Exergen TemporalScanner TAT-5000 Reference Manual
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Exergen TemporalScanner TAT-5000 Reference Manual

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EXERGEN
TM
TemporalScanner
A kinder, gentler way to take temperature
1
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

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Summary of Contents for Exergen TemporalScanner TAT-5000

  • Page 1 EXERGEN TemporalScanner A kinder, gentler way to take temperature 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...

  • Page 3: Important Safety Instructions

    There are no parts that you can service yourself except for the battery, which you should replace when low following the instructions in this manual. For service, repair, or adjustments, return your thermometer to Exergen. Never drop or insert any object into any opening.

  • Page 4: Product Map

    Product Map Probe Cone Probe Lens ON Button Automatic turn-off in 30 seconds (when measuring in body temperature range, otherwise 5 seconds) LED Display Screen Battery Compartment 9-volt battery Battery Compartment Door 9-Volt Battery Compartment Door Screw F/C Switch...

  • Page 5: Introduction To Temporal Artery Thermometry

    Introduction to Temporal Artery Thermometry The Method Temporal artery thermometry (TAT) 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 account for the effects of ambient temperature on the skin.

  • Page 6: Table Of Contents

    Table of Contents Page(s) Important Safety Instructions Product Map Introduction to Temporal Artery Thermometry Familiarize Yourself with the Temporal Using the Instrument Using the Instrument on a New Mother Using the Instrument on an Infant Frequently Asked Questions 10-13 Disposable Cover Options Accessories Guidelines for Patient Temperature Assessment 14-15...

  • Page 7: Familiarize Yourself With The Temporal

    Before Using, Familiarize Yourself with the Instrument • To 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 clicking indicates that the instrument is still scanning, but not finding any higher temperature.
  • Page 8 Practice Holding Your TemporalScanner The Temporal 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, you will auto- matically be using finger dexterity to gently position the probe, pro- viding comfort and safety for your patient, and consistently accu- rate temperature readings.

  • Page 9: Using The Instrument

    Basics of Using the TemporalScanner 1. With probe flush on the 3. Lift probe from forehead and touch on the neck just center of forehead, depress red button, behind the ear lobe. 2. Slowly slide probe midline 4. Release the button, read, and record temperature.

  • Page 10: Using The Instrument On A New Mother

    Using the TemporalScanner on a New Mother • Measure exposed skin • Keep the red button depressed throughout measurement 1. With probe flush on center of forehead, depress red button. slide probe across the forehead into the hair line. 3. Lift probe from forehead. 4.

  • Page 11: Using The Instrument On An Infant

    Temping 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 TA, is all that is required. Temporal artery area is Preferred site is the temporal the only option in this...

  • Page 12: Frequently Asked Questions

    Frequently Asked Questions What is the TemporalScanner? The Temporal is an infrared thermometer designed for accurate, completely non-invasive temperature assessment by scanning the temporal artery (TA). How does it work? Temperature is measured by gently stroking the Temporal across the forehead, and includes a momentary touch of the probe to the neck area behind the ear lobe, to account for any cooling of the forehead as a result of diaphoresis.
  • Page 13 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 TA, making it as accurate as the TA, What are the benefits of using temporal artery thermometry? Besides the inherent accuracy of the method, TAT presents no risk of injury for patient or clinician, eliminates the need for disrobing or unbundling, and is suitable for all ages.
  • Page 14 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 TA could be embedded under cartilage or fat.

  • Page 15: Disposable Cover Options

    What should I know about the instrument? • TAT-5000 can be used with either • Probe lens should be shiny clean. If disposable caps or full sheath. not, wipe with an alcohol prep or Q- Can be used without disposables tip dipped in alcohol.

  • Page 16: Guidelines For Patient Temperature Assessment

    Guidelines for Patient Temperature Assessment Comparing with Other Methods of Thermometry: Unless you are using PA catheters or Exergen aural thermometers with AHB for temperature assessment, expect to see differences compared to your current ther- mometers. Arterial temperature measurement leads all other methods in identify- ing fever or defervescence, and is unaffected by patient activity.
  • Page 17 Task Force of the Society of Critical Care Medicine and the Infectious Diseases Society of America. Clin Infect Dis 1998 May: 26(5):1042-59. 6 Houdas Y, et al. Human body temperature. Ch 5, p89 Plenum Press, 1982, USA, UK. 7 Exergen Corporation. Manufacturer’s data on file. 8 Review of subject material peer-reviewed journals.

  • Page 18: Determining A Fever Threshold

    Oral & Temporal Core & Axillary Artery in Oral Temperature Site Temporal Artery Calibration Single value Single value >101 >101.8 Fever Workup Sustained values Single value >99 Sustained values Recommendation (>1h) >100.4 (>1h) >101.2 Source on file at Exergen Corporation...

  • Page 19: Body Sites For Temperature Assessment

    Body Sites for Temperature Assessment An Overview of Temperature Measuring Sites Oral Temperature 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 activity such as tachypnea, coughing, moaning, drinking, eating, mouthbreathing, snoring, talking, etc.
  • Page 20 The second is an infrared device, the Exergen Ototemp 3000SD, which is inserted deep into the ear canal and scanned to view the membrane, and is used in military and sports medicine.

  • Page 21: Reproducibility In Temperature Measurement

    Reproducibility in Temperature 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 readings, however, is not a function of the devices, but simply a function of physiology.

  • Page 22: Forgotten Physiology

    Your Temperature Normal Temperature Normal human temperature is When the temperature rises, around 98.6 degrees. But did the body's chemical actions you know that only 8% of the speed up so that damaged tis- people in the world have a nor- sues can be repaired more mal temperature of exactly quickly.
  • Page 23 Perspiration The Temporal 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. Your skin is a sensor, controlling body temperature in two ways: radiation and evaporation. Since most of us don’t think about our skin as a sensor, this might be a good time to dis- cuss a little physiology.

  • Page 24: For Kids Only

    For Kids Only Did you know you always have a tempera- Your ears. Now we’re down to ears. And please ture? Bet you thought you only had a tem- pardon us, perature when you were sick. Absolutely . But, having your everything has a temperature, even icicles.

  • Page 25: Care And Maintenance Of The Instrument

    Care and Maintenance • Battery: A standard alkaline 9V battery provides approximately 15,000 readings. ** To 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.
  • Page 26 F (43 <61 F (16 Low Target >104 F (40 High Ambient HI A <60 F (16 Low Ambient LO A Low Battery bAtt Dead Battery blank display Restart. Return Processing Error to Exergen for repair if error message persists.
  • Page 27 The device is then used to verify the calibration of any Exergen thermometer in question, or for quality checks done on a routine basis. The verifier operates with either a 9-volt power supply plugged directly into any 120 vac wall receptacle, allowing extended use in the laboratory, or it can be completely powered by a 9-volt bat- tery for portable use on the nursing floors.
  • Page 28 Using the Portable Blackbody 1. Turn 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 same ambient temperature for at least 10 minutes.
  • Page 29 ±0.4 ºF (0.2 ºC) for acceptable limits. If not, repeat the process. In the event they still differ by more than the acceptable limits, call Exergen for repair or replacement of the failed instrument. Verifier Specifications: Power Source 9-volt battery, or 9-volt power supply.
  • Page 32 EXERGEN EXERGEN CORPORATION • 400 PLEASANT STREET • WATERTOWN, MA 02472 • PH 617.923.9900 www.exergen.com p/n 818528 r5...

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