Covidien Nellcor PM100N Operating manual

NellcorTM
Bedside SpO2Patient
Monitoring System
PM100N
Home Use Guide

Support 1.800.635.5267 2Home Use Guide
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Contents
Glossary.............................................................................5
1 Welcome ....................................................................8
What Does the Monitoring System Do?..............................8
Why You Use the Monitoring System...................................9
What Is Your Role As Caregiver? .............................................9
What Is the Clinician’s Role?.................................................. 10
Before Using the Monitoring System in the Home or
While Traveling .......................................................................... 10
If You Need to Store the Monitoring System .................. 11
Recycling and Disposal........................................................... 11
2 Safety Information................................................ 12
Benets of Using the Device................................................. 12
Risks of Using the Device....................................................... 12
Safety Symbols .......................................................................... 15
WARNINGS................................................................................... 15
Cautions ....................................................................................... 18
3 Prepare to Use the Monitoring System............. 21
Parts of the Monitoring System........................................... 21
Additional Connectors............................................................ 22
How to Use the Buttons and Knob..................................... 23
Choose AC or Battery Power................................................. 24
Connect the Sensor to the Monitoring System ............. 25
Attach the Sensor to the Patient......................................... 25
Turn On the Monitoring System.......................................... 26
Turn O the Monitoring System.......................................... 27
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4 Monitor the Patient .............................................. 28
Identify Main Screen Components..................................... 29
If the Sensor Comes O the Patient................................... 30
If the Sensor Disconnects from the Monitoring
System .......................................................................................... 30
If a Pulse Rate Alarm Occurs ................................................. 31
If an SpO2Alarm Occurs......................................................... 31
To Silence an Alarm Tone....................................................... 32
If Signal Interference Occurs................................................. 32
When Using the Monitoring System on Battery
Power ............................................................................................ 33
To Adjust Volume...................................................................... 34
To Adjust Brightness................................................................ 35
To View Alarm Settings Made by Your Clinician ............ 36
5 Change the Sensor ............................................... 38
Examples of Sensor Placement............................................ 38
Sensor Information .................................................................. 39
6 Clean the Monitoring System and Sensor........ 40
To Clean the Monitoring System......................................... 41
To Clean the Sensor ................................................................. 42
To Disinfect the Monitoring System and Sensor........... 42
7 Accessories............................................................. 43
8 Symbols .................................................................. 44
Index ............................................................................... 46
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24-Hour Clock The monitoring system shows time on the screen using a 24-hour clock. The format is hh:mm:ss
(hours:minutes:seconds) without“a.m.” or “p.m.” On a 24-hour clock, each day starts at 00:00:00
(midnight). 01:00:00 is 1:00 a.m., 02:00:00 is 2:00 a.m., and so forth. 12:00:00 is noon (12:00 p.m.).
The clock continues with 13:00:00 representing 1:00 p.m. and so forth until reaching 23:59:59 (1
second before midnight). The clock then starts over at 00:00:00. Example: 16:30:00 is the same as
4:30 p.m.
Ambient Light The light in the area of the patient sensor. Bright surrounding light sources, such as uorescent
lights, infrared heating lamps, and direct sunlight may interfere with the performance of an SpO2
sensor.
BPM Beats per minute. A standard unit of measure for pulse rate.
Caregiver The person who attends to the patient and checks the monitoring system readings and sensor
placement.
Clinician The trained healthcare professional who assists you with monitoring the patient and using the
monitor in your home. This person can be the doctor or nurse treating the patient, or another
trained healthcare professional.
Flammable Capable of catching re and burning quickly. Some examples of ammable materials are gasoline,
propane, and natural gas.
Glossary
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Frequency A measurement of alternating current (AC) electricity that indicates how often the current reverses
direction and returns to its original direction each second. The unit of measurement is the hertz
(Hz). To operate or charge its battery, the monitoring system requires power from a wall outlet
providing 100-240 Volts AC (VAC) at a frequency of 50/60 Hz (hertz). See also “Voltage.”
Heart Rate The number of times the heart beats, usually as a per-minute value.
Monitoring System The device, described in this home use guide, used to measure SpO2and pulse rate for a patient.
Oxygen Saturation
(Saturation)
A measurement of the percentage of oxygen circulating in the patient’s blood. Oxygen saturation
is also identied as SpO2or %SpO2.
Pulse BPM or Pulse
Rate (PR)
Pulse rate. A measurement of the number of times the heart beats per minute. Pulse rate is also
called heart rate, beats per minute, or BPM.
SatSecondsTM This feature of NellcorTM monitoring systems determines whether an alarm occurs if a patient’s
SpO2 measurement falls outside the preset alarm range. Sometimes a patient’s SpO2measurement
falls just slightly or just briey outside the preset range. In such instances, the patient may not
need medical attention. The SatSecondsTM feature looks at these instances and determines if an
alarm needs to be created. Note: This feature is not available for homecare use; when the patient’s
SpO2measurement falls outside the preset range, an alarm is created in all instances.
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Sensor An accessory used to collect and send patient information to the monitoring system. The sensor
collects measurements by detecting the patient’s pulse rate and amount of of oxygen in the blood
and sending this information to the monitoring system.
Sensor Site The place on the patient’s body where the sensor is applied, such as a nger, toe, ear lobe, or
forehead.
SpO2(%SpO2)An estimation of the amount of oxygen in the blood as measured by the monitoring system.
Voltage A measurement of the electrical capabilities of a device or power supply. Voltage causes electric
current to ow through a wire, powering an electronic device. Voltage may be DC (direct current)
or AC (alternating current). To operate or charge its battery, the monitoring system requires power
from a wall outlet providing 100-240 Volts AC (VAC) at a frequency of 50/60 Hz (hertz). See also
“Frequency.”
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This manual is for the home caregiver or patient using the Nellcor™ bedside SpO2patient
monitoring system (PM100N).
WARNING - Read this entire guide before using the
monitoring system. This guide provides important
information for avoiding injury and for proper use of
the monitoring system.
What Does the Monitoring System Do?
The monitoring system is intended to measure the
patient’s pulse rate and the amount of oxygen in
the blood. When either measurement goes below
or above a pre-set limit, the monitoring system is
designed to warn you by sounding an alarm, showing
an indicator, and ashing a number.
1Sensor Connector 5Power Button
2Quick Guide 6Knob (Turn/Press)
3Silence Alarm Button 7Monitoring Screen
4 Home Button 8 Sensor
Welcome
1

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Why You Use the Monitoring System
The Nellcor™ bedside SpO2 patient monitoring system
is prescribed for home use to allow a patient or
caregiver to monitor the patient’s SpO2and pulse rate
and provide information as directed to their clinician.
Your clinician may prescribe this device based upon
your medical care needs.
The monitoring system can be used for patients of
all ages—infants, children, and adults. Your clinician
prescribes the device and the appropriate NellcorTM
sensor, based on the size and age of the patient.
What Is Your Role As Caregiver?
•Turning the monitoring
system on and o
•Attaching the sensor
•Responding to alarms
•Contacting the clinician with questions or concerns

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What Is the Clinician’s Role?
The clinician is a trained health care professional who:
•Prescribes a monitoring system and sensors for use
in your home
•Sets alarm limits and other settings appropriate for
the patient
•Instructs you in the use of the monitoring system
and sensors
•Assists you with monitoring the patient and answers
any questions you have
•Reviews the monitored results and the patient’s
condition
•Ensures that the monitoring system is working
correctly
•Follows up on a regular basis to make sure the
monitoring system is meeting the patient’s needs
If you have any questions about the information
provided in this guide, ask your clinician.
Before Using the Monitoring System in the
Home or While Traveling
Your clinician will determine whether you can travel
with the monitoring system.
To use the monitoring system in your home or any
other location, make sure that you have access to a
power outlet for operating the monitoring system or
charging the battery. The outlet must be grounded
and must provide the required voltage and frequency
(100-240 VAC, 50/60 Hz, 45 VA). Check with your
clinician if uncertain.

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Caution - Do not plug the monitoring system into
a power outlet that is controlled by a wall switch.
Inadvertent use of the wall switch can interrupt power
to the monitoring system. Furthermore, if the switch
is turned o, the system will run on battery power and
will not remain charged.
If your clinician indicates that you must take the
monitoring system with you when traveling, you
can use it on battery power at your destination or
wherever an appropriate power outlet is available.
When traveling on an airplane, verify that the airliner
has fully pressurized baggage compartments. If it
does, you can pack the monitoring system in your
luggage for storage in the baggage compartment. If
the baggage compartment is not fully pressurized, you
can pack the monitoring system as a carry-on item.
If You Need to Store the Monitoring System
If you need to store the monitoring system, you can
store it in a clean, dry location in your home.
Recycling and Disposal
Local and regional regulations govern the recycling
or disposal of monitoring system components and
accessories. Your clinician will indicate whether you
should dispose of any items associated with the
monitoring system and provide instructions for doing
so. Contact you clinician if unsure.

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Benets of Using the Device
Use of the device in homecare monitoring, when
prescribed by a clinician, may provide faster
notication of changing physical symptoms to enable
quicker interventions.
Risks of Using the Device
•The monitoring system contains electrical
components. Do not use the device near ammable
substances. In rare cases, explosion or re may
occur when the device is exposed to open ame or
heating elements.
•The monitoring system uses electricity and
electrical components. These components have
minimal possibility of electric shock when used
correctly. Incorrect use may cause electric shock.
Incorrect usage includes, but is not limited to: Use of
an incompatible battery, operation with the battery
cover removed, liquid spilled on device, visible
wires due to damaged cables, or use of a power
outlet that does not meet the device’s requirements.
Electrical equipment is vulnerable to electrical
interference from electrical devices. Be aware of
devices that may aect the monitoring system.
These include, but are not limited to: Cellular
phones, radio transmitters, motors, telephones,
lamps, electrosurgical units, debrillators, and
other devices. If unsure of how to avoid sources of
electrical interference, contact your clinician.
Safety Information
2

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•The monitoring system’s screen contains toxic
chemicals. These chemicals do not touch the patient
or caregiver unless the screen is broken. Do not
touch a broken screen as this will result in contact
with toxic chemicals.
•The monitoring system should be placed beside the
patient on a sturdy surface. The device should be
securely held during transport and securely placed
during use. Injury to the patient or caregiver or
damage to the device may occur if the device falls.
•The monitoring system has been tested to
meet a variety of environments. In extreme
conditions, the device may not work properly. Such
conditions include, but are not limited to: Extreme
temperatures, excessive heat build-up, and certain
bright surrounding light conditions. Additionally,
the device’s display may be dicult to read in bright
light conditions.
•The monitoring system should be used with a
compatible, prescribed sensor. In some cases,
the sensor may not work properly if the sensor is
damaged, if the sensor connection fails, if the sensor
falls o the patient, or if the patient moves too
much. Some patients may experience skin irritation
at the sensor attachment site if the sensor is not
moved regularly.
•The monitoring system can be used on battery
power. An alarm will sound if the battery reaches a
low level. The monitoring system will turn o if the
battery power is completely lost.
Note: The low battery alarm duration may become
shorter over the lifetime of the battery.

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Note: Take caution when plugging the monitoring
system into an outlet connected to a light switch.
If the switch is turned o, the system will run on
battery power and will not remain charged.
•The system monitors the patient’s measured SpO2
and pulse rate. Certain patient conditions may aect
the device’s ability to measure the patient’s SpO2
and pulse rate. These conditions include, but are not
limited to: Dysfunctional hemoglobin, arterial dyes,
low perfusion, or darkly pigmented skin. If you are
not sure if any of these apply to you, contact your
clinician.
•Cables connect the sensor to the monitoring
system. Cables also connect the monitoring system
to the power outlet. Be sure to place all cables
carefully to lower the risk of strangulation or
tripping.
•Alarms occur when the patient’s SpO2or pulse
rate measurements are outside the preset range
set by your clinician. You may not hear an audible
alarm due to speaker failure, the user lowering the
volume below the level of hearing, or after the user
has selected the ‘Audio Silenced’feature. Listen
for the audible tones that occur when you turn on
the monitoring system to check that the speaker is
working properly.
•Service to the device is to be done by authorized
service personnel only. There are no user serviceable
parts. Attempts to service the device at home may
cause the device to not work properly.

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Your device is equipped with features that enable it
to perform certain functions that benet the patient.
But there are certain things that you must be aware of
when using it, in order to gain full benet from it.
Safety Symbols
WARNING
Alerts you to a situation which, if not
avoided, could result in death or serious
injury.
Caution
Alerts you to a situation which, if not
avoided, may result in minor or moderate
injury to the user or patient or damage
to the equipment or other property.
WARNINGS- What You Must
Do To Avoid Serious Harm
WARNING – Read this entire Home Use Guide before
using the monitoring system. This guide provides
important information for avoiding injury and for
proper use of the monitoring system.
WARNING – Contact your clinician when you hear
an alarm. The patient may need immediate medical
attention.
WARNING – Do not use the monitoring system around
ammable substances. This may cause an explosion or
re.
WARNING – Do not use the monitoring system with
the battery cover open or removed. This may lead to
electric shock.

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WARNING – Never use a battery other than the one
provided with the monitoring system. Batteries that
are not compatible may cause electric shock.
WARNING – Do not submerge or apply liquid to the
monitoring system or prescribed sensor. This may lead
to electric shock.
WARNING – Do not crimp the sensor cable or power
cable, as this may damage the cable. Damaged cables
may aect measurement accuracy and increase the
risk of electric shock.
WARNING – Never clean the monitoring system
without unplugging it. Leaving the device plugged
into the power outlet may lead to electric shock.
WARNING – Do not touch the LCD screen if broken.
The screen contains toxic chemicals that may be
dangerous to your health.
WARNING – Avoid leaving cables loose, as this may
lead to tripping or strangulation.
WARNING – Do not place the monitoring system in
any location where it might fall on the patient. This
may cause patient injury or damage to the monitoring
system.
WARNING – Do not lift or carry the monitoring system
by the sensor or sensor cable. This may cause the
sensor to disconnect and the monitoring system to
fall, which may cause injury to the patient or caregiver
or damage to the monitoring system.
WARNING – Keep the monitoring system out of
reach of children and pets to avoid accidents such as
choking or injury from a falling monitor.

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WARNING – Do not use a monitoring system or sensor
that appears damaged. Use of a damaged monitoring
system or sensor may result in incorrect readings.
WARNING – Never use accessories other than those
prescribed by your clinician. Use of incompatible
accessories may lead to incorrect measurements
or increased electromagnetic interference to the
monitoring system or from the monitoring system to
other electronic devices.
WARNING – Avoid incorrect application or use of
the sensor. Incorrect use may lead to tissue damage
or inaccurate measurements. Examples of incorrect
application include, but are not limited to:
•Applying the sensor too tightly (too much pressure)
•Wrapping the sensor with another material
•Applying the sensor with the assistance of tape or
other adhesives
•Leaving the sensor in one place for longer than
recommended
Consult your clinician if you are unsure of correct
sensor use.
WARNING – Do not reuse any sensor intended
for single use only. This may lead to inaccurate
measurements. Consult your clinician if you are unsure
if the prescribed sensor is single use only.
WARNING – Certain physical conditions may aect
calculation of SpO2and pulse rate. These conditions
include, but are not limited to: Dysfunctional
hemoglobin, arterial dyes, low perfusion, and darkly
pigmented skin. If you are unsure if any of these
conditions apply to you, contact your clinician.

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WARNING – Avoid using the monitoring system
in situations of excessive patient motion, sensor
application errors, and certain bright light conditions,
as these conditions may aect the pulse oximetry
readings and pulse signal.
•In bright light conditions, cover (do not wrap) the
sensor site with material that blocks the light.
WARNING – Do not service the monitoring system in
any way other than the recommended cleaning, as
this may cause damage to the monitoring system or
inaccurate measurements. Only qualied personnel
should access internal components for any reason. If
you have any questions, contact your clinician.
Cautions - What You Must
Do To Avoid Other Harm
Caution – Do not operate or store the monitoring
system in conditions outside the ranges listed. Opera-
tion or storage of the monitoring system in conditions
outside the listed ranges may cause the monitoring
system to malfunction.
Transport and
Storage Operation
Temperature -20 ºC to 60 ºC,
(-4 ºF to 140 ºF)
5 ºC to 40 ºC
(41 ºF to 104 ºF)
Atmospheric
Pressure
50 kPa to 106 kPa
(14.7 in. Hg to 31.3
in. Hg)
58 kPa to 103 kPa
(17.1 in. Hg to 30.4
in. Hg)
Relative
humidity 15% to 93% non-condensing

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Caution – Do not cover/block the speaker holes or
silence or lower the volume of the audible alarm.
Doing so may reduce the safety of the monitoring
system as the alarms may not be heard.
Caution – Do not lower the adjustable alarm volume
below the patient or caregiver’s level of hearing.
Lowering the alarm volume may reduce the safety
of the monitoring system as the alarms may not be
heard.
•To check that the speakers are working properly,
listen for the audible tones that occur when you
turn on the monitoring system (see “Turn On the
Monitoring System” on page 26).
Caution – The monitoring system can run on battery
power. The monitoring system will visually and audibly
alarm when the battery is low on power. The low
battery alarm duration may become shorter over the
lifetime of the battery. When all battery power is lost,
the monitoring system will turn o and no longer
measure SpO2and pulse rate.
Caution – Do not plug the monitoring system into
a power outlet that is controlled by a wall switch.
Accidental use of the wall switch can interrupt power
to the monitoring system. Furthermore, if the switch
is turned o, the system will run on battery power and
will not remain charged.

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Caution – Do not cover the monitoring system as this
may lead to excessive heat build-up.
Caution – Avoid possible interference from sources
of electromagnetic interference such as, but not
limited to: Cellular phones, radio transmitters, motors,
telephones, lamps, electrosurgical units, debrillators,
and other devices. Interference may cause inaccurate
measurements. If you are unsure if your device is
working properly, contact your clinician.