CapnoTrue User Manual Ver 3.4

CapnoTrue®AMP/ASP User Manual – V3.4 EN

CapnoTrue® User Manual Version: EN 3.4 Released: 02/2013 The information in this document is subject to change without notice.

Copyright © 2013 bluepoint MEDICAL GmbH & Co. KG. All Rights Reserved. This document contains proprietary information that is protected by copyright. All rights are reserved. No part of this document may be photocopied, reproduced or translated to another language without prior written consent of bluepoint MEDICAL GmbH & Co. KG.

Contact information bluepoint MEDICAL GmbH & Co. KG An der Trave 15 23923 Selmsdorf Germany Phone: +49 (38823) 548 8000 Fax: +49 (38823) 548 8029 E-mail: [email protected] www.bluepoint-medical.com Bluepoint MEDICAL GmbH&Co.KG 2013

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Declaration of Conformity

0482

This product meets the requirements of the 93/42/EEC guidelines for medical products.

Liability bluepoint MEDICAL GmbH & Co. KG shall in no event be liable for any direct, indirect, special or consequential damages including without limitation damages for loss of business profits, loss of income, business interruption, loss of business information, loss of use or other related exposures, however caused, arising from the faulty or incorrect use of the product. Bluepoint MEDICAL GmbH & Co. KG guarantees that the product delivered has been thoroughly tested to ensure that it meets its published specifications.

Warranty bluepoint MEDICAL GmbH & Co. KG warrants the products manufactured or distributed by them to be free from faulty materials and workmanship for a period of 24 months from date of original shipment to first end user except for disposable products or products which have a stated guarantee longer or shorter than 24 months. bluepoint MEDICAL GmbH & Co. KG will perform warranty service at its factory. The obligations for bluepoint MEDICAL GmbH & Co. KG under this guarantee shall be limited to repair, or at bluepoint MEDICAL GmbH & Co. KG 's discretion, replacement of necessary parts or assemblies and shall not include shipping costs or other incidental damages. Claims for damages during shipment must be filed promptly with the transportation company. All correspondence concerning the products must specify both the name of the product and its serial number as written on the label on the product. Use of the equipment for other than its intended use, or if it has been repaired by anyone except bluepoint MEDICAL GmbH & Co. KG or a bluepoint MEDICAL GmbH & Co. KG authorized service centre, or altered or modified or used without following the instructions in the user manual, will void this guarantee.

Patents PHASEIN AB holds the following patents regarding products described in this manual: SE519766; SE519779; SE523461; SE524086. Other patents pending

Trademarks bluepoint MEDICAL GmbH & Co. KG owns the following registered trademarks: CapnoTrue®, SoftFlap®, SoftCap® and SoftWrap®. PHASEIN IRMA™, PHASEIN XTP™, ISA™ and LEGI™ are trademarks of PHASEIN AB.

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Table of Contents 1

Introduction ... 7 1.1 1.2 1.3 1.4 1.5 1.6 1.7

2

Theory of operation ... 18 2.1 2.2

3

Intended Use ... 7 Contraindications/ Hazards... 7 Warnings ... 7 Cautions ... 12 Symbol Description ... 15 Terms and Definitions ... 16 User Requirements ... 17 CO2 measurement ... 18 SpO2 measurement ... 19

Product overview ... 20 3.1 Available models ... 20 3.2 Mainstream Capnography Accessories ... 21 3.2.1 IRMA CO2 analyzer ... 21 3.2.2 IRMA airway adapter ... 22 3.3 Sidestream Capnography Accessories ... 22 3.3.1 Nomo Adapter ... 23 3.3.2 Sidestream sampling line, airway adapter and other patient interfaces ... 24 3.4 SpO2 Sensors ... 24

4

Exterior View, Controls and Connectors ... 25 4.1 4.2

5

Mainstream Capnograph/Pulse Oximeter - CapnoTrue®AMP ... 25 Sidestream Capnograph/Pulse Oximeter - CapnoTrue®ASP ... 26

Preparation for Use ... 27 5.1 Selecting Power Supply ... 27 5.1.1 Power Supply ... 27 5.1.2 Li-Poly Battery or AA Alkaline Batteries ... 28 5.2 Connecting Sensors / Sampling Line Configurations to the CapnoTrue® ... 29 5.2.1 IRMA CO2 Analyzer (mainstream)... 29 5.2.2 Nomo technology sampling line configuration (sidestream) ... 30 5.2.3 SpO2 Sensor... 31 5.3 Visual Check... 31 5.4 Switching on the Device ... 31 5.5 Connecting Sensors / Sampling Line Configurations to the Patient ... 31 5.5.1 IRMA CO2 Analyzer (mainstream)... 31 5.5.2 Nomo Technology sampling line configuration (sidestream) ... 33 5.5.3 SpO2 Sensor... 34 5.6 Commencing Monitoring ... 35 5.7 Switching off the Device ... 35

6

Display Modes and Displayed Data ... 36 6.1 6.2 6.3

Toggling Between Display Modes ... 36 Symbols and Indicators ... 37 Pulse Tone ... 38

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7

Alarms ... 39 7.1 Alarm Priority and Appearance ... 39 7.2 Audible Alarm Volume ... 39 7.3 Default Alarm Limits... 39 7.4 Limit Alarms... 40 7.5 Alarm Messages ... 40 7.6 Resetting of Alarm Signals ... 41 7.7 Alarm Mode ... 42 7.7.1 Standard mode ... 42 7.7.2 7.7.3

8

Neonatal mode ( ) ... 42 Home care mode ( ) ... 42

Menu Structure ... 42 8.1 Main Menu ... 42 8.1.1 Submenu: Alarm Settings... 43 8.1.2 Submenu: Data Management ... 44 8.1.2.1 Recording Data ... 44 8.1.2.2 Data Management ... 45 8.1.3 Submenu: Setup... 46 8.1.3.1 General Information ... 46 8.1.3.2 Parameters ... 47 8.1.4 Submenu: Patient ID ... 51 8.1.5 Start Up Settings... 51 8.2 Other ... 52 8.2.1 Volume Control Shortcut ... 52 8.2.2 Brightness Control Shortcut ... 52 8.2.3 Power-Save Mode ... 52

9

Adverse effects on performance ... 53 9.1 CO2 measurements ... 53 9.1.1 Humidity or Condensation ... 53 9.1.2 Interfering gases or vapours ... 53 9.2 SpO2 Measurement ... 54

10

Troubleshooting guide ... 55 10.1 10.2 10.3 10.4

11

Error Message – Cause - Corrective Action ... 55 Failure – Cause - Corrective Action ... 56 IRMA LED Status and LEGI Status ... 57 Problems with EMI (Electromagnetic Interference) ... 58

Maintenance ... 59 11.1 Maintenance ... 59 11.2 Cleaning ... 59 11.3 Testing... 60 11.4 Zeroing the Capnograph ... 60 11.4.1 Mainstream CapnoTrue®AMP ... 60 11.4.2 Sidestream CapnoTrue®ASP ... 61

12

CapnoTrue® PC-Software ... 61

13

Technical Specifications ... 62

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Component Lists and Ordering ... 66 14.1 14.2 14.3 14.4

Packing List ... 66 Order Number ... 67 Accessories ... 67 Replacement Parts ... 69

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1

Introduction

1.1 Intended Use The CapnoTrue® CO2 / SpO2 Monitor is intended to provide continuous monitoring of endtidal CO2 concentration (EtCO2), inspired CO2 concentration (FiCO2), functional arterial oxygen saturation (SpO2), respiration rate (RR) and pulse rate (PR) of adult, paediatric, infant and neonatal patients. The CO2 measurement can be performed either with the mainstream method using the CapnoTrue®AMP or with the sidestream method using the CapnoTrue®ASP. It may be used in hospital, hospital type facilities, operating suites, intensive care units, emergency medicine/emergency transport as well as in the home care environment. The CapnoTrue® CO2 / SpO2 Monitor is not intended to be used as the only means of monitoring a patient. It shall always be used in combination with other vital sign monitoring devices and/or professional human judgments of a patient’s condition. The CapnoTrue® is intended to be used by trained and authorized health care professionals only. 1.2 Contraindications/ Hazards There are no known contraindications for patient monitoring with the CapnoTrue, provided that the data obtained is evaluated with consideration given to the patient's clinical condition. For further information regarding possible hazards during operation of the device - see section 1.3 and 1.4. For further information regarding possible adverse effects on device performance - see section 9. 1.3 Warnings Adhere to the following warnings for safe operation of the CapnoTrue®AMP mainstream CO2 / SpO2 Monitor and the CapnoTrue®ASP sidestream CO2 / SpO2 Monitor. For CapnoTrue® in General: Warning: The monitor is to be operated only by trained personnel and is for attended monitoring only. Warning: Do not make any clinical judgments based solely on the CapnoTrue®. The monitor is intended only as an adjunct in patient assessment. It must be used in conjunction with clinical signs and symptoms. The interpretation of the measurement values should be done only by trained health care professionals. Warning: The monitor should only be used for the purpose and in the manner described in this manual.

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Warning: Explosion hazard. Do not use the monitor in the presence of flammable anaesthetic mixtures with air, oxygen, or nitrous oxide. Warning: Routinely monitor the patient to make sure that the CapnoTrue® is functioning correctly and the SpO2 sensor, the mainstream IRMA CO2 analyzer and the CO2 sidestream sampling configuration are correctly placed. Warning: Do not place the monitor in any position that might cause it to fall on to the patient. Warning: Certain environmental and physiological conditions, medical procedures, sensor application errors and external agents may interfere with the monitor‘s ability to detect and display accurate measurements. (Chapter 9 provides information on possible interferences) Warning: For the SpO2 measurement, the monitor uses red and infrared light with specific fixed wavelengths. Consider that these wavelengths might influence diagnostic parameters of other optical applications. The specifications of the wavelengths used are listed in the ‘Instructions for Use’ of the specific sensor. Warning: The monitor detects respiratory effort via changes in CO2 concentration of exhaled air; therefore, the CO2 measurement can be used to detect apnoea. The device however is unable to discriminate between a patient not breathing and a sensor that is disconnected from the patient circuit. Always monitor and set alarms for SpO2 when using the CapnoTrue® to monitor respiratory function. Warning: If you are uncertain about the accuracy of any measurement, check the patient’s vital signs by alternate means; then make sure the monitor is functioning correctly. Warning: The use of accessories, sensors, and cables other than those specified may result in increased electromagnetic emission and/or create invalid readings of the monitor. Warning: In high ambient light conditions it is required to shield the SpO2 sensor application site with opaque material. Too much ambient light may result in inaccurate measurements.

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Warning: Check all alarm settings and auditory alarm before use of the monitor. Warning: Do not silence the audible alarm function, or decrease the audible alarm volume if patient safety could be compromised. Warning: No modifications of the monitor are allowed without authorization of the manufacturer. Warning: Measurements can be affected by mobile and RF communications equipment. Make sure that the monitor is used in the electromagnetic environment specified in this manual. Warning: Disconnect the monitor and probes from the patient during computed tomography (CT). Warning: Disconnect the monitor and probes from the patient during magnetic resonance imaging (MRI) scanning. An induced current could potentially cause burns.

Additional warnings regarding the power supply system: To prevent the possibility of the Li-Poly battery CT-2500 from leaking, heating or explosion, observe the following precautions. Warning: Do not immerse the battery in water or seawater. Store it in a cool and dry environment if not used. Warning: Do not discard, store or use the battery near a heat source (e.g. a fire or heater). Warning: Only charge the Li-Poly battery CT-2500 while inserted in the CapnoTrue® monitor using the provided power supply FW 7660M/06. Warning: Do not connect the positive and negative terminal with metal objects such as wire and do not transport or store the battery together with metal objects such as necklaces or hairpins as this may short-circuit the battery.

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Warning: Do not strike, throw or trample the battery or pierce it with a nail or other sharp object. Warning: Only use the Li-Poly battery Model No. CT-2500 provided with the monitor. Contact the manufacturer for replacements. Warning: Only use the power supply Model No. FW 7660M/06 provided with the monitor. The use of a power supply other than this may result in hazardous situation and effect patient’s safety. Warning: Do not use rechargeable AA sized batteries instead of alkaline AA sized batteries to operate the device, as this may affect the function of the device.

Additional warnings regarding the mainstream device - CapnoTrue®AMP:

Warning: Disposable IRMA airway adapters shall not be reused. Used airway adapters shall be disposed of in accordance with local regulations for medical waste.

Warning: Do not use the IRMA airway adapter (adult/paediatric) with infants as the adapter adds 6ml dead space to the patient circuit. Warning: Do not use the IRMA airway adapter (infant) with adults or paediatric as this may cause excessive flow resistance.

Warning: Do not place the IRMA airway adapter between the endotracheal tube and an elbow as this may allow patient secretions to block the adapter windows and result in incorrect operation.

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Warning: To keep secretions and moisture from pooling on the windows, always position the IRMA CO2 analyzer in a vertical position.

Warning: Do not use the IRMA CO2 analyzer with metered dose inhalers or nebulised medication as this may affect the light transmission of the airway adapter windows. Warning: A successful zeroing requires the presence of ambient air (21% O2 and 0% CO2) in the IRMA airway adapter during zeroing. Incorrect zeroing of the IRMA CO2 analyzer will result in false gas readings. Warning: Replace the IRMA airway adapter if condensation occurs inside the adapter.

Additional warnings regarding the sidestream device - CapnoTrue®ASP: Warning: Do not use the CapnoTrue®ASP to analyse gasses (e.g. anaesthetics like nitrous oxide etc.) that need to be returned to the patient circuit or a scavenging system. The gas outlet of the sidestream device is not designed to return the exhaust gases to the patient circuit or a scavenging system. Warning: Excessive positive or negative pressure in the patient circuit might cause incorrect readings and internal damage of the monitor. Warning: Carefully route the sampling line to reduce the risk of patient entanglement or strangulation. Warning: Do not lift the CapnoTrue®ASP by the sampling line as this could disconnect from the monitor, causing the monitor to fall on the patient. Warning: Do not use adult or paediatric type sampling line configurations with infants or neonates, as this may add dead space to the patient circuit.

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Warning: Do not use infant or neonatal type sampling line configurations with adults or children, as this may result in excessive flow resistance. Warning: Do not use the CapnoTrue®ASP with metered dose inhalers or nebulised medication as this may block the bacteria filter integrated in the Nomo Adapter. Warning: Since a successful zeroing requires the presence of ambient air (21% O2 and 0% CO2) in the device, ensure that the CapnoTrue®ASP is placed in a well ventilated environment. Avoid breathing near the monitor before or during the zeroing procedure. Incorrect zeroing of the integrated ISA CO2 analyzer will result in false gas readings. Warning: Replace the blocked part of the sampling line configuration if a sampling system occlusion message is displayed by the monitor. Warning: Do not re-use the disposable sampling lines and airway adapters. Warning: Used disposable sampling lines shall be disposed of in accordance with local regulations for medical waste. Warning: The Nomo Adapter is reusable. It only needs to be replaced if occluded. Replace the Nomo Adapter if “Sampling system occlusion !” is displayed by the monitor whilst only the Nomo Adapter is connected.

1.4 Cautions Adhere to the following recommendations to avoid damage or malfunction of the CapnoTrue®AMP mainstream CO2 / SpO2 Monitor and CapnoTrue®ASP sidestream CO2 / SpO2 Monitor. For CapnoTrue® in General: Caution: Do not spray, pour, or spill any liquid on the monitor, its accessories, connectors, switches, or openings in the enclosure as this may damage it.

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Caution: Do not immerse the monitor or its accessories in liquid. Caution: Do not autoclave or steam sterilize the monitor or its accessories. Caution: Refer to the specific ‘Instructions for Use’ of the used SpO2 sensor for correct cleaning and/or sterilization. Caution: Do not apply excessive tension to any of the monitor cables. Caution: Do not operate the monitor outside the specified operating temperature environment. Caution: The monitor requires no routine calibration. A basic maintenance plan conducted by qualified service personnel is recommended. Please refer to the Service Manual for detailed information. Caution: There are no user-serviceable parts inside the CapnoTrue®. The cover should only be removed by qualified service personnel.

Additional cautions regarding the power supply system: Caution: Do not use or store the Li-Poly battery at very high temperature conditions e.g. strong direct sunlight or in a heated vehicle. Under these conditions the battery can overheat, causing it to burn or its performance will degenerate and its service life will be decreased. Caution: Do not use the Li-Poly battery in an electromagnetic environment other than specified in this manual, as this may damage the safety features of the battery and result in unforeseen danger. Caution: If the Li-Poly battery leaks and the electrolyte gets into the eyes, immediately rinse the eyes with clean running water and seek medical assistance to prevent injury of the eyes.

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Caution: If the Li-Poly battery gives off an odour, generates heat, becomes discoloured or deformed, or in any way appears abnormal during use, recharging or storage, immediately remove it from the device and stop using it. Caution: If the Li-Poly battery terminals are dirty, clean the terminals with a dry cloth before use, otherwise a power failure or charging failure may occur due to poor connection with the device. Caution: Discharged batteries may cause fire; tape the terminals to isolate them. Caution: Remove the batteries if the device is to be stored or not used for a longer period of time.

Additional cautions regarding the mainstream device - CapnoTrue®AMP: Caution: Do not immerse the IRMA CO2 analyzer in liquid. Caution: The IRMA CO2 analyzer and the IRMA airway adapters are non-sterile devices. To avoid damage, do not autoclave these components. Caution: Use only PHASEIN manufactured IRMA airway adapters.

Additional cautions regarding the sidestream device - CapnoTrue®ASP: Caution: The Nomo Adapter, the sampling lines and their patient interfaces are non-sterile devices. To avoid damage, do not autoclave these components. Caution: Use only Nomo Adapters manufactured by bluepoint MEDICAL.

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1.5

Symbol Description Accompanied with “Warning: Supplementary text.” within this document. Warnings indicate potential harmful conditions that may lead to injury or death. Accompanied with “Caution: Supplementary text.” within this document. Cautions indicate conditions that may lead to damage to or malfunction of the device. Note:

/

Denoted as “Note: Supplementary text.” within this document. Notes inform the user to relevant facts and conditions in connection with the device. Consult User Manual for detailed operating information. Consult accompanying documents for important safety-related information Manufacturer

Date of manufacture

Type BF applied part

Catalogue number

Serial number

P/N

Part number

Batch code Use by [YYYY-MM-DD] (indicates that the device should not be put into service after the date accompanying the symbol) Temperature limitation

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Do not re-use

Fragile, handle with care Do not dispose in the consumer waste. Electrical and electronic equipment shall be collected and recycled in accordance with (Directive 2002/96/EC) 0000 IPXY

1.6

European Union approval (complies with 93/42/EEC Medical Device Directive) IP Code (International Protection Rating)

Terms and Definitions

BTPS

Body Temperature and Pressure Saturated

CapnoTrue ®

Handheld CO2/SpO2 monitor developed by bluepoint MEDICAL. Available as mainstream (CapnoTrue®AMP) or sidestream (CapnoTrue®ASP) version.

CO2

Carbon dioxide

EtCO2

End-tidal expired CO2 gas concentration

FiCO2

Inspired CO2 gas concentration

Hb

Deoxygenated haemoglobin

HbO2

Oxygenated haemoglobin

HME

Heat Moisture Exchanger

IR

Infrared

IRMA

Infrared mainstream CO2 analyzer

ISA

Infrared sidestream CO2 analyzer

LEGI

Light Emitting Gas Inlet: Status indicator integrated in the gas sample inlet port.

Li-Poly battery

Lithium-ion polymer rechargeable battery

MDD

Medical Device Directive

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MRI

Magnetic Resonance Imaging

N/A

Not applicable. Data does not apply to the configuration.

Nomo Adapter

Adapter that is connected between the sidestream CapnoTrue®ASP and the selected sampling line. The Nomo Adapter removes water and water vapour from the sampling line and has a hydrophobic bacterial filter to reduce the potential for water intrusion and cross contamination.

Nomo technology

Unique technology to remove water vapour and aspired or condensed water from the sidestream CO2 gas sample through a membrane-like surface into the surrounding air. (Nomo stands for “no-moisture”)

PR

Pulse rate

RF

Radio frequency

RH

Relative humidity

Rise time

Time required to achieve an increase from 10% to 90% of final value when step function change in concentration occurs at the sampling site.

RR

Respiration rate

Sampling line config.

A sampling line configuration consists of a Nomo Adapter connected to a sampling line with an appropriate patient interface for sampling gas, e.g. a nasal cannula, respiratory mask or the Y-piece of an intubated patient.

SpO2

Functional arterial oxygen saturation

TBD

To Be Determined. Value or property not yet decided; further investigations may be necessary.

Total system response time

Time from a step function change in gas level at the sampling site to the achievement of 90% of the final gas reading of the capnograph. Total system response time = Delay time + Rise time

USB

Universal Serial Bus

Zeroing

Ambient gas reference measurement used to establish zero concentration level for CO2. Zeroing needs to be performed ONLY when an offset in gas measurement values is observed, or when an unspecified accuracy message is displayed.

1.7 User Requirements The user(s) of the monitor shall have an in-depth knowledge of gas analyzing and noninvasive monitoring of functional arterial oxygen saturation.

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2

Theory of operation

2.1

CO2 measurement

Principle The measurement of CO2 in gas mixtures with the CapnoTrue® is based on the fact that different gases absorb infrared light at specific wavelengths. The absorption spectra for CO2, N2O and different anaesthetic agents are shown in the figure below.

Figure 1: Gas absorption spectra

The CO2 analyzer of the CapnoTrue® uses the absorption peak at 4.2µm to determine the CO2 concentration in the gas. Two additional wavelengths beside this absorption peak are used as reference. To measure the absorption of light at these wavelengths, a broadband infrared radiation source is used. The light transmitted from the infrared source passes through the gas sample and is then filtered using a set of narrow optical bandpass filters. The individual filters are mounted in a rapidly rotating filter wheel that intersects the light path before the light reaches the infrared detector. The infrared detector detects the portion of the light that is not absorbed by the gas. The amplitude of the detector output is an inverse function of the gas concentration. Thus, at a concentration of zero, the amplitude is at its maximum. Capnogram A capnogram is a graph representing the CO2 concentration in respiratory gasses plotted against time. The capnogram waveform is typically divided into 4 phases (Bhavani-Shankar & Philip, 2000). In the waveform below the inspiration (phase 0) is plotted in blue and the expiration (phase I - III) in red.

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Figure 2: Normal capnogram waveform

Phase I: Baseline (FiCO2) Phase II: Positive expiration slope (alveolar gas) Phase III: Alveolar plateau (EtCO2) Phase 0: Inspiration A capnogram provides valuable information regarding the health situation of patients in respiratory distress.

Measurement methods Determining the CO2 concentration of respiratory gases is done either using the mainstream method or the sidestream method. In both cases the measurement principle is very similar (infrared spectroscopy) the position of the sensor in the measurement setup however differs. In mainstream capnography an airway adapter is, for example, inserted between the endotracheal tube and the Y-piece of the breathing circuit. The airway adapter has an optical window over which the infrared mainstream CO2 sensor is positioned. The respiratory CO2 measurements are obtained by continuously measuring the infrared light absorption, in the gas flow, through the optical windows. For sidestream capnography a sampling line is connected to an endotracheal tube with the help of a sidestream airway adapter or directly from the nose via a nasal prong. Gas samples are continuously taken from the patient at a constant flow rate (CapnoTrue®ASP has a suction rate of 50ml/min) and transferred to the infrared CO2 sensor incorporated in the capnograph. The CO2 measurement is taken within the device and after measurement the waste gas is exhausted through the gas outlet. Typically water traps and bacteria filters are positioned between the sampling line and the device inlet to avoid damage to the device.

2.2 SpO2 measurement SpO2 measurement is performed in transmission mode. The SpO2 sensor consists of emitters which pass red and infrared light through peripheral sites such as a finger, toe or ear to a lightsensitive detector. For both wavelengths the change in absorption is continuously measured. In this way the pulsatile signal due to the arterial blood alone is extracted, excluding the offset due to absorption by venous blood, skin, bone, muscle and fat. This signal is used to determine the functional arterial oxygen saturation (SpO2) based on the fact that the amount of absorbed infrared light and red light is different for oxygenated haemoglobin (HbO2) and deoxygenated haemoglobin (Hb).

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The amount of red and infrared light received is compared and the percent of haemoglobin molecules bound with oxygen molecules calculated: SpO 2 =

HbO 2 HbO 2 + Hb

These measurement values are continuously displayed as a waveform (plethysmogram) and also used to determine the pulse rate. Note that the pulse oximeter equipment is calibrated to display the functional oxygen saturation. Certain physiological conditions, medical procedures, and external agents may interfere with the monitor’s ability to detect and display accurate SpO2 measurements (see chapter 9.2 for detailed information).

3

Product overview

3.1 Available models Mainstream Capnograph/Pulse Oximeter - CapnoTrue®AMP The CapnoTrue®AMP is used together with an IRMA CO2 analyzer, an IRMA airway adapter and an application appropriate SpO2 sensor. Power is delivered via either the provided power supply, a rechargeable Li-Poly battery or 4 x AA batteries. Mainstream CO2 monitoring is performed with the IRMA CO2 analyzer. This key technology sets new standards in CO2 mainstream measurement and provides reliable, safe and easy CO2 monitoring. Key features of CapnoTrue®AMP: • • • • • • • • •

Warm-up time < 10s Fast measurement without time delay Small, light-weight and shock-resistant: IRMA CO2 analyzer weighs less than 30 g Adult/paediatric and infant IRMA airway adapters available Easy plug and measure technology IRMA airway adapter with XTP™ non-condensing light transmission window Maintenance and calibration-free technology Wide range of high-quality SpO2 sensors available 2 years warranty

Sidestream Capnograph/Pulse Oximeter - CapnoTrue®ASP The CapnoTrue®ASP monitor is used together with a Nomo Adapter, a suitable sampling line configuration (e.g. sampling line, airway adapter, nasal/oral sampling) and an application appropriate SpO2 sensor. Power is delivered via either the provided power supply, a rechargeable Li-Poly battery or 4 x AA batteries.

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