A&D TM-2564G Instruction Manual Download Page 57

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8. Accessories/Options

Item Type

Cuff (without hose)

Neonate

10 pcs. 2 cm wide

TM9155

Neonate

10 pcs. 3 cm wide

TM9156

Neonate

10 pcs. 4 cm wide

TM9157

Disposable type

Neonate

10 pcs. 5 cm wide

TM9158

Infant

Arm circumference 7-12 cm

TM9114B-1

Child

Arm circumference 10-17 cm

TM9116B-1

Small

Arm circumference 15-22 cm

TM9113B-1

Adult

Arm circumference 20-31 cm

TM9112B-1

Large

Arm circumference 31-41 cm

TM9111B-1

Spare cuff cloth 2 pcs./set (For TM9112B-1)

AX-13A37452-S

Hose (with connector)
1.5 m

TM9131-150

2.0 m

TM9131-200

2.0 m for neonates

TM9131UN-200

3.5 m for neonates

TM9131UN-350

ECG related
ECG electrode (150 pcs.)

AX-10502P30-S

ECG patient cable

AX-KO1924

ECG extension cable

AX-KO1839

SpO

Durasensor (Finger clip)

AX-SPDS-100A

Oxiband (Adult / Neonate)

AX-SPOXI-A/N

Oxiband (Pediatric / Infant)

AX-SPOXI-P/I

Oxisensor (Adult disposable sensor)

AX-SPMAX-A-S

Oxisensor (Pediatric disposable sensor)

AX-SPMAX-P-S

Oxisensor (Infant disposable sensor)

AX-SPMAX-I-S

Oxisensor (Adult / Neonate disposable sensor)

AX-SPMAX-N-S

Oxisensor (Nasal disposable sensor)

AX-SPMAX-R-S

Dura-Y sensor

AX-SPD-YS

Extension cable (1.2 m)

AX-SPDEC4

Extension cable (2.4 m)

AX-SPDEC8

Temperature related
Temperature receiver unit

TM2560G-10

Temperature probe (Body surface type)

TM2560G-12

Temperature probe (Axillary type)

TM2560G-11

Power supply
AC adapter

AX-TB223

Battery AX-HHR-21HL24G1
Printer paper

Graph (5 rolls/set)

AX-PP157-S

White (5 rolls/set)

AX-PP132-S

Other
Table TM2560G-03

Summary of Contents for TM-2564G

Page 1: ...TM 2560G TM 2564G TM 2560GP TM 2564GP VITAL SENSOR GRAPHIC MODEL INSTRUCTION MANUAL WM PD4000753 ...

Page 2: ...oduced transmitted transcribed or translated into any language in any form by any means without the written permission of A D Company Ltd The contents of this manual and the specifications of the instrument covered by this manual are subject to change for improvement without notice ...

Page 3: ...uropean Directive 93 42 EEC for Medical Products This is evidenced by the CE mark of conformity accompanied by the reference number of a designated authority Warning Definitions The warnings described in this manual have the following meanings Warning Disregarding the warning could result in bodily injury or damage to the instrument Caution Disregarding the caution could result in loss of importan...

Page 4: ...are used The following points should be considered before use Check to make sure the instrument operates safely and accurately Check all hoses and cables for proper connection and deterioration When the instrument is used in combination with other instruments pay extra attention to avoid mis diagnosis or other problems especially leakage current Check all connections to make sure they do not inter...

Page 5: ...he patient s or operator s safety Turn the power off and disconnect the power cable from the outlet Affix a notice such as Out of Order and Do Not Use on the device Ask the nearest dealer for services Do not disassemble or modify the device Perform regular maintenance and inspection of the instrument This is a precision instrument Please check all functions and cables periodically If the instrumen...

Page 6: ...perator and the patient before use Humidify the room Lightening Lightening occurring nearby may induce great amount of voltage to the instrument Under such a condition operate the instrument as follows Disconnect the power cable from the electrical outlet and use the battery Use the uninterruptible power system that complies with IEC60601 1 When using the instrument cause noise to the receiver suc...

Page 7: ...se is 3 5 2 m 1 5 m meters long Using a longer hose may lower the amplitude level of the detected pulse and affect the measurement Do not use a twisted or tangled hose as it is The air may be trapped in the cuff and cause peripheral circulation disorder by stopping the blood circulation in the arm Measuring the blood pressure may cause minor hemorrhaging beneath the skin The hemorrhage is temporar...

Page 8: ...vessel When nails are coated with nail polish When physical movement is present When the sensor is firmly tightened When carboxyhemoglobin and or methemoglobin concentration cannot be ignored During electrosurgery During CPR When measured on the body part where venous pulsations exist When the pulse wave is small When the patient has low perfusion When the sensor temperature is out of the range of...

Page 9: ...nfectant Flex type Disposable sensor Though the sensor is suitable for long term monitoring check the skin and sensor mount at fixed intervals every 8 hours If a change or discoloration in skin is detected move the sensor to another area If strong light affects the sensor cover it with an opaque material When securing the sensor with tape avoid tightening too strongly to prevent congestion and ede...

Page 10: ...ged contact the agent you purchased it from Retain the packing materials which are required to transport this instrument Check that the following articles are included when you unpack the instrument TM 2560G TM 2564G TM 2560GP TM 2564GP Main unit Instruction manual Adult cuff with 2 meter hose 1 5 meter hose SpO2 extension cable ECG extension cable ECG patient cable AC adapter Power cable Printer ...

Page 11: ...ix ...

Page 12: ...4 Printer Keys 9 3 5 Symbols 9 4 Preparation Before Use 10 4 1 Installation Site 10 4 2 Power Supply 10 4 3 Installation Procedure 13 4 4 Printer Paper Loading Procedure 13 5 Displays 14 5 1 Home Display 14 5 2 List Display 20 5 3 Trend Display 21 5 4 Pause Display 22 5 5 Setting Mode Display 23 5 6 Quick Setting Window 24 6 Operation 25 6 1 Turning on the POWER switch 25 6 2 Attaching the Cuff EC...

Page 13: ...Data 35 6 12 Power Supply 37 6 13 Printing the Measurement Data 37 6 14 Function Setting 40 7 Maintenance 42 7 1 Cleaning 42 7 2 Calibration 43 7 3 Assembling the Cuff 44 7 4 Disposing of the Instrument 44 7 5 Before Asking for a Repair 44 7 6 Error Codes 45 8 Accessories Options 46 Appendix A Measuring Principle 47 A 1 Blood Pressure 47 A 2 SpO2 49 Appendix B External Dimensions 51 ...

Page 14: ...s to an optimum pressure according to the patient s blood pressure to prevent excessive pressurization The interval measurement is an exact time measurement synchronized with the built in clock allowing the patient record and anesthesia data to be recorded In the interval measurement mode the quick systolic blood pressure detection function displays the predicted systolic blood pressure value The ...

Page 15: ...eart rate pulse rate SpO2 and temperature Flashes value and alarm lamp and sounds alarm in an emergency Display Backlit TFT color LCD 5 inches 320 x 234 dots Displaying function Waveform ECG waveform plethysmograph Number of waveforms Maximum 2 traces Waveform display method Stationary trace Values Systolic diastolic mean heartrate pulserate SpO2 temperature List Systolic diastolic heart rate puls...

Page 16: ...als CON 2 5 3 5 10 15 20 30 60 90 120 min Maximum length of CON measurement is 5 minutes After five minutes the interval is switched to 5 min interval automatically SpO2 Measurement method 2 wavelength pulse oximetry Measurement range 40 100 Accuracy 3 70 100 Pulse rate measurement range 30 250 bpm Degree of protection against electrical shock Type BF Patient input Lead 3 lead Lead l ll lll Input ...

Page 17: ...6 3 Part Names 3 1 TM 2560G TM 2564G ...

Page 18: ...7 3 2 TM 2560GP TM 2564GP ...

Page 19: ...PAUSE key Pauses the ECG waveform or plethysmograph Returns to the previous home display when pressed again 5 keys Goes to the following display from the home display key Goes to the setting mode display key Goes to the list display key Goes to the trend display In a display other than the home display each key functions as described in the key function guidance at the bottom of the display 6 QUIC...

Page 20: ...switch is ON Indicates that the POWER switch is OFF Indicates that the degree of protection against electrical shock is type BF Applicable to the SpO2 sensor Indicates that the degree of protection against electrical shock is type CF Applicable to the ECG patient cable Indicates that the degree of protection against electrical shock is type BF Defibrillator protection Applicable to the cuff Indica...

Page 21: ...wer Supply The instrument can be operated using an AC adapter or battery When an AC adapter is used 1 Connect the supplied power cable to the AC adapter Insert the plug on the other end of the power cable into an electrical outlet 2 Insert the AC adapter cable into the AC adapter jack on the rear of the instrument Caution Use the specified power cable and AC adapter only ...

Page 22: ... portion that the cables come out to the groove of the battery compartment 6 Slide the cover to install it 7 Screw the cover Caution Use the specified battery only Switching the power supply When the AC adapter does not supply power under the conditions as described below the instrument automatically starts battery operation The AC adapter cable is removed from the instrument The power cable is re...

Page 23: ...a week when the AC adapter is kept connected after 15 hour charging Normal condition Flashes every ten seconds Supplementary charging is being performed Occurs in the early stage of 15 hour charging Normal condition when the lamp stops flashing and is lit after a maximum of 4 hours Flashes every two seconds Error Remove the battery once and install again If the condition persists replace the batte...

Page 24: ...he SpO2 extension cable to the SpO2 connector of the instrument and lock it 4 Connect the SpO2 cable to the SpO2 extension cable 5 Connect the ECG extension cable to the ECG connector of the instrument Confirm that it is securely connected 6 Connect the ECG patient cable to the ECG extension cable 4 4 Printer Paper Loading Procedure 1 Press the printer cover open switch to open the printer cover 2...

Page 25: ...od pressure 2 traces Default display 6 Sleep mode Emphasizes the blood pressure values Blank display 2 Waveform 2 traces 5 Temperature 1 trace Lengthened waveform display area Emphasizes the heart rate and SpO2 3 Pulse graph 1 trace 4 Temperature 2 traces Displays the pulse graph Displays all values in a balanced way ...

Page 26: ...te the comparison of the item indicated in each display For example Middle of the blood pressure is not the same as Middle of the temperature When the temperature probe ID is set to OFF two home displays of Temperature 2 traces and Temperature 1 trace will not be displayed Note A home display other than the sleep mode display will be stored in non volatile memory if it is left displayed for five s...

Page 27: ...me display Here the basic parameters are described as they appear in the home display Please note that the composition depends on the instrument model TM 2564G standard home display Blood pressure 2 traces TM 2564G Pulse graph ...

Page 28: ...play Red circle Displays a red circle near DIA when the limit values are set Mean blood pressure Displays the value after measurement Retained until the next measurement 3 Mean blood pressure display MAP Displayed near the value to indicate that the mean blood pressure value is displayed Heart rate Pulse rate Displays as specified in the function setting Refer to 6 14 Function Setting When AUTO is...

Page 29: ...ressure is measured 11 Blood pressure unit display Blood pressure unit Displays mmHg as the unit of blood pressure 12 Error message Blood pressure measurement error Displays the error that occurs during blood pressure measurement 13 ECG lead display ECG lead Displays the preset lead type as l ll or lll 14 ECG displaying magnification display ECG displaying magnification Displays the preset ECG dis...

Page 30: ... detection 21 SpO2 pulse bar graph display SpO2 pulse bar graph Displays the bar graph in synchronization with the SpO2 pulse 22 Blood pressure pulse graph display Blood pressure pulse graph Displays the pulse graph obtained during blood pressure measurement SYS Systolic blood pressure DIA Diastolic blood pressure MAP Mean arterial pressure HR Heart rate PR Pulse rate bpm Beats per minute ...

Page 31: ...ed values Displays the memory data in order of storage The greater the number is the newer the data is Displays the number date and the values of memory data 3 Page number display Page number Displays the page number total page to indicate where the displayed data is among the whole data 4 Alarm display Alarm The value will be highlighted when it exceeds the limit values Scrolling Press the keys t...

Page 32: ...umber total page to indicate where the displayed data is among the whole data Displays blood pressure data in bar graph in the range of 0 to 200 mmHg 4 Scale display Displays SpO2 data using in the range of 60 to 100 Displays heart rate pulse rate data using in the range of 0 to 200 bpm 5 Graph display Measured values Displays temperature data using in the range of 25 to 45 C 6 Trend end time disp...

Page 33: ...the home display is being shown press the PAUSE key to pause the waveform Note When the display is paused press the HOME key or PAUSE key to return to the home display In the Pause display press the ECG RECORD START STOP key to print the ECG waveform of 16 seconds occurred right before the PAUSE key is pressed In the pause display after about 5 minutes of inoperation the home display will be indic...

Page 34: ...ting sub menu items Displays the list of sub menu items corresponding to the selected menu with one currently selected and its value being highlighted Press the key to select the item to be changed 3 Set value display Set value Displays the set value of the selected item Press the or key to change the value Menu Press the key to select the menu to be set Sub menu Press the key to select the submen...

Page 35: ...re changed frequently Overwritten in the home display 2 Setting items display Setting items Displays the quick setting items corresponding to the menu and sub menu selected in the setting mode display 3 Set value display Set value Displays the currently set value with one currently selected being highlighted Menu Press the quick setting key to select the menu to be set Item Press the or key to sel...

Page 36: ...t of the instruction manual when attaching the Cuff ECG electrodes SpO2 sensor Attaching the cuff 1 Hold the cuff with the hose pointing toward the lower part of the arm 2 Wrap the cuff around the upper arm about 3 5 cm above the elbow with the ARTERY mark on the artery as shown in the illustration 3 Allow some slack between the cuff and arm so that a finger or two can be inserted 4 When the cuff ...

Page 37: ...ode and patient Wipe the body sites that are wet with the alcohol using a clean dry cotton Do not use the disposable electrode when the paste is dry For ECG monitoring the chest lead configuration as shown below is recommended It provides the waveform that is similar to that obtained using the standard bipolar limb lead Quasi limb lead using three electrodes Note To ensure stable monitoring connec...

Page 38: ...t Note Do not apply the sensor on the same arm with an arterial catheter inserted or the cuff attached Using the same arm will lower the reliability of the measurement data Attaching the temperature probe The temperature probe and the temperature receiver unit are optional The temperature receiver unit is to be connected to the OPTION connector For how to use them refer to the relevant instruction...

Page 39: ...ration 1 In the home display press the MENU key key to indicate the setting mode display 2 The selected menu and sub menu items are highlighted and the value of the selected item appears in the box at the upper right corner 3 Press the key to go to the next menu 4 Press the key to go to the next sub menu Menu Sub menu Set value ...

Page 40: ...by 10 200 SYS Lower OFF 30 200 by 10 70 Upper OFF 30 200 by 10 150 DIA Lower OFF 10 200 by 10 40 mmHg Upper OFF 50 220 by 10 170 HR PR Lower OFF 30 150 by 10 40 bpm Upper OFF 75 99 by 1 SpO2 Lower OFF 50 99 by 1 85 Upper OFF 30 44 by 0 5 Limits Temp Lower OFF 26 40 by 0 5 C Sets the limit values for alarm Note When the lower limit value for SpO2 measurement has been set to be less than 85 it will ...

Page 41: ...orm Lower ECG SpO2 Sets the waveform displayed at the lower area Year 2000 2099 Month 1 12 Day 1 31 Hour 0 23 Clock Minute 00 59 Sets the clock Alarm sound 1 4 2 Sets the alarm buzzer volume Click sound 0 4 2 Sets the key click volume Volume Pulse sound 0 4 2 Sets the pulse detection buzzer volume Storage cycle OFF 1 2 2 5 3 5 10 15 min Sets the memory interval to store the values except blood pre...

Page 42: ...c operation 1 In the home display press the QUICK SETTING key 2 The quick setting window opens and the selected value is highlighted 3 Press the QUICK SETTING key to open the next menu 4 Press the or key to select the item 5 Press the or key to change the value 6 The changed value is confirmed when Moved to the next window or other time The HOME key is pressed to return to the home display Quick s...

Page 43: ...is not exhausted remove the cuff from the patient immediately Blood pressure measuring procedure 1 Press the NIBP START STOP key to start a measurement 2 When AUTO is selected for pressurization the cuff pressure is adjusted automatically to the patient s blood pressure value Otherwise the cuff is pressurized to the set value 3 After measurement the air is rapidly exhausted from the cuff and the m...

Page 44: ...home display and starts the continuous measurement after 10 seconds 3 After 5 minutes the continuous measurement switches to the 5 minute interval measurement and the display switches from CYCLE CON to CYCLE C 5 4 To perform the continuous measurement again go to the setting mode to set the cycle to CON Quick systolic display During interval measurement the predicted systolic blood pressure flashe...

Page 45: ...the instruction manuals of the temperature probe and the temperature receiver unit for details Note The communication status is displayed by the antenna mark 6 9 Measuring the Heart Rate Pulse Rate The heart rate and pulse rate are measured in three ways using the instrument The values are displayed according to the order of precedence of ECG SpO2 and blood pressure The heart mark starts to flash ...

Page 46: ...e ALARM OFF key If the condition that caused the alarm persists after two minutes the alarm will sound again The ALARM OFF mark illuminates while the alarm is stopped 6 11 Storing Deleting Data Note The number of data to be stored is 400 Once exceeded the older data will be erased to store the newer data Storing the data Data date systolic diastolic blood pressure heart rate pulse rate SpO2 value ...

Page 47: ...play 2 Press the key to indicate the memory deletion display 3 Press the key to cancel the deletion and return to the list display 4 Press the key to perform deletion After deletion the list display appears Caution When deleting the data use much care not to delete important data ...

Page 48: ...ring printing may damage the print head Auto printing When List or Trend is selected for Auto print in the setting mode printing is performed automatically each time blood pressure is measured and at the preset storage cycle Printing at the storage cycle is not available when the storage cycle is set to OFF When Graph is selected for Auto print in the setting mode printing is performed automatical...

Page 49: ...n is printed at the beginning and end of the waveform data The waveform for calibration indicates that for 1mV The printing speed is fixed to 25mm sec And the printing is performed at the same gain as the display gain To cancel the on going printing press the ECG RECORD START STOP key Print sample List printing Prints the measurement data in tabular form Highlights the alarmed data Graph printing ...

Page 50: ...39 Trend printing Prints the measurement data in trend form using the symbols below Systolic Diastolic SpO2 x heart rate pulse rate temperature ECG waveform ...

Page 51: ... holding down the QUICK SETTING key turn on the POWER switch to indicate the function setting display The selected item is highlighted 2 Press the or key to select the item 3 Press the or key to change the value 4 Press the HOME key to store the setting Now saving appears and then the display returns to the previous display 5 Turn off the POWER switch Next time the POWER switch is turned on the in...

Page 52: ...s data hold OFF ON Whether to retain the previous data or not when the POWER switch is turned off ON to retain S22 Averaging pulse 1 4 8 Sets the number of ECG pulse rate data for moving average S23 Just in time measurement OFF ON Whether to use an exact time measurement for blood pressure or not ON to use S24 Sensor removal alarm OFF ON Whether to sound an alarm when the sensor removal is detecte...

Page 53: ...rument exterior with a dry soft cloth If the instrument is stained with blood chemical substance or dirt wipe the instrument off using a cloth dampened with a mild detergent For cleaning a patient s body site to apply a sensor follow the procedure of each hospital To disinfect the cuff wipe the surface which comes into contact with the skin with alcohol such as 70 isopropyl Do not wash the cuff Di...

Page 54: ...splayed on the manometer The difference should be within 4 mmHg Turn off the POWER switch Checking the exhaustion speed Connect the optional 500 cc cylinder or the equivalent to the instrument as shown in the illustration While holding down the HOME key turn on the POWER switch M01 appears at the upper left of the display Press the key to display M02 Press the NIBP START STOP key to start constant...

Page 55: ... follow the local regulations Cuffs and sensors The cuffs and sensors used by the patient may cause infection Dispose of them as medical waste Built in lithium battery When disposing of the instrument remove the built in lithium battery When disposing of the battery insulate it with tape and follow the local regulations 7 5 Before Asking for a Repair Before asking for a repair check the instrument...

Page 56: ...tected E44 Physical movement is detected E45 The diastolic blood pressure cannot be determined E46 The mean blood pressure cannot be determined E48 The systolic blood pressure cannot be determined E61 The pulse rate cannot be determined E63 The blood pressure value is inappropriate Check the cuff for correct placement or check the patient for physical movement or for irregular pulse SpO2 related e...

Page 57: ...0502P30 S ECG patient cable AX KO1924 ECG extension cable AX KO1839 SpO2 related Durasensor Finger clip AX SPDS 100A Oxiband Adult Neonate AX SPOXI A N Oxiband Pediatric Infant AX SPOXI P I Oxisensor Adult disposable sensor AX SPMAX A S Oxisensor Pediatric disposable sensor AX SPMAX P S Oxisensor Infant disposable sensor AX SPMAX I S Oxisensor Adult Neonate disposable sensor AX SPMAX N S Oxisensor...

Page 58: ...de reaches the highest as the mean blood pressure and the point where the amplitude decreases gradually and becomes small as the diastolic blood pressure Actually the pressure sensor detects the subtle changes in the cuff pressure with time stores the pulse waveform in memory and evaluates the systolic and diastolic blood pressures according to the oscillometric measurement algorithm The details i...

Page 59: ...rs The small cuff yields high blood pressure regardless of the proper cuff pressure or normal artery The large cuff yields low blood pressure especially for those who suffer from severe arteriosclerosis or have abnormal arterial valve The wrong cuff size is the main reason of the big difference that occurs between the results taken by invasive blood pressure measurement and by oscillometric blood ...

Page 60: ... properties of oxygenated hemoglobin and reduced hemoglobin Refer to Figure A 1 A pulse oximeter uses the difference in light absorbing properties of hemoglobin to obtain arterial oxygen saturation When the optical density of the body surface is obtained optically it is the characteristic of the body part that includes tissue venous blood and arterial blood Refer to Figure A 2 The area that the op...

Page 61: ...decreases to a negligible level as they grow When abnormal hemoglobin has increased due to carbon dioxide poisoning or methemoglobinemia a measurement error occurs For those suffering from these conditions 2 wavelengh pulse oximeter can not be used Venous pulsations When the sensor is secured tightly with tape the venous pulsations may be also detected and the lower arterial oxygen saturation is o...

Page 62: ...51 Appendix B External Dimensions TM 2560G TM 2564G TM 2560GP TM 2564GP Unit mm ...

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