean

this
coefficients

measure

expressed

SpO2z.

at

It

Section

II

PRINCIPLES

OF

OPERATION

Functional
Fractional

(continued)

Measured
Saturation

Saturation

versus

versus

Calculated

Consequently,
another
SpOz.

instrument,

If

converted

functional _ fractional

saturation ~ saturation * 100-(%

When

SpO

pressure
the

N-180

not

have
relationship
the

partial

of

2,3-DPG

S

o

の

5

>

to

it

measures

using

is

calculated

of

arterial

SpO2

been

corrected

between

pressure

and

100

50

—

0

compare

that

fractional

the

following

oxygen

measurement.

PaO2

of

carbon

fetal

hemoglobin.

+

pH

+

Temperature

+

PCO2

+

2,3-DPG

”/

if,

è

‘

4

‘

+

+

4

4

4

4

+

VA

“

N-180

measurements

other

instrument

SpO2,

equation:

from a blood

carboxyhemoglobin

(PaQ2),

the

This

for

the

effects

and

SpOz

dioxide

|

+ ΄

ee

+

‘

+

‘+

4

'

7

7

+

+

，

fo

一

+

+

PaO,

must

those

measurements

100

gas

measurement

calculated

is

because

of

(see

the

variables

Figure

(PaCO2),

çe.

-

關 * >

レン

—,

?

EA

4

(im

t

Temperature

一 ] 414Pco2

t

2,3-DPG

т

50

(mmHg)

directly

measure

value

with

functional

can

+%methemoglobin)

of

may

calculated

that

shift

1):

temperature,

and

the

concentrations

„..77

those

be

the

partial

differ

SpO2

the

1

100

of

from

may

pH,

Figure

1:

Oxyhemoglobin

Dissociation

Curve

NEN

LN

ON

мм бб

дм

Section

UNPACKING
INSPECTION

Ill

AND

N-180

WARNING:

recautionary

Notify

Carefully

items

SETUP

the

unpack

in

the

carrier

Carefully

information

immediately

the

instrument

list

of

components

read

the

operating

(which

if

the

and

packed

instructions

is

set

in

boldface

N-180

shipping

its

accessories.

with

the

unit

and

type)

before

carton

is

Confirm

are

included.

all

use.

damaged.

that

the

TESTING

COMPONENTS

N-180

Front

Panel

Inspect
contact
representative.

Verify

a
not

Nellcor’s

each

Nellcor’s

all

functions

difficulty

resolve

occurs,

the

representative.

component.

difficulty,

If

Customer

as

described

refer

to

any

component

Service

in

Section

contact

is

missing

Department

Section

VIII,

qualified

V,

“Guide

“Troubleshooting.”

service

or

or

Nellcor’s

to

personnel

damaged,

Operations.”

If

that

or

If

does

14

1.

On/Standby

2.

Battery

3.

Low

Battery

battery

一

4.

Oxygen

5.

Control

6.

High

Saturation,

Change

7.

Audio Alarm
instrument

1312

switch

in

Use

indicator

indicator:

power

remain.

Saturation

knob:

alarm

Changes

functions.

Off

functions.

11

Figure

(SpO2)

Low

Saturation,

button:

10

2:

N-180

Flashes

when

display

instrument

Changes

Front

Panel

five

or

functions

High

Rate,

alarm

fewer

minutes

and

sets

Low

Rate

functions

9 8 7

of

values.

buttons:

and

other

Section

N-180

Front

(continued)

N-180

Rear

III

Panel

Panel

N-180

8.

9.

10.

11.

SETUP

Audio

been

disabled.

High

Flash

Pulse

Pulse

Alarm

temporarily

Saturation,

during

Rate

amplitude

qualitatively

12.

NEO

indicator:

13.

Pulse

Search

locate

the

14.

Sensor

Note:

The

sensor

15

Ea

OFF

an

display

indicates

indicator:

patient's

or

sensor

extension

indicator:

silenced;

Low

Saturation,

alarm

state.

indicator:

pulse

Lights

when

Flashes

pulse.

extension

cable

Lights

flashes

Vertical

steadily

when

|

High

column

amplitude.

neonatal

when

cable

connector

connection

when

audio

Rate,

of

alarm

limits

the

N-180

and

is

electrically

audio

alarm

Low

Rate

light

bars

are

is

attempting

lock.

alarm

has

been

indicators:

that

in

effect.

isolated.

has

to

一

一
一

一

人

TS

©

O o у

=

22

15.

Power

16.

Baud

rate

17.

RS-232

18.

Adult/neonatal

19.

SERIAL

20.

Ground

21.

AC

mains

©

©

21

Figure

on/off

switches.

mode

COMM

(equipotential)

inlet.

20

3:

N-180

switch.

switch.

limit

connector.

setting

EDI

Rear

Panel

switch.

terminal

00000

19

18 17 16

a

HBBB

22.

Fuse

compartment.

TX

oN

Section

OVERVIEW

IV

NELLCOR

WARNING:
oxygen

WARNING:
caused
tightly,
periodically,
sensor
precautionary

WARNING:

measurements.

transducers

by

incorrect

applying

directions

SENSORS

Use

only

NELLCOR

may

Tissue

or

Excessive

damage

sensor

supplemental

failing

information

for

to

use,

ambient

Cover

the

cause

improper

or

inaccurate

application

tape,
position
the

N-180

(which

light

sensor

site

oxygen

it

is

transducers.

oximeter

measurements

or

use,

such

failing

appropriately.

operating

set

may

with

to

instructions,

in

boldface

cause

opaque

Use

performance.

may

as

wrapping

inspect

the

Carefully

type)

inaccurate

material.

of

other

be

sensor

read

and

all

before

it

too

site

the

use.

SELECTING

CLEANING

PERFORMANCE
CONSIDERATIONS

A

AND

SENSOR

REUSE

Nellcor
clinical
neonates,
are sterile
adhesive
are

adult
components
reflectance

forehead

Sensors
weight
weight,
available,
monitoring.

Do

oxygen

Nellcor

OXIBAND,

a

or

Do

To

directed,

provides a family

settings

infants,

adhesive

tape.

applied

digit

oxygen

with

mounted

oxygen

or

temple.

are

designed

ranges.

level

whether

not

immerse

transducer,

adhesive

and

disinfectant

ethylene

not

ensure

oxide.

resterilize

optimal

and

and

patients.

children,

sensors

OXIBAND

disposable

transducer

transducer

To

select

of

activity,

sterility

any

OXISENSOR,

the

in

water

the

NELLCOR

such

as

Use a new

OXISENSOR

performance,

observe

of

sensors

Specific

and

adults.

with

optical

oxygen

adhesive.

is a reusable

in a plastic

is

an

for

specific
the
adequacy

NELLCOR

or

sites

appropriate

is

required,

cleaning

RS-10

70%

alcohol.

OXIBAND

oxygen

use

all

warnings

suitable

sensors

transducers

for a wide

OXISENSOR

components

The

DURASENSOR

sensor

casing.

The

adhesive

on

patients

sensor,

of

perfusion,

and

the

DURASENSOR,

RS-10

oxygen

solution.

oxygen

Do

not

sterilize

adhesive

transducers.

an

appropriate

and

cautions.

variety

have been

oxygen

mounted

are

reusable

with

its

NELLCOR

sensor

for

application

within

consider

which

sensor

anticipated

or

OXIBAND

transducer,

Clean

DURASENSOR,

transducer

by

irradiation,

wrap

for

sensor,

of

developed

transducers

on

sensors

DS-100A

optical

RS-10

designated

the

patient’s

sites

are

duration

or

any

by

wiping

steam,

each

patient.

apply

it

for

that

to

of

with

as

If

excessive

material.

一

一

一

一

一

一

全

人
一

一

”一

一

sources

those
infrared

ambient

Failure

that

with a xenon

heating

can

to

affect

lamps,

light

is

present,

do

so

may

performance

light

source,

and

direct

cover

result

in

include

bilirubin

sunlight.

the

sensor

inaccurate

surgical

lamps,

fluorescent

site

with

opaque

measurements.

lights,

especially

lights,

Light

Section

IV

NELLCOR

SENSORS.

PERFORMANCE

CONSIDERATIONS

(CONTINUED)

If

poor

perfusion

weighs

nasal
from

internal
perfusion
using
applied

If

。
+
‧

*

more

oxygen

the

nasal

carotid,

is

the

NELLCOR

to

patient

movement

Verify
Useanew
Move

Use a type
OXISENSOR

affects

than

50

transducer.

septal

this

relatively

the

forehead

that the

sensor

sensor

the

sensor

of

sensor
D-25,

instrument

kg,

consider

Because

anterior

sensor

RS-10

presents a problem:

may

poor.

For

reflectance

or

temple.

is

properly

with

fresh

to a less

that

tolerates

D-20,

active

N-25,

performance,

using
the

R-15

ethmoid

obtain

low

peripheral

and

adhesive

site.

or

artery,

oxygen

some
I-20

and

the

OXISENSOR

obtains

an

its

measurements

artery

measurements

perfusion,

transducer,

securely

applied.

backing.

patient

oxygen

motion,

transducer.

the

patient

R-15

supplied

when

peripheral
consider
which

such

adult

by

is

as

the

the

NN

ON

os

ンー

一

一，

一

一

一， 一、

ーー

ノイ

/

NLN

Section

BASIC

OPERATION

V

GUIDE

WARNING:
Carefully
information

WARNING:
sensor
hemoglobins,
intravascular
exposure
ones
infrared

movement;

placement
arterial

1.

TO

read

application

to

with a xenon

heating

venous

of a sensor

catheter,

Plug

the
outlet.
original
grade

Use

plug

grounding
operated

6

hours

on

OPERATIONS

Improper

the

(which

Inaccurate

(e.g.,

dyes

excessive

power

only

hospital-grade

and

of

from

battery

use

operating

is

set

in

measurements

or

use;

significant

carboxyhemoglobin

such

as

illumination,

light

source),

lamps,

or

the

or

pulsations;

on

an

intravascular

cord

into

an

outlet

cord.

If

mains

its

internal

power.

could

present a hazard

instructions

boldface

indocyanine

direct

extremity

the

that

plug

in

doubt

supply

battery.

type)

levels

such

bilirubin

sunlight;

electrosurgical

line.

N-180

has a grounding

and

cord

about

connection,

The

and

all

precautionary

before

may

be

caused

of

dysfunctional

or

methemoglobin);

green

or

methylene

as

surgical

lamps,

excessive

that

power

or

the

fluorescent

interference;

has a blood

inlet

an

equivalent

integrity

the

N-180

can

to

the

patient.

use.

by

incorrect

or

blue;

lamps

to a 220-240 V ~

connection

unit

operate

(especially

patient

pressure

hospital-

of

the

must

lights,

and

cuff,

and

©

be

for

up

the

to

2.

Switch

3.

Apply
directions

Close
NELLCOR

4.

Turn

seconds,

monitor

indicator

A

“beep”

decreases

Note:

adjustable

5.

Check

HIGH
sequence.

6.

Adjust
button,

displayed.

the

power

an

appropriate

for

the

sensor

EC-4

the

N-180

following

displays

rises

signals

to

reflect

When

the

features

the

alarm

SAT,

LOW

the

alarm

and

then

on/off

NELLCOR

use.

Plug

the

lock

over

or

EC-8

on

using

successful

measurements

and

falls

with

each

pulse

changes

N-180

is

return

limits

each

SAT,

HIGH

limits

if

turn

the

switch

sensor

the

to

sensor

sensor

the

plug.

extension

ON/STDBY

completion

the

into

and

each

pulse

beat,

and

in

SpO2.

turned

to

their

time

off

default

the

RATE,

necessary.
control

knob

on

position.

in

accordance

the

N-180

If

required,

cable.
switch.

of

the

pulse

beat.

its

pitch

and

back

state.

N-180

Press

and

is

LOW

the

until

|

with

sensor

use

a

After a few

the

self-test,

amplitude

increases

on,

all

operator-

used

by

pressing

RATE

buttons

appropriate

the

desired

its

connector.

the

bar

graph

and

the

in

alarm

value

is

Section

PULSE
SUBSYSTEM

OXIMETRY

V

FEATURES

GUIDE

This

portion

and

provides

TO

OPERATIONS.

of

the

N-180

data

for

measures

alarms

and

and

for

displays

the

digital

SpO2

and

output.

pulse

rate,

Alarm

Functions

Introduction

If

the

oxygen

limits,

the

corresponding
changes
audio

If

the

from

alarm

alarms
SATURATION
SEARCH

has

The
silenced
The

Checking

Check
pressing

buttons.

Adjusting

To

adjust

appropriate
RATE),

desired

from
value

than

indicator

been

turned

audio

alarm

temporarily,

visible

the

alarm

Alarm

alarm

the

The

Alarm

the

and

value.

20%

to

from

20

the

lower

saturation

green

to

sounds

activate

and

(unless

because

PULSE

flashes,

off).

function

cannot

Limits

limits

HIGH

SAT,

unit

displays

Limits

alarm

limits

button
then

(HIGH

turn

Oxygen

100%,

and

to

250

beats

limit.

level

or

alarm

red.

The

appropriate

or

until

the

RATE

and

an

can

be

it

can

be

disabled,

be

turned

each

time

LOW

SAT,

each

limit

to

meet a specific

SAT,

the

control

saturation

the

pulse

per

minute.

pulse

rate

indicator

it

has

pulse

signal

displays

audio

alarm

altered

the

in

and

off.

N-180

HIGH

in

turn.

LOW

SAT,

knob

until

alarm

limits

rate

alarm

The

moves

flashes

been

and

display

turned

is

lost,

flash

“0,”

sounds

several

its

volume

is

used,

RATE,

patient’s

HIGH

the

display

may

limits

upper

beyond

the

the

indicator

flashes,

off).

the

OXYGEN

the

PULSE

(unless

ways:

it

can

can

by

sequentially

and

LOW

needs,

RATE,

be

may

limit

shows

set

be

must

or

for

set

alarm

and

an

or

until

be

be

adjusted.

RATE

press

the

LOW

the

any

value

for

any

be

higher

color

it

10

Note:

When

limits

return

Default

Default
two

sets

Table

1).

Alarm

alarm

of

default

the

operator

to

default

Limits

limits

are

alarm

turns

values.

in

effect

limits,

the

when

one

N-180

the

for

adults

|

off

N-180

and

and

back

is

turned

one

on

again,

for

alarm

on.

There

neonates

are

(see

一

て

~

Section

Alarm

V

Functions

(continued)

GUIDE

high

low

high

low

TO

OPERATIONS

Alarm

Limit

oxygen

oxygen

pulse

rate

pulse

rate

Table

1:

Default

saturation

saturation

Alarm

Adult

Setting

100%

85%

140

bpm

55

bpm

Settings

Neonatal
Setting

95%

80%

200

bpm

100

bpm

Changing

To

change
switch
down

Audio

|

WARNING:

(switch

for

Alarm

Adjusting

the

HIGH

the

control

to

decrease

WARNING:
silences
the
must

the

audio

not

WARNING:

and

the

red

sounds

in
ALARM
safety

could

From

Adult

the

adult/neonatal

section

neonatal

Audio

SAT

knob

it.

alarm

be

default

Functions

Do

not

Alarm

and

clockwise

In

normal

audio

alarm

by

done

if

When

AUDIO

the

event

OFF

button

be

compromised.

to

Neonatal

1)

up

to

limits.

set

the

alarm

Volume:

LOW

SAT

to

operation,

temporarily.

following

patient

the

ALARM

of

must

safety

AUDIO

adverse

not

Alarm

setting,

change

volume

To

buttons

increase

the

the

instructions

could

ALARM

OFF

indicator

patient

be

used

Limits

move

the

the

setting

too

low

adjust

audio

at

the

same

the

volume

AUDIO

While

it

be

compromised.

OFF

button

is

condition.

in

situations

adult/neonatal

to

adult

default

to

be

heard.

alarm

volume,

time,

and

then

or

counterclockwise

ALARM

is

possible

in

this

lighted,

section,

has

The

in

OFF

to

been

no

audio

AUDIO

which

alarm

limits;

press

turn

button
disable

this

pressed

alarm

patient

LT

—

一

11

>

Section

V

GUIDE

TO

OPERATIONS

Alarm
(continued)

Pulse

Functions

Tone

Silencing
for

60

ALARM

been

the

Note:

pulse

Adjusting
which
ALARM
period

button.

the

seconds,

OFF

silenced

alarm

state

The

was

the

OFF

appears

This

Audio

press

indicator

temporarily.

continues.

alarm

detected

the

Temporary

audio

button

in

period

seconds,

Note:

When

the

audio

alarm

returns

Disabling

AUDIO

until
alarm

ALARM

“OFF”

can

the

Audio

appears

be

reactivated

again.

Description

When a NELLCOR
pulse

beat

is

signaled

in

oxygen

saturation,

decreases.

Alarm

the

lights

resumes

at

the

alarm

is

down,

the

OXYGEN

can

be

operator

to

the

Alarm:

OFF

button

on

the

sensor

by a “beep”

rising

Temporarily:

AUDIO

at

time

silenced

turns

ALARM

steadily

After

60

the

end

the

Silence

temporarily,

and

turn

SATURATION

set

for

any

the

default

To

disable

down,

OXYGEN

by

pressing

is

connected

as

saturation

to

show

seconds,

of

alarm

alarm

was

Period:

the

control

value

N-180

volume.

the

and

turn

SATURATION

the

AUDIO

to

that

varies

increases

To

silence

OFF

button

that

the

silence

silenced.

To

change

hold

between

off

and

audio

the

the

N-180
in

the

audio alarm

once.

the

audio

alarm

sounds

period

the

period

the

AUDIO

knob

until

display.

back

control

ALARM

Release

30

and

on

alarm,

display.

again,

hold

knob

OFF

and a patient,

pitch

to

reflect

and

falling

The

AUDIO

alarm

again

only

if

a

during

the

desired

the

120

the

the

clockwise

The

audio

button

the

changes

as

it

has

if

一、

一

全
人

个

Oximetry

Operating

Modes

Changing

Turn

turned
volume.

The

measurements
modes,
from

averages
Mode

time

Mode 2 uses a 2-

affected
require a fast

Mode 3 uses a 10-
affected
there

Pulse

the

control

off

and

N-180's

the

N-180

the

most

are

1,

the

default

and

is

useful

by

patient

by

patient

is

no

pulse

Tone

knob

back

three

despite

recent

determined

to

response

tone.

Volume

to

adjust

on

again,

operating

differing

updates

beat

its

replace

and

operating

in

situations

3-second

motion.

It

time,

to

15-second

motion.

In

pulse

tone

the

pulse

tone

modes

enable

levels

of

measurements

data

from

displayed.

mode,

averaging

is

such

this

uses a 5-

in

which

time

useful

for

as

sleep

averaging

mode,

volume.

returns

it

to

make

patient

with

the

earliest

to

the

patient

and

special

studies.

time

and

pulse

rate

When

the

N-180

to

its

default

accurate

activity.

every

7-second

therefore

applications

In

all

pulse

beat.

beat,

and

averaging

is

relatively

is

more

that

consequently

is

not

displayed

is

three

Data

new

inactive.

is

least

and

JON

12

Section

V

GUIDE

TO

OPERATIONS

Oximetry

(continued)

Battery

Serial

Operation

Data

Operating

Output

Modes

Changing

Press

the

control

the

HIGH

Operating

RATE

knob

display.

If

AC

power

battery

instrument

is

for

up

reliably,

lost

to 6 hours.

automatically.

The

battery

power

to

recharge

Overview

Serial
where

computer,
saturation and
following

Conversation

In

this

section 2 down.

data

to

recharges

and

the

mains

the

battery

data

output

the

N-180-responds

where

rate

paragraphs

Mode

mode,

the

the

Connect a computer

serial

Mode

and

LOW

until

the

desired

or

disconnected,

When

an

internal

whenever

switch

is

fully.

from

the

N-180

to

inputs

the

N-180

provides a periodic

data,

alarm

describe

N-180

responds

communications

RATE

buttons

mode

appears

the

N-180

the

battery

switch

the

instrument

on. A minimum

can

from

conditions,

each

output

to

an

connector.

turns

be

input

or

ASCII

level

in

two

an

external

and

mode.

at

the

same

in

the

PULSE

operates

is

too

low

off

the

N-180

is

plugged

of

14

hours

forms:

conversation,

ASCII

data

string

monitor

character.

terminal

Set

ready

time.

RATE

on

its

internal

to

power

into

is

required

device,

reporting

status.

switch

to

Turn

the

AC

or

The

receive

Transmit a character

transmitting
numeric

Character

R

(pulse

S

(oxygen

P

(unused

L

(low

H

(high

O

(low

A

(alarm

logic

“1” = alarm

M

monitor

и >

и

一

T

(unused

©

(high

an

data

(nnn

Transmitted

rate)

saturation)

message)

rate

alarm

rate

alarm

saturation

status

status

message)

saturation

(see

list

alphanumeric

is a numeric

limit)

limit)

alarm

limit)

in

ASCII-coded

condition)

(in

ASCII-coded

alarm

limit)

below);

string

value

decimal;

decimal);

the

N-180

responds

containing a data

between

000

and

String

Rnnn
Snnn
P000
Lnnn
Hnnn
Onnn

Bit 0 =

Bit

Bit 2 =

Bit 3 =

1=low

Bit 0 =

status; 1 =
Bit 1 =

1 = attached, 0 =

Bit 2 =

1 = enabled, 0 =

Bit 3 =
Bits 4 through 7 not
T000000

Qnnn

by

identifier

255).

Received

high

high

low

pulse

sensor

audio

always

and

rate

rate

sat

sat

search

locked, 0 =

status;

off

alarm

disabled

1

search

status;

used

ии

13

Section

V

GUIDE

TO

OPERATIONS

Serial

Data

(continued)

Output

Computer

In

this

when a parameter
2

up.

The

<STX>RnnnSnnnP000LnnnHnnnOnnnAnnnMnnnT000000Qnnn<CR>
<LF><checksum><ETX>

mode

string

Mode

the

N-180

has

transmitted

transmits a data

changed,

from

whichever

the

N-180

string

is

has

the

every

sooner.

format

10

seconds,

Set

switch

shown

or

section

below.

14

ON

NNN

세시

=

ил

их

и

>

и

и

一

人

一

一

一

Za

So

XA

-一

Section

OVERVIEW

RS-232
PROTOCOL

Serial
Assignments

COMMUNICATION

Data

VI

Connector

Pin

CONNECTING

WARNING:
precautionary

WARNING:
other

equipment

WARNING:
proper
manual
monitor’s
respective
TEC
must
summation
Technical

This
communications

Table 2 lists

and

operation

for

full

analog

standards,

601.1

for

be

powered

of

Services

section

contains

pin

the

corresponding

TO

OTHER

Carefully

information

To

When

instructions.

electromedical

earth

between

read

ensure

with

patient

circuits

connecting

before

or

from

clinical

digital

i.e.,

separate

leakage

Department

information

(which

outputs

IEC

the

assignments

pin

assignments

INSTRUMENTS

the

operating

is

set

electrical

that

are

this

monitor

use.

Refer

Accessory

must

950

for

data-processing

equipment.

wall

outlets

currents.

N-180

on

or

to

the

If

your

allow

and

serial

instructions

in

boldface

isolation,

electrically

to

to

the

equipment

be

certified

The

accessory

to

in

doubt,

local

Nellcor

the

user

external

type)

connect

isolated.

any

instrument,

other

connected

avoid

contact

to

provide

digital

communications

for a 25-pin

RS-232

and

all

before

device’s

according

equipment

equipment

possible

Nellcor's

representative.

devices.

only

verify

to

the

to

serial

use.

to

the

or

connector

connector.

Table

2:

Serial

Connector

Pin

1

1
2
3
4

5

6
7
8

ὧν

9

Communications

Signal

not

used

Rx

data

Tx

data

DTR

Direction

Signal

Ground

DSR

RTS
CTS

not

used

Connector

none

—

一

一

o

=

一

=

Pin

Output

Device

none

2
3
6

7

5

20

Assignments

Output
Device

Pin

Signal

none
Tx
Rx

Signal

Ground

DTR

data
data

DSR

RTS
CTS

一

人、

一

一

rn

COM COX

15

Section

Communications
Formats

VI

CONNECTING

The

RS-232

format,

N-180

as

is

eight

format

shown

in

data

Table

TO

OTHER

switches

Table

3.

bits,

no

3:

Output

Format

INSTRUMENTS

are

used

The

serial

parity

bit,

Format

Description

to

set

the

communication

communication

and

one

stop

Switch

Settings

Switch

Section

bit.

2

format

port

of

the

Setting

Baud

Rate

Identify
and

(switch

the

set

the

sections 7 and

Conversation

Computer

baud

rate

N-180

baud

Table

Baud

Rate

2400

4800

9600

19200

values

required

rate

8).

4:

using

Refer

Baud

by

to

Request

for

parameter
ASCII

string
containing
single

identifier

characters

the

the

Table

Rate

plus

device

rear-panel

4.

Switch

Switch

7

Down

Up

Down

Up

Down

Up

that

is

to

baud

Settings

Sections

be

connected,

rate

switches

8

Down

Down

Up

”UP

16

一

一

一

一

一

一

一

一

一

全

个
人

Section

SERVICE

VII

MAINTENANCE

WARNING:
precautionary

WARNING:

those

with

WARNING:
service

The

N-180

mandated

discusses

resolving
maintenance

manual.

of

personnel.

requires

by

potential

them.

Carefully

information

For

continued

the

same

Shock

hazard.

There

no

the

operator’s

routine

difficulties,

Complete

checks,

are

|

read

the

(which

protection

type

and

Cover

are

no

service

institution.

their

service

contained

operating

is

rating.

to

user-serviceable

possible

instructions,

in

instructions

set

in

boldface

against

be

removed

other

than

Section

the

NELLCOR

fire,

parts

that

VII,

causes,

including

and

all

type)

before

replace

only

by

qualified

inside.

which

“Troubleshooting,”

and.

suggestions

preventive

N-180

service

fuses

is

use.

only

for

CLEANING

BATTERY

DETERMINING
VERSION

TECHNICAL

TESTING

INSTRUCTIONS

SOFTWARE

ASSISTANCE

Caution:
cleaners,

To

nonabrasive

lightly.

accessories.
connector,
connectors

The
years,

To

AUDIO

until a “0”
digit

the
display.

RATE
PULSE

display

in

the

For

Services

a

service

Nellcor’s

diagrams

the

Do

clean

the

Do

not

Do

fuse

or

battery

should

using

determine

ALARM

appears

of

the

software

control

knob

The

display.

RATE

and

“0”

OXYGEN

technical

Department

manual,

local

and

N-180.

not

immerse

N-180's

cleaner

the

surfaces,

and

spray

or

not

allow

holder,

openings

or

be

tested

procedures

the

N-180
OFF

buttons

in

the

wipe

pour

any

switches.

in

the

software

OXYGEN

version

until a “1”

tenths

digit

of

For

example,

display

with

showing

in

SATURATION

information

contact

representative.

parts

and

or

Nellcor’s

Nellcor’s

lists

required

the

N-180

in

dampen a cloth

the

top,

any

liquid

liquid

to

Do

chassis.

by

qualified

given

in

the

version,

at

the

same

SATURATION

appears

appears

the

version

“0”

the

in

in

software

1.0

showing

PULSE

display.

assistance,

local

Customer

The

service

by

qualified

liquid

bottom,

come

not

or

use

with a commercial,

and

front

directly

service

N-180

in

allow

press

time.

on

the

contact

any

personnel

service

the

HIGH

Turn

caustic

N-180

with

liquid

manual.

the

display.

the

PULSE

the

OXYGEN

version

should

in

the

RATE

contact

representative.

manual

RATE

appears

show

OXYGEN

display

Nellcor’s

Service

includes

SATURATION

as a “1”

with

To

Department

personnel

or

abrasive

surfaces

or

its

power

to

penetrate

every

two

SAT

and

control

display.

in

The

PULSE

in

knob

units

Turn

the

SATURATION

“1”

showing

Technical

order

parts

or

circuit

when

servicing

or

一

一，

一，

，
一

/

17

Section

VII

MAINTENANCE

RETURNING

THE

N-180

If

it

is

necessary

Services

To

sensors.

Department

repack

Pack

available,
corrugated

strength.

Fill

to

the

N-180,

in

the

wrap

the

cardboard

the

bottom

polystyrene packing

„material

and

fill

the

return

the

for

shipping

disconnect

original

unit

in

air

carton

of

the

material.

box

completely.

monitor

instructions.

the

sensor.

shipping

bubble

with

at

carton

Place

the

Seal

to

Nellcor,

It

is

not

carton.

If

the

cushioning

least

200

psi

with

at

least 2 in.

unit

on

the

the

carton

call

Nellcor’s

necessary

carton

material.

(1,400

kPa)

(5

layer

of

with

packing

is

Locate

cm)

Technical

to

return

not

a

bursting

of

packing

tape.

X

X

、

-一

18

„X

一
一

一

一

一

一

一

一

-人

Section

STATUS

VIII

MESSAGES

TROUBLESHOOTING

WARNING:

only

with

WARNING:

user-serviceable

WARNING:

recautionary

This

section
operator
message
representative.
actions

For

those

Carefully

lists
should
to

disappear,

for

use

continued

of

Shock

parts inside.

information

status

take.

The

by

qualified

the

same

hazard.

read

messages,

If

the

contact

service

protection

type

and

rating.

Do

not

remove

Contact

the

operating

(which

recommended

manual

service

is

set

along

qualified

describes

personnel.

against

qualified

with

service

fire,

cover.

instructions

in

boldface

the

actions

personnel

additional

replace

There

service

and

type)

actions

do

not

suggested

the

fuses

are

no

personnel.

all

before

that

cause

or

use.

the

the

Nellcor’s

N-180

Status

Messages

The

following

SATURATION

Err

1

Defective
Err

Defective

Err

3

WARNING:
with
identified.
continue

Defective

qualified

Note:

showing.

missing,

2

an

data

program

“Err

to

display

service

The

N-180

However,

the

messages

and

memory.

Continue

3”

message

If a defective

use

the

or

personnel.

may

display

are

PULSE

Contact

memory.

to

N-180.

indicator,

operate

if

any

or

warning

displayed

RATE

qualified

Contact

use

the
and only
segment

or

possibly a circuit

if

any

numeric

indicators

in

the

N-180’s

displays.

service

qualified

N-180

only

if

the

defective

cannot

display

be

button

is

segment

may

OXYGEN

personnel.

service

in

identified,

pressed

personnel.

an

urgent

segment(s)

do

malfunction.

while

or

indicator

be

incorrect.

situation

has

been

not

Contact

“Err

3”

is

is

LON

~
一

一

一

>

全
Ar

19

Section

TROUBLESHOOTING

N-180

VII

does

not

turn

on.

TROUBLESHOOTING

This

section

resolving

personnel

additional
service

This

section

s

Items 1 and 2 describe

ο

Items 3 through 8 describe

e

Check

the

‧

Check

an
requires a minimum

e

Check

discusses

them.

If

the

or

Nellcor's

troubleshooting

personnel.

is

divided

AC

connections.

AC

supply.

battery

appropriate

AC

operation.

AC

fuses.

difficulty

potential

representative.

into

outlet

of

difficulties

persists,

The

information,

two

troubleshooting

general

Check

14

general

If

battery

and

turn

hours

system

that

is

on

to

oximetry

monitor

recharge

and

suggestions

contact

which

qualified

service

manual

is

for

categories:

problems.

subsystem

is

connected

discharged,

the

mains

the

for

service

provides

use

by

qualified

problems.

connect

switch.

battery

completely.

properly

N-180

The

N-180

SS

to

to

N-180
power
battery.

PULSE
indicator
and
displayed.

operates

but

SEARCH

is

pulse

not

on;

rate

on

on

SpO2

not

AC

*

The

battery

N-180

on/off

minimum

e

The

battery

battery

e

Check

the
hypotension,
arterial

e

The

sensor

be

plugged

e

There
opaque

*

The

sensor

cuff,

arterial

e

The

patient's

acceptable

e

Test

the

another

suggestions).

may

to

an

appropriate

switch

and

of

14

pack

fuse

may

patient.

severe

occlusion

may

in.

may

be

excessive

material.

may

catheter,

perfusion

pulse.

N-180

sensor

be

discharged.

AC

confirm

hours

or

battery

be

open.

The

proximal

be

improperly

be

placed

on

someone

(see

Section

that

is

required

charger

patient

vasoconstriction,

to

ambient

on

or

intravascular

may

else;
IV,

To

power

the

to

may

be

the

sensor,

applied

|

light;

an

extremity

be

too

try

“NELLCOR

recharge

outlet.

BATT

recharge

circuit

experiencing

Turn

IN

may

severe

or

cardiac

(e.g.,

cover

the

USE

the

anemia,

too

the

with a blood

line.

low

for

the

another

sensor

Sensors,”

battery,

on

the

indicator

battery

be

defective,

shock,

hypothermia,

arrest.

tight)

sensor

N-180

to

site;

for

connect

the

power

is

off.

completely.

or

the

=

or

it

may

not

site

with

pressure

detect

an

or

try

A

、
一

ο...

и

и

=

EN

20

e

The

e

Evaluate
saturation

should
service

sensor

may

performance

reading

be

40

personnel.

+1

digit.

be

damaged;

using a NELLCOR

should

If

incorrect

replace

be

81

it.

+1

digit;

readings

PT-2500

the

pulse

result,

pocket

rate

reading

contact

tester.

The

qualified

NNN

NSN

CON

Section

4.

The
Indicator
pulse,
oxygen
pulse

5.

SpO2or
change
amplitude
erratic.

VIII

pulse

tracks

but

saturation

rate.

pulse

rapidly;

indicator

amplitude

a

there

Is

no
or

rate

pulse

is

TROUBLESHOOTING

Check

the

patient.

Excessive

to

find a pulse

whether

necessary;

more

The

The
measure

Check
Excessive

to

find a pulse

whether

if

necessary;

tolerates

An

—

patient

pattern.

the

sensor

move

motion;

sensor

patient’s

the

electrosurgical

Move
unit

or

may

perfusion

saturation

patient.

patient

pattern.

the

sensor

move

more

motion;

the

N-180

as

possible.

motion

is

applied

the

sensor

set

the

be

damaged;

and

motion

is

the

unit

and

may

If

possible,

to a new

N-180

replace

may

be

pulse

may

If

possible,

applied

sensor

or

set

(ESU)

the

to a new

the

may

cables

be

making

keep

securely

for

too

rate.

be

securely

and

site;

Mode

it.

low

making

keep

and

site;

N-180

be

interfering

as

far

it

impossible

the

patient

properly

use a sensor

3.

to

allow

the

it

impossible

the

patient

properly,

use a sensor

for

Mode

from

the

for

the

N-180

still;

check

and

that

N-180

for

still;

check

and

that

3.

with

performance:

replace

replace

if

tolerates

to

the

N-180

electrosurgical

it

— © Plug

-

—

—

—

a

6.

Displayed

does

not

that

of

ECG

pulse

rate

correlate

monitor.

with

Excessive

to
whether

necessary;

more

~
<

The
the

An

the

N-180

circuits.

Move

the

electrosurgical

surgical

The

Replace

Ifusinga

sensor
Ifthe

OXISENSOR
This
interference.

find a pulse

motion;

patient

pulse

ESU

site

sensor

it.

sensor

directly

patient

sensor

patient

pattern.

the

sensor

move

or

may

rate

measurement

may

be

and

the

electrosurgical

unit

as

possible.

may

be

damp

or

extension

to

the

weighs

N-25

oxygen

has

added

motion

If

is

applied

the

sensor

set

the

N-180

have a pronounced

interfering.

cable,

N-180.

less

than 3 kg

transducer

insulation

may

be

possible,

securely

to a new

for

to

double.

Refer

ground

may

have

remove

against

making

keep

site;

Mode

dicrotic

to

discussion

unit

into

pad

as

been

reused

it

and

or

more

than

to

an

appropriate

electrosurgical

it

impossible

the

patient

and

properly

use a sensor

3.

notch,

Try

another

under

different

close

to

too

connect

40

kg,

for

still;

check

and

that

which

sensor

item

AC

the

often.

the

apply

site.

the

N-180

replace

if

tolerates

causes
site.

5.

an

21

Section

VIII

TROUBLESHOOTING

Oxygen

7.

measurement
correlate
calculated

gas

Oxygen

does

laboratory
CO-Oximeter

saturation

does

with

the

value

from a blood

determination.

saturation

not

correlate

not

with

The

SpO?

calculation

effects

more
as

_

bright

extremity
intravascular
in

Evaluate

saturation
should

Fractional

functional
N-180,
functional

of

pH,

temperature,

Check

whether

relevant

Accuracy
significant

electrosurgical

variables.

information.)

reliable

as

can

levels

light,

excessive

that

this

manual

performance

direct

be

has a blood

line.

and

reading

be 40

+1

service

personnel.

measurements

measurements

as

well

as

saturation.

Instrumentation

oximeters,

must
Refer

Operation.”

measure

be

converted

to

the

equation

may

not

PaCQ2,

calculations

(See

In
CO-Oximeter

affected

of

dysfunctional

interference,

Observe

in

should

digit.

have been

Section

general,

by

incorrect

patient

and

pressure

all

the

sensor’s

using a NELLCOR

be

If

incorrect

may

before

other

two-wavelength

Multi-wavelength

Laboratory

fractional

to

functional

for this

282

conversion

have been

2,3-DPG,

corrected

I,

“Principles

calculated

measurements.

sensor

hemoglobins,

movement,

placement

cuff,

instructions,

directions

81

+1

digit;

readings

not

have

been

the

comparison

oximeters,

oximeters,

CO-Oximeter

saturation.

measurements

correctly

or

adjusted

fetal

appropriately

of

Operation,”

saturation

application

intravascular

venous

arterial

PT-2500

the

result,

pulsations,

of a sensor

catheter,

warnings,

for

use.

pocket

pulse

rate

contact qualified

converted

was

and

Fractional

for

in

Section

for

the

hemoglobin.

for

for

values

or

are

not

use,

dyes,

on

an

or

:

and

cautions

tester.

reading

to

made.

The

measure

such

as

the

Corning

measurements

CO-

comparison.

II,

“Principles

The

of

Close

correlation requires

oximeter

Evaluate

saturation
should

service

measurements

performance

reading

be

40

+1

personnel.

from

using a NELLCOR

should

digit.

If

incorrect

simultaneous

the

be

81

+1

same

digit;

blood

arterial

readings

sampling

supply.

PT-2500

the

pulse

result,

and

pocket

rate

contact

tester.

reading

qualified

pulse

The

一

EN

22

Section

IX

CONFIGURATION

SPECIFICATIONS

Components

Readout

Controls

PERFORMANCE

Range

Accuracy

Oximeter

foot

Two

rate.

amplitude).

SAT,

ALARM

unit,

sensor

extension

three-digit

Sixteen-segment

LOW

SAT,

OFF.

NEONATAL
Control

select

Rear-panel

settings,

knob

alarm

switches

RS-232

Saturation:

Pulse

Rate:

Saturation

(%SpO2

Adults

hospital-grade

cable.

green

and

display

Annunciators

HIGH

RATE,

Annunciators

alarm

limits.

to

adjust

volume

limits

and

disable

for

mains

format,

and

0-100%

20-250

bpm

+1

standard

SpO2

power

red

for

for

LOW

for

baud

(beats

70-100

50-69

0-49

cord,

displays

pulse

amplitude

BATT,

and

LOW

LOW

BATT,

and

set

alarm

audio

alarm.

power

on/off,

rate.

per

minute)

deviation)

%
%
%

and

NELLCOR

for

oxygen

indicator

PULSE

RATE

alarms, and

BATT

limits,

adult/neonatal

Accuracy*

£2

unspecified

EC-8

saturation

(pulse

SEARCH,

IN

USE

and

|

and

five

digits

+3

digits

eight-

and

pulse

HIGH

AUDIO

buttons

alarm

to

Neonates:

Pulse

20-250

Note:

The

N-180

tion

(%SpOz)

Laboratory
hemoglobins

curacy

tra-vascular

the

accuracy
promised
intense

*Accuracy
measurements

Testing
oximeters

of

282

CO-Oximeter.

(e.g.,

of

the

instrument.

dyes,

of

the

by

excessive

environmental

is

based

across

to

verify

with

D-25
Instrumentation
with

other

NELLCOR

70-95

%

Rate

bpm

pulse

oximeter

functional

is

hemoglobin

Significant

carboxyhemoglobin,

Indocyanine

depending

instrument.

upon

patient

Instrument

movement,

illumination.

on

testing

the

specifications

sensors

Laboratory

sensors,

with

population

is

done

previously

CO-Oximeter.

refer

calibrated

to

as

compared

levels

methemoglobin)

green,

their

methylene

concentrations,

performance

electrosurgical

an

OXISENSOR

will

be

within

against

validated

For

to

the

sensor’s

+3

digits

Accuracy

+3

bpm

read

oxyhemoglobin

to

an

Instrumentation

of

dysfunctional

may

blue,

may

may

interference,

D-25;

68%

+1

standard

NELLCOR

for

specification

directions

N-100

accuracy

satura-

affect

the

and

other

interfere

also

be

com-

of

the

deviation.

pulse

against

of

accuracy

for

use.

ac-

in-

with

or

an

23

Section

IX

SPECIFICATIONS

Sensors

Type:

Wavelengths:

Heating:

Patient

Size:

Compatible

OXISENSOR,

DURASENSOR

660

nm

(red,

Sensor

power
dissipation
temperature

Nellcor

sensor

provides a range

has a recommended

Sensor

OXISENSOR

with

NELLCOR

OXIBAND,

oxygen

nominal),

dissipation;

by

LEDs

(typically

rise).

sensors

Reflectance,

transducers.

920

nm

(infrared,

less

than

less

than

of

oxygen
weight

Model

N-25

1-20

D-20

D-25,

D-25L

including

and

nominal)

50

mW

total

1°C

transducers.

range.

Patient

<Зог>

40

1-20

kg

10-50

kg

>

30

kg

heat

Each

Size

Кё

Alarms

Audio
low
for

and

pulse

detected

disabled

disable

can

the

be

turned

user

period

OXIBAND

DURASENSOR

Reflectance

visual

alarms

rate,

and

loss

pulses

for a 60-second

that

can

off

the

and

be

changed

(for

permanent

audible

for

of

pulse.

the

volume

period

alarm

high

Audio

with

to

30-120

disable)

is

disabled.

R-15

OXI-A/N

OXI-P/I

DS-100A

RS-10

and

low

alarms

is

adjustable.

the

AUDIO

seconds,

with a visual

oxygen

are

>

50

<3or>50kg

3-40

>40

>

40

saturation,

interrupted
Audio
ALARM

or

the

alarms

OFF

disable

warning

kg

kg

kg

kg

high

briefly

can

button;

timer

to

一

一

and

be

alert

24

Section

Alarms

IX

(continued)

SPECIFICATIONS

The

initial

default

Nellcor

Adult

High

Low

High

Low

are

Mode:

Sat:

Sat:

Rate:

Rate:

as

follows.

alarm

High

100%

85%

140

55

settings

and

low

bpm

bpm

that

are

in

alarm

(adjustable

(adjustable

(adjustable
(adjustable

effect

limits

20-100)

20-100)

20-250)
20-250)

when
cannot

the

N-180

overlap.

leaves

Neonatal

High
Low
High
Low

Audio

Pulse

When a sensor-derived
each

proportional

Modes

Three

RATE/HIGH
Model:

Mode

Mode

Switches

TS,

一

oN

一

一

一

一

Data

Output

Eight

Digital:

Mode:

Sat:

Sat:

Rate:

Rate:

detected

to

response

normal

2:

fast

3:

slow

no

for

digital

Switch

1

2

3,

4,5,

6

7,8

pulse;

volume

oxygen

modes,

RATE

buttons.

response

response

response

pulse

output,

Section

95%
80%

200

bpm

100

bpm

signal

is

present,

is

adjustable

saturation.

selected

by

(5-7

(2-3

seconds)

(10-15

tone)

adult/neonatal

(adjustable
(adjustable

(adjustable

(adjustable

an

audio

with

the

control

seconds)

seconds,

pulse

alarm

Function

Adult/neonatal

RS-232

not
Baud

format

used

rate

20-100)
20-100)

20-250)

20-250)

beep

control

knob

and

rate

not

limits.

alarm

select

sounds

knob;

pitch

LOW

displayed,

settings

with

is

*

Type:

e

Connector:

e

Baud

Rate:

*

Formats:

一

一

一

一

一

一

一

一

一:

[全

RS-232
9-pin

D-type,

Switch-selectable,

Conversation

sub-miniature,

and

2400,

4800, 9600,

computer

female

and

19,200

25

Section

IX

SPECIFICATIONS

ENVIRONMENTAL
REQUIREMENTS

Temperature

Atmospheric

Humidity

Altitude

ELECTRICAL
CHARACTERISTICS

Protective

Equipment

Voltage

Pressure

Class

Type

N-180:

Sensor:

700-1060

500-1060

0-90%

3,048

Class

Type

220-240 V ~

operating

m

I

BF:

mbar

operating

mbar

storage

without

patient

,50

Hz

50-104'F

(10-40°C)

32-122 F (0-50°C)

Within
for

electrically

physiologic

accurate

condensation.

isolated

operating

storage

range

measurement.

82.4-107.6'F

(28-42

で )

一

NON

x

Power

Consumption

Battery

PHYSICAL
CHARACTERISTICS

Dimensions

Weight

Maximum

Type:
Battery

Life:

Recharge

2.9

in.

high x 8.5

6.6

lb

(3

rating:

Period:

kg)

25

VA

Lead-acid
6

hours

14

in.

wide x 9.5

hours

battery

minimum

minimum

in.

deep

pack,

1.9

AH

on

full

charge

(74 x 216 x 241

mm)

一

EŞ

O

、

一、

一

-全

NON

人

26

人

人

人

人

人

人

人

TS

X

X

—

X

X

x

WARRANTY

WARRANTY—FOR

Nellcor
NELLCOR
from

defects
initial

under
which

connection
Nellcor's

replace

'

determines
workmanship
circumstances

To
contact
a

Outside
distributor.

warrants

Nelicor

in

shipment

this
are

only

any

request

Nellcor

returned

the

N-180

workmanship

warranty

not

with

repair

goods

U.S.,

REPLACEMENT

to

the

initial

purchaser

pulse

oximeter

or a Nellcor-authorized

and

to

the

Purchaser.

does

not

new

are

subject

the

sale

of

obligations

Warranted

to

be

covered

or

materials

set

forth

or

or a Nellcor-authorized

authorization:

contact

Nellcor

under

Product

by

below.

replacement

the

offices

(the

materials

Repair

extend

to

warranties

such

products.)

this

(or

this

warranty

and

(2)

under

local

Nellcor

outside

(“Purchaser”)

“Warranted

distributor

for

one

or

replacement

the

warranty

warranty

part

thereof)

and

to

provide

this

distributor

office

the

United

OR

REPAIR

that

Product”)

will

be free

year

from

period.

expressly

are

to

loaner

warranty,

or

States

provided

(1)

to

that

Nellcor

be

defective

equipment

Purchaser

as

follows

Nellcor-authorized

are:

each

purchased
from

the

date

of

Products

(Products

repair

or

reasonably

in

to

new

of

its

in

in

the

must

request

Nellcor

ンー

一

-个

グー

一
一

一

一

一

一，

一

一

's-Hertogenbosch,

The
Tel.

Nellcor

Jouy-en-Josas,

France

Tel.

Nellcor

Coventry,

United

Tel.

If,

on
reasonably
will

authorize
thereof)
or

an

rather
use

by

is

at

Nellcor’s
repair
Products
course

make

Europe

B.V.

Netherlands

31.73.426565

S.a.r

1.

33.1.39.46.96.58

(U.K.)

Ltd.

West

Midlands

Kingdom

44.203.690220

the

basis

of

the

information

believes

to

Nelicor.

authorized

than

replaced,

Purchaser

or

replace

or

parts

of

warranty

engineering

that

Purchaser

For

distributor:

Nellcor

during

facility

for

Products

replaced

service,

improvements

the

defect

to

return

countries

if

the

will

the

period

service.

and

parts

shall

become

Nellcor

Nellcor

Idstein,

GmbH

Germany
Tel.

49.6126.5930

Nellcor

Kowloon,

Hong

Tel.

provided

is

covered

the

where

Warranted

Limited

Kong

852.7355618

by

Purchaser,

by

this

Warranted

Nellcor

has a direct

Product

Product

ship a comparable

that

the

Warranted

Nellcor

to

shall

covered

Nellcor’s

may,

but

the

Warranted

determine

by

this

property.

shall

warranty,

is

to

loaner

Product

whether

warranty

not

be

required

Product

Nellcor

Nellcor

(or

part

sales

be

repaired

product

or

and

In

the

or

part

office

for

part

to

all

to,

thereof.

oo.

27

WARRANTY—FOR

REPLACEMENT

OR

REPAIR

Loaner

SHIPPING

EXCLUSIONS

Policy

PROCEDURES

Purchaser
equipment
loaner

replaced
returned

not
then
equipment

If

Nellcor

by

the

Product

shipping

shipments

Product.

Products
packaged

in

unsuitable
receipt
have

This

thereof
bcen

but

used
nonstandard

removed
disassembled,
unless

is

while

equipment

Product

by

return

loaner

Purchaser

or a reasonable

reasonably

warranty,

and

costs

under

shipped

to

by

Nellcor

occurred

warranty

that

damaged

not

limited

in

violation

or

authorized

responsible

Purchaser

the

protect

have

accessory

made

it

is

at

within

or

receiving

is

equipment

agrees

to

determines

Nellcor

repaired

shall

be

paid

this

warranty

by

Purchaser

the

Product.

packaging,

(and

not

in

transit

does

not

extend

been

subject

by

causes

to

failure

of

Nellcor’s

attachment;

illegible;

serviced,

by

Nelicor.

for

any

damage

Purchaser’s

10

days

after

notice

not

covered

within

pay

Nellcor

daily

rental

that a repair

shall

bear

the

or

replacement

by

Purchaser.

shall

under

If

Purchaser

any

physical

previously

and

will

be

to

any

to

misuse,

external

of

or

reassembled

to

or

faulty

instructions;

on

or

that

have been

to

or

loss

location.

from

by

20

the

be

this

damage

reported)

the

Purchaser

receiving

Nellcor

the

warranty.

days

after

reasonable

fee,

whichever

or

costs

of

shipping

Product

Risk

of

borne

by

warranty

ships a Product

present

responsibility

Warranted

neglect

the

Warranted

electrical

which

that

by

power;

have

the

modified

anyone

of

any

loaner

must

the

repaired

that

the

Product

If

Purchaser

the

return

value

replacement

due

of

Nellcor

the

to

Purchaser.

loss

or

damage

the

party

shipping

shall

be

in

the

will

be

presumed

of

Purchaser.

Products

or

accident;

Products,

serial

other

that

been

number

or

than

or

have

affixed

improperly

return

or

does

date,

the

loaner

selects.

is

covered

loaner

All

other

during

suitably

to

Nellcor

Product

to

parts

that

have

including

been

to

any

has

been

Nellcor,

the

on

Nellcor
transducers,
are

from a person
(c)

Nellcor.
Nellcor

performance
readjustments,
other
service

comply

international

Product

In

death
only

to

products

makes

not

Warranted

no

any

other

other

with

respect

will

than

on

with

to

not

be

of

the

modifications,

Nellcor

Nellcor's

the

requirements

standards,

is

not

used

the

event

of a defect

of

any

actual

to

the

extent,

manufacturers

to

in

which

warranty

Products,

than

any

responsible

Product

or

behalf;

(a)

disposable

Nellcor

product

if:

persons

or

including

in

accordance

in

the

person,

that

general

the

or

such

liability
and

Product

with

(b)

respect

products

with

to

or

respect

OXISENSOR
any

to

any

or a Nellcor-authorized

sold

under a brand

for

the

effect

on

safety,

(a)

assembly

or

repairs

authorized

(b)

the

electrical

of

the

applicable

requirements

with

Product,

damage

is

to

manufacturers

operations,

are

carried

by

Nellcor

installation

Nellcor’s

Nellcor

to

will

property,

mandated

national

of

instructions

under

of

belongs.

other

products

products

distributor

name

other

reliability,

extensions,

out

by

persons

to

perform

does

and

the

IEC;

or

be

liable

to

the

extent, but

laws

the

category

oxygen

that

purchased

or

than

and

repair
not

(c)

the

for

use.

for

injury

or

applicable

of

PENN

一
一

一

一

一

一

一

一

一

一 一

一

一

一

28

一

全

os

X

一

WARRANTY—FOR

THIS

WARRANTY,
WRITTEN
THE
PRODUCTS,

EXPRESSLY
INCLUDING
OF

MERCHANTABILITY
PURPOSE.
INCIDENTAL,
EXPENSE
DIRECTLY
TO

SELL,

SOLE

WARRANTY

AND

EXTENDS

IN

WITHOUT

NELLCOR

(INCLUDING

OR

USE

OR

REPLACEMENT

TOGETHER

THAT

EXCLUSIVE

ONLY

LIEU

OF

ANY

LIMITATION

SHALL

SPECIAL

INDIRECTLY

LOSS

OR

WITHOUT

OF

WITH

MAY

WARRANTY

TO

THE

ORAL

OR

FITNESS

NOT

BE

CONSEQUENTIAL

LIMITATION

ARISING

USE

OF

ANY

OR

REPAIR

ANY

OTHER

BE

ISSUED

AS

BY

NELLCOR,

TO

NELLCOR’S

PURCHASER

OR

IMPLIED

ANY

WARRANTIES

IMPLIED

FOR A PARTICULAR

LIABLE

FOR

ANY

LOSS,

LOST

FROM

THE

SALE,

PRODUCT.

EXPRESS

AND

IS

WARRANTY

DAMAGE

PROFITS)

INABILITY

IS

OR

一

NN.

一
一

一

一

一
一

一

一

一 一

一

一

一
个

29

“0

NS

м

>

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