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Rad-87 device. General knowledge of pulse CO-Oximetry and an understanding of the features and functions of the Rad-87 are a prerequisite for its proper use. Do not operate the Rad-87 without completely reading and understanding the instructions in this manual.
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As with all medical equipment, carefully route patient cabling to reduce the possibility of patient entanglement or strangulation. ■ Do not place the Rad-87 or accessories in any position that might cause it to fall on the patient. Do not lift the Rad-87 by the power cord or any other cable. ■...
Pulse CO-Oximetry parameters and measurements. ■ If using Rad-87 during full body radiation, keep the sensor out of the radiation fi eld. If the sensor is exposed to the radiation, the reading might be inaccurate or the device might read zero for the duration of the active irradiation period.
Consult the manufacturer for help. ■ In order to connect wirelessly to a compatible interface system like Patient SafetyNet, the Rad-87 should be placed in an environment free from RF shielding, which could hinder wireless reception. ■ To minimize radio interference, other electrical equipment that emits RF transmissions should not be in close proximity to the RAD-87.
A b o u t T h i s M a n u a l This manual explains how to set up and use the Rad-87 Pulse CO-Oximeter containing Masimo Rainbow SET technology. Important safety information relating to general use of the Rad-87 appears before this introduction.
Sample of Caution: CAUTION: THIS IS A SAMPLE OF A CAUTION STATEMENT. A NOTE is provided when extra general information is applicable. Sample of Note: NOTE: This is a sample of a Note. Rad-87 Pulse CO-Oximeter Operator’s Manual...
(PVI) and pulse rate. It also provides bar graph displays for quick visual identifi cation of Signal Identifi cation Quality (SIQ ® ), perfusion index and pleth variability index. The Rad-87 is available in four models: vertical Rad-87, horizontal Rad-87, vertical Rad-87 with radio and horizontal Rad-87 with radio.
INDICATIONS FOR USE The Rad-87 Pulse CO-Oximeter and accessories are indicated for the continuous, non-invasive monitoring of functional oxygen saturation of arterial hemoglobin (SpO ), carboxyhemoglobin and methemoglobin concentration expressed in percentage (SpCO and SpMet) and total hemoglobin concentration expressed in grams per deciliter (SpHb).The Rad-87 Pulse CO-Oximeter and...
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The sensor connects directly to the Pulse CO-Oximeter or with a patient cable. The sensor collects signal data from the patient and sends it to the instrument. The instrument displays the calculated data as measurement of total hemoglobin concentration. The Rad-87 can be configured to be a combined SpO monitor with other available parameters/measurements.
In an ambient temperature of 35º C the maximum skin surface temperature has been measured at less than 106º F (41º C), verifi ed by Masimo sensor skin temperature test procedure.
When the Rad-87 does not have confidence in the value of a parameter due to poor signal quality caused by excessive motion or other signal interference, the measurement for the parameter will alternate with "---".
All user input is handled by control buttons on the front panel. The sensor cable connections are located on the left side of the front panel for the Rad-87 horizontal device and the bottom of the front panel for the Rad-87 vertical device.
Flashing Green: Rad-87 attempts to connect to Patient Wireless SafetyNet or other compatible interface system. Indicator Solid Green: Rad-87 is connected to the Patient SafetyNet or other compatible interface system. Used to enter the alarm menu to adjust Hi/Low SpO , SpCO, SpMet, SpHb, PI, PVI and pulse rate alarm limits.
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A low battery status is indicated by a low audible beep and the first battery bar to the left flashing green. AC Power The AC Power Indicator is illuminated when the Rad-87 is Indicator connected to AC power and during battery charging.
Nurse Call Connector must be IEC-60950 compliant. Use the Serial Output Connector to connect a serial device, including a serial printer, RadNet Interface Module, or PC, to the Rad-87. SERIAL OUTPUT See Section 7, Output Interface Specifications. All external device...
SYMBOLS The following symbols are found on the Rad-87 or packaging and are defined below: RS-232 Equipotential Ground Terminal Consult accompanying documents Nurse Call Interface...
The LCD Display illuminates upon start up and displays the installed parameter/measurement's low and high alarm limits. Once the Rad-87 completes system initiation, the display light turns off. As the front panel buttons are pressed, each menu selection is shown on the LCD Display.
Verify the AC power voltage and frequency before use. Verify that the power source can provide adequate power rating as indicated on the rear panel of the Rad-87. The Rad-87 is designed to operate on 100 to 240VAC, 47-83 Hz. The device is rated at 15 VA max.
See Section 7-2, Specifications. INITIAL INSTALLATION Place the Rad-87 on a stable hard flat surface near the patient. Always place the Rad- on a dry surface. Maintain a minimum of 1 inch (2.54 cm) free space around the device. Make sure that Rad-87 loudspeaker is not covered to avoid a muffled alarm sound.
Refer to the Directions for Use of the sensor before attaching the sensor to the patient. Attach the sensor to the Patient. With a Masimo sensor, connect the sensor to the patient cable with the logos lining up; make sure it is a firm connection.
■ The display shows "NO SEN" message. NOTE: "NO SEN" or "SEN OFF" conditions will only generate a high priority alarm if the Rad-87 is actively monitoring a patient when the sensor is disconnected. 13. Verify that the audible alarm can be silenced when a parameter/measurement alarm is exceeded.
17. After monitoring is complete, remove the sensor from the patient and store or dispose of the sensor according to local laws. See the Directions for Use of the sensor. 18. Press and hold the Power Button for 2 seconds to turn the Rad-87 off [3 seconds in the Home Mode].
MASIMO PULSE CO-OXIMETRY SENSORS Before use, carefully read the Masimo sensor Directions for Use. Use only Masimo sensors for pulse oximetry or pulse CO-Oximetry measurements. Tissue damage can be caused by incorrect application or use of a sensor, for example by wrapping the sensor too tightly.
The pulsations from intra-aortic balloon support can cause the pulse rate displayed on the Rad-87 to be significantly different than the ECG heart rate.
The PVI bar graph is a representation of the calculated value. The lower the height of the bar, the less variability there is in the PI over a respiratory cycle. Press the Display key to toggle to the PVI numeric measurement. Rad-87 Pulse CO-Oximeter Operator’s Manual...
LOW PERFUSION The Rad-87 indicates perfusion on a 10-bar LED indicator. The lower two segments of the bar will turn red when the amplitude of the arterial pulsations is very low (low perfusion).
■ If possible, remove electrical noise sources such as electro-surgical devices or other electrical/ electronic equipment. If these solutions are not possible, operate the Rad-87 on battery power, or try plugging the device into a different electrical outlet. ■...
When a low battery condition occurs, immediately discontinue patient monitoring and plug the Rad- into AC power. The AC Power Indicator on the Rad-87 illuminates and remains illuminated while the battery is charging, however, the Battery Charge Level Indicator does not illuminate. Once the battery is fully charged all Battery Charge Level Indicators illuminate green when unplugged.
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Display Screens when SpMet, SpCO and PVI Are Not Installed No Screen 10.1 Screen Screen Home display screen Display Screens with SpHb and PVI Installed and SpMet and SpCO Not Installed No Screen 10.1 Screen Screen Home display screen 4-10 Rad-87 Pulse CO-Oximeter Operator’s Manual...
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Display Screens Showing PVI on Screen 1 1.60 10.1 Screen Screen Screen Home display screen Display Screens Showing SpHb on Screen 1 and 2 1.60 %SpCO 10.1 10.1 Screen Screen Screen Home display screen Rad-87 Pulse CO-Oximeter Operator’s Manual 4-11...
SETUP MENU This section gives an overview of the Rad-87 menu selections available. To access the menu levels and navigate through the menu selections, use the front panel buttons, Enter Button and Up/Down Buttons as indicated in the following sections.
Press 5x press the Display Button to exit at any time and return to Screen 1. SpHb g/dl LO Press 6x SpHb g/dl HI NOTE: User default settings can be changed for specific patient environments. Rad-87 Pulse CO-Oximeter Operator’s Manual 4-13...
Button will return the device to Screen 2. Press 4x press the Display Button to exit at any time and return to Screen 2. PVI HI NOTE: User default settings can be changed for specific patient environments. 4-14 Rad-87 Pulse CO-Oximeter Operator’s Manual...
Button to accept the setting and return Press 3x between options. to the home display screen. Level 4 Press 4x Level 1 NOTE: User default settings can be changed for specific patient environments. Rad-87 Pulse CO-Oximeter Operator’s Manual 4-15...
Level 4 Volume menu and to screen. move between Level menus. press the Display Button to exit without Level 1 saving the new setting and to return to the home display screen. Level 2 4-16 Rad-87 Pulse CO-Oximeter Operator’s Manual...
0 seconds setting and move to the next menu screen. next menu. press the Display Button to exit without 15 seconds saving the new setting and to return to the home display screen. 10 seconds Rad-87 Pulse CO-Oximeter Operator’s Manual 4-17...
(CONTINUED) CLEAR TREND The Rad-87 only stores data in the trend memory while the device is turned on. Trend data saves to the memory until the memory is full or cleared by the user. NOTE: It is recommended that you clear the trend prior to performing a new patient data collection procedure.
T r e n d s e t u p a n d u s e INTRODUCTION The Rad-87 can store up to 72 hours of trend data captured at 2 second intervals. The trend data can then be transferred to a PC for evaluation.
T r e n d s e t u p a n d u s e c o n t i n u e d The Rad-87 will display “dat out” while trend data is being transferred. A progress bar will advance to indicate the status of the download.
200 = reserved 400 = Low Signal IQ 800 = Masimo SET. This flag means the algorithm is running in full SET mode. It requires a SET sensor and needs to acquire some clean data for this flag to be set SAMPLE TREND OUTPUT 07/21/08 09:56:08 SpO2=000 PR=000 PI=00.00 EXC=820:OffPat,SET...
Display Button to exit 14 seconds without saving the new setting and to return to the home display screen. 12 seconds 10 seconds (The cycling function for the menu options is not available.) 4-22 Rad-87 Pulse CO-Oximeter Operator’s Manual...
When Alarm On/Off is set to "Off rE", the audible alarm "beeps" twice every three minutes to remind the user that the Rad-87 is currently in alarm status but the audible alarm is muted. Visual alarms are active in this mode. If an alarm limit is violated, the associated parameter/...
*Set the Factory Default to this setting when confi guring a Device Profi le. Refer to the Device Profi le Setup and Use section of this chapter for additional information and instructions. 4-24 Rad-87 Pulse CO-Oximeter Operator’s Manual...
Profile) settings will be retained after a power cycle. To save the settings as a profile from the Rad-87 button menu, the user must enter Setup Menu Level 3 by pressing and holding the Enter Button and Down Button at the same time for 5 seconds.
Use Up or Down press the Display Button to exit without saving Button to adjust the new setting and to return to the home display the setting. screen. 4-26 Rad-87 Pulse CO-Oximeter Operator’s Manual...
Use Up or Down Button press the Display Button to exit without to adjust the saving the new setting and to return to the setting. home display screen. Rad-87 Pulse CO-Oximeter Operator’s Manual 4-27...
Enter Button to accept the menu. AS1 (ASCII 1) setting and move to the next menu. press the Display Button to exit without saving the new setting and to return to the home display screen. (Philips Vuelink) 4-28 Rad-87 Pulse CO-Oximeter Operator’s Manual...
(CONTINUED) INTERFACE ALARMS When Rad-87 is interfaced to another system and the Interface Alarms are set to "Off", SpO 2 and BPM audible alarms are muted at the Rad-87 and active at the interfaced system. This prevents both systems from producing SpO 2 and BPM audible alarms at the same time.
SpO 2 , PVI, PI and Pulse Rate parameters/measurements on the screen at the RadNet Central Station. The Rad-87 Pulse CO-Oximeter can be set up to audibly indicate all patient alarms while communicating with the RadNet Interface module. PATIENT SAFETYNET SETUP Select the ASCII 2 selection from the Serial options on the Rad-87.
Enter Button to accept the setting the next menu and move to the next menu option. option. press the Display Button to exit without saving the new setting and to return to the home display screen. Rad-87 Pulse CO-Oximeter Operator’s Manual 4-31...
(if available) press the Display Button to exit without saving (no parameter/ the new setting and to return to the home measurement display screen. displayed) 4-32 Rad-87 Pulse CO-Oximeter Operator’s Manual...
Enter Button to accept the setting. Sleep Mode press the Display Button to exit without saving the new setting and to return to the home Home Mode display screen. *CAUTION: ALARMS ARE DISABLED IN THIS MODE. Rad-87 Pulse CO-Oximeter Operator’s Manual 4-33...
SLEEP MODE OPERATION The Rad-87 can be placed into the Sleep Mode to allow the device to capture normal and abnormal patient data without triggering the alarms. This mode will blank out the LED and the LCD Displays with the exception of the AC Power Indicator, the System Status Light, and the Battery Level Indicator and disables the alarms even after a power cycle.
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