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     All-in-1 Operations Manual 

 

 

    

Page 31

 

 

www.ehealthcareinc.com 

 

Chapter 8: Oxygen Saturation Measurement 

8.1

 

Measurement principle 

Definition of oxygen saturation (SPO2) 

SPO2  volume  tracing  parameter  measures  oxygen  saturation,  that  is,  percentage  of  oxyhemoglobin. 
Oxygen  saturation  is  measured  by  pulse  oximeter.  It  is  a  continuous  and  non-invasive  method  to 
measure oxygen saturation.  

SPO2  in  this  manual  refers  to  human  body  function  oxygen  saturation  measured  by  non-invasive 
method. 

 

8.2

 

Operational Procedures 

Precautions: 

 

Do not place oxygen probe on the same limb as blood pressure measurement wristband because 
blood flow blockage during blood pressure measurement will affect oxygen saturation reading. 

 

Do not test continuously or for too long, otherwise it may cause undesirable skin injury, such as 
abnormal sensitivity, redness, blister or pressure necrosis. 

STEP 1:

 Select (tap) the Oxygen Saturation icon 

 

Figure 19: Oxygen Saturation Icon 

 

 

Summary of Contents for Ai1

Page 1: ...anual NOTICE OF CONFIDENTIALLY The information contained in this documents is confidential to assigned recipient and is intended for use of the addressee only Unauthorized used disclosure or copying is strictly prohibited and may be unlawful ...

Page 2: ...nd Transportation 6 1 6 1 Requirement on operating environment 6 1 6 2 Storage and Transportation Environment 6 1 7 Impact on Environment and Energy Consumption 7 1 8 Safety 7 1 9 Contraindication 7 Chapter 2 Operating Principle 8 2 1 Overall Structure 8 2 2 Composition 8 2 3 Operating Principle 9 Chapter 3 Technical Index 10 3 1 ECG Index 10 3 2 Heart Rate Index 11 3 3 Non Invasive Blood Pressure...

Page 3: ... 6 2 Operational Procedures 18 Chapter 7 Non invasive Blood Pressure Measurement 26 7 1 Measurement principle 26 7 2 Operational Procedures 28 7 3 Measurement Limitation 29 7 4 Maintenance and cleaning 29 Chapter 8 Oxygen Saturation Measurement 31 8 1 Measurement principle 31 8 2 Operational Procedures 31 8 3 Measurement Limitation 32 8 4 Maintenance and Cleaning 33 Chapter 9 Body Temperature Meas...

Page 4: ...w Battery Warning 36 9 1 7 Beyond the Measuring Range 37 9 2 Handling Storage Transport Environments 37 9 3 Battery Specifications and Life 37 9 4 Gentle Care and Important Information 37 9 5 Measuring Notes 38 ...

Page 5: ...ct installation or improper operation the company will not be liable for any damage caused by improper use operation of the Ai1 The test data of this instrument will be used for regular monitoring early detection early treatment self examination and controlling target health indicators It is advisable to consult medical professionals about crucial decisions concerning medical treatments The compan...

Page 6: ...pment Do not place this in an explosive and inflammable environment such as anaesthetic to prevent fire or explosion Untrained personnel are not allowed to dismantle the casing of this All in 1 Health Monitoringdevice otherwise it may cause electric shock Maintenance or upgrade of this All in 1eHealthcareshould be performed by trained personnel authorized by the company When performing blood press...

Page 7: ...m Symbols Description Follow Instructions How to Use Type BF Applied Part Defibrillation proof type CF Applied Part USB port Serial Number Manufacturer Date of Manufacture Recycle Keep Upright Temperature Limit Humidity Limitation Keep away from sunlight SN ...

Page 8: ...uthorized representative in the European Community CE mark Protection against vertically falling water drops Product Disposal Discard electronic products such as batteries in their own hazardous recycle bins Dispose these devices at the end of the product s service life according to local laws and regulations The disposal of this product shall comply with the rules and regulations of the local law...

Page 9: ... sugar routine urine test and body temperature through Bluetooth It combines with Bluetooth WiFi 2G 3G 4G Ethernet connectivity USB and SIM card data ports and health card reading technology With Wi Fi 2G 3G network and Ethernet personal information and health records will be uploaded to patient s health management cloud platform in real time This platform provides multiple services such as health...

Page 10: ...uivalent devices have been in long term safe use so there have been no detectable side effects 1 5 Working Environment Place the device out of direct sunlight Do not be operate the device in a environment with toxic gas or inflammable gas The device should be secured on rack to prevent vibration Do not use this device with other monitoring devices not specified in this Operation Manual 1 6 Require...

Page 11: ...ic shock protection parts of blood pressure and oxygen saturation are BF Category and electrocardiographic part is CF Category According to liquid inlet protection classification this is a regular device 1 9 Contraindication Do not use this device on infants and children Do not perform non invasive blood pressure NIBP measurement on person with sickle cell disease drepanocytosis or skin damage Pat...

Page 12: ... display module control module physical parameter acquisition module and record report module Physical parameter acquisition module of the device includes electrocardiogram ECG heart rate non invasive blood pressure NIBP and oxygen saturation pulse rate Output channel Wi Fi 2G 3G USB OTG RJ45 connector and Bluetooth Figure 2 All in 1 Health Monitoring Device Record Report Wireless Communication Po...

Page 13: ...orm by ECG wire SPO2 is a non invasive method for monitoring oxygen saturation The device passes two wavelengths of light through the body part to a photo detector It measures the changing absorbance at each of the wavelengths allowing it to determine absorbance due to the pulsing arterial blood alone excluding venous blood skin bone muscle and fat Blood pressure module measures systolic pressure ...

Page 14: ... 25mm s 50mm s j Input Impedance 50MΩ k Input Circuit Current 0 05µA l Safety Standard IEC II CF m Noise Level 15µVp p n Anti Baseline Drift Automatic o Patient Current Leakage 10µA 220V 240V p Filter EMG Filter 20 30 40Hz OFF DFT Filter 0 15 0 25 0 5Hz OFF AC Filter 50 60Hz OFF q Rhythm Lead Any lead selectable r Power Supply USB DC 5V s Sample Rate Normal 500sps channel t Comply with IEC EN 6060...

Page 15: ...ean Arterial Pressure 20 235mmHg Resolution ratio 0 133kPa 1 mmHg Measurement precision Mean measuring error 5mmHg Standard deviation 5mmHg Overvoltage protection Adult when pressure exceeds 40kPa 300 mmHg it enables automatic air leakage protection 3 4 Oxygen saturation pulse rate index Measurement range of oxygen saturation 0 100 Measurement accuracy of oxygen saturation within 70 100 error is 1...

Page 16: ...All in 1 Operations Manual Page 12 www ehealthcareinc com 3 7 Routine urine test Refer to the urine analyzer manual ...

Page 17: ...exceeds normal reference scope When test data exceeds normal reference scope system will distinguish it by the color and alerts the doctor Low battery alarm When battery is lower than 15 system sends prompt tone Equipment connection status Equipment connection status such as equipment connected and equipment disconnected will show on top right corner of the detection area 4 2 Alarm status descript...

Page 18: ...cations or repairs are carried out only by persons authorized by eHealthcare Inc 5 2 Panel functions Panel oftheAll in 1 Health Monitoring includes power key short cut keys for health examination confirm key and return key Figure 4 Front Panel ON OFF Power This key controls the start up lock and unlock screen and turning off of the device ECG Electrocardiogram Pressing this key will show the ECG m...

Page 19: ...adapter and place the device on a stable table and easy to operate location Open All in 1 observe built in grid check the quantity of built in consumables and make sure the ECG lead wire blood pressure cuff and blood oxygen probe are in good condition If you have any concerns contact eHealthcare Inc 5 3 2 Check if power adapter meets the following specification 12V 2A Connect power adapter with po...

Page 20: ...een lights up It enters All in 1 login interface as shown below Figure 5 Log in Interface 5 4 Login Procedure Step 1 Select Doctor option by clicking the Doctor radio button Step 2 Input the doctor name and password Doctor name can be selected from the dropdown menu if already registered ...

Page 21: ...reinc com Step 3 Click Login to open the list of Residents Patients as shown below Figure 6 Log in Interface Step 4 Select Resident Patient from list to Login the selected Resident Patient This will open the Patient page and you may now start testing ...

Page 22: ... down and comfortable Once all the electrodes are attached ask the patient to keep still and not to talk Explain that this will help to ensure good ECG test Electrode Connection Attention Make sure all ECG electrodes are connected to correct position on patient s body Please make sure electrode is properly installed and in good contact Prevent electrode including neutral electrode and patient from...

Page 23: ...All in 1 Operations Manual Page 19 www ehealthcareinc com Figure 7 Parts of Chest Electrode Electrode on Limbs Figure 8 Parts of Electrode on limbs Electrode Terminal Clip Spring Clamp Body ...

Page 24: ...c com Figure 9 Electrode Leads Comparison table of electrode sign and wiring color Conn ection of electrode on limbs Arm electrode should be installed on upper part of forearm joint R RA attaches to right hand L LA left hand RF RL right leg F LL left leg ...

Page 25: ...electrode is clean Organize lead wires and do not twist it Make sure electrode connector and electrode are in solid connection Clean skin surface which has contact with electrode by ethyl alcohol Apply a little conductive paste on skin Apply thin layer of conductive paste on electrode surface Clamp skin applied with conductive paste by electrode Placement of electrode on chest ...

Page 26: ...trode is clean Organize lead wire and do not twist it Clean skin surface which has contact with electrode by ethyl alcohol Apply conductive paste on 25mm diameter range on chest placed with electrode evenly Apply a thin layer of conductive paste on the edge of suction ball of chest electrode Place electrode on skin and press rubber ball release rubber ball electrode will attach toskin naturally No...

Page 27: ...einc com Figure 12 Lead Method and System Chart Operational Procedures STEP 1 Press ECG button on the front panel to enter ECG testing interface as shown below Figure 13 ECG Testing Interface STEP 2 Click Start to enter ECG workstation as shown below ...

Page 28: ...hcareinc com Figure 14 ECG Workstation STEP 3 Click sampling system starts to collect electrocardiogram as shown below Figure 15 ECG Data Capture STEP 4 When ECG signal is stable system enters a 10 second electrocardiogram countdown automatically ...

Page 29: ...All in 1 Operations Manual Page 25 www ehealthcareinc com STEP 5 After the countdown the system generates saves and presents report automatically as shown below Figure 16 Electrocardiogram Test Result ...

Page 30: ... to a pressure in excess of the systolic arterial pressure and then the pressure reduces to below diastolic pressure Once the blood flow is present but restricted the cuff pressure will vary periodically in synchrony with the systolic expansion and contraction of the brachial artery The values of systolic and diastolic pressure are computer using raw data using an algorithm Figure 17 Blood Pressur...

Page 31: ...ment The air tube or the AC adapter cable may cause accidental strangulation in infants Contained small parts that may cause a choking hazard if swallowed by infants Always consult your physician Self diagnosis of measurement results and self treatment are dangerous People with severe blood flow problems or blood disorders should consult a physician before using the device as the arm cuff inflatio...

Page 32: ...r BP Standard deviation and average deviation between blood pressure value measured by this system and by traditional mercurial sphygmomanometer should not exceed 5mmHg Do not perform non invasive blood pressure measurement on patient with sickle cell diseases skin injury or other expected injury Do not perform this measurement on patient with serious disturbances of blood coagulation 7 2 Operatio...

Page 33: ...due to patient s condition measurement value will be unreliable and measurement time will be longer Patient moves If patient is moving shaking or in a spasm measurement will be unreliable or impossible because these conditions may interfere detection of artery pressure fluctuation Arrhythmia If patient suffers from arrhythmia which causes irregular heartbeats measurement will be unreliable Heart l...

Page 34: ...lator socket in front of device to avoid damage 2 When reusable cuff is not connected with device or under cleaning please always place cover on top of rubber hose so as to prevent liquid from entering rubber hose and module due to negligence 3 When cleaning device clean outside of the articulator socket only Do not clean its inside To protect environment blood pressure cuff should be disposed pro...

Page 35: ...saturation SPO2 in this manual refers to human body function oxygen saturation measured by non invasive method 8 2 Operational Procedures Precautions Do not place oxygen probe on the same limb as blood pressure measurement wristband because blood flow blockage during blood pressure measurement will affect oxygen saturation reading Do not test continuously or for too long otherwise it may cause und...

Page 36: ... Select Click Save to upload the result 8 3 Measurement Limitation Significant levels of dysfunctional hemoglobin such as carbonyl hemoglobin or methemoglobin may interfere with the measurement The pulse oximeter should not be used on people with smoke inhalation carbon monoxide poisoning and heavy cigarette smoking Low quantity of hemoglobin may affect the result Using the sensor with patients wi...

Page 37: ...intenance and Cleaning Turn off the power before cleaning device or sensor Do not sterilize the sensor by high pressure Do not soak sensor in liquid If sensor or cable shows sign of damage or degradation do not use it again Sensor surface may be cleaned by cotton ball or soft cloth with medicinal alcohol then dry it by dry cloth Sensor luminescent tube and receiving components may be cleaned in th...

Page 38: ...einc com Chapter 9 Body Temperature Measurement All in 1 can receive and display data of body temperature by Bluetooth 9 1 Measurement Procedure Step 1 Select Click the Temperature icon to display the Temperature Test Screen Figure 21 Temperature Icon ...

Page 39: ...hermometer device will send the test result automatically to All in 1 device and result will be displayed on the screen Figure 22 Temperature device power switch Step 3 Press Save on the All in 1 device screen to upload the result 9 1 1 Ear Thermometer Product Diagram Figure 23 Parts of Ear Thermometer 9 1 2 Power on and off Probe Protective Storage Cap LCD ON OFF Button Battery Cover ...

Page 40: ... Modes Press and hold the MEASURE button 36 approx 4 seconds C or F appears on LCD and remove your finger from the measure MEASURE button Then press the MEASURE button and toggle between the modes The unit will automatically enter desired mode after stop toggling for 5 seconds Note Press and hold the MEASURE button when C or F appear on LCD user should release the button immediately If LCD display...

Page 41: ...temperature is above 40 0 C or 104 F the RHI symbol will display and C or F mark will not blink If the operating environment temperature is below 5 0 C or 41 0 F RLO symbol will display and C or F mark will not blink 9 2 Handling Storage Transport Environments Operating Temperature 10 0 C 36 0 C Measuring range 32 0 C 43 0 C Temperatures for storage and transport 20 0 C 60 0 C 85 RH For indoor use...

Page 42: ...r each use Avoid the accumulation of sweat and cerumen affecting the infrared measurements Do not measure temperature within 30 minutes after eating exercise or taking a bath Wait at least a minute between successive readings if taking temperature continuously in a short period of time temperatures error are normal Body temperature is not an absolute standard value Record personal body temperature...

Page 43: ...or with other devices If have to observe this device closely to make sure it functions well by existing configuration Take special protection against EMC of this device install and maintain this device in environment meeting with the following EMC requirement This device must be operated in regulated electromagnetic environment Portable device may affect monitor function Customer or user should ma...

Page 44: ...1 Group1 The All in 1 Health Monitoring 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 equipment RF emissions CISPR 11 Class B The All in 1 Health Monitoring is suitable for use in all establishments including domestic establishments and those directly connected to the public low voltage power ...

Page 45: ...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 1 kV differential mode 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 0 UT 100 dip in UT for 0 5 cycle 0 UT 100 dip in UT ...

Page 46: ...althcareinc com 100 dip in UT for 5 sec Power frequency 50 60 Hz magnetic field IEC 61000 4 8 30 A m 30 A m Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment ...

Page 47: ...uding cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Recommended separation distance d 3 5 E1 P 80 MHz to 800 MHz d 7E1 P 800 MHz to 2 7 GHz where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separation distance in meters m Field stre...

Page 48: ...ith 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 All in 1 is used exceeds the applicable RF compliance level above All in 1 care should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such ...

Page 49: ...itter W Separation distance according to frequency of transmitter m 80 MHz to 800 MHz 800 MHz to 2 7 GHz d 3 5 E1 P d 7 E1 P 0 01 0 035 0 07 0 1 0 11 0 22 1 0 35 0 7 10 1 1 2 2 100 3 5 7 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...

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