Nellcor OxiMax N-600X Operator's Manual page 55

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Using the Monitor
Notice the movement of the blip bar or plethysmographic waveform
or beating heart indicating the monitor is displaying real-time data.
Listen for the pulse beep tone. If the pulse beep tone does not sound
with each pulse, it is an indication the pulse beep volume is set to
zero, the speaker is malfunctioning, or the signal is corrupt.
N-600x Operator's Manual
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