Masimo Radical Signal Extraction Instrukcja Operatora Strona 1

Signal Extraction Pulse CO-Oximeter with Rainbow Technology OPERATOR’S MANUAL

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s ManualviiiSECTION 4 - OPERATIONIntroduction. . . . . . . . . . . . . . . . . . . . . . . . .

8-2 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual8Masimo SensorsThe following sensors are compatible for use with the Radical-7 Puls

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 8-38Masimo Sensors (continued)MASIMO SPO2 SENSORSThe Radical-7 may use standard Masimo

8-4 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual8Masimo Sensors (continued)LNOP® Specialty Sensors LNOP sensors must be used in con

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 8-58Masimo Sensors (continued)REATTACHMENT OF SINGLE USE ADHESIVE SENSORSSingle use se

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual8-6

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 9-19Service / MaintenanceIntroductionThis section covers: How to test the operation o

9-2 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual9Battery Operation and MaintenanceThe Radical-7 Pulse CO-Oximeter Handheld includes

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 9-39The following tables outline the estimated run times of the battery powered Radica

9-4 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual9Service / MaintenanceREPLACING THE BATTERIESBefore installing or removing the bat

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 9-59Service / MaintenancePerformance VerificationTo test the performance of the Radica

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s ManualixTrendCom Utility Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . .

9-6 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual9Service / MaintenanceTesting with Masimo SET Tester (Optional):1. Turn the Radica

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 9-79Service / MaintenanceService and RepairREPAIR POLICYMasimo or an authorized Servic

9-8 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual9Service / MaintenanceWarrantyMasimo warrants to the initial Purchaser for a period

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 9-99Service / MaintenanceSales & End-User License AgreementTHIS DOCUMENT IS A LEGA

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual9-10

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 10-110AccessoriesPART NUMBER DESCRIPTION2386 REPLACEMENT BATTERY, RADICAL-7 HANDHELD13

www.masimo.comInstruments and sensors containing Masimo Rainbow SET technology are identified with the Masimo Rainbow SET logo.32218/4742F-0410

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s ManualxMasimo SpO2 Sensors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 1-11OverviewAbout This ManualThis manual explains how to set up and use the Radical-7™

1-2 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual1Warnings, Cautions and NotesPlease read and follow any warnings, cautions and note

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 1-31OverviewProduct DescriptionThe Radical-7 Pulse CO-Oximeter is a noninvasive, arter

1-4 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual1OverviewINDICATIONS FOR USEThe Radical-7 Pulse CO-Oximeter and accessories are ind

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 1-51through a patient cable. The sensor collects signal data from the patient and send

1-6 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual1Overview1light through the site to a diode (detector). Signal data is obtained by

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 1-711Overviewtemperature, the partial pressure of carbon dioxide (PCO2), 2,3-DPG, and

Signal Extraction Pulse CO-OximeterOPERATOR’S MANUAL

1-8 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual1MASIMO SET DST®SpOC12FSTMSTOverviewSpCO, SpMet AND SpHb MEASUREMENTS DURING PATIEN

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 2-12System DescriptionIntroductionThe Radical-7 provides the functionality of three in

2-2 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual2System DescriptionRadical-7 Pulse CO-Oximeter HandheldThe Handheld Radical-7 Pulse

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 2-32System DescriptionHANDHELD FRONT PANEL (CONTINUED)1HANDHELD RELEASE BUTTONPress do

2-4 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual2System DescriptionHANDHELD FRONT PANEL (CONTINUED)11505SpCO ALARM LIMITS DISPLAYTh

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 2-52System DescriptionHANDHELD FRONT PANEL (CONTINUED)2213SpOC*MEASUREMENT DISPLAYThe

2-6 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual2System DescriptionMAIN SCREEN TREND GRAPH DISPLAYThe Radical-7 Pulse CO-Oximeter p

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 2-72System DescriptionHANDHELD BACK PANELThe Handheld back panel features the intercon

2-8 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual2System DescriptionRadical-7 Pulse CO-Oximeter StandaloneWhen the Radical-7 Pulse C

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 2-92System DescriptionSTANDALONE FRONT PANELThe following figure and corresponding tex

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s ManualiThe Radical-7 Pulse CO-Oximeter Operating Instructions provide the necessary informati

2-10 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual2System DescriptionSTANDALONE BACK PANEL1SERIAL OUTPUT CONNECTORUse the Serial Out

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 2-112System DescriptionSYMBOLSThe following symbols are found on the Radical-7 Pulse C

2-12 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual2System DescriptionRadical-7 Monitor InterfaceIn addition to being a full-featured

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 3-13IntroductionBefore the Radical-7 Pulse CO-Oximeter can be used in a clinical setti

3-2 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual3INITIAL BATTERY CHARGINGBefore use, the Radical-7 Pulse CO-Oximeter Handheld batte

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 3-33SetupMonitor SetupThe Radical-7 Pulse CO-Oximeter maintains three types of default

3-4 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual3OPTIONFACTORY DEFAULT SETTING CONFIGURABLE SETTINGTREND DISPLAY PARAMETERS/MEASURE

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 3-53SatShare SetupThe Radical-7 Pulse CO-Oximeter has been proven to be accurate durin

3-6 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual3SATSHARE SETUP (CONTINUED)7. While in the SatShare mode, if there are any signifi

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 3-73 THE RADICAL-7 REVERTS TO INTERFACE ALARM SpO2/BPM “Yes” DURING POWER INTERRUPTI

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s ManualiiNON-INVASIVE TOTAL HEMOGLOBIN (SpHb) ACCURACY COMPARED TO INVASIVE LABORATORY METHODS

3-8 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual35. In order for the plethysmographic waveform to be displayed on the Spacelabs sc

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 4-14OperationIntroductionTo operate the Radical-7 Pulse CO-Oximeter effectively, the i

4-2 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual4GENERAL SETUP AND USE (CONTINUED)10. Verify that the patient alarms are functiona

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 4-34Operationaveraging times delay the response of the oximeter and reduce the measure

4-4 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual4OperationSENSOR TIME REMAININGThe Radical-7 displays the amount of time remaining

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 4-54Operation Intravascular dyes such as indocyanine green or methylene blue. Low

4-6 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual4OperationSIGNAL INDICATION AND QUALITY INDICATOR (SIQ)The Radical-7 Pulse CO-Oxime

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 4-74Operationvalue may be compromised. To acknowledge the Low SpHb SIQ state and displ

4-8 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual4OperationSENSITIVITYThree sensitivity levels enable a clinician to tailor the resp

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 4-94Touch Key Control Button and IconsThe touch key control buttons are the four dark

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manualiii Patient Safety - If a sensor is damaged in any way, discontinue use immediately.

4-10 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual4OperationSimplified User InterfaceBy enabling the Simplified User Interface, user

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 4-114Navigating the Main MenuWhen the main menu is accessed, the plethysmographic and

4-12 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual4MENU TREEALARMSSpO2 High/Low limitPulse rate High/Low limit (bpm)SpMet High/Low l

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 4-134CONFIGEnter password(refer to Section 4 Password Operation)Line Frequency (50 Hz,

4-14 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual4OperationAlarmsCheck alarm limits each time the Pulse CO-Oximeter is used to ensu

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 4-154MENU ITEMS DESCRIPTIONSpCO LOW LIMITThe SpCO low alarm limit can be set as “---”,

4-16 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual4OperationMENU ITEMS DESCRIPTIONSILENCEThis menu allows the user to set the alarm

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 4-174DELAYThis menu allows the users to set an audible saturation delay. The delay ca

4-18 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual4OperationRotate ScreenMENU ITEMS DESCRIPTIONLANDSCAPE 1The viewing screen will be

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 4-194MENU ITEMS DESCRIPTIONTRENDThis allows the user to select and view the Trend data

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s ManualivSAFETY INFORMATION, WARNINGS, CAUTIONS AND NOTES (CONTINUED) Severe anemia Low ar

4-20 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual4OperationClockMENU ITEMS DESCRIPTIONTIMESet the time - hour, minutes and seconds

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 4-214OperationConfig MENU ITEMS DESCRIPTIONENTER PASSWORDSee Section 4, Password Opera

4-22 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual4MENU ITEMS DESCRIPTIONINTERFACE ALARMS SpO2/BPMDuring SatShare, Patient SafetyNet

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 4-234Operation3D ALARMRefer to Section 5, 3D ALARM.OutputNOTE: The output menu select

4-24 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual4OperationOutput (continued)MENU ITEMS DESCRIPTIONANALOG1 ORANALOG 2 (CONTINUED)0V

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 4-254OperationServiceNOTE: The Service menu selections are only available when the Rad

4-26 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual4OperationTrend DisplayOnce the Trend Display touch key icon is selected, the tren

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 4-274OperationTREND DISPLAY SCREEN (CONTINUED)1The top line on the trend display shows

4-28 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual4OperationSECOND PAGENEXT MENU PAG EPress the Next Menu Page button to access the

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 4-294OperationTREND SETUPThis menu allows the user to set the default trend settings o

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s ManualvSAFETY INFORMATION, WARNINGS, CAUTIONS AND NOTES (CONTINUED)designed to provide reason

4-30 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual4MENU ITEMS DESCRIPTIONTREND ACTIONSERIAL DUMPTo send all the data that is stored

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 4-314Trend Setup and UseINTRODUCTIONThe Radical-7 can store up to 72 hours of trend da

4-32 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual46. Name the file.7. Save the file to the appropriate folder. Radical-7 trend

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 4-334SAMPLE TREND OUTPUT07/21/08 09:56:08 SpO2=000 PR=000 PI=00.00 EXC=820:OffPat,SET

4-34 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual4OperationSatShare OperationWhen the SatShare cable is connected to the Radical-7

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 4-354OperationSatShare Operation (continued)CAUTIONS: SATSHARE SIGNALS ARE IDEAL SIM

4-36 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual4OperationHome Mode OperationThe Radical-7 Pulse CO-Oximeter can be placed into th

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 5-15Alarm IdentificationThe Radical-7 visually and audibly indicates alarm conditions

5-2 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual5Alarms and MessagesSystem MessagesThe following chart alphabetically lists all sys

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 5-35MESSAGE POSSIBLE CAUSE(S) RECOMMENDATIONREPLACE ADHESIVEWhen a single patient use

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manualvi

5-4 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual5MESSAGE POSSIBLE CAUSE(S) RECOMMENDATIONLOW SIGNALIQLow signal quality.Ensure prop

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 5-55Alarms and Messages3D ALARM OverviewThe Radical-7 Pulse CO-Oximeter includes user-

5-6 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual5Alarms and MessagesDesat Index AlarmTraditional high and low SpO2 alarm limits ale

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 5-75USER INTERACTION TO IMPLEMENT DESAT INDEX ALARMThe Desat Index Alarm function is e

5-8 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual5Perfusion Index (PI) Delta AlarmPerfusion Index gives an indication of the level o

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 5-95USER INTERACTION TO IMPLEMENT PI DELTA ALARM (CONTINUED)If the PI Delta measuremen

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual5-10

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 6-166-1TroubleshootingTroubleshootingThe following chart describes what to do if the R

6-2 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual6PROBLEM POSSIBLE CAUSE(S) RECOMMENDATIONLOW SIGNAL QUALITYImproper sensor type or

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 6-36PROBLEM POSSIBLE CAUSE(S) RECOMMENDATIONPRINT FUNCTION DOES NOT WORKWrong serial c

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s ManualviiSECTION 1 - OVERVIEWAbout This Manual . . . . . . . . . . . . . . . . . . . . . . .

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual6-4

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 7-17SpecificationsRadical-7 SpecificationsPERFORMANCEMeasurement RangeSpO2: 0 -100%Sp

7-2 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual7ELECTRICALStandaloneAC Power requirements: 100-240 VAC, 47-63 HzPower consumption:

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 7-37SpecificationsSensor condition, system failure and low battery alarmsHigh Priority

7-4 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual74 The Radical-7 has been validated for low perfusion accuracy in bench-top testin

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 7-57SERIAL INTERFACE SETUP (CONTINUED)The pin-outs for the RS-232 connector are shown

7-6 Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual7PIN SIGNAL NAME7Nurse Call (Normally Closed)8Ground9Analog 110Ground11Ground12Nurs

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 7-77The nurse call relays have the following electrical specifications per switch:PARA

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual7-8

Radical-7 Signal Extraction Pulse CO-Oximeter Operator’s Manual 8-18Sensors & Patient CablesIntroductionThis section covers the use and cleaning o