Masimo LNCS-II rainbow DCI 8l SpCO Serie Instrucciones De Uso página 4

• To prevent interference from ambient light, ensure that the sensor is properly applied, and cover the sensor site with opaque
material, if required. Failure to take this precaution in high ambient light conditions may result in inaccurate measurements.
• High levels of COHb or MetHb may occur with a seemingly normal SpO
laboratory analysis (CO-Oximetry) of a blood sample should be performed.
• Inaccurate SpCO and SpMet readings can be caused by abnormal hemoglobin levels, low arterial perfusion, low arterial oxygen
saturation levels including altitude induced hypoxemia, motion artifact.
• SpCO readings may not be provided if there are low arterial oxygen saturation levels or elevated methemoglobin levels
• Elevated levels of Carboxyhemoglobin (COHb) may lead to inaccurate SpO
• Elevated levels of Methemoglobin (MetHb) will lead to inaccurate SpO
• Elevated Total Bilirubin levels may lead to inaccurate SpO
• Intravascular dyes such as indocyanine green or methylene blue or externally applied coloring and texture such as nail polish,
acrylic nails, glitter, etc. may lead to inaccurate SpO
• Inaccurate SpO readings may be caused by severe anemia, low arterial perfusion or motion artifact.
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• To prevent damage, do not soak or immerse the sensor in any liquid solution. Do not attempt to sterilize the sensor.
• Do not attempt to sterilize by irradiation, steam, autoclave or ethylene oxide.
• Do not modify or alter the sensor in any way. Alteration or modification may affect performance and/or accuracy.
• Do not attempt to 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
while monitoring consecutive patients 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 8,760 hours of patient monitoring time. Replace the sensor when the patient monitoring
time is exhausted.
• Note: The maximum length for the sensor, cable and extension cable combination is 15 feet.
INSTRUCTIONS
A. Site Selection
• Choose a site that is well perfused and least restricts a conscious patient›s movements. The ring or middle finger
of the non-dominant hand is preferred.
• Alternatively, the other digits on the non-dominant hand may be used. Always choose a site that will completely
cover the sensor›s detector window.
• Site should be cleaned of debris and dry prior to sensor placement.
Slender Digit Gauge Instructions
• The Slender Digit Gauge on the sensor cable is an aid for selecting an appropriate digit for sensor application.
• Use of this gauge is recommended only for patients weighing > 30 kg that have slender digits. Remove the gauge
from the digit BEFORE sensor application.
1. It is preferable to start with the ring finger of the non-dominant hand. If this is too slender, select a larger digit. Slide
the gauge circle on the digit. If the gauge circle stops at any point of the nail bed before the cuticle, the DCI sensor
should be used on that digit (Fig A).
2. If the gauge slides past the cuticle, the digit is too slender for this sensor. Select a different digit, or use a pediatric/slender
digit sensor (DCIP) on this patient (Fig A).
B. Attaching the sensor to the patient
1. Refer to Fig 1. Open the sensor by pressing on hinge tabs. Position the selected digit so that it corresponds to that of the
finger shown on top of the sensor. Place the selected digit over the sensor window of the sensor. The fleshiest part of the
digit should be covering the detector window in the lower half of the sensor. The top half of the sensor is identified by
the cable. The tip of the finger should touch the raised digit stop inside the sensor. If the fingernail is long, it may extend
over and pass the finger stop.
2. Refer to Fig 2. The hinged tabs of the sensor should open to evenly distribute the grip pressure of the sensor along
the length of the finger. Check the arrangement of the sensor to verify correct positioning. Complete coverage of the
detector window is needed to ensure accurate data.
3. Refer to Fig 3. Orient the sensor so that the cable will be running towards the top of the patient›s hand.
NOTE: With smaller digits, in order to completely cover the detector window, it may be necessary to use a lower weight range
sensor. The sensor is not intended for use on the thumb or across a child's hand or foot.
C. Attaching the sensor to patient cable
1. Refer to Fig. 4a. Properly orient the sensor connector and insert the sensor completely into the patient cable connector.
2. Refer to Fig. 4b. Close the protective latch completely.
Disconnecting the sensor from the patient cable
1. Refer to Fig. 5a. Lift up the protective latch.
2. Refer to Fig. 5b. Pull firmly on the sensor connector to remove it from the patient cable.
NOTE: To avoid damage, pull on the sensor connector, not the cable.
. When elevated levels of COHb or MetHb are suspected,
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measurements.
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measurements.
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measurements.
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, SpCO and SpMet measurements.
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