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TOF-Watch
S
®
Operator manual
Organon (Ireland) Ltd., Drynam Road, Swords, Co. Dublin, Ireland
Summary of Contents for Mainline Medical TOF-Watch S
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Page 1
TOF-Watch ® Operator manual Organon (Ireland) Ltd., Drynam Road, Swords, Co. Dublin, Ireland… -
Page 2
TOF-Watch ® Operating manual page Manuel d’utilisation page Bedienungsanleitung Seite Manual del usuario página Scheme of buttons and display symbols Schéma des touches et symboles d’affichage Tastaturübersicht und Displaysymbole Esquema de los pulsadores y símbolos ® Registered trademark in one or more countries… -
Page 3: Table Of Contents
1 Hz stimulation 4.2.3 Post Tetanic Count stimulation Secondary functions 4.3.1 Stimulation 4.3.2 Double Burst Stimulation (DBS) 4.3.3 0.1 Hz stimulation button 4.3.4. µs button 4.3.5. Sensitivity button Set-up menu Survey of display 3 | TOF-Watch S Operator manual 33.516/A…
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Page 4
Further information Cleaning Unusual patterns Error signals Accessories Technical specifications Symbols Warnings! 4 | TOF-Watch S Operator manual 33.516/A… -
Page 5: Scheme Of Buttons And Display Symbols
Value for TOF ratio, Twitch height, PTC or stimulation current. Percent symbol: used for TOF ratio or Twitch height. mA (µC) up button. Calibration button. mA (µC) down button. 1 Hz / 0.1 Hz stimulation button. Micro-second (µs) symbol. 5 | TOF-Watch S Operator manual 33.516/A…
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Page 6: Introduction
4 When the patient is adequately sedated, press (22) for automatic calibration (optional). 5 Hold down the button (3) for repetitive TOF stimulation. The TOF-Watch is now ready for the further monitoring of neuromuscular transmission. 6 | TOF-Watch S Operator manual 33.516/A…
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Page 7: Pre-Operative Set-Up
Attach the acceleration transducer with its’ largest flat side to the thumb by means of adhesive tape. Connect both cables to designated color-coded outlets on the TOF-Watch (reversal of the cables is not possible because of a mechanical barrier). 7 | TOF-Watch S Operator manual 33.516/A…
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Page 8: Electrodes
It has been found that slight pressure on the electrodes may improve the stimulation considerably. Therefore, taping the electrodes to the skin may be advisable. 8 | TOF-Watch S Operator manual 33.516/A…
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Page 9: Arm Position
Insufficient cleaning of the skin may be the cause of a too high skin resistance. Note that there is not necessarily any relation between high skin resistance and problems of reaching supramaximal stimulation. 9 | TOF-Watch S Operator manual 33.516/A…
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Page 10: Calibration
Long activation (long): > 1 s (acknowledged by a short beep) General functions 4.1.1 Stop / on-off button (1) short: Stops stimulation/clears display long: Turns TOF-Watch on/off (if activated more than 1 s). 10 | TOF-Watch S Operator manual 33.516/A…
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Page 11: Secondary Function Button
Stimulation strength is continuously stepped up or down. (µ ( If both up and down are activated simultaneously, the set-up mode is entered. See page 15 for more information. µC 11 | TOF-Watch S Operator manual 33.516/A…
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Page 12: Timer Function
If the TOF-Watch has not been calibrated after switching on, the will flash together with the % and an internal reference control twitch value is used for the calculation. 12 | TOF-Watch S Operator manual 33.516/A…
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Page 13: Post Tetanic Count Stimulation
TOF s stimulation is TOF stimulation with user programmable repetition time between 1 and 60 minutes. To be used in the I.C.U. or during surgery of long duration. The repetition time can be programmed in the set-up menu (see Set-up menu, page 15). 13 | TOF-Watch S Operator manual 33.516/A…
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Page 14: Double Burst Stimulation (Dbs)
4.3.4 µs button first press (4), then Change of stimulation pulse width. The µs function is used to toggle stimulation pulse width between 200 and 300 µs for neuromuscular monitoring. 14 | TOF-Watch S Operator manual 33.516/A…
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Page 15: Sensitivity Button
The setting is permanently stored in the TOF-Watch, even when the battery is removed. Press either mA (µC) up (21) or down (23) one at a time to modify the setting of the parameter. 15 | TOF-Watch S Operator manual 33.516/A…
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Page 16
CAL flashing (calibration sequence selection) Determination of supra-maximal threshold, followed by calibration of transducer sensitivity at “threshold + 10%” ( max. 60 mA or 12/18 µC). Calibration of transducer sensitivity at user set current/charge. 16 | TOF-Watch S Operator manual 33.516/A… -
Page 17
Percent (used for TOF, 1 Hz and 0.1 Hz) (20). TOF: Ratio between first and fourth response. 1 Hz, 0.1 Hz: Twitch height compared with reference value, flashing symbol means that the instrument has not been calibrated after switching on. 17 | TOF-Watch S Operator manual 33.516/A… -
Page 18: Further Information
Note: The TOF-Watch can show twitch responses higher than 100%. Large twitch responses may occur especially when no calibration has been performed or for a brief period of time after administration of a depolarizing relaxant. 18 | TOF-Watch S Operator manual 33.516/A…
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Page 19: Error Signals
Operating manual. Optional Clamp for IV-pole mount. Stimulation cable (1.5 m) for a needle electrode (loco-regional anesthesia). Surface electrodes. Spare parts Acceleration transducer with (1.5 m) cable. Stimulation cable (1.5 m) for surface electrodes. 19 | TOF-Watch S Operator manual 33.516/A…
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Page 20: Technical Specifications
Symbols Attention, consult accompanying documents. Type BF equipment. IPXO Degree of protection against ingress of water (non-protected). Complies with Medical Device Directive, 93/42/EEC (class 2A). 0543 20 | TOF-Watch S Operator manual 33.516/A…
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Page 21: Warnings
Be sure only to use CE marked electrodes. Use of accessories, transducers, and cables other than the ones supplied with TOF-Watch may result in degrade electromagnetic compatibility performance of the device. 21 | TOF-Watch S Operator manual 33.516/A…
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Обзор TOF-Watch SX Monitor (автоматический перевод) |
Обнови Софт рекомендует использовать программу TOF-Watch SX Monitor в соответствии с правилами интеллектуальной собственности. Обнови Софт не рекомендует использовать кряк, серийник, ключ, keygen, crack, serial для TOF-Watch SX Monitor
Самые популярные программы категории / Разное
Другие программы компании Organon
- Казахстан
- Астана
- Лечебное медоборудование
- Мониторы пациента
Прибор для контроля нейромышечной проводимости TOF-Watch в Астане Астаны
Цена: Цену уточняйте
за 1 ед.
Описание товара
Прибор для контроля нейромышечной проводимости TOF-Watch
Приборы серии TOF-Watch производителя Organon (Ирландия) гарантируют надежный и точный мониторинг нейромышечной проводимости с помощью метода акселеромиографии, а также не имеют ограничений, свойственных приборам, использующим субъективные методы оценки.Преимущества использования TOF-Watch
- Надежное обнаружение остаточной нейромышечной блокады-
- Возможность локализации нервных сплетений для проведения проводниковой анестезии-
- Предотвращение рисков, связанных с низкими показаниями TOF-
- Универсальность, позволяющая использовать прибор во время операций или в послеоперационный период-
- Простота и надежность использования-
Основные функции и модели приборов серии TOF-Watch
—
TOF-Watch
TOF-Watch S
TOF-Watch SX
Режим стимуляции
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—
—
Четырехразрядная стимуляция (TOF)
&radic-
&radic-
&radic-
Посттетанический счет (PTC)
&radic-
&radic-
&radic-
Одиночная стимуляция (ST) — 1 или 0,1 Гц
&radic-
&radic-
&radic-
Двухразрядная стимуляция (DBS) — 3.3 или 3.2
&radic-
&radic-
&radic-
Тетаническая стимуляция (TET) — 50 или 100 Гц
&radic-
—
&radic-
Slow TOF (TOFs)
программируемая от 1 до 60 мин
—
&radic-
&radic-
Сила тока стимуляции (0-60 мА при сопротивлении &le-5кОм)
&radic-
&radic-
&radic-
Монофазный импульс длительностью 200 мкс
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&radic-
&radic-
Монофазный импульс длительностью 300 мкс
—
&radic-
&radic-
Калибровка с заданной пользователем силой тока
&radic-
&radic-
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Калибровка с автоматически заданной супрамаксимальной силой тока
—
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&radic-
Настройка чувствительности датчика вручную
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&radic-
&radic-
Программируемые пользователем верхняя и нижняя границы тревог TOF/TOFs (Выкл., счет или % TOF)
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—
&radic-
Автоматическое отключение питания (после 2 часов бездействия)
&radic-
&radic-
&radic-
Накожный температурный сенсор (20°-С — 41.5°-С)
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—
&radic-
Интерфейс для переноса данных на ПК (оптоволоконный USB кабель)
—
—
&radic-
Локализация нерва — LA (стимуляция частотой 1 Гц)
— Сила тока 0-6 мА
— Сопротивление &le-5 кОм
— Продолжительность
монофазного импульса 40 мкс
&radic-
&radic-
&radic-
—
—
Характеристики прибора для контроля нейромышечной проводимости TOF-Watch
- — Бренд: Дельрус РК
Товары, похожие на Прибор для контроля нейромышечной проводимости TOF-Watch
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- Products
- Catalogs
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TOF WATCH
8Pages
Catalog excerpts
The TOF-Watch—more effective than subjective monitoring at detecting residual blockade Patients monitored objectively with a TOF-Watch experienced a signicantly lower incidence of residual blockade (train-of-four [TOF] ≤0.9) when compared with patients monitored subjectively 1,2 by clinical exam alone or with a peripheral nerve stimulator lacking an objective display. Incidence of residual blockade in PACU*1 40 4.5% monitored with the TOF-Watch monitored with a peripheral nerve stimulator * Postanesthesia care unit. The limitations of subjective monitoring Research has also shown that…
Open the catalog to page 2
Acceleromyography—the most accurate and reliable method of objectively measuring neuromuscular blockade 4 Acceleromyography (AMG) is a technique used by the TOF-Watch for recording evoked muscle responses. The TOF-Watch performs AMG by using a small piezoelectric transducer to convert measured acceleration into electrical signals, which are then processed and presented as clear and accurate measures 4,5 of neuromuscular transmission. The advantages of the TOF-Watch for performing AMG include4,6: Accuracy Simplicity Suitability for routine use during surgery and in the PACU A versatile…
Open the catalog to page 3
What can your TOF-Watch do for you? The TOF-Watch series consists of 3 monitors: TOF-Watch, TOF-Watch® S, and TOF-Watch® SX. All 3 monitors accurately measure the depth of neuromuscular blockade to help assess1,8: Onset time of neuromuscular blocking agents (NMBAs) The need for the administration of maintenance doses of NMBAs When to administer a reversal agent When to safely extubate While all 3 monitors work to help ensure your patient maintains the appropriate level of blockade during surgery and reaches a TOF ratio ≥0.9 postsurgery, each TOF-Watch model differs in the total features…
Open the catalog to page 4
TOF-Watch SX The most sophisticated instrument in the TOF-Watch series, the TOF-Watch SX incorporates all the features offered by the TOF-Watch and TOF-Watch S along with added features such as a surface sensor for measuring skin temperature and the ability to connect with Philips Monitors. ® TOF-Watch SX Monitor Software The TOF-Watch SX is also compatible with monitor software that can be purchased separately and downloaded to a desktop or laptop computer. This software can be used to easily add comments to a patient’s measured data recordings. These comments can later be edited, with…
Open the catalog to page 5
Key features of the TOF-Watch TOF-Watch Stimulation patterns Train-of-four (TOF) Posttetanic count (PTC) Single twitch (ST) 1 or 0.1 Hz Double-burst stimulation (DBS) 3.3 or 3.2 Tetanus (TET) 50 or 100 Hz Slow TOF (TOFs) programmable from 1 to 60 min Stimulation current (0-60 mA at impedance ≤5 kOhm) Stimulation pulse width monophasic 200 µs Stimulation pulse width monophasic 300 µs Calibration with user-set current Calibration with automatically set supramaximal current Manual transducer sensitivity setting User-programmable upper and lower TOF/TOFs alarms (OFF, count, or % TOF) Automatic…
Open the catalog to page 6
TOF ratio ≥0.9—the gold standard Clinical studies are frequently dening recovery from neuromuscular blockade as a TOF ratio ≥0.9, due to an increased recognition of the risks associated with a TOF ratio <0.9.10-14 Hypoxemia A study using pancuronium showed that 60% of patients with a TOF ratio <0.7 experienced hypoxemia versus 10% of patients with a TOF ratio ≥0.710 A separate study showed that patients with a TOF ratio <0.9 were signicantly more likely to develop postoperative hypoxemia than those with a TOF ratio >0.9 (24 of 39 vs 7 of 30, P=0.003)11 Pharyngeal dysfunction In a study…
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Never miss a twitch with the TOF-Watch The TOF-Watch series offers an accurate and reliable method of objective acceleromyographic monitoring of neuromuscular blockade that overcomes the limitations of subjective monitoring.4 Reliable detection of residual blockade 4.5% incidence in the PACU for patients monitored with the TOF-Watch, versus 30% incidence for patients monitored subjectively 1,2 Avoids the risks associated with a TOF <0.9 Recovery to a TOF <0.9 has been associated with a wide range of side effects10-14 The TOF-Watch helps ensure patients are recovered to a TOF >0.9 before…
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