Nonin CO-Pilot H500 User Guide

: June 6, 2024
: NONiN

Table of Contents

System Components
Display Icons & Indicators
Initial System Setup
Taking a Measurement with CO-Pilot
Placing Disposable rSO2 Sensor
Placing Finger Clip Sensor
Determining Pulse Signal Quality
Checking Signal Processor Battery Status
Charging the System
Long Term Storage Mode
Basic Troubleshooting
COHb Quick Reference
COHB Exposure Treatment Decision Process
References
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Nonin CO-Pilot H500 User Guide

Refer to the CO-Pilot Wireless Handheld Multi-Parameter System (H500) Operator’s Manual for complete instructions for use to fully understand the device, its operation, and the potential risks to user and patient.

System Components

Display Icons & Indicators

Multi-Sensing Display Screen

rSO2 Display Screen

Signal Processor (SP-BLE)

Initial System Setup

Charge display and signal processor per instructions in Section 9
Press and hold On/Off button on signal processor until green LEDs blink on and blue Bluetooth LED begins to blink
Press and hold On/Off, Sleep button on display until screen turns on.
Connect sensor to signal processor and engage sensor lock (Figure 1)
System is now ready to take a measurement or to be put into Sleep Mode for future use

Taking a Measurement with CO-Pilot

Activate the display from sleep mode by briefly pressing the On/Off, Sleep button on the right side of the device (Figure 2)
When the display is activated, it will automatically be connected to the signal processor and the sensor will turn on
If the signal processor is not automatically activated, press and hold down the On/Off button on the signal processor
Place the sensor on the patient according to sensor instruction
When operation is complete, briefly press the On/Off, Sleep button on the display to end the session and put device into Sleep Mode; signal processor will enter Sleep Mode automatically.

Placing Disposable rSO2 Sensor

Connect INT-100 to signal processor as shown in Figure 1
Connect 8204CA sensor to INT-100 and engage lock per Figure 3
Remove the protective backing from the sensor pad and gently, but firmly place the sensor above the eyebrow per Figure 4
Ensure sensor surface adheres to the skin to prevent light from traveling between emitting or receiving elements or ambient light from entering

NOTE: An improperly placed sensor may result in inaccurate readings. If sensor does not adhere fully, sensor may result in inaccurate reading
Sensor

Placing Finger Clip Sensor

Connect sensor to signal processor as shown in Figure 1
Select proper sensor size and use a clean, dry finger. Heavy lotions, sunscreen, dirt, oils and nail polish may alter accuracy
Gently squeeze open the sensor and insert the finger all the way into the sensor

Determining Pulse Signal Quality

Pulse signal quality can be determined by the color of the pulse waveform as shown.

**Green = Good

**

**Yellow = Marginal

**

**Red = Insufficient

**

Checking Signal Processor Battery Status

To check the signal processor battery status, quickly press the On/Off button on the signal processor. Green battery indicator lights will light indicating current battery status. Signal processor battery status can also be found on the display screen as shown in Section 02.

Signal Processor Battery Status Matrix

Battery Indicator	Battery Level
Three green lights lit	High (60-100%)
Two green lights lit	Medium (20-59%)
One green light lit	Low (5-19%), charge SP-BLE
One green light blinking	Critical (0-4%), charge SP-BLE
No Lights	Depleted or off

Charging the System

Charge the display and signal processor (SPBLE) using the provided Nonin chargers ONLY
Insert charger into respective ports shown below to charge.

Do not use system while charging

Long Term Storage Mode

To place the display into long term storage mode, press and hold the On/Off, Sleep button on the display (Figure 2) until screen prompt appears
Choose “Power Off” on display screen. Screen will go black, display is now in long term storage mode
To place the signal processor into long term storage mode, press and hold the on/off button on the signal processor until all lights flash simultaneously. Signal processor is now in long term storage mode.

Basic Troubleshooting

Sensor Not Connected to Signal Processor
Check that sensor is plugged into signal processor and sensor lock is engaged
Sensor Fault
Sensor may be inoperable, try another sensor
Inadequate Signal
Ensure sensor is properly applied to patient
Cannot Connect to Signal Processor
Check that signal processor is on, battery is charged, and in range of display
Error Code
Refer to Operator’s Manual

COHb Quick Reference

Carbon monoxide (CO) is an odorless, colorless gas that can remain undetectable until exposure results in injury or death. CO poisoning can lead to a variety of clinical effects that resemble many neurological and cardiovascular conditions, leading to potential misdiagnosis.

Common Symptoms of CO Poisoning

Headache
Dizziness
Fatigue and Weakness
Loss of Consciousness
Nausea

Important Symptom Considerations

A patient exposed to high concentrations for a short time may be less symptomatic than a patient who reaches the same COHb level after a prolonged exposure.
Chronic poisoning is generally associated with the less severe symptoms.
Some patients presenting with a carboxyhemoglobin level of 20% may be remarkably symptomatic, while others experiencing the same level of COHb% may exhibit only mild, equivocal symptoms.
Low-level exposure can exacerbate angina and chronic obsutrctive pulmonary disease.
Coronary artery disease patients are at risk for ischemia and MI even at low levels of CO.
Severity of clinical condition is related to CO conentration, the duration of exposure, and the prevailing clinical disposition of the patient.
Smokers present with higher levels of COHb than do non-smokers. The COHb level in non-smokers is approximately 1-2%. In smokers, a COHb of 3-8% would be considered normal, depending on severity of smoking.

Treatment