User's Manual

Preparation for Monitoring ECG Monitoring ECG
7 - 10 TMS60 Operator’s Manual
7.3.6 Checking the Paced Status
It is important to correctly set the patient’s paced status before you start monitoring
ECG.
To check the paced status:
■ On the main screen, tap the HR digital area or ECG waveform area to enter the
[ECG] menu.
OR
1. In the main menu, tap [Patient Info].
2. In the [Pacer] field, check the setting of the paced status.
The current paced status setting displays to the right of [Paced].
3. If the paced status setting is not correct, tap [Paced] and select the correct paced
status.
■ When [Paced] is set to [Ye s ] at the TD60, and the pacer pulse is detected, the
symbol displays in the waveform area of the CS screen, and the pace pulse marks
will display on the ECG waveform both at the TD60 and CS.
■ When [Paced] is set to [No] at the TD60, and the pacer pulse is detected, the
symbol displays in the waveform area of the CS screen.
WARNING
• For paced patients, you must set [Paced] to [Yes]. If it is incorrectly set to
[No], the CS could mistake a pace pulse for a QRS and fail to alarm when
the ECG signal is too weak. Do not rely entirely on rate meter alarms
when monitoring patients with pacemakers. Always keep these patients
under close surveillance.
• The pacer pulses may be counted as QRS complexes, hence leading to
wrong HR readings or failure to diagnose certain arrhythmia symptoms.
Be sure to keep a close eye on patient’s with pacemaker devices.
• For non-paced patients, you must set [Paced] to [No].
• False low heart rate indicators or false asystole calls may result with cer-
tain pacemakers because of pacemaker artifact such as electrical over-
shoot of the pacemaker overlapping the true QRS complexes.
• In order to minimize the possibility of interference, place electrodes,
leadwires and TD60s as far away from the pacemaker as possible.