8 Summary Record of Care Recording patient encounter data can be done with the Summary Record of Care (SRoC) feature which is accessed by pressing the Event button. The Event button. Event general, assessment, intervention, fluid and drug names and details are organisationally configurable. The default names and details can all be changed to match the organisation’s needs. WARNING Event naming and detailed configuration must be reviewed and checked before the Tempus Pro is deployed in service.
Chapter 8 Summary Record of Care Event buttons: log an event with a single key press or capture event details by pressing and holding SRoC Navigation buttons Assessment, Intervention, Fluid and Drug category markers Notes editor Page up and down SRoC General Screen Note The Tempus Pro can be configured to display group end markers in the SRoC General screen. For more information, see the Tempus Pro Configuration Utility User Guide. 8.1.
8.1 Event capture Assessment events Use the General or Assessment screens to record assessment events: To record an assessment event with the current time but no other details, press and release the event button. To edit the time and details before recording the assessment event, press and hold the event button. The Assessment Details Editor screen is displayed, allowing you to edit the date and time, add an event note, or delete the event.
Chapter 8 Summary Record of Care Event details are shown here Enter the volume administered Edit date and time Delete the event Fluid Details Editor Screen Add event notes, icon is displayed in green when populated Drug events Use the General or Drug screens to record drug events: To record a drug event with the current time but no other details, press and release the event button. To edit the time and details before recording the drug event, press and hold the event button.
8.1 Event capture If required change the dose unit Enter dose value Drug Dose Editor Screen 8.1.
Chapter 8 Summary Record of Care GCS screen The Glasgow Coma Assessment (GCS) screen allows you to enter scores for Best Eye, Best Verbal and Best Motor. GCS is calculated by summation of the three scores. A ‘T’ verbal score indicates that the patient is intubated and provides a verbal score of 1. CAUTION If you exit the GCS screen without entering all three scores, then no GCS data is recorded.
8.1 Event capture The numbers shown on the body indicate approximate percentage of the total body map area First select injury type and then select the body map areas Add Injury Assessment notes, a green icon indicates a populated note If necessary, use the Other buttons to define new injury type Injury Map Screen TQ map The TQ Map screen allows you to record limb tourniquet positions and start times.
Chapter 8 Summary Record of Care A waveform is manually captured. To manually capture a snapshot of a waveform at any time, press and release the Camera & Waveform Snapshot button. A 12 Lead ECG is recorded. A camera or laryngoscope image is recorded. For laryngoscope details refer to Tempus Pro Laryngoscope Supplement Guide. An ultrasound image is recorded. Images can be taken during general and FAST exams. Refer to Tempus Pro Ultrasound Supplement Guide.
8.2 Events summary list viewer, automatically recorded events can only be viewed. Category event markers can be updated by pressing on the associated row. Pressing and holding an event that is less than 72 hours old will act to launch the trend graph centred at the event time, the graph will be set to show events and set to 45 minutes zoom. 8.2.
Chapter 8 Summary Record of Care 8.2.3 Updating an observation category marker To convert a category marker to a fully recorded event, press the category marker entry in the SRoC Summary screen. The Tempus displays the entry screen for the relevant event category. Press an event button: this acts to update the marker. Any further events buttons pressed are recorded as new events. Press to delete the marker To update marker press the required event.
8.3 Trends Interventions GCS events, but not body maps Laryngoscope image A maximum of 4 events can be displayed on the graph in a 4-minute interval and there can be a delay of up to 1 minute before events are displayed. Left / right scroll buttons move backwards / forwards in time.
Chapter 8 Summary Record of Care Use these arrows to scroll through the readings Data is shown from the last entry (last minute) and then the preceding entries. Press here to turn the display of events on and off Press here to filter the data by time Trend Table An outside limits symbol placed to the right of reading indicates that the value was outside the limits set when the measurement was taken.
9 Other features of the Tempus Pro This section details the other features of the Tempus Pro. 9.1 Data input and output 9.1.1 The Data Input and Output menu The Data Input/Output button. Pressing the Data Input/Output button launches a menu which allows you to do the following: Menu option Menu screen Send patient data/report – send patient data or reports to external recipients, see “9.1.2 Send patient data/report”.
Chapter 9 Other features of the Tempus Pro 9.1.
9.1 Data input and output CAUTION Patient reports (PDFs) must be encrypted and password protected. The password must be preconfigured (Maintenance and Settings, Change Passwords, Patient Report Password) by following the procedure in the Tempus Pro Maintenance Manual. Configuration must be checked before deployment in service. The encryption type is AES128. Note RDT recommends only Adobe® Acrobat® PDF readers that are capable of reading Acrobat V5 or later files are used.
Chapter 9 Other features of the Tempus Pro The screen Send Patient Data/Report screen also has an option to send the SRoC patient report directly to a PCL3 compliant USB printer which operates in a similar way to sending to USB memory device. Ensure the printer is attached, switched on and provided with ink and paper before beginning. For printer instructions, see “9.9.1 External printer”.
9.1 Data input and output To check progress or cancel emailing, return to the Send Patient Data/Report screen. This screen will display a blue progress bar with status messages. The top status area will display the PDF creation and network status details. When the email has been sent to the email server, the ‘report sent’ text will be displayed on the top status area for a further 30 seconds.
Chapter 9 Other features of the Tempus Pro To cancel sending ePCR data press the Cancel button. In the event of communication problems, the Tempus will attempt to resend for 20 minutes before aborting the data export and displaying a warning message.
9.1 Data input and output 9.1.3 Tempus to Tempus data handover The ’Tempus to Tempus data handover’ screen allows you to send or receive patient data using a USB memory device or Tempus to Tempus USB data cable (part number 01-2243). The output is a complete patient data package for handover from one Tempus to another. This allows Tempus data to move with the patient and for the next level care giver to see the history of injuries and treatment in the field.
Chapter 9 Other features of the Tempus Pro WARNING When importing, ensure that you select the correct patient record. Records can be identified by patient name (last and first), ID number, or incident start time. If you are not sure if the record you wish to select is the correct one, then select Admit as new patient. Mixing different patient records could lead to confusion and misdiagnosis. 1. Insert the USB memory device into the receiving Tempus Pro.
9.2 Display options Menu option Menu screen Select the home screen display view (from left to right): Four channel view (the default). Two channel view (large ECG). Large numeric view. Twelve lead diagnostic view. This is only active when the 12 lead ECG cable is attached to the device. See “9.2.2 Display modes”. High Contrast – turn high contrast display on or off, see “9.2.3 High contrast mode”. Waveform / Lead Selection – open the Waveform Selection Menu, see “9.2.
Chapter 9 Other features of the Tempus Pro 9.2.2 Display modes The Display Menu offers different ways to display the vital signs data on the Home screen. Each Home screen display option is shown as an icon. Pressing the icons changes the Home screen display mode. In addition to the 4 channel display (described previously), the Tempus also offers the following Home screen display options.
9.2 Display options 12 Lead ECG View Note The second waveform in the large ECG view defaults to display the impedance pneumography (ECG respiration) if the Capnometer is not plugged in. Note When switching between the 4 waveform and the large ECG views, the ECG gain and wave speed does not change except if the gain is set to 2 mm/mV on the 4 channel view in which case the ECG will be displayed as 4 mm/mV. The user can subsequently adjust the gain settings to optimise the available waveform height.
Chapter 9 Other features of the Tempus Pro High Contrast Display Activated 9.2.4 Waveform and lead selection Use the Waveform / Lead Selection screen to customise the display of waveforms in the four-waveform home screen. To access this screen, either press the Display button and then press Waveform / Lead Selection, or from the ECG Settings menu press Waveform / Lead selection.
9.2 Display options For example, you may want to move pressure P2 to a numeric area and display the plethysmogram waveform instead: Before this change is made, the home screen looks like this: Pressure P2 waveform and data SpO2 data Standard home screen with 2 IP channels connected From the Display Menu, press “Waveform Selection”.
Chapter 9 Other features of the Tempus Pro After this change, the home screen looks like this: This numeric area now displays pressure P2 data Waveform 3 now displays the plethysmogram and SpO2 data Home Screen with Plethysmogram in Waveform 3 Note You can swap two waveforms around by selecting both waveform regions. The waveform selection feature is not available when iAssist Mode is activated 9.2.5 Brightness control The Display Menu includes a screen brightness control.
9.2 Display options 9.2.6 Locking the touchscreen The Lock Touchscreen function allows the touchscreen to be intentionally disabled. If this feature is activated the Tempus will display the message shown below: Touchscreen Lock Activated This message stays on the screen for 2 seconds. After that point, if any button, control or the touchscreen are pressed the following message will be displayed.
Chapter 9 Other features of the Tempus Pro 9.2.7 Power save feature When power save is activated the display turns to ‘min’ brightness after 3 minutes of no use (i.e. no user controls or alarms). If there is a further 2 minutes of no use the display turns off. The Tempus Pro continues monitoring etc. whilst the screen is off and the device’s display will come back on at its original brightness as soon as an alarm is triggered, the touch screen is pressed or a keypad button is pressed.
9.3 Patient information 9.3.2 Updating the TCCC card Pressing the TC3 Card button allows you to complete an electronic version of the military TCCC card. This feature is designed to replace the paper version used in the field. The screen is therefore laid out like a twosided card and behaves the same way: you can insert, amend and delete TCCC data until the card is exported to a USB stick. WARNING It is the user’s responsibility to ensure the information recorded in the TCCC is accurate and complete.
Chapter 9 Other features of the Tempus Pro TCCC Injury Map TCCC TQ Map The drugs editor can be configured to contain all the drugs provided by the military for standard medics. The dosages and routes can be edited, but by default should be those most commonly used.
9.3 Patient information Press and release a drug button to record a drug you have administered with the default time, route and dose. Press and hold a drug button to edit the time, dose or route of a drug before it is recorded. TCCC Drugs Editor To edit the time, dose or route of administration of a drug before it is recorded, press and hold the drug button. This brings up an editor which allows any time (in the last 24 hours) to be selected and for the dose and route to be edited.
Chapter 9 Other features of the Tempus Pro Press and release a fluid button to record a fluid you have administered with the default time and volume. Press and hold a fluid button to edit the time or volume of a fluid before it is recorded. TCCC Fluids Editor To edit the time or volume of a fluid before it is recorded, press and hold the fluid button. This brings up an editor which allows any time (in the last 24 hours) to be selected and the volume to be edited.
9.3 Patient information 9.3.3 Admitting a new patient If the Discharge/admit patient button is pressed, the Tempus will bring up a new dialog which asks you to confirm if the patient is new or not and gives the options to enter the new patient’s name immediately or later. A warning is displayed if the current patient is still being monitored (see below).
Chapter 9 Other features of the Tempus Pro Pressing here to confirm that the Tempus has been put onto a new patient Press here to switch to a previously monitored patient Press here to confirm that the same patient as before is being monitored Patient Reset Options WARNING Ensure that you select the correct patient record. Records can be identified by patient name (last and first), ID number, or incident start time.
9.3 Patient information 9.3.4 Switching to a previous patient The Tempus allows you to switch between the current patient and a patient that has been monitored on the same Tempus device within the previous 72 hours. The Tempus will also show patients admitted more than 72 hours ago, but only up to a total of 20. This feature may be used, for example, in multi-casualty situations.
Chapter 9 Other features of the Tempus Pro 9.3.5 Entering patient details Pressing the Patient Details button allows the patient’s name, ID and allergies to be entered. Predicted text options will appear here based on what is typed, press any option to select it Press the buttons to select what details you wish to enter Press here to accept the details you have entered.
9.4 Digital camera If patient’s age is not known or is less than 1 year, press here to select the patient’s age group: If patient’s age is known, use this keypad to enter age in years (zero is interpreted as Paediatric) Adult: > 12 years Paediatric: 29 days to 12 years Neonate: < 29 days Press here to record the patient’s sex The entered age or selected age group is shown here Entering Patient Age & Sex 9.4 Digital camera the Camera & Waveform Snapshot button.
Chapter 9 Other features of the Tempus Pro Data must be connected to transmit video If video is being transmitted this icon will be shown Press these buttons to take a still photo, toggle the backlight on and off, and transmit video The real time vital signs readings are displayed here Camera & Video Options Menu Note Moving video is intended to give the Response Centre the ability to see the patient moving or to see around the patient’s environment.
9.5 GPS location 9.5 GPS location The Tempus Pro has a built-in GPS receiver. You can access this feature from the Main Menu – see “5.2.1 The main menu”. The GPS may take up to 4 minutes to display a fix. If it is unable to obtain a fix (if the view of the sky is obstructed or if the unit is used indoors) then it will display an error. The most recent fix (with the time and date of the fix) is always displayed.
Chapter 9 Other features of the Tempus Pro 9.6 Connecting to an alternate location This section describes how to connect the Tempus Pro to an alternate location to share data, typically a telemedicine support centre or response centre. i2i ReachBak (optional) In addition to being used as a vital signs monitor, the Tempus Pro can also be used to transmit the patient’s vital signs, photos, moving video or position to an i2i Response Centre (if the i2i ReachBak feature is enabled).
9.6 Connecting to an alternate location 9.6.1 Making the data connection Note The iAssist help processes on your Tempus Pro may differ from this example iAssist help process in the following sections. However, the process always follows the same key elements. Always ensure that you read the complete iAssist help process in order and do exactly what it requires’ Press the button on the touch screen to get instructions on how to setup and make the data connection.
Chapter 9 Other features of the Tempus Pro 9.6.2 Fitting the headset and making the voice connection After starting the data connection, the Tempus will bring up instructions to make the voice connection. If a voice connection is not required press the Home button. The voice connection can be made using either the pre-attached Bluetooth® headset or the wired headset (accessory). It is important to have attached the headset before dialling as the voice connection to the Response Centre can be made quickly.
9.6 Connecting to an alternate location The progress of the data connection being established is shown here in place of the patient’s name/age Follow the graphical and text instructions to set the unit up. Press here to get instructions on using a wired headset Voice Connection Process Using the Wireless Headset Press here to get further instructions on setting up the voice connection To use the Bluetooth ® headset, follow the on-screen instructions.
Chapter 9 Other features of the Tempus Pro Introduction The headset has 3 buttons: Volume up Volume down Multi-function button Sennheiser Presence Note Sennheiser VMX200 Users should avoid using the headset speaker volume controls. The speaker volume can be controlled through the Tempus and is preset to maximum. Wearing the headset To put the headset on, follow the instructions given on screen. Simply put the headset into your ear (either ear).
9.6 Connecting to an alternate location Note If you keep the talk button held down after the headset is on, you can put the headset into pairing mode. This is not desirable as it could potentially cause the headset to cease being paired with the Tempus Pro and thus prevent it from operating with the device. Pairing mode can be recognised by the indicator light slowly flashing red and then blue.
Chapter 9 Other features of the Tempus Pro WARNING When connected the patient name and age are not displayed. 9.6.4 Communications modes Tempus Pro can connect to the Response Centre using a number of wired and wireless communications interfaces e.g. Ethernet or WiFi. Note The Tempus can only be pre-set to connect to a single Response Centre. Configuring it to connect to new Response Centre requires the support of RDT.
9.6 Connecting to an alternate location Changing modes You can change the Communications Mode by pressing the “Connect in other ways” button. This will bring up the Communications Modes Menu. This can also be reached through the “Communications Modes” button in the Main Menu – see “5.2.1 The main menu”. The different Modes are labelled. Select them by pressing the required button Multiple Modes menus are displayed. The Tempus shows 10 Ethernet Modes and 5 WiFi modes.
Chapter 9 Other features of the Tempus Pro 9.6.5 Interacting with the Response Centre The Response Centre Each Tempus Pro device is pre-configured to dial automatically to a specific Response Centre. The centre should be staffed 24 hours a day, 365 days a year and should always be able to receive your connection. If a connection cannot be established, you should wait a short time and attempt to connect again.
9.7 iAssist processes 9.6.6 Recording data off-line and transmitting on-line If a connection has not been established to a Response Centre, all data for that patient can be transmitted later so long as a new patient is not admitted. Once a new patient is admitted, the recorded data cannot be transmitted to the Response Centre. For details on discharging the patient, see “9.3.3 Admitting a new patient”. 9.
Chapter 9 Other features of the Tempus Pro Capnometer – pressing this brings up instructions on how to take Capnometry measurements Temperature – pressing this brings up instructions on how to take temperature measurements When in iAssist Mode, the Tempus Pro provides the user with complete instructions on how to use it. Every step is detailed in pictures with accompanying text instructions. There are instruction processes for everything the user will need to do to use the parameter.
9.7 iAssist processes 9.7.1 Monitoring ECG To begin monitoring an ECG, press button on the device. The first step in the ECG help process will appear. Follow the instructions provided on the iAssist help process to activate ECG. 9.7.2 Taking blood pressure measurements To take Blood Pressure measurements, press the the Blood Pressure help process will appear. button on the device. The first step in Follow the instructions provided on the iAssist help process to activate Blood Pressure. 9.7.
Chapter 9 Other features of the Tempus Pro 9.8 View installed features Use the Main Menu option View Installed Features to view a list of features installed on Tempus Pro. 9.9 Printer maintenance 9.9.1 External printer configuration You can use an external USB printer to print patient reports – see “9.1.2 Send patient data/report”. To configure an external printer: 1. Select Main Menu > Printer and Headset > External Printer Settings. 2. Select the setting to change: Printer Type - PCL3 or PCL3-GUI.
9.9 Printer maintenance 9.9.3 Changing the paper roll (internal printer only) Note To ensure ease of access to the printer roll, place the Tempus Pro on a flat surface, lying on its front. Do not force the lid to open at an angle greater than 90° from the back of the unit. Excessive force will detach the lid from the printer body: if this happens see "9.9.4 Fitting the printer lid". To change the paper roll in the internal printer, proceed as follows: 1.
Chapter 9 Other features of the Tempus Pro 3. Free the end of the new roll: 4. Place the roll into the housing, with the outside face of the paper against the printer mechanism: 5.
9.9 Printer maintenance 6. Ensure the roll spindle is centred on the fixing springs, pull the roll to ensure it rotates freely: 7. Close the lid and press it down on both corners, listening for a click. Tear off any extra paper: 8. Set the paper type (Plain or Grid). If required, print a test page - for instruction see “9.9.2 Internal printer configuration (optional)”.
Chapter 9 Other features of the Tempus Pro 9.9.4 Fitting the printer lid (internal printer only) If the lid becomes detached from the printer housing, refit it as follows: 1. Align the slotted ends of the lid hinges with the steel hinge pins in the printer housing: 2. Lower the lid onto the printer housing, ensuring that the top rubber seal is not trapped. Do not press the lid into position yet: 3. (a) Hold the lid open at an angle of not more than 45° to the back of the unit.
9.9 Printer maintenance 4. Push the slotted ends of the lid hinges down onto the steel hinge pins in the printer housing, ensuring they both click into place. Important - ensure that the lid rotates freely on its hinges to open and close. 5.
Chapter 9 Other features of the Tempus Pro 9.10 Managing Wi-Fi networks If Wi-Fi is the communication mode for your Tempus Pro, you can scan and connect to available Wi-Fi networks. Smart management of Wi-Fi enables Tempus Pro to automatically connect to any Wi-Fi network that it finds in range where the configuration details are already stored. To manage your Wi-Fi networks, proceed as follows: Step Description Go to the Main menu 1. Screen .
9.10 Managing Wi-Fi networks Step Description Screen If you have selected the Authenticated network, choose an option: View network information - view IP address, IP subnet and IP gateway/DNS. 3a. Edit Wi-Fi Settings - edit SSID, network key and hidden status. Forget Wi-Fi Network - if you forget this network the Tempus will no longer be able to connect to it automatically. Press Back. If you have selected a Saved network, choose an option: 3b. Connect to Wi-Fi network - press this button to connect.
Chapter 9 Other features of the Tempus Pro Step Description If you have selected Add a Wi-Fi Network: 3d. Enter the SSID, network key, hidden status and other details as requested. Press Save. Press Back.
10 After using the Tempus Pro 10.1 Inspecting the Tempus Pro After using the Tempus, always inspect the device, its accessories (including power supplies, mains cable, batteries and charger) for signs of damage or wear. While doing this ensure that you check the strain reliefs of cables and connectors to ensure they remain fit for use. Check that all connectors engage properly and that cable securements work acceptably.
Chapter 10 After using the Tempus Pro Liquid soap Wex-cide® Windex® Never use any other cleaning agent than those described above. Use of more aggressive agents such as alcohols, acetone and other solvents is not permitted. The Tempus Pro instruments must be cleaned during the re-packing process. In the event of contamination of the Tempus from human fluids or other waste matter the product should be thoroughly decontaminated and disinfected.
10.3 Disposal at end of life CAUTION Under no circumstances should any abrasive substance be applied to the screen. 10.2.3 Cleaning connectors If connectors are wet, they should be rinsed with tap water and then dried. All solid material (e.g. dust or sand), should be removed with compressed air. Cables or connectors with corroded contacts should be replaced. 10.2.
Chapter 10 After using the Tempus Pro The symbol indicates that this product must not be disposed of or dumped with household waste. The owner of the equipment is liable to dispose of all electronic or electrical waste equipment by delivering to the specified collection point for recycling of such hazardous waste, collection and proper recovery of electronic and electrical waste equipment at the time of disposal will allow the producer to help conserve natural resources.
11 Maintenance, servicing and troubleshooting The Tempus Pro is designed to be as maintenance-free as possible. The only user-replaceable and userserviceable parts in the Tempus Pro are those listed in this section of the manual. More details on maintenance are given in the Tempus Pro Maintenance Manual, which is available from RDT, see “RDT contact details”.
Chapter 11 Maintenance, servicing and troubleshooting 11.1 Tempus Pro battery 11.1.1 The battery The Tempus Pro contains a removable, rechargeable battery. Example of the Battery Front Example of the Battery Rear In normal usage, the rechargeable battery provides power for at least 9 hours' continuous use when fully charged. Note Assessment of use is based on projections of reasonable device usage within a patient incident made by RDT.
11.1 Tempus Pro battery The battery life should be monitored periodically when the device is in storage and also before and after use. Note RDT recommends that the battery charge status should be checked at least every month and recharged if necessary. If the device is being used regularly then the battery should be checked, weekly or daily depending on the frequency of use. RDT also recommends that the battery be completely discharged and recharged once a year.
Chapter 11 Maintenance, servicing and troubleshooting The Tempus Pro does not need to be turned on to check the battery. If batteries do not retain their charge state, users should try charging them fully on an external charger. As batteries become old and over many charge/discharge cycles, users should expect to see a reduction in their capacity. Such batteries should be replaced at the user’s discretion. 11.1.
11.1 Tempus Pro battery Battery Removal Slide the new battery all the way into the Tempus until it clicks into place on both sides. Battery Insertion 11.1.3 Charging the battery The battery can be charged either when it is fitted to the Tempus Pro or when it is removed from the separate battery charger. WARNING Do not attempt to charge the battery using any charger other than those supplied by RDT. CAUTION When the battery is low it should be recharged soon after use.
Chapter 11 Maintenance, servicing and troubleshooting Charging the battery when attached to the Tempus Pro When fitted to the Tempus Pro, the battery can be charged by connecting the power supply (part number 01-2049) to the connector on the right hand side of the Tempus.
11.1 Tempus Pro battery Mains power supply indicator Battery Charging Indicator Battery check button Battery Charge indicators CAUTION When the battery is low it should be recharged soon after use. Starting a Tempus on an empty battery or leaving batteries in a low or empty state for prolonged periods may put the battery into a deep-discharged state. In this state the battery LEDs will not light and the battery will require a prolonged period on charge in order to return it to normal operation.
Chapter 11 Maintenance, servicing and troubleshooting Attach the charger to the main supply. The LED on the charger will light orange (for approximately 0-85% charge), change to yellow during charging (at approximately 86-100% charge) and will turn green when finished. If the battery is only partially discharged, then the LED may start on yellow. CAUTION When the battery is low it should be recharged soon after use.
11.3 Daily checks 11.2.2 General guidelines for safe use Do not drop or try to alter the shape of your headset. Do not expose the headset to liquid or moisture. Unlike the Tempus, the headset has no protection against ingress of solids or liquids. Do not expose your headset to extreme temperatures. The temperature range of the headset is 10-40 C. Do not try to disassembly your headset. Service and Maintenance can only be performed by RDT.
Chapter 11 Maintenance, servicing and troubleshooting 11.4 Weekly checks RDT recommends that the following weekly checks are performed on the Tempus: CAUTION To prevent battery failure, perform this check every week when the Tempus Pro is in use. Remove the battery from the Tempus Pro and inspect its contacts. If contacts are damaged, replace the battery. If contacts are dirty, clean them - see "1.1.6 Cleaning the battery contacts". Perform a test print. 11.
12 Accessories list of the Tempus Pro 12.1 Parts list The following user-replaceable accessories and consumables are available from RDT: 12.1.1 Temperature accessories Product name & description Part number YSI-400 Series Reusable 401AC ContactTemp Probe Autoclavable 01-2153 YSI-400 Series Disposable 4492 12hr Contact Temp Probe 01-2078 YSI-400 Series 4940 Contact Temperature Adaptor Cable 01-2079 12.1.
Chapter 12 Accessories list of the Tempus Pro Transducer manufacturer Transducer model Adaptor cable Utah Medical Deltran Fogg P/N: 0412-2516:L16 Biosensors International Biotrans Fogg P/N: 0412-2516:L16 Biosensors International Accutrans Fogg P/N: 0412-2516:L16 Edwards Lifesciences (Baxter) TruWave Fogg P/N: 0395-2516:L16 Fluke Biomedical ProSim 8 Vital Signs Simulator Fogg P/N: 0450-2516:L16 12.1.
12.
Chapter 12 Accessories list of the Tempus Pro 12.1.7 Video laryngoscope accessories Product name & description Part number Tempus Pro USB C-MAC S Imager Video Laryngoscope 01-2044 Video Laryngoscope Single Use D blade (pack of 10) 01-2063 Video Laryngoscope Single Use Size 3 Macintosh blade (pack of 10) 01-2010 Video Laryngoscope Single Use Size 4 Macintosh blade (pack of 10) 01-2011 12.1.
12.
Chapter 12 Accessories list of the Tempus Pro 12.1.
12.1 Parts list Product name & description Part number Tempus Pro SMART mount (order PSU and power cable separately) 01-2244 Tempus Pro Printer paper blank 100mm (1x roll) 01-2184 Tempus Pro Printer paper with grid 100mm (1x roll) 01-2186 Tempus Pro shoulder strap (with locking mech) and 20G fixings kit 01-2197 Tempus Pro shoulder strap only (with locking mech) 01-2200 Tempus Pro Left Pouch with partition (medical side) 01-2241 12.1.
Chapter 12 Accessories list of the Tempus Pro Tempus Pro User/Operator Manual - 41-2001EN-00 – Page 228
13 Configuring the Tempus Pro For information on configuring communications settings and pairing Bluetooth® peripherals, see the Tempus Pro Maintenance Manual. 13.1 Demonstration and training The Tempus can be set so that it can be used in a training environment.
Chapter 13 Configuring the Tempus Pro Pressing here turns ALL the medical and nonmedical readings to demo mode – all readings will be simulated Pressing here brings up the Training Modes Menu.
14 Specifications and standards 14.1 Specifications Note that all figures quoted are based on room temperature, pressure and humidity unless otherwise stated. 14.1.1 ECG monitoring Note These specifications relate to the performance of the product when it it is configured to display only one or two ECG waveforms, for example when the default home screen is selected.
Chapter 14 Specifications and standards Low Pass: 150 Hz 1st order Baseline Wander: Baseline reset by adaptive zeroing algorithm Notch filter (Mains Noise Rejection) 50 Hz 4th order Butterworth, 49.1Hz - 50.9 Hz, 60 Hz 4th order Butterworth, 59.1 Hz - 60.9 Hz Low pass (Muscle Artifact Filter) 35 Hz 4th order ST measurement range -10 mm to 10 mm (-1 to 1 mV) ST accuracy ±0.53 mm (±53 uV) ST resolution 0.
14.1 Specifications Note that during monitoring prior and post recording ECG frequency response filters will be 0.5 Hz – 175 Hz. Defibrillator protection Patient leads are isolated from system and operator, with 5kV protection Electrosurgery protection Protected Common Mode Rejection 95 dB Leads Off Indicators Connection status for each lead is shown on acquisition screen Permanent filters during recordings High Pass: 0.
Chapter 14 Specifications and standards 14.1.4 ETCO2 sensor The Capnometer is automatically compensated for local atmospheric pressure. CO2 Units mmHg or kPa EtCO2 Range 0-150 mmHg CO2 Waveform Resolution 0.1 mmHg EtCO2, Resolution 1 mmHg CO2 Accuracy 0-38 mmHg: ± 2 mmHg 39-150 mmHg: ± (5% of reading + 0.08% for every 1 mmHg above 38 mmHg) Note For operation above 35C, add an additional ± 1 mmHg or ± 2% (whichever is greater).
14.1 Specifications Initial inflation pressure: 160 mmHg adult, 140 mmHg paediatric, 90 mmHg neonate Method: Oscillometric, diastolic values correspond to Phase 5 Korotkoff sounds 14.1.6 Invasive pressure Channels up to 4 (2 as standard) Sensitivity 5 µV/V/mmHg Bridge 180 minimum Response 0-20 Hz (-3 dB) Filters 50-60 Hz notch Range: -99 – 310 mmHg Accuracy: ± 2% or ±2 digits including RDT’s adaptor cable but excluding the transducer Resolution: 1 mmHg Warm up time 10 seconds 14.1.
Chapter 14 Specifications and standards SpO2 was determined by testing on healthy adult volunteers in the range 60%-100% SpO2 against a laboratory CO-Oximeter. SpO2 accuracy was determined on 16 neonatal NICU patients ranging in age from 7 to 135 days old and weighting between 0.5 and 4.25 kg. Seventy-nine (79) data samples were collected over a range of 70 - 100% SaO2 with a resultant accuracy of 2.9% SpO2.
14.1 Specifications 14.1.8 Masimo Set rainbow Carboxyhemoglobin (SpCO) Measurement Range: 0 – 99% Accuracy (Adults/Paediatrics/Infants): 1 – 40% ± 3% Resolution: 1% Alarm: 1-98% Methaemoglobin saturation (SpMet) Measurement Range: 0 – 99.9% Accuracy (Adults/Paediatrics/Infants/Neonates): 1 – 15% ± 1% Resolution: 0.1% Alarm: 1-99.5% Total haemoglobin concentration (SpHb) Measurement Range: 0 – 25 g/dL Accuracy (Adults/Paediatrics): 8 – 17 g/dL ±1 g/dL (arterial or venous) Resolution: 0.
Chapter 14 Specifications and standards Dyes, or any substance containing dyes, that change usual blood pigmentation may cause erroneous readings. Elevated levels of total bilirubin may lead to inaccurate SpO2, SpMet, SpCO and SpHb readings. 14.1.9 Contact temperature Channels 2 (first standard, second is optional) Compatibility: YSI series 400 Measurement range: 20-45 C / 68-113 F Accuracy: ±0.1 C / ±0.2 F Resolution: ±0.1 C / ±0.
14.2 Physical characteristics and environmental specifications 14.2 Physical characteristics and environmental specifications Size and weight – non-printer model: Standalone size and weight of Tempus Pro part number 00-1004-R with its battery and RapidPak clip but without external cables, sensors or accessories: 263 mm (10.3”) x 216 mm (8.5”) high x 100 mm (3.9”) (width x height x depth) 2.9 kg (6.4 Ib) nominal The non-printer model with a Bluetooth headset is slightly heavier (part number 00-1007-R).
Chapter 14 Specifications and standards 14.2.1 Environmental performance and certification Drop 1 m drop per IEC60601-1 Transit Drop 1.22 m (4 ft) MIL 810G, 26 drops all corners, faces and edges with and without accessories connected Operational Drop 0.75 m (2.5 ft) IEC60068-2-32 Procedure 1, 6 drops to all faces with the device fully operational and all accessories connected Impact 500 g steel ball from 1.
14.2 Physical characteristics and environmental specifications Water proofness: Not tested to RTCA/DO-160G Section 10 Commercial qualification: Fluids susceptibility: Not applicable. Sand & dust: Commercial qualification: IP66 (dust ingress under pressure) – whole device (excluding internal printer, which is IP43) Fungus resistance: Not applicable. Salt spray: Not applicable. Magnetic effect: Not applicable. Power input: Not tested to RTCA/DO-160E Section 16.
Chapter 14 Specifications and standards Lightning induced transient susceptibility: Not applicable. Lightning direct effects: Not applicable. Icing: Not applicable. ESD: Not tested to RTCA/DO-160G Section 25. Commercial qualification: IEC61000-4-2:2008 ESD Fire and smoke hazards: Main case material: PC-ABS Flame: UL94V-0 Overmould material: TPU (*) (*) Contains 2-(2H-benzotriazol-2-yl)-4,6-ditertpentylphenol. 14.2.
14.3 Miscellaneous features and specifications 14.3 Miscellaneous features and specifications 14.3.
Chapter 14 Specifications and standards Temperature Variation: Test Standard: RTCA/DO-160E Section 5 Cat C Rate of Variation: 2 °C per minute. Humidity: Test Standard: RTCA/DO-160E Section 6 Cat A Transport/Storage: 15 to 95% RH Non-condensing (tested for 48 hours at 38-50 C) Operating: 15 to 95% RH Non-condensing (tested at the end of the storage cycle) Operational Shocks & Crash Safety: Test Standard: RTCA/DO-160E Section 7 Cat B Operational Shock: Para 7.
14.3 Miscellaneous features and specifications 14.3.3 Mains power supply Note Only the RDT mains power supply (part number 01-2049) can be used with the Tempus Pro. Mains input voltage 100 – 240 V Frequency 50/60 Hz & 400 Hz Input current ~2 A (<0.5 A drawn when supplying the Tempus) Output voltage 12 V dc Output current 5A Relative humidity: 15%-95% (non-condensing) Weight 0.42 kg nominal Dimensions 133 x 60.7 x 41 mm (5.24” x 2.39” x 1.
Chapter 14 Specifications and standards 14.3.5 Vehicle power supply Battery input voltage 11V dc – 27 Vdc Input connector type Cigar plug Output voltage 12 Vdc ±5% Output current max 6A Rated Power 72 W Efficiency >85% Operating temperature range: 0º C to 40º C Transport/Storage temperature range: -20º C to +85º C Weight 0.21 kg nominal Dimensions 105 x 40 x 26.5 mm Operational shock 10g Non-operational shock 60g 14.3.6 GPS Antenna Integral Accuracy ±10 m (±2.
14.4 Communications 14.4 Communications 14.4.1 i2i ReachBak communications When connecting to a Response Centre via i2i ReachBak, the Tempus has the following communications requirements: Tempus Connection – all data AES encrypted: Ethernet; WiFi – WEP, WPA, WPA-2; Cell – 3G. Database – all PHI AES 256 encrypted.
Chapter 14 Specifications and standards (6) The Data Centre application is installed on the first or primary PC to use the i2i application. The Data Centre application is simply installed (selected) during the i2i installation process. Ports will need to be opened on firewalls in and out of the DC and RC. (7) A shared database is recommended between all RC installations. This requires a local wired network.
14.4 Communications 14.4.
Chapter 14 Specifications and standards 14.4.5 Bluetooth® specification WARNING Per IEC60601-1-2 cl 5.2.2.5 b), the Tempus may be interfered with by other systems even if they comply with CISPR emissions. The Bluetooth® module has the following specifications: Indoor Range ~ 9 m (30 ft) (typical office environment) Data Rate: V2.0 up to 1 Mb/s EDR: 2.3 Mb/s Baseband Modulation V2.0: GFSK EDR: Pi/4 DQPSK, 8DPSK 14.4.
14.4 Communications 14.4.8 FCC and Industry Canada compliance CAUTION Do not disassemble the device. There are no user-serviceable parts inside. Refer servicing to the manufacturer. Changes or modifications not expressly approved by RDT could void the user’s authority to operate the equipment. This equipment generates, uses and can radiate radio frequency energy and, if not installed and used in accordance with the instructions, may cause harmful interference to radio communications.
Chapter 14 Specifications and standards 14.5 Tempus Pro device classification The system is classified according to the requirements of EN60601-1:2006, the standard for Medical Electrical Equipment, Part 1, General Requirements for Safety, as: The Tempus Pro is internally (battery) powered. The external power supply is class I (earthed) as defined by the classification of the power supply specified and supplied by RDT. The battery charger is class II (double insulated).
14.
Chapter 14 Specifications and standards CAUTION 14.6.2 For the purposes of compliance with IEC60601-1-2, all vital signs and communications functions were regarded as essential performance. Manufacturer's Declarations Electromagnetic Emissions (IEC EN 60601-1-2) The Tempus Pro is intended for use in an electromagnetic environment as described below. The customer or user of the device should ensure that the device is used in such an environment. Emission Measurements HF emissions acc.
14.6 EMC information Interference Resistance Test IEC 60601 Test Level Compliance Level Voltage drops, short interruptions and variations in supply voltage acc. to IEC 61000-4-11 < 5 % UT (>95 % break of UT) for 0.5 period < 5 % UT (>95 % break of UT) for 0.
Chapter 14 Specifications and standards Electromagnetic Interference Resistance (IEC EN 60601-1-2) The Tempus Pro is intended for use in an electromagnetic environment as described below. The customer or user of the device should ensure that the device is used in such an environment.
14.6 EMC information Test frequency (MHz) Service 385 TETRA 400 450 GMRS 460, FR 460 710 745 780 810 870 930 1720 1845 1970 GSM 800/900, TETRA 800, iDEN 820, CDMA 850, LTE Band 5 2450 Bluetooth, WLAN, 802.11 b/g/n, RFID 2450, LTE Band 7 5240 5500 5785 WLAN 802.
Chapter 14 Specifications and standards 14.6.3 Recommended safety distances Recommended Safety Distances between portable and mobile RF Telecommunication Devices and the Tempus Pro (Tab. 206 according to IEC EN 60601-1-2). The TEMPUS PRO is intended for use in an electromagnetic environment with controlled RF disturbances.
14.7 Factory default settings Setting Range Factory Default ECG waveform 2 Lead I-III, aVL, aVR & aVF – 4-lead ECG cable Lead I Lead I-III, aVL, aVR, aVF & V – 5-lead ECG cable Lead I-III, aVL, aVR, aVF, V1-6 – 12-lead ECG cable ECG wave speed 12.5, 25, 50 mm/s 25mm/s ECG Gain 2, 4, 5, 10, 15, 20, 30 and 50 mm/mV 10mm/mV ECG Monitoring filter Monitor (0.5 Hz – 35 Hz) Monitor (0.5 Hz – 35 Hz) Filtered diagnostic (0.05 Hz – 35 Hz) Diagnostic (0.
15 Symbols used on the Tempus Pro 15.
15.
Chapter 15 Symbols used on the Tempus Pro Symbol Description System power on/off (push/push) YYYY - MM Date of manufacture, where the year that the item was manufactured is represented by the year and then the month e.g. 2002 06 is June 2002.
15.1 Symbols used Symbol IP66 Description IP66 (dust and water ingress under pressure) – whole device. According to IEC60529, “IP” means ingress protection. The following two numerals refer to grades of ingress protection for solid objects (the first numeral) and water (the second numeral). The first numeral “65” means the device is “dust-proof” against the ingress of dust to a size <75 µm.
Chapter 15 Symbols used on the Tempus Pro Symbol Description Bluetooth® connection to medical modules Battery Connection – to indicate positive terminal polarity Global Positioning System (GPS) Global System for Mobile (GSM) communications Headset connector Ethernet Socket (RJ-45) USB 2.0 & 1.
15.
Chapter 15 Symbols used on the Tempus Pro Symbol Description Packing box should not be exposed to rain/water/moisture Packing box storage humidity range Packing box storage temperature range Packing box storage pressure/altitude range Tempus Pro User/Operator Manual - 41-2001EN-00 – Page 266
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16 End user license agreement 16.1 Tempus Pro EULA This license covers RDT’s Tempus Pro software. Warning: The software contained herein is protected by copyright law and international treaties. Unauthorized reproduction, distribution or reverse engineering of this program, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law.
16.2 Mocana EULA software product. Some jurisdictions do not allow the exclusion of implied warranties, so the above exclusion may not apply to you. This warranty gives you specific legal rights and you may have other rights that vary from region to region. RDT’s Terms and Conditions apply. RDT and its distributors make no representations with respect to the merchantability or fitness of the Tempus Pro software and the product is supplied "as is", without any warranty of any kind.
Chapter 16 End user license agreement 16.3 MPEG4 EULA NOTICE REGARDING VIDEO STANDARDS.
16.7 OpenSSL License you transfer, assign, rent, lease, sell, or otherwise dispose of the software/firmware or the products on a temporary basis. 7. Beneficiary. Masimo Corporation is a Beneficiary of this Agreement and has the right to enforce its provisions. U.S.
Chapter 16 End user license agreement 16.8 US Government Devices – US Department of Defense (DoD) Notice and Consent Banner The following statement is applicable to devices purchased by US government employees and which are used on SPR networks. You are accessing a U.S. Government (USG) Information System (IS) that is provided for USG-authorized use only. By using this IS (which includes any device attached to this IS), you consent to the following conditions: 1.