Idmed ToFscan - ST Mode

User Manual ToFscan 19
ATP Process
IDMED 08/11/2018 V5 CONFIDENTIAL / USAGE INTERNE A IDMED
ATP Mode
TOF Stimulation
Pause 30s.
Pause
5mn.
Yes
Displaying
TOF results
Displaying
PTC results
PTC Stimulation
ATP start
One
response or
more at TOF?
Moderate
NeuroMuscular Block
Deep
NeuroMuscular Block
No
Note:
The ATP mode must only be used with the thumb sensor and only with non-depolarizing
neuromuscular blocking agents. It can be stopped at any time by pushing the wheel button. In the
absence of movements following several stimulations, the ATP mode will stop.
The waiting time required by the ToFscan following “PTC” stimulation or “ATP” mode is 3 minutes. It is
important to remember that “PTC” stimulations is only normally used when no responses to “Single
Twitch” or “TOF” stimulations are detected. ”PTC” stimulation and “ATP” mode are absolutely not
recommended for eyebrow muscle monitoring.
ST Mode
The “Single Twitch” stimulation is a stimulation 0.2 ms pulse duration. It produces a single
muscle contraction. The patient’s motor response is not measured by the ToFscan sensor but is
visually gauged by the user.
“Twitch” sub-menu
Stimulation is activated by pressing (2s) the selection wheel.
“0.1HZ” sub-menu
The ToFscan produces one Single Twitch every 10 seconds when the selection wheel is
pressed and held. The user stops the 0.1 HZ stimulation by simply pressing the selection wheel.
“1HZ” sub-menu
The ToFscan produces one Single Twitch every second when the selection wheel is pressed
and held. The user stops the 1 HZ stimulation by simply pressing the selection wheel.
Note:
The “0.1 HZ” or “1 HZ” stimulations are automatically repeated during 10 minutes, after which
the ToFscan stops the stimulation. No waiting time is required by the ToFscan after this category of
stimulations. The practitioner will gauge the length of the waiting period required depending on the
number of stimulations delivered.