Pulse CO-Oximetry (SpO2, SpCO, SpMet) October 2009 9650-1211-01 Rev.
The issue date or revision level for this operation guide is shown on the front cover. ZOLL and E Series are registered trademarks of ZOLL Medical Corporation. Masimo Rainbow is a trademark, and Masimo SET and LNCS are registered trademarks of Masimo Corporation. 2009 by ZOLL Medical Corporation. All rights reserved.
PULSE CO-OXIMETRY (SpO2, SpCO, SpMet) General Information Product Description The E Series® pulse CO-oximeter continuously and noninvasively measures the oxygen saturation of arterial hemoglobin (SpO2), carboxyhemoglobin saturation (SpCO) and methemoglobin saturation (SpMet) at a peripheral measurement site, (i.e. foot, toe or finger). This monitoring gives information about both the cardiac and respiratory systems, and provides details of oxygen transportation in the body.
E Series - Pulse CO-Oximetry (SpO2, SpCO, and SpMet) Option Insert Safety Considerations Warnings General Sensors • Before use, carefully read the E Series Operator’s • Use only ZOLL / Masimo approved oximetry sensors • • • • • • • Guide, these operating instructions, and the Directions for Use included with each LNCS or Rainbow sensor being used. Only qualified personnel should operate the E Series Pulse CO-oximeter. Do not use the pulse CO-oximeter as an apnea monitor.
Pulse CO-Oximetry Indications for Use Pulse CO-Oximetry Indications for Use The ZOLL E Series pulse CO-oximeter, with Masimo Rainbow SET technology and the Rainbow series of sensors, is indicated for the continuous noninvasive monitoring of arterial oxygen saturation (SpO2), pulse rate, carboxyhemoglobin saturation (SpCO), and/or methemoglobin saturation (SpMet).
E Series - Pulse CO-Oximetry (SpO2, SpCO, and SpMet) Option Insert 4. Connect the patient cable to the CO-oximetry connector at the back of the E Series unit (see Figure 2). covered by flesh. You can use the great toe or long toe (next to the great toe) on restrained patients or patients whose hands are unavailable. To prevent interference from ambient light, ensure that the sensor is properly applied, and cover the sensor site with opaque material, if required.
Ensuring Accurate Monitoring cable’s male connector all the way into the patient cable connector (see Figure 5). 3. Orient the sensor so that the digit can be attached to the detector side of the sensor first (see Figure 7). Sensor Cable Connector Patient Cable Connector Detector Window ZM 040022A Figure 5 5. Lower the clear plastic protective cover over the connection to secure it (see Figure 6). ZM 040024A Figure 7 4.
E Series - Pulse CO-Oximetry (SpO2, SpCO, and SpMet) Option Insert • Ensure that blood flow is not restricted when securing • • • • • • • • • a sensor with tape. Select a site which is not near potential sources of electrical interference (electrical cords, for example). Use only sensors which show no obvious damage or exposed electrical circuits. Ensure that the sensor site is not subject to excessive motion. Excessive motion may adversely affect the performance of the sensor.
How SpO2 , SpCO and SpMet measurements are Displayed How SpO2 , SpCO and SpMet measurements are Displayed The pulse CO-oximetry option displays a plethysmograph waveform derived from data supplied by the sensor. The oxygen saturation value is displayed as “SpO2%”. A signal strength indicator, left of the SpO2 field, shows the relative change in the pulsatile signal (see below).
E Series - Pulse CO-Oximetry (SpO2, SpCO, and SpMet) Option Insert The SpO2 Menu (SpCO/SpMet not installed) ECG ZDR Dest. SpO2 NIBP Select To select the sensitivity mode, press the Sens. softkey to toggle between the modes, then press the Enter softkey to select the highlighted mode. Normal High Return Enter Sens. Enter Return When the SpO2 parameter is selected, the following softkeys appear: Sens., Average and Return (See “SpO2 Settings softkey”, below).
Alarms SpMet softkey Checkout Procedure Pressing this softkey will instantly display the SpMet reading in the CO-oximetry data field. It will display for 10 seconds, then revert to the SpO2 reading. This softkey will not appear if Auto Display is enabled. Perform the following checkout procedure daily to ensure that the pulse CO-oximetry option is functioning properly. Use a reusable sensor when performing this procedure.
E Series - Pulse CO-Oximetry (SpO2, SpCO, and SpMet) Option Insert Default Settings When the pulse CO-oximeter is turned on, the following default settings are automatically selected and remain in operation until changed.
CO-Oximeter Accessories Item Description REF Red DCI-dc3 3' Adult Reusable Patient Cable / Sensor for monitoring SpO2. 8000-0332 Red DCIP-dc3 3' Pediatric Reusable Patient Cable / Sensor for monitoring SpO2. 8000-0333 Red DCI-dc12 12' Adult Reusable Patient Cable / Sensor for monitoring SpO2. 8000-0334 Red DCIP-dc12 12' Pediatric Reusable Patient Cable / Sensor for monitoring SpO2.
E Series - Pulse CO-Oximetry (SpO2, SpCO, and SpMet) Option Insert Messages and Troubleshooting The following table lists the error messages associated with the SpO2 option, and the corresponding corrective action(s). Read this section carefully before using the oximeter for patient monitoring.
Specifications Specifications General Range Oxygen Saturation (% SpO2) Carboxyhemoglobin Saturation (% SpCO) Methemoglobin Saturation (% SpMet) Pulse Rate (bpm) 1% - 100% 0% - 99% 0% - 99% 25 - 240 beats per minute Accuracy Oxygen Saturation (% SpO2) - During No Motion Conditions Adults, Pediatrics1 Neonates2 70% - 100%, ±2 digits 0% - 69%, unspecified 70% - 100%, ±3 digits 0% - 69%, unspecified Oxygen Saturation (% SpO2) - During Motion Conditions3 Adults, Pediatrics 70% - 100%, ±3 digits 0% - 69%,
E Series - Pulse CO-Oximetry (SpO2, SpCO, and SpMet) Option Insert Alarm Limits On/Off displayed on monitor. User selectable.
