Nonin 8600V User manual

Operator’s Manual
Models 8600V & 8600MV
Veterinary Pulse Oximeters

About the Manual
There are many contraindications, warnings, and cautions throughout this manual.
Read them carefully before using the 8600V.
Trademarks
is a registered trademark of Nonin Medical, Inc.
References
References to “NONIN” in this manual shall imply NONIN Medical, Inc.
References to “8600V” in this manual shall imply Model 8600V and 8600MV.
The information in this manual has been carefully checked and is believed to be accurate. In the interest of continued
product development, NONIN reserves the right to make changes and improvements to this manual and the products
it describes at any time, without notice or obligation.
©2004
Nonin Medical, Inc.
13700 1st Avenue North
Plymouth, MN 55441-5443 USA
•[phone] •[phone] (USA and Canada)
•FAX [phone]
•E-mail: [email protected] •http://www.nonin.com

Table Of Contents
Precautions for Use ........................................................................................................................... 1
Unpacking Your Pulse Oximeter ....................................................................................................... 4
Introduction ......................................................................................................................................... 5
Operating Instructions ....................................................................................................................... 6
Battery Charging ............................................................................................................................................6
Connecting the Cable and Sensors................................................................................................................7
Turning On the Pulse Oximeter......................................................................................................................7
Verifying Operation ........................................................................................................................................8
Cleaning the Pulse Oximeter .........................................................................................................................8
Features ............................................................................................................................................... 9
Controls..........................................................................................................................................................9
Visual Indicators...........................................................................................................................................18
Audible Indicators ........................................................................................................................................20
Communications ..........................................................................................................................................21
Specifications.................................................................................................................................... 24
Service and Support ......................................................................................................................... 25
Warranty............................................................................................................................................. 26
Accessories ....................................................................................................................................... 27
Troubleshooting Guide..................................................................................................................... 28
Guide to Symbols
SYMBOL DEFINITION OF SYMBOL
ATTENTION:
Consult Accompanying Documents
Conformance to EC directive No. 89/336//EEC concerning EMC
UL Mark for Canada and the United States with respect to electric shock, fire, and mechanical
hazards only in accordance with UL 60601-1 and CAN/CSA C22.2 No. 601.1.

1
Precautions for Use
Contraindications
• Do not operate the 8600V in an explosive atmosphere.
• The MODEL 8600V is intended for VETERINARY USE ONLY. Do not use on human patients.
Warnings
• Use only NONIN MODEL 8600V compatible veterinary accessories.
• Do not set the Alarm volume too low to be heard. Doing so could compromise Animal safety.
• Accurate oxygen saturation measurement cannot be obtained when the oximeter is not measuring the pulse
properly. If the Perfusion LED is erratic or the Pulse Rate display is erratic or inaccurate, first examine the
Animal for any signs of distress and only then reexamine sensor placement.
• Inadequate perfusion, thick fur or foreign matter that blocks light or an improperly applied sensor can result in
erratic and inaccurate oxygen saturation and/or pulse rate measurement. Follow the instructions outlined in
"Verifying Operation". If proper operation cannot be verified, remove the sensor from the Animal and do not
use the oximeter on this Animal.
• In the event the sensor becomes dislodged from the Animal, audible and visual alarms are activated requiring
that a veterinary professional investigate the reason for the alarm status. The veterinary professional must investigate
Animal status and sensor attachment after every sensor alarm indication. It is possible when the sensor is dislodged from
the Animal (under certain conditions of light and vibration of the sensor) for the pulse oximeter to display
normal physiological values.
• Use only NONIN fiber optic sensor/cable in MRI environment. Use of sensor/cable containing electrical
conductors may cause burns to animals.
• FOR MRI OPERATIONS: Keep oximeter, battery charger and metal end of fiber optic cable beyond the
distance of magnetic attraction. Use the 8600 Pole Mount System or comparable device to secure monitor in
MRI environment.
• Do not operate the 8600V in the MRI environment while connected to A/C power. The battery charger
contains a large amount of ferrous material. Remove the 8600V from the MRI environment to recharge the
battery.
• Because the printer, printer interface, and other recording devices contain ferrous materials, do not use in the
MRI environment. The 8600MV will store patient data in memory for printing at a later time away from the
MRI environment.
• Use only NONIN manufactured veterinary sensors. These sensors are manufactured to meet the calibration
requirements for NONIN pulse oximeters. Use of other manufacturer’s sensors may cause improper pulse
oximeter performance.
• Do not remove any covers. There are no user serviceable parts inside. Refer service to qualified NONIN
personnel.
• This device should not be used adjacent to or stacked with other equipment. If adjacent or stacked use is
necessary, the device should be observed carefully to verify normal operation.
• The use of accessories, sensors, and cables other than those listed in this manual may result in increased
emission and/or decreased immunity of this device.

2
Cautions
• This equipment complies with International Standard EN 60601-1-2:2001 for electromagnetic compatibility for
medical electrical equipment and/or systems. This standard is designed to provide reasonable protection
against harmful interference in a typical medical installation. However, because of the proliferation of radio-
frequency transmitting equipment and other sources of electrical noise in healthcare and other environments, it
is possible that high levels of such interference due to close proximity or strength of a source might disrupt the
performance of this device. Medical electrical equipment needs special precautions regarding EMC, and all
equipment must be installed and put into service according to the EMC information specified in this manual.
• Read this manual carefully before using the NONIN Model 8600V veterinary pulse oximeter.
• Cardiogreen and other intravascular dyes, depending on concentration, may affect the accuracy of the SpO2
measurement.
• The NONIN Model 8600V pulse oximeter is calibrated to determine the percentage of arterial oxygen
saturation of functional hemoglobin measured at the fingertip of an adult human. Significant levels of
dysfunctional hemoglobins such as carboxyhemoglobin or methemoglobin may affect the accuracy of the
measurement. Other types of hemoglobin and alternate sensor locations may affect the calibration.
• Certain pharmacological agents used to sedate or anesthetize animals may have cardiovascular effects that can
adversely affect the performance of the pulse oximeter by reducing the perfusion to the sensor site. Examples
of commonly used agents that may have this type of effect on certain animal species are Detomidine HCl and
Xylazine HCl.
• There is a wide range of variability between animal species and their respective differences in anatomy,
physiology and responses to veterinary pharmacological agents. Therefore, the veterinarian will need to use
discretion when selecting sensors and / or sensor sites that are appropriate for the animal species and the
monitoring conditions.
• When attaching the sensor, make sure not to secure the sensor in a manner that will restrict perfusion. This
could inhibit proper function of the oximeter and cause discomfort or localized ischemia to the animal.
• If the sensor is not positioned on a perfused site, or at least ten seconds of green perfusion pulses cannot be
observed for a given sensor, change sensor location or sensor type until this condition is achieved.
• Be sure to follow instructions for proper connection of 8600VI cable to monitor and sensors. Improper
application will prevent proper function of the monitor system.
• The fiber optic cable contains glass fibers. Care must be taken when handling the cable. Do not bend sharply,
step on, pull, drop, or stretch the fiber optic cable.
• Measurements may be affected in the presence of magnetic resonance imaging (MRI) and computed
tomography (CT) devices. It is the facility’s responsibility to verify performance prior to installing equipment
in these environments.
• Do not immerse the 8600V or NONIN sensors in liquid to clean.
• Do not use caustic or abrasive cleaning agents on the 8600 or NONIN sensors.
• The 8600V is sensitive and must be repaired by knowledgeable and specially trained personnel only.
• This device has not been tested for immunity to electromagnetic disturbances.
• Portable and mobile RF communications equipment can affect medical electrical equipment.

3
Manufacturer’s Declaration
Refer to the following table for specific information regarding this device’s compliance to IEC Standard 60601-1-2.
Table 1: Electromagnetic Emissions
Emissions Test Compliance Electromagnetic Environment— Guidance
This device is intended for use in the electromagnetic environment specified below.
The customer and/or user of this device should ensure that it is used in such an environment.
RF Emissions
CISPR 11
Group 1 This device uses RF energy only for its internal function. Therefore, its
RF emissions are very low and are not likely to cause any interference in
nearby electronic equipment.
RF Emissions
CISPR 11
Class B
Harmonic
Emissions
IEC 61000-3-2
N/A
Voltage
Fluctuations/
Flicker Emissions
IEC 61000-3-3
N/A
This device is suitable for use in all establishments, including domestic
and those directly connected to the public low-voltage power supply
network that supplies buildings used for domestic purposes.

4
Unpacking Your Pulse Oximeter
Contact the carrier immediately if the shipping carton for the 8600V is damaged. Carefully unpack the pulse oximeter
and its accessories, and confirm that the items listed below are packed with the 8600V Pulse Oximeter. The
8600V/8600MV shipment includes the following:
• 8600V or 8600MV Pulse Oximeter
• A/C Battery Charger
• Operator’s Manual on CD-ROM for Models 8600V and 8600MV
• 8600VI Interface Cable
• 2000SL Lingual Sensor
If any item on this list is missing or damaged, do not use the pulse oximeter. Contact your local distributor or, if you do
not know your local distributor, contact NONIN at [phone] or [phone].

5
Introduction
Indications for Use
The 8600V Pulse Oximeter is intended to monitor oxygen saturation and pulse rate of animals in hospital environments.
General
The 8600V is a small, lightweight, and portable pulse oximeter with audible and visual alarms for monitoring animal
status. The 8600V may be connected to A/C power or run from its internal battery. It typically operates for 30 hours
on a fully charged battery. The 8600V requires no routine calibration or maintenance.
The 8600V determines arterial oxyhemoglobin saturation (SpO2) by measuring the absorption of red and infrared light
passed through tissue. Changes in absorption caused by pulsation of blood in the vascular bed are used to determine
arterial saturation and pulse rate.
Oxygen saturation and pulse rate are displayed on light emitting diode (LED) digital displays. On each detected pulse,
the perfusion ( ) indicator flashes. Animal perfusion signals are graded as good, marginal, or inadequate and are
indicated by the indicator flashing green, yellow, or red, respectively. This simple method gives the user a pulse-
by-pulse visual indication of waveform signal quality without requiring complex waveform analysis during critical animal
care situations.
Sensor disconnect or malfunction is indicated by lack of good perfusion flashes and/or the red SENSOR indicator on the
front panel illuminating. Ultimately, if adequate perfusion pulses are not received, the SpO2and pulse rate numerical
values will be replaced by dashes.

6
Operating Instructions
Battery Charging
If portable operation is not necessary, continuously charging with the proper battery charger is recommended. The
battery charger plugs into the back of the 8600V where it is marked "BATTERY CHARGER". This will assure a fully
charged battery should portable operation be required.
The battery charger requires 15 hours to recharge a completely depleted battery pack. While the battery charger is
connected to AC power, the green indicator will be illuminated, and the pulse oximeter may be operated during
this time if the red indicator is not illuminated when the unit is turned on. If the red indicator is illuminated
when the unit is turned on, the battery must charge until the red is no longer illuminated before it may be used.
The battery pack in the 8600V will typically power the unit for 30 hours with a full charge without needing to be
charged.
The 8600V indicates when the battery is low by illuminating the indicator in red.

7
Connecting the Cable and Sensors
Connect the interface cable (Model 8600VI) to the 9-pin female latching sensor connector on the front of the 8600V
shown in Figure I. Connect the sensor to the patient interface cable. Position the appropriate sensor on the animal.
Turning On the Pulse Oximeter
Turn on the 8600V by pressing the "" power switch on the front of the pulse oximeter. Refer to Figure I.
When the 8600V is powered on, the displays will cycle through the following sequence before displaying valid data
values:
• "" (8600V) or " " (8600MV)
• current time in hours and minutes saved in memory
• software revision number
• " "
• SELF
TEST indicator illuminates
• SENSOR indicator illuminates
• indicator illuminates
NOTE: If this sequence does not complete properly, do not use the oximeter. Call NONIN
Customer Support.
Figure I: Front View of the 8600V

8
Verifying Operation
CAUTION! The 8600V must be able to measure the pulse properly to obtain accurate SpO2measurement.
Verify that nothing is hindering the pulse measurement before relying on the SpO2
measurement.
Verify that the sensor is properly positioned. Ensure the system is sensing adequate perfusion by observing that the
indicator is blinking green and correlates to the pulse rate for 10 seconds. If the perfusion light is red, yellow, or
flashing erratically, reposition the sensor or try a different sensor.
CAUTION! The use of Xylazine or Detomidine will reduce perfusion sensed by the pulse oximeter and may
inhibit SpO2measurement.
For the first 2 minutes of operation, the indicator will flash to indicate the audible alarm is temporarily disabled
during power on. During the first two minutes, the audible alarm may be enabled by pressing the AUDIO button. If
the audible alarm is not permanently disabled, the indicator will not be illuminated after the first 2 minutes of
operation and the audible alarm will be enabled.
If the alarm is permanently disabled, the indicator will illuminate continuously, and pressing the AUDIO button will
not have any effect on the audible alarm.
Cleaning the Pulse Oximeter
CAUTION! Do not immerse the 8600V in liquid to clean, and do not use caustic or abrasive cleaning agents.
The 8600V Pulse Oximeter may be cleaned with a mild detergent and a soft cloth or with an isopropyl alcohol wipe.
Allow enough time for the 8600V to dry thoroughly before reusing.

9
Features
Controls
All functions of the 8600V are controlled by switches found on the front and rear of the unit.
Power Switch
Pressing the power switch ON ("") causes power to be applied to all internal circuitry. Pressing the power switch to
STBY ("Ο") causes power to be removed from the displays and puts the pulse oximeter into a low power standby
mode.
AUDIO Button
This button has 4 different functions, which are indicated in Table I with directions for use and activation:
Function How to Activate
Audible Alarm
Enable/Disable
Momentary press during normal operation
Sensor Indicator Momentary press after sensor alarm condition has occurred
Calibrate Recorders Hold for more than 5 seconds during normal operation
Memory Playback
(8600MV only)
Hold for less than 2 seconds during power up
Real-time Setup
Mode
Hold for more than 2 seconds during power up
Table I: AUDIO Button Functions

10
Audible Alarm Enable/Disable
Momentarily pressing the AUDIO button disables the audible alarm for 2 minutes. Pressing this button again will
override the 2-minute period, re-enabling the audible alarm.
NOTE: Pressing this button has no effect if the audible alarm has been permanently disabled.
Calibrate Recorders
When using a strip-chart recorder for outputting data, calibration between the recorder and the 8600V may be
necessary. To do this during normal operation, continuously hold the
A
UDIO button more than 5 seconds to
activate the recording output calibrate sequence. The user can select the calibration sequence with Option Switch
3.
NOTE: The calibration signals are sent via the SpO2and pulse rate lines, not the serial output
line.
• Standard Calibration:
The value sent for the SpO2will alternate from 0% (for 5 seconds) to 100% (for 6 seconds) to 50% (for 5
seconds) and then repeat. The value sent for the pulse rate will alternate from 0 BPM to 125 BPM to 250
BPM and then repeat. To end calibration sequence, release the
A
UDIO button, and the 8600V will
return to normal operation.
• Alternate Calibration:
The value sent for the SpO2will step through at 5% intervals when actuated by the user by pressing the
AUDIO button beginning at 0% through 100% and then repeat. The value sent for the pulse rate will
remain at 60 BPM. To end calibration sequence, hold the
A
UDIO button for 5 seconds, and the 8600V
will return to normal operation.

11
Memory Playback (8600MV Only)
To place the 8600MV in playback mode, hold the
A
UDIO button while turning on the unit and release within 2
seconds. Memory playback is automatically initiated. While data is being played back, the SpO2display will show
the hour of data being played back, and the ♥display will show the minutes as they count down. Data is output as
last data in is first data out.
NOTE: Memory playback does not clear the memory of the 8600V. Data may be played back
multiple times if desired.
Real-Time Setup Mode
To setup the real-time settings, hold the
A
UDIO button for more than 2 seconds on power on. will appear in
the upper LED display, indicating print setup mode. The 8600V automatically advances to the clock setting mode.
Pressing the AUDIO button increments the number in the lower LED display. It starts with the current value
stored in memory for that particular parameter. When the correct value appears in the lower display, release
the AUDIO button and wait for the 8600V to advance to the next parameter as listed in Table II. This process is
continued until all parameters are set. The settings can be easily checked, since the first value displayed for each
parameter represents the current setting. When the setting sequence has been completed, the 8600V exits the setup
mode and begins normal operation.
NOTE: Setting the month to "00" disables the clock function and helps conserve battery life.
NOTE: Clock parameters are not stored until all 5 parameter settings have been entered and
the 8600V has automatically exited the clock setting mode and returned to normal
operation.
NOTE: If the oximeter is turned off before allowing the return to normal operation, the
parameters entered will not be saved.
Range of Values
Sequence
Appears in
SpO2Display From To
Printer 00 15
Year 00 99
Month 00 12
Day 01 31
Hours 00 23
Minutes 00 59
Table II: Printer, Calendar, and Clock Parameters

12
•Printer Settings
will appear in the SpO2display, indicating print setup mode. This option is not available at this time. Release
the AUDIO button and wait for approximately 3 seconds for the 8600V to automatically advance to the calendar
settings.
NOTE: There are 16 settings available for future expansion of the printer settings. Setting for
the printer for any one of these values will have no effect on the 8600V.
Display
Proceed to
calendar setup
Display
SpO2
Setup
Mode
Default
Setting
wait for
~ 3 seconds
Figure II: Flowchart for Setting Printer Mode

13
•Calendar Settings
After the printer setting has been displayed in the setup mode, will appear in the SpO2display, indicating
calendar setup mode for the year. Press the
A
UDIO button momentarily to advance through the values. The
year may be set to "00" through "99". After selecting the year, wait approximately 3 seconds for the display to
show , indicating the setup mode for the month. The month may be set to "00" through "12" using
the AUDIO button. After selecting the month, the display will show , indicating the setup mode for the day
of the month. The day may be set to "01" through "31". When the calendar setting sequence has been
completed, the 8600V continues to the clock settings (refer to next section).
Display
Press
Default
Setting
Display
SpO2
Setup
Mode
Press
Increment
year
Press
Increment
month
Increment
day
Proceed to
clock setup
A
UDIO
A
UDIO
wait
seconds
~ 3
for
Press
A
UDIO
A
UDIO
wait
seconds
~ 3
for
Press
A
UDIO
Press
A
UDIO
wait
seconds
~ 3
for
Figure III: Flowchart for Setting Calendar

14
•Clock Settings
After the calendar settings have been determined in the real-time setup mode, will appear in the SpO2display,
indicating the hour. The time is set in a 24-hour format. The hour may be set to "00" through "23". After
selecting the hour, the display will show , indicating the minutes. The minutes may be set to "00" through
"59". After selecting the minutes, the display will return to normal operation. Refer to Figure IV for a flowchart of
setting the clock.
Display
Default
Setting
Display
SpO2
Setup
Mode
Increment
Increment
hour
Proceed to
minute
normal operation
wait
for
~3
seconds
wait
for
~3
seconds
Press
A
UDIO Press
A
UDIO
Press
A
UDIO
Press
A
UDIO
Figure IV: Flowchart for Setting Clock

15
Patient Alarm Limits
Set the patient alarm condition switches located on the front of the 8600V to the attending veterinarian’s
recommendations. These values may be changed at any time and will take effect immediately.
Figure V: Patient Alarm Display
Patient Alarm Alarm Values
SpO2high 85, 90, 92, 94, 95, 96, 97, 98, 99, OFF
SpO2low 55, 60, 65, 70, 75, 80, 85, 86,
87, 88, 89, 90, 91, 92, 95, OFF
pulse rate high 60, 75, 100, 125, 150, 175, 200, 225, 250, 275,
300, 325, 350, 375, 425, OFF
pulse rate low 20, 25, 30, 40, 50, 60, 70, 80, 100,
120, 140, 160, 180, 200, 250, OFF
Table III: Patient Alarm Values
SpO2 High Limit
The button labeled with the next to the SpO2% display sets the high SpO2alarm limit. The available values for
the SpO2high alarm are given in Table III. An alarm condition exists if the SpO2level is at or above the chosen
SpO2high limit level
•Press the button to the left of the number to decrease value.
•Press the button to the right of the number to increase value.

16
SpO2Low Limit
The button labeled with the next to the SpO2% display sets the low SpO2alarm limit. The available values for
the SpO2low alarm are given in Table III.
•Press the button to the left of the number to decrease value.
•Press the button to the right of the number to increase value.
Pulse Rate High Limit
The button labeled with the next to the ♥display sets the high pulse rate alarm limit. The available values for
the pulse rate high alarm are given in Table III.
•Press the button to the left of the number to decrease value.
•Press the button to the right of the number to increase value.
Pulse Rate Low Limit
The button labeled with the next to the ♥display sets the low pulse rate alarm limit. The available values for
the pulse rate low alarm are given in Table III.
•Press the button to the left of the number to decrease value.
•Press the button to the right of the number to increase value.
Pulse Volume
The 8600V may be set such that it will emit a short tone on each pulse detected. Turn the pulse volume control,
marked with the symbol, until an audible pulse is heard with each beat. The tone will change pitch as the
SpO2level changes. The pitch is lower in frequency with lower SpO2levels. A noticeably higher pitched tone is heard if
the unit loses track of the pulse signal.
Alarm Volume
Adjust the alarm volume intensity by rotating the thumbwheel volume control on the front of the 8600V marked with
the symbol. The OFF position is only effective when option switch 1 is in the up position. The option
switches are located on the rear of the 8600V.
NOTE: NONIN does not recommend disabling the audible alarm when monitoring in critical
situations.
To generate an alarm for test purposes, momentarily disconnect the patient cable assembly from the monitor. Press the
latches and pull the connector out. This will generate a sensor alarm. The SENSOR indicator will illuminate. The
audible alarm will sound provided the alarm volume control is not disabled, and option switch 1 is not in the up
position, and the two-minute audible disable period is not active.

17
Option Switches
Option Switch 1
This switch controls the audible alarm OFF capabilities.
down: Audible Alarm Cannot Be Disabled
Prevents audible alarm from being permanently disabled by the user
up: Audible Alarm May Be Disabled
Allows the audible alarm to be permanently disabled by the user via the alarm volume dial turned to OFF
Option Switch 2
This switch controls the rate of averaging of the pulse rate and SpO2data.
down: Fast Response Mode
Pulse rate = 8-beat averaging;
SpO2= 4-beat exponential average
up: Slow Response Mode
Pulse rate = 16-beat averaging;
SpO2= 8-beat exponential average
Option Switch 3
Option switch 3 controls the analog output sequence for calibration of strip chart recorders.
NOTE: This switch has no effect if you are not using the analog communications (strip chart
recorders).
down: Standard Calibration Sequence
Output analog values step from 0% to 100% to 50%
up: Alternate Calibration Sequence
Output analog values step from 0% to 100% in increments of 5%, and then to 127% for out-of-range
Option Switch 4
Option switch 4 controls the analog output format to pin 13 of the output connector.
down: Analog Pulse Waveform:
Output analog (0 - 1 VDC) waveform for the pulse rate
up: Analog Pulse Rate:
Output analog (0 - 1 VDC) value for pulse rate in the range of 0 to 250 pulses per minute
CLEAR
MEMORY
Button (8600MV Only)
The data within the internal memory is retained until it is cleared or overwritten by new data. To clear the internal
memory the pulse oximeter is first placed in the "memory output mode" After the Memory Output Mode is entered, the
memory is cleared by pressing and holding the CLEAR
MEMORY
button located on the rear of the monitor for a minimum of 5
seconds. This will cause the 8600MV to count quickly through all its memory locations, clearing each one.
NOTE: Pressing the CLEAR
MEMORY
button during normal operation will not clear memory.