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Nonin Avant 2120 Operator's Manual

Pulse oximeter and noninvasive blood pressure (nibp) monitor
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Operator's Manual
®
Avant
2120
Pulse Oximeter
and Noninvasive Blood Pressure
(NIBP) Monitor
English
0123

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Summary of Contents for Nonin Avant 2120

  • Page 1 Operator’s Manual ® Avant 2120 Pulse Oximeter and Noninvasive Blood Pressure (NIBP) Monitor English 0123...
  • Page 2 MPS, Medical Product Service GmbH Borngasse 20 D-35619 Braunfels, Germany References to “Nonin” in this manual imply Nonin Medical, Inc. Nonin, Flexi-Form, FlexiWrap, PureLight and nVISION are registered trademarks or trademarks of Nonin Medical, Inc. Microsoft and Windows are registered trademarks of Microsoft ®...

  • Page 3: Table Of Contents

    Contents Indications for Use ..................1 Contraindications....................1 Warnings ........................ 1 Cautions ......................... 2 Guide to Symbols ..................4 Displays, Indicators, and Controls............... 5 Parameter Displays ....................5 %SpO Display ....................5 Pulse Rate Display....................5 Systolic Pressure Display ................... 5 Diastolic Pressure Display ..................
  • Page 4 Contents (Continued) High Priority Alarms ...................24 Medium Priority Alarms..................24 Error Codes .......................24 Watchdog Alarm ....................26 Informational Tones ...................26 Alarm Summary ....................26 Setting and Changing Volume and Alarm Limits...........27 Setting or Changing SpO and/or Pulse Rate Alarm Limits.......27 Setting or Changing Systolic, Diastolic, and MAP Alarm Limits ......27 Setting or Changing Alarm and Pulse Volumes..........27 Silencing Alarms ....................28 Setting and Changing NIBP Settings ..............28...
  • Page 5 Figures Figure 1. Avant 2120 Front and Back View..............5 Figure 2. Installing the Batteries................11 Figure 3. Proper Cuff Placement................14 Figure 4. Connecting the Blood Pressure Cuff and Finger Clip Sensor ....15 Figure 5. DIP Switches..................... 18...
  • Page 6 Tables Table 1. Symbols ....................... 4 Table 2. DIP Switches....................17 Table 3. Error Codes....................24 Table 4. Alarm Summary ..................26 Table 5. Electromagnetic Emission................34 Table 6. Electromagnetic Immunity................35 Table 7. Guidance and Manufacturer’s Declaration—Electromagnetic Immunity..36 Table 8.

  • Page 7: Indications For Use

    Indications for Use Indications for Use The Nonin Avant 2120 Pulse Oximeter and NIBP Monitor is a portable device indicated for use in measuring and displaying functional oxygen saturation of arterial hemoglobin (SpO ), pulse rate, and blood pressure of adult and pediatric patients in hospitals, medical facilities, and subacute environments.

  • Page 8: Cautions

    To obtain accurate results, and for important safety reasons, the blood pressure cuff must only be placed on the patient’s arm. Use only Nonin-specified blood pressure cuffs and hoses with the device. Using other cuffs might result in inaccurate readings or inability to operate the device.
  • Page 9 If you are unsure how to reach your distributor, please call Nonin for your distributor’s contact information. Data is overwritten ONE RECORD AT A TIME so if the entire memory is filled with a single record, portions of that record will be deleted when a new record begins.

  • Page 10: Guide To Symbols

    Guide to Symbols Guide to Symbols This table describes the symbols that are found on the Avant Model 2120. See section titled Displays, Indicator, and Controls for detailed information about functional symbols. Table 1. Symbols Symbol Description/Function Consult Instructions for Use Follow Instructions for Use Defibrillation-Proof Type BF Applied Part (Patient isolation from electrical shock).

  • Page 11: Displays, Indicators, And Controls

    Displays, Indicators, and Controls Displays, Indicators, and Controls This section describes the displays, indicators, and controls used on the Avant 2120. Figure 1: Avant 2120 Front and Back View Parameter Displays %SpO Display Numeric light-emitting diodes (LEDs) on the upper left-hand corner of the device display blood oxygen saturation in percent.

  • Page 12: Map (Mean Arterial Pressure) Display

    Displays, Indicators, and Controls MAP (Mean Arterial Pressure) Display The MAP display is a 3-digit LED display near the middle right-hand side of the device. The MAP number displayed is a calculated value in mmHg, based on measurements of systolic and diastolic pressure: MAP = 2/3 diastolic + 1/3 systolic NOTE: LED means “light-emitting diode.”...

  • Page 13: Indicators And Icons

    Displays, Indicators, and Controls Indicators and Icons Pulse Oximeter Sensor LED The Pulse Oximeter Sensor LED indicates when a sensor has become disconnected, has failed, is misplaced or is not compatible with this monitor. Pulse Strength / Battery Capacity Bar Graph LED This 10-segment multi color bar graph indicates pulse strength as determined by the oximeter.
  • Page 14 Displays, Indicators, and Controls Display Panel LED Indicators Display panel LED indicators display whether or not the Avant 2120 is functioning in certain modes (NIBP History Display mode or Initial mmHg Cuff Pressure Display mode). Battery LED This amber LED indicates a marginal battery capacity by blinking in sync with the Main Alarm LED indicator.

  • Page 15: Display Panel Buttons

    Displays, Indicators, and Controls Display Panel Buttons NIBP Button This button is used to begin or cancel a single blood pressure measurement. While the device is taking a blood pressure reading, pressing any button on the front panel will cancel the action and deflate the cuff.
  • Page 16 Displays, Indicators, and Controls Alarm Silence Button This button toggles the alarm between silenced and audible. Pressing the Alarm Silence button silences all alarms for two minutes. Pressing and holding this button for two seconds clears all NIBP high and medium priority alarms (including any displayed NIBP data).

  • Page 17: Operating The Device

    Operating the Device Operating the Device Installing the Batteries WARNING: The battery pack must be installed at all times while the device is operating, even when operating on AC power. The audible alarms and memory will not function if batteries are removed from the device. Do NOT use the device without batteries.

  • Page 18: Verifying Operation

    Press the ON/STANDBY button to perform the start-up (initialization) sequence. Verify that all LEDs, except the AC Power Supply LED, are illuminated and the unit beeps three times during the start-up sequence. If any LED is not lit, do not use the device and contact Nonin Technical Service for assistance.

  • Page 19: Operator Functions

    Operator Functions Operator Functions Taking Blood Pressure Measurements This section describes how to take blood pressure measurements with the Avant 2120. NIBP Cuff Selection To obtain accurate readings, the appropriate cuff size must be selected for each patient. Contraindication: The blood pressure monitor is not intended for use with neonates.

  • Page 20: Figure 3. Proper Cuff Placement

    2. Connect the blood pressure cuff and/or pulse oximeter sensor to the device. • Attach the straight or coiled tubing to the monitor; attach the cuff to the tubing as illustrated below. • Connect the pulse oximeter sensor as illustrated below, with the Nonin logo facing up.

  • Page 21: Automatic And Demand Nibp Measurements

    Operator Functions Figure 4: Connecting the Blood Pressure Cuff and Finger Clip Sensor 3. Place the blood pressure cuff around the patient’s arm. 4. Apply the finger clip sensor on the patient (see Sensor Instructions for Use for proper placement). 5.

  • Page 22: Calibrating Blood Pressure

    Operator Functions When continuous spot-checking of patients is required or to determine fluctuations in blood pressure over periods of time, the Automatic NIBP should be used. Demand NIBP measurements are single-time measurements taken by pressing the NIBP button on the device. Calibrating Blood Pressure Calibration should be performed after every 10,000 inflations or once per year, using the following procedure.

  • Page 23: Advanced Features

    Advanced Features Advanced Features This section describes the advanced features available on the Avant 2120. Button Combinations This device offers two advanced features that are available by using multiple button combinations. The device must be in Standby mode before using either of the advanced features.

  • Page 24: Figure 5. Dip Switches

    Advanced Features Table 2. DIP Switches (Continued) Switch Function UP: Real-time data output available via RS232 port DOWN: Print-on-Demand mode activated (Default) UP: User-Defined Alarm Limit and Volume Defaults DOWN: Factory Alarm Limit and Volume Defaults (Default) CAUTION: Do not place DIP switch 1 in the UP position unless device calibration is intended.

  • Page 25: Quick Reference For Printing

    Advanced Features Quick Reference for Printing The Avant 2120 features printing capabilities that allow you to print on demand or in real-time. These are controlled by DIP switch 4, which is located under the battery cover at the back of the device.

  • Page 26: Communication

    DO NOT use the device without batteries. Using nVISION Data Management Software This device has a Memory Download feature, allowing stored data to be transferred to Nonin’s nVISION data management software for analysis. When downloading data, use the following procedure.

  • Page 27: Real-Time Patient Data Output

    NOTE: Patient oximetry and NIBP data are cleared simultaneously in Download mode. Real-Time Patient Data Output The Avant 2120 provides real-time data output capability via the RS232 connector port. A null modem cable must be connected from the device to the receiving computer.
  • Page 28 Communication Real-time data may be printed or displayed by devices other than the pulse oximeter. Upon start up, a header is sent identifying the format and the time and date; the data format is: SPO2=XXX HR=YYY NIBP will be displayed when it is available in the following format: SPO2=XXX HR=YYY SYS=SSS DIA=DDD MAP=MMM where XXX is the SpO value, YYY is the heart rate value, SSS is the systolic value, DDD is...

  • Page 29: Care And Maintenance

    “Troubleshooting” or contact Nonin Technical Service. Cleaning Clean the Avant 2120 separately from the sensors. For instructions regarding cleaning pulse oximeter sensors, refer to the appropriate pulse oximeter sensor Instructions for Use. Clean the device with a soft cloth dampened with isopropyl alcohol. Do not pour or spray any liquids onto the device, and do not allow any liquid to enter any openings in the device.

  • Page 30: Alarms And Limits

    NIBP Module, User Cancelled: NIBP module was cancelled from taking blood pressure reading. System Error: Retry reading. If reading is not possible, turn the device off and on again and retry. Calibration may be required. Call Nonin Technical Service if error persists.
  • Page 31 Alarms and Limits Table 3. Error Codes (Continued) Error Description Code NIBP Module, Bad Signals: NIBP module cannot complete reading. Failure could be due to patient’s blood pressure falling outside module’s range. Check patient, air hose connection, and cuff application. NIBP Module, Overpressure: Overpressure condition occurred.

  • Page 32: Watchdog Alarm

    When a watchdog alarm is activated, it can be cleared by shutting down the device (press and hold the ON/STANDBY button for one second). If the watchdog alarm does not clear, contact Nonin Technical Service. Informational Tones Informational tones include the startup/initialization tone and the pulse rate tone (which changes in pitch with SpO values).

  • Page 33: Setting And Changing Volume And Alarm Limits

    Alarms and Limits Table 4. Alarm Summary (Continued) Alarm Description Adjustment Range Default MAP Upper Alarm Limit Off, 70 to 200 by 5 mmHg 150 mmHg MAP Lower Alarm Limit Off, 25 to 125 by 5 mmHg 50 mmHg Setting and Changing Volume and Alarm Limits NOTE: The alarm limits automatically reset themselves to default values each time the device is turned on.

  • Page 34: Silencing Alarms

    Alarms and Limits Silencing Alarms To silence alarms for two minutes, press the Alarm Silence button. To permanently silence all alarms, DIP switch 2 must be placed in the UP position. This allows the Alarm Volume to be set to zero. The Alarm Silence LED will remain illuminated when the alarm volume is set to zero.

  • Page 35: Parts And Accessories

    For more information about Nonin parts and accessories: • See the Parts and Accessories List on the Operator’s Manual CD. • Contact your distributor or Nonin at (800) 356-8874 (USA and Canada), +1 (763) 553 9968, or +46 650 401500 (Europe). • Visit www.nonin.com.

  • Page 36: Service, Support And Warranty

    NONIN MEDICAL, INCORPORATED (Nonin) warrants to the purchaser, for a period of one year from the date of purchase, each Avant 2120 battery pack, and for two years from the date of purchase each blood pressure module. Nonin warrants the pulse oximetry module of the Avant 2120 for a period of three years from the date of purchase, and the blood pressure cuff for a period of 90 days from the date of purchase.
  • Page 37 Nonin's place of business. Nonin reserves the right to charge a fee for a warranty repair request on any Avant 2120 that is found to be within specifications. Avant 2120 is a precision electronic instrument and must be repaired by knowledgeable and specially trained Nonin personnel only.

  • Page 38: Troubleshooting

    The finger is wet. Dry the finger and the sensor’s inner surfaces. The red LED is not illuminated Contact Nonin’s Technical Service in the finger insertion area. Department. Excessive patient motion. Reduce patient motion.
  • Page 39 The battery does not charge. Return the device to Nonin Technical Service for repair or replacement. If these solutions do not correct the problem, please contact Nonin Technical Service at (800) 356-8874 (USA and Canada), +1 (763) 553-9968, or +46 650 401500 (Europe).

  • Page 40: Technical Information

    Technical Information Technical Information Manufacturer’s Declaration Refer to the following table for specific information regarding compliance to IEC 60601-1-2 for this device. Table 5. Electromagnetic Emission Emissions Test Compliance Electromagnetic Environment—Guidance This device is intended for use in the electromagnetic environment specified below. The customer and/or user of this device should ensure that it is used in such an environment.

  • Page 41: Table 6. Electromagnetic Immunity

    Technical Information Table 6. Electromagnetic Immunity Electromagnetic Environment— Immunity Test IEC 60601 Test Level Compliance Level Guidance This device is intended for use in the electromagnetic environment specified below. The customer and/or user of this device should ensure that it is used in such an environment. Electrostatic ±6 kV contact ±6 kV contact...

  • Page 42: Table 7. Guidance And Manufacturer's Declaration-Electromagnetic Immunity

    Technical Information Table 7. Guidance and Manufacturer’s Declaration—Electromagnetic Immunity IEC 60601 Test Compliance Electromagnetic Environment— Immunity Test Level Level Guidance This device is intended for use in the electromagnetic environment specified below. The customer and/or user of this device should ensure that it is used in such an environment. Portable and mobile RF communications equipment should be used no closer to any part of the device, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter.

  • Page 43: Table 8. Recommended Separation Distances

    Technical Information Table 8. Recommended Separation Distances This table details the recommended separation distances between portable and mobile RF communications equipment and this device. This device is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. Users of this device can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communication equipment (transmitters) and the device as recommended below, according to maximum output power of the communications equipment.

  • Page 44: Equipment Response Time

    Technical Information Equipment Response Time Values Average Latency Standard/Fast Averaged SpO 4 beat exponential 2 beats Extended Averaged SpO 8 beat exponential 2 beats Pulse Rate Values Response Latency Standard/Fast Averaged Pulse Rate 4 beat exponential 2 beats Extended Averaged Pulse Rate 8 beat exponential 2 beats Example - SpO...

  • Page 45: Testing Summary

    Technical Information Testing Summary accuracy and low perfusion testing were conducted by Nonin Medical, Inc., as described below: Accuracy Testing accuracy testing is conducted during induced hypoxia studies on healthy, non-smoking, light- to dark-skinned subjects during motion and no-motion conditions in an independent research laboratory.

  • Page 46: Specifications

    Pulse Indicator: Amber LED Accuracy - Sensors Declared accuracy data for compatible sensors can be found in Nonin’s Sensor Accuracy document. Measurement Wavelengths and Output Power* Red: 660 nanometers @ 0.8 mW max. average Infrared: 910 nanometers @ 1.2 mW max. average...
  • Page 47 Technical Information Power Requirements Mains: 100-240 VAC 50-60 Hz DC Input: 12 VDC 1.5A AC power supply Internal Power Battery: 7.2 volt battery pack (6 cells) Operating Life: minimum 5 hours of continuous operation Storage Life: 18 days Recharge Time: 4 hours with device off Memory 33.5 hrs (assuming continuous operation) Alarm Volume Range...

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