Operator’s Manual
0
™
Avant 970
Digital Pulse Oximeter
0123
English
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CAUTION! Federal law (USA) restricts this device to sale by or
on the order of a physician.
CAUTION! Read this entire manual carefully before using the
Avant™ 9700 Digital Pulse Oximeter.
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.
2605 Fernbrook Lane North
Plymouth, Minnesota 55447-4755
USA
+1 (763) 553-9968
(800) 356-8874 (USA and Canada)
Fax +1 (763) 553-7807
mail@nonin.com
www.nonin.com
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.
© 2003 Nonin Medical, Inc.
Guide to Symbols ......................................................... 1
Precautions for Use ......................................................2
Using the Avant 9700 ...................................................4
Intended Use ....................................................................4
Installing the Batteries ....................................................5
Verifying Avant 9700 Operation ...................................6
Displays, Indicators, and Controls ................................6
Default Settings ..............................................................11
LCD Display Views .......................................................12
User Functions ...............................................................14
Avant 9700 DIP Switches ............................................17
Nurse Call Feature .........................................................18
Care and Maintenance ..................................................19
Alarms and Limits ...................................................... 20
Alarm Summary .............................................................21
Setting and Changing Volume and Alarm Limits .....22
Silencing Alarms ............................................................22
Recalling Previous Settings ..........................................23
Latched and Unlatched Alarms ...................................23
Patient Security Mode ...................................................24
Error Codes ....................................................................24
Communication ......................................................... 25
Memory Features ...........................................................25
Playing Back Memory Data ..........................................26
Patient Data Outputs ....................................................27
Parts and Accessories ................................................ 30
Service, Support, and Warranty ................................. 32
Troubleshooting ......................................................... 33
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Guide to Symbols
S
S
Detailed information for functional symbols can be found in “Using the
Avant 9700.”
Regulatory Symbols
S
A
L
C
U
C
SN
!
I
F
L
I
E
D
U
0123
Attention: See Instructions for Use or related
materials.
Type BF Applied Part
(Patient isolation from electrical shock).
UL Mark for Canada and the United States
with respect to electric shock, fire, and
mechanical hazards only in accordance with UL
2601-1 and CAN/CSA C22.1 No. 601.1.
CE Marking indicating conformance to EC
directive No. 93/42/EEC concerning medical
devices.
Serial Number (located under the back cover).
Signal Output (located on back of unit).
Nurse Call (located on back of unit).
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Precautions for Use
Precautions for Use
Contraindications
Do not use the Avant 9700 in an MRI environment.
Explosion Hazard: Do not use the Avant 9700 in an explosive atmosphere or in
the presence of flammable anesthetics or gases.
Warnings
The Avant 9700 is intended only as an adjunct in patient assessment. It must be
used in conjunction with other methods of assessing clinical signs and symptoms.
Oximeter readings of the Avant 9700 may be affected by the use of an electrosurgical unit (ESU).
Use only NONIN-manufactured PureLight™ pulse oximeter sensors. These 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 the Avant 9700 in or around water or any other liquid when the AC
power adapter is used.
As with all medical equipment, carefully route patient cables and connections to
reduce the possibility of entanglement or strangulation.
Use the Avant 9700 with 300PS-XX AC power adapters, where XX represents the
power supply designation.
The 9700’s Nurse Call feature should not be used as the primary source of alarm
notification. The monitor’s alarms should be used in conjunction with clinical
signs and symptoms to notify medical personnel that an alarm condition exists.
To comply with relevant product safety standards, ensure that all alarm volumes
are set appropriately and are audible in all situations.
All parts and accessories connected to the serial port of the Avant 9700 must be
certified according to IEC Standard EN 60950 or UL 1950 for data-processing
equipment.
The Avant 9700 is designed to determine the percentage of arterial oxygen saturation of functional hemoglobin. Significant levels of dysfunctional hemoglobin, such as methemoglobin, might affect the accuracy of the measurement.
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Cautions
This equipment complies with International Standard EN 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 radio-frequency 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.
If the Avant 9700 fails to respond as described, discontinue use until the situation is
corrected by qualified personnel.
Cardiogreen and other intravascular dyes may affect the accuracy of SpO
measurements.
The oximeter sensor might not work on cold extremities due to reduced circulation.
Warm or rub the finger to increase circulation, or reposition the sensor.
The Avant 9700 might misinterpret motion as good pulse quality. Minimize finger
motion.
Some nail polish colors or artificial nails can reduce light transmission and affect
SpO2 accuracy.
Before using any sensor, carefully read the Directions for Use, which contain specific application times for each sensor.
Inspect the sensor application site at least every 6 to 8 hours to ensure correct
sensor alignment and skin integrity. Patient sensitivity to sensors may vary due to
medical status or skin condition.
Do not place liquids on top of the Avant 9700.
Do not immerse the Avant 9700 or sensors in any liquids.
Do not use caustic or abrasive cleaning agents on the unit or sensors.
Do not gas sterilize or autoclave the Avant 9700.
Batteries might leak or explode if used or disposed of improperly.
Follow local governing ordinances and recycling instructions regarding disposal or
recycling of the device and device components, including batteries. Use only
NONIN-approved battery packs, and remove batteries if the Avant 9700 is not used
within 30 days.
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.
To prevent potential loss of monitoring or inaccurate data, remove any objects that
might hinder pulse detection and measurement (e.g., blood pressure cuffs).
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3
Using the Avant 9700
Using the Avant 9700
The Avant 9700 features an LCD display through which all parameters and
advanced features can be accessed and adjusted. The device’s audible and visual
alarms include easily understandable multi-colored LED indicators, alerting users to
abnormal conditions.
Indications for Use
The NONIN® Avant™ 9700 Digital Pulse Oximeter is a portable, tabletop device
indicated for use in simultaneously measuring, displaying, and recording functional
oxygen saturation of arterial hemoglobin (SpO
infant, and neonatal patients in hospitals, medical facilities, home care, and subacute
environments. It is also used in patient transport, sleep laboratories, and EMS
environments. The Avant 9700 is intended for continuous monitoring and/or spotchecking of patients.
) and pulse rate of adult, pediatric,
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9700
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Installing the Batteries
NOTE: Contact NONIN to purchase or replace battery packs.
NOTE: Reposition the back cover carefully, and tighten the screws
firmly—being careful not to over-tighten.
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Using the Avant 9700
Verifying Avant 9700 Operation
Press the ON/STANDBY button. When the unit is first turned on, the Avant 9700
performs a brief startup (initialization) sequence. Verify that all displays and LEDs
illuminate and the unit beeps three times during the first phase of the startup
sequence. If any LED or display is not lit (except the AC Power Adapter LED), do
not use the Avant 9700. Contact your distributor or NONIN Customer Support for
assistance.
In order to verify that the Avant 9700 is functioning properly, it is important to
monitor SpO
the pulse oximeter sensor is functioning properly.
1. Ensure that the Avant 9700 is on, with the finger-clip sensor connected.
2. Apply the finger-clip sensor to a finger.
3. Verify that a good SpO
and that the pulse strength bargraph LED is active.
4. Verify that the plethysmographic waveform is displayed on the LCD screen.
and pulse rate readings. Use the following procedure to verify that
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reading is displayed, that a pulse rate value appears,
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Displays, Indicators, and Controls
Avant 9700 Parameter Displays
%SpO2 Display
The %SpO2 display is located on the upper left-hand corner of the Avant 9700 and
is identified by the %SpO
percent.
symbol. This display shows blood oxygen saturation in
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Pulse Rate Display
The pulse rate display is located on the upper right-hand corner of the Avant 9700
and is identified by the symbol. This display shows the pulse rate in beats per
minute.
Numeric Indicators
Numeric LEDs display %SpO2 and pulse rate values. Under normal
conditions, these LEDs display in green. For high priority (patient)
alarms, the corresponding values are displayed in red, blinking fast.
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LED Indicators and Icons
Main Alarm
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
This LED blinks to indicate a poor pulse signal. If there is a sustained
period of poor quality signals, this LED will illuminate solid.
Pulse Oximeter Sensor
This LED indicates when a sensor has become disconnected, has failed,
or has not been applied correctly.
Pulse Strength Bargraph
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
When displaying battery charge, this LED indicates charge in 12%
increments in green, displaying the depleted portion in amber.
Alarm Silence
This amber LED indicates that the audible alarm is silenced for two
minutes when it blinks. When lit solid, the Alarm Silence LED indicates
that the audible alarm volume is set to less than 45 dB.
AC Power Adapter
This green LED is displayed when an external power supply is providing
power to the Avant 9700. The Avant 9700 battery pack is being charged
any time this LED is displayed—even when the device is shut off.
Battery
This amber LED indicates a marginal battery charge when blinking. In
addition, this LED—when lit solidly—indicates that the battery charge
is being displayed. This LED does not indicate that the Avant 9700 is running
on battery power. The battery charge indication will not be accurate before
one full charge/discharge/recharge cycle with a new battery pack.
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