StemRad 360 Gamma User Manual

StemRad® 360 Gamma
TM
User Manual
1
StemRad® 360 Gamma
TM
User Manual
***This information packet may not be removed except by the end user***
Radiation Protection for the
Day Prevention FailsTM
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TM
User Manual
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Table of Contents
Product Features
3
Safety Considerations
4
Wearer Qualifications
4
Required and Additional Equipment
4
Garment Maintenance Schedule
6
Garment Inspection
6
Internal Inspection
7
Repairing Garment
7
Dosimeter Card Replacement
7
Duration of Recommended Use
7
Storage Conditions
8
Transportation
8
Suggested Undergarments
8
Sizing Considerations
8
Donning the Garment
8
Doffing the Garment
10
Decontamination and Cleaning
10
Garment Retirement Considerations
11
Disposal
11
Usage Guidance
11
Warnings
11
Your Responsibility as a User
12
Disclaimers
13
StemRad 360 Gamma Sizing Chart
14
Inner Label Icon Legend
14
StemRad 360 Gamma Performance
15
Garment Inspection & Test Log
17
Optional Accessories
18
StemRad® 360 Gamma
TM
User Manual
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Back
Front
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User Manual
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Safety Considerations
IMMEDIATELY STOP WORK IF PERSONAL PROTECTIVE EQUIPMENT (PPE) FAILS. If any item of the PPE fails during use, immediately cease work activity, safely remove the PPE, determine the cause of the PPE failure and re-evaluate the selection and use of the PPE for that task. Be sure to read, understand and follow the information in this manual and all applicable federal, state and local occupation safety and health statutes. Serious injury or death may occur from improper use of PPE. Proper use must be consistent with NFPA 1500, Standard on Fire Department Occupational Safety and Health Program and NFPA 2113, Standard on Selection, Care, Use and Maintenance of Flame-Resistant Garments for Protection of Industrial Personnel against Flash Fire. Additionally, use these garments in accordance with applicable personal protective equipment regulations, which in the United States is 29 CFR 1910.132. For users of these garments outside the United States, consult national or other applicable personal protective equipment laws and regulations.
While wearing any StemRadTM garment, including the 360 Gamma, do not knowingly enter an environment in which the radiation levels are beyond turn-back exposure rates and dose limits as defined in local guidelines. Immediately retreat if you determine that you are exposed to radiation levels which are beyond turn-back exposure rates and dose limits as defined in local guidelines while wearing any StemRadTM garment, including the 360 Gamma.
StemRadTM garments will not protect you in all situations and environments or protect
you from all radioactive materials. You must be a trained and qualified safety professional to select radiation protective clothing. It is your responsibility as a user of this garment to determine the level of exposure and the proper PPE needed. Most performance properties cannot be tested by the users in the field.
If any of the following symptoms develop while you are wearing a StemRadTM garment, immediately leave the contaminated area, undergo field decontamination, and remove (doff) the garment:
Fever
Difficulty breathing
Nausea
Excessive Tiredness
Dizziness
Numbness
Any unusual odor or taste
Eye or skin irritation
Narrowing or dimming of vision
Claustrophobia
Loss of balance or orientation
Wearer Qualifications
Do not wear a StemRadTM garment unless you are properly trained in its usage. You must be in good physical condition to wear these garments. Consult a physician before donning one of these garments to ensure you are capable of wearing these garments under the expected work conditions and environment.
Required and Additional Equipment
To help protect you while wearing StemRad garments and to ensure that the garment performs as intended, wear, at a minimum, several additional items of PPE. Environmental testing and hazard
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assessment by a safety professional can help identify hazards and risk levels and direct choices of permissible PPE.
At a minimum, wear the following additional PPE with a StemRad
TM
garment such as the 360 Gamma (Note: other PPE equipment should be worn over the 360 Gamma):
RESPIRATORS: Protection of internal organs from inhalation of radioactive particulates can be provided by wearing an appropriate particulate respirator. Recommended respiratory PPE for a radiation emergency includes a full-face piece air purifying
respirator with a P-100 or High Efficiency
Particulate Air (HEPA) filter.
A representative Air-purifying respirator (APR):
In the case of firefighters, the self­contained breathing apparatus (SCBA) will provide the highest level of protection.
It is your responsibility to verify that the selected respirator will provide adequate protection.
DOSIMETERS: PPE should include a personal
radiation dosimeter whenever there is
concern about exposure to penetrating ionizing radiation.
Direct-reading personal radiation
dosimeters may be used to monitor radiation dose and can help workers stay within recommended Dose
Limits for Emergency Workers.
Direct-reading dosimeters should be
worn so that a worker can easily see the read-out and/or hear warning alarms.
DERMAL PROTECTION: PPE to prevent skin contamination of particulates is very effective against particulate-borne radiation hazards (i.e., alpha and beta particles). In a radiation-only event, typical fire fighter "turn-out" gear, is generally adequate for this purpose, yet the use of Level C (U.S. Guidelines) Dermal protection is advised.
Level C dermal protection:
Overalls
Inner and outer chemical-resistant gloves.
Two-piece chemical splash suit
Face shield
Disposable chemical­resistant overalls
Chemical-resistant inner suit (e.g, Tyvek)
Chemical-resistant boots, with steel toe and shank OR Disposable, chemical-resistant outer boot covers.
Hard Hat
The use of turn-out gear or any disposable protective clothing suitable for particulate exposure should be followed by appropriate decontamination of personnel and equipment.
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It is your responsibility to verify that the selected dermal PPE will provide adequate protection.
OTHER PERSONAL PROTECTIVE EQUIPMENT: You may need other PPE
based on the hazard assessment and PPE selection made by a trained and experienced safety professional. It is your responsibility to determine if you need separate head protection. For example, you may require hearing protection due to high levels of external noise or high noise levels generated by supplied air systems. You may require additional protective equipment to deal with hazards created by, but not limited to, the following conditions:
- Flammable or Explosive Environment
- Chemical Hazards
- Biological Hazards
- Decontamination
- Extreme Heat (Heat Stress)
- Extreme Cold (Hypothermia)
- Asphyxiating Atmosphere
- Physical Hazards (Sharps, Puncture,
Rough Surfaces, Falling Debris)
- Slipping or falling
- Visibility - of wearer & by wearer
- Communications
Garment Maintenance Schedule
Work/Interval
Upon
Receipt
Prior to Use
After each
Use
Annually
Every five
Years
Inspect by Wearer
X X
Cleaning
X
Garment Inspection
X X X*
Internal Inspection
X*
Dosimeter
Replacement
X**
X***
*Inspection by StemRad authorized employee or authorized service provider- needed to maintain any type of warranty.
**Only in radioactive fields ***High temperatures may necessitate more frequent replacement
Garment Inspection
You must inspect the physical integrity of the garment component of the 360 Gamma at the following times:
1. Immediately upon receipt from supplier
2. After a garment is worn
3. Every 5 years by a StemRad specialist
Your inspection determines if the performance of the garment has been compromised. Perform the first inspection as soon as you receive the product. This
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ensures that no damage occurred during shipping. Inspect the garment after each use, especially if the product is subjected to physical stress.
Do not use contaminated, damaged or altered StemRad products.
Follow these steps with inspecting the garment:
1. Lay the 360 Gamma on a clean, smooth surface.
2. Examine the outside of the garment for holes, cuts, or tears.
3. Examine the garment material and seams for signs of damage. Fabrics and seams sometimes have visual blemishes that do not affect performance. A breach or rupture of a seam or the fabric itself is cause for rejection.
4. Examine the shoulder straps for integrity and make sure they are firmly connected to the belt component of the product by pulling on them.
5. Examine the garment main buckle for easy fastening and release.
6. Examine all secondary buckles, sliders and straps for smooth operation to make sure they are not obstructed
8. Examine dosimeter card to ensure that the color indicator is blank.
Repairing Garment
Do not use a damaged, altered or contaminated garment. If an uncontaminated or unaltered garment fails a visual inspection, contact your safety equipment distributor or StemRad at +1­650-388-9112 or tech@stemrad.com to
determine if the garment can be returned for inspection or repair. Note: Charges may be incurred. Contaminated garments will not be accepted for repair. Do not send a garment that is discolored, smells or has an abnormal Geiger counter reading. With each returned garment, you must provide the garment testing log and a declaration that the garment has not been exposed to radioactive materials, chemicals or to biological pathogens. Do not attempt to
return a product without authorization from your safety equipment distributor or from StemRad.
Internal Inspection
The radiation attenuating component of the
360 Gamma (i.e. ‘core’) is to be inspected
only by a StemRad specialist. Such an inspection is to be done at your facility once every 5 years.
Dosimeter Card Replacement
Contact StemRad tech support at +1-650­388-9112 or tech@stemrad.com to replace the dosimeter card. Replacement should take place at least once a year, dependent on storage conditions- cooler storage conditions are preferred. Regardless, if coloration of the dose indicator is present, the card should be replaced as soon as possible.
Duration of Recommended Use
The StemRad 360 Gamma may be used as long as it passes a full visual inspection. In addition to the visual inspection, the 360 Gamma must pass an inspection of its inner core (the radiation attenuating component) every 5 years. This inspection is to be done only by a StemRad specialist.
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The dosimeter card in each unit is to be replaced by the end user at least once a year (see ‘Dosimeter Card Replacement’ above).
Retire and label “For Training Use Only” or
discard after mutilation, uncontaminated units that do not pass a visual inspection.
Storage Conditions
Long-term Storage of the 360 Gamma should be in its original case in a cool, dark, dry location free of dirt and insects. Short­term storage, such as in a deployable vehicle, should be such that there is minimization of exposure to sunlight, ozone, high temperatures (>120° F) and vehicle exhaust fumes.
Avoid compression under heavy weights and sharp edges or projections. Never step on the 360 Gamma. Never place or store heavy objects on top of the units.
Transportation
If the 360 Gamma needs to be transported over distances, it should be placed in a crush-proof container to avoid physical damage.
Suggested Undergarments
Thick, bulky clothing worn underneath the 360 Gamma will affect the fit of the garment and potentially compromise the protection provided.
It is strongly advised to wear the 360 Gamma as close as possible to the skin of the user. Thin, non-melting materials should be used in undergarments. These could include NOMEX or other non-melting fabrics such as wool, cotton, silk and rayon.
Sizing Considerations
Verify the size of your StemRad garment before actual use. Start with the sizing chart found at the end of this document. Verify the size selection with a garment of the recommended size and style you intend to use.
Don the garment and perform a series of exercises to simulate your movements under actual work conditions.
Such exercises may include:
- pick up a box, carry it and set the box down in a separate location.
- pick up a wrench from the ground.
- open the garment closure.
- climb up and down stairs and ladder.
- wear and remove the SCBA if applicable.
A garment one size larger or smaller than recommended in the table may be required. However, a garment that is too large is as unsatisfactory as a garment that is too small.
Donning the Garment
Before donning the 360 Gamma:
- conduct a visual inspection of the garment
as detailed under ‘Garment Inspection’,
above.
- read garment size label to assure proper fit.
-remove as many layers of your clothing as possible to minimize the space between the garment and your skin.
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Donning your 360 Gamma is simple, yet it is important to follow the following steps in order to ensure optimal protection:
1. Remove the 360 Gamma from its case by grabbing the rear handle (as illustrated in Step 1, below).
2. Place the shoulder straps on your shoulders, allowing the belt portion to lie freely around your waist (as illustrated in Step 2, below).
3. Secure the front closure mechanism loosely (as illustrated in Step 3, below).
4. Sit on a chair with a straight back (your hip joint should make a 90 degree angle). In this position the bottom edge of the 360 Gamma should rest on top of your thighs. If it does not, loosen shoulder straps until it does (as illustrated in Step 4, below).
5. Secure the front closure mechanism tightly (as illustrated in Step 5, below). Secure sternum strap at this opportunity as well.
6. Tighten the shoulder straps until the bottom edge of the 360 Gamma just lightly touches the top of your thighs (as illustrated in Step 6, below).
7. Other PPE should be worn over the 360 Gamma.
Step-by-step illustration of product donning:
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Doffing the Garment
If your garment has been contaminated or is suspected of being contaminated, you must first undergo field decontamination.
In case of contamination, continue to use your respirator until the garment has been doffed and removed.
In case of no contamination, or after field decontamination, remove the garment by following these easy steps:
1. Release buckle
2. Loosen belt strap
3. Release sternum strap
4. Lift one shoulder strap while concomitantly grabbing the rear handle.
5. Lift second shoulder strap and guide the 360 Gamma to its case by the rear handle.
Decontamination and Cleaning
StemRad garments are designed for multiple-use applications – they can be worn until damaged, altered or irreversibly contaminated.
If the garment is contaminated during use, it must be decontaminated.
It is the responsibility of the safety professional having responsibility over usage of the garment to determine whether the suit has been irreversibly contaminated or may be safely decontaminated and re­used.
Field Decontamination
If you know or suspect that a garment has been contaminated with hazardous radioactive or chemical materials:
Use water and mild dishwashing liquid to field decontaminate the garments prior to doffing.
Do not use oxidative, corrosive or reactive decontamination solutions to remove known or suspected chemical or radioactive contaminants.
You must discard the garment if after field decontamination it still shows abnormal Geiger counter readings.
The steps of field decontamination are:
1. Leave the hot zone with adequate air supply (in case of a SCBA) for field decontamination and removal of the garment. Continue to wear the respirator until you completely doff the garment and it is removed from your presence.
2. Thoroughly clean the garment using household dishwashing liquid and soft brushes, followed by a thorough rinsing in water.
3. Remove the excess rinse water from the garment before doffing. Absorb and dry the rinse water on and near the 360 Gamma.
Inspection before re-use:
Field decontamination does not guarantee that a garment is safe to re-use. Garments previously contaminated with radioactive or otherwise hazardous materials must not be re-used until removal of contaminants is verified (e.g, by a Geiger counter reading).
Thoroughly inspect a decontaminated garment before re-use following the instructions provided in manual (see, ‘Garment Inspection’, above). Do not re-use the garment if it fails the inspection or shows sign of alteration, damage or contamination.
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Garment Retirement Considerations
Retire StemRad garments from service if any of the following criteria are met:
-Garment fails to pass visual inspection.
-Garment has had prolonged exposure to intense heat and/or ultraviolet light.
-Garment has been irreversibly contaminated
-Garment has been decontaminated with an oxidative, corrosive or reactive decontamination agent.
-Retired garments that are not
contaminated may be labeled and used “For Training Only”. Label with a permanent
marker.
Disposal
Please contact StemRad technical support for consultation regarding disposal at +650­388-9112 or tech@stemrad.com .
Usage Guidance
PPE Failure
IMMEDIATELY STOP WORK IF PERSONAL PROTECTIVE EQUIPMENT (PPE) FAILS. If any item of the personal protective equipment fails during use, immediately cease work activity, safely remove the PPE, determine the cause of the PPE failure and re-evaluate the selection and use of the PPE for that task.
Required Equipment: The StemRad 360 Gamma should be worn with additional PPE as described in the “Required and
Additional Equipment” section of this guide.
Temperature Range: StemRad garments
can be used in an ambient environment from -13° F (-25° C) to 190° F (88° C). Do not store StemRad garments at temperatures exceeding 120° F (48° C).
**Warnings**
Follow these warnings and limitations at all times:
- The 360 Gamma provides only partial body protection from externally penetrating ionizing radiation. Most of your body is
unprotected.
-The 360 Gamma is configured to protect bone marrow. The 360 Gamma DOES NOT provide whole body protection.
-The 360 Gamma provides meaningful partial body protection only against common radioisotopes such as Cs-137, Te­132, I-132, I-131, Ba-140, Zr-95, Nb-95. The
360 Gamma’s efficacy decreases as photon
energies rise and provides insignificant protection from radioisotopes with photon energies above 1.2 MeV. Always know the
range of radioisotope energies you are facing and the relative contribution of each to the total dose.
-The 360 Gamma may be beneficial in reducing the incidence of Acute Radiation Sydrome (ARS), but provides little or no
protection from the long-term effects of ionizing radiation (such as cancer).
-The 360 Gamma provides no protection from chemical or biologic hazards.
-The 360 Gamma is made of fire-resistant materials yet does not protect you from
fire.
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-The 360 Gamma offers little or no thermal insulation to protect the wearer's skin from prolonged exposure to hot or cold. The temperature range for the fabric and seams is well beyond the temperatures that the human skin can withstand without injury.
-If the danger of exposure to biological aerosols or chemical warfare chemicals exists, consider use of a protective ensemble certified to NFPA 1991 or to NFPA
1994.
-Minimize or avoid direct exposure of personnel to ionizing radiation. Always
follow turn-back exposure rates and dose limits as defined in local guidelines. Do not
assume that these guidelines do not apply to you because you are wearing StemRad
PPE. For more information, see “Safety Considerations” above.
-StemRad garments are not suitable in all situations and environments. All decisions regarding the selection and use of Radiation protective clothing must be done by trained and qualified safety professionals.
-It is the user’s responsibility to determine the level of exposure and the proper personal protective equipment needed.
- You must be physically fit to wear a StemRad garment. You should be examined and approved by a physician as physically fit to wear the 360 Gamma.
Your Responsibility as a User
You must be a trained and qualified safety professional to select radiation protective garments.
It is your responsibility as a user of this garment to determine the level of exposure
and the proper personal protective equipment needed.
It is your responsibility as a user to select garments which are appropriate for each intended use and which meet all specified government and industry standards.
StemRad garments are intended to help reduce the potential for injury, but no protective apparel alone, can eliminate all risk of injury. Protective apparel must be used in conjunction with general safety practices.
StemRad garments are designed for limited use. It is the wearer’s responsibility to inspect garments before use and periodically to ensure that all external components, including fabric, zippers, seams, and interfaces are in good working condition.
Failure to fully inspect garments may result in serious injury to the wearer. Never wear garments that have not been fully inspected.
Immediately remove from service any garment which does not pass inspection. Never wear a garment that is contaminated, altered or damaged.
If the StemRad garment is altered, abraded, cut, torn, punctured or otherwise and in any way compromised, do not use.
The 360 Gamma has finite resistance to abrasion, cut, tear and puncture.
If the StemRad garment is damaged during use and no longer adheres to the user’s body, retreat immediately to a safe environment, and thoroughly decontaminate the garment.
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It is the responsibility of the garment
wearer, and the wearer’s supervisor and
employer to examine the condition of the garment before and during use to be sure that the garment is suitable for use in that environment by that employee.
Disclaimers
StemRad makes no guarantee of results and assumes no obligation or liability in connection with the use of StemRad garments and accessories. It is user’s responsibility to determine the level of hazards and the proper personal protective equipment needed.
IN NO EVENT SHALL STEMRAD BE LIABLE FOR ANY SPECIAL, INCIDENTAL, INDIRECT, PUNITIVE OR CONSEQUENTIAL DAMAGES, WHETHER ARISING FROM CONTRACT, TORT, WARRANTY, REPRESENTATION, INSTRUCTION, DESIGN OR MANUFACTURING DEFECTS, OR ANY OTHER CAUSE OR THEORY.
The product information provided in this manual corresponds to our current knowledge on the subject. It is offered solely to provide possible suggestions for your own experimentations. It is not intended, however, to substitute for any testing you may need to conduct to determine for yourself the suitability of our products for your particular purposes. It is the user’s responsibility to determine the level of risk and the proper protective
equipment needed for the user’s particular
purposes. This information may be subject to revision as new knowledge and experience becomes available. Since we cannot anticipate all variations in actual end-use, STEMRAD assumes no liability in
connection with any use of the StemRad 360 Gamma garment and accessories.
STEMRAD MAKES NO WARRANTIES AND ASSUMES NO LIABILITY IN CONNECTION WITH ANY USE OF THE INFORMATION IN THIS PUBLICATION.
Nothing in this publication is to be considered as a license to operate under or a recommendation to infringe any trademark or patent right.
StemRad™, 360 Gamma and Radiation Protection for the Day Prevention Fails are trademarks or registered trademarks of StemRad LTD.
Please contact StemRad LTD. at the address below with regard to any questions concerning the use of the 360 Gamma.
StemRad LTD., 4 Berkovich Street, Tel Aviv 64238, Israel . www.stemrad.com.
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StemRad 360 Gamma Sizing Chart
Waist
Inner Label Icon Legend
Icon
Description
consult User Manual
protection against ionizing radiation
can be used with firefighters’ clothing and
SCBA’s
complies with the PPE Directive, 89/686/EEC
waist height
72-87 cm
28''-34''
88-104 cm
35''-41''
105-120 cm
42''-47''
182-200 cm
60’’-6'7''
S Tall
M Tall
L Tall
150-181 cm 411’’-5'11''
S Reg.
M Reg.
L Reg.
Height
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StemRad 360 Gamma Performance
Cloud Source Attenuation:
TLD No.
Unprotected
StemRad Protected
TLD No.
Unprotected
StemRad Protected
TLD No.
Unprotected
StemRad Protected
TLD No.
Unprotected
StemRad Protected
1 0.668
0.524
16 0.592
0.328
31 0.657
0.378
46 0.589
0.404
2 0.656
0.438
17 0.608
0.372
32 0.658
0.454
47 0.612
0.408
3 0.702 0.41
18 0.595
0.349
33 0.653
0.481
48 0.581 0.36
4 0.662 0.41
19 0.622 0.36
34 0.707 0.49
49 0.557
0.424
5 0.625 0.34
20 0.69
0.378
35 0.627
0.398
50 0.524
0.399
6 0.789
0.398
21 0.627
0.388
36 0.569
0.346
51 0.52
0.408
7 0.624
0.357
22 0.607
0.382
37 0.64
0.358
52 0.58
0.303
8 0.654
0.367
23 0.517
0.317
38 0.592
0.271
53 0.56
0.327
9 0.606
0.387
24 0.649
0.308
39 0.598
0.372
54 0.536
0.326
10 0.591
0.414
25 0.678
0.362
40 0.637
0.407
55 0.579
0.382
11 0.655
0.369
26 0.722 0.4
41 0.572
0.388
56 0.584
0.408
12 0.646
0.382
27 0.719
0.403
42 0.616
0.406
57 0.422
0.484
13 0.684
0.352
28 0.729
0.375
43 0.634
0.313
58 0.506
0.534
14 0.675
0.338
29 0.596
0.377
44 0.623
0.345
59 0.59
0.546
15 0.625
0.374
30 0.584
0.382
45 0.629
0.402
60 0.587
0.536
61 0.494
0.454
Relative pelvic marrow doses upon exposure to a cloud source of Cs-137 in the absence and presence of the StemRad 360 Gamma. The dose recorded in each numbered TLD dosimeter is expressed as a fraction
of the ambient dose (in-air). In sketch below front and rear views of a human skeleton with exact placement of the TLD dosimeters is shown.
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Lead Equivalence and Linear Radiation Attenuation:
The figure below shows the varying thickness of protective material in the 360 Gamma in terms of lead equivalence, together with the reduction of radiation intensity provided by each thickness level in terms of radiation from a linear Cs-137 source.
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StemRad 360 Gamma Garment Inspection & Test Log
SERIAL #...........................................................................................................................................
DATE
INSPECTOR
REMARKS
TEST RESULTS
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Optional Accessories
Real-time Radiation Monitor (NukAlert™) The StemRad 360 Gamma optionally comes with a
Nukalert real-time radiation monitor and specialized pouch. The Nukalert is a calibrated radiation meter that alarms when exposed to dangerous levels of nuclear radiation. It does not respond to relatively safe, low level radiation. Its primary utility is to aid in the location and evaluation of shelter during a radiation emergency. It may also be used to verify the reduction of radiation during evacuation. The NukAlert indicates radiation exposure by producing groups of audible alarm chirps about twice per minute. The number of chirps per group is easily counted. The approximate radiation intensity is indicated by the number of chirps produced per group. The lowest indicated level of radiation (0.1 Roentgen per hour) will cause a single chirp every 35 seconds. With each doubling of the radiation intensity, an additional chirp is added to each alarm chirp group. At 0.2R/hr the unit will double chirp every 30 seconds. At 0.4R/hr it will chirp three times in a row, repeating every 25 seconds, etc. At the highest level (above 50R/hr) the alarm will change to an uninterrupted series of siren-like sounds that become shorter and more frequent if the exposure rate continues to increase.
Dosimeter Card (RADTriage) The StemRad 360 Gamma optionally comes with a RADTriage dosimeter card for monitoring cumulative dose. The specialized placement of this card on the shielded side of the 360 and adjacent to the posterior marrow allows for monitoring the shielded marrow dose and may be used in determining the need for transplantation following exposure by a certified hematologist. RADTriage monitors 20 mSv (2 rad) and higher doses of Gamma/x-ray radiation in a radiological incident. The sensor instantly develops color upon exposure to radiation. Color development is permanent and cumulative. The longer the exposure the darker the color. How to read: Radiation will darken the sensor located between the numbered squares. Estimate the exposure dose by comparing the color of the sensor with the color reference squares. If the sensor develops a color in-between any two adjacent squares, this indicates an in-between dose. Check the FIT indicator regularly. The FIT indicator is located to the right of the sensor - the larger square with dark colored dots in the middle. If the dots have turned red the sensor has been exposed to excessive heat and the card must be replaced. The card is expired if the color of the area surrounding the dots of the FIT indicator matches the bar to its right. This can be caused by exposure to too much sunlight and/or heat, and means the card must be replaced.
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Page Intentionally Left Blank for User Notes
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