43
9022B-eIFU-0119
RD SET⢠DBI
ãªãŠ ãŒ ã¶ãã« ãœãã ã»ã³ ãµ
äœ¿çšæ¹æ³
åå©çšå¯
LATEX
倩ç¶ãŽã ã©ããã¯ã¹äžäœ¿çš
NON
STERILE
LATEX
Title: Graphics, Sensor/Cable symbols, 03/06
GR-14231
DRO-13914
-40 C
+70 C
+1060 hPa - +500 hPa
795 mmHg - 375 mmHg
5%-95% RH
5%
95%
%
éæ®ºè
ãŠãŒã¶ãŒã¯ããã®ã»ã³ãµã䜿çšããåã«ãæ©åšã®åæ±èª¬ææžãšãã®äœ¿ç𿹿³ãèªãã§çè§£ããå¿
èŠããããŸãã
説æ
Masimo SET®ãŸãã¯Masimo rainbow® SETãšäœµçšããå ŽåïŒ
RD SET⢠DBIãªãŠãŒã¶ãã«ãœããã»ã³ãµã¯ãåèãã¢ã°ããã³ã®æ©èœçé
žçŽ é£œå床ïŒSpO
2
ïŒããã³èææ°ïŒSpO
2
ã»ã³ãµã«ããèšæž¬ïŒã®é£
ç¶
çãªé䟵襲çã¢ãã¿ãªã³ã°ãšã¹ããããã§ãã¯ã®ããã®è£
眮ã§ããå®éã«ããç¶æ
ã®æäººããã³å°å
ã«å¯ŸããŠãçæµã®è¯å¥œ/äžè¯ãå
ãããç
é¢ãèšºçæ©é¢ãç§»å蚺çæãå®¶åºã§äœ¿çšããããšãã§ããŸãã
Nellcorããã³Nellcoräºæãã«ã¹ãªãã·ã¡ãŒã¿ãŸãã¯Philips FAST SpO2ãã¯ãããžãšåãããŠäœ¿çšããå ŽåïŒ
RD SET DBIãªãŠãŒã¶ãã«ãœããã»ã³ãµã¯ãåèãã¢ã°ããã³ã®æ©èœçé
žçŽ é£œå床ïŒSpO
2
ïŒããã³èææ°ïŒSpO
2
ã»ã³ãµã«ããèšæž¬ïŒã®é£ç¶
çãªé䟵襲çã¢ãã¿ãªã³ã°ãšã¹ããããã§ãã¯ã®ããã®è£
眮ã§ããå®éã«ããç¶æ
ã®æ£è
ã«ãç
é¢ãèšºçæ©é¢ãç§»å蚺çæãå®¶åºã§äœ¿çš
ããããšãã§ããŸãã
çŠå¿
RD SET DBIãªãŠãŒã¶ãã«ã»ã³ãµããäœåã®æ¿ããæ£è
ã«å¯ŸããŠäœ¿çšããããã¯é·æéé£ç¶ããŠäœ¿çšããããšã¯é¿ããŠãã ãããã»ã³ãµ
ã®åãä»ãéšäœã¯ãå°ãªããšã4æéããã«ç¢ºèªããŠãã ããã埪ç°ç¶æ³ãç®èã®ç¶æ
ã«ç°å€ãèŠãããå Žåã¯ãã»ã³ãµãå¥ã®éšäœã«
è£
çãçŽããŠãã ããã
補å解説
RD SET DBIãªãŠãŒã¶ãã«ã»ã³ãµã¯ãMasimo SETãã¯ãããžãå«ãæ©åšãããã¯ãã®äœ¿çšã蚱諟ãããŠããæ©åšã§ã®ã¿äœ¿çšã§ããŸããç¹å®
ã®æ©åšããã³ã»ã³ãµã®ã¢ãã«ãšã®äºææ§ã«ã€ããŠã¯ãåæ©åšã®è£œé å
ã«ãåãåãããã ãããåæ©åšã®è£œé å
ã¯ãåœè©²æ©åšãåã»ã³
ãµã¢ãã«ãšäºææ§ããããã©ããã倿ãã矩åããããŸãã
RD SET DBIãã£ã¹ããŒã¶ãã«ã»ã³ãµã¯ãMasimo rainbow SETâ¢ãã¯ãããžãšã®å©çšã«ãããŠåäœæ€èšŒãè¡ãããŠããŸãã
RD SET DBIã»ã³ãµã¯ãNellcor N-200ããã³N-395 Pulse Oximeterã䜿çšããŠåäœæ€èšŒãè¡ãããŠããŸãã
èŠåïŒMasimoã»ã³ãµãšã±ãŒãã«ã¯Masimo SET®ãªãã·ã¡ããªãå«ãè£
眮ããŸãã¯Masimoã»ã³ãµã®äœ¿çšã蚱諟ãããŠããæ©åšçšã«èšèš
ãããŠããŸãã
èŠåãæ³šæããã³æ³šèš
â¢
ãã¹ãŠã®ã»ã³ãµããã³ã±ãŒãã«ã¯ç¹å®ã®ã¢ãã¿çšã«èšèšãããŠããŸãã䜿çšããåã«ãã¢ãã¿ãã±ãŒãã«ãããã³ã»ã³ãµã®äºææ§
ã確èªããŠãã ãããæ§èœã®äœäžãæ£è
ã®ããã«ã€ãªããå¯èœæ§ããããŸãã
â¢
ã»ã³ãµã«ãç®ã«èŠããç°å€ãå€è²ãããã³æå·ããªãããšã確èªããŠãã ãããã»ã³ãµã«å€è²ãç Žæãããå Žåã䜿çšãäžæ¢ããŠ
ãã ãããç Žæããã»ã³ãµãé»ååè·¯ãé²åºããã»ã³ãµã¯çµ¶å¯Ÿã«äœ¿çšããªãã§ãã ããã
â¢
è£
çéšäœã¯é »ç¹ã«ããŸãã¯å»çæ©é¢ã®ãããã³ã«ã«åŸã£ãŠãã§ãã¯ããè¡æµã®ç¶æ
ãç®èã®ç¶æ
ãå
ã»ã³ãµã®äœçœ®ãæ£ãããã©ã
ãçã確èªããªããã°ãªããŸããã
â¢
ã»ã³ãµãé »ç¹ã«è£
çãçŽããªãã£ãããã»ã³ãµããã€ãè£
çããããæµ®è
«ã®ããã«ãã€ããªã£ãããããšãç®èã®æå·ãèè¡ãå§è¿«å£
æ»ãèµ·ããæãããããŸãã®ã§ãç¹ã«æ³šæããŠãã ããã1æéããšã«è£
çéšäœã調ã¹ãç®èãè¡æµãæœ
æµã®ç¶æ
ã«ç°å€ãèŠãããå Ž
åã¯ã»ã³ãµãè£
çãçŽããŠãã ããã
â¢
ã»ã³ãµãè£
çéšäœã«åºå®ããªãã§ãã ãããåºå®ãããšãè¡æ¶²åŸªç°ãäœäžãããæž¬å®å€ãäžæ£ç¢ºã«ãªãå ŽåããããŸããããŒãã
䜿çšãããšãç®èæå·ãå§è¿«å£æ»ãåŒãèµ·ãããããã»ã³ãµãç Žæãããããå¯èœæ§ããããŸãã
â¢
ã»ã³ãµããã³æ£è
ã±ãŒãã«ã®é
ç·ã¯ãæ£è
ã«ã±ãŒãã«ã絡ãŸã£ãããå§è¿«ãããããªãããæ³šææ·±ãè¡ã£ãŠãã ããã
â¢
ã»ã³ãµã誀ã£ãŠäœ¿çšããããã»ã³ãµã®äžéšãå€ããŠããããããšãæ£ç¢ºãªæž¬å®ãã§ããªãããšããããŸãã
â¢
ã»ã³ãµã®çš®é¡ã誀ã£ãŠäœ¿çšãããšãæ£ããèªã¿åããã§ããªãå Žåãèªã¿åããªãå ŽåããããŸãã
â¢
éèæåãéèãã£è¡ãªã©ã®ç°åžžããããšãSpO
2ãæ£ç¢ºã«æž¬å®ãããªãããšããããŸãã
â¢
éèå
ãã£è¡ãåå ã§ã枬å®å€ãå®éã®åèè¡é
žçŽ é£œå床ãããäœããªãå ŽåããããŸãããã£ãŠæž¬å®éšäœããé©åãªéèæµåºã
確ä¿ããããšãéèŠãšãªããŸããã»ã³ãµã®äœçœ®ã¯ãå¿èããäœããªããªãããã«ããŸãïŒãããã«æšªããã£ãŠããæ£è
ããåºã«å
ãã£ãŠè
ããã©ãã©ãããç¶æ
ã§æã«ã»ã³ãµãè£
çããå Žåãªã©ïŒã
â¢
éèæåãåå ã§ãSpO
2枬å®å€ãäœãèªã¿åãããå ŽåããããŸãïŒäžå°åŒéæµããã¬ã³ãã¬ã³ãã«ã°äœãªã©ïŒã
â¢
倧åèå
ãã«ãŒã³ã«ãããµããŒãã¯ãªãã·ã¡ãŒã¿ã«è¡šç€ºãããèææ°ã«åœ±é¿ãäžããå¯èœæ§ããããŸããECGå¿ææ°ã«å¯Ÿããæ£è
ã®èææ°ãæ€èšŒããŠãã ããã
â¢
åèã«ããŒãã«ãæ¿å
¥ããŠããåè¢äžããè¡å§èšã«ããåãä»ããŠããåè¢äžã«ãã»ã³ãµãèšçœ®ããªãããã«ããŠãã ããã
â¢
ãã«ã¹ãªãã·ã¡ããªãæŸå°ç·ã®å
šèº«ç
§å°äžã«äœ¿çšããå Žåãã»ã³ãµãç
§å°åã®å€ã«åºããŠãããŠãã ãããã»ã³ãµãæŸå°ç·ã«ãã
ããããšã枬å®å€ãäžæ£ç¢ºã«ãªã£ãããç
§å°äžã¯æž¬å®å€ã瀺ãããªãã£ããããå ŽåããããŸãã
â¢
ãã«ã¹ãªãã·ã¡ããªãæŸå°ç·ã®å
šèº«ç
§å°äžã«äœ¿çšããå Žåãã»ã³ãµãç
§å°åã®å€ã«åºããŠãããŠãã ãããã»ã³ãµãæŸå°ç·ã«ãã
ãããå Žåãæž¬å®å€ãäžæ£ç¢ºã«ãªã£ãããç
§å°äžã«ãŠãããã®ç€ºãå€ããŒãã«ãªã£ããããå ŽåããããŸãã
â¢
身äœã«å®³ãåãŒãæãããããããMRIã¹ãã£ã³å®è¡äžãŸãã¯MRIç°å¢ã§ã¯ãã»ã³ãµã䜿çšããªãã§ãã ããã
â¢
ç¡åœ±ç¯ïŒç¹ã«ãã»ãã³ç¯ïŒãããªã«ãã³ã©ã³ããèå
ç¯ãèµ€å€ç·ããŒã¿ãŒã©ã³ããçŽå°æ¥å
ãªã©ã®åŒ·ãåšèŸºå
ã¯ãã»ã³ãµã®æ§èœã«
æ¯éããããå¯èœæ§ããããŸãã
â¢
åšèŸºå
ã«ããé害ãåé¿ããã«ã¯ãã»ã³ãµãæ£ããè£
çãããŠããããšã確èªããå¿
èŠãªå Žåã¯äžéæãªçŽ æã§ã»ã³ãµãèŠã
ãŸãã匷ãåšèŸºå
ã«å¯ŸããŠãã®äºé²æªçœ®ã宿œããªãå Žåãå€ãæ£ç¢ºã«æž¬å®ãããªãå ŽåããããŸãã
â¢
EMIæŸå°å¹²æžã«ãã£ãŠã枬å®å€ãäžæ£ç¢ºã«ãªãå ŽåããããŸãã
â¢
æã®ç°åžžãã€ã³ãã·ã¢ãã³ã°ãªãŒã³ãã¡ãã¬ã³ãã«ãŒãªã©ã®è¡ç®¡å
è²çŽ ããŸãã¯ãããã¥ã¢ãã¢ã¯ãªã«è£œçªãã°ãªãã¿ãŒãªã©ã®å€
éšããå¡åžãããè²çŽ ãšçµç¹ãåå ã§ã枬å®å€ãäžæ£ç¢ºã«ãªã£ãããæž¬å®äžèœã«ãªãããšããããŸãã
â¢
COHbãŸãã¯MetHbã®å€ãäžæããŠããŠããSpO
2ã®æž¬å®å€ãæ£åžžãªå ŽåããããŸããCOHbãŸãã¯MetHbã®äžæãçãããå Žå
ã«ã¯ãæ€æ»å®€ã§è¡æ¶²ãµã³ãã«ãåæïŒCO-OximetryïŒããå¿
èŠããããŸãã
ja