Nonin CO-Pilot H500 User manual

Nonin CO-Pilot™
Wireless Handheld Multi-
Parameter System (H500)
Quick Start Guide

Refer to the CO-Pilot Wireless Handheld Multi-Parameter
System (H500) Operator’s Manual for complete instructions
for use to fully understand the device, its operation, and the
potential risks to user and patient.
SP-BLE Wireless
Signal Processor
8330AA Multi-Sensing
Finger Clip Sensor
8204CA*
rSO2Sensor
D-HH
Display
H500-PS
Chargers (2)
Page 2 of 9
Table of Contents
01 System Components
01 System Components
02 Display Icons and Indicators
03 Initial System Set Up
04 Taking a Measurement
05 Placing Disposable rSO2Sensor
06 Placing Finger Clip Sensor
07 Determining Pulse Signal Quality
08 Checking Signal Processor Battery Status
09 Charging the System
10 Long Term Storage Mode
11 Basic Troubleshooting
12 COHb Quick Reference
13 COHb Exposure Treatment Decision Process
CO-Pilot User Guide
PN 114100-001-01
*rSO2 sensors not included in standard conguration
**Not depicted: Data Download Cable and USB Flash Drive

02 Display Icons & Indicators
Session ID
Signal Processor
Battery Life
Indicator
Battery Life
Indicator
SP-BLE
Charging Port
On/Off Button
Press briey to
check SP-BLE
battery status
Signal Processor
Serial Number
Sensor
Lock
Bluetooth
Indicator
On/Off,
Sleep Button
Display
Charging Port
rSO2Histograms
Trending readings of the
rSO2value over time
Pulse Signal
Quality Indicator
Display Battery
Indicator
Page 3 of 9
Event Marker Button
Multi-Sensing Display Screen
rSO2 Display Screen
Signal Processor (SP-BLE)
Pulse Wave Form/
PPG
CO-Pilot User Guide
PN 114100-001-01

03 Initial System Setup
04 Taking a Measurement with CO-Pilot
1
1
2
2
3
3
4
4
5
5
Charge display and signal processor
per instructions in Section 9
Activate the display from sleep mode by briey
pressing the On/Off, Sleep button on the right
side of the device (Figure 2)
Press and hold On/Off,Sleep button on display
until screen turns on
When the display is activated, it will
automatically be connected to the signal
processor and the sensor will turn on
Connect sensor to signal processor and
engage sensor lock (Figure 1)
Place the sensor on the patient
according to sensor instruction
System is now ready to take a measurement
or to be put into Sleep Mode for future use
When operation is complete, briey press the
On/Off, Sleep button on the display to end the
session and put device into Sleep Mode; signal
processor will enter Sleep Mode automatically
Press and hold On/Off button on signal
processor until green LEDs blink on and blue
Bluetooth LED begins to blink
If the signal processor is not
automatically activated, press and
hold down the On/Off button on the
signal processor
Figure 1
Page 4 of 9
Press On/Off,
Sleep button
to activate
display
Figure 2
CO-Pilot User Guide
PN 114100-001-01

05 Placing Disposable rSO2Sensor
1
2
3
Connect 8204CA sensor
to INT-100 and engage
lock per Figure 3
Ensure sensor surface adheres to the skin to
prevent light from traveling between emitting
or receiving elements or ambient light from
entering
An improperly placed
sensor may result in
inaccurate readings.
If sensor does not adhere
fully, sensor may result in
inaccurate reading
Remove the protective backing from the sensor
pad and gently, but rmly place the sensor
above the eyebrow per Figure 4
Figure 4
06 Placing Finger Clip Sensor
07 Determining Pulse Signal Quality
1
2
3
Select proper sensor size and use a clean, dry
nger. Heavy lotions, sunscreen, dirt, oils and
nail polish may alter accuracy
Pulse signal quality can be determined by the color of
the pulse waveform as shown.
Gently squeeze open the sensor and insert the
nger all the way into the sensor
Connect sensor to signal processor as shown
in Figure 1
Green = Good Yellow = Marginal Red = Insucient
Page 5 of 9
NOTE
8204CA8204CA
8204CA8204CA
8204CA 8204CA
8204CA
Figure 3
CO-Pilot User Guide
PN 114100-001-01
Connect INT-100 to signal processor as shown
in Figure 1
4

08 Checking Signal Processor Battery Status
To check the signal processor battery status, quickly
press the On/Off button on the signal processor. Green
battery indicator lights will light indicating current
battery status. Signal processor battery status can also
be found on the display screen as shown in Section 02.
Signal Processor Battery Status Matrix
Battery Indicator Battery Level
Three green lights lit High (60-100%)
Two green lights lit Medium (20-59%)
One green light lit Low (5-19%), charge SP-BLE
One green light blinking Critical (0-4%), charge
SP-BLE
No Lights Depleted or off
09 Charging the System
1
2
Charge the display and signal processor (SP-
BLE) using the provided Nonin chargers ONLY*
Insert charger into respective ports shown
below to charge.
Page 6 of 9
Display
Charging Port
SP-BLE
Charging Port
CO-Pilot User Guide
PN 114100-001-01
*Do not use system while charging

10 Long Term Storage Mode
1
2
3
To place the display into long term storage
mode, press and hold the On/Off, Sleep button
on the display (Figure 2) until screen prompt
appears
To place the signal processor
into long term storage mode,
press and hold the on/off button
on the signal processor until
all lights ash simultaneously.
Signal processor is now in long
term storage mode
Choose “Power Off” on display screen.
Screen will go black, display is now in
long term storage mode
Press and hold button to
place Signal Processor in
long term storage mode
11 Basic Troubleshooting
Sensor may be
inoperable, try
another sensor
Check that sensor is
plugged into signal
processor and sensor
lock is engaged
Sensor Not
Connected to
Signal Processor
Sensor Fault
Page 7 of 9
Figure 5
CO-Pilot User Guide
PN 114100-001-01
Ensure sensor is
properly applied
to patient
Inadequate
Signal
Error Code
Cannot Connect to
Signal Processor
Check that signal
processor is on,
battery is charged,
and in range of
display
Refer to Operator’s
Manual

Page 8 of 9
CO-Pilot User Guide
PN 114100-001-01
12 COHb Quick Reference
Carbon monoxide (CO) is an odorless, colorless gas that can
remain undetectable until exposure results in injury or death. CO
poisoning can lead to a variety of clinical effects that resemble many
neurological and cardiovascular conditions, leading to potential
misdiagnosis.
Common Symptoms of CO Poisoning
1
2
4
5
Important Symptom Considerations
A patient exposed to high concentrations for a short time
may be less symptomatic than a patient who reaches the
same COHb level after a prolonged exposure.
Chronic poisoning is generally associated with the less
severe symptoms.
Some patients presenting with a carboxyhemoglobin
level of 20% may be remarkably symptomatic, while
others experiencing the same level of COHb% may exhibit
only mild, equivocal symptoms.
Low-level exposure can exacerbate angina and chronic
obsutrctive pulmonary disease.
Coronary artery disease patients are at risk for ischemia
and MI even at low levels of CO.
Severity of clinical condition is related to CO conentration,
the duration of exposure, and the prevailing clinical
disposition of the patient.
Smokers present with higher levels of COHb than
do non-smokers. The COHb level in non-smokers is
approximately 1-2%. In smokers, a COHb of 3-8% would
be considered normal, depending on severity of smoking.
Headache
Dizziness
3Fatigue and Weakness
Loss of Consciousness
Nausea

Page 9 of 9
CO-Pilot User Guide
PN 114100-001-01
13 COHB Exposure Treatment Decision Process
Treatment
Carbon Monoxide: Half Life Elimination from Blood
Room Air 240-360 minutes
Oxygen (100%) 80 minutes
Hyperbaric Oxygen (HBO) 22 minutes
If CO exposure is NOT suspected:
If CO exposure IS suspected:
Noninvasive COHb values should NOT be used
Patient has signs and symptoms, transportation
to the hospital is recommended even if the COHb
is <10%
Patient has COHb ≥10%, transportation to the
hospital is recommended, even if asymptomatic

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