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www.pcltools.com Series 50T Fetal Telemetry System Setting Up and Using Your Fetal Telemetry System Series 50 T WUODS|OO]Od" AAA
(A) mackanc HP Part No. M1310-9001A Printed in Germany February 1996 Edition 1 A.01.00 www.pcltools.com www.pcltools.com Notice Responsibility of the Manufacturer Hewlett-Packard makes no warranty of any kind with regard to this material, including, but not limited to, the implied warranties of merchantability and fitness for a particular purpose. Hewlett-Packard shall not be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing, performance or use of this material. This document contains proprietary information that is protected by copyright. All rights are reserved. No part of this document may be photocopied, reproduced or translated to another language without prior written consent of Hewlett-Packard Company. The information contained in this document is subject to change without notice. Hewlett-Packard assumes no responsibility for the use or reliability of its software on equipment that is not furnished by Hewlett-Packard. WUODS|OO]Od" AAA Hewlett-Packard only considers itself responsible for any effects on safety, reliability and performance of the equipment if:
assembly operations, extensions, re-adjustments, modifications or repairs are carried out by persons authorized by HP, and the electrical installation of the relevant room complies with national standards, and the instrument is used in accordance with the instructions for use. www.pcltools.com www.pcltools.com Warning F Important FCC WARNING F Failure on the part of the responsible individual hospital or institution employing the use of this equipment to implement a satisfactory maintenance schedule may cause undue equipment failure and possible health hazards. United States federal law restricts this device to sale by or on the order of a physician. This device is not intended for home use. This equipment generates, uses and can radiate radio-frequency energy, and if it is not installed and use in accordance with this manual, may cause interference t radio communications. Ss Operation of this equipment in a residential area may cause interference, in which case the users, at their own =
expense, must take whatever measures may be required to correct the interference. OO}
WOD"S Copyright Hewlett-Packard Company, 1994. All rights reserved. www.pcltools.com www.pcltools.com Additional Documentation iv Technical Data Sheet (5962-6291L) Features and benefits, technical specifications, accessories, ordering, upgrading and re-ordering information. Technical Data Sheet (5091-8155E) The transducers, cables and supplies that can be used with the Telemetry System. Service Manual (M1310-9000A) Detailed servicing information. This guide Setting Up and Using Your Telemetry System is to be used in conjunction with the following Fetal Monitor documentation:
Setting Up and Using Your Monitor (M1351-9001D) Detailed operating instructions for the Series 50 A Fetal Monitor. Setting Up and Using Your Monitor (M1353-9001D) Detailed operating instructions for the Series 50 IP Fetal Monitor. Setting Up and Using Your Monitor (M1350-9001L) Detailed operating instructions for the Series 50 IX Fetal Monitor. Operating Guide (08040-90001) Detailed operating instructions for the HP 8040 Fetal Monitor. Operating Guide (08041-90001) Detailed operating instructions for the HP 8041 Fetal Monitor. WUODS|OO]Od" AAA www.pcltools.com www.pcltools.com How to use this Guide The guide is intended for midwives, nurses and MDs/Doctors, and describes how to install and operate the Series 50 T Fetal Telemetry System. First, read the safety information in Chapter 10. Then, follow the instructions in Appendix A for unpacking the Telemetry System and setting it up ready for use. Then read Appendix B for details on how to mount the Telemetry Receiver. Read Chapter 1 to familiarize yourself with the Telemetry System and to obtain a brief overview of its application. The main body of the guide (Chapter 2 to Chapter 5) describes how to monitor Fetal Heart Rate (FHR) and Uterine Activity. The remaining chapters describe recording fetal movements, how to use the Nurse Call =
function, how to mark events on the trace, and how to carry out tests and respond to error messages. AVA This guide provides telemetry specific information. For more application information, please refer to the Operating Instructions provided with your Fetal Monito The following Fetal Monitors can be used with the Serie 50 T Fetal Telemetry System:
m Series 50 Family (50 IX, 50 IP, 50 A). a HP 8040A Intrapartum Fetal Monitor. a HP 8041A Antepartum Fetal Monitor. FUTODS|OOYO If you need help or additional information at any time, call your local HP Response Center. You'll find a list of telephone numbers on the back cover of this document. www.pcltools.com www.pcltools.com vi Caution Warning F The following conventions for notes, cautions, and warnings are used in this guide:
A note calls attention to an important point in the text. A caution calls attention to a condition or possible situation that could damage or destroy the product or the users work. A warning calls attention to a condition or possible situation that could cause injury to the user and/or patient. WUODS|OO]Od" AAA www.pcltools.com www.pcltools.com
(PAGETECH Contents 1. Overview Product Overview 1-2 Application Overview . 1-6 External Monitoring. 1-6 Internal Monitoring: DECG 1-7 Internal Monitoring: [UP 1-8 2. Monitoring FHR using Ultrasound :
What You Need .. 2-
Fastening the Belt around the Patient Ls 2-B Switching On the Receiver and the Fetal @
Monitor. 2-
Switching On and Plugging In . 2-
Applying the Transducer to the Patient 2-&
Ambulant Monitoring . 2 Solving Common Problems 2-
3. Monitoring FHR using DECG What You Need .. 3-3 Fastening the Leg Belt . 3-4 Connecting the Spiral Electrode . 3-4 Switching On the Receiver and the Fetal Monitor. 3-5 Switching On and Plugging In 3-6 Ambulant Monitoring . 3-7 Solving Common Problems . 3-8 Replacing the Electrode Wire 3-9 Heart Rate Limits 3-10 Contents-1 www.pcltools.com www.pcltools.com Contents-2 Monitoring Uterine Activity What You Need . . 2... 0... Fastening the Belt around the Patient . Connecting the Transducer to the Transmitter. 2... 2. 2 Applying the Transducer to the Patient Ambulant Monitoring . Solving Common Problems Monitoring Intrauterine Pressure What You Need . 2... 2... 2... Preparing and Applying the Transducer to the Patient . Connecting the Transducer to the Transmitter . Ambulant Monitoring . Solving Common Problems Fetal Movement Profile Switching FMP Off and On AV Solving Common Problems Marking Events Using the Nurse Call Troubleshooting Solving General Problems Carrying out the Parameter Test Testing the Receiver Self-Test. 2 2. 2 Testing the Interface between the Fetal Monitor and Receiver. Testing the Interface Cable Testing the Transmitter . Self Test . Error Messages . Series 50 Family HP 8040A . www.pcltools.com 4-3 4-3 4-4 4-5 4-6 4-8 5-3 5-5 5-5 5-6 5-7 6-2 6-3 9-2 9-4 9-6 9-6 9-7 9-7 9-8 9-8 9-9 9-9 9-9 WUODS|OO]Od" AAA www.pcltools.com 10. HP 8041A . Safety Information Safety Information AA. Maximum Input/Output Voltages Protective Earth Patient Safety Environment . Setting Up the Fetal Telemetry System Unpacking the Telemetry System . Connecting the Remote Antenna System Connecting the Local Antenna Assembling the Antenna . Connecting the Antenna to the Receiver Connecting the Receiver to the Fetal Monitor Connecting Power an Switching On the Receiver . Setting Up the Transmitter Inserting Batteries . Switching On the Transmitter . Setting the Volume of the Nurse Call Mounting the Receiver Mounting the Receiver under a Fetal 9-10 10-1 10-3 10-4 10-5 10-5 Monitor . B-2 Series 50 IX, HP 8040 and HP 80414. B-2 Series 50 A and 50 IP. B-3 Mounting the Receiver under an Angle Mount B-4 Mounting the Receiver on a flat surface B-5 Mounting the Receiver on top of a Series 50 Mobile Cart or HP 8040A B-5 Mounting the Receiver on top of a Series 5OIX ... B-6 On top of the HP 80300 Mobile Cart| B-6 Ona Wall . B-7 Contents-3 www.pcltools.com www.pcltools.com Contents-4 Inside a HP 80300A Mobile Cart .... B-8 C. Care and Cleaning Transmitter and Receiver ....... C-1 Preventive Maintenance ........ C-2 D. Replacing Fuses and Batteries Replacing the Fuses in the Receiver . D-1 Checking the Batteries . 2... 2... 2: D-2 Replacing the Batteries in the Transmitter D-6 E. Ordering Accessories Standard Accessories . .... 2... E-1 Optional Accessories . 2... 2... , E-2 Gels 2 2 E-3 Toco, Ultrasound and ECG Transducers . E-4 Disposable Scalp Electrodes . 2... E-5 IUP Transducers .. 2... 2... E-6 IUP Kits 2... 2... E-7 Domes ............... E-9 Transducer-Tipped IUP Catheters . E-9 Belts and Buttons ........2.. E-10 F. CE Declaration and Technical Specifications
(M1310A) Index www.pcltools.com WUODS|OO]Od" AAA www.pcltools.com Overview The HP Series 50 T Fetal Telemetry System allows continuous non-invasive or invasive Fetal Heart Rate
(FHR) and Uterine Activity monitoring of an ambulant patient during antepartum testing and labor and delivery. The FHR and uterine activity signals are transmitted continuously via radio frequency from the Telemetry Transmitter to the Telemetry Receiver, where they are displayed and recorded on the connected Fetal Monitor. With the Series 50 IX, Series 50 IP and the HP 8040A Fetal Monitors, you can monitor:
mw FHR using Ultrasound. a FHR using DECG. a Uterine activity using TOCO. mw Intrauterine Pressure. With the Series 50 A and HP 8041A Fetal Monitors, you can monitor:
MAA WOOD Sjooljod a FHR using Ultrasound. a Uterine activity using TOCO. Fetal movement can only be monitored with the Series 50 Family of Fetal Monitors that have Fetal Movement Profile (FMP) installed with the correct software revision and interface for Telemetry FMP. It is not recommended to use FMP during ambulant monitoring, as any movement of the ultrasound transducers whilst the patient is walking, may be recorded as fetal movement. Overview 1-1 www.pcltools.com www.pcltools.com Product Overview 1. Power On/Off Button 2. Power On Light 3. Nurse Call Acknowledge/
Volume Control Button 4. Nurse Call Light 5. Transmission INOP Light 6. Battery Low Light 7. Channel Frequency Label 1-2 Overview Giinees FE] yy \s ia on al Telemetry Receiver (Front View) ol al Green LED, lit when the Receiver is switched on.
\/q Pressed when Nurse Call activated on the Transmitter to acknowledge the call and stop Nurse Call Light flashing and the intermittant tone sounding. It can also be used to set Nurse Call volume. A Yellow LED, flashes when the Nurse Call Button is pressed on the Transmitter. Y Lee Y Yellow LED, lit when:
WUODS|OO]Od" AAA the Transmitter is switched off. the Transmitter is out-of-range of the Receiver. the Transmitter is defect. the Transmitter and Receiver do not have matching serial numbers and channel frequency numbers. m the batteries in the Transmitter are dead. Yellow LED, lit when batteries in the Transmitter are low. Shows the channel number of the Receiver. This number must match the one on the Transmitter. www.pcltools.com www.pcltools.com 8. Service Socket 9. Output Socket to Fetal Monitor 10. Antenna Input 11. Antenna 12. Product Serial Number 13. Voltage Switch 14. Fuses 15. Mains Socket Telemetry Receiver (Rear View) A Input Patient ID 220-240V 100-120V
=- Fuses/Fusibles 100-120V: T300 mA 250V 220-240V: T125 L 250V 100-120V~ /220V-240V~
50-60Hz 19VA max. WUODS|OO]Od" AAA Overview 1-3 www.pcltools.com www.pcltools.com 1. Battery Compartment 2. Remote Event Marker/
Service Socket 3. Toco Socket 4. Cardio Socket 5. On/Off Switch 6. On Light 7. Nurse Call Button 8. Channel Frequency Label 1-4 Overview Telemetry Transmitter (Top View) For 3 x 1.5V AA batteries. For recording significant events on the fetal trace with the Event Marker. It can also be used by Service Engineers for servicing. For connecting a Toco or IUP transducer.
(Pat. Con. Elec Iso) For connecting an ultrasound or DECG transducer.
(Pat. Con. Elec Iso) Off position 0 , On position |. Green LED, lit when the Transmitter is switched on. WUODS|OO]Od" AAA Pressed to give an optical and acoustic signal to the Receiver. Shows the channel number of the Transmitter, the number on this label must match the one on the Receiver. www.pcltools.com www.pcltools.com Telemetry Transmitter (Bottom View) 9. Carrying Belt Clips For attaching the carrying belt to the Transmitter. 10. Carrying Clip Clipped to patients clothes during ambulant monitoring. 11.PTT Approval Label G 12. Product Number and @
Serial Number Label 8
3 Overview 1-5 www.pcltools.com www.pcltools.com Application Overview External Monitoring Fastening the Belts Switching On and Plugging in Applying the Transducers Ambulant Monitoring 1-6 Overview www.pcltools.com WUODS|OO]Od" AAA www.pcltools.com Internal Monitoring:
DECG Attaching the Leg Belt Attaching the Scalp Electrode :
Electrode Attached Connecting the Electrode to the Transducer Overview 1-7 www.pcltools.com www.pcltools.com Switching On and Plugging In Ambulant Monitoring Internal Monitoring: Follow the same procedure for preparing and applying IUP the IUP transducer as decribed in the Operating Instructions supplied with your Fetal Monitor. For details of how to prepare and apply HP 13975B or 13995A transducer-tipped catheters, refer to the Application Notes that accompany them. 1-8 Overview www.pcltools.com WUODS|OO]Od" AAA www.pcltools.com Monitoring FHR using Ultrasound This chapter describes how to use the Series 50 T with a Fetal Monitor (a Series 50 A, 50 IP , 50 IX, 8040A or 8041A) and an ultrasound transducer to monitor FHR. It lists the materials you need and describes how to:
mw Fasten the belt around the patient. m Switch on the Receiver and Fetal Monitor. AAA m Connect the transducer and switch on the Transmitte a Apply the transducer to the patient. mw Prepare the patient for ambulant monitoring. ooVjod At the end of the chapter is a table of the most commor problems and their solutions. WOD While monitoring FHR, you may also monitor uterine activity externally or internally (see Chapter 4 or Chapter 5). Fetal movements can also be recorded during FHR monitoring using the ultrasound transducer with the Series 50 Family of Fetal Monitors, see Chapter 6 for details. However, it is not recommended to use the Fetal Movement Profile during ambulant monitoring, as any movement of the ultrasound transducer whilst the patient is ambulating, may be recorded as fetal movement. Monitoring FHR using Ultrasound 2-1 www.pcltools.com www.pcltools.com Warning i Under no circumstances are the brown ultrasound transducers to be used to monitor patients under water. Ultrasound transducers that are colored blue are watertight and comply with IEC 529 (IP68). Under NO circumstances are these blue transducers to be directly connected to the Fetal Monitor when they are immersed in water, or come in contact with water. Like every other external method available today, ultrasound has certain limitations in obtaining an ideal recording of FHR. These include:
m Patient discomfort. m Possible signal loss due to fetal movement. m Possible recording of maternal heart rate (see caution). m Possible artefacts and gaps caused by the patient ambulating. Caution Because of the possibility of recording maternal heart rate instead of FHR, we recommend that you check the mothers pulse periodically during monitoring and compare this to the FHR signal. But beware of mistaking a doubled maternal heart rate for FHR. WUODS|OO]Od" AAA Performing ultrasound imaging or Doppler flow measurements in conjunction with ultrasound fetal monitoring may cause false readings of FHR (recording of the trace may deteriorate). 2-2 Monitoring FHR using Ultrasound www.pcltools.com www.pcltools.com What You Need Product Number us transducer (2.5m cable) M1356A US transducer (70cm cable) M1356 Option C08 40404A (Europe only) 40483A (Worldwide) Transducer belt and button M1562A and M1569A Caution Using ultrasound gel that is not approved by HP may reduce signal quality and may damage the transducer. This type of damage will not be covered by warranty. Fastening the Belt Follow the same procedure for fastening the belt as around the Patient shown in Chapter 1 Application Overview. WUO9S|COYOC" AVA Monitoring FHR using Ultrasound 2-3 www.pcltools.com www.pcltools.com 2 Switching On the Receiver and the Fetal Monitor
. Ensure that the Receiver is connected to the Fetal Monitor via the Interface Cable (see Appendix A for details). Remove all transducers from the front panel of the Fetal Monitor, otherwise telemetry will not function.
(See Chapter 9 for a list of possible error messages. )
. Switch on the Fetal Monitor and Recorder. Switch on the Receiver by pressing the Power On/Off Button. CASE wer FR YY aid Oo 6 Oo)
| & f WUODS|OO]Od" AAA
. Ensure that the Power On light (A) and the Transmission INOP Light (B) come on. Ensure that the Telemetry Indicator Lamp on the Fetal Monitor is lit, indicating telemetry monitoring mode. Check that TELE is annotated on the Fetal Trace. 2-4 Monitoring FHR using Ultrasound www.pcltools.com www.pcltools.com Switching On and Plugging In 1. Ensure that the number on the Channel Frequency Label (A) on the Transmitter is the same as the number on the Receiver. 2. Connect the Ultrasound transducer to the Cardio socket. 3. Push up the On/Off Switch to position | to switch on the Transmitter. The green On Light (B) comes on and the Transmission INOP light on the Receiver will then go out. WUODS|OO]Od" AAA Connecting the Ultrasound Transducer to the Transmitter Monitoring FHR using Ultrasound 2-5 www.pcltools.com www.pcltools.com 2 Applying the Transducer to the Patient Note i Warning F 1. Find the fetal heart by palpation, ausculation, or ultrasound imaging. 2. Apply a small amount of gel onto the surface of the transducer. There should be enough to give a thin layer over the surface of the transducer when it is applied to the patients abdomen. Do not apply too much gel to the Ultrasound transducer. This could cause the transducer to slip or move from its optimal position on the abdomen, especially during ambulant monitoring. 3. Apply the transducer to the patient and gently work it in a circular motion to ensure that the gel layer makes good contact. 4. When the fetal heartbeat is clearly heard over the loudspeaker clip the transducer to the belt. When the ultrasound transducer is applied and a good signal is obtained, check the mothers pulse and compare this to the signal from the loudspeaker to ensure that the transducer is recording FHR and not maternal heart rate. You should also do this periodically during monitoring. WUODS|OO]Od" AAA Use of ultrasound gel on the blue transducers may cause slight discoloration but will not affect ultrasound performance. Blue transducers are water-tight to a depth of 0.5 meters. Transducers may be imersed in water ONLY when monitoring with the Series 50 T Telemetry System. The telemetry transmitter must Never be immersed in water. Under NO circumstance should the transducers be immersed in water when connected to a Fetal monitor. 2-6 Monitoring FHR using Ultrasound www.pcltools.com www.pcltools.com Ambulant Monitoring Note When a clear signal is obtained on the Fetal Monitor:
1. 2. Ask the patient to stand up. Ensure that the Ultrasound transducer stays in position after the patient has moved and that you have not lost the FHR signal as the fetal position may change. If the FHR signal is lost or unclear (yellow or red on the Signal Quality Indicator Panel on the Fetal Monitor), reposition the transducer while the patient is standing and if necessary tighten the belt to stop the transducer slipping. Hook the Transmitter to the transducer belt or patients clothing using the carrying clip at the back of the Transmitter, or attach the carrying belt to the Transmitter. AVA Oo
=P You must ensure that you have obtained the best =
possible signal before you allow the patient to ambulatez. a. The Signal Quality Indicator on the Fetal Monitor =
should show green. A trace is produced when the Signal Quality Indicator is yellow, but for the best possible trace it should be green continuously. The sound coming from the Fetal Monitor should be clear. This indicates that the best position for the transducer has been obtained. Monitoring FHR using Ultrasound 2-7 www.pcltools.com www.pcltools.com Caution During ambulant FHR monitoring, the chance of losing the signal or detecting the maternal heart rate is higher than during stationary monitoring. It is also possible, in some cases, that the frequency of the patients walk may be detected. The risk that this may happen is higher when the patient is overweight or with a breech presentation. The operating range of your Series 50 T Fetal Telemetry System will have been defined during purchase. Find out what it is, and make sure that your patient knows the boundaries within which she can walk and still be monitored. Caution Signal transmission can be disturbed when the Patient passes concrete walls or elevator doors. WUODS|OO]Od" AAA 2-8 Monitoring FHR using Ultrasound www.pcltools.com www.pcltools.com Solving Common Problems Erratic trace. Fetal arrhythmia. None. Obese patient. None. Transducer wrongly Reposition the transducer until the positioned. Signal Quality Indicator is green. Belt loose. Tighten the belt. Too much gel. Remove excess. Very active fetus. None. Patient walking heavily. Ask Patient to walk quietly. Insufficient gel. Use the recommended amount. Transducer slipping Too much gel. Use the recommended amount. down. :
Belt too loose. Tighten the belt. No FHR Trace. Transducer wrongly Reposition transducer. positioned. Transducer slipped. Tighten belt. Check amount of gel on Transducer. FHR low. Recording maternal heart rate. | Check maternal pulse for coincidence with the audible signal. Series 50 Users Only Maternal movement due to Turn off FMP. Suspicious Fetal patient ambulating. Movement Profile Monitoring FHR using Ultrasound 2-9 www.pcltools.com www.pcltools.com Questionable FHR. Recording MHR. Reposition the transducer. FHR exceeds 300 bpm.* FHR is half-counted (for example, 320 bpm is recorded as 160 bpm). An error message is displayed on the Monitor. See Chapter 9 for a table of error messages, their causes and solutions. If you suspect the signal from the transducer. Carry out the Parameter Test described in Chapter 9.
* Tf the FHR is less than 50 bpm or between 240 and 300 bpm, it is not recorded. The Signal Quality Indicator is red. WUODS|OO]Od" AAA 2-10 Monitoring FHR using Ultrasound www.pcltools.com www.pcltools.com 3 Monitoring FHR using DECG This chapter describes how to use the Series 50 T with a Fetal Monitor (a Series 50 IP, 50 IX or a HP 8040A) and a spiral electrode to monitor FHR. It lists the materials you need and describes how to:
m Fasten the leg belt.
= Connect the spiral electrode to the fetus. m@ Switch on the Receiver and Fetal Monitor :
= Connect the transducer and switch on the Transmittess O
At the end of the chapter is a table of the most commor problems and their solutions. 2 mw Prepare the patient for ambulant monitoring. A cervical dilation of two centimeters and a fetal station of at least minus two are necessary before the spiral electrode can be applied. Unless you suspect fetal arrhythmia, be sure that Logic is on when monitoring FHR using DECG. See the Operating Instructions supplied with your Fetal Monitor for more details. Monitoring FHR using DECG 3-1 www.pcltools.com www.pcltools.com Caution While using the DECG method with the Series 50 T Fetal Telemetry System, if you suspect the fetal heart rate being recorded, it is recommended to check the mothers pulse periodically during monitoring and compare this to the FHR signal. Warning F Because the tip of the spiral electrode is designed to penetrate the fetal epidermis, the possibility of trauma, hemorrhage and infection exists. It should therefore be used only under aseptic conditions. Membranes must be ruptured prior to attachment of the Spiral electrode. The spiral electrode should not be used when placenta previa is present or when it is not possible to identify the portion of the fetal body where application is contemplated. Do not apply the spiral electrode to the fontanels, fetal face or genitalia. WOOD S|OOOd "AWA 3-2 Monitoring FHR using DECG www.pcltools.com www.pcltools.com What You Need Warning Product Number DECG transducer (2.5m/8ft 2in cable) M1357A or or Telemetry DECG transducer (70cm/28in M1357A Option C03 cable) Cable electrode 15243B Spiral electrode:
Double spiral and applicator 15130A and 15131A or Single spiral 15133A or Double spiral 15133C Leg belt and button M1563A and M1569A i Be sure the belt is correctly attached to prevent tension in the cable from pulling on the spiral electrode and causing injury to the fetus. WO" S|OO]Od" AAA Monitoring FHR using DECG 3-3 www.pcltools.com www.pcltools.com Fastening the Leg Follow the same procedure for fastening the belt as Belt shown in Chapter 1 Application Overview. Note ll If the patient is going to ambulate during monitoring, G ensure that the belt is tighter than usual, but still comfortable. Connecting the Follow the same procedure for connecting the Spiral Spiral Electrode Electrode as described in the Operating Instructions supplied with your Fetal Monitor. WUODS|OO]Od" AAA 3-4 Monitoring FHR using DECG www.pcltools.com www.pcltools.com Switching On the Receiver and the Fetal Monitor 1. Ensure that the Receiver is connected to the Fetal Monitor via the Interface Cable (see Appendix A for details). 2. Remove all transducers from the front panel of the Fetal Monitor, otherwise telemetry will not function.
(See Chapter 9 for a list of possible error messages. ) 3. Switch on the Fetal Monitor and Recorder. 4, Switch on the Receiver by pressing the Power On/Off Button. A OG ria o. T SP
3 5. Ensure that the Power On light (A) Transmission INOP Light (B) are lit. 6. Ensure that the Telemetry Indicator Lamp on the Fetal Monitor is lit, indicating telemetry monitoring mode. 7. Check that TELE is annotated on the Fetal Trace. Monitoring FHR using DECG 3-5 www.pcltools.com www.pcltools.com Switching On and 1. Ensure that the number on the Channel Frequency Plugging In Label (A) on the Transmitter is the same as the number on the Receiver. 2. Connect the DECG transducer to the Cardio socket. 3. Push up the On/Off Switch to position | to switch on the Transmitter. The green On light (B) comes on and the Transmission INOP light on the Receiver will then go out. WUODS|OO]Od" AAA Connecting the DECG Transducer to the Transmitter If the spiral electrode and electrode wires are connected correctly and a good signal is being produced, the Signal Quality Indicator should be green. If not, nop is displayed. (see Solving Common Problems later in this chapter). 3-6 Monitoring FHR using DECG www.pcltools.com www.pcltools.com Ambulant Monitoring Warning Note Caution When a clear signal is obtained:
1. Ask the patient to stand up. 2. Check that the DECG transducer stays in position after the patient has moved and that you have not lost the FHR signal. i Ensure that the leg belt is tight enough and will not slip whilst patient is walking around. 3. Hook the Transmitter to the patients clothing using the carrying clip at the back of the Transmitter or attach the carrying belt to the Transmitter. ll You must ensure that you have obtained the best G possible signal before you allow the patient to ambulate MAMA a. The Signal Quality Indicator on the fetal monitor should show green. A trace is produced when the Signal Quality Indicator is yellow, but for the best possible trace it should be green continuously. WOD*Sjoolod The operating range of your Series 50 T Fetal Telemetry System will have been defined during purchase. Find out what it is, and make sure that your patient knows the boundaries within which she can walk and still be monitored. Signal transmission can be disturbed when the Patient passes concrete walls or elevator doors. Monitoring FHR using DECG 3-7 www.pcltools.com www.pcltools.com Solving Common Problems Erratic trace. No ECG signal. Erratic display on Poor contact between the Monitor. reference electrode and the mother. Signal Quality Indicator | Fetal arrhythmia. on Monitor is red continuously. nop displayed on Improper connection of Monitor. electrode leads to cable block. No contact or poor contact between the reference electrode and the mother. Spiral electrode detached. An error message is displayed on the Monitor. See Chapter 9 for a table of error messages, their causes and solutions. Replace the red electrode wire with electrode 15243B (see Replacing the Electrode Wire.) If this does not solve the problem, use a new spiral electrode. Be sure that Logic is off. See Operating Instructions provided with your Fetal Monitor. Check electrode lead connection. Replace the red electrode wire with electrode 15243B (see Replacing the Electrode Wire). If this does not solve the problem, use a new spiral electrode. Reattach the spiral electrode. WUODS|OO]Od" AAA If you suspect the signal from the transducer. Carry out the Parameter Test described in Chapter 9. 3-8 Monitoring FHR using DECG www.pcltools.com www.pcltools.com Replacing the If there is no trace or an erratic trace, due to no contact Electrode Wire ort poor contact between the reference electrode and the mother, you should replace the electrode wire. 1. Disconnect the red electrode wire from the ECG cable block. 2. Connect electrode 15243B in its place. 3. Place a pre-gelled disposable ECG electrode on the patients thigh. 4. Connect electrode 15243B to it.
- > \\ G
| ~ oe}
fi A S
\ of ere oO oO 3 Replacing the Electrode Wire Monitoring FHR using DECG 3-9 www.pcltools.com www.pcltools.com Heart Rate Limits Although the following problem has no solution, it should be noted that questionable heart rate only occurs in extremely rare cases. These are detailed below. Questionable heart rate FHR less than 30 bpm. FHR is not recorded and the Signal Quality Indicator is red. FHR between 30 and 50 bpm. With Series 50 Monitors only 50-210 bpm paper records a straight line at 50 bpm. 30-240 bpm paper records the FHR. FHR is between 210 and 240 bpm. With Series 50 Monitors only 50-210 bpm paper records a straight line at 210 bpm until 240 bpm is exceeded. 30-240 bpm paper records the FHR up to 240 bpm. FHR exceeds 240 bpm. FHR is not recorded and the Signal Quality Indicator is red. If the FHR is suspect (fetus may not be viable) it is recommended to check MHR, during DECG monitoring. WUODS|OO]Od" AAA 3-10 Monitoring FHR using DECG www.pcltools.com www.pcltools.com 4 Monitoring Uterine Activity This chapter describes how to use the Series 50 T with a Fetal Monitor ( a Series 50 A, 50 IP, 50 IX, HP8040A or 8041A) and a Toco transducer to monitor uterine activity. It lists the materials you need and describes how to:
mw Fasten the belt around the patient.
=m Connect the transducer to the Transmitter. mw Apply the transducer to the patient. mw Prepare the patient for ambulant monitoring. At the end of the chapter is a table of the most commo problems and their solutions. OO" AWA me i Uterine activity can only be monitored via Telemetry Note . G when FHR is also being monitored. WOD"S Monitoring Uterine Activity 4-1 www.pcltools.com www.pPcltools.c Warning i Under no circumstances are brown Toco transducers to be used to monitor patients under water. External Toco transducers that are colored blue are watertight and comply with IEC 529 (IP68). Under NO circumstances are these blue transducers to be directly connected to the Fetal Monitor when they are immersed or come in contact with water. Monitoring uterine activity using a Toco transducer is an external method. Therefore the measurement is always relative and absolute pressure measurements cannot be determined. Amplitude and sensitivity depend on various factors: the position of the transducer, the belt tension and the size of the patient. An absolute measurement can only be obtained by monitoring intrauterine pressure. WUODS|OO]Od" AAA 4-2 Monitoring Uterine Activity www.pcltools.com www.pcltools.com What You Need Toco transducer (2.5m/8ft 2in cable) M1355A nr M1355A Option C03 Toco Telemetry transducer (70cm/28in cable) Transducer belt and button M1562A and M1569A ll Only use belts supplied by HP to ensure good quality G Toco recording. Fastening the Belt Follow the same procedure for fastening the belt as around the Patient shown in Chapter 1 Application Overview. WOD'S|OOYOd" AVA ll If the patient is going to ambulate during monitoring, G ensure that the belt is tighter than usual, but is still comfortable for the patient. This is to reduce the interference on the Toco channel which will be modulated on the Toco trace due to the patient ambulating. Note Monitoring Uterine Activity 4-3 www.pcltools.com www.pPcltools.c Connecting the 1. Ensure that the number on the Channel Frequency Transducer to the Label (A) on the Transmitter is the same as the Transmitter number on the Receiver. 2. Connect the Toco transducer to the Toco socket. Connecting the Toco Transducer to the Transmitter WUODS|OO]Od" AAA 4-4 Monitoring Uterine Activity www.pcltools.com www.pcltools.com Applying the 1. Place the transducer just above the umbilicus and not at the fundus; this ensures the optimum uterine Transducer to the he fundus; thi he opti Patient activity recording for ambulant monitoring. 2. Slide the belt over the transducer and clip the transducer in place. 3. Between contractions, adjust the Toco Baseline on the Fetal Monitor; this resets the display and trace to 20. WUODS|OO]Od" AAA Monitoring Uterine Activity 4-5 www.pcltools.com www.pPcltools.c Ambulant When contractions are displayed on the Monitor and Monitoring obtained on the fetal trace:
1. Ask the patient to stand up. 2. Adjust the Toco Baseline on the Fetal Monitor to reset the display and trace to 20. 3. Ensure that the Toco transducer stays in position after the patient has moved and that you have not lost the uterine activity displayed on the monitor and obtained on the fetal trace. 4. If the uterine activity signal is lost or unclear, reposition the transducer while the patient is standing and if necessary, tighten the belt to stop the transducer slipping. 5. Hook the Transmitter to the transducer belt or patients clothing using the carrying clip at the back of the Transmitter or attach the carrying belt to the Transmitter. WUODS|OO]Od" AAA 4-6 Monitoring Uterine Activity www.pcltools.com www.pcltools.com Note i Caution You must ensure that you have obtained the best possible signal before you allow the patient to ambulate. While the patient is ambulating, it is possible that the frequency of the patients walk may be detected. The operating range of your Series 50 T Fetal Telemetry System will have been defined during purchase. Find out what it is, and make sure that your patient knows the boundaries within which she can walk and still be monitored. Signal transmission can be disturbed when the Patient passes concrete walls or elevator doors. WUODS|OO]Od" AAA Monitoring Uterine Activity 4-7 www.pcltools.com www.pPcltools.c Solving Common Problems Quality of the trace The belt is too slack or too deteriorates or the Toco baseline varies. Artefact on Toco trace. | Maternal respiration being recorded. Walk frequency is being recorded. Belt is loose. Fetal Monitor is not set correctly. Toco sensitivity is too The belt is loose. high (above 100 units.) Physical transmission of pressure from the uterus to the sensor is much higher than the average value. Reposition the transducer just above the umbilicus, adjust the belt, and press the Toco Baseline Key. Position toco transducer lower. None. Tighten the belt. Reset the Toco baseline. Tighten the belt. Reposition the transducer to reduce sensitivity. WUODS|OO]Od" AAA An error message is displayed on the Monitor. See Chapter 9 for a table of error messages, their causes and solutions. If you suspect the signal from the transducer. Carry out the Parameter Test described in Chapter 9. 4-8 Monitoring Uterine Activity www.pcltools.com www.pcltools.com 3 Monitoring Intrauterine Pressure This chapter describes how to use the Series 50 T with a Fetal Monitor (a Series 50 IP, 50 IX or a HP 8040A) and a fluid-filled catheter to monitor intrauterine pressure
(IUP). It lists the materials you need and describes how to:
mw Prepare and apply the transducer to the patient.
=m Connect the transducer to the Transmitter. mw Prepare the patient for ambulant monitoring. OC MAA At the end of the chapter is a table of the most commorge problems and their solutions. i Uterine activity can only be monitored via Telemetry Note . G when FHR is also being monitored. WOD"S]|O Monitoring Intrauterine Pressure 5-1 www.pcltools.com 1 Note i Warning F You may experience problems monitoring IUP with an HP 8040A Fetal Monitor and the Series 50 T Fetal Telemetry System. The sensitivity setting for IUP with the 8040A may be higher than the setting used with Series 50 T Fetal Telemetry System. This sensitivity setting can be changed, but once it is changed you will only be able to monitor IUP with the Series 50 T and not with the HP8040A. To change the setting, contact your HP Response Center Uterine catheterization should only be performed following complete clinical evaluation and membrane rupture. It should not be performed if placenta previa is diagnosed or if uterine bleeding from an undetermined source is present. WUODS|OO]Od" AAA 5-2 Monitoring Intrauterine Pressure www.pcltools.com www.pcltools.com What You Need If you are using the re-usable transducer 1290C Option J05, then you need the following materials:
Materials Product Number Transducer 1290C Option J05 Disposable intrauterine kit 14099C, D or E Dome 1295CK
(not included in 14099C, D) Sterile water or saline solution ll The IUP Transducer 1290C Option J06 and adapter G cable 40460C Option JO5 cannot be used with the Series 50T Fetal Telemetry System. WUODS|OOOC" AAA Monitoring Intrauterine Pressure 5-3 www.pcltools.com If you are using the disposable transducer 13972A, then you need the following materials:
Product Number Disposable intrauterine kit with 13972A disposable transducer Transducer adapter cable 1271A Option J05 Sterile water or saline solution IUP can also be monitored using the HP 13975B or 13995A transducer-tipped catheter. Detals of how to use these catheters are given on the Application Notes that accompany them. WUODS|OO]Od" AAA 5-4 Monitoring Intrauterine Pressure www.pcltools.com www.pcltools.com Preparing and Follow the same procedure for preparing and applying Applying the the IUP transducer as decribed in the Operating Transducer to the Instructions supplied with your Fetal Monitor. For details of how to prepare and apply HP 13975B or Patient 13995A transducer-tipped catheters, refer to the Application Notes that accompany them. Connecting the 1. Ensure that the number on the Channel Frequency Transducer to the Label (A) on the Transmitter is the same as the Transmitter 2. Connect the IUP transducer to the Toco socket. number on the Receiver. WUODS|OO]Od" AAA Connecting the IUP Transducer to the Transmitter www.pcltools.com Monitoring Intrauterine Pressure 5-5 Ambulant Monitoring 9 E I |
Note Caution When contractions are displayed on the Monitor and obtained on the fetal trace:
1. Ask the patient to stand up. 2. Set the Toco baseline to 0 by adjusting the Toco baseline on the Fetal Monitor. 3. Ensure that the IUP transducer stays in position after the patient has moved and that the IUP transducer is positioned at the same height as the tip, so you do not lose the uterine activity signal displayed on the monitor and obtained on the fetal trace. 4. Hook the transmitter to the patients clothing using the carrying clip at the back of the transmitter or attach the carrying belt to the Transmitter. 5. If the uterine activity signal is lost or unclear, reapply the IUP catheter. You must ensure that you have obtained the best possible signal before you allow the patient to ambulate. The operating range of your Series 50 T Fetal Telemetry System will have been defined during purchase. Find out what it is, and make sure that your patient knows the boundaries within which she can walk and still be monitored. Signal transmision can be disturbed when the Patient passes concrete walls or elevator doors. 5-6 Monitoring Intrauterine Pressure www.pcltools.com WUODS|OO]Od" AAA www.pcltools.com as a c) 74 _ a9 Y x Solving Common Problems No trace. Catheter clogged. Flush with sterile solution. No change in pressure Dry environment. during contraction. Only pressure peaks can | Zero adjustment is Zero the system. be seen (baseline not incorrect. visible).
- indicator flashes. Trace is a straight line. | Transducer defective. Touch the catheter. If it does not show up and down movements, replace the transducer. a Trace superimposed End of the catheter is in the | Retract the catheter a little and is with noise. uterine wall or dry column. | flush. el a Err 3 displayed when IUP sensitivity setting is Contact your HP Response Center te using the Series 50 T incorrect. change setting. with a HP 8040A Monitor. Series 50T. Fluctuations in TUP The tip of the IUP catheter | Reposition the transducer so it is at baseline. is higher or lower that the |the same height as the tip. transducer. An error message is displayed on the Monitor. See Chapter 9 for a table of error messages, their causes and solutions. If you suspect the signal from the transducer. Carry out the Parameter Test described in Chapter 9. Monitoring Intrauterine Pressure 5-7 www.pcltools.com www.pcltools.com WOd SOO Od AAA www.pcltools.com www.pcltools.com Fetal Movement Profile The Fetal Movement Profile (F MP) measurement can only be obtained whilst monitoring FHR using ultrasound with a Series 50 Fetal Monitor, and if FMP is available on the Fetal Monitor. The ZRX label underneath the US socket on Series 50 Fetal Monitors indicates that the Monitor can detect fetal movements via the ultrasound transducer. a" AAA ll FMP via the Series 50 T Fetal Telemetry system is only G available with Series 50 Fetal Monitors that have FMP &
installed with the correct software revision and interfaceQ_ for Telemetry FMP. Note O]fo WOODS The transducer detects gross fetal body movements: eye movements are not detected and movement of the feet and hands may not be detected. For details of FMP annotation, refer to the Setting Up and Using Your Monitor provided with your Series 50 Fetal Monitor. Fetal Movement Profile 6-1 www.pcltools.com 6 Note i It is not recommended to use FMP during ambulant monitoring, as any movement of the ultrasound transducer whilst the patient is ambulating, may be recorded as fetal movement. Positioning or repositioning the transducer may be recorded as fetal movement; maternal movement, excessive fetal breathing or fetal hiccups may also be recorded as fetal movement. You can mark this artifact on the paper using the Remote Event Marker (see Chapter 7) and these fetal movements should be ignored when interpreting the FMP. Switching FMP Off and On A ochools.com Note i 6-2 Fetal Movement Profile It is not recommended to use FMP during ambulant monitoring, as any movement of the ultrasound transducer whilst the patient is ambulating may be recorded as fetal movement. You can switch FMP on and off using the keys on the Monitor or the optional Barcode Reader. WUODS|OO]Od" AAA Refer to Setting Up and Using Your Monitor for more details. FMP is switched off whenever a Series 50 T Telemetry System (plugged into the Monitor) is switched on. FMP is switched back on again when the telemetry system is switched off (or uplugged). If you want to monitor FMP with a Series 50 T Telemetry System (and have the correct software revision and interface for Telemetry FMP) switch FMP on by using either the Key or the barcode method. www.pcltools.com www.pcltools.com Solving Common Problems FMP does not appear FMP is switched off. Switch FMP on. on the trace. : :
The FMP Option was not | Order FMP Option. ordered with the Fetal Monitor Older software revision or | Update Monitor with newest software older Telemetry Interface in | revision and enhanced interface. Fetal Monitor. FMP printed on Series | Software revision not Order software upgrade. 50 A or 50 IP trace but | compatible with FMP from cannot be switched off. | Series 50 T Fetal Telemetry System. W0dS|OO]O Fetal Movement Profile 6-3 www.pcltools.com www.pcltools.com WOd SOO Od AAA www.pcltools.com www.pcltools.com Marking Events Note i The Remote Event Marker (HP 15249A) records significant events on the fetal trace (for example, when pain medication is administered or when a contraction is felt). The Remote Event Marker will only function when a Toco or IUP transducer is also connected to the Transmitter. WO9S|OOYOd" AVA Marking Events 7-1 www.pcltools.com To attach the Remote Event Marker to the Transmitter:
1. Insert the Remote Event Marker into the Remote Event Marker Socket on the Transmitter. Socket for Remote Event Marker To mark an event on the paper:
www.pcltools.com WOOD S|OOOd "AWA 1. Press the button on the Remote Event Marker. 7-2. Marking Events www.pcltools.com www.pcltools.com When you press the button, the following is printed on the trace:
mw Series 50 Fetal Monitors with enhanced interface A small arrow (A) is printed on the FHR scale. The arrow starts with the peak to show the exact time when the button is pressed. 80 60 30 www.pcltools.com WUO9S|OOYOC" AAA Marking Events 7-3 a Series 50, HP 8040 and HP 8041 Fetal Monitors A fullscale deviation of 100 units (B) is printed on the Toco scale. 60 | | | 60 |
390 30 Blog 11:47 04/03/94 3cm/min www.pcltools.com WOOD S|OOOd "AWA 7-4 Marking Events www.pcltools.com www.pcltools.com 8 Using the Nurse Call 1. If the patient needs to call a Nurse during monitoring she can press the Nurse Call Button on the Transmitter. WUODS|OO]Od" AAA Nurse Call Button - Transmitter Using the Nurse Call 8-1 www.pcltools.com 2. When this button is pressed the Nurse Call Light on the Receiver (A) flashes and an intermittant tone sounds. GARE nor FR YY \s cd 3]
oO Nurse Call Button - Receiver 3. To acknowledge the call and turn off the tone, press the Nurse Call Acknowledge/Volume Control Button. The Nurse Call Lamp (A) also goes out when the call is acknowledged. www.pcltools.com WOOD S|OOOd "AWA ll The volume of the Nurse Call can be changed provided G the Nurse Call is not being activated. See Appendix A for details on how to change the volume of the Nurse Call. Note 8-2 Using the Nurse Call www.pcltools.com www.pcltools.com 9 Troubleshooting Common problems that may occur during monitoring are dealt with in Chapters 2 to 5. This chapter describes how to:
m Solve General Problems. mw Carry out the Parameter Test. m Test the Receiver. a Test the Transmitter. At the end of the chapter is a table of error messages related to telemetry that appear on the Fetal Monitor, their causes and solutions. Detailed tests are given in the Service Manual
(M1310-9000A). WUODS|OO]Od" AAA Troubleshooting 9-1 www.pcltools.com www.pcltools.com Solving General Problems All the lights on the Receiver stay on when the Receiver is turned on. The Telemetry Indicator Lamp on the Fetal Monitor does not light when the Monitor and the Receiver are switched on. Receiver Power On Light does not light when the Receiver is switched on. Transmission INOP light on the Receiver is still it when the Transmitter is switched on. 9-2 Troubleshooting Fetal Monitor is switched off. Possible defect in the Receiver, Interface Cable or Fetal Monitor. Incorrect interface connection between the Monitor and the Receiver. Faulty interface cable. Power cable not plugged in to the power supply. Fuses need replacing. Line voltage incorrect. Receiver and Transmitter do not have the same Channel or Serial Number. Batteries in the Transmitter are dead. www.pcltools.com Switch on Fetal Monitor. Carry out the tests described in later in this chapter in Testing Your Receaver. Follow the instructions in Appendix A for details on how to connect the Monitor to the Receiver. Replace interface cable. Contact your HP Response Center. Plug in and switch on. Replace fuses, see Appendix B for details. Contact your HP Response Center. WUODS|OO]Od" AAA Check Channel number and Serial numbers are the same on the Receiver and the Transmitter. Change the batteries in the Transmitter (refer to Appendix B for details.) www.pcltools.com Battery Low Light lit on Receiver. INOP Transmission Lamp is lit after the patient has moved a short distance away form the Receiver. Power in batteries is low. From the time that the Lamp is first lit you have a certain length of time until the batteries are completely empty. This time varies depending on the type of batteries See table Remaining Battery Life after Battery Low Light. Local Antenna:
Antenna not connected correctly. Remote Antenna System:
Antenna cable not connected correctly to Receiver. Change Batteries. Check antenna is connecting correctly. Refer to Appendix A Connecting the Antenna to the Receiver for more details. Test the Antenna System by bringing the Transmitter close to that Receiver. If the transmission is good, then the Antenna System is not functioning properly. Contact your HP Response Center. Remaining Battery Life (in minutes) after Sinan Low Light Battery Type Alkaline (1.8 AH) NiCd accu (0.6 AH) NiMH accu (1.2 AH) www.pcltools.com
| Monitoring Modes Modes TOCO(ext)| TOCO(ext) IUP Troubleshooting 9-3 Carrying out the The Parameter Test tests the signal path to and Parameter Test from the transducer sockets, but not the transducers themselves. To carry out the test:
1. Switch on the Fetal Monitor, the Recorder and the Telemetry Receiver. 2. Connect the appropriate transducer to each socket on the Transmitter. 3. Standing within view of the Fetal Monitor, press the Nurse Call Button on the Transmitter and switch on the Transmitter simultaneously. The test will run as long as the Nurse Call is pressed. www.pcltools.com WOOD S|OOOd "AWA 9-4 Troubleshooting www.pcltools.com www.pcltools.com The correct Monitor response for each signal is given in the following table:
Correct Monitor Response 125 is displayed and printed. Signal Quality Indicator is green. Fetal heartbeat is heard from the loudspeaker. A triangle signal with an amplitude of 40 units is displayed and printed. Each cycle last for 12 seconds. 150 is displayed and printed. Signal Quality Indicator is green. Fetal heartbeat is heard from the loudspeaker. If the response is different, contact your HP Service Engineer or Response Center. WUODS|OO]Od" AAA Troubleshooting 9-5 www.pcltools.com Testing the Receiver Self-Test 1. Switch on the Fetal Monitor and Recorder. 2. Press the Power On/Off Button to switch the Receiver on. When you switch on:
www.pcltools.com WOOD S|OOOd "AWA m The Receiver On light (A) comes on. m The Nurse Call Light (B) and the Battery Low light
(C) are lit for 1 second.
= The Transmission INOP Light (D) lights and stays lit until the Transmitter is switched on. a The Telemetry Lamp Indicator on the Fetal Monitor lights, indicating Telemetry monitoring mode. m TELE is annotated on the fetal trace. 9-6 Troubleshooting www.pcltools.com www.pcltools.com Testing the Interface 1. Remove Fetal Monitor interface cable from the back between the Fetal of the Receiver. Monitor and Receiver 9. Ali the lights on the front of the Receiver will go out. If they are still lit the Receiver is not working properly. Please contact your HP Response Centre. Testing the Interface 1. Ensure that the interface cable is connected to the Cable Receiver. 2. Remove interface cable from the Fetal Monitor. There are two possible outcomes of this test:
a. If all the lights on the Receiver are lit, the interface cable is faulty. :
b. If the lights on the Receiver go out, there is a fault with the telemetry interface in the Fetal Monitor. S In both cases, contact your HP Response Centre. W0dS|OO]O Troubleshooting 9-7 www.pcltools.com Testing the Transmitter Self Test 1. Slide back the battery cover. 2. Push the On/Off switch to position | on the Transmitter. 3. The green On/Off Light (A) lights and the Transmitter is on. 4. Check the red Light (B) situated behind the middle battery. The possible LED reponses are given in the following table:
LED Response Cause and Solution Red Light is lit for a Self Test completed successfully. few seconds then goes out. www.pcltools.com WOOD S|OOOd "AWA Red Light not Batteries are low. permanently out after | Change batteries. 3 seconds. (Blinking or on). Hardware error. Contact your HP Response Center. 9-8 Troubleshooting www.pcltools.com www.pcltools.com Error Messages The following error messages are directly related to Telemetry and appear on the Fetal Monitor. Refer to the Operating Instructions provided with your Monitor for error messages not related to Telemetry monitoring. Series 50 Family Display Cause and Solution Err 9 US Invalid Telemetry mode. Toco Check the cable from the Telemetry Receiver and, if necessary, replace it. Err 14 Incorrect transducer connected into Tovo Transmitter. Check that the transducer is compatible with Series 50T Fetal Telemetry System. Err 16 Transducers are connected to the front transducers from the Fetal Monitor or switch off the Telemetry Receiver. HP 8040A Display Cause and Solution Err 16 |US Transducers are connected to the front Toco panel of the Fetal Monitor. Disconnect the transducers from the Fetal Monitor or switch off the Telemetry Receiver. Troubleshooting 9-9 www.pcltools.com HP 8041A Display Cause and Solution Signal Indicator | Invalid Telemetry mode. indicator | Panel. Check the cable from the Telemetry lamps Receiver and, if necessary, replace it. flashing. Incorrect transducer connected into Transmitter. Check that the transducer is compatible with Series 50T Fetal Telemetry System. Transducers are connected to the front panel of the Fetal Monitor. Disconnect the transducers from the Fetal Monitor or switch of the Telemetry Receiver. www.pcltools.com WOOD S|OOOd "AWA 9-10 Troubleshooting www.pcltools.com www.pcltools.com 10 Safety Information i Read this chapter before setting up and using your Series arety iInrormation 50 T Fetal Telemetry System. A Y ey Warning F FCC WARNING:
This equipment generates, uses and can radiate radio-
frequency energy, and if it is not installed and used in accordance with this manual, may cause interference to :
radio communications. G Operation of this equipment in a residential area may cause interference, in which case the users, at their own =
expense, must take whatever measures may be required to correct the interference. D WOS"S Equipotential Terminal v This symbol is used to identify terminals which are connected together, bringing various equipment or parts of a system to the same potential. This is not necessarily earth potential. (The value of potentials of earth may be indicated adjacent to the symbol.) Caution Symbol A\
This symbol indicates that the operator should refer to the manual Setting Up and Using Your Telemetry System before beginning a procedure. Safety Information 10-1 www.pcltools.com 10 www.pcltools.com 10 Note i 10-2 Safety Information This symbol identifies the terminal for connection to an external protective earth system. Battery Symbol 3 x 1.5v
[NX 3xt5V C1 rq C1
AA LR6 This symbol identifies the battery holder in the transmitter containing three 1.5 V batteries. Three types of batteries can be used in the transmitter:
m Alkaline mw NiCd (rechargeable) m NiMH (rechargeable) Use only high quality batteries. Zinc-carbon batteries are not recommended as they have a low energy content, resulting in shorter operating times. They can also leak. WUODS|OO]Od" AAA www.pcltools.com www.pcltools.com Maximum Input/Output Voltages Transmitier 1. Service Socket The Service Engineer can also connect an HP Omnibook, HP 95LX/100LX or HP Vectra =
to this socket and so carry out various extended configuration and service functions. Maximum voltage of +12V. 2. Socket to Fetal Monitor Maximum voltage of +12V. 3. Power Input Socket 100-120V or 220-240V -~
4, Event Marker/Service Socket Maximum Voltage of +5V. 5. Toco Socket Maximum Voltage of +5V. 6. Cardio Socket Maximum Voltage of +5V. Safety Information 10-3 www.pcltools.com 10 10 Protective Earth The following guidelines, if conscientiously followed, will guarantee maximum patient safety:
a To protect hospital personnel and the patient, the cabinet must be grounded. Accordingly, the Receiver is equipped with a 3-wire power cable which grounds it to the power line ground when plugged into an appropriate 3-wire receptacle. Do not use a 3-wire to 2-wire adapter with the Receiver. Any interruption of the protective earth grounding will cause a potential shock hazard that could result in serious personal injury. Whenever it is likely that the protection has been impaired, the Receiver must be made inoperative and be secured against any unintended operation. Caution Check each time before use that the Telemetry System is in perfect working order and the Receiver is properly grounded. a The patient cable must be positioned so that it does not come into contact with any other electrical equipment. www.pcltools.com WOOD S|OOOd "AWA m Before operation, make sure that the Receiver is free from condensation. This can form when equipment is moved from one building to another, and is exposed to moisture and differences in temperature. Warning i Possible explosion hazard if used in the presence of flammable anesthetics. 10-4 Safety Information www.pcltools.com www.pcltools.com Patient Safety The Telemetry System should only be used by, or under the direct supervision of, a licensed physician or other health care practitioner who is trained in the use of fetal heart rate monitors and in the interpretation of fetal heart rate traces. US federal law restricts this device to sale by, or on the order of, a physician. The Telemetry Receiver is a Protection Class 1, Type B & instrument. It is designed to fulfill safety requirements according to IEC 601-1, UL 544 and CS5SA-C22.2 No.601.1-M90. The Telemetry Transmitter is a battery operated device, applied parts (patient connectors) are Type CF |W). Environment The Series 50 T Fetal Telemetry System should be used in an environment which is reasonably free from vibration, dust, corrosive or explosive gases, extremes of temperature, humidity, etc. It operates within specifications at ambient temperatures between 0 and 45C . Ambient temperatures which exceed these limits can affect the accuracy of the Series 50 T Fetal Telemetry System, the Transmitter radio frequency transmission, and cause damage to the components and 3 circuits. OD S|OOIOC" AMA The Series 50 T Fetal Telemetry System can be stored at ambient tempertures between -40C and 75C. Warning i Under NO circumstances should the Blue transducer be immersed in water when connected to the Fetal Monitor. ll The Blue Toco and Ultrasound transducers are G water-tight to a depth of 0.5 meters. The transducers can be immersed in water ONLY when monitoring with the Series 50 T Telemetry System. The telemetry transmitter must NEVER be immersed in water. Note Safety Information 10-5 www.pcltools.com www.pcltools.com WOd SOO Od AAA www.pcltools.com www.pcltools.com A Setting Up the Fetal Telemetry System This chapter describes how to set up the Telemetry Receiver and Transmitter for use and how to connect the Receiver to a Fetal Monitor and mount the Receiver on a wall, an angled mount and a cart. The procedure for setting up the Telemetry System is straightforward and consists of the following major steps:
. Unpacking the Telemetry System. MAMA:
. Connecting the Antenna to the Receiver. Connecting the Receiver to the Fetal Monitor. Connecting power to the Receiver. o FF W NH FR
. Setting up the Transmitter. For information on how to mount the Receiver see Appendix B and how to test the system Chapter 9. WOOD Sjooljod Setting Up the Fetal Telemetry System A-1 www.pcltools.com www.pcltools.com A Unpacking the 1. Unpack the Telemetry System. Telemetry System If any of the equipment is damaged, contact the carrier and your local HP Service Organization. 2. Ensure that the contents are complete. The Series 50 T Fetal Telemetry System consist of:
mw A Receiver with:
Antenna. Power Cable. Interface Cable to the Fetal Monitor. a A Transmitter with:
3 Batteries. Carrying Strap mw An Operating Guide WUODS|OO]Od" AAA A-2 Setting Up the Fetal Telemetry System www.pcltools.com www.pcltools.com el GN 4 oF f 8
5 Checking the Channel Frequency Labels ao Q 3. Ensure that the number on the Channel Frequency =
Label (A) on the Transmitter is the same as the number on the Receiver. If the numbers are not the same, contact your HP Response Center. Setting Up the Fetal Telemetry System A-3 www.pcltools.com www.pcltools.com A Connecting the Remote Antenna System The operating range of your Series 50 T Fetal Telemetry System will have been defined prior to purchase. (If this has not been done, contact your HP Customer Engineer or Response Center.) During this survey, your Customer Engineer will have established whether you require a Remote Antenna System or if the antenna on the Telemetry Receiver provides a sufficient operating range. If you require a Remote Antenna System, the System will be sent separately to the Series 50 T Fetal Telemetry System. For details of how to install your Remote Antenna System, refer to the documentation supplied with it. 1. Connect Remote Antenna cable to socket (A) at the rear of the Receiver. This socket is marked with the symbol Y. WUODS|OO]Od" AAA A-4 Setting Up the Fetal Telemetry System www.pcltools.com www.pcltools.com Connecting the Local Antenna Assembling the Before you can connect the antenna to the Receiver, you Antenna = must connect it to the right angle connector. 1. Line up the nodules on the right angle connector with the spaces on the antenna connector. 2. Push in and twist.
Assembling the right angle connector and antenna WOD"S Setting Up the Fetal Telemetry System A-5 www.pcltools.com www.pcltools.com Connecting the = The Antenna input socket is located at the rear of the Antenna to the _ Receiver and marked with the symbol Y. To connect Receiver = the Antenna to the Receiver:
Put artwork here for antenna1 1. Turn the connector screw (A) at the base of the antenna so that the two spaces (B) are positioned at the top and bottom. These fit over the two notches
(C) on the Receiver antenna socket. WUODS|OO]Od" AAA 2. Push the antenna onto the socket connection. 3. Turn the connector screw (A) clockwise until it stops. To remove the Antenna from the Receiver:
1. Turn the connector screw (A) anti-clockwise and pull the Antenna off the socket. A-6 Setting Up the Fetal Telemetry System www.pcltools.com www.pcltools.com Connecting the Receiver to the Fetal Monitor The Series 50 T Fetal Telemetry system can be used with the following Fetal Monitors:
m Series 50 Fetal Monitors:
Series 50 IX. Series 50 IP. Series 50 A. m HP 8040A Fetal Monitor. m HP 8041A Fetal Monitor. 1. Connect one end of the interface cable to the socket
(A) on the Receiver. This socket is labeled FETAL MONITOR/MONITEUR FETAL and > (Electrical Output). WUODS|OO]Od" AAA Setting Up the Fetal Telemetry System A-7 www.pcltools.com www.pcltools.com 2. Connect the other end of the interface cable to the Telemetry socket (B) on the Fetal Monitor. This socket is labeled with a ) (Electrical Input). Series 50 IX :
O O =
Q) oS @
B 2 o 6 OCS 3 HP 8040A HP 8041A ll If you wish, you can leave the Receiver connected to the G Fetal Monitor during normal monitoring. In this case, the Receiver must be switched off. Note A-8 Setting Up the Fetal Telemetry System www.pcltools.com www.pcltools.com Connecting Power The Receiver will be set to the correct voltage at the factory, but before you connect power:
1. Ensure that the voltage switch (A) is in the correct position for your country. The voltage and fuse values are shown on the rear panel (B). If it is incorrect, contact your HP Response Center. loro} G+ foneur Feta > Ss y a ond > aoa 2. Connect the power cord to the mains socket (C) WUODS|OO]Od" AAA Setting Up the Fetal Telemetry System A-9 www.pcltools.com www.pcltools.com A Switching On the 1. Switch on the Fetal Monitor and Recorder. Receiver 2. Press the Power On/Off Switch to switch the Receiver on.
(= EA YY 4 fe When you switch on:
m The Receiver On light (A) comes on. m The Nurse Call Light (B) and the Battery Low light
(C) are lit for 1 second.
= The Transmission INOP Light (D) lights and stays lit until the Transmitter is switched on. WUODS|OO]Od" AAA a The Telemetry Lamp Indicator on the Fetal Monitor lights, indicating Telemetry monitoring mode. m TELE is annotated on the fetal trace. Details of troubleshooting general problems and error messages are given in Chapter 9. A-10 Setting Up the Fetal Telemetry System www.pcltools.com www.pcltools.com Setting Up the Transmitter Inserting Batteries _1. Slide back the battery cover. 2. Insert 3 AA size batteries (1.5V) noting their polarity. The following type of batteries can be used:
m Alkaline m NiCd (rechargeable)
= NiMH (rechargeable) Note i Use only high quality batteries. Zinc-carbon batteries a G (also known as Leclanche )are not recommended as they have a low energy content, resulting in shorter operating times. They can also leak. Remove the batteries if you do not intend to use the Transmitter for a long period of time. Setting Up the Fetal Telemetry System A-11 www.pcltools.com www.pcltools.com 3. Close the battery cover. 4. Switch on the Receiver. The green Power On light
(A) lights. The yellow Transmission INOP light (B) will be lit if the transmitter is not switched on. Details of troubleshooting general problems and error messages are given in Chapter 9. WUODS|OO]Od" AAA A-12 Setting Up the Fetal Telemetry System www.pcltools.com www.pcltools.com Switching On the 1. Check that the number on the Channel Frequency Transmitter Label (A) on the Transmitter is the same as the number on the Receiver. 2. Push the On/Off switch to position | on the Transmitter. 3. The green On Light (B) lights and the Transmitter i on. 4. The yellow Transmission INOP light (C) on the Receiver will go out after 3 seconds. WOdS|OOrfod" AWA BES CY YY 4 aid ona 5 oo) oF Details of solving general problems and error messages are given in Chapter 9. Setting Up the Fetal Telemetry System A-13 www.pcltools.com www.pcltools.com A Setting the Volume of = The volume of the Nurse Call can be changed provided the Nurse Call = that the Nurse Call is not being currently activated. To set the Nurse Call volume:
1. Press the Nurse Call Acknowledge/ Volume Control Button on the Receiver. BEEEens7 ER YY 4 aid cae CI 0.6 A om hy You will hear a constant tone which will increase in volume until it gets to the maximum level then decreases in volume. 2. Establish how loud you want the volume and let go of the button when that volume is reached. This volume level has now been saved and stored. WUODS|OO]Od" AAA A-14 Setting Up the Fetal Telemetry System www.pcltools.com www.pcltools.com Mounting the Receiver There are a variety of different ways to mount the Receiver. It can be mounted:
m Under the following:
A Fetal Monitor An Angle Mount a On top of the following:
A flat surface Series 50 Mobile Cart. @
Series 50 IX Fetal Monitor (with Top Mounting Kit HP 8040A Fetal Monitor @
HP 80300A Mobile Cart (with Top Mounting Kit) mw On a wall with a Wall Mount. m Inside a HP 80300A Mobile Cart OC MAA 4 WOD"S Mounting the Receiver B-1 www.pcltools.com www.pcltools.com Mounting the Receiver under a Fetal Monitor Series 50 IX, HP These Monitors require a mounting cam (part number 8040A and HP 8041A =: 5051-8340 for the Series 50 IX, 5061-5654 for the HP 8040A and 8041A). To mount the Receiver under the Fetal Monitor:
1. Attach the mounting cam kit to the base of the Fetal Monitor and ensure the locking lever is moved fully to the left. WUODS|OO]Od" AAA 2. Slot the feet on the base of the Monitor into the slots on the Receiver. 3. Secure the Monitor in place by turning the mounting cam into the lock position. B-2 Mounting the Receiver www.pcltools.com www.pcltools.com Series 50 A and 50 IP The Series 50 A and 50 IP Monitors just fit inside the slots on the Receiver. To fit the Series 50 A or 50 IP to the Receiver:
1. Holding the Monitor at a slight angle, sit the front feet in the front slots along the top of the Receiver. The small step on each foot helps it locate firmly in place. 2. Lower the Monitor till the back feet click into the back slots. Warning F Make sure that all four feet are located firmly in place. WUODS|OO]Od" AAA To remove the Monitor from the Receiver:
1. Holding the Monitor in both hands, press the Lock-Release Buttons, lift out the back feet and then the front feet. Mounting the Receiver B-3 www.pcltools.com www.pcltools.com Mounting the To fit the angle mount to the Receiver:
Receiver under an 1. Slide the feet of the angle mount into the recesses on Angle Mount top of the Receiver. 2. Secure the angle mount in place by turning the mounting cam to the locked position. WUODS|OO]Od" AAA To remove the angle mount from the Receiver:
1. Turn the mounting cam to the unlocked position. 2. Lift off. B-4 Mounting the Receiver www.pcltools.com www.pcltools.com Mounting the Receiver on a flat surface The Receiver can be rested on, but not fixed to an existing surface. Mounting the Receiver on top of a Series 50 Mobile Cart or HP 8040A To mount the Receiver on top of a Series 50 Mobile Cart or HP 8040A Monitor:
1. Move the mounting cam on the base of the Receiver to the left. 2. Slot the feet on the base of the Receiver into the slots on the HP 8040A Monitor or Series 50 Mobile Cart. 3. Secure the Receiver in place by turning the mountin cam into the lock position. Mounting the Receiver B-5 www.pcltools.com www.pcltools.com j To mount the Receiver on top of a Series 50 IX you Mounting the P y Receiver on top of require the Top Mounting Kit HP M1360A Option
. LAB (kit ber M1350-68701). a Series 50 IX #1AB (kit number ) Refer to the Series 50 IX Installation Guide for details of how to install the Top Mounting Kit onto the Monitor. When it is in position:
1. Move the mounting cam on the base of the Receiver to the left. 2. Slot the feet on the base of the Receiver into the slots on the Top Mounting Kit. 3. Secure the Receiver in place by turning the mounting 80300-68709). To mount the Receiver on top of the HP 80300A and mounting kit, follow the same instructions as mounting the Receiver on a Series 50 IX. Cart cam into the lock position. :
OG
=P On top of the HP To mount the Receiver on top of a HP 80300A Mobile 8 80300A Mobile Cart you require the Top Mounting Kit (kit number @
3 B-6 Mounting the Receiver www.pcltools.com www.pcltools.com On a Wall The Series 50 T Fetal Telemetry Receiver can be mounted on the wall when used with a Series 50 A or Series 50 IP Monitor. To mount the Series 50 T Fetal Telemetry Receiver on a wall you require the Telemetry Receiver Wall Mounting kit (kit number M1310-64150.) To then mount your Series 50 A or Series 50 IP on top of the Receiver when it is on the wall, you need the Fetal Monitor Wall-Mounting Kit (M1353-64150) 1. Fit the Receiver Mounting Kit to the wall and the Telemetry Receiver by refering to the instructions supplied with the kit. 2. Turn the Receiver so that the Power On/Off Button and Lights face upwards. 3. From above, slide the V mounting plate on the Receiver into the mounting plate on the wall. WUO9S|OO]Od" AAA Mounting the Receiver to the Wall Mounting the Receiver B-7 www.pcltools.com www.pcltools.com 4. Attach the Fetal Monitor Wall Mount to the Receiver with 3 screws (A). You can now mount your Monitor on top of the :
Receiver. oS
=P
Inside a HP To mount the Receiver inside the HP 80300A Mobile 6 80300A Mobile Cart you require the Rack Mounting for MPG Cabinet, 3 Cart (kit number 5061-5676). Refer to the equipment note (80300-90000) for details. B-8 Mounting the Receiver www.pcltools.com www.pcltools.com C Care and Cleaning Transmitter and Keep the outside surfaces of the Transmitter and R iver Receiver clean and free of dust and dirt: use soap and eceive water or ETHANOL 70%. Caution Although the Transmitter and Receiver are chemically-resistant to most common hospital cleaners and non-caustic detergents, different cleaners are not recommended and may stain the Transmitter and Receiver. CS Many cleaners must be diluted before use. Follow the manufacturers directions carefully to avoid damaging =
the Transmitter and Receiver. oO Do not allow any liquid to enter the Transmitter and =
Receiver cases and avoid pouring liquid on the Receiver while cleaning. Do not imerse the Transmitter. 3 Never use an abrasive material such as steel wool or metal polish. Care and Cleaning C-1 www.pcltools.com www.pPcltools.c Preventive Maintenance C-2 Care and Cleaning The following should be routinely inspected
(approximately every 12 months) by the user or biomedical engineer:
m Mechanical inspection of cables, loose/bent connectors m Check and clean the Transmitter and Receiver housings. For more details on service and maintenance, refer to the HP M1310 Service Manual. WUODS|OO]Od" AAA www.pcltools.com www.pcltools.com D Replacing Fuses and Batteries Replacing the Fuses in the Receiver The fuse values are printed beside the mains socket:
For 100-120V ~ Line T300mA 250V ~~ UL Voltage For 220-240V ~ Line T125 L 250V ~~ IEC Voltage
(~~ = alternating current) To replace the fuses:
1. Switch off the Receiver and disconnect it from the main power supply. WUODS|OO]Od" AAA 2. Using a flat-blade screwdriver, turn the fuse cover (A) anti-clockwise. 3. Pull out the fuse holder and fuse. Replacing Fuses and Batteries D-1 www.pcltools.com 4. Remove the fuse from the holder and replace it with another of the correct type and value. 5. Slide the holder and fuse back into place. 6. Using a flat bladed screwdriver press in the fuse cover and simultaneously turn the cover clockwise. 7. Repeat steps 2 to 6 for the second fuse. Checking the When the batteries in the Transmitter are low, the Batteries Battery Low Light (A) on the Receiver is lit. Ee I |
G
ee o
: Q
CEES cote 507 a Y. ss ot | =) Battery Low Lamp D-2 Replacing Fuses and Batteries www.pcltools.com www.pcltools.com Remaining Battery Life (in minutes) after a Low Light Battery Type | Monitoring Modes Modes US + DECG + | DECG +
TOCO(ext)| TOCO(ext) IUP WUODS|OO]Od" AAA Replacing Fuses and Batteries D-3 www.pcltools.com The Transmitter uses three 1.5V (AA size, LR6 type) batteries. Three types of batteries can be used in the transmitter:
m Alkaline mw NiCd (rechargeable) m NiMH (rechargeable). ll Use only high quality batteries. Zinc-carbon batteries G (also known as Leclanche )are not recommended as they have a low energy content, resulting in shorter operating times. They can also leak. Note Remove the batteries if you do not intend to use the Transmitter for a long period of time. WUODS|OO]Od" AAA D-4 Replacing Fuses and Batteries www.pcltools.com www.pcltools.com The expected length of battery operating times are shown in the table below:
Typical Tsay nae Times in hours Battery Type | Monitoring Modes Modes US + DECG + | DECG +
TOCO(ext)| TOCO(ext) IUP WUODS|OO]Od" AAA Replacing Fuses and Batteries D-5 www.pcltools.com 1 Replacing the To replace the batteries:
Batteries in the 1. Open the battery cover. Transmitter 2. Replace the batteries (noting their polarity). 3. Close the battery cover. D-6 Replacing Fuses and Batteries www.pcltools.com WUODS|OO]Od" AAA www.pcltools.com E Ordering Accessories Standard Accessories This appendix lists the accessories supplied as standard and as options, and describes:
a Types of gel. m Transducers.
= Belts and buttons. OC MAA The following accessories are supplied as standard with the Series 50 T Fetal Telemetry System:
m A Receiver with:
WOD*S|OC Antenna. Power Cable. Interface Cable to the Fetal Monitor. a A Transmitter with:
3 Batteries. Carrying Strap mw An Operating Guide Ordering Accessories E-1 www.pcltools.com ochools.com Optional Accessories E-2 Ordering Accessories The following accessories can also be supplied when the appropriate option is ordered:
No. Cll 0B3 C99 Option Remote Event Marker. Service Manual. Special Frequency Option. The following accessories can also be supplied:
M1356A M1356A Opt. C03 M1355A M1355A Opt. C03 M1357A M1357A Opt. C03 Ultrasound transducer (with 2.5m/8ft 2in cable). Ultrasound transducer (with 70cm/28in cable). Toco transducer (with 2.5m/8ft 2in cable). Toco transducer (with 70cm/28 in cable). DECG transducer (with 2.5m/8ft 2in cable). WUODS|OO]Od" AAA DECG transducer (with 70cm/28 in cable). www.pcltools.com www.pcltools.com Gels 40404A Ultrasound transmission gel for use with ultrasound transducers. Available in Europe only. Water-soluble. Supplied in packs of 12 bottles (each 250ml). Shelf life: 24 months maximum; 6 months minimum. 7 7 mw Easy patient clean-up. 7 7 40404B is a 5-liter refill container (with dispenser) to refill 40404A bottles. 40483A Aquasonic transmission gel for use with ultrasound transducers. m Available worldwide. a Water-soluble. mw Easy patient clean-up. 7 7 Supplied in packs of twelve 80z (250gm) bottles. Shelf life: 24 months maximum; 6 months minimum. WUODS|OO]Od" AAA 40483B is a 5-liter refill container to refill 40483A bottles. Caution Using ultrasound gel that is not approved by HP may reduce the signal quality and may damage the transducer. This type of damage will not be covered by warranty. www.pcltools.com Ordering Accessories E-3 ochools.com Toco, Ultrasound and ECG Transducers E-4 Ordering Accessories Transducers are not supplied automatically with the Series 50 T Fetal Telemetry System. There are two types of transducer available, standard Series 50 Transducers with 2.5m/8ft 2in cables and Telemetry Transducers with 70cm/28in cables. Both are colored blue and are wateright complying with IRC 529
(IP68). Standard Series 50 Transducers with a 2.5m cable.
= Toco Transducer (M1355-69011) Supplied singly. m Ultrasound Transducer (M1356-69011) Supplied singly.
= DECG Transducer (M1357-60001) Supplied singly. Telemetry transducers with a 70cm (28in) cable.
= Toco Transducer (M1355-69013) Supplied singly. m Ultrasound Transducer (M1356-69013) Supplied singly.
= DECG Transducer (M1357-60003) Supplied singly. WUODS|OO]Od" AAA www.pcltools.com www.pcltools.com Disposable Scalp Electrodes 15130A Available in Europe only. aw Double spiral. a Not sterilized. m Supplied in packs of 3. Use with applicator tool 151314. 15133A Available worldwide. m Single spiral. mw Driven by inner drive tube. a ETO sterilized.
= Supplied in packs of 50. m Shelf life: 24 months maximum; 6 months minimum. 15133C Available in Europe only. Double spiral. Driven by inner drive tube. Gamma sterilized. Supplied in packs of 25. Shelf life: 24 months maximum; 6 months minimum. WUODS|OO]Od" AAA 15133CF Available in France only. aw Double spiral. mw Driven by inner drive tube. a ETO sterilized. m Supplied in packs of 25. m Shelf life: 24 months maximum; 6 months minimum. Ordering Accessories E-5 www.pcltools.com IUP Transducers 1290C Option J05 Reusable, fluid-filled pressure transducer
(5uV/V/mmHg). Supplied individually. When this transducer is ordered as M1353A Option C07, it is supplied with Transducer Holder 1292C and five disposable IUP Kits 14099C. Related products:
a Disposable IUP Kits 14099C, D and E. m Sterile domes 1295A-020 and 1295A-100. m Sterile flared port domes 1295CK and 1295CK-020. ochools.com WOOD S|OOOd "AWA E-6 Ordering Accessories www.pcltools.com www.pcltools.com IUP Kits 13972A Disposable IUP kit with disposable transducer. Preassembled. ETO sterilized. Contains: catheter, needle adapter, 20cc syringe, inserter, two stopcocks, drape and caps. Shelf life: 24 months maximum; 6 months minimum. Supplied in packs of 20. Related products:
= Connector for HP 8040A 1271 Option J05. mw Transducer holder 1272A. m Pole clamp 1273A. 14099C Disposable IUP kit. Unassembled. ETO sterilized. Contains: catheter, needle adapter, 20cc syringe, inserter, two stopcocks and drape. Shelf life: 24 months maximum; 6 months minimum. Supplied in packs of 20. Related products:
a IUP Transducer 1290C Option J05. mw Transducer holder 1292C. m Sterile domes 1295A-020 and 1295A4-100. m Sterile flared port domes 1295CK and 1295CK-020. WUODS|OO]Od" AAA Ordering Accessories E-7 www.pcltools.com ochools.com E-8 Ordering Accessories 14099D Disposable IUP kit without drape. Unassembled. ETO sterilized. Contains: catheter, needle adapter, 20cc syringe, inserter and two stopcocks. Shelf life: 24 months maximum; 6 months minimum. Supplied in packs of 20. Related products:
a IUP Transducer 1290C Option J05. mw Transducer holder 1292C. m Sterile domes 1295A-020 and 1295A-100. m Sterile flared port domes 1295CK and 1295CK-020. 14099E Disposable IUP kit with dome. Preassembled. ETO sterilized. Contains: catheter, needle adapter, 20cc syringe, inserter, two stopcocks, 1295C dome, caps and drape. Shelf life: 24 months maximum; 6 months minimum. Supplied in packs of 20. Related products:
a IJUP Transducer 1290C Option J05. m Transducer holder 1292C. www.pcltools.com WUODS|OO]Od" AAA www.pcltools.com Domes Transducer-Tipped 13975B and 13995A IUP Catheters 1295A-020 and 1295A-100 Sterile, disposable dome with parallel ports for use with IUP transducer 1290C Option J05, and IUP kits 14099C and 14099D. ETO sterilized. Shelf life: 24 months maximum; 6 months minimum. 1295A-020 is supplied in packs of 20. 1295A-100 is supplied in cases of 5 boxes, each containing 20 domes. 1295CK and 1295CK-020 Sterile, disposable dome with flared ports for use with IUP transducer 1290C Option J05, and IUP kits 14099C and 14099D. ETO sterilized. Shelf life: 24 months maximum; 6 months minimum. 1295CK is supplied in packs of 60. 1295CK-020 is supplied in packs of 20. 09 SJOOIOC' AMA Disposable, transducer-tipped pressure catheters. Do no&
need to be filled with fluid. 13995A has amnioinfusion capability. Peel-away introducer. ETO sterilized. Supplied in packs of 10. Related products:
mw Adapter cable 13981A. m Zero saver M1835A. Ordering Accessories E-9 www.pcltools.com Belts and Buttons ochools.com E-10 Ordering Accessories Abdominal Transducer Belt (M1561A) m Roll of brown, breathable elastic.
= Buttonholes every 32mm (1.25in). mw Reusable. a Washable. m Width: 50mm (2 in). m Length: 15m (50ft). m Supplied in packs of one roll. Abdominal Transducer Belt (M1562A) m Pre-cut. m Width: 50mm (2 in). mw Length: 1.3m (4ft 3in). m Supplied in packs of 5. Leg Transducer Belt (M1563A) m Pre-cut m Width: 50mm (2 in). mw Length: 0.8m (2.5ft). m Supplied in packs of 5. Belt Buttons (M1569A) m Supplied in packs of 10. Transducer Knob Adapter (M1356-43201) m Supplied in packs of three. www.pcltools.com WUODS|OO]Od" AAA www.pcltools.com F CE Declaration and Technical Specifications
(M1310A) Receiver Power Requirements 100 to 120V or 220 to 240V (4 50 to 60Hz 19 VA max 3x1.5V (AA size) Environment Operating Temperature 0 to +45C Storage Temperature -40 to + 75C Relative Humidity 5 to 95%
Receiver Dimensions and Weight 50mm (2in) 425mm (16.7in) 392mm (15.4in) 6.5kg (14.3 Ib) CE Declaration and Technical Specifications (M1310A) F-1 www.pcltools.com Transmitter Dimensions and Weight Without transducers and batteries ig ti ai in)
piss La ti Input Sensitivity Transmitter Output Power Image Rejection www.pcltools.com WOOD S|OOOd "AWA F-2 CE Declaration and Technical Specifications (M1310A) www.pcltools.com www.pcltools.com C E O366 Declaration of Conformity, according to ISO/IEC Guide 22 and EN 45014:
Manufacturers Name Hewlett-Packard GmbH Manufacturers Address Herrenberger Strasse 110-130 71034 Boeblingen Germany Declares that the product Product Name Series 50T Fetal Telemetry System Model Number(s) M1310A Product Options/Revisions all to which this declaration relates is in conformity with the technical requirements of the following standard(s) or other normative document(s):
Safety, Performance EN 60601-1 / 1988 MAMA EMC EN 60601-1-2 / 1993 Supplementary Information The product complies with the requirements of the Medical Device Directive 93 /42/EEC. The product was tested in a typical configuration of a Hewlett-Packard Fetal Telemetry System. WOOD Sjooljod Boeblingen, February 05, 1996 Erich Courtin
(Regulation Manager) CE Declaration and Technical Specifications (M1310A) F-3 www.pcltools.com www.pcltools.com WOd SOO Od AAA www.pcltools.com www.pcltools.com Index A accessories optional, E-2 standard, E-1 antenna assembling, A-5 connecting local, A-6 connecting remote, A-4 B Batteries checking, D-2 inserting, A-11 replacing, D-6 belt buttons, E-10 problems with, 4-8 types, E-10 Cc care and cleaning, C-1 Channel Frequency Label, 1-2, 1-4 checking, 2-5, 3-6, 4-4, 5-5, A-3 connecting local antenna, A-6 power, A-9 remote antenna, A-4 the Receiver to the Fetal Monitor, A-7 www.pcltools.com Index WUODS|OO]Od" AAA Index-1 www.pcltools.com Index Index-2 DECG monitoring FHR, 3-1 problems when monitoring, 3-8 replacing the electrode wire, 3-9 documentation related, iv electrodes spiral, E-5 environment, 10-5 erratic trace, 2-9, 2-10 error messages, 9-9 Event Marker marking events, 7-1 fetal movement, 6-1 FHR erratic trace, 2-9, 2-10, 3-8 low, 2-9 monitoring using DECG, 3-1 monitoring using ultrasound, 2-1 questionable, 2-10 transducer slipping, 2-9 FHR with DECG monitoring problems, 3-8 FHR with ultrasound monitoring problems, 2-9 FMP, 6-1 artifact, 2-9, 6-2 switching off and on, 6-2 fuses, replacing, D-1 gel types, E-3 www.pcltools.com WUODS|OO]Od" AAA www.pcltools.com Index H heart rate limits, 3-10 l installation, A-1 Interface testing, 9-7 IUP domes, E-9 kits, E-7 monitoring, 5-1 problems when monitoring, 5-7 transducer types, E-6 K knob adapter, E-10 M maintenance preventative, C-2 marking events, 7-1 maternal movement, 4-8 maximum input/output voltages, 10-3 monitoring FHR using DECG, 3-1 using ultrasound, 2-1 monitoring uterine activity problems using IUP, 5-7 problems using Toco, 4-8 using IUP, 5-1 using Toco, 4-1 mounting the Receiver inside the HP 80300A, B-8 on a flat suface, B-5 on a wall, B-7 on top of a Mobile Cart, B-5 on top of HP 8040A, B-5 on top of Series 50 IX, B-6 on top the HP 80300A, B-6 options, B-1 under a Fetal Monitor, B-2, B-3 under an Angle Mount, B-4 WUODS|OO]Od" AAA Index-3 www.pcltools.com www.pcltools.com Index N Nurse Call, 8-1 setting the volume, A-14 Oo overview application, 1-6 product, 1-2 P patient safety, 10-5 problems solving general, 9-2 protective earth, 10-4 R Receiver, 1-2, 1-3 connecting power, A-9 switching on, A-10 testing, 9-6 Remote Event Marker marking events, 7-1 replacing Batteries, D-6 fuses, D-1 replacing the electrode wire, 3-9 Ss safety, 10-1 self test Receiver, 9-6 Transmitter, 9-8 setting up Receiver, A-7, A-9 Transmitter, A-11 signal quality indicator DECG Monitoring, 3-7 ultrasound monitoring, 2-7 spiral electrode connecting the transducer to the transmitter, 3-6 types, E-5 switching FMP off and on, 6-2 switching on Receiver, A-10 Index-4 www.pcltools.com WUODS|OO]Od" AAA www.pcltools.com Index Transmitter, A-13 T _ testing interface between the Monitor and Receiver, 9-7 Parameter Test, 9-4 Receiver self test, 9-6 Transmitter self test, 9-8 trace erratic, 2-9, 2-10, 3-8 no FHR recorded, 2-9 transducers knob adapter, E-10 types, E-4 transducer-tipped catheters, types, E-9 Transmitter, 1-4, 1-5 inserting batteries, A-11 switching on, A-13 testing, 9-8 U ultrasound limitations, 2-2 monitoring FHR, 2-1 problems when monitoring, 2-9 unpacking the Telemetry System, A-2 uterine activity IUP, 5-1 monitoring using Toco, 4-1 problems when monitoring using IUP, 5-7 problems when monitoring using Toco, 4-8 WUODS|OO]Od" AAA V_sCVooltage Setting checking, A-9 Index-5 www.pcltools.com www.pcltools.com WOd SOO Od AAA www.pcltools.com
frequency | equipment class | purpose | ||
---|---|---|---|---|
1 | 2001-10-18 | 406 ~ 470 | TNT - Licensed Non-Broadcast Transmitter Worn on Body | Change in identification of presently authorized equipment. Original FCC ID: IPZBMDM1310A Grant Date: 03/16/1994 |
app s | Applicant Information | |||||
---|---|---|---|---|---|---|
1 | Effective |
2001-10-18
|
||||
1 | Applicant's complete, legal business name |
Philips Medical Systems North America Co.
|
||||
1 | FCC Registration Number (FRN) |
0025978651
|
||||
1 | Physical Address |
3000 Minuteman Road
|
||||
1 |
Andover, Massachusetts 01810-1099
|
|||||
1 |
United States
|
|||||
app s | TCB Information | |||||
n/a | ||||||
app s | FCC ID | |||||
1 | Grantee Code |
PQC
|
||||
1 | Equipment Product Code |
M1310A
|
||||
app s | Person at the applicant's address to receive grant or for contact | |||||
1 | Name |
D**** S****
|
||||
1 | Title |
Principal Scientist / Project Leader
|
||||
1 | Telephone Number |
+ 1 9********
|
||||
1 | Fax Number |
1-978********
|
||||
1 |
d******@philips.com
|
|||||
app s | Technical Contact | |||||
n/a | ||||||
app s | Non Technical Contact | |||||
1 | Firm Name |
Goldberg Godles Wiener & Wright
|
||||
1 | Name |
J******** A**** G******
|
||||
1 | Physical Address |
1229 19th Street NW
|
||||
1 |
Washington, Dist of Columbia 20036-2413
|
|||||
1 |
United States
|
|||||
1 | Telephone Number |
202-4********
|
||||
1 | Fax Number |
202-4********
|
||||
1 |
j******@g2w2.com
|
|||||
app s | Confidentiality (long or short term) | |||||
1 | Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?: | No | ||||
1 | Long-Term Confidentiality Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?: | No | ||||
if no date is supplied, the release date will be set to 45 calendar days past the date of grant. | ||||||
app s | Cognitive Radio & Software Defined Radio, Class, etc | |||||
1 | Is this application for software defined/cognitive radio authorization? | No | ||||
1 | Equipment Class | TNT - Licensed Non-Broadcast Transmitter Worn on Body | ||||
1 | Related OET KnowledgeDataBase Inquiry: Is there a KDB inquiry associated with this application? | No | ||||
1 | Modular Equipment Type | Does not apply | ||||
1 | Purpose / Application is for | Change in identification of presently authorized equipment. Original FCC ID: IPZBMDM1310A Grant Date: 03/16/1994 | ||||
1 | Composite Equipment: Is the equipment in this application a composite device subject to an additional equipment authorization? | No | ||||
1 | Related Equipment: Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization? | No | ||||
1 | Is there an equipment authorization waiver associated with this application? | No | ||||
1 | If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded? | No | ||||
app s | Test Firm Name and Contact Information | |||||
n/a | ||||||
Equipment Specifications | |||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Line | Rule Parts | Grant Notes | Lower Frequency | Upper Frequency | Power Output | Tolerance | Emission Designator | Microprocessor Number | |||||||||||||||||||||||||||||||||
1 | 1 | 90.217 | 406.00000000 | 470.00000000 | 0.0040000 | 0.0050000000 % | 7K90F9D |
some individual PII (Personally Identifiable Information) available on the public forms may be redacted, original source may include additional details
This product uses the FCC Data API but is not endorsed or certified by the FCC