A&D Medical
Pulse Oximeter
Need help with your Pulse Oximeter?
Find everything you need to know, from set up to measurement best practices and troubleshooting. We’ve got you covered.

How It Works
Setup and Use
Power Your Gateway
Plug your Gateway into a power outlet
With the provided power cord and wait until the LED on the Gateway turns RED.
Insert Batteries
Insert the 2 AAA batteries included with your device.
Insert Finger Into Pulse Ox
Insert one finger completely into the measurement section of the Oximeter with your fingernail pointing up towards the screen.
Press Power On Pulse OX
Stand within 20 feet of the Tenovi Gateway and press the power button on the oximeter.
Wait 20 seconds
Daily Measurements
Take one measurement each day unless advised otherwise by your healthcare provider. The LED will turn RED each morning and then turn GREEN once a measurement has been successfully transmitted.
If you are in need of more supplies for your glucometer, please enter your Gateway ID below. You can find your Gateway ID on the back of your Gateway where the power cord is connected.
When Taking Measurements
Before You Measure
- This oximeter is not intended for continuous monitoring.
- It is good practice to position the hand and arm horizontal with the ground.
- Be sure to insert finger fully into the device. The finger tip should be pressed to the end of the clip, with the silver dot and red light centered on the fingertip.
- Measurement accuracy may be influenced by fingers that are too cold, too thin, or if fingernails are too long. You can use a larger finger such as your thumb or middle finger.
Preparing to Take Your Measurement
- Must remove finger from pulse ox for the Gateway to turn green and transmit the measurement.
- If a second measurement is taken before the device has turned off, the pulse ox will record the measurement in its storage but may fail to send it to the Gateway. However, that second reading will be sent to the Gateway on the next connection cycle. We recommend waiting for the pulse ox to turn off before taking a second measurement
- To avoid affecting its performance DO NOT place the oximeter in direct sunlight, high temperature, humidity, dust, cotton wool or near water. If the oximeter gets wet, please stop using it.
- When the oximeter is carried from cold environment to warm or humid environment, please wait 4 hours before using.
Error Codes
- This device does not display error codes.
Device Specifics
Pairing and Bonding
- There is no bonding or pairing process needed for this device. The A&D Pulse Oximeter will connect automatically out of the box during the measurement.
Storage Events
- The A&D Pulse Oximeter can store up to 127 historical measurements. When you're on vacation and not near the Gateway, the A&D Pulse Oximeter can store up to 127 measurements. If you take more than 127 readings while still away from the Gateway, the first measurement you took will be erased as you take new ones.
Maintenance
- There is no need to calibrate the oximeter.
- Remove the batteries before cleaning.
- To clean, use 75% isopropanol alcohol dampened on a soft cloth. Then, wipe the oximeter for disinfection. Let it air dry or use a soft cloth.
- DO NOT spray liquid directly on the oximeter.
Device Reissue
- If this is a replacement device please visit the Tenovi Web App for further assistance.
Gateway Basics
Getting Started
- 1. Connect the Gateway power cord to an electrical outlet.
- 2. Plug the Gateway power cord into the Gateway
- 3. The Gateway LED will first flash PURPLE for up to 10 minutes.
This means that the Gateway is trying to connect to a cell tower. Once connected to a cellular network, the Gateway will turn RED. If it goes RED and back to PURPLE , it’s looking for the strongest signal. The Gateway will go from PURPLE to BLUE if it can’t find a signal.
Taking A Measurement
- 1. Take a measurement with the Tenovi device(s) included with the Gateway.
- 2. When the Gateway is RED it’s ready for you to take your daily measurement. The Gateway LED will turn YELLOW while a measurement is being taken, and will flash GREEN when the measurement has been successfully transmitted.
- 3. The LED will remain GREEN for the remainder of the day, however you can take as many additional readings as necessary and all readings will transmit.
- 4. The LED will revert back to RED everyday at midnight, acting as a reminder to take a reading every day.
Gateway LED Color Guide
Looking for signal
Found signal
Unable to connect
Measurement needed
Measurement received
Steps to Whitelist Device
- 1. Prepare the Environment: Ensure that the only device near the Gateway is the one you want to add to the whitelist. All other devices should be at least 3 feet away. Plug the power cable into the Gateway.
- 2. Position the Device: Place the device you want to whitelist as close as possible to the Gateway.
- 3. Activate Whitelist Mode: Press and hold down the button on the Gateway until you see a pulsing white light.
- 4. Take a Measurement: Use the device to take a measurement. Once the Gateway connects to the device, the pulsing white light will stop. You will see the normal connection sequence, and when it is done, a white light will appear near the top of the LED ring.
- 5. Verify Whitelisting: Ensure that the LED ring displays a white section at the top, indicating a successful whitelisting attempt.
- 6. Repeat these steps for each device you need to whitelist. If you need to remove a device from the whitelist, disconnect the Gateway from power, press and hold the center button while reconnecting to power, wait for a beep and flash, then release the button.
Sources
- National Institutes of Health. (2023). Getting an accurate read on pulse oximeters. MedlinePlus Magazine.