Masimo EMMA User manual

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Important user information
All users must read this entire manual to fully
understand the safe use of EMMA.
Declaration of conformity
0413
Complies with 93/42/EEC Medical Device Directive.
FDA Approval reference number K072813 and
K063167.
Safety notices
This user manual contains Warning notices and
Caution notices. These notices shall be followed.
WARNING ! Warnings indicate a potential harmful
condition that can possibly lead to injury or death.
CAUTION
! Cautions indicate conditions which may
lead to the damage or malfunction of the device.
NOTE!
Alert the user to relevant facts and
conditions.
Liability
Masimo Sweden AB shall in no event be liable for any
direct, indirect, special or consequential damages,
including without limitation, loss of profits, income,
information, or use of the product, business interruption,
other related damages, however caused, arising from
the use of the product described in this manual.
Disclaimer
Masimo Sweden AB guarantees that the product
delivered has been tested to ensure that it meets its
published specifications.
Warranty
Please contact your local distributor for details
regarding warranty and product returns.
Use of the product for other than its intended use, or if it
is repaired by anyone except Masimo Sweden AB or a
Masimo authorized service center, or altered or
modified or used without following the instructions
provided with the product, voids the warranty.
Patents
Masimo holds the following patents regarding
products described in this manual: SE519766;
SE519779; SE523461; SE524086. Other patents
pending.
Trademarks
Masimo EMMA and Masimo XTP Windows are
trademarks of Masimo Corporation.
Copyright
This document contains proprietary information
that is protected by copyright. All rights are
reserved. No part of this document may be
photocopied, reproduced or translated to another
language without prior written consent of Masimo
Sweden AB.
All Rights Reserved. © 2013 Masimo Sweden AB
Contact information
Masimo Sweden AB
Svärdvägen 15
SE-182 33 Danderyd
Sweden
Telephone: [phone]
Fax: [phone]
Web site: www.masimo.com
e-mail: [e-mail]
The information in this document is subject to
change without notice.
Article no: 0000-8114
Edition: 07
Released: April 2014
Revision history
Edition Date Description
07 April 2014 Zeroing alarm added, section 6 updated. Section 8: Updated for compliance with IEC 60601-1 3
rd
Ed.
and 80601-2-55.
06 February 2014
Warning “No modification allowed” added. Section 5.3.1 and 5.3.2: tables updated. Section 8.1: Drift of
measurement accuracy added. Limits for Alarm sound intensity level modified.
05
October 2013
Section 5.3.1 updated.
04
October 2013
Color change and minor updates.
03 April 2013
EMMA Analyzer removed (EOL). Revised for EMMA Emergency Capnograph and company name
change.
MEDICAL – GENERAL
MEDICAL EQUIPMENT AS TO
ELECTRICAL SHOCK, FIRE
AND MECHANICAL HAZARDS
ONLY IN ACCORDANCE WITH
ANSI/AAMI ES60601-1 (2005)
and CAN/CSA-C22.2 No.
60601-1 (2008)
3JSV
2014

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Contents
1 INTENDED USE............................................................................................................................. 4
2 SAFETY INFORMATION ............................................................................................................... 5
2.1 WARNINGS................................................................................................................................ 5
2.2 CAUTIONS................................................................................................................................. 6
2.3 NOTES ..................................................................................................................................... 6
2.4 SYMBOL DESCRIPTION ................................................................................................................ 7
3 3 DEVICE DESCRIPTION............................................................................................................. 9
3.1 EMMA CAPNOGRAPH OVERVIEW ................................................................................................ 9
3.2 PRINCIPLE OF OPERATION......................................................................................................... 10
3.2.1 EMMA Airway Adapter.................................................................................................... 11
4 PREPARATIONS FOR USE......................................................................................................... 12
4.1 SETTING UP ............................................................................................................................ 12
4.2 STARTING UP .......................................................................................................................... 13
4.3 SWITCHING OFF ....................................................................................................................... 13
4.4 CONNECTING THE EMMA CAPNOGRAPH TO A TUBE OR A MASK .................................................... 14
5 USER INTERFACE ...................................................................................................................... 15
5.1 CONTROLS.............................................................................................................................. 15
5.2 MONITORING ........................................................................................................................... 15
5.2.1 ETCO2............................................................................................................................ 15
5.2.2 Respiratory Rate............................................................................................................. 15
5.2.3 Capnogram .................................................................................................................... 15
5.3 INDICATORS AND ALARMS ......................................................................................................... 16
5.3.1 Alarm signals.................................................................................................................. 16
5.3.2 Default limits for alarms .................................................................................................. 17
5.3.3 Alarm silence.................................................................................................................. 17
5.3.4 Battery Status Indicator................................................................................................... 18
5.3.5 Adjusting the ETCO2alarm limits .................................................................................... 18
6 EMMA AND ACCESSORIES ....................................................................................................... 20
7 MAINTENANCE AND SERVICE .................................................................................................. 21
7.1 BATTERY REPLACEMENT........................................................................................................... 21
7.2 CLEANING ............................................................................................................................... 21
7.3 EMMA AIRWAY ADAPTER......................................................................................................... 21
7.4 ZEROING PROCEDURE .............................................................................................................. 22
7.5 GAS SPAN CHECK .................................................................................................................... 22
7.6 TROUBLESHOOTING ................................................................................................................. 23
7.7 SERVICE AND PRODUCT RETURN REQUIREMENTS ........................................................................ 23
8 TECHNICAL SPECIFICATIONS .................................................................................................. 23
8.1 GENERAL SPECIFICATIONS........................................................................................................ 24
8.2 ELECTROMAGNETIC COMPATIBILITY (EMC)................................................................................. 26
8.3 COMPLIANCE........................................................................................................................... 30
8.4 CLASSIFICATIONS .................................................................................................................... 30
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Contents
1 INTENDED USE............................................................................................................................. 4
2 SAFETY INFORMATION ............................................................................................................... 5
2.1 WARNINGS................................................................................................................................ 5
2.2 CAUTIONS................................................................................................................................. 6
2.3 NOTES ..................................................................................................................................... 6
2.4 SYMBOL DESCRIPTION ................................................................................................................ 7
3 3 DEVICE DESCRIPTIO
N................................
............................................................................. 9
3.1 EMMA CAPNOGRAPH OVERVIEW ................................................................................................ 9
3.2 PRINCIPLE OF OPERATION......................................................................................................... 10
3.2.1 EMMA Airway Adapter.................................................................................................... 11
4 PREPARATIONS FOR USE......................................................................................................... 12
4.1 SETTING UP ............................................................................................................................ 12
4.2 STARTING UP .......................................................................................................................... 13
4.3 SWITCHING OFF ....................................................................................................................... 13
4.4 CONNECTING THE EMMA CAPNOGRAPH TO A TUBE OR A MASK .................................................... 14
5 USER INTERFACE ...................................................................................................................... 15
5.1 CONTROLS.............................................................................................................................. 15
5.2 MONITORING ........................................................................................................................... 15
5.2.1 ETCO2............................................................................................................................ 15
5.2.2 Respiratory Rate............................................................................................................. 15
5.2.3 Capnogram .................................................................................................................... 15
5.3 INDICATORS AND ALARMS ......................................................................................................... 16
5.3.1 Alarm signals.................................................................................................................. 16
5.3.2 Default limits for alarms .................................................................................................. 17
5.3.3 Alarm silence.................................................................................................................. 17
5.3.4 Battery Status Indicator................................................................................................... 18
5.3.5 Adjusting the ETCO2alarm limits .................................................................................... 18
6 EMMA AND ACCESSORIES ....................................................................................................... 20
7 MAINTENANCE AND SERVICE .................................................................................................. 21
7.1 BATTERY REPLACEMENT........................................................................................................... 21
7.2 CLEANING ............................................................................................................................... 21
7.3 EMMA AIRWAY ADAPTER......................................................................................................... 21
7.4 ZEROING PROCEDURE .............................................................................................................. 22
7.5 GAS SPAN CHECK .................................................................................................................... 22
7.6 TROUBLESHOOTING ................................................................................................................. 23
7.7 SERVICE AND PRODUCT RETURN REQUIREMENTS ........................................................................ 23
8 TECHNICAL SPECIFICATIONS .................................................................................................. 23
8.1 GENERAL SPECIFICATIONS........................................................................................................ 24
8.2 ELECTROMAGNETIC COMPATIBILITY (EMC)................................................................................. 26
8.3 COMPLIANCE........................................................................................................................... 30
8.4 CLASSIFICATIONS .................................................................................................................... 30

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1 Intended use
EMMA measures, displays and monitors carbon dioxide partial pressure and respiratory rate during
anesthesia, recovery and respiratory care. It may be used in the operating suite, intensive care unit,
patient room, clinic, emergency medicine and emergency transport settings for adult, pediatric and infant
patients.

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2 Safety information
Adhere to the following warnings, cautions and notes for safe operation of EMMA.
2.1 Warnings
WARNING! EMMA should only be used for the purpose and in the manner described in this
manual.
WARNING! EMMA is intended for use by authorized health care professionals only.
WARNING! EMMA must not be used with flammable anesthetic agents.
WARNING! Use only EMMA Airway Adapters manufactured by Masimo.
WARNING! No modification of the EMMA probe or the EMMA Airway Adapters is allowed.
WARNING! EMMA Airway Adapters shall not be reused. Reuse of single use Adapters can
cause cross infection. Used Airway Adapters shall be disposed of in accordance with local
regulations for medical waste.
WARNING! Do not use the EMMA Adult/Pediatric Airway Adapter with infants as the Adapter
adds 6 ml dead space to the patient circuit.
WARNING! Do not use the EMMA Infant Airway Adapter with adults as this may cause
excessive flow resistance.
WARNING! Measurements can be affected by mobile phones and RF communications
equipment. It should be assured that EMMA is used in the specified electromagnetic
environment.
WARNING! EMMA is intended only as an adjunct in patient assessment. It shall be used in
conjunction with the assessment of clinical signs and symptoms.
WARNING! If EMMA is used with a respirator or with harmful gases such as N2O, always
perform a pre-use tightness check of the patient circuit.
WARNING! Light transmission can be affected by secretions and moisture pooling on the
EMMA Airway Adapter XTPTM windows. When using heated humidifiers special care should be
paid to position the Airway Adapter in a vertical position and to change Airway Adapter if
necessary.
WARNING! Do not use EMMA with nebulized medications as this may affect the light
transmission of the EMMA Airway Adapter windows.
WARNING! Audible alarm of any monitor may not be heard in some loud environments, such
as when sirens are in use and the care provider is more distant from the alarm source. Alarm
volume should be tested with the extremes of your noise environment to confirm ability or
limitations to hear an alarm in all circumstances of the environment.

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WARNING! Replace batteries immediately when the Battery Status Indicator starts blinking.
Remaining battery time depends on battery type and other circumstances and cannot be
reliably predicted. The remaining lifetime for lithium batteries may be significantly less than 30
minutes when the Battery Status Indicator starts blinking.
WARNING! Lithium batteries may present a fire or chemical burn hazard if mistreated. Do not
disassemble, heat above 100C (212F) or incinerate. Dispose of used cell promptly. Keep
away from children.
WARNING! Use only Alkaline or Energizer Ultimate Lithium L92 batteries. Use of other Lithium
batteries may present a risk of fire or explosion.
2.2 Cautions
CAUTION! If EMMA is used in a manner other than that for which it was intended, unpredictable
behavior could result.
CAUTION! The EMMA Airway Adapters are non-sterile devices. Do not autoclave the devices as this
will damage them.
CAUTION! Never sterilize or immerse EMMA in liquid.
CAUTION! Do not operate EMMA at ambient temperatures less than -5°C (23°F) or greater than
50°C (122°F).
CAUTION! Federal law restricts this device to sale by or on the order of a physician.
CAUTION! Remove batteries if EMMA is not likely to be used for a period of time longer than 90 days.
2.3 Notes
NOTE! Throughout this User’s Manual:
EMMA Airway Adapter refers to both Airway Adapter Adult/Pediatric and Airway Adapter Infant if not
otherwise mentioned.
NOTE! A trained medical professional must determine the proper EMMA Airway Adapter model for
each patient application. No hardware or software configuration changes result from the EMMA
Airway Adapter model selected.
NOTE! The alarm limits will be reset to default values after power off.
NOTE! Always carry spare batteries in the EMMA pouch.
NOTE! The presence of ambient air (0% CO2) in the EMMA Airway Adapter is of crucial importance
for a successful Zeroing. Special care should be taken to avoid breathing near the EMMA Airway
Adapter before or during the Zeroing procedure.
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WARNING! Replace batteries immediately when the Battery Status Indicator starts blinking.
Remaining battery time depends on battery type and other circumstances and cannot be
reliably predicted. The remaining lifetime for lithium batteries may be significantly less than 30
minutes when the Battery Status Indicator starts blinking.
WARNING! Lithium batteries may present a fire or chemical burn hazard if mistreated. Do not
disassemble, heat above 100C (212F) or incinerate. Dispose of used cell promptly. Keep
away from children.
WARNING! Use only Alkaline or Energizer Ultimate Lithium L92 batteries. Use of other Lithium
batteries may present a risk of fire or explosion.
2.2 Cautions
CAUTION! If EMMA is used in a manner other than that for which it was intended, unpredictable
behavior could result.
CAUTION! The EMMA Airway Adapters are non-sterile devices. Do not autoclave the devices as this
will damage them.
CAUTION! Never sterilize or immerse EMMA in liquid.
CAUTION! Do not operate EMMA at ambient temperatures less than -5°C (23°F) or greater than
50°C (122°F).
CAUTION! Federal law restricts this device to sale by or on the order of a physician.
CAUTION! Remove batteries if EMMA is not likely to be used for a period of time longer than 90 days.
2.3 Notes
NOTE! Throughout this User’s Manual:
EMMA Airway Adapter refers to both Airway Adapter Adult/Pediatric and Airway Adapter Infant if not
otherwise mentioned.
NOTE! A trained medical professional must determine the proper EMMA Airway Adapter model for
each patient application. No hardware or software configuration changes result from the EMMA
Airway Adapter model selected.
NOTE! The alarm limits will be reset to default values after power off.
NOTE! Always carry spare batteries in the EMMA pouch.
NOTE! The presence of ambient air (0% CO
2
) in the EMMA Airway Adapter is of crucial importance
for a successful Zeroing. Special care should be taken to avoid breathing near the EMMA Airway
Adapter before or during the Zeroing procedure.
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Symbol
Title
Explanation
solid foreign objects.
Rx only
Caution (U.S.): Federal law restricts this device to
sale by or on the order of a licensed healthcare
practitioner.
Power on button
Alarm silence button
Zero-point adjustment
Indicating that an offset in gas readings is
discovered and performing zeroing is required.
See ch 7.4.

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Symbol
Title
Explanation
solid foreign objects.
Rx only
Caution (U.S.): Federal law restricts this device to
sale by or on the order of a licensed healthcare
practitioner.
Power on button
Alarm silence button
Zero-point adjustment
Indicating that an offset in gas readings is
discovered and performing zeroing is required.
See ch 7.4.
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Symbol
Title
Explanation
solid foreign objects.
Rx only
Caution (U.S.): Federal law restricts this device to
sale by or on the order of a licensed healthcare
practitioner.
Power on button
Alarm silence button
Zero-point adjustment
Indicating that an offset in gas readings is
discovered and performing zeroing is required.
See ch 7.4.

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4 Preparations for use
4.1 Setting up
Unpack and inspect the EMMA Capnograph for external damage. Please contact your local distributor in
case of damage.
1. Press the Battery Cover release button into the EMMA Sensor Body until the Battery Cover pops
off.
Figure 4. Releasing the Battery Cover
2. Open the battery compartment and insert two (2) AAA batteries. Make sure the batteries are
fitted according to the indicated polarity. After battery installation, snap the Battery Cover back
into place.
Figure 5. Inserting batteries
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4 Preparations for use
4.1 Setting up
Unpack and inspect the EMMA Capnograph for external damage. Please contact your local distributor in
case of damage.
1. Press the Battery Cover release button into the EMMA Sensor Body until the Battery Cover pops
off.
Figure 4. Releasing the Battery Cover
2. Open the battery compartment and insert two (2) AAA batteries. Make sure the batteries are
fitted according to the indicated polarity. After battery installation, snap the Battery Cover back
into place.
Figure 5. Inserting batteries
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4 Preparations for use
4.1 Setting up
Unpack and inspect the EMMA Capnograph for external damage. Please contact your local distributor in
case of damage.
1. Press the Battery Cover release button into the EMMA Sensor Body until the Battery Cover pops
off.
Figure 4. Releasing the Battery Cover
2. Open the battery compartment and insert two (2) AAA batteries. Make sure the batteries are
fitted according to the indicated polarity. After battery installation, snap the Battery Cover back
into place.
Figure 5. Inserting batteries

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4.2 Starting up
1. Snap the EMMA Airway Adapter into the EMMA Capnograph. It will click into place when
properly inserted.
2. Press the Power On button.
3. When the EMMA Capnograph is ready the ETCO2value is zero.
The audible alarm sound may be checked by detaching the EMMA Airway Adapter to generate a “No
Adapter” alarm.
When the EMMA Capnograph is ready the ETCO2Value indicates “0”and the Respiratory Rate Value
indicates “- -“.
If the ETCO2Value is non-zero, ensure that there has not been an accumulation of CO2between the
EMMA Sensor Body and the EMMA Airway Adapter by removing and reattaching the EMMA Airway
Adapter. If the ETCO2Value still displays a non-zero value after this procedure, perform a Zeroing
procedure as described in chapter 7.4 prior to using the EMMA Capnograph with a patient.
4.3 Switching off
The EMMA Capnograph switches off automatically 15 seconds after that the EMMA Airway Adapter is
removed or 2 minutes after a No Breath condition is detected and the Alarm Silence button is pressed.
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4.2 Starting up
1. Snap the EMMA Airway Adapter into the EMMA Capnograph. It will click into place when
properly inserted.
2. Press the Power On button.
3. When the EMMA Capnograph is ready the ETCO2value is zero.
The audible alarm sound may be checked by detaching the EMMA Airway Adapter to generate a “No
Adapter” alarm.
When the EMMA Capnograph is ready the ETCO2Value indicates “0”and the Respiratory Rate Value
indicates “- -“.
If the ETCO2Value is non-zero, ensure that there has not been an accumulation of CO2between the
EMMA Sensor Body and the EMMA Airway Adapter by removing and reattaching the EMMA Airway
Adapter. If the ETCO2Value still displays a non-zero value after this procedure, perform a Zeroing
procedure as described in chapter 7.4 prior to using the EMMA Capnograph with a patient.
4.3 Switching off
The EMMA Capnograph switches off automatically 15 seconds after that the EMMA Airway Adapter is
removed or 2 minutes after a No Breath condition is detected and the Alarm Silence button is pressed.
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4.2 Starting up
1. Snap the EMMA Airway Adapter into the EMMA Capnograph. It will click into place when
properly inserted.
2. Press the Power On button.
3. When the EMMA Capnograph is ready the ETCO2value is zero.
The audible alarm sound may be checked by detaching the EMMA Airway Adapter to generate a “No
Adapter” alarm.
When the EMMA Capnograph is ready the ETCO2Value indicates “0”and the Respiratory Rate Value
indicates “- -“.
If the ETCO2Value is non-zero, ensure that there has not been an accumulation of CO2between the
EMMA Sensor Body and the EMMA Airway Adapter by removing and reattaching the EMMA Airway
Adapter. If the ETCO2Value still displays a non-zero value after this procedure, perform a Zeroing
procedure as described in chapter 7.4 prior to using the EMMA Capnograph with a patient.
4.3 Switching off
The EMMA Capnograph switches off automatically 15 seconds after that the EMMA Airway Adapter is
removed or 2 minutes after a No Breath condition is detected and the Alarm Silence button is pressed.
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4.2 Starting up
1. Snap the EMMA Airway Adapter into the EMMA Capnograph. It will click into place when
properly inserted.
2. Press the Power On button.
3. When the EMMA Capnograph is ready the ETCO2value is zero.
The audible alarm sound may be checked by detaching the EMMA Airway Adapter to generate a “No
Adapter” alarm.
When the EMMA Capnograph is ready the ETCO2Value indicates “0”and the Respiratory Rate Value
indicates “- -“.
If the ETCO2Value is non-zero, ensure that there has not been an accumulation of CO2between the
EMMA Sensor Body and the EMMA Airway Adapter by removing and reattaching the EMMA Airway
Adapter. If the ETCO2Value still displays a non-zero value after this procedure, perform a Zeroing
procedure as described in chapter 7.4 prior to using the EMMA Capnograph with a patient.
4.3 Switching off
The EMMA Capnograph switches off automatically 15 seconds after that the EMMA Airway Adapter is
removed or 2 minutes after a No Breath condition is detected and the Alarm Silence button is pressed.

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4.4 Connecting the EMMA Capnograph to a tube or a mask
The EMMA Capnograph can be connected to a patient in different ways. The following pictures illustrate
two methods of connection.
Figure 7. EMMA Capnograph connected to an endotracheal tube.
Figure 8. EMMA Capnograph connected to a mask
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4.4 Connecting the EMMA Capnograph to a tube or a mask
The EMMA Capnograph can be connected to a patient in different ways. The following pictures illustrate
two methods of connection.
Figure 7. EMMA Capnograph connected to an endotracheal tube.
Figure 8. EMMA Capnograph connected to a mask
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4.4 Connecting the EMMA Capnograph to a tube or a mask
The EMMA Capnograph can be connected to a patient in different ways. The following pictures illustrate
two methods of connection.
Figure 7. EMMA Capnograph connected to an endotracheal tube.
Figure 8. EMMA Capnograph connected to a mask

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5.3 Indicators and alarms
The EMMA Capnograph is equipped with an Alarm Status Indicator and an audible alarm that may be
silenced for a period of 2 minutes.
5.3.1 Alarm signals
When an alarm is triggered, an Alarm Satus Indicator in the lower right corner of the display is lit with a
steady or blinking yellow light depending on alarm priority, together with an audible alarm beep ((()))
according to the following table:
Alarm at t = 0
Alarm Priority: Low
at t = 20
Alarm Priority: Low
t = 40, 60, 80, ...
Alarm Priority: Medium
No Breath
((())) ((())) ((())) ((())) ((())) ((()))
Low ETCO2
n/a
High ETCO2
Clogged Adapter
((()))
n/a
No Adapter
((()))
Zero point
adjustment
((()))
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Note: t = 0 is defined as the time when the alarm condition first is indicated. t = 40, 60, 80, ... shall be
interpreted as "40 sec later than t = 0", "60 sec later than t = 0", "80 sec later than t = 0" etc.
Active alarms are further displayed according to the following table:
Alarm Screen ETCO2 Value RR Value
No Breath NORMAL value steady
1)
"- -" flashing
2)
Low ETCO2NORMAL value flashing value steady
High ETCO2NORMAL value flashing value steady
Clogged Adapter ADAPTER n/a n/a
No Adapter ADAPTER n/a n/a
Zero point adjustment
3)
NORMAL value steady value steady
Note 1: ETCO2value shows momentary CO2during No Breath.
Note 2: RR value will show "- -" steady if no breath at all detected from power on.
Note 3: Perform Zeroing procedure as described in chapter 7.4.
5.3.2 Default limits for alarms
The default factory settings for the No Breath and the Low/High ETCO2alarms are as follows:
Lower Limit Upper Limit
RR (No Breath) 3 bpm (20 s) -
Low/High ETCO2OFF 50 mmHg (7.0 kPa)
5.3.3 Alarm silence
The audible alarm can be muted for 2 minutes by pressing the Alarm
Silence button. When the audible alarm is muted the yellow silence alarm
indicator in the bottom right corner of the display, i.e. the Alarm Status
Silence Indicator, will be lit.
Pressing the Alarm Silence button again during the 2 minutes mute period
will reactivate the audible alarm.
If a No Breath alarm is muted by pressing the Alarm Silence button, the
EMMA Capnograph will automatically switch off after 2 minutes provided
that no new breaths are detected.
If the alarm disappears when the audible alarm is muted, the alarm icon
will turn green. Pressing the Alarm Silence button during no alarm will also
show a green silence alarm indicator in the bottom right corner of the
display.
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Note: t = 0 is defined as the time when the alarm condition first is indicated. t = 40, 60, 80, ... shall be
interpreted as "40 sec later than t = 0", "60 sec later than t = 0", "80 sec later than t = 0" etc.
Active alarms are further displayed according to the following table:
Alarm
Screen
ETCO2 Value
RR Value
No Breath
NORMAL
value steady 1)
"- -" flashing 2)
Low ETCO2
NORMAL
value flashing
value steady
High ETCO2
NORMAL
value flashing
value steady
Clogged Adapter
ADAPTER
n/a
n/a
No Adapter
ADAPTER
n/a
n/a
Zero point adjustment 3)
NORMAL
value steady
value steady
Note 1: ETCO2value shows momentary CO2during No Breath.
Note 2: RR value will show "- -" steady if no breath at all detected from power on.
Note 3: Perform Zeroing procedure as described in chapter 7.4.
5.3.2 Default limits for alarms
The default factory settings for the No Breath and the Low/High ETCO2alarms are as follows:
Lower Limit Upper Limit
RR (No Breath) 3 bpm (20 s) -
Low/High ETCO2OFF 50 mmHg (7.0 kPa)
5.3.3 Alarm silence
The audible alarm can be muted for 2 minutes by pressing the Alarm
Silence button. When the audible alarm is muted the yellow silence alarm
indicator in the bottom right corner of the display, i.e. the Alarm Status
Silence Indicator, will be lit.
Pressing the Alarm Silence button again during the 2 minutes mute period
will reactivate the audible alarm.
If a No Breath alarm is muted by pressing the Alarm Silence button, the
EMMA Capnograph will automatically switch off after 2 minutes provided
that no new breaths are detected.
If the alarm disappears when the audible alarm is muted, the alarm icon
will turn green. Pressing the Alarm Silence button during no alarm will also
show a green silence alarm indicator in the bottom right corner of the
display.
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Note: t = 0 is defined as the time when the alarm condition first is indicated. t = 40, 60, 80, ... shall be
interpreted as "40 sec later than t = 0", "60 sec later than t = 0", "80 sec later than t = 0" etc.
Active alarms are further displayed according to the following table:
Alarm
Screen
ETCO2 Value
RR Value
No Breath
NORMAL
value steady 1)
"- -" flashing 2)
Low ETCO2
NORMAL
value flashing
value steady
High ETCO2
NORMAL
value flashing
value steady
Clogged Adapter
ADAPTER
n/a
n/a
No Adapter
ADAPTER
n/a
n/a
Zero point adjustment 3)
NORMAL
value steady
value steady
Note 1: ETCO2value shows momentary CO2during No Breath.
Note 2: RR value will show "- -" steady if no breath at all detected from power on.
Note 3: Perform Zeroing procedure as described in chapter 7.4.
5.3.2 Default limits for alarms
The default factory settings for the No Breath and the Low/High ETCO2alarms are as follows:
Lower Limit
Upper Limit
RR (No Breath)
3 bpm (20 s)
-
Low/High ETCO2
OFF
50 mmHg (7.0 kPa)
5.3.3 Alarm silence
The audible alarm can be muted for 2 minutes by pressing the Alarm
Silence button. When the audible alarm is muted the yellow silence alarm
indicator in the bottom right corner of the display, i.e. the Alarm Status
Silence Indicator, will be lit.
Pressing the Alarm Silence button again during the 2 minutes mute period
will reactivate the audible alarm.
If a No Breath alarm is muted by pressing the Alarm Silence button, the
EMMA Capnograph will automatically switch off after 2 minutes provided
that no new breaths are detected.
If the alarm disappears when the audible alarm is muted, the alarm icon
will turn green. Pressing the Alarm Silence button during no alarm will also
show a green silence alarm indicator in the bottom right corner of the
display.

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5.3.4 Battery Status Indicator
The Battery Status Indicator is normally lit with a steady green light in the upper right corner of the
display (Battery OK). When batteries are low, the Battery Status Indicator starts blinking (approximately
30 minutes before depletion for alkaline batteries).
Battery OK
Battery low
(Blinking)
There will be an audible tone beep repeated every 80 seconds when batteries are low.
The terminal voltage of alkaline batteries recovers when the batteries are not in use. The remaining time
prediction is thus unreliable during the first period after power on. Nearly depleted batteries may still be
able to provide a voltage above the threshold for battery low indication, even if the internal battery
resistance is too high to provide sufficient current to start up the device next time the power on button is
activated.
To extend battery life time the EMMA display has an automatic brightness control which will be activated
during stable conditions. Any change in displayed vital parameters, alarm or pressing any button will
return the EMMA display to normal brightness.
5.3.5 Adjusting the ETCO2alarm limits
5.3.5.1 Adjusting the High ETCO2alarm limit
1. Press and hold the Alarm Silence button until the display shows the “Hi ETCO2 Screen”and the
ETCO2display shows the current high ETCO2alarm limit.
2. Release the button.
3. To adjust the alarm limit: press the Alarm Silence button (▲) to increase, or the Power On
button (▼) to decrease the value. It is possible to switch off the high ETCO2alarm by adjusting
the limit above 99 mmHg (9.9 kPa). The EMMA Capnograph will indicate this setting by showing
"- -" on the ETCO2display during the adjustment routine.
If no button has been activated for a short period of time, the EMMA Capnograph will automatically
resume normal operation.
WARNING! Replace batteries immediately when the Battery Status Indicator starts blinking.
Remaining battery time depends on battery type and other circumstances and cannot be reliably
predicted. The remaining lifetime for lithium batteries may be significantly less than 30 minutes when
the Battery Status Indicator starts blinking.
WARNING! Lithium batteries may present a fire or chemical burn hazard if mistreated. Do not
disassemble, heat above 100C (212F) or incinerate. Dispose of used cells promptly. Keep away
from children.
WARNING! Use only Alkaline or Energizer Ultimate Lithium L92 batteries. Use of other Lithium
batteries may present a risk of fire or explosion.
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5.3.4 Battery Status Indicator
The Battery Status Indicator is normally lit with a steady green light in the upper right corner of the
display (Battery OK). When batteries are low, the Battery Status Indicator starts blinking (approximately
30 minutes before depletion for alkaline batteries).
Battery OK
Battery low
(Blinking)
There will be an audible tone beep repeated every 80 seconds when batteries are low.
The terminal voltage of alkaline batteries recovers when the batteries are not in use. The remaining time
prediction is thus unreliable during the first period after power on. Nearly depleted batteries may still be
able to provide a voltage above the threshold for battery low indication, even if the internal battery
resistance is too high to provide sufficient current to start up the device next time the power on button is
activated.
To extend battery life time the EMMA display has an automatic brightness control which will be activated
during stable conditions. Any change in displayed vital parameters, alarm or pressing any button will
return the EMMA display to normal brightness.
5.3.5 Adjusting the ETCO2alarm limits
5.3.5.1 Adjusting the High ETCO2alarm limit
1. Press and hold the Alarm Silence button until the display shows the “Hi ETCO2 Screen”and the
ETCO2display shows the current high ETCO2alarm limit.
2. Release the button.
3. To adjust the alarm limit: press the Alarm Silence button (▲) to increase, or the Power On
button (▼) to decrease the value. It is possible to switch off the high ETCO2alarm by adjusting
the limit above 99 mmHg (9.9 kPa). The EMMA Capnograph will indicate this setting by showing
"- -" on the ETCO2display during the adjustment routine.
If no button has been activated for a short period of time, the EMMA Capnograph will automatically
resume normal operation.
WARNING! Replace batteries immediately when the Battery Status Indicator starts blinking.
Remaining battery time depends on battery type and other circumstances and cannot be reliably
predicted. The remaining lifetime for lithium batteries may be significantly less than 30 minutes when
the Battery Status Indicator starts blinking.
WARNING! Lithium batteries may present a fire or chemical burn hazard if mistreated. Do not
disassemble, heat above 100C (212F) or incinerate. Dispose of used cells promptly. Keep away
from children.
WARNING! Use only Alkaline or Energizer Ultimate Lithium L92 batteries. Use of other Lithium
batteries may present a risk of fire or explosion.
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Figure 10.Adjusting the High and Low ETCO2alarm limits
5.3.5.2 Adjusting the Low ETCO2alarm limit
1. Press and hold the Power On button until the display shows the “Lo ETCO2 Screen”and the
ETCO2display shows the current low ETCO2alarm limit.
2. Release the button.
3. To adjust the alarm limit: press the Alarm Silence button (▲) to increase, or the Power On
button (▼) to decrease the value. It is possible to switch off the low ETCO2alarm by adjusting
the limit down to 0. The EMMA Capnograph will indicate this setting by showing "- -" on the
ETCO2display during the adjustment routine.
If no button has been activated for a short period of time, the EMMA Capnograph will automatically
resume normal operation.
5.3.5.3 Alarm limit adjustment ranges
The adjustment ranges for the ETCO2alarm limits are as follows:
Lower range Upper range
ETCO2displayed in mmHg OFF; 1 –89 mmHg 11 –99 mmHg; OFF
ETCO2displayed in kPa OFF; 0.1 –8.9 kPa 1.1 –9.9 kPa; OFF
If the high ETCO2limit is decreased close to the low ETCO2limit, the low limit will be automatically
adjusted in order to maintain a minimum difference of 10 mmHg (1.0 kPa) between the high and low
alarm limit. Similarly, if the low ETCO2limit is increased close to the high ETCO2limit, the high limit will
be automatically adjusted to maintain a minimum difference of 10 mmHg (1.0 kPa) between the high and
low alarm limit.
NOTE! The alarm limits will be reset to default values after power off.

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6 EMMA and accessories
Below is a list of device models, versions and approved accessories. For an up to date list of
accessories visit www.masimo.com
EMMA and accessories
Description
EMMA (kPa)
EMMA Emergency Capnograph (full-alarm, display in
kPa). Color: green
EMMA (mmHg)
EMMA Emergency Capnograph (full-alarm, display in
mmHg). Color: green
EMMA Capnometer (kPa)
EMMA Emergency Capnometer (full-alarm, display in
kPa). Color: orange
EMMA Capnometer (mmHg)
EMMA Emergency Capnometer (full-alarm, display in
mmHg). Color: orange
Kit EMMA (kPa)
Kit including EMMA Emergency Capnograph (kPa),
EMMA Pouch and EMMA Lanyard.
Kit EMMA (mmHg)
Kit including EMMA Emergency Capnograph (mmHg),
EMMA Pouch and EMMA Lanyard.
Kit EMMA Capnometer (kPa)
Kit including EMMA Emergency Capnometer (kPa),
EMMA Pouch and EMMA Lanyard.
Kit EMMA Capnometer (mmHg)
Kit including EMMA Emergency Capnometer (mmHg),
EMMA Pouch and EMMA Lanyard.
EMMA Airway Adapter Adult/Pediatric
EMMA Airway adapter is needed in order for EMMA to
provide readings.
EMMA Airway Adapter Infant
EMMA Airway adapter is needed in order for EMMA to
provide readings.
EMMA Pouch
Easy to carry pouch for safe storage of EMMA.
EMMA Lanyard
Lanyard attaches to EMMA to be carried around your
neck.
20 (31)
6 EMMA and accessories
Below is a list of device models, versions and approved accessories. For an up to date list of
accessories visit www.masimo.com
EMMA and accessories Description
EMMA (kPa) EMMA Emergency Capnograph (full-alarm, display in
kPa). Color: green
EMMA (mmHg) EMMA Emergency Capnograph (full-alarm, display in
mmHg). Color: green
EMMA Capnometer (kPa) EMMA Emergency Capnometer (full-alarm, display in
kPa). Color: orange
EMMA Capnometer (mmHg) EMMA Emergency Capnometer (full-alarm, display in
mmHg). Color: orange
Kit EMMA (kPa) Kit including EMMA Emergency Capnograph (kPa),
EMMA Pouch and EMMA Lanyard.
Kit EMMA (mmHg) Kit including EMMA Emergency Capnograph (mmHg),
EMMA Pouch and EMMA Lanyard.
Kit EMMA Capnometer (kPa) Kit including EMMA Emergency Capnometer (kPa),
EMMA Pouch and EMMA Lanyard.
Kit EMMA Capnometer (mmHg) Kit including EMMA Emergency Capnometer (mmHg),
EMMA Pouch and EMMA Lanyard.
EMMA Airway Adapter Adult/Pediatric EMMA Airway adapter is needed in order for EMMA to
provide readings.
EMMA Airway Adapter Infant EMMA Airway adapter is needed in order for EMMA to
provide readings.
EMMA Pouch Easy to carry pouch for safe storage of EMMA.
EMMA Lanyard Lanyard attaches to EMMA to be carried around your
neck.
www.masimo.com