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Operation - Mindray

Operation - Mindray

Routine

Routine Operation Operation CAUTION: Do not place the SpO2 sensor on an extremity with an invasive catheter or blood pressure cuff in place. CAUTION: Prolonged and continuous monitoring may increase the risk of skin erosion and pressure necrosis at the site of the sensor. Check the SpO2 sensor site frequently to ensure proper positioning, alignment and skin integrity at least every eight (8) hours; with the Adult and Pediatric re-usable finger sensor, check every four (4) hours; for neonates and patients of poor perfusion or with skin sensitive to light, check every 2 - 3 hours; more frequent examinations may be required for different patients. Change the sensor site if signs of circulatory compromise occur. CAUTION: Inaccurate SpO2 measurements may be caused by: incorrect sensor application or use significant levels of dysfunctional hemoglobins, (e.g., carboxyhemoglobin or methemoglobin) intra-vascular dyes such as indocyanine green or methylene blue exposure to excessive illumination such as surgical lamps (especially ones with a xenon light source), bilirubin lamps, fluorescent lights, infrared heating lamps, or excessive ambient light. In such cases, cover the sensor site with opaque material. excessive patient movement venous pulsations electro-surgical interference placement of a sensor on an extremity that has a blood pressure cuff, arterial catheter or intra-vascular line. nail polish or fungus CAUTION: In certain situations in which perfusion and signal strength are low, such as in patients with thick or pigmented skin, inaccurately low SpO2 readings will result. Verification of oxygenation should be made, especially in patients with chronic lung disease, before instituting any therapy or intervention. CAUTION: Many patients suffer from poor peripheral perfusion due to hypothermia, hypovolemia, severe vasoconstriction, reduced cardiac output, etc. These symptoms may cause a loss in vital sign readings. CAUTION: If the SpO2 sensor or patient cable are damaged in any way, discontinue use immediately. To prevent damage, do not soak or immerse the sensor in any liquid solution. Do not attempt to sterilize. CAUTION: When applying the SpO2 sensor to the patient, ensure proper positioning, alignment and skin integrity. Exercise extreme caution with poorly perfused patients. CAUTION: Excessive ambient light may cause inaccurate SpO2 measurements. In such cases, cover the sensor site with opaque material. 2 - 10 0070-10-0603-60 Rosebud® Operating Instructions

Operation Routine Operation CAUTION: Use only approved oxygen sensors and cables. Use of other oxygen sensors may cause improper oximeter performance. The Adult Reusable Finger Sensor includes a cable and connector to attach to the monitoring device. NOTE: Refer to instructions included with each SpO 2 sensor and cable for proper placement and use. 1. Select an SpO2 sensor that is appropriate for the size of the patient. 2. Attach the SpO2 sensor to the patient’s finger. 3. Attach the connector end of the SpO2 sensor to the SpO2 extension cable. 4. Align the key slot on the connector from the SpO2 extension cable with the SpO2 receptacle on the front panel of the Rosebud. Press the connector into the SpO2 receptacle until a click is heard. The SpO2 measurement will display when the Rosebud detects that the sensor is connected to the patient. These results are updated once every second and can display for a maximum of 2 minutes during continuous SpO2 measurement. NOTE: To disconnect the cable from the Rosebud, pull straight out on the collar of the connector marked with two arrows. Rosebud® Operating Instructions 0070-10-0603-60 2 - 11

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