Use Guide completely before using the monitor. This Home Use Guide provides you
withbasic reference information for proper useofthe monitor. This manual is
replacement for the N-200 Operator's Manual or for the training your
provider or
Read this manual carefully
home
provider company will provide for you.
BEFORE
using the monitor. Read all warnings and cautions
home
not
care
a
(inboldfacetype). If you do not understand any partof the manual or the warnings and
cautions, ask
monitor.
This monitor canbeused
your
home
care provider or
Intended
home
provider
Use
company
before using the
for patientsofallages. It measures blood oxygen saturation
levels and pulserate continuously. It sounds an alarm and an alarm light blinks when
detected oxygen levels or pulse rate are above or below the alarm settings. The N-200
monitor
This monitordoes
hemoglobin. Therefore, this
poisoning or
oxygen.
maybeused
not
any
other
withorwithout
ECG synchronization.
distinguish between normal hemoglobin and abnormal
monitor
situation that
should
may
decrease
notbeusedincasesofcarbon
the
hemoglobin's
capability to carry
monoxide
The N-200 monitoris
not
intended
for use as an infant apnea (stopped breathing)
monitor. If required, your patient's doctor will prescribe special
apnea.
Federal
law
restricts this device to salebyor on the orderofa physician.
equipment
for detecting
Page 6
A
qualified
providing
health
adequate
Your
care
professional
care
for
your
Home
(calledahome
patient.
Care
Your
Provider
care
home
care
provider)isessential
provider
will:
for
•Provideyou with amonitor, pulsesensors, and
•Trainyou how to use yourmonitor,
•Teach
you
how
to respond to alarms
If you have any questions,ask your home
sensors,
care
provider.
and
Definitions
Alarm
Battery
ECG
Charger
Monitor
Hemoglobin
Home
Care
Provider
The tone you
flashes
when
A devicebuilt insideyour monitor that allows you to plug
the monitor into a standard wall socket (3 prong)
recharge the monitor's internal battery.
A monitor that displays electrical signals from the heart,
through
rate).
The part of the red blood cellthat carries oxygen.
Health
care
hear
fromthe monitor and the indicatorthat
an
abnormal
electrocardiogram
professional who supplies the monitor, provides
trainingon its use, and does follow-up and maintenance
checks.
accessories
accessories
conditionisdetected.
(ECG),
asheart
rate
and
(notpulse
Interface/Powerbase
Monitor
Oxygen Saturation
Oxygen
Transducers
The
sectionofthe monitor that allows
be
used
to
run
the
monitor.
AC
electrical power to
The partof the pulseoximetry system that receivessignals
from the detectoron the pulse sensor. The system then
measures, displays,and comparesthe readings to the alarm
settings. The monitor sounds an alarm
when
the oxygen
saturation level or pulse rate are outside the alarm settings.
A measure of the amount of oxygen actually carriedin the
blood, compared to the amount it
See pulse
sensor.
could
carry.
Page 7
Patient
Module
The
connecting cable
between
the
pulse
sensor
monitor. If using ECGequipment, the patient
also
be
with
usedtosynchronize
the
ECG signal.
the
saturation
measurement
and
the
module
may
Perfusion
Pulse
Oximetry
Pulse
Sensor
Synchronization
Standby
The
amountofblood in a particular area,
leg. Poor perfusion indicates that
occurs
A
The partofthe pulse oximetry
and
Using
in
the
area.
methodofdetermining
receives
signals from
the
light.
more
oxygen
than
system
one
synchronize the pulse oximeter's
enhances
oxygen
has poor perfusion or is
A condition controlled
off
monitor
retains data stored in
measurement,
functions,
moving
by
the
but
allows
memory.
ON/STDBY
suchasthe
very
little
blood
saturation levels.
that actually sends
source
oxygen
especially
and
using
measurement.
when
around.
switch that turns
battery
charging
flow
the
and
arm or
them
This
patient
to
Page 8
What
You
Need
to
Know
About
the
N-200
(Safety
Readthis manual carefully
cautions
NEVER
(in
boldface
USEAMONITOR
type).
CORRECTLY. Contactyourhome
tested
The
backup in
minutes if fully
off
Alwaysuse
monitor
or replaced.
N-200
automatically.
should be pluggedinto awalloutletatalltimes.The batteryis only
case
of power failure. The batteryprovidesoperationforup to 90
NELLCOR
nottowork
charged.
correctly.
Incorrect applicationoruse of the pulse sensors may
readings. DoNOT wrapthe pulse
BEFORE
THAT
After the batteryhasdischarged, the monitorturns itself
pulse
sensors.
Information)
using the monitor. Readall warnings and
YOU
care
sensors
SUSPECT
IS
NOT
WORKING
providerimmediately to have the monitor
Using
anyother pulse
cause
sensor
tissue damage or
tootightly orapply
extra
may
tape.
cause
Check
the sensor site every4 hours forredness or swelling. Do not placethe sensor
somewhere
itisnot
intended
to
be
used.
Excessive light (such as fluorescent lamps ordirectsunlight) may causethe
monitornot to
of
dark
clothtoblock
work
correctly. If this happens, coverthe sensor
the
extra light.
area
with
a piece
for
the
false
DO NOT reuse disposable pulse sensors.Dispose of them as instructed.
DO
NOT
DO NOT change the alarmsettings that your home
get pulse sensors
wet
or they may not work correctly.
care
provider has directed you
to use. Check the settings at least oncea day or whenever you turn the monitor on.
When
standard values (see
directed
Never
you do so youmay not
alarm,besuretoturnitback
Be sure
For
and
Shock
the
monitor
by
your
turn
the audio alarm
you
can hear the alarm from wherever
continued
rating.
hazard.
is turned
Appendix
home
protection from fire, replace fuses
DO
NOT
off
and
A). If necessary, return settings to
care provider.
off
when
know
remove
when
on
before
the
then
back on, all alarm settings return to their
you arenot in the room
an
alarm
cover
condition occurs.If you disable the
leaving
of
the
the
room.
you
arein the house.
only
with
monitor.
the
values
with
the patient. If
thoseofthe
same
type
Page 9
DO
NOT
caustic cleaners
place
the
monitorinwater or
on
the
monitororpulse
any
other
sensors.
liquid.
Do
NOT
use
abrasive or
Remove
the
pulse
sensor
before
bathing
the
patient.
Page 10
How
the
N-200
Works
Your
oximeter.
patient's
doctor
has
decidedtoplace
Thisdevice usesatechnique
oxygenin the blood continuously.
Pulse
manual),
Figure 1.
oximetry
requires
three
apatientmodule,andan
Pulse
Patient
Module
parts:anoxygen
Sensor
I
IH)^
Figure 1:The pulse sensor, patient module, and monitor are
a
pulse
oximetry
called
oximeter
system.
your
patient
pulse
transducer
ona
oximetry
(calledapulse
device
tomeasure theamountof
(calledamonitorinthis
Monitor
ECG
equipment
is optional.
calledapulse
sensorinthis
manual).
w
a
SB
US
the
Refer
three parts of
to
The plastic
reusable
sensor
gentlysandwiches an
area
of thebody thathasa lotofblood
flow near the surface. Reusable plasticsensorsmay be used on a fingeror an
Disposable
foot.
adhesive
sensors
maybeusedon the
bridge
of the
nose,atoe,
ora
adulf
bab/s
s toe.
Page 11
Pulse
Sensor
Figure 2:
Infrared light (which
The
pulse
sensor
lotofblood
reusable
you
cannot see) and red light are sent from onesideofthe pulse
flow
plastic
near
sensorisshown
sensor to theother side through the skin.
light is absorbed
light
not
absorbed is measuredbya detectoronthe other sideofthe sensor (see Figure 3).
by
the
hemoglobin
Light
source
(the partofthe blood cell that carriesoxygen). The
Tissue
gently
the
When
containing
pulsatile
sandwichesanareaofthe
surface.Atypical
biood
above.
body
that
applicationofthe
has
this light passes through the blood, some
Pulse
Sensor
a
Figure
&
Detector
3.
Someofthe
The
sensor.
remaining
light is
light
Tissue
pulsatile
absorbed
reaches
containing
blood
whenitpasses
the
detector
on
through
the
other
the
blood.
sideofthe
Page 12
Thepulse
sensor
thensendsinformation ontheamount oflightnot
the patient moduleto themonitor
saturationlevel and the pulse
alarm settings.
rate,
(see
Figure
4).
Themonitor
absorbed
calculates
through
theoxygen
displaysthe readings, and compares them to the
Monitor
•bnraBt
computes
the
alarm
the
monitorthrough a patient
the
amountofoxygeninthe
settings.
Figure 4:
Pulse
The
module.
blood
Sensor
sensor
and
sends
The
comparesitto
information to
monitor
»S
then
If eitherthe oxygen saturationorthe pulserategoesaboveorbelow the alarmsettings,
an
alarm
the monitor's front panel,(see
settings. If you turnthe monitoroff andbackon,besurethatyou checkthe
sounds from a loudspeaker in thebottom of the monitor and a light flashes on
Figure
5).
Your patient'sdoctordetermines these alarm
alarm
settings and adjust them if necessary.
Monitor
Alarm
tone
sounds
The monitor
Figure 5:An alarm
the
may
have problems making measurements if your patient has poorblood
pulse
occurs
rate
goes
when
flow or is moving around a lot. Your home
obtain the correct patient module for
8
ECG
G\l
fiS
either
the
oxygen
aboveorbelow
care
providerwill help to determine this and
synchronization (seeFigure
saturation In
the
limits.
6).
the
blood
or
Page 13
wajLEoa
•"
i
plug ECG
patient
Figure
6:A
three-lead
allow
ECG
ECG
and
cable
pulse
maybeconnected
sensor
If you are using an ECG monitor in addition to the N-200, it
cable
into
module
signalstobe
to
the
patient
synchronized.
module
to
maybepossible to use a
synchronization signal from the ECG monitor to synchronize the N-200's measurements
to the patient's heartbeat. Ask your home care provider to determine if this can be done.
WARNING:
ACT
when
The monitor cannot
safe level or
your
that may be life-threatening. You
This
monitor
acts as an early
warning
device.
the alarm sounds. The monitor cannot act for you.
prevent
patient's
your
heart
patient's oxygen saturation levels from falling below a
from stopping. It will, however,
must
respond to alarms immediately.
warn
You
must
you
of situations
Page 14
Setting
Up
Unpacking
and
Inspection
Caution: Notify the carrier if the monitor shipping carton is damaged.
Do
NOT
useadamaged
monitor.
Carefully unpack the monitor and its accessories. The packages should contain:
one
N-200
one
interface/powerbase
one
hospital-grade power cord
one patient module
ECG)
pulse sensors (alsocalled
this
home
monitor
use guide
(N-200
minipatient module or
oxygen
transducers)
N-200
patient module with
Ifany of these items is missing,contactyour homecareprovider immediately.
Note: Always have an extra pulse sensor available. If you do not have an extra,
Where
Not
contact
to
your
Place
home care provider.
Your
Monitor
Follow these guidelines for placing your monitor:
WARNINGS
DO
NOT
DO
NOT place the monitor on a carpeted floor. The alarm
by
the
DO
NOT
television
affect
DO
NOT
on
the
DO
NOT
condense
Place
Be
sure
place the monitorinthe crib or
carpeting.
place the monitor on or near electrical
sets,
the
radios,
monitor
microwave
and
cause
ovens,orelectric
it to
work
improperly.
place containers of liquid on or near the monitor. Liquids spilled
monitor
place
on
the
monitor
that
the
you
may
cause
the
monitoronor
monitor
where
can
hear
it to
and
the
the
work
near
cause it to
pulse
sensor
monitor
improperly.
a vaporizer.
alarm
bed
work
can
with
your
equipment
heaters.
Moistureinthe
improperly.
reach
from
your
anywhereinthe
patient.
maybemuffled
such as
These
may
air
patient
easily.
house.
may
10
Page 15
Pulse
WARNINGS
Sensors
Always
cause
Incorrect
false readings.
tape.
place
Excessive light (such as fluorescent lamps or direct sunlight)
monitor
pieceofdark cloth to
Remove
pulse sensor to get wet.
use
NELLCOR
the
monitor
applicationoruseofthe
DO
Check
the
the
sensor
sensor
nottowork
the
somewhere
pulse
pulse
nottowork
NOT
site
correctly.Ifthis
block
sensorbefore bathing
sensors. Using
correctly.
wrap
the
every
it is
the
4 hours for redness or
not
extra light.
any
pulse
pulse
sensors
sensors too
intendedtobe
happens,
the
patient
other
may
cover
pulse
cause
tightlyorapply
swelling.
used.
the
DO
sensor
tissue
may
sensor
NOT
__
may
damage
DO
cause the
area
allow
extra
NOT
with
the
or
a
Using a Pulse Sensor
Nellcorprovides several types of pulse sensors (alsocalled
pulse sensors are disposable and others canbe reused. Yourhome careprovider has
determined
whichisthe
best
typeofpulse
sensor for
your
Followyour home care provider's instructions on how to use the pulsesensor.
oxygen
patient.
transducers).
Some
Cleaning
If
you
are
•Clean the pulse sensor with a disinfectant, such as
•Gently
If
you
are
•DO
•DO
Your
Pulse Sensor
usingareusable
wipe
using
NOT
NOT
the sensor
disposable
clean disposable
get
disposable
pulse
sensor:
withadamp
pulse
sensors:
sensorsorthe
pulse
cloth.
sensors.
tape
wet.
70%
isopropyl alcohol.
•Dispose of pulse sensors as directed by your home care provider.
11
Page 16
The
Parts
of
the
Monitor
The N-200 monitor can be used with any model
shouldbe run only on AC
into a standard, grounded wall outlet(3slots). In caseof power failure, the monitor
berun on its internal battery
when the monitor is connectedto AC power.It takes 14hours to recharge fully after^
operatingonbattery power.^
The
N-200
•
•
The
momtor
notattempt to
N-200
patient;
N-200
connected to the
monitor
N-200
N-200
will
patient
mini
mustbeused
module
patient
not
connectapulse
patientmodule with
N-200
mini patient module, an
mini
patient
ECG
Nomatter whichpatient moduleis
flasha light
above the alarm settings. The monitor will alsoalarm if the pulse rate goes above or~
falls
below
when
the
the oxygen levels (detectedby light absorption)
alarm settings.
electrical
module
work
with
IN/OUT
powerby plugging thehospital-grade powercord
for
up to90minutes. The internal batteryis
with
oneofthe following patient modules:^
with
ECG
any other
kindofpatient
sensortoany
ECG
may be connected to
module
cannot.
ECG
lead
connector
used,
from
on thebackofthe
themonitor willsoundan
NELLCOR
connector
(If
you
wishtouseanECG
abedside
pulse sensor. The monitor/^
may
recharged
moduleorwithout
onthe
ECG
monitor's
leadsconnectedto the
ECG
monitor mustbe^
N-200
monitor.)^
audible
fall
signal
below orgo^
one. Do^
rear
panel.
alarm
The^
with
the
and^
Besides
This information canbeprinted on a printer having a serial input.
the
alarm
functions,
the
N-200
monitor
saves12hoursoftrend
12
information.
Page 17
Technical
Update
Instruments:
Description:
Number
Battery
NELLCOR®
Nellcor Technical
cal andClinical Engineersoftimely
Capacity
Pulse
Updates
Testing
Oximetry
are
intendedtoinform
serviceand maintenance
for
Products
Biomedi
issuesregarding Nellcor products. These updatesaredistrib
uted
to customers
tionalcopies
cal
Servicesat1-800-NELLCOR
corporate
NELLCOR
function
NELLCOR
maybe
offices
N-100, N-200,
monitor.
monitors are equipped with sealed lead-acid batteries. Electrical
who
own
the
identified
requestedbycontactingNellcor
at 510 887-5858.
and
N-250 pulse oximeters
(inside
the
U.S.
products.
Techni
A.),orNellcor
and
Addi
N-1000 multi
specifications for each monitor can be found in the operator's manuals.
Battery capacity decreases over time
ture,
the
depth
battery
of discharge
periodically ensures battery
and
number of charge/discharge cycles. Replacing
due
to several factors such as tempera
operation
when
needed.
A periodic
battery capacity check is also recommended. The time interval for this check
how
the
unit
is left to the discretion of the customer. Depending on
the customer
may
wish to perform a batterycheck as often as every 6 months.
is used,
This check should also include inspection of the batteries' physical condi
tion. Anybatteries with signs of leakage or corrosion should be replaced.
Refer to the applicable "Battery Capacity Test" below for instructions on
testing battery capacity. Regardless of periodic test results, Nellcor recom
mends
replacement of lead-acid batteries every 2 years. Replacement
batteries can be purchased through Nellcor Technical Services.
2
Battery Capacity
Test,
N-200:
This test requires that the unitbe fully charged for 14 hours. Use the
following procedure:
1. Place the N-200 in either
ONorSTDBY
mode, ensuring that the instrument
is plugged into an operational, properly grounded AC outlet. (Ifan N-200
220-240V monitor is being tested, the MAINS switch on the powerbase
rear panel
must
be on.)
2. Charge the battery for a minimum of 14hours.
3. Test the N-200for operation in the battery mode (unplugged from AC
power). The operating time in battery
minutes.
mode
must
be a
minimum
of 45
Page 18
Battery CapacityThis test requires that the unit be fully charged for 14hours. Use the
Test, N-250:following procedure:
1. Place the N-250in either ON or
STDBY
mode, ensuring that the N-50inter-
face/ECG momtor is plugged into an operational, properly grounded AC
outlet
and
the mains switch on the N-50 rear panel is in the
ON
position.
2. Charge the battery for a minimum of 14hours.
3. Testthe
power). The operating time in battery mode
minutes.
N-250
foroperationin thebattery mode (unplugged from AC
must
be a minimum of45
Battery CapacityThis test requires that the unitbe fully charged for 8 hours. Use the
Test, N-100:following procedure:
1. Placethe
N-100
in either the ON or
STDBY
mode, ensuring that the
instrument is plugged into an operational, properlygrounded AC outlet.
(Ifan N-100
panel
must
220-240
be on.)
V unit is being tested, the MAINS switch on the rear
2. Charge the battery for a rninimum of 8 hours.
3. Test the
N-100
for operation in battery mode (unplugged from AC
power). The operating time in battery mode mustbe a minimum of 60
minutes.
Battery CapacityThis test requires that the unit be fully charged for 14hours. Use the
Test, N-1000:following procedure:
1. Placethe
N-1000
in either ON or
STDBY
mode, ensuring that the instru
ment is plugged into an operational,properly grounded AC outlet.
2. Turn on the
power
3. Charge the batteryfor a minimum of 14hours.
4. Testthe
N-1000
MAINS
indicator illuminates.
N-1000
for operation in battery mode (unplugged from AC
switchand verify that the rear-panel AC
power). The operating time in battery mode must be a minimum of 15
minutes before the monitor powers down.
Note:The message "WARNING: POWER DOWN ISIMMINENT DUE TO LOW BATTERY
VOLTAGE"
appears before actual power-down; the 10-minutebattery test period
applies to monitor power-down, not appearance of message.
Ifany unit doesnot meet the specified batteryoperatingtime,furthertestingor repair may be
necessary. Only qualified service personnel or Nellcorrepair facilities are recommended for
testing orrepair. If you encounter problems or have questions regarding this update, contact
specifications for each monitor can be found in the operator's manuals.
Battery capacity decreases over time
ture,
depth
of discharge
and
number of charge/discharge cycles. Replacing
the battery periodically ensures battery operation
battery
capacity check is also recommended. The time interval for this check
is left to the discretion of the customer. Depending on
due
to several factors
such
when
needed. A periodic
how
the unit is used,
as tempera
the customer may wish to perform a batterycheck as often as every 6 months.
This check should also include inspection of the batteries' physical condi
tion. Any batteries with signs of leakage or corrosion should be replaced.
Refer to the applicable "Battery Capacity Test" below for instructions on
testing battery capacity. Regardless of periodic test results, Nellcor recom
mends
replacement of lead-acid batteries every 2 years. Replacement
batteries can be purchased through Nellcor Technical Services.
Battery
Test,
Capacity
N-200:
This test requires that the unit be fully charged for 14 hours. Use the
following procedure:
1. Place the N-200in either ON or
STDBY
mode, ensuring that the instrument
is plugged into an operational, properly grounded AC outlet. (Ifan N-200
220-240V monitor is being tested,
rear
2.
Charge
panel
the
must
battery
be on.)
for a
minimum
3. Test the N-200 for operation in the battery
power). The
minutes.
operating
time in battery
the
MAINS switch on the powerbase
of 14 hours.
mode
mode
(unplugged from AC
must
be a
minimum
of 45
Page 20
Battery CapacityThis test requires that the unit be fully charged for 14hours. Use the
Test,
N-250:
following procedure:
1. Placethe
N-250
in either ON or
face/ECG monitor is plugged into an operational, properly grounded AC
outlet and the mains switch on the N-50rear panel isin the ON position.
2. Charge the batteryfor a minirnum of 14hours.
3. Test the N-250for operation in the battery mode (unplugged from AC
power). The operatingtime in battery modemustbe a minimum of 45
minutes.
BatteryCapacityThis test requires that the
Test, N-100:following procedure:
1. Place the N-100in either the ON or
instrumentis plugged into an operational, properly
(Ifan N-100
220-240
Vunit is being tested, the MAINSswitch on the rear
panel must be on.)
2. Charge thebattery for a
3. Test the N-100 for operation in battery
power). The operating time in battery
minutes.
STDBY
unit
be fully charged for 8 hours. Use
minimum
mode, ensuring that the N-50inter-
STDBY
mode, ensuring that the
of 8 hours.
mode
mode
(unplugged from AC
must
grounded
be a
minimum
the
AC outlet.
of 60
Battery CapacityThis test requires that the unit be fully charged for 14hours. Use the
Test, N-1000:following procedure:
1. Place the N-1000 in either ON or
ment
is plugged into an operational, properly
Turn
2.
on the N-1000MAINS switch
power
indicator illuminates.
STDBY
and
mode, ensuring
grounded
verify
that
the rear-panel AC
that
the instru
AC outlet.
3. Charge the batteryfor a minimum of 14 hours.
4. Test the N-1000 for operation in battery
power). The operating time in battery
mode
mode
(unplugged from AC
must
be a minirnum of 15
minutes before the monitor powers down.
Note:The message "WARNING: POWER DOWN IS IMMINENT DUE TO LOW
BATTERY
VOLTAGE" appears before actual power-down; the 10-minute battery test period
applies to monitor power-down, not appearance of message.
any
unit
does
not
If
meet the specified battery operating time, further testing or repair may
necessary. Only qualified service personnel or Nellcor repair facilities are recommended for
testing or repair. If
Nellcor
Technical
you
encounter problems or have questions regarding this update, contact