ADC ADView 2 User Manual page 27

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Placement of a sensor on an extremity with a blood pressure cuff, arterial catheter, or intravascular line.
Always place the SpO2 sensor on the arm without a blood pressure cuff, arterial catheter, or intravascular
line.
CAUTION: Pulse rate measurement is based on the optical detection of a peripheral flow pulse and therefore may not
detect certain arrhythmias. The pulse oximeter should not be used as a replacement or substitute for ECG based
arrhythmia analysis.
CAUTION: SpO is empirically calibrated to functional arterial oxygen saturation in healthy adult volunteers with
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normal levels of carboxyhemoglobin (COHb) and methemoglobin (MetHb). A pulse oximeter cannot measure
elevated levels of COHb or MetHb. Increases in either COHb or MetHb will affect the accuracy of the SpO
measurement.
CAUTION: COHb levels above normal tend to increase the level of SpO
to the amount of COHb that is present.
CAUTION: High levels of COHb may occur with a seemingly normal SpO2. When elevated levels of COHb are
suspected, laboratory analysis (CO-Oximetry) of a blood sample should be performed.
CAUTION: For increased MetHb, the SpO
At higher levels of MetHb, the SpO
suspected, laboratory analysis (CO-Oximetry) of a blood sample should be performed.
CAUTION: Venous congestion may cause under reading of actual arterial oxygen saturation. Therefore, assure proper
venous outflow from monitored site. Sensor should not be below heart level (e.g., sensor on hand of a patient in a bed
with arm dangling to the floor).
CAUTION: Venous pulsations may cause erroneous low readings (e.g., tricuspid value regurgitation).
CAUTION: The pulsations from intra-aortic balloon support can be additive to the pulse rate on the oximeter pulse
rate display. Be sure to verify patient's pulse rate.
CAUTION: Elevated levels of Total Bilirubin may lead to inaccurate SpO
CAUTION: With very low perfusion at the monitored site, the readings may read lower than core arterial oxygen
saturation.
CAUTION: Do not immerse the sensor or patient cable in water or, solvents, or cleaning solutions (the sensors and
connectors are not waterproof).
CAUTION: Loss of pulse signal can occur in any of the following situations:
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The sensor is too tight.
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There is excessive illumination from light sources such as a surgical lamp, a bilirubin lamp, or sunlight.
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A blood pressure cuff is inflated on the same extremity as the one with an SpO
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The patient has hypotension, severe vasoconstriction, severe anemia, or hypothermia.
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There is arterial occlusion proximal to the sensor.
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The patient is in cardiac arrest or is in shock.
NOTE: See SP02 Sensor Specifications Table on page 45, the range of the peak wavelengths and maximum optical
output power of the light emitted by the pulse oximeter probe, which can be especially useful to clinicians.
NOTE: This device does not include an alarm system that detects an SpO2 or pulse rate physiological alarm
condition. This device is not designed for long-term monitoring and should only be used for spot-check
measurements.
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September 1, 2016
may be decreased by levels of MetHb of up to approximately 10% to 15%.
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may tend to read in the low to mid 80s. When elevated levels of MetHb are
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. The level of increase is approximately equal
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, measurements.
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sensor attached.
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ADView 2 User Manual | 27
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