Radiometer logo

TCM5 FLEX transcutaneous monitor

Transcutaneous monitor for monitoring oxygenation and ventilation in critically ill patients

  • Request info

    Get in touch to learn more about the TCM5 FLEX monitor


    Contact details

    Workplace details


    By submitting this form, I acknowledge that I have reviewed and understood the data privacy notice.

    All fields must be filled!

  • Download brochure
    Sign up to access the TCM5 FLEX brochure

    Contact Info


    By submitting this form, I acknowledge that I have reviewed and understood the data privacy notice.

    All fields must be filled!

  • Automatic temperature regulation
  • Real-time information
  • Visible alerts

TCM5 FLEX transcutaneous monitor supports your care of critically ill patients

The TCM5 FLEX transcutaneous monitor is a compact, easy-to-use solution that delivers accurate and continuous measurement of oxygenation (tcpO2) and ventilation (tcpCO2) status in neonatal, pediatric and adult patients in the ICU.

System defined limits of site time vs. temperature help reduce the risk of harm from the heated electrode.

Parameters

Pulse Oximetry: 
Pulse
The rhythmic dilation of an artery that results from beating of the heart. Pulse rate is the rate at which the heart beats per minute (bpm). The measurement is based on the optical detection of a peripheral flow pulse. The volume of arterial blood in the tissue (and hence, the light absorption by that blood) changes during the pulse. This is also known as plethysmography.
, SpO2

Oxygen saturation, reported as a percentage of oxyhemoglobin (HbO2) on a total of oxy- and deoxy-hemoglobin. It is expressed by the formula: HbO2 / (HbO2+deoxyhemoglobin). It is measured non-invasively by pulse oximetry, an absorption-based technique. The relationship between SpO2 (measured by pulse oximetry) and pO2 is given by the oxygen dissociation curve.

Transcutaneous blood gas: 
tcpCO2
 
Transcutaneous partial pressure of CO2 (carbon dioxide) 

tcpCO2 is measured through a sensor placed on the skin surface. A tcpCO2 sensor uses the Stow-Severinghaus principle. CO2 reacts with water and forms carbonic acid and dissociates into H+, which is interpreted through a pH glass element. After conversion, the sensor algorithm generates a tcpCO2 in mmHg (millimeters of mercury) or kPa (kilopascals)
 
, tcpO2
Transcutaneous partial pressure of O2 (oxygen) 

tcpO2 is measured through a sensor placed on the skin surface. 

A tcpO2 sensor is based on the Clark principle; O2 diffuses through the skin and the membrane to a Platinum cathode. After conversion, the sensor algorithm generates a tcpO2 in mmHg (millimeters of mercury) or kPa (kilopascals).
 

A transcutaneous monitor that helps you focus on patient care

The TCM5 FLEX transcutaneous monitor has an intuitive user interface and built-in tutorials that make it easy to set up, learn and use.

Compact and practical, the TCM5 FLEX monitor comes with a color touchscreen. Clear on-screen messages give you an immediate overview of measured parameters supporting patient care.

A clearly visible alarm bar on top of the monitor and on-screen icons alert you to changes in patient status. Real-time trending measurements allow for immediate clinical intervention to critical changes in patient status. [1]

Connect your TCM5 device and see patient data on one screen 

Connectivity 

The ability to connect your TCM5 device to multiple systems means you can see TCM data and other patient data on one screen. Plus, all recordings and data can be collected in one system for later analysis.

Connectivity options

Your TCM5 device connects to a wide range of patient monitoring systems, data management systems, polysomnography systems, and ventilators. Discover all the devices that are compatible with your TCM5 and connect your device today.

Transcutaneous monitor with reliable sensors

The surgical steel protected sensors measure tcpO2 and tcpCO2, SpO2 and pulse rate, delivering consistent and reliable results. The sensors have a variety of fixation options helping to improve patient comfort.

Automatic calibration of the sensor reduces preparation time and improves workflow.

A dedicated sensor cable spool makes cable management easy, keeping your department clutter-free.

New for 2022: Improved sensor head design with better protection of the cable and greater pull strength

Transcutaneous monitoring enables careful monitoring of the neonate

Transcutaneous monitoring – or continuous, non-invasive monitoring – of tcpO2 and tcpCO2 can detect changes in the oxygenation and ventilation status of neonates. [2, 3, 4, 5] 

Transcutaneous monitoring complements arterial and capillary blood sampling. It may even help to reduce the number of blood samples and limit unnecessary handling of the infant, while ensuring careful control of your patient. [3, 4, 5, 6, 7]

The TCM5 FLEX transcutaneous monitor helps reduce patient discomfort with system defined limits of site time vs. temperature to reduce the risk of harm from the heated electrode by predefined combinations of time and temperature.

Continuous transcutaneous monitoring of patients in the ICU

Patients with acute respiratory failure and respiratory pump insufficiency are often treated with mechanical ventilation. Real-time monitoring offers a reliable approach to titrate ventilator settings without repeated blood sampling.[8, 9, 10, 11]

Unlike blood gas sampling, transcutaneous monitoring provides continuous information on CO2 levels allowing for proactive, rather than reactive ventilator adjustments.[10]

Transcutaneous monitoring improves patient care by reducing the need for blood samples, thereby reducing patient discomfort.[7, 10]

Weaning and extubation decisions may be made based on tcpCO2 measurement alone.[10]

By being able to view continuous data instead of having to rely on periodic blood gas analysis, I feel fully confident in my ability to be precise and accurate so I can provide a higher level of care.

- Dr. Marco Bardessono, Pulmonologist at the A.O.U. Citta della Salute e della Scienza hospital in Torino, Italy

Related knowlegde sources

Scientific Insights from Radiometer

Discover new clinical insights about transcutaneous monitoring.

Read the latest Scientific Insights paper from Radiometer here.

Radiometer and acutecaretesting.org present free educational webinars on topics surrounding acute care testing

Related on-demand webinars

References

1. Spelten O. Transcutaneous PTCCO2 measurement in combination with arterial blood gas analysis provides superior accuracy and reliability in ICU patients. J Clin Monit Comput (2017) 31:153–158.
2. Quine D, Stenson BJ. Does the monitoring method influence stability of oxygenation in preterm infants? A randomized crossover study of saturation versus transcutaneous monitoring. Arch Dis Child Fetal Neonatal 2008; 93.
3. Rüdiger M et al. A survey of transcutaneous blood gas monitoring among European neonatal intensive care units. BMC pediatrics 2005; 5, 30.
4. Sandberg KL et al. Transcutaneous blood gas monitoring during neonatal intensive care. Acta pæediatrica 2011; 100.
5. SØRENSEN L, BRAGE-ANDERSEN L, GREISEN G. Effects of the transcutaneous electrode temperature on the accuracy of transcutaneous carbon dioxide tension. Scandinavian Journal of Clinical and Laboratory Investigation 2011; 71, 7: 548-52.
6. Goenka A et al. Neonatal blood gas sampling methods. SAJCH 2012; 6, 1.
7. Lundstrøm K. E. Continous Blood gas monitoring in neonates and infants. neonatal INTENSIVE CARE 2003; 16, 4.
8. Jardins TD, Burton GB. Clinical manifestations and assessment of respiratory disease. 6th edition. Maryland Heights: MOSBY Elsevier, 2011; 125.
9. Windisch W et al. German National Guideline for Treating Chronic Respiratory Failure with Invasive and Non-Invasive Ventilation: Revised Edition 2017 – Part 1. Respiration 2018; 1-32.
10. Restrepo RD. AARC Clinical Practice Guideline: Transcutaneous Monitoring of Carbon Dioxide and Oxygen. Respiratory Care, 2012; 57, 11: 1956.
11. Jansenss JP. Transcutaneous PCO2 to Monitor Noninvasive Mechanical Ventilation in Adults. Chest 1998; 113: 768-73.


MAPSSS-000169 R4

Cookies are used on this website

Use of cookies
Confirm your account with Radiometer

Please enter a valid email

CONTINUE
By submitting your e-mail you agree to the data policy notice
Radiometer is using Microsoft Azure Active Directory to authenticate customer access. If you are already registered you will be taken to Microsoft AD to sign in using your Microsoft AD credentials.
You are already registered
Radiometer is using Microsoft Azure AD to authenticate customer access. If you are already registered you will be taken to AZURE to sign in using your AZURE credentials.
Thank you

We will be sending an e-mail invitation to you shortly to sign in using Microsoft Azure AD.

Radiometer is using Microsoft Azure AD to authenticate customer access.
Sorry

It seems that your e-mail is not registered with us

Radiometer is using Microsoft Azure AD to authenticate customer access. If your e-mail is not registered with us please click CONTINUE and we will guide you through the sign-in process.
We have previously sent an invitation by e-mail

Please click "Get started" in the e-mail to complete the registration process

Radiometer is using Microsoft Azure AD to authenticate customer access.
Sorry

We were not able to process your request due to a communication error

Sorry

It seems this account has not been given access to the portal

Radiometer is using Microsoft AZURE Active Directory to authenticate users

Radiometer uses Azure AD to provide our customers and partners secure access to documents, resources, and other services on our customer portal.

If your organization is already using Azure AD you can use the same credentials to access Radiometer's customer portal.

Key benefits

       
  • Allow the use of existing Active Directory credentials
  • Single-sign on experience
  • Use same credentials to access future services

Request access

You will receive an invitation to access our services via e-mail when your request has been approved.

When you accept the invitation, and your organization is already using AZURE AD, you can use the same credentials to access Radiometer's customer portal. Otherwise, a one-time password will be sent via e-mail to sign in.

Effective Date January 20th, 2023 (last updated January 20th, 2023)

ABOUT THIS POLICY

Radiometer values your privacy and the protection of your personal data. This policy (“Policy”) explains how Radiometer its affiliates, subsidiaries or related companies, a full list of which can be located here (together, “Radiometer”, “our”, “us”, or “we”), collects, uses, shares, transfers and processes data collected from or about you.


Personal Data” is any information that can be used to directly or indirectly identify an individual or that can be reasonably expected to link to an individual. This can include items such as name, address, telephone number, credit card details, email address, ID number, Internet Protocol (“IP”) address of an electronic device used by an individual, or other identifying code (even absent of other identifying information). Statistical and non-identifiable metric data are not considered Personal Data.

The Radiometer subsidiary, affiliate or related company with which you interact is, where applicable, the data controller (or equivalent under applicable law) responsible for the processing of your Personal Data. You can find a list of the relevant legal entities that act as data controllers in Appendix 1 to this Policy.

SCOPE

This Policy describes the types of Personal Data that we may collect, process or disclose about you and how you may govern this processing by exercising applicable legal rights. This Policy applies to both online and offline information collection, including your use of websites or subdomains operated by us, any mobile applications, when we provide products and/or services to you or notify you about prospective items of interest and in other situations where you interact with us in-person, by telephone or by mail where this Policy is posted or referenced.


There may be occasion where you have been provided with a circumstance-specific privacy notice that is separate from this policy, such as privacy notices for specific activities such as Recruitment. To the extent you were provided with a different notice, those notices apply and govern our interactions with you. If you provide Personal Data about parties other than yourself, you are responsible for ensuring their knowledge of how we will process their personal data, and, where applicable, obtaining any necessary consents required in advance.

We are committed to processing Personal Data in accordance with applicable laws. Please note that if you do not wish to provide your Personal Data to us, some products and/or services may become unavailable to you. Your use of any or all these platforms indicates you have been notified of our collection, use, transfer, and disclosure of your information as described in this Policy to the extent permitted by applicable law.

Read more