• 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.
INSTRUCTIONS
A. Site Selection
• Choose a site that is well perfused and least restricts a conscious patient's movements. The ring finger of the non-dominant hand is preferred.
• Site should be cleaned of debris prior to sensor placement.
B. Attaching the Sensor to the Patient
1. Refer to Fig. 1. Hold the sensor with star and cable on top. Open the sensor by pressing on the sides of the sensor. Insert the selected digit into the sensor.
2. Refer to Fig. 2. Orient the sensor so that the cable runs toward the top of the patient's hand. The tip of the finger should touch the raised digit stop inside
the bottom of the sensor. If the fingernail is long, it may extend through the opening at the end of the sensor. Check the arrangement of the sensor to verify
correct positioning. Release the sides of the sensor. Complete coverage of the detector is needed to ensure accurate data.
C. Attaching the Sensor to the Patient Cable or Device
LNCS DBI
1. Refer to Fig. 3. Properly orient sensor connector (1) and insert it completely into the patient cable connector (2). Completely close the protective cover (3).
Direct Connect to Device
1. Connect the sensor directly to a device that contains (or licensed to use) Masimo SET technology or Masimo rainbow SET technology.
NOTE: Consult device user manual for additional information.
D. Disconnecting the Sensor from the Patient Cable or Device
NOTE: To avoid damage, pull on the sensor connector, not the cable.
LNCS DBI
1. Refer to Fig. 4. Lift the protective cover (1) to gain access to the sensor connector (2). Pull firmly on the sensor connector (2) to remove from the patient
cable (3).
Direct Connect to Device
1. Refer to Fig. 5. Place thumb and index finger on the buttons (1) on either side of the sensor device connector (2). Press firmly on the buttons and pull to
remove the connector from the device.
E. Removing the Sensor from the Patient:
LNCS DBI and Direct Connect to Device
1. Open the sensor by pressing on the sides and pull gently to remove the sensor from the patient.
2. Follow the cleaning instructions.
CLEANING
To surface clean the sensor:
1. Remove the sensor from the patient and disconnect it from the patient cable.
2. Clean the sensor surface by wiping it with a 70% isopropyl alcohol pad.
3. Allow the sensor to dry prior to placement on a patient. If low-level disinfection is required, proceed to steps 4 through 7.
4. Saturate a cloth or gauze pad with one of the following solutions:
• Glutaraldehyde (such as Metrex, Metricide 28 or Cidex 2250)
• Ammonium Chlorides (such as ECOLAB, Huntington Brand, Aspeti-Wipe)
• 1:10 bleach/water solution
5. Wipe all surfaces of the sensor and cable.
6. Saturate another cloth or gauze pad with sterile or distilled water and wipe all surfaces of the sensor and cable.
7. Dry the sensor and cable by wiping all surfaces with a clean cloth or dry gauze pad.
To clean or disinfect the sensor using a soaking method:
1. Place the sensor in one of the following cleaning solutions, so that the sensor and desired length of cable are completely immersed.
• Glutaraldehyde (such as Metrex, Metricide 28 or Cidex 2250)
• Ammonium Chlorides (such as ECOLAB, Huntington Brand, Aspeti-Wipe)
• 1:10 bleach/water solution
2. Dislodge air bubbles by gently shaking the sensor and cable.
3. Soak the sensor and the cable for at least 10 minutes and not greater than 24 hours. Do not immerse the connector.
4. Remove from cleaning solution.
5. Place the sensor and the cable in room temperature sterile or distilled water for 10 minutes. Do not immerse the connector.
6. Remove from the water.
7. Dry the sensor and cable by wiping all surfaces with a clean cloth or dry gauze pad.
CAUTION:
• Do not use undiluted bleach (5–5.25% sodium hypochlorite) or any cleaning solution other than those recommended herein because permanent damage
to the sensor could occur.
• Do not immerse the connector on the cable in any liquid solution.
• Do not sterilize by irradiation, steam, autoclave, or ethylene oxide.
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