Masimo

MightySat Oximeters

MightySat Rx Fingertip Pulse Oximeter Operators Manual Dec 2014

Operators Manual

4 Pages

MightySat Fingertip Pulse Oximeter  •  Operator's Manual  •  Not for Sale in the USA - For Export Only Notice: Purchase or possession of this device does not carry any express or implied license to use with replacement parts which would, alone or in combination with this device, fall within the scope of one of the relating patents. Cleared Use Only: The device and related accessories have obtained CE Mark for noninvasive user monitoring and may not be used for any processes, procedures, experiments or any other use for which the device is not intended or cleared by the applicable regulatory authorities, or in any manner inconsistent with the instructions for use or labeling.  Caution: To prevent interference from ambient light, ensure that MightySat is properly applied. Failure to take this precaution in high ambient light conditions may result in inaccurate or no measurements. Caution: If no measurements are displayed, find a better perfused monitoring site. Caution: When using MightySat Model 9801 or Model 9901 with a smart device, keep both devices within the recommended range of each other (see Specifications for details); moving outside of this range may cause missing, lost, and/or inaccurate data to display on the smart device. Note:The MightySat display may be difficult to view when exposed to direct sunlight or bright lights. Note: A functional tester cannot be used to assess accuracy of MightySat. Note: The MightySat display will shut off automatically if there are no readings.  •  • • •  Cleaning and Service Warnings and Cautions Warning: Changes or modifications not expressly approved by Masimo shall void the warranty for this equipment. Warning: Use only AAA alkaline batteries. Warning: Batteries may leak or explode if used or disposed of improperly. Remove batteries if the device will be stored for more than 30 days. Warning: Do not mix fully charged and partially charged batteries at the same time. These actions may cause the batteries to leak. Caution: A user may only perform maintenance procedures specifically described in the manual; otherwise, return MightySat for servicing. Caution: Do not use petroleum-based or acetone solutions, or other harsh solvents, to clean MightySat. These substances affect the device’s materials and instrument failure can result. Caution: Do not submerge MightySat in any cleaning solution or attempt to sterilize by autoclave, irradiation, steam, gas, ethylene oxide or any other method. This will seriously damage the device. Caution: Do not use undiluted bleach (5% - 5.25% sodium hypochlorite) or any cleaning solution other than those recommended here because permanent damage to MightySat may occur. Caution: Never immerse MightySat in water or any other liquid solution.  • •  About this Manual  •  Do not operate the MightySat Fingertip Pulse Oximeter without completely reading and understanding the instructions. Always use the MightySat precisely in accordance with the directions in this manual, including site selection and sensor placement. Failure to follow all of the directions in this manual could lead to inaccurate measurements. Read and follow any warnings, cautions, and notes presented throughout this manual. The following are explanations of warnings, cautions, and notes. A warning is given when actions may result in a serious outcome to the patient or user (for example, injury, serious adverse effect, or death). Warning: This is an example of a warning statement. A caution is given when any special care is to be exercised by the patient or user to avoid injury to the patient, damage to this instrument, or damage to other property. Caution: This is an example of a caution statement. A note is given when additional general information is applicable. Note: This is an example of a note.  •  Product Description and Indications  •  Product Description  •  The MightySat Fingertip Pulse Oximeter is a noninvasive device that measures and displays arterial oxygen saturation (SpO2), Pulse Rate (PR), Perfusion Index (PI), and Pleth Variability Index (PVI®). The MightySat Fingertip Pulse Oximeter is available in the following models:  •  Model  Product  Features  9701  MightySat  Measures and displays arterial oxygen saturation (SpO2), Pulse Rate (PR), and Perfusion Index (PI).  9801  MightySat, Bluetooth  Measures and displays arterial oxygen saturation (SpO2), Pulse Rate (PR), and Perfusion Index (PI).  9901  MightySat, Bluetooth and PVI  • • • • •  Compliance Warnings and Cautions Caution: Disposal of Product: Comply with local laws in the disposal of the instrument and/or its accessories, including batteries. Note: When using MightySat with a device with wireless features, consideration should be taken to local government frequency allocations and technical parameters to minimize the possibility of interference to/from other wireless devices. Note: In accordance with international telecommunication requirements, the frequency band of 2.4 GHz is only for indoor usage to reduce potential for harmful interference to co-channel mobile satellite systems. Note: This device complies with Part 15 of the FCC Rules. Operation is subject to the following two conditions: (1) This device may not cause harmful interference, and (2) this device must accept any interference received, including interference that may cause undesired operation. Note: This equipment has been tested and found to comply with the limits for a Class B digital device, pursuant to part 15 of the FCC Rules. These limits are designed to provide reasonable protection against harmful interference in a residential installation. This equipment generates, uses, and can radiate radio frequency energy and, if not installed and used in accordance with the instructions, may cause harmful interference to radio communications. However, there is no guarantee that interference will not occur in a particular installation. If this equipment does cause harmful interference to radio or television reception, which can be determined by turning the equipment off and on, the user is encouraged to try to correct the interference by one or more of the following measures: • Reorient or relocate the receiving antenna. • Increase the separation between the equipment and receiver. • Connect the equipment into an outlet on a circuit different from that to which the receiver is connected. • Consult the dealer or an experienced radio/TV technician for help. Note: This equipment has been tested and found to comply with the Class B limits for medical devices according to the EN 60601-1-2: 2007, Medical Device Directive 93/42/EEC. These limits are designed to provide reasonable protection against harmful interference in all establishments, including domestic establishments. Note: This Class B digital apparatus complies with Canadian ICES-003.  •  •  Bluetooth LE radio for transfer of parameter data to a compatible smart device. Measures and displays arterial oxygen saturation (SpO2), Pulse Rate (PR), Perfusion Index (PI), and Pleth Variability Index (PVI). Bluetooth radio for transfer of parameter data to a smart device.  Indications for Use The MightySat Fingertip Pulse Oximeter is indicated for noninvasive spot-checking of functional oxygen saturation of arterial hemoglobin (SpO2), Pulse Rate (PR), and Perfusion Index (PI). The MightySat Fingertip Pulse Oximeter is intended for spot-checking on people > 30 kg (66 lbs) during no motion and motion conditions, and for people who are well or poorly perfused. This device is suitable for use in hospitals, hospital-type facilities, mobile, and home environments.  Safety Information, Warnings, and Cautions Safety Warnings and Cautions • • • • • • • • •  • • • • • • • •  Warning: Do not use MightySat if it appears or is suspected to be damaged. Warning: Do not repair, open, or modify MightySat. Injury or equipment damage could occur. Warning: Do not use MightySat during magnetic resonance imaging (MRI) or in an MRI environment. Warning: Do not expose MightySat components to excessive moisture such as direct exposure to rain. Excessive moisture can cause the components to perform inaccurately or fail. Warning: Do not place MightySat or accessories in any position that might cause it to fall on the user. Warning: Electric Shock Hazard: Do not use MightySat during defibrillation. Warning: Do not to use device during electrosurgery. Warning: Do not use MightySat in the presence of flammable anesthetics or other flammable substance in combination with air, oxygen-enriched environments, or nitrous oxide. Warning: Do not use tape to secure MightySat to the site; this can restrict blood flow and cause inaccurate readings. Use of tape can cause skin damage, and/or pressure necrosis or damage the sensor. Warning: Keep the oximeter away from young children. Small items such as the battery door and battery may become choking hazards. Warning: When MightySat is applied for extended periods of time, the sensor site must be checked frequently to ensure adequate circulation, skin integrity, and correct optical alignment. Warning: If MightySat is applied too tightly or becomes tight due to edema it will cause inaccurate readings and can cause pressure necrosis. Warning: Do not use the lanyard with MightySat during activities where a risk of strangulation may exist (i.e. sleeping). Caution: Do not attempt to reprocess, recondition or recycle MightySat as these processes may damage the electrical components, potentially leading to user harm. Caution: Before changing batteries, make sure the device is off and is not applied to a finger. Caution: MightySat contains a magnet which may interfere with other devices, including pacemakers. Note: The maximum skin surface temperature is measured to be less than 41°C (106°F) in a minimum 35°C (95°F) environment. This was verified by measuring the skin interface temperature with MightySat operating under reasonable worst-case conditions.  Performance Warnings and Cautions • • • • •  • •  Warning: MightySat is not an apnea monitor and should not be used for arrhythmia analysis. Warning: Do not self-diagnose or self-medicate on the basis of the measurements. Always consult your doctor. Warning: MightySat does not include visual alerts or audible alarm features to support continuous monitoring. It is intended for spot-check use only. Warning: SpO2 is empirically calibrated in healthy adult volunteers with normal levels of carboxyhemoglobin (COHb) and methemoglobin (MetHb). Warning: Inaccurate SpO2 readings may be caused by: • Improper MightySat placement or alignment • Elevated levels of COHb and MetHb: High levels of COHb or MetHb may occur with a seemingly normal SpO2. When elevated levels of COHb or MetHb are suspected, laboratory analysis (CO-Oximetry) of a blood sample should be performed. • Intravascular dyes such as indocyanine green or methylene blue • Externally applied coloring and texture such as nail polish, acrylic nails, glitter, etc. • Patients attached to a high pressure cuff • Avoid placing the MightySat sensor on any extremity with an arterial catheter or blood pressure cuff. • Elevated levels of bilirubin • Severe anemia • Venous congestion • Venous pulsation • Low arterial perfusion • Motion artifact Caution: To minimize radio interference, other electrical equipment that emits radio frequency transmissions should not be in close proximity to MightySat. Caution: High ambient light sources, fluorescent lights, infrared heating lamps and direct sunlight can interfere with the performance of MightySat.  •  •  The Masimo Difference From the leader in hospital pulse oximetry comes a complete pulse oximeter that is compact and portable to help you measure blood oxygen saturation through motion and low perfusion. The MightySat Fingertip Pulse Oximeter allows you to noninvasively track oxygen saturation (SpO2), pulse rate (PR), perfusion index (PI), and Pleth Variability Index (PVI). The MightySat features Masimo® Signal Extraction Technology® (SET®) technology, proven to provide accurate pulse oximetry measurements during motion and low perfusion. For more than 20 years, Masimo has been focused on a singular mission–to take noninvasive patient monitoring to new sites and applications. Visit www.Masimo.com to learn why clinicians worldwide know and trust Masimo for patient care.  About the MightySat Technology Pulse oximetry is governed by the following principles: Oxyhemoglobin (oxygenated blood) and deoxyhemoglobin (non-oxygenated blood) differ in their absorption of red and infrared light (spectrophotometry). Display Parameter  Description  Functional oxygen saturation (SpO2)  Functional oxygen saturation (SpO2) is the amount of oxyhemoglobin expressed as a percentage of the hemoglobin that is available to transport oxygen.  Pulse Rate (PR)  Pulse rate (PR), measured in beats per minute (BPM), is based on the optical detection of peripheral flow pulse.  Perfusion Index (PI)  The Perfusion Index (PI) is the ratio of the pulsatile blood flow to the non-pulsatile or static blood in peripheral tissue. PI thus represents a noninvasive measure of peripheral perfusion that can be continuously and noninvasively obtained from a pulse oximeter.  Pleth Variability Index (PVI ) (Model 9901 only)  The Pleth Variability Index (PVI) is a measure of the dynamic changes in the Perfusion Index (PI) that occur during the respiratory cycle. The calculation is accomplished by measuring changes in PI over a time interval where one or more complete respiratory cycles have occurred. PVI is displayed as a percentage (0-100%). The utility of PVI is unknown at this time and requires further clinical studies. Technical factors that may affect PVI include malposition and patient motion.  Plethysmograph Waveform (Pleth)  The amount of arterial blood in tissue changes with your pulse (photoplethysmography). Therefore, the amount of light absorbed by the varying quantities of arterial blood changes as well. Clinicians have attempted to utilize this waveform and its variation for assigning signal integrity, physiological and artifactual changes such as perfusion changes, dysrhythmia, motion artifact, and electrical interference. For this reason, accurate and reliable presentation of the plethysmograph waveform is of importance.  Signal I.Q. Indicators  The Signal I.Q.® (SIQ) provides an indicator of the assessment of the confidence in the displayed SpO2 value. The height of the vertical line of the SpO2 SIQ provides an assessment of the confidence in the measurement displayed. A high vertical line indicates higher confidence in the measurement. A small vertical line indicates lower confidence in the displayed measurement.  (SIQ)  MightySat Fingertip Pulse Oximeter EU authorized representative for Masimo Corporation: MDSS GmbH Schiffgraben 41 D-30175 Hannover, Germany Manufacturer:  Masimo Corporation 40 Parker Irvine, CA 92618 USA Tel.: 949-297-7000 Fax.: 949-297-7001 www.masimo.com © 2014 Masimo Corporation  37624/LAB-8671A 1214
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