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BCI Capnocheck Plus - Page 9

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Chapter
1:
Introduction
NOTE:
Significant
levels
of
dysfunctional
hemoglobins,
such
as
carboxyhemoglobin
or
methemoglobin,
will
affect
the
accuracy
of
the
SpO2
measurement.
NOTE:
SpO»
measurements
may
be
adversely
affected
in
the
presence
of
high
ambient
light.
If
necessary,
shield
the
probe
area
(with
a
surgical
towel,
for
example).
NOTE:
Remove
fingernail
polish
or
false
fingernails
before
applying
SpO2
probes.
Fingernail
polish
or
false
fingernails
may
cause
inaccurate
SpO2
readings.
NOTE:
Store
the
FiO:
cell
as
shipped
in
its
protective
wrapping,
until
it
is
ready
to
use.
This
maximizes
the
FiO,
cell’s
shelf
life.
NOTE:
Prolong
FiO}
cell
life
by
avoiding
high
O;
and
CO;
concentrations
when
it
is
not
in
use.
NOTE:
FiO,
Humidity
and
Pressure
Compensation:
Humidity
(i.e.
water
vapor)
is
not
an
interferent,
and
does
not
affect
the
FiO2
cell
accuracy.
Water
vapor
behaves
as
any
diluting
gas
and
reduces
the
oxygen
partial
pressure;
the
FiOz
cell
will
correctly
indicate
the
reduced
percent
FiOz.
However
when
calibrating
the
FiOz
celi,
the
humidity
of
the
calibration
gas
reduces
the
oxygen
partial
pressure,
it
is
for
this
reason
that
calibration
gas
must
be
dry.
For
example,
at
37°C,
water vapor
pressure
(PH20)
is
47
mmHg,
reducing
the
oxygen
partial
pressure
of
100%
oxygen
to
(760-47) 713
mmHg
and
results
in
an
oxygen
concentration
of
94%.
If
the
sensor
must
be
calibrated
with
humidified
oxygen,
then
if
the
calibration
gas
is
100%
humidified,
the
following
equation
provides
a
correction
factor
that
must
be
applied
to
all
FiO2
readings:
Peal
-
PH20
CH2o
=
(1)
Peal
In
addition,
if
the
pressure
of
the
calibrating
gas
(Pcal)
is
not
760
mmHg,
then
a
further
correction
can
be
made
according
to
the
following:
Peal
Cal
=
————
(2
760
mmHg
The
FiO,
cell
manufacturer
specifies
an
operating
pressure
(Psys)
range
of
+/-
200
mmHg
(+/-
4
psig).
The
FiO,
cell
response
is
proportional
to
oxygen
partial
pressure,
the
result
being
that
indicated
FiO,
can
be
corrected
for
the
difference
in
pressure
between
the
operating
system
and
the
calibrating
system
pressure.
The
correction
can
be
obtained
from
the
following
equation:
760
mmHg
csys
=
(8)
Psys
The
final
result
is
that
actual
FiO2
can
be
calculated
from
indicated
FiOg
by
combining
equations
1,
2
and
3:
FiOz
(actual)
=
FiOz
(indicated)
*
CH2O
*
Ccal
*
Csys
(4)
Capnocheck
Plus
Service
Manual
-
1-8