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Warnings!

Caution (US only): Federal law restricts this device to use by or on the order of a
physician.
Do not use the TOF-Watch on patients with cardiac pacemakers without checking
that the stimulation does not influence the pacemaker.
Always make sure that no other equipment can touch the stimulation electrodes.
Cover the stimulation electrodes with insulating material so that, e.g., catheters
can never be exposed to stimulation.
Check each time before use that the material insulating the acceleration
transducer and the stimulation cable is intact and does not show signs of wear
and tear.
Never touch the electrodes unless the stimulation has been stopped.
When the display shows the stop symbol (7) there is no stimulation.
If this is not the case, press the
Do not use the TOF-Watch in the presence of flammable anesthetics.
Simultaneous connection of a patient to high frequency surgical equipment may
result in burns at the site of the stimulator electrodes and possible damage to the
stimulator.
Operation in close proximity (e.g. 1 m) to short-wave or micro-wave therapy
equipment may produce instability in the stimulator output.
Do not stack the TOF-Watch directly on top of other electronic equipment.
If stacking is necessary, observe the TOF-Watch to verify normal operation before
applying it to the patient.
Patients with nerve damage, Bell's palsy, Myasthenia gravis or other
neuromuscular problems may not respond properly to stimulation. The TOF-Watch
may show unusual patterns when monitoring relaxation in these patients.
Do not apply electrodes to patients in areas where inflammation or injury is
evident.
The TOF-Watch provides additional information on the patient's condition as far
as relaxation is concerned. It does not replace any clinical judgment performed
hitherto, or any test made when no TOF-Watch was available.
Monitoring neuromuscular transmission or neuromuscular block can only be
performed using surface electrodes.
Be sure only to use CE marked electrodes.
Use of accessories, transducers, and cables other than the ones supplied with
TOF-Watch may result in degrade electromagnetic compatibility performance of
the device.
23 | TOF-Watch SX Operator manual 33.512/A
button (1).
!

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