Nonin SenSmart X-100 Manual

Table of Contents
Introduction ............................................................................................................................................1
Indications for Use ...................................................................................................................................2
Theory of Operation.................................................................................................................................2
What is rSO2and How is it Measured?............................................................................................................ 2
What is %SpO2? ............................................................................................................................................... 3
System Components ................................................................................................................................4
System Setup...........................................................................................................................................5
X-100H Hub...................................................................................................................................................... 5
Connect/Disconnect the Hub to the Monitor ............................................................................................. 5
X-100HH Hub Holster ...................................................................................................................................... 5
X-100SP Signal Processors ............................................................................................................................... 6
Connect/Disconnect a Signal Processor ...................................................................................................... 7
System Sensors........................................................................................................................................7
Connect/Disconnect a Sensor to/from the Signal Processor ...................................................................... 7
rSO2 Sensors..................................................................................................................................................... 7
rSO2Sensor Application............................................................................................................................... 8
SpO2 Sensors .................................................................................................................................................... 9
Reusable Pulse Oximetry (SpO2) Sensor Application................................................................................... 9
X-100EC Extension Cables ............................................................................................................................. 10
System Power on/off.....................................................................................................................................10
Review of the Model X-100 Universal Oximetry System Setup................................................................11
Monitor Features...................................................................................................................................12
Controls and Navigation.........................................................................................................................13
System Display.......................................................................................................................................15
System Configuration Screens and Menus ..............................................................................................17
Settings Menu................................................................................................................................................17
Sensor Site .................................................................................................................................................18
Sensor Type ...............................................................................................................................................18
Baseline (Manual Setting).......................................................................................................................... 18

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Setting High and Low Alarm Limits for rSO2or SpO2.................................................................................19
Graph Position ...........................................................................................................................................19
Review Current Preset............................................................................................................................... 20
Presets Menu................................................................................................................................................. 20
Case Menu..................................................................................................................................................... 21
System Menu.................................................................................................................................................22
Review System Menus................................................................................................................................... 24
System Alarm Indicators ........................................................................................................................25
High Priority Alarms....................................................................................................................................... 25
Medium Priority Alarms ................................................................................................................................25
Troubleshooting ............................................................................................................................................ 26
System Memory.....................................................................................................................................28
System Data Outputs .............................................................................................................................28
Cleaning the System Components ..........................................................................................................29
Warranty ...............................................................................................................................................30
How to Get Help - Service and Support ...................................................................................................30
Customer and Technical Service Contact Information.................................................................................. 30

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Introduction
This In-Service Training material is designed to help you become familiar with the SenSmart Model
X-100 Universal Oximetry System components and functions. It is not intended to replace the
SenSmart System Operator’s Manual, which includes warnings, cautions, complete functions of all
components, and technical information about the SenSmart System.
The training is designed to
1) Introduce you to the SenSmart System components and functions,
2) Learn what actions are needed to make the system function properly, and
3) Provide you the opportunity to demonstrate what you have learned.
Training format conventions in this document you should be aware of:
•SenSmart System features that perform an action, such as the navigation buttons Up/Down,
Left/Right and Select,are in bold font.
•Menus and options in the display interface that can be selected to configure the SenSmart
System are in bold font, such as the Settings, Presets, Case, and System menus, and any
option within these menus.
•Important notes regarding a specific function are italicized.
•Warnings and Cautions for safe operation of the system are in bold font.

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Indications for Use
The SenSmart Model X-100 Universal Oximetry System is a modular system and is indicated for use
in simultaneously measuring, displaying, monitoring, and recording up to six (6) channels of
functional oxygen saturation of arterial hemoglobin (SpO2) and pulse rate or cerebral or somatic
hemoglobin oxygen saturation (rSO2) of blood underneath the sensor. Patient populations include
adult, pediatric, infant, and neonate through the use of SenSmart-compatible sensors.
The SenSmart System is intended for use in hospitals, long-term care, medical facilities, sleep
laboratories, sub-acute environments, and Emergency Medical Services (EMS), including patient
transport. The X-100 SenSmart System may be used for spot-checking and continuous Monitoring
with patient alarms. The SenSmart pulse oximetry (SpO2) functionality is suitable for use in both
motion and non-motion conditions, including patients who are well or poorly perfused.
WARNING: This device is intended only as an adjunct device in patient assessment. It should not
be used as the sole basis for diagnosis or therapy decisions. It must be used in conjunction with
other methods of assessing clinical signs and symptoms.
Theory of Operation
What is rSO2and How is it Measured?
•rSO2is a representation of oxygen
saturation in tissue.
orSO2correlates to a jugular
bulb saturation
measurement.
orSO2has been validated to
agree with an assumed 70:30
mix of venous and arterial
blood in the tissue capillary
bed.
•To measure rSO2, the SenSmart
Universal Oximetry System uses 3 or 4
distinct wavelengths of light and 4
light paths to penetrate and determine
hemoglobin oxygen saturation of
blood in the area under the sensor.
•Nonin’s patented dual light
emitter/dual detector architecture
allows the sensor to spatially resolve
the differences between shallow tissue
artifacts and deeper target tissue.

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What is %SpO2?
Pulse oximetry provides a noninvasive method that
enables rapid measurement of oxygen saturation of
hemoglobin in arterial blood. It can rapidly detect
oxygen saturation changes thus providing early warning
of dangerous hypoxemia.
A pulse oximeter shines light composed of two
wavelengths—red and infrared—through a part of the
body that is relatively translucent and has good arterial
pulsed blood flow (e.g., finger, toe, ear lobe).
The ratio of red to infrared light received by the
detector depends on the percentage of oxygenated
versus deoxygenated hemoglobin through which the
light passes.

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System Components
The SenSmart System is a modular oximetry system comprised of the components, described in
Table 1, and uses Nonin-branded SenSmart sensors to measure rSO2and SpO2.
Figure 1. The SenSmart Model X-100 Universal Oximetry System.
Table 1. SenSmart System components and description.
Key
Component
Description
A
SenSmart X-100M
Monitor
Displays up to six channels of rSO
2
and SpO
2
data. Each channel is color coded to
match a SenSmart Signal Processor
B SenSmart X-100H Hub
The Hub has six ports to provide the connection between the Monitor and up to
six Signal Processors. The Hub cable is 4 meters in length.
C
SenSmart X-100HH Hub
Holster (not shown)
The Hub Holster holds the Hub and can be attached to bed rails and equipment
poles.
D
SenSmart X-100SP-X
Oximetry Signal
Processors 1 through 6

Each Signal Processor is programmed to be a specific channel on the Monitor
(designated by number) and can be connected to any Hub port.
Up to six (6) Signal Processors can be connected to the Hub to provide rSO2
and/or SpO2values.
NOTE: Duplicate Signal Processors (signal processors of the same color) cannot
be used simultaneously and will result in a System Error Message to correct
the condition.
Cable Clips: Each Signal Processor has 2 pre-attached color-coded clips that
match the channel color and are placed at the connector end and in the
middle of the cable.
Linen Clip: Each Signal Processor has one Linen Clip included in the component
package.
E
SenSmart X-100EC-1 and
X-100EC-2 (extension
cable) (not shown)
Extension Cables are available in 1- or 2-meter lengths and may be used:
1) Between the Hub and a Signal Processor
2) Between the Monitor and a Signal Processor (single channel use only)

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Key
Component
Description
F SenSmart Sensors
Available to measure rSO
2
and SpO
2
.

Sensors are described in more detail in the SenSmart Sensor section on page 7.
Power supply and cord
(not shown)
SenSmart Download
Software (CD not
shown)
Data management software
System Setup
This section describes the features of the SenSmart components and how to connect the
components to prepare for patient monitoring.
X-100H Hub
•The Hub and cable connects to the port on the front of the
Monitor and provides connections for up to six Signal Processors
using the Hub ports. See Figure 2.
•The Hub ports are protected from environmental contamination
with covers that are opened to connect a Signal Processor. If the
Hub port is not being used, the cover should remain closed to
eliminate the potential for environmental contamination.
Connect/Disconnect the Hub to the Monitor
1. To connect:
a. Align the arrow on the Hub cable connector with the
small triangle on the Monitor connector port.
b. Push the Hub cable connector straight into the port
until it clicks and locks into place.
2. To disconnect:
a. Grasp the sleeve on the Hub cable connector.
b. Retract the sleeve to unlock, and pull the Hub cable
connector straight back to detach from the Monitor as
shown in Figure 3.
X-100HH Hub Holster
The Hub can be placed in the Hub Holster to stabilize the Hub when attaching it to bed linens, bed
rail, or a pole by using the clamp on the back of the Hub Holster.
1. To place the Hub in to the Hub Holster
a. Align the Hub and hub cable to the Hub Holster as shown in Figure 4A. Push firmly
into the Hub Holster.
b. Attach to bed linens, bed rail, or a pole using the clip as shown in Figure 4B.
Figure 3. Align the arrows and push the
Hub cable connector into the Monitor port.
Figure 2. SenSmart Hub with port covers.

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2. To remove the Hub from the Hub Holster:
a. Pull the clip back on the tip of the Hub Holster and pull the Hub out of the Hub
Holster as shown in Figure 4C.
X-100SP Signal Processors
•Up to six (6) Signal Processors can be used with the System.
•The Signal Processor has a cable connector on one end to connect
to any port on the Hub or directly to the Monitor, and the sensor
connection port on the other end with the clear plastic sensor lock
to secure the sensor firmly in the Signal Processor. See Figure 5.
•The measurement from the Signal Processor will display on the
Monitor screen in the same color and channel location as shown
on the Signal Processor labels. See Table 2.
Table 2.SenSmart Signal Processors and channel colors.
SenSmart Signal Processor Model
Color
X-100SP-1 (Channel 1)
Blue
X-100SP-2 (Channel 2)
Orange
X-100SP-3 (Channel 3)
White
X-100SP-4 (Channel 4)
Purple
X-100SP-5 (Channel 5)
Green
X-100SP-6 (Channel 6)
Pink
Figure 4C. Removing the Hub from the
Hub Holster.
Figure 4A. Inserting the Hub in to the
Hub Holster.
Figure 4B. Hub Holster attached to pole.
Figure 5. Signal Processor showing
cable connector and clear sensor lock.

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Figure 6. Inserting the Signal Processor
into the Hub port.
Connect/Disconnect a Signal Processor
A Signal Processor can be connected to any one of the Hub channel ports on the Hub or directly
into the connector port (for single channel use).
1. To connect:
a. Align the arrow on the Signal Processor cable connector
with the arrow on the Hub port or the Monitor
connector port.
b. Push the Signal Processor cable connector into the Hub
port or Monitor connector port until it clicks and locks
into the Hub port or Monitor connector port. See Figure 6.
2. To disconnect:
a. Grasp the sleeve on the Signal Processor cable connector.
b. Retract the sleeve to unlock and pull the Signal Processor
connector straight back to detach from the Hub or
Monitor as shown in Figure 4C on page 6.
System Sensors
Connect/Disconnect a Sensor to/from the Signal Processor
1. To connect:
a. Flip the clear sensor lock on the Signal
Processor back to expose the sensor port.
b. Align the white arrow on the sensor
connector with the white arrow on the
Signal Processor sensor port and push until
the sensor is firmly in place.
c. Flip the sensor lock over the sensor
connector and click in to place. See Figure 7.
2. To disconnect:
a. Flip the sensor lock back to disengage the lock from the sensor. Pull the sensor
connector to remove the sensor from the Signal Processor.
rSO2 Sensors
Nonin offers sensors to facilitate a wide range of regional oxygen saturation patient monitoring.
The following information will assist in sensor selection:
Table 3.SenSmart rSO2EQUANOX™ Sensors
SenSmart rSO2EQUANOX Sensor Model
Patient Weight Range
Tissue Sites
8003CA Classic Plus Adult/Pediatric
>40 kg
Cerebral and somatic
8004CA Advance Adult/Pediatric
>40 kg
Cerebral and somatic
8004CB Advance Neonatal/Pediatric
<40 kg
Cerebral and somatic
8004CB-NA Advance Neonatal/Pediatric
(non-adhesive)
<40 kg Cerebral and somatic
Figure 7. A) Inserting a SenSmart sensor into the
Signal Processor; B) Sensor locked into place.
A B

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rSO2Sensor Application
See the Sensor IFU for complete instructions, cautions and warnings.
1. Signal Processor site(s) and cable pathways:
a. Select an appropriate site to clip or otherwise stabilize the Signal Processor. The
ideal site avoids the patient’s body resting on the Signal Processor or the Signal
Processor pulling unnecessarily on the sensor. Ensure the sensor cable and
extension cable pathways are clear and unencumbered.
WARNING: As with all medical equipment, carefully route patient cables and
connections to reduce the possibility of entanglement or strangulation.
2. Cerebral site:
a. Select the site(s) on the patient’s forehead lateral of the superior sagittal sinus,
superior to the eyebrow and inferior to the hairline (Figure 8).
Figure 8. Proper placement of cerebral sensors on adult and neonate/pediatric patients.
b. The area(s) should be free of hair or surface blemishes such as moles or freckles.
c. Avoid placing the sensor(s) over nevi, sinus cavities, hematomas, or arteriovenous
malformations.
3. Somatic site(s):
a. Select the site(s) that provides optimal access to desired tissue (Figure 9).
Figure 9. Proper placement of somatic sensors on adult and neonate/pediatric patients.
CAUTION: Avoid excessive pressure to the sensor application site(s) as this may cause
damage to the skin beneath the sensor.
4. Skin preparation:
a. Gently cleanse the patient’s skin with isopropyl alcohol to remove oils, makeup, or
soil that might interfere with adhesive or block light.
b. Ensure the skin is thoroughly dried.
5. Removal from packaging and pre-check:
a. Carefully remove the sensor from the plastic pouch and uncoil the sensor cable.
b. Check the sensor for any sign of damage in transport.
c. If signs of damage are found, replace the sensor.
6. Sensor placement:
a. Remove the protective backing from the sensor pad and gently, but firmly, place the
sensor(s) on the desired site(s).

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b. Ensure the sensor surface adheres fully to the skin to prevent light from traveling
between emitting or receiving elements or ambient light from entering between the
sensor and the skin.
CAUTION: An improperly placed sensor may result in inaccurate readings.
7. Sensor connections:
a. Flip the clear sensor lock on the Signal Processor back to expose the sensor port.
(See Figure 7 on page 7.)
b. Align the white arrow on the sensor connector with the white arrow on the Signal
Processor sensor port and push until the sensor is firmly in place
c. Flip the sensor lock over the sensor connector and click into place.
d. rSO2values and trend lines should begin displaying within seconds.
Note: If these measurements are not clearly identified or alarm conditions are
generated, consult the Troubleshooting section on page 26.
WARNING: Use only Nonin-branded SenSmart Signal Processors, sensors, and accessories. The
sensors are manufactured to meet the accuracy specifications for this System. Using other
manufacturers’ sensors can result in improper oximeter performance.
CAUTION: The sensor is designed for external use only.
CAUTION: Do not apply sensor over open wound, incision, compromised skin, or pre-existing
skin condition (e.g., eczema or dermatitis).
CAUTION: Do not use if patient has pre-existing sensitivity to adhesive tapes or adhesives on
electrocardiogram (ECG) pads.
SpO2 Sensors
Nonin offers reusable SpO2sensors for a wide range of patients. The following information will
help assist in sensor selection.
Table 4.SenSmart SpO2Soft Sensors
SenSmart SpO
2
Soft Sensor Size
Digit Height
(thickness)
Model 8100SL (Large)
12.5 – 25.5 mm (0.5 – 1.0 in.)
Model 8100SM (Medium)
10 – 19 mm (0.4 – 0.75 in.)
Model 8100SS (Small)
7.5 – 12.5 mm (0.3 – 0.5 in.)
Reusable Pulse Oximetry (SpO2) Sensor Application
1. Use the measurements provided below to determine which sensor should be used. Sensor
recommendations are based on digit height (thickness), as indicated in the right column.
2. Attaching the Sensor:
a. Insert the selected digit into the sensor as illustrated in Figure 10. The
patient’s digit must reach the end of the sensor.
b. Direct the cable along the patient’s digit, parallel to the arm or leg.
c. Secure the sensor cable with medical tape so the cable does not
become caught on nearby equipment. Ensure that the tape securing the
cable does not restrict blood flow or pull the sensor out of position.
NOTE: Proper sensor placement is critical for good performance. If the
sensor is not positioned properly, light may bypass the tissue and
result in SpO2inaccuracies
Figure 10. SpO
2
sensor placed
on finger or toe.

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3. Sensor Connections:
a. Flip the sensor lock on the Signal Processor back to expose the sensor connector port.
b. Insert the sensor connector into the Signal Processor connector port.
c. Flip the Signal Processor sensor lock over the sensor connector and click into place.
d. SpO2and HR values should begin displaying within seconds.
X-100EC Extension Cables
•Extension Cables are available in 1 or 2 meter lengths to increase the distance between the
Monitor and the sensor.
•One Extension Cable may be used:
a. Between the Hub and Signal Processor
b. Between the Monitor and a Signal Processor (single channel use only)
CAUTION: Do not attempt to use an extension cable between the Monitor and the Hub.
1. To connect:
a. Align the arrow on the Extension Cable connector with the
arrow on the Hub port or the Monitor connector port as
shown in Figure 11.
b. Push the Extension Cable connector into the Hub port or
Monitor connector port until it clicks and locks into place.
c. Connect the other end of the Extension Cable into the
Signal Processor connector port.
2. To Disconnect:
a. Grasp the sleeve on the Extension Cable connector.
b. Retract the sleeve to unlock and pull the Extension
Cable connector straight back to
detach from the Hub or Monitor.
System Power on/off
1. Plug the power supply into the receptacle
located on the back bottom of the
Monitor, below the indicator light.
2. Connect the power supply to the power
cord.
3. Plug the power cord into AC power to
operate the Monitor or charge the
internal 3-hour battery.
4. Press the On/Standby button to power
on the Monitor.
5. The Monitor will display the opening
screen allowing the user to select a Preset
(Figure 12). This will be reviewed later in
the handbook.
6. Press Menu to set the display to the monitoring screen.
Figure 12. Opening screen with available Presets list.
Figure 11. Insert the Extension Cable
connector into the Monitor or Hub port.

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Review of the Model X-100 Universal
Oximetry System Setup
To practice making all the connections to the System, please complete the following tasks in the
order they presented.
1. Connect the Hub to the Monitor.
2. Securely place the Hub in the Hub Holster.
3. Attach the Hub Holster to the pole using the clip on the back of the Hub Holster.
4. Connect three (3) Signal Processors to the Hub.
5. Connect two (2) rSO2sensors to the Signal Processor and lock into place.
6. Connect one (1) SpO2sensor to the Signal Processor and lock into place.
7. Power on the Monitor.
8. Observe the channels that are displaying on the Monitor and list them here.
a. rSO2: Channel _____ Color ________
b. rSO2: Channel _____ Color ________
c. SpO2: Channel _____ Color ________
Congratulations! You are now ready to learn more about how the System functions and displays the
patient data.

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Monitor Features
This section describes the physical features of the System Monitor that are used to configure and
control system functions to assist in patient monitoring.
Table 5. SenSmart Monitor display features.
Key
Feature
Description
A Navigation buttons Up / Down / Left / Right / Select
B Graphs Graphs for each channel with rSO2trend lines or SpO2plethysmograms
C Channel values rSO2or SpO2data for each active channel
D Function control buttons Function buttons to control specific system functions
E Monitor Connector Port
Insert Hub cable connector here to connect to Monitor or a single signal
processor or extension cable plus a Signal Processor
F AC Power Indicator LED indicates battery charging (orange) or fully charged (green)
G Speaker For audible alarms
Figure 13. The SenSmart System monitor features navigation buttons, display, cable port and speakers.
A
G
F
B
E
C
D

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Controls and Navigation
Configuring the System is controlled using the Navigation buttons on the left and the Function
buttons on the right side of the Monitor.
Table 6. SenSmart System controls and navigation buttons.
Key
Feature
How to Use
A
Navigation
Buttons
Up and Down
Left and Right
Select
1. Up/ Downand Left/ Right: In menus, used to navigate between items.
2. Up/ Down: Change rSO2 trend line timescale.
3. Left/ Right: Scroll back/forward in time in the current case.
4. Select (in center of navigation buttons and between Menu and Baseline
buttons).
a. Select item to edit.
b. Save entered or changed values.
B Alarm Silence
1. Press once to silence audible alarms for 2 minutes.
2. Press once to reactivate audible alarms before the 2-minute silence period
is over.
NOTE: All silenced audible alarms are automatically reactivated when a new
physiological alarm goes off.
C Event Mark
1. Press once to mark an event with an alpha character (A-Z) in 1) memory, 2) on the
trend line, and 3) in real-time serial data.
NOTE: If more than 26 events are marked in a single case, the event marks begin
again at A.
2. Press and hold for 2 seconds to open the Event Mark table which shows the
last 10 event marks with date/time and values for each channel. See Figure 17
on page 16.
Figure 14. The SenSmart System features buttons to navigate all menus and control display functions
of the system.
B
C
D
A
E
F
A

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Key
Feature
How to Use
D Menu
1. Press to open the Settings screen which contains 4 operating menus:
a. Settings –Assign sensor site to channel, select sensor type (rSO2or SpO2), set
limits and graphs, and review presets.
b.Presets – Save current settings as a new Preset, select a Preset to use, and
edit/delete a Preset.
c. Case –Review current patient ID, start a new case/enter new patient ID, and
edit current patient ID.
d.System – Set System settings.
2. Press Menu to navigate to previous menu.
3. Press Menu in any menu/item to cancel the entry without saving and navigate to
previous menu.
A Select See A for description of the Select button.
E Baseline
1. Press twice to quickly set all baseline(s) to the current rSO
2
values.
2. rSO2Baseline values can be set by the user for each patient to compare
subsequent rSO2changes relative to this Baseline.
F On/Standby
1. On – Press once to power on the Monitor.
NOTE: Each time the device is turned on, baseline values are cleared, limits are
reset to default values, and a new patient case is initiated in data memory.
2. Cancel – When Monitor is on, press once briefly to return the display to the
Monitoring screen from menus.
3. Standby (off) – Press and hold for at least 1 second to power down the Monitor.
Note: In Standby (off) mode, all device functions are turned off except for:
a. The AC power adapter LED is lit whenever the device is plugged in; and,
b. Batteries are charging if the device is plugged into AC power outlet.
WARNING: This device turns off after approximately 30 minutes when in low battery condition.

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System Display
The system can display up to six (6) channels of patient data in bright, easy to read numbers, trend
lines, and plethymograms during operation. This section describes all the information that is
provided on the display.
Table 7.
SenSmart
System display information.
Feature
Key
Description
Information
(A): rSO2
Channels
B Sensor placement site
Indicates user defined sensor placement site set in
Settings menu.
C Channel designation
For active channels 1 – 6 activated when sensor is
attached to Signal Processor.
D
BL (Baseline)
rSO2patient Baseline set by user
E AUC (area under the
curve)

Society for Thoracic Surgery (STS) database reporting
value automatically calculated as minutes multiplied
by the percent below the set lower alarm limit.

See page 16, Figure 16 for example of calculation.
(F): SpO2
Channels
G Sensor placement site
Indicates defined sensor placement site set in Settings
menu.
H Channel designation
For active channels 1 – 6 activated when sensor is
attached to Signal Processor.
I
Pulse rate
Indicates pulse rate in beats per minute.
Battery indicator
J
Charge status
Indicates amount of charge left or fully charged (3 hrs).
Date / Time
K
System date/time
Set by user in System menu.
Bluetooth®L Status of Bluetooth
Set by user in System menu.
-Green = connected
-White = enabled (On) but not connected
Figure 15. The System display featuring 5 channels of patient data.
M
R
D
E
B
C
N
O
P
Q
R
J
K
L
H
I
G

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Feature
Key
Description
Information
-Gray = disabled (Off)
Alarm Silence
icon M Status of audible alarms
Alarms can be silenced:
-For 2 minutes using Alarm Silence button
-Indefinitely by setting Alarm Volume to ‘0’ in System
menu
Timescale N Timescale of graphs
7.5 min, 15 min, 30 min, 1 hr, 2 hr, 12 hr
1 hr, 2 hrs, 4 hrs, 8 hrs, 12 hrs, 24 hrs.

Changed using the Up/Down Navigation buttons.
%rSO2Axis Scale
O
rSO2scale
0 - 100
Low Alarm Limit P
Threshold value for rSO
2
set manually or as a percentage
below Baseline.
Event Mark Q Alpha characters
Indicates events that have been marked in the case.
Set by user pressing the Event Mark button.
Pressing the Event Mark button for 2 seconds will
display the Event Mark Table which shows the last 10
event marks, date/time, and values for each active
channel. See Figure 17 below.
Scrolling Cursor
and Values R
Cursor (yellow down
arrow) and chart of
channel values
Cursor (yellow down arrow above the top graph)
scrolls the timeline of rSO2 data and displays the value
on the chart at time point selected.
Use Left/Right Navigation buttons to activate Cursor
and scroll the timeline to display values.
Use Left/Right or Up/Down to display channel values chart.
Figure 16.AUC example: Below the reference line (red line) represents a 25% drop from pre-intervention
baseline. A low rSO2alarm would occur when the rSO2value reaches the red line, while the AUC (in yellow) is
calculated by the depth and length of the rSO2desaturation event below the red line.
Figure 17.A An Event Mark Table showing three (3) active channels and 3 events marked. B The Event Mark Table displays the last
10 event marks for each channel and the patient data at the time of the Event Mark.

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System Configuration Screens and Menus
The System has four (4) operating menus to configure the system for specific needs.
1. Settings 2. Presets 3. Case 4. System
All menus are accessed via the Menu button and are then navigated using the Navigation
buttons on the left side of the Monitor.
Settings Menu
In this menu, the user can review and configure the following settings and alarm limits for each
channel (1 – 6) using the Navigationbuttons to move through the menus, and the Select button
to select fields, make changes, and save changes.
Table 8. Settings menu options and available settings.
Option
Description and Available Settings
Sensor Site
Select, customize, or clear a Sensor Site name.
Sensor Type
Select the type of sensor for each channel: rSO2 or SpO2.
Baseline (rSO2
only)
Set Baseline manually (numerical value).
rSO2Baseline values can be set by the user for each patient to compare
subsequent rSO2changes relative to this Baseline.
%rSO2High
Set rSO2high alarm manually (numerical value) or turn Off.
%rSO2Low
Set value as either %rSO
2
Low (% below BL) or %rSO
2
Low (Absolute).
% Baseline can be set to Off or -40% to -5%. Absolute can be set to Off or
15% – 90%.
%SpO2High
Set value as Off or 80% – 100%.
%SpO2Low
Set value as Off or 50% – 95%.
PR High
Set value as Off or 75 – 275 BPM.
PR Low
Set value as Off or 30 – 110 BPM.
Graph Position
Set location of individual channel trend lines (locations A – F, or Off)
or plethysmograms (On or Off).
Current Preset
The current Preset name is shown here and the settings are displayed in the
menu fields. The user can scroll through all Presets using the Left/Right
navigation buttons.
Figure 18. The Settings menu displays current settings options and
values.