SpO2 Connector Pin-Out Reference: All Major Brands | BMET Technical Guide

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By MedLinket Clinical Engineering Team Reviewed by: BMET Technical Advisory Board Last Updated: March 2026 Reading Time: ~14 min

Quick Answer: This reference covers SpO2 connector pinout configurations for the major pulse oximetry technologies — Nellcor OxiMax (9-pin D-sub), Masimo SET (14/15-pin proprietary), Philips FAST (8-pin D-sub), GE TruSignal (11-pin Ohmeda), and Mindray (proprietary 7-pin) — with signal descriptions for each pin. All SpO2 sensors use the same five core signals (red LED drive, IR LED drive, photodiode return, ground, sensor ID) but implement them through incompatible connector and protocol designs.

SpO2 Connector Pin-Out Reference: All Major Brands | BMET Technical Guide

This page covers the electrical pinout and signal specifications of SpO2 connectors. To check which SpO2 sensor is compatible with your specific monitor model, see our patient monitor accessory compatibility matrix. For troubleshooting SpO2 errors after sensor replacement, see our patient monitor error codes troubleshooting guide. For cable shielding and impedance requirements that affect signal quality, refer to our medical cable specifications guide.

1. How SpO2 Sensors Work: Signal Architecture

Every SpO2 sensor operates on the same physical principle: two LEDs (red at ~660 nm and infrared at ~905–940 nm) transmit light through perfused tissue, and a photodiode on the opposite side detects the transmitted light. The ratio of red to infrared absorption, modulated by arterial pulsation, determines oxygen saturation.

From an electrical engineering perspective, the sensor cable carries drive signals to the LEDs, returns the photodiode's analog signal to the monitor's SpO2 module, and transmits sensor identification data that tells the module which LED wavelengths and calibration coefficients to use. The differences between SpO2 technologies lie not in the fundamental measurement principle, but in how these signals are encoded, multiplexed, and identified across the connector interface.

Standards Reference (P2-3 Fix): SpO2 pulse oximetry is governed by ISO 80601-2-61:2019 (Medical electrical equipment — Particular requirements for basic safety and essential performance of pulse oximeter equipment). The standard specifies accuracy requirements (Arms ≤ 4% for SpO2 values 70–100% per ISO 80601-2-61:2019, §201.12.1.101) but does not mandate a specific connector pinout — which is why each manufacturer uses a proprietary design. LED wavelength specifications follow IEC 60601-1 electromagnetic compatibility requirements for medical electrical equipment.

2. The Five Core Signals in Every SpO2 Connector

Despite the diversity of connector designs, every SpO2 sensor interface carries the same five functional signal groups. Understanding these signals is the foundation for interpreting any manufacturer's pinout.

Signal Function Typical Characteristics Failure Mode if Broken
Red LED Drive Powers the red LED (~660 nm wavelength) in the sensor Pulsed current, typically 20–50 mA peak; time-multiplexed with IR LED "Sensor off" or no waveform; monitor may display "Low signal quality"
IR LED Drive Powers the infrared LED (~905–940 nm) in the sensor Pulsed current, time-multiplexed with red LED; alternating drive cycle "Sensor off" or erratic SpO2 values; waveform may be absent or noisy
Photodiode Return Carries the detected light signal from photodiode back to the monitor Low-level analog current (nanoamps to microamps); highly sensitive to noise No reading; "Sensor off"; or wildly fluctuating SpO2 if intermittent
Ground / Shield Signal reference and electromagnetic shielding Connected to cable shield; critical for noise rejection Excessive artifact; noisy waveform; motion artifact amplification
Sensor ID / Calibration Identifies sensor type to the module; provides LED wavelength calibration data Coded resistor (Nellcor), digital signal (Masimo), or resistor + digital (Philips) "Incompatible sensor" error; "Unsupported sensor"; module refuses to read

Signal characteristics based on published SpO2 module service manuals and IEC 60601-1-2:2014 EMC requirements for medical devices.

BMET Insight: When troubleshooting SpO2 connector issues, the sensor ID signal is the most common single point of failure. A broken sensor ID line produces an "incompatible sensor" error even though the optical components are functional. This is because the monitor's firmware requires a valid sensor ID before it will energize the LEDs — a safety feature per ISO 80601-2-61 that prevents the monitor from driving unknown LED wavelengths without proper calibration data.

3. NELLCOR OxiMax — 9-Pin D-Sub Pinout

Nellcor OxiMax is one of the most widely deployed SpO2 technologies in hospitals worldwide. The system uses a standard 9-pin D-sub (DB9) connector with a specific pin assignment. OxiMax sensors contain a coded resistor on the sensor ID pins that communicates the LED wavelength pair and calibration coefficients to the module.

Pin Signal Description Wire Color (typical)
1 Shield / Drain Cable shield drain wire Bare / Foil
2 Red LED Anode (+) Drive current to red LED (~660 nm) Red
3 IR LED Anode (+) Drive current to IR LED (~905 nm)
4 LED Cathode (−) Common return for both LEDs Black
5 Photodiode Anode (+) Detected signal from photodiode Blue / White
6 Photodiode Cathode (−) Photodiode signal return Green
7 Sensor ID (Rcal) Coded resistor — wavelength calibration
8 Sensor ID Return Return path for calibration resistor
9 Ground Signal ground reference Black / Green

Pin assignments based on Nellcor OxiMax service documentation. Actual wire colors may vary by sensor manufacturer and model.

Compatible Nellcor OxiMax Products

Direct-connect sensors: Adult clip, Adult soft, Multi-site Y-type. Short sensors: DS-100A, D-YS multi-site. Adapter cables: DEC-8, DOC-10. Disposable sensors: MAX-A adult, MAX-P pediatric, MAX-N neonate, MAX-I infant.

4. MASIMO SET — 14/15-Pin Proprietary Pinout

Masimo SET (Signal Extraction Technology) uses a proprietary connector with a higher pin count than Nellcor. The additional pins carry digital sensor identification and advanced calibration data. Masimo's LNCS (Low Noise Cable System) and M-LNCS sensor families use slightly different connector variants but share the same signal architecture.

Pin Group Signal Description
Pins 1–2 Red LED Drive Drive current to red LED (~660 nm); differential pair
Pins 3–4 IR LED Drive Drive current to IR LED (~940 nm); differential pair
Pins 5–6 Photodiode Signal Detected optical signal; differential pair for noise rejection
Pins 7–8 Ground / Shield Signal reference and cable shielding
Pins 9–11 Digital Sensor ID Masimo proprietary digital identification — sensor type, calibration data, usage tracking
Pins 12–14/15 Reserved / Additional Additional calibration, future expansion, or cable-type identification

Signal groups based on Masimo SET technical documentation. Exact pin-level assignments are proprietary; the table shows functional signal groups.

Important Note: Masimo's digital sensor ID system includes usage tracking in some sensor families. Disposable sensors may be programmed for single-patient use and will generate an "expired sensor" message after a defined period. This is a firmware-level feature, not a connector pinout issue. If you encounter this message, replace the disposable sensor rather than troubleshooting the cable. For ongoing Masimo compatibility guidance, see our article on compatible Masimo SpO2 sensors for multi-brand monitors.

Compatible Masimo Products

Adapter cable: M-LNC-10 (2525), 0012-00-1653. Short sensor: 1864, LNOP DCI (1269), 3178. Disposable: 4000 adult, 4001 pediatric, 4002 infant, 4003 neonate, LNCS Neo.

5. PHILIPS FAST — 8-Pin D-Sub Pinout

Philips FAST (Fourier Artifact Suppression Technology) uses an 8-pin D-sub connector for direct-connect sensors on IntelliVue monitors. Philips also supports Nellcor OxiMax and Masimo SET through interchangeable SpO2 modules with different adapter cables.

Pin Signal Description
1 Red LED Drive Drive current to red LED (~660 nm)
2 IR LED Drive Drive current to IR LED (~940 nm)
3 LED Common (−) Common cathode return for both LEDs
4 Photodiode (+) Detected optical signal
5 Photodiode (−) Photodiode return / reference
6 Sensor ID Calibration resistor — identifies sensor type and wavelength pair
7 Shield / Ground Cable shield and signal ground
8 Sensor ID Return Return path for sensor identification circuit

Pin assignments based on Philips IntelliVue service manual documentation. Philips adapter cables (M1940A, M1941A, M1943A) route these signals to Nellcor or Masimo sensor formats when non-FAST modules are installed.

Compatible Philips FAST Products

Direct-connect: M1191BL adult clip, M1192A pediatric, M1194A ear clip, M1196A neonatal. Short sensors: M1191A, M1195A, M1192T. Adapter cables: M1940A, M1941A, M1943A/NL, 989803148221, M1020-61100, M1900B.

For complete Philips monitor accessory compatibility including ECG, NIBP, IBP, and temperature, see our Philips & GE patient monitor service guide.

6. GE TruSignal — 11-Pin Ohmeda Pinout

GE TruSignal is GE Healthcare's proprietary SpO2 technology. It uses an 11-pin Ohmeda-style round connector. GE CARESCAPE monitors may also support Masimo SET and Nellcor OxiMax through interchangeable SpO2 modules — verify which module is installed before ordering sensors.

Pin Group Signal Description
Pins 1–2 Red LED Drive Drive current to red LED
Pins 3–4 IR LED Drive Drive current to IR LED
Pin 5 LED Common Common cathode return
Pins 6–7 Photodiode Signal Detected optical signal and return
Pins 8–9 Sensor ID GE proprietary sensor identification
Pin 10 Shield / Ground Cable shield and signal reference
Pin 11 Reserved Future expansion / cable ID

Signal groups based on GE Datex-Ohmeda service documentation. GE TruSignal sensors include a Datex-Ohmeda heritage connector that is mechanically distinct from Nellcor and Masimo interfaces.

Compatible GE TruSignal Products

Direct-connect: TS-SA4-GE adult, TS-E4-GE ear clip, OXY-F4-N. Adapter cables: 2021406-001, TS-G3, TS-N3. Disposable: TS-AP-25, TS-AF-25, TS-PAW-10.

MedLinket manufactures compatible SpO2 sensors and adapter cables for all major technologies — Nellcor, Masimo, Philips FAST, GE TruSignal, and Mindray — with ISO 13485 certification and complete pinout compatibility.

Direct-Connect Sensors Adapter Cables Disposable Sensors

7. MINDRAY — 7-Pin Proprietary Pinout

Mindray uses a proprietary 7-pin round connector for its native SpO2 technology on BeneVision, iPM, and iMEC series monitors. Mindray also supports Masimo and Nellcor modules on some models via separate SpO2 module slots.

Pin Signal Description
1 Red LED Drive Drive current to red LED
2 IR LED Drive Drive current to IR LED
3 LED Common Common cathode return
4 Photodiode (+) Detected optical signal
5 Photodiode (−) Photodiode signal return
6 Sensor ID Coded resistor for sensor identification
7 Shield / Ground Signal ground and cable shield

Compatible Mindray Products

Direct-connect: 512FLH adult clip, Adult soft, Adult ear clip, Neonatal wrap. Adapter cables: 0010-20-42710, 115-020768-00, 115-023135-00. For complete Mindray accessory details, see our Mindray patient monitor technical resources.

8. Nihon Kohden — 9-Pin Pinout

Nihon Kohden uses a 9-pin proprietary connector on BSM and Life Scope series monitors. The signal architecture follows the standard five-signal model with Nihon Kohden-specific sensor identification.

Compatible Nihon Kohden Products

Direct-connect: P205A/TL-220T/P225G. Short sensors: TL-201T. Adapter cables: JL-900P, JL-650P, JL-302T. Disposable: TL-271T adult, TL-272T pediatric, TL-273T neonate, TL-274T infant.

9. Adapter Cable Signal Routing

SpO2 adapter cables sit between the monitor's SpO2 module connector and the sensor connector. They serve two purposes: physical connector format conversion, and in some cases, passive signal conditioning (resistor networks or decoupling capacitors that are part of the technology-specific signal path).

Critical Rule: Adapter cables are technology-specific, not just connector-specific. A cable that physically fits a Nellcor sensor into a Philips monitor connector does not make the sensor compatible unless the Philips monitor has a Nellcor OxiMax module installed. The adapter cable routes signals according to a specific technology's pinout mapping. Using the wrong adapter cable can produce no reading, an "incompatible sensor" error, or — in the worst case — incorrect SpO2 values without an error.
Monitor Brand Module Type Adapter Cable Sensor Technology Supported
Philips IntelliVue FAST module M1941A Philips FAST sensors
Philips IntelliVue Nellcor OxiMax module M1943A/NL Nellcor OxiMax sensors
Philips IntelliVue Masimo SET module M1940A Masimo SET sensors
GE CARESCAPE TruSignal module 2021406-001 GE TruSignal sensors
GE CARESCAPE Nellcor module GE-specific Nellcor adapter Nellcor OxiMax sensors
Mindray Native module 0010-20-42710 Mindray native sensors
Mindray Masimo module 115-020768-00 Masimo SET sensors
Nihon Kohden Native module JL-900P Nihon Kohden sensors

10. Continuity Testing and Fault Isolation

When an SpO2 sensor or cable is suspected of failure, BMETs can use a digital multimeter (DMM) to test continuity and isolate the fault to a specific signal path. Follow these safety precautions per IEC 62353 recurrent testing guidelines:

  • Always disconnect the sensor/cable from the patient monitor before testing.
  • Use the multimeter's built-in test current only — do not apply external voltage to the sensor.
  • Test at both ends of the cable to isolate whether the fault is in the connector, the cable, or the sensor element.

LED Drive Lines (Red and IR)

Set the DMM to diode test mode. Place probes across the LED anode and cathode pins. The red LED should show a forward voltage of approximately 1.6–2.0 V. The IR LED should show approximately 1.1–1.4 V. An open circuit (OL) indicates a broken LED or severed wire. A short circuit (~0 V) indicates a shorted LED or pinched cable.

Photodiode Signal Path

Set DMM to diode test mode. The photodiode should show a diode drop (~0.4–0.7 V) in one direction and open circuit in the other. Readings at the connector end should match readings at the sensor end — a discrepancy indicates a cable break.

Sensor ID / Calibration Resistor

Set DMM to resistance mode (20kΩ range). Measure across the sensor ID pins at the connector. Nellcor OxiMax sensors typically show a calibration resistor between 750 Ω and 68 kΩ depending on sensor type. An open circuit on the ID pins is the most common cause of "incompatible sensor" errors. For systematic troubleshooting beyond cable testing, see our medical cable inspection and testing methods guide.

Standards Reference (P2-3 Fix): Electrical safety testing of SpO2 cables follows IEC 62353:2014 (Medical electrical equipment — Recurrent test and test after repair). Section 5 specifies visual inspection, protective earth resistance, insulation resistance, and equipment leakage current tests. Document all test results per your facility's documentation and compliance requirements. Calibration of test instruments should follow calibration schedule requirements.

11. Cross-Technology Compatibility Summary

The following matrix summarizes which SpO2 technologies are electrically compatible with each other. The answer for all cross-technology combinations is the same: they are not compatible.

Sensor ↓ / Module → Nellcor OxiMax Masimo SET Philips FAST GE TruSignal Mindray
Nellcor OxiMax Sensor ✓ Compatible
Masimo SET Sensor ✓ Compatible
Philips FAST Sensor ✓ Compatible
GE TruSignal Sensor ✓ Compatible
Mindray Sensor ✓ Compatible

Each monitor may support multiple technologies through interchangeable modules — for example, a Philips IntelliVue can run FAST, Nellcor, or Masimo depending on which module is installed. The key is to match the sensor to the module, not the monitor brand. For complete which-fits-which lookup, see our patient monitor accessory compatibility matrix.

When purchasing compatible sensors from manufacturers like MedLinket, verify that the sensor is designed for the specific technology (not just the monitor brand). For a structured evaluation process when sourcing compatible SpO2 sensors, see our third-party accessory evaluation framework. For cost comparisons between OEM and compatible options, see our OEM vs compatible accessories analysis.

MedLinket produces SpO2 sensors and adapter cables compatible with Nellcor OxiMax, Masimo SET, Philips FAST, GE TruSignal, Mindray, and Nihon Kohden technologies — all ISO 13485 certified with verified pinout compatibility.

All SpO2 Sensors & Cables Short SpO2 Sensors

Frequently Asked Questions

What is the difference between Nellcor OxiMax and Masimo SET connectors?

Nellcor OxiMax uses a 9-pin D-sub connector with a coded calibration resistor. Masimo SET uses a proprietary 14/15-pin connector with digital sensor identification. They are electrically incompatible — a Nellcor sensor cannot be used on a Masimo module, and vice versa. Each requires its own dedicated adapter cable and sensor family.

How many pins does a Philips FAST SpO2 connector have?

Philips FAST uses an 8-pin D-sub connector for direct-connect sensors. Some Philips modules support a 12-pin configuration for adapter cables interfacing with Nellcor or Masimo sensors. The 8-pin carries red LED drive, IR LED drive, photodiode signal, ground, and sensor identification signals.

Can I use a multimeter to test SpO2 connector pin continuity?

Yes. You can verify continuity using diode-test or resistance mode. The red LED typically shows 1.6–2.0 V forward voltage; the IR LED shows 1.1–1.4 V. The photodiode shows a diode drop in one direction. Always disconnect from the patient monitor first, and only use the multimeter's built-in test current per IEC 62353 safety guidelines. For a complete testing procedure, see our cable inspection and testing methods.

Why does my SpO2 sensor show "incompatible sensor" after connecting?

This error means the sensor's technology protocol does not match the SpO2 module. Each technology uses a different digital handshake and sensor ID method. Verify that the sensor, adapter cable, and SpO2 module all belong to the same technology family. For systematic troubleshooting, see our patient monitor error codes guide.

What signals are carried on SpO2 sensor pins?

Every SpO2 sensor uses five core signals: red LED drive (~660 nm), infrared LED drive (~905–940 nm), photodiode return, ground/shield, and sensor identification (coded resistor or digital ID). Some technologies add calibration data and digital communication lines, which is why pin counts range from 7 to 15 across platforms.

Are SpO2 adapter cables technology-specific or universal?

Technology-specific. An adapter cable for Nellcor OxiMax will not work with Masimo SET sensors even if the physical connector fits. Adapter cables contain passive components that are part of the technology-specific signal path. Always match the adapter cable to the SpO2 module installed, not just the connector shape. For vendor evaluation when sourcing cables, see our vendor qualification checklist.

About MedLinket: Founded in 2004, MedLinket specializes in patient monitoring accessories including SpO2 sensors compatible with Nellcor OxiMax, Masimo SET, Philips FAST, GE TruSignal, Mindray, and Nihon Kohden technologies. With ISO 13485:2016, FDA 510(k) (19 clearances), CE marking, MDSAP certification, three self-owned factories, 3,500+ mold sets, and products deployed across 120+ countries, MedLinket provides complete pinout-verified compatibility and full regulatory documentation for every sensor and cable. Product liability insurance coverage up to $5 million USD.

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  • All other companies and brand names mentioned on this page are for identification purposes only and do not imply any affiliation, partnership, or endorsement of our products
  • The picture and the object differ slightly in appearance (e.g., connector design, color), but function the same.