Nonin Avant 9700 User manual

Operator’s Manual
Digital Pulse Oximeter
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Avant 970
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English

CAUTION! Federal law (USA) restricts this device to sale by or
on the order of a physician.
CAUTION! Read this entire manual carefully before using the
Avant™ 9700 Digital Pulse Oximeter.
The information in this manual has been checked carefully 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.
Nonin Medical, Inc.
2605 Fernbrook Lane North
Plymouth, Minnesota 55447-4755
USA
[phone]
[phone] (USA and Canada)
Fax [phone]
[email protected]
www.nonin.com
Authorized EC Representative:
MPS Medical Product Service GmbH
Borngasse 20
D-35619 Braunfels, Germany
References to “NONIN” in this manual shall imply Nonin Medical, Inc.
Nonin is a registered trademark of Nonin Medical, Inc.
© 2003 Nonin Medical, Inc.

Guide to Symbols ......................................................... 1
Precautions for Use ......................................................2
Using the Avant 9700 ...................................................4
Intended Use ....................................................................4
Installing the Batteries ....................................................5
Verifying Avant 9700 Operation ...................................6
Displays, Indicators, and Controls ................................6
Default Settings ..............................................................11
LCD Display Views .......................................................12
User Functions ...............................................................14
Avant 9700 DIP Switches ............................................17
Nurse Call Feature .........................................................18
Care and Maintenance ..................................................19
Alarms and Limits ...................................................... 20
Alarm Summary .............................................................21
Setting and Changing Volume and Alarm Limits .....22
Silencing Alarms ............................................................22
Recalling Previous Settings ..........................................23
Latched and Unlatched Alarms ...................................23
Patient Security Mode ...................................................24
Error Codes ....................................................................24
Communication ......................................................... 25
Memory Features ...........................................................25
Playing Back Memory Data ..........................................26
Patient Data Outputs ....................................................27
Parts and Accessories ................................................ 30
Service, Support, and Warranty ................................. 32
Troubleshooting ......................................................... 33
2

2

1
Guide to Symbols
Detailed information for functional symbols can be found in “Using the
Avant 9700.”
Regulatory Symbols
Attention: See Instructions for Use or related
materials.
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
2601-1 and CAN/CSA C22.1 No. 601.1.
CE Marking indicating conformance to EC
directive No. 93/42/EEC concerning medical
devices.
Serial Number (located under the back cover).
Signal Output (located on back of unit).
Nurse Call (located on back of unit).
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2
Precautions for Use
Precautions for Use
Contraindications
Warnings
Do not use the Avant 9700 in an MRI environment.
Explosion Hazard: Do not use the Avant 9700 in an explosive atmosphere or in
the presence of flammable anesthetics or gases.
The Avant 9700 is intended only as an adjunct in patient assessment. It must be
used in conjunction with other methods of assessing clinical signs and symptoms.
Oximeter readings of the Avant 9700 may be affected by the use of an electrosur-
gical unit (ESU).
Use only NONIN-manufactured PureLight™ pulse oximeter sensors. These sen-
sors are manufactured to meet the accuracy specifications for NONIN pulse
oximeters. Using other manufacturers’ sensors can result in improper pulse
oximeter performance.
Do not use a damaged sensor.
Do not use the Avant 9700 in or around water or any other liquid when the AC
power adapter is used.
As with all medical equipment, carefully route patient cables and connections to
reduce the possibility of entanglement or strangulation.
Use the Avant 9700 with 300PS-XX AC power adapters, where XX represents the
power supply designation.
The 9700’s Nurse Call feature should not be used as the primary source of alarm
notification. The monitor’s alarms should be used in conjunction with clinical
signs and symptoms to notify medical personnel that an alarm condition exists.
To comply with relevant product safety standards, ensure that all alarm volumes
are set appropriately and are audible in all situations.
All parts and accessories connected to the serial port of the Avant 9700 must be
certified according to IEC Standard EN 60950 or UL 1950 for data-processing
equipment.
The Avant 9700 is designed to determine the percentage of arterial oxygen sat-
uration of functional hemoglobin. Significant levels of dysfunctional hemoglo-
bin, such as methemoglobin, might affect the accuracy of the measurement.

3
Cautions
This equipment complies with International Standard EN 60601-1-2:2001 for elec-
tromagnetic 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-fre-
quency 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.
If the Avant 9700 fails to respond as described, discontinue use until the situation is
corrected by qualified personnel.
Cardiogreen and other intravascular dyes may affect the accuracy of SpO2
measurements.
The oximeter sensor might not work on cold extremities due to reduced circulation.
Warm or rub the finger to increase circulation, or reposition the sensor.
The Avant 9700 might misinterpret motion as good pulse quality. Minimize finger
motion.
Some nail polish colors or artificial nails can reduce light transmission and affect
SpO2 accuracy.
Before using any sensor, carefully read the Directions for Use, which contain spe-
cific application times for each sensor.
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.
Do not place liquids on top of the Avant 9700.
Do not immerse the Avant 9700 or sensors in any liquids.
Do not use caustic or abrasive cleaning agents on the unit or sensors.
Do not gas sterilize or autoclave the Avant 9700.
Batteries might leak or explode if used or disposed of improperly.
Follow local governing ordinances and recycling instructions regarding disposal or
recycling of the device and device components, including batteries. Use only
NONIN-approved battery packs, and remove batteries if the Avant 9700 is not used
within 30 days.
When using the 300PS-UNIV battery charger, ensure that the AC cord is plugged
into a grounded outlet.
To prevent potential loss of monitoring, do not use ear clip or reflective sensors on
pediatric or neonatal patients.
To prevent potential loss of monitoring or inaccurate data, remove any objects that
might hinder pulse detection and measurement (e.g., blood pressure cuffs).

4
Using the Avant 9700
Using the Avant 9700
The Avant 9700 features an LCD display through which all parameters and
advanced features can be accessed and adjusted. The device’s audible and visual
alarms include easily understandable multi-colored LED indicators, alerting users to
abnormal conditions.
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, and subacute
environments. It is also used in patient transport, sleep laboratories, and EMS
environments. The Avant 9700 is intended for continuous monitoring and/or spot-
checking of patients.
9700

5
Installing the Batteries
NOTE: Contact NONIN to purchase or replace battery packs.
NOTE: Reposition the back cover carefully, and tighten the screws
firmly—being careful not to over-tighten.

6
Using the Avant 9700
Verifying Avant 9700 Operation
Press the ON/STANDBY button. When the unit is first turned on, the Avant 9700
performs a brief startup (initialization) sequence. Verify that all displays and LEDs
illuminate and the unit beeps three times during the first phase of the startup
sequence. If any LED or display is not lit (except the AC Power Adapter LED), do
not use the Avant 9700. Contact your distributor or NONIN Customer Support for
assistance.
In order to verify that the Avant 9700 is functioning properly, it is important to
monitor SpO2and pulse rate readings. Use the following procedure to verify that
the pulse oximeter sensor is functioning properly.
1. Ensure that the Avant 9700 is on, with the finger-clip sensor connected.
2. Apply the finger-clip sensor to a finger.
3. Verify that a good SpO2reading is displayed, that a pulse rate value appears,
and that the pulse strength bargraph LED is active.
4. Verify that the plethysmographic waveform is displayed on the LCD screen.
Displays, Indicators, and Controls
Avant 9700 Parameter Displays
%SpO2Display
The %SpO2display is located on the upper left-hand corner of the Avant 9700 and
is identified by the %SpO2symbol. This display shows blood oxygen saturation in
percent.
Pulse Rate Display
The pulse rate display is located on the upper right-hand corner of the Avant 9700
and is identified by the symbol. This display shows the pulse rate in beats per
minute.
Numeric Indicators
Numeric LEDs display %SpO2and pulse rate values. Under normal
conditions, these LEDs display in green. For high priority (patient)
alarms, the corresponding values are displayed in red, blinking fast.

7
LED Indicators and Icons
Main Alarm
This LED indicates all alarm conditions. For high priority (patient)
alarms, the indicator is displayed in red, blinking fast. For medium
priority alarms, the indicator is displayed in amber, blinking slowly.
Pulse Quality
This LED blinks to indicate a poor pulse signal. If there is a sustained
period of poor quality signals, this LED will illuminate solid.
Pulse Oximeter Sensor
This LED indicates when a sensor has become disconnected, has failed,
or has not been applied correctly.
Pulse Strength Bargraph
This 8-segment tricolor bargraph indicates pulse strength as determined
by the oximeter. The height of the Pulse Strength Bargraph LED is
proportional to the pulse signal, and the color is determined by pulse
strength:
Green = a good pulse strength
Amber = a marginal pulse strength
Red = a low pulse strength, high priority alarm
When displaying battery charge, this LED indicates charge in 12%
increments in green, displaying the depleted portion in amber.
Alarm Silence
This amber LED indicates that the audible alarm is silenced for two
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 Adapter
This green LED is displayed when an external power supply is providing
power to the Avant 9700. The Avant 9700 battery pack is being charged
any time this LED is displayed—even when the device is shut off.
Battery
This amber LED indicates a marginal battery charge when blinking. In
addition, this LED—when lit solidly—indicates that the battery charge
is being displayed. This LED does not indicate that the Avant 9700 is running
on battery power. The battery charge indication will not be accurate before
one full charge/discharge/recharge cycle with a new battery pack.

8
Using the Avant 9700
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 toggled 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 (+) or Minus (-) buttons must be pressed and held for 3
seconds to toggle 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 toggled between ON (default) and MOM (momentary)
to adjust the display LCD’s backlight.
Data Output
This icon can be toggled between and to adjust the output
mode of external printing devices:
• is used for print-on-demand output (default)
• is used for real-time (once-per-second) output
Refer to “Patient Data Outputs” for more information.
Trend Waveform Display Selection
This icon can be toggled 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
Avant 9700 Front Panel Buttons
ON/STANDBY
Pressing this button once turns on the Avant 9700. Holding this
button for at least 1 second shuts down the 9700. In Patient Security
mode, the ON/STANDBY button must be held for five seconds to
shut down the 9700. Momentarily pressing this button while the unit
is on displays the battery charge in 12% increments for 3 seconds in
green.
Alarm Silence
This button toggles the alarm between silenced and audible. Pressing
the Alarm Silence button will silence the alarm for two minutes.
When in Latched Alarms mode, pressing this button cancels both
audible and visual alarms if the alarm condition is no longer present. The
two-minute alarm silence is automatically engaged at startup.
Settings
Pressing this button displays the Parameter Adjustment menu,
allowing users to view and adjust a variety of parameters for the Avant
9700, including volumes and alarm limits for SpO2and heart rate
measurements. These limits can be adjusted using the Plus (+) and
Minus (-) buttons. After entering the Parameter Adjustment menu,
pressing the Left and/or Right Control buttons cycles users through
the Avant 9700’s optional settings, allowing users to review and adjust
a variety of parameters.
LCD Contrast
This button adjusts the display contrast of the Avant 9700’s 16-color
LCD display. The button can be pressed multiple times or held to
adjust the LCD contrast to its desired level.
LCD Screens
Pressing this button toggles the LCD display screen between
Plethysmographic Waveform view, Trend Waveform view, and Trend
Histogram view. Refer to “LCD Display Views” for more
information about these views.

10
Using the Avant 9700
Plus and Minus
These buttons adjust the values for many Avant 9700 functions,
including time, date, volume, and upper and lower alarm limits.
In Plethysmographic Waveform view (when the Avant 9700 is not in
any setting mode), the Plus and Minus buttons can be used to adjust
the intensity of the LED displays.
In Trend Waveform view, the Plus and Minus buttons can be used to
zoom in and out on displayed data.
Left Control and Right Control
These buttons are used to scroll through and select the adjustable
parameters on the Avant 9700’s LCD display. In Trend Waveform
view, these buttons can also be used to scroll through saved data.

11
Default Settings
The Avant 9700 features Factory Default and User-Defined Default settings.
Factory Default Setting
In Factory Default setting, all adjustable alarm and volume parameters are set at
their default values. Factory Default setting is the Avant 9700’s default operating
setting. It is indicated by DIP switch 4 in the DOWN position.
User-Defined Default Setting
In User-Defined Default Setting (DIP switch 4 in the UP position), alarm limit and
volume settings must be adjusted. When this setting is first activated, valid limit
settings must be entered for SpO2alarm limits, pulse rate alarm limits, alarm
volume, and pulse rate volume; the Avant 9700 will not return to normal operating
mode until all default values have been set. Once set, the adjusted values are used as
defaults until the Avant 9700 is turned on with DIP switch 4 in the DOWN position,
at which time the device restarts in Factory Default setting.
NOTE: Patient Security mode overrides User-Defined Default setting.
NOTE: In User-Defined Default setting, the lower SpO2alarm limit
cannot be set below 80.

12
Using the Avant 9700
LCD Display Views
The Avant 9700 features three unique LCD display views: Plethysmographic
Waveform view, Trend Waveform view, and Trend Histogram view.
Plethysmographic Waveform View
Plethysmographic Waveform view is the Avant 9700’s default. Approximately 3.4
seconds of data are displayed on the device’s LCD screen. Upon reaching the right
edge of the LCD screen, new data overwrites old data starting at the left edge of the
screen. Alarm limits and vertical scaling are shown at the bottom of the LCD display.
(Vertical scaling is a value—shown with x1, x2, x4, x8, or x16—identifying the
vertical scaling of the waveform. The 9700 may scale the vertical amplitude of the
signal in order to allow small signals to be displayed with good resolution and to
prevent large signals from being clipped. For example, when x16 is displayed, the
amplitude of the displayed signal is 16 times the actual size.)
NOTE: The color of the plethysmographic waveform is the same as the
color of the Pulse Strength Bargraph.
Trend Waveform View
Trend Waveform view allows viewing of up to the most recent 24 hours of patient
SpO2and pulse rate data stored in nonvolatile patient memory. The SpO2and pulse
rate waveforms appear on the same LCD screen, with SpO2data shown in green
and pulse rate data shown in red. The Left and Right Control buttons can be used
to move the cursor to any data point on the trend waveform display, and the Plus
and Minus buttons can be used to zoom in and out on displayed data. The zoom
range is 15 minutes (zoomed in completely) to 24 hours (zoomed out completely).
The length of time displayed is shown on the top line of the LCD. Time, date, SpO2,
and pulse rate data for the current cursor position appear at the top of the LCD
screen. If multiple data are displayed at a single point when the LCD is zoomed out, only the
lowest SpO2and pulse rate values are displayed in text at the top of the LCD.
NOTE: A single point on the horizontal time axis can represent a range of
data stored in memory, depending on the current level of zooming.
To ensure that all data is viewable, use the Plus and Minus buttons
to zoom in and out.
When the oximeter does not have data for any given period, the values are shown as
SpO2 = --- or HR = ---. When this occurs, the waveform for that period is drawn
off scale at the top of the LCD display screen (i.e., a line is shown at the top of the
screen to represent all missing data).
NOTE: Record gaps are identified with a white bar at the top of the LCD
display screen; individual records can be differentiated by
observing the blank space between waveforms.

13
In Trend Waveform view, the desired record can be selected by positioning the
cursor and pressing the LCD Screens button. One of three pre-defined SpO2and
pulse rate ranges selected during setup can be displayed. Those ranges are as follows:
NOTE: When data for SpO2or pulse rate is out of range (based on the
vertical scaling), the waveform for that period is drawn off scale. If
the data is below the viewable range, it is drawn at the bottom of
the screen. If the data is above the viewable range, it is drawn at
the top of the screen.
Trend Histogram View
Trend Histogram view allows users to view up to the most recent 24 hours of stored
data for any selected record. To select a record for viewing, position the cursor to
the desired record in Trend Waveform view, and then press the LCD Screens button.
The starting and ending time and date for the selected record are displayed. The
trend histogram includes columns with fixed values for SpO2and pulse rate data.
(SpO2data appears in the left column, and pulse rate data appears in the right
column.) Data summaries are displayed in each column. For example, if the first row
of the SpO2column (>95) displays “85%,” this means that for 85% of the recording
time, patient SpO2was greater than 95. If the second row of the SpO2column (>90)
displays “15%,” this means that for 15% of the recording time, patient SpO2was
greater than 90 but less than 95.
In some instances, data may be identified with a *1, *2, or *3 in the lower right-hand
corner of the LCD display screen. Refer to the table below for more information
about these identifiers.
Mode %SpO2Heart Rate
1(default) 70-100% 30-250 BPM
2 80-95% 50-200 BPM
3 85-100% 80-250 BPM
Identifier Meaning
*1 Record length is greater than 24 hours; trend histogram repre-
sents only most recent 24 hours.
*2 Trend histogram record was selected when zoomed out. Verify
date and time of record to ensure that desired record is being
displayed.
*3 Condition *1 and *2 have both occurred for this record.

14
Using the Avant 9700
User Functions
Avant 9700 operating functions can be broken into Basic and Advanced groups.
Basic Functions
The Avant 9700 has several basic functions, which are easy to use and generally
involve only a single button.
Function Button Instruction
Turn the Avant
9700 on and off.
Press the ON/STANDBY button
to turn on the Avant 9700. Press
and hold the button for at least one
second to turn off the Avant 9700.
In Patient Security mode, hold the
ON/STANDBY button for five
seconds to turn off the Avant 9700.
Check the
battery charge.
Press the ON/STANDBY button
while the unit is on. Battery charge
is displayed (in 12% increments, for
3 seconds in green) on the Pulse
Strength Bargraph.
View or set
alarms, volumes,
time/date, and
other parameters
Press the Settings button to enter
the Parameter Adjustment menu.
(There are two settings screens
within the Parameter Adjustment
menu. Pressing the Settings button
twice will advance to the second
setting screen.) Use the Left and
Right Control buttons to scroll
through parameters and the Plus
and Minus buttons to adjust the
highlighted parameter values as
desired.
Mute the audible
alarms (2 min-
utes—toggle).
Press the Alarm Silence button.
Cancel inactive
latched alarms
(when in Latched
Alarms mode).
Press the Alarm Silence button.
or
then or
then