Nonin Onyx II 9550 Manual

Directions for Use
Onyx®II Model 9550 Finger Pulse Oximeter
Indications for Use
The NONIN Onyx®II Model 9550 Finger Pulse Oximeter is a small, lightweight, portable device indicated for use in
measuring and displaying functional oxygen saturation of arterial hemoglobin (%SpO2) and pulse rate. It is intended for
spot-checking of adult and pediatric patients on fingers (other than the thumb) between 0.3 - 1.0 inch (0.8 – 2.5 cm)
thick. The index finger is the recommended site.
Precautions for Use
Contraindications
• Do not use the Onyx II in an MRI environment, in an explosive atmosphere, or on infant or neonatal patients.
Warnings
• The Onyx II is intended only as an adjunct in patient assessment. It must be used in conjunction with other methods
of assessing clinical signs and symptoms.
• General operation of the Onyx II may be affected by the use of an electrosurgical unit (ESU).
• The use of accessories other than those specified in these instructions may result in increased emission and/or
decreased immunity of this device.
• The Onyx II 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.
Cautions
• Federal law (USA) restricts this device to sale by or on the order of a physician.
• The Onyx II is designed to determine the percentage of arterial oxygen saturation of functional hemoglobin.
Significant levels of dysfunctional hemoglobin may affect measurement accuracy.
• 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.
• Portable and mobile RF communications equipment can affect medical electrical equipment.
• In some circumstances, the Onyx II may interpret motion as good pulse quality. Minimize patient motion as much as
possible.
• The presence of a defibrillator may interfere with the performance of this device.
• Fluctuating or very bright light, moisture, blood pressure cuffs, infusion lines, venous pulsations, insufficient pulse
signals, anemia, arterial catheters, nail polish, and/or artificial nails may degrade the device’s performance.
• The Onyx II has no audible alarms and is intended only for spot-checking.
• Cardiogreen and other intravascular dyes may affect the accuracy of the SpO2measurement.
• A flexible circuit connects the Onyx II’s two halves. Do not twist or pull the flexible circuit or overextend the device’s
spring.
• Batteries may leak or explode if used or disposed of improperly.
• Do not use different types of batteries at the same time. Do not mix fully charged and partially charged batteries at
the same time. These actions may cause the batteries to leak.
• Follow local governing ordinances and recycling instructions regarding disposal or recycling of the device and device
components, including batteries.
• Do not immerse the Onyx II in liquid or use caustic or abrasive cleaning agents on the Onyx II.
• The Onyx II is a precision electronic instrument and must be repaired by trained NONIN personnel only.
Symbols
Symbol Definition of Symbol
ATTENTION: See Instructions for Use
CE Marking indicating conformance to EC Directive No. 93 42/EEC
concerning medical devices
Type BF Applied Part (patient isolation from electrical shock)
Not for Continuous Monitoring (no alarm for SpO2)
SN Serial Number
Battery Orientation
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.
Indicates separate collection for electrical and electronic equipment (WEEE).
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Activating the Onyx II and Verifying Operation
The Onyx II contains numeric LEDs that display blood oxygen saturation and pulse rate. A tricolor LED display provides
a visual indication of the pulse signal quality, while blinking at the corresponding pulse rate. This display changes colors
to alert you to changes in pulse quality that may affect the readings: green indicates a good pulse signal, yellow indicates
a marginal pulse signal, and red indicates an inadequate pulse signal.
Activate the Onyx II by inserting the patient’s index finger into the unit. The Onyx II detects the inserted finger and
automatically illuminates the displays. Correct positioning of the light emitter and photodetector on the finger is critical
for accurate measurements. All emitted light must pass through the fingertip.
While on the finger, do not press the Onyx II against any surface and do not squeeze or hold it together. The internal
spring provides the correct pressure; additional pressure may cause inaccurate readings.
1. Insert the patient’s finger, nail side up, into the Onyx II until the fingertip touches the built-in stop guide.
2. Make sure the finger is lying flat (not on its side) and is centered within the device. For best results, keep the Onyx II
at the patient’s heart or chest level.
3. If the device does not turn on, remove the finger and wait a few seconds before reinserting it.
When a finger is inserted, the Onyx II performs a brief startup sequence. Verify that all LEDs illuminate during the startup
sequence. If any LED is not lit, do not use the Onyx II; contact NONIN Customer Support for repair or replacement. After
the startup sequence, the Onyx II begins sensing the pulse (indicated by the blinking pulse quality display). Allow the
device to stabilize, observing about 4 seconds of continuous green-colored pulse quality before relying on the displayed
values. It is common for the displayed values to fluctuate slightly over a period of several seconds. If the pulse quality
display blinks yellow or red, try another finger.
A minus sign (-) appears in the left-most digit of the %SpO2display when the Onyx II senses that the finger has been
removed. The last measured SpO2and pulse rate values freeze for 10 seconds, and then the displays go blank. The
device will automatically shut off (to conserve battery life) approximately 10 seconds after the finger is removed, or after
a 2-minute period of inadequate pulse signals.
Installing Batteries
Two 1.5 volt AAA-size batteries power the Onyx II for about 2,500 spot checks or 21 hours of operation. NONIN
recommends using alkaline batteries (included with each new Onyx II). When batteries are low, the numeric displays
flash once per second. Replace low batteries as soon as possible, using the instructions below.
Note: Rechargeable batteries may be used; however, they require more frequent replacement.
1. Hold the Onyx II as shown at left, pressing upward and then pulling outward slightly with the thumb to release the
device’s battery tray.
2. Remove the battery tray and the old batteries, disposing of the batteries properly.
3. Insert two new 1.5 volt AAA-size batteries. Follow the polarity markings (+ and -) as illustrated. Proper positioning of
the batteries is essential for operation.
4. Carefully guide the battery tray back onto the Onyx II, pressing downward and pushing inward slightly to re-secure
the battery tray. Do not force it into place; it fits only when properly positioned.
Using the Lanyard and Carrying Case
A lanyard and carrying case are provided for convenience. The Onyx II will function with or without these accessories.
• If lanyard use is desired, thread the lanyard as shown below.
Onyx II Care, Maintenance, and Cleaning
The advanced digital circuitry within the Onyx II requires no calibration or periodic maintenance other than battery
replacement. Field repair of the Onyx II circuitry is not possible. Do not attempt to open the Onyx II case or repair the
electronics. Opening the case will damage the Onyx II and void the warranty. Do not open the Onyx II more than 90°,
and do not twist or pull on the device when cleaning.
Cleaning the Inner Surfaces of the Onyx II
1. Wipe the surfaces with a soft cloth dampened with a mild detergent or isopropyl alcohol solution. If low-level
disinfection is required, a cloth dampened with 10% bleach / 90% water solution may also be used. Do not use
undiluted bleach or any cleaning solution other than those recommended here, as permanent damage could result.
2. Dry with a soft cloth, or allow to air dry.
3. Ensure that all surfaces are completely dry.
1
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Perfusion Indicator

Table 2: Electromagnetic Immunity
NOTE: UTis the AC mains voltage before application of the test level.
Specifications
Oxygen Saturation Displayed Range (%SpO2): 0% to 100%
Pulse Rate Displayed Range: 18 to 321 beats per minute
Blood Oxygen Saturation Declared Accuracy Range: (±1 S.D.*): 70% to 100% SpO2±2 digits
Pulse Rate Declared Accuracy Range: 20-250 BPM ±3%
Measurement Wavelengths and Output Power: Red: 660 nanometers @ 3 mw nominal
Infrared: 910 nanometers @ 3 mw nominal
Temperature (Operating): +32° to +122°F / 0° to +40°C
(Storage/Transportation): -22° to +122°F / -30° to +50°C
Humidity (Operating): 10% to 90% noncondensing
(Storage/Transportation): 10% to 95% noncondensing
Altitude (Operating): up to 40,000 feet / 12,192 meters (Hyperbaric Pressure): up to 4 atmospheres
Battery Life (Operating): approximately 2,500 spot checks based on ~21 hours of operation using two AAA-size alkaline batteries, calculated at 30
seconds per spot check.
Battery Life (Storage): 4 years, minimum
Enclosure Degree of Ingress Protection: IPX2.
Classifications per IEC 60601-1 / UL 60601-1:
Type of Protection: Internally powered
Degree of Protection: Type BF-Applied Part
Mode of Operation: Continuous
*S.D. (Standard Deviation) is a statistical measure; up to 32% of the readings may fall outside these limits.
Warranty
NONIN MEDICAL, INCORPORATED, (NONIN) warrants to the purchaser, for a period of two years from the date of purchase, each Onyx II exclusive
of the batteries, carrying case, and lanyard. NONIN shall repair or replace any Onyx II found to be defective in accordance with this warranty, free of
charge, for which NONIN has been notified by the purchaser by serial number that there is a defect, provided notification occurs within the applicable
warranty period. This warranty shall be the sole and exclusive remedy by the purchaser hereunder for any Onyx II delivered to the purchaser which is
found to be defective in any manner whether such remedies be in contract, tort or by law. This warranty excludes cost of delivery to and from NONIN.
All repaired units shall be received by the purchaser at NONIN’s place of business. NONIN reserves the right to charge a fee for a warranty repair request
on any Onyx II found to be within specifications. Onyx II is a precision electronic instrument and must be repaired by trained NONIN personnel only. Any
sign or evidence of opening the Onyx II, field service by non-NONIN personnel, tampering, or any kind of misuse or the Onyx II, shall void the warranty.
All non-warranty work shall be done at NONIN’s standard rates and charges in effect at the time of delivery to NONIN.
Manufacturer’s Declaration
Refer to the following tables 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 equip-
ment.
RF Emissions
CISPR 11
Class B 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 build-
ings used for domestic purposes.
Harmonic Emissions
IEC 61000-3-3
N/A
Voltage Fluctuations/Flicker Emis-
sions
IEC 61000-3-3
N/A
Immunity Test IEC 60601 Test Level Compliance Level 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.
Electrostatic Discharge (ESD)
IEC 61000-4-2
±6 kV contact
±8 kV air
±6 kV contact
±8 kV air
Floors should be wood, concrete, or ceramic
tile. If floors are covered with synthetic mate-
rial, relative humidity should be at least 30%.
Electrical Fast Transient/Burst
IEC 61000-4-4
±2 kV for power supply lines
±1 kV for input/output lines
N/A Mains power quality should be that of a typical
commercial or hospital environment.
Surge
IEC 61000-4-5
±1 kV differential mode
±2 kV common mode
N/A Mains power quality should be that of a typical
commercial or hospital environment.
Voltage dips, short interruptions,
and voltage variations on power
supply input lines
IEC 61000-4-11
±5% UT
(>95% dip in UT) for 0.5 cycle
±40% UT
(60% dip in UT) for 5 cycles
±70% UT
(30% dip in UT) for 25 cycles
<5% UT
(>95% dip in UT) for 5 sec.
N/A Mains power quality should be that of a typical
commercial or hospital environment.
Power Frequency
(50/60 Hz) Magnetic Field
IEC 61000-4-8
3 A/m 3 A/m Power frequency magnetic fields should be at
levels characteristic of a typical location in a
typical commercial or hospital environment.

Table 3: Guidance and Manufacturer’s Declaration—Electromagnetic Immunity
NOTE: At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from struc-
tures, objects, and people.
Table 4: Recommended Separation Distances
The following table details the recommended separation distances between portable and mobile RF communications equipment and this device.
For transmitters rated at a maximum output power not listed above, the recommended separation distance d in meters (m) can be estimated using
the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the transmitter in watts (W) according to
the transmitter manufacturer.
NOTE: At 80 MHz and 800MHz, the separation distance for the higher frequency range applies.
NOTE: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from
structures, objects, and people.
Immunity Test IEC 60601 Test Level Compliance
Level
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.
Portable and mobile RF communications equipment should be used no closer to any part of the device, including cables,
than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter.
Recommended Separation Distance
Conducted RF
IEC 61000-4-6
3 Vrms
150 kHz to 80 MHz
N/A
Radiated RF
IEC 61000-4-3
3 V/m
80 MHz to 2.5 GHz [3] V/m
[2] V/m
where Pis the maximum output power rating of the transmitter in watts (W) accord-
ing to the transmitter manufacturer and d is the recommended separation distance in
meters (m).
Field strengths from fixed RF transmitters, as determined by an electromagnetic site
surveya, should be less than the compliance level in each frequency range.b
Interference may occur in the vicinity of equipment marked with the following sym-
bol:
a. Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur
radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic
environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the
location in which the device is used exceeds the applicable RF compliance level above, the device should be observed to verify normal
operation. If abnormal performance is observed, additional measures may be necessary, such as reorienting or relocating the device.
b. Over the frequency range 150 kHz to 80 MHz, field strengths should be less than [3] V/m.
This device is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. Users of this device can help
prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communication equipment (transmit-
ters) and the device as recommended below, according to maximum output power of the communications equipment.
Separation Distance According to Frequency of Transmitter
Rated Maximum Output Power of Transmitter
W
150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.5 GHz
0.01 0.12 0.12 0.35
0.1 0.37 0.37 1.11
11.21.23.5
10 3.7 3.7 11.1
100 12 12 35
d1.17 P=
d1.17 P=
d3.50 P=
d1.17 P=d1.17 P=d3.50 P=
Nonin Medical, Inc.
13700 1st Avenue North
Plymouth, MN 55441-5443
USA
• [phone]
• 800-356-8874 (US and
Canada)
• Fax [phone]
• E-mail: [email protected]
• www.nonin.com
Authorized EC Representative:
MPS, Medical Product Service
GmbH
Borngasse 20
D-35619 Braunfels, Germany
©2005
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80 MHz to 800MHz
800MHz to 2.5 GHz