Nonin CO-Pilot™

Wireless Handheld Multi-

Parameter System (H500)

Quick Start Guide

Refer to the CO-Pilot Wireless Handheld Multi-Parameter

System (H500) Operator’s Manual for complete instructions for use to fully understand the device, its operation, and the potential risks to user and patient.

Table of Contents

05

06

07

08

01

02

03

04

09

10

11

12

13

System Components

Display Icons and Indicators

Initial System Set Up

Taking a Measurement

Placing Disposable rSO

2

Sensor

Placing Finger Clip Sensor

Determining Pulse Signal Quality

Checking Signal Processor Battery Status

Charging the System

Long Term Storage Mode

Basic Troubleshooting

COHb Quick Reference

COHb Exposure Treatment Decision Process

01 System Components

8330AA Multi-Sensing

Finger Clip Sensor

D-HH

Display

8204CA* rSO

2

Sensor

H500-PS

Chargers (2)

SP-BLE Wireless

Signal Processor

*rSO

2

sensors not included in standard configuration

**Not depicted: Data Download Cable and USB Flash Drive

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02 Display Icons & Indicators

Multi-Sensing Display Screen

Display Battery

Indicator

Pulse Signal

Quality Indicator

Pulse Wave Form/

PPG rSO

2

Display Screen

Display

Charging Port rSO Histograms

Trending readings of the rSO

2

value over time

Session ID

Event Marker Button

On/Off,

Sleep Button

Signal Processor

Serial Number

Signal Processor

Battery Life

Indicator

Sensor

Lock

Signal Processor (SP-BLE)

Bluetooth

Indicator

Battery Life

Indicator

On/Off Button

Press briefly to check SP-BLE battery status

SP-BLE

Charging Port

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03 Initial System Setup

1

2

3

4

5

Charge display and signal processor per instructions in Section 9

Press and hold On/Off button on signal processor until green LEDs blink on and blue

Bluetooth LED begins to blink

Press and hold On/Off,Sleep button on display until screen turns on

Connect sensor to signal processor and engage sensor lock (Figure 1)

System is now ready to take a measurement or to be put into Sleep Mode for future use

Figure 1

04 Taking a Measurement with CO-Pilot

1

2

3

4

5

Activate the display from sleep mode by briefly pressing the On/Off, Sleep button on the right side of the device (Figure 2)

When the display is activated, it will automatically be connected to the signal processor and the sensor will turn on

If the signal processor is not automatically activated, press and hold down the On/Off button on the signal processor

Place the sensor on the patient according to sensor instruction

Press On/Off,

Sleep button to activate display

Figure 2

When operation is complete, briefly press the

On/Off, Sleep button on the display to end the session and put device into Sleep Mode; signal processor will enter Sleep Mode automatically

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05 Placing Disposable rSO

2

Sensor

1

Connect INT-100 to signal processor as shown in Figure 1

2

3

4

Connect 8204CA sensor to INT-100 and engage lock per Figure 3

CA

CA

CA

Figure 3

Remove the protective backing from the sensor pad and gently, but firmly place the sensor above the eyebrow per Figure 4

Ensure sensor surface adheres to the skin to prevent light from traveling between emitting or receiving elements or ambient light from entering

NOTE

An improperly placed sensor may result in inaccurate readings.

If sensor does not adhere fully, sensor may result in inaccurate reading

06 Placing Finger Clip Sensor

8204CA 8204CA

Figure 4

1

2

Connect sensor to signal processor as shown in Figure 1

Select proper sensor size and use a clean, dry finger. Heavy lotions, sunscreen, dirt, oils and nail polish may alter accuracy

3

Gently squeeze open the sensor and insert the finger all the way into the sensor

07 Determining Pulse Signal Quality

Pulse signal quality can be determined by the color of the pulse waveform as shown.

Green = Good Yellow = Marginal Red = Insufficient

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08 Checking Signal Processor Battery Status

To check the signal processor battery status, quickly press the On/Off button on the signal processor. Green battery indicator lights will light indicating current battery status. Signal processor battery status can also be found on the display screen as shown in Section 02.

Signal Processor Battery Status Matrix

Battery Indicator

Three green lights lit

Two green lights lit

One green light lit

One green light blinking

No Lights

Battery Level

High (60-100%)

Medium (20-59%)

Low (5-19%), charge SP-BLE

Critical (0-4%), charge

SP-BLE

Depleted or off

09 Charging the System

1

Charge the display and signal processor (SP-

BLE) using the provided Nonin chargers ONLY*

2

Insert charger into respective ports shown below to charge.

Display

Charging Port

*Do not use system while charging

SP-BLE

Charging Port

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10 Long Term Storage Mode

1

To place the display into long term storage mode, press and hold the On/Off, Sleep button on the display (Figure 2) until screen prompt appears

2

3

Choose “Power Off” on display screen.

Screen will go black, display is now in long term storage mode

To place the signal processor into long term storage mode, press and hold the on/off button on the signal processor until all lights flash simultaneously.

Signal processor is now in long term storage mode

Press and hold button to place Signal Processor in long term storage mode

Figure 5

11 Basic Troubleshooting

Sensor Not

Connected to

Signal Processor

Check that sensor is plugged into signal processor and sensor lock is engaged

Sensor Fault

Sensor may be inoperable, try another sensor

Inadequate

Signal

Ensure sensor is properly applied to patient

Cannot Connect to

Signal Processor

Check that signal processor is on, battery is charged, and in range of display

Error Code

Refer to Operator’s

Manual

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12 COHb Quick Reference

Carbon monoxide (CO) is an odorless, colorless gas that can remain undetectable until exposure results in injury or death. CO poisoning can lead to a variety of clinical effects that resemble many neurological and cardiovascular conditions, leading to potential misdiagnosis.

Common Symptoms of CO Poisoning

1 Headache

2 Dizziness

4 Loss of Consciousness

5 Nausea

3 Fatigue and Weakness

Important Symptom Considerations

A patient exposed to high concentrations for a short time may be less symptomatic than a patient who reaches the same COHb level after a prolonged exposure.

Chronic poisoning is generally associated with the less severe symptoms.

Some patients presenting with a carboxyhemoglobin level of 20% may be remarkably symptomatic, while others experiencing the same level of COHb% may exhibit only mild, equivocal symptoms.

Low-level exposure can exacerbate angina and chronic obsutrctive pulmonary disease.

Coronary artery disease patients are at risk for ischemia and MI even at low levels of CO.

Severity of clinical condition is related to CO conentration, the duration of exposure, and the prevailing clinical disposition of the patient.

Smokers present with higher levels of COHb than do non-smokers. The COHb level in non-smokers is approximately 1-2%. In smokers, a COHb of 3-8% would be considered normal, depending on severity of smoking.

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Treatment

Carbon Monoxide: Half Life Elimination from Blood

Room Air 240-360 minutes

Oxygen (100%)

Hyperbaric Oxygen (HBO)

80 minutes

22 minutes

13 COHB Exposure Treatment Decision Process

If CO exposure is NOT suspected:

Noninvasive COHb values should NOT be used

If CO exposure IS suspected:

Patient has signs and symptoms, transportation to the hospital is recommended even if the COHb is <10%

Patient has COHb ≥10%, transportation to the hospital is recommended, even if asymptomatic

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nonin.com

Nonin Medical, Inc.

13700 1st Avenue North

Plymouth, MN • 55441-5443 • USA

Tel:

+1.763.553.9968 1.800.365.8874

Fax:

+1.763.577.5521

Email:

[email protected]

Nonin Medical B.V.

Doctor Paul Janssenweg 150

5026 RH Tilburg • Netherlands

Tel:

+31 (0)13-79 99 040

Fax:

+1 (0)13-79 99 042

Email:

[email protected]

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Medical, unless otherwise noted.