Model 2120: Operator's Manual

2120.
book Page i Monday, January 14, 2002 9:59 AM
Operator’s Manual

Model 2120
Pulse Oximeter
and NIBP Monitor
0123 English
1
2120.book Page ii Monday, January 14, 2002 9:59 AM
2120.book Page iii Monday, January 14, 2002 9:59 AM
Declaration of Conformity
Manufacturer: Nonin Medical, Inc.
Address: 2605 Fernbrook Lane North
Plymouth, Minnesota 55447-4755
USA
Model Number: 2120
We herewith declare that the above-mentioned pulse oximeter and blood pressure
monitor are classified as Class IIb (using Rule 10) and comply with EC Directive
No. 93/42/EEC concerning medical devices for all devices manufactured after
July 1, 2001.
This declaration is based on:
Certification of a Quality System to ISO 9001 : 1994 / EN 46001 : 1996

Certificate Number: Q1 98 12 24497 005
Issued by: TUV Product Service GmbH
Date: December 1998
Certification according to Annex II, Clause 3 of EC Directive No. 93/42/

EEC concerning medical devices.
Certificate Number: G1 98 12 24497 004
Issued by: TUV Product Service GmbH
Date: December 1998
Place: Nonin Medical, Inc.

Plymouth Minnesota
Date: 01 July 2001
Signature:
Name: Jerry Zweigbaum

Title: CEO
Authorized EC Representative:
MPS, Medical Product Service GmbH
Borngasse 20
D-35619 Braunfels, Germany
2120.book Page iv Monday, January 14, 2002 9:59 AM
CAUTION! Federal law (USA) restricts this device to sale by or

on the order of a physician.
CAUTION! Read this entire manual carefully before using the

Model 2120 Pulse Oximeter and Noninvasive Blood
Pressure Monitor.
The information in this manual has been checked carefully and is believed to be
accurate. In the interest of continued product development, NONIN reserves the
right to make changes and improvements to this manual and the products it
describes at any time, without notice or obligation.
Nonin Medical, Inc.

2605 Fernbrook Lane North
Plymouth, Minnesota 55447-4755
USA
• (763) 553-9968
• (800) 356-8874 (USA and Canada)
• Fax (763) 553-7807
• mail@nonin.com
• www.nonin.com
References to “NONIN” in this manual shall imply Nonin Medical, Inc.

Nonin is a registered trademark of Nonin Medical, Inc.
© 2001 Nonin Medical, Inc.

2120.book Page 5 Monday, January 14, 2002 9:59 AM
Table of Contents
About this Manual .........................................1-1
Guide to Symbols ...........................................2-1
Intended Use .................................................3-1

Indications for Use ......................................... 3-2
Pulse Oximeter Intended Use ....................... 3-2
Blood Pressure Monitor Intended Use ........ 3-2
Precautions for Use .......................................4-1
Description and Features ..............................5-1

Pulse Oximeter Features ................................ 5-2
NIBP Features ................................................. 5-4
System Features ............................................... 5-6
Advanced Features .......................................... 5-11
Using the Model 2120 ....................................6-1

Unpacking the Model 2120 ........................... 6-2
Installing the Batteries .................................... 6-3
Activating the Model 2120 ............................ 6-5
Verifying Model 2120 Operation .................. 6-5
Using the Pulse Oximeter .............................. 6-6
Taking Blood Pressure Measurements ........ 6-7
Automatic and Demand
NIBP Measurements ................................. 6-13
Calibrating Blood Pressure
on the Model 2120 ..................................... 6-14
Ta ble o f C o n t e n t s
Alarms and Limits .........................................7-1

Alarms ............................................................... 7-2
Alarm Summary ............................................... 7-6
Setting and Changing Alarm Limits ............. 7-8
Setting and Changing Alarm
and Pulse Volume ..................................... 7-13
Setting and Changing NIBP Settings ........... 7-15
Communication .............................................8-1
Memory Features ............................................ 8-2
Using the Model 2120 with
nVision™ Software .................................. 8-3
Real-Time Patient Data Output .................... 8-4
Care and Maintenance ..................................9-1

Cleaning the Model 2120 ............................... 9-2
Cleaning the Blood Pressure Arm Cuff ....... 9-2
Storage .............................................................. 9-2
Theory of Operation ......................................10-1

Pulse Oximetry ................................................ 10-2
Blood Pressure Measurement ....................... 10-4
Specifications .................................................11-1
Parts and Accessories ....................................12-1
Service and Support .......................................13-1
Warranty ........................................................14-1
Troubleshooting ............................................15-1
Chapter 1
About this Manual
This manual describes the functions and explains the proper use of the
NONIN Model 2120 Pulse Oximeter and Noninvasive Blood Pressure
(NIBP) Monitor.
There are many ways to find information in this manual.

• The Table of Contents at the front of the manual can be used to find
specific chapters and sections.
• Each chapter contains a table of contents specific to that chapter.
• The bottom of every page contains the page number.
• The top of every left-hand page contains the name of the chapter to
which the manual is open.
NOTE: There are many contraindications, warnings, and

cautions throughout this manual. General
contraindications, warnings, and cautions are
listed in Chapter 4, “Precautions for Use.” This
manual must be read and its instructions followed
carefully before operating the Model 2120.
1-1
Chapter 2
Guide to Symbols
The following table describes the symbols that are found on the Model
2120. For more specific information about these symbols, refer to
Chapter 5, “Description and Features.”
Symbol Description/Function
Main Alarm LED
%SpO2 %SpO2 Display
Pulse Rate Display
Pulse LED
Pulse Oximeter Sensor LED
Pulse Strength Bargraph LED
Systolic Systolic Pressure Display
Diastolic Diastolic Pressure Display
MAP Mean Arterial Pressure Display
2-1
Guide to Symbols
Alarm Silence LED
Time LED
Month LED
Day LED
Year LED
Pulse Volume LED
Alarm Volume LED
Auto NIBP Mode LED
AC Power Adapter LED
2-2
Battery LED
ON/STANDBY button
NIBP button
Auto NIBP Cycle Time button
NIBP History Review button
Initial Cuff Pressure button

mmHg
Time/Date button
Volume button
2-3
Guide to Symbols
Alarm Silence button
Limits button
Plus button
Minus button
Attention: See Instructions for Use or related

materials.
!
Type BF Applied Part: Defibrillator Proof

(Patient isolation from electrical shock).
Applies to both pulse oximeter and NIBP.
SSIFIE UL Mark for Canada and the United States

LA
with respect to electric shock, fire, and
D
C
C UL US mechanical hazards only in accordance with UL

2601-1 and CAN/CSA C22.1 No. 601.1.
CE Marking indicating conformance to EC

0123 directive No. 93/42/EEC concerning medical
devices.
Serial Number (located under the battery

SN cover).
2-4
Chapter 3
Intended Use
This chapter describes the intended use of the NONIN Model 2120 Pulse
Oximeter and Noninvasive Blood Pressure (NIBP) Monitor.
Chapter Contents
Page
3.1 Indications for Use .............................................................. 3-2
3.2 Pulse Oximeter Intended Use ............................................. 3-2
3.3 Blood Pressure Monitor Intended Use ................................ 3-2
3-1
Intended Use
3.1 Indications for Use

The NONIN® Model 2120 Pulse Oximeter and NIBP Monitor
(Figure 3.1) is a portable device indicated for use in measuring and
displaying functional oxygen saturation of arterial hemoglobin (SpO2),
pulse rate, and blood pressure of adult and pediatric patients in hospitals,
medical facilities, and subacute environments. The Model 2120 is
intended for spot-checking and/or continuous monitoring of patients. Its
functions may be used separately or simultaneously.
MAP
mmHg
Figure 3.1 The Model 2120 Pulse Oximeter and NIBP Monitor.
3.2 Pulse Oximeter Intended Use

The pulse oximeter is intended for noninvasively monitoring the oxygen
saturation and pulse rate of adult, pediatric, infant, and neonatal patients
in hospitals, medical facilities, and subacute environments. It may be used
for spot-checking and/or continuous monitoring of patients.
3.3 Blood Pressure Monitor Intended Use

The blood pressure monitor is intended for noninvasively monitoring the
blood pressure of adult and pediatric patients in hospitals, medical
facilities, and subacute environments. The blood pressure monitor is not intended
for use with neonates. It is intended for attended care and may be used for
spot-checking.
The Model 2120 should be used for patients with arm circumferences of
18-42 cm.
3-2
Chapter 4
Precautions for Use
This section describes the contraindications, warnings, and cautions that
are important for the Model 2120 Pulse Oximeter and NIBP Monitor.
Read and follow all safety instructions in this chapter before using the
Model 2120.
4-1
Precautions for Use
CONTRAINDICATIONS
Do not use the Model 2120 in a magnetic resonance imag-
ing (MRI) environment.
Do not use the blood pressure module of the Model 2120

on neonatal patients.
4-2
WARNINGS
The Model 2120 is intended only as an adjunct in patient
assessment. It must be used in conjunction with other
methods of assessing clinical signs and symptoms.
This equipment is intended for use in the presence of elec-

trosurgery; however, its general operation might be
affected by the use of an electrosurgical unit (ESU).
As with all medical equipment, carefully route patient

cables and connections to reduce the possibility of patient
entanglement or strangulation.
Use the Model 2120 only within the specified temperature

ranges: +32°F to +122°F (0°C to 50°C) for operating, and
-4°F to 122°F (-20°C to +50°C) for storage and transpor-
tation.
Do not use a damaged sensor or NIBP cuff under any cir-

cumstances.
All parts and accessories connected to the serial port of the

Model 2120 must be certified according to IEC Standard
EN 60950 or UL 1950 for data-processing equipment.
Use the Model 2120 with 300PS-XX, where XX represents

the power supply designation.
The Model 2120 NIBP function has been designed for use
on patients with normal sinus rhythms.
Use only NONIN-manufactured pulse oximeter sensors.

These sensors are manufactured to meet the accuracy
specifications for NONIN pulse oximeters. Using other
manufacturers’ sensors can result in improper pulse
oximeter performance.
Discontinue use of adhesive tape strips if the patient

exhibits an allergic reaction to the adhesive material.
Explosion Hazard: Do not use the Model 2120 in an

explosive atmosphere or in the presence of flammable
anesthetics or gases.
4-3
Precautions for Use
WARNINGS
Do not stretch the adhesive tape while applying the pulse
oximeter sensor.
Pulse oximeter readings might be affected while patients

are being defibrillated.
Applying the blood pressure cuff to the same arm used for
a pulse oximeter might affect pulse oximeter readings.
Use only NONIN-supplied blood pressure cuffs and

hoses. Using other cuffs might result in inaccurate read-
ings or inability to operate the Model 2120.
Do not compress or hold the blood pressure cuff or cuff

hose while the Model 2120 is operating.
Do not apply the blood pressure cuff to an arm being used

for intravenous infusion or to any area with restricted cir-
culation.
Do not use the blood pressure cuff on neonates and

patients known to be readily susceptible to bruising.
Ensure that the blood pressure cuff is sized and placed

correctly for each patient.
Ensure that all Model 2120 users know how to manually

remove the blood pressure cuff in case it fails to deflate.
The safety and effectiveness of the Model 2120 NIBP

function in pregnant women have not been established.
Do not operate the Model 2120 blood pressure module

unless it has been properly calibrated. Inaccurate blood
pressure readings can result if the Model 2120 has not
been calibrated properly. A calibration check is recom-
mended at least once every year.
4-4
CAUTIONS
Federal law (USA) restricts this device to sale by or on the

order of a physician.
Read this entire manual carefully before using the Model

2120 Pulse Oximeter and NIBP Monitor.
Before using any sensor or NIBP cuff, carefully read the

Directions for Use.
Do not, under any circumstances, perform any testing or

maintenance on the Model 2120 while it is being used to
monitor a patient.
This equipment complies with International Standard EN

60601-1-2:1993 for electromagnetic compatibility for med-
ical electrical equipment and/or systems. This standard is
designed to provide reasonable protection against harmful
interference in a typical medical installation. However,
because of the proliferation of radio-frequency transmit-
ting equipment and other sources of electrical noise in
healthcare and other environments (for example, cellular
phones, mobile two-way radios, electrical appliances), it is
possible that high levels of such interference due to close
proximity or strength of a source might disrupt the perfor-
mance of this device.
Verify that all visible indicators illuminate during the start-

up (initialization) sequence. If any indicator does not illu-
minate (except the AC Power Adapter LED), do not use
the Model 2120. Contact NONIN Customer Support for
assistance.
If the Model 2120 fails to respond as described, discon-

tinue use until the situation has been corrected by qualified
personnel.
Do not remove any covers other than the battery cover

when replacing batteries. There are no user-serviceable
parts inside—other than the replaceable batteries.
4-5
Precautions for Use
CAUTIONS
Batteries might leak or explode if used or disposed of
improperly.
Follow local governing ordinances and recycling instruc-

tions regarding disposal or recycling of the device and
device components, including batteries.
Do not immerse the Model 2120 or NONIN sensors in

water or any other liquids.
Do not place liquids on top of the Model 2120.
The Model 2120 is a precision electronic instrument. It

must be repaired by trained NONIN personnel only.
The Model 2120 is designed to determine the percentage

of arterial oxygen saturation of functional hemoglobin.
Significant levels of dysfunctional hemoglobin, such as
methemoglobin, might affect the accuracy of the measure-
ment.
The Model 2120 might misinterpret motion as good pulse

quality (as indicated by a green pulse quality display). Min-
imize the patient’s finger motion as much as possible, or
change the type of sensor being used (e.g., ear clip).
Check the pulse oximeter sensor application site frequently

to determine the positioning of the sensor and the circula-
tion and skin sensitivity of the patient. Patient sensitivity to
the Model 2120 varies depending on medical status or skin
condition.
When using the 300PS-UNIV battery charger, ensure that

the AC cord is plugged into a grounded outlet.
4-6
CAUTIONS
Cardiogreen and other intravascular dyes, depending upon
their concentrations, might affect the accuracy of the SpO2
measurement.
Ear Clip and Reflectance sensors are not recommended

for pediatric use. The accuracy of the sensors has not been
established for pediatric use.
Some nail polish colors or artificial nails can reduce light

transmission and affect SpO2 accuracy.
Check the NIBP cuff application site frequently to ensure

that the cuff is not causing prolonged impairment of the
patient’s circulation.
The Model 2120 might not work on all patients. Check to

ensure that the proper cuff size is used. If you are unable
to achieve stable readings, discontinue use.
In certain circumstances, the normal application of a blood

pressure cuff might exasperate an underlying medical con-
dition. Be aware of potential circulatory disorders in all
patients using the Model 2120.
Any blood pressure recording can be affected by the posi-

tion of the subject, his or her physiologic condition, and
other factors.
4-7
Chapter 5
Description and Features
The Model 2120 contains 11 keypad buttons, 25 LED components, and
8 dipswitches—three of which are currently used. This chapter describes
those features of the Model 2120.
Chapter Contents
Page
5.1 Pulse Oximeter Features ................................................... 5-2
%SpO2 Display .................................................. 5-2
Pulse Rate Display .............................................. 5-2
Pulse Oximeter Sensor LED .............................. 5-3
Pulse Strength Bargraph LED ............................ 5-3
Pulse LED ......................................................... 5-3
Pulse Volume LED ............................................ 5-3
5.2 NIBP Features ................................................................. 5-4
Systolic Pressure Display ..................................... 5-4
Diastolic Pressure Display ................................... 5-4
MAP (Mean Arterial Pressure) Display ............. 5-4
NIBP Button ...................................................... 5-4
Auto NIBP Cycle Time Button ........................... 5-4
NIBP History Review Button ............................. 5-5
Initial Cuff Pressure Button ................................. 5-5
Auto NIBP Mode LED .................................... 5-5
Keypad Round LED Indicators ........................... 5-5
5.3 System Features ................................................................ 5-6
Battery LED ...................................................... 5-6
AC Power Adapter LED .................................. 5-6
Alarm Silence LED ........................................... 5-6
Main Alarm LED ............................................. 5-6
ON/STANDBY Button .................................. 5-7
Alarm Silence Button .......................................... 5-7
Limits Button ...................................................... 5-7
Plus Button ......................................................... 5-8
Minus Button ...................................................... 5-8
Alarm Volume LED ......................................... 5-8
Time/Date Button .............................................. 5-9
Volume Button .................................................... 5-9
Month LED ....................................................... 5-9
Day LED .......................................................... 5-9
Year LED .......................................................... 5-9
Time LED ....................................................... 5-10
Numeric LEDs ................................................ 5-10
5.4 Advanced Features .......................................................... 5-11
Key Combinations .............................................. 5-11
Model 2120 Dipswitches ................................... 5-12
5-1
MAP
mmHg
Figure 5.1 The Model 2120 displays.
5.1 Pulse Oximeter Features

This section describes the Model 2120’s pulse oximeter features.
%SpO2 Display
Numeric light-emitting diodes (LEDs) on the upper left-hand corner of
the Model 2120 display blood oxygen saturation in percent (indicated by
the %SpO2 icon). Oxygen saturation is calculated using the methods
outlined in Chapter 10, “Theory of Operation.”
Pulse Rate Display

The pulse rate display is the lower numeric display on the upper left-hand
corner of the Model 2120 (identified by the symbol). This 3-digit
LED display shows the pulse rate in beats per minute.
CAUTION! The Model 2120 might misinterpret motion as

good pulse quality (as indicated by a green
pulse quality display). Minimize patient finger
motion as much as possible, or change the type
of sensor that is applied.
5-2
Pulse Oximeter Sensor LED

The Pulse Oximeter Sensor LED indicates when a
sensor has become disconnected, has failed, or has not
been applied correctly.
Pulse Strength Bargraph LED

This 10-segment multicolor bargraph indicates pulse
strength as determined by the oximeter. The bargraph
changes color based upon the strength of the pulse. The
color and height of the Pulse Strength Bargraph is
proportional to the pulse amplitude. For a low pulse
amplitude, the unit goes into High Priority Alarm mode.
Green = a good pulse signal

Amber = a marginal pulse signal
Red = a low pulse signal, high priority alarm
The Pulse Strength Bargraph LED also indicates the

battery capacity percentage in 10% increments in green,
displaying the depleted portion of the bargraph in
amber.
Pulse LED
This LED blinks to indicate a bad pulse. If there is a
sustained series of bad pulses (approximately 10
seconds), the Pulse LED will illuminate solid.
Pulse Volume LED

This amber LED indicates that the unit is in Pulse
Volume Program mode. When this indicator is
illuminated, pulse volume can be adjusted by using the
Plus (+) and Minus (—) buttons on the front panel. The
highest volume is 15, and the lowest volume is 0. The
default volume level is 8.
The Model 2120 beeps while pulse volume is being

changed, showing the volume progression as it is
adjusted.
5-3
5.2 NIBP Features

This section describes the Model 2120’s NIBP Features.
Systolic Pressure Display

The systolic display is a 3-digit LED display near the upper right-hand
corner of the Model 2120. The Systolic number displayed represents the
blood pressure in mmHg during contraction of the ventricles.
Diastolic Pressure Display

The diastolic display is a 3-digit LED display in the middle right-hand side
of the Model 2120. The Diastolic number displayed represents the blood
pressure in mmHg when the ventricles are relaxed.
MAP (Mean Arterial Pressure) Display

The MAP display is a 3-digit LED display near the middle right-hand side
of the Model 2120. The MAP number displayed is a calculated value in
mmHg, based on measurements of systolic and diastolic pressure:
MAP = 2/3 diastolic + 1/3 systolic
NIBP Button
This button is used to begin or cancel a single blood
pressure measurement. While the unit is taking a blood
pressure reading, pressing any button on the front panel
will cancel the action and deflate the cuff.
Auto NIBP Cycle Time Button

This button is used to display the automatic blood
pressure measurement cycle time. The Plus (+) and
Minus (—) buttons are used to change the cycle time
setting. The unit can be set to take blood pressure
readings every 1, 2, 3, 5, 10, 15, 30, 45, 60, or 90 minutes.
The NIBP timer begins immediately after the previous
blood pressure measurement is completed.
5-4
NIBP History Review Button

This button displays previously measured blood
pressure values. The Plus (+) and Minus (—) buttons
can be used to scroll through and display archived NIBP
readings. All previous blood pressure values during the
current power-up session can be reviewed, including
manual and automatic readings.
Up to 300 readings can be reviewed using the NIBP

History Review button. All readings are lost when the
unit is put into Standby mode.
Initial Cuff Pressure Button

mmHg This button displays the initial cuff inflation pressure,
i.e., the amount of pressure to which the cuff initially
inflates to begin to obtain a reading. The inflation
pressure may readjust, depending on the patient’s
previous blood pressure. The initial cuff pressure can
be changed using the Plus (+) and Minus (—) buttons.
Initial cuff pressure can be set to 120, 140, 160, or 180
mmHg.
Auto NIBP Mode LED

This multicolor LED indicates that the unit is in Auto
NIBP mode when it is lit green. When lit amber, this
LED indicates that the unit is in Auto NIBP Cycle Time
Program mode. See Section 6.7, “Automatic and
Demand NIBP Measurements,” for more information.
The cycle time can be adjusted using the Plus (+) and
Minus (—) buttons.
Keypad Round LED Indicators

Keypad round LED indicators display whether or not
the Model 2120 is functioning in certain modes (NIBP
mmHg History Display mode or Initial Cuff Pressure Display/
Modify mode).
5-5
5.3 System Features

This section describes the Model 2120’s system features.
Battery LED
This amber LED indicates a marginal battery capacity
by blinking in sync with the Main Alarm LED indicator.
In addition, this LED—when lit solid—indicates that
the battery capacity is being displayed. This LED does
not indicate that the Model 2120 is running on battery power.
AC Power Adapter LED

This green LED indicates whether or not the AC
adapter is connected to the unit. This indicator does not
participate in the LED check that is part of the startup
(initialization) sequence.
Alarm Silence LED

This amber LED indicates that the audible alarm is
temporarily silenced when it blinks. When lit solid, the
Alarm Silence LED indicates that the audible alarm
volume is set to zero.
Main Alarm LED

The Main Alarm LED indicates visible alarm
conditions. It indicates high priority (via red color
blinking at 2 Hz) or medium priority (via amber color
blinking at 0.5 Hz) alarm conditions.
5-6
ON/STANDBY Button
This button toggles the Model 2120 between ON and
STANDBY modes. Pressing this button once turns on
the Model 2120. Pressing and holding this button for
at least 1 second signals the Model 2120 to shut down.
Momentarily pressing this button while the unit is on

displays the battery capacity percentage, in 10%
increments, for four seconds in green. It displays the
remainder of the bargraph in amber. If the ON/
STANDBY button is pressed momentarily again, the
battery capacity display will exit. Otherwise, the
battery capacity display will exit after four seconds.
Alarm Silence Button

This button toggles the alarm between silenced and
audible. Pressing the Alarm Silence button will silence
all alarms for two minutes.
Limits Button
This button displays the upper and lower limits for
alarm indications for SpO2, heart rate, systolic,
diastolic, and MAP measurements. These limits can be
adjusted using the Plus (+) and Minus (—) buttons.
The upper LED on the Limits button indicates that the

upper alarm limit is being displayed, and the lower
LED indicates that the lower alarm limit is being
displayed.
The limit values are displayed in amber within the

appropriate 3-digit numeric display. (For example, the
limits for %SpO2 are displayed within the %SpO2
numeric display.)
5-7
Plus Button
This button adjusts values for many Model 2120
functions. The Plus and Minus buttons are used to
adjust timing of automatic blood pressure readings,
initial cuff pressure, time, date, volume, and upper and
lower alarm limits. This button is also used to scroll
through the NIBP history.
Pressing this button alone, when the Model 2120 is not

in any program mode, adjusts the intensity of the LED
displays.
Minus Button
This button adjusts values for many Model 2120
functions. The Plus and Minus buttons are used to
adjust timing of automatic blood pressure readings,
initial cuff pressure, time, date, volume, and upper and
lower alarm limits. This button is also used to scroll
through the NIBP history.
Pressing this button alone, when the Model 2120 is not

in any program mode, adjusts the intensity of the LED
displays.
Alarm Volume LED

This amber LED indicates that the unit is in Alarm
Volume Program mode. When this button is
illuminated, the alarm volume can be adjusted by using
the Plus (+) and Minus (—) buttons on the front panel.
The highest volume is 15, and lowest volume is 8. The
default volume level is 8.
If Dipswitch 2 is moved to the on (up) position, then

the alarm volume can be adjusted to zero.
5-8
Time/Date Button
This button displays the time and date. In US mode,
pressing the button toggles the user through the year,
month, day, hour, and minute, which can be set using
the Plus (+) and Minus (—) buttons.
In International mode (Dipswitch 3 in the On [up]

position), pressing the button toggles the user through
the year, day, month, hour, and minute.
In US mode, the month is displayed on the left, and the

day is displayed on the right. In International mode, the
month is displayed on the right, and the day is displayed
on the left.
Volume Button
This button displays the pulse volume and alarm
volume, depending upon which corresponding LED is
illuminated. The pulse and alarm volumes can be
adjusted using the Plus (+) and Minus (—) buttons.
Month LED
This amber LED indicates that the unit is in Month
Program mode. Months can be programmed using the
Plus (+) and Minus (—) buttons.
Day LED
This amber LED indicates that the unit is in Day
Program mode. Days can be programmed using the
Year LED
This amber LED indicates that the unit is in Year
Program mode. Years can be programmed using the
5-9
Time LED
This amber LED indicates that the unit is in Time
(Hour or Minute) Program mode. Hours and minutes
can be programmed using the Plus (+) and Minus (—)
buttons.
Numeric LEDs
Numeric LEDs appear after a reading has been
completed, providing results of the measurement.
Numeric LEDs appear for %SpO2, Pulse Rate, Systolic,
Diastolic, and MAP data, as well as for year, month, day,
hour, and minute displays, initial cuff pressure, volume
control, and NIBP history review.
There are five 3-digit multicolor numeric LED display

components on the Model 2120, and they are used
primarily for SpO2, pulse rate, systolic, diastolic, and
MAP displays. Under normal conditions, these LEDs
are displayed in green. For high priority (patient)
alarms, the values are displayed in red, blinking at 2 Hz.
For medium priority (equipment) alarms, the values are
displayed in amber, blinking at 0.5 Hz.
The 3-digit Multicolor Numeric LED displays also

display alarm limits and NIBP history information in
amber (non-blinking).
There is a four-digit numeric LED display on the Model

2120 as well. It is a single color (green) LED used
primarily to display date and time information, adjust
volumes, adjust the auto NIBP cycle time, and set the
initial NIBP cuff pressure.
5-10
5.4 Advanced Features

This section describes the advanced features—both key combinations
and dipswitch options—available on the Model 2120.
Key Combinations
The Model 2120 provides two advanced features that are available by
using multiple key combinations. The unit must be in Standby mode
before using either of the advanced features.
Button Combination Feature Function

Name
Retain This feature allows users

Previous to retain the previously
Alarm set alarm limits—even
Limits after shutting down the
+ Model 2120. To use this
feature, hold the Limits
button for at least one
second after pressing the
ON/STANDBY button
to power the unit.
Clear This feature allows users

Oximeter to clear the oximeter
Memory memory. To use this
feature, hold the NIBP
+ History Review button
for at least one second
after pressing the ON/
STANDBY button to
power the unit. Refer to
Section 8.2 for more
information.
NOTE: If the Limits button and NIBP History Review button are
both held while pressing the ON/STANDY button to power the
unit, both of the above advanced features are invoked.
5-11
Model 2120 Dipswitches

The Model 2120 contains eight dipswitches. Only dipswitches 1-3 are
currently used. The on (up) position is toward the top of the unit, and the
off (down) position is toward the bottom of the unit. The dipswitches are
located under the green battery cover on the rear of the unit. A small
Phillips screwdriver must be used to remove the battery cover.
The default for all Model 2120 dipswitches is the Off (down) position.
Switch Function
Switch 1 On—Calibration Mode

Off—Normal Operation (Default)
Switch 2 Alarm Disable/Minimum Alarm Volume Definition:

See “Silencing Alarms” in Chapter 7 for more information.
On—0 dB
Off—45 dB (Default)
Switch 3 On—International Date Format

Off—USA Date Format (Default)
WARNING! Do not place Switch 1 in the on (up) position

unless unit calibration is intended.
ON
1 2 3 4 5 6 7 8
OFF
Figure 5.2 The Model 2120 dipswitches.
5-12
Chapter 6
Using the Model 2120
This chapter describes the procedures that are necessary to use the
NONIN Model 2120 Pulse Oximeter and NIBP Monitor.
Chapter Contents
Page
6.1 Unpacking the Model 2120 .............................................. 6-2
6.2 Installing the Batteries ....................................................... 6-3
6.3 Activating the Model 2120 ............................................... 6-5
6.4 Verifying Model 2120 Operation ...................................... 6-5
6.5 Using the Pulse Oximeter ................................................. 6-6
6.6 Taking Blood Pressure Measurements ............................... 6-7
NIBP Cuff Selection ........................................... 6-8
NIBP Cuff Placement ......................................... 6-8
6.7 Automatic and Demand NIBP Measurements ............... 6-13
6.8 Calibrating Blood Pressure on the Model 2120 ............... 6-14
WARNING! Read this entire manual carefully before using

the Model 2120 Pulse Oximeter and NIBP
Monitor.
NOTE: The Model 2120 can be used with many

NONIN oximeter sensors. See Chapter 12,
“Parts and Accessories,” for more information
about compatible sensors.
6-1
6.1 Unpacking the Model 2120

Contact the carrier immediately if the shipping carton for the Model 2120
is damaged. Carefully unpack the instrument and its accessories.
Confirm that the items listed below are packed with the Model 2120 Pulse
Oximeter and NIBP Monitor. The Model 2120 shipment includes the
following:
• Model 2120 Pulse Oximeter and Noninvasive Blood Pres-

sure (NIBP) Monitor
• 7.2 V Battery Pack
• Adult Blood Pressure Cuff—Standard
• Hose: 6’ with connectors at each end
• Model 2120 Operator’s Manual
• SpO2 Sensor
• Battery Charger
6-2
6.2 Installing the Batteries

A rechargeable battery pack powers the Model 2120 for a minimum of
five hours of continuous operation under normal operating conditions.
Plugging in the AC adapter recharges the batteries. The batteries will be
completely recharged when the unit has been plugged in and not used for
approximately four hours. (The batteries are constantly being charged
when the Model 2120 is plugged in; however, recharging takes longer
when the unit is in use.)
When the batteries are low, an amber Battery LED will blink in sync with
the Main Alarm LED. Replace or recharge low batteries as soon as
possible.
Use the following procedure to install a new battery pack in the Model
2120.
NOTE: When the battery pack must be replaced, contact
NONIN to purchase a new one.
1. Using a Phillips screwdriver, loosen the two small screws at the

bottom of the green back cover of the Model 2120 (See below).
.
2120.003
Figure 6.1 Loosening the battery door.
2. Carefully remove the battery door by pulling outward and down.
6-3
3. When needed, remove the old batteries and discard them properly.
.
Figure 6.2 Inserting a new battery pack.
4. Insert a new battery pack (See above). Proper positioning of the

batteries is essential for Model 2120 operation.
5. Carefully re-position the battery door. Do not force the door into
place; it fits only when positioned properly.
6. Tighten the screws firmly, being careful not to over-tighten.
7. Perform a startup self-test on the Model 2120. If the unit does not
turn on, plug in the AC adapter to charge the new battery pack.
8. If the Model 2120 still does not turn on, reinsert the batteries or see
Troubleshooting on page 15-1.
IMPORTANT! Follow local governing ordinances and recycling

instructions regarding disposal or recycling of the
device and device components, including
batteries.
NOTE: The battery capacity indication will not be

functional before one full charge cycle with a new
battery pack.
6-4
6.3 Activating the Model 2120

Use the following procedure to activate the Model 2120.
1. Press the ON/STANDBY button on the lower right-hand portion
of the 2120 front panel.
2. Ensure that all of the displays illuminate and the unit beeps three
times.
NOTE: The Model 2120 does not shut off automatically. To

put the Model 2120 into Standby mode, press and
hold the ON/STANDBY button for at least one
second.
NOTE: If no sensor is connected when the Model 2120 is

turned on, the oximeter will be disabled, with the
SpO2 display blank.
6.4 Verifying Model 2120 Operation

When the unit is first turned on, the Model 2120 performs a brief startup
(initialization) sequence. Verify that all LEDs illuminate and the unit
beeps three times during the first phase of the startup sequence (See
below). If any LED is not lit (except the AC Power Adapter LED), do not
use the Model 2120. Contact NONIN Customer Support for assistance.
Figure 6.3 The Model 2120 LEDs.
6-5
6.5 Using the Pulse Oximeter

In order to verify that the Model 2120 is functioning properly, it is
important to monitor SpO2, pulse rate, and blood pressure readings. Use
the following procedure to verify that the pulse oximeter sensor is
functioning properly.
1. Ensure that the Model 2120 is on and functioning properly, with all
sensors connected.
2. Place a finger in the pulse oximeter sensor.
3. Verify that a good SpO2 reading is displayed, that a pulse rate value
appears, and that the Pulse Strength Bargraph LED is active.
Inaccurate SpO2 and pulse rate measurements can result from many
sources, but users can take precautions to ensure that the Model 2120
operates efficiently. SpO2 and heart rate readings can be inaccurate if the
sensor on the finger is positioned or perfused inadequately, if patient
pulse strength is poor, if there is excessive ambient light, if a fingernail is
polished or artificial, if the finger is cold or wet, or if the red LED is not
illuminated in the finger insertion area of the sensor.
If inaccurate pulse rate or %SpO2 measurements are suspected,

reposition the pulse oximeter sensor or try a different sensor.
CAUTION! Check the patient application site frequently to determine

the positioning of the sensor and the circulation and skin
sensitivity of the patient. Each patient’s sensitivity to
NONIN sensors might vary depending upon the patient’s
medical status or skin condition.
Correct positioning of the pulse oximeter sensor is critical for accurate

measurements. Refer to specific sensor inserts for important application
information. Opposite limbs should be used for the blood pressure arm
cuff and the finger clip sensor.
While the sensor is in place, do not press it against any surface and do not
squeeze or hold it together. The correct amount of pressure will
automatically be applied; additional pressure can cause incorrect readings.
NOTE: The pulse oximeter sensor performs best when used on

fingers (other than the thumb) between 0.3 – 1.0 inch
(0.8 – 2.5 cm) thick. The index finger is recommended.
See Chapter 12, “Parts and Accessories,” for a list of sensors that may be
used with the Model 2120.
6-6
6.6 Taking Blood Pressure Measurements

This section describes how to take blood pressure measurements using
the Model 2120.
Use the following procedure to verify that the Model 2120’s blood
pressure unit is functioning properly.
1. Turn on the Model 2120, and verify its operation.

2. After ensuring that the correct cuff size is being used and that the
blood pressure arm cuff is positioned correctly on the patient, press
the NIBP button to begin a blood pressure test.
3. When the blood pressure test is complete, ensure that values are
displayed in all appropriate LED windows.
NOTE: If an accurate NIBP reading cannot be achieved, the

Model 2120’s cuff will begin to reinflate—attempting a
second blood pressure measurement. If the cuff does
not automatically reinflate, restart the blood pressure
reading, and/or adjust the cuff position as necessary.
The device will time out two minutes after a reading
cannot be determined.
Inaccurate NIBP measurements can result from many sources, but users
can take precautions to ensure that the Model 2120 operates efficiently.
Blood pressure readings might be compromised if patient motion is
excessive, if an inappropriate cuff size is being used, if the cuff is
positioned improperly, or if the patient has a restricted blood flow.
If inaccurate blood pressure measurements are suspected, ensure that the

arm cuff is positioned properly and that the Model 2120 has been
properly calibrated.
6-7
NIBP Cuff Selection

In order to guarantee accurate readings, the appropriate cuff size must be
selected for each patient.
CAUTION! Use only Nonin-supplied blood pressure cuffs and

hoses with the Model 2120. Using other cuffs
might result in inaccurate readings or inability to
operate the Model 2120.
Small Adult BP Cuff 18-26 cm arm circumference
Standard Adult BP Cuff 26-35 cm arm circumference
Large Adult BP Cuff 32-42 cm arm circumference
NOTE: Blood pressure arm cuffs should be applied directly to

the patient’s skin. Applying blood pressure cuffs over
shirt sleeves or other materials could affect the
accuracy of blood pressure readings.
NIBP Cuff Placement

Cuffs can be placed on either the right or left arm, but they must be
placed very carefully. Apply the cuff around the bicep slightly above the
elbow, so that the inflation bladder is centered over the brachial artery (the
inflation bladder is approximately half of the entire length of the cuff). Do
not apply the blood pressure cuff to an arm encumbered with an IV. The
patient’s arm should be resting comfortably, preferably at a level that is
parallel to his or her heart, with the arm adjusted so that the palm is
positioned upward.
If a comfortable fit is difficult to achieve, a different cuff size might be

required. Refer to the circumference size in centimeters, which is printed
on the cuff label. Blood pressure arm cuffs should be applied directly to
the patient’s skin. Applying cuffs over shirt sleeves or other materials
could affect the accuracy of blood pressure readings.
Patients should maintain a relaxed position with feet flat on the floor (if
sitting). Opposite limbs should be used for the blood pressure arm cuff
and the finger clip sensor.
WARNING! In order to achieve accurate results—and for

important safety reasons—the blood pressure cuff
must only be placed on the patient’s arm.
6-8
Figure 6.4 Proper Cuff Placement.
6-9
Use the following procedure to take blood pressure measurements with

the Model 2120.
NOTE: The NIBP unit can be used without the oximeter. If

the unit is turned on without an oximeter sensor, the
oximeter will be disabled and the SpO2 display will
remain blank. Plugging in the oximeter sensor at any
time will enable the oximeter.
1. Ensure that the Model 2120 is on and functioning properly.

2. Connect the blood pressure arm cuff and finger clip sensor to the
Model 2120.
• To plug in the blood pressure arm cuff, insert the cuff ’s hose
connector just above the DB9 connector on the left side of
the unit.
• To plug in the pulse oximeter sensor, insert the connector into
the DB9 connector on the left side of the unit with the
NONIN logo facing up.
DB9
Figure 6.5 Connecting the arm cuff and finger clip sensor.
6-10
3. Carefully place the blood pressure arm cuff around the patient’s
bicep. The patient should sit in a relaxed position, with feet flat on
the floor.
IMPORTANT! Proper cuff placement is critical for accurate blood

pressure readings and patient safety.
Figure 6.6 Proper arm cuff placement.
NOTE: If the cuff does not fit properly, a larger or smaller

arm cuff might be required. Refer to the
circumference guide on the cuff label.
NOTE: Blood pressure arm cuffs can be placed on either the
right or left arm, but accurate readings depend upon
using opposite limbs for the finger clip sensor and
blood pressure cuff. If the blood pressure arm cuff is
placed on the patient’s left arm, use the patient’s
right hand for the finger clip sensor. If the blood
pressure arm cuff is placed on the patient’s right
arm, use the patient’s left hand for the finger clip
sensor.
6-11
4. Place the finger clip sensor on the patient’s finger. While the sensor
is in place, do not press it against any surface and do not squeeze or
hold it together. The correct amount of pressure will automatically
be applied. Additional pressure might cause incorrect readings.
NOTE: The pulse oximeter sensor performs best when used
on fingers (other than the thumb) between 0.3 –
1.0 inch (0.8 – 2.5 cm) thick. The index finger is
recommended.
5. When the patient is ready, press the NIBP button to begin a single
blood pressure measurement. The arm cuff will begin inflating, and
the cuff pressure value will appear in the Time LED area on the
front panel display.
6. Wait for the reading to be completed. When the reading is
complete, the systolic, diastolic, and MAP numeric LEDs will
illuminate—providing the results for blood pressure. If there is no
pulse rate value measured from the oximeter sensor, the pulse rate
value from the NIBP will illuminate.
NOTE: If the finger clip sensor is not worn while blood
pressure is measured, the Model 2120 will display
heart rate information as measured from the blood
pressure arm cuff; however, no %SpO2 data will be
displayed. When the finger clip sensor is worn, the
%SpO2 and heart rate data are displayed based
upon readings only from the finger clip sensor—not
the blood pressure reading.
NOTE: If a blood pressure reading must be cancelled for
any reason, simply press any button on the front
panel to stop the reading and deflate the cuff. To
begin a new blood pressure reading, simply press
the NIBP button again.
6-12
6.7 Automatic and Demand NIBP Measurements

The Auto NIBP Cycle Time button is used to begin or end timed blood
pressure measurements and display the Auto NIBP Cycle time, which can
be adjusted using the Plus (+) and Minus (—) buttons. Blood pressure
readings can be taken every 1, 2, 3, 5, 10, 15, 30, 45, 60, or 90 minutes.
The NIBP timer begins immediately after the previous blood pressure
measurement is completed.
Automatic NIBP measurements are useful in many circumstances. They

are especially appropriate when continuous spot-checking of patients is
desired or to determine fluctuations in blood pressure over periods of
time.
Demand NIBP measurements are single-time measurements taken by

pressing the NIBP button on the Model 2120. They are useful for
individual readings and when long-term spot-checking is unnecessary.
6-13
6.8 Calibrating Blood Pressure on the Model 2120

Use the following procedure to calibrate blood pressure on the Model
2120. Calibration should be performed after every 10,000 inflations or
once per year. Calibration should only be performed by qualified
personnel.
Suggested Equipment:
• Mercury Manometer
• Pneumatic T-Adapter
• Pressure Bulb
1. With the unit turned off, connect a mercury manometer and

pressure bulb to the Model 2120 using a T-adapter.
2. Using the tip of a screwdriver or other similar device, place
Dipswitch 1 in the “on” (up) position.
3. Turn on the Model 2120. A CAL message is displayed in the
Systolic display window, acknowledging that the Model 2120 is in
Calibration mode.
4. Wait for a green “0” to appear in the Diastolic LED display
window.
5. Ensure that the pressure on the manometer is zero. This will ensure
that there is no pressure difference at the pressure transducer and
outside the unit.
6. Press the NIBP button. A countdown will begin, followed by “250”
in the Diastolic display. This “250” prompt indicates the pressure
required from the manometer.
7. Using the pressure bulb, apply exactly 250 mmHg to the Model
2120.
8. Press the NIBP button to calibrate the device at 250 mmHg. The
Model 2120 is now calibrated and will display a cal dne
message.
9. Press the ON/STANDBY button to power down the Model 2120.
10. Return Dipswitch 1 to the “off ” (down) position.
NOTE: The pulse oximeter does not require calibration.
6-14
Chapter 7
Alarms and Limits
This chapter describes the alarms, limits, and error codes associated with
the use of the Model 2120.
Chapter Contents
Page
7.1 Alarms .................................................................................... 7-2
High Priority Alarms ........................................................ 7-2
Medium Priority Alarms ................................................... 7-2
Informational Tones ........................................................... 7-2
Error Codes ....................................................................... 7-3
7.2 Alarm Summary ..................................................................... 7-6
7.3 Setting and Changing Alarm Limits ........................................ 7-8
Setting or Changing SpO2 Upper Alarm Limit ................. 7-8
Setting or Changing SpO2 Lower Alarm Limit ................ 7-8
Setting or Changing Pulse Upper Alarm Limit .................. 7-9
Setting or Changing Pulse Lower Alarm Limit .................. 7-9
Setting or Changing Systolic Upper Alarm Limit ............... 7-10
Setting or Changing Systolic Lower Alarm Limit ............... 7-10
Setting or Changing Diastolic Upper Alarm Limit ............ 7-11
Setting or Changing Diastolic Lower Alarm Limit ............ 7-11
Setting or Changing MAP Upper Alarm Limit ................ 7-12
Setting or Changing MAP Lower Alarm Limit ................ 7-12
7.4 Setting and Changing Alarm and Pulse Volume ...................... 7-13
Setting or Changing Alarm Volume ................................... 7-13
Setting or Changing Pulse Volume ..................................... 7-13
Silencing Alarms ............................................................... 7-14
7.5 Setting and Changing NIBP Settings ....................................... 7-15
Setting or Changing Automatic NIBP Cycle Time ............. 7-15
Setting or Changing Initial NIBP Cuff Inflation Pressure .. 7-15
7-1
Alarms and Limits
7.1 Alarms
The Model 2120 provides a variety of audible and visual alarms, which are
either high or medium priority. It also provides informational tones.
NOTE: Audible alarms can be silenced temporarily. Pressing

the Alarm Silence button silences the audible alarms
for two minutes. In addition, placing Dipswitch 2 in the
on (up) position allows the alarm volume to be set to zero.
High Priority Alarms

High priority alarms are those that require immediate attention to the
patient. On the Model 2120, high priority alarms are indicated with red
LED displays blinking at 2 Hz. High priority alarms are illuminated red
on the Main Alarm LED and on numeric displays when alarm limits are
met or exceeded. In addition, the Pulse Strength Bargraph LED will
illuminate red to indicate low perfusion.
High priority alarms are sounded as follows: “beep, beep, beep,” (short
pause), “beep, beep” (10-second pause).
Medium Priority Alarms

Medium priority alarms are those that signal potential problems with the
equipment or other non-life-threatening situations. On the Model 2120,
medium priority alarms are indicated with amber displays blinking at
0.5 Hz.
Medium priority alarms are sounded as follows: “beep, beep, beep,” (25-
second pause), “beep, beep, beep.”
Medium priority alarms are illuminated amber on the Main Alarm LED
and on the appropriate indicator(s) or numeric displays, sometimes
displaying an error code to help the user identify the source of the error.
Use the “Error Codes” table beginning on page 7-3 to identify error
codes that might appear on the Model 2120 front panel. All error codes
are displayed in the MAP display area.
Informational Tones
Informational tones never communicate urgent warnings or messages,
but rather communicate important information.
Informational tones have a higher pitch than high- and medium-priority

alarms. They can be heard during the startup/initialization sequence and
with every pulse beat.
7-2
Error Codes
The Model 2120 provides users with various error codes to indicate
potential problems with the unit. The following table describes the error
codes present on the Model 2120.
Error Codes
CAN NIBP Module, User Cancelled: The NIBP module

was cancelled from taking a blood pressure reading.
This will not result in a medium priority alarm.
CAL NIBP Module, Transducer Out of Range: The

zero calibration has drifted beyond the range of the
automatic zero circuit. The module pressure
transducer may need recalibration.
E00 NIBP Module, Weak Signal
E01 NIBP Module, Bad Signals: The NIBP module

was unable to complete a reading. The failure could
be due to a patient’s blood pressure falling outside the
module’s range. Check the patient, the air hose
connection, and the cuff application.
E02 NIBP Module, Overpressure: Overpressure

condition occurred.
E03 NIBP Module, Air Leak: Check the hose and cuff
for damage or air leaks.
E04 NIBP Module, Blockage in Line: Check hose for

kinks or blockage. In addition, check NIBP module
for any obstructing materials.
E05 NIBP Module, Safety Timer Timeout: The

allowed time expired before the reading was
complete, or the system remained in test mode for
longer than three minutes.
E06 NIBP Module, Gross Movement: Check patient

and reduce motion.
E10 NIBP Module, Calibration Data Invalid
7-3
Alarms and Limits
Error Codes
E11 NIBP Module, ADC Hardware Failure
E13 NIBP Module, Pressure Calibration Failed:

Module was unable to reset its pressure calibration
data.
E17 Undefined NIBP Error
E19 NIBP Module, No Communication: There is no

data from the NIBP module.
E31 Sound Error: Channel 1 Failure
E32 Sound Error: Channel 2 Failure
E33 Sound Error: Both Channels Failure
E34 Sound Error: Amplifier Failure
E35 Sound Error: Channel 1 Failure, Amplifier Failure
E36 Sound Error: Channel 2 Failure, Amplifier Failure
E37 Sound Error: Channel 1 Failure, Channel 2 Failure,

Amplifier Failure
E38 Sound Error: Speaker Failure
E39 Sound Error: Channel 1 Failure, Speaker Failure
E40 Sound Error: Speaker Failure, Channel 2 Failure

Speaker Failure
E42 Sound Error: Speaker Failure, Amplifier Failure
E43 Sound Error: Channel 1 Failure, Speaker Failure,

Amplifier Failure
7-4
Error Codes
E44 Sound Error: Speaker Failure, Channel 2 Failure,

Amplifier Failure

Speaker Failure, Amplifier Failure
E51 Sound Module, Communication Failure: There is

no SPI communication from the sound module to the
display board microcontroller.
E52 SCI Communication Error: There is an SCI

communication problem. There were too many
overrun, checksum, and/or sync errors.
E53 External Memory Failure: The external (patient

data) memory failed test.
MAP
mmHg
Figure 7.1 An example of an error code on the Model 2120.
7-5
Alarms and Limits
7.2 Alarm Summary

The following table provides information regarding Model 2120 default
and programmable settings. If values for any alarm description are met or
exceeded, the Model 2120 will go into a corresponding Alarm mode.
To adjust alarm settings, press the Limits button until the alarm limit you
would like to adjust is displayed in its respective numeric LED window,
and the upper or lower round LED indicator is illuminated on the Limits
button. See Section 7.3, “Setting and Changing Alarm Limits” for more
specific instructions about setting or changing alarm limits.
NOTE: All defaults listed are for adult patients.
Alarm Adjustment Default Priority

Description Range
SpO2 Upper Alarm Off, 80 to 100 by 1 Off High

Limit percent
SpO2 Lower Alarm Off, 50 to 95 by 1 80% High

Limit percent
Pulse Upper Alarm Off, 75 to 275 by 5 200 High

Limit BPM BPM
Pulse Lower Alarm Off, 30 to 110 by 5 50 BPM High

Limit BPM
Systolic Upper Alarm Off, 75 to 240 by 5 200 High

Limit mmHg mmHg
Systolic Lower Alarm Off, 50 to 150 by 5 60 High

Limit mmHg mmHg
Diastolic Upper Off, 50 to 180 by 5 120 High

Alarm Limit mmHg mmHg
Diastolic Lower Off, 25 to 125 by 5 30 High

Alarm Limit mmHg mmHg
7-6
Alarm Adjustment Default Priority

Description Range
MAP Upper Alarm Off, 70 to 200 by 5 150 High

Limit mmHg mmHg
MAP Lower Alarm Off, 25 to 125 by 5 50 High

Limit mmHg mmHg
7-7
Alarms and Limits
7.3 Setting and Changing Alarm Limits

This section describes how to set and change the alarm limits on the
NONIN Model 2120 Pulse Oximeter and NIBP Monitor.
IMPORTANT! The Model 2120 alarm limits automatically

reset themselves to default values each time the
unit is powered up. To retain previously adjusted
alarm limits, hold the Limits button while
powering up the Model 2120. (See “Advanced
Features” for more information.)
Setting or Changing SpO2 Upper Alarm Limit

Use the following procedure to set or change the SpO2 upper alarm limit.
2. Press the Limits button. The upper amber LED is illuminated on
the Limits button, and OFF (if the default value) is displayed in the
%SpO2 display.
3. Use the Plus (+) and Minus (-) buttons to adjust the upper SpO2
limit to the desired value.
4. When the desired upper alarm limit is displayed, press the Limits
button to set the next alarm limit (SpO2 Lower Alarm Limit), or
press the Limits button 10 times to exit the Set/Change Alarm
Limits mode. (The Set/Change Alarm Limits mode exits
automatically after ten seconds with no button pressing activity.)
Setting or Changing SpO2 Lower Alarm Limit

Use the following procedure to set or change the SpO2 lower alarm limit.
2. Press the Limits button twice. The lower amber LED is illuminated
on the Limits button, and 80 (if the default value) is displayed in the
%SpO2 display.
3. Use the Plus (+) and Minus (-) buttons to adjust the lower SpO2
limit to the desired value.
4. When the desired lower alarm limit is displayed, press the Limits
button to set the next alarm limit (Pulse Upper Alarm Limit), or
press the Limits button nine times to exit the Set/Change Alarm
7-8
Setting or Changing Pulse Upper Alarm Limit

Use the following procedure to set or change the pulse upper alarm limit.
2. Press the Limits button three times. The upper amber LED is
illuminated on the Limits button, and 200 (if the default value) is
displayed in the Pulse Rate display.
3. Use the Plus (+) and Minus (-) buttons to adjust the pulse upper
alarm limit to the desired value.
button to set the next alarm limit (Pulse Lower Alarm Limit), or
press the Limits button eight times to exit the Set/Change Alarm
Setting or Changing Pulse Lower Alarm Limit

Use the following procedure to set or change the pulse lower alarm limit.
2. Press the Limits button four times. The lower amber LED is
displayed in the Pulse Rate display.
3. Use the Plus (+) and Minus (-) buttons to adjust the pulse lower
button to set the next alarm limit (Systolic Upper Alarm Limit), or
press the Limits button seven times to exit the Set/Change Alarm
7-9
Alarms and Limits
Setting or Changing Systolic Upper Alarm Limit

Use the following procedure to set or change the systolic upper alarm
limit.
2. Press the Limits button five times. The upper amber LED is
displayed in the Systolic display.
3. Use the Plus (+) and Minus (-) buttons to adjust the systolic upper
button to set the next alarm limit (Systolic Lower Alarm Limit), or
press the Limits button six times to exit the Set/Change Alarm
Setting or Changing Systolic Lower Alarm Limit

Use the following procedure to set or change the systolic lower alarm
limit.
2. Press the Limits button six times. The lower amber LED is
displayed in the Systolic display.
3. Use the Plus (+) and Minus (-) buttons to adjust the systolic lower
button to set the next alarm limit (Diastolic Upper Alarm Limit), or
press the Limits button five times to exit the Set/Change Alarm
7-10
Setting or Changing Diastolic Upper Alarm Limit

Use the following procedure to set or change the diastolic upper alarm
limit.
2. Press the Limits button seven times. The upper amber LED is
displayed in the Diastolic display.
3. Use the Plus (+) and Minus (-) buttons to adjust the diastolic upper
button to set the next alarm limit (Diastolic Lower Alarm Limit), or
press the Limits button four times to exit the Set/Change Alarm
Setting or Changing Diastolic Lower Alarm Limit

Use the following procedure to set or change the diastolic lower alarm
limit.
2. Press the Limits button eight times. The lower amber LED is
displayed in the Diastolic display.
3. Use the Plus (+) and Minus (-) buttons to adjust the diastolic lower
button to set the next alarm limit (MAP Upper Alarm Limit), or
press the Limits button three times to exit the Set/Change Alarm
7-11
Alarms and Limits
Setting or Changing MAP Upper Alarm Limit

Use the following procedure to set or change the MAP upper alarm limit.
2. Press the Limits button nine times. The upper amber LED is
displayed in the MAP display.
3. Use the Plus (+) and Minus (-) buttons to adjust the MAP upper
button to set the next alarm limit (MAP Lower Alarm Limit), or
press the Limits button two times to exit the Set/Change Alarm
Setting or Changing MAP Lower Alarm Limit

Use the following procedure to set or change the MAP lower alarm limit.
2. Press the Limits button ten times. The lower amber LED is
displayed in the MAP display.
3. Use the Plus (+) and Minus (-) buttons to adjust the MAP lower
button to exit the Set/Change Alarm Limits mode. (The Set/
Change Alarm Limits mode exits automatically after ten seconds
with no button pressing activity.)
7-12
7.4 Setting and Changing Alarm and Pulse Volume

This section describes how to set and change alarm and pulse volumes on
the NONIN Model 2120.
Setting or Changing Alarm Volume

Use the following procedure to set or change the alarm volume.
2. Press the Volume button. The Alarm Volume LED illuminates and
08 (if the default value) appears on the display screen.
3. Use the Plus (+) and Minus (-) buttons to adjust the alarm volume
to the desired level. (The Alarm Volume ranges from 08-15.)
4. When the desired alarm volume is displayed, either press the
Volume button once to set the next variable (Pulse Volume), press
the Volume button twice to exit Set/Change Alarm Volume mode,
or simply wait 10 seconds to automatically exit Set/Change Alarm
Volume mode.
NOTE: Placing Dipswitch 2 in the on (up) position allows the

alarm volume to be set to zero. The Alarm Silence LED
will remain illuminated when the alarm volume is set to
zero.
Setting or Changing Pulse Volume

Use the following procedure to set or change the pulse volume.
2. Press the Volume button twice. The Pulse Volume LED illuminates
and 08 (if the default value) appears on the display screen.
3. Use the Plus (+) and Minus (-) buttons to adjust the pulse volume
to the desired level. (The Pulse Volume ranges from 00-15.)
4. When the desired pulse volume is displayed, either press the
Volume button once to exit Set/Change Pulse Volume mode, or
simply wait 10 seconds to automatically exit Set/Change Pulse
Volume mode.
7-13
Alarms and Limits
Silencing Alarms
This section describes how to silence audible alarms on the Model 2120.
NOTE: All alarms can be silenced for two minutes by pressing

the Alarm Silence button. Visual alarm indicators cannot
be turned off.
All dipswitches for the Model 2120 are located under the green back
cover on the rear of the unit. A small Phillips screwdriver must be used
to remove the back cover.
In order to permanently silence all medium priority (equipment) alarms,

Dipswitch 2 must be placed in the on (up) position. This allows the Alarm
Volume to be set to zero. The Alarm Silence LED will remain illuminated when
the alarm volume is set to zero. Refer to “Setting or Changing Alarm Volume”
on page 7-13 for information about changing alarm volume.
1. Using a Phillips screwdriver, remove the 2120’s back cover.
2. Using the tip of a screwdriver or other similar device, place
Dipswitch 2 in the on (up) position.
3. Resecure the back cover. The Model 2120’s alarm volume can now
be adjusted to zero. When volume 0 is selected, all medium priority
alarms are silenced.
4. Return Dipswitch 2 to the off (down) position when the minimum
value of 8 (or higher) is desired.
ON
1 2 3 4 5 6 7 8
OFF
Figure 7.2 Model 2120 dipswitches.
7-14
7.5 Setting and Changing NIBP Settings

This section describes how to set and change NIBP settings on the
NONIN Model 2120.
Setting or Changing Automatic NIBP Cycle Time

Use the following procedure to set or change the automatic NIBP cycle
time.
2. Press the Automatic NIBP Cycle Time button. The Auto NIBP
LED illuminates and OFF (if the default value) appears on the
display screen.
3. Use the Plus (+) and Minus (-) buttons to adjust the automatic
NIBP cycle time to the desired interval in minutes.
4. When the desired cycle time is displayed, either press the
Automatic NIBP Cycle Time button once to exit NIBP Cycle Time
mode, or simply wait 10 seconds to automatically exit NIBP Cycle
Time mode.
Setting or Changing Initial NIBP Cuff Inflation Pressure

Use the following procedure to set or change the initial NIBP cuff
inflation pressure.
2. Press the Initial Cuff Pressure button. The default cuff pressure
(typically 160) appears as an LED display.
3. Press the Plus (+) and Minus (-) buttons to adjust the initial NIBP
cuff inflation pressure to the desired level. Users may select initial
pressures of 120, 140, 160, and 180.
4. When the desired inflation pressure is displayed, either press the
Initial Cuff Pressure button once to exit NIBP Cycle Time mode,
or simply wait 10 seconds to automatically exit NIBP Cuff Inflation
Pressure mode.
7-15
Chapter 8
Communication
This chapter describes the communication capabilities of the NONIN
Model 2120 Pulse Oximeter and NIBP Monitor.
Chapter Contents
Page
8.1 Memory Features .............................................................. 8-2
8.2 Using the Model 2120 with nVision™ Software .............. 8-3
8.3 Real-Time Patient Data Output ....................................... 8-4
8-1
Communication
8.1 Memory Features

The Model 2120 can collect and store up to 33.5 hours of SpO2 and pulse
rate information.
NONIN nVision™ data retrieval software is available for use with

Microsoft® Windows® 95/98 operating systems. Refer to “Parts and
Accessories” for more information.
NOTE: Only SpO2 and pulse rate data are available for analysis
with nVision™ software.
The memory in the Model 2120 functions much like an “endless loop”
tape. When the memory fills up, the unit begins overwriting the oldest
data with the new data.
Each time the Model 2120 is turned on, the current time/date
information (if the clock is set properly) is stored in memory to allow
quick differentiation of recording sessions. Patient SpO2 and pulse rate
are sampled and stored every four seconds. The oxygen saturation values
are stored in 1% increments in the range of 0 to 100%.
The stored pulse rate ranges from 18 to 300 pulses per minute. The
stored values are in increments of one pulse per minute in the interval
from 18 to 200 pulses per minute, and in increments of 2 pulses per
minute in the interval from 201 to 300 pulses per minute.
NOTE: Each time the Model 2120 is turned on, data are
automatically collected in memory.
NOTE: Only recording sessions greater than one minute in

length are stored in memory.
NOTE: Playing back the data in memory does not clear any
data from the memory.
8-2
8.2 Using the Model 2120 with nVision™ Software

The Model 2120 has a Memory Playback feature, allowing stored data to
be transferred to NONIN’s nVision™ software for analysis. Use the
following procedure to use the Model 2120 with nVision™ software.
1. With the unit off, connect the RS-232 connector port of the Model
2120 to the back of your computer using a null modem cable.
2. With the Model 2120 still off, press and hold the NIBP History
Review button while pressing the ON/STANDBY button. All
LEDs will illuminate briefly. “PLy” will appear in the SpO2 LED
display area, and “bAC” will appear in the Systolic display area.
This message signals that the Model 2120 is now in Playback mode.
3. The “PLy bAC” message will disappear after a few seconds,
signalling that the memory playback is complete. Larger files might
take several minutes before memory playback is complete. Pressing
the ON/STANDBY button will exit Playback mode.
4. A “CLr no” message will be displayed, and three informational
tones will sound.
• Use the Plus (+) and/or Minus (—) buttons to toggle
between “YES” and “no” on the Systolic display
window.
5. Press the ON/STANDBY button when the desired Memory Clear
selection is made.
• If selecting “no,” pressing the ON/STANDBY button
exits Playback mode, and normal Model 2120 operation
continues.
• If selecting “YES,” pressing the ON/STANDBY but-
ton displays a “dEL” message in the %SpO2 display
window and a “no” message in the Systolic display
window. Use the Plus (+) and/or Minus (—) buttons to
toggle between “YES” and “no” on the Systolic
display window.
CAUTION: Selecting YES from the “dEL” window will
permanently delete the Model 2120’s memory.
6. If YES is selected, a “dnE CLr” message appears when patient
data is clear. Press the ON/STANDBY button to return to normal
operation.
7. Follow the instructions in nVision™ to capture and analyze the
data.
8-3
Communication
8.3 Real-Time Patient Data Output

The Model 2120 provides real-time data output capability via the RS232
connector port. A null modem cable must be connected from the Model
2120 to the receiving computer.
RS232
Connector
Port
Figure 8.1 The RS232 connector port.
The information from the Model 2120 in the real-time mode is sent in an
ASCII serial format at 9600 baud with 9 data bits, 1 start bit, and 1 stop bit.
The data are output at a rate of once per second (on separate lines).
NOTE: The 9th data bit is used for odd parity in memory playback
mode. In real-time mode, it is always set to the mark
condition. Therefore, the real-time data may be read as
8 data bits, no parity.
Real-time data may be printed or displayed by devices other than the pulse
oximeter. Upon power up, a header is sent identifying the format and the
time and date. Thereafter, the data are sent once per second by the Model
2120 in the following format:
SPO2=XXX HR=YYY
When NIBP data are displayed, the following format will appear:
SPO2=XXX HR=YYY SYS=SSS DIA=DDD MAP=MMM
where XXX is the SpO2 value, YYY is the heart rate value, SSS is the systolic
value, DDD is the diastolic value, and MMM is the mean arterial pressure
(MAP) value. Essentially, whenever NIBP data are available from the Model
2120, that data will be displayed.
If there are no data from the oximeter, the formats will appear as follows:
SPO2=--- HR=---
SPO2=--- HR=YYY SYS=SSS DIA=DDD MAP=MMM
8-4
Model 2120 Memory Playback Data Formata

Data 1 Data 2 Checksumb Note
$FE $FE $FC Header of first file
month day XX Current Time
year minute XX
second hour XX
month day XX Stop time of first file saved in memory
year minute XX
second hour XX
month day XX Start time of first file saved in memory
year minute XX
second hour XX
pulse rate SpO2 XX Data in first file
pulse rate SpO2 XX
pulse rate SpO2 XX
* * *
* * *
* * *
pulse rate SpO2 XX
$FE $FE $FC Header of second file
month day XX Start time of first file saved in memory
year minute XX
second hour XX
month day XX Stop time of file N saved in memory
year minute XX
second hour XX
month day XX Start time of file N saved in memory
year minute XX
second hour XX
pulse rate SpO2 XX Date in file N
pulse rate SpO2 XX
pulse rate SpO2 XX
* * *
* * *
* * *
pulse rate SpO2 XX
$FE $FE $FC Header of file N+1
month day XX Start time of file N saved in memory
year minute XX
second hour XX
0 0 0 End of data marker (18 zeroes)
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
a The data represented by the shaded area is repeated for additional data blocks
that are saved in memory. N represents the “next file” saved in the memory.
b
Note: Checksum = DATA1 + DATA2
8-5
Chapter 9
Care and Maintenance
The advanced digital circuitry within the pulse oximeter of the Model
2120 requires no calibration or periodic maintenance other than battery
replacement. The NIBP module requires calibration after every 10,000
inflations or once each year.
Field repair of the Model 2120 circuitry is not possible. Do not attempt
to open the Model 2120 case or repair the electronics. Opening the case
will damage the Model 2120 and void the warranty. If the Model 2120 is
not functioning properly, see Troubleshooting on page 15-1.
Chapter Contents
Page
9.1 Cleaning the Model 2120 ................................................. 9-2
9.2 Cleaning the Blood Pressure Arm Cuff ............................. 9-2
9.3 Storage .............................................................................. 9-2
9-1
Care and Maintenance
9.1 Cleaning the Model 2120

Use the following information to clean the Model 2120 Pulse Oximeter
and NIBP Monitor.
IMPORTANT! Do not immerse the Model 2120 in liquid, and do

not use caustic or abrasive cleaning agents on the
Model 2120.
Clean the Model 2120 separately from its associated sensors. For
instructions regarding cleaning pulse oximeter sensors, refer to the
appropriate pulse oximeter sensor package inserts.
Clean the Model 2120 with a soft cloth dampened with isopropyl alcohol.
Do not pour or spray any liquids onto the Model 2120, and do not allow
any liquid to enter any openings in the device. Allow the Model 2120 to
dry thoroughly before reusing it.
IMPORTANT! If the Model 2120 accidentally becomes wet,

ensure that the unit is unplugged, and allow it to
air dry for one hour. A soft cloth may be used to
dry the front panel or body of the Model 2120.
9.2 Cleaning the Blood Pressure Arm Cuff

To clean the blood pressure arm cuff, simply wipe the cuff with a soft
cloth dampened with isopropyl alcohol. Do not pour or spray any liquids
onto the arm cuff, and allow the cuff to dry thoroughly before reusing it.
9.3 Storage
Store the Model 2120 within the stated environmental specifications. See
Specifications on page 11-1 for additional information.
9-2
Chapter 10
Theory of Operation
This chapter describes the basic theory of operation for the NONIN
Model 2120 Pulse Oximeter and NIBP Monitor. The fundamental
principles of pulse oximetry and blood pressure monitoring are included.
Chapter Contents
Page
10.1 Pulse Oximetry ............................................................ 10-2
10.2 Blood Pressure Measurement ......................................... 10-4
The NIBP module meets the requirements of AAMI SP10-1992 section

4.4.2. The blood pressure measurements determined with the NIBP
module are equivalent to those obtained by a trained observer using the
cuff/stethoscope auscultation method. The Korotkoff sounds heard over
the artery below the compression cuff vary in character as the pressure in
the cuff is reduced from above systolic toward zero or atmospheric
pressure. They are divided into phases. Phase 1 (K1) or systolic begins
with the sudden appearance of a faint, clear tapping or thumping sound
that gradually increases in intensity. Phase 5 (K5) or diastolic begins when
silence develops, and it was used to determine overall efficacy of the
NIBP module. To receive results on the study, please send a written
request to the following address:
Nonin Medical, Inc.

Plymouth, MN 55447-4755
USA
10-1
Theor y of Operation
10.1 Pulse Oximetry

The NONIN Model 2120 Finger Pulse Oximeter passes red and infrared
light through perfused tissue and detects the fluctuating signals caused by
arterial blood pressure pulses. Well-oxygenated blood is bright red, while
poorly oxygenated blood is dark red. The pulse oximeter determines
functional oxygen saturation of arterial hemoglobin from this color
difference by measuring the ratio of absorbed red and infrared light as the
blood volume fluctuates with each heart beat. Since steady conditions
(steady venous blood flow, skin thickness, bone, fingernails, etc.) do not
cause fluctuations, they do not affect the saturation reading. However, if
too little light gets through, the pulse oximeter will not be able to provide
a value.
Pulse oximeters use two different wavelengths of light (colors) and thus
have the ability to determine one component of blood. The Model 2120
is calibrated to closely approximate functional oxygen saturation values.
The Model 2120 oxygen saturation values will closely approximate
co-oximeter fractional saturation values if the dysfunctional hemoglobin
saturation levels are negligible.
If the dysfunctional hemoglobin is carboxyhemoglobin or

methemoglobin, then the difference between the oxygen saturation value
displayed by the Model 2120 Finger Pulse Oximeter and the oxygen
saturation values determined by the co-oximeter will increase as the
dysfunctional hemoglobin levels increase, approximately in accordance
with the following formulas:
SpO2 = O2Hb + COHb + MetHb

SaO2 = 100 x O2Hb /(100 - COHb - MetHb)
Where:
SpO2 =Model 2120 determined and displayed oxygen saturation (in %)
O2Hb =Fractional oxyhemoglobin saturation (%)
COHb=Carboxyhemoglobin saturation (%)
MetHb=Methemoglobin saturation (%)
SaO2 = Functional oxygen saturation (%)
10-2
Example 1 Example 2
O2Hb = 96 O2Hb = 88
COHb = 0.5 COHb = 8
MetHb = 0.6 MetHb = 2
SpO2 = 97 SpO2 = 98
SaO2 = 97.07 SaO2 = 97.78
The mathematics are fixed in the pulse oximeter hardware and software.
The pulse oximeter does all critical computations in software, and there
are no critical parts to drift.
There are no adjustable parts within the pulse oximeter that affect the
calibration. The wavelengths of the sensor LEDs are fixed by specified
manufacturing processes and materials. The sensors are checked for
correct operation before shipping. Thus, no adjustment or field
calibration is needed or possible.
NOTE: The display is updated once per second, and the value
displayed will never be more than 30 seconds old.
10-3
10.2 Blood Pressure Measurement

The pressure transducer converts the cuff pressure to an analog output
voltage and also detects the small oscillometric waveforms resulting from
the patient’s arterial pulses. The oscillometric waveform is passed
through a filter network (rejecting artifact and other noise) while being
amplified. The amplifier gain setting is controlled by the main
microprocessor; to compensate for differences in pulse volume and
attenuation expected with different patients and hookups.
After digitization of the oscillometric signal by the analog to digital

converter (ADC) contained in the main NIBP microprocessor, the signal
is further filtered (using software filtering techniques) before being used
by the main algorithm to determine the systolic and diastolic points in the
waveform. Simultaneously, the cuff pressure is measured directly from
the transducer output by a different channel of the ADC. By combining
the information provided by the oscillometric waveform and the cuff
pressure, the systolic and diastolic blood pressures are determined.
Analysis of the oscillometric waveform also provides information on the
pulse rate, which is displayed and stored in the microprocessor’s non-
volatile memory, together with the blood pressure results.
Operation of the pumps and valves is normally controlled by the main

microprocessor, which will energize or de-energize these components as
necessary to perform the blood pressure measurement as described
above. However, the power control for the valves and pump contains an
additional, redundant backup switch. This backup switch is controlled by
the safety microprocessor, which independently monitors the system
pressure, the length of time that the system has been pressurized, and
other possible fault conditions within the system. Should the safety
microprocessor detect any fault condition (e.g., an overpressure situation,
if the system has become pressurized above the maximum limit), it will
de-energize the redundant backup switch, cutting all power to the pump
and valves. The valves are normally open devices, so in this situation they
will both open, causing a fast dump of any pressure that may have been
in the system at that time. The pump is obviously inhibited from further
operation, as it is without any power.
Correct operation of the pressure transducer is monitored by a system of

sanity limits implemented in both NIBP microprocessors, and by
checking the pressure profile detected by the transducer when the pump
is inflating. Other conditions and situations monitored that will cause
10-4
readings to be aborted include calibration data corruption, power supply

malfunction, low input voltage, leaky or blocked pneumatics and various
other electronic faults. Additionally, both NIBP microprocessors
perform a watchdog function over each other.
Calibration data is held within the non-volatile memory of the main NIBP
microprocessor. Integrity of this data is assured by a system of CRC error
detection, redundant data tables, and sanity limits.
The power supply provides voltage step-up and regulation functions to

drive the other electronic components. The pump and valves run directly
from the input V pump valve voltage supply; there are software
protections to detect low V logic and low V pump valve.
Safety Circuit Description

In the event of a single fault condition, there are two types of potential
hazards that must be avoided when a patient is using an electro-
mechanical blood pressure monitor. These hazards are defined as the
following:
1. Overpressure: When the cuff pressure exceeds a safe value for any
period of time (even momentary). This pressure value is normally
considered as 300 mmHg for adults.
2. Timeout: When any significant pressure has been present in the
cuff for greater than a specified length of time. This condition is
normally considered as any pressure greater than 10 mmHg for
longer than 180 seconds.
This report demonstrates that the NONIN Model 2120 design is
intrinsically safe, and that even in the event of a single fault condition
within the unit, neither of the above hazard conditions can occur.
In normal operation (i.e., no fault condition), software within the main

blood pressure algorithm limits the cuff pressure and inflation time to
280 mmHg and 140 seconds, respectively. Cuff inflation and deflation is
implemented by using an electric pump and two solenoid valves. The
pump and valves are controlled by the blood pressure algorithm
microprocessor, by three semiconductor switches.
The valves are of the normally open type, so in the event of any
catastrophic power loss, the cuff will deflate. Should one valve stick
closed, the other is capable of deflating the system.
10-5
There are a multitude of conceivable single fault conditions that might

disable the main blood pressure algorithm microprocessor in such a way
that it fails with the valves closed and/or the pump running. Additionally,
a short circuit type of failure to one of the control switches could leave a
valve closed, or the pump running, even if the algorithm microprocessor
has attempted to de-energize it. To guard against these possibilities, an
independent supervisory system has been implemented in the Model
2120.
The supervisory safety system is implemented using a second NIBP

microprocessor, with its own clock system, reset controller, and power
switch system. This safety microprocessor independently monitors the
cuff pressure, determining the maximum cuff pressure at any instant in
time, and should the cuff pressure be above the nominal pressure
threshold, it monitors the elapsed time since that threshold was exceeded.
If the safety microprocessor detects either an overpressure condition or
a timeout condition (brought about by a fault condition in the BP
algorithm microprocessor or its switches), it will immediately override the
main NIBP microprocessor and cut power to the pump and the valves,
thus deflating the system. The power switch used by the safety
microprocessor is connected in series with the supply to pump and valves,
and is therefore able to interrupt current to the pump and valves,
regardless of the state of the normal pump and valve switches. The safety
override switch is electrically independent from the normal switches.
Correct operation of the pressure transducer is verified in two ways.

Before beginning to inflate, the transducer output at zero pressure is
verified to be within expected limits. After the pump is started, the
software algorithm checks to ensure that the pressure increase is within
expected limits. In the event that either of these checks fail, the pump is
stopped and valves are opened, dumping any pressure that might be in the
system.
Power supply status is also monitored before and during a blood pressure
reading, to ensure that adequate energy is available for the electronics to
function correctly. In the event that inadequate power is detected, the
blood pressure reading will be aborted and cuff pressure dumped.
However, because the valves are fail-safe (i.e., open to atmosphere when
no power is applied), a power loss would have naturally resulted in a cuff
pressure dump anyway.
10-6
Chapter 11
Specifications
OXIMETER
Oxygen Saturation Range 0% to 100%
(%SpO2)
Pulse Rate Range 18 to 300 pulses per minute
Displays
Numeric Displays 3-digit LEDs, Tricolor (red, green, amber)
Pulse Indicator Amber LED
Accuracy
Blood Oxygen Saturation 70% to 100% ± 2 digits
(%SpO2) (± 1 S.D.)a
Pulse Rate ± 3% ±1 digit
Measurement Wavelengths and Output Power
Red 660 nanometers @ 3 mw nominal
Infrared 910 nanometers @ 3 mw nominal
Altitude
Operating Altitude Up to 40,000 feet
Hyperbaric Pressure Up to 4 atmospheres
NIBP
Method of Measurement Oscillometric
Blood Pressure Range Systolic: 40 mmHg to 260 mmHg
Diastolic: 25 mmHg to 200 mmHg
MAP = 1/3 Systolic + 2/3 Diastolic
Pressure Transducer Accuracy ±3 mmHg between 0 mmHg and 300
mmHg for operating conditions between
0°C and 50°C. (S.D. of 8 mmHg)
Recommended Frequency of The Pressure Transducer calibration
Pressure Transducer should be verified yearly or every 10,000
Calibration readings, whichever comes first.
Pulse Rate Range (displayed if to 200 pulses per minute

there is no value from the
oximeter)
Blood Pressure Altitude -170 to 1700 m
11-1
Specifications
SYSTEM
Temperature
Operating +32° to +122°F (+0° to +50°C)
Storage/Transportation -4° to +122°F (-20° to +50°C)
Humidity
Operating 10% to 90% noncondensing
Storage/Transportation 10% to 95% noncondensing
Power Requirements 7.2 volt battery pack (6 cells) or 12
VDC AC Adapter
Battery Life
Operating minimum 5 hours of continuous
operation
Storage 18 days
Dimensions 11.4 x 19.0 x 13.8 cm
Weight 45.3 oz with batteries
Classifications per IEC 60601- 1 / CSA601.1 / UL2601-1
Type of Protection Class I (when on AC power with
300PS-UNIV battery charger)
Class II (when on AC power with all

other specified battery chargers)
Internally powered (on battery

power)
Degree of Protection Type BF-Applied Part
Defibrillator Proof
Enclosure Degree of IPX0
Ingress Protection
Mode of Operation Continuous
a. S.D. (Standard Deviation) is a statistical measure; up to 32% of the readings

may fall outside these limits.
11-2
Chapter 12
Parts and Accessories
Model Number Description
2120B Battery Pack

2120 Manual Operator’s Manual for the Model 2120
Simple Cuff—Small Small NIBP Cuff
Simple Cuff—Standard Standard NIBP Cuff
Simple Cuff—Large Large NIBP Cuff
Connect-2 Tubing
UNI-RA-1 40” 90-degree patient cable
UNI-RA-3 120” 90-degree patient cable
UNI-RA-0 7.25” 90-degree patient cable
300PS-NA Battery Charger, North American/Japan:
Wall Mount
300PS-EU Battery Charger, Europe: Wall Mount
300PS-UK Battery Charger, United Kingdom: Wall Mount
300PS-UNIV Battery Charger, Universal Desktop With Iec320
Connector
Contact your
distributor or NONIN Cord Set, Charger
for options.
2120 Pole Mount Pole Mount

UNI-RS232 RS-232 Cable
.
Pulse Oximeter Reusable Sensors
8000AA-1 Adult Articulated Finger Clip Sensor (1 meter)
8000AA-3 Adult Articulated Finger Clip Sensor (3 meters)
8000K2 Adult Finger Clip Sensor
8000AP-1 Pediatric Finger Clip Sensor (1 meter)
8000AP-3 Pediatric Finger Clip Sensor (3 meters)
8000J Adult Flex Sensor
8008J Infant Flex Sensor
8001J Neonatal Flex Sensor
8000Q Ear Clip Sensor
8000R Reflectance Sensor
12-1
Parts and Accessories
Model Number Description
Pulse Oximeter Disposable Sensors

7000A Adult Finger Flexi-Form II® Sensor, 10 per box
7000P Pediatric Finger Flexi-Form II® Sensor, 10 per box
7000I Infant Toe Flexi-Form II® Sensor, 10 per box
7000N Neonatal Foot Flexi-Form II® Sensor, 10 per box
7000D Flexi-Form II® Sensor Assortment Pack, 10 per
box
Other Accessories
nVision nVision™ software for Microsoft Windows 95/98
operating systems
8000JFW Adult FlexiWrap Sensor Wrap
8008JFW Infant FlexiWrap Sensor Wrap
8001JFW Neonatal FlexiWrap Sensor Wrap
8000H Reflectance Sensor Holder System
8000T Sensor Attachment Tape, 100 per box
8500I Patient Extension Cable (1 meter)
8000S Patient Simulator
9440 Finger Phantom® Pulse Oximeter Tester
1000MC Memory Cable (for use between the Model 2120
and a PC running Microsoft Windows 95/98 oper-
ating systems)
1000RTC Real-Time and Memory Cable (for use between the
Model 2120 and a PC running Microsoft Windows
95/98 operating systems)
For more information about NONIN parts and accessories, contact your
distributor, or contact NONIN at (800) 356-8874 (USA and Canada) or
(763) 553-9968.
12-2
Chapter 13
Service and Support
IMPORTANT! The Model 2120 is a precision electronic
instrument and must be repaired by trained
NONIN personnel only.
The Model 2120 Pulse Oximeter module performs all computations

from internal software stored in microprocessor chips. Thus, there are no
critical parts to drift, and no calibration of the pulse oximeter module is
required. The Model 2120 NIBP module should be calibrated after every
10,000 checks or once per year, whichever comes first.
For information about the Model 2120 and accessories, contact your local
sales representative or distributor. For the sales representative or
distributor in your area, contact NONIN at (800) 356-8874.
A return authorization number is required before returning any product

to NONIN. To obtain this return authorization number, contact
NONIN’s Customer Support Department at:
Nonin Medical, Inc.

Plymouth, Minnesota 55447-4755 USA
• (800) 356-8874 (USA and Canada)

• (763) 553-9968 (outside USA and Canada)
• Fax (763) 553-7807
• mail@nonin.com
• www.nonin.com
13-1
Chapter 14
Warranty
NONIN MEDICAL, INCORPORATED, (NONIN) warrants to the
purchaser, for a period of one year from the date of purchase, each Model
2120 battery pack and blood pressure module. NONIN warrants the
pulse oximetry module of the Model 2120 for a period of three years from
the date of purchase, and the blood pressure cuff for a period of 90 days
from the date of purchase.
NONIN shall repair or replace any Model 2120 found to be defective in

accordance with this warranty, free of charge, for which NONIN has
been notified by the purchaser by serial number that there is a defect,
provided said notification occurs within the applicable warranty period.
This warranty shall be the sole and exclusive remedy by the purchaser
hereunder for any Model 2120 delivered to the purchaser that is found to
be defective in any manner, whether such remedies be in contract, tort, or
by law.
This warranty excludes cost of delivery to and from NONIN. All repaired
units shall be received by the purchaser at NONIN's place of business.
NONIN reserves the right to charge a fee for a warranty repair request
on any Model 2120 that is found to be within specifications.
Model 2120 is a precision electronic instrument and must be repaired by

knowledgeable and specially trained NONIN personnel only.
Accordingly, any sign or evidence of opening the Model 2120, field

service by non-NONIN personnel, tampering, or any kind of misuse or
abuse of the Model 2120, shall void the warranty in its entirety.
All non-warranty work shall be done according to NONIN standard rates
and charges in effect at the time of delivery to NONIN.
DISCLAIMER/EXCLUSIVITY OF WARRANTY:
THE EXPRESS WARRANTIES SET FORTH IN THIS MANUAL
ARE EXCLUSIVE, AND NO OTHER WARRANTIES OF ANY
KIND, WHETHER STATUTORY, WRITTEN, ORAL, OR
IMPLIED— INCLUDING WARRANTIES OF FITNESS FOR A
PARTICULAR PURPOSE OR MERCHANTABILITY—SHALL
APPLY.
14-1
Chapter 15
Troubleshooting
The following table provides troubleshooting information for issues
common to the Model 2120. The table is divided into three columns:
Problem, Possible Cause, and Possible Solution.
Problem Possible Cause Possible Solution
The Model 2120 The battery pack is Check the batteries.

will not activate. inserted incorrectly.
The batteries are Plug in the unit to recharge

depleted. its batteries, or replace the
batteries and try again.
You are unable The patient pulse Reposition the finger or

to obtain a strength is low. insert a different finger,
green pulse and keep the sensor
display on the motionless for at least 10
bargraph. seconds.
The pulse oximeter Apply the sensor correctly.

finger clip sensor is
applied incorrectly.
The finger is Reposition the finger, or

perfused poorly. insert a different finger and
keep the sensor motionless
for at least 10 seconds.
Warm the application site.
The finger is not Reposition the finger or

positioned insert a different finger and
correctly. keep the sensor motionless
for at least 10 seconds.
15-1
Tr oubles hooting
You are unable There is possible Reduce or eliminate any

to obtain a interference from interference.
green pulse one of the
display on the following sources:
bargraph, • arterial
cont’d. catheter
• blood
pressure cuff
• electrosurgical
procedure
• infusion line
Circulation is Allow the hand to rest

reduced because of comfortably without
excess pressure on squeezing or pressing the
the sensor (between sensor on a hard surface.
the sensor and a
hard surface) after
inserting finger.
There is excessive Shield the sensor from the

ambient light. light source.
Model 2120 is Apply the sensor to a finger

applied to a without fingernail polish or
polished fingernail an artificial nail.
or artificial nail.
The finger is cold. Warm the finger by

rubbing or covering with a
blanket.
The finger is wet. Dry the finger and the

sensor’s inner surfaces.
15-2
You are unable The red LED is not Contact NONIN’s

to obtain a illuminated in the Customer Support
green pulse finger insertion Department.
display on the area.
bargraph,
cont’d.
Patient motion is Reduce patient motion.

excessive.
The Pulse A poor signal from Reposition the finger or

Oximeter the finger is being insert a different finger and
Sensor LED detected. keep the sensor motionless
appears. for at least 10 seconds.
Warm the application site.
The finger was Reinsert the finger and

removed from the keep the sensor motionless
Model 2120. for at least 10 seconds.
Model 2120 is not Contact NONIN’s

functioning. Customer Support
Department.
An error code The Model 2120 See Chapter 7 for more

appears in the encountered an information about specific
display area. error. error codes.
15-3
Tr oubles hooting
The NIBP cuff The cuff is on Ensure that the cuff is

overinflates and backward or is applied to the patient’s arm
becomes positioned correctly and is positioned
unattached; will incorrectly. properly. See “NIBP Cuff
not provide Selection” and “NIBP Cuff
blood pressure Placement” for more
readings. information.
The wrong cuff size Ensure that the

was used on the appropriate cuff size is
patient. selected. See “NIBP Cuff
Selection” for more
information.
The Model 2120 The blood pressure Attach the blood pressure
will not take connection hose is connection hose to the
NIBP readings. not attached. Model 2120.
There is a Return the Model 2120 to

communication NONIN Customer
error. Support for repair or
replacement.
The unit is in The 2-minute Press the Alarm Silence

Alarm mode, Alarm Silence button to re-engage alarm
but no audible button is activated. volume, or wait for two
alarms can be minutes—and alarm tones
heard. will automatically re-
engage.
Dipswitch 2 is in Adjust the alarm volume,

the On (up) or return Dipswitch 2 to
position, and the the Off (down) position if
unit’s volume is set you desire audible alarms.
to zero.
15-4
The Model 2120 The battery is not Plug in the Model 2120
will only operate charged or is AC Adapter to charge the
when it is depleted. battery.
plugged in.
The battery is Return the Model 2120 to

inoperable. NONIN Customer
Support for repair or
replacement.
If these solutions do not correct the problem, please contact NONIN

Customer Support at (800) 356-8874 (USA and Canada) or
(763) 553-9968.
3464-001-02
15-5

Model 2120: Operator's Manual

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2120.

This declaration is based on:

Certification of a Quality System to ISO 9001 : 1994 / EN 46001 : 1996

Certification according to Annex II, Clause 3 of EC Directive No. 93/42/

Place: Nonin Medical, Inc.

Name: Jerry Zweigbaum

CAUTION! Federal law (USA) restricts this device to sale by or

CAUTION! Read this entire manual carefully before using the

Nonin Medical, Inc.

References to “NONIN” in this manual shall imply Nonin Medical, Inc.

© 2001 Nonin Medical, Inc.

About this Manual .........................................1-1

Guide to Symbols ...........................................2-1

Intended Use .................................................3-1

Precautions for Use .......................................4-1

Description and Features ..............................5-1

Using the Model 2120 ....................................6-1

Alarms and Limits .........................................7-1

Care and Maintenance ..................................9-1

Theory of Operation ......................................10-1

Parts and Accessories ....................................12-1

Service and Support .......................................13-1

There are many ways to find information in this manual.

NOTE: There are many contraindications, warnings, and

Main Alarm LED

%SpO2 %SpO2 Display

Pulse Rate Display

Pulse Oximeter Sensor LED

Pulse Strength Bargraph LED

Systolic Systolic Pressure Display

Diastolic Diastolic Pressure Display

MAP Mean Arterial Pressure Display

Alarm Silence LED

Pulse Volume LED

Alarm Volume LED

Auto NIBP Mode LED

AC Power Adapter LED

Auto NIBP Cycle Time button

NIBP History Review button

Initial Cuff Pressure button

Alarm Silence button

Attention: See Instructions for Use or related

Type BF Applied Part: Defibrillator Proof

SSIFIE UL Mark for Canada and the United States

C UL US mechanical hazards only in accordance with UL

CE Marking indicating conformance to EC

Serial Number (located under the battery

3.2 Pulse Oximeter Intended Use ............................................. 3-2

3.3 Blood Pressure Monitor Intended Use ................................ 3-2

3.1 Indications for Use

3.2 Pulse Oximeter Intended Use

3.3 Blood Pressure Monitor Intended Use

Precautions for Use

Do not use the blood pressure module of the Model 2120

This equipment is intended for use in the presence of elec-

As with all medical equipment, carefully route patient

Use the Model 2120 only within the specified temperature

Do not use a damaged sensor or NIBP cuff under any cir-

All parts and accessories connected to the serial port of the

Use the Model 2120 with 300PS-XX, where XX represents

Use only NONIN-manufactured pulse oximeter sensors.

Discontinue use of adhesive tape strips if the patient

Explosion Hazard: Do not use the Model 2120 in an