John Bunn JB3000 User manual

JB3000
HANDHELD PULSE OXIMETER
Operation Manual
Important: Do not operate the John Bunn
JB3000 Handheld Pulse Oximeter without
rst reading and understanding this manual.
Save this manual for future use.
JB3000-INS-LAB-RevB14

JB3000-INS-LAB-RevB14 2
GF Health Products, Inc. is not responsible for typographical errors. All
illustrations, specications, packaging and warranties contained in this
literature are based on the latest product information available at the time
of printing. The most current product information, including the most
current version of this manual, can be found online at www.grahameld.com.
Graham-Field and John Bunn are registered trademarks of GF Health
Products, Inc. © 2011, GF Health Products, Inc.
CONTENTS
1 INTRODUCTION........................................................................... 3
OVERVIEW............................................................................. 3
UNPACKING........................................................................... 5
ACCESSORIES...................................................................... 5
2 SAFETYINFORMATION............................................................... 6
STATEMENTSOFSIGNIFICANCE........................................ 6
3 SETUP......................................................................................... 10
OUTERVIEW........................................................................ 10
OXIMETERSETUP................................................................11
4 OPERATION................................................................................ 12
MONITORING....................................................................... 12
FACTORSTHATMAYAFFECTMEASUREMENT.............. 13
5 DETAILEDOPERATION—SETTINGS........................................16
GRAPHMODEDISPLAY...................................................... 16
MODEINTRODUCTION....................................................... 17
KEYFUNCTIONS................................................................. 18
DATAREPLAYANDTRANSMISSION(OPTIONAL)........... 20
6 MAINTAINANCE.......................................................................... 21
REPAIR/MAINTENANCE.................................................... 21
CLEANING/DISINFECTION............................................... 21
7 TROUBLESHOOTING................................................................ 23
8 LIMITEDWARRANTY................................................................. 25
APPENDIXA:SPECIFICATIONS...................................................... 26
GUIDETOSYMBOLS.......................................................... 27
APPENDIXB:ELECTROMAGNETICIMMUNITY............................ 28
INDEX................................................................................................. 31

JB3000-INS-LAB-RevB14 3
1 INTRODUCTION
OVERVIEW
Thank you for purchasing the John Bunn JB3000
Handheld Pulse Oximeter for SpO2 and Pulse Rate (PR)
measurement. This device features PR tone modulation,
data storage, and optional data transmission capabilities.
Please read this operation manual carefully before using
this instrument.
Intended Use:
The intended use of the JB3000 Handheld Pulse Oximeter
is to measure and display the functional oxygen
saturation of arterial hemoglobin (SpO2) and pulse rate
(PR) for adults and pediatric patients in the home and
hospital (including clinical use in internist/surgery,
Anesthesia, Intensive Care and similar) environments.
The Pulse Oximeter is intended for spot-checking these
levels. It can assist the clinician diagnostically by quickly
displaying the patient’s SpO2 percentage and pulse rate
and can optionally store 72 hours of data.
Contraindications:
 WARNING:Thisinstrumentshouldbeusedonlybya
medicalprofessionaltrainedinitsuse.
 WARNING:Thisdeviceisnotintendedforcontinuous
monitoring.
 WARNING:Donotusethisdeviceinanexplosive
atmosphere,inthepresenceofaammableanesthetic
mixture,orwithoxygenornitrousoxide.
 WARNING:DonotusethisdeviceinanMRIorCT
environment.
 WARNING:Federallawrestrictsthisdevicetosaleby
orontheorderofaphysician.

JB3000-INS-LAB-RevB14 4
Principle of Measurement
The principle of pulse oximetry is based on the red
and infrared (IR) light absorption of oxygenated and
deoxygenated hemoglobin present in the circulating
blood. Oxygenated hemoglobin absorbs more IR and
allows more red light to pass through. Deoxygenated
hemoglobin conversely absorbs more red light and
allows IR light to pass through. The sensor (detector
probe) is placed on the nger. The sensor contains two
Light Emitting Diodes (LEDs), one in the visible red
spectrum (660 nm) and one in the IR spectrum (940 nm).
The beams of light from this detector probe pass through
the tissues; some light is absorbed by the blood and soft
tissues depending on hemoglobin concentration. The
amount of light absorption at each light frequency is
dependent on the degree of oxygenation of hemoglobin
within the tissues. As a result of electronic circuitry
and microprocessor operation, the oximeter’s LCD will
display a measured signal obtained by a photosensitive
element.
Principle of Operation
See illustration and descriptions below.
1 Red and Infrared Emitter Diode
2 Red and Infrared Receptor Diode

JB3000-INS-LAB-RevB14 5
oximeter
sensor
batteries
UNPACKING
Conrm that items 1-3 below, Standard Included
Accessories, are packed with the Pulse Oximeter. If any
item on this list is missing or damaged, contact your
GF distributor. Contact the carrier immediately if the
shipping carton is damaged.
ACCESSORIES
Standard Included Accessories
1. Operation manual
2. Adult nger sensor
(Item JB3000-AP)
3. Two AA Alkaline
batteries
Optional (Not Included) Accessories
Items 1-4 below are available from your authorized
GF Health Products, Inc.
distributor.
1. JB3000-B: Replacement
protective cover for
oximeter
2. JB3000-AP: Adult nger
sensor
3. JB3000-PP: Pediatric and infant nger sensor:
Pediatric: 33.06 - 99.21 lb (15 - 45 kg)
Infant: 6.61 - 33.06 lb (3 - 15 kg)
4. JB3000-USB: MedView™ software CD
(includes software license and USB cable)
MedView™softwareCD
USBcable

JB3000-INS-LAB-RevB14 6
2 SAFETY INFORMATION
The safety statements presented in this chapter refer
to the basic safety information that should be observed
by those using the JB3000 Handheld Pulse Oximeter.
There are additional safety statements in other chapters
or sections, which may be the same as or similar to the
following, or specic to the operations.
Info:Forroutineequipmentmaintenance,pleasereferto
theserviceproceduresintheMAINTENANCEsectionof
thismanual.
Info:Forotherconcerns,pleasecarefullyreadthespecic
relevantmaterialinthismanual.ATableofContentsis
providedatthebeginning,andanindexattheend,to
assistyouinndinginformation.
STATEMENTS OF SIGNIFICANCE
 WARNING:Indicatesapotentialhazardsituationor
unsafepracticethat,ifnotavoided,couldresultin
deathorseriousinjury.
 CAUTION:Indicatesapotentialhazardorunsafe
practicethat,ifnotavoided,couldresultinmoderate
orminorpersonalinjury.
s NOTICE:Indicatesapotentialhazardorunsafe
practicethat,ifnotavoided,couldresultinproduct/
propertydamage.
Info:Providesapplicationrecommendationsorother
usefulinformationtoensurethatyougetthemostfrom
yourproduct.

JB3000-INS-LAB-RevB14 7
WARNING
 WARNING:Pleasereadthismanualcarefullybefore
usingthisdevice.Theoperatormustensurethatthe
equipmentfunctionssafelyandisinproperworking
conditionbeforebeingused.
 WARNING: ThePulseOximetercontainsnoserviceable
parts.Donotdisassemble.Onlyauthorizedpersonnel
mayperformserviceoradjustmentsonthisdevice.
 WARNING: Whenconnectingthismonitortoany
instrument,verifyproperoperationbeforeclinicaluse.
Refertotheinstrument’soperationmanualforfull
instructions.TheequipmentconnectedtothePulse
Oximeter’soptionaldatainterfacemustbecertied
accordingtotherespectiveIECstandards,i.e.,IEC950
fordataprocessingequipmentorIEC601-1formedical
electricalequipment.Allcombinationsofequipmentmust
beincompliancewithIEC601-1-1systemsrequirements.
 WARNING:Sensormalfunctionmaycauseinaccurate
data,possiblyresultinginpatientinjuryordeath—
paycloseattentiontothesensorandinspectitoften.
 WARNING:Optionalworn-outdatacablesmaycause
inaccuratedata,soifthedataisusedasareferenceto
treatapatient,payspecialattentiontodatacableand
checkitmorefrequently.
 WARNING:DonottangletheoximetercablewithES
(Electrosurgery)equipmentwires.
 WARNING:Donotreusesingle-useaccessories.
 WARNING:NoticeforCaliforniaCustomers-California
Proposition65WARNING:Thisproductcontainsa
chemicalknowntotheStateofCaliforniatocause
cancerandreproductiveordevelopmentalharm.

JB3000-INS-LAB-RevB14 8
CAUTION
 CAUTION:Prolongeduseofthesensororthepatient’s
conditionmayrequirechangingthesensorsite
periodically.Changethesensorsiteandcheckskin
integrity,circulatorystatus,andcorrectalignment
atleasteveryfourhours.Prolongedusemaycause
blisters,skindeterioration,anddiscomfort.
NOTICE
s NOTICE:Theoperatormustbethoroughlyfamiliar
withtheinformationinthismanualbeforeusingthe
device.
s NOTICE:Autoclaving,ethyleneoxidesterilizing,or
immersingtheoximeterorsensorinliquidmaycause
permanentdamageaswellasinaccuratereadings.
s NOTICE:Unplugthesensorfromthemonitorbefore
cleaningordisinfectingit.
s NOTICE:Ifliquidisaccidentallyspilledontheunit,
cleananddrythoroughlybeforereuse.

JB3000-INS-LAB-RevB14 9
Electromagnetic Compatibility
This oximeter is designed and tested in compliance with
the EMC standard, complying with the international
standard for the EMC of the medical electrical device —
IEC 60601-1-2. However, because of the proliferation
of radio frequency transmitting equipment and other
sources of electrical noise in the health-care and home
environments (e.g. cellular phones, mobile two-way
radios, electrical appliances) it is possible that high levels
of such interference due to close proximity or strength of
a source, may result in disruption of performance of this
device.
This apparatus complies with the IEC 60601-1-2
international standard. The requirements of this
international standard are: CISPR11, GROP1, and CLASS B.
Equipment Classication According to IEC 60601-1
Type of protection against
electrical shock
Internal electrical power source equipment
Degree of protection against
electrical shock
Type BF equipment
Degree of protection against
harmful ingress of water
Ordinary equipment (enclosed equipment
without protection against ingress of water)
Method of sterilization or
disinfection
Non-sterilizable; use liquid surface
disinfectants only
Mode of operation Continuous operation
WARNING:This equipment is not suitable for use in the presence
of a ammable anesthetic mixture or with oxygen or nitrous oxide.

JB3000-INS-LAB-RevB14 10
3 SETUP
OUTER VIEW
Front View
signalstrengthindicator
pulseplethbar
SPO2display
functionkey
sensorinterface
pulseratedisplay
settingkey
Rear View

JB3000-INS-LAB-RevB14 11
OXIMETER SETUP
Install the Batteries
The oximeter can be powered by two AA alkaline
batteries, which will typically provide 50 hours of
normal operation, or by optional rechargeable batteries
(NiMH or Li).
When battery power is lower than 2.4V, “ ” will icker in
the display area. Replace the batteries, as shown above,
as soon as possible.
Ensure the batteries are inserted with the correct
polarity, as indicated by polarity marking (+ and -) inside
the battery compartment.
Connect the Sensor
Connect the oximeter sensor to the top of the oximeter as
shown above. Ensure that the sensor is rmly plugged in.

JB3000-INS-LAB-RevB14 12
4 OPERATION
MONITORING
Position the Finger
Clip the sensor to the patient’s nger and ensure the
patient’s nail surface is facing upward as shown above.
Power On the Oximeter
Press the function (left) key to power the oximeter on.
Several seconds later, the measurement value will appear.
Info:Tomaintainthehighestdegreeofaccuracy,keepthe
ngerandoximetersensorasstillaspossible.
Adjust the Brightness
When you press the function key for longer than one
second, the brightness level will display on the top right
of the screen as shown above. Adjust the brightness level
one level at a time by pressing the setting key. There are
10 levels of brightness (1 - 10); the default is level four, as
shown above.

JB3000-INS-LAB-RevB14 13
Switch the Display Graph Mode
a b c
After turning on the oximeter, each time the function
key is pressed, the oximeter will switch to another
display GRAPH MODE, shown above, described in
5 DETAILED OPERATION — SETTINGS .
FACTORS THAT MAY AFFECT MEASUREMENT
 CAUTION:Tissuedamagecanbecausedbyincorrect
operationorsensormisuse;forexample,bywrapping
thesensortootightly.Inspectthesensorsiteto
ensuretheskin’sintegrityandthattheadhesion
positionofthesensoriscorrect.Morefrequent
inspectionshouldbetakenifnecessary.
s NOTICE:UseonlySpO2sensorsprovidedbyGF
HealthProducts,Inc.OtherSpO2sensorsmaycause
improperperformance.
s NOTICE:DonotuseanSpO2sensorwithexposed
opticalcomponents.
During operation, the accuracy of oximetry readings can
be affected by the following factors:
Pulsatile Character of the Artery
Instrument performance depends on the pulsatile
character of the artery. The measurement would not
be considered reliable and accurate if the following
conditions are present during measurement.
• Shock or cardiac arrest

JB3000-INS-LAB-RevB14 14
• Temperature of the digit
• After the administration of a cardiovascular drug
• Anemia
• Evidence of ventilation-perfusion mismatch
Wavelength Absorption for Oxyhemoglobin and
Deoxyhemoglobin
Instrument performance depends on the wavelength
absorption for oxyhemoglobin and deoxyhemoglobin. If
there are substances absorbing the same wavelength, this
would induce false or low SpO2 values. The following may
affect these values:
• Carboxyhemoglobin
• Methemoglobin
• Methylene blue
• Indigo carmine
Extremely High Illumination / High Ambient Light
Extremely high illumination, especially sunlight, could
affect measurement. Use a semi-translucent or opaque
cover to shield the sensor.
Other Factors That May Affect Measurements
• High-frequency electrosurgical interference from
external devices, including debrillators
• Operation of this device in an electromagnetic
eld
• Placement of a sensor on an extremity that
currently has a blood pressure cuff, arterial
catheter, or intravascular line installed
• Installing SpO2 and NIBP measurement on the
same arm at the same time

JB3000-INS-LAB-RevB14 15
• Optical cross-talk that can occur when two or
more sensors are located in adjoining areas (it can
be eliminated by covering each site with opaque
material)
• The patient has hypotension, severe
vasoconstriction, severe anemia, or hypothermia
• An arterial occlusion proximal to the sensor
• Dyes introduced into the bloodstream, such
as methylene blue, indocyanine green, indigo
carmine, and uorescein
• Any condition that restricts blood ow, such
as use of a blood pressure cuff or extremes in
systemic vascular resistance
• Fingernail polish or articial ngernails
• Excessive patient movement
• Obstructions or dirt on the sensor’s red light or
detector may cause a sensor failure; ensure there
are no obstructions and the sensor is clean
Loss of Pulse Signal
Loss of pulse signal can occur in any of the following
situations:
• The sensor is too tight
• There is excessive illumination from light sources
such as a surgical lamp, a bilirubin lamp, or
sunlight
• A blood pressure cuff is inated on the same
extremity as the one to which an SpO2 sensor is
attached

JB3000-INS-LAB-RevB14 16
5 DETAILED OPERATION — SETTINGS
GRAPH MODE DISPLAY
This device uses an LCD (Liquid Crystal Display) for a
readout. It displays, in graph form, the SpO2 and pulse
rate (PR) value, as well as a pulse column and SpO2
waveform. Illustrations of the three GRAPH MODES and
their descriptions follow.
a b c
a Figure a shows FILLED WAVEFORM GRAPH MODE.
b Figure b shows LINE WAVEFORM GRAPH MODE indicating
SpO2% trend.
c Figure c shows PULSE COLUMN GRAPH MODE. This is
used for signal identication and quality indication
during motion and low signal to noise situations.
The column rises and falls with the pulse, its height
indicating signal quality. When the column is very low,
the SpO2 and pulse rate values may be suspect. Signal
strength indicates arterial pulse signal strength and
may be used as a diagnostic tool during low perfusion
for the accurate prediction of illness severity. The
column is highest when the quality of the perfusion
state is best and lowest when the perfusion is poor.
• SpO2: Percent oxygen saturation value displayed
above is 98%.
• PR: Pulse rate value displayed above is 72 BPM.
• PR tone modulation: Beeps in sync with patient’s pulse,
even under most challenging patient motion conditions.

JB3000-INS-LAB-RevB14 17
MODE INTRODUCTION
There are three display modes: MEASURE MODE,
INFORMATION DISPLAY MODE and TROUBLE DISPLAY MODE.
Display Mode Descriptions
1. MEASURE MODE: The sensor is plugged into the
oximeter correctly, the nger is properly positioned in
the sensor, and the oximeter is in MEASURE MODE for
both SpO2 and PR.
2. INFORMATION DISPLAY MODE: The system is unable to
enter MEASURE MODE because either of the following
conditions exists:
a. The sensor is not plugged into the oximeter, in
which case “Probe off” will display, or
b. The sensor is plugged into the oximeter but the
nger is not in the sensor, in which case “Finger
off” will display, and
The oximeter will automatically power off if
INFORMATION DISPLAY MODE (either condition a or b
above) lasts for longer than eight seconds.
3. TROUBLE DISPLAY MODE: In this mode (failure state),
the oximeter will display error information, and will
automatically power off if TROUBLE DISPLAY MODE
lasts for longer than eight seconds. For error
information details and denitions, please refer to
TROUBLESHOOTING section.
Key Denition
There are two keys on the oximeter’s front face:
Function Key (left) and Setting Key (right).
1. Function Key: This key acts as a Power On switch
when the unit is off. When the unit is on, it acts as a
function key.

JB3000-INS-LAB-RevB14 18
2. Setting Key: This key has no function when the power
is off. When the unit is on, it acts as a setting key.
Key Press Denition
There are three ways to press the keys:
1. Press: Press and release the key quickly (for less than
one second).
2. Double Press: Press and release the key twice quickly
(less than 0.5 second between the two press actions).
3. Extended Press: Press the key for more than 1.5
seconds before releasing.
KEY FUNCTIONS
Power On/Off
Press the function key to power on.
The oximeter will power off automatically if either
INFORMATION DISPLAY MODE or TROUBLE DISPLAY MODE lasts
for longer than 8 seconds.
Graph Mode Setting
The GRAPH MODE selection can be performed only
while in MEASURE MODE or INFORMATION DISPLAY MODE.
By pressing the function key or setting key, the
GRAPH MODE may be changed sequentially between
FILLED WAVEFORM GRAPH MODE, LINE WAVEFORM GRAPH MODE
and PULSE COLUMN GRAPH MODE, as shown in
5 DETAILED OPERATION — SETTINGS. Once you select a
GRAPH MODE, the oximeter will display it until you select a
different GRAPH MODE.
Setting Mode
Entering or exiting SETTING MODE can be done only while
in INFORMATION DISPLAY MODE. You can set Brightness,
Patient ID, Date and Time while in SETTING MODE. Current

JB3000-INS-LAB-RevB14 19
parameter and data will display at the top right corner
which is used to display PR. The parameters eligible for
adjustment display as follows:
Order Symbol Setting Adjustment Range
1 Br Brightness 1 - 10
2 ID Patient ID 1 - 10
3 Y Year 0 - 99
4 M Month 1 - 12
5 D Day 1 - 31
6 H Hour 0 - 23
7 M Minute 0 - 59
8 S Second 0 - 59
1. To enter SETTING MODE:
a) While in INFORMATION DISPLAY MODE, extended-
press the function key (for more than one second);
the oximeter will enter SETTING MODE and display a
parameter’s title and value in the top right corner.
b) While in SETTING MODE, press the function key
repeatedly; the current parameter will change
sequentially in the same order as above table.
Info:DonotinsertngerwhileinSETTING MODE.
2. To adjust parameter, save and exit from SETTING MODE:
a) While in SETTING MODE, press the function key to
select the desired parameter to set.
b) Press the setting key to adjust the value.
Each time you press the setting key, the current
parameter value will increase by 1 unit.
Double press the setting key to increase the current
parameter by 10 units. All use circular logic.

JB3000-INS-LAB-RevB14 20
c) To nish and save parameter setting, press both
function and setting keys simultaneously to
conrm. The modication will be saved and the
system will exit SETTING MODE.
Info:
• Onlyoneparametercanbeadjustedatatime.You
mustrepeatsteps2.a-ctonisheachparameter’s
setup.
• Parameteradjustmentonlycanbeperformedwhilein
SETTING MODEduringINFORMATION DISPLAY MODE.
3. To cancel and exit SETTING MODE:
a) While in SETTING MODE, double-press the
function key; the modication performed during
SETTING MODE will be canceled and the system will
exit from SETTING MODE, or
b) If there is no operation for more than 10 seconds
while in SETTING MODE, the system will exit
SETTING MODE automatically without saving.
DATA REPLAY AND TRANSMISSION (OPTIONAL)
The oximeter can record SpO2 and PR value for more than
24 hours, and can analyze records one by one.
You can transmit the history data to a PC using optional
MedView™ software and a special data cable, available
from your Graham-Field authorized distributor. For
detailed setup and operation, please refer to the
MedView™ operation manual.
Info:transmissionsoftwareanddatacablearenot
standardaccessories.ContactyourGFdistributorfor
purchase.