Nellcor OxiMax N-650 User manual

Ops.ai 1/24/06 9:31:41 AMOps.ai 1/24/06 9:31:41 AM
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This ISM device complies with Canadian ICES-001. Cet appareil ISM est conforme à la norme NMB-001 Canada. Nellcor Puritan Bennett Inc. is an affiliate of Tyco Healthcare. Nellcor, Oxiband, Durasensor,
OxiCliq, OxiBand, Dura-Y, MAX-FAST, SatSeconds, PediCheck, Oxismart and O
trademarks of Nellcor Puritan Bennett Inc. To obtain information about a warranty, if any, contact Nellcor’s Technical 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.
Covered by one or more of the following US patents and foreign equivalents: 4,802,486; 4,869,254; 4,928,692; 4,934,372; 4,960,126; 5,078,136; 5,485,847; 5,743,263; 5,865,736; 6,035,223; 6,298,252; 6,463,310; 6,591,123; 6,675,031; 6,708,049; 6,801,797; Re 35,122.

Contents

Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .i
Figures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v
Tables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .vi
Safety Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Warnings ................................................................................................................1
Cautions .................................................................................................................1
Notes ......................................................................................................................2
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Intended Use for the N-560 ....................................................................................3
How to Use this Manual .........................................................................................3
Description of Controls, Indicators, and Symbols . . . . . . . . . . . . . . . . . . 5
Identification of Front Panel Buttons and Symbols ................................................5
Identification of Rear Panel Components ...............................................................6
N-560 Symbols .......................................................................................................6
Description of Controls ...........................................................................................7
Description of Displays and Indicators ...................................................................9
Interference Explained ....................................................................................11
Description of Audible Indicators ..........................................................................13
Setting up the N-560 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
List of Components ..............................................................................................16
Connecting the N-560 to AC Power .....................................................................17
Connecting a Sensor to the N-560 .......................................................................17
Battery Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Operating the N-560 on Battery Power ................................................................19
Low Battery Indicator ...........................................................................................20
Using the N-560 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Turning on the N-560 ...........................................................................................21
Discussion .......................................................................................................21
Procedure ........................................................................................................22
Sensor Attached ..............................................................................................24
N-560 Operator’s Manual i
Contents
No Sensor Attached ........................................................................................ 26
Sensor Message .................................................................................................. 26
Setting the Pulse Beep Volume ........................................................................... 27
Setting the Alarm Volume .................................................................................... 28
Setting Alarm Silence Duration ............................................................................ 28
Discussion ....................................................................................................... 28
Procedure .......................................................................................................29
Disabling Audible Alarms ..................................................................................... 30
Discussion ....................................................................................................... 30
Procedure .......................................................................................................31
Verify Patient Settings ......................................................................................... 32
Alarm Limits Changed Indicator .......................................................................... 34
Setting Alarm Limits ............................................................................................. 34
Discussion ....................................................................................................... 34
Procedure .......................................................................................................34
Setting SatSeconds Duration .............................................................................. 37
Discussion ....................................................................................................... 37
Procedure .......................................................................................................37
Setting the Data Port Baud Rate ......................................................................... 37
Discussion ....................................................................................................... 37
Procedure .......................................................................................................38
Setting the Data Port Protocol ............................................................................. 39
Clearing Trend Information .................................................................................. 40
N-560 Trend . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43
Trend Data Operation .......................................................................................... 43
Trend Data ........................................................................................................... 44
#1: Trend Print ................................................................................................ 44
#2: Trend Clear ............................................................................................... 44
#3: Not Used ................................................................................................... 44
#4: Baud Rate ................................................................................................. 44
#5: Data Port Printout ..................................................................................... 45
Option 1 ................................................................................................... 45
Option 2 ................................................................................................... 45
Using the Data Port . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47
Overview ..............................................................................................................47
ii
Contents
Connecting to the Data Port .................................................................................47
Data Port Pinouts .................................................................................................48
Data Port Setup ....................................................................................................49
Discussion .......................................................................................................49
Procedure ........................................................................................................49
Nurse Call Interface .............................................................................................53
Setting Nurse Call RS-232 Polarity .................................................................54
Setting Nurse Call Relays Normally Open/Closed ..........................................54
Printing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Printing N-560 Real-Time Data ............................................................................55
Trend Data Printout ..............................................................................................57
Column Headings ............................................................................................58
Data Source ....................................................................................................58
Device/Software Revision Level ......................................................................58
Alarm Limits .....................................................................................................58
N-560 Mode .....................................................................................................59
Data Column Headings ...................................................................................59
Time ................................................................................................................59
Patient Data .....................................................................................................60
Operating Status .............................................................................................60
Sensors and Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Selecting a Sensor ...............................................................................................63
Biocompatibility Testing .......................................................................................66
Optional Accessories ...........................................................................................66
Visual Alarm Indicator .....................................................................................66
Pole Mount Bracket .........................................................................................67
Performance Considerations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
Performance Verification ......................................................................................69
N-560 Performance Considerations .....................................................................69
Dysfunctional Hemoglobins .............................................................................69
Anemia ............................................................................................................70
Saturation ........................................................................................................70
Pulse rates ......................................................................................................70
Sensor Performance Considerations ...................................................................70
N-560 Operator’ Manual iii
Contents
Operator’s Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75
Error Codes ......................................................................................................... 75
Corrective Action ................................................................................................. 76
EMI (Electro-magnetic Interference) .................................................................... 79
Obtaining Technical Assistance .......................................................................... 80
Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .83
Returning the N-560 ............................................................................................ 83
Service ................................................................................................................. 83
Periodic Safety Checks ....................................................................................... 83
Cleaning .............................................................................................................. 84
Technical Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .85
Description of Alarms .......................................................................................... 85
Factory Defaults .................................................................................................. 86
SatSeconds Display ............................................................................................ 87
Describing SatSeconds ....................................................................................... 87
SatSeconds “Safety Net” ..................................................................................... 89
Principles of Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91
Oximetry Overview .............................................................................................. 91
Automatic Calibration .......................................................................................... 92
Functional versus Fractional Saturation .............................................................. 93
Measured versus Calculated Saturation .............................................................. 93
Functional Testers and Patient Simulators .......................................................... 94
Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .95
Performance ........................................................................................................ 95
Electrical .............................................................................................................. 99
Environmental Conditions .................................................................................. 100
Physical Characteristics .................................................................................... 101
Compliance ........................................................................................................ 102
Manufacturer’s Declaration ................................................................................ 103
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
iv

Figures

Figure 1: Front Panel Buttons and Symbols ......................................................... 5
Figure 2: Rear Panel Symbols .............................................................................. 6
Figure 3: Data Port Pin Layout ............................................................................ 49
Figure 4: Real-Time Data Printout ...................................................................... 56
Figure 5: Trend Data Printout ............................................................................. 57
Figure 6: Alarm Response with SatSeconds ...................................................... 89
Figure 7: Oxyhemoglobin Dissociation Curve ..................................................... 93
v

Tables

Table 1: Data Port Pinouts ...................................................................................48
Table 2: Nellcor Oximetry Sensor Models and Patient Weights ...........................64
Table 3: Operator’s Menu .....................................................................................73
Table 4: Error Codes ............................................................................................76
Table 5: Factory Default Settings .........................................................................86
Table 6: Tone Definition .......................................................................................96
Table 7: Cable Compliance ................................................................................104
Table 8: Electromagnetic Emissions ..................................................................105
Table 9: Electromagnetic Immunity ....................................................................106
Table 10: Recommended Separation Distances Between Portable and
Mobile RF Communication Equipment and the N-560 .........................109
vi

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: Explosion hazard. Do not use the N-560™ pulse oximeter in the presence of flammable anesthetics or gases.
WARNING: Pulse oximetry readings and pulse signals can be affected by certain ambient environmental conditions, sensor application errors, and certain patient conditions. See the appropriate sections of the manual for specific safety information.
WARNING: Ensure that the speaker is clear of any obstruction. Failure to do so could result in an inaudible alarm tone.

Cautions

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-560.
N-560 Operator’s Manual 1
Safety Information
CAUTION: When connecting the N-560 to any instrument, verify proper operation before clinical use. Both the N-560 and the instrument connected to it must be connected to a grounded outlet. Accessory equipment connected to the N-560's data interface must be certified according to IEC Standard 60950 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-560 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-560 accuracy may degrade if it is connected to secondary I/O devices when the instrument is not connected to earth reference.
CAUTION: Do not lift the N-560 by the sensor cable or power cord because the cable or cord could disconnect from the N-560, causing damage to the N-560 or injuring the patient.

Notes

2
CAUTION: Federal law (U.S.A.) restricts this device to sale by or on the order of a physician.
Notes are identified by the Note symbol shown above.
Notes provide additional useful information.
Note: Sensor LED light emissions fall within Class 1 level, according to IEC 60825-1:2001. No special safety precautions are required.

Introduction

WARNING: The N-560 is intended only as an adjunct in patient assessment. It must be used in conjunction with clinical signs and symptoms. Do not make any clinical judgments based on the oximeter's measurements only.

Intended Use for the N-560

The N-560 Pulse Oximeter is indicated for the continuous noninvasive monitoring of functional oxygen saturation of arterial hemoglobin (SpO and pulse rate. The N-560 is intended for use 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.
Introduction
2)
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.
Intra-hospital transport includes transport of a patient within the
hospital or hospital-type facility.
Use with any particular patient requires the selection of an appropriate oxygen transducer (sensor) as described in this Operator's Manual.

How to Use this Manual

All users should read this manual thoroughly. More experienced users of the N-560 can directly go to topics for the information they require. This manual is available on the internet at:
http://www.mallinckrodt.com/respiratory/resp/Serv_Supp/ProductManuals.html
N-560 Operator’s Manual 3
Introduction
4

Description of Controls, Indicators, and Symbols

Description of Controls, Indicators, and Symbols

Identification of Front Panel Buttons and Symbols

Figure 1: Front Panel Buttons and Symbols
1. SpO2 Sensor Port
2. Power On/Off Button 13. SpO2 Alarm Limit Button
3. %SpO2 Display 14. Interference Indicator
4. Pulse Amplitude Indicator 15. Sensor Off Indicator
5. Pulse Rate Display 16. Sensor Message Indicator
6. Alarm Silence Button 17. Pulse Search Indicator
7. Alarm Silence Indicator 18. Data In Sensor Indicator
8. Adjust Up Button 19. Low Battery Indicator
9. Adjust Down Button 20. AC Power Indicator
10. Pulse Rate Alarm Limit Button 21. Speaker
TM
11. SatSeconds
Display
12. SatSeconds Alarm Limit
Button
N-560 Operator’s Manual 5
Description of Controls, Indicators, and Symbols

Identification of Rear Panel Components

1. Data Port Connector 3. AC Power Connector

N-560 Symbols

2. Visual Alarm Connector
Figure 2: Rear Panel Symbols
4. Equipotential Connector (ground)
The symbols that are located on the rear panel of the N-560 are as follows:
1. Data Interface
2. Caution - Do not connect while
power is on
3. Equipotential Terminal (ground)
The symbols that are located on the front panel of the N-560 are as follows:
6
Description of Controls, Indicators, and Symbols
1. Type BF Applied Part - Not
Defibrillator Proof
2. Pulse Rate 7. Data In Sensor
3. Interference 8. Low Battery
4. Sensor Off 9. AC Power/Battery Charge
5. Sensor Message

Description of Controls

Note: Each button press, except the Power On/Off button, should result
in either a valid or an invalid button tone. If the button pressed fails to emit a tone, contact qualified service personnel.
Power On/Off button is used to turn the N-560 on or off.
The
6. Pulse Search
The
Alarm Silence button is 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.
N-560 Operator’s Manual 7
Description of Controls, Indicators, and Symbols
The
Adjust Up button is used to increase alarm limit values, alarm silence
duration, pulse beep volume, alarm volume, and data port baud rate. The
Adjust Up button is used to select the communication protocol and time
settings. Press the one digit. Holding the
Adjust Up button one time to increase the display by
Adjust Up button down for more than one second
cause the display digits to scroll.
Adjust Down button is used to decrease alarm limit values, alarm
The silence duration, pulse beep volume, alarm volume, and data port baud rate. The
Adjust Down button is used to select the communication
protocol and time settings. Press the decrease the display by one digit. Holding the for more than one second cause the display digits to scroll.
SpO2 Alarm Limit button is used to view the SpO2 alarm limit.
The When the
Pulse Rate Alarm Limit button for approximately three seconds, the
SpO2 Alarm Limit button is pressed at the same time as the
menu options are enabled.
Pulse Rate Alarm Limit button is used to view the pulse rate alarm
The limit. When the time as the
Pulse Rate Alarm Limit button is pressed at the same
SpO2 Alarm Limit button for approximately three seconds,
the menu options are enabled.
Adjust Down button one time to
Adjust Down button down
SatSeconds Alarm Limit button is used to view the SatSeconds
The alarm limit. When pressed, the SatSeconds limit options are enabled. The
Adjust Up and Adjust Down buttons are used to change the SatSeconds
limit settings.
8
Description of Controls, Indicators, and Symbols

Description of Displays and Indicators

The Pulse Amplitude Indicator (blip bar). A 10-segment LED that indicates pulse beat and shows the relative (non-normalized) pulse amplitude. As the detected pulse becomes stronger, more bars light with each pulse.
The %SpO
2 Display. Shows the saturation level of oxygenated
hemoglobin. The display value flashes zero during loss-of-pulse alarms and flashes the SpO
2 value in red when the SpO2 is outside the alarm
limits. During pulse search, the N-560 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 Rate Display. Shows the pulse rate in beats per minute. It
2 value (100.).
flashes zeros during loss-of-pulse alarms and flashes the beats per minute value in red when the pulse rate is outside of the alarm limit. During pulse search, the N-560 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 pulse rate value (112.).
AC Power Indicator. Lights continuously when the N-560 is
The connected to AC power. It also indicates that the battery is charging. It is off when the N-560 is being powered by its internal battery.
Low Battery Indicator. Lights continuously to indicate that 15 or
The fewer minutes of battery capacity remain. The
Low Battery indicator
flashes when the battery is critically low.
N-560 Operator’s Manual 9
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.
Interference Indicator. Lights whenever the OXIMAX software detects
The that the incoming signal quality is degraded due to interference (see Interference Explained on page 11).
An intermittently lit monitoring, and indicates that the O adjusting the amount of data required for measuring SpO
When lit continuously, it indicates that the O extended the amount of data required for measuring SpO
Interference indicator is common during patient
XIMAX algorithm is dynamically
and Pulse Rate.
2
XIMAX algorithm has
and Pulse Rate,
2
and, consequently, fidelity in tracking rapid changes in these values may be reduced (see Description of Displays and Indicators on page 9).
Pulse Search Indicator. Lights continuously prior to initial
The acquisition of a pulse signal and during prolonged and challenging monitoring conditions. It flashes during a loss-of-pulse signal.
The
Sensor Off Indicator is lit when either the sensor is invalid, or no
longer on the patient’s finger. It usually indicates that the sensor is not on the patient.
Sensor Message Indicator. Lights when the N-560 cannot determine
The an SpO
2 level or a pulse rate. The sensor message recommendations for
improving the signal are:
Reposition sensor
Check or change adhesive wrap
Choose alternate site
10
Warm site
Cover sensor
Use forehead, nasal, or ear sensor (adult patients only)
•Use O
XIMAX adhesive sensor
Secure cable
Secure with headband (M
AX-FAST)
Remove nail polish
Description of Controls, Indicators, and Symbols
Loosen sensor (too tight)
Isolate external interference (electrosurgical device, cell phone)
Clean site (MAX-R)
The
Data In Sensor Indicator. The indicator blinks for approximately one
minute when initially connected to the N-560 to indicate that the attached
O
XIMAX sensor contains a patient sensor event record. The indicator lights
continuously to indicate that the attached sensor memory is full. The indicator does not light when there is no data in the sensor, even though a valid sensor is connected to the N-560.
TM
The SatSeconds management approaches the SatSeconds alarm limit threshold. All segments of the SatSeconds indicator flash during a SatSeconds alarm. When a SatSeconds setting other than OFF is selected, the green LED at the top of the SatSeconds indicator will light. The green LED at the 12-o'clock position indicates that SatSeconds alarm management is engaged.
Indicator. Fills in clockwise as the SatSeconds alarm

Interference Explained

Interference is a term that was formally introduced in ISO9919:2005, “Medical electrical equipment — Particular requirements for the basic safety and essential performance of pulse oximeter equipment for medical use”. Interference may arise from a number of sources, alone or in combination, and the term refers to the effects on the incoming red and IR signals caused by physiological conditions, medical procedures, or external agents. The effect of interference on a pulse oximeter is due only to the amount of interference, and is generally nondiscriminatory as to its source. Interference may or may not affect the accuracy of measurements, depending upon its severity, nature, or duration.
Factors which may result in interference include but are not limited to:
N-560 Operator’s Manual 11
Description of Controls, Indicators, and Symbols
incorrect sensor application – sensor placement on an extremity with a blood pressure cuff,
arterial catheter, or intravascular line – sensor applied too tightly – incorrect sensor for placement site
intravascular dyes, such as indocyanine green or methylene blue
externally applied coloring agents, such as nail polish, dye, or pigmented cream
failure to cover the sensor with opaque material in high ambient light conditions, for example, conditions created from one or more of the following sources:
– surgical lights, especially xenon light sources – bilirubin lamps – fluorescent lights – infrared heating lamps – direct sunlight
physical movement, either patient or imposed activity
12
venous pulsation
dysfunctional hemoglobin
low perfusion
intermittent pulsatility or arrhythmia
electromagnetic interference (EMI)
ventilator-induced pressure changes
Description of Controls, Indicators, and Symbols

Description of Audible Indicators

Following are descriptions of N-560 audible indicators.
Power-On Self-Test Pass A 1-second tone indicating that the N-560 has been
Valid Button Press A short, medium-pitched tone indicating that an
Invalid Button Press A short, low-pitched tone indicating that a button
High Priority Alarm A high-pitched, fast-pulsating tone indicating loss
Medium Priority Alarm A medium-pitched, normal-pulsating tone
Low Priority Alarm A low-pitched, slow-pulsating tone indicating a
turned on and has successfully completed the power-on self-test
appropriate button has been pressed
has been pressed that is not appropriate for the current state of the N-560
of pulse
indicating an SpO
2 or pulse rate limit violation
sensor disconnect, low battery, or N-560 failure
Alarm Silence Reminder Three beeps that sound approximately every
3 minutes when alarms are silenced with the alarm silence duration set to OFF
Pulse Beep A single beep sounds for each detected pulse. The
pitch changes as monitored SpO
2 values increase or
decrease.
Volume Setting Tone A continuous tone that is used to adjust the alarm
volume
Confirmation Tone Three beeps sound to indicate that default settings
have been saved or reset to factory defaults or trend data has been deleted
N-560 Operator’s Manual 13
Description of Controls, Indicators, and Symbols14Setting up the N-560

Setting up the N-560

WARNING: Explosion hazard. Do not use the N-560 pulse oximeter in the presence of flammable anesthetics or gases.
WARNING: Pulse oximetry readings and pulse signals can be affected by certain ambient environmental conditions, sensor application errors, and certain patient conditions. See the appropriate sections of the manual for specific safety information.
WARNING: To ensure patient safety, do not place the N-560 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: Disconnect the N-560 and Nellcor sensor from the patient during magnetic resonance imaging (MRI) scanning. Induced current could potentially cause burns. The N-560 may affect the MRI image; the MRI unit may affect the accuracy of oximeter measurements.
WARNING: To ensure accurate performance and prevent device failure, do not subject the N-560 to extreme moisture, such as direct exposure to rain. Such exposure may cause inaccurate performance or device failure.
N-560 Operator’s Manual 15
Setting up the N-560
WARNING: Do not use an N-560, sensor, cables, or connectors that appear to be damaged.
WARNING: The N-560 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 use and shortly thereafter.
WARNING: In the USA, do not connect the N-560 to an electrical outlet controlled by a wall switch because the N-560 may be accidentally turned off.
WARNING: Use only the DOC-10 pulse oximetry cable with the N-560. Use of another sensor cable will have an adverse effect on performance. Do not attach any cable that is intended for computer use to the sensor port. Do not connect any device other than a Nellcor-approved sensor to the sensor connector.

List of Components

•N-560 Pulse Oximeter
Nellcor Sensor or Assortment Pack
•DOC-10 Pulse Oximeter Cable
•N-560 Operator's Manual
Hospital-Grade Power Cord or power cord appropriate for country of sale
Sensor Accuracy Grid
Quick Guide
16

Connecting the N-560 to AC Power

1. Plug the female connector of the power cord into the N-560 AC power connector (1).
2. Plug the male connector of the power cord into a properly grounded AC outlet.
Setting up the N-560
1. Power Connector
3. Verify that the
AC Power Indicator is lit.

Connecting a Sensor to the N-560

WARNING: Use only the DOC-10 pulse oximetry cable with the N-560. Use of another sensor cable will have an adverse effect on performance. Do not attach any cable that is intended for computer use to the sensor port. Do not connect any device other than a Nellcor-approved sensor to the sensor connector.
N-560 Operator’s Manual 17
Setting up the N-560
.
1. SpO2 Sensor Port
1. Connect a DOC-10 pulse oximetry cable to the SpO2 Sensor Port (1)
on the front of the N-560.
2. Connect an SpO
2 Sensor to the other end of the DOC-10 pulse
oximetry cable. Plug the sensor connector firmly into the DOC-10 pulse oximetry cable.
18

Battery Operation

WARNING: Dispose of an old battery by following local guidelines for disposal of nickel metal hydride batteries.

Operating the N-560 on Battery Power

The N-560 has an internal battery that may be used to power the N-560 during transport or when AC power is not available. A new, fully charged battery will provide at least 8 hours of monitoring time under the following conditions: no audible alarms sound and no serial output devices are attached.
Note: Whenever the N-560 is connected to AC power, the battery is being
charged. Therefore, it is recommended that the N-560 remain connected to AC power when not in use. This will make a fully charged battery available for use at any time.
Battery Operation
The N-560 cannot operate with a dead battery. Before attempting to turn on an N-560 with a depleted battery, first plug the N-560 into an AC outlet. The N-560 may then be powered on.
To charge a low or dead battery, connect the N-560 to AC power. A full charge of a dead battery takes 6 hours.
When all of the following conditions are present for 15 minutes, the N-560 will automatically shut down:
N-560 is running on battery power
No buttons have been pressed
No pulse has been detected (for example, when no patient is
connected to the sensor or the sensor is disconnected)
No alarms are present (other than low battery or a non-correctable
error)
N-560 Operator’s Manual 19
Battery Operation

Low Battery Indicator

The Low Battery Indicator lights and a low priority alarm begins to sound when 15 minutes but not more than 20 minutes of monitoring time remain on the existing battery charge. This alarm cannot be silenced while running on battery power. Connecting the N-560 to AC power will silence the alarm. If the N-560 is not connected to AC power within approximately 15 minutes, the N-560 will shut off.
Note: As the battery is used and recharged over a period of time, the
It is recommended that qualified service personnel replace the internal battery every 24 months.
amount of time between the onset of the low battery alarm and the N-560 shutoff may become shorter.
CAUTION: If the N-560 is to be stored service personnel to remove the battery from the N-560 prior to storage. Recharge the battery when it has not been charged fo more months.
The
Low Battery Indicator flashes and a high priority alarm begins to
sound when the battery reaches the lowest battery voltage at which an N-560 can support normal operation. This alarm cannot be silenced while running on battery power. If the N-560 is not connected to AC power, the N-560 will shut off after 10 seconds.
for 3 months or longer, notify
r 3 or
20

Using the N-560

Turning on the N-560

Discussion

Before using the N-560 in a clinical setting, you must verify that the N-560 is working properly and is safe to use. Proper working condition can be verified by successful completion of the Power-On Self-Test (POST), described in the following section.
WARNING: The N-560 should not be used adjacent to or stacked with other equipment. If adjacent or stacked use is necessary, the N-560 should be observed to verify normal operation in the configuration in which it is used.
Using the N-560
CAUTION: If any indicator or display element does not light, or the speaker does not sound, do not use the N-560. Instead, contact qualified service personnel, your local Nellcor representative, or Nellcor's Technical Services Department, 1.800.635.5267.
Note: The N-560 should complete the POST function within
12 seconds.
N-560 Operator’s Manual 21
Using the N-560

Procedure

1. Turn on the N-560 by pressing and holding the Power On/Off button
for more than one second.
2. The N-560 displays/sounds:
Display Sound
5 (in pulse rate left window) one beep tone
6 (in pulse rate center window) one beep tone
0 (in pulse rate right window) one beep tone
n (in SpO
n (in SpO
2 left window) none
2 center window) none
3. The N-560 automatically starts the Power-On Self-Test (POST),
which tests N-560 circuitry and functions.
CAUTION: During POST (immediately after power-up), confirm that all display segments and indicators light, and the speaker sounds a 1-second pass tone.
22
4. While performing POST, the self-test display appears for
approximately 2 to 4 seconds. During this time:
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