Virtuox VPOD Ultra Series User manual

I
VPOD Ultra
USER INSTRUCTIONS
Thank you for purchasing theVPod Ultra Series Wrist Pulse Oximeter.
This manual is written and compiled in accordance with council directive MDD93/42/EEC for
medical devices and harmonized standards. In case of modifications and software upgrades, the
information contained in this document is subject to change without notice. For the most up to date
manual please visit www.VirtuOx.net , click on products and choose VPOD Ultra.
The manual describes, in accordance with the Pulse Oximeters features and requirements, main
structure, functions, specifications, correct methods for transportation, installation, usage, operation,
repair, maintenance and storage, etc. It also includes safety procedures to protect both the user and the
equipment. Refer to the respective chapters for details.
Please read the manual carefully before using this product. The section describing operating
procedures should be followed carefully. Failure to follow the instructions given may cause
measuring abnormality, equipment damage and human injury. The manufacturer is NOT responsible
for the safety, reliability and performance issues and any monitoring abnormality, human injury and
equipment damage due to users' negligence, through improper use or operation contrary to these
written instructions. The manufacturer’s warranty is Null and Void under these circumstances as
well. .
WARNING:
MDiscomfort or pain may appear if using the device continuously for longer than specified
periods of time, especially with microcirculation barrier patients.
MFor the special patients, there should be a more prudent inspecting in the placing process.
The device can not be clipped on edemicor tender tissue.
MThe light (the infrared is invisible) emitted from the device is harmful to the eyes, so the
user should not lookat the lightsource.
MSubjects for test should not use enamel Nail polish.
MSubjects for test should not have excessive finger nail length.
MPlease refer to the correlative literature concerning clinical restrictions and cautions.
This device is not intended as a treatment

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Contents
1 Safety .............................................................................................................................1
1.1 Instructions for Safe Operation .....................................................................................1
1.2 Warnings...................................................................................................................1
1.3 Attention...................................................................................................................1
2 Overview ........................................................................................................................2
2.1 Features ....................................................................................................................2
2.2 Major Applications and Scope of Application .................................................................2
2.3 Environmental Requirements.......................................................................................2
3 Principle.........................................................................................................................2
4 Technical Specifications ..................................................................................................3
4.1 Main Performance ......................................................................................................3
4.2 Main Parameters.........................................................................................................3
5 Installation......................................................................................................................4
5.1 View of the Front Panel ...............................................................................................4
5.2 Probe Installation........................................................................................................4
5.3 Accessories................................................................................................................4
6 Operating Guide.............................................................................................................4
6.1 Application Method....................................................................................................4
6.2 Best practices for Operation .........................................................................................6
6.3 Clinical Restrictions....................................................................................................7
7 Maintain, Transportation and Storage............................................................................7
7.1 Cleaning and Disinfecting............................................................................................7
7.2 Maintainence .............................................................................................................7
7.3 Transport and Storage .................................................................................................7
8 Troubleshooting ..............................................................................................................8
9 Symbol Key....................................................................................................................9
10 Function Specification.................................................................................................10

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1Safety
1.1 Instructions for Safe Operations
²Check the main unit and all accessories periodically to make sure that there is no visible damage
that may affect monitoring performance and the patient’s safety. It is recommended that the device
should be inspected a minimum of once a week. When there is obvious damage, stop using the device
and contact VirtuOx for RMA or Repair.
²The Oximeter cannot be used with any devicenot specified in theuser’s Manual. Only VirtuOx
approved accessories can be attached to the Oximeter.
²This product has been calibrated before leaving factory no further calibration is necessary.
1.2 Warning
MExplosive hazard—DO NOT use the Oximeter in the environment with flammables such as
anesthetic.
MDO NOT use the Oximeter while the patient is being scanned by MRI or CT.
MThe person who is allergic to rubber can not use this device.
MThe disposal of scrap instrument and its accessories and packing (including battery, plastic
bags, foams and paper boxes) should follow the local laws and regulations.
MPlease check the packing before use to make sure the device and accessories are totally in
accordance with the packing list, or else the device may have the possibility of working abnormally.
MPlease choose the accessories which are appointed or recommended by the manufacturer for
avoiding devicedamage.
MPlease don't measure this device with functional tester for the device's related information.
1.3 Attention
%Keep the Oximeter away from dust, vibration, corrosive substances, combustibles, high
temperature and moisture.
%If the Oximeter gets wet, pleas ecease operation.
%When it is carried from cold environment to warm or humid environment, please do not use it
immediately.
%DO NOT operate button on panel with sharp things.
%High temperature or high pressure steam disinfection will damage thisdevice and void warranty.
Refer to User Manual in the relative chapter (7.1) for cleaning and disinfection.
%Do not submerge the Oximeter in liquid. When it needs cleaning, please wipe its surface with
medical alcohol by soft material. Do not spray any liquid on the device directly.
%When cleaning the device with water, the temperature should not be lower than 60 degrees.
%Fingers which are too thin or too cold may affect the measure accuracy, please use a thick er
finger such as thumb or middle finger that will fit into the probe.
%Optional probes are available for Pediatric and Neo-Natal use.
%Please wait until the reading has stabilized before taking a visual reading.
%If some abnormalities appear on the screen during test process, pull the finger out and reinsert to
restore normal recording.
%The device has an average 3 year lifespan before replacement of the internal battery.
%The device may be not fit for all patients. If you are unable to receive a stable measurement,
discontinue use.
%Do not twist or sharply bend the wiresof the probe.

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%The Probe warranty is separate from the device. The Probe warranty is 90 days
2Overview
The pulse oxygen saturation is the percentage of HbO2in the total Hb in the blood, so-called the O2
“Saturation”. It is an important bio-parameter for respiration. A number of diseases relating to
respiratory system may cause the decrease of SpO2in the blood, furthermore, some other causes such
as the malfunction of human body's self-adjustment, damages during surgery, and the injuries caused
by some medical procedures can also lead to difficulty of oxygen supply in human body, and the
corresponding symptoms would appear, vertigo, impotence, vomiting etc. Serious symptoms may be
life threatening. Therefore, prompt information regarding a patients' SpO2is necessary forthe doctor
to discover any potential danger, and is critical in the clinical field.
The Pulse Oximeter is small in volume,low in power consumption,convenient in operation and
portable. With a high-definition display screen, the device is precise and simple.It is only necessary
for patient to put one finger into probe for diagnosis, the display screen will directly show the SpO2
value,pulse ratevalue, Perfusion Index value and pulse waveform with high accuracy and repetition.
2.1 Features
AUltra-thin wrist-design.
BSmall in size, light in weight and conveniently worn.
CLow power consumption
DDisplay direction can be changed automatically, easy to view.
EPerfusion Index measurement.
F Patented Good Study Indicator displays the hours, minutes and seconds recorded
G.Customize device with your logo (optional for small fee)
2.2 Major Applications and Scope of Application
The Pulse Oximeter can be used in measuring the pulse oxygen saturation,pulse rateand perfusion
index through finger. The product is fit for family, hospital, oxygen bar, community healthcare, Sports
Medicine (It can be used before or after doing sports and it is not recommended to use the device
during Certain Interactive sports) and etc.
2.3 Environmental Requirements
Storage Environment
a) Temperature :-40-95f
b) Relative humidity :=95%
c) Atmospheric pressure :500hPa~1060hPa
Operating Environment
a) Temperature:10f-95f
b) RelativeHumidity :=75%
c) Atmospheric pressure:700hPa~1060hPa
3Principle
Principle of the Oximeter is as follows: An experience formula of data process is es tablished taking
use of Lambert-BeerLaw according to Spectrum Absorption Characteristics of Reductive
Hemoglobin (Hb) and Oxyhemoglobin (HbO2) in glow & near -infrared zones. Operation principle of

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the device is: Photoelectric Oxyhemoglobin Inspection Technology is adopted in accordance with
Capacity Pulse Scanning & Recording Technology, so that two beams of different wavelength of
lights can be focused onto human nail tip through an encompassing finger-type sensor. Then
measured, the signal can be obtained by a photosensitive element, information acquired through
which will be shown on screen through treatment in electronic circuits and microprocessor.
Figure 1Work Elements
4TechnicalSpecifications
4.1 Main Display and Functionality.
lWhen powered off units displays Good Study Indicator (hrs, mn, sec of stored data)
lSpO2value display
lPulse rate value display, bar graph display
lPulse waveform display
lPerfusion Index value display
lCharge function: aLithium rechargeable battery supplies power for the device.
lLow-power indication: low-power indication symbol appears before working abnormally which
is due to low-power.
lPower-off :long press power button to turn off the device.
lThe display direction can be changed. Short press menu button to change display direction.
lScreen brightness can be adjusted
lThe record data can be uploaded to the computer
lIt can be connected with oximeter probe
4.2 Main Parameters
AMeasurement of SpO2
Measuring range: 0%~100%
Accuracy: 70~100%:±2%; Below 70%:unspecified.
B Measurement of Pulse rate
Measuring range:30bpm~250bpm
Accuracy: 30bpm~100bpm:±2bpm; 101bpm~250bpm:±2%
C Perfusion Index
Range: 0%~20%
D Resolution
SpO2: 1%, Pulse rate: 1bpm; Perfusion Index:0.1%
E Measurement Performance in Weak perfusion conditions:
SpO2and pulse rate can be shown correctly when pulse-filling ratio is 0.4%. SpO2error is ±4%; pulse
rate error is ±2 bpm or ±2% (select larger).
F Resistance to Surrounding Light:
The deviation between the value measured in the condition of man-made light or indoor natural light
and that of darkroom is less than ±1%.

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G Power Supply Requirement: 3.6 V DC~4.2V DC.
H Optical Sensor
Red light (wavelength is 660nm, 6.65mW)
Infrared (wavelength is 880nm, 6.75mW)
5Installation
5.1 View of the Front Panel
Figure 2 Front View
5.2 Probe Installation
A. Open the USB cover, insert the probe into the USB port of the pulse oximeter and the red-light of
probe will flicker.
B. Insert finger into the probe (the side with finger sign and the nail should be in the same side ).The
connected probe should work normally when the luminescent tube in the device emitsred light
continually.
In order to ensure device life and measurement accuracy, the external probe is limited to the
matching model, and cannot be replaced with a non compatibleprobe or thedevice will be damaged
or readings invalidated .
5.3 Accessories
A. A User Manual
B. A power adapter
C. A data line
D.An Adult Boot Probe (Reusable)
6Operating Guide
A. Please refer to Best Practice Guide on VPOD Ultra web page or booklet
6.1 Application Methodology.
6.1.1 Measurement
a. Insert the finger into the probe of the device.
Pulse waveform
Power button
Menu button
Perfusion Index
Pulse bar graph
SpO2alarm low-limit
SpO2value
Time
Power indication
Probe
Wristband
Pulse rate value

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b. press power button 3 to5 secondsto turn the device on.
c. Do not shake the finger and keep the patient in a stable state during the process.
d. The data can be read directly from the display screen in the measuring interface.
6.1.2 Lay Finger
The right method of laying finger is as Figure 3.
igure 3
Red light should emanate from Top of finger downward
6.1.3Change Display Direction
The device can change display direction by pressing the menu button quickly to change display
direction.
6.1.4Menu Operations
Long press menu button to enter the main menu in Figure 4. The user can adjust the settings through
the main menu, such as backlight. The specific operation methods are as follows:
ABrightnessAdjustment
In the main menu interface short press menu button to move the choice bar to the "Brightness" item
then long press menu button to adjust the brightness of screen (4 levels adjust able).
Figure 4 Main Menu Interface
B. System Setting
In the main menu interface short press menu button to move the choice bar to the "System" item then
long press menu button to enter the system setting menu as Figure 4.

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a Hard. Ver. The version number of hardware for the device.
b Soft. Ver. The version number of software for the device.
cExit In the "System Menu" interface short press menu button to move the choice bar to
"Exit”item ,then long press button to exit "System Menu" and return to the main menu.
C. Exit Main Menu
In the main Menu interface short press menu button to move the choice bar to "Exit”item,then long
press button to exit main Menu and return to the measure interface.
D. Clock Setting
Setting the Clock Time/Date is done via the VirtuOx website portal via “Device Admin” please refer
to Best Practice Guides
6.1.5 Charge
There are two kinds of charging method:
a) Connect the device to computer with data line, then the device should be in charging state.
b) Connect the device to power supply with power adaptor, then the device should be in charging
state.
The power adapterof the device accords with the requirements of IEC 60601-1.
When charging in power-off state, short press power button and the device will display
green dynamic state bar. It means that the device is charging. When the state bar is full, the
charging is finished. When charging in power-on state, dynamic Power indication symbol
displays. It means that the device is charging. When the state bar is full, the charging is finished.
6.2 Best Practicesfor Operation
A. Please check the device before using, and confirm that it operates normally.
B.The finger should be in a proper position (see the attached illustration as Figure 3for reference), or
else it may result in an inaccurate measurement.
C. The beam of lightbetween the red light and photoelectric receiving tube must go through subject’s
arteriole.
D. The oximeter should not be used at a location or limb tied with arterial canal or blood pressure cuff
or receiving intravenous injection.
E. Ensurenothing, such as bandage or Nail polish, can impede the light passage, or else it may result
in inaccurate measurement of SpO2 ,pulse rate and PI..
F. Excessive ambient light may affect measurement accuracy. It includes fluorescent lamp, dual ruby
light, infrared heater, direct sunlight and etc.
G. Intense activity of the subject or extreme electrosurgical interference may also affect the accuracy.
H. Subject may NOT wear false fingernails or metallic nail polish.
I. Please clean and disinfect the device after operating according to the User Manual (7.1).
J. Remember to set time / date after each upload thru VirtuOx website
K. Remember to clear memory after each upload.

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L.Remember to call patient before you drive out to patients home and ask them to power on / off unit
to determine if there is sufficient data to successfully create a report.
See below unit will display the hours, minutes and seconds of stored data.
6.3 Clinical Restrictions
A. Becausethe measurement is taken on the basis of arteriole pulse, substantial pulsating blood
flow is required. In subjects with aweak pulse due to shock, low ambient/body temperature, major
bleeding, or use of vascular contracting drug, the SpO2waveform (PLETH) will decrease. In this case,
the measurement will be more sensitive to interference.
B. For those with a substantial amount of staining dilution drug (such as methylene blue, indigo
green and acid indigo blue), or carbon monoxide hemoglobin (COHb), or methionine (Me+Hb) or
thiosalicylic hemoglobin, and some with icterus problems, SpO2determination with this device may
be inaccurate.
C. The drugs like dopamine, procaine, prilocaine, lidocaine and butacaine may also be a major
factor resulted in serious error of SpO2measurement.
D. The SpO2value serves as a reference value for judgment of anemic anoxia and toxic anoxia, for
some patients with serious anemia may also report good SpO2measurement.
7 Maintainance,Cleaning,Transportation and Storage
7.1 Cleaning and Disinfecting
Using medical alcohol to wipe the device and probe in to disinfect, Air dry or clean with clean soft
cloth.
7.2 Maintainance
APlease clean and disinfect the device before using according to the User Manual (7.1).
BPlease recharge the battery when the screen shows low-power (the battery power is ) .
CRecharge the battery soon after the over-discharge. The device should be recharged every six
months when it is not regularly used. It can extend the battery life if you follow this procedure.
D. This device does not need any calibration.
7.3 Transportation and Storage
A. The device can be transported by ordinary conveyance or according to transport contract. The
device can not be transported mixed with toxic, harmful, corrosive material.
B. The packed device should be stored in room with no corrosive gases and good ventilation.
Temperature: -40°C~60°C; Relative Humidity: =95%

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8Troubleshooting
Trouble Possible Reason Solution
The finger is not properly positioned. Place finger in the probe properly
and try again.
The SpO2and Pulse
Rate can not be
displayed normally.The patient’s SpO2is too low to be
detected.
Try again;Go to a hospital for a
diagnosis if you are sure the device
works all right.
The finger is not placed inside deep
enough.
Place finger in the probe properly
and try again.
The SpO2and Pulse
Rate are not
displayed stably. The finger is shaking or the patient is
moving.
Let the patient keep calm.
The battery is drained or almost drained. Please chargebattery. The device can not
be turn ed on.
The malfunction of the device. Please contact VirtuOx.
The malfunction of the device. Please contact VirtuOx.The display is off
suddenly
The battery is drained away or almost
drained away.
Please charge up battery.
The battery is not full charged. Please recharge the batteryThe device can not
be used for full time
after charge The battery is brokenPlease contact VirtuOx.
The battery can not
be full charged even
after 10 hours
charging time.
The battery is broken Please contact VirtuOx..

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9Key of Symbols
Signal Description
Warning –See User Manual
%SpO2The pulse oxygen saturation (%)
PRbpm Pulse rate (bpm)
PI Perfusion Index (%)
The battery power is full
Low-power
Menu button
power button
IPX1 Ingress of liquids rank
USB
WEEE (2002/96/EC)

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10 FunctionSpecification
Information Display Mode
The Pulse Oxygen Saturation(SpO2)2-digit digital OLED display
Pulse Rate(PR)3-digit digital OLED display
Perfusion Index (PI) 3-digit digital OLED display
Pulse Intensity (bar-graph) bar-graph OLED display
SpO2 Parameter Specification
Measuring range 0%~100%, (the resolution is 1%).
Accuracy 70%~100%:±2% ,Below 70% unspecified.
Pulse Parameter Specification
Measuring range 30bpm~250bpm, (the resolution is 1bpm)
Accuracy 30bpm~100bpm:±2bpm
101bpm~250bpm:±2%
Perfusion Index Specification
Range 0%~20%.(the resolution is 0.1%).
Accuracy 0%~1%:±0.2%,1%~20%:±1%.
Safety Type Interior Battery,Type BF application part
Pulse Intensity
Range Continuous bar-
graph display, the higher display
indicates the stronger pulse.
Battery Requirement
Voltage 3.7 rechargeable lithium battery × 1 (The red wire on the battery denotes anode, the black wire
on the battery denotes cathode.)
Battery working life
Charge and discharge no less than 500 times.
Power Adapter(selected)
Output voltage DC 5V
Output current 1000mA
Dimensions and Weight
Dimensions 63(L) ×55(W) ×15(H) mm
Weight About 45g (with a lithium battery )