Radical-7 Operator's Manual
The Radical-7 operating instructions provide the necessary information for proper operation of all models of the Radical-7 Pulse CO-Oximeter system. There may be information provided in this manual that is not relevant for your system. General knowledge of pulse oximetry and an understanding of the features and functions of the Radical-7 are prerequisites for its proper use. Do not operate the Radical-7 without completely reading and understanding the instructions in this manual.
Contents About this Manual ----------------------------------------------------------------------------------------------- 7 Product Description, Indications for Use, Contraindications, and Features ------------------------9 Product Description -----------------------------------------------------------------------------------------9 Indications for Use ---------------------------------------------------------------------------------------- 10 Contraindications ----------------------------------------------
Radical-7 Contents Using Screenlock ------------------------------------------------------------------------------------------- 46 Using the Home Button ---------------------------------------------------------------------------------- 46 Navigating the Radical-7 --------------------------------------------------------------------------------- 47 About the Display View ----------------------------------------------------------------------------------- 48 Accessing the Main Menu ---------------------------
Radical-7 Contents Display Indicators----------------------------------------------------------------------------------------- 116 Compliance------------------------------------------------------------------------------------------------- 117 Output Interface ------------------------------------------------------------------------------------------ 118 Wireless Radio (If Installed)---------------------------------------------------------------------------- 118 Serial Interface Specifications -------------
About this Manual This manual explains how to set up and use the Radical-7 Pulse CO-Oximeter. Important safety information relating to general use of the Radical-7 appears in this manual. 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 (for example, injury, serious adverse affect, death) to the patient or user.
Product Description, Indications for Use, Contraindications, and Features The following chapter contains the Radical-7 product description, key features and benefits, indications for use, contraindications, and safety information, including cautions, warnings, and notes.
Radical-7 Product Description, Indications for Use, Contraindications, and Features Signal IQ waveform for signal identification and quality indication during excessive motion and low signal to noise situations. FastSat tracks rapid changes in arterial O2. Variable pitch provides tonal variance for every 1% change in saturation.
Safety Information, Warnings, and Cautions The following section lists warnings, caution, notes, and safety information. The Radical-7 is designed to minimize the possibility of hazards from errors in the software program by following sound Engineering Design Processes, Risk Analysis and Software Validation. The Radical-7 is to be operated by qualified personnel only. The manual, accessories, directions for use, all precautionary information, and specifications should be read before use.
Radical-7 Safety Information, Warnings, and Cautions Caution Do not use In Vivo Adjustment if the monitor displays a Low SpHb SIQ message. Caution If the Low Perfusion message is frequently displayed, find a better perfused monitoring site. In the interim, assess the patient and, if indicated, verify oxygenation status through other means. Caution Changing the SpHb Cal, the date and time of the system clock, or the trend period clears the data in the trend memory.
Radical-7 Safety Information, Warnings, and Cautions Note: Inaccurate SpO2 readings may be caused by: Elevated levels of COHb and MetHb For increased COHb: COHb levels above normal tend to increase the level of SpO2. The level of increase is approximately equal to the amount of COHb that is present. Note: 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.
Radical-7 Safety Information, Warnings, and Cautions Note: Inaccurate SpHb and SpOC readings may be caused by: Intravascular dyes such as indocyanine green or methylene blue Externally applied coloring and texture such as nail polish, acrylic nails, glitter, etc.
Radical-7 Safety Information, Warnings, and Cautions Note: Inaccurate SpHb readings may be caused by: Intravascular dyes such as indocyanine green or methylene blue Externally applied coloring and texture such as nail polish, acrylic nails, glitter, etc.
Radical-7 Safety Information, Warnings, and Cautions Warning Explosion hazard: Do not use the Radical-7 in the presence of flammable anesthetics or other flammable substance in combination with air, oxygen-enriched environments, or nitrous oxide. Warning Do not use the Radical-7 or sensor during magnetic resonance imaging (MRI) scanning. Warning Do not use the Radical-7 during electrocautery. Warning Do not use the Radical-7 or sensor during defibrillation.
Radical-7 Safety Information, Warnings, and Cautions Note: If the Radical-7 fails any part of the setup procedures or leakage spot check, remove the instrument from operation until qualified service personnel have corrected the situation. Note: A functional tester cannot be used to assess the accuracy of the Radical-7. Note: Do not autoclave, pressure sterilize, or gas sterilize the Radical-7.
Radical-7 Safety Information, Warnings, and Cautions 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.
Radical-7 Safety Information, Warnings, and Cautions Caution Electric shock hazard: Do not open the Radical-7 cover except to replace the battery or batteries. Caution To protect against injury from electric shock, follow the directions below: Avoid placing the device on surfaces with visible liquid spills. Do not soak or immerse the device in liquids. Use cleaning solutions sparingly.
Radical-7 Safety Information, Warnings, and Cautions Note: Use the power cord as the means to disconnect the instrument from the main power supply. Note: If the Radical-7 Handheld has not been used or charged within seven (7) days or more, then recharge the battery prior to use. Note: The instrument must be configured to match your local power line frequency to allow for the cancelation of noise introduced by fluorescent lights and other sources.
Radical-7 Safety Information, Warnings, and Cautions Caution Do not place the Radical-7 against a surface that may cause the alarm to be muffled. Caution To ensure that alarm limits are appropriate for the patient being monitored, check the limits each time the Radical-7 is used. Caution The Nurse Call feature is disabled when the Audible Alarms are silenced and Nurse Call setting is set to Alarms. Caution Alarms are disabled in Sleep Mode.
Radical-7 Safety Information, Warnings, and Cautions Warning Always remove the sensor from the patient and completely disconnect the patient from the Radical-7 before bathing the patient. Caution If using the Radical-7 during full body irradiation, keep the sensor out of the radiation field. If the sensor is exposed to the radiation, the reading might be inaccurate or the instrument might read zero for the duration of the active irradiation period.
Chapter 1: Technology Overview The following chapter contains general descriptions about parameters, measurements, and the technology used by Masimo products. Signal Extraction Technology (SET) Masimo Signal Extraction Technology's signal processing differs from that of conventional pulse oximeters. Conventional pulse oximeters assume that arterial blood is the only blood moving (pulsating) in the measurement site.
Radical-7 Chapter 1: Technology Overview Masimo SET DST This figure is for conceptual purposes only. General Description for Oxygen Saturation (SpO2) Pulse CO-Oximetry is a continuous and noninvasive method of measuring the level of arterial oxygen saturation in blood. The measurement is taken by placing a sensor on a patient, usually on the fingertip for adults and the hand or foot for neonates. The sensor is connected to the Pulse CO-Oximetry instrument with a patient cable.
Radical-7 Chapter 1: Technology Overview Functional Oxygen Saturation The Radical-7 is calibrated to measure and display functional oxygen saturation (SpO2): the amount of oxyhemoglobin expressed as a percentage of the hemoglobin that is available to transport oxygen. Note that carboxyhemoglobin is not capable of transporting oxygen, but is recognized as oxygenated hemoglobin by conventional pulse oximetry.
Radical-7 Chapter 1: Technology Overview rainbow Pulse CO-Oximetry Technology rainbow Pulse CO-Oximetry technology is governed by the following principles: 1. 2. Oxyhemoglobin (oxygenated blood), deoxyhemoglobin (non-oxygenated blood), carboxyhemoglobin (blood with carbon monoxide content), methemoglobin (blood with oxidized hemoglobin) and blood plasma constituents differ in their absorption of visible and infrared light (using spectrophotometry).
Radical-7 Chapter 1: Technology Overview The Radical-7 uses a multi-wavelength sensor to distinguish between oxygenated blood, deoxygenated blood, blood with carbon monoxide, oxidized blood and blood plasma. The Radical-7 utilizes a sensor with various light-emitting diodes (LEDs) that pass light through the site to a diode (detector).
Radical-7 Chapter 1: Technology Overview vary with the rapid administration of fluids and in procedures such as dialysis. Additionally, drawn whole blood testing can be affected by sample handling methods and time elapsed between blood draw and sample testing. Measurements with Low Signal IQ should not be compared to laboratory measurements.
Radical-7 Chapter 1: Technology Overview General Description for SpOC The above approximations result in the following reduced equation for oxygen content via the Pulse CO-Oximeter: SpOC (ml/dL*) = 1.31 (ml O2/g Hb) x SpHb (g/dL) x SpO2 + 0.3 ml/dL *When ml O2/g Hb is multiplied by g/dL of SpHb, the gram unit in the denominator of ml/g cancels the gram unit in the numerator of g/dL resulting in ml/dL (ml of oxygen in one dL of blood) as the unit of measure for SpOC.
Radical-7 Chapter 1: Technology Overview Successful Monitoring for SpMet A stable SpMet reading is associated with correct sensor placement, small physiological changes during the measurement and acceptable levels of arterial perfusion in the patient’s fingertip (measurement site). Physiological changes at the measurement site are mainly caused by fluctuations in the oxygen saturation, blood concentration and perfusion. See Safety Information, Warnings, and Cautions on page 11.
Radical-7 Chapter 1: Technology Overview Patient The generation of respiratory sounds is primarily related to turbulent respiratory airflow in upper airways. Sound pressure waves within the airway gas and airway wall motion contribute to the vibrations that reach the body surface and are recorded as respiratory sounds.
Radical-7 Chapter 1: Technology Overview Signal Processing The digital signal produced by the acquisition system is converted into a measurement that corresponds to the respiratory parameter of interest. As shown in the previous figure, this can be performed by, for example, determining the digital signal envelope or outline which in turn may be utilized to determine the respiratory rate.
Chapter 2: Radical-7 Descriptions The following chapter contains the Radical-7 descriptions, including descriptions of the Handheld monitor , the Standalone monitor, and the optional SatShare monitor interface. General System Description The Radical-7 system includes the following: 1. 2. 3. Instrument Patient Cable Sensor www.masimo.
Radical-7 Chapter 2: Radical-7 Descriptions Functionality of the Radical-7 The Radical-7 provides the functionality of three instruments in one: Handheld Pulse CO-Oximeter The Radical-7 is a fully featured Handheld. The Handheld contains the majority of the device features. All measurements and instrument status datum are displayed on the touchscreen. All user input is performed through the touchscreen and control buttons. The sensor cable connector is located on the Handheld.
Radical-7 Chapter 2: Radical-7 Descriptions Handheld All user input and displays are controlled by this component. The patient cable connects into the connector on the Handheld instrument. The Handheld is battery powered and can be used either as a transport monitor or as a Handheld Pulse CO-Oximeter for spot checks. Handheld Front Panel The following figure numbers and corresponding table describes the hardware features of the Radical-7.
Radical-7 Chapter 2: Radical-7 Descriptions Handheld Back Panel The Handheld back panel features the interconnection to the Docking Station, an accessory mount for the pole clamp accessory and access to the Handheld battery pack. Item Description 1 The Radical-7 Handheld interfaces with the Docking Station through this connector. 2 The optional Pole Clamp accessory attaches to this holder. See the Directions for Use of the Pole Clamp accessory for attachment instructions.
Radical-7 Chapter 2: Radical-7 Descriptions Standalone When the Radical-7 Handheld is placed into the Docking Station, they become a full-featured standalone system. In this manual, when the Handheld and the Docking Station are connected, they are referred to Standalone. The Standalone acts as a battery charger for the Handheld and has AC power connection capabilities. If the AC power from the wall outlet is temporarily interrupted, then the battery in the Handheld will allow continuous operation.
Radical-7 Chapter 2: Radical-7 Descriptions Standalone Front Panel The following figure and corresponding text review the features of the Radical-7 Standalone. Note that when the Standalone is turned on, all indicator LEDs initially turn on and off at start up. Item Description 1 Docking Station The Docking Station Battery Charging Battery Charging indicator is illuminated when the Indicator Docking Station battery is charging. The indicator blinks just prior to charging.
Radical-7 Chapter 2: Radical-7 Descriptions Standalone Back Panel The following figure and corresponding text review the features of the Radical-7 Standalone. Item Connector Description 1 Serial Output connector Use the Serial Output connector with a ferrite bead installed to connect a serial instrument, including a serial printer, a monitoring system or PC to the Radical-7. The data is provided in standard RS-232C format.
Radical-7 Chapter 2: Radical-7 Descriptions Item Connector Description 4 Power Entry module The Power Entry module contains the input connector for AC power and two fuses. The AC input provides power to the system from the AC line. Always connect the Radical-7 to the mains power for continuous operation and/ or battery recharging. Note: Use the power cord as the means to disconnect the instrument from the mains power supply.
Chapter 3: Setup The following chapter contains information about setting up the Radical-7 before use. Unpacking and Inspection To unpack and inspect the device 1. 2. 3. Remove the instrument from the shipping carton and examine it for signs of shipping damage. Check all materials against the packing list. Save all packing materials, invoice and bill of lading. These may be required to process a claim with the carrier. If anything is missing or damaged, contact the Technical Service Department.
Radical-7 Chapter 3: Setup Setting Up the Docking Station Place the Docking Station on a stable hard flat surface near the patient. Always place the Radical-7 on a dry surface. Maintain a minimum of 3 cm (1 inch) free space around the Radical-7. Make sure that the Radical-7 speaker is not covered to avoid a muffled alarm sound.
Radical-7 4. 5. Chapter 3: Setup The SpO2 and pulse rate values appear on the VueLink compatible monitor. In order for the plethysmographic waveform to be displayed on the VueLink compatible monitor, and for the VueLink monitor to convey alarm conditions measured by the Radical-7, the VueLink compatible monitor must be properly configured. See instructions for use provided with the VueLink compatible monitor and the VueLink module.
Radical-7 Chapter 3: Setup Setting Up and Using SatShare Parameter values from the Radical-7 can be displayed on a multi-parameter monitor through the SatShare feature. The SatShare feature provides an ideal, simulated plethysmographic waveform that corresponds to the parameter values determined the by Radical-7. This waveform may be used to display these values on multi-parameter monitors through the multi-parameter oximetry sensor or input connector.
Chapter 4: Operation The following chapter contains information about using the Radical-7. Using the Touchscreen and Buttons 1. 2. 3. 4. 5. www.masimo.com 45 Display View To access other screens, tap a value on the Display View. See About the Display View on page 48. Profiles button To the access the Profiles screen, press Profiles. See Chapter 5: Configurations on page 89. Alarm Silence button To temporarily silence audible alarms, press Alarm Silence. See Silencing the Alarms on page 95.
Radical-7 Chapter 4: Operation Using Screenlock When turned on, the Screenlock feature may prevent accidental interaction with Display View. Using the Screenlock feature 1. 2. 3. When turned on, any interaction with the Display View triggers the Screenlock feature. To bypass Screenlock when it appears, press and hold the Lock icon until it unlocks. To turn on or turn off Screenlock, see Access Control on page 77. Using the Home Button One option to return to Display View is by using the Home button.
Radical-7 Chapter 4: Operation Navigating the Radical-7 Navigate the Radical-7 screens via the Display View or the Main Menu. Display View The following is the primary interactive screen that the user views. To access the Main Menu screen Tap the gear icon at the lower right corner of the display. Main Menu The following is the Main Menu screen where users can access additional screens and information. Users can swipe the screen or tap the arrow icon to return to the Display View.
Radical-7 Chapter 4: Operation About the Display View The Display View consists of different areas: Status Bar See About the Status Bar on page 49. Parameter Display See Changing the Size of Parameter Values on page 51. Trend Field See Waveform and Trend Views on page 52. www.masimo.
Radical-7 Chapter 4: Operation Small Parameter View. The gear icon on the right of the Small Parameter View is one way to access the Main Menu. See Accessing the Main Menu on page 55. About the Status Bar The Status Bar is visible on the top portion of the Display View. Status Bar Access additional screens, more information, or toggle features by tapping directly on any of the following indicators in the Status Bar. Sensitivity Modes. See Overview of Sensitivity Modes on page 50.
Radical-7 Chapter 4: Operation Overview of Sensitivity Modes Three sensitivity levels enable a clinician to tailor the response of the Radical-7 to the needs of the particular patient situation. Access the menu by tapping on the indicator in the upper left corner of the Display View. The sensitivity levels are as follows: Normal Sensitivity This is the recommended mode for patients that are experiencing some compromise in blood flow or perfusion.
Radical-7 Chapter 4: Operation Changing the Size of Parameter Values To change the size of parameter values on the Display View 1. 2. 3. 4. 5. On the Small Parameter view, press and hold any one of the active parameters (shown above). When the parameter value dims, shakes, and grows in size, drag and drop that parameter onto the center of the screen. The parameter value appears on the screen in a larger format.
Radical-7 Chapter 4: Operation To access trend, waveform, or customize the views on the Display View screen 1. 2. Tap the Trend Field. The following screen appears. 3. 4. 5. Swipe up or swipe down the available options. Tap on the desired option. The Trend Field displays trend data specific to the selected option. Waveform and Trend Views The following section contain information about trends and waveforms available from the Trend Field on the Display View screen.
Radical-7 Chapter 4: Operation Pleth + Siq IQ + Acoustics View Shows the parameter values on the top of the screen. The waveform is located below the parameter values. The Small Parameter view is located along the bottom of the screen. This view contains the Pleth Waveform with signal quality indications superimposed on top of the acoustic waveform. Signal Quality (Sig IQ) Indicators The signal quality, on each individual pulsation, is conveyed by vertical bars, as shown below.
Radical-7 Chapter 4: Operation Pleth + Sig IQ View Shows the parameter values on the top of the screen. The waveform is located below the parameter values. The Small Parameter view is located along the bottom of the screen. This view contains the Pleth Waveform with signal quality indications only. RRa Waveform View Shows the parameter values on the top of the screen. The RRa waveform is located below the parameter values. The Small Parameter view is located along the bottom of the screen.
Radical-7 Chapter 4: Operation Parameter Quick Trend View This view displays the quick trend of the selected parameter over an adjustable period of time. The default is 1 hour. Expand the quick trend to the full trend view by tapping the expand icon of the waveform display. Using two fingers, the user can expand and zoom the information that is inside this Trend Field.
Radical-7 Chapter 4: Operation Navigating the Main Menu From the Main Menu screen, tap the icons for any of the following screens: Device Settings See Device Settings on page 74. Parameter Settings See Parameter Settings on page 58. Profiles See Changing Profiles Settings on page 90. 3D Alarms See 3D Alarms on page 98. www.masimo.
Radical-7 Chapter 4: Operation Trends See Trends on page 81 and Trend Field on page 51. Sound See Sounds on page 73. About See About on page 87. www.masimo.
Radical-7 Chapter 4: Operation Parameter Settings The following is an example of the Parameter Settings screen. Only parameters that have been loaded onto your system will be visible. To access any of the available parameter setting screens 1. 2. From the Parameter Settings screen, to access your desired parameter, flick the on-screen icons left or right. Tap the icon of your desired parameter. For details, see any of the following sections. SpO2 Settings on page 61. RRa Settings on page 66.
Radical-7 Chapter 4: Operation Accessing Parameter Information Additional information about each parameter is available. To access additional information about parameters 1. From the parameter settings screen, tap the About icon. The following is an example for SpHb. 2. An About screen appears for the selected parameter. www.masimo.
Radical-7 Chapter 4: Operation Overview of In Vivo Adjustment The In Vivo Adjustment feature lets clinicians manually adjust one or more clinical parameters to match that of a corresponding laboratory reference for continuous trending. To remind clinicians that the feature is active, an offset value displays alongside the adjusted parameter value.
Radical-7 Chapter 4: Operation SpO2 Settings Access any of the following options: Alarms for SpO2. Additional Settings for SpO2 on page 62. Accessing Parameter Information on page 59. Alarms for SpO2 From the Alarms screen, change any of the following options: Factory Default Settings Options Description High Limit High Limit is the upper threshold that triggers an alarm. Off Low Limit Low Limit is the lower threshold that triggers an alarm.
Radical-7 Chapter 4: Operation Additional Settings for SpO2 From the Additional Settings screen, you change any of the following options: Options Description Averaging Time The length of time over which the system calculates the average of all data points. FastSat Factory Default Settings User Configurable Settings 8 seconds 2-4, 4-6, 8, 10, 12, 14, or 16 seconds See Overview of FastSat on page Off 62.
Radical-7 Chapter 4: Operation SpHb Alarms From the Alarms screen, change any of the following options: Options Description Factory Default Settings User Configurable Settings High Limit The High Limit is upper threshold that triggers an alarm. 17.0 g/dL 2.0 g/dL to 24.5 g/dL in steps of 0.1 g/dL, or Off (11.0 mmol/L) (2.0 mmol/L to 15.0 mmol/L in steps of 0.1 mmol/L, or Off) When SpHb Precision is set to 1.0, the values are rounded down. When set to Off, alarms are disabled.
Radical-7 Chapter 4: Operation Precision Allows the user to set the decimal for SpHb. 0.1 0.1, 0.5, or 1.0 (whole numbers) Unit of Measure Displays total hemoglobin (SpHb) as g/dL (grams per deciliter) or mmol/L (milimoles per liter).
Radical-7 Chapter 4: Operation Perfusion Index (PI) Settings From the PI Settings screen, access any of the following screens: PI Alarms on page 65. Additional Settings for PI on page 65. Accessing Parameter Information on page 59. PI Alarms From the Alarms screen, change any of the following options: Options Description Factory Default Settings User Configurable Settings High Limit The High Limit is upper threshold that triggers an alarm. Off Step Size: 0.04 to 0.09 in steps of 0.01 0.10 to 0.
Radical-7 Chapter 4: Operation RRa Settings From the RRa Settings screen, access any of the following screens: RRa Alarms on page 66. Additional Settings for RRa on page 67. Accessing Parameter Information on page 59. RRa Alarms From the Alarms screen, change any of the following options: Factory Default Settings Options Description High Limit The High Limit is upper 30 breaths threshold that triggers per minute an alarm. Low Limit The Low Limit is lower threshold that triggers an alarm.
Radical-7 Chapter 4: Operation Additional Settings for RRa From the Additional Settings screen, change any of the following options: Factory Default Settings Options Description Averaging Time Slow The length of time over which the system calculates the average of all data points. Freshness The duration of time that, during interference, the system displays the last valid reading.
Radical-7 Chapter 4: Operation Overview of RRp Respiration rate can be determined by the plethysmographic waveform (RRp) using a SpO2 sensor. Respiration rate monitoring, derived from the plethysmographic waveform, measures a patient's respiratory rate based on amplitude changes that correspond to the respiratory cycle.
Radical-7 Chapter 4: Operation Additional Settings for RRp From the Additional Settings screen, change any of the following options: Factory Default Settings Options Description Averaging Slow The length of time over which the system calculates the average of all data points. Freshness The duration of time that, during interference, the system displays the last valid reading.
Radical-7 Chapter 4: Operation Additional Settings for PVI From the Additional Settings screen, change any of the following options: Factory Default Settings Options Description Averaging Time Long The length of time over which the system calculates the average of all data points. User Configurable Settings Short or Long SpCO Settings From the SpCO Settings screen, you can access the following screens: SpCO Alarms on page 70. Accessing Parameter Information on page 59.
Radical-7 Chapter 4: Operation In Vivo for SpCO From the In Vivo screen, access the following screens: Options Description Factory Default Settings User Configurable Settings Enabled See Overview of In Vivo Adjustment on page 60. No Yes, No 0 Yes, No Offset Amount See Overview of In Vivo Adjustment on page 60. ± 9% in steps of ± 1% SpMet Settings From the SpMet Settings screen, access the following screens: SpMet Alarms on page 71. Accessing Parameter Information on page 59.
Radical-7 Chapter 4: Operation In Vivo for SpMet From the In Vivo screen, access the following screens: Options Description Factory Default Settings User Configurable Settings Enabled Match the corresponding laboratory reference for continuous trending. No Yes or No Offset Amount Helps offset individual --patient bias that is expected when comparing a noninvasive measurement to a laboratory reference. ±3.0% in steps of ± 0.
Radical-7 Chapter 4: Operation Sounds From the Sounds screen, change any of the following options: Description Factory Default Settings User Configurable Settings Alarm Volume Sets the alarm volume and provides a sample of the alarm volume. Level 4 Level 1 to 4 Options Pulse Tone Volume Sets the volume of the tone Level 3 that conveys the pulse rate. Silence Duration Length of time that the audible alarm remains muted. www.masimo.
Radical-7 Chapter 4: Operation Device Settings The following is an example of the Device Settings screen From the Device Settings screen, you access any of the following options: Screen Orientation on page 75. Localization on page 75. WiFi on page 76. Battery on page 77. Brightness on page 77. Parameter Layout. Access Control on page 77. Device Output on page 79. www.masimo.
Radical-7 Chapter 4: Operation Screen Orientation From the Screen Orientation screen, change any of the following options: Options Description Factory Default User Configurable Settings Settings Auto Orientation Allows the device to On automatically adjust the Display screens depending on orientation. Off or On Orientation Landscape: rotates the screen to horizontal viewing position Rotates the viewing screens depending on device orientation.
Radical-7 Chapter 4: Operation Time Zone Setting based on Coordinated Universal Time (UTC). A (UTC+1hr) Choose your local time zone settings. Date Format Set the format of the date display on the Display View. MM/DD/YYYY MM/DD/YYYY Time Format Set the format of the time display as it will be shown on the Display View. 12 hour Line Frequency Set to match regional power 60 Hz line frequency to allow for cancelation of noise introduced by fluorescent lights and other sources.
Radical-7 Chapter 4: Operation Battery From the Battery screen, view the following information: Battery icon that conveys remaining battery charge as a green color. Battery icon that conveys that battery charging status. See About the Status Bar on page 49. Battery time remaining conveyed as a percent value. See Battery Operation and Maintenance on page 127.
Radical-7 Chapter 4: Operation Using the Password screen 1. On the Password screen, enter the following numbers: 2. 6274 Tap Enter. 3. To undo numbers, tap Backspace. Access Control Screen From the Access Control screen, change any of the following options: Options Description Factory Default Settings User Configurable Settings All Mute All patient alarm conditions are silenced. Only system alarms will be indicated by an audible alarm.
Radical-7 Chapter 4: Operation Save as Adult Saves pre-configured profiles for adult patients. N/A Press Save to load all device configuration settings to adult profile. Save as Neo Saves pre-configured profiles for neonatal patients N/A Press Save to load all device configuration settings to neonatal profile. Factory Defaults Options are restored to factory values. N/A Press Restore to return to factory default values.
Radical-7 Nurse Call Polarity Chapter 4: Operation Normal Can be inverted to accommodate various nurse call station requirements. www.masimo.
Radical-7 Chapter 4: Operation Trends The following sections describe Trend Views and how to adjust trend settings. About Trend Views There are different ways to view trend information. The following is an example of trend information for SpO2 as it appears within the Display View screen. The following is an example of trend information for SpO2 as it appears in the Full Trend screen. www.masimo.
Radical-7 Chapter 4: Operation Changing Between Trend Views To toggle between Display View and Full Trend From the Display View, in the Trend Field, tap the icon as shown below. From the Full Trend screen, tap the icon as shown below. Manipulating Trend Data To manipulate the view of trend data On the Full Trend screen, using two fingers, the user can zoom in or zoom out of the trend time scale. www.masimo.
Radical-7 Chapter 4: Operation The user can add parameters to the trend view by dragging and dropping parameters from the Small Parameter view. To view past patient trend data, swipe the trend display to the left or to the right. www.masimo.
Radical-7 Chapter 4: Operation To exit a trend view, press the Home button. www.masimo.
Radical-7 Chapter 4: Operation Changing Trend Settings Change the maximum value and the minimum value of the Y axis for any of the available parameters. To adjust the trend settings for any of the available parameters 1. From the Main Menu screen, tap the Trends icon. 2. From the Trends screen, tap any of the available parameters. 3. From the Parameter Trends screen, tap the slider for the Y-axis maximum or the Y-axis minimum.The following is an example of the SpO2 Trend screen. www.masimo.
Radical-7 Chapter 4: Operation 4. Select the desired setting by scrolling up or down. 5. When finished, select OK. The following example shows the Y axis range for SpO2. www.masimo.
Radical-7 Chapter 4: Operation About From the About screen, access any of the following options: Options Description Serial Number Displays the serial number of the Handheld. MCU Displays the version number of the instrument board software. MX Board Displays the version number of the technology level software. Processor Displays the version number of the system level software. Docking Station If docked, displays the current software version of the Docking Station. www.masimo.
Chapter 5: Configurations The Radical-7 can be configured for various patient populations. About Profiles and Default Settings The Radical-7 contains a Profiles feature. Profiles are custom settings for different patient populations. These settings can be changed and the Radical-7 remembers the preferred settings after a power cycle. The default settings are settings that are pre-loaded as the device is initially powered on. There are different ways to access the Profiles settings.
Radical-7 Chapter 5: Configurations A third way, from the Main Menu screen, is by tapping the Profiles icon. The Radical-7 stores three types of Profiles: Custom (Default) Any changes to Alarm settings are retained after a power cycle. Adult Any changes to Alarm settings are reset to pre-defined settings. The Adult profile is the default profile after a power cycle. Neonatal Any changes to Alarm settings are reset to pre-defined Neonatal defaults after a power cycle.
Radical-7 Chapter 5: Configurations Silence Duration 120 The amount of time for which the audible part of an alarm will be silenced. Smart Tone Allows the audible pulse to continue to beep when the pleth graph shows signs of motion. www.masimo.
Radical-7 Chapter 5: Configurations About Patient Types The Patient Type option defines the patient population for which the device will operate. As a safety measure, one of the ways the Radical-7 conveys the active patient type is by changing the color of the Profiles button. The following lists three examples of patient types and their respective colors. Patient Type Example of Profile button Adult (blue) Neonatal (purple) Custom (colors vary depending on the selected custom setting) www.masimo.
Radical-7 Chapter 5: Configurations Powering Off the Radical-7 When turning off the Radical-7, the device remembers the preferred settings. To turn off the Radical-7 1. Press and hold the button for more than 2 seconds. 2. To confirm the shutdown process, the following screen appears. www.masimo.
Chapter 6: Alarms and Messages The following chapter contains information about alarms and messages. For more information, see Chapter 7: Troubleshooting on page 107. About Alarms The Radical-7 visually and audibly indicates alarm conditions that the system detects. Audible alarms may be silenced, without affecting the operation of visual alarms. See Safety Information, Warnings, and Cautions on page 11 and Alarm Related Safety Information, Warnings, and Cautions on page 20.
Radical-7 Chapter 6: Alarms and Messages The following is an example of a typical alarm. To silence or dismiss alarms: Tap Silence (the highlighted area of the Status Bar). Audible alarms can be temporarily suspended. With the exception of Sleep mode, there are two audible alarm suspension settings, all controlled by the Alarm Silence button. Repeated pressing of the Alarm Suspend button will cycle through two alarm suspend options.
Radical-7 Chapter 6: Alarms and Messages Adaptive Threshold Alarm (ATA) Feature The Adaptive Threshold Alarm (ATA) feature is an optional feature that provides continuous SpO2 surveillance while allowing the clinician a useful tool to help reduce the frequency of audible alarms. ATA establishes the alarm limit threshold based upon the patient-specific baseline value of the SpO2 parameter which is determined from the recent history of SpO2 values.
Radical-7 Chapter 6: Alarms and Messages 3D Alarms 3D Alarms include the Desat Index Alarm and the PI Delta Alarm. Overview of Desat Index Alarm on page 98. Overview of Perfusion Index (PI) Delta Alarm on page 99. Overview of Desat Index Alarm The Desat Index Alarm is a user-selectable feature which allows a clinician to request an audible and visual alarm if a patient experiences a specified number of desaturations over a specific period of time.
Radical-7 Chapter 6: Alarms and Messages Desat Index Alarms From the Alarms screen, change any of the following options: Options Description Factory Default Settings User Configurable Settings Delta See Overview of Desat Index Alarm on page 98. 4% 2% to 10% in steps of 1%. Time See Overview of Desat Index Alarm on page 98. 1 hour 1 to 4 hours, in steps of 1. Off Off, 1 to 24 desaturations in steps of 1. # of Events See Overview of Desat Index Alarm on page 98.
Radical-7 Chapter 6: Alarms and Messages PI Delta Alarms From the Alarms screen, change any of the following options: Options Description Factory Default Settings User Configurable Settings Set Baseline See Overview of Perfusion Index (PI) Delta Alarm on page 99. Off On or Off Baseline See Overview of Perfusion Index (PI) Delta Alarm on page 99. Off, or PI baseline N/A Percent Change See Overview of Perfusion Index (PI) Delta Alarm on page 99.
Radical-7 Chapter 6: Alarms and Messages Replace Cable Message Message: (Pulse Ox) Replace Cable (RAM) Replace Cable The patient cable is non-functional or the life of the cable has expired. Next steps: Replace the patient cable.
Radical-7 Chapter 6: Alarms and Messages No Adhesive Sensor Connected Message Message: (Pulse Ox) No Adhesive Sensor Connected (RAM) No Adhesive Sensor Connected When a single-patient-use sensor is used, the adhesive portion of the sensor is not connected. (Applies to Rainbow ReSposable CO-Oximeter Sensor Systems or ReSposable Pulse CO-Oximeter Sensor Systems only.) Next steps: Ensure the adhesive portion is firmly connected to the sensor.
Radical-7 Chapter 6: Alarms and Messages Low Signal IQ Message Message: (Pulse Ox) Low Signal IQ Low signal quality. Next steps: Ensure proper sensor application. Move sensor to a better perfused site. See Signal Indication and Quality Indicator (SIQ) on page 107. Low SpCO SIQ Message SpCO measurement reading is obscured. Next steps: Ensure proper sensor application. Check sensor to see if it is working properly. If not, replace the sensor. See Successful Monitoring for SpCO on page 29.
Radical-7 Chapter 6: Alarms and Messages No Sensor Connected Message Message: (Pulse Ox) No Sensor Connected (RAM) No Sensor Connected Sensor not fully inserted into the connector. May be an incorrect sensor or a defective sensor or cable. Next steps: Disconnect and reconnect sensor. See the instructions for use provided with your sensor. Instrument is searching for patient’s pulse. Next steps: Disconnect and reconnect the sensor into the Patient Cable connector.
Radical-7 Chapter 6: Alarms and Messages Service Required Message Internal Failure. Instrument requires service. The message fills the entire display. This is a numeric error code. Next steps: Contact Masimo for service, see Chapter 9: Service and Maintenance on page 127. Incompatible Cable Message Message: (Pulse Ox) Incompatible Cable Not a proper cable. Next steps: Replace with a proper cable. www.masimo.
Chapter 7: Troubleshooting The following chapter contains information about troubleshooting the Radical-7 system. Troubleshooting Measurements See Parameter Related Safety Information, Warnings, and Cautions on page 11. Signal Indication and Quality Indicator (SIQ) The Radical-7 Pulse CO-Oximeter display provides a visual indicator of the plethysmogram signal quality and an alert when the displayed SpO2 values are not based on adequate signal quality.
Radical-7 Chapter 7: Troubleshooting Dimly Lit Parameters When the signal quality is very low, the accuracy of measurements may be compromised, the parameter may be dimly lit, and the parameter may display dashes instead of a numeric value.
Radical-7 Chapter 7: Troubleshooting Unexpectedly High SpCO Reading Possible elevated methemoglobin level. Next steps: Submit blood sample for laboratory CO-Oximetry test. See Appendix: Best Practices for Comparisons to Reference Measurements on page 137. Difficulty Obtaining a Reading Low battery/ not plugged into AC power supply. Next steps: Insert Handheld into Docking Station, verify Docking Station power cord plugged in and Docking Station power indicator light is illuminated.
Radical-7 Chapter 7: Troubleshooting Continuous Speaker Tone Internal failure. Next steps: To silence an alarm, press the Alarm Silence button. If alarm continues to sound, turn off the Radical-7. If necessary, remove Handheld battery. Requires service. See Contacting Masimo on page 133. Buttons Do Not Work When Pressed Internal failure. Next steps: Requires service. See Contacting Masimo on page 133. Handheld Battery Does Not Charge AC power cable may be disconnected.
Chapter 8: Specifications The following chapter contains specifications for the Radical-7 Handheld, compatible Docking Stations, and the Standalone system. Performance Measurement Range SpO2 0 to 100% SpMet 0 to 99.9% SpCO 0 to 99% SpHb 0 to 25 g/dL SpOC 0 to 35 ml of O2/dL of blood Pulse Rate 25 to 240 (bpm) Perfusion Index 0.
Radical-7 Chapter 8: Specifications No Motion [2] 70% to 100% Adults, Infants, Pediatrics ± 2% Neonates ± 3% Motion [3] 70% to 100% Adults, Infants, Pediatrics, Neonates ± 3% Low Perfusion [4] Adults, Infants, Pediatrics, Neonates ± 2% Pulse Rate Accuracy Pulse rate range 25 to 240 BPM No Motion Adults, infants, pediatrics, neonates ± 3 BPM Motion [4] Adults, infants, pediatrics, neonates ± 5 BPM Low Perfusion Adults, infants, pediatrics, neonates ± 3 BPM Carboxyhemoglobin Saturation A
Radical-7 Chapter 8: Specifications Respiratory Rate Accuracy (RRa) [11] Adults 40 to 70 ±1 breath per minute Respiratory Rate Accuracy (RRp) [11] Adults 40 to 70 ±1 breath per minute Resolution Parameter Step Size %SpO2 1% %SpCO 1% %SpMet 0.1% SpHb g/dL 0.
Radical-7 Chapter 8: Specifications Time 3 hours Environmental Operating Temperature 41°F to 104°F (5°C to 40°C) Transport/Storage Temperature -40°F to 158°F (-40°C to +70°C) [8] Operating Humidity 5% to 95%, non-condensing Operating Altitude 500 mbar to 1060 mbar -1000 ft to 18,000 ft (-304 m to 5,486 m) Physical Characteristics Dimensions Handheld 8.9” x 3.5” x 2.1” (22.6 cm x 8.9cm x 5.3 cm) Standalone 3.5” x 10.5” x 7.7” (8.9 cm x 26.7 cm x 19.6 cm) Weight Handheld 1.2 lbs. (0.
Radical-7 Chapter 8: Specifications Sensitivity Normal, Maximum, and APOD [10] RRa Averaging 0, 10, 20, 30, 60 seconds Alarms Parameter Alarm Range SpO2 1% to 99% SpCO 1% to 98% SpMet 0.1% to 99.5% SpHb 1.0 g/dL to 24.5 g/dL RRa 4 to 69 breaths per minute PI 0.03% to 19% PVI 1% to 99% Pulse Rate 30 to 235 BPM SpOC 1% to 34% Sensor condition, system failure, and low battery alarms High Priority 571 Hz tone, 5 pulse burst, pulse spacing: 0.250s,0.250s, 0.500s, 0.
Radical-7 Alarm Volume Chapter 8: Specifications High Priority: 70 dB (min) Medium Priority: 70 dB (min) Low Priority: 45 dB (min) Display Indicators Display Update Rate 1 second Response Time <20 second delay Type Backlit Active Matrix TFT LCD Pixels 480 x 272 dots Dot Pitch 0.25 mm www.masimo.
Radical-7 Chapter 8: Specifications Compliance EMC Compliance EN55011: Radiated Emissions (CISPRR 11, 2009 Amendment A1:2010, Class B) EN55011: Conducted Emissions (CISPRR 11, 2009 Amendment A1:2010, Class B) EN301 489-17: Radiated Emissions (EN 301 489-01 V1.8.1:2008, Class B) EN301 489-17: Conducted Emissions (EN 301 489-01 V1.8.
Radical-7 Chapter 8: Specifications Degree of Protection-Patient Cable Type BF-Applied Part Degree of Protection-SatShare Cable Type CF-Applied Part Mode of Operation Continuous Output Interface SatShare (RDS-1). See Serial Interface Specifications on page 118. Serial RS-232 (RDS-1, RDS-3) Nurse Call/Analog Output (RDS-1, RDS-3) VueLink, (Philips, Agilent, HP, Spacelabs Flexport, RadNet, SafetyNet (RDS-1, RDS-3) Wireless Radio (If Installed) Radio Modes 802.
Radical-7 Chapter 8: Specifications user selects a different output mode. To interface with the Radical-7 and receive serial text data, connect a serial interface cable with a ferrite bead installed to the serial output connector located on the back of the Radical-7 Docking Station. The Radical-7 serial interface is only available when the Radical-7 Handheld is properly attached to the Docking Station. Once serial communication is established, packets of data are communicated at 1 second intervals.
Radical-7 Chapter 8: Specifications Pin Signal name 8 No Connection 9 No Connection Analog Output and Nurse Call Specifications Analog Out and Nurse Call are accessible on the same female high-density DB-15 connector. Analog Output and Nurse Call interface are only available when the Handheld is attached to the Docking Station. Only use an Analog and Nurse Call cable that has a ferrite bead installed. Analog Output and Nurse Call interface is not available in all versions of the Docking Station.
Radical-7 Chapter 8: Specifications Pin Signal Name 15 Analog 2 Analog Output The Radical-7 Pulse CO-Oximeter can interface with various analog recording instruments or strip chart recorders through its Analog Output connector located on the back of the Docking Station. The output signals vary from approximately 0 to 1 volt in a linear fashion. The actual analog output voltage generated may not exactly range between 0.0V to 1.0V. A variance of ± 40 mV is acceptable.
Radical-7 Chapter 8: Specifications Symbols The following symbols are found on the Radical-7, Docking Station, or packaging and are defined below. Some of the interfaces and symbols are not available on all versions of the Docking Station. Symbols www.masimo.
Radical-7 Chapter 8: Specifications Mark of conformity to European Medical Instrument Directive 93/42/EEC Caution Federal law restricts this device to sale by or on the order of a physician (USA FDA) Name of Manufacturer Underwriter's Laboratories Inc.
Radical-7 Chapter 8: Specifications San Marino SM France FR Germany DE Ghana GH Greece GR Guatemala GT Honduras HN Hong Kong HK Hungary HU India IN Iraq IQ Israel IL Italy IT Jordan JO Kazakhstan KZ Kenya KE Kuwait KW Laos LA Lebanon LB Libya LY Malta MT Mauritius MU Monaco MC Morocco MA Mozambique MZ Netherlands NL New Caledonia NC Nigeria NG Norway NO Oman OM Palestinian Territory PS Panama PA Papua New Guinea PG Peru PE Philippines PH
Radical-7 Chapter 8: Specifications Citations [1] SpO2, SpCO, and SpMet accuracy was determined by testing on healthy adult volunteers in the range 60% to 100% SpO2, 0% to 40% SpCO, and 0% to 15% SpMet against a laboratory CO-Oximeter. SpO2 and SpMet accuracy was determined on 16 neonatal NICU patients ranging in age from 7 days to 135 days old and weighting between 0.5 kgs and 4.25 kgs. Seventy-nine (79) data samples were collected over a range of 70% to 100% SaO2 and 0.5% to 2.
Radical-7 www.masimo.
Chapter 9: Service and Maintenance The following chapter contains information about cleaning, battery operation, performance verification, service, repair, and warranty. Cleaning Under normal operation, no internal adjustment or recalibration is required. Safety tests and internal adjustments should be done by qualified personnel only. Safety checks should be performed at regular intervals or in accordance with local and governmental regulations. Safety Information, Warnings, and Cautions on page 11.
Radical-7 Chapter 9: Service and Maintenance indicator continuously flashes. When the temperature returns to recommended operating conditions, proper battery charging proceeds. The Handheld battery requires approximately 4 hours for charging. The Docking Station battery requires approximately 6 hours for charging. When both the Handheld Battery Charging indicator and the Docking Station Battery Charging indicator turn off, additional trickle charging may occur to complete charging.
Radical-7 Chapter 9: Service and Maintenance Replacing the Batteries Before installing or removing the battery, make sure the AC power cord is removed and power to the Radical-7 is turned off. To replace the rechargeable Handheld battery 1. 2. 3. 4. 5. Turn off the Radical-7 Handheld off and remove the patient cable connection. If docked, detach the Handheld from the Docking Station. Loosen the closure screw on the battery compartment door and lift out the battery.
Radical-7 Chapter 9: Service and Maintenance Performance Verification Under normal operation, no internal adjustment or recalibration is required. Safety tests and internal adjustments should be done by qualified personnel only. Safety checks should be performed at regular intervals or in accordance with local and governmental regulations. To test the performance of the Radical-7 following repairs or during routine maintenance, follow the procedure outlined in this chapter.
Radical-7 Chapter 9: Service and Maintenance Testing with the optional Masimo SET Tester To conduct a test with the optional Masimo SET Tester 1. 2. 3. Turn off and then turn on the Radical-7. Use the Patient Cable connector on the Radical-7 to connect the Masimo SET Tester to the Radical-7. See the directions for use that were provided with the Masimo SET Tester. Nurse Call Test To conduct a Nurse Call test 1. 2. 3. 4. 5. Disconnect any patient cables, sensors, or accessories from the Radical-7.
Radical-7 Chapter 9: Service and Maintenance Battery Test To conduct a Battery test 1. 2. 3. 4. Fully charge the Radical-7 by placing the Handheld into the Docking Station and then connect the AC power. Verify that the Handheld Battery Charging indicator is illuminated. When the Radical-7 is fully charged, the Handheld Battery Charging indicator turns off. Turn on the Radical-7 on and verify that the Battery indicator shows a full charge.
Radical-7 Chapter 9: Service and Maintenance Contacting Masimo To contact Masimo, refer to the following: USA, Canada, and Asia Pacific Europe: Masimo Corporation 40 Parker Irvine, California 92618 (949) 297-7000 Fax: (949) 297-7001 Masimo International Sàrl Contact your local Masimo Puits-Godet 10 Representative.
Radical-7 Chapter 9: Service and Maintenance liability arising from any product and software (under contract, warranty, tort, strict liability or other claim) exceed the amount paid by purchaser for the products giving rise to such claim. the limitations in this section shall not be deemed to preclude any liability that cannot legally be disclaimed by contract.
Radical-7 Chapter 9: Service and Maintenance “commercial software” and “commercial computer software documentation,” respectively pursuant to DFAR Section 227.7202 FAR 12.212, as applicable. Any use, modification, reproduction, release, performance, display or disclosure of the Software (including the related documentation) by the U.S.
Appendix: Best Practices for Comparisons to Reference Measurements Best Practices Checklist for Continuous SpHb Comparisons 1. 2. Ensure SpHb device is turned on. If applicable, connect to computer with automatic data capture. Sensor site selection: Remove anything from patient's arm that can impede blood flow to the sensor site, such as restrictive garments, accessories, purses, backpacks, watches, jewelry, and blood pressure cuff.
Radical-7 Appendix: Best Practices for Comparisons to Reference Measurements Align upper and lower red lines. If using a reusable sensor, make sure finger tip is inserted all the way and touching the finger stop inside the sensor (allowing long finger nails to extend beyond the finger stop). Ensure cable runs flat over the top of the hand directly in the middle of the finger with no kinks or twists so the cable does not pull on the sensor.
Radical-7 5. Appendix: Best Practices for Comparisons to Reference Measurements Secure sensor cable to patient’s arm with tape. Instruct subjects to remain still without any sensor movement. Connect sensor cable to device without pulling on sensor. Wait until SpHb measurement is stable (one minute) before recording SpHb values. Note any Low SIQ message that displays during measurement. Blood sampling and laboratory analysis: Record site of blood draw.
Radical-7 Appendix: Best Practices for Comparisons to Reference Measurements Best Practices Checklist for SpCO Comparisons 1. 2. 3. Ensure SpCO device is powered on and connected to computer with automatic data capture. After venous blood draw, SpCO testing must be initiated within 30 seconds (COHb can change rapidly).
Radical-7 Appendix: Best Practices for Comparisons to Reference Measurements Ensure cable runs flat over the top of the hand directly in the middle of the finger with no kinks or twists so the cable does not pull on the sensor. Cover sensor with Masimo-provided shielding to avoid light interference. Secure sensor cable to patient’s arm with tape. Instruct subjects to remain still without any sensor movement. Connect sensor cable to device without pulling on sensor.
Radical-7 Appendix: Best Practices for Comparisons to Reference Measurements Best Practices Checklist for Acoustic Respiration Rate Comparisons Acoustic Sensor placement The Acoustic sensor has a small black arrow on the front (see figure below), when placing the sensor the black arrow should point forward to the anterior of subject’s body. Ensure placement site is hair-free, clean of debris, and dry prior to sensor placement. Use an alcohol swab to clean the neck area, if needed.
Radical-7 Appendix: Best Practices for Comparisons to Reference Measurements Pulse-Oximeter Sensor Placement Place finger sensor on middle or ring finger of hand opposite the blood pressure cuff. For reusable sensors, make sure the fingertip just touches the rubber stopper at the end of the sensor without going over it. Ensure sensor is right side up with the cable running in line with finger, not at an angle on dorsal (back side) of hand.
Radical-7 Appendix: Best Practices for Comparisons to Reference Measurements Excessive ambient or environmental noise (patient speaking, room noise) Improper sensor placement Cable disconnection Movement, picking, or air blowing at sensor www.masimo.
Best Practices for Comparisons to Reference Measurements • 108, 109, 137 Index 3 B 3D Alarms • 56, 98 Battery • 49, 74, 77 Battery Operation and Maintenance • 36, 42, 44, 77, 110, 127, 129 Battery Run Time Significantly Reduced • 110 Battery Test • 132 Best Practices Checklist for Acoustic Respiration Rate Comparisons • 142 Best Practices Checklist for Continuous SpHb Comparisons • 137 Best Practices Checklist for SpCO Comparisons • 140 Brightness • 74, 77, 109, 128 Buttons Do Not Work When Pressed • 11
Radical-7 Index General Description for Methemoglobin (SpMet) • 29 General Description for Oxygen Saturation (SpO2) • 24 General Description for Perfusion Index (PI) • 25 General Description for Pleth Variability Index (PVI) • 25 General Description for Pulse Rate (BPM) • 25 General Description for SpOC • 29 General Description for Total Arterial Oxygen Content (CaO2) • 28 General Description for Total Hemoglobin (SpHb) • 28 General System Description • 33 Specifications • 111 Chapter 9 Service and Maint
Radical-7 Index K Key Features • 9 Overview of RRp • 68 Overview of Sensitivity Modes • 49, 50, 90 L P Localization • 49, 74, 75, 109 Low Battery Message • 102 Low Perfusion • 102, 108 Low Perfusion Index Message • 102 Low Signal IQ Message • 103 Low Signal Quality • 108 Low SpCO SIQ Message • 103 Low SpHb SIQ Message • 103 Low SpMet SIQ Message • 103 Navigating the Main Menu • 56 Navigating the Radical-7 • 47 No Adhesive Sensor Connected Message • 102 No Cable Connected Message • 103 No Sensor Conne
Radical-7 Index Replace Adhesive Sensor Message • 101 Replace Cable Message • 101 Replace Sensor Message • 100 Replacing the Batteries • 129 Replacing the Fuses • 109, 129 Resolution • 113 Restrictions • 134 Return Procedure • 41, 132 RRa Alarms • 66 RRa Settings • 58, 66 RRa Waveform View • 54 RRp Alarms • 67, 68 RRp Settings • 58, 67 Run Time for Handheld Only • 128 Silencing the Alarms • 35, 45, 95 Sounds • 49, 57, 73 SpCO Alarms • 70 SpCO Reading Displays as Dashes • 109 SpCO Settings • 58, 70 SpCO,
Radical-7 Index U Unexpected SpO2, SpCO, SpMet, or SpHb Reading • 108 Unexpectedly High SpCO Reading • 109 Unpacking and Inspection • 41 Using Screenlock • 46 Using the Home Button • 46 Using the Touchscreen and Buttons • 45 W Warranty • 133 Waveform and Trend Views • 48, 52 WiFi • 49, 74, 76 Wireless Radio (If Installed) • 118 www.masimo.
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