ZOLL R Series User Manual

Pulse Oximetry (SpO2)

9650-0901-01 Rev. DDecember 2008

An issue date and revision level for this manual appear on the front cover. If more than three years have elapsed
since this date, contact ZOLL Medical Corporation to determine if additional product information updates are
available.

ZOLL, R Series, and “Advancing Resuscitation. Today.” are registered trademarks, and OneStep is a trademark
of ZOLL Medical Corporation. All other trademarks and registered trademarks are property of their respective
owners.

Copyright © 2008 ZOLL Medical Corporation. All rights reserved.

Product Description

The R Series® pulse oximeter continuously and noninvasively measures the oxygen saturation
of arteriolar hemoglobin at a peripheral site (e.g., foot, toe, or finger). It is used to monitor
patients at risk of developing hypoxemia. SpO
circulatory and respiratory systems and supplies details of oxygen transportation in the body.
This option is widely used because it is noninvasive, co ntinuous, easily applied, and painless.

The oximeter sensor contains two emitters that transmit red and infrared light through the
monitored site. This light passes through t he patient’s tissues and is received by a photodetector
in the sensor. Because oxygen-saturated blood absorbs lig ht di f f erentl y tha n unsa tura ted b lood,
the amount of red and infrared light absorbed by blood flowing through the monitored site can
be used to calculate the ratio of oxygenated hemoglobin to total hemoglobin in arterial blood.
The monitor displays this ratio as percent SpO
100% at sea level.

Pulse Oximetry (SpO2)

monitoring provides information about the

2

. Normal values typically range from 95% to

2

The quality of SpO
sensor, adequate blood flow through the sensor site, and the sensor’s exposure to ambient light.
For correct placement and location of the sensors, refer to the Directions for Use contained in
all LNCS

®

oximetry sensor packages.

measurements depends on the correct size and application of the oximetry

2

How to Use This Insert

This insert supplements your defibrillator’ s R Series Operator’s Guide and describes how to set
up, use, and maintain the R Series pulse oximeter. Keep this insert with your defibrillator’s
R Series Operator’s Guide and all other inserts for R Series options.

Your defibrillator’s R Series Operator’ s Guide provides informatio n that users need for the safe
and effective use and care of R Series products. Important safety information related to use of
the R Series pulse oximeter appears in “Safety Considerations” on page 3. Additional important
safety information is packaged with each oximetry sensor.

SpO2 Intended Use

The R Series pulse oximeter, with the Masimo® SET® technology and the LNCS series of
oximeter sensors, is indicated for the continuous noninvasive monitoring of functional oxygen
saturation of arterial hemoglobin (SpO

The R Series pulse oximeter is indicated for use with adult, pediatri c, and neonatal patients
during both no-motion and motion conditions, and for patie nts who are well or poorly perfused,
in hospitals, hospital-type facilities, and mobile environments.

) and pulse rate.

2

9650-0901-01 Rev. D 1

R SERIES — PULSE OXIMETRY (SPO2) OPTION INSERT

Oxygen saturation measurements derived from pulse oximetry are highly dependent on patient
conditions and proper placement of the sensor. Patient conditions such as smoke inhalation
might result in erroneous oxygen sa turation readi ngs. If the a ccuracy of any reading is in doubt,
verify the reading using another clinically accepted method, such as arterial blood gas
measurements.

The R Series Pulse Oximetry option is intended for use only with ZOLL/Masimo LNCS
sensors.

Measurement Complications

If the accuracy of any reading is suspect, first check the patient’s vital signs by alternate means
and then check the R Series Pulse Oximeter for proper functioning.

Inaccurate measurements may be caused by:

• Incorrect sensor application or use.

• Significant levels of dysfunctional hemoglobins (for example, carboxyhemoglobin or

methemoglobin).

• Intravascular dyes, such as i ndocyanine green or methylene blue.

• Exposure to excessive illumination, such as surgical lamps (especially those with a xenon

light source), bilirubin lamps, fluorescent lights, infrared heating lamps, or direct sunlight.

• Excessive patient movement.

• Patient conditions, such as smoke inhalation.

• Venous pulsations.

• Certain nail aberrations, nail polish, fungus, and so on.

• Placement of a sensor on a limb with restricted blood flow , a blood pressure cuff, an arterial

catheter, or an intravascular line.

A weak pulse signal on the display might indicate a poorly applied sensor or a poorly chosen
monitoring site. Loss of pulse signal can occur when:

• The sensor is applied too tightly.

• There is excessive illumination from light sources, such as a sur gical lamp , a bilirubin lamp,

or sunlight.

• A blood pressure cuff is inflated on the limb used for the oximeter sensor.

• Excessive patient movement.

• The patient has hypotension, severe vasoconstriction, or hypothermia.

• An arterial occlusion exists proximal to the sensor.

• The patient is in cardiac arrest or shock.

SPO2 Connector and Sensors

The SpO2 connector is located on the rear panel of the R Series unit. Use only ZOLL or
Masimo accessories and sensors with the R Series Pulse Oximetry option.

Each sensor is designed for application to a specific anatomical site on pa tients within a cert ain
weight range. To ensure optimal performance, use an appropriate sensor, apply it as described
in the sensor’s Directions for Use, and always observe all warnings and cautions.

2 www.zoll.com 9650-0901-01 Rev. D

Safety Considerations

Warnings

General

Carefully read your defibrillator’s R Series Operator’s Guide, these operating instructions, and
the Directions for Use that accompany the Masimo oximeter sensors.

Only qualified personnel should operat e the R Series pulse oximeter.
Do not use the pulse oximeter as an apnea monitor.
Do not immerse the R Series defibrillator, cables, or sensors in water, solvents, or cleaning

solutions.
Consider a pulse oximeter an early warning device. When a trend toward patient deoxygenation

is indicated, blood samples should be analyzed by a laboratory co-oximeter to completely
understand the patient’s condition.

If an alarm occurs while audible alarms are suspended, only visual alarm indicators are
provided.

Safety Considerations

Interfering substances: Carboxyhemoglobin and methemoglobin can erroneously alter SpO
readings. The level of change is approximately equal to the amount of carboxyhemoglobin or
methemoglobin present. Dyes or any substance containing dyes that alter arterial pigmentation
might cause erroneous readings.

Do not use the R Series pulse oximeter or oximeter sensors during magnetic resonance imaging
(MRI). Induced current could cause burns. The pulse oximeter might affect the MRI image and
the MRI unit might interfere with the accuracy of oximetry measurements.

Carefully arrange patient cabling to reduce the possibility of patient entanglement or
strangulation.

Use only the line cord supplied by ZOLL Medical Corporation for continued safety and EMC
performance.

2

Oximeter sensors

Use only ZOLL/Masimo LNCS oximeter sensors. Other manufacturers’ senso rs might not
perform properly with the R Series oximeter.

Tissue damage can result from incorrect application or use of a sensor (for example, wrapping
the sensor too tightly, applying supplemental tape, failing to periodically inspect the sensor
site). To ensure skin inte grity, correct positioning, and sensor adhesion, inspect the sensor site
as directed in the Directions for Use provided with the sensor.

Do not use damaged sensors or cables.
Do not use a sensor with exposed optical components.
Do not sterilize a sensor by irradiation, steam, or ethylene oxide. Refer to the cleaning

instructions in the Directions for Use for reusable LNCS sensors.
Do not allow the sensor to remain on the same site for a prolonged period, especially when

monitoring neonates. Check the application site at regular intervals (at least every 2 hours) and
change the site if any compromise in skin quality occurs.

9650-0901-01 Rev. D R Series Pulse Oximetry (SpO2) 3

R SERIES — PULSE OXIMETRY (SPO2) OPTION INSERT

Do not attach the oximeter sensor to a limb being monitored with a pressure cuff or with
restricted blood flow.

A poorly applied sensor might give incorrect saturation readings. A weak pulse signal on the
display might indicate a poorly applied sensor or a poorly chosen monitoring site.

Choose a site with sufficient perfusion to ensure accurate oximetry values.
Certain nail aberrations, nail polish, fungus, and so on might cause inaccurate oximetry

readings. Remove any nail polish or move the sensor to an unaffected digit.
Exposure to high ambient light from surgical lamps (especially those with a xenon light

source), bilirubin lamps, fluorescent lights, infrared heating lamps, or direc t sunlight can af fe ct
the accuracy of oximetry readings. To prevent interference from ambient light, ensure that the
sensor is properly applied. If necessary, cover the sensor with opaque material.

4 www.zoll.com 9650-0901-01 Rev. D

Selecting a Sensor and Cable

When selecting a sensor, consider the patient’s weight, the adequacy of perfusion, the available
sensor sites, and the anticipated duration of monitoring. For more information, refer to the
following table or contact ZOLL Medical Corporation. Select an appropriate sensor, apply it as
directed, and observe all warnings and cautions presented in the Directions for Use
accompanying the sensor.

Selecting a Sensor and Cable

Sensor Type

LNCS Adtx Single Use Adults > 30 kg
LNCS Pdtx Single Use Pediatrics and Slender

LNCS Neo-L Single Use Neonates < 3 kg
LNCS NeoPt-L Single Use Neonates < 1 kg
LNCS Inf-L Single Use Infant 3 - 20 kg
LNCS DCI Reusable Adults and Pediatrics > 30 kg
LNCS DCIP Reusable Pediatrics 10 - 50 kg

ZOLL offers two reusable patient cables for use with Masimo oximeter sensors.

ZOLL Part Number Item

8000-0298 4 foot (1.2 m) patient cable
8000-0293 10 foot (3.0 m) patient cable

Selecting a Sensor Application Site

Choose a site that is well perfused and restricts a conscious patient's movements the least. The
ring finger or middle finger of the nondominant hand is preferred.

Patient
Weight

Adults 10 - 50 kg

Alternatively, you can use the other digits on the nondominant hand. Be sure the sensor's
detector is fully covered by flesh. You can use the great toe or long toe (next to the great toe) on
restrained patients or patients whose hands are unavailable.

T o prevent interference from ambie nt light, ensure that the sensor is prope rly applied, and cover
the sensor site with opaque material, if required. Failure to take this precaution in high ambient
light conditions may result in inaccurate measurements.

Do not select an SpO2 sensor site on the same arm/leg as an NIBP cuff. Inflation of the cuff will
cause the SpO

9650-0901-01 Rev. D R Series Pulse Oximetry (SpO2) 5

values to read incorrectly.

2

R SERIES — PULSE OXIMETRY (SPO2) OPTION INSERT

Applying a Reusable DCI Sensor

Note: These instructions describe how to apply a reusable DCI sensor. For all other reusable

sensors, refer to the sensor packaging for application instructions.

Note: The reusable sensor is not intended for use on the thumb or across a child’s hand or

foot.

Select a monitoring site (see previous section), then apply the reusable DCI sensor as follows:

1. Place the selected digit over the sensor window, making sure that the sensor cable runs over
the top of the patient’s hand.

The fleshiest part of the digit must cover the photodetector window in the lower half of the
DCI sensor.

2. On finger sites, make sure the tip of the finger touches the raised digit stop inside the sensor.

If the fingernail is long, it may extend over and past the finger stop.

Note: With smaller digits, the digit may not need to be pushed all the way to the stop to

completely cover the detector window.

3. Check the sensor position to ensure that the top and bottom halves of the DCI sensor are

parallel. To ensure accurate data, you must have complete coverage of the detector window
(see previous figure).

4. Lift the clear plastic protective cover from the female end of the patie nt cab le, then plug the

sensor cable’s male connector all the way into the patient cable connector.

Sensor Cable Connector

Patient Cable
Connector

6 www.zoll.com 9650-0901-01 Rev. D

Applying a Single-Use Sensor

5. Lower the clear plastic protective cover over the connection to secure it.

Clear Protective
Cover

6. Connect the SpO

patient cable to the SpO2 connector on the rear pane l of the R Series unit.

2

Applying a Single-Use Sensor

You can use a disposable LNCS sensor for SpO2 monitoring. Do not wrap the adhesive too
tightly as this can cause venous pulsations that could lead to inaccurate saturation
measurements.

You can reapply a disposable sensor to the same patient if the emitter and photodetector
windows are clear and the adhesive still adhere s to the ski n. To rejuvenate the adhesive, wip e it
with an alcohol pad and then allow the sensor to thoroughly air dry before placing it on the
patient.

3P/

SpO2 Cable Connector

Note: LNCS Adtx sensors are not intended for use across a child's hand or foot. For

instructions on proper application of neonatal sensors, refer to the Directions for Use
included with each LNCS sensor.

1. Open the pouch and remove the sensor.

2. Holding the sensor with the tan pri nted side downward, bend the sensor backward and

remove the backing material.

9650-0901-01 Rev. D R Series Pulse Oximetry (SpO2) 7

R SERIES — PULSE OXIMETRY (SPO2) OPTION INSERT

3. Orient the sens or so that the digit can be attached to the detector side of the sensor first.

4. Press the detector onto the fleshy part of the finger near the tip of the finger. To ensure

accurate data, you must have complete coverage of the detector window.

5. With the emitter positioned over the fingernail, secure the wings around the finger.

Detector Window

Detector Window

When positioned properly, the:

• emitter and photodetector are vertically aligned

• digit completely covers the photodetector window

• connector tab is located on the top side of the finger

6. Lift the clear plastic protective cover from the female end of the patie nt cab le, then plug the

sensor cable’s male connector all the way into the patient cable connector.

Sensor Cable Connector

Patient Cable
Connector

7. Lower the clear plastic protective cover over the connection to secure it.

Clear Protective
Cover

8 www.zoll.com 9650-0901-01 Rev. D

Cleaning and Reuse of Sensors

8. Connect the SpO

patient cable to the SpO2 connector on the rear panel of the R Series unit.

2

Cleaning and Reuse of Sensors

Reusable sensors can be cleaned as follows:

1. Disconnect the sensor from the patient cable.

2. Wipe the entire sensor clean with a 70% isopropyl alcohol moistened pad.

3. Allow the sensor to air dry before returni ng it to use.

3P/

SpO2 Cable Connector

Cleaning and Reuse of Patient Cables

Patient cables can be cleaned as follows:

1. Disconnect the sensor from the patient cable (if attached).

2. Disconnect the cable from the rear of the R Series unit.

3. Wipe the cable clean with a 70% isopropyl alcohol moistened pad.

Allow the cable to dry before using it.

9650-0901-01 Rev. D R Series Pulse Oximetry (SpO2) 9

R SERIES — PULSE OXIMETRY (SPO2) OPTION INSERT

Options Param

Code

Marker Report Alarms

11:24

ECG

SpO2

81

ECG

PADS

x1

SpO2%

CPR

0:00

IDLE

Depth
Rate

99

Test
Log

How SpO2 Information is Displayed

The R Series pulse oximeter displays the following information in the SpO2 area:

• SpO

• SpO

• Signal strength indicator (the bar rises and falls to indicate the relative change in the

value (arterial oxygen saturation percentage)

2

alarm indicator

2

pulsatile signal)

The display optionally includes the normalized plethysmogram below the ECG trace. The
R Series pulse oximeter calculates oxygen saturation and updates the display once per second.

Note: If you are using the Plus or BLS models, you will see the SpO2 value, the alarm

indicator, and the signal strength indicator while in AED or Manual mode. To see the
normalized plethysmogram, the unit must be in Manual mode.

Signal

6S2

Strength

Indicator



SpO

Arterial Oxygen

Saturation Percentage

(or dashed line if no
valid measurement)

2

Alarm Status

Monitoring a Patient

To set up the pulse oximeter:

1. Attach the sensor to the patient, and plug the sensor cable into the patient cable (refer to
“Applying a Reusable DCI Sensor” on page 6 or “Applying a Single-Use Sensor” on
page 7.)

2. Ensure the patient cable is connected to the unit.

3. Turn the Mode Selector to the following:

• MONITOR for ALS models.

• ON for Plus or BLS models. Press the Manual Mode softkey, and then the Confirm

softkey to enter the Manual mode of operation.

When the unit obtains measurements for arterial oxygen saturation, numeric values replace
the dashed lines on the display.

Plethysmogram

10 www.zoll.com 9650-0901-01 Rev. D

Monitoring a Patient

4. If the pulse indicator shows a weak signal, check the oximeter sensor or apply it to a more

appropriate site.
If necessary, enable SpO

Alarms” on page 13.

alarms and adjust the alarm limits. Refer to “Setting SpO2

2

Note: If ECG leads are not attached to the patient, the uni t uses SpO

displaying the heart rate (HR) in the ECG area. In this case, the heartbeat indicator
does not flash.

Note: If the unit displays the message SPO2 COMM ERROR shortly after powering on, the

monitoring subsystem has failed. Contact ZOLL Technical Service.

SpO

2

Adjustable SpO2 Settings

The pulse oximeter includes sev eral settings which you can adjust when the unit is in clinical
mode:

• Sensitivity level

• Measurement averaging period

• Plethysmogram display

• SpO

Any change you make to one of these settings remains i n effect until changed again or until the
unit is turned off for at least 10 seconds. When restarted, the unit reinstates its configured
default settings, which can differ from the factory defaults. (For the factor y default values, refer
to “Default Settings for the SpO

To access the SpO

1. Turn the Mode Selector to the following:

2. Press the Param softkey.

alarm state and limits (SpO2 and pulse rate)

2

2

• MONITOR for ALS models.

• ON for Plus or BLS models. Press the Manual Mode softkey, and then the Confirm

softkey to enter the Manual mode of operation.

Softkey labels for the SpO2 functions appear: Sens (used to adjust the SpO2 sensitivity), and
Average (used to adjust the SpO
subsequent sections.

Option” on page 14.)

2

monitoring functions:

averaging period). Follow instructions in the two

2

pulse measurements for

2

Setting the SpO2 Sensitivity

The Sens softkey allows you to select either Normal or High sensitivity for SpO2 monitoring.
Normal sensitivity is recommended for most patients.

Under very low perfusion conditions, such as severe hypotension or shock, high sensitivity
might provide more accurate measurements.

Note: With high sensitivity, SpO

carefully and continuously observe the patient.

To set the SpO

sensitivity level:

2

1. Press the Sens softkey.
The Normal and High softkeys appear.

2. Press the softkey for the preferred SpO

9650-0901-01 Rev. D R Series Pulse Oximetry (SpO2) 11

measurements are more easily contaminated by artifact;

2

sensitivity, then press the Return softkey.

2

R SERIES — PULSE OXIMETRY (SPO2) OPTION INSERT

Setting the SpO2 Averaging Period

The R Series provides three different time periods over which SpO2 values are averaged:

• 4 seconds

• 8 seconds (factory default)

• 16 seconds

The averaging period is rarely changed fro m the 8-second d efault setting. Fo r high-risk patient s
with rapidly changing SpO
be used only when the 8-second setting (default) is inadequate due to extremely high artifact
conditions.

conditions, use 4-second averaging. The 16 second setting should

2

To set the SpO

averaging period:

2

1. Press the Average key.
The following softkeys appear: 4 secs, 8 secs, 16 secs.

2. Press the softkey for the preferred averaging period, then press the Return softkey.

Displaying the Plethysmogram

When pulse oximetry is in use, the unit can display a plethysmogram below the ECG in either
the second or third trace position in MONITOR and DEFIB mode (for ALS models) or ON
mode (for Plus and BLS models), or in the second trace position in PACER mode (for all
models).

To display or remove the plethysmogram:

1. From one of the following modes:

• MONITOR, DEFIB or PACER mode for ALS models

• ON or PACER mode for Plus or BLS models

2. Press the Options softkey.

3. Press Traces.

4. Press Trace 2 in PACER mode, or press either Trace 2 or Trace 3 in DEFIB or MONITOR

mode (for ALS models) or ON mode (for Plus or BLS models) to select the position.

5. To display the plethysmogram in the selected position, press SpO

the display, press Off.

6. When you are finished, press Return twice to return to the main menu.

. T o remove the trace from

2

The third waveform disappears in DEFIB mode (for ALS models) or ON mode (for Plus or
BLS models) under the following conditions:

• When the CHARGE button is pressed

• When the ANALYZE button is pressed

• When the ENERGY SELECT button is pressed

• While synchronization is enabled

12 www.zoll.com 9650-0901-01 Rev. D

Setting SpO2 Alarms

Inc

>

Dec

< Enter

Parameter State Low High

SpO2

ENABLE

ENABLE

30
85

150

100

ECG HR

Cancel

81

ECG

II

x1

SpO2%

CPR

0:00

IDLE

Depth
Rate

99

The R Series pulse oximeter provides operator-programmable alarms for arterial oxygen
saturation and pulse rate. These are high-priority alarms, indicated visually by flashing the
associated bell symbol and parameter values and audibly by a continuous tone.

Note: Once the arterial oxygen saturation reaches the high or low limit, there is a 4 second

delay until the alarm occurs.

For the low and high alarm limit ranges and factory default values, refer to “Specificatio ns” on
page A-1 of your defibrillator’s R Series Operator’s Guide.

Note: When monitoring heart rate via pulse oximetry rather than ECG electrodes, the

tachycardia alarm limit is automatically lowered to 235 if it was previously set to a
higher value. The unit restores the higher setting when ECG monitoring resumes.

SpO2 Automated Alarm Limits

When the SpO2 alarm state is set to AUTO, the unit calculates the low and high limits for
arterial oxygen saturation as follows:

Monitoring a Patient

SpO2 Alarm Limit
(AUTO State)

Low 95% of the patient’s current saturation measurement
High 105% of the patient’s current saturation measurement (up to 100%)

To use AUTO alarm limits, ensure that the unit is making valid SpO

Calculation

measurements from the

2

patient.
To set S pO

alarm limits:

2

1. Using the procedure “Setting Alarms for Monitored Parameters” in your defibrillator’s
R Series Operator’s Guide, select the parameter SpO

.

2

2. Follow procedures in the Alarm section of your defibrillator’s R Series Operator’s Guide to

enable or disable processing and/or set alarm limits.

For information on configuring different alarm default values, refer to the R Series

Configuration Guide.

.

9650-0901-01 Rev. D R Series Pulse Oximetry (SpO2) 13

R SERIES — PULSE OXIMETRY (SPO2) OPTION INSERT

Daily Test Procedure

Perform the following procedure daily to ensure that t he pulse oximet er is function ing prope rly.
Use a reusable oximeter sensor for this procedure and test the pulse oximeter as follows:

1. Attach a reusable SpO

sensor to your finger and connect the patient cable to the SpO2

2

connector.

2. Turn the Mode Selector to the following:

• MONITOR for ALS models.

• ON for Plus or BLS models. Press the Manual Mode softkey, and then the Confirm

softkey to enter the Manual mode of operation.

The monitor displays the pulse signal indicator and the arterial oxygen saturation
percentage.

3. Manually measure your pulse and compare it with the displayed pulse rate.

The displayed pulse rate should be comparable to your measured pulse.

4. Observe the plethysmogram and verify that the wave repeats at the pulse rate.

If the unit is not displaying the waveform, refer to “Displaying the Plethysmogram” on
page 12.

5. With SpO

alarms enabled, raise the low SpO2 limit to generate an alarm, suspend th e alarm

2

tone, and then reset the low limit. (For instructions, refe r to “Sett in g SpO2 Alarms” on
page 13.)

When the alarm occurs, the unit emits a continuous alarm tone, highlights the SpO
and flashes the associated bell symbol.

6. Lower the high SpO

limit to generate an alarm, suspend the alarm tone, and then reset the

2

high limit. (For instructions, refer to “Setting SpO2 Alarms” on page 13.)
When the alarm occurs, the unit emits a continuous alarm tone, highlights the SpO

and flashes the associated bell symbol.

7. Remove the sensor from your finger without disconnecting the patient cable.

The unit emits two beeps and displays the message: CHECK SPO2 SENSOR.

8. Replace the sensor on your finger and wait for the SpO

9. Unplug the patient cable from the un it.

value to reappear.

2

The unit emits two beeps and displays the message: CHECK SPO2 SENSOR.

value,

2

value,

2

Default Settings for the SpO2 Option

The table below lists the factory default settings for SpO2 monitoring and the range of values
available for each parameter. Unless changed by the user, these default settings will always

14 www.zoll.com 9650-0901-01 Rev. D

appear after the unit is powered-up. See the R Series Configuration Guide for instructions on
changing power-up defaults.

Parameter Factory Default Setting Possible Values

Averaging period 8 seconds

Sensitivity level Normal

low saturation limit 8 5% 50% to 100% or OFF

SpO

2

high saturation limit OFF (appears as: ---) 50% to 100% or OFF

SpO

2

Low Heart Rate Alarm Limit 30 beats per minute 20 to 100 beats per minute
High Heart Rate Alarm Limit 150 beats per minute 60 to 280 beats per minute (ECG)

SpO2 Accessories

The following table describes each of the SpO2 accessories.

SpO2 Accessories

• 4 seconds

• 8 seconds

• 16 seconds

• Normal

• High

60 to 235 beats per minute (SpO

)

2

Item Description REF

LNCS Adtx Single use sensor for Adult patients > 30 kg 8000-0320
LNCS Pdtx Single use sensor for Pediatrics and Slender Adults 10 - 50 kg 8000-0321
LNCS Inf-L Single use sensor for Infants 3 - 20 kg 8000-0322
LNCS Neo-L Single use sensor for Neonates < 3 kg 8000-0323
LNCS NeoPt-L Single use sensor for Neonates < 1 kg (Pre-term) 8000-0324
LNCS DCI Reusable sensor for Adults and Pediatrics > 30 kg 8000-0294
LNCS DCIP Reusable sensor for Pediatrics 10 - 50 kg 8000-0295
LNC-4 4' Reusable Patient Cable 8000-0298
LNC-10 10’ Reusable Patient Cable 8000-0293
LNC Ext LNC Extension Cable, DB-9 Termination, 4ft 8000-0325
LNCS-to-LNOP Adapter Cable, LNCS Sensor to LNOP Patient Cable 8000-0327
LNOP DC-12 LNOP Adult Reusable Direct Connect 12’ Cable 8000-0296

Messages and Troubleshooting

Message or Symptom Possible Causes Recommended Action

SPO2 AMBIENT LIGHT Excessive ambient light Relocate the sensor, reduce

the ambient light, or shield the
sensor from the light.

SPO2 PULSE SEARCH Sensor cannot detect a pulse. Normal behavior immediatel y

after applying the sensor. If this
message persists beyond 10
seconds, reposition or relocate
the sensor, or increase
perfusion.

9650-0901-01 Rev. D R Series Pulse Oximetry (SpO2) 15

R SERIES — PULSE OXIMETRY (SPO2) OPTION INSERT

Message or Symptom Possible Causes Recommended Action

CHECK SPO2 SITE Insufficient perfusion at the sensor

site

CHECK SPO2 SENSOR An inappropriate sensor site, poor

application of the sensor, no
patient cable plugged in, or motion
is causing invalid SpO

Dashes appear in place
of the SpO2 saturation
percentage.

Message:

SPO2 COMM ERROR

Excessive ambient light,
inadequate perfusion, high signal
artifact, or a defective or
disconnected sensor or patient
cable

The pulse oximeter subsystem is
not communicating with the
defibrillator.

readings.

2

Reposition or relocate the
sensor, or increase perfusion.

Reposition or relocate the
sensor, or increase perfusion.

Ensure that the cable is
plugged into the unit.

Cease motion.
Reposition or relocate the

sensor, reduce the ambient
light, shield the sensor from the
light, or increase perfusion.

Check the cable and sensor.
Turn unit off and then back on

to see if message clears. If
message persists, contact
ZOLL Technical Service.

Specifications

The following specifications apply to the R Series pulse oximeter only. For information about
the R Series defibrillator and batteries, refer to your defibrillator’s R Series Operator’s Guide.

General

Saturation range (%SpO
Saturation resolution 1%
Saturation accuracy *

Note: R Series defibrillators are

Saturation alarm limits On/Off displayed on monitor; operator-selectable.

Wavelength Nominal Red LED Wavelength: 660 nanometers

SpO

2

) 1% to 100%

2

designed to work with the
Masimo LNCS series of
sensors and are dependent on
their specifications. Refer to
Masimo LNCS sensor labeling
for accuracy information.

During no-motion conditions
Adults/pediatrics: 70% to 100%, ±2%

0% to 69%, unspecified

Neonates: 70% to 100%, ±3%

0% to 69%, unspecified

During motion conditions
All patients: 70% to 100%, ±3%

0% to 69%, unspecified

Low limit: 70% to 98%
High limit: 72% to 100%

Nominal Infrared LED Wavelength: 905 nanometers

Energies (Radiant Power) of light for
LNCS Sensors at 50 mA pulsed

Pulse rate range 25 to 240 beats per minute
Pulse rate resolution 1 bea t per minute

Minimum: 0.13 mW
Maximum: 0.79 mW

16 www.zoll.com 9650-0901-01 Rev. D

Specifications

Pulse rate accuracy During no-motion conditions

25 to 240 beats per minute, ±3 beats per minute
During motion conditions
25 to 240 beats per minute, ±5 beats per minute

Pulse rate alarm limits On/Off displayed on monitor; operator-selectable.

Low limit: 20 to 100 beats per minute
High limit: 60 to 235 beats per minute

Biocompatibility Patient-contacting material meets requirements of

ISO 10993-1, Biological Evaluation of Medical Device,
Part I, for external surfaces, intact surfaces, and
short-term exposure.

Environmental

Temperature Operating: 0°C to 40°C

Storage and shipping: –20°C to 60°C
Note: The defibrillator might not perform to

specifications if stored at the upper or lower
temperature extreme and then put to immediate

use.
Electromagnetic immunity EN60601-2-4; IEC 1000-4-3 to 18 V/m
Software Hazards Minimized by compliance with EN14971

Note: The Pulse Oximetry Option is calibrated for functional saturation.
Note: Because R Series pulse oximeter measurements are statisticall y distributed, only about

68% of these measurements can be expected to fall within plus or minus one standard
deviation of the value measured by a CO-oximeter.

* The accuracy of the R Series pulse oximeter can only be verified by comparing its
measurements to those obtained with a CO-oximeter. Pulse oximeter functional testers cannot
be used to verify the accuracy of the oximeter or its sensors.

9650-0901-01 Rev. D R Series Pulse Oximetry (SpO2) 17

R SERIES — PULSE OXIMETRY (SPO2) OPTION INSERT

18 www.zoll.com 9650-0901-01 Rev. D