Nellcor OxiMax N-600 User manual
N-600
Pulse Oximeter
Operator’s Manual
Nellcor Puritan Bennett Inc. is an affiliate of Tyco Healthcare. Nellcor, Oxiband, Durasensor,
OxiCliq, Dura-Y, Max-Fast, SoftCare, and OxiMax are trademarks of Nellcor Puritan Bennett Inc.
Cet appareil ISM est conforme à la norme NMB-001 Canada.
To obtain information about a warranty, if any, contact Nellcor’s Customer Services Department,
or your local representative.
Purchase of this instrument confers no express or implied license under any Nellcor Puritan
Bennett patent to use the instrument with any sensor that is not manufactured or licensed by
Nellcor Puritan Bennett.
Contents
Contents
Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i
Tables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vi
Figures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii
Safety Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Warnings ........................................................................................... 1
Cautions ............................................................................................ 2
Notes ................................................................................................. 3
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Intended Use for the N-600 ............................................................... 5
How to Use this Manual .................................................................... 6
Description of Controls, Indicators, and Symbols . . . . . . . . . . . . . . . . . . . . . . 7
Identification of Front Panel Buttons and Symbols ........................... 7
Identification of Rear Panel Components .......................................... 8
N-600 Symbols .................................................................................. 8
Description of Controls ...................................................................... 9
Description of Displays and Indicators ............................................ 10
Description of Audible Indicators ..................................................... 14
Setting up the N-600 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
List of Components ......................................................................... 19
Connecting the N-600 to AC Power ................................................ 19
Connecting an OxiMax Sensor to the N-600 ................................... 21
Battery Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Operating the N-600 on Battery Power ........................................... 23
Low Battery Indicator ...................................................................... 24
OxiMax N-600 i
Contents
Using the N-600 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31
Introduction ..................................................................................... 31
Turning On the N-600 ..................................................................... 34
OxiMax Sensor Attached ...................................................... 36
No OxiMax Sensor Attached ................................................ 38
Turning the Backlight On or Off ...................................................... 39
Adjusting Screen Contrast .............................................................. 39
Selecting the Pleth View ................................................................. 40
Selecting the Blip View ................................................................... 41
Setting the Pulse Beep Volume ...................................................... 41
Setting the Alarm Volume ............................................................... 42
Setting the Date and Time .............................................................. 43
Setting Alarm Silence Duration ....................................................... 45
Disabling Audible Alarms ................................................................ 46
Selecting Standby Mode ................................................................. 47
Adult-Pediatric or Neonatal Settings ............................................... 48
Setting Patient Adult-Pediatric/Neonatal Mode .................... 49
Alarm Limit Changed Indicator ....................................................... 50
Setting Alarm Limits ........................................................................ 50
Setting SatSeconds Alarm Limit ..................................................... 52
Setting the N-600 Response Mode ................................................. 53
Selecting the Display Language ..................................................... 55
OxiMax Sensor Messages .............................................................. 56
OxiMax Sensor Adjust Condition Messages ........................ 57
OxiMax Sensor Adjust Messages ........................................ 58
N-600 Trend . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59
N-600 Trend Data ........................................................................... 59
Trend Data Operation ........................................................... 61
Selecting the Trend Data Display Scale ......................................... 62
Reading the Trend Data Display ..................................................... 64
Dual Trend Data Display ................................................................. 65
SpO2 Trend Display ....................................................................... 65
Pulse Rate Trend Display ............................................................... 66
Histogram Trend Data Display ........................................................ 67
Pulse Amplitude Trend Data Display .............................................. 68
Clearing Trend Information ............................................................. 69
ii
Contents
OxiMax Sensor Event Record . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
Setting In-Sensor Data Type ........................................................... 72
OxiMax Sensor Type ....................................................................... 74
OxiMax Sensor Data Type .............................................................. 75
OxiMax Sensor Event Record Data Available ................................. 75
OxiMax Sensor Event Record Not Available ................................... 77
OxiMax Sensor Event Record Graphical Data ................................ 77
Viewing and Printing OxiMax Sensor Event History Data ............... 79
OxiMax Sensor Tabular Event Data ................................................ 81
Viewing and Printing In-Sensor Tabular Event History Data ........... 82
Printing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Printing N-600 Trend Information .................................................... 85
N-600 Trend Data in ASCII Mode ................................................... 88
Trend Data in Graph Mode ............................................................. 89
Real-Time Display/Printout Format ................................................. 89
Column Headings ................................................................. 91
Data Source .......................................................................... 91
Software Version .................................................................. 91
Alarm Limits .......................................................................... 92
Monitor Mode ........................................................................ 92
Response Mode .................................................................... 92
Data Column Headings ......................................................... 93
Time ...................................................................................... 93
Patient Data .......................................................................... 93
Operating Status ................................................................... 95
Using the Data Port . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97
Overview ......................................................................................... 97
Connecting to the Data Port ............................................................ 97
Data Port Pinouts .................................................................. 98
Data Port Setup ............................................................................... 99
Using the Nurse Call Interface ...................................................... 101
Setting Nurse Call RS-232 Polarity ..................................... 102
Setting Nurse Call Relays Normally Open/Closed .............. 103
Calculating the Analog Voltage Output ......................................... 103
OxiMax N-600 iii
Contents
OxiMax Sensors and Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .105
OxiMax Sensor Event Record Data .............................................. 105
Selecting an OxiMax Sensor ........................................................ 105
OxiMax Sensor Features .............................................................. 109
Biocompatibility Testing ................................................................ 110
Optional Accessories .................................................................... 110
GCX Mounting Plate ........................................................... 111
GCX Vertical Wall Mount Arm ............................................ 112
GCX Roll Stand .................................................................. 113
Soft-Sided Carrying Case ................................................... 114
Performance Considerations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117
Performance Verification .............................................................. 117
N-600 Performance Considerations ............................................. 117
Dysfunctional Hemoglobins ................................................ 118
Anemia ............................................................................... 118
Saturation ........................................................................... 118
Pulse Rates ........................................................................ 118
OxiMax Sensor Performance Considerations ............................... 119
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .123
Error Codes .................................................................................. 123
Prompts and Error Messages ....................................................... 125
Corrective Action .......................................................................... 128
EMI (Electromagnetic Interference) .............................................. 131
Obtaining Technical Assistance .................................................... 133
OxiMax Sensor Message Setup ................................................... 133
Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .135
Returning the N-600 ..................................................................... 135
Service .......................................................................................... 135
Periodic Safety Checks ................................................................. 136
Cleaning ........................................................................................ 136
Menu Structure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .137
N-600 Menu Description ............................................................... 137
iv
Contents
SatSeconds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141
Describing SatSeconds ................................................................. 141
SatSeconds “Safety Net” ............................................................... 143
SatSeconds Display ...................................................................... 144
Factory Defaults . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145
Neonate Default Settings .............................................................. 145
Adult Default Settings .................................................................... 146
Principles of Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 149
Oximetry Overview ........................................................................ 149
Automatic Calibration .......................................................... 150
Functional versus Fractional Saturation ............................. 150
Measured versus Calculated Saturation ............................. 151
OxiMax Technology ...................................................................... 152
Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153
Performance .................................................................................. 153
Electrical ........................................................................................ 154
Environmental Conditions ............................................................. 156
Physical Characteristics ................................................................ 158
Compliance ................................................................................... 158
Manufacturer’s Declaration ........................................................... 160
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 167
OxiMax N-600 v
Tables
Tables
Table 1: Audible Indicators .................................................... 14
Table 2: Low Battery and Critical Battery .............................. 26
Table 3: Parameter Ranges .................................................. 31
Table 4: Reading Trend Display ............................................ 62
Table 5: Data Port Pinouts .................................................... 96
Table 6: Analog Pinouts ...................................................... 101
Table 7: Nellcor Oximetry Sensor Models and
Patient Weights ..................................................... 105
Table 8: OxiMax Sensor Features ....................................... 107
Table 9: Error Codes ........................................................... 122
Table 10: Prompt/Error Messages ........................................ 124
Table 11: Neonate Factory Defaults ...................................... 143
Table 12: Adult Factory Defaults ........................................... 144
Table 13: Electromagnetic Emissions ................................... 157
Table 14: Electromagnetic Immunity,
RF Portable Equipment ......................................... 158
Table 15: Recommended Separation Distances ................... 161
Table 16: Cable Compliance ................................................. 162
vi
Figures
Contents
Figure 1: Front Panel Buttons and Symbols ................................. 7
Figure 2: Rear Panel Components ............................................... 8
Figure 3: Trend Overwriting ........................................................ 59
Figure 4: ASCII Mode Printout ................................................... 86
Figure 5: Graph Mode Printout ................................................... 87
Figure 6: Real-Time Printout ...................................................... 88
Figure 7: Data Port Pin Layout ................................................... 97
Figure 8: GCX Mounting Plate .................................................. 109
Figure 9: GCX Poly-Mount Vertical Wall Mount ....................... 110
Figure 10: GCX Poly-Mount Horizontal Wall Mount ...................111
Figure 11: GCX Poly-mount Roll Stand ...................................... 112
Figure 12: GCX Utility Basket ..................................................... 113
Figure 13: Soft-Sided Carrying Case .......................................... 114
Figure 14: Alarm Response with SatSeconds ............................ 140
Figure 15: Oxyhemoglobin Dissociation Curve .......................... 149
OxiMax N-600 vii
Safety Information
Warnings
Warnings are identified by the WARNING symbol shown above.
Warnings alert the user to potential serious outcomes (death, injury, or
adverse events) to the patient or user.
WARNING: The sensor extrapolates from the date and time
provided by the N-600 when recording the sensor event record to
the sensor. The accuracy of the date/time is the responsibility of
the N-600. It is recommended that the N-600 user set the time/
date to the correct value before a sensor event record-enabled
sensor is connected, and that this date/time not be changed while
the sensor remains connected. Since a sensor with sensor event
record data can be transported from one monitor to another,
having discrepancies in the date/time between monitors and the
sensor event record data will affect the order the sensor event
record data appears. To eliminate this possible problem, all
monitors within an institution should be set to the same time.
WARNING: Explosion hazard. Do not use the N-600 pulse
oximeter in the presence of flammable anesthetics or gases.
WARNING: Chemicals from a broken LCD display panel are
toxic when ingested. Use caution when handling a pulse oximeter
with a broken display panel.
OxiMax N-600 1
Safety Information
WARNING: Pulse oximetry readings and pulse signals can be
affected by certain environmental conditions, OxiMax sensor
application errors, and certain patient conditions. See the
appropriate sections of this manual for specific safety
information.
WARNING: The use of accessories, sensors, and cables other
than those specified may result in increased emission and/or
decreased immunity and inaccurate readings of the N-600 pulse
oximeter.
WARNING: Failure to cover the OxiMax sensor site with opaque
material in high ambient light conditions may result in inaccurate
measurements.
Cautions
2
Cautions are identified by the CAUTION symbol shown above.
Cautions alert the user to exercise care necessary for the safe and
effective use of the N-600 pulse oximeter.
Safety Information
Caution: When connecting the N-600 to any instrument, verify
proper operation before clinical use. Both the N-600 and the
instrument connected to it must be connected to a grounded
outlet. Accessory equipment connected to the pulse oximeter’s
data interface must be certified according to IEC Standard 950
for data-processing equipment or IEC Standard 60601-1 for
electromedical equipment. All combinations of equipment must
be in compliance with IEC Standard 60601-1-1 systems
requirements. Anyone who connects additional equipment to the
signal input port or signal output port (N-600 data port
connector) configures a medical system and is therefore
responsible for ensuring that the system complies with the
requirements of system standard IEC Standard 60601-1-1 and
the electromagnetic compatibility system standard IEC Standard
60601-1-2. The N-600 accuracy may degrade if it is connected to
secondary I/O devices when the instrument is not connected to
earth reference.
Caution: Federal law (U.S.A.) restricts this device to sale by or on
the order of a physician.
Caution: Dispose of battery in accordance with local
requirements and regulations.
Notes
Notes are identified by the Note symbol shown above.
Notes provide additional useful information.
OxiMax N-600 3
Blank Page
Introduction
WARNING: The N-600 is intended only as an adjunct in patient
assessment. It must be used in conjunction with clinical signs and
symptoms.
Intended Use for the N-600
The OxiMax® N-600 pulse oximeter is indicated for the continuous
non-invasive monitoring of functional oxygen saturation of arterial
hemoglobin (SpO
with neonatal, pediatric, and adult patients who are well or poorly
perfused, in hospitals, hospital-type facilities, intra-hospital transport,
and home environments. For prescription use only.
Note: Hospital use typically covers such areas as general care floors,
operating rooms, special procedure areas, intensive and critical
care areas, within the hospital plus hospital-type facilities.
Hospital-type facilities include physician office based
facilities, sleep labs, skilled nursing facilities, surgicenters, and
sub-acute centers.
2) and pulse rate. The N-600 is intended for use
Intra-hospital transport includes transport of a patient within
the hospital or hospital-type facility.
Home Care use is defined as managed/used by a lay person
(parent or other similar non-critical caregiver) in the home
environment.
Use with any particular patient requires the selection of an
appropriate oxygen OxiMax sensors as described in this
manual.
OxiMax N-600 5
Introduction
How to Use this Manual
All users should read this manual thoroughly. More experienced users
of the N-600 will be able to go to the topics for the information they
require.
The current copy of this manual is available on the internet at:
http://www.mallinckrodt.com/respiratory/resp/Serv_Supp/ProductManuals.html
6
Description of Controls, Indicators, and Symbols
Identification of Front Panel Buttons and Symbols
Adjust Down Button, page 10
1. SpO2 OxiMax Sensor Port, page 21
2.
AC Power Indicator, page 12 13. Neonate Mode Indicator, page 13
3.
On/Standby Button, page 9
4.
Low Battery Indicator, page 12 15. Fast Response Mode Indicator,
5. Waveform Display, page 11 16. Softkeys, page 10
6.
SatSeconds
7. %SpO
8. Pulse Rate Display, page 12
9.
10.
11.
2 Display, page 12
Alarm Silence Indicator, page 13 20. Pulse Search Indicator, page 13
Alarm Silence Button, page 10
Adjust Up Button,page 10
TM
Indicator, page 13
12.
Contrast Button, page 10
14.
page 13
17. Menu Bar, page 10
18.
Data In Sensor Indicator, page 13
19.
Interference Indicator, page 13
21. Speaker
Figure 1: Front Panel Buttons and Symbols
OxiMax N-600 7
Description of Controls, Indicators, and Symbols
Identification of Rear Panel Components
1. Equipotential Terminal (Ground) 4. Fuse Holder
2. AC Power Connector, page 19 5. Supply Voltage Selector Switch, page 17
3. Data Port Connector, page 97
Figure 2: Rear Panel Components
N-600 Symbols
8
The symbols that are located on the rear panel of the N-600 are as
follows:
See Instructions for Use
Fuse Replacement
Equipotential Terminal (ground)
Date of Manufacture
Data Interface
There is one symbol located on the front panel of the N-600.
Type BF Applied Part - Not defibrillator proof.
Description of Controls
Description of Controls, Indicators, and Symbols
Note: A button press, except the On/Standby button, should result
in either a valid or an invalid key tone (refer to Table 1 on
page 14). If the key pressed fails to emit a tone, contact
qualified service personnel.
The
On/Standby button. Used to turn the N-600 on or off.
OxiMax N-600 9
Description of Controls, Indicators, and Symbols
The Alarm Silence button. Used to silence current alarms for the
alarm silence duration period. When an alarm has been silenced,
pressing the button again reactivates, or “unsilences” the alarm. It is
also used to view and adjust alarm silence duration and alarm volume.
The
Alarm Silence button clears “SENSOR OFF,” “LOW
BATTERY,” and “SENSOR DISCONNECT” messages from the
display.
The
Adjust Up button. Used to increase variable parameters of the
N-600.
The
Adjust Down button. Used to decrease variable parameters in
the N-600.
Contrast button. Used in conjunction with the Adjust Up and
The
Adjust Down buttons to lighten or darken the display screen.
The softkey buttons have multiple uses depending on the legend
displayed above the button.
Description of Displays and Indicators
The type of display is user selectable. Refer to Selecting the Pleth
View on page 40.
10
Description of Controls, Indicators, and Symbols
The pleth display includes a “wiper bar” plethysmographic
waveform, menu bar, and current measured %SpO
SatSeconds are enabled, the pleth display includes the
Indicator and SatSeconds setting. A decimal point after the %SpO
2 and pulse rate. If
SatSeconds
2 or
pulse rate indicate that the respective limits have been changed from
the power on defaults (N-600 Trend Data on page 59).
The blip display includes a pulse amplitude blip bar, current measured
%SpO
2 and pulse rate, and current upper and lower %SpO2 and pulse
rate limits. If SatSeconds are enabled, the blip display includes the
SatSeconds Indicator and SatSeconds setting. Decimal points after
the %SpO
2 or pulse rate indicate that the respective limits have been
changed from the power-on defaults.
There are various matrices within the N-600 algorithm. Some of
these, are used to assess the severity of conditions presented to the
N-600 in measuring SpO
2 and pulse rate on a patient. These
individual matrices or combinations of these matrices are used to
drive the LED indicators on the N-600 front panel.
The advanced signal processing in the N-600 algorithm automatically
extends the amount of data required for measuring SpO
2 and pulse
rate depending on the measurement conditions. During normal
measurement conditions the averaging time is six seconds to seven
seconds (approximately three seconds in Fast Mode). During
conditions such as those caused by low perfusion, interference (e.g.,
external interference like ambient light), or a combination of the two,
the N-600 algorithm automatically extends the amount of data
required beyond the minimum as set by the response mode. See
Setting the N-600 Response Mode on page 53. If the resulting
dynamic averaging time exceeds 20 seconds, the
indicator is lit solid and SpO
OxiMax N-600 11
2 and Pulse Rate will continue to be
Pulse Search
Description of Controls, Indicators, and Symbols
updated every second. As these conditions extend, the amount of data
required continues to increase. If the dynamic averaging time reaches
40 seconds, the pulse search indicator begins flashing, the SpO
pulse rate displays flash zeros indicating a loss-of-pulse condition.
WARNING: Failure to cover the OxiMax sensor site with opaque
material in high ambient light conditions may result in inaccurate
measurements.
2 and
The %SpO
2 Display. Shows the hemoglobin oxygen saturation level.
The display value flashes zeros during loss-of-pulse alarms and
flashes the SpO
2 value when the SpO2 is outside the alarm limits.
During Pulse Search, the N-600 continues to update the display. If
alarm limits have been changed from their power-on defaults, a
decimal point (.) is displayed after the SpO
The
Pulse Amplitude Indicator (blip bar). Indicates pulse beat and
2 value (81.).
shows the relative pulse amplitude. As the detected pulse becomes
stronger, more bars light with each pulse. This indicator is available
only in the blip view.
The
Pulse Rate Display. Shows the pulse rate in beats per minute. It
flashes during loss-of-pulse alarms and when the pulse rate is outside
of the alarm limits. During Pulse Search, the N-600 continues to
update the display. Pulse rates outside of the pulse rate range (20 to
250 bpm) are displayed as the closest value within the range. If alarm
limits have been changed from their power-on defaults, a decimal
point (.) is displayed after the BPM value (112.).
The
AC Power Indicator. Lights continuously when the N-600 is
connected to AC power. It also indicates that the battery is charging.
It is off when the N-600 is being powered by internal battery.
12
The
Low Battery Indicator. Lights continuously when 15 or fewer
minutes of battery capacity remain. Flashes when the battery capacity
reaches critical condition.
Description of Controls, Indicators, and Symbols
The Alarm Silence Indicator. Lights continuously when an audible
alarm has been silenced. It flashes when the alarm silence duration
has been set to Off.
The
Interference Indicator. The Interference Indicator lights
whenever the N-600 algorithm detects that the incoming signal
1
quality is degraded
.
An intermittently lit
Interference Indicator is common during
patient monitoring, and indicates the N-600 algorithm is dynamically
adjusting the amount of data required for measuring SpO
2 and Pulse
Rate. When lit continuously, it indicates the N-600 algorithm has
extended the amount of data required for measuring SpO
2 and Pulse
Rate and, consequently, fidelity in tracking rapid changes in these
values may be reduced (see Description of Displays and Indicators
on page 10).
The
Pulse Search Indicator. Lights continuously prior to initial
acquisition of a pulse signal and during prolonged and challenging
monitoring conditions. The Pulse Search Indicator flashes during a
loss-of-pulse signal.
The
Data In-Sensor Indicator. Lights to indicate that the attached
OxiMax sensor contains a patient sensor event record. The sensor
event record information may be viewed or printed.
The
SatSeconds Indicator. Fills in clockwise as the SatSeconds
alarm management system detects a %SpO
limit setting. Empties in counterclockwise direction when %SpO
2 reading outside of the
2
reading is within limits. When the indicator is full, a medium priority
alarm will sound.
The
Fast Response Mode Indicator. The response mode setting
dictates the response time (two-seconds to four-seconds in fast mode
and four-seconds to seven-seconds in normal mode) applied by the N-
600 algorithm in its calculation of SpO
1
Degradations can be caused by ambient light, electrical noise, electro-surgical
interference, patient activity, or other causes.
OxiMax N-600 13
2. The N-600 algorithm
Description of Controls, Indicators, and Symbols
calculation of pulse rate is unaffected by the response mode setting.
The trending interval (two-seconds or four-seconds) is updated
automatically by the N-600 to roughly correspond with the SpO
calculation response time.
The
Neonate Alarm Limits Indicator. This symbol is displayed
when the alarm limits are set to neonate. No symbol is displayed
when the N-600 is set to adult limits.
Description of Audible Indicators
Table 1 identifies the audible indicators of the N-600 indicators.
Table 1: Audible Indicators
Function Description
2
Alarm Silence
Reminder
Confirmation Tone Three beeps sound to indicate that default
Invalid Button Press
Valid Button Press
High Priority Alarm
Medium Priority
Alarm
Low Priority Alarm
Three beeps that sound approximately every
three minutes when alarms are silenced with
the alarm silence duration set to Off and the
alarm silence reminder function is enabled.
settings have been saved or reset to factory
defaults or trend data has been deleted.
A short, low
button has been pressed that is not appropriate
for the current state of the N-600.
A short, medium
an appropriate button has been pressed.
A high
loss
-of-pulse.
A medium
SpO
2 or pulse rate limit violation.
A low
-pitched tone indicating that a
-pitched tone indicating that
-pitched, fast-pulsing tone indicating
-pitched, pulsing tone indicating an
-pitched, slow-pulsing tone indicating an
OxiMax sensor disconnect, low battery, or
N-600 failure.
14
Description of Controls, Indicators, and Symbols
Table 1: Audible Indicators
Function Description
Power
-On Self-Tes t
Pass
A 1-second tone indicating that the N-600 has
been turned on and has successfully completed
the power
-on self-test.
Pulse Beep A single beep sounds for each detected pulse.
Volume Setting Tone A continuous tone that is used when adjusting
The pitch of the pulse beep signal changes with
-by-point rise or fall in the saturation
a point
level.
the alarm volume.
OxiMax N-600 15
Blank Page
Setting up the N-600
WARNING: To ensure patient safety, do not place the pulse
oximeter in any position that might cause it to fall on the patient.
WARNING: As with all medical equipment, carefully route
patient cabling to reduce the possibility of patient entanglement
or strangulation.
WARNING: Ensure that the speaker is clear of any obstruction.
Failure to do so could result in an inaudible alarm tone.
WARNING: Disconnect the N-600 and Nellcor OxiMax sensor
from the patient during magnetic resonance imaging (MRI)
scanning. Induced current could potentially cause burns.
WARNING: To ensure accurate performance and prevent device
failure, do not subject the N-600 to extreme moisture, such as
direct exposure to rain. Such exposure may cause inaccurate
performance or device failure.
WARNING: Do not use an N-600 pulse oximeter, OxiMax sensor,
cables, or connectors that appear damaged.
WARNING: Do not lift the pulse oximeter by the pulse oximetry
cable or power cord because the cable or cord could disconnect
from the pulse oximeter, causing the pulse oximeter to drop on
the patient.
OxiMax N-600 17
Setting up the N-600
WARNING: The N-600 is not defibrillator-proof. However, it
may remain attached to the patient during defibrillation or while
an electrosurgical unit is in use, but the readings may be
inaccurate during the defibrillation and shortly thereafter.
WARNING: In the USA, do not connect the pulse oximeter to an
electrical outlet controlled by a wall switch, because the pulse
oximeter may be accidentally turned off.
WARNING: Use only the Nellcor pulse oximetry cable DOC-10
with the N-600 pulse oximeter. Use of another pulse oximetry
cable will have an adverse effect on performance. Do not attach
any cable that is intended for computer use to the OxiMax sensor
port. Do not connect any device other than a Nellcor-approved
OxiMax sensor to the OxiMax sensor connector.
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WARNING: The N-600 should not be used adjacent to or stacked
with other equipment. If adjacent or stacked use is necessary, the
N-600 should be observed to verify normal operation in the
configuration it is to be used.
List of Components
Setting up the N-600
Quantity Item
1 N-600 Pulse Oximeter
1 Nellcor OxiMax Sensor or Assortment Pack
1
1 N-600 Operator’s Manual (applicable to
1 Power Cord (applicable to country of sale)
1 Quick Guide
DOC
country of sale) and/or Compact Disc
Connecting the N-600 to AC Power
WARNING: In the USA, do not connect the pulse oximeter to an
electrical outlet controlled by a wall switch, because the pulse
oximeter may be accidentally turned off.
Caution: The SUPPLY VOLTAGE SELECTOR switch must be
set to the correct voltage (115 or 230) to avoid equipment damage
and ensure battery charging.
-10 Pulse Oximetry Cable
OxiMax N-600 19
Setting up the N-600
Caution: Use only the hospital-grade power cord provided by
Nellcor.
1 — Power Connector 2 — Supply Voltage Selector
1. Set the SUPPLY VOLTAGE SELECTOR (2) switch to the
applicable voltage.
20
2. Plug the female connector end of the power cord into the N-600
POWER CONNECTOR (1) on the rear of the N-600.
3. Plug the male connector of the power cord into a properly
grounded AC outlet.
4. Verify that the N-600’s
Note: If the
AC Power Indicator is not lit, check:
AC Power Indicator is lit.
• the power cord
• the SUPPLY VOLTAGE SELECTOR switch
•the user-accessible fuses
• the AC power outlet
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