Bionics PalmCare plus User manual

■Factory
687-5, Sangoan-ri, Hongcheon-eup, Hongcheon-gun,
Gangwon-do, Korea (zip.25117)
Tel : [phone] Fax : [phone]
■Sales Office/R&D
4F SiliconPark A, 35, Pangyo-ro 255 beon-gil, Bundang-gu,
Seongnam-si, Gyeonggido, 13486 Korea
Dir : [phone] Fax : [phone]
■Customer Service Dept.
Dir : [phone] Fax : [phone]
■European Representative
Medical Econet Gmbh Quality Assurance Director
Im Erlengrund 20, D-46149 Oberhausen, Germany
Tel : [phone]
Fax : [phone]
PalmCare plus
Handheld Pulse Oximeter (Ver 1.3)
Operation Manual
www.ebionics.co.kr

OPERATION MANUAL
PalmCare plus
Handheld Pulse Oximeter (Ver 1.3)
(NOV. 10. 2017)

T able of Contents
Before using the product
Contacts
Product Guarantee
Symbols in the Manual
Precautions for use
Precations for Electrical Safety
Characteristics and Principles of PalmCare plus
Composition of PalmCare plus
1. How to set PalmCare plus
1.1 Precations for Settings
1.2 Checkpoints Before Use
1.3 Maintenance and Cleaning After Use
1.4 Precations for using
2. Components of PalmCare plus
2.1 Front & Operation Panel
2.2 Right Side
2.3 Top Side
2.4 Bottom Side
2.5 Back Side
3. Description of Product Symbols
3.1 Screen configuration
4. Palmcare plus Basic Operation
4.1 Operation
3
3
3
4
5
8
9
9
10
10
10
10
11
12
12
12
12
12
12
13
13
16
16
5. Environment Setting of Equipment
5.1 MENU SETTING
5.2 ALARM SETTING
5.3 Initial Display Setting Mod
5.4 Screen Setting
5.5 Sound Setting
5.6 Delete the TREND
5.7 Select Language
5.8 Information of Palmcare plus
6. Trend Funtion PalmCare plus
7. Measuring of Spo2
8. Alarm Function
9. Power & Battery specification
9.1 AC POWER
9.2 Battery Specifications
10. Before Requesting After Service
11. Product Specification
17
17
18
21
22
23
24
25
26
27
28
29
31
31
32
33
34

Handheld Pulse Oximeter
3 Before Using the Product
Thank you for purchasing PalmCare plus(Handheld Pulse Oximeter).
•For safe and efficient operation, please read the manual to learn about the functions of the product
before use.
•Please keep this manual nearby to assist you with operating the functions of the product.
The product should be used under the supervision of a medical- related certified professional.
The product is used for examining patient’s abnormal condition. For the safety of the patient, only the
components or the accessories recommended by our company should be used.
If you connect any accessories to the product that is not specified in the manual, please be sure to
notify our company or an agency authorized to distribute our products.
For various services and product information, please feel free to contact our salesperson at the
following number.
For any questions about use or setup of the product, please contact the following number.
Technical Support BIONICS Co,.Ltd. Tel: [phone]
※For reporting defects or abnormalities, please note the model name, product serial number,
purchasing date, and abnormal points before contacting us.
•The product you have purchased comes with a 1-year warranty from the purchasing date covering
inferior materials and the manufacturing process. For the disposable products, a warranty is given
for 6 months from the purchasing date or 6 months from its first use covering inferior materials and
the manufacturing process. This warranty cannot be applied to consumption supplies such as the
battery, external cables, cradle and disposable accessories.
Before Using the Product
Symbols in the Manual 4
PalmCare plus
•We are not responsible for any physical, financial and mental loss or damage and direct or indirect
expenses caused by, or resultant from, accidental or special circumstances during the use of the
product. The warranty is limited to the repair or exchange of the product by the authority of the
company or the agency, for problems in materials or the manufacturing process which occurred
during use under normal circumstances.
•The company has no legal responsibility for the confirmation of services, declarations or whole
warranty beyond the warranty specified above, which were supplied or will be supplied by the
agency or the staff of the company at their own discretion. The user cannot request the company of
services, declarations or whole warranty which were supplied or will be supplied by the agency or
the staff of the company at their own discretion based on the statements above.
•The contents of this warranty represent all other warranties indicated or implied, and also represent
all kinds of service- related responsibilities of the product sellers for the product they sell.
•The product was manufactured under strict quality controls and the inspection process of the
company. The indemnification standard for product repair and exchange is according to the
Economic Planning Board notification “Regulation for the indemnification of consumer damage”
Some symbols are used in this manual to help users or patients use this product safely and
appropriately and to prevent any risk to patients or damage to materials. Please read and understand all
warnings and precautions.
•Each symbols mean :
Product Guarantee
PalmCare plus
Contacts Symbols in the Manual
The “Warning” symbol indicates that a dangerous situation may occur
resulting in fatal injury or death of the patient, or may incur material and
financial damage when the warning is ignored.
The “Caution” symbol indicates that a situation may occur resulting in injury
or damage to the patient, though not life-threatening, when the caution is
ignored.
The “Note” symbol is used to inform you of important, but not dangerous,
information regarding installation, use, and maintenance of the product.
WARNING
CAUTION
NOTE

Handheld Pulse Oximeter
5 Precautions for Use Precautions for Use 6
PalmCare plus
•Do not operate or store the equipment under the following environments.
Precautions for Use
◈Use of this product is prohibited during MRI photographing. A fire may breakout from the
induced current, and the accuracy of the product and the MRI may be influenced by mutual
interference.
◈All cables should be set properly. Cables and hoses etc. should be kept away from the patient,
so that there is no possibility of the patient’s neck being entangled in them, and the cables and
lines should be well arranged for the safety of the staff in the hospital.
◈The computerized ECG analysis should be judged by qualified medical professionals, and it
should not be the sole basis in determining necessity of treatment for the patient.
WARNING
Locations where moisture level
increase considerably or where air is
not ventilated properly.
Locations where sudden impact or
vibration could be received.
Avoid damp locations, and do not
operate the equipment with wet
hands.
Locations where the temperature
fluctuation is rather large.
(Operational temperature range:
10~45℃(C, Moisture level : 30~85%)
Locations close to electrical heating
apparatuses.
Locations where the machine is
exposed to direct sunlight.
Locations exposed to chemical or
explosive gases.
Disassembling of equipment should
be done only by authorized personnel,
otherwise we will not be required to
provide, any services.
When pulling out the power cord, be
sure to hold the plug and pull, not the
cord.
Do not plug in the power unit, until
installation is completed, otherwise,
damage may be caused to the
equipment.
Make sure to prevent dust, especially
metal debris, from penetrating in.

Handheld Pulse Oximeter
7 Precautions for Use Precautions for Electric Safety 8
PalmCare plus
Standard operational conditions are as follows.
•Temperature : 10℃ ~ 45℃ (50 ~ 113℉)
•Altitude : 70 ~ 106kpa
•Humidity : 30 ~ 85%
Standard storage and transportation conditions are as follows.
•Temperature : -10℃ ~ 50℃ (14 ~ 122℉)
•Altitude : 70 ~ 106kpa
•Himidity : 20 ~ 95%
◈The product may not work well when it is kept or operated beyond the temperature and
humidity specified.
◈If you want to turn off the PalmCare plus while you’re operating, please use the power switch
where is the front of the product.
◈When you keep or operate the product in large temperature difference, product
malfunctioning can be happened because of humidity of battery pack.
Please operate product after keep it room temperature for three hours.
◈Leakage, heating, ignition or rupture of the battery may cause fire or injury.
•Do not use batteries beyond those specified in this manual.
•Do not short-circuit the battery and do not heat, disassemble, or dispose of it in a fire.
•Do not mix using the used battery with new batteries, different kind of batteries, other
company batteries
◈When the product is not used for a long time, separate the battery from the product.
◈To ensure the lifecycle and safety of battery, please discharge the battery and then charge
perfectly again every six months. Also time-worn battery exceed 24 months should be
replaced.
◈When the product has been moved, make sure to turn it off and arrange the accessories in
order. Injured cords or cables may cause fire or electric shock.
Prior to operation of the equipment, make sure to check following itmes.
①Whether power supply is appropriate. (AC100V~AC220V)
②Whether connections (power line or selected equipment) are properly made to the equipment.
③Whether Probes are connected before the systems is turned on.
Precautions for Electric Safety
◈The equipment should be placed far from generator, X-ray equipment, broadcasting
equipment, or transmitting wires, so as to prevent the electrical noises form being generated
during the operation, when these devices are near the equipment, it can produce inaccurate
measurements, For Palmcare plus , both independent circuit and stable grounding are
essentially required. In the event that same power source is shared with other electronic
equipment, it can also produce inaccurate output
Palmcare plus is classified as follows;
◈It is a Class I, type-BF against electric shock.
◈Equipments are not suitable for use in presence of a flammable anaesthetic mixture and a
solvent.
NOTE
CAUTION CAUTION
CAUTION

Handheld Pulse Oximeter
9 Description of Palmcare plus How to Set PalmCare plus 10
PalmCare plus
Description of Palmcare plus
■Characteristics and Principles of PalmCare plus
PalmCare plus is pulse oximeter for measuring oxygen saturation of arterial blood and plus rate of
patient. Data and detected wave are displayed on the front LCD.
There are two types of probe to the Plamcare plus. One is reusable probe and the other is disposable
probe to apply neonate or pediatric patient as well as single use to adult.
There are two principles that pulse oximeter is based on.
Oxyhemoglobin and Deoxyhemoglobin differ in spectral absorption, the relative absorption of red
and infrared light by bold reflects hemoglobin oxygen saturation. And the changed volume of
arterial blood in tissue could be measured during the pulsatile cycle.
A pulse oximeter measures the oxygen saturation of arterial hemoglobin by passing red and infrared
light emitting diodes(LED) in the oximeter sensor serve as light source (ultraviolet rays 660nm and
infrared light 960nm); a photodiode serves as the photo detector.
Pulse rate and arterial blood oxygen saturation are pleased on a LCD display in the real time. Users
can determine the alarm settings and volume as needed via cont key panel on the front. PalmCare
plus gives the operator the ability to measure patient basic vital biometric data.
•Options Accessories
①Disposable probe
②Extension cord 2.4m(8ft)
③Cradle
④USB(mini B TYPE) serial cable
Composition of PalmCare plus(Accessories)
Main 1 set
Adapter(1EA)
DC 5V 2A
SpO2Finger Probe (1EA)
Operation Manual
(1EA)
Standard Accessories
1.1 Precautions for Settings
•Pay attention when setting Palmcare plus for the following points
- Use Palmcare plus under conditions of 10℃ 〜40℃ of circumstantial temperature and 30% 〜
85% humidity.
- Check the connection status of the power cord.
- Do not connect multiple cords to the power supply.
- Place the main body on a flat area.
- If noise occurs, ground the equipment.
- Do not use any electric cords generating connecting noise.
- Take care since the product can be broken by mechanical shock.
- Get rid of dust or inflammable material near the product when setting it up.
1.2 Checkpoints before Use
•Check the following points before measuring the patient’s condition.
- Make sure there is no mechanical risk.
- Check the lead, power plug, and accessories connected on the outside.
◎Precautions Before Use
①Do not use product near dynamo, X-ray equipment, broadcast equipment.
②Do not twist the cable.
③Attach each Lead properly.
④Keep the patient motionless with comfortable position while measuring
1.3 Maintenance and Cleaning After Use
A. Keep the product cleans by cleaning it using a soft cloth at least once a month. Do not use thinner,
ethylene, oxidant or lacquer since these may damage the product.
B. Keep the accessories clean of dust or foreign materials. For cleaning, use a soft cloth and clinical
alcohol.
C. Do not soak the accessories in liquid or detergents. Keep the product and accessories out of any
liquid.
D. For the protection of the environment, please contact the agency you purchased the product from
when you wish to discard the Palmcare plus.
E. Our product can be used semipermanently. Please contact our Customer Service dept. or any
distributor and then replace the parts, when wasting parts such as battery.
1. How to Set PalmCare plus
F. Regular preventive maintenance should be carried out annually.
You are responsible for any requirements specific to your country.

Handheld Pulse Oximeter
11 How to Set PalmCare plus Components of Palmcare plus 12
PalmCare plus
1.4 Precautions for using
①Precautions for environment
ⅰ. Keep it away from wet place or do not use it by wet hands.
ⅱ. Temperature range for use 10℃ ~ 40℃, humidity 30% ~ 85%.
ⅲ. Avoid areas of high humidity or ventilations problems
ⅳ. Keep it away from any electric heater.
ⅴ. Keep it away from direct sunlight.
ⅵ. Avoid areas susceptible to large shock or vibration
ⅶ. Avoid areas near chemicals or explosive gas.
ⅷ. Make sure to not let any dirt or especially metallic objects from going inside the equipment.
②Precautions for electric safety
ⅰ. To avoid electrical noise or disturbance, install the device away from generators, X-ray devices,
broadcasting devices and idle wires. Inaccurate reading may show in case above mentioned
devices are nearby.
ⅱ. Check power supply line of device is proper.
ⅲ. Check every connection parts(power line or any optional device) are connected to the device
properly.
ⅳ. Noise may be made if the device isn’t completely grounded.
③Precautions for using
ⅰ. Do not disassemble the device.
ⅱ. Do not connect power source before product is installed completely.
ⅲ. Do not short-circuit the battery and do not heat, disassemble, or dispose of it in a fire.
④Precautions for disuse
For the protection of the environment, please contact the agency you purchased the product from
when you wish to discard the battery.
2.1 Front & Operation Panel 2.2 Right Side
2. Components of Palmcare plus
ⓐPOWER BUTTON : Power On/Off
ⓑMENU BUTTON : Change the setup value
ⓒALARM BUTTON : Alarm sound On/Off
ⓓEVT BUTTON : Store the data that specified time.
ⓔUP/DOWN BUTTON : Menu UP/DOWN button.
ⓕTREND BUTTON : Check the EVENT data
ⓖESC BUTTON : Exit Menu screen
ⓗENTER BUTTON : Select Menu and Alarm value.
ⓐFinger Probe Connector
ⓑ
ⓔ
ⓒ
ⓓ
ⓐ
ⓕ
ⓖ
ⓗ
2.3 Top side
ⓐWrist string attaching part
2.4 Bottom Side
ⓐHost Interface(USB communication connector)
ⓑDC adapter connector
2.5 Back Side
ⓐBattery Cover(Battery insertion part)
ⓑCradle Attaching Part.

Handheld Pulse Oximeter
13 Description of Equipment Symbols Description of Equipment Symbols 14
PalmCare plus
3. Description of Equipment Symbols
Symbol Description Symbol Description
Type BF equipment. Type BF
equipment is suitable for
intentional external and internal
application to the patient,
excluding a direct conductive
connection to the patient’s heart.
This symbol means attention
during operation. You should pay
special attention to the equipment
when the equipment is operated in
conjunction with other equipment.
DC 5V POWER INPUT
ALARM SOUND ON/OFF
MENU BOTTON
TREND BOTTON
ENTER BOTTON
HEART BEAT RATE PER
MINUTE
POWER SWITCH
UP/DOWN BUTTON
EVENT SAVE BOTTON
ESC BOTTON
OXYGEN SATURATION
3.1 Screen Configuration
Initial screen is shown after system boot and test for about 3 seconds, if you turn the power on.
※PalmCare plus offers six kinds of initial screen as the following pictures for the user’s
convenience, initial screen displayed on pressing power button can be set up differently.
※Please refer the chapter 6 for how to set up each initial display mode.
◈In order to avoid electrical shock, do not open the cover. Disassembling of the equipment
must be done only an by service personnel who is authorized by BIONICS.
- Vertical mode initial screen
(1) Big Wave Mode
①The domain showing various kinds of icons which describe the current state(Information
Alarm) of PalmCare plus
②Measured SpO2 and pulse rate value
③Big Wave
(2) Small Wave Mode
①The domain showing various kinds of icons which descried the current sate (information
Alarm) of Palmcare plus
②Measured SpO2 and pulse rate value
③Small Wave
(3) Pleth Bar Mode
①The domain showing various kinds of icons which descried the current sate (information
Alarm) of Palmcare plus
②Measured SpO2 and pulse rate value
③Pleth Bar
- Horizontal Mode initial screen
(1) Big Wave Mode
①The domain showing various kinds of icons which describe the current state(Information
Alarm) of PalmCare plus
②Measured SpO2 and pulse rate value
③Big Wave
(2) Small Wave Mode
①The domain showing various kinds of icons which describe the current state(Information
Alarm) of PalmCare plus.
②Measured SpO2 and pulse rate value
①
②
③
1) Large Wave Mode
①
②
③
1) Large Wave Mode
①
②
③
2) Small Wave Mode
①
②
③
2) Small Wave Mode
①
②③
3) Pleth Bar Mode
①
②③
3) Pleth Bar Mode
CAUTION

Handheld Pulse Oximeter
15 Description of Equipment Symbols Palmcare plus Basic Operation 16
PalmCare plus
③Big Wave
(3) Pleth Bar Mode
①The domain showing various kinds of icons which describe the current state(Information
Alarm) of PalmCare plus.
②Measured SpO2 and pulse rate value
③Pleth Bar
※Each shape and meaning of the icons describing the current state(information alarm) of Palmcare
plus is as below.
(Table 1). Description of Screen Icon
Icon Measurement and operation condition How to display
Alarm Off
Running out battery power
Screen select Icon
Language select Icon
Sound Off
Falling out the probe connection (Sensor Off)
Low volume of the blood flow(Low Perfusion)
High intensity of radiation in light (High Ambient)
Falling finger off the probe(No Finger)
Searching pulse
(In case the probe insert finger at first)
fixed
Blink every 1seconds
fixed
fixed
fixed
Blink every 1seconds
Blink every 1 seconds
Blink every 1 seconds
Blink every 1 seconds
Blink every 1 seconds
■Function of the buttons
◆Each buttons on the PalmCare plus services more than two use according to the screen. The use
meaning for each screen is as below chart.
Button Display mode Meaning and Operation
Initial Screen
Initial Screen
Initial Screen
Move to SETUP(Environment Set up) Screen
Alarm On/Off
Save the current measured value (Spo2& HR) in Trend Log
Initial Screen
Initial Screen
Initial Screen
Initial Screen
Initial Screen ENTER (Input or select)
Commonness for all
kind of the screens.
Alarm Screen Change the setting value on Alarm screen.
TREND Screen
TREND Screen
Up / Increase the value on setting up the Alarm range
Down / Decrease the value on setting up the Alarm range
Show Time-based TREND data(Spo2& HR) and move screen.
ESC(Moving to initial screen)
Power On/Off
Page Up(previous page)
Page Down(Next page)
4.1 OPERATION
Step1) Please press the power button in front- lower of the equipment. The power is to be impressed
and Palmcare plus automatically starts the self-test. (You can see the BIONICS logo on the
screen during self-test)
Step2) Screen will be displayed the value and waves of patient after attaching the finger probe.
4. Palmcare plus Basic Operation

Handheld Pulse Oximeter
17 Environment Setting of Equipment Environment Setting of Equipment 18
PalmCare plus
5.2 Alarm Setting
The below screen will be shown if you press ENTER ( ) button, after making reverse the
item “1. Alarm Setting” on the environment setting screen of Palmcare plus.
Step1) The change of the setting value can be controlled by the UP/DOWN ( / ), the item
moving can be controlled ENTER ( ) button.
Step2) The SETUP screen can be returned if you press the ECS ( ) button after completed
inputting Alarm setting.
※If you press continuously UP/DOWN ( / ) button, the value is increased or decreased
continuously after about one second and the value is increased or decreased by one for each
on time pressing the UP/DOWN button. The changed alarm range will be displayed on The
LCD as soon as you set up new alarm range. Please refer the below chart for the allowable
adjustment range of this.
※The LOW+1 in the chart means low limit value +1, the HI-1 means high limit value -1.
For example, if low limit value for HR is 55, the HI value range for HR can be adjusted as
some numbers between 56 to 299. On the contrary, if high limit value for HR is 150, the
LOW value range for HR can be adjusted as some numbers between1 to 149.
The value range for SpO2also can be applied of the same rule of setting up HR value. The
only difference is the high limit value can be “OFF”
This “OFF” means the measured SpO2value beyond the high limit range will not be checked
for alarm.
◈ Push and hold the power button for 1~2 seconds when power off.
◈Power off automatically when no inputting data for 1 minute when battery mode.
Step3) If you want to change the setting value, please press the MENU ( ) button. Also if you
want to examine the Trend Data, please press the TREDN ( ) button.
Setting
Default
Value Range
HI
160
100
HR
SpO2
Suspend Time
LOW
50
80
1 Min 1 Min / 2 Min / 3 Min, OFF
HI
LOW+1 ~ 299
LOW+1 ~ 100, OFF
LOW
1 ~ HI-1
1 ~ HI-1
5. Environment Setting of Equipment
5.1 Menu Setting
■ You can set the all menu pushing MENU button ( )
Step1) If you press MENU button ( ) on the initial screen of Palmcare plus, the environment
setting mode will be shown as below.
Step2) Press the ENTER ( ) button and enter setup screen you want, after making reverse turn
item you want by using UP/DOWN ( / ) button.
Step3) In case you want to return to the initial screen, press ECS ( ) Button.
Press MENU ( ) Button.
(Alarm setting screen)
NOTE

Handheld Pulse Oximeter
19 Environment Setting of Equipment
◆High Pulse Rate Alarm Limit Adjust Mode
After selecting “HR high” (the digits in right side of the colon is reversed) on the alarm setting
screen, you can change the value as you want by UP/DOWN ( / ) button and then press
ENTER button. Now, you can adjust the high pulse rate alarm limit like this.
◆Low Pulse Rate Alarm adjust Mode
After selecting “HR Low” (the digits in right side of the colon is reversed) on the alarm setting
screen, you can change the value as you want by UP/DOWN ( / ) button And then press
ENTER button. Now, you can adjust the low pulse rate alarm limit like this.
◆High SpO2Alarm Limits Adjust Mode
After selecting “SpO2High” (the digits in right side of the colon is reversed) on the alarm setting
screen, you can change the value as you want by UP/DOWN ( / ) button and then press
ENTER button.
Now, You can adjust the high oxygen saturation alarm limit like this.
◆Low SpO2Alarm Limits Adjust Mode
After selecting “SPO2Low” (the digits in right side of the colon is reversed) on the alarm setting
screen, you can change the value as you want by UP/DOWN ( / ) button and then press
ENTER button.
Environment Setting of Equipment 20
PalmCare plus
Now, you can adjust the low oxygen saturation alarm limit like this.
◆Information Alarm ON/OFF
Information Alarm is a kind of sound alarm ringing when a probe has slipped off or when a probe
connector is pulled off from the Palmcare plus.
At this time, this is an item to decide wether this information alarm will activate (setting on) or will
not (setting off).
After selecting “Info Alarm” (the on/off in right side of the colon is reversed) on the alarm setting
screen, you can select on/off as you want by UP/DOWN ( / ) button and then press ENTER
button.
Now, you can adjust how to turn on or off the information alarm like this.
◆Alarm Suspend Time value setting
Alarm suspend time value means not to make any alarm sound during the set time.
In other words, the user can make not to activate the alarm sound for a while. The time can be
adjusted as 1MIN/2MIN/3MIN/OFF
If the event caused the alarm will not be terminated during the set time, the alarm sound will
activate again.
※The alarm will not ring if you set the Suspend Time as OFF, even though the alarm occurs
※As this shape icon ( ) s displayed on the LCD of the initial screen during Suspend time, you
can find out that the current alarm is suspended state.
■After selecting Suspend Time (the value in right side of the colon is reversed) on the alarm
setting screen, you can adjust suspending time as you want by UP/DOWN button ( / )
and then press ESC button to return to the initial screen of the environment setting.
HR Plafonnement HR Plafonnement
SpO2Set the
Lowest limit
SpO2Set the
Lowest limit
Info Alam Setting Info Alam Setting
Set the Lowest limit Set the Lowest limit
SpO2Plafonnoement SpO2Plafonnoement

Handheld Pulse Oximeter
21 Environment Setting of Equipment Environment Setting of Equipment 22
PalmCare plus
Step2) You can use UP/DOWN ( / ) for the item moving, and ENTER ( ) button for
your choice.
Step3) You can return automatically to the SETUP screen if you choose the mode by ENTER button.
And if you want to cancel the selection and return to the SETUP screen, you can go back to
the SETUP screen with ESC ( ) button.
※The initial display mode of PalmCare plus is Vertical Large Wave.
Alarm Suspend
Time Setting Alarm Suspend
Time Setting
5.3 Initial Display Setting Mode (Display Mode)
Step1) You can enter to the initial display setting mode if you press ENTER button ( ), after
making a reverse the item “2. DISPLAY MODE” on the environment setting (SETUP) screen.
Press MENU ( ) Button.
Making a reverse the item “2.Display Mode” by UP/DOWN button.
①HorizontalLargeWave ③HorizontalPlethBar
⑤VerticalSmallWave
②HorizontalSmallWave
④VerticalLargeWave ⑥VerticalPlethBar
5.4 Screen Setting (Vertical/Horizontal)
Step1) You can enter to the initial display setting mode if you press ENTER button ( ), after
making a reverse the item “3. LCD VIEW” on the environment setting (SETUP) screen.
Press MENU ( ) Button.
Making a reverse the item “3.LCD VIEW” by ENTER button.

Handheld Pulse Oximeter
23 Environment Setting of Equipment
Step2) You can use UP/DOWN ( / ) button for the item moving, and ENTER ( ) button
for your choice.
Step3) You can return automatically to the SETUP screen if you choose the mode by ENTER button.
And if you want to cancel the selection and return to the SETUP screen, you can go back to
the SETUP screen with ESC ( ) button.
5.4 Sound Setting (Sound High/Low/Off)
The sound ON/OFF set up is used for the Heart Beating Sound (Peak Sound), buttons sound which
can be heard on pressing the buttons and turning on/off the sound.
Step1) You can enter to the High/Low/Off setting mode if you press ENTER button ( ), after
making a reverse the item “4.Sound Volume” on the environment setting (SETUP) screen.
Step2) You can use UP/DOWN ( / ) button for the item moving, and ENTER ( ) button
for your choice.
i. “1.Sound Off” : Volume Off
ii. “2.Sound Low” : Low volume
iii. “3.Sound High” : High volume
Step3) You can return automatically to the SETUP screen if you choose the mode by ENTER button.
And if you want to cancel the selection and return to the SETUP screen, you can go back to
the SETUP screen with ESC ( ) button.
※The initial Sound Mode of PalmCare plus is set as on..
※As this shape icon is displayed on the LCD of the initial screen, if you set the sound off,
you can find out that the current sound is OFF state.
5.6 Delete the TREND
This item is used to delete all of the trend data which is saved in the internal memory of Palmcare
plus.
Step1) You can enter to the TREND DELETE setting mode if you press ENTER button ( ),
after making a reverse the item “5.TREND DELET” on the environment setting (SETUP)
screen.
Environment Setting of Equipment 24
PalmCare plus
Press MENU ( ) Button.
Making a reverse the item “4.Sound Volume” by UP/DOWN button.
①Horizontal ②Vertical
Press MENU ( ) Button.
Making a reverse the item “5.TREND DELETE” by pressing UP/DOWN button.

Handheld Pulse Oximeter
25 Environment Setting of Equipment
Step2) You can use UP/DOWN ( / ) button for the item moving, and ENTER ( ) button
for your choice.
Step3) You can return automatically to the SETUP screen if you choose the mode by ENTER button.
And if you want to cancel the selection and return to the SETUP screen, you can go back to
the SETUP screen with ESC ( ) button.
Environment Setting of Equipment 26
PalmCare plus
Step3) You can return automatically to the SETUP screen if you choose the mode by ENTER button.
And if you want to cancel the selection and return to the SETUP screen, you can go back to
the SETUP screen with ESC ( ) button.
5.8 Information of Palmcare plus
Palmcare plus displays the simple information of this equipment on the LCD like the manufacturer
of Palmcare plus, Program version/name and etc.
Step1) You can check the information of Palmcare plus by pressing the ENTER button ( ) after
making a reverse the item “7.Device Info”.
Step2) You can use UP/DOWN ( / ) button for the item moving, and ENTER ( ) button
for your choice.
◆Brightness : LCD Brightness auto control setting.
i. ON : If there is no key input, do setting Back Light is controlled automatically after 30
seconds (Auto Dim out).
5.7 Select Language
This item is used to select language of PalmCare plus.
Step1) You can enter to the Select Language setting mode if you press ENTER button ( ), after
making a reverse the item “6.Select Language” on the environment setting (SETUP) screen.
Step2) You can use UP/DOWN ( / ) button for the item moving, and ENTER ( ) button
for your choice.
◈Please take a note that all of the trend data saved in the inside of Palmcare can be deleted, if
you select “YES”
Press MENU ( ) Button.
Making a reverse the item “6. Select Language” by pressing UP/DOWN button.
Press MENU ( ) Button.
Making a reverse the item “7.Device Info” by Up/Down button.
i. “1.English Lan” : Select English
ii. “2.French Lan” : Select French
iii. “3.Germeny Lan” : Select Italian
vi. “4.Italian Lan” : Select Italian
v. “5.Spain Lan” : Select Spain
CAUTION

Handheld Pulse Oximeter
27 Trend Function PalmCare plus Measuring of SpO2 28
PalmCare plus
Step3) You can go back to the initial screen if you press ESC button ( ) after completing trend
examination.
Palmcare plus can show you the value at each time in the trend form which has been measured for1hr,
12hr, 24hr, 48hr and 72hr of the patients oxygen saturation (SpO2) and Pulse Rate (HR) That’s to say,
you can examine and print the long-term change and the previous data of the measurement value of
the patient (However, the printing is possible only in case of attaching the printer on Palmcare plus.
■ Trend Information Check
Step1) If you want to examine the trend information on the initial screen, please press TREDN button
( ) then the following Trend printing screen will be seen on the LCD.
Step2) You can examine the Trend Data by pressing the UP/DOWN button ( / ). Whenever
pressing the TREDN button ( ) one time, you can check Trend information as below.
•1 hour SpO2 / Pulse Rage Trend - mean value of the 1 minute unit
•12 hours SpO2 / Pulse Rage Trend - mean value of the 5 minutes unit
•24 hours SpO2 / Pulse Rage Trend - mean value of the 10 minutes unit
•48 hours SpO2 / Pulse Rage Trend - mean value of the 20 minutes unit
•72 hours SpO2 / Pulse Rage Trend - mean value of the 30 minutes unit
6. Trend Function PalmCare plus
①It indicates the type of the trend being displayed on the
curren screen.
②Time(hour: minute-It starts at 00:00) for initial trend
saving time
③Saved SpO2value
④Save HR Value
⑤Event data which is saved by the user
⑥Data mark which is saved by Medium Priority Alarm
⑦Data mark which is saved by High Priority Alarm
ii. OFF : If there is no key input, do not setting Back Light is controlled automatically after 30
seconds.
Step3) You can go back to the previous (SETUP screen) if you press ESC ( ) button.
Press the TREND ( ) button.
■ Preparation before Measuring SpO2
Step1) Plug in the SpO2probe to SpO connection port on upper side of Palmcare plus.
Step2) Turn the power on by pressing the power button ( ) PalmCare plus.
◆Attaching of Probe
Step 1) Clean the area of the body to be measured by using alcohol.
Step 2) Attach the probe to a finger as shown on the following drawing. (When measuring NIBP,
SpO2probe is attached to the other arm than the one that NIBP is measured. Do not use
with other medical instruments that can affect the blood flow, and do not attach the probe
where medical interference can be generated.)
Step 3) Be sure that red light of the probe is on, the sensor gives out the light, the both sides of
the probe faces rightly
Step 4) For a stable SpO2measurement, movement of body should be restricted, and band the
probe cable on the finger. When banding the probe cable, make sure it does not hinder
with blood flow.
Step 5) Make sure to check the skin condition in the attached location and the sensor whether
they are facing each other in a proper way, every 2 to 3 hours.
If skin condition changes, change the attaching location.
7. Measuring of SpO2
①SpO2probe connection port
①
(How to apply SpO2finger probe)

Handheld Pulse Oximeter
29 Alarm Function Alarm Function 30
PalmCare plus
Palmcare plus is designed to provide various kinds of alarm for users convenience. Users must read
following carefully and treat proper manner in the situation of alarm occurrence.
■ About the Alarm
①High Priority Alarm
The high priority alarm is set off only when a measured value is extremely abnormal. For
example, in the event pulse rate goes up higher than 180 or goes down lower than 40, the high
priority alarm will go off regardless of set alarm limits. It is recommended to actually listen to
the alarm sound in advance for fast and accurate recognition.
8. Alarm Function
◈Make sure that you should carefully handle the sensor and cable.
Non-careful use of the probe may cause harm the sensitive sensor. Be sure that the cable is
protected against sharp things.
◈If a patient suffers from a fever or a disorder in peripheral circulation system, then the
temperature of the skin goes up by 2 or 3 degrees.
◈If the values for Oxyhemoglobin or Methemoglobin of a patient are increased abnormally, the
SpO2data are not reliable.
◈The disposable sensor should not be re-used for the same patient on the same or different part
of the body.
◈In order to reuse disposable sensor, you should sterilize it.
◈Using an SpO2probe during MR imaging can cause severe burns. To minimize this risk,
ensure that the cable is positioned so that no inductive loops are formed. If the probe does not
appear to be operating properly, remove it immediately from the patient.
◈Never apply an SpO2 probe at ambient temperatures higher than 37℃
◈Do not use disposable probe on patients who have allergic reactions to the adhesive
◈Avoiding the probe placed on any extremity with an arterial catheter, or intravascular venous
infusion line.
◈Make sure the sensor emitter light and is directly opposite each other and that all of the light
from the emitter passes through the patient’s tissue.
◈For Neonatal patients, make sure the disposable probe should be used outside the incubator.
(The humid atmosphere inside the incubator can cause inaccurate measurements.)
■ Alarms for Each Mode
①Standard Mode
The high priority alarm makes a sound 5 times in the period of 2 seconds, and then after interval
of 10 seconds, it makes a sound again 5 times in 2 seconds. This alarm sound has a rhythm
specified by the international standards.
The medium priority alarm makes a 3 times in the period of 2 seconds and then after interval of
24 seconds, it makes a sound 3 times in 2 seconds.
If the information alarm goes off, it means that incidences as follow have occurred.
i. Heart beating : The pitch of beep sound will vary in accordance with oxygen saturation value
changes.
ii. In case the battery capacity is running out: when inside battery is used instead of outside
power source (DC adapter), the information (warning) alarm will go off to alert the user,
when the battery is running out.
iii. In case of Measuring failure: When a sensor has slipped off, or when a probe connector is
pulled off from the equipment, or when sensor is malfunctioning, the information alarm will
go off.
②Visual Alarm
To provide the fast recognition at a glance by the users, all the displayed values that caused the
alarm will be set to blink continuously.
■ Alarm Occurrence
In the event the alarm occurs, the measured value changed red color and you can heard the alarm
weaning sound at the same time.
②Medium Priority Alarm
The medium priority alarm goes off when a measured value goes over the set alarm limits. It is
recommended to actually listen to the alarm sound in advance for fast and accurate recognition.
Medium priority alarm works in connection with the oxygen saturation and pulse rate. If the
oxygen saturation and pulse rate exceeds the alarm limits, it becomes to activate.
③Information Alarm
Information Alarm informs the matters which the user should keep or the abnormality
occurrence during measuring by alarming.
◈We are recommended to hear the each alarm sound with your own ears before use the
equipment, because to express the sound is very hard.
NOTE
CAUTION
WARNING

Handheld Pulse Oximeter
31 Power & Battery Specifications Power & Battery Specifications 32
PalmCare plus
PalmCare plus can be operated DC power. It can be operated while on the move by getting the power
from the internal battery which ca be used again by recharging with the DC adapter.
■ DC Adapter Power
In case battery power is running out, it is automatically recharged if you connect DC adapter to
Palmcare plus to the outlet.
■ Battery Power
The internal battery supplies the sources of electricity, if you separate the Dc adapter from Palmcare
plus.
- Recharging period : 1Houres 1H/2 Min(1CELL), 3 hours (2CELL)
- Continuous operating time : 3 hours(1CELL: 1130mAh) - Standard
6hours (2CELL: 2260mAh) - Optional
■ Both AC and DC power is used for PalmCare plus. Basically, AC power is used and a rechargeable
battery is available for portable use.
9.1 AC Power (110 ~ 240VAC)
If the AC power is connected to the main body of the product, If the product is not being used, the
power changes automatically to the recharging mode.
A. Type of Adaptor
- Model : JMW110KA0500M03 - Input : 100~240V~, 50~60Hz
- Manufacturer : BridgePower Corp. - Output : 5V(DC), 2Amps
9. Power & Battery Specifications
◈In case battery power is running out, battery – shaped icon ( ) will blink at the upper portion of
the LCD screen before about 5 minutes of the power shortage. And the power can be immediately
turned off according to the using parameter. Therefore, DC power has to be supplied at once.
◈For the effective use of battery, Palmcare plus has the power saving mode it turn off the LCD back
light after 3 seconds and also turn off the all functions of Palmcare plus after 30 seconds, if the user
does not operate any button or measures. (However, if he starts operating any button or measurement
within 30 seconds, the LCD back light turns on again) But it will not turn off the power if the AC
adapter is connected.
9.2 Battery Specifications
When the AC power is disconnected and the switch is turned on, the power is supplied using the
battery.
A. Signs for Battery
B. Time for 1ea of battery
Recharging time: 1H 1H/2Min, 3H(OP MODE), (2H,4H)(POWER OFF)
Use time : 180 Min, 360 MIN
C. Natural lifetime for spontaneous discharge of battery
The table below shows the lifetime for spontaneous discharge of the battery when the product is
unused.
Battery full
After use for 70 ~ 80 minutes
Requiring recharging
Low Battery requiring recharging
Battery status Description
◈During operation using AC power, noise may occur in the waveform. If this is the case,
ground the product soundly.
◈An AC power connection in a wet or damp area may cause electric shock or fatal damage to
the product.
◈When you connect the adapter will charge the battery automatically.
◈When the battery is removed, all data can be reset. Only in case the product is kept for long
time, Remove the battery from the product.
Storage temperature
Life for spontaneous discharge
3 months
6 months
9 months
31℃ ~ 45℃
21℃ ~ 30℃
0℃ ~ 20℃
①USB (mini B Type) Communication connector
②DC Adapter connector
①②
NOTE
CAUTION
CAUTION

Handheld Pulse Oximeter
33 Before Requesting After Service Product Specification 34
PalmCare plus
D. Type of Battery
The same sort of battery should be used for replacement.
- Model : 1S1P(ICP523450) / Type : LI-Ion / Manufacturer : ENERWIZ
E. Time for the Battery exchange
The lifetime of the battery gets shorter if it is not 100% recharged for use.
50% Charge / discharge
30% Charge / discharge 200 times
500 time
1200 times100% Charge / discharge
Number for use
Charge / Discharge ration
◈For the protection of the environment, please contact the agency you purchased the product
from when you wish to discard the battery.
◈Contact the agency you purchased battery in case battery should be changed.
◈To ensure the lifecycle and safety of battery, please discharge the battery and then charge
perfectly again every six months. Also time-worn battery exceed 24 months should be replaced.
This chapter explains the solutions to simple problems occurred during the operation. One might feel
lost sometimes while operating the equipment. You don’t need to call the service man every time you
feel lost. It just might be a simple operational problem. Before you call for help, check the following
points.
For repair, contact our Customer Service Dept, or A/S receptions.
10. Before Requesting After Service
Problem Solution
1. In case of the battery is discharged.
- Connect DC adapter.
2. Please check the connection of the switch, it happens when
the switch junction is imperfect.
1. Please check the connection of the probe, it happens when
the probe junction is incomplete.
2. Please replace the probe, it happens for the defective probe.
1. Please check the connection of the probe, it happens when
the probe is put in infirmly.
Cannot turn the Power on.
The red light in the sensor is
extinguished.
The wave does not display
normally.
11. Product Specification
■Display
•TFT COLOR LCD
•Resolution : 320 X 240 Pixels
•Graphic wave form
•10 level vertical bar graph
•Numeric Data Display : Current Oxygen Saturation, Pulse Rate
•Display Mode: Horizontal or Vertical display
■Indicators
•Low Battery Icon
•SpO2No Sensor, No Finger Icon
•SpO2Pulse Search Icon
•Low Perfusion Icon
•Alarm ON/Off Icon
•Screen Mode Icon
•Language Mode Icon
•Sound Mode Icon
•High Ambient Icon
■Measurement Range
•SpO2 Saturation: 0 ~ 100 %
•HR : 30 ~ 300 BPM
■Alarm Limits Range
■Accuracy
•SpO2 : 70 ~ 100% (1%step) : ± 2%
Under 70% : unspecified
•Pulse Rate : 30 ~ 300 BPM : ± 2% or ± 2 bpm
■Power Consumption
•Manufacturer: BridgePower Corp.
•Model : JMW110KA0500M03z
•100~240VAC, 50/60 Hz
•DC 5V Adaptor
Setting
Default
Value Range
HI
160
100
HR
SpO2
LOW
50
80
HI
LOW+1 ~ 299
LOW+1 ~ 100, OFF
LOW
1 ~ HI-1
1 ~ HI-1
CAUTION

Handheld Pulse Oximeter
35 Product Specification
■Battery
•Lithum-ion 3.7V 1CELL (1150mAh) Option 2CELL(2300mAh)
•3hours on a full charge (1CELL)
6hours on a full charge (2CELL)
■Output
•USB mini Port: SpO2, Pulse Rate
•Interface : USB mini B Type
■Temperature Range
•Operating : 50℉ ~ 113℉ (10℃ ~ 40℃)
•Storage : 14℉ ~ 122℉ (-10℃ ~ 50℃)
■Humidity Range
•Operating : 30% ~ 85% non condensing
•Storage : 20% ~ 95% non condensing
■SpO2Sensor
•Adult finger probe
•SpO2extension cable (Optional : 2.4m(8ft))
■Trend Memory
•Oxygen Saturation and Pulse rate Memories (72 hours maximum)
■Physical Dimension
•165mm(H) X 70mm(W) X 30mm(D)
•1CELL 200 g
2CELL 250 g
■Standard Accessories
•Finger Probe
•5V, 2.0A DC Adapter
■Optional Accessories
•USB mini B Type Cable
•Disposable Probe
•Cradle
•Extension cable of SpO2(2.4m / 8.4ft)
■Product specification listed on the manual are subject to change according to the our design
change procedure without notice.
PalmCare plus
Label Symbols
Icon Comments I con Comments
REF
SN
Catalogue number
Serial number
European Community
Representative
Protection against vertically
falling drops of water
Manufacturer
Date of manufacture
User's Manual operating
instructions
CE Mark
REPEC
0120