1. Pulse Oximetry Product Presentation
Viamed Ltd

2. Agenda Pulse Oximetry What is a pulse oximeter?
What is pulse oximetry?
Why is pulse oximetry important?
Where & when is pulse oximetry used?
How do we measure oxygen saturation?
What is a pulse oximeter?
How does a pulse oximeter and sensor work?
Pulse Oximetry Sensors
2000 & 3000 Series
Viamed 4000 Series
OxiMax tester
VM-2160 Hand Held Pulse Oximeter
VM-2160 Accessories
VM-2101 Finger Oximeter
VM-2105 Silicone Finger Oximeter
Summary & Conclusion

3. What is Pulse Oximetry?
Pulse oximetry is a non-invasive method concerned with the monitoring of a patient’s blood oxygen saturation level.
Blood Oxygen Saturation
The degree to which the oxygen-carrying capacity of haemoglobin is saturated with oxygen, normally %.

4. Why is Pulse Oximetry important?
To ensure the patient has an adequate supply of oxygen to the whole body.
When patients do not have enough oxygen ‘hypoxia’ can result
Hypoxia
When the whole or region of the body is deprived of oxygen
Symptoms include: headaches, fatigue, shortness of breath, a feeling of euphoria and nausea.
In severe hypoxic cases changes in levels of consciousness, seizures, coma and death.
A patient’s SpO2 level is the most common and widespread monitored parameter.
Nellcor and Masimo are the market leaders

5. Where & when is pulse oximetry used?
Pulse Oximetry is used in a variety of situations:
Throughout anaesthesia during surgery
During the recovery phase
In intensive care during ventilation
In wards and casualty departments
When patients are sedated for procedures such as endoscopy
In patients with longstanding respiratory disease

6. How do we measure oxygen saturation?
Blood oxygen saturation is measured using a pulse oximeter and a pulse oximetry sensor attached to the patient.

7. What is a pulse oximeter?
A convenient non-invasive measurement instrument.
Measures the oxygen saturation of a patient's blood and changes in blood volume in the skin.
An oximeter detects hypoxia before the patient becomes clinically cyanosed.
Most monitors also display the heart rate.
The unit displays the percentage of haemoglobin saturated with oxygen together with an audible signal for each pulse beat, a calculated heart rate and in some models, a graphical display of the blood flow past the probe.
Audible alarms which can be set by the user are provided.
Pulse oximeters are of critical importance in emergency medicine and are also very useful for patients with respiratory or cardiac problems.
A pulse oximeter can be a stand alone unit or alternatively can be incorporated into a multi-parameter patient monitor.

8. How does a pulse oximeter work?
The pulse oximeter consists of a probe attached to the patient's finger, toe, ear lobe, nose or forehead which is linked to a computerised unit.
Acceptable normal ranges of oxygen saturation are from 95 to 100 percent. For a patient breathing room air, at sea level,
Typically the probe has a pair of small light-emitting diodes (LEDs) that shine through a translucent part of the patient's body, usually a fingertip or an earlobe, onto a photodiode.
One LED is red, with wavelength of 660 nm, and the other is infrared, 905, 910, or 940 nm.
Absorption of these wavelengths differs significantly between the oxygenated and deoxygenated haemoglobin.
Therefore from the ratio of the absorption of the red and infrared light the oxy/deoxyhaemoglobin ratio can be calculated – i.e. the blood oxygen saturation level (expressed as a %).
Haemoglobin is the iron-containing oxygen-transport metalloprotein in the red blood cells of the blood in vertebrates and other animals.
In mammals the protein makes up about 97% of the red cell’s dry content, and around 35% of the total content (including water).
Hemoglobin transports oxygen from the lungs or gills to the rest of the body, such as to the muscles, where it releases its load of oxygen. Hemoglobin also has a variety of other gas-transport and effect-modulation duties, which vary from species to species, and may be quite diverse in invertebrates.
Oxyhemoglobin is formed during respiration when oxygen binds to the heme component of the protein hemoglobin in red blood cells. This process occurs in the pulmonary capillaries adjacent to the alveoli of the lungs. The oxygen then travels through the blood stream to be dropped off at cells where it is utilized in aerobic glycolysis and in the production of ATP by the process of oxidative phosphorylation. It does not, however, help to counteract a decrease in blood pH. Ventilation, or breathing, may reverse this condition by removal of carbon dioxide, thus causing a shift up in pH.[7]
Deoxyhemoglobin is the form of hemoglobin without the bound oxygen. The absorption spectra of oxyhemoglobin and deoxyhemoglobin differ. The oxyhemoglobin has significantly lower absorption of the 660 nm wavelength than deoxyhemoglobin, while at 940 nm its absorption is slightly higher. This difference is used for measurement of the amount of oxygen in patient's blood by an instrument called pulse oximeter.

9. Pulse Oximetry Sensors
Aristo Comp2/Sat
800 Series
2000 & 3000 Series
Viamed 4000 Series

10. 2000 & 3000 Series Sensors 2000 Series Includes:
Reusable finger sensors
Reusable multi-site ‘Y’ sensors
Disposable sensors
Extension cables
Adapter cables
Cost Effective
Easy to apply
Durable
High performance
3000 Series Includes:
Nellcor compatible disposable sensors
Compatible with most OEMs
Disposable Sensors:
Variety of application sites: finger, great toe, foot
Variety of sizes: adult, paediatric, infant, neonatal
Variety of tape material: cloth, foam, vinyl

11. Viamed 4000 Series Sensors Series includes Easy to use
3rd generation soft silicone sensors
Reusable finger sensors
Reusable wrap sensors
Disposable sensors
Extension & adapter cables
Easy to use
High performance
Reliable and accurate
Either original or fully compatible replacement sensors

12. 4000 Series Disposable SpO2 Sensors
Patient types available
Adult
Paediatric
Infant
Neonatal
Tape materials available
Micro Foam
Transpore
Plaster
Cable lengths available
Adult & Paediatric – 0.45m (18”)
Infant & Neonatal – 0.90m (3’)

13. 4000 Series Soft Sensors 3rd generation soft silicone sensors
Extremely robust and durable
Extremely accurate
Comfortable and secure fit
Patient Types Available
Adult
Paediatric
Bio-compatible and latex free silicone to help prevent allergic reactions
Can be easily and thoroughly cleaned

14. 4000 Reusable Sensors Finger Sensors Wrap Sensors Extension Cables
Robust and reliable
Comfortable fit
Quality design

15. OxiMax Tester
Used to identify whether the Nellcor monitor is using OxiMax or non-OxiMax technology

16. VM-2160 Pulse Oximeter Displays oxygen saturation, pulse rate
with audible pulse tones
Includes a 3rd generation soft silicone sensor
Clear bright, colour OLED display
A range of both reusable and
disposable sensors are available
Ergonomic design
Various mounting options are available:
Lanyard
Universal mounting clamp
Pole & rail clamps…
Protective silicone boot
Various language options are available
High & Low adjustable alarms
Lightweight and compact with
durable silicone protector boot
Ability to store and restore patient
waveforms and trend data
Standard 3 x AA batteries
Trend data can be downloaded onto a PC
via USB connection (software included)
Long term trending: up to 48 hours
Short term trending: 15 min / 30 min / 4 hours

17. VM-2160 display options The VM-2160 has a number of display formats:
Default Display
Short Term Trending Display
Data Management Display
Large Digit Display

18. VM-2160 Accessories Accessories available:
Reusable Adult Finger Sensors
Reusable Paediatric Silicone Finger Sensors
Silicone Wrap Sensors
Disposable Sensors
Extension Cables
Universal Mounting Clamp
Pole, Rail and Wall Mounts
Carrying Case and Armband

19. VM-2101 Finger Oximeter
For spot monitoring of oxygen saturation and pulse rate.
Lightweight
Low profile
Large display
Clear and bright, colour OLED display
Display can be viewed in 4 rotations
Large, clear Pleth waveform is displayed on 2 rotations
Large digit display formats
Adjustable brightness
Colour coded signal quality and signal strength indicator (green – good, yellow – weak, red – poor)
Easy to use; 1 button operation
Automatic power off when finger is removed
Accessories included:
2 x AAA batteries
Lanyard
Optional Accessories:
Carry Case, with belt loop, colour – black
Carry Case, with belt loop, colour - orange
Meets ISO 9919:2005 Standards (shock, vibration, water ingress and drop tests…)
16 bit processing facilitates low perfusion capabilities

20. VM-2105 Silicone Finger Oximeter
Unique soft silicone housing for superior comfort and fit
Robust – no hinge assembly
16 bit processing facilitates low perfusion capabilities
Clear and bright, colour OLED display
Display can be viewed in 4 rotations
Pleth waveform, displayed in 2 rotations
Colour coded signal quality and signal strength indicator
Adjustable brightness
Meets ISO 9919:2005 Standards; shock, vibration, drop and water ingress tests…
Also available in grey.

21. Summary & Conclusion Pulse Oximetry What is a pulse oximeter?
What is pulse oximetry?
Why is pulse oximetry important?
Where & when is pulse oximetry used?
How do we measure oxygen saturation?
What is a pulse oximeter?
How does a pulse oximeter and sensor work?
Pulse Oximetry Sensors
2000 & 3000 Series
Viamed 4000 Series
OxiMax tester
VM-2160 Hand Held Pulse Oximeter
VM-2160 Accessories
VM-2101 Finger Oximeter
VM-2105 Silicone Finger Oximeter