Page 1 BeneVision TMS60 Telemetry Monitoring System Operator’s Manual...
Page 3 ■ WARNING • Federal Law (USA) restricts this device to sale by or on the order of a phy- sician or other practitioner licensed by U.S. state law to use or order the use of this device. TMS60 Operator’s Manual...
Page 4 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. TMS60 Operator’s Manual...
Page 5 +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 Fax: 0049-40-255726 TMS60 Operator’s Manual...
Page 6 Italic text is used in this manual to quote the referenced chapters or sections. ■ Bold text is used to indicate the screen texts and names of hard keys. → is used to indicate operational procedures. ■ TMS60 Operator’s Manual...
Page 7: Table Of Contents
3.7.8 Turning the Display On ......................3 - 13 3.7.9 Unlocking the Screen in Locked Mode ................3 - 13 3.7.10 Unlocking the Screen in View Only Mode ..............3 - 14 3.7.11 Acknowledging the Nurse Call ..................3 - 14 3.8 Using the Pouch ............................3 - 14 TMS60 Operator’s Manual...
Page 8 7.3.1 Preparing the Patient’s Skin ....................7 - 3 7.3.2 Positioning the Electrodes ....................... 7 - 3 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 TMS60 Operator’s Manual...
Page 9 9.6.2 Applying the Sensor ........................9 - 8 9.7 Understanding the SpO2 Display ......................9 - 9 9.7.1 SpO2 Digital Area ........................9 - 9 9.7.2 About the SpO2 Digital Area ....................9 - 10 9.7.3 SpO2 Waveform Area ......................9 - 11 TMS60 Operator’s Manual...
Page 10 11.10 Demo Mode ............................11 - 9 11.11 Service Menu ............................11 - 9 12 Monitoring with the TMS60 at the CMS ................12 - 1 12.1 Introduction .............................12 - 2 12.2 Monitoring at the CMS (Version Earlier than 03.00) ..............12 - 2 12.2.1 Physiological Alarms ......................12 - 2...
Page 11 15.3 Cleaning and Disinfecting the Equipment ...................15 - 3 15.3.1 Approved Cleaning and Disinfecting Agents ...............15 - 3 15.3.2 Cleaning the Equipment ......................15 - 5 15.3.3 Disinfecting the Equipment ....................15 - 7 15.4 Cleaning and Disinfecting ECG Leadwires and SpO2 Sensors ..........15 - 7 TMS60 Operator’s Manual...
Page 12 A.4 Physical Specifications ..........................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 WMTS Specification ........................A - 7 TMS60 Operator’s Manual...
Page 13 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 TMS60 Operator’s Manual...
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Page 15: Safety
Safety Safety Information....................1-2 Equipment Symbols....................1-7 TMS60 Operator’s Manual 1 - 1...
Page 16: Safety Information
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...
Page 17: Warnings
The Telemetry Monitoring System (hereinafter called TMS60) must be operated by medical personnel in hospitals. • For continued safe use of the TMS60, the instructions given in this man- ual must be followed. But instructions in this manual in no way super- sede established medical procedures.
Page 18 Instruct patients not to interact with the display of the TD60 and not to open the battery compartment while the TD60 is in use. • Auditory alarm signal sound pressure levels that are less than ambient levels can impede operator recognition of alarm conditions. 1 - 4 TMS60 Operator’s Manual...
Page 19: Cautions
RF interference to other equipment could result. • When the patient carrying a TD60 moves in a hospital, signal quality can be impacted on an ambulatory patient by the construction materials used within the hospital.. TMS60 Operator’s Manual 1 - 5...
Page 20: Notes
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 - 6 TMS60 Operator’s Manual...
Page 21: Equipment Symbols
Conforms to AAMI Std ES 60601-1, IEC Std 60601-1-6, IEC Std 60601-1-8, IEC Std 60601-2-27, IEC Std 60601-2-49, ISO Std 80601-2-61, IEC Std. 80601-2-30 Certified to CSA Std C22.2 NO. 60601-1, NO. 60601-1-6, NO. 60601-1-8, NO.60601-2- 27, NO. 60601-2-49, NO.80601-2-61, NO.80601-2-30 TMS60 Operator’s Manual 1 - 7...
Page 22 Equipment Symbols Safety NOTE • Some symbols may not appear on your equipment. 1 - 8 TMS60 Operator’s Manual...
Page 23: General Product Description
General Product Description Intended Use ......................2-2 Applied Parts ......................2-2 Key Features.......................2-3 Components ......................2-3 TD60 Physical View....................2-5 Touch Screen Display....................2-6 TMS60 Operator’s Manual 2 - 1...
Page 24: Intended Use
The telemetry monitoring system is designed to acquire and monitor physiological data for ambulating patients within a defined coverage area. The TMS60 transmitter is intended for use on Adult and Pediatric patients over three years old to monitor ECG, SpO , NIBP and Resp physiological data.
Page 25: Key Features
Resp waveforms. ■ Battery options of two AA, three AA, or lithium-ion battery pack are available. ■ Display supports parameter auto-sizing. Components The TMS60 consists of the following components: ■ Telemetry transmitter (TD60) ■ Telemetry antenna array ■ Telemetry receiver (RC60) ■...
Page 26: Antenna Array
14 - 2“. For details about the frequency allocation and receiver connection, refer to Telemetry Monitoring System Installation Guide (P/N: 046-007624-00). For details about the RC60, refer to TMS60 Service Manual (P/N: 046-007057-00). 2 - 4 TMS60 Operator’s Manual...
Page 27: Td60 Physical View
◆ 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. TMS60 Operator’s Manual 2 - 5...
Page 28: Touch Screen Display
Do not operate the touch screen with wet hands. 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. 2 - 6 TMS60 Operator’s Manual...
Page 29: Display Screen
"Checking the Battery Charge Status" on page 13 - 4. Tap- ping the battery symbol opens the System Info menu to the battery section. Prompt message area This area shows technical alarm messages and informational messages, where there are multiple messages, the messages scroll. TMS60 Operator’s Manual 2 - 7...
Page 30: On-Screen Keyboard
Space button: tap to input a space. Numeric switch button: tap to switch to the numeric layout. Case shift button: tap to switch the case of the letter. This switch is active for one character entry. 2 - 8 TMS60 Operator’s Manual...
Page 31 Accept button: tap to save the settings and exit the keyboard. Space button: tap to input a space. Alphabetic switch button: tap to switch to the alphabetic layout. More punctuation buttons: tap to display the punctuation keyboard, as shown below: TMS60 Operator’s Manual 2 - 9...
Page 32 Touch Screen Display General Product Description This page intentionally left blank. 2 - 10 TMS60 Operator’s Manual...
Page 33: Getting Started
Getting Started Unpacking and Checking..................3-3 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...
Page 34 Only Mindray authorized personnel can update the TMS60. CAUTION • Many settings in the TMS60 are password protected. It is recommended to change the default passwords and keep the passwords safe. Pass- words should only be changed by authorized personnel. Contact your department manager or biomedical engineering department for the passwords used at your facility.
Page 35: Unpacking And Checking
In case of any damage, do not apply it to patients. • The TMS60 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.
Page 36: Connecting The Ecg Leadwire
Align the ECG leadwire plug with the ECG connector as indicated by the arrow in the following figure. Insert the ECG leadwire plug into the ECG connector as shown in the enlarged fig- ure below. 3 - 4 TMS60 Operator’s Manual...
Page 37: Installing The Batteries
• 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...
Page 38: Installing The Lithium-Ion Rechargeable Battery Pack
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. Press down the battery pack until it is installed firmly, as indicated by the arrow in the following figure. 3 - 6 TMS60 Operator’s Manual...
Page 39: Installing The Aa Batteries
Installing two AA batteries Installing three AA batteries 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. TMS60 Operator’s Manual 3 - 7...
Page 40: Powering On The Unit
When the TD60 is turned on the next time, the device will prompt whether it is a new patient. Select Yes or No as desired. If the device is a lock mode, a passcode is required. 3 - 8 TMS60 Operator’s Manual...
Page 41: Understanding Touch Gestures
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...
Page 42: Understanding The Screen Display Orientation
Tap the desired option to switch the screen display orientation. For example, to switch from portrait display to landscape display: Swipe your finger down from the top of the main screen to display the drop-down menu. Tap Landscape to switch to landscape display. 3 - 10 TMS60 Operator’s Manual...
Page 43: Flipping The Landscape Display
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 11 - 5. TMS60 Operator’s Manual 3 - 11...
Page 44: Entering The Main Menu
Drag to right to enable the switch; drag to left to disable the switch. Switch exits the current menu and return to the previous menu or the main screen, and saves any modified settings. 3 - 12 TMS60 Operator’s Manual...
Page 45: Turning The Display Off
• If the TMS60 is not connected to the CMS, the “RF No Signal” message will display in the prompt message area of the TD60. In this case, the TD60’s display is automatically turned on and it will not timeout. You cannot manually turn the display off.
Page 46: Unlocking The Screen In View Only Mode
If a patient needs to take a shower, check the TD60 as described in "Reg- ular Check" on page 16 - 3 before showering, use the specified disposable pouch only, and secure the pouch on the patient as described in this sec- tion. 3 - 14 TMS60 Operator’s Manual...
Page 47: Securing The Pouch For The Td60
For disposable pouch Pinch the snap-fastener to close the pouch. Secure the pouch on the patient with ties around the patient’s shoulder and under the arm, as shown in the following figure. TMS60 Operator’s Manual 3 - 15...
Page 48 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 carry- ing other personal devices, such as a mobile phone. 3 - 16 TMS60 Operator’s Manual...
Page 49: Securing Pouches For The Td60 And Bp10
BP10 Operator’s Manual to secure the pouch for the BP10 on the patient’s waist. NOTE • Do not secure the pouches for the TD60 and BP10 on the same side of the patient’s body. Wearing the disposable pouches TMS60 Operator’s Manual 3 - 17...
Page 50 Using the Pouch Getting Started This page intentionally left blank. 3 - 18 TMS60 Operator’s Manual...
Page 51: User Configurations
User Configurations Introduction.......................4-2 Configuring the Display..................4-2 Configuring the Audio Volume................4-4 TMS60 Operator’s Manual 4 - 1...
Page 52: Introduction
The selected option displays to the right of Rows. Tap Portrait Order to enter the Portrait Order menu. Tap a parameter or waveform to select it. icon displays to the right of the selected parameter or waveform. 4 - 2 TMS60 Operator’s Manual...
Page 53: Understanding Landscape Orientation Display Rules
Drag the selected parameter or waveform to the desired position, and then release Repeat steps 4 and 5 until the desired order is configured. Tap the icon to exit the Landscape Order menu. TMS60 Operator’s Manual 4 - 3...
Page 54: Setting The Display Brightness
• The minimum value for the technical alarm volume depends on the min- imum technical alarm volume, refer to "Configuring the Alarms Menu" on page 11 - 3 for details. 4 - 4 TMS60 Operator’s Manual...
Page 55: Patient Management
Patient Management Introduction.......................5-2 Admitting a Patient ....................5-2 Changing the Patient Category ................5-2 Placing a Device in Standby.................5-3 Exiting the Standby Mode ..................5-3 Discharging the Patient ..................5-4 TMS60 Operator’s Manual 5 - 1...
Page 56: Introduction
When using the TD60 for the first time, you should admit a patient at the Central Moni- toring System (CMS). For details about admitting a patient through the CMS, refer to the BeneVision Central Monitoring System Operator’s Manual. After first admitting the patient at the CMS, you can directly admit next new patient at the TD60 by discharging the current patient.
Page 57: Placing A Device In Standby
When the device is connected to the CMS, the patient category at the CMS is updated if the patient category is changed at the TD60. Refer to the BeneVision Central Monitoring System Operator’s Manualfor details. Placing a Device in Standby NOTE •...
Page 58: Discharging The Patient
NOTE • When the TD60 is connected to a CMS, the patient being discharged from the TD60 is also discharged from the CMS. Refer to the BeneVision Central Monitoring System Operator’s Manual for details. 5.6.1 Selecting the Discharge Patient menu In the main menu, tap Discharge Patient.
Page 59: Alarms
Alarms Introduction.......................6-2 Alarm Categories......................6-2 Alarm Levels.......................6-2 Alarm Indicators .......................6-3 Configuring Alarms ....................6-5 Resetting Alarms ......................6-5 TMS60 Operator’s Manual 6 - 1...
Page 60: Introduction
The TD60’s alarm system only supports technical alarms and does not provide visual or audible physiological alarms at the Device. These physiological alarms can only be viewed at the CMS. See BeneVision Central Monitoring System Operator’s Manual for details on physiological alarms.
Page 61: Alarm Indicators
■ ISO pattern: ◆ triple+double+triple+double beep High level alarms: ◆ Medium level alarms: triple beep ◆ Low level alarms: single beep ■ Mode 1: TMS60 Operator’s Manual 6 - 3...
Page 62: Alarm Messages
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...
Page 63: Configuring Alarms
For details on configuring the technical alarm settings, refer to "Configuring the Alarms Menu" on page 11 - 3. ■ For the CMS alarm configurations, refer to the BeneVision Central Monitoring Sys- tem Operator’s Manual. Resetting 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.
Page 64 Resetting Alarms Alarms This page intentionally left blank. 6 - 6 TMS60 Operator’s Manual...
Page 65: Monitoring Ecg
Monitoring ECG Introduction.......................7-2 Safety..........................7-2 Preparation for Monitoring ECG .................7-3 Maintaining Quality ECG Signal................7-11 Understanding the ECG Display .................7-15 TMS60 Operator’s Manual 7 - 1...
Page 66: Introduction
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 configurations of the ECG parameters, QT analysis, ST analysis, and Arrhythmia analysis at the CMS, refer to Chapter 12 Monitoring with the TMS60 at the CMS. Safety WARNING •...
Page 67: Preparation For Monitoring Ecg
If an electrode is placed over a large muscle such as the pectorals, the device may detect this additional mus- cle activity and could lead to false arrhythmia calls. TMS60 Operator’s Manual 7 - 3...
Page 68 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. 7 - 4 TMS60 Operator’s Manual...
Page 69: Setting Ecg Lead Labeling
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...
Page 70 LA (black) L (yellow) At the patient's 2nd ICS midclavicular line to the left of the sternum. LL (red) F (green) On the patient’s lower left chest wall within the ribcage frame. 7 - 6 TMS60 Operator’s Manual...
Page 71 On the patient’s lower right chest wall within the ribcage frame. V (brown) C (white) V-lead (C-lead) position depicted in the figure above, or the V (C) electrode should be placed by a clinician. TMS60 Operator’s Manual 7 - 7...
Page 72 2 to 3 inches away from the pacemaker generator area. For example, if the pacemaker generator is located in the right subclavian area, relocate the Right Arm elec- trode closer in towards the center of the chest. 7 - 8 TMS60 Operator’s Manual...
Page 73: Checking The Lead Placement
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...
Page 74: Setting The Paced Status
Internal pacemakers are less vulnerable than external pacemakers due to the shielding effects of the body. How- ever, caution should be exercised when monitoring any paced patient. 7 - 10 TMS60 Operator’s Manual...
Page 75: Maintaining Quality Ecg Signal
Stress loop stress loop near the electrode. Tape the stress loop to the patient. A secured stress loop prevents lead- wire rotation about the electrode snap, leadwire tugging at the electrode, and ECG artifact. TMS60 Operator’s Manual 7 - 11...
Page 76: Changing The Ecg Settings
Use under normal measurement conditions. Use when ST monitoring is applied. Color Selects the ECG waveform color. 16 colors The default color is green. The factory default settings are in bold. to exit the ECG menu. 7 - 12 TMS60 Operator’s Manual...
Page 77: Ecg Leadwire Types
This configuration will be applied for all ECG waveform size. Speed Selects the waveform sweep speed. 6.25 mm/s, 12.5 mm/s, 25 mm/s The factory default settings are in bold. to exit the ECG menu. TMS60 Operator’s Manual 7 - 13...
Page 78: Configuring The Pacer
The Waveform Size field of the ECG menu lists all available leads. You can select the desired ECG lead to set the waveform size. For details about the waveform size setting, refer to "Configuring the ECG Waveforms" on page 7 - 13. 7 - 14 TMS60 Operator’s Manual...
Page 79: Setting The Notch Filter
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. TMS60 Operator’s Manual 7 - 15...
Page 80: Ecg Waveform Area
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. 7 - 16 TMS60 Operator’s Manual...
Page 81: Monitoring Respiration (Resp) (Optional)
Monitoring Respiration (Resp) (Optional) Introduction.......................8-2 Safety..........................8-2 Preparation for Monitoring Resp................8-3 Changing the Resp Settings.................8-4 Understanding the Resp Display................8-6 TMS60 Operator’s Manual 8 - 1...
Page 82: Introduction
CAUTION • Only use parts and accessories specified in this manual. • Respiration monitoring is not for use on the patients who are very active, as this will cause false alarms. 8 - 2 TMS60 Operator’s Manual...
Page 83: Preparation For Monitoring Resp
ECG electrode placement is applied, the two electrodes should be RA and LL of ECG Lead II. For more information, refer to "Placing the Electrodes" on page 7 - 5. RA (R) LL (F) TMS60 Operator’s Manual 8 - 3...
Page 84: Changing The Resp Settings
On the main screen, tap the Resp digital area or waveform area to enter the Resp menu. In the main menu, tap Parameter Setup → Resp to enter the Resp menu. ■ In the Setup section of the Resp menu, select the options described in the follow- ing table. 8 - 4 TMS60 Operator’s Manual...
Page 85: Configuring The Resp Waveform
0.5, x 1, x2, x3, x4, x5 Speed Selects the waveform sweep speed. 3mm/s, 6.25 mm/s, 12.5 mm/s, 25 mm/s The factory default settings are in bold. to exit the Resp menu. TMS60 Operator’s Manual 8 - 5...
Page 86: Understanding The Resp Display
■ If the Resp measurement is invalid, “- - -” displays in place of the RR value. 8.5.3 Resp Waveform Area The Resp waveform area displays: Resp lead label Resp waveform Resp waveform gain 8 - 6 TMS60 Operator’s Manual...
Page 87: About The Resp Waveform Area
8.5.4 About the Resp Waveform Area ■ The Resp waveform, lead label, and waveform gain display in the configured Resp color. ■ The Resp waveform area scrolls the waveform at the configured sweep speed. TMS60 Operator’s Manual 8 - 7...
Page 88 Understanding the Resp Display Monitoring Respiration (Resp) (Optional) This page intentionally left blank. 8 - 8 TMS60 Operator’s Manual...
Page 89 Monitoring Pulse Oxygen Saturation (SpO ) (Optional) Introduction.......................9-2 Measurement Limitations..................9-2 Safety..........................9-3 Connecting the SpO2 Module ................9-4 Changing the SpO2 Settings ................9-5 SpO2 Measurement ....................9-8 Understanding the SpO2 Display ..............9-9 TMS60 Operator’s Manual 9 - 1...
Page 90: Monitoring Pulse Oxygen Saturation (Spo2) (Optional)
Nellcor SpO module. For details about SpO -related configurations at the CMS, refer to Chapter 12 Monitor- ing with the TMS60 at the CMS. NOTE • A functional tester or SpO simulator cannot be used to assess the accu-...
Page 91: Safety
Check accessory compatibility prior to use. Incompatible accessories may degrade the device’s performance and may cause harm to the patient. • Do not use disposable SpO sensor for multiple times. Otherwise, inac- curate SpO measurement may occur. TMS60 Telemetry Monitoring System Operator’s Manual 9 - 3...
Page 92: Connecting The Spo2 Module
Connecting the SpO Module Connect the SpO module to the TD60. The TD60 can auto detect the SpO module type when the SpO module is connected. module sensor connector sensor Connecting the Masimo SpO module 9 - 4 TMS60 Operator’s Manual...
Page 93 In the main menu, tap Parameter Setup → SpO ■ to enter the SpO menu. In the Setup section of the SpO menu, select the options described in the follow- ing table. TMS60 Telemetry Monitoring System Operator’s Manual 9 - 5...
Page 94: Changing The Spo2 Settings
This mode is useful for patients that are at particular risk of the sensor becoming detached (pediatric, combative, etc.) The factory default settings are in bold. 9 - 6 TMS60 Operator’s Manual...
Page 95 (Masimo only) tion changes. Color Selects the SpO waveform color. 16 colors The default color is cyan. The factory default settings are in bold. to exit the SpO menu. TMS60 Telemetry Monitoring System Operator’s Manual 9 - 7...
Page 96: Spo2 Measurement
Apply the sensor to the patient. Connect the sensor to the SpO module and the SpO module to the TD60. The SpO measurement displays when the TD60 detects that a sensor is con- nected to the patient. 9 - 8 TMS60 Operator’s Manual...
Page 97: Understanding The Spo2 Display
Digital Area The SpO digital area displays: Parameter name value Perfusion indicator Perfusion index (PI) label Perfusion index value SpO2 unit of measure Pulse rate (PR) label PR measurement unit PR value TMS60 Telemetry Monitoring System Operator’s Manual 9 - 9...
Page 98 Displays Masimo PI resolution as 0.1 when the PI value is greater than or equal to 10%. ■ If the SpO measurement or PR is invalid, “- - -” displays in place of digits. 9 - 10 TMS60 Operator’s Manual...
Page 99 Pleth waveform for the data range. If using Masimo SpO , the Signal Quality Index (SIQ) will display below the waveform if enabled. TMS60 Telemetry Monitoring System Operator’s Manual 9 - 11...
Page 100: Masimo Information
Possession or purchase of this device does not convey any express or implied license to use the device with unauthorized replacement parts which would, alone, or in combina- tion with this device, fall within the scope of one or more of the patents relating to this device. 9 - 12 TMS60 Operator’s Manual...
Page 101 Introduction.......................10-2 Pairing the TD60 with the BP10 ................10-2 Unpairing the TD60 with the BP10 ..............10-4 Screen Display after Pairing a TD60 with a BP10 ..........10-5 Interactions after Pairing a TD60 with a BP10 ..........10-6 TMS60 Operator’s Manual 10 - 1...
Page 102: Monitoring Noninvasive Blood Pressure (Nibp) (Optional)
Disconnect to Con- nected. Start an NIBP measurement from TD60 to verify that desired BP10 module is paired, and the NIBP measurement displayed on the BP10 are consistent with that displayed on the TD60. 10 - 2 TMS60 Operator’s Manual...
Page 103: System Responses After Successfully Pairing
BP10. When a BP10 in ABPM mode is not unpaired with a TD60 and needs to be paired with a new TD60, you must select [No]. Otherwise, chaotic patient data may occur. TMS60 Operator’s Manual 10 - 3...
Page 104: Unpairing The Td60 With The Bp10
Select the device you wish to disconnect from the TD60 from the devices list under Devices and tap Disconnect. The connected device is disconnected from the TD60. Option 2: Press the key to enter the main menu of the TD60. Tap Wireless Modules. Disable MPAN. 10 - 4 TMS60 Operator’s Manual...
Page 105: Unpairing Via Bp10
Screen Display after Pairing a TD60 with a BP10 When a TD60 is paired with a BP10 successfully, measured NIBP values will be displayed on the main screen of the TD60 as shown in the following figure. TMS60 Operator’s Manual 10 - 5...
Page 106: Interactions After Pairing A Td60 With A Bp10
Set NIBP measurement mode Configure settings related to Auto measurement mode Configure settings related to NIBP Sequence measurement mode Set NIBP settings related to NIBP ABPM measurement mode Set venipuncture Set the cuff pressure for venipuncture 10 - 6 TMS60 Operator’s Manual...
Page 107: Operating The Bp10 Via The Td60
TD60. 16 color options are available. Tap your desired color and this color will be displayed on the right of Color. For detailed description of NIBP-related operations and settings, refer to BP10 NIBP Module Operator’s Manual (P/N: 046-011008-00). TMS60 Operator’s Manual 10 - 7...
Page 108 Interactions after Pairing a TD60 with a BP10 Monitoring Noninvasive Blood Pressure (NIBP) (Optional) This page intentionally left blank. 10 - 8 TMS60 Operator’s Manual...
Page 109: Configuring The Td60
Entering the Maintenance menu ...............11-2 Configuring the General Menu................11-2 Configuring the Alarms Menu................11-3 Quick Keys Menu......................11-5 Configuring the Defaults Menu................11-6 Screen Lock Menu ....................11-8 Changing the Passwords..................11-9 Changing the Device Name .................11-9 Demo Mode .......................11-9 Service Menu......................11-9 TMS60 Operator’s Manual 11 - 1...
Page 110: Introduction
Enables or disables the ECG verification. On, Off Refer to "Verifying the ECG at the TD60" on page 16 - 5 for details. Module Changes the SpO module. Masimo, Nellcor The factory default settings are in bold. 11 - 2 TMS60 Operator’s Manual...
Page 111: Configuring The Alarms Menu
Reminder Interval Allows an authorized user to configure the 1 min, 2 min, 3 min, 5 min, 10 min intervals between the alarm tones. The factory default settings are in bold. TMS60 Operator’s Manual 11 - 3...
Page 112 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. 11 - 4 TMS60 Operator’s Manual...
Page 113: Quick Keys Menu
A list of options displays. A list of options Tap the desired option from the list of options to configure the selected quick key. Repeat steps 2 to 3 to configure other quick keys, if needed. TMS60 Operator’s Manual 11 - 5...
Page 114: Deleting A Quick Key
Configuration" on page 11 - 7 for details. Restore Factory Defaults Allows an authorized user to reestablish the original database power up settings to factory default values. The factory default settings are in bold. to exit the Defaults menu. 11 - 6 TMS60 Operator’s Manual...
Page 115: Transferring A Configuration
To retry the import from the TD60 A, tap the external devices where the “Failure” message is displayed and tap the Retry button to restart the trans- fer. You may need to repeat the retry operation several times until the transfer is suc- cessful. TMS60 Operator’s Manual 11 - 7...
Page 116: Screen Lock Menu
Screen Lock. 11.7.3 Changing the Current Screen Lock Passcode In the Maintenance menu, tap Screen Lock. Tap Screen Lock Passcode. Input the current password. Input and verify the new password 11 - 8 TMS60 Operator’s Manual...
Page 117: Changing The Screen Lock Mode
11.10 Demo Mode Allows an authorized user to choose a demonstration mode for in-servicing staff or test- ing product features. 11.11 Service Menu Allows an authorized user access to the passcode protected Service menu. TMS60 Operator’s Manual 11 - 9...
Page 118 Service Menu Configuring the TD60 This page intentionally left blank. 11 - 10 TMS60 Operator’s Manual...
Page 119: Monitoring With The Tms60 At The Cms
Monitoring with the TMS60 at the CMS Introduction.......................12-2 Monitoring at the CMS (Version Earlier than 03.00)........12-2 Monitoring at the CMS (Version 03.00 or Above).........12-30 TMS60 Operator’s Manual 12 - 1...
Page 120: Introduction
TMS60 telemetry monitoring system is connected to the CMS. The TMS60 telemetry monitoring system can be connected to the CMS whose version is earlier than 03.00 and to the CMS whose version is 03.00 or above. But the Resp and NIBP functionalities for the TMS60 telemetry monitoring system are only supported by the CMS whose version is 03.00 or above.
Page 121 Monitoring with the TMS60 at the CMS Monitoring at the CMS (Version Earlier than 03.00) WARNING • When monitoring patients that are not continuously attended by a clini- cal operator, properly configure the alarm system and adjust alarm set- tings as per the patient's condition.
Page 122 Monitoring at the CMS (Version Earlier than 03.00) Monitoring with the TMS60 at the CMS Alarm Response Activati Alarm High Alarm Low Alarm Parameters Record Print Limit Limit Priority Paging State Switch Alarm Alarm On, Off HR/PR For adult: For adult:...
Page 123 Monitoring with the TMS60 at the CMS Monitoring at the CMS (Version Earlier than 03.00) Alarm Response Activati Alarm High Alarm Low Alarm Parameters Record Print Limit Limit Priority Paging State Switch Alarm Alarm On, Off For adult and For adult...
Page 124 Monitoring at the CMS (Version Earlier than 03.00) Monitoring with the TMS60 at the CMS 12.2.1.2 Factory Default Arrhythmia Alarm Settings Alarm Response Activation Name Alarm Priority State Record on Print on Paging Switch Alarm Alarm Asystole On, Off High...
Page 125 Monitoring with the TMS60 at the CMS Monitoring at the CMS (Version Earlier than 03.00) Alarm Response Activation Name Alarm Priority State Record on Print on Paging Switch Alarm Alarm Missed Beats On, Off High, Med, On, Off On, Off...
Page 126 Monitoring at the CMS (Version Earlier than 03.00) Monitoring with the TMS60 at the CMS 12.2.1.3 Arrhythmia Threshold Settings When an arrhythmia violates its threshold, an alarm is triggered. When HR is less than 30 bpm, it is recommended to set asystole delay to 10 s.
Page 127: Ecg Monitoring
At the CMS, you can view and change the heart rate (HR), QT, ST, and arrhythmia settings in the ECG tab of the Parameter Setup menu. For details about the Parameter Setup menu, See the BeneVision Central Monitoring System Operator’s Manual.
Page 128 Monitoring at the CMS (Version Earlier than 03.00) Monitoring with the TMS60 at the CMS 12.2.2.2 Waveform Setup The ECG leads waveforms displayed in the waveform area are defined as the displayed lead. The CMS uses information from two leads to detect beats and to compute HR. These two leads are referred to as the primary and secondary leads.
Page 129 Monitoring with the TMS60 at the CMS Monitoring at the CMS (Version Earlier than 03.00) Settings* Options Description Lead Waveform size ECG 1 Select the desired ECG lead and set the I, II, III, aVR, aVL, × 0.125, × 0.25, × 0.5, corresponding gain for ECG 1.
Page 130 Monitoring at the CMS (Version Earlier than 03.00) Monitoring with the TMS60 at the CMS 3. Select Exit to save the settings and close the Analysis Lead Setup menu. Other Settings In the HR section of the ECG tab, select Other Settings. The Other Settings menu dis- plays.
Page 131 Monitoring with the TMS60 at the CMS Monitoring at the CMS (Version Earlier than 03.00) ECG digital area NOTE • If the Activation State for HR, PVCs or Pauses alarm is set to Off, the symbol displays to the right of corresponding parameter.
Page 132: Qt Monitoring
Monitoring at the CMS (Version Earlier than 03.00) Monitoring with the TMS60 at the CMS 12.2.3 QT Monitoring A normal ECG waveform (as shown in the following figure) typically includes a sharp and well defined QRS complexes with consistent spacing between R waves, and an ECG baseline that is free of noise and artifact.
Page 133 Monitoring with the TMS60 at the CMS Monitoring at the CMS (Version Earlier than 03.00) Options Description Settings* 1 2 / QTHR QTc Formula Configures the QTc formula used.    ------------ -   Bazett: 1 3 / QTHR ...
Page 134 Monitoring at the CMS (Version Earlier than 03.00) Monitoring with the TMS60 at the CMS QT View menu Follow the steps below to configure items in the QT View menu: In the QT Analysis section of the ECG tab, set QT Analysis to On.
Page 135 Monitoring with the TMS60 at the CMS Monitoring at the CMS (Version Earlier than 03.00) 12.2.3.4 QT Display When QT Analysis is enabled, the QT digital area displays: Parameter label QTc value High QTc alarm limit Activation State Off symbol for QTc alarm ∆QTc label...
Page 136: St Monitoring
Monitoring at the CMS (Version Earlier than 03.00) Monitoring with the TMS60 at the CMS 12.2.4 ST Monitoring ST deviation Depression or Elevation 40 to 80 msec ST Segment A normal ECG waveform (for ST monitoring) The ST segment of an ECG waveform (as shown in the above figure) represents the...
Page 137 Monitoring with the TMS60 at the CMS Monitoring at the CMS (Version Earlier than 03.00) WARNING • The ST algorithm has been tested for accuracy of the ST segment data. The significance of the ST segment changes need to be determined by a clinician.
Page 138 Monitoring at the CMS (Version Earlier than 03.00) Monitoring with the TMS60 at the CMS 12.2.4.3 Adjusting ST Measurement Points The ISO and ST points need to be adjusted when you start monitoring and if the patient’s heart rate or ECG morphology changes significantly. Exceptional QRS com- plexes are not considered for ST-segment analysis.
Page 139 Monitoring with the TMS60 at the CMS Monitoring at the CMS (Version Earlier than 03.00) Buttons Description Settings* ISO/J Selecting Auto fixes the ISO and J/ST Auto, Manual points. Selecting Manual allows the clinician to manually adjust ISO and J/ST points.
Page 140: Arrhythmia Monitoring
Monitoring at the CMS (Version Earlier than 03.00) Monitoring with the TMS60 at the CMS 12.2.4.5 ST Segment Display When Display ST Segments is enabled, the ST segments display in the waveform area: Lead identifier ST markers (ISO, J/ST) ST value...
Page 141 Monitoring with the TMS60 at the CMS Monitoring at the CMS (Version Earlier than 03.00) 12.2.5.1 Measurement Limitations Since the arrhythmia detection algorithm sensitivity and specificity is less than 100%, sometimes there may be some false arrhythmias detected and also some true arrhythmia events may not be detected.
Page 142 Monitoring at the CMS (Version Earlier than 03.00) Monitoring with the TMS60 at the CMS Arrhythmia message Description Category PVCs/min PVCs/min exceeds high limit. Nonlethal arrhythmia R on T R on T detected in normal heartbeats. Run PVCs More than 2 consecutive PVCs.
Page 143 Monitoring with the TMS60 at the CMS Monitoring at the CMS (Version Earlier than 03.00) 12.2.5.3 Arrhythmia Settings The following table lists the arrhythmia settings in the Arrhythmia Analysis section of the ECG tab. Options or Buttons Description Settings* Arrhythmia Alarms Configures the arrhythmia alarm settings.
Page 144 Monitoring at the CMS (Version Earlier than 03.00) Monitoring with the TMS60 at the CMS ■ A clinician has observed clinically questionable arrhythmia calls ■ “Learning” occurred during a Leads Off condition CAUTION • Initiate ECG relearning only during periods of normal rhythm and when the ECG signal is relatively noise-free.
Page 145: Spo2 Monitoring
Monitoring with the TMS60 at the CMS Monitoring at the CMS (Version Earlier than 03.00) The current waveform displays the data of previous eight seconds. Use the buttons described in the following table as desired. Buttons Description Settings* Gain Select the desired ECG waveform size.
Page 146: Configuring The Spo2 Setup
Monitoring at the CMS (Version Earlier than 03.00) Monitoring with the TMS60 at the CMS 12.2.8 Settings The following table lists the SpO settings in the SpO tab. Options Description Settings* Activation State Configures whether or not to enable the On, Off alarm.
Page 147: Spo2 Display
Monitoring with the TMS60 at the CMS Monitoring at the CMS (Version Earlier than 03.00) 12.2.9 Display 12.2.9.1 Digital Area The SpO digital area displays: Parameter label High SpO alarm limit PR label PR value High PR alarm limit unit of measure...
Page 148: Monitoring At The Cms (Version 03.00 Or Above)
12.3 Monitoring at the CMS (Version 03.00 or Above) Once the TMS60 telemetry monitoring system is connected to the CMS whose version is 03.00 or above, you can view physiological alarms for ECG, Resp, SpO , and NIBP param- eters, change parameter settings and perform related operations.
Page 149 Monitoring with the TMS60 at the CMS Monitoring at the CMS (Version 03.00 or Above) Activati Alarm High Alarm Low Alarm Parameters Alarm Outputs Limit Limit Priority State On, Off HR/PR For adult: For adult: High, On, Off Unit of mea-...
Page 150 Monitoring at the CMS (Version 03.00 or Above) Monitoring with the TMS60 at the CMS Activati Alarm High Alarm Low Alarm Parameters Alarm Outputs Limit Limit Priority State On, Off For adult and For adult High, On, Off pediatric: and pediat-...
Page 151 Monitoring with the TMS60 at the CMS Monitoring at the CMS (Version 03.00 or Above) 12.3.1.2 Factory Default Arrhythmia Alarm Settings Alarm Name Activation State Alarm Priority Outputs Asystole On, Off High On, Off V-Fib/V-Tach V-Tach Vent Brady Extreme Tachy...
Page 152 Monitoring at the CMS (Version 03.00 or Above) Monitoring with the TMS60 at the CMS Alarm Name Activation State Alarm Priority Outputs Missed Beats On, Off High, Med, Low, Prompt On, Off Multiform PVC High, Med, Low, Prompt Nonsus V-Tach...
Page 153 Monitoring with the TMS60 at the CMS Monitoring at the CMS (Version 03.00 or Above) 12.3.1.3 Arrhythmia Threshold Settings When an arrhythmia violates its threshold, an alarm is triggered.When HR is less than 30 bpm, it is recommended to set asystole delay to 10 s.
Page 154: Ecg Monitoring
Monitoring at the CMS (Version 03.00 or Above) Monitoring with the TMS60 at the CMS 12.3.2 ECG Monitoring At the CMS, you can view and change the ECG settings in the ECG tab. To enter the ECG tab, follow this procedure: Select the ECG digital area or waveform area to enter the ECG menu on the ViewBed screen of the CMS.
Page 155 Monitoring with the TMS60 at the CMS Monitoring at the CMS (Version 03.00 or Above) 12.3.2.3 Changing Pacer Settings To change pacer related settings, follow this procedure: From the ECG tab, select the Pacer section. Set the desired items. Options or Buttons...
Page 156 Monitoring at the CMS (Version 03.00 or Above) Monitoring with the TMS60 at the CMS 12.3.2.5 ECG Display ECG Digital Area The ECG digital area displays: HR unit Parameter label HR value Low HR alarm limit High HR alarm limit...
Page 157: Qt Monitoring
ViewBed screen of the CMS. Select the QT tab. 12.3.3.1 Measurement Limitations QT/QTc values are calculated with 3/5-leadwire ECG cables for the TMS60. 12.3.3.2 Setting QT Alarm Properties To set QT alarm properties, follow this procedure: From the QT tab, select the Alarm section.
Page 158 Monitoring at the CMS (Version 03.00 or Above) Monitoring with the TMS60 at the CMS Options Description Default Setting Set Baseline Configures the baseline to quan- None tify changes in the QTc value. 12.3.3.4 QT View Menu Select QT View at the bottom of the QT menu to enter the QT View menu.
Page 159 Monitoring with the TMS60 at the CMS Monitoring at the CMS (Version 03.00 or Above) Using the buttons described in the following table as desired. Buttons Description Settings* Left or right arrow Select the desired lead to display on the...
Page 160: St Monitoring
Monitoring at the CMS (Version 03.00 or Above) Monitoring with the TMS60 at the CMS 12.3.4 ST Monitoring For description about ST monitoring, see "ST Monitoring" on page 12 - 18. To enter the ST tab, follow this procedure: Select the ECG digital area or waveform area to enter the ECG menu on the ViewBed screen of the CMS.
Page 161 Monitoring with the TMS60 at the CMS Monitoring at the CMS (Version 03.00 or Above) Options or Buttons Description Default Setting ■ ST Alarm Setup Configures the ST alarm settings. For details about the ST alarms limits, See "Factory Default Parameter Alarm Settings"...
Page 162 Monitoring at the CMS (Version 03.00 or Above) Monitoring with the TMS60 at the CMS 12.3.4.5 Entering the ST Graphic Window To enter the ST Graphic window, follow this procedure: Select the ECG digital area or waveform area to enter the ECG menu on the ViewBed screen of the CMS.
Page 163 Monitoring with the TMS60 at the CMS Monitoring at the CMS (Version 03.00 or Above) 12.3.4.7 ST Display When ST Analysis is enabled, the ST digital area displays: Parameter label ST unit ST alarm off symbol Lead labels ST numerics: a positive value indicates ST segment elevation, and a negative value indicates ST segment depression.
Page 164: Arrhythmia Monitoring
Monitoring at the CMS (Version 03.00 or Above) Monitoring with the TMS60 at the CMS 12.3.5 Arrhythmia Monitoring For description about arrhythmia monitoring, see "Arrhythmia Monitoring" on page 12 - 22. To enter the Arrhythmia tab, follow this procedure: Select the ECG digital area or waveform area to enter the ECG menu on the ViewBed screen of the CMS.
Page 165 Monitoring with the TMS60 at the CMS Monitoring at the CMS (Version 03.00 or Above) Arrhythmia message Description Category PVCs/min PVCs/min exceeds high limit. Nonlethal arrhythmia R on T R on T detected in normal heartbeats. Run PVCs More than 2 consecutive PVCs.
Page 166 Monitoring at the CMS (Version 03.00 or Above) Monitoring with the TMS60 at the CMS 12.3.5.3 Setting Arrhythmia Alarm Properties To set arrhythmia alarm properties, follow this procedure: From the Arrhythmia tab, select the Alarm section. Set the desired alarm properties.
Page 167 Monitoring with the TMS60 at the CMS Monitoring at the CMS (Version 03.00 or Above) If both V-Tach PVCs and V-Tach Rate are greater than or equal to the limits, a V-Tach alarm is generated. If consecutive PVCs is lower than the V-Tach PVCs limit (6) but greater than 2, and the Vent rate is greater or equal to the V-Tach Rate limit (130), a Nonsus V-Tach alarm is generated.
Page 168: Resp Monitoring
Monitoring at the CMS (Version 03.00 or Above) Monitoring with the TMS60 at the CMS Pauses per minute value 12.3.5.7 Relearning For details about relearning, see "Relearning" on page 12 - 25. 12.3.6 Resp Monitoring At the CMS, you can view and change Resp settings in the Resp menu.
Page 169: Spo2 Monitoring
Monitoring with the TMS60 at the CMS Monitoring at the CMS (Version 03.00 or Above) Options Description Default Setting Gain Configures the Resp waveform size. Speed Configures the Resp wave speed. 6.25mm/s 12.3.6.3 Resp Display Resp Digital Area The Resp digital area displays:...
Page 170 Monitoring at the CMS (Version 03.00 or Above) Monitoring with the TMS60 at the CMS 12.3.7.1 Measurement Limitations See "Measurement Limitations" on page 9 - 2 for details. 12.3.7.2 Setting SpO Alarm Properties To set ECG alarm properties, follow this procedure: In the SpO menu, select the Alarm tab and PR Alarm tab respectively.
Page 171 Monitoring with the TMS60 at the CMS Monitoring at the CMS (Version 03.00 or Above) Low PR alarm limit Masimo perfusion index value PI label Low SpO alarm limit value Masimo SpO digital area Nellcor SpO digital area 12.3.7.5 Waveform Area...
Page 172: Nibp Monitoring
Monitoring at the CMS (Version 03.00 or Above) Monitoring with the TMS60 at the CMS 12.3.8 NIBP Monitoring At the CMS, you can view and change NIBP settings in the NIBP menu. Select the NIBP digital area on the ViewBed screen of the CMS to enter the NIBP menu.
Page 173 Monitoring with the TMS60 at the CMS Monitoring at the CMS (Version 03.00 or Above) 12.3.8.5 NIBP List When NIBP List is selected to display in the Tile Layout, the NIBP list area displays multi- ple sets of most recent NIBP measurements. The displayed PR is derived from NIBP.
Page 174 Monitoring at the CMS (Version 03.00 or Above) Monitoring with the TMS60 at the CMS This page intentionally left blank. 12 - 56 TMS60 Operator’s Manual...
Page 175: Battery
Safety..........................13-2 Installing the Battery ....................13-4 Checking the Battery Charge Status ..............13-4 Removing the Battery ....................13-4 Charging the Rechargeable Lithium-ion Battery .........13-5 Storing the Batteries ....................13-6 Maintaining the Rechargeable Lithium-ion Battery........13-7 Disposing of the Batteries..................13-8 TMS60 Operator’s Manual 13 - 1...
Page 176: Introduction
◆ Do not incinerate batteries or expose them to temperatures above 60°C (140°F). • The rechargeable lithium-ion batteries should be charged in the speci- fied central charger. 13 - 2 TMS60 Operator’s Manual...
Page 177 AA batteries and check if the TD60 can power on properly. If the TD60 fails to power on, contact your service personnel. NOTE • Batteries of different types may give different performance such as bat- tery runtime and insufficient battery low or critically low warning time. TMS60 Operator’s Manual 13 - 3...
Page 178: Installing The Battery
Remove the battery before transporting the device or if the device is not in use or is being stored. NOTE • Retain the ECG cable and SpO module with the device while removing the battery. 13 - 4 TMS60 Operator’s Manual...
Page 179: Charging The Rechargeable Lithium-Ion Battery
Use the central charger to charge the lithium-ion batteries. The central charger can charge 10 lithium-ion batteries at one time. For details about the central charger, refer to BeneVision Central Charger Operator’s Manual (P/N: 046-007059-00). TMS60 Operator’s Manual 13 - 5...
Page 180: Storing The Batteries
Storing batteries at high temperatures for an extended period of time will significantly shorten their life expectancy. • Do not store the batteries in an environment above 60°C (122°F) or lower than -20°C (4°F). 13 - 6 TMS60 Operator’s Manual...
Page 181: Storing Aa Batteries
Therefore, Mindray strongly recom- mend that lithium-ion battery should be replaced after two years or 500 complete charge-discharge cycles. Using the outdated battery may cause the device abnormity and unacceptable performance. TMS60 Operator’s Manual 13 - 7...
Page 182: Disposing Of The Batteries
13.9.2 Disposing of the AA Batteries The batteries may be subject to local regulations regarding disposal. Dispose of batteries in approved containers. Follow local regulations, if any, to recycle the batteries. 13 - 8 TMS60 Operator’s Manual...
Page 183: Troubleshooting
Troubleshooting General Problems ....................14-2 Physiological Alarm Messages at the CMS .............14-3 Technical Alarm Messages at the TD60............14-6 TMS60 Operator’s Manual 14 - 1...
Page 184: General Problems
The RC60 is power off. Check if the RC60 sounds a beep when turn the receiver on. The TD60 or SpO The TD60’s battery charge is to be Replace with new batteries. depleted. module restarts repeatedly. 14 - 2 TMS60 Operator’s Manual...
Page 185: Physiological Alarm Messages At The Cms
The following table lists the major telemetry-related physiological alarm messages dis- played on the CMS screen. NOTE • Physiological alarm messages for Resp and NIBP functionalities of the TMS60 telemetry monitoring system are only available at the CMS whose version is 03.00 or above. Measurement Alarm message Alarm level...
Page 186 TD60 can’t per- dition and the ECG con- form ECG analysis. nections. Nonsus V-Tach Med* Vent Rhythm Med* Pause Low* Irr Rhythm Prompt* A-Fib Prompt* The asterisk (*) means the alarm level is configurable. 14 - 4 TMS60 Operator’s Manual...
Page 187 The NIBP diastolic High pressure is higher than the upper alarm limit. NIBP-Dia Too High The NIBP diastolic pressure is lower than the lower alarm limit. The asterisk (*) means the alarm level is configurable. TMS60 Operator’s Manual 14 - 5...
Page 188: Technical Alarm Messages At The Td60
ECG leadwire. Type Error HR exceeds the measure- Contact Mindray or Over- ment limit. your service person- range nel. The asterisk (*) means the alarm level is configurable. XX is the ECG lead name. 14 - 6 TMS60 Operator’s Manual...
Page 189 The button cell does not Reset the system Clock have sufficient charge. time for the BP10. Needs To Be Set The asterisk (*) means the alarm level is configurable. XX is the ECG lead name. TMS60 Operator’s Manual 14 - 7...
Page 190 Motion motion. NIBP Cuff The NIBP airway may be Check the airway Over- occluded. and measure again. pressure The asterisk (*) means the alarm level is configurable. XX is the ECG lead name. 14 - 8 TMS60 Operator’s Manual...
Page 191 Contact your service Over- is not within the mea- personnel. range surement range. NIBP-Dia Over- range NIBP-M Over- range The asterisk (*) means the alarm level is configurable. XX is the ECG lead name. TMS60 Operator’s Manual 14 - 9...
Page 192 Required Battery The lithium-ion battery Error communication is error. Battery The battery contacts are Type in bad contact. Error The asterisk (*) means the alarm level is configurable. XX is the ECG lead name. 14 - 10 TMS60 Operator’s Manual...
Page 193 Loading the default con- Defaults figuration is error. Failed No CMS The TD60 is disconnected Check the network from the CMS connection. The asterisk (*) means the alarm level is configurable. XX is the ECG lead name. TMS60 Operator’s Manual 14 - 11...
Page 194 Technical Alarm Messages at the TD60 Troubleshooting This page intentionally left blank. 14 - 12 TMS60 Operator’s Manual...
Page 195: Cleaning And Disinfecting
Cleaning and Disinfecting Introduction.......................15-2 Safety Information....................15-2 Cleaning and Disinfecting the Equipment .............15-3 Cleaning and Disinfecting ECG Leadwires and SpO2 Sensors ....15-7 Cleaning and Disinfecting Other Parts.............15-8 Sterilization ........................15-9 Impact of Improper Cleaning or Disinfection..........15-9 TMS60 Operator’s Manual 15 - 1...
Page 196: Introduction
Remove the equipment from use if liquid is spilled on the equipment or accessories. Contact your service personnel. • Check the equipment after cleaning and disinfecting. If there is any sign of damage, remove it from use. 15 - 2 TMS60 Operator’s Manual...
Page 197: Cleaning And Disinfecting The Equipment
Virex chlorides 0.105%, n-Alkyl dimethyl ethylbenzyl ammonium chlorides 0.105% ® Powder Used as 1% solution Rely+On Virkon Powder * Biocidal active: (Used as 1% solution) Pentapotassium bis (peroxymonosulphate) bis (sulphate)(500g/kg), Contains dipotassium peroxodisulphate. TMS60 Operator’s Manual 15 - 3...
Page 198 0.125% ® n-Alkyl dimethyl ethylbenzyl ammonium PDI Super Sani-Cloth chlorides 0.25%, Germicidal Disposable Wipe * n-Alkyl dimethyl benzyl ammonium chlorides 0.25%, Isopropyl Alcohol 55.0%, VIRAGUARD Hospital Surface Isopropanol 70%,Other ingredients 30% Disinfectants 15 - 4 TMS60 Operator’s Manual...
Page 199: Cleaning The Equipment
Install the battery pack or battery tray and firmly close to seal the battery compartment. ■ Insert the SpO cover in the SpO connector when SpO is not in use. ■ Insert the ECG leadwire plug into the ECG connector. TMS60 Operator’s Manual 15 - 5...
Page 200 • Do not hook the battery contacts in the battery compartment with other objects. Otherwise, the battery contacts may be distorted. • Keep the battery compartment free away from any foreign objects. 15 - 6 TMS60 Operator’s Manual...
Page 201: Disinfecting The Equipment
15.4 Cleaning and Disinfecting ECG Leadwires and SpO Sensors To clean and disinfect reusable ECG leadwires and SpO sensors, refer to the instructions for use delivered with the accessory. TMS60 Operator’s Manual 15 - 7...
Page 202: Cleaning And Disinfecting Other Parts
Wipe off the alcohol residue with a dry cloth. Dry these parts in a ventilated, cool place. CAUTION • Do not clean or disinfect the metal objects.. Otherwise, metal part corro- sion or product reliability deterioration could result. 15 - 8 TMS60 Operator’s Manual...
Page 203: Sterilization
■ Product discoloration ■ Metal part corrosion ■ Brittle and breaking wires, connectors, and equipment housing ■ Reduced cable and leadwire life ■ Overall system performance degradation ■ Equipment malfunction or failure TMS60 Operator’s Manual 15 - 9...
Page 204 Impact of Improper Cleaning or Disinfection Cleaning and Disinfecting This page intentionally left blank. 15 - 10 TMS60 Operator’s Manual...
Page 205: Maintenance
Maintenance and Testing Schedule ..............16-4 Power-on Test......................16-4 Verifying the ECG at the TD60 ................16-5 NIBP Accuracy Test ....................16-5 NIBP Leakage Test....................16-5 Nurse Call Test ......................16-5 Electrical Safety Tests....................16-5 Battery Check ......................16-6 Viewing System Information ................16-6 TMS60 Operator’s Manual 16 - 1...
Page 206: Introduction
• If you discover a problem with any of the equipment, contact your ser- vice personnel or Mindray. • The service personnel must be properly qualified and thoroughly famil- iar with the equipment operation. 16 - 2 TMS60 Operator’s Manual...
Page 207: Regular Check
■ Make sure that the devices are in good working condition. In case of any damage or abnormality, do not use the devices. Contact the hospital’s bio- medical engineers or your service personnel immediately. TMS60 Operator’s Manual 16 - 3...
Page 208: Maintenance And Testing Schedule
16.5 Power-on Test The TD60 performs a self-test during startup. You can refer to "Powering On the Unit" on page 3 - 8 for details. 16 - 4 TMS60 Operator’s Manual...
Page 209: Verifying The Ecg At The Td60
16.10 Electrical Safety Tests The electrical safety tests aim to detect abnormalities that, if undetected, could prove dangerous to either the patient or the operator. Contact your service personnel to per- form the electrical safety tests. TMS60 Operator’s Manual 16 - 5...
Page 210: 16.11 Battery Check
For details about the battery charge check and maintenance, refer to Maintaining the Rechargeable Lithium-ion Battery on Page 13-7. 16.12 Viewing System Information To view the system information of the TD60, such as battery, tap System Info from the main menu. 16 - 6 TMS60 Operator’s Manual...
Page 211: Accessories
Accessories ECG Accessories......................17-2 SpO2 Accessories .....................17-3 NIBP Accessories ......................17-5 Miscellaneous......................17-5 TMS60 Operator’s Manual 17 - 1...
Page 212: Ecg Accessories
The disposable accessories shall be disposed of according to the hospi- tal's regulations. 17.1 ECG Accessories 17.1.1 ECG Electrodes Applicable Applicable Description property patient 0010-10-12304 Adult Electrode (Kendall, package of 10) Disposable Adult 9000-10-07469 Pediatric ECG electrode (3M, package of 50) Disposable Pediatric 17 - 2 TMS60 Operator’s Manual...
Page 213: Ecg Leadsets
ISO 10993-1. 17.2.1 Masimo SpO Module Applicable Applicable Description property patient 009-004936-00 Masimo SpO2 module (SET uSpO2) Reusable Adult, Pediatric TMS60 Operator’s Manual 17 - 3...
Page 214 Description Applicable property Applicable patient 9000-10-05161 Reusable SpO sensor, finger-clip, Reusable Adult Adult 9000-10-07308 Reusable Pediatric-Infant SpO sensor Reusable Pediatric with wraps, Ped/Infant 0010-10-12476 Nellcor reusable D-YS SpO sensor Reusable Adult, Pediatric with wraps 17 - 4 TMS60 Operator’s Manual...
Page 215: Nibp Accessories
Alkaline 1.5 V AA battery (for service personnel to perform debug- ging only) 0146-00-0077-10 L91 AA battery 045-001698-00 TP-2AA battery tray 045-001699-01 TP-3AA battery tray 115-032957-00 Disposable pouch (25/box) DA8K-10-14452 US power cord 009-005409-00 USB upgrade cable 115-026852-00 Main unit of the central charger TMS60 Operator’s Manual 17 - 5...
Page 216 Miscellaneous Accessories This page intentionally left blank. 17 - 6 TMS60 Operator’s Manual...
Page 217 Product Specifications Classifications......................A-2 Environmental Specifications................A-2 Power Supply Specifications................A-3 Physical Specifications ...................A-4 Hardware Specifications..................A-5 Wireless Specification....................A-7 Measurement Specifications ................A-8 TMS60 Operator’s Manual A - 1...
Page 218: A Product Specifications
-20 °C to 60 °C Relative humidity (noncondensing) 15% to 95% 10% to 95% Barometric 427.5 mmHg to 805.5 mmHg, or 120 mmHg to 805.5 mmHg, or 57.0 kPa to 107.4 kPa 16.0 kPa to 107.4 kPa A - 2 TMS60 Operator’s Manual...
Page 219: Power Supply Specifications
A.3.2 RC60 The telemetry receiver is powered by external AC power. 100 to 240 VAC (± 10%) Input voltage 50 Hz/60 Hz (± 3 Hz) Frequency 0.6 A to 0.3 A Input current TMS60 Operator’s Manual A - 3...
Page 220: Central Charger
ECG leadwires, or accessories) 120 mm × 300 mm × 350 mm 7000 g RC60 365 mm × 171 mm × 78 mm (without 1130 g (without batteries and wall-mount bracket) Central batteries and wall-mount bracket) charger A - 4 TMS60 Operator’s Manual...
Page 221: Hardware Specifications
Display Activation (Power On/Off) key 1 (three colors: red, yellow, and cyan) Alarm lamp Audio Indicator Speaker 45 dBA to 85 dBA Sound Pressure Range Keys Nurse call Power On/Off Main menu External Connectors ECG connector connector TMS60 Operator’s Manual A - 5...
Page 222: Rc60
1, standard RJ45 connector Ethernet connector Antenna connector A.5.3 Central Charger Charger slot 10, which indicates the battery charge status. AC power indicator Place on the desktop, or mount on GCX® wall channel. Installation mode A - 6 TMS60 Operator’s Manual...
Page 223: Wireless Specification
Do perform all network functions of data communication within an enclosed network. Bit error rate ≤ 1% Data integrity Total delay of data transmission from the transmitter to the Data delay CMS: ≤ 3 seconds TMS60 Operator’s Manual A - 7...
Page 224: Mindray Patient Area Network (Mpan) Specification
A.6.2 Mindray Patient Area Network (MPAN) Specifica- tion A.6.2.1 Technical Specification Bluetooth low energy 4.0 Protocol standard GFSK Modulation mode 2402 MHz to 2480 MHz Operating frequency 2 MHz Channel spacing 1 Mbps Wireless baud rate A - 8 TMS60 Operator’s Manual...
Page 225 > 1 m for microwave ovens. ■ > 0.2 m for cellular communication devices, Wi-Fi devices, intercoms, and cordless phones. When the bluetooth communication is interrupted, the TD60 Communication interruption message displays a prompt message. TMS60 Operator’s Manual A - 9...
Page 226: Measurement Specifications
Polarizing voltage scope ≤ 30 μV (p-v RTI) Noise < 5 s (after defibrillation) Baseline recovery time Input electrode: < 0. 1μA Direct current leakage Drive electrode: <1μA < 10 s Electrode polarization recovery time A - 10 TMS60 Operator’s Manual...
Page 227 IEC60601-2-27, the heart rate meter will reject all 100 ms QRS com- Tall T-wave rejection capability plexes with less than 1.2 mV of amplitude, and T waves with T-wave interval of 180 ms and those with Q-T interval of 350 ms. TMS60 Operator’s Manual A - 11...
Page 228 Rhythm, A-Fib QT Analysis Bazett, Fridericia, Framingham, and Hodges QTc formula 200 ms to 800 ms QT measurement range 200 ms to 800 ms: ± 30 ms QT accuracy Beyond this range: Not specified A - 12 TMS60 Operator’s Manual...
Page 229: Resp
Pediatric: 0 rpm to 150 rpm 1 rpm Resolution 7 rpm to 150 rpm: ±2 rpm or ±2%, whichever is greater Accuracy 0 rpm to 6 rpm: Not specified 10s, 15s, 20s, 25s, 30s, 35s, 40s NCM alarm delay TMS60 Operator’s Manual A - 13...
Page 230: Spo2
"Fitting Curve for Masimo SpO2 Sensors" on page A - 15. Measured A Values range LNCS Adtx, LNCS Pdtx LNCS DCI, LNCS DCIP 70% to 100% ± 2% 70% to 80% 1.55% 0.60% 80% to 90% 1.07% 0.54% 90% to 100% 1.64% 0.60% A - 14 TMS60 Operator’s Manual...
Page 231 98%, average time 8 s, no disturbance, PR value rises from 60 bpm to 150 bpm) A.7.3.2 Fitting Curve for Masimo SpO Sensors Table information for the plots below show A values measured with Masimo SET Oximetry Technology in a clinical study. Adtx/Pdtx TMS60 Operator’s Manual A - 15...
Page 232 70-100%: ±2 ABS Accuracy 60-80%: ±3 ABS 0-59%: Not specified ≤2s Data update rate 20 bpm to 300 pm Measurement range 20 bpm to 250 bpm: ±3 bpm Accuracy 251 bpm to 300 bpm: Not specified A - 16 TMS60 Operator’s Manual...
Page 233 100% to 70% 100% to 90% 89% to 80% 79% to 70% DS-100A 1.64% 1.16% 1.67% 2.25% D-YS, OXI-P/I 2.41% 1.38% 2.50% 3.60% ■ Modified Bland-Altman for SpO -DS-100A Sensor: (SpO - SaO ) vs. SaO TMS60 Operator’s Manual A - 17...
Page 234 Measurement Specifications Product Specifications ■ Modified Bland-Altman for SpO -D-YS, OXI-P/I Sensors: (SpO - SaO ) vs. A - 18 TMS60 Operator’s Manual...
Page 235 TMS60 Operator’s Manual B - 1...
Page 236 The TMS60 telemetry monitoring system meets the requirements of IEC 60601-1-2: 2014. WARNING • Use of accessories, transducers and cables other than those specified or provided by the manufacturer of this device could result in increased electromagnetic emissions or decreased electromagnetic immunity of this device and result in improper operation.
Page 237 If the system is operated within the electromagnetic environment listed in Table Guid- ance and declaration - electromagnetic immunity, the system will remain safe and pro- vide the following essential performance: ■ Operating mode ■ Accuracy ■ Function ■ Accessories identification ■ Data stored TMS60 Operator’s Manual B - 3...
Page 238 50 Hz / 60 Hz 50 Hz / 60 Hz netic fields a typical commercial or hospital environ- ment. IEC 61000-4-8 Note: U is the A.C. mains voltage prior to application of the test level. B - 4 TMS60 Operator’s Manual...
Page 239 Note 1: At 80 MHz and 800 MHz, the higher frequency range applies. Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. TMS60 Operator’s Manual B - 5...
Page 240 Note 1: At 80 MHz and 800 MHz, the higher frequency range applies. Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. B - 6 TMS60 Operator’s Manual...
Page 241: Fcc Compliance
FCC Compliance TMS60 Telemetry Monitoring System Operator's Manual C - 1...
Page 242 FCC Compliance The TMS60 telemetry monitoring system complies with the requirements of FCC Part 95: Authorized health care providers, in conjunction with the equipment manufacturers, must cooperate in the selection and use of frequencies in order to reduce the potential for interference with other wireless medical telemetry devices, or other co-primary users.
Page 243 FCC Compliance The radio device used in this product is in compliance with the essential requirements and other relevant provisions of Directive 1999/5/EC (Radio Equipment and Telecommu- nications Terminal Equipment Directive). TMS60 Telemetry Monitoring System Operator's Manual C - 3...
Page 244 FCC Compliance This page intentionally left blank. C - 4 TMS60 Telemetry Monitoring System Operator's Manual...
Page 245: Symbols And Abbreviations
Symbols and Abbreviations Units..........................D-2 Symbols ........................D-3 Abbreviations ......................D-3 TMS60 Operator’s Manual D - 1...
Page 246: Units
°F fahrenheit gram hour hundred pascal hertz inch kilo kilogram kilopascal litre pound meter milligrams minute milliliter millimeters millisecond millivolt milliwatt nanometer part per million second volt volt ampere Δ μA microampere μm micron D - 2 TMS60 Operator’s Manual...
Page 247: Symbols
American Heart Association ANSI American National Standard Institute arrhythmia arterial Auxiliary output left foot augmented lead left arm augmented lead right arm augmented lead channel CISPR International Special Committee on Radio Interference central monitoring system electrocardiograph TMS60 Operator’s Manual D - 3...
Page 248 M, MEAN mean pressure oxygen power pulse rate interval of ventricular depolarization (QRS complex) RA(R) right arm RL(N) right leg read-only memory arterial oxygen saturation from pulse oximetry Video Graphics Array D - 4 TMS60 Operator’s Manual...
Page 250 P/N: 046-007056-00 (4.0)

BeneVision TMS60 Operator's Manual

1 Safety

2 General Product Description

3 Getting Started

4 User Configurations

5 Patient Management

6 Alarms

7 Monitoring ECG

8 Monitoring Respiration (Resp) (Optional)

9 Monitoring Pulse Oxygen Saturation (Spo2) (Optional)

10 Monitoring Noninvasive Blood Pressure (NIBP) (Optional)

11 Configuring the TD60

12 Monitoring with the TMS60 at the CMS

13 Battery

14 Troubleshooting

15 Cleaning and Disinfecting

16 Maintenance

17 Accessories

A Product Specifications

FCC Compliance

Symbols and Abbreviations

Quick Links

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Questions and answers

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Summary of Contents for BeneVision TMS60