Masimo RD rainbow 4 Instrucciones De Uso página 5

• Venous pulsations may cause erroneous low SpO
• Inaccurate SpO readings may be caused by severe anemia, very low arterial perfusion, or extreme motion artifact.
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• Hemoglobinopathies and synthesis disorders such as thalassemias, Hb s, Hb c, sickle cell, etc. may cause inaccurate SpO
• Inaccurate SpO readings may be caused by vasospastic disease such as Raynaud's, and peripheral vascular disease.
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• Inaccurate readings may be caused by EMI radiation interference.
• Inaccurate SpO readings may be caused by elevated levels of dyshemoglobin, hypocapnic or hypercapnic conditions and severe
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vasoconstriction, or hypothermia.
• With very low perfusion at the monitored site, the reading may read lower than core arterial oxygen saturation.
• Elevated levels of Carboxyhemoglobin (COHb) may lead to inaccurate SpO
• High levels of COHb or MetHb may occur with a seemingly normal SpO2. When elevated levels of COHb or MetHb are suspected,
laboratory analysis (CO-Oximetry) of a blood sample should be performed.
• Elevated levels of Methemoglobin (MetHb) may lead to inaccurate SpO2 readings.
• Elevated levels of total bilirubin or liver disease may lead to inaccurate SpO2 readings.
• Do not modify or alter the sensor in any way. Alteration or modification may affect performance and/or accuracy.
• To prevent damage, do not soak or immerse the sensor in any liquid solution.
• Do not attempt to sterilize by irradiation, steam, autoclave or ethylene oxide as it will damage the sensor.
• Do not attempt to reuse on multiple patients, reprocess, recondition or recycle Masimo sensors or patient cables as these
processes may damage the electrical components, potentially leading to patient harm.
• Caution: Replace the sensor when a replace sensor message is displayed, or when a low SIQ message is consistently displayed
after completing the low SIQ troubleshooting steps identified in the monitoring device operator's manual.
• Note: The sensor is provided with X-Cal® technology to minimize the risk of inaccurate readings and unanticipated loss of patient
monitoring. The sensor will provide up to 168 hours of patient monitoring time or up to 336 hours for sensors with a replaceable
tape. After single-patient use, discard sensor.
INSTRUCTIONS
A) Site Selection
• Always choose an application site which is well perfused and will completely cover the sensor's detector window.
• When aligning the emitter and detector, the emitter should not be placed behind the nail bed. If this occurs, it may be
necessary to use a lower weight range sensor.
• Site should be cleaned of debris and dry prior to sensor placement.
RD rainbow Adt 4λ: Adult Sensor
> 30 kg The preferred site is the middle or ring finger of non-dominant hand.
RD rainbow Pdt 4λ: Pediatric Sensor
10 - 50 kg The preferred site is middle or ring finger of non-dominant hand.
RD rainbow Inf 4λ: Infant Sensor
3 - 10 kg The preferred site is the great toe. Alternatively, the toe next to the great toe, or the thumb can be used.
10 - 30 kg The preferred site is middle or ring finger of non-dominant hand.
RD rainbow Neo 4λ: Neonatal/Adult Sensor
< 3 kg The preferred site is the foot. Alternatively, across the palm and back of the hand can be used.
> 30 kg The preferred site is the middle or ring finger of non-dominant hand.
B) Attaching the sensor to the patient
• Open the pouch and remove the sensor. Remove the backing from the sensor, if present.
Adt Sensor for ADULTS (> 30 kg) and Pdt Sensor for PEDIATRICS (10 - 50 kg)
1. Refer to Fig. 1a. Orient the sensor so that the detector can be placed first. Place the tip of the finger on the dashed line with
the fleshy part of the finger covering the finger outline and detector window.
2. Refer to Fig. 1b. Press the adhesive wings, one at a time, onto the finger. Complete coverage of the detector window is
needed to ensure accurate data.
3. Refer to Fig. 1c. Fold the sensor over the finger with the emitter window ( ) positioned over the fingernail. Secure the
wings down, one at a time, around the finger.
4. Refer to Fig. 1d. When properly applied, the emitter and detector should be vertically aligned (the black lines should align).
Reposition if necessary.
Inf Sensor for INFANTS (3 - 10 kg)
1. Refer to Fig. 2a. Direct the sensor cable so that it runs along the top of the foot. Position the detector on the fleshy pad of
the great toe. Alternatively, the toe next to the great toe, or the thumb can be used (not shown).
2. Refer to Fig. 2b. Wrap the adhesive wrap around the toe/thumb so the emitter is positioned on the back of the nail bed (not
the tip of the nail). Complete coverage of the detector window is needed to ensure accurate data.
3. Refer to Fig. 2c. Ensure that the emitter window ( ) aligns on the top of the toe/thumb directly opposite the detector.
Verify correct positioning and reposition if necessary.
Neo Sensor for NEONATES (< 3 kg)
1. Refer to Fig. 3a. Direct the sensor cable toward the ankle (or wrist) so that it runs along the top of the foot (or hand). Apply
the sensor around the foot (or hand) so that emitter and detector are aligned. Complete coverage of the detector window
is needed to ensure accurate data.
2. Refer to Fig. 3b. Wrap the adhesive/foam wrap around the foot (or hand) and ensure that the emitter window
( ) aligns directly opposite of the detector. Be careful to maintain proper alignment of the detector and emitter windows
while attaching adhesive/foam wrap to secure the sensor.
3. Refer to Fig. 3c. Verify correct positioning and reposition if necessary. Continue to wrap the rest of the adhesive wrap
around the foot/hand.
All manuals and user guides at all-guides.com
readings (e.g. tricuspid valve regurgitation, Trendelenburg position).
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readings.
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5
readings.
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