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Novametrix Medical Systems 8100 User Manual

Respiratory profile monitor
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RESPIRATORY PROFILE MONITOR
User's Manual
Model 8100
October 10, 1997
Catalog No. 6758-23-02
Novametrix Medical Systems Inc.
PO Box 690
5 Technology Drive
Wallingford, Connecticut, U.S.A. 06492

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Summary of Contents for Novametrix Medical Systems 8100

  • Page 1 RESPIRATORY PROFILE MONITOR User’s Manual Model 8100 October 10, 1997 Catalog No. 6758-23-02 Novametrix Medical Systems Inc. PO Box 690 5 Technology Drive Wallingford, Connecticut, U.S.A. 06492...

  • Page 3: Revision History

    SMO Plus! and CAPNOSTAT are registered trademarks and Y-Sensor, SuperBright and OxySnap are trade- marks of Novametrix Medical Systems Inc. Velcro is a registered trademark of Velcro USA, Inc. Cidex is a trademark of Arbook, Inc. Nafion is a registered trademark of Dow Corning Corp.
  • Page 4 Thank you ..for selecting the CO SMO Plus! Respiratory Profile Monitor. You are the operator of one of the most advanced, state-of-the-art respiratory instruments available today. Our engineering staff, in collaboration with the medical community, has invested considerable effort to produce a highly accurate and extremely versatile instrument for respiratory monitoring.

  • Page 5: Table Of Contents

    Contents General Description ......................1 Indication for use, unpacking, operational overview of the monitor, and principles of operation. Safety ..........................11 Warnings, cautions and notes on the use of the monitor and its accessories. SMO Plus! Preparation for Use ......................15 AC/battery operation, setup and configuration settings. Sensors and Patient Connections ...................23 Detailed information on connection and application of sensors associated with the SMO Plus!
  • Page 6 SMO Plus User’s Manual Rev. 01...

  • Page 7: General Description

    Section 1 General Description Through the combination of capnography, airway flow and pressure, and pulse oximetry, the Plus! provides the clinician with a respiratory profile of the patient. This includes information that was previously difficult to obtain continuously at the bedside, such as CO production (Vco ) and deadspace parameters, as well as conventional capnography, pulse oximetry, and respiratory mechanics.
  • Page 8 Section 1 Operational Overview Operational Overview Parameters Measured SMO Plus! measures and calculates various respiratory parameters for patient/ventilator management. Refer to “Monitoring” on page 47 for a complete parameters list. Front Panel Controls and Indicators Controls Power Key Press the POWER key to place the unit into operate mode (ON) or to place the unit into standby (OFF). There are four states of the unit: •...
  • Page 9 General Description Operational Overview If the key is not pressed within five seconds, trends will be retained. The monitor is now ready for operation. Contrast Press or hold to adjust the display’s contrast for different up/down viewing angles. Alert Silence Press for 2 minute silence (audible alerts muted for two minutes).
  • Page 10 Section 1 Operational Overview Data Screen Press to switch between data screens (numeric values only), and data entry screen (to enter weight and PaCO - see “Data Screens” on page 56 for details). Setup/Configuration Press to display the SETUP screen, or hold for three seconds to display the CONFIGURATION screen (for advanced settings).
  • Page 11 General Description Operational Overview Rev. 02 SMO Plus User’s Manual...
  • Page 12 Section 1 Operational Overview Indicators Battery Alert Icon Illuminates when the unit is on battery power and the battery charge is critically low. When battery is near exhaustion an audible alert will sound and “BATTERY VERY LOW PLUG IN AC POWER” will appear in the display screen.
  • Page 13 General Description Operational Overview Alert Bar Flashes red when alert conditions are detected. When ALERTS LATCHED in the SYSTEM CONFIGURATION is set to ON, the alert bar is latched. This means that when an alert is active, the alert bar will flash even if the condition that caused the alert has been corrected. To reset the latched alert bar press, the key.
  • Page 14 Section 1 Rear Panel Connections and Labeling Rear Panel Connections and Labeling Equipotential connection 25 pin D connector (for communications) sensor connection CONNECT ONLY TO IEC601 APPROVED DEVICES sensor connection Fuse/power setting compartment AC power switch Power cord receptacle Sampling system exhaust Equipotentiality: Connection to monitor’s chassis Patient isolation: Identifies connection as type BF Attention: Consult manual for detailed information...

  • Page 15: Principle Of Operation

    General Description Principle of operation Principle of operation SMO Plus! uses the CAPNOSTAT CO sensor to measure CO by using the infrared absorbtion technique, which has endured and evolved in the clinical setting for over two decades and remains the most popular and versatile technique today.
  • Page 16 Section 1 Principle of operation Pulse Rate is calculated by measuring the time interval between peaks of the infrared light waveform. The inverse of this measurement is displayed as pulse rate. The oxygen saturation and pulse rate values are updated once each second. Presence of a pulse is indicated visibly by a plethysmogram graphic display and audibly by a “beep.”...

  • Page 17: Safety

    Section 2 Safety SMO Plus! monitor is electrically isolated. Patient leakage current flowing from the instrument to ground is limited to less than 100 uA at 120/220 VAC, 50-60Hz. For maximum patient and operator safety, you must follow the following warnings and cautions. WARNINGS Indicates a potentially harmful condition that can lead to personal injury.
  • Page 18 Section 2 • Periodically check the flow sensor and tubing for excessive moisture or secretion build up. Although the SMO Plus! automatically purges the lines, excessive moisture or secretions may still remain. • While using the flow sensor, a system leak, such as that caused by uncuffed endotracheal tubes or a damaged flow sensor may significantly effect flow related readings.
  • Page 19 Safety • When a new CAPNOSTAT CO sensor is attached to the monitor, or is moved from one monitor to another, it must be initialized before use. The CAPNOSTAT CO sensor does not have to be initialized again as long as it is used with the same monitor. •...
  • Page 20 Section 2 [This page intentionally blank.] SMO Plus User’s Manual Rev. 02...

  • Page 21: Preparation For Use

    Section 3 Preparation for Use AC/Battery Operation Press the POWER key to place the unit into operate mode (ON) or to place the unit into standby (OFF). The status of the unit is dependent upon both the key and the power source: •...
  • Page 22 Section 3 Setup and Configuration Settings battery is not sufficiently charged. Allow the battery to charge for 12 hours before initial use; refer to the following diagram for charging instructions. NOTE When the battery is low (blinking on front panel) the monitor will not zero the flow sensor. This may cause the calculations based on the flow signal to drift outside of normal performance specifications.
  • Page 23 Preparation for Use Setup and Configuration Settings SETUP options are described below: Parameter Description Factory Default Setup: Turns the CO sampling pump ON/OFF (for using sidestream SAMPLE PUMP sampling adapter) CO2 ZERO Blank Press arrow key to enter the adapter zero menu Choose a 0-50, 0-75 or 0-100 scale for the CO waveform dis- 0-50...
  • Page 24 Section 3 Setup and Configuration Settings Assumed inspired concentrations based on selected expired concentrations: • Inspired CO • Inspired O =Expired setting + 4 Volume % • Inspired N =Expired setting • Inspired N O=Expired setting + 1 Volume % •...
  • Page 25 Preparation for Use Setup and Configuration Settings With ventilators that have a PRVC (pressure regulated volume control) mode, the SPONTANEOUS THRESHOLD SETTING will have to be adjusted. This mode combines mechanical ventilation with pressure support for spontaneous breaths. This pressure support is set on the ventilator to a percentage of the total mechanical PIP.
  • Page 26 Section 3 Setup and Configuration Settings SCALE When set to AUTO/SHOW the loops and flow/pressure waveforms AUTO/ have reference scales and automatically adjust when changes occur. HIDE When set to AUTO/HIDE, the loops and flow/pressure waveforms do not show reference scales but will automatically adjust when changes occur.
  • Page 27 Preparation for Use Setup and Configuration Settings ALERT DELAY: When set to “ON” the monitor will delay the audible alert for 10 seconds upon the detection of an alert violation. The monitor will indicate an alert condition once detected. If this option is set to ALERTS LATCHED: “ON”...
  • Page 28 Section 3 Setup and Configuration Settings [This page intentionally blank.] SMO Plus User’s Manual Rev. 02...

  • Page 29: Sensors And Patient Connections

    Section 4 Sensors and Patient Connections SMO Plus! calculates various flow, CO and pulse oximetry related parameters. Flow, CO pulse oximetry sensors can be used simultaneously or in any combination. Initializing the CAPNOSTAT CO Sensor When a new CAPNOSTAT CO sensor is attached to the monitor, or is moved from one monitor to another, the monitor will prompt “PUT SENSOR ON -0- CELL”.
  • Page 30 Section 4 The monitor sounds a short “beep” and will display “SENSOR PASSED.” After a few seconds, the message “PUT CO2 SENSOR ON ADAPTER IN ROOM AIR, OK: CANCEL: ” will display. The CAPNOSTAT CO sensor has been initialized BUT IS NOT READY FOR PATIENT USE Place the CAPNOSTAT CO sensor on a new (or clean reusable) airway adapter of the type that is to be used.
  • Page 31 Sensors and Patient Connections NOTE If the monitor detects breaths at this time, the message “BREATHS DETECTED” will be displayed, and the adapter zero will not be allowed until 20 seconds has passed with no detected breaths. The monitor will respond “ZEROING CO2 ON AIRWAY ADAPT: XX” or “ZEROING CO2 ON CANNULA:XX”...
  • Page 32 Section 4 Combined CO and Flow Combined CO and Flow To monitor flow (respiratory mechanics) and CO , a combined CO airway adapter and flow sensor /flow sensor) is available. Select a Series 3 /flow sensor based on the patient: Pediatric/Adult Combined CO /Flow Sensor (Catalog No.
  • Page 33 Sensors and Patient Connections Combined CO and Flow Connect the CAPNOSTAT CO sensor to the combined CO /flow sensor. CAPNOSTAT CO sensor CAPNOSTAT CO sensor Neonatal Pediatric/adult Combined CO /flow sensor Combined CO /Flow sensor (added deadspace: < 1 cc) (added deadspace: 6.5cc) Connect the combined CO /flow sensor to the patient breathing circuit.
  • Page 34 Section 4 Monitoring Flow (Respiratory Mechanics) Separately • For routine performance of airway care, separate the system between the ET tube and the airway adapter (neonatal circuit), or between the ET tube and elbow (pediatric/adult circuit). Lavage and suctioning of the airway can then be performed without fluids and mucous accumulating on the airway adapter windows.
  • Page 35 Sensors and Patient Connections Monitoring CO Separately Monitoring CO Separately To monitor CO without flow (respiratory mechanics): Select an airway adapter based on the patient and monitoring situation. Pediatric/Adult Single Patient Use Adult Airway Adapter (Catalog No. 6063): • For intubated patients with endotracheal tube diameters greater than 4 mm.
  • Page 36 Section 4 Monitoring CO Separately Sampling Adapter The sampling airway adapter with tubing (Catalog No. 5843) should be used in conjunction with a nasal sampling cannula to monitor non-intubated patients. Verify that the windows are clean and dry. Clean or replace the adapter if necessary. Align the arrow on the bottom of the sampling adapter with the arrow on the bottom of the CAPNOSTAT sensor and press the sensor and adapter together until they “click.”...
  • Page 37 Sensors and Patient Connections Monitoring CO Separately Adapter zero is necessary when the pump is first turned on to set the sampling system alert thresholds and adjust to the optical characteristics of the sampling adapter. After the first sampling adapter zero, subsequent patient setups using the sampling adapter do not require an adapter zero unless: •...
  • Page 38 Section 4 Flow Calibration/Zeroing Flow Calibration/Zeroing Flow sensor calibration is not necessary due to the consistency from one flow sensor to the next. Also, the flow signal is automatically zeroed periodically by internal valves. The flow zero will freeze any displayed waveform for one second, and display a “FLOW ZERO IN PROGRESS”...
  • Page 39 Sensors and Patient Connections Sensors Sensors This section explains how to select an SpO sensor, how to connect the sensor to the monitor, and how to apply the sensor to the patient. CAUTION Connect only Novametrix SpO sensor extension cables and/or SuperBright™ SpO sensors to the .
  • Page 40 Section 4 Sensors OxySnap ™ Connectors To connect an OxySnap extension cable to an OxySnap SuperBright sensor: Align the arrows on the OxySnap connectors and press the connectors together. Finger grips OxySnap connector To disconnect, grasp the connectors at the finger grips and pull them apart. Finger Sensor The reusable Finger Sensor is intended for adult or appropriate size pediatric fingers and is not designed for neonatal applications.
  • Page 41 Sensors and Patient Connections Sensors Release the finger grips. WARNING Inspect the site often for adequate circulation—at least once every four hours. When applying sensors take note of patient’s physiological condition. For example, burn patients may exhibit more sensitivity to heat and pressure and therefore additional consideration such as more frequent site checks may be appropriate.
  • Page 42 Section 4 Sensors Sensor heads Center strip Strip may be removed Y-Sensor Application using Y-Strip Tapes or Foam Wrap Select a Y-Strip or foam wrap based on the patient type and intended sensor location. Wrap Style Tapes: Y-Strip tapes are available in two color coded sizes: 25 mm tapes have green liners, and 20 mm tapes have blue liners.
  • Page 43 Sensors and Patient Connections Sensors To use the Y-Strip tapes: Remove the portion of the release liner containing the holes. Remove release liners with holes Finger style tape Wrap style tape (Omit this step if using the 25 mm Y-Strip tape.) If using the 20 mm Y-Strip tape, carefully remove the Y-Sensor center strip using a pair of scissors or a sharp blade.
  • Page 44 Section 4 Sensors Leave slack in the wires between the tape and the sensor. Adult/pediatric finger Neonatal hand Neonatal/pediatric foot Pediatric toe WARNING Do not wrap the tape around the limb so tightly that circulation is restricted. Inspect the site often for adequate circulation—at least once every four hours. When applying sensors take note of patient’s physiological condition.
  • Page 45 Sensors and Patient Connections Sensors NOTE If using the first and third holes on the foam wrap it may be necessary to cut the middle strip off the Y-sensor. Face the blue side of the wrap toward the skin and wrap around the site (cut excess foam if necessary on ®...
  • Page 46 Section 4 Sensors Y-Sensor Application using Ear Clip Remove center strip from the Y-Sensor. Sensor heads Center strip (remove) Strip removed Slide each Y-Sensor head into the ear clip‘s receptacles. The heads should face each other. Sensor head Ear clip receptacle Squeeze here to apply Gently squeeze the end of the ear clip (shown in diagram), and apply the sensor to the patient.
  • Page 47 Sensors and Patient Connections Sensors If a satisfactory reading cannot be obtained, rub the site and/or use adhesive dots for better response. The adhesive dots (Catalog No. 8700) included with the ear clips will also help in preventing the ear clip from falling off (during exercise for example).
  • Page 48 Section 4 Sensors Single Patient Use SpO Sensors Select a Y-Strip or foam wrap based on the patient type and intended sensor location. Single Patient Use Pediatric/Adult Sensor (Catalog No. 6455): • The single patient use SpO sensor can be used when monitoring adult or pediatric patients with Novametrix Pulse Oximeters (SuperBright series).
  • Page 49 Sensors and Patient Connections Sensors Single Patient Use SpO Sensor Application Connect the DB-9 extension cable to the rear panel connector. SMO Plus! SuperBright series connector Press the connector on the end of the extension cable into the connector on the end of the Single Patient Use sensor.
  • Page 50 Section 4 Sensors Select the appropriate size sensor based on the patient type. Pediatric/adult sensor Adult toe Adult finger Neonatal/pediatric sensor Neonatal hand Pediatric toe Neonatal foot SMO Plus! User’s Manual Rev. 02...
  • Page 51 Sensors and Patient Connections Sensors To apply the sensor, place the blue side of the sensor wrap against the skin, wrap it around the site and † secure with Velcro tab. The Velcro tab on the neonatal/pediatric version is removable to allow the foam wrap to be cut before applying to the patient.
  • Page 52 Section 4 Sensors [This page intentionally blank.] SMO Plus! User’s Manual Rev. 02...

  • Page 53: Monitoring

    Section 5 Monitoring Display of Data measures and displays respiratory mechanics, carbon dioxide and pulse oximetry SMO Plus! data. Until valid data is recieved for any parameter, that parameter will show a dash “--”. When valid data is received, the value will display. If the parameter is lost, the value will return to dashes. The following parameters are measured and and displayed on various screens as shown below: DATA SET - STANDARD Parameter...
  • Page 54 Section 5 DATA SET - STANDARD RESP spon Respiration rate of spontaneous and mechanical DATA key RESP mech breaths. Peak Inspiratory Flow rate Peak Expiratory Flow rate Ratio of inspiration time (ti) to expiration time (te) Inspiration time (time taken for inspiration portion of breaths) Expiration time (time taken for expiration of breath)
  • Page 55 Monitoring DATA SET - STANDARD Enter Weight DATA key to ENTER/ABG Vt ml/kg mech Tidal volume per kilogram of body weight WEIGHT SCREEN Mark ABG: Event Key Vd/Vt phy Deadspace (physiological) to tidal volume ratio Vd phy Physiological deadspace Vd alv Alveolar deadspace DATA SET - PROTOCOL Parameter...
  • Page 56 Section 5 DATA SET - PROTOCOL DATA key MONITORING Raw i * Dynamic inspired airway resistance screen Static Raw i is measured with inspiratory pause and is available in Adult mode only. STAT is displayed in place of the units Raw e * Dynamic expired airway resistance Static Raw e is measured with...
  • Page 57 Monitoring DATA SET - PROTOCOL DATA key MV spon * Spontaneous minute volume MV mech * Mechanical minute volume MV total * Total minute volume Vd aw Airway deadspace Also at TREND key RESP spon * Spontaneous respiratory rate RESP mech * Mechanical respiratory rate Vt i Inspired single breath tidal volume...
  • Page 58 Section 5 Parameters not displayed In addition to the parameters listed above, the following parameters are also calculated and communicated through the RS232 output for display on a PC but are not displayed on the SMO Plus! screen: Parameter Abbreviation Parameter Description How to Access Ctot...
  • Page 59 Monitoring Screen Displays Screen Displays The following screens are displayed on the SMO Plus! Waveform Screens Respiration rate section Flow parameters ETCO value value section Capnogram (Press key for combination Pulse rate capnogram/plethysmogram display) Respiration rate section Capnogram ETCO value value section Pleth Signal Bar...
  • Page 60 Section 5 Screen Displays Respiration rate section Flow waveform ETCO value value section Pressure waveform Pulse rate Respiration rate section Flow waveform ETCO value value section Volume waveform Pulse rate Respiration rate section Flow - volume loop ETCO value value section Pressure - volume loop Pulse rate...
  • Page 61 Monitoring Screen Displays Trend Screens On-screen trends are displayed as bar graphs, with 20 bars each. Using the key, the time base can be selected for 20 minutes, 1, 4, 8, 12, or 24 hours. The value of each bar is the average value in the corresponding time interval.
  • Page 62 Section 5 Screen Displays • VT EXP mech (avg) • VT alveolar spon • VT EXP spon (avg) • VT alveolar mech • Raw inspired • MV alveolar total • Raw expired • MV alveolar spon • MAP (mean airway pressure) •...
  • Page 63 Monitoring Screen Displays To enter PaCO (for calculation of Vd/Vt phy, Vd phy, and Vd alv): While this screen is displayed, press the key when a blood sample is drawn. A time and date marker will be placed below the PaCO value.
  • Page 64 Section 5 Screen Displays Data Set - Protocol Calculated based on entered patient weight Calculated based on entered PaCO value SMO Plus User’s Manual Rev. 02...

  • Page 65: Setup Screen

    Monitoring Screen Displays Setup Screen Refer to “Setup and Configuration Settings” on page 16 for more information. Pointer Press and hold for 3 seconds: Pointer Adjust selected parameter Press to move pointer to desired parameter Adjust selected parameter Values are accepted when changed. Press any key to exit (pressing returns to the previous screen).

  • Page 66: Notes On Patient Monitoring

    Section 5 Notes on Patient Monitoring Notes on Patient Monitoring Flow/CO Sensor Tubing Purge The CO SMO Plus! includes an automatic and manual purge feature which provides a flow rate of room air to keep the pressure sense lines free from water condensation and patient secretions. This feature is available for the adult/pediatric and the neonatal mode.
  • Page 67 Monitoring Notes on Patient Monitoring NOTE • Water that accumulates in the Neonatal Combo CO /Flow and Neonatal Flow Sensors or the sensor tubing may cause the reported Tidal Volumes to be higher than set volumes. If reported values are higher (or lower) than expected and water is seen in the line or sensor body, purge the lines.
  • Page 68 Section 5 Notes on Patient Monitoring Below is an example of a waveform that exhibits a small leak in the flow sensor tubing. Replace flow sensor; if problem persists, refer monitor to qualified service personnel. Small leak in flow tubing Flow Sensor Zeroing The systems ability to maintain a flow zero reference during all monitoring conditions is controlled by the automatic and manual flow zero feature.
  • Page 69 Monitoring Notes on Patient Monitoring Manual flow zero - Neonatal mode A manual flow sensor zero may be used if a positive or negative offset of the flow waveform from zero baseline is observed. This condition mainly occurs if the orientation of the CO SMO Plus! has changed since the last flow sensor zero.
  • Page 70 Section 5 Notes on Patient Monitoring [This page intentionally blank.] SMO Plus User’s Manual Rev. 02...

  • Page 71: Hp Vuelink Interface

    HP VueLink Interface Transmitted Parameters Section 6 HP VueLink Interface The CO SMO Plus! interface to the Hewlett Packard VueLink module provides a pathway for SMO Plus! data to be viewed on the Hewlett Packard Patient Monitoring System. Twenty eight parameters and five waveforms are transmitted to the Hewlett Packard Patient Monitor.

  • Page 72: Preparing For Use

    Section 6 Preparing for Use Total Alveolar Tidal Volume VT alv t Spontaneous Alveolar Tidal Volume VT alv s Mechanical Alveolar Tidal Volume VT alv m Alveolar Minute Volume (Total) MV alv Transmitted Waveforms Waveform Label Units Airway Flow Volume Airway Pressure Capnogram mmHg, %, kPa...
  • Page 73 HP VueLink Interface Preparing for Use Component Setup Connect the CAPNOSTAT, flow sensor, pulse oximeter probe and AC power cord as described in Sections 3 and 4 of this User’s Manual Connect the 25 pin male connector on the VueLink Interface Cable to the 25 pin female connector on the rear panel of the CO SMO Plus! .
  • Page 74 Section 6 Module Setup Module Setup A total of 28 parameters are trended in the CO SMO Plus! unit; 17 of these parameters can be transmitted to the Hewlett Packard Patient Monitor. From this list of 17 pre-selected parameters (shown below), you may choose up to 6 for display on the HP Main Screen.
  • Page 75 HP VueLink Interface Auxiliary Plus Task Window Scale Wav e - This selection allows you to set the scales for the waveforms. When selected, the parameter table in the Auxiliary Plus window will clear and the available scale settings for the waveform currently being viewed in the Auxiliary Plus window will be displayed.

  • Page 76: Graphical Trends

    Section 6 Trends/Calcs You may select a new waveform by pressing the lighted right or left arrow key until you get to the desired selection. You may select a new parameter by pressing any of the lighted arrow keys until you get to the desired selection.
  • Page 77 HP VueLink Interface To Stop Monitoring with the CO2SMO Plus! Pressing the Zoom In softkey will increase the resolution of the trend graph in increments of one-half hour, 1 hour, 2 hours and 3 hours. - This selection decreases the trend resolution. The zoom feature uses the Vertical Time Bar Zoom Out as the marker for the point in time that you wish to view.
  • Page 78 Section 6 To Stop Monitoring with the CO2SMO Plus! [This page intentionally blank.] SMO Plus User’s Manual Rev. 02...

  • Page 79: Alerts And Messages

    Section 7 Alerts and Messages Alerts Alerts are generated for ETCO , respiration rate, SpO , and pulse rate. These alerts occur when the limits for a particular parameter are exceeded. There is also an alert when there is a loss of respiration for a consecutive twenty seconds (other limit times may be selected, see “Manually Setting Alert Limits”...
  • Page 80 Section 7 Alerts Message Meaning of message ERASE STORED TRENDS? This prompt appears each time the monitor is turned on. To erase YES: stored trends press . To keep stored trends press , or allow the message to time out, or press any other key. EVENT MARKER This message appears in the message center when the key is...
  • Page 81 Alerts and Messages Alerts Respiratory Mechanics (Flow) Messages Message Meaning of message ADULT FLOW SENSOR Optical encoders identified that a Pediatric/Adult Flow Sensor is IDENTIFIED connected. ADULT FLOW/CO2 SENSOR Optical encoders identified that a Pediatric/Adult Flow/CO Sensor IDENTIFIED is connected. AIRWAY PRESSURE Airway pressure transducer detects an error.
  • Page 82 Section 7 Alerts Message Meaning of message PROBE OFF The SpO probe is off the patient. PULSE The pulse rate is beyond the measurement range of the monitor OUT OF (30-250 beats/min). RANGE HDW ERROR An error with the monitor’s internal circuitry has been detected. Refer servicing to qualified personnel.
  • Page 83 Alerts and Messages Alerts Message Meaning of message ETCO The detected ETCO value is beyond the measurement range of OUT OF the monitor (0-100mmHg, 0-12.5% or kPa). RANGE FAULTY SENSOR: X CAPNOSTAT CO sensor needs servicing (X = service code) GAS COMP Gas compensation (SETUP screen) is set to a value other than zero percent anesthetic agent and room air balance (GAS COMP...
  • Page 84 Section 7 Alerts Message Meaning of message ZEROING CO An airway adapter zero is in progress. XX indicates the number of seconds remaining. AIRWAY ADAPT: XX ZEROING CO CAPNOSTAT CO sensor is currently attached to the zero cell, and -0- CELL: XX a “cell zero”...
  • Page 85 Alerts and Messages Battery Status and Alerts Battery Status and Alerts LED on the front panel flashes when the battery is extremely low; this will be accompanied by an audible alert. When this occurs connect the power cord to the monitor’s rear panel power entry module, set the rear panel power switch to “|”...
  • Page 86 Section 7 Setting Alert Limits Setting Alert Limits The alert limits for the monitor can be manually or automatically adjusted. When the monitor is turned off the alert limit settings will be retained, even if AC power and the battery are disconnected. The monitor can be configured to power up with the default limit values by setting the RETAIN LIMITS option in the CONFIGURATION menu to NO.
  • Page 87 Alerts and Messages Alert Audio Alert Audio An audible alert is generated any time an alert condition is detected provided that neither the 2 minute silence, nor the audible alert muting are enabled. When the ALERT DELAY in the CONFIGURATION menu is set to ON there is a 10 second delay before the audible alert is generated from the time the alert is detected.
  • Page 88 Section 7 Alert Audio [This page intentionally blank.] SMO Plus User’s Manual Rev. 01...

  • Page 89: Maintenance

    Section 8 Maintenance Cleaning and Sterilization Follow the cleaning and sterilization instructions listed below to clean and/or sterilize the monitor and its accessories. Monitor • Turn the monitor off and unplug the line cord from the AC power source before cleaning. •...
  • Page 90 Section 8 Cleaning and Sterilization • After cleaning or sterilizing the Y-Sensor, verify that the sensor is physically intact, with no broken or frayed wires or damaged parts. Make certain that the connectors are clean and dry, with no signs of contamination or corrosion. Do not use a broken or damaged sensor or one with wet, contaminated, or corroded connectors.
  • Page 91 Maintenance Cleaning and Sterilization • The Neonatal Airway Adapter (Cat. No. 7053) may be sterilized using ETO (ethylene oxide) gas. Be sure to use appropriate aeration times. • Before reusing the adapter, ensure that the windows are dry and residue-free, and that the adapter has not been damaged during handling or by the cleaning/sterilization process.
  • Page 92 Section 8 Maintenance Schedules Follow this with at least three more syringes of distilled water, followed by at least two more syringes of air to make sure that most of the distilled water has been drained. Remove the syringe from the unit. Do not connect the sampling inlet tubing. Connect the AC line cord and turn the monitor on.

  • Page 93: Fuse Replacement

    Maintenance Mains Voltage Configuration To charge the battery, connect the line cord to an AC source and set the rear panel power switch ON (|). Check that the front panel icon is green. Charge the battery for 12 hours. If the battery requires replacement refer to the CO SMO Plus! Service Manual (Catalog No.
  • Page 94 Section 8 Mains Voltage Configuration Power entry module Fuse housing Fuse access door Pry the fuse housing out from the power entry module. Fuse housing NOTE: 5 mm X 20 mm fuses are installed toward the “back” of the fuse housing as shown 3AG type 5 X 20mm type Replace the blown fuse(s) with the proper type and rating.
  • Page 95 Maintenance Mains Voltage Configuration Changing the Mains Voltage Setting Check that the monitor is OFF. Set the rear panel power entry module switch to OFF (“O”). Remove the line cord from the power entry module. CAUTION Replace fuses with same type and rating. Verify proper fuse value for mains voltage setting (see table below) Mains Voltage Fuses (Slo Blo)
  • Page 96 Section 8 Mains Voltage Configuration [This page intentionally blank.] SMO Plus User’s Manual Rev. 02...

  • Page 97: Specifications

    Section 9 Specifications General Plus! Monitor, Model 8100, are listed for informational Specifications for the Novametrix purposes only, and are subject to change without notice. Capnograph • Principle of Operation: Non-Dispersive Infrared (NDIR) absorption, dual wavelength ratiometric- single beam optics •...
  • Page 98 Section 9 Pulse Oximeter Pulse Oximeter • Oxygen Saturation Range: 0-100% Accuracy: 2% for 80-100%, unspecified for 0-79% (approximately 68% of the observations are within the accuracy claim) Display Resolution: 1% Averaging Time: Menu selectable 2 or 8 seconds • Pulse Rate: Range: 30-250 beats per minute Accuracy: 1% of full scale (approximately 68% of the observations are within the accuracy...

  • Page 99: Additional Features

    Specifications Monitor Specifications Monitor Specifications • Classification (IEC601-1): Class I/internal power source, type BF, continuous operating mode • Operating Environment: 50-104 F (10-40 C), 0-90% relative humidity (non-condensing) • Size: Height 3.3 in. (8.38 cm), Width 9 in. (22.86 cm), Depth 8 in. (20.32 cm) •...
  • Page 100 Section 9 Additional Features [This page intentionally blank.] SMO Plus User’s Manual Rev. 02...

  • Page 101: Warranty

    Copyright 1997, Novametrix Medical Systems Inc. This document contains information which is proprietary and the property of Novametrix Medical Systems Inc., and may not be reproduced, stored in a retrieval system, translated, transcribed, or transmitted, in any form, or by any means, without prior explicit written permission from Novametrix Medical Systems Inc.

  • Page 102: Service Policy

    Service Policy Service Policy Novametrix Medical Systems Inc. will provide Warranty Service Support to its customers within 48 hours of receiving a telephone request for technical support. This 48 hour period begins once a service request is placed through the Factory Technical Support Department in Wallingford, Connecticut.

  • Page 103: Accessories

    Respiratory Profile Monitor Model 8100 Catalog No. Description Plus! 6758-00 Respiratory Profile Monitor (Model 8100) with CAPNOSTAT CO Sensor (Cat. No. 7167), OxySnap SuperBright finger sensor (Cat. No. 8744), and one each pediatric/adult and neonatal combined CO /flow sensor. CAPNOSTAT MAINSTREAM CO...
  • Page 104 Section 11 Catalog No. Description FLOW SENSORS For monitoring airway flow without an adapter for the CAPNOSTAT CO sensor. Series 3 Pediatric/Adult Flow Sensor (10 per box) 6717-00 6718-00 Series 3 Neonatal Flow Sensor (10 per box) SENSORS and ACCESSORIES REUSABLE OxySnap™...
  • Page 105 Power Cord (included with monitor) 5334-00 Cable Serial Output to Personal Computer (with 25-pin connector) 5335-00 Cable Serial Output to Personal Computer (with 9-pin connector) 6758-90 Service Manual CO SMO Plus ! (Model 8100) Respiratory Profile Monitor Rev. 02 SMO Plus User’s Manual...
  • Page 106 Section 11 [This page intentionally blank.] SMO Plus User’s Manual Rev. 02...

This manual is also suitable for:

8100 co2smo plus

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