Pulse Oximeter User Manual

Instructions to User
Dear users, thank you very much for purchasing the Pulse Oximeter.
This Manual is written and compiled in accordance with the council directive MDD93/42/EEC for
medical devices and harmonized standards.In case of modifications and software upgrades, the
information contained in this document is subject to change without notice.
The Manual describes, in accordance with the Pulse Oximeter’s features and requirements, main
structure, functions, specifications, correct methods for transportation, installation, usage, operation,
repair, maintenance and storage, as well as the safety procedures to protect both the user and
equipment. Refer to the respective chapters for details.
Please read the User Manual carefully before using this product. The User Manual which describes
the operating procedures should be followed strictly. Failure to follow the User Manual may cause
measuring abnormality, equipment damage and human injury. The manufacturer is NOT responsible
for the safety, reliability and performance issues and any monitoring abnormality, human injury and
equipment damage due to users' negligence of the operation instructions. The manufacturer’s
warranty service does not cover such faults.
Owing to the forthcoming renovation, the specific products you received may be not totally in
accordance with the description of this User Manual. We would sincerely regret for that.
This product is medical device, which can be used repeatedly.
WARNING:
Uncomfortable or painful feeling may appear if using the device ceaselessly, especially for
the microcirculation barrier patients. It is recommended that the sensor should not be
applied to the same finger for over 2 hours.
For the special patients, there should be a more prudent inspecting in the placing process.
The device can not be clipped on the edema and tender tissue.
The light (the infrared is invisible) emitted from the device is harmful to the eyes, so the
user and the maintenance man should not stare at the light.
Testee can not use enamel or other makeup.
Testee’s fingernail can not be too long.
Please refer to the correlative literature about the clinical restrictions and caution.
This device is not intended for treatment.
The User Manual is published by our company. All rights reserved.
I
Contents
1
2
Safety ..................................................................................................................................................... 1
1.1
Instructions for safe operations ....................................................................................................... 1
1.2
Warning ........................................................................................................................................... 1
1.3
Attention.......................................................................................................................................... 1
Overview ............................................................................................................................................... 2
2.1
Features ........................................................................................................................................... 2
2.2
Major applications and scope of application ................................................................................... 2
2.3
Environment requirements .............................................................................................................. 2
3
Principle ................................................................................................................................................ 3
4
Technical specifications ....................................................................................................................... 3
5
6
7
4.1
Main performance ........................................................................................................................... 3
4.2
Main Parameters.............................................................................................................................. 3
Installation ............................................................................................................................................ 4
5.1
View of the device........................................................................................................................... 4
5.2
Accessories...................................................................................................................................... 4
Operating Guide .................................................................................................................................. 4
6.1
Application method ......................................................................................................................... 4
6.2
Attention for operation .................................................................................................................... 6
6.3
Clinical restrictions ......................................................................................................................... 6
Maintain、
、transportation and storage............................................................................................. 6
7.1
Cleaning and Disinfecting ............................................................................................................... 6
7.2
Maintain .......................................................................................................................................... 6
7.3
Transportation and storage .............................................................................................................. 7
8
Troubleshooting .................................................................................................................................... 7
9
Key of Symbols ................................................................................................................................... 7
10
Function Specification....................................................................................................................... 8
II
1
1.1
Safety
Instructions for safe operations
Check the main unit and all accessories periodically to make sure that there is no visible
damage that may affect patient’s safety and monitoring performance. It is recommended that the
device should be inspected once a week at least. When there is obvious damage, stop using the
device.
Necessary maintenance must be performed by qualified service engineers ONLY. Users are not
permitted to maintain it by themselves.
The oximeter cannot be used together with devices not specified in User’s Manual. Only the
accessory that is appointed or recommendatory by manufacture can be used with this device.
This product is calibrated before leaving factory.
1.2
Warning
Explosive hazard—DO NOT use the oximeter in environment with inflammable gas such as
some ignitable anesthetic agents.
DO NOT use the oximeter while the testee measured by MRI and CT.
The person who is allergic to rubber can not use this device.
The disposal of scrap instrument and its accessories and packing (including plastic bags,
foams and paper boxes) should follow the local laws and regulations.
Please check the packing before use to make sure the device and accessories are totally in
accordance with the packing list, or else the device may have the possibility of working abnormally.
Please choose the accessories which are approved or manufactured by the manufacturer, or
else it may damage the device.
Please don't measure this device with functional tester for the device's related information.
1.3 Attention
֠
Keep the oximeter away from dust, vibration, corrosive substances, explosive materials, high
temperature and moisture.
֠
If the oximeter gets wet, please stop operating it.
֠
When it is carried from cold environment to warm or humid environment, please do not use it
immediately.
֠
High temperature or high pressure steam disinfection of the oximeter is not permitted. Refer to
User Manual in the relative chapter (7.1) for instructions of cleaning and disinfection.
֠
Do not have the oximeter immerged in liquid. When it needs cleaning, please wipe its surface
with medical alcohol by soft material. Do not spray any liquid on the device directly.
֠
When cleaning the device with water, the temperature should be lower than 60℃.
֠
The pulse oximeter is suitable used for adult.
֠
As to the fingers which are too thin or too cold, it would probably affect the normal measure
of the patients' SpO2 and pulse rate, please clip the thicker finger such as thumb and middle finger
deeply enough into the probe.
֠
The update period of data is less than 5 seconds, which is changeable according to different
individual pulse rate.
֠
The device should be used with computer by affiliated software.
1
֠
Please read the measured value when the waveform on screen is equably and steady-going。
The measured value is optimal value,and the waveform at the moment is the standard one.
֠
If some abnormal conditions appear on the screen during test process, pull out the finger and
reinsert to restore normal use.
֠
The device has the function of limits alarming,.When the alarm happens,the screen will appear
prompt information.
֠
The device has normal useful life for three years since the first electrified use.
֠
The device may not work for all patients. If you are unable to achieve stable readings,
discontinue use.
֠
Do not contort or drag the wire of the device.
2
Overview
The pulse oxygen saturation is the percentage of HbO2 in the total Hb in the blood, so-called the O2
concentration in the blood. It is an important bio-parameter for the respiration. A number of diseases
relating to respiratory system may cause the decrease of SpO2 in the blood, furthermore, some other
causes such as the malfunction of human body's self-adjustment, damages during surgery, and the
injuries caused by some medical checkup would also lead to the difficulty of oxygen supply in
human body, and the corresponding symptoms would appear as a consequence, such as vertigo,
impotence, vomit etc. Serious symptoms might bring danger to human's life. Therefore, prompt
information of patients' SpO2 is of great help for the doctor to discover the potential danger, and is of
great importance in the clinical medical field.
The Pulse Oximeter features in small volume, low-power consumption, convenient operation and
being portable. It is only necessary for patient to put one of his fingers into a probe for diagnosis, and
a display interface will directly show the measured value of pulse oxygen saturation with the high
veracity and repetition.
2.1
Features
A. Operation of the product is simple and convenient.
B. The product is small in volume, light in weight and convenient in carrying.
C. Low-power consumption.
2.2
Major applications and scope of application
The Pulse Oximeter can be used in measuring the pulse oxygen saturation and pulse rate through
finger. The product is suitable for being used in family, hospital, oxygen bar, community healthcare,
physical care in sports (It can be used before or after doing sports and it is not recommended to use
the device during the process of having sport) and so on.
The problem of overrating would emerge when the patient is suffering from toxicosis
which caused by carbon monoxide, the device is not recommended to be used under this
circumstance.
2.3
Environment requirements
Storage Environment
a) Temperature :-40℃～+60℃
b) Relative Humidity :5%～95%
2
c) Atmospheric pressure :500hPa～1060hPa
Operating Environment
a) Temperature:10℃～40℃
b) Relative Humidity :30%～75%
c) Atmospheric pressure:700hPa～1060hPa
3
Principle
Principle of the Oximeter is as follows: An experience formula of data process is established taking
use of Lambert Beer Law according to Spectrum Absorption Characteristics of Reductive
Hemoglobin (Hb) and Oxyhemoglobin (HbO2) in glow & near-infrared zones. Operation principle of
the device is: Photoelectric Oxyhemoglobin Inspection Technology is adopted in accordance with
Capacity Pulse Scanning & Recording Technology, so that two beams of different wavelength of
lights can be focused onto human nail tip through perspective clamp finger-type sensor. Then
measured signal can be obtained by a photosensitive element, information acquired through which
will be shown on display of computer through treatment in electronic circuits and microprocessor.
Figure 1
4
4.1
A.
B.
C.
D.
E.
F.
4.2
Technical specifications
Main performance
Used with affiliated software.
SpO2 value display
Pulse rate value display, bar graph display
Pulse waveform display
With alarm function
With data review function
Main Parameters
A. Measurement of SpO2
Measuring range: 0%～100％
Accuracy: When the SpO2 measuring range is 70%～100％,the permission of absolute error is ±2
％；
below 70% unspecified
B. Measurement of pulse rate
Measuring range:30bpm～250bpm
Accuracy: ±2 bpm or ±2% (select larger)
3
C. Resolution
SpO2 : 1%, Pulse rate: 1bpm.
D. Measurement Performance in Weak Filling Condition
SpO2 and pulse rate can be shown correctly when pulse-filling ratio is 0.4%. SpO2 error is ±4%,
pulse rate error is ±2 bpm or ±2% (select larger).
E. Resistance to surrounding light
The deviation between the value measured in the condition of man-made light or indoor natural light
and that of darkroom is less than ±1%.
F.
Power supply requirement: 5V DC
G. Optical Sensor
Red light (wavelength is 660nm，6.65mW)
Infrared (wavelength is 880nm, 6.75mW)
H. Adjustable alarm range
SpO2 : 0%~100%
Pulse Rate: 30bpm~250bpm
5
Installation
5.1
View of the device
Figure 2.sketch map of the device
5.2 Accessories
A.
B.
6
A User Manual
A disk (PC software and the user manual of software)
Operating Guide
6.1 Application method
6.1.1
Installation and startup of software
A First, please install the affiliated software into the computer, two icons would appear on the
desktop after installation. The icon of SpO2 is the program for receiving real-time data which is
shown as figure 3; the icon of SpO2 Review is the program for receiving stored data which is shown
4
as figure 4.
Figure 3.SpO2 program
Figure 4 SpO2 Review program
B Double click the red icon to start real-time measure program.If you are using the software for the
first time ,there will appear a dialog box ,you could choose the language as you like.
6.1.2 Collect Data
The program could identify the inserted device automatically.Connect the device to the
computer,then place your finger right in the device,the real-time measure for SpO2 and pulse will
begin.
Fingernails and the luminescent tube should be on the same side,and try your best to
make the position corresponding.
Figure 5.finger position sketch map
6.1.3 Save data
A When real-time measuring, 'New Session' will appear if you click the waveform area with right
key;click 'New Session' ,there will be a dialog box to clew you to close the dialog or not.If you
choose yes,there will be a saving-data dialog box,or else measure will be continued.
B When you close SpO2 program after accomplishing real-time measure ,there will be also a
saving-data dialog box to clew you to save the measure data.
If you have filled individual information in the dialog box of patient message before,this dialog
box will display the content that you have filled in;if you have not ,you could fill information in the
dialog box ,click 'ok' to save data.
After saving data accurately,you have accomplished the whole measurement.If you want to
5
review saved data,please use 'SpO2 Review ' program.
Please refer to user manual of the software for the particular introduction。
。
6.2 Attention for operation
A. Please check the device before using, and confirm that it can work normally.
B.The finger should be placed in proper position (see the attached illustration of figure 5 for
reference), or else it may result in inaccurate measurement.
C.There should be subject's arteriole between the luminous and photosensitive sensors when
measuring.
D. The SpO2 sensor should not be used at a location or limb tied with arterial canal or blood pressure
cuff or receiving intravenous injection.
E. Do not fix the SpO2 sensor with barrier such as adhesive, or else it may result in inaccurate
measure of SpO2 and pulse rate.
F. Excessive ambient light may affect the measurement result.,such as fluorescent lamp, dual ruby
light, infrared heater and direct sunlight.
G. Strenuous action of the subject or extreme electrosurgical interference may also affect the
accuracy.
H. Testee can not use enamel or other makeup.
I. Please clean and disinfect the device according to the User Manual (7.1) after operating.
6.3 Clinical restrictions
A. As the measure is taken on the basis of arteriole pulse, substantial pulsating blood flow of
subject is required. For a subject with weak pulse due to shock, low ambient/body temperature,
major bleeding, or use of vascular contracting drug, the SpO2 waveform (PLETH) will decrease. In
this case, the measurement will be more sensitive to interference.
B. For those with a substantial amount of staining dilution drug (such as ethylene blue, indigo
green and acid indigo blue), or carbon monoxide hemoglobin (COHb), or methionine (Me+Hb) or
thiosalicylic hemoglobin, and some with icterus problem, the SpO2 determination by this monitor
may be inaccurate.
C. The drugs like dopamine, procaine, prilocaine, lidocaine and butacaine may also be a major
factor resulted in serious error of SpO2 measure.
D. As the SpO2 value serves as a reference value for judgment of anemic anoxia and toxic anoxia,
some patients with serious anemia may also report good SpO2 measurement.
7
Maintain、
、transportation and storage
7.1 Cleaning and Disinfecting
Using medical alcohol to disinfect the device, nature dry or clean it with clean soft cloth.
7.2
Maintain
A. Please clean and disinfect the device before using according to the User Manual(7.1).
B. The device needs to be calibrated once a year (or according to the calibrating program of
hospital). It also can be performed at the state-appointed agent or just contact us for calibration.
6
7.3
Transportation and storage
A. The packed device can be transported by ordinary conveyance or according to transport contract.
The device can not be transported mixed with toxic, harmful, corrosive material.
B. The packed device should be stored in room with no corrosive gases and good ventilation.
Temperature: -40°C~60°C; Humidity: ≤95%
8
Troubleshooting
Trouble
Possible Reason
Solution
The SpO2 and Pulse
Rate can not be
displayed normally.
1. The finger position is not proper.
2. The patient’s SpO2 is too low to be
detected.
1. Place the finger properly and
try again.
2. Try a few times again and go
to hospital for a diagnosis if you
are sure the device works all
right.
The SpO2 and Pulse
Rate
are
not
displayed stably.
1. The finger is not placed inside deep
enough.
2. The finger is shaking or the patient is
moving.
1. Place the finger properly and
try again.
2. Let the patient keep still.
1.The USB plug doesn't connected well.
2.The software can't identify.
3.The device is damaged.
1.Connect the USB plug with
computer again.
2.Close the software and open it
again.
3.Please contact the local service
center.
It cannot display the
interface
of
the
software.
9
Key of Symbols
Signal
Description
Warning – See User Manual
The pulse oxygen saturation (%)
bpm
Pulse rate (bpm)
SN
Serial number
USB
7
10
Function Specification
SpO2 Parameter Specification
Measuring range
0%～100% (the resolution is 1%).
Accuracy
70%～100%：±2%, Below 70% unspecified.
Calculate the Average value in every 4 measure value.
The deviation between average value and true value
does not exceed 1%.
Average value
Pulse Parameter Specification
Measuring range
30bpm～250bpm, (the resolution is 1bpm)
Accuracy
±2bpm or±2% (select larger)
Moving calculate the Average pulse rate every 4
cardio-beat's cycle.
The deviation between average value and true value
does not exceed 1%
Average pulse rate
Safety Type
BF Type
Pulse Intensity
Continuous bar-graph display, the higher display
indicate, the stronger pulse.
Range
Power Supply Requirement
5V DC
USB power supply
Oximeter Probe
Wavelength:660nm 880nm
Dimensions and Weight
Dimensions
About 1.5m for the length of wire.
Weight
About 40 g
8