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Indications for Use

Indications for Use

The Nonin

®

 Model 9847 Pulse Oximeter and Carbon Dioxide Detector is indicated for use in measuring 

and displaying functional oxygen saturation of arterial hemoglobin (SpO

2

), pulse rate, and approximate 

carbon dioxide (CO

2

) changes in the airway of intubated patients. These functions may be used 

separately or simultaneously.

Pulse Oximeter Intended Use

The pulse oximeter is intended to be used for noninvasively monitoring oxygen saturation and pulse rate 
for adult, pediatric, and neonatal patients in hospital, ambulatory, and Emergency Medical Services 
(EMS) environments. The pulse oximeter may be used for spot checking and/or continuous monitoring 
when attended by a healthcare professional.

Carbon Dioxide Detector Intended Use

The CO

2

 detector is a mainstream device intended to be used for semi-quantitative detection of CO

2

 

levels in intubated patients during patient transport, and for short-term hospital use (e.g., emergency 
rooms or crash carts), and where gaseous anesthetic is not present. The CO

2

 detector may be used to 

initially confirm proper placement of the endotracheal tube and to provide continued confirmation of 
correct endotracheal tube placement and patient respiration status. The CO

2

 detector is not intended for 

prolonged CO

2

 monitoring. The CO

2

 detector is not intended for long-term monitoring of end-tidal CO

2

The CO

2

 detector is not intended for use in patients younger than 3 years old and weighing less than 

10 kg (22 lb).

Contraindication: 

Do not use in an explosive atmosphere or in the presence of flammable anesthetics or gasses.

Warnings

Do not use this device in an MR environment.

Do not use the Model 9847 CO

2

 detector for patients younger than 3 years old and weighing less than 10 kg (22 lb) due to 

the dead space introduced by the airway adapter tube.

This device is not defibrillation proof per IEC 60601-1.

This device is intended only as an adjunct in patient assessment. It must be used in conjunction with other methods of 
assessing clinical signs and symptoms.

Do not use the Model 9847 CO

2

 detector during mouth-to-tube ventilation. The presence of CO

2

 in the exhaled breath 

from the person performing resuscitation will cause inaccurate readings.

The Model 9847 CO

2

 detector cannot distinguish between oropharyngeal tube placement and endotracheal tube 

placement if the airway is patent. Standard clinical assessment must be used.

Oximeter readings of this device may be affected by the use of an electrosurgical unit (ESU).

Do not use a damaged sensor. If the sensor is damaged in any way, discontinue use immediately and replace the sensor.

Verify all alarm settings and limits during system startup to ensure that they are set as intended. 

A hazard can exist if different presets are used on multiple 9847 monitors in one care area.

Содержание 9847

Страница 1: ...Operator s Manual Model 9847 Handheld Pulse Oximeter and Carbon Dioxide CO2 Detector 0123 0123 English...

Страница 2: ...V Prins Hendriklaan 26 1075 BD Amsterdam Netherlands 31 0 13 79 99 040 Europe Fax 31 0 13 79 99 042 E mail infointl nonin com nonin com MPS Medical Product Service GmbH Borngasse 20 D 35619 Braunfels...

Страница 3: ...13 Pulse Quality Indicator 13 Low Battery Indicator 13 Sensor Fault or Inadequate Signal Display 13 Using the 9847 Pulse Oximeter 14 Connecting the Sensors 14 Pulse Oximeter Sensor 14 Carbon Dioxide...

Страница 4: ...eath Alarm 27 Audible Pulse Oximeter Sensor Alarm 28 Audible CO2 Sensor Alarm 28 Description of Alarm Sounds 28 Audible Indicator Sound Control Priorities 28 Carbon Dioxide CO2 Sensor and Airway Adapt...

Страница 5: ...0 Troubleshooting 41 Technical Information 43 Manufacturer s Declaration 43 Equipment Response Time 46 Testing Summary 47 SpO2 Accuracy Testing 47 Pulse Rate Motion Testing 47 Low Perfusion Testing 47...

Страница 6: ...Batteries Model 9847 example only 11 Figure 4 Rear View Model 9847 example only 11 Figure 5 Connecting Sensors to the Model 9847 14 Figure 6 Model 9840SA Carbon Dioxide Sensor 30 Figure 7 Model 9840A...

Страница 7: ...uring an Alarm Limit Review 22 Table 4 Audible and Visible Functions During Alarm Conditions 25 Table 5 Audible Indicator Sound Control Priorities 29 Table 6 Electromagnetic Emissions 43 Table 7 Elect...

Страница 8: ...O2 detector is not intended for long term monitoring of end tidal CO2 The CO2 detector is not intended for use in patients younger than 3 years old and weighing less than 10 kg 22 lb Contraindication...

Страница 9: ...urate readings If the airway adapter tube packaging appears to be damaged or open discard it and replace it with a new one The Model 9840AAT Airway Adapter Tube will increase dead space by approximate...

Страница 10: ...pes with this device 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 Do...

Страница 11: ...ections to the airway adapter tube are tight and leak free and that the airway adapter tube is properly attached to the CO2 sensor Ensure that this device the airway adapter tube and the sensors have...

Страница 12: ...601 1 SN Serial Number located on the back cover IP32 Protected against vertically falling water drops when enclosure is tilted up to 15 degrees and ingress of solid foreign objects greater than or e...

Страница 13: ...nt Panel Buttons ON Standby Advance Breath Beep Volume Control Alarm Limit Review Audible Alarm Disable Display Indicators SpO2 SpO2 Display Battery Indicator Pulse Rate Display Pulse Quality Indicato...

Страница 14: ...when used for both CO2 detection and pulse oximetry Figure 1 Model 9847 Pulse Oximeter and Carbon Dioxide Detector with Alarms Figure 2 Model 9847 Controls and Indicators CO2 SpO2 888 Model 9847 888 N...

Страница 15: ...d pulse the pulse quality indicator blinks Patient pulse quality signals are graded as good marginal or inadequate and are indicated as such by the pulse quality indicator blinking green yellow or red...

Страница 16: ...uminated and CO2 readings will be displayed with the next breath detected Medium priority equipment alarms occur when the CO2 sensor is unplugged the airway adapter tube is removed from the CO2 sensor...

Страница 17: ...e NOTE Setting the month to 00 disables the calender and clock functions and helps conserve battery life Refer to Calender Settings on page 20 for additional information Replacing Batteries 1 Slide op...

Страница 18: ...mple only IMPORTANT Insert these two batteries first Battery Door Battery Orientation 5808 005 04 US PATENT Re 33 643 6x1 5V AA IEC LR6 PULSE OXIMETER CO2 DETECTOR MODEL 9847 PLYMOUTH MN USA NONIN MED...

Страница 19: ...with approximately 90 hours of continuous operation Calendar clock settings can affect battery storage life Batteries drain during storage but they drain more quickly when the unit s calendar clock f...

Страница 20: ...are not updated After about 10 seconds the values are replaced with dashes indicating that readings are not possible Low Battery Indicator When battery level is low the low battery indicator is lit W...

Страница 21: ...Startup Self Test When the device is turned on the device will cycle through a startup initialization sequence before displaying valid data During startup always check for any missing indicators or L...

Страница 22: ...uminates when ready for use if CO2 sensor is connected to the device The yellow audible alarm disabled indicator is lit until initialization is complete and a CO2 or pulse oximeter sensor is connected...

Страница 23: ...e on or to enter Standby mode Setup Mode Setup mode is used to control the audible and visible patient alarm limits the breath beep pitch the calendar and the internal time of day clock In setup mode...

Страница 24: ...o the next sequential parameter no breath delay time alarm limit etc as listed in Table 2 3 Continue this process until all parameters are set When the setting sequence has been completed the 9847 1 e...

Страница 25: ...alues Default Value Alarm Mode dFt default limits rCL recall stored limits C02 only no breath and the sensor alarms ALr dFt rCL C02 dFt No Breath Delay seconds nbd 15 to 60 by 5 OFF 20 Oxygen Saturati...

Страница 26: ...e no breath delay time setting No Breath Delay Time Setting 1 Upon entering the no breath delay time setup nbd will appear in the SpO2 display The no breath delay time may be set from 15 to 60 seconds...

Страница 27: ...th beep pitch selection may be toggled between ON or OFF Calendar Settings NOTE Setting the month to 00 disables the calendar and clock functions The calendar and clock functions are used to time stam...

Страница 28: ...or inadequate signal continues Also during this medium priority alarm an audible indicator will occur If the sensor fault or inadequate signal is not corrected dashes will be displayed in the middle...

Страница 29: ...ges color to indicate changes in the pulse waveform signal that may affect the SpO2 data The pulse quality indicator may blink one of three colors Green indicates that the pulse waveform signal is of...

Страница 30: ...stop The no breath delay timer is first started when the CO2 sensor is plugged into the 9847 and the system is not in setup mode when the lower bar is illuminated on the CO2 display CO2 Bar Graph The...

Страница 31: ...monitor a patient once the batteries reach a critically low level The batteries must then be replaced before further use of the 9847 NOTE Removing batteries may delete memory and all user defined sett...

Страница 32: ...on Audible Indication Visible Indication Low battery level None Low battery indicator steadily illuminated Battery level critically low Medium priority alarma unless audible high priority patient alar...

Страница 33: ...nd volume between low medium high and off A volume beep will sound each time the advance switch is pressed to indicate the current setting unless an audible alarm is in progress NOTE The advance switc...

Страница 34: ...g this high priority alarm a visible alarm indication will occur See SpO2 and Pulse Rate Displays on page 21 for more information The audible and visible indicators will stop when the condition is cle...

Страница 35: ...dible and visible CO2 sensor alarm indicators will stop when the condition is corrected Description of Alarm Sounds The pitch of the alarm sounds is the same as a volume beep the tone heard when chang...

Страница 36: ...he onset of a high priority patient alarm condition will cause the initiation of the high priority patient alarm If a medium priority equipment alarm condition occurs after the onset of a patient alar...

Страница 37: ...40SA Carbon Dioxide Sensor WARNING Do not use the Model 9847 CO2 detector for patients younger than 3 years old and weighing less than 10 kg 22 lb due to the dead space introduced by the airway adapte...

Страница 38: ...tube WARNING Do not reuse the Model 9840AAT Airway Adapter Tube WARNING If the airway adapter tube becomes contaminated or damaged discard it and replace it with a new one Cleaning the interior will d...

Страница 39: ...e other pair of tabs You should hear a clicking sound as the pieces are connected together Figure 8 C Figure 8 Connecting the Airway Adapter Tube to the CO2 Sensor 3 Ensure that the airway adapter tub...

Страница 40: ...irway Adapter Tube Figure 9 The Airway Adapter Tube and the Breathing Circuit Model 9840AAT Airway Adapter Tube Model 9847 Endotracheal Tube Model 9840SA CO2 sensor The Breathing Circuit a breathing d...

Страница 41: ...2 Sensor with a soft cloth dampened with isopropyl alcohol Do not pour or spray any liquids onto the Model 9840SA CO2 Sensor Allow the Model 9840SA CO2 Sensor to dry thoroughly before reusing Returnin...

Страница 42: ...300 pulses per minute NOTE CO2 detector data is not stored in memory During data retrieval the last data recorded is the first displayed For example the last four minutes of data recorded are the fir...

Страница 43: ...this file will depend on the amount of data saved in the memory The most recent data are played back first The memory data format is in binary Bad data is represented by FF hexadecimal or 255 decimal...

Страница 44: ...he mark condition Therefore the real time data may be read as 8 data bits no parity Real time data may be printed or displayed by compatible devices On power up a header is sent identifying the format...

Страница 45: ...at must be evaluated include Changing the system configuration Adding devices to or disconnecting devices from the system Updating or upgrading equipment connected to the system Issues resulting from...

Страница 46: ...he purchaser at Nonin s place of business Nonin reserves the right to charge a fee for a warranty repair request on any unit found to be within specifications The Model 9847 is a precision electronic...

Страница 47: ...body tissue and application can be found in the respective sensor Instructions for Use WARNING The use of accessories sensors and cables other than those specified in the Parts and Accessories List m...

Страница 48: ...fy the sensor connection A sensor failure Replace the sensor with a Nonin branded PureLight sensor The displayed pulse rate does not correlate to the pulse rate displayed on the ECG monitor when used...

Страница 49: ...er blood pressure cuff infusion line Reduce or eliminate the source The Pulse Quality display is blinking red and the SpO2 and or Pulse Rate displays are dashes Inadequate pulse signal at sensor site...

Страница 50: ...s equipment can affect medical electrical equipment Table 6 Electromagnetic Emissions Emissions Test Compliance Electromagnetic Environment Guidance This device is intended for use in the electromagne...

Страница 51: ...t Surge IEC 61000 4 5 1 kV differential mode 2 kV common mode N A N A Mains power quality should be that of a typical commercial or hospital environment Voltage dips short interruptions and voltage va...

Страница 52: ...eters m Field strengths from fixed RF transmitters as determined by an electromagnetic site surveyc should be less than the compliance level in each frequency range d Interference may occur in the vic...

Страница 53: ...tput 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 23 0 1 0 37 0 37 0 74 1 1 2 1 2 2 3 10 3 7 3 7 7 4 100 12 12 23 For transmitters rated at a maximum...

Страница 54: ...range of 70 to 100 Accuracy data is calculated using the root mean squared Arms value for all subjects per ISO 80601 2 61 Medical Electrical Equipment Particular requirements for the basic safety and...

Страница 55: ...Breath Detection Threshold 5 mmHg Accuracy Sensors Declared accuracy data for compatible sensors can be found in Nonin s Sensor Accuracy document CO2 Accuracy of Bar Graph Thresholds Arms 25 of readi...

Страница 56: ...equirements Six 1 5V AA size alkaline batteries 90 hours Pulse Oximeter only 20 hours CO2 and Pulse Oximeter 24 hours CO2 only Dimensions 8 cm W x 15 cm H x 2 5 cm D 3 in W x 6 in H x 1 in D Weight 31...

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