Masimo rainbow ReSposable Pulse CO-Oximeter Installation guide

© 2012 Masimo Corporation
STT-0236A CO-006774
Please see product’s Directions for Use for more information
rainbow®ReSposable™Pulse CO-Oximeter™
Sensor System Training

© 2012 Masimo Corporation
STT-0236A CO-006774
Please see product’s Directions for Use for more information
Learning Objectives
At the end of this lesson, the learner will be able to:
>Identify key application, inspection and precautionary guidelines
for the adult and pediatric rainbow ReSposable Sensors
>Identify the components of the adult and pediatric rainbow
ReSposable sensors
>State proper assembly and application techniques for the rainbow
ReSposable sensors
>Identify circumstances when optical shielding may be useful
>Describe the disassembly process for the rainbow ReSposable
sensors
>Describe the cleaning process for the rainbow ReSposable
sensors

© 2012 Masimo Corporation
STT-0236A CO-006774
Please see product’s Directions for Use for more information
ReSposable Sensor Application Guidelines
>The preferred sites are the ring or middle finger of the non-dominant
hand
>Compare the fingers and use the thinnest finger that will completely
cover the detector window
>Use a pediatric sensor (R2-20a/R2-20r) for patients with slender digits
that don’t completely cover the detector window
>Always choose a site that is well perfused and has little motion
>Intravascular dyes or externally applied coloring (such as nail polish)
may lead to inaccurate measurements
>Once the sensor is applied, use the red lines on the sensor to check
alignment; be sure that the emitter is directly over the detector
>In areas with excessive ambient light or monitors which emit bright light,
cover the sensor with a dark or opaque material such as an ambient
light shield
>Connect the sensor to the patient cable following application

© 2012 Masimo Corporation
STT-0236A CO-006774
Please see product’s Directions for Use for more information
ReSposable Sensor Guidelines - Inspection
>The sensor site for ReSposable sensors must be
checked or changed at least every eight (8) hours to
ensure adequate adhesion, circulation, skin
integrity and correct optical alignment
>When changing application sites or reapplying the
adhesive sensor, first disconnect the reusable
sensor from the patient cable and reconnect once
the sensor is repositioned/reapplied to the patient

© 2012 Masimo Corporation
STT-0236A CO-006774
Please see product’s Directions for Use for more information
ReSposable Sensor Guidelines - Caution
>Exercise extreme caution with poorly perfused patients;
skin erosion and/or pressure necrosis can be caused
when the sensor is not frequently moved. Assess site at
least every two (2) hours with poorly perfused patients.
>During low perfusion, the sensor site needs to be
assessed frequently for signs of tissue ischemia, which
can lead to pressure necrosis.
>Do not use tape to secure the sensor to the site; this
can restrict blood flow and cause inaccurate readings.
Use of additional tape can cause skin damage and/or
pressure necrosis or damage the sensor.
>The sensor should be free of visible defects,
discoloration, and damage. Never use a damaged
sensor or one with exposed electrical circuitry.

© 2012 Masimo Corporation
STT-0236A CO-006774
Please see product’s Directions for Use for more information
ReSposable Sensor Components
Single Patient Adhesive Sensor
1 per patient
Reusable Sensor
Able to be used for approximately 3,360 hours
Reusable +Disposable = ReSposable
•Assembled ReSposable sensor
Fig 1a
Fig 1b

© 2012 Masimo Corporation
STT-0236A CO-006774
Please see product’s Directions for Use for more information
R2-25 Adult ReSposable Sensor
R2-25r Reusable Sensor
R2-25aAdhesive Sensor
Patients weighing > 30 kg
Preferred application site:
Middle or ring finger of the non-dominant
hand

© 2012 Masimo Corporation
STT-0236A CO-006774
Please see product’s Directions for Use for more information
R2-20 Pediatric ReSposable Sensor
R2-20aAdhesive Sensor
R2-20r Reusable Sensor
Patients weighing 10 - 50 kg
Preferred application sites:
Middle or ring finger of the non-dominant
hand

© 2012 Masimo Corporation
STT-0236A CO-006774
Please see product’s Directions for Use for more information
Adhesive and Reusable Sensor Correctly Matched
Reusable Sensor Label
Match the ADHESIVE SENSOR with the correct REUSABLE SENSOR
Single Patient Use
Adhesive Sensor Label

© 2012 Masimo Corporation
STT-0236A CO-006774
Please see product’s Directions for Use for more information
ReSposable Sensor Assembly
Attach the Reusable Sensor Cable to the Adhesive Sensor
1. Position the adhesive sensor so it lies flat
2. Pick up the reusable sensor and place it over the adhesive sensor
3. Align the gray detector and white emitter over the detector insert and
emitter insert
4. Press the gray detector into the detector insert to lock in place. A clicking
sound occurs when it is locked
5. Press the white emitter into the emitter insert to lock in place. A clicking
sound occurs when it is locked

© 2012 Masimo Corporation
STT-0236A CO-006774
Please see product’s Directions for Use for more information
ReSposable Sensor Application
Attach theAssembled Sensor to the Patient
1. Remove the backing from the adhesive sensor
2. Orient the adhesive sensor so that the detector can be
placed first onto the fleshy part of the finger
3. Press the smaller adhesive wings of the adhesive sensor
onto the finger one at a time (complete coverage of the
detector window is needed to insure accurate data)
4. Fold the adhesive sensor with finger design over the finger
nail and secure the larger wings down one at a time
5. When properly applied the emitter and detector should be
vertically aligned
6. Confirm alignment by checking the red lines on the sensor
from the side

© 2012 Masimo Corporation
STT-0236A CO-006774
Please see product’s Directions for Use for more information
Shielding the Sensor
>Shielding is recommended in the presence of high ambient
light sources such as surgical lights, phototherapy,
fluorescent lights, infrared heating lamps, direct sunlight,
strobe light environments or monitors which emit bright
lights.

© 2012 Masimo Corporation
STT-0236A CO-006774
Please see product’s Directions for Use for more information
Disconnecting the Sensor
Disconnecting: Patient Cable
1. Hold the sides of the cable connector
2. Place thumb on latch and press (1)
3. Hold latch down while pulling the
connectors apart
Disconnecting: Sensor
1. Hold the sensor flat
2. Hold the adhesive sensor near the gray
detector (2)
3. With the opposite hand, pull the reusable
sensor away from the adhesive sensor to
disconnect (3)
2
3
1

© 2012 Masimo Corporation
STT-0236A CO-006774
Please see product’s Directions for Use for more information
ReSposable Sensor Considerations
>Clean the reusable sensor and cable after each use
>Properly store the reusable sensor between uses
>Use the area on the sensor to mark each time a new adhesive
sensor is applied
>Test the assembled sensor on the oximeter before applying the
sensor to the patient
>Maintain a back-up supply of reusable and adhesive sensors
>Do Not discard the reusable sensor after use
>Minimize the use of multiple adhesive sensors per patient

© 2012 Masimo Corporation
STT-0236A CO-006774
Please see product’s Directions for Use for more information
Cleaning Reusable Sensor
>Only the reusable sensor can be cleaned and reused
>Remove the adhesive sensor from the patient and disconnect the reusable sensor
from the patient cable
>Remove the reusable sensor from the adhesive sensor. Discard the adhesive sensor
after use
>Clean the reusable sensor components by wiping with a 70% isopropyl alcohol pad or
a cloth saturated with mild detergent.
>If low level disinfection is required, use a 1:10 bleach / water solution
>Saturate a cloth or gauze pad with the cleaning solution and wipe all surfaces of the
sensor, cable, and connector
>Saturate another cloth or gauze pad with sterile or distilled water and wipe all
surfaces of the sensor, cable, and connector to remove any cleaning solution residue
>Dry the reusable sensor with a clean cloth and allow the cleansed sensor to dry
thoroughly before use