Masimo Rad-87 User manual

OPERATOR’S MANUAL
Rad-87™
Pulse CO-Oximeter

Rad-87 Pulse CO-Oximeter Operator’s Manual i
The Rad-87 Operating Instructions provide the necessary information for proper operation of all models of
the Rad-87 instrument. General knowledge of pulse CO-Oximetry and an understanding of the features and
functions of the Rad-87 are a prerequisite for its proper use. Do not operate the Rad-87 without completely reading
and understanding the instructions in this manual.
NOTICE:
Purchase or possession of this instrument does not carry any express or implied license to use this instrument
with replacement parts which would, alone or in combination with this instrument, fall within the scope of one of
the patents relating to this instrument.
CAUTION:
•Federal law (U.S.) restricts this instrument to sale by or on the order of a physician.
Masimo Corporation
40 Parker
Irvine, CA 92618 USA
Tel.: [phone]
Fax.: [phone]
www.masimo.com
EU Authorized Representative for Masimo Corporation:
EC REP
MDSS GmbH
Schiffgraben 41
D-30175 Hannover, Germany
3149433
CONFORMS TO UL STD 60601-1,
CERTIFIED TO CAN/CSA STD C22.2 NO. 601.1
Covered by one or more of the following U.S. Patents: RE38,492, RE38,476, 7,221,971, 7,215,986, 7,215,984,
7,186,966, 6,979,812, 6,861,639, 6,850,787, 6,826,419, 6,816,741, 6,745,060, 6,699,194, 6,684,090, 6,654,624,
6,650,917, 6,643,530, 6,606,511, 6,515,273, 6,501,975, 6,463,311, 6,430,525, 6,388,240, 6,360,114, 6,263,222,
6,236,872, 6,229,856, 6,157,850, 6,067,462, 6,011,986, 6,002,952, 5,919,134, 5,769,785, 5,758,644, 5,685,299,
5,632,272, 5,490,505, 5,482,036, international equivalents, or one or more of the patents referenced at www.masimo.
com/patents.htm. Other patents pending.
© 2010 Masimo Corporation. Masimo, Discrete Saturation Transform, DST, DCI, Signal Extraction Technology,
Signal Extraction Pulse CO-Oximeter, SET, Rad, RadNet, Radical, , Signal I.Q., Pronto, FastSat, PVI, LNOP,
Rainbow, SpCO, SpMet, SpHb, and LNCS are federally registered trademarks of Masimo Corporation.
Rad-87, Pleth Variability Index, Patient SafetyNet, Rainbow SET, SpOC, APOD, Pulse CO-Oximeter, LNOPv,
M-LNCS, RI and RRa are trademarks of Masimo Corporation.

Rad-87 Pulse CO-Oximeter Operator’s Manual
ii
Safety Information, Warnings, Cautions and Notes
The Rad-87™ Pulse CO-Oximeter™ 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.
■Explosion hazard. Do not use the Rad-87 in the presence of flammable anesthetics or other flammable
substance in combination with air, oxygen-enriched environments, or nitrous oxide.
■High intensity extreme lights (including pulsating strobe lights) directed on the sensor, may not allow the Pulse
CO-Oximeter to obtain readings.
■Excessive ambient noise may affect the accuracy of the respiration rate reading from the Acoustic Respiration
Sensor.
■SpO2monitoring is required when monitoring RRa (Acoustic Respiration).
■The Rad-87 is NOT intended for use as an apnea monitor.
■The Pulse CO-Oximeter should be considered an early warning device. As a trend towards patient hypoxemia is
indicated, blood samples should be analyzed by laboratory instruments to completely understand the patient’s
condition.
■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 arrhythmia analysis.
■The Rad-87 is to be operated by qualified personnel only. This manual, accessory directions for use, all
precautionary information, and specifications should be read before use.
■Electric shock hazard. Do not open the Rad-87 instrument. Only a qualified operator may perform maintenance
procedures specifically described in this manual. Refer servicing to Masimo for repair of this equipment.
■Ensure that the HF surgical neutral electrode is properly connected to help prevent unintended
current return paths when using high frequency (HF) surgical equipment.
■As with all medical equipment, carefully route patient cabling to reduce the possibility of patient entanglement
or strangulation.
■ Use cables only from the instrument manufacturer to provide protection against the effects of
discharge from a cardiac defibrillator and burns.
■Do not place the Rad-87 or accessories in any position that might cause it to fall on the patient. Do not lift the
Rad-87 by the power cord or any other cable.
■Interfering Substances: Dyes, or any substance containing dyes, that change usual blood pigmentation may
cause erroneous readings.
■SpO2is empirically calibrated to functional arterial oxygen saturation in healthy adult volunteers with normal
levels of carboxyhemoglobin (COHb) and methemoglobin (MetHb). A pulse oximeter can not measure
elevated levels of COHb or MetHb. Increases in either COHb or MetHb will affect the accuracy of the SpO2
measurement.
■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.
■For increased MetHb: the SpO2may be decreased by levels of MetHb of up to approximately 10% to 15%.
At higher levels of MetHb, the SpO2may tend to read in the low to mid 80s. When elevated levels of MetHb
are suspected, laboratory analysis (CO-Oximetry) of a blood sample should be performed.
■Elevated levels of Methemoglobin (MetHb) will lead to inaccurate SpO2and SpCO® measurements.

Rad-87 Pulse CO-Oximeter Operator’s Manual iii
■Elevated levels of Carboxyhemoglobin (COHb) will lead to inaccurate SpO2measurements.
■Elevated levels of Total Bilirubin may lead to inaccurate SpO2, SpMet®, SpCO, SpHb®and SpOC™
measurements.
■Motion artifact may lead to inaccurate SpMet, SpCO, SpHb and SpOC measurements.
■Very low arterial Oxygen Saturation (SpO2) levels may cause inaccurate SpCO and SpMet measurements.
■Severe anemia may cause erroneous SpO2 and SpOC readings.
■ Hemoglobin synthesis disorders may cause erroneous SpHb readings.
■Do not use the Rad-87 or sensors during magnetic resonance imaging (MRI) scanning. Induced current
could potentially cause burns. The Rad-87 may affect the MRI image and the MRI device may affect the
accuracy of the Pulse CO-Oximetry parameters and measurements.
■If using Rad-87 during full body radiation, 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.
■For home use, ensure that the Rad-87’s alarm can be heard from other rooms in the house especially when noisy
appliances such as vacuum cleaners, dishwashers, clothes dryers, televisions, or radios are operating.
■Always remove the sensor from the patient and completely disconnect the patient from the Rad-87 before
bathing the patient.
■Additional information specific to Masimo sensors including information about parameter/measurement
performance during motion and low perfusion, may be found in the sensor's Directions For Use (DFU).
■Do not place the Rad-87 where the controls can be changed by the patient.
■Do not place the Rad-87's face against a surface. This will cause the alarm to be muffled.
■Do not place the Rad-87 on electrical equipment that may affect the Pulse CO-Oximeter, preventing it from
working properly.
■Do not expose the Rad-87 to excessive moisture such as direct exposure to rain. Excessive moisture can
cause the instrument to perform inaccurately or fail.
■Do not place containers with liquids on or near the Rad-87. Liquids spilled on the instrument may cause it to
perform inaccurately or fail.
■If the Rad-87 fails any part of the setup procedures or leakage tests, remove the instrument from operation
until qualified service personnel have corrected the situation.
■Patient Safety - If a sensor is damaged in any way, discontinue use immediately.
■ Do not monitor more than a single patient at a time on the Rad-87.
■Disposal of product - Comply with local laws in the disposal of the instrument and/or its accessories.
■The Rad-87 can be used during defibrillation, but the readings may be inaccurate for up to 20 seconds.
■
This equipment has been tested and found to comply with the limits for medical devices to the EN
60601-1-2, Medical Device Directive 93/42/EEC and Part 15, FCC Rules/USA.
■ 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.
■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 other devices in the
vicinity. However, there is no guarantee that interference will not occur in a particular installation. If this
Safety Information, Warnings, Cautions and Notes, continued

Rad-87 Pulse CO-Oximeter Operator’s Manual
iv
equipment does cause harmful interference to other devices, 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 device.
■Increase the separation between the equipment.
■Connect the equipment into an outlet on a circuit different from that to which the other device(s) are
connected.
■Consult the manufacturer for help.
■ In order to connect wirelessly to a compatible interface system like Patient SafetyNet™, the Rad-87
should be placed in an environment free from RF shielding, which could hinder wireless reception.
■ To minimize radio interference, other electrical equipment that emits RF transmissions should not be
in close proximity to the Rad-87.
■Changes or modifications to the wireless radio feature whether intentional or unintentional are
prohibited without written approval from Masimo Corporation.
■ The Rad-87 (instrument with optional radio) wirelessly transmits real-time sensor connectivity status,
indicating a connect and/or disconnect state. If the instrument is in a failure mode then the radio power
is disabled and an error message is indicated on the instrument display. The instrument does not have a
powered state where no information is transmitted.
■ In accordance with FCC requirements, the Rad-87 (instrument with optional radio) must be placed
greater than 20 cm from the patient or nearby persons.
■ In accordance with FCC requirements, radio accessories on the Rad-87 (instrument with optional radio)
cannot be attached directly to the patient using any accessory containing metal components.
■ In accordance with international telecommunication requirements, the frequency band of 5,150 MHz
to 5,250 MHz is only for indoor usage to reduce potential for harmful interference to co-channel mobile
satellite systems.
■ The battery should be adequately charged to ensure backup power in case of AC power disruption.
■A functional tester cannot be utilized to assess the accuracy of the Pulse CO-Oximeter or any sensors.
■ To ensure safety, avoid stacking multiple devices or placing anything on the instrument during operation.
■ Ensure the speaker is not covered or the instrument is placed face-down on bedding or other sound
absorbing surface.
■To protect against injury from electric shock, follow the directions below:
■Avoid placing the instrument on surfaces with visible liquid spills.
■Do not soak or immerse the instrument in liquids.
■Always turn off and disconnect the power cord from the AC power supply before cleaning the
device.
■Use cleaning solutions sparingly.
■ Cleared Use Only: The device and related accessories are cleared by the Food and Drug Administration
(FDA) for noninvasive patient 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 FDA, or in any manner inconsistent
with the instructions for use or labeling. The device and related accessories are not intended for use in
combination with other medical devices or in high-risk applications.
Safety Information, Warnings, Cautions and Notes, continued

Rad-87 Pulse CO-Oximeter Operator’s Manual v
Safety Information, Warnings, Cautions and Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ii
SECTION 1 - OVERVIEW
About This Manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
Warnings, Cautions and Notes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Product Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
Optional Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
Indications for Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
Pulse CO-Oximetry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
SpO2General Description. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
SpCO General Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
SpMet General Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
SpHb (Total Hemoglobin) General Description . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5
CaO2(Total Arterial Oxygen Content) General Description . . . . . . . . . . . . . . . . . .1-5
SpOC (Pulse CO-Oximetry) General Description. . . . . . . . . . . . . . . . . . . . . . . . . 1-5
Rainbow Acoustic Monitoring General Description . . . . . . . . . . . . . . . . . . . . . . . 1-5
Principle of Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6
Functional Saturation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-7
Rad-87 vs. Drawn Whole Blood Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . 1-7
Masimo SET Signal Extraction Technology for SpO2Measurements . . . . . . . . . 1-7
SpMet, SpCO, and SpHb Measurements During Patient Motion . . . . . . . . . . . . . 1-7
Rainbow Acoustic Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8
FastSat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-9
Masimo Rainbow SET Parallel Engines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-10
Masimo SET DST®. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-10
SECTION 2 - SYSTEM DESCRIPTION
Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1
Rad-87 Pulse CO-Oximeter - Horizontal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
Rad-87 Pulse CO-Oximeter - Vertical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
Rad-87 Rear Panel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6
Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7
LCD Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-8
SECTION 3 - SETUP
Rad-87 Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
Unpacking and Inspection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
Preparation for Monitoring. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
Rad-87 Power Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
Initial Battery Charging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Initial Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
System Interface Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Philips VueLink Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
RadNet Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Patient SafetyNet Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
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Rad-87 Pulse CO-Oximeter Operator’s Manual
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SECTION 4 - OPERATION
Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1
Basic Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1
General Setup and Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1
Default Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4
Factory Default and User Configurable Settings. . . . . . . . . . . . . . . . . . . . . . . . . . 4-4
Successful Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
Masimo Pulse CO-Oximetry Sensors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6
Masimo Acoustic Respiration Sensors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6
Sensor Time Remaining . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7
Liquid Crystal Display (LCD) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7
Light Emitting Diodes (LED) Display. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-9
Numeric Display - SpO2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-10
Numeric Display - Pulse Rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-10
Numeric display - RRa . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-10
Numeric Display - SpCO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-10
Numeric Display - SpHb . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-11
Numeric Display - SpOC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-11
Numeric Display - PI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-11
Numeric Display - PVI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-12
Low Perfusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-12
Signal Indication and Quality Indicator (SIQ) . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-12
Low SpCO SIQ and Low SpMet SIQ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-12
Low SpHb . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-13
Signal Indication and Quality Indicator - Acoustic (SIQa) . . . . . . . . . . . . . . . . . 4-13
Acoustic Respiration Sensor Placement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-13
Rainbow SET, Masimo SET Sensor Placement . . . . . . . . . . . . . . . . . . . . . . . . . 4-14
Sensitivity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-15
Low Battery Audible Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-16
Normal Patient Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-16
Parameter/Measurement Selection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-16
Setup Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-17
Menu Navigation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-17
Setup Menu Level 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-18
Parameter/Measurement Alarm Limits - Screen 1 . . . . . . . . . . . . . . . . . . . . . . . 4-18
Parameter/Measurement Alarm Limits - Screen 2 . . . . . . . . . . . . . . . . . . . . . . . 4-19
Parameter/Measurement Alarm Limits - Screen 3 . . . . . . . . . . . . . . . . . . . . . . . 4-20
LED Brightness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-20
Sensitivity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-21
Setup Menu Level 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-22
Alarm Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-22
SpO2Alarm Delay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-22
RRa Alarm Delay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-23
Clear Trend . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-23
Button Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-24
FastSat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-24
Trend Setup and Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-25
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-25
TrendCom Utility Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-25
TrendCom Utility Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-25
Table of Contents

Rad-87 Pulse CO-Oximeter Operator’s Manual vii
Table of Contents
Download Trend Data from Rad-87. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-25
Erasing Trend Memory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-26
Setup Menu Level 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-27
SpO2Averaging Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-27
SpHb Averaging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-28
PVI Averaging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-28
PI Averaging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-29
RRa Averaging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-29
RRa Sensor Status Notifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-30
Rapid Desat Limit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-30
Alarm On/Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-30
Optical Sensor Off Audible Alarm Latch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-31
Default Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-31
Device Profile Setup and Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-32
SmartTone On/Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-33
Year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-33
Month . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-34
Day . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-34
Hour. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-34
Minute . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-35
Software Version . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-35
Serial Output . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-35
Interface Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-36
Nurse Call . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-37
Polarity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-37
Line Frequency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-37
Parameter/Measurement Select - Screen 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-38
Parameter/Measurement Select - Screen 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-38
Parameter/Measurement Select - Screen 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-39
SpHb Precision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-39
SpHb Calculation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-39
LCD Language . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-40
SpHb Display. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-40
Set Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-40
Home Mode Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-41
Sleep Mode Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-41
Enable/Disable Radio . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-41
LCD Display Function with Radio Configured and Enabled . . . . . . . . . . . . . . . . 4-42
SECTION 5 - ALARMS AND MESSAGES
Alarm Identification. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
Alarm Category Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
Alarm Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
Alarm Limit: User Configurable Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Alarm Priorities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4
Multiple Parameter/Measurement Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
Alarm Priority for Display Screens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
Alarm Silence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6
Alarm Bell . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7
System Status Light . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7

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Alarm Mute . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8
Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-9
SECTION 6 - TROUBLESHOOTING
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1
SECTION 7 - SPECIFICATIONS
Rad-87 Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1
Serial Interface Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-4
Serial Interface Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-4
Serial Printer Setup. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-4
Nurse Call Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-5
SECTION 8 - SENSORS & PATIENT CABLES
Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1
Selecting a Masimo SET Sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1
Sensor Application Instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1
Masimo Acoustic Respiration Sensor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2
Masimo Rainbow Sensors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2
Rainbow Reusable Sensors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2
Rainbow Direct Connect Sensors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2
Rainbow R Series Adhesive Sensors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3
Rainbow ReSposable™ Pulse CO-Oximeter Sensor System . . . . . . . . . . . . . . . 8-4
Masimo SpO2Sensors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4
ReSposable™ Pulse CO-Oximeter Sensor System . . . . . . . . . . . . . . . . . . . . . . 8-4
Red Direct Connect Sensors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4
LNOP®Reusable Sensors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5
LNOPv™ Adhesive Sensors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5
LNOP Specialty Sensors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5
M-LNCS™/LNCS®Reusable Sensors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5
M-LNCS™/LNCS®Adhesive Sensors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-6
M-LNCS™/LNCS®Specialty Sensors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-6
Sensor Accuracy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-7
Cleaning And Reuse Of Masimo Reusable Sensors and Cables . . . . . . . . . . . . . . . . . . 8-7
Reattachment of a Single Use Acoustic Respiration Sensor . . . . . . . . . . . . . . . . . . . . . 8-7
Reattachment of a Single Use Rainbow SET or Masimo SET Adhesive Sensor . . . . . . 8-7
SECTION 9 - SERVICE & MAINTENANCE
Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-1
Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-1
Battery Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-2
Performance Verification. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-2
Service and Repair. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-3
Repair Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-3
Return Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-4
Sales & End-User License Agreement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-5
Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-5
Exclusions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-5
End-User License . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-6
Restrictions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-7
No Implied License . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-7
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