Oridion Capnostream 20p User manual

Capnostream®20p
Portable Bedside Monitor
Capnograph/Pulse Oximeter
Operator’s Manual
PN: 012194C 0482

Notice: Purchase of this product confers no express or implied license under any Oridion Medical 1987 Ltd.
patent to use the instrument with any accessory that is not manufactured or licensed by Oridion Medical 1987
Ltd.
Possession or purchase of this device does not convey an express or implied license to use the device with
unauthorized sensors or cables which would, alone, or in combination with this device, fall within the scope of
one or more of the patents relating to this device.
Oridion®, Microstream®, FilterLine, Smart CapnoLine®, CapnoLine®, Smart BiteBloc™, NIV Line™,
CapnoBloc™, Smart CapnoLine Guardian™, SARA™, Integrated Pulmonary Index™, Capnostream®20p,
Microcap®, Microcap®Plus, and VitalCap®are trademarks or registered trademarks of Oridion Medical 1987
Ltd.
Nellcor Puritan Bennett LLC is a Covidien company.
The following are trademarks of Nellcor Puritan Bennett LLC: Oxiband™; Durasensor™; OxiCliq®; Dura-Y™;
Max-Fast™ and OXIMAX™.
The capnography component of this product is covered by: US Patents: www.covidien.com/patents.
The pulse oximetry component of this product is covered by: US Patents: www.covidien.com/patents.
Exemptions
Oridion Medical 1987 Ltd.'s liability under this warranty does not include any transportation damage or other
charges or liability for direct, indirect or consequential damages or delay resulting from improper use or
application of the product or the substitution upon it of parts or accessories not approved by Oridion Medical
1987 Ltd.
All information in this manual is believed to be correct. Oridion Medical 1987 Ltd. shall not be liable for errors
contained herein with the performance or use of this manual.
Copyright © 2014 Oridion Medical 1987 Ltd. All rights reserved.

Portable Bedside Capnograph/Pulse Oximeter
1
Table of Contents
Table of Contents 1
List of Figures 8
List of Tables 9
Oridion Medical 1987 Ltd. ("Oridion Medical") - Warranty for
Oridion Monitors 10
Safety Information 11
Warnings.......................................................................................................................11
General.......................................................................................................................................11
MRI Scanning.............................................................................................................................12
Monitor Use with Defibrillators...................................................................................................12
Alarms........................................................................................................................................12
Fire Hazard.................................................................................................................................12
Electrical.....................................................................................................................................13
Electro-magnetic Interference....................................................................................................13
Definitions .....................................................................................................................14
Chapter 1 15
About this Manual 15
Overview.......................................................................................................................15
Intended Use.................................................................................................................15
Specific Indications for Use...........................................................................................16
Who Should Read This Manual.....................................................................................16
Contacting Technical Support.......................................................................................16
Symbols ........................................................................................................................16
Chapter 2 19
Technology Overview 19
Introduction ...................................................................................................................19
Features........................................................................................................................19
Technology Overview....................................................................................................19
What is Capnography? ..............................................................................................................19
What is Pulse Oximetry?............................................................................................................20
Chapter 3 21
The Capnostream Monitor 21
Unpacking and Inspection.............................................................................................21
Installing the Battery Pack.............................................................................................22
Testing the Battery and AC Connections...................................................................................23
Handling the Battery Pack .........................................................................................................23

2
Portable Bedside Capnograph/Pulse Oximeter
Storing the Battery .....................................................................................................................24
Disposing of the Battery.............................................................................................................24
Battery and Power Usage..........................................................................................................24
Mounting the Monitor.....................................................................................................25
Setting up Periodic Maintenance...................................................................................25
Accessories...................................................................................................................25
Available Accessories................................................................................................................25
Monitor Mounting Plate..............................................................................................................26
Printer Paper..............................................................................................................................26
Buttons, Indicators and Connections.............................................................................26
Monitor Front View.....................................................................................................................27
Front Panel Control Buttons..........................................................................................28
Monitor Rear Panel....................................................................................................................29
Monitor Left and Right Views.....................................................................................................30
Turning on the Monitor..................................................................................................30
Standard Sections of the Display Screen......................................................................31
Home Screen Standard Display.................................................................................................32
Home Screen Numeric Display..................................................................................................36
Terminating Operation of the Monitor............................................................................37
Screen Navigation.........................................................................................................37
Configuration Changes ..............................................................................................................38
Setting Date, Time, Language, and Other Options .......................................................38
Screen Timeouts...........................................................................................................39
Screen Timeouts........................................................................................................................39
Capnostream®20p: Operational Check Sheet................................................................40
Chapter 4 43
Using the Capnostream Monitor 43
Preparing the Monitor for a Patient ...............................................................................43
Setting the Patient Type.............................................................................................................43
Using Patient Cases and Patient ID Numbers...............................................................44
Entering Patient Events.................................................................................................46
Changing the Alarm and Pulse Volumes.......................................................................46
Alarm Volume.............................................................................................................................46
Pulse Tone Volume....................................................................................................................47
Alarm Volume Default Options...................................................................................................47
Alarm Delay...................................................................................................................48
Use of Scavenging System...........................................................................................48
Turning the Pump Off for Suction or Lavage.................................................................48
Demo Mode...................................................................................................................49
Monitor Screen Menu Reference Chart.........................................................................49

Portable Bedside Capnograph/Pulse Oximeter
3
Chapter 5 53
Capnography with the Capnostream Monitor 53
Microstream®EtCO2Consumables...............................................................................53
Basic Principles..........................................................................................................................53
Microstream®EtCO2Consumables...........................................................................................54
Connecting a FilterLine .................................................................................................54
CO2Data Displayed by the Capnostream Monitor........................................................54
Adjustable CO
2
Parameters ..........................................................................................55
Monitoring CO2during MRI Scanning ...........................................................................56
Chapter 6 57
Pulse Oximetry with the Capnostream Monitor 57
Nellcor SpO2Sensors ...................................................................................................57
Data Update Period, Data Averaging, and Signal Processing..................................................58
Selecting Nellcor SpO2Sensors................................................................................................58
Performance Considerations .....................................................................................................59
Connecting an SpO2Sensor to the Monitor...................................................................60
SpO2Data Displayed by the Capnostream Monitor ......................................................60
Adjustable SpO2Parameters.........................................................................................62
SPO
2
Alarm Limit Message...........................................................................................62
Chapter 7 63
Integrated Pulmonary Index™ 63
Introduction ...................................................................................................................63
Warnings.......................................................................................................................64
IPI Display.....................................................................................................................64
IPI Options ....................................................................................................................64
Chapter 8 65
Apneas per Hour and the Oxygen Desaturation Index 65
Introduction ...................................................................................................................65
Apneas per Hour...........................................................................................................65
The Capnostream Apneas per Hour..........................................................................................65
A/hr Visual Alert .........................................................................................................................66
Oxygen Desaturation Index (ODI).................................................................................66
Apnea and O2 Desaturation Report..............................................................................66
Monitoring with A/hr and ODI........................................................................................66
Smart A/hr and ODI Home Screen Display...................................................................67
A/hr and ODI Option......................................................................................................67
A/hr and ODI Demo Mode.............................................................................................67