Operation Manual

PalmCare plus
Handheld Pulse Oximeter (Ver 1.0)

www.ebionics.co.kr
CONTENTS

◆ Before using the product ---- 3 ▶ Screen configuration------- 19

◆ Contacts---------- 3 ◆ Palmcare plus Basic Operation 23

◆ Product Guarantee --------- 4 ▶ Operation -------------- 23

◆ Symbols in the Manual --- 5 ◆ MENU SETTING--------- 24

◆ Precautions for use ------ 6 ▶ ALARM SETTING -------- 25

◆ Precations for Electrical Safety 9 ▶ Initial Display Setting Mode 29

◆ Characteristics and Principles
10 ▶ Screen Setting ----------- 31
of PalmCare plus
◆ Composition of PalmCare plus 11 ▶ Sound Setting - - - - - - - - 33

◆ How to set PalmCare plus - 12 ▶ Delete the TREND -------- 35

▶ Precations for Settings------ 12 ▶ Select Language --------- 37

▶ Information of Palmcare
▶ Checkpoints Before Use----- 12 39
plus
▶ Maintenance and Cleaning ◆ Trend Funtion PalmCare
13 40
After Use--------- plus
▶ Precations for using --------- 13 ◆ Measuring of Spo2 42
◆ Components of PalmCare plus- 15 ◆ Alarm Function------- 44
◆ Power & Battery
▶ Front & Operation Panel ----- 15 46
specification ------------
▶ Right Side---------- 16 ▶ AC POWER --------------- 47

▶ Top Side --------- 16 ▶ Battery Specifications ----- 47

◆ Before Requesting After
▶ Bottom Side---------- 16 49
Service

▶ Back Side ---------- 17 ◆ Product Specification --- 50

◆ Description of Product Symbols- 18

2
Before Using the Product ·····
Thank you for purchasing PalmCare plus(Handheld Pulse Oximeter) .

● For safe and efficient operation, please read the manual to

learn about the functions of the product before use.
● Please keep this manual nearby to assist you with operating the
functions of the product.

The product should be used under the supervision of a medical-

related certified professional.

The product is used for examining patient’s abnormal condition. For

the safety of the patient, only the components or the accessories
recommended by our company should be used.

If you connect any accessories to the product that is not specified in

the manual, please be sure to notify our company or an agency
authorized to distribute our products.

Contacts
For various services and product information, please feel free to
contact our salesperson at the following number.
For any questions about use or setup of the product, please contact the
following number.

Technical Support

BIONICS Co,.Ltd Tel: +82-2-714-2962

* For reporting defects or abnormalities, please note the model name,

product serial number, purchasing date, and abnormal points before
contacting us.

3
Product Guarantee …
 The product you have purchased comes with a 1-year warranty from the
purchasing date covering inferior materials and the manufacturing
process. For the disposable products, a warranty is given for 6 months
from the purchasing date or 6 months from its first use covering
inferior materials and the manufacturing process. This warranty cannot
be applied to consumption supplies such as the battery, external cables,
cradle and disposable accessories.
 We are not responsible for any physical, financial and mental loss or
damage and direct or indirect expenses caused by, or resultant from,
accidental or special circumstances during the use of the product. The
warranty is limited to the repair or exchange of the product by the
authority of the company or the agency, for problems in materials or the
manufacturing process which occurred during use under normal
circumstances.
 The company has no legal responsibility for the confirmation of services,
declarations or whole warranty beyond the warranty specified above,
which were supplied or will be supplied by the agency or the staff of the
company at their own discretion. The user cannot request the
company of services, declarations or whole warranty which were supplied
or will be supplied by the agency or the staff of the company at their own
discretion based on the statements above.
 The contents of this warranty represent all other warranties indicated or
implied, and also represent all kinds of service- related responsibilities of
the product sellers for the product they sell.
 The product was manufactured under strict quality controls and the
inspection process of the company. The indemnification standard for
product repair and exchange is according to the Economic Planning
Board notification “ Regulation for the indemnification of consumer
damage”

4
Symbols in the Manual …
Some symbols are used in this manual to help users or patients use
this product safely and appropriately and to prevent any risk to
patients or damage to materials. Please read and understand all
warnings and precautions.

● Each symbols mean :

WARNING
The “ Warning ” symbol indicates that a dangerous situation may
occur resulting in fatal injury or death of the patient, or may incur
material and financial damage when the warning is ignored.
CAUTION
The “Caution” symbol indicates that a situation may occur resulting
in injury or damage to the patient, though not life-threatening, when
the caution is ignored.
NOTE
The “ Note ” symbol is used to inform you of important, but not
dangerous, information regarding installation, use, and maintenance
of the product.

Warning

◈ Use of this product is prohibited during MRI photographing.

A fire may breakout from the induced current, and the accuracy
of the product and the MRI may be influenced by mutual
interference.
◈ All cables should be set properly. Cables and hoses etc.
should be kept away from the patient, so that there is no
possibility of the patient’s neck being entangled in them, and
the cables and lines should be well arranged for the safety of
the staff in the hospital.
◈ The computerized ECG analysis should be judged by qualified
medical professionals, and it should not be the sole basis in
determining necessity of treatment for the patient.

5
Precautions for Use

● Do not operate or store the equipment under the following environments.

6
 ▶ Standard operational conditions are as follows.
- Temperature : 10℃ ~ 40℃ (50 ~ 113℉)
- Altitude : 70 ~ 106Kpa
- Humidity : 30 ~ 85%

▶ Standard storage and transportation conditions are as follows.

- Temperature : -10℃ ~ 50℃ (14 ~ 122℉)
- Altitude : 70 ~ 106Kpa
- Humidity : 20 ~ 95%

7
 CAUTION
◈ The product may not work well when it is kept or operated beyond
the temperature and humidity specified.

◈ If you want to turn off the PalmCare plus while you’re operating,
please use the power switch where is the front of the product.

◈ When you keep or operate the product in large temperature

difference, product malfunctioning can be happened because of
humidity of battery pack.
Please operate product after keep it room temperature for three hours.

CAUTION
◈ Leakage, heating, ignition or rupture of the battery may cause fire
or injury.
 Do not use batteries beyond those specified in this manual.
 Do not short-circuit the battery and do not heat, disassemble,
or dispose of it in a fire.
 Do not mix using the used battery with new batteries , different
kind of batteries, other company batteries
◈ When the product is not used for a long time, separate the
battery from the product.
◈ To ensure the lifecycle and safety of battery, please discharge the
battery and then charge perfectly again every six months.
Also time-worn battery exceed 24 months should be replaced.

◈ When the product has been moved, make sure to turn it off and
arrange the accessories in order. Injured cords or cables may
cause fire or electric shock.

8
Precautions for Electric Safety
Prior to operation of the equipment, make sure to check following itmes.

① Whether power supply is appropriate. (AC100V~AC220V)

② Whether connections (power line or selected equipment) are properly
made to the equipment.
③ Whether Probes are connected before the systems is turned on.

CAUTION

◈ The equipment should be placed far from generator, X-ray

equipment, broadcasting equipment, or transmitting wires, so as
to prevent the electrical noises form being generated during the
operation, when these devices are near the equipment, it can
produce inaccurate measurements, For Palmcare plus , both
independent circuit and stable grounding are essentially
required. In the event that same power source is shared with
other electronic equipment, it can also produce inaccurate
output

NOTE

Palmcare plus is classified as follows;

◈ It is a Class II, type-BF against electric shock.
◈ Equipments are not suitable for use in presence of a
flammable anaesthetic mixture and a solvent.

9
Description of Palmcare plus

 Characteristics and Principles of PalmCare plus

PalmCare plus is pulse oximeter for measuring oxygen saturation of
arterial blood and plus rate of patient. Data and detected wave are
displayed on the front LCD.

There are two types of probe to the Plamcare plus. One is reusable
probe and the other is disposable probe to apply neonate or pediatric
patient as well as single use to adult.

There are two principles that pulse oximeter is based on.

Oxyhemoglobin and Deoxyhemoglobin differ in spectral absorption, the
relative absorption of red and infrared light by bold reflects hemoglobin
oxygen saturation. And the changed volume of arterial blood in tissue
could be measured during the pulsatile cycle.

A pulse oximeter measures the oxygen saturation of arterial hemoglobin

by passing red and infrared light emitting diodes(LED) in the oximeter
sensor serve as light source (ultraviolet rays 660nm and infrared light
960nm); a photodiode serves as the photo detector.

Pulse rate and arterial blood oxygen saturation are pleased on a LCD
display in the real time. Users can determine the alarm settings and
volume as needed via cont기 key panel on the front. PalmCare plus
gives the operator the ability to measure patient basic vital biometric
data.

10
Composition of PalmCare plus(Accessories)

Standard Accessories

SpO2

Main 1 set Finger Probe

(1EA)

Operation
Adapter(1EA)
Manual
DC 5V 2A
(1EA)

 Optional
① Disposable probe
② Extension cord 2.4m(8ft)
③ Cradle
④ USB(mini B TYPE) serial cable

11
How to Set PalmCare plus

(1) Precautions for Settings

Pay attention when setting Palmcare plus for the following points
- Use Palmcare plus under conditions of 10℃∼40℃ of circumstantial
temperature and 30％∼85％ humidity.
- Check the connection status of the power cord.
- Do not connect multiple cords to the power supply.
- Place the main body on a flat area.
- If noise occurs, ground the equipment.

- Do not use any electric cords generating connecting noise.

- Take care since the product can be broken by mechanical shock.
- Get rid of dust or inflammable material near the product
when setting it up.

(2) Checkpoints before Use

Check the following points before measuring the patient’s condition.
- Make sure there is no mechanical risk.
- Check the lead, power plug, and accessories connected on the outside.

◎ Precautions Before Use

① Do not use product near dynamo, X-ray equipment, broadcast

equipment.

② Do not twist the cable.

③ Attach each Lead properly.

④ Keep the patient motionless with comfortable position while measuring

12
 (3) Maintenance and Cleaning After Use
A. Keep the product cleans by cleaning it using a soft cloth at
least once a month. Do not use thinner, ethylene, oxidant or
lacquer since these may damage the product.
B. Keep the accessories clean of dust or foreign materials. For
cleaning, use a soft cloth and clinical alcohol.
C. Do not soak the accessories in liquid or detergents. Keep the
product and accessories out of any liquid.
D. For the protection of the environment, please contact the
agency you purchased the product from when you wish to
discard the Palmcare plus.
E. Our product can be used semipermanently. Please contact
our Customer Service dept. or any distributor and then replace
the parts , when wasting parts such as battery.

(4) Precautions for using

① Precautions for environment

ⅰ. Keep it away from wet place or do not use it by wet hands.

ⅱ. Temperature range for use 10℃~40℃, humidity 30%~85%.

ⅲ. Avoid areas of high humidity or ventilations problems

ⅳ. Keep it away from any electric heater. .

ⅴ. Keep it away from direct sunlight.

ⅵ. Avoid areas susceptible to large shock or vibration

ⅶ. Avoid areas near chemicals or explosive gas.

ⅷ. Make sure to not let any dirt or especially metallic objects from

going inside the equipment.

② Precautions for electric safety

13
 ⅰ. To avoid electrical noise or disturbance, install the device away

from generators, X-ray devices, broadcasting devices and idle

wires. Inaccurate reading may show in case above mentioned

devices are nearby.

ⅱ. Check power supply line of device is proper.

ⅲ. Check every connection parts(power line or any optional device)

are connected to the device properly.

ⅳ. Noise may be made if the device isn’t completely grounded.

③ Precautions for using

ⅰ. Do not disassemble the device.

ⅱ. Do not connect power source before product is installed

completely.

ⅲ. Do not short-circuit the battery and do not heat, disassemble, or

dispose of it in a fire.
④ Precautions for disuse

For the protection of the environment, please contact the agency you

purchased the product from when you wish to discard the battery.

14
Components of Palmcare plus

(1) Front & Operation Panel

ⓐ POWER BUTTON : Power On/Off

ⓑ MENU BUTTON : Change the setup value
ⓒ ALARM BUTTON : Alarm sound On/Off
ⓓ EVT BUTTON: Store the data that specified time.
ⓔ UP/DOWN BUTTON: Menu UP/DOWN button.
ⓕ TREND BUTTON : Check the EVENT data
ⓖ ESC BUTTON: Exit Menu screen
ⓗ ENTER BUTTON : Select Menu and Alarm value..

15
 (2) Right Side

ⓐ Wrist string attaching part

(3) Top side

ⓐ Finger Probe Connector

(4) Bottom Side

ⓐ Host Interface(USB communication connector)

ⓑ DC adapter connector

16
 (5) Back Side

ⓐ Battery Cover(Battery insertion part)

ⓑ Cradle Attaching Part.

CAUTION
◈ In order to avoid electrical shock, do not open the cover.
Disassembling of the equipment must be done only an by
service personnel who is authorized by BIONICS.

17
 Description of Equipment Symbols

Symbol Description Symbol Description

Type BF equipment. Type This symbol means

BF equipment is suitable for attention during operation.
You should pay special
intentional external and
attention to the equipment
internal application to the
when the equipment is
patient, excluding a direct
operated in conjunction
conductive connection to the
with other equipment.
patient’s heart.

DC 5V POWER INPUT POWER SWITCH

ALARM SOUND ON/OFF UP/DOWN BUTTON

MENU BOTTON Event Save BOTTON

Trend BOTTON ESC BOTTON

ENTER BOTTON OXYGEN SATURATION

HEART BEAT RATE PER

MINUTE

18
  Screen Configuration

Initial screen is shown after system boot and test for about 3 seconds, if
you turn the power on.
※ PalmCare plus offers six kinds of initial screen as the following
pictures for the user’s convenience, initial screen displayed on
pressing power button can be set up differently.
※ Please refer the chapter 6 for how to set up each initial display mode.
- Vertical mode initial screen
(1)Large Wave Mode (2)Small Wave Mode
1

(3)Pleth Bar Mode

1

(1)Big Wave Mode

① The domain showing various kinds of icons which describe the
current state(Information Alarm) of PalmCare plus
② Measured SpO₂and pulse rate value
③ Big Wave
(2)Small Wave Mode
① The domain showing various kinds of icons which descried the
current sate (information Alarm) of Palmcare plus
② Measured SpO₂and pulse rate value
③ Small Wave
(3)Pleth Bar Mode
① The domain showing various kinds of icons which descried the
current sate (information Alarm) of Palmcare plus
② Measured SpO₂and pulse rate value
③ Pleth Bar

19
 - Horizontal Mode initial screen

(1)Large Wave Mode (2)Small Wave Mode

1 1

2
2

3
3

(3)Pleth Bar Mode

2
3

(1)Big Wave Mode

①The domain showing various kinds of icons which describe the
current state(Information Alarm) of PalmCare plus
②Measured SpO₂ and pulse rate value
③Big Wave
(2)Small Wave Mode
①The domain showing various kinds of icons which describe the
current state(Information Alarm) of PalmCare plus.
②Measured SpO₂ and pulse rate value
③Small Wave
(3)Pleth Bar Mode
① The domain showing various kinds of icons which describe the
current state(Information Alarm) of PalmCare plus.
② Measured SpO₂ and pulse rate value
③ Pleth Bar

※ Each shape and meaning of the icons describing the current

state(information alarm) of Palmcare plus is as below..

20
(Table1). Description of Screen Icon

ICON Measurement and operation condition How to display

Alarm Off fixed

Running out battery power Blink every 1seconds

Screen select Icon fixed

Language select Icon fixed

Sound Off fixed

Falling out the probe connection (Sensor Off) Blink every 1seconds

Searching pulse(In case the probe insert finger

Blink every 1 seconds
at first)

Low volume of the blood flow(Low Perfusion) Blink every 1 seconds

High intensity of radiation in light (High

Blink every 1 seconds
Ambient)

Falling finger off the probe(No Finger) Blink every 1 seconds

21
  Function of the buttons
 Each buttons on the PalmCare plus services more than two use
according to the screen. The use meaning for each screen is as
below chart.

Button Display Mode Meaning and Operation

Move to SETUP(Environment Set up)
Initial Screen
Screen

Initial Screen Alarm On/Off

Save the current measured value (Spo2 &

Initial Screen
HR) in Trend Log
Up / Increase the value on setting up the
Initial Screen
Alarm range
TREND Screen Page Up(previous page)
Down / Decrease the value on setting up the
Initial Screen
Alarm range
TREND Screen Page Down(Next page)
Show Time-based TREND data(Spo2 & HR)
Initial Screen
and move screen.

Initial Screen ESC(Moving to initial screen)

Initial Screen ENTER (Input or select)

Alarm Screen Change the setting value on Alarm screen.

Commonness for
all kind of the Power On/Off
screens.

22
Palmcare plus Basic Operation

(1) OPERATION

Please press the power button in front- lower of the

Step 1 equipment. The power is to be impressed and Palmcare plus
automatically starts the self-test. (You can see the BIONICS
logo on the screen during self-test)

Screen will be displayed the value and waves of patient after

Step 2
attaching the finger probe.

if you want to change the setting value, please press the

Step 3 MENU ( ) button. Also if you want to examine the Trend
Data, please press the TREDN ( ) button.

NOTE

◈ Push and hold the power button for 1~2 seconds when power off.
◈ Power off automatically when no inputting data for 1 minute when battery
mode.

23
 Environment Setting of Equipment

 Menu Setting
 You can set the all menu pushing MENU button ( )

Step 1 If you press MENU button ( ) on the initial screen of Palmcare

plus, the environment setting mode will be shown as below.

Press MENU ( ) Button.

Step 2 Press the ENTER ( ) button and enter setup screen you want,
after making reverse turn item you want by using UP/DOWN
( / ) button.

Step 3 In case you want to return to the initial screen, press ECS ( )
Button.

24
  Alarm Setting
The below screen will be shown if you press ENTER ( ) button,
after making reverse the item “ 1. Alarm Setting ” on the
environment setting screen of Palmcare plus.

(Alarm setting screen)

Step 1 The change of the setting value can be controlled by the

UP/DOWN ( / ), the item moving can be controlled
ENTER ( ) button.

Step 2 The SETUP screen can be returned if you press the ECS ( )
button after completed inputting Alarm setting.

※ If you press continuously UP/DOWN ( / ) button, the

value is increased or decreased continuously after about one
second and the value is increased or decreased by one for each on
time pressing the UP/DOWN button. The changed alarm range will
be displayed on The LCD as soon as you set up new alarm range.
Please refer the below chart for the allowable adjustment range of
this.

Default
Range
Setting value
HI LOW HI LOW

HR 160 50 LOW+1 ~ 299 1 ~ HI-1

SpO₂ 100 80 LOW+1 ~ 100, OFF 1 ~ HI-1

Suspend Time 1 Min 1 Min / 2 Min / 3 Min, OFF

※ The LOW+1 in the chart means low limit value +1, the HI-1 means high limit
value -1.
For example, if low limit value for HR is 55, the HI value range for HR can
be adjusted as some numbers between 56 to 299.On the contrary, if high
limit value for HR is 150, the LOW value range for HR can be adjusted as
some numbers between1 to 149.

25
 The value range for SpO2 also can be applied of the same rule of setting
up HR value. The only difference is the high limit value can be “OFF”
This “OFF” means the measured SpO2 value beyond the high limit range
will not be checked for alarm.

 High Pulse Rate Alarm Limit Adjust Mode

After selecting “HR high” (the digits in right side of the colon is
reversed) on the alarm setting screen, you can change the value as
you want by UP/DOWN.
( / ) button and then press ENTER button. Now, you can
adjust the high pulse rate alarm limit like this

 Low Pulse Rate Alarm adjust Mode

After selecting “HR Low” (the digits in right side of the colon is
reversed) on the alarm setting screen, you can change the value as
you want by UP/DOWN
( / ) button And then press ENTER button. Now, you can
adjust the low pulse rate alarm limit like this.

 High SpO₂Alarm Limits Adjust Mode

After selecting “SPO2 High” ( the digits in right side of the colon is
reversed) on the alarm setting screen, you can change the value as
you want by UP/DOWN
( / ) button and then press ENTER button.

Now, You can adjust the high oxygen saturation alarm limit like this

26
  Low SpO₂Alarm Limits Adjust Mode

After selecting “SPO2 Low” ( the digits in right side of the colon is
reversed) on the alarm setting screen, you can change the value as
you want by UP/DOWN
( / ) button and then press ENTER button.
Now, you can adjust the low oxygen saturation alarm limit like this.

 Information Alarm ON/OFF

Information Alarm is a kind of sound alarm ringing when a probe has

slipped off or when a probe connector is pulled off from the
Palmcare plus.
At this time, this is an item to decide wether this information alarm
will activate (setting on) or will not (setting off).

After selecting “Info Alarm” ( the on/off in right side of the colon is
reversed) on the alarm setting screen, you can select on/off as you
want by UP/DOWN ( / ) button and then press ENTER
button.

Now, you can adjust how to turn on or off the information alarm like
this.

27
  Alarm Suspend Time value setting

Alarm suspend time value means not to make any alarm sound during the
set time.
In other words, the user can make not to activate the alarm sound for a
while. The time can be adjusted as 1MIN/2MIN/3MIN/OFF
If the event caused the alarm will not be terminated during the set time,
the alarm sound will activate again.

※ The alarm will not ring if you set the Suspend Time as OFF, even
though the alarm occurs
※As this shape icon ( ) s displayed on the LCD of the initial screen
during Suspend time, you can find out that the current alarm is
suspended state.
 After selecting Suspend Time( the value in right side of the colon is
reversed) on the alarm setting screen, you can adjust suspending
time as you want by UP/DOWN button ( / ) and then
press ESC button to return to the initial screen of the environment
setting.

28
  Initial Display Setting Mode (Display Mode)

Step 1 You can enter to the initial display setting mode if you press ENTER
button ( ), after making a reverse the item “2. DISPLAY MODE”
on the environment setting (SETUP) screen .

Making a reverse the item “2.Display Mode” by UP/DOWN button.

Press ENTER ( ) button

Step 2 You can use UP/DOWN ( / ) for the item moving, and
ENTER
( ) button for your choice.

29
 You can return automatically to the SETUP screen if you choose the
Step 3 mode by ENTER button. And if you want to cancel the selection and
return to the SETUP screen, you can go back to the SETUP screen with
ESC( ) button.
※ The initial display mode of PalmCare plus is Vertical Large Wave.

① Horizontal Large Wave ② Horizontal Small Wave

③ Horizontal Pleth Bar ④ Vertical Large Wave

⑤ Vertical Small Wave ⑥ Vertical Pleth Bar

30
  Screen Setting (Vertical/Horizontal)

You can enter to the initial display setting mode if you press ENTER
Step 1 button ( ), after making a reverse the item “3. LCD VIEW” on
the environment setting (SETUP) screen .

Making a reverse the item “3.LCD VIEW” by ENTER button.

Press ENTER ( ) button

단계 2 You can use UP/DOWN ( / ) button for the item moving,

and ENTER ( ) button for your choice.

(1)Horizontal (2)Vertical

31
 You can return automatically to the SETUP screen if you choose the
Step 3 mode by ENTER button. And if you want to cancel the selection and
return to the SETUP screen, you can go back to the SETUP screen
with ESC( ) button.

32
  Sound Setting (Sound High/Low/Off)

The sound ON/OFF set up is used for the Heart Beating Sound (Peak Sound),
buttons sound which can be heard on pressing the buttons and turning on/off
the sound.

You can enter to the High/Low/Off setting mode if you press ENTER
Step 1 button ( ), after making a reverse the item “4.Sound Volume” on
the environment setting (SETUP) screen .

Making a reverse the item “ 4.Sound Volume ” by UP/DOWN

button.

Press ENTER( ) button

Step 2 You can use UP/DOWN ( / ) button for the item moving, and
ENTER ( ) button for your choice.

i.”1.Sound Off” : Volume Off .

ii.”2.Sound Low” : Low volume.
iii.”3.Sound High” : High volume.

33
 You can return automatically to the SETUP screen if you choose the
Step 3
mode by ENTER button. And if you want to cancel the selection and
return to the SETUP screen, you can go back to the SETUP screen with
ESC( ) button.

※ The initial Sound Mode of PalmCare plus is set as on ..

※ As this shape icon is displayed on the LCD of the initial screen,
if you set the sound off, you can find out that the current sound is
OFF state.

34
  Delete the TREND

This item is used to delete all of the trend data which is saved in the internal
memory of Palmcare plus.

You can enter to the TREND DELETE setting mode if you press ENTER
Step 1 button ( ), after making a reverse the item “5.TREND DELET” on the
environment setting (SETUP) screen .

Making a reverse the item “5.TREND DELETE” by pressing UP/DOWN button.

Press ENTER( ) button

Step 2 You can use UP/DOWN ( / ) button for the item moving, and
ENTER ( ) button for your choice.

Step 3 You can return automatically to the SETUP screen if you choose the mode
by ENTER button. And if you want to cancel the selection and return to the
SETUP screen, you can go back to the SETUP screen with ESC( )
button.

35
 CAUTION

◈ Please take a note that all of the trend data saved in the
inside of Palmcare can be deleted, if you select “YES”

36
  Select Language

This item is used to select language of PalmCare plus.

You can enter to the Select Language setting mode if you press ENTER
Step 1 button ( ), after making a reverse the item “6.Select Language” on
the environment setting (SETUP) screen.

Making a reverse the item “6. Select Language ” by pressing UP/DOWN

button.

Press ENTER ( ) button

Step 2 You can use UP/DOWN ( / ) button for the item moving, and
ENTER ( ) button for your choice.

i.”1.English Lan” : Select English

ii.”2.French Lan” : Select French
iii.”3.Germeny Lan” : Select Germeny
vi.”4.Italian Lan” : Select Italian.
v.”5.Spain Lan” : Select Spain.

37
Step 3 You can return automatically to the SETUP screen if you choose the mode
by ENTER button. And if you want to cancel the selection and return to the
SETUP screen, you can go back to the SETUP screen with ESC( )
button.

38
  Information of Palmcare plus
Palmcare plus displays the simple information of this equipment on the LCD
like the manufacturer of Palmcare plus, Program version/name and etc.

You can check the information of Palmcare plus by pressing the ENTER
Step 1 button ( ) after making a reverse the item “7.Device Info”.

Making a reverse the item “7.Device Info” by Up/Down button.

Press ENTER ( ) button

Step 2 You can use UP/DOWN ( / ) button for the item moving, and
ENTER ( ) button for your choice.

 Brightness : LCD Brightness auto control setting.

i. ON : If there is no key input, do setting Back Light is controlled automatically after 30
seconds (Auto Dim out).
ii. OFF : If there is no key input, do not setting Back Light is controlled automatically after 30
seconds.

You can go back to the previous (SETUP screen) if you press ESC ( )
Step 3 button.

39
 Trend Function PalmCare plus
Palmcare plus can show you the value at each time in the trend form which
has been measured for1hr, 12hr, 24hr, 48hr and 72hr of the patients oxygen
saturation (SpO2) and Pulse Rate (HR) That’s to say, you can examine and
print the long-term change and the previous data of the measurement value
of the patient (However, the printing is possible only in case of attaching the
printer on Palmcare plus.

 Trend Information Check

If you want to examine the trend information on the initial screen, please
Step 1
press TREDN button ( ) then the following Trend printing screen will
be seen on the LCD .

Press the TREND ( ) button

40
 ① ② ③ ④

⑦
⑥
① It indicates the type of the trend being displayed on the curren screen.
② Time(hour: minute-It starts at 00:00) for initial trend saving time
③ Saved SpO₂value
④ Save HR Value
⑤ Event data which is saved by the user
⑥ Data mark which is saved by Medium Priority Alarm
⑦ Data mark which is saved by High Priority Alarm

Step 2 You can examine the Trend Data by pressing the UP/DOWN button
( / ) . Whenever pressing the TREDN button( ) one time,
you can check Trend information as below 다.
● 1 hour SpO2/ Pulse Rage Trend - mean value of the 1 minute unit
● 12 hours SpO2/ Pulse Rage Trend - mean value of the 5 minutes unit
● 24 hours SpO2/ Pulse Rage Trend - mean value of the 10 minutes
unit
● 48 hours SpO2/ Pulse Rage Trend - mean value of the 20 minutes
unit
● 72 hours SpO2/ Pulse Rage Trend - mean value of the 30 minutes unit

Step 3 You can go back to the initial screen if you press ESC button ( ) after
completing trend examination.

41
 Measuring of SpO₂
 Preparation before Measuring SpO₂

Step 1 Plug in the SpO₂probe to SpO connection port on upper side of Palmcare
plus .

① Spo2 probe connection port

Step 2 Turn the power on by pressing the power button ( ) PalmCare plus .

 Attaching of Probe

Step 1) Clean the area of the body to be measured by using alcohol.

Step 2) Attach the probe to a finger as shown on the following drawing. (When
measuring NIBP, SpO2 probe is attached to the other arm than the one
that NIBP is measured. Do not use with other medical instruments that
can affect the blood flow, and do not attach the probe where medical
interference can be generated.)
Step 3) Be sure that red light of the probe is on, the sensor gives out the light,
the both sides of the probe faces rightly
Step 4) For a stable SpO2 measurement, movement of body should be
restricted, and band the probe cable on the finger. When banding the
probe cable, make sure it does not hinder with blood flow.
Step 5) Make sure to check the skin condition in the attached location and the
sensor whether they are facing each other in a proper way, every 2 to 3
hours.
If skin condition changes, change the attaching location.

SpO₂Finger Finger Banding

42
 (How to apply SpO₂finger probe)

CAUTION

◈ Make sure that you should carefully handle the sensor and cable.
Non-careful use of the probe may cause harm the sensitive
sensor. Be sure that the cable is protected against sharp things.
◈ If a patient suffers from a fever or a disorder in peripheral
circulation system, then the temperature of the skin goes up by 2
or 3 degrees.
◈ If the values for Oxyhemoglobin or Methemoglobin of a patient
are increased abnormally, the SpO2 data are not reliable.
◈ The disposable sensor should not be re-used for the same
patient on the same or different part of the body.
◈ In order to reuse disposable sensor, you should sterilize it

WARNING
◈ Using an SpO2 probe during MR imaging can cause severe
burns. To minimize this risk, ensure that the cable is positioned
so that no inductive loops are formed. If the probe does not
appear to be operating properly, remove it immediately from the
patient.
◈ Never apply an SpO2 probe at ambient temperatures higher than
37℃
◈ Do not use disposable probe on patients who have allergic
reactions to the adhesive
◈ Avoiding the probe placed on any extremity with an arterial
catheter, or intravascular venous infusion line.
◈ Make sure the sensor emitter light and is directly opposite each
other and that all of the light from the emitter passes through the
patient’s tissue.

◈ For Neonatal patients, make sure the disposable probe should be

used outside the incubator. (The humid atmosphere inside the
incubator can cause inaccurate measurements.)

43
 Alarm Function
Palmcare plus is designed to provide various kinds of alarm for users
convenience. Users must read following carefully and treat proper manner
in the situation of alarm occurrence.

 About the Alarm

① High Priority Alarm

The high priority alarm is set off only when a measured value is extremely
abnormal. For example, in the event pulse rate goes up higher than 180 or
goes down lower than 40, the high priority alarm will go off regardless of
set alarm limits. It is recommended to actually listen to the alarm sound in
advance for fast and accurate recognition.
.
② Medium Priority Alarm
The medium priority alarm goes off when a measured value goes over the
set alarm limits. It is recommended to actually listen to the alarm sound in
advance for fast and accurate recognition. Medium priority alarm works in
connection with the oxygen saturation and pulse rate. If the oxygen
saturation and pulse rate exceeds the alarm limits, it becomes to activate.

③ Information Alarm
Information Alarm informs the matters which the user should keep or the
abnormality occurrence during measuring by alarming

NOTE

◈ We are recommended to hear the each alarm sound with your

own ears before use the equipment, because to express the sound is
very hard.

 Alarms for Each Mode

① Standard Mode

The high priority alarm makes a sound 5 times in the period of 2

seconds, and then after interval of 10 seconds, it makes a sound again

44
 5 times in 2 seconds. This alarm sound has a rhythm specified by the
international standards.

The medium priority alarm makes a 3 times in the period of 2 seconds

and then after interval of 24 seconds, it makes a sound 3 times in 2
seconds.

If the information alarm goes off, it means that incidences as follow

have occurred.

i. Heart beating : The pitch of beep sound will vary in accordance with
oxygen saturation value changes.
ii. In case the battery capacity is running out: when inside battery is
used instead of outside power source (DC adapter), the information
(warning) alarm will go off to alert the user, when the battery is
running out.
iii. In case of Measuring failure: When a sensor has slipped off, or
when a probe connector is pulled off from the equipment, or when
sensor is malfunctioning, the information alarm will go off.

② Visual Alarm …

To provide the fast recognition at a glance by the users, all the

displayed values that caused the alarm will be set to blink continuously

 Alarm Occurrence

In the event the alarm occurs, the measured value changed red color and
you can heard the alarm weaning sound at the same time.

45
 Power & Battery Specifications
PalmCare plus can be operated DC power. It can be operated while on the
move by getting the power from the internal battery which ca be used again
by recharging with the DC adapter.

 DC Adapter Power

In case battery power is running out, it is automatically recharged if you

connect DC adapter to Palmcare plus to the outlet .

1. USB (mini B Type) Communication connector

2. DC Adapter connector

 Battery Power

The internal battery supplies the sources of electricity, if you separate the
Dc adapter from Palmcare plus.
- Recharging period : 1Houres 1H/2 Min(1CELL),3 hours (2CELL)
- Continuous operating time : 3 hours(1CELL: 1130mAh)- Standard
6hours (2CELL: 2260mAh)-Optional

NOTE

◈ In case battery power is running out, battery –shaped icon

( ) will blink at the upper portion of the LCD screen before
about 5 minutes of the power shortage. And the power can be
immediately turned off according to the using parameter.
Therefore, DC power has to be supplied at once.
◈ For the effective use of battery, Palmcare plus has the power
saving mode it turn off the LCD back light after 3 seconds and
also turn off the all functions of Palmcare plus after 30
seconds, if the user does not operate any button or measures.
(However, if he starts operating any button or measurement
within 30 seconds, the LCD back light turns on again) But it will
not turn off the power if the AC adapter is connected.

46
 Both AC and DC power is used for PalmCare plus. Basically, AC power
is used and a rechargeable battery is available for portable use .
1. AC Power (110~240VAC)
If the AC power is connected to the main body of the product, If the
product is not being used, the power changes automatically to the
recharging mode.
A. Type of Adaptor
- Model : JMW110KA0500M03
– Input : 100~240V~, 50~60Hz
- Output : 5V(DC), 2Amps
- Manufacturer: BridgePower Corp.

CAUTION
◈ During operation using AC power, noise may occur in the
waveform. If this is the case, ground the product soundly.
◈ An AC power connection in a wet or damp area may cause electric
shock or fatal damage to the product.
◈ When you connect the adapter will charge the battery automatically

2. Battery Specifications
When the AC power is disconnected and the switch is turned on, the
power is supplied using the battery.

A. Signs for Battery

Battery status Description
Battery full
After use for 70 ~ 80 minutes
Requiring recharging
Low Battery requiring recharging

B. Time for 1ea of battery

47
 Recharging time: 1H 1H/2Min,3H(OP MODE),(2H,4H)(POWER OFF)
Use time : 180 Min,360 MIN

CAUTION
◈ When the battery is removed, all data can be reset. Only in case
the product is kept for long time, Remove the battery from the product

B. Natural lifetime for spontaneous discharge of battery

The table below shows the lifetime for spontaneous discharge of

the battery when the product is unused.

Life for spontaneous

Storage temperature
discharge
0℃ ~ 20℃ 9 months
21℃ ~ 30℃ 6 months
31℃ ~ 45℃ 3 months
D. Type of Battery

The same sort of battery should be used for replacement.

- Model : 1S1P(ICP523450)/ Type : LI-Ion / Manufacturer: ENERWIZ

E. Time for the Battery exchange

The lifetime of the battery gets shorter if it is not 100% recharged for use.
Charge / Discharge ration Number for use
100 % Charge / discharge 1200 times
50 % Charge / discharge 500 times
30 % Charge / discharge 200 times

48
 CUATION
◈ For the protection of the environment, please contact the agency you
purchased the product from when you wish to discard the battery.
◈ Contact the agency you purchased battery in case battery should be
changed.
◈ To ensure the lifecycle and safety of battery, please discharge the battery
and then charge perfectly again every six months.

Also time-worn battery exceed 24 months should be replaced.

Before Requesting After Service

This chapter explains the solutions to simple problems occurred during the
operation. One might feel lost sometimes while operating the equipment.
You don’t need to call the service man every time you feel lost. It just might
be a simple operational problem. Before you call for help, check the
following points.

Problem Solution
1. In case of the battery is discharged.
- Connect DC adapter.
Cannot turn the Power
2. Please check the connection of the switch, it happens
on.
when the switch junction is imperfect.

1. Please check the connection of the probe, it happens

The red light in the
when the probe junction is incomplete.
sensor is
2. Please replace the probe, it happens for the defective
extinguished.
probe.
The wave does not 1. Please check the connection of the probe, it happens
display normally. when the probe is put in infirmly.

For repair, contact our Customer Service Dept, or A/S receptions.

49
Product Specification
■ Display

 TFT COLOR LCD

 Resolution : 320 X 240 Pixels
 Graphic wave form
 10 level vertical bar graph
 Numeric Data Display : Current Oxygen Saturation, Pulse Rate
 Display Mode: Horizontal or Vertical display

■ Indicators

 Low Battery Icon

 SpO₂No Sensor, No Finger Icon
 SpO₂Pulse Search Icon
 Low Perfusion Icon
 Alarm ON/Off Icon
 Screen Mode Icon
 Language Mode Icon
 Sound Mode Icon
 High Ambient Icon

■ Measurement Range

 SpO₂Saturation: 0 ~ 100 %
 HR : 30 ~ 300 BPM

■ Alarm Limits Range

50
 Default
Range
Setting Value
■
HI LOW HI LOW

HR 160 50 LOW+1 ~ 299 1 ~ HI-1

SpO₂ 100 80 LOW+1 ~ 100, OFF 1 ~ HI-1

Accuracy

 SpO₂ : 70 ~ 100 % (1%step) : ±2%

Under 70 % : unspecified
 Pulse Rate : 30 ~ 300 BPM : ±2% or ±2 bpm

■ Power Consumption

 Manufacturer: BridgePower Corp.

 Model : JMW110KA0500M03z
 100~240VAC, 50/60 Hz
 DC 5V Adaptor

■ Battery

 Lithum-ion 3.7V 1CELL (1130mAh) Option 2CELL(2260mAh)

 3hours on a full charge (1CELL)
6hours on a full charge (2CELL)

■ Output

 USB mini Port: SpO₂, Pulse Rate

 Interface : USB mini B Type

■ Temperature Range

 Operating : 50℉ ~ 113℉ (10℃ ~ 40℃)

 Storage: 14℉ ~ 122℉ (-10℃ ~ 50℃)

■ Humidity Range

 Operating : 30% ~ 85% non condensing

 Storage : 20% ~ 95% non condensing

51
■ SpO₂Sensor

 Adult finger probe

 SpO₂extension cable (Optional : 2.4m(8ft))

■ Trend Memory

 Oxygen Saturation and Pulse rate Memories (72 hours maximum)

■ Physical Dimension

 165mm(H) X 70mm(W) X 30mm(D)

 1CELL 200 g
2CELL 250 g

■ Standard Accessories

 Finger Probe
 5V, 2.0A DC Adapter

■ Optional Accessories

 USB mini B Type Cable

 Disposable Probe
 Cradle
 Extension cable of SpO₂ (2.4m / 8.4ft)

■ Product specification listed on the manual are subject to change

according to the our design change procedure without notice .

52
 Product Warranty

Product Name Pulse Oximeter

Model Code PalmCare plus

Manufacture Approval No. No.11-38

Manufacture Approval Date JAN 12.2011

Manufacture Serial No. No. 1936

Warranty Period One year after the purchase date

Purchase Date Date Month Year

Customer Name of
Information Hospital
Address

Name

Tel Tel) Fax)

Name of Distributor

Name of Manufacture BIONICS Co., Ltd.

※ Thank you for purchasing PalmCare plus.

※ This product is under thorough quality management and
complied with strict test.
※ This product can be repaired, replaced or refunded in accordance with “Customer’s
Damage Compensation Regulation” noticed by Economic Planning Board.
※ This product is medical equipment.
Date : FEB. 15, 2011

0120

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