Exergen TAT-5000 manual

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Table of contents for the manual

  • Page 1

    EXERGEN T emporal Scanner TM A kinder, gentler way to take temperature Model T A T -5000 Reference Manual 1. Greenes DS, Fleisher , Accuracy of a noninvasive temporal artery ther- mometer for use in infants, Arch Pediatr Med 2001 Mar; 155(3):376-381 1 818528r5:818528r5.qxd 4/24/2008 11:04 AM Page 1[...]

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    818528r5:818528r5.qxd 4/24/2008 11:04 AM Page 2[...]

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    Import ant Safety Instructions READ ALL INSTRUCTIONS BEFORE USING When using the product, especially when children are present, basic safety precautions should always be followed, including the following:  If you have any additional questions regarding use or care of the thermometer , please see ww w .exergen.com or call customer service at 617-[...]

  • Page 4

    Product Map Product Map Probe Lens Probe Cone ON Button Automatic turn-off in 30 seconds (when measuring in body temperature range, otherwise 5 seconds) Battery Comp artment 9-volt battery Battery Comp artment Door 9-V olt Battery Comp artment Door Screw LED Display Screen 2 F/C Switch 818528r5:818528r5.qxd 4/24/2008 11:04 AM Page 4[...]

  • Page 5

    Introduction to T emporal Artery Thermometry The Method T emporal artery thermometry (T A T) is a completely new method of temperature assessment, using infrared technology to detect the heat naturally emitting from the skin surface. In addition, and of key importance, the method incorporates a patented arterial heat balance system to automatically[...]

  • Page 6

    T able of Content s T able of Content s Page(s) Important Safety Instructions 1 Product Map 2 Introduction to T emporal Artery Thermometry 3 Familiarize Y ourself with the T emporal Scanner 5-6 Using the Instrument 7 Using the Instrument on a New Mother 8 Using the Instrument on an Infant 9 Frequently Asked Questions 10-13 Disposable Cover Options [...]

  • Page 7

    Familiarize Y ourself with the Instrument Before Using, Familiarize Y ourself with the Instrument • T o Scan: Depress the red button. The instrument will continually scan for the highest temperature (peak) as long as the button is depressed. • Clicking: Each fast click indicates a rise to a higher temperature, similar to a radar detector . Slow[...]

  • Page 8

    Familiarize Y ourself with the Instrument 1 2 3 4 Practice Holding Y our T emporal Scanner The T emporal Scanner is ergonomically designed specifically for its application. It’s best to hold the instrument with your thumb on the red button, much like you would hold a remote control. Along with allowing you to easily read the temperature display ,[...]

  • Page 9

    Basics of Using the T emporal Scanner Measure only the exposed side. Brush hair aside if covering the T A area. 1. With probe flush on the center of forehead, depress red button, keep depressed… 2. Slowly slide probe midline across forehead to the hair line, not down side of face . Brush hair away if covering ear . 3. Lif t probe from forehead an[...]

  • Page 10

    Using the T emporal Scanner on a New Mother • Measure exposed skin • Keep the red button depressed throughout measurement (Brush bangs aside if present) 1. With probe flush on center of forehead, depress red button. 2. Slowly slide probe across the forehead into the hair line. 3. Lift probe from forehead. (Brush hair away if covering ear) 4. T [...]

  • Page 11

    Questions? Please call us at 800-422-3006 Using the T emporal Scanner on an Infant T emping Baby in Bassinette, Open Crib, or with Mom • Instrument should be in same temperature environment as the baby for approximately 20 minutes. • Measurement site must be exposed. • One measurement, preferably at the T A, is all that is required. Preferred[...]

  • Page 12

    Frequently Asked Questions Frequently Asked Questions What is the T emporal Scanner ? The T emporal Scanner is an infrared thermometer designed for accurate, completely non-invasive temperature assessment by scanning the temporal artery (T A). It is breakthrough technology . How does it work? T emperature is measured by gently stroking the T empora[...]

  • Page 13

    Frequently Asked Questions Why not use only the area behind the ear lobe? Since the arterial branch is deeper behind the ear lobe than at the temple, under normal conditions it is less accurate because of its variability . But under diaphoretic conditions, the blood flow behind the ear lobe is as high as at the T A, making it as accurate as the T A[...]

  • Page 14

    Frequently Asked Questions False low readings: • Multiple readings can cool the skin, so if you take another measurement immediately , expect a slightly lower reading. • Slide the thermometer straight across the forehead, not down the side of the face where the T A could be embedded under cartilage or fat. • Keep the probe flush on the skin, [...]

  • Page 15

    Frequently Asked Questions • T A T -5000 can be used with either disposable caps or full sheath. Can be used without disposables if terminally cleaned between patient s. • Can be cleaned with any hospital approved disinfectant, alcohol, and even bleach solutions. Use only alcohol solution for sensor lens . • ”bAtt” on the display indicate[...]

  • Page 16

    Guidelines for Patient T emperature Assessment Guidelines for Patient T emperature Assessment Comp aring with Other Methods of Thermometry: Expect the Differences Unless you are using P A catheters or Exergen aural thermometers with AHB for temperature assessment, expect to see differences comp ared to your current ther- mometers. Arterial temperat[...]

  • Page 17

    Guidelines for Patient T emperature Assessment Guidelines for Patient T emperature Assessment 1. Fever Definition: Clinically , fever is defined as a BT =1.8°F (1°C) above the mean standard deviation at the site of recording. 2 A single oral temperature of 101°F (38.3°C ) in the absence of obvious environmental causes is usually considered feve[...]

  • Page 18

    Determining a Fever Threshold Determining a Fever Threshold for T emporal Artery Thermometry Threshold Defining Fever • A threshold for defining fever is the temperature level above which false positives due to normal variations in temperature, including range of normal mean + circadian effect s + other effect s (metabolic, ovulation, etc.) are u[...]

  • Page 19

    Body Sites for T emperature Assessment Body Sites for T emperature Assessment An Overview of T emperature Measuring Sites Oral T emperature Oral temperature measurement is by far the most common clinical method in use today , and is responsible for masking the greatest number of fevers. Oral temperature can be mislead- ingly lowered by patient acti[...]

  • Page 20

    Body Sites for T emperature Assessment Under certain conditions, rect al temperature is even contraindicated; for example, severe arterial insufficiency in one or both legs might be associated with falsely low readings, or in conditions affecting peripheral blood flow such as cardiogenic shock. More common con- traindications include neutropenia, s[...]

  • Page 21

    Reproducibility of Readings Reproducibility in T emperature Measurement Multiple temperature readings in the same area, mouth, rectum, axilla, ear or temporal artery , make for variability with each separate measurement. This can be confusing for clinicians, since they expect the same number with each measurement. The non-reproducibility of the rea[...]

  • Page 22

    Forgotten Physiology Y our T emperature Normal T emperature Normal human temperature is around 98.6 degrees. But did you know that only 8% of the people in the world have a nor- mal temperature of exactly 98.6? A temperature that is normal for you may even be a whole degree or so above or below "normal." It is good to know what is normal [...]

  • Page 23

    Forgotten Physiology Perspiration The T emporal Scanner relies on the skin over the temporal artery to help provide an accu- rate body temperature. In fact, it is measuring the inside by measuring the outside. Y our skin is a sensor , controlling body temperature in two ways: radiation and evaporation. Since most of us don’t think about our skin [...]

  • Page 24

    For Kids Only Did you know you always have a tempera- ture? Bet you thought you only had a tem- perature when you were sick. Absolutely everything has a temperature, even icicles. Brrrrrr! When you don't feel well, your mom or a nurse might say "let's see if you have a temperature," but what they really mean is "let’s see[...]

  • Page 25

    Care and Maintenance Care and Maintenance • Battery: A standard alkaline 9V battery provides approximately 15,000 readings. ** T o replace, loosen the single screw at the bottom of the instrument and remove the battery cover . Disconnect the old battery and replace with a new one in the same location. Replace the cover , and tighten the screw . U[...]

  • Page 26

    Care and Maintenance Instructions for Fahrenheit or Celsius Conversion The T emporal Scanner can be used in either °F or °C. T o convert from one scale to the other , the only tool necessary is a p aper clip or the tip of a small screwdriver . For °F/°C Conversion: • Loosen single screw on bottom of case and remove battery cover . • Lift ba[...]

  • Page 27

    Care and Maintenance *Automatically applied when temperature is within normal body temperature range, otherwise reads surface temperature. Calibration V erification Procedure All Exergen infrared thermometers are designed to permanently maintain their accuracy and normally recali- bration is not required unless the thermometer has been physically d[...]

  • Page 28

    Care and Maintenance Using the Port able Blackbody 1. T urn on the verifier device, using either a 9-volt battery or the power supply . Make sure the red LED is illuminated. 2. Allow device ~5 minutes for warm-up and stabilization time. 3. Allow certified master or the two reference thermometers and the instrument to be tested to acclimate in the s[...]

  • Page 29

    Care and Maintenance • Accuracy Limits: Comp arison between the reference instrument(s) and the instrument being verified should be within ±0.4 º F (0.2 º C) for accept able limits. If not, repeat the process. In the event they still differ by more than the accept able limits, call Exergen for rep air or replacement of the failed instrument. V[...]

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    EXERGEN S traight From the Heart o EXERGEN CORPORA TION • 400 PLEASANT STREET • W A TERTOWN, MA 02472 • PH 617.923.9900 www .exergen.com p/n 818528 r5 818528r5:818528r5.qxd 4/24/2008 11:05 AM Page 32[...]