Alaris Medical Systems MEDLEY 8220 Manual

DIRECTIONS FOR USE
CHANNEL
SELECT
CHANNEL
OFF
MONITOR
A
L
A
R
M
M
ONI
TO
R
A
ND
B
Y
ST
SpO Module
2
%SpO
2
PULSE (BPM)
MEDLEY™
MEDICATION SAFETY SYSTEM
SpO2MODULE
Model 8220
SpO2MODULE
MODEL 8220

TABLE OF CONTENTS
INTRODUCTION
ABOUT THE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
FEATURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
DEFINITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
SYMBOLS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
GETTING STARTED
WARNINGS AND CAUTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
MEASUREMENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
CONTROLS AND INDICATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
INSTALLATION PROCEDURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
ATTACHING AND DETACHING CHANNELS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
START-UP SEQUENCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
GENERAL SETUP AND USE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
DISPLAYS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
MONITORING MODE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
SETTING CHANNEL OPTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
POWERING OFF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
ALARMS, ADVISORIES AND PROMPTS
DEFINITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
AUDIO CHARACTERISTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
ALARMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
ADVISORIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
MAINTENANCE
SPECIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
CONFIGURABLE SETTINGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
INSTRUMENT CLEANING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
INSPECTION REQUIREMENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
SERVICE INFORMATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
WARRANTY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
APPENDIX
ACCESSORIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
INTRODUCTION GETTING STARTED ALARMS, ADVISORIES
AND PROMPTS
MAINTENANCE APPENDIX

Technical Support
For technical information related to maintenance procedures and service manual support.
Phone:
[phone]
Toll-free, within the United States: [phone], Ext. 6003
Toll-free, within Canada:
Eastern: [phone]
Western: [phone]
For more detailed information, refer to the “Service Information” section of this document.
GENERAL CONTACT INFORMATION
Customer Advocacy
For clinical and technical questions, feedback, and troubleshooting assistance.
Phone, toll-free, within the United States and Canada: [phone], Ext. 7812
E-Mail: [email protected]

INTRODUCTION
INTRODUCTION 1
The MEDLEY™ Medication Safety System is a modular infusion
and monitoring system designed to provide SpO2monitoring
capabilities and accurate, automated infusion of a broad range
of intravascular fluids, medications and blood products.
The MEDLEY™ Medication Safety System consists of the
Programming Module (Model 8000), and detachable
MEDLEY™Modules (or “channels”) which provide infusion or
monitoring capabilities. The MEDLEY™ System is intended for
use in hospitals and healthcare facilities on adult, pediatric and
neonatal patients.
This document provides Directions for Use for the Model 8220
SpO2Module. Please read all instructions for both the SpO2
Module and the Programming Module before using the device.
Only one SpO2Module can be connected to a MEDLEY™
Programming Module.
The SpO2Module is intended for continuous, noninvasive
monitoring of functional oxygen saturation of arterial
hemoglobin (SpO2) and pulse rate measured by an SpO2sensor.
The SpO2Module and accessories are indicated for use with
adult, pediatric and neonatal patients during both no motion
and motion conditions, and for patients who are well or poorly
perfused in hospitals and hospital-type facilities.
The MEDLEY™ System uses a wide variety of Masimo®LNOP®
series sensors and Masimo®PC series patient cables. The
Masimo®sensors and cables are designed for use with the
Model 8220 SpO2Module. For specific directions for use, refer
to the sensor and cable packaging.
Contraindications: The MEDLEY™ SpO2Module, with Masimo®
LNOP®series sensors and Masimo®PC series patient cables are
contraindicated for use as an apnea monitor.
About the System
INTRODUCTION

2INTRODUCTION
About the System (Continued)
Principle of Operation
The operation of the MEDLEY™ SpO2Module is based on the
principles of pulse oximetry. Oxyhemoglobin and
deoxyhemoglobin differ in their absorption of red and infrared
light (spectrophotometry). The volume of arterial blood in tissue
and the light absorbed by the blood changes during the pulse
(plethysmography). Because oxyhemoglobin and
deoxyhemoglobin differ in light absorption, the amount of red
and infrared light absorbed by the blood is related to
hemoglobin oxygen saturation. The SpO2Module uses the
Masimo®proprietary Signal Extraction Technology®(SET®) to
decompose the red and infrared pulsatile absorbance signal into
an arterial signal plus a noise component and its value is used to
find the SpO2saturation in an empirically derived equation in
the Masimo®SET®software. The values in the look-up table are
based on human blood studies against a laboratory co-oximeter
on healthy adult volunteers in induced hypoxia states during
motion and nonmotion conditions.

INTRODUCTION 3
INTRODUCTION
Ease of Use Features To enhance safety and ease of operation, the MEDLEY™ Medication System
provides a full range of audio and visual alarms, advisories and prompts.
Fast SAT When Fast SAT is enabled and there is one data point that is significantly
different from a previous data point, averaging is disregarded and the most
recent data point is displayed. For example, if the readings were 97%, 96%,
95% and 85%, the saturation level displayed would be 85%.
Guardrails®The Guardrails®Safety System is designed to help reduce programming
Safety Software errors by:
• Customizing device configurable settings to meet the need of the
selected hospital area/patient type (Profile).
• Comparing user programming with hospital-defined best practice
guidelines.
• Providing a Guardrails®Advisory prompt if an out–of–limits entry is
made.
Masimo®Sensors Disposable and reusable sensors are available for neonatal, pediatric and
adult patients.
PI Perfusion Index (PI) is a scaled numeric value derived from the magnitude of
the pulsations displayed on the plethysmographic (pleth) waveform. It is
calculated as a percentage of pulsatile signal to nonpulsatile signal. The PI
is used to find the best perfused site for sensor placement (the larger the PI,
the stronger the perfusion). The operating range is 0.02 to 20.0. The
desired number is >1.00 or as large as possible.
Pre-Silence Alarms can be pre-silenced for 120 seconds. The pre-silence alarm can be
cancelled before 120 seconds are complete.
Profiles Feature A profiles feature a unique set of device options configured to optimize
device function for a specific hospital area or patient type. A profile is
comprised of a Configuration, with device settings and defaults customized
by the user to best meet the needs of the profile area/patient type.
Sensitivity Mode The sensitivity mode, normal or maximum, of the current monitoring
configuration is displayed in the options mode. The normal setting is used
for normal patient monitoring purposes. The maximum setting is used for
improved low perfusion performance.
SET®Signal Extraction Technology®(SET®) uses adaptive filters to separate the
arterial signal from the nonarterial noise. SET®provides for accurate
readings under extreme conditions; such as, low perfusion and motion.
Signal I.Q.™ The Signal I.Q.™ is a visual indication of the pulsation at the sensor site.
The height of the vertical bar indicates the quality of the measured signal.
The Signal I.Q.™ is related to proper sensor application, adequate arterial
signal and intensity of motion. Use the Signal I.Q.™ to verify optimal sensor
placement.
Features

4INTRODUCTION
Definitions
% SpO2Alarm Limits The upper and lower saturation alarm limits are displayed.
% SpO2Display The functional arterial hemoglobin oxygen saturation is displayed in units of
percentage SpO2.
Limit Mode The limit mode displays either the adult or neonatal monitoring mode.
Pleth Waveform The plethysmographic (pleth) waveform is a graphic representation of
changes in the extremity blood volume during the events of the cardiac
cycle.
Pre-Silence Alarms can be pre-silenced for 120 seconds. The pre-silence alarm can be
cancelled before 120 seconds are complete.
Pulse Beat Volume Pulse beat volume can be configured to a volume level of 1, 2, 3 or off.
Pulse Rate Alarm Limits The upper and lower pulse rate alarm limits are displayed.
Pulse Rate Display The patient’s pulse rate is displayed in beats per minute (bpm).
Saturation Averaging Time The averaging time of this device can be set to 2, 4, 8, 10, 12, 14 or 16
seconds.
System Configuration The System Configuration mode provides the ability for qualified personnel
to customize device settings. If the profile feature is enabled, the system
settings defined for the selected Profile are automatically activated.
Trend Data The trend data is a tabular display of the %SpO2and Pulse Rate. The
display shows the alarm conditions for the time period displayed and the
average, high and low values . The data is stored for 24 hours.

INTRODUCTION 5
INTRODUCTION
Attention: Refer to accompanying documentation.
Canadian and U.S. Certification Mark: Products bearing this mark have been tested and
certified in accordance with applicable U.S. and Canadian electrical safety and performance
standards.
Consult operating instructions.
Type BF Applied Part
Protection against fluid ingress: Drip Proof
IUI Connector: Inter-Unit Interface connector used to establish power and communications
between the Programming Module and add-on channels.
Manufacturing Date: Number adjacent to symbol indicates the month and year of
manufacture.
CAUTION: Federal (U.S.A.) law restricts this device to sale by or on the order of a physician.
Symbols
+75
IPX1
MM-YYYY

6INTRODUCTION
THIS PAGE
INTENTIONALLY
LEFT BLANK

GETTING STARTED
GETTING STARTED 7
The SpO2Module is NOT to be used as an apnea monitor.
WARNING
Pulse oximetry readings and pulse signal can be affected by
certain ambient conditions, sensor application errors and certain
patient conditions.
WARNING
For WARNINGS and CAUTIONS for the Programming Module,
refer to its Directions for Use.
To ensure proper performance of the MEDLEYTM System and to
reduce potential injury, observe the following WARNINGS and
CAUTIONS:
Inspect the SpO2 sensor site regularly to ensure correct sensor
positioning, application and site integrity. Tissue damage could
occur over prolonged time periods, depending on the patient
profile (such as, neonates) and method of application. Refer to
the sensor instructions for additional information.
WARNING
GETTING STARTED
NOTE: Although the MEDLEY™ System is built and tested to
exacting specifications, it is not intended to replace the supervision
of IV infusions and patient monitoring by medical personnel. The
user should become thoroughly familiar with the features and
operation of the MEDLEY™ System and exercise vigilance in its
utilization.
Definitions
This heading alerts the user to potential serious outcomes
(death, injury or serious adverse events) to the patient or user.
WARNING
This heading alerts the user to take special care for the safe and
effective use of the device.
CAUTION
Warnings and Cautions
SpO2 is intended only as an adjunct in patient assessment. It
must be used in conjunction with clinical signs and symptoms.
WARNING

8GETTING STARTED
If an alarm condition on the SpO2Module occurs while the
audio alarm is silenced, the only alarm indications will be visual
displays and symbols related to the alarm condition.
Do not use the SpO2Module or sensors during Magnetic
Resonance Imaging (MRI).
Carefully route patient cabling to reduce the possibility of
patient entanglement or strangulation.
Use only Masimo®approved LNOP®sensors and PC Series patient
cables with the SpO2Module Model 8220. Use of other sensors,
transducers, cables and accessories other than those specified
may cause improper SpO2Module performance resulting in
inaccurate readings, increased emission and/or decreased
immunity and degraded electromagnetic compatibility
performance of the SpO2.Module.
Check alarm limits each time the SpO2Module is used, to ensure
they are appropriate for the patient being monitored.
Interfering Substances: Carboxyhemoglobin and
methemoglobin may erroneously increase readings. The level of
increase is approximately equal to the amount of
carboxyhemoglobin present. Dyes, or any substance containing
dyes, that change usual arterial pigmentation may cause
erroneous readings.
WARNING
WARNING
WARNING
WARNING
WARNING
WARNING
Warnings and Cautions
The SpO2Module should be considered an early warning device.
As a trend towards patient deoxygenation is indicated, blood
samples should be analyzed by a laboratory CO-Oximeter to
completely understand the patient’s condition.
WARNING
The SpO2 Module is not rated for defibrillation use. Disconnect
sensor from patient or patient cable from module prior to
defibrillation.
WARNING

Do not use a sensor, cable, connector or SpO2Module that
appears damaged. Do not use a sensor with exposed optical
components. Do not immerse or wet the sensor or cable. Clean
as per manufactures instructions, refer to LNOP®Sensors
Instructions For Use. The sensor disconnect error message and
associated alarm indicate that the sensor is either disconnected
or the wiring is faulty. Check the sensor connection and, if
necessary, replace the sensor and/or pulse oximetry cable.
GETTING STARTED 9
GETTING STARTED
Warnings and Cautions (Continued)
GETTING STARTED
Do not lift the SpO2Module by the cable or power cord because
the cable or cord could disconnect from the instrument, causing
it to drop on the patient. Do not place the SpO2Module in any
position that might cause it to fall on the patient.
WARNING
WARNING
Before use, read sensor Directions for Use, including all warnings,
cautions and instructions.
WARNING
CAUTION
The sensor disconnect error message and associated alarm
indicate the sensor is either disconnected or the wiring is faulty.
Check the sensor connection and, if necessary, replace the
sensor and/or pulse oximetry cable.
CAUTION
To ensure Electromagnetic Compliance Integrity, accessories
including external communication systems (hospital data
communication equipment and/or Nurse call systems) must be
certified to applicable standards:
• IEC 60601-1 (Electromedical Equipment) or
• IEC 950 (Data Processing Equipment)

10 GETTING STARTED
Warnings and Cautions (Continued)
To ensure proper performance of the MEDLEY™SpO2 Module
and to reduce potential injury to the operator, observe the
following WARNINGS and CAUTIONS:
CHANNEL
SELECT
CHANNEL
OFF
MONITOR
A
L
A
R
M
M
ONI
TO
R
A
ND
B
Y
ST
SpO Module
2
%SpO2
PULSE(BPM)
®
PATIENT CARE SYSTEM
SILENCE
OPTIONS
1
4
7
CLEAR
2
5
8
0
3
6
9
.
ENTER
CANCEL
SYSTEM
ON
Dropping/Jarring
Should an instrument be dropped or severely jarred, it should
be immediately taken out of use and inspected by qualified
service personnel, to ensure its proper function prior to reuse.
User Warnings and Cautions
Do not open the instrument case. There are no user serviceable
parts inside. The instrument case should only be opened by
qualified service personnel using proper grounding techniques.
When the instrument case is opened, an electrical shock hazard
exists which can result in serious injury to persons and
instrument component damage.
WARNING
Maintenance
Disconnect from the Programming Module when performing
maintenance.
Operating Environment
Not for use in the presence of flammable anesthetics. Explosion risk if used in the presence
of flammable anesthetics.
DANGER

GETTING STARTED 11
GETTING STARTED
Warnings and Cautions (Continued)
User Warnings and Cautions (Continued)
Radio Frequency Interference
Operating the system near equipment which radiates high
energy radio frequencies (electrosurgical/cauterizing
equipment, portable radios, cellular telephones, etc.) may
cause false alarm conditions. If this happens, reposition the
device away from the source of interference or turn off the
device and manually monitor the vital parameters using an
appropriate clinical alternative.
When using the SpO2 Module in combination with a
Programming Module, which is interconnected to hospital data
communications equipment and /or Nurse call systems, the
external systems must be certified to applicable standards to
insure correct operation and electromagnetic compliance
integrity.
Interconnected data communications systems must be certified
to IEC 950 (data processing equipment) or IEC 60601-1
Electromedical Equipment.
Nurse call systems must be certified to UL 1069 (Hospital
Signaling and Nurse Call Equipment) or comply with
requirements specified in IEC 60601-1.
Compliance with electromagnetic compatibility standard (IEC
60601-1-2) is a function of all interconnected equipment and
cabling and is the responsibility of the user to insure external
equipment complies with applicable EMC standards.
Failure to verify such external equipment meets applicable EMC
standards may result in degraded Electromagnetic Compatibility
(refer to Radio Frequency Interference Warning for additional
information).
CAUTION

If the accuracy of any measurement does not seem reasonable,
first check the patient’s vital signs by alternate means and then
check the MEDLEY™ SpO2Module to ensure it is functioning
properly.
An inaccurate measurement may be caused by:
• Incorrect sensor application or use.
• Significant levels of dysfunctional hemoglobins; such as,
carboxyhemoglobin or methemoglobin.
• Intravascular dyes; such as, indocyanine green or methylene
blue.
• Exposure to excessive illumination; such as, a surgical lamp
(especially one with a xenon light source), bilirubin lamp,
fluorescent light, infrared heating lamp or direct sunlight.
NOTE: Exposure to excessive illumination can be corrected by
covering the sensor with a dark or opaque material.
• Prolonged and/or excessive patient movement.
• Venous pulsations.
• Placement of a sensor on an extremity with a blood pressure
cuff, arterial catheter, intravascular line or other causes of
insufficient perfusion.
• Nail aberrations, nail polish, fungus, etc. Remove the nail
polish and/or move the sensor to an unaffected site.
• Placement too close to electrosurgery equipment.
The loss of a pulse signal can occur in any of the following
situations:
• The sensor is too tight.
• Exposure to excessive illumination; such as, a surgical lamp
(especially one with a xenon light source), bilirubin lamp,
fluorescent light, infrared heating lamp or direct sunlight.
• Placement of a sensor on an extremity with a blood pressure
cuff, arterial catheter, intravascular line or other causes of
insufficient perfusion.
• The patient has hypotension, severe vasoconstriction, severe
anemia or hypothermia.
• There is arterial occlusion proximal to the sensor.
• The patient is in cardiac arrest or is in shock.
• Placement too close to electrosurgery equipment.
12 GETTING STARTED
Measurements

GETTING STARTED 13
GETTING STARTED
ALA RM
MONIT
OR
STANDBY
SpO Module
2
%S pO 2
PULSE(B
PM )
CHANNEL
SELECT
CHANNEL
OFF
MONI TOR
Controls and Indicators
Monitor
(green)
Alarm
(red)
Standby
(yellow)
Status Indicators
IUI Connector, RightIUI Connector, Left
(not visible)
Channel Identification: A, B, C or D
Channel Release Latch
Channel Select Key: When
pressed, selects the corresponding
channel for patient monitoring and
setup.
Channel Off Key: When pressed
and held for one second and then
released, stops the operation of that
channel, deselects that channel, and
if only that channel had been
operating, the system powers down.
Repeat for other operating channels
to power off each channel.
Pulse Bar Display
Monitor Key: When pressed,
begins patient monitoring.
Patient Cable Connector
%SpO2Display
Pulse Rate Display
Channel Message Display

1. Remove the product from its carton.
2. Check for any loose parts.
If the product is damaged, contact ALARIS Medical Systems for
authorization to return the equipment for repair, whether
damage or malfunction is the responsibility of the carrier or of
ALARIS Medical Systems.
14 GETTING STARTED
Instruments are tested before they are packaged for shipment.
They met the specifications listed in the Directions for Use at
that time. To ensure proper operation after shipment, it is
recommended that an incoming inspection is performed by your
facility before putting the instrument into use.
Installation Procedure
Unpacking the SpO2Module
Attaching and Detaching Channels
Refer to the MEDLEY™ Programming Module (Model 8000)
Directions for Use for detailed instructions on attaching and
detaching channels.
Start-Up Sequence
Powering On the System
1. Connect the MEDLEY™ Programming Module to an external
AC power source.
2. Attach the SpO2Module to the Programming Module.
3. Press the SYSTEM OONkey on the Programming Module.
4. The system self test begins:
• The diagnostics test causes all LED display segments and
Status Indicator lights of the attached channel(s) to
illuminate briefly.
• Power Indicator illuminates.
• Appropriate channel identification (A, B, C or D) is
displayed on the attached channel(s).
• An Audio tone sounds.
5. At the completion of the system-on test, the NEW PATIENT?
screen appears on the Programming Module.

1. Attach a Masimo®patient cable to the SpO2Module.
Ensure a secure connection and patient cable is not twisted,
sliced or frayed.
2. Attach a Masimo®LNOP®sensor to the Masimo®patient
cable. Refer to the sensor’s directions for use for detailed
instructions.
3. Ensure the sensor’s red LED is on.
4. Attach sensor to patient. Refer to the sensor’s Directions
for Use for detailed instructions.
5. Verify high and low alarm rates for SpO2and pulse rate are
correct for patient by pressing the CHANNEL SSELECT key.
NOTE: SEARCHING may appear in the Channel Message
Display until the SpO2and pulse readings have stabilized
(approximately 15 seconds).
NOTE: If the sensor is not attached to a site after powering
up, the Module will display SENSOR OFF. If a sensor is not
attached while this message is displayed, the Module will go
into a sleep mode. To begin monitoring once the Module is in
this mode, press the MONITOR key.
6. Monitor the patient.
NOTE: If any of the following conditions are observed,
Programming Module or the affected channel must be removed
from use and inspected by qualified personnel:
• LED segments are not illuminated on the channel displays during
the system on test.
• Indicator lights do not illuminate.
• Appropriate channel identification (A, B, C or D) is not displayed.
• Audio tone does not sound.
• Main Display does not appear backlit, appears irregular, or has
evidence of a row of pixels not functioning properly. If the
affected channel operates normally when it is attached via the
alternate IUI connector, it may be used until replacement channel
can be substituted.
GETTING STARTED 15
GETTING STARTED
Start-Up Sequence (Continued)
Powering On the System (Continued)
General Setup and Use
NOTE: Use only Masimo®LNOP®series sensors and PC series
patient cables.

7. After patient monitoring is complete, remove the sensor
from the patient according to hospital protocol.
8. Turn off the SpO2Module by pressing and holding the
CHANNEL OOFF key for one second.
NOTE: Channel will initiate power down when CHANNEL OOFF
key is released.
16 GETTING STARTED
General Setup and Use (Continued)

1. Attach the SpO2Module to the Programming Module.
2. Power on the system by pressing the SYSTEM OONkey on the
Programming Module. The NEW PATIENT? screen will
appear.
•AYes selection clears the previous SpO2trend data.
•ANo selection retains the previous SpO2trend data.
• Once a selection is made either the Main Display will
appear or, if the Guardrails®Safety Software is enabled,
the profiles screen (as shown on the right) will be
displayed.
NOTE: Throughout the following sections of this chapter, display
screens are aligned with the corresponding steps.
Title Bar
Channel Status
• A solid Channel Letter display
indicates channel is operating.
• An outlined Channel Letter display
indicates that the channel is
attached and ready for use.
Soft Keys
GETTING STARTED 17
GETTING STARTED
Displays
Refer to the MEDLEY™ Programming Module (Model 8000)
Directions for Use for general information in the Main Display.
Main Display
A
B
SPO2
AUDIO
ADJUST
>Select Channel
CHANNEL
SELECT
CHANNEL
OFF
MONITOR
A
L
A
R
M
M
ONI TO
R
ST
A
ND
B
Y
SpO Module
2
%SpO
2
PULSE (BPM)
®
PATIENTCARE SYSTEMPATIENTCARE SYSTEM
SILENCE
OPTIONS
1
4
7
CLEAR
2
5
8
0
3
6
9
.
ENTER
CANCEL
SYSTEM
ON
Monitoring Mode
Navigating Main Display
Midtown Hospital
Profiles
>Select a Profile
CONFIRM
PAGE
DOWN
Neonatal
Peds ICU
Neonatal ICU
Adult General Care
Adult ICU
View
1of2
View
View
View
View
Midtown Hospital
Yes
No
NEW PATIENT ?
>Select Yes or No
“Yes” Clears Previous
Patient Data
DISPLAY
CONTRST
NOTE: When Guardrails®Safety Software is enabled:
•If Yes is selected, you will be prompted to confirm the last
Profile selected.
•If No is selected, you will be prompted to choose a Profile.