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3.10) Tetanus (TET)

Defaults:

50Hz (adjustable to 100Hz)

The Tetanus stimulation comprises series of 200 microseconds square wave pulses
repeated at a 50Hz or 100Hz repetition rate or frequency.

Selecting TET Mode:

•

Insert the NMBA cable with the red and black electrode clips as well as the tri-axial
accelerometer.

•

Press the ‘Mode’ button until ‘TET’ is shown on the display.

Stimulate/Stop:

Start stimulation by holding the ‘Play/Pause’ button down. Stop stimulation by releasing
the ‘Play/Pause’ button.

3.9) Twitch (TWI)

Defaults:

Repeat at 2Hz

Adjustable:1Hz, 2Hz and 5Hz

The Twitch stimulation comprises a 200 microseconds square wave pulse. If the ‘Play/
Pause’ button is pressed the twitch will repeat at the selected frequency.

Selecting TWI Mode:

•

Insert the NMBA cable with the red and black electrode clips as well as the tri-axial
accelerometer.

•

Press the ‘Mode’ button until ‘TWI’ is shown on the display.

Stimulate/Stop:

Start stimulation by pressing the ‘Play/Pause’ button. Stop stimulation by pressing the
‘Play/Pause’ button again.

Frequency adjustment:

Press the ‘Hz’ button to toggle through the frequencies.

NMS 450X

ter

NMS 450X

ter

NMS 450X

Содержание STIMPOD NMS 410

Страница 1: ...NMS 410 450X Quantitative NMT Monitor Precision Nerve Locator Product Code XT 45006 EN XM400 21A04 v10...

Страница 2: ...induced as a result Do not apply the STIMPOD to patients with implanted electrical devices such as cardiac pacemakers without first consulting with an appropriate medical specialist The device should...

Страница 3: ...ements might not represent the effect of blocking agents on the neuromuscular junction Application Specification The patient population includes patients of all ages weight and nationality Patient hea...

Страница 4: ...d by healthcare professional only This equipment system may cause radio interference or disrupt the operation of nearby equipment It may be necessary to take mitigation measures such as re orienting o...

Страница 5: ...aration distance d 1 2 80 MHz to 800 MHz d 2 3 800 MHz to 2 5 GHz where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recomm...

Страница 6: ...the equation applicable to the frequency of the transmitter where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer NOTE 1 At 80 MHz and 800...

Страница 7: ...itch Frequency 18 3 NeuromuscularTransmission NMT Monitoring Mode NMS 450X 19 3 1 Adjusting the Current 21 3 2 Adjusting Stimulation Mode 21 3 3 Adjusting theTwitch Tetanus Frequency 21 3 4 Train of F...

Страница 8: ...trical stimulation involves connecting the nerve stimulator to a conducting needle through which local anaesthetics can be injected The distance of the needle cathode from the nerve can be estimated b...

Страница 9: ...ppendage in the case of the ulnar nerve this will be the thumb NMT Electrode XT 45008 The colour coded connections indicate the polarity for the NMT cable connections The larger surface area of the re...

Страница 10: ...ton NMS410 450X LOC MAPMode Press to toggle between Pulse Widths Press and hold to access Setup Menu NMS450X NMTMode Press to toggle between Stimulation Modes Stimulating LED indicator Flashing Green...

Страница 11: ...S450X Non Linear mode Pulse Width Setting Adjust using Menu Pulse width button 7 4 Data Cable 2 Facial Mode 13 NMT Mode NMS450X Stimulation mode TOF DB PTC TET TWI SMC and Auto Proximity indicator arr...

Страница 12: ...teries This warning informs the user that the batteries are depleted beyond an acceptable level Continuing to operate the device thus will make it unreliable To prevent this the STIMPOD flashes this w...

Страница 13: ...This warning is shown when SMC measured current is more than 10 less or more than the set current NMT Stimulation is interrupted by user input No Accelerometer data received Warning shown when the ac...

Страница 14: ...d Open Circuit Detected No stimulation will take place No stimulating sound will be heard The LED stimulus indicator will pulse red with every unsuccessful stimulus attempt A warning screen will appea...

Страница 15: ...rve percutaneously with the nerve mapping probe This technique ensures a higher success rate for directing the needle to the correct nerve This mode offers the user the means to do nerve mapping and l...

Страница 16: ...near Mode is called linear because one click on theWheel will correspond with one increment as set in the specific current range The Linear Mode allows the user to select individual incrementing optio...

Страница 17: ...Proximity Indicator Average current of actual stimulus Stimulating Frequency Setting Adjust using Enter Hz width button Pulse Width Setting Adjust using Menu Pulse width button 4 NOTE Because the 20 d...

Страница 18: ...icited at the set charge this indicator should indicate to the user that the needle has reached the desired proximity to the nerve This proximity is indicated both visually and audibly Visual Indicati...

Страница 19: ...argeted Nerve Affected Muscle Contracting Appendage Ulnar nerve adductor pollicis muscle Thumb Posterior tibial nerve flexorhallucesbrevismuscle Big toe Targeted Nerve Affected Muscle Contracting Appe...

Страница 20: ...DB and PTC are subject to refractory period delays providing a safety period which prevents the user from repeating stimulation while the nerve synapse is recovering from the effects of the previous...

Страница 21: ...Adjust using wheel If sound is enabled STIMPOD will beep every time that a stimulus was delivered The pitch of the sound will follow the current intensity level Warning Notifies the user of a discrep...

Страница 22: ...tions were measurable the number of contractions that could be identified by the accelerometer will be displayed e g 2 4 NMS 450X m e n u e n t e r NMS 450X 3 5 Double Burst Mode DB The DB stimulation...

Страница 23: ...de icon will be visible See 1 4 The SMC mode is used to determine the current at which the response from the patient no longer increases by stimulating at increasing intensities 5mA to 80mA The SMC st...

Страница 24: ...actorytimerforthecurrentstimulationtypehaselapsed Depth of Block Zones The device will display one of six zones next to the mode indicator These zones are representative of the depth of the block and...

Страница 25: ...ause button 3 9 Twitch TWI Defaults Repeat at 2Hz Adjustable 1Hz 2Hz and 5Hz The Twitch stimulation comprises a 200 microseconds square wave pulse If the Play Pause button is pressed the twitch will r...

Страница 26: ...t the bottom of the screen indicates what action will occur when a button is pressed the block bottom left corresponds to the menu button and the block bottom right with the enter button In general th...

Страница 27: ...peration an icon on the main device screen will indicate the currently selected volume Backlight options Off 5s on for 5 seconds after last activity 60s on for 60 seconds after last activity and Alway...

Страница 28: ...he item which should be changed then press the enter key to start editing step1 step2 In step 1 the wheel will change the number of minutes The enter button will accept the valueandcontinuetostep2 whi...

Страница 29: ...rement as set in the specific current range In the linear mode Pulse Width is not affected when turning the wheel Pulse Width is selected when the Menu PulseWidth button is pressed The Linear Mode ess...

Страница 30: ...e width value of each position can be viewed by scrolling to that position using the wheel To change the charge at a specific position a 2 step process can be followed Select the position which should...

Страница 31: ...th the German 5 MPBetreibV directive Insert the batteries and switch on the device Thefollowingscreenshouldappearonthedisplay followedby NMS 450X m e n u e n t e r NMS 450X 5 1 1 Nerve Locating Mode I...

Страница 32: ...ng Nerve Locating Cable Thefollowingscreenshouldappearonthedisplay The LED should flash RED and no audible feedback should be heard Short circuit the Nerve Mapping probe and the ECG connector The foll...

Страница 33: ...ep In Diagnostic window four bars of different heights should indicate that the accelerometer detected movement Monitor the actual current delivered to ensure that the warning sign does not appear Sep...

Страница 34: ...tion Class IIa Type BF Power Supply 4 x AAA alkaline batteries Power Consumption 17mA Waveform Constant Current Monophasic Square Wave Weight 130g Dimensions 145mm x 90mm x 30mm OperatingTemperature 1...

Страница 35: ...ter 1 8m Carry Case IFU NMS 450 PERIPHERAL NERVE STIMULATOR Product Code XT 45021A Including Probe Locator NMBA Cable with Accelerometer 3 5m Carry Case IFU NERVE LOCATING CABLE Product Code XT 41003...

Страница 36: ...t 102 The Tannery Industrial Park 309 Derdepoort Rd Silverton Pretoria South Africa 0184 Tel 27 0 12 743 5959 Fax 27 0 86 547 0026 E mail support xavant com Web www xavant com 01 6009880396221 10 xxxx...

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