10005095 RevA Ops OxinettIII Dell Version · 110005095_A_Oxinet III_PC_OpsMan_Front Cover.ai...

Operator’s Manual

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10005095_A_Oxinet III_PC_OpsMan_Front Cover.ai 10/6/05 8:49:54 AM10005095_A_Oxinet III_PC_OpsMan_Front Cover.ai 10/6/05 8:49:54 AM

Nellcor Puritan Bennett Inc. is an affiliate of Tyco Healthcare. Nellcor and Oxinet are

trademarks of Nellcor Puritan Bennett Inc.

To obtain information about a warranty, if any, contact Nellcor’s Technical Services

Department, 1.800.635.5267, or your local Nellcor representative.

Purchase of this instrument confers no express or implied license under any Nellcor Puritan

Bennett patent to use the instrument with any sensor that is not manufactured or licensed

by Nellcor Puritan Bennett.

Covered by one or more of the following U.S. Patents and foreign equivalents: 4,653,498;

4,802,486; 4,869,692; 4,934,372; 5,078,136; 5,351,685; 5,485,847; 5,533,507; 5,577,500;

5,803,910; 5,865,736; 6,463,310; 6,708,049; Re.35, 122; and foreign equivalents.

The information in this manual applies to Oxinet III systems with the Revision E software running on a Dell PC.

C o n t e n t s

List of Figures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iii

List of Tables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .v

Introduction

Warnings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1

Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2

Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3

Manual Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3

System Overview

Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5

Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6

Wireless Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7

Wired Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7

Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8

Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8

Pagers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8

Administration and Monitoring

Administration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9

Touchscreen Technology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9

Screen Components and Navigation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10

Admitting a Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11

Before You Start . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11

Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11

Editing Patient Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18

Transferring a Patient to Another Room . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21

To Transfer a Patient to Another Room (Wireless Configuration) . . . . . . . . . . .21

To Transfer a Patient to Another Room (Wired Configuration) . . . . . . . . . . . . . .23

Assigning Pagers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25

Discharging a Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28

Monitoring Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30

Monitor Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30

Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32

Silence Workstation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32

Suspend Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34

Detail View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36

The Detail View Explained . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37

Running Reports

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39

Snapshots Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40

Oxinet III i

Contents Operator’s Manual

To Run a Snapshots Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40

Flowsheets Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45

Trends Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .50

Log Of Events Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53

Log Of Pager Messages Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .58

Score Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .61

Export Patient Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67

Using the Pager

Getting Started . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73

Icons Explained . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74

Turning the Pager On . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74

Turning the Pager Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75

Reading Stored Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75

Reading a New Message . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .76

Deleting a Message . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .76

Selecting the Alert . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .77

To Set the Type of Alert . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .77

To Set the Type of Tone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .78

Setting the Date and Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .79

Replacing the Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .79

Pager Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81

Message Format . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81

Maintenance

Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .83

Periodic Safety Checks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .83

Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .83

Troubleshooting

Troubleshooting List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .85

Obtaining Technical Assistance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88

Specifications

Physical Design Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .89

Compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .92

IEC 60601-1-1 Compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93

Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95

ii Oxinet III

L i s t o f F i g u r e s

Figure 1: Wireless Configuration — with Optional Pager Transmitter . . . . . . . . . . . . . . . . . .7

Figure 2: Wired Configuration — with Optional Pager Transmitter . . . . . . . . . . . . . . . . . . . . .7

Figure 3: Central Station Keyboard Display and On/Standby Button . . . . . . . . . . . . . . . . . . .9

Figure 4: Monitor Screen Components and Navigation . . . . . . . . . . . . . . . . . . . . . . . . . . . .10

Figure 5: Administration Screen - Select a Device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11

Figure 6: Available Rooms List Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13

Figure 7: Assign Patient Screen — Room Assignment . . . . . . . . . . . . . . . . . . . . . . . . . . . .14

Figure 8: Assign Pagers Screen — Selecting Pagers . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15

Figure 9: Assign Patient Screen — Pagers Assigned . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16

Figure 10: Administration Screen — Patient Admitted . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17

Figure 11: Monitor Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17

Figure 12: Administration Screen — Select a Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18

Figure 13: Assign Patient Screen — Editing Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19

Figure 14: Assign Patient Screen — Data Edited . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19

Figure 15: Monitor Screen — Showing Patient Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20


Figure 17: Assign Patient Screen — Ready to Transfer a Patient . . . . . . . . . . . . . . . . . . . .22

Figure 18: Available Rooms List Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22


Figure 20: Assign Patient Screen — Ready to Transfer a Patient . . . . . . . . . . . . . . . . . . . .24

Figure 21: Available Rooms List Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24

Figure 22: Administration Screen — Patient Transferred . . . . . . . . . . . . . . . . . . . . . . . . . . .25


Figure 24: Assign Patient Screen — Ready to Assign a Pager . . . . . . . . . . . . . . . . . . . . . .26

Figure 25: Assign Pagers Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27


Figure 27: Assign Patient Screen — Ready to Discharge a Patient . . . . . . . . . . . . . . . . . . .29

Figure 28: Confirm Patient Discharge Message . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29

Figure 29: Administration Screen — Patient Discharged . . . . . . . . . . . . . . . . . . . . . . . . . . .30

Figure 30: Monitor Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31

Figure 31: Alarm — Silence Workstation Button . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32

Figure 32: Alarm — Workstation Silenced . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33

Figure 33: Oximeter Alarm Silenced . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33

Figure 34: Suspend Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34

Figure 35: Monitoring Suspended . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35

Figure 36: Detail View Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36

Figure 37: Detail View — Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36

Figure 38: Detail View Explained . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37

Figure 39: Detail View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38

Figure 40: Report List Screen — Snapshots Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40

Figure 41: Patient List Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41

Figure 42: Snapshot Options Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41

Oxinet III iii

List of Figures Operator’s Manual

Figure 43: Time Range Selection Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42

Figure 44: Choose a Snapshot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43

Figure 45: Snapshot Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44

Figure 46: Report List Screen — Flowsheets Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45


Figure 48: Flowsheet Options Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47


Figure 50: Flowsheets Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49

Figure 51: Report List Screen — Trends Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .50



Figure 54: Trends Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .52

Figure 55: Report List Screen — Log Of Events Report . . . . . . . . . . . . . . . . . . . . . . . . . . .53


Figure 57: Log Of Events Options Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55


Figure 59: Log Of Events Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57

Figure 60: Report List Screen — Log Of Pager Messages Report . . . . . . . . . . . . . . . . . . .58


Figure 62: Log of Pager Messages Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60

Figure 63: Report List Screen — Score Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .61


Figure 65: Score Options Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .63


Figure 67: Score Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65

Figure 68: Complete Score Report (Example) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66

Figure 69: Report List Screen — Export Patient Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67



Figure 72: Export Data Options Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .70

Figure 73: Title for Exported Data Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .71

Figure 74: Export Data Message . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .71

Figure 75: Control Buttons on the Commtech Pager . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73

Figure 76: Status Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73

Figure 77: Standby Mode Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74

Figure 78: Time Stamp Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75

Figure 79: Opening the Battery Cover . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80

Figure 80: Replacing the Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80

Figure 81: Replacing the Battery Cover . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80

iv Oxinet III

L i s t o f Ta b l e s

Table 1: Screen Components and Navigation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10

Table 2: Detail View Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38

Table 3: Report List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39

Table 4: Icons Explained . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74

Table 5: Pager Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81

Table 6: Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .85

Table 7: Central Station . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .89

Table 8: Transmitter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .90

Table 9: Access Point . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .90

Table 10: Communication Server . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .90

Table 11: Router/Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91

Table 12: Pager Transmitter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91

Table 13: Pager . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91

Table 14: Compliance Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .92

Oxinet III v

List of Tables Operator’s Manual

vi Oxinet III

I n t r o d u c t i o n

Warnings

Warnings are identified by the WARNING symbol shown above.

Warnings alert the user to potential, serious outcomes (death, injury, or adverse

events) to the patient or user.

WARNING: The Oxinet® III system is not intended to be a substitute for

clinical supervision. Patients on life-support equipment should be

appropriately monitored by competent medical personnel and suitable

monitoring devices

WARNING: The Oxinet® III system is a secondary alarm notification

system. It is intended to supplement and not to replace any part of the

hospital’s device monitoring procedures (including procedures regarding

bedside pulse oximeters and responding to beside oximeter alarms). Do not

rely on the Oxinet III system as the sole source of oximeter alarms.

WARNING: It is essential that the Central Station be visually and/or audibly

monitored at all times to assure prompt response to alarms. Do not rely on

the pagers as the sole source of Oxinet III alarms.

WARNING: Do not ignore medical device audible alarms. Alarms indicate

conditions that require immediate attention.

WARNING: Do not use medical devices, parts, accessories, or options that

are not for use with the Oxinet III software.

WARNING: Users are not notified when the pager is out of range of the

transmitter.

Oxinet III 1

Introduction Operator’s Manual

WARNING: Explosion hazard. Do not use the Oxinet III system in the

presence of flammable anesthetics or gases or oxygen-enriched

environments.

WARNING: The Oxinet III transmitter is not defibrillator-proof. Although it

may remain attached to a monitor that is attached to a patient during

defibrillation or while an electrosurgical unit is in use, its transmission may

be interrupted during defibrillator use.

WARNING: Do not use an Oxinet III transmitter, pager, or Central Station

that appears to be damaged.

WARNING: Do not spray, pour, or spill any liquid on the Oxinet III, its

accessories, connectors, switches, or openings in the chassis since this may

damage the Oxinet III system. (The transmitter, pager, or any other system

component must be removed from service if they ever become submerged in

liquid.) To ensure accurate performance and prevent device failure, do not

subject the Oxinet III to extreme moisture, such as direct exposure to rain.

Such exposure may cause inaccurate performance or device failure.

Cautions

Cautions are identified by the CAUTION symbol shown above.

Cautions alert the user to exercise care necessary for the safe and effective use of

the Oxinet III system.

Caution: Federal law (U.S.A.) restricts this device to sale by or on the order

of a physician.

Caution: The Oxinet III software is intended for use with the following

oximeters: the Nellcor N-395, N-550, N-595, N-560, and N-600.

Caution: The displayed data is limited to that provided by the pulse

oximeter.

2 Oxinet III

Operator’s Manual Introduction

Caution: Refer to the operator’s manuals for the specific pulse oximeter for

oximeter warnings and cautions.

Caution: Oxinet III software is intended to run on computers that meet the

minimum requirements set forth in the Specifications chapter of this manual.

No applications other than those specified should be installed or executed on

the application server.

Notes

Notes are identified by the Note symbol shown above.

Notes contain important information that may otherwise be overlooked or missed.

Manual Overview

This manual contains information for the Oxinet III system. All users should read

this manual completely. More experienced users can use this manual as a

reference.

The latest versions of this operator’s manual and the service manual are available

online, along with other Nellcor oximetry manuals, at:

http://www.mallinckrodt.com/respiratory/resp/Serv_Supp/ProductManuals.html

Oxinet III 3


Introduction Operator’s Manual

4 Oxinet III

S y s t e m O v e r v i e w

Intended Use

The Oxinet III system transmits data from the N-395, N-550, N-595, N-560, or

N-600 pulse oximeter to the Central Station for patient monitoring, via a wired or

wireless configuration. The Central Station displays all monitored rooms, relevant

pulse oximeter data, and alarms.

WARNING: The Oxinet III system is a secondary alarm notification system.

It is intended to supplement and not to replace any part of the hospital’s

device monitoring procedures (including procedures regarding bedside pulse

oximeters and responding to beside oximeter alarms). Do not rely on the

Oxinet III system as the sole source of oximeter alarms.

The intended patient population is comprised of adult, pediatric, and neonatal

patients. The intended environments of use are hospitals and hospital-type

facilities. Hospital use typically covers such areas as general care floors, operating

rooms, special procedure areas, and intensive and critical care areas within the

hospital and hospital-type facilities, such as surgicenters, sub-acute centers,

special nursing facilities, and sleep labs, outside of the hospital. The Oxinet III

system is for use by prescription only.

Oxinet III 5

System Overview Operator’s Manual

Description

The Oxinet III software collects and distributes time-sensitive oximetry data via

wired or local network wireless technology. Making use of the Intranet’s security

and connectivity standards, the Oxinet III software enables the review and

surveillance of medical device settings and real-time patient data remotely, using a

standard HTML compatible web browser.

The components that make up the wireless and wired systems are listed below.

Wireless Configuration:

• Pulse Oximeter (suitable for use within the patient environment)

• Transmitter (suitable for use within the patient environment)

• Access Point

• Router/Switch

• Central Station (application server)

• Oxinet III Operator’s Manual

• Pager Transmitter (optional)

– Pagers, at least two, if pager option installed

Wired Configuration:

• Pulse Oximeter (suitable for use within the patient environment)

• Communication Server

• Router/Switch

• Central Station (application server)

• Oxinet III Operator’s Manual

• Pager Transmitter (optional)

– Pagers, at least two, if pager option installed

Each of these systems is discussed in more detail in the following sections.

6 Oxinet III

Operator’s Manual System Overview

Wireless Configuration

In a wireless configuration (Figure 1), each Pulse Oximeter is connected to a

Transmitter. Each Transmitter communicates wirelessly with an Access Point,

which is connected through a Router/Switch to the Central Station (application

server), where the patient’s data may be monitored. The Central Station can be

connected to an optional Pager Transmitter: if pagers are assigned to a patient,

alarms are transmitted from the oximeter to the Central Station, then through the

Pager Transmitter to the assigned pagers.

Figure 1: Wireless Configuration — with Optional Pager Transmitter

Wired Configuration

In a wired configuration (Figure 2), all pulse oximeters are connected to a

Communication Server (generally, the pulse oximeters are connected to a port in

the wall, which connects to the Communication Server housed in a data

communications closet). The Communications Server is connected to a Router/

Switch, which is connected to the Central Station (application server), where the

patient’s data may be monitored. The Central Station can be connected to an

optional Pager Transmitter: if pagers are assigned to a patient, alarms are

transmitted from the oximeter to the Central Station, then through the Pager

Transmitter to the assigned pagers.

In either configuration, the Central Station (application server) is the computer

running the Oxinet III software. The software displays all monitored rooms,

relevant Pulse Oximeter data, and alarms.

Figure 2: Wired Configuration — with Optional Pager Transmitter

Oxinet III 7

System Overview Operator’s Manual

Alarms

Alarms are indicated both audibly and visually at the Central Station. If the

optional paging system is used, an alarm text message is transmitted to a pager,

displaying the room number, patient name, alarm message, SpO2 value, and pulse

rate at the time of the alarm.

Note: The Oxinet III software performs database maintenance automatically: the

software temporarily closes the program, performs database file maintenance, and

relaunches the program at 10:05 am every day. This maintenance procedure

normally takes less than 45 seconds to run. During the brief period that database

maintenance is in progress, the system does not process any incoming data —

including alarms.

Reports

The Oxinet III software allows up to 72 hours of monitored data to be stored,

trended, and retrieved in a variety of printable reports. Reports can be run at any

time or periodic snapshots of oximetry data can be scheduled at intervals selected

by the clinician.

Pagers

Use of pagers with the Oxinet III system is optional, since patients are being

continuously monitored at the Central Station. If you decide to assign pagers to a

patient, you should assign both a primary and a different secondary pager. The

primary pager receives the alarm page within 10 seconds of the alarm. If no one

responds to the alarm by either silencing the alarm at the oximeter or resolving the

reason for the alarm, the system sends a notification to the secondary pager within

30 to 120 seconds of the primary page, depending on the settings for your

Oxinet III system. The range of operation from pager transmitter to pager is

150 feet with no intervening structures.

WARNING: It is essential that the Central Station be visually and/or audibly


the pagers as the sole source of Oxinet III alarms. The Oxinet III system is a

secondary alarm notification system. It is intended to supplement and not to

replace any part of the hospital's device monitoring procedures (including

procedures regarding bedside pulse oximeters and responding to bedside

oximeter alarms).

8 Oxinet III

A d m i n i s t r a t i o n a n d M o n i t o r i n g

Administration

The Administration process includes:

• Admitting the patient into the Oxinet III system

• Editing patient data when necessary

• Re-assigning a patient to another room (Transfer)

• Discharging the patient from the Oxinet III system

Touchscreen Technology

The Central Station uses touchscreen technology that includes a keyboard display

(Figure 3). To operate the system from the keyboard display, you simply touch the

appropriate button, field, etc. on the screen. Here are some tips for using the

keyboard display:

• Press the SHIFT LOCK button to capitalize a letter; press it again to return to

lower case.

• Press the BACK SPACE button to delete.

• Press the SPACE button to insert a space.

Figure 3: Central Station Keyboard Display and On/Standby Button

Oxinet III 9

Administration and Monitoring Operator’s Manual

Screen Components and Navigation

The Monitor screen indicates patients’condition (Figure 4).

Figure 4: Monitor Screen Components and Navigation

Table 1 describes screen components common to every Oxinet III screen.

Table 1: Screen Components and Navigation

1 Software activity indicator

Colored bars in the upper left corner continuously scroll from yellow to green, indicating the Oxinet III software is active.

2 Title Bar The title bar at the top of the screen indicates the function: Administration, Monitor, or Reports.

3 Navigation buttons The navigation buttons for the major functions, Monitor, Reports, and Administration, are always visible at the bottom of the screen.

4 Alarm indicator When an alarm activates, the Monitor navigation button at the bottom of the screen turns red and the room number is displayed on the button.

10 Oxinet III

Operator’s Manual Administration and Monitoring

Admitting a Patient

The differences between the wireless and wired configurations are:

• the wireless has a two-digit CB number (for example, CB14) and the wired has

a four-digit CB number (CB1401)

• the procedures for transferring and discharging patients from rooms

In this chapter, the wireless configuration screens are used in most cases.

Before You Start

Before admitting the patient into the Oxinet III system, make sure:

• the sensor is attached to the patient and the sensor connector is plugged into

the oximeter.

• the oximeter is turned on and is actively obtaining patient data.

• the oximeter is connected to the transmitter, the power cord for the transmitter

(for wireless system) is connected and plugged into the wall, and the

transmitter’s green RUN light is on. For wired systems, make sure the

oximeter’s serial cable is connected to the port in the wall.

Procedure

1 From any screen, press the Administration navigation button at the bottom of the

screen.

The Administration screen appears (Figure 5).

Figure 5: Administration Screen - Select a Device

Oxinet III 11


Administration Screen Explained:

The Administration screen contains a list of buttons (Figure 5), each representing

a transmitter in the Oxinet III system. The transmitters are identified by the letters

CB followed by a 2-digit number (wireless configuration) or 4-digit number

(wired configuration); for example: CB14 or CB1425.

If no patient is assigned to the transmitter, the color bar at the top of the button

displays the message: Not Admitted. The Room field is blank and the Transmitter

field displays the transmitter number (CBxx).

Once a patient has been admitted into the Oxinet III system, the color bar display

message changes to Admitted and the patient’s name appears in the Patient field

(which replaces the Transmitter field), below the Room number.

The color bar at the top of each button (Figure 5) is color-coded; colors are

defined in the Color Key located in the lower right corner of the screen.

• Active Oximeter / Admitted — a patient has been admitted into the Oxinet III

system (assigned to the indicated transmitter and room) and the system is

receiving oximetry data.

• Active Oximeter / Not Admitted — the pulse oximeter connected to the

transmitter is on, the transmitter is active, and the Oxinet III system is

receiving data, but the patient has not yet been admitted into the system.

• Active Transmitter — the transmitter is active but the oximeter is off.

• Inactive Transmitter — the transmitter is not active (not applicable to the

wired configuration).

2 Press the button identifying the transmitter (for example CB14) that is connected

to the oximeter of the patient you are admitting.

The Available Rooms List screen appears (Figure 6).

12 Oxinet III


Figure 6: Available Rooms List Screen

Note: In the wired configuration, room assignment is not allowed since the

bedside oximeter is connected directly to the Communication Server. The

Available Rooms List screen for the wired configuration is scalable; that is, the

size of the room buttons either decreases to accommodate more buttons or

increases when fewer room buttons exist.

Notice the transmitter number (in this example, CB14) is displayed at the top right

of the Available Rooms List screen (Figure 6).

The buttons on this page represent the available rooms — rooms not listed have

already been assigned to other patients within the Oxinet III system.

3 Press the 5 button (Figure 6) to assign a patient to Room 5.

The Assign Patient screen appears (Figure 7).

Oxinet III 13


Figure 7: Assign Patient Screen — Room Assignment

Notice the transmitter number is indicated at the top right of the screen and the

room assignment appears near the top left of the screen. Also notice the Transfer

and Discharge buttons are dimmed. These buttons become active once the patient

has been admitted into the system.

4 Use the keyboard display to type the patient name in the Patient Name field; for

example, type in Smith, Jay.

You can also type patient ID information in the Patient ID field (although this is

not required) and any comments in the Comment field (Patient ID and Comment

fields data entry examples are provided in the section titled Editing Patient Data

on page 18). Touch the field to place the cursor in that field, then use the keyboard

display to type the patient ID and/or comments.

Note: The information entered into the Patient Name field and the Comment field

will appear on the Monitor screen (Figure 4).

5 Press the Save button.

The Assign Pagers screen appears (Figure 8).

Warning: It is essential that the Central Station be visually and/or audibly



14 Oxinet III


Caution: The following messsage appears on the screen (Figure 8): When

assigning pagers, there must be a Primary and a different Secondary pager

selected.

Note: The Assign Pagers screen (Figure 8) does not exist in Oxinet III systems

that do not have the pager transmitter/pagers option installed.

Figure 8: Assign Pagers Screen — Selecting Pagers

This screen appears as part of the process to admit the patient, but can also be

accessed subsequent to the admitting process.

6 If you do not want to assign pagers for this patient, press the No Pagers

Assigned button and the system returns to the Assign Patient screen.

or

If you do want to assign pagers, read the following paragraph and perform the

remaining steps of the procedure.

On the Assign Pagers screen, there are two columns of buttons labeled Primary

and Secondary. The buttons represent the pagers assigned to the Oxinet III system.

When assigning pagers to a patient, you should assign both a primary and

secondary pager. The primary pager receives the alarm page within 10 seconds of

the alarm. If no one responds to the alarm to either silence the alarm at the

oximeter or resolve the reason for the alarm, the system sends a notification to the

secondary pager within 30 to 120 seconds of the primary page, depending on the

settings for your Oxinet III system. This duration can be adjusted by your system

administrator.

Oxinet III 15


The color key in the lower right indicates the color coding for selected and

unselected pagers. Pressing the pager buttons selects and de-selects the pagers.

7 In the Primary column (Figure 8), press the pager button (that is, 101 or 102) to

select the primary pager to be alerted in the event of an alarm: the same pager is

also automatically selected as a secondary pager, to remind you to select a back-

up pager. In the Secondary column, de-select the primary pager if you don’t want

that pager to also receive the secondary page. Then select a different pager as the

back-up pager(s), to be alerted if no one responds to the initial page.

8 Press the Assign Pagers button.

Your pager assignments are saved and the system returns you to the Assign

Patient screen (Figure 9).

Figure 9: Assign Patient Screen — Pagers Assigned

The pager assignments are listed in the Pagers field. Notice the Transfer and

Discharge buttons are now active. The Save button remains dimmed until a

change is made to the information on this screen.

9 Press the Exit button.

The Adminstration screen appears (Figure 10).

16 Oxinet III


Figure 10: Administration Screen — Patient Admitted

Notice the patient’s name (Jay Smith) has replaced the device designation

(CB number) on the button, and the room and pager assignments are displayed.

10 Now that the patient has been admitted into the Oxinet III system, press the

Monitor navigation button at the bottom of the screen to view current pulse

oximetry data for this patient

The Monitor screen appears (Figure 11).

Figure 11: Monitor Screen

Oxinet III 17


Editing Patient Data

This procedure describes how to edit the patient name, patient ID, or to add

comments.


screen (Figure 12).

Figure 12: Administration Screen — Select a Patient

2 For this example, press the Room 5: Smith, Jay button.


Observe that the Patient ID and Comment fields are blank in Figure 13.

18 Oxinet III


Figure 13: Assign Patient Screen — Editing Data

3 Touch the Patient ID field to place the cursor in that field, then use the keyboard

display to type in xyz890 (Figure 14).

4 Touch the Comment field to place the cursor in that field, then use the keyboard

display to type in pt on PCA (Figure 14).

Figure 14: Assign Patient Screen — Data Edited

Oxinet III 19


5 Press the Save button (the Save button is initially dimmed but becomes active

once a change is made to the information on this screen).

6 Press the Monitor navigation button at the bottom of the screen to continue

monitoring patients.

The Monitor screen should look similar to Figure 15. Observe that the comment

“pt on PCA” displays at the bottom of the Room 5: Smith, Jay cell.

Figure 15: Monitor Screen — Showing Patient Data

20 Oxinet III


Transferring a Patient to Another Room

If you have a wireless system, perform the steps in To Transfer a Patient to

Another Room (Wireless Configuration) on page 21.

If you have a wired system, perform the steps in To Transfer a Patient to

Another Room (Wired Configuration) on page 23.

To Transfer a Patient to Another Room (Wireless Configuration)

If a patient is transferred to another room, you need to update the settings in the

Oxinet III system.

1. From any screen, press the Administration navigation button at the bottom of

the screen (Figure 16).


7 For this example, press the Room: 4 Davis, Robert button.


Oxinet III 21


Figure 17: Assign Patient Screen — Ready to Transfer a Patient

8 Press the Transfer button.



9 Press the button that corresponds to the patient’s new room.

22 Oxinet III


The Assign Patient screen appears, showing the new room assignment in the bar

above the patient’s name.


11 Press the Administration button.

The Administration screen appears, showing that patient has been transferred to

another room, Room 6.

To Transfer a Patient to Another Room (Wired Configuration)

If a patient is transferred to another room, you need to update the settings in the

Oxinet III system.

Note: Be sure to transfer the Transmitter and Pulse Oximeter along with the

patient to the new room.

1. From any screen, press the Administration navigation button at the bottom of

the screen (Figure 16).


12 For this example, press the Room: 4 Davis, Robert button.


Oxinet III 23


Figure 20: Assign Patient Screen — Ready to Transfer a Patient

13 Press the Transfer button.



14 Press the room number 6 button to transfer Robert to Room 6.

24 Oxinet III


The Assign Patient screen appears, but it does not show the new room assignment

in the bar above the patient’s name.


16 Press the Administration button.

The Administration screen appears (Figure 22), showing that Robert Davis has

been transferred to another room, Room 6.

Figure 22: Administration Screen — Patient Transferred

Assigning Pagers

After admitting a patient into the Oxinet III system, you may decide later to assign

pagers to that patient. This procedure describes how to assign pager(s).

Warning: It is essential that the Central Station be visually and/or audibly




screen (Figure 23).

Oxinet III 25



2 Press the button displaying the patient’s name (Figure 23).


Figure 24: Assign Patient Screen — Ready to Assign a Pager

3 Press the Pagers button.

The Assign Pagers screen appears (Figure 25).

26 Oxinet III


Caution: The following messsage appears on the screen (Figure 25): When

assigning pagers, there must be a Primary and a different Secondary pager

selected.

Note: The Assign Pagers screen (Figure 25) does not exist in Oxinet III systems

that do not have the pager transmitter/pagers option installed.

Figure 25: Assign Pagers Screen

On the Assign Pagers screen, there are two columns of buttons labeled Primary

Pagers and Secondary Pagers. The buttons represent the pagers assigned to the

Oxinet III system. When assigning pagers to a patient, you should assign both a

primary and secondary pager. The primary pager receives the alarm page within

10 seconds of the alarm. If no one responds to the alarm to either silence the alarm

at the oximeter or resolve the reason for the alarm, the system sends a notification

to the secondary pager within 30 to 120 seconds of the primary page, depending

on the settings for your Oxinet III system.

The color key in the lower right indicates the color coding for selected and

unselected pagers. Pressing the pager buttons selects and de-selects the pagers.

4 In the Primary column, press the pager button to select the primary pager to be

alerted in the event of an alarm: the same pager is also automatically selected as a

secondary pager, to remind you to select a back-up pager. In the Secondary

column, de-select the primary pager if you don’t want that pager to also receive

the secondary page. Then select a different pager as the back-up pager(s) to be

alerted if no one responds to the initial page.

5 Press the Assign Pagers button.

Your pager assignments are saved and the system returns you to the Assign

Patient screen (Figure 17). The assigned pagers are displayed in the Pagers field.

Oxinet III 27


Discharging a Patient

Note: Because patient data is archived when the patient is discharged, you may

want to print out any reports before discharging the patient from the system.


screen (Figure 26).


2 Press the button displaying the patient’s name.


28 Oxinet III


Figure 27: Assign Patient Screen — Ready to Discharge a Patient

3 Press the Discharge button.

Figure 28: Confirm Patient Discharge Message

The Please confirm the discharge request appears. In addition, the

message reminds you to print out any reports prior to discharging since the patient

data will then be archived.

4 Press the Confirm button to discharge the patient (or press the Cancel button to

cancel this action).

Oxinet III 29


The system returns you to the Administration screen (Figure 29). Notice that the

CB15 button no longer shows the patient’s name or a room number since the

patient is no longer assigned to a room in the system.

In the wired configuration, only the patient’s name is no longer assigned to a room

in the system. The room number remains.

Figure 29: Administration Screen — Patient Discharged

Monitoring Patients

This section discusses the following features that allow you to monitor patients in

the Oxinet III system:

• Monitor Screen

• Alarms

• Silence Workstation

• Suspend Monitoring

• Detail View

Monitor Screen

To monitor patients, press the Monitor navigation button at the bottom of any

Oxinet III screen.

The Monitor screen appears (Figure 30).

30 Oxinet III


Figure 30: Monitor Screen

On this screen you can view the current pulse oximetry data for all patients within

the Oxinet III system. Information for each patient (room number, patient name,

and comments as well as oximetry data) is displayed within an individual cell.

The number of cells depends upon the number of patients admitted into the

system. Cells are arranged on the screen in order of room number.

The Oxinet III software performs database maintenance automatically: the

software temporarily closes the program, performs database file maintenance, and

relaunches the program at 10:05 am every day. This maintenance procedure

normally takes less than 45 seconds to run. During this brief period, the system

does not process any incoming data, including alarms.

Oxinet III 31


Alarms

When an alarm occurs, an audible alarm sounds at the Central Station. The frame

of the cell for that patient turns red, indicating the alarm message. For example, in

Figure 31, the alarm message indicates High Pulse Rate. The Monitor

navigation button at the bottom of the screen also turns red and displays the room

number so that no matter which screen you are viewing, you can see the patient’s

room number when an alarm occurs.

Figure 31: Alarm — Silence Workstation Button

Silence Workstation

In addition to the audible alarm, a button appears within the cell when an alarm

occurs, displaying the Silence Workstation? message. Press the Silence

Workstation button to silence the audible alarm at the Central Station for

120 seconds.

When the Silence Workstation button is pressed, a timer message appears

(Figure 32) and begins to count to 120 seconds. At the end of that time, if no one

responds to the alarm to either silence the alarm at the oximeter or resolve the

reason for the alarm, the audible alarm resumes and the Silence Workstation

button reappears (Figure 31).

32 Oxinet III


Figure 32: Alarm — Workstation Silenced

WARNING: Do not ignore medical device audible alarms. Alarms indicate

conditions that require immediate attention.

Only after you have resolved the reason for an alarm, press the alarm silence

button on the Pulse Oximeter.

The Alarm are Silenced message appears (Figure 33).

.

Figure 33: Oximeter Alarm Silenced

Oxinet III 33


Suspend Monitoring

When the Oxinet III system stops receiving data from an oximeter, an audible

alarm occurs on the Central Station. This alarm may be indicative of a system or

equipment problem, or you may find it necessary to temporarily suspend patient

monitoring (if the patient is off the floor getting x-rays, for example). In either

case, when the alarm occurs, the patient cell frame on the Monitor screen turns

red, and the No Current Pulse Ox Data message appears (Figure 34). In

addition, a red button appears within the cell, displaying the Suspend Pulse

Oximeter Monitoring? message. Also, if the optional paging system is used,

the pager may receive the No Data message (depending on the alarm

configuration for your Oxinet III system).

Figure 34: Suspend Monitoring

To silence the alarm at the Central Station, press the Suspend Pulse Oximeter

Monitoring? button that appears within the cell (Figure 34).

The alarm is silenced, the cell frame turns green and the message within the cell

changes to the Pulse Oximeter Monitoring Suspended message (Figure 35).

34 Oxinet III


Figure 35: Monitoring Suspended

When communication between the oximeter and the Oxinet III system is restored

(that is, the equipment problem is resolved or the sensor is reattached to the

patient with the oximeter on and actively receiving data), monitoring

automatically resumes at the Central Station.

Oxinet III 35


Detail View

Press any cell to display the Detail View screen for that patient. The Detail View

appears below a smaller version of the Monitor screen (Figure 36), keeping the

current data for all patients still visible.

Figure 36: Detail View Screen

Figure 37 shows how the Detail View changes during an alarm.

Figure 37: Detail View — Alarm

36 Oxinet III


The Detail View Explained

Figure 38: Detail View Explained

.

1 The title bar for the Detail View displays the room assignment, patient name, and comments; in an alarm situation, as shown in Figure 38, the title bar turns red.

2 The High Alarm row displays the oximeter’s upper alarm limits for SpO2

and Pulse rate. In the Figure 38 example, reading across from left to right, the SpO2 high alarm limit is 100 and Pulse high alarm limit is 170.

3 The Measures row displays the patient’s actual measurements for SpO2 and Pulse rate.

4 The Low Alarm row displays the oximeter’s lower alarm limits for SpO2 and

Pulse rate. In Figure 38, reading across from left to right, the SpO2 low alarm limit is 85 and the Pulse low alarm limit is 40.

5 The SpO2 % column displays the current SpO2 level. In the Figure 38

example, the SpO2 is 90.

6 The Pulse, bpm column displays the current Pulse rate. In the Figure 38 example, an alarm situation is shown due to the Pulse rate (191) exceeding the upper limit (170). The result is an alarm that displays the upper limit Pulse rate within a red block.

7 Information displayed in this column reflects oximeter settings — refer to the oximeter operator’s manual for more information about these settings.

8 This area of the screen is reserved for information from medical devices other than pulse oximeters, so it is not applicable to this manual.

9 Displays alarm information in red text. In the Figure 38 example, the alarm message High Pulse Rate is shown.

10 The chart displays the SpO2 trend over the last 10 minutes.

Oxinet III 37


Figure 39: Detail View

Table 2 describes the function of the buttons located above the SpO2 chart (Figure 39).

Table 2: Detail View Buttons

1 Close Detail Press this button to return to the full-screen Monitor screen display.

2 Edit Press this button to go to the Assign Patient Administration screen to edit patient information (refer to Editing Patient Data on page 18).

3 Manual Snapshot Press this button to generate a record of current patient information; a message appears: Manual Snapshot for Room [number] taken at [date time]; press the Close button - this snapshot can be incorporated into a Snapshot report, a Flowsheet report, or a Log Of Events report (refer to the Running Reports chapter for more information).

4 Print Press this button to print the Detail View.

5 Zoom Out To zoom in on the SpO2 chart, slide your finger over the portion of the graph that you want to enlarge. Press the Zoom Out button to zoom out.

38 Oxinet III

R u n n i n g R e p o r t s

Overview

Oxinet® III records events for each patient and trends minute-by-minute changes

of selected measured values. The Trends report can retrieve up to 24 hours of data.

Additional reports, other than the Trends report, can retrieve up to 72 hours of

oximetry data.

Table 3 summarizes the six reports that you can run, which are also described on

the following pages.

In addition, the Export Patient Data option allows you to save patient data on a

storage device, such as a 3 ½-inch floppy drive or USB memory device, that is

connected to the Oxinet III Central Station.

Table 3: Report List

Report Description

Snapshots A report showing oximeter settings, patient measurements, and alarms for a particular patient at the time the snapshot was taken

Flowsheets A tabular report of the oximeter measurements, including alarms, for a particular patient, highlighting changes over a specified time range

Trends A report showing SpO2 and Pulse rate charts trended over a specified time range for a particular patient

Log Of Events A list of events, such as alarms, oximeter setting changes, and snapshots for a patient for the selected time range

Log Of Pager Messages

A list of all pager messages for a specified time range for all patients

Score A report showing a variety of patient data including: Data Analysis, Report Statistics, Event Data (a list of events showing time, duration, and event type), Pulse Rate and SpO

2 frequency charts, and Pulse Rate and SpO

2 Trend

charts

Oxinet III 39

Running Reports Operator’s Manual

Snapshots Report

A snapshot is a record of all settings, patient measurements, and alarms that are

present at the time the snapshot is taken.

Snapshots of patient information occur:

• Automatically by the system when any oximeter settings are changed (such as

high or low alarm limits)

• Automatically by the system when an alarm occurs

• Manually, by pressing the Manual Snapshot button on the Detail View screen

(see The Detail View Explained on page 37 in the Administration and

Monitoring chapter)

• On a set schedule at a user-scheduled time

These snapshots of Oxinet III information can be incorporated into any of three

reports: the Snapshot report, the Flowsheet report, and the Log Of Events report.

The Snapshot report enables you to print any snapshot taken during a specified

time range.

To Run a Snapshots Report

1 Press the Reports navigation button at the bottom of any Oxinet III screen.

The Report List screen appears (Figure 40).

Figure 40: Report List Screen — Snapshots Report

2 On the Report List screen, press the Snapshots button.

40 Oxinet III

Operator’s Manual Running Reports

The Patient List screen appears (Figure 41).

Figure 41: Patient List Screen

Note: The Begin and Back buttons are at the top of the screen (Figure 41) —

these buttons appear at the top of every Report screen. Use the Back button to

return to the prior screen. Use the Begin button to return to the Report List

screen.

3 On the Patient List screen (Figure 41), press the button of the patient for whom

you want a Snapshot report.

The Snapshot Options screen appears (Figure 42).

Figure 42: Snapshot Options Screen

Oxinet III 41


The Snapshot Options screen enables you to select the type of snapshot to be

included in the Snapshot report:

• Scheduled — scheduled snapshots that occurred during the specified time

range

• Manual — manual snapshots taken during the specified time range

• Settings Change — snapshots triggered by oximeter setting changes that

occurred during the specified time range

• Alarm — snapshots triggered by alarms that occurred during the specified time

range

4 You can select one or more options. Touch the check box beside each option to

select (a check mark appears in the check box) or de-select that option (the check

mark is removed), then press the Use these Options button.

The Time Range Selection screen appears (Figure 43).

Figure 43: Time Range Selection Screen

The Time Range Selection screen enables you to specify the desired range of

time for your report. This screen is divided into two parts:

• The top section indicates the range of time available for the report.

• The lower section lets you select a specific time period from 10 minutes to

72 hours. Options may be dimmed if the data for that patient is not available

for that particular time period. For example, if a patient was admitted to the

Oxinet III system less than 24 hours ago, the 24- to 72-hour options would not

be available.

5 Select the desired time range by pressing the button that represents the desired

time range.

42 Oxinet III


The Choose a snapshot screen appears (Figure 44).

Figure 44: Choose a Snapshot

Now that you have selected the time range and the type of snapshots, the system

displays the list of snapshots (reflecting your options selections) that were taken

during the specified range of time. For example, if you specified Alarm snapshots

and Settings Change snapshots on the options page, only those snapshots taken

by the system during an alarm or when the patient’s oximeter settings were

changed will be listed on this screen.

If the list of snapshots extends below the bottom of the screen, use the scroll bar

on the right to scroll through the list.

6 Press the button of the desired snapshot.

The Snapshot Report appears (Figure 45).

Oxinet III 43


Figure 45: Snapshot Report

Figure 45 shows a snapshot taken during a High Pulse Rate alarm: the report

shows the high/low alarm limits for the SpO2 and Pulse rate as well as the actual

SpO2 and Pulse rate for the patient at the time of the alarm. The report also shows

the alarm message.

7 Press the Print button at the top of the screen to print the report.

44 Oxinet III


Flowsheets Report

The Flowsheet report is a tabular report of the oximeter measurements, including

alarms, for a particular patient, highlighting changes over a specified time range.

1 Press the Reports navigation button at the bottom of any Oxinet III screen.


Figure 46: Report List Screen — Flowsheets Report

2 On the Report List screen, press the Flowsheets button


Oxinet III 45






screen.

3 On the Patient List screen, press the button of the patient for whom you want a

Flowsheet report.

The Flowsheet Options screen appears (Figure 48).

46 Oxinet III


Figure 48: Flowsheet Options Screen

The Flowsheet Options screen (Figure 48) enables you to select the type of

snapshot to be included in the Flowsheet report. In this report, all of the snapshots

for the specified time range will be listed.

• Scheduled — scheduled snapshots that occurred during the specified time

range

• Manual — manual snapshots taken during the specified time range

• Settings Change — snapshots triggered by settings changes that occurred

during the specified time range

• Alarm — snapshots triggered by alarms that occurred during the specified time

range

4 You can select one or more options. Touch the check box beside each option to


mark is removed), then press the Use these Options button.


Oxinet III 47



The Time Range Selection screen (Figure 49) enables you to specify the desired

range of time for your report. This screen is divided into two parts:



72 hours. Options may be dimmed if the data for that patient is not available



be available.


time range.

The Flowsheet Report appears (Figure 50).

48 Oxinet III


Figure 50: Flowsheets Report

This report shows all of the snapshots that occurred within the specified time

range and met the options selections (Alarm, Settings Change, Manual,

Scheduled). The information provided includes the actual SpO2 and Pulse patient

measurements at the time of the snapshot and the high/low alarm limits. Any

value that differs from the value in the previous column is displayed in bold text;

values that are the same as those in the previous column are grayed out.

If report information is continued on another screen, the Next button is displayed.

Press the Next button to view the next screen of information; press the Prev

button to return to the previous screen of report information.


Oxinet III 49


Trends Report

The Trends report contains two charts showing SpO2 and Pulse rate trended over a

specified time range (up to 24 hours) for a particular patient.

1 Press the Reports navigation button at the bottom of any screen.


Figure 51: Report List Screen — Trends Report

2 On the Report List screen, press the Trends button.


50 Oxinet III






screen.


Trend report.



Oxinet III 51






24 hours. Options may be grayed-out if the data for that patient is not available



be available. Keep in mind that for this report, only 24 hours of data are

available.


time range.

The Trends report appears (Figure 54).

Figure 54: Trends Report

This report uses a graph to show the SpO2 and Pulse rate changes during the

specified range of time. Press the Enlarge button to make that particular graph

larger; the Enlarge button changes to Shrink — press the Shrink button to restore

the graph to the original size. To zoom in, slide your finger over the portion of the

graph that you want to zoom in on. For the best view, enlarge the chart before

attempting to zoom in. Press the Zoom Out button to zoom out.


52 Oxinet III


Log Of Events Report

This report provides a list of events, such as alarms, oximeter setting changes, and

snapshots, for a patient for the selected time range.



Figure 55: Report List Screen — Log Of Events Report

2 On the Report List screen, press the Log Of Events button.


Oxinet III 53






screen.


Log of Events report.

The Log of Events Options screen appears (Figure 57).

54 Oxinet III


Figure 57: Log Of Events Options Screen

The Log of Events Options screen enables you to select the type of events to be

included in the Log of Events report:

• Alarms — select this option to see a list of alarms that occurred during the

specified time range

• Setting Changes — select this option to see a list of oximeter setting

changes that occurred during the specified time range

• Events — select this option to see a list of other events, such as alarms

silenced, during the specified time range

• Snapshots — select this option to see a list of all snapshots (alarms, setting

changes, manual, and scheduled) that occurred during the specified time range

You can select one or more options. Touch the check box beside each option to


mark is removed).

4 In the Select the Order check box, touch the Descending option if you want the

most recent events listed first on the report or Ascending if you want the oldest

events listed first.

5 In the Pagination box, touch the Paginate option to use Next and Prev buttons to

view the various screens of report information or touch the Scrolling option to use

a scrollbar to scroll through the report.

6 Press the Use these Options button.


Oxinet III 55







72 hours. The options appear dimmed when the data for that patient is not

available for that particular time period. For example, if a patient was admitted

to the Oxinet III system less than 24 hours ago, the 24- to 72-hour options

would not be available.


time range.

56 Oxinet III


Figure 59: Log Of Events Report

The Log Of Events report appears (Figure 59). This report displays a list of

events, in ascending or descending order, that occurred within the specified time

range and met the options selections (Alarms, Setting Changes, Events,

Snapshots). Alarm events appear in red. Snapshots appear in blue: alarm

snapshots display the actual patient measurements, along with the high/low alarm

limits at the time of the snapshot; settings change snapshots display the settings

change value as well as the actual patient measurements; manual and scheduled

snapshots display the actual patient measurements. A gray divider bar appears

between events, and its width roughly indicates the quiet time between events.

If report information is continued on another screen and you selected the

Paginate option, the Next button is displayed. Press the Next button to view the

next screen of information; press the Prev button to return to the previous screen

of report information.

If report information is continued on another screen and you selected the

Scrolling option, you can use the scroll bar to scroll up and down through the

report.


Oxinet III 57


Log Of Pager Messages Report

This report provides a list of all pager messages for a selected time period for all

patients.



Figure 60: Report List Screen — Log Of Pager Messages Report

2 On the Report List screen, press the Log Of Pager Messages button.


58 Oxinet III












time range.

Oxinet III 59


Figure 62: Log of Pager Messages Report

The Log of Pager Messages report appears (Figure 62). This report lists all pager

messages for all patients in the Oxinet III system during the specified time range,

listed from most recent to oldest.

You can use the scroll bar to scroll through the report information.


60 Oxinet III


Score Report

The Score report provides a variety of patient data in one report that includes:

• Data Analysis

• Report Statistics

• Event Data (a list of events showing time, duration, and event type)

• Pulse Rate and SpO2 frequency charts

• Pulse Rate and SpO2 Trend charts



Figure 63: Report List Screen — Score Report

2 On the Report List screen, press the Score button.


Oxinet III 61






screen.


Score report.

The Score Options screen appears (Figure 65).

62 Oxinet III


Figure 65: Score Options Screen

The options listed on the Score Options screen affect the information contained in

the Report Statistics and Event Data sections of the Score report. The check boxes

on the left are already selected by the system as the most likely events you may

want to see listed on the report. You can clear one or more of those options and/or

select any of the options on the right. All events for the option(s) selected will be

shown on the report.

4 Touch the box beside each option to select (a check mark appears in the box) or

de-select that option (the check mark is removed), then press the Use these

Options button.


Oxinet III 63












time range.

The Score Report appears (Figure 67).

64 Oxinet III


Figure 67: Score Report

Press the Down button on the right to scroll through the report information. Press

the Up button to scroll back to the top of the report.

Figure 68 on page 66 shows an example of the entire report.


Oxinet III 65


Figure 68: Complete Score Report (Example)

66 Oxinet III


Export Patient Data

This option allows you to save patient data on a storage device, such as a

3½-inch floppy drive or USB memory device (depending on the configuration of

the Central Station you are using), that is connected to the Oxinet III Central

Station.



Figure 69: Report List Screen — Export Patient Data

2 On the Report List screen, press the Export Patient Data button.


Oxinet III 67



The Begin and Back buttons at the top of the screen (Figure 70) — these buttons

appear at the top of every Report screen. Use the Back button to return to the prior

screen. Use the Begin button to return to the Report List screen.


export data.


68 Oxinet III







72 hours. Options may appear dimmed if the data for that patient is not





time range.

The Export Data Options screen appears (Figure 72).

Oxinet III 69


Figure 72: Export Data Options Screen

5 Press the button for the export device you are using: either the USB Memory

Device or the 3 1/2 Inch Floppy Drive.

Note: If the USB memory device is not connected, the USB Memory Device

option will not appear.

The Title for Exported Data screen appears (Figure 73).

70 Oxinet III


Figure 73: Title for Exported Data Screen

6 Use the keyboard display to type the title of the report (the title of the report

becomes the file name — use any valid Windows file name), then press the

Continue button.

When the information has been successfully exported, the Data exported

successfully message appears (Figure 74).

Figure 74: Export Data Message

Oxinet III 71


72 Oxinet III

U s i n g t h e P a g e r

Getting Started

The Oxinet III system consists of at least two pagers: a primary pager and a

secondary pager. The primary pager receives an alarm page within 5 seconds of an

oximeter alarm. If no one responds to the alarm by either silencing the alarm at the

oximeter or resolving the reason for the alarm, the system continues to notify the

primary pager at 15-second intervals. Also, a secondary pager notification will be

sent within 30 to 120 seconds (depending on the settings of your Oxinet III

system) following the initial page. To ensure this back-up alarm capability is used,

assign both primary and secondary pagers to each patient within the Oxinet III

system.

Figure 75 shows the pager control buttons, Figure 76 shows the pager’s Status

screen, and Figure 77 shows the pager’s Standby mode screen (notice only the

power on icon is visible).

Figure 75: Control Buttons on the Commtech Pager

Figure 76: Status Screen

Oxinet III 73

Using the Pager Operator’s Manual

Figure 77: Standby Mode Screen

Icons Explained

In the Pager’s screen, there are icons that give quick indication of the current

status and settings of the Pager. Table 4 lists and describes each of these icons.

Turning the Pager On

1 If the battery is not installed, insert the battery into the pager (see Replacing the

Battery on page 79).

2 Press and hold the Read button for three seconds.

The pager may beep and/or vibrate, depending on the current alert setting in the

pager. The LCD screen activates and the Oxinet III message scrolls onto the

display screen, followed by the Status screen (Figure 76).

This initialization lasts for a few seconds.

3 After a short time, the display screen goes blank, except for a small round icon on

the bottom left corner of the display (Figure 77).

This is the Standby screen. The pager goes into this mode to preserve battery

power.

4 Press any button to return to the Status screen.

Table 4: Icons Explained

Icon Description

Vibrate

Beeping Alert

Duplicate Message

Unread Message

Low Battery

Message continues on next screen

74 Oxinet III

Operating Manual Using the Pager

Turning the Pager Off

Reading Stored Messages

1 Press the Read button.

2 Press the Read button again to read the latest stored messages.

3 Scroll through all the messages with the Right Arrow button and press the

Read button to comfirm selection.

If there are no pages currently stored, NO MESSAGES is displayed and the pager

returns to the Status screen.

4 If a message is longer than the screen width, the icon is displayed on the LCD

to indicate that there is more to read. To view the rest of the message, press Read

button.

The Time Stamp display always appears at the end of each message to show the

time, date and address properties of the message (Figure 78). Each message is

allocated a slot number (that is, 01, 02, 03, and so on). In the example display of Figure 78, the allocated slot number is 10. To view the time stamp, press the

Read button while the message of interest is displayed.

Figure 78: Time Stamp Display

1 Press the Right Arrow button until TURN OFF is displayed.

2 Press the Read button. YES is displayed.

3 Press the Read button again to turn the Pager off.

The pager beeps while turning off.

Oxinet III 75


Reading a New Message

In normal use, the pager will typically be in the Standby mode awaiting a page.

When a page is received, the pager alerts you, depending on the pager’s current

alert settings (vibration, audible tone and vibration, or audible tone).

1 To stop the message alert and display the new message, press any button.

The received page will be shown on the LCD screen.

2 When you have finished reading the message, press the Escape button to return

to the Status screen.

The Unread Message icon appears whenever unread messages exist in the

pager memory.

3 Press the Read button to view any unread messages.

Other information you should know about reading messages:

• If the current message is a repeated message, the Duplicate Message icon

appears.

• If the pager receives a corrupted message, it will attempt to display the

message. The pager will show ER on the Time Stamp screen.

• The pager can store up to 10 messages. If a new message is received while the

pager’s message memory is full, the oldest message is deleted to make room

for the new message.

Deleting a Message

Note: The Escape button can be pressed while in the Delete menu to return

you to the Status screen without deleting any messages.

1 While the message you wish to delete is being displayed, press and hold the Escape button to display the Delete menu.

2 Using the Right Arrow button, toggle to the DEL selection to delete the displayed message only or toggle the D. ALL selection to delete all pager messages.

3 Press the Read button to complete the deletion.

4 Press the Escape button to return to the Status screen.

76 Oxinet III


Selecting the Alert

There are three basic types of alert settings:

• vibration only

• tone and vibration

• tone only

Note: The factory default alert is TONE.

To Set the Type of Alert

The pager demonstrates how each alert type behaves as you scroll through them.

Note: The Escape button can be pressed at any time to return you to the Status

screen without saving any changes.

4 Once you have chosen an alert type, press the Read button to save your

selection.

The pager will automatically return to the Status screen.

1 Using the Right Arrow button, scroll through the various settings until SET ALERT is displayed.

2 Press the Read button. The current alert type is displayed. In this example, VIBRATE is the current alert.

3 Using the Right Arrow button, scroll through the three types of alerts. These alerts are:

• pager vibrates and displays VIBRATE.

• pager plays tone and vibrates and displays TONE & VIB.

• pager plays tone only and displays TONE.

Oxinet III 77


To Set the Type of Tone

.

• MELODY 1 through MELODY 4

• TONE A through TONE D

The pager demonstrates how each of the audibles sound as you scroll through

them.



4 After your selection, press Read button to save the selection.


1 Using the Right Arrow button, scroll through the various settings until SET TONE is displayed.

2 Press the Read button to enter the SET TONE menu. The current audible tone will display. In this example, MELODY 1 is the current audible tone.

3 Using the Right Arrow button, scroll through the menu of four melodies and four tones. The audibles that you can choose from are:

78 Oxinet III


Setting the Date and Time

This menu item is used to set the time and date for the pager. The date and time

are normally displayed on the Status screen and also at the end of each message as

part of the Time Stamp message.

The pager will beep and the information will be automatically saved, and the

pager will return to the Status screen.



5 Once you have made the desired changes to the date and time, press the Read

button to save your selection.


Replacing the Battery

The pager will warn you when the battery is getting low by displaying the Battery

Low icon on the LCD screen. The pager is powered by a single AAA

alkaline battery. Follow the instructions in this section to replace the battery.

WARNING: Before removing the battery, ensure the pager is turned OFF.

Removing the battery while the pager’s power is ON can corrupt or delete

data. If you are not going to use the pager for a long time, write down any

important data stored in the pager, then remove the battery.

1 Turn the pager off (see Turning the Pager Off on page 75 in this chapter).

2 On the back of the pager, move the locking switch up and slide the battery cover

to the right as shown in Figure 79.

1 Using the Right Arrow button, scroll through the various settings until DATE & TIME is displayed.

2 Press the Read button.

3 Use the Right Arrow button to alter fields and the Read button to move along to the next field.

4 Press the Read button until it reaches the end of the line.

Oxinet III 79


Figure 79: Opening the Battery Cover

3 Replace the AAA battery, positioning it as depicted on the back of the pager as

shown in Figure 80.

Note: If you replace the battery quickly, stored messages, settings, and the time/

date will be retained.

Figure 80: Replacing the Battery

4 Replace the battery cover by aligning the two tabs (Figure 81, Item 1) at the

bottom of the cover with two slots in the battery case, position the cover (Figure

81, Item 2), and slide it to the left (Figure 81, Item 3).

Figure 81: Replacing the Battery Cover

5 Move the locking switch down (Figure 81, Item 4).

80 Oxinet III


Pager Messages

Message Format

During normal operation, the transmitter sends messages to the pager in the

following format:

[Room Name] [Patient ID] [message] [date] [time]

Table 5 lists and defines pager messages. Refer to the operator’s manual for the

oximeter to see more complete descriptions of the oximeter alarms. The following

Troubleshooting chapter provides more information on how to respond to the

various error messages.

Table 5: Pager Messages

Message Definition

Device Connected A transmitter within the Oxinet system has come on-line and is communicating.

SPO2High(x) SpO2 measurements are above the oximeter’s SpO

2 alarm limit - value in ( ) is the current

reading.

SPO2Low(x) SpO2 measurements are below the oximeter’s SpO2 alarm limit - value in ( ) is the current reading.

PulseHigh(x) Pulse measurements are above the oximeter’s pulse alarm limit - value in ( ) is the current reading.

PulseLow(x) Pulse measurements are below the oximeter’s pulse alarm limit - value in ( ) is the current reading.

LossOfPulse The oximeter has lost the pulse signal.

SensorOff The sensor is detached from the patient.

SensorDisconnected The sensor has been disconnected from the oximeter.

LowBattery The oximeter has a low battery level and may lose power soon.

Oxinet III 81


82 Oxinet III

Ma i n t e n a n c e

WARNING: Do not remove the transmitter's cover. There are no user-

serviceable parts inside.

Service

If service is needed for any of the Oxinet III system components, contact qualified

service personnel or your local Nellcor representative.

The Oxinet III system requires minimal service. The only routine maintenance

required, other than cleaning, is changing the Pager batteries.

Periodic Safety Checks

It is recommended that the following checks be performed on the transmitter

every 24 months:

• Inspect the transmitter for mechanical and functional damage

• Inspect the relevant safety labels for legibility

Cleaning

Caution: Do not spray, pour, or spill any liquid on any of the Oxinet III

components, its accessories, connectors, switches, or openings in the chassis,

since this may damage the Oxinet III system.

To clean the pager or Central Station screens, use a clean cloth designed for use on

lenses or touch-sensitive screens. To clean the pager or Central Station casings,

wash with a clean damp cloth and wipe dry. For surface-cleaning and disinfecting

the transmitter, follow your institution’s procedures or the following instructions:

• Surface-clean using a soft cloth dampened with either a commercial,

nonabrasive cleaner or a solution of 70% alcohol in water, and lightly wipe the

surfaces of the transmitter.

• Disinfect using a soft cloth saturated with Glutaraldehyde (CIDEXTM or

equivalent) or a solution of 10% chlorine bleach in tap water and lightly wipe

the surfaces of the transmitter.

Oxinet III 83

Maintenance Operator’s Manual

84 Oxinet III

Tr o u b l e s h o o t i n g

Troubleshooting List

Table 6 lists troubleshooting tips for some of the problems that might occur while

operating the Oxinet III system.

Some problems might indicate equipment malfunction. Your Oxinet III system

administrator should be contacted to resolve these types of problems. You can also

contact Nellcor’s Technical Services Department at 1.800.635.5267.

Table 6: Troubleshooting

Symptom Cause Corrective Action

Message appears: Please wait..Maintenance is running. This should take few minutes to complete.

The Oxinet III software performs database maintenance automatically: the software temporarily closes the program, performs database file maintenance, and relaunches the program at 10:05 am every day. This maintenance procedure normally takes less than 45 seconds to run. During this brief period, the system does not process any incoming data, including alarms.

No intervention is needed.

Poor cursor control on the Central Station

Cursor out of alignment. • Connect a keyboard to the Central Station and restart it.

• Press F7 key on the keyboard, then type the Administrative function pass-word.

• When the Elo Touchscreen Properties dialog box opens, press the Align but-ton. The system will guide you through the alignment process.

• When complete, press the OK button on the Elo Touchscreen Properties dialog box to close this function.

Software Activity Indicator (colored bars in upper left corner of screen) stop scrolling

Software activity has stopped.

• Restart the Central Station.

If the problem still exists, contact Nellcor’s Technical Services Department at 1.800.635.5267.

Oxinet III 85

Troubleshooting Operator’s Manual

No display on the Central Station Central Station loss of power.

• Ensure that the AC power cord is con-nected to the power input jack on the back of the base of the Central Station and the other end is plugged into one of the battery backed-up AC outlets or the UPS.

Monitor not connected. • Ensure all monitor cables are con-nected.

The UPS has drained its battery.

• Recharge the battery on the UPS.

• Replace the battery, if necessary.

The UPS is not operating properly.

• Replace the UPS.

No current data is being displayed for an active oximeter or several oximeters

Data from an active oximeter is not reaching the Central Station.

• Make sure the cable is securely con-nected to the oximeter’s data port.

• Check that router/switch has power

Wired configuration:

• Check the connection between the oximeter and communication server

• Check that the communication server has power.

• Check the connection between the communication server and the router/switch.

Wireless configuration:

• Check that the transmitter has power.

• Check the connection between the oximeter and transmitter.

• Check that the access point has power.

No current data is being displayed for any oximeters in the Oxinet III system.

Data from all active oximeters is not reaching the Central Station.

• Check that the Cat5 cable connecting the router/switch to the Central Station is securely connected to any of the router/switch’s numbered ports.

• Check that the other end of the Cat5 cable is securely connected to the net-work port connection on the back of the Central Station.

• Check that the router/switch has power.

Wired configuration:

• Check that the communication server has power.

• Check the connection between the communication server and the router/switch.

Wireless configuration:

• Check that the access point has power.

• Check the connection between the access point and the router/switch.

Table 6: Troubleshooting (Continued)


86 Oxinet III

Operator’s Manual Troubleshooting

A pager does not receive an alarm page

The pager may not be assigned to that patient or the pager may have been out of range.

• Check the Pager Assignments on the Central Station to confirm that the pager is assigned to the room/patient where the alarm occurred.

• The pager transmitter may have lost power or the cord connecting the pager transmitter with the Central Station may be loose or disconnected. Confirm that the cord is still securely attached.

• Confirm the red power light for the pager transmitter is on; make sure the power supply is still connected to the back of the pager transmitter.

• If needed, contact Nellcor’s Technical Services Department at 1.800.635.5267.

Multiple pagers do not receive an alarm

The pager transmitter may have lost power or the cord connecting the pager transmitter with the Central Station may be loose or disconnected.

• Confirm the red power light for the pager transmitter is on.

• Confirm the power supply is still con-nected to the pager transmitter.

• Check the cord connecting the Central Station to the pager transmitter to ensure it is securely connected to the serial port of the pager transmitter and the COM1 port of the Central Station.

The Central Station is frozen Program error • Restart the Central Station.


Central Station computer error

• Restart the Central Station.


Alarms not audible Alarm is not configured as an audible alert.

• Press the F10 key on the keyboard: 1. When the uShield dialog box appears, type 1234 for the password and press the Ok button. 2. In the Oxinet Control Panel, set the type of audible alarm desired.

See Oxinet Control Panel (F10) on page 30 for details.

Volume is turned off/down for speakers.

• Press the F8 key on the keyoard: 1. When the uShield dialog box appears, type 1234 for the password and press the Ok button. 2. In the Volume Control dialog box, raise the volume by clicking and dragging the Volume slider up.

See Adjusting Volume (F8) on page 21 for details.

• Check Audio cable connection.

Table 6: Troubleshooting (Continued)


Oxinet III 87

Troubleshooting Operator’s Manual

Obtaining Technical Assistance

For technical information and assistance, or to order parts or a service manual,

contact Nellcor’s Technical Services Department at 1.800.635.5267 or your local

Nellcor representative.

The latest versions of this operator’s manual and the service manual are available

online, along with other Nellcor oximetry manuals, at:


88 Oxinet III


Sp e c i f i c a t i o n s

Physical Design Requirements

Table 7: Central Station

CPU Minimum 500 MHz processor

Memory Minimum 256 MB SDRAM

Floppy Disk 1.44 MB 3.5-inch Floppy Drive

CD-ROM Read Only

I/O 1 RS-232 port

1 Parallel port

8 USB ports

1 Network Ethernet 10/100 port

Physical Dimensions:

Computer 13” W x 4” H x 15” D

(330 mm W x 102 mm H x 381 mm D)

Display 17-inch LCD Touchscreen

19” W x 19” H x 16” D

(483 mm W x 483 mm H x 406 mm D)

Weight:

Computer 16. 8 lbs

Display 22.9 lbs

Storage Temperature − 20 to 60 °C (− 4 to 140 °F)

Operating Temperature 0 to 45 °C (32 to 113 °F)

Altitude 0 to 3048 meters (0 to 10,000 feet)

Relative Humidity 10% to 95% non-condensing

Oxinet III 89

Specifications Operator’s Manual

Table 8: Transmitter

Physical Dimensions 6.93” W x 1.9” H x 4.26” D

(176 mm W x 48.3 mm H x 108.2 mm D)

Connections Power Port

RS-232 Port

Visual Indicators Power and Communication Indicators

Power Power use approx. 100 mW

Operating range: 90-264 VAC and 47-63 Hz

Malfunction Indicator Transmitter has an audible or visual indicator of a pulse oximeter failure to communicate



Altitude 0 to 3048 meters (0 to 10,000 feet)


Table 9: Access Point


(196.9 mm W x 31.7 mm H x 139.7 mm D)

Frequency Range 2.4 to 2.5 GHz

Data Rate 2 Mbps

Output Power 500 mW

Power Management Receive: 500 mW = 375 mA @ 5V

Transmit: 500 mW = 500-675 mA @ 5V


Storage Temperature − 21 to 60°C (− 5 to 140°F)

Table 10: Communication Server

Physical Dimensions 16.93" W x 1.77" H x 9.01" D

(430 mm W x 45 mm H x 229.9 mm D)

Connections RS-232 Ports; RJ-45 Network Connections

Visual Indicators Power and Communication Indicators

Power Autoranging 110 V – 240 V


90 Oxinet III

Operator’s Manual Specifications



Table 11: Router/Switch

Ports 10/100 RJ-45 Switched Ports

Indicators Power, Ethernet, Internet

Network Protocol TCP/IP


(185.9 mm W x 48 mm H x 153.9 mm D)

Weight 12.28 oz

Power Input External 9 VAC, 100 mA



Operating Humidity 10% to 85% non-condensing

Storage Humidity 5% to 90% non-condensing

Table 12: Pager Transmitter

Physical Characteristics 8.5” W x 8.5” H x 2” D wall mountable

Weight: 1.5 lb (0.68 oz)

Power Supply 12 VDC 2 A AC/DC Adapter

RF Power Out 5 watts nominal, configurable to 2 watts

Frequency VHF: 148 – 174 MHz, UHF1: 400 – 430 MHz, UHF2: 440 – 470 MHz


Table 13: Pager

Physical Characteristics 2.76” W x 1.89” H x 0.79” D

(70.1 mm W x 48 mm H x 20 mm D)

Weight: 1.76 oz (weight includes battery)

Minimum: 60-message storage memory, up to 500 characters per message

Power and battery life Standard AAA alkaline batteries

Battery life: at least 700 hours under typical use (has a low-battery indicator)

Table 10: Communication Server (Continued)

Oxinet III 91


Compliance

This device has been tested and found to comply with FCC Part 15 “Class B”

regulations for digital devices. Operation is subject to the following two

conditions:

• This device may not cause harmful interference and

• This device must accept any interference that may cause undesired operation

These FCC limits are designed to provide reasonable protection against harmful

interference when the equipment is operated in a residential or commercial

environment. This equipment generates, uses, and can radiate radio frequency

energy, and, if not installed and used in accordance with this operator’s manual

and the service manual, may cause harmful interference to radio communications.

Display 2-Line Alphanumeric display, 36-character

Display Lighting Button activation


Operating Temperature − 10 to 50 °C (14 to 122 °F)

Relative Humidity Up to 95% 50 °C (non-condensing)

Table 13: Pager (Continued)

Table 14: Compliance Information

Item Compliant with

Equipment classification Safety Standards: IEC 60950-1

IEC 60601-1-1 Compliant

UL 60950

EN60950

Marking and Instructions IEC 60950-1, Sub-clause 1.7

Protection from hazards IEC 60950-1, Sub-clause 2

Wiring connections and supply IEC 60950-1, Sub-clause 3

Comply with IEC 60950 or relevant component standard

IEC 60950

Protection against ingress of water

IEC 60950-1, Sub-clause T

IPX1

Electromagnetic emissions FCC Part 15:2002 CLASS B

Power interface IEC 60950-1, Sub-clause 1.6

Thermal requirements IEC 60950-1, Sub-clause 4.5

Resistance to fire IEC 60950-1, Sub-clause 4.7

92 Oxinet III

Operator’s Manual Specifications

IEC 60601-1-1 Compliance

The following information provides instructions and guidance regarding the use

of the Nellcor N-395, N-550, N-595, N-560, and N-600 pulse oximeters. These

oximeters have been found to be compliant with IEC 60601-1-1, when used in a

system level configuration with the AC Y-Cord and the Oxinet III transmitters.

Note that the AC Y-Cord is designed with one AC plug connection to AC mains

power and with two (IEC-320 style) connectors for powering an oximeter and a

transmitter.

The requirements listed below must be followed:

1. This system is authorized for use in the USA only.

2. The AC mains voltages must be in the range of 100 to 132 VAC.

3. The combinations of equipment listed below are authorized to be in the

patient environment.

• N-395 with Oxinet III transmitter, both AC powered by AC Y-Cord





Note: When using Oxinet III, use only the “Lead Year, Model ADP-0502-5V

AC/DC Adapter”. The adapter is connected to mains power via the AC Y-Cord.

WARNING: No other devices are intended for use with the AC Y-Cord. The

use of equipment not specified in this document may subject the patient to

excessive leakage current. The Oxinet III has a DB-9 connector with a metal

shell. Do not touch the metal shell and the patient simultaneously. High

leakage current is possible in case of ground failure of the PSU. During

cleaning, sterilization, disinfection or adjustment of any kind, the

instructions contained in this manual must be followed.

Please contact the Nellcor’s Technical Service Department at 1.800.635.5267 if

you have any questions regarding the proper use of the system.

Oxinet III 93


94 Oxinet III

I n d e x

A

Access Point specifications, 90

Administration screen, explained, 12

Administration, Color Key, 12

Admitting the patient, 11

Alarms, 32

alert, default setting, 77

Apollo Pager, 73

Assigning Pagers, 25

B

Battery, pager

alkaline, AAA, 79

cover, 79

indicator, 79

life, 91

replace, 79

replacing cover, 80

C

Cautions, 2

Central Station

keyboard display, 9

Central Station specifications, 89

cleaning, 83

Close Detail button, 38

color bar, 12

Color Key, 12

Communication Server specifications, 90

Compliance Information, 92

D

data

export patient, 67

data, oximetry, 39

Database Maintenance, 31

default alert setting, 77

Description of Oxinet III system, 6

description of system, 6

Detail View

alarm, 36

screen, 36

Detail View - Alarm, 36

Detail View buttons, 38

Detail View, explained, 37

drive, 3.5 in floppy, 70

E

Edit button, 38

Editing Patient Data, 18

Error Messages, troubleshooting, 85

export patient data, 67

F

floppy drive

3.5 inch, 70

Flowsheets, 39

Flowsheets Report, 45

I

icons, explained, 74

L

List, report, 39

Log Of Events, 39

Log Of Events Report, 53

Log of Events Report, 55

Log Of Pager Messages, 39

Log Of Pager Messages Report, 58

M

maintenance

system, 83

Manual Snapshot button, 38

memory device, USB, 70

message

error, 76

Messages

ER, 76

messages list, pager, 81

Monitor, 30

Monitor View, 30

Monitoring the Patients, 30

Oxinet III 95

Index Operator’s Manual

N

Navigation, 10

Navigation buttons, 10

Notes, 3

O

Obtaining Technical Assistance, 88

oximetry data, 39

P

Pager

control buttons, 73

deleting a message, 76

icons, explained, 74

message format, 81

messages, list, 81

no messages indicator, 75

primary, 73

reading a message, 76

reading messages, 75, 76

secondary, 73

selecting the alert, 77

set the tone, 78

setting date and time, 79

standby mode screen, 73, 74

status screen, 73

time stamp display, 75

time stamp message, 79

turning off, 75

turning on, 74

types of alert settings, 77

use, how to, 73

Pager specifications, 91

Pager Transmitter specifications, 91

Pager, buttons, 73

Pagers, assigning, 25

Pagers, overview, 8

primary pager, explained, 73

Print button, 38

R

range of operation, transmitter to pager, 8

records events, 39

report, trends, 39

Reports

data analysis, score, 61

events, 55

flowsheets, 45

list, 39

list screen, 40, 45, 50, 53, 58, 61

log of events, 53

log of pager messages, 58

messages, 58

navigation buttons, 41, 46, 51, 54, 62, 68

printable, 40

score, 61

snapshots, 40

trends, 50

trends, sample, 52

Reports events, 53

reports, running, 39

Router/Switch specifications, 91

S

safety checks, periodic, 83

Score, 39

Score Report, 61

score report

data analysis, 61

event data, 61

pulse rate and SpO2 frequency charts,

score, 61

pulse rate and SpO2 trend charts, score, 61

report statistics, 61

Screen Components, 10

secondary pager, explained, 73

service, 83

periodic safety checks, 83

Silence Workstation, 32

Snapshots, 39

Snapshots Report, 40

specifications

access point, 90

central station, 89

communication server, 90

pager, 91

pager transmitter, 91

router/switch, 91

system, 89

transmitter, 90

standby screen, 73

status screen, pager, 73

Suspend Monitoring, 34

system

components, 6

description, 6

maintenance, 83

96 Oxinet III


overview, 6

service, 83

T

Technical Services, phone number, 88

Telephone number, Technical Services, 88

Touchscreen, tips, 9

Transmitter specifications, 90

transmitter to pager, range of operation, 8

Trends, 39

Trends Report, 50, 52

trends report, 39

troubleshooting tips, 85

U

USB Memory Device, 70

W

Warnings, 1

Website address, Nellcor manuals, 3, 88

Z

Zoom Out button, 38

97 Oxinet III


98 Oxinett III

© 2005 Nellcor Puritan Bennett Inc.All rights reserved. 10005095A-1205

Tyco Healthcare Group LPNellcor Puritan Bennett Division4280 Hacienda DrivePleasanton, CA 94588 U.S.A.

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