D-19277-2015
Tcore™ Temperature Monitoring System
Safe, accurate, non-invasive
02 |
Significance of temperature management
37 °C
KEEPING PATIENTS WARM AND WELL
Over the last decade, more and more clinicians
have come to recognize the significance of patient
temperature management. Studies have shown
the importance of careful thermal management.
This goes beyond simple patient comfort and
well-being; it can have a measurable, positive
impact on patient outcomes.1,2,3 As a result, many
healthcare institutions have adopted thermal
management protocols and made them an integral
part of their diagnostic and therapeutic processes.
36 °C
32 °C
28 °C
LIMITED PERCEPTION
Mild and moderate hypothermia often occurs in
patients undergoing medical procedures and can
go unnoticed by caregivers. Thermal monitoring is
not a universal practice, and many of the methods
currently in use deliver insufficient accuracy or
are unreasonably invasive.4,5,6,7 In order to monitor
and maintain core temperature in a wide range
of clinical situations, preferably a non-invasive,
precise measurement method is necessary.
34 °C
D-64722-2012
31 °C
Red area: body core temperature
| 03
Accurate non-invasive measurement
for high comfort and low costs
MORE THAN JUST COMFORT
Of course, comfort is an important factor in the
patient care process. However, temperature
monitoring is not just about comfort. Studies have
shown that patients who become even mildly
hypothermic during medical procedures have
longer recovery room times, longer ICU stays and
require more analgesics than patients who maintain
normal core temperatures2. Maintaining normal
core temperature helps reduce infections,
complications and postoperative mortality rates
which can lower the total cost of treatment.8,9
In fact, because of the positive impacts, many
insurers provide additional compensation when
active thermal management is used.
THE CORE OF THE CHALLENGE
D-19148-2015
The non-invasive accurate measurement of core
body temperature is a surprisingly complex technical
challenge. However, because of the potential
benefits for both patients and hospitals, Dräger
was eager to take on the challenge.
04 |
Tcore – A new standard in thermal management
TCORE – A NEW NON-INVASIVE TECHNOLOGY
COMFORTABLE, SAFE AND EASY TO USE
Tcore™ employs a unique dual-sensor heat flux
technology, which, following a short ramp-up time,
calculates core body temperature continuously and
accurately. A simple, self-adhesive sensor placed
on the patient’s forehead is all that’s required.
This single-use sensor can be connected through
a battery-powered adapter to all current Dräger
monitors*, eliminating the need for a dedicated
display.
Because Tcore is non-invasive, it brings the
advantages of accurate core temperature monitoring
to a broad range of patients. Tcore can be used
with comfort and ease, even with fully conscious
patients who would not well tolerate conventional
invasive methods. The disposable sensor helps
to eliminate the possibility of cross-contamination
and therefore reduces the likelihood of nosocomial
infections.
REUSABLE ADAPTER
D-37644-2015
The Tcore Sensor can be connected to all current
Dräger monitor* via a reusable, battery-operated
adapter. The integrated battery will provide power
to the adapter for up to two years, after which point
it can be discarded. The sealed battery compartment
facilitates disinfection of the unit, which is otherwise maintenance-free. Because there is no need
for a separate monitoring system, Tcore can be
easily and quickly integrated into your clinical
routine at minimal expense.
Tcore™ Sensor
* Exception: Vista 120 patient monitor
28 – 32 °C
33 – 36 °C
moderate hypothermia
27
28
29
<28 °C
severe hypothermia
30
31
mild hypothermia
32
33
34
| 05
SUITABLE FOR ALL CARE AREAS
A WARM FEELING INSIDE
The simplicity of the Tcore system means that it
can be used in practically any setting, including
the operating room, the recovery room, the ICU,
step-down unit or ward. Within minutes of attaching
the sensor to the patient’s forehead, continuous,
accurate and reliable measurements are obtained.
Tcore allows you to reliably recognize hypothermia,
giving you the ability to take appropriate steps to
prevent its adverse effects. When combined with
an active thermal management protocol, Tcore can
help you improve outcomes, shorten stays and
lower costs – and keep your patients warm and
comfortable2.
>39 °C
high fever
35
36
37
38
39
37,8 – 38,5 °C
moderate fever
36,5 – 37,2 °C
normal temperature range
during the day
40
>42 °C
circulatory
collapse
41
42
43
40 – 42 °C
very high fever
>42,6 °C
denaturation of
proteins and enzymes
D-64726-2012
D-19181-2015
D-19163-2015
D-19243-2015
Better patient outcome
06 |
MEDICAL BACKGROUND: COMPARISON OF TEMPERATURE MEASUREMENT METHODS 10
high
ARTERIA
PULMONARIS
TCORE™
OESOPHAGUS
Handling
Accuracy
NASOPHARYNX
BLADDER
RECTUM
complicated
with effort
very easy
MOUTH
TYMPANIC
AXXILAR
SKIN
low
Non-Invasiveness
invasive
non-invasive
TCORE – NON-INVASIVE BUT AS ACCURATE AS INVASIVE METHODS
Comparison of temperature measurement methods: Previously, non-invasive
core temperature measurement was not as accurate as invasive methods.
Now the Tcore sensor combines the accuracy of invasive measurements
with the advantages of non-invasive methods!
| 07
Tcore™ Adapter (reusable)
Order information:
Part number: MP00999
Package unit: one adapter
D-19408-2015
Technical data:
Operation time: two years
Storage time: one year (before 1st use)
Tcore™ Sensor (single patient use)
Order information:
Part number: MP00989
Package unit: 20 sensors
D-19411-2015
Technical data:
– Latex free
– Replacement interval: 24 hours
– Storage time: max. two years
Mahoney C, Odom J. Maintaining intraoperative normothermia: a meta-analysis of outcomes with costs; AANA Journal; 67:155-164; 1999
1
Kurz A, Sessler DI, Lenhardt R. Perioperative normothermia to reduce the incidence of surgical-wound infection and shorten hospitalization;
2
N Engl J Med; 334:1209-1215; 1996
Karalapillai D, Story DA, Calzavacca P, Licari E, Liu YL, Hart GK. Inadvertent hypothermia and mortality in post-operative intensive care
3
patients: retrospective audit of 5050 patients; Anaesthesia; 64:968-972; 2009
Torossian A. Survey on intraoperative temperature management in Europe; Eur J Anaesthesiol; 24:668-75; 2007
4
Lawson L, et al. Accuracy and precision of noninvasive temperature measurement in adult intensive care patients;
5
Am J Crit Care; 16:485-496; 2007
Lefrant JY, et al. Temperature measurement in intensive care patients: comparison of urinary bladder, oesophageal, rectal, axillary, and inguinal 6
methods versus pulmonary artery core method; Intensive Care Med; 29:414-418; 2003
Kimberger O, Cohen D, Illievich U, Lenhardt R. Temporal artery versus bladder thermometry during perioperative and intensive care unit
7
monitoring; Anesth Analg; 105:1042-7; 2007
Bräuer A, Perl T, Quintel M. Perioperatives Wärmemanagement; Der Anaesthesist; 55:1321-1340; 2006
8
Sessler DI. Complications and treatment of mild hypothermia; Anesthesiology; 95:531-543; 2001
9
10
Wartzek, Mühlsteff, Imhoff; Temperature measurement; Biomed Tech; 56:241-257; 2011
Drägerwerk AG & Co. KGaA
Moislinger Allee 53–55
23558 Lübeck, Germany
www.draeger.com
Manufacturer:
Drägerwerk AG & Co. KGaA
Moislinger Allee 53–55
23558 Lübeck, Germany
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