SPECTRO2 10 Pulse Oximeter Hand-Held Manual

BCI SPECTRO2 10
Handheld
PulseOx Manual
Get an original copy of the BCI SPECTRO2 10 Handheld
PulseOx Manual for manufacturer information about service,
available accessories and how to use and maintain your
device.
WW1000/WW1020
Operation Manual
- English
Catalog Number WW1922en
Version 1, August 2009
© 2009 Smiths Medical family of companies. All rights reserved.
Table of Contents
Table of Contents
Warranty and Service Information.......................................................................v
Proprietary Notice....................................................................................................................................................... v
Warranty......................................................................................................................................................................... v
Limited Warranty................................................................................................................................................. v
Disclaimer of Warranties................................................................................................................................... v
Conditions of Warranty..................................................................................................................................... v
Limitation of Remedies..................................................................................................................................... v
Warranty Procedure................................................................................................................................................... vi
CE Notice....................................................................................................................................................................... vi
Chapter 1: Introduction.................................................................................... 1-1
About the Manual................................................................................................................................................... 1-1
Definition of Symbols............................................................................................................................................ 1-1
Warnings..................................................................................................................................................................... 1-3
Cautions...................................................................................................................................................................... 1-7
Notes............................................................................................................................................................................ 1-8
Chapter 2: Intended Use and Monitor Features.............................................. 2-1
Intended Use for the WW1020 Oximeter........................................................................................................ 2-1
Intended Use for the WW1000 Oximeter........................................................................................................ 2-1
Monitor Features..................................................................................................................................................... 2-1
Theory of Operation............................................................................................................................................... 2-2
Pulse Amplitude Index.......................................................................................................................................... 2-3
Patented Technology (WW1020 only)............................................................................................................. 2-3
Chapter 3: Controls and Features..................................................................... 3-1
Front Display............................................................................................................................................................. 3-1
Monitor Operating Key.......................................................................................................................................... 3-2
Monitor Back and Bottom Panels...................................................................................................................... 3-3
Chapter 4: Operating Instructions................................................................... 4-1
Unpacking the Monitor......................................................................................................................................... 4-1
Powering the Oximeter......................................................................................................................................... 4-1
Installing the Batteries........................................................................................................................................... 4-3
External Power ........................................................................................................................................................ 4-4
AC Power.................................................................................................................................................................... 4-5
USB Power (Universal Serial Bus)....................................................................................................................... 4-6
Turning On the Monitor........................................................................................................................................ 4-7
Checking the Monitor’s Configuration............................................................................................................ 4-8
Checking the Monitor’s Performance.............................................................................................................. 4-8
Attaching the Sensor to the Patient................................................................................................................. 4-9
Choosing the Sensor............................................................................................................................................4-10
BCI® Sensors....................................................................................................................................................4-10
Nellcor® Sensor (WW1020 Only).............................................................................................................4-11
Clinician’s Operation Manual
i
Table of Contents
Cleaning or Disinfecting the Sensors.............................................................................................................4-11
Checking the Sensor and Oximetry Cable...................................................................................................4-11
Pulse Amplitude Index........................................................................................................................................4-12
Storing the Sensor.................................................................................................................................................4-14
Home Use.................................................................................................................................................................4-15
Equipment and Supplies Checklist for Home Use............................................................................4-15
Training the Home Use Caregiver...........................................................................................................4-16
Chapter 5: Patient Record Number and Trend Data....................................... 5-1
Description................................................................................................................................................................ 5-1
Incrementing the Patient Record Number . .................................................................................................. 5-1
Memory Capacity.................................................................................................................................................... 5-1
Clearing Trend Data................................................................................................................................................ 5-1
Trend Data Output.................................................................................................................................................. 5-1
Chapter 6: Optional Docking Station and Printer........................................... 6-1
Description................................................................................................................................................................ 6-1
Docking Station....................................................................................................................................................... 6-2
Powering the Docking Station................................................................................................................... 6-2
WW1090 Lithium-Ion (Li+) Rechargeable Battery Pack.................................................................... 6-3
Installing the Oximeter to the Dock......................................................................................................... 6-3
Downloading Data to PC............................................................................................................................. 6-3
Printer.......................................................................................................................................................................... 6-4
Attaching the Printer..................................................................................................................................... 6-5
Loading Paper.................................................................................................................................................. 6-6
Choosing the Print Mode . .......................................................................................................................... 6-7
Trend Data Condition Flags................................................................................................................................. 6-8
Chapter 7: PC Communication Setup............................................................... 7-1
Description................................................................................................................................................................ 7-1
Power Input and Data Connector Port .......................................................................................................... 7-2
How to Set Up Equipment........................................................................................................................... 7-3
Sensor / RS232 Port................................................................................................................................................. 7-4
How to Set Up Equipment........................................................................................................................... 7-4
Output Format................................................................................................................................................. 7-5
Chapter 8: Maintenance.................................................................................... 8-1
Routine Maintenance............................................................................................................................................. 8-1
Cleaning and Disinfecting.................................................................................................................................... 8-2
Storage........................................................................................................................................................................ 8-2
Chapter 9: Troubleshooting.............................................................................. 9-1
Power........................................................................................................................................................................... 9-1
Sensor.......................................................................................................................................................................... 9-2
Other............................................................................................................................................................................ 9-3
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Clinician’s Operation Manual
Table of Contents
Chapter 10: Optional Supplies and Accessories............................................ 10-1
Ordering Information...........................................................................................................................................10-2
Chapter 11: Specifications.............................................................................. 11-1
Displays.....................................................................................................................................................................11-1
Indicators..................................................................................................................................................................11-1
Keys/User Controls................................................................................................................................................11-1
SpO2 for the WW1020 Oximeter.......................................................................................................................11-2
Pulse Rate for the WW1020 Oximeter............................................................................................................11-3
SpO2 for the WW1000 Oximeter.......................................................................................................................11-4
Pulse Rate for the WW1000 Oximeter............................................................................................................11-5
Pulse Amplitude Index for the WW1020 Oximeter...................................................................................11-6
Pulse Amplitude Index for the WW1000 Oximeter...................................................................................11-6
Printer........................................................................................................................................................................11-6
Serial Data Output.................................................................................................................................................11-7
Power Input and Data Connector ..........................................................................................................11-7
Sensor Connector.........................................................................................................................................11-7
Power Requirements............................................................................................................................................11-7
Battery...............................................................................................................................................................11-7
AC Charger......................................................................................................................................................11-7
USB.....................................................................................................................................................................11-7
Monitor Dimensions.............................................................................................................................................11-7
Dock Dimensions...................................................................................................................................................11-8
Auxiliary Inputs/Outputs....................................................................................................................................11-8
Environmental........................................................................................................................................................11-8
Equipment Classification....................................................................................................................................11-9
Design Standards..................................................................................................................................................11-9
Appendix A: Guidance and Manufacturer’s Declaration................................A-1
Guidance and Manufacturer’s Declaration....................................................................................................A-1
Electromagnetic Emissions - Emissions Test.........................................................................................A-1
Electromagnetic Immunity - Immunity Test..................................................................................................A-2
Recommended Separation Distances..............................................................................................................A-4
The serial autocorrelation technology (SAC) in the WW1020 oximeter is covered by U.S. Patent No.
5,558,096.
BCI, Comfort Clip, SPECTRO2 and the Smiths design mark are trademarks of the Smiths Medical
family of companies. The symbol ® indicates the trademark is registered in the U.S. Patent and
Trademark Office and certain other countries. All other names and marks mentioned are the trade
names, trademarks or service marks of their respective owners.
Clinician’s Operation Manual
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Table of Contents
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iv
Clinician’s Operation Manual
Warranty and Service Information
Warranty and Service Information
Proprietary Notice
Information contained in this document is copyrighted by Smiths Medical PM, Inc. and may not be
duplicated in full or part by any person without prior written approval of Smiths Medical PM, Inc.
Its purpose is to provide the user with adequately detailed documentation to efficiently install,
operate, maintain, and order spare parts for the device supplied. All information contained in this
document is believed to be current and accurate as of the date of publication or revision, but does
not constitute a warranty.
Warranty
Limited Warranty
Smiths Medical PM, Inc. (“Seller”) warrants to the original purchaser that the Product, not
including accessories, shall be free from defects in material and workmanship under normal use,
if used in accordance with its labeling, for three years from the date of shipment to the original
purchaser.
Seller warrants to the original purchaser that the reusable oximeter sensors supplied as
accessories, shall be free from defects in materials and workmanship under normal use, if used
in accordance with its labeling, for one year from the date of shipment to the original purchaser
(USA only).
Disclaimer of Warranties
THE FOREGOING EXPRESS WARRANTY, AS CONDITIONED AND LIMITED, IS IN LIEU OF AND
EXCLUDES ALL OTHER WARRANTIES WHETHER EXPRESS OR IMPLIED, BY OPERATION OF
LAW OR OTHERWISE, INCLUDING BUT NOT LIMITED TO, ANY IMPLIED WARRANTIES OF
MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.
Seller disclaims responsibility of the suitability of the Product for any particular medical treatment
or for any medical complications resulting from the use of the Product. This disclaimer is dictated
by the many elements which are beyond Seller’s control, such as diagnosis of patient, conditions
under which the Product may be used, handling of the Product after it leaves Seller’s possession,
execution of recommended instructions for use and others.
Conditions of Warranty
This warranty is void if the Product has been altered, misused, damaged by neglect or accident,
not properly maintained or recharged, or repaired by persons not authorized by Seller. Misuse
includes, but is not limited to, use not in compliance with the labeling or use with accessories not
manufactured by Seller. This warranty does not cover normal wear and tear and maintenance
items.
Limitation of Remedies
The original purchaser’s exclusive remedy shall be, at Seller’s sole option, the repair or
replacement of the Product. THIS IS THE EXCLUSIVE REMEDY. In no event will Seller’s liability
arising out of any cause whatsoever (whether such cause is based on contract, negligence,
strict liability, tort or otherwise) exceed the price of the Product and in no event shall Seller
be responsible for consequential, incidental, or special damages of any kind or nature
whatsoever, including but not limited to, lost business, revenues, and profits.
Clinician’s Operation Manual
v
Warranty and Service Information
Warranty Procedure
To obtain warranty service in the USA, you must request a Return Authorization (RA) number from
Technical Service. Reference the RA number when returning your Product, freight and insurance
prepaid, to:
Smiths Medical PM, Inc.
N7W22025 Johnson Drive
Waukesha, WI 53186-1856
Phone: (262) 542-3100
Fax: (262) 542-0718
Toll Free: (800) 558-2345
Seller will not be responsible for unauthorized returns or for loss or damage to the Product
during the return shipment. The repaired or replaced Product will be shipped, freight prepaid, to
Purchaser.
To obtain warranty information outside of the USA, contact your local distributor.
Keep all original packing material, including any inserts. If you need to ship the device, use only
the original packaging material, including inserts. Box and inserts should be in original condition.
If original shipping material in good condition is not available, it should be purchased from Smiths
Medical PM, Inc.
Damages occurring in transit in other than original shipping containers are the responsibility of
the shipper. All costs incurred returning devices for repair are the responsibility of the shipper.
CE Notice
Marking by the symbol
93/42/EEC.
2 indicates compliance of this device to the Medical Device Directive
@ Authorized Representative (as defined by the Medical Device Directive):
Smiths Medical International Ltd.
Colonial Way, Watford, Hertfordshire,
WD24 4LG, UK
Phone: (44) 1923 246434
Fax: (44) 1923 240273
Australian Representative:
Smiths Medical Australasia Pty. Ltd.
61 Brandl Street, Eight Mile Plains,
QLD 4113, Australia
vi
Tel: +61 (0) 7 3340 1300
Clinician’s Operation Manual
Chapter 1: Introduction
Chapter 1: Introduction
About the Manual
The Clinician’s Operation Manual provides installation, operation, and maintenance instructions
for the health-care professional trained in monitoring respiratory and cardiovascular activity.
These instructions contain important information for safe use of the product. Read the
entire contents of these Instructions For Use, including Warnings and Cautions, before using
the monitor. Failure to properly follow warnings, cautions and instructions could result in
death or serious injury to the patient.
Definition of Symbols
symbol
6
definition
Caution: Federal (U.S.A.) law restricts this device to sale by or on the order of a
physician.
R
Type BF Equipment
f
Attention, see instructions for use.
7
Refer servicing to qualified service personnel.
This device has no alarms.
%SpO2
p
PI
Percent Oxygen Saturation
Pulse Rate (beats per minute)
Pulse Amplitude Index
Battery Charge Indicator
External Power Indicator
x
On/Off Key
1
Printer LED - Real Time Printout
2
Printer LED - Numeric Trend Tables
3
Printer LED - Graphic Trend
Printer LED - Error
Printer Key - Select Print
Printer Key - Start / Stop Print
Docking Station LED - AC Power
Docking Station LED - USB Power
Docking Station LED - Charging Spare Battery
Printer icon: Small Pulse (WW1020 only)
Printer icon: Check Sensor
Printer icon: Searching too Long
Printer icon: Lost Pulse
Clinician’s Operation Manual
1-1
Chapter 1: Introduction
symbol
definition
Printer icon: Artifact (WW1020 only)
7
Do not reuse. One use on one patient.
K
1
Moisture Sensitive
D
Output Voltage Connector
E
G
Input Voltage Connector
IPX2
Drip proof (monitor and dock only)
<
Catalog Number
J
Date of Manufacture
@
Z
Collect
Separately
Y
Not suitable for use in the presence of a flammable anesthetic mixture.
Direct Current
Authorized Representative in the European Community
Disposal (EU Countries)
Under the Waste Electrical and Electronic Equipment (WEEE) Directive
2006/96/EC and implementing regulations, all devices and service items
within the scope of the Directive purchased new after August 13, 2005 must
be sent for recycling when ultimately becoming waste. Devices and items
must not be disposed of with general waste.
If purchased before that date, they may also be sent for recycling if being
replaced on a one-for-one, like-for-like basis (this varies depending on the
country). Recycling instructions to customers using Smiths Medical products
are published on the internet at:
http://www.smiths-medical.com/recycle
Disposal (other countries)
When disposing of this device, its batteries or any of its accessories, ensure
that any negative impact on the environment is minimized. Contact your
local waste disposal service and use local recycling or disposal schemes.
Separate any other parts of the equipment where arrangements can be made
for their recovery; either by recycling or energy recovery. The main batteries
are potentially harmful and will require separate disposal according to
manufacturer’s instructions or local regulations.
Note: If applicable, EU, national or local regulations concerning waste
disposal must take precedence over the above advice.
1-2
Clinician’s Operation Manual
Chapter 1: Introduction
keyword
definition
WARNING
Something that could hurt the patient or hurt the operator.
CAUTION
Something that could damage the monitor.
NOTE
Other important information.
Warnings
WARNING! This device is not intended for continuous patient monitoring. This device is
intended to measure the patient’s %SpO2 and pulse rate values. There are no
audible or visible alarms.
WARNING! The monitor was not designed or tested to be an apnea monitor.
WARNING! Do not use this device in the presence of flammable anesthetics.
WARNING! Do not use this device in the presence of magnetic resonance imaging (MR or
MRI) equipment.
Warning! Operation of this device may be adversely affected in the presence of
conducted transients or strong electromagnetic (EM) or radiofrequency
(RF) sources, such as portable and mobile RF communication equipment,
electrosurgery and electrocautery equipment, x-rays, and high intensity
infrared radiation.
Warning! Operation of this device may be adversely affected in the presence of computed
tomograph (CT) equipment.
WARNING! Any monitor that has been dropped or damaged should be inspected by
qualified service personnel, prior to use, to insure proper operation.
Warning! If the accuracy of any measurement is in question, verify the patient’s vital signs
by an alternative method,and then check the monitor for proper functioning.
WARNING! This device must be used in conjunction with clinical signs and symptoms. This
device is only intended to be an adjunct in patient assessment.
WARNING! This device is intended for use by persons trained in professional health care or
those who have access to the oversight of a professional health care provider.
The operator must be thoroughly familiar with the information in this manual
before using the device.
WARNING! Prolonged use or the patient’s condition may require changing the sensor site
periodically. Change sensor site and check skin integrity, circulatory status, and
correct alignment at least every 4 hours.
WARNING! When attaching sensors with Microfoam® tape, do not stretch the tape or
attach the tape too tightly. Tape applied too tightly may cause inaccurate
readings and blisters on the patient’s skin (lack of skin respiration, not heat,
causes the blisters).
Warning! Use only SpO2 sensors supplied with, or specifically intended for use with, this
device.
Clinician’s Operation Manual
1-3
Chapter 1: Introduction
WARNING! Incorrectly applied sensors may give inaccurate readings. 2 Refer to the
sensor insert for proper application instructions.
WARNING! Do not autoclave, ethylene oxide sterilize, or immerse the sensors in liquid. This
may cause damage to the sensor which may cause inaccurate readings.
WARNING! Unplug the sensor from the oximeter before cleaning or disinfecting to prevent
damaging the sensor or monitor, and to prevent user safety hazards.
WARNING! Measurements made at sites with low perfusion are potentially inaccurate.
Always use measurements in conjunction with other clinical signs and
symptoms.
Warning! SpO2 measurements may be adversely affected in the presence of high ambient
light. Shield the sensor area (with a surgical towel, for example) if necessary.
Warning! Dyes introduced into the bloodstream, such as methylene blue, indocyanine
green, indigo carmine, fluorescein, and patent blue V (PBV) may adversely
affect the accuracy of the SpO2 reading.
Warning! Any condition that restricts blood flow, such as use of a blood pressure cuff or
extremes in systemic vascular resistance, may cause an inability to determine
accurate pulse rate and SpO2 readings.
Warning! Optical cross-talk can occur when two or more sensors are placed in close
proximity. It can be eliminated by covering each site with an opaque material.
Warning! Remove fingernail polish or false fingernails before applying SpO2 sensors.
Fingernail polish or false fingernails may cause inaccurate SpO2 readings.
Warning! Significant levels of dysfunctional hemoglobins, such as carboxyhemoglobin
(with CO-poisoning) or methemoglobin (with sulfonamide therapy), will affect
the accuracy of the SpO2 measurement.
WARNING! Tissue damage may result from overexposure to sensor light during
photodynamic therapy with agents such as verteporphin, porfimer sodium,
and metatetrahydroxyphenylchlorin (mTHPC). Change the sensor site at least
every hour and observe for signs of tissue damage. More frequent sensor site
changes/inspections may be indicated depending upon the photodynamic
agent used, agent dose, skin condition, total exposure time or other factors.
Use multiple sensor sites.
WARNING! When connecting this monitor to any instrument, verify proper operation
before clinical use. Refer to the instrument’s user manual for full instructions.
Accessory equipment connected to the monitor’s data interface must be
certified according to the respective IEC standards, i.e., IEC 60950 for data
processing equipment or IEC 60601-1 for electromedical equipment. All
combinations of equipment must be in compliance with IEC 60601-1-1 systems
requirements. Anyone connecting additional equipment to the signal input
port or the signal output port configures a medical system, and therefore is
responsible that the system complies with the requirements of the system
standard IEC 60601-1-1.
1-4
Clinician’s Operation Manual
Chapter 1: Introduction
WARNING! IEC 60950 approved equipment must be placed outside the “patient
environment.” The patient environment is defined as an area 1.5 m (4.92 feet)
from the patient.
Figure 1-1: Patient Environment
9f
5m
(4.
t.)
.
R1
WARNING! The oximeter will not operate without batteries installed. Properly charged
batteries provide a reserve source of power in case of external power failure.
Never use an oximeter with discharged batteries to monitor a patient.
WARNING! Inspect battery terminals for corrosion or contamination. The monitor may not
operate properly if battery terminals are corroded or contaminated. Do not use
until battery terminals have been properly cleaned and repaired.
WARNING! Check expiration date of batteries. The monitor may not operate properly if
expired batteries are used. Do not use until proper batteries can be obtained.
WARNING! Remove device batteries prior to long term storage.
WARNING! Do not allow the patient to handle the device if the battery door has been
removed, except while installing new batteries.
WARNING! Disconnect the external power supply from the monitor or Docking Station
before disinfecting or cleaning the monitor.
WARNING! Do not plug the monitor or Docking Station into an outlet controlled by a wall
switch.
WARNING! Disconnect the AC power supply from the outlet before disconnecting it from
the monitor. Leaving the AC power supply connected to an AC power outlet
without being connected to the monitor may result in a safety hazard.
WARNING! Do not allow any moisture to contact the AC power supply connectors, or
a safety hazard may result. Ensure that hands are thoroughly dry before
handling the AC power supply.
WARNING! Do not place the monitor or Docking Station in the patient’s bed or crib. Do not
place the monitor or Docking Station on the floor.
WARNING! Failure to place the monitor or Docking Station away from the patient may
allow the patient to turn off, reset, or damage the monitor, possibly resulting
in the patient not being monitored. Make sure the patient cannot reach the
monitor from their bed or crib.
Clinician’s Operation Manual
1-5
Chapter 1: Introduction
WARNING! Failure to carefully route the cable from the sensor to the monitor may allow
the patient to become entangled in the cable, possibly resulting in patient
strangulation. Route the cable in a way that will prevent the patient from
becoming entangled in the cable. If necessary, use tape to secure the cable.
WARNING! If there is a risk of the AC power supply becoming disconnected from the
monitor during use, secure the cord to the monitor several inches from the
connection.
WARNING! Ensure the device’s AC rating is correct for the AC voltage at your installation
site before using this monitor. The monitor’s AC rating is shown on the external
power supply. If the rating is not correct, do not use the monitor. Contact
the Smiths Medical PM, Inc. service department, or your authorized service
representative, for help.
WARNING! Use only the power supply included with your monitor, or approved by Smiths
Medical PM, Inc. Use of an inappropriate power supply may cause a patient
shock hazard or cause the oximeter to stop monitoring. See Chapter 10:
Optional Supplies & Accessories, for additional specific information.
WARNING! The Docking Station must have a Printer or Printer Port Cover installed. Failure
to do so may cause a risk of electrical shock to the patient or operator or risk
damage to the equipment.
WARNING! Under certain clinical conditions, pulse oximeters may display dashes if
unable to display SpO2 and/or pulse rate values. Under these conditions, pulse
oximeters may also display erroneous values. These conditions include, but are
not limited to: patient motion, low perfusion, cardiac arrhythmias, high or low
pulse rates or a combination of the above conditions. Failure of the clinician to
recognize the effects of these conditions on pulse oximeter readings may result
in patient injury.
WARNING! Verify that all LEDs (light emitting diodes) on the display light up upon startup
of the device.
1-6
Clinician’s Operation Manual
Chapter 1: Introduction
Cautions
CAUTION! Federal (U.S.A.) law restricts this device to sale by or on the order of a physician.
CAUTION! 7 Do not disassemble unit, not user serviceable. Refer to qualified service
personnel.
CAUTION! Failure to charge the monitor while the monitor is in long term storage may
shorten the battery life. Charge the monitor while it is in storage to ensure the
longest battery life.
CAUTION! Due to limitations of the Li-Ion chemistry, the rechargeable battery pack
should not be charged at ambient temperatures above 45 °C (113 °F) or
below 5 °C (41 °F).
CAUTION! The WW1090 rechargeable battery pack is shipped with only 30% of full charge.
The battery pack must be charged completely before use.
CAUTIOn! The WW1090 rechargeable battery pack utilizes Li-Ion secondary cells. Dispose
of spent batteries in compliance with your institution’s guidelines and local
ordinances.
CAUTION! Observe proper battery polarity (direction) when replacing batteries.
CAUTION! Do not allow water or any other liquid to spill onto the monitor or Docking
Station. Do not autoclave, ethylene oxide sterilize, or immerse the monitor or
Docking Station in liquid. Evidence that liquid has been allowed to enter the
monitor or Docking Station voids the warranty.
CAUTION! Where the equipment has accidentally gotten wet, it should be wiped dry
externally and allowed to dry thoroughly before use.
CAUTION! Before cleaning or disinfecting the printer, unplug the AC adapter, remove the
batteries and remove the paper.
CAUTION! Do not allow printer paper to become wet. If the printer paper gets wet, remove
the paper immediately. Do not use the printer until the paper is replaced.
Caution! Chemicals used in some cleaning agents may cause brittleness of plastic parts.
Follow cleaning instructions in this manual.
CAUTION! Cleaning with disinfectants, including alcohol, may shorten the life of the plastic
or electronic parts, but appropriate disinfection must still be performed.
CAUTION! Pressing any key with sharp or pointed instruments may permanently damage
the keypad. Only press keys with your finger.
Clinician’s Operation Manual
1-7
Chapter 1: Introduction
Notes
NOTE: The WW1090 rechargeable battery pack utilizes circuitry that optimizes the
charging of the batteries. New packs will require multiple charge / discharge
learning cycles before optimum performance is obtained.
NOTE: “SpO2 averaging” means the number of pulse beats over which the SpO2 value is
averaged; “pulse averaging” means the number of seconds over which the pulse
value is averaged.
NOTE: Increasing or decreasing the averaging setting has no effect on the data update
rate.
NOTE: A Patient Simulator does not calibrate the monitor. The monitor does not require
calibration. A Patient Simulator provides a known SpO2 and pulse rate to the
monitor that allows the monitor’s performance to be checked.
NOTE: A Patient Simulator cannot be used to assess the accuracy of a pulse oximeter and/
or sensor.
1-8
Clinician’s Operation Manual
Chapter 2: Intended Use and Monitor Features
Chapter 2: Intended Use and Monitor Features
Intended Use for the WW1020 Oximeter
The WW1020 pulse oximeter is intended for spot-checking applications (non continuous use). It
monitors and displays patient’s functional oxygen saturation (%SpO2), pulse rate
( p ), pulse signal strength, and Pulse amplitude Index (PI) readings. It may be used by
physicians, respiratory therapists, nurses, certified nurse assistants, emergency medical
technicians, sleep technicians, and home users. The intended patient population ranges from
neonatal to adult. It may be used on patients with low perfusion or during patient motion. The
WW1020 may be used in the hospital or clinical environment, during emergency land transport,
and in the home.
WARNING! The monitor was not designed or tested to be an apnea monitor.
Intended Use for the WW1000 Oximeter
The WW1000 pulse oximeter is intended to be used for spot-checking (non-continuous use). It
monitors and displays a patient’s functional oxygen saturation (%SpO2), pulse rate (p ), pulse
signal strength, and Pulse amplitude Index (PI) readings. It may be used by physicians, respiratory
therapists, nurses, certified nurse assistants, emergency medical technicians, sleep technicians,
clinicians, and home users. The intended patient population ranges from infant to adult. It can
be used on patients with low perfusion. The WW1000 may be used in the hospital or clinical
environment, during emergency land transport, and in the home.
WARNING! The monitor was not designed or tested to be an apnea monitor.
Monitor Features
• Provides fast, reliable SpO2, pulse rate, and pulse signal strength measurements on
any patient, from neonate to adult for the WW1020 or from small infant to adult for the
WW1000.
• Maintains accurate readings during periods of patient motion (WW1020 only) and when
monitoring patients with low perfusion.
• Ideally suited for use in hospitals, outpatient clinics, emergency rooms, during emergency
land transport, in sleep labs, or in-home use.
• Portable and lightweight. Weighs only 330 grams (12 ounces), with 4 “AA” batteries.
• On-board sensor storage cradle holds the finger sensor when not in use.
• Power options include four (4) standard “AA” (type IEC LR6) alkaline batteries, a
rechargeable Lithium Ion battery pack, USB power, or an AC power adapter.
• Rechargeable battery life for a new battery is approximately thirty-one (31) hours for the
WW1020, fifty-four (54) hours for the WW1000.
• An easy to read battery gauge indicates the charge level and provides a low battery alert.
• Large, bright, easy-to-read LED display indicates SpO2 and pulse rate measurements.
• 2 Nine-segment LED bar graphs indicate pulse signal strength and pulse amplitude index.
• Optional docking station transforms the device into a table top pulse oximeter, and can
also be used to recharge the monitor’s lithium Ion battery pack, and a spare battery pack.
• Optional printer allows for printing of trend information or real time data logs.
Clinician’s Operation Manual
2-1
Chapter 2: Intended Use and Monitor Features
Theory of Operation
The pulse oximeter determines %SpO2 and pulse rate by passing two wavelengths of low
intensity light, one red and one infrared, through body tissue to a photodetector. Information
about wavelength range can be especially useful to clinicians. Wavelength information for this
device can be found in the SpO2 Specifications section of this manual.
Pulse identification is accomplished by using plethysmographic techniques, and oxygen
saturation measurements are determined using spectrophotometric oximetry principles. During
measurement, the signal strength resulting from each light source depends on the color and
thickness of the body tissue, the sensor placement, the intensity of the light sources, and the
absorption of the arterial and venous blood (including the time varying effects of the pulse) in the
body tissues.
1
2
Figure 2-1: Theory of Operation
1
Low intensity Red and Infrared LED light sources
2
Detector
The oximeter processes these signals, separating the time invariant parameters (tissue thickness,
skin color, light intensity, and venous blood) from the time variant parameters (arterial volume
and SpO2) to identify the pulses and calculate functional oxygen saturation. Oxygen saturation
calculations can be performed because blood saturated with oxygen predictably absorbs less red
light than oxygen-depleted blood.
WARNING! Since measurement of SpO2 depends on a pulsating vascular bed, any
condition that restricts blood flow, such as the use of a blood pressure cuff or
extremes in systemic vascular resistance, may cause an inability to determine
accurate SpO2 and pulse rate readings.
WARNING! Under certain clinical conditions, pulse oximeters may display dashes if
unable to display SpO2 and/or pulse rate values. Under these conditions, pulse
oximeters may also display erroneous values. These conditions include, but are
not limited to: patient motion, low perfusion, cardiac arrhythmias, high or low
pulse rates or a combination of the above conditions. Failure of the clinician to
recognize the effects of these conditions on pulse oximeter readings may result
in patient injury.
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Chapter 2: Intended Use and Monitor Features
Pulse Amplitude Index
The PI value is a relative measure of pulse-signal strength over time at a pulse oximeter
monitoring site, and is non-pulsatile in nature. Pulse amplitude Index is defined as
PI = (100 × AC)/DC where AC is the alternating current (pulsatile component of the signal)
and DC is direct current (non-pulsatile component of the signal). For more information, see
Pulse Amplitude Index in Chapter 4: Operating Instructions.
NOTe! The PI value is a relative value that varies from patient to patient.
Patented Technology (WW1020 only)
This oximeter incorporates patented technology and noise reducing hardware to enhance the
oximeter’s ability to detect pulse amplitude in patients with poor peripheral perfusion. Blood
Pulse Detection Method Using Serial Autocorrelation (SAC), patent number 5,558,096, analyzes
a digitized signal, in real time, and compares it with previous pulse data. If similar characteristics
to previous data are recognized, the device confirms a valid pulse. In essence, an individual’s
pulse data is retained and used as a template to accept or reject future pulse signals. Patented
technology, digital signal processing, and a greatly improved signal to noise ratio, provide for
improved performance.
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Chapter 3: Controls and Features
Chapter 3: Controls and Features
Front Display
The display shows the measurements for SpO2 and Pulse Rate. It also shows a pulse strength
indicator, a pulse amplitude indicator and indicators for AC power and battery charge level.
3
2
4
1
5
6
Figure 3-1: Front Display
1
Pulse Amplitude Index Bar Graph - green / yellow
The Pulse amplitude Index bar graph is used to assist the operator in locating the oximetry
sensor site with the best pulse signal strength. A higher bar graph indicates a better quality
site. The bottom 2 bars turn yellow to indicate that the oximeter is receiving a low signal
quality from that sensor site.
2
External Power Indicator (X ) - green
This indicator is lit when the device is receiving power from the AC adapter or USB cable.
3
Pulse Signal Strength Bar Graph - red
The pulse strength bar graph “sweeps” with the patient’s pulse beat. The height of the bar
graph is a logarithmic representation of the pulse signal strength.
4
Battery Charge Indicator - green (yellow if low)
The battery charge indicator shows the current state of charge of the installed battery.
LED segments will disappear as the battery becomes weaker. When only one LED is lit and
flashing yellow, the batteries will expire within minutes; replace the batteries.
NOTE! This indicator is OFF if AA batteries are installed and X is illuminated.
5
SpO2 Numeric Display - red
A number shows the patient’s functional oxygen saturation value in percent. Dashes (--)
indicate the monitor is not able to calculate the SpO2 value.
6
Pulse Rate Numeric Display - red
A number shows the patient’s pulse rate value in beats per minute. Dashes (---) indicate the
monitor is not able to calculate the pulse rate value.
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Chapter 3: Controls and Features
Monitor Operating Key
1
Figure 3-2: Monitor Operating Key
1
x
ON/OFF Key
Momentarily press this key when the device is OFF to turn the monitor ON. Press this key
when the device is ON to turn the monitor OFF.
Press and hold this key when the device is OFF to clear the patient trend data.
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Chapter 3: Controls and Features
Monitor Back and Bottom Panels
2
1
3
4
Figure 3-3: Monitor Back and Bottom Panels
1
Sensor / RS232 Connector
The sensor or an extension cable attaches here. With the sensor removed, trend data can
be downloaded from this connector using an RS232 serial interface cable. See Chapter 7:
Connecting to a PC for details.
2
Sensor Storage Slot
3
Battery Compartment
Reusable BCI® sensors can be securely stored here when not in use by using a WW1080
Sensor Cradle.
This compartment holds the disposable batteries or the rechargeable battery pack.
4
Data Input/Output or Power Input Connector
This connector can accept the AC power adapter or the USB cable. The docking station uses
this connector for both power and data.
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Chapter 4: Operating Instructions
Chapter 4: Operating Instructions
Unpacking the Monitor
The following items are shipped with the oximeter:
• Three (3) sensor cradles (WW1080)
• Oximetry Sensor
• Four (4) “AA” (LR6) alkaline batteries
• Operation manual
• Service manual (CD)
Carefully remove the monitor and its accessories from the shipping carton. Save the packing
materials in case the monitor must be shipped or stored. Compare the packing list with the
supplies and equipment received.
Powering the Oximeter
The oximeter will operate from battery power or from external power with battery back up. The
optional WW1095 (30 Watt) AC power supply may be used to provide power to the oximeter. The
AC power supply is required when utilizing the docking station to ensure the proper operation
of the docking station with all accessories, including auxiliary battery charger and optional printer.
WARNING! The WW1000/WW1020 will not operate without batteries installed. Properly
charged batteries provide a reserve source of power in case of external power
failure. Never use an oximeter with discharged batteries to monitor a patient,
as the monitor may not operate properly in the case of external power failure.
The oximeter can obtain external power in the following ways:
• The oximeter can be placed in its docking station. See Chapter 6: Optional Docking Station
and Printer.
• The AC power supply can be plugged directly into the oximeter (Figure 4-3).
• The AC power supply can be plugged into the WW1089 USB Interface Cable (Figure 4-4).
• The oximeter can be powered by a PC through the USB Interface cable (Figure 4-5).
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After connecting to power, verify that the green External Power Indicator is lit.
External Power
Indicator
Battery Charge
Indicator
Figure 4-1: External Power/Charge Indicators
If an AC source is present, the oximeter will draw power from it first. While the oximeter is
operating from an AC source, the External Power Indicator (
) will illuminate.
If there is enough power, the WW1090 Lithium-Ion (LI+) rechargeable battery pack will also
charge, if installed. The battery charge indicator (
) will display segments showing the charge
level. As the battery charges, more green segments will light, until all four are lit.
NOTE: The AC Power supply does NOT charge “AA” (LR6) alkaline batteries.
If no external power source is available, the oximeter will draw battery power. When the battery
charge is low enough, the Battery Indicator shows one yellow segment. When the battery has less
than approximately 10 minutes of charge left, that segment will flash.
If no AC source is available, the oximeter will operate from an external USB source only when
attached to a WW1089 USB Interface Cable and energized USB connection. In this case, the
external power indicator lights. If enough power is available, the optional WW1090 Lithium-Ion
(Li+) rechargeable battery pack will trickle charge.
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Chapter 4: Operating Instructions
Installing the Batteries
The oximeter uses four (4) standard “AA” alkaline, IEC Type LR6, cells (Figure 4-2A) or a custom
rechargeable Lithium-Ion (Li+) battery pack (WW1090 - Figure 4-2B).
WARNING! Inspect battery terminals for corrosion or contamination. The monitor may not
operate properly if battery terminals are corroded or contaminated. Do not use
until battery terminals have been properly cleaned and repaired.
WARNING! Check the expiration date for the batteries. The monitor may not operate
properly if expired batteries are used. Do not use until proper batteries can be
obtained.
WARNING! Remove the batteries prior to long term storage.
WARNING! Do not allow the patient to handle the device if the battery door has been
removed, except while installing new batteries.
Rechargeable Battery Pack
+
+
+
+
Batteries
Battery
Door
Figure 4-2A: AA (LR6) Alkaline Battery Placement
Battery
Door
Figure 4-2B: Rechargeable Lithium-Ion Battery Pack
To install/replace the batteries:
1. Depress the battery door tab near the center of the oximeter and slide the cover off toward
the bottom of the monitor.
2a. If using “AA” (LR6) alkaline batteries: Install the negative end of each battery first,
compressing the battery terminal spring until the positive terminal clears the positive tab.
Press the battery down into place.
NOTE: Dispose of spent batteries in compliance with your institution’s guidelines and local
ordinances.
2b. If using WW1090 Li-Ion (Li+) rechargeable battery pack: Align the battery pack so that
the metal connectors line up with the connectors in the WW1000/WW1020 battery
compartment. Push the WW1090 Lithium-Ion (Li+) rechargeable battery pack straight in to
place.
3. Replace the battery door by sliding the cover back until the latch clicks.
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CAUTION! Due to limitations of the Li-Ion chemistry, the rechargeable battery pack
should not be charged at ambient temperatures above 45 °C (113 °F) or
below 5 °C (41 °F)
CAUTION! The WW1090 rechargeable battery pack is shipped with only 30% of full charge.
The battery pack must be charged completely before use.
CAUTION! The WW1090 rechargeable battery pack utilizes Li-Ion secondary cells. Dispose
of spent batteries in compliance with your institution’s guidelines and local
ordinances.
NOTe: The WW1090 rechargeable battery pack utilizes circuitry that optimizes the
charging of the batteries. New packs will require multiple charge / discharge
learning cycles before optimum performance is obtained.
NOTE: The rechargeable battery can be charged in the oximeter or in the spare bay of the
WW1025 Docking Station. The WW1095 AC power supply is required for charging,
and can be used with both the oximeter and the Docking Station.
External Power
WARNING! Disconnect the external power supply from the monitor before disinfecting or
cleaning the monitor.
WARNING! Do not plug the monitor into an outlet controlled by a wall switch.
WARNING! Do not allow any moisture to contact the AC power supply connectors, or a
safety hazard may result. Ensure that hands are thoroughly dry before handling
the AC power supply.
WARNING! Do not place the monitor in the patient’s bed or crib. Do not place the monitor
on the floor.
WARNING! Failure to place the monitor away from the patient may allow the patient to
turn off, reset, or damage the monitor, possibly resulting in the patient not
being monitored. Make sure the patient cannot reach the monitor from their
bed or crib.
WARNING! Failure to carefully route the cable from the sensor to the monitor may allow
the patient to become entangled in the cable, possibly resulting in patient
strangulation. Route the cable in a way that will prevent the patient from
becoming entangled in the cable. If necessary, use tape to secure the cable.
WARNING! If there is a risk of the AC power supply becoming disconnected from the
monitor during use, secure the cord to the monitor several inches from the
connection.
WARNING! Patient safety can be compromised by the use of a power supply not supplied
by Smiths Medical PM, Inc. Use only the power supply included with your
monitor, or one approved by Smiths Medical PM, Inc.
WARNING! Ensure the device’s AC rating is correct for the AC voltage at your installation
site before using this monitor. The monitor’s AC rating is shown on the external
power supply. If the rating is not correct, do not use the monitor. Contact
the Smiths Medical PM, Inc. service department, or your authorized service
representative, for help.
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Chapter 4: Operating Instructions
AC Power
The AC power supply can plug into the oximeter (Figure 4-3) or into the WW1089 USB interface
cable (Figure 4-4).
Power Input
Connector
AC Power
Supply
Figure 4-3: AC Power Supply
AC Power Supply
(Optional)
Connect AC Power
Here (Optional)
Power Input
Connector
USB Interface
Connect USB Cable
Cable to Monitor
USB Interface
Cable to PC
Figure 4-4: Interconnect Cable
Refer to Chapter 10: Optional Supplies & Accessories to verify the proper AC power supply for your
application. The following power supplies are suitable for use with this monitor:
CAT. NUMBER
OUTPUT POWER
INPUT POWER
WW1095
30 W
AC power supply 100-240 VAC 50 - 60Hz
WARNING! Only use a power supply intended for use with this monitor. Use of an
inappropriate power supply may cause a patient shock hazard or cause the
oximeter to stop monitoring.
CAUTION! Use only the interconnect cables specifically intended for use with this device.
See Chapter 10: Optional Supplies & Accessories, for ordering information.
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Chapter 4: Operating Instructions
USB Power (Universal Serial Bus)
AC Power Supply
(Optional)
Power Input
Connector
USB Interface
Cable
Connect USB
Cable to Monitor
Connect AC Power
Here (Optional)
USB Interface
Cable to PC
Figure 4-5: USB Power to Oximeter
The oximeter may be powered from an external USB source such as a laptop computer or
powered USB hub. The WW1089 USB Interface Cable is a custom cable used to connect the
oximeter or docking station to an external computer via its USB port. See Chapter 7: Connecting to
a PC for more information. This port can supply a source of operating power to the oximeter.
NOTE! The WW1090 Lithium-Ion (Li+) Rechargeable Battery Pack can be fast charged by
installing it in the oximeter and supplying power, using the AC Power Supply either
directly or through the Docking Station. The WW1090 Li+ Rechargeable Battery
Pack can also be fast charged by installing it directly in the Docking Station and
supplying power using the AC Power Supply.
NOTe: To slow charge the WW1090 Lithium-Ion (Li+) Rechargeable Battery Pack, install the
Battery Pack in the oximeter and connect to USB power. Slow charging may take 20
hours or more. USB power cannot charge the spare Li+ Rechargeable Battery Pack
in the Docking Station.
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Turning On the Monitor
Press this key to turn
the monitor on and off.
Figure 4-6: Turning On the Monitor
To turn on the monitor, press the x key. Before using the monitor, check the following at powerup:
• All LEDs light.
• The monitor’s software revisions (main, battery PIC, oximeter) are momentarily displayed.
• The patient record number is momentarily displayed.
After a few seconds the % SpO2 value, pulse rate, pulse signal strength and PI bar graphs should
be shown. If not, see Chapter 9: Troubleshooting for help.
WARNING! Verify that all LEDs (light emitting diodes) on the display light up upon startup
of the device.
If the oximeter detects an error during power up, “ERR” will display in the pulse rate section of
the display. A numeric error code will display in the SpO2 section. See Chapter 9: Troubleshooting
for more information.
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Chapter 4: Operating Instructions
Checking the Monitor’s Configuration
While turning the monitor on, hold the x key until [lr starts to flash, then release the key
while [lr is flashing to see a list of configuration settings.
NOTe! If the x key is held for about 15 seconds or more, [lr will stop flashing and
TREND DATA WILL BE CLEARED!
Configuration settings are:
• Auto Shutoff ( as), default = no;
• LED Brightness ( db), default = 8 (of 10);
• Trend Interval ( se[), default = 4 seconds;
• Oximeter High Sensitivity ( ks) - WW1020 only, default = off
• Oximeter Averaging ( aug) - WW1020 only, default = 8 seconds pulse rate, 8 beat SpO2;
• Language - ( lan) - User selectable
While the language setting is displayed, successive x key presses will cycle through the language
selections:
• English ( En) - default
• French / Français ( fr)
• German / Deutsch ( de)
• Spanish / Español ( es)
• Italian / Italiano (it)
• Continental Portuguese / Português ( pt)
• Brazilian Portuguese / Português - Brasil ( br)
• Swedish / Svenska ( sd)
• Dutch / Nederlands ( nl)
Stop pressing the key when the desired language is selected. After five (5) seconds, normal
monitoring mode resumes.
Checking the Monitor’s Performance
Pulse oximeters do not require user calibration. If checking the function of the device is desired,
an Oximetry Patient Simulator (Smiths Medical PM, Inc. catalog number 1606) is available as an
accessory. The simulator attaches to the oximeter in place of the sensor. It provides a known SpO2
and pulse rate signal to the oximeter.
NOTE: A Patient Simulator does not calibrate the monitor. The monitor does not require
calibration. A Patient Simulator provides a known SpO2 value and pulse rate to the
monitor that allows the monitor’s performance to be checked.
NOTE: A Patient Simulator cannot be used to assess the accuracy of a pulse oximeter and/
or sensor.
NOTE: f Follow the instructions included with the Patient Simulator.
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Attaching the Sensor to the Patient
To attach the sensor to the patient:
1. Choose the appropriate sensor. See sensor table for additional information.
2. If using a reusable sensor, clean or disinfect the sensor per Cleaning or Disinfecting the Sensors
section in this chapter. ( 7 Disposable sensors are for single-patient use and do not require
cleaning or disinfecting.)
3. Check the sensor and oximetry cable for damage and integrity. See Checking the Sensor and
Oximetry Cable section for additional information.
4. Attach sensor to the patient.
WARNING! Prolonged use or the patient’s condition may require changing the sensor site
periodically. Change sensor site and check skin integrity, circulatory status, and
correct alignment at least every 4 hours.
WARNING! When attaching sensors with Microfoam® tape, do not stretch the tape or
attach the tape too tightly. Tape applied too tightly may cause inaccurate
readings and blisters on the patient’s skin (lack of skin respiration, not heat,
causes the blisters).
WARNING! SpO2 measurements may be adversely affected in the presence of high ambient
light. Shield the sensor area (with a surgical towel, for example) if necessary.
WARNING! Dyes introduced into the bloodstream, such as methylene blue, indocyanine
green, indigo carmine, patent blue V (PBV), and fluorescein, may adversely
affect the accuracy of the SpO2 reading.
WARNING! Optical cross-talk can occur when two or more sensors are placed in close
proximity. It can be eliminated by covering each site with an opaque material.
WARNING! Remove fingernail polish or false fingernails before applying SpO2 sensors.
Fingernail polish or false fingernails may cause inaccurate SpO2 readings.
WARNING! Significant levels of dysfunctional hemoglobins, such as carboxyhemoglobin
(with CO-poisoning) or methemoglobin (with sulfonamide therapy), will affect
the accuracy of the SpO2 measurement.
WARNING! Tissue damage may result from overexposure to sensor light during
photodynamic therapy with agents such as verteporphin, porfimer sodium,
and metatetrahydroxyphenylchlorin (mTHPC). Change the sensor site at least
every hour and observe for signs of tissue damage. More frequent sensor site
changes/inspections may be indicated depending upon the photodynamic
agent used, agent dose, skin condition, total exposure time or other factors.
Use multiple sensor sites.
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Chapter 4: Operating Instructions
Choosing the Sensor
WARNING! Use only SpO2 sensors and cables supplied with, or specifically intended for use
with, this oximeter. Use of sensors not intended for use with this device may
cause inaccurate readings.
WARNING! Incorrectly applied sensors may give inaccurate readings. f Refer to the
sensor insert for proper application instructions.
Choose the appropriate sensor from the following chart. Select the sensor based on the patient’s
size, available application site, attachment method and other pertinent clinical information.
f See the sensor’s instruction insert for detailed attachment methods and other important
information.
BCI® Sensors
patient
Adult
over 45 kg
site
description
Finger
3044: Sensor, Reusable, Adult
3044S: Spot Check Sensor, Reusable, Adult
3444: Sensor, Reusable, Comfort Clip®
Finger or Toe
3043: Sensor, Reusable, Universal ‘Y’
1300: Sensor, Disposable, Adult Finger 7
Ear
WW3078: Sensor, Reusable, Ear
Finger
3044: Sensor, Reusable, Adult (>20 kg)
3044S: Spot Check Sensor, Reusable, Adult
3444: Sensor, Reusable, Comfort Clip®
3178: Sensor, Reusable, Pediatric Finger (5-45 kg)
3178S: Spot Check Sensor, Reusable, Pediatric
Finger or Toe
3043: Sensor, Reusable, Universal ‘Y’
1301: Sensor, Disposable, Pediatric Finger 7
Ear
WW3078: Sensor, Reusable, Ear
Infant
3-15 kg
Hand or Foot
3043: Sensor, Reusable, Universal ‘Y’
Toe
3025: Sensor, Reusable, Wrap, Infant
Finger or Toe
All
Extension Cable
1303: Sensor, Disposable, Infant 7
Pediatric
15-45 kg
3311: Cable, Oximetry 1.5 meters (5 feet)
Neonate sensors for the WW1020 only
Neonate
under 3 kg
Hand or Foot
1302: Sensor, Disposable, Neonate/Small Infant 7
Foot
3026: Sensor, Reusable, Wrap, Neonate/Small Infant
Small Infant sensors for the WW1000 only
Small Infant *
under 3 kg
Hand or Foot
1302: Sensor, Neonate/Small Infant (disposable) 7
Foot
3026: Sensor, Wrap, Neonate/Small Infant (reusable)
*The BCI® 1302 and 3026 oximetry sensors should not be used on neonatal patients with the
WW1000 monitor. Testing has not been conducted for the WW1000 for patients less than 30 days
old. These sensors may, however be used on older patients.
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Chapter 4: Operating Instructions
Nellcor® Sensor (WW1020 Only)
patient
Adult
over 45 kg
site
Finger
description
DS100A finger sensor (reusable)
Cleaning or Disinfecting the Sensors
Clean or disinfect reusable sensors before attaching to a new patient.
WARNING! Unplug the sensor from the monitor before cleaning or disinfecting.
WARNING! Do not autoclave, ethylene oxide sterilize, or immerse the sensors in liquid.
Clean the sensor with a soft cloth moistened in water or a mild soap solution. To disinfect the
sensor, wipe the sensor with a 70% isopropyl alcohol solution. If there is contamination with
blood borne pathogens (BBPs) or other potentially infectious materials (OPIMs), then the use of a
facility approved disinfectant of appropriate spectrum for the suspected organisms is appropriate.
Caution! Do not immerse the sensor in any liquid.
Caution! Cleaning with disinfectants, including alcohol, may shorten the life of the plastic
or electronic parts, but appropriate disinfection must still be performed.
Checking the Sensor and Oximetry Cable
Follow these instructions each time before you attach the sensor to the patient. This helps ensure
the sensor and oximetry cable are working properly.
WARNING! Using a damaged oximetry sensor or cable may cause inaccurate readings.
Inspect each sensor and cable. If a sensor or cable appears damaged, do
not use it. Use another sensor or cable or contact your authorized service
representative for help.
Warning! Do not use more than one Oximetry Extension Cable. The monitor may fail to
operate properly if multiple Oximetry Extension Cables are connected together.
WARNING! Misuse or improper handling of the sensor and cable may result in damage to
the sensor. This may cause inaccurate readings.
1. Before the sensor is attached, check the integrity of the sensor and cable.
2. If not using the oximetry extension cable, connect the sensor to the oximeter. Push the
sensor’s connector firmly into the oximeter.
If using the oximetry extension cable, connect the sensor to the cable and the cable to the
oximeter. Push the cable connector firmly into the oximeter.
3. Make sure the red light in the sensor is illuminated.
4. Now the sensor can be attached to the patient.
WARNING! If any of the integrity checks fail, do not attempt to monitor the patient. Use
another sensor or oximetry extension cable, or contact the authorized service
representative for help if necessary.
NOTe: Obstructions or dirt on the sensor’s red light or detector may cause checks to fail.
Make sure there are no obstructions and the sensor is clean.
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Hold the connector rather than the cable when connecting or disconnecting the finger sensor to
the device.
Figure 4-7: Disconnecting or Connecting the Finger Sensor to the Device
Do not use excessive force or unnecessary twisting when connecting, disconnecting, storing, or
when using the sensor.
Pulse Amplitude Index
The Pulse amplitude Index (PI) bar graph can be useful in assessing the relative quality of the
chosen sensor site. The PI value is a relative measure of pulse-signal strength over time at a
pulse oximeter monitoring site, and is non-pulsatile in nature. Pulse amplitude Index is defined
as PI = (100 × AC)/DC where AC is the alternating current (pulsatile component of the signal) and
DC is direct current (non-pulsatile component of the signal).
The PI value is represented as a 9-segment bar graph. The more bars lit, the higher the PI value,
and generally the better the sensor site. If only the first one or two segments are lit, the segment
color changes to yellow, indicating a technical alert condition. This indicates that the oximeter is
receiving a low signal quality from that sensor site, and further degradation of the signal quality
could cause the oximeter to lose its ability to obtain readings. A different sensor site should be
considered.
The PI value approximately maps to a 9-segment bar graph as shown below. The two lowest bars
(1 and 2) are bi-color (yellow and green), and bars 3 through 9 are green.
10.24 - 20.47
>10.2
5.12 - 10.23
>5.0 - 10.2
2.56 - 5.11
>2.6 - 5.0
1.28 - 2.55
>1.2 - 2.6
0.64 - 1.27
>0.6 - 1.2
0.32 - 0.63
>0.4 - 0.6
0.16 - 0.31
>0.2 - 0.4
0.08 - 0.15
>0 - 0.2
0.00 - 0.07
0.00
For the WW1020 Oximeter
For the WW1000 Oximeter
NOTe! The PI value is a relative value that varies from patient to patient.
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When placing the sensor on the patient, allow the cable to lay across the top of the hand and
parallel to the arm of the patient as shown in Figure 4-8.
1
2
Figure 4-8: Positioning the Cable of the Finger Sensor
1
Sensor (finger sensor shown for illustration only)
2
Cable
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Storing the Sensor
Upon completion of patient monitoring, detach the sensor and loosely coil the finger sensor
cable. Store the sensor in the Sensor Storage cradle or other safe place when not in use. Use the
proper cradle. Three different sensor cradles are available for this oximeter.
Cradle
Sensor Type
1
Should be used for BCI® pediatric size finger sensors
2
Should be used for the 3444 Comfort Clip® sensor
3
Should be used for the BCI® adult size finger sensors
Sensor
Sensor Cradle
Oximeter
Figure 4-9: Attaching the Sensor and Sensor Cradle to the Monitor
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Home Use
WARNING! This device is intended for use by persons trained in professional health care or
those who have access to the oversight of a professional health care provider.
The operator must be thoroughly familiar with the information in this manual
before using the device.
Equipment and Supplies Checklist for Home Use
Provide the following to the home use caregiver:
Quantity
1
Cat. No.
WW1020 or WW1000
Description
Oximeter with AA batteries
1
WW1095
Universal AC mains adapter - 30W
1
WW1025
Docking Station (optional)
1
WW1090
Li-Ion rechargeable battery pack (optional)
1
3311
*
*
Oximetry Sensor
*
*
Oximetry Sensor Attachments
1
31169B88
Oximeter Cable, 1.5 meters (5 feet)
WW1020 / WW1000 Home Use Guide
* Note: The doctor will prescribe the type and quantity of the sensors needed for homeuse. Be sure that the proper type and quantity of sensor attachments are also
prescribed.
The home use caregiver will also need these supplies and reference materials:
Quantity
Description
1
Scissors (for trimming adhesive strips or adhesive tape).
*
Appropriate disinfectant and a soft, clean cloth (or alcohol wipes) for
disinfecting monitor, accessories and reusable sensor.
1
Emergency phone numbers for the doctor.
1
Emergency phone number for the hospital emergency room.
1
Phone number for equipment supplier.
* Quantity prescribed by doctor.
Clinician’s Operation Manual
4-15
Chapter 4: Operating Instructions
Training the Home Use Caregiver
The home use caregiver must be trained in CPR. Inform the caregiver that the oximeter is not
to be used as an apnea monitor and should only be used for spot checking applications (noncontinuous use). Following this guide while teaching these tasks may help the instructor and the
caregiver.
Show the home use caregiver how to:
• Connect the AC Power Supply to a wall outlet.
• Make sure the AC Power Supply outlet is not controlled by a wall switch.
• Connect AC Power Supply to the docking station or oximeter.
• Make sure the monitor’s POWER indicator is lit.
• Visually inspect the sensor and oximetry cable.
• Connect the sensor to the oximetry cable.
• Connect the oximetry cable to the monitor.
• Turn on the monitor.
• Perform a pre-use check: Verify all display LEDs turn on at power up.
• Route the cable safely from the patient to the monitor to prevent possible patient
strangulation.
• Attach the sensor(s) prescribed by the doctor.
• Measure the SpO2, pulse rate, PI and pulse signal strength bar graph readings.
• Interpret the Low Battery Signal.
• Turn off the monitor if appropriate.
Tell the caregiver how to respond:
• In case of a patient emergency, including what therapy to provide the patient.
• In case the Low Battery Indicator appears.
• In case the caregiver has trouble operating the equipment.
4-16
Clinician’s Operation Manual
Chapter 5: Patient Record Number and Trend Data
Chapter 5: Patient Record Number and Trend Data
Description
Whenever the WW1000/WW1020 is monitoring a patient, it stores an SpO2, a pulse rate, and PI
reading along with any applicable condition flags and a time stamp every four (4) seconds. The
stored readings are called trend data. The monitor can store at least 144 hours of trend data for a
combination of all 99 available patient record numbers.
Incrementing the Patient Record Number
Each time the monitor is turned on, the patient record number is displayed during the power-up
sequence. If valid trend data was collected from the previous patient, the patient record number
is incremented at power up. If no valid trend data was collected from the previous patient, the
patient record number is not incremented. For example, if the last time the oximeter was on it
displayed patient 10 (P10) , the next time it will be P11, provided that at least one trend data
point was saved for P10. Clearing the trend data resets the patient record number to P1. See
Clearing Trend Data section in this chapter for information on clearing trends.
Memory Capacity
The trend interval affects the maximum trend record length. The trend interval is fixed at 4
seconds, and the total record length is 6 days. If the total trend record length is exceeded for all
patients combined, each new trend entry will replace the oldest overall trend entry.
Clearing Trend Data
To clear all of the trend memory and reset the patient record number to P1, turn the monitor off.
Then push and hold the on/off x key until “[lr” stops flashing in the Pulse Rate display and
P1 is displayed. This takes about 15 seconds.
If the key is released at any time before [lr stops flashing, the memory is retained, and the
configuration settings are displayed. (See Checking the Monitor’s Configuration section in Chapter
4 for details.)
Trend Data Output
Trend data may be output to a printer or PC. See Chapter 6: Optional Docking Station and Printer
for information on printing trend data. See Chapter 7: Connecting to a PC, for information about PC
output.
Clinician’s Operation Manual
5-1
Chapter 5: Patient Record Number and Trend Data
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5-2
Clinician’s Operation Manual
Chapter 6: Optional Docking Station and Printer
Chapter 6: Optional Docking Station and Printer
Description
Figure 6-1: Docking Station with Printer Attached
The WW1025 Docking Station serves many purposes depending on individual needs and
selection of optional equipment. The Docking Station is powered by the WW1095 AC Power
Supply, which can power the oximeter and operate the printer while charging the internal and
spare battery packs.
The Docking Station:
• Provides a convenient and secure “home base” for the oximeter.
• Recharges WW1090 Lithium-Ion (Li+) rechargeable battery pack installed in the oximeter.
• Recharges an additional WW1090 Lithium-Ion (Li+) rechargeable battery pack stored in the
Docking Station.
• May be equipped with a WW1026 thermal printer.
• Allows connection to a PC for trend memory dump.
• Transfers USB power to the oximeter if no AC is connected (only when the USB interface
cable, WW1089, is connected to an active source of USB power).
CAUTION! If the docking station’s electrical connectors are damaged, operating the dock
with or without the oximeter may cause overheating and equipment damage.
Remove all power from the docking station and contact your authorized service
representative.
Clinician’s Operation Manual
6-1
Chapter 6: Optional Docking Station and Printer
Docking Station
2
1
3
Figure 6-2: Indicators on Docking Station Front Panel
1
AC Power Indicator
This indicator will light when AC power is connected to the Docking Station.
2
USB Power Indicator
This indicator will light when a USB cable is connected to the Docking Station, but AC power
is not.
3
Charging Spare Battery Indicator
This indicator will flash green when the WW1090 Lithium-Ion (Li+) rechargeable battery
pack is charging. After the battery is fully charged, the indicator lights solid green. Battery or
charging errors are indicated by a yellow LED. See Chapter 9: Troubleshooting for details.
Powering the Docking Station
WARNING! Do not plug the Docking Station AC power supply into an outlet controlled by a
wall switch.
WARNING! Do not allow any moisture to contact the AC power supply connectors, or a
safety hazard may result. Ensure that hands are thoroughly dry before handling
the AC power supply.
WARNING! Do not place the Docking Station in the patient’s bed or crib. Do not place the
Docking Station on the floor.
WARNING! Failure to place the Docking Station away from the patient may allow the
patient to turn off, reset, or damage the monitor, possibly resulting in the
patient not being monitored. Make sure the patient cannot reach the monitor
from their bed or crib.
The WW1095 AC Power Supply provides power to the Docking Station and connected accessories.
Connect the AC Power Supply to the dock using the data port or Power Input Connector. The
Docking Station’s AC power indicator (
) will light when AC power is connected. The Docking
Station has built-in intelligence that prioritizes available power to the oximeter, printer and
chargers. If USB power is used for the Docking Station, some accessories may not operate.
When the WW1089 USB interface cable is connected to the Docking Station, data can be
transferred from the oximeter’s data port through the Docking Station to a compatible device. If
the USB cable is used without AC power, the USB (
) indicator is lit, and USB power is available
to the oximeter.
NOTE! The WW1090 Lithium-Ion (Li+) Rechargeable Battery Pack can be fast charged by
installing it in the oximeter and supplying power, using the AC Power Supply either
directly or through the Docking Station. The WW1090 Li+ Rechargeable Battery
Pack can also be fast charged by installing it directly in the Docking Station and
supplying power using the AC Power Supply.
6-2
Clinician’s Operation Manual
Chapter 6: Optional Docking Station and Printer
NOTE! To slow charge the WW1090 Lithium-Ion (Li+) Rechargeable Battery Pack, install the
Battery Pack in the oximeter and connect to USB power. Slow charging may take 20
hours or more. USB power cannot charge the spare Li+ Rechargeable Battery Pack
in the Docking Station.
Note: USB power may fail if AC power is interrupted to its PC or powered USB hub. Always
use charged batteries in the oximeter.
WW1090 Lithium-Ion (Li+) Rechargeable Battery Pack
The Docking Station (when powered by the WW1095 AC Power Supply) will charge two WW1090
Lithium-Ion (Li+) rechargeable battery packs simultaneously. It will recharge the currently
installed oximeter battery pack as well a spare pack mounted in the Docking Station battery
charger.
The WW1090 Lithium-Ion (Li+) rechargeable battery pack is placed in the dock as shown in figure
6-3. When the battery is charging, the indicator (
) flashes green. After the battery is fully
charged, the indicator (
) lights solid green. Battery or charging errors are indicated by a
yellow LED. See Chapter 9: Troubleshooting for details.
Figure 6-3: Connecting the Rechargeable Battery Pack
NOTE: The battery in the Docking Station battery charger cannot power the oximeter
without being installed in the oximeter. In the event of loss of power to the Docking
Station, the spare battery will not automatically provide power.
Installing the Oximeter to the Dock
The WW1000/WW1020 is placed bottom first into the Docking Station facing out as shown in
figure 6-3. Confirm that good connection is made by observing that the oximeter’s external power
indicator ( ) is lit.
X
Downloading Data to PC
Data may be sent to a computer through the Docking Station using the WW1089 USB Interface
Cable. See Chapter 7: Connecting to a PC for details.
Clinician’s Operation Manual
6-3
Chapter 6: Optional Docking Station and Printer
Printer
1
4
2
3
Figure 6-4: Printer Keys and Indicators
1
Print Mode Indicators
These indicators light according to what print mode is selected. See Choosing the Print Mode
section later in this Chapter.
The Print Mode Indicator will blink green when printing is pending or in progress.
2
Start/Stop Print Key
Press this key to start or stop printing.
3
Print Error Indicator
This indicator will light if there is an error in printing.
4
Select Print Mode Key
Press this key to change the print mode.
6-4
Clinician’s Operation Manual
Chapter 6: Optional Docking Station and Printer
Attaching the Printer
The optional WW1026 thermal printer attaches to the Docking Station with a single screw as
shown in Figure 6-5C. Follow the steps below.
Warning! The Docking Station must have a Printer or Printer Port Cover installed. Failure
to do so may cause a risk of electrical shock to the patient or operator or risk
damage to the equipment.
To attach the printer to the Docking Station:
1. Remove the oximeter and battery and
disconnect any cable from the Docking
Station.
NOTE: Failure to remove the oximeter and
battery from the Docking Station
prior to installing the printer will
result in an error which may cause a
faulty printout.
2. Remove the Docking Station printer port
cover.
Remove port cover using a screwdriver
Figure 6-5A: Remove the Docking Station Printer Port Cover
Hook the tab on the
top of the printer to the
Docking Station here.
3. Hook the tab on the top of the printer
to the groove at the top of the Docking
Station. Then swing the printer down to
align and attach the printer to the dock’s
electrical connectors.
Figure 6-5B: Align and Connect the Dock and Printer
4. Install the screw as shown in figure 6-5C.
5. Reconnect any cables and replace the
oximeter and battery.
6. The printer is now ready to load paper.
Install screw here
Figure 6-5C: Mate and Align the Dock and Printer
Clinician’s Operation Manual
6-5
Chapter 6: Optional Docking Station and Printer
Loading Paper
The printer uses 58mm wide thermal paper. See Chapter 10: Optional Supplies & Accessories for part
number and ordering information. To load the paper, follow the steps illustrated below.
1. Release printer door by lifting clear cover.
Lift here
Figure 6-6A: Release Printer Door
2. Swing open paper holder by
continuing to pull on clear door.
3. Remove existing spool if present.
Figure 6-6B: Swing Open Paper Holder
4. Place paper spool in holder so that
the paper exits over the top of the
roll and drapes over the rubber
roller as shown in figure 6-6C.
Figure 6-6C: Place Paper Spool in Holder
5. Close the paper holder door and the clear
cover.
6. Tear off any excess paper by pulling the
paper up toward the front of the printer.
7. The printer is now ready to use.
Figure 6-6D: Close Paper Holder Door and Clear Cover
6-6
Clinician’s Operation Manual
Chapter 6: Optional Docking Station and Printer
Choosing the Print Mode
Data can be printed in real time, numeric trend or graphic trend modes. In either trend mode,
6 days of previously stored data (depending on trend interval) collected from 1 to 99 patients
can be printed. See Chapter 5: Patient Record Number and Trend Data. The printer select key sets
the printer mode in the oximeter. When a new oximeter is installed in the Docking Station, it may
have a different print format. Always check the printer format prior to pushing the start key.
Change modes by pushing the select key (
) until the desired mode is lit.
To start printing, push the print (F ) key. The Print Mode Indicator on the printer will blink green
when printing is pending or in progress.
Note: The oximeter must be installed in the Docking Station to print.
Note: Thermal paper must be installed.
Mode
1
- Real Time Mode prints data every 5 seconds. See figure 6-7.
1
2
3
REALTIME DATA
ID:001________________
hh:mm:ss SpO2 Rate
PI
(%) (bpm) (%)
00:26:35 95% 75 bpm 5.4%
00:26:40 95% 75 bpm 5.6%
00:26:45 95% 75 bpm 5.4%
00:26:50 95% 75 bpm 5.6%
00:26:55 95% 75 bpm 5.6%
00:27:00 95% 75 bpm 5.6%
00:27:05 95% 75 bpm 5.6%
1 Title
2 Patient Record Number
3 Real time %SpO2, pulse
rate and PI values printed
every 5 seconds
Figure 6-7: Sample Real Time Data Log
Mode
2
- Numeric Trend Data prints in a tabular form. See figure 6-8.
1
2
3
TREND DATA
ID: 009________________
hh:mm:ss SpO2 Rate
PI
(%) (bpm) (%)
00:11:40 96% 93 bpm 7.5%
00:11:36 96% 94 bpm 8.3%
00:11:32 96% 90 bpm 8.8%
00:11:28 96% 89 bpm 9.2%
1 Title
2 Patient Record Number
3 Trended %SpO2, pulse rate
and PI values printed every
4 seconds
Figure 6-8: Sample Numeric Trend Data
Clinician’s Operation Manual
6-7
Chapter 6: Optional Docking Station and Printer
Mode
3
- Graphic Trend Mode prints in a chart format See figure 6-9.
TREND DATA
ID: 009______________________
Trend Time Scale=20 Sec/Point
0
0
► ► ► ► ►
Pulse Rate(bpm)
20 254 100
...........PI...........
► ► ► ► ►
50
▪ ▪ ▪ ▪ ▪ ▪ ▪ SpO2(%)▪ ▪ ▪ ▪ ▪ ▪ ▪
04
00:08
00
Figure 6-9: Sample Graphic Trend
NOTE! While printing trends, the printer will pause for approximately 20 seconds after
10 seconds of printing. This allows the thermal print head to cool. A small gap may
appear on each printout when printing resumes.
NOTe! If the printer runs out of paper during a printout, the printer will not automatically
continue printing when a new roll of paper is installed. After installing a new roll of
paper, the printout must be restarted.
NOTE! Invalid SpO2 data and SpO2 values between 0 and 50 will be printed as 50.
Trend Data Condition Flags
Each time a trend interval occurs and data is stored, certain conditions, active at that time, are
stored with the data. These are indicated by symbols on the print out.
Condition
Artifact
(WW1020 only)
Symbol
Description
Artifact indicator informs user of excess motion,
noise or other signal information that the algorithm
interprets as potentially non-physiological.
This flag is an indicator that pulse rate data has
changed and now may be invalid.
Small Pulse
(WW1020 only)
Indicates the signal strength is ≤ 3.
Check Sensor
Indicates a problem with sensor placement or that no
sensor is plugged into the sensor connector. No valid
parameter data is available.
Searching too Long
Only displayed if the oximeter has not detected a
valid pulse at any time after power up. Indicates that
the oximeter has searched for more than 20 seconds
but no pulse was detected.
Lost Pulse
Indicates the oximeter has searched for more than
20 seconds, a finger is detected in the sensor, but a
previously detected pulse is no longer present.
6-8
Clinician’s Operation Manual
Chapter 7: PC Communication Setup
Chapter 7: PC Communication Setup
Description
Real Time and Trend Data may be sent to a PC from the oximeter in the following ways:
• The Data/Power Connector of the oximeter or of the Docking Station may be connected to
a PC using the USB Interface Cable (< WW1089). Trend data or Real Time patient data will
be downloaded using a proprietary data protocol.
• The oximeter sensor can be replaced with the WW3350 and 3339 cable to transfer commaseparated value (.CSV) ASCII Trend Data via RS232.
WARNING! When connecting this monitor to any instrument, verify proper operation
before clinical use. Refer to the instrument’s user manual for full instructions.
Accessory equipment connected to the monitor’s data interface must be
certified according to the respective IEC standards, i.e., IEC 60950 for data
processing equipment or IEC 60601-1 for electromedical equipment. All
combinations of equipment must be in compliance with IEC 60601-1-1 systems
requirements. Anyone connecting additional equipment to the signal input
port or the signal output port configures a medical system, and, therefore,
is responsible that the system complies with the requirements of the system
standard IEC 60601-1-1.
WARNING! IEC 60950 approved equipment must be placed outside the “patient
environment”. The patient environment is defined as an area 1.5 m (4.92 feet)
from the patient.
PATIENT ENVIRONMENT
9f
.5
R1
Clinician’s Operation Manual
m
(4.
t.)
7-1
Chapter 7: PC Communication Setup
Power Input and Data Connector Port
Data can be transferred to a computer running software that is compatible with the specialized
data format BCICP1030 by using the USB Interface Cable.
The following items will be needed:
• Oximeter with or without the Docking Station
• User Compatible PC Application Software
• USB Interface Cable (< WW1089)
• AC Power Supply (optional)
Data/Power Input Connector
Figure 7-1A: Bottom Panel of Oximeter
7-2
Figure 7-1B: Bottom Panel of Docking Station
Clinician’s Operation Manual
Chapter 7: PC Communication Setup
How to Set Up Equipment
Refer to Figure 7-2 for the cable connections.
Power Input
Connector
AC Power Supply
(Optional)
Connect AC Power
Here (Optional)
USB Interface
Cable
USB Interface
Cable to PC
Connect USB
Cable to Monitor
Figure 7-2: Connecting to a PC using USB Interface Cable
1. Connect the USB interface cable to the I / O or Power Input Connector on the oximeter or
Docking Station.
2. If using the WW1095 AC Power Supply, connect it to the PC cable power input connector.
3. Connect the interface cable to the PC’s USB port.
4. The oximeter is now ready to download data.
The BCICP1030 data output format is available upon request.
Note! 1 Review the PC communication program’s instructions to determine how to
save the data to the PC.
Clinician’s Operation Manual
7-3
Chapter 7: PC Communication Setup
Sensor / RS232 Port
Trend data may be downloaded in a comma-separated value (.CSV) format to a computer’s serial
(RS232) port.
The following items will be needed:
• Oximeter
• HyperTerminal or other PC communication software
• WW3350 Printer Adaptor cable
• 3339 PC Adaptor cable
Connect to Oximeter
Printer Adapter
DB-9 Connector
Cable ( < 3339)
PC Adapter
DB-9 Connector
Connect to IBM
Compatible PC
or Printer
Cable ( < WW3350)
Figure 7-3: Connecting to the RS232 Port
How to Set Up Equipment
Refer to Figure 7-3 for the cable connections.
1. Setup the PC communication program to accept the following RS232 data format:
• Data Type: ASCII
• Data Format: 9600 baud, 1 start bit, 8 data bits 1 stop bit, no parity
• Select any available RS232 Com Port (typically com1 or com2)
2. Turn off the oximeter.
3. Remove the oximetry sensor from the sensor connector.
4. Connect the printer adaptor cable (WW3350) to the sensor connector. Make sure the “BCI”
end is connected to the oximeter.
5. Connect the PC adaptor cable’s DB-9 connector to the mating connector of the printer cable
labeled “Printer”.
6. Connect the other end of the PC adaptor cable to the PC’s RS232 Com Port selected in step 1.
7. Turn on the oximeter to start sending all of the stored trend data to the PC.
Note! 1 Review the PC communication program’s instructions to determine how to
save the data to the PC.
7-4
Clinician’s Operation Manual
Chapter 7: PC Communication Setup
Output Format
Trend data is transmitted in the format shown in Figure 7-4.
2
1
3
TREND DATA
ID:009__________________
hh:mm:ss
SpO2 Rate
(%) (bpm)
00:55:08
---00:55:04
95% 83 bpm
00:54:56
94% 84 bpm
00:54:52
96% 83 bpm
00:54:48
96% 84 bpm
00:54:44
96% 84 bpm
00:54:40
94% 86 bpm
00:54:36
96% 86 bpm
00:54:32
95% 85 bpm
00:54:28
96% 85 bpm
00:54:24
95% 81 bpm
00:54:00
----
PI
(%)
-1.6%
2.8%
2.6%
3.2%
3.6%
3.2%
3.2%
3.0%
3.0%
5.4%
--
4
Figure 7-4: Typical ASCII Trend Data Output
1
Title
2
Patient Record Number
3
Newest data sample is printed first. Dashes mean no measurements
were available at that sample time.
4
Trended %SpO2, pulse rate and PI values print every 4 seconds
Clinician’s Operation Manual
7-5
Chapter 7: PC Communication Setup
This page is intentionally left blank.
7-6
Clinician’s Operation Manual
Chapter 8: Maintenance
Chapter 8: Maintenance
Smiths Medical PM, Inc. products have been designed to operate continuously. However, in order
to ensure a continued high level of performance and safety of operation, routine maintenance
must be performed daily.
The Oximeter Service Manual (< WW1923) also contains the circuit diagrams, parts lists, and
descriptions required for carrying out repairs. The Service Manual is shipped with the monitor.
Routine Maintenance
Maintenance Item
WW1090 Li-Ion
rechargeable battery pack
Recommended Action
Maintenance Interval
Charge the battery by
connecting AC power to the
monitor.
When Low Battery Signal is
observed.
Replace the rechargeable
battery pack.
After approximately 300 charge
cycles.
Monitor Surfaces and
Docking Station /Printer
Clean and/or disinfect
As required.
Cables
Clean and/or disinfect
When attaching a new patient.
Inspect for signs of damage
or deterioration; replace as
required
Daily.
Clean and/or disinfect
When attaching a new patient.
Reusable SpO2 sensor
Clinician’s Operation Manual
After continuous use under
battery power.
8-1
Chapter 8: Maintenance
Cleaning and Disinfecting
WARNING! Do not autoclave, ethylene oxide sterilize, or immerse the monitor in liquid.
Clean the surfaces of the monitor with a soft cloth moistened in water or a mild soap solution. If
disinfecting is necessary, wipe the surfaces of the monitor with a 70% isopropyl alcohol solution.
If there is contamination with blood borne pathogens or other potentially infectious materials,
then the use of an approved disinfectant of appropriate spectrum for the suspected organisms is
appropriate. Then wipe the surfaces with a soft, water-moistened cloth.
WARNING! Do not allow water, isopropyl alcohol or any other liquid to enter any of the
openings on the monitor. Unplug the AC power cord from the monitor before
cleaning or disinfecting.
CAUTION! Where the equipment has accidentally gotten wet, it should be wiped dry
externally and allowed to dry thoroughly before use.
Caution! Before cleaning or disinfecting the printer, unplug the AC adapter, remove the
batteries and remove the paper.
CAUTION! Do not allow printer paper to become wet. If the printer paper gets wet, remove
the paper immediately. Do not use the printer until the paper is replaced.
CAUTION! Disinfectant chemicals may affect the outer case over prolonged use, however
disinfection must be performed.
NOTE! Use only a soft cotton cloth to clean the monitor’s screen. Do not clean the screen
with tissues, paper towels, or any other paper-based wipe. Paper-based wipes can
scratch the screen.
Storage
Whenever possible, the monitor should be stored inside at room temperature in a dry
environment. If it is necessary to store the monitor for an extended period of time, the unit should
be packed in its original shipping container. Storing the monitor for a long period of time may
degrade the battery capacity. Batteries should be removed from the monitor before storing.
See Chapter 11 for storage specifications.
NOTE! The monitor may not meet performance specifications when stored or used outside
the temperature and humidity ranges listed in Chapter 11: Specifications.
8-2
Clinician’s Operation Manual
Chapter 9: Troubleshooting
Chapter 9: Troubleshooting
WARNING! If the accuracy of any measurement is in question, check the patient’s vital signs
by an alternative method, and then check the monitor for proper functioning.
Power
PROBLEM
POSSIBLE CAUSE
The oximeter doesn’t Batteries weak and/ or no AC
turn on.
power.
Batteries not installed or
batteries incorrectly installed.
CORRECTIVE ACTION
Replace or recharge the batteries.
Connect to source of AC power.
Ensure the batteries are installed
correctly.
Connect to source of AC power.
The oximeter turns
on, but display
reads:
L0
Bat
AC power is connected, but no
or weak batteries are installed.
This is proper operation.
Replace or recharge the batteries.
The oximeter turns
off unexpectedly.
Batteries are weak or dead
and no AC power source is
connected.
Replace or recharge the batteries.
Connect to source of AC power.
The External Power
indicator X is not
lit (AC Power).
An External AC Power Supply
cord is not connected to the
monitor or accessory cable.
The accessory cable is not
connected to the monitor.
Check all power supplies and cables
for proper connections.
The AC power cord is connected Only connect the AC power cord to an
to a wall outlet that is controlled outlet that is not controlled by a wall
by a wall switch.
switch.
A non user-serviceable fuse may Contact your authorized service
have opened.
representative.
The External Power
indicator X is not
lit (USB Cable).
The USB cable is not connected
to a source of power or the USB
power source is not operating.
Check all cable connections and
confirm PC, USB hub or other source
of USB power is working correctly.
The USB Power
indicator
is not
lit. (Docking Station)
AC Power is connected.
This is proper operation.
The USB cable is not connected
to a source of power or the USB
power source is not operating.
Check all cable connections and
confirm PC, USB hub or other source
of USB power is working correctly.
The monitor
operates on AC
power, but not on
battery power.
The battery is missing.
Replace the battery.
The battery is drained.
Charge or replace the battery.
Replace the battery
The battery is defective.
Contact your authorized service
representative if using LI-Ion
rechargeable battery pack.
Clinician’s Operation Manual
9-1
Chapter 9: Troubleshooting
PROBLEM
POSSIBLE CAUSE
The monitor displays The battery is defective.
27
ERR when
powered up.
Battery run time is
excessively short
on a fully charged
battery.
The Li-Ion rechargeable battery
pack must be replaced.
CORRECTIVE ACTION
Disconnect the AC power cord and
then reconnect it. If the error message
persists, the battery is defective.
Contact your authorized service
representative.
Contact your authorized service
representative.
Sensor
PROBLEM
No pulse shown on
the bargraph or PI
graph.
The pulse rate is
erratic, intermittent,
or incorrect.
POSSIBLE CAUSE
CORRECTIVE ACTION
Patient cable or sensor is
Check sensor connections to the
disconnected from the oximeter. patient cable and to the oximeter.
Sensor is incorrectly positioned
on the patient.
Reposition the sensor.
Poor patient perfusion.
Reposition the sensor.
Defective sensor or patient
cable.
Try a new sensor or contact your
authorized service representative for
help.
The SpO2 sensor is improperly
positioned on the patient.
Reposition the sensor on the patient.
The patient is experiencing poor Confirm signal level with PI and signal
perfusion.
bar graphs.Reposition the sensor on
the patient.
The patient is moving too much. Make sure that the patient remains
still. Place the extremity on a pillow
that acts as a buffer to motion.
There is too much ambient light
around the SpO2 sensor.
Shield the SpO2 sensor with a towel.
Defective sensor or patient
cable.
Try a new sensor or contact your
authorized service representative for
help.
SpO2 value is erratic, Poor patient perfusion.
intermittent, or
incorrect.
Patient motion.
Defective sensor or patient
cable.
9-2
Confirm signal level with PI and signal
bar graphs.
Reposition the sensor on the patient.
Patient must remain still to obtain an
accurate measurement.
Try a new sensor or contact your
authorized service representative for
help.
Clinician’s Operation Manual
Chapter 9: Troubleshooting
Other
PROBLEM
No printout on
optional printer.
“?” malfunction
indicator on the
printer is lit.
Real time or
trend data is not
transmitted.
Display shows
RA
ERR
Display shows
sr
ERR
Display shows
POSSIBLE CAUSE
AC power is not connected to
the Docking Station.
Connect AC Power to the Docking
Station.
No trends in memory.
Take trend data.
No paper or paper incorrectly
loaded.
See Chapter 6: Optional Docking
Station and Printer for details of
loading paper.
Printer interface malfunction.
Contact your authorized service
representative for help.
Printer door open.
Close the printer door.
Printer out of paper.
Install a roll of printer paper.
An accessory cable is defective.
Contact your authorized service
representative.
Oximeter is not properly seated
in Docking Station.
Remove the oximeter from the
Docking Station and replace it
assuring proper alignment.
The communications setup is
not correct.
Check the user-connected auxiliary
equipment and software.
Remote alarm cable attached to
the oximeter.
This is proper operation. The WW1020
and WW1000 are not intended for use
with the remote alarm cable.
No sensor attached to the
oximeter.
Attach a sensor to the oximeter.
Defective sensor or patient
cable.
Try a new sensor. If the problem
persists, contact your authorized
service representative.
EEPROM checksum Error
Contact your authorized service
representative.
Trend Checksum Error
Contact your authorized service
representative.
Internal oximetry failure.
Contact your authorized service
representative.
24
ERR
Display shows
25
ERR
Display shows ERR
CORRECTIVE ACTION
Clinician’s Operation Manual
9-3
Chapter 9: Troubleshooting
This page is intentionally left blank.
9-4
Clinician’s Operation Manual
Chapter 10: Optional Supplies and Accessories
Chapter 10: Optional Supplies and Accessories
Cat. No.
Description
Qty.
WW1000
Pulse Oximeter
each
WW1018R
Protective glove - red
each
WW1018Y
Protective glove - yellow
each
WW1018G
Protective glove - green
each
WW1018B
Protective glove - blue
each
WW1020
Pulse Oximeter (with Serial Autocorrelation)
each
WW1025
Docking Station
each
Printer (Must be used with Docking Station WW1025)
each
5/pk
WW1026
WW1027
Thermal Printer Paper
WW1080
Replacement Sensor Cradles (3)
WW1089
USB interface cable
set
each
WW1090
Rechargeable battery pack, Li-Ion
each
WW1095
Universal AC mains adapter - 30W
each
WW1098
Universal Mounting Bracket
each
1300
Sensor, Oximetry, Disposable, Adult Finger
10/box
1301
Sensor, Oximetry, Disposable, Pediatric. Finger, 15-45 kg
10/box
1302
Sensor, Oximetry, Disposable, Neonate/Small Infant, < 3 kg*
10/box
1303
Sensor, Oximetry, Disposable, Infant, 3-15 kg
10/box
1606
Simulator, Oximeter
each
WW1922
Manual, Operation
each
WW1923
Manual, Service
each
Sensor, Oximetry, Wrap, Infant, 3-15 kg
each
3025
3026
Sensor, Oximetry, Wrap, Neonate/Small Infant, < 3 kg*
each
3043
Sensor, Oximetry, Universal ‘Y’
each
3044
Sensor, Oximetry, Finger
each
3044S
Spot Check Sensor, Reusable, Adult (Cable - 50.8 cm / 20 inches)
each
3049
WW3078
Microfoam Strips, Adhesive for use with 3025, 3026 and 3043
Sensor, Oximetry, Ear
40/pkg
each
3134
Tape, Attachment, Neonatal/Small Infant
50/pkg
3135
Tape, Attachment, Infant
50/pkg
3136
Tape, Attachment, Neonatal/Small Infant
100/pkg
3137
Tape, Attachment, Infant
100/pkg
3138
Posey Wrap, Attachment, Universal ‘Y’ for use with 3025, 3026 and 3043
10/pkg
3178
Sensor, Pediatric Finger, 5-45 kg
each
3178S
Spot Check Sensor, Reusable, Pediatric (Cable - 50.8 cm / 20 inches)
each
3311
Cable, Oximetry, 1.5 m (5 feet)
each
3339
PC adapter cable
each
Printer adapter cable
each
Sensor, Oximetry, Finger, Comfort Clip®
each
WW3350
3444
* The BCI® 1302 and 3026 oximetry sensors should not be used on neonatal patients with the WW1000
monitor. Testing has not been conducted for the WW1000 for patients less than 30 days old. These sensors
may, however be used on older patients.
Clinician’s Operation Manual
10-1
Chapter 10: Optional Supplies and Accessories
Ordering Information
Outside the USA, for ordering information, contact your local distributor. In the USA, for ordering
information, contact the customer service department at the address or phone number below:
Smiths Medical PM, Inc.
N7W22025 Johnson Drive
Waukesha, WI 53186 USA
Phone: (262) 542-3100
Toll-Free: (800) 558-2345 (USA only)
Fax: (262) 542-0718
web site: www.smiths-medical.com
E-mail address: info.pm@smiths-medical.com
10-2
Clinician’s Operation Manual
Chapter 11: Specifications
Chapter 11: Specifications
Displays
SpO2:
2-digit LED display, 19 mm high.
Pulse Rate:
3-digit LED display, 12.7 mm high.
PI:
9-segment LED bar graph.
Pulse Signal Strength:
Logarithmically scaled 9-segment LED bar graph.
Display update rate
SpO2 and Pulse rate: 2Hz
All other data: 10Hz
Display Refresh:
50 Hz
Indicators
Visual
External Power indicator: (
green) with power plug icon.
Battery charge indicator: (
green/yellow) with 4 segment gauge; green if 2-4 segments
lit, yellow if only one segment is lit.
Keys/User Controls
• On/Off Key ( x )
Clinician’s Operation Manual
11-1
Chapter 11: Specifications
SpO2 for the WW1020 Oximeter
SpO2 Range:
0-100% Functional Saturation (Display Maximum: 99%)
SpO2 Resolution:
1 count (%SpO2)
SpO2 Averaging:
8 beats
Calibration:
Factory calibrated over range 70% to 100% SpO2 using human blood
samples to functional saturation. Test methods are available upon request.
No in-service calibration is required.
Sensors:
Red: 660 nm, 2 mW (typical)
Infrared: 905 nm, 2-2.4 mW (typical)
SpO2 Accuracy:
70 to 100% SpO2, less than 70% SpO2 is undefined.
Sensor
SpO2 Accuracy in
SpO2 Accuracy in
Normal Conditions1, 2 Low Perfusion Conditions 1, 3
SpO2 Accuracy in
Motion Conditions 15
BCI® 1300
±2 ARMS
±2 9 ARMS
±3 ARMS
BCI® 1301
±2 ARMS
±2 ARMS
±3 13 ARMS
BCI® 1302
±3 14 ARMS
±3 14 ARMS
unspecified
BCI® 1303
±2 ARMS
±2 ARMS
unspecified
BCI® 3025
±2.5 ARMS
BCI® 3026
±3.5
ARMS
BCI® 3043
±3 ARMS
±3 ARMS
unspecified
BCI® 3044
±2 ARMS
±2 ARMS
unspecified
BCI® 3044S
±2 ARMS
±2
ARMS
unspecified
BCI® 3078
±3.6 ARMS
±3.6 ARMS
unspecified
BCI® 3178
±2 ARMS
±2 ARMS
unspecified
BCI® 3178S
±2 ARMS
±2
unspecified
BCI® 3444
±2 ARMS
±2 ARMS
unspecified
±2.5 ARMS
±2.5 ARMS
unspecified
Nellcorr® DS100A
4
9
5
9
6
14
7
8
±2.5
10
ARMS
unspecified
±3.5
14
ARMS
unspecified
11
12
ARMS
1
Because pulse oximeter measurements are statistically distributed, only about two-thirds of pulse
oximeter equipment measurements can be expected to fall within the ± ARMS of the value measured by
the CO-oximeter.
2
The WW1020 has been validated on 10 adult volunteers that did not have health problems and were
non-smokers. The study was conducted at oxygen concentrations evenly distributed over an SpO2 range
of 70-100%.
3
Pulse Amplitude 1% to 0.1%. Tested using industry standard simulator.
4
Clinical accuracy based on BCI® 1300;
5
Clinical accuracy based on BCI® 1302.
6
Clinical accuracy based on BCI® 3026;
7
Clinical accuracy based on BCI® 3044.
8
Clinical accuracy based on BCI® 3178;
9
Clinical accuracy based on BCI® 1302.
10
12
Clinical accuracy based on BCI® 3026;
11
Clinical accuracy based on BCI® 3044.
Clinical accuracy based on BCI® 3178;
13
Clinical accuracy based on BCI® 1300.
14
For neonatal patients, 1%-SpO2 was added to account for theoretical differences in pulse oximetry
function between adult and neonatal hemoglobin. This investigation was performed on adults only.
15
Motion patterns used consisted of tapping and rubbing. Subjects varied the motion frequencies to a
maximum of 300 cycles per minute. A maximum amplitude of approximately 2.5 cm was used in this
study.
11-2
Clinician’s Operation Manual
Chapter 11: Specifications
Pulse Rate for the WW1020 Oximeter
Pulse Rate Range:
20-300 bpm
Pulse Rate Resolution:
1 BPM
Pulse Rate Averaging:
8 seconds
Pulse Rate Accuracy:
Sensor
Pulse Rate Accuracy
in Normal Conditions1
20-300bpm
Pulse Rate Accuracy in
Low Perfusion Conditions 2
25-250bpm
Pulse Rate Accuracy
in Motion Conditions
20-300bpm
BCI® 1300
±2 ARMS
±3 3 ARMS
unspecified
BCI® 1301
±2 ARMS
±3 3 ARMS
unspecified
BCI® 1302
±2 ARMS
±3 ARMS
unspecified
BCI® 1303
±2 ARMS
±3 3 ARMS
unspecified
BCI® 3025
±2 ARMS
±3 4 ARMS
unspecified
BCI® 3026
±2 ARMS
±3 ARMS
unspecified
BCI® 3043
±2 ARMS
±3 ARMS
unspecified
BCI® 3044
±2 ARMS
±3 ARMS
unspecified
BCI® 3044S
±2 ARMS
±3 ARMS
unspecified
BCI® 3078
±2 ARMS
6
±3 ARMS
unspecified
BCI® 3178
±2 ARMS
±3 ARMS
unspecified
BCI® 3178S
±2 ARMS
±3 7 ARMS
unspecified
BCI® 3444
±2 ARMS
±3 ARMS
unspecified
Nellcorr®
DS100A
±2 ARMS
±3 ARMS
unspecified
5
1
Pulse Amplitude 6%. Tested using industry standard simulator.
2
Pulse Amplitude 1% to 0.1%. Tested using industry standard simulator.
3
Low Perfusion simulator accuracy specification based on BCI® 1302.
4
Low Perfusion simulator accuracy specification based on BCI® 3026.
5
Low Perfusion simulator accuracy specification based on BCI® 3044.
6
Pulse Amplitude 1% to 0.3%. Tested using industry standard simulator.
7
Low Perfusion simulator accuracy and specification based on BCI® 3178.
Clinician’s Operation Manual
11-3
Chapter 11: Specifications
SpO2 for the WW1000 Oximeter
SpO2 Range:
0-99% Functional Saturation
SpO2 Resolution: 1 count (%SpO2)
SpO2 Averaging:
8 beats
Calibration:
Factory calibrated over range 70% to 99% SpO2 using human blood samples
to functional saturation. Test methods are available upon request. No inservice calibration is required.
Sensors:
Red: 660 nm, 2 mW (typical)
Infrared: 905 nm, 2-2.4 mW (typical)
SpO2 Accuracy:
70 to 99% SpO2, less than 70% SpO2 is undefined.
BCI® Sensor
SpO2 Accuracy
in Normal Conditions1, 2
SpO2 Accuracy
in Low Perfusion Conditions 1, 3
1300
±2 ARMS
±2 8 ARMS
1301
±2 4 ARMS
±2 8 ARMS
1302
±2 4 ARMS
±2 ARMS
1303
±2 4 ARMS
±2 8 ARMS
3025
±2.5 5 ARMS
±2.5 9 ARMS
3026
±2.5 ARMS
±2.5 ARMS
3043
±3 ARMS
±3 ARMS
3044
±2 ARMS
±2 ARMS
3044S
±2 6 ARMS
±2 10 ARMS
3078
±3 ARMS
±3 11 ARMS
3178
±2 ARMS
±2 ARMS
3178S
±2 7 ARMS
±2 12 ARMS
3444
±2 ARMS
±2 ARMS
1
Because pulse oximeter measurements are statistically distributed, only about two-thirds of pulse
oximeter equipment measurements can be expected to fall within the ± ARMS of the value measured by
the CO-oximeter.
2
The WW1000 has been validated on 10 adult volunteers that did not have health problems and were
non-smokers. The study was conducted at oxygen concentrations evenly distributed over an SpO2 range
of 70-100%.
3
Pulse Amplitude 1% to 0.1%. Tested using industry standard simulator.
4
Clinical accuracy based on BCI® 1300.
5
Clinical accuracy based on BCI® 3026.
6
Clinical accuracy based on BCI® 3044.
7
Clinical accuracy based on BCI® 3178.
8
Low Perfusion simulator accuracy and specification based on BCI® 1302.
9
Low Perfusion simulator accuracy and specification based on BCI® 3026.
10
Low Perfusion simulator accuracy and specification based on BCI® 3044.
11
Pulse Amplitude 1% to 0.3%. Tested using industry standard simulator.
12
Low Perfusion simulator accuracy and specification based on BCI® 3178.
11-4
Clinician’s Operation Manual
Chapter 11: Specifications
Pulse Rate for the WW1000 Oximeter
Pulse Rate Range:
30-254 bpm
Pulse Rate Resolution:
1 bpm
Pulse Rate Averaging:
8 seconds
Pulse Rate Accuracy:
BCI® Sensor
Pulse Rate Accuracy
in Normal Conditions1
30-254bpm
Pulse Rate Accuracy
in Low Perfusion Conditions 2
30-250bpm
1300
±2 ARMS
±3 3 ARMS
1301
±2 ARMS
±3 3 ARMS
1302
±2 ARMS
±3 ARMS
1303
±2 ARMS
±3 3 ARMS
3025
±2 ARMS
±3 4 ARMS
3026
±2 ARMS
±3 ARMS
3043
±2 ARMS
±3 ARMS
3044
±2 ARMS
±3 ARMS
3044S
±2 ARMS
±3 5 ARMS
3078
±2 ARMS
±3 6 ARMS
3178
±2 ARMS
±3 ARMS
3178S
±2 ARMS
±3 7 ARMS
3444
±2 ARMS
±3 ARMS
1
Pulse Amplitude 6%. Tested using industry standard simulator.
2
Pulse Amplitude 1% to 0.1%. Tested using industry standard simulator.
3
Low Perfusion simulator accuracy specification based on BCI® 1302.
4
Low Perfusion simulator accuracy specification based on BCI® 3026.
5
Low Perfusion simulator accuracy specification based on BCI® 3044.
6
Pulse Amplitude 1% to 0.3%. Tested using industry standard simulator.
7
Low Perfusion simulator accuracy and specification based on BCI® 3178.
Clinician’s Operation Manual
11-5
Chapter 11: Specifications
Pulse Amplitude Index for the WW1020 Oximeter
Range:
0.03% to 20.00% 1 (0.01% increments)
Pulse amplitude Index is defined as PI = (100 × AC)/DC where AC is
the alternating current (pulsatile component of the signal) and DC is
direct current (non-pulsatile component of the signal). It is a relative
measure of pulse-signal strength over time at a pulse oximeter
monitoring site, and is non-pulsatile in nature.
Display:
9-segment green / yellow LED bargraph, logarithmic scale
Display Update Rate:
10 Hz
The oximeter will display dashes (Invalid data) for SpO2 and PR when the PI value is below 0.03%.
Low perfusion performance is verified by simulator testing.
1
As tested with Industry Standard Simulator.
The PI value maps to a 9-segment bar graph as shown below. The two lowest bars (1&2) are bicolor (Yellow & Green), and bars 3 through 9 are Green.
PI From
Oximeter
0.000.07
0.080.15
0.160.31
0.320.63
0.641.27
1.282.55
2.565.11
5.1210.23
10.2420.47
Segments
Lit
1Y
2Y
3G
4G
5G
6G
7G
8G
9G
Pulse Amplitude Index for the WW1000 Oximeter
Range:
0.00% to 20.00% 2(0.2% increments)
Pulse amplitude Index is defined as PI = (100 × AC)/DC where AC
is the alternating current (pulsatile component of the signal) and
DC is direct current (non-pulsatile component of the signal). It is
a relative measure of pulse-signal strength over time at a pulse
oximeter monitoring site, and is non-pulsatile in nature.
Display:
9-segment green / yellow LED bargraph, logarithmic scale
Display Update Rate:
10 Hz
2
As tested with Industry Standard Simulator.
The PI value maps to a 9-segment bar graph as shown below. The two lowest bars (1&2) are
bi-color (Yellow & Green), and bars 3 through 9 are Green.
PI From
Oximeter
0.00
>0 - 0.2
>0.2
- 0.4
>0.4
- 0.6
>0.6
- 1.2
>1.2
- 2.6
>2.6
- 5.0
>5.0
- 10.2
>10.2
Segments
Lit
1Y
2Y
3G
4G
5G
6G
7G
8G
9G
Printer
Paper:
58mm (2.28 inches), Thermal
Modes:
Real Time, Tabular Trend, Graphic Trend
Paper Speed:
12.5 mm/sec
Trend Graphs:
Headers print with graphs
11-6
Clinician’s Operation Manual
Chapter 11: Specifications
Serial Data Output
Power Input and Data Connector
Data transferred through this connector is in a proprietary BCICP1030 format. Format available
upon request.
Sensor Connector
Data Type:
ASCII comma delimited string output at 1 Hz. Lines terminated with a
carriage return.
Serial Data Protocol:
RS232C, 9600 baud, 1 start bit, 8 data bits, 1 stop bit, no parity.
Power Requirements
Battery
Type:
AA (LR6) disposable: 4 Alkaline
Custom rechargeable: Lithium-Ion (L+), 7.4V replaceable rechargeable battery pack.
Use Time:
AA (LR6) disposable: WW1020 - Approximately 26 hours continuous use
WW1000 - Approximately 32 hours continuous use
Custom rechargeable: WW1020 - Approximately 31 hours continuous use (new)
WW1000 - Approximately 54 hours continuous use (new)
Charge Time:
AA (LR6) disposable: Not rechargeable.
Custom rechargeable: Fast charges in approximately 3 hours. Charge time affected by input
power source and device loading. See Chapter 4: Operating Instructions.
Charge Cycles:
300 to 80% capacity
(Custom rechargeable)
AC Charger
WW1095 30 Watt AC Power Supply:
9V, 3A output, Input of 100-240 VAC 50Hz, 60Hz.
USB
WW1089 USB Interface Cable:
Input: 5V, 500mA max (USB powered source )
Output: 9V, 230mA max to oximeter.
Length:
Maximum 5 meters (16.4 feet)
Monitor Dimensions
Width:
85 mm (3.3 inches)
Height:
154 mm (6.1 inches)
Depth:
45 mm (1.7 inches)
Weight:
340 grams (12 ounces) with four (4) AA batteries
369 grams (13 ounces) with rechargeable battery pack
Clinician’s Operation Manual
11-7
Chapter 11: Specifications
Dock Dimensions
Dimension
Without Printer
With Printer
Width:
107 mm (4.2 inches)
160 mm (6.3 inches)
Height:
84 mm (3.3 inches)
84 mm (3.3 inches)
Depth:
109 mm (4.3 inches)
109 mm (4.3 inches)
Weight:
570 grams (20 ounces)
850 grams (30 ounces)
Auxiliary Inputs/Outputs
Sensor:
DB9
Data or
Power Input
Connector:
Non-standard 16 pin docking connector for power and data.
Environmental
Operating Temperature
Oximeter and accessories: 0°C to 55°C (32°F to 131°F)
Printer: 0°C to 50°C (32°F to 122°F)
Power Supply: 0°C to 40°C (32°F to 104°F)
Li+ battery charging: 5°C to 45°C (41°F to 113°F)
Operating Humidity
Oximeter and accessories: 15 to 95% (non-condensing)
Printer: 20 to 85% (non-condensing)
Power Supply: 5 to 95% (non-condensing)
Storage Temperature
Oximeter and accessories: -40°C to +75°C (-40°F to +167°F)
WW1090 LI-Ion rechargeable
battery pack: -20°C to +60°C (-4°F to 140°F)
Printer: -25°C to +70°C (-13°F to +158°F)
Power Supply: -10°C to +70°C (14°F to 158°F)
Storage Humidity
Oximeter and accessories: 10 to 95% (non-condensing)
Printer: 10 to 90% (non-condensing)
Power Supply: 5 to 95% (non-condensing)
Altitude:
3050 m (10,000 ft) max
Shock and vibration:
ISO 9919 transport rated
NOTE! The monitor may not meet performance specifications when stored or used outside
the temperature and humidity ranges listed above.
11-8
Clinician’s Operation Manual
Chapter 11: Specifications
Equipment Classification
Type of Protection Against Electric
shock:
Class II or Internally Powered
Mode of operation:
Spot Check (non-continuous)
Degree of Protection Against ingress
of Liquids:
IPX2, drip proof
Degree of Mobility:
Portable
Degree of Protection Against Electric
Shock:
Type BF
Electromagnetic classification:
CISPR 11 Group1, Class B, see Appendix A: Guidance and
Manufacturer’s Declaration.
Design Standards
Safety:
EN60601-1 / IEC 60601-1
EMC:
EN60601-1-2 / IEC 60601-1-2
SpO2:
ISO 9919 / EN ISO 9919
FDA Draft Guidance for Pulse Oximeters, July 2007
Clinician’s Operation Manual
11-9
Chapter 11: Specifications
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11-10
Clinician’s Operation Manual
Appendix A: Guidance and Manufacturer’s Declaration
Appendix A: Guidance and Manufacturer’s Declaration
Guidance and Manufacturer’s Declaration
The WW1000/WW1020 pulse oximeter is intended for use in the electromagnetic environment
specified in the tables within this appendix.
NOTE! The WW1000/WW1020 pulse oximeter system must be put into service according to
the provided EMC information to ensure proper operation.
Electromagnetic Emissions - Emissions Test
Guidance and manufacturer’s declaration – electromagnetic emissions
The WW1000/WW1020 pulse oximeter is intended for use in the electromagnetic environment
specified below. The customer or end user of the WW1000/WW1020 pulse oximeter should
ensure that it is used in such an environment.
EMISSIONS TEST
COMPLIANCE
ELECTROMAGNETIC ENVIRONMENT
GUIDANCE
RF emissions
CISPR 11
Group 1
The WW1000/WW1020 pulse oximeter uses
RF energy only for its internal function.
Therefore, its RF emissions are very low and
are not likely to cause any interference in
nearby electronic equipment.
RF emissions
CISPR 11
Class B
Harmonic emissions IEC
61000-3-2
Class A
Voltage fluctuations/
flicker emissions
IEC 61000-3-3
Complies
The WW1000/WW1020 pulse oximeter
is suitable for use in all establishments,
including domestic establishments and those
directly connected to the public low-voltage
power supply network that supplies buildings
used for domestic purposes.
Clinician’s Operation Manual
A-1
Appendix A: Guidance and Manufacturer’s Declaration
Electromagnetic Immunity - Immunity Test
Guidance and manufacturer’s declaration – electromagnetic immunity
The WW1000/WW1020 pulse oximeter is intended for use in the electromagnetic environment
specified below. The customer or end user of the WW1000/WW1020 pulse oximeter should
ensure that it is used in such an environment.
Immunity test
Electrostatic
discharge (ESD)
IEC 60601 test level
Electromagnetic
environment –
guidance
Compliance
level
±6 kV contact
±6 kV contact
±8 kV air
±8 kV air
Electrical fast
transient/burst
±2 kV for power supply
lines.
±2 kV for power
supply lines.
IEC 61000-4-4
±1 kV for input/output
lines
±1 kV for input/
output lines
Surge
±1 kV differential mode ±1 kV differential Mains power quality should
be that of typical commercial
mode
or hospital environment.
±2 kV common mode
±2 kV common
mode
IEC 61000-4-2
IEC 61000-4-5
Voltage dips, short
interruptions, and
voltage variations
on power supply
input lines
IEC 61000-4-11
Power frequency
(50/60 Hz)
magnetic field
IEC 61000-4-8
<5% UT
(>95% dip in UT)
for 0.5 cycle
<5% UT
(>95% dip in UT)
for 0.5 cycle
<40% UT
(>60% dip in UT)
for 5 cycles
<40% UT
(>60% dip in UT)
for 5 cycles
<70% UT
(>30% dip in UT)
for 25 cycles
<70% UT
(>30% dip in UT)
for 25 cycles
<5% UT
(>95% dip in UT)
for 5 sec
<5% UT
(>95% dip in UT)
for 5 sec
3 A/m
3 A/m
Floors should be wood,
concrete or ceramic tile.
If floors are covered with
synthetic material, the
relative humidity should be
at least 30%.
Mains power quality should
be that of typical commercial
or hospital environment.
Mains power quality
should be that of typical
commercial or hospital
environment. If the user
of the WW1000/WW1020
pulse oximeter requires
continued operation during
power mains interruptions,
it is recommended that the
WW1000/WW1020 pulse
oximeter be powered from
an uninterruptible power
supply or a battery.
Power frequency magnetic
fields should be at levels
characteristic of a typical
commercial or hospital
environment.
Note: UT is the a.c. mains voltage prior to application of the test level.
A-2
Clinician’s Operation Manual
Appendix A: Guidance and Manufacturer’s Declaration
Guidance and manufacturer’s declaration – electromagnetic immunity
The WW1000/WW1020 pulse oximeter is intended for use in the electromagnetic environment
specified below. The customer or end user of the WW1000/WW1020 pulse oximeter should
ensure that it is used in such an environment.
Immunity test
IEC 60601 test
level
Compliance
level
Electromagnetic
environment – guidance
Portable and mobile RF
communication equipment should
be used no closer to any part
of the WW1000/WW1020 pulse
oximeter, including cable, than the
recommended separation distance
calculated from the equation
applicable to the frequency of the
transmitter.
Conducted RF
IEC 61000-4-6
3 Vrms
150 kHz to 80
MHz
3 Vrms
Recommended separation distance:
d = 1.2√P
Radiated RF
IEC 61000-4-3
3 V/m
3 V/m
80 MHz to 2.5 GHz
2 Hz Modulation
d=1.2√P
d=2.3√P
80 MHz to 800 MHz
800 MHz to 2.5 GHz
20 V/m
20 V/m
80 MHz to 2.5 GHz
1kHz Modulation
d = 0.18√P
d = 0.35√P
80 MHz to 800 MHz
800 MHz to 2.5 GHz
where P is the maximum output
power rating of the transmitter
in watts (W) according to the
transmitter manufacturer and d
is the recommended separation
distance in meters (m).
Field strengths from fixed RF
transmitters, as determined by
an electromagnetic site survey,a
should be less than the compliance
level in each frequency range.b
Interference may occur in the
vicinity of equipment marked with
the following symbol:
4
Note 1 At 80 MHz and 800 MHz, the higher frequency range applies.
Note 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.
a
Field strengths from fixed RF transmitters, such as base stations for radio (cellular/cordless) telephones
and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted
theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an
electromagnetic site survey should be considered. If the measured field strength in the location in which
the WW1000/WW1020 pulse oximeter is used exceeds the applicable RF transmitter compliance level
above, the WW1000/WW1020 pulse oximeter should be observed to verify normal operation. If abnormal
performance is observed, additional measures may be necessary, such as reorienting or relocating the
WW1000/WW1020 pulse oximeter.
b
Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.
Clinician’s Operation Manual
A-3
Appendix A: Guidance and Manufacturer’s Declaration
Recommended Separation Distances
Recommended separation distance between portable and mobile
RF communications equipment and the WW1000/WW1020 Pulse Oximeter
The WW1000/WW1020 pulse oximeter is intended for use in the electromagnetic environment
in which radiated RF disturbances are controlled. The customer or the user of the WW1000/
WW1020 pulse oximeter can help prevent electromagnetic interference by maintaining a
minimum distance between portable and mobile RF communications equipment (transmitters)
and the WW1000/WW1020 pulse oximeter as recommended below, according to the maximum
output power of the communication equipment.
Rated maximum
output power
of transmitter
W
Separation distance according to
frequency of transmitter
m
80 MHz to 800 MHz
800 MHz to 2.5 GHz
150 kHz to 80 MHz
d = 1.2√P
3 V/m
d=1.2√P
20 V/m
d = 0.18√P
3 V/m
d=2.3√P
20 V/m
d = 0.35√P
0.01
.12
0.12
0.02
0.23
0.04
0.1
.38
0.38
0.06
0.73
0.11
1
1.2
1.20
0.18
2.30
0.35
10
3.8
3.79
0.57
7.27
1.11
100
12
12.00
1.80
23.00
3.50
For transmitters rated at a maximum output power not listed above, the recommended
separation distance d in meters (m) can be estimated using the equation applicable to the
frequency of the transmitter, where P is the maximum output power rating of the transmitter in
watts (W) according to the transmitter manufacturer.
Note 1 At 80 MHz and 800 MHz, the higher frequency range applies.
Note 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected
by absorption and reflection from structures, objects and people.
A-4
Clinician’s Operation Manual
Appendix A: Guidance and Manufacturer’s Declaration
The following is a list of cables, transducers and accessories used with the WW1000/WW1020
pulse oximeter.
WARNING! Use of accessories, transducers and cables other than those specified below
may result in increased emissions or decreased immunity of the systems.
BCI® Accessories
Cat. No.
Description
WW1025
Docking Station
WW1026
Printer (Must be used with Docking Station WW1025)
WW1089
WW1090
USB interface cable
Rechargeable battery pack, LI-Ion
WW1095
Universal AC mains adapter - 30W
1300
Sensor, Oximetry, Disposable, Adult Finger
1301
Sensor, Oximetry, Disposable, Pediatric. Finger, 15-45 kg
1302
Sensor, Oximetry, Disposable, Neonate/Small Infant, < 3 kg*
1303
Sensor, Oximetry, Disposable, Infant, 3-15 kg
3025
Sensor, Oximetry, Wrap, Infant, 3-15 kg
3026
Sensor, Oximetry, Wrap, Neonate/Small Infant, < 3 kg*
3043
Sensor, Oximetry, Universal ‘Y’
3044
Sensor, Oximetry, Finger
3044S
Spot Check Sensor, Reusable, Adult (Cable - 50.8 cm / 20 inches)
WW3078
Sensor, Oximetry, Ear
3178
Sensor, Pediatric Finger, 5-45 kg
3178S
Spot Check Sensor, Reusable, Pediatric (Cable - 50.8 cm / 20 inches)
3311
Cable, Oximetry, 1.5 m (5 feet)
3339
PC adapter cable
3350
Printer adapter cable
3444
Sensor, Oximetry, Finger, Comfort Clip®
* The BCI® 1302 and 3026 oximetry sensors should not be used on neonatal patients with the
WW1000 monitor. Testing has not been conducted for the WW1000 for patients less than 30 days
old. These sensors may, however be used on older patients.
WARNING! The WW1000/WW1020 pulse oximeter should not be used adjacent to other
medical equipment. If such use is necessary, the system should be observed to
verify normal operation in the configuration it will be used.
Clinician’s Operation Manual
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Appendix A: Guidance and Manufacturer’s Declaration
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A-6
Clinician’s Operation Manual
2
@ Authorized Representative (as defined by the Medical Device Directive):
Smiths Medical International Ltd.
Colonial Way, Watford, Hertfordshire,
WD24 4LG, UK
Phone: (44) 1923 246434
Fax: (44) 1923 240273
Australian Representative:
Smiths Medical Australasia Pty. Ltd.
61 Brandl Street, Eight Mile Plains,
QLD 4113, Australia
H Manufactured By
Smiths Medical PM, Inc.
N7W22025 Johnson Drive
Waukesha, WI 53186-1856 USA
Tel: +61 (0) 7 3340 1300
MEDICAL EQUIPMENT
WITH RESPECT TO ELECTRIC SHOCK,
FIRE AND MECHANICAL HAZARDS ONLY
IN ACCORDANCE WITH UL60601-1, IEC60601-1,
CAN/CSA C22.2 NO. 601.1
21JU
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