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1. SEND NO SENDING FAX 52 PAGE 1 OF 2 CANCEL Y lt gt PHONE NUMBER YES gt CLEAR gt CLEAR PHONE NUMBER SEND Ne 7 NO SENDING DATA m lt 52 ke CANCEL J a N gt WAITING FOR CALL L CANCEL NONE MODEM SETUP GUARD TONE SELECT GUARD TONE CUSTOM 550 HZ NONE 1800 HZ INITIALIZATION STRING lt gt YES i RESET DEFAULT MODEM AT amp DS amp H1____ INITIALIZATION Too TTT DEFAULT a NO 3900 3900P User s Manual B Communications This appendix covers e Serial device connections for computer oximeter communication e Analog device connections WARNINGS Electrical shock hazard e Measure the oximeter s leakage current whenever an external device is connected to the RS 232 Forward and reverse polarity 100 microamperes maximum Because the unit is not grounded when it is operating on battery power do not connect any equipment to the RS 232 connector on the rear panel unless the unit is connected to the AC main power supply Accessory equipment connected to the RS 232 serial analog connector must be certified according to the current version of the respective IEC EN standards e g IEC 60950 for data processing equipment and IEC EN 60601 1 for medical equipment All configurations shall also comply with IEC EN 60601 1 1 Anyone who connects additional equipment to the RS 232 serial analog connector configures a m
2. CLEAR LABELS CLEAR TREND gt CLEAR LABELS CLEARED gt i YES gt CLEAR SpO2 AND Plr TRENDS gt l CLEAR BOTH gt CLEAR LABELS AND SpO2 a AND Pl TRENDS i NO m f NOT CLEARED LABELS lt gt 7 GONZALES__ a DA CASEY CLEAR GENERAL__ lt q SAVE LIMITS NO via ALLMUTE YES oe BAUD RATE 9600 gt ANALOG 0 0V lt q via MODE SpO2 E OUTPUT 6 SEC CONTRAST 5 pad SpO2 94 96 lt gt 100 i lt gt 90 Ue CLEAR 80 1148506 05 17 55 00 24 0 98 1 00 PI 2 49 lt 41 gt 3 0 ee oa ha lt lt gt gt 1 0 CLEAR 1 S og 11 48 06 05 17 99 00 24 CLEARED CLEAR LABELS gt CLEAR LABELS CLEAR TREND gt CLEAR SpO2 AND Plr TRENDS ag CLEAR BOTH gt CLEAR LABELS AND SpO2 AND Pl TRENDS ne NO i j NOT CLEARED gt yes A Screen Maps MODEM SELECT DATA and SEND MODEM STATUS SELECT DATA lt 12 HRS SEND SEARCHING SETUP FAX SEND REMOTE COMPUTER 12 HOURS WAIT FOR CALL lt MODEM SETUP SELECT DATA MODEM STATUS 186 SEND SEARCHING SETUP lt SELECT HOURS 12 HOURS HOURS 18 HRS ALL a Vv PHONE NUMBER lt gt She YES 4 CLEAR gt CLEAR PHONE NUMBER
3. Test passed In calibration If the unit does not pass the self test an error message is displayed and the unit is inoperable 2 6 2 Setup and Operations 6 On the displays verify The high and low alarm limits for SpO2 and pulse rate e Dashes appear for any limit set to OFF e The readings for SpOg pulse rate and PI pulsatile value Dashes may appear on the display until the SpOg pulse rate and PI pulsatile value readings have stabilized approximately 12 seconds NOTE The audible alarm feature for all alarm conditions is silenced for the first two minutes after powering on 7 10 11 If two minutes have elapsed since you powered on verify that the patient alarms are functional by setting the high and low SpOz2 and pulse rate alarm limits beyond the current readings Make sure e An alarm tone sounds e The violated alarm limit and reading flash on the display e Depending on the priority of the alarm a red or yellow alarm light flashes Verify the sensor alarms are functional by removing the sensor from the sensor site Make sure e SENSOR OFF or CHECK SENSOR SITE appears in the message area of the graphic display e The alarm tone sounds the alarm light flashes Unplug the sensor from the oximeter Make sure e NO SENSOR appears e The alarm tone sounds the alarm light flashes Press the alarm silence button Make sure e The alarm tone ceases e The alarm light i
4. Va PHONE NUMBER Figure 5 4 PHONE NUMBER screen The first time this screen appears the phone number field is blank The number you enter appears the next time this screen is displayed You can edit an existing number or select CLEAR to remove it from the screen then enter a new number If the number is long continue it on the next line Use and P to move the cursor Hold down the key to move quickly Use and to move in descending or ascending order to the new character Hold down the key to scroll quickly through the available characters 0123456789 TPW comma lt space gt T sends a tone dial as from a push button or touch tone phone Since tone dial is the default for most modems T is usually not needed P sends a pulse dial as from a rotary dial phone W or comma activates a pause that may be necessary on your phone line before you can dial the rest of the phone number Example P9 1236574 indicates you are using a pulse dial phone from which you must dial 9 to access an outside line wait for the dial tone then dial the phone number Dashes and forward slashes are accepted but not required For an explanation of the other characters you can use in the number string refer to the instructions for your modem After entering the phone number of the fax machine press SEND 5 TeleOximetry Fax transmission messages After you press SEND to transmit a fax s
5. 0537 LR 87853 Medical electrical equipment classified in the US and Canada GF with respect to electric shock fire and mechanical hazards only c in accordance with the Canadian Standards Association CAN CSA C22 2 No 601 1 and Underwriters Laboratories Inc UL 2601 1 General safety requirements The 3900 and 3900P comply with the requirements of EN 60601 1 Part 1 General requirements for safety of medical electrical equipment Type BF applied part Type of protection against electric shock Class I Internal electrical power source Degree of protection against ingress of liquids Ordinary IPX0 Mode of operation Continuous The monitor also complies with the following EN 865 Pulse oximeters Particular requirements EN 475 Medical devices Electrically generated alarm signals 7 1 3900 3900P User s Manual Electromagnetic compatibility EMC The 3900 and 3900P pulse oximeters comply with the requirements of EN 60601 1 2 Electromagnetic compatibility Requirements and tests Emissions EN 55011 Group I Class B The 3900 and 3900P pulse oximeters were tested with an RS 232 cable and analog output cables attached when operating on AC power A USRobotics Sportster fax modem was connected during Electrical Safety and EMC testing The analog output was measured using a fiber optic link during testing The oximeters were tested with no peripheral devices when operating on battery power When installing and using
6. 6 Carefully place the paper feed cover back on the printer so that the tabs on the sides of the cover will slide under the printer case Slide the cover forward until the tabs are in place and you feel it snap into place 7 Turn the oximeter on and press the advance paper button to make sure it is working properly If the paper continues to jam frequently make sure the paper is properly inserted in the printer If it is and the paper continues to jam the printer requires service See Repair policy and procedure in chapter 6 5 TeleOximetry This chapter covers Connecting a modem to the 3900 3900P Selecting the data to be transmitted Sending a fax through a fax modem Sending data through the modem to a remote computer Setting up the 3900 3900P for your modem Sample reports are included at the end of the chapter Using a modem summary You cannot transmit data through a modem while printing Complete one operation then begin the other If you use a fax modem you can transmit data to a fax machine The steps for using a modem to transmit trend data are summarized below Details for performing these steps and descriptions of messages that may be displayed are included in this chapter except as noted below 1 2 3 Connect your modem In Press the Menu button to display the MENU screen Select SETTINGS then MODE to choose the trend data PI or SpO2 to be transmitted For remote computer transmissio
7. Pra Sera te EA AEE A AAE AE AAE ATE AAN EE AE Ple pulsatile veal uae saiccscccscssaiesscecssnssvtescocssnvassoncesSunssvbeyectsonvaicescestnnvasbeccostonvaseevsestonuadbevesthonvadevcsebontas Sensor emitter wavelength ranges Environmental FES Ctr eal es setssetscessastatccdiissScensbeenstsinstdlbobssneceansntassndatied a S n an a a A e in RS 232 serial analog CONNectOoT ccssssssssssssssccsssssssssssssssesssscccsssssssssssssssesseseessssssssssssseeeee Serial Output en Analog output Dimensions and weights ci ssseccctssieaeassstonsstessssconsavcosssbendpbuetSserSvastecSesenshita bsesbennstbevestdSaita Table of Contents A Screen Maps SCLEEN MAPS orsssssssssssosssscsssnsessssnsesesssnsssssssnsssssssnsssesssnsssssssnesscsssnsscesssnsscsssnsesessensscsssnsssenssnsssenssnsecesassesssnesseses A 1 B Communications Serial device COMMUMICATIONS cccccssssssssssssssseesssssssssssssssssssssssssssssssssssssssssussseossssssssesssssssssssssesssonss B 1 REQUITOMICIES 2ecssscasscecciatecnnstedsinenasthcbessesesensedalacenathsevssonsussncrdsdeertstbntsccueenbvstnedsentelhabeievonibonanecendbense B1 RS 232 interface cable serial PinOUut cssssssssssssssessccscssssssssssssssessessees B2 CONTE STON eiieeii tei e ATE Teer E Serial communication output Auto output mode s s s Trend oultpitt Mode x iscsseissiusacsectecsseiiescacesssasrevenegs A ENESA Analog device communications ss sssssssssesssesssessseesseeessoessoee
8. and the oxygenation of the arterial hemoglobin Analog and digital signal processing then converts the light intensity information into SpOz pulse rate and PI pulsatile values for display on the monitor Calibration A CO oximeter typically uses four or more wavelengths of light and calculates reduced hemoglobin HHb oxyhemoglobin O2Hb carboxyhemoglobin COHb and methemoglobin MetHb Datex Ohmeda pulse oximeters use two wavelengths ranges 650 nm 670 nm and 930 nm 950 nm both with an average power of less than 1 mW These wavelengths are used to calculate the presence of O2Hb and reduced HHb Because of this pulse oximetry readings will be different than CO oximetry readings in situations where a patient s COHb or MetHb are increased Two different methods of calibration are currently used by manufacturers of pulse oximeters fractional and functional Important This pulse oximeter uses the functional calibration method The user cannot change the calibration method to fractional e Fractional saturation is represented mathematically as the percentage of the total amount of hemoglobin carrying oxygen It is determined by dividing the oxyhemoglobin by the total hemoglobin O5Hb O2Hb Fractional Sp02 _ _ x10 o _________ x 100 HbTOTAL O2Hb HHb COHb MetHb e Functional saturation is represented mathematically as the percentage of hemoglobin capable of carrying oxygen that is carrying oxyge
9. NO DATA 50 0 00 00 00 01 00 00 02 00 00 03 00 00 04 00 00 100 90 80 70 60 04 00 00 05 00 00 06 00 00 07 00 00 08 00 00 100 90 80 70 60 08 00 00 09 00 00 10 00 00 11 00 00 12 00 00 Pulse Oximetry InstaReport page 2 of 2 5 15 3900 3900P User s Manual InstaReport fax Pl mode page 1 of 2 0 Datex Ohmeda Pl pulsatile value InstaReport H GONZALES BY 110 COMMENTS DR CASEY GENERAL STUDY START DATE TIME 01 02 99 00 00 00 PR TIME STUDY END DATE TIME 01 03 99 12 00 00 LOW Spo 134BPM 03 04 05 AVERAGE SpO SpO STD DEV STUDY DURATION 12 00 00 Spo TIME HIGH PI 90 02 28 12 LOW PI 80 04 05 06 SpO VALUES BELOW 85 130 AVERAGE PI TOTAL DURATION BELOW 85 00 13 34 PI STD DEV 0 00 0 25 0 26 0 50 0 51 1 00 1 01 2 00 2 01 9 99 Pl Pl pulsatile value InstaReport page 1 of 2 5 16 5 TeleOximetry InstaReport fax Pl mode page 2 of 2 Pl pulsatile value InstaReport H GONZALES BY 110 COMMENTS DR CASEY GENERAL LEGEND Y Lowspo 00 00 00 02 00 00 03 00 00 04 00 00 100 90 80 70 60 3 0 2 0 1 0 0 04 00 00 06 00 00 07 00 00 08 00 00 100 90 80 70 60 3 0 2 0 1 0 0 08 00 00 09 00 00 10 00 00 11 00 00 12 00 00 PI pulsatile value InstaReport page 2 of 2 5 17 3900 3900P User s Manual 5 18 6 Maintenance and Service This chapter covers Maintenance procedures Cleaning the oximeter as nec
10. This button adjusts the volume level for the pulse indicator in incremental steps from OFF to level 5 The power on default is 2 if SAVE LIMITS is set to NO see SETTINGS in chapter 2 Press the side of the button to increase the volume or the side to decrease it you will hear the volume level as you press the button As you press one of these buttons the values do not cycle through the available settings e g when you reach 5 the value does not cycle or wrap to OFF and vice versa As you adjust the volume the volume setting is shown in the message area above the waveform NOTE The pitch of the pulse tone changes as the SpOz2 value increases or decreases the higher the SpO2 value the higher the pitch of the pulse tone 12 Alarm volume button This button adjusts the audible alarm volume level in incremental steps from 1 to 5 You cannot set the alarm volume to OFF The power on default is 3 if SAVE LIMITS is set to NO see SETTINGS in chapter 2 Press the side of the button to increase the alarm volume or the side to decrease it you will hear the volume level as you press the button As you press one of these buttons the values do not cycle through the available settings e g when you reach 5 the value does not cycle or wrap to 1 and vice versa As you adjust the volume the volume setting is shown in the message area above the waveform Printer Monitoring data current or trend SpOg or PI pulsatile valu
11. beep beep sound every 10 seconds until the condition is removed or the alarm is silenced e A violation of the low or high SpOg limit violated limit flashes e BUTTON STUCK e CONNECT UNIT TO LINE POWER If the following alarms occur during active monitoring they also fall into the high priority category e AMBIENT LIGHT e CHECK SENSOR SITE e INSUFFICIENT LIGHT e NO SENSOR e SENSOR FAILURE e SENSOR OFF NO SENSOR and SENSOR OFF alarm conditions are not active until after the oximeter displays an initial valid reading Medium priority Requires prompt operator response Yellow alarm button light flashes One three tone sequence beep beep beep every 20 seconds until the condition is removed or the alarm is silenced e A violation of the low or high pulse rate limit violated limit flashes e INTERFERENCE DETECTED e LOW BATTERY e PRINTER FAILURE 3900P only 3 5 3900 3900P User s Manual 3 6 Low priority If the following alarms occur before active monitoring these alarms are considered to be of medium priority e AMBIENT LIGHT e CHECK SENSOR SITE e INSUFFICIENT LIGHT e NO SENSOR e SENSOR FAILURE e SENSOR OFF Requires operator awareness Yellow alarm button light illuminates continuously One tone beep sounds no repetition e INTERFERENCE DETECTED Requires operator awareness Yellow alarm button light illuminates continuously e LOW QUALITY SIGNAL System failure A special cate
12. messages the Relative Perfusion Index PI pulsatile value and the high and low alarm limit settings for SpO2 and pulse rate You can send current or trend data SpO2 or PI pulsatile value to the built in printer 3900P only and to a computer You can connect a modem to the monitor and use the TeleOximetry feature to transmit data to a fax machine or computer You can also set the date and time and create labels for individual data records Intended use The 3900 3900P pulse oximeter with TruTrak technology is indicated for spot checking and continuous monitoring of functional oxygen saturation and pulse rate including monitoring during conditions of clinical patient motion This device is intended for use with adult pediatric and neonatal patients in both hospital and non hospital environments Important Only OxyTip sensors can be used with this monitor TruTrak technology TruTrak technology improves pulse oximetry performance during conditions of clinical patient motion In the clinical environment oximetry readings are affected by several types of patient motion The types of motion include clenching pressing and rubbing as well as extending flexing and kicking Unlike motion technologies that use only a single method to correct for motion TruTrak selects 1 Anesthesia amp Analgesia 2002 94 1S S54 S60 1 1 3900 3900P User s Manual 1 2 one of many proprietary motion correction algor
13. to return to the SEND screen If the transmission is interrupted refer to Transmission failure messages later in this chapter Canceling a transmission TRANSMISSION CANCELED If you select CANCEL while transmitting data transmission stops and the modem disconnects the phone line When you cancel a remote computer transmission the TRANSMISSION CANCELED message is displayed on the screen and transmitted to the remote computer Press to return to the SEND screen Transmission failure messages 5 10 For each of the following conditions the modem disconnects the phone line if a connection was achieved before the transmission failed You can press lt to return to the SEND screen CONNECTION FAILURE the modem cannot contact the fax machine or remote computer Verify that the number was entered correctly and the remote equipment fax machine modem and or computer is powered on Your phone system may require a guard tone See Modem setup later in this chapter FAX ERROR a nonrecoverable error occurred during transmission of a fax This message indicates a problem with your modem the phone line or the fax machine Check the function of all these components Verify that you are faxing to a Group 3 fax machine INITIALIZATION STRING FAILURE the modem rejected the initialization string Make sure you entered the initialization string correctly Refer to Modem setup Custom initialization string later in this chapter If
14. 80 or at OFF you will be alerted by a screen message that shows the current low SpO alarm limit and alarm volume level LIMITS SAVED LOW Sp09 75 The next screen shows the averaging mode in effect the SpO2 calibration mode the progress of the self test and the status of the battery charge Averaging Mode Long Sp0 gt Calibration Functional Self test in progress iF _ indicates battery charge status Below the bar graph the version number of the unit s system and oximetry software appears as Version X XXX YY YYY where X s represent the system software version and Y s the oximetry software version Diagnostic self test During this time the system performs a diagnostic self test electronics battery status analog signal path integrity calibration check and sets the default parameters This self test takes approximately 10 seconds e A start up tone sequence tests the audio circuit all display LEDs and the LCD backlight are illuminated then blanked e The alarm LED toggles between red and yellow while a numeric countdown from 9 to 0 occurs on each seven segment LED display ending with a decimal point e A battery icon is displayed to indicate the battery condition as either charged depleted or defective missing see chapter 3 Upon successful completion of all diagnostic self tests the unit is considered to be in calibration and begins normal operation This message is displayed
15. Appears if something is pressing Make sure nothing is pressing against the buttons on the against the front of the unit monitor Appears when the last button you Press that button again or turn the pressed has not released properly power off and then on If the or has been pressed for more than condition persists the unit 30 seconds requires service CHECK SENSOR SITE Appears when SpOz readings For all causes reposition or may be invalid due to motion an unacceptable sensor site poor placement low perfusion or because the sensor is off the patient relocate the sensor and or increase perfusion see the sensor user instructions CONNECT UNIT TO LINE POWER The battery needs immediate recharging Plug the oximeter into the AC power supply otherwise the unit will turn itself off in 10 seconds 3 2 3 Messages and Troubleshooting Message Possible cause s Recommended action s INSUFFICIENT LIGHT Dirt on the sensor emitter or detector Sensor detector failure Test site dirty Misaligned or poorly positioned sensor Insufficient light penetrating the tissue site Dark pigmentation Fingernail polish present Clean the sensor if reusable or replace it Clean the test site Reposition the sensor or select another test site Reposition the sensor or select another test site Remove polish or select another test site INTERFERENCE DETECTED Appears when the s
16. OFF or 30 to 235 7 3 3900 3900P User s Manual 7 4 Displays The displayed SpOz pulse rate and PI values are updated every second The plethysmographic waveform sweep is updated every 4 seconds Numeric display Light Emitting Diodes LEDs Arterial oxygen saturation SpO2 reading Pulse rate reading Graphic display Liquid Crystal Display LCD Plethysmographic waveform SpOz real time or stored data graph PI pulsatile value real time or stored data graph PI pulsatile value High and low SpOz alarm limits settings High and low pulse rate alarm limits settings Sensor condition alarms System operational status messages Alarm messages Contrast adjustment for best viewing Mode switch Sp0 Language Danish Dutch English factory setting Finnish French German Italian Japanese Norwegian Polish Portuguese Spanish or Swedish Averaging mode Long TruTrak 12 seconds factory setting Medium 6 seconds or Short 3 seconds PI pulsatile value display Yes factory setting or No EMI line frequency 60 Hz factory setting or 50 Hz Range 0 to 100 Accuracy Arms previously represented by 1 Standard Deviation 70 to 100 2 digits 70 to 100 3 digits during conditions of clinical patient motion with TruTrak enabled Below 70 unspecified Resolution 1 Interfering substances Carboxyhemoglobin may erroneously increase readings The level of increase is approximately equal to the
17. capacity 8 hours 100 capacity Life several hundred charge discharge cycles 7 5 3900 3900P User s Manual Power Consumption typical 15 watts 3900 20 watts 3900P Input voltage range 90 to 264 VAC at 47 63 Hz Current typical 0 45 A rms at 100 V 0 37 A rms at 120 V 0 25 A rms at 220 230 240 V Current leakage With power on forward or reverse polarity 100 microamperes maximum Ground resistance less than 0 1 Q Fuses T2 0AH 250V 5 mm OD x 20 mm length RS 232 serial analog connector NOTE Pins 1 and 4 are not used for serial or analog output Serial output Data output every 2 seconds auto output mode or 6 seconds trend output mode SpOdg pulse rate alarm limit violation messages Relative Perfusion Index time stamp custom patient label and displayed alarm error messages 9600 19 2K 38 4K or 57 6K baud Full duplex Number of bits per character 8 Parity none Bits 1 start 1 stop Handshaking CTS RTS Connector type 9 pin standard D female Connector pin functions 2 oximeter receives data 3 oximeter transmits data 5 signal ground 7 RTS 8 CTS Analog output Connector pin functions 5 signal ground 6 SpOz2 0 to 1 Vdc 20 mV 0 to 100 2 0 9 Pulse rate 0 to 1 Vdc 20 mV 0 to 255 bpm 2 0 Dimensions and weight Height 3900 9 4 cm 3 7 in 3900P 10 4 cm 4 1 in Width 24 4 cm 9 5 in Depth 22 5 cm 8 9 in Weight 3900 2 9 kg 6 5
18. date field Use the lt 4 or P function keys to position the cursor on the desired field Use the or function keys to decrease or increase respectively the numbers in the fields NOTE To only view this screen without changing the settings select DATE view the information and then press the waveform button to exit the screen Do not press lt or the time may be altered slightly Date Use the FORMAT function key to select the order in which you would like the date to appear DD MM YY MM DD YY YY MM DD You cannot set the last date for a month higher than the number of days in that month The values you can enter for the date are as follows Dates 01 through 28 29 30 31 depending on month and year Months 01 through 12 Years 00 through 99 NOTE If you need to set February 29 as the date in a leap year specify the year numbers first and the monitor will then accept 29 as the date Time The time fields are always in 24 hours minutes format HH MM The values you can enter are Hours 00 through 23 Minutes 00 through 59 To accept the values you have entered for the date and time set the time and return to the main menu select the I function key 2 17 3900 3900P User s Manual Trend options You may choose to view SpO2 data soo or PI pulsatile value data l Sp02 trend PI pulsatile value trend Figure 2 9 Trend screens 1 on O a A Q The type of trend data being displayed appea
19. down into the printer mechanism Press and hold down the advance paper button until the paper is fully through the printer mechanism Push the cover back down over the paper well and make sure it is secure You are ready to print 4 5 3900 3900P User s Manual Removing a paper jam 4 6 CAUTION To avoid damaging the printhead mechanism discharge any possible static electricity from your person before removing the paper feed cover on the printer 1 Turn off the oximeter Leave it plugged into the AC power supply 2 To discharge static electricity from your person ground yourself by touching the bottom of the metal chassis on the oximeter 3 Now unplug the oximeter from the AC power supply 4 Remove the paper feed cover Figure 4 5 Removing the paper feed cover e Position a small round pointed object e g ball point pen in the D shaped hole 1 in the printer case in front of the paper feed cover e Press gently on the small paper feed cover tab 2 that is below the D shaped hole 1 Use only slight pressure the tab will release with little force e With the tab 2 released gently push down and back on the raised portions on each side of the paper feed cover to release the tabs 3 on each side of the cover and slide the cover back 5 Use your fingers to loosen the jammed paper from the printer mechanism and pull the paper forward through the printer until you have flat printable paper
20. following buttons a low beep sounds if one is pressed High and low SpOz alarm limits High and low pulse rate alarm limits Pulse rate volume Alarm volume Menu The CLEAR option on either trend screen Print trend button 3900P printer 3 Messages and Troubleshooting Messages This chapter contains Descriptions of the messages and indicators that appear on the screen Alarm categories and their characteristics A chart for troubleshooting situations that may occur while using the oximeter Become thoroughly familiar with this information before using the oximeter to monitor a patient The pulse oximeter acknowledges your actions and the monitor s conditions by displaying messages in the waveform screen message display area Alarm messages appear when an alarm condition occurs The mode you have selected SpOz2 or PI determines how the monitor responds to alarms when you are viewing trend data e If you are in SpO2 mode an alarm causes the waveform screen to appear immediately with the alarm condition shown in the message area e Ifyou are in PI mode the data remain on the screen when an alarm occurs the alarm button will flash and the audible alarm will sound unless muted The only alarm violations that will cause the PI mode trend screen to revert to the waveform screen are system failure alarms and other alarms that are not patient related such as CONNECT UNIT TO LINE POWER if you are operating on battery
21. indicators 7 3 battery 7 5 circuitry 7 3 current leakage 7 6 dimensions and weight 7 6 environmental 7 5 fuses 7 6 graphic and numeric displays 7 4 mode switch 7 4 PI pulsatile value 7 5 power 7 6 pulse rate 7 5 sensor wavelength ranges 7 5 serial output 7 6 SpO 9 7 4 SpO2 display 1 7 2 10 data validity 2 10 interfering substances 7 4 set alarm limits 1 9 trend display button 1 10 SpO limits below 80 2 6 specifications 7 4 SpO mode printed data 4 3 summary statistics printing 4 2 T TeleOximetry 5 1 time set 2 17 trend clear data 2 19 data 2 20 set time scale for display 2 20 SpO 2 and PI pulsatile value options 2 18 view data 2 19 troubleshooting 3 7 TruTrak technology 1 1 mode switch settings 2 4 V validity data and signal 2 8 volume alarms 1 11 pulse beep 1 11 W warnings 1 13 waveform display 1 8 low perfusion 2 9 screen display button 1 10 signal noise 2 9 typical adult 2 8 typical neonate 2 8 Index Index Warranty The 3900 and 3900P Pulse oximeters are sold by GE Healthcare only under the warranties set forth in the following paragraphs Such warranties are extended only with respect to the purchase of these products directly from GE Healthcare Authorized Dealers as new merchandise and are extended to the first Buyer thereof other than for resale Limited warranty GE Healthcare warrants that the 3900 and 3900P Pul
22. the entry is correct consult the instructions for your modem NO ANSWER there is no answer after the number is dialed Verify that you entered the number correctly and the remote equipment fax machine modem and or computer is powered on NO DATA you tried to send a fax that covered only hours during which no numeric data were collected For example if numeric data were collected two hours earlier but not during the last hour of operation you can send two or more hours of data but not one This eliminates the possibility of sending an InstaReport that contains no numeric data NO DIAL TONE the modem cannot find a dial tone when attempting to call the number Verify that the correct phone lines are properly connected to the modem TRANSMISSION ERROR a nonrecoverable error occurred during transmission This message indicates a problem with your modem the phone line the remote modem or the remote computer Check the function of all these components 5 TeleOximetry Modem setup You may need to change the default initialization string or use a guard tone if you encounter problems when transmitting data through your modem To check or change these settings display the MODEM STATUS screen and select SETUP MODEM SETUP GUARD TONE CUSTOM Figure 5 7 MODEM SETUP screen Guard tone In some countries a guard tone is needed to transmit data through a modem over the telephone line If the CONNECTION FAILURE messa
23. this monitor take precautions to ensure electromagnetic compatibility For more information refer to the 3800 3900 3900P Technical Reference Manual Electromagnetic effects Electromagnetic interference including interference from portable and mobile radio frequency RF communications equipment can affect this monitor Indications that the 3900 or 3900P is experiencing electromagnetic interference include the following e Variations in the PerfTrak waveform display e Sudden increases or decreases in the waveform height that do not correlate to the physiological condition of the patient e Sensor related messages that are not resolved by the instructions found in this manual e The display of dashes on numeric LEDs when a valid physiological signal is present e Printed output that is garbled solid black or missing This interference may be intermittent and careful correlation between the effect and its possible source is important Indications of interference should not occur if the monitor is used within its intended electromagnetic environment Safety checks for software The Datex Ohmeda software design controls include performance of a risk analysis using methods consistent with EN 1441 Medical devices Risk analysis To ensure proper operation of the 3900 3900P software the 3900 3900P employs three separate watchdog circuits for the microprocessors power on self tests including memory checksum and calibration verif
24. user Conditions This warranty is valid only when qualified personnel trained in the repair of the 3900 or 3900P Pulse Oximeter have performed installation and service on this equipment and when all recommended planned maintenance procedures have been completed during the warranty period Damage caused by the abuse or misuse of the 3900 or 3900P Pulse Oximeter is not covered by this warranty GE Healthcare shall not be liable for damage resulting from the improper installation or the misuse of the 3900 or 3900P Pulse Oximeter Exclusion of warranties Oral statements about the 3900 or 3900P Pulse Oximeter do not constitute warranties shall not be relied on by the buyer or user and are not part of any warranty extended by GE Healthcare Except as set forth in this limited warranty GE Healthcare makes no warranties expressed or implied including the implied warranty of merchantability and the implied warranty of fitness for a particular purpose Except for the obligations under this limited warranty GE Healthcare shall not have any obligation or liability for any incidental or consequential damages including those from commercial loss or other loss damage or injury resulting directly or indirectly from the 3900 or 3900P Pulse Oximeter
25. value e Lock buttons procedure to prevent changes to the monitor s settings To operate the 3900 3900P oximeter effectively you must e Know how the oximeter derives its readings see Principles of operation in chapter 1 e Be familiar with its controls and components see chapter 1 e Understand its messages see chapter 3 Powering the oximeter The 3900 3900P pulse oximeter is designed to operate on battery power and on all commonly available voltage supplies Your oximeter was shipped with the correct power cord for your local AC power supply Any hospital grade power cord however with the female connector end that fits into the power module IEC 320 type on the 3900 3900P can be used the male connector that plugs into the grounded wall outlet may be whatever is needed locally The oximeter accepts a range of AC mains power see chapter 7 for details To protect data validity in cases of possible electromagnetic interference make sure the EMI line frequency mode switch is set to the same frequency as your local AC power supply before using the unit for patient monitoring see EMI line frequency under Mode switch settings later in this chapter A battery does not need to be installed for the oximeter to operate on the AC power supply 2 1 3900 3900P User s Manual Setup Factory settings When you turn on the oximeter the following settings are in effect and remain in operation until you change the
26. 1 13 Data Wah by esien a ea A EAN 1 13 Explosion hazard vsccssssssssivscsssssssnnvasessastesnsevcensesiivacecenstensiiessasseniieeeseastentibesdanensiiese 1 13 Electrical Shock Hazard muceni E E NENA OG 1 13 Electrical shock and flammability hazard ssssssssssssssrssssssssssssrsssrsssresseressressees 1 14 Patient sadio irn i E EAEN AERE 1 14 Patient safety Sensors cssssssssssessecccccecessessssssssnsessscceceeseessssssnnunssseesceeeeeseeeests 1 14 Patient safety MOdeM ccsssssssseesssecccccesssccsssssssssseescccceceeescessssssseesesseeceeseeseeseete 1 14 RS 232 system interconnection wi ssecsssssescssssseessssssecssssstesssssssssssssessssseesssssees 1 15 EEREN ELS aAA E E E A E O T AE A OE E Handle the monitor with care Clea Ninna DOTISOLS a NEREA B ttre a aee P inteti nan arenen annii Disposal sciss cstcsnsseocsecsondesecsSnecnsiessstonessaacet Table of Contents ii 2 Setup and Operations Powering the Oximeter ccsssssssssssssssssssssssssssssnsssssssssssssessssssssssssssssssssssssessssssssnssssossssssssessssssssssusssssssees 2 1 Setup E EEE AEE TE E A E 2 2 Factory setings inner aa REE AE A EAA 2 2 Before powering on the oximeteT ss sssssssssesssessssessseesstesseeesseesseeesstesseeesstesseeessteseeese 2 2 After powering on the OxiMeter ss ssssessssssssesssessssesseeesstesseeesseesseeesstessetesstesseeesstessee 2 2 Mode switch Settings i ssissscsissssstscecticossnansievsesssstseustecsss
27. Clears all SpO2 and PI trend data in memory including the labels in memory associated with that data CLEAR BOTH Clears label text from unlocked lines on the LABELS screen and clears all stored trend data including labels in memory associated with that data After choosing an option you can confirm your choice by selecting YES or NO e If you select YES a high beep tone sounds If you select NO a low beep tone sounds A message indicating that the labels trends or both have or have not been cleared depending on your selection is displayed for three seconds e If you do not select YES or NO within 10 seconds a low beep tone sounds and the previous screen is displayed NOTE Text on the LABELS screen that is not erased will be used for the next data record See LABELS earlier in this chapter 3900 3900P User s Manual 2 20 Viewing time scale for display Trend data You can select to view from 12 minutes to 24 hours of data on the screen 24 minutes 00 24 is the default When you change the time scale that scale remains in effect the next time you access the trend screen Press the left or right side of the function key to decrease or increase respectively the viewing time scale The available options are as follows 00 12 or 00 24 minutes 01 00 02 00 06 00 08 00 12 00 16 00 20 00 or 24 00 hours At the shortest time scale 12 minutes each pixel column on the trend graph repres
28. GE Healthcare 3900 3900P Pulse Oximeter TruTrak User s Manual GE Healthcare 3900 3900P Pulse Oximeter TruTrak User s Manual JO 3900P gt TruTrak O a 6050 0006 406 March 2005 Important Rx Only USA Attention Consult the accompanying instructions before using this device The safety reliability and performance of this device can be assured only under the following conditions e Ifitis used according to the accompanying operating instructions e If fittings extensions readjustments changes or repairs are carried out by agents authorized by Datex Ohmeda e Ifitis used in buildings having ground equalization wiring that complies with relevant local standards and regulations This device must be cleaned and checked periodically Do not use a defective device Parts that are broken missing plainly worn distorted or contaminated should be replaced immediately If repair or replacement becomes necessary request service advice from Datex Ohmeda Do not repair this device or any of its parts other than in accordance with written instructions provided by Datex Ohmeda The user of this device shall have the sole responsibility for any malfunction that results from improper use faulty maintenance improper repair unauthorized service damage or alteration by anyone other than Datex Ohmeda Trademarks D
29. LEC LF HORS SCLOCM niniin iani n 42 Printed data Sara ples ssss cs siiesncsssasiecnetessachaussesessaviodeaseesapnutaascsnvindpacndotabautaasesnriegecee 44 Replacing the paper rola csssssssssssssssssssssssssessesesssssssssssssssessseesesssssssssssssseeees 45 Removing the paper feed COVE nessssssssssesssessssseecsecsssnseecsessssnsescseesnsnneseeseessnees 46 MODEMS TATUS SCTOCH siscssszscsnsssscscadusesiessaseccnteseccesinaes RAs 5 3 SELECT HOURS Screen heitit nenei nan 54 SEND STEET oiaoi 5 5 PHONE NUMBER SCre Ort sscii sesasetntciscatsihsocidoss acsoadbcheennstbinrntane aabsabedeeetiibanteinoerstorae 5 6 SENDING FAX SOLEO D csesissssssvsssessnsteseccosseiostesswscsssateseceovioneptsonescsvnnseecdssvonentbobesctvvnsescee 5 7 SENDING DATA SGRCOD dissirita rrii 5 9 MODEM SETUP STEEN aria E AONANE NEO 5 11 INITIALIZATION STRING SCrEE N ssssssessrsesesstssreseessreseesetesersetesteserestesseesteseeeseese 5 12 1 Overview This chapter e Introduces the product including the principles of its operation e Describes the oximeter s controls and features e Lists the precautions you must take when using the oximeter Product description The Datex Ohmeda Model 3900 and Model 3900P pulse oximeters with TruTrak technology feature two easy to read displays that present patient data and status information e The numeric display shows the SpOg and pulse rate values e The graphic display shows the plethysmographic waveform or trend data
30. LOW ssssssssssssssssssssssssssssessseccssssssssssssssseeeescsssssssssnss 1 9 Pulse rate alarm limits high and LOW sssssescssesssssseseccecsssssessceecsssnseseceecsssnsesseesessnnes 19 Display Contrast Adjuster svcvcasitesccssstisssvsssincssstesecescescasnenshivesssbesnetsseccsenetsnenssstuesegsecsusnenshonessiuesees 1 9 Power Standby button AC power lightoissssssessssssssssssssssssssesssssessssssssssssssneeeee 1 9 Battery operation wesassscccsnsesscssccsovendsacsscessjosstevcoossiedasaccostesonSuaecosavendaseeesusebeseuoressssieletssdesbaieiye Carrying handle Sensor connectot Screen option buttonas Pulse beep volume button Alarm volume button Printeren a OA E RA EEA A ENE EA ER Rear Panel issssssnsscccssiesnacocecsssesnnasccesssesnasncessstenneassessitesnasosessstennaussessitennasuiessstenndastessitesnasosessbsenneassessidesneassessstes POWOL EN try MOM TEs eran a AA R AE Equipotential ground COMNECEOL ccsssssssessscsecsssnseeeecsecsssnseecseesnsnseeseceecsnsneeseesecssneeeeee 1 12 Product information label ssssesssssecccssseeseessesssssesssescesssssseeessessssssesseseessneeseseesessseeeess 1 12 Mole Swichers REAREA ARRES 1 12 RS 232 serial analog COnnector s sssssessssssssessessresetestesetsseeeessteseesetentesstenteentesteenteeerntesersstenee 1 12 PLECAULIONS iseitis Warnings i Failure of Operation sesssssssssssesssescensssessssscsssseesseesessssseessesesnssseessessenssssessesseansensess
31. Og PR and PI only the first and last lines of the series print The message NO DATA prints between them 4 3 3900 3900P User s Manual Sp02 mode printed data PI mode printed data H GOMZALES H GOMZALES 118 118 OF CASEY GEF GEHERAL COMMENTS z 6 SECOMD FORMAT PI PULSATILE VALJE TIME PI 6 amp 8 L6 28 Sp 12 34 STUDY DURATION ANC VALUES START DATETIME 3 3 D51698 12134 eTupy ATION AHD U S 5 STUDY DURATION AND VALUE EDATE TINE START DATEATIME 5716498 12135 05716798 12134 STUDY DURATION EHD OATE TIME Ag 8160 BSLh lt 98 12155 STUDY DURATION LOU Spis EARE HIGH Pr Lou PR Louw Spills San be EF AUERAGE Spe HIGH FR 26 Spio STO DEW LOW PR LOW FI AUERAGE Spils FAA HIGH FI Spio STO DEW AVERAGE FI 8 FI STO DEW SUMMARY STATISTICS TIME PER FI RANGE D J 40 68 g 168 T Led mid mid ae G 5 G oo oe mh ou ch oem es Spl VALUES BELOW SS 2 TOTAL DURATION BELOW S355 BE GEIF Figure 4 3 Printed data samples Custom patient label text entered for this data record Symbols used in the SpO2 graph to indicate alarm types Output interval selected for this data record 6 or 30 seconds Graphic and numeric patient data omitted when STATS ONLY was selected Summary statistics data oP O Ne 4 Printer Printer maintenance For information on cleaning the printer see Cleaning in chapter 6 Replacing the paper roll CAUTIONS To avoid damage to the prin
32. R the modem is dialing the number BUSY the phone line is busy The modem redials the number until the phone line is no longer busy or until you press CANCEL SENDING DATA data is being sent to the remote computer A bar graph shows the status of the transmission SENDING DATA Lz 6 S 52 CANCEL Figure 5 6 SENDING DATA screen TRANSMISSION DONE transmission is complete The modem disconnects the phone line Press to return to the SEND screen If the transmission is interrupted refer to Transmission failure messages later in this chapter Wait for call If your modem and the 3900 3900P are connected and powered on the 3900 3900P is capable of automatically answering a call from a remote computer and transmitting all data in trend memory Intervention at the oximeter is not required The following procedure is necessary only if your modem does not support this capability To transmit data when a remote computer initiates the transmission 1 Select WAIT FOR CALL The following messages are displayed WAITING FOR CALL the modem is waiting for an incoming call You may not use the 3900P printer while the modem is active To cancel the transmission press CANCEL SENDING DATA your modem received the call and is sending data to the remote computer Refer to Figure 5 6 5 9 3900 3900P User s Manual TRANSMISSION DONE transmission is complete The modem disconnects the phone line Press lt
33. See Patient function key lockout in chapter 2 Unit requires service Unit doesn t beep when powered on Disconnected or failed speaker Unit requires service Dashed display waveform may appear erratic various alarm messages Sensor failure Replace sensor See CHECK SENSOR SITE under Messages in this chapter 3900P printer is not printing Buttons do not respond when you press them Modem transmission may be occurring Internal failure Buttons may be locked see Patient function key lockout in chapter 2 Wait until modem transmission ends Unit requires service 3900P printer will not stop printing Internal failure Power off the oximeter Unit requires service Times in reports printout InstaReport PC download etc are slightly different when reports are compared and or do not match the actual monitoring event The clinical information in reports including the duration of events is complete and accurate The time stated in reports for individual events may vary depending on when and how the reports are generated No action required 3900 3900P User s Manual Condition Possible cause s Recommended action s No communication through the modem Incorrect cable used to connect modem to monitor Modem is powered off or not properly connected Phone line failure Incorrect or improperly entered modem initialization stri
34. accesses the screen where you can enter custom patient labels alphanumeric characters that help identify patients and their associated data There are four lines available to enter labels A label is included in data transmissions and printouts If you use the modem or fax function we recommend that you enter a label to identify the patient If you do not enter a label the report will contain four blank lines on which you can write the patient s name If you do not want a label clear all text from the LABELS screen If a custom patient label is desired the label text must be entered before monitoring begins Once the label is entered into memory all subsequent patient data stored to memory is associated with that label unless it is cleared or changed If a new label is not entered prior to monitoring the data will be associated with the previous label Once the label is input on the LABELS screen you must press I to store the label to trend memory If you fail to press 4 the label is simply present on the LABELS screen and is not stored in trend memory Labels are stored in memory along with their associated SpOz and PI pulsatile value data A new record is created in memory each time a new label is stored to memory the oximeter is turned off or the date and or time are changed When a report is generated a page break and new headings print for each new record The labels you create remain in trend memory until you cl
35. al neonate plethysmographic waveform The typical neonate waveform differs from that of an adult including the absence of a dicrotic notch a notch on the descending limb of the normal arterial pulse tracing that corresponds to aortic valve closure Low perfusion As the perfusion at the patient monitoring site decreases so will the height of the waveform The PI pulsatile value is a numeric representation of the relative height of the waveform The height will decrease to the point where the signal quality becomes too small or too poor for accurate reliable readings At that point the message CHECK SENSOR SITE appears in the message area and an alarm is generated The waveform will be similar to Figure 2 3 2 Setup and Operations CHECK SENSOR SITE Figure 2 3 Low perfusion waveform Signal noise The following conditions can cause noisy waveforms Poor sensor placement Motion at the sensor site Electrical interference Figure 2 4 Noisy plethysmographic waveform If three easily identifiable passes of a typical waveform do not occur Make sure the sensor s detector is flush with the sensor site for sensor application see the instructions for the sensor you are using Make sure the light source and detector are directly opposite each other Select a site where the distance between the light source and the detector is less Make sure the patient site is stable minimize movement of the sen
36. amount of carboxyhemoglobin present Dyes or any substances containing dyes that change usual arterial pigmentation may cause erroneous readings 7 Compliance and Specifications Pulse rate Range 30 to 250 bpm Accuracy assuming a constant pulse rate 2 or 2 bpm whichever is greater Accuracy during conditions of clinical patient motion unspecified Resolution 1 bpm PI pulsatile value Range 0 00 to 9 99 Averaging interval 12 seconds Resolution 0 01 Sensor emitter wavelength ranges Red LED peak wavelength range 650 to 670 nm Infrared IR LED peak wavelength range 930 to 950 nm Average power lt 1 mW Environmental Parameter Operating Transport and Storage Temperature 0 to 50 C 40 to 70 C 40 to 158 F 32 to 122 F Units with printer paper 20 to 45 C 4 to 113 F Relative humidity 20 to 95 5 to 95 noncondensing Pressure 1060 to 697 hPa 1060 to 188 hPa Approximate elevation 378 to 3048 m 378 to 12 2 km 1240 to 10 000 ft 1240 to 40 000 ft Electrical Battery Type pack of 8 volt sealed lead acid Capacity 3 2 ampere hours Operation time for a new battery at normal operating temperatures 3900 3900P at least 5 1 2 hours with all functions operative from a fully charged battery 3900P approximately 4 hours when printing Low battery indicator LOW BATTERY when the battery has between 5 and 15 minutes remaining capacity Charge time 4hours 80
37. andby button 1 9 power entry module 1 12 requirements 2 1 specifications 7 6 precautions 1 13 principles of operation 1 4 printer 1 11 advance paper 4 3 buttons 4 2 contrast adjusting 2 16 maintenance 4 5 output data intervals 2 16 paper jam removal 4 6 print summary statistics 4 2 print trend data 4 2 printed data samples 4 3 real time printing 4 2 replacing the paper roll 4 5 stop print 4 3 pulse rate display 1 7 data validity 2 10 pulse beep volume 1 11 set alarm limits 1 9 specifications 7 5 rear panel 1 12 Relative Perfusion Index 1 1 remote computer 5 8 computer initiated transmission 5 9 dial and answer calls 5 8 oximeter initiated transmission 5 9 receive calls 5 8 requirements 5 8 remote computer report modem 5 13 repair policy and procedure 6 4 RS 232 serial analog output specifications 7 6 S safety compliance with standards 7 1 sample reports modem 5 13 screen maps A 1 select data modem 5 4 self test oximeter 2 6 serial communications B 1 auto output mode B 4 connection B 2 requirements B 1 sample output B 3 serial interface cable B 2 trend output mode B 4 service obtaining 6 4 settings 2 15 all mute 2 16 analog 2 16 baud rate 2 16 factory 2 2 mode switch 2 3 output data intervals 2 16 save limits 2 15 SpO 2 or PI pulsatile value mode 2 16 setup 2 2 specifications 7 3 alarms 7 3 analog output 7 6 audio
38. are viewing any screen other than the waveform screen or PI pulsatile value trend screen the display immediately reverts to the waveform screen and the alarm message appears above a reduced waveform graphic If you have not confirmed the selection s you made by selecting the changes are not in effect You must access the option screen again and re enter the changes after you have attended to the alarm condition except when entering label text see LABELS in this chapter If you are viewing the waveform screen while transmitting data you can check the status of the transmission by pressing the Menu button The screen that appears also contains an option to cancel the transmission After viewing the status press the Waveform button to return to the waveform screen Main menu function key buttons When this screen and subsequent screens accessed from this menu are displayed the four alarm limits buttons to the right of the screen become function keys their function changes to permit selection of the menu item to the left of the key For example in Figure 2 5 above e Press the top button high SpOz alarm limit to select MODEM e Press the second button low SpO2 alarm limit to select LABELS e Press the third button high pulse rate alarm limit to select SETTINGS e Press the bottom button low pulse rate alarm limit to select DATE 2 11 3900 3900P User s Manual LABELS 2 12 This main menu option
39. ased will be used for the next data record Locking label lines Line 1 remains in memory until you change it or clear it and press 1 This line has 13 character fields and it cannot be locked Lines 2 3 and 4 can each be locked to retain their information until you unlock the lines and change the text or use CLEAR to remove it These lines have 12 character fields each The first character field on each line is reserved for a lock or unlock symbol With the cursor on the symbol use the function keys to switch between the symbols and thereby lock or unlock that line When a line is locked it is not erased from the screen when you select CLEAR 2 Setup and Operations SETTINGS Select SETTINGS from the main menu to access the first of two settings screens These settings are retained in memory and are not cleared when you clear trend data or power off the monitor as long as the internal battery is charged SAVE LIMITS ALL MUTE YES BAUD RATE 9600 ANALOG 0 0V MODE OUTPUT CONTRAST Figure 2 7 Settings screen options Press the lt 5 gt function key to switch from screen to screen Press the W or function key to move the cursor a rectangle down or up respectively through the options Press the or function key to cycle through the settings available for the option you have selected Press the I function key to record your selections on these screens and return to the MENU scree
40. atex Ohmeda OxyTip PerfTrak TeleOximetry TruTrak and PI are the property of GE Healthcare Finland Oy All other product and company names are the property of their respective owners ce 0537 GE Healthcare Finland Oy Helsinki Finland 358 10 394 11 www gehealthcare com 2005 General Electric Company All rights reserved Table of Contents 1 Overview Product AESCHIPTON sessscciotessiccsssssncassccsonssnuasscesessnncasctconaseasscsseesnwcasesscatipuaasesscetnnacasctssenbnteas tesenvnesasecscethaees 1 1 tended Vstsn i n A AOE 1 1 Tru Trakt technology oriana orea EEEE ORE ETENE 1 1 PT pspulsatile Walle osii a EAO I A T 1 2 Other ieena ia a EENEN EEEO OOE canines 1 2 Functional Components sssini 13 Principles Of Opora Oi scsssvesccsctenssvaecescresssnscsecteonswascsscteeashacceectensisasvescteeadiveceeteonanceonienatiaseceeteosle 14 Galilrarti Ori yasicisiaiita de nasctdiatiinanistadclenasisacriennastarcenunstduet A 15 Erontpanel isss sonisisdiisistii i iSi n a 1 6 Alarar silence Button sssssiidtccdssnasidaassccossuiesuctdensesisengsisosstussuesdeneuvbseegstcousaubdodoonseabndedonnsbguecdedonstepeas 1 7 Part Silence orroa oaa EAA 1 7 AU TIE ouian E E decal cossssaec A SEA 1 7 Numeric display enion aerae aN E EE EAT EREE AA 1 7 Graphic disp lary sissciesstiscssisssccdecssnts mastieasilasociesosotnssttassisvasosscdosenethonttioesvisosccoosesetnanttusaideasosgcdosenttten 18 SpOg alarm limits high and
41. atex Ohmeda modem analog cable to connect an analog recording device to the oximeter Refer to Parts list in chapter 6 The analog pinout is as follows RS 232 G Pin 6 is used for analog output 1 white jack SpO2 00000 O O Pin 9 is used for analog output 2 red jack pulse rate Pin 5 is used for signal ground Pins 1 2 3 4 7 and 8 are not used Connect the 9 pin connector on the modem analog cable to the RS 232 connector on the rear of the 3900 3900P and connect the 3 5 mm white cable jack SpO2 and the 3 5 mm red cable jack PR to the recording device e Jack tip carries the signal e Jack base carries the signal ground Make sure the connections between the oximeter and the recording device are secure To calibrate the recording device 1 On the oximeter s front panel press In and select SETTINGS 2 From the settings options select ANALOG Use the function key to cycle between the options 0 0V 0 5V and 1 0V 3 Select the voltage you want to calibrate on the recording device While at the settings screen the selected voltage is then the only voltage output through the analog channels 4 Verify on the recording device output that the voltage being sent is being recorded correctly If it is not follow the instructions that accompanied the recording device to adjust it to the correct voltage 5 Repeat steps 3 and 4 to calibrate the other voltage 6 When calibration is complete press a to retur
42. d or yellow alarm light becomes a steady light If an alarm condition still exists after 120 seconds the audible tone and flashing light resume Exceptions Both NO SENSOR and SENSOR OFF audible alarms will not be activated until after the unit obtains a valid signal The same conditions apply to an active audible alarm for NO SENSOR SENSOR OFF or SENSOR FAILURE that has been silenced i e once the sensor alarm condition is acknowledged by silencing the audible alarm a new audible alarm will not sound until the condition has been cleared and the unit obtains a valid signal NOTE Pressing the alarm silence button produces 120 seconds of silence regardless of other alarm conditions that may occur during this 120 second interval except for the SYSTEM FAILURE CONNECT UNIT TO LINE POWER and BUTTON STUCK alarms All mute To continuously silence any alarm that can be silenced press the alarm silence button three times within three seconds After you have activated all mute the all mute icon flashes between the SpO2 and pulse rate alarm limit settings on the right side of the screen display On Japanese menu screens the icon flashes at the upper right beside the first menu option When an alarm condition occurs the alarm button light flashes and the alarm message appears on the waveform display but no audible alarm sounds When all mute is active press the alarm silence button once to deactivate this feature and enable all audible ala
43. d tone euii aE RAAKAA 5 11 Custom initialization Strimg sscsssssssesscsssesseassssnssssssssescsesseoosssensnssstsssssessoessseossentbessssssssssseevece 5 11 Default initialization String sssssssssssesesccssssssssssssssssseesscessssssssssssse 5 12 Sample reports ssssccccsssssssssssssssssssssssessssssssssssssssssssssssssssssssssssssssssusssssssssssssssssssssssuussesssssssssssssesssssnsssesooss 5 13 Remote computer report format ccssssssssssssssssssssssssssssssssscccsssssssssssssssssssesscesssssn 5 13 InstaReport fax SpO2 MOE ssssssssrsessssssesoesseessssssssssssnnssssssssoeesesesssssssssssssessssoosseeesseee 5 14 InstaReport fax Plp MO ieren eh A A E a 5 16 iii Table of Contents iv 6 Maintenance and Service GG MAIN a ssssscassssscevinntsnsascsscscbesasosobannnsbensascoovsssobposbinnuassasassesudgsopacebsnrnansasasssuedgeapessbintnnnsasessasedgsopacsbsnenantesasssveteses 6 1 Oximeter with or without the printer ccsssssssesssseeseeecccceccessessnsssensessescceeeeeeeeene 6 1 Recharging the battery sssssssssssssssssssssssssssssssssssssssssssessssssssssssssossssssssesssssssssnsssssssssssssesssssssssssssseseoss 6 2 Replacing the battery csssssssssssssssssssssssssssssssssesssssssssssssssssssssusessossssssssesssssssssusssssssssssssesssssssssssassesoss 6 2 Replacing the fUSeS sssssssssssssssssssssssssssssssssssesssssessssssssssssssessossssssssessssssssssssssossssssesssssssssnssssssossssssessseed 6 3 Repair p
44. data record always appearing from the right When viewing a trend screen the alarm limit buttons assume the following functions dib Scroll buttons Press the side of the button that points to the side of the screen from which you want data to appear use to bring newer data in from the right they scroll across the screen to the left use dio bring older data onto the screen from the left they scroll across the screen to the right These buttons scroll the data by one pixel column until the end of the trend data is reached You can hold down the button to move through the data more quickly you ll hear a low beep when there are no more data to view AAP Shift buttons These shift buttons scroll in the same manner as the scroll buttons except that they scroll by 25 of the displayed data until the end of the trend data is reached You can hold down the button to move through the data more quickly you ll hear a low beep when there are no more data to view To scroll as quickly as possible through a large amount of data select the longest time scale possible see Viewing time scale for display and repeatedly press the appropriate button PP to scroll to the newest data or to scroll to the oldest data until you reach the data you want to view CLEAR Select CLEAR to access the clear patient data screen options Option Action CLEAR LABELS Clears label text from unlocked lines on the LABELS screen CLEAR TREND
45. dem do not use the modem analog cable or these instructions see Appendix B for connection and transmission instructions Before you begin sending data verify the following e The modem and oximeter are correctly connected plugged into an AC power supply and powered on e You selected the mode for the data you want to send SpOz or PI See SETTINGS MODE in chapter 2 To transmit the data 1 At the MODEM STATUS screen select XX HRS SEND The SEND screen appears showing the number of hours you selected Va SEND 12 HOURS REMOTE COMPUTER WAIT FOR CALL lt Figure 5 3 SEND screen 2 Verify that the number of hours shown on this screen is correct If you want to change the number of hours of data press I to redisplay the MODEM STATUS screen For instructions regarding the options on the SEND screen refer to FAX and Sending data to a remote computer NOTE You can press the Waveform button to display the waveform screen during data transmission and while waiting for a remote computer to call your modem To check the progress of the transmission press the Menu button 5 5 3900 3900P User s Manual FAX 5 6 The fax feature requires the use of a Class 1 fax modem to send a fax to a Group 3 fax machine only To send data to a fax machine 1 2 From the SEND screen select FAX The PHONE NUMBER screen is displayed Enter the phone number for the fax machine
46. e This mode allows up to 24 hours of trend data to be output to a computer NOTE 24 hours of trend data are output in 10 minutes or less depending on the baud rate To enter trend output mode Enter lt esc gt CJ lt enter gt To exit trend output mode while trend data are being output Enter lt esc gt CK lt enter gt After trend data are output auto output mode automatically resumes Trend data are still in memory and can be output again without turning the oximeter off and on again NOTE No other modes can be activated through the computer interface while in trend output mode only the trend output exit command is recognized To clear trend data in the oximeter s memory using the computer Enter lt esc gt CP lt enter gt Analog device communications B 4 CAUTION To prevent improper loading which upsets the correspondence between the measured voltage and the intended output voltage connect only a high impedance device 1K Q or higher to the analog output The 3900 3900P oximeter interfaces with any analog recording device capable of accepting the 0 to 1 volt signal outputs that represent the SpOz and pulse rate values If you want to send data directly to a serial device e g a computer and to an analog device simultaneously you may purchase the Datex Ohmeda serial analog cable see Parts list in chapter 6 B Communications RS 232 serial analog interface cable analog pinout Use the D
47. e can be printed on the 3900P printer See chapter 4 for specific operating instructions 1 11 3900 3900P User s Manual Rear panel 100 240V 50 60 Hz0 45 A T2 0AH 250V 1 2 3 4 5 Figure 1 5 3900 3900P Pulse Oximeter rear panel WARNING Electrical shock hazard Because the unit is not grounded when it is operating on battery power do not connect any equipment to the RS 232 connector on the rear panel unless the unit is connected to the AC power supply 1 Power entry module 6 This module contains e Fuses e Power connector for the power cord that connects the oximeter to the AC power supply for continuous operation and or battery recharging 63 4 2 Equipotential ground connector In locations where this type of ground is required connect your grounding system here 3 Product information label Refer to Compliance with standards in chapter 7 for definitions of symbols that indicate compliance with standards set by regulatory agencies 4 Mode Switch Ch This symbol identifies the two position switches that set the display language the averaging mode the display of the PI pulsatile value and the EMI line frequency See chapter 2 for instructions ozs 5 RS 232 serial analog connector This 9 pin connector provides 00000 O oooojo e Serial information on SpOdg pulse rate PI pulsatile value alarm limit violations and alarm messages with a time stamp and c
48. e etc The options are 0 0V 0 5V and 1 0V See Appendix B for more detailed information MODE Use this option to select between SpOz2 or Ply pulsatile value modes The mode you select determines the data and format used for printer and modem output The mode also determines whether an alarm condition will cause a trend display screen to revert to the waveform screen OUTPUT Use this option to select 6 second or 30 second interval formats when printing data 6 sec second output specifies the following Trend data every data point for SpOz2 or Pl data Current data lowest data point for SpO2 and the average PI value for that 6 seconds 30 sec second output specifies the following for trend data SpOz the lowest data point out of every 5 PI the average of 5 data points CONTRAST 3900P printer only If you have the 3900P this option allows you to adjust the print quality of the printer output The options are 1 lightest print through 10 darkest print Press the or function key to decrease or increase respectively the print quality 2 16 2 Setup and Operations Date and time Select DATE from the main menu to set the current date and time This information appears with data records in trend memory and on all printed or transmitted data z DATE TIME spo 2 RS an D 05 98 HH MM JIDO 13 05 CO zal Figure 2 8 DATE TIME screen The cursor automatically appears in the first
49. e mode for the data you want to print SpO2 or PI See MODE under SETTINGS in chapter 2 e Selected the time interval format for the printout 6 second or 30 second data point information See OUTPUT under SETTINGS in chapter 2 e If you are going to print current data make sure the correct label text is associated with the data you are about to print See LABELS in chapter 2 4 1 3900 3900P User s Manual Printer buttons The printer s buttons are active only when you are viewing the waveform or trend screens Figure 4 1 3900P printer Print real time data Print real time data summary statistics Print trend data Stop printing advance paper eNe Print real time data To begin printing current monitoring data press this button Summary statistics only To stop current data from printing and print a summary of the monitoring data to 2 that point press this button If you are not printing real time data this button is P P y P 8 not active Trend print To begin printing trend data press this button The SELECT HOURS screen lal appears SELECT HOURS HOURS 18 HRS ALL 12 HOURS STATS ONLY PRINT Figure 4 2 SELECT HOURS screen HOURS If there are fewer than 12 hours stored in memory the hours shown reflect the amount of stored data rounded to the nearest whole number In this case this function key will only allow you to select fewer hours unless there is 1 hour o
50. e the sensor to a site with higher blood flow Pulse rate Compare the displayed pulse rate to the patient s palpated pulse rate If the unit s rate varies significantly from the palpated rate the data may be less accurate due to motion artifact or other noise A cough or other hemodynamic pressure disturbance can disrupt the pulse rate which is determined from the plethysmographic waveform The time span between the waveform s peaks determines the pulse rate The unit uses the same averaging mode long medium or short as that selected for SpOg PI pulsatile value The PI pulsatile value is a measurement of the strength of the photoplethysmo graphic signal read by the oximeter The greater the number the greater the pulsatility and the validity of the SpOz and pulse rate data This value is useful when determining that the sensor is correctly attached and that the data are verifiable It is also an indicator of relative perfusion at the sensor site 2 Setup and Operations Waveform screen button Ie When you are viewing some other display or screen press this button to return to Menu button t the waveform screen You can also use this button to exit from a menu or option screen to prevent changes you have made from being confirmed This button accesses the main menu which has the following options MENU MODEM LABELS SETTINGS DATE Figure 2 5 Main menu Important If an alarm occurs while you
51. e to the 9 pin RS 232 connector on the rear of the oximeter and to the 25 pin serial connector on the modem Important You must use the Datex Ohmeda modem analog cable Refer to Parts list in chapter 6 2 Connect your modem to a telephone line to the telephone and to AC power Follow the instructions you received with your modem 3 Power on your modem 4 Power on the oximeter and display the MODEM STATUS screen See Modem Status 5 TeleOximetry Modem status To access the modem options 1 T Press the Menu button to display the MENU screen 2 4 Select MODEM The MODEM STATUS screen appears SELECT DATA 12 HRS SEND MODEM STATUS SEARCHING Figure 5 1 MODEM STATUS screen The SEARCHING message appears while the system searches for the modem When the modem is detected the message changes to FOUND If the NOT FOUND CONNECT MODEM message appears check and correct all connections between the monitor and modem Verify that the modem is powered on If the message persists refer to Troubleshooting in chapter 3 Select the data to be sent Refer to Select data 5 3 3900 3900P User s Manual Select data 5 4 To select the amount of data you want to send 1 3 4 Display the MODEM STATUS screen and choose SELECT DATA HOURS 18 HRS ALL SELECT HOURS 12 HOURS Figure 5 2 SELECT HOURS screen XX HOURS shown as 12 HOURS in Figure 5 2 ind
52. ear the trend data or until all the patient data associated with the label are overwritten i e when 24 hours of data are already stored in memory and the oldest records are overwritten as additional data are recorded and stored to memory If labels and associated data are cleared from trend memory but label text is not cleared from the LABELS screen when you begin monitoring again any text on the LABELS screen is used to identify the new record Summary custom patient labels e Labels are used to identify patients e Labels are included in all printed reports 3900P and data transmissions e Labels must be entered prior to monitoring patients e Labels create new records in trend memory e Labels are cleared from the LABELS screen and or from trend memory by using the CLEAR button on the LABELS screen Figure 2 6 and the trend screens Figure 2 9 2 Setup and Operations LABELS an _GONZALES___ an a DRCASEY JIO GENERAL CIO Figure 2 6 LABELS screen lt gt Select field function keys Press the left half of the button to move the cursor a rectangle left or press the right half to move the cursor right one character field from its current position e If the cursor is on the first character of the first line and you press the cursor moves to the last character of the last line e If the cursor is on the last character of the last line and you press P the cursor moves to the firs
53. edical system and is therefore responsible that the system complies with the requirements of IEC EN 60601 1 1 If in doubt call your local authorized service office The 3900 3900P is referred to as an IEC EN 60601 F device in the summary of situations table contained in IEC EN 60601 1 1 Serial device communications If you want to send data directly to a serial device e g a computer and to an analog device simultaneously you may purchase the Datex Ohmeda serial analog cable see Parts list in chapter 6 Requirements Connect the oximeter only to computers with e An RS 232 interface e The ability to accept ASCII formatted data at a baud rate of at least 9600 The settings on the computer must be 9600 19 2K 38 4K or 57 6K baud 8 bit data No parity 1 stop bit 1 start bit Full duplex Handshaking CTS RTS B 1 3900 3900P User s Manual RS 232 interface cable serial pinout Important Use only a cable designed to interface directly between your computer s connector and the RS 232 connector on the oximeter Refer to Parts list in chapter 6 Do not use the Datex Ohmeda modem analog cable Configure the RS 232 interface cable as follows RS 232 Pin 2 Oximeter receives data amp 1 Pin 3 Oximeter transmits data Pin 5 Signal ground o O Pin7RTS Pin 8 CTS Pins 1 4 6 and 9 are not used Connection To acquire current or trend data on the computer the computer must be running a third part
54. ents one six second data point A single numeric value appears to the left of the cursor For longer time scales each pixel column represents multiple data points The lowest and highest values for the range of data points at the cursor appear to the left and right of the cursor line respectively When the cursor is on multiple data points the time and date of the oldest data appear at the bottom of the screen e If you change the time scale to be longer or shorter while viewing a column of trend data the time and date shown do not change e If no valid data exist at a column dashes represent no value and the time and date are shown e All power off cycles appear on the trend graph regardless of the time scale selected The trend data are maintained in the monitor as long as the monitor s battery is connected and charged to minimum operating level The oximeter stores a maximum of 24 hours of trend data The data are stored in trend memory every six seconds and include the following e lowest SpO2 data point e pulse rate e alarm conditions e PI pulsatile value e date and time e custom patient label associated with the current data record These data can be e viewed on the screen e transmitted through a modem to a fax machine or computer e printed on the 3900P printer e sent directly to a computer You may monitor patients while viewing trend data 2 Setup and Operations A rolling 24 hours of tre
55. essary Recharging the battery as necessary Replacing the fuses in the power module as necessary The Datex Ohmeda repair policy A list of items you may order for the oximeter To replace the paper roll in the printer see chapter 4 Cleaning To clean the modem refer to the instructions for the modem you are using To clean a reusable sensor refer to the instructions for the sensor Oximeter with or without the printer WARNING Electrical shock and flammability hazard Before cleaning the oximeter always turn it off and disconnect the power cord from the AC power supply CAUTION Do not autoclave pressure sterilize or gas sterilize this oximeter Use cleaning solution sparingly Do not soak or immerse the monitor in liquid Excessive solution can flow into the monitor and damage internal components When cleaning the display area do not use abrasive cleaning compounds or other materials that could damage the screen Do not use petroleum based solutions acetone solutions or other harsh solvents to clean the oximeter These substances may damage the oximeter and cause a malfunction Be sure that the oximeter is turned off and unplugged from the AC power supply before cleaning and that the unit is completely dry before use To clean the display panel use a cotton swab moistened with 70 isopropyl alcohol and gently wipe the panel 6 1 3900 3900P User s Manual To clean the outer surface of the o
56. ge appears when you try to send data you may need to select a guard tone If you do not know the required guard tone for the phone line in your area call your local phone service company or call the nearest Datex Ohmeda service office To choose a guard tone 1 From the MODEM SETUP screen select GUARD TONE 2 Select NONE the default 550 Hz or 1800 Hz 3 To enter your selection and return to the MODEM STATUS screen press l Custom initialization string A modem s initialization string enables the monitor to use the modem The monitor uses the initialization string for the USRobotics Sportster fax modem as the default When the INITIALIZATION STRING FAILURE message appears and you cannot send data successfully you may need to change the initialization string If you cannot find the initialization string in the instructions for your Class 1 modem call the modem manufacturer The initialization string for your modem must e Set the flow control to hardware only e Set the DTR Data Terminal Ready signal so that it can be used to reset the modem 5 11 3900 3900P User s Manual To enter a custom initialization string 1 From the MODEM SETUP screen select CUSTOM i INITIALIZATION a i a EE STRING ra aan oe AT amp D3 amp H1 DEFAULT lt Figure 5 8 INITIALIZATION STRING screen 2 Move to and enter the correct characters Three lines are provided on the screen if the string is too
57. gory of alarms exists for system failure and the imminent failure of pulse oximeter operation Requires immediate operator response Red alarm button light continuously flashes A continuous tone sounds overrides all mute condition e SYSTEM FAILURE XXX SERVICE UNIT For more information refer to the 3800 3900 3900P Technical Reference Manual 3 Messages and Troubleshooting Troubleshooting The following chart list some conditions that may occur with the oximeter along with the cause s and recommended action s for correcting them Condition Possible cause s Recommended action s Unit does not power on The battery is fully discharged or disconnected and or the unit is not plugged into the AC power supply One or both of the fuses have blown To charge the battery and begin monitoring plug the unit into the AC power supply If the condition persists the unit requires service Replace the fuse s See Replacing the fuses in chapter 6 If the new fuse blows shortly after installation the unit requires service Unit powers on but the graphic display is blank The viewing contrast is not correct Use the display contrast adjust slide to adjust the viewing angle If the condition persists the unit requires service Continuous speaker tone Internal failure Unit requires service Buttons don t work when pressed Buttons may be locked Internal failure
58. h a time stamp custom patient label and alarm conditions are transmitted and updated every two seconds in auto output mode or every six seconds in trend output mode One line of ASCII data is output to the computer every two seconds in auto output mode or every six seconds in trend output mode If a custom patient label was created for the data record it appears at the start of the data see LABELS in chapter 2 The information sent to the computer screen is formatted similarly to the following example Datex Ohmeda Model 3900 Pulse Oximeter or 3900P TREND DATA OUTPUT 6 SECONDS PER DATA POINT P HERNANDEZ 93256 JP CLAIR GENERAL 09 03 98 14 01 31 SpO2 80 Plr 1 38 LOW Sp02 14 01 25 SpO2 81 Plr 1 43 LOW SpO2 14 01 19 SpO2 81 Plr 1 48 LOW Sp02 14 01 13 SpO2 97 Plr 1 56 14 01 07 SpO2 99 Plr 2 14 14 01 01 SpO2 100 Plr 0 47 14 00 55 SpO2 100 Plr 14 00 49 SpO2 Plr NO SENSOR 14 00 43 SpO2 Plr NO SENSOR 14 00 37 SpO2 Plr NO SENSOR END TREND DATA B 3 3900 3900P User s Manual Auto output mode This is the default mode which transmits monitoring data being currently collected It is present when the oximeter begins communication with a computer and is the mode the oximeter returns to when exiting from other modes Messages relating to SpO2 pulse rate PI and alarm limits violations that appear on the oximeter also appear on the computer Trend output mod
59. heir place 3900 3900P User s Manual 2 14 NOTE If an alarm occurs while you are entering label characters the waveform screen appears with the alarm message After you have attended to the alarm condition return to the LABELS screen The characters you had entered prior to the alarm are still there but they are not yet saved in memory as the label for the current data record You do not have to reenter them but you do need to complete the label information and then press to save the label to memory CLEAR Select CLEAR to access the clear patient data screen options Option Action CLEAR LABELS Clears label text from unlocked lines on the LABELS screen CLEAR TREND Clears all SpO2 and PI trend data in memory including the labels in memory associated with that data CLEAR BOTH Clears label text from unlocked lines on the LABELS screen and clears all stored trend data including labels in memory associated with that data After choosing an option you can confirm your choice by selecting YES or NO e If you select YES a high beep tone sounds If you select NO a low beep tone sounds A message indicating that the labels trends or both have or have not been cleared depending on your selection is displayed for three seconds e If you do not select YES or NO within 10 seconds a low beep tone sounds and the previous screen is displayed NOTE Text on the LABELS screen that is not er
60. icates the number of hours of stored data that are currently selected e If12 or fewer hours of data are stored XX HOURS indicates the actual number of hours of stored data One hour is the minimum e If13 to 24 hours of data are stored XX HOURS shows 12 HOURS the default selection XX HRS ALL indicates the total number of hours of stored data that are available The maximum is 24 hours Select XX HRS ALL to include all stored data Selecting ALL updates XX HOURS to the same number of hours or Use the HOURS keys to change XX HOURS to a specific number of hours of data up to the maximum number of hours stored Press to decrease the number 1 hour is the minimum Press to increase the number to the actual hours of stored data Hold down these keys to move quickly through the hours You cannot exceed the total hours of stored data For example if 14 hours of data are stored you can select 14 or fewer hours Press I to record your selection and return to the MODEM STATUS screen Transmit the data Refer to Send 5 TeleOximetry Send After you select the amount of data you want to send you can e Send the data to a fax machine Group 3 only e Send the data to a remote computer e Set the 3900 3900P so that a query from a remote computer will initiate transmission of the data to that computer Important To send data directly from the 3900 3900P to a computer that is not accessed through a mo
61. ication and memory tests during monitoring The software continuously monitors the patient sensor and if a failure is detected discontinues power to the sensor 7 Compliance and Specifications Specifications Unless otherwise indicated all specifications are nominal and are subject to change without notice Circuitry Microprocessor controlled Automatic self test of oximeter when powered on Automatic setting of default parameters Automatic alarm messages Trend real time and stored data output of SpOz pulse rate PI pulsatile value and alarm messages to the built in printer 3900P only and through the RS 232 serial port up to 24 hours of stored data SpO2 and pulse rate output through two analog channels Audio indicators Adjustable volume audible pulse Adjustable volume audible alarm tone Pitch modulation reflects changing SpOz2 levels Alarm silence 120 seconds All mute continuous silence Pulse rate out of limits alarm SpOz level out of limits alarm Sensor condition alarms System failure and recharge battery alarms Audible alarms Setting levels available Alarm 1 through 5 Pulse beep OFF and 1 through 5 Intensity at 1 meter distance Volume setting of 1 55 decibels minimum Volume setting of 5 85 decibels maximum Alarm limits SpOz alarm limit range High 50 to 100 or OFF Low OFF or 50 to 100 Pulse rate alarm limit range in beats per minute BPM High 30 to 235 or OFF Low
62. ight side of the LCD On Japanese menu screens the icon appears at the upper right beside the first menu option This icon indicates the battery condition as follows D Charged not low Low If the all mute condition exists the display of this icon alternates with the display of the all mute icon This icon appears on the status screen X Depleted not installed or defective Carrying handle The lower front portion of the oximeter s case is designed to be a carrying handle for ease of moving the unit from one place to another Sensor connector The sensors for this oximeter plug into this nine contact connector Use only OxyTip sensors compatible with this oximeter see Parts list in chapter 6 Screen option buttons These buttons access the following features I Press this button to return to the plethysmographic waveform when you are at any other screen m Press this button to view the main MENU This menu provides options for entering custom patient labels for individual data records for defining certain parameters and for setting the current date and time This menu also provides access to the modem features if a modem is installed See Menu button in chapter 2 for detailed information svo Ply Press the desired button to display SpO2 or PI pulsatile value trend on the screen See Trend options in chapter 2 for detailed information 1 Overview V CH O m CHO 11 Pulse beep volume button
63. ignal is too No action required May be erratic to be processed due to caused by strong radio frequency proximity of other electrical RF interference possibly equipment generating high generated by electrosurgery frequency electromagnetic noise SpOz and PR readings do not change during detected inter ference or become dashes if interference persists When interference ceases signal processing resumes LIMITS SAVED Appears during power up No action required This is an LOW Sp02 XXX sequence if low SpOz limit saved operator alert message Make sure is below 80 XXX represents the to change a limit that may be too od oe numerical limit or OFF low LOW BATTERY Appears when 5 to 15 minutes of Plug the oximeter into the AC battery operation remain power supply to recharge the battery and continue monitoring Important To prevent permanent damage to the battery recharge a discharged battery within eight hours after the LOW BATTERY message is displayed LOW QUALITY SIGNAL Sensor off patient Reattach the sensor appears only in serial communication output Perfusion insufficient for valid readings Motion at sensor site electrical noise or incorrect sensor placement Check patient and oximeter setup NO SENSOR also see CHECK SENSOR SITE Sensor not connected or not fully inserted into the sensor connector May be an incorrect sensor Insert sensor cable into the connector Refer to the instructio
64. inguish between oxygenated O2Hb and reduced HHb hemoglobin each of which absorbs different amounts of light emitted from the oximeter sensor The system then calculates the relative percentage of these two constituents and displays SpOz 4 Variable absorption Ze aS LP oe i lt E Sob SA A lads T due to arterial pulse J Ce E rier aya A A Arterial blood absorption Venous blood absorption Absorption Other tissue absorption Time Figure 1 2 Comparative light absorption Arterial blood pulsation at the test site modulates transmission of the oximeter sensor s light Since other fluids and tissues present generally don t pulsate they don t modulate the light passing through that location The attenuation of light energy due to arterial blood flow is detected and isolated by using the pulsatile portion of the incoming signal PI pulsatile value is a measure of the relative size of this portion of the signal Red Infrared 660 nm 940 nm Extinction 10x 600 700 800 900 1000 Wavelength nm Figure 1 3 Extinction versus wavelength graph The sensor s photodetector converts the light which is partially absorbed and modulated as it passes through the tissue sample into an electronic signal Since O2Hb and HHb allow different amounts of light to reach the photodetector at the selected wavelengths the electronic signal varies according to the light source that 1 Overview is on
65. ions Mode switch settings A bank of eight numbered two position switches is accessed through the rear panel The up position is ON and the down position is OFF B t o JF Important If you change the switch settings while the oximeter is on the new settings do not take effect until you power off then on again Language selection Switches 1 2 3 and 4 set the language used for the display 3900P printer output and data transmitted through the RS 232 port For Japanese printer output and data transmissions are in English only Switches Language 1234 ooo Mmmm Danish 1234 foo ao Dutch 1234 English 1234 a eee Finnish 1234 French 1234 o oommmm German 1234 Se Gee Italian 1234 ee HHH Japanese 1234 ae e Norwegian 1234 Polish 1234 Portuguese 1234 oo ommmm Spanish 1234 Bs 4 Swedish 2 3 3900 3900P User s Manual Averaging mode Switches 5 and 6 set the averaging mode The averaging mode selects the time period of data used to calculate a weighted average SpOz2 value to be displayed by the oximeter Switches Sp02 and Pulse Rate Averaging TruTrak 5 6 56 Long 12 seconds Yes enabled 5 6 Medium 6 seconds No 5 6 Short 3 seconds No PI pulsatile value display Switch 7 sets the display of the PI pulsatile value Switch Display PI value 7 T HHHH No EMI li
66. isplay ssssssssssssssssssesssesssessseesseessseesseesssessseesseessseeseressee 2 20 Trend datane neioii et ea EENE EIEEE EER 2 20 Patient function key lockout csssssssssssssssosssscsssssessssesssssssosssssssssssosssessssssesssssssssnsesssesssssnseosssesesens 2 22 Table of Contents 3 Messages and Troubleshooting Messages osinaren ioiii NE E N O ia 3 1 Alarni categOrilSserrinnnian a 3 5 Fig AcPPi Orit y sazs sciswvebsesssieluscetccsntowssavsessstosuteelccsadonssesecssbauutectosssteusauseseseasutebocesteuioesosasbouatecbortsanass 3 5 MGA Priori Yzarn iin i 3 5 LOW POTY aiita EETA EVEKEN EEA REEE A 3 6 Systemi failt Giz sieniin anini a t 3 6 Troubleshooting senene Ea E EA E A O VAA 3 7 4 Printer Printer b ttons soen ai are EE A EI T AAE ENA 4 2 Print real time habia sisssissscssiveassssesssisessssnnsnsnesssnsesvoutcesesnoeedneessnsunusiiosooneduedssnbessoatenssesesteinnesisvessed 42 Summary statistics only AZ Trend print ssssssesssssesseeesssessee AD Stop PTint aAdvaMGe Paper sisi vasa eiea niia 43 Printed data Samples sssssicssicossersnsasecosesonnaisieectennnsssescstensscasetsoessnneasiteoetonusisieestinnsibeccssennnuasoeteeessnuassetecersniad 4 3 Printer MaiNteNANCe u ccssecssssssssvsesssssssssseeesssssssssseessssssssssessesssssssssssssssssssesssssssssssessessssssssessessssssseessesssssses 4 5 Replacing the paper Toll scscimeniniesoniie diiio i a A 45 REMOVING a Papet jaMiiserinuosi iiiaae a ia 46 5 TeleOxi
67. ithms depending on the type and intensity of the motion TruTrak technology employs a patented five step process that consists of 1 high speed data sampling 2 motion identification quantification and correction 3 calculation of the SpO2 value 4 weighting and averaging of the SpOz value and 5 the display of an improved SpOz value The result of this process is a more accurate and stable displayed SpOz2 value with fewer false alarms or dashed displays Important For TruTrak performance the averaging mode must be set to Long See Setup in chapter 2 PI pulsatile value The PI pulsatile value indicates the strength of the pulse signal at the sensor site the higher the PI value the stronger the pulse signal A strong pulse signal increases the validity of SpO2 and pulse rate data PI is a relative value that varies from patient to patient Clinicians can use the PI value to compare the strength of the pulse signal at different sites on a patient in order to locate the best site for the sensor the site with the strongest pulse signal You can choose to display or not display the PI value see Setup in chapter 2 Other features e PerfTrak waveform display an automatic scale of the plethysmographic waveform to provide a relative indication of the sensor site perfusion level e Large SpOg digital display for clear differentiation from the pulse rate value e Backlit display and contrast control for e
68. ity Under normal conditions the battery lasts for several hundred charge discharge cycles The battery will not overcharge Batteries stored for extended periods of time should be recharged every six months to maintain the charging capacity of the battery Replacing the battery If the battery will no longer recharge with AC power connected it should be replaced Battery replacement should be performed by authorized service personnel only 6 2 6 Maintenance and Service Replacing the fuses Should a power problem blow one or both of the fuses in the power input module on the rear panel you ll need to replace them Tool required Small flat blade screwdriver 5 mm 3 16 inch WARNING To protect against fire hazard replace only with fuses of the same type and voltage rating 1 Power off the oximeter and unplug the power cord from the back of the oximeter 2 Insert the small flat blade screwdriver into the center slot of the fuse holder Gently pry loose and remove the fuse holder Fuse holder OE ee A E 3 Note how the fuses are placed in the fuse holder for installation of the new fuses Fuses 4 To remove the fuses from the fuse holder use the edge of the screwdriver blade to pry against the bottom of the metal portion of the fuse where it is secured to the glass portion of the fuse 5 Place the new fuse s T2 0AH 250V in the fuse holder properly orienting them as shown ab
69. lated the LED on the numeric display and the LCD s limit value flashes for that alarm PI pulsatile value Dashes appear if the following conditions exist no sensor is connected to the unit the sensor is not attached to the patient the sensor has failed there is insufficient light penetrating the tissue site or there is too much ambient light 1 Overview Sp02 Sp09 alarm limits high and low While viewing the waveform screen the top button sets the high alarm limit and the bottom button sets the low alarm limit For either limit press the side of the button to raise the value or the side to lower it As you press one of these buttons the values do not cycle through the available settings e g when you reach 100 the value does not cycle or wrap to 50 or OFF and vice versa When you are using menu options these two buttons become function keys the function each performs depends on the options available in the menu on the screen see Menu button in chapter 2 Pulse rate alarm limits high and low While viewing the waveform screen the top button sets the high alarm limit the bottom button sets the low alarm limit For either limit press the side to raise the value or the side to lower it As you press one of these buttons the values do not cycle through the available settings e g when you reach 235 the value does not cycle or wrap to 30 or OFF and vice versa When you are using menu o
70. lb 3900P 3 2 kg 7 0 lb 7 6 A Screen Maps gt Go to page A 3 ALL MUTE BAUD RATE ANALOG YES 9600 0 0V SELECT DATA MODEM STATUS 49 HRS SEND gt SEARCHING SETUP z LABELS lt gt H GONZALES gt i EET DR_CASEY ______ CLEAR GENERAL MODEM NW LABELS SETTINGS DATE SAVE LIMITS NO via MODE aie OUTPUT 6 SEC CONTRAST 5 s DATE TIME lt gt DD MM YY FIR gt ia FORMAT 13 05 lt Print trend button 3900P printer CO CW Cc Oo A e Qo SELECT Hours HOURS 18 HRS ALL il gt Weare STATS ONLY PRINT A Go to page A 2 gt Go to page A 2 PRINTING kT 52 CANCEL 3900 3900P User s Manual LABELS CLEARED CLEAR LABELS gt CLEAR LABELS gt ves CLEAR BOTH gt CLEAR LABELS AND SpO2 ah i CLEAR TREND gt CLEAR SpOz2 AND Pl TRENDS gt l l 7 4 AND Plr TRENDS I NO SAVE LIMITS YES or NO ALL MUTE YES or NO BAUD RATE 9600 19 2K 38 4K or 57 6K ANALOG 0 0V 0 5V or 1 0V MODE SpO2 or Plr OUTPUT 6 SEC or 30 SEC CONTRAST Printer 1 through 10 NOT CLEARED
71. log cable 61 cm 24 inch dark gray cable with one RS 232 connector and two analog connectors 1 red 1 white RS 232 serial cable DB 9 male female 1 8 m 6 ft 6050 0005 833 6050 0005 132 6001 0000 181 TeleOximetry PC Access Software no charge This software lets you access trend data that is stored on a 3900 3900P and transfer the data to your PC Each data transfer creates a file you can view or use to generate reports The software a demonstration program and instructions are provided on a compact disc CD The instructions and interface menus messages etc are in English only 6050 0006 529 3900 3900P User s Manual 6 6 Description REF Power cord Socket Type Commonly Used In Australia China 6030 0000 001 O O O Canada Japan Latin America USA Continental Europe Italy United Kingdom 0208 0943 300 6030 0000 006 6030 0000 002 6050 0002 259 7 Compliance and Specifications This chapter contains e Information about the tests that were conducted and the regulations with which the oximeter complies to assure its safe use e Performance specifications for the oximeter Compliance with standards The presence on the monitor of any symbol described below indicates compliance with the standard represented by that symbol C 4 Medical Device Directive 93 42 EEC of the European Union for a class I with a measuring function Ia IIb or III device
72. long to fit on the first line continue it on the second line then the third line Use and P to move the cursor to the character to be changed Hold down the key to move quickly Use and to move in descending or ascending order to the character you want to enter Hold down the key to move quickly through the available characters period A Z 0 9 gt amp comma lt space gt The initialization string may not have spaces before or between characters Use the space to eliminate or erase unwanted characters 3 Press Ito record the string and return to the MODEM STATUS screen Default initialization string To restore the default initialization string 1 Display the INITIALIZATION STRING screen and select DEFAULT The RESET DEFAULT MODEM INITIALIZATION message appears 2 To restore the default string select YES A high tone sounds and DEFAULT RESTORED appears briefly or To retain the custom initialization string select NO A low tone sounds and DEFAULT NOT RESTORED appears briefly 3 When the INITIALIZATION STRING screen reappears press e to return to the MODEM SETUP screen 5 12 5 TeleOximetry Sample reports The format of the report you send depends on the option you choose from the SEND screen Samples of the report that is sent to a remote computer and the InstaReport fax for each mode SpOz2 and PI are shown below Remote computer report format A report
73. m 2 2 Before powering on the oximeter Use the mode switches in the oximeter s rear panel to set the language averaging mode PI pulsatile value display and EMI line frequency Parameter Factory Setting Range Language English Danish Dutch English Finnish French German Italian Japanese Norwegian Polish Portuguese Spanish or Swedish Averaging mode Long TruTrak Long TruTrak 12 seconds 12 seconds Medium 6 seconds or Short 3 seconds PI pulsatile value display Yes Yes display PI value or No EMI line frequency 60 Hz 50 Hz or 60 Hz After powering on the oximeter Changes you make to the parameters shown below take effect immediately Parameter Factory Setting Range High SpOg limit OFF 50 to 100 or OFF appears as Low SpOz limit 85 50 to 100 or OFF High pulse rate 130 bpm 30 to 235 bpm or OFF Low pulse rate 40 bpm 30 to 235 bpm or OFF Alarm volume 3 1to5 Pulse volume 2 1 to 5 or OFF Save limits NO YES or NO All mute YES YES enabled or NO disabled Serial transmission baud rate 9600 9600 19 2K 38 4K or 57 6K Data output mode SpO2 SpOz2 or Pl printer and modem Data output resolution 6 second interval 6 or 30 second intervals Print contrast 5 1 through 10 Date format DD MM YY MM DD YY DD MM YY YY MM DD bpm beats per minute 2 Setup and Operat
74. m the 3900 3900P supports the transmission of up to 24 hours of trend data over public telephone lines to a modem equipped remote computer The telephone connection may be initiated by the remote computer or by the 3900 3900P Remote computer requirements Your remote computer must be equipped with a serial communications software program e g ProComm Plus by Data Storm Technologies or a terminal emulation program such as those that are incorporated within some operating systems e g the Microsoft Windows Terminal program in Windows 3 1 or the Microsoft Hyper Terminal program in Windows 95 and Windows NT Data are transmitted to a remote computer using the Xmodem or Xmodem CRC protocol The communications program should support one of these protocols Preparing for transmission The user of the remote computer may need to set up the remote computer modem as described in the instructions for the modem Before trend data can be transferred the remote computer user must set up the communications program and verify that it is configured as follows e No parity 8 data bits 1 start bit 1 stop bit full duplex and hardware flow control e Baud rate of 9600 19 2K 38 4K or 57 6K BPS Important The communications program and the oximeter must use the same baud rate To set the 3900 3900P baud rate see SETTINGS in chapter 2 Dialing and answering calls at the remote computer Consult the instructions for the communicatio
75. metry Using 2 modem SUMMATY ccccsscsssssssssssssesssesssssssssssssssssusssssssssssssssssssssssssssossssssssssssssssssssssssssssssssnees 5 1 Modem CONNECHION ccssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssnsssssosssssssseessssssssssssssosssssssesssssssssnuassossoss 5 2 Memmi stat Ssi R 5 3 Select data Sndo is N E EE SNR S EA K ana aS E EE E RAAT Fax transmission Messages s sssssessrsesssserreesssseerees 5 7 Canceling a transmission FAX CANCELED ccssssssssssssssescccccceessssnssssnseseseceeeeeeesent 5 7 Sending data to a remote COMPUEET ccssssssssssssssssssssessssssnnessessssssssssssssssssnssssessssssssessssssssssnassessens 5 8 Remote computer TEQUITEMENLS csccsssesssesesssecsssesssseesssseesssssessssessssessssesssees 5 8 Preparing for transmission ssssssssssssssessesscsssssssssssssssesseeccsssssssssssssseesesseseen 5 8 Dialing and answering calls at the remote computer 58 Receiving the data file at the remote computet 58 Remote COMP Ute Ls sisaan iS 0 9 Weal bor calls anan sashes aateecaat A E moana aa cas ac east Al 5 9 Canceling a transmission TRANSMISSION CANCELED 5 10 Transmission failure messages sssssssssssssssessessssssssssesssssssusssssssssssssssssssssssssssossossssssssssssssssussseseosse 5 10 Modem Setup sssssccsssssssssssssssssssssnsssssssssssssssssssssssnusssessssssssssssssssssssssssssossssssssesssssssssassssosssssssssssssssssssnsssessoss 5 11 Giar
76. n OoHb OoHb Functional Sp05 x 100 Ga 2 Hbtoral COHb MetHb OHb HHb x100 The calculation of SpOz assumes 1 6 carboxyhemoglobin COHb 0 4 methemoglobin MetHb and no other pigments Appreciable variation from these values will influence SpOz accuracy These values are based on the Ohmeda Pulse Oximeter Empirical Calibration Study 1 5 3900 3900P User s Manual Front panel NOTE The 3900 model does not have the built in printer item 13 Cis Ll spo gpn ic Y 3900P TruTrak O 9 8 T Figure 1 4 3900P Pulse Oximeter front panel Alarm silence button Numeric display LED Graphic display LCD SpO2 alarm limits high low setting buttons Pulse rate alarm limits high low setting buttons Display contrast adjust slide Power Standby button Carrying handle onan oa FF OO N e Sensor connector Screen display option buttons an Pulse beep volume button Alarm volume button Built in printer 3900P e e wo N 1 6 1 Overview Alarm silence button This button has two functions 120 second alarm silence activated by a single press Continuous all mute activated by three quick presses if the all mute feature is enabled Press once to deactivate Alarm silence When an active alarm condition exists press this button to silence the audible portion of the alarm for 120 seconds The flashing re
77. n SAVE LIMITS Use this option to save the high and low SpOz and pulse rate alarm limits and the pulse beep and alarm volumes you have set so they are retained when you power off The cursor is automatically on the SAVE LIMITS option field when the settings screen appears The options are NO and YES To save the alarm limits settings for use the next time the unit is powered on select YES NOTE e Whenever a low SpOz2 alarm limit below 80 or OFF is set and then saved to memory a screen appears during the power up sequence to alert the operator The screen shows the saved limit for the low SpOz alarm and the saved alarm volume setting e If your patients are neonates use this option to save the appropriate high and low alarm limits between power cycles 2 15 3900 3900P User s Manual ALL MUTE Use this option to enable YES or disable NO the ability to mute audible alarms e When enabled YES you can press the alarm silence button three times within 3 seconds and silence the alarms until you press the alarm silence button again or the unit is powered off e When disabled NO you cannot silence the alarms continuously BAUD RATE Use this option to select the appropriate baud rate when sending serial data directly to a computer see Appendix B for more information The options are 9600 19 2K 38 4K and 57 6K ANALOG Use this option to calibrate an analog device chart recorder polysomnography machin
78. n to the waveform screen B 5 3900 3900P User s Manual B 6 A analog communications B 4 analog interface cable B 5 alarms alarm limits display 1 8 alarm silence button 1 7 all mute 1 7 2 16 high priority 3 5 low priority 3 6 medium priority 3 5 message Categories 3 5 messages 3 1 save limits 2 15 set pulse rate limits 1 9 set SpO limits 1 9 specifications 7 3 SpO limits below 80 2 6 system failure 3 6 volume 1 11 audio indicators specifications 7 3 battery operation 1 9 status indicator 1 10 recharging 6 2 replacing 6 2 specifications 7 5 c calibration 1 5 cancel transmission modem 5 7 5 10 cautions 1 15 checkout procedure 2 5 cleaning 6 1 communications B 1 analog devices B 4 serial devices B 1 connector equipotential ground 1 12 power 1 12 serial and analog 1 12 SpO sensor 1 10 current leakage specifications 7 6 date set format 2 17 display contrast adjuster 1 9 graphic 1 8 numeric 1 7 2 10 specifications 7 4 E electromagnetic compatibility EMC 7 2 Index F fax modem 5 6 fax modem status 5 3 features 1 1 1 2 functional components 1 3 PI pulsatile value 1 2 TruTrak technology 1 1 front panel 1 6 fuses 1 12 replacing 6 3 specifications 7 6 G guard tone modem 5 11 H handle carrying 1 10 initialization string modem custom 5 11 default 5 12 InstaReport fax PI mode 5 16 InstaReport fax SpO g
79. nd data are stored in memory in FIFO first in first out order e g the oldest trend data hour 1 are stored followed by new trend data Patient 1 Patient 2 Patient 3 April 3 April 4 April 5 Hour 1 Hour 9 Hour 17 Hour 2 Hour 10 Hour 18 Hour 3 Hour11 Hour 19 Hour 4 Hour 12 Hour 20 Hour 5 Hour 13 Hour 21 Hour 6 Hour 14 Hour 22 Hour 7 Hour 15 Hour 23 Hour 8 Hour 16 Hour 24 In the example above e The oldest data are for Patient 1 Hour 1 e The newest data are for Patient 3 Hour 24 After 25 hours the oldest data are overwritten and newer data are saved to memory Patient 3 Hour 25 The custom label for Patient 1 is maintained in memory until all eight hours of Patient 1 data are overwritten Trend memory would look similar to this example Patient 1 Patient 2 Patient 3 April 3 April 4 April 5 Hour 9 Hour 17 Hour 2 Hour 10 Hour 18 Hour 3 Hour11 Hour 19 Hour 4 Hour 12 Hour 20 Hour 5 Hour 13 Hour 21 Hour 6 Hour 14 Hour 22 Hour 7 Hour 15 Hour 23 Hour 8 Hour 16 Hour 24 Hour 25 The data you see on the screen can be static historical trends at some point you have selected to view or dynamic current data appearing during monitoring While you are monitoring however the data are continuously being stored in trend memory whether you are viewing that current data on the screen or not If you are viewing current data and the most cu
80. ne frequency Switch 8 sets the EMI line frequency To optimize EMI electromagnetic interference immunity make sure switch 8 is in the correct position for the AC power line frequency in use Switch EMI Line Frequency 8 EEA 60 Hz 8 2 Setup and Operations Checkout procedure WARNING Failure of operation If the oximeter fails any part of the checkout procedures or current leakage tests remove it from operation until qualified service personnel have corrected the situation WARNING Explosion hazard Do not use the monitor in the presence of any flammable anesthetic mixture WARNING Electrical shock hazard This equipment must be properly grounded Electrical safety specifications e g current leakage and ground resistance can be assured only when the monitor is connected to a three wire grounded receptacle without the use of extension cords or adapters If there is any doubt about the integrity of the AC power supply protective earth conductor operate the monitor on internal battery power Because the unit is not grounded when it is operating on battery power do not connect any equipment to the RS 232 connector on the rear panel unless the unit is connected to the AC power supply If you plan to send serial or analog data to another device make sure the device is connected to the rear panel connector before you power on the monitor and make sure the monitor is connected to the AC power s
81. nect the power cord from the AC power supply Patient safety The correct use of the oximeter is to measure only arterial oxygen saturation SpOg pulse rate and Relative Perfusion Index pulsatile value e A pulse oximeter does not measure respiration and should never be used as a substitute for an apnea monitor or as the primary monitor for infants being monitored for apnea e A pulse oximeter may be used during sleep studies of adults only to gather information regarding SpO 2 pulse rate and PI pulsatile value This device is not intended for use in a magnetic resonance imaging MRI environment Patient safety sensors Patient conditions such as reddening blistering skin discoloration ischemic skin necrosis and skin erosion may warrant changing the sensor site frequently or using a different style of sensor To prevent patient injury or equipment damage use only OxyTip oximeter sensors approved for use with this oximeter For complete information about the safe and appropriate use of a sensor consult the instructions for that sensor Discard a damaged sensor immediately Do not repair a damaged sensor or use a sensor repaired by others Patient safety modem Do not use the modem within the patient environment defined below a a W __ 1 5m 5 Tt 1 5 m 5 Tt Do not connect the modem to the oximeter when the oximeter is operating on battery power RS 232 system interconnection Accessory equipme
82. ng Your phone system may require a guard tone Mismatched baud rate For some older modems the baud rate for the oximeter must be set to match the baud rate for the modem Modem failure You must use the Datex Ohmeda modem analog cable Refer to Parts list in chapter 6 Check and correct all modem connections Power on the modem Check the phone line Check initialization string entry Verify the accuracy of the string See Modem setup in chapter 5 Enter a guard tone if needed See Modem setup in chapter 5 Set the oximeter baud rate to match the modem baud rate See SETTINGS in chapter 2 Contact the manufacturer of the modem for assistance Data transmission from the oximeter is very slow or fails repeatedly The data transfer rate of the modem connected to the oximeter is too low Use a 56K modem 4 Printer This chapter covers e Operating the 3900P printer e Maintaining the printer The 3900P pulse oximeter s integrated printer is powered on with the oximeter You can print real time or trend data You cannot print while data are being transmitted through the modem The printer buttons are inactive until the transmission is completed or canceled NOTE Over time the thermal paper used in the printer darkens To preserve the printed data for long term storage make photocopies of the printouts Before you begin printing data be sure you have done the following e Selected th
83. nnssbcndessesiicatdecsosanndedsdsensioncc dseesbobeedadsnnsivoes Language selection a AAVETABING modsa i i A NEA AA Ply pulsatile value display neoriespriiiniiss iit n NERA 24 FEMI litte fr Ue ri Cy uean Ea a e a 24 Checkout procedures e e a R A E 2 5 Signal and data validity aas 2 8 Plethysmographic waveform Low perfusion siian esnerik ee EN E E 2 8 Signal nois En reer asara e aeara asaan aena S Eres oaa SAES TE 2 9 Numeric display SPO Qorecssssseees Pulse rate wee Meni Dutton iissa N Ra a Main menu function key Dutton ssssssssssssssssssssssssesssseccssssssssssssssssssessseessssen 2 11 LABELS oriana aa a S N EES AE A E ES 2 12 Summary custom patient labels s ssessssssesessessresseseseseessreseessresersseeseesseesereseeseese 2 12 IP Select field function Key Siinses iiinn 2 13 Select character function Keys sss Function Key sesccccsisssccsecasissesceececcistswsctsccgsdsvovsuutgocintvescscossisvusctvtscoentvascescossdsvesousesese OUTPUT CONTRAST 3900P printer ONLY eeeeeeeeseeseessssssssssssssssssssssssssssees 2 16 Trend Options sssini a i A Sa 2 18 Trend fUNCHOM KEYS wissssssnssacshcsssstsssnvetcossstiuvcedcocsessvaevevovssottuestdcoosassveebldonstelipost consossiedbdonenviseestee 2 19 QUID Scroll buttons icsssssssssssssstusssiseststissstststssssetstsssstsisssesss 2 19 AAIDD Shift buttons 5 isite inact cncuantaarnniteneanmaeunaanenats 2 19 GLEA R aenn e EEO A A RAAT 2 19 Viewing time scale for d
84. ns select the BAUD RATE See SETTINGS in chapter 2 Select MODEM to display the MODEM STATUS screen Choose SELECT DATA and select the number of hours of data to be transmitted Select SEND to display the SEND screen Select FAX or REMOTE COMPUTER enter the phone number and select SEND or Select WAIT FOR CALL 5 1 3900 3900P User s Manual Modem connection 5 2 The oximeter works with 56K modems that comply with the following e Relevant international or national electrical safety requirements e National requirements for connection to the telecommunications system The oximeter contains all the software necessary for communication between the 3900 3900P and the modem to a fax machine or to another modem WARNINGS Patient safety modem Do not use the modem within the patient environment defined below fe J E 1 5 m 5 ft 1 5 m 5 ft Do not connect the modem to the oximeter when the oximeter is operating on battery power WARNINGS Electrical shock hazard Because the unit is not grounded when it is operating on battery power do not connect any equipment to the RS 232 connector on the rear panel unless the unit is connected to the AC power supply e Measure the oximeter s leakage current whenever an external device is connected to the RS 232 port Forward and reverse polarity 100 microamperes maximum To connect the modem 1 Connect the Datex Ohmeda modem analog cabl
85. ns for the sensor you are using 3 3 3900 3900P User s Manual Message Possible cause s Recommended action s PRINTER FAILURE Printer paper jam Printer has failed Remove the jammed paper See Removing a paper jam in chapter 4 Printer requires service SENSOR FAILURE The connected sensor is not an Replace sensor Refer to the OxyTipt sensor Oximeter can t instructions for the sensor you are identify the connected sensor using Broken sensor cable wire Replace sensor inoperative LEDs or faulty detector the sensor has failed SENSOR OFF Sensor off patient Reattach the sensor SYSTEM FAILURE XXX An internal component of the unit Unit requires service SERVICE UNIT has failed XXX represents the error code TruTrak OFF TruTrak technology is not active the averaging mode is not set to Long For TruTrak performance set the averaging mode to Long see Setup in chapter 2 3 4 3 Messages and Troubleshooting Alarm categories 3900 3900P oximeter tiered alarms fall into three priority categories high medium and low Depending on what is occurring at the time an alarm may fall into more than one category NOTE The audible alarm feature for all alarm conditions is silenced for the first two minutes after powering on High priority Requires immediate operator response Red alarm button light flashes Two five tone sequences beep beep beep
86. ns program used on the remote computer for details regarding dialing and answering features e To initiate a call from the remote computer the remote computer user will need to set up the dialing features of the communications program e To receive a call from the 3900 3900P the remote computer user may need to complete the connection by answering the call Some communications programs may require the user to type the modem command for answering an incoming call ATA lt return gt Receiving the data file at the remote computer The remote computer user must select the Xmodem or Xmodem CRC binary transfer protocol to receive a data file from the 3900 3900P It is recommended that the received data be saved to a file on the remote computer Saving data to a file is supported by most communications programs and is activated by the computer user Although a successfully transferred data file can be viewed and edited as an ASCII file if the computer user must choose either ASCII or binary the user should select binary 5 TeleOximetry Remote computer To transmit data to a remote computer equipped with a modem 1 From the SEND screen select REMOTE COMPUTER 2 At the PHONE NUMBER screen enter the phone number for the remote computer modem For details refer to Figure 5 4 and the instructions immediately after it 3 After entering the phone number press SEND Some or all of these messages may be displayed DIAL REMOTE COMPUTE
87. nsion to the sensor cable sensor damage may result Battery The 3900 3900P internal battery containing lead and acid is a hazardous waste Dispose of the battery through an approved hazardous materials disposal facility or return it to Datex Ohmeda for disposal To prevent damage to the lead acid battery do not turn the monitor on after the LOW BATTERY message appears without first plugging it in to the AC power supply Printer To avoid damage to the print head do not operate the printer without paper Paper purchased from Datex Ohmeda has red edges when the paper roll is nearing depletion To avoid damage to the printer never pull the paper backward through the printer mechanism To avoid damaging the printhead mechanism discharge any possible static electricity from your person before removing the paper feed cover on the printer Disposal Dispose of this medical device and its packing materials according to local requirements 1 15 3900 3900P User s Manual 1 16 2 Setup and Operations This chapter provides the following information and instructions e Powering the oximeter e Selecting the language averaging mode PI pulsatile value display and EMI electromagnetic interference line frequency e Checkout procedure to determine that all functions of the 3900 3900P oximeter are working properly e Signal and data validity guidelines e Menu options e Trend data options SpO2 and PI pulsatile
88. nsor fit and movement of the sensor on the patient To prevent erroneous readings do not use an inflated blood pressure cuff or arterial blood pressure measurement device on the same limb as the oximeter sensor Explosion hazard Do not use the monitor in the presence of any flammable anesthetic mixture Electrical shock hazard Do not remove the monitor cover An operator may only perform maintenance procedures specifically described in this manual Refer servicing to qualified service personnel trained in the repair of this equipment Measure the oximeter s leakage current whenever an external device is connected to the RS 232 port Forward and reverse polarity 100 microamperes maximum This equipment must be properly grounded e Electrical safety specifications e g current leakage and ground resistance can be assured only when the monitor is connected to a three wire grounded receptacle without the use of extension cords or adapters e Ifthere is any doubt about the integrity of the AC power supply protective earth conductor operate the monitor on internal battery power e Because the unit is not grounded when it is operating on battery power do not connect any equipment to the RS 232 connector on the rear panel unless the unit is connected to the AC power supply 1 13 3900 3900P User s Manual Electrical shock and flammability hazard Before cleaning or servicing the oximeter always turn it off and discon
89. nt connected to the RS 232 serial analog connector must be certified according to the current version of the respective IEC EN standards e g IEC 60950 for data processing equipment and IEC EN 60601 1 for medical equipment All configurations shall also comply with IEC EN 60601 1 1 Anyone who connects additional equipment to the RS 232 serial analog connector configures a medical system and is therefore responsible that the system complies with the requirements of IEC EN 60601 1 1 If in doubt call your local authorized 1 14 1 Overview service office The 3900 3900P is referred to as an IEC EN 60601 F device in the summary of situations table contained in IEC EN 60601 1 1 Cautions Handle the monitor with care Improper handling can cause damage or inaccurate results Cleaning Do not autoclave pressure sterilize or gas sterilize this oximeter Use cleaning solution sparingly Do not soak or immerse the monitor in liquid Excessive solution can flow into the monitor and damage internal components When cleaning the display area do not use abrasive cleaning compounds or other materials that could damage the screen Do not use petroleum based solutions acetone solutions or other harsh solvents to clean the oximeter These substances may damage the oximeter and cause a malfunction To prevent damage to the 3900P printer do not allow any cleaning solution to get into the printer mechanism Sensors Do not apply te
90. ntinuously performs background self tests e Rechargeable sealed lead acid battery operation including battery status reporting e A lock button function that prevents unintended changes to settings while monitoring a patient Functional components The 3900 3900P oximeter uses the following key electrical component elements to determine SpOz pulse rate and Pl pulsatile values e The sensor e Sensor signal processing e Microprocessor calculations The sensor consists of e The light source red and infrared light emitting diodes LEDs e The photodetector an electronic device that produces an electrical current proportional to incident light intensity Timing Control Analog ia A D Digital Input Processing Converter Processing Output Sensor Figure 1 1 Signal processing block diagram The two light wavelengths generated by the LEDs pass through the tissue at the sensor site The photodetector collects this light partially absorbed and modu lated and converts it into an electronic signal that is sent to the oximeter for further processing The electronic circuitry receives the photodetector s electronic signal processes it and passes it on to the microprocessor for calculation of the SpOz pulse rate and the PI pulsatile value 3900 3900P User s Manual 1 4 Principles of operation The 3900 3900P pulse oximeter uses a two wavelength pulsatile system red and infrared light to dist
91. olicy and Procedure scsssssssssssssssssssssssssssssssssssssssssssssessssssssssssssssssssssssessssssssssssssssssssssssee 6 4 Packaging and return Procedure susiisninsiiiniiiinseiiiiieiiini a 64 Parts Vist sscisctsstsnnnsssassscsspegionterdsonnnveassbsssgsesseeseSsnnnsnsasabessecbessaddvunnunsasabssspsedessacdvnnnssiunabess E osunnaneannesssasosentarood 6 5 7 Compliance and Specifications Compliance with standards ssssssssssssssssssssssssssssssssssssssssessossssssssesssssssssnssssssssssssseesssssssssssssessss 7 1 General safety requireMent cssssssssssseescsssssssssssssssseesesccsssssssssssssssseeescsssssssssss 7 1 Electromagnetic Compatibility EMC sssssssssssessssssssessessssesssesseeseeseeeeseeeeenseeseeeeeee 7 2 Electromagnetic effects ssnsssesssssccsssesssssccsssetsssescesssetsessseesssesssescessseseseseeesseeeseeees 7 2 Safety Checks for software scsssssssssssssossssessssssssssssssssssoessseessssssssssssssssoosssseesessssssessssssssosseeeeseesssees 7 2 SPOCHIGALLONS ssesnusssssesecssscssasossesnicsbassnsesdssesasonseosonsstavaees asgsonnsbononsonssussabidgcasobendnsnnibivassa dydanebsnstenainivadeaessoies Circuitry Audio indicators Audible alarms s Alarm LATTA TUS eona oes Gn A ORE saa RA TAAN T TDS Pa y S zesccassvevscecscsscas sla covssehtnys accuses stllsccacsccieacstssecteitn UbsettGnwstbssastlSnstieescocsonvncctesenssseaditesstenssbueesetoaite Mode switch Interfering substances
92. ome or all of the following messages may be displayed DIALING REMOTE FAX the modem is dialing the number BUSY the fax machine is busy The modem redials the number until the fax machine is no longer busy or until you press CANCEL CONNECTING the FAX machine has answered the phone SENDING FAX the connection process is complete SENDING FAX Sp0 52 Cw PAGE 1 OF 2 CANCEL Figure 5 5 SENDING FAX screen A bar graph shows the progress of the transmission The percentage of data transmitted the number of pages faxed and the total number of pages to be faxed are shown below the bar graph The page is sent again if the fax machine reports poor page quality The bar graph shrinks accordingly The percentage sent and page number reference reflect the new status FAX DONE transmission is complete The modem disconnects the phone line Press to display the SEND screen If the transmission is interrupted refer to Transmission failure messages later in this chapter Canceling a transmission FAX CANCELED If you select CANCEL while transmitting data transmission stops and the modem disconnects the phone line When you cancel a fax transmission the FAX CANCELED message is displayed on the screen and transmitted to the fax machine Press to return to the SEND screen 5 7 3900 3900P User s Manual Sending data to a remote computer When connected to an external mode
93. ons about necessary repairs Ship to and bill to information Purchase order number for tracking purposes or to cover repairs if the oximeter is not under warranty 4 Ship the monitor as directed by your service office 6 Maintenance and Service Parts list Description REF Sensors Refer to the sensor chart that accompanies this manual for a list of the sensors you can use with the 3900 3900P Only OxyTip sensors can be used with this monitor 3900 3900P Pulse Oximeter User s Manual Manual ships with a Quick Reference Label Danish 6050 0006 408 and a Mode Switch Label Dutch 6050 0006 410 English 6050 0006 406 Finnish 6050 0006 412 French 6050 0006 414 German 6050 0006 416 Italian 6050 0006 418 Japanese 6050 0006 420 Norwegian 6050 0006 422 Polish 6050 0006 424 Portuguese 6050 0006 426 Spanish 6050 0006 428 Swedish 6050 0006 430 3800 3900 3900P Technical Reference Manual English 6050 0006 404 Service kit PCA drawings 6050 0006 476 Battery pack 6050 0004 277 Carrying case 3900 or 3900P 6011 0000 070 Printer paper thermal package of 5 0380 1500 113 Printer upgrade kit This kit upgrades a 3900 Pulse Oximeter to a 3900P Pulse Oximeter 6050 0005 145 Datex Ohmeda serial analog cable 10 cm 4 inch black cable with one RS 232 connector and two analog connectors 1 red 1 white 6050 0005 131 TeleOximetry cable interface kit 6050 0005 132 and 6001 0000 181 Datex Ohmeda modem ana
94. ove 6 Slide the fuse holder back into the power entry module and press firmly to make sure it is fully inserted NOTE If the fuses blow shortly after replacement the unit requires service 6 3 3900 3900P User s Manual Repair policy and procedure Contact Datex Ohmeda or your authorized service office to order parts or for assistance 6 4 NOTE Datex Ohmeda does not warrant or service modems Contact the manufacturer of your modem for service Do not use malfunctioning equipment Have the unit repaired by Datex Ohmeda After repair perform the Checkout procedure in chapter 2 to verify the unit is fully functional WARNING Do not remove the cover of the monitor An operator may perform only maintenance procedures specifically described in this manual Refer servicing to qualified service personnel trained in the repair of this equipment Packaging and return procedure If you are instructed to ship the monitor to Datex Ohmeda or to an authorized service office for repair follow these steps 1 Clean the monitor Make sure it is completely dry before you pack it for shipment 2 Package the monitor carefully for shipment in the original shipping container if possible 3 You may be required to enclose the following items when you call for assistance verify the shipping requirements A letter describing the problem in detail Person name telephone fax number and country to contact for questi
95. power or BUTTON STUCK The following chart alphabetically lists the messages that may appear on the oximeter why the message appears and the action s to take if the message indicates a problem NOTE Messages that appear while using a modem are listed in chapter 5 3 1 3900 3900P User s Manual Message Possible cause s Recommended action s ne Appears between the alarm limit settings and beside the first menu option on Japanese menu screens The all mute feature is activated No action required Press the alarm silence button once to deactivate oomiLIL I Appears in message area on waveform screen The alarm or pulse tone volume is being adjusted No action required To adjust audio volume see Front panel in chapter 1 D Appear on status screen during power on sequence and on right side of LCD during battery operation Indicates a fully charged battery Indicates a low charged battery No action required To recharge plug the unit into AC mains power TAA Appears on status screen during power on sequence Indicates battery failure or a depleted or missing battery To recharge plug the unit into AC mains power If the condition persists the unit requires service AMBIENT LIGHT Excessive ambient light Relocate the sensor to a site more shielded from light or reduce the amount of light shining on the sensor BUTTON STUCK
96. ptions these two buttons become function keys the function each performs depends on the options available in the menu on the screen see Menu button in chapter 2 Display contrast adjuster Use this sliding lever to adjust the vertical viewing angle of the graphic display Slide the lever to the left to reduce the contrast and to the right to increase it Power Standby button AC power light This button toggles between On operational mode and Off standby mode The battery recharges as long as the unit is plugged into the AC power supply No displays are visible in the Off Standby mode The green light to the right of the button is lit when the unit is connected to an AC power supply Battery operation The oximeter runs for at least five and one half hours on a new fully charged battery somewhat less if the 3900P is printing at normal operating temperatures LOW BATTERY appears when between 5 and 15 minutes of battery operation time remain Plug the monitor into AC power to continue monitoring and recharge the battery The unit will operate with a dead or defective battery when it is connected to the AC power supply When the CONNECT UNIT TO LINE POWER message appears you must immediately plug the oximeter into the AC power supply or the unit turns itself off after 10 seconds 1 9 3900 3900P User s Manual 1 10 When operating on battery power an icon appears between the two pairs of alarm limit values on the r
97. r less of stored data at which point it is inactive If there are 12 hours or more of data use this function key to select fewer or more hours up to the maximum stored in memory 4 2 4 Printer xx HRS ALL XX shows the total number of hours of data stored in memory up to a maximum of 24 hours To select to print all the stored data press this function key STATS ONLY To print only the summary statistics for the number of trend data hours selected press this function key STATS ONLY appears on the screen PRINT To begin printing trend press this function key The message PRINTING appears on the screen above a bar graph showing the progress of the printing If you return to the waveform screen during printing this message appears in the message area on that screen When all data have printed printing stops and the paper advances 1 27 cm 1 2 inch Stop print advance paper YA When you press this button while printing current or trend data the printer Pit completes the current line of print advances the paper 1 27 cm 1 2 inch and stops If you are printing trend data ACTION NOT COMPLETED appears on the printout When you are not printing press and hold this button to advance the paper through the printer Printed data samples Figure 4 3 shows examples of SpO2 and PI pulsatile value printouts Smart Print feature If a series of data points contains dashes for all parameters Sp
98. rms The ability to mute all alarms continuously can be disabled see SETTINGS ALL MUTE in chapter 2 Numeric display Cis l ll spo l yY lt Pulse rate numeric area calculated pulse rate 1 IL SpOz numeric area calculated SpO2 1 7 3900 3900P User s Manual 3 Graphic display 1 8 Plethysmographic waveform also the display area for trend data screen menus and options The PerfTrak waveform display appears after the monitor has detected data from the sensor It represents the blood volume change of the hemodynamic system assuming no other factors e g motion artifact are present This waveform scales automatically to the perfusion level or strength of the signal being received at the patient monitoring site See Trend options in chapter 2 for detailed descriptions of the SpOz and PI pulsatile value trend screens Message area Status and alarm messages appear above the waveform area on the waveform display the height of the waveform is reduced while messages are displayed Status messages give you information about the oximeter s operating condition Alarm messages alert you to conditions that need your attention See chapter 3 for complete alarm and status message information SpO2 and pulse rate alarm limits The high and low alarm limit settings appear here If a limit is set to OFF three dashes appear in the location for that limit When an SpOz or pulse rate limit is vio
99. rrent data record is visible on the screen the graph is automatically updated every six seconds with new data If you have scrolled past the most recent data however the graph is not updated until you scroll it or change the time scale 2 21 3900 3900P User s Manual Patient function key lockout and Sp0 2 22 After the oximeter is set up for monitoring you may choose to lock the monitor s front panel buttons to prevent inadvertent changes to the settings you have specified This procedure disables all the buttons on the oximeter and print trend button 3900P printer with the exception of the alarm silence button the power on off button and the SpO2 and PI trend buttons You cannot lock or unlock the monitor s buttons while you are transmitting through the modem or printing To lock unlock the monitor s buttons 1 Hold down the waveform button while pressing the high SpO2 alarm limit button 2 When the message LOCK BUTTONS appears you have LOCK and UNLOCK as options 3 To lock the buttons select LOCK BUTTONS LOCKED and a lock symbol appear on the screen or To unlock the buttons select UNLOCK BUTTONS UNLOCKED appears on the screen The screen then reverts to the waveform screen When the buttons are locked a lock symbol appears above the PI pulsatile value on the waveform screen No lock appears when the buttons are unlocked After you have the locked the buttons you cannot use the
100. rs here SpOz or PI In the PI trend screen the current PI pulsatile value also appears here A heavy dashed line indicates power to the monitor was turned off All power off events are shown in the trend data The cursor is a dotted line in the middle of the screen The value for the data or data value range at the cursor appears here A gap in the trend indicates a period for which there was no data The most recent data are here on the right side of the graph The time and date for the data at the cursor appear here SpO2 The bottom number on this scale adjusts automatically to show the lowest value of the SpOz data on the screen rounded to a multiple of 10 The default is 80 to 100 If for example a data point value in the trend is 78 the scale adjusts to become 70 to 100 The lowest scale value possible is 0 to 100 PI The top number of this scale adjusts automatically to show the range of PI pulsatile values The default is 0 0 to 3 0 If for example a data point value in the trend is 4 50 the scale adjusts to become 0 0 to 6 0 The highest scale value possible is 9 99 on a scale of 0 0 to 10 0 The default trend screen shows 24 minutes of data If you select a different time scale that scale is in effect until you change it or power off see Viewing time scale for display 2 18 2 Setup and Operations Trend function keys Trend data scroll across the screen from right to left with the most recent
101. s steady To begin patient monitoring connect the desired Datex Ohmeda sensor to the oximeter Attach that sensor to the patient To verify the sensor is on correctly and that the data are verifiable see Signal and data validity in this chapter WARNING Patient safety Patient conditions such as reddening blistering skin discoloration ischemic skin necrosis and skin erosion may warrant changing the sensor site frequently or using a different style of sensor 2 7 3900 3900P User s Manual Signal and data validity 2 8 Plethysmographic waveform The oximeter s PerfTrak waveform display provides a visual indicator of the validity of the values that appear on the display The waveform is scaled to correspond to the perfusion level or strength of the signal being received at the patient monitoring site NOTE When a message appears in the upper portion of the LCD the waveform rectangle becomes smaller but the correspondence between signal strength and waveform height is maintained You should be able to easily identify three complete passes of the plethysmographic waveform Although the waveform shape may vary from patient to patient under normal conditions it corresponds to the arterial pressure waveform Use Figures 2 1 adult and 2 2 neonate as guidelines to determine a sensor placement that generates the fewest noise spikes Figure 2 1 Typical adult plethysmographic waveform Figure 2 2 Typic
102. se Oximeters meet their published specifications at the time of shipment from the factory Products not under warranty The following items are not covered under this warranty disposable items accessories service kits and replacement parts These items may be covered under a separate warranty Consult GE Healthcare for details Duration The 3900 and 3900P Pulse Oximeters are warranted against defect in materials and workmanship for a period of three 3 years from the date of delivery to the user in no event for a period of more than four 4 years from the date of original delivery by GE Healthcare to an Authorized Dealer The battery is warranted against defects in materials and workmanship for one 1 year from the date of delivery to the user If any part of this product proves defective under proper and normal use within the warranty period as the purchaser s exclusive remedy GE Healthcare will repair or replace at its sole discretion the product or any defective part provided it is returned to GE Healthcare Service within 30 days of the failure Limitation GE Healthcare may at any time discharge its warranty obligation by repairing and returning the 3900 or 3900P Pulse Oximeter to original factory performance This may be accomplished by installing new or remanufactured assemblies or by other repairs deemed appropriate by GE Healthcare The choice of repair or replacement by GE Healthcare shall be the sole remedy of the buyer or
103. similar to the following is sent when you choose REMOTE COMPUTER or WAIT FOR CALL Data transmission to a remote computer is in ASCII format Datex Ohmeda Model 3900 Pulse Oximeter or 3900P TREND DATA OUTPUT 6 SECONDS PER DATA POINT P HERNANDEZ 93256 J P CLAIR GENERAL 09 03 98 14 01 31 SpO2 80 Plir 1 38 LOW SpO2 14 01 25 SpO2 81 Plr 1 43 LOW SpO2 14 01 19 SpO2 81 Plir 1 48 LOW Sp02 14 01 13 SpO2 97 Plir 1 56 14 01 07 SpO2 99 Plr 2 14 14 01 01 SpO2 100 Plir 0 47 14 00 55 SpO2 100 Plr 14 00 49 SpO2 Plr NO SENSOR 14 00 43 SpO2 Plr NO SENSOR 14 00 37 SpO2 Plr NO SENSOR END TREND DATA 5 13 3900 3900P User s Manual InstaReport fax SpO2 mode page 1 of 2 0 Datex Ohmeda Pulse Oximetry InstaReport H GONZALES BY 110 COMMENTS DR CASEY GENERAL STUDY START DATE TIME 01 02 99 00 00 00 PR TIME STUDY END DATE TIME 01 03 99 12 00 00 LOW SpO 81 134BPM 01 05 05 AVERAGE SpO 91 SpO STD DEV 8 STUDY DURATION 12 00 00 Spo TIME HIGH PR 134BPM 90 06 10 00 LOW PR 61BPM 80 04 05 06 SpO VALUES BELOW 85 130 AVERAGE PR 72 BPM TOTAL DURATION BELOW 85 00 13 34 71 75 76 80 81 85 86 89 90 95 96 100 S p02 Pulse Oximetry InstaReport page 1 of 2 5 14 5 TeleOximetry InstaReport fax SpO2 mode page 2 of 2 Pulse Oximetry InstaReport H GONZALES BY 110 COMMENTS DR CASEY GENERAL LEGEND y LOWSpO
104. soessoeesoessoessoeessoeesveessoeesseessoeesseessoeeseeessoeese RS 232 serial analog interface cable analog pinout ssssssssssesersssesssessessseseesseeseresersee B5 Index Warranty List of Figures Name Figure 1 1 Figure 1 2 Figure 1 3 Figure 1 4 Figure 1 5 Figure 2 1 Figure 2 2 Figure 2 3 Figure 2 4 Figure 2 5 Figure 2 6 Figure 2 7 Figure 2 8 Figure 2 9 Figure 4 1 Figure 4 2 Figure 4 3 Figure 4 4 Figure 4 5 Figure 5 1 Figure 5 2 Figure 5 3 Figure 5 4 Figure 5 5 Figure 5 6 Figure 5 7 Figure 5 8 Page Signal processing block diagram Comparative light absorption Extinction versus wavelength graph wn sssssssscsessssescceccsssseessceecssnseescsecssneeeees 14 3900P Pulse Oximeter front panel csssesssssssssssssssssssseeseessesssssssssssseeeees 16 3900 3900P Pulse Oximeter rear Panel 1 12 Typical adult plethysmographic waveform ou sssssscsssssssesscseesssneeeeeseessnees Typical neonate plethysmographic waveform Low perfusion waveform sssssssssrsssrssstrsssrsssresssrssseesse Noisy plethysmographic waveform ow sssssssssssscssseeesceecsssseeesceeesssneesccescnsneesees YAS Ua ee oX eb epee ERTE Ree OSES AEEA SREP RoR ORR LABELS SCROCTG nuenean iaia e araia Ea Settings sereen OPUODSscscsseceasscsrsvescasncsassonessneseceevaiseenesussertsbavagecesuusesveovdecceteausieoseses DATE TIME screen Trend Screens sss 3900P PINTE Tiniis p a EEE N ENE 4 2 SE
105. sor site Massage the sensor site with a 70 isopropyl alcohol pad or rubefacient cream 10 30 methyl salicylate and 2 10 menthol for 20 30 seconds Strong vasodilator creams such as nitroglycerin paste are not recommended If possible remove electrical noise sources such as electrosurgery or electrical electronic devices e g fans If these solutions are not possible operate the oximeter on battery power or try plugging the oximeter into a different electrical outlet If artificial nails or excessive fingernail polish are present select another site or remove the polish artificial nails 3900 3900P User s Manual 2 10 Numeric display Sp02 Stability of the SpO2 readings is a good indicator of signal validity Although stability is a relative term with practice you ll get a good feeling for changes that are artifactual or physiological and the speed of each The stability of the readings over time is affected by which averaging mode you re using In Long TruTrak mode 12 second averaging the readings tend to be more stable because the signal is averaged over a longer period of time than the Short 3 seconds or Medium 6 seconds modes Too great a distance between the sensor emitter and detector can reduce signal strength and result in a poor signal When the value is too low the message CHECK SENSOR SITE may appear to alert you that the SpOz value may not be accurate Perfuse the sensor site or relocat
106. t mode 5 14 L labels 2 12 clear 2 14 create 2 13 lock label lines 2 14 lock label lines 2 14 monitor buttons 2 22 low perfusion 2 8 maintenance 6 1 maintenance printer 4 5 menu screen display button 1 10 messages 3 1 display 1 8 fax transmission 5 7 modem transmission failure 5 10 mode switch 1 12 specifications 7 4 mode switch settings 2 3 averaging mode SpO and pulse rate 2 4 EMI line frequency 2 4 language 2 3 PI pulsatile value display 2 4 Index modem 5 1 cancel transmission 5 7 5 10 computer initiated transmission 5 9 connect to oximeter 5 2 data transmission 5 5 fax transmission 5 6 fax transmission messages 5 7 guard tone 5 11 initialization string custom 5 11 initialization string default 5 12 InstaReport fax PI mode 5 16 InstaReport fax SpO 2 mode 5 14 modem status 5 3 oximeter initiated transmission remote computer 5 9 remote computer report 5 13 remote computer transmission 5 8 sample reports 5 13 select data 5 4 setup 5 11 summary of steps 5 1 transmission failure messages 5 10 P packaging and return procedure 6 4 paper jam printer 4 6 paper roll replacing 4 5 parts list 6 5 PI mode printed data 4 3 PI pulsatile value 1 2 data validity 2 10 display 1 8 mode switch settings 2 4 specifications 7 5 trend display button 1 10 plethysmographic waveform 2 8 power AC power light 1 9 AC power supply 1 9 on off st
107. t character of the first line When moving the cursor to the right and it reaches the end of a line it moves down to the beginning of the next line When moving the cursor left and it reaches the beginning of a line it moves up to the end of the previous line Hold down the desired side of the button to move more quickly through the fields release it when you reach the field you want to change When the screen is first accessed the cursor is on the first character field in the first line Select character function keys Use this button to move through the characters available for the language you set For English and Japanese this set is ABCDEFGHIJKLMNOPQRSTUVWXYZ 0123456789 amp comma period space Press the left half to move to the next character in descending order Press the right half to move to the next character in ascending order Hold down the desired side of the button to move more quickly to the character you want and then release it lt Function key After entering or clearing label characters press this function key to store your changes to trend memory and to exit the screen This begins a new data record At this point label screen text is stored in memory and any monitoring that occurs after this time is stored with the new label The lines of information you entered remain on the screen until you clear them from this screen or enter and confirm new label information in t
108. ter Do not operate the printer without paper Paper purchased from Datex Ohmeda has red edges when the paper roll is nearing depletion Never pull the paper backward through the printer mechanism Pay Figure 4 4 Replacing the paper roll 1 To access the paper well 1 press in on the sides of the cover 2 while lifting up and back Place your fingers as close to the oximeter cover as possible while pressing and lifting The lid is designed to require this pressure to open so it does not release inadvertently during transportation of the oximeter Lift the old paper roll up slightly from the printer and cut across the paper Remove the spent roll This allows you to feed the paper still in the printing mechanism through to the front Never pull the paper backward through the printer mechanism To remove the remaining paper from the printer press and hold down the advance paper button until all paper is free of the printer On the new paper roll REF 0380 1500 113 loosen the end of the paper and cut diagonally across the end away from any glue that held the paper to the roll Place the new roll in the paper well so that the paper will feed from the bottom of the roll Only one side of thermal printer paper the shiny side will accept printing Make sure the paper on the roll feeds into the printer from the bottom of the roll as shown in Figure 4 4 Place the cut end of the paper over the aligning ridge 3 and
109. upply Important For TruTrak performance the averaging mode must be set to Long Inspect the oximeter case for damage Make sure the display windows are clean WARNING Sensors Discard a damaged sensor immediately Do not repair a damaged sensor or use a sensor repaired by others To prevent patient injury or equipment damage use only Datex Ohmeda oximeter sensors approved for use with this oximeter For complete information about the safe and appropriate use of a sensor consult the instructions for that sensor CAUTION Do not apply tension to the sensor cable sensor damage may result Check that the sensor is a compatible model before connecting it to the oximeter Only Datex Ohmeda OxyTip sensors can be used with this monitor If you re using a reusable sensor make sure it opens and closes smoothly Remove substances that may interfere with the transmission of light between the sensor s light source and detector Connect the sensor cable to the sensor connector on the monitor Make sure the connection is firm and that the cable is not twisted sliced or frayed Attach the sensor to a finger or an ear depending on the sensor you are using 2 5 3900 3900P User s Manual 5 To turn on the oximeter press the power button The first screen shows the Datex Ohmeda logo and the model name Model 3900 or Model 3900P Important If the low SpO2 alarm limit was saved at a limit lower than
110. ustom patient label The connector is compatible with most serial communication devices see Appendix B for instructions e Analog information on SpO2 and pulse rate waveform Using the Datex Ohmeda modem analog cable the monitor can output data to a chart recorder or polysomnography machine see Appendix B for instructions e Serial information through a modem using the Datex Ohmeda modem analog cable Data can be output to a fax machine or computer For details see chapter 5 1 12 1 Overview Precautions Warnings Two types of precautions appear in this manual warnings and cautions e A WARNING indicates the possibility of injury to the patient or operator e A CAUTION indicates a condition that may lead to equipment damage or malfunction NOTE If you connect a modem refer to the precautions contained in the instructions you received with your modem Failure of operation If the oximeter fails any part of the checkout procedures or current leakage test remove it from operation until qualified service personnel have corrected the situation It is possible for any device to malfunction therefore always verify unusual data by performing a formal patient assessment Data validity Conditions that may cause inaccurate readings and impact alarms include interfering substances excessive ambient light electrical interference excessive motion low perfusion low signal strength incorrect sensor placement poor se
111. xcellent visibility in subdued lighting conditions adjustable viewing angle using the pull down feet under the monitor e Direct access to user selectable high and low alarm limits for SpOz and pulse rate e An audible pulse indicator with an adjustable volume the automatic pitch modulation reflects changing SpOz level e Visual and audible adjustable volume alarms e Ability to save volume and alarm limit settings e An alarm silence feature that silences audible alarms for 120 seconds e An all mute feature that silences audible alarms until deactivated This ability to mute all alarms can be disabled e Automatic tiered alarm messages e Language options that display the monitor s screen text and in most cases printed or transmitted data in the selected language e Short medium or long SpO2 response averaging modes e Automatic storage of alarm conditions and up to 24 hours of SpOzg pulse rate and PI pulsatile value data 1 Overview e Ability to print or transmit the data in trend memory along with custom patient labels alarm limit violations and time stamps e Viewable SpOz or PI pulsatile value trend data e Custom patient labels that appear on printer fax modem and serial communication output e Two analog output channels SpOz and pulse rate for connecting a chart recorder or polysomnography machine e An automatic self test and calibration check at start up After start up the oximeter co
112. ximeter use a soft cloth dampened with a mild soap and water solution or one of the following solutions 70 vol isopropyl or ethyl alcohol quaternary ammonia 3 vol hydrogen peroxide in water 100 1 bleach solution Cidex plus activator ready solution contains 2 vol glutaraldehyde Sodium hypochlorite solution 5 vol CAUTION To prevent damage to the 3900P printer do not allow any cleaning solution to get into the printer mechanism Recharging the battery The oximeter s internal battery a sealed pack of 8V lead acid batteries provides the following operation times when it is new used at normal temperatures and charged to full capacity e 3900 3900P at least 5 1 2 hours of continuous operation e 3900P approximately 4 hours of operation when printing A LOW BATTERY message appears when 5 to 15 minutes of battery operation remain When the alarm message CONNECT UNIT TO LINE POWER appears during operation on battery power an audible alarm sounds and the oximeter automatically shuts off in approximately 10 seconds Important To prevent permanent damage to the battery recharge a discharged battery within eight hours after the LOW BATTERY message is displayed To recharge the battery plug the oximeter into the AC power supply The oximeter is operational while recharging the battery The battery charging times are approximately e 4 hours for 80 battery capacity e 8 hours for 100 battery capac
113. y communications program such as ProComm Microsoft Windows Terminal or PROFOX Equipment needed e lt A board for the computer that supports serial communication with the same serial port connections as the oximeter e A male DB 9P to female DB 9P interface cable with the proper pin connections e A third party communication program Procedure 1 Locate the serial connector on the rear panel of the oximeter and connect the male end of the RS 232 interface cable to it 2 Locate the RS 232 interface connector on the rear panel of the computer and connect the female end of the RS 232 interface cable to it 3 Make sure that the RS 232 interface cable is securely connected on both ends 4 Make sure the computer s communication program is running and ready to receive data at the correct baud rate 5 Make sure the oximeter and the computer are set to the same baud rate e Press the Menu button D From the MENU select SETTINGS e From the settings menu select the correct BAUD RATE e Press B Communications Serial communication output The oximeter is capable of two way communication with computers e Auto output mode default current data Trend output mode trend data stored in the oximeter s memory To use these modes e The oximeter must be connected to the computer e The computer must be running a communications program SpOg pulse rate and PI pulsatile value readings along wit

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