Philips Avalon FM20, Avalon FM30 User manual
INSTRUCTIONS FOR USE
Avalon Fetal Monitor
FM20 / FM30 / FM40 / FM50
Release F.0 with Software Revision F.01.xx
FETAL MONITORING
Printed in Germany 12/07
*M2703-9001D*
Part Number M2703-9001D
451261025621
S
M2703-9001D
1Table Of Contents
1 Introduction 1
Who this Book is For 1
Confirm Fetal Life Before Using the Monitor 2
Introducing the Avalon Family of Fetal Monitors 3
Intended Use 3
Contraindications 3
Indications for Use 3
2 Installation 5
Installation Checklist 5
Unpacking and Checking the Shipment 6
Initial Inspection 6
Claims for Damage 6
Repacking 6
Mounting the Monitor 6
Connecting the Monitor to AC Mains 7
How and When to Carry Out the Test Blocks 7
Safety Tests 8
3 Basic Operation 9
Supported Measurements 10
Avalon FM20 and FM30 11
Avalon FM20 11
Avalon FM30 11
Avalon FM40 and FM50 12
Avalon FM40 12
Avalon FM50 12
Cordless Monitoring 13
Getting to Know Your Avalon FM20/FM30 14
Overview 14
Right Side 14
Rear 14
Left Side 15
Getting to Know Your Avalon FM40/FM50 16
Front 16
Rear 16
Tr a n s d u c e r s 17
Operating and Navigating 19
Keys 21
Permanent Keys 21
SmartKeys 21
Pop-Up Keys 22
i
Using the Touchscreen 22
Disabling Touchscreen Operation 22
Selecting Screen Elements 22
Operating Modes 22
Automatic Screen Layouts 23
Settings 23
Active Settings 23
User Default 24
Factory Default 24
Global Settings 24
Changing Measurement Settings 24
Switching the Noninvasive Blood Pressure Measurement On and Off 25
Changing Monitor Settings 25
Adjusting the Screen Brightness 25
Ad ju st ing Tou ch To ne Volu me 25
Setting the Date and Time 25
Checking Your Monitor Revision 26
Preparing to Monitor a Patient 27
Switching On: FM20/FM30 27
Switching On: FM40/FM50 27
Adjusting the Display Angle (FM20/FM30) 27
Fastening Belts and Transducers 28
Using Belts with Button Fixings 29
Using Belt with Velcro Fixings 30
Connecting a Transducer to the Monitor 31
Checking/Setting Paper Scale 33
Paper Guide: FM40/FM50 33
Removing the Paper Guide: FM40/FM50 33
Loading Paper: FM20/FM30 35
Loading Paper: FM40/FM50 36
Paper-Out Indication 39
Choosing Paper Speed 39
Tearing Off the Paper: FM20/FM30 39
Tearing Off the Paper: FM40/FM50 39
Using the Paper Guide 40
Without the Paper Guide 40
Switching the Recorder On and Off 40
Advancing the Paper 42
Marking an Event 42
Entering Notes 43
Signal Quality 43
Starting Monitoring 43
Switching the Monitor to Stand-by 44
After Monitoring 44
Disconnecting from Power 44
Troubleshooting 45
ii
4 Alarms 47
Alarm Mode 47
Visual Alarm Indicators 48
Audible Alarm Indicators 48
Alarm Tone Configuration 48
Standard Philips Alarms 48
ISO/IEC Standard 9703-2 Audible Alarms 48
Changing the Alarm Tone Volume 49
Acknowledging Alarms 49
Acknowledging Disconnect INOPs 49
Pausing or Switching Off Alarms 50
To Pause All Alarms 50
To Switch All Alarms Off 50
To Switch Individual Measurement Alarms On or Off 50
While Alarms are Paused or Off 51
Restarting Paused Alarms 51
Alarm Limits 51
Viewing Individual Alarm Limits (Alarm Mode “All” Only) 51
Changing Alarm Limits 52
Reviewing Alarms 52
Alarm Messages Window 52
Review Alarms Window 52
Latching Alarms 52
Viewing the Alarm Latching Settings 53
Alarm Latching Behavior 53
Testing Alarms 54
Alarm Behavior at On/Off 54
5 Patient Alarms and INOPs 55
Patient Alarm Messages 55
Technical Alarm Messages (INOPs) 57
6 Admitting and Discharging Patients 61
Admit/Discharge on the Monitor 61
Admitting a Patient 61
Editing Patient Information 62
Discharging a Patient 62
New Patient Check 62
OB TraceVue: via LAN 62
OB TraceVue: via RS232 63
7 Non-Stress Test Timer 65
Setting NST Autostart/Autostop 65
Viewing the NST Timer 65
Timer Expiry Notification 65
iii
Accessing the NST Setup Pop-up Keys 65
Via the Timer SmartKey (Route 1) 66
Via the Main Setup SmartKey (Route 2) 66
Via the NST Field (Route 3) 66
Pop-up Keys for NST Timer Setup 66
Run Time 66
8 Monitoring FHR and FMP Using Ultrasound 69
Misidentification of MHR as FHR 69
Cross-Channel Verification 70
What You Need 70
Cordless Monitoring - Important Considerations 70
Preparing to Monitor 71
Selecting Fetal Heart Sound 72
Changing the Fetal Heart Sound Volume 72
Fetal Movement Profile 72
FMP Statistics 73
Switching FMP On and Off 74
Troubleshooting 74
Testing Ultrasound Transducers 75
9 Monitoring Twin FHRs 77
Important Considerations 77
Monitoring Twins Externally 78
Monitoring Internally 79
Cross-Channel Verification 80
Separating FHR Traces 80
Switching Trace Separation On and Off 80
Determining the Separation Order 81
When Trace Separation is On 81
‘Standard’ Separation Order 81
‘Classic’ Separation Order 82
When Trace Separation is Off 82
Troubleshooting 83
10 Fetal Heart Rate Alarms 85
Changing Alarm Settings 85
Turning Alarms On or Off 85
Changing Alarm Limits 85
Changing Alarm Delays 85
Changing Signal Loss Delay 86
11 Monitoring Triple FHRs 87
Important Considerations 87
Monitoring Triplets 88
Cross-Channel Verification 88
iv
Separating FHR Traces 89
Switching Trace Separation On and Off 89
When Trace Separation is On 89
‘Standard’ Separation Order 89
‘Classic’ Separation Order 90
When Trace Separation is Off 90
Troubleshooting 91
12 Monitoring Uterine Activity Externally 93
What You Need 93
External Toco Monitoring 93
Resetting the Toco Baseline 94
Automatic Baseline Adjustment 94
Toco Sensitivity 94
Troubleshooting 95
Tes ti ng Toc o Tra ns du ce rs 96
13 Monitoring Uterine Activity Internally 97
What You Need 97
Internal (IUP) Monitoring 98
Zeroing the Monitor 98
Selecting the IUP Scale 98
Troubleshooting 99
14 Monitoring FHR Using DECG 101
Misidentification of MHR as FHR 101
What You Need 101
Making Connections 103
Monitoring DECG 103
Suppressing Artifacts 104
Printing the Waveform 105
Troubleshooting 105
Testing DECG Mode 106
15 Monitoring Noninvasive Blood Pressure 107
Introducing the Oscillometric Noninvasive Blood Pressure Measurement 107
Measurement Limitations 108
Measurement Methods 108
Reference Method 108
Preparing to Measure Noninvasive Blood Pressure 108
Correcting the Measurement if Limb is not at Heart Level 109
Understanding the Numerics 109
Starting and Stopping Measurements 109
Enabling Automatic Mode and Setting Repetition Time 110
Choosing the Alarm Source 110
Assisting Venous Puncture 111
v
Calibration 111
Troubleshooting 111
16 Monitoring SpO
2
113
Selecting an SpO2 Sensor 113
Applying the Sensor 113
Connecting SpO2 Cables 114
Measuring SpO
2
114
Assessing a Suspicious SpO2 Reading 115
Understanding SpO2 Alarms 115
Alarm Delays 115
Adjusting the SpO2 Alarm Limits 115
Adjusting the Desat Limit Alarm 116
Adjusting the Pulse Alarm Limits 116
Setting Up Tone Modulation 116
Setting the QRS Volume 116
17 Monitoring Maternal Heart / Pulse Rate 117
Priority for Maternal Heart / Pulse Rate 117
Cross-Channel Verification 117
MHR from MECG Electrodes 117
Applying Electrodes 118
Making Connections 119
Monitoring MHR 119
Monitoring MECG 119
Applying Electrodes 120
Viewing the Waveform on the Screen 120
Printing the Waveform 120
Pulse Rate from SpO
2
Adjusting the Heart Rate / Pulse Alarm Limits 121
Average Pulse Rate from Noninvasive Blood Pressure 121
Troubleshooting 121
Testing MECG Mode 121
120
18 Printing the ECG Waveform 123
19 Paper Save Mode for Maternal Measurements 127
20 Recovering Data 129
Recovering Traces on Paper 129
Recovering Traces on an OB TraceVue System 130
Recording Stored Data 130
21 Care and Cleaning 133
General Points 133
Cleaning and Disinfecting 134
vi
Cleaning Agents 134
Disinfecting Agents 135
Cleaning and Disinfecting Monitoring Accessories 135
Sterilizing 135
22 Maintenance 137
Inspecting the Equipment and Accessories 137
Inspecting the Cables and Cords 137
Maintenance Task and Test Schedule 138
Storing Recorder Paper 138
Cleaning the Printhead 139
Disposing of the Monitor 139
23 Accessories and Supplies
141
Information on Latex 141
Tr a n s d u c e r s 141
Fetal Accessories 142
DECG Accessories: Component Compatibility 143
MECG Accessories 143
Noninvasive Blood Pressure Accessories 144
Adult/Pediatric Multi-Patient Comfort Cuffs and Disposable Cuffs 144
Adult Antimicrobial Coated Reusable cuffs 144
Adult Soft Single Patient Single-Hose Disposable Cuffs 144
SpO2 Accessories 145
Recorder Paper 147
24 Specifications and Standards Compliance 149
Environmental Specifications 149
Physical Specifications 150
Performance Specifications 151
Fetal / Maternal 151
Noninvasive Blood Pressure 154
SpO
2
Recorder Specifications 158
Alarm Defaults 160
Compatible External Displays: FM40/FM50 Only 160
Manufacturer’s Information 161
Trademark Acknowledgement 161
Regulatory and Standards Compliance 161
Safety and Performance 161
Electromagnetic Compatibility (EMC) 161
EMC Testing 162
Reducing Electromagnetic Interference 162
System Characteristics 163
Electromagnetic Emissions and Immunity 163
Electromagnetic Immunity 164
156
vii
Finding Recommended Separation Distances 165
Recommended Separation Distances from Other RF Equipment 167
Environment 167
Monitoring After a Loss of Power 168
ESU, MRI and Defibrillation 168
Cardiac Pacemakers and Electrical Stimulators 168
Fast Transients/Bursts 168
Symbols on the System 168
viii
Who this Book is For
This book is for trained healthcare professionals using the Avalon FM20, FM30, FM40 and FM50
fetal/maternal monitors. It describes how to set up and use the monitor and transducers. Familiarize
yourself with all instructions including warnings and cautions before starting to monitor patients. Read
and keep the Instructions for Use that come with any accessories, as these contain important
information about application and care and cleaning that is not repeated in this book.
You should be:
• Trained in the use of fetal heart rate (FHR) monitors.
• Trained in the interpretation of FHR traces.
• Familiar with using medical devices and with standard fetal monitoring procedures.
1
1Introduction
For information on how to configure and service the monitor, refer to the Service Guide, or contact
your authorized service provider.
Your monitor may not have all of the features and options described in this guide. The exact
appearance of the monitor may differ slightly from that shown in the illustrations.
In this guide:
•A warning alerts you to a potential serious outcome, adverse event or safety hazard. Failure to
observe a warning may result in death or serious injury to the user or patient.
•A caution alerts you to where special care is necessary for the safe and effective use of the product.
Failure to observe a caution may result in minor or moderate personal injury or damage to the
product or other property, and possibly in a remote risk of more serious injury.
• Monitor refers to the entire fetal/maternal monitor. Display refers to the physical display unit.
Screen refers to everything you see on the monitor’s display, such as measurements, alarms, patient
data and so forth.
• Whenever a monitor’s identifier appears to the left of a heading or paragraph, it means that the
information applies to that monitor only. Where the information applies to all models, no
distinction is made.
1
1 Introduction Confirm Fetal Life Before Using the Monitor
Confirm Fetal Life Before Using the Monitor
Fetal monitoring technology available today is not always able to differentiate a fetal heart rate (FHR)
signal source from a maternal heart rate (MHR) source in all situations. Therefore, you should confirm
fetal life by independent means before starting to use the fetal monitor, for example, by palpation of
fetal movement or auscultation of fetal heart sounds using a fetoscope, stethoscope, or Pinard
stethoscope. If you cannot hear the fetal heart sounds, and you cannot confirm fetal movement by
palpation, confirm fetal life using obstetric ultrasonography. Continue to confirm that the fetus is the
signal source for the FHR during monitoring.
Be aware that:
• a MHR trace can exhibit features that are very similar to those of a FHR trace, even including
accelerations and decelerations. Do not rely solely on trace pattern features to identify a fetal source.
• Fetal Movement Profile (FMP) annotations on a fetal trace alone may not always indicate that the
fetus is alive. The body of a deceased fetus can move and cause the monitor to annotate fetal body
movements.
Here are some examples where the MHR can be misidentified as the FHR.
• When using an ultrasound transducer:
– It is possible to pick up maternal signal sources, such as the maternal heart, aorta, or other large
vessels.
– Misidentification may occur when the MHR is higher than normal (especially when it is over 100
bpm).
• When using a fetal scalp electrode:
– Electrical impulses from the maternal heart can sometimes be transmitted to the fetal monitor
through a recently deceased fetus via the spiral scalp electrode cable, appearing to be a fetal signal
source.
– The recorded MHR (and any artifact) can be misinterpreted as a FHR (especially when it is over
100 bpm).
• When Fetal Movement Profile (FMP) is enabled:
FMP annotations in the absence of fetal life may be a result of:
– Movement of the deceased fetus during or following maternal movement.
– Movement of the deceased fetus during or following manual palpation of fetal movement
(especially if the pressure applied is too forceful).
– Movement of the ultrasound transducer.
– The ultrasound transducer detecting a maternal movement source, such as the mother’s aorta.
See also the chapters “Monitoring FHR and FMP Using Ultrasound” and “Monitoring FHR Using
DECG”.
To reduce the possibility of mistaking the MHR for FHR, it is recommended that you monitor both
maternal and fetal heart rates. The monitor’s cross-channel verification (CCV) facility can help by
automatically detecting when a MHR coincides with a FHR. For further details, see “Cross-Channel
Verification” on page 70.
2
Introducing the Avalon Family of Fetal Monitors 1 Introduction
Introducing the Avalon Family of Fetal Monitors
The Avalon family of fetal monitors consists of the Avalon FM20, FM30, FM40 and FM50. While the
FM20/FM30 and the FM40/FM50 have different form factors, the method of operation is very similar
for all monitors. The Avalon fetal monitors also share the same transducers and accessories, and are
compatible with the Avalon CTS Cordless Fetal Transducer System (M2720A).
Intended Use
The Philips Avalon FM20 (M2702A), FM30 (M2703A), FM40 (M2704A) and FM50 (M2705A)
Fetal/Maternal Monitors are intended for non-invasive monitoring of the physiological parameters of
pregnant women during antepartum testing and labor and delivery. The FM30 and FM50 are
additionally intended for invasive monitoring.
All monitors are intended for monitoring fetal and maternal heart rates, uterine activity, maternal noninvasive blood pressure, and additionally for the FM30, FM40 and FM50, oxygen saturation (SpO
All monitors are intended for generating alarms from fetal and maternal parameters, for displaying,
storing and recording patient data and related waves, transmitting patient data to a patient information
and surveillance system on a network, and for postpartum monitoring of the mother.
All monitors are intended for use by trained health care professionals.
).
2
They are intended for use in labor and delivery rooms, antepartum testing areas and during postpartum
recovery in the hospital environment. They are not intended for use in intensive care units or operating
rooms. The FM20 and FM30 are additionally intended for use in healthcare facilities outside hospitals,
for example in doctors’ offices, and for use in private households.
Contraindications
All monitors are NOT intended for:
– use during defibrillation, electro-surgery, or magnetic resonance imaging (MRI).
– ECG measurements on patients connected to external electrical stimulators or with cardiac
pacemakers.
– use with the IUP/ECG patient module (M2738A) in domestic establishments and those
connected directly to the public low-voltage supply network that supplies buildings used for
domestic purposes.
CAUTION US federal law restricts this device to sale by, or on the order of, a physician.
Indications for Use
The monitors are indicated for use by health care professionals for monitoring the physiological
parameters of pregnant women.
3
1 Introduction Introducing the Avalon Family of Fetal Monitors
4
Installation should be carried out by qualified service personnel, either by the hospital’s biomedical
department, or by Philips Support.
As the first step in preparing the monitor for use, follow the installation instructions given in this
chapter.
For a list of conventions used in this guide, see Chapter 2, “Basic Operation”.
Not all accessories and supplies may be available in all geographies. Please contact your local Philips
sales representative for details of availability.
Installation Checklist
Use this checklist to document your installation.
2
2Installation
Step Ta sk Check Box
when Task
Done
1 Perform initial inspection of delivery, unpack and check the shipment
(see “Unpacking and Checking the Shipment” on page 6)
2 Mount the monitor as appropriate for your installation
(see “Mounting the Monitor” on page 6)
3 Connect the fetal monitor to AC mains using the supplied power cord (see
“Connecting the Monitor to AC Mains” on page 7)
4 Perform Safety Tests (see “Safety Tests” on page 8) ❏
5 Check that default settings (including the line frequency) are appropriate for
your institution
6 Check/set the paper scale (see “Checking/Setting Paper Scale” on page 33) ❏
7 Load paper into the recorder (see “Loading Paper: FM20/FM30” on page 35
or “Loading Paper: FM40/FM50” on page 36, depending on your monitor)
8 Check/set the time and date (see “Setting the Date and Time” on page 25) ❏
9 Check/set paper speed (see “Choosing Paper Speed” on page 39) ❏
10 Perform System Test as necessary (see the Service Guide) ❏
11 Test Transducers (see “Testing Ultrasound Transducers” on page 75 and
“Testing Toco Transducers” on page 96)
❏
❏
❏
❏
❏
❏
5
2 Installation Unpacking and Checking the Shipment
Unpacking and Checking the Shipment
The monitor and any supporting options ordered are supplied packed in protective shipping cartons.
Initial Inspection
Before unpacking, visually check the packaging and ensure that there are no signs of mishandling or
damage.
Open the package carefully and remove the instrument and accessories.
Check that the contents are complete and that the correct options and accessories have been delivered.
System Components, Accessories and Supplies FM20 FM30 FM40 FM50
To c o+ transducer (with belt clip) - 1 - 1
Toco transducer (with belt clip) 1 - 1 -
US transducer (with belt clip) 1111
Patient Module for DECG/MECG/IUP optional
IUP Adapter Cable
DECG reusable legplate adapter cable - 1 - 1
MECG adapter cable - 1 - 1
Event Marker optional optional optional optional
Fetal paper pack (country-specific, installed) 1111
Powercord 1111
Printed Instructions for Use 1111
Documentation DVD-ROM: includes FM20/30 Service
Guide, FM40/50 Service Guide, Instructions for Use
(including localized versions), and Training Guide
1.
For assessment of maternal heart rate only.
2. Ships with Patient Module.
2
1
1111
optional optional
11
1
optional
Claims for Damage
If the shipping cartons are damaged, contact the carrier.
If any of the equipment is damaged, contact both the carrier and your local Philips service organization
for repair or replacement arrangements.
Repacking
Retain the original packing carton and material, in case you need to return equipment to Philips for
service. If you no longer have the original packing materials, Philips can advise you on alternatives.
Mounting the Monitor
The monitor can be rested on a flat surface, set at an angle using the built-in stand, or mounted on a
wall, on a cart or on a rollstand. See the Service Guide for details.
The monitor can be rested on a flat surface, or on a cart. See
6
your monitor’s Service Guide for details.
Connecting the Monitor to AC Mains 2 Installation
Connecting the Monitor to AC Mains
The monitor is an electrical Class II device in which the protection against electric shock does not rely
on basic insulation and a protective earth conductor but on double and/or reinforced insulation.
The monitor is an electrical Class I device. Protection against electric shock is provided by a protective
earth conductor.
The monitor has a wide-range power supply that allows you to operate the monitor from an AC
(alternating current) power source of 100 V to 240 V (± 10%) and 50 or 60 Hz (± 5%).
WARNING • Always use the supplied power cord with the earthed mains plug to connect the monitor to an
earthed AC mains socket. Never adapt the mains plug from the power supply to fit an unearthed AC
mains socket.
• Check that the line frequency is correctly set for your institution (50 Hz or 60 Hz) before putting
the monitor into service.
• FM20/FM30 only: The protective earth conductor is required for EMC purposes. It has no
protective function against electric shock! The protection against electric shock in this device is
provided by double and/or reinforced insulation.
• Do not use AC mains extension cords or multiple portable socket-outlets.
How and When to Carry Out the Test Blocks
The following table defines which test and inspection blocks need to be performed, and when they are
required.
Tes t Bl oc k Test or Inspection to be Performed Te s t B l o c k R eq u i r ed f o r
Which Events?
Visual Inspect the monitor, transducers and cables for
any damage.
Are they free of damage?
Power On Power on the monitor. Does it boot up
successfully without errors? After boot up the
monitor sounds a tone, and can you see the
monitoring main screen.
If recorder power-on auto-start is configured to
On, does the recorder print “Selftest OK” across
the trace paper? (See page 26 for details.)
Safety Tests (1) to (4) Perform safety tests (1) to (4), as described in your
monitor’s Service Guide, for standalone devices if
required by local regulations, and each time you
combine equipment to form a system, or exchange
system components.
Installation
Preventive Maintenance
Installation
Preventive Maintenance
Installation
Preventive Maintenance
7
2 Installation Safety Tests
Tes t Bl o c k Test or Inspection to be Performed Te s t B l oc k Re q u i re d f o r
Which Events?
Performance Test the transducers (see “Testing Ultrasound
Transducers” on page 75 and “Testing Toco
Tr a ns du c er s” o n p a g e 9 6 ) .
System Perform the system test according to IEC/EN
60601-1-1/IEC/EN 62353, if applicable, after
combining equipment to form a system (see your
monitor’s Service Guide).
For test and inspection information regarding repairs, upgrades and all other service events, refer to
your monitor’s Service Guide.
Installation
Preventive Maintenance
Combining system
components
Safety Tests
Details of the safety tests and procedures required after an installation or an exchange of system
components are described in your monitor’s Service Guide. These safety tests are derived from
international standards but may not be sufficient to meet local requirements.
WARNING • Do not use additional AC mains extension cords or multiple portable socket-outlets. If a multiple
portable socket-outlet is used, the resulting system must be compliant with IEC/EN 60601-1-1.
• Do not connect any devices that are not supported as part of a system.
• Do not use a device in the patient vicinity if it does not comply with IEC/EN 60601-1. The whole
installation, including devices outside of the patient vicinity, must comply with IEC/EN 60601-1-1.
Any non-medical device, including a PC running an OB TraceVue system, placed and operated in
the patient’s vicinity must be powered via a separating transformer (compliant with IEC/EN 606011-1) that ensures mechanical fixing of the power cords and covering of any unused power outlets.
8
3
3Basic Operation
This chapter gives you an overview of the monitor and its functions. It tells you how to perform tasks
that are common to all measurements (such as entering data, switching a measurement on, changing
some monitor settings, and setting up the recorder). The alarms section gives an overview of alarms.
The remaining sections tell you how to perform individual measurements, and how to care for and
maintain the equipment.
9
3 Basic Operation Supported Measurements
Supported Measurements
The following measurements are supported:
Supported Measurements
Fetal Maternal
Fetal
Monitor
Model
)
2
Fetal Heart Rate
(FHR) via US
Including Twins
●❍●
● ❍●●●●●❍ ❍
●❍●
● ❍●●●●●● ●
Key: ● = Standard
Triple F H R vi a U S
To co
FHR
via Direct ECG
(DECG)
Intrauterine Pressure
(IUP)
--
--
= Optional
❍
Maternal Heart Rate
(MHR) via maternal
ECG electrodes
Maternal ECG
(MECG)
●
●
-
-
Noninvasive Blood Pressure
with Pulse Rate
Pulse Oximetry
❍
●●
- = Not Available
with Pulse Rate
(Maternal SpO
-
10
Avalon FM20 and FM30 3 Basic Operation
Avalon FM20 and FM30
This section outlines the capabilities of your monitor.
Avalon FM20
The Avalon FM20 fetal/maternal monitor provides a solution for external fetal monitoring
applications, and optional non-invasive maternal vital signs.
You can monitor fetal heart rates (FHRs) externally using ultrasound, uterine activity using an external
Toco transducer, and the maternal heart rate (MHR) via maternal ECG electrodes, and optionally,
non-invasive blood pressure.
Measurements are displayed on a 6.5-inch color display as numerics. The display is a touchscreen, and
you operate the monitor using this touchscreen interface. The integrated recorder documents fetal and
maternal measurements as well as user defined annotations.
You can connect the monitor to an OB TraceVue obstetrical documentation and surveillance system
via the RS232 connection, or over a LAN connection (with OB TraceVue Revision E.00.00 and later).
Avalon FM30
The Avalon FM30 fetal/maternal monitor offers a solution for both external and internal fetal
monitoring applications, and optional non-invasive maternal vital signs.
The Avalon FM30 shares all the features and capabilities of the Avalon FM20. In addition, you can
monitor one FHR internally via direct fetal electrocardiogram (DECG), uterine activity internally
using an intra-uterine pressure (IUP) catheter together with a Toco
optionally, maternal oxygen saturation (SpO
The Avalon FM30 carries the label, indicating that it is capable of intrapartum monitoring.
+
transducer or patient module, and
).
2
11
3 Basic Operation Avalon FM40 and FM50
Avalon FM40 and FM50
This section outlines the capabilities of your monitor.
Avalon FM40
The Avalon FM40 fetal/maternal monitor provides a solution for external fetal monitoring
applications, and optional non-invasive maternal vital signs.
You can monitor fetal heart rates (FHRs) externally using ultrasound, uterine activity using an external
Toco transducer, and the maternal heart rate (MHR) via maternal ECG electrodes, and optionally,
non-invasive blood pressure and maternal oxygen saturation (SpO
Measurements are displayed on a 6.5-inch color display as numerics. The display is a touchscreen, and
you operate the monitor using this touchscreen interface. The integrated recorder documents fetal and
maternal measurements as well as user defined annotations.
You can connect the monitor to an OB TraceVue obstetrical documentation and surveillance system
via the RS232 connection, or over a LAN connection (with OB TraceVue Revision E.00.00 and later).
Avalon FM50
The Avalon FM50 fetal/maternal monitor offers a solution for both external and internal fetal
monitoring applications, and optional non-invasive maternal vital signs.
The Avalon FM50 shares all the features and capabilities of the Avalon FM40. In addition, you can
monitor one FHR internally via direct fetal electrocardiogram (DECG), and uterine activity internally
using an intra-uterine pressure (IUP) catheter together with a Toco
The Avalon FM50 carries the label, indicating that it is capable of intrapartum monitoring.
).
2
+
transducer or patient module.
12
Cordless Monitoring 3 Basic Operation
Cordless Monitoring
All monitors are compatible with the Avalon CTS Cordless Fetal Transducer System (M2720A). Note
the following points regarding cordless monitoring:
• One Avalon CTS Cordless Fetal Transducer System can be connected at a time.
• Monitoring multiple pregnancies using cordless transducers is not supported.
• Using a mixture of wired and cordless fetal transducers is not supported. You can use either wired or
cordless fetal transducers.
• When the monitor recognizes an Avalon CTS interface cable M2731-60001 (red connector) or
M2732-60001 (black connector, for rear connection on FM40/FM50 only), it gives confirmation
by showing the following status indicator in the lower right-hand corner of the screen:
Indicator Meaning
Avalon CTS interface cable is connected to the monitor, but the Avalon CTS base
station is not connected to the interface cable, disconnected from AC mains, or is
in Stand-by.
Avalon CTS interface cable is connected to the monitor, Avalon CTS base station
is connected, powered on, and cordless transducers are ready to use, but no cordless
transducers are currently active (all are still docked in the base station).
Avalon CTS interface cable is connected to the monitor, Avalon CTS base station
is connected, powered on, and at least one cordless transducer has been taken out
of the base station and is active. As cordless transducers have priority over wired
transducers, any connected wired transducers are disabled.
• Cordless transducers have priority over wired transducers. When an Avalon CTS base station is
connected via the appropriate interface cable to the fetal monitor, and there are also wired
transducers connected to the monitor, the wired transducers are disabled whenever a cordless
transducer is active. To change back to using wired transducers, dock the cordless transducers in the
Avalon CTS base station or switch the base station to Stand-by, and continue monitoring with the
wired transducers.
• When using a cordless ultrasound transducer from an Avalon CTS system, the monitor
automatically sets the Fetal Movement Profile (FMP) to Off. You can enable the FMP again should
you wish, (see “Switching FMP On and Off” on page 74), but you should refer to the sections
“Cordless Monitoring - Important Considerations” on page 70 and “Fetal Movement Profile” on
page 72.
13
3 Basic Operation Getting to Know Your Avalon FM20/FM30
Getting to Know Your Avalon FM20/FM30
Overview
1 Touchscreen display (tilt and fold)
1
2
3
5
2 Power LED
3 Paper drawer
4 Paper drawer release
5 Connectors (see Left Side view)
4
Right Side
Rear
10
8
6
ON/OFF switch
7
Power connector
6
7
8
Carrying handle
9
Built-in stand
10
Display release
14
9
Getting to Know Your Avalon FM20/FM30 3 Basic Operation
Left Side
11
Fetal sensor sockets - each
socket accepts any fetal
transducer, an Avalon CTS
Cordless Fetal Transducer
System base station (connected
via the interface cable M2731-
60001), or event marker
12
Noninvasive blood pressure
1213
11
socket (optional)
13
SpO2 socket (optional, FM30
only)
15
3 Basic Operation Getting to Know Your Avalon FM40/FM50
Getting to Know Your Avalon FM40/FM50
Front
On/Off/Standby switch1
4
8
9
7
5
6
3
2
2 Power LED
3 Recorder paper table
4 Touchscreen color display
5 Transparent paper guide with tear-off
edge
6 Paper eject button. Press to open paper
drawer. Press again and hold when
removing paper.
7 Fetal sensor sockets. Connect any fetal
1
sensor or patient module here,
including Avalon CTS via M273160001 interface cable (with red
connector).
8 Noninvasive blood pressure socket
9 SpO
socket
2
Rear
Reserved for future use: protective
earth intended for use in system
1
2 Equipotential grounding point
3 Power cord connector
4 Loudspeaker
5 Slot 01 for optional LAN / RS232
12
3
4
(A)(B)
6
9
8
6 Slot 02 for optional interfaces:
5
7
7 Slot 03 reserved for future use
8 Video output (VGA)
9 Telemetry interface. If not using one of
installations.
system interface (for connection to an
obstetrical information and
surveillance system)
• Either dual PS/2 system interface
(A) for mouse and keyboard
connection)
• Or MIB interface (B) for external
touch screen connection
the fetal sensor sockets, one Avalon
CTS can be connected at a time to
either socket using the M2732-60001
interface cable (with black connector).
16
Transducers 3 Basic Operation
Transducers
1
Transducer Finder LED - lights
up on the transducer providing
1
2
Toc o Tr a n s d u c er
(M2734A)
the measurement source.
2
Belt Button
3
Cable - connects to any of the
four Fetal Sensor Sockets on the
monitor
3
Ultrasound Transducer
(M2736A)
4
Connector - for connecting
4
ECG/IUP adapter cables
+
(M2735A Toco
only)
transducer
Toco+ Transducer with ECG/IUP capability
(M2735A)
17
3 Basic Operation Transducers
5
Butterfly belt clip (shown
fitted; for use with belts
6
without button holes)
6
Close-up of MECG adapter
cable connected to Toco
+
transducer
7
5
Close-up of active Finder LED
7
8
Connector - for connecting
ECG/IUP adapter cables (same
+
as for Toco
9
8
9
Cable - connects to any of the
four Fetal Sensor Sockets on the
monitor
transducer)
Patient module for ECG/IUP
(M2738A)
18
Operating and Navigating 3 Basic Operation
Operating and Navigating
Your monitor has a touchscreen. Everything you need to operate the monitor, other than to turn it on
and off, is contained on its screen. Most screen elements are interactive. Screen elements include
measurement numerics, screen keys, information fields, status indicators, alarms fields and menus.
If an optional external touch display is connected to the monitor, you can operate the monitor using
the external touch display.
1
15
18
17
16
324
Toco
Stop
31 Jan
INOP Only
SpO
Paper
Advance
13
Doe, Jane
20 minNST
FHR1
NBP Auto
Sys.
All Settings restored successfully
Silence
Toco
Baseline
Start/
14
13:31
2
Dischrge
FHR2
Admit
5
Bed 11
Pulse
12
67
8
9, 10
Main
Screen
11
Screen Elements
Item Description
Monitor Information Line
INOP and alarm status area - shows active alert messages
1
LAN connection status indicator only. RS232 system connection is not indicated.
2
Monitor connected to OB
Tr a c e V u e
Patient identification
3
Date and time
4
Bed label (when connected to a Philips OB TraceVue system)
5
Fetal heart sound volume adjust/indicator
6
LAN cable connected, but no
connection to OB TraceVue
If no indicator is shown, there
is no network connection.
19
3 Basic Operation Operating and Navigating
Screen Elements
Item Description
Alarm volume adjust/indicator
7
Other Screen Elements
Numeric/measurement values
8
Status indicator - for fetal trace recorder
9
Fetal recorder On
Status indicator - for Avalon CTS system:
10
Avalon CTS interface cable is
connected to the monitor, but
Avalon CTS base station is not
connected to the interface cable,
disconnected from AC mains, or is
in Stand-by.
Close all open menus and windows and return to main screen
11
Scroll to display more SmartKeys
12
SmartKeys - these can vary according to your monitor’s configuration
13
Silence - key which acknowledges all active alarms by switching off audible alarm indicators
14
Status line - shows status and prompt messages
15
Signal quality indicator:
16
Fetal recorder Off
(when Paper Save
Mode is off )
Avalon CTS interface cable is
connected to the monitor, Avalon CTS
base station is connected, powered on,
and cordless transducers are ready to
use, but no cordless transducers are
currently active (all are still docked in
the base station).
Fetal recorder Off
(when Paper Save
Mode is on)
Recorder problem that can
be solved by the user (for
example, paper out, paper
jam, wrong paper scale set)
Avalon CTS interface cable is
connected to the monitor, Avalon CTS
base station is connected, powered on,
and at least one cordless transducer has
been taken out of the base station and
is active. Any connected wired
transducers are disabled.
Fetal recorder is
defective. Call service.
20
Good/full
Measurement label (a cordless measurement from a connected Avalon CTS system is indicated by the symbol)
17
NST timer, if configured (default is off)
18
Acceptable/medium
Poor/no signal
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