Radical-7 D R AF T 9 25 13 Operator's Manual
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The Radical-7 operating instructions provide the necessary information for proper operation of all models of the Radical-7 Pulse CO-Oximeter system. There may be information provided in this manual that is not relevant for your system. General knowledge of pulse oximetry and an understanding of the features and functions of the Radical-7 are prerequisites for its proper use. Do not operate the Radical-7 without completely reading and understanding the instructions in this manual.
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Contents About this Manual -------------------------------------------------------------------------------------------7 Product Description, Indications for Use, Contraindications, and Features ---------------------- 9 Product Description ------------------------------------------------------------------------------------- 9 Indications for Use------------------------------------------------------------------------------------- 10 Contraindications -----------------------------------------------------------
Radical-7 Contents Using Screen Lock ------------------------------------------------------------------------------------- 46 Using the Home Button ------------------------------------------------------------------------------ 46 Navigating the Radical-7 ----------------------------------------------------------------------------- 47 About the Display View ------------------------------------------------------------------------------- 48 Sensitivity Modes Overview -----------------------------------------
Radical-7 Contents Alarms--------------------------------------------------------------------------------------------------- 112 Display Indicators ------------------------------------------------------------------------------------ 113 Compliance--------------------------------------------------------------------------------------------- 114 Output Interface -------------------------------------------------------------------------------------- 115 Wireless Radio (If Installed) ---------------------------
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About this Manual This manual explains how to set up and use the Radical-7 Pulse CO-Oximeter. Important safety information relating to general use of the Radical-7 appears in this manual. Read and follow any warnings, cautions, and notes presented throughout this manual. The following are explanations of warnings, cautions, and notes. A warning is given when actions may result in a serious outcome (for example, injury, serious adverse affect, death) to the patient or user.
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Product Description, Indications for Use, Contraindications, and Features The following chapter contains the Radical-7 product description, key features and benefits, indications for use, contraindications, and safety information, including cautions, warnings, and notes.
Radical-7 • Product Description, Indications for Use, Contraindications, and Features Signal IQ waveform for signal identification and quality indication during excessive motion and low signal to noise situations. FastSat tracks rapid changes in arterial O2. Variable pitch provides tonal variance for every 1% change in saturation. • SatShare interface allows transfer of SpO2 and pulse rate to an existing multi-parameter monitor and allows for the reading of SpCO, SpMet, SpHb, and SpOC on the monitor.
Safety Information, Warnings, and Cautions The following section lists warnings, caution, notes, and safety information. The Radical-7 is designed to minimize the possibility of hazards from errors in the software program by following sound Engineering Design Processes, Risk Analysis and Software Validation. The Radical-7 is to be operated by qualified personnel only. The manual, accessories, directions for use, all precautionary information, and specifications should be read before use.
Radical-7 Safety Information, Warnings, and Cautions Caution Changing the SpHb Cal, the date and time of the system clock, or the trend period clears the data in the trend memory. Caution Excessive ambient noise may affect the accuracy of the respiration rate reading from the Acoustic Respiration Sensor. Note: Interfering Substances: Dyes, or any substance containing dyes, that change usual blood pigmentation may cause erroneous readings.
Radical-7 Safety Information, Warnings, and Cautions Note: Inaccurate SpO2 readings may be caused by: • Intravascular dyes such as indocyanine green or methylene blue • Externally applied coloring and texture such as nail polish, acrylic nails, glitter, etc.
Radical-7 Safety Information, Warnings, and Cautions Note: Inaccurate SpHb readings may be caused by: Intravascular dyes such as indocyanine green or methylene blue • Externally applied coloring and texture such as nail polish, acrylic nails, glitter, etc.
Radical-7 Safety Information, Warnings, and Cautions Warning Do not use the Radical-7 or sensor during magnetic resonance imaging (MRI) scanning. Warning Do not place the Radical-7 or accessories in any position that might cause it to fall on the patient. Caution Do not place the Radical-7 where the controls can be changed by the patient. Caution 13 Disposal of product - Comply with local laws in the disposal of the instrument and/or its accessories.
Radical-7 Safety Information, Warnings, and Cautions Note: Do not touch, press, or rub the display panels with abrasive cleaning compounds, instruments, brushes, rough-surface materials, or bring them into contact with anything that could scratch the panel. Note: Do not use petroleum-based or acetone solutions, or other harsh solvents, to clean the Radical-7. These substances affect the device’s materials and instrument failure can result.
Radical-7 Safety Information, Warnings, and Cautions This equipment has been tested and found to comply with the limits for a Class B digital device, pursuant to part 15 of the FCC Rules. These limits are designed to provide reasonable protection against harmful interference in a residential installation. This equipment generates, uses and can radiate radio frequency energy and, if not installed and used in accordance with the instructions, may cause harmful interference to radio communications.
Radical-7 Safety Information, Warnings, and Cautions Caution Do not incinerate battery. Caution Electric shock hazard: Do not open the Radical-7 cover except to replace the battery or batteries. Caution To protect against injury from electric shock, follow the directions below: • Avoid placing the device on surfaces with visible liquid spills. • Do not soak or immerse the device in liquids. • Use cleaning solutions sparingly.
Radical-7 Safety Information, Warnings, and Cautions Note: Only use a SatShare cable that has a ferrite bead installed. Note: Use the power cord as the means to disconnect the instrument from the main power supply. Note: If the Radical-7 Handheld has not been used or charged within seven (7) days or more, then recharge the battery prior to use.
Radical-7 Safety Information, Warnings, and Cautions Caution For home use, ensure that the Radical-7 alarm can be heard from other rooms in the house, especially when noisy appliances such as vacuum cleaners, dishwashers, clothes dryers, televisions, or radios are operating. Caution Do not place the Radical-7 against a surface that may cause the alarm to be muffled. Caution To ensure that alarm limits are appropriate for the patient being monitored, check the limits each time the Radical-7 is used.
Radical-7 Safety Information, Warnings, and Cautions Warning Always remove the sensor from the patient and completely disconnect the patient from the Radical-7 before bathing the patient. Caution If using the Radical-7 during full body irradiation, keep the sensor out of the radiation field. If the sensor is exposed to the radiation, the reading might be inaccurate or the instrument might read zero for the duration of the active irradiation period.
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Chapter 1: Technology Overview The following chapter contains general descriptions about parameters, measurements, and the technology used by Masimo products. Signal Extraction Technology (SET) Masimo Signal Extraction Technology's signal processing differs from that of conventional pulse oximeters. Conventional pulse oximeters assume that arterial blood is the only blood moving (pulsating) in the measurement site.
Radical-7 Chapter 1: Technology Overview Masimo SET DST This figure is for conceptual purposes only. Pulse oximetry is governed by the following principles: R AF T 3. 25 2. Oxyhemoglobin (oxygenated blood) and deoxyhemoglobin (non-oxygenated blood) differ in their absorption of red and infrared light (spectrophotometry). The amount of arterial blood in tissue changes with your pulse (photoplethysmography).
Radical-7 Chapter 1: Technology Overview General Description for Pulse Rate (PR) Pulse rate (PR) , measured in beats per minute (BPM) is based on the optical detection of peripheral flow pulse. General Description for Perfusion Index (PI) The Perfusion Index (PI) is the ratio of the pulsatile blood flow to the non-pulsatile or static blood in peripheral tissue. PI thus represents a noninvasive measure of peripheral perfusion that can be continuously and noninvasively obtained from a pulse oximeter.
Radical-7 Chapter 1: Technology Overview The Radical-7 uses a multi-wavelength sensor to distinguish between oxygenated blood, deoxygenated blood, blood with carbon monoxide, oxidized blood and blood plasma. The Radical-7 utilizes a sensor with various light-emitting diodes (LEDs) that pass light through the site to a diode (detector).
Radical-7 Chapter 1: Technology Overview Pulse CO-Oximetry vs. Drawn Whole Blood Measurements When SpO2, SpCO, SpMet, and SpHb measurements obtained from the Radical-7 (noninvasive) are compared to drawn whole blood (invasive) measurements by blood gas and/or laboratory CO-Oximetry methods, caution should be taken when evaluating and interpreting the results. The blood gas and/or laboratory CO-Oximetry measurements may differ from the SpO2, SpCO, SpMet, SpHb, and SpOC measurements of the Radical-7.
Radical-7 Chapter 1: Technology Overview General Description for Total Arterial Oxygen Content (CaO2) Oxygen (O2) is carried in the blood in two forms, either dissolved in plasma or combined with hemoglobin. The amount of oxygen in the arterial blood is termed the oxygen content (CaO2) and is measured in units of ml O2/dL blood. One gram of hemoglobin (Hb) can carry 1.34 ml of oxygen, whereas 100 ml of blood plasma may carry approximately 0.3 ml of oxygen*.
Radical-7 Chapter 1: Technology Overview fingertip (measurement site). Physiological changes at the measurement site are mainly caused by fluctuations in the oxygen saturation, blood concentration and perfusion. General Description for Methemoglobin (SpMet) Pulse CO-Oximetry is a continuous and noninvasive method of measuring the levels of methemoglobin concentration (SpMet) in arterial blood. It relies on the same basic principles of pulse oximetry (spectrophotometry) to make its SpMet measurement.
Radical-7 Chapter 1: Technology Overview the lung tissue, thoracic wall and trachea to the surface where they may be heard with the aid of a stethoscope, a microphone or more sophisticated devices. rainbow Acoustic Monitoring Architecture The following figure illustrates how a respiratory sound produced by a patient can be turned into a numerical measurement that corresponds to a respiratory parameter.
Radical-7 Chapter 1: Technology Overview Signal Processing The digital signal produced by the acquisition system is converted into a measurement that corresponds to the respiratory parameter of interest. As shown in the previous figure, this can be performed by, for example, determining the digital signal envelope or outline which in turn may be utilized to determine the respiratory rate.
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Chapter 2: Radical-7 Descriptions The following chapter contains the Radical-7 descriptions, including descriptions of the Handheld monitor , the Standalone monitor, and the optional SatShare monitor interface. General System Description The Radical-7 system includes the following: Instrument Patient Cable Sensor D R AF T 9 25 13 1. 2. 3. www.masimo.
Radical-7 Chapter 2: Radical-7 Descriptions Functionality of the Radical-7 The Radical-7 provides the functionality of three instruments in one: Handheld Pulse CO-Oximeter The Radical-7 is a fully featured Handheld. 25 13 The Handheld contains the majority of the device features. All measurements and instrument status datum are displayed on the touchscreen. All user input is performed through the touchscreen and control buttons. The sensor cable connector is located on the Handheld.
Radical-7 Chapter 2: Radical-7 Descriptions Handheld All user input and displays are controlled by this component. The patient cable connects into the connector on the Handheld instrument. The Handheld is battery powered and can be used either as a transport monitor or as a Handheld Pulse CO-Oximeter for spot checks. Handheld Front Panel The following figure numbers and corresponding table describes the hardware features of the Radical-7.
Radical-7 Chapter 2: Radical-7 Descriptions Handheld Back Panel 13 The Handheld back panel features the connection to the Docking Station, an accessory mount for the pole clamp accessory, and access to the Handheld battery pack. Description 1 The Handheld interfaces with the Docking Station through this connector. 2 The optional Pole Clamp accessory attaches to this holder. See the directions for use of the Pole Clamp accessory for attachment instructions.
Radical-7 Chapter 2: Radical-7 Descriptions Standalone When the Handheld is placed into the Docking Station, they become a full-featured standalone system. In this manual, when the Handheld and the Docking Station are connected, they are referred to Standalone. The Standalone acts as a battery charger for the Handheld and has AC power connection capabilities. If the AC power from the wall outlet is temporarily interrupted, then the battery in the Handheld allows for continuous operation.
Radical-7 Chapter 2: Radical-7 Descriptions Standalone Front Panel Description 25 Item 13 The following figure and corresponding text review the features of the Radical-7 Standalone. Note that when the Standalone is turned on, all indicator LEDs initially turn on and off at start up. 1 R AF T 9 Docking Station The Docking Station Battery Charging Battery Charging indicator is illuminated when the Indicator Docking Station battery is charging. The indicator blinks just prior to charging.
Radical-7 Chapter 2: Radical-7 Descriptions Standalone Back Panel 13 The following figure and corresponding text review the features of the Radical-7 Standalone. Connector Description 1 Serial Output connector Use the Serial Output connector with a ferrite bead installed to connect a serial instrument, including a serial printer, a monitoring system or PC to the Radical-7. The data is provided in standard RS-232C format.
Radical-7 Chapter 2: Radical-7 Descriptions Item Connector Description 4 Power Entry module The Power Entry module contains the input connector for AC power and two fuses. The AC input provides power to the system from the AC line. Always connect the Radical-7 to the mains power for continuous operation and/ or battery recharging. Note: Use the power cord as the means to disconnect the instrument from the mains power supply.
Chapter 3: Setup The following chapter contains information about setting up the Radical-7 before use. Unpacking and Inspection To unpack and inspect the device 1. 2. 3. Remove the instrument from the shipping carton and examine it for signs of shipping damage. Check all materials against the packing list. Save all packing materials, invoice and bill of lading. These may be required to process a claim with the carrier. If anything is missing or damaged, contact the Technical Service Department.
Radical-7 Chapter 3: Setup Setting Up the Docking Station Place the Docking Station on a stable hard flat surface near the patient. Always place the Radical-7 on a dry surface. Maintain a minimum of 3 cm (1 inch) free space around the Radical-7. Make sure that the Radical-7 speaker is not covered to avoid a muffled alarm sound.
Radical-7 4. 5. Chapter 3: Setup The SpO2 and pulse rate values appear on the VueLink compatible monitor. In order for the plethysmographic waveform to be displayed on the VueLink compatible monitor, and for the VueLink monitor to convey alarm conditions measured by the Radical-7, the VueLink compatible monitor must be properly configured. See instructions for use provided with the VueLink compatible monitor and the VueLink module.
Radical-7 Chapter 3: Setup Setting Up and Using SatShare Parameter values from the Radical-7 can be displayed on a multi-parameter monitor through the SatShare feature. The SatShare feature provides an ideal, simulated plethysmographic waveform that corresponds to the parameter values determined the by Radical-7. This waveform may be used to display these values on multi-parameter monitors through the multi-parameter oximetry sensor or input connector.
Chapter 4: Operation The following chapter contains information about using the Radical-7. Using the Touchscreen and Buttons 1. 13 2. Display View To access other screens, touch a value on the Display View. See About the Display View on page 48. Profiles button To the access the Profiles screen, press Profiles. See Chapter 5: Profiles on page 89. Alarm Silence button To temporarily silence audible alarms, press Alarm Silence. See Silencing the Alarms on page 95.
Radical-7 Chapter 4: Operation Using Screen Lock When turned on, the Screen Lock feature may prevent unintentional interaction with Display View. Using the Screen Lock feature 1. 25 13 2. When turned on, any interaction with the Display View triggers the Screen Lock feature. To bypass Screen Lock when it appears, press and hold the Lock icon until it unlocks. To turn on or turn off Screen Lock, see Access Control on page 72. 9 3.
Radical-7 Chapter 4: Operation Navigating the Radical-7 Navigate the Radical-7 screens via the Display View or the Main Menu. Display View 25 13 The following is the primary interactive screen that the user views. To access the Main Menu screen Touch the gear icon at the lower right corner of the display. 9 • Main Menu D R AF T The following is the Main Menu screen where users can access additional screens and information. Users can swipe the screen left or right to pan the Menu Icons.
Radical-7 Chapter 4: Operation About the Display View The Display View consists of different areas: 13 Status Bar. See About the Status Bar on page 49. D R AF T 9 25 Parameter Display. See Changing the Size of Parameter Values on page 50. Trend Field. See Waveform and Trend Views on page 52. www.masimo.
Radical-7 Chapter 4: Operation 13 Small Parameter View. See Accessing the Main Menu on page 57. About the Status Bar D R AF T 9 25 The Status Bar is visible on the top portion of the Display View. Status Bar Access additional screens, more information, or toggle features by touching directly on any of the following indicators in the Status Bar. • Sensitivity Modes. See Sensitivity Modes Overview on page 55. • Profiles. See Profiles Overview on page 89. • Messages on page 99.
Radical-7 Chapter 4: Operation Changing the Size of Parameter Values 3. D R AF T 4. 25 2. On the Small Parameter view, touch and hold any one of the parameters, as shown above. When the parameter value dims, shakes, and grows in size, drag and drop that parameter above the Trend Field. The parameter value appears on the screen in a larger font. The device automatically configures the screen for optimal display of the parameter values.
Radical-7 Chapter 4: Operation Trend Field The Trend Field allows users to access various customizable views. See Trends on page 77. To access trend, waveform, or customize the views on the Display View screen Touch the Trend Field, as shown below. 2. The following screen appears. D R AF T 9 25 13 1. www.masimo.
Radical-7 Swipe up or swipe down the available options. Touch on the desired option. The Trend Field displays trend data specific to the option that was selected. 13 3. 4. 5. Chapter 4: Operation 25 Pulse Rate Blip Bar D R AF T 9 The Pulse Rate Blip Bar is a visual indicator that dynamically pulses to convey the monitoring status of pulse rate. It appears within the Trend Field when plethysmographic (Pleth) waveform views are not in use. See also Trends on page 77.
Radical-7 Chapter 4: Operation Pleth + Sig IQ View 13 Shows the parameter values on the top of the screen. The waveform is located below the parameter values. The Small Parameter view is located along the bottom of the screen. This view contains the Pleth Waveform with signal quality indications only. 25 Signal IQ Indicators D R AF T 9 The Signal IQ (SIQ), displayed on each individual pulsation, is conveyed by vertical bars, as shown below.
Radical-7 Chapter 4: Operation Acoustic Waveform View 25 13 Shows the parameter values on the top of the screen. The RRa waveform is located below the parameter values. The Small Parameter view is located along the bottom of the screen. Acoustic Respiratory Rate (RRa) must be available for this feature to be shown. This view contains acoustic respiratory rate waveform only. Pleth + Sig IQ + Acoustic View D R AF T 9 Shows the parameter values on the top of the screen.
Radical-7 Chapter 4: Operation Parameter Quick Trend View This view displays the quick trend of the selected parameter over an adjustable period of time. The default is 1 hour. Enlarge the quick trend to the full trend view by touching the expand icon of the waveform display. 9 Sensitivity Modes Overview 25 13 With a pinch gesture, using two fingers, the user can zoom in and out of the quick trend data within the Trend Field.
Radical-7 Chapter 4: Operation Changing Sensitivity Modes There are two ways to change the sensitivity modes. Press the indication on the top left of the Display View. 2. Alternatively, from the Main Menu, touch the Profiles icon. From the Profiles screen, select the desired mode by scrolling up or down. Then select OK. D R AF T 9 25 13 1. Note that the device will revert to APOD mode after a power cycle. See Changing Profiles on page 90. www.masimo.
Radical-7 Chapter 4: Operation Accessing the Main Menu D R AF T 9 Navigating the Main Menu 25 13 To access Main Menu from the Display View, touch the gear icon on the bottom right corner of the Small Parameter View. • From the Main Menu screen, touch the icons for any of the following screens: Device Settings See Device Settings on page 71. www.masimo.
Radical-7 Chapter 4: Operation Parameter Settings See Parameter Settings on page 59. Profiles 3D Alarms 13 See Changing Profiles on page 90. 25 See 3D Alarms on page 97. T 9 Trends D R AF See Trends on page 77 and Trend Field on page 51. Sound See Sounds on page 70. About See About on page 87. www.masimo.
Radical-7 Chapter 4: Operation Parameter Settings 9 25 13 The following is an example of the Parameter Settings screen. Only parameters that have been loaded onto the system will be visible. 2. From the Parameter Settings screen, to access the desired parameter, flick the on-screen icons left or right. Touch the icon of the desired parameter. For details, see any of the following sections. R AF 1. T To access any of the available parameter setting screens D SpO2 Settings on page 60.
Radical-7 Chapter 4: Operation About Parameter Information Additional information about each parameter is available. To access additional information about parameters From the parameter settings screen, touch the About icon. The following is an example for SpHb. 2. An About screen appears for the selected parameter. D R AF T 9 25 13 1. SpO2 Settings Access any of the following options: Alarms for SpO2 on page 61. Additional Settings for SpO2 on page 61. About Parameter Information on page 60.
Radical-7 Chapter 4: Operation Alarms for SpO2 From the Alarms screen, change any of the following options: Factory Default Settings Description High Limit High Limit is the upper threshold that triggers an alarm. Off Low Limit Low Limit is the lower threshold that triggers an alarm. 88% Rapid Desat Sets the Rapid Desat limit threshold to the selected amount below the Low Alarm Limit.
Radical-7 Chapter 4: Operation SpHb Settings From the SpHb Settings screen, access any of the following screens: SpHb Alarms on page 62. Additional Settings for SpHb on page 63. About Parameter Information on page 60. SpHb Alarms Options Description Factory Default Settings User Configurable Settings High Limit The High Limit is upper threshold that triggers an alarm. 17.
Radical-7 Chapter 4: Operation Additional Settings for SpHb From the Additional Settings screen, change any of the following options: Factory Default Settings User Configurable Settings Averaging Time The length of time over which the system calculates the average of all data points. Medium Short, Medium, or Long Calibration Provides an arterial or venous value that displays on the main screen. Venous Arterial or Venous Precision Allows the user to set the decimal for SpHb. 0.1 0.1, 0.5, or 1.
Radical-7 Chapter 4: Operation FastSat Overview FastSat enables rapid tracking of arterial oxygen saturation changes. Arterial oxygen saturation data is averaged using pulse oximeter averaging algorithms to smooth the trend. When the Radical-7 is set to FastSat On, the averaging algorithm evaluates all the saturation values providing an averaged saturation value that is a better representation of the patient’s current oxygenation status. With FastSat, the averaging time is dependent on the input signal.
Radical-7 Chapter 4: Operation Additional Settings for PI From the Additional Settings screen, change any of the following options: Options Description Factory Default Settings User Configurable Settings Averaging Time The length of time over which the system calculates the average of all data points. Long Short or Long Respiration Rate (RR) 13 The Radical-7 can determine respiration rate (RR) either by the acoustic signal (RRa) or, if installed, by the plethysmographic waveform (RRp).
Radical-7 Chapter 4: Operation RRa Alarms From the Alarms screen, change any of the following options: Options Description Factory Default Settings High Limit The High Limit is upper 30 breaths threshold that triggers per minute an alarm. Low Limit The Low Limit is lower threshold that triggers an alarm. Respiratory Pause The duration of time 30 seconds that triggers an alarm if no breaths are detected.
Radical-7 Chapter 4: Operation PVI Settings From the PVI Settings screen, access any of the following options: PVI Alarms on page 67. Additional Settings for PVI on page 67. About Parameter Information on page 60 PVI Alarms From the Additional Settings screen, change any of the following options: Description Factory Default Settings User Configurable Settings High Limit The High Limit is upper threshold that triggers an alarm.
Radical-7 Chapter 4: Operation SpCO Alarms From the SpCO Settings screen, access the following screens: Options Description Factory Default Settings User Configurable Settings High Limit The High Limit is the upper threshold that triggers an alarm. 10 2% to 98%, in steps of 1%, or Off The Low Limit is the lower threshold that triggers an alarm.
Radical-7 Chapter 4: Operation SpOC Settings From the SpOC Settings screen, access the following screens: SpOC Alarms on page 69. About Parameter Information on page 60. SpOC Alarms From the SpOC Alarms screen, access the following screens: Description Factory Default Settings User Configurable Settings High Limit The High Limit is the upper threshold that triggers an alarm. Off 2% to 34% in steps of 1%, or Off Low Limit The Low Limit is the lower threshold that triggers an alarm.
Radical-7 Chapter 4: Operation Sounds From the Sounds screen, change any of the following options: Options Description Factory Default Settings Silence Duration Length of time that the audible alarm remains muted. 25 Sets the volume of Level 3 the tone that conveys the pulse rate. Off, Level 1 to 4 9 Pulse Tone Volume Level 1 to 4 13 Alarm Volume Sets the alarm Level 4 volume and provides a sample of the alarm volume.
Radical-7 Chapter 4: Operation Device Settings 9 25 13 The following is an example of the Device Settings screen. T From the Device Settings screen, access any of the following options: R AF Screen Orientation on page 75. Localization on page 74. WiFi on page 75. D Battery on page 76. Brightness on page 76. Access Control on page 72. Device Output on page 76. www.masimo.
Radical-7 Chapter 4: Operation Access Control The Access Control screen is protected by a Password screen. 25 13 Password Screen Using the Password screen 3. To undo numbers, touch Backspace. D R AF T 9 2. On the Password screen, enter the following numbers: 6 2 7 4 No numbers will be displayed, only asterisks (****). Touch Enter. 1. www.masimo.
Radical-7 Chapter 4: Operation Access Control Screen From the Access Control screen, change any of the following options: Options Description Factory Default Settings User Configurable Settings All Mute All patient alarm conditions are silenced. Only system alarms will be indicated by an audible alarm. Disabled Enabled or disabled Lock Alarm Volume When set to 3 or 4, 3 or 4 shows dimly lit in the Alarm Volume section of the Alarms Menu screen and cannot be changed.
Radical-7 Chapter 4: Operation Factory Defaults Press Restore to return to factory default values. Options are restored N/A to factory values. Localization From the Localization screen, change any of the following options: Description Factory Default Settings User Configurable Settings Current Date Date N/A N/A Current Time Time N/A N/A Language Language in which the screens display. English Time Zone Setting based on Coordinated Universal Time (UTC).
Radical-7 Chapter 4: Operation Screen Orientation From the Screen Orientation screen, change any of the following options: Options Description Factory Default User Configurable Settings Settings Auto Orientation Allows the device to On automatically adjust the Display screens depending on orientation. Off or On Orientation Landscape: rotates the screen to horizontal viewing position Rotates the viewing screens depending on device orientation.
Radical-7 Chapter 4: Operation Battery From the Battery screen, view the following information: • Battery icon that conveys remaining battery charge as a green color. • Battery icon that conveys that battery charging status. See About the Status Bar on page 49. See Battery Operation and Maintenance on page 125.
Radical-7 Chapter 4: Operation Depending on the configuration, the following parameters are output continuously on the Analog 1 and Analog 2. Analog 2 N/A Pleth, SIQ, 0V Output, 1V Output, SpO2 0% to 100%, SpO2 50% to 100%, or Pulse rate Nurse Call Trigger The nurse call output will be N/A activated based on the alarm events. The nurse call with be activated based on Low Signal or Alarm and Low Signal IQ events.
Radical-7 Chapter 4: Operation Changing Between Trend Views To toggle between Display View and Full Trend 13 The following is an example of trend information for SpO2 as it appears in the Full Trend screen. D R AF T 9 25 From the Display View, in the Trend Field, touch the icon as shown below. From the Full Trend screen, touch the icon as shown below. www.masimo.
Chapter 4: Operation D R AF T 9 25 13 Radical-7 www.masimo.
Radical-7 Chapter 4: Operation Manipulating Trend Data To manipulate the view of trend data 13 On the Full Trend screen, with a pinch gesture, using two fingers, the user can zoom in and out of the trend time scale. D R AF T 9 25 The user can add parameters to the Trend view by dragging and dropping parameters from the Small Parameter view. To add a parameter to the Trend view, press and hold any of the parameters inside the Small Parameter view, as shown below.
Radical-7 Chapter 4: Operation To view past patient trend data, swipe the trend display to the left or to the right. R AF T 9 25 13 To exit a Trend view, press the Home button. Changing Time Selection of Trend Data D Users can change the time display of trend data. The time options that can be selected are 10 minutes, 30 minutes, 1 hour, 2 hours, 4 hours, 8 hours, 12 hours, or 24 hours.
Radical-7 • Chapter 4: Operation From the Full Trend screen, touch the Time Selection icon, and select a time option. 13 Using the Histogram Feature Users can view trend data using the Histogram feature. When turned on, the Histogram feature displays current trend data as a histogram. Navigate to a Full Trend screen. See Changing Between Trend Views on page 78. The Histogram icon appears along the top of the Trend Field, as shown in the following example for SpO2. D R AF T 9 1. 2.
Radical-7 3. 4. Chapter 4: Operation Touch the Histogram icon. Current trend data displays as a histogram. To turn off the Histogram feature Touch the Trends icon, as shown. D R AF T 9 25 13 • www.masimo.
Radical-7 Chapter 4: Operation Changing Trend Settings Change the maximum value and the minimum value of the Y axis for any of the available parameters. To adjust the trend settings for any of the available parameters From the Main Menu screen, touch the Trends icon. 2. From the Trends screen, touch any of the available parameters. D R AF T 9 25 13 1. Alternatively, from any Parameter Settings screen, touch the Trends icon. www.masimo.
Radical-7 From the Parameter Trends screen, touch the slider for the Y-axis maximum or the Y-axis minimum.The following is an example of the SpO2 Trend screen. Select the desired setting by scrolling up or down. D 4. R AF T 9 25 13 3. Chapter 4: Operation 5. When finished, select OK. The following example shows the Y axis range for SpO2 as it appears on the left side of the screen. When viewing trends for an additional parameter, the Y axis range appears on the right side of the screen. www.
Radical-7 Chapter 4: Operation Deleting Trend Data 13 The user can delete patient trend data that has been stored on the Radical-7. To delete patient trend data From the Trends screen, touch the Trend Settings icon. 2. From the Trend Settings screen, touch Clear, and then touch OK. This deletes all stored trend data. D R AF T 9 25 1. www.masimo.
Radical-7 Chapter 4: Operation 9 25 13 About For information about parameters, see About Parameter Information on page 60. R AF T From the About screen, view any of the following options: Options Description Serial Number Displays the serial number of the Handheld. Displays the version number of the instrument board software. D MCU MX Board Displays the version number of the technology level software. Processor Displays the version number of the system level software.
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Chapter 5: Profiles The Radical-7 can be configured for various patient types. Profiles Overview 13 The Radical-7 contains a Profiles screen, which lets the user customize different settings for different patient populations: Adult Adult profile is the factory default profile. Displays in the Status bar as ADULT and the color of the Profile button turns blue. • Neonatal Displays in the Status bar as NEO and the color of the Profile button turns pink.
Radical-7 Chapter 5: Profiles The Radical-7 conveys the active profile by changing the color of the Profiles button. To restore all Radical-7 settings to factory default settings, see Access Control on page 72. 13 Changing Profiles 25 Changing Profiles is done in the Profiles Settings screen. There are different ways to access the Profiles Settings screen. The first way is by the touching the Profiles shortcut in the Status Bar, as show below.
Radical-7 Alternatively, from the Main Menu screen, touch the Profiles icon. D R AF T 9 25 13 • Chapter 5: Profiles www.masimo.
Radical-7 Chapter 5: Profiles To change Patient Type From the Profile screen, touch the Patient Type field. 2. Select the desired Patient Type by scrolling up or down. 3. When finished, touch OK. To confirm selection, check the Status Bar. R AF T 9 25 13 1. D From the Profiles screen, change any of the following options: Options Description Patient Type Defines the patient population Adult for which the device will operate.
Radical-7 Chapter 5: Profiles Silence Duration The amount of time for which the audible part of an alarm will be silenced. See Silencing the Alarms on page 95. 120 Smart Tone Allows the audible pulse to Off continue to beep when the pleth graph shows signs of motion.
Radical-7 Chapter 5: Profiles Powering Off the Radical-7 When turning off the Radical-7, the device remembers the preferred settings. To turn off the Radical-7 Press and hold the button for more than 2 seconds. 2. To confirm the shutdown process, the following screen appears. D R AF T 9 25 13 1. www.masimo.
Chapter 6: Alarms and Messages The following chapter contains information about alarms and messages. For more information, see Chapter 7: Troubleshooting on page 105. About Alarms The Radical-7 visually and audibly indicates alarm conditions that the system detects. Audible alarms may be silenced, without affecting the operation of visual alarms. See Safety Information, Warnings, and Cautions on page 11 and Alarm Related Safety Information, Warnings, and Cautions on page 19.
Radical-7 Chapter 6: Alarms and Messages The following is an example of a typical alarm due to parameter limit violation. To silence or dismiss alarms: Touch Silence (the highlighted area of the Status Bar). 13 • 25 Audible alarms can be temporarily suspended by pressing the Alarm Silence button. When alarms are in the suspend state, pressing the Alarm Silence button cancels the alarm suspend. To silence audible alarms When an audible is active, push Alarm Silence one time. 2.
Radical-7 Chapter 6: Alarms and Messages 3D Alarms 3D Alarms include the Desat Index Alarm and the PI Delta Alarm. Desat Index Alarm Overview on page 97. Perfusion Index (PI) Delta Alarm Overview on page 98. 13 Desat Index Alarm Overview 25 The Desat Index Alarm is a user-selectable feature which allows a clinician to request an audible and visual alarm if a patient experiences a specified number of desaturations over a specific period of time.
Radical-7 Chapter 6: Alarms and Messages Desat Index Alarms From the Alarms screen, change any of the following options: Description Factory Default Settings User Configurable Settings Delta See Desat Index Alarm Overview on page 97. 4% 2% to 10% in steps of 1%. Time See Desat Index Alarm Overview on page 97. 1 hour 1 to 4 hours, in steps of 1. Off Off, 1 to 24 desaturations in steps of 1. # of Events See Desat Index Alarm Overview on page 97.
Radical-7 Chapter 6: Alarms and Messages PI Delta Alarms From the Alarms screen, change any of the following options: Description Factory Default Settings User Configurable Settings Set Baseline See Perfusion Index (PI) Delta Alarm Overview on page 98. Off On or Off Baseline See Perfusion Index (PI) Delta Alarm Overview on page 98. Off, or PI baseline N/A Percent Change See Perfusion Index (PI) Delta Alarm Overview on page 98.
Radical-7 Chapter 6: Alarms and Messages Replace Cable Message Message: • (Pulse CO-Ox) Replace Cable, or • (RAM) Replace Cable The patient cable is non-functional or the life of the cable has expired. Next steps: Replace the patient cable.
Radical-7 Chapter 6: Alarms and Messages No Adhesive Sensor Connected Message Message: • (Pulse CO-Ox) No Adhesive Sensor Connected, or • (RAM) No Adhesive Sensor Connected When a single-patient-use sensor is used, the adhesive portion of the sensor is not connected. (Applies to Rainbow ReSposable CO-Oximeter Sensor Systems or ReSposable Pulse CO-Oximeter Sensor Systems only.) Next steps: Ensure the adhesive portion is firmly connected to the sensor.
Radical-7 Chapter 6: Alarms and Messages Low Signal IQ Message Message: (Pulse CO-Ox) Low Signal IQ Low signal quality. Next steps: Ensure proper sensor application. Move sensor to a better perfused site. See Signal IQ (SIQ) on page 105. Low SpCO SIQ Message SpCO measurement reading is obscured. Next steps: Ensure proper sensor application. Check sensor to see if it is working properly. If not, replace the sensor. See Successful Monitoring for SpCO on page 28.
Radical-7 Chapter 6: Alarms and Messages No Sensor Connected Message Message: • (Pulse CO-Ox) No Sensor Connected, or • (RAM) No Sensor Connected Sensor not fully inserted into the connector. May be an incorrect sensor or a defective sensor or cable. Next steps: Disconnect and reconnect sensor. See the instructions for use provided with your sensor. Instrument is searching for patient’s pulse. Next steps: Disconnect and reconnect the sensor into the Patient Cable connector.
Radical-7 Chapter 6: Alarms and Messages Service Required Message Internal Failure. Instrument requires service. The message fills the entire display. This is a numeric error code. Next steps: Contact Masimo for service, see Chapter 9: Service and Maintenance on page 125. Incompatible Cable Message Message: (Pulse CO-Ox) Incompatible Cable D R AF T 9 25 13 Not a proper cable. Next steps: Replace with a proper cable. www.masimo.
Chapter 7: Troubleshooting The following chapter contains information about troubleshooting the Radical-7 system. Troubleshooting Measurements See Parameter Related Safety Information, Warnings, and Cautions on page 11. Signal IQ (SIQ) The Signal IQ provides an indicator of the assessment of the confidence in the displayed SpO2 value. The SpO2 SIQ can be also used to identify the occurrence of a patient’s pulse.
Radical-7 Chapter 7: Troubleshooting Dimly Lit Parameters When the signal quality is very low, the accuracy of measurements may be compromised, the parameter may be dimly lit, and the parameter may display dashes instead of a numeric value.
Radical-7 Chapter 7: Troubleshooting Unexpectedly High SpCO Reading Possible elevated methemoglobin level. Next steps: Submit blood sample for laboratory CO-Oximetry test. See Appendix: Best Practices for Comparisons to Reference Measurements on page 133. Difficulty Obtaining a Reading Low battery/ not plugged into AC power supply. Next steps: Insert Handheld into Docking Station, verify Docking Station power cord plugged in and Docking Station power indicator light is illuminated.
Radical-7 Chapter 7: Troubleshooting Continuous Speaker Tone Internal failure. Next steps: To silence an alarm, press the Alarm Silence button. If alarm continues to sound, turn off the Radical-7. If necessary, remove Handheld battery. Requires service. See Contacting Masimo on page 131. Buttons Do Not Work When Pressed Internal failure. Next steps: Requires service. See Contacting Masimo on page 131. AC power cable may be disconnected. Next steps: Restore power to the instrument.
Chapter 8: Specifications The following chapter contains specifications for the Radical-7 Handheld, compatible Docking Stations, and the Standalone system. Performance Range SpO2 0% to 100% SpMet 0% to 99.9% SpCO 0% to 99% 13 Measurement 0 g/dL to 25 g/dL 25 SpHb 0 ml of O2/dL to 35 ml of O2/dL of blood 9 SpOC 25 bpm to 240 bpm 0.
Radical-7 Chapter 8: Specifications Adults, Infants, Pediatrics ± 2% Neonates ± 3% Motion [3] 70% to 100% Adults, Infants, Pediatrics, Neonates ± 3% Low Perfusion [4] Adults, Infants, Pediatrics, Neonates ± 2% Pulse Rate Accuracy 25 bpm to 240 bpm 13 Pulse rate range 25 No Motion Adults, infants, pediatrics, neonates ± 3 bpm ± 5 bpm T Adults, infants, pediatrics, neonates 9 Motion [4] R AF Low Perfusion Adults, infants, pediatrics, neonates ± 3 bpm D Carboxyhemoglobin Saturation
Radical-7 Chapter 8: Specifications Resolution Step Size %SpO2 1% %SpCO 1% %SpMet 0.1% SpHb g/dL 0.
Radical-7 Chapter 8: Specifications Operating Humidity 5% to 95%, non-condensing Operating Altitude 500 mbar to 1060 mbar -1000 ft to 18,000 ft (-304 m to 5,486 m) Physical Characteristics Dimensions 8.9” x 3.5” x 2.1” (22.6 cm x 8.9cm x 5.3 cm) Standalone 3.5” x 10.5” x 7.7” (8.9 cm x 26.7 cm x 19.6 cm) 13 Handheld 25 Weight Handheld 1.2 lbs. (0.54 kg) 9 3.8 lbs. (1.73 kg) R AF Standalone (RDS-1, RDS-2, RDS-3) 2.5 lbs. (1.
Radical-7 Chapter 8: Specifications SpMet 0.1% to 99.5% SpHb 1.0 g/dL to 24.5 g/dL RR 5 breaths per minute to 69 breaths per minute PI 0.03% to 19% PVI 1% to 99% Pulse Rate 30 bpm to 235 bpm SpOC 1 g/dL to 34 g/dL 13 Sensor condition, system failure, and low battery alarms 571 Hz tone, 5-pulse burst, pulse spacing: 0.250s, 0.250s, 0.500s, 0.250s, repeat time:10s 25 High Priority D R AF Alarm Muted Reminder T Low Priority Alarm Volume 550 Hz tone, 3-pulse burst, pulse spacing: 0.
Radical-7 Chapter 8: Specifications Dot Pitch 0.25 mm Compliance EMC Compliance • EN55011: Radiated Emissions (CISPRR 11, 2009 Amendment A1:2010, Class B) • EN55011: Conducted Emissions (CISPRR 11, 2009 Amendment A1:2010, Class B) • EN301 489-17: Radiated Emissions (EN 301 489-01 V1.8.1:2008, Class B) • EN301 489-17: Conducted Emissions (EN 301 489-01 V1.8.
Radical-7 Chapter 8: Specifications Type of Protection Class 1 (on AC power), Internally powered (on battery power) Degree of Protection-Patient Cable Type BF-Applied Part Degree of Protection-SatShare Cable Type CF-Applied Part Mode of Operation Continuous Output Interface SatShare (RDS-1). See Serial Interface Specifications on page 116.
Radical-7 Chapter 8: Specifications Serial Interface Specifications The digital interface for serial communication is based on the standard RS-232 protocol. The Radical-7 by default always outputs ASCII 1 text data through the serial port, unless the user selects a different output mode. To interface with the Radical-7 and receive serial text data, connect a serial interface cable with a ferrite bead installed to the serial output connector located on the back of the Radical-7 Docking Station.
Radical-7 Chapter 8: Specifications Pin Signal name 6 No Connection 7 No Connection 8 No Connection 9 No Connection Analog Output and Nurse Call Specifications 13 Analog Out and Nurse Call are accessible on the same female high-density DB-15 connector. Analog Output and Nurse Call interface are only available when the Handheld is attached to the Docking Station. Only use an Analog and Nurse Call cable that has a ferrite bead installed.
Radical-7 Chapter 8: Specifications Pin Signal Name 13 Ground 14 Ground 15 Analog 2 Analog Output The Radical-7 Pulse CO-Oximeter can interface with various analog recording instruments or strip chart recorders through its Analog Output connector located on the back of the Docking Station. The output signals vary from approximately 0 to 1 volt in a linear fashion. The actual analog output voltage generated may not exactly range between 0.0V to 1.0V. A variance of ± 40 mV is acceptable.
Radical-7 Chapter 8: Specifications Symbols The following symbols are found on the Radical-7, Docking Station, or packaging and are defined below. Some of the interfaces and symbols are not available on all versions of the Docking Station.
Radical-7 Chapter 8: Specifications Caution Federal law restricts this device to sale by or on the order of a physician (USA FDA) Name of Manufacturer Underwriter's Laboratories Inc.
SM France FR Germany DE Ghana GH Greece GR Guatemala GT Honduras HN Hong Kong HK Hungary HU India IN Iraq IQ Israel IL Italy IT Jordan JO Kazakhstan KZ Kenya KE Kuwait KW Laos LA Lebanon LB Libya LY Malta MT Mauritius MU Monaco MC Morocco MA Mozambique MZ Netherlands NL New Caledonia NC Nigeria NG Norway NO Oman OM Palestinian Territory PS Panama PA Papua New Guinea PG Peru PE Philippines PH Poland PL Puerto Rico PR Qatar QA Republic
Radical-7 Chapter 8: Specifications Citations [1] SpO2, SpCO, and SpMet accuracy was determined by testing on healthy adult volunteers in the range 60% to 100% SpO2, 0% to 40% SpCO, and 0% to 15% SpMet against a laboratory CO-Oximeter. SpO2 and SpMet accuracy was determined on 16 neonatal NICU patients ranging in age from 7 days to 135 days old and weighting between 0.5 kgs and 4.25 kgs. Seventy-nine (79) data samples were collected over a range of 70% to 100% SaO2 and 0.5% to 2.
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Chapter 9: Service and Maintenance The following chapter contains information about cleaning, battery operation, performance verification, service, repair, and warranty. Cleaning Under normal operation, no internal adjustment or recalibration is required. Safety tests and internal adjustments should be done by qualified personnel only. Safety checks should be performed at regular intervals or in accordance with local and governmental regulations. Safety Information, Warnings, and Cautions on page 11.
Radical-7 Chapter 9: Service and Maintenance indicator continuously flashes. When the temperature returns to recommended operating conditions, proper battery charging proceeds. • The Handheld battery requires approximately 4 hours for charging. The Docking Station battery requires approximately 6 hours for charging. • When both the Handheld Battery Charging indicator and the Docking Station Battery Charging indicator turn off, additional trickle charging may occur to complete charging.
Radical-7 Chapter 9: Service and Maintenance Replacing the Batteries Before installing or removing the battery, make sure the AC power cord is removed and power to the Radical-7 is turned off. To replace the rechargeable Handheld battery 1. 2. 3. 4. 5. Turn off the Radical-7 Handheld off and remove the patient cable connection. If docked, detach the Handheld from the Docking Station. Loosen the closure screw on the battery compartment door and lift out the battery.
Radical-7 Chapter 9: Service and Maintenance Performance Verification Under normal operation, no internal adjustment or recalibration is required. Safety tests and internal adjustments should be done by qualified personnel only. Safety checks should be performed at regular intervals or in accordance with local and governmental regulations. To test the performance of the Radical-7 following repairs or during routine maintenance, follow the procedure outlined in this chapter.
Radical-7 Chapter 9: Service and Maintenance Testing with the optional Masimo SET Tester To conduct a test with the optional Masimo SET Tester 1. 2. 3. Turn off and then turn on the Radical-7. Use the Patient Cable connector on the Radical-7 to connect the Masimo SET Tester to the Radical-7. See the directions for use that were provided with the Masimo SET Tester. Nurse Call Test To conduct a Nurse Call test 3. 4. R AF Analog Output Test T 9 5. 13 2.
Radical-7 Chapter 9: Service and Maintenance Battery Test To conduct a Battery test 1. 2. 3. 4. Fully charge the Radical-7 by placing the Handheld into the Docking Station and then connect the AC power. Verify that the Handheld Battery Charging indicator is illuminated. When the Radical-7 is fully charged, the Handheld Battery Charging indicator turns off. Turn on the Radical-7 on and verify that the Battery indicator shows a full charge.
Radical-7 Chapter 9: Service and Maintenance Contacting Masimo To contact Masimo, refer to the following: USA, Canada, and Asia Pacific Europe All Other Locations Masimo Corporation 40 Parker Irvine, California 92618 (949) 297-7000 Fax: (949) 297-7001 Masimo International Sàrl Contact your local Masimo Puits-Godet 10 Representative. 2000 NeuchatelSwitzerland Tel:+41 32 720 1111 Fax: +41 32 724 1448 Warranty Batteries are warranted for six (6) months.
Radical-7 Chapter 9: Service and Maintenance liability arising from any product and software (under contract, warranty, tort, strict liability or other claim) exceed the amount paid by purchaser for the products giving rise to such claim. the limitations in this section shall not be deemed to preclude any liability that cannot legally be disclaimed by contract.
Appendix: Best Practices for Comparisons to Reference Measurements Best Practices Checklist for Continuous SpHb Comparisons Ensure SpHb device is turned on. If applicable, connect to computer with automatic data capture. Sensor site selection: • Remove anything from patient's arm that can impede blood flow to the sensor site, such as restrictive garments, accessories, purses, backpacks, watches, jewelry, and blood pressure cuff.
Radical-7 Appendix: Best Practices for Comparisons to Reference Measurements Align upper and lower red lines. • If using a reusable sensor, make sure finger tip is inserted all the way and touching the finger stop inside the sensor (allowing long finger nails to extend beyond the finger stop). • Ensure cable runs flat over the top of the hand directly in the middle of the finger with no kinks or twists so the cable does not pull on the sensor.
Radical-7 • Secure sensor cable to patient’s arm with tape. • Instruct subjects to remain still without any sensor movement. • Connect sensor cable to device without pulling on sensor. • Wait until SpHb measurement is stable (one minute) before recording SpHb values. • Note any Low SIQ message that displays during measurement. Blood sampling and laboratory analysis: Record site of blood draw. • Document exact time blood withdrawn from patient.
Radical-7 Appendix: Best Practices for Comparisons to Reference Measurements Best Practices Checklist for SpCO Comparisons Ensure SpCO device is powered on and connected to computer with automatic data capture. After venous blood draw, SpCO testing must be initiated within 30 seconds (COHb can change rapidly).
Radical-7 Appendix: Best Practices for Comparisons to Reference Measurements Ensure cable runs flat over the top of the hand directly in the middle of the finger with no kinks or twists so the cable does not pull on the sensor. • Cover sensor with Masimo-provided shielding to avoid light interference. • Secure sensor cable to patient’s arm with tape. • Instruct subjects to remain still without any sensor movement. • Connect sensor cable to device without pulling on sensor.
Radical-7 Appendix: Best Practices for Comparisons to Reference Measurements Best Practices Checklist for Acoustic Respiration Rate Comparisons Acoustic Sensor placement: 13 The Acoustic sensor has a small black arrow on the front (see figure below), when placing the sensor the black arrow should point forward to the anterior of subject’s body. 25 Ensure placement site is hair-free, clean of debris, and dry prior to sensor placement. Use an alcohol swab to clean the neck area, if needed.
Radical-7 Appendix: Best Practices for Comparisons to Reference Measurements Place sensor tape on skin. Gently press on sensor tape from center outward so adhesive forms a good contact with patient's skin. Ensure there are no skin folds or air gaps under sensor pad. Remove the release liner from the anchor pad and place the anchor pad on patient’s side of the neck; route the sensor cable in front of patient. Do not place anchor pad on clothing.
Radical-7 Appendix: Best Practices for Comparisons to Reference Measurements Document patient events and time of event (based on computer clock).
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B Index Battery • 49, 71, 76 Battery Operation and Maintenance • 36, 42, 44, 76, 108, 125, 127 Battery Run Time Significantly Reduced • 108 Battery Test • 130 Best Practices Checklist for Acoustic Respiration Rate Comparisons • 138 Best Practices Checklist for Continuous SpHb Comparisons • 133 Best Practices Checklist for SpCO Comparisons • 136 Brightness • 71, 76, 107, 126 Buttons Do Not Work When Pressed • 108 3 3D Alarms • 58, 97 25 C D R AF T 9 About • 58, 86 About Alarms • 95 About Parameter
Radical-7 Index G Specifications • 109 Chapter 9 General Description for Carboxyhemoglobin (SpCO) • 29 General Description for Methemoglobin (SpMet) • 30 General Description for Oxygen Saturation (SpO2) • 24 General Description for Perfusion Index (PI) • 25 General Description for Pleth Variability Index (PVI) • 25 General Description for Pulse Rate (PR) • 25 General Description for SpOC • 29 General Description for Total Arterial Oxygen Content (CaO2) • 29 General Description for Total Hemoglobin (SpH
Radical-7 Index K Key Features • 9 L 13 Localization • 49, 71, 74, 107 Low Battery Message • 101 Low Perfusion • 101, 106 Low Perfusion Index Message • 101 Low Signal IQ Message • 102 Low Signal Quality • 106 Low SpCO SIQ Message • 102 Low SpHb SIQ Message • 102 Low SpMet SIQ Message • 102 R AF T 9 Manipulating Trend Data • 79 Masimo rainbow SET Parallel Engines • 23 Masimo SET DST • 24 Messages • 49, 99 Monitor Interface With SatShare • 40 25 M N Parameter Settings • 58, 59 Patient • 31 Perfor
Radical-7 Index Replacing Factory Default Settings for Adult and Neo Profiles • 93 Replacing the Batteries • 127 Replacing the Fuses • 107, 127 Resolution • 111 Respiration Rate (RR) • 59, 65 Restrictions • 132 Return Procedure • 41, 130 RRa Alarms • 65, 66 RRa Settings • 65 Run Time for Handheld Only • 126 25 9 D R AF T Safety Information, Warnings, and Cautions • 11, 28, 29, 30, 41, 95, 125 Sales & End-User License Agreement • 132 Screen Orientation • 71, 75 Sensitivity Modes Overview • 49, 55, 92
Radical-7 Index Unexpectedly High SpCO Reading • 107 Unpacking and Inspection • 41 Using Screen Lock • 46 Using the Histogram Feature • 82 Using the Home Button • 46 Using the Touchscreen and Buttons • 45 W D R AF T 9 25 13 Warranty • 131 Waveform and Trend Views • 48, 52 WiFi • 49, 71, 75 Wireless Radio (If Installed) • 115 www.masimo.
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