[ Nellcor Facts ]

You Need Accuracy the Most When Risk is Highest

Learn the truth about Nellcor™ technology.

The Nellcor Facts pages provide educational information about Nellcor™ with OxiMax™ technology as well as current clinical trends in pulse oximetry monitoring.

Cardiac-based SpO2

Cardiac Based SpO2 White Board Animation

The methods for determining Nellcor pulse oximetry SpO2 values are founded on the fact that the patient’s true arterial oxygen saturation is associated with the patient’s cardiac-induced pulse. Nellcor focuses on the persistent and generally repetitive nature of these signals, since most patients exhibit a repetitive cardiac cycle.

The Beat Goes On Video

Watch a demonstration of accurate and reliable monitoring during a simulated cardiac arrest. This simulation test was created to show that monitoring beat-to-beat behavior enhances patient safety by providing greater accuracy and reliability.

Clinical Solutions: Alarm Management

Covidien is the only company to receive FDA clearance for a motion-tolerant bedside pulse oximeter portfolio that is also compliant with ISO 80601-2-61 (International Organization for Standardization) standards for pulse oximetry. Nellcor™ SatSeconds Alarm Management: An estimated 85 percent to 99 percent of alarms in healthcare facilities don’t require clinical intervention.1,2 Because of this high percentage of insignificant alerts, clinicians can develop “alarm fatigue,” which can result in their tuning out these notifications and missing the alarms that truly signal a patient’s critical medical crisis. Monitor alarms are designed to alert caregivers to changes in a patient’s condition and can save lives. However, as the number of alarms encountered by clinicians on a daily basis rises, it has become difficult for caregivers to distinguish between clinically significant alarms and nuisance alarms. As a result, alarm fatigue has become a serious issue, which puts patients at risk. The SatSeconds feature analyzes desaturation events by multiplying their duration, in seconds, by the number of percentage points the patient's saturation drops below the SpO2 alarm limit. As a safety precaution, when three or more SpO2 alarm violations occur within 60 seconds, an alarm will sound even if the SatSeconds limit has not been reached.

Visit the Clinical Solutions Alarm Management web page.

1. Graham KC, Cvach M. Monitor alarm fatigue: standardizing use of physiological monitors and decreasing nuisance alarms. Am J Crit Care. 2010;19(1):28-35.

2. The Joint Commission. Medical device alarm safety in hospitals. Sentinel Event Alert. April 8, 2013; issue 50. Available at: http://www.jointcommission.org/assets/1/18/SEA_50_alarms_4_5_13_FINAL1.PDF.

United States CCHD Guidelines

CCHD guidelines recommend using motion-tolerant pulse oximeters

Nellcor™ pulse oximetry monitors are designed to meet your CCHD screening needs:

  • 1. Motion-tolerant pulse oximeter
  • 2. Reports functional oxygen saturation
  • 3. Has been validated in low perfusion conditions
  • 4. Has been cleared by the FDA for use in newborns
  • 5. Has an accuracy of ± 2%

Covidien is the only company to receive FDA clearance for a motion-tolerant bedside pulse oximeter portfolio that is also compliant with ISO 80601-2-61 (International Organization for Standardization) standards for pulse oximetry.

Get the Facts

A published study revealed an artifact in Masimo pulse oximeters, that increased saturation values of 87-90% by an additional 2%. In CCHD screening, an increase from 89% to 91% could mask some cases of CCHD, resulting in false negative screens with the Masimo pulse oximeters.1

See Videos

1. Johnston ED, Boyle B, Juszczak E, King A, Brocklehurst P, Stenson BJ. Oxygen targeting in preterm infants using the Masimo SET Radical pulse oximeter. Arch Dis Child Fetal Neonatal Ed. 2011;96(6):F429-33.

Nellcor Videos

Nellcor™ with OxiMax™ Technology

See how Nellcor™ with OxiMax™ technology uses the pulse to derive accurate SpO2 values.

The Beat Goes On

See the importance of monitoring beat-to- beat cardiac behavior to help enhance patient safety.

Motion Tolerance

Learn the clinical importance of motion tolerance in pulse oximetry technology.

What is the Digi-Cal Advantage?

Nellcor™ pulse oximetry with OxiMax™ technology is different from other pulse oximetry technology because we place the individual sensor's calibration curve in the sensor itself. Why does this matter? Because with an individual calibration curve placed in the sensor, Nellcor™ with OxiMax™ technology provides superior monitor and sensor performance. The Nellcor™ OxiMax™ technology monitoring system incorporates a small digital memory chip within every Nellcor™ OxiMax™ sensor. This technology enables the monitor to deliver accurate SpO2 and pulse rate readings even when confronted with challenging conditions such as patient motion combined with low perfusion.1

To take advantage of the latest Nellcor™ technology innovation, it is not always necessary to purchase new bedside monitors or multi-parameter monitor equipment.

New sensors and monitor enhancements can be added at any time.

1. Internal Covidien Studies: Nellcor Technical Staff. A Technology Overview of the Nellcor™ with OxiMax™ Pulse Oximetry System, 2003.

Pre-Hospital Patients

Innovation in motion

When risk is highest, you need accuracy the most. In the pre-hospital/EMS environment, it can be helpful to have a small, lightweight, ergonomic pulse oximetry monitor that is reliable, even in difficult monitoring conditions.1 NellcorTM hand-held patient monitors incorporate patented NellcorTM digital signal processing technology to deliver accurate, reliable SpO2 and pulse rate values even during low perfusion and signal interference, including patient motion.2

Resources

Check out our Resources Section for additional materials on NellcorTM technology available for viewing.

1. 10101937 - Motion, Clinical Protocol 081400-N Rev F-1 - Low Perfusion Testing Nell1

Accuracy Matters

NellcorTM portable PM10N SpO2 patient monitoring system

The NellcorTM portable PM10N monitor is intended to monitor a broad range of patients in mobile, pre-hospital and EMS environments.

  • LoSat expanded accuracy range (60% to 100% SpO2) when used with NellcorTM adhesive sensors with OxiMaxTM technology.
  • 80 hours of data storage capability.
  • Rugged transport protective cover available for use in the EMS environment.

View the NellcorTM PM10N information sheet

NellcorTM N-85 hand-held capnograph/pulse oximeter with OxiMaxTM technology

The NellcorTM N-85 hand-held monitor is designed for patient care, anywhere. Engineered with both MicrostreamTM capnography and NellcorTM pulse oximetry with OxiMax technology, the monitor is convenient for spot checks and continuous monitoring in a variety of settings, including EMS/ED, transport, critical care, operating room, sleep lab and during procedural sedation.

  • Advanced digital signal processing technology offers exceptional pulse oximetry performance even during low perfusion and signal interference.1
  • Provides graphical trends and plethysmographic waveform
  • Accuracy Rate: 0 to 38 mm Hga ±2 mm Hg / 39 to 99 mm Hg ±5% of reading.

View the NellcorTM N-85 information sheet

Watch a brief video for more insight on the importance of cardiac-based SpO2 monitoring.

1. 10101937 - Motion, Clinical Protocol 081400-N Rev F-1 - Low Perfusion Testing Nell1

Sensor Choice

NellcorTM pulse oximetry sensors are available in a wide array of options: reusable, adhesive and non-adhesive. Non-adhesive sensors can be used for neonates and patients with sensitive skin. When a patient is in respiratory distress and SpO2 is lower than 80%, accurate, real-time information is crucial. Used with NellcorTM pulse oximeters, the NellcorTM forehead SpO2 sensor may detect hypoxemic events faster than other sensors.2

NellcorTM non-adhesive sensors detect hypoxemic events 90 seconds faster1-3 and feature LoSatTM technology, providing an accuracy range of 60%-100%.4

1. MacLeod DB, Cortinez LI, Keifer JC, et al. The desaturation response time of finger pulse oximeters during mild hypothermia. Anaesthesia. 2005;60(1):65-71.

2. Bebout DE, Mannheimer PD, Wun C-C. Site-dependent differences in the time to detect changes in saturation during low perfusion. Crit Care Med. 2001;29(12)A115.

3. A technology overview of the NellcorTM OxiMaxTM pulse oximetry system. Internal testing.

4. Internal Covidien Studies: Nellcor Technical Staff. A Technology Overview of the NellcorTM with OxiMaxTM Pulse Oximetry System, 2003.

Motion Tolerance

Covidien has a variety of pulse oximeters that are motion-tolerant and compliant with ISO 80601-2-61 (International Organization for Standardization).*

To learn more, view the Motion Study Whitepaper.

*Motion tolerant monitors include NellcorTM PM100N and PM1000N SpO2monitoring systems.

The United States Best Hospitals Use Nellcor™ Technology

The Honor Roll: a place on the best hospitals' honor roll is reserved for medical centers that demonstrate expertise across multiple disciplines, scoring at or near the top in at least six of 16 specialties.1

Is your hospital ranked among the best using Nellcor™ technology?

1. U.S. News & World Report, Best Hospitals, 2015-2016 Edition.

Children's Hospital Colorado
Aurora, CO
Texas Children's Hospital
Houston, TX
Barnes-Jewish Hospital/Washington University
St. Louis, MO
University of Pittsburgh Medical Center
Pittsburgh, PA
Children's Hospital of Pittsburgh of UPMC
Pittsburgh, PA
Hospital of the University of Pennsylvania
Philadelphia, PA
Children's Hospital of Philadelphia
Philadelphia, PA
NYU Langone Medical Center
New York, NY
New York-Presbyterian University Hospital of Columbia and Cornell
New York, NY
Stanford Health
Stanford, CA
Nationwide Children’s Hospital
Columbus, OH

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