Nonin Avant 9700 User manual

Operator’s Manual
Avant®9700
Digital Pulse Oximeter
English

Nonin®reserves the right to make changes and improvements to this manual and the products it
describes at any time, without notice or obligation.
Nonin Medical, Inc.
13700 1st Avenue North
Plymouth, Minnesota 55441, USA
[phone]
[phone] (USA and Canada)
Fax: [phone]
E-mail: [email protected]
Nonin Medical B.V.
Prins Hendriklaan 26
1075 BD Amsterdam, Netherlands
+31 (0)13 - 79 99 040 (Europe)
Fax: +31 (0)13 - 79 99 042
E-mail: [email protected]
nonin.com
References to “Nonin” in this manual imply Nonin Medical, Inc.
Nonin, PureLight, and nVISION are registered trademarks or trademarks of Nonin Medical, Inc.
MicroSoft®and Windows® are registered trademarks of Microsoft Corporation.
© 2020 Nonin Medical, Inc.
7940-001-07
CAUTION: Federal law (USA) restricts this device to sale by or on the order of a
licensed practitioner.
Consult Instructions for Use.

i
Contents
Indications for Use ........................................................................................ 1
Warnings ................................................................................................................1
Cautions .................................................................................................................2
Guide to Symbols.......................................................................................... 4
Displays, Indicators, and Controls............................................................... 5
%SpO2Display.......................................................................................................6
Pulse Rate Display.................................................................................................6
Numeric LEDs ........................................................................................................6
Indicators and Icons ...............................................................................................6
LCD Indicators and Icons.......................................................................................8
Front Panel Buttons................................................................................................9
Installing the Batteries and Serial Port Cover........................................... 11
Operating the Avant 9700 ........................................................................... 12
Factory Default.....................................................................................................12
User-Defined Defaults..........................................................................................12
Operator Functions...............................................................................................13
Basic Functions.................................................................................................13
User-Defined Defaults.......................................................................................14
Option Switches....................................................................................................15
LCD Display Views...............................................................................................16
Plethysmographic Waveform View...................................................................16
Trend Waveform View ......................................................................................17
Trend Histogram View ......................................................................................18
Nurse Call Feature ...............................................................................................18
Alarms and Limits........................................................................................ 20
High Priority Alarms..............................................................................................20
Medium Priority Alarms ........................................................................................21
Watchdog Alarms.................................................................................................21
Informational Tones..............................................................................................21
Reviewing, Setting and Changing Alarm Limits....................................................21
SpO2and/or Pulse Alarm Limits.......................................................................21
Silencing Alarms...................................................................................................22
Recalling Previous Settings..................................................................................22
Locked and Unlocked Alarms...............................................................................22
Patient Security Mode ..........................................................................................23
Viewing and Changing Patient Security Mode..................................................23
Error Codes..........................................................................................................23
Clearing Error Codes 06, 08, or 10...................................................................24
Memory and Data Output Features............................................................ 25
Memory Features .................................................................................................25

ii
Contents (Continued)
Using nVISION Data Management Software........................................................25
Serial Patient Data Outputs...................................................................................26
Print-On-Demand Output...................................................................................26
Real-Time Patient Data Output..........................................................................26
Connecting the Device into a Medical System......................................................27
Care and Maintenance .................................................................................28
Cleaning the Model 9700......................................................................................28
Parts and Accessories.................................................................................29
Troubleshooting...........................................................................................30
Service, Support, and Warranty..................................................................32
Warranty................................................................................................................32
Technical Information..................................................................................34
Manufacturer’s Declaration...................................................................................34
Equipment Response Time...................................................................................38
Testing Summary..................................................................................................39
SpO2Accuracy Testing .....................................................................................39
Pulse Rate Motion Testing.................................................................................39
Low Perfusion Testing.......................................................................................39
Principles of Operation..........................................................................................39
Specifications........................................................................................................40
Oximeter............................................................................................................40
System...............................................................................................................40
Nurse Call..........................................................................................................41

iii
Figures
Figure 1. Displays, Indicators, and Controls............................................................... 5
Figure 2. Installing the Batteries and Serial Port Cover ........................................... 11
Figure 3. Plethysmographic Waveform.................................................................... 16
Figure 4. Trend Waveform ....................................................................................... 17
Figure 5. Trend Histogram ....................................................................................... 18
Figure 6. Monitor Rear View..................................................................................... 19

iv
Tables
Table 1. Symbols....................................................................................................... 4
Table 2. Factory Default Settings............................................................................. 12
Table 3. Basic Functions.......................................................................................... 13
Table 4. User-Defined Defaults................................................................................ 14
Table 5. Option Switches......................................................................................... 15
Table 6. High Priority Alarms................................................................................... 20
Table 7. Medium Priority Alarms.............................................................................. 21
Table 8. Error Codes................................................................................................ 23
Table 9. Electromagnetic Emission.......................................................................... 34
Table 10. Electromagnetic Immunity........................................................................ 35
Table 11. Guidance and Manufacturer’s Declaration—Electromagnetic Immunity.. 36
Table 12. Recommended Separation Distances ..................................................... 37

1
Indications for Use
Indications for Use
The Nonin®Avant®9700 Digital Pulse Oximeter is a portable, tabletop device indicated for use
in simultaneously measuring, displaying, and recording functional oxygen saturation of arterial
hemoglobin (SpO2) and pulse rate of adult, pediatric, infant, and neonatal patients in hospitals,
medical facilities, home care, sleep laboratories, and subacute environments. The Avant 9700 is
intended for continuous monitoring and/or spot-checking of patients during both motion and no-
motion conditions, and for patients who are well or poorly perfused.
Warnings
Do not use this device in an MR environment.
This device is not defibrillation proof per IEC 60601-1.
Do not use this device in an explosive atmosphere.
This device is intended only as an adjunct in patient assessment. It must be used in conjunction with other
methods of assessing clinical signs and symptoms.
The device must be able to measure the pulse properly to obtain an accurate SpO2measurement. Verify that
nothing is hindering the pulse measurement before relying on the SpO2measurement.
Inspect the sensor application site at least every 6 to 8 hours to ensure correct sensor alignment and skin
integrity. Patient sensitivity to sensors may vary due to medical status or skin condition.
Avoid excessive pressure to the sensor application site as this may cause damage to the skin beneath the
sensor.
Operation of this device below the minimum amplitude of 0.3% modulation may cause inaccurate results.
General operation of this device may be affected by the use of an electrosurgical unit (ESU).
The use of accessories other than those specified in the Parts and Accessories List may result in increased
electromagnetic emission and/or decreased immunity of this device.
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.
To avoid patient injury, use only Nonin-branded PureLight®pulse oximeter sensors. These sensors are
manufactured to meet the accuracy specifications for Nonin pulse oximeters. Using other manufacturers’
sensors can result in improper pulse oximeter performance.
To prevent improper performance and/or patient injury, verify compatibility of the monitor, sensor(s), and
accessories before use.
No modifications to this device are allowed as it may affect device performance.
Do not use a damaged sensor. If the sensor is damaged in any way, discontinue use immediately and replace
the sensor.
Verify all alarm settings and limits during system startup to ensure that they are set as intended.
A hazard can exist if different presets are used on multiple 9700 monitors in one care area.
Do not use the device in or around water or any other liquid when the AC power supply is used.
As with all medical equipment, carefully route patient cables and connections to reduce the possibility of
entanglement, strangulation, or injury to the patient.

2
Indications for Use
Use the device only with Nonin-specified power supplies.
The device’s Nurse Call feature should not be used as the primary source of alarm notification.
All parts and accessories connected to the serial port of the device must be certified according to at least IEC
60950 or UL 1950 for data-processing equipment.
The battery pack must be installed at all times while the device is operating, even when operating on AC power.
The audible alarms and memory will not function if batteries are removed from the device.
To comply with relevant product safety standards, ensure that all alarm volumes are set appropriately and are
audible in all situations.
The serial port cover must be installed at all times unless serial cable is attached.
Cautions
When mounting the monitor to a mobile pole, mounting the monitor more than 1.5 meters (5 feet) or mounting
more than 2 kilograms (4.4 pounds) of equipment onto the pole may result in tipping, damage to the equipment,
or injury.
Review all limits to ensure they are appropriate for the patient.
Setting alarm limits to extremes can render the alarm system useless.
This device is designed to determine the percentage of arterial oxygen saturation of functional hemoglobin.
Factors that may degrade pulse oximeter performance or affect the accuracy of the measurement include the
following:
The device may not work when circulation is reduced. Warm or rub the finger, or reposition the device.
In some circumstances, the device may interpret motion as good pulse quality. Minimize patient motion as much
as possible.
Do not autoclave or immerse this device in liquid or use caustic or abrasive cleaning agents.
A functional tester cannot be used to assess the accuracy of a pulse oximeter monitor or sensor.
This equipment complies with IEC 60601-1-2 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.
Warnings (Continued)
- excessive ambient light
- excessive motion
- electrosurgical interference
- blood flow restrictors (arterial catheters, blood
pressure cuffs, infusion lines) - moisture in the
sensor
- improperly applied sensor
- incorrect sensor type
- poor pulse quality
- venous pulsations
- anemia or low hemoglobin concentrations
- cardiogreen and other intravascular dyes
- carboxyhemoglobin
- methemoglobin
- dysfunctional hemoglobin
- artificial nails or fingernail polish.

3
Indications for Use
Portable and mobile RF communications equipment can affect medical electrical equipment.
Follow local, state and national governing ordinances and recycling instructions regarding disposal or recycling
of the device and device components, including batteries.
In compliance with the European Directive on Waste Electrical and Electronic Equipment (WEEE) 2002/96/EC,
do not dispose of this product as unsorted municipal waste. This device contains WEEE materials; please
contact your distributor regarding take-back or recycling of the device. If you are unsure how to reach your
distributor, please call Nonin for your distributor’s contact information.
If the device fails to respond as described, discontinue use until the situation is corrected by qualified personnel.
This device is a precision electronic instrument and must be repaired by qualified technical professionals. Field
repair of the device is not possible. Do not attempt to open the case or repair the electronics. Opening the case
may damage the device and void the warranty.
To prevent potential loss of monitoring, do not use ear clip or reflective sensors on pediatric or neonatal patients.
This product complies with ISO 10993.
Radios and cell phones or similar devices can affect the equipment and must be kept at least 2 meters (6.5 feet)
away from equipment.
Failure of a network data coupling (serial cable/connectors/wireless connections) will result in loss of data
transfer.
Cautions (Continued)

4
Guide to Symbols
Guide to Symbols
This table describes the Nonin symbols located on the Avant 9700. See Section titled Displays,
Indicators and Controls for detailed information about functional symbols.
Table 1: Symbols
Symbol Description
Consult Instructions for Use
Follow Instructions for Use
Type BF Applied Part (Patient isolation from electrical shock).
UL Mark for Canada and the United States with respect to electric shock, fire,
and mechanical hazards only in accordance with UL 60601-1 30EM and CAN/
CSA C22.2 No. 601.1.
Serial Number (located under the back cover).
Signal Output (located on back of device).
Indicates separate collection for electrical and electronic equipment (WEEE).
Alarm Call (located on back of device).
Manufacturer
IP22 Protected against vertically falling water drops when enclosure is tilted up to
15 degrees and against access to hazardous parts with a finger per IEC 60529.
%SpO2%SpO2Display
Pulse Rate Display
C
L
A
S
S
I
F
I
E
D
US
C
UL
SN

5
Displays, Indicators, and Controls
Displays, Indicators, and Controls
This section describes the displays, indicators, and controls for the Avant 9700.
Figure 1: Displays, Indicators, and Controls
Alarm Silence Settings
Plus / Increase Value
or LED Intensity
Minus / Decrease
Value or LED Intensity
On / Standby
Displays Battery Life
Print on Demand
LCD Contrast
LCD Screen Selections
(Plethythsmograph,
Trending, Histogram)
Left and RightControls (Cursor)
Pulse Rate
Main Alarm
Sensor Evaluation
Pulse Quality
Main Power
Battery Indicator
Alarm Silence
%SpO
2
Pulse Strength Bar Graph
LCD Display

6
Displays, Indicators, and Controls
%SpO2Display
The %SpO2Display is located on the front panel of the Avant 9700 and is identified by the
%SpO2symbol.Thisdisplayshowsbloodoxygensaturation,from 0to 100 percent.Thenumeric
LEDs blink during SpO2alarm conditions.
NOTE: LED means “light-emitting diode.”
Pulse Rate Display
The Pulse Rate Display, located on the front panel of the Avant 9700, is identified by the
symbol. This display shows the pulse rate in beats per minute, from 18 to 300. The numeric
display blinks during pulse rate alarm conditions.
Numeric LEDs
Green numeric LEDs display %SpO2and pulse rate values. When setting
the device, the LEDs also display values for alarm limits, volume, and date
and time settings.
Red, rapidly blinking LEDs indicate a High Priority patient alarm. Values are
displayed in amber when reviewing or changing limits.
Indicators and Icons
Main Alarm LED
Red, rapidly blinking LEDs indicate a High Priority patient alarm. Amber
slowly blinking LEDs indicate a medium priority (equipment) alarm.
Pulse Quality LED
This LED blinks to indicate an inadequate pulse signal. If there is a
sustained period of inadequate pulse signals, this LED will illuminate solid.
Pulse Oximeter Sensor LED
The Pulse Oximeter Sensor LED indicates when a sensor has become
disconnected, has failed, is misplaced or is not compatible with this monitor.

7
Displays, Indicators, and Controls
Pulse Strength Bar Graph LED
This 8-segment tricolor bar graph indicates pulse strength as determined
by the oximeter. The bar graph changes color based upon the strength of
the pulse. The color and height of the Pulse Strength Bar Graph is
proportional to the pulse amplitude. For low pulse amplitude, the device
goes into High Priority Alarm mode:
Green = a good pulse strength
Amber = a marginal pulse strength
Red = an inadequate pulse strength, high priority alarm
The Pulse Strength Bar Graph LED also indicates the battery capacity in
12% increments in green.Amber represents the depleted capacity of the
battery and green indicates the available battery capacity.
Alarm Silence LED
This amber LED indicates that the audible alarm is silenced for 2 minutes
when it blinks. When lit solid, the Alarm Silence LED indicates that the
audible alarm volume is set to less than 45 dB.
AC Power Supply LED
This green LED is displayed when an external power supply is providing
power to the Avant 9700. Any time this LED is displayed, the battery is
charging.
NOTE: When the external power supply is disconnected, the device
automatically switches to battery power without loss of functionality.
Battery LED
This amber LED indicates marginal battery capacity when blinking. When
solidly lit, the LED indicates that the battery pack is not installed. This LED
does not indicate that the device is running on battery power. New battery
packs must complete one charge/discharge/recharge cycle before the
Battery LED displays the actual capacity.
WARNING: The battery pack must be installed at all times while the device is
operating—even when operating on AC power. The audible alarms and memory will
not function if batteries are removed from the device. DO NOT use this device without
batteries.

8
Displays, Indicators, and Controls
LCD Indicators and Icons
Pulse Volume
This icon indicates that the pulse volume can be reviewed or adjusted
using the Plus (+) and Minus (-) buttons.
Alarm Volume
This icon indicates that the alarm volume can be reviewed or adjusted
using the Plus (+) and Minus (-) buttons.
Recall Settings
Selecting “Yes” for the Recall Settings icon allows users to retrieve the
previous parameter settings.
Patient Security Mode
This icon can be advanced between NO (default) and YES to lock and
unlock the Avant 9700’s alarms. Selecting YES activates Patient Security
mode, locking all alarms to prevent accidental activation or adjustment.
The Plus (+) and Minus (-) buttons must be pressed and held for 3
seconds to advance between NO and YES.
Date and Time
This icon indicates that the Month, Day, Year, Hour, or Minute displays can
be reviewed or adjusted using the Plus (+) and Minus (-) buttons.
Display Intensity
This icon indicates that the LED display intensity can be adjusted using
the Plus (+) and Minus (-) buttons.
Backlight
This icon can be advanced between ON (default) and MOM (momentary)
to adjust the display LCD’s backlight.
Data Output
This icon can be advanced between and to adjust the output mode
of external printing devices:
• is used for print-on-demand output
• is used for real-time (once-per-second) output
Trend Waveform Display Selection
This icon can be advanced between modes 1, 2, and 3 to select data
display ranges. See “Trend Waveform View” for more information.
1
SpO2: 70-100
: 30-250

9
Displays, Indicators, and Controls
Front Panel Buttons
ON/STANDBY
• Press Once: Turns the device on
• Hold 1 second: Turns the device off
• Hold 5 seconds: Turns the device off when in Patient Security mode
• Press momentarily while the unit is on:
• Indicates the battery capacity in green, in 12% increments for
3 seconds
• Initiates Print-on-demand feature
• Records event marker
Alarm Silence
• Engages the 2-minute alarm silence automatically at start-up
• Changes the alarm from silenced to audible
• Silences the alarm for 2 minutes
• Cancels audible and visual alarms, when in LockedAlarms mode,
if the alarm condition is no longer present.
Settings
Pressing this button advances the operator through the displays, such as
alarm limits and volumes for SpO2and heart rate. At each display, the
operator has the option of adjusting the limits, as necessary.
LCD Intensity
This button adjusts the intensity (brightness) of the 16-color LCD display.
Holding the button or pressing it multiple times adjusts the LCD intensity.
LCD Screens
The LCD display screen button allows the operator to alternate among
Plethysmographic Waveform, Trend Waveform, and Trend Histogram view.

10
Displays, Indicators, and Controls
Plus Button and Minus Button
The Plus (+) and Minus (-) buttons are used to adjust time, date, volume,
and upper and lower alarm limits.
When the Avant 9700 is in Plethysmographic Waveform View, and the
device is not in program mode, pressing either button adjusts the intensity
of the front panel LED Display.
In Trend Waveform view, the Plus (+) and Minus (-) buttons can be used to
focus on specific displayed data.
Left Control and Right Control
These buttons are used to advance through either factory default or user-
defined limits, on the LCD display. In Trend Waveform view, these buttons
can also be used to advance through saved data.

11
Installing the Batteries and Serial Port Cover
Installing the Batteries and Serial Port Cover
NOTE: New battery packs must be fully charged before use; minimum recharge time is
4 hours.
Figure 2: Installing the Batteries and Serial Port Cover
NOTES:
• Contact Nonin to purchase or replace battery packs.
• Reposition the back cover carefully, and tighten the screws firmly. Do not over-tighten.
• The serial port cover must be installed at all times unless serial cable is attached.
WARNING: The battery pack must be installed at all times while the device is
operating—even when operating on AC power. The audible alarms and memory will
not function if batteries are removed from the device. Do not use this device without
batteries.

12
Operating the Avant 9700
Operating the Avant 9700
Press the ON/STANDBY button to perform the start-up (initialization) sequence. Verify that all
LEDs, except the AC Power Supply LED, are illuminated and the unit beeps three times during
the start-up sequence. Contact Nonin Technical Service for assistance.
Use the following procedure to verify that the pulse oximeter sensor is functioning properly.
1. Ensure that the Avant 9700 is on, and the sensor is connected to the monitor.
2. Apply the pulse oximeter sensor to the patient.
3. Verify that SpO2and pulse rate values are displayed, and the pulse strength bar graph
LED is activated.
4. Verify the plethysmographic waveform is displayed on the LCD screen.
Factory Default
In Factory Default, all adjustable alarm and volume parameters are set at their default values.
Factory Default settings are in the table below:
Factory default is indicated by option switch 4 in the DOWN position. Refer to Options Switches
Section.
User-Defined Defaults
User-Defined Defaults (option switch 4 in the UP position), alarm limits and volume settings can
be adjusted. To set user-defined defaults, enter limit settings for SpO2and pulse rate alarms,
alarm volume and pulse rate volume. The device will not return to operating mode until all user-
defined default limits are set. The programmed limits are the defaults until the device is turned
off. To return to Factory Defaults, turn the device off, move Option Switch 4 to the Down position
and turn the device on.
WARNING: Verify all alarm settings and limits during system startup to ensure that
they are set as intended.
Table 2: Factory Default Settings
Description Default
SpO2 Upper Alarm Limit Off
SpO2 Lower Alarm Limit 85%
Pulse Upper Alarm Limit 200 BPM
Pulse Lower Alarm Limit 50 BPM

13
Operating the Avant 9700
Operator Functions
Basic Functions
The Avant 9700 basic functions are described in the table below.
Table 3: Basic Functions
Function Button Instruction
Turns device on and
off Using the ON/STANDBY button:
•Press once (turns the device on)
•Hold 1 second (turns the device off)
•Hold 5 seconds (turns the device off when in
Patient Security mode)
Battery capacity Briefly press the ON/STANDBY button while the
device is on to display battery capacity.
View or set alarms,
volumes, time/date,
and other
parameters.
Press the Settings button to enter the menu.
(There are two screens within the menu. The
Settings button advances the operator to the
second screen.)
• The Left and Right Control buttons advance
through limits on each screen.
• The Plus and Minus buttons adjust the
highlighted limits up and down.
Change the LCD
display screen. Press the LCD Screens button to advance through Plethysmographic Waveform, Trend
Waveform, and Trend Histogram views.
Adjust the display
intensity
(brightness).
Press the Plus or Minus button with the device in
Plethysmographic Waveform view to change
display intensity. Display intensity can also be
adjusted by pressing the Settings button and
advancing to the Display Brightness icon.
NOTE: When option switch 6 is in the DOWN
position, display intensity will automatically be
reduced when converting from AC to battery power.
Print-on-Demand Press the ON/STANDBY button while the device
is on.
or
then or
then
or

14
Operating the Avant 9700
NOTE: When option switch 6 is in the DOWN position, the display intensity is automatically
reduced when changing between AC and battery power.
User-Defined Defaults
User-Defined Default functions are restricted to trained users, and they require multiple button
presses in order to prevent accidental activation.
Record an event
marker. Press the ON/STANDBY button while the device is on.
Silence audible
alarms Press the Alarm Silence button.
Cancel locked
alarms Press the Alarm Silence button.
Display intensity
(brightness) Hold the LCD intensity button until the appropriate brightness is displayed.
Table 4: User-Defined Defaults
Function Button Instruction
Recall Previous
User-Defined
Settings
Press and hold the Settings button while
turning on the Avant 9700.
NOTE: Previous user-defined settings can also
be recalled within the Parameter Adjustment
menu, which is accessed by pressing the
Settings button.
Play back and/or
clear patient data Press and hold the LCD Screens button while turning on the Avant 9700.
Follow the display prompts after the PLy bAC
message clears.
Table 3: Basic Functions (Continued)
Function Button Instruction
+
+