Philips PageWriter TC35 Cardiograph

Image: Philips logo and the PageWriter TC35 Cardiograph device with a patient's hand interacting with its touchscreen displaying ECG data.

Intuitive and efficient

As a world leader in cardiology, Philips aims to simplify cardiac care, enabling the best treatment for patients. The PageWriter TC35 was created with this goal in mind.

Advanced yet easy to use, the PageWriter TC35 offers speed of operation in an attractive and affordable solution that can grow with evolving needs. It delivers fast, efficient clinical workflow combined with reliable operation for both clinicians and patients.

Image: The Philips PageWriter TC35 cardiograph device.

Advanced, yet easy to use

The PageWriter TC35 cardiograph is designed for demanding hospital environments and clinic practice settings. Its easy 1-2-3 operation, touchscreen display, and additional tools facilitate quality ECG reports.

  • Easy-to-use 1-2-3 touchscreen operation is fast and intuitive.
  • Clinical Decision Support powered by the world-class Philips DXL ECG Algorithm.
  • Scalability to meet current and future needs.
  • Integrated into a rugged, compact trolley for easy mobility and storage.
  • WLAN WiFi 5 speed (802.11 b/a/g/n/ac) for seamless connectivity.
  • WLAN security: WPA3 (Personal)/WPA2 (Enterprise) for secure data transmission.
  • Detects pace pulse as small as 0.02 mVms.
  • Runs on battery for up to 13.9 hours.
  • Features a 300 Hz low-pass filter for pediatric ECGs.
  • Native DICOM support for downloading DICOM Modality Worklists.
  • Automatic retrieval of previous ECGs at bedside.
  • Export DICOM ECGs to existing PACS, EMR, and VNA systems.

The result is a fast, efficient, and advanced clinical workflow with reliable operation for clinicians and patients.

Image: Close-up view of the PageWriter TC35 keyboard and illuminated buttons.Image: A set of ECG electrodes and lead wires.

Simple Placement & Rugged and Economic

Simple Placement: The compact leadset's simple, streamlined design enables ECG quality to be maintained even with staff turnover.

Rugged and Economic: The seamless design of the compact leadset means fewer equipment connections for staff to check and manage. Its streamlined design enables economic replacement in high-volume environments.

It is as easy as 1-2-3

User-friendly illuminated buttons speed workflow:

  • [Connect Leads]: Waveforms are color-coded to indicate signal quality.
  • [Enter ID]: The ID button enables entry of demographic information. Reduce the risk of errors by automating entry with a barcode scanner, or via IntelliSpace ECG, EMR, or PACS interfaces.
  • [Take ECG]: Acquire, analyze, print, and export data with a single button. This standardizes workflow, ensuring each ECG is captured and screened, delivering critical, time-sensitive results to clinicians.

Designed around you

The compact system provides advanced features to support a variety of workflows.

Image: Two healthcare professionals, one in a white coat and one in business attire, looking at a device together.

Advanced tools at your fingertips

The PageWriter TC35 offers advanced tools to enhance workflow and support clinical decisions. All PageWriter TC cardiographs feature the DXL ECG Algorithm, built on over 55 years of research and experience, ensuring continuity and consistency in ECG reading and diagnosis across PageWriter cardiographs, the IntelliSpace ECG management system, and other Philips solutions.

Never miss a beat & Extended View

Never miss a beat: With Disclosure, review up to five minutes of 12-lead ECG data. Mark events, select pre- and post-event ECGs for analysis, or choose the best traces for the ECG report – all at a touch.

Extended View: Previous events, captured more than 5 minutes in the past, are saved and can be reviewed and printed as 12-lead ECGs.

Connectivity and Workflow

IntelliSpace ECG Management System: Facilitates seamless integration.

Synchronize time: Automatically sets the PageWriter time with your institution's time master for accurate patient clinical history documentation.

Download orders: Import ECG orders with comprehensive patient information from IntelliSpace ECG, PACS, or EMR via HL7 or DICOM.

Image: A person using a laptop, implying network connectivity with the IntelliSpace ECG Management System.Image: Diagram illustrating the IntelliSpace ECG Management System, time synchronization, and order download process.

WiFi 5 speed and WPA3 security: Supports open communication protocols 802.11 (b/a/g/n/ac).

Access ECGs anytime: With the PageWriter TC35 and IntelliSpace ECG, clinicians can access ECGs from virtually anywhere via the web-based ECG Anywhere app for viewing, confirming, and consulting.

Instant access: Easily acquire or enter patient demographic information via barcode scanning, keyboard entry, worklist download, or patient search.

One-touch workflow: The PageWriter TC35 can be configured to automatically save, export, or print ECG reports with a single touch.

Image: A Wi-Fi symbol indicating wireless connectivity.Image: Screenshot of a patient data entry or search interface.Image: Screenshot of an ECG waveform display or report interface.

Clarity when it matters most

Clinical decision support provides the right information at the right time to guide the most productive course of action. The Philips DXL ECG Algorithm offers industry-leading ECG interpretations, including advanced STEMI decision support tools, pediatric analysis, QT measurements, and pacemaker pulse detection, aiding in the treatment of patients with chest pain.

Image: A detailed ECG printout showing waveforms, measurements, and diagnostic interpretations, including STEMI indicators.

Check and confirm quality: Preview ECG waveforms and interpretation on the touchscreen to verify signal quality before printing.

Be sure: Patented LeadCheck software tests for 20 different lead reversals, ensuring diagnostic-quality ECG capture.

Reveal more: The DXL ECG Algorithm goes beyond traditional 12-lead interpretations, providing STEMI decision support tools and other incremental diagnostic capabilities.

Gender and age criteria: Criteria are differentiated based on gender and age to help interpret symptoms for specific patients.

Critical Values: Quickly identify patients needing urgent care, supporting Joint Commission patient safety goals.

STEMI-CA: Culprit artery criteria indicate potential occluded arteries, aiding clinical treatment.

ST Map: Provides a clear indication of ST elevation for quick triage.

Up-to-date statements: Enhances care consistency with terminology conforming to ACC/AHA recommendations.

Image: A pop-up dialog box asking "Possible lead reversal, check V2 and V3. Was lead placement correct?" with "No" and "Yes" options.

Stay connected & Lock it down

Stay connected: The PageWriter TC35 integrates seamlessly into existing IT infrastructure and supports WiFi 5 802.11 b/a/g/n/ac, ensuring constant connectivity.

Lock it down: The PageWriter TC35 includes comprehensive security tools, such as secure and encrypted wireless WPA3 (Personal) communication, data encryption at rest, and user identification via Active Directory.

Image: A graphic representing secure data transmission with a lock icon and binary code.

PageWriter TC35 benefits

For Cardiology Department Managers:

  • 1-2-3 buttons light in sequence to guide the user.
  • User aids support high-quality ECG reports.
  • High-performance that is cost-effective.

For Emergency Department Managers:

  • Quickly and easily view ST elevation.
  • ECGs needing immediate attention are highlighted.
  • A robust member of the proven PageWriter TC series.
  • Up to 13.9 hours of normal operational cycles on a single charge.

For Cardiologists:

  • Industry-leading Philips DXL ECG Algorithm.
  • Provides a trusted second opinion.
  • Advanced STEMI and NSTEMI diagnostic aids.
  • Detects pace pulse as small as 0.02 mVms.
  • Includes a 300 Hz low-pass filter for pediatrics as standard.

For Technicians and Nurses:

  • Touchscreen operation is fast and intuitive.
  • Five minutes of patient ECG history are available for review and creation of ECG reports.

For IT Administrators:

  • ECG report export in XML, PDF, or DICOM format.
  • Advanced WiFi 5 wireless capabilities (802.11 b/a/g/n/ac, WPA3 Personal, WPA2 Enterprise).
  • Advanced security provisions.
  • Extensive interoperability options.

Features

CategoryFeatureDetails
ECG functionsSimultaneous lead acquisition12 leads
ECG reports3x4, 3x4 1R, 3x4 3R, 3x4 1R plus ST maps, 6x2, 12x1 Standard and Cabrera formats, plus Pan 12 Cabrera
Standard measurementsTen interval, duration, and axis measurements; Configurable QT correction method
Rhythm stripsUp to 12 configurable leads
Disclosure (D05)Five-minute history of all 12 leads; Complete ECG report of any selected 10 seconds
Event marking (D05)Six independent events can be marked for later review and analysis; Event markers appear on ECG reports; Note can be added for each event
Timed ECGSupport for pharma stress protocols
Report storage and transferFull fidelity at 1000Hz of 10 seconds for all 12 leads
Data formatPDF, Philips XML, DICOM General ECG/DICOM 12-Lead ECG/DICOM Encapsulated PDF formats
Pace Pulse Detection0.02 mVms (e.g., 0.2 mV*0.1ms pulse or 0.1mV*0.2ms pulse)
DXL ECG Algorithm (D03)Interpretive statements>600 interpretive statements; Integrated pediatric analysis
Borderline statement suppressionThree configurable settings
Extended measurements46 measurements of morphology analysis in each of the 12 leads; 21 parameters of rhythm analysis
ReasonsSelectable explanations of all interpretive statements
NomenclatureAligned with 2007 AHA/ACCF/HRS Recommendations, Part II¹
STEMI diagnostic aidsGraphical ST presentationTwo ECG reports with polar ST Maps; Frontal and transverse planes
Age and gender criteria (D03)Based upon Fourth Universal Definition of Myocardial Infarction, 2018¹
STEMI-CA (Culprit Artery) (D03)Criteria that suggest any of four probable sites of the occluded coronary artery; Based upon 2009 AHA/ACCF/HRS Recommendations, Part VI²
Critical Values (D03)Highlights four conditions requiring immediate clinical attention
QRS CorrectionQTc MeasurementsBazett, Fridericia, Hodges, Framingham
Wide QRS CorrectionRauthaharju
Advanced bi-directional network communications³Central time managementTime can be manually or automatically synchronized to a Network Time Server
Orders worklist (D01)Download of orders worklist from networked server; User-configurable drop down lists (e.g., by location); Ad-hoc query for specific orders based upon multiple user-entered or scanned search criteria (e.g., patient ID, last/ first name); Supported by Open Worklist with IntelliBridge Enterprise and select departmental systems; Supported by HL7 interface via IntelliBridge Enterprise; Supported by DICOM Modality Worklist
ADT (D02)Query and retrieval of patient demographic information; Based upon user-entered or scanned search criteria (e.g., patient ID, last/ first name); Supported by standard HL7 interface via IntelliBridge Enterprise for hospital systems
DICOM ECG result output (D08)Create DICOM 12-lead ECG; Create DICOM General ECG; DICOM Encapsulated PDF
Privacy and SecurityUser authentication via AD/LDAP; Data encryption at rest SHA-256 and AES-128; Network access initiated only by PageWriter
Network communicationsTLS 1.2 or greater
Security configuration capabilities behind customer-defined passwordUSB port access (on/off); HTTP vs. HTTPS; Encryption at rest (on/off); Delete archived ECG after transfer (on/off); User Authentication (on/off); Consistent security approach across PageWriter TC series – TC70, TC50, TC35, TC30, TC20, TC10; Device Management Dashboard available to manage configurations and software revisions centrally
Signal quality indicatorsLeads-off advisoryAnatomical lead map displays the location and label of loose or disconnected leads/electrodes
Lead colorFour colors to indicate quality of individual leads
LeadCheckLead-placement software detects 20 different lead reversals
Heart rateContinuous display of patient heart rate
Print previewFull-screen preview of ECG waveforms prior to printing and export
User training and self helpTraining modeIntegrated waveform simulation
User interfaceTouchscreen: 1-2-3 operation, Context-sensitive application, Five-wire, resistive touchscreen; Keyboard: Backlit 1-2-3 buttons, 65-button, standard full alphanumeric keyboard, Special characters supported; Membrane keyboard cover: Silicone-based flexible cover protects keyboard from particulate and liquid ingress
Automated data input1D Bar code reader (H12): Reads Code 39 Symbology, Flexible field data entry; 2D Barcode reader (H17): High scan speed, Motion tolerance, Curved surfaces
Technical SpecificationsDisplaySize: 6.5in TFT active matrix, Resolution: 640 x 480 VGA, Colors: 64K colors, Screen adjustability: 18 degrees tilt
Patient connectionsIntegrated lead set: Defib-protected ECG acquisition provides 1µV resolution, Acquire data at 8,000 samples per second, per lead wire; Long lead set (H23): Extended-length lead wires enable greater distances between the cardiograph and the patient connections
End connectors (adaptors)Welsh bulbs (E04): Six Welsh bulbs and four limb clamps; Snap/Tab adaptor (E06): Fits both snap and tab electrodes with metal on both sides
PrinterResolution: High-resolution, digital-array printer using thermal-sensitive paper; 200dpi (voltage axis) by 500dpi (time axis) at 25mm/sec
ConnectivityLAN10/100 Base-TX IEEE 802.3 ethernet via on-board RJ45
Wireless (D24)802.11 b/a/g/n/ac (WiFi 5)
Wireless credential (D24)WPA3 (Personal), WPA2 (Enterprise)
FIPSCommunication supported by FIPS 140-2 certified encryption algorithm
Archive / Internal storage (D06)200 ECGs
External storage (D06)200 ECGs with optional USB device
Configurable filtersAC noise50 or 60Hz
Signal processingArtifact rejection and baseline wander
Presentation filters – 10 sec reportsHigh pass0.02, 0.05, and 0.15Hz
Low pass40, 100, 150 and 300Hz
Presentation filters – rhythmHigh pass0.02, 0.05 and 0.15Hz
Low pass40, 100, 150 and 300Hz
ElectricalBatteryLithium ion
Battery capacity⁴10 hours of continuous operation without printing, or 13.9 hours of normal operational cycles (7 minutes run, 1-page print, 8 minutes standby), or 55 ECGs produced during normal operational cycles, or 3 hours of continuous rhythm printing
Battery rechargeFour hours to full capacity
Main power100-240VAC, 50/60Hz
Power consumption60W max

Technical Specifications

CategoryDetails
Battery Management StatisticsStatistics: Current status, Voltage, Expected max error (%) of charge calculation, Predicted capacity when fully charged, Remaining capacity in mAh, Current charge and state of health %; Charge current: value while charging; Discharge current: value while discharging; Cycle count: number of full charge and discharge cycles; Temperature; Battery unique ID, supplier information, device name, DOM, and SN.
MechanicalDimensions: 31 x 40 x 21cm (12 x 16 x 8in); Weight: 8.6kg (19lb) includes battery, lead wires, clips, electrode pack, and paper pack.
Cleaning and disinfectingApproved solutions: Mild soap and water; Isopropyl alcohol (70% solution); Chlorine bleach (5.25% solution mixed as 3% solution in water); Quaternary ammonium compounds (e.g., Steris Coverage Plus NPD, 0.5 fluid oz/1 gallon water); Diethylene glycol butyl ether (5-10% by weight); Ethanol (ethyl alcohol) 70% (v/v); Metrex CaviWipes® Disinfectant; Phenol 2% (v/v); Gama Healthcare Clinell® Universal Range Disinfectant.
EnvironmentalOperating conditions: 10° to 40°C (50°F to 104°F); 10% to 90% relative humidity (non-condensing); Up to 3,048 m (10,000 ft) altitude. Storage conditions: -20°C to 50°C (-4°F to 122°F); 10% to 90% relative humidity (non-condensing); Up to 4,572 m (15,000 ft) altitude.
Safety and performanceInternational standards and regulations: General Requirement for Safety IEC 60601-1: 2005+A1:2012; Particular Requirement for Safety of Electrocardiographs IEC 60601-2-25 2011 Edition 2.0; Electromagnetic Compatibility IEC60601-1-2 2014.

¹ Fourth Universal Definition of Myocardial Infarction. Circulation 2018; 138 (2): pg e618-e651.

² AHA/ACCF/HRS Recommendations for the Standardization and Interpretation of the Electrocardiogram, Part II: Electrocardiography Diagnostic Statement List. J Am Coll Cardiology, 2007; 49:1128-135.

³ When networked with select hospital and departmental solutions; refer to supplier specifications.

⁴ Performance can vary in different environmental conditions.

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