pulse oximeters manual signal extraction operator’s...rad-8 signal extraction pulse oximeter...

32
Signal Extraction Pulse Oximeters OPERATOR’S MANUAL

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Page 1: Pulse Oximeters MANUAL Signal Extraction OPERATOR’S...Rad-8 Signal Extraction Pulse Oximeter Operator’s Manual i ... the reading might be inaccurate or the unit might read zero

Sig

nal Extractio

n P

uls

e O

xim

eters

O

PE

RA

TO

R’S

MA

NU

AL

Page 2: Pulse Oximeters MANUAL Signal Extraction OPERATOR’S...Rad-8 Signal Extraction Pulse Oximeter Operator’s Manual i ... the reading might be inaccurate or the unit might read zero

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

li

The

Rad

-8 O

pera

ting

Inst

ruct

ions

pro

vide

the

nece

ssar

y in

form

atio

n fo

r pro

per o

pera

tion

of a

ll R

ad-

8 pu

lse o

ximet

er m

odel

s.

Gen

eral

kno

wle

dge

of p

ulse

oxim

etry

and

an

unde

rsta

ndin

g of

the

feat

ures

and

func

tions

of t

he

Rad

-8 p

ulse

oxim

eter

are

pre

requ

isite

s fo

r its

pro

per u

se.

Do

not o

pera

te th

e R

ad-8

pul

se o

xim

eter

with

out c

ompl

etel

y re

adin

g an

d un

ders

tand

ing

the

inst

ruct

ions

in th

is m

anua

l.

NOTI

CEPu

rcha

se o

r pos

sess

ion

of th

is de

vice

does

not

car

ry a

ny e

xpre

ss o

r im

plie

d lic

ense

to u

se w

ith

repl

acem

ent p

arts

whi

ch w

ould

, alo

ne o

r in

com

bina

tion

with

this

devic

e, fa

ll w

ithin

the

scop

e of

one

of

the

rela

ting

pate

nts.

CAUT

ION:

FE

DER

AL L

AW (U

.S.A

.) R

ESTR

ICTS

TH

IS D

EVIC

E TO

SAL

E BY

OR

ON

TH

E O

RD

ER O

F A

PHYS

ICIA

N.

For f

urth

er in

form

atio

n co

ntac

t:M

asim

o C

orpo

ratio

n40

Par

ker

Irvin

e, C

A 92

618

USA

Tel.:

949-

297-

7000

Fax.

: 949

-297

-700

1w

ww.

mas

imo.

com

EU A

utho

rized

Rep

rese

ntat

ive fo

r Mas

imo

Cor

pora

tion:

MDS

S G

mbH

Schi

ffgra

ben

41

3017

5 Ha

nnov

er, G

erm

any

Tel.:

+49-

511-

62 6

2 86

30

Fax.

: +49

-511

-62

62 8

6 33

MED

ICAL

ELE

CTR

ICAL

EQ

UIP

MEN

T W

ITH

RES

PEC

T TO

ELE

CTR

IC S

HO

CK,

FIR

E AN

D M

ECH

ANIC

AL H

AZAR

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ON

LY IN

AC

CO

RDA

NC

E W

ITH

U

L 60

601-

1/C

AN/C

SA C

22.2

No.

601

.180

FK

Cove

red

by o

ne o

r m

ore

of t

he fo

llowi

ng U

.S. P

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ts: R

E38,

492,

RE3

8,47

6, 6

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, 6,

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30,5

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, 6,

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, 6,

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, 5,

490,

505,

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inte

rnat

iona

l equ

ivale

nts,

or o

ne o

r mor

e of

the

pate

nts

refe

renc

ed a

t www

.mas

imo.

com

/pat

-en

ts. O

ther

pat

ents

pen

ding

.

© 2

007

Mas

imo

Cor

pora

tion.

Mas

imo,

Sig

nal I

Q, D

iscre

te S

atur

atio

n Tr

ansf

orm

, DST

, Sat

shar

e, S

ET,

, Fa

stSa

t, Ra

d-8,

Rad

link,

Fas

tSat

, SIQ

, LN

OP,

LNC

S an

d ar

e fe

dera

lly r

egist

ered

trad

emar

ks o

f M

asim

o C

orpo

ratio

n .

RadN

et, P

I, AP

OD

and

LNO

Pv a

re tr

adem

arks

of M

asim

o Co

rpor

atio

n.

EC

RE

P

Page 3: Pulse Oximeters MANUAL Signal Extraction OPERATOR’S...Rad-8 Signal Extraction Pulse Oximeter Operator’s Manual i ... the reading might be inaccurate or the unit might read zero

The

Rad-

8 Co

mpa

ct p

ulse

oxim

eter

is d

esig

ned

to m

inim

ize th

e po

ssib

ility

of h

azar

ds fr

om

erro

rs in

the

softw

are

prog

ram

by f

ollo

wing

soun

d en

gine

erin

g de

sign

proc

esse

s, ri

sk a

nalys

is an

d so

ftwar

e va

lidat

ion.

Explo

sion

haza

rd.

Do n

ot u

se th

e pu

lse o

ximet

er in

the

pres

ence

of f

lam

mab

le a

nes-

thet

ics o

r oth

er fla

mm

able

subs

tanc

e in

com

binat

ion w

ith a

ir, ox

ygen

-enr

iched

env

iron-

men

ts, o

r nitr

ous

oxide

.

High

inte

nsity

ext

rem

e lig

hts

(suc

h as

pul

satin

g st

robe

light

s) d

irect

ed o

n th

e se

nsor

, m

ay n

ot a

llow

the

pulse

oxim

eter

to o

btai

n vit

al s

ign

read

ings

.

The

pulse

oxim

eter

is N

OT in

tend

ed fo

r use

as

an a

pnea

mon

itor.

A pu

lse o

ximet

er s

houl

d be

con

sider

ed a

n ea

rly w

arni

ng d

evice

. As

a tr

end

towa

rds

patie

nt h

ypox

emia

is in

dica

ted,

blo

od s

ampl

es s

houl

d be

ana

lyzed

by

labo

rato

ry

inst

rum

ents

to c

ompl

etel

y un

ders

tand

the

patie

nt’s

cond

ition.

The

pulse

oxim

eter

is to

be

oper

ated

by

qual

ified

pers

onne

l onl

y. T

his

man

ual,

acce

s-so

ry d

irect

ions

for u

se, a

ll pre

caut

iona

ry in

form

atio

n, a

nd s

pecif

icatio

ns s

houl

d be

re

ad a

nd u

nder

stoo

d be

fore

use

.

Elec

tric

shoc

k ha

zard

. Do

not o

pen

the

pulse

oxim

eter

cov

er e

xcep

t to

repl

ace

the

batte

ry o

f the

uni

t. O

nly

a qu

alifie

d op

erat

or m

ay p

erfo

rm m

aint

enan

ce p

roce

dure

s sp

ecific

ally

desc

ribed

in th

is m

anua

l. Ref

er s

ervic

ing

to M

asim

o fo

r rep

air o

f thi

s eq

uipm

ent.

Onl

y a

qual

ified

oper

ator

may

per

form

mai

nten

ance

pro

cedu

res

spec

ifical

ly de

scrib

ed

in th

is m

anua

l. Re

fer s

ervic

ing

to M

asim

o fo

r rep

air o

f thi

s eq

uipm

ent.

As w

ith a

ll med

ical e

quip

men

t, ca

refu

lly ro

ute

patie

nt c

ablin

g to

redu

ce th

e po

ssib

ility

of p

atie

nt e

ntan

glem

ent o

r stra

ngul

atio

n.

Do n

ot p

lace

the

pulse

oxim

eter

or a

cces

sorie

s in

any

pos

ition

that

mig

ht c

ause

it to

fa

ll on

the

patie

nt.

Do n

ot lif

t the

pul

se o

ximet

er b

y th

e pa

tient

cab

le.

Inte

rferin

g Su

bsta

nces

: Car

boxy

hem

oglo

bin

and

Met

hem

oglo

bin

may

erro

neou

sly

incr

ease

read

ings

. The

leve

l of i

ncre

ase

is ap

prox

imat

ely

equa

l to

the

amou

nt o

f car

-bo

xyhe

mog

lobi

n pr

esen

t. D

yes,

or a

ny s

ubst

ance

con

tain

ing

dyes

, tha

t cha

nge

usua

l blo

od p

igmen

tatio

n m

ay c

ause

erro

neou

s re

ading

s.

Seve

re a

nem

ia m

ay c

ause

erro

neou

s Sp

O2 r

eadin

gs.

Do n

ot u

se th

e pu

lse o

ximet

er o

r oxim

etry

sen

sors

dur

ing

mag

netic

reso

nanc

e im

agin

g (M

RI) s

cann

ing.

Ind

uced

cur

rent

cou

ld p

oten

tially

cau

se b

urns

. The

pul

se

oxim

eter

may

affe

ct th

e M

RI im

age,

and

the

MRI

uni

t may

affe

ct th

e ac

cura

cy o

f the

ox

imet

ry m

easu

rem

ents

.

If us

ing p

ulse

oxim

etry

dur

ing fu

ll bod

y irr

adiat

ion, k

eep

the

sens

or o

ut o

f the

irra

diat

ion

field.

If s

enso

r is

expo

sed

to th

e irr

adiat

ion, t

he re

ading

migh

t be

inac

cura

te o

r the

uni

t m

ight r

ead

zero

for t

he d

urat

ion o

f th

e ac

tive

irrad

iation

per

iod.

Alwa

ys re

mov

e th

e se

nsor

from

the

patie

nt a

nd c

ompl

etel

y di

scon

nect

the

patie

nt

from

the

pulse

oxim

eter

bef

ore

bath

ing

the

patie

nt.

Do n

ot p

lace

the

pulse

oxim

eter

whe

re th

e co

ntro

ls ca

n be

cha

nged

by

the

patie

nt.

Do n

ot p

lace

the

pulse

oxim

eter

face

aga

inst

a s

urfa

ce. T

his

will c

ause

the

alar

m to

be

muf

fled.

iiR

ad-8

Sig

nal E

xtra

ctio

n P

ulse

Oxi

met

er O

pera

tor’s

Man

ual

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

liii

Do n

ot p

lace

the

pulse

oxim

eter

on

elec

trica

l equ

ipm

ent t

hat m

ay a

ffect

the

pulse

ox

imet

er, p

reve

ntin

g it

from

wor

king

prop

erly.

Do n

ot e

xpos

e th

e pu

lse o

ximet

er to

exc

essiv

e m

oist

ure

such

as

dire

ct e

xpos

ure

to

rain

. Ex

cess

ive m

oist

ure

can

caus

e th

e pu

lse o

ximet

er to

per

form

inac

cura

tely

or fa

il.

Do n

ot p

lace

con

tain

ers

cont

aini

ng liq

uids

on

or n

ear t

he p

ulse

oxim

eter

. Li

quid

s sp

illed

on th

e pu

lse o

ximet

er m

ay c

ause

it to

per

form

inac

cura

tely

or fa

il.

Failu

re o

f Ope

ratio

n - I

f the

pulse

oxim

eter

fails

any

par

t of th

e se

tup

proc

edur

es re

mov

e th

e pu

lse ox

imet

er fr

om o

pera

tion

until

quali

fied

serv

ice p

erso

nnel

have

corre

cted

the

situa

tion.

Patie

nt S

afet

y - I

f a s

enso

r or c

able

is d

amag

ed in

any

way

, dis

cont

inue

use

im

med

iate

ly.

Disp

osal

of p

rodu

ct -

Com

ply

with

loca

l laws

in th

e di

spos

al o

f the

uni

t and

/or i

ts

acce

ssor

ies.

The

pulse

oxim

eter

can

be

used

dur

ing

defib

rilla

tion,

but

the

read

ings

may

be

inac

-cu

rate

for u

p to

20

seco

nds.

This

equi

pmen

t has

bee

n te

sted

and

foun

d to

com

ply

with

the

limits

for m

edica

l de

vices

to th

e EN

606

01-1

-2: 2

002,

Med

ical D

evice

Dire

ctive

93/

42/E

EC. T

hese

limits

ar

e de

signe

d to

pro

vide

reas

onab

le p

rote

ctio

n ag

ains

t har

mfu

l inte

rfere

nce

in a

typi

cal

med

ical in

stal

latio

n. T

his

equi

pmen

t gen

erat

es, u

ses

and

can

radi

ate

radi

o fre

quen

cy

ener

gy a

nd, i

f not

inst

alle

d an

d us

ed in

acc

orda

nce

with

the

inst

ruct

ions

, may

cau

se

harm

ful in

terfe

renc

e to

oth

er d

evice

s in

the

vicin

ity.

Howe

ver,

ther

e is

no g

uara

ntee

th

at in

terfe

renc

e wi

ll not

occ

ur in

a p

artic

ular

inst

alla

tion.

If t

his

equi

pmen

t doe

s ca

use

harm

ful in

terfe

renc

e to

oth

er d

evice

s, w

hich

can

be

dete

rmin

ed b

y tu

rnin

g th

e eq

uip-

men

t off

and

on, t

he u

ser i

s en

cour

aged

to tr

y to

cor

rect

the

inte

rfere

nce

by o

ne o

r m

ore

of th

e fo

llowi

ng m

easu

res:

Reo

rient

or r

eloc

ate

the

rece

ivin

g de

vice

.

Incr

ease

the

sepa

ratio

n be

twee

n th

e eq

uipm

ent.

Con

sult

the

man

ufac

ture

r for

hel

p.

A fu

nctio

nal t

este

r can

not b

e ut

ilized

to a

sses

s th

e ac

cura

cy o

f the

pul

se o

ximet

er o

r an

y se

nsor

s.

SAFE

TY IN

FORM

ATIO

N, W

ARNI

NGS,

CAU

TIO

NS A

ND N

OTES

SAFE

TY IN

FORM

ATIO

N, W

ARNI

NGS,

CAU

TIO

NS A

ND N

OTES

Page 4: Pulse Oximeters MANUAL Signal Extraction OPERATOR’S...Rad-8 Signal Extraction Pulse Oximeter Operator’s Manual i ... the reading might be inaccurate or the unit might read zero

SECT

ION

1 - O

VERV

IEW

Abou

t Thi

s M

anua

l . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 1-

1W

arni

ngs,

cau

tions

and

not

es .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . 1

-2Pr

oduc

t Des

crip

tion

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . 1

-3Fe

atur

es a

nd B

enef

its .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

1-3

Indi

catio

ns fo

r use

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 1-

3Pu

lse

Oxi

met

ry. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 1-

4G

ener

al D

escr

iptio

n. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 1-

4Pr

inci

ple

of O

pera

tion

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 1-

4Fu

nctio

nal v

s. F

ract

iona

l Sat

urat

ion

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . 1

-5M

easu

red

vs.

Cal

cula

ted

Satu

ratio

n. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

1-5

Mas

imo

SET

Sign

al E

xtra

ctio

n Te

chno

logy

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

1-5

Mas

imo

SET

Para

llel E

ngin

es. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. .

1-6

Mas

imo

SET

DST

. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . 1

-6

SECT

ION

2 - S

YSTE

M D

ESCR

IPTI

ON

Intro

duct

ion.

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. .

2-1

Rad

-8 fr

ont p

anel

con

trols

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

2-2

Rad

-8 re

ar p

anel

. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . 2

-4Sy

mbo

ls. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 2-

5

SECT

ION

3 - S

ETUP

Intro

duct

ion.

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. .

3-1

Unp

acki

ng a

nd in

spec

tion

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

3-1

Prep

arat

ion

for m

onito

ring

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

3-1

Rad

-8 p

ower

requ

irem

ents

. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 3-

1In

itial

bat

tery

cha

rgin

g . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. .

3-2

Initi

al in

stal

latio

n. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 3-

2

SECT

ION

4 - O

PERA

TIO

NIn

trodu

ctio

n. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 4-

1Ba

sic

oper

atio

n. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 4-

1G

ener

al S

etup

and

Use

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

4-1

Fact

ory

Def

ault

setti

ngs

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

4-3

Succ

essf

ul S

pO2

mon

itorin

g . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. .

4-4

Num

eric

Dis

play

- Sp

O2.

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. .

4-4

Mas

imo

Sens

ors

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . 4

-4N

umer

ic D

ispl

ay -

Puls

e R

ate

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 4-

5Si

gnal

IQ a

nd P

ulse

bar

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

4-6

Low

Per

fusi

on .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

4-7

Actio

ns T

o Be

Tak

en. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 4-

7Lo

w B

atte

ry A

udib

le A

larm

. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 4-

8N

orm

al p

atie

nt m

onito

ring

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

4-8

Rad

-8 fr

ont p

anel

con

trol o

pera

tion

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

4-8

Setu

p m

enu

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. .

4-9

Men

u N

avig

atio

n .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 4-

9Se

tup

Men

u Le

vel 1

– A

larm

feat

ures

and

sen

sitiv

ity..

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

4-9

Setu

p M

enu

Leve

l 2 –

But

ton

volu

me,

LED

brig

htne

ss a

nd fa

ctor

y de

faul

t set

tings

. 4-

10Se

tup

Men

u Le

vel 3

- C

lear

tren

d . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 4-

10

tab

le o

f co

nten

ts

ivR

ad-8

Sig

nal E

xtra

ctio

n P

ulse

Oxi

met

er O

pera

tor’s

Man

ual

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

lv

tab

le o

f co

nten

ts

Setu

p M

enu

Leve

l 4 -

Set d

ate

and

time

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 4-

11Se

tup

Men

u Le

vel 5

- O

utpu

t. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 4-

11O

utpu

t Des

crip

tion

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

4-12

Syst

em in

terfa

ces.

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. .

4-13

Philip

s Vu

eLin

k se

tup.

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

4-1

3R

adN

et S

etup

. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 4-

13R

adLi

nk S

etup

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

4-13

Spec

ial M

enu

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

4-14

Spec

ial M

enu

– St

anda

rd, H

ome

and

Slee

p m

ode

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . 4

-14

Hom

e M

ode

oper

atio

n. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 4-

14Sl

eep

mod

e O

pera

tion.

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. .

4-14

Tren

d se

tup

and

use.

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

4-1

5In

trodu

ctio

n .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 4-

15Tr

endC

om U

tility

Inst

alla

tion

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 4-

15Tr

endC

om U

tility

Ope

ratio

n . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

4-1

5Er

asin

g Tr

end

Mem

ory.

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. .

4-16

Tren

d D

ata

Form

at. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 4-

16Sa

mpl

e Tr

end

Out

put.

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

4-1

6

SECT

ION

5 - A

LARM

S AN

D M

ESSA

GES

Alar

m id

entif

icat

ion.

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. .

5-1

Alar

m in

dica

tion

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . 5

-1Al

arm

lim

its. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 5-

2Al

arm

Sile

nce.

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 5-

3Al

arm

Sile

nced

Indi

cato

r . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

5-3

Mes

sage

s. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

5-4

SECT

ION

6 - T

ROUB

LESH

OO

TING

Trou

bles

hoot

ing

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. .

6-1

SECT

ION

7 - S

PECI

FICA

TIO

NSR

ad-8

spe

cific

atio

ns. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

7-1

Perfo

rman

ce. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 7-

1Ac

cura

cy .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 7-

1El

ectri

cal

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . 7

-1En

viro

nmen

tal .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

7-1

Phys

ical

cha

ract

eris

tics

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

7-2

Seria

l int

erfa

ce s

peci

ficat

ions

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 7-

3Se

rial I

nter

face

Set

up .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

7-3

Seria

l Prin

ter S

etup

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

7-4

Nur

se c

all s

peci

ficat

ions

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . 7

-4N

urse

Cal

l . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . 7

-4

SECT

ION

8 - S

ENSO

RS &

PAT

IENT

CAB

LES

Intro

duct

ion.

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. .

8-1

Mas

imo

SpO

2 se

nsor

s. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 8-

1Se

lect

ing

a M

asim

o SE

T Se

nsor

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . 8

-1Se

nsor

App

licat

ion

Inst

ruct

ions

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

8-2

LNO

P® D

irect

Con

nect

Reu

seab

le S

enso

rs .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 8-

2LN

OP®

Reu

sabl

e Se

nsor

s .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

.8-2

Page 5: Pulse Oximeters MANUAL Signal Extraction OPERATOR’S...Rad-8 Signal Extraction Pulse Oximeter Operator’s Manual i ... the reading might be inaccurate or the unit might read zero

Sect

ion

1 O

verv

iew

LNO

P® A

dhes

ive S

enso

rs .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

8-2

LNO

P® S

peci

alty

Sen

sors

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 8-

3LN

OPv

TM A

dhes

ive S

enso

rs .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

8-3

LNC

STM R

eusa

ble

Sens

ors

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

8-3

LNC

STM A

dhes

ive S

enso

rs .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. .

8-3

Cle

anin

g An

d R

euse

Of M

asim

o Se

nsor

s. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . 8

-4R

eatta

chm

ent o

f Sin

gle

Use

Adh

esive

Sen

sors

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. .

8-4

Mas

imo

SET

patie

nt c

able

s . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

8-4

Cle

anin

g An

d R

euse

Of M

asim

o SE

T Pa

tient

Cab

les.

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

8-4

SECT

ION

9 - S

ERVI

CE A

ND M

AINT

ENAN

CEIn

trodu

ctio

n. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 9-

1C

lean

ing

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . 9

-1Ba

ttery

Ser

vice

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

9-2

Perfo

rman

ce v

erifi

catio

n. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

9-2

Serv

ice

and

repa

ir . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 9-

4R

epai

r Pol

icy

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . 9

-4R

etur

n Pr

oced

ure

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 9-

4W

arra

nty.

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 9-

5Ex

clus

ions

. .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 9-

5En

d-us

er li

cens

e ag

reem

ent

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. 9-

5

SECT

ION

10 -

ACCE

SSO

RIES

Rad

-8 U

nits

and

Acc

esso

ries.

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. .

10-1

tab

le o

f co

nten

ts

viR

ad-8

Sig

nal E

xtra

ctio

n P

ulse

Oxi

met

er O

pera

tor’s

Man

ual

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l1-

1

1o

vervie

w

Ab

ou

t T

his

M

an

ual

This

man

ual e

xpla

ins

how

to s

et u

p an

d us

e th

e Ra

d-8

pulse

oxim

eter

. Im

porta

nt s

afet

y in

for-

mat

ion

rela

ting

to g

ener

al u

se o

f the

Rad

-8 p

ulse

oxim

eter

app

ears

bef

ore

this

intro

duct

ion.

O

ther

impo

rtant

saf

ety

info

rmat

ion

is lo

cate

d th

roug

hout

the

man

ual w

here

app

ropr

iate

.

Read

the

entir

e sa

fety

info

rmat

ion

sect

ion

befo

re y

ou o

pera

te th

e m

onito

r.

In a

dditio

n to

the

safe

ty s

ectio

n, th

is m

anua

l inc

lude

s th

e fo

llow

ing

sect

ions

:

SECT

ION

1

OVER

VIEW

give

s a

gene

ral d

escr

iptio

n of

pul

se o

ximet

ry.

SECT

ION

2 SY

STEM

DES

CRIP

TIO

N de

scrib

es th

e R

ad-8

pul

se o

ximet

er s

ys-

tem

and

its

func

tions

and

feat

ures

.

SECT

ION

3

SETU

P de

scrib

es h

ow to

set

up th

e Ra

d-8

pulse

oxim

eter

for u

se.

SECT

ION

4

OPE

RATI

ON

desc

ribes

the

oper

atio

n of

the

Rad

-8 P

ulse

O

ximet

ry s

yste

m.

SECT

ION

5

ALAR

MS

AND

MES

SAG

ES d

escr

ibes

the

alar

m s

yste

m

mes

sage

s.

SECT

ION

6

TRO

UBLE

SHO

OTIN

G d

escr

ibes

trou

bles

hoot

ing

info

rmat

ion.

SECT

ION

7

SPEC

IFIC

ATIO

NS g

ives

the

deta

iled

spec

ificat

ions

of t

he

Rad

-8 p

ulse

oxim

eter

.

SECT

ION

8

SENS

ORS

AND

PAT

IENT

CAB

LES

outlin

es h

ow to

use

and

ca

re fo

r the

Mas

imo

SET

LNO

P an

d LN

CS

sens

ors

and

Mas

imo

SE

T pa

tient

cab

les.

SECT

ION

9

SERV

ICE

AND

MAI

NTEN

ANCE

des

crib

es h

ow to

mai

ntai

n,

serv

ice a

nd o

btai

n re

pair

for t

he R

ad-8

pul

se o

ximet

er.

SECT

ION

10

ACCE

SSO

RIES

list

the

avai

labl

e R

ad-8

acc

esso

ries.

Page 6: Pulse Oximeters MANUAL Signal Extraction OPERATOR’S...Rad-8 Signal Extraction Pulse Oximeter Operator’s Manual i ... the reading might be inaccurate or the unit might read zero

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l1-

3

1o

vervie

w

Pro

du

ct D

es

crip

tio

n

The

Rad

-8 fa

mily

of p

ulse

oxim

eter

s ar

e no

ninv

asive

, arte

rial o

xyge

n sa

tura

tion

and

pulse

ra

te m

onito

rs. T

he R

ad-8

fam

ily fe

atur

es a

mul

ticol

ored

LED

disp

lay

that

con

tinuo

usly

dis-

play

s nu

mer

ic va

lues

for S

pO2 a

nd p

ulse

rate

, as

well

as L

ED in

dica

tor b

ars

for P

erfu

sion

Inde

x (P

I) an

d Si

gnal

Iden

tifica

tion

and

Qua

lity In

dica

tor (

Sign

al IQ

® ).

The

Rad

-8 fa

mily

con

sists

of t

wo m

odel

s: th

e ve

rtica

l Rad

-8 a

nd th

e ho

rizon

tal R

ad-8

.

FEAT

URES

AND

BEN

EFIT

STh

ese

feat

ures

are

com

mon

to th

e R

ad-8

fam

ily:

Clin

ically

pro

ven

Mas

imo

SET®

tech

nolo

gy p

erfo

rman

ce

Appl

icabl

e fo

r use

on

neon

ate,

infa

nt, p

edia

tric

and

adul

t pat

ient

s

Prov

en fo

r acc

urat

e m

onito

ring

in m

otio

n an

d lo

w p

erfu

sion

envir

onm

ents

SpO

2, pu

lse ra

te, a

larm

, and

per

fusio

n in

dex

disp

lays

Sign

al I.

Q. f

or s

igna

l ide

ntific

atio

n an

d qu

ality

indi

catio

n

Ligh

twei

ght,

conv

enie

nt c

ompa

ct d

esig

n

Audi

ble

and

visua

l ala

rm fo

r no

sens

or, s

enso

r-off

and

low

bat

tery

One

touc

h bu

tton

acce

ss to

ala

rms

for H

igh/

Low

satu

ratio

n an

d Hi

gh/L

ow p

ulse

rate

Trau

ma

mod

e

Fast

Sat®

mod

e

Use

r def

inea

ble

alar

m li

mit

setti

ngs

Slee

p st

udy

mod

e

Thre

e se

nsitiv

ity le

vels

- Max

, Nor

mal

and

APO

DTM

Stor

es u

p to

72

hour

s of

tren

ding

mem

ory

Adju

stab

le a

larm

vol

ume

Adju

stab

le a

vera

ging

2 to

16

seco

nds

Nur

se c

all c

onne

ctio

n po

rt

8 ho

urs

Inte

rnal

bat

tery

life

with

fully

cha

rged

bat

tery

Seria

l out

put p

ort

Disp

lay

capa

bility

on

Philip

s/Ag

ilent

mon

itor t

hrou

gh P

hilip

s Vu

eLin

k fu

nctio

n.

Rad

Net

TM a

nd R

adLi

nk® c

apab

ility.

INDI

CATI

ONS

FO

R US

ETh

e R

ad-8

fam

ily o

f pul

se o

ximet

ers

and

acce

ssor

ies

are

indi

cate

d fo

r the

con

tinuo

us, n

on-

inva

sive

mon

itorin

g of

func

tiona

l oxy

gen

satu

ratio

n of

arte

rial h

emog

lobi

n (S

pO2)

and

pul

se

rate

(mea

sure

d by

an

SpO

2 sen

sor).

The

Rad

-8 fa

mily

of p

ulse

oxim

eter

s an

d ac

cess

orie

s ar

e in

dica

ted

for u

se w

ith a

dult,

ped

iatri

c, In

fant

and

neo

nata

l pat

ient

s du

ring

both

mot

ion

and

no m

otio

n co

nditio

ns, a

nd fo

r pat

ient

s w

ho a

re w

ell o

r poo

rly p

erfu

sed

in h

ospi

tals,

ho

spita

l-typ

e fa

cilitie

s, m

obile

and

hom

e en

viron

men

ts.

Warn

ing

s, cau

tio

ns

an

d n

otes

Plea

se r

ead

and

follo

w a

ny w

arni

ngs,

cau

tions

and

not

es p

rese

nted

thr

ough

out

this

man

ual.

An e

xpla

natio

n of

thes

e la

bels

are

as fo

llow

s:

A W

ARNI

NG i

s pr

ovid

ed w

hen

actio

ns m

ay r

esul

t in

a s

erio

us o

utco

me

(i.e.

, in

jury

, se

rious

adv

erse

affe

ct, d

eath

) to

the

patie

nt o

r use

r. L

ook

for t

ext i

n a

gray

sha

ded

box.

Sam

ple

of W

arni

ng:

WAR

NING

: TH

IS IS

A S

AMPL

E O

F A

WAR

NIN

G S

TATE

MEN

T.

A CA

UTIO

N is

give

n w

hen

any

spec

ial c

are

is to

be

exer

cised

by

the

patie

nt o

r use

r to

avoi

d in

jury

to th

e pa

tient

, dam

age

to th

is de

vice

or d

amag

e to

oth

er p

rope

rty.

Sam

ple

of C

autio

n:

CAUT

ION:

TH

IS IS

A S

AMPL

E O

F A

CAU

TIO

N S

TATE

MEN

T.

A NO

TE is

pro

vided

whe

n ex

tra g

ener

al in

form

atio

n is

appl

icabl

e.

Sam

ple

of N

ote:

NOTE

: Th

is is

a sa

mpl

e of

a N

ote.

overvie

w

1-2

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l

1

Page 7: Pulse Oximeters MANUAL Signal Extraction OPERATOR’S...Rad-8 Signal Extraction Pulse Oximeter Operator’s Manual i ... the reading might be inaccurate or the unit might read zero

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l1-

5

1o

vervie

wo

vervie

w

1-4

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l

1

FUNC

TIO

NAL

VS.

FRAC

TIO

NAL

SATU

RATI

ON

The

Rad

-8 is

cal

ibra

ted

to m

easu

re a

nd d

ispla

y fu

nctio

nal s

atur

atio

n w

hich

is th

e am

ount

of

oxyg

enat

ed h

emog

lobi

n ex

pres

sed

as a

per

cent

age

of th

e he

mog

lobi

n th

at c

an tr

ansp

ort

oxyg

en. T

he R

ad-8

doe

s no

t mea

sure

frac

tiona

l sat

urat

ion

whi

ch is

oxy

gena

ted

hem

o-gl

obin

exp

ress

ed a

s a

perc

enta

ge o

f all

mea

sure

d he

mog

lobi

n. T

his

inclu

des

mea

sure

d dy

sfun

ctio

nal

hem

oglo

bin

such

as

carb

oxyh

emog

lobi

n or

met

hem

oglo

bin.

To

con

vert

fract

iona

l sat

urat

ion

to fu

nctio

nal s

atur

atio

n, th

e fra

ctio

nal s

atur

atio

n m

easu

rem

ents

mus

t be

con

verte

d ac

cord

ing

to:

Func

tiona

l sat

urat

ion

= Fr

actio

nal s

atur

atio

n

x 10

010

0 - (

% c

arbo

xyhe

mog

lobi

n +

% m

ethe

mog

lobi

n)

MEA

SURE

D VS

. CA

LCUL

ATED

SAT

URAT

ION

Oxy

gen

satu

ratio

n m

easu

rem

ents

obt

aine

d fro

m a

pul

se o

ximet

er a

re c

omm

only

com

-pa

red

to s

atur

atio

ns c

alcu

late

d fro

m th

e pa

rtial

pre

ssur

e of

oxy

gen

(PO

2) o

btai

ned

from

an

arte

rial b

lood

gas

sam

ple.

Whe

n co

mpa

ring

the

two

mea

sure

men

ts a

nd in

terp

retin

g va

lues

, ca

utio

n sh

ould

be

used

, as

the

cal

cula

ted

valu

e ob

tain

ed f

rom

the

blo

od g

as

sam

ple

may

diffe

r fro

m th

e Sp

O2 m

easu

rem

ent o

f the

pul

se o

ximet

er.

Diff

eren

t res

ults

are

us

ually

obt

aine

d fro

m th

e bl

ood

gas

sam

ple

if th

e ca

lcula

ted

satu

ratio

n is

not a

ppro

pria

tely

corre

cted

for t

he e

ffect

s of

var

iabl

es th

at s

hift

the

rela

tions

hip

betw

een

PO2

and

satu

ra-

tion,

suc

h as

: pH

, tem

pera

ture

, the

par

tial p

ress

ure

of c

arbo

n di

oxid

e (P

CO

2), 2

,3-D

PG,

and

feta

l hem

oglo

bin.

Also

, as

bloo

d ga

s sa

mpl

es a

re u

sual

ly ta

ken

over

a p

erio

d of

20

seco

nds

(the

time

it ta

kes

to d

raw

blo

od) a

mea

ning

ful c

ompa

rison

can

onl

y be

ach

ieve

d if

the

core

oxy

gen

satu

ratio

n of

the

patie

nt is

sta

ble

and

not c

hang

ing

over

the

perio

d of

tim

e th

at th

e bl

ood

gas

sam

ple

is ta

ken.

MAS

IMO

SET

SIG

NAL

EXTR

ACTI

ON

TECH

NOLO

GY

Mas

imo

Sign

al E

xtra

ctio

n Te

chno

logy

’s sig

nal p

roce

ssin

g di

ffers

from

con

vent

iona

l pul

se

oxim

eter

s. C

onve

ntio

nal p

ulse

oxim

eter

s as

sum

e th

at a

rteria

l blo

od is

the

only

bloo

d m

ov-

ing

(pul

satin

g) in

the

mea

sure

men

t site

. D

urin

g pa

tient

mot

ion,

how

ever

, the

non

-arte

rial

bloo

d al

so m

oves

, cau

sing

conv

entio

nal p

ulse

oxim

eter

s to

read

low

val

ues,

bec

ause

they

ca

nnot

dist

ingu

ish b

etwe

en th

e ar

teria

l and

ven

ous

bloo

d m

ovem

ent (

som

etim

es re

ferre

d to

as

noise

). M

asim

o SE

T pu

lse o

ximet

ry u

tilize

s pa

ralle

l eng

ines

and

ada

ptive

dig

ital

filter

ing.

Ada

ptive

filte

rs a

re p

ower

ful b

ecau

se th

ey a

re a

ble

to a

dapt

to th

e va

ryin

g ph

ysi-

olog

ic sig

nals

and/

or n

oise

and

sep

arat

e th

em b

y lo

okin

g at

the

who

le s

igna

l and

bre

akin

g it

dow

n to

its

fund

amen

tal c

ompo

nent

s. T

he M

asim

o SE

T sig

nal p

roce

ssin

g al

gorit

hm,

Disc

rete

Sat

urat

ion

Tran

sfor

m® (D

ST)®

, rel

iabl

y id

entif

ies

the

noise

, iso

late

s it

and,

usin

g ad

aptiv

e filt

ers,

can

cels

it. It

then

repo

rts th

e tru

e ar

teria

l oxy

gen

satu

ratio

n fo

r disp

lay

on

the

mon

itor.

Pu

lse O

xim

etry

GEN

ERAL

DES

CRIP

TIO

NPu

lse o

ximet

ry is

a c

ontin

uous

and

non

-inva

sive

met

hod

of m

easu

ring

the

leve

l of a

rteria

l ox

ygen

sat

urat

ion

in b

lood

. Th

e m

easu

rem

ent i

s ta

ken

by p

lacin

g a

sens

or o

n a

patie

nt,

usua

lly o

n th

e fin

gerti

p fo

r adu

lts, a

nd th

e ha

nd o

r foo

t for

neo

nate

s. T

he s

enso

r con

nect

s to

the

pulse

oxim

etry

inst

rum

ent d

irect

ly or

with

a p

atie

nt c

able

. The

sen

sor c

olle

cts

signa

l da

ta fr

om th

e pa

tient

and

sen

ds it

to th

e in

stru

men

t. Th

e in

stru

men

t disp

lays

the

calcu

late

d da

ta in

two

ways

:

1.

As a

per

cent

val

ue fo

r arte

rial o

xyge

n sa

tura

tion

(SpO

2) a

nd

2.

As a

pul

se ra

te (P

R).

The

follo

win

g fig

ure

show

s th

e ge

nera

l mon

itorin

g se

tup.

PRIN

CIPL

E O

F O

PERA

TIO

NPu

lse o

ximet

ry is

gov

erne

d by

the

follo

win

g pr

incip

les:

1.

Oxy

hem

oglo

bin

(oxy

gena

ted

bloo

d) a

nd d

eoxy

hem

oglo

bin

(non

-oxy

gena

ted

bloo

d)

diffe

r in

thei

r abs

orpt

ion

of re

d an

d in

frare

d lig

ht (s

pect

roph

otom

etry

).

2.

The

amou

nt o

f arte

rial b

lood

in ti

ssue

cha

nges

with

you

r pul

se (p

hoto

plet

hyso

gra-

phy)

. Th

eref

ore,

the

amou

nt o

f lig

ht a

bsor

bed

by th

e va

ryin

g qu

antit

ies

of a

rteria

l bl

ood

chan

ges

as w

ell.

The

Rad

-8 p

ulse

oxim

eter

use

s a

two-

wave

leng

th p

ulsa

tile s

yste

m to

dist

ingu

ish b

etwe

en

oxyg

enat

ed a

nd d

eoxy

gena

ted

bloo

d. S

igna

l dat

a is

obta

ined

by

pass

ing

red

(rd) (

660

nm

wave

leng

th) a

nd in

frare

d (ir

) (90

5 nm

wav

elen

gth)

light

thro

ugh

a ca

pilla

ry b

ed (f

or e

xam

ple

a fin

gerti

p, a

han

d or

a fo

ot) a

nd m

easu

ring

chan

ges

in lig

ht a

bsor

ptio

n du

ring

the

pulsa

tile

cycle

. Thi

s in

form

atio

n m

ay b

e us

eful

to c

linici

ans.

The

radi

ant p

ower

of t

he li

ght i

s ra

ted

at 0

.79m

W (m

ax.).

See

figu

re b

elow

. Th

e R

ad-8

utili

zes

a se

nsor

with

red

and

infra

red

light

-em

ittin

g di

odes

(LED

s) th

at p

ass

light

thro

ugh

the

site

to a

pho

todi

ode

(pho

tode

tec-

tor).

The

pho

tode

tect

or re

ceive

s th

e lig

ht, c

onve

rts it

into

an

elec

troni

c sig

nal a

nd s

ends

it

to th

e R

ad-8

for c

alcu

latio

n.

Onc

e th

e R

ad-8

rece

ives

the

signa

l fro

m th

e se

nsor

, it u

tilize

s M

asim

o SE

T sig

nal e

xtra

c-tio

n te

chno

logy

for c

alcu

latio

n of

the

patie

nt’s

func

tiona

l oxy

gen

satu

ratio

n an

d pu

lse ra

te.

The

max

imum

of t

he s

kin s

urfa

ce te

mpe

ratu

re is

mea

sure

d at

an

ambi

ent t

empe

ratu

re o

f le

ss th

an 1

06º

F (4

1º C

).Thi

s is

verif

ied

by M

asim

o se

nsor

skin

tem

pera

ture

test

pro

ce-

dure

s.

1.

Inst

rum

ent

2.

Patie

nt C

able

3.

Sens

or2

3

1

1.

Ligh

t Em

ittin

g D

iode

s (L

EDs)

2.

Rec

esse

d Ph

oto

Det

ecto

r21

Page 8: Pulse Oximeters MANUAL Signal Extraction OPERATOR’S...Rad-8 Signal Extraction Pulse Oximeter Operator’s Manual i ... the reading might be inaccurate or the unit might read zero

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l2-

1

2s

ys

tem

d

es

crip

tio

n

Intro

du

ctio

n

The

Rad

-8 fa

mily

of p

ulse

oxim

eter

s ar

e fu

ll fe

atur

ed p

ulse

oxim

eter

s de

signe

d fo

r eas

e of

ope

ratio

n. A

ll pu

lse o

ximet

ry m

easu

rem

ent i

nfor

mat

ion,

as

well

as d

evice

sta

tus

data

, is

disp

laye

d on

the

front

pan

el o

f the

dev

ice.

All u

ser i

nput

is h

andl

ed b

y co

ntro

l but

tons

on

the

front

pan

el a

nd th

e se

nsor

cab

le c

onne

ctio

n is

loca

ted

on th

e le

ft sid

e of

the

Rad

-8

horiz

onta

l and

the

botto

m o

f the

Rad

-8 v

ertic

al.

Rad

-8 fa

mily

offe

rs fu

ll M

asim

o SE

T te

chno

logy

in a

sm

all c

ompa

ct d

evice

Rad

-8 fa

mily

sup

ports

the

full

line

of M

asim

o se

nsor

s an

d pa

tient

cab

les

(see

Se

ctio

n 8,

Sen

sors

and

Pat

ient

Cab

les)

Rad

-8 fa

mily

sup

ports

sta

ndar

diza

tion

of s

enso

rs a

nd p

ulse

oxim

etry

tech

nolo

gy

thro

ugho

ut th

e ho

spita

l

1-6

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l

overvie

w1

MAS

IMO

SET

PAR

ALLE

L EN

GIN

ES

MAS

IMO

SET

DST

Dig

itiz

ed,

Filt

ered

&N

orm

aliz

ed

R/IR

R/IR

(Co

nven

tio

nal

P

uls

e O

xim

etry

)

Ad

apti

ve

Filt

er w

ith

DS

SS

TT

M

Pro

pri

etar

yA

lgo

rith

m 5

Sat

ura

tio

n

Po

stP

roce

sso

r

Co

nfi

den

ceB

ased

Arb

itra

tor

ME

AS

CO

NF

ME

AS

CO

NF

ME

AS

CO

NF

ME

AS

CO

NF

ME

AS

CO

NF

Pro

pri

etar

yA

lgo

rith

m 4

Page 9: Pulse Oximeters MANUAL Signal Extraction OPERATOR’S...Rad-8 Signal Extraction Pulse Oximeter Operator’s Manual i ... the reading might be inaccurate or the unit might read zero

sys

tem

d

es

crip

tio

n

2-2

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

lR

ad-8

Sig

nal E

xtra

ctio

n P

ulse

Oxi

met

er O

pera

tor’s

Man

ual

2-3

22

sys

tem

d

es

crip

tio

n

Rad-

8 Ve

rtic

alRa

d-8

Horiz

onta

l

CONT

ROL

/ IND

ICAT

OR

DESC

RIPT

ION

1Po

wer O

n / O

ffU

sed

to tu

rn th

e un

it on

and

off.

2U

p bu

tton

Dow

n bu

tton

Dur

ing

satu

ratio

n m

onito

ring,

use

thes

e bu

ttons

to a

djus

t th

e vo

lum

e of

the

puls

e be

ep to

ne.

With

in th

e m

enu/

setu

p sy

stem

, the

se b

utto

ns a

re u

sed

to

sele

ct v

alue

s w

ithin

eac

h m

enu

optio

n.

NOTE

: Pre

ssin

g an

d ho

ldin

g do

wn

thes

e bu

ttons

allo

w fo

r th

e ra

pid

scro

lling

of S

pO2

and

BPM

ala

rm li

mits

.

3N

ext B

utto

n

U

sed

with

in th

e m

enu/

setu

p sy

stem

to m

ove

thro

ugh

setu

p op

tions

. N

ot a

ctive

dur

ing

norm

al p

atie

nt m

onito

ring

4M

ode

/ Ent

er B

utto

nU

sed

to e

nter

the

setu

p m

enus

and

to s

elec

t/act

ivate

cer

-ta

in e

ntrie

s w

ithin

the

men

u/se

tup

syst

em.

5Al

arm

Lim

its

Butto

nU

sed

to e

nter

the

alar

m m

enu

to a

djus

t Hi/L

ow S

pO2

and

he

art r

ate

alar

m li

mits

.

6Al

arm

Sile

nce

Butto

n

Push

onc

e to

tem

pora

rily

sile

nce

the

alar

m fo

r 120

sec

-on

ds (d

efau

lt). P

ush

a se

cond

tim

e to

retu

rn th

e un

it to

st

anda

rd a

larm

mon

itorin

g af

ter a

larm

con

ditio

n ha

s be

en

corre

cted

.

NOTE

: The

sile

nce

time

can

be s

et fo

r 120

, 90,

60

and

30

seco

nds.

See

Sect

ion

4 - S

etup

Men

u Le

vel 1

..

7Pu

lse R

ate

Disp

lay

The

puls

e ra

te in

bea

ts p

er m

inut

e (b

pm).

Whe

n se

arch

-in

g fo

r a s

atur

atio

n an

d pu

lse,

it w

ill fla

sh d

ashe

d lin

es.

Rad

-8 fro

nt p

an

el

co

ntro

lsCO

NTRO

L / I

NDIC

ATO

RDE

SCRI

PTIO

N

8Si

gnal

IQ /

Pu

lse B

ar

The

Sign

al IQ

pro

vide

s an

indi

catio

n of

the

qual

ity o

f th

e ac

quire

d si

gnal

as

wel

l as

the

timin

g of

the

puls

e.

A gr

een

verti

cal L

ED b

ar ri

ses

and

falls

with

the

puls

e,

whe

re th

e he

ight

of t

he b

ar in

dica

tes

the

qual

ity o

f the

si

gnal

.

9Sa

tura

tion

Disp

lay

The

func

tiona

l arte

rial h

emog

lobi

n ox

ygen

sat

urat

ion

is

disp

laye

d in

uni

ts o

f SpO

2. W

hen

sear

chin

g fo

r a s

atu-

ratio

n an

d pu

lse,

it w

ill fla

sh d

ashe

d lin

es.

10Se

nsitiv

ity

Mod

e Bu

tton/

Indi

cato

r

Use

d to

set

the

unit

into

Max

imum

Sen

sitiv

ity, N

orm

al

Sens

itivi

ty, o

r APO

D M

ode.

11Fa

stSa

t But

ton/

Indi

cato

rU

sed

to s

et th

e un

it in

the

Fast

Sat M

ode

12Pe

rfusio

n In

dex

The

Perfu

sion

Inde

x pr

ovid

es a

n in

dica

tion

of th

e pe

r-ce

ntag

e of

pul

satil

e si

gnal

to n

on p

ulsa

tile

sign

al.

The

bar i

s hi

ghes

t whe

n th

e qu

ality

of t

he p

erfu

sed

site

is

best

.

13Tr

aum

a Bu

tton

Use

d to

set

the

unit

into

the

mos

t sen

sitiv

e m

ode

and

fast

est a

vera

ging

tim

e.

14Se

nsor

Off

Indi

cato

rS

enso

r O

ffSe

nsor

off

indi

cato

r will

illum

inat

e w

hen

the

sens

or is

of

f the

pat

ient

and

an

audi

ble

alar

m w

ill so

und.

15N

o Se

nsor

In

dica

tor

No

Sen

sor

No

sens

or in

dica

tor w

ill illu

min

ate

whe

n no

sen

sor i

s co

nnec

ted

and

an a

udib

le a

larm

will

soun

d.

16Ba

ttery

Low

In

dica

tor

The

yello

w b

atte

ry lo

w in

dica

tor w

ill illu

min

ate

with

an

audi

ble

alar

m w

hen

the

batte

ry is

low

and

requ

ires

rech

argi

ng.

17AC

Pow

er

Cha

rgin

g In

dica

tor

The

AC P

ower

Cha

rgin

g in

dica

tor i

s illu

min

ated

whe

n th

e R

ad-8

is c

onne

cted

to A

C li

ne p

ower

and

the

bat-

tery

is c

harg

ing.

18Sp

eake

r

Prov

ides

aud

ible

indi

catio

n of

ala

rm c

ondi

tions

, pul

se

tone

and

feed

back

for k

ey-p

ress

es.

Ensu

re th

e sp

eake

r is

not

cov

ered

or t

he u

nit i

s pl

aced

face

-dow

n on

bed

-di

ng o

r oth

er s

ound

abs

orbi

ng s

urfa

ce.

19Pa

tient

Cab

le

Con

nect

or

Con

nect

s to

a D

irect

Con

nect

Spo

t Che

ck (D

CSC

) sen

-so

r or M

asim

o Pa

tient

Cab

le w

ith a

sen

sor.

The

icon

ne

xt to

the

sens

or in

dica

tes

defib

rilla

tion

proo

f.

10 89 65

4 2

3 1

11 12

7

14

1513 191716 18

14

53

8

913

10

1614

156

17

117

12

2

19

18

Page 10: Pulse Oximeters MANUAL Signal Extraction OPERATOR’S...Rad-8 Signal Extraction Pulse Oximeter Operator’s Manual i ... the reading might be inaccurate or the unit might read zero

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l2-

5

sys

tem

d

es

crip

tio

n

2-4

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l

2

Rad

-8 rear p

an

el

1NU

RSE

CALL

CO

NNEC

TOR

Use

the

1/4”

roun

d C

onne

ctor

to in

terfa

ce w

ith a

nur

se c

all

syst

em. T

his

is a

mon

o ou

tput

and

sho

uld

be u

tilize

d w

ith a

m

ono

cabl

e. A

ll ex

tern

al d

evic

e co

nnec

tions

to

the

Nur

se

Cal

l Con

nect

or m

ust b

e IE

C-6

0950

com

plia

nt.

2SE

RIAL

OUT

PUT

CONN

ECTO

R

Use

the

Seria

l Out

put C

onne

ctor

to c

onne

ct a

ser

ial d

evic

e,

incl

udin

g a

seria

l prin

ter,

Rad

Net

Inte

rface

Mod

ule,

Rad

Link

In

terfa

ce M

odul

e or

PC,

to th

e R

ad-8

. See

Sec

tion

7, S

eria

l In

terfa

ce S

peci

ficat

ions

. All

exte

rnal

dev

ice

conn

ectio

ns to

th

e Se

rial O

utpu

t Con

nect

or m

ust b

e IE

C-6

0950

com

plia

nt.

3PO

WER

ENT

RY

MO

DULE

The

pow

er e

ntry

mod

ule

cont

ains

the

inpu

t co

nnec

tor

for

AC p

ower

. The

AC

inpu

t pro

vide

s po

wer

to th

e sy

stem

from

th

e AC

line

. Alw

ays

conn

ect t

he p

ulse

oxi

met

er to

the

mai

n po

wer

for c

ontin

uous

ope

ratio

n an

d/or

bat

tery

rech

argi

ng.

4EQ

UIPO

TENT

IAL

GRO

UND

CONN

ECTO

RU

se th

e Eq

uipo

tent

ial G

roun

d C

onne

ctor

for g

roun

ding

.

sys

tem

d

es

crip

tio

n2

SYM

BOLS

The

follo

win

g sy

mbo

ls ar

e fo

und

on th

e ba

ck o

f the

Rad

-8 p

ulse

oxim

eter

or p

acka

ging

and

ar

e de

fined

bel

ow:

SYM

BOLS

RS-

232

Equi

pote

ntia

l Gro

und

Term

inal

Caut

ion,

con

sult

acco

mpa

nyin

g do

cum

ents

Nur

se C

all I

nter

face

WEE

E co

mpl

iant

Def

ibril

latio

n Pr

oof (

see

front

pan

el)

Mar

k of

Con

form

ity to

Eur

opea

n M

edic

al D

evic

e D

irect

ive

93/4

2/EE

C

Rx

Onl

yFe

dera

l law

rest

ricts

this

dev

ice

to s

ale

by o

r on

the

orde

r of

a p

hysi

cian

(USA

aud

ienc

es o

nly)

Year

of m

anuf

actu

re

Unde

rwrit

er's

Labo

rato

ries

Inc.

appr

oved

5%-9

5% R

H

Stor

age

hum

idity

rang

e: 5

% to

95%

-40

C

+70

C

+106

0 h

Pa

- +5

00 h

Pa

795

mm

Hg

- 3

75 m

mH

g

Stor

age

tem

pera

ture

rang

e: +

70˚C

to -4

0˚C

Stor

age

altit

ude

rang

e: +

1600

hPa

to +

500h

Pa

Keep

dry

Frag

ile/b

reak

able

, han

dle

with

car

e

P2

P1

RS

-232

ME

DIC

AL

ELE

CTR

ICA

L E

QU

IPM

EN

TU

L 60

601-

1/C

AN

/CS

A C

22.2

No.

601

.180

FK

100-

240v

~50-

60 H

z 15

VA M

AX

100-

240v

~50-

60 H

z 15

VA M

AX

Mad

e in

USA

Man

ufac

ture

d by

:M

asim

o C

orpo

ratio

nIrv

ine,

CA

9261

8 U

SARx

Onl

y

Cov

ered

by

one

or m

ore

of th

e fo

llow

ing

U.S

. Pat

ents

: RE3

8,49

2, R

E38,

476,

6,

850,

787,

6,8

26,4

19,

6,81

6,74

1, 6

,699

,194

, 6,6

84,0

90, 6

,658

,276

, 6,6

54,6

24,

6,65

0,91

7, 6

,643

,530

, 6,6

06,5

11, 6

,501

,975

, 6,4

63,3

11, 6

,430

,525

, 6,3

60,1

14,

6,26

3,22

2, 6

,236

,872

, 6,2

29,8

56, 6

,206

,830

, 6,1

57,8

50, 6

,067

,462

, 6,0

11,9

86,

6,00

2,95

2, 5

,919

,134

, 5,8

23,9

50, 5

,769

,785

, 5,7

58,6

44, 5

,685

,299

, 5,6

32,2

72,

5,49

0,50

5, 5

,482

,036

, int

erna

tiona

l equ

ival

ents

, or o

ne o

r mor

e of

the

pate

nts

refe

renc

ed a

t ww

w.m

asim

o.co

m/p

aten

ts.

Oth

er p

aten

ts p

endi

ng.

Dis

trib

uted

by:

Mas

imo

Cor

pora

tion

Irvin

e, C

A 92

618

USA

1

2

3

4

Page 11: Pulse Oximeters MANUAL Signal Extraction OPERATOR’S...Rad-8 Signal Extraction Pulse Oximeter Operator’s Manual i ... the reading might be inaccurate or the unit might read zero

Intro

du

ctio

n

Befo

re th

e R

ad-8

pul

se o

ximet

er c

an b

e us

ed in

a c

linica

l set

ting,

it n

eeds

to b

e in

spec

ted

and

prop

erly

Un

packin

g an

d in

sp

ectio

n

Rem

ove

the

inst

rum

ent f

rom

the

ship

ping

car

ton

and

exam

ine

it fo

r sig

ns o

f shi

ppin

g da

m-

age.

Che

ck a

ll m

ater

ials

agai

nst t

he p

ackin

g lis

t. S

ave

all p

ackin

g m

ater

ials,

invo

ice a

nd

bill

of la

ding

. Th

ese

may

be

requ

ired

to p

roce

ss a

cla

im w

ith th

e ca

rrier

.

If an

ythi

ng is

miss

ing

or d

amag

ed, c

onta

ct th

e Te

chni

cal S

ervic

e D

epar

tmen

t. T

he c

onta

ct

addr

ess

and

phon

e nu

mbe

rs a

re li

sted

in S

ectio

n 9,

Ser

vice

and

Rep

air.

Prep

aratio

n fo

r m

on

ito

rin

g

The

follo

win

g se

ctio

ns o

f the

man

ual d

escr

ibe

the

prep

arat

ion,

set

-up

and

initi

al in

stal

la-

tion

of th

e R

ad-8

pul

se o

xim

eter

.

RAD-

8 PO

WER

REQ

UIRE

MEN

TSAl

ways

use

a h

ospi

tal g

rade

, AC

pow

er c

able

to c

onne

ct th

e R

ad-8

pul

se o

xim

eter

to

an A

C p

ower

sou

rce.

CAUT

ION:

DO

NO

T C

ON

NEC

T TH

E R

AD-8

PU

LSE

OXIM

ETER

TO

AN

AC

OU

TLET

C

ON

TRO

LLED

BY

A SW

ITC

H.

Verif

y th

e AC

pow

er v

olta

ge a

nd fr

eque

ncy

befo

re u

se. V

erify

that

the

pow

er s

ourc

e ca

n pr

ovid

e ad

equa

te p

ower

ratin

g as

indi

cate

d on

the

rear

pan

el o

f the

Rad

-8.

The

Rad

-8 p

ulse

oxi

met

er is

des

igne

d to

ope

rate

on

100

to 2

40VA

C, 5

0-60

Hz.

The

de

vice

is ra

ted

at 1

5 VA

max

.

Con

nect

a h

ospi

tal g

rade

pow

er c

able

to

the

pow

er e

ntry

mod

ule

of t

he R

ad-8

uni

t (IE

C-3

20 c

onne

ctor

type

at t

he u

nit).

Con

nect

the

pow

er c

able

to a

n AC

pow

er s

ourc

e.

Ensu

re th

at th

e un

it is

ade

quat

ely

pow

ered

by

verif

ying

that

the

AC p

ower

indi

cato

r on

the

Rad

-8 is

illu

min

ated

.

CAUT

ION:

CONN

ECT

THE

OXIM

ETER

ONL

Y TO

A H

OSP

ITAL-

GRA

DE R

ECEP

TACL

E (F

OR

HOSP

ITAL

USE)

.

DO N

OT U

NDER

ANY

CIR

CUM

STAN

CES

REM

OVE

THE

GRO

UNDI

NG C

OND

UCTO

R FR

OM

TH

E PO

WER

PLU

G.

DO

NO

T U

SE E

XTEN

SIO

N C

OR

DS

OR

ADA

PTER

S O

F AN

Y TY

PE. T

HE

POW

ER C

OR

D

AND

PLU

G M

UST

BE

INTA

CT

AND

UN

DAM

AGED

.

USE

TH

E PO

WER

CO

RD

AS

THE

MEA

NS

TO D

ISC

ON

NEC

T TH

E D

EVIC

E FR

OM

TH

E M

AIN

S PO

WER

SU

PPLY

.

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l3-

1

3s

etu

p

Page 12: Pulse Oximeters MANUAL Signal Extraction OPERATOR’S...Rad-8 Signal Extraction Pulse Oximeter Operator’s Manual i ... the reading might be inaccurate or the unit might read zero

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l4-

1

4o

peratio

n

Intro

du

ctio

n

To o

pera

te th

e R

ad-8

pul

se o

ximet

er e

ffect

ively,

the

oper

ator

mus

t:

Know

how

the

oxim

eter

der

ives

its re

adin

gs (s

ee S

ectio

n 1,

Pul

se O

ximet

ry)

Be fa

milia

r with

its

cont

rols

and

oper

atio

n.

Und

erst

and

its s

tatu

s an

d al

arm

mes

sage

s (s

ee S

ectio

n 5,

Ala

rm Id

entif

icatio

n,

Syst

em M

essa

ges

and

Sect

ion

6, T

roub

lesh

ootin

g).

Bas

ic o

peratio

n

GEN

ERAL

SET

UP A

ND U

SE

1.

Insp

ect t

he o

ximet

er c

ase

for d

amag

e.

2.

Con

nect

a p

atie

nt c

able

or a

dire

ct c

onne

ct s

enso

r to

the

Patie

nt C

able

Con

nect

or

of th

e R

ad-8

pul

se o

ximet

er. M

ake

sure

it is

a fi

rm c

onne

ctio

n an

d th

e ca

ble

is no

t tw

isted

, slic

ed o

r fra

yed.

3.

If ut

ilizin

g a

patie

nt c

able

, sel

ect a

sen

sor t

hat i

s co

mpa

tible

with

the

oxim

eter

and

th

e pa

tient

bef

ore

conn

ectin

g it

to th

e pa

tient

cab

le. S

ee S

ectio

n 8,

Sen

sors

and

Pa

tient

Cab

les.

If u

sing

a re

usab

le s

enso

r, m

ake

sure

it o

pens

and

clo

ses

smoo

th-

ly. R

emov

e an

y su

bsta

nces

that

may

inte

rfere

with

the

trans

miss

ion

of li

ght b

etwe

en

the

sens

or’s

light

sou

rce

and

phot

odet

ecto

r.

4.

Ref

er to

the

Dire

ctio

ns fo

r Use

of t

he s

enso

r bef

ore

atta

chin

g th

e se

nsor

to th

e pa

tient

. If u

sing

a sin

gle

patie

nt a

dhes

ive o

r disp

osab

le s

enso

r, ch

eck

that

the

emit-

ter (

red

light

) and

the

phot

odet

ecto

r are

pro

perly

alig

ned.

5.

With

a s

ingl

e pa

tient

adh

esive

or d

ispos

able

sen

sor,

conn

ect t

he s

enso

r to

the

patie

nt c

able

with

the

logo

s lin

ing

up; m

ake

sure

it is

a fi

rm c

onne

ctio

n.

6.

Pres

s th

e Po

wer b

utto

n to

turn

the

oxim

eter

on.

7.

Verif

y al

l fro

nt-p

anel

indi

cato

rs m

omen

taril

y illu

min

ate

and

a to

ne is

hea

rd.

8.

Verif

y th

e fro

nt-p

anel

disp

lay

is fre

e of

ala

rm a

nd s

yste

m fa

ilure

mes

sage

s (s

ee

Sect

ion

5, A

larm

s an

d M

essa

ges)

.

9.

Verif

y th

e di

spla

y sh

ows

the

follo

win

g:

M

ode

setti

ng: S

tand

ard

(Std

) or S

leep

(SLP

) or H

ome

(Hnn

)

Sp

O2

Low

Ala

rm L

imit

and

SpO

2 H

igh

Alar

m L

imit,

Pu

lse R

ate

Low

Ala

rm L

imit

and

Pulse

Rat

e H

igh

Alar

m L

imit,

Av

erag

ing

Tim

e.

10.

On

the

disp

lay,

verif

y th

e re

adin

gs fo

r SpO

2 an

d pu

lse ra

te.

NOTE

: “-

- -” w

ill fla

sh o

n th

e nu

mer

ic di

splay

unt

il the

SpO

2 an

d pu

lse ra

te re

adin

gs

have

sta

biliz

ed (a

ppro

ximat

ely

10 s

econ

ds).

IF T

HER

E IS

AN

Y D

OU

BT A

BOU

T TH

E IN

TEG

RIT

Y O

F TH

E PR

OTE

CTI

VE E

ARTH

CO

N-

DU

CTO

R A

RR

ANG

EMEN

T, O

PER

ATE

THE

OXIM

ETER

ON

INTE

RN

AL B

ATTE

RY P

OW

ER

UN

TIL

THE

AC P

OW

ER S

UPP

LY P

ROTE

CTI

VE C

ON

DU

CTO

R IS

FU

LLY

FUN

CTI

ON

AL.

TO E

NSU

RE

PATI

ENT

ELEC

TRIC

AL IS

OLA

TIO

N, C

ON

NEC

T O

NLY

TO

OTH

ER

EQU

IPM

ENT

WIT

H E

LEC

TRIC

ALLY

ISO

LATE

D C

IRC

UIT

S.

DO

NO

T C

ON

NEC

T TO

AN

ELE

CTR

ICAL

OU

TLET

CO

NTR

OLL

ED B

Y A

WAL

L SW

ITC

H O

R

DIM

MER

.

INIT

IAL

BATT

ERY

CHAR

GIN

GBe

fore

use

, the

Rad

-8 b

atte

ry n

eeds

to b

e fu

lly c

harg

ed.

To c

harg

e th

e int

erna

l bat

tery,

plug

in th

e AC

pow

er c

ord.

Verif

y th

at th

e ba

ttery

is c

harg

ing.

The

gree

n ba

ttery

cha

rging

LED

indic

ator

on

the

unit

will r

emain

illum

inat

ed w

hile

the

batte

ry

is ch

argin

g.

INIT

IAL

INST

ALLA

TIO

NPl

ace

the

Rad

-8 o

n a

stab

le h

ard

flat s

urfa

ce n

ear t

he p

atie

nt. A

lway

s pl

ace

the

Rad

-8

unit

on a

dry

sur

face

. Mai

ntai

n a

min

imum

of 1

inch

(2.5

4 cm

) fre

e sp

ace

arou

nd th

e un

it. M

ake

sure

that

Rad

-8 lo

udsp

eake

r is

not c

over

ed to

avo

id a

muf

fled

alar

m s

ound

.

The

Rad

-8 s

houl

d no

t be

oper

ated

out

side

the

follo

win

g en

viro

nmen

tal c

ondi

tions

:

OPE

RATI

NG E

NVIR

ONM

ENTA

L CO

NDIT

IONS

TEM

PERA

TURE

+5°C

to +

40°C

, +41

°F to

+10

4°F

HUM

IDIT

Y5%

to 9

5%, n

on-c

onde

nsin

g

OPE

RATI

NG A

LTIT

UDE

500

mba

r to

1060

mba

r pre

ssur

e-1

000

ft to

18,

000

ft (-3

04 m

to 5

,486

m)

setu

p

3-2

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l

3

Page 13: Pulse Oximeters MANUAL Signal Extraction OPERATOR’S...Rad-8 Signal Extraction Pulse Oximeter Operator’s Manual i ... the reading might be inaccurate or the unit might read zero

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l4-

3

4o

peratio

n

FACT

ORY

DEF

AULT

SET

TING

STh

e R

ad-8

oxim

eter

s st

ore

two

type

s of

def

ault

valu

es: t

hose

that

the

devic

e au

tom

atica

lly

reve

rts to

afte

r a p

ower

cyc

le, a

nd th

ose

that

can

be

chan

ged

by th

e us

er w

hich

will

be

rem

embe

red

afte

r a p

ower

cyc

le.

The

follo

wing

tabl

e ou

tlines

the

defa

ult v

alue

s th

at th

e Ra

d-8

reve

rts to

afte

r a p

ower

cyc

le

if no

t cha

nged

by

the

user

:

OPT

ION

FACT

ORY

DEF

AULT

SET

TING

CONF

IGUR

ABLE

SET

TING

SpO

2 hi

gh a

larm

lim

itSe

t to

Off

2 to

100

%

SpO

2 lo

w a

larm

lim

itSe

t to

90%

1 to

100

%

Puls

e ra

te h

igh

alar

m li

mit

Set t

o 14

0 BP

M30

to 2

40 B

PM

Puls

e ra

te lo

w a

larm

lim

itSe

t to

50 B

PM25

to 2

35 B

PM

Aver

agin

g Ti

me

Set t

o 8

seco

nds

2, 4

, 8, 1

0, 1

2, 1

4, o

r 16

seco

nds

Trau

ma

Set t

o O

ffO

ff/O

n

Fast

Sat

Set t

o O

ffO

ff/O

n

Sens

itivi

tySe

t to

Nor

m s

ettin

g

Max

/Nor

mal

/APO

D

NOTE

: Def

aults

to A

POD

and

N

orm

al o

nly.

MAX

sen

sitiv

ity

will

defa

ult t

o N

orm

al a

fter a

po

wer

cyc

le.

Dis

play

brig

htne

ssSe

t to

leve

l 2Le

vels

1 th

ru 4

Puls

e to

ne v

olum

eSe

t to

leve

l 2O

ff, L

evel

s 1

thru

3

Alar

m S

ilenc

e Ti

me

Set t

o 12

0 se

cond

s30

, 60,

90,

or 1

20 s

econ

ds

Alar

m V

olum

eSe

t to

leve

l 1Le

vels

1 th

ru 3

Slee

p St

udy

Mod

e*†

Set t

o St

anda

rdSt

anda

rd/S

leep

/Hom

e H

ome

Mod

e†Se

t to

Stan

dard

Audi

ble

Alar

m o

ffSe

t to

alar

ms

activ

eO

n/O

ff or

mut

ed w

ith re

min

der

Alar

m D

elay

Set t

o le

vel 5

0, 5

, or 1

0 se

cond

s

Seria

l out

Set t

o AS

CII

2Ph

ilips/

ASC

II 1/

ASC

II 2

Inte

rface

Ala

rmSe

t to

Alar

mAl

arm

, Off/

On

Nur

se C

all T

ype

Set t

o Al

arm

Alar

m a

nd S

igna

l IQ

/Lo

w S

igna

l IQ

/Al

arm

Nur

se C

all P

olar

itySe

t to

Nor

mal

Nor

mal

/Inve

rt

* CAU

TIO

N: A

LAR

MS

ARE

DIS

ABLE

D IN

TH

IS M

OD

E.†

If th

e un

it is

conn

ecte

d to

a R

adN

et s

yste

m, t

here

will

be n

o co

mm

unica

tion

with

Rad

Net

in

this

mod

e.

11.

Verif

y th

at th

e pa

tient

ala

rms

are

func

tiona

l by

setti

ng th

e hi

gh a

nd lo

w S

pO2

and

pulse

rate

ala

rm li

mits

bey

ond

the

patie

nt re

adin

gs.

An

ala

rm to

ne s

ound

s.

Th

e vio

late

d al

arm

lim

it an

d re

adin

g fla

sh o

n th

e di

spla

y.

Th

e Vi

sual

Ala

rm In

dica

tor f

lash

es.

12.

Ver

ify th

e se

nsor

ala

rms

are

func

tiona

l by

rem

ovin

g th

e se

nsor

from

the

sens

or s

ite.

“S

enso

r off”

indi

cato

r illu

min

ates

.

Th

e al

arm

tone

sou

nds.

Th

e Vi

sual

Ala

rm In

dica

tor f

lash

es.

D

iscon

nect

the

sens

or fr

om th

e pa

tient

cab

le o

r oxim

eter

.

Con

firm

that

the

“no

sens

or” i

ndica

tor i

llum

inat

es.

NOTE

: “No

sen

sor”

and

“sen

sor o

ff” w

ill on

ly ge

nera

te a

n al

arm

if th

e Ra

d-8

was

activ

ely

mon

itorin

g a

patie

nt w

hen

the

sens

or w

as d

iscon

nect

ed.

13.

Ver

ify p

aram

eter

-vio

latio

n al

arm

sile

nce

oper

atio

n.

Cre

ate

an a

larm

con

ditio

n by

lowe

ring

the

SpO

2 or p

ulse

rate

hig

h al

arm

lim

-its

bey

ond

the

patie

nt re

adin

gs.

Pr

ess

the

Alar

m S

ilenc

e bu

tton.

Th

e al

arm

tone

cea

ses

for 1

20 s

econ

ds (d

efau

lt).

14.

To

begi

n pa

tient

mon

itorin

g:

Ad

just

the

alar

m li

mits

.

Ad

just

the

alar

m v

olum

e.

Ad

just

the

pulse

bee

p vo

lum

e.

16.

Ver

ify th

e se

nsor

is a

pplie

d co

rrect

ly an

d th

at th

e m

easu

red

data

is a

ppro

pria

te, s

ee

Sect

ion

4, S

ucce

ssfu

l SpO

2 Mon

itorin

g.

17.

Mon

itor t

he p

atie

nt.

18.

Afte

r mon

itorin

g is

com

plet

e, re

mov

e th

e se

nsor

from

the

patie

nt a

nd s

tore

or d

is-po

se o

f the

sen

sor a

ccor

ding

to lo

cal l

aws.

See

the

Dire

ctio

ns fo

r Use

of t

he s

enso

r.

19.

Pre

ss a

nd h

old

the

Powe

r/Sta

ndby

But

ton

for 2

sec

onds

to tu

rn th

e ox

imet

er o

ff [3

se

cond

s in

the

Hom

e M

ode]

.

NOTE

: Tur

n th

e ox

imet

er o

ff be

twee

n pa

tient

s so

that

it c

an re

-cal

ibra

te in

ord

er to

inte

r-pr

et n

ew p

hysio

logi

cal d

ata.

op

eratio

n

4-2

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l

4

Page 14: Pulse Oximeters MANUAL Signal Extraction OPERATOR’S...Rad-8 Signal Extraction Pulse Oximeter Operator’s Manual i ... the reading might be inaccurate or the unit might read zero

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l4-

5

4o

peratio

n

NUM

ERIC

DIS

PLAY

- PU

LSE

RATE

The

Pulse

Rat

e di

spla

yed

on th

e R

ad-8

may

diffe

r slig

htly

from

the

hear

t rat

e di

spla

yed

on E

CG

mon

itors

due

to d

iffere

nces

in a

vera

ging

tim

es. T

here

may

also

be

a di

scre

panc

y be

twee

n ca

rdia

c el

ectri

cal a

ctivi

ty a

nd p

erip

hera

l arte

rial p

ulsa

tion.

Sig

nific

ant d

iffere

nces

m

ay in

dica

te a

pro

blem

with

the

signa

l qua

lity d

ue to

phy

siolo

gica

l cha

nges

in th

e pa

tient

or

one

of

the

inst

rum

ents

or

appl

icatio

n of

the

sen

sor

or p

atie

nt c

able

. The

pul

satio

ns

from

intra

-aor

tic b

allo

on s

uppo

rt ca

n be

add

itive

to th

e pu

lse ra

te d

ispla

yed

on th

e pu

lse

oxim

eter

.

Su

cces

sfu

l S

pO

2 m

on

ito

rin

g

The

follo

win

g ge

nera

l poi

nts

will

aid

in e

nsur

ing

oxim

etry

mon

itorin

g su

cces

s.

Plac

e th

e se

nsor

on

a sit

e th

at is

not

too

thick

, has

suf

ficie

nt p

erfu

sion

and

prov

ides

pr

oper

alig

nmen

t of t

he L

ED’s

and

phot

odet

ecto

r.

Plac

e th

e se

nsor

on

a sit

e th

at h

as u

nres

trict

ed b

lood

flow

.

Do

not s

elec

t a s

ite n

ear p

oten

tial e

lect

rical

inte

rfere

nce

(ele

ctro

surg

ical u

nit,

for

exam

ple)

.

Rea

d th

e se

nsor

Dire

ctio

ns fo

r Use

for p

rope

r sen

sor a

pplic

atio

n.

NUM

ERIC

DIS

PLAY

- Sp

O2

Stab

ility

of th

e Sp

O2 r

eadi

ngs

may

be

a go

od in

dica

tor o

f sig

nal v

alid

ity.

Alth

ough

sta

bility

is

a re

lativ

e te

rm, e

xper

ienc

e w

ill pr

ovid

e a

good

feel

ing

for c

hang

es th

at a

re a

rtifa

ctua

l or

phys

iolo

gica

l and

the

spee

d, ti

min

g, a

nd b

ehav

ior o

f eac

h. T

he s

tabi

lity o

f the

read

ings

ov

er ti

me

is af

fect

ed b

y th

e av

erag

ing

mod

e be

ing

used

. Th

e lo

nger

the

aver

agin

g tim

e,

the

mor

e st

able

the

read

ings

tend

to b

ecom

e. T

his

is du

e to

a d

ampe

ned

resp

onse

as

the

signa

l is

aver

aged

ove

r a lo

nger

per

iod

of ti

me

than

dur

ing

shor

ter a

vera

ging

tim

es.

How

ever

, lon

ger a

vera

ging

tim

es d

elay

the

resp

onse

of t

he o

ximet

er a

nd re

duce

the

mea

-su

red

varia

tions

of S

pO2 a

nd P

R.

MAS

IMO

SEN

SORS

Befo

re u

se, c

aref

ully

read

the

LNO

P, LN

OPv

and

LN

CS

sens

or D

irect

ions

for U

se.

Use

only

Mas

imo

oxim

etry

sen

sors

for S

pO2

mea

sure

men

ts.

Tiss

ue d

amag

e ca

n be

cau

sed

by in

corre

ct a

pplic

atio

n or

use

of a

n LN

OP,

LNO

Pv o

r LN

CS

sens

or, f

or e

xam

ple

by w

rapp

ing

the

sens

or to

o tig

htly.

Ins

pect

the

sens

or s

ite a

s di

rect

ed in

the

sens

or D

irect

ions

for U

se to

ens

ure

skin

inte

grity

and

cor

rect

pos

itioni

ng

and

adhe

sion

of th

e se

nsor

.

CAUT

IONS

DO

NO

T U

SE D

AMAG

ED S

ENSO

RS.

DO

NO

T U

SE A

SEN

SOR

WIT

H E

XPO

SED

O

PTIC

AL O

R E

LEC

TRIC

AL C

OM

PON

ENTS

. D

O N

OT

IMM

ERSE

TH

E SE

NSO

R

IN W

ATER

, SO

LVEN

TS, O

R C

LEAN

ING

SO

LUTI

ON

S (T

HE

SEN

SOR

S AN

D C

ON

-N

EC T

OR

S AR

E N

OT

WAT

ERPR

OO

F). D

O N

OT

STER

ILIZ

E BY

IR

RAD

IATI

ON

, ST

EAM

, AU

TOC

LAVE

OR

ETH

YLEN

E OX

IDE

(UN

LESS

OTH

ERW

ISE

IND

ICAT

ED

ON

TH

E SE

NSO

R D

IREC

TIO

NS

FOR

USE

). SE

E TH

E C

LEAN

ING

IN

STRU

C-

TIO

NS

IN T

HE

DIR

ECTI

ON

S FO

R U

SE F

OR

REU

SABL

E M

ASIM

O S

ENSO

RS.

DO

NO

T U

SE D

AMAG

ED P

ATIE

NT

CAB

LES.

DO

NO

T IM

MER

SE T

HE

PATI

ENT

CAB

LES

IN W

ATER

, SO

LVEN

TS, O

R C

LEAN

ING

SO

LUTI

ON

S (T

HE

PATI

ENT

CAB

LE C

ON

NEC

TOR

S AR

E N

OT

WAT

ERPR

OO

F). D

O N

OT

STER

ILIZ

E BY

IR

RAD

IATI

ON

, STE

AM, A

UTO

CLA

VE O

R E

THYL

ENE

OXID

E.

DO

NO

T U

SE A

DD

ITIO

NAL

TAPE

TO

SEC

UR

E SE

NSO

R T

O P

ATIE

NT.

op

eratio

n

4-4

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l

4

Page 15: Pulse Oximeters MANUAL Signal Extraction OPERATOR’S...Rad-8 Signal Extraction Pulse Oximeter Operator’s Manual i ... the reading might be inaccurate or the unit might read zero

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l4-

7

4o

peratio

n

LOW

PER

FUSI

ON

The

Rad

-8 in

dica

tes

perfu

sion

on a

10-

bar L

ED in

dica

tor.

The

lowe

r two

seg

men

ts o

f the

ba

r will

turn

red

whe

n th

e am

plitu

de o

f the

arte

rial p

ulsa

tions

is v

ery

low

(low

per

fusio

n).

It ha

s be

en s

ugge

sted

that

at e

xtre

mel

y lo

w p

erfu

sion

leve

ls, p

ulse

oxim

eter

s ca

n m

easu

re

perip

hera

l sat

urat

ion,

whi

ch m

ay d

iffer

from

cen

tral a

rteria

l sat

urat

ion1

. Th

is “lo

caliz

ed

hypo

xem

ia”

may

res

ult

from

the

met

abol

ic de

man

ds o

f ot

her

tissu

es e

xtra

ctin

g ox

ygen

pr

oxim

al t

o th

e m

onito

ring

site

unde

r co

nditio

ns o

f su

stai

ned

perip

hera

l hyp

oper

fusio

n.

(Thi

s m

ay o

ccur

eve

n w

ith a

pul

se ra

te th

at c

orre

late

s w

ith th

e EC

G h

eart

rate

.)

CAUT

ION:

IF T

HE

LOW

PER

FUSI

ON

IND

ICAT

ION

IS F

REQ

UEN

TLY

DIS

PLAY

ED, F

IND

A

BETT

ER-P

ERFU

SED

MO

NIT

OR

ING

SIT

E. I

N T

HE

INTE

RIM

, ASS

ESS

THE

PATI

ENT

AND,

IF IN

DIC

ATED

, VER

IFY

OXYG

ENAT

ION

STA

TUS

THRO

UG

H O

THER

MEA

NS.

1 Se

verin

ghau

s JW

, Spe

llman

MJ.

pul

se o

ximet

er F

ailu

re T

hres

hold

s in

Hyp

oten

sion

and

Vaso

cons

trict

ion.

Ane

sthe

siolo

gy 1

990;

73:

532-

537

ACTI

ONS

TO

BE

TAKE

NIf

the

SpO

2 re

adin

gs s

how

sig

nific

ant d

iffere

nces

, do

the

follo

win

g:

Mak

e su

re th

e em

itter

and

pho

tode

tect

or a

re a

ligne

d di

rect

ly op

posit

e ea

ch o

ther

.

Sele

ct a

site

whe

re th

e di

stan

ce b

etwe

en th

e em

itter

and

pho

tode

tect

or is

min

i-m

ized.

Wip

e th

e se

nsor

site

with

a 7

0% is

opro

pyl a

lcoho

l pad

or r

ubef

acie

nt c

ream

(10-

30%

met

hyl s

alicy

late

and

2-1

0% m

enth

ol) f

or 2

0-30

sec

onds

. St

rong

vas

odila

tor

crea

ms,

suc

h as

nitr

oglyc

erin

pas

te, a

re n

ot re

com

men

ded.

If po

ssib

le, r

emov

e el

ectri

cal n

oise

sou

rces

suc

h as

ele

ctro

surg

ical u

nits

or o

ther

el

ectri

cal/e

lect

roni

c eq

uipm

ent.

If ar

tifici

al n

ails

or e

xces

sive

finge

rnai

l pol

ish a

re p

rese

nt, s

elec

t ano

ther

site

or

rem

ove

the

polis

h/ar

tifici

al n

ails.

If po

ssib

le, e

nsur

e th

at th

e se

nsor

is p

lace

d in

a lo

catio

n w

ith lo

w a

mbi

ent l

ight

. Al

thou

gh th

e R

ad-8

pul

se o

ximet

er in

tegr

ated

with

Mas

imo

SET

tech

nolo

gy h

as

signi

fican

t im

mun

ity to

am

bien

t lig

ht, e

xces

sive

ambi

ent l

ight

may

cau

se re

adin

gs to

be

inco

rrect

.

CAUT

ION:

IF

AN

Y M

EASU

REM

ENT

SEEM

S Q

UES

TIO

NAB

LE,

FIR

ST C

HEC

K TH

E PA

TIEN

T’S

VITA

L SI

GN

S BY

ALT

ERN

ATE

MEA

NS

AND

TH

EN C

HEC

K TH

E PU

LSE

OXIM

ETER

FO

R P

ROPE

R F

UN

CTI

ON

ING

.

SIG

NAL

IQ A

ND P

ULSE

BAR

The

Rad

-8 d

ispla

y pr

ovid

es a

visu

al in

dica

tor

of t

he p

leth

ysm

ogra

m s

igna

l qua

lity a

nd

an a

lert

whe

n th

e di

spla

yed

SpO

2 va

lues

are

not

bas

ed o

n ad

equa

te s

igna

l qua

lity.

The

signa

l qua

lity in

dica

tor d

ispla

yed

on th

e R

ad-8

is c

alle

d th

e Si

gnal

IQ.

The

Sign

al IQ

can

be

use

d to

iden

tify

the

occu

rrenc

e of

a p

atie

nt’s

pulse

and

the

asso

ciate

d sig

nal q

uality

of

the

mea

sure

men

t.

The

Sign

al IQ

is s

how

n as

a “b

ounc

ing

bar”

indi

cato

r, w

here

the

peak

of t

he b

ar c

oinc

ides

w

ith th

e pe

ak o

f an

arte

rial p

ulsa

tion.

Eve

n w

ith a

ple

thys

mog

raph

ic wa

vefo

rm o

bscu

red

by

artifa

ct, t

he R

ad-8

loca

tes

the

arte

rial p

ulsa

tion.

The

pul

se to

ne (w

hen

enab

led)

coi

ncid

es

with

the

peak

of t

he S

igna

l IQ

bar

. As

satu

ratio

n in

crea

ses

or d

ecre

ases

, the

pul

se to

ne w

ill as

cend

or d

esce

nd a

ccor

ding

ly, fo

r eac

h 1%

cha

nge

in s

atur

atio

n.

The

heig

ht o

f the

Sig

nal I

Q b

ar in

dica

tes

the

qual

ity o

f the

mea

sure

d sig

nal.

A hi

gh v

erti-

cal b

ar in

dica

tes

that

the

SpO

2 m

easu

rem

ent i

s ba

sed

on a

goo

d qu

ality

sig

nal.

A s

mal

l ve

rtica

l bar

indi

cate

s th

at th

e Sp

O2 m

easu

rem

ent i

s ba

sed

on d

ata

with

low

sig

nal q

uality

. W

hen

the

signa

l qua

lity is

ver

y lo

w th

e ac

cura

cy o

f the

SpO

2 m

easu

rem

ent m

ay b

e co

m-

prom

ised.

A “L

ow S

igna

l IQ

” is

indi

cate

d by

a b

ar h

eigh

t of t

wo b

ars

or le

ss a

nd th

e ba

rs

turn

red.

Whe

n th

is oc

curs

, pro

ceed

with

cau

tion

and

do th

e fo

llow

ing:

Asse

ss th

e pa

tient

.

Che

ck th

e se

nsor

and

ens

ure

prop

er s

enso

r app

licat

ion.

The

sen

sor m

ust b

e we

ll se

cure

d to

the

site

for t

he R

ad-8

to m

aint

ain

accu

rate

read

ings

. Al

so, m

isalig

nmen

t of

the

sens

or’s

emitt

er a

nd d

etec

tor c

an re

sult

in s

mal

ler s

igna

ls.

Det

erm

ine

if an

ext

rem

e ch

ange

in th

e pa

tient

’s ph

ysio

logy

and

blo

od fl

ow a

t the

m

onito

ring

site

occu

rred,

(e.g

. an

infla

ted

bloo

d pr

essu

re c

uff,

a sq

ueez

ing

mot

ion,

sa

mpl

ing

of a

n ar

teria

l blo

od s

pecim

en fr

om th

e ha

nd c

onta

inin

g th

e pu

lse o

ximet

ry

sens

or, s

ever

e hy

pote

nsio

n, p

erip

hera

l vas

ocon

stric

tion

in re

spon

se to

hyp

othe

rmia

, m

edica

tions

, or a

spe

ll of

Ray

naud

’s sy

ndro

me.

)

With

neo

nate

s or

infa

nts,

che

ck th

at th

e pe

riphe

ral b

lood

flow

to th

e se

nsor

site

is

not i

nter

rupt

ed. I

nter

rupt

ion,

for e

xam

ple,

as

may

occ

ur w

hile

lifti

ng o

r cro

ssin

g th

eir

legs

, dur

ing

a di

aper

cha

nge.

Afte

r per

form

ing

the

abov

e, if

the

“Low

Sig

nal I

Q” i

ndica

tion

occu

rs fr

eque

ntly

or c

ontin

u-ou

sly, o

btai

ning

an

arte

rial b

lood

spe

cimen

for C

O-O

ximet

ry a

nalys

is m

ay b

e co

nsid

ered

to

ver

ify th

e ox

ygen

sat

urat

ion

valu

e.

op

eratio

n

4-6

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l

4

Page 16: Pulse Oximeters MANUAL Signal Extraction OPERATOR’S...Rad-8 Signal Extraction Pulse Oximeter Operator’s Manual i ... the reading might be inaccurate or the unit might read zero

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l4-

9

4o

peratio

n

Setu

p m

en

u

This

sect

ion

give

s an

ove

rvie

w o

f the

Rad

-8 m

enu

sele

ctio

ns a

vaila

ble.

To

navig

ate

thro

ugh

the

men

us, u

se th

e M

ode/

Ente

r, N

ext,

Up

and

Dow

n ke

ys lo

cate

d on

the

front

pan

el o

f th

e ox

imet

er.

The

follo

win

g su

b-se

ctio

ns d

escr

ibe

each

men

u ite

m in

mor

e de

tail.

The

ox

imet

er h

as o

ptio

ns th

at a

llow

use

r con

figur

atio

n to

sui

t spe

cific

need

s.

MEN

U NA

VIG

ATIO

NTh

e R

ad-8

set

-up

and

conf

igur

atio

n op

tions

are

acc

esse

d th

roug

h th

e m

enu

syst

em.

The

Mod

e/En

ter k

ey is

use

d to

ent

er th

e m

enu

syst

em a

nd to

mov

e th

roug

h th

e di

ffere

nt m

enu

leve

ls. W

ithin

eac

h le

vel o

f the

sys

tem

, the

Nex

t key

is u

sed

to m

ove

from

one

opt

ion

to

the

next

. Th

e U

p an

d D

own

arro

w k

eys

are

used

to s

elec

t val

ues

with

in e

ach

optio

n. T

he

para

met

er is

set

/sel

ecte

d w

hen

eith

er th

e M

ode/

Ente

r or N

ext k

eys

are

pres

sed.

NOTE

: Th

e Ra

d-8

will a

utom

atica

lly ‘ti

me

out’

of th

e se

tup

men

u af

ter 1

0 se

cond

s wi

th n

o ke

y pr

esse

s.

SETU

P M

ENU

LEVE

L 1

– AL

ARM

FEA

TURE

S AN

D SE

NSIT

IVIT

Y.Pu

sh th

e M

ode/

Ente

r but

ton

to e

nter

men

u le

vel 1

.

BUTT

ON

SETT

ING

1X

Alar

m V

olum

e

Use

Up

or D

own

Arro

w

Keys

to a

djus

t par

amet

er to

de

sire

d se

tting

.

NOTE

: The

par

amet

er is

set

/se

lect

ed w

hen

Mod

e En

ter

or N

ext a

re p

ress

ed.

Alar

m S

ilenc

e D

urat

ion

30, 6

0, 9

0 an

d 12

0 se

cond

s

(Def

ault

120

seco

nds)

Alar

m o

n / o

ff

Alar

m m

uted

with

rem

inde

r

(Def

ault

on)

Alar

m D

elay

*0, 5

, 10

seco

nds

(Def

ault

5 se

cond

s)

Aver

agin

g. T

he s

igna

l ave

ragi

ng

time

of th

is d

evic

e ca

n be

set

to:

2†, 4

† , 8,

10,

12,

14

or 1

6 se

cond

s

(Def

ault

8 se

cond

s)

*Ala

rm d

elay

allo

ws

the

user

to a

djus

t the

tim

e in

whi

ch th

e au

dibl

e st

atus

indi

cato

r will

occu

r. Al

arm

del

ay a

pplie

s on

ly w

hen

the

satu

ratio

n lim

it is

exce

ed b

y le

ss th

an 5

%.

† Fas

tSat

is a

utom

atica

lly e

nabl

ed in

2 a

nd 4

sec

ond

aver

agin

g.

LOW

BAT

TERY

AUD

IBLE

ALA

RMIf

a lo

w b

atte

ry c

ondi

tion

occu

rs d

urin

g pa

tient

mon

itorin

g, a

low

prio

rity

alar

m w

ill so

und,

an

d ca

n be

sile

nced

for 1

20 s

econ

ds (d

efau

lt) b

y pr

essin

g th

e Al

arm

Sile

nce

Butto

n. R

efer

to

Set

up M

enu

Leve

l 1 in

this

sect

ion

to c

hang

e se

tting

.

If a

low

bat

tery

con

ditio

n oc

curs

whi

le n

ot m

onito

ring

a pa

tient

, pre

ssin

g th

e Al

arm

Sile

nce

Butto

n w

ill su

spen

d th

e au

dibl

e al

arm

unt

il th

e po

wer

is cy

cled

or p

atie

nt m

onito

ring

begi

ns.

A vis

ual l

ow b

atte

ry in

dica

tor w

ill co

ntin

ue to

blin

k w

hile

aud

ible

ala

rms

are

silen

ced.

If a

low

bat

tery

con

ditio

n oc

curs

, im

med

iate

ly di

scon

tinue

pat

ient

mon

itorin

g an

d pl

ug th

e m

onito

r int

o AC

pow

er.

No

rm

al

patie

nt m

on

ito

rin

gD

urin

g no

rmal

ope

ratio

n, th

e R

ad-8

Disp

lay

show

s ox

ygen

sat

urat

ion

(as

% S

pO2)

and

Pu

lse R

ate

(in b

eats

per

min

ute)

.

The

follo

win

g se

ctio

ns d

escr

ibe

the

func

tion

of th

e R

ad-8

fron

t pan

el c

ontro

ls du

ring

norm

al

patie

nt m

onito

ring.

RAD-

8 FR

ONT

PAN

EL C

ONT

ROL

OPE

RATI

ON

BUTT

ON

FUNC

TIO

N

Pow

er o

n/of

f. P

ress

to tu

rn R

ad-8

on.

Pre

ss-a

nd-h

old

for 2

sec

onds

to tu

rn

Rad

-8 o

ff.

Ente

rs th

e R

ad-8

set

up/m

enu

syst

em.

See

Sect

ion

4, S

etup

men

u.

Allo

ws

mov

emen

t fro

m o

ne m

enu

optio

n to

the

next

.

Alar

m S

ilenc

e.

Pres

sing

this

but

ton

one

time

will

sile

nce

the

alar

m fo

r 120

se

cond

s (d

efau

lt).

A se

cond

pre

ss w

ill re

turn

the

unit

to s

tand

ard

alar

m

mon

itorin

g.

Pres

sing

this

but

ton

will

ackn

owle

dge

and

perm

anen

tly s

ilenc

e a

‘sen

sor-o

ff’

and

‘no-

sens

or’ a

udib

le a

larm

exc

ept i

n th

e H

ome

and

Slee

p m

odes

. In

Slee

p m

ode,

all

alar

ms

are

disa

bled

. It w

ill al

so p

erm

anen

tly s

ilenc

e a

low

bat

tery

au

dibl

e al

arm

if th

e R

ad-8

is n

ot m

onito

ring

a pa

tient

.

If a

low

bat

tery

ala

rm o

ccur

s du

ring

patie

nt m

onito

ring,

pre

ssin

g th

e Al

arm

Si

lenc

e bu

tton

will

sile

nce

the

audi

ble

alar

m fo

r 120

sec

onds

(def

ault)

.

Dur

ing

norm

al p

atie

nt m

onito

ring

the

Up

and

Dow

n Ar

row

key

s co

ntro

l the

Pu

lse

Tone

vol

ume.

At t

he lo

wes

t set

ting,

the

puls

e to

ne is

mut

ed.

A lo

w-

pitc

h to

ne in

dica

tes

the

high

est o

r low

est s

ettin

g ha

s be

en re

ache

d.

In th

e se

tup/

men

u sy

stem

, the

Up

and

Dow

n Ar

row

key

s se

lect

am

ong

the

optio

ns fo

r eac

h se

tting

and

allo

ws

navi

gatio

n th

roug

h th

e m

enu(

s).

op

eratio

n

4-8

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l

4

Page 17: Pulse Oximeters MANUAL Signal Extraction OPERATOR’S...Rad-8 Signal Extraction Pulse Oximeter Operator’s Manual i ... the reading might be inaccurate or the unit might read zero

SETU

P M

ENU

LEVE

L 2

– BU

TTO

N VO

LUM

E, L

ED B

RIG

HTNE

SS A

ND F

ACTO

RY

DEFA

ULT

SETT

ING

SPu

sh th

e M

ode/

Ente

r but

ton

agai

n to

ent

er m

enu

leve

l 2.

BUTT

ONS

SETT

ING

2X

LED

Dis

play

Brig

htne

ss (4

leve

ls)

NOTE

: Ac

tive

LED

indi

cato

rs a

re

effe

cted

whi

le a

djus

ting

this

set

ting

Use

Up

or D

own

Arro

w

Keys

to a

djus

t par

amet

er

to d

esire

d se

tting

.

NOTE

: The

par

amet

er is

se

t/sel

ecte

d w

hen

Mod

e En

ter o

r Nex

t are

pre

ssed

.

Butto

n Vo

lum

e (O

ff, 3

Lev

els)

Res

tore

Fac

tory

Def

ault

Setti

ngs

Yes

/ No

Save

Use

r Ide

ntifi

ed D

efau

lt Se

tting

s

(Firs

t pre

ss U

p ar

row

two

times

and

th

en p

ress

Mod

e/En

ter.

Pass

wor

d:

next

but

ton,

up

arro

w, d

own

arro

w,

next

but

ton)

NOTE

: U

ser d

efau

lt se

tting

s ca

n be

cha

nged

for s

pecif

ic pa

tient

env

ironm

ents

.

SETU

P M

ENU

LEVE

L 3

- CLE

AR T

REND

Push

the

Mod

e/En

ter b

utto

n ag

ain

to e

nter

men

u le

vel 3

.

BUTT

ONS

SETT

ING

3X

Cle

ar T

rend

Yes

/ No

Use

Up

or D

own

Arro

w K

eys

to a

djus

t par

am-

eter

to d

esire

d se

tting

.

NOTE

: The

par

amet

er is

set

/sel

ecte

d w

hen

Mod

e En

ter o

r Nex

t are

pre

ssed

.

The

Rad

-8 o

nly

stor

es d

ata

in th

e tre

nd m

emor

y w

hile

the

devic

e is

turn

ed o

n, a

nd th

e tre

nd d

ata

rem

ains

in m

emor

y un

til th

e m

emor

y fill

s up

or c

lear

ed b

y th

e us

er.

NOTE

: It

is re

com

men

ded

that

you

cle

ar th

e tre

nd p

rior t

o pe

rform

ing

a ne

w p

atie

nt d

ata

colle

ctio

n pr

oced

ure.

op

eratio

n

4-10

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l

4

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l4-

11

4o

peratio

n

SETU

P M

ENU

LEVE

L 4

- SET

DAT

E AN

D TI

ME

Push

the

Mod

e/En

ter b

utto

n ag

ain

to e

nter

men

u le

vel 4

.

BUTT

ONS

SETT

ING

4X

Sele

ct C

lock

Use

Up

or D

own

Arro

w K

eys

to a

djus

t pa

ram

eter

to d

esire

d se

tting

.

NOTE

: The

par

amet

er is

set

/sel

ecte

d w

hen

Mod

e En

ter o

r Nex

t are

pre

ssed

.

Set Y

ear

Set M

onth

Set D

ay

Set H

our

Set M

inut

e

SETU

P M

ENU

LEVE

L 5

- OUT

PUT

Push

the

Mod

e/En

ter b

utto

n ag

ain

to e

nter

men

u le

vel 5

.

BUTT

ONS

SETT

ING

5X

Softw

are

Vers

ion

Use

Up

or D

own

Arro

w K

eys

to a

djus

t pa

ram

eter

to d

esire

d se

tting

.

NOTE

: The

par

am-

eter

is s

et/s

elec

ted

whe

n M

ode

Ente

r or

Nex

t are

pre

ssed

.

Seria

l out

- Ph

ilips,

ASC

II 1,

ASC

II 2

Alar

m M

onito

r Int

erfa

ce O

n / O

ff

Nur

se C

all

Type

Alar

m a

nd S

igna

l IQ

Low

Sig

nal I

Q

Alar

m

Nur

se C

all P

olar

ity-N

orm

al /

Inve

rt

NOTE

: Se

e ta

bles

bel

ow fo

r fur

ther

des

crip

tion

of fe

atur

es.

Page 18: Pulse Oximeters MANUAL Signal Extraction OPERATOR’S...Rad-8 Signal Extraction Pulse Oximeter Operator’s Manual i ... the reading might be inaccurate or the unit might read zero

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l4-

13

4o

peratio

n

OUT

PUT

DESC

RIPT

ION

MEN

U IT

EMS

DESC

RIPT

ION

SERI

AL

The

follo

win

g se

rial o

utpu

t mod

es a

re s

uppo

rted.

All

seria

l out

put i

s R

S-23

2 ba

sed.

See

the

inte

rface

spe

cific

atio

ns in

Sec

tion

7, S

peci

ficat

ions

.

ASCI

I 1AS

CII

text

dat

a is

sen

t to

the

seria

l int

erfa

ce a

t one

-sec

ond

inte

rval

s. Th

e AS

CII

text

incl

udes

: dat

e an

d tim

e st

amp,

SpO

2 pu

lse

rate

, PI,

and

alar

m

and

exce

ptio

n va

lues

. All

text

is s

ingl

e lin

e fo

llow

ed b

y a

line

feed

cha

ract

er

and

a ca

rriag

e re

turn

.

ASCI

I 2AS

CII

text

dat

a is

sen

t to

the

seria

l int

erfa

ce fo

llow

ing

a qu

ery

from

the

conn

ectin

g co

mpu

ter.

Rad

Net

dat

a ou

tput

is in

this

form

at.

Phili

ps V

UELI

NKSp

O2,

pul

se ra

te a

nd p

leth

ysm

ogra

phic

wav

efor

m d

ata

are

sent

in P

hilip

s Vu

eLin

k fo

rmat

to th

e se

rial p

ort.

MEN

U IT

EMS

DESC

RIPT

ION

NURS

E CA

LLTY

PE

Alar

ms

The

nurs

e ca

ll out

put w

ill be

act

ivate

d ba

sed

on a

larm

eve

nts.

Low

Sig

nal I

QTh

e nu

rse

call o

utpu

t will

be a

ctiva

ted

base

d on

Low

Sig

nal I

Q e

vent

s.

Alar

m &

Low

Sig

nal I

QTh

e nu

rse

call

outp

ut w

ill be

act

ivate

d ba

sed

on a

larm

and

Low

Sig

nal I

Q

even

ts.

NURS

E CA

LLPO

LARI

TY

Norm

alSt

anda

rd p

olar

ity. S

ee s

ectio

n 7,

Ana

log

outp

ut /

nurs

e ca

ll spe

cifica

tions

.

Inve

rtTh

is se

tting

reve

rses

the

Norm

ally

Ope

n an

d No

rmal

ly clo

sed

cont

acts.

Se

e se

ctio

n 7,

Ana

log

outp

ut /

nurs

e ca

ll spe

cifica

tions

.

CAUT

ION:

TO

AVO

ID E

XCES

SIVE

BAT

TERY

DIS

CH

ARG

ING

, DO

NO

T C

ON

NEC

T AN

Y EQ

UIP

MEN

T TO

TH

E SE

RIA

L PO

RT O

N T

HE

BAC

K PA

NEL

UN

LESS

TH

E R

AD-8

PU

LSE

OXIM

ETER

IS C

ON

NEC

TED

TO

TH

E AC

MAI

N P

OW

ER S

UPP

LY.

Pres

sing

a s

ixth

time

retu

rns

the

Rad

-8 to

pat

ient

mon

itorin

g in

the

Satu

ratio

n/Pu

lse R

ate

Mod

e. A

dditio

nally

, the

Rad

-8 w

ill au

tom

atica

lly r

etur

n to

pat

ient

mon

itorin

g di

spla

y fro

m a

ny m

enu

leve

l/set

ting

afte

r 10

seco

nds

with

no

key

pres

ses.

Sys

tem

in

terfaces

PHIL

IPS

VUEL

INK

SETU

P1.

Se

lect

the

Philip

s Vue

Link

sel

ectio

n fro

m th

e O

utpu

t men

u on

the

Rad

-8. A

fter s

elec

t-in

g, c

hoos

e th

e pr

efer

red

setti

ngs

by s

tepp

ing

thro

ugh

men

u op

tions

. Ref

er to

Sec

tion

5, O

utpu

t.

2.

Con

nect

one

end

of t

he V

ueLi

nk c

able

to th

e Se

rial O

utpu

t con

nect

or o

n th

e ba

ck o

f th

e R

ad-8

.

3.

Con

nect

the

othe

r en

d of

the

VueL

ink

cabl

e to

the

VueL

ink

mod

ule

and

inse

rt th

e m

odul

e in

to th

e Ph

ilips/

Agile

nt m

onito

r rac

k.

4.

The

SpO

2 and

pul

se ra

te v

alue

s wi

ll aut

omat

ically

app

ear o

n th

e HP

/Agi

lent

mon

itor.

5.

In o

rder

for t

he p

leth

wav

efor

m to

be

displa

yed

on th

e Ph

ilips/A

gilen

t mon

itor a

nd fo

r the

Ph

ilips/

Agile

nt m

onito

r to

indic

ate

the

alarm

con

dition

s m

easu

red

by th

e pu

lse o

xim-

eter

, the

use

r mus

t con

figur

e th

e Ph

ilips/A

gilen

t mon

itor.

Plea

se s

ee th

e Ph

ilips/A

gilen

t O

pera

tor’s

man

ual fo

r com

plete

instr

uctio

ns.

6.

The

Rad

-8 p

ulse

oxim

eter

can

be

set u

p to

aud

ibly

indi

cate

all

patie

nt a

larm

s w

hile

co

mm

unica

ting

with

the

Philip

s/ Vu

eLin

k m

odul

e. U

se th

e In

terfa

ce A

larm

s se

tting

in

the

Out

put m

enu

to e

nabl

e an

d di

sabl

e au

dibl

e al

arm

s on

the

Rad

-8.

RADN

ET S

ETUP

1.

Sele

ct th

e AS

CII

2 se

lect

ion

from

the

Seria

l opt

ions

on

the

Rad

-8 p

ulse

oxi

met

er.

2.

Con

nect

one

end

of t

he s

eria

l cab

le to

the

Seria

l Out

put c

onne

ctor

on

the

back

of

the

Rad

-8.

3.

Con

nect

the

othe

r end

of t

he s

eria

l cab

le to

the

Rad

Net

Inte

rface

Mod

ule

conn

ec-

tor.

4.

Turn

the

Rad

Net

Inte

rface

Mod

ule

on. A

pro

per c

onne

ctio

n is

sho

wn

by th

e R

adN

et In

terfa

ce M

odul

e's

Onl

ine

LED

bei

ng s

olid

.

5.

With

a p

rope

rly c

onfig

ured

Rad

Net

Inte

rface

Mod

ule,

the

Rad

-8 w

ill au

tom

ati-

cally

dis

play

the

SpO

2 an

d Pu

lse

Rat

e pa

ram

eter

s on

the

scre

en a

t the

Rad

Net

C

entra

l Sta

tion.

6.

The

Rad

-8 p

ulse

oxi

met

er c

an b

e se

t up

to a

udib

ly in

dica

te a

ll pa

tient

ala

rms

whi

le c

omm

unic

atin

g w

ith th

e R

adN

et In

terfa

ce m

odul

e.

RADL

INK

SETU

P

1.

Sele

ct th

e AS

CII

1 se

lect

ion

from

the

Seria

l opt

ions

on

the

Rad

-8 p

ulse

oxi

met

er.

2.

Con

nect

one

end

of t

he s

eria

l cab

le to

the

Seria

l Out

put c

onne

ctor

on

the

back

of

the

Rad

-8.

3.

Con

nect

the

othe

r end

of t

he s

eria

l cab

le to

the

Rad

Link

Bed

side

Rad

io s

eria

l co

nnec

tor.

4.

Com

plet

e se

tup

in a

ccor

danc

e w

ith th

e R

adLi

nk O

pera

tor's

man

ual.

op

eratio

n

4-12

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l

4

Page 19: Pulse Oximeters MANUAL Signal Extraction OPERATOR’S...Rad-8 Signal Extraction Pulse Oximeter Operator’s Manual i ... the reading might be inaccurate or the unit might read zero

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l4-

15

4o

peratio

n

SPEC

IAL

MEN

U –

SpO

2 AN

D BP

M A

LARM

LIM

ITS

BUTT

ONS

SETT

ING

S

SpO

2 H

igh

Alar

m L

imit

Use

Up

or D

own

Arro

w K

eys

to a

djus

t par

amet

er to

des

ired

setti

ng.

NOTE

: The

par

amet

er is

set

/se-

lect

ed w

hen

the

Mod

e En

ter o

r N

ext a

re p

ress

ed.

SpO

2 Lo

w A

larm

Lim

it

Puls

e R

ate

Hig

h Al

arm

Lim

it

Puls

e R

ate

Low

Ala

rm L

imit

Tren

d s

etu

p an

d u

se

INTR

ODU

CTIO

NTh

e R

ad-8

can

sto

re u

p to

72

hour

s of

SpO

2, pu

lse ra

te, a

nd p

erfu

sion

inde

x tre

nd d

ata

capt

ured

at 2

sec

ond

inte

rval

s. Th

e tre

nd d

ata

can

then

be

trans

ferre

d to

a P

C fo

r eva

lu-

atio

n.

A se

rial c

able

is re

quire

d to

con

nect

the

Rad

-8 to

a P

C. P

atie

nt m

onito

ring

is no

t pos

sible

w

hile

tren

d m

emor

y is

bein

g tra

nsfe

rred

to a

PC.

Tren

d da

ta is

sto

red

in n

on-v

olat

ile m

emor

y, so

it is

not

era

sed

whe

n th

e un

it is

shut

off.

A tre

nd d

ata

dow

nloa

d is

initia

ted

usin

g th

e Tr

endC

om u

tility

whi

ch d

ownl

oads

the

trend

da

ta a

nd s

aves

it to

an

ASC

II te

xt (.

out)

file w

ith a

n ou

tput

del

imet

er o

ptio

n.

TREN

DCO

M U

TILI

TY IN

STAL

LATI

ON

Cop

y th

e Tr

endC

om u

tility

from

the

Tren

dCom

CD

ont

o a

PC ru

nnin

g M

S-W

indo

ws.

TREN

DCO

M U

TILI

TY O

PERA

TIO

N1.

Tu

rn R

ad-8

off

if no

t alre

ady

off.

2.

Con

nect

ser

ial c

able

to R

ad-8

and

oth

er e

nd to

a c

om p

ort o

n th

e PC

.3.

Tu

rn th

e R

ad-8

on.

4.

Star

t the

Tren

dCom

utili

ty o

n th

e PC

.5.

Se

lect

Rad

-8 fr

om th

e fir

st p

ull-d

own

men

u.6.

Se

lect

the

appr

opria

te c

om p

ort n

umbe

r fro

m th

e se

cond

pul

l-dow

n m

enu,

if n

eces

-sa

ry.

7.

Sele

ct th

e O

utpu

t Del

imet

er O

ptio

n (T

ab, C

omm

a or

Spa

ce).

8.

Sele

ct th

e RE

TRIE

VE T

REND

but

ton

on th

e Tr

endC

om u

tility.

Sel

ect t

he d

esire

d lo

catio

n an

d as

sign

a file

nam

e fo

r the

tren

d file

. Sel

ect S

AVE.

9.

The

Rad

-8 w

ill di

spla

y “d

at o

ut” w

hile

tren

d da

ta is

bei

ng tr

ansf

erre

d. A

pro

gres

s ba

r will

adva

nce

to in

dica

te th

e st

atus

of t

he d

ownl

oad.

Lar

ger t

rend

file

s w

ill ta

ke

long

er to

dow

nloa

d. T

rans

fer t

ime

is ap

prox

imat

ely

20 s

econ

ds p

er h

our o

f tre

nd

data

.

NOTE

: D

urin

g do

wnl

oad

of tr

end

in fo

rmat

ion,

all

norm

al R

ad-8

func

tions

are

una

vaila

ble

and

the

keyp

ad is

lock

ed, e

xcep

t for

the

powe

r but

ton.

Sp

ecia

l M

en

u

This

sect

ion

give

s an

ove

rvie

w o

f the

Rad

-8 s

pecia

l men

u se

lect

ions

ava

ilabl

e. T

o na

vigat

e th

roug

h th

e m

enus

, use

the

Mod

e/En

ter,

Nex

t, U

p an

d D

own

keys

loca

ted

on th

e fro

nt

pane

l of t

he o

ximet

er. T

he fo

llow

ing

sub-

sect

ions

des

crib

e ea

ch m

enu

item

in m

ore

deta

il. Th

e ox

imet

er h

as o

ptio

ns th

at a

llow

use

r con

figur

atio

n to

sui

t spe

cific

need

s.SP

ECIA

L M

ENU

– ST

ANDA

RD, H

OM

E AN

D SL

EEP

MO

DETu

rn in

stru

men

t on,

then

pus

h an

d ho

ld th

e M

ode/

Ente

r and

Nex

t but

tons

sim

ulta

neou

sly

for 3

sec

onds

to e

nter

the

spec

ial m

enu

leve

ls.

BUTT

ONS

SETT

ING

+

Sim

ulta

neou

sfo

r 3 s

econ

ds

Ente

r Sta

ndar

d M

ode

- (St

d)U

se U

p or

Dow

n Ar

row

Key

s to

ad

just

par

amet

er

to d

esire

d se

t-tin

g.

NOTE

: The

pa

ram

eter

is

set/s

elec

ted

whe

n M

ode

Ente

r or N

ext a

re

pres

sed.

Pres

s t

o to

ggle

to

Hom

e M

ode

- (Hn

n)

NOTE

: Onl

y av

aila

ble

Indi

cato

rs a

re il

lum

inat

ed

whi

le a

djus

ting

setti

ng

Pres

s

to

togg

le to

Slee

p M

ode*

- (S

LP)

*CAU

TIO

N: A

LAR

MS

ARE

DIS

ABLE

D IN

TH

IS M

OD

E.

HOM

E M

ODE

OPE

RATI

ON

The

Rad

-8 c

an b

e pl

aced

into

the

Hom

e M

ode

to p

rote

ct u

nqua

lified

use

rs fr

om c

hang

ing

the

Rad

-8 a

larm

set

tings

and

ope

ratio

n. O

nly

the

follo

win

g m

enu

and

front

pan

el fu

nctio

ns

are

avai

labl

e: d

ispla

y br

ight

ness

(pre

ss

+

to

adj

ust b

right

ness

), pu

lse b

eep

volu

me

adju

stm

ent a

nd a

larm

sus

pend

. Ala

rm v

olum

e is

at h

ighe

st s

ettin

g. A

ll de

faul

t and

us

er d

efin

ed d

efau

lt se

tting

s ar

e lo

cked

to th

eir c

urre

nt v

alue

s w

hen

hom

e m

ode

is se

lect

-ed

and

retu

rn to

thos

e va

lues

afte

r a p

ower

cyc

le. U

pon

powe

r up,

the

Hm

m m

ode

will

be

disp

laye

d al

ong

with

a 1

0 se

cond

disp

lay

of p

aram

eter

s. To

turn

the

unit

off t

he p

ower

key

m

ust b

e de

pres

sed

and

held

for 3

sec

onds

. The

Mod

e En

ter a

nd N

ext k

ey h

eld

simul

tane

-ou

sly fo

r 3 s

econ

d w

ill pu

t it b

ack

into

the

spec

ial m

enu

to s

elec

t a d

iffere

nt m

ode.

SLEE

P M

ODE

OPE

RATI

ON

The

Rad

-8 c

an b

e pl

aced

into

the

Slee

p M

ode

to a

llow

the

unit

to c

aptu

re n

orm

al a

nd

abno

rmal

pat

ient

dat

a w

ithou

t trig

gerin

g th

e al

arm

s. T

his

mod

e w

ill bl

ank

out t

he u

nit

disp

lay

with

the

exce

ptio

n of

the

Batte

ry L

evel

Indi

cato

r and

the

Alar

m S

ilenc

ed In

dica

tor

and

disa

ble

the

alar

ms

even

afte

r a p

ower

cyc

le. H

owev

er, a

ny s

ingl

e ke

y pr

ess

will

brin

g th

e di

spla

y ba

ck fo

r 10

seco

nds.

Upo

n po

wer u

p, th

e SL

P m

ode

will

be d

ispla

yed

alon

g w

ith a

10

seco

nd d

ispla

y of

par

amet

er s

ettin

gs. T

he M

ode

Ente

r and

Nex

t key

hel

d sim

ul-

tane

ously

for 3

sec

onds

(sel

ect n

ext (

STD

), M

ode

Ente

r) w

ill pu

t it b

ack

into

the

spec

ial

men

u to

exit

.

CAUT

ION:

ALA

RM

S AR

E D

ISAB

LED

IN T

HIS

MO

DE.

NOTE

: If t

he u

nit i

s co

nnec

ted

to a

Rad

Net

sys

tem

, the

re w

ill be

no

com

mun

icatio

n w

ith

Rad

Net

in H

ome

and

Slee

p m

ode.

op

eratio

n

4-14

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l

4

Page 20: Pulse Oximeters MANUAL Signal Extraction OPERATOR’S...Rad-8 Signal Extraction Pulse Oximeter Operator’s Manual i ... the reading might be inaccurate or the unit might read zero

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l5-

1

5ala

rm

s an

d m

es

sag

es

10

Whe

n tre

nd d

ata

trans

fer i

s co

mpl

ete,

clo

se Tr

endC

om a

nd d

iscon

nect

the

Rad

-8

from

the

seria

l cab

le.

11.

Turn

the

Rad

-8 o

ff to

exit

the

trend

dow

nloa

d m

ode.

NOTE

: Co

ntac

t USB

to s

eria

l por

t ada

pter

man

ufac

ture

r for

ass

istan

ce o

r sup

port.

ERAS

ING

TRE

ND M

EMO

RY

To e

rase

(cle

ar) t

he tr

end

mem

ory,

see

sect

ion

4, m

enu

navig

atio

n, “c

lear

tren

d” a

nd fo

llow

th

e in

stru

ctio

ns. T

he R

ad-8

con

tinuo

usly

trend

s da

ta. W

hen

perfo

rmin

g a

new

stu

dy a

nd

gath

erin

g da

ta o

n a

new

pat

ient

, it i

s hi

ghly

reco

mm

ende

d th

e "c

lear

func

tion"

be

utiliz

ed in

or

der f

or th

e re

sults

to b

e se

para

te. T

urni

ng th

e R

ad-8

off

will

not e

rase

the

trend

dat

a.

TREN

D DA

TA F

ORM

ATAf

ter

a su

cces

sful

dow

nloa

d of

the

trend

dat

a, a

.out

file

will

be c

reat

ed c

onta

inin

g th

e tre

nd-d

ump

info

rmat

ion

in A

SCII

delim

ited

form

at. T

he fo

rmat

is d

efin

ed in

the

follo

win

g ta

ble. PA

RAM

ETER

SPEC

IFIC

ATIO

N

Date

MM

\DD

\YY

Tim

eH

H:M

M:S

S

SpO

200

1 to

100

, or "

---" m

eani

ng p

aram

eter

not

ava

ilabl

e

Puls

e Ra

te00

1 to

240

, or "

---" m

eani

ng p

aram

eter

not

ava

ilabl

e

Perfu

sion

Inde

x00

.00

to 2

0.00

Exce

ptio

n M

essa

ges

The

exce

ptio

ns a

re d

ispl

ayed

as

a 3

digi

t, AS

CII

enco

ded,

hex

adec

imal

va

lue.

The

bin

ary

bits

of t

he h

exad

ecim

al v

alue

are

enc

oded

as

follo

ws:

000

= N

orm

al o

pera

tion;

no

exce

ptio

ns00

1 =

No

Sens

or00

2 =

Def

ectiv

e Se

nsor

004

= Lo

w P

erfu

sion

008

= Pu

lse

Sear

ch01

0 =

Inte

rfere

nce

020

= Se

nsor

Off

040

= Am

bien

t Lig

ht08

0 =

Unr

ecog

nize

d Se

nsor

100

= re

serv

ed20

0 =

rese

rved

400

= Lo

w S

igna

l IQ

800

= M

asim

o SE

T. T

his

flag

mea

ns th

e al

gorit

hm is

runn

ing

is fu

ll SE

T m

ode.

It r

equi

res

a SE

T se

nsor

and

nee

ds to

acq

uire

som

e cl

ean

data

for t

his

flag

to b

e se

t

SAM

PLE

TREN

D O

UTPU

T07/21/04 09:56:08 SpO2=000 PR=000 PI=00.00 EXC=820:OffPat,SET

07/21/04 09:56:10 SpO2=000 PR=000 PI=00.00 EXC=828:Search,OffPat,SET

07/21/04 09:56:12 SpO2=097 PR=069 PI=04.69 EXC=800:SET

07/21/04 09:56:14 SpO2=096 PR=074 PI=02.28 EXC=C00:LowSigIQ,SET

07/21/04 09:56:16 SpO2=098 PR=078 PI=03.64 EXC=800:SET

07/21/04 09:56:18 SpO2=000 PR=000 PI=00.00 EXC=800:SET

07/21/04 09:56:20 SpO2=000 PR=000 PI=00.00 EXC=820:OffPat,SET

07/21/04 09:56:22 SpO2=096 PR=078 PI=02.68 EXC=800:SETo

peratio

n

4-16

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l

4

Ala

rm

id

en

tif

icatio

n

The

Rad

-8 v

isual

ly an

d au

dibl

y in

dica

tes

alar

m c

ondi

tions

that

the

syst

em d

etec

ts.

Audi

ble

alar

ms

may

be

silen

ced,

with

out a

ffect

ing

the

oper

atio

n of

visu

al a

larm

s.

Two

leve

ls of

ala

rm p

riorit

y ar

e im

plem

ente

d: h

igh

and

low

prio

rity.

The

follo

win

g ta

ble

out-

lines

the

alar

m p

riorit

y sp

ecific

atio

ns.

ALAR

M

PRIO

RITY

PARA

MET

ERAL

ARM

TYP

E

High

Low

sat

urat

ion

(SpO

2 ra

nge

1-10

0%)

Audi

ble

and

visu

al

Syst

em fa

ilure

s

Hig

h pu

lse

rate

(pul

se ra

te ra

nge

30-2

40 b

pm)

Low

pul

se ra

te (p

ulse

rate

rang

e 25

-235

bpm

)

Sens

or o

ff an

d no

sen

sor

Low

Lo

w b

atte

ryH

igh

satu

ratio

n (S

pO2

rang

e 2-

100%

)

Ala

rm

in

dic

atio

n

An a

larm

con

ditio

n is

indi

cate

d by

:

Audi

ble

alar

m to

ne

Visu

al A

larm

Indi

cato

r

Out

-of-l

imit

para

met

er w

ill fla

sh

“no

sens

or” a

nd “

sens

or o

ff” w

ill on

ly ge

nera

te a

n al

arm

con

ditio

n af

ter a

pul

se h

as b

een

foun

d.

Page 21: Pulse Oximeters MANUAL Signal Extraction OPERATOR’S...Rad-8 Signal Extraction Pulse Oximeter Operator’s Manual i ... the reading might be inaccurate or the unit might read zero

5-2

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

lR

ad-8

Sig

nal E

xtra

ctio

n P

ulse

Oxi

met

er O

pera

tor’s

Man

ual

5-3

5ala

rm

s an

d m

es

sag

es

ALAR

M S

ILEN

CEAu

dibl

e al

arm

s m

ay b

e su

spen

ded,

whi

le v

isual

ala

rms

may

not

. W

ith th

e ex

cept

ion

of

Slee

p M

ode,

ther

e ar

e tw

o au

dibl

e al

arm

sus

pens

ion

setti

ngs,

all

cont

rolle

d by

the

Alar

m

Susp

end

Butto

n.

Rep

eate

d pr

essin

g of

the

Alar

m S

uspe

nd b

utto

n w

ill cy

cle th

ough

two

alar

m s

uspe

nd o

ptio

ns.

Powe

r-On

– Al

arm

s ar

e ac

tive

and

Alar

m S

uspe

nded

Indi

cato

r is

off.

Push

Onc

e –

Alar

m is

sus

pend

ed fo

r 120

sec

onds

and

Ala

rm S

uspe

nded

Indi

cato

r fla

shes

(S

ee s

ectio

n 4

“Ala

rm fe

atur

es a

nd s

ensit

ivity

” to

adju

st a

larm

sus

pens

ion

time

perio

d).

Push

Twice

- R

etur

n to

Aud

ible

Ala

rm A

ctive

.

ALAR

M S

ILEN

CED

INDI

CATO

RTh

e Al

arm

Sile

nced

Indi

cato

r pro

vides

visu

al fe

edba

ck w

hen

illum

inat

ed, t

he R

ad-8

aud

ible

al

arm

s ar

e m

uted

.

Whi

le m

onito

ring

a pa

tient

, ac

know

ledg

ing

an a

larm

con

ditio

n by

pre

ssin

g th

e Al

arm

Si

lenc

e Bu

tton

(one

tim

e) w

ill sil

ence

the

alar

m to

ne fo

r 12

0 se

cond

s (d

efau

lt) a

nd th

e Al

arm

Sile

nced

Ind

icato

r w

ill fla

sh.

Pres

sing

the

Alar

m S

ilenc

e Bu

tton

a se

cond

tim

e (w

hile

the

Alar

m S

ilenc

ed In

dica

tor i

s st

ill fla

shin

g) w

ill ac

tivat

e al

arm

s an

d al

arm

sile

nced

in

dica

tor i

s of

f.

Whi

le n

ot m

onito

ring

a pa

tient

, ack

now

ledg

ing

an a

larm

con

ditio

n by

pre

ssin

g th

e Al

arm

Si

lenc

e Bu

tton

(one

tim

e) w

ill pe

rman

ently

sile

nce

the

alar

m to

ne, a

nd th

e Al

arm

Sile

nced

In

dica

tor

will

rem

ain

illum

inat

ed u

ntil

the

powe

r is

cycle

d or

pat

ient

mon

itorin

g be

gins

. W

hile

in th

e H

ome

Mod

e an

d no

t mon

itorin

g a

patie

nt, t

he a

larm

will

be s

uspe

nded

for

120

seco

nds

(def

ault)

.

Shou

ld th

e al

arm

con

ditio

n be

cre

ated

by

a lo

w b

atte

ry c

ondi

tion,

plu

g th

e un

it in

to A

C

powe

r im

med

iate

ly.

ala

rm

s an

d m

es

sag

es

5

Ala

rm

li

mit

s

CAUT

ION:

TO

EN

SUR

E TH

AT A

LAR

M L

IMIT

S AR

E AP

PRO

PRIA

TE F

OR

TH

E PA

TIEN

T BE

ING

MO

NIT

OR

ED,

CH

ECK

THE

LIM

ITS

EAC

H T

IME

THE

PULS

E OX

IMET

ER I

S U

SED.

An a

udib

le a

larm

and

a fl

ashi

ng a

larm

sta

tus

indi

cato

r will

occu

r whe

n an

ala

rm li

mit

is ex

ceed

ed fo

r gre

ater

than

five

sec

onds

(See

sec

tion

4, A

larm

Fea

ture

s an

d Se

nsitiv

ity to

ad

just

this

setti

ng).

It is

best

that

the

oper

ator

be

with

in a

min

imum

of 1

0 fe

et fr

om th

e un

it. D

irect

ions

for a

larm

sus

pens

ion

are

indi

cate

d be

low.

Whe

n a

sens

or is

not

con

nect

ed to

a

patie

nt th

e “n

o se

nsor

” ind

icato

r will

illum

inat

e. W

hen

a se

nsor

is n

ot c

onne

cted

to it

s ca

ble,

“s

enso

r off”

indi

cato

r will

illum

inat

e. A

n au

dibl

e al

arm

will

acco

mpa

ny th

e vis

ual i

ndica

tor

unle

ss th

e ox

imet

er h

as b

een

set t

o Al

arm

Sus

pend

Mod

e.

SETT

ING

RANG

E

SpO

2 H

igh

Lim

itTh

e Sp

O2

high

ala

rm li

mit

can

be s

et a

nyw

here

bet

wee

n 2%

and

99%

, w

ith a

1%

ste

p si

ze. I

n th

e “--

--” (o

ff) s

ettin

g, th

e Sp

O2

Hig

h Li

mit

alar

m

is d

isab

led.

SpO

2 Lo

w L

imit

The

SpO

2 lo

w a

larm

lim

it ca

n be

set

any

whe

re b

etw

een

1% a

nd 9

9%,

with

a 1

% s

tep

size

.

NOTE

: Th

e lo

w a

larm

lim

it m

ust a

lway

s be

set

bel

ow th

e hi

gh a

larm

set

ting.

At

tem

ptin

g to

set

the

high

ala

rm li

mit

belo

w th

e lo

w a

larm

lim

it, th

e lo

w a

larm

lim

it w

ill au

tom

atic

ally

adj

ust t

he lo

w li

mit

to th

e ne

xt s

ettin

g be

low

the

new

ly e

nter

ed

high

ala

rm li

mit

setti

ng.

Puls

e R

ate

Hig

h

Lim

it (B

PM)

The

puls

e ra

te h

igh

alar

m li

mit

can

be s

et a

nyw

here

bet

wee

n 30

BPM

and

240

BPM

, with

a 5

BPM

ste

p si

ze.

Puls

e R

ate

Low

Lim

it (B

PM)

The

puls

e ra

te lo

w a

larm

lim

it ca

n be

set

any

whe

re b

etw

een

25 B

PM a

nd 2

35 B

PM, w

ith a

5 B

PM s

tep

size

.

NOTE

: Th

e lo

w a

larm

lim

it m

ust a

lway

s be

set

bel

ow th

e hi

gh a

larm

set

ting.

At

tem

ptin

g to

set

the

high

ala

rm li

mit

belo

w th

e lo

w a

larm

lim

it, th

e lo

w a

larm

lim

it w

ill au

tom

atic

ally

adj

ust t

he lo

w li

mit

to th

e ne

xt s

ettin

g be

low

the

new

ly e

nter

ed

high

ala

rm li

mit

setti

ng.

NOTE

: Pre

ssin

g an

d ho

ldin

g do

wn

the

up a

nd d

own

butto

ns a

llow

for t

he ra

pid

scro

lling

of

chan

ging

SpO

2 an

d BP

M a

larm

lim

its.

NOTE

: If t

here

is a

loss

of p

ower

for a

ny le

ngth

of t

ime,

the

Alar

m s

ettin

gs w

ill be

set

bac

k to

the

Use

r set

def

aults

. If t

he u

ser h

as n

ot u

tilize

d th

is o

ptio

n, th

en th

ey w

ill be

set

bac

k to

the

fact

ory

defa

ults

.

Page 22: Pulse Oximeters MANUAL Signal Extraction OPERATOR’S...Rad-8 Signal Extraction Pulse Oximeter Operator’s Manual i ... the reading might be inaccurate or the unit might read zero

5-4

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

lR

ad-8

Sig

nal E

xtra

ctio

n P

ulse

Oxi

met

er O

pera

tor’s

Man

ual

6-1

6tro

ub

les

ho

otin

g

Tro

ub

les

ho

otin

g

The

follo

win

g ch

art d

escr

ibes

wha

t to

do if

the

Rad

-8 s

yste

m d

oes

not o

pera

te p

rope

rly

or fa

ils. DI

SPLA

YTY

PESO

LUTI

ON

UNIT

DO

ES N

OT

POW

ER O

NLo

w b

atte

ry/ n

ot p

lugg

ed

into

AC

pow

er s

uppl

yC

heck

/ pl

ug in

to A

C p

ower

sup

ply.

CONT

INUO

US

SPEA

KER

TONE

Inte

rnal

Fai

lure

Uni

t req

uire

s se

rvic

e. P

ress

the

Alar

m

Sile

nce

butto

n. I

f ala

rm c

ontin

ues

to

soun

d, p

ower

dow

n un

it. If

the

pow

er

butto

n do

es n

ot tu

rn th

e un

it of

f, pr

ess

and

hold

the

sens

itivi

ty a

nd a

larm

su

spen

d bu

ttons

sim

ulta

neou

sly.

Ret

urn

the

unit

for s

ervi

ce.

NO S

PEAK

ER T

ONE

Puls

e to

ne s

et to

“mut

e”Pr

ess

Up

Arro

w (R

ad-8

) or A

larm

Vo

lum

e Ad

just

(Rad

-8).

Alar

m S

uspe

nd E

nabl

ed

Insp

ect A

larm

Sus

pend

Indi

cato

r. S

ee

Sect

ion

4, A

larm

Sus

pend

. Pr

ess

Alar

m S

uspe

nd b

utto

n un

til A

larm

Su

spen

d In

dica

tor i

s no

long

er il

lum

i-na

ted

or fl

ashi

ng.

BUTT

ONS

DO

N’T

WO

RK W

HEN

PRES

SED

Inte

rnal

Fai

lure

Use

aux

illary

pow

er d

own

met

hod

by

pres

sing

and

hol

ding

sen

sitiv

ity a

nd

Alar

m S

uspe

nd b

utto

ns s

imul

tane

ousl

y.

Ret

urn

for s

ervi

ce.

5ala

rm

s an

d m

es

sag

es

MES

SAG

ESTh

e R

ad-8

will

indi

cate

oth

er d

ata

or s

yste

m e

rrors

.

Mes

sage

con

ditio

ns fo

r the

Rad

-8 fo

llow

:

DISP

LAY

TYPE

SOLU

TIO

N

LEDS

FLA

SH

HORI

ZONT

AL B

ARS

Puls

e Se

arch

Wai

t for

foun

d pu

lse.

(Th

is S

earc

h sh

ould

occ

ur w

hene

ver a

sen

sor i

s fir

st

appl

ied

to a

pat

ient

).

PULS

E BA

R TU

RNS

RED

(Bot

tom

two

LED

s on

ly.)

Low

Sig

nal I

Q1.

Rul

e ou

t occ

lusi

on o

f blo

od fl

ow.

2.

Verif

y pl

acem

ent o

f sen

sor.

PERF

USIO

N BA

R TU

RNS

RED

(Bot

tom

tw

o LE

Ds

only.

)Lo

w P

erfu

sion

1. R

ule

out o

cclu

sion

of b

lood

flow

.

2. A

ttem

pt to

war

m p

atie

nt.

3. M

ove

sens

or to

bet

ter p

erfu

sed

site

.

NOTE

: Mas

imo

reco

mm

ends

usi

ng a

n ad

hesi

ve s

enso

r whe

neve

r low

per

fu-

sion

is e

xpec

ted

or e

vide

nt.

SpO

2 NU

MBE

R FL

ASHE

SSa

tura

tion

limit

alar

mAs

sess

/add

ress

pat

ient

con

ditio

n.

Re-

set a

larm

lim

its if

indi

cate

d

PULS

E RA

TENU

MBE

R FL

ASHE

SPu

lse

Rat

e lim

it al

arm

Asse

ss /a

ddre

ss p

atie

nt c

ondi

tion.

Re-

set a

larm

lim

its if

indi

cate

d.

Syst

em F

ault

Ret

urn

for s

ervi

ce

Ther

e ar

e se

vera

l erro

r cod

es, a

ll er

ror

code

s re

quire

retu

rn o

f the

uni

t to

an

auth

orize

d se

rvic

e ce

nter

for r

epai

r.

See

Sect

ion

9, S

ervi

ce a

nd R

epai

r.

Def

ectiv

e se

nsor

Rep

lace

sen

sor

Unr

ecog

nize

d se

nsor

Con

nect

app

ropr

iate

cab

le

Inte

rfere

nce

dete

cted

Ensu

re th

at th

e se

nsor

is p

rope

rly

appl

ied,

and

cov

er th

e se

nsor

site

with

op

aque

mat

eria

l, if

requ

ired.

Page 23: Pulse Oximeters MANUAL Signal Extraction OPERATOR’S...Rad-8 Signal Extraction Pulse Oximeter Operator’s Manual i ... the reading might be inaccurate or the unit might read zero

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l7-

1

7s

pecif

icatio

ns

Rad

-8 s

pecif

icatio

ns

PERF

ORM

ANCE

Mea

sure

men

t Ran

geSp

O2:

1-

100%

Pulse

Rat

e:25

-240

bea

ts p

er m

inut

e (b

pm)

Perfu

sion:

0.02

% -

20%

Res

pons

e tim

e:<1

sec

ond

dela

y

ACCU

RACY

Satu

ratio

n70

% to

100

%

No M

otio

n1

Ad

ults

, Ped

iatri

cs

±2 d

igits

Ne

onat

e±3

dig

itsM

otio

n2

Ad

ults

1 , P

edia

trics

1 ±3

dig

its

Neon

ate

±3 d

igits

Low

Perfu

sion3

Ad

ults

, Ped

iatri

cs±2

dig

its

Ne

onat

e±3

dig

itsPu

lse

Rate

Acc

urac

yPu

lse

rate

:25

-240

bpm

No M

otio

n1

Ad

ults

, Ped

iatri

cs, N

eona

te±3

dig

itsM

otio

n2

Ad

ults

, Ped

iatri

cs, N

eona

te±5

dig

its

Low

Perfu

sion3

Ad

ults

, Ped

iatri

cs, N

eona

tes

±3 d

igits

Reso

lutio

nSa

tura

tion

(%Sp

O2)

1%

Pulse

Rat

e (b

pm)

1 bp

m

ELEC

TRIC

ALAC

Pow

er re

quire

men

ts:

100-

240

VAC,

50-

60 H

zPo

wer c

onsu

mpt

ion:

15

VA

max

.

Batte

ry

Ty

pe:

Seal

ed le

ad a

cid

Capa

city:

8 ho

urs4

Ch

argi

ng ti

me:

8

hour

sEN

VIRO

NMEN

TAL

Ope

ratin

g Te

mpe

ratu

re:

41°F

to 1

04°F

(5°C

to 4

0°C)

Tran

spor

tatio

n/St

orag

e Te

mpe

ratu

re:

-40°

F to

158

°F (-

40°C

to +

70°C

)5

Ope

ratin

g/St

orag

e Hu

mid

ity:

5% to

95%

, non

-con

dens

ing

Ope

ratin

g Al

titud

e:

50

0 m

bar t

o 10

60 m

bar p

ress

ure,

-10

00 ft

to 1

8,00

0 ft

(-304

m to

5,4

86 m

)

Page 24: Pulse Oximeters MANUAL Signal Extraction OPERATOR’S...Rad-8 Signal Extraction Pulse Oximeter Operator’s Manual i ... the reading might be inaccurate or the unit might read zero

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l7-

3

7s

pecif

icatio

ns

Seria

l in

terfa

ce specif

icatio

ns

The

digi

tal i

nter

face

for s

eria

l com

mun

icatio

n is

base

d on

the

stan

dard

RS-

232

prot

ocol

.

The

Rad

-8 p

ulse

oxim

eter

by

defa

ult a

lway

s ou

tput

s AS

CII2

text

dat

a th

roug

h th

e se

rial

port,

unl

ess

the

user

sel

ects

a d

iffere

nt o

utpu

t mod

e in

the

Out

put m

enu.

To in

terfa

ce w

ith

the

Rad

-8 a

nd re

ceive

ser

ial t

ext d

ata,

sim

ply

conn

ect a

ser

ial i

nter

face

cab

le to

the

seria

l ou

tput

con

nect

or lo

cate

d on

the

back

of t

he R

ad-8

.

NOTE

: Tr

end

data

pac

kets

are

col

lect

ed a

t 2 s

econ

d in

terv

als.

Eac

h da

ta p

acke

t con

tain

s: th

e da

te, t

ime,

SpO

2, pu

lse ra

te, p

erfu

sion

inde

x an

d al

arm

and

exc

eptio

n va

lues

(in

ASCI

I fo

rmat

).

SERI

AL IN

TERF

ACE

SETU

PTo

inte

rface

with

the

Rad-

8 se

rial p

ort,

set t

he fo

llowi

ng c

omm

unica

tion

para

met

ers

on th

e in

terfa

cing

seria

l dev

ice:

PARA

MET

ERSE

TTIN

G

BAUD

RAT

E96

00 B

aud

bi-d

irect

iona

l

NUM

BER

OF

BITS

PER

CHA

RACT

ER8

PARI

TYN

one

BITS

1 st

art,

1 st

op

HAND

SHAK

ING

Non

e

CONN

ECTO

R TY

PE

Fem

ale

DB-

9

The

pin-

outs

for t

he R

S-23

2 co

nnec

tor a

re s

how

n in

the

follo

win

g ta

ble:

PIN

SIG

NAL

NAM

E

1N

o C

onne

ctio

n

2R

ecei

ve d

ata

– R

S-23

2 ±9

V (±

5 Vm

in)

3Tr

ansm

it da

ta –

RS-

232

±9 V

(±5

Vmin

)

4N

o C

onne

ctio

n

5Si

gnal

Gro

und

Ref

eren

ce fo

r CO

M s

igna

ls

6N

o C

onne

ctio

n

7N

o C

onne

ctio

n

8N

o C

onne

ctio

n

9N

o C

onne

ctio

n

PHYS

ICAL

CHA

RACT

ERIS

TICS

Dim

ensi

ons:

8.2”

x 6

.0”

x 3.

0” (

20.8

cm

x 1

5.2c

m x

7.6

cm

)

Wei

ght:

2

.1 lb

s. =

.908

Kg.

= 3

2 oz

Rad-

8 M

odes

Rad-

8 Av

erag

ing

mod

e:2,

4, 8

,10,

12,

14

or 1

6 se

cond

s5

Rad-

8 Se

nsitiv

ity:

Norm

al, M

axim

um a

nd A

POD

Alar

ms

Sens

or c

ondi

tion,

sys

tem

failu

re a

nd lo

w ba

ttery

ala

rms

Audi

ble

and

visua

l ala

rms

for h

igh

and

low

satu

ratio

n an

d pu

lse ra

te

(SpO

2 ra

nge

1-99

%, -

-- of

f, pu

lse ra

te ra

nge

25-2

40 b

pm)

High

Prio

rity:

800

Hz to

ne, 5

pul

se b

urst

, pul

se s

pacin

g: 0

.250

s,0.

250s

, 0.5

00s,

0.2

50s,

repe

at ti

me:

10s

Low

Prio

rity:

500

Hz to

ne, 3

pul

se, r

epea

t tim

e: 5

s

Alar

m V

olum

e:80

dB

max

Disp

lay/

Indi

cato

rs

Data

disp

lay:

%

SpO

2, p

ulse

rate

, ala

rm s

tatu

s, a

larm

sile

nced

sta

tus,

AC

powe

r, Si

gnal

IQ /

plet

h ba

r, pe

rfusio

n in

dex

bar,

batte

ry s

tatu

s, n

o se

nsor

, sen

sor o

ff

APO

D, N

orm

, Max

, Fas

tSat

, Tra

uma

LED

Type

: LE

D

Dis

play

upd

ate

rate

1 se

cond

Com

plia

nce

EMC

Com

plia

nce:

EN60

601-

1-2,

Cla

ss B

Equi

pmen

t Cla

ssific

atio

n:IE

C 60

601-

1/ U

L 60

601-

1/IE

C 60

601-

1-1

Type

of P

rote

ctio

n

Clas

s 1

(on

AC p

ower

), In

tern

ally

powe

red

(on

batte

ry p

ower

)

Degr

ee o

f Pro

tect

ion-

Patie

nt C

able

:Ty

pe B

F-Ap

plie

d Pa

rt

Rad-

8 M

ode

of O

pera

tion:

Cont

inuo

us

1 M

asim

o SE

T te

chno

logy

with

LNO

P Ad

t/ Ne

o se

nsor

s ha

s be

en v

alid

ated

for n

o m

otio

n ac

cura

cy in

hum

an b

lood

stu

dies

on

heal

thy

adul

t mal

e an

d fe

mal

e vo

lunt

eers

with

light

to d

ark

skin

pig

men

tatio

n in

indu

ced

hypo

xia s

tudi

es in

the

rang

e of

70-

100%

SpO

2 aga

inst

a

labo

rato

ry c

o-ox

imet

er a

nd E

CG m

onito

r. T

his

varia

tion

equa

ls pl

us o

r min

us o

ne s

tand

ard

devia

tion

which

enc

ompa

sses

68%

of

the

popu

latio

n. T

he s

atur

atio

n ac

cura

cy o

f the

neo

nata

l sen

sors

wer

e va

lidat

ed o

n ad

ult m

ale

and

fem

ale

volu

ntee

rs w

ith li

ght t

o da

rk

skin

pig

men

tatio

n an

d 1%

was

add

ed to

acc

ount

for t

he p

rope

rties

of f

etal

hem

oglo

bin.

2 M

asim

o SE

T te

chno

logy

with

LNO

P Ad

t sen

sors

has

bee

n va

lidat

ed fo

r mot

ion

accu

racy

in h

uman

blo

od s

tudi

es o

n he

alth

y ad

ult m

ale

and

fem

ale

volu

ntee

rs w

ith lig

ht to

dar

k sk

in p

igm

enta

tion

in in

duce

d hy

poxia

stu

dies

whi

le p

erfo

rmin

g ru

bbin

g an

d ta

ppin

g m

otio

ns, a

t 2

to 4

Hz

at a

n am

plitu

de o

f 1 to

2 c

m a

nd a

non

-repe

titive

mot

ion

betw

een

1 to

4Hz

at a

n am

plitu

de o

f 2 to

3 c

m in

indu

ced

hypo

xia

stud

ies

in th

e ra

nge

of 7

0-10

0% S

pO2

agai

nst a

labo

rato

ry C

O-o

ximet

er a

nd E

CG m

onito

r. T

his

varia

tion

equa

ls pl

us o

r min

us o

ne

stan

dard

dev

iatio

n wh

ich e

ncom

pass

es 6

8% o

f the

pop

ulat

ion.

The

sat

urat

ion

accu

racy

of t

he n

eona

tal s

enso

rs w

ere

valid

ated

on

adul

t m

ale

and

fem

ale

volu

ntee

rs w

ith lig

ht to

dar

k sk

in p

igm

enta

tion

and

1% w

as a

dded

to a

ccou

nt fo

r the

pro

perti

es o

f fet

al h

emog

lobi

n.

3 M

asim

o SE

T te

chno

logy

has

bee

n va

lidat

ed fo

r low

per

fusio

n ac

cura

cy in

ben

ch to

p te

stin

g ag

ains

t a B

iote

k In

dex

2 sim

ulat

or a

nd

Mas

imo’s

sim

ulat

or w

ith s

igna

l stre

ngth

s of

gre

ater

than

0.0

2% a

nd a

% tr

ansm

issio

n of

gre

ater

than

5%

for s

atur

atio

ns ra

ngin

g fro

m

70 to

100

%. T

his

varia

tion

equa

ls pl

us o

r min

us o

ne s

tand

ard

devia

tion

which

enc

ompa

sses

68%

of t

he p

opul

atio

n.

4 T

his

repr

esen

ts a

ppro

ximat

e ru

n tim

e at

lowe

st in

dica

tor b

right

ness

and

pul

se to

ne tu

rned

off

usin

g a

fully

cha

rged

bat

tery

.

5 W

ith F

astS

at th

e av

erag

ing

time

is de

pend

ent o

n th

e in

put s

igna

l. Fo

r the

2 a

nd 4

sec

ond

setti

ngs

the

aver

agin

g tim

e m

ay ra

nge

from

2-

4 an

d 4-

6 se

cond

s, re

spec

tivel

y.

sp

ecif

icatio

ns

7-2

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l

7

Page 25: Pulse Oximeters MANUAL Signal Extraction OPERATOR’S...Rad-8 Signal Extraction Pulse Oximeter Operator’s Manual i ... the reading might be inaccurate or the unit might read zero

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l8-

1

8s

en

so

rs

&

p

atie

nt cab

les

Intro

du

ctio

n

This

sec

tion

cove

rs th

e us

e an

d cl

eani

ng o

f Mas

imo

SET

sens

ors

and

Mas

imo

SET

patie

nt c

able

s.

Mas

imo

S

pO

2 s

en

so

rs

Befo

re u

se o

f an

y se

nsor

or

cabl

e, c

aref

ully

rea

d th

e se

nsor

or

cabl

e D

irect

ions

for

Use

.

Use

onl

y M

asim

o ox

imet

ry s

enso

rs a

nd c

able

s fo

r SpO

2 m

easu

rem

ents

. Oth

er o

xyge

n tra

nsdu

cers

or s

enso

rs m

ay c

ause

impr

oper

Rad

-8 p

ulse

oxi

met

er p

erfo

rman

ce.

Tiss

ue d

amag

e ca

n be

cau

sed

by in

corre

ct a

pplic

atio

n or

use

of a

Mas

imo

sens

or, f

or

exam

ple

by w

rapp

ing

the

sens

or to

o tig

htly.

Insp

ect t

he s

enso

r si

te a

s di

rect

ed in

the

sens

or D

irect

ions

for U

se to

ens

ure

skin

inte

grity

and

cor

rect

pos

ition

ing

and

adhe

sion

of

the

sens

or.

CAUT

IONS

:

DO

NO

T U

SE D

AMAG

ED S

ENSO

RS.

DO

NO

T U

SE A

SEN

SOR

WIT

H E

XPO

SED

O

PTIC

AL O

R E

LEC

TRIC

AL C

OM

PON

ENTS

. DO

NO

T IM

MER

SE T

HE

SEN

SOR

IN

WAT

ER, S

OLV

ENTS

, OR

CLE

ANIN

G S

OLU

TIO

NS

(TH

E SE

NSO

RS

AND

CO

N-

NEC

TOR

S AR

E N

OT

WAT

ERPR

OO

F). D

O N

OT

STER

ILIZ

E BY

IR

RAD

IATI

ON

, ST

EAM

, OR

ETH

YLEN

E OX

IDE.

SEE

TH

E C

LEAN

ING

INST

RUC

TIO

NS

IN T

HE

DIR

ECTI

ON

S FO

R U

SE F

OR

REU

SABL

E M

ASIM

O S

ENSO

RS.

DO

NO

T U

SE D

AMAG

ED P

ATIE

NT

CAB

LES.

DO

NO

T IM

MER

SE T

HE

PATI

ENT

CAB

LES

IN W

ATER

, SO

LVEN

TS,

OR

CLE

ANIN

G S

OLU

TIO

NS

(TH

E PA

TIEN

T C

ABLE

CO

NN

ECTO

RS

ARE

NO

T W

ATER

PRO

OF)

. DO

NO

T ST

ERIL

IZE

BY IR

RA-

DIA

TIO

N, S

TEAM

, OR

ETH

YLEN

E OX

IDE.

ALL

SEN

SOR

S AN

D C

ABLE

S AR

E D

ESIG

NED

FO

R U

SE W

ITH

SPE

CIF

IC M

ON

I-TO

RS.

VE

RIF

Y TH

E C

OM

PATI

BILI

Y O

F TH

E M

ON

ITO

R, C

ABLE

AN

D S

ENSO

R

BEFO

RE

USE

, OTH

ERW

ISE

PATI

ENT

INJU

RY C

AN R

ESU

LT.

DO

NO

T U

SE A

DD

ITIO

NAL

TAPE

TO

WR

AP S

ENSO

R.

SELE

CTIN

G A

MAS

IMO

SET

SEN

SOR

Whe

n se

lect

ing

a se

nsor

, con

side

r, th

e pa

tient

’s w

eigh

t, th

e ad

equa

cy o

f per

fusi

on, t

he

avai

labl

e se

nsor

site

s, a

nd th

e du

ratio

n of

mon

itorin

g. F

or m

ore

info

rmat

ion

refe

r to

the

follo

win

g ta

ble

or c

onta

ct y

our S

ales

Rep

rese

ntat

ive. U

se o

nly

Mas

imo

SET

sens

ors

and

sens

or c

able

s. Se

lect

an

appr

opria

te s

enso

r, ap

ply

it as

dire

cted

, and

obs

erve

all

warn

-in

gs a

nd c

autio

ns p

rese

nted

in th

e di

rect

ions

for u

se a

ccom

pany

ing

the

sens

or.

Hig

h am

bien

t lig

ht s

ourc

es s

uch

as s

urgi

cal l

ight

s (e

spec

ially

thos

e w

ith a

xen

on li

ght

sour

ce),

bilir

ubin

lam

ps, f

luor

esce

nt li

ghts

, inf

rare

d he

atin

g la

mps

, and

dire

ct s

unlig

ht

can

inte

rfere

with

the

per

form

ance

of

an S

pO2

sens

or. T

o pr

even

t in

terfe

renc

e fro

m

ambi

ent l

ight

, ens

ure

that

the

sens

or is

pro

perly

app

lied,

and

cov

er th

e se

nsor

site

with

op

aque

mat

eria

l, if

requ

ired.

Fai

lure

to ta

ke th

is p

reca

utio

n in

hig

h am

bien

t lig

ht c

ondi

-tio

ns m

ay re

sult

in in

accu

rate

mea

sure

men

ts.

SERI

AL P

RINT

ER S

ETUP

To p

rint t

he S

pO2 a

nd p

ulse

rate

dat

a in

ASC

II1 fo

rmat

on

a se

rial p

rinte

r, si

mpl

y co

nnec

t th

e la

ser p

rinte

r to

the

seria

l por

t and

set

out

put m

ode

to A

SCII1

. Onc

e se

rial c

omm

uni-

catio

n is

est

ablis

hed,

the

Rad

-8 a

utom

atic

ally

will

star

t prin

ting

the

ASC

II1 te

xt d

ata.

WAR

NING

: ALL

EXT

ERN

AL D

EVIC

E C

ON

NEC

TIO

NS

TO T

HE

RS-

232

SER

IAL

PORT

MU

ST B

E IE

C-6

0950

CO

MPL

IAN

T.

Nurse c

all s

pecific

atio

ns

The

nurs

e ca

ll fe

atur

es a

re a

cces

sibl

e vi

a th

e 1/

4” ro

und

fem

ale

conn

ecto

r on

the

back

of

the

unit.

NURS

E CA

LLTh

e nu

rse

call f

eatu

re o

n th

e R

ad-8

pul

se o

xim

eter

is b

ased

on

the

rela

y cl

osin

g or

ope

n-in

g de

pend

ing

on a

larm

, Low

Sig

nal I

Q e

vent

s or

bot

h. I

n ad

ditio

n th

e nu

rse

call

pola

rity

can

be in

verte

d to

acc

omm

odat

e va

rious

nur

se c

all s

tatio

ns re

quire

men

ts.

The

nurs

e ca

ll re

lays

hav

e th

e fo

llow

ing

elec

trica

l spe

cific

atio

n pe

r sw

itch:

PARA

MET

ERSP

ECIF

ICAT

ION

MAX

VO

LTAG

E36

VD

C o

r 24

VAC

pea

k

WAR

NING

: TH

E N

UR

SE C

ALL

FEAT

UR

E IS

DIS

ABLE

D W

HEN

TH

E AU

DIB

LE

ALAR

MS

ARE

SILE

NC

ED W

HIL

E TH

E N

UR

SE C

ALL

SETT

ING

IN

THE

OU

T-PU

T M

ENU

IS S

ET T

O “A

LAR

MS”

.

sp

ecif

icatio

ns

7-4

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l

7

Page 26: Pulse Oximeters MANUAL Signal Extraction OPERATOR’S...Rad-8 Signal Extraction Pulse Oximeter Operator’s Manual i ... the reading might be inaccurate or the unit might read zero

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l8-

3

8s

en

so

rs

&

p

atie

nt cab

les

LNO

P® S

PECI

ALTY

SEN

SORS

(L

NO

P se

nsor

s m

ust b

e us

ed in

con

junc

tion

with

PC

cab

les)

SENS

OR

Wei

ght

Satu

ratio

n Ac

cura

cyPu

lse

Rate

Acc

urac

yLo

w P

erfu

sion

Acc

urac

yRa

nge

No M

otio

nM

otio

nNo

Mot

ion

Mot

ion

Satu

ratio

nPu

lse

Rate

LNO

P Bl

ue2.

5 - 3

0 kg

60 -

80%

± 4

%N

/A±

3 bp

mN

/A±

3%±

3 bp

m

70 -

100%

± 3

.3%

N/A

± 3

bpm

N/A

± 3%

± 3

bpm

80 -

100%

± 3

%N

/A±

3 bp

mN

/A±

3%±

3 bp

m

LNO

P N

ewbo

rn N

eo<

3 kg

± 3%

± 3%

± 3

bpm

± 5

bpm

± 3%

± 3

bpm

LNO

P N

ewbo

rn In

f3

- 20

kg±

2%±

3%±

3 bp

5 bp

2%±

3 bp

m

LNO

PvTM

ADH

ESIV

E SE

NSO

RS

(LN

OPv

sen

sors

mus

t be

used

in c

onju

nctio

n w

ith P

C c

able

s)

SENS

OR

Wei

ght

Rang

eSa

tura

tion

Accu

racy

Puls

e Ra

te A

ccur

acy

Low

Per

fusi

on A

ccur

acy

No M

otio

nM

otio

nNo

Mot

ion

Mot

ion

Satu

ratio

nPu

lse

Rate

LNO

Pv In

3 - 2

0 kg

± 2%

± 3%

± 3

bpm

± 5

bpm

± 2%

± 3

bpm

LNO

Pv N

e<

3 kg

± 3%

± 3%

± 3

bpm

± 5

bpm

± 3%

± 3

bpm

LNO

Pv A

d>

30 k

2%±

3%±

3 bp

5 bp

2%±

3 bp

m

LNCS

TM R

EUSA

BLE

SENS

ORS

(L

NCS

sens

ors

mus

t be

used

in c

onju

nctio

n wi

th L

NC c

able

s)

SENS

OR

Wei

ght

Rang

eSa

tura

tion

Accu

racy

Puls

e Ra

te A

ccur

acy

Low

Per

fusi

on A

ccur

acy

No M

otio

nM

otio

nNo

Mot

ion

Mot

ion

Satu

ratio

nPu

lse

Rate

LNC

S D

CI

> 30

kg

± 2%

± 3%

± 3

bpm

± 5

bpm

± 2%

± 3

bpm

LNC

S D

CIP

10 -

50 k

2%±

3%±

3 bp

5 bp

2%±

3 bp

m

LNC

S TC

-I>

30 k

3.5%

N/A

± 3

bpm

N/A

± 3.

5%±

3 bp

m

LNC

S TF

-I>

30 k

2%N

/A±

3 bp

mN

/A±

2%±

3 bp

m

LNC

S YI

> 1

kg±

2%±

3%±

3 bp

5 bp

mN

/AN

/A

NOTE

: Th

e LN

CS T

F-I a

nd T

C-I s

enso

rs w

ere

not v

alid

ated

und

er m

otio

n co

nditio

ns.

LNCS

TM A

DHES

IVE

SENS

ORS

(L

NCS

sens

ors

mus

t be

used

in c

onju

nctio

n wi

th L

NC c

able

s)

SENS

OR

Wei

ght

Rang

eSa

tura

tion

Accu

racy

Puls

e Ra

te A

ccur

acy

Low

Per

fusi

on A

ccur

acy

No M

otio

nM

otio

nNo

Mot

ion

Mot

ion

Satu

ratio

nPu

lse

Rate

LNC

S Ad

tx>

30 k

2%±

3%±

3 bp

5 bp

2%±

3 bp

m

LNC

S Pd

tx10

- 50

kg

± 2%

± 3%

± 3

bpm

± 5

bpm

± 2%

± 3

bpm

LNC

S In

f-L3

- 20

kg±

2%±

3%±

3 bp

5 bp

2%±

3 bp

m

LNC

S N

eo-L

< 3

kg±

3%

± 3%

± 3

bpm

± 5

bpm

± 3%

±

3 bp

m

> 40

kg

± 2%

± 3%

± 3

bpm

± 5

bpm

± 2%

±

3 bp

m

LNC

S N

eoPt

-L<

1 kg

± 3%

± 3%

± 3

bpm

± 5

bpm

± 3%

± 3

bpm

SENS

OR

APPL

ICAT

ION

INST

RUCT

IONS

Unl

ess

indi

cate

d ot

herw

ise in

the

dire

ctio

ns fo

r use

, rep

ositio

n re

usab

le s

enso

rs a

t lea

st

ever

y 4

hour

s an

d fo

r adh

esive

sen

sors

insp

ect t

he s

ite a

t lea

st e

very

8 h

ours

or s

oone

r. If

in

dica

ted

by c

ircul

ator

y co

nditio

n or

skin

inte

grity

, rea

pply

to a

diffe

rent

mon

itorin

g sit

e.

LNO

P® D

IREC

T CO

NNEC

T RE

USEA

BLE

SENS

ORS

SENS

OR

Wei

ght

Rang

eSa

tura

tion

Accu

racy

Puls

e Ra

te A

ccur

acy

Low

Per

fusi

on A

ccur

acy

No M

otio

nM

otio

nNo

Mot

ion

Mot

ion

Satu

ratio

nPu

lse

Rate

LNO

P D

CSC

> 30

kg

± 2%

± 3%

± 3

bpm

± 5

bpm

± 2%

± 3

bpm

LNO

P D

C-1

2>

30 k

2%±

3%±

3 bp

5 bp

2%±

3 bp

m

LNO

P® R

EUSA

BLE

SENS

ORS

(L

NO

P se

nsor

s m

ust b

e us

ed in

con

junc

tion

with

PC

cab

les)

SENS

OR

Wei

ght

Rang

eSa

tura

tion

Accu

racy

Puls

e Ra

te A

ccur

acy

Low

Per

fusi

on A

ccur

acy

No M

otio

nM

otio

nNo

Mot

ion

Mot

ion

Satu

ratio

nPu

lse

Rate

LNO

P D

CI

> 30

kg

± 2%

± 3%

± 3

bpm

± 5

bpm

± 2%

± 3

bpm

LNO

P D

CIP

10 -

50 k

2%±

3%±

3 bp

5 bp

2%±

3 bp

m

LNO

P YI

> 1

kg±

2%±

3%±

3 bp

5 bp

mN

/AN

/A

LNO

P TC

-I>

30 k

3.5%

N/A

± 3

bpm

N/A

± 3.

5%±

3 bp

m

LNO

P D

C-1

95>

30 k

2%±

3%±

3 bp

5 bp

2%±

3 bp

m

LNO

P TF

-I>

30 k

2%N

/A±

3 bp

mN

/A±

2%±

3 bp

m

NOTE

: The

LNO

P TF

-I an

d TC

-I se

nsor

s we

re n

ot v

alid

ated

und

er m

otio

n co

nditio

ns.

LNO

P® A

DHES

IVE

SENS

ORS

(L

NO

P se

nsor

s m

ust b

e us

ed in

con

junc

tion

with

PC

cab

les)

SENS

OR

Wei

ght

Rang

eSa

tura

tion

Accu

racy

Puls

e Ra

te A

ccur

acy

Low

Per

fusi

on A

ccur

acy

No M

otio

nM

otio

nNo

Mot

ion

Mot

ion

Satu

ratio

nPu

lse

Rate

LNO

P Ad

t>

30 k

2%±

3%±

3 bp

5 bp

2%±

3 bp

m

LNO

P Ad

tx>

30 k

2%±

3%±

3 bp

5 bp

2%±

3 bp

m

LNO

P Pd

t10

- 50

kg

± 2%

± 3%

± 3

bpm

± 5

bpm

± 2%

± 3

bpm

LNO

P Pd

tx10

- 50

kg

± 2%

± 3%

± 3

bpm

± 5

bpm

± 2%

± 3

bpm

LNO

P N

eo<

10 k

3%±

3%±

3 bp

5 bp

3%±

3 bp

m

LNO

P N

eoPt

< 1

kg±

3%±

3%±

3 bp

5 bp

3%±

3 bp

m

LNO

P N

eo-L

< 3

kg±

3%±

3%±

3 bp

5 bp

3%±

3 bp

m

> 40

kg

± 2%

± 3%

± 3

bpm

± 5

bpm

± 2%

± 3

bpm

LNO

P Ne

oPt-L

<

1 kg

± 3%

± 3%

± 3

bpm

± 5

bpm

± 3%

± 3

bpm

LNO

P In

f-L3

- 20

kg±

2%±

3%±

3 bp

5 bp

2%±

3 bp

m

sen

so

rs

&

p

atie

nt cab

les

8-2

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l

8

Page 27: Pulse Oximeters MANUAL Signal Extraction OPERATOR’S...Rad-8 Signal Extraction Pulse Oximeter Operator’s Manual i ... the reading might be inaccurate or the unit might read zero

CLEA

NING

AND

REU

SE O

F M

ASIM

O S

ENSO

RSR

eusa

ble

sens

ors

can

be c

lean

ed p

er th

e fo

llow

ing

proc

edur

e:

Rem

ove

the

sens

or fr

om th

e pa

tient

.

Disc

onne

ct th

e se

nsor

from

the

mon

itor.

Wip

e th

e en

tire

sens

or c

lean

with

a 7

0% is

opro

pyl a

lcoho

l pad

.

Allo

w th

e se

nsor

to a

ir dr

y be

fore

retu

rnin

g it

to o

pera

tion.

REAT

TACH

MEN

T O

F SI

NGLE

USE

ADH

ESIV

E SE

NSO

RS ■

Si

ngle

use

sen

sors

may

be

reap

plie

d to

the

sam

e pa

tient

if th

e em

itter

and

det

ecto

r w

indo

ws

are

clear

and

the

adhe

sive

still

adhe

res

to th

e sk

in.

The

adhe

sive

can

be p

artia

lly r

ejuv

enat

ed b

y w

ipin

g w

ith a

70%

isop

ropy

l alco

hol

wip

e an

d al

low

ing

the

sens

or t

o th

orou

ghly

air

dry

prio

r to

rep

lace

men

t on

the

pa

tient

.

NOTE

: If

the

sens

or fa

ils to

trac

k th

e pu

lse c

onsis

tent

ly, th

e se

nsor

s m

ay b

e in

corre

ctly

posit

ione

d. R

epos

ition

the

sens

or o

r cho

ose

a di

ffere

nt m

onito

ring

site.

WAR

NING

: TO

AVO

ID C

ROSS

CO

NTA

MIN

ATIO

N O

NLY

USE

MAS

IMO

SIN

GLE

U

SE S

ENSO

RS

ON

TH

E SA

ME

PATI

ENT.

CAUT

IONS

:

DO N

OT R

EPRO

CESS

ANY

SIN

GLE

USE

SEN

SORS

.

DO N

OT S

OAK

OR

IMM

ERSE

THE

SEN

SOR

IN A

NY L

IQUI

D SO

LUTI

ON.

DO

NOT

STE

R-IL

IZE

ANY

MAS

IMO

SEN

SOR

BY IR

RADI

ATIO

N, S

TEAM

, OR

ETHY

LENE

OXI

DE.

Mas

imo

S

ET

p

atie

nt cab

les

Reu

sabl

e pa

tient

cab

les

of v

ario

us le

ngth

s ar

e av

aila

ble.

Onl

y us

e ap

prop

riate

Mas

imo

oxim

etry

pat

ient

cab

les

for

SpO

2 m

easu

rem

ents

. O

ther

pat

ient

cab

les

may

cau

se

impr

oper

Rad

-8 p

ulse

oxi

met

er p

erfo

rman

ce.

CLEA

NING

AND

REU

SE O

F M

ASIM

O S

ET P

ATIE

NT C

ABLE

SPa

tient

cab

les

can

be c

lean

ed p

er th

e fo

llow

ing

proc

edur

e:

Rem

ove

the

cabl

e fro

m th

e se

nsor

.

Disc

onne

ct th

e ca

ble

from

the

mon

itor.

Wip

e cle

an w

ith a

70%

isop

ropy

l alco

hol p

ad.

Allo

w th

e ca

ble

to d

ry b

efor

e re

turn

ing

it to

ope

ratio

n.

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l8-

5

8s

en

so

rs

&

p

atie

nt cab

les

CAUT

IONS

:

CAR

EFU

LLY

ROU

TE P

ATIE

NT

CAB

LES

TO R

EDU

CE

THE

POSS

IBIL

ITY

OF

PATI

ENT

ENTA

NG

LEM

ENT

OR

STR

ANG

ULA

TIO

N.

DO

NO

T SO

AK O

R IM

MER

SE P

ATIE

NT

CAB

LES

IN A

NY

LIQ

UID

SO

LUTI

ON

. DO

N

OT

STER

ILIZ

E PA

TIEN

T C

ABLE

S BY

IRR

ADIA

TIO

N, S

TEAM

, OR

ETH

YLEN

E OX

IDE.

SEE

TH

E C

LEAN

ING

INST

RUC

TIO

NS

IN T

HE

DIR

ECTI

ON

S FO

R U

SE

FOR

REU

SABL

E M

ASIM

O P

ATIE

NT

CAB

LES.

DO

NO

T R

EPRO

CES

S AN

Y M

ASIM

O S

ET P

ATIE

NT

CAB

LES.

sen

so

rs

&

p

atie

nt cab

les

8-4

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l

8

Page 28: Pulse Oximeters MANUAL Signal Extraction OPERATOR’S...Rad-8 Signal Extraction Pulse Oximeter Operator’s Manual i ... the reading might be inaccurate or the unit might read zero

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l9-

1

9s

ervic

e /

main

ten

an

ce

Intro

du

ctio

n

This

chap

ter c

over

s ho

w to

test

the

oper

atio

n, p

rope

rly c

lean

and

how

to o

btai

n se

rvice

fo

r the

Rad

-8 o

ximet

er.

Und

er n

orm

al o

pera

tion,

no

inte

rnal

adj

ustm

ent o

r rec

alib

ratio

n is

requ

ired.

WAR

NING

: BEF

OR

E C

LEAN

ING

TH

E OX

IMET

ER, A

LWAY

S TU

RN

IT O

FF A

ND

M

AKE

SUR

E TH

E AC

PO

WER

CO

RD

IS D

ISC

ON

NEC

TED.

Cle

an

ing

To c

lean

the

disp

lay

pane

l, us

e a

cotto

n sw

ab m

oist

ened

with

70%

isop

ropy

l alco

hol a

nd

gent

ly w

ipe

the

pane

l.

To c

lean

the

oute

r sur

face

of t

he o

ximet

er, t

he fo

llow

ing

solu

tions

may

be

used

to w

ipe

the

inst

rum

ent f

or 3

0 se

cond

s. D

o no

t allo

w li

quid

s to

ent

er th

e in

terio

r of t

he in

stru

men

t.

Glu

tara

ldeh

yde

Solu

tion

Amm

oniu

m C

hlor

ide

Wip

e

10%

Chl

orin

e bl

each

in H

2O

70%

Isop

ropy

l alco

hol

CAUT

IONS

:

DO

NO

T AU

TOC

LAVE

, PR

ESSU

RE

STER

ILIZ

E, O

R G

AS S

TER

ILIZ

E TH

IS

OX

IMET

ER.

DO

NO

T SO

AK O

R IM

MER

SE T

HE

MO

NIT

OR

IN A

NY

LIQ

UID

.

USE

THE

CLEA

NING

SO

LUTI

ON

SPAR

ING

LY.

EXCE

SSIV

E SO

LUTI

ON

CAN

FLO

W

INTO

THE

MO

NITO

R AN

D CA

USE

DAM

AGE

TO IN

TERN

AL C

OM

PONE

NTS.

DO

NO

T TO

UC

H, P

RES

S, O

R R

UB

THE

DIS

PLAY

PAN

ELS

WIT

H A

BRAS

IVE

CLE

ANIN

G C

OM

POU

ND

S, IN

STRU

MEN

TS, B

RUSH

ES, R

OU

GH

-SU

RFA

CE

MAT

ERIA

LS, O

R B

RIN

G T

HEM

INTO

CO

NTA

CT

WIT

H A

NYT

HIN

G T

HAT

CO

ULD

SC

RAT

CH

TH

E PA

NEL

.

DO

NO

T U

SE P

ETRO

LEU

M-B

ASED

OR

AC

ETO

NE

SOLU

TIO

NS,

OR

OTH

ER

HAR

SH S

OLV

ENTS

, TO

CLE

AN T

HE

OXIM

ETER

. TH

ESE

SUBS

TAN

CES

AT

TAC

K TH

E D

EVIC

E’S

MAT

ERIA

LS A

ND

DEV

ICE

FAIL

UR

E C

AN R

ESU

LT.

Ref

er to

Sec

tion

8, C

lean

ing

and

Reu

se o

f Mas

imo

Sens

ors

for c

lean

ing

inst

ruct

ions

of

the

sens

or.

Page 29: Pulse Oximeters MANUAL Signal Extraction OPERATOR’S...Rad-8 Signal Extraction Pulse Oximeter Operator’s Manual i ... the reading might be inaccurate or the unit might read zero

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l9-

3

9s

ervic

e /

main

ten

an

ce

Test

ing

the

Rad

-8 w

ith M

asim

o SE

T Te

ster

(Opt

iona

l):

1.

Turn

the

Oxim

eter

off

and

then

on

agai

n.

2.

Con

nect

the

Mas

imo

SET

Test

er to

the

Patie

nt C

able

Con

nect

er.

3.

Verif

y th

at w

ithin

20

seco

nds

a Si

gnal

IQ/p

ulse

bar i

s di

splay

ed.

4.

Verif

y th

at th

e Sp

O2 m

easu

rem

ent i

s be

twee

n 79

% a

nd 8

4%.

5.

Verif

y th

at th

e pu

lse ra

te m

easu

rem

ent i

s be

twee

n 55

bpm

and

65

bpm

.

6.

Set t

he S

pO2 l

ow a

larm

lim

it to

90

(see

Sec

tion

4, S

etup

Men

u Le

vel 1

- Al

arm

Li

mits

and

Ala

rm V

olum

e).

7.

Verif

y th

at a

n au

dibl

e al

arm

occ

urs

and

the

SpO

2 mea

sure

men

t and

the

Alar

m in

di-

cato

r are

bot

h fla

shin

g.

8.

Pres

s th

e Al

arm

Sile

nce

butto

n on

ce a

nd v

erify

that

the

alar

m is

sile

nced

and

the

Alar

m S

ilenc

e In

dica

tor i

s fla

shin

g.

9.

Wai

t 120

sec

onds

and

ver

ify th

at th

e al

arm

sile

nce

times

out

and

the

audi

ble

alar

m

is ac

tivat

ed a

gain

and

the

Alar

m S

ilenc

e In

dica

tor i

s of

f.

10.

Pres

s th

e up

arro

w b

utto

n se

vera

l tim

es a

nd v

erify

that

the

loud

ness

of t

he p

ulse

be

ep to

ne in

crea

ses.

11.

Pres

s th

e do

wn

arro

w b

utto

n an

d ve

rify

that

the

loud

ness

of t

he p

ulse

bee

p to

ne

decr

ease

s un

til th

e pu

lse b

eep

tone

is tu

rned

off.

Battery S

ervic

e

WAR

NING

: TH

E BA

TTER

Y SH

OU

LD B

E IN

STAL

LED

AN

D/ O

R R

EMOV

ED F

ROM

TH

E R

AD-8

BY

QUA

LIFI

ED P

ERSO

NN

EL O

NLY

.

Perfo

rm

an

ce verif

icatio

n

To te

st th

e pe

rform

ance

of t

he R

ad-8

pul

se o

ximet

er fo

llow

ing

repa

irs o

r du

ring

rout

ine

mai

nten

ance

, fol

low

the

proc

edur

e ou

tlined

in th

is se

ctio

n.

If th

e R

ad-8

fails

any

of t

he

desc

ribed

test

s, d

iscon

tinue

its

use

and

corre

ct th

e pr

oble

m b

efor

e re

turn

ing

the

unit

back

to

the

user

.

Befo

re p

erfo

rmin

g th

e fo

llow

ing

test

s ve

rify

unit

is co

nnec

ted

to A

C p

ower

. Also

disc

onne

ct

any

patie

nt c

able

s or

pul

se o

ximet

ry p

robe

s or

ser

ial c

able

s fro

m th

e in

stru

men

t.

Powe

r-On

Self-

Test

:

1.

Turn

the

mon

itor o

n by

dep

ress

ing

the

Powe

r But

ton.

For

abo

ut 5

sec

onds

all

avai

l-ab

le L

EDs

are

illum

inat

ed a

nd a

brie

f bee

p to

ne s

ound

s.

2.

The

oxim

eter

beg

ins

norm

al o

pera

tion.

Key

Pres

s Bu

tton

Test

:

1.

With

the

exce

ptio

n of

the

Powe

r But

ton,

pre

ss e

ach

butto

n an

d ve

rify

that

the

oxim

eter

ack

now

ledg

es e

ach

key-

pres

s w

ith a

n au

dibl

e be

ep to

ne o

r by

indi

catin

g a

chan

ge o

n th

e di

spla

y.

Alar

m L

imit

Test

:

1.

With

the

mon

itor t

urne

d on

, sel

ect t

he d

epre

ss a

larm

lim

its b

utto

n an

d en

ter a

larm

m

enu.

Cha

nge

the

Hig

h Sa

tura

tion

Alar

m p

aram

eter

to a

val

ue tw

o po

ints

bel

ow

the

curre

ntly

sele

cted

val

ue, a

nd a

ccep

t the

cha

nge.

2.

Verif

y th

at th

e ne

wly

set p

aram

eter

is s

how

n on

the

Satu

ratio

n Al

arm

Lim

it D

ispla

y.

3.

Ret

urn

the

Hig

h Sa

tura

tion

Alar

m p

aram

eter

to it

s or

igin

al s

ettin

g.

4.

Rep

eat s

teps

1 to

3 w

ith th

e Lo

w S

atur

atio

n Al

arm

par

amet

er.

5.

Rep

eat s

teps

1 to

3 w

ith th

e H

igh

Pulse

Rat

e Al

arm

par

amet

er.

6.

Rep

eat s

teps

1 to

3 w

ith th

e Lo

w P

ulse

Rat

e Al

arm

par

amet

er.

7.

Res

et th

e al

arm

lim

its a

gain

to th

e or

igin

al s

ettin

gs.

LED

Brig

htne

ss:

1.

With

the

mon

itor t

urne

d on

, sel

ect m

enu

leve

l 2 (s

ee S

ectio

n 4,

Set

up M

enu

Leve

l 2

- but

ton

volu

me

LED

Brig

htne

ss a

nd F

acto

ry D

efau

lts) a

nd u

se th

e U

p an

d D

own

Arro

w k

eys

to c

ycle

thro

ugh

all 4

brig

htne

ss le

vels.

2.

Exit

the

Men

u sy

stem

by

pres

sing

the

Mod

e/En

ter k

ey o

r wai

ting

for t

he n

orm

al

time-

out.

servic

e /

main

ten

an

ce

9-2

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l

9

Page 30: Pulse Oximeters MANUAL Signal Extraction OPERATOR’S...Rad-8 Signal Extraction Pulse Oximeter Operator’s Manual i ... the reading might be inaccurate or the unit might read zero

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l9-

5

9s

ervic

e /

main

ten

an

ce

Warran

ty

Mas

imo

warra

nts

to th

e in

itial p

urch

aser

that

eac

h ne

w p

ulse

oxim

eter

will

be fr

ee fr

om

defe

cts

in w

orkm

ansh

ip o

r mat

eria

ls fo

r a p

erio

d of

one

(1) y

ear f

rom

the

date

of p

urch

ase.

M

asim

o’s s

ole

oblig

atio

n un

der t

his

warra

nty

is to

repa

ir or

repl

ace

any

prod

uct t

hat M

asim

o de

ems

to b

e co

vere

d un

der w

arra

nty

with

a re

paire

d or

a re

plac

emen

t pul

se o

ximet

er.

Batte

ries

are

not w

arra

ntie

d.

To re

ques

t a re

plac

emen

t or r

epai

r of a

n in

stru

men

t und

er w

arra

nty,

cont

act M

asim

o fo

r a

retu

rned

goo

ds a

utho

rizat

ion.

If

Mas

imo

dete

rmin

es th

at a

pro

duct

mus

t be

repl

aced

or

repa

ired

unde

r war

rant

y, it

will

be re

plac

ed o

r rep

aire

d an

d th

e co

st o

f shi

pmen

t cov

ered

. Al

l oth

er s

hipp

ing

cost

s sh

all b

e th

e re

spon

sibilit

y of

the

purc

hase

r.

Exclu

sio

ns

This

warra

nty

does

not

ext

end

to a

ny p

rodu

ct th

at h

as b

een

subj

ect t

o m

isuse

, neg

lect

or

accid

ent;

that

has

bee

n da

mag

ed b

y ca

uses

ext

erna

l to

the

prod

uct;

that

has

bee

n us

ed

in v

iola

tion

of th

e op

erat

ing

inst

ruct

ions

sup

plie

d w

ith th

e pr

oduc

t. T

he w

arra

nty

does

no

t ext

end

to a

ny p

rodu

ct th

at h

as b

een

conn

ecte

d to

an

unlic

ense

d in

stru

men

t sys

tem

, m

odifie

d ac

cess

orie

s or

any

uni

t tha

t has

bee

n di

sass

embl

ed o

r rea

ssem

bled

by

anyo

ne

but a

n au

thor

ized

Mas

imo

agen

t.

THIS

WAR

RAN

TY, T

OG

ETH

ER W

ITH

AN

Y O

THER

EXP

RES

S W

RIT

TEN

WAR

RAN

TY

THAT

MAY

BE

ISSU

ED B

Y M

ASIM

O I

S TH

E SO

LE A

ND

EXC

LUSI

VE W

ARR

ANTY

AS

TO

MAS

IMO

’S P

ROD

UC

TS.

THIS

WAR

RAN

TY IS

EXP

RES

SLY

IN L

IEU

OF

ANY

OR

AL O

R IM

PLIE

D W

ARR

ANTI

ES, I

NC

LUD

ING

WIT

HO

UT

LIM

ITAT

ION

AN

Y IM

PLIE

D

WAR

RAN

TY O

F M

ERC

HAN

TABI

LITY

OR

FIT

NES

S FO

R A

PAR

TIC

ULA

R P

UR

POSE

. M

ASIM

O

SHAL

L N

OT

BE

LIAB

LE

FOR

AN

Y IN

CID

ENTA

L,

SPEC

IAL

OR

C

ON

SEQ

UEN

TIAL

LO

SS,

DAM

AGE

OR

EXP

ENSE

DIR

ECTL

Y O

R I

ND

IREC

TLY

ARIS

ING

FRO

M T

HE

USE

OR

LO

SS O

F U

SE O

F AN

Y PR

OD

UC

TS.

En

d-u

ser li

cen

se ag

reem

en

t

THIS

DO

CU

MEN

T IS

A L

EGAL

AG

REE

MEN

T BE

TWEE

N Y

OU,

TH

E “P

UR

CH

ASER

,” AN

D M

asim

o C

orpo

ratio

n (“M

ASIM

O”).

IF

YO

U D

O N

OT

AGR

EE T

O T

HE

TER

MS

OF

THIS

AG

REE

MEN

T, P

ROM

PTLY

RET

UR

N T

HE

ENTI

RE

PAC

KAG

E, IN

CLU

DIN

G A

LL

ACC

ESSO

RIE

S, I

N T

HEI

R O

RIG

INAL

PAC

KAG

E, W

ITH

YO

UR

SAL

ES R

ECEI

PT T

O

MAS

IMO

FO

R A

FU

LL R

EFU

ND.

1.

Gra

nt o

f Li

cens

e: I

n co

nsid

erat

ion

of p

aym

ent

of t

he li

cens

e fe

e, w

hich

is p

art

of th

e pr

ice

paid

for

this

pro

duct

, MAS

IMO

gra

nts

to P

urch

aser

a n

onex

clus

ive,

nont

rans

fera

ble

licen

se, w

ithou

t rig

ht to

sub

licen

se, t

o us

e th

e co

py o

f the

inco

r-po

rate

d so

ftwar

e/fir

mwa

re a

nd d

ocum

enta

tion

in c

onne

ctio

n w

ith P

urch

aser

's us

e of

the

Mas

imo

Prod

ucts

for t

heir

labe

led

purp

ose.

MAS

IMO

rese

rves

all

right

s no

t ex

pres

sly

gran

ted

to P

urch

aser

.

Servic

e an

d rep

air

REPA

IR P

OLI

CYM

asim

o or

an

auth

orize

d Se

rvice

Dep

artm

ent m

ust p

erfo

rm w

arra

nty

repa

ir an

d se

rvice

. D

o no

t use

mal

func

tioni

ng e

quip

men

t. H

ave

the

unit

repa

ired.

Plea

se c

lean

con

tam

inat

ed/d

irty

equi

pmen

t be

fore

ret

urni

ng,

follo

win

g th

e cle

anin

g pr

oced

ure

desc

ribed

in S

ectio

n 9,

Cle

anin

g.

Mak

e su

re it

is fu

lly d

ry b

efor

e pa

ckin

g th

e eq

uipm

ent.

To re

turn

the

Rad

-8 u

nit f

or s

ervic

e, p

leas

e fo

llow

the

Ret

urn

Proc

edur

e.

WAR

NING

: A

N O

PER

ATO

R M

AY O

NLY

PER

FOR

M M

AIN

TEN

ANC

E PR

OC

E-D

UR

ES S

PEC

IFIC

ALLY

DES

CR

IBED

IN T

HIS

MAN

UAL.

REF

ER S

ERVI

CIN

G T

O

QUA

LIFI

ED S

ERVI

CE

PER

SON

NEL

TR

AIN

ED IN

TH

E R

EPAI

R O

F TH

IS E

QU

IP-

MEN

T.

RETU

RN P

ROCE

DURE

Plea

se c

lean

con

tam

inat

ed/d

irty

equi

pmen

t bef

ore

retu

rnin

g an

d m

ake

sure

it is

fully

dry

be

fore

pac

king

the

equi

pmen

t. C

all M

asim

o at

800

-326

-489

0 an

d as

k fo

r Tec

hnica

l Sup

port.

As

k fo

r an

RMA

num

ber.

Pac

kage

the

equi

pmen

t sec

urel

y –

in th

e or

igin

al s

hipp

ing

con-

tain

er if

pos

sible

– a

nd e

nclo

se o

r inc

lude

the

follo

win

g in

form

atio

n an

d ite

ms:

A le

tter d

escr

ibin

g in

det

ail a

ny d

ifficu

lties

expe

rienc

ed w

ith th

e pu

lse o

ximet

er.

Plea

se in

clude

the

RM

A nu

mbe

r in

the

lette

r.

War

rant

y in

form

atio

n –

a co

py o

f the

invo

ice o

r oth

er a

pplic

able

doc

umen

tatio

n m

ust b

e in

clude

d.

Purc

hase

ord

er n

umbe

r to

cove

r rep

air i

f the

oxim

eter

is n

ot u

nder

war

rant

y, or

for

track

ing

purp

oses

if it

is.

Ship

-to a

nd b

ill-to

info

rmat

ion.

Pers

on (n

ame,

tele

phon

e/Te

lex/

fax

num

ber,

and

coun

try) t

o co

ntac

t for

any

que

s-tio

ns a

bout

the

repa

irs.

A ce

rtific

ate

stat

ing

the

oxim

eter

has

bee

n de

cont

amin

ated

for b

lood

born

e pa

thog

ens.

Ret

urn

Rad

-8 p

ulse

oxim

eter

to th

e fo

llow

ing

ship

ping

add

ress

:

For U

SA:

For E

urop

e:Fo

r Asia

Pac

ific:

Mas

imo

Cor

pora

tion

40 P

arke

rIrv

ine,

Cal

iforn

ia 9

2618

Tel:

949-

297-

7000

FAX

949-

297-

7001

Mas

imo

Euro

pe L

imite

d30

4 R

N6,

Le

Bois

des

Cot

es 2

6976

0 Li

mon

est

Fran

ceTe

l: +3

3 (0

) 472

17

93 7

0FA

X: +

33 (0

) 478

35

78 0

8

Mas

imo

Japa

n C

orpo

ratio

nW

orld

Tim

es B

ldg.

4F

10-7

, Ich

iban

-cho

, Chi

yoda

-ku,

Toky

o 10

2-00

82 J

APAN

Tel:

03 3

237

3057

FAX:

03

3238

111

0

servic

e /

main

ten

an

ce

9-4

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l

9

Page 31: Pulse Oximeters MANUAL Signal Extraction OPERATOR’S...Rad-8 Signal Extraction Pulse Oximeter Operator’s Manual i ... the reading might be inaccurate or the unit might read zero

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l10

-1

10

2.

Ow

ners

hip

of S

oftw

are/

Firm

ware

: Title

to, o

wne

rshi

p of

, and

all

right

s an

d in

tere

sts

in, a

ny M

ASIM

O s

oftw

are

and/

or fi

rmwa

re a

nd th

e do

cum

enta

tion,

and

all

copi

es

ther

eof,

rem

ain

at a

ll tim

es v

este

d in

MAS

IMO

Cor

pora

tion,

licen

sor t

o M

ASIM

O, a

nd

they

do

not p

ass

to P

urch

aser

.

3.

Assig

nmen

t: Pur

chas

er s

hall n

ot a

ssig

n or

tran

sfer

this

Lice

nse,

in w

hole

or i

n pa

rt, b

y op

erat

ion

of la

w o

r oth

erw

ise, w

ithou

t MAS

IMO

's pr

ior w

ritte

n co

nsen

t; an

y at

tem

pt

with

out s

uch

cons

ent,

to a

ssig

n an

y rig

hts,

dut

ies

or o

blig

atio

ns a

risin

g he

reun

der

shal

l be

void

.

4.

Cop

y R

estri

ctio

ns: T

he s

oftw

are/

firm

ware

and

the

acco

mpa

nyin

g w

ritte

n m

ater

ials

are

copy

right

ed.

Una

utho

rized

cop

ying

of th

e so

ftwar

e, in

cludi

ng s

oftw

are

that

has

be

en m

odifie

d, m

erge

d, o

r inc

lude

d w

ith o

ther

sof

twar

e, o

r oth

er w

ritte

n m

ater

ials

is ex

pres

sly fo

rbid

den.

You

may

be

held

lega

lly re

spon

sible

for a

ny c

opyr

ight

infri

nge-

men

t tha

t is

caus

e or

incu

rred

by y

our f

ailu

re to

abi

de b

y th

e te

rms

of th

is lic

ense

. N

othi

ng i

n th

is lic

ense

pro

vides

any

rig

hts

beyo

nd t

hose

pro

vided

by

17 U

.S.C

. §1

17.

5.

Use

Res

trict

ion:

As

the

Purc

hase

r, yo

u m

ay p

hysic

ally

trans

fer t

he p

rodu

cts

from

one

lo

catio

n to

ano

ther

pro

vided

that

the

softw

are/

firm

ware

is n

ot c

opie

d. Y

ou m

ay n

ot

elec

troni

cally

tran

sfer

the

softw

are/

firm

ware

from

the

prod

ucts

to a

ny o

ther

dev

ice.

You

may

not

disc

lose

, pub

lish,

tran

slate

, rel

ease

or d

istrib

ute

copi

es o

f the

sof

twar

e/fir

mwa

re o

r acc

ompa

nyin

g w

ritte

n m

ater

ials

to o

ther

s. Y

ou m

ay n

ot m

odify

, ada

pt,

trans

late

, re

vers

e en

gine

er,

deco

mpi

le,

disa

ssem

ble,

or

crea

te d

eriva

tive

work

s ba

sed

on t

he s

oftw

are/

firm

ware

. Yo

u m

ay n

ot m

odify

, ad

apt,

trans

late

, or

cre

ate

deriv

ative

wor

ks b

ased

on

the

writ

ten

mat

eria

ls w

ithou

t the

prio

r writ

ten

cons

ent o

f M

ASIM

O.

6.

Tran

sfer

Res

trict

ions

: The

sof

twar

e/fir

mwa

re is

lice

nsed

to th

e Pu

rcha

ser,

and

may

no

t be

trans

ferre

d to

any

one,

exc

ept o

ther

end

-use

rs, w

ithou

t the

prio

r writ

ten

con-

sent

of M

ASIM

O.

In n

o ev

ent m

ay y

ou tr

ansf

er, a

ssig

n, re

nt, l

ease

, sel

l, or

oth

erw

ise

disp

ose

of th

e so

ftwar

e/fir

mwa

re o

r the

pro

duct

s on

a te

mpo

rary

bas

is.

7.

Bene

ficia

ry: M

asim

o C

orpo

ratio

n is

a Be

nefic

iary

of t

his

Agre

emen

t and

has

the

right

to

enf

orce

its

prov

ision

s.

8.

U.S.

Gov

ernm

ent R

ight

s: If

you

are

acqu

iring

sof

twar

e (in

cludi

ng th

e re

late

d do

cu-

men

tatio

n) o

n be

half

of a

ny p

art o

f the

Uni

ted

Stat

e G

over

nmen

t, th

e fo

llow

ing

prov

i-sio

ns a

pply:

the

softw

are

is de

emed

to b

e “c

omm

ercia

l sof

twar

e” a

nd “c

omm

ercia

l co

mpu

ter s

oftw

are

docu

men

tatio

n,” re

spec

tivel

y pu

rsua

nt to

DFA

R S

ectio

n 22

7.72

02

FAR

12.

212,

as

appl

icabl

e.

Any

use,

mod

ificat

ion,

rep

rodu

ctio

n, r

elea

se,

perfo

r-m

ance

, disp

lay

or d

isclo

sure

of t

he s

oftw

are

(inclu

ding

the

rela

ted

docu

men

tatio

n) b

y th

e U.

S. G

over

nmen

t or a

ny o

f its

age

ncie

s sh

all b

e go

vern

ed s

olel

y by

the

term

s of

th

is Ag

reem

ent a

nd s

hall

be p

rohi

bite

d ex

cept

to th

e ex

tent

exp

ress

ly pe

rmitt

ed b

y th

e te

rms

of th

is ag

reem

ent.servic

e /

main

ten

an

ce

9-6

Rad

-8 S

igna

l Ext

ract

ion

Pul

se O

xim

eter

Ope

rato

r’s M

anua

l

9acces

so

rie

s

Rad

-8 U

nit

s an

d A

cces

so

rie

s

PART

NUM

BER

DESC

RIPT

ION

9019

Rad

-8, H

orizo

ntal

9020

Rad

-8, V

ertic

al

9049

Rad

-8, H

orizo

ntal

, Bul

k Pa

ck

9050

Rad

-8, V

ertic

al, B

ulk

Pack

1325

3R

ad-8

Ope

rato

rs M

anua

l, Fr

ench

1325

4R

ad-8

Ope

rato

rs M

anua

l, G

erm

an

1325

5R

ad-8

Ope

rato

rs M

anua

l, Ita

lian

1325

6R

ad-8

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rato

rs M

anua

l, Sp

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1325

7R

ad-8

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1325

8R

ad-8

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1325

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ad-8

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1326

0R

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3095

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ad-8

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rato

rs M

anua

l, C

hine

se

3095

6R

ad-8

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rato

rs M

anua

l, Ja

pane

se

13092/3371D-0207

Page 32: Pulse Oximeters MANUAL Signal Extraction OPERATOR’S...Rad-8 Signal Extraction Pulse Oximeter Operator’s Manual i ... the reading might be inaccurate or the unit might read zero

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