Covidien Nellcor PM10N Operating manual

NellcorTM
Portable SpO2Patient Monitoring System
PM10N
Home Use Guide

Support 1.800.635.5267 2PM10N Home Use Guide
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Contents
1 Welcome ....................................................................5
2 Safety Information...................................................7
3 Set Up the Monitoring System ........................... 11
4 Monitor the Patient .............................................. 17
5 Change the Sensor ............................................... 35
6 Clean the Monitoring System and Sensor........ 37
7 Accessories............................................................. 41
8 Symbols .................................................................. 43
Glossary...................................................................45
Index........................................................................48
Write your clinician’s contact
information here.
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Notes:
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This manual is for the home caregiver—the person who provides care in the home for a patient
monitored by the Nellcor™ portable SpO2patient
monitoring system (PM10N). Read this entire guide
before using the monitoring system.
What Does the Monitoring System Do?
The monitoring system measures the patient’s pulse
rate and the percentage of oxygen circulating in the
blood (functional oxygen saturation). When either the
patient’s pulse rate or the percentage of oxygen goes
below or above a pre-set alarm limit, the monitoring
system warns you by sounding an alarm, showing an
indicator, and ashing a number.
The monitoring system can be used for patients of
all ages—infants, children, and adults. Your clinician
will assist you with the selection and use of the
appropriate NellcorTM sensor, based on the size and age
of the patient.
What Is Your Role As Caregiver?
The clinician will instruct you in:
•Turning the monitoring
system on and o
•Attaching the sensor to the
patient
•Responding to alarms
•Contacting the clinician with questions or concerns
Welcome
1

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What Is the Clinician’s Role?
The clinician is a trained health care professional who:
•Orders a monitoring system and sensors for use in
your home
•Sets up the monitoring system for you
•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 with you on a regular basis to make sure
the monitoring system is meeting your needs
If you have any questions about the information
provided in this guide, ask your clinician.

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Read this chapter thoroughly. If you have questions, contact your clinician.
Safety Symbols
WARNING
Alerts you to potential serious outcomes
(death, injury, or adverse events) to the
patient, user, or environment.
Caution
Identies conditions or practices that
could result in damage to the equipment
or other property.
WARNINGS
•Explosion hazard—Do not use the monitoring system
in the presence of ammable substances.
•Shock hazard—Use only AA size batteries. Do not use
dierent types or models of batteries, such as lithium-
ion and nickel-metal hydride batteries, together.
•Shock hazard—Firmly close the battery cover to
prevent moisture from entering the monitoring
system.
•Shock hazard—Do not operate the monitoring system
with the battery cover open or removed.
Safety Information
2

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•Shock hazard—Do not immerse or apply liquid to
the sensor.
•Carefully route the cabling to reduce the possibility
of patient entanglement or strangulation.
•The LCD panel (display) contains toxic chemicals. Do
not touch broken LCD panels.
•Do not reuse any sensor intended for single use. If in
doubt, ask your clinician.
•Tissue damage can be caused by incorrect
application or use of a pulse oximetry sensor.
Do not apply the sensor too tightly or by using
excessive pressure. Do not wrap the sensor, apply
supplemental tape, or leave the sensor too long on
one place.
•Do not cover or obstruct the holes for the speaker or
silence or decrease the volume of the audible alarm
if patient safety could be compromised.
•Do not use any monitoring system or sensor that
appears damaged.
•Pulse oximetry readings and pulse signal can be
aected by patient conditions, excessive patient
movement, sensor application errors, and certain
ambient environmental conditions.
•To ensure accurate measurements in bright ambient
light, cover the pulse oximetry sensor site with
opaque material.
•For best product performance and measurement
accuracy, use only accessories supplied or
recommended by Covidien. Use accessories
according to their respective instructions for use.
•Do not crimp the pulse oximetry cable, which could
cause damage to the cable.

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•The only user-serviceable parts inside the
monitoring system are the four AA batteries. While
you can open the battery cover to change the
batteries, only qualied service personnel should
remove the cover or access internal components for
any other reason. Do not modify any components of
the monitoring system.
•To avoid damage, do not throw, hit, drop, impact, or
apply pressure to the batteries.
•Keep the monitoring system and batteries out of
reach of children to avoid any accidents.
•Remove batteries from the monitoring system
before cleaning.
Cautions
•The monitoring system may not work if it is
operated or stored at conditions outside the
ranges stated in this manual, or if it is subjected to
excessive shock or dropping.
•Be aware of possible interference from sources
of electromagnetic interference, such as cellular
phones, radio transmitters, motors, telephones,
lamps, electrosurgical units, debrillators, and other
medical devices. If pulse oximetry readings are not
as expected for the patient’s condition, remove the
sources of possible interference.

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•The use of accessories, sensors, and cables other
than those specied may result in inaccurate
readings of the monitoring system and increased
emission and/or decreased electromagnetic
immunity of the monitoring system.
•To avoid short-circuiting the batteries, do not let the
batteries come in contact with metal objects at any
time, especially during transport.
•Follow local government ordinances and recycling
instructions regarding disposal or recycling of the
monitoring system and its components, including
batteries and accessories.

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Perform the following steps to prepare the monitoring system for use with your patient:
•Identify the parts of the monitoring system
•Insert the batteries
•Turn on the monitoring system
•Attach a sensor to the monitoring system and to the
patient
Operating Environment
To ensure reliability, the monitoring system must be
operated within temperatures of 5º C to 40º C (41º F
to 104º F), humidity of 15% to 95% (non-condensing),
and at altitudes of -390 to 5,574 m (-1,280 to 18,288 ft).
Parts of the Monitoring System
1 Display
2 Up button
3 Return button
4 OK (Select)
button
5 Silence Alarm
button
6 Down button
7 Power-On
indicator
8 Power On/O
button
9 Menu button
Set Up the Monitoring System
3

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Insert the Batteries
1. Use 4 Lithium AA batteries.
2. Make sure to orient each battery correctly.
Turn On the Monitoring System
1. Press the power button for about 1 second.
2. Make sure you hear a beep (this is a test for
the alarm sound) and that the monitoring
system’s main screen appears.
The light next to the power button turns
green.

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Turn O the Monitoring System
1. Press and hold the power button for about
1 second.
2. Make sure the screen and green light turn
o.
Identify Connectors
1. Sensor Connector
2. Service Connector (Do not use unless
instructed by your clinician.)
1. 2.

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Attach the Sensor to the Patient
1. Attach the sensor to the appropriate
location on the patient (for example, nger,
forehead, nose, or foot).
If the sensor is not attached to the patient,
you will see this picture on the screen.

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Connect the Sensor to the Monitoring System
1. Insert the sensor connector rmly.
2. If you use an extension cable, make sure it is
rmly connected to the sensor’s connector.
If the sensor or extension cable are missing
or not connected rmly, you will see this
picture on the screen.

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Verify Operation
1. Look at the display to see if it is showing
oxygen saturation (SpO2 %) and pulse rate
values in the expected range.
2. If you are not sure, contact your clinician.

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Once you have completed the setup tasks, you are ready to monitor the patient. As you monitor the
patient , you will perform the following tasks:
•Recognize what the main screen looks like under
normal conditions
•Verify that the monitoring system is receiving a
good signal from the sensor
•Identify alarms, alerts, and indicators
•Change monitoring system settings, such as
brightness and sound, if desired
•View and report monitoring history as requested by
your clinician
Monitor the Patient
4

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Identify Main Screen Components
1. Homecare Mode indicator
2. SatSeconds™ indicator (your clinician
will explain this feature if necessary)
3. Battery power level
4. Date and time
5. Current SpO2% (oxygen) reading
6. SpO2% upper and lower alarm limits
7. Pulse indicator (blip bar)
8. Current pulse rate (beats per minute,
BPM)
9. Pulse rate (BPM) upper and lower alarm
limits

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Identify Sensor Detached from Patient
1. Place sensor back on patient (nger, forehead, or nose).
2. If you have trouble, contact your clinician.
Identify Sensor Disconnected from Monitoring
System
1. Firmly insert the sensor connector into the plug at the
top of the monitoring system.
2. If you have trouble, contact your clinician.

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Identify Pulse Rate Alarm
High or Low pulse rate
Contact your clinician.
Identify SpO2Alarm
High or Low SpO2%
Contact your clinician.