Masimo Radical Signal Extraction Manual do Operador Página 32

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Rad-8 Signal Extraction Pulse Oximeter Operator’s Manual 4-7
4
operation
SENSOR PLACEMENT
If the SpO
2
,
readings are questionable or unavailable, do the following:
Make sure the emitter and detector are aligned directly opposite each other.
Select a site where the distance between the emitter and detector is minimized.
Wipe the sensor site with a 70% isopropyl alcohol pad or rubefacient cream (10-30%
methyl salicylate and 2-10% menthol) for 20-30 seconds to increase perfusion. However,
strong vasodilator creams, such as nitroglycerin paste, are not recommended.
If possible, remove electrical noise sources such as electro-surgical devices or other
electrical/electronic equipment. If these solutions are not possible, operate the Rad-8 on
battery power, or try plugging the device into a different electrical outlet.
If artificial nails or excessive fingernail polish are present, select another site or remove
the polish/artificial nails.
If possible, ensure that the sensor is placed in a location with low ambient light. Although
the Rad-
8 with integrated Masimo SET technology has significant immunity to ambient
light, excessive ambient light may cause readings to be incorrect.
CAUTION: IF ANY MEASUREMENT SEEMS QUESTIONABLE, FIRST CHECK THE
PATIENT’S VITAL SIGNS BY ALTERNATE MEANS AND THEN CHECK THE
PULSE OXIMETER FOR PROPER FUNCTIONING.
SENSITIVITY
The Rad-8 Pulse Oximeter is equipped with
3 different sensitivity modes. Each mode allows
the clinician to change the sensitivity settings of the device to meet the increased demands
of the patient’s physiological condition or enable it to work during periods of low perfusion
and/or motion. They are as follows:
Normal Sensitivity
(NORM) This is the recommended mode for patients that are
experiencing some compromise in blood flow or perfusion. It is advisable for care
areas where patients are observed frequently, such as an intensive care unit (ICU).
Adaptive Probe Off Detection (APOD)This is the recommended start-up
monitoring mode for most patients with acceptable perfusion or where a more robust
sensor off detection is desired. It is the suggested mode for care areas where patients
are not visually monitored continuously. This mode delivers enhanced protection
against erroneous pulse rate and arterial oxygen saturation readings when a sensor
becomes inadvertently detached from a patient.
Maximum Sensitivity (MAX) - This mode is recommended for patients with low
perfusion or when the low perfusion or low signal quality message is displayed on the
screen in APOD or normal sensitivity mode. This mode is not recommended for care
areas where patients are not monitored visually, such as general wards. It is designed
to interpret and display data at the measuring site when the signal may be weak due
to decreased perfusion. When a sensor becomes detached from a patient, it will have
compromised protection against erroneous pulse rate and arterial saturation readings.
A
lso, after a power off and on cycle, the sensitivity will change from the MAX to the
factory default or user configured default setting of APOD or NORM.
CAUTION: WHEN USING THE MAXIMUM SENSITIVITY SETTING, THE PERFORMANCE
OF THE SENSOR OFF DETECTION MAY BE COMPROMISED. IF THE
DEVICE IS IN THIS SETTING AND THE SENSOR BECOMES DISLODGED
FROM THE PATIENT, THE POTENTIAL FOR FALSE READINGS MAY
OCCUR DUE TO ENVIRONMENTAL ‘NOISE’ SUCH AS LIGHT, VIBRATION
AND EXCESSIVE AIR MOVEMENT.
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