User Manual

Introduction Warnings, Precautions and Notes
xiv 0070-10-0690-01 Panorama™ Operating Instructions
CAUTION: Tissue damage or inaccurate SpO
2
measurements may be
caused by incorrect sensor application or use, such as
wrapping too tightly, applying supplemental tape, failing to
inspect the sensor site periodically, or failing to position
appropriately. Carefully read the sensor directions for use,
the Panorama Operating Instructions, and all precautionary
information before use.
CAUTION: The accuracy of the SpO
2
measurement may be affected if
the total cable length (including extension cables) is greater
than 3.28 yards (3 meters).
CAUTION: Inaccurate SpO
2
measurements may be caused by:
• Incorrect sensor application or use
• Significant levels of dysfunctional hemoglobins, (e.g.,
carboxyhemoglobin or methemoglobin)
• Intra-vascular dyes such as indocyanine green or
methylene blue
• Exposure to excessive illumination such as surgical
lamps (especially ones with a xenon light source),
bilirubin lamps, fluorescent lights, infrared heating
lamps, or excessive ambient light. In such cases, cover
the sensor site with opaque material.
• Excessive patient movement
• Venous pulsations
• Electro-surgical interference
• Placement of a sensor on an extremity that has a blood
pressure cuff, arterial catheter, or intra-vascular line.
• Cold extremities due to reduced circulation.
• Nail polish or fungus
CAUTION: In certain situations in which perfusion and signal strength
are low, such as in patients with thick or pigmented skin,
inaccurately low SpO
2
readings will result. Verification of
oxygenation should be made, especially in patients with
chronic lung disease, before instituting any therapy or
intervention.
CAUTION: Many patients suffer from poor peripheral perfusion due to
hypothermia, hypovolemia, severe vasoconstriction,
reduced cardiac output, etc. These symptoms may cause a
loss in vital sign readings.
CAUTION: The SpO
2
sensor site should be checked at least every eight
(8) hours (every four (4) hours with the Adult re-usable
finger sensor). Ensure proper adhesion, skin integrity, and
proper alignment. Exercise extreme caution with poorly
perfused patients. Skin erosion and pressure necrosis can
be caused when sensors are not frequently monitored.
Assess the site every two (2) hours who are physiologically
compromised.