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Idmed ToFscan User Manual
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User Manual
NeuroMuscular Transmission Monitor
Version 1.7 EN - DR
Last Update 2018/07/12
Ref: TOF-IFU_EN_DR
User Manual ToFscan
1

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Summary of Contents for Idmed ToFscan

  • Page 1 User Manual NeuroMuscular Transmission Monitor Version 1.7 EN - DR Last Update 2018/07/12 Ref: TOF-IFU_EN_DR User Manual ToFscan...
  • Page 2 User Manual ToFscan...
  • Page 3: Table Of Contents

    Warning ..........................5 Caution ..........................6 Explanation of the symbols ..................8 I General information ..................9 Overview of the ToFscan and its accessories ..........9 Main menu, Display screen ..................9 Menu selection .........................9 Battery / AC power supply operation ..............9 II ToFscan setup ....................10 Cable / Cable connection ..................
  • Page 4: About This Product

    The ToFscan may temporarily not display result during transient electromagnetic disturbances such as the use of electrosurgery device. In that case, the ToFscan will maintain the safety of the patient and the user. Important Information about the use of this device The compact ToFscan is intended for use by health professionals (anaesthetists, doctors or fully qualified nurse anaesthetists) specially trained in the use of this instrument.
  • Page 5: Safety Measures

    • A NOTE provides relevant information about a function or procedure. EXPLANATION OF THE SYMBOLS The symbols which may be displayed on the ToFscan screen are recapitulated and explained at the end of this section. Warning Risk of explosion: do not use the ToFscan in a flammable environment or in places where flammable anaesthetic products are accumulated.
  • Page 6: Caution

    Do not use if a part is damaged Handle the device with care to prevent any fall. The ToFscan should be used during a limited time on one patient at a time and cleaned between patients. The ToFscan can be used fully or partially during the surgery. The duration should not exceed 24H.
  • Page 7 After an extended period of disuse (storage), recharge the ToFscan battery for at least 2 hours before use. If the ToFscan does not switch on when the wheel selector is pressed, the battery needs to be replaced. Only qualified technicians are authorised to carry out repairs or maintenance procedures with the consent of IDMED.
  • Page 8: Explanation Of The Symbols

    Prescription use device in USA Caution: USA federal law restricts this device to sale by or on the order of an anesthesiologist or other qualified practitioner. Symbols displayed on the ToFscan screen Battery level (green, yellow, Symbol for the intensity of the...
  • Page 9: I General Information

    Menu selection The menus, options and various tests are accessed using the selection wheel on the front of the ToFscan. The user navigates through the various menus by turning the wheel (clockwise or anti-clockwise). To select a menu or function, press the wheel an release the wheel button(holding it down for less than 1 second).
  • Page 10: Tofscan Setup

    If the power supply unit should malfunction, never use power supply units other than those supplied by IDMED. The ToFscan displays a power cut-off icon in the main menu. This enables the user to turn off the device by selecting this option pressing and holding the selection wheel.
  • Page 11: Placing Of The Sensor

    The splint must follow the shape of the hand as closely as possible and be positioned so that it makes contact with the last phalanx of the thumb. Positioning sensor splint on the patient’s hand. Positioning by adhesive Paediatric ‘Thumb’ sensor User Manual ToFscan...
  • Page 12: Skin Impedance

    ToFscan will help you getting a good impedance with a colored electrodes symbol. Only the green symbol allows to use in good condition the ToFscan. With yellow symbol the intensity of electric stimulation may be lower than expected. If the symbol is red the ToFscan doesn’t provide electric stimulations.
  • Page 13: Connecting The Cable To The Tofscan

    Using electrosurgery at the same time as the ToFscan can interfere with the measurement and its results. If the results are disturbed, the ToFscan will display the symbol “---“. Then the user can do the test again (while respecting the interval) or wait for the next test scheduled (“AUTO TOF” mode).
  • Page 14: Tof Mode

    4th response against the first (ratio T4/T1 TOF as a %). If the T2 response is higher than the T1 response, the ToFscan calculates the T4/T2 ratio rather than T4/T1.
  • Page 15: Tet Mode

    Tetanic stimulation or “TETANUS” stimulation is used to stimulate a patient for 5s at 50 Hz. As the ToFscan does not display a measurement at the end of this test, no user validation is expected at the end of the stimulation in order to reactivate the selection wheel navigation function.
  • Page 16: St Mode

    ST Mode This is the simplest form of stimulation producing a single muscle contraction. The patient’s motor response is not measured by the ToFscan sensor but is visually gauged by the user. “Twitch” sub-menu Stimulation is activated by pressing (2s) the selection wheel.
  • Page 17: Parameters Menu

    The ECO sub-menu allows selecting the eco mode. “ECO” mode reduces the length of display to increase the time life of battery if the ToFscan is not connected to the power supply. If it is connected the display becomes inactive 6s after the last automatic measure and 40s after the last manual measure.
  • Page 18: Battery / Battery Charge

    The ToFscan and its parts and accessories are non-sterile devices. Under no circumstances must the ToFscan or any of its accessories be sterilized. The surfaces of the ToFscan and its accessories have to be cleaned with a lint-free cloth moistened with a Quaternary Ammonium Compound (QACs), isopropyl alcohol 70%. Before using any of these solutions, refer to the manufacturer’s documentation and test on a reduced surface.
  • Page 19: Diagnostic / Malfunction

    Unsorted electronic waste products are potentially hazardous to the environment. Packaging materials must be disposed of or recycled in accordance with the regulations in force. VI Technical specifications and warranty The ToFscan comes with a microcontroller and a colour LCD screen for optimal legibility and ease of use. Safety •...
  • Page 20 60601-1-2 60601-1-2 tion from RF communication equip- munications (2014) (2014) ment of 30cm equipment The ToFscan may temporarily not dis- ± 2 kV ± 2 kV play result during transient electro- Electrical fast 100 kHz 100 kHz magnetic disturbances such as the...
  • Page 21 Data transfer • Optical output for fiber optic connection • The reference TOF-RS1 is the recommended Optic-Serial (RS232) cable to connect ToFscan Power supply • 2900 mAh (minimum)/ 3.7V Lithium-Ion battery (comes with thermal protection and protection against short-circuits) •...
  • Page 22: Environment

    Operating environment Reminders: Risk of explosion: do not use the ToFscan in a flammable environment or in locations where flam- mable anaesthetics may be accumulated. The ToFscan is not designed to operate in an environment where there are SCANNERS, M.R.I.’s or any other devices creating large magnetic fields.
  • Page 23: Accessories

    VII Accessories The ToFscan (reference : TOF-MU) is delivered with a number of accessories. Here is a list of the main accessories with their designations and IDMED references. The complete accessories list is available from the ToFscan distributor. Accessories of medical device ToFscan...
  • Page 24 User Manual ToFscan...

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