• If using pulse oximetry during full body irradiation, keep the sensor out of the radiation field. If sensor is exposed to the
radiation, the reading might be inaccurate or the unit might read zero for the duration of the active radiation period.
• Do not use the sensor during MRI scanning or in a MRI environment.
• High ambient light sources such as surgical lights (especially those with a xenon light source), bilirubin lamps,
fluorescent lights, infrared heating lamps, and direct sunlight can interfere with the performance of the sensor.
• High intensity extreme lights (such as pulsating strobe lights) directed on the sensor, may not allow the Pulse
CO-Oximeter to obtain vital sign readings.
• 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
suspected, 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.
2
• 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.
CABLE AND SENSOR SELECTION
NOTE: The maximum length for the sensor, cable and extension cable combination is 15 feet. Refer to the table below for
correct examples:
Cable
Length
RC-1
RC-4
RC-12
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.
Sensor
3 feet
> 3 feet
Yes
Yes
No
. When elevated levels of COHb or MetHb are
2
measurements.
2
measurements.
2
measurements.
2
, SpCO and SpMet measurements.
2
Yes
Yes
No
4
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