Predictive Thermometry

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FILAC

• Predictive Thermometry
• Leading Technology
• Speed Accuracy
• True Isolation Chambers
• Cost Effective

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Predictive ThermometryDefinition

• A means of determining (predicting) body
  temperature by using an electronic device
  (thermometer) that uses a computer method or
  algorithm that relates the temperature response
  of the probe sensor to time

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Common Predictive Thermometry Temperature Sites

• Oral In the sublingual pocket of the mouth
• Rectal A widely held gold standard
• Axillary Skin temperature at armpit

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Taking An Oral Temperature
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Taking An Oral Temperature
PRECAUTIONS

• Has the patient had a hot or cold drink in the
  last 20 minutes? This can affect temperature
  readings (higher or lower)
• Does the patient smoke? When was the last time
  he/she smoked (last 20 minutes)? This can affect
  temperature readings

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Taking An Oral Temperature
PRECAUTIONS

• If the patient is unable to breath through the
  nose during a temperature reading, a mouth
  breather can impact the final temperature
  reading (lower)
• The patient should avoid talking during a
  temperature reading
• Wait two (2) minutes between temperature readings
  to avoid the Drawdown effect.
• 98.6oF is not an absolute value!

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Taking An Oral Temperature
PRECAUTIONS

• Make sure the proper probe is being used for the
  correct site
• Make sure the probe tip is properly placed

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Taking An Oral Temperature
INSTRUCTIONS

• Place the probe of the thermometer into either of
  the two (2) sublingual pockets in the mouth
• HOLD the thermometer probe in place until the
  reading has been recorded

Siblingual Pockets
Thermometer Probe
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Taking A Rectal Temperature
PRECAUTIONS

• Does the patient have stool in the rectal cavity.
  This can impair an accurate reading?
• Is the patients temperature changing rapidly
  (Rewarming from surgery or during a fever
  pattern)?
• Is there proper insertion of the thermometer
  probe (5 to 8 cm in adults)?
• Has the thermometer been left in place long
  enough?

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Taking A Rectal Temperature
PRECAUTIONS

• Make sure the proper probe is being used for the
  correct site
• Make sure the probe tip is properly placed

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Taking A Rectal Temperature
INSTRUCTIONS

• Hold the thermometer probe firmly and insert into
  the patients rectum (approximately 5 to 8 cm)
• Lubricants are not required but can be used
• HOLD the thermometer probe in place until the
  reading has been recorded

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Taking An Axillary Temperature
PRECAUTIONS

• Is the thermometer probe properly placed at the
  apex of the axilla?
• Is the thermometer probe perpendicular to the
  floor?
• Has the thermometer been left in place long
  enough?
• Is the patient being exposed to hot/cool air?
• Is the patient in shock?

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Taking An Axillary Temperature
INSTRUCTIONS

• Place the thermometer probe into the apex of the
  axilla (armpit)
• HOLD the thermometer probe in place in a position
  that is perpendicular to the floor

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• Leading Technology
• Speed Accuracy
• True Isolation Chambers
• Cost Effective

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How A Regular Thermometer Works
37 C
Direct Mode Thermometers work like Glass
Thermometers do. They start at room temperature
and take several minutes to reach equilibrium.
3-4 MINUTES
(DIRECT MODE)
The FasTemp goes into direct mode if the patients
temperature is below 35,5 C deg or if tissue
contact is poor. The direct mode will sound a
long beep after several minutes when the
patients temperature is stable.
Room Temperature
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How FasTemp Works
37 C
4-10 SECONDS
35 C
The FasTemp pre-heats to around 35 C degrees and
signals a short beep to show that its ready.
It then begins taking numerous readings, using a
predictive algorithm. Depending on the patients
level of perfusion, the algorithm can take 4-10
seconds before it can predict a final
temperature. A SHORT PREDICTION TIME MAKES
PROBE PLACEMENT A CRITICAL FACTOR!
Beep!
Room Temp
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FILAC FasTemp

• Filac Advanced Sensing Technology designed to
  take temperatures with
• Speed (4 to 10 seconds)
• Accuracy (/- 0.1oC)
• FasTemp takes a patients physiological
  conditions when determining a temperature

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FILAC FasTemp Features Benefits
BENEFITS
FEATURES

• Easy to Read
• Universal Language
• Quick and Accurate
• Reduces Breakage
• Convenient
• Limits Contamination
• Protects Investment

• Large LCD Display
• Icon Prompts
• 4-10 Second Reading
• Flexible Probe
• Pulse Timer
• True ISO Chambers
• Anti-Theft

FASTEMP
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True Isolation Chambers
FILAC FasTemp
RECTAL
ORAL/ AXILLARY
NOTE Chambers located on the back side of the
thermometer
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True Isolation Chambers
FILAC FasTemp

• Both chambers work on the same thermometer
• Blue for Oral or Axillary Temps
• Red for Rectal Temps
• Completely separate chambers contain
• Their own probe
• Probe well
• Probe cover holder

Probe Well
Probe Cover Holder
Probe
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True Isolation Chambers Clinical Benefits
FILAC FasTemp

• Reduces cross contamination
• FasTemp will only take a Rectal Temp when the Red
  Chamber is attached and only Oral/Axillary temps
  when the blue chamber is attached

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Removing The Isolation Chamber
A

• Grasp the isolation chamber from behind. Using
  your index finger on the locking tab (A) and
  slide unit up to pull off
• To replace align rails and slide of new isolation
  chamber down until locking tab clicks into place

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To Change Probes

• Pull forward on the top of the connector (A),
  rotating neck out of its locked position. Slide
  down to remove. Attach new, matching blue or red
  probe in reverse manner. Snap neck firmly into
  place

A
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Taking A Temperature
Before you begin

• Make sure that the FasTemp has a fully charged
  9-Volt battery (you never want to demonstrate or
  in-service a FasTemp with the low battery
  indicator on)
• The FasTemp Thermometer will take a temperature
  in approximately 4-10 seconds (MAKE SURE YOU MAKE
  THIS CLEAR TO THE CLINICIAN)
• When taking an oral temperature, eating,
  drinking, smoking, talking or mouth breathing can
  affect the patients reading (allow at least 5
  minutes after any of these activities for a
  reading)

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FasTemp Taking A Temperature
ORAL TEMPERATURE READING

• Remove the probe from the probe well and insert
  the end of the probe into a probe cover located
  on the back side of the thermometer (isolation
  chamber) until the cover snaps into place

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FasTemp Taking A Temperature
ORAL TEMPERATURE READING

• Make sure that the cover fits tightly onto the
  probe). NOTE ONLY FASTEMP PROBE COVERS CAN BE
  USED WITH THE FASTEMP THERMOMETER

YES
NO
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FasTemp Taking A Temperature
ORAL TEMPERATURE READING

• Make sure that the thermometer is is the oral
  mode (blue isolation chamber). Once you remove
  the probe from the isolation chamber, an icon
  will appear on the screen indicating the mode.

Press this button To switch from ORL to AX or AX
to ORL
NOTE The ORL or Oral Mode is the default mode of
the FasTemp Thermometer
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FasTemp Taking A Temperature
ORAL TEMPERATURE READING

• Once the probe cover has been placed securely
  onto the probe, you must wait for the icon on the
  screen to indicate that the thermometer is ready
  to take the temperature ( When the FasTemp is
  ready, the screen will show a probe cover on the
  probe icon) ALSO, WAIT FOR THE READY BEEP
  (SHORT BEEP)

NOT READY
READY
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FasTemp Taking A Temperature
ORAL TEMPERATURE READING

• Place the thermometer probe into the patients
  mouth. For an accurate reading, the probe MUST
  be placed into the sublingual pocket of the
  patient (located under the tongue- either the
  left or right side)

TEETH
TONGUE
FRENULUM LINGUAE
PROBE
SUBLINGUAL POCKETS
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FasTemp Taking A Temperature
ORAL TEMPERATURE READING

• Hold the probe in place (in the patient's mouth)
  for approximately 4 to 10 seconds or until the
  the final temperature is indicated on the screen
  A long beep will sound indicating that the
  temperature reading is complete

Note Because the temperature probe adapts to the
unique conditions of the patient, time to
predict an accurate temperature will vary by
patient.
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FasTemp Taking A Temperature
ORAL TEMPERATURE READING

• Once the temperature is read, discard and eject
  the probe cover by pressing the white button at
  the end of the probe
• Place the probe back into the isolation chamber
  probe well

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Direct Mode Readings With FasTemp

• Under certain clinical situations, such as a
  Hypothermic patient, a predictive trend will
  provide an inaccurate temperature

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What Is Direct Mode

• When the thermometer is taking a direct reading
  of a patients temperature (vs. predictive
  reading) which usually takes approximately 3
  minutes

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Direct Mode

• In sensing such a situation, FasTemp will
  automatically shift to DIRECT MODE (TURTLE ICON
  WILL APPEAR)
• Thus acting as a temperature monitor RESULTING
  IN A LONG-TERM TEMPERATURE READING

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Taking An Axillary Temperature

• Have the patient raise the arm, then place the
  probe tip into the axilla. Press gently to ensure
  good contact
• Have the patient lower the arm. Hold the probe
  perpendicular to the floor
• If you hear 2 short beeps, it means that the unit
  has switched to direct mode

ARM
PROBE
FLOOR
Perpendicular
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Recalling The Last Temperature Taken

• In the event that you need to recall the last
  temperature taken, press the Fo/Co button on the
  front panel.

Fo/Co button
NOTE Withdrawing the probe from the chamber will
cancel the last temperature taken from memory
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Using The Pulse Timer

• In order to activate the Pulse Timer, simply
  press the round button on the front panel once.
  An icon will appear on the screen. Press again to
  start and press again to stop. A beep will sound
  after 15 seconds, then 30 seconds.

Pulse Timer
NOTE The probe must be left in the probe well
for the Pulse Timer to work properly
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Changing The Battery

• Remove the isolation chamber form the back of the
  thermometer. Remove the soft rubber battery
  cover. Then pull up on the ribbon to remove the
  battery. Replace the battery and place the
  rubber cover back on to the battery compartment.
• Reinstall the isolation chamber with the probe
  attached

BATTERY COMPARTMENT
NT
This Device Protected By ABTI-THEFT SYSTEM
BATTERY COVER
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Self Calibration

• The FasTemp Thermometer automatically calibrates
  itself after each use

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Patented Probe Cover

• When using the FasTemp Thermometer, ONLY FasTemp
  Probe Covers are to be used! Otherwise, readings
  will not be correct.

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IconIDs
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Selling Against the Competition
Thermometer Competitors
43
Alaris (IVAC)
ALARIS Predictive (IVAC)
TEMP PLUS II
TURBO TEMP
44
Alaris (IVAC) Templus II
FasTemp vs.
FEATURES
BENEFITS

• 4-10 Second Reading
• Large LCD Display
• 9 Volt vs. 3-AA
• Locking Wall Bracket
• Anti-Theft Device
• ISO Chambers
• Alt Site Sales Force

• Saves Nursing Time
• Easier To Read
• Saves Money
• Security/Flexibility
• Reduces Cross Contamination

TEMP-PLUS II
45
FasTemp vs.
Alaris (IVAC) Turbo-Temp
BENEFITS
FEATURES

• Saves Nursing Time
• Easier To Read
• Saves Money
• Security/Flexibility
• Reduces Cross Contamination

• 4-10 Second Reading
• Large LCD Display
• 9 Volt vs. 3-AA
• Locking Wall Bracket
• Anti-Theft Device
• ISO Chambers
• Alt Site Sales Force

TURBO-TEMP
46
Welch Allyn
SURETEMP Predictive
678
679
986
ACUTE CARE
ALT SITE
ACUTE CARE
47
WELCH-ALLYN SURETEMP (Recap)
678
679
986
GOOD
BETTER
BEST
678
679
986
48
678
FasTemp vs.
RECOMMENDED FOR HOSPITAL USE (ACUTE CARE)
FEATURES
BENEFITS

• Infection Control
• Reduces Breakage
• Representation
• Versatility/Patient Comfort
• Easy To Read
• Security/Flexibility

• Isolation Chambers
• Flexible Probe
• Beep or Silent Option
• Locking Passive Anti-Theft Device
• Large Icon Driven Display
• Alt Site Sales Force

SURETEMP 678
49
986
FasTemp vs.
BENEFITS
FEATURES

• Infection Control
• Reduces Breakage
• Reinforced Probe
• Easy to Read
• Full-Line Support
• Flexibility/Patient Comfort

• Isolation Chambers
• Flexible Probe
• Sturdy Probe Cover
• Large LCD Display
• Beep or Silent Option
• Axillary Mode
• Alt Site Sales Force