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Nellcor OxiMax N595 Operator`s Manual

1. 167 N 595 V Contents Figures vi Figure 1 Figure 2 Figure 3 Figure 4 Figure 5 Figure 6 Figure 7 Figure 8 Figure 9 Figure 10 Figure 11 Figure 12 Figure 13 Figure 14 Front Panel Buttons and Symbols 7 Rear Panel Component 8 ASCII Mode Printout 82 Graph Mode Printout 2 83 Real Time Printout 5 22 84 Data Port Pin Layout ssassn 93 GCX Mounting Plate 105 GCX Poly Mount vertical wall mount with 19 inch channel seecae 106 GCX Poly mount horizontal wall mount with tail adapter eee 107 GCX Poly mount Roll Stand 108 GCX Utility Basket 109 Soft Sided Carrying Case 110 Alarm Response with SatSeconds 136 Oxyhemoglobin Dissociation Curve 145 Tables N 595 Table 1 Table 2 Table 3 Table 4 Table 5 Table 6 Table 7 Table 8 Table 9 Table 10 Table 11 Table 12 Table 13 Table 14 Table 15 Table 16 Table 17 Contents Audible Indicators 14 Low Battery and Critical Battery 23 Parameter Ranges 27 Reading Trend Display 55 57 Data Port PINGUIS u aya nE Y R B 92 A
2. 60 Pulse Amplitude Trend Data Display 5225 n 61 Clearing Trend Information 52 62 Sensors and Accessories Ox Max Sensor Event Record A Aa hee aaa 65 Setting In Sensor Data Type 66 OXIMAX Sensor Type 68 OXIMAX Sensor Data Type 68 Ox MAx Sensor Event Record Data Available 69 Contents OXIMAX Sensor Event Record Not Available 70 OxIMAX Sensor Event Record Graphical Data 71 Viewing and Printing Ox MAx Sensor Event History Data 73 Ox MAXx Sensor Tabular Event Data 2 75 Viewing and Printing In Sensor Tabular Event History Data 76 Ph axa iwi eek Sees ieee bags dayad se se 79 Printing Monitor Trend Information 79 Monitor Trend Data in ASCII Mode 81 Trend Data in Graph Mode 82 Real Time Display Printout 83 Column Headings 2 85 Data SOUICE si aid RAR RADAR 85 Software Version seir 85 Alarm LIMIS
3. N 595 141 Principles of Operation Oximetry Overview N 595 The N 595 uses pulse oximetry to measure functional oxygen saturation in the blood Pulse oximetry works by applying an sensor to a pulsating arteriolar vascular bed such as a finger or toe The OxiMax sensor contains a dual light source and a photo detector Bone tissue pigmentation and venous vessels normally absorb a constant amount of light over time The arteriolar bed normally pulsates and absorbs variable amounts of light during the pulsations The ratio of light absorbed is translated into a measurement of functional oxygen saturation SpO2 Because a measurement of SpO2 is dependent upon light from the Ox MAx sensor excessive ambient light can interfere with this measurement Specific information about ambient conditions OXIMAx sensor application and patient conditions is contained throughout this manual Pulse oximetry is based on two principles that oxyhemoglobin and deoxyhemoglobin differ in their absorption of red and infrared light spectrophotometry and that the volume of arterial blood in tissue and hence light absorption by that blood changes during the pulse plethysmography A pulse oximeter determines SpO2 by passing red and infrared light into an arteriolar bed and measuring changes in light absorption during the pulsatile cycle Red and infrared low voltage light emitting diodes LED in the oximetry OxiMax senso
4. 36 Setting the Alarm Volume 36 Setting the Date and Time 37 Setting Alarm Silence Duration v 888288 8 8 l 38 Disabling Audible Alarms 39 Selecting Standby Mode 41 Adult Pediatric or Neonatal Settings 42 Setting Patient Adult Pediatric Neonatal Mode 42 Alarm Limit Changed Indicator 44 Setting Alarmi Limits 44 Setting SatSeconds Alarm Limit 46 Setting Monitor Response Mode 47 Selecting the Display Language 48 OXIMAX Sensor Messages 49 OxiMAx Sensor Adjust Condition Messages 50 Ox MAx Sensor Adjust Messages 5222 51 30 53 Monitor Trend Data 53 Trend Data Operation 55 Selecting the Trend Data Display Scale 2222 55 Reading the Trend Data Display 222 2 57 Dual Trend Data Display escossa 58 SpO2 Trend Display 59 Pulse Rate Trend Display 2 59 Histogram Trend Data Display
5. 86 Montor Mode ap apa a s 86 Response Mode a AAAS 86 Data Column Headings 87 TING 000 87 87 Operating Status 88 Using the Data Port b n bab s ld a d R y r sm kkl4 91 b ndayp s 91 Connecting to the Data Port 25 91 Data Port Pinouts rierren icrai ais 92 Data Port Setup 93 Using the Nurse Call Interface 95 Setting Nurse Call RS 232 Polarity 96 Setting Nurse Call Relays Normally Open Closed 97 Calculating the Analog Voltage Output 97 Ox MAx Sensors and Accessories 99 OXIMAX Sensor Event Record Data 99 Selecting an OXIMAX 5 99 OXIMAX Sensor Features 103 Biocompatibility Testing 25 103 Optional Accessories 103 GCX Mounting Plate 105 GCX Poly Mount vertical wall mount with T9 InchChannel csvset ccs eevee aa even 106 GCX Poly Mount horizontal
6. With the monitor in the normal monitoring mode 1 Press the SETUP softkey 2 Press the NEXT softkey 3 Press the NEXT softkey 4 Press the NEXT softkey 5 Press the MODE softkey Note When the monitor is in the fast response mode the monitor may produce more SpOz and pulse rate alarms than the user is 47 m E k m n N 595 Using the Monitor accustomed to seeing and may be inappropriate in challenging measurement conditions YooPO2 SPO2 RESP MODE 1 00 BPM 59 BACK EXIT SPO2 NEO 6 Use the ADJUST or ADJUST DOWN buttons to select the C desired response mode EXIT 7 Press the EXIT softkey Selecting the Display Language 48 The N 595 can be programmed to display the information in various languages The languages available are English Francais French Deutsch German Italiano Italian Espanol Spanish Nederlands Dutch Port Portuguese and Sverige Swedish With the monitor in the normal monitoring mode SETUP 1 Press the SETUP softkey NEXT 2 Press the NEXT softkey Using the Monitor 3 Press the LANG softkey LANG LANG ENGLISH BACK in un m au bulsn 4 Use the ADJUST UP or ADJUST DOWN buttons to select the desired language EXIT 5 Press the EXIT softkey Note The selected language will be displayed until the monitor is turned off The selected language can be set as a default by q
7. user accessible fuses the AC power outlet 18 Setting up the Monitor Connecting an OxiMAx Sensor to the N 595 The Ox Max sensor type is displayed at the bottom of the display when an OxiMax sensor is connected to the N 595 or when the N 595 completes POST with an OxiMax sensor attached Caution Use only Nellcor approved Ox1Max sensors and pulse oximetry cables Note Physiological conditions medical procedures or external agents that may interfere with the monitor s ability to detect and display measurements include dysfunctional hemoglobin arterial dyes low perfusion dark pigment and externally applied coloring agents such as nail polish dye or pigmented 565 ay Bulsy cream ELA Cor MABE 7 ce zi YU WU AN 1 SpO2 Ox Max Sensor Port 1 Connect a DOC 10 pulse oximetry cable to the SpOz sensor port 1 of the monitor 2 Connect a Nellcor OxiMax SpO2 sensor to the other end of the DOC 10 pulse oximetry cable N 595 19 Battery Operation A WARNING Dispose of battery in accordance with local requirements and regulations Operating the N 595 on Battery Power N 595 The N 595 monitor has an internal battery that can be used to power the monitor during transport or when AC power is not available A new fully charged battery will provide at least 2 hours of monitoring time under the following conditions No audible alarms sound
8. Display Shows the hemoglobin oxygen saturation level The display value flashes zeros during loss of pulse alarms and flashes the SpO2 value when the SpOz2 is outside the alarm limits During Pulse Search the monitor continues to update the display If alarm limits have been changed from their power on defaults a decimal point is displayed after the SpOz value 81 The Pulse Amplitude Indicator blip bar Indicates pulse beat and shows the relative pulse amplitude As the detected pulse becomes stronger more bars light with each pulse This indicator is available only in the blip view The Pulse Rate Display Shows the pulse rate in beats per minute It flashes during loss of pulse alarms and when the pulse rate is outside of the alarm limits During Pulse Search the monitor continues to update the display Pulse rates outside of the pulse rate range 20 to 250 bpm are displayed as the closest value within the range If alarm limits have been changed from their power on defaults a decimal point is displayed after the BPM value 112 The AC Power Indicator Lights continuously when the N 595 is connected to AC power It also indicates that the battery is charging It is off when the monitor is being powered by internal battery The Low Battery Indicator Lights continuously when 15 or fewer minutes of battery capacity remain Flashes when the battery capacity reaches critical condition The Alarm Silence Indicator L
9. TIME DLE GR PA The monitor mode ADULT or NEONATE is identified on the printout H 585 VERSION 100 0 GRO AMES pO Lie AIH Limi 40 170 ADULT 5 POZ RESP MODE NORMAL TIME 5602 BPM PA Siaa The response mode NORMAL or FAST is identified on the printout Printing Data Column Headings H 505 VERSION 1 0 0 0 CRC KEX Spt Limiit ASPM PA Limi 40 17 06 ADULT 5 SPO RESP MODE NORMAL TIME S5p02 BPM PA Actual column headings are in the second row of the column heading line Patient data presented in the chart from left to right is the e time the patient data were obtained 565 ay Buis e current SpO2 value current Pulse Rate BPM e current Pulse Amplitude PA e operating status of the N 595 Time TIME Sopot BP PA TAJANG 14 00 15 100 Tu 50 The Time column represents the N 595 real time clock Patient Data H Ti5 VERSON LIDO CAC Sp Limi 85 1009 PR Lime 40 T BPT4 USAT B She RESP MODE NORMAL TIME n BPM PA Saha 12 02 igos 100 1907 50 Patient data are highlighted in the display above Parameter values are displayed directly beneath the heading for each parameter In this N 595 87 m E k m n N 595 Printing Operating Status 88 example the 965 2 is 100 and the pulse rate is 190 beats per minute The next to the 190 indicates that 190 beats per
10. With traditional alarm management upper and lower alarm limits are set for monitoring oxygen saturation During monitoring as soon as an alarm limit is violated by as little as one percentage point an audible alarm immediately sounds When the SpOz2 level fluctuates near an alarm limit the alarm sounds each time the limit is violated Such frequent alarms can be distracting The N 595 pulse oximeter utilizes Nellcor SatSeconds alarm management technique With the SatSeconds technique upper and lower alarm limits are set in the same way as with traditional alarm management The clinician also sets a SatSeconds limit that allows the monitoring of SpOz below the selected low alarm limit for a period of time before an audible alarm sounds The SatSeconds limit controls the time that the SpOz level may fall outside the alarm before an audible alarm sounds The method of calculation is as follows The number of percentage points that the SpOz falls outside of the alarm limit is multiplied by the number of seconds that the SpO2 level remains outside that limit This can be stated as an equation Points x Seconds SatSeconds Where Points SpOz percentage points outside of the limit Seconds number of seconds the SpO2 remains at that point outside of the limit I 2 214 N 595 135 tf oe O ss E E D Ft SatSeconds The alarm response time assuming a SatSeconds limi
11. 30 dip in 30 dip in Ur for 25 Up for 25 cycles cycles lt 5 Ur lt 5 Ur 95 dip in Ur for 5 sec 95 dip in Ur for 5 sec Note UT is the AC mains voltage prior to application of the test level 157 I m JED Ue Specifications Table 14 Electromagnetic Immunity The N 595 is suitable for use in the specified electromagnetic environment The customer and or user of the N 595 should assure that it is used in an electromagnetic environment as described below immunit IEC Compliance Electromagnetic Test y 60601 1 2 Environment Test Level Guidance Povver 3 A m 3 A m It may be necessary frequency to position the N 595 50 60 Hz further from the magnetic sources of power field frequency magnetic fields or to install magnetic shielding The power frequency IEC magnetic field 61000 4 8 should be measured in the intended installation location to assure that it 1s sufficiently low Note UT is the AC mains voltage prior to application of the test level ox E E D e E 158 Specifications Table 15 Electromagnetic Immunity RF Portable Equipment For portable and mobile communication equipment The N 595 is suitable for use in the specified electromagnetic environment The customer and or user of the N 595 should assure that it is used in an electromagnetic environment as described below IEC Ele
12. When 3 or more limit violations occur within 60 seconds an alarm will sound even if the SatSeconds time setting has not been reached SatSeconds Display N 595 When the N 595 SatSeconds technology detects an SpO2 value outside the alarm limit the SatSeconds indicator the circular graph located on the right side of the display adjacent to the SpO2 reading begins to fill clockwise When the SpOz value is within the set limits the SatSeconds indicator will empty counter clockwise Se HELL S S WU J Ws iz G 2255 VVhen the indicator is completely filled indicating that the SatSeconds setting has been reached an audible alarm sounds and the displayed SpO rate flashes As with traditional alarm management a 5 m 137 SatSeconds the audible alarm may be silenced by pressing the ALARM SILENCE button a oe O ox E D Ee E 138 Factory Defaults The N 595 is shipped with factory default settings Authorized technical personnel using the procedures described in the N 595 service manual can change default settings Neonate Default Settings Table 11 Neonate Factory Defaults Parameter Setting Monitoring Mode Neo SpO2 Lower Alarm Limit 80 SpO2 Upper Alarm Limit 95 Allow silence duration to be set to Yes OFF Alarm Silence Duration 60 seconds Alarm Silen
13. e No analog or serial output devices are attached to the N 595 The monitor cannot operate with a fully discharged battery Before attempting to turn on an N 595 monitor whose battery charge has been completely depleted first plug the monitor into an AC outlet to allow the battery to charge for a few minutes The monitor may then be powered on To charge a low or dead battery connect the monitor to AC power A full charge of a dead battery takes 14 hours while the monitor is turned off A full charge of a dead battery takes 18 hours while the monitor is in operation monitoring a patient When all of the following conditions are present for 15 minutes the N 595 will automatically shut down e Monitor is running on battery power No buttons have been pressed 21 un un cn ay Buisy Battery Operation N 595 a E k m n 22 e No pulse has been detected for example when a patient is not connected the sensor or the sensor is disconnected from the monitor e alarms are present other than low battery or a non correctable error Note Whenever the monitor is connected to AC power the battery is being charged Therefore it is recommended that the monitor remain connected to AC power when not in use This will ensure a fully charged battery whenever it is needed Low Battery Indicator The Low Battery Indicator lights and a low priority alarm begins to
14. sensor single patient use Ox Max sensors only and be used with the sensor event record feature Monitor trend data can be viewed anytime patient trend is stored in the monitor Monitor trend displays are accessed by pressing the TREND softkey on the main menu and selecting the MONITR softkey option The monitor trend sub menu allows you to choose which trend data are displayed e Saturation and pulse rate Dual Saturation e Pulse rate e Pulse amplitude e Histogram The N 595 can graphically display trend data for SpOz pulse rate or both Trend data is stored at 2 or 4 second intervals When the TREND softkey is pressed READING TRENDS is displayed at the bottom of the N 595 screen indicating that the monitor is formatting the trend data to be displayed 53 un un m ay Bulsy N 595 m E m n Monitor Trend 54 o The monitor stores up to 48 hours of 4 second trend data or 24 hours of 2 second trend data The amount of trend data displayed on the screen is determined by using the ZOOM softkey The settings available are 20 and 40 seconds 15 or 30 minutes and 1 2 4 8 12 24 36 or 48 hours All trend data are displayed in a graphical format except the 20 and 40 second trend displays which are shown in tabular format The trend display is scrolled that is the data displayed can be moved throughout the 48 hours of trend data Selecting the 1 hour trend display allo
15. 12 14 02 14 00 21 100 r 124 02 14 00 23 100 er 12 14 02 14 00 26 gar 12 1AM z 14 00 27 50 12 02 14 00 26 sb 12 AH z 14 00 50 12 AH z 14 00 24 sb 12 64 02 14 00 25 50 12 14 02 14 00 27 50 12 44 02 14 00 28 50 12 18 02 14 00 41 50 12 1AH z 14 00 43 50 12 AH z 14 00 45 sb 12 AH z 14 00 47 sb 12 1AN Z 14 00 48 50 596 VERSION 1 0 00 GRC XX 5 2 Limit B5100 PR Limi 40 TTOBPM ADULT SAT S5 SP02 RESP MODE NM RMAL TIME k k BPM Status TAR 14 00 51 50 N 595 m E m n 585 VERSEIN 10 0 0 CAR XXXX Sed Lime i00 FR Limit 40 1706 PM ADULT TJAT FPE RESP MODE HORMAL TIME aor BPM PA Stale 12 2 140053 TE 50 SL PL LA 12 02 140055 TE m 50 PS PL LA Figure 5 Real Time Printout 84 Column Headings Data Source Software Version N 595 Printing Every 25 line of the data consists of a column heading 505 VERSION 1 000 CRO HENA Spe Limi 65 100 FA Umi 40 ADULT UZAT S POZ RESP HODE NORMAL TIME 50 BPM PA Bist A column heading is also output whenever a value of the column heading is changed There are three column heading lines shown in the printout Using the top row as the starting point there are 25 lines before the second row of column headings is printed The third row of column headings was displayed because
16. 8 1HR TREND 110 BPM Th T 1 1 1 I 1 1 5 TIME Pressing the TIME softkey cycles the displayed trend time scale through 48 hours 36 hours 12 hours 8 hours 4 hours 2 hours 1 hours 30 minutes 15 minutes 40 seconds and 20 seconds Note The 20 second and 40 second trend displays are in tabular format The below display starts out in the normal response mode left side of the display and switches to the fast response mode 40SEC TREND a z 4 TIME S5P02 8PM 1 21 31 30 B T TE 21 31 28 21 31 38 aT 21 31 26 GT TE 21 31 36 oF 80 21 31 24 21 31 34 56 TH 21 31 22 21 31 32 T T ME SCALE AUTO BACK SPO2 SCALE Pressing the SCALE softkey cycles the displayed trend amplitude scale through 5 points 10 points 15 points 20 points 25 points 30 points 35 points 40 points and 50 points above and below the data point under the cursor The saturation graphical monitor trend display vertical scale default setting is from 10 to 100 if there is no data under the cursor The pulse rate graphical monitor Monitor Trend trend display vertical scale is from 5 to 250 if there is no data under the cursor AUTO Pressing the AUTO softkey presets the amplitude of the graphed 0 trend data The maximum trend data point is rounded up to the nearest multiple of 10 this value is the top of the graph display The minimum trend data point is rounded dow
17. EVENT GRAPH in the upper left corner The number of the displayed event and the total number of events recorded in the OxiMax sensor are shown to the right of the title example 2 2 The date and time of the displayed event are shown in the upper center and upper right corner The type of data displayed in the graph is indicated to the left of the vertical axis SpO2 Below this is the range of values min max during the event The duration of the event is shown below the range value The vertical axis of the graph is labeled to show the magnitude scale of the graphed data The horizontal axis is not labeled but automatically scales to accommodate the number of 30 second intervals during the event The alarm threshold lower than SpO2 alarm limit is represented by a horizontal dotted line across the graph The first data point is always the alarm threshold Events are displayed one at a time one per graph Graphs are displayed in chronological sequence with the most recent event shown first when accessing the graphical OxiMax sensor event display The user can move between events by using the two left most softkeys which are labeled with left and right facing arrow icons respectively At the beginning of an event sequence event 1 of 2 events the left arrow soft key is blank at the end of a sequence event 2 of 2 events the right arrow soft key is blank The ADJUST UP and ADJUST DOWN buttons on the monitor panel can also be used to
18. i Temperature BER PEO rt Xan p7 s T Fetal Hb Files r A nial E 3 2 j pH 5 s Temperature t t PCO 5 i d t 23 0 6 _ m 8 wy i 8 a i P r r a m a F p jatar 50 100 PO mmHg Figure 14 Oxyhemoglobin Dissociation Curve OxiMax Technology The N 595 pulse oximeter is designed to use Nellcor OxiMax brand sensors which integrate the OxiMax technology These OxiMax sensors can be identified by their deep lavender blue plug color All Ox MAx sensors contain a memory chip carrying information about the OxiMax sensor which the oximeter needs for correct operation including the OxiMax sensor s calibration data model type I Q z IESUS N 595 145 2 m ki 2 Principles of Operation 146 troubleshooting codes and error detection data This unique oximetry architecture enables development of new sensors as well as several new features with the OxiMax sensor N 595 When an OxiMax sensor is connected to the N 595 the pulse oximeter will first reads the information in the OxiMax sensor memory chip checks it to make sure that there are no errors and then loads the data to begin monitoring As the pulse oximeter reads the information it displays the OxiMax sensor model number This process only takes a couple of seconds OxiMax sensor model number disappears after 5 seconds Pulse
19. messages prompt a user for a response while error messages provide information to the user The two figures below show examples of a prompt and an error message SAVE DEFAULTS YES Table 10 on page 120 describes the N 595 prompt error messages Time out is the maximum time that the message will remain displayed If Time out is None the message will remain displayed until the condition is corrected or until an exit event occurs Some messages will Exit on Alarm and or Exit on Alarm Silence button press Messages are prioritized so that more important messages will overwrite lower priority messages Messages of the same priority will be displayed in order of occurrence For multiple messages lower priority messages will be displayed when higher priority conditions are cleared The highest priority is 1 and the lowest is 3 Messages 5 z R zi N 595 119 F m 6 E Troubleshooting that are advisory will be centered on the display Prompts are those messages requiring a response yes or no and will be left justified Table 10 Prompt Error Messages 120 Time Exit on Exit on Message out Alarm Alarm When Displayed How Cleared sec Silence CLOCK None No No If the N 595 After the monitor SETTING detects that the is power cycled LOST real time clock has stopped running This will occur when both battery and AC power are lost DATA IN 5 No Yes When a sensor On time
20. sound when approximately 15 minutes of monitoring time is available on the existing battery charge Refer to Table 2 for a description of the low and critical battery conditions If the monitor is not on AC power a low battery audible alarm can be canceled by pressing the ALARM SILENCE button The low battery indicator and display screen message will continue to be displayed Plugging the monitor into AC power will silence the audible alarm but the low battery indicator will stay lit as long as the battery is in the low voltage condition After the 15 minute period of low battery condition a high priority alarm will sound for about 10 seconds before the monitor shuts off If the monitor backlight is turned off during a low battery condition the backlight cannot be turned back on It is recommended that qualified service personnel replace the internal battery every 24 months Replaced batteries should be disposed of in accordance with local ordinances Battery Operation 3 months or longer notify service personnel to remove the battery from the pulse oximeter prior to storage Recharge the battery when the battery has not been charged for 2 or more months 9 Caution If the N 595 pulse oximeter is to be stored for a period of factory default setting if the battery becomes fully discharged or is replaced Qualified service personnel will have to reset the institutional defaults following the instructions in the service manual 9 C
21. Carrying Case See Figure 12 on page 110 Accessories for the N 595 are also listed on the Internet at http www mallinckrodt com respiratory resp Serv_Supp Apartweb main PartAcceMenu html J zg E F 28 a Ul a 104 OXIMAX Sensors and Accessories GCX Mounting Plate An optional mounting plate is available from Nellcor for the N 595 This mounting plate fits standard commercially available GCX mount brackets and is used to securely mount the N 595 to a wall bracket or a roll stand The mounting plate attaches to the bottom of the N 595 pulse oximeter as shown in Figure 7 on page 105 For further instructions regarding connecting the mounting plate to GCX brackets refer to the illustrated directions for use included with the GCX mounting plate ci it n F m an pue S1I0SUa5 Figure 7 GCX Mounting Plate N 595 105 LJ an 2 l n 2 ka 0 4 03 E el OXIMAX Sensors and Accessories GCX Poly Mount vertical wall mount with 19 inch channel 106 An optional vertical wall mount with 19 inch channel is available from Nellcor for the N 595 pulse oximeter The vertical wall mount with 19 inch channel attaches to the N 595 pulse oximeter GCX mounting plate as shown in Figure 8 on page 106 For further instructions regarding connecting the vertical wall mount with 19 inch channel refer to the illustrated directions for use included with
22. Lovv to high Medium Medium Contrast Language English French English English German Dutch Portuguese Spanish Ttalian Svvedish Limits Adult Neonate Adult Neonate Pulse Beep 0 to 10 4 4 Volume Response Normal or Fast Normal Normal Mode Table 3 Parameter Ranges Using the Monitor Paramel r Ranges Factory Adult Selections Defaults Defaults RS 232 Level Normally High Normally lovv Normally low Nurse Call Normally Low Polarity SatSeconds Off 10 25 50 Off Off 100 Sensor Event 5 0 2 Default Default Date Format SpO2 Pulse Rate SENSOR R Default default is and factory default SENSOR RW Sensor Yes No Yes Yes Messages Enabled Trend Display Dual SpO2 SpO2 SpO2 Pulse Histogram Amplitude Trend Scale 48 36 12 8 4 2 2 hours 2 hours 1 hours 30 15 minufes 40 20 seconds Turning On the Monitor N 595 Before using the N 595 in a clinical setting you must verify that the monitor is working properly and is safe to use Proper working condition will be verified each time the N 595 is turned on as described in the following procedure Caution If any indicator or display element does not light when the pulse oximeter is turned on do not use the pulse oximeter Instead contact qualified service personnel your local Nellcor representative or Nellcor s Technical Services Department 29 565 ay Busy m E w m n N 595 Using
23. MAx algorithm in its calculation of SpO2 The OxiMax algorithm s calculation of pulse rate is unaffected by the response mode setting The trending interval 2 seconds or 4 seconds is updated automatically by the monitor to roughly correspond with the SpO2 calculation response time The Neonate Alarm Limits Indicator This symbol is displayed when the alarm limits are set to neonate No symbol is displayed when the monitor is set to adult limits Artifacts are events contained in the in sensor data N 595 13 N 595 a t k m a n Description of Controls Indicators and Symbols Description of Audible Indicators 14 Table 1 identifies the audible indicators of the N 595 indicators Table 1 Audible Indicators Function Description Alarm Silence Reminder Three beeps that sound approximately every 3 minutes when alarms are silenced with the alarm silence duration set to Off and the alarm silence reminder function is enabled Confirmation Tone Three beeps sound to indicate that default settings have been saved or reset to factory defaults or trend data has been deleted Invalid Button Press A short low pitched tone indicating that a button has been pressed that is not appropriate for the current state of the monitor Valid Button Press A short medium pitched tone indicating that an appropriate button has been pressed High Priority Alarm A high pitched fast p
24. OxiMax sensors at a different revision level and by OxrMAx sensor type adhesive recycled and reusable The revision level of an Oxr MAx sensor is located on the OxiMax sensor plug Table 8 Oxr MAx Sensor Features 7 77 Reusable Sensors Sensors Sensors Feature Rev Rev Rev B Rev B A B OXIMAX Sensor Event Record Yes No No No Sensor Messages Yes Yes No Yes Sensor ID Message Yes Yes Yes Yes Biocompatibility Testing Biocompatibility testing has been conducted on Nellcor OxiMax sensors in compliance with ISO 10993 1 Biological Evaluation of Medical Devices Part 1 Evaluation and Testing The sensors have passed the recommended biocompatibility testing and are therefore in compliance with ISO 10993 1 Optional Accessories N 595 Several mounting configurations a carrying case and a utility basket are offered with the N 595 Contact Nellcor s Technical Services Department or your local Nellcor representative for information about these accessories e GCX Mounting Plate See Figure 7 on page 105 103 s Hoss s y DuE 108 Les OXIMAX Sensors and Accessories e Poly mount vertical wall mount with 19 inch channel See Figure 8 on page 106 e Poly mount horizontal wall mount with rail adapter See Figure 9 on page 107 Poly mount Roll Stand See Figure 10 on page 108 GCX Utility Basket See Figure 11 on page 109 e Soft Sided
25. RS 232 serial 15 to 9 pin D 10 ft 3 m Non terminated cable RS 232 Analog 15 pin D 3 3 ft 1 m Oxinet hardwire cable 10 ft 3 m Printer cable RS 232 15 to 9 pin p 3 3 ft 1 m HP Agilent interface cable 3 3 ft 1 m GE Marquette interface cable 3 3 ft 1 m Datex Ohmeda interface cable 3 3 ft 1 m Oxinet II Data Cable 10 ft 3 m HP Agilent interface cable 10 ft 3 m RF emissions CISPR 11 Class B Group 1 Harmonic emissions IEC 61000 3 2 Voltage fluctuations flicker emission IEC 61000 3 3 Electrostatic discharge ESD IEC 61000 4 2 Electric fast transient burst IEC 61000 4 4 Surge IEC 61000 4 5 Conducted RF IEC 61000 4 6 Radiated RF IEC 61000 4 3 Specifications Table 17 Cables Cables and OxiMax Maximum komplies With Length Sensors OXIMAX RF emissions CISPR 11 sensors Class B Group 1 1 5 feet 0 5 MAX A m H armonic emissions MAX I 1 5 feet 0 5 e Voltage fluctuations flicker m emission IEC 61000 3 3 MeN 1 5 feet 0 5 m ectrostatic discharge MAT IEC 61000 4 2 MAX R 1 5 feet 0 5 m Electric fast transient burst m Surge IEC 61000 4 5 OXIMAX 3 feet 0 9 m Oxiband Conducted RF IEC 61000 4 6 sensors OXI A N Radiated RF IEC 61000 4 3 OXI P I JED UL Q z 4 N 595 163 Specifications Tab
26. battery changing procedure If service is necessary contact qualified service personnel or your local Nellcor representative 129 3 z z Zi Maintenance Periodic Safety Checks It is recommended that the following checks be performed every 24 months e Inspect the equipment for mechanical and functional damage e Inspect the safety relevant labels for legibility Cleaning Caution Do not spray pour or spill any liquid on the N 595 its accessories connectors switches or openings in the chassis For surface cleaning and disinfecting the monitor follow your institution s procedures or The N 595 may be surface cleaned by using a soft cloth dampened vvith either a commercial nonabrasive cleaner or a solution of 70 alcohol in water and lightly wiping the surfaces of the monitor e The N 595 may be disinfected using a soft cloth saturated with a solution of 10 chlorine bleach in tap water Before attempting to clean an SpO2 sensor read the directions for use enclosed with the OxiMax sensor Each sensor model has cleaning instructions specific to that OxiMax sensor F n a E Follow the Ox Max sensor cleaning and disinfecting procedures in the particular Ox Max sensor s directions for use 130 Menu Structure N 595 Menu Description The N 595 menu and hierarchy are outlined below The user chooses the type of trend da
27. minute is outside of the alarm limits indicated in the top row for pulse rate If no data for a parameter is available three dashes will be displayed PA represents pulse amplitude The number can range from 0 to 254 There are no alarm parameters for this value It can be used for trending information as an indication of a change in pulse volume relative pulse strength or circulation H TiS VERSIN 10 00 CAC KAXA Spo Limi gmit PR Lime d T BPM 0581 5 She RESP MODE NORMAL TIME 5002 BPM PA Saka 12 02 14000 100 165 50 The Status column indicates alarm conditions and operating status of the N 595 In this example the PH means that the pulse rate upper alarm limit Pulse High has been exceeded A complete listing of the status codes is listed below As many as four codes can be displayed at one time in the Status column Code Meaning AO Alarm Off AS Alarm Silence LB Low Battery LM Loss of Pulse w Motion LP Loss of Pulse MO Patient MOtion PH Pulse Rate Upper Limit Alarm PL Pulse Rate Lower Limit Alarm PS Pulse Search Printing Code Meaning SH Saturation Upper Limit Alarm SL Saturation Lower Limit Alarm SD Sensor Disconnect SO Sensor Off Note An OxiMax sensor disconnect will also cause three dashes to be displayed in the patient data section of the display or printout T En o in ay Buis N 595 89 Using the Data P
28. move through events The PRINT softkey allows the user to print the displayed event graph The BACK softkey takes the user back to the previous TREND SENSOR sub menu level OXIMAX Sensor Event Record Viewing and Printing OxiMax Sensor Event History Data With the monitor in the normal monitoring mode You must connect a printer capable of printing graphs to the monitor data port connector to print OxiMax sensor event history data The monitor protocol must be set to GRAPH to print the in sensor event history data Refer to Printing Monitor Trend Information on page 79 To view and print in sensor event history data in un cn ay Buis 1 Connect an OxiMax sensor containing patient data to the monitor TREND 2 Press the TREND softkey SENSOR 3 Press the SENSOR softkey GRAPH 4 Press the GRAPH softkey PRINT BACK Note Use the left and right arrow softkeys to scroll through the pages of the event graph PRINT 5 Press the PRINT softkey to print the displayed screen EXIT mr 6 Press the EXTT softkey N 595 73 m E k m n N 595 OXIMAX Sensor Event Record 74 A sequence of SpO2 BPM saturation plus pulse rate dual view event graphs are shown below The duel view graph is the same as a single graphical event history graph except the graphs are compressed horizontally to allow both SpO2z and pulse rate graphs to be shown for the same event O
29. or ADJUST DOWN button to select the Ox MAx sensor data type SENSOR R and SENSOR RW selections are 5 2 SpO2 BPM e DEFAULT N 595 m E k m n EXIT 6 Press the EXIT softkey to set the Ox Max sensor type Ox MAx Sensor Type When an OxiMax sensor is connected to the monitor a SENSOR TYPE message is displayed for 4 to 6 seconds at the bottom of the display The message identifies the type model of sensor connected to the monitor Type is used in the determination of action messages in the sensor message s function This display is the first message displayed when an sensor is connected to the monitor 955 02 SENSOR TYPE DS 100A Ox MAx Sensor Data Type When an OxiMax sensor with no previously recorded patient data is connected to the OxzMAx monitor a DATA TYPE message is displayed briefly at the bottom of the display this message is 68 OXIMAX Sensor Event Record displayed after the OxiMax sensor type message The message identifies the monitor s current data type setting that will be used to write data to the OxiMax sensor The data type setting options are EVENT SPOz and EVENT SPO2 BPM in un in u bulsn DATATYPE SPO2 BPM The user can change the setting by referring to Setting In Sensor Data Type on page 66 The OxiMax sensor event record type must be set prior to connecting the Ox Max sensor
30. out SENSOR containing data is sensor connected to the disconnect or monitor pressing the ALARM SILENCE button whichever comes first DATA TYPE 5 No Yes When a blank On time out SPO2 BPM event sensor is sensor connected to a disconnect or monitor vvith event pressing the data type set to ALARM SPO2 BPM SILENCE button whichever comes first DATA TYPE 5 No Yes When a blank On time out SPO2 event sensor is sensor connected to a monitor with event data type set to SPO2 disconnect or pressing the ALARM SILENCE button whichever comes first Table 10 Prompt Error Messages Troubleshooting Time Exit on Exit on Message out Alarm Alarm When Displayed How Cleared sec Silence DEFAULTS None No No If the N 595 After the monitor LOST detects that is power cycled power on settings have been lost DELETE 10 Yes Yes When the user After the user TRENDS attempts to delete responds to the trend data from prompt memory by pressing the DELETE softkey LOW None No Yes 1 When the monitor When the BATTERY is on battery power monitor is and the battery charge is low connected to AC power or when the low battery is acknowledged by pressing the ALARM SILENCE button 1 The first press of the Alarm Silence softkey will silence any audible tone and the second press will clear the message READING None Yes Yes When the N 595 When sensor TRENDS needs more than 4 data is
31. oximeters containing OxiMax technology including the N 595 use calibration data contained in the Ox Max sensor in calculating the patient s SpOz Consult the OxiMax sensor accuracy grid card included with the pulse oximeter for specific accuracy information for the N 595 with different Nellcor OxiMax sensors The N 595 uses the information in the Ox Max sensor to tailor troubleshooting messages for the clinician The Ox1Max sensor contains coding that tells the pulse oximeter what kind of sensor is being used When deciding what messages to display the pulse oximeter takes into account the OxiMax sensor type and recommended patient site for that model Specifications Performance Measurement Range 5 2 1 to 100 Pulse Rate 20 beats per minute bpm to 250 bpm Perfusion Range 0 03 to 20 Accuracy and Motion Tolerance Saturation Without Motion Adults 70 to 100 2 digits Without Motion Neonate 70 to 100 3 digits With Motion Adults and 70 to 100 3 digits Neonates Low Perfusion 70 to 100 2 digits Pulse Rate Without Motion 2 3 20 to 250 bpm 43 digits With Motion2 normal physiologic range 55 125 bpm 5 digits Low Perfusion 20 to 250 bpm 3 digits TETEN E o 2 N595 47 2 m p ki s Specifications Electrical 148 Accuracy and Motion Toleranc
32. sensor event record feature is not available Refer to the N 595 service manual for the procedure to disable the storage of sensor event record on an OxiMax sensor Setting In Sensor Data Type 66 The In Sensor Data Type display allows the user to set the type of trend data to be recorded in an Ox1Max sensor OxiMax sensors can be set to record either SpOz or SpO2 BPM Note The Ox Max sensor data type can only be set when an Ox MAX sensor is not connected to the monitor With the monitor turned on and no cable attached to the SpO2 OxiMax sensor port OXIMAX Sensor Event Record 1 Press the SETUP softkey SETUP SENSOR 2 Press the SENSOR softkey DATA 3 Press the DATA softkey Note OxiMax sensor data type settings are displayed on the monitor as shovvn in the figure belovv in sensor data type If no sensor is connected both sensor types and the full set of options for each are displayed If a sensor is connected only the sensor data type for that sensor is displayed in un ay Busy N SENSOR DATATYPE spo2 SENSOR R SENSOR RW SPO2 BMP BPM SELECT BACK Note The SENSOR R feature supports all the current OxiMax sensors The SENSOR RW feature is only applicable to OxiMax sensors with a read write chip installed SELECT 4 Use the SELECT softkey to toggle between SENSOR R and m SENSOR RW N 595 67 OXIMAX Sensor Event Record 5 Use the ADJUST UP
33. should perform these procedures before using the monitor for the first time in a clinical setting b n F m in pue S1I0SUa5 N 595 Monitor Performance Considerations Certain patient conditions can affect the measurements of the N 595 and cause the loss of the pulse signal Inaccurate measurements can be caused by e prolonged and or excessive patient movement e venous pulsations N 595 111 m m wi d i w b i l un m m i Performance Considerations e intravascular dyes such as indocyanine green or methylene blue e externally applied coloring agents nail polish dye pigmented cream defibrillation Dysfunctional Hemoglobins Anemia Saturation Pulse Rates 112 Dysfunctional hemoglobins such as carboxyhemoglobin methemoglobin and sulphemoglobin are unable to carry oxygen SpOz readings may appear normal however a patient may be hypoxic because less hemoglobin is available to carry oxygen Further assessment beyond pulse oximetry is recommended Anemia causes decreased arterial oxygen content Although SpO2 readings may appear normal an anemic patient may be hypoxic Correcting anemia can improve arterial oxygen content The monitor may fail to provide an SpOz if hemoglobin levels fall below 5 gm dl The N 595 will display saturation levels between 1 and 100 The N 595 will only display pulse rates between 20 and
34. silence duration setting Note Releasing the ADJUST UP or ADJUST DOWN button sets the alarm silence duration Disabling Audible Alarms Setting the alarm silence duration to OFF means that the monitor will produce no audible alarms Note The ability to set the alarm silence duration to OFF can be enabled or disabled by qualified service personnel as described in the service manual The current copy of the service manual is available on the Internet at http vvvvvv mallinckrodt com respiratory resp Serv SuppProductManuals hitml N 595 39 Using the Monitor decrease the audible alarm volume if patient safety could be b WARNING Do not silence the audible alarm function or compromised VVith the monitor in the normal monitoring mode x i 1 Press the ALARM SILENCE button until the alarm silence duration setting is displayed N 595 m E k m a n 60 SEC L M TS TREND SETUP L GHT __ 2 While pressing the ALARM SILENCE button press and hold the ADJUST UP button until OFF is displayed Release the buttons OFF LIMITS TREND SETUP L GHT 40 Using the Monitor Selecting Standby Mode N 595 The standby mode allows the monitor to retain the alarm limit settings that are in effect while monitoring a patient The monitor must be powered by AC power to enter the standby mode Usually the standby mode is used when a patient has to leave the monitor for a period of tim
35. that closes when an alarm is sounding on the monitor Pins 8 and 15 provide a relay that opens when an alarm is sounding Pin 15 is a common lead for both relays The relay operates whether the monitor is operating on AC power or battery Calculating the Analog Voltage Output The N 595 data port provides analog voltage outputs between pins 6 13 14 and ground pin 10 which can be used to calibrate instruments such as a chart recorder The voltage represents a specific measured parameter s current value The voltage differential varies proportionally from 0 to 1 volt as the pin s parameter varies over its full range of values as indicated in Table 6 on page 97 Table 6 Analog Pinouts Pin Parameter Parameter Range 6 SpO2 0 100 13 Pulse Rate 0 250 bpm 14 Pleth Waveform 0 255 N 595 97 Using the Data Port 98 z z z o 5 Ms iz Ms For example as the current value of SpO2 varies from 0 to 100 the voltage from pin 6 to ground pin 10 varies from 0 to 1 volt A voltage of 0 94 volts indicates a current SpOz value of 94 The analog function can be accessed from the main menu 1 Press the SETUP softkey 2 Press the NEXT softkey 3 Press the NEXT softkey 4 Press the NEXT softkey 5 Press the ANALOG softkey 1VOLT STEP BACK Selecting the 0 VOLT or 1 VOLT softkey causes that voltage to appear at pins 6 13 or 14 as referenced to
36. the Monitor 30 Note Physiological conditions medical procedures or external agents that may interfere with the monitor s ability to detect and display measurements include dysfunctional hemoglobin arterial dyes low perfusion dark pigment and externally applied coloring agents such as nail polish dye or pigmented cream Note The monitor automatically starts the Power On Self Test POST which tests the monitor circuitry and functions Caution During POST immediately after power up confirm that all indicators light all display segments turn on and the pulse oximeter speaker sounds a one second tone 1 Turn on the N 595 by pressing the ON STANDBY button 2 Ensure that all of the front panel indicators illuminate 3 Once the display test portion of POST is complete the N 595 software version is displayed for approximately 5 seconds NELLCOR N 595 VERSION x x x x Note The software version shown above is only a sample Check your monitor for the software version installed Software version numbers are often needed when calling Nellcor s Technical Services Department or your local Nellcor representative for technical assistance Write down the software version number and have it available prior to requesting technical assistance Using the Monitor 4 Ifthe N 595 detects an internal problem during POST an error tone sounds and the monitor displays an error code EEE and the correspon
37. to 6 seconds to completely retrieve trend data retrieved or from memory ABORT is selected m in SENSOR None No Yesl When the sensor is When the sensor a DISCONNECT disconnected from is reconnected or a ED the monitor when the sensor disconnection is E acknowledged by pressing the ALARM SILENCE button N 595 121 Troubleshooting Table 10 Prompt Error Messages Time Exit on Exit on Message out Alarm Alarm When Displayed How Cleared sec Silence SENSOR TYPE 5 No No First message Time out displayed when a sensor is connected to the monitor Corrective Action If you experience a problem while using the N 595 and are unable to correct it contact qualified service personnel or your local Nellcor representative The N 595 service manual which is for use by qualified service personnel provides additional troubleshooting information The current copy of the N 595 service manual is available on the Internet at http www mallinckrodt com respiratory resp Serv_Supp ProductManuals html Following is a list of possible errors and suggestions for correcting them 1 There is no response to the ON STANDBY button e Ensure that the supply voltage selector switch is set to the proper voltage n a E e A fuse may be blown Notify service personnel to check and if necessary replace the fuse Ifoperating on battery power the battery may be missing or
38. to the monitor Ox MAx Sensor Event Record Data Available When an sensor containing data single patient use OXIMAX sensors only is connected to the monitor the Sensor Event Record indicator on the monitor front panel blinks at a medium priority flash TREND rate to indicate that the Ox Max sensor attached to the monitor contains patient event data The LED blinks for approximately 60 seconds or until the OxzMAx sensor is disconnected or until the sensor trend data is displayed by pressing TREND then SENSOR SENSOR A corresponding DATA IN SENSOR message is also displayed at the bottom of the display After 4 to 6 seconds if all the data has been read from the Ox Max sensor the message is replaced with the main menu DATA IN SENSOR N 595 69 m E k m n N 595 OXIMAX Sensor Event Record If data is still being read from the OxiMax sensor after 4 to 6 seconds the DATA IN SENSOR message is replaced with a READING TRENDS message with an ABORT option READING TRENDS ABORT Selecting the ABORT softkey stops the recording of additional data in the OxzMAx sensor and accessing or viewing the data that is in the Ox MAXx sensor Sensor event record can be vievved by accessing the TREND SENSOR menu The SENSOR EVENT RECORD LED comes on steady when OxiMax sensor memory is full and stays on until the OxiMax sensor is disconnected Ox MAx Sensor Event Record Not Availab
39. ua oa daaa d AL unuda Dede 131 N 595 Menu Description 2 131 SatSeconds Factory Defaults 00 135 Describing SatSeconds 135 SatSeconds Safety Net 137 SatSeconds Display 137 4555741775 7 139 Neonate Default Settings s s ssis sil ii i l 139 Adult Default Settings 2 140 Contents Principles of ULU cit d b dd R ara a daaa Rolda 143 Oximetry Overvlevv 22 143 Automatic Calibration 144 Functional versus Fractional Saturation 144 Measured versus Calculated Saturation 145 Technology ssa BRAD Basa d s 145 EE S TE o rer ce ke pe FR ae aaa l RED 147 147 148 Environmental Conditions 149 Physical Characteristics 151 COMPU 2650000000 152 Manufacturer s Declaration 155
40. 123 4 65 amp 8 565 ay Buis Figure 6 Data Port Pin Layout Pins 2 3 and 5 provide data in RS 232 format Pins 1 4 9 and 12 provide data in RS 422 format TxD and TxD are the differential transmit data pair RxD and RxD are the differential receive pair Use the Data Port Setup display to set the baud rate and the protocol of the data port on the N 595 The Data Port Setup display is accessed by pressing the COMM softkey on the Setup menu With the monitor in the normal monitoring mode 1 Press the SETUP softkey 2 Press the NEXT softkey 3 Press the NEXT softkey 93 Using the Data Port Press the COMM softkey COMM SERIAL PORT SETUP N 595 m E m n 5 Press the ADJUST or ADJUST DOWN buttons to select the desired baud rate SELECT 6 Press the SELECT softkey to select protocol 7 Press the ADJUST UP or ADJUST DOWN buttons to select the C desired protocol The available protocols are ASCII e CLINICAL GRAPH e OXINET e AGILENT HP Agilent e SPACELBS Spacelabs e MARQ GE Marquette DATEX Datex Ohmeda EXIT dk 8 Press the EXTT softkey 94 Using the Data Port Using the Nurse Call Interface primary source of alarm notification The audible and visual alarms of the pulse oximeter used in conjunction with clinical signs and symptoms are the primary sources for notifying medical personnel that an alarm con
41. 250 beats per minute Detected pulse rates above 250 bpm are displayed as 250 Detected pulse rates below 20 are displayed as 0 Performance Considerations Ox MAx Sensor Performance Considerations WARNING Pulse oximetry readings and pulse signal can be affected by certain ambient conditions OxrMAx sensor application errors and certain patient conditions application or inappropriate duration of use of an SpOz OxrMAx sensor Inspect the OxrMAx sensor site as directed in the OxrMAx sensor directions for use Warning Use only Nellcor approved OxiMax sensors and pulse oximetry cables b WARNING Tissue damage can be caused by incorrect Inaccurate measurements can be caused by incorrect application of the sensor b Ls m s pue S1I0SUa5 e placement of the sensor on an extremity with a blood pressure cuff arterial catheter or intravascular line e ambient light e prolonged and or excessive patient movement e intravascular dyes or externally applied coloring such as nail polish or pigmented cream e failure to cover the sensor site with opaque material in high ambient light conditions Loss of pulse signal can occur for the following reasons the OxiMax sensor is applied too tightly N 595 113 m m wi d w bu i uf wi m i Performance Considerations 114 e ablood pressure cuff is inflated
42. 55 101 150 Tis Leg m EF DELETE PRINT BACK EXT The pulse amplitude trend data display shows the amplitude of the patient s pulse rate over the period of time indicated on the display Refer to Selecting the Trend Data Display Scale on page 55 to setup the desired trend data scale With the monitor in the normal monitoring mode TREND 1 Press the TREND softkey MONITR 2 Press the MONITR softkey s EW 3 Press the VIEW softkey NEXT 4 Press the NEXT softkey 61 Monitor Trend 5 Press the AMP softkey The pulse amplitude units PAU trend data is displayed 1HR TREND 200 ol lisha N 595 m E k m n The PAU reading 12 20 indicates the pulse amplitude units upper and lower at the cursor position dashed line The cursor is moved right or left using the ADJUST UP right and ADJUST DOWN left buttons Clearing Trend Information With the monitor in the normal monitoring mode TREND 1 Press the TREND softkey MONITR 2 Press the MONITR softkey NEXT 3 Press the NEXT softkey DELETE 4 Press the DELETE softkey Note Press the NO softkey and then the EXIT softkey to leave this function without deleting trend data YES 5 Press the YES softkey 62 Monitor Trend All the trend data is cleared and the monitor sounds three beeps 565 u Bush N 595 63 OXIMAX Sensor Event Record provided by the N 595 when recording the sensor ev
43. 91 Figure 2 Rear Panel Components N 595 Symbols The symbols that are located on the rear panel of the N 595 are as follows See Instructions for Use ie Fuse Replacement Description of Controls Indicators and Symbols Equipotential Terminal ground ed Date of Manufacture 5 Data Interface T t F There is one symbol located on the front panel of the N 595 in un m ay usr k Type BF Applied Part Not defibrillator proof Description of Controls Note A button press except the ON STANDBY button should result in either a valid or an invalid key tone refer to Table 1 on page 14 If the key pressed fails to emit a tone contact qualified service personnel B The ON STANDBY button Used to turn the N 595 monitor on or off The ALARM SILENCE button Used to silence current alarms for the alarm silence duration period When an alarm has been silenced pressing the button again reactivates or unsilences the alarm It is also used to view and adjust alarm silence duration and alarm volume N 595 9 N 595 m E m n Description of Controls Indicators and Symbols 0 o 00 The ALARM SILENCE button clears SENSOR OFF LOW BATTERY and SENSOR DISCONNECT messages from the display The ADJUST UP button Used to increase variable parameters of the monitor The ADJUST DOWN button Used to decrease variable parameters in the monit
44. C 60068 2 27 at 100 g Operation during vibration TEC 60068 2 6 and TEC 60068 2 34 Electromagnetic Compatibility TEC 60601 1 sub clause 36 IEC EN 60601 1 2 second edition Radiated and conducted emissions EN 55011 Group 1 Class B Harmonic emissions TEC 61000 3 2 Voltage fluctuations flicker emissions TEC 61000 3 3 153 5 m JED Ue 2 m E ki s Specifications 154 Compliant With Electrostatic discharge immunity EN 61000 4 2 level 3 table top equipment Radiated radio frequency electromagnetic field immunity TEC 61000 4 3 at 3V m Electrical fast transient burst immunity TEC 61000 4 4 level 3 Surge immunity IEC 61000 4 5 level 3 FDA Reviewer s Guide Conducted EMI susceptibility TEC 61000 4 6 at 3 V m Power frequency magnetic fields TEC 61000 4 8 at 3 V m Operation vvith line voltage variations TEC 61000 4 11 for Table 7 Operation vvith electrical line voltage variations FDA Reviewer s Guide Radiated magnetic field emissions RE 101 Army 7cm of MIL STD 461E Magnetic field susceptibility RS 101 in MIL STD 461E Quasi static electric field susceptibility FDA Reviewer s Guide Specifications Manufacturer s Declaration than those specified may result in increased emission and or b VVARNING The use o
45. IEC should be at least 30 61000 4 2 Electric fast 2 kV for 2 kV for Mains power quality transient power supply power supply should be that of a burst lines lines typical commercial and or hospital environment TEC 1 kV for 1 kV for 61000 4 4 input output input output lines lines Surge 1 kV 1 kV Mains power quality differential differential should be that of a mode mode typical commercial and or hospital TEC environment 61000 4 5 2 kV 2 kV common common mode mode Note UT is the AC mains voltage prior to application of the test level Table 14 Electromagnetic Immunity Specifications The N 595 is suitable for use in the specified electromagnetic environment The customer and or user of the N 595 should assure that it is used in an electromagnetic environment as described below IEC Electromagnetic 77 60601 1 2 Environment Test Level Guidance Voltage dips lt 5 Ur lt 5 Ur Mains power quality short should be that of a interruptions typical commercial and voltage and or hospital variationson gt 95 dipin 295 dip in environment If the power supply Up for 0 5 Un for 0 5 user of the N 595 cycle cycle requires continued operation during 40 U 40 U power mains IEC l B interruption it is 61000 4 11 recommended that the N 595 be 60 dipin 60 dipin Powered from an Ur for 5 Up for 5 uninterruptible yel power supply or eye y battery 70 Ur 70 Ur
46. NING Do not immerse or wet the Oxr MAx sensor WARNING Do not lift the pulse oximeter by the pulse oximetry cable or power cord because the cable or cord could disconnect from the pulse oximeter causing the pulse oximeter to drop on the patient OXIMAX Sensors and Accessories associated alarm indicate that the Ox Max sensor is either disconnected or the wiring is faulty The user should check the Ox MAx sensor connection and if necessary replace the OxrMAx sensor pulse oximetry cable or both 9 Caution The OxrMAx sensor disconnect error message and Note Physiological conditions medical procedures or external agents that may interfere vvith the pulse oximeter s ability to detect and display measurements include dysfunctional hemoglobin arterial dyes lovv perfusion dark pigment and externally applied coloring agents such as nail polish dye or pigmented cream For a complete and up to date listing of all OxiMax sensors applicable to the N 595 refer to the Sensor Accuracy Grid posted on the Internet at http vvvvvv mallinckrodt com respiratory resp Serv Supp ProductManuals html When selecting an OxzMAx sensor consider the patient s weight and activity level the adequacy of perfusion and the available Ox MAx sensor sites the need for sterility and the anticipated duration of monitoring For more information refer to Table 7 on page 101 or contact your local Nellcor representative Refer to OXIMAX Sensor Perf
47. ODE for printing text data or GRAPH MODE for printing graphical data 1 Data Port Connector With the monitor in the normal monitoring mode 1 Connect the serial printer to the monitor s DATA PORT connector 1 using Nellcor printer cable part number 036341 2 Turn on the printer SETUP 3 Press the SETUP softkey NEXT 4 Press the NEXT softkey 79 tn un cn ay Bulsy Printing 5 Press the NEXT softkey NEXT COMM 6 Press the COMM softkey SERIAL PORT SETUP N 595 m E k m n Set the BAUD rate to the appropriate number using the ADJUST UP button Press the SELECT softkey to select PROTOCOL Set the PROTOCOL to ASCII for text printing or GRAPH for graph printing using the ADJUST UP button EXIT 10 Press the EXIT softkey TREND 11 Press the TREND softkey MONITR 12 Press the MONITR softkey for monitor trend printing or press the SENSOR softkey for in sensor event history data printing SENSOR 80 Printing 13 Press the NEXT softkey NEXT 1HR TREND 110 BPM 75 40 5 VIEW 200 PRINT 14 Press the PRINT softkey ASCII printout VERSION 1 0 0 0 TREND Sp z Limit BS100 PR Limit 20 1 ADULT OSAT S SPO RESP MODE NORMAL TIME BPM STATUS 1 2 2 14 01 15 120 1 2 2 14 01 373 1 1 2 2 14 00 13 120 Output Complete GRAPH printout 2HR TREND 25 AN Z 14 35 05 Monitor T
48. Ox MAx algorithm Some of these are used to assess the severity of conditions presented to the N 595 in measuring 5 and pulse rate on a patient These individual matrices or combinations of these matrices are used to drive the LED indicators on the N 595 front panel The OxiMax algorithm automatically extends the amount of data required for measuring SpO2 and pulse rate depending on the measurement conditions During normal measurement conditions the averaging time is 6 7 seconds During challenging measurement conditions which could be caused by low perfusion motion external interference like ambient light or a combination of these the OXIMAX algorithm automatically extends the amount of data required beyond 7 seconds If the resulting dynamic averaging time exceeds 20 seconds the pulse search indicator is lit solid and SpO2 and Pulse Rate will continue to be updated every second As these conditions become even more challenging the amount of data required continues to extend If the dynamic averaging time reaches 40 seconds the pulse search indicator begins flashing the SpO2 and pulse rate displays flash zeros indicating a loss of pulse condition N 595 11 Description of Controls A Poa 81 N 595 m E k m a n u112 12 ndicators and Symbols WARNING Failure to cover the OxiMax sensor site with opaque material in high ambient light conditions may result in inaccurate measurements The 905
49. Oz Trend Display VVith the monitor in the normal monitoring mode TREND 1 Press the TREND softkey MONITR 2 Press the MONITR softkey EW 3 Press the VIEW softkey s 5 2 4 Press the SPO2 softkey SpO2 trend data is displayed 12HR TREND 100 VIEVV ZOOM BACK Pulse Rate Trend Display N 595 With the monitor in the normal monitoring mode TREND 1 Press the TREND softkey MONITR 2 Press the MONITR softkey VIEW 3 Press the VIEW softkey 59 Monitor Trend ukse 4 Press the PULSE softkey The pulse trend data is displayed 1 TREND 110 m E k m n Histogram Trend Data Display The histogram displays trend data for the percent of oxygen blood saturation SpO2 and pulse rate bpm The data displayed represents the trend data stored over the period of time indicated on the display Refer to Selecting the Trend Data Display Scale on page 55 to set up the desired trend data scale Pulse amplitude cannot be displayed on the histogram display With the monitor in the normal monitoring mode 1 Press the TREND softkey j m m Z MONTIR 2 Press the MONITR softkey s EVV 3 Press the VIEVV softkey NEXT 4 Press the NEXT softkey 60 Pulse Amplitude Trend Data Display N 595 Monitor Trend jist 5 Press the HIST softkey The Histogram trend data is displayed S5JUL O4 02 25JUL 15 02 BPM Bam 201 250 T 7 151 200 os 0
50. X Q J m L Z o Ox MAX N 395 Pulse Oximeter Operator s Manual Nellcor Puritan Bennett Inc is an affiliate of Tyco Healthcare Nellcor Oxiband Durasensor OxiCliq Dura Y MAX FAST and OxiMax are trademarks of Nellcor Puritan Bennett Inc This ISM device complies with Canadian ICES 001 Cet appareil ISM est conforme a la norme NMB 001 Canada To obtain information about a warranty if any contact Nellcor s Technical Services Department or your local representative Purchase of this instrument confers no express or implied license under any Nellcor Puritan Bennett patent to use the instrument with any sensor that is not manufactured or licensed by Nellcor Puritan Bennett Covered by one or more of the following U S Patents and foreign equivalents 4 621 643 4 653 498 4 700 708 4 770 179 Re 35 122 4 802 486 4 869 254 4 928 692 4 934 372 5 078 136 5 351 685 5 368 026 5 485 847 5 533 507 5 662 106 and 5 853 364 Contents ContentS i a a ee ee eee Ra aba vi T Elias tS Ae ee ne eens a a a eee vi Safety Information and Introduction LI MONO LL aaa aaa Ra a ma a dl do kara 1 VVarn ngs ese a a 1 002200 000000 00 000 00 00 2 CONGO oxa aa a aksu na 5 Intended Use for the N 595 5 How to Use this Manual 5555555 6 Using the N 595 Descriptio
51. XIMAX Sensor Event Record Ox MAx Sensor Tabular Event Data N 595 The OxiMax sensor tabular event data is a listing of all events recorded on the sensor s memory chip SUMMARY DATE START 2 11 07 10 30 O2JAN 09 57 02 09 46 ail SUMMARY 4 DATE START DUR SPOR BPM 100 2 13 55 00 03 00 75 80 6370 59 11 07 00 10 30 7 6 83 60 64 2 10230 00 06 30 7984 57 64 a7 O2JAN 00 02 00 02 00 8284 _ 5963 T PR NT BACK The table title shows in the upper left corner Below the table title is a six column table vvith left to right column headings of event number date DATE event start time START event duration DUR SPO2 minimum and maximum values during the event 7eSPO2 and pulse rate minimum and maximum values during the event BPM Event data are listed in chronological order vvith the most recent event shovvn first at the top of the list vvhen the tabular Event Summary display is first accessed Four events can be displayed simultaneously the table must be scrolled to view additional events The user can move to the next screen vievv of the table the next three events the previously displayed bottom or top event is retained as the fourth event for context when a table is scrolled using the two left most softkeys which are labeled with left and right facing arrow icons respectively At the beginning of an event sequence Event 1 of 5 e
52. a relay that opens when an alarm is sounding Pin 15 is acommon lead for both relays N 595 95 Using the Data Port The nurse call function needs to be tested after it has been set up in your facility The nurse call feature should be tested whenever setting up the N 595 pulse oximeter in a location that uses nurse call If an attached OxiMax sensor is not connected to a patient the monitor display reads zeros and the monitor remains in the Pulse Search Mode for 5 seconds then the monitor displays 3 dashes in the SpO2 and pulse rate display One way to test the nurse call function is to create an alarm condition for example sensor disconnect and verify that your facility s nurse call system is activated N 595 Setting Nurse Call RS 232 Polarity m E k m n The nurse call polarity can be set to a positive signal NORM ona monitor alarm condition or a negative signal NORM on a monitor alarm condition With the monitor in the normal monitoring mode 1 Press the SETUP softkey 2 Press the NEXT softkey 3 Press the NEXT softkey z z vo 5 Bez E 4 NCALL 4 Press the NCALL softkey NORM NORM BACK 96 Using the Data Port Press the NORM softkey NORM or NORM 6 Press the NORM softkey EXIT 7 Press the EXIT softkey Setting Nurse Call Relays Normally Open Closed in un cn ay bulsn Data port pins 7 and 15 provide a relay
53. additional alarm limit changes will take space reserved for trend data in un in ay Bush space Change alarm limits only as needed 9 Caution Changing alarm limit settings uses up trend memory Note Trend memory alvvays contains the most recent 48 hours of data vvith nevvly collected data overvvriting the oldest data on a rolling basis The N 595 continues to record data points as long as the monitor is povvered on vvith blank data points collected if no OxiMax sensor is connected to the monitor or patient Blank data will over write older patient data if the memory becomes full Therefore if you want to save old patient data it is important that you turn your monitor off when you are not monitoring a patient and that you download the trend memory before it fills up and over writes the old data with new data or blank data Selecting the Trend Data Display Scale The trend scale is the amount of trend data displayed on the screen With the monitor in the normal monitoring mode TREND 1 Press the TREND softkey MONITR 2 2 Press the MONITR softkey N 595 55 m E k m n N 595 Monitor Trend 56 Press the VIEW softkey VIEW d 4 Press any of the trend softkeys DUAL SPO2 or PULSE To select HIST histogram or AMP amplitude press the NEXT softkey and then the HIST or AMP softkeys zoom 5 Press the ZOOM softkey The Zoom menu is displayed s 5
54. alarm second press cancels LOW BATTERY message LED stays on until Low Battery Condition is corrected Shutdown N A Battery Operation Table 2 Low Battery and Critical Battery Critical Low State Battery Battery AC Operation 4 No Yes Yes SpOz normal charge LED on LOW BATTERY LED on LOW BATTERY message off T en yl mn ay Busy Audible alarm off Error code logged Effect of ALARM SILENCE key N A LED stays on Shutdown N A Note Connecting AC functions the same as ALARM SILENCE key in state 3 5 Not used 6 Yes Yes No SpO2 not displayed AC Battery charge LED off LOW BATTERY LED on flashing LOW BATTERY message on Audible alarm high priority Error code displayed and logged Effect of ALARM SILENCE key none Shutdown after 10 seconds N 595 25 Battery Operation Table 2 Low Battery and Critical Battery Critical Low Battery Battery AC Operation State 7 Yes Yes Yes SpOz not displayed AC Battery charge LED on LOW BATTERY LED on 2 flashing LOW BATTERY message on 5 Audible alarm high priority Error code displayed and logged Effect of ALARM SILENCE key N A Shutdown after 10 seconds 26 Using the Monitor Introduction N 595 The parameters of the N 595 monitor are preset to factory default settings See Factory Defaults on page 139 The factory default parameters may be changed to ins
55. ation from the screen and display the message EEE XXX and sound a low priority alarm Cycling the power clears these errors Table 9 Error Codes Error Error Action Code Message 80 DEFAULTS The current power on default settings LOST have been lost and returned to factory defaults Qualified service personnel can use the service manual to restore the desired power on default settings 81 SETTINGS The current settings for example alarm LOST limits alarm and pulse beep volumes alarm silence duration have been lost and returned to power on defaults Turn the monitor off and back on again If it is necessary to have settings different from the power on default settings turn the monitor off and back on again and reenter the desired settings 82 CLOCK The date and time settings have been SETTING lost Reenter the date and time LOST 530 LOW The battery is discharged to a critically BATTERY low level Check to ensure that the voltage selector switch on the rear panel is set to the proper voltage Turn the monitor off and let it charge for approximately 10 minutes and then reattempt to turn the unit on If the error code is still present turn the unit off and let it continue to charge If the monitor has been charged for 30 minutes and the error code is still present notify service personnel Troubleshooting Prompts and Error Messages Prompt Error Messages are displayed in the menu area Prompt
56. aution The pulse oximeter default settings will return to in 2 Note If the AC voltage selector switch on monitor rear panel does not match your AC voltage source the monitor may run on battery power even though it is plugged into AC power which will eventually result in a low priority alarm and a lighted low battery indicator Ensure that the switch setting matches your AC voltage ay Buis Note As the battery is used and recharged over a period of time the amount of time between the onset of the low battery alarm and the instrument shut off may become shorter Table 2 Low Battery and Critical Battery Critical Low State Battery Battery AC Operation 1 No No Yes SpOz normal AC Battery charge LED on LOW BATTERY LED off LOW BATTERY message off Audible alarm off Error code none Effect of ALARM SILENCE key normal Shutdown N A N 595 23 m E k m i n N 595 Battery Operation Table 2 Low Battery and Critical Battery Critical Low State AC Operation Battery Battery 2 No No No SpO2 normal AC Battery charge LED off LOW BATTERY LED off LOW BATTERY message off Audible alarm off Error code none Effect of ALARM SILENCE key normal Shutdown N A 24 SpO2 normal AC Battery charge LED off LOW BATTERY LED on LOW BATTERY message on Audible alarm low priority Error code logged Effect of ALARM SILENCE key First press silences audio
57. ce Reminder Enabled Alarm Volume 7 of 10 Data Port Baud Rate 9600 Data Port Protocol ASCII Display Contrast Midrange Display Format Pleth Language English Nurse Call Polarity Normally Low Pulse Beep Volume 4 of 10 Pulse Rate Lower Alarm Limit 90 beats per minute E 2 N 595 139 2 m p ki z 5 m E 2 Factory Defaults Table 11 Neonate Factory Defaults Parameter Setting Pulse Rate Upper Alarm Limit 190 beats per minute Adult Default Settings 140 Response Mode Normal SatSeconds Off Trend Display SpO2 Trend Scale 2 hours Table 12 Adult Factory Defaults Parameter Setting Monitoring Mode Adult SpO2 Lower Alarm Limit 85 SpO2 Upper Alarm Limit 100 Allow silence duration to be Yes set to OFF Alarm Silence Duration 60 seconds Alarm Silence Reminder Enabled Alarm Volume 7 of 10 Data Port Baud Rate 9600 Data Port Protocol ASCII Display Contrast Midrange Display Format Pleth Language English Nurse Call Polarity Normally Low Factory Defaults Table 12 Adult Factory Defaults Parameter Setting Pulse Beep Volume 4 of 10 Pulse Rate Lower Alarm 40 beats per minute Limit Pulse Rate Upper Alarm Limit 170 beats per minute Response Mode Normal SatSeconds Off Trend Display SpO2 Trend Scale 2 hours 214
58. ctromagnetic 60601 1 2 Compliance Environment Test Level Test Level Guidance Portable and mobile RF communications equipment should be used no closer to any part of the N 595 including cables than the recommended separation distance calculated from the equation appropriate for the frequency of the transmitter Recommended Separation Distance Radiated RF 3 V m 3 V m distance 1 2NPovver IEC 80 MHz 61000 4 3 800 MHz 80 MHz to 800 MHz 3 V m 3 V m distance 2 3 Power 800 MHz 800 MHz to 2 5 GHz 2 5 GHz Note Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with survey accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the N 595 is used exceeds the applicable RF compliance level above the N 595 should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as re orienting or relocating the N 595 Note These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people Interference may occur in the vicinity of equipment marked with the following sy
59. ding number see Troubleshooting on page 117 SHE LiLo EEE XXX LIMITS SETUP LIGHT 565 ay Buis 5 Upon successful completion of the POST the N 595 sounds a one second tone indicating that the monitor has passed the test WARNING If you do not hear the POST pass tone do not use the pulse oximeter WARNING Ensure that the speaker is clear of any obstructions Failure to do so could result in an inaudible alarm tone Note In addition to serving as the POST pass verification the POST pass tone also functions as an audible confirmation that the speaker is performing properly If the speaker does not function the alarm warning sounds cannot be heard OxiMax Sensor Attached When an Ox MAx sensor is attached to the monitor a DATA TYPE message is displayed briefly at the bottom of the monitor display For a sensor containing data the message identifies the sensor data type For a blank sensor the message identifies the monitor s current N 595 31 N 595 m E m n Using the Monitor 32 data type setting that will be used to write data to the sensor The data type settings are SPO2 and SPO2 BPM Note The type of data recorded is only displayed when data is resent in the sensor The monitor displays zeros in the SpO2 and Pulse Rate displays while the N 595 is searching for a valid pulse For optimal performance allow the monitor to searc
60. discharged If the battery is discharged charge the battery see Operating the N 595 on Battery Power on 122 Troubleshooting page 21 If the battery will not charge notify service personnel to replace the battery 2 One or more display elements or indicators do not light during the power on self test Do notuse the N 595 contact qualified service personnel or your local Nellcor representative 3 The monitor is operating on battery power even though it is connected to AC Ensure that the supply voltage selector switch is set to the proper voltage e Make sure that the power cord is properly connected to the N 595 Check to see if power is available to other equipment on the same AC circuit 4 The Pulse Search Indicator is lit for more than 10 seconds before any measurements are taken Check the OxiMax sensor directions for use to determine if an appropriate OxiMax sensor is being used and if it is applied properly Check OxiMax sensor and pulse oximetry cable connections Test the sensor on someone else Try another Oxr MAx sensor or pulse oximetry cable 3 J a F Perfusion may be too low for the N 595 to track the pulse Check the patient Test the instrument on someone else Change the OxiMax sensor site Try another type of Ox MAx sensor N 595 123 Troubleshooting e Excessive patient motion may be preventing the N 595 from tracking the pulse Keep th
61. dition exists b VVARNING The nurse call feature should not be used as the in 2 ay Buis WARNING The nurse call feature is not functional whenever the pulse oximeter alarms are silenced The nurse call feature of the N 595 monitor is operational when the monitor is powered by AC power or battery power The nurse call feature of the N 595 works in conjunction with the nurse call system of your institution when the monitor sounds an audible alarm It is accessed through the data port pins 7 8 10 11 or 15 as indicated in Table 5 on page 92 The N 595 provides two different types of nurse call interfaces an RS 232 level and relay closure The RS 232 level nurse call function operates when the monitor is connected to AC power or on battery The relay based nurse call function is available when the monitor is operating either on AC power or on battery power The remote location is signaled anytime there is an audible alarm If the audible alarm has been turned off or silenced the nurse call function is also turned off Pin 11 on the data port is the RS 232 level nurse call signal and pin 5 or 10 is ground see Table 5 on page 92 When there is no alarm condition the voltage between pins 10 and 11 is 5 to 12 VDC Whenever the monitor is in an alarm condition the output between pins 10 and 11 is 5 to 12 VDC Pins 7 and 15 provide a relay that closes when an alarm is sounding on the monitor Pins 8 and 15 provide
62. e 1 Adult specifications are shown for OxIMAX MAX A and MAX N sensors with the N 595 Neonate specifications are shown for OXIMAX MAX N sensors with the N 595 Saturation accuracy will vary by sensor type Refer to the Sensor Accuracy Grid The Sensor Accuracy Grid is shipped with the monitor The latest version of the Sensor Accuracy Grid is available on the Internet at http www mallinckrodt com respiratory resp Serv_Supp ProductManuals html 2 Applicability OxIMAxX MAX A MAX AL MAX I and MAX N sensors 2 Specification applies to monitor performance Display Update Interval 2 seconds Instrument Power rated at 108 to 132 volts AC nominal 120 VAC or Requirements 220 to 240 volts AC nominal 230 VAC 20 volt amps to be compliant with IEC 60601 1 sub clause 10 2 2 Fuses qty 2 0 5 A 250 volts slow blow IEC 5 x 20 mm Battery The battery provides at least 2 hours of battery life when new and fully charged with no alarms no serial data no analog output no nurse call output with backlight on while using a pulse simulator set for 224 bpm high light and low modulation Specifications Battery Type Lead acid Voltage 6 Volts DC Recharge e 14 hours with N 595 turned off e 18 hours with N 595 operating Shelf Life e 2 months new fully charged battery e After 2 months storage the N 595 vvill run for 50 of stated battery life Complie
63. e and will return to the same monitor To place a monitor in the standby mode 1 The monitor should be monitoring a patient 2 The monitor alarm limits should be configured to the patient being monitored 3 Disconnect the sensor from the monitor 4 Press the ALARM SILENCE button This silences the audible alarms 5 Press the ALARM SILENCE button This disables the alarm messages u FE Li Con 2 565 ay Busy m E k m a n N 595 Using the Monitor The monitor is now in standby To return to normal monitoring connect the sensor to the monitor and the patient Adult Pediatric or Neonatal Settings A The clinician can set the monitor s operating mode to adult pediatric or neonatal by using the LIMITS softkey The setting will only remain in the monitor until the monitor is turned off The factory default power on setting is for adult pediatric patients This default setting can be changed to neonatal by qualified service personnel using the procedures indicated in the service manual Refer to Table 11 on page 139 for neonate factory default limit settings Refer to Table 12 on page 140 for adult factory default limit settings WARNING Each time the pulse oximeter is used check alarm limits to ensure that they are appropriate for the patient being monitored Setting Patient Adult Pediatric Neonatal Mode 42 With the monitor in the normal monitoring mode U
64. e in the service manual Setting SatSeconds Alarm Limit 46 Refer to Describing SatSeconds on page 135 for a description of the SatSeconds function With the monitor in the normal monitoring mode LIMITS 1 Press the LIMITS softkey Current alarm limits are displayed SELECT 2 Press the SELECT softkey twice to select SpO2 SAT S ADULT LIMITS SP02 UPPER 100 170 LOWER 80 40 100 SATS 5 SELECT NEO ADULT EXIT 3 Use the AJDUST UP or ADJUST DOWN buttons to select the limit The choices are 10 25 50 or 100 seconds or OFF EXIT 4 Press the EXIT softkey to save your choice Using the Monitor Setting Monitor Response Mode N 595 SETUP z z z o m m m 5 x x x m 4 4 4 The purpose of the response mode is to set the response time of the Ox Max algorithm calculation of the 5 the response mode does not affect the Ox MAx algorithm s calculation of pulse rate The trending interval 2 or 4 seconds is updated automatically by the monitor to roughly correspond with the SpOz calculation response time The response mode programs the Ox MAx algorithm to display monitor trend information at 2 second intervals Fast Mode or 4 second intervals Normal Mode 565 auy bulsn The response mode display screen includes the current SpO2 response mode setting and the current measured SpO2 and pulse rate When in the fast mode the screen displays the fast mode symbol
65. e patient still if possible Verify that the OxiMax sensor is securely applied and replace it if necessary Change the sensor site Use a type of sensor that tolerates more patient movement for example an adhesive OxiMax sensor e OxiMax sensor may be too tight there may be excessive ambient light or the Ox MaAx sensor may be on an extremity with a blood pressure cuff arterial catheter or intravascular line Reposition the Ox Max sensor as necessary e Excessive environmental motion or electromagnetic interference may be preventing the N 595 from tracking the pulse Remove the source of interference or try to stabilize the environment or do both 5 The Pulse Search Indicator lights after successful measurements have been made e Check the patient e Perfusion may be too low for the N 595 to track the pulse Test the instrument on someone else Change the OxiMax sensor site Try another type of OxiMax sensor e Excessive patient motion may be preventing the N 595 from tracking the pulse Verify that the sensor is securely applied and replace it if necessary Change the OxiMax sensor site Use a type of OxiMax sensor that tolerates more patient movement for example an adhesive sensor z m 6 E OxiMax sensor may be too tight there may be excessive ambient light or the Ox Max sensor may be on an extremity with a blood pressure cuf
66. echnical Assistance 126 Tone Alarm Silence Reminder 14 Confirmation Tone 14 High Priority Alarm 14 Invalid Button Press 14 Low Priority Alarm 14 Medium Priority Alarm 14 Power On Self Test Pass 14 Pulse Beep 14 Valid Button Press 14 Volume Setting Tone 14 Transport Relative Humidity 150 Temperature 150 Trend Data Operation 55 Trend Data Display Reading 57 Trend Display Dual Trend 58 Histogram 60 Pulse Amplitude 61 Pulse Rate 59 Reading the 57 Scale 55 SpO2 59 Trend Scale 55 Troubleshooting Help 122 Turning On the Monitor 29 U Utility Basket 109 Vv Verification Index Performance 111 Horizontal 107 Vertical Wall Mount 106 Vertical 106 Warning 1 W Wall Mount N 595 171 tyco Healthcare Tyco Healthcare Group LP Nellcor Puritan Bennett Division 4280 Hacienda Drive Pleasanton CA 94588 U S A Telephone Toll Free 1 800 635 5267 Authorized Representative Tyco Healthcare UK LTD 154 Fareham Road Gosport P013 0AS U K Rx ONLY Olas 2002 Nellcor Puritan Bennett Inc All rights reserved 066219A 1102
67. ensate for differences in tissue thickness the light intensity of the Ox Max sensor s LEDs is adjusted automatically Functional versus Fractional Saturation 144 This pulse oximeter measures functional saturation oxygenated hemoglobin expressed as a percentage of the hemoglobin that can transport oxygen It does not detect significant amounts of dysfunctional hemoglobin such as carboxyhemoglobin or methemoglobin In contrast hemoximeters such as the IL482 report fractional saturation oxygenated hemoglobin expressed as a percentage of all measured hemoglobin including measured dysfunctional hemoglobins To compare functional saturation measurements to those from an instrument that measures fractional saturation fractional measurements must be converted as follows fractional saturation functional saturation x 100 100 76 carboxyhemoglobin methemoglobin Principles of Operation Measured versus Calculated Saturation When saturation is calculated from a blood gas partial pressure of oxygen PO2 the calculated value may differ from the 5 measurement of a pulse oximeter This usually occurs because the calculated saturation was not appropriately corrected for the effects of variables that shift the relationship between PO2 and pH temperature the partial pressure of carbon dioxide 2 2 3 DPG and fetal hemoglobin See Figure 14 on page 145 100
68. ent record to the sensor The accuracy of the date time is the responsibility of the N 595 It is recommended that the N 595 user set the time date to the correct value before a sensor event record enabled sensor is connected and that this date time not be changed while the sensor remains connected Since a sensor with sensor event record data can be transported from one monitor to another having discrepancies in the date time between monitors and the sensor event record data will affect the order the sensor event record data appears To eliminate this possible problem all monitors within an institution should be set to the same time b WARNING The sensor extrapolates from the date and time in 23 cn ay Buisn The adhesive sensors are capable of storing patient event data A sensor event record allows alarm event history to travel with the patient on the sensor s memory chip for quick assessment at every point of care where OxiMax monitors are used Patient event data is stored on the memory chip of adhesive OxiMax sensors single patient use OxrMAx sensors only The event data is stored recorded with the limit threshold settings that were active at the time of the event on the recording monitor These events can be viewed on the next sensor monitor when the patient moves to a new point of care An event occurs when the SpO2 value exceeds either the upper or lower alarm limit for at least 15 seco
69. erienced users of the N 595 will be able to go to the topics for the information they require The current copy of this manual is available on the internet at http www mallinckrodt com respiratory resp Serv_Supp ProductManuals html Description of Controls Indicators and Symbols Identification of Front Panel Buttons and Symbols N 595 21 J 19 18 17 16 15 14 13 12 11 1 SpO2 Ox MAX Sensor Port page 19 12 ADJUST DOWN Button page 10 2 AC Power Indicator page 12 13 Neonate Mode Indicator page 13 3 ON STANDBY Button page 9 14 CONTRAST Button page 10 4 Lovv Battery Indicator page 12 15 Fast Response Mode Indicator page 13 5 VVaveform Display page 10 16 Softkeys page 10 6 SatSeconds Indicator page 13 17 Menu Bar page 10 7 968 2 Display page 12 18 Data In Sensor Indicator page 13 8 Pulse Rate Display page 12 19 Motion Indicator page 12 9 Alarm Silence Indicator page 12 20 Pulse Search Indicator page 13 10 ALARM SILENCE Button page 9 21 Speaker 11 ADJUST UP Button page 10 Figure 1 Front Panel Buttons and Symbols in un cn ay bulsn m E k m n Description of Controls Indicators and Symbols Identification of Rear Panel Components 1 Equipotential Terminal Ground 4 Fuse Holder 2 AC Power Connector page 17 5 Supply Voltage Selector Switch page 17 3 Data Port Connector page
70. etup Sensor menu EXIT to Main menu MSG Sensor Set Message Menu BACK back to Setup Sensor menu EXIT to Main menu NEXT Clock Language Menu CLOCK Clock Menu SET Clock Set Menu SELECT press select to toggle through hours minutes seconds month day year use up down buttons to set each selection BACK back to Clock Language menu EXIT to Main menu LANG Language Setup Menu use up down buttons to toggle though languages BACK back to Clock Language menu NEXT Communication Nurse Call Menu COMM Communication Port Configuration Menu SELECT 0 BACK back to Communication Language menu 0 EXIT to Main menu NCALL Nurse Call Menu NORM BACK back to Communication Nurse Call menu EXIT to Main menu NEXT Analog Mode Menu ANALOG Analog Voltage Select Menu 0 VOLT 1VOLT STEP BACK back to Analog Mode menu MODE Mode Menu BACK back to Analog Mode menu EXIT to Main menu BACK back to Communication Nurse Call menu EXIT to Main menu BACK back to Clock Language menu BACK back to Setup menu EXIT to Main menu LIGHT Turns the display backlight on or off F m 6 E 134 SatSeconds Describing SatSeconds
71. event during transport or in the previous area of care This feature is only available with adhesive single patient use sensors Single patient use OxiMax sensors are intended for single patient use only recorded SpO2 event history data does not distinguish between events that have been collected from multiple patients Selecting an Oxi MAx Sensor directions for use including all warnings cautions and b WARNING Before use carefully read the OxrMAx sensor instructions N 595 99 m m m 44 a ou w b i l un m i OXIMAX Sensors and Accessories 100 gt e PP PP b WARNING Do not use a damaged Ox1Max sensor or pulse oximetry cable Do not use an OxiMax sensor with exposed optical components WARNING Use only Nellcor approved OxiMax sensors and pulse oximetry cables with this pulse oximeter Other sensors or pulse oximetry cables may cause improper N 595 performance WARNING Do not attach any cable to the OxrMAx sensor port connector that is intended for computer use WARNING Tissue damage can be caused by incorrect application or duration of use of an SpOz OxiMax sensor Inspect the sensor site periodically as directed in the sensor directions for use WARNING Pulse oximetry readings and pulse signal can be affected by certain ambient environmental conditions OxiMax sensor application errors and certain patient conditions WAR
72. f arterial catheter or intravascular line Reposition the sensor as necessary 124 Troubleshooting e Excessive environmental motion or electromagnetic interference may be preventing the N 595 from tracking the pulse Remove the source of interference or try to stabilize the environment or do both 6 The letters EEE followed by a number appear on the display e This is an error code To confirm press the ON STANDBY button to turn the monitor off then press the button again to turn it back on If the display shows the error code once again record the number and provide that information to qualified service personnel or your local Nellcor representative Error Code EEE 4 is displayed when the battery is discharged to a critically low level Check to ensure that the voltage selector switch on the rear panel is set to the proper voltage for your location e Turn the monitor off and let it charge for about 10 minutes and then turn the unit back on If the error code is still present turn the unit off and let it continue to charge If the monitor has been charged for 30 minutes and the error code is still present notify service personnel EMI Electro magnetic Interference the limits for medical devices to the IEC 60601 1 1 2 second edition EN60601 1 2 and the Medical Device Directive 93 42 EEC These limits are designed to provide reasonable protection against harmful interference in a typica
73. f accessories sensors and cables other decreased immunity of the N 595 pulse oximeter Table 13 Electromagnetic Emissions The N 595 is suitable for use in the specified electromagnetic environment The customer and or user of the N 595 should assure that it is used in an electromagnetic environment as described below Electromagnetic Emissions Test Compliance p Environment Guidance RF emission Group 1 The N 595 must emit electromagnetic energy in order to CISPR 11 perform its intended function Nearby electronic equipment may be affected RF emissions Class B The N 595 is suitable for use in all establishments CISPR 11 Harmonic Complies emissions IEC 61000 3 2 Voltage Complies fluctuations flicker emission IEC 61000 3 3 JED UL Q z N 595 155 2 m E ki s Specifications 156 Table 14 Electromagnetic Immunity The N 595 is suitable for use in the specified electromagnetic environment The customer and or user of the N 595 should assure that it is used in an electromagnetic environment as described below immunit IEC Compliance Electromagnetic Test y 60601 1 2 Environment Test Level Guidance Electrostatic 6kV 6 kV contact Floor should be discharge contact wood concrete or ESD ceramic tile If floors are covered with 8 KV air synthetic material 8 kV air the relative humidity
74. ftkeys m E m n OxiMax sensor messages may be disabled Refer to OXIMAX Sensor Message Setup on page 127 for selecting the Sensor Messages Enable Disable function SUGGESTED ACTION REPOSITION SENSOR CLEAN SENSOR SITE NASAL EAR SENSOR BPM NEXT BACK EXIT OxiMax Sensor Adjust Condition Messages e Condition 1 SENSOR OFF e Condition 2 SMALL PULSES e Condition 3 WEAK SIGNAL 50 Using the Monitor e Condition 4 MOTION INTERFERENCE e Condition 5 EXCESS INFRARED LIGHT Condition 6 ELECTRICAL LIGHT INTEREFERENCE e Condition 7 HIGH PULSE AMPLITUDE T E wo mn OxiMax Sensor Adjust Messages ay Buis e Message 1 ALTERNATE SITE e Message 2 COVER SENSOR SITE e Message 3 EAR FOREHEAD SENSOR e Message 4 NASAL EAR SENSOR Message 5 OxiMax ADHESIVE SENSOR e Message 6 SECURE CABLE e Message 7 HEADBAND e Message 8 WARM SITE e Message 9 BANFAGE ASSEMBLY e Message 10 NAIL POLISH e Message 11 SENSOR TOO TIGHT e Message 12 REPOSITION SENSOR e Message 13 ISOLATE INTERFERENCE SOURCE e Message 14 CLEAN SENSOR SITE N 595 51 Monitor Trend Monitor Trend Data N 595 The trend displays allow the user to view trend data Two types of trend data can be viewed e Monitor trend data which are stored in the monitor e Patient event data which are stored in the
75. ground pins 5 and 10 Selecting the STEP softkey causes the voltage to increase from 0 to 1 volt at 1 10 volt increments with each step lasting at least 1 second Qualified service personnel using the procedure described in the N 595 service manual can perform calibration of the attached device OXIMAX Sensors and Accessories provided by the N 595 when recording the sensor event record to the sensor The accuracy of the date time is the responsibility of the N 595 It is recommended that the N 595 user set the time date to the correct value before a sensor event record enabled sensor is connected and that this date time not be changed while the sensor remains connected Since a sensor vvith sensor event record data can be transported from one monitor to another having discrepancies in the date time between monitors and the sensor event record data will affect the order the sensor event record data appears To eliminate this possible problem all monitors within an institution should be set to the same time b WARNING The sensor extrapolates from the date and time Ox MAx Sensor Event Record Data d n F m in pue S1I0SUa5 The N 595 records a patient s OxiMax sensor SpO2 event history from the OxiMax sensor s memory chip allowing a patient s event history to travel with the patient as the patient moves throughout the hospital This allows caregivers to assess whether the patient had a bad
76. h and lock onto a pulse for approximately 10 seconds in non motion conditions When a valid pulse is detected the monitor enters the Monitoring Mode and displays patient parameters ilk O 81 Ze VU U U BPM 112 LIMITS TREND SETUP LIGHT LIMITS TREND SETUP Look for movement of the blip bar or of the plethysmographic waveform indicating that the monitor is displaying real time data Listen for the pulse beep tone If the pulse beep tone does not sound with each pulse it is an indication that the pulse beep volume is set to zero the speaker is malfunctioning or the signal is corrupted When an Ox MAx sensor is attached to the monitor and is applied to a patient if the monitor loses the pulse signal the monitor will display amp 3 dashes and 3 dashes and remain in Pulse Search Mode for 5 seconds before displaying the poor signal condition screen The poor signal condition screen is part of the N 595 s Sensor Messages Using the Monitor feature For more information about OxIMAx Sensor Messages refer OXIMAX Sensor Messages on page 49 POOR SIGNAL CONDITION sp0 SMALL PULSES MOTION INTERFERENCE BPM EXIT ay Bulsy No OxiMax Sensor Attached Upon successful completion of the POST the N 595 monitor sounds a one second tone indicating that the monitor has passed POST SHELLCOR L a F e t t g teag The mon
77. h exposure may cause inaccurate performance or device failure WARNING Do not use an N 595 pulse oximeter OxrMAx sensor cables or connectors that appear damaged WARNING Do not lift the pulse oximeter by the pulse oximetry cable or power cord because the cable or cord could disconnect from the pulse oximeter causing the pulse oximeter to drop on the patient gt gt PPP PP N 595 15 m E k m n N 595 Setting up the Monitor 16 gt PP b WARNING The N 595 is not defibrillator proof However it may remain attached to the patient during defibrillation or while an electrosurgical unit is in use but the readings may be inaccurate during the defibrillation and shortly thereafter WARNING In the USA do not connect the pulse oximeter to an electrical outlet controlled by a wall switch because the pulse oximeter may be accidentally turned off WARNING Use only the Nellcor pulse oximetry cable DOC 10 with the N 595 pulse oximeter Use of another pulse oximetry cable will have an adverse effect on performance Do not attach any cable that is intended for computer use to the Ox M4Ax sensor port Do not connect any device other than a Nellcor approved Ox Max sensor to the sensor connector WARNING The N 595 should not be used adjacent to or stacked with other equipment If adjacent or stacked use is necessary the N 595 should be observed to verify normal operation in the configuration it is
78. he Monitor 3 Press the BLIP softkey BLIP SP02 BPM lm 81 112 e gt LIMITS TREND SETUP LIGHT N 595 m E m n Setting the Pulse Beep Volume With the monitor in the normal monitoring mode Ca 1 Press and hold the ADJUST UP ADJUST DOWN button to increase decrease pulse beep volume Setting the Alarm Volume The Alarm Volume display allows the user to adjust the volume of alarm tones With the monitor in the normal monitoring mode 36 Using the Monitor 1 Press the ALARM SILENCE button until the alarm volume level is displayed and sounds on the monitor VOL VU 5 LIMITS TREND SETUP LIGHT 2 While continuing to press the ALARM SILENCE button press C and hold the ADJUST UP ADTUST DOWN button to increase decrease the volume cn ay Busy Setting the Date and Time provided by the N 595 when recording the sensor event record to the sensor The accuracy of the date time is the responsibility of the N 595 It is recommended that the N 595 user set the time date to the correct value before a sensor event record enabled sensor is connected and that this date time not be changed while the sensor remains connected Since a sensor with sensor event record data can be transported from one monitor to another having discrepancies in the date time between monitors and the sensor event record data will affect the order the sensor e
79. icator 13 R Reading Trends 121 Real Time Data 83 Rear Panel Components 8 Recommended Separation Distances 161 Response Mode 86 Response mode 47 Returning the Monitor 129 Roll Stand 108 S Safety Checks 130 SatSeconds Alarm Management 135 Describing 135 Display 137 Safety Net 137 SatSeconds Indicator 13 Saturation Calculated 145 Fractional 144 Functional 144 Measured 145 Saturation High Limit Alarm 89 Saturation Low Limit Alarm 89 Screen Contrast 34 Scroll Trend Data 54 SD 89 Searching for a Valid Pulse 32 Selecting a Sensor 101 Selecting the Trend Data Display Scale 55 Sensor Performance Considerations 113 169 Index Sensor Disconnect 89 Sensor Disconnected 121 Sensor Event History Data 73 Sensor Event Record 66 Sensor Event Record Available 69 Sensor Event Record Not Available 70 Sensor Message Enable Disable 127 Sensor Message Setup 127 Sensor Off 89 Sensor Type 122 Setting SatSeconds Alarm Limit 46 Settings Lost 118 SH 89 SL 89 SO 89 Soft Sided Carrying Case 110 Software Version 30 Spanish 48 Specifications 147 Battery 148 Compliance 152 Electrical 148 Electrical Instrument 148 Environmental 149 Performance 147 Physical 151 SpO2 Trend Display 59 Stand Roll 108 Storage Relative Humidity 150 Temperature 150 Swedish 48 Symbols 8 Data Interface 9 Data of Manufacture 9 Equipotential Terminal 9 Fuse Replacement 8 See Instructions for Use 8 Type BF Applied Part 9 170 T T
80. ights continuously when an audible alarm has been silenced It flashes when the alarm silence duration has been set to Off The Motion Indicator The motion indicator is lit whenever the Ox MAx algorithm detects the presence of artifacts independent of its severity or the impact on the SpO2 or pulse rate values When the Description of Controls Indicators and Symbols motion indicator and the pulse search indicator are simultaneously lit it is an indication that the artifact is significant and or has been persistent The Pulse Search Indicator Lights continuously prior to initial 1 acquisition of a pulse signal and during prolonged and challenging monitoring conditions The pulse search indicator flashes during a loss of pulse signal An The Data In Sensor Indicator Lights to indicate that the attached Ox MAx sensor contains a patient sensor event record The sensor event record information may be viewed or printed in wo in ay Bulsy b SatSeconds Indicator Fills in clockwise as the SatSeconds alarm b l management system detects a SpO2 reading outside of the limit setting Empties in counterclockwise direction when 905 reading is within limits When the indicator is full a medium priority alarm will sound SPOJ The Fast Response Mode Indicator The response mode setting dictates the response time 2 to 4 seconds in fast mode and 4 to 7 seconds in normal mode applied by the Oxu
81. imeter See Figure 11 on page 109 The GCX utility basket attaches to the roll stand poly mount For further instructions regarding connecting the GCX utility basket refer to the illustrated directions for use included with the GCX utility basket Figure 11 GCX Utility Basket b n m i pue S1I0SUa5 N 595 109 l an 2 l n 2 ka 0 4 03 E el OXIMAX Sensors and Accessories Soft Sided Carrying Case 110 An optional soft sided carrying case is available from Nellcor for the N 595 pulse oximeter See Figure 12 on page 110 The padded carrying case protects the N 595 vvhile transporting the monitor The carrying case contains two pockets for OxzMAx sensors cables and operator s manual Figure 12 Soft Sided Carrying Case Performance Considerations affected by certain ambient environmental conditions OxrMAx sensor application errors and certain patient conditions See the appropriate sections of the manual for specific safety information b VVARNING Pulse oximetry readings and pulse signals can be Safety Information on page 1 e OXIMAX Sensors and Accessories on page 99 Performance Considerations on page 111 Performance Verification The performance of the N 595 can be verified by following the procedures outlined in the Performance Verification section of the N 595 service manual Qualified service personnel
82. it display also includes the SatSeconds indicator Decimal points after the displayed SpO2 or pulse rate indicate that the respective limits have been changed from the power on defaults With the monitor in the normal monitoring mode 44 Using the Monitor dib 1 Press the LIMITS softkey Current alarm limits are displayed ADULT LIMITS SsPO2 BPM UPPER 100 170 LOWER 85 40 SAT S 100 SELECT NEO ADULT EXIT or 565 ay Buis SELECT NEO ADULT ADULT or NEO 2 Press the ADULT or NEO softkey to select Adult Pediatric or Neonatal alarm limits screen SELECT 3 Press the SELECT softkey as required to select the parameter to be adjusted Use the ADJUST UP or ADJUST DOWN buttons to increase or decrease the selected limit parameter oo q 5 Repeat steps 3 4 and 5 as necessary to complete the alarm limits setup EXIT 6 To accept the changes let the display time out or press the EXIT softkey to exit the display and return to normal monitoring N 595 45 N 595 m E k n Using the Monitor Note Limit changes will only be in effect as long as the monitor remains turned on When the monitor is turned off the institutional or factory default limits will be restored into the monitor When the monitor is turned on the institutional or factory default limits will be in effect Factory or institutional defaults are selected by qualified service personnel following the procedur
83. itor displays dashes and the Pulse Search indicator is not lit indicating that the monitor failed to detect an OxiMax sensor N 595 33 Using the Monitor Turning the Backlight On or Off Note When the backlight is off any of the following conditions will turn on the backlight e pressing any of the softkeys e pressing the CONTRAST button e pressing the ALARM SILENCE button N 595 m E k m n e any alarm With the monitor in the normal monitoring mode press the LIGHT softkey LIGHT Adjusting Screen Contrast With the monitor in the normal monitoring mode 1 Press the CONTRAST button 2 Press the ADJUST UP or ADJUST DOWN button until the G desired contrast is obtained 3 Press the CONTRAST button Selecting the Pleth View The pleth view displays the pleth waveform SpO2z and pulse rate data Refer to Principles of Operation on page 143 for a description of the pleth waveform 34 Using the Monitor With the monitor in the normal monitoring mode SETUP 1 Press the SETUP softkey VIEW 2 Press the VIEW softkey PLETH 3 Press the PLETH softkey in un cn ay Buis LIMITS TREND SETUP LIGHT Selecting the Blip View Displays SpO2 pulse rate blip bar and limits in a larger format for easier viewing With the monitor in the normal monitoring mode SETUP 1 Press the SETUP softkey VIEW 2 Press the VIEW softkey N 595 35 Using t
84. l Sensor Event Record Data 71 168 H Histogram Trend Data Display 60 Horizontal Wall Mount 107 Hospital Type Environments 5 I In Sensor Tabular History Data 76 Italian 48 Italiano 48 L LB 88 LM 88 Loss of Pulse 88 Loss of Pulse w Motion 88 Low Battery 88 118 121 Low Battery Indicator 12 22 LP 88 M Manufacturer s Declaration 155 Measured Saturation 145 MO 88 Monitor Accuracy and Motion Tolerance 147 Performance Considerations 111 Returning 129 Monitor Displays Dashes 33 Monitor Trend Data 53 Motion Artifact Indicator 12 N Nederlands 48 Neonatal Patients 42 Neonate Default Settings 139 Neonate Alarm Limits Indicator 13 Normal Mode 47 Nurse Call Relay Contacts 97 RS 232 Polarity 96 Using 95 O Operating Relative Humidity 150 Temperature 149 Operating Status 88 Operating the N 595 on Battery Power 21 Optional Accessories 103 OXIMAX Technology 145 Oximetry Overview 143 P Parameter Ranges 27 Patient Motion 88 Performance Considerations Pulse Oximeter 111 Sensor 113 Performance Verification 111 PH 88 PL 88 Pleth Display 10 Port 48 Portuguese 48 Power On Self Test POST 30 Printing Protocol 79 Printing Trend Information 79 Protocol Set 93 PS 88 Pulse Amplitude Trend Data Display 61 Pulse Oximeter Measurement Range 147 N 595 Index Pulse Rate High Limit Alarm 88 Pulse Rate Low Limit Alarm 88 Pulse Rate Trend Display 59 Pulse Search 88 Pulse Search Ind
85. l medical installation 3 T zi F i uz 9 Caution This device has been tested and found to comply with However because of the proliferation of radio frequency transmitting equipment and other sources of electrical noise in health care environments for example electrosurgical units cellular phones N 595 125 3 a m E Troubleshooting 126 mobile two way radios electrical appliances and high definition television it is possible that high levels of such interference due to close proximity or strength of a source may result in disruption of performance of this device The N 595 is designed for use in environments in which the pulse can be obscured by electromagnetic interference During such interference measurements may seem inappropriate or the monitor may not seem to operate correctly Disruption may be evidenced by erratic readings cessation of operation or other incorrect functioning If this occurs the site of use should be surveyed to determine the source of this disruption and the following actions taken to eliminate the source Turn equipment in the vicinity off and on to isolate the offending equipment Reorient or relocate the interfering equipment Increase the separation between the interfering equipment and this equipment The N 595 generates uses and can radiate radio frequency energy and if not installed and used in accordance with these i
86. ld must have a 360 degree connection to the metal shell on the N 595 91 a E k m n N 595 Using the Data Port 92 N 595 s DB 15 connector and to the connector on the PC or serial printer Do not create sharp bends in the cable as this may tear or break the shielding No hardware flow control is used However in the ASCII mode XON XOFF flow control is supported The pinouts for the data port are listed in Table 5 on page 92 Table 5 Data Port Pinouts Pin Signal Name 1 RXD RS 422 input 2 RXD_232 RS 232 input 3 TXD_ RS 232 output 4 TXD RS 422 output 5 Signal Ground isolated from Earth Ground 6 AN_SpO2 analog saturation output 7 NC_NO relay closure nurse call normally open 8 NC_NC relay closure nurse call normally closed 9 RxD RS_422 input 10 Signal Ground isolated from Earth Ground 11 Nurse Call RS 232 level output 12 TxD RS 422 output 13 AN PULSE analog pulse rate output 14 AN PLETH analog pleth vvaveform output 15 COM relay closure nurse call common lead Data Port Setup N 595 SETUP z z m m x x 4 4 Using the Data Port TxD represents the Transmit Data line and RxD is the Receive Data line The pin layouts as viewed from the rear panel of the N 595 are illustrated in Figure 6 on page 93 The conductive shell is connected to earth ground when connected to a PC or printer 8 1 11 12 13 14 15
87. le 70 If the user selects the TREND SENSOR option when a connected OxiMax sensor single patient use OxiMax sensors only does not contain data because no events were recorded to the sensor memory chip in the prior monitoring situation a NO DATA message is displayed on the default trend or event graph OXIMAX Sensor Event Record A sample event display in which no data are available is shown below The message will be cleared when the graph or summary is exited GRAPH in pe in u Busy Ox MAx Sensor Event Record Graphical Data Graphical representations of patient event history is only available on single patient use OxiMax sensors Graphed data points are the minimum or maximum 065 value for each 30 second interval throughout the duration of an event SpO2 continuously below alarm threshold for at least 15 seconds and continuing every 30 seconds until the actual SpO2 value equals or exceeds the alarm threshold The duration of an event is determined by the number of data points in the event Each data point is stored at 30 second intervals Events end for one of four reasons e SpO2 returns to or above the alarm limit Loss of pulse OxiMax sensor is disconnected N 595 71 N 595 m E m n OXIMAX Sensor Event Record 72 e The OxiMax sensor is off the patient 00 01 30 75 The graph title shows the data type
88. le 17 Cables Cables and OxiMax Maximum komplies With Length Sensors OXIMAX 3 feet 0 9m RF emissions CISPR 11 Durasensor Class B Group 1 sensor DS 100A Harmonic emissions IEC 61000 3 2 e Voltage fluctuations flicker emission IEC 61000 3 3 e Electrostatic discharge ESD TEC 61000 4 2 Electric fast transient burst IEC 61000 4 4 Surge IEC 61000 4 5 Conducted RF IEC 61000 4 6 Radiated RF IEC 61000 4 3 yd oe O ox E E D Ee E 164 Specifications Table 17 Cables Cables and OxiMax Maximum komplies With Length Sensors OXIMAX OC 3 cable RFemissions CISPR 11 OxiCliq Class B Group 1 sensors 3 feet 0 9 m P e Harmonic emissions IEC 61000 3 2 N e Voltage fluctuations flicker I emission IEC 61000 3 3 A e Electrostatic discharge ESD OXIMAX 4 feet 1 2 m IEC 61000 4 2 Dura Y sensors e Electric fast transient burst D YS IEC 61000 4 4 D YSE Surge IEC 61000 4 5 D YSPD e Conducted RF IEC 61000 4 6 Radiated RF IEC 61000 4 3 JED Ue D z N 595 165 Index Cautions 2 A AC Power Indicator 12 Adult Default Settings 140 Adult Pediatric Patients 42 Alarm Limit Display 44 Alarm Off 88 Alarm Silence 88 Alarm Silence Duration Display 38 Alarm Silence Indicator 12 Alarm Volume display 36 Altitude 149 150 Analog Voltage Outputs 97 Anemia 112 AO 88 Artifact 13 AS 88 ASCII Mode Prin
89. may occur in the vicinity of equipment marked with the following symbol ox E E D Ft 160 N 595 Table 16 Recommended Separation Distances Specifications Recommended Separation Distances between Portable and Mobile RF Communications Equipment and the N 595 IEC 60601 1 2 Frequency of 26 MHz to 80 MHz to 800 MHz to Transmitter 80 MHz 800 MHz 2 5 GHz Equation 4 1 2 4 1 2 d 2 3 Rated Separation Separation Separation Maximum Distance in Distance in Distance in Output Power Meters Meters Meters of Transmitter in Watts 0 01 0 12 0 12 0 23 0 1 0 38 0 38 0 73 1 1 2 1 2 2 3 10 3 8 3 8 7 3 100 12 12 23 For transmitters rated at a maximum output povver not listed above the separation distance can be estimated using the equation in the corresponding column where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer Note These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people 161 JED LL 2 m E ki s Specifications 162 Table 17 Cables Cables and OxIMax Sensors Maximum Length Complies With DOC 10 pulse oximetry cable 10 ft 3 m Software download cable
90. mbol ce N 595 159 Specifications Table 15 Electromagnetic Immunity RF Portable Equipment For portable and mobile communication equipment The N 595 is suitable for use in the specified electromagnetic environment The customer and or user of the N 595 should assure that it is used in an electromagnetic environment as described below mm nik IEC Compliance Electromagnetic Test y 60601 1 2 ene Environment Test Level Guidance Conducted 3 Vrms 3 Vrms distance 1 2NPower RF 150 kHz 150 kHz to 80 MHz IEC 61000 4 6 80 MHz Note Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with survey accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the N 595 is used exceeds the applicable RF compliance level above the N 595 should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as re orienting or relocating the N 595 Note These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people Interference
91. mode SETUP 1 Press the SETUP softkey SENSOR 2 Press the SENSOR softkey 3 R zi 127 Troubleshooting 3 Press the MSG softkey 8 o o SENSOR MESSAGES ENABLED YES BPM BACK EXIT 4 Press the ADJUST UP or ADJUST DOWN button to toggle the ENABLE message 00 EXIT 5 Press the EXIT softkey z m 6 128 Maintenance Follow local governing ordinance and recycling instructions regarding the disposal or recycling of the N 595 and accessories Returning the N 595 Service N 595 A Contact Nellcor s Technical Services Department 1 800 635 5267 or your local Nellcor representative for shipping instructions including a Returned Goods Authorization RGA number Unless otherwise instructed by Nellcor s Technical Services Department it is not necessary to return the Ox Max sensor or other accessory items with the monitor Pack the N 595 in its original shipping carton If the original carton is not available use a suitable carton with appropriate packing material to protect it during shipping Return the N 595 by any shipping method that provides proof of delivery WARNING The cover should be removed only by qualified service personnel There are no user serviceable parts inside The N 595 requires no calibration The battery should be replaced at least every 24 months Refer to the N 595 service manual for the
92. n OxIMAx MAX P 52 5 mW OxIMAx MAX A 52 5 mW OxIMAx MAX AL 52 5 mW OxIMAx MAX R 52 5 mW OXIMAX Oxiband OXI A N 52 5 mW OXxIMAx Oxiband OXLP I 52 5 mW OXIMAX Durasensor DS 100A 52 5 mW OXIMAX OxiCliq P 52 5 mW Ox MAX OxiCliq N 52 5 mW Ox MAx OxiClig I 52 5 mW OXIMAX OxiCliq A 52 5 mW OXIMAX Dura Y D YS 52 5 mW Ox MAx MAX FAST 52 5 mW Physical Characteristics Weight 5 8 Ibs 2 6 kg Dimensions 3 3 in x 10 4 in x 6 8 in 8 4 cm x 26 4 cm x 17 3 cm TET l T TE l m N 595 151 2 m p ki s Specifications Compliance 152 Item Compliant With Equipment classification Safety Standards IEC 60601 1 same as EN60601 1 CSA 601 1 UL 2601 1 EN865 EN IEC 60601 1 2 second edition Type of protection Class 1 on AC power Internally powered on battery power Degree of protection Type BF Applied part Mode of operation Continuous N 595 resistant to liquid ingress IEC 60601 1 sub clause 44 6 for class IPX1 Drip Proof equipment Degree of Safety in presence of a flammable anaesthetic UL 2601 1 sub clause 5 5 Not suitable Applied sensor label to indicate Type BF applied part TEC 60601 1 Symbol 2 of Table DII of Appendix D Equipotential lug symbol to indicate a potential equalization conductor IEC 60601 1 Symbol 9 of Table DI of Appendix D Attention
93. n monitors and the sensor event record data will affect the order the sensor event record data appears To eliminate this possible problem all monitors within an institution should be set to the same time WARNING Explosion hazard Do not use the N 595 pulse oximeter in the presence of flammable anesthetics or gases WARNING Chemicals from a broken LCD display panel are toxic when ingested Use caution when handling a pulse oximeter with a broken display panel Eb a a l 5 uopewojuj Ay les m 5 E gt 5 bri tf and Introduction Safety Information WARNING Pulse oximetry readings and pulse signals can be affected by certain environmental conditions OxrMAx sensor application errors and certain patient conditions See the appropriate sections of this manual for specific safety information than those specified may result in increased emission and or decreased immunity and inaccurate readings of the N 595 pulse oximeter WARNING Failure to cover the OxiMax sensor site with opaque material in high ambient light conditions may result in inaccurate measurements b VVARNING The use of accessories sensors and cables other Cautions Cautions are identified by the CAUTION symbol shown above Cautions alert the user to exercise care necessary for the safe and effective use of the N 595 pulse oximeter N 595 Safety Information Caution When co
94. n of Controls Indicators and Symbols 7 Identification of Front Panel Buttons and Symbols 7 Identification of Rear Panel Component 5 8 N 595 Symbels aa aa saad ad 8 Description of Controls 5 9 Description of Displays and Indicators 10 Description of Audible Indicators 14 Setting up the Monitor ok ca yaaa Zay eb andaweneawenes Lad 15 List of C mp nenis c l aa dad ARAZ iL s n 17 Connecting the N 595 to AC Power 5 17 Connecting an Ox MAx Sensor to the N 595 2522 19 Battery O ea rareo nra eiti pra dd knee Duie 21 Operating the N 595 on Battery Power 2222 21 Low Battery ndicator es aceite 22 Using the Monitor ld a dB R eens 27 0000000 27 N 595 i Contents Monitor Trend Turning On the Monitor 5 29 OXIMAX Sensor Attached 31 No Sensor Attached 33 Turning the Backlight On or Off 34 Adjusting Screen Contrast 34 Selecting the Pleth View 34 Selecting the Blip Vievv 35 Setting the Pulse Beep Volume
95. n to Main menu NO back to Delete Print menu PR NT BACT back to Hist Amp menu EXIT to Main menu AMP Amplitude Menu BACK back to Hist Amp menu EXIT to Main menu BACK back to Monitor Trend View menu EXIT to Main menu ZOOM Monitor Trend Zoom Menu B TIME for current view cycle through 48h 36h 12h 8h 4h 2h 1h 30m 15m 40s 20s SCALE for current view cycle through 5 10 15 20 25 30 435 40 and 50 of the max and min values under the cursor default to 10 to 100 if there is no data point under the cursor AUTO based on all of the graphed trend data maximum value rounded up to nearest multiple of 10 minimum value rounded down to nearest multiple of 10 minus 10 mom BACK back to Monitor menu NEXT Delete Printi Menu DELETE DELETE TRENDS YES to Main menu NO back to Delete Print1 menu PR NT BACK back to Monitor menu EXIT to Main menu BACK back to Trend menu SENSOR Sensor Event Menu F m 6 E 132 N 595 Menu Structure if Event data is in the sensor the following menu the Screen will remain in the appropriate state until the next menu selection is made GRAPH Graph Menu display events 1 N in inverse chronological order up down also scroll thro
96. n to the next multiple of 10 Then 10 is subtracted from the rounded dovvn number this value is the bottom of the trend graph N BACK Pressing the BACK softkey returns the monitor to the Monitor menu Reading the Trend Data Display 565 ay Busy Table 4 identifies the components of the trend data display Table 4 Reading Trend Display Item Description 1 Amount of trend data displayed on the screen Settings available are 20 and 40 seconds 15 and 30 minutes 1 2 4 8 12 24 36 and 48 hours 2 Date represented by the cursor item 5 3 No trend data recorded during this time 4 Time represented by the cursor item 5 N 595 57 N 595 m E k m a n Monitor Trend 58 Table 4 Reading Trend Display Item Description 5 Cursor can be moved left or right using the ADJUST UP right or ADJUST DOWN left buttons 6 Highest and lowest reading at the cursor position 7 Trend data that is being displayed 065 2 BPM or PAU pulse amplitude units Dual Trend Data Display The dual trend data display displays both oxygen saturation SpO2 levels and pulse rate bpm trend data With the monitor in the normal monitoring mode 1 Press the TREND softkey 2 Press the MONTTR softkey 3 Press the VTEVV softkey 4 Press the DUAL softkey The dual trend SpOz and Pulse Rate is displayed ZOOM NEXT BACK Monitor Trend Sp
97. nalog Pinouts 97 Nellcor OXIMAX Sensor Models and Patient Sizes 101 OXIMAX Sensor Features 103 118 Prompt Error Messages 120 Neonate Factory Defaults 2222 139 Adult Factory Defaults 140 Electromagnetic EMISSIONS 155 Electromagnetic Immunity 156 Electromagnetic Immunity RF Portable Eguimendia iaaa nas isa atak 159 Recommended Separation Distances 161 r a 1315300000 162 V Safety Information Warnings N 595 gt A A Warnings are identified by the WARNING symbol shown above Warnings alert the user to potential serious outcomes death injury or adverse events to the patient or user WARNING The sensor extrapolates from the date and time provided by the N 595 when recording the sensor event record to the sensor The accuracy of the date time is the responsibility of the N 595 It is recommended that the N 595 user set the time date to the correct value before a sensor event record enabled sensor is connected and that this date time not be changed while the sensor remains connected Since a sensor with sensor event record data can be transported from one monitor to another having discrepancies in the date time betwee
98. nds The first OxiMax sensor event record event will be stored in the OxiMax sensor after the Ox MAx sensor has been attached to a patient for five minutes and every five minutes thereafter The maximum number of events that can be stored in an sensor is 100 N 595 65 m E k m n N 595 OXIMAX Sensor Event Record Event records can only be viewed after an OxiMax sensor containing patient data event records has been connected to an monitor Event records are designed to view patient events from prior areas of care or transport history while monitor trend should be used to view data or events from a patient currently being monitored The monitor s SENSOR EVENT RECORD indicator will light when an Ox MAx sensor containing event data is connected to the OxiMax monitor Patient event data is accessed by pressing the TREND softkey on the main menu and selecting the SENSOR softkey option Sensor event record can be viewed in graphical form GRAPH or in a summary table TABLE Note Once the OxiMax sensor event record type is set up in the Ox MAx sensor and event data is stored in the sensor the OxiMax sensor event record type cannot be reset The monitor s type set up can be changed at any time Recording and viewing of sensor event record is only available on OxiMax comparable monitors The sensors may function on older technology monitors but the Ox Max
99. nnecting the N 595 to any instrument verify proper operation before clinical use Both the N 595 and the instrument connected to it must be connected to a grounded outlet Accessory equipment connected to the pulse oximeter s data interface must be certified according to IEC Standard 950 for data processing equipment or IEC Standard 60601 1 for electromedical equipment All combinations of equipment must be in compliance with IEC Standard 60601 1 1 systems requirements Anyone who connects additional equipment to the signal input port or signal output port N 595 data port connector configures a medical system and is therefore responsible for ensuring that the system complies with the requirements of system standard IEC Standard 60601 1 1 and the electromagnetic compatibility system standard IEC Standard 60601 1 2 The N 595 accuracy may degrade if it is connected to secondary I O devices when the instrument is not connected to earth reference Caution Federal law U S A restricts this device to sale by or on the order of a physician Caution Dispose of battery in accordance with local requirements and regulations m E sr 1 o m uoneuuolu Introduction assessment It must be used in conjunction with clinical signs and symptoms b WARNING The N 595 is intended only as an adjunct in patient Intended Use for the N 595 N 595 The N 595 pulse oximeter is indicated for the c
100. nstructions may cause harmful interference with other devices in the vicinity If assistance is required contact Nellcor s Technical Services Department 1 800 635 5267 or your local Nellcor representative Obtaining Technical Assistance For technical information and assistance or to order parts or a service manual contact Nellcor s Technical Services Department 1 800 635 5267 or your local Nellcor representative The service manual includes block diagrams and a parts list required by qualified personnel when servicing the N 595 Troubleshooting When calling Nellcor s Technical Services Department 1 800 635 5267 or your local Nellcor representative you may be asked to tell the representative the software version number of your N 595 The software version appears in the monitor display each time the monitor successfully completes the power on self test Write the number down and have it available whenever requesting technical assistance The current copy of this manual and the N 595 service manual are available on the Internet at http www mallinckrodt com respiratory resp Serv_Supp ProductManuals html Ox MAx Sensor Message Setup N 595 The OxiMax sensor message setup display allows the user to enable or disable the sensor message feature When disabled neither the SENSOR NOT POSTING nor the RECOMMENDED ACTION messages will be displayed With the monitor in the normal monitoring
101. nter 2HR TREND 25 02 14 35 05 100 in un cn ay Buis Figure 4 Graph Mode Printout Real Time Display Printout Format Real time data is continuously sent to the data port on the back of the N 595 Patient data can be obtained through the data port by connecting the monitor data port to a PC or serial printer When a real time printout or display is being transmitted to a printer or PC a new line of data is displayed every 2 seconds Column headings are displayed or printed after every 25 lines or if one of the values in the column heading changes Readings are displayed at 4 second intervals if the 5 response mode is set to normal and at 2 second intervals when the SpO2 response mode is set to fast Data cannot be obtained if the N 595 is operating on battery power Note If the data output stops transmitting turn the power off and back on again or if the monitor is connected to a PC send an XON Ctrl q command to reset the monitor N 595 83 Printing An example of a real time output is shown in Figure 5 on page 84 585 VERSION 10 000 CACO Sp02 Uime Wiik PR limi 40 12 ADULT 5 5812 RESP MODE NORMAL TIME BPM Status 12 AH z 14 00 06 4100 20 12 1AH z 14 00 0 7 100 124 12 14 02 14 20 08 100 150 12 1AH z 14 00 11 100 r 12 1AM Z 14 00 13 100 187 12 02 14 00 15 100 187 12 AH z 14 00 17 100 ar 12 1AH z 14 00 15 4100 Tar
102. on the same extremity as the one with the sensor attached there is arterial occlusion proximal to the OxiMax sensor e poor peripheral profusion Select an appropriate OxiMax sensor apply it as directed and observe all warnings and cautions presented in the directions for use accompanying the Ox Max sensor Clean and remove any substances such as nail polish from the application site Periodically check to ensure that the sensor remains properly positioned on the patient High ambient light sources such as surgical lights especially those with a xenon light source bilirubin lamps fluorescent lights infrared heating lamps and direct sunlight can interfere with the performance of an SpO2 OxiMax sensor To prevent interference from ambient light ensure that the OxiMax sensor is properly applied and cover the OxiMax sensor site with opaque material WARNING Failure to cover the OxiMax sensor site with opaque material in high ambient light conditions may result in inaccurate measurements If patient movement presents a problem try one or more of the following remedies to correct the problem e verify that the OxiMax sensor is properly and securely applied move the sensor to a less active site use an adhesive OxiMax sensor that tolerates some patient motion e use a new OxiMax sensor with fresh adhesive backing Performance Considerations If poor perfusion affects performance con
103. ontinuous non invasive monitoring of functional oxygen saturation of arterial hemoglobin SpO2 and pulse rate The N 595 is intended for use with neonatal pediatric and adult patients during both no motion and motion conditions and for patients who are well or poorly perfused in hospitals hospital type facilities intra hospital transport and home environments For prescription use only Note Hospital use typically covers such areas as general care floors operating rooms special procedure areas intensive and critical care areas within the hospital plus hospital type facilities Hospital type facilities include physician office based facilities sleep labs skilled nursing facilities surgicenters and sub acute centers Intra hospital transport includes transport of a patient within the hospital or hospital type facility Home Care use is defined as managed used by a lay person parent or other similar non critical caregiver in the home environment Use with any particular patient requires the selection of an appropriate oxygen Ox Max sensors as described in this Operator s Manual 3 an LL xf uopewojuj Ay les Introduction Motion performance claims are applicable to models MAX A MAX AL MAX P MAX N and MAX I Nellcor Ox MAx oximetry sensors and Introduction m 5 E p 5 bri tf How to Use this Manual All users should read this manual thoroughly More exp
104. or The CONTRAST button Used in conjunction with the ADJUST UP and ADJUST DOWN buttons to lighten or darken the display screen The softkey buttons have multiple uses depending on the legend displayed above the button Description of Displays and Indicators 10 The type of display is user selectable Refer to Selecting the Pleth View on page 34 465 02 ANANA a 191 h ics PNA NA NYS NS BPM 112 LIMITS TREND SETUP LI HT SPO2 NEO The pleth display includes a wiper bar plethysmographic waveform menu bar and current measured SpOz2 and pulse rate If SatSeconds are enabled the pleth display includes the SatSeconds indicator and SatSeconds setting A decimal point after the SpO2 or Description of Controls Indicators and Symbols pulse rate indicate that the respective limits have been changed from the power on defaults Monitor Trend Data on page 53 455 02 von 120 81 112 LIMITS TREND SETUP LIGHT SPO2 Neo in 2 in The blip display includes a pulse amplitude blip bar current measured SpOz and pulse rate and current upper and lower SpOz and pulse rate limits If SatSeconds are enabled the blip display includes the SatSeconds indicator and SatSeconds setting Decimal points after the SpO2 or pulse rate indicate that the respective limits have been changed from the power on defaults ay Buis There are various matrixes within the
105. ormance Considerations on page 113 for more information on Ox MAx sensor performance F m s pue S1I0SUa5 Table 7 Nellcor Sensor Models and Patient Sizes Patient Ox MAx Sensor Model Size OxIMAX MAX FAST adhesive MAX FAST gt 10kg reflectance oxygen sensor N 595 101 OXIMAX Sensors and Accessories Table 7 Nellcor OxiMax Sensor Models and Patient Sizes Patient Ox MAx Sensor Model Size OXIMAX oxygen sensor Sterile MAX N lt 3 or gt 40 kg single use only MAX I 3 to 20 kg MAX P 10 to 50 kg MAX A gt 30 kg MAX AL 730 kg MAX R gt 50 kg OXIMAX Durasensor oxygen sensor DS 100A gt 40 kg Reusable nonsterile OxIMax Oxiband oxygen sensor OXI A N lt 3 or gt 40 kg Reusable with adhesive nonsterile m g OXLP I 3 to 40 kg 2 2 1 OxiCliq oxygen sensors P 10 to 50 kg R Sterile single use only N 3 or 540 kg l I 3 to 20 kg A 30kg OXIMAX Dura Y multisite oxygen D YS gt l kg sensor Reusable nonsterile For use with the Dura Y sensor Ear clip Reusable nonsterile D YSE gt 30 kg Pedi Check pediatric spot check clip Reusable nonsterile D YSPD 3 to 40 kg The pulse oximetry cable DOC 10 connects the N 595 pulse oximeter with the patient OxiMax sensor 102 OXIMAX Sensors and Accessories Ox MAx Sensor Features Ox MAx sensor features are different for
106. ort Overview Patient data can be output through the data port on the back of the N 595 by connecting it to an attached PC or serial printer in 23 m When connecting the N 595 to a printer or PC verify proper operation before clinical use Both the N 595 and the printer or PC must be connected to a grounded AC outlet The N 595 protocol setting must be ASCII ay Bulsn Any printer or PC connected to the monitor s data port must be certified according to IEC Standard 950 All combinations of equipment must be in compliance with IEC Standard 60601 1 1 systems requirements Anyone who connects a printer or PC to the data output port configures a medical system and is therefore responsible for ensuring that the system complies with the requirements of system standard IEC Standard 60601 1 1 and the electromagnetic compatibility system standard IEC Standard 60601 1 2 Connecting to the Data Port The N 595 data port may be connected to a serial printer or PC by using a cable terminated with an AMP connector AMP part number 747538 1 ferrule AMP part number 1 747579 2 and compatible pins AMP part number 66570 2 The cable should be no more than 25 feet 7 6 meters in length The external ITE Information Technology Equipment device must be certified to UL 1950 or HEC 60950 The cable used must have a braided shield providing 100 coverage such as a Belden cable Belden part number 9609 or equivalent The shie
107. r serve as light sources a photo diode serves as the photo detector Because oxyhemoglobin and deoxyhemoglobin differ in light absorption the amount of red and infrared light absorbed by blood is related to hemoglobin oxygen saturation To identify the oxygen 143 E 2 214 2 m ki 2 Principles of Operation saturation of arterial hemoglobin the monitor uses the pulsatile nature of arterial flow During systole a new pulse of arterial blood enters the vascular bed and blood volume and light absorption increase During diastole blood volume and light absorption reach their lowest point The pulse oximeter bases its SpO2 measurements on the difference between maximum and minimum absorption measurements at systole and diastole By doing so it focuses on light absorption by pulsatile arterial blood eliminating the effects of nonpulsatile absorbers such as tissue bone and venous blood Automatic Calibration Because light absorption by hemoglobin is wavelength dependent and because the mean wavelength of LEDs varies an oximeter must know the mean wavelength of the OxiMax sensor s red LED to accurately measure SpO2 During monitoring the instrument s software selects coefficients that are appropriate for the wavelength of that individual sensor s red LED these coefficients are then used to determine 8 2 Additionally to comp
108. rend Data in ASCII Mode Refer to Printing Monitor Trend Information on page 79 for the procedure to print trend information N 595 81 un cn ay Bulsy Printing The format of data displayed when a trend printout is shown in Figure 3 TREND is displayed in the top row Readings are displayed in 2 or 4 second intervals depending on the response mode selected The values on each row are an average of the response mode selected period At the end of the printout an Output Complete line indicates that the transmission was successful If the Output Complete line is not present a corruption of the data may have been detected and the data should be ignored N 595 m E m n 696 VERSION 1 0 0 0 TREND SpOe Limit 85 1075 PH Limit 4 ADULT 5 PO RESP MODE H RMAL TIME tpoe BPM P STATUS 12 2 14 0003 100 120 150 12 2 14 00 003 14 TJA 14 00 13 150 Output Compinia Figure 3 ASCII Mode Printout Once a trend printout has begun it cannot be aborted without turning off the N 595 or the printer Trend Data in Graph Mode Refer to Printing Monitor Trend Information on page 79 for the procedure to print trend information See Figure 4 on page 83 82 Printing The graph mode disables all printout functions except trend data Graph mode trend printouts are formatted for a Seiko DPU 414 and Okidata 320 serial pri
109. s With 91 157 EEC Ox MAx Sensors Wavelength The wavelength range of the light emitted are near 660 and Power nm and 890 nm with the energy not exceeding 15 mW Environmental Conditions Operation Temperature 5 C to 40 C 41 F to 104 F Altitude 390 m to 3 012 m 1 254 ft to 9 882 ft Atmospheric Pressure 70 kPa to 106 kPa 20 6 in Hg to 31 3 in Hg El m N 595 149 Specifications Operation Relative Humidity 15 to 95 non condensing to be compliant with IEC 60601 1 sub clause 44 5 Transport and Storage not in shipping container Temperature 20 C to 60 C 4 F to 140 F Altitude 390 m to 5 574 m 1 280 ft to 18 288 ft Atmospheric Pressure 50 kPa to 106 kPa 14 7 in Hg to 31 3 in Hg Relative Humidity 15 to 95 non condensing Transport and Storage in shipping container Temperature 20 C to 70 C 4 F to 158 F Altitude 390 m to 5 574 m 1 280 ft to 18 288 ft Atmospheric Pressure 50 kPa to 106 kPa 14 7 in Hg to 31 3 in Hg Relative Humidity 15 to 95 non condensing OxiMax Sensor Power Dissipation Sensor Dissipation 1 52 5 mW OxIMAx MAX I 52 5 mW a oe O Ce E D Ft 150 Specifications OxiMax Sensor Power Dissipation Sensor Dissipatio
110. sider using the MAX R OxiMax sensor it obtains measurements from the nasal septal anterior ethmoid artery an artery supplied by the internal carotid This OxiMax sensor may obtain measurements when peripheral perfusion is relatively poor b n F m in pue S1I0SUa5 N 595 115 Troubleshooting measurement check the patient s vital signs by alternate means b VVARNING H you are uncertain about the accuracy of any then make sure the pulse oximeter is functioning correctly WARNING The cover should be removed only by qualified service personnel There are no user serviceable parts inside Caution Do not spray pour or spill any liquid on the N 595 its accessories connectors switches or openings in the chassis Error Codes When the N 595 detects an error condition it may display EEE followed by an error code Seb LiLo ALS G G GB Note The XXX indicates that the error code number may contain up to three digits VVhen an error code other than the ones listed in Table 9 on page 118 is displayed turn the instrument off and back on again If the error code reappears record it and notify service personnel N 595 117 z m n m 3 n 6 E Troubleshooting 118 Table 9 on page 118 lists the error codes and possible causes When this occurs the unit will stop monitoring remove all inform
111. sing the Monitor 1 Press the LIMITS softkey LIMITS ADULT LIMITS WSP BPM UPPER 100 170 LOWER 85 40 SAT S 100 SELECT NEO ADULT EXIT gt a no on LIMITS 2 SELECT NEO ADULT 2 The monitor will display the ADULT LIMITS or NEONATE LIMITS screen depending on the patient setting being used ADULT NEO 3 Press the NEO or ADULT softkey to select ADULT LIMITS or eS NEONATE LIMITS as applicable for the patient being monitored N 595 43 Using the Monitor Alarm Limit Changed Indicator Alarm limits that have been changed from the institutional or factory default settings are identified by a decimal point after the displayed reading SpOz or BPM The changed parameter is also identified by a decimal point on the alarm limits screen ADULT LIMITS o spqa 55 BPM 96 N 595 R m UPPER 100 170 100 LOWER 40 79 SAT S 100 SELECT NEO ADULT EXIT Setting Alarm Limits The Alarm Limit display allows the user to adjust the upper and lower saturation and pulse rate limits It also allows the user to adjust the SatSeconds limit The Alarm Limit display is accessed by pressing the LIMITS softkey on the Main menu The Alarm Limit display includes the alarm limit table and current measured SpOz and pulse rate The title of the alarm limit table will indicate whether the instrument is in Adult or Neonate monitoring mode If SatSeconds are enabled the Alarm Lim
112. symbol consult accompanying documentation IEC 60601 1 Symbols 14 of Table DI of Appendix D External case made with non conductive plastic IEC 60601 1 sub clause 16 a No holes in case top IEC 60601 1 sub clause 16 b 115 230 voltage selector switch IEC 60601 1 sub clause 16 f Rigid case IEC 60601 1 sub clause 21 a Case mechanically strong IEC 60601 1 sub clause 21 b Case handle IEC 60601 1 sub clause 21 c N 595 ltem Specifications Compliant With N 595 resistant to rough handling IEC 60601 1 sub clause 21 6 N 595 tip tilt test IEC 60601 1 sub clause 24 1 N 595 resistant to liquid ingress due to spills IEC 60601 1 sub clause 44 3 as modified by EN 865 clause 4 Environmental IEC 60601 1 sub clause 44 5 Cleaning IEC 60601 1 sub clause 44 7 Case surface made of non toxic materials IEC 60601 1 sub clause 48 Case resistant to heat and fire IEC 60601 1 sub clause 59 2 b N 595 power entry module fuse holder IEC 60601 1 sub clause 59 3 N 595 exterior markings IEC 60601 1 sub clause 6 1 6 3 and 6 4 EN 865 clause 6 Front panel and case labeling TEC 60878 EN 980 ISO 7000 EN 60417 1 EN 60417 2 N 595 button spacing ISO 7250 Year of manufacture symbol EN 980 Conductive coating and polymeric materials UL 2601 1 clause 55 Operation during physical shock TE
113. t set at 50 and a lower alarm limit set at 90 is described and illustrated below In this example the SpOz level drops to 88 2 points and remains there for a period of 2 seconds 2 points x 2 seconds 4 SatSeconds The SpOz2 then drops to 86 for 3 seconds and then to 84 for 6 seconds The resulting SatSeconds are SpO2 Seconds SatSeconds 2x 2 4 4x 3 12 6x 6 36 Total SatSeconds After approximately 10 9 seconds the SatSeconds alarm would sound because 50 SatSeconds had been exceeded See the arrow A in Figure 13 on page 136 k r n ga ee 8 p n Sanaa m 4 Sean SaiSeconds Alarm Poi Oi 3465 6 7 8 93 Wt SECONDS Figure 13 Alarm Response with SatSeconds 136 SatSeconds Saturation levels may fluctuate rather than remain steady for a period of several seconds Often the SpO2z levels may fluctuate above and below the alarm limit re entering the non alarm range several times During such fluctuations the N 595 pulse oximeter integrates the number of SpO2z points both positive and negative until either the SatSeconds limit SatSeconds time setting is reached or the SpOz2 level returns to within a normal range and remains there SatSeconds Safety Net The SatSeconds Safety Net is for patients with saturation levels having frequent excursions below the limit but not staying below the limit long enough for the SatSeconds time setting to be reached
114. ta to view by selecting either Monitor trend or Sensor trend data in the Trend menu Sensor sub menu choices differ depending on what type of in sensor data is stored in the sensor chip such as event or loop The menu structure includes BACK softkey options that allow the user to move back to the previous menu level without exiting the Trend menu entirely Trend data must be compiled on entry reentry to the Trends menu When the softkeys are available both BACK and EXIT options are available The BACK softkey goes to the previous level and the EXIT softkey goes to the main menu If only one space is available the BACK Softkey is included this may require going back one or two levels to get to an EXIT softkey The BACK and EXIT softkeys are positioned on the right most softkeys respectively The below menu structure identifies e BOLDFACE TYPE softkey title as displayed on the monitor e Underlined Text description of the softkey menu item 3 z Zi Italicized Text the destination of the BACK and EXIT softkeys Main Menu LIMITS Limits Menu SELECT NEO N 595 131 Menu Structure ADULT EXIT to Main menu TREND Trend Menu MON Monitor Menu VIEW Monitor Trend View Menu DUAL SPO2 PULSE NEXT History Amplitude Menu z HIST Delete Print2 Menu z DELETE delete Trends DELETE TRENDS YES retur
115. the operator changed the SpOz lower alarm limit from 85 percent to 80 percent 565 ay Busy 595 VERSION 1 0 0 0 CRC SM SpOd Limi BSM Pe Limi 40 1706 ADULT 5 POZ RES MODE NORMAL TIME 5560 BPM PA Tiaa Data in the highlighted box above represents the model number of the monitor in this case the N 595 595 VERSION 1000 CRC KES pO Limi APN PA Limi 40 170BFT4 ADULT 5 SPO RESF MODE NORMAL TIME 5502 BPM PA Siaa The next data field tells the user the software level Version 1 0 0 0 and a software verification number CRC XXXX Neither of these numbers should change during normal operation The numbers may change if the monitor is serviced and receives a software upgrade 85 N 595 m E m n Printing Alarm Limits Monitor Mode Response Mode 86 595 VERSION 100 0 CRC po Limi HIH PR Limi 40 70BFM ADULT 5 SPOOZ RESP MODE NORMAL TIME 5602 BPM PA Siaa The last data field in the top line indicates the upper and the lower alarm limits for SpO2 and for the pulse rate PR In the example above the lower alarm limit for SpO2 is 85 and the upper alarm limit is 100 Pulse Rate alarm limits are 40 and 170 bpm The SatSeconds alarm limit OSAT S displays the SatSeconds alarm setting In this example SatSeconds is set to off 505 VERSION 1 00 0 CRO SM SpOd Limi 85 2 PRA Limi 40 170BFT4 ADULT 5 SP Od RESP MODE NORMAL
116. the vertical wall mount with 19 inch channel Figure 8 GCX Poly Mount vertical wall mount with 19 inch channel OXIMAX Sensors and Accessories GCX Poly Mount horizontal wall mount with rail adapter An optional horizontal wall mount with rail adapter is available from Nellcor for the N 595 pulse oximeter The horizontal wall mount with rail adapter attaches to the N 595 pulse oximeter GCX mounting plate as shown in Figure 9 on page 107 For further instructions regarding connecting the horizontal wall mount with rail adapter refer to the illustrated directions for use included with the horizontal wall mount with rail adapter To r r n io F 0 i PuE S1I0SUa5 Figure 9 GCX Poly mount horizontal wall mount with rail adapter N 595 107 OXIMAX Sensors and Accessories GCX Poly Mount Roll Stand An optional GCX poly mount roll stand is available from Nellcor for the N 595 pulse oximeter The GCX poly mount roll stand attaches to the N 595 GCX mounting plate as shown in Figure 10 on page 108 For further instructions regarding connecting the GCX poly mount roll stand refer to the illustrated directions for use included with the GCX poly mount roll stand 13 y Q E F eo a n 4 Figure 10 GCX Poly mount Roll Stand 108 OXIMAX Sensors and Accessories GCX Utility Basket An optional GCX utility basket is available from Nellcor for the N 595 pulse ox
117. titutional default parameters by following the procedures in the N 595 service manual Table 3 lists the parameters ranges available and the factory default setting The parameters may be set on an individual basis by the clinician and these settings will remain in effect until the N 595 is turned off Table 3 Parameter Ranges C s N au Busy Ranges Factory Adult Factory Parameter b Neonate Selections Defaults Defaults SpO2 Upper Lower Alarm 100 95 Alarm Limit Limit plus 1 to 100 SpO2 Lower 20 to Upper 85 80 Alarm Limit Alarm Limit minus 1 Pulse Rate Lovver Alarm 170 bpm 190 bpm Upper Alarm Limit plus 1 to Limit 250 bpm Pulse Rate 30 bpm to Upper 40 bpm 90 bpm Lovver Alarm Alarm Limit Limit minus 1 Alarm Silence Alarms 30 60 60 60 Duration 90 120 seconds Alarm Volume 1 to 10 7 7 27 m E k m i n N 595 Using the Monitor 28 Table 3 Parameter Ranges P framet f Ranges Factory Adult 7 Selections Defaults Defaults Alarms Allow Off Yes Yes Yes No Off Reminder Yes No Yes Yes Data Port Baud 2400 9600 9600 9600 Rate 19200 Data Port Mode ASCII GRAPH ASCII ASCII OXINET CLINICAL AGILENT HP Agilent SPACELBS MARQ GE Marquette DATEX Datex Ohmeda DefaultDisplay Pleth Blip Pleth Pleth Format Default Trend Saturation Pulse Saturation Saturation Display Rate Dual Histogram Display
118. to be used Setting up the Monitor List of Components Quantity Item 1 N 595 Pulse Oximeter 1 Nellcor Sensor or Assortment Pack 1 DOC 10 Pulse Oximetry Cable z 2 1 N 595 Operator s Manual applicable to country of sale and or Compact Disk F 1 Power Cord applicable to country of sale 2 Fuses 0 5 A 250 volts slow blow IEC 5 x 20 mm 1 Sensor Accuracy Grid 1 Quick Guide Connecting the N 595 to AC Power oximeter may be accidentally turned off Caution The SUPPLY VOLTAGE SELECTOR switch must be set to the correct voltage 115 or 230 to avoid equipment damage WARNING In the USA do not connect the pulse oximeter to an electrical outlet controlled by a wall switch because the pulse and ensure battery charging N 595 17 Setting up the Monitor Caution Use only the hospital grade power cord provided by Nellcor N 595 m E k m a n 1 Power Connector 2 Supply Voltage Selector 1 Set the SUPPLY VOLTAGE SELECTOR 2 switch to the applicable voltage 2 Plug the female connector end of the power cord into the N 595 POWER CONNECTOR 1 on the rear of the monitor 3 Plug the male connector of the power cord into a properly grounded AC outlet e 5a 4 Verify that the monitor s AC POWER INDICATOR is lit Note If the AC POWER INDICATOR is not lit check e power cord e the SUPPLY VOLTAGE SELECTOR switch e
119. tout 82 B Backlight 34 Basket Utility 109 Baud Rate Set 93 Biocompatibility Testing 103 Blip Display 11 Blip View 35 C Cables 162 Calculated Saturation 145 Calibration 129 Carrying Case Soft Sided 110 N 595 Cleaning 130 Clock 38 Clock Settings Lost 118 120 Confirmation Tone 14 Connecting an OXIMAX Sensor 19 Connecting the N 595 to AC Power 17 Contrast 34 Controls 9 Adjust Down 10 Adjust Up 10 Alarm Silence 9 Contrast 10 Power On Off 9 D Dashes 33 Data In Sensor 120 Data Port Connecting to 91 Pin Layout 93 Pinouts 92 Data Port Setup 93 DATA TYPE EVENT SPO2 120 DATA TYPE EVENT SPO2 BPM 120 Date 38 Date and Time 37 Decimal Points 11 Default Settings Adult 140 Factory 139 Neonate 139 Defaults Lost 118 121 Delete Trends 121 Deutsch 48 Disabling Audio Alarms 39 167 Index Disinfecting 130 Display SpO2 12 Pulse Amplitude 12 Pulse Rate 12 Display Language Selecting 48 Dual Trend Data Display 58 Dutch 48 Dysfunctional Hemoglobins 112 E Electromagnetic Emissions 155 Electromagnetic Interference 126 Electrostatic Immunity 159 English 48 Error Codes 117 Error Messages 119 Espanol 48 F Factory Default Settings 139 Fast Mode 47 Fast Response Mode Indicator 13 Fractional Saturation 144 Francais 48 French 48 Front Panel Buttons 7 Front Panel Buttons and Symbols 7 Functional Saturation 144 G GCX Mounting Plate 105 German 48 Graph Mode Printout 83 Graphica
120. ualified service personnel following the procedures in the service manual Ox MAx Sensor Messages OxiMax sensor messages consist of sensor adjust condition messages and sensor adjust messages which when enabled are displayed when the monitor is not able to display saturation When OxiMax sensor messages are displayed it is an indication that the OxiMax sensor is functioning correctly but the site to which the OxiMax sensor applies or the application method is not optimal for calculating SpOz Condition messages are followed by action messages Up to three condition messages may be displayed on the POOR SIGNAL CONDITION display in priority order highest on top The condition display may be dismissed by using the EXIT softkey Once exited the N 595 49 Using the Monitor OxiMax sensor message screen will not return until a new condition occurs POOR SIGNAL CONDITION sa spo2 SMALL PULSES E MOTION INTERFERENCE m nn mi BPM HELP l EXIT N 595 If the HELP softkey is pressed from the Condition message display the action messages are displayed Action messages are linked to the sensor type action messages will be displayed for the type of sensor connected to the monitor Up to five action messages may be displayed Multiple screens may be required to display all of the messages When multiple screens are required navigation between screens can be accomplished through the NEXT BACK and EXIT so
121. ugh events in order show previous graph only available when there is a previous graph gt show next graph only available when there is a next graph PR NT BACK back to Sensor menu TABLE Table Menu A show previous table only available when there is a previous graph bottom top line repeats in new table vw show next table only available when there is a next graph bottom top line repeats in new table PR NT BACK back to Sensor menu EXIT to Main menu Genedl Menu If continuous Loop data is in the sensor the following will be displayed VIEW Sensor Trend View Menu DUAL shows SPO2 BPM SPO2 PULSE ZOOM cycle through 2h 1h 30m and 15m for current view PR NT BACK to Trend menu EXIT to Main menu SETUP Setup Monitor Menu VIEW Setup View Menu PLETH BLIP BACK back to Setup menu EXIT to Main menu SENSOR Setup Sensor Menu DATA On screen options for SENSOR R Write once Sensor sensor are SPO2 SPO2 BPM DEFAULT On screen options for SENSOR RW rewritable sensor are SPO2 SPO2 BPM DEFAULT SELECT toggles SENSOR R or SENSOR RW sensor type up down keys scroll 3 z z uz 133 Menu Structure through options in order The SENSOR R feature supports all of the current OxiMax sensors SELECT BACK back to S
122. ulsing tone indicating loss of pulse Medium Priority A medium pitched pulsing tone indicating an Alarm SpO2 or pulse rate limit violation Low Priority Alarm A low pitched slow pulsing tone indicating an Ox MAx sensor disconnect low battery or monitor failure Power On Self Test Pass A 1 second tone indicating that the N 595 has been turned on and has successfully completed the power on self test Pulse Beep A single beep sounds for each detected pulse The pitch of the pulse beep signal changes with a point by point rise or fall in the saturation level Volume Setting Tone A continuous tone that is used when adjusting the alarm volume Setting up the Monitor WARNING To ensure patient safety do not place the pulse oximeter in any position that might cause it to fall on the patient WARNING As with all medical equipment carefully route patient cabling to reduce the possibility of patient entanglement or strangulation T in pi cn ay Buis WARNING Ensure that the speaker is clear of any obstruction Failure to do so could result in an inaudible alarm tone WARNING Disconnect the N 595 and OxrMAx sensor from the patient during magnetic resonance imaging MRI scanning Induced current could potentially cause burns WARNING To ensure accurate performance and prevent device failure do not subject the N 595 to extreme moisture such as direct exposure to rain Suc
123. vent record data appears To eliminate this possible problem all monitors within an institution should be set to the same time b VVARNING The sensor extrapolates from the date and time VVith the monitor in the normal monitoring mode SETUP 1 Press the SETUP softkey N 595 37 Using the Monitor Press the NEXT softkey NEXT clock 3 Press the CLOCK softkey Press the SET softkey vo m 88 P 5 Press the SELECT softkey to select N 595 m E k m n TIME HOURS MINUTES SECONDS 16 46 05 DATE DAY MONTH YEAR 30 JAN 02 TIME 16 46 05 P4100 DATE 30 JAN 02 BPM 59 EXIT 6 Use the ADJUST UP or ADJUST DOWN buttons to change the selected value EXIT 7 Press the EXIT softkey Setting Alarm Silence Duration The Alarm Silence Duration display allows the user to adjust the alarm silence duration With the monitor in the normal monitoring mode 38 Using the Monitor 1 Press the ALARM SILENCE button until the alarm silence duration setting is displayed Alarm silence durations that are available are OFF 30 60 90 and 120 seconds f f U VU ky LIMITS TREND SETUP LIGHT in is aul Buis 2 Press and hold the ALARM SILENCE button and the ADJUST UP button to increase the alarm silence duration setting 3 Press and hold the ALARM SILENCE button and the ADJUST i DOWN button to decrease the alarm
124. vents the left arrow soft key is blank at the end of a sequence 75 in un m ay Buis OXIMAX Sensor Event Record N 595 m E k m n 76 Event 5 of 5 events the right arrow soft key is blank indicating you have reached the beginning or end of the table The ADJUST UP and ADJUST DOWN buttons on the monitor panel can be used to move through the Event Summary table line by line The PRINT softkey allows the user to print the displayed event graph The BACK softkey takes the user back to the previous TREND SENSOR sub menu level Viewing and Printing In Sensor Tabular Event History Data The monitor should be in the normal monitoring mode To view and print in sensor tabular event history data TREND 1 Press the TREND softkey SENSOR 2 Press the SENSOR softkey TABLE 3 Press the TABLE softkey Co SUMMARY i DATE START OUR 55 100 2 13 56 00 03 00 75 80 99 DE AN 11 07 00 10 30 TAHI 2 10230 00 06 30 7984 97 2 00 02 00 02 00 82 64 T PR NT BACK PRINT 4 Press the PRINT softkey to print the data OXIMAX Sensor Event Record 5 Press the BACK softkey BACK in ay Bulsy N 595 77 Printing Printing Monitor Trend Information N 595 Trend information monitor and in sensor event history may be sent to a personal computer or to a serial printer Note The protocol settings must be set to ASCII M
125. wall mount with rail adapter 107 GCX Poly Mount Roll Stand 108 GCX Utility Basket 109 N 595 ili Contents Soft Sided Carrying Case 110 Performance Considerations ALA XA bed eiasddina de 111 Performance Verification 111 N 595 Monitor Performance Considerations 111 Dysfunctional Hemoglobins 5 112 Anemlia a a Bada ai ai aa 112 Sal ralon sab E Ea 112 Pulse Rates 112 OXIMAX Sensor Performance Considerations 113 Troubleshooting T LL DOC s aaa doza badan an d b ulu adabi 117 117 Prompts and Error Messages 119 Corrective Action 88888882888888 88888 l 122 EMI Electro magnetic Interference 125 Obtaining Technical Assistance ss ii l 126 Ox MAx Sensor Message Setup 127 Maintenance la akad asa d n d xd 129 Returning the N 595 T 129 SIV ICO ccc acc D bb beb 129 Periodic Safety CHECKS 130 Eta 1010000000 130 Menu UD Eu bun
126. ws you to view one hour of trend information By using the scrolling feature any one hour of trend data can be viewed over the 48 hours of trend information The AJUST DOWN button scrolls the display to the left and the ADJUST UP button scrolls the display to the right When the data are displayed the most recent readings are on the right side of the graph The numbers below SpO2z indicate the highest and lowest parameter values at the cursor position vertical dotted line on the display See Table 4 on page 57 12 TREND 100 55P02 90 80 70 VIEW ZOOM _ NEXT BACK Trend data is further explained in Specifications on page 147 Trend data information may be retrieved through the N 595 data port or cleared using options available in a display menu Caution Monitor trend data will be lost if the main battery fails or is removed Monitor Trend Trend Data Operation Whenever the N 595 is turned on it stores the monitor SpO2 and pulse rate readings in memory every 2 or 4 seconds regardless of whether the N 595 is monitoring a patient or not The N 595 can store up to 48 hours of 4 second trend data or 24 hours of 2 second trend data The 48 24 hours of stored trend data are available for downloading to a printer or a portable computer Up to 50 alarm limit changes can be stored in the trend data If more than 50 alarm limit changes occur during the 48 24 hours of trend data collection the

Nellcor OxiMax N595 Operator`s Manual

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