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A&D TM-2560G Instruction Manual

Manual is about: VITAL SENSOR GRAPHIC MODEL

Summary of TM-2560G

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    Tm-2560g / tm-2564g tm-2560gp / tm-2564gp vital sensor graphic model instruction manual wm+pd4000753.

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    ? 2004 a&d company ltd. All rights reserved. No part of this publication may be reproduced, 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 cover...

  • Page 3: Compliance

    I compliance compliance with fcc rules this device complies with part 15 of the fcc rules. Operation is subject to the following two conditions: (1) this device may not cause harmful interference, and (2) this device must accept any interference received, including interference that may cause undesi...

  • Page 4: General Precautions

    Ii general precautions to handle the instrument properly and safely, read the instruction manual thoroughly and be fully knowledgeable about the instrument before use. The following are general precautions on handling the instrument safely and safety of patients and operators. Precautions specific t...

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    Iii high frequency interference by electrosurgery or energy discharged by a defibrillator may damage the instrument. Follow the precautions described in the manual for each device. (the instrument is protected against the energy discharged by a defibrillator only when the accessory ecg extension cab...

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    Iv high-frequency noises from other devices through the electrical outlet locates the noise source and eliminate its route using adequate measures such as a noise elimination device. Turn off the device that serves as a noise source, if possible. Use another electrical outlet. Static electricity dis...

  • Page 7: Safety Precautions

    V safety precautions the following are the cautions on measurements and sensors. Blood pressure measurement blood pressure may not be measured when noise, such as consecutive irregular heart rhythm and physical movement, is present. Check the reliability of the measured value by displaying or printi...

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    Vi heart rate/pulse rate measurement monitor a patient using a pacemaker closely while measuring the heart rate. Do not diagnose arrhythmia other than bradycardia or tachycardia by using the pulse rate displayed and detected by the instrument. The instrument employs three types of heart rate/pulse r...

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    Vii spo 2 sensor use a nellcor sensor listed in the following table. Type disposable reusable model oxisensor oxiband parts # max a max al max p max i max n max r dura-y ds100a rs10 oxi-a/n oxi-p/1 compatibility yes yes yes yes no yes yes yes no yes yes read the instruction manual supplied for the s...

  • Page 10: Unpacking / Inspection

    Viii unpacking / inspection caution this is a precision instrument. Handle it with care. Strong shock may cause failure. Note this instrument is delivered in a packing box designed to prevent damage during normal transportation. When unpacking the instrument, check it for damage. If your instrument ...

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    Ix.

  • Page 12: Contents

    1 contents compliance................................................................................................................................................. I warning definitions ..................................................................................................................

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    2 6-6 measuring the ecg................................................................................................................................... 33 6-7 measuring the spo 2 .........................................................................................................................

  • Page 14: 1. Introduction

    3 1. Introduction thank you for purchasing vital sensor graphic model from a&d. This manual was written for the tm-256xg series. Available functions depend on the model. Please read the manual carefully before using the instrument in order to ensure a sufficient understanding of the tm-256xg series ...

  • Page 15: 2. Specifications

    4 2. Specifications 2-1 models tm-2560g tm-2564g tm-2560gp tm-2564gp blood pressure measurement ecg measurement spo 2 measurement limit function interval measurement printing function 2-2 main unit external dimensions without printer: 160 (w) x 143 (h) x 138 (d) mm with printer: 205 (w) x 143 (h) x ...

  • Page 16: 2-3 Measurement

    5 * available only when the optional thermometer and temperature receiver unit are connected. 2-3 measurement blood pressure measurement method: oscillometric method pressure detection method: semiconductor pressure sensor pressure range: 0 - 300 mmhg pressure accuracy: ± 3 mmhg measurement range: b...

  • Page 17: 3. Part Names

    6 3. Part names 3-1 tm-2560g/tm-2564g.

  • Page 18: 3-2 Tm-2560Gp/tm-2564Gp

    7 3-2 tm-2560gp/tm-2564gp.

  • Page 19: 3-3  Top Operation Panel

    8 3-3 top operation panel name function 1 nibp start/stop key starts or stops the blood pressure measurement. 2 alarm off key stops the alarm buzzer. (refer to "6-10 alarm function".) 3 home key selects a home display to be displayed. Returns to the home display when the list, trend or setting mode ...

  • Page 20: 3-4 Printer Keys

    9 3-4 printer keys name function 1 ecg record start/stop key prints the ecg waveform. Functions as the pause key when the waveform is printed. 2 list key prints the memory data in tabular form. (refer to "6-13 printing the measurement data") 3 feed key feeds the paper. 4 paper end lamp illuminates w...

  • Page 21: 4.  Preparation Before Use

    10 4. Preparation before use 4-1 installation site when installing the instrument, consider "general precautions" appearing in an earlier part of the instruction manual. 4-2 power supply the instrument can be operated using an ac adapter or battery. When an ac adapter is used: 1. Connect the supplie...

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    11 when the battery is used: 1. Remove the power cable from the electrical outlet. 2. Remove the screw from the battery compartment cover on the rear of the instrument. 3. Slide the cover to remove it. 4. Insert the battery connector into the connector port of the battery compartment as shown in the...

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    12 charging the battery charging starts when the ac adapter is connected to the instrument, regardless of the power switch status. It takes 15 hours to complete charging. The battery capacity lowers due to self-discharge. To compensate the capacity lost due to self discharge, intermittent charging i...

  • Page 24: 4-3 Installation Procedure

    13 4-3 installation procedure warning • do not use damaged cables and sensors. • use the specified cables and sensors only. • the ecg unit is protected against defibrillator discharge only when the supplied ecg extension cable is used. 1. Confirm that the power switch is turned off. 2. Connect the c...

  • Page 25: 5. Displays

    14 5. Displays 5-1 home display press the home key to indicate the home display. There are six home display types 1. Blood 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...

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    15 displayed items depend on the display screen selected. Below is a list of displayed items for each display. Home display waveform blood pressure pulse graph hr/pr spo 2 temperature message 1 blood pressure 2 traces two (3.2 seconds) large ⎯ medium ⎯ ⎯ 2 waveform 2 traces two (4 seconds) small ⎯ m...

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    16 description of the home 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.

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    17 name displayed item description systolic blood pressure •displays the value after measurement. •retained until the next measurement. Systolic blood pressure (when an alarm occurs) •flashes in red when the limit values are exceeded. •retained until the next measurement. Blood pressure error •flash...

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    18 continued spo 2 value •updates the value during measurement. •displays " - - - " during pulse detection, and "lf" when the sensor is not connected. Spo 2 value (when an alarm occurs) •flashes in red when the limit values are exceeded. •retained until the value is within the limit values. "%" •dis...

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    19 continued 19 message box message •displays the connection status with the options and other messages. 20 pacemaker detection pacemaker detection •displayed when "on" is selected for pacemaker detection. 21 spo 2 pulse bar graph display spo 2 pulse bar graph •displays the bar graph in synchronizat...

  • Page 31: 5-2 List Display

    20 5-2 list display when the home display is being shown, press the list key ( key) to go to the list display. Note • when the list display is being shown, press the home key to return to the home display. • the memory data is erased in the list display. Refer to "6-11 storing/deleting data" for det...

  • Page 32: 5-3 Trend Display

    21 5-3 trend display when the home display is being shown, press the trend key ( key) to indicate the trend display of the latest 24 hours. Note • when the trend display is being shown, press the home key to return to the home display. • in the trend display, after about 5 minutes of inoperation, th...

  • Page 33: 5-4 Pause Display

    22 10 power supply display power supply type •displays the power currently used. •displays the remaining battery charge. 11 current time display current time •displays the current time. 5-4 pause display when the home display is being shown, press the pause key to pause the waveform. Note • when the...

  • Page 34: 5-5  Setting Mode Display

    23 5-5 setting mode display when the home display is being shown, press the menu key ( key) to indicate the setting mode display. Note • when the setting mode display is being shown, press the home key to return to the home display. • the setting mode display of any setting item consists of menu, su...

  • Page 35: 5-6 Quick Setting Window

    24 5-6 quick setting window when the home display is being shown, press the quick setting key to open the quick setting window. Note • when the quick setting window is being shown, press the home key to close the window. Refer to "6-4 quick setting mode" for details. Name displayed item description ...

  • Page 36: 6. Operation

    25 6. Operation 6-1 turning on the power switch turn the power switch on. After several seconds of self-check, the home display appears. Note • when the self-check detects any error, the error code is displayed. The error code display of some errors is frozen. Refer to "7-6 error codes" for how to s...

  • Page 37

    26 attaching the ecg electrodes warning check the electrode attaching condition in a certain time interval. If skin integrity changes, move the sensor to another site. Caution • before attaching the electrodes, use alcohol to clean the body sites where the electrodes are to be attached. Oil or persp...

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    27 applying the spo 2 sensor use the sensor appropriate for the patient. Refer to the instruction manual for each spo 2 sensor for how to apply the sensor. Warning • read the spo 2 sensor instruction manual for proper use. • applying the sensor on a body part other than specified or using it longer ...

  • Page 39: 6-3 Setting Mode

    28 6-3 setting mode here, various setting procedures are described. The items available for setting depends on the model. Basic operation 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...

  • Page 40

    29 5. Press the or key to change the value. 6. The changed value is confirmed when: moved to the next menu or sub menu. The home key is pressed to return to the home display. Note • in the setting mode display, after about 5 minutes of inoperation, the home display will be indicated. • when setting ...

  • Page 41

    30 continued gain x1/2, x1, x2, x4 ⎯ sets the display gain of the ecg waveform. Time base 6.25.12.5, 25.0 mm/s sets the sweep rate of the ecg waveform. Also applied to the plethysmograph. Lead l, ll, lll sets the ecg lead. Hum filter off, on ⎯ set the on/off of the hum filter of the ecg unit. Return...

  • Page 42: 6-4 Quick Setting Mode

    31 6-4 quick setting mode here, the quick setting mode is described, to change the values that are frequently used, or to change the values while watching the waveform. The items available for setting depend on the model. Basic operation 1. In the home display, press the quick setting key. 2. The qu...

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    32 menu sub menu setting range unit description cycle off, con, 2.5, 3, 5, 10, 15, 20, 30, 60, 90, 120 min sets the cycles for interval measurement. Nibp pressurization auto, 100-260 (by 20) mmhg sets the pressurization value for blood pressure measurement. "auto": detects the pulse at the start of ...

  • Page 44: 6-6  Measuring The Ecg

    33 interval measurement 1. Set the cycle to a value other than "off". 2. "cycle: ∗∗∗" appears at the bottom of the home display and starts the interval measurement. 3. Blood pressure starts to be measured at the exact-time synchronized with the built-in clock. 4. To end the interval measurement, set...

  • Page 45: 6-7  Measuring The Spo

    34 6-7 measuring the spo 2 1. Turn on the power switch to start the spo 2 measurement. Note • in spo 2 measurement, the function of automatically compensating the led to obtain suitable emission for the patient works. Thus, it may take approximately 30 seconds to display the measured value. • do not...

  • Page 46: 6-10 Alarm Function

    35 6-10 alarm function when the limit values are set, the limit mark appears in red as shown in the illustration. When the measurement value exceeds the upper or lower limit value, the value and the alarm lamp flash, and the alarm buzzer sounds. The alarm buzzer can be stopped by pressing the alarm ...

  • Page 47

    36 deleting the data 1. In the home display, press the key to go to the list display. 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. Caut...

  • Page 48: 6-12 Power Supply

    37 6-12 power supply the power supply information, as shown below, appears at the lower right side of the display. Power supply symbol description the instrument is working on the ac adapter. The instrument is working on the battery. • the battery charge is full. The instrument is working on the bat...

  • Page 49

    38 printing the ecg waveform when the ecg record start/stop key is pressed in other than the setting mode display, an ecg waveform of 16 seconds is printed. It takes about 30 seconds to print it out. With the waveform, the date, time and hr (heart rate), taken when the ecg record start/stop key is p...

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    39 trend printing prints the measurement data in trend form, using the symbols below: = systolic, diastolic = spo 2 , x = heart rate/pulse rate, + = temperature ecg waveform.

  • Page 51: 6-14 Function Setting

    40 6-14 function setting here, the function setting procedure is described. Note • the settings can be changed to suit to the operating environment. • turning off the power switch during the setting operation will cancel the operation. Setting procedure 1. While holding down the quick setting key, t...

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    41 no. Setting item setting range description s00 station address 0-98 (0) to connect an option. S10 communication mode 1-10 (1) to connect an option. To be selected, depending on the option. S11 baud rate 1200, 2400, 4800, 9600, 19200, 38400 to connect an option. To be selected, depending on the op...

  • Page 53: 7. Maintenance

    42 7. Maintenance 7-1 cleaning caution • before cleaning, turn off the power and remove the ac adapter. • do not pour water on the instrument or use water for cleaning. This instrument is not waterproof. • do not sterilize the instrument by gaseous sterilization or using an autoclave. • do not use s...

  • Page 54: 7-2 Calibration

    43 7-2 calibration this is a precision instrument. Perform a checkup periodically. Checking the pressure accuracy connect the pressure generator and the manometer to the instrument as shown in the illustration. Use the optional 500-cc cylinder or the cuff wrapped loosely around a cylinder. While hol...

  • Page 55: 7-3  Assembling The Cuff

    44 7-3 assembling the cuff replacing the cuff cloth insert the rubber hose completely into the cuff cloth. From the bladder opening, pull out the bladder with the rubber hose. After replacing the cuff cloth, put back the bladder and the rubber hose through the bladder opening. Pull out the rubber ho...

  • Page 56: 7-6 Error Codes

    45 7-6 error codes when the instrument detects an erroneous measurement condition, the following error codes are displayed. Error code symptom remedy blood pressure related errors e00 zero point error in the pressure sensor circuit exhaust air from the cuff and turn on the power again. E11 can not p...

  • Page 57: 8. Accessories/options

    46 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 ...

  • Page 58: A-1 Blood Pressure

    47 appendix a: measuring principle a-1 blood pressure measuring principle wrap the cuff around the upper arm. Inflate the cuff to a pressure exceeding the systolic blood pressure. Then, exhaust the air from the cuff gradually. While the pressure is detected in the cuff in the air exhaustion stage, t...

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    48 causes of errors the pulse during blood pressure measurement is indicated in a graph, which can be an objective indicator of the reliability in the measurement accuracy. When noises occur due to irregular heart rhythm or physical movements, the amplitude changes abnormally in the graph. When it h...

  • Page 60: A-2 Spo

    49 a-2 spo 2 measuring principle oxygen, bound to hemoglobin, is carried by blood. Hemoglobin that is bound to oxygen is called oxygenated hemoglobin (hbo 2 ), and that is not bound to oxygen is called reduced hemoglobin (hb). Arterial oxygen saturation is the percentage of oxygenated hemoglobin in ...

  • Page 61

    50 causes of errors in the pulse oximeter, adequate waveform implies the reliability. Always check the plethysmograph or bar graph for noises and disturbances. When noises or disturbances occur, check the probe connection or patient condition. The following are the main causes of errors in arterial ...

  • Page 62

    51 appendix b: external dimensions tm-2560g / tm-2564g tm-2560gp / tm-2564gp unit: mm.