Mindray BIO Medical electronics TD608FE User Manual

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BeneVision TMS60

Telemetry Monitoring System

Operator’s Manual

Introduction

For this Operator’s Manual, the issue date is 2015-06.

TMS60 Operator’s Manual I

Intellectual Property Statement Introduction

Intellectual Property Statement

SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. (hereinafter called Mindray) owns the intellectual property rights to this Mindray product and this manual. This manual may refer to information protected by copyrights or patents and does not convey any license under the patent rights of Mindray, nor the rights of others.

Mindray intends to maintain the contents of this manual as confidential information. Disclosure of the information in this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden.

Release, amendment, reproduction, distribution, rental, adaption and translation of this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden.

, , and are the registered trademarks or trademarks owned by Mindray in China and other countries. All other trademarks that appear in this manual are used only for editorial purposes without the intention of improperly using them. They are the property of their respective owners.

Manufacturer’s Responsibility

Contents of this manual are subject to changes without prior notice.

All information contained in this manual is believed to be correct. Mindray shall not be liable for errors contained herein nor for incidental or consequential damages in connection with the furnishing, performance, or use of this manual.

Mindray is responsible for the effects on safety, reliability and performance of this product, only if:

■ all installation operations, expansions, changes, modifications and repairs of this

product are conducted by Mindray authorized personnel;

■ the electrical installation of the relevant room complies with the applicable

national and local requirements;

■ the product is used in accordance with the instructions for use.

II TMS60 Operator’s Manual

Introduction Warranty

WARNING

• Only skilled/trained clinical professionals should operate this equip-

ment.

• It is important for the hospital or organization that employs this equip-

ment to carry out a reasonable service/maintenance plan. Neglect of this may result in machine breakdown or personal injury.

Warranty

Mindray warrants that components within its products will be free from defects in workmanship and materials for a period of three years from the date of purchase except that disposable or one-time use products are warranted to be free from defects in workmanship and materials up to a date one year from the date of purchase or the date of first use, whichever is sooner.

This warranty does not cover consumable items such as, but not limited to, batteries, external cables, and sensors.

Mindray shall not be liable for any incidental, special, or consequential loss, damage, or expense directly or indirectly arising from the use of its products. Liability under this warranty and the buyer’s exclusive remedy under this warranty is limited to servicing or replacing the affected products, at Mindray option, at the factory or at an authorized distributor, for any product which shall under normal use and service appear to Mindray to have been defective in material or workmanship. Recommended preventative maintenance, as prescribed in the service manual, is the responsibility of the user and is not covered by this warranty.

No agent, employee, or representative of Mindray has any authority to bind Mindray to any affirmation, representation, or warranty concerning its products, and any affirmation, representation or warranty made by any agent, employee, or representative shall not be enforceable by buyer or user.

THIS WARRANTY IS EXPRESSLY IN LIEU OF, AND MINDRAY EXPRESSLY DISCLAIMS, ANY OTHER EXPRESS OR IMPLIED WARRANTIES, INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY, NON-INFRINGEMENT, OR FITNESS FOR A PARTICULAR PURPOSE, AND OF ANY OTHER OBLIGATION ON THE PART OF MINDRAY.

Damage to any product or parts through misuse, neglect, accident, or by affixing any non-standard accessory attachments, or by any customer modification voids this warranty. Mindray makes no warranty whatsoever in regard to trade accessories, such being subject to the warranty of their respective manufacturers.

A condition of this warranty is that the equipment or accessories which are claimed to be defective be returned when authorized, freight prepaid to Mindray DS USA, Inc., Mahwah, New Jersey 07430 or its authorized representative. Mindray shall not have any responsibility in the event of loss or damage in transit.

TMS60 Operator’s Manual III

Company Contact Introduction

Exemptions

Mindray's obligation or liability under this warranty does not include any transportation or other charges or liability for direct, indirect or consequential damages or delay resulting from the improper use or application of the product or the use of parts or accessories not approved by Mindray or repairs by people other than Mindray authorized personnel.

This warranty does not extend to:

■ Malfunction or damage caused by improper use or man-made failure.

■ Malfunction or damage caused by unstable or out-of-range power input.

■ Malfunction or damage caused by force majeure events, such as (i) flood, fire and

earthquake or other similar elements of nature or acts of God; (ii) riots, war, civil disorders, rebellions, or revolutions in any country; or (iii) any other cause beyond the reasonable control of Mindray.

■ Malfunction or damage caused by improper operation or repair by unqualified or

unauthorized service people.

■ Malfunction of the instrument or part whose serial number is not legible.

■ Others not caused by instrument or part itself.

Company Contact

Manufacturer: Shenzhen Mindray Bio-Medical Electronics Co., Ltd.

Address: Mindray Building, Keji 12th Road South, Hi-tech industrial park, Nanshan, Shenzhen

Website: www.mindray.com

E-mail Address: service@mindray.com

Tel: +86 755 81888998

Fax: +86 755 26582680

Distributor: Mindray DS USA, Inc.

Address: 800 MacArthur Boulevard, Mahwah, New Jersey 07430 USA

Tel: 1.800.288.2121, 1.201.995.8000

Website: www.mindray.com

EC-Representative: Shanghai International Holding Corp. GmbH (Europe)

Address: Eiffestraβe 80, 20537 Hamburg, Germany

Tel: 0049-40-2513175

518057, P.R.China

IV TMS60 Operator’s Manual

Introduction Preface

Fax: 0049-40-255726

Preface

Manual Purpose

This manual contains the instructions necessary to operate the product safely and in accordance with its function and intended use. Observance of this manual is a prerequisite for proper product performance and correct operation and ensures patient and operator safety.

This manual is based on the maximum configuration and therefore some contents may not apply to your product. If you have any questions, please contact Mindray.

This manual is an integral part of the product. It should always be kept close to the equipment so that it can be obtained conveniently when needed.

Intended Audience

This manual is geared for clinical professionals who are expected to have a working knowledge of medical procedures, practices and terminology as required for monitoring of critically ill patients.

Illustrations

All illustrations in this manual serve as examples only. They may not necessarily reflect the setup or data displayed on your patient monitor.

Conventions

■ Italic text is used in this manual to quote the referenced chapters or sections.

■ [ ] is used to enclose screen texts.

■ → is used to indicate operational procedures.

TMS60 Operator’s Manual V

Preface Introduction

This page intentionally left blank.

VI TMS60 Operator’s Manual

Contents

1 Safety ........................................................................................................................................ 1 - 1

1.1 Safety Information .....................................................................................................................................1 - 2

1.1.1 Warnings ........................................................................................................................................1 - 3

1.1.2 Cautions ..........................................................................................................................................1 - 4

1.1.3 Notes ................................................................................................................................................1 - 5

1.2 Equipment Symbols ..................................................................................................................................1 - 5

2 General Product Description ................................................................................................... 2 - 1

2.1 Intended Use ................................................................................................................................................2 - 2

2.2 Applied Parts ................................................................................................................................................2 - 2

2.3 Key Features .................................................................................................................................................2 - 2

2.4 System Components .................................................................................................................................2 - 3

2.5 TD60 Physical View ....................................................................................................................................2 - 3

2.6 Antenna Array ..............................................................................................................................................2 - 5

2.7 Telemetry Receiver (RC60) ......................................................................................................................2 - 5

2.8 Touch Screen Display ................................................................................................................................2 - 5

2.8.1 Display Screen ..............................................................................................................................2 - 6

2.8.2 On-Screen Keyboard ..................................................................................................................2 - 7

3 Getting Started ......................................................................................................................... 3 - 1

3.1 Unpacking and Checking ........................................................................................................................3 - 2

3.2 Environmental Requirements ................................................................................................................3 - 3

3.3 Connecting the ECG Leadwire ...............................................................................................................3 - 4

3.4 Installing the Batteries ..............................................................................................................................3 - 5

3.4.1 Installing the Lithium-ion Rechargeable Battery .............................................................3 - 6

3.4.2 Installing the AA Batteries ........................................................................................................3 - 7

3.5 Powering On the Unit ...............................................................................................................................3 - 8

3.6 Understanding Touch Gestures ............................................................................................................3 - 9

3.7 Basic Operations .........................................................................................................................................3 - 9

3.7.1 Understanding the Screen Display Orientation .............................................................3 - 10

3.7.2 Browsing the Screen Display ................................................................................................3 - 10

3.7.3 Switching the Screen Display Orientation .......................................................................3 - 10

3.7.4 Flipping the Landscape Display ...........................................................................................3 - 10

3.7.5 Displaying the Quick Keys Area ...........................................................................................3 - 11

3.7.6 Entering the Main Menu .........................................................................................................3 - 11

3.7.7 Turning the Display Off ...........................................................................................................3 - 12

3.7.8 Turning the Display On ...........................................................................................................3 - 13

3.7.9 Unlocking the Screen ..............................................................................................................3 - 13

TMS60 Operator’s Manual 1

3.7.10 Acknowledging the Nurse Call ..........................................................................................3 - 13

3.8 Using the Pouch ........................................................................................................................................3 - 14

3.8.1 Securing the Pouch ..................................................................................................................3 - 14

4 User Configurations ................................................................................................................. 4 - 1

4.1 Introduction ..................................................................................................................................................4 - 2

4.2 Configuring the Display ...........................................................................................................................4 - 2

4.2.1 Setting the Default Display Orientation .............................................................................4 - 2

4.2.2 Understanding Portrait Orientation Display Rules .........................................................4 - 2

4.2.3 Setting the Portrait Display .....................................................................................................4 - 2

4.2.4 Understanding Landscape Orientation Display Rules ...................................................4 - 3

4.2.5 Setting the Landscape Display ...............................................................................................4 - 4

4.2.6 Setting the Display Brightness ...............................................................................................4 - 4

4.3 Configuring the Audio Volume .............................................................................................................4 - 5

5 Patient Management ............................................................................................................... 5 - 1

5.1 Introduction ..................................................................................................................................................5 - 2

5.2 Admitting a Patient ....................................................................................................................................5 - 2

5.3 Changing the Patient Category .............................................................................................................5 - 2

5.4 Placing a Device in Standby ...................................................................................................................5 - 3

5.5 Resume Monitoring ...................................................................................................................................5 - 4

5.6 Discharging the Patient ............................................................................................................................5 - 4

5.6.1 Selecting the [Discharge Patient] menu .............................................................................5 - 4

5.6.2 Restarting the TD60 ...................................................................................................................5 - 5

6 Alarms ....................................................................................................................................... 6 - 1

6.1 Introduction ..................................................................................................................................................6 - 2

6.2 Alarm Categories ........................................................................................................................................6 - 2

6.3 Alarm Levels .................................................................................................................................................6 - 2

6.4 Alarm Indicators ..........................................................................................................................................6 - 3

6.4.1 Alarm Light ....................................................................................................................................6 - 3

6.4.2 Alarm Tones ..................................................................................................................................6 - 3

6.4.3 Alarm Messages ...........................................................................................................................6 - 4

6.4.4 Alarm Status Symbols ................................................................................................................6 - 4

6.5 Configuring the Alarms ............................................................................................................................6 - 5

6.6 Resetting the Alarms .................................................................................................................................6 - 5

7 Monitoring ECG ........................................................................................................................ 7 - 1

7.1 Introduction ..................................................................................................................................................7 - 2

7.2 Safety ..............................................................................................................................................................7 - 2

7.3 Preparation for Monitoring ECG ...........................................................................................................7 - 3

7.3.1 Preparing the Patient’s Skin ....................................................................................................7 - 3

7.3.2 Positioning the Electrodes .......................................................................................................7 - 3

2 TMS60 Operator’s Manual

7.3.3 Setting ECG Lead Labeling ......................................................................................................7 - 5

7.3.4 Placing the Electrodes ...............................................................................................................7 - 5

7.3.5 Checking the Lead Placement ................................................................................................7 - 9

7.3.6 Checking the Paced Status ....................................................................................................7 - 10

7.4 Changing the ECG Settings ...................................................................................................................7 - 11

7.4.1 Configuring the ECG Setup ...................................................................................................7 - 11

7.4.2 ECG Leadwire Types .................................................................................................................7 - 12

7.4.3 Configuring the ECG Waveforms ........................................................................................7 - 12

7.4.4 Configuring the Pacer .............................................................................................................7 - 13

7.4.5 Configuring the ECG Waveform Size .................................................................................7 - 14

7.5 Understanding the ECG Display ..........................................................................................................7 - 14

7.5.1 HR Digital Area ...........................................................................................................................7 - 14

7.5.2 About the HR Digital Area ......................................................................................................7 - 14

7.5.3 ECG Waveform Area .................................................................................................................7 - 15

7.5.4 About the ECG Waveform Area ............................................................................................7 - 15

8 Monitoring SpO2 (Optional) .................................................................................................... 8 - 1

8.1 Introduction ..................................................................................................................................................8 - 2

8.2 Measurement Limitations .......................................................................................................................8 - 2

8.3 Safety ..............................................................................................................................................................8 - 3

8.4 Connecting the SpO2 Module ...............................................................................................................8 - 4

8.5 Changing the SpO2 Settings ..................................................................................................................8 - 5

8.5.1 Configuring the SpO2 Setup ...................................................................................................8 - 5

8.5.2 Configuring the SpO2 Waveform ..........................................................................................8 - 8

8.6 SpO2 Measurement ...................................................................................................................................8 - 8

8.6.1 Identifying SpO2 Modules .......................................................................................................8 - 8

8.6.2 Applying the Sensor ...................................................................................................................8 - 8

8.7 Understanding the SpO2 Display .......................................................................................................8 - 10

8.7.1 SpO2 Digital Area ......................................................................................................................8 - 10

8.7.2 About the SpO2 Digital Area ................................................................................................8 - 11

8.7.3 SpO2 Waveform Area ..............................................................................................................8 - 11

8.7.4 About the SpO2 Waveform Area .........................................................................................8 - 11

8.8 Masimo Information ................................................................................................................................8 - 12

9 Monitoring with the TD60 at the CS ....................................................................................... 9 - 1

9.1 Introduction ..................................................................................................................................................9 - 2

9.2 Physiological Alarms .................................................................................................................................9 - 2

9.2.1 Factory Default Parameter Alarm Limits .............................................................................9 - 3

9.2.2 Parameter Alarm Responses ...................................................................................................9 - 4

9.2.3 Factory Default Parameter Alarm Settings ........................................................................9 - 5

9.2.4 Factory Default Arrhythmia Alarm Settings ......................................................................9 - 6

9.2.5 Arrhythmia Threshold Settings ............................................................................................9 - 10

9.3 ECG Monitoring .........................................................................................................................................9 - 12

9.3.1 HR Settings ..................................................................................................................................9 - 12

TMS60 Operator’s Manual 3

9.3.2 Waveform Setup ........................................................................................................................9 - 13

9.3.3 Other Settings ............................................................................................................................9 - 15

9.3.4 ECG Display .................................................................................................................................9 - 16

9.4 QT Monitoring ...........................................................................................................................................9 - 18

9.4.1 Measurement Limitations ......................................................................................................9 - 18

9.4.2 QT Settings ..................................................................................................................................9 - 18

9.4.3 QT View Menu (Only for Mindray ECG Algorithm) ........................................................9 - 20

9.4.4 QT Display ....................................................................................................................................9 - 21

9.5 ST Monitoring ............................................................................................................................................9 - 22

9.5.1 Measurement Limitations ......................................................................................................9 - 23

9.5.2 ST Settings ...................................................................................................................................9 - 23

9.5.3 Adjusting ST Measurement Points .....................................................................................9 - 24

9.5.4 ST Display .....................................................................................................................................9 - 25

9.5.5 ST Segment Display ..................................................................................................................9 - 26

9.6 Arrhythmia Monitoring ..........................................................................................................................9 - 27

9.6.1 Measurement Limitations ......................................................................................................9 - 27

9.6.2 Understanding the Arrhythmia Events .............................................................................9 - 27

9.6.3 Arrhythmia Settings .................................................................................................................9 - 30

9.6.4 Relearning ....................................................................................................................................9 - 30

9.6.5 Configuring the QRS Threshold ...........................................................................................9 - 31

9.7 SpO2 Monitoring ......................................................................................................................................9 - 33

9.7.1 Measurement Limitations ......................................................................................................9 - 33

9.7.2 SpO2 Settings .............................................................................................................................9 - 33

9.7.3 SpO2 Display ...............................................................................................................................9 - 34

10 Configuring the TD60 .......................................................................................................... 10 - 1

10.1 Introduction .............................................................................................................................................10 - 2

10.2 Maintenance Menu ...............................................................................................................................10 - 2

10.2.1 Entering the Maintenance menu ......................................................................................10 - 2

10.2.2 Configuring the General Menu ..........................................................................................10 - 2

10.2.3 Configuring the Alarms Menu ...........................................................................................10 - 3

10.2.4 Quick Keys Menu ....................................................................................................................10 - 5

10.2.5 Configuring the Defaults Menu .........................................................................................10 - 6

10.2.6 Transferring a Configuration ..............................................................................................10 - 7

10.2.7 Screen Lock Menu ..................................................................................................................10 - 8

10.2.8 Changing the Passwords .....................................................................................................10 - 9

10.2.9 Changing the Device Name ................................................................................................10 - 9

10.2.10 Demo Mode ...........................................................................................................................10 - 9

10.2.11 Service Menu .........................................................................................................................10 - 9

11 Battery ................................................................................................................................... 11 - 1

11.1 Introduction .............................................................................................................................................11 - 2

11.2 Safety ..........................................................................................................................................................11 - 2

11.3 Installing the Battery .............................................................................................................................11 - 3

11.4 Checking the Battery Charge Status ...............................................................................................11 - 4

4 TMS60 Operator’s Manual

11.5 Removing the Battery ...........................................................................................................................11 - 4

11.6 Charging the Rechargeable Lithium-ion Battery ........................................................................11 - 5

11.7 Storing the Batteries .............................................................................................................................11 - 6

11.7.1 Storing Rechargeable Lithium-ion Battery ....................................................................11 - 6

11.7.2 Storing AA Batteries ...............................................................................................................11 - 6

11.8 Maintaining the Rechargeable Lithium-ion Battery ..................................................................11 - 7

11.9 Disposing of the Batteries ...................................................................................................................11 - 8

11.9.1 Disposing of the Rechargeable Lithium-ion Battery .................................................11 - 8

11.9.2 Disposing of the AA Batteries ............................................................................................11 - 8

12 Troubleshooting ................................................................................................................... 12 - 1

12.1 General Problems ...................................................................................................................................12 - 2

12.1.1 Troubleshooting Tools .........................................................................................................12 - 2

12.1.2 Problem List ..............................................................................................................................12 - 2

12.2 Physiological Alarm Messages at the CS .......................................................................................12 - 3

12.3 Technical Alarm Messages at the TD60 .........................................................................................12 - 5

13 Cleaning and Disinfecting ................................................................................................... 13 - 1

13.1 Introduction .............................................................................................................................................13 - 2

13.2 Safety Information .................................................................................................................................13 - 2

13.3 Cleaning of the TD60 ............................................................................................................................13 - 3

13.4 Cleaning the Reusable ECG Leadwires, SpO2 Modules and Sensors ..................................13 - 4

13.5 Cleaning the Battery and Battery Compartment ........................................................................13 - 5

13.6 Disinfection ..............................................................................................................................................13 - 5

13.7 Sterilization ..............................................................................................................................................13 - 5

14 Maintenance ......................................................................................................................... 14 - 1

14.1 Introduction .............................................................................................................................................14 - 2

14.2 Safety ..........................................................................................................................................................14 - 2

14.3 Regular Check ..........................................................................................................................................14 - 3

14.3.1 Power-on Test ..........................................................................................................................14 - 3

14.3.2 Battery Check ...........................................................................................................................14 - 3

14.4 Maintenance and Testing Schedule ................................................................................................14 - 4

14.5 Checking the System Information ...................................................................................................14 - 4

14.6 Verifying the ECG at the TD60 ...........................................................................................................14 - 4

15 Accessories ............................................................................................................................ 15 - 1

15.1 ECG Accessories ......................................................................................................................................15 - 2

15.1.1 ECG Electrodes .........................................................................................................................15 - 2

15.1.2 ECG Leadsets ............................................................................................................................15 - 3

15.2 SpO2 Accessories ...................................................................................................................................15 - 3

15.2.1 Masimo SpO2 Module ..........................................................................................................15 - 3

TMS60 Operator’s Manual 5

15.2.2 Masimo SpO2 Sensor ............................................................................................................15 - 4

15.2.3 Nonin SpO2 Module ..............................................................................................................15 - 4

15.2.4 Nonin SpO2 Sensor ................................................................................................................15 - 4

15.3 Miscellaneous ..........................................................................................................................................15 - 5

A Product Specifications .............................................................................................................A - 1

A.1 Classifications ..............................................................................................................................................A - 2

A.2 Environmental Specifications ................................................................................................................A - 2

A.3 Power Supply Specifications ..................................................................................................................A - 3

A.3.1 TD60 ................................................................................................................................................A - 3

A.3.2 RC60 .................................................................................................................................................A - 3

A.3.3 Central Charger ...........................................................................................................................A - 4

A.4 Physical Specifications .............................................................................................................................A - 4

A.4.1 TD60 ................................................................................................................................................A - 4

A.4.2 RC60 .................................................................................................................................................A - 4

A.4.3 Central Charger ...........................................................................................................................A - 4

A.5 Hardware Specifications ..........................................................................................................................A - 5

A.5.1 TD60 ................................................................................................................................................A - 5

A.5.2 RC60 .................................................................................................................................................A - 6

A.5.3 Central Charger ...........................................................................................................................A - 6

A.6 Wireless Specification ...............................................................................................................................A - 7

A.6.1 Technique Specification ...........................................................................................................A - 7

A.6.2 Implemented Functions ...........................................................................................................A - 7

A.6.3 Function Specification ..............................................................................................................A - 8

A.7 Mindray Patient Area Network (PAN) Specification ......................................................................A - 9

A.7.1 Technique Specification ...........................................................................................................A - 9

A.7.2 Implemented Function .............................................................................................................A - 9

A.7.3 Function Specification ..............................................................................................................A - 9

A.8 Measurement Specifications ...............................................................................................................A - 10

A.8.1 ECG ................................................................................................................................................A - 10

A.8.2 SpO2 .............................................................................................................................................A - 14

B EMC ............................................................................................................................................ B - 1

C FCC Compliance ........................................................................................................................ C - 1

D Symbols and Abbreviations ....................................................................................................D - 1

D.1 Units ...............................................................................................................................................................D - 2

D.2 Symbols ........................................................................................................................................................D - 3

D.3 Abbreviations ............................................................................................................................................. D - 3

E Anomaly .....................................................................................................................................E - 1

E.1 Anomaly Description .................................................................................................................................E - 1

6 TMS60 Operator’s Manual

1 Safety

Safety Information...................................................................................................1-2

Equipment Symbols................................................................................................1-5

TMS60 Operator’s Manual 1 - 1

Safety Information Safety

1.1 Safety Information

WARNING

• Indicates a potential hazard or unsafe practice that, if not avoided,

could result in death or serious injury.

CAUTION

• Indicates a potential hazard or unsafe practice that, if not avoided,

could result in minor personal injury or product/property damage.

NOTE

• Provides application tips or other useful information to ensure that you

get the most from your product.

1 - 2 TMS60 Operator’s Manual

Safety Safety Information

1.1.1 Warnings

WARNING

• The TD60 is intended to be used for a single patient at a time.

• The Telemetry Monitoring System (TMS60) must be operated by medical

personnel in hospitals or medical institutions.

• To avoid explosion hazard, do not use the equipment in the presence of

oxygen-rich atmospheres, flammable anesthetics, or other flammable agents.

• Do not use this equipment in conjunction with Electro Surgical Unit

(ESU).

• Do not expose the equipment to a Magnetic Resonance (MR)

environment.

◆ Thermal injury and burns may occur due to the metal components

of the equipment which can heat during MR scanning.

◆ The equipment may present a risk of projectile injury due to the

presence of ferromagnetic materials which can be attracted by the MR magnet core.

◆ The leadwires and electrodes will generate artifacts in the MR

image.

◆ The equipment will not function properly due to the strong mag-

netic and radio frequency fields generated by the MR scanner.

• Before putting the system into operation, the operator must verify that

the equipment, connecting cables and accessories are in correct working order and operating condition.

• Do not come into contact with the patient during defibrillation.

Otherwise serious injury or death could result.

• Do not touch the patient and live parts simultaneously.

• Do not open the equipment housings. All servicing and future upgrades

must be carried out by trained and authorized personnel.

• Do not rely exclusively on the audible alarm system for monitoring.

Adjustment of alarm volume to a low level may result in a hazard to the patient. Always keep the patient under close surveillance.

• The physiological data and alarm messages displayed on the system are

for reference only and cannot be directly used for diagnostic interpretation.

TMS60 Operator’s Manual 1 - 3

Safety Information Safety

WARNING

• Do not operate the touch screen with water on the hand.

• Only use parts and accessories specified in this manual.

• Route, wrap and secure the cables to avoid inadvertent disconnection,

stumbling and entanglement.

1.1.2 Cautions

CAUTION

• Do not let the display directly touch the patient when the display is on.

• When the central station presents the alarm “No RF Signal”, the setting

being performed on the TD60 may not be transferred to the central station. Check the patient condition and the settings on the central station.

• When disposing of the packaging material, be sure to observe the

applicable waste control regulations and keep it out of children’s reach.

• After the configurations, such as the patient category, paced status, are

changed at the TD60, the medical personnel shall be check those configurations at the CS to make sure both of the configurations are consistent.

• Magnetic and electrical fields are capable of interfering with the proper

performance of the equipment. For this reason make sure that all external equipment operated in the vicinity of the equipment comply with the relevant EMC requirements. Mobile phone, X-ray equipment or MRI equipment are a possible source of interference as they may emit higher levels of electromagnetic radiation.

• Always install or carry the equipment properly to avoid damage caused

by drop, impact, strong vibration or other mechanical force.

• Dry the equipment immediately in case of rain or water spray.

• The system generates and uses the Radio Frequency (RF) energy. If it is

not installed correctly or not used as per the manual, RF interference to other equipment could result.

• Signal quality can be impacted on an ambulatory patient by the

construction materials used within the hospital.

1 - 4 TMS60 Operator’s Manual

Safety Equipment Symbols

CAUTION

• At the end of its service life, the equipment, and its accessories, must be

disposed of in compliance with the guidelines regulating the disposal of such products. If you have any questions concerning disposal of the equipment, please contact Mindray.

• When programming the frequency for a transmitter,the frequencies

allocated to all other transmitters need to be considered to ensure that no two transmitters are programmed with the same frequency.

1.1.3 Notes

NOTE

• Put the equipment in a location where you can easily see the screen, and

access the operating controls.

• The software was developed in compliance with IEC60601-1-4. The

possibility of hazards arising from software errors is minimized.

• This manual describes all features and options. Your equipment may not

have all of them.

• Keep this manual in the vicinity of the equipment so that it can be

obtained conveniently when needed.

1.2 Equipment Symbols

Symbol Description Symbol Description

Power On/Off key Main menu key

Nurse call key Alternating current (AC)

Defibrillation-proof Type CF applied part

Date of Manufacture Symbol for “MANUFAC-

TMS60 Operator’s Manual 1 - 5

Serial number

TURER”

Equipment Symbols Safety

Intertek

3191955

ETL CLASSIFIED

Symbol Description Symbol Description

MR Unsafe – do not subject to magnetic resonance imaging (MRI)

Interference may occur in the vicinity of equipment marked with this symbol

Refer to instruction manual/booklet

The presence of this label indicates the machine was cer tified by ETL with the statement:

Conforms to AAMI Std ES 60601-1, IEC 60601-1-6, IEC Std 60601-1-8, IEC Std 606012-27, IEC Std 60601-2-49, ISO Std 80601-2-61

Certified to CSA Std C22.2 NO. 60601-1, NO. 60601-1-6, NO. 60601-1-8, NO.60601-227, NO. 60601-2-49, NO.80601-2-61

IPX7

NOTE

• Some symbols may not appear on your equipment.

Protection against fluid ingress

General warning sign

1 - 6 TMS60 Operator’s Manual

2 General Product Description

Intended Use .............................................................................................................2-2

Applied Parts.............................................................................................................2-2

Key Features...............................................................................................................2-2

System Components ..............................................................................................2-3

TD60 Physical View..................................................................................................2-3

Antenna Array...........................................................................................................2-5

Telemetry Receiver (RC60)....................................................................................2-5

Touch Screen Display..............................................................................................2-5

TMS60 Operator’s Manual 2 - 1

Intended Use General Product Description

2.1 Intended Use

The TMS60 transmitter is intended for use on Adult and Pediatric patients to monitor ECG and SpO

display of the transmitter. The CentralStation will support ECG, Heart Rate, SpO Rate, Arrhythmia analysis, QT monitoring, and ST Segment Analysis for the TMS60.

It must be operated by trained medical personnel in hospitals or medical institutions.

physiological data. The physiological data can be reviewed locally on the

, Pulse

WARNING

• Only skilled/trained clinical professionals should operate this equip-

ment.

• The equipment is not designed for monitoring critically ill patients.

• If the accuracy of any value displayed at the CS or Telemetry transmitter

(TD60) is questionable, determine the patient’s vital signs by alternative means and verify that the TMS is working correctly.

• The system transmits the data through the wireless connection. There

might be a risk of data loss.

2.2 Applied Parts

The equipment has the following applied parts:

■ ECG leadwires

■ SpO

cables

sensors

2.3 Key Features

■ 3.5" color PTC touch screen display is easy for clinicians to use.

■ Small, portable, and lightweight for patients to wear.

■ Supports 3/5 lead ECG.

■ Supports Masimo and Nonin SpO

■ Communication to the CS utilizes the protected WMTS 608-614 band.

■ Displays the battery status and supports the multiple levels of battery alarms.

■ Displays Heart Rate (HR) and SpO

■ Battery options of two AA, three AA, or lithium-ion battery pack are available.

2 - 2 TMS60 Operator’s Manual

modules.

parameters, ECG and SpO2 waveforms.

General Product Description System Components

■ Display supports Parameter auto-sizing.

2.4 System Components

The telemetry monitoring system (TMS60) includes the following components:

■ Telemetry transmitter (TD60)

■ Telemetry antenna array

■ Tel emetry re ceiver (R C60 )

2.5 TD60 Physical View

1. Display Activation (Power On/Off) key

When the TD60 is powered off

◆ Pressing this key will turn the TD60 on.

When the TD60 is powered on

◆ If the screen display is on, pressing this key will turn the display off.

◆ If the screen display is off, pressing this key will turn the display on.

◆ Press and hold this key for two seconds to display the power off confirma-

TMS60 Operator’s Manual 2 - 3

tion menu.

TD60 Physical View General Product Description

2. Nurse Call key

Pressing this key will send a nurse call request to the CS. The alarm light/indicator will illuminate cyan, and a “Nurse Call Initiated” message will display in the message area if the display is on.

3. Main Menu key

◆ Pressing this key when on the main screen will open the main menu.

◆ Pressing this key when a menu is open will return to the main screen.

◆ Pressing this key when the display is off will turn the display on.

? Pressing this key when the screen lock mode is configured for View Only will

display the [Screen Locked] menu.

4. Display

Touch screen display for viewing patient information and adjusting patient settings.

5. Alarm light/indicator

Flashes in different color and frequency corresponding to the alarm level.

6. ECG connector

ECG lead connector.

7. SpO

8. SpO

cap

Covers SpO

connector when SpO2 is not in use.

connector

Connects the SpO

module.

9. Speaker

10. USB connector

It is only available for authorized service personnel.

11. Battery compartment

Contains the lithium-ion battery pack or AA battery tray.

2 - 4 TMS60 Operator’s Manual

General Product Description Antenna Array

2.6 Antenna Array

The antenna array must be installed and configured by Mindray authorized personnel. For more details about the antenna array installation, calibration, and validation, refer to the Telemetry Monitoring System Installation Guide (P/N 046-007624-00).

WARNING

• Authorized Mindray personnel are required to confirm the coverage

area of the antenna array in the following situations:

◆ When the antenna array is initially installed.

◆ When the antenna array is modified.

◆ When the building construction is modified.

2.7 Telemetry Receiver (RC60)

The RC60 receives the data from the TD60 via the antenna array, and sends the data to the CS for analysis and display.

For details about the general wireless communication problems, refer to "General Prob- lems" on page 12 - 2.

For details about the frequency allocation and receiver connection, refer to the Tel e me - try Monitoring System Installation Guide (P/N 046-007624-00).

For details about the RC60, refer to the TMS60 Service Manual (P/N 046-007057-00).

2.8 Touch Screen Display

WARNI NG

• Do not operate the touch screen with water on the hand.

Move your finger on the touch screen display to operate the TD60. For details about the supported touch gestures, refer to "Understanding the Screen Display Orientation" on page 3 - 10.

TMS60 Operator’s Manual 2 - 5

Touch Screen Display General Product Description

3 4

2.8.1 Display Screen

The main screen displays patient parameters and waveforms. A typical display screen is shown below.

1. Patient information area

This area shows the patient information such as patient category, device name, and department. Tapping this area displays the [Patient Info] menu.

2. Alarm symbols

◆ indicates that the alarm system is reset.

◆ indicates that the technical alarm audio is turned off.

3. Battery symbol

This symbol indicates the battery charge status. Refer to "Checking the Battery Charge Status" on page 11 - 4 for details. Tapping the battery symbol opens the [System Info] menu to the battery section.

4. Message area

5. Patient data area

For details about the touch screen operations, refer to "Basic Operations" on page 3 - 9.

2 - 6 TMS60 Operator’s Manual

This area shows technical alarm messages and informational messages, where there are multiple messages, the messages scroll.

This user configurable area can display parameter/waveform data. The parameter/ waveform is labeled in the upper left corner. You may also tap this area to display the Setup menu for the corresponding parameter/waveform.

General Product Description Touch Screen Display

2.8.2 On-Screen Keyboard

The TD60 uses an on-screen keyboard to enter alphanumeric information, such as the device name and passwords.

2.8.2.1 Alphabetic Keyboard

1. Alphabetic buttons: tap to input the desired alphabetic text.

2. Delete button: tap to erase the text to the left of the cursor.

3. Accept button: tap to save the settings and exit the keyboard.

4. Space button: tap to input a space.

5. Numeric switch button: tap to switch to the numeric layout.

6. Case shift button: tap to switch the case of the letter.

This switch is active for one character entry.

2.8.2.2 Numeric Keyboard

1. Numeric buttons: tap to input the desired numbers.

2. Punctuation buttons: tap to input the desired punctuation mark or symbol.

3. Delete button: tap to erase the text to the left of the cursor.

4. Accept button: tap to save the settings and exit the keyboard.

5. Space button: tap to input a space.

6. Alphabetic switch button: tap to switch to the alphabetic layout.

TMS60 Operator’s Manual 2 - 7

Touch Screen Display General Product Description

7. More punctuation buttons: tap to display the punctuation keyboard, as shown

below.

2 - 8 TMS60 Operator’s Manual

3 Getting Started

Unpacking and Checking......................................................................................3-2

Environmental Requirements .............................................................................3-3

Connecting the ECG Leadwire............................................................................3-4

Installing the Batteries ...........................................................................................3-5

Powering On the Unit.............................................................................................3-8

Understanding Touch Gestures..........................................................................3-9

Basic Operations.......................................................................................................3-9

Using the Pouch.......................................................................................................3-14

TMS60 Operator’s Manual 3 - 1

Unpacking and Checking Getting Started

WARNING

• The telemetry monitoring system (TMS60) shall be installed by Mindray

authorized personnel.

• The software equipment copyright is solely owned by Mindray. No orga-

nization or individual shall resort to altering, copying, or exchanging it or to any other infringement on it in any form or by any means without due permission.

• Connect only approved devices to this system. Devices connected to the

equipment must meet the requirements of the applicable IEC standards (e.g. IEC 60950 safety standards for information technology equipment and IEC 60601-1 safety standards for medical electrical equipment). The system configuration must meet the requirements of the IEC 60601-1 medical electrical systems standard. Any personnel who connect devices to the equipment’s signal input/output port is responsible for providing evidence that the safety certification of the devices has been performed in accordance to the IEC 60601-1. If you have any questions, please contact Mindray.

• If it is not evident from the equipment specifications whether a particu-

lar combination with other devices is hazardous, for example, due to summation of leakage currents, please consult the manufacturers or else an expert in the field, to ensure the necessary safety of patients and all devices concerned will not be impaired by the proposed combination.

• Contact Mindray to relocate the TMS60.

• Only Mindray authorized personnel can update the TMS60.

3.1 Unpacking and Checking

Before unpacking, examine the packing case carefully for signs of damage. If any damage is detected, contact the carrier or Mindray.

If the packing case is intact, open the package and remove the device and accessories carefully. Check all materials against the packing list and check for any mechanical damage. Contact Mindray in case of any problem.

3 - 2 TMS60 Operator’s Manual

Getting Started Environmental Requirements

WARNING

• Before use, please verify whether the packages are intact, especially the

packages of single use accessories. In case of any damage, do not apply it to patients.

• Do not let the display directly touch the patient when the display is on.

NOTE

• Save the packing case and packaging material as they can be used if the

device must be reshipped.

3.2 Environmental Requirements

The operating environment of the system must meet the requirements specified in this manual.

The equipment operating environment should be reasonably free from noises, vibration, dust, corrosive, flammable and explosive substances.

When the device is moved from one place to another, condensation may occur as a result of temperature or humidity difference. In this case, never start the system before the condensation disappears.

WARNING

• Make sure that the device operating environment meets the specifica-

tions. Otherwise unexpected consequences, e.g. damage to the device, could result.

NOTE

• The system transmits data through a wireless connection. External radio

frequency interference may result in occasionally data dropout. Contact Mindray for any questions regarding the electromagnetic environment.

TMS60 Operator’s Manual 3 - 3

Connecting the ECG Leadwire Getting Started

3.3 Connecting the ECG Leadwire

1. Align the ECG leadwire plug with the ECG connector as indicated by the arrow in

the following figure.

2. Insert the ECG leadwire plug into the ECG connector as shown in the enlarged fig-

ure below.

3 - 4 TMS60 Operator’s Manual

Getting Started Installing the Batteries

WARNING

• Insert the ECG lead set into the ECG connector. The following perfor-

mance may be affected by a weak connection:

◆ ECG signal quality

◆ Wireless signal strength

◆ Water resistance

• Do not use the ECG leadwire to move or lift the TD60. This may cause the

device to fall, which may damage the equipment or injure the patient.

NOTE

• ECG leadwires are used as the antenna for the TD60. To ensure good

radio performance, always connect the ECG leadwires to the ECG connector while monitoring the patient.

• Insert the SpO

cap in the SpO2 connector when SpO2 is not in use.

3.4 Installing the Batteries

You can use two AA, three AA batteries or a lithium-ion rechargeable battery pack to run the TD60. The runtime is dependent on the battery solution you chose. A lithium-ion battery pack will provide the longest runtime. For details about the recommended AA batteries, refer to "Miscellaneous" on page 15 - 5.

NOTE

• Always keep the battery compartment dry.

• Never use brute force to install the lithium-ion battery pack or AA bat-

tery tray. Otherwise the waterproof ring surrounding the battery frame edge may be broken to affect the waterproof performance.

TMS60 Operator’s Manual 3 - 5

Installing the Batteries Getting Started

3.4.1 Installing the Lithium-ion Rechargeable Battery

WARNING

• Only use specified lithium-ion rechargeable batteries. Use of other lith-

ium-ion batteries will adversely affect the batteries:

◆ Level reporting

◆ Low battery alarms

◆ Life performance

NOTE

• The lithium-ion rechargeable battery should be fully charged prior to

first use.

1. Make sure the battery compartment is empty.

2. Align the hook on the upper part of the lithium-ion battery pack with the slot on

the battery compartment, as indicated by the enlarged figure below.

3 - 6 TMS60 Operator’s Manual

Getting Started Installing the Batteries

3. Press down the battery pack until it is installed firmly, as indicated by the arrow in

the following figure.

The TD60 is automatically powered on after the battery is installed.

3.4.2 Installing the AA Batteries

There are two types of AA battery trays, which are used for holding AA batteries:

■ TP-2AA battery tray can hold two AA batteries.

■ TP-3AA battery tray can hold three AA batteries.

To install the AA batteries:

1. Make sure the battery compartment is empty.

2. Insert two or three 1.5V alkaline AA batteries according to the diagram in the bot-

tom of the battery tray as shown in the images below.

Installing two AA batteries

TMS60 Operator’s Manual 3 - 7

Installing three AA batteries

Powering On the Unit Getting Started

3. Align the hook on the upper part of the battery tray with the slot on the battery

compartment, as indicated by the enlarged part in the following figure.

4. Press down the battery tray until it closes firmly, as indicated by the arrow in the

following figure.

The TD60 is automatically powered on after the batteries are installed.

3.5 Powering On the Unit

Press the key to turn on the TD60. The cyan alarm light will momentarily turn on to indicate that the device is starting. The TD60 performs a self-test during startup. The device sounds a beep, and the alarm light serially turns red, yellow, cyan, and then off. This indicates that the alarm system functions correctly.

Upon powering up, there are two situations:

■ If the TD60 is turned on at first time, the device will request you to configure first

time startup. Refer to the TMS60 Service Manual (P/N 046-007057-00) for details.

■ If the TD60 is turned on next time, the device will prompt whether it is a new

patient. Select [Ye s ] or [No] as desired. If the device is a lock mode, a passcode is required.

3 - 8 TMS60 Operator’s Manual

Getting Started Understanding Touch Gestures

WARNING

• Check that visual and auditory alarm signals are presented correctly

when the equipment is powered on. Do not use the equipment for any monitoring procedure on a patient if you suspect the equipment is not working properly or if the equipment is mechanically damaged. Contact your service personnel or Mindray.

3.6 Understanding Touch Gestures

Before using the TD60, understand the supported touch screen gestures:

Gesture Description

Tap

Press and hold

Drag

Swipe

Briefly touch the surface with your fingertip to select a target.

Touch the surface for extended period of time.

Move your fingertip over the surface without losing contact.

Quickly brush the surface with your fingertip.

3.7 Basic Operations

This section describes the basic operations for the TD60.

WARNING

• Patients should be instructed not to interact with the display of the

device and to not open the battery compartment while the TD60 is in use.

TMS60 Operator’s Manual 3 - 9

Basic Operations Getting Started

3.7.1 Understanding the Screen Display Orientation

The TD60 supports both the portrait and landscape display orientations.

Example of portrait display

■ Portrait: both digital and waveform tiles take up the entire width of the screen.

■ Landscape: the digital tile takes up one half of the width of the screen; the

waveform tile takes up the entire width of the screen.

Example of landscape display

3.7.2 Browsing the Screen Display

To scroll through the waveforms/parameters, swipe your finger up or down on the screen.

3.7.3 Switching the Screen Display Orientation

1. Swipe your finger down from the top of the main screen to display the drop-down

menu.

2. Tap the desired option to switch the screen display orientation.

For example, to switch from portrait display to landscape display:

1. Swipe your finger down from the top of the main screen to display the drop-down

menu.

2. Tap [Landscape] to switch to landscape display.

3.7.4 Flipping the Landscape Display

1. Swipe your finger down from the top of the main screen to display the drop-down

menu.

2. Tap [Flip Display] to horizontally flip the landscape display.

3 - 10 TMS60 Operator’s Manual

Getting Started Basic Operations

3.7.5 Displaying the Quick Keys Area

Swipe your finger up from the bottom of the main screen to display the quick keys area.

The following table lists the six default quick keys:

Quick keys Description

Discharge Patient Tap the button to enter the [Discharge Patient] menu. Refer to

Standby Tap the button to enter the [Standby] menu. Refer to "Placing a Device

Change Lead Tap the button to change the current first ECG lead waveform to the next

Print Tap the button to notify the central station (CS) to start real-time print.

Manual Event Tap the button to notify the CS to save the event to the event database.

Alarm Reset Tap the button to reset the alarm system. Refer to "Resetting the Alarms"

"Discharging the Patient" on page 5 - 4 for details.

in Standby" on page 5 - 3 for details.

ECG lead waveform that is available in sequential order. For example, if the current first ECG lead waveform is I lead, tap the

button, the I lead waveform is changed to II lead waveform.

The “Print Initiated” message displays on the screen.

The “Manual Event” message displays on the screen.

on page 6 - 5 for details.

You can customize the most frequently used functions to the quick keys. For details about setting the quick keys, refer to "Quick Keys Menu" on page 10 - 5.

3.7.6 Entering the Main Menu

Press the key to enter the main menu.

The main menu allows access to most of the system functions and settings.

TMS60 Operator’s Manual 3 - 11

Basic Operations Getting Started

All menus contain the following parts:

1. Heading: displays the current menu title.

2. Scroll bar: indicates the current scroll position within the menu.

3. Main body: contains menus, buttons, and other controls to configure and operate

the device.

Control s Description

Accesses a submenu to reveal more options or information.

Indicates that a password is required for access.

Submenus Contains more operations or information related to the

Buttons Provides an option to operate a function.

Switch

4. exits the current menu and return to the previous menu or the main screen.

corresponding menu.

Drag to right to enable the switch; drag to left to disable the switch.

3.7.7 Turning the Display Off

You can manually turn the display off, or let the display automatically turn off based on the configured timeout.

Press the key to manually turn the display off.

If the touch screen is not touched for the configured Display Auto Off time, then the screen will turn off after the configured Display Auto Off time.

For details about configuring the time for Display Auto Off, refer to "Configuring the General Menu" on page 10 - 2.

NOTE

• While the display is off, the TD60 enters the power saving mode, and

does not provide audio and visual alarms.

3 - 12 TMS60 Operator’s Manual

Getting Started Basic Operations

3.7.8 Turning the Display On

If the screen is off, press the or key to turn the display on.

CAUTION

• Do not let the display directly touch the patient when the display is on.

3.7.9 Unlocking the Screen

If you set the screen lock, you need to input the correct passcode to unlock the screen after the display turns off.

To unlock the screen in Locked mode:

1. If the screen is off, press the or key to turn the display on and access the

[Screen Locked] menu.

2. Input the passcode to unlock the screen.

Once the passcode is entered the screen is temporarily unlocked. If the is pressed or the device times out, the screen will lock again and a passcode must be entered.

To unlock the screen in View Only mode:

1. If the screen is off, press the or key to turn the display on.

2. Press the key to display the [Screen Locked] menu.

3. Input the passcode to unlock the screen.

Once the passcode is entered the screen is temporarily unlocked. If the is pressed or the device times out, the screen will lock again and a passcode must be entered.

For details about setting the screen lock, refer to "Screen Lock Menu" on page 10 - 8.

3.7.10 Acknowledging the Nurse Call

To acknowledge the triggered nurse call, tap [Attendant Present] in the main menu. The “Nurse Call Cancelled” message will display in the message area.

For details about how to trigger a nurse call, refer to "TD60 Physical View" on page 2 - 3.

TMS60 Operator’s Manual 3 - 13

Using the Pouch Getting Started

WARNING

• Do not only rely on the nurse call function, the medical personnel

should also pay close attention to the patient’s condition.

3.8 Using the Pouch

The TD60 is not intended for direct contact with the patient’s skin. During normal use, the TD60 could be worn over clothing, in a pocket, or in a pouch. The waterproof pouch with clear front is an appropriate means for holding the TD60. Both disposable and reusable pouches specified in this manual can be used for the TD60. For details about the pouch, refer to "Miscellaneous" on page 15 - 5.

3.8.1 Securing the Pouch

To s ecu re the po uch :

1. Place the TD60 into the pouch with the ECG leadwires and the SpO2 sensor cable,

if used, exiting from the pouch opening, as shown in the following figures.

For disposable pouch

2. Pinch the snap-fastener to close the pouch.

3. Secure the pouch on the patient with ties around the patient’s shoulder and under

the arm, as shown in the following figure.

3 - 14 TMS60 Operator’s Manual

For reusable pouch

Getting Started Using the Pouch

Wearing the disposable pouch

Wearing the reusable pouch

WARNING

• While using a pouch with the TD60 on the patient, consider the patient’s

condition. Be careful about the placement of the straps, as the straps could present a strangulation hazard.

NOTE

• The pouch is used only for the TD60. The pouch cannot be used for car-

rying other personal devices, such as a mobile phone.

TMS60 Operator’s Manual 3 - 15

Using the Pouch Getting Started

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3 - 16 TMS60 Operator’s Manual

4 User Configurations

Introduction...............................................................................................................4-2

Configuring the Display.........................................................................................4-2

Configuring the Audio Volume...........................................................................4-5

TMS60 Operator’s Manual 4 - 1

Introduction User Configurations

4.1 Introduction

This chapter describes the configurations available for users to do, such as configuring the Display Setup, and Audio Volume.

4.2 Configuring the Display

You can configure the display by setting the display layout, display orientation, and screen brightness.

In the main menu, tap [Display Setup] to enter the [Display Setup] menu.

4.2.1 Setting the Default Display Orientation

For details about the display orientation, refer to "Understanding the Screen Display Orientation" on page 3 - 10.

1. In the [Setup] section of the [Display Setup] menu, tap [Default Orientation].

Two buttons display: [Portrait] and [Landscape].

2. Tap a button to set the default orientation.

The selected orientation displays to the right of [Default Orientation].

3. Restart the TD60 to apply the setting.

4.2.2 Understanding Portrait Orientation Display Rules

In portrait orientation, both digital and waveform areas take up the entire width of the screen. Therefore, these parameters will be displayed in the exact order of the [Display

Setup] menu, provided the sensor is attached and monitoring data.

4.2.3 Setting the Portrait Display

1. In the [Portrai t] section of the [Display Setup] menu, tap [Rows].

Three options display: [2], [3], and [4].

2. Tap an option to set the row numbers.

The selected option displays to the right of [Rows].

3. Tap [Portrait Order] to enter the [Portrait Order] menu.

4. Tap a parameter or waveform to select it.

The icon displays to the right of the selected parameter or waveform.

5. Drag the selected parameter or waveform to the desired position, and then release

it.

6. Repeat steps 4 and 5 until the desired order is configured.

7. Tap the icon to exit the [Portrait Order] menu.

4 - 2 TMS60 Operator’s Manual

User Configurations Configuring the Display

4.2.4 Understanding Landscape Orientation Display Rules

In landscape orientation, waveform areas take up the entire width of the screen. Digital areas only take up one half of the width of the screen. The following rules define how the tiles will be laid out:

1. The areas shall be displayed in the order of the [Display Setup] menu except the

digital area locations shall be optimized to reduce blank tiles.

2. A waveform area always takes up the entire width of the screen.

3. A digital area always takes up one half of the width of the screen. Therefore, a row

with a digital tile in it shall be split into two half tiles.

4. A digital area shall not be the only parameter in a row unless an odd number of

digital areas exist. In this case, the last digital parameter area shall have one tile on the left side and the right half will be blank.

5. Digital areas shall be paired with the next available digital area to satisfy rule 4.

This means that a digital area may be moved ahead of a waveform area if a half of a row needs to be filled.

For example, if the landscape display rows is set to [3] and the parameter order is as follows:

HR ECG I ECG II ECG III ECG aVR ECG aVF ECG aVL ECG V SpO

PLETH

The landscape layout displays as follows:

HR* SpO

ECG I

ECG II

ECG III ECG aVR ECG aVF ECG aVL

ECG V

PLETH

* Bold is displaying on screen; non-

bold data need to be scrolled to.

TMS60 Operator’s Manual 4 - 3

Configuring the Display User Configurations

4.2.5 Setting the Landscape Display

1. In the [Landscape] section of the [Display Setup] menu, tap [Rows].

Three options display: [2], [3], and [4].

2. Tap an option to set the row numbers.

The selected option displays to the right of [Rows].

3. Tap [Landscape Order] to enter the [Landscape Order] menu.

4. Tap a parameter or waveform option to select it.

The icon displays to the right side of the selected parameter or waveform.

5. Drag the selected parameter or waveform to the desired position, and then release it.

6. Repeat steps 4 and 5 until the desired order is configured.

7. Tap the icon to exit the [Landscape Order] menu.

4.2.6 Setting the Display Brightness

1. In the [Setup] section of the [Display Setup] menu, tap [Display Brightness].

The [Display Brightness] menu displays.

2. Drag the slider to left or right to adjust the brightness.

3. Tap the icon to exit the [Display Brightness] menu.

4 - 4 TMS60 Operator’s Manual

User Configurations Configuring the Audio Volume

4.3 Configuring the Audio Volume

You can independently set the technical alarm volume, touch screen click, and systole beep volume. The method for setting the three volumes are the same.

To change the volume settings:

1. In the main menu, tap [Audio Volume].

2. In the [Technical Alarm], [Touch Screen Click], or [Systole Beep] section, drag the slider to the left or right to adjust the volume.

3. Tap the icon to exit the [Audio Volume] menu.

NOTE

• The icon indicates that the audio volume is turned off.

• The minimum value for the technical alarm volume depends on the min-

imum technical alarm volume, refer to "Configuring the Alarms Menu" on page 10 - 3 for details.

TMS60 Operator’s Manual 4 - 5

Configuring the Audio Volume User Configurations

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4 - 6 TMS60 Operator’s Manual

5 Patient Management

Introduction...............................................................................................................5-2

Admitting a Patient.................................................................................................5-2

Changing the Patient Category..........................................................................5-2

Placing a Device in Standby.................................................................................5-3

Resume Monitoring ................................................................................................5-4

Discharging the Patient.........................................................................................5-4

TMS60 Operator’s Manual 5 - 1

Introduction Patient Management

5.1 Introduction

The chapter describes how to admit a patient, change the patient size, enter and exit the Standby mode, and discharge the patient.

5.2 Admitting a Patient

When admitting a TM80 for the first time, the device must be admitted to the system through the CS. For details about admitting a patient through the CS, refer to the BeneVision Central Station Operator’s Manual (P/N 046-005011-00).

After first admitting the device to the CS, you can directly admit the new patient at the

TD60 by discharging the current patient, and then pressing the key to admit a new patient. Refer to "Discharging the Patient" on page 5 - 4 for details.

5.3 Changing the Patient Category

NOTE

• Ensure the patient category selection is appropriate for the patient

before monitoring begins.

1. In the main menu, tap [Patient Info].

2. In the [Patient Info] menu, tap [Patient Category] to select the desired patient category.

The screen displays the “Are you sure you want to change patient category?” message.

3. Select [Ye s ] to confirm that the patient category is changed.

The selected patient category displays to the right of [Patient Category].

4. Tap the icon to exit the [Patient Info] menu.

NOTE

• The patient category can only be changed at the TD60.

• Adjusting patient category restores the TD60 to the default (preset) set-

tings but does not clear patient information or data.

5 - 2 TMS60 Operator’s Manual

Patient Management Placing a Device in Standby

NOTE

• When the device is connected to the CS, the patient category at the CS is

updated if the patient category is changed at the TD60. Refer to the BeneVision Central Station Operator’s Manual (P/N 046-005011-00) for details.

5.4 Placing a Device in Standby

NOTE

• When connected to the CS, and a device enters or exits Standby mode,

the CS is also notified to enter or exit Standby mode. Refer to the BeneVision Central Station Operator’s Manual (P/N 046-005011-00) for details.

To enter the Standby mode:

1. In the main menu, tap [Standby].

2. In the [Standby] confirmation menu, select [Ye s ].

Placing a device into Standby mode does the following:

■ Suspends patient monitoring

■ Alarms are suspended

■ Displays [Standby] on the screen.

■ The screen display automatically turns off after the device enters the Standby

mode for 30 seconds.

NOTE

• When connected to the CS, and a device enters or exits Standby mode,

the CS is also notified to enter or exit Standby mode.

TMS60 Operator’s Manual 5 - 3

Resume Monitoring Patient Management

5.5 Resume Monitoring

Press the key to exit Standby mode.

Resume monitoring:

■ Restores patient’s settings, resumes alarm notification on the TD60 and the CS.

■ Alarm system is activated.

■ The TD60 notifies the CS of returning to the Monitoring mode.

5.6 Discharging the Patient

Discharging the patient will stop monitoring, clear patient information, and restore default (preset) settings on the TD60. When a new patient is admitted, the user configuration will be applied. If the user configuration has not been saved, the factory default configuration will be applied.

A patient can be discharged by selecting the [Discharge Patient] menu, or restarting the TD60 and selecting that a new patient is on the TD60.

NOTE

• Discharging the patient on the TD60 discharges the patient from the CS.

Refer to the BeneVision Central Station Operator’s Manual (P/N 046005011-00) for details.

5.6.1 Selecting the [Discharge Patient] menu

1. In the main menu, tap [Discharge Patient].

2. In the [Discharge Patient] confirmation menu, select [Ye s ].

◆ The patient is discharged from both the TD60 and the CS.

◆ The patient’s configuration is cleared and the configuration is restored to the

saved user configuration or factory default configuration.

◆ The patient will be added to the [Discharged Pat.] list at the CS.

3. Press the key to admit a new patient.

5 - 4 TMS60 Operator’s Manual

Patient Management Discharging the Patient

5.6.2 Restarting the TD60

1. If the TD60 is powered off, press the key to turn on the TD60.

The device will prompt as to whether this is a new patient or not.

2. Select [Ye s ] if this is a new patient. Select [Ye s ] when asked to confirm that the discharge should begin. Refer to "Selecting the [Discharge Patient] menu" on page 5

- 4 for details on the discharge process.

TMS60 Operator’s Manual 5 - 5

Discharging the Patient Patient Management

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5 - 6 TMS60 Operator’s Manual

6 Alarms

Introduction...............................................................................................................6-2

Alarm Categories......................................................................................................6-2

Alarm Levels...............................................................................................................6-2

Alarm Indicators.......................................................................................................6-3

Configuring the Alarms .........................................................................................6-5

Resetting the Alarms ..............................................................................................6-5

TMS60 Operator’s Manual 6 - 1

Introduction Alarms

6.1 Introduction

Alarms, triggered by technical problems, are visually and audibly indicated to the user when the display is on.

The TD60 provides a subset of the technical alarms, this chapter describes the technical alarms presented at the TD60 only. For details regarding full list of the technical alarms as well as the physiological alarms displayed at the central station (CS), refer to "Physiological Alarms" on page 9 - 2.

WARNING

• The reception failure of alarm signals may occur in the distributed alarm

system.

6.2 Alarm Categories

The TD60 alarm system only supports technical alarms, see the BeneVision Central Station Operator’s Manual (P/N 046-007960-00) for details on physiological alarms.

Technical alarms are triggered by system status, patient status, a device malfunction or a patient data distortion due to improper operation or mechanical problems. Technical alarms are available both at the TD60 and the CS.

In addition to the technical alarms, the TD60 also displays informational message to inform the user of patient/system status. The TD60 will display informational messages in the message area at the top of the display.

6.3 Alarm Levels

The alarms can be classified into three severity levels: high level, medium level and low level.

Alarm Levels Tec hn ical al arm s

High level Indicates a severe device malfunction or an improper operation, which could

Medium level Indicates a device malfunction or an improper operation, which may not

Low level Indicates a device malfunction or an improper operation, which may compro-

6 - 2 TMS60 Operator’s Manual

make it possible that the monitor cannot detect critical patient status and thus threaten the patient’s life, such as low battery.

threaten the patient’s life but may compromise the monitoring of vital physiological parameters.

mise a certain monitoring function but will not threaten the patient’s life.

Alarms Alarm Indicators

6.4 Alarm Indicators

When a technical alarm occurs, the TD60 notifies the user through visual or audible alarm indications.

■ Alarm light

■ Audible alarm tones

■ Alarm message

NOTE

• When the TD60 display is off, the user must activate the screen to view

any local alarms.

6.4.1 Alarm Light

If a technical alarm occurs, the alarm light on the TD60 flashes. The color and flashing frequency correspond to the alarm level as follows:

■ High level alarms:

■ Medium level alarms:

■ Low level alarms:

the lamp quickly flashes red.

the lamp slowly flashes yellow.

the lamp lights cyan without flashing.

6.4.2 Alarm Tones

The TD60 has three alarm tone configurations: ISO, Mode 1 and Mode 2. For each configuration, the alarm tones enunciate the alarm levels as follows:

■ ISO pattern:

◆ High level alarms:

◆ Medium level alarms:

◆ Low level alarms:

■ Mode 1:

◆ High level alarms:

◆ Medium level alarms:

◆ Low level alarms:

■ Mode 2:

TMS60 Operator’s Manual 6 - 3

triple+double+triple+double beep

triple beep

single beep

high-pitched single beep

double beep

low-pitched single beep

Alarm Indicators Alarms

◆ High level alarms:

◆ Medium level alarms:

◆ Low level alarms:

NOTE

• When multiple technical alarms of different levels occur simultaneously,

the TD60 selects the alarm of the highest level to light the alarm light and sound alarms accordingly, while all the alarm messages scroll in the message area on the top of the screen.

6.4.3 Alarm Messages

When a technical alarm occurs on the TD60 screen, the alarm message appears in the message area. The background color of the alarm message and the asterisk symbols (*) before the alarm message are designed to indicate the alarm level.

Alarms Background color Asterisk symbols (*)

High level alarms red ***

Medium level alarms yellow **

Low level alarms cyan *

high-pitched triple beep

double beep

low-pitched single beep

6.4.4 Alarm Status Symbols

The TD60 still uses the following symbols indicating the alarm status:

: indicates the technical alarm audio is turned off.

: indicates the alarm system is reset.

6 - 4 TMS60 Operator’s Manual

Alarms Configuring the Alarms

6.5 Configuring the Alarms

■ For details on configuring the technical alarm volume, refer to "Configuring the

Audio Volume" on page 4 - 5.

■ For details on configuring the TD60 technical alarm settings, refer to "Configuring

the Alarms Menu" on page 10 - 3.

■ For the CS alarm configurations, refer to the BeneVision Central Station Opera-

tor’s Manual (P/N 046-007960-00).

6.6 Resetting the Alarms

You can acknowledge the on-going alarms by resetting the alarms. After being reset the alarm system can respond to a subsequent alarm condition.

When a technical alarm occurs, follow this procedure to reset the TD60 alarm system.

■ Press the key to enter the main menu, and then tap [Alarm Reset] from the

[Commands] section.

1. Swipe your finger up at the bottom of the main screen to display the quick keys area.

2. Tap the [Alarm Reset] quick key to reset the alarm system.

When the alarm system is reset, depending upon the technical alarm there are several ways the alarm system may respond as follows:

■ The alarm sound will be silenced, the alarm light will continue to indicate the

alarm, a √ will appear before the alarm message. The symbol appears on the top of the main screen.

■ The technical alarm will be changed to the prompt message, it will not longer

make sound or be indicated by the alarm light.

■ The technical alarms are cleared, there will be no alarm indications.

For details about the indications of technical alarms when the alarm system is reset, refer to "Technical Alarm Messages at the TD60" on page 12 - 5.

TMS60 Operator’s Manual 6 - 5

Resetting the Alarms Alarms

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6 - 6 TMS60 Operator’s Manual

7 Monitoring ECG

Introduction...............................................................................................................7-2

Safety............................................................................................................................7-2

Preparation for Monitoring ECG.........................................................................7-3

Changing the ECG Settings..................................................................................7-11

Understanding the ECG Display.........................................................................7-14

TMS60 Operator’s Manual 7 - 1

Introduction Monitoring ECG

7.1 Introduction

The chapter describes the ECG monitoring function of the TD60, including skin preparation and lead placement, ECG Setup, ECG Waveform, and Pacer.

The TD60 can obtain an ECG value by using a 3/5 lead ECG leadwires in conjunction with the matching skin electrodes.

For details about CS configuration of the ECG parameters, QT analysis, ST analysis, and Arrhythmia analysis, refer to Chapter 9 Monitoring with the TD60 at the CS.

7.2 Safety

WARNING

• Use manufacturer specified electrodes and lead wires.

• Make sure the conductive parts of electrodes and associated connectors

for applied parts, including the neutral electrode, do not contact any other conductive parts including earth.

• Periodically inspect the electrode application site to ensure skin quality.

If the skin quality changes, replace the electrodes or change the application site.

• Do not touch the patient or any device connected to the patient, includ-

ing the bed and gurney, during defibrillation. Otherwise serious injury or death could result.

CAUTION

• Interference from a non-grounded instrument near the patient and elec-

tro-surgery interference can cause problems with the waveform.

NOTE

• After defibrillation, the waveform recovers within 10 seconds applied in

accordance with the manufacturer’s instructions for use.

7 - 2 TMS60 Operator’s Manual

Monitoring ECG Preparation for Monitoring ECG

7.3 Preparation for Monitoring ECG

7.3.1 Preparing the Patient’s Skin

Proper skin preparation is essential in obtaining an accurate ECG reading. Electrode sites should be clean and dry and should provide a smooth flat surface. Incidental electrical activity and inaccurate readings may arise from incorrect skin preparation.

The following procedure is recommended for secure electrode application:

1. Shave the chest hair from the electrode sites in a circular area with a diameter of 2 to 4 inches.

2. Use a dry gauze pad to remove excess skin oils, skin cells and residue from the electrode sites. Never rub the skin until it is raw or bleeding.

NOTE

• Prepare the electrode site with alcohol only if the skin is extremely

greasy. If alcohol is used as a drying agent, always allow the skin to dry before placing the electrode on the skin.

7.3.2 Positioning the Electrodes

NOTE

• Store electrodes at room temperature and open just prior to use.

• Avoid more than one type of electrode on a patient because of varia-

tions in electrical resistance.

• Avoid placing electrodes directly over bone prominences or over any

high activity movement areas such as shoulders or arms because muscle motion produces electrical activity. If an electrode is placed over a large muscle such as the pectorals, the device may detect this additional muscle activity and could lead to false arrhythmia calls.

• Using a Transcutaneous Electrical Nerve Stimulator (TENS): Since a TENS

unit transmits electrical impulses, avoid placing ECG electrode near the TENS electrodes. ECG electrodes may need to be repositioned and the ECG lead viewed may need to be adjusted until the optimum ECG tracing is obtained.

TMS60 Operator’s Manual 7 - 3

Preparation for Monitoring ECG Monitoring ECG

1. Peel the backing off of the electrode. Visually inspect the contact gel medium for moistness. If the gel medium is not moist, do not use the electrode patch. Dry electrode patches are not conductive.

NOTE

• To prevent evaporation of the contact gel medium, peel the backing off

of the electrode patch only when it is ready for use.

• If using the snap type lead wires, attach the electrode to the lead wire

before placing the electrode on the patient.

2. Attach the electrode patch to the skin at the prepared site. Smooth the electrode patch down in a circular motion to ensure proper skin contact. If using soft gel electrodes, never push down directly over the contact gel medium as this may displace the gel and cause monitoring artifact. If using hard gel electrodes, it is recommended that during application, the center of the electrode should be slightly pressed onto the skin to ensure direct contact. Consult the electrode manufacturer’s instructions for specific use.

3. Secure the lead wires to the patient according to hospital practice.

CAUTION

• Route leadwires neatly. Ensure leadwires are kept away from patient’s

neck to avoid strangulation. Keep floors and walkways free of cables to reduce risk to hospital personnel, patients and visitors.

NOTE

• It is recommended that the electrodes be changed at least every 24 to

36 hours to maintain proper contact with the skin, although some patients may require more frequent changing. Do not reapply disposable electrode. Try to avoid reusing the exact same electrode site during reapplication. If an electrode becomes wet with fluid, change the electrode.

7 - 4 TMS60 Operator’s Manual

Monitoring ECG Preparation for Monitoring ECG

7.3.3 Setting ECG Lead Labeling

7.3.3.1 Lead Naming Standards

This manual presents lead placement according to the guidelines of the American Heart Association (AHA) and the International Electro-Technical Commission (IEC).

AHA IEC

Lead position

Label Color Label Co lor

Chest V Brown C White

Left Leg LL Red F Green

Right Leg RL Green N Black

Left Arm LA Black L Yellow

Right Arm RA White R Red

7.3.3.2 Choosing Lead Labeling

For details on choosing the lead labeling, refer to "Configuring the General Menu" on page 10 - 2.

7.3.4 Placing the Electrodes

For lead placement, the ECG algorithm works best when the patient’s R wave is significantly larger than the P wave or the T wave. If the R wave is not significantly larger than other lower voltage waves on the ECG tracing, the monitor may have some difficulty in identifying the appropriate waves. On some patients, electrode placement and/or the viewed ECG lead may need to be adjusted in order to obtain a significant R wave.

TMS60 Operator’s Manual 7 - 5

Preparation for Monitoring ECG Monitoring ECG

7.3.4.1 Standard 3-Leadwire Electrode Placement

A 3-wire lead set can monitor one of three ECG vectors (I, II, or III). The recommended 3wire lead placement is as follows:

3-wire lead placement (AHA)

■ Place the RA (white) electrode under the

patient’s right clavicle, at the midclavicular line within the rib cage frame.

■ Place the LA (black) electrode under the

patient’s left clavicle, at the mid-clavicular line within the rib cage frame.

■ Place the LL (red) electrode on the

patient’s lower left abdomen within the rib cage frame.

3-wire lead placement (IEC)

■ Place the R (red) electrode under the

patient’s right clavicle, at the midclavicular line within the rib cage frame.

■ Place the L (yellow) electrode under the

patient’s left clavicle, at the mid-clavicular line within the rib cage frame.

■ Place the F (green) electrode on the

patient’s lower left abdomen within the rib cage frame.

7 - 6 TMS60 Operator’s Manual

Monitoring ECG Preparation for Monitoring ECG

7.3.4.2 Standard 5-Leadwire Electrode Placement

A 5-wire lead set can monitor seven ECG vectors (I, II, III, aVR, aVL, aVF, and V) simultaneously. The recommended 5-wire lead placement is as follows:

5-wire lead placement (AHA)

■ Place the RA (white) electrode under the

patient’s right clavicle, at the midclavicular line within the rib cage frame.

■ Place the LA (black) electrode under the

patient’s left clavicle, at the mid-clavicular line within the rib cage frame.

■ Place the LL (red) electrode on the

patient’s lower left abdomen within the rib cage frame.

■ Place the RL (green) electrode on the

patient’s lower right abdomen within the rib cage frame.

■ Place the V (brown) electrode in the V-

lead position as shown in the figure or decided by the clinician.

5-wire lead placement (IEC)

■ Place the R (red) electrode under the

patient’s right clavicle, at the midclavicular line within the rib cage frame.

■ Place the L (yellow) electrode under the

patient’s left clavicle, at the mid-clavicular line within the rib cage frame.

■ Place the F (green) electrode on the

patient’s lower left abdomen within the rib cage frame.

■ Place the N (black) electrode on the

patient’s lower right abdomen within the rib cage frame.

■ Place the C (white) electrode in the C-lead

position as shown in the figure or decided by the clinician.

TMS60 Operator’s Manual 7 - 7

Preparation for Monitoring ECG Monitoring ECG

Pacer

7.3.4.3 Lead Placement: Pacemaker Patients

The recommended lead placement for monitoring a pacemaker patient is as follows.

3-wire lead placement for a pacemaker patient

5-wire Lead Placement for a Pacemaker Patient

A pacemaker patient usually requires a different electrode patch placement configuration than a non-pacemaker patient.

Do not place an ECG electrode directly over the pacemaker generator. Place the electrode patches 3 to 5 inches away from the pacemaker generator area. For example, if the pacemaker generator is located in the right subclavian area, relocate the Right Arm electrode closer in towards the center of the chest.

(AHA)

3-wire Lead Placement for a Pacemaker Patient

(IEC)

5-wire Lead Placement for a Pacemaker Patient

(IEC)

7 - 8 TMS60 Operator’s Manual

Monitoring ECG Preparation for Monitoring ECG

Information bar

Lead off indicator

Lead on indicator

7.3.5 Checking the Lead Placement

With the Lead Placement function, you can check the lead status, information, and lead off messages.

7.3.5.1 Entering the Lead Placement Menu

Enter the [Lead Placement] menu in either of the following ways:

■ Tap the lead fault message in the message area of the main screen.

■ In the main menu, tap [Lead Placement].

7.3.5.2 Understanding the Lead Placement Instructions

The [Lead Placement] window indicates the lead status.

Example lead placement window

When any of the leads are off, the indications are as follows:

■ The lead off message displays on the information bar.

The background color of the information bar corresponds to the alarm level.

■ A flashing circle indicates the disconnected lead.

The color of the flashing circle is based on the alarm level.

TMS60 Operator’s Manual 7 - 9

Preparation for Monitoring ECG Monitoring ECG

7.3.6 Checking the Paced Status

It is important to correctly set the patient’s paced status before you start monitoring ECG.

To check the paced status:

■ On the main screen, tap the HR digital area or ECG waveform area to enter the

[ECG] menu.

1. In the main menu, tap [Patient Info].

2. In the [Pacer] field, check the setting of the paced status.

The current paced status setting displays to the right of [Paced].

3. If the paced status setting is not correct, tap [Paced] and select the correct paced status.

■ When [Paced] is set to [Ye s ] at the TD60, and the pacer pulse is detected, the

symbol displays in the waveform area of the CS screen, and the pace pulse marks will display on the ECG waveform both at the TD60 and CS.

■ When [Paced] is set to [No] at the TD60, and the pacer pulse is detected, the

symbol displays in the waveform area of the CS screen.

WARNING

• For paced patients, you must set [Paced] to [Yes]. If it is incorrectly set to

[No], the CS could mistake a pace pulse for a QRS and fail to alarm when the ECG signal is too weak. Do not rely entirely on rate meter alarms when monitoring patients with pacemakers. Always keep these patients under close surveillance.

• The pacer pulses may be counted as QRS complexes, hence leading to

wrong HR readings or failure to diagnose certain arrhythmia symptoms. Be sure to keep a close eye on patient’s with pacemaker devices.

• For non-paced patients, you must set [Paced] to [No].

• False low heart rate indicators or false asystole calls may result with cer-

tain pacemakers because of pacemaker artifact such as electrical overshoot of the pacemaker overlapping the true QRS complexes.

• In order to minimize the possibility of interference, place electrodes,

leadwires and TD60s as far away from the pacemaker as possible.

7 - 10 TMS60 Operator’s Manual

Monitoring ECG Changing the ECG Settings

NOTE

• When [Paced] is set to [Yes], the system does not detect PVC-related

arrhythmia (including PVCs) resulting from pacemaker but still analyzes the normal QRS complex.

7.4 Changing the ECG Settings

You can change the ECG settings from the ECG menu.

7.4.1 Configuring the ECG Setup

Enter the ECG menu in either of the following ways:

■ On the main screen, tap the HR digital area or ECG waveform area to enter the

[ECG] menu.

■ In the main menu, tap [Parameter Setup] → [ECG] to enter the [ECG] menu.

1. In the [Setup] section of the [ECG] menu, select the options described in the following table.

Options Description Settings*

Lead Placement Enters the [Lead Placement] window. Refer to "Checking the Lead

Cable Type Selects the current ECG leadwire type. Auto, 3 Lead, 5 Lead

Smart Lead (Monitored Lead)

* The factory default settings are in bold.

TMS60 Operator’s Manual 7 - 11

When [Cable Type] is set to [Auto], the option displays [Smart Lead]. Drag the swtich to right or left to enable or disable the Smart Lead function.

When [Cable Type] is set to [3 Lead], the option displays [Monitored Lead].

Refer to "ECG Leadwire Types" on page 7 - 12 for details.

Placement" on page 7 - 9 for details.

Refer to "ECG Leadwire Types" on page 7 - 12 for details.

Changing the ECG Settings Monitoring ECG

Options Description Settings*

Filter Selects the ECG filter.

Monitor Use under normal measurement

conditions.

ST Use when ST monitoring is applied.

Color Selects the ECG waveform color. 16 colors

* The factory default settings are in bold.

Monitor, ST

The default color is green.

2. Tap to exit the [ECG] menu.

7.4.2 ECG Leadwire Types

ECG leadwire type has three options as follows:

■ [Auto]: the device automatically sets the leadwire type according to the leadset

connected.

■ [3 Lead]: the leadwire type is set to 3-lead.

If the leadwire type is set to 3-lead, the [Smart Lead] option becomes [Monitored Lead]. You can select the desired lead from the [Monitored Lead] option to set

the first ECG waveform displayed on the main screen.

■ [5 Lead]: the leadwire types is set to 5-lead.

All waveform leads display on the main screen.

7.4.3 Configuring the ECG Waveforms

1. In the [Wav eform ] section of the [ECG] menu, select the options described in the following table.

Options Description Settings*

All Lead Size Selects the waveform size for all the leads.

To set the waveform size for a specific lead, select that lead from the [Wavefo rm Size] section.

This configuration will be applied for all ECG waveform size.

* The factory default settings are in bold.

1.25 mm/mV, 2.5 mm/mV, 5 mm/ mV, 10 mm/mV, 20 mm/mV, 40 mm/mV, Auto

7 - 12 TMS60 Operator’s Manual

Monitoring ECG Changing the ECG Settings

Options Description Settings*

Speed Selects the waveform sweep speed. 6.25 mm/s, 12.5 mm/s, 25 mm/s

* The factory default settings are in bold.

2. Tap to exit the [ECG] menu.

7.4.4 Configuring the Pacer

1. In the [Pacer] section of the [ECG] menu, tap the options described in the following table.

Options Description Settings*

Paced Selects the paced status. Unspecified, No, Yes

[Unspecified] is only available for the first time you set the paced status.

Refer to "Checking the Paced Sta- tus" on page 7 - 10 for details.

Markers Selects the pacer indicator.

Line A 1 cm line shows above each ECG wave-

form each time the pace pulse is detected.

Line, Dot, Off

Dot A 2 mm dot shows above each ECG wave-

form each time the pace pulse is detected.

Pacer Reject Selects whether or not to reject the pace

pulses.

* The factory default settings are in bold.

On, Off

2. Tap to exit the [ECG] menu.

NOTE

• When [Paced] is set to [Yes], the [Markers] and [Pacer Rejection] options

can be available.

TMS60 Operator’s Manual 7 - 13

Understanding the ECG Display Monitoring ECG

7.4.5 Configuring the ECG Waveform Size

The [Waveform Size] section of the [ECG] menu lists all available leads. You can select the desired ECG lead to set the waveform size.

7.5 Understanding the ECG Display

7.5.1 HR Digital Area

The HR digital area displays:

1. Parameter name

2. Measurement unit

3. Heart rate value

7.5.2 About the HR Digital Area

■ The HR area displays heart rate in the unit of bpm with a resolution of 1 bpm.

■ If the HR measurement is invalid, “- - -” displays in place of the HR value.

■ The HR value displays “0”, when the HR value is less than 15 bpm.

7 - 14 TMS60 Operator’s Manual

Monitoring ECG Understanding the ECG Display

7.5.3 ECG Waveform Area

The ECG waveform area displays:

1. ECG Lead

2. ECG scale bar

3. ECG waveform

4. ECG filter setting

5. ECG scale

7.5.4 About the ECG Waveform Area

■ The ECG waveform, scale indicator, lead, and filter settings display in the

configured ECG color.

■ The ECG waveform area provides scrolling, real-time waveform data and an erase

bar to provide a time indicator of oldest and new data.

■ The ECG waveform area scrolls the waveform in the configured sweep speed.

■ The ECG waveform area rails the top most value when the waveform exceeds the

upper scale limit for real-time waveforms.

■ The ECG waveform area rails the bottom most value when the waveform exceeds

the lower scale limit for real-time waveforms.

■ The ECG waveform area indicates a Pacer indicator when a pace pulse is detected

and Paced is enabled.

TMS60 Operator’s Manual 7 - 15

Understanding the ECG Display Monitoring ECG

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7 - 16 TMS60 Operator’s Manual

8 Monitoring SpO

Introduction...............................................................................................................8-2

Measurement Limitations.....................................................................................8-2

Safety............................................................................................................................8-3

Connecting the SpO2 Module ............................................................................8-4

Changing the SpO2 Settings ...............................................................................8-5

SpO2 Measurement ................................................................................................8-8

Understanding the SpO2 Display ......................................................................8-10

(Optional)

TMS60 Operator’s Manual 8 - 1

Introduction Monitoring SpO2 (Optional)

8.1 Introduction

The chapter describes the SpO2 monitoring function at the TD60 in detail, including connecting the SpO details about the SpO Monitoring with the TD60 at the CS.

SpO

monitoring is a non-invasive technique used to measure the amount of

oxygenated hemoglobin and pulse rate by measuring the absorption of selected wavelengths of light. The light generated in the probe passes through the tissue and is converted into electrical signals by the photo detector in the probe. The SpO

processes the electrical signal and displays a waveform and digital values for SpO pulse rate.

The TD60 can be configured with Masimo SpO

NOTE

module, configuring the SpO2, and monitoring the SpO2. For

parameter setup at the central station (CS), refer to Chapter 9

module

or Nonin SpO2.

and

• A functional tester or SpO

accuracy of a SpO

simulator cannot be used to assess the

module or a SpO2 sensor.

• This device is calibrated to display functional oxygen saturation.

• A pulse oximeter should not be used as an apnea monitor.

• Pulse rate measurement is based on the optical detection of a

peripheral flow pulse and therefore may not detect certain arrhythmias. The pulse oximeter should not be used as a replacement or substitute for ECG based arrhythmia analysis.

• The MS board pulse oximeter can be used during defibrillation, but the

readings may be inaccurate for a short time.

8.2 Measurement Limitations

If the SpO2 measurement seems out of range or inaccurate, check the patient’s vital signs. Then check the equipment and SpO the accuracy of measurement:

■ Ambient light

■ Physical movement

■ Low perfusion

■ Electromagnetic interference

sensor. The following factors may influence

8 - 2 TMS60 Operator’s Manual

Monitoring SpO2 (Optional) Safety

■ Dysfunctional hemoglobin, such as carboxyhemoglobin (COHb) and

methemoglobin (MetHb)

■ Presence of certain dyes, such as methylene and indigo carmine

■ Inappropriate positioning of the SpO

■ Drop of arterial blood flow to immeaurable level caused by shock, anemia, low

temperature or vasoconstrictor.

■ Inaccurate measurements may be caused by venous pulsations.

■ Placement of a sensor on an extremity that has a blood pressure cuff, arterial

catheter, or intra-vascular line.

■ Loss of pulse signal can occur when the sensor is too tight.

■ Loss of pulse signal can occur when there is arterial occlusion proximal to the

sensor.

sensor, or use of incorrect SpO2 sensor

8.3 Safety

WARNING

• Only use SpO

instructions for use and adhere to all warnings and cautions.

sensors specified in this manual. Follow the SpO2 sensor’s

• The operator is responsible for checking the compatibility of the pulse

oximetry monitor, sensor, and patient cable prior to use. Incompatible components can result in degraded performance and/or device malfunction.

• When a trend toward patient deoxygenation is indicated, blood samples

should be analyzed by a laboratory co-oximeter to completely understand the patient’s condition.

• Do not use SpO

Induced current could potentially cause burns. The sensor may affect the MRI image, and the MRI unit may affect the accuracy of the oximetry measurements.

sensors during magnetic resonance imaging (MRI).

• Prolonged and continuous monitoring may increase the temperature of

the sensor and cause the patient discomfort. It is especially important to check the sensor placement, and ensure proper attachment on patients suffering from poor perfusion or skin sensitivity. Check the sensor location every two to three hours and move to another location if the skin deteriorates. More frequent examinations may be required for different patients.

TMS60 Operator’s Manual 8 - 3

Connecting the SpO2 Module Monitoring SpO2 (Optional)

SpO2 module

SpO2 sensor

SpO2 sensor con-

8.4 Connecting the SpO2 Module

Connect the SpO2 module to the TD60. The TD60 can auto detect the SpO2 module type when the SpO

module is connected.

Connecting the Masimo SpO

8 - 4 TMS60 Operator’s Manual

module

Monitoring SpO2 (Optional) Changing the SpO2 Settings

SpO2 module

SpO2 sensor

SpO2 sensor connector

Connecting the Nonin SpO2 module

8.5 Changing the SpO

You can change the SpO2 settings from the SpO2 menu.

Settings

8.5.1 Configuring the SpO2 Setup

Enter the SPO2 menu in either of the following ways:

■ On the main screen, tap the SpO

[SpO

] menu.

■ In the main menu, tap [Parameter Setup] → [SpO

1. In the [Setup] section of the [SpO lowing table.

TMS60 Operator’s Manual 8 - 5

digital area or SpO2 waveform area to enter the

] to enter the [SpO2] menu.

] menu, select the options described in the fol-

Changing the SpO2 Settings Monitoring SpO2 (Optional)

Options Description Settings*

Display PI (Masimo only)

Sensitivity (Masimo only)

Configures whether or not to show the perfusion index (PI) value in the digital area.

The perfusion index allows clinicians to assess the pulse strength at the monitoring site for optimal sensor placement.

PI gives the numerical value for the pulsatile to non-pulsatile portion of the measured signal caused by arterial pulsation. PI is an indicator of the pulsatile strength.

Selects the sensitivity mode depending upon signal quality and patient motion.

High: This mode should be used for the sickest

patients, where obtaining a reading is most difficult. High Sensitivity is designed to interpret and display data for even the weakest of signals. This mode is recommended during procedures and when clinician and patient contact is continuous.

Normal: This mode provides the best combination of

sensitivity and probe off detection per formance. This mode is recommended for the majority of patients.

APOD (Adaptive Probe Off Detection): This mode is the least sensitive in picking up a

reading on patients with low perfusion but has the best detection for probe-off conditions. This mode is useful for patients that are at particular risk of the sensor becoming detached (pediatric, combative, etc.)

On, Off

High, Normal, and APOD

* The factory default settings are in bold.

8 - 6 TMS60 Operator’s Manual

Monitoring SpO2 (Optional) Changing the SpO2 Settings

Options Description Settings*

Averaging (Masimo only)

Fast SAT (Masimo only)

Color Selects the SpO

* The factory default settings are in bold.

The user-selectable averaging feature allows the clinician to select the desired level of visibility to subtle variations in the measured value. Depending on the patient acuity and area of care, shorter averaging times are sometimes preferred (sleep testing) over longer averaging times (telemetry) and vice-versa.

8-second averaging is generally considered the most common averaging interval and recommended for most patients since it is short enough to provide visibility to subtle desaturations while also being long enough to minimize major changes in SpO

transitory desaturations. Although averaging times greater than 10 seconds are more likely to reduce visibility to rapid, brief desaturations, this may be desirable in care areas where brief desaturations that do not require clinician intervention occur more often (such as NICU). It is also recommended that this be enabled as a “sticky” configuration so as to hold the setting after power cycles.

Selects whether or not to enable FastSat. FastSat enables rapid tracking of arterial oxygen saturation changes as may be required in urgent situations.

2-4 sec, 4-6 sec, 8 sec, 10 sec, 12 sec, 14 sec, 16 sec

due to quick,

On, Off

waveform color. 16 colors

The default color is cyan.

2. Tap to exit the [SpO2] menu.

TMS60 Operator’s Manual 8 - 7

SpO2 Measurement Monitoring SpO2 (Optional)

8.5.2 Configuring the SpO2 Waveform

1. In the [Wav eform ] field of the [SpO2] menu, select the options described in the following table.

Options Description Settings*

Speed Selects the SpO

Display SIQ (Masimo only)

* The factory default settings are in bold.

Selects whether or nor to show the Signal Indicator Quality (SIQ) in the SpO

area. The SIQ wave indicates the confidence associated with the saturation measurement and timing of the pulse. Higher pulse indicates a better signal.

2. Tap to exit the [SpO

pleth waveform speed. 6.25 mm/s, 12.5 mm/s, 25

] menu.

8.6 SpO2 Measurement

8.6.1 Identifying SpO2 Modules

To identify which SpO2 module you are using, see the company logo on the SpO2 module.

■ Masimo SpO

■ Nonin SpO

8.6.2 Applying the Sensor

1. Select an appropriate sensor according to the module type, patient size, and weight.

2. Remove colored nail polish from the application site.

3. Apply the sensor to the patient.

4. Connect the sensor to the SpO

The SpO nected to the patient.

module: white, with a logo of Masimo SET.

module: blue, with a logo of Nonin.

measurement displays when the TD60 detects that a sensor is con-

mm/s

waveform

module and the SpO2 module to the TD60.

On, Off

8 - 8 TMS60 Operator’s Manual

Monitoring SpO2 (Optional) SpO2 Measurement

WARNING

• When equipped with Masimo SpO

sensors specified in this manual. Use of other SpO improper oximeter performance.

• When equipped with Nonin SpO

specified in this manual. Use of other SpO oximeter performance.

• Do not disconnect the Nonin Spo

module during defibrillation.

SpO

module, use only Masimo SpO2

module, use only Nonin SpO2 sensors

sensor connector from the Nonin

sensors may cause

sensors may cause improper

• If the sensor is too tight because the application site is too large or

becomes too large due to edema, excessive pressure for prolonged periods may result in venous congestion distal from the application site, leading to interstitial edema and tissue ischemia.

CAUTION

• Many patients suffer from poor peripheral perfusion due to

hypothermia, hypovolemia, severe vasoconstriction, reduced cardiac output, etc. These symptoms may cause a loss in vital sign readings.

TMS60 Operator’s Manual 8 - 9

Understanding the SpO2 Display Monitoring SpO2 (Optional)

8.7 Understanding the SpO2 Display

8.7.1 SpO2 Digital Area

The SpO2 digital area displays:

1. Parameter name

2. SpO

3. Perfusion indicator

4. Perfusion index (PI) label

5. Perfusion index value

6. SpO

7. Pulse rate (PR) label

8. PR measurement unit

9. PR value

value

unit of measure

Masimo SpO

digital area (for portrait display)

digital area (for landscape display)

Nonin SpO

digital area

8 - 10 TMS60 Operator’s Manual

Monitoring SpO2 (Optional) Understanding the SpO2 Display

8.7.2 About the SpO2 Digital Area

■ The SpO

■ Displays Masimo PI resolution as 0.01 when the PI value is smaller than 10%.

■ Displays Masimo PI resolution as 0.1 when the PI value is greater than or equal to

digital area displays in units of % with a resolution of 1%.

PR value displays in units of bpm with a resolution of 1 bpm.

10%.

■ If the SpO

measurement or PR is invalid, “- - -” displays in place of digits.

8.7.3 SpO2 Waveform Area

The SpO2 waveform area displays:

1. Signal Indicator Quality (SIQ)

2. Area name

3. Pleth waveform

Masimo SpO

waveform area (SIQ enabled)

Nonin SpO

waveform area

8.7.4 About the SpO2 Waveform Area

■ Displays in the configured SpO

■ Provides scrolling, real-time waveform data.

■ Scrolls the waveform in the configured sweep speed.

■ Automatically scales the SpO

of the Pleth waveform for the data range.

■ If using Masimo SpO

, the Signal Quality Index (SIQ) will display below the

waveform if enabled.

TMS60 Operator’s Manual 8 - 11

color.

waveform data area to maximize the vertical height

Masimo Information Monitoring SpO2 (Optional)

8.8 Masimo Information

■ Masimo Patents

This device is covered under one or more the following U.S.A. patents: 5,758,644; 5,823,950; 6,011,986; 6157,850; 6,263,222; 6,501,975; 7,469,157 and other applicable patents listed at: www.masimo.com/patents.htm.

■ No Implied License

Possession or purchase of this device does not convey any express or implied license to use the device with unauthorized sensors or cables which would, alone, or in combination with this device, fall within the scope of one or more of the patents relating to this device.

8 - 12 TMS60 Operator’s Manual

9 Monitoring with the TD60 at the CS

Introduction...............................................................................................................9-2

Physiological Alarms...............................................................................................9-2

ECG Monitoring........................................................................................................9-12

QT Monitoring...........................................................................................................9-18

ST Monitoring............................................................................................................9-22

Arrhythmia Monitoring..........................................................................................9-27

SpO2 Monitoring .....................................................................................................9-33

TMS60 Operator’s Manual 9 - 1

Introduction Monitoring with the TD60 at the CS

9.1 Introduction

The chapter describes the configurations and displays at the central station (CS) once the TD60 is connected to the CS.

At the CS, Mindray ECG algorithm and Mortara ECG algorithm are available. You can select either algorithm as required.

9.2 Physiological Alarms

At the CS, you can view and change the physiological alarm limits and alarm levels in the [Alarm Setup] menu. The [Alarm Setup] menu has three tabs:

■ [Parameter Alarm Settings]: view and change the parameter alarm limits, alarm

levels and alarm responses.

■ [Arrhythmia Alarms]: view and change the arrhythmia alarms levels, and alarm

responses.

■ [Arrh. Threshold Setup]: view and change the arrhythmia threshold settings for

some arrhythmia alarms.

For details about the [Alarm Setup] menu, refer to the BeneVision Central Station Operator’s Manual (P/N 046-005011-00).

WARNING

• Be aware that the devices in your care area may each have different

alarm settings to suit different patients. Always check that the alarm settings are appropriate for your patient before you start monitoring.

• A potential hazard can exist if different alarm presets are used for the

same or similar equipment in any single area, such as an intensive care unit or cardiac operating room.

• Make sure that the alarm limits settings are appropriate for your patient

before monitoring.

• When monitoring patients that are not continuously attended by a clini-

cal operator, properly configure the alarm system and adjust alarm settings as per the patient's condition.

• Setting alarm limits to extreme values may cause the alarm system to

become ineffective. For example, high oxygen levels may predispose a premature infant to retrolental fibroplasia. If this is a consideration do NOT set the high alarm limit to 100%, which is equivalent to switching the alarm off.

9 - 2 TMS60 Operator’s Manual

Monitoring with the TD60 at the CS Physiological Alarms

WARNING

• If you switch off all arrhythmia alarms, the CS cannot give any arrhyth-

mia alarms. Always keep the patient under close surveillance.

9.2.1 Factory Default Parameter Alarm Limits

The following table lists the factory default alarm limits for all parameters.

Parame ters Alarm limit Adult Pediatr ic

HR Unit of measure: bpm Invalid data: “--”

ST Single Unit of measure: mV Invalid data: “--”

ST Dual Unit of measure: mV Invalid data: “--”

QTc Unit of measure: ms Invalid data: “--”

∆QTc* Unit of measure: ms Invalid data: “--”

SpO

Unit of measure: % Invalid data: “--”

High limit (Low limit + 2) to 300

Default: 120

Low limit 15 to (high limit - 2)

Default: 50

High limit (Low limit + 0.2) to 2.00

Default: 0.2

Low limit -2.00 to (high limit – 0.2)

Default: -0.2

High limit (Low limit + 0.2) to 2.00

Default: 0.2

Low limit -2.00 to (high limit – 0.2)

Default: -0.2

High limit 200 to 800

Default: 500

Low limit N/A N/A

High limit 30 to 200

Default: 60

Low limit N/A N/A

High limit (Low limit + 1) to 100

Default: 100

Low limit 0 to (high limit - 1)

Default: 90

(Low limit + 2) to 350 Default: 160

15 to (high limit - 2) Default: 75

(Low limit + 0.2) to 2.00 Default: 0.2

-2.00 to (high limit – 0.2) Default: -0.2

(Low limit + 0.2) to 2.00 Default: 0.2

-2.00 to (high limit – 0.2) Default: -0.2

200 to 800 Default: 480

30 to 200 Default: 60

(Low limit + 1) to 100 Default: 100

0 to (high limit - 1) Default: 90

* ΔQTc is only available for Mindray ECG algorithm.

TMS60 Operator’s Manual 9 - 3

Physiological Alarms Monitoring with the TD60 at the CS

Parame ters Alarm limit Adult Pediatr ic

SpO2 Desat Unit of measure: %

Invalid data: “--”

PR Unit of measure: bpm Invalid data: “--”

* ΔQTc is only available for Mindray ECG algorithm.

High limit N/A N/A

Low limit 0 to 100

Default: 80

High limit (Low limit + 2) to 300

Default: 120

Low limit 18 to (high limit - 2)

Default: 50

NOTE

• The SpO

be higher than the SpO

Desat alarm limit is restricted such that the alarm limit can not

low limit.

9.2.2 Parameter Alarm Responses

At the CS, the following parameter alarm responses may occur when a parameter alarm occurs.

■ Record on Alarm: directs the CS to send the alarm data to the configured recorder.

■ Print on Alarm: directs the CS to send the alarm data to the configured printer.

■ Paging Switch: directs the CS to send an alarm to the beeper to notify the clinician.

0 to 100 Default: 80

(Low limit + 2) to 300 Default: 160

18 to (high limit - 2) Default: 75

9 - 4 TMS60 Operator’s Manual

Monitoring with the TD60 at the CS Physiological Alarms

9.2.3 Factory Default Parameter Alarm Settings

The following table lists the factory default alarm levels and responses for all parameters.

Parameters

Alarm levels*

High Medium Low

Activa tion State

Factory default alarm responses

Record on Alarm

Print on Alarm

Paging Switch

HR X

ST Single X

ST Dual X

QTc X

∆QTc*** X

SpO

Desat****

PR X

* X indicates available alarm level, — indicates alarm level not available

** The factory default settings are in bold.

*** ΔQTc is only available for Mindray ECG algorithm.

**** The alarm level option for SpO

changed.

X**

——On Off Off Off

— On Off Off Off

X Off Off Off Off

— On Off Off Off

Desat is not configurable. [High] is the only alarm level and cannot be

TMS60 Operator’s Manual 9 - 5

Physiological Alarms Monitoring with the TD60 at the CS

9.2.4 Factory Default Arrhythmia Alarm Settings

9.2.4.1 Mindray Algorithm

Alarm levels*

Parameters

High Medium Low Message

Asystole

VFib/VTac

VTac

Vent. Brady

Extreme Tac hy

Extreme Brady

PVCs/min X

R on T X

Run PVCs X X

Couplet X X X

PVC X X X

Vent. Rhythm

— — — On Off Off Off

X**

— — — On Off Off Off

Fact ory d efault alarm responses

Activation State

X X On Off Off Off

X Off Off Off Off

X X On Off Off Off

Off Off Off Off

Record on Alarm

Print on Alarm

Paging Switch

Bigeminy X

Trigeminy X

Tac hy X

Brady X

Pacer N ot Pacin g

* X indicates available alarm level, — indicates alarm level not available

** The factory default settings are in bold.

XX X

X X On Off Off Off

X X Off Off Off Off

Off Off Off Off

9 - 6 TMS60 Operator’s Manual

Monitoring with the TD60 at the CS Physiological Alarms

Alarm levels*

Parameters

High Medium Low Message

Pacer N ot Capture

Missed Beat X X X

Multif. PVC X

Nonsus. Vtac

Pause X X

AFib X X X

Irr.Rhythm — — X

Pause s/min X

* X indicates available alarm level, — indicates alarm level not available

** The factory default settings are in bold.

XX X

X X Off Off Off Off

X X On Off Off Off

X Off Off Off Off

Activation State

Off Off Off Off

NOTE

Fact ory d efault alarm responses

Record on Alarm

Print on Alarm

Paging Switch

• When [Paced] is set to [Yes], the Missed Beat (MIS) alarm is reported as

the pacer not captured (PNC) or pacer not paced (PNP) alarm.

TMS60 Operator’s Manual 9 - 7

Physiological Alarms Monitoring with the TD60 at the CS

9.2.4.2 For Mortara Algorithm

Alarm levels*

Parameters

High Medium Low Message

Asystole

VFib

VTac

Extreme Tac hy

Extreme Brady

PVCs/min X

R on T X

Run PVCs X X

Couplet X X X

Vent. Rhythm

Bigeminy X

Trigeminy X

— — — On Off Off Off

X**

— — — On Off Off Off

Fact ory d efault alarm responses

Activation State

X X On Off Off Off

X Off Off Off Off

X X On Off Off Off

Off Off Off Off

Record on Alarm

Print on Alarm

Paging Switch

Tac hy X

Brady X

Pacer N ot Pacin g

Pacer N ot Capture

Multif. PVC X

Pause X X

* X indicates available alarm level, — indicates alarm level not available

** The factory default settings are in bold.

XX X

X X Off Off Off Off

X Off Off Off Off

Off Off Off Off

9 - 8 TMS60 Operator’s Manual

Monitoring with the TD60 at the CS Physiological Alarms

Alarm levels*

Parameters

High Medium Low Message

Irr.Rhythm — — X

Pause s/min X

* X indicates available alarm level, — indicates alarm level not available

** The factory default settings are in bold.

X X On Off Off Off

Activation State

Off Off Off Off

Fact ory d efault alarm responses

Record on Alarm

Print on Alarm

Paging Switch

NOTE

• The priority of lethal arrhythmia alarms is always high. It is unchange-

able.

In addition, the activation state of some arrhythmias can be set as a whole with the following buttons that are at the bottom of the [Arrhythmia Alarms] tab.

Button Description

Lethals Only Sets the lethal arrhythmia alarms to on and all non-lethal arrhythmia alarms to off.

All Alarm On Sets all arrhythmia alarms to on.

All Alarm Off Sets all arrhythmia alarms to off.

This button is enabled when the [Lethal Arrh. OFF] option in the [Te le me t ry ] tab from the [Admin Setup] menu is set to [Enable].

TMS60 Operator’s Manual 9 - 9

Physiological Alarms Monitoring with the TD60 at the CS

9.2.5 Arrhythmia Threshold Settings

When an arrhythmia violates its threshold, an alarm is triggered. For the Mortara algorithm, the setting of asystole delay is related to arrhythmia relearn. When HR is less than 30 bpm, it is recommended to set asystole delay to 10 s.

9.2.5.1 Mindray ECG algorithm

Arrh. event Range or Option Default Step

PVCs High 1 to 100 10 1 minute

Pauses/min 1 to 15 8 1 N/A

Asys. Delay 3 to 10 4 1 second

Tachy High 60 to 300 Adult: 120

Pediatric: 160

Brady Low 15 to 120 Adult: 50

Pediatric: 75

Extreme Tachy 60 to 300 Adult: 160

Pediatric: 180

Extreme Brady 15 to 120 Adult: 35

Pediatric: 50

Multif. PVC’s Window 3 to 31 15 1 /min

Vtac Rate 100 to 200 130 5 bpm

Vtac PVC 3 to 99 6 1 beat

Pause Time 1.5, 2.0, and 2.5 2.0 N/A second

Vbrd Rate 15 to 60 40 5 bpm

Vbrd PVCs 3 to 99 5 1 beat

5bpm

Unit of measure

9 - 10 TMS60 Operator’s Manual

Mindray BIO Medical electronics TD608FE User Manual

Specifications and Main Features

Frequently Asked Questions

User Manual