Operator's Manual
Root
®
www.masimo.com 1 Masimo
Not for Sale in the USA - For Export Only
These operating instructions provide the necessary information for proper operation of all
models of the Root. 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 Root are prerequisites for its proper use. Do not operate Root without
completely reading and understanding these instructions. If you encounter any serious
incident with product, please notify the competent authority in your country and the
manufacturer.
Notice: Purchase or possession of this device does not carry any express or implied license
to use with replacement parts which would, alone or in combination with this device, fall
within the scope of one of the relating patents.
Note: Cleared Use Only: The device and related accessories are CE Marked 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 applicable regulatory
authorities, or in any manner inconsistent with the directions for use or labeling.
CAUTION: Use of this device must follow the order of a physician.
For professional use. See instructions for use for full prescribing information, including
indications, contraindications, warnings, and precautions.
Wireless Radio:
Contains: FCC ID: VKF-MWM2 | Model: RDS-7A or RDS-7 | IC: 7362A-MWM2
Masimo Corporation
52 Discovery
Irvine, CA 92618, USA
Tel.: 949-297-7000
Fax.: 949-297-7001
www.masimo.com
EU authorized representative for Masimo Corporation:
MDSS GmbH
Schiffgraben 41
D-30175 Hannover, Germany
Authorized Brazil Company Representative:
MEDSTAR IMPORT AND EXPORT EIRELI
R VALENCIO SOARES RODRIGUES, 89- ROOM 1
CEP: 06.730-000
NEIGHBORHOOD: CENTER
MUNICIPALITY: VARGEM GRANDE PAULISTA
UF: SP
3149433
MEDICAL ELECTRICAL EQUIPMENT
WITH RESPECT TO ELECTRIC SHOCK, FIRE AND MECHANICAL HAZARDS ONLY
IN ACCORDANCE WITH
ANSI/AAMI ES 60601-1, CAN/CSA C22.2 No. 60601-1, and applicable
Particular (IEC 60601-2-49, ISO 80601-2-56) and related Collateral (IEC
60601-1-8:2006) Standards for which the product has been found to comply
by Intertek.
www.masimo.com 2 Masimo
Patents: www.masimo.com/patents
, Iris, Masimo, MOC-9, O3, PVi, Radical-7, Radius-7, rainbow, Root, RRa, RRp, SedLine, SET,
Signal Extraction Technology, SpCO, SpHb, and SpMet are federally registered trademarks of
Masimo Corporation.
ISA, MyView, and SpOC are trademarks of Masimo Corporation.
The use of the trademark Patient SafetyNet is under license from University HealthSystem
Consortium.
All other trademarks and registered trademarks are property of their respective owners.
© 2020 Masimo Corporation
www.masimo.com 3 Masimo
Contents
About This Manual-------------------------------------------------------------------------------------------7
Product Description and Features, Intended Use and Indications for Use ----------------------- 9
Product Description and Features -------------------------------------------------------------------- 9
Intended Use -------------------------------------------------------------------------------------------- 9
Indications for Use -------------------------------------------------------------------------------------- 9
Contraindication --------------------------------------------------------------------------------------- 10
Safety Information, Warnings, and Cautions ---------------------------------------------------------- 11
Safety Warnings and Cautions ----------------------------------------------------------------------- 11
Performance Warnings and Cautions --------------------------------------------------------------- 12
Cleaning and Service Warnings and Cautions ---------------------------------------------------- 14
Compliance Warnings and Cautions ---------------------------------------------------------------- 15
Chapter 1: Description ------------------------------------------------------------------------------------ 17
Features -------------------------------------------------------------------------------------------------- 17
Chapter 2: Setting Up ------------------------------------------------------------------------------------- 21
Unpacking and Inspection --------------------------------------------------------------------------- 21
Guidelines for Setting Up ----------------------------------------------------------------------------- 21
Power On ------------------------------------------------------------------------------------------------ 22
Initial Battery Charging ------------------------------------------------------------------------------- 23
Radical-7 Connection ---------------------------------------------------------------------------------- 24
Radius-7 Connection ----------------------------------------------------------------------------------- 25
MOC-9 Connection ------------------------------------------------------------------------------------- 26
Nurse Call Connection -------------------------------------------------------------------------------- 26
Masimo Kite --------------------------------------------------------------------------------------------- 27
Bluetooth Devices -------------------------------------------------------------------------------------- 27
Chapter 3: Operation -------------------------------------------------------------------------------------- 29
About the Main Screen -------------------------------------------------------------------------------- 29
About the Status Bar --------------------------------------------------------------------------------- 30
About the Action Bar ---------------------------------------------------------------------------------- 32
Using the Touchscreen Interface -------------------------------------------------------------------- 32
Menu Navigation -------------------------------------------------------------------------------------- 36
Understanding Windows ------------------------------------------------------------------------------ 37
Root Contents
www.masimo.com 4 Masimo
Accessing Main Menu Options ---------------------------------------------------------------------- 45
Alarm Interface ----------------------------------------------------------------------------------------- 63
Trend Download ---------------------------------------------------------------------------------------- 67
Session Management --------------------------------------------------------------------------------- 68
Screen Capture ----------------------------------------------------------------------------------------- 69
Lights ---------------------------------------------------------------------------------------------------- 72
Chapter 4: Admit and Discharge to Patient SafetyNet---------------------------------------------- 75
Not Admitted ------------------------------------------------------------------------------------------- 75
Admitting a Patient ----------------------------------------------------------------------------------- 76
Discharging a Patient --------------------------------------------------------------------------------- 77
Not Monitoring Message ----------------------------------------------------------------------------- 78
Monitoring Resumed Message----------------------------------------------------------------------- 79
Chapter 5: Electronic Medical Record (EMR) Push -------------------------------------------------- 81
Determining EMR Push is Active -------------------------------------------------------------------- 81
Manually Entering Patient Data --------------------------------------------------------------------- 81
Sending Patient Data to the EMR ------------------------------------------------------------------- 82
Chapter 6: Radical-7 -------------------------------------------------------------------------------------- 83
Chapter 7: Radius-7---------------------------------------------------------------------------------------- 85
Chapter 8: MOC-9 ----------------------------------------------------------------------------------------- 87
Using MOC-9 Ports ------------------------------------------------------------------------------------ 87
Chapter 9: Iris ---------------------------------------------------------------------------------------------- 89
Using Iris Connectivity Ports ----------------------------------------------------------------------- 90
Iris Icon -------------------------------------------------------------------------------------------------- 91
Iris Screen ----------------------------------------------------------------------------------------------- 92
Chapter 10: Bluetooth Devices -------------------------------------------------------------------------- 95
Connect Device to Root ------------------------------------------------------------------------------- 95
Chapter 11: Messages ------------------------------------------------------------------------------------- 97
Chapter 12: Troubleshooting ---------------------------------------------------------------------------- 99
Troubleshooting Radical-7, Radius-7, and MOC-9 Modules ------------------------------------- 99
Troubleshooting Root --------------------------------------------------------------------------------- 99
Chapter 13: Specifications ----------------------------------------------------------------------------- 103
Alarms ------------------------------------------------------------------------------------------------- 103
Nurse Call Specifications --------------------------------------------------------------------------- 103
Root Contents
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Connectors -------------------------------------------------------------------------------------------- 103
Electrical ----------------------------------------------------------------------------------------------- 104
Environmental ---------------------------------------------------------------------------------------- 104
Touchscreen Display --------------------------------------------------------------------------------- 105
Wireless Specifications------------------------------------------------------------------------------ 105
Compliance -------------------------------------------------------------------------------------------- 107
Guidance and Manufacturer's Declaration-Electromagnetic Emissions -------------------- 109
Guidance and Manufacturer's Declaration-Electromagnetic Immunity -------------------- 110
Recommended Separation Distances ------------------------------------------------------------- 112
Symbols ------------------------------------------------------------------------------------------------ 113
Chapter 14: Service and Maintenance ---------------------------------------------------------------- 117
Cleaning ------------------------------------------------------------------------------------------------ 117
Vent Cleaning ------------------------------------------------------------------------------------------ 117
Replacing the Fuses --------------------------------------------------------------------------------- 118
Power-On Self Test ----------------------------------------------------------------------------------- 118
Nurse Call Setting Connections ------------------------------------------------------------------- 119
Battery Test ------------------------------------------------------------------------------------------- 119
Repair Policy ------------------------------------------------------------------------------------------ 119
Return Procedure ------------------------------------------------------------------------------------- 120
Masimo Technical Services ------------------------------------------------------------------------- 120
Contacting Masimo ---------------------------------------------------------------------------------- 120
Index ------------------------------------------------------------------------------------------------------- 123
www.masimo.com 7 Masimo
About This Manual
This manual explains how to set up and use Root
®
. Important safety information relating to
general use of Root 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 effect, death) to the patient or user.
WARNING: This is an example of a warning statement.
A caution is given when any special care is to be exercised by the patient or user to avoid
injury to the patient, damage to this device, or damage to other property.
CAUTION: This is an example of a caution statement.
A note is given when additional general information is applicable.
Note: This is an example of a note.
www.masimo.com 9 Masimo
Product Description and Features,
Intended Use and Indications for Use
Product Description and Features
Root
®
is a patient monitoring and connectivity platform. It offers multiple high-impact
innovations for broad applications across the continuum of care.
Instantly interpretable, high-visibility display of Masimo’s breakthrough SET
®
and
rainbow
®
SET measurements.
Intuitive, touchscreen navigation for easy and adaptable use in any hospital
environment.
Flexible measurement expansion through Masimo Open Connect (MOC-9
®
).
Designed for third-party measurement expansion to allow other companies to
add to the platform measurements.
Built-in network connectivity gateway through Iris
®
for standalone devices such
as IV pumps, ventilators, beds, and other patient monitors.
Docking and charging station for Radical-7
®
and Radius-7
®
Battery Module.
Ability to display data on a secondary display.
Ability to display data from external devices using Bluetooth.
For all prescribing information and instructions for use of the compatible medical devices
that are connected to Root, see Operator’s Manual or Instructions for Use for the specific
medical device.
Intended Use
The Masimo Root Monitoring System is indicated for use by healthcare professionals for the
monitoring of multiple physiological parameters in healthcare environments.
The Masimo Root Monitoring System can transmit data for supplemental remote viewing
and alarming (e.g., at a central station).
The Masimo Root Monitoring System can be used with the optional Radical-7, ISA product
family, SedLine, Radius-7, and/or O3.
The Masimo Root Monitoring System is intended to be used with connected measurement
modules compatible with Root interfaces.
Indications for Use
The Masimo Root Monitoring System is indicated for use by healthcare professionals for the
monitoring of multiple physiological parameters in healthcare environments.
The Masimo Root Monitoring System can transmit data for supplemental remote viewing
and alarming (e.g., at a central station).
Root Product Description and Features, Intended Use and Indications for Use
www.masimo.com 10 Masimo
The optional Masimo Radical-7 Pulse CO-Oximeter and Accessories are indicated for the
continuous noninvasive monitoring of functional oxygen saturation of arterial hemoglobin
(SpO
2
), pulse rate, carboxyhemoglobin saturation (SpCO), methemoglobin saturation
(SpMet), total hemoglobin concentration (SpHb), and/or respiratory rate (RRa). The Masimo
Radical-7 Pulse CO-Oximeter and accessories are indicated for use with adult, pediatric, and
neonatal patients during both no motion and motion conditions, and for patients who are
well or poorly perfused in hospitals, hospital-type facilities, mobile, and home environments.
In addition, the Masimo Radical-7 Pulse CO-Oximeter and accessories are indicated to
provide the continuous noninvasive monitoring data obtained from the Masimo Radical-7
Pulse CO-Oximeter and accessories of functional oxygen saturation of arterial hemoglobin
(SpO
2
) and pulse rate to multi-parameter devices for the display of those devices.
The optional Masimo Radius-7 Wearable Pulse CO-Oximeter and Accessories are indicated
for the continuous noninvasive monitoring of functional oxygen saturation of arterial
hemoglobin (SpO
2
), pulse rate, carboxyhemoglobin saturation (SpCO), methemoglobin
saturation (SpMet), total hemoglobin concentration (SpHb), and/or respiratory rate (RRa).
The Masimo Radius-7 Wearable Pulse CO-Oximeter and accessories are indicated for use
with adult and pediatric patients during both no motion and motion conditions, and for
patients who are well or poorly perfused in hospitals and hospital-type facilities.
The optional ISA product family consists of three types of sidestream gas analyzers for
monitoring of breath rate and the following breathing gases:
ISA CO
2
: CO
2
ISA AX+: CO
2
, N
2
O, Halothane, Isoflurane, Enflurane, Sevoflurane and Desflurane
ISA OR+: CO
2
, O
2
, N
2
O, Halothane, Isoflurane, Enflurane, Sevoflurane and Desflurane
ISA CO
2
, ISA AX+ and ISA OR+ are intended to be connected to a patient breathing circuit
for monitoring of inspired/expired gases during anesthesia, recovery and respiratory care.
The intended environment is the operating suite, intensive care unit and patient room. ISA
CO
2
is also intended to be used in road ambulances. The intended patient population is
adult, pediatric and infant patients.
The optional SedLine Sedation Monitor is indicated for use in the operating room (OR),
intensive care unit (ICU), and clinical research laboratory. It is intended to monitor the
state of the brain by real-time data acquisition and processing of EEG signals. The system
includes the Patient State Index (PSi), a proprietary computed EEG variable that is related
to the effect of anesthetic agents.
The optional O3 Regional Oximeter and Sensors are indicated for the continuous
noninvasive monitoring of regional hemoglobin oxygen saturation of blood (rSO
2
) in the
tissue below the sensor, and the noninvasive monitoring of functional oxygen saturation of
arterial hemoglobin (SpO
2
) in hospital and hospital-type facilities.
Contraindication
There are no contraindications.
www.masimo.com 11 Masimo
Safety Information, Warnings, and
Cautions
CAUTION: Root is to be operated by, or under the supervision of, qualified personnel only.
The manual, accessories, directions for use, all precautionary information, and specifications
should be read before use. Refer to Operator's Manuals for Kite, ISA, Patient SafetyNet,
Radical-7, Radius-7, O3
and SedLine for additional safety information, warnings, and
cautions.
Safety Warnings and Cautions
WARNING: Do not use Root if it appears or is suspected to be damaged.
WARNING: Do not adjust, repair, open, disassemble or modify Root. Injury to personnel or
equipment damage could occur. Return Root for servicing.
WARNING: Do not use Root during or nearby magnetic resonance imaging (MRI) or in an
MRI environment.
WARNING: Do not place Root or accessories in any position that might cause it to fall on
the patient.
WARNING: To ensure safety, avoid stacking multiple devices or placing anything on the
device during operation.
WARNING: Do not use Root in the presence of flammable anesthetics or other flammable
substance in combination with air, oxygen-enriched environments or nitrous oxide to avoid
risk of explosion.
WARNING: To reduce the risk of explosion, only replace battery with Masimo supplied parts.
WARNING: Do not start or operate the Root unless the setup was verified to be correct.
WARNING: To ensure safety, only use Masimo authorized devices with Root.
WARNING: To protect against fire hazard, replace only with recommended fuses of the same
type, current rating, and voltage rating.
WARNING: Do not remove the back panel of the device. This could cause injury to personnel
or device damage.
WARNING: Electrical Shock Hazard: To protect against injury, follow the directions below:
Avoid placing the device on surfaces with visible liquid spills.
Do not soak or immerse the device in liquids.
Do not attempt to sterilize the device.
Use cleaning solutions only as instructed in this Operator's Manual.
Do not attempt to clean the Root while monitoring patient.
WARNING: Do not plug in or remove the power cord with wet hands to avoid risk of electric
shock. Ensure that your hands are clean and dry before touching the power cord.
Root Safety Information, Warnings, and Cautions
www.masimo.com 12 Masimo
WARNING: When positioned on a flat surface, the device should be secured with a mounting
system recommended by Masimo.
WARNING: As with all medical equipment, carefully route patient cables to reduce the
possibility of patient entanglement or strangulation.
CAUTION: Do not place the Root where the controls can be changed by the patient.
CAUTION: To ensure patient isolation, connect only Masimo devices that have been
designed for Root.
CAUTION: Equipment intended to be connected to signal input/signal output ports should
comply with applicable electrical safety standards to further minimize the risk of electric
shock. Only devices that have been configured to operate with Root may function properly
when connected.
CAUTION: Only use the AC power cable provided by Masimo. Using a different AC power
cable could cause damage to Root. Check the power cord and plug to ensure that it is intact
and undamaged.
CAUTION: To avoid risk of electrical shock, this equipment must only be connected to a
supply mains with a protective earth connection. Do not under any circumstances remove
the grounding conductor from the power plug.
CAUTION: Use a grounded outlet for proper equipment grounding. A hospital-grade outlet is
required.
CAUTION: Do not place Root where the appliance inlet or the AC power plug cannot be
readily disconnected.
Note: Disconnect the device from AC mains by removing the AC power cord connector from
the device inlet.
Note: If there is any doubt about the integrity of the protective earth conductor
arrangement, operate Root on internal battery power until the AC power supply protective
conductor is fully functional.
Note: Do not monitor more than a single patient at a time on Root.
Note: It is recommended that Root is attached to an AC power source when it is not in use
to ensure that the battery remains fully charged.
Note: For medical technologies that require AC power, the battery should be adequately
charged to ensure backup power in case of AC power disruption.
Performance Warnings and Cautions
WARNING: Root should not be used as the sole basis for medical decisions. It must be used
in conjunction with clinical signs and symptoms.
WARNING: Root may be used during defibrillation. This may affect the accuracy or
availability of the parameters and measurements.
WARNING: Root may be used during electrocautery. This may affect the accuracy or
availability of the parameters and measurements.
WARNING: Wireless communication of alarms to a secondary monitoring station should not
be relied upon as a primary alarm.
WARNING: Do not place the Root against a surface that may cause the alarm to be muffled.
Root Safety Information, Warnings, and Cautions
www.masimo.com 13 Masimo
WARNING: Radical-7 may not fully charge in a high ambient temperature environment.
WARNING: Always ensure settings including alarms are appropriate for each patient prior to
use.
WARNING: When using multiple devices in the same or similar environment, use of the
same patient profile (including the same alarm presets) to avoid confusion that can lead to
patient harm.
CAUTION: To ensure proper operation, verify ventilation openings are not obstructed and
free from dust and debris.
CAUTION: Ensure the speaker is not covered.
CAUTION: Before using Root under high intensity surgical lights, confirm that the display
settings allow for clear display of measurements.
CAUTION: Do not connect to an electrical outlet controlled by a wall switch or dimmer.
CAUTION: Do not place the Root on electrical equipment that may affect the device,
preventing it from working properly.
CAUTION: Failure to charge Root promptly after a Low Battery alarm may result in the
device shutting down.
CAUTION: To minimize radio interference, other electrical equipment that emits radio
frequency transmissions should not be in close proximity to Root.
CAUTION: If the Radical-7 or Radius-7 stops communicating with Root, parameters and
measurements will not show on the Root; however, this will not affect Radical-7's or
Radius-7's ability to monitor the patient.
CAUTION: In order to establish and maintain Root’s minimum Quality of Service, the
following network specifications should be met before and after installation:
Wired Network Connection
During Ping Test, passing result if:
a. At least 98% of packets have latency ≤ 30 milliseconds, and
b. No more than 2 % packets loss.
Wireless Network Connection
During Ping Test, passing result if:
a. At least 98% of packets have latency ≤ 100 milliseconds,
b. No more than 2 % packets loss, and
c. Primary access point signal strength at least -67 dBm.
CAUTION: The wireless quality of services may be influenced by the presence of other
devices that may create radio frequency interference (RFI). Some RFI devices to consider are
as follows: electrocautery equipment, cellular telephones, wireless PC and tablets, pagers,
RFID, MRI, electrically powered wheelchair, etc. When used in the presence of potential RFI
devices, consideration should be taken to maximize separation distances and to observe for
any potential signs of interference such as loss of communication or reduced Wi-Fi signal
strength.
Note: Root is provided with a Wi-Fi signal indicator as an indication of Wi-Fi
communication.
Note: Root’s alarm capabilities have been designed to be independent of the Wi-Fi
communication feature in order to preserve Root’s primary alarms.
Root Safety Information, Warnings, and Cautions
www.masimo.com 14 Masimo
Kite
WARNING: When using Root the Kite accessory does not generate or manage alarms. The
Root alarms, used in conjunction with clinical signs and symptoms, are the primary sources
for determining that an alarm condition exists.
CAUTION: Kite is not a primary display. Medical decisions should be made using data from
the primary display of a device in conjunction with clinical signs and symptoms.
Patient SafetyNet System
Note: The wireless communication status between Root and Patient SafetyNet is displayed
by Patient SafetyNet.
Cleaning and Service Warnings and Cautions
WARNING: Electrical Shock Hazard: The Root battery should be installed and/or removed
from Root only by qualified personnel.
WARNING: Do not use petroleum-based or acetone solutions, or other harsh solvents, to
clean the Root. These substances affect the device’s materials and device failure can result.
CAUTION: Do not touch, press, or rub the display panels with abrasive cleaning compounds,
instruments, brushes, rough-surface materials, or bring them into contact with anything
that could scratch the display.
CAUTION: Do not submerge the Root in any cleaning solution or attempt to sterilize by
autoclave, irradiation, steam, gas, ethylene oxide or any other method. This will seriously
damage the device.
CAUTION: Electrical shock and flammability hazard: Before cleaning, always turn off the
device and disconnect from any AC power source.
CAUTION: An operator may only perform maintenance procedures specifically described in
the manual. Refer servicing to qualified service personnel trained in the repair of this
equipment.
CAUTION: Electrical Shock Hazard: Carry out periodic tests to verify that leakage currents of
patient-applied circuits and the system are within acceptable limits as specified by the
applicable safety standards. The summation of leakage currents must be checked and in
compliance with IEC 60601-1 and UL60601-1. The system leakage current must be checked
when connecting external equipment to the system. When an event such as a component
drop of approximately 1 meter or greater or a spillage of blood or other liquids occurs, retest
before further use. Injury to personnel could occur.
Note: Excessive cleaning solution can flow into the device and cause damage to internal
components.
Root Safety Information, Warnings, and Cautions
www.masimo.com 15 Masimo
Compliance Warnings and Cautions
WARNING: Changes or modifications not expressly approved by Masimo shall void the
warranty for this equipment and could void the user’s authority to operate the equipment.
WARNING: Do not incinerate the battery.
WARNING: In accordance with international telecommunication requirements, the
frequency band of 2.4 GHz and 5.15 to 5.25 GHz is only for indoor usage to reduce potential
for harmful interference to co-channel mobile satellite systems.
WARNING: Users are advised that high-power radars are allocated as primary users (i.e.
priority users) of the bands 5.25-5.35 GHz and 5.65-5.85 GHz and that these radars could
cause interference and/or damage to LE-LAN devices.
CAUTION: Consideration to the compliance of the IEC 60601-1-1 standard should be made
when configuring Root as part of a Medical System.
CAUTION: Disposal of Product: Comply with local laws in the disposal of the device and/or
its accessories.
Note: Use Root in accordance with the Environmental Specifications section in the
Operator's Manual.
Note: 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.
Note: This equipment has been tested and found to comply with the limits for a Class A
digital device, pursuant to part 15 of the FCC Rules. These limits are designed to provide
reasonable protection against harmful interference when the equipment is operated in a
commercial environment. This equipment generates, uses and can radiate radio frequency
energy and, if not installed and used in accordance with the instruction manual, may cause
harmful interference to radio communications. Operation of this equipment in a residential
area is likely to cause harmful interference in which case the user will be required to correct
the interference at his own expense.
In order to maintain compliance with FCC regulations, shielded cables must be used with
this equipment. Operation with non-approved equipment or unshielded cables is likely to
result in interference to radio and TV reception. If this equipment does cause harmful
interference to radio or television, 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.
Connect the equipment into an outlet on a circuit different from that to which
the receiver is connected.
Consult the dealer or an experienced radio/TV technician for help.
Note: To satisfy RF exposure requirements, this device and its antenna must operate with a
separation distance of at least 20 cm from all persons and must not be co-located or
operating in conjunction with any other antenna or transmitter.
Root Safety Information, Warnings, and Cautions
www.masimo.com 16 Masimo
Note: This equipment has been tested and found to comply with the Class A limits for
medical devices according to the EN 60601-1-2: 2007, Medical Device Directive 93/42/EEC.
These limits are designed to provide reasonable protection against harmful interference in a
hospital environment.
Note: This Class A digital apparatus complies with Canadian ICES-003.
Note: This device complies with Industry Canada license-exempt RSS standard(s).
Operation is subject to the following two conditions: (1) this device may not cause
interference, and (2) this device must accept any interference, including interference that
may cause undesired operation of the device.
Note: Root is not intended for use during patient transport outside the healthcare facility.
www.masimo.com 17 Masimo
Chapter 1: Description
Root can be used in the following ways:
As a docking station and charger for Radical-7 and Radius-7 Battery Module.
As a bedside monitoring display for parameters on Radical-7, Radius-7, and
MOC-9 modules.
As a connectivity gateway for standalone devices.
Features
Front View
Ref.
Feature
Description
1
Docking Station
Provides a docking station for the Radical-7 and Radius-7 (Note:
Battery Charging Adapter required for Radius-7). While docked, the
Radical-7 can communicate monitored parameters and
measurements.*
2
Root Display and
Touchscreen
Provides a frontal display and interface for user interactions.
3
Home Button
Provides access to the Main Screen.
4
Root Charging
Indicator
Shows an indication of the battery charge for Root.
Root Chapter 1: Description
www.masimo.com 18 Masimo
Ref.
Feature
Description
5
AC Power
Indicator
Shows an indication of AC power connection Root.
6
Radical-7
Charging
Indicator
Shows an indication of battery charge for the Radical-7 in the
Docking Station.
*Only the touchscreen version of the Radical-7 is able to communicate monitored parameters
and measurements. All other versions can only charge in the docking station but not
communicate with Root.
Back View
Ref.
Feature
Description
1
Handle
Allows the user to transport Root.
2
Speaker
Provides audible notification.
3
Nurse Call
Connector
Provides a connection to a Nurse Call system.
Root Chapter 1: Description
www.masimo.com 19 Masimo
Ref.
Feature
Description
4
Ethernet Port
Provides a network connection to Root using an RJ-45 cable.
5
USB Ports (2)
Provide USB 2.0 connectivity.
6
Power Entry
Module
Contains the input connector for a hospital grade AC power cord
and the fuse holder.
7
Equipotential
Ground Connector
Provides optional functional earthing for Root to eliminate
potential differences. The use of the Equipotential Ground
Connector should be in accordance with IEC 60601-1.
8
Iris Connectivity
Ports (4)
Provide connection for standalone devices.
Root Chapter 1: Description
www.masimo.com 20 Masimo
Side Views
Left Side
Right Side
Ref.
Feature
Description
1
System Status
Lights
Provides an indication of system messages and alarm priority. See
System Status Lights on page 72.
2
Power Button
Places Root in Power On, Sleep and Power Off modes.
3
MOC-9 Ports (3)
Provide connectivity for MOC-9 modules.
www.masimo.com 21 Masimo
Chapter 2: Setting Up
Unpacking and Inspection
To unpack and inspect Root
1. Remove Root from the shipping carton and examine it for signs of shipping
damage or exposed electronics.
2. Confirm that you have all components for the Root by checking all materials
against the packing list:
Root
AC power cord
Note: 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 Masimo's Technical Service Department. See
Return Procedure on page 120.
Guidelines for Setting Up
Root has a built-in bracket interface that allows it to be mounted on a pole or roll stand.
When setting up Root, follow these guidelines:
Place on a stable, hard, flat, and dry surface near the patient.
Maintain a minimum of three (3) centimeters (one [1] inch) of free space around
Root.
Ensure that the back panel speaker is not covered to avoid a muffled alarm
sound.
Charge Root's battery fully before use. See Initial Battery Charging on page 23.
Root should not be operated outside the environmental conditions listed in the
specifications section. See Environmental on page 104.
Root Chapter 2: Setting Up
www.masimo.com 22 Masimo
Power On
The Power Button can be used for Power On, Sleep, and Power Off. To Power On, press the
Power Button for two (2) seconds until a single audible tone sounds.
Once Root turns on, if no Radical-7, Radius-7, or MOC-9 module is connected, the Root
display shows the following message: Please Connect a Device. The user is now able to
connect Radical-7, Radius-7, and MOC-9 module.
For information about Sleep Mode and Power Off, see Sleep and Power Off on page 74.
Root Chapter 2: Setting Up
www.masimo.com 23 Masimo
Initial Battery Charging
To charge the battery for the first time
1.
Securely plug the AC power cord into power entry module.
2.
Plug the hospital grade AC power cord into an AC power source.
3.
Verify that Root's battery is charging by ensuring that the AC Power Indicator (1)
is green and the Battery icon on the Status Bar (2) is solid green or has the
charging symbol. See AC Power Indicator on page 72 and About the Status Bar
on page 30.
(1)
(2)
4.
The Root Charging Indicator remains orange while the battery is charging and
will illuminate green
when Root is fully charged. See Root Battery on page 54
and About the Status Bar on page 30.
See Safety Information, Warnings, and Cautions on page 11.
Root Chapter 2: Setting Up
www.masimo.com 24 Masimo
Radical-7 Connection
It is recommended that Root be powered on before performing the steps below.
1. Snap the Radical-7 into the Docking Station.
2. If the Radical-7 is not yet turned on, press the power button on the Radical-7 to
power it on.
3. When properly connected, the Radical-7 Charging Indicator light will illuminate.
An illuminated Radical-7 Battery icon will also appear in the Status Bar. See
About the Status Bar on page 30
4. Root display will show active measurements and parameters.
For Radical-7 charging conditions, see Radical-7 and Radius-7 Charging Indicator on page
73.
Root Chapter 2: Setting Up
www.masimo.com 25 Masimo
Radius-7 Connection
It is recommended that Root be powered on before performing the steps below.
1. Ensure the Radius-7 Battery Charging Adapter is properly docked in the Docking
Station area of Root.
2. Activate the Bluetooth radio on Root. (for more information see Operator’s
Manual for Radius-7).
3. Place the Radius-7 Battery Module into the charging area of the Radius-7 Battery
Charging Adapter.
4. Root will emit a tone when pairing has completed (see Operator's Manual for
Radius-7 for more information).
5. When properly connected, an illuminated Radius-7 Battery icon will appear in the
Status Bar, and the rainbow Window will appear on the Root display.
Root Chapter 2: Setting Up
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MOC-9 Connection
To connect a MOC-9 module to Root
1. Identify the Masimo Open Connect (MOC-9) end of the module.
2. Insert the MOC-9 end of the module securely into a MOC-9 port on Root.
For more information about MOC-9 modules, see Chapter 8: MOC-9 on page 87.
Nurse Call Connection
Use a Nurse Call connection cable to connect to a Nurse Call System.
To connect to a Nurse Call System
1. Identify the Nurse Call connection end (1/4 inch round female connector) of the
cable.
2. Insert the Nurse Call connection cable securely into the compatible port on Root.
3. Depending on the connection type of the Nurse Call System, it may be necessary
to orient the other end of the Nurse Call connection cable to fit correctly into the
system connection.
4. For more information, see Device Output on page 58.
Root Chapter 2: Setting Up
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Masimo Kite
Masimo Kite Software Application is a passive monitoring interface to Point-of-Care (POC)
Masimo medical devices (Root for example) that co-exist under the same Wi-Fi network. Kite
remotely displays system and parameter status reported by the POC device on a separate
monitor.
Root must be on the same network as Kite.
Note: If the device is not on the same network, it can be added, but Kite will not be able to
connect it to view the parameters monitored by that device until both Kite and the device
are connected to the same network.
To add Root to Kite to view parameter status, refer to the Masimo Kite Software Application
Operator's Manual.
Bluetooth Devices
External devices can be connected to Root through Bluetooth. For more information about
connecting an external device to Root through Bluetooth, see Bluetooth Devices.
www.masimo.com 29 Masimo
Chapter 3: Operation
The information in this chapter assumes that Root is set up and ready for use. This chapter
provides necessary information for proper operation of the device. Do not operate Root
without completely reading and understanding these instructions.
About the Main Screen
The Main Screen consists of several features. The following shows the Main Screen when two
different devices are connected: Radical-7 (top) showing rainbow
®
parameters and
measurements and SedLine module (bottom) showing brain function measurements.
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Ref.
Feature
Description
1
Status
Bar
Displays system status as well as icons that provide shortcuts to menu
items or actions. See About the Status Bar on page 30.
2
Windows
Provides a dynamic, user-configurable display area for all the data from
connected medical devices.
3
Action
Bar
Provides icons for access to Root options for Patient Admit, EMR Push,
Session Management, Manual Events and the Main Menu. See Accessing
Main Menu Options on page 45.
About the Status Bar
At the top of the Main Screen is the Status Bar with interactive icons. Each icon provides a
shortcut to a menu item or an action on Root. An example is shown below.
Ref.
Feature
Description
1
Alarm Silence
Displays alarm status and temporarily mutes all audible alarms for
Root, Radical-7, Radius-7, and MOC-9 modules.
See Alarm Silence on page 65.
2
Audio Pause
Displays Audio Pause status and temporarily silences an alarm event.
See Audio Pause on page 65.
3
Standby Mode
Allows for patient monitoring to be temporarily suspended. Available
when using Root with Radical-7 or Radius-7.
See Standby Mode on page 66.
4
Device Output
Provides access to the Device Output screen for activation or
deactivation of nurse call functions, USB port output formats, and
IntelliBridge connection. If this icon is visible, then USB port 1 and/or
USB port 2 are activated.
See Device Output on page 58.
Root Chapter 3: Operation
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Ref.
Feature
Description
5
Kite
Provides access to the Kite screen for activation or deactivation of
Kite connection. If this icon is visible, then Kite connectivity has been
enabled.
See Kite on page 51.
6
Bluetooth
Provides access to the Bluetooth screen. If this icon is visible, then
Bluetooth connectivity has been enabled.
See Bluetooth on page 54.
7
Wi-Fi
Provides access to the Wi-Fi screen. If this icon is visible, then
wireless connectivity has been enabled. The icon also indicates signal
strength and Patient SafetyNet connectivity.
See Wi-Fi on page 52.
8
Ethernet
Provides access to the Ethernet screen. If this icon is visible, then
Ethernet connectivity has been enabled.
See Ethernet on page 53.
9
Iris
Provides access to the Iris screen. The example shown above
indicates that a standalone device is connected to Port 1 and the
information is being sent to Patient SafetyNet or Connectivity
Gateway. Ports 2, 3, and 4 are disconnected.
The color of the Iris icon matches the status colors of connected
standalone devices on the Iris screen. See Chapter 9: Iris on page 89.
10
Radical-7 or
Radius-7
Battery
Displays charging status for Radical-7 or Radius-7 and provides access
to the Battery Radical-7 screen. The example shows that the battery is
currently charging.
See Radical-7 and Radius-7 Charging Indicator on page 73.
11
Root Battery
Displays charging status for Root and provides access to the Battery
Root screen. The example shows that the battery is currently
charging.
See Root Charging Indicator on page 73.
12
Sounds
Provides access to the Sounds screen to adjust alarm and pulse tone
volume. This icon does not indicate the actual volume level of the
alarm and pulse tone.
See Sounds on page 48.
13
Current Time
Displays the current time and provides access to the Localization
screen which contains settings related to local time, language and
geography.
See Localization on page 51.
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Ref.
Feature
Description
14
Profiles
Provides access to the Profiles screen. The example shown illustrates
that Profiles is currently set to Adult for an adult patient.
See Profiles on page 61.
About the Action Bar
At the bottom of the Main Screen is the Action Bar with interactive icons. Each icon
provides a shortcut to a menu item or an action on Root.
Ref.
Feature
Description
1
Patient
Admit/Discharge*
Provides access to admit or discharge a patient. See Admit and
Discharge to Patient SafetyNet. on page 75
2
EMR Push*
Provides access to send measured or manually entered patient
parameter data. See Electronic Medical Record (EMR) Push on
page 81.
3
Session
Management
Provides access to Session Management. See Session
Management on page 67.
4
Manual Events
Provides access for manual event markers.
5
Main Menu
Provides access to device control options for Root and
connected medical devices. See Accessing Main Menu Options
on page 45.
*These icons will only appear when Root is connected to a Patient SafetyNet system
v5.0.0.0 or higher or an Iris Gateway system.
Using the Touchscreen Interface
Use the gestures described below to customize the viewing experience, including displaying
the highest priority parameters and measurements. The availability of navigation features is
dependent on the connected medical devices.
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Action
Illustration
Example
Description
Press
Press and release. Action performed
once finger is released.
Slide
Press, move (left, right, up or down),
and release. Moves an object across
the display.
Swipe
Press, move (left, right, up or down),
and release quickly.
Pinch
Press, move, and release two points.
Moving points apart zooms in, and
moving them together zooms out.
Drag
and
Drop
See Customizing Windows on
page 41.
Press, hold, drag an object to
desired position, and drop it by
releasing.
Below is a list of all the different types of controls available on Root and the various ways to
interact with each type of control.
Control
Applicable Actions
Description
Toggle
Slide knob
Switches between toggle states
Press left or right of
toggle
Quickly moves knob left or right
Labeled Toggle
Slide knob
Switches between toggle states
Press left or right of
toggle
Quickly moves knob left or right
Press label
Quickly moves knob left or right
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Control
Applicable Actions
Description
Spinner
Press center (focused)
tile
When closed, expands the spinner
When open, collapses the spinner
Swipe up or down
When open, scrolls through spinner tiles
Press unfocused tile
When open, scrolls tile into center (focused)
position
Press anywhere
outside spinner
When open, collapses spinner
Slider
Slide knob
Moves knob
Press anywhere along
slider path
Quickly moves knob to Tap position
Slider Spinner
Slide knob
Moves knob
Press anywhere along
slider path
Quickly moves knob to Tap position
Press center (focused)
tile
When closed, expands the spinner
When open, collapses the spinner
Swipe up/down
When open, scrolls through spinner tiles
Press unfocused tile
When open, scrolls tile into center (focused)
position
Press anywhere
outside spinner
When open, collapses spinner
Button
Press
Performs action (as defined by the button
description)
Icon Menu
Press tile
Opens menu specified by tile
Swipe left or right
(anywhere)
Scrolls icons left or right
Press bottom
indicator icon
Quickly centers tile corresponding to indicator
icon
Window
Press parameter or
measurement
When no parameter or measurement alarm is
present, opens parameter or measurement menu
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Control
Applicable Actions
Description
When parameter or measurement alarm is
present, silences parameter or measurement
alarm
Press and hold
Enables parameter and measurement drag and
drop
Well
Press parameter or
measurement
When no parameter or measurement alarm is
present, opens parameter or measurement menu
When parameter or measurement alarm is
present, silences parameter or measurement
alarm
Press and hold
Enables parameter and measurement drag and
drop
Live Waveform
Swipe down
Separates pleth and acoustic waveforms
Swipe up
Combines pleth and acoustic waveforms
Trend Line
Pinch in
Zooms in
Pinch out
Zooms out
Pan
Changes time range
Press y-axis
Opens parameter or measurement trend menu
Trend Zoom
Press '+'
Increases time range
Press '-'
Decreases time range
Press time label
Resets time range to default
Alarm Silence
icon
Press
Silences all alarms
Audio Pause
icon
Press
Enables Audio Pause
Other Status
Bar icons
Press
Opens relevant menu
Back Arrow
Press
Exits menu, abandons any changes
Root Chapter 3: Operation
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Menu Navigation
When navigating through menus and configuring settings, all changes must be confirmed
by selecting OK. To cancel the changes, select Cancel. Any screen requiring selection of
option(s) will time out after one (1) minute of inactivity and return to the Main Screen.
To navigate to the previous screen, press the arrow at the top left corner of the touchscreen.
To return to the Main Screen, at any time, press the Home Button at any time. The Home
Button is always illuminated when Root is powered on.
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Understanding Windows
Root creates a Window for Radical-7, Radius-7, and compatible medical devices that are
connected to Root. Parameters or measurements can be expanded or minimized within a
Window to customize view. Radical-7 Windows are shown in the examples below.
Windows provide waveforms along with either a Trend View or an Analog View. Trend View
displays each parameter or measurement alongside a graph of its values over time. Analog
View displays values in relation to alarm ranges.
Details about the displayed information of parameters and measurements can be found in
the directions for use or Operator's Manual of Radical-7, Radius-7, and MOC-9 modules.
Trend View
Analog View
Root Chapter 3: Operation
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Ref.
Feature
Description
1
Window
The area where all data from a docked Radical-7, Radius-7, or connected
MOC-9 module are displayed.
2
Action
Menu
This menu allows the user to change between Trend View and Analog
View. For NIBP and Temperature, the action menu allows access to
additional settings. Sensitivity settings can also be selected through the
action menu.
3
Waveform
Shows a parameter or measurement over time (only for Radical-7,
Radius-7, and MOC-9 modules).
4a
Trend
Display
(Available only in Trend View) Parameters and measurements are shown
as Trend Displays in Trend View. A parameter or measurement's Trend
Display includes its Value Range, Numeric Value, Alarm Limits and
Parameter label. See Using Trend View on page 38.
4b
Analog
Gauge
(Available only in Analog View) Parameters and measurements are shown
as Analog Gauges in Analog View. A parameter's Analog Gauge includes
its Alarm Limits, Numeric Value, Parameter Label, as well as Alarming,
Caution and Normal Ranges. See Using Analog View on page 39.
5
Well
Displays parameters and measurements which are not shown as Trend
Displays or Analog Gauges.
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Using Trend View
In Trend View, a parameter or measurement is displayed as a graph of its values over time.
The following diagram and table describe key features of a parameter's Trend Display in
Trend View.
Ref.
Feature
Description
1
Value Range
Indicates current viewing of the parameter or measurement.
Press to access the Trend menu where the minimum and
maximum of the range can be modified.
2
Trend Graph
Displays parameter and measurement over a period of time.
Zoom in and out of a Trend Graph by pinching out and in.
3
Numeric Value
Indicates current reading of the parameter or measurement.
4
Alarm Limits
Indicate high and low alarm limits for the parameter or
measurement, if supported.
5
Parameter or
Measurement Label
Indicates the name of the parameter or measurement.
Root Chapter 3: Operation
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Using Analog View
The Analog View shows parameter and measurement data as a needle pointing to
graduations in a circular array around a dial. This view provides indications of change that
can be interpreted at a quick glance.
Analog View displays alarming and normal ranges of a parameter or measurement. These
indicators can be used to alert clinicians to a patient's condition. To understand specific
parameters or measurements, refer to the directions for use or operator's manuals for
Radical-7, Radius-7, and the appropriate MOC-9 module(s).
The following diagrams and tables describe key features of a parameter's Gauge in Analog
View.
When alarm limits for a specific parameter or measurement are set, the corresponding
Analog gauge re-orients itself.
General features of the Analog View are:
Ref.
Feature
Description
1
Needle
Indicates current status of a parameter or
measurement.
2
Alarm Limits
Indicate high and low alarm limits for the parameter or
measurement.
3
Numeric Value
Indicates current reading of the parameter or
measurement.
4
Parameter or Measurement
Label
Indicates the name of the parameter or measurement.
Root Chapter 3: Operation
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Specific ranges of the Analog View are:
Ref.
Feature
Color
Description
1
Normal Range
White
Area of the display range where an alarm will not be
triggered.
2
Caution Range
Yellow
Area of the display range that provides a caution indicator.
3
Alarming
Range
Red
Area of the display range where an alarm will be triggered.
Some ranges display as quarter circles, others display as half circles. A quarter circle displays
when the value has a physiologic normal level at one end of the range. A half circle displays
when the value has a physiologic normal level in the middle of the display range.
In the example below, the SpO
2
gauge is shown as a quarter circle, where values lower than
88% will trigger an alarm, and the PR gauge is shown as a half circle, where values below 50
bpm and above 140 bpm will trigger an alarm.
Quarter Circle
Half Circle
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Customizing Windows
Windows can be customized by expanding and minimizing parameters and measurements
in both Trend View and Analog View. When a parameter is minimized, it is only displayed in
the Well with its Numeric Value and Parameter Label. When a parameter is expanded, it will
be shown as either a Trend Display or Gauge.
To expand a parameter or measurement
Order
Instruction
Step 1
Press and hold the Numeric Value until it dims.
Step 2
Drag the Numeric Value over any Trend Display.
Step 3
Release the Numeric Value.
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Minimizing a parameter or measurement
Order
Instruction
Step 1
Press and hold the Numeric Value until it shrinks.
Step 2
Drag the Numeric Value to the Well.
Step 3
Release the Numeric Value.
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Manual Sizing of Windows
Expanding and minimizing of windows can be performed from the Main Screen.
Steps
Instruction
1
Press and hold the header bar of the window to be resized to activate the feature.
Window borders turn blue for all windows visible on the main screen.
2
Touch the up arrow to expand the selected window.
3
Touch the down arrow to minimize the selected window.
Note: The selected window can also be resized by touching the bar with an up or down arrow
and dragging to resize.
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Accessing Main Menu Options
To access the Main Menu options
At the bottom right corner of the touchscreen, press the Main Menu icon.
The Main Menu options are:
Layout
See Layout on page 46.
rainbow
See Rainbow on page 48
Sounds
See Sounds on page 48.
Device Settings
See Device Settings on page 49.
About
See About on page 60.
Trend Settings
See Trend Settings on page 61.
Profiles
See Profiles on page 61.
Iris
See Chapter 9: Iris on page 89.
Root Chapter 3: Operation
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Layout
Use the Layout screen to select sizing options for Windows and Trend Displays.
Available Layouts
When a Radical-7 or Radius-7 is docked to Root and/or multiple MOC-9 modules are
connected to Root, the user will have the option to select from several pre-configured
layouts. Image below shows layout options available with Radical 7 docked in Root.
Note: Rainbow window can be viewed on a Radical 7, using software V1.5.3.5 or greater, in
several of the pre-configured layouts.
Root Chapter 3: Operation
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Additional Settings for Layouts
From the Layout screen, press Additional Settings. Change any of the following options:
Option
Description
Factory Default
Settings
User Configurable
Settings
Trend
Layout
Controls the sizing of Trend
Displays.
Dynamic
Fixed or Dynamic
Analog
Range
Controls Analog Range
Setting.
Fixed
Fixed or Dynamic
The following diagram and tables explain the differences between Fixed and Dynamic modes
for a Trend View.
Fixed
Ref.
Description
1
A set number of Trend Displays can be shown at the same time and all Trend Displays
are fixed in size. Every additional parameter or measurement expanded will replace an
existing Trend Display.
For more information about expanding parameters, see Customizing Windows on page
41.
2
Size of each Trend Display is fixed.
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Dynamic
Ref.
Description
1
Size of all Trend Displays decreases or increases to accommodate parameter(s)
expanded or minimized. All Trend Displays are always evenly sized.*
For more information about expanding and minimizing parameters, see Customizing
Windows on page 41.
2
*Size of each Trend Display is automatically adjusted.
*When the number of Trend Displays reaches maximum viewing capacity, additional
parameters expanded will result in the replacement of existing Trend Displays.
Rainbow
The rainbow icon is displayed only when a Radical-7 or Radius-7 is docked to Root. See
Operator manuals for Radical-7 or Radius-7.
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Sounds
Use the Sounds screen to control the volume level of sounds and duration of audio pause for
Root.
Option
Description
Factory Default
Setting
Configurable Settings
Alarm
Volume
Sets the alarm volume
level.
Highest volume
Slide towards the left to decrease
volume to silence.
Pulse Tone
Volume
Sets the pulse tone
volume level.
3
Slide towards the left to decrease
volume to silence.
Audio Pause
Duration
Sets the length of
time that the audible
alarm remains
silenced, when Audio
Pause is enabled. See
Audio Pause on page
65.
2 minutes
1, 2, 3 minutes, Permanent*,
Permanent with Reminder*.
If Permanent is selected, there will
be no audible alarms when Audio
Pause is enabled, but visual
alarms will still display.
If Permanent with Reminder is
selected, a tone will sound every
three (3) minutes as a reminder
that Permanent is active when
Audio Pause is enabled.
SmartTone
Allows the audible
pulse to continue to
beep when the pleth
graph shows signs of
motion.
Off
On or Off
*Requires the all mute enabled option to be toggled to ON in the Access Control menu. See
Access Control on page 55.
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Device Settings
The Device Settings menu allows the user to view and customize settings for Root.
The Device Settings options are:
Localization
See Localization on page 51.
Kite
See Kite on page 51
Wi-Fi
See Wi-Fi on page 52.
Ethernet
See Ethernet on page 53.
Bluetooth
See Bluetooth on page 54.
Root Battery
See Root Battery on page 54.
Radical-7 Battery
See Radical-7 and Radius-7 Battery on page 55.
Brightness
See Brightness on page 55.
Access Control
See Access Control on page 55.
Device Output
See Device Output on page 58.
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Localization
Use the Localization screen to view the current date and time and configure settings related
to local time, language and geography. The user can also access the Localization screen by
pressing the current time on the Status Bar. See About the Status Bar on page 30.
Option
Description
Factory Default
Setting
Configurable Settings
Language
Selects the language display
for Root.
English
Choose from available
languages.
Date Format
Sets the display format for
current date.
mm/dd/yy
mm/dd/yy or
dd/mm/yy
Time Format
Sets the display format for
current time.
12 hour
12 hour or
24 hour
Line
Frequency
Sets to match regional power
line frequency.
60 Hz
50 Hz or 60 Hz
Date
Sets the current date.
N/A
N/A
Time
Sets the current time.
N/A
N/A
Kite
Use the Kite screen to enable or disable Kite connectivity.
Option
Description
Factory Default
Setting
Configurable Settings
Enable Kite
Connection
Activates or deactivates an
active Kite connection.
disabled
enabled (no key),
enabled (key) or
disabled
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Option
Description
Factory Default
Setting
Configurable Settings
Pairing Key
Four (4) digit code
automatically assigned for
active Kite session.
N/A
Automatic with active
Kite connection
Wi-Fi
The Wi-Fi radio allows for networked communication of data and alarm signals between
Root and a secondary patient monitoring station, Masimo’s Patient SafetyNet over an IEEE
802.11 a/b/g wireless network. The wireless data transmission is an optional network data
transmission to the wired network data transmission, using Root’s integral Ethernet Port.
Root uses only configured MAC addresses to establish wireless communications to prevent
unauthorized connections to other wireless devices. As risk mitigation to the loss of the
wireless communication, Root’s alarm capabilities have been designed to be independent of
the Wi-Fi communication feature in order to preserve Root’s primary alarms.
Use the Wi-Fi screen to enable or disable Wi-Fi connectivity. When Root is connected to a
Wi-Fi network, the Wi-Fi icon on the Status Bar conveys the strength of the connection. See
About the Status Bar on page 30.
Option
Description
Factory Default
Setting
Configurable Settings
Wi-Fi
Enables or disables Wi-Fi
connectivity.
Off
On or Off
Additional fields in the Wi-Fi screen display read-only settings about the Wi-Fi connection
that cannot be configured by the user.
Your Masimo sales representative can provide necessary information regarding an initial
Wi-Fi connection. For more information, see the Patient SafetyNet Operator's Manual.
CAUTION: Unanticipated failure or alteration of network components (including but not
limited to: disconnection or malfunctioning of a networking device/switch/router/ethernet
cable) may result in loss of connectivity of Kite to other hospital systems. Altering or
making changes to the hospital network should be done with proper knowledge.
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Connecting Root to Patient SafetyNet
Root can be configured to connect to Patient SafetyNet wirelessly by authorized and trained
personnel only.
The wireless icon in the Status Bar on Root displays the current connection status. See
About the Main Screen on page 29.
Icon
Description
A gray icon indicates Root wireless radio is on, but it is not connected to a
wireless network.
A blue icon indicates Root is connected to a wireless network, but not
communicating with Patient SafetyNet.
A green icon indicates Root is connected to a wireless network and
communicating directly with Patient SafetyNet.
Ethernet
Use the Ethernet screen to enable or disable Ethernet connectivity. When Ethernet
connectivity is enabled, the Ethernet icon will appear in the Status Bar. See About the
Status Bar on page 30.
Option
Description
Factory Default
Setting
Configurable
Settings
Ethernet
Enables or disables Ethernet
connectivity.
On
On or Off
Additional fields in the Ethernet screen display read-only settings about the Ethernet
connectivity that cannot be configured by the user.
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Bluetooth
The Bluetooth radio allows for the detection of the close proximity of Masimo’s MyView
Presence Tag. Root’s detection of Masimo’s MyView Presence Tag is an optional feature that
allows for the display of predetermined customized settings by a clinician. Root utilizes only
configured MAC addresses to establish Bluetooth communication to prevent unauthorized
connection to other Bluetooth enabled devices.
Use the Bluetooth screen to enable or disable Bluetooth connectivity. When Bluetooth
connectivity is enabled, the Bluetooth icon will appear in the Status Bar. See About the
Status Bar on page 30.
Option
Description
Factory Default
Setting
Configurable
Settings
Bluetooth
Enables or disables Bluetooth
connectivity.
Off
On or Off
For more information on how to configure MyView Presence Tag, see the Patient SafetyNet
Operator's Manual.
Root Battery
Use the Root Battery screen to view the specific percentage of charge on the battery. The
user can also access Root's Battery screen by pressing the Battery icon on the Status Bar.
See About the Status Bar on page 30.
Option
Description
State of Charge
Provides a read-only display of battery level remaining.
Battery Diagnostics
Allows trained personnel to access battery diagnostic information.
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Radical-7 and Radius-7 Battery
Use the Battery screen to view the specific percentage of charge on the Radical-7 or
Radius-7's battery. For Radical-7, the user can also access the Battery screen by pressing the
Battery icon on the Status Bar. See About the Status Bar on page 30.
Option
Description
State of Charge
Provides a read-only display of battery level remaining.
Battery Diagnostics
Allows trained personnel to access battery diagnostic information.
Brightness
Use the Brightness screen to adjust the brightness of the Root display.
Option
Description
Factory
Default
Setting
Configurable
Settings
Auto
Brightness
Allows automatic adjustment of Root's
display brightness based on ambient
light.
Off
On or Off
Brightness
Adjust the brightness level of the Root
display by sliding the button (4 is
brightest).
4
1, 2, 3, 4
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Access Control
Access Control contains configurable options and settings that require a password.
To enter Access Control
1. Press the key.
2. When the numeric screen displays, enter the following numbers: 6 2 7 4
Asterisks (****) will be displayed.
To undo an entry, press Backspace.
3. Press Enter to access the password protected screen.
Note: The password will have to be entered every time this screen is accessed.
Option
Description
Factory
Default
Setting
Configurable
Settings
Power On Profile
Sets the profile used when
the device is powered on.
Previous
Profile
Adult, Adult
Modified, Neonatal,
Pediatric, or
Previous Profile
All Mute
Enabled
Enables or disables
parameter Alarm Silence
menu option. See Sounds
on page 48.
Off
On or Off
Lock Alarm
Volume
Sets the lowest alarm
volume level.
Off
3, 4, or Off
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Option
Description
Factory
Default
Setting
Configurable
Settings
Optical Sensor
Off Alarm Delay
Enables or disables alarm
delay when Optical Sensor
is off.
0 Sec.
0, 5, 10, 15, 30, or
60 seconds
Standby
Enabled
Enables or disables option
for Standby Mode. See
Standby Mode on page 66.
Off
On or Off
Standby
Reminder Tone
Interval
Allows for time interval of
30 sec, 1 min, 2 min, 3 min,
5 min, 10 min, or 15 min, as
well as Off.
30 sec
30 sec, 1 min, 2
min, 3 min, 5 min,
10 min, 15 min, or
Off
Allow Unsigned
Upgrade
Allows for Root software to
be reverted back to older
version
Off
On or Off
Sessions
Enabled
Enables or disables Session
Management. See Session
Management on page 67
Off
On or Off
USB Port 1*
baud rate
Enables option to change
baud rate of device
921600
9600, 19200,
38400, 57600,
115200, 230400, or
921600
USB Port 2*
baud rate
Enables option to change
baud rate of device
921600
9600, 19200,
38400, 57600,
115200, 230400, or
921600
Data Collection
Enabled
Enables or disables physical
data collection mode.
Off
On or Off
EDF Collection
Enabled
Enables or disables EDF
data collection from
SedLine (See Operator's
Manual for SedLine)
Off
On or Off
Synchronized
Waveforms
Enabled
Enables or disables
Synchronization Waveform
view.
Off
On or Off
Presence
Monitoring
Enables or disables
Presence Monitoring
Off
On or Off
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Option
Description
Factory
Default
Setting
Configurable
Settings
Save as Adult
Saves current profile
parameter as the Adult
Profile.
N/A
Press Save to
update the profile.
Save as
Pediatric
Saves current profile
parameter as the Pediatric
Profile.
N/A
Press Save to
update the profile.
Save as Neo
Saves current profile
parameter as the Neonatal
Profile.
N/A
Press Save to
update the profile.
Factory Defaults
Options are restored to
factory value.
N/A
Press Restore.
*Changes to USB Ports baud rate will take effect after Root is power cycled, turned off then
on again.
Note: Restore Factory Defaults can only be performed during non-monitoring and no cable
connections are present.
Device Output
The Device Output screen allows the user to configure additional data output options. A
Nurse Call can be triggered based on alarm, low Signal IQ events or both. In addition, Nurse
Call Polarity can be inverted to accommodate local Nurse Call station requirements.
Option
Description
Factory
Default
Setting
Configurable Settings
Nurse Call
Trigger
Controls the source of monitoring
which sets off the trigger.
Alarms
Alarms, Low SIQ,
Alarms + SIQ
Nurse Call
Polarity
Controls the mechanism of action
for triggering to occur. Should be
changed to accommodate
institutional Nurse Call settings.
Normal
Normal or Inverted
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Option
Description
Factory
Default
Setting
Configurable Settings
USB Port 1
Controls the output type for USB
Port 1.
None
None, SatShare, ASCII
1, IntelliBridge, or IAP
USB Port 2
Controls the output type for USB
Port 2.
IAP
None, SatShare, ASCII
1, IntelliBridge, or IAP
IntelliBridge
Output
Options*
Controls the data type output for
IntelliBridge.
Radical
Radical
Radical Module A
SedLine Numerics
only
SedLine, O3
Sensor 1/2/L/R
Capnography
SedLine, O3
Sensor 1/2/3/4
*Displays when IntelliBridge is selected as USB Port Output.
Note: The Nurse Call feature is disabled when Audio Pause is enabled and Nurse Call Trigger
is set to Alarms. For more information about Audio Pause, see Audio Pause on page 65.
IntelliBridge Connectivity
IntelliBridge connectivity allows Root to transmit parameters and waveforms to Philips
multi-parameter patient monitors that support Philips IntelliBridge device interfacing
modules. This option allows parameters and waveforms on Root to be displayed on a Philips
monitor and, if applicable, transmitted to the electronic medical record system.
Masimo parameters from SET, rainbow SET, SedLine
®
and O3, channels are supported.
Masimo waveforms from SET, rainbow SET, channels are supported.
Note: Root supports the transmission of data only. Validations of the retrieval and display of
data transmitted is the responsibility of the IntelliBridge manufacturer.
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Parameters Supported
IntelliBridge connectivity allows for up to six (6) parameters and two (2) waveforms or eight
(8) parameters and no waveform to be displayed on Philips monitors.
Channel
Supported Parameters
Waveforms
SET
®
SpO
2
, PR, Pi, PVi
Pleth
rainbow
®
ORi, RRa, RRp, SpHb, SpCO, SpfO
2
, SpOC, SpMet
RRa
SedLine
®
PSi
™
, SR, EMG, ARTF, SEFR, SEFL
N/A
O3
®
rSO
2
, Delta Baseline, AUC
N/A
Capnography
etCO
2
, FiCO
2
, RR, etN
2
O, FiN
2
O, EtO
2
, FiO
2
, EtENF,
FiENF, EtDES, FiDES, EtHAL, FiHAL, EtISO, FiISO,
EtSEV, FiSEV, MAC
CO
2
, uom %, CO
2
uom kPa,
CO
2
, uom mmHg, O
2
, AA1
About
Use the About screen to view the serial number as well as software and hardware version
information about Root. These details may be helpful during troubleshooting.
Option
Description
Serial Number
Displays the serial number for the device.
MCU 1
Displays software version number.
Processor
Displays processor version number.
MCU 2
Displays software version number.
MIB
Displays MOC-9 interface revision.
Information about Radical-7, Radius-7, and MOC-9 modules will display in a separate list.
These fields are read-only and cannot be configured by the user.
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Trend Settings
Use the Trend Settings screen to configure trend viewing on the Main Screen and trend data
storage on Root.
Option
Description
Factory Default
Setting
Configurable Settings
Default
Duration
Duration captured by
Trend Graph.
2 hours
15, 30, and 45 minutes
1, 2, 4, 8, 12, 24, 48, 72, and 96
hours
Clear Trends
Delete all stored trend
data.
N/A
Press Clear to delete all stored
trend data.
To configure trend settings for specific parameters and measurements, see Directions for
Use or Operator's Manuals for Radical-7, Radius-7, and appropriate MOC-9 module(s).
Profiles
Use the Profiles screen to select patient type.
Option
Description
Factory Default
Setting
Configurable Settings
Profile Name
Identifies the Profiles setting
in the device.
Adult
Adult, Pediatric,
Neonatal, Custom
Configure
Profile
Identifies the patient
category type.
Adult
Adult, Pediatric,
Neonatal
Root can be configured for various patient types by using the Profiles feature. Profile
selection controls the management of patient configuration settings on Root. The settings
of the three default profiles (Adult, Pediatric, and Neonatal) configure parameter alarms,
averaging time, and sensitivity modes.
Root has the ability to support up to eight (8) custom profiles to accommodate usage in any
hospital environment. For more information regarding Profiles, see the Instructions for Use
or Operator’s Manuals for Radical-7, Radius-7, and appropriate MOC-9 module(s).
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Alarm Interface
Alarms can have different priority levels and come from different sources. The following
tables describe alarm behaviors in more detail.
Priority
Alarm Sound
High
10-pulse burst
Medium
3-pulse burst
Alarm
Source
Example
Explanation
Parameter
Level
The example shown here is a PR alarm
as the reading (61) exceeds the lower
alarm limit (65).
Note: The borders of both the PR Trend
Display as well as the Window are
illuminated red, and the explanation of
the alarm is shown at the top of the
Window (PR Low < 65).
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Alarm
Source
Example
Explanation
Window
Level
The example shown here is a "High
Impedance" alarm in the lower Window.
Note: The border of the Window
illuminates red, and the explanation of
the alarm is shown at the top of the
Window (High Impedance Detected).
System
Level
The example shown here is a "Low
Battery" alarm.
Note: The border of the entire Root
display is illuminated yellow, and the
explanation of the alarm is shown in the
Status Bar (Low Battery).
For more details about specific alarms on Radical-7, Radius-7, and MOC-9 modules, see
Directions for Use or Operator’s Manuals for Radical-7, Radius-7, and MOC-9 modules.
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Alarm Silence
The Alarm Silence icon is an indicator as well as a functional button. It always indicates the
presence of alarms, and it can be used to temporarily suspend audible alarms for a
pre-configured amount of time, known as Silence Duration.
Silence Duration configurations vary across different parameters and measurements. For
more information about Silence Duration, refer to the instructions for use or Operator’s
Manuals for Radical-7, Radius-7, and appropriate MOC-9 module(s).
Icon Appearance
Description
Visual
Alarms
There are currently no active alarms, and no alarms have been
silenced.
No
There are currently no active alarms, but at least one alarm
has been and is still silenced.
No
There is currently at least one active alarm that has not been
silenced.
Yes
There is currently at least one active alarm, but all active
alarms are silenced.
Yes
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Audio Pause
Audio Pause temporarily suspends all audible alarms on Root. When it is active, visual
alarms are not impacted and will still display. The Audio Pause icon is located on the left
side of the Status Bar – do not confuse with the Sounds icon on the right side of the Status
Bar. See About the Status Bar on page 30.
By default, Audio Pause is inactive, and the icon appears in the following way:
Audio Pause inactive
To activate Audio Pause, press the icon. It will turn red and the remaining Audio Pause
Duration time counts down next to the icon. The default duration for Audio Pause is 120
seconds. In the example below, Audio Pause is activated, and there are 15 seconds left until
Audio Pause is inactive again.
To configure Audio Pause, see Sounds on page 48.
Audio Pause active. 15 seconds until Audio Pause is inactive.
Note: When Audio Pause is activated, powering off and then powering on Root will return
Audio Pause to its default inactive state.
Standby Mode
Standby Mode allows for patient monitoring to be temporarily suspended. The Standby icon
(see image below) is located in the top-left corner of the screen.
To enable Standby Mode (suspend monitoring)
1. On Root, open the Access Control menu.
2. Swipe the standby enabled button to ON. Return to the home screen on Root,
and the Standby icon will appear on the screen in the top-left corner.
3. Press the Standby icon, and a notification message will appear on the screen
indicating that monitoring is suspended (see image below).
To exit Standby Mode (resume monitoring)
Tap anywhere on the screen.
WARNING: When Root is in Standby Mode, monitoring is suspended and no alarms will be
active, with the exception of the low battery alarm.
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Note: Standby Mode will not affect any devices using Root's Iris Connectivity to Masimo
Patient SafetyNet.
Trend Download
Root can store up to 96 hours of trend data captured at 2-second intervals from Radical-7,
Radius-7, and MOC-9 modules. Trend data from Root can be transferred to a computer via
USB for evaluation.
Trend data is stored in non-volatile memory, so it is not erased when Root is shut off. Trend
data download is initiated using the Masimo Instrument Configuration Tool, which converts
the data to a .TXT or .CSV file.
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Session Management
Session Management, when enabled, allows clinicians to input a label (session name) which
will output with data downloaded from Root.
Enabling Session Management
To enable session management go to Devices Settings. Choose Access Control then slide the
Sessions Enabled button to the on position.
Starting Session Management
Press the session management icon on the Action Bar. Session Name window will open
in which you can label the session. When data is downloaded from Root it can be identified
by the label assigned to a particular session. See About the Action Bar on page 32.
Note: When Session Management is enabled multiple sessions can be recorded, not
simultaneously but sequentially.
Ending Session Management
To end a session, go to the Action Bar, press the session management icon with the timer
overlay . End Session window will open. Push the End button to end the session.
Note: The maximum time for a session is 96 hours.
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Screen Capture
Up to 20 screen capture images can be stored in Root and transferred to a USB drive as PNG
files. When the limit of 20 screen captures is reached in Root, every new screen capture will
replace the oldest dated screen capture.
Note: There must be a folder titled “screen_shot” in the USB drive with a FAT or FAT32
system file to enable the download of the screenshots.
Capturing Screens
To capture a screen:
Swipe across the Root screen from right to left using two or more fingers simultaneously
(see image below).
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A confirmation flash will appear on the screen indicating a capture is in progress. A status
message [1] will be displayed briefly at the top of the screen and the patient label name will
be masked with asterisks [2].
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Reference
Example
Description
1
The screen capture status message
displays the following information:
Date: Date of screen capture
(YYYYMMDD)
Time: Time of screen capture
(HHMMSS)
Device Serial Number: 10 digit
Root serial number
Number of Screen Captures:
The number of screen captures
saved on Root of 20 screen
capture limit. When the limit
of 20 screen captures is
reached, every new screen
capture will replace the oldest
dated screen capture.
2
The patient label is masked with
asterisks when capturing a screen.
Downloading Screen Captures
To download screen captures:
1. Remove any sensors connected to the patient to stop monitoring, and
acknowledge any alarms triggered on Root.
Note: Before connecting the USB drive in the next step, there must be a folder
titled “screen_shot” in the USB drive with a FAT or FAT32 system file to enable
the download of the screen captures.
2. Plug the USB drive into the USB port located on the rear panel of Root; the
screen captures will automatically download. A status message will display briefly
at the top of the Root screen to indicate the start of the download.
3. A confirmation status message will display briefly at the top of the Root screen
when the file transfer is complete.
4. Unplug the USB drive from Root.
To import the screen captures from the USB drive onto a computer, plug the USB drive into
the computers USB port, then open the folder titled “screen_shot” (from the USB drive) on
the computer to access the .png files.
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Lights
System Status Lights
The System Status Lights provide visual indications of alarms and system messages. The
lights will illuminate in different colors depending on the state of the device.
To locate the System Status Lights, see Side Views on page 19.
System Status Light
Light Status
Alarm Priority
Indication
None
None
Monitoring has not started.
Green
None
There is currently no active alarms.
Flashing Yellow
Medium
There is an active alarm of medium priority.
Flashing Red
High
There is an active alarm of high priority.
The alarm priority is determined by the Radical-7, Radius-7, and MOC-9 module(s) that are
connected to Root. The following are system level alarm messages that accompany System
Status Lights when Radical-7, Radius-7, and MOC-9 modules are not connected:
Status Light Message
Alarm Priority
Low battery
Medium
Service required
High
AC Power Indicator
Whenever Root is connected to an AC power source, the AC power indicator illuminates.
Light Status
Indication
Green
Root is connected to an AC power source.
Off
Root is not connected to an AC power source.
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Root Charging Indicator
Whenever Root is connected to an AC power source, if not fully charged, its battery will
charge.
Light Status
Battery Indication
Green
Battery is fully charged.
Orange
Battery is charging.
Red
Battery charging error.
Off
Battery is not being charged. Root is not connected to AC power source.
Radical-7 and Radius-7 Charging Indicator
When Root is connected to an AC power source, it is able to charge a correctly docked
Radical-7 or Radius-7. This is true whether the device is powered on, in Sleep Mode, or
powered off. Conversely, when Root is not connected to AC power, it will not charge the
device.
The light status provides a visual indication of the battery condition:
Light Status
Battery Indication
Green
Battery is fully charged.
Orange
Battery is charging.
Red
Battery is unable to charge.
Off
Battery is fully charged, not being charged.
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Sleep and Power Off
To put Root in the Sleep Mode or Power Off Mode, follow these steps:
State
Description
Sleep
Mode
Press and hold the Power Button for two (2) seconds until one (1) audible tone
sounds.
Sleep Mode conserves power while enabling a quicker startup sequence.
Power Off
Mode
Press and hold the Power Button for eight (8) seconds, until two (2) audible
tones sound. The Home Button will flash, and the Power Button will flash
orange.
Power Off Mode completely shuts down Root and results in a longer startup
sequence.
www.masimo.com 75 Masimo
Chapter 4: Admit and Discharge to
Patient SafetyNet
The Admit/Discharge icon is located at the bottom left of the screen and allows for
clinicians to admit or discharge patient's on Masimo Patient SafetyNet directly from Root.
Note: In order to use this feature Masimo Patient SafetyNet software version 5.0.1.0 or
higher is required.
Not Admitted
A Not Admitted message will appear on the Root screen when the sensor is placed onto a
patient and a patient has not yet been admitted on the Root. Press the Admit button on the
screen to admit the patient or press skip and the patient data will not be transmitted to the
Masimo Patient Safety Net.
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Admitting a Patient
To admit a patient:
1. Press the admit icon on the bottom-left of the main screen.
2. Enter the authentication PIN.
3. Either press the patient info search button (1) to select existing patient
information, or enter new patient information in the data fields (2).
4. Press the assignments search button (3) and select the primary and secondary
pagers (4).
5. Press the Admit button (5).
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Discharging a Patient
To discharge a patient:
1. Press the discharge icon on the bottom-left of the main screen.
2. Enter the authentication PIN.
3. Press the Discharge button. A confirmation message will appear.
4. Press the Discharge confirmation button.
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Note: Once patient is discharged from Root, or session is ended, the NIBP
parameter display will be cleared.
Not Monitoring Message
When the sensor is off the patient for an extended period of time, a Not Monitoring
message will appear on the screen. Acknowledge the message by pressing Cancel or
Discharge. Press Discharge to discharge the patient that is currently admitted on the Root,
or press Cancel to keep the same patient admitted.
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Monitoring Resumed Message
When the sensor is taken off and placed back onto a patient, a Monitoring Resumed
message will appear on the Root screen.
If this is a new patient, press Discharge on the screen to discharge the previous patient. If
the same patient is being monitored, press Confirm to continue monitoring the same
patient.
www.masimo.com 81 Masimo
Chapter 5: Electronic Medical Record
(EMR) Push
The Electronic Medical Record (EMR) Push feature allows clinicians to send validated
patient vitals data from any of the Masimo devices, MOC-9 modules, or Iris devices
connected to Root directly to a Patient Data Management System, such as an Electronic
Medical Record (EMR).
Determining EMR Push is Active
The EMR Push icon appears at the bottom of the Root main screen when the EMR Push
feature is active. The EMR Push feature is active when a Root patient profile is connected to
a Patient SafetyNet server. If the EMR Push icon does not appear, see Masimo Technical
Services on page 120.
Note: The Patient SafetyNet server can be configured to require clinicians to provide access
credentials to activate the EMR Push feature. To configure Patient SafetyNet to require
access credentials, see Masimo Technical Services on page 120.
Manually Entering Patient Data
Follow the instructions below to manually enter patient data.
Note: Parameters with manual entry permissions can be pre-configured on Patient
SafetyNet. See Masimo Technical Services on page 120.
1. In the EMR Push screen, press a parameter that has a pencil icon .
2. In the manual entry screen, move the slide knob or press the spinner to select
the desired parameter value.
3. Press OK to accept the selected manual entry value, or press Cancel to delete the
manual entry value and return to the EMR Push screen. After pressing OK, the
selected manual entry value appears on the EMR Push screen.
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Sending Patient Data to the EMR
Follow the instructions below to send patient data to a data management system using the
EMR Push feature.
Note: Parameters that appear on the EMR Push screen can be pre-configured on Patient
SafetyNet. For questions about pre-configuring EMR Push parameters, see Masimo Technical
Services on page 120.
1. Select the EMR Push icon at the bottom of the Root Main Screen.
2. In the Authentication screen, enter a username and PIN.
3. Press OK.
Note: Username and PIN requirements are enabled through Patient SafetyNet. If
unable to authenticate a username and PIN, see Masimo Technical Services on
page 120.
4. In the EMR Push screen, review and manually enter patient data before
submitting to the EMR. See Manually Entering Patient Data on page 81.
5. Press the Submit button to send patient data to the EMR or press the Back
button to return to the Main Screen.
6. After pressing the Submit button, select to send patient data to
the EMR.
7. Press OK in the Successfully Sent Data to EMR confirmation screen.
www.masimo.com 83 Masimo
Chapter 6: Radical-7
The Radical-7 is a detachable portable noninvasive monitor that measures arterial oxygen
saturation (SpO
2
), pulse rate (PR), and perfusion index (Pi), along with optional
measurements of hemoglobin (SpHb), carboxyhemoglobin (SpCO), total oxygen content
(SpOC), methemoglobin (SpMet), pleth variability index (PVi), acoustic respiration rate
(RRa), and/or pleth respiration rate (RRp). It can be docked to Root to transfer parameter
data to Root. When Radical-7 is docked to Root, the device automatically creates a Window
that displays all the data from Radical-7.
Root also acts as a charging station for Radical-7. See Radical-7 Operator's Manual for more
information.
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Chapter 7: Radius-7
The Radius-7 is a patient wearable device for continuous monitoring when the patient is
ambulatory. It measures arterial oxygen saturation (SpO
2
), pulse rate (PR), perfusion index
(Pi), and pleth variability index (PVi) along with optional measurements of hemoglobin
(SpHb), carboxyhemoglobin (SpCO), total oxygen content (SpOC), methemoglobin (SpMet),
acoustic respiration rate (RRa), and/or pleth respiration rate (RRp). It uses a Bluetooth
connection to transfer parameter data to Root. When Radius-7 is connected to Root via
Bluetooth, the device automatically creates a Window that displays all the data from
Radius-7.
Root also acts as a charging station for Radius-7. Radius-7 is docked onto Root via a Battery
Charging Adapter. See Radius-7 Operator's Manual for more information.
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Chapter 8: MOC-9
Flexible measurement expansion is enabled through MOC-9. It can display parameters and
measurements captured by O3, SedLine, ISA Capnography, and third-party technologies in
an all-in-one view on Root.
When any MOC-9 module is connected, Root automatically creates a Window that displays
all the data from that module. The example below shows the “SedLine” and “Capnography”
Windows which display data from the SedLine brain function monitoring and ISA
capnography MOC-9 modules that are connected to Root. For any MOC-9 device connected
to Root, refer to the MOC-9 device's Operator's Manual/Directions for Use for all
information.
Using MOC-9 Ports
Use a MOC-9 cable to connect other MOC-9 modules to Root.
To use an MOC-9 Port
1. Identify the MOC-9 end of the cable.
2. Orient the cable to fit correctly into an MOC-9 Port.
3. Insert the MOC-9 cable securely into any of the three (3) compatible ports on
Root.
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Chapter 9: Iris
Iris allows a variety of standalone devices to connect to Root. Patient data can be passed
through Root to Patient SafetyNet or Connectivity Gateway, which can send the data to
electronic health records.
Below is an example of one way Root can be used in a network setting using Patient
SafetyNet. Root receives and may display information from Radical-7, MOC-9 modules, as
well as standalone devices.
Ref.
Description
1
Standalone devices connected via Iris (e.g., monitor, pump, ventilator)
2
Root
3
Patient SafetyNet View Station
4
Patient SafetyNet or Masimo Connectivity Gateway
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Ref.
Description
5
Notification devices
6
Electronic Health Records system
Using Iris Connectivity Ports
Use Iris Adapters and RJ-45 cables to connect standalone devices to Root.
To connect a standalone device via an Iris Connectivity Port:
1. Connect the Iris Adapter to the standalone device. Refer to the Iris Adapter
Directions for Use.
2. Connect the RJ-45 end of the Iris Adapter to any of the four (4) compatible Iris
Connectivity Ports on Root using a RJ-45 cable.
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Iris Icon
The Iris icon located in the Status Bar indicates Iris port connectivity status. See About the
Status Bar on page 30. The Iris ports are mapped to the Iris icon according to the diagram
below:
Iris connectivity port status is indicated in the Iris icon by color and shape. See the table
below for further description.
Iris Port Connection
Status
Iris Icon
Description
Example
Description of Connection
Connected
Green border
with solid green
square
Standalone device is successfully
connected to Root and Root is
successfully connected to a Patient
SafetyNet or Connectivity Gateway.
Attempting/Unable to
Connect to Server
Yellow border
with solid yellow
square
Standalone device is connected to Iris
adapter in Root, but Root is
attempting or unable to connect to a
Patient SafetyNet or Connectivity
Gateway.
Disconnected
White border
No standalone device is connected to
Root and Root is not connected to a
Patient SafetyNet or Connectivity
Gateway.
Note: Status and connection type are read-only and not configurable by the user. For more
information about Iris connectivity, see the Operator’s Manual for the appropriate version of
Masimo Patient SafetyNet.
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Iris Screen
The Iris Screen displays Iris port connectivity and standalone device information.
To view the Iris Screen:
Press the Iris icon in the Status Bar. See About the Status Bar on page 30. The Iris Screen
displays 4 Iris port connectivity tiles.
Each Iris port connectivity tile displays the [1] Iris port connectivity indicator and [2] device
type, model, and Iris port connectivity status.
The Iris port connectivity status is indicated by color and displayed message. See the table
below for further description.
Connectivity
Status Message
Connection
Status Color
Description of Connection
Connected
Green tile
border
Green
indicator
Standalone device is successfully connected to Root,
and Root is successfully connected to Patient
SafetyNet or Iris Gateway.
Root Chapter 9: Iris
www.masimo.com 93 Masimo
Connectivity
Status Message
Connection
Status Color
Description of Connection
Connecting to Iris
Server
Yellow tile
border
Yellow
indicator
Standalone device is connected to Iris adapter in
Root, but Root is attempting or unable to connect to
Patient SafetyNet or Iris Gateway.
Disconnected
No color
tile border
Gray
indicator
No standalone device is connected to Root, and Root
is not connected to Patient SafetyNet or Iris
Gateway.
Note: Status and connection type are read-only and not configurable by the user. For more
information about Iris connectivity, see the Operator’s Manual for the appropriate version of
Masimo Patient SafetyNet.
www.masimo.com 95 Masimo
Chapter 10: Bluetooth Devices
Flexible measurement expansion is possible through the Root Bluetooth connection. Root
displays measurements captured by external device technologies in an all-in-one view on
Root.
When an external device is connected to Root via Bluetooth, Root automatically creates a
window that displays all the data from that device on the Main Screen.
Connect Device to Root
Connect an external device to Root using Bluetooth
1. Ensure Bluetooth is enabled on Root. See Bluetooth on page 54.
2. Ensure Bluetooth is enabled on the external device; refer to the external device's
Operator's Manual if needed.
3. On the Root main screen, touch the Main Menu icon.
4. Press the Device Settings icon.
5. Press the Bluetooth icon.
6. On the Bluetooth screen:
Press the Pair button for the desired external device.
Select the desired external device under the Devices Found list.
The external device is now paired with Root. Refer to the external device's
Operator's Manual for proper operation.
www.masimo.com 97 Masimo
Chapter 11: Messages
The following messages are specific to Root:
Message
Explanation
Next Step
Battery Charge is
Low.
The internal battery needs to be
charged. System Status Lights
flash yellow.
Charge Root's battery using AC
power.
MOC-9 module
Disconnected
(e.g. SedLine
Disconnected)
A MOC-9 module is disconnected
from Root.
Reconnect module or acknowledge
message by pressing the Alarm
Silence icon.
Radical-7
Disconnected
Radical-7 is disconnected from
Root.
Reconnect Radical-7 or
acknowledge message by pressing
the Alarm Silence icon.
Radius-7
Disconnected
Radius-7 is disconnected from
Root.
Reconnect Radius-7 or
acknowledge message by pressing
the Alarm Silence icon.
For additional messages, see Instructions for Use or Operator's Manuals for Radical-7,
Radius-7, and MOC-9 modules.
www.masimo.com 99 Masimo
Chapter 12: Troubleshooting
Troubleshooting Radical-7, Radius-7, and MOC-9 Modules
For information on troubleshooting values that are provided from Radical-7, Radius-7, and
MOC-9 modules, refer to their respective Instructions for Use or Operator's Manuals.
Troubleshooting Root
Symptom
Possible Cause
Correction
Root does not turn
on.
Power Button not
pressed long enough.
Press Power Button for two (2) seconds.
The battery may be
depleted.
Connect Root to AC power to charge battery.
One of the fuses is not
operating properly.
Replace the fuse. See Replacing the Fuses
on page 118.
Root turns on, but
Main Screen is dim
or blank.
The brightness setting
is not correct.
Adjust the brightness setting. See
Brightness on page 55.
If the condition persists, Root requires
service. Contact Masimo Technical Services.
See Return Procedure on page 120.
Touch functionality
is not responsive.
Internal failure.
Root requires service. Contact Masimo
Technical Services. See Return Procedure on
page 120.
Not displaying
data from
Radical-7, Radius-7,
or MOC-9 modules.
Connection error.
Ensure that the connections are securely in
place and properly plugged in, or that the
cable is not defective. For Radius-7, ensure
that the device is paired with Root via
Bluetooth. Refer to Operator's Manual of
Radius-7 for more information.
Iris screen does
not display
connection status
for standalone
devices.
Connection error.
Unplug and replug the Iris Adapter.
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Symptom
Possible Cause
Correction
Iris screen does
not display
connection status
for standalone
devices.
Connection error.
If the problem persists, refer to instructions
for use or operator's manual for the
connected standalone devices or Iris section
of the instructions for use or operator’s
manual for the appropriate version of
Patient SafetyNet.
Root has a
continuous speaker
tone.
Internal failure.
To silence an alarm, press the Power Button
for eight (8) seconds. If alarm continues to
sound, Power Off Root. Root requires service.
See Return Procedure on page 120.
Power Button does
not respond when
pressed.
Power Button may need
to be pressed for a
longer time.
To Power On when turned off or in Sleep
Mode, press Power Button for two (2)
seconds.
To Power Off when turned on or in Sleep
Mode, press the Power Button for eight (8)
seconds.
Internal failure.
Root requires service. See Return Procedure
on page 120.
Home Button does
not work when
pressed.
Internal failure.
Root requires service. See Return Procedure
on page 120.
Battery does not
charge.
AC power cable may be
disconnected.
Unplug and replug AC power cable.
Root Charging
Indicator
illuminates red.
Internal failure.
Root requires service. See Return Procedure
on page 120.
Nurse Call does not
communicate.
Connection error.
Unplug and replug Nurse Call connector. See
Nurse Call Setting Connections on page 118.
EMR Push icon
does not appear in
Action Bar.
Wi-Fi is not enabled.
Root is not connected
to Patient SafetyNet.
Ensure Wi-Fi is enable. See Wi-Fi on page
52. If EMR Push icon does not appear, see
Masimo Technical Services on page 120.
Parameter does
not appear in EMR
Push screen.
Parameter is not
configured for EMR Push
on Patient SafetyNet.
See Masimo Technical Services on page 120.
www.masimo.com 103 Masimo
Chapter 13: Specifications
This chapter contains specifications of Root.
For information on the specifications of Radical-7, Radius-7, MOC-9 modules, and standalone
devices, see Directions for Use or Operator's Manuals for these devices.
Alarms
Audio Alarm
Type
System Status
Light Color
Audio Description
High Priority
Flashing Red
10-pulse burst, pulse spacing: 0.250s, 0.250s,
0.500s, 0.250s, repeat time:10s
Medium
Priority
Flashing Yellow
3-pulse burst, pulse spacing: 0.375s, 0.375s, repeat
time: 7s
Low Priority
Solid Yellow
No audio
Nurse Call Specifications
The Nurse Call relays have the following electrical specifications per switch:
Parameter
Specification
Max Voltage
36 VDC or 24 VAC peak
Connectors
Connector
Type
Number of Ports
Ethernet
10/100 Mbps
1
Nurse Call
1/4 inch round female
1
MOC-9
Masimo Connector
3
USB
USB 2.0
2
Iris
RS-232/RJ-45
4
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Electrical
Root
AC Power requirements
100-240 VAC~, 47-63 Hz, 65VA Max
Fuses (2)
2 Amp, Time Delay High Breaking Capacity (5x20mm), 250V
Battery
Type
Lithium Ion
Voltage
10.8V (Nominal)
Capacity
4 hours*
Maximum Charging Time
4 hours
*This represents approximate run time at the lowest brightness, using a fully charged
battery.
Environmental
Root
Operating Temperature
32°F to 122°F (0°C to 50°C)
Transport/Storage Temperature
-40°F to 158°F (-40°C to 70°C)
Operating Humidity
10% to 95%, non-condensing
Storage Humidity
10% to 95%, non-condensing
Operating Air Pressure
500 mbar to 1060 mbar
-1000 ft to 18,000 ft
(-304 m to 5,486 m)
Root Chapter 13: Specifications
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Touchscreen Display
Characteristic
Description
Type
Backlit Active Matrix TFT LCD
Resolution
1280 x 800 pixels
Size
10.1 in (25.65 cm) Diagonal
Color
24 bit RGB
Touchscreen Type
Multi-Touch P-Cap
Wireless Specifications
Communication (Wi-Fi)
Type
WLAN Radio: IEEE 802.11 a/b/g
Frequency
2.4 GHz - 802.11b/g/n: 2412-2472 MHz
5.0 GHz - 802.11a/n: 5150-5250 MHz, 5250-5350 MHz,
5470-5725 MHz, 5725-5825 MHz
Max Peak Output Power
18 dBm
Classification of Output
Power Rating
Conducted
Output Power Type
Fixed at the Factory
Modulation Types
OFDM, BPSK, CCK
Modulation Signals
Analog and Digital
Available Data Rates
802.11a - 6, 9, 12, 18, 24, 36, 48, 54 Mbps.
802.11b - 1, 2, 5.5, 11 Mbps.
802.11g - 6, 9, 12, 18, 24, 36, 48, 54 Mbps.
Root Chapter 13: Specifications
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Communication (Bluetooth)
Type
Bluetooth
Frequency
2402-2480 MHz
Max Peak Output Power
12 dBm
Classification of Output Power Rating
Conducted
Output Power Type
Fixed at the Factory
Modulation Types
DH5
Modulation Signals
Analog and Digital
Available Data Rates
1,2,3 Mbps
Security and Authentication
Encryption
64/128-bit WEP, Dynamic WEP, WPA-TKIP, WPA2-AES
Authentication
Open System, Shared Key, Pre-Shared Key (PSK), 802.1X: LEAP, PEAP<
TTLS, TLS, EAP-FAST
Radio Compliance
USA
FCC ID: VKF-MWM2
Model: RDS-7A or RDS-7
Canada
IC:7362A-MWM2
Model: RDS-7A or RDS-7
RSS-247
Root Chapter 13: Specifications
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Radio Compliance
Europe
EU Radio Equipment Directive
(RED 2014/53/EU)
EN 300 328:V2.1.1
EN 301 893:V2.1.1
EN 301 489-1:V2.2.0
EN 301 489-17 V3.1.1
EN 62311
Japan
TELEC
Article 2-1-19
Article 2-1-19-3
Article 2-1-19-3-2
Korea
KN 301 489-1 V2.2.0
KN 301 489-17 V3.1.1
Compliance
Electrical Safety
ANSI/AAMI ES 60601-1:2005
CAN/CSA C22.2 No. 60601-1:2008
EN 60601-1:2006 + A1: 2014
IEC 60601-1:2005 + A1: 2012
IEC 60601-1-8:2006
IEC 60601-2-49:2011
ISO 80601-2-56:2012
EMC Compliance
EN 60601-1-2, 2007 Class B
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Software Compliance
EN 62304:2006
Equipment Classification per IEC 60601-1
Type of Protection
Class I (on AC power)
Internally powered (on battery power)
Degree of Protection of Electrical Shock
Defibrillation proof BF-Applied Part
1
Protection against harm from liquid
ingress
IPX1 Protection against liquid drops falling
vertically
Mode of Operation
Continuous Operation
1
Connected devices should be used in accordance with their respective degrees of electrical
protection to maintain electrical safety.
Root Chapter 13: Specifications
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Guidance and Manufacturer's Declaration-Electromagnetic
Emissions
Guidance and Manufacturer's Declarations - Electromagnetic Emissions
The ME Equipment is intended for use in the electromagnetic environment specified below.
The customer or the user of the ME Equipment should assure that it is used in such an
environment.
Emission Test
Compliance
Electromagnetic Environment - Guidance
RF Emissions
CISPR 11
Group 1
ME Equipment uses RF energy only for its internal
function. Therefore, its RF emissions are very low and are
not likely to cause any interference in nearby electronic
equipment.
RF Emissions
CISPR 11
Class A
For hospital environment only.
Not intended for use in a domestic environment.
Harmonic
Emissions
IEC 61000-3-2
Class A
Voltage
Fluctuations /
Flicker Emissions
IEC 61000-3-3
Complies
Root Chapter 13: Specifications
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Guidance and Manufacturer's Declaration-Electromagnetic
Immunity
Guidance and Manufacturer's Declaration - Electromagnetic Immunity
The ME Equipment is intended for use in the electromagnetic environment specified below.
The customer or the user of the ME Equipment should assure that it is used in such an
environment.
Immunity Test
IEC 60601
Test Level
Compliance
Level
Electromagnetic Environment -
Guidance
Electrostatic
discharge (ESD)
IEC 61000-4-2
+6 kV contact
+8 kV air
+6 kV
contact
+8 kV air
Floors should be wood, concrete or
ceramic tile. If floors are covered
with synthetic material, the relative
humidity should be at least 30%.
Electrical fast
transient/burst
IEC 61000-4-4
+2 kV for
power supply
lines.
+1 kV for
input/output
lines.
---
Mains power quality should be that
of a typical commercial or hospital
environment.
Surge
IEC 61000-4-5
+1 kV -
differential
mode
+2 kV -
common mode
---
Mains power quality should be that
of a typical hospital environment.
Voltage dips, short
interruptions and
voltage variations on
power supply input
lines.
IEC 61000-4-11
100% for 0.5
cycle
60% for 5
cycles
30% for 25
cycles
100% for 5
seconds
---
Mains power quality should be that
of a typical commercial or hospital
environment. Root provides a
battery for continued operation
during power mains interruption for
a maximum of 4 hours.
Power frequency (50 /
60 Hz) magnetic field.
IEC 61000-4-8
3 A/m
3 A/m
Power frequency magnetic fields
should be at levels characteristic of
typical location in a typical hospital
environment.
Root Chapter 13: Specifications
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Guidance and Manufacturer's Declaration - Electromagnetic Immunity
Portable and mobile RF communications equipment should be used no closer to any part of
the ME Equipment, including cables, than the recommended separation distance calculated
from the equation applicable to the frequency of the transmitter.
Immunity Test
IEC 60601
Test Level
Compliance
Level
Recommended Separation
Distance
Conducted RF
IEC 61000-4-6
3 Vrms
150 kHz to 80
MHz
3 Vrms
Radiated RF
IEC 61000-4-3
3 V/m
80 MHz to 2.5
GHz
3 V/m
80 MHz to 800 MHz:
800 MHz to 2.5 GHz:
---
---
---
where P is the maximum output
power rating of the transmitter in
watts (W) according to the
transmitter manufacturer and d is
the recommended separation
distance in meters (m).
Field strengths from fixed RF
transmitters, as determined by an
electromagnetic site survey
a
, should
be less than the compliance level in
each frequency range
b
.
Interference may occur in the
vicinity of equipment marked with
the following symbol:
Note 1: At 80 MHz and 800 MHz, the higher frequency range applies.
Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is
affected by absorption and reflection from structures, objects and people.
Root Chapter 13: Specifications
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Guidance and Manufacturer's Declaration - Electromagnetic Immunity
(a) Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless)
telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV
broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic
environment due to fixed RF transmitters, an electromagnetic site survey should be
considered. If the measured field strength in the location in which the ME Equipment is
used exceeds the applicable RF compliance level above, the ME Equipment should be
observed to verify normal operation. If abnormal performance is observed, additional
measures may be necessary, such as re-orienting or relocating the ME Equipment.
(b) Over the frequency range 150 kHz to 80 MHz, field strengths should be less than [V1]
V/m.
Recommended Separation Distances
Recommended Separation Distance Between Portable and Mobile RF Communication
Equipment and the ME Equipment
The ME Equipment is intended for use in an electromagnetic environment in which radiated
RF disturbances are controlled. The customer or the user of the ME Equipment can help
prevent electromagnetic interference by maintaining a minimum distance between portable
and mobile RF communications equipment (transmitters) and the ME Equipment as
recommended below, according to the maximum output power of the communication
equipment.
Rated maximum output power
of transmitter (W)
Separation Distance According to Frequency of
Transmitter (m)
150 K Hz to 80
MHz
d = 1.17*Sqrt (P)
80 MHz to 800
MHz
d = 1.17*Sqrt (P)
800 MHz to
2.5GHz
d = 2.33*Sqrt (P)
0.01
0.12
0.12
0.23
0.1
0.37
0.37
0.74
1
1.17
1.17
2.33
10
3.7
3.7
7.37
100
11.7
11.7
23.3
Root Chapter 13: Specifications
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For transmitters rated at a maximum output power not listed above, the recommended
separation distance d in meters (m) can be estimated using the equation applicable to the
frequency of the transmitter, where P is the maximum output power rating of the
transmitter in watts (W) according to the transmitter manufacturer.
Note 1: At 80 MHz and 800 MHz, the higher frequency range applies.
Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is
affected by absorption and reflection from structures, objects and people.
Symbols
The following symbols may appear on the product or product labeling:
Symbol
Description
Symbol
Description
Follow instructions for
use
Consult instructions for use
Mark of conformity to
European medical device
directive 93/42/EEC
ETL Intertek certification
See Declarations on Page 1 for
certifications
Protection against
vertically falling water
drops
Fuse replacement- Only replace
with time delay fuses specified in
this Instructions for Use
Non-Sterile
Defibrillation-proof. Type BF
applied part
Separate collection for
electrical and electronic
equipment (WEEE)
Recyclable
Caution: Federal (USA)
law restricts this device
to sale by or on the order
of a physician
Authorized representative in the
European community
Federal Communications
Commission (FCC)
Licensing
Identifies unit has been
registered as a radio device
Root Chapter 13: Specifications
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Symbol
Description
Symbol
Description
Non-ionizing
electromagnetic radiation
Innovation, Science and
Economic Development Canada
(ISED)
Warning, electricity
Biohazardous Waste
Electrostatic
Not for continuous monitoring
(No alarm for SpO
2
)
No parameter alarms
Product contains no PVC
(polyvinyl chloride) material
Caution
Not made with natural rubber
latex
Manufacturer
Catalog number (model number)
Date of manufacture
YYYY-MM-DD
Masimo reference number
Storage temperature
range
Serial number
Keep dry
Fragile, handle with care
Storage humidity
limitation
Do not use if package is damaged
Atmospheric pressure
limitation
Equipotential Ground Terminal
AC current
Fuse
Root Chapter 13: Specifications
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Symbol
Description
Symbol
Description
Wireless Symbol level
Wireless features can be used in
member states with the
restriction of indoor use in France
-Class 2 wireless device
Stand-By
Iris Connection
RS-232 Interface
Ethernet
Analog Out Interface
Nurse Call Interface
Greater than
USB port
Less than
China Restriction of Hazardous
Substances
---
---
The names and content of the
toxic and hazardous substances
or elements shall be provided in
the product instruction manual
Instructions/Directions for Use/Manuals are available in electronic format
@http://www.Masimo.com/TechDocs
Note: eIFU is not available in all countries.
www.masimo.com 117 Masimo
Chapter 14: Service and Maintenance
This chapter contains information about cleaning, battery operation, performance
verification, service, repair, and warranty.
Cleaning
Root is a non-sterile and reusable device. The surface of the Root should be cleaned when
the device is visibly dirty, before and after each procedure, and/or according to hospital
practice.
1. Disconnect the AC Power Supply and ensure the sensor is not applied to the
patient.
2. Wipe the outer surfaces using a dampened soft cloth with one of the
recommended cleaning solutions twice or until the surfaces are free of any visible
residue.
3. Dry the device thoroughly prior to using on a patient.
The surfaces of the Root may be cleaned with the following solvents or cleaning agents:
70% Isopropyl Alcohol
Glutaraldehyde
10% bleach (5% - 5.25% sodium hypochlorite) to 90% water solution
Quaternary ammonium chloride solutions
0.5% hydrogen peroxide
Do not allow liquids to enter the interior of Root. Using the recommended cleaning
solutions on the touchscreen will not affect the performance of Root.
Vent Cleaning
Vents may be cleaned using a small vacuum with a brush attachment to vacuum over the
vents and clear any debris.
Root Chapter 14: Service and Maintenance
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If equipped with the accessory External Fan Filter, remove and clean the filter
element.
Replacing the Fuses
If a power-related problem causes one or both of the fuses to fail, the fuse(s) will need to be
replaced. Replace fuse(s) with UL Listed fuses rated 250V, 2 amp, metric 5x20 mm and with
a time delay breaking capacity of minimum 1500A.
WARNING: To ensure safety, only replace with appropriately rated fuses.
The fuses can be removed by hand or with a 5-millimeter or 3/16-inch screwdriver.
To replace the fuse(s)
1. Power Off Root completely. Do not put in Sleep Mode. See Sleep and Power Off on
page 74.
2. Remove the AC power cord from the Power Entry Module in the back panel.
3. Remove the fuse holder by pulling it forward from the Power Entry Module.
4. Remove a fuse by gently pulling the top of the fuse away from the center and
then pulling up. The fuse should easily be removed. Do not force.
5. Place a new fuse in the fuse holder.
6. If replacing both fuses, repeat steps 4 and 5 for the second fuse.
7. Slide the fuse holder back into the Power Entry Module and press firmly to make
sure it is secure.
Root is ready to be reconnected to AC power. If the fuses fail shortly after replacement, Root
requires service. See Repair Policy on page 119.
Power-On Self Test
To conduct a Power-On Self Test
1. Connect Root to AC power, and verify that the AC Power Indicator is illuminated.
2. Power On Root. Within five (5) seconds, all available indicators will illuminate,
the device will emit a tone, and the Masimo logo will display.
Root Chapter 14: Service and Maintenance
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Nurse Call Setting Connections
For maximum flexibility, either normally open or normally closed signals are available.
During an alarm condition or a low Signal IQ event, depending on the configuration of the
device output, the normally open pin will be connected to the common pin, and the
normally closed pin will be disconnected. In addition, the Nurse Call Polarity can be inverted
to accommodate various nurse call station requirements. See Device Output on page 58.
Only authorized service personnel should connect one of these two signals to a hospital’s
Nurse Call system.
Cable Type
Nurse Call Event
Menu Setting
2-Circuit
2 contacts normally opened
Nurse Call Polarity
Normal
2 contacts normally closed
Nurse Call Polarity
Inverse
3-Circuit
1 and 2 contacts normally
opened
2 and 3 contacts normally closed
Nurse Call Polarity
Normal
1 and 2 contacts normally closed
2 and 3 contacts normally
opened
Nurse Call Polarity
Inverse
Battery Test
To conduct a Battery Test
1. Fully charge Root by connecting it to AC power.
2. Verify that the Root Charging Indicator is illuminated.
3. When Root is fully charged, the Root Charging Indicator turns off.
4. Power On Root and verify that the Root Battery Indicator icon on the Status Bar
shows a full charge.
Repair Policy
Masimo or an authorized Service Department must perform warranty repair and service. Do
not use malfunctioning equipment. Have the device repaired.
Clean contaminated and/or dirty equipment before returning, following the cleaning
procedure described in Cleaning. Make sure the equipment is fully dry before packing.
To return the device for service, see Return Procedure on page 120.
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Return Procedure
Clean contaminated/dirty equipment before returning, following instructions in Cleaning.
Make sure the equipment is fully dry before packing. Call Masimo at 800-326-4890 and ask
for Technical Support. Ask for an RMA number. Package the equipment securely, in the
original shipping container if possible, and enclose or include the following information and
items:
A letter describing in detail any difficulties experienced with the Root. Include
the RMA number in the letter.
Warranty information, a copy of the invoice or other applicable documentation
must be included.
Purchase order number to cover repair if the Root is not under warranty, or for
tracking purposes if it is.
Ship-to and bill-to information.
Person (name, telephone/Telex/fax number, and country) to contact for any
questions about the repairs.
A certificate stating the Root has been decontaminated for bloodborne
pathogens.
Return the Root to the shipping address listed in Contacting Masimo.
Masimo Technical Services
To contact Masimo Technical Services, refer to the Masimo Technical Services web page:
http://www.masimo.co.uk/company/global-services/technical-services/
Contacting Masimo
Masimo Corporation
52 Discovery
Irvine, California 92618
Tel:+1 949 297 7000
Fax:+1 949 297 7001
Limited Warranty
Masimo warrants to the original end-user purchaser the Masimo-branded hardware product
(Root
®
) and any software media contained in the original packaging against defects in
material and workmanship when used in accordance with Masimo’s user manuals, technical
specifications, and other Masimo published guidelines for a period of 12 months and any
batteries for six (6) months from the original date the Product was obtained by the end-user
purchaser.
Masimo’s sole obligation under this warranty is the repair or replacement, at its option, of
any defective Product or software media that is covered under the warranty.
To request a replacement under warranty, Purchaser must contact Masimo and obtain a
returned goods authorization number so that Masimo can track the Product. If Masimo
Root Chapter 14: Service and Maintenance
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determines that a Product must be replaced under warranty, it will be replaced and the cost
of shipment covered. All other shipping costs must be paid by purchaser.
Exclusions
The warranty does not apply to any non-Masimo branded product or any software, even if
packaged with the Product, or any Product that was: (a) not new or in its original packaging
when supplied to purchaser; (b) modified without Masimo’s written permission; (c)
supplies, devices, or systems external to the Product; (d) disassembled, reassembled, or
repaired by anyone other than a person authorized by Masimo; (e) used with other products,
like new sensors, reprocessed sensors, or other accessories, not intended by Masimo to be
used with the Product; (f) not used or maintained as provided in the operator’s manual or as
otherwise provided in its labeling; (g) reprocessed, reconditioned, or recycled; and (h)
damaged by accident, abuse, misuse, liquid contact, fire, earthquake or other external cause.
No warranty applies to any Product provided to Purchaser for which Masimo, or its
authorized distributor, is not paid; and these Products are provided AS-IS without warranty.
Limitation of Warranty
Except as otherwise required by law or altered by the purchase agreement, the above
warranty is the exclusive warranty that applies to the Product and software media, and
Masimo does not make any other promises, conditions, or warranties regarding the Product.
No other warranty applies, express or implied, including without limitation, any implied
warranty of merchantability, fitness for a particular purpose, satisfactory quality, or as to the
use of reasonable skill and care. See the licensing terms for the terms and conditions that
apply to and Software accompanying the Product. Additionally, Masimo will not be liable for
any incidental, indirect, special, or consequential loss, damage, or expense arising from the
use or loss of use of any Products or Software. In no event shall Masimo’s liability arising
from any Product or Software (under contract, warranty, tort, strict liability, or otherwise)
exceed the amount paid by purchaser for the Product or Software. The above limitations do
not preclude any liability that cannot legally be disclaimed by contract.
Sales & End-User License Agreement
This document is a legal agreement between you (“purchaser”) and Masimo Corporation
(“Masimo”) for the purchase of this Product (“Product”) and a license in the included or
embedded Software (“Software”) except as otherwise expressly agreed in a separate contract
for the acquisition of this Product, the following terms are the entire agreement between the
parties regarding your purchase of this Product. If you do not agree to the terms of this
agreement, promptly return the entire Product, including all accessories, in their original
packages, with your sales receipt to Masimo for a full refund.
Restrictions
1. Copyright Restrictions: The Software and the accompanying written materials are
copyrighted. Unauthorized copying of the Software, including Software that has
been modified, merged, or included with other software, or the written materials
is expressly forbidden. Purchaser may be held legally responsible for any
copyright infringement that is caused or incurred by Purchaser’s failure to abide
by the terms of this Agreement. Nothing in this License provides any rights
beyond those provided by 17 U.S.C. §117.
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www.masimo.com 122 Masimo
2. Use Restrictions: Purchaser may physically transfer the Product from one location
to another provided that the Software is not copied. Purchaser may not
electronically transfer the Software from the Product to any other device.
Purchaser may not disclose, publish, translate, release, distribute copies of,
modify, adapt, translate, reverse engineer, decompile, disassemble, or create
derivative works based on the Software or the written materials.
3. Transfer Restrictions: In no event may Purchaser transfer, assign, rent, lease, sell,
or otherwise dispose of the Product or the Software on a temporary basis.
Purchaser shall not assign or transfer this License, in whole or in part, by
operation of law or otherwise without Masimo's prior written consent; except
that the Software and all of Purchaser’s rights hereunder shall transfer
automatically to any party that legally acquires title to the Product with which
this Software is included. Any attempt to assign any rights, duties or obligations
arising hereunder other than as set forth in this paragraph shall be void.
4. U.S. Government Rights: If Purchaser is acquiring Software (including the related
documentation) on behalf of any part of the United State Government, the
following provisions apply: the Software and documentation are deemed to be
“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. Government or any of
its agencies shall be governed solely by the terms of this Agreement and shall be
prohibited except to the extent expressly permitted by the terms of this
Agreement.
www.masimo.com 123 Masimo
Index
A
About • 45, 60
About the Action Bar • 32, 68
About the Main Screen • 29, 53
About the Status Bar • 23, 24, 30, 51, 52,
53, 54, 55, 66, 91, 92
About This Manual • 7
AC Power Indicator • 23, 72
Access Control • 49, 50, 56
Accessing Main Menu Options • 30, 32,
45
Additional Settings for Layouts • 47
Admitting a Patient • 76
Alarm Interface • 63
Alarm Silence • 30, 65
Alarms • 103
Audio Pause • 30, 49, 59, 66
B
Back View • 18
Battery Test • 119
Bluetooth • 31, 50, 54, 95
Bluetooth Devices • 27
Brightness • 50, 55, 99
C
Capturing Screens • 69
Chapter 1
Description • 17
Chapter 10
Bluetooth Devices • 95
Chapter 11
Messages • 97
Chapter 12
Troubleshooting • 99
Chapter 13
Specifications • 103
Chapter 14
Service and Maintenance • 117
Chapter 2
Setting Up • 21
Chapter 3
Operation • 29
Chapter 4
Admit and Discharge to Patient SafetyNet
• 32, 75
Chapter 5
Electronic Medical Record (EMR) Push •
32, 81
Chapter 6
Radical-7 • 83
Chapter 7
Radius-7 • 85
Chapter 8
MOC-9 • 26, 87
Chapter 9
Iris • 31, 45, 89
Cleaning • 117
Cleaning and Service Warnings and
Cautions • 14
Compliance • 107
Compliance Warnings and Cautions • 15
Connect Device to Root • 95
Connecting Root to Patient SafetyNet •
53
Connectors • 103
Contacting Masimo • 120
Contraindication • 10
Customizing Windows • 33, 42, 47, 48
D
Determining EMR Push is Active • 81
Device Output • 26, 30, 50, 58, 119
Device Settings • 45, 50
Discharging a Patient • 77
Downloading Screen Captures • 71
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www.masimo.com 124 Masimo
E
Electrical • 104
Environmental • 21, 104
Ethernet • 31, 50, 53
Exclusions • 121
F
Features • 17
Front View • 17
G
Guidance and Manufacturer's
Declaration-Electromagnetic
Emissions • 109
Guidance and Manufacturer's
Declaration-Electromagnetic
Immunity • 110
Guidelines for Setting Up • 21
I
Indications for Use • 9
Initial Battery Charging • 21, 23
IntelliBridge Connectivity • 59
Intended Use • 9
Iris • 62
Iris Icon • 91
Iris Screen • 62, 92
K
Kite • 14, 31, 50, 51
L
Layout • 45, 46
Lights • 72
Limitation of Warranty • 121
Limited Warranty • 120
Localization • 32, 50, 51
M
Manual Sizing of Windows • 44
Manually Entering Patient Data • 81, 82
Masimo Kite • 27
Masimo Technical Services • 81, 82, 100,
101, 120
Menu Navigation • 36
MOC-9 Connection • 26
Monitoring Resumed Message • 79
N
Not Admitted • 75
Not Monitoring Message • 78
Nurse Call Connection • 26
Nurse Call Setting Connections • 100,
119
Nurse Call Specifications • 103
P
Parameters Supported • 60
Patient SafetyNet System • 14
Performance Warnings and Cautions • 12
Power On • 22
Power-On Self Test • 118
Product Description and Features • 9
Product Description and Features,
Intended Use and Indications for Use
• 9
Profiles • 32, 45, 61
R
Radical-7 and Radius-7 Battery • 50, 55
Radical-7 and Radius-7 Charging
Indicator • 24, 31, 73
Radical-7 Connection • 24
Radius-7 Connection • 25
Rainbow • 45, 48
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www.masimo.com 125 Masimo
Recommended Separation Distances •
112
Repair Policy • 118, 119
Replacing the Fuses • 99, 118
Restrictions • 122
Return Procedure • 21, 99, 100, 119, 120
Root Battery • 23, 50, 54
Root Charging Indicator • 31, 73
S
Safety Information, Warnings, and
Cautions • 11, 23
Safety Warnings and Cautions • 11
Sales & End-User License Agreement •
121
Screen Capture • 69
Sending Patient Data to the EMR • 82
Session Management • 32, 57, 68
Side Views • 20, 72
Sleep and Power Off • 22, 74, 118
Sounds • 31, 45, 49, 56, 66
Standby Mode • 30, 57, 66
Symbols • 113
System Status Lights • 20, 72
T
Touchscreen Display • 105
Trend Download • 67
Trend Settings • 45, 61
Troubleshooting Radical-7, Radius-7, and
MOC-9 Modules • 99
Troubleshooting Root • 99
U
Understanding Windows • 37
Unpacking and Inspection • 21
Using Analog View • 38, 40
Using Iris Connectivity Ports • 90
Using MOC-9 Ports • 87
Using the Touchscreen Interface • 33
Using Trend View • 38, 39
V
Vent Cleaning • 117
W
Wi-Fi • 31, 50, 52, 100
Wireless Specifications • 105
www.masimo.com
37503/LAB-8542K-0720
