NONIN 7500 User manual

Operator’s Manual
Model 7500
Model 7500
Digital Pulse Oximeter
0123
1
English
CAUTION: Federal law (USA) restricts this device to sale by or on the order of a licensed practitioner.
Consult Instructions for Use.
The information in this manual has been checked carefully and is believed to be accurate. In the interest of continued product development, NONIN reserves the right to make changes and improvements to this manual and the products it describes at any time, without notice or obligation.
Nonin Medical, Inc.
13700 1st Avenue North
Plymouth, Minnesota 55441-5443
USA
+1 (763) 553-9968
(800)
356-8874 (USA and Canada)
Fax +1 (763)
553-7807
mail@nonin.com
www.nonin.com
EC
REP
Authorized EC Representative:
MPS, Medical Product Service GmbH
Borngasse 20
D-35619 Braunfels, Germany
References to “NONIN” in this manual shall imply Nonin Medical, Inc. Nonin is a registered trademark of Nonin Medical, Inc.
© 2007 Nonin Medical, Inc.
5676-001-01
Contents
Contents
Guide to Symbols ......................................................................1
Indications for Use ....................................................................3
Contraindications ............................................................................ 3
Warnings ......................................................................................... 3
Cautions .......................................................................................... 4
Displays, Indicators and Controls ...........................................7
Operating the Model 7500 ......................................................10
Operating Modes and Defaults ..............................................11
Setup Mode, Viewing Limits and Setting Time ............................. 11
Factory Defaults ............................................................................ 11
User-Defined Defaults .................................................................. 12
Patient Security Mode ................................................................... 12
Operator Functions .................................................................14
Care and Maintenance ............................................................18
Cleaning the Model 7500 .............................................................. 18
Alarms and Limits ...................................................................19
High Priority Alarms ...................................................................... 19
Medium Priority Alarms ................................................................. 19
Watchdog Alarms ......................................................................... 19
Informational Tones ...................................................................... 19
Alarm Summary ............................................................................ 20
Reviewing and Setting Volume and Alarm Limits ................21
Silencing Alarms ........................................................................... 21
Recalling Previous Settings .......................................................... 22
Error Codes .................................................................................. 22
Memory and Data Output Features .......................................23
Serial Patient Data Output ............................................................ 23
Analog Output ............................................................................... 24
Memory Features .......................................................................... 25
Service, Support, and Warranty .............................................27
Warranty ....................................................................................... 28
Parts and Accessories ............................................................29
Troubleshooting ......................................................................31
Technical Information .............................................................34
Manufacturer’s Declaration ........................................................... 34
Equipment Response Time .......................................................... 38
Testing Summary .......................................................................... 39
Specifications ................................................................................ 40
i
1
Guide to Symbols
S
S
Guide to Symbols
This table describes the symbols that are found on the Model 7500. Detailed information about functional symbols can be found in “Operating the Model 7500.”
Symbol Description
!
I
S
F
A
L
C
U
C
L
SN
EC
REP
IPX2
Caution!
Consult instructions for use.
Type BF Applied Part (Patient isolation from electrical shock).
I
E
UL Mark for Canada and the United States with respect to
D
electric shock, fire, and mechanical hazards only in accordance
U
with UL 60601-1 and CAN/CSA C22.2 No. 601.1.
CE Marking indicating conformance to EC directive No. 93/42/
0123
EEC concerning medical devices.
Serial Number
Indicates separate collection for electrical and electronic equipment (WEEE).
Authorized Representative in the European Community.
Lot Number
Protected against vertically falling water drops when enclosure is tilted up to 15 degrees, per IEC 60529.
%SpO
%SpO2 display.
2
Pulse Rate Display.
Numeric LEDs
1
Symbol Description
Alarm Bar LED.
Pulse Quality LED.
Sensor Alarm LED.
Pulse Strength Bargraph LED.
Alarm Silence LED.
AC Power Adapter LED.
Low Battery LED.
Guide to Symbols
ON/STANDBY button.
Alarm Silence button.
Limits button.
Plus button.
Minus button.
Non-ionizing electromagnetic radiation. Equipment includes RF transmitters; interference may occur in the vicinity of equipment marked with this symbol.
2
Indications for Use
Indications for Use
The NONIN® Model 7500 Digital Pulse Oximeter is a portable, tabletop device indicated for use in simultaneously measuring, displaying, and recording functional oxygen saturation of arterial hemoglobin (SpO pulse rate of adult, pediatric, infant, and neonatal patients. It is intended for spot-checking and/or continuous monitoring of patients during both motion and no-motion conditions, and for patients who are well or poorly perfused.
Contraindications
• Do not use this device in an MRI environment.
• Explosion Hazard: Do not use in an explosive atmosphere or in the presence of flammable anesthetics or gasses.
• This device is not defibrillation proof per IEC 60601-1:1990 clause 17h.
Warnings
• This device is intended only as an adjunct device in patient assessment. It must be used in conjunction with other methods of assessing clinical signs and symptoms.
• Oximeter readings of this device may be affected by the use of an electrosurgical unit (ESU).
• Use only NONIN-branded PureLight
sensors are manufactured to meet the accuracy specifications for NONIN pulse oximeters. Using other manufacturers’ sensors can result in improper pulse oximeter performance.
• Do not use a damaged sensor.
• Do not use this device in or around water or any other liquid, with or without AC power.
• As with all medical equipment, carefully route patient cables and connections to reduce the possibility of entanglement or strangulation.
• Use this device only with power adapters supplied by Nonin Medical.
• This device turns off after approximately 30 minutes when in low battery mode.
• This device should not be used adjacent to or stacked with other equipment. If adjacent or stacked use is necessary, the device should be observed carefully to verify normal operation.
• The battery pack must be installed at all times while the device is operating— even when operating on AC power. Do NOT use the device without batteries.
®
pulse oximeter sensors. These
) and
2
3
Indications for Use
Warnings (Continued)
• The use of accessories, sensors, and cables other than those listed in this manual may result in increased electromagnetic emission and/or decreased immunity of this device.
• To comply with relevant product safety standards, ensure that all alarm volumes are set appropriately and are audible in all situations. Do not cover or otherwise hinder any speaker openings.
• This device is a precision electronic instrument and must be repaired by qualified technical professionals. Field repair of the device is not possible. Do not attempt to open the case or repair the electronics. Opening the case may damage the device and void the warranty.
Cautions
!
• This equipment complies with IEC 60601-1-2:2001 for electromagnetic compatibility for medical electrical equipment and/or systems. This standard is designed to provide reasonable protection against harmful interference in a typical medical installation. However, because of the proliferation of radio­frequency transmitting equipment and other sources of electrical noise in healthcare and other environments, it is possible that high levels of such interference due to close proximity or strength of a source might disrupt the performance of this device. Medical electrical equipment needs special precautions regarding EMC, and all equipment must be installed and put into service according to the EMC information specified in this manual.
• Portable and mobile RF communications equipment can affect medical electrical equipment.
• If this device fails to respond as described, discontinue use until the situation is corrected by qualified technical professionals.
• The sensor might not work on cold extremities due to reduced circulation. Warm or rub the finger to increase circulation, or reposition the sensor.
• Do not gas sterilize or autoclave this device.
• Batteries might leak or explode if used or disposed of improperly.
• This device has motion tolerant software that minimizes the likelihood of motion artifact being misinterpreted as good pulse quality. In some circumstances, however, the device may still interpret motion as good pulse quality.
• Inspect the sensor application site at least every 6 to 8 hours to ensure correct sensor alignment and skin integrity. Patient sensitivity to sensors and/or double-backed adhesive strips may vary due to medical status or skin condition.
• Do not place liquids on top of this device.
4
Indications for Use
Cautions (Continued)
!
• Do not immerse this device or sensors in any liquids.
• Do not use caustic or abrasive cleaning agents on the unit or sensors.
• Follow local, state and national governing ordinances and recycling instructions regarding disposal or recycling of the device and device components, including batteries. Use only NONIN-approved battery packs.
• When using the 300PS-UNIV battery charger, ensure that the AC cord is plugged into a grounded outlet.
• To prevent potential loss of monitoring, do not use ear clip or reflective sensors on pediatric or neonatal patients.
• In compliance with the European Directive on Waste Electrical and Electronic Equipment (WEEE) 2002/96/EC, do not dispose of this product as unsorted municipal waste. This device contains WEEE materials; please contact your distributor regarding take-back or recycling of the device. If you are unsure how to reach your distributor, please call Nonin for your distributor’s contact information.
• To prevent potential loss of monitoring or inaccurate data, remove any objects that might hinder pulse detection and measurement (e.g., blood pressure cuffs).
• Data is written in four-minute intervals—so if the entire memory is filled, portions of the oldest record will be overwritten when a new record begins.
• This device is designed to determine the percentage of arterial oxygen saturation of functional hemoglobin. Factors that may degrade pulse oximeter performance or affect the accuracy of the measurement include the following:
- excessive ambient light
- excessive motion
- electrosurgical interference
- blood flow restrictors (arterial catheters, blood pressure cuffs, infusion lines, etc.)
- moisture in the sensor
- improperly applied sensor
- incorrect sensor type
- poor pulse quality
- venous pulsations
- anemia or low hemoglobin concentrations
- cardiogreen and other intravascular dyes
- carboxyhemoglobin
- methemoglobin
- dysfunctional hemoglobin
- artificial nails or fingernail polish
- a sensor not at heart level.
5
Indications for Use
Cautions (Continued)
!
• A functional tester cannot be used to assess the accuracy of a pulse oximeter monitor or sensor.
• All parts and accessories connected to the serial port of this device must be certified according to at least IEC Standard EN 60950 or UL 1950 for data­processing equipment.
• Operation of this device below the minimum amplitude of 0.3% modulation may cause inaccurate results.
6
Displays, Indicators and Controls
Displays, Indicators and Controls
This section describes the displays, indicators, and controls for the Model 7500.
On/Standby
Sensor
Connector
Alarm
Silence
%SpO Display
Plus (+)
2
Pulse Rate
Display
Minus (-)
Alarm
Bar
Speaker
Limits
%SpO2 Display
The %SpO2 display is located on the left-hand side of the Model 7500 front panel and is identified by the %SpO blood oxygen saturation, from 0 to 100 percent. The numeric displays blink during SpO2 alarm conditions. See “Specifications” for sensor accuracy information.
symbol. This display shows
2
Pulse Rate Display
The pulse rate display is located on the right-hand side of the Model 7500 front panel and is identified by the pulse rate in beats per minute, from 18 to 321. The numeric displays blink during pulse rate alarm conditions. See “Specifications” for sensor accuracy information.
NOTE: LED means “light-emitting diode.”
symbol. This display shows the
7
Displays, Indicators and Controls
Numeric LEDs
Green numeric LEDs display %SpO2 and pulse rate values. When setting the device, these LEDs also display values for alarm limits,
volume, and date and time settings.
Indicators and Icons
Alarm Bar LED
This LED indicates all alarm conditions. For high priority (patient) alarms, the indicator is displayed in red, blinking fast. For medium priority alarms, the indicator is displayed in amber, blinking slowly.
Pulse Quality LED
This amber LED blinks to indicate a poor pulse signal. If there is a sustained period of poor quality signals, this LED will display a steady, constant light.
Sensor Alarm LED
This amber LED indicates when a sensor has become disconnected, has failed, or is not compatible with this monitor.
WARNING: Do not use a damaged sensor.
Pulse Strength Bargraph LED
This 8-segment tricolor bargraph indicates pulse strength as determined by the oximeter. The height of the Pulse Strength Bargraph LED is proportional to the pulse signal, and the color is determined by pulse strength:
Green = a good pulse strength Amber = a marginal pulse strength Red = a low pulse strength, high priority alarm
Alarm Silence LED
This amber LED indicates that the audible alarm is silenced for two minutes when it blinks. When alarms are active, this LED blinks in time with the alarm bar. If no alarms are active, this LED flashes at the medium priority alarm rate. When lit solid, the Alarm Silence LED indicates that audible alarm volumes are set to less than 45 dB.
AC Power Adapter LED
This green LED is displayed when an external power supply is providing power to the Model 7500.
8
Displays, Indicators and Controls
Low Battery LED
This amber LED indicates a low battery charge when blinking, and a critical battery charge when lit solidly. This LED does not
indicate that the Model 7500 is running on battery power.
WARNING: This device turns off after approximately 30 minutes when in
low battery mode.
Model 7500 Front Panel Buttons
ON/STANDBY Button
Pressing this button once turns on the Model 7500. Holding this button for at least 1 second shuts down the 7500, putting it into Standby mode. In Standby mode, all device functions are shut off, with the following exceptions:
• The AC Power Adapter LED is lit whenever the device is plugged in.
• Batteries are charged whenever the device is plugged in.
Momentarily pressing this button while the unit is on initiates an event marker.
Alarm Silence Button
This button toggles alarms between silenced and audible. Pressing the Alarm Silence button silences the alarm for two minutes. Pressing it again (while alarms are silenced) returns the alarms to their audible mode.
!
CAUTION: The two-minute alarm silence is automatically
engaged at startup.
Limits Button
This button displays the upper and lower limits for alarm indications for SpO
Pressing the Limits button allows users to access advanced menu options, including adjusting alarm settings, alarm volume, and date and time settings. All adjustments can be made using the Plus (+) and Minus (-) buttons.
and heart rate measurements.
2
Plus (+) and Minus (-) Buttons
These buttons adjust values for many Model 7500 functions. The Plus (+) and Minus (-) buttons are used to adjust time, date, volume and upper and lower alarm limits, except in Patient Security mode.
9
Operating the Model 7500
Operating the Model 7500
NOTE: Before using the Model 7500, please review all contraindications,
warnings and cautions.
Press the ON/STANDBY button. When the unit is first turned on, the Model 7500 performs a brief initialization sequence.
Verify that all LEDs illuminate and the unit beeps three times during the first phase of the initialization sequence. If any LED is not lit (except the AC Power Adapter LED), do not use the Model 7500. Contact NONIN Customer Support for assistance.
To verify that the Model 7500 is functioning properly, it is important to monitor SpO verify that the sensor is working properly.
1. Ensure that the Model 7500 is on, with the sensor connected.
2. Apply the pulse oximeter sensor (see sensor instructions for use).
3. Verify that a good SpO2 reading is displayed, that a pulse rate value appears, and that the pulse strength bargraph LED is active.
..
WARNING: This device is intended only as an adjunct device in patient
assessment. It must be used in conjunction with other methods of assessing clinical signs and symptoms.
and pulse rate readings. Use the following procedure to
2
WARNING: As with all medical equipment, carefully route patient cables
and connections to reduce the possibility of entanglement or strangulation.
10
Operating Modes and Defaults
Operating Modes and Defaults
The Model 7500 features Setup mode, Factory Defaults, User-Defined Defaults and Patient Security modes.
NOTE: Patient Security mode overrides any default settings.
Setup Mode, Viewing Limits and Setting Time
In Setup mode, users can adjust alarm limits and volumes, set clock and calendar information and clear the device’s memory. Pressing the Limits button activates Setup mode, and all adjustments can be made using the Plus (+) or Minus (-) buttons. Setup mode is available when the device is operating, or during the startup/initialization process. Time is set by setting each of the last five options in setup mode: year, month, day, hour and minute.
Setup mode is not available in Patient Security mode. In Patient Security mode, pressing the Limits button scrolls through the limits on the displays, allowing the operator to view the current limits. Pressing and holding the Plus (+) button also reviews the limits, regardless of operating mode.
Factory Defaults
In Factory Defaults, all adjustable parameters are set as indicated in the table below. This is the Model 7500’s default operating setting.
The Model 7500 is shipped with factory defaults active. To revert to Factory Default alarm limits from the User-Defined Default alarm limits, simultaneously press the alarm silence and minus (-) buttons.
NOTE: User-Defined Default values are lost when Factory Defaults are set
active.
Alarm Limit
SpO
High Alarm Limit
2
SpO
Low Alarm Limit
2
Pulse Rate High Alarm Limit 200 BPM Off, 75-275 5 BPM
Pulse Rate Low Alarm Limit 50 BPM Off, 30-110 5 BPM
Alarm Volume High Off, Low, High N/A
Factory
Default
Off Off, 80-100 1%
85% Off, 50-95 1%
Adjustment
Options Increment
Default alarm and volume settings are automatically selected for every operating session in which the parameters were not recalled or changed within the setup menu.
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