Radical-7 Touch Pulse CO-oximeter Touch Screen Training Manual

Learning Objectives Upon completing this course, the participant will be able to: Identify the key features, components, and controls of the Radical-7 Pulse CO-Oximeter > Describe and navigate the touch screen menu structure of the Radical-7 > Describe how to check the software versions on the Radical-7 > Describe how to use PI and SIQ to identify unreliable measurements and to troubleshoot common pulse oximetry challenges > Identify other key troubleshooting concepts > Identify components on the rear panel of the Radical-7 docking station > Describe the cleaning process for the Radical-7 >

STT-0229B

Please see operator’s manual for further information © 2010-2011 Masimo Corporation

CO-006911

Screen Lock Feature

>

When turned on, any interaction with the Display View triggers the Screen Lock feature, which may prevent unintentional interaction with Display View

>

To bypass Screen Lock when it appears, press and hold the Lock icon until it unlocks

STT-0229B

Please see operator’s manual for further information © 2010-2011 Masimo Corporation

CO-006911

Radical-7 Controls

Handheld Release Button Handheld Battery Charging Indicator

Touchscreen Display

Alarm Silence / Reset Button

Profiles Button

Home Button

Visual Alarm Indicator AC Power Indicator Docking Indicator

STT-0229B

Power On/Off Button

Please see operator’s manual for further information © 2010-2011 Masimo Corporation

CO-006911

Radical-7 Controls Power On / Off button – To turn on the Radical-7, press the power button. To turn off, press and hold the button for more than 2 seconds. Home Button – The Home button provides instant access to the Display View screen. Alarm Silence button – The Alarm Silence button temporarily silences alarms. Profiles Button – The Profile Button provides instant access to the Profile screen. Touchscreen Display – The Touchscreen Display refers to the interactive area on the Handheld. There are different Display Views that can appear in this area. STT-0229B

Please see operator’s manual for further information © 2010-2011 Masimo Corporation

CO-006911

Radical-7 Controls Handheld Release Button – Press down the Handheld Release Button to pull the handheld device off the Docking Station. Handheld Battery Charging Indicator – Illuminated when the handheld battery is charging and blinks just prior to charging. Does not illuminate when battery is fully charged or not present. Visual Alarm Indicator – Illuminated when an alarm condition is active and the Alarm Status Indicator is shown. AC Power Indicator – Illuminated when the Radical-7 Docking Station is plugged into AC line power. Docking Indicator – Illuminated when the handheld instrument is turned on and properly interfaced to the Docking Station. If handheld is not replaced into the Docking Station correctly, this will not illuminate and the battery will not be charging. STT-0229B

Please see operator’s manual for further information © 2010-2011 Masimo Corporation

CO-006911

Radical-7 Display View – Status Bar Section

> The Status Bar includes touch indicators for Sensitivity Modes, Profiles, WiFi, Battery, Sounds, and Time Setting > Messages will also appear in the Status Bar section STT-0229B

Please see operator’s manual for further information © 2010-2011 Masimo Corporation

CO-006911

Status Bar Features Sensitivity Adjustment – Changes from APOD to Normal to Maximum Sensitivity modes Profiles allows the user to customize different settings for different patient populations Adult, Neonatal, or Custom WiFi – when the Radical-7 is connected to a WiFi network, the WiFi icon conveys the strength of the WiFi connection Battery – conveys remaining battery charge as a green color Sounds – From the Sounds screen, change Alarm Volume, Pulse Tone Volume, and Alarm Silence Duration Time – enters the Localization menu where user can adjust Current Date, Current Time, Language, Time Zone, Date Format, Time Format, Line Frequency, Date and Time Manual set STT-0229B

Please see operator’s manual for further information © 2010-2011 Masimo Corporation

CO-006911

Radical-7 Display View – Parameter Display SpHb Parameter

RRa Parameter

SpO2 Display

SpMet Parameter

Pulse Rate Display

Pleth Variability Index

Alarm Limits Display STT-0229B

Please see operator’s manual for further information © 2010-2011 Masimo Corporation

CO-006911

Radical-7 Display – Parameters SpO2 Display – Displays functional arterial hemoglobin Oxygen saturation in units of percentage SpO2 Pulse Rate Display – Shows the patient’s pulse rate in beats per minute SpHb Parameter – Displays total Hemoglobin Concentration in g/dL or mmol/L RRa Parameter – Displays the Acoustic Respiration Rate SpMet Parameter – Displays the levels of Methemoglobin concentration in units of percentage SpMet PVI Parameter – Displays a measure of the dynamic changes in the perfusion index that occur over a respiratory cycle as a percentage STT-0229B

Alarm Display Limits – Displays low and high limits next to each parameter Please see operator’s manual for further information CO-006911 © 2010-2011 Masimo Corporation

Radical-7 Display View – Trend Field

> User can change waveform and trend views by touching this section and selecting between Pleth+Sig IQ view, Acoustic, PVI Pleth+Sig IQ, or PVI Pleth+Sig IQ+Acoustic > Individual Parameter quick trends and full trend view also available STT-0229B

Please see operator’s manual for further information © 2010-2011 Masimo Corporation

CO-006911

Radical-7 Display View – Small Parameter View

SpCO Parameter (inactive when SpHb parameter active) Perfusion Index

SpOC Parameter

> On the Small Parameter view, touch and hold any parameter until it dims, shakes, and grows in size, then drag and drop it above the trend field to place it in the Parameter Display area STT-0229B

Please see operator’s manual for further information © 2010-2011 Masimo Corporation

CO-006911

Radical-7 Display – Parameters SpCO Parameter – Displays the levels of Carboxyhemoglobin concentration in the blood in percent SpCO. Perfusion Index – Displays the ratio of the pulsatile blood flow to the non-pulsatile or static blood in peripheral tissue in percentage. PI represents a non-invasive measure of peripheral perfusion that can be continuously and noninvasively obtained from a pulse oximeter. SpOC Display – Provides a calculated measurement of the amount of oxygen in arterial blood, which may provide useful information about oxygen both dissolved in plasma and combined with hemoglobin.

STT-0229B

Please see operator’s manual for further information © 2010-2011 Masimo Corporation

CO-006911

Main Menu Screen

> To access the Main Menu screen touch the gear icon corner of the display.

at the lower right

> Main Menu is where users can access additional screens and information. Users can swipe the screen left or right to pan the Menu Icons. Users can touch the arrow icon to return to the Display View.

STT-0229B

Please see operator’s manual for further information © 2010-2011 Masimo Corporation

CO-006911

Navigating the Main Menu

– Touch Icons

Device Settings – Includes Screen Orientation, Localization, WiFi, Battery, Brightness, Access Control, and Device Output From the Parameter Settings screen, to access the desired parameter flick the on-screen icons left or right Profiles – Allows the user to customize different settings for different patient populations 3D Alarms – Include the Desat Index Alarm and the PI Delta Alarm STT-0229B

Please see operator’s manual for further information © 2010-2011 Masimo Corporation

CO-006911

Navigating the Main Menu – Touch Icons Trends – Adjust Trend settings, Delete trend data, Manipulate view of trend data, and toggle between Display View and Full Trend Sounds – Adjust Alarm Volume, Pulse Tone Volume, and Alarm Silence Duration About – View Serial number, version of instrument board software (MCU), version of technology level software (MX Board), and version of Docking station software if handheld is docked STT-0229B

Please see operator’s manual for further information © 2010-2011 Masimo Corporation

CO-006911

Sensitivity Adjustment

> Press the indication on the top left of the Display View to toggle between APOD, NORM, and MAX > Alternatively, from the Main Menu (Gear) Icon, touch the Profiles icon and select the desired mode by scrolling up or down and press OK STT-0229B

Please see operator’s manual for further information © 2010-2011 Masimo Corporation

CO-006911

Sensitivity Setting on the Radical-7™ Selectable Device Sensitivity APOD (Adaptive Probe Off Detection)

MAX

NORMAL

MAX is recommended sensitivity mode for patients with low perfusion or when Norm is the recommended APOD is the recommended a low perfusion message displays in sensitivity mode for patients who are sensitivity mode where there is a APOD or NORM mode. MAX mode is experiencing some compromise in high probability of the sensor not recommended for care areas where blood flow or perfusion. It is becoming detached. It is also the patients are not monitored visually, suggested mode for care areas where advisable for care areas where such as general wards. It is designed to patients are observed frequently, patients are not visually monitored interpret and display data at the such as Intensive Care Unit (ICU ) measuring site when the signal may be continuously. This mode delivers weak due to decreased perfusion. enhanced protection against When a sensor becomes detached from erroneous pulse rate and arterial a patient, it will have compromised oxygen saturation readings when a protection against erroneous pulse rate sensor becomes inadvertently and arterial saturation readings. detached from a patient due to excessive movement. NOTE: In MAX Sensitivity, if the probe becomes detached, the Radical-7 could be more likely to continue to read signals from ambient light or artifact. This is a known limitation of all pulse oximetry.

Note: Device will revert to APOD after power cycle

LESS SENSITIVE STT-0229B

MORE SENSITIVE Please see operator’s manual for further information © 2010-2011 Masimo Corporation

CO-006911

Perfusion Index and Signal IQ Perfusion index (PI) is an assessment of the pulse strength at the monitoring site Signal IQ is used to indicate confidence level in the measurement

Perfusion Index

Signal IQ STT-0229B

Please see operator’s manual for further information © 2010-2011 Masimo Corporation

CO-006911

Perfusion Index >What is PI?
Assessment of the pulse strength at the monitoring site
Numerical value between 0.02% and 20%
Lower values indicate lower perfusion
Number that varies between monitoring sites and from patient to patient, as physiologic conditions vary

>How do I use PI?
During sensor placement, use to quickly evaluate site with best PI
Monitor the trend of the PI for changes in physiologic conditions STT-0229B

Please see operator’s manual for further information © 2010-2011 Masimo Corporation

CO-006911