Creative Industry SP-20 Handheld Pulse Oximeter User Manual

Shenzhen Creative Industry Co., Ltd. Handheld Pulse Oximeter

User manual

User Manual for Handheld Pulse Oximeter    I Instructions to User Dear Customer,    Thank  you  for  purchasing  this  quality  product.  Please  read  the manual very carefully before using this  device. Failure to  follow these instructions can cause measuring abnormality or damage to the Oximeter. No  part  of  this  manual  may  be  photocopied,  reproduced  or translated into another language without the prior written consent. We  reserve  the  right  to  revise and  amend  it  at  any  time  without prior notice. Version of the Manual: Ver 1.0 Issued Date: December 20th, 2016 All rights reserved. Notes:  The  contents  contained  in  this  manual  are  subject  to  change without prior notice.  Information  furnished  by  Creative  is  believed  to  be  accurate and reliable. However, no responsibility is assumed by Creative for  its  use,  or  any  infringements  of  patents  or  other  rights  of third parties that may result from its use.     3502-2290079
User Manual for Handheld Pulse Oximeter    II Instructions for Safe Operation  Check  the  device  to  make  sure  that  there  is  no  visible damage  that  may  affect  user’s  safety  and  measurement performance. It is recommended that the device  should be inspected  minimally  before  each  use.  If  there  is  obvious damage, stop using the device.                    Necessary  service  must  be  performed  only  by  qualified technicians. Users are not permitted to service this device.  The  oximeter  must  not  be  used  with  the  devices  and accessories not specified in User Manual. Cautions  Explosive  hazard—DO  NOT  use  the  oximeter  in environment with inflammable  gas  such  as  some ignitable anesthetic agents.  DO NOT use the oximeter while the Patient is under MRI or CT scanning. This device is NOT MRI Compatible. Warnings  Discomfort  or  pain  may  occur  if  using  the  sensor  of  this device continuously on  the  same  location  for a long time, especially for  the patients with poor microcirculation. It is recommended that the Oximeter should not be applied to the same  location  for  longer  than  2  hours  or  less  if  any abnormal  condition  is  found.  Frequently  check  and re-position the Oximeter sensor.    Misapplication of a SpO2 probe with excessive pressure for prolonged periods can induce pressure injury.  Place the SpO2 probe on the finger tightly will cause venous pulse  and  effect  blood  circulation,  and  lead  to  interstitial edema, hypoxia and inaccurate measurement.  Biocompatibility  tests  have  been  performed  on  all  the applied  parts,  some  exceptional  allergic  patients  may  still
User Manual for Handheld Pulse Oximeter    III have  anaphylaxis.  Do  not  apply  to  those  who  have anaphylaxis.    For the individual patients, there should be a more prudent inspecting  in  the  placing  process.  The  sensor  can  not  be placed on the edema and tender tissue.  The  local  law  should  be  followed  when  disposing  of  the expired device or its accessories.  DO  NOT  operate  in  the  environment  where  strong electro-magnetic  interference  exists,  such  as  radiogram, television, radiophone, etc.  Please pay attention to the SpO2 probe cable while using to avoid strangulating patient. Attentions  Keep  the  oximeter  away  from  dust,  vibration,  corrosive substances,  explosive  materials,  high  temperature  and moisture.  If the Oximeter gets wet, please stop operating it and do not resume  operation  until  it  is  dry  and  checked  for  correct operation. When it is carried from a cold environment to a warm  and  humid  environment,  please  do  not  use  it immediately. Allow at least 15 minutes for the Oximeter to reach ambient temperature.  DO NOT operate the button  on the front panel with sharp materials or sharp point.  DO  NOT  use  high  temperature  or  high  pressure  steam disinfection  on  the  oximeter  and  probes.  Refer  to  related chapter for instructions regarding cleaning and disinfection.  The intended use of this device is not for therapy purpose.  The equipment is IP22 with protection against harmful solid foreign  objects  and  ingress  of  liquid.  So  that  means  the
User Manual for Handheld Pulse Oximeter    IV equipment  is  protected  against  solid  foreign  objects  of 12.5mm and greater, and protected against vertically falling water drops when enclosure tilted up to 15°.  Please  pay  attention  to  the  effects  of  lint,  dust,  light (including sunlight), etc. Declaration of Conformity The manufacturer hereby declares that this device complies with the following standards: IEC  60601-1:2005+A1:  2012,  IEC60601-1-2:2014, IEC60601-1-11:2010,  ISO  80601-2-61:2011  and  follows  the provisions of the council directive MDD93/42/EEC. Caution: U.S. federal law restricts this device to sale or use by or on the order of a physician.
User Manual for Handheld Pulse Oximeter    V Table of Contents 1 Overview ..................................................................................... 1 1.1 Appearance .......................................................................... 1 1.2 Product Name and Model ..................................................... 3 1.3 Structure ............................................................................... 3 1.4 Features ................................................................................ 4 1.5 Intended Use ........................................................................ 4 1.6 Working Environment .......................................................... 4 2 Preparation ................................................................................ 5 2.1 Charger Base Connection ..................................................... 5 2.2 Power Supply ....................................................................... 5 3 Make Measurement ................................................................... 7 3.1 SpO2 Measurement ............................................................... 7 3.2 Temperature Measurement (optional) .................................. 9 4 Operation .................................................................................. 11 4.1 Power on/off the Oximeter ................................................. 11 4.2 Default Display Screen ...................................................... 11 4.3 Menu .................................................................................. 14 4.4 Record ................................................................................ 27 5 Technical Specifications .......................................................... 32 6 Over-limit Indication ............................................................. 34 6.1 Limit settings ..................................................................... 34 6.2 Over-limit indication sound mute setting ........................... 34 7 Packing List .............................................................................. 35 8 Repair and Maintenance ......................................................... 36 8.1 Maintenance ....................................................................... 36 8.2 Cleaning and Disinfecting Instruction ................................ 36 9 Troubleshooting ....................................................................... 37 Appendix ..................................................................................... 38 Quality Inspection Certificate .................................................... 53
User Manual for Handheld Pulse Oximeter    1 1 Overview 1.1 Appearance    Power/Left Mute /Right Display screen Figure 1.1 Front View Rotate-lock /Up Setting/Down Alert indicator   Menu/Confirm   Record/Back Power indicator
User Manual for Handheld Pulse Oximeter    2      1. Display screen: Display measurement result, trends and menus. 2.  (Power/Left):  Power  on/off  the  device  by  longtime pressing; On menu or sub-menu screen, short time press it to move the cursor left or adjust the parameter values.   3.    (Mute/Right): On data recall screen, longtime press this key,  then  the  delete  dialog  pops  up;  On  measuring  screen,  short time press it to resume or mute the alert sound. On non-alert status, short time press it to turn on/off beep sound. On menu or sub-menu screen, short  time press it to  move the cursor  right  or  adjust  the parameter values.   Note:  when  the  device  alert  indication  is  on,  short  time pressing will mute the alert sound, the mute state will persist for about 90s. After this mute period (90s), then the alert sound will resume. 4. (Rotate-lock/Up): On measuring screen, longtime pressing to enable or disable the automatic screen orientation (on horizontal or  vertical  direction);  On  menu  or  sub-menu  screen,  short  time press it to move the cursor upwards or adjust the parameter value. Figure 1.2 Upper-side view Figure 1.3 Bottom side view SpO2: SpO2 probe connector TEMP: Temperature probe connector DC power input socket
User Manual for Handheld Pulse Oximeter    3 5. (Setting/Down):  On  measuring  screen,  longtime pressing to  enter  into  setting  screen;  On  menu  or  sub-menu  screen,  short time press it to move the cursor downwards or adjust the parameter value. 6.   (Menu/Confirm): Short time press it to enter into menu screen, or to confirm the selection. 7.   (Record/Back):  Short  time  press  it  to  enter  into  SpO2 record list screen, or to back to the previous level of menu. 8.                        (Alert indicator): If the probe is not well placed or  disconnected,  or  the  measured  value  exceeds  the  preset  alert limit value, then the alert indicator will keep orange flashing. 9.   (Power saving mode indicator): If the device is set as power saving mode, then the indicator keeps on. And on measuring screen, the indicator flashes with the pulse beep.   10.  Icon: "SpO2"( ): SpO2 Probe Connector. 11. Icon: "TEMP"( ): Temperature Probe Connector. 12. (DC  power  input):  used  for  connecting external  DC  power  input  for  charging  the  built-in  rechargeable battery. 1.2 Product Name and Model Name:    Handheld Pulse Oximeter Model:  SP-20 1.3 Structure It consists of the main unit and SpO2 probe.   (Note:  with  optional  temperature  probe,  this  Oximeter can  make temperature measurement.)
User Manual for Handheld Pulse Oximeter    4 1.4 Features    It is lightweight, small in size and easy to carry    Color LCD to display plethysmogram and parameters    Measure SpO2, Pulse Rate and Temperature simultaneously    PI (Perfusion Index) display is available      Up to 500 hours data storage for SpO2 and PR and can be recalled.    16 user IDs for making data and can be added.    A  built-on  holder  for  convenient  standing  on  desktop  and display viewing.    Real-time  battery  status  display  and  low  battery  voltage indication.      Auto power off is available          Audible and visual alert function is available    Data uploading to PC for management (Optional)    Power saving mode is available   1.5 Intended Use This  Handheld  Pulse  Oximeter  is  intended  for  measuring  and recording the pulse rate, functional oxygen saturation (SpO2) and temperature  (optional).  It  is  applicable  for  detecting  SpO2,  pulse rate  and  temperature  of  adult  and  pediatric  patients  in  clinical institutions and homes. 1.6 Working Environment Operating temperature:    5~40℃ Operating humidity:            15%~93% (non-condensing) Atmospheric pressure:        70kPa~106kPa
User Manual for Handheld Pulse Oximeter    5 2 Preparation 2.1 Charger Base Connection Put  the device into the charger base  properly,  and  note  the polarity markings, as  shown in figure 2.1.                Figure 2.1 Charger base connection充电底座连接  Oximeter Charger base
User Manual for Handheld Pulse Oximeter    6 2.2 Power Supply 1. Internal power supply with built-in battery: Built-in battery specification: 2000mAh lithium battery. 2. External power from the AC power adapter: Use  the  AC  power adapter provided by the  manufacturer.  Make sure the mains power supply is 100-240VAC with 50/60Hz. 3. External power supply from the USB cable: Use the USB cable with micro-USB connector, connect one end of the  USB  cable  to  the  connector  on  the  device  marked  with " " or to the USB connector on the charger base marked with " ", and the other end to the USB power source with output capacity of 5V DC/1A. Note:  When  using  the  supplied  charger  base  for  power  supply, please  do  not  tilt  the  charger  base  backwards  too  much,  or  the USB cable and the connector may be damaged.
User Manual for Handheld Pulse Oximeter    7 3 Make Measurement 3.1 SpO2 Measurement Operation procedures: 1. Connect the SpO2 probe to the connector on the upper-side of the  device  marked  with  "SpO2".  (Note:  When  disconnecting  the connector, be  sure  to  hold  the  head  of the  connector  firmly and pull). 2. The  red  blinking  light  inside  the  clip  of  the  SpO2  probe indicates a successful connection.   3. Insert one  finger (index finger is  preferred, the  nail  should be not  too  long)  into  the  clip  of  the  probe  according  to  the  finger mark,as shown in figure 3.1. 4. The  device  will  begin  to  take  the  measurement,  and  the measured result will be displayed on the screen, as shown in figure 4.2.  Figure 3.1 demonstration for SpO2 probe Safety instructions for SpO2 measurement  Continuous use of the SpO2 probe may result in discomfort or pain, especially for those with microcirculatory problems. It is
User Manual for Handheld Pulse Oximeter    8 recommended  that  the  probe  should  NOT  be  applied  to  the same place  for  over two  hours, change  the  measurement site periodically and when necessary.  When  the  ambient  temperature  is  over  35℃,  please  change the  measuring  site  every  two  hours;  when  the  ambient temperature is over 37℃, please do NOT use the SpO2 sensor, as using in high temperatures can cause burns.  Do  NOT  place  the  SpO2  probe  on  a  finger  with  edema  or fragile tissue.  Do NOT put the SpO2 probe and pressure  cuff on the same limb, otherwise the blood pressure measurement may affect the SpO2 measurement.  The  device  is  calibrated  to  display  functional  oxygen saturation.  Do NOT allow the sensor cable to twist or bend.  Check the SpO2 sensor and cable before use. Do NOT use a damaged SpO2 sensor.  When  the  temperature  of  the  SpO2  sensor  is  abnormal,  do not use it further.  Remove  nail  polish  or  other  cosmetic  products  from  the fingernail.  The fingernail should be of normal length.  The SpO2  sensor  cannot be  immersed into  water,  liquid  or cleanser.  The SpO2  sensor  can  be  repeatedly used.  Please  clean  and disinfect before reuse.
User Manual for Handheld Pulse Oximeter    9 ☞  Connector with the label "SpO2" can only be connected with SpO2  probe,  and  connector  with  the  label  "TEMP"  can  only  be connected with the temperature probe. 3.2 Temperature Measurement (optional)   The infrared temperature probe is a delicate transducer. To operate please  follow  these  steps  and  procedures.  Failure  to  accurately operate may cause damage to the probe. The infrared temperature probe is as shown in figure 3.2. Please  place  the  infrared  temperature  probe  in  a  stable  ambient temperature for 30 minutes before taking a measurement.                                       Operation procedure: 1. Connect the infrared temperature probe to the connector on the upper side of device marked with "TEMP".   2. When the screen shows as the big display screen in figure 3.2 Small screen Measuring  tip  of temperature probe Measuring key   Figure 3.2 the infrared temperature probe  Power on/off key Temperature Probe Cover  Battery cover Big display screen
User Manual for Handheld Pulse Oximeter    10 and  the  temperature  unit  "℃"  is  blinking, the  user  can begin  to take the measurement. 3. Insert the tip of the temperature probe into the earhole and press the  measuring  key  to  start  the  measurement.  A  short  beep means  the  measurement  has  finished  and  the  result  will  be displayed on the big display screen on temperature probe and the display screen of the Oximeter. Note:    If the temperature probe detects a hardware failure, the display screen  on  the  infrared  temperature  probe  will  show "Err" and will not enter into measurement mode.  The  infrared  temperature  probe  will  switch  to  standby  state automatically if there is no operation for 1 minute. If a further measurement  is  needed,  press  the  measuring  key  and  repeat step 2 and step 3.  Normal body temperature varies depending on the position/area the measurement is taken from. The following table shows the varying temperature ranges of the different body positions.   Temperature varying range at different body positions:   Arm 34.7 ~ 37.3  ℃ Oral 35.5 ~ 37.5  ℃ Rectal 36.6 ~ 38.0  ℃ Ear 35.8 ~ 38.0  ℃ Safety Instruction for Temperature Measurement  Do NOT take a measurement when the patient is moving.  Patients with tympanitis or otitis problems should NOT use this device.  When  the  infrared  temperature  probe  is  connected  to  the device,  the  probe  will  consequently  be  at  power-on  status,
User Manual for Handheld Pulse Oximeter    11 therefore pressing the power on/off key on the temperature probe will not cause any effect. 4 Operation 4.1 Power on/off the Oximeter  Long pressing" " Power/Left key for  1~2 seconds, then the  oximeter  will  be  powered  on.  The  oximeter  will  do self-test  and  then  show  the  software  version,  as  shown  in figure 4.1 (refer to your oximeter for actual version).  Figure 4.1   4.2 Default Display Screen Press “ ”power key for 2 seconds to start up the Oximeter, then the screen will display the default screen, as shown in Figure 4.2.
User Manual for Handheld Pulse Oximeter    12                          Description:  During measurement, if the finger is not inserted properly, or the probe is not connected or the probe is off from the finger, then  "Check  Probe"  message  prompts  on  the  screen,  and "bibibi..." alert sound appears simultaneously. Alert sound is SpO2 mark SpO2 value Pulse   Plethysmogram Current time SpO2 high/low limit setting range Patient type Sound indicator   Battery indicator Pulse rate   mark and unit Pulse Strength   bar-graph Pulse symbol Pulse rate value Figure 4.2A Default Display Screen---in vertical  HR high/low limit setting range User ID Measurement mode Auto power off disable icon Wireless icon Rotate-lock icon TEMP value Perfusion index
User Manual for Handheld Pulse Oximeter    13 sustaining  for  about  3  minutes, and  if  there  is  no  any key operation  in  this  period,  then  the  device  will  power  off automatically (if the auto power off function is turned on).    During measurement, longtime pressing Rotate-lock/Up key " ", then the Rotate-lock icon " " turns to blue " ", it means the auto rotation function is turned on, if you place this  oximeter  horizontally,  then  the  display  shows  in horizontal, as shown in figure 4.2B.    Sound indicator  " "  means the  device  is  on  mute  status, the user can turn on the indication sound by short pressing " " key. Short time press " " key can turn off (or resume)  the  device  sound  (including  pulse  beep  sound, audible alert and key click), while the pulse symbol " " still Figure 4.2B Default Display Screen---in horizontal
User Manual for Handheld Pulse Oximeter    14 blinks.  During  the  measurement,  over-limit  event  or  probe off  event  can  activate  the  alert  indication  sound. Refer  to Section 6.2 for detailed alert indication sound.  If the  memory is  full,  the  corresponding  memory  full icon appears on the screen, " " means temperature memory is full,  " "  means  SpO2  spot-check  record  memory  is  full, " "  means  SpO2  continuous  record  memory  is  full.  No display of the icon means the current corresponding storing space is not full. If the memory is full, the data storing will continue  in  such  way  the  new  record  will  overwrite  the oldest record, so that it's recommended to upload the stored data into the computer in time.  4.3 Menu   On  the  default  measuring  screen,  short  time  press  " " Menu/Confirm key for entering into main menu screen (as shown in Figure 4.3).   There  are  9  functional  icons  in  main  menu  screen,  press Up/Down/Left/Right  key  can  move  the  cursor  to  make  selection and  press  " "  Menu/Confirm  key  again  to  confirm  the selection.  User ID: Add new or edit the current User ID.  User: Select patient type, "Adult" and "Pediatric" for option.
User Manual for Handheld Pulse Oximeter    15 Note: when the device is connecting the neonate SpO2 probe, then the User icon " " turns to grey " ", and the patient type on upper left corner turns to pink " ".  Measurement  mode:  Select  the  measurement  mode, "Spot-check mode" and "Continuous mode" for option.  SpO2  record:  Recall  and  review  the  records  stored  on  the oximeter,  two  method  for option: "Spot-check  Record"  and "Continuous Record", see Section 4.4 for details.  Figure 4.3 Main menu
User Manual for Handheld Pulse Oximeter    16  TEMP Record: Review the temperature record list.  Date: Set the time and date, see Section 4.3.6 for details.  Setting: Set the system parameter, including lightness, sound volume,  display  language,  power  saving  mode  etc.,  see Section 4.3.7 for details.  Alert: Set the low alert limit for SpO2 and the high/low alert limit for HR, see Section 4.3.8 for details.  Help: To view the tips information of SpO2 measurement and temperature measurement, see Section 4.3.9 for details.   4.3.1 User ID On  main  menu  screen,  move  the  cursor  on  "User  ID"  and  press Confirm  key  " ",  then  the  oximeter  enters  into  User  ID Setup screen, as shown in figure 4.4.    Figure 4.4A User ID setup screen
User Manual for Handheld Pulse Oximeter    17 Move the cursor on "Edit" and press Confirm key " ", when the  cursor  turns  to  blue,  then  the  user  can edit  the  User  ID,  and move the cursor on "OK" to confirm the edit, the edit screen is as shown in figure 4.4B.  Figure 4.4B User ID edit screen 4.3.2 User On  main  menu  screen,  move  the  cursor  on  "User"  and  press Confirm key " ", then the oximeter enters into Patient type   Setup screen, as shown in figure 4.5.  Figure 4.5 Patient type setup screen
User Manual for Handheld Pulse Oximeter    18 4.3.3 Measurement Mode On main menu screen, move the cursor on "Measurement Mode" and  press  Confirm  key  " ",  then  the  oximeter  enters  into Measurement Mode Setup screen, as shown in figure 4.6.  Figure 4.6 Measurement mode setup screen 4.3.4 SpO2 Record On  main  menu  screen,  move  the  cursor  on  "SpO2  Record"  and press Confirm  key  " ", then  the oximeter enters  into  SpO2 record review method selecting screen, as shown in figure 4.7.  Figure 4.7    SpO2 record review method selecting screen Refer to Section 4.3 for details. 4.3.5 TEMP Record
User Manual for Handheld Pulse Oximeter    19 On  main  menu screen,  move  the  cursor  on  "TEMP Record"  and press  Confirm  key  " ",  then  the  oximeter  enters  into temperature record list screen, as shown in figure 4.8.  Figure 4.8 TEMP record list screen 4.3.6 Date On  main  menu  screen,  move  the  cursor  on  "Date"  and  press Confirm  key  " ",  then  the  oximeter  enters  into  date  setup screen, as shown in figure 4.9.
User Manual for Handheld Pulse Oximeter    20  Figure 4.9 Date setup screen Date setting procedure: 1) Move the cursor stays on the Year of the date, press Confirm key " " to active Year option, the cursor flashes on the Year of the date; 2) Press Up/Down key to adjust Year;   3) Press  " "  (Confirm)  key  to  confirm  and  exit  from  date setting;   4) The  procedures  of  adjusting  Month,  Day,  Hour,  Minute  and Second value are the same with Year adjustment. Date Format: DD-YY-MM;      Time Format: HH:MM:SS Note: The setting operations of other parameters (such as User ID, User, Auto Power Off, Power Saving etc.) are the same with date setting. 4.3.7 Setting On  main  menu  screen,  move  the  cursor  on  "Setting"  and  press Confirm  key  " ",  then  the  oximeter  enters  into  system setting screen, as shown in figure 4.10.
User Manual for Handheld Pulse Oximeter    21  Figure 4.10 System setting screen Description:  Brightness:  To  set  the  brightness  of  backlight,  6  levels  for optional,  the  factory  default  is  level  3,  as  shown  in  figure 4.10A.    Volume:  To  set  the  sound  volume  (including  alert  sound, pulse  beep  sound  and  key  click  sound),  6  levels  sound volume for optional, the factory default is level 3, as shown in figure 4.10B.  Language:  This  oximeter  provides  the  display  with  two languages:  English  and  Simplified  Chinese,  the  factory default is "English", as shown in figure 4.10C.    Auto power off: To turn on/off the Auto Power Off mode, the factory default is "On", as shown in figure 4.10D.  Wireless: To turn on/off the wireless connection function, the factory default is "On", as shown in figure 4.10E.  Power saving mode: To turn on/off the Power Saving mode, the factory default is "On", as shown in figure 4.10F  TEMP unit: To set the temperature unit, "℃(Celsius)" and "℉(Fahrenheit)"  for  option,  the  factory  default  is  "℉",  as
User Manual for Handheld Pulse Oximeter    22 shown in figure 4.10G.  Default  setting:  Enter  into  the  factory  default  setting,  as shown in figure 4.10H.  Version:  For  viewing  version  number  of  the  software,  as shown in figure 4.10I  Demo:  Enter  into  the  Demonstration  mode,  as  shown  in figure 4.10J.          Figure 4.10A    Brightness setup            Figure 4.10B    Volume setup     Figure 4.10C    Language setup   Figure 4.10D    Auto Power OFF setup    Figure 4.10E    Wireless setup        Figure 4.10F    Power Saving setup
User Manual for Handheld Pulse Oximeter    23     Notes:  When the Auto Power Off is set to "On" option, if there is no   Figure 4.10G    TEMP unit setup              Figure 4.10I    Version info.    Figure 4.10H    Default setting                      Figure 4.10J Demo mode
User Manual for Handheld Pulse Oximeter    24 key operation for 3 minutes, then the oximeter will power off automatically.  When the Power Saving Mode is set to "On" option, during the measurement, if there is no key operation for 1 minute, the screen display will be dim for power saving. The display brightness will resume to normal condition by pressing any key.  4.3.8 Alert On  main  menu  screen,  move  the  cursor  on  "Alert"  and  press Confirm key " ", then the oximeter enters into alert setting screen, as shown in figure 4.11.    Figure 4.11 Alert setting screen  SpO2 Lo-Limit:  SpO2  low  limit  setting;  range:  50%~99%, the step is 1%. The factory default value for adult is 90% and 95% for pediatric.  PR  Hi-Limit:  High  limit  setting  of  pulse  rate;  range: 100~240bpm. From 100 to 150, the step is 1bpm, and from 150 to 240, the step is 5bpm. The factory default value for adult is 120bpm and 160bpm for pediatric.  PR  Lo-Limit:  Low  limit  setting  of  pulse  rate;  range: 30~99bpm, and the step is 1bpm. The factory default value
User Manual for Handheld Pulse Oximeter    25 for adult is 50bpm and 60bpm for pediatric. Note: When the SpO2 reading is lower than or equal to the preset alert setting or the PR reading is higher than or equal to the preset high limit or the PR reading is lower than or equal to the preset low limit, then the over-limit alert event will be activated, that's, the  alert  sound  "bibibibi..."  occurs,  and  the  corresponding reading(s)  blinks.  When  measured  on  pediatric,  if  the  SpO2 reading  is  lower  than  or  equal  to  the  preset  alert  setting  for  10 seconds,  then  the  alert  sound  and  blinking  display  will  be activated.    4.3.9 Help On  main  menu  screen,  move  the  cursor  on  "Help"  and  press Confirm key " ", then the oximeter help information screen, which shows SpO2 and temperature measurement tips, as shown in figure 4.12.
User Manual for Handheld Pulse Oximeter    26  Figure 4.12 Help information---SpO2 measurement
User Manual for Handheld Pulse Oximeter    27  Figure 4.12 Help information---TEMP measurement  4.4 Record 4.4.1 Data Recall On  main  default  screen,  short  time  press  Record/Back  key " " to enter into data recall screen, as shown in figure 4.13.
User Manual for Handheld Pulse Oximeter    28  Figure 4.13 SpO2 record SpO2 record includes Spot-check Record and Continuous Record, Spot-check Record list shows the recording time, SpO2 value and pulse rate value, as shown in figure 4.14.  Figure 4.14 Spot-check Record list If  Continuos  Record  is  selected,  then  the  screen  shows  the Continuos  Record  list,  as  shown  in  figure  4.15,  press  Up/Down The corresponding User and User ID for the selected record
User Manual for Handheld Pulse Oximeter    29 key( " / ") to select one record you need to review. Select  one  record  you  need  to  review,  and  press  Confirm  key " ", then the screen shows the corresponding User, User ID, and trend graph, as shown in figure 4.16.   Figure 4.15 Continuos record---List The corresponding User and User ID for the selected record
User Manual for Handheld Pulse Oximeter    30  Figure 4.16 Continuos record---Trend graph     4.4.2 Data Deletion On the record list screen shown in figure 4.14 or 4.15,  move the cursor  on  the  record  you  want  to  delete,  and  longtime  pressing Mute/Right key(" "), then an message ―Are you sure to delete all?‖ prompts on the screen, as shown in figure 4.16. SpO2   trend graph  PR trend graph The corresponding User and User ID for the selected record Recording time
User Manual for Handheld Pulse Oximeter    31  Figure 4.16 Delete records At  this  time,  short  time  press  Menu/Confirm  (" ")  key  to confirm and  delete the records. Or  short  time press  Record/Back (" ") key to return to record list screen.  4.4.3 Data Upload If you want to upload the stored data (SpO2, PR and TEMP values) to the computer, then Make sure  the provided USB  data cable  is well connected between the device and PC before uploading data, as shown in figure 4.17. Refer to the instruction in ―Oximeter Data Manager User Manual‖for detailed operation.      Figure 417 Data uploading screen  During data uploading, the user can not do any operation on the oximeter.
User Manual for Handheld Pulse Oximeter    32 5 Technical Specifications A.   Display Panel: 3.5 inch color TFT LCD;   B.    Power Supply:   Internal power supply: 2000mAh lithium battery AC power adapter: 5VDC/1A, Working current:  ≤180mA Input power for AC power adapter: <15VA The typical continuous operation time of the battery: 18 hours (when  screen  display  is  automatically  off  and  bluetooth function is disabled). The typical service life of the battery: 5 years. C. SpO2 Measurement Transducer: dual-wavelength LED sensor with wavelength:                       Red light: 663 nm, Infrared light: 890 nm.                       Maximal average optical output power: ≤  2mW   Display range: 35~100% Measuring accuracy:      Arms is not greater than 3% for SpO2 range from 70% to 100% *NOTE: Arms is defined as root-mean-square value of deviation according to ISO 80601-2-61. SpO2 low alert limit setting range: 50%~99% The device is calibrated to display functional oxygen saturation. The functional tester cannot be used to assess the accuracy of the SpO2 probe or the device. D. Pulse Rate Measurement Display and measuring range: 30bpm~240bpm Accuracy: ±2bpm or ±2% (whichever is greater) Over-limit setting range: 25bpm~250bpm E. Data update period
User Manual for Handheld Pulse Oximeter    33 The SpO2 value update time is less than 30 seconds. The pulse rate value update time is less than 10 seconds. F. Perfusion Index Display Range: 0.2%~20% G. Temperature Measurement Measuring range: 32.0℃~43.0℃ Measuring accuracy: ±0.2℃ for temperature range from 35.0℃ to 42.0℃, and ±0.3℃ for the rest. Response time: ≤5s H. Operating Environment Operating Temperature:      5°C ~40°C Operating Humidity:            15%~93%    Atmospheric pressure:        70kPa~106kPa Note:  portable  and  mobile  RF  communications  equipment  may affect the performance of the Oximeter.   I. Low Perfusion Performance The  accuracy  of  SpO2  and  PR  measurement  still  meet  the precision described above when the modulation amplitude is as low as 0.5%. J. Resistance to interference of surrounding light: The  difference  between  the  SpO2  value  measured  in  the condition of indoor natural light and that of darkroom is less than ±1%. K. Dimensions: 158 mm (L) × 73 mm (W) × 25 mm (H) Net Weight: about 230g (including battery) L. Classification Type of protection against electric shock:   Internally powered equipment and Class II. Degree of protection:   Type BF applied parts.
User Manual for Handheld Pulse Oximeter    34 Degree  of  protection  against  harmful  ingress  of  liquids: The equipment is IP22 with protection against harmful solid foreign objects and ingress of liquid. Mode of operation: Continuous operation. Electro-Magnetic Compatibility: Group I, Class B 6 Over-limit Indication 6.1 Limit settings  SpO2 low limit setting range:    50% ~ 99%.  Pulse Rate limits setting range:   High: 100bpm--240bpm  Low: 30bpm--99bpm During the measurement, if the measured value exceeds the preset value, the alert beeping sound will be activated, the value that is over-limit will blink at the same time.     6.2 Over-limit indication sound mute setting  During the measurement, if the over-limit indication sound is set to on, short time press Mute/Right key(" "), then the over-limit indication sound will mute for 90 seconds, but the over-limited value still keeps blinking. At this moment, the speaker  volume  icon  becomes  " ".  If  this  alert  event persists over 90 seconds, then the over-limit indication sound will be activated again.    During the measurement, if the probe is off or disconnected, the  message  "Check  Probe"  shows  on  the  display  screen. The  alert  sound  starts  (interval  is  5  seconds)  and  lasts  for about 3 minutes. If the probe is still off, the Oximeter will power off automatically.
User Manual for Handheld Pulse Oximeter    35 7 Packing List 1. An Oximeter 2. A SpO2 probe 3. User Manual 4. A oximeter rubber cover 5. A charging base   6. A temperature probe (optional) 7. Charging cable (optional) 8. A USB data cable (optional) Notes:   1. The accessories are subject to change. See the package in your hand for detailed items and quantity. 2. All  the  parts of the device  should NOT be replaced  at  will. If necessary, please use the components provided by the manufacture or those that are of the same model and standards as the accessories along  with  the  device  which  are  provided  by  the  same  factory. Otherwise, negative effects concerning safety and biocompatibility etc. may be caused. 3. This device  can  only connect  with the manufacture  nominated device.
User Manual for Handheld Pulse Oximeter    36 8 Repair and Maintenance 8.1 Maintenance The expected service life(not a warranty) of this device is 5 years. In order to ensure its long service life, please pay attention to the maintenance;    If  the  battery  is  damaged,  please  contact  your  local  sales representative or the manufacture.    Please store the device carefully to avoid being damaged by pets, pests or children.    The recommended storage environment of the device:   Ambient temperature: -20ºC ~60ºC  Relative humidity: 10%~95% Atmospheric pressure: 50kPa~107.4kPa Storage and Transportation between uses: – 25℃  without relative humidity control;   and  +  70 ℃  at  a  relative  humidity  up  to  93% (non-condensing).    The oximeter is calibrated in the factory before sale, there is no  need  to  calibrate  it  during  its  life  cycle.                 However, if it is necessary to verify its accuracy routinely, the user can do the verification by means of SpO2 simulator, or it can be done by the local third party test house.   8.2 Cleaning and Disinfecting Instruction    Surface-clean  sensor  with  a  soft  cloth  by  wetting  with  a solution  such  as  75%  isopropyl  alcohol,  if  low-level disinfection is required, use a 1:10 bleach solution.      Then surface-clean by a dampened cloth and let it air dry or wipe it with a cloth.    Please  clean  and  disinfect  the  device  after  using  to  avoid cross infection.   High-pressure disinfection cannot be used on the device.    Do not immerse the device in liquid.
User Manual for Handheld Pulse Oximeter    37 9 Troubleshooting Trouble Possible Reason Solution Unstable SpO2 and Pulse Rate display   1. The finger is not placed far enough inside. 2. The finger is shaking or the patient is moving. 1. Place the finger correctly inside and try again.   2. Reduce patient movement. Unable to measure   Temperature 1. Temperature probe is not connected properly   2. Reinsert the probe into the device Device will not switch on 1. The batteries are drained or almost drained.   2. The batteries are not inserted properly.   3. The device is malfunctioning. 1. Recharge or change batteries. 2. Reinstall batteries. 3. Please contact the local service center. No Display 1. The device will power off automatically when there is no signal and no operation for 1 minute. 2. The batteries are almost drained. 1. Normal. 2. Recharge or change batteries. No Signal 1. Probe off or incorrect connection 2. Incorrect finger insert 3. Probe is damaged 1. Reconnect the probe 2. Reinsert the finger 3. Replace a new probe
User Manual for Handheld Pulse Oximeter    38 10 Frequently Asked Questions 1. Q: What's SpO2?     A:  SpO2  means  the  saturation  percentage  of  oxygen  in  the blood.   2. Q: What's the normal range of SpO2 value for healthy people?     A: The normal range varies by individual, but usually over 95%, otherwise, please consult your physician. 3. Q: What's the normal range of PR value for healthy people?       A: Usually, the normal range is 60bpm~100bpm. 4. Q: Why do the display value of SpO2 and PR vary with time?     A: The measured SpO2 and PR value changes in correspondence with the change of patient's physiological conditions. 5.  Q:  What  to  do  if  there  is  no  SpO2  and  PR  reading?     A:  Do  not  shake  the  finger,  and  keep  calm  during  the measurement. Please also avoid the oximeter and the cuff on the same  limb  for  blood  pressure  and  oxygen  saturation   measurement simultaneously. 6. Q: How to confirm that the SpO2 reading is true or accurate?     A: Hold breath for  a while (50 seconds or more), if the  SpO2 value significantly decreases, it means that the SpO2 reading truly reflects the physiological condition change. 7. Q: When to replace the batteries?     A: The icon of low battery will appear on the screen when the battery voltages are low. By then, batteries need to be replaced.   8. Q: What to do if the oximeter is moistened or sprayed by water?     A:  Remove  the  batteries  immediately  and  dry  the  oximeter completely with a hair dryer.   9. Q: What factors will affect the SpO2 accuracy?      A:a)  Intravascular  dyes  such  as  indocyanine  green  or methylene blue;
User Manual for Handheld Pulse Oximeter    39 b)  Exposure  to  excessive illumination, such  as surgical lamps, bilirubin lamps, fluorescent lights, infrared heating lamps, or direct sunlight; c) Vascular dyes or external used color-up product such as nail enamel or color skin care;   d) Excessive patient movement;   e) Placement of a sensor on an extremity with a blood pressure cuff, arterial catheter, or intravascular line;   f) Exposure to the chamber with High pressure oxygen;   g) There is an arterial occlusion proximal to the sensor; h)  Blood  vessel  contraction  caused  by  peripheral  vessel   hyperkinesias or body temperature decreasing; i) Low perfusion condition (Perfusion Index is small). Please  contact  the  local  distributor  or  manufacturer  if necessary.
User Manual for Handheld Pulse Oximeter    40 Appendix   I Key of Symbols Symbol Description         Symbols on the screen %SpO2 The oxygen saturation PI% Perfusion Index   bpm Pulse rate (Unit: beats per minute)  Pulse bar graph  Low battery voltage  Battery is full  Speaker mute icon  Speaker volume icon    SpO2 spot-check record memory full  SpO2 continuous record memory full  Temperature memory full  Wireless transmission icon / (Pediatric/Adult) Patient type
User Manual for Handheld Pulse Oximeter    41  Symbol Description           Symbols on the panels SpO2 SpO2 probe connector TEMP Temperature probe connector  Power/Left Key  Mode/Right Key  Rotate-lock/Up Key  Setting/Down Key  Menu/Confirm key or Record/Back key  CE mark SN Serial number   Date of manufacture  Manufacturer (including address)  With Type BF applied part    See User Manual  Disposal  of  this  device  according  to WEEE regulations      No alarm    Do not litter at will
User Manual for Handheld Pulse Oximeter    42 II Common Knowledge 1 Meaning of SpO2 SpO2 is the saturation percentage of oxygen in the blood, so called  O2  concentration  in  the  blood;  it  is  defined  by  the percentage of oxyhemoglobin (HbO2) in the total hemoglobin of  the  arterial  blood.  SpO2  is  an  important  physiological parameter to reflect the respiration function; it is calculated by the following method: SpO2 = HbO2/ (HbO2 +Hb)×100% HbO2 are the oxyhemoglobins (oxygenized hemoglobin), Hb are those hemoglobins which release oxygen. 2 Principle of Measurement Based on Lamber-Beer law, the light absorbance of a given substance  is  directly  proportional  with  its  density  or concentration. When the light with certain wavelength emits on  human  tissue,  the  measured  intensity  of  light  after absorption, reflecting and attenuation in tissue can reflect the structure  character  of  the  tissue  by  which  the  light  passes. Due  to  that  oxygenated  hemoglobin  (HbO2)  and deoxygenated  hemoglobin  (Hb)  have  different  absorption character  in  the  spectrum  range  from  red  to  infrared  light (600nm~1000nm wavelength), by using these characteristics, SpO2 can be determined. SpO2 measured by this oximeter is the  functional  oxygen  saturation  --  a  percentage  of  the hemoglobin  that  can  transport  oxygen.  In  contrast, hemoximeters  report  fractional  oxygen  saturation  – a percentage  of  all  measured  hemoglobin,  including dysfunctional  hemoglobin,  such  as  carboxyhemoglobin  or metahemoglobin.
User Manual for Handheld Pulse Oximeter    43 Clinical application of pulse oximeters: SpO2 is an important physiological  parameter  to  reflect  the  respiration  and ventilation  function,  so  SpO2  monitoring  used  in  clinical becomes more popularly, such as monitoring the patient with serious  respiratory  disease,  the  patient  under  anesthesia during operation, premature and neonate. The status of SpO2 can  be  determined  in  time  by  measurement  and  find  the hypoxemia  patient  earlier,  thereby  preventing  or  reducing accidental death caused by hypoxia effectively.       3 Normal SpO2 Range and Default Low Limit In  campagna  area,  healthy  people’s  SpO2  value  is  greater than  94%,  so  the  values  below  94%  are  determined  as hypoxia. SpO2<90% is considered as the default threshold for determining anoxia by most researchers, so SpO2 low limit of the oximeter is set as 90% generally. 4 Factors affecting SpO2 accuracy (interference reason)      Intravascular  dyes  such  as  indocyanine  green  or methylene blue    Exposure  to  excessive  illumination,  such  as  surgical lamps,  bilirubin  lamps,  fluorescent  lights,  infrared heating lamps, or direct sunlight.  Vascular dyes or  external used color-up product such as nail enamel or color skin care    Excessive patient movement  Placement  of  a  sensor  on  an  extremity  with  a  blood pressure cuff, arterial catheter, or intravascular line    Exposure to the chamber with High pressure oxygen    There is an arterial occlusion proximal to the sensor  Blood  vessel  contraction  caused  by  peripheral  vessel
User Manual for Handheld Pulse Oximeter    44 hyperkinesias or body temperature decreasing 5 Factors causing low SpO2 value (pathology reason)    Hypoxemia disease, functional lack of HbO2  Pigmentation or abnormal oxyhemoglobin level  Abnormal oxyhemoglobin variation  Methemoglobin disease  Sulfhemoglobinemia  or  arterial  occlusion  exists  near sensor  Obvious venous pulsations  Peripheral arterial pulsation becomes weak  Peripheral blood supply is not enough
User Manual for Handheld Pulse Oximeter    45 III EMC The equipment meets the requirements of IEC 60601-1-2:2014. Table 1 Guidance and manufacturer’s declaration-electromagnetic emission The Oximeter is intended for use in the electromagnetic environment specified below.  The  customer  or  the user  of  the Oximeter  should assure that it is used in such an environment. Emissions test Compliance Electromagnetic environment-guidance RF emissions CISPR 11 Group 1 The 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 The Oximeter suitable for use in all establishments, including domestic establishments and those directly network that supplies buildings used for domestic purposes. Harmonic emissions IEC61000-3-2 N/A Voltage fluctuations/flicker emissions IEC61000-3-3 N/A
User Manual for Handheld Pulse Oximeter    46 Table 2 Guidance and manufacturer’s declaration-electromagnetic emission The Oximeter is  intended for use  in the electromagnetic environment specified below. the customer or the user of the Oximeter should assure that it is used in such an environment. Immunity test IEC60601 test level Compliance level Electromagnetic environment -guidance Electrostatic discharge(ESD) IEC61000-4-2 ±6 kV contact ±8kV air ±6 kV contact ±8kV air Floors should be wood, concrete or ceramic tile. if floors are covered with synthetic material, the relative humidity should be at least 30% Electrical fast transient/ burst IEC61000-4-4 ±2kV for power   Supply lines ±1 kV for input/output lines N/A N/A Surge   IEC 61000-4-5 ±1kV line (s) to line(s) ±2kV line(s) to earth N/A N/A
User Manual for Handheld Pulse Oximeter    47 Voltage dips, short interruptions and voltage variations on power supply input lines IEC61000-4-11 <5% UT (>95% dip in UT) for 0.5 cycle <40% UT (60% dip in UT) for 5 cycles <70% UT (30% dip in UT) for 25 cycles <5% UT (>95% dip in UT) for 5 s N/A  N/A Power frequency( 50Hz/60Hz) magnetic field IEC61000-4-8 3A/m 3A/m Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment. NOTE  :  UT  is  the  a.c.  mains  voltage  prior  to  application  of  the  test level.  Table 3 Guidance and manufacturer’s declaration – electromagnetic immunity The Oximeter is intended for use in the electromagnetic environment specified  below.  The  customer  or  the  user  of  The  Oximeter  should assure that it is used in such an electromagnetic environment.
User Manual for Handheld Pulse Oximeter    48 Immunity test IEC60601 test level Compliance level Electromagnetic environment -guidance        Conducted RF IEC61000-4-6     Radiated RF IEC61000-4-3        3 Vrms 150 kHz to 80 MHz      3 V/m 80 MHz to 2.5 GHz         N/A        3 V/m   Portable and mobile RF communications equipment should be used no closer to any part of The Oximeter, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter. Recommended separation distance d=1.2P d=1.2P80MHz to 800MHz d=2.3P800MHz to 2.5GHz 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 metres (m). b Field strengths from fixed RF transmitters, as
User Manual for Handheld Pulse Oximeter    49 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.  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.
User Manual for Handheld Pulse Oximeter    50 a:  Field  strengths  from  fixed  transmitters,  such  as  base  stations  for radio (cellular / cordless) telephones and land mobile radios, amateur radio,  AM  and  FM  radio  broadcast  and  TV  broadcast  cannot  be predicted  theoretically  with  accuracy.  To  assess  the  electromagnetic environment  due  to  fixed  RF  transmitters,  and  electromagnetic  site survey  should  be  considered.  If  the  measured  field  strength  in  the location  in  which  The  Oximeter  is  used  exceeds  the  applicable  RF compliance  level  above,  The  Oximeter  should  be  observed  to  verify normal  operation.  If  abnormal  performance  is  observed,  additional measures  may  be  necessary,  such  as  re-orienting  or  relocating  The Oximeter. b: Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3V/m. Table 4 Recommended separation distances between portable and mobile RF communication the equipment   The Oximeter is intended for use in an electromagnetic environment in which  radiated  RF  disturbances  are  controlled.  The  customer  or  the user of The Oximeter can help prevent electromagnetic interference by maintaining  a  minimum  distance  between  portable  and  mobile  RF communications  equipment  (transmitters)  and  the  Oximeter  as recommended below, according to the maximum output power of the communications equipment. Rated maximum output power of transmitter W(Watts) Separation distance according to frequency of transmitter M(Meters) 150kHz to 80MHz  80MHz to 800MHz  80MHz to 2,5GHz  0,01 N/A 0.12 0.23 0,1 N/A 0.38 0.73
User Manual for Handheld Pulse Oximeter    51 1 N/A 1.2 2.3 10 N/A 3.8 7.3 100 N/A 12 23 For transmitters rated at a maximum output power not listed above, the recommended separation distance d in metres (m) can be determined 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 separation distance for 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. Caution: This  equipment  has  been  tested  and  found  to  comply  with  the limits for a Class B digital device, pursuant to part 15 of the FCC rules. These limits are designed to provide reasonable protection against  harmful  interference  in  a  residential  installation.  This equipment generates uses and can radiate radio frequency energy and, if not installed and used in accordance with the instructions, may  cause  harmful  interference  to  radio  communications. However, there is no guarantee that interference will not occur in a particular  installation.  If  this  equipment  does  cause  harmful interference  to  radio  or  television  reception,  which  can  be determined  by  turning  the  equipment  off  and  on,  the  user  is encouraged to try to correct the interference by one or more of the following measures: -Reorient or relocate the receiving antenna. -Increase the separation between the equipment and receiver. -Connect the equipment into an outlet on a circuit different from that to which the receiver is connected. -Consult  the  dealer  or  an  experienced  radio/TV  technician  for help.
User Manual for Handheld Pulse Oximeter    52 This device complies with part 15 of the FCC rules. Operation is subject to the following two conditions: (1) This device may not cause  harmful  interference,  and  (2)  this  device  must  accept  any interference  received,  including  interference  that  may  cause undesired operation. Any Changes or modifications not expressly approved by the party responsible  for  compliance  could  void  the  user's  authority  to operate the equipment. RF Exposure The  equipment  complies  with  FCC  radiation  exposure  limits set forth  for  an  uncontrolled  environment.
User Manual for Handheld Pulse Oximeter    53 Quality Inspection Certificate

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