Philips Medical FM20, FM30, FM40, FM50 Training guide

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TRAINING GUIDE

Avalon Fetal Monitor

FM20 / FM30 / FM40 / FM50

Release F.0 with Software Revision F.01.xx

FETAL MONITORING

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Philips Medizin Systeme Boeblingen GmbH Hewlett-Packard-Str. 2 71034 Boeblingen Germany

Printed in Germany 12/08

*453564129711*

4535 641 29711

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4535 641 29711

1Table Of Contents

1 Introduction 1

About this Guide 1 How to use this Training Guide 1 Symbols 1 Generating Data 2

Activating Demo Mode 2 Exiting Demo Mode 2 Demo Mode and OB TraceVue 3

References 3

2 Training Objectives 5

Competency Statement 5 Performance Objectives 5

3 Overview 7

Avalon FM20/FM30 7 Avalon FM40/FM50 8 Tr a n s d u c e r s 9 Related Product 10 User Interface 11

Touchscreen Operation 11 Operating and Navigating 12 Keys 13

Loading Paper 15

4 Basics 19

Switching On 19 Monitoring FHR using Ultrasound 19 Monitoring Uterine Activity Externally 21 Recording Data 21 Switching the Monitor to Standby 22 Switching Off 22

5 Standard Functions 23

Fetal Measurements 23

Monitoring FMP using Ultrasound 23 Monitoring FHR using DECG 24 Monitoring Uterine Activity Internally 26 Cordless Transducer System - Avalon CTS 28 Monitoring Twins and Triplets 30

Maternal Measurements 32

Monitoring Noninvasive Blood Pressure (NBP) 32

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Monitoring SpO2 and Pulse Rate 33 Cross-Channel Verification 35 Monitoring MECG 35

General Parameters 37

Entering Notes 37 Marking an Event 37 Admitting, Transferring and Discharging Patients 39 Fetal Monitor Connections 47 Connection Status Indicator 48

6 Changing Settings 49

Alarms 49 Switching NBP On/Off manually 51 Adjusting Tone Volume 52 Stored Data Recording 52 Setting Non-Stress Test Timer 53

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About this Guide

This training guide assists you, as a trained healthcare professional, using the Avalon FM20, FM30, FM40, and FM50, to learn the basic functions of the monitors. It is task-oriented, providing a fast, hands-on introduction to the monitor.

In the Overview, a short introduction gives you an quick outline of the monitor.

The training is divided into three sections:

Basics provides information about the fetal monitor. By going from task to task you will learn to start monitoring immediately after switching on the monitor.

In Standard Functions, you will learn about monitoring all the maternal and fetal measurements.

Changing Monitor Settings familiarizes you with the monitor settings.

1Introduction

Basics

Functions

Standard

Functions

Changing

Monitor Settings

How to use this Training Guide

This Training Guide leads you step-by-step through the basic functions of the monitor. Work through all the steps sequentially in the order they are presented. Use this guide in conjunction with an Avalon Fetal Monitor and its Instruction for Use (IfU).

Symbols

To become familiar with your monitor, you go step-by-step from task-to-task. These tasks are indicated by a pointing finger symbol.

Places where we recommend you to refer to the IfU are indicated by a book symbol.

The locomotive symbol indicates additional information for fetal monitors which are connected to OB TraceVue (Rev. F). In that case, use this guide also in conjunction with OB TraceVue and its Instruction for Use (IfU).

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1 Introduction Generating Data

Generating Data

Most of the patient data required for this training can be generated in the monitor’s Monitoring mode. Sometimes you will need to apply a measurement sensor to yourself. For some exercises, you have to use the fetal monitor’s Demo mode. During this training, you will need to switch between Demo and Monitoring modes. The operating mode you will need is indicated at the side of each task.

Activating Demo Mode

Demo mode is for demonstration and training purposes only. Never use Demo mode when a patient is attached to the monitor.

1 Select the Main Setup SmartKey.

Main

Setup

2 In the Main Setup menu, scroll down and

select Operating Modes.

Operating Modes

Main Setup

3 From the Operating Modes menu, select

Demo.

4 Using the pop-up keyboard, type in the

password 14432 and select Enter.

Numeric values or readings appear together with a flashing Demo flag.

Exiting Demo Mode

When you have completed your training tasks, always exit Demo mode. When you leave Demo mode, the monitor clears all demo data from the monitor’s memory and uses the default settings. For example, if you changed the FHR tone in Demo mode to a special value, you need to change it again to the same value in Monitoring mode.

1 Select the flashing Demo flag on the screen

to exit the Demo mode.

Operating Modes

Demo

DEMO

D E M O

2 From the Operating Modes menu, select

Monitoring.

To exit the Demo Mode, it is also possible to cycle power.

Monitoring

Operating Modes

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References 1 Introduction

Demo Mode and OB TraceVue

The fetal monitor’s demo data is not transferred to OB TraceVue when connected with a serial connection (RS232).

Demo data is transferred to OB TraceVue when the fetal monitor is connected via LAN, and both the fetal monitor and OB TraceVue are in Demo Mode.

References

This training guide is additional to, and does not replace, the monitor’s IfU. It is an initial training tool. For full operating instructions and safety-related information, it is essential to read and follow the IfU. For applicable warnings and precautions refer to the IfU of the respective fetal monitor.

Before monitoring patients you must have a comprehensive understanding of patient monitoring.

The following documentation was shipped with your Avalon Fetal Monitor:

• Instructions for Use

•Quick Guide

• Avalon training video (FM 20/30 only)

• Fetal Monitoring Documentation DVD, which contains the service guide, this training guide, and the above documents as pdf files (readable with Adobe Reader), as well as all other documents associated with this monitor:

– application notes (English only)

– configuration guide (English only).

The DVD can be used as a source of reference or to print additional copies of the documents. To purchase printed copies of any documentation, or to purchase additional copies of the DVD, please contact:

Globalware Solutions

Tel: +1-800-527-6871; Fax: +1-978-469-7529; e-mail: [email protected].

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1 Introduction References

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2Training Objectives

Competency Statement

You will be able to perform fundamental monitoring functions.

Performance Objectives

You will be able

• to explain or demonstrate the:

–monitor controls, indicators and connectors

–operation and navigation using the touchscreen and the SmartKeys

–measurement values and waves

• to acquire, manage, and to evaluate fetal data:

–fetal heart rate (FHR) and fetal movement profile (FMP) by using ultrasound (US)

–fetal heart rate (FHR) by using direct ECG (DECG)

• to acquire, manage, and to evaluate maternal data:

–uterine activity externally (Toco)

–internal uterine activity (IUP)

–noninvasive blood pressure (NBP)

and pulse rate

–SpO

–maternal ECG (MECG)

–notes and events

–admission, transfer and discharge

• to use the monitor together with the cordless transducer system Avalon CTS

• to monitor twins and triplets

• to change monitor settings and evaluate alarm and data history:

–alarm settings

–measurement settings

–printing data

• to set the non-stress test timer

• to activate and deactivate Demo mode.

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2 Training Objectives Performance Objectives

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Avalon FM20/FM30

3Overview

1 To u ch scr ee n d isp la y

2 Power LED

3 Paper drawer

4 Paper drawer release

Fetal sensor sockets, or event marker

Noninvasive blood pressure socket

SpO2 socket

On/Off switch

Power connector

Slot 01 for optional LAN / RS232 system interface

8 9

Slot 02 dual PS/2 system interface

for mouse and keyboard connection

Display release

Carrying handle

Built-in stand

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3Overview Avalon FM40/FM50

Avalon FM40/FM50

1 Touchscreen color display

2 Transparent paper guide with tear-off

edge

3 Paper eject button

4 On/Off/Standby switch

5 Power LED

6 Recorder paper table

7 SpO

8 Noninvasive blood pressure socket

9 Fetal sensor sockets

socket

1 Reserved for future use: protective

earth intended for use in system installations.

2 Equipotential grounding point

3 Power connector

4 Loudspeaker

5 Slot 01 for LAN / RS232 system

6 Slot 03 for future use

(A)(B)

7 Video output (VGA)

8 Telemetry interface

9 Slot 02 for optional interfaces:

interface

• Either dual PS/2 system interface (A) for mouse and keyboard connection)

• Or MIB interface (B) for external touch screen connection

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Transducers 3Overview

Transducers

Transducer finder LED

Belt button

Cable to any of the four fetal sensor sockets on the monitor

To c o Tra ns d uc e r (M2734A)

Toco

Tr ansducer w ith ECG/ IUP

capability (M2735A)

Ultrasound Transducer (M2736A)

Connector - for connecting ECG/IUP adapter cables

(M2735A Toco

transducer

only)

Butterfly belt clip for use with

belts without button holes

Connector - for connecting ECG/IUP adapter cables (same

as for Toco

Cable to any of the four fetal

transducer)

sensor sockets on the monitor

Patient module for ECG/IUP (M2738A)

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3Overview Related Product

For detailed information about transducers, read the “Avalon Smart Transaducers” application note (English only) on the “Fetal Monitor Documentation” DVD.

Related Product

Cordless Transducer

Base station

Avalon CTS (M2720A)

Cordless Fetal Transducer System

ECG Transducer

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User Interface 3Overview

User Interface

The link between you and the monitor is the “user interface”. The user interface of a monitor’s display is called “Graphical User Interface” (GUI).

Touchscreen Operation

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. For example, when you touch a measurement numeric, that measurement’s Setup menu opens, from which you can make your selection. This may be another menu, or a pop-up list from which to choose an item.

Setup FHR1 menu

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3Overview User Interface

Operating and Navigating

Most screen elements are interactive. Screen elements include measurement numerics, screen keys, information fields, status indicators, alarms fields and menus.

23 4

Doe, Jane

FHR2 UNPLUGGED

18 17

NST

FHR1

20 min

00:12 30

Pulse 60

NBP

Sys.

All Settings restored successfully

Silence

Baseline

Man 08:28

Toco

Start/

Stop

31 Jan

INOP Only

SpO

Paper

Advance

13:31

Toco

Bed 11

Admit/

Dischrge

Pulse

TELE

Main

Screen

9, 10

1 INOP and alarm status area

2 LAN connection status indicator

3 Patient identification

4 Date and time

5Bed label

6 Fetal heart sound volume adjust/indicator

7 Alarm volume adjust/indicator

8 Numeric/measurement values

9 Status indicator for Avalon CTS system

10 Status indicator for fetal trace recorder

11 Main Screen SmartKey

12 Scroll to display more SmartKeys

13 SmartKeys

14 Silence key

15 Status line - shows status and prompt messages

16 Signal quality indicator

17 Measurement label

18 NST timer (off by default)

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User Interface 3Overview

Keys

The monitor has three different types of keys. They are called Permanent keys, SmartKeys, and Pop-up keys.

Permanent Keys

A Permanent key is a graphical key that remains permanently on the screen.

Silence - acknowledges an active alarm by switching off audible alarm indicators. The acknowledgement is visible by a checkmark displayed in the visible alarm bar.

Silence

SmartKeys

Main Screen - closes all open menus and windows and returns to the main screen.

SmartKeys are graphical keys, located at the bottom of the main screen, and configurable in the monitor’s Configuration mode. They give you fast access to functions. The selection of SmartKeys available on your monitor depends on your monitor configuration and on the options purchased. The SmartKeys in the following table are the default SmartKeys of your monitor.

Reset Toco baseline

Start and stop trace recorder

Main

Screen

Toco

Baseline

Start/

Stop

Paper advance to the next fold

Admit and discharge a patient

Enter notes

Paper

Advance

Admit/

Dischrge

Enter Notes

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3Overview User Interface

Start and stop manual NBP measurement

Start automatic NBP measurement series

Stop current automatic NBP measurement. Automatic mode remains active.

Stop all NBP measurements

Set time interval between two NBP measurements

Alarms off (if pause duration is infinite)

Pause alarms

Re-enable alarm indicators

Print trace data from the monitor’s memory

Start/

Stop

All

Repeat

Time

Alarms

Off

Stored

Data Rec

Pop-Up Keys

Enter standby mode

Enter Main Setup menu

Additional SmartKeys are described in the IfU (see “Basic Operation - Keys - SmartKeys” in the IfU).

Pop-up keys are context-sensitive graphical keys that appear automatically on the monitor screen when required.

For example, the Confirm pop-up key appears when you need to confirm a change.

Monitor Standby

Main

Setup

Confirm

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Loading Paper 3Overview

Loading Paper

1 If the recorder is on, press the recorder

Start/Stop Smartkey or the Stop Recording SmartKey to turn it off.

2 Press the table release to unlock the paper

drawer.

Start/

Stop

3 Pull the table forward to open it fully.

Remove any remaining paper from the tray.

4 Unfold the top page of the pack and

position the uterine activity scale on the right.

The bottom side is indicated by the word STOP printed on the final page of the new pack.

Slide the pack into the tray, with the bottom side down.

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3Overview Loading Paper

5 Push the paper drawer back, securing the

paper with your fingers, until you hear a “click” that indicates the table release is closed.

To switch on the recorder, see “Recording Data” on page 21.

Click

1 If the recorder is on, press the recorder

Start/Stop Smartkey or the Stop Recording SmartKey to turn it off.

Start/

Stop

2 Press the Paper Eject button to unlock the

paper drawer.

Remove any remaining paper from the tray.

3 Move the Transparent Paper Guide

forward.

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Loading Paper 3Overview

4 Unfold the top page of the pack and

position the Uterine Activity Scale on the right.

The bottom side is indicated by the word STOP printed on the final page of the new pack.

Slide the pack into the tray, with the bottom side down.

5 Feed the paper evenly through the paper

guide.

Do not close the paper guide yet.

6 Close the paper drawer.

7 Now close the paper guide.

When you hear the “click”, the paper guide is closed.

To switch on the recorder, see “Recording Data” on page 21.

Click

For further information about the Fetal Recorder, see “Basic Operation - Loading Paper” in the IfU.

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3Overview Loading Paper

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Switching On

When the monitor is connected to an OB TraceVue system, switch on the monitor before performing any transfers to this monitor.

Monitoring Mode

4Basics

1 Press the power switch to turn on the

monitor.

“Self-Test OK”, the serial number, and revisions for the software and firmware are printed on the fetal trace paper (if recorder Autostart is configured to On).

Off

FM 20/30

Monitoring FHR using Ultrasound

Monitoring Mode

1 Place the FHR transducer into the socket.

Push gently until you hear it “click” into position.

This symbol indicates that the FHR transducer is not pushed far enough into the socket.

FM 40/50

Fetal Sensors

Use any of the four fetal sensor sockets labeled with the words “Fetal Sensors” or with the symbol .

Click

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4Basics Monitoring FHR using Ultrasound

2 Confirm fetal life before starting

monitoring.

Prepare for ultrasound monitoring and place the transducers as described in the IfU (see “Monitoring FHR and FMP Using Ultrasound - Preparing to Monitor” in the IfU).

3 Generate an artificial FHR. Note what

happens to the numeric display, the FHR tone, and the signal quality indicator.

4 To open the Fetal Heart Sound Volume

menu, touch the tone volume symbol on the right-upper corner of the display.

Change the fetal heart sound volume to different volumes and hear the differences by again generating an artificial FHR.

To close the menu, select the Main Screen SmartKey, which is permanently in the bottom-right corner of the display.

There are different ways to get to a specific point in the menu. To close open menus, it is recommended to use the Main Screen SmartKey.

FHR1

Fetal Heart Sound Volume

Off

Main

Screen

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Monitoring Uterine Activity Externally 4Basics

Monitoring Uterine Activity Externally

Monitoring Mode

1 Connect the Toco transducer. Use any of

the four fetal sensor sockets marked

or “Fetal Sensors”.

Fetal Sensors

2 Fasten the abdominal belt as described in

the IfU (see “Monitoring Uterine Activity Externally” in the IfU).

3 To open the Setup Toco menu, select the

Toco numeric.

4 Press the Toco Baseline SmartKey to

reset the Toco baseline to 20 on the display and trace.

Recording Data

Monitoring Mode

1 To switch the recorder on or off, press the

Start/Stop SmartKey.

2 You can advance the paper automatically to

the next fold by pressing the Paper Advance SmartKey at any time except during a stored data recording.

Toco

Baseline

Start/

Stop

Paper

Advance

3 If the recorder is running, the running

“recorder on” status indicator is displayed above the Main Screen SmartKey on the screen.

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4Basics Switching the Monitor to Standby

Switching the Monitor to Standby

Monitoring Mode

1 Select the Monitor Standby

SmartKey to place the monitor into Standby mode.

2 All waves and numerics disappear from the

display, but all settings and patient data information are retained. A running NBP automatic series measurement will be stopped when Standby mode is entered.

A special Standby screen is displayed and the screen will dim. Power consumption is reduced.

Press any field on the screen to resume monitoring.

If desired, resume the NBP automatic series measurement as described in “Monitoring Noninvasive Blood Pressure (NBP)” on page 32.

Monitor Standby

Switching Off

When the monitor is connected to an OB TraceVue system, perform pending transfers before switching off the monitor.

Monitoring Mode

1 Press the power switch to turn off the

monitor.

Monitoring Mode

1 Press the power switch to turn off the

monitor. This switch does not disconnect the monitor from AC power. To disconnect, unplug the power cord from the AC mains socket.

On Off

A beeper warns you if the monitor is disconnected from AC mains.

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5Standard Functions

Fetal Measurements

Monitoring FMP using Ultrasound

Monitoring Mode

1 The Fetal Movement Profile FMP detects

fetal movements on the FHR1 channel via an ultrasound sensor and marks “activity blocks” along the top of the Toco scale on the paper tray.

In our training it is not simple to generate FMP onto the paper trace. For a good understanding of the FMP measurement, see “Monitoring FHR and FMP - Fetal Movement Profile” in the IfU.

FMP

Toco

2 Select FHR1 numeric to open the Setup

FHR1 menu.

3 In the Setup FHR1 menu, select Fetal

Movement to toggle between On and Off.

FHR1

Setup FHR1

Fetal Movement On

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5 Standard Functions Fetal Measurements

Monitoring FHR using DECG

1 Make sure that you are using the parts and combinations of the equipment as described in

“Monitoring FHR using DECG - What you need” and “Accessories and Supplies - DECG Accessories: Component Compatibility” in the IfU.

Monitoring Mode The standard procedures in use in your facility determine the appropriate sequence of actions.

1 Depending on the equipment you are

using, ensure that either the Toco

transducer or the patient module is connected to a free sensor socket of the fetal monitor.

2 Attach a pre-gelled attachment electrode to

the DECG adapter cable.

Fix the attachment electrode to the Mother’s thigh.

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Fetal Measurements 5 Standard Functions

3 Depending on the equipment you are

using, connect the red connector plug of the DECG adapter cable either to the

Toco

transducer or the Patient Module.

4 DFHR appears on the left-upper corner

DFHR

FHR1

together with a question mark. FHR1 switches to the right-upper corner.

5 Attach the Fetal Scalp electrode to the fetus.

Connect the fetal scalp electrode to the DECG adapter cable.

WARNING NEVER connect the fetal scalp electrode to anything other than the correct DECG adapter cable.

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5 Standard Functions Fetal Measurements

Demo Mode Since it is not possible to obtain real DECG values via the scalp electrode during this training, and you

might have no access to a simulator, enter the monitor’s Demo mode (see “Activating Demo Mode” on

page 2)

6 The DFHR numeric appears on the left-

upper corner.

On a running paper trace, DFHR appears as a new measurement.

Be aware that in Demo mode the values are different, as if you would monitor twins. When monitoring one fetus, using FHR and DFHR, the values coincide. The crosschannel verification feature detects this, a “?” appears on the screen and is repeatedly printed on the trace paper every 30 seconds.

As soon as you disconnect the US transducer, FHR1 disappears from the screen and the paper trace.

Exit Demo mode (see “Exiting the Demo Mode” on page 2).

DFHR

Demo Data

FHR1

FHR1 DFHR

Pulse

Monitoring Uterine Activity Internally

Monitoring Mode The standard procedures in use in your facility determine the appropriate sequence of actions.

1 Depending on the equipment you are

using, ensure that either the Toco transducer or the Patient Module is connected to a free sensor socket of the fetal monitor.

2 Connect the red connector plug of the

Koala IUP Adapter Cable on either the

Toco

transducer or the Patient Module.

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Fetal Measurements 5 Standard Functions

3 The IUP numeric replaces the Toco and

shows 0. The monitor is automatically zeroed.

On a running paper trace, IUP appears instead of Toco.

4 Connect the Koala IUP catheter to the

Koala IUP adapter cable.

IUP

FMP IUP

IUP

5 Select the IUP numeric on the screen to

open the Setup IUP menu.

Select Zero IUP to reset the IUP back to Zero.

While zeroing the IUP measurement in a real situation, ensure that the transducer (see arrow) is at the same level as the maternal xiphoid (lower-end of the sternum).

Setup IUP

Zero IUP

IUP

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5 Standard Functions Fetal Measurements

Cordless Transducer System - Avalon CTS

Monitoring Mode

1 This is not a training section for the Avalon

CTS Cordless Fetal Transducer System. Before monitoring patients, it is essential to have a comprehensive understanding of this device (see IfU of the Avalon CTS Cordless Fetal Transducer System).

2 Connect Avalon CTS via the M2731-

60001 interface cable (with red connector) or via the M2732-60001 interface cable (with black connector - for FM 40/50 only) to the fetal monitor.

All wired transducers can remain plugged into the fetal sensor sockets.

Do not switch the Avalon CTS on. Check the Avalon CTS indicator on the fetal monitor screen.

3 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 provides confirmation by showing the following status indicator in the lower right-hand corner of the screen.

4 Press the Power switch to turn on the

Avalon CTS.

Tele

FM 20/30

FM 40/50

only

Avalon CTS Cordless Fetal Transducer System

Off On On

Ready Active

Wireless Transducer

5 On the fetal monitor screen, the wired

transducers are still active and the Avalon CTS indicator displays an active base station, and that all cordless transducers are currently inactive.

6 Switch on the recorder to document the

next steps.

FHR1

Toco

Start/

Stop

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Fetal Measurements 5 Standard Functions

7 Take out at least one of the transducers to

activate the wireless mode and check the changes on the

• fetal monitor screen

• paper trace

8 Bring the wireless transducers out of range

of the base station and check the changes on the

• fetal monitor screen

• paper trace

9 Bring the wireless transducers back into

range of the base station and check the changes again.

Observe the FMP indicator on the paper trace.

10 Switch off the recorder.

FHR1

Toco

FHR1

Toco

FHR1

Toco

FHR1

Toco

11 Switch off the Avalon CTS.

Start/

Stop

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5 Standard Functions Fetal Measurements

Monitoring Twins and Triplets

1 For detailed information about monitoring

twins and triplets, read the “Monitoring Triplets” application note (English only) on the “Fetal Monitor Documentation” DVD.

Demo Mode Since it is not possible to obtain real twin or triple data during this training, enter the monitor’s Demo

mode (see “Activating Demo Mode” on page 2)

2 Depending on the equipment you are

using, connect the sensors to a free sensor socket of the fetal monitor. In our example, one Toco and three US sensors will be used.

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Fetal Measurements 5 Standard Functions

3 The monitor displays the labels of the three

FHRs and the Toco on the screen.

On the paper trace, the three FHR traces are recorded in different grey scales and line thicknesses.

The Demo mode generates values for all measurements, also for the NBP and SpO measurement (even when they are unplugged).

4 Select a FHR numeric on the screen and

check the bright, blue finder LED on the corresponding transducer.

FHR1

NBP Pulse 60 Auto 16:30

Toco

FHR2

FHR3

DEMO

FHR1 FHR2

FHR3

Pulse

Demo Data

FHR2

5 In the Setup FHR3 menu, select Select

Audio to hear the fetal heart beat of

FHR3. It may take a few seconds for the audio source symbol to appear on the screen.

Be aware that Demo mode does not provide any audio signal of the FHRs.

6To switch On trace separation, open the

Main Setup menu. There, select Fetal Recorder to open the Fetal Recorder menu.

FHR3

Setup FHR3

Select Audio

FHR3

Main Setup

Fetal Recorder

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5 Standard Functions Maternal Measurements

7 In the Fetal Recorder menu, select Trace

Separation to toggle between On and Off.

Fetal Recorder

8 FHR1 trace stays where it is.

FHR2 trace is shifted up by 20 bmp (it is recorded 20 bpm higher than it really is).

FHR3 trace is shifted down by 20 bmp (it is recorded 20 bpm lower than it really is).

For further information about the two different methods (Standard or Classic) for determining the trace separation, see “Monitoring Twins FHRs” in the IfU.

Exit Demo mode (see “Exiting Demo Mode” on page 2).

Maternal Measurements

In a fetal monitor, monitoring of the fetus is the primary task. Nevertheless, maternal measurements are becoming increasingly important.

Trace Separation

FHR1 FHR2 FHR3 Pulse

Demo Data

Monitoring Noninvasive Blood Pressure (NBP)

Monitoring Mode

1 Attach a correctly sized cuff to your arm

and connect the NBP tubing to the monitor.

For further information about the correct placement of the NBP cuff, see “Monitoring Noninvasive Blood Pressure Preparing to Measure Noninvasive Blood Pressure” in the IfU.

2 With the arrow scroll button, change to the

second set of SmartKeys.

3 To start an NBP measurement, select the

NBP Start/Stop SmartKey.

Start/

Stop

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Maternal Measurements 5 Standard Functions

4 As soon as the measurement is finished, the

NBP values together with the pulse from NBP, and the timestamp are displayed on the screen.

5 Select the Repeat Time SmartKey to

open the Pop-up keys list.

6 Select the 30 minutes pop-up key to

change the repetition time to 30 minutes.

7 Select the NBP numeric field on the screen

to open the Setup NBP menu. In the Setup NBP menu, select Auto/Manual to switch to the automatic series mode.

Pulse

NBP

Setup NBP

Start/Stop

Repetition Time 30 min

Auto/Manual Auto

Man

Repeat

Time

8 To start an NBP automatic series

measurement, select the NBP Start/ Stop SmartKey.

9 To stop the automatic measurement, select

the NBP Stop All SmartKey.

Monitoring SpO2 and Pulse Rate

Monitoring Mode

1 Attach a correctly sized SpO

finger and connect the SpO monitor.

For further information about the correct application of the SpO “Monitoring SpO

” in the IfU.

sensor to your

cable to the

sensor, see

Start/

Stop

All

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5 Standard Functions Maternal Measurements

2 The screen displays the SpO2 numeric and

the pulse value, derived from SpO

Select the SpO

menu.

SpO

3 In the Setup SpO

numeric to open the Setup

menu, select Tone

Modulation to toggle between Yes (for on) and No (for off).

If tone modulation is on, the QRS tone pitch lowers when the SpO

level drops.

4 Select the Main Screen SmartKey to

return to the Main Screen.

5 Select the Pulse numeric to open the Setup

Pulse (SpO

In the Setup Pulse SpO

) menu.

, select QRS

Volume and change the QRS tone volume.

SpO

Setup SpO

Tone Modulation

Setup Pulse (SpO2)

QRS Volume

Pulse

Yes

Main

Screen

6 Select the Main Screen SmartKey to

return to the Main Screen.

Main

Screen

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Maternal Measurements 5 Standard Functions

Cross-Channel Verification

1 To reduce the probability 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 the same heart rate is being recorded by different transducers. When the MHR and FHR are being monitored, CCV will alert you within approximately one minute when the values are the same.

Monitoring MECG

FHR1

FHR1 Pulse

Pulse

FHR1 Pulse

1 Prepare for MECG monitoring as described

in the IfU (see “Monitoring Maternal Heart / Pulse Rate” in the IfU).

Demo Mode Since it is not possible to obtain real MECG data during this training, enter the monitor’s Demo mode

(see “Activating Demo Mode” on page 2).

The standard procedures in use in your facility determine the appropriate sequence of actions.

2 Depending on the equipment you are

using, ensure that either the Toco transducer or the patient module is connected to a free sensor socket of the fetal monitor.

Page 40

5 Standard Functions Maternal Measurements

2 Connect the red connector plug of the

ECG cable to either the Toco

transducer

or the patient module.

3 The monitor displays the HR numeric

together with a running ECG wave.

On the paper trace, HR is recorded.

In Demo mode, the monitor generates values for all measurements, also for NBP and SpO

measurement, even when they

are unplugged.

4 Select the ECG waveform to open the ECG

Wave menu.

Select Start ECG Wave to print the MECG wave onto the trace paper.

5 Move the ECG Wave menu to the right

side of the screen:

Touch the title bar of the ECG Wave menu and keep your finger on the title. Drag the menu window to the right side of the display. Take your finger off the screen to place the window in this position.

ECG

Demo Data

FHR1

NBP Pulse 60 Man

1mV

ECG

DEMO

ECG Wave

Size Up

Size Down

Start ECG Wave

Setup ECG

Global Speed

FHR1

25 mm/sec

6 In the ECG Wave menu, select Size Up

and Size Down to increase and decrease the QRS signal of the ECG wave.

Observe the size changes on the wave.

Exit Demo mode (see “Exiting Demo Mode” on page 2).

ECG Wave

Size Up

Size Down

Page 41

General Parameters 5 Standard Functions

General Parameters

Entering Notes

Monitoring Mode

1 To switch on the recorder, press the

Start/Stop SmartKey.

Select the Enter Notes SmartKey to open the Enter Notes menu.

2 In the Enter Notes menu, scroll, if

necessary, then select the note you wish to enter.

Start/

Stop

Enter Note

Patient Repositioned

Vaginal Examination

MD Notified

Enter Notes

3 Select Confirm to enter the note.

4 The note is then shown in the status line of

the display and is annotated on the fetal trace.

Stop the recorder.

For further information about entering notes, especially if you try to enter more than four notes at one time, see “Basic Operation - Entering Notes” in the IfU.

Marking an Event

Monitoring Mode

1 Connect the remote event marker to any

free fetal sensor socket.

Sitting

Confirm

Note: Patient Repositioned

Vaginal Examination

Patient Repositioned

FMP

Sitting

MD Notified

FMP

Start the recorder.

Page 42

5 Standard Functions General Parameters

2 Press the button on the remote event

marker.

To set a marker directly on the monitor, it is possible to configure a Set Marker SmartKey in the monitor’s Configuration mode.

3 A small arrow is printed on the heart rate

scale on the trace paper.

Stop the recorder.

For detailed information about fetal monitoring technology, read the “Fetal Monitoring Technology” application note (English only) on the “Fetal Monitor Documentation” DVD.

This application note explains how Philips fetal monitoring technology supports safe and accurate fetal and maternal monitoring.

Four technological aspects are presented together here:

• Precision Signal Track and Hold

• Cross-Channel Verification

•Fetal Heart Rate Baseline Offset

• Fetal Movement Profile.

Page 43

General Parameters 5 Standard Functions

Admitting, Transferring and Discharging Patients

In this section you will learn about patient data management in your monitor. With regard to the training aspect, you will go through different steps which do not correspond exactly with your daily work. Some of the steps are not the fastest procedure to perform a task, they just show you an additional way.

To prevent additional entries in your OB TraceVue’s database, you will use the Quick Admit procedure, where you can delete your training patients, instead of using real patient names. If you have a unique test patient in your OB TraceVue system, it is also possible to use this patient.

From these steps, your hospital will develop the best method for managing your patients’ data.

Standalone Fetal Monitor

A standalone fetal monitor is not connected to OB TraceVue or another documentation system. Slot 01(a/b) is unplugged.

Monitoring Mode

1 Select the Admit/Dischrg SmartKey

to open the Patient Demographics menu.

2 To trigger a new patient data episode for

Stored Data Recording, select the Dischrge Patient pop-up key of the fetal monitor and then Confirm. This also activates the user default settings in the fetal monitor.

3 Select Admit Patient to open the on-

screen keyboard, which prompts for the Last Name.

Dischrge

Patient

Admit/

Dischrge

Confirm

Admit

Patient

Page 44

5 Standard Functions General Parameters

4 Enter the patient information; select each

field, using the on-screen keyboard.

Type in the information and select Enter.

•Selecting Enter moves you

consecutively through all fields.

• To skip a field, select Enter without

entering data.

When you have entered all required data, select Confirm to admit the patient.

Confirm

5 The name of the patient appears in the

patient identification field on the fetal monitor.

Fetal Monitor connected to OB TraceVue via LAN

Your fetal monitor is connected to OB TraceVue via a LAN connection. The LAN cable is connected to Slot 01 (labeled a/LAN) of the fetal monitor.

When the monitor is connected to an OB TraceVue system over a LAN connection, the OB TraceVue system acts as the “master” over patient demographic data. It is not possible to admit a patient on the fetal monitor. A patient discharge on the monitor is possible and will be reflected on the OB TraceVue system.

All tasks in shaded rows refer to OB TraceVue.

Monitoring Mode Discharge Patient

1 To trigger a new patient data episode for

Stored Data Recording, select the Dischrge Patient pop-up key of the fetal monitor and then Confirm. This also activates the user default settings in the fetal monitor.

Dischrge

Patient

Doe, Jane

Confirm

Quick Admit in OB TraceVue

2 Select the icon with the beds to open the

Chalkboard. Make sure you have set the check marks to include Departmental and Empty Beds.

Include

Departmental

Chalkboard

Empty Beds

Page 45

General Parameters 5 Standard Functions

3 Select the bed location of your monitor to

open the bed02 NO ARCHIVING menu.

4 In the Quick Admit menu, check

Bed Phys Patient Name

bed02 NO ARCHIVING

Convert to Quick Admit and press the OK button.

If you have a unique test patient in your OB TraceVue system, it is also possible to admit this patient at the Search/Identify

Convert to Quick Admit

Remove this episode

Patient screen of OB TraceVue.

CancelOK

5 OB TraceVue automatically generates a

temporary patient ID using Time and Date

bed02

9:54:21 11/10/2008

in place of a name.

6 After a few seconds, the temporary patient

ID appears in the Main Name area on the

9:54:21 11/10/200,

fetal monitor.

Transfer in OB TraceVue

When the monitor is connected to an OB TraceVue system, perform pending transfers before switching off the monitor.

7 Select the bed location again to open the

Patient Transfer menu.

8 Enter the bed list in the Departmental

field.

To transfer the patient to the Transfer Location, select the bed with the -symbol. The name of the Transfer Location depends on your configuration (in this case ---). Confirm with OK.

9 The fetal monitor reflects this transfer as a

patient discharge on the monitor. As long as no new patient is admitted, NO ARCHIVING in OB TraceVue occurs.

Bed Phys Patient Name

bed02 9:54:21 11/10/2008

bed02: 9:45:21 11/10/2008

Patient Transfer

9:54:21 11/10/2008

Location

Unit

Departmental

---

bed03

NO ARCHIVING,

Page 46

5 Standard Functions General Parameters

Transfer back in OB TraceVue

10 Transfer your patient from the Transfer

Location back to the fetal monitor and

review the changes on the fetal monitor.

Discharge in the Fetal Monitor

Bed Phys Patient Name

--- 9:54:21 11/10/2008

bed02 NO ARCHIVING

11 To trigger a new patient data episode for

Stored Data Recording, select the

Dischrge Patient pop-up key of the

Dischrge

Patient

Confirm

fetal monitor and then Confirm. This also activates the user default settings in the fetal monitor.

12 The fetal monitor indicates that there is no

patient admitted and NO ARCHIVING in

No Patient Admitted

OB TraceVue occurs.

NO ARCHIVING,

13 The patient in OB TraceVue is

automatically transferred back to the Transfer Location.

Select the patient’s Name to mark the patient.

Delete Patient in OB TraceVue

14 To open the Search/Identify Patient screen

of OB TraceVue, select the Identify/ Search Patient icon.

Bed Phys Patient Name

---

bed02 NO ARCHIVING

Patient Identification

Last Name

9:54:21 11/10/2008

Last Name

9:54:21 11/10/2008

Clear

First Na

M.I.

9:54:21 11/10/

Page 47

General Parameters 5 Standard Functions

15 On the Search/Identify Patient screen,

select the Delete Patient pop-up key

Delete Patient

and then confirm with Yes.

Please Confirm...

Are you sure you want to delete the temporary patient:’9:54:21 11/10/2008’?

Yes No

Fetal Monitor connected to OB TraceVue via RS232

Your fetal monitor is connected to OB TraceVue via an RS232 connection. The RS232 cable is connected to Slot 01 (labeled b/System) of the fetal monitor.

When the monitor is connected to an OB TraceVue system over an RS232 connection, the OB TraceVue system has no control over the monitor’s patient admission and discharge functions.

• A discharge in the fetal monitor clears any previous patient data and replaces any user settings with user defaults.

• A transfer in OB TraceVue changes the patient’s name in the monitor, but does not provide a real patient’s discharge in the fetal monitor. Patient data and user settings remain the same.

• You must discharge a patient in the fetal monitor to trigger a new patient data episode.

The recommended patient discharge and admission procedure is:

1. Discharge the previous patient in the fetal monitor.

2. Transfer the previous patient in OB TraceVue.

3. Admit the following patient in OB TraceVue.

• Patient details (first name, last name, bed) is transferred to the fetal monitor.

• Patient details are shown on the fetal monitor screen and on the trace.

You must not change the patient name or medical record number in the fetal monitor. Although this procedure would display patient details on the fetal monitor screen and on the paper trace, they would not be transferred to OB TraceVue.

Monitoring Mode For a fetal monitor connected to OB TraceVue via RS232, the following admission and discharge is

recommended:

Discharge Patient

1 To trigger a new patient data episode for

Stored Data Recording, select the

Dischrge Patient pop-up key of the

Dischrge

Patient

Confirm

fetal monitor and then Confirm. This also activates the user default settings in the fetal monitor.

Page 48

5 Standard Functions General Parameters

2 You must not admit the patient in the fetal

monitor.

Close the Patient Demographics window.

Quick Admit in OB TraceVue

3 With the Quick Admit button, open the

Quick Admit menu.

If you have a unique test patient in your OB TraceVue system, it is also possible to admit this patient at the Search/Identify Patient screen of OB TraceVue.

Select the bed location with the symbol to assign your patient to a bed with a fetal monitor.

Select OK to quick admit your patient.

Patient Demographics

Last Name

First Name

MRN

Location

Unit

Departmental

: No Patient admitted

Quick Admit

Create Temporary Patient

5 OB TraceVue automatically generates a

temporary patient ID using time and date in place of a name.

6 After a few seconds, the temporary patient

ID appears in the Main Name area on the fetal monitor.

The status line shows the following prompt message:

bed01

--bed02 bed03 bed04 bed05 bed06 cafe

bed01

9:54:21 11/10/2008

Cancel

9_54_21 11/10/2008

bed01

Note from System:{*bed01:9_54_21 11/10/2008}

Page 49

General Parameters 5 Standard Functions

Transfer in OB TraceVue

When the monitor is connected to an OB TraceVue system, perform pending transfers before switching off the monitor.

7 Select the beds icon to open the

Chalkboard. Make sure you have set the check marks to include Departmental and Empty Beds.

Include

Departmental

Chalkboard

Empty Beds

8 Select the bed location of your patient to

open the Patient Transfer menu.

9 Enter the bed list in the Departmental

field.

To transfer the patient to the Transfer Location, select the bed with the -symbol. The name of the Transfer Location depends on your configuration (in this case ---). Confirm with OK.

10 After a few seconds, the name of the patient

disappears in the patient identification field on the fetal monitor, and a dash is displayed instead.

Bed Phys Patient Name

bed01 9:54:21 11/10/2008

bed01: 9:54:21 11/10/2008

Patient Transfer

9:54:21 11/10/2008

Location

Unit

Departmental

---

bed01

Note from System:{*bed01:-,}

11 The Chalkboard of OB TraceVue

reflects that your patient is in the Transfer Location (---), and the data of the fetal monitor from bed01 is not archived.

Transfer back in OB TraceVue

12 Transfer your patient from the Transfer

Location back to the fetal monitor and

review the changes on the fetal monitor.

Bed Phys Patient Name

--- 9:54:21 11/10/2008

bed01 NO ARCHIVING

Bed Phys Patient Name

--- 9:54:21 11/10/2008

bed01 NO ARCHIVING

Page 50

5 Standard Functions General Parameters

Delete Patient in OB TraceVue

13 To open the Search/Identify Patient screen

of OB TraceVue, select the Identify/ Search Patient icon.

14 On the Search/Identify Patient screen,

select the Delete Patient pop-up key and then confirm with Yes.

Discharge in the Fetal Monitor

15 To trigger a new patient data episode for

Stored Data Recording, select the Dischrge Patient pop-up key of the fetal monitor and then Confirm. This also activates the user default settings in the fetal monitor.

Patient Identification

Last Name

9:54:21 11/10/2008

Clear

Last Name

First Na

9:54:21 11/10/

Delete Patient

Please Confirm...

Are you sure you want to delete the temporary patient:’9:54:21 11/10/2008’?

Yes No

Dischrge

Patient

Confirm

M.I.

Page 51

General Parameters 5 Standard Functions

Fetal Monitor Connections

Your fetal monitor can be connected to OB TraceVue either over a LAN connection or an RS232 connection (Classic). You can look up your fetal monitor connection in OB TraceVue on the fetal monitor port assignment page.

LAN Connection

Your fetal monitor is connected to OB TraceVue via a LAN connection (register card “Network”).

Fetal Monitor Connections

After changing a fetal monitor connection, verify that the trace appears in the Single Patient Trace and for the expected bed.

Classic

Network

Care Unit:

Equipment Label MAC Last Activity Unit (PC) PC Name Connection Bed

Fm50 00-09-FB-0C-F2-1C connected --- PC’s name permanent bed02

The LAN cable is connected to Slot 01 (labeled a and LAN) of the fetal monitor.

RS232 Connection

Your fetal monitor is connected to OB TraceVue via an RS232 connection (register card “Classic“).

Fetal Monitor Connections

After changing a fetal monitor connection, verify that the trace appears in the Single Patient Trace and for the expected bed.

Classic

Care Unit:

The RS232 cable is connected to Slot 01 (labeled b and System) of the fetal monitor.

Network

PC Name

PC’s Name FM is connected to

COM Port

Bed

bed01

Page 52

5 Standard Functions General Parameters

Connection Status Indicator

On the left-upper corner of the fetal monitor, the Connection Status Indicator is displayed.

1 The monitor is connected to an

OB TraceVue system via a LAN cable.

2 A LAN cable is connected to the monitor,

but there is no connection to an OB TraceVue system.

3 If no indicator is shown, there is no

network connection, or the monitor is connected to a network via an RS232 connection.

Page 53

Alarms

Monitoring Mode

6Changing Settings

The default alarm mode is “INOP Only”. In INOP Only mode, no patient alarms are enabled or announced.

INOP Only

For further information about alarms, especially if your default settings are changed, refer to “Alarms” in the IfU.

Alarms are not transmitted to OB TraceVue. It is recommended to use either OB TraceVue’s alarm capabilities or the fetal monitor’s alarms, but not both, and to document that decision.

1 Select the INOP and alarm status area to

open the Setup menu.

2 In the Setup menu, select Alarm

Messages to open the Alarm messages menu.

3 Select the Review Alarms pop-up key

to open the Review Alarms menu.

4 Select the Active Alarms pop-up key

to go back to the Alarm Messages menu.

5 Select the Main Screen SmartKey to

return to the Main Screen.

Doe, Jane 14 Nov 13:55

Unsupported LAN

Setup

Alarm Messages

INOP Only

Review Alarms

Active Alarms

Main

Screen

Page 54

6 Changing Settings Alarms

6 Select the Main Setup SmartKey to

open the Main Setup menu.

Main

Setup

7 In the Main Setup menu, select Alarms

to open the Alarms menu.

8 In the Alarms menu, select Alarms Off

to switch all alarms off.

In the alarm status area, the message Alarms Off appears together with its symbol.

Switch back to activate the alarms again.

9 In the Alarms menu, select Alarm

Settings to open the Alarm Settings menu.

10 In the Alarm Settings menu, select Alarm

Volume to open the Alarm Volume menu.

Main Setup

Alarms

Alarms Off

Alarms OFF

Alarms

Alarm Settings

Alarm Volume

11 In the Alarm Volume menu, change the

alarm volume to a different volume. After selecting one of the different tone volume numbers, an audible example of the tone volume is played.

Greyed-out keys are not selectable and only changeable in Configuration mode.

11 Select the Main Screen SmartKey to

return to the Main Screen.

Alarm Volume

Main

Screen

Page 55

Switching NBP On/Off manually 6 Changing Settings

Switching NBP On/Off manually

Monitoring Mode Noninvasive blood pressure is the only measurement which you can manually switch on and off in a

measurement menu.

1 Select the NBP reading on the screen to

open the Setup NBP menu.

(If the NBP reading is not visible on your current screen, open the Setup NBP menu as described in step 4 to step 6).

2 In the Setup NBP menu, select NBP to

switch Off the measurement.

3 Select the Main Screen SmartKey to

return to the Main Screen.

The screen display indicates the active setting, and the NBP reading disappears from the screen.

4 Select the Main Setup SmartKey to

open the Main Setup menu.

5 In the Main Setup menu, select

Measurements to open the Measurements menu.

NBP

Setup NBP

NBP Off

Main Setup

Measurements

Man

Main

Screen

Main

Setup

6 In the Measurements menu, select NBP to

open the Setup NBP menu

7 In the Setup NBP menu, select NBP to

switch On the measurement.

The screen display indicates the active setting and the NBP reading appears again on the screen.

8 Select the Main Screen SmartKey to

return to the Main Screen.

The NBP reading appears again on the screen.

Measurements

NBP

Setup NBP

NBP On

Main

Screen

Page 56

6 Changing Settings Adjusting Tone Volume

Adjusting Tone Volume

Monitoring Mode In addition to the method of changing the tone volume for measurements, you can also change the

tone volume via the Main Setup menu.

1 Select the Main Setup SmartKey to

open the Main Setup menu.

Main

Setup

2 In the Main Setup menu, select User

Interface to open the User Interface

menu.

3 In the User Interface menu, select QRS

Volume and change the QRS tone volume.

4 Select the Main Screen SmartKey to

return to the Main Screen.

Main Setup

User Interface

QRS Volume

Main

Screen

Stored Data Recording

Monitoring Mode

1 Select the Stored Data Rec

SmartKey to open the Stored Data Recording menu.

2 In the Stored Data Recording menu, select

an entry for a patient.

3 Select one of the choices on the pop-up

keys to print a specified portion of the entry (for example, the last 15 minutes of trace data).

Stored

Data Rec

Stored Data Recording

Doe, Jane 14 Nov 16:01 ( 0:36)

Smith, Judy 14 Nov 15:53 (0:57)

All

Last

15 Min

Last

30 Min

Last

60 Min

Page 57

Setting Non-Stress Test Timer 6 Changing Settings

4 For further information about stored data

recording, especially if you are connected to an OB TraceVue system, refer to “Recovering Data” in the IfU.

Setting Non-Stress Test Timer

Monitoring Mode

1 Select the INOP and alarm status area to

open the Setup menu.

2 In the Setup menu, select NST Timer to

open the Setup NST Timer menu.

3 In the Setup NST Timer menu,

• select Run Time to define the NST

run time.

• select Notification to define the

timer expiry notification.

• select Timer to set the timer to On, so

that the timer is visible on the top lefthand corner of the screen.

• select Timer Volume to define the

volume of the timer expiry notification.

• Select the Start pop-up key to start

the timer and begin the non-stress test.

Doe, Jane 14 Nov 13:55

Setup

NST Timer

Setup NST Timer

Run Time

Notification

Timer

Timer Volume

Start

INOP Only

20 min

Sound

Off

4 Select the Main Screen SmartKey to

return to the Main Screen.

Main

Screen

Page 58

6 Changing Settings Setting Non-Stress Test Timer

5 The displayed timer shows the elapsed time

from the start.

When the runtime ends the notification sounds.

After that, the timer changes its color and counts up from then on.

6 Select the INOP and Alarm Status area to

open the Setup menu.

7 In the Setup menu, select NST Timer to

open the Setup NST Timer menu.

8 In the Setup NST Timer menu, select the

Stop Pop-up key to stop the timer.

Select the Main Screen SmartKey to return to the Main Screen.

For further information about the configuration options of the NST, refer to “Non-stress test timer” in the IfU.

NST

Doe, Jane 14 Nov 13:55

20min

Setup

NST Timer

Stop

INOP Only

Main

Screen

Page 59

7Glossary

Admitting and Discharging Patients (ADT)

Assigns the current measurements and reading with the patient’s demographics. A discharge deletes the demographics and resets the monitor to its defaults.

Audio in FHR

Audible tone which represents the FHR.

Avalon CTS

Cordless fetal transducer system.

Competency

The ability to perform monitoring functions.

Configuration Mode

In Configuration mode, you can define the default settings you work with when you switch on the monitor (it is password protected). Only personnel trained in configuration tasks are allowed make changes in this mode.

DECG

Direct electrocardiogram. The spiral electrode can be applied only after the membranes have been ruptured, and when the cervix is dilatated two-to-three centimeter or more.

Demo Mode

Generates values and readings for all measurements of the fetal monitor for demonstration and training purposes only. Never use Demo mode when a patient is attached to the montior.

ECG

Electrocardiogram.

Event Marker

Printing a marker to indicate significant events on the trace paper by selecting the Set Marker SmartKey or pressing the button of the remote event marker.

Fetal Scalp Electrode

ECG electrode with a spiral on its end to fix the electrode to the fetus’s head.

Fetal Trace Paper

The paper on which the numerics, values, readings, traces, waves, time stamps and patient information is printed.

FHR

Fetal Heart Rate.

Page 60

INOP

Technical alarm condition. INOP stands for "inoperative".

IUP

Intrauterine Pressure.

IUP Catheter

Catheter to monitor contraction frequency, duration, intensity, and resting tone. It can be introduced transcervically into the uterus after the cervix is dilated two-to-three centimeters, and the fetal membranes have been ruptured.

LAN connection

Connection to a local area network.

MECG

Maternal electrocardiogram.

Monitoring Mode

Normal mode for monitoring patients. Items, that are visible but "greyed out" are just for your information, but can be changed in Configuration mode.

NBP

Noninvasive blood pressure.

Non-Stress Test (NST)

Interpretation of FHR and FMP during a defined time with fetal movement, uterine contraction, or in response to external stimuli.

Notes

Set of pre-configured notes in the monitor. It is possible to edit the notes in Configuration mode.

NST

Non-Stress Test.

Quick Admit

A quickly-admitted patient can be deleted, whereas a normally-admitted patient resides in the system until the episode is closed and the patient archived or without a storage, until the patient is discharged from OB TraceVue.

RS232 connection

Serial interface connection

SpO2

Page 61

Saturation of peripheral oxygen in the blood.

Standby

When the monitor is in Standby mode after selecting the Standby SmartKey, all waves and numerics disappear, but all settings and patient data are retained, and a special standby screen is displayed.

Toco Baseline

Range of uterine pressure between the labor contractions.

Toco Transducer

Pressure-sensing external transducer to record the duration and frequency of uterine contractions.

Touchscreen

A display screen which can be operated by selecting screen elements with your finger.

Trace Separation

Separation of the baselines on the paper trace by an offset of 20 bpm for a better interpretation of traces with similar baselines.

Transducer

The link between the patient and the monitor. The transducer transforms the physiological signal into a technical signal, which can be presented, for example on a screen or played by a loudspeaker.

Transferring Patients

Moving patient’s data from one location to another in OB TraceVue.

Ultrasound

Sound waves with frequencies higher than 20 Kilohertz.The sound is above the range of human hearing. In the fetal monitor, ultrasound is used to detect the heart activity of the fetus, and to make it audible.

US Sensor

Ultrasound sensor.

Page 62

Page 63

8Index

admitting patients 39

alarm settings 49

artificial FHR 20

Avalon CTS 28

belt

butterfly clip

blood pressure, noninvasive 32

butterfly belt clip 9

changing settings 49

clip for belt 9

connected to OB TraceVue via LAN 40

connected to OB TraceVue via RS232 43

cordless monitoring 28

data, recovering 52

direct ECG 24

discharging patients 39

ECG, maternal 35

entering notes 37

event marker 37

fetal heart rate 19

DECG 24

fetal movement profile 23

FHR 24

FHR monitoring, DECG 24

FHR, ultrasound 19

finder LED 9

FMP

fetal movement profile

FMP, monitoring 23

FMP, ultrasound 23

introduction 1

keys 13

permanent 13 permanent keys 13 pop-up keys 14 SmartKeys 13

LAN connection, status indicator 48

LAN-connection 40

loading paper

FM20/FM30 FM40/FM50 16

marking event 37

maternal measurements 32

measurement, switching on/off 51

measurements, fetal 23

measurements, maternal 32

MECG 35

monitor standby 22

monitoring

FHR, DECG FMP 23 MECG 35 NBP 32 pulse rate 33, 35 SpO2 33, 35 twins and triplets 30 uterine activity 21, 26

monitoring cordless 28

navigating 12

SmartKeys 13

NBP

monitoring

noninvasive blood pressure 32

non-stress test timer 53

notes, entering 37

NST 53

objectives 5

operating 12

SmartKeys, using 13

overview

Avalon CTS Avalon FM20/FM30 7 Avalon FM40/FM50 8 fetal monitors 7 transducers 9

overview Avalon FM40/FM50 7

overview transducers 9

paper trace 21

parameters, general 37

permanent keys 13

Quick Admit to OB TraceVue 40, 44

recorder 21

recording data 21

recovering data 52

references 2

RS232-connection 43

settings, changing 49

SmartKeys 13

standby, monitor 22

status indicator, LAN connection 48

switching off 22

switching on 19

switching on/off, measurement 51

symbols 1

tone volume, adjusting 52

touchscreen 12

transducer

finder LED

transferring patients 39

twins and triplets, monitoring 30

ultrasound

Page 64

FHR 19

usage of training guide 1

uterine activity

externally

internally 26

uterine activity monitoring 21, 26