Care Fusion MicroCO User manual

MicroCO Meter
Operating Manual - English
Operating Manual - English USA
Manuel d’utilisation - Français
Betriebshandbuch - Deutsch
Manual de funciona iento – Español
Manual de instruções – Português
Gebruiksaanwijzing – Nederlands
Manuale operativo – Italiano
Руководство пользователя - Русский
操作手册 - 中文

1
Contents
Overview .................................................................................... 9
I. Introduction – English ............................................................ 10
S oke Inhalation/CO Poisoning....................................................11
Cigarette Consu ption and CO Measure ents ...............................12
Package Contents .......................................................................13
Contraindications ........................................................................15
Warnings and Cautions................................................................15
Intended Use .............................................................................16
Operation ..................................................................................16
PC Connection ............................................................................19
Calibration .................................................................................19
Battery Life ................................................................................24
Battery Replace ent...................................................................24
Internal Battery Expiry ................................................................25
Sensor Expiry ............................................................................25
Cleaning ....................................................................................27
Servicing ...................................................................................28
Trouble Shooting Infor ation .......................................................28
Safety Designation per IEC 60601-1 .............................................29
Electro agnetic Co patibility (EMC) to EN60601-1-2:2007 .............30
Sy bols ....................................................................................36
Specifications .............................................................................37
Consu ables / Accessories .........................................................38
Custo er contact infor ation ......................................................40
Overview ...................................................................................44
II. Introduction – English - USA .................................................. 45
S oke Inhalation/CO Poisoning....................................................46
Cigarette Consu ption and CO Measure ents ...............................47
Package Contents .......................................................................48
Contraindications ........................................................................50

2
Warnings and Cautions................................................................50
Intended Use .............................................................................51
Operation ..................................................................................51
PC Connection ............................................................................55
Calibration .................................................................................55
Battery Life ................................................................................59
Battery Replace ent...................................................................60
Internal Battery Expiry ................................................................61
Sensor Expiry .......................... Fehler! Text arke nicht definiert.
Cleaning ....................................................................................62
Servicing ...................................................................................63
Trouble Shooting Infor ation .......................................................63
Safety Designation per IEC 60601-1 .............................................64
Electro agnetic Co patibility (EMC) to EN60601-1-2:2007 .............65
Sy bols ....................................................................................71
Specifications .............................................................................72
Consu ables / Accessories ..........................................................73
Custo er contact infor ation ......................................................75
Présentation ..............................................................................79
III. Introduction – Français .......................................................... 80
Tabagis e/E poisonne ent au CO ..............................................81
Tabagis e et esures de CO .......................................................82
Contenu de l’e ballage ...............................................................83
Contre-indications ......................................................................85
Avertisse ents et ises en garde ................................................85
Utilisation prévue .......................................................................86
Utilisation ..................................................................................86
Connexion PC .............................................................................89
Calibration .................................................................................89
Durée de vie de la pile ................................................................93
Re place ent de la pile .............................................................94
Durée de vie de la batterie interne ................................................95

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Durée de vie du capteur ..............................................................95
Nettoyage..................................................................................96
Entretien ...................................................................................97
Diagnostic des pannes.................................................................97
Certificat de sécurité selon la nor e CEI 60601-1 ..............................99
Co patibilité électro agnétique (CEM) à la nor e EN60601-1-2:2007
....................................................................................... 100
Sy boles ................................................................................ 106
Spécifications ........................................................................... 107
Produits de conso ation/Accessoires ....................................... 108
Infor ations de contact clientèle ................................................ 110
Übersicht ................................................................................. 114
IV. Einführung – Deutsch ........................................................... 115
Rauchvergiftung/CO-Vergiftung .................................................. 116
Zigarettenkonsu und CO-Messungen ........................................ 117
Lieferu fang ........................................................................... 118
Kontraindikationen ................................................................... 120
Warn- und Vorsichtshinweise ..................................................... 120
Verwendungszweck .................................................................. 121
Betrieb .................................................................................... 121
PC-Anschluss ........................................................................... 124
Kalibrierung ............................................................................. 124
Batterielebensdauer .................................................................. 128
Batteriewechsel ........................................................................ 129
Haltbarkeit der internen Batterie ................................................ 130
Haltbarkeit des Sensors ............................................................. 130
Reinigung ................................................................................ 131
Wartung .................................................................................. 132
Infor ationen zur Fehlerbehebung ............................................. 132
Sicherheitsbezeichnung ge äß IEC 60601-1 ................................ 133
Elektro agnetische Verträglichkeit (EMV) ge äß EN60601-1-2:2007
....................................................................................... 134

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Sy bole .................................................................................. 140
Technische Daten ..................................................................... 141
Verbrauchsartikel/Zubehör ........................................................ 142
Kundenkontaktdaten ................................................................. 144
General ................................................................................... 148
V. Introducción – Español ......................................................... 149
Inhalación de hu o/Intoxicación por CO ..................................... 150
Consu o de cigarrillos y edición de CO ..................................... 151
Contenido del paquete .............................................................. 152
Contraindicaciones .................................................................... 154
Advertencias y precauciones ...................................................... 154
Uso previsto ............................................................................ 155
Funciona iento ........................................................................ 155
Conexión al PC ......................................................................... 158
Calibración .............................................................................. 158
Duración de la batería ............................................................... 162
Sustitución de la batería ............................................................ 163
Caducidad de la batería interna .................................................. 164
Caducidad del sensor ................................................................ 164
Li pieza.................................................................................. 165
Manteni iento ......................................................................... 166
Infor ación de solución de proble as ........................................ 166
Designación de seguridad confor e a IEC 60601-1 ....................... 167
Co patibilidad electro agnética (CEM) de acuerdo con
EN60601-1-2:2007 ............................................................ 168
Sí bolos ................................................................................. 174
Especificaciones ....................................................................... 175
Consu ibles/Accesorios ............................................................ 176
Infor ación de contacto del cliente ............................................. 178
Visão Geral .............................................................................. 182
VI. Introdução – Português ........................................................ 183

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Inalação de Fu aça/Envenena ento por CO ............................... 184
Consu o de Cigarros e Medições de CO ...................................... 185
Conteúdo da E balage ........................................................... 186
Contraindicações ...................................................................... 188
Avisos e Cuidados ..................................................................... 188
Uso Pretendido ......................................................................... 189
Funciona ento ........................................................................ 189
Conexão ao PC ......................................................................... 192
Calibração ............................................................................... 192
Duração da Bateria ................................................................... 196
Substituição da Bateria ............................................................. 197
Venci ento da Bateria Interna ................................................... 198
Venci ento do Sensor .............................................................. 198
Li peza .................................................................................. 200
Manutenção ............................................................................. 201
Infor ações sobre Resolução de Proble as ................................. 201
Designação de Segurança Segundo o IEC 60601-1 ....................... 202
Co patibilidade Eletro agnética (EMC) co a EN60601-1-2:2007 . 203
Sí bolos ................................................................................. 209
Especificações .......................................................................... 210
Consu íveis / Acessórios .......................................................... 211
Infor ações para contato co o cliente ...................................... 213
Overzicht ................................................................................. 217
VII. Inleiding – Nederlands ......................................................... 218
Rookinade ing/CO-vergiftiging .................................................. 219
Sigarettenconsu ptie en CO- etingen ....................................... 220
Inhoud verpakking .................................................................... 221
Contra-indicaties ...................................................................... 223
Waarschuwingsberichten ........................................................... 223
Bedoeld gebruik ....................................................................... 224
Bediening ................................................................................ 224
Pc-aansluiting .......................................................................... 227

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Kalibratie ................................................................................. 227
Gebruiksduur batterij ................................................................ 231
Batterij vervangen .................................................................... 232
Interne batterij leeg .................................................................. 233
Sensor vervallen ...................................................................... 233
Reinigen .................................................................................. 234
Service .................................................................................... 235
Infor atie over proble en oplossen ........................................... 235
Veiligheidsaanduiding volgens IEC 60601-1 ................................. 237
Elektro agnetische co patibiliteit (EMC) volgens EN60601-1-2:2007
....................................................................................... 238
Sy bolen ................................................................................ 244
Specificaties............................................................................. 245
Verbruiksartikelen / accessoires ................................................. 246
Contactinfor atie voor klanten .................................................. 248
Panora ica .............................................................................. 252
VIII.Introduzione – Italiano ........................................................ 253
Inalazione di fu o/intossicazione da CO ...................................... 254
Consu o di sigarette e isurazioni di CO .................................... 255
Contenuto della confezione ........................................................ 256
Controindicazioni ...................................................................... 258
Avvertenze e precauzioni ........................................................... 258
Uso previsto ............................................................................ 259
Funziona ento ........................................................................ 259
Collega ento a PC ................................................................... 262
Calibrazione ............................................................................. 263
Durata utile della batteria .......................................................... 267
Sostituzione della batteria ......................................................... 268
Durata utile della batteria interna ............................................... 269
Durata utile del sensore ............................................................ 269
Pulizia ..................................................................................... 270
Assistenza tecnica .................................................................... 271

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Infor azioni per la risoluzione dei guasti ..................................... 271
Prescrizioni per la sicurezza secondo la direttiva IEC 60601-1 ........ 272
Co patibilità elettro agnetica (EMC) in confor ità con la nor a
EN60601-1-2:2007 ............................................................ 273
Si boli.................................................................................... 279
Specifiche ................................................................................ 280
Consu abili / Accessori ............................................................. 281
Infor azioni di contatto per i clienti ............................................ 283
Обзор ..................................................................................... 287
IX. Bведение, русский язык ...................................................... 288
Вдыхание дыма/отравление CO ................................................ 289
Курение сигарет и измерения CO ............................................. 290
Комплект поставки .................................................................. 291
Противопоказания ................................................................... 293
Предупреждения и меры предосторожности .............................. 293
Использование ........................................................................ 294
Эксплуатация .......................................................................... 294
Связь с ПК .............................................................................. 297
Калибровка ............................................................................. 297
Время работы от батарей ......................................................... 301
Замена батареи ....................................................................... 302
Истощение внутренней батареи................................................ 303
Окончание срока службы датчика ............................................ 303
Очистка .................................................................................. 304
Сервис .................................................................................... 305
Информация о поиске и устранении неисправностей ................. 305
Описание безопасности по IEC 60601-1 .................................... 307
Электромагнитная совместимость (EMC) по EN60601-1-2:2007 ... 308
Символы ................................................................................. 314
Технические характеристики ................................................... 315
Расходный материал/дополнительные принадлежности ............. 316
Контактная информация для клиентов ...................................... 318

8
综述 ....................................................................................... 322
X. 介绍
介绍介绍
介绍 ....................................................................................... 323
吸入烟雾 / 一氧化碳中毒 ................................................................. 324
吸烟与一氧化碳测量 ..................................................................... 325
包括的配件 ................................................................................ 326
警告和小心 ................................................................................ 328
设计用途 ................................................................................... 329
操 ....................................................................................... 330
与电脑连接 ................................................................................ 331
定标 ....................................................................................... 332
电池寿命 ................................................................................... 337
更换电池 ................................................................................... 337
内部电池过期 ............................................................................. 338
传感器寿命 ................................................................................ 338
清洗 ....................................................................................... 338
维修 ....................................................................................... 339
故障排除信息 ............................................................................. 340
根据 IEC 60601-1 的安全指示 ......................................................... 341
符合 EN60601-1:2007 电磁兼容标准 (EMC) ........................................ 342
标志意义 ................................................................................... 349
规格参数 ................................................................................... 350
消耗品 / 配件 ............................................................................... 351
客户联系信息 ............................................................................. 352

9
MicroCO Meter
Operating anual
I. Overview
The MicroCO eter is a hand held battery operated device used to
easure the concentration of carbon onoxide, CO, on the breath and
calculates the percentage of carboxyhae oglobin, %COHb, in the
blood.
It is accurate, easy to use, and has any features designed to si plify
its operation .
These include: Auto zero function
S oking level colour light indicators
Poison level alar
Si ple calibration
Serial interface to PC
Please note: It is reco ended that this unit be calibrated
upon receipt
The device should only be used by trained and qualified personnel.

10
Introduction – English
The MicroCO eter is based on an electroche ical fuel cell sensor,
which works through the reaction of carbon onoxide (CO) with an
electrolyte at one electrode, and oxygen (fro a bient air) at the
other. This reaction generates an electrical current proportional to CO
concentration. Output fro the sensor is onitored by a
icroprocessor, which detects peak expired concentrations of alveolar
gas. This is then converted to % carboxyhae oglobin (%COHb) using
the athe atical relationships described by Jarvis et al
1
, for
concentrations below 90 pp , and by Stewart et al
2
for higher levels.
Raised levels of carboxyhae oglobin are ost co only caused by
accidental s oke inhalation/CO poisoning or cigarette s oking. The
MicroCO includes a countdown ti er as an aid to ti ing the breath
holding period prior to exhalation results are displayed on a clear LCD
display. Warning lights are provided to give an instant indication of
the s oking level.
The countdown ti er, warning light levels, and the alar level are
user adjustable when the unit is connected to a PC running COBRA
software.
Note: the countdown ti er, warning light levels, and the alar
level used throughout this anual are the factory settings and
ay have been changed.
References
1. Jarvis MJ, Belcher M, Vesey C, Hutchison DCS
Low cost carbon onoxide onitors in s oking
assess ent
Thorax 1986; 41: 886-887
2. Stewart RD, Stewart RS, Sta W, Seleen RP
Rapid esti ation of carboxyhae oglobin levels in fire
fighters
JAMA 1976; 235, 390-392

11
S oke Inhalation/CO Poisoning
CO poisoning usually occurs as a result of s oke inhalation fro fires
or exposure to CO fro car exhausts or faulty heating syste s. CO
binds with hae oglobin to for carboxyhae oglobin (COHb) which
reduces the capacity of the blood to carry oxygen. Acute poisoning
ay cause sy pto s ranging fro headache and breathlessness (at
COHb levels of 10% to 30%) through confusion to co a and death
(COHb usually greater than 60%). A particularly insidious feature of
CO poisoning is the develop ent of neurological proble s such as
ove ent disorders (often rese bling Parkinson’s disease), e ory
loss and altered personality. Such proble s ay develop weeks after
apparent recovery fro acute poisoning.
Chronic exposure to relatively low levels of CO ay result in a variety
of sy pto s including headache, fatigue, poor concentration,
dizziness, palpitations, chest pain, visual disturbance, nausea,
diarrhoea and abdo inal pain.
Chronic CO poisoning as a cause of such sy pto s is often issed.
The MicroCO eter allows i ediate assess ent of patients at risk of
CO poisoning who can then be rapidly referred for expert assess ent.
Pro pt treat ent with oxygen (in a hyperbaric cha ber, if severe) is
often life saving. Screening for CO exposure ay also reveal the
cause of non-specific sy pto s relating to low level CO exposure
(usually as the result of faulty gas appliances).
Reference
Meredith T, Vale A, Carbon onoxide poisoning
British Medical Journal, 1988; 296, 77-78dith

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Cigarette Consu ption and CO Measure ents
The MicroCO eter provides a si ple screening test for cigarette
consu ption for use in anti-s oking clinics and all s oking cessation
progra s.
Measure ent of carboxyhae oglobin has been well validated as an
indirect easure of cigarette consu ption and is widely used in
s oking cessation progra s.
Typical values for carboxyhae oglobin and expired CO in s okers and
poisoning victi s, together with the alar light status, are given
below:
CO(pp ) %COHb Cigarette consu ption
Indicator
0 – 6 0 – 1 Non s oker Green
7 –10 1.1 – 1.6 Light s oker A ber
11 – 72 1.8 – 12 Heavy s oker Red
>72 >12 Suspected poisoning Red + alar
Please note that so e urban areas ay have high environ ental
levels of CO. This can cause a rise in exhaled CO of a few pp above
that which is nor ally present on the breath. In these cases it is
possible for a non-s oker to appear at the botto of the ‘light
s oker’ range (7 – 10 pp ).
References
The relationship between alveolar and blood carbon onoxide
concentrations during breath holding
Jones RH, Ellicott MF, Cadigan JB, Gaensler EA
Journal of Laboratory and Clinical Medicine 1958; 51, 553 – 564

13
Carbon onoxide in breath in relation to s oking and
carboxyhae oglobin levels
Wald NJ, Idle M, Boreha J, Baily A
Thorax 1981; 36, 366-369
Definition of a reliable threshold value for detecting current
s okers by CO easure ent
Marino Luigi; Latini Roberto; Barbano Gina; Bazzerla Giorgio;
De Luca Anita, Nardini Stefano - Respiratory and TB Unit-General
Hospital- Via forlanini, 71-I-31029-Vittorio Veneto (TV-ITALY).
Correlation between exhaled CO easure ents and
carboxyhae aglobin percentage in s okers
Marino Luigi; Latini Roberto; Barbano Gina; Bazzerla; Zanette Antonia;
Nardini Stefano - Respiratory and TB Unit- General Hospital- Via
Forlanini, 71- I-31029-Vittorio Veneto (TV- ITALY).
Package Contents
The MicroCO eter is supplied with a carrying case containing the
following ite s:
I. MicroCO eter (Cat No. 36-MC02-STK)
II. 22 outhpiece adapter (Box of 10 Cat No.36-PSA2000)
III. 22 reducing connector (Cat No.36-MEC1007)
IV. PP3 Battery (Cat No.36-BAT1002)
V. 4 Disposable outhpieces (Box 250 Cat No.36-PSA1200)
VI. Calibration tool (Cat No. 36-MEC1184)

14
micro
6
5
4
%
C OH
b
CO-PPM
OFF
1
3
2

15
Contraindications
There are no known contraindications for using the MicroCO eter.
Warnings and Cautions
The following ter s are used as follows in this anual
Caution: Possibility of injury or serious da age
Warning: conditions or practices that could result in personal injury
Please Note: I portant infor ation for avoiding da age to the
instru ent or facilitating operation of the instru ent.
Note: The device should only be used by trained and qualified
personnel.
CAUTION: Read the anual before use
CAUTION: Do not atte pt to charge the batteries, connect
i properly, or dispose of in a fire as there is possibility of leakage or
explosion. Follow anufacturer’s reco endation for proper
disposal.
WARNING: The instru ent is not suitable for use in the presence
of explosive or fla able gases, fla able anaesthetic ixtures or
in oxygen rich environ ents.
CAUTION: Mouthpieces are single patient use. If used on ore than
one patient there is a risk of cross-infection. Repeat use ay
degrade aterials and lead to an incorrect easure ent.
PLEASE NOTE: The product and the battery you have
purchased should not be disposed of as unsorted waste.
Please utilise your local WEEE collection facilities for the
disposal of this product.
PLEASE NOTE: Degree of protection against Ingress of Water is

16
IPX0.
CAUTION: When you connect the MicroCO to other equip ent,
always ake sure that the whole co bination co plies with the
international safety standard IEC 60601-1 for edical electrical
syste s. During easure ents, connect the MicroCO only to
co puters that co ply with IEC 60601-1 / ANSI/AAMI ES60601-
1:2005 / CAN/CSA-C22.2 No. 60601-1:14.
Intended Use
The MicroCO is intended to easure the a ount of Carbon Monoxide
(CO) that can be expired fro the breath. The expired CO is
easured in parts per illion and is used to calculate the percentage
of carboxyhae oglobin, %COHb, in the blood.
The MicroCO is used in s oking cessation clinics, GP’s surgeries,
accident and e ergency depart ents, and by the fire-fighting
services. In s oking cessation clinics it is used for instructional
purposes and to check on the client’s progress and co pliance.
General practitioners, A&E clinicians and the fire-fighting services can
use the instru ent to quickly assess the level of suspected CO
poisoning.
The MicroCO is designed for use by clinicians and health care
professionals.
Operation
For accurate results the CO eter should be used at roo
te perature. If the instru ent has been stored in cool or hot
conditions then allow ti e to reach roo te perature prior to use
Install the PP3 battery by sliding open the battery cover, clipping the
battery in place and replacing the cover. Insert the outhpiece

17
adapter into the MicroCO eter and then insert a disposable
outhpiece into the adapter. Turn the unit on by selecting the upper
or iddle position on the central slide switch and the display will show
the software version nu ber.
This will appear o entarily whilst correction for a bient levels is
executed. During this ti e the unit ust not be exposed to raised
concentrations of CO. The buzzer will then sound and the display will
change to:
Upon hearing the buzzer instruct the subject to inspire fully and hold
their breath for 20 seconds. The display will count down fro 20 to 0
as an aid to ti ing the breath holding period. The green indicator will
then illu inate and the display will change to:
BLOW
At this ti e the subject should seal their lips around the outhpiece
and exhale slowly and fully. The 20 second breath holding period is
reco ended to allow ti e for equilibration of alveolar gas.
If, however, the subject is unable to hold their breath for this period,
the unit ay still be used before 20 seconds have elapsed.

18
The unit ust not be used, however, for one second after the unit is
first switched on i.e. before the countdown co ences. Expired
alveolar gas is then entrapped between sensor and outhpiece valve.
The display reading will rise to a plateau over the course of a several
seconds. The final value will be held until the unit is turned off and
represents parts per illion CO or %COHb depending on the slide
switch position.
The lights will co e on according to the table on page 12 and the red
light will flash and an alar will sound if the easure ent rises above
72pp (12%COHb).
If this occurs then the possibility of CO poisoning should be
investigated as this level of CO is unlikely to be produced by cigarette
s oking.
I portant note:
Before repeating a easure ent the unit ust be turned off,
and the outhpiece and adapter re oved for at least 1 inute.
This is to allow re-equilibration with a bient air and to dry the
surface of the sensor. Visually inspect that all oisture has
evaporated fro the surface of the sensor before reuse.
If the unit is switched on again too quickly after use there ay be a
response to residual expired carbon onoxide fro the previous test.
In this case the display will show: