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OPERATOR’S MANUAL NPB-290 Pulse Oximeter Caution:To contact Mallinckrodt’s representative: In the United States, call 1.800.635.5267 or 314.654

Safety Information compliance with IEC Standard 601-1-1 systems requirements. Anyone who connects additional equipment to the signal input port or si

INTRODUCTION Intended Use General Operating Principles and Conditions INTENDED USE The Nellcor NPB-290 pulse oximeter is intended for continuous, no

Introduction Specific information about ambient environmental conditions, sensor application, and patient conditions, is contained throughout this man

CONTROLS, INDICATORS, AND SYMBOLS Displays, Controls, Indicators, and Connectors Other NPB-290 Symbols Description of Controls Description of Visible

Controls, Indicators, and Symbols U.S. PATENTS: 4,621,643; 4,653,498; 4,700,708; 4,770,179; 4,869,254; 4,911,167; 4,928,692; 4,934,372; 5,078

Controls, Indicators, and Symbols DESCRIPTION OF CONTROLS Function Buttons The Power On/Off button. Used to turn the NPB-290 monitor on or off. Th

Controls, Indicators, and Symbols The Pulse Search indicator. Lights continuously prior to initial acquisition of a pulse signal, and during Pulse S

Controls, Indicators, and Symbols Pulse Beep A single beep sounds for each detected pulse. Confirmation Tone Three beeps sound to indicate a success

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QUICK GUIDE TO OPERATION Basic Operation Alarm Functions This Quick Guide to Operation section is intended for use by experienced NPB-290 users. Fi

Nellcor Puritan Bennett Inc. 4280 Hacienda Drive Pleasanton, CA 94588 USA Telephone Toll Free 1.800.NELLCOR Tyco Healthcare UK LTD Fareham Road Gosp

Quick Guide to Operation 3. Select a Nellcor sensor that is appropriate for the patient being monitored. 4. Attach the sensor to the patient, foll

Quick Guide to Operation 3. When a valid pulse is detected, the NPB-290 begins monitoring. ADJUST PULSE BEEP VOLUME The pulse beep volume can be adju

Quick Guide to Operation Adjust Alarm Silence Duration To adjust the alarm silence duration, press and hold the Alarm Silence button. The current ala

SETUP Unpacking and Inspection Performance Verification List of Components Monitor Setup UNPACKING AND INSPECTION Notify the carrier if the shipping

Setup MONITOR SETUP General WARNING: To ensure patient safety, do not place the monitor in any position that might cause it to fall on the patient.

Setup The supply voltage selector switch allows connection of the monitor to AC power ranging from 100 VAC to 240 VAC. The switch has two positions:

Setup Figure 3: Connecting the Power Cord 3. Verify that the supply voltage selection switch located on the rear of the monitor matches the AC pow

Setup 7. Plug the MC-10 or SCP-10 cable into the sensor port located on the front of the NPB-290 (as shown in Figure 4). Figure 4: Connecting an MC

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SENSORS AND ACCESSORIES Selecting a Sensor Biocompatibility Testing Performance Considerations Optional Accessories SELECTING A SENSOR WARNING: Bef

CONTENTS Figures Tables CONTENTS CONTENTS ... iii Contents ...

Sensors and Accessories Table 1: Nellcor Sensors Sensor Model Patient Size Oxisensor® II oxygen transducers (Sterile, single-use only) N-25/N-25LFI-

Sensors and Accessories Inaccurate measurements can be caused by: • incorrect application of the sensor • placement of the sensor on an extremity wi

Sensors and Accessories • Use a new sensor with fresh adhesive backing. If poor perfusion affects performance, consider using the Oxisensor R-15 sens

Sensors and Accessories Figure 5: Attaching the Mounting Plate Tilt-Stand Supports A pair of tilt-stand supports are available from Mallinckrodt f

Sensors and Accessories Figure 6: Attaching the Tilt-Stand Supports 26

START-UP AND USE Basic Operation Alarms Trend Data Battery Operation Disposal of Device Components Performance Considerations BASIC OPERATION WARNIN

Start-Up and Use Ensure that the voltage selector switch on the rear panel is set to the proper voltage. Power-On Self-Test (POST) WARNING: Ensure th

Start-Up and Use the numbers and have them available prior to requesting technical assistance. 5. If the NPB-290 detects an internal problem during t

Start-Up and Use Monitoring During monitoring, the NPB-290 displays SpO2 and pulse rate readings with each pulse beat. %SpO2 is displayed for values

Start-Up and Use At Initial Power-Up Immediately after the NPB-290 displays its software version numbers and POST is completed, the monitor enters Pu

Contents List of Components ... 15 Optional Accessories...

Start-Up and Use ALARMS Description of Alarms The NPB-290 has three levels of audible alarms. 1. High-priority alarm: Indicated by a fast-rate, high

Start-Up and Use Adjusting Alarm Limits WARNING: Each time the monitor is used, check alarm limits to ensure that they are appropriate for the patien

Start-Up and Use To view the current lower alarm limit value for SpO2, press the Lower Alarm Limit button. The number displayed in the %SpO2 field rep

Start-Up and Use To change an existing alarm limit, first enter the viewing mode for that value, as described earlier in “Viewing Current Alarm Limits

Start-Up and Use Viewing Current Alarm Silence Duration To view the current audible alarm silence duration, press and hold the Alarm Silence button fo

Start-Up and Use Alarm Silence Reminder The alarm silence reminder (three beeps) sounds at least every 3 minutes while the alarm silence duration is s

Start-Up and Use alarms are distracting and potentially time-consuming. However, if interference persists, an alarm should notify the attendant. The

Start-Up and Use SPORADIC OR LOST PULSE WITH CONTINUOUS MOTIONSPORADIC OR LOST PULSE WITHOUT CONTINUOUS MOTIONPulse Search Indicator lights continuous

Start-Up and Use During that data evaluation period: • If the patient is not moving (for example, because of cardiac arrest, shock, paralysis, anesth

Start-Up and Use Nurse Call Feature WARNING: The nurse call feature should not be used as the primary source of alarm notification. The audible and

Contents Returning The NPB-290 ... 51 Maintenance...

Start-Up and Use To access the menu options, simultaneously press the Upper and Lower Alarm Limits buttons. Then, using the Adjust Up and Adjust Down

Start-Up and Use Menu Items 8 and beyond are for use only by qualified service technicians. Information about these options is available in the NPB-2

Start-Up and Use Note: As the battery is used and recharged over a period of time, the amount of time between the onset of the low battery alarm and

Start-Up and Use Sensors and Accessories section of this manual and in the sensor directions for use. The effects of electromagnetic interference on

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TROUBLESHOOTING AND MAINTENANCE Troubleshooting EMI Interference Obtaining Technical Assistance Returning the NPB-290 Maintenance TROUBLESHOOTING WA

Troubleshooting and Maintenance • Do not use the NPB-290; contact qualified service personnel or your local Mallinckrodt representative. 3. The moni

Troubleshooting and Maintenance 5. The Pulse Search indicator lights after successful measurements have been made. • Check the patient. • Perfusion

Troubleshooting and Maintenance EMI INTERFERENCE Caution: This device has been tested and found to comply with the limits for medical devices to the

Troubleshooting and Maintenance If assistance is required, contact Mallinckrodt’s Technical Services Department or your local Mallinckrodt representat

Contents Trend Data Operation... 69 Nurse Call ...

Troubleshooting and Maintenance The battery should be replaced at least every 24 months. Refer to the NPB-290 service manual for the battery changing

SPECIFICATIONS Performance Electrical Environmental Conditions Environmental Protection Physical PERFORMANCE Measurement Range SpO2 0–100% Pulse Ra

Specifications Pulse Rate 20–250 bpm ±3 bpm Note: Pulse Rate accuracy is expressed as ±3 bpm across the display range. This variation equals ± one

Specifications Battery Capacity A minimum of 8 hours with a new, fully-charged battery under the following conditions: no alarms and no analog or seri

Specifications ENVIRONMENTAL PROTECTION Mallinckrodt recommends that customers or technical services personnel follow local governing ordinances and r

APPENDIX A: PRINCIPLES OF OPERATION Oximetry Overview OXIMETRY OVERVIEW Pulse oximetry is based on two principles: that oxyhemoglobin and deoxyhem

Appendix A: Principles of Operation determine SpO2. This resistor is read when the monitor is turned on, periodically thereafter, and each time a new

Appendix A: Principles of Operation 010050 Saturation (%)PO2 (mmHg)100 50 2 pHTemperaturePCO2,3-DPGFetal Hb2 pHTemperaturePCO2,3-DPGFetal Hb Figure

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APPENDIX B: Data Port Protocol Overview Trend Data Connecting to the Data Port Real-Time Display Format Patient Data and Operating Status Nurse Call

Contents FIGURES Figure 1: NPB-290 Front Panel Display ... 5 Figure 2: NPB-290 Rear Panel ...

Appendix B: Data Port Protocol #2: Trend Clear. Clears the existing trend data, but does not erase the information. Note: To activate, press the Up

Appendix B: Data Port Protocol compatible pins (AMP part number 66570-2). The cable should be no more than 25 feet (7.6 meters) in length. The exter

Appendix B: Data Port Protocol 9 10111213141512345678 Figure 9: Serial Port Pin Layout Pins 2, 3, and 5 provide data in RS-232 format. Pins 1, 4, 9,

Appendix B: Data Port Protocol 65 Data in the highlighted box above represents the model number of the monitor, in this case the NPB-290. Figure 10:

Appendix B: Data Port Protocol Software Revision Level The next data field tells the user the software level, (Version 1.0.0.1) and a software verifi

Appendix B: Data Port Protocol Patient Data Patient data is highlighted in the display above. Parameter values are displayed directly beneath the he

Appendix B: Data Port Protocol Table 3: Status Codes Code MeaningAO Alarm OffAS Alarm SilenceLB Low BatteryLP Loss of Pulse MO Patient Mot

Appendix B: Data Port Protocol 69 NPB-290 VERSION 1.0.0.1 TREND SpO2 Limit: 30-100% PR Limit: 100-180BPM TIME %SPO2 BPM PA 22-NOV-97 1

Appendix B: Data Port Protocol If battery power is disconnected or depleted, trend data and user settings will be lost. All data is stored with error

Appendix B: Data Port Protocol Table 4: Analog Pinouts Pin Parameter Parameter Range6 %SpO2 0 - 100 13 Pulse rate 0 - 250 14 Pleth wave 0

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SAFETY INFORMATION General Safety Information GENERAL SAFETY INFORMATION This section contains important safety information related to general use o