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        AH-M1 handheld Pulse Oximeter user`s manual
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1.          ccecceesseeeseeeeeeeeseeenseeeeens 6  4 5 Alarm Tone Configuration             c cesceeeseeeteeeeeeeeeeeens 7   4 5 1 Setting the minimum Alarm Volume               0     7   4 5 2 Changing the Alarm Volume            eeeeeeeeeeeeee 7  4 6 Pausing the Alarm Tones            cee seceeeeereeeeeneeeeeeeeeee 7    4 7 Shutting off the Alarm Volume           cceccecscesseeeeeneees 8       4 8 When an Alarm OCCUIS          0 ccccccsceccceeeesssseeeeeeeesneees 9        Chapter 5 Measuring SpO2            cccssscssssssscesscsscsscsseoeee 1  5 1 Introductions  eine aia E 1  5 2 Safety Information         sessssessessessesrseresessessesssessresseee 2  5 3 Monitoring Procedure         esesseeseeeeeseereereseereereseerrereses 4  SA SpO2  Display viisscetisete ee deneiati a eles 5  5 5 PR Display             04 sabdtenssetbessoostauedennahea cts 5  5 6 SpO2 Alarm Setup    cece sees seeeseeseessecseeeneeseeeees 6   5 6 1 Switching SpO2 Alarm On Off    eee 6       5 6 2 Setting the Alarm Level    cece eeeeteeeeeeeeeee 6  5 6 3 Adjusting the Alarm Limit    eceeeenreeees 6  5 6 4 Altering the Desaturation Limit    eee 7  5 7 PR Alarin Setups  asc ean a  5 7 1 Switching PR Alarm On Off     5 7 2 Setting the Alarm Level             5 7 3 Adjusting the Alarm Limit            cece eeeeeeeereeeee  Chapter 6 Reviewing            scccssscssscsscssssssessssesessesssssseees 1  6    TintroductiOtivs scieschsesiastcadetsad clgcneteteupearostestabeovanaages 1  6 2 Reviewing SCTeCN         ccceecc
2.     scccscsssecscsecssessessesees 1  3 1 Unpacking and Checking    cess eseeeeeneeneeenee 1  3 2 Getting Started    ec eceeeeceeessecetesseeeteeseesaeeneeenee 2  3 3 Starting the OxiMeter         eee cseeeceseeeeeeeceeseeeneeeeeees 3  3 4  General Setups cei aninion OE 3   3 4 1 Beep Volume Setup  sr iieininpnnrkrns 3  3 4 2 Key Volume Setup     3 4 3 Adjust the Screen Brightness            ceseeeeeeeeeeeee 4  3 4 4 Scan Speed Setup    ee eceseescseeseeeseesereeeeeeeees 4       3 5 Date and Time Setup       3 6 Selecting the Work Mode    ceecseeseesecteeneeteeeees 5    3 6 1 Continuous Monitoring Mode          ccceeesseeeees 6  3 6 2 Spot checking MOode          cccceseeeeeeseceneeceteeeeneees 7          3 7 Selecting Patient Type              fae ea ITAA EAI 8  3 8 Entering Exiting the Demo Mode             eceeeeeeeeees 8  3 9 Changing the Language    ee ceeeseeeeeeeetseeeteeees 9  3 10 Checking the Version           cccccessccesseeeseeeeteeeeeeeeeeeens 9  3 11 Restoring the Factory Configuration    9  3 12 Shutting off the Oximeter          ieee eeeeeeeeeereeeee 10  Chapter 4 Alarm          ccccccccscsscsssccsssssscsssssssscssssesssssseseoeee 1   A 1 Alarm Categories os cse  ecepevtersenvpeesctelecsotactayettieydestend 1  A Dear evel si2 229  2 822 arto ae hh Si ee hel mah  4 3 Alarm Indicators   4 3 1 Alarm tone           4 3 2 Alarm Lamp   4 3 3 Alarm Message maio nenna a 6   4 3 4 Flashing NUMETiC      eseeeseeeeeeeseeeseesrereseserererresrsee 6  4 4 Alarm Status Symbol
3.   If you spill liquid onto the equipment or  accessories  contact your service personnel or    Acare   8 2 Annual Safety Checks    Note  To ensure the ongoing performance and  safety of your equipment  the device must be  checked after 1 year of use  Use professional    technology engineers to check the device     Clean the plug connected to the power cord at least once  a year  Too much dust on the plug may cause a fire    The following safety checks and tests should be  performed at least every 12 months by a qualified person    with adequate training  knowledge  and practical experience     Handheld pulse oximeter user   s manual    The data should be recorded in an equipment log  If the  device is not functioning properly or fails any of the  following tests  the device must be repaired      Inspect the equipment and accessories for mechanical  and functional damage       Inspect the relevant safety labels for legibility       Verify that the device functions properly  as described in  the instructions for use      Test the earth leakage current  according to IEC 60601   1 1988   Al 1991   A2 1995  Limit  NC 500uA  SFC   1000A       Test the enclosure leakage current according to IEC  60601 1 1988   A1 1991   A2 1995  Limit  NC 100pA   SFC  500pA       Test the patient leakage current  normal operation   according IEC 60601 1 1988   A1 1991   A2 1995    Limit  type BF  for a c   100A  for d c   100A     _ Test the patient leakage current under single fault  condition acco
4.   Sensor Off The SpO gt  sensor detached the  Medium    patient or the oximeter        Battery Low The battery power is low  Medium    SpO  Low Perf The signal detected is weak           Acare Technology Co   Ltd    Address  6F  6  No 5  Wuquan 1st Rd   Xinzhuang Dist    New Taipei City 242  Taiwan   TEL    886 2 2298 8170   FAX    886 2 2298 8560   Email  info acaretech com    Website  http   www acaretech com    
5.   follow this procedure    1  Disconnect the oximeter from the patient and stop all  monitoring and measuring procedures    2  Place the battery in need of optimizing into the battery  compartment of the oximeter    3  Place the oximeter in the charger stand and connect it to  the AC mains  Allow the battery to charge uninterrupted    for more than 4 hours     Handheld pulse oximeter user   s manual    Disconnect the oximeter from the AC mains and allow  the oximeter to run on the battery until it shuts off   Replace the oximeter in the charger stand and connect it  to the AC mains  Allow the battery to charge  uninterrupted for more than 4 hours     The optimization of the battery is complete     7 5 Checking the Lithium Ion Battery    The performance of a battery may deteriorate over time     To check the performance of a battery  follow this procedure     l     Disconnect the oximeter from the patient and stop all  monitoring and measuring procedures    Place the oximeter in the charger stand and connect it to  the AC mains  Allow the battery to charge uninterrupted  for more than 4 hours    Disconnect the oximeter from the AC mains and allow  the oximeter to run on the battery until it shuts off  Make  a note of how long this takes    The operating time of a battery directly reflects its    performance     Handheld pulse oximeter user   s manual       a Caution     The service life of battery depends on the length  and frequency of use  Lithium Ion batteries can  generall
6.  All illustrations in this manual serve only as examples   They may not necessarily reflect the setup or data displayed    on your product     Key         Bold Italic text is used in this manual to quote the  referenced chapter or sections   e     is used to signify text as it appears on the  product screen           is used to indicate operational procedures     IV    Handheld pulse oximeter instruction manual       Warning  Indicates a potential hazard or unsafe  practice that  if not avoided  will result in death  or serious injury    e  Caution  Indicates a potential hazard or unsafe  practice that  if not avoided  could result in minor  personal injury or product property damage    Note  Provides application tips or other useful  information to ensure that you get the most from    your product        Contents          Chapter 1 General Introduction                  scsscsssscssseeseoees 1  Lid Intended Us  s iiri ene eee 1  1 2 Main Unit    cece eee ae ae aA Eas a SRRA   1 2 1 Front View   1 2 2 Rear View         123 Side VieWestvissceseiecneigiy irean RnR tes  1 3  Display ViewSonic ies eE 7   1 3 1 Large Numeric Display Mode        s ssseereeeeeeeeees 7   1 3 2 SpO2 Waveform Display Mode              ccccceeeeee 9   Chapter 2 Safety           cccsccscsccssscssssessssssssssssecssseseesssscssseees 1  2 1 Safety Information    eee eeeeeeetecneeeneeneeeees 1  2 2 Explanation of Symbols        sseseeeeeeeeeeeeeereeeesesreressrsreee 3   Chapter 3 Basic Operations            
7.  Information    is Warning     Explosion hazard  Do not use the oximeter in the  presence of flammable anesthetics mixed with air   oxygen  or hydrogen    a Do not use the product in the presence of high  power appliances such as high voltage cables  X ray  machines  ultrasound equipment or a defibrillator    E Keep the oximeter away from dust  vibration   corrosive substances  explosive materials  high  temperature and moisture    The device is not designed for use in a sterile field  The oximeter should be handled with care so as to    avoid it getting knocked or falling     Handheld pulse oximeter user   s manual    wil Warning     Do not use this device during defibrillation        a When the device is in use  ensure that the batteries  have sufficient charge remaining  otherwise start   up abnormalities may occur or the measurement  data may be inaccurate    HM   Patients must not wear nail varnish while using the  pulse oximeter as this will lead to unreliable SpO   measurements    a Measurements and pulse signals can be affected by  certain environmental conditions  errors in  applying the sensor  and certain patient conditions   See the appropriate sections of this manual for  specific safety information    4 The use of accessories  sensors  and cables other  than those specified may result in increased  emission  low anti disturbance and or may lead to  the oximeter producing invalid readings  It is  advisable to check the oximeter at least once a    month     Handhe
8.  manual    screen when the beep volume is off     3 4 2 Key Volume Setup    Press the Left button to select the item  then adjust the  value using the Up or Down button  You can select from 0 to  4     3 4 3 Adjust the Screen Brightness    Press the Left button to select the item  then adjust the  value using the Up or Down button  You can select from 1 to    5  Selecting the minimum brightness can save power     B Caution  If the oximeter is used outdoors  or if the  ambient light is strong  set the screen brightness    to a higher level     3 4 4 Scan Speed Setup    Press the Left button to select the item  then adjust its  value using the Up or Down button  You can select from  12 5mm s to 25mm s     Handheld pulse oximeter user   s manual    3 5 Date and Time Setup    After starting up  set the date and time of your oximeter   Operations are as follows   1 Select  Menu    gt   System  to enter the System menu     as shown below     Date 09     12     10  Time 11     06  Adu    Type  Maintenance  Load Default Conf     Select Return       Fig 3 2 System setup window    2 Select the year  month and day to the right of  Date     and set them to the current date at your location   3 Select the hour and minute to the right of  Time    and    set them to the current time at your location     3 6 Selecting the Work Mode    The oximeter is designed to operate in two modes     continuous monitoring and spot checking  The work mode    Handheld pulse oximeter user   s manual    that 
9. 1 5V  AA alkaline battery  Capacity 2000mAh   Quantity 3   Run time  gt 14 hours    With SpO  monitored continuously  Audio indicators    off and backlight brightness set to minimum and using    new  full power batteries at ambient temperature 25  C           Shutdown delay 10 min  After the first    low battery    alarm     Handheld pulse oximeter user   s manual    A 5 Hardware Specifications  A 5 1 Display    OLED    Size  diagonal   320x240 pixels       A 5 2 Indicating LED  Mainframe LED       Alarm indicating 1  Yellow Red   lamp    1  Orange   Battery charging  When charged  it lights orange   indicating lamp  When fully charged or not charged  it does not light     Charger LED  1  Green     When connecting to the AC DC adapter  it lights  AC power  green   indicating lamp  When disconnecting from the AC DC adapter  it does       not light        Handheld pulse oximeter user   s manual    A 5 3 Audio Indicating    Speaker Gives audible alarm  button tone and beep tone    Supports Pitch Tone and multi level volume     Alarm tones meet the requirement of IEC 60601 1 8        Alarm pressure 45 dB to 85 dB  Testing place is 1 meter from the    tone        A 5 4 Buttons    Se    Functions Power button  Up button  Down button  Left button     Right button  and Alarm pause button        Handheld pulse oximeter user   s manual    A 5 5 Sensors       Pulse oximetry sensors contain LEDs that emit red light   at a wavelength of approximately 660 nm and infrared   light at a wavel
10. AXCARE    Handheld Pulse Oximeter  Model  AH M1    Instruction Manual    Issued Date  Jul  12  2011  Ver 1 0    Handheld pulse oximeter instruction manual    Product Information      Product Model  AH M1     Product Name  Handheld pulse oximeter     Manufacturer  Acare Technology Co   Ltd      After Service Contact Information    Address  6F  6  No 5  Wuquan Ist Rd   Xinzhuang Dist    New Taipei City 242  Taiwan   TEL    886 2 2298 8170   FAX    886 2 2298 8560    Email  service acaretech com  Revision History    This manual has a revision number  This revision number  changes whenever the manual is updated due to software or  technical specification change  Contents of this manual are  subject to change without prior notice      Document No   P2000040 1        Revision number  1 0    Release time  2011 07  Copyright    2011 Acare Technology Co   Ltd  All rights    reserved     Handheld pulse oximeter instruction manual       CE mark    CE    0434    EC Representative Name   MEDIPRO  Villapark Business Park  Av Quitapesares 8  Building 8   Villaviciosa de Odon  Madrid  28670  Spain    Statement    The manufacturer  Acare  holds the copyright to this  manual  and is entitled to treat it as a proprietary file  This  manual is only to be used for supporting the operation   maintenance and service of the AH M1 product  and it  cannot be resold or republished by any other party    This manual contains exclusive information protected by  copyright laws and we  Acare  reserve its co
11. ake  sure that the patient   s nail faces the light window  inside the sensor     Handheld pulse oximeter user   s manual       5 4 SpO   Display    Parameter Display  h SpO2             100  8  0    Fig 5 1 SpO  parameter  1  SpO  label 2  High alarm limit of SpO2 3  Low alarm limit    of SpO  4  SpO  value 5  SpO   unit    Waveform Display       Fig 5 2 SpO2 waveform    5 5 PR Display  1 5  2 120 4  3 10        Fig 5 3 PR parameter  1  PR label 2  High alarm limit of PR 3  Low alarm limit of  PR 4  PR value 5  PR unit    Handheld pulse oximeter user   s manual    5 6 SpO  Alarm Setup  5 6 1 Switching On Off SpO  Alarm    Select  Menu       Alarm Setup     2  Set the  Alarm Jof SpO  tol Off Jto shut off SpO  alarm   When the alarm of SpO  is off  this sign PAN will be in the    visible SpO2 parameter display area     5 6 2 Setting the Alarm Level    1  Select  Menu       Alarm Setup     2  Set the  Alarm  of SpO  to  Med  or  High       5 6 3 Adjusting the Alarm Limit    1  Select  Menu   gt   Alarm Setup      2  Adjust  High   If an SpO  measurement is higher than  the high alarm limit  the    SpO2 Too High    alarm will be  triggered    3  Adjust  Low   If an SpO2 measurement is lower than the  low alarm limit  the    SpO2 Too Low    alarm will be    triggered     Handheld pulse oximeter user   s manual    5 6 4 Altering the Desaturation Limit    When the oximeter records an SpO  value that is lower  than the lower saturation limit  a high physiological alarm  will be trig
12. atient  ID is flashing  will make the patient ID stop flashing and  the ID number will remain unchanged  The new patient  will not be admitted and further measurements will be  stored under the current patient ID    3  When the storage of patient measuring data reaches its    limit  the patient ID will be reset to 1 and new data will    Handheld pulse oximeter user   s manual    replace the information stored under the first patient ID     3 7 Selecting Patient Type    To select the patient type    1  Select  Menu       System   gt   Type      2  Set  Type  to  Adu    Adult  Ped   Pediatric  or  Neo  Neonate     3 8 Entering Exiting the Demo Mode    To enter the demo mode    1  Select  Menu   gt   System        Maintenance      gt   enter the required password    2  Set  Screen   to  Demo  and the message  Demo  Mode  will appear in the technical alarm area    To exit the demo mode    1  Select  Menu       System    gt   Maintenance    gt   enter the required password    2  Set  Screen  to  Normal       B Caution  The Demo mode is for demonstration  purpose only  Do not enter the Demo Mode when  a patient is being monitored  to avoid mistaking    simulated data for the patient   s actual data  This    Handheld pulse oximeter user   s manual    could result in improper patient monitoring and    delayed treatment     3 9 Changing the Language    Select  Menu       System     Maintenance   enter the  required password  Select   Factory Setup   to set     Language        3 10 Che
13. ation distance   This is calculated from the equation applicable to the frequency of the transmitter     d  Hg    1    d  isip      80 MHz to 800 MHz    d        Lhe  LEi  300 MHz to 2 5 GHz  Where P is the maximum output power rating of the transmitter in watts  W   according to the transmitter manufacturer and d is the recommended separation  distance in meters  m     Field strengths from fixed RF transmitters  as determined by an electromagnetic site  survey     should be less than the compliance level in each frequency range        Interference may occur in the vicinity of equipment marked with the following    symbol        12    Handheld pulse oximeter user   s manual    NOTE 1 At 80 MHz and 800 MHz  the higher frequency range applies    NOTE 2 These guidelines may not apply in all situations  Electromagnetic   propagation is affected by absorption and reflection from structures  objects and   people    a Field strengths from fixed transmitters  such as base stations for radio   cellular cordless  telephones and land mobile radios  amateur radio  AM and  FM radio broadcast and TV broadcast cannot be predicted theoretically with  accuracy  To assess the electromagnetic environment due to fixed RF  transmitters  an electromagnetic site survey should be considered  If the  measured field strength in the location in which the device is used exceeds the  applicable RF compliance level above  the device should be observed to  verify normal operation  If abnormal performance i
14. cesccesteeesseesteeeeeceeseeeneeenseees 1  6 3 Reviewing Setup         cccecescsseesceeseseteeeeeceeseeenseeeeees 2  Chapter 7 Battery           cccccsscsssccsssssccssesssssscssscssssssssseoese 1  ToL Introduction    ee ia oei A eias 1    7 2 Installing Batteries    cece eeeeseneeseeeeetecneeeneeneeenes 3       7 2 1 Opening the Battery Doot         ccceeeeceeecesreeeneees  7 2 2 Installing the Alkaline Battery          7 2 3 Installing the Lithium Ion Battery    eee 5  7 3 Charging Lithium Jon Battery    6  7 4 Optimizing Battery Performance             eee renee 7  7 5 Checking the Lithium Ion Battery    cece 8  7 6 Disposing of the Batteries             cccceseeeceeseceneeeeneees 9  Chapter 8 Maintenance and Cleaning               sscsesssesees 1  8 1 Introduction    cece ee eeesscnsceecseeseeseesesseneeeeeeses  8 2 Annual Safety Checks  8 3 Cleaning the Oximeter         cccceeeseeeceeeeceneceneeeeneees 4  8 4 Cleaning SpO2 Sensor    eeeeeseesseeeeetecseeeneeeeeenee 5  8S Disposal nni rae E Goals E REAN 6  Chapter 9 ACCeSSOrieS      eseeeesesosorseseesosseseesorseseesorseseesorseseee 1  Appendix A Product SpecificationS       esesessssessossesessosseseee 1  A 1 Safety Specifications           seseseeeeeseeeeesseereeresrrrrerese 1  A 2 Physical Specifications         eeeeeeseseeeeeeesesesrreresesrrereses 1  A 3 Environmental Specifications            s seseeeeeeeeeeeeeereee 2  A 4 Charging Specifications           seeeeeeeeeeeereeeeeeererereeere 2  A 4 1 AC DC Adapter  Opti
15. cking the Version    Select  Menu J gt   System     Maintenance   enter the  required password  Select   Factory Setup   to check the    version of the oximeter   3 11 Restoring the Factory Configuration    If you have made changes to the system   s configuration  and want to restore the original factory settings  follow this    procedure     1  Select  Menu       System     2  Select  Load Default Conf     A pop up window    will appear  asking you to confirm that you want    Handheld pulse oximeter user   s manual    to return to the original configuration      Select  OK  to restore the factory configuration     3 12 Shutting off the Oximeter    To turn off the oximeter  follow the steps below    1  Confirm that patient monitoring is complete    2  Disconnect the SpO  sensors form the oximeter    3  Press the power button and hold it for 2 seconds to    turn off the oximeter     gO Caution  Under the Spot check mode  if the  oximeter is not in use and there has been no  button operation for more than 5 minutes  the    oximeter will shut down automatically     Handheld pulse oximeter user   s manual    Chapter 4 Alarm        Alarm    refers to a prompt that is given by the oximeter  through visual  audible and other means  to alert medical  personnel when a vital sign appears abnormal or the    oximeter experiences a technical problem     Note  The oximeter generates all audible and visual  alarms through a speaker  a visual alarm lamp    and the screen     4 1 Alarm Catego
16. different time  intervals in this window  When SpO or PR values are over  the alarm limit that has been set  their values will appear in  red  If the trend data spreads across more than one page  you    can turn pages by using the Up or Down button     Handheld pulse oximeter user   s manual    6 3 Reviewing Setup    After entering the reviewing window  press the left    button to enter the  Trend Setup   window  as shown below     30 Sec  5    Delete Selected  Delete All    Export Trend    Select  Fig 6 2 Trend Setup       In the window you can set  Interval     Select ID      Delete Selected      Delete All  and  Export Trend       Interval  The time interval between recordings  can be adjusted to take regular readings within the   range of 2 seconds to 30 minutes      Select ID  This selects the desired patient ID No   The user may change ID Nos  to browse the trend  data of corresponding patients      Delete Selected  This deletes the stored trend data  of the selected ID No     Handheld pulse oximeter user   s manual    Delete All  This deletes all trend data from every  stored ID No    Export Trend  This allows the user to send trend  data from a selected ID No to a computer  Before  this can be done  the relevant computer software  must be opened  and the infrared interfaces of the    instrument and the computer must be aligned     Handheld pulse oximeter user   s manual    Chapter 7 Battery    7 1 Introduction    The oximeter is designed to operate on three 1 5V  alka
17. e time  the oximeter will select the highest  warning level and give the highest visual and  audible alarm indications    E When multiple alarms occur at the same time  the  alarm messages will be displayed in the alarm area    in turn     Handheld pulse oximeter user   s manual    4 3 3 Alarm Message  When an alarm occurs  the alarm message will be  displayed in the alarm area      The system uses the following alarm symbols to match  the level of physiological alarm messages    High level alarms       Medium level alarms      Low level alarms        The system uses the following background colors to  indicate different messages and match the alarm level   High level alarms  red  Medium level alarms  yellow    Low level alarms  yellow  4 3 4 Flashing Numeric    When a physiological alarm occurs  the flashing numeric    indicates the parameter that has been breached    4 4 Alarm Status Symbol    XX Indicates that the alarm sound is turned off   LX Indicates that the alarm sound is paused   wR Indicates that individual measurement alarms are    turned off     Handheld pulse oximeter user   s manual    4 5 Alarm Tone Configuration    4 5 1 Setting the minimum Alarm Volume    1  Select  Menu        System    gt   Maintenance       enter  the required password    2  Select  Min Al Vol  and then select a value between 0  and 4     4 5 2 Changing the Alarm Volume    1  Select  Menu   gt   General Setup     2  Select  Alarm Vol  and then select a value between X  and 4  X is the min
18. en of all the  external cables and accessories    2  Insert batteries into the battery compartment  Make sure  that the battery has sufficient power  When using  rechargeable batteries for the first time  you must charge  them first  following the instructions given in the Battery    chapter        Warning     If the oximeter is mechanically damaged  or if it is  not working properly  do not use it on a patient for  any monitoring procedure  Contact your service  personnel    E To avoid the risk of explosions  do not use the  oximeter in the presence of flammable  anesthetics  vapors or liquids     Handheld pulse oximeter user   s manual    3 3 Starting the oximeter    Press the button    e to turn on the oximeter  The alarm  indication lamp should flash  and then stop  The system  should give a beep and enter the main screen  After starting  the oximeter you can change the settings for more    convenient use  as shown in section 3 4   3 4 General Setup    Press the Left button to enter   Menu     then  select   General Setup   to enter the general setup menu  shown as follows  You can set parameters for the following    functions       Alarm Vol  Beep Vol    Key Vol  Brightness    Scan Speed    Select       Fig 3 1 General setup window  3 4 1 Beep Volume Setup  Press the Left button to select the item  then adjust its    value using the Up or Down button  You can select from 0 to    4  A sign i will be shown at the bottom of the monitoring    Handheld pulse oximeter user   s
19. ength of approximately 905 nm    The total optical output power of the sensor LEDs is less  Wavelength than 15 mW     This information may be useful to clinicians  such as    those performing photodynamic therapy           A 6 Data Storage    The changing trends of SpO  and PR data will be shown in  the oximeter     Displaying way Trend tabular    Trend interval 2 seconds to 30 minutes    Trend parameter   PR  SpO2    Spot check  ID from 1 to 99  300 groups can be stored  Trend data for each ID     Continuous  ID is 0  60000 groups can be stored           Handheld pulse oximeter user   s manual    A 7 Measurement Specifications    A 7 1 Digital SpO2    SpO   Technic  Range    Resolution    Accuracy    Refreshing rate  Pitch Tone   PR   Range  Resolution  Accuracy    Refreshing rate       Digital SpO   technic  0 100     70  to 100    2   0  to 69   unspecified     lt 13 seconds    25 bpm to 250 bpm        2  or  1 bpm  whichever is the greater       Handheld pulse oximeter user   s manual       A 7 2 Nellcor SpO2  SpO   Range 0  to 100   Resolution 1   70  to 100    2   adult pediatric    70  to 100    3   neonate   Accuracy    70  to 100    2  Clow perfusion     0  to 69   unspecified    Refreshing rate          Pitch Tone   PR   Range 25 bpm to 250 bpm  Resolution 1 bpm   Accuracy  3 bpm  Refreshing rate Ts    A 7 3 Alarm Limit Specifications    Alarm limits Range     Step           SpO high limit  low limit  1  to 100    1  SpO low limit Desat to  high limit  1        Hand
20. er internal power    electric shock device    Degree of protection against    electric shock   Degree of protection against Ordinary equipment  without protection  hazards of explosion against hazards of explosion   Degree of protection against    ingress of liquid    A 2 Physical Specifications    Mainframe weight  lt 200g  58 5mm W x 123mm H x28mm D        Charger weight  lt 100g  Charger size 96mm W x66mm H x78mm D        Handheld pulse oximeter user   s manual    AC DC adapter   lt 200g  weight       AC DC adapter size   41 5mm W x90mm H x32mm D     A 3 Environmental Specifications    Operating  0  C to  40  C        Temperature  Storage   20  C to  50  C     Atmospheric Operating  860hPa to 1060hPa     pressure Storage  500hPa to 1060hPa     Operating  15  to 85   non condensing   Humidity          Storage  10  to 93   non condensing     A 4 Charging Specifications    A 4 1 AC DC Adapter  Optional     Input 100 240VAC  50 60Hz  Output 5V  1 5A    A 4 2 Battery Specification       Standard    Lithium ion rechargeable battery  50mm 46 5 mmx13 5mm          Handheld pulse oximeter user   s manual       Weight  Quantity 1  Rated voltage 3 7 VDC  Capacity  Run time  gt  14 hours  With SpO2 monitored continuously  Audio indicators  off and backlight brightness set to minimum and using  new  full power batteries at ambient temperature 25  C   Charge time 3 hours to 90     4 hours to 100     Shutdown delay 10min  After the first    low battery    alarm            Optional   Type 
21. etic    propagation is affected by absorption and reflection from structures  objects and people           Appendix C Factory Defaults    This section lists the most important factory default  settings  These settings can be adjusted and you can load the    factory defaults if you need     14    Handheld pulse oximeter user   s manual    C 1 Alarm Setup    Alarm Setup Factory Default  Alam Vo    Spo  Alarm Level  PR Alarm Level    C 2 System Setup    System Setup Factory Default             Beep Vol 2   Key Vl   brighines   Scan Spesd  C 3 SpO  Setup    SpO  Setup Adult Pediatric  SpO2 High Limit 100 100  90    SpO2 Low Limit    90 90  PR Setup Pediatric Neonate       PR Low Limit             Handheld pulse oximeter user   s manual    C 4 Trend Setup    Trend Setup Factory Default       Handheld pulse oximeter user   s manual    Appendix D Alarm Message    This section lists some important alarm message  In the    66399    tables below     D 1 Physiological alarm    means the alarm level is user adjustable        Messages Cause   SpO2 Too High  A measurement has risen above   SpO2 Too Low  the high alarm limit or fallen  below the low alarm limit    SpO2 Desat SpO2 measurement has fallen  below the SpO gt  desat limit    PR Too High  A measurement has risen above   PR Too Low  the high alarm limit or fallen  below the low alarm limit     No Pulse The pulse signal was too weak to       be analyzed     Level       Handheld pulse oximeter user   s manual    D 2 Technical alarm  
22. gered  The desaturation limit may be reset is as  follows    1  Select  Menu      System       Maintenance   anda  pop up window will appear  requiring a password    2  Input the password and select   OK   to enter the  maintenance window  Select  Desat Lim     and then set    its value through the Up and Down button     5 7 PR Alarm Setup  5 7 1 Switching PR Alarm On Off  Select  Menu       Alarm Setup     2  Set the  Alarm  of PR to  Off  to shut off PR alarm     When the PR alarm is  off  this symbol 2 will be in the    visible PR parameter display area     5 7 2 Setting the Alarm Level    1  Select  Menu       Alarm Setup     2  Set the  Alarm  of PR to  Med  or  High       Handheld pulse oximeter user   s manual    5 7 3 Adjusting the Alarm Limit    1  Select  Menu       Alarm Setup      2  Adjust  High    Ifa PR measurement is higher than the  high alarm limit  the    PR Too High    alarm will be  triggered     3  Adjust  Low    Ifa PR measurement is lower than the  low alarm limit  the    PR Too Low    alarm will be    triggered     Handheld pulse oximeter user   s manual    Chapter 6 Reviewing    6 1 Introduction    Select  Menu       Trend  to enter the trend reviewing  window  You can review previously stored SpO  and PR data    in this window     6 2 Reviewing Screen    Time  11 37 20    11 36 50  11 36 20  11 35 20  Menu Return    Fig 6 1 SpO  PR reviewing window       The above screen shows the SpO  PR reviewing window   You can review SpO  PR values measured at 
23. h of  these is selectively absorbed by oxygenated hemoglobin and  deoxyhemoglobin in the blood  An optical receptor measures  the changes in the light intensity after the light passes  through the capillary network and estimates the ratio of  oxygenated hemoglobin and the total hemoglobin     oxygenated hemoglobin    o a SE eee     PRO  oxyhemoglobin   deoxyhemoglobin x100     Handheld pulse oximeter user   s manual       5 2 Safety Information    wi Warning     Only use the SpO  sensors specified in this manual   Follow the SpO  sensor instructions for use and  adhere to all warnings and cautions    a When a trend toward patient deoxygenation is  indicated  blood samples should be analyzed by a  laboratory co oximeter for a full diagnosis of the  patient   s condition    E Do not use the oximeter and the SpO  sensor  during magnetic resonance imaging  MRI   The  induced current could cause burns to the patient    a Prolonged continuous monitoring may increase the  risk of unexpected changes in skin characteristics  of the patient  such as irritation  reddening   blistering or burns  Inspect the sensor site every  two hours and move the sensor if the skin quality  changes  For neonates  or patients with poor  peripheral blood circulation or sensitive skin   inspect the sensor site more frequently     Handheld pulse oximeter user   s manual       ul Warning      i    Check the SpO  sensor and its package for any sign  of damage before use  Do not use the sensor if any  damage 
24. held pulse oximeter user   s manual    el eo  PR high limit  low limit  1  to 250       1  PR low limit 20 to  high limit  1     Handheld pulse oximeter user   s manual    Appendix B EMC    Guidance and manufacturer   s declaration     electromagnetic emission  The device is intended for use in the electromagnetic environment specified below  The  customer or the user of the device should make certain that they are in such an    environment when operating it     Emissions test Electromagnetic environment   guidance    The device only uses RF energy for its internal  Radio frequency  function  Therefore  its RF emissions are very   RF  emissions  low and are not likely to cause any  CISPR 11  interference in nearby electronic equipment     Radio frequency    RF emissions    CISPR 11 The device is suitable for use in all  Harmonic establishments  including domestic  emissions establishments and those directly connected to    IEC 61000 3 2 the public low voltage power supply network    Voltage that supplies buildings used for domestic  fluctuations flicker purposes   emissions          IEC 61000 3 3    10       Handheld pulse oximeter user   s manual            Guidance and Declaration     Electromagnetic Immunity  The device is suitable for use in the electromagnetic environment specified below  The  customer or the user of the device should make certain that they are in such an    environment when operating it     Immunity test TEC 60601 Compliance   Electromagnetic environmen
25. imum volume  The value of X    depends on the setting of the minimum alarm volume     4 6 Pausing the Alarm Tones    Press the alarm pause button X   to keep the alarm  paused for 120 seconds  An alarm paused symbol will  indicate that the alarm is paused  and the pause time will be  displayed in the alarm status area      When the audible alarm is paused  the alarm lamp   remains lit  and the alarm message remains displayed        The remaining alarm pause time is displayed in the    alarm status area     Handheld pulse oximeter user   s manual        The symbol ZA is displayed in the alarm status area     Pressing the 2 key will restart the audible alarm   The audible alarm automatically starts again once the    alarm pause period expires     4 7 Shutting off the Alarm Volume    Set the  Min Al Vol  and  Alarm Vol  to 0 to shut off  the alarm volume  This symbol 2X will show in the alarm  status area    The alarm lamp and alarm messages remain active even  when the alarm volume is off  The audible alarm is  reactivated automatically when      The factory configuration is selected        The alarm volume is set to a nonzero value   When a factory configuration is selected  the alarm volume  of the oximeter may be lower than the minimum alarm  volume  In this case  the alarm volume is automatically    adjusted according to the minimum alarm volume     Handheld pulse oximeter user   s manual    wl Warning     When the alarm sound is switched off  the oximeter       will give n
26. is currently selected will be displayed in the technical   alarm area  You can choose the oximeter   s work mode   through the following steps    1  Select  System       Maintenance    at which point a  window will pop up and ask for your password  Input  the password and select  OK  to enter the maintenance    window shown as follows     Normal  Continuous    FactorySetup     Alarm Maintenance    Select       Fig 3 3 Maintenance window  2  Select  Work Mode    and then set the oximeter   s work  mode to  Continuous   or  Spot Check     3 6 1 Continuous Monitoring Mode    The continuous monitoring mode is intended for long   term monitoring of a patient  This mode is normally selected    when the patient is in hospital or under transport   The    Handheld pulse oximeter user   s manual    default patient ID given by the system is 0  When the  oximeter   s memory reaches full capacity  the oldest stored    data will be deleted     3 6 2 Spot checking Mode    Spot checking mode is intended for short term  on site  measurement  This mode is normally selected to check up on  the condition of a patient by doctors making rounds of a  ward  The patient ID will automatically increase from 1 to 99  with each patient  Details are as follows    Apply the SpO  sensor to the patient  After valid SpO2  signals are detected    1  The patient ID flashes and after 8 seconds will automat   ically increase by 1 number to admit a new patient    2  Pressing the Left hand button when the current p
27. is detected    When discarding a disposable or broken SpO   probe  please observe all local  state  and federal  regulations relating to the disposal of this products  or similar products     Caution  In cases where it is necessary to add a clip  to fix the fingertip sensor  clip the cable and not  the sensor itself  Please note that the sensor cable  should not be pulled with force     Note    The pleth wave is not equal to the intensity of PR  signal    The oximeter does not provide an automatic self   check alarm signal  the operator should use an  SpO2 simulator or use the oximeter on themselves  to check the oximeter is working correctly     Handheld pulse oximeter user   s manual    5 3 Monitoring Procedure    1  Selecting the SpO2 Sensor   Depending on the patient category  weight and  application site  you can select a different SpO2 sensor as  required   2  Connecting the SpO   Sensor   Plug the SpO  sensor cable into the SpO  connector on  the oximeter   3  Applying the SpO  Sensor to the patient   Clean the application site  removing barriers such as    colored nail polish  and apply the sensor to the patient           Warning    H Do not use the SpO  sensor on a limb where a NIBP  cuff has been applied  This may result in inaccurate  SpO  readings during cuff inflation    H Do not attempt to monitor SpO  levels on a finger  that has been painted with nail polish  as this may  result in unreliable measurements    E     When attaching a finger sensor to a patient  m
28. lay a  number between   and 99   PR parameter area  Current pulse rate  PR  value and its  high and low alarm limits are displayed in this area   Physiological alarm area  Current physiological alarm  information is displayed in this area   SpO  parameter area  Current SpO  value and its high  and low alarm limits are displayed in this area   Technical alarm and prompt information area  Current  technical alarm and prompt information is shown in this  area   Alarm status area  Alarm status symbols and alarm  pause time are displayed in this area   Pleth bar  Pulse intensity is indicated by the number of  stacked blocks visible     System time  Current time is shown in the area       Shift  Directly after startup   Shift  shown here is the    function controlled by the right hand button  Press the  right hand button to shift between different display       modes   11  Battery symbol  This symbol indicates the remaining    quantity of electrical charge in the batteries     1 3 2 SpO  Waveform Display Mode    SpO2          Fig 1 5 SpO  waveform display mode  1  SpO  waveform area  The waveform shown in this area  illustrates the current SpO  volume curve of the patient  being monitored   2  SpO gt  parameter area  Current SpO  value and its upper  and lower alarm limits are displayed in this area   3  PR parameter area  Current PR value and its upper and    lower alarm limits are displayed in this area     Handheld pulse oximeter user   s manual    Chapter 2 Safety    2 1 Safety
29. ld pulse oximeter user   s manual       p Caution  In order to obtain accurate results  the  oximeter should be used in a quiet and comfortable    environment     2 2 Explanation of Symbols    Symbol Note    Type BF applied part  defibrillation protected       Attention  Consult accompanying documents  this manual      Direct Current  DC     Degree of protection against ingress of liquid    Alarm volume off    Alarm volume pause    parameter alarm off          Handheld pulse oximeter user   s manual    Symbol Note    Beep volume off       Date of manufacture          Manufacturer    Symbol for the marking of electrical and electronics devices  according to Directive 2002 96 EC        Handheld pulse oximeter user   s manual    Chapter 3 Basic Operations    3 1 Unpacking and Checking    Open the package  Take out the oximeter and its    accessories  The following parts are provided in the package     Parts Standard Optional Quantity    SpO   probes   DB9 plugs     User   s manual        tisma    Lithium battery  AC DC adapter    Battery charger stand    Clip with lanyard  QuickStart  CDROM          J  J  K  v  Protective cover v  of  J  J  J    Check list          Alkaline battery       Handheld pulse oximeter user   s manual    3 2 Getting Started    1  Before using the oximeter to take measurements for the  first time  carry out the following checks on the oximeter  and all connected modules          Check for any mechanical damage           Check for correct connection betwe
30. line AA batteries or one piece Li ION rechargeable  battery  Under normal circumstances  no special battery  maintenance is necessary    When alkaline batteries or the Li ION battery are used     the battery icon indicates the battery status as follows   1    Indicates that the power of the battery is full     2    Indicates that the power of the battery has 3  grids left  3 4 full       3    E Indicates that the power of the battery has 2  grids left  half full       4     i Indicates that the power of the battery has 1  grid left  1 4 full       5    Indicates that the battery is almost depleted     The battery power supply can only last for a certain period    of time  If the voltage of batteries is too low  a    Battery    Handheld pulse oximeter user   s manual    Low    alarm will be triggered  If alkaline AA batteries are  used  please change them at timely intervals  If the Li ION  rechargeable battery is used  please insert the oximeter to the  battery charger and connect the charger to a commercial  power supply to charge the battery  The oximeter will switch  off automatically 10 minutes after the first    Battery Low       alarm is given     Caution  Remove the batteries prior to shipping  or  if the oximeter is not likely to be used for an  extended period of time     Qi Warning     Use only batteries specified in this manual    m  Keep the batteries out of the reach of children      E   When the oximeter is not in use for a long time  the  batteries should be re
31. moved  Dispose of used  batteries in accordance with local ordinances and  regulations     Handheld pulse oximeter user   s manual    7 2 Installing Batteries   The battery compartment is at the back of the device   follow the steps below to install or change the batteries   7 2 1 Opening the Battery Door  1  Turn the oximeter off first     2  Use a screw driver to remove the screw that secures the    battery door to the oximeter        screw  Fig 7 1 Loose the screw    3  Press the battery door  pushing it downwards to remove    the battery door     Handheld pulse oximeter user   s manual       Fig 7 2 Push the battery door    7 2 2 Installing the Alkaline Battery    1  Insert the AA alkaline batteries into the battery  compartment  aligning the   on each battery with  the   shown inside the battery compartment    2  Close the battery door and push it upwards    3  Use a screw driver to tighten the screw that    secures the battery door to the pulse oximeter        a Caution  Check the batteries periodically for  corrosion  Replace batteries if corrosion is present     otherwise damage to the oximeter may occur        Handheld pulse oximeter user   s manual       D Caution  Do not run the pulse oximeter using  alkaline batteries of different types or capacities at    the same time     7 2 3 Installing the Lithium Ion Battery    1  Insert the lithium ion battery in the battery compartment     following shown as follows        Press the battery in    Fig 7 3 Install the Li bat
32. n  hospitals  ordinary departments in clinics  nursing hospitals  and community medical institutions  It may also be used in    the home        1 2 Main Unit  1 2 1 Front View    1  a      7   3     i d          mmm       9           _7 8  Fig 1 1 Front view of the oximeter    1 Alarm indication lamp    When an alarm occurs  this lamp will light up as defined  below       High level alarm  the lamp quickly flashes red     Medium level alarm  the lamp slowly flashes yel     low       Low level alarm  the lamp lights yellow without       flashing   Display screen  Left button  Press this button to      Enter the main menu under the monitoring screen      Select the highlighted menu item under the menu  screen    Right button  Press this button to      Switch the screen display between large numeric  mode and SpO waveform mode under the  monitoring screen      Exit current menu under the menu screen    Alarm pause button  Pressing this button      Will not work when the alarm volume is off      Can pause the alarm for 120 seconds when the  alarm volume is on      Changes the alarm message to prompt message  when    Sensor off    alarm is activated       Note  the alarm can not be permanently switched       off   Power button    After the batteries are installed     Press this button to turn on the oximeter     Press and hold it for 2 seconds to turn the oximeter  off     Up button  Press this button to     Raise the volume of the heart beat displayed    Move the cursor upwards o
33. n be classified into  two categories of severity  medium level alarms and    low level alarms     e  Caution  The technical alarms cannot be  changed by the user     4 3 Alarm Indicators    When an alarm occurs  the oximeter will indicate it  through the following signals      Alarm tone  The speaker on the rear panel of the  oximeter will sound the alarm in different tones   according to the severity of the alarm      Alarm lamp  The alarm lamp on the front of the  oximeter will flash a different color and speed     according to the severity of the alarm     Handheld pulse oximeter user   s manual      Alarm message  Alarm messages are displayed on the  front screen     Flashing numeric  The monitored parameter that has    been breached to cause the alarm to sound will flash     D Caution  Alarm lamp  alarm tone and alarm  messages will vary according to the level of    severity of the alarm     4 3 1 Alarm tone    The different level alarms are indicated by the system in    the following audio tones     Alarm f  level Audible prompt    High       Low    DO              Handheld pulse oximeter user   s manual    4 3 2 Alarm Lamp    When an alarm occurs  the severity is indicated on the    alarm lamp in the following visual ways     Alarm level Visual prompt  High Alarm lamp flashes in red at 2 Hz  Medium Alarm lamp flashes in yellow at 0 5 Hz     Low Alarm lamp is yellow but does not flash           ga Caution   E    When multiple alarms of different levels occur at  the sam
34. ntally gets wet  rinse them with    distilled or deionized water and dry them in an  environment with a temperature between 40  C and 80   C    for at least one hour     8 4 Cleaning SpO  Sensor    1     The casing of the sensor and light tube can be cleaned  with a swab  or a non velvet soft cloth dipped in  medical alcohol    The sensor cable can be cleaned or sterilized with  hydrogen peroxide 3   or isopropyl alcohol 70    Never put the oximeter in a high pressure container  and    never put the sensor directly in liquid     Handheld pulse oximeter user   s manual       Warning  Do not reuse or disinfect disposable    SpO gt  sensors     8 5 Disposal    Dispose of the oximeter in accordance with local  environment and waste disposal laws and regulations  For  the disposal of SpO2 sensors  follow local regulations    regarding the disposal of hospital waste     Handheld pulse oximeter user   s manual       Chapter 9 Accessories    Nellcor SpO  sensor    Type Patient Category  ASDNR A1 Adult finger  patient size gt 30kg     Pediatric foot hand  Disposable ASDNR RZ  patient size 10 50kg        Adult finger or neonatal foot hand    ASDNR N3  patient size  gt 40 kg or  lt 3 kg     ASANR D3 Adult       Reusable ASYNR D3 Adult   neonatal    ASPNR D3 Pediatric   neonatal          Handheld pulse oximeter user   s manual    Appendix A Product  Specifications    A 1 Safety Specifications    SFDA classification       CE classification  Type of protection against IL  with external pow
35. o audible alarm tones even if a new  alarm occurs  Any decision to switch off the alarm  sound should be made with extreme caution    W Users should not rely exclusively on the audible  alarm system for patient monitoring  Adjusting the  alarm volume to a low level may result in a hazard  to the patient  Always keep the patient under close    surveillance   4 8 When an Alarm Occurs    Note  When an alarm occurs  always check the    patient   s condition first     Check which alarm message has appeared on the screen   This is necessary to identify the alarm and the appropriate  action to be taken     1  Check the patient   s condition     Handheld pulse oximeter user   s manual    2  Identify which parameters have set off the alarm  and  identify the alarm category    3  Identify the cause of the alarm    4  Silence the alarm  if necessary    5  When the cause of the alarm has been identified and  addressed  check that the alarm system is working  properly    Alarm messages for individual parameters can be    found in Appendix D Alarm message     Handheld pulse oximeter user   s manual    Chapter 5 Measuring SpO2    5 1 Introduction    The measurement of oxygen saturation of arterial blood   also known as peripheral oxygen saturation  usually  shortened to SpO   relies on the principles of light spectra  and volume tracing  An LED in the oximeter emits light rays  through the body  wherever the probe is used  e g  through  the finger  at two different specific wavelengths  Eac
36. onal            ccceeeeseeeeeesees 2  A 4 2 Battery Specification    eeceeeseeseeeeeeeeeeeeeee 2    A 5 Hardware Specifications    cecseessseseseeereeneeeenee 4            ASU DiS Planei nno ht op  A 5 2 Indicating LED              A 5 3 Audio Indicating            A 5 4 Buttons      A 5 5 Sensors          ALO Data St  ra fesis ii ai ees    A 7 Measurement Specifications       A 7 1 Digital SpO2      eee  ACT 2 NellCor SpO2 irira ae tiaotens  A 7 3 Alarm limit specifications             ce eeeseeeeereeeee 8  Appendix B EMC       ssssssesesesesoesessssoosessosoosessosoosesoosoosesooe 10  Appendix C Factory Defaults               ssscssscsscsrecssssseoees 15  C 1 Alarm Setup        sesessseeseessssssesseesrerserseresessessssssessees 15  C 2 System Setup  C3 SpO2 Setups esner heehee 16  C 4 Trend Setup    cceccseccesccenecesneeeeeeseeeeeseeeneeenaeees 16  Appendix D Alarm Message            sscssssssssscssecrsssseoees 17  D 1 Physiological alarm    esses eeceteetecneeeeeeeeeeee 17    D 2 Technical alarim           cccccccesscceessececssseeceeseeeeeeseeeens 18       Chapter 1 General Introduction    1 1 Intended Use    The AH M1 handheld pulse oximeter is intended for  continuously monitoring or spot checking peripheral oxygen  saturation  SpO   and pulse rate  PR  for adult  pediatric or  neonatal patients    This device can be used in institutions or units with  health care capability  This includes outpatient departments   emergency rooms and departments of internal medicine i
37. pyright  No parts  of this manual shall be photocopied  Xeroxed or translated  into other languages without written approval from the  manufacturer    The contents of this manual are subject to amendment    without notification     II    Handheld pulse oximeter instruction manual    Manufacturer s Responsibility   The manufacturer will be responsible for the safety   reliability and performance of the instrument under the  following circumstances only        All installation  expansion  readjustment  renovation or  repairs of the instrument are conducted by personnel  certified by the manufacturer      The storage conditions  operating conditions and  electrical status of the instrument conform to the  product specification      The instrument is used in accordance with the user    manual     About this manual    This manual contains the instructions necessary to  operate the product safely and in accordance with its  function and intended use  Observance of this manual is a  prerequisite for proper product performance and correct  operation of the product  and ensures patient and operator    safety     Tl    Handheld pulse oximeter instruction manual    This manual is based on the maximum potential  configuration of the product  and therefore some contents  may not apply to your device  If you have any questions   please contact us    This manual is an integral part of the product  It should  always be kept close to the equipment so that it can be  referred to when needed   
38. r increase the value of a  selected menu item under the menu screen   Down button  Press this button to     Lower the volume of the heart beat displayed    Move the cursor downwards or decrease the value  of a selected menu item   Battery charging indicating lamp     Lights orange when the battery is being charged     Will show no light when the battery is fully charged    or not being charged        1 2 2 Rear View       Fig 1 2 Rear view of the oximeter    1  Speaker    2  Battery door       1 2 3 Side View    Topside  Downside  Leftside     3 e            Fig 1 3 Side view of the oximeter    1  SpO  probe connector   2  Cord hold   3  Power supply connector  Used to connect the charger stand    4  Infrared port  A port through which a personal computer can  communicate with the product  to export data in real    time        1 3 Display Views    This device features an automatic display rotation   gravity activated   which allows vertical and horizontal  positioning of the screen  to maximize space utilization and    visibility     1 3 1 Large Numeric Display Mode    6 7   SpO2       1  5   8   4  3  2 9  1 10       11  Fig 1 4 Big numerics display mode    1  Menu  Directly after startup   Menu  shown here  is  the function controlled by the left hand button  When       appropriate  press the left button to enter  Menu     Patient ID No   When  Continuous  is selected for  work mode  the patient ID is set at 0 at all times  when    Spot Check   is selected  the ID will disp
39. rding to IEC 60601 1 1988   A1 1991    A2 1995    Limit  type BF  for a c   5mA  for d c   5mA     Handheld pulse oximeter user   s manual       Test the patient leakage current Mains voltage on applied  part  According IEC 60601 1 1988   A1 1991   A2 1995   Limit  type BF  for a c   5mA     Warning  Do not attempt to service the device    yourself  take it to an authorized representative    or manufacturer     8 3 Cleaning the Oximeter    1     Common detergent and non corrosive disinfectant used in  hospitals can be used to clean the oximeter  be aware that  many kinds of detergents must be diluted prior to  utilization  Use cleaning fluids according to the    instruction of the detergent manufacturer       Avoid the use of alcohols  amino or acetonyl detergents    when cleaning the oximeter       The oximeter case and screen must be kept free of dust     It can be wiped with a lint free soft cloth or a sponge  soaked in detergent  While cleaning the oximeter  be    careful not to spill liquid onto the instrument  and do not    Handheld pulse oximeter user   s manual    allow any liquid to spill inside the oximeter  When wiping  the side panel of the oximeter  be especially careful to    keep liquid away from the cable and the outlet       Do not use abrasive materials such as wire brushes or    metal brighteners when cleaning the oximeter  as they    will damage the panel and the oximeter screen       Do not submerge the oximeter in liquid       If the cable or plug accide
40. ries    The oximeter   s alarms fall into three categories    1 Physiological alarms   Physiological alarms are triggered when a monitored  parameter moves outside of set alarm limits  or by an  abnormal patient condition  Physiological alarm messages  are displayed in the physiological alarm area     2 Technical alarms    Handheld pulse oximeter user   s manual    Technical alarms are triggered by a device malfunction  or a patient data distortion  due to system problems or  improper operation of the oximeter  Technical alarm  messages are displayed in the technical alarm area    3 Prompt messages   Prompt messages are not alarm messages  The pulse  oximeter will sometimes show messages updating the user  on the system status  separate from the physiological and  technical alarm messages   Prompt messages are displayed in    the technical alarm area     4 2 Alarm Levels    1  The oximeter   s physiological alarms fall into three  categories of increasing severity  low level alarms   medium level alarms  and high level alarms      High level alarms   Indicate that the patient is in a life threatening  situation and emergency treatment is required      Medium level alarms   Indicate that the patient   s vital signs appear abnormal    and immediate treatment is required     Handheld pulse oximeter user   s manual    E Low level alarms  Indicate that the patient   s vital signs appear abnormal    and immediate treatment may be required     2  The oximeter   s technical alarms ca
41. s observed  additional    measures may be necessary  such as reorienting or relocating the device        b Over the frequency range 150 kHz to 80 MHz  field strengths should be less than  3 V m     Recommended Separation Distances between Portable and Mobile RF    Communications Equipment and the SL F SL Series Anti decubitus Mattress    The device is intended for use in an electromagnetic environment in which radiated RF  disturbances are controlled  The customer or the user of the device can help prevent  electromagnetic interference by maintaining a minimum distance between portable and  mobile RF communications equipment  transmitters  and the device as recommended    below  according to the maximum output power of the communications equipment        Separation distance according to frequency of transmitter m     Rated maximum    150 kHz to 80 80 MHz to 800 800 MHz to 2 5 GHz  output power of MHz MHz    13       Handheld pulse oximeter user   s manual          transmitter     W           For transmitters rated at a maximum output power not listed above  the recommended  separation distance d in metres  m  can be estimated using the equation applicable to the  frequency of the transmitter  where P is the maximum output power rating of the    transmitter in watts  W  according to the transmitter manufacturer     NOTE 1 At 80 MHz and 800 MHz  the separation distance for the higher  frequency range applies   NOTE 2 These guidelines may not apply in all situations  Electromagn
42. t  test level level  guidance    Electrostatic Floors should be wood  concrete   discharge  ESD  or ceramic tile  If floors are   IEC 61000 4 2  6 kV 46 kV covered with synthetic material   contact contact the relative humidity should be        at least 30     48 kV air 48 kV air    Electrical fast  transient   burst   EFT  N A  TEC 61000 4 4  Surge IEC N A  61000 4 5  Voltage dips   short  interruptions and    voltage NA  variations on       power supply  input lines  IEC 61000 4 11    Power frequency Power frequency magnetic The   50 60 Hz  power frequency of magnetic  magnetic field 3 A m fields should be at levels    IEC 61000 4 8 characteristic of a typical  location in a typical commercial       or hospital environment        Note  Ur is the AC mains voltage prior to application of the test level     Guidance and Declaration     electromagnetic Immunity       11    Handheld pulse oximeter user   s manual         The device is suitable for use in the electromagnetic environment specified below         The customer or the user of device should make certain that they are in such an        environment when operating it     TEC 60601 test level Compliance level    Radiated RF 3 V m       Immunity test    Conducted RF                    IEC 61000 4 6    IEC 61000 4 3 80 MHz to 2 5 GHz       Electromagnetic environment   guidance    Portable and mobile RF communications equipment should not be used closer to  any part of the device  including cables  than the recommended separ
43. tery    2  Close the battery door and push it upwards   3  Tighten the screw that secures the battery door to the pulse    oximeter     Warning  Disconnect the oximeter from the patient    and stop all monitoring before charging the battery     Handheld pulse oximeter user   s manual       7 3 Charging Lithium Ion Battery    Only Lithium Ion rechargeable battery can be recharged    by the charger stand with this pulse oximeter         Handheld oximeter         Charger stand    4 AC DC adapter    Fig 7 4 Charging device    To charge the Lithium Ion battery    1  Place the oximeter in the charger stand    2  Connect the AC DC adapter and plug the adapter into  the AC mains    3  The indicating lamp on the battery charger and the  indicating lamp on the oximeter will light up  to show    that the battery is charging     Handheld pulse oximeter user   s manual    4  When the indicating lamp on the oximeter turns off  the    battery is fully charged     7 4 Optimizing Battery Performance    A batteries need to be run through at least two optimizing  cycles when they are put into use for the first time  A battery  optimizing cycle is one complete  uninterrupted charge of the  battery  followed by a complete  uninterrupted discharge of  the battery  A battery should be conditioned with this method  regularly  to maintain its useful life  Condition a battery once  when it has been used or stored for two months  or when its  run time becomes noticeably shorter    To optimize a battery
44. y be charged and discharged 300 times      The operating time of a battery depends on the    configuration and operation of the pulse oximeter     7 6 Disposing of the Batteries    Batteries that are damaged or depleted should be  replaced and discarded properly  Dispose of used batteries    according to local regulations     Warning  Do not disassemble batteries  dispose of  them in fire  or cause them to short circuit  They  may leak  ignite  or explode  causing personal    injury     Handheld pulse oximeter user   s manual    Chapter 8 Maintenance and  Cleaning    8 1 Introduction    Keep your equipment and accessories free of dust and  dirt  To avoid damage to the equipment  follow these rules    1  When cleaning the oximeter  always dilute cleaning  products according the manufacturer   s instructions   and  use the lowest possible concentration    2  Do not immerse any part of the equipment in the liquid    3  Do not pour liquid on to the equipment or the accessories    4  Do not allow liquid to enter the case    5  Never use abrasive materials  such as steel wool or silver   polish   or erosive cleaners  such as acetone or acetone     based cleaners  to clean the oximeter     Warning  Be sure to shut down the system and  disconnect all power cables from the outlets    before cleaning the equipment     Handheld pulse oximeter user   s manual       Warning  For optimal performance  product  service should be performed only by qualified    service personnel     e  Caution
    
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