Riester RVS-100 Manual Del Usuario página 55

5.1.8 Manometer Test
When the NIBP value measured is inaccurate, you can select [SET-
TINGS] > [ADVANCED] input password > [Factory], after enter
the correct password to go to [Factory] to select the following tests:
Manometer test , air leakage test ,over press test, NIBP Calibration.
After the selection, you can actually conduct these tests.
Note: Only qualified clinical professionals or specified
personnel of the manufacturer can perform the above
operation.
5.2 SpO2 measurement
5.2.1 Introduction
The measurement of oxygen saturation of arterial blood (also
known as pulse oxygen saturation, or SpO2) adopts the principles
of light spectra and volume tracing. The LED emits lights with two
specific wavelengths, which are selectively absorbed by oxygenated
hemoglobin and deoxyhemoglobin. The optical receptor measures
the changes in the light intensity after the light passes the capillary
network and estimates the ratio of oxygenated hemoglobin and the
total hemoglobin.
Wavelengths of the light emitted by the pulse oximeter probe are
nominally 660nm for red LED and 940nm for infrared LED.
5.2.2 Safety Information
Warnings:
• Only use SpO2 sensors specified in this manual. Follow
the SpO2 sensor's instructions for use and adhere to all
warnings and cautions.
• When using Covidien Nellcor SpO2 sensors/cables, please
use the enclosed Covidien Nellcor SpO2 sensors/cables
instruction manuals.
• When a trend toward patient deoxygenation is indicated,
blood samples should be analyzed by a laboratory co-oxi-
meter to completely understand the patient's conditions.
• Do not use the monitor and the SpO2 sensor during ma-
gnetic resonance imaging (MRI). Induced current could
cause burns.
• Prolonged continuous monitoring may increase the risk of
unexpected changes in skin characteristics, such as irri-
tation, reddening, blistering or burns. Inspect the sensor
site every two hours and move the sensor if the skin quality
changes. For neonates, or patients with poor peripheral
blood circulation or sensitive skin, inspect the sensor site
more frequently.
• Check the SpO2 sensor and its package for any sign of da-
mage before use. Do not use the sensor if any damage is
detected. Contact the manufacturer.
• Use only SpO2 sensors and extension cables approved
for use with this monitor. Do not use damaged sensors or
cables. Incompatible or damaged sensors or cables could
pose patient burn risk.
• Do not soak the sensor in water. Avoid contact with
moisture to prevent damage.
• When disposing of any SpO2 probes, please observe all
local, state, and federal regulations that relate to the dis-
posal of this product or similar products.
• 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 ar-
rhythmia analysis.
Caution: If it is necessary to clip the SpO2 device to the
patient, always clip the cable, not the sensor itself. Never
use force to pull the sensor cable.
Note:
• During SpO2 measurement, a pleth wave will show in the
SpO2 display area. This wave does not equal the intensity
of the PR signal.
• The production divergence and drive current of LED influ-
ence the range of the peak wavelength of the emitted light
by the oxygen probe.
• The monitor does not provide an automatic self-examina-
tion alarm signal. An SpO2 simulator can be used to verify
alarm limit functions.
• Functional test cannot be used to assess the accuracy of
the monitor.
• When the displayed SpO2 or pulse rate value is potentially
incorrect, the system will show a "?" in the value position.
5.2.3 SpO2 Monitoring Procedure
1. Selecting SpO2 Sensor: Select a SpO2 sensor that is appropri-
ate for the patient category, weight and application site.
2. Connecting SpO2 Sensor: Plug the SpO2 sensor cable into the SpO2
connector on the device. (See device diagram in Chapter 1.4.)
3. Applying SpO2 Sensor: Clean the application site, remove any
Typically, the sensor should be used on the index, middle or
colored nail polish, and apply the sensor to the patient. Typi-
ring finger. The fingernail should face the side with the red
cally, the sensor should be used on the middle or ring finger
light.
of the non-dominant hand. The fingernail should face the side
with the red light.

Warnings:
Warnings:
Do not use the SpO
•
• Do not use the SpO2 sensor on the same limb being used
limb being used for NIBP measurement. This may
for NIBP measurement. This may result in inaccurate
result in inaccurate SpO
SpO2 reading due to blocked blood flow during cuff infla-
blood flow during cuff inflation.
tion. Do not measureSpO
•
2
polish. This may result in unreliable
• Do not measureSpO2 on a finger painted with nail polish.
measurements.
This may result in unreliable measurements.
When using a finger sensor, make sure the
•
• When using a finger sensor, make sure the fingernail
fingernail faces the red light.
faces the red light.
If "Weak Signal" is indicated, check the patient's
•
• If "Weak Signal" is indicated, check the patient's condition condition and move the probe to another position to
try to obtain a better signal.
and move the probe to another position to try to obtain a
better signal.
5.2.4 SpO2 Display
5.2.4 SpO2 Display
SpO unit
2
%SpO value
2
Pleth waveform
5.2.5 Setting SpO2
Select [SETTING] > [ADVANCED] > [PARAMETERS] >
1.
[SPO2] > [Default response] to choose the response to
5.2.5 Setting SpO2
be[Normal: 16 seconds] or [Fast : 4 seconds]. (Not applica-
1. Select 【SETTINGS】→【ADVANCED】→
ble to Masimo)
【PARAMETERS】 → 【SPO2】 → 【Default response】
2. Select [SETTING] > [ADVANCED] > [PARAMETERS] >
to choose the response to be【Normal: 16 seconds】
[SPO2] > [Sweep speed] to setup the speed to be [6.25mm/s]
or 【Fast : 4 seconds】.
or [25 mm/s].
2. Select 【SETTINGS】→【ADVANCED】→
【PARAMETERS】→【SPO2】→【Sweep speed】
5.2.6 SpO2 Measurement Limitations (Riester and Nellcor SpO2) to setup the speed to be【6.25mm/s】or【25 mm/s】.
If you doubt the SpO2 measurements, check the patient and move
the probe to a different finger. The following factors may influence
the accuracy of measurements:
5.3 PR Measurement
• Exposure to excessive illumination, such as surgical lamps
(especially ones with a xenon light source), bilirubin lamps,
5.3.1 PR display
fluorescent lights, infrared heating lamps or direct sunlight
(exposure to excessive illumination can be corrected by cove-
ring the sensor with a dark or opaque material);
• Electromagnetic interference, such as from an MRI device;
• Excessive patient movement;
• Intravascular dyes such as indocyanine green or methylene
blue;
• Significant levels of dysfunctional hemoglobins (such ascar-
boxyhemoglobin or methemoglobin);
• Incorrect sensor application or use;
5.3.2 Selecting PR Source
Select 【SETTINGS】 → 【ADVANCED】 → 【PARAMETERS】
→【PR】→【Source】：SpO
or NIBP.
2
5.2.6 SpO2 Measurement Limitations
If you doubt the SpO
move the probe to a different finger. The fo
may influence the accuracy of measureme
•
sensor on the same
2
reading due to blocked
2
on a finger painted with nail
•
•
•
•
•
•
•
•
The monitor can be used during defibrillati
Upper alarm
readings may be inaccurate for a short tim
limit
5.2.7 Masimo Information
Masimo Patents:
Lower alarm limit
This device is covered under one or more
U.S.A. patents: 5,758,644, 5,823,950, 6,01
6,263,222, 6,501,975 and other applicable
www.masimo.com/patents.htm
No Implied License：
Possession or purchase of this device doe
express or implied license to use the devic
unauthorized sensors or cables which wou
combination with this device, fall within the
more of the patents relating to this device.
5.2.8 Nellcor Information
This is the trademark of Covidien plc.
5.4 Temperature Measurement
5.4.1 Introduction
This monitor is equipped with fast tempera
capability. Fast temperature measurement
pre-heating mode to reach the patient's bo
rapidly. It then converts the temperature int
which are processed by the monitor and qu
measurements.
5.4.2 Temperature Monitoring Procedure
1. Select the appropriate measurement site
between Oral
2. Select the measurement mode. Choose
, Cold, or Monitor
only Quick or Cold modes are available. Fo
site measurement, all three modes are ava
12
measurements, chec
2
Exposure to excessive illuminati
surgical lamps (especially ones
source), bilirubin lamps, fluoresc
heating lamps or direct sunlight
excessive illumination can be co
covering the sensor with a dark
material);
Electromagnetic interference, su
device;
Excessive patient movement;
Intravascular dyes such as indoc
methylene blue;
Significant levels of dysfunctiona
(such ascarboxyhemoglobin or m
Incorrect sensor application or u
Placement of a sensor on an ext
pressure cuff, arterial catheter or
Low perfusion;
Electrosurgical units.
, Axillary or Rectal
. For Oral site
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