COROMETR

115 FETAL MO

OPERATOR'S MANUAL
1
 CONTENTS
INTRODUCTION ........................................... 1

SAFETY ................................................... 2

CONTROLS AND INDICATORS ............................. 5

Front Panel Controls........................................ 5

Front Panel Connectors ...................................... 7
Front Panel Displays ........................................ 7
T i e and Date Set Pushbuttons ............................... 8
Strip Chart Recorder ........................................ 9
Rear Panel ................................................. 10
Rear Panel Connectors ...................................... 10

OPERATION ............................................... 12

Selecting Monitoring Modes .................................. 12

Fetal Heart Rate Monitoring ....................... :......... 12
Uterine Activity ............................................. 12
Preparing Monitor For Use .................................. 13
Mounting Strain Gauge ...................................... 14
Chart Paper Installation ..................................... 16
Monitor Self Test Routines ................................... 18
Application of Monitor to Patient ............................. 19
FHR Recording .Ultrasound ............................... 19
F,HR Recording .Phono ................................... 22
FHR Rmrding .Internal Direct FECG ...................... 25
Uterine Activity Recording .Tocodynamometer ............... 27
Uterine Activity Recording .Catheter and Strain Gauge ........ 29
Flushing and Calibration of the Strain Gauge ................. 31
Dual Heart Rate Monitoring .................................. 35
Alphanumeric Messages ...................................... 38

SET TIME AND DATE ..................................... 40

CARE AND CLEANING .................................... 43

TROUBLESHOOTING ...................................... 46

SPECIFICATIONS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48

ACCESSORIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Features
-
* Quiet, easy-to-load recorder with high-resolution dot
matrix printhead. Prints out continuous trends and
alphanumeric data on one strip chart in single or dual
heart rate modes.

* Automatic mode selection. The desired monitoring

mode is selected simply by inserting the appropriate
transducer plug into the front panel connector.

* Easy-to-use durable transducer connectors.

* All functions controlled by pushbuttons-including

audio volume, UA reference, time/date set, and paper
advance.

* Cleaner more accurate traces with fewer "dropouts"

using ultrasound or phono because of patented autocor-
relation processing.

* U.S. Patent No. 3,982,528

 Section 1
INTRODUCTION
The CorometricsB Model 115 Fetal Monitor is capable of
monitoring two heart rates (maternal and fetal or twins)
and maternal uterine contractions. Simultaneous trends of
' beat-to-beat heart rate and uterine activity (UA) are plotted
continuously on the built-in dual channel strip chart
recorder. Fetal heart rate (FHR) and UA are displayed
continuously on the front-panel numeric display. The
Model 115 is capable of monitoring heart rate and uterine
activity using the following external or internal clinical
methods.

External Monitoring Modes

1) Continuous-Wave Doppler Ultrasound: A transducer

placed on the abdomen is used to direct an ultrasonic beam
toward the fetal heart and to sense Doppler-shied echoes
created by moving cardiac structures. A patented
autocorrelation process is used to determine the timing of
successive cardiac cycles.

2) Phono: An acoustically sensitive transducer placed on

the maternal abdomen senses fetal heart -sounds which are
used to compute the fetal heart rate. The patented
autocorrelation processing is also used in the Phono Mode
to improve measurement accuracy.

3) Tocodynamometer: Relative Pressure within the uterus

is measured using a tocotransducer strapped to the
abdomen in the area of the uterine fundus. The readings
are recorded on the strip chart paper in a relative scale
from 0 to 100.

Internal Monitoring Modes

1) Direct Fetal ECG: FECG waveforms are obtained via a

spiral electrode attached to the fetal presenting part. FHR
is computed on a beat-to-beat basis using the time interval
between R-wave peaks. The instantaneous FHR pattern is
printed on the strip chart paper and the FHR appears on
the numeric display.

2) Intrauterine Catheter and Strain Gauge: Amniotic fluid

pressure is measured using a transcervical intrauterine
catheter and externally mounted strain gauge. Pressure
trends are plotted over the range of 0 to 100 rnrnHg.

Maternal Monitoring Mode

MECG waveforms are obtained via electrodes placed on

the maternal chest and abdomen. MHR is computed on a
beat-to-beat basis using the time interval between R-wave
peaks. The instantaneous MHR pattern is printed on the
strip chart paper and the MHR appears on the numeric
display.
Section 2
SAFETY
GENERAL USE AND POWER PRECAUTIONS

IMPORTANT: Read this manual before operating the

monitor. Keep this manual available for future reference
and orientation of new personnel.

Refer to supplementary "Guide to Fetal Heart Rate

Monitoring" for limitations of internal and external
monitoring techniques.

This monitor is ordinarily shipped with provisions to

operate from a hospital grade three-wire 117-volt electrical
outlet. The monitor can be changed to operate from other
types of outlets and voltages with appropriate modifications
performed by personnel authorized by Corometrics Medical
Systems, Inc.

Do not defeat the three-wire grounding feature in the

power cord by means of adapters, plug modifications or
other methods. A dangerous shock hazard to both patient
' and operator may result.

Monitors should be plugged into the same circuit as other

equipment in use on the same patient. Your hospital
engineering staff should identify outlets that are on the
same circuit in patient areas.

This equipment is not designed for use in an explosive

atmosphere, in the presence of flammable anaesthetics, or
inside an oxygen tent. Use under these conditions may
present an explosion hazard.

LEAKAGE CURRENT

Corometrics monitors are equipped with isolated inputs

(ECG) and isolated transducers (Phono, ultrasound, strain
gauge, and tocodynamometer). Leakcase current is limited
to a few microamperes even if full power-line vcltage is
applied to the patient leads. However, for maximum patient
safety, the following procedures are recommended.

Keep equipment clean and free of transducer gel, electrode

cream, and other substances.

Do not operate if unit is wet because of spills or

condensation. Condensation could occur if a monitor is
moved from building to building such as from a cold
environment to a warm and humid location.
DIRECT MEASURING PRECAUTIONS

Because the tip of the spiral electrode is designed to

penetrate the fetal epidermis, the possibility of trauma,
hemorrhage and infection exists.

Direct monitoring should be used only under aseptic

conditions.

Membranes must be ruptured prior to the introduction of

either the spiral electrode or the intrauterine catheter.

When inserting an intrauterine catheter, do not force the

catheter guide or catheter since it is possible to perforate
the uterus.

Contraindications: The electrode should NOT be applied to

the fetal face, fontanels or genitalia or when it is not
possible to identify the portion of the fetal body where-
application is contemplated. Direct monitoring should NOT
be used when placenta previa or bleeding from the uterine
cavity is present; when genital infections (e.g., herpes,
Group B streptococcus, gonorrhea) or other infections
exist.
-
-
Section 3
 Section 3
CONTROLS AND INDICATORS
FRONT PANEL CONTROLS

Volume

Two pushbuttons used to change the volume of sound emitted by the rear-panel speaker. Depressing the button
with the arrow pointing up causes the volume to increase. Depressing the button with the arrow pointing down
causes the volume to decrease. Volume control has no effect on the processing used to compute heart rate.

UA Reference

Pushbutton which sets the pressure reference level on the UA recorder channel at 0-mmHg for the strain gauge
or at 10 for the tocodynamometer. To activate, depress and hold for 1 second.

Test

Pushbutton used to initiate a monitor self-test routine. To activate, depress and hold for 1 second.

Mark

,Depressing the Mark button causes an arrow-shaped mark to be printed on heart rate channel of the strip chart
paper-

Record

Depressing pushbutton activates the recorder, provided paper has been installed. Once the recorder is activated,
- -- * s

depressing Record again turns it off.

An amber light next to the Record pushbutton will be on when the recorder is activated and off when the recorder
is deactivated or if paper has run out. It will flash when the end of the paper is approaching. When the recorder
is out of paper, the recorder will automatically stop and cannot be restarted until chart paper is inserted.

Paper Advance

Pressure on pushbutton causes the recorder to advance chart paper at the speed of 25 crnlminute for as long as
the pushbutton is depressed. The recorder will print the monitoring modes, time, date and chart speed informa-
tion 20 seconds after the pushbutton is released, if the recorder is activated.

Power

Pushbutton switch that turns the monitor on and off. A green light next to the Power pushbutton is illuminated
when the Power switch is activated.

Automatic ~aseline'Zeroing" in External UA Monitoring Mode.

If pressure falls below 0,automatic UA reference wiU occur and new baseline reference is set at 0. The center
margin for the strip chart will automatically be annotated with "UA REF".
FRONT PANEL DISPLAYS

Heart Rate Display

Heart rate in beats-per-minute will be displayed in the left portion of the window.

Heartbeat Indicator

A heart-shaped symbol flashes with each detected valid heartbeat.

Uterine Activity Display

Uterine activity values displayed in the right portion of the window will represent mmHg for internal uterine ac-
tivity monitoring and relative units for the external monitoring (Tm).

FRONTPANELCONNECTORS

Ochre colored 12-pin connector mechanically keyed to accept only the Model 115's phono or ultrasound
transducer plugs. The input connector is electrically keyed to recognize which transducer plug has been inserted.

ECG

Gray colored 12-pin connector which is mechanically and electrically keyed to accept only the ECG transducer .
plugs.

UA
rg.

White 12-pin connector which is mechaniay keyed to accept either the tocotransducer or strain gauge. The con-
nector is electrically keyed to recognize which transducer plug has been inserted.
Section 3

TIME AND DATE SET PUSHBUTTONS

Three pushbuttons located under the lip of the front panel. Only active when the rear panel -/DATE SET
switch is in the ENABLE postion. The function of each pushbutton is indicated by a title or an arrow located im-
mediately above the row of pushbuttons.

SELECT T/D

Successive depression of SELECT T/D permits selection of the time or date parameter to be changed.

(Upwards Pointing Arrow)

Activation of the "increase value" pushbutton increases the value of the selected timeldate parameter.
Continuous activation of the pushbutton causes the front panel display to cycle from the lowest value of the
selected parameter to its highest possible value and then to "wrap around" to the lowest value.

(Downwards Pointing Arrow)

Activation of the "decrease value" pushbutton is similar to "increase value" except that decreasing of the
selected parameters occurs.
STRIP CHART RECORDER

The dual-channel strip chart recorder is located on the right side of the front panel. The lever on the left side of
the recorder opens the paper drawer.

Heart Rate Channel

The heart rate channel is located on the left side of the recorder.

Uterine Activity Channel

The uterine activity channel is located on the right side of the recorder.

Alphanumeric Print-Out

When the recorder is activated, time, date, modes of monitoring and paper speed are printed automatically on the
margin between the fetal and uterine activity channels. Various messages relating to functions and parameter
changes wil be printed as the latter occur. In addition, if the optional 2115 keypad or 2116 keyboard is being
used, messages keyed in by the operator appear in this margin.
 C W W f ElCS F E T n l U O V ~ T OM~O M < 2 7 % ZIMSERIES
c c a w n a l c s UEOI(PL SVSTEY uc DATA ~ m mSYSTEM
ECG ARTIFACT ELlMlNlTlON

@
CHART SPEED ECG l -8Ddb l
1 CM MlN 3 CM MIN

TIME OATE SET

DISABLE [IIDENABLE
1 50 AMF CAUTlON A COROLAN
SLOW BLOW FUSE

6 isi
W T I M I ELECTRIC SHOCK HAZARD DO
NOT REMOVE COVER OR BACK REFER SER
n c E ONLY TO QUIUF~ED PERSONNEL
WARNING TO REWCE FIRE HAZARD REPLACE

111111111
FUSES AS MARKED
117 VOLTS €4 HZ
1CU WATT5
Jt02

CONNECT T O COROMETRICS
SERIES 400 MONITORS ONLY

REAR PANEL

ECG ARTIFACT ELIMINATION

A two position slide switch is locked in place by means of a plate and two screws. In order to change the switch
position, the plate must be removed, the switch changed a d the plate reversed to lock it in the new position.

In the ON position, any new HEART RATE value which differs by more than +25 BPM from the previously
calculated heart rate will not be printed.

In the OFF position, all HEART RATE values will be printed without regard to previous rates. This switch
affects o n l ~the direct ECG mode.

CHART SPEED

Chart paper speed may be set at 1 or 3 cdrnin. (1 or 2 cmlmin.) with this switch.

TIMEIDATE SET

The ENABLE position is used when setting the time and date. The DISABLE position is used at all other times.

REAR PANEL CONNECTORS

ECG (+80dB)
Permits recording of Direct FECG signals on an external recorder. Output level is compatible with standard adult
ECG recorders.

Connector for optional Corometrics 21 15 Keypad or 21 16 Keyboard.

b

w
NOTE: Data Entry Keypad should be plugged into J103 connector prior to turning on the monitor's power.
LEG PLATE TESTER

Connector from internal ECG simulator used to test 115 leg plate.

REMOTE MARK

Connector for remote event marker.

HEADSET

Connector for Corometrics headset. Insertion of the headset into this connector will inhibit sounds from speaker.

Connector for use with Corometrics Model 400 Central System Monitors.

GROUND LUG

POTENTIAL EQUALIZATION POINT

Terminal which can be used to provide an additional ground for the monitor.

AC-linecord connector.

MONITOR FUSE HOLDERS

FlOl

Fuseholder for 1.50-ampere SLOW-BLOW fuse.

SPARE

Fuseholder containing spare fuse.

5108 (optional)
COROLAN/RS-232C Input/Output Connector

NOTE: If your Model 115 has an option for connection to a data communications system, the connector for this
option is located on the rear panel and is labeled (5108). It is also identified by the symbol (A).

Do not attempt to connect a cable to this connector without contacting your Biomedical Engineering Department
or Corornetrics Service. This is to insure the connection complies with leakage-current requirements of one of the
following applicable standards: Underwriters Laboratories U.L. 544, Canadian Standards Association CSA 22.2
No. 125, or International Electrotechnical Commission IEC 60 1- 1 .

The maximum nondestructive voltage that may be applied to the rear panel connectors is 0 volts.
 Section 4
OPERATION
SELECTING MONITORING MODES
The Corometrics Model 115 Fetal Monitor can monitor the
fetal heart rate in three modes and the uterine activity in
two modes. For maternal heart rate monitoring see page
35.
FETAL HEART RATE MONITORING
Internal Method:
Fetal E C G
This method uses an electrode attached directly to the fetal
presenting part and connected to a leg plate on the
maternal thigh. The heart rate is computed based upon the
-' interval between successive R-Wave peaks of the fetal
ECG. This provides the most accurate FHR patterns. The
membranes must be ruptured and the cervix dilated to
utilize this technique.
External Methods:
Ultrasound
An ultrasound transducer placed on the maternal abdomen
senses heart motion utilizing the Doppler principle. The
rate is determined using the patented autocorrelation
processing to determine the time interval between
successive heart beats.
Phono
Phonocardiography utilizes a sensitive transducer similar
to a microphone to pick up heart sounds. The patented
autocorrelation processing is used to compute cardiac
intervals. Both the mother and baby need to be relatively
inactive to utilize this method; therefore, this technique is
most useful during the antepartum period or early labor.
Fetal Heart Rate Displays
The fetal heart rate is displayed in several ways. A heart
beat indicator (amber backlit heart symbol) flashes for each
detected valid heart beat after the circuits have settled. It
does not flash for event triggers which are rejected by the
monitor's editing. A three digit amber numeric display
indicates FHR in beats per minute. This display will be
blanked (except during 3 second warm up and TEST) if no
front panel FHR connector is inserted into the monitor.
FHR trends will be plotted on the fetal channel of the strip
chart. There is a few seconds delay from printing until the
tracing appears on the moving chart paper. The rear panel
speaker will emit an audible tone for each detected heart
beat.
UTERIh'E ACTIVITY
Internal Method:
Intrauterine Pressure Catheter and Strain Gauge
A catheter inserted transcervically into the uterine cavity
transmits intrauterine pressure to the strain gauge. This
pressure is recorded in mrnHg. The membranes must be
ruptured in order to use this method.
External Method:
Tocodynamometer
A tocotransducer placed on the maternal abdomen will
record changes in abdominal tension. The resulting tracings :
will reflect uterine contractions. .$
t
Uterine Activity Display
Uterine activity will be continuously plotted on the UA
channel of the strip chart paper. Pressure will be plotted
on a scale of 0- 100 mmHg for internal pressure and 0-100
relative units for toco signals. If the recorder is turned
on, the message "TOCO" or "IUP" will be printed
20 seconds after connector insertion. Pressure exceeding
100 mmHg will be printed as a straight line at 100 mmHg.
The uterine activity numeric values on the front panel dis-
play represent changes in pressure in either mmHg or
relative units. Depression of the UA reference pushbutton
for one second will reset the display to 0 mmHg (strain
gauge) or 10 (toco). Pushbutton should be activated for
internal monitoring when the strain gauge is open to air
and activated for external monitoring (toco) between
contractions. If the relative pressure is greater than 100, 3
a + sign will flash continuously. Should the pressure
" " s
value exceed the monitoring range when the UA reference
button is depressed - i.e. damaged toco or belt too tight -
+
the display will continuously flash " 199". The message
"BASELINE PRESSURE OFF SCALE" will be printed on
the lower portion of the recorder's UA channel after 20
seconds of baseline pressure less than 0 mmHg (or relative
units).
P R E P m N G MOMTOR FOR USE

1) Plug power cord into rear panel connector (J101) and

into a hospital grade grounded electrical wall outlet.

2) Select a method of monitoring the fetus using either

FECG, ultrasound, or phono. Connect the appropriate
transducer plug to the corresponding colorcoded connector
on the front panel of the monitor.

3) Select a method of monitoring uterine activity using

either the tocotransducer or the strain gauge. Connect
appropriate color-coded plug to the UA connector.
MOUNTING THE S T W I N GAUGE

A) Place the rod of the strain gauge mount through

holes of the strain gauge clip.

B) Attach the strain gauge mount to the side of the

monitor by placing the lip of the top bracket into the
groove between the chassis and top cover of the monitor.
Place the bottom bracket in the groove irm the bottom of
the monitor.

C ) Tighten thumb screw enough to seat mount firmly.

D) Gently snap the strain gauge into the plastic clip.

E) Plug adapter end of cable into color-coded UA con-

nector on monitor.
4) Set chart speed with slide switch on rear panel (3
cm/min is the generally accepted standard in the United
States).

CHART SPEED EGG (+80db)

5) Depress Power pushbutton on front panel.

When the power is first turned on, the following will occur:

A) The green "Power On" indicator will be lit.

B) The front panel heart rate numeric display will read,
"888" for three seconds.

C) The front panel UA display will read " + 188" for

three seconds.

D) All other front panel displays will light for three

seconds.

After the three second test period, the monitor will be

ready to receive and display the FNR and UA signals by
the chosen modes.

6) Insure an adequate supply of paper is in the recorder.

The recorder will automatically stop when paper runs out.

CAUTION: Use only recorder paper designed for use in the

Model 115 Monitor (Corometrics Catalog Number
4305AAO). Attempts to use paper suitable for other
recorders can damage the recorder's print head. (Cor-
ometrics Catalog Number 4303AAO is designed for other
Corometrics monitors and should not be used in the Model
115). Use of such papers may void the warranty.
Section 4

CHART PAPER INSTALLATION

To install chart paper, follow these steps:

A) Depress the lever at the left of the recorder to open

the paper drawer.

B) Hold the paper so that the black squares are on the

top of the pack and appear at the right.

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C) Fan pack of Z-fold paper on all sides to loosen folds ..'=re

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and insure proper feed of paper through recorder. :Lkq,
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 D) UnfoId the paper from the bottom of the pack so
that it extends towards you.

E) Place the pack in the drawer so that the black

squares are up and the paper extends out the bottom of
the pack and over the roller.

F) Close the door.

Section 4

7) Press P a p s Advance to move paper enough to write

patient identification.

8) Depress the Record pushbutton to activate recorder: the

amber light next to the pushbutton will stay on
continuously and the paper will begin to advance at the
preset speed.

MOPdsFOR SELF TEST RO S

The Model 115 contains test routines which check the

calibration and internal circuitry of the monitor. It is
recommended practice to initiate the self test feature at the
beginning of each monitoring period so the results will be
documented on the patient's strip chart. These routines are
initiated by depressing the front panel Test pushbutton.
Paper must be installed in the recorder. If the recorder is
off, the test routine will turn it on and then turn it off after
the tests are complete. If the recorder is running, the tests
will be performed, printed out, and the recorder will
remain on. The chart recorder will print the message" TEST "

and " ALL DOTS PRINTED ? "Then, the routines listed in

Table 1 will be printed.

18
 TABLE 1

TEST,ROUTINE DESCRIPTION

LAMP TEST All indicators illuminate for the duration of the test with the heart rate display
"888" and UA Display reading "+188" during recorder test.

RECORDER TEST The software energizes all the elements in the print head which should appear as
a continuous Sine of dots across the paper. A sin'Iulated trend of 30, 120, and
24.0 or 50-120-210 BPM will be printed Out on the heart rate channel and a
simulated pressure trend at 0, 50, and 100 m a g will be printed out on the UA
(the values will also be printed out numerically in the e n t e r margin of
the strip chart).

COUNTING TEST After recorder test, software generates a 120 BPM heart rate signal and displays
the rate on the numeric display and on the strip chart.

UTERINE ACTIVITY TEST The monitor adds 50 mmHg to present pressure level; displays this value on the
UA display and prifits this value on the recorder paper. (NOTE: If no
transducer is plugged intc the UA connector, no trace will be printed.)

At the completion of the self test routine, the monitor is ready for patient use.

APPLICATION O F MONITOR T O PATIENT

F'HR RECORDING-ULTRASOUND

(Monitor should be prepared as described on page 13)

EQUIPMENT NEEDED:

A) Fetoscope

B) Ultrasound transducer

C) Ultrasound strap
(Disposable or reusable)

D) Ultrasonic coupling gel

E) Headset (optional)

PROCEDURE

1) Explain procedure to patient.

2) Place strap under patient.

3) Determine position of the fetus using Le~pold's

maneuvers.

4) Determine the area from which the strongest fetal heart

tones are heard using the fetoscope (this will usually be
though the fetal back). Avoid the maternal aorta.
Section 4

5) Connect the ultrasound transducer plug to the UA

connector on the front panel.

6) Insert a corner of the strap through one slot on the

transducer and pull it through several inches.

7) Apply a small amount of ultrasonic coupling gel to the

transducer face.

8) Place the transducer face down on the maternal ab-

domen where the strongest heart tones were auscultated.
 9) Depress Power pushbutton if power is off.

Adjust volume on front panel of monitor.

11) Reposition transducer as necessary until clearest heaft

SOU~ n dis heard through headset or speaker.

12) Insert the other end of the strap through the remain-
ing slot in the transducer and adjust to a comfortable fit.
Three to five seconds after a clear heart sound is heard,
the heart shaped indicator will flash synchronously with
the sound, indicating signal acceptance and recording.
13) Activate the recorder and insure that a tracing appears
on the heart rate channel. Check the maternal pulse to
document recording FHR.

NOTE: Temporary loss of signal will cause the heart light

to stop flashing. If sound is still clear, allow 3 to 5
seconds for light to resume flashing. As labor progresses,
fetal movement or maternal movement which results in loss
of sound for an extended period may require repositioning
the transducer.

(Monitor should be prepared as described on page 13 .)

EQUIPMENT NEEDED:

A) Fetoscope

B) Phonotransducer

C) PatienUTransducer Interface Ring

D) Headset (optional)

PROCEDURE

1) Explain procedure to the patient.

2) Use a fetoscope to determine the location of the clearest

fetal heart sounds. Take care to avoid placenta, cord, and
other abdominal sounds.

3) Be certain abdomen is dry and clean. Do NOT use

coupling gels or EKG paste.
4) Peel backing from the patientltransducer interface ring
using the tab.

CAUTION: Do not place the phonotransducer-with its -

patient-contact side on a hard surface. The microphone
(shielded by the housing on the patient side) can be easily
damaged.

5 ) Apply the adhesive surface of the ring to the face of the

phonou-ansducer.

6) Place the phonotransducer, face down, on the maternal

abdomen over the area of clearest fetal heart sounds.
Preferably, hold the transducer in place using the interface
ring by itself. If this is not possible, the transducer cable
may be taped in place.

NOTE: Maternal or fetal movement can affect signal

quality and the transducer may need to be repositioned.
Avoid sources of noise such as straps, gowns, or sheets
which may come in contact with the transducer.
7) Depress the Power pushbutton if power is off. Allow 20
to 30 seconds for the monitor circuits to stabilize. Also,
any time the transducer is moved, allow 20 to 30 seconds
for the circuits to re-stabilize.

8) Adjust volume with front panel pushbuttons. Once

acceptable fetal heart sounds are obtained, the computed
heart rate will appear on the front panel display and the
amber heartbeat symbol will flash synchronously with the
audible fetal heartbeats.

9) Depress the front panel Record pushbutton to activate

the recorder and insure that a tracing appears.
 Section 4 1
r

FHR RECORDING-INTERNAL DIRECT F@CG

(Monitor should be prepared as described on page 13.)

EQUIPMENT NEEDED:

A) Leg plate

B) Leg plate strap

(Disposable or reusable)

C) EKG Sol

D) Spiral Electrode

PROCEDURE

1) Explain procedure to patient.

2) Attach strap to leg plate by inserting the plastic clip into

hinge holes on one end of the leg plate, keeping Velcro
side facing you.

3) Apply EKG Sol to the contact surface of the leg plate

and place it on the thigh of the patient.

4) Pass the leg plate strap around and under the patient's
thigh and then through the slot in the leg plate. Fold the
strap back onto itself so that the Velcro adheres.

NOTE: Instructions for using the disposable straps are

printed on the package.
5 ) Apply spiral electrode to fetal presenting part according
to standard procedure.

6) Attach the spiral electrode wires to the corresponding . , a

push posts of the leg plate, GREEN wire to push post
labeled green and RED wire to push post labeled red.
Connect the leg plate cable to the front panel ECG
connector.

7) Depress Power pushbutton if power is off.

8) Depress the Record pushbutton and insure a trace

appears on the heart-rate channel.

9) An adequate ECG signal is indicated by an acceptable

continuous trace recorded on the strip chart.

NOTE: An artifact elimination switch is located on the

rear panel. In the ON position, the monitor will not
print any new FHR value which differs by more than
2 25 BPM from the previously calculated heart value.
The printing inhibition functions on a beat-to-beat basis
by comparing the last calculated rate against the newly
calculated rate. The rate used for comparison purposes is
always the previous rate regardless of whether this rate
passed the previous ? 25 BPM test. In the OFF position it
causes all direct ECG rates to be plotted by the recorder
without regard to their deviation from previous rates. The
effect of this function change is that sudden heart changes
(such as certain arrhythmias, accelerations or decelerations)
as well as artifactual changes (as when the electrode is
disturbed or loosely connected) will be recorded when the
switch is in the OFF position. They will not be recorded
when the switch is in the O N position; instead, gaps in the
tracing will occur. This slide switch only affects the direct
mode. All other FHR modes always have the printing
inhibition enabled automatically.
UTERINE ACTIVITY RECORDING-
TOCODYNAMOMETER

(Monitor should be prepared as discussed on page 13.)

EQUIPMENT NEEDED:

A) Tocotransducer

B) Strap (reusable or disposable)

PROCEDURE

1) Explain monitoring procedure to patient.

2) Place strap under patient.

3) Insert a comer of the strap through one slot of the

tocotransducer and pull through several inches.

I 1

4) Connect the transducer cable to the front panel UA

connector. Depress the Power and Record pushbuttons if
off.
5) Depress the UA Reference pushbutton for one (1)
second (count "one, one thousand").

6) Position tocotransducer on the maternal abdomen over

the uterine fundus or where there is the least maternal
tissue and the contractions are most strongly palpated.

7) Lnsert the other end of the strap into the remaining slot
and tighten to hold transducer securely in place. Digital
display andlor recorder should read at least 35, between
contractions.

8) When the uterus is relaxed, depress the UA Reference

pushbutton again for one (1) second. This will set the UA
baseline to 10. The Model 115 is now ready to begin
monitoring uterine activity.

Automatic Baseline "Zeroing"

In External UA Monitoring Mode

If pressure falls below 0, automatic UA reference will

m u r and new baseline reference is set at 0. The center
margin for the strip chart will automatically be annotated
with "UA REF".
 Section 4

UTERINE ACTIVITY RECORDING-CATHETER

AND STRAIN GAUGE

(Monitor should be prepared as described on page 13.)

EQUIPMENT NEEDED:

A) Sterile strain gauge and bracket

B) Intrauterine kit, the kit contains the following:

catheter with needle adapter

catheter guide
3-way stopcock
20 cc plastic syringe

C) hjectable sterile distilled water

D) 18 gauge 1% " sterile needle

E) Sterile pressure relief valve (PRV)

F) Sterile dome
NOTE: Sterile disposable domes or nonsterile reusable
domes are available.

PROCEDURE

1) Explain procedure to patient.

2) Place dome, with O-ring in place, on top of strain

gauge. (Disposable domes do not have O-rings.) Tighten
collar.

3) Attach pressure relief valve (PRV) to the upright fitting

on the strain gauge dome.
 4) Adjust the height of the strain gauge until it is level
with the maternal xiphoid.

5 ) Open intrauterine kit and place contents on a small

sterile field maintaining sterile technique.

6) Following sterile technique. remove stopcock from

sterile field and attach to angle fitting on dome.

7) Pressure catheter should be inserted into the uterine

cavity by standard technique. Reminder: catheter must be
filled with sterile water before insertion.

8) Tape catheter to patient's thigh to avoid accidental

removal of catheter.
. 9) After catheter has been inserted, attach the end with
the needle adapter to the male fitting on the 3-way
stopcock.

10) Attach syringe filled with sterile distilled water (not

saline) to the remab-ing fitting on the stopcock.

FLUSHING AND CALIBRATING OF THE STRAIN

GAUGE

1) Rotate stopcock lever so that the OFF arrow points

toward the strain gauge dome. (This connects the syringe
to the catheter.)
Section 4

2) Inject 5 ml (cc) of sterile distilled water into the catheter- .

to remove any air bubbles or debris that may have collected
during insertion of catheter.

3) Rotate stopcock lever so that the OFF arrow points

toward the catheter. (This connects the syringe to the strain
gauge dome.)

4) Lift and hold up the pressure relief valve cap by the

handle. Inject water through the strain gauge dome with
cap held open until all air bubbles are removed. Release
PRV handle. Connect the strain gauge connector to the UA
front panel connector.
 Section 4

5) Depress the Bower pushbutton on the front of the

monitor, if it is deactivated.

6) Depress the Record pushbutton.

7) Remove syringe. (This will open the dome to air.)

8) Depress UA Reference pushbutton for 1 second. This
will cause the recorder to start printing at 0 on the strip
chart paper.

9) Replace syringe and turn the OFF lever on the stopcock

toward the syringe. This will reopen the connection from
the patient to the strain gauge and the recording will be
intrauterine pressure in rnrnHg.

NOTE: The strain gauge must be recalibrated under the

following circumstances:

a) When the monitor is first turned on, the circuits in the

strain gauge require at least ten minutes to stabilize
thermally.

b) If a negative value (i.e. "-15") appears on the front

panel UA display, be sure the strain gauge has been
positioned at the height of the maternal xiphoid. (If
recalibration fails to remedy the condition, refer to
troubleshooting section.)
 DUAL HEART RATE MONITORING
INTRODUCTION

The Corometrics Model 115 Fetal Monitor is capable of

monitoring two heart rates as well as maternal uterine
contractions. This will allow maternal and fetal heart rates
or the heart rates of twins to be simultaneously monitored
using ECG (maternal or fetal) and either ultrasound or
phono. Under these circumstances, simultaneous trends of
two heart rates and the uterine activity are plotted on the
strip chart recorder and the heart rate derived from either
ultrasound or phono is displayed on the front panel HR
numeric display. The monitor will automatically print the
specific operating mode(s) with reference trace(s) at start
up, with transducer changes and every 10 minutes (see
Table 1).

APPLICATION OF MONITOR TO PATIENT

MATERNAL AND FETAL MONITORING

EQUIPMENT NEEDED:

A) Fetoscope
B) Ultrasound transducer or Phonotransducer
C) Ultrasound coupling gel or patient/transducer interface
fig
D) Abdominal strap (disposable or reusable)
E) Headset (optional)
F) 3 disposable ECG electrodes
G) Maternal ECG cable
H) Alcohol swabs
I) Garment clip

PROCEDURE:

1) Explain procedure to patient.

2) Plug the ultrasound transducer or the phono transducer

into the PHONO/ULTRASOUND connector on the front
panel and the maternal ECG cable into the ECG
connector. Apply the selected transducer for recording
Fetal Heart Rate (FHR) as previously described.

3) Cleanse electrode sites with alcohol swab and allow to

dry.

4) Gently abrade the skin at the electrode site with the

built in rough pad affixed to the electrode protective cover.
Section 4

5) Remove the protective cover and apply the electrodes as

illustrated. Do not press down on the center, secure by
pressing on the paper edges.

6) Connect the cable clips to the electrodes. Insure there is

no tension on the wires. Secure the cable to the bed sheet
or gown with the garment clip. Allow a few minutes for
the electrodes to stabilize.

7) Apply tocotransducer as previously described.

8) Activate the recorder and ensure that the tracings appear

and are properly annotated. '

MONITORING OF TWINS

EQUIPMENT NEEDED:

A) Fetoscope
B) Ultrasound transducer or phonotransducer
C ) Ultrasound coupling gel or patientltransducer interface
ring
D) Abdominal strap (disposable or reusable)
E) Headset (optional)
F) Spiral Electrode
G) Leg plate
H) Leg plate strap (disposable or reusable)
I) EKG solution

PROCEDURE:

1) Explain procedure to patient.

2) Apply the spiral electrode to the fetal presenting part

according to standard procedure.

3) Attach the spiral electrode wires to the leg plate.

 Section 4

4) Plug-the ultrasound transducer or the phono transducer

into the PHONO/ULTRASOUND connector on the front
panel and the leg plate cable into the ECG connector.
Apply the selected transducer for recording the second fetal
heart rate externally to the matemal'abdomen as previously
described.

5) Attach the selected method of recording uterine activity.

6) Activate the recorder and insure that two different

tracings appear and are properly annotated.

NOTE: Tracing illustrates single FHR monitoring (normal

density trace) with ultrasound at start-up. When direct
FECG monitoring commences with the presenting twin, the
ultrasound trace switches to heavy density and the FECG
trace appears in normal density. Automatic annotations
occur at startup, when modes are added or switched, and
with the time at the 10-minute interval.

The following chart summarizes the functions of the 115 Fetal Monitor.
See Table 1

NOTE: If NOT using dual HR monitoring never plug tuio HR transducers in at the same time.* .-
k ",
TABLE 1
HR DISPLAY HEARTBEAT
MODE OF
MONITORING
TRACING AUDIO
lND,CATOR 0 CENTRAL
STATION
FHR DISPLAY
HEART BEEPS
SOUNDS

MATERNAUFETAL

1) MECG& US US - ~ 4 US MECG US US US
MECG j l _

2) MECG & PHONO PHONO W PHONO MECG PHONO PHONO PHONO

MECG i~
i

TWINS:
1) FECG& US US % US FECG US US US
FECG - - e

2) FECG& PHONO PHONO -A4 PHONO FECG PHONO PHONO PHONO

FECG

FECG ALONE* FECG -.I. - FECG FECG FECG FECG

US ALONE* Us US - US US US

PHONO ALONE' PHONO --,\/, PHONO - PHONO PHONO PHONO

MECG ALONE* MECG - MECG MECG MECG MECG

 Section 4

ALPHAhTUMERIC MESSAGES

Alphanumeric messages will be printed in the center C) Messages keyed in by the operator via the optional
margin of the Model 115 chart paper, Up to four lines of 2 115 or 2116 keyboard-(refer to the Model 2 115 and/or
data can be printed, with the messages falling into three Model 21 16 Operator's Manual for a complete listing of these
categories: messages).

A) Messages printed automatically each time the recorder The parameter and mode status messages generated by the
is activated. 115 are listed below in TABLE 2. The recorder must be
activated before any trend curves or messages will be
. B) Messages printed in response to certah conditions. displayed (except during monitor self test).

TABLE 2
MESSAGE FORMAT HOW ACTIVATED COMMENTS

FECG Insertion of leg plate into ECG connector. Printed each time the recorder is
activated, when the mode is changed
and after paper advance.

Insertion of the US transducer into the Same as above.

PHONOIUS connector.

MECG Insertion of maternal patient cable into Same as above.

ECG connector.

PHONO Insertion of phonotransducer into Same as above.

PHONOIUS connector.

TOCO Insertion of tocotransducer into UA Same as above.

connector.

Insertion of strain gauge into UA Same as above.

COMeCtOT.

CARD10 INOP No les plate or FHR transducer is Printed each time the recorder is
plugged into the fiont panel activated, after paper advance
connectors or 20 seconds after and after connector removal.
all plugs are removed.

UA INOP No tocodynamometer or strain gauge Same as CARDIO INOP.

plugged into the UA connector or 20
seconds after either transducer is removed.
 TABLE 2
MESSAGE FORMAT HOW ACTIVATED COMMENTS -

x CMIMIN Recorder activation or change in recorder

(Chart Paper) speed during operation or after paper
x = l or 3 advance.

U.A. REF Depressing front-panel UA Reference

pushbutton with tocodynamometer or strain
gauge plugged into UA connector.

Recorder activation and every ten minutes Time printed in 24 hour format. The
on the ten minute mark. printing of the time will be inhibited if
other mode or status message is being
printed at the ten minute mark.

15 SEPT 83 Printed only at time of recorder activation Not printed if clock battery has
(Day, Month, Year) and after paper advance. . discharged sin& last monitor usage.

BASELINE Printed automatically when the uterine ' Printed on lower portion of UA scale.
PRESSURE OFF pressure drops below the established
SCALE pressure baseline for more than 20
seconds.

SET TIMEIDATE Printed on recorder activation if the
internal battery .has discharged since
previous monitor usage. Also printed at
the ten minute mark until the clock is
reset.
Time will be printed in hours and
minutes lapsed since monitor activation
rather than real time (until the timeldate
is reset).

TEST Printed when front-panel TEST pushbutton

is depressed.

ALL DOTS PRINTED? Printed during recorder test to alert the

user to look for a continuous unbroken line
of recorder dots.

TELEMETRY Printed when the Model 315 Telemetry

System is turned on and the connectors are
plugged into the UA and ECG connectors.
Section 5
SET THME/DATE

The clock will only need to be set prior to initial

operation. A maintenance free rechargeabie battery keeps
the clock running even when the monitor is unplugged. If
the monitor has been unplugged for an extended period of
time (approximately 5 weeks) the battery may discharge.
This will be indicated by the message "SET
TIMEIDATE" when the recorder is turned on. This
message and lapsed time will be printed every 10 minutes.
The message will be discontinued and real time will begin -CHART SPEED
to be printed after the clock has been reset. The three
pushbuttons beneath the lower lip of the front panel which
are used to set the time and date are only functional when TIME/DATE SET
the "TIMEIDATE SET" switch on the rear panel is in the
ENABLE position. All monitoring functions are
nonfunctional when the timeldate set switch is in the
ENABLE position. To set the time and date turn the
monitor ON. lace the TIMEIDATE SET switch located

The clock uses a 24 hour format, with each unit of the

time and date having its own code and range value as
follows:

UNIT OF
TIME CODE RANGE

Minutes 5 00-59
Hours 6 00-23
Day 7 01-31
Month 8 01-12
Year 9 00-99

NOTE: If the battery discharges, all ranges will start with

"00" during the resetting period.

TO SET MTPdlJTES

Depress the SELECT T/D (left) pushbutton until the

numeral "5" (the code for minutes) appears on the left of
the numeric display. Any two numbers between the range
of 00-59 will appear to the right of the code (5).
To increase the minutes to the colrrect setting, depress the I
pushbutton with the upwards-pointing arrow (middle $ 3
pushbutton). The two numerals on the right of the "5"
I
will increase to the desired setting.

NOTE: ?The numeric increments or decrements are one per

second for the first 3 seconds the switch is activated. After
5 seconds the rate is increased to 3 counts per second until
the switch is released.

I;
, f

TO SET B[O
NOTE: The internal clock is a 24 hour clock. 'One minute
past midnight will be printed as 00:01 on the recorder, and
1 minute to midnight will be printed as 2359.

Depress the SELECT T/D (left) pushbutton until the

numqral "6" (the-code for hours) appears on fhe left of
the numeric display. Any two numbers between the range
of 08-23 will appear to the right of the code (6). '

Depress either the middle or the right pushbutton to either

increase or decrease the two numerals located on the right
to the desired setting. ,
TO SET DAY

Depress the SELECT T/D (left) pushbutton until the

numeral "7" (the code for day) appears on the left of the
numeric display. Any two numbers between the range of
01-31 will appear on the right of the code (7).

Depress either the middle or the right pushbuttons to either

increase or decrease the numeric value located on the right
to the desired setting.

TO SET M B h m

Depress the SELECT TID (left) pushbutton until the

numeral "8" (the code for month) appears on the left of
the numeric display. Any two numbers between the range
of 01-12 will appear on the right of the code (8).

Depress either the middle or the right pushbutton to either

increase or decrease the numeric value located on the right
to the desired setting.

--
numeric display. Any two numbers between the range of
00-99 will appear on the right of the code (9).

Depress either the middle or the right pushbutton to either

increase or decrease the numeric values located on the
right to the desired value.

Recheck the minutes as described previously and reset if

necessary.

On the rear panel, set the TIME DATE SET switch to the
DISABLE position. .

NOTIE: When the recorder is turned on the date and time

are printed. The time will continue to be printed every 10
minutes, unless *e 10 minute time mark coincides with the
printing of status message.
 Section 6

CARE AND CLEANING

CAUTION: Unplug the monitor from the ac power source
and detach all accessories from the monitor. Do not
immerse accessories in any liquid. Do not use abrasive
cloth or cleaners on monitor or accessories.

MONITOR CLEANING

Wipe any fluids from the surface of the monitor. Dampen

a cloth or paper towel with isopropyl alcohol and rub
soiled area until clean.

CAUTION: Do not clean the lens that covers the heart rate
digital display with isopropyl alcohol; clean' the lens with a
soft dry cloth.

TOCOTRANSDUCER, ULTRASONIC TRANSDUCER,

AND LEG PLATE CLEANING

CAUTION: Do not immerse transducers or hold under

running water.

Dampen a cloth or paper towel in a soapy solution and

wring out until slightly wet.

Rub soiled area until clean, taking care not to excessively

wet the tocotransducer diaphragm seal or the contact
surface of the ultrasonic transducer.

Use a damp cloth on contact surface of ultrasonic transducer

and around the seal of the tocotransducer. Do not use a
sharp object which might damage the seal of the
tocotransducer.

Dry all accessories with a soft, dry cloth.

PHONO TRANSDUCER

CAUTION: The contact surface of this transducer is

pressure sensitive. Extreme care should be taken when
cleaning.

Moisten a soft cloth in a soapy solution and very gently

rub the contact surface until clean.

To remove the patient interface ring, peel gently away

from the transducer. Wipe away any remaining residue
with your finger. A small amount of isopropyl alcohol may
be carefully used. Dry with soft dry cloth.

The Velcro straps for the leg plate and the reuseable
stretch belts for the toco and ultrasound transducer may be
Section 6

laundered in warm soapy wafer and rinsed thoroughly.

Disposable straps are designed for one use only.

!!XRAIN GAUGE

CLEANING

Remove the plastic dome.

Wash the transducer in a fresh solution of Detergicide

(1: 1000) or equivalent solution.

Carefully clean the diaphragm with a cotton swab to

remove deposits. Avoid excessive pressure since this may
damage the diaphragm. If there are stains on ihs
diaphragm or sides of the transducer, remove with a cotton
swab and solvents of increasing strength. Do not use
pumice, Ajax, Bon Arni, or other abrasives.

With dome loosely in place, immerse the transducer in the

cleaning solution, following the manufacturer's instruction
for the time required to effect c l h g .

After cleaning, rinse the transducer.lhoroughly in sterile

distilled water and replace the dome loosely.

CAUTION: Do not immerse any part of the electrical

connector of the transducer in the cleaning solution at any
time. Examine the outer sheath of the cable for
perforations. If the outer covering is damaged in any way,
do not immerse the cable in the cleaning solution; this may
result in moisture entering the transducer case, which is
vented through the cable.

WARNING: In the event liquids are permitted to enter the

electrical connector, resistance between the electrical
element &d the transducer case should be checked to
ensure that the leakage current is below acceptable levels
for safe use on patients. A resistance level of 10 megohms
or greater is acceptable.

Replace the dome loosely on the transducer to protect ttre

diaphragm from damage in handling.

Cold-soak the transducer in activated Cidex or equivalent,

following the manufacturer's instructions.
 Section 6

Gas sterilization of the transducer, dome, PRV, and the

silicone rubber gasket is acceptable.

NOTE: Some discoloration of the PRV may take place as

a result of gas (ETO) sterilization.

Liquid sterilization of the transducer, dome, PRV, and

silicone rubber gasket can also be performed.

CAUTION: Precautions should be taken to prevent damage

to the transducer diaphragm during handling and storage. If
the transducer is to be bagged, it is suggested that it be
wrapped in foam rubber prior to bagging and sterilization.
Do not autoclave pressure transducer.

Storage: The transparent dome should be left attached to

the transducer during storage, but the locking ring
slackened at least a quarter of a turn.
Section 7
PROBLEM
Monitor connected to AC
power, green Power On light
does not illuminate upon
power switch depression.
Recorder does not function.
(Record light off)
(Record light on)
PHONO not functioning
properly.
ULTRASOUND not
functioning properly.
MATERNAL ECG
erraticlnot functioning
properly.
Tocotransducer not recording
contractions.
Flashing " +" sign
46
TROUBLESHOOTING
PROBABLE CAUSE
Monitor not c o ~ e c t e dto a~-line
receptacle.
AC power cord defective.
AC outlet defective
Power cord not connected to Model
115.
&order not activated.
Recorder out of paper.
Connector not properly connected to Check that the connector is firmly
monitor.
Transducer placement.
Defective transducer.
Active fetus or mother.
Excessive maternal abdorrLinal
movemeni.
Excessive transducer cable movement. Call Biomediczl Department.
Connector not properly connected to
monitor.
Transducer placement.
Too little gel applied to transducer.
Defective transducer.
Active fetus or mother.
Fetal arrhythmia, hiccups.
Connector not properly connected to
monitor.
Electrodes improperly placed.
Clips not attached to electrodes
properly.
Electrode gel dried.
Defective MECG Cable.
Connector not properly connected to
monitor.
Transducer not properly placed.
Transducer not secured to patient.
Defective transducer cable.
No maternal contractions.
UA Reference range exceeded.
Transducer defective
Relative pressure > 100
SOLUTION
Connect power cord to receptacle.
Replace power cord.
r .Use different outlet.
-%all Biomedical Department.
Depress Record Pushbutton.
Install chart paper.
Call Biomed~calDepartment
attached to monitor.
Reposition transducer.
Replace transducer.
Use alternate technique.
Check that connector is firmly attached
to monitor.
Reposition transducer.
Apply more gel.
Replace transducer.
Wait before moving transducer, FHR
will often return.
Use alternate technique
Call Biomedical Department.
Check that connector is firmly attached
to monitor.
Re-apply electrodes.
Check clip attachment.
Check electrodes and reapply if
necessary.
Replace cable.
Call Biomedical Department.
Check that the connector is firmly
attached to monitor.
Reposition transducer.
Secure transducer to patient.
Replace transducer.
Remove transducer.
Depress UA reference button. Re-apply
transducer. Depress UA reference
button again, between contractions.
Replace transducer.
Call Biomedical Department.
Depress UA reference button between
contractions.
PROBLEM PROBABLE CAUSE SOLUTION

"+ 199" flashes upon UA Reference range exceeded. Remove transducer.

depression of UA Reference Depress UA reference button. Re-apply
button transducer. Depress UA reference
button again, between contractions.
Transducer defective Replace transducer.
Call Biomedical Department.

Internal pressure not Connector not properly connected to monitor. check that connecto; is firmly attached to
measuring correctly. moniior .
Air bubbles in dome or catheter plugged. Flush dome and catheter.
Dome is cracked. Replace dome
Strain gauge not at same height as catheter Adjust strain gauge.
tip.
Catheter has fallen out of place. Replace catheter.
Strain gauge not zeroed. Calibrate strain gauge.
Cali Biomedical Department.

Internal ECG erraticlnot Connector not properly connected to monitor- Check that connector is finnly attached to
recording properly. monitor.
Leg plate not finnly secured to patient. Secure leg plate to patient.
Electrode wires not secured to leg plate post.' Inspect leg plate connection.
Correct paste not being used or is dried. Check ECG paste.
Electrode not properly placed. Replace electrode.
No FECG signal. Check for ECG signal.
Defective electrode. Replace electrode.
Defective leg plate. Check leg plate by attaching it to leg plate
tester on rear panel. If functioning
+
correctly it will display 120 1 beat on
+
the display window and print 120 1 beat
on strip chart.
Replace if necessary.
Call Biomedical Department.

"500" to "559" appears Timeldate switch is enabled. Disable timeldate switch.

in LED window

No volume Volume control too low. Turn up volume control.

Transducer not connected or loose. Plug in transducer.
Head set plugged in. Unplug head set.

No monitoring functions. Monitor not attached to outlet. Check attachment.

Timeldate switch is enabled. Disable timeldate switch.

Static noise on phono or Active fetus. Reposition transducer.

ultrasound. Environmental noise. Keep sheets and gown off transducer
Maternal movement. Do not hold transducer with hand.
Defective transducer Use alternate monitoring mode.

Time prints 0:00 SET Clock battery discharged. Reset timeldate.

TIMEIDATE Leave monitor turned on for 24 hours to
charge battery.

Incorrect Time and Date Reset TimeIDate

The following problems may occur if the 2115 if plugged into the 115 while the 115 is powered up.
1) Display shows Error 3
2) Display is blank
3) Display shows Error 1 when a message is entered

If these problems occur turn the 115 off then on and the 2115 should respond with the READY message. If the
problems persist, call service.
Section 8
SPECIFICATIONS
DIRECT ECG

Technique: Peak detecting beat-to-beat cardiotachometer

Heart rate counting range: 30-240 BPM
Heart rate resolution; f 1 BPM
Artifact elimination: Switch selectable +_25BPM artifact rejection
Input signal range (Differentid): 15 uV to 2mV peak to peak (fetal)
100 uV to 2mV peak to peak (maternal)
(Common Mode): 20 v max
Input offset voltage range: f300 mV DC max
Preamplifier bandwidth: 1.0 Hz to 100 Hz
Common mode rejection with patient
cable: > 120 dB balanced
> 110 dB 5K RA or LA unbalanced
Input equivalent noise: c 10 u v peak-to-peak
Input irnpedence Common mode: > 20 MEGOHMS
Differential Mode: > 10 MEGOHMS
Notch filter mains frequency rejection: 7 40 dB
Leakage current: < 10 uA at 117 Vac
Isolation mains to patient connections: > 2kV
Leg plate tester jack: Simulator outputs 500 mV +30% peak-to-peak R wave at
120 BPM 1 +

Technique: Continuous wave doppler with autocorrelation processing

Sampling frequency: 200 Hz
Sampling resolution: 8 Bits
Dynamic range: > 50 dB
Transmitter frequency: 2.3 MHz
Transmitter power: < 10 mW/cm2
Heart rate counting range: 50-210 BPM
Leakage current: < 10 uA at 117 Vac (isolated via transducer)
PHONO

Technique: Autocorrelation
Sampling frequency: 200 Hz
Heart rate range: 50-210 BPM
Low noise preamplifier

PRESSURE

Range Strain gauge: 0-100 mmHg

Toco: 0-100 Relative units (0-120 grams)
Excitation Voltage: +4.0 VDC
Input irnpedence Differential: > 1M
Common Mode: 10M
Resolution: 1 mm Hg
Bandwidth: DC-1 Hz TOCO
DC-3 HZ EUP
Zero temperature drift (electronics
only): < . 1 mmHg/deg C
Leakage current: < 10 uA at 117 VAC (isolated via transducer)
RECORDER

HEART RATE SCALE

Chart width: 7 cm or 8 cm
Scaling: 30 BPM/cm or 20 BPM /cm
Range: 30-240 BPM or 50-210 BPM
Resolution: 1 BPM

UTERINE ACTIVITY SCALE:

Chart width:
Scaling:
Range:
Resolution:

CHART DRIVE

Speeds:

Accuracy:

LINE VOLTAGE FREQUENCY AND

POWER REQUIREMENTS:

Voltage: 120 VAC

Frequency: 60 Hz
Power consumption: 100 Watts max.

PHYSICAL CHARACTERISTICS:
Height: 6.9 in. (17.6 cm)
Width: 16.5 in. (41.9 cm)
Depth: 17.2 in. (43.7 cm)
Weight: 37 lbs. (16.8 kg.)

Specifications are subject to change without notice.

Section 9

Remote Event > f a k e r , Catalog No. 3919BAO Tranurenical Intrauterine Kits. Carton of 50.
Catalog KO. 2069.&40

Detachable Line Cord, Catalog KO. 1392A.%4 Pressure Relief Valves for 4007BXY,2802AAX, Package of 5
(Sterile), Catalog No. 8070AAO

Bell & Howell Prrssure Transducer, Includes Pressure Relief Valve, Reusable Domes for Bell & Howell Pressure Transducer UH)7BAX,
Catalog S o . J007B.LX Package of I , Catalog S o . 5507AAO
UItrasonic Transducer, Catalog No. 5600AA.X Legplate for Model OllSAAA, Catalog No. 2608DAO

Tocotransducer, Catalog No. 2260- Spiral Electrodes, Carton of 50, Catalog No. 2462AAO

1
Phonotransducer, Catalog No. 3996BAX
Reusable Transducer Straps Carton of 10 (Mesh Style)
Catalog No. 4425AAO
Reusable Transducer Straps Carton of 10 (Velcro Style)
Catalog No. 4425CAO
Disposable Transducer Straps Carton of 150 Catalog No. 8024AAO
 hlodel 115 Fetal 3ionitoi, Catalog No. 0115AAA

Headset for Fetal Monitors, Catalog No. 2432AAO

Reusable Domes for BeIl & Howell Pressure Transducers 4007BAS.

W A A X , Package of 5, Catalog No. 5507AAO

Sterile Disposable Domes for Be!! & Howell Pressure Transducers

4007BAX,Package of 10, Catalog No. 55UAAO.

Sterile m b l e Domes for Bell & Howell Pressure Transducers

4007BAX,Case of 120, Catalog No. 5512BAO

Pressure Transducer Hdder Assembly for 4007B.4X,

Catalog No. 4516BAO
Data Entry Keypad, Catalog No. 2115AAX
Chart Guard Records 5lanagement System, Includes 40 pack of
chart paper and I.D. kit, Catalog No. 4305AAO

Supplemental Chart Guard Label Packet (200 each: Blue, Form So.
2506 and U'hite, Form Soio.2505 labels), Catalog KO. 4914BAO

Ultrasonic Coupling Gel, 8 5 ounce (250 m1) bottles, Carton of 12.

Catalog No. UMAAO

Ultrasonic Coupling Gel, 4 liter bottle, Catalog No. 2475AAO

- ~-
EKG Sol, 4 ounce (118 ml) bottles, Carton of 12,
Catalog No. 4514AAO

Reusable Leg Plate Straps, Carton of 25, Catalog No. 2023AAO

Disposable Leg Plate Straps, Carton of 250, Catalog No. 8036AAO

Leg Plate Adapters for 8036AA0, Case of 50,

Catalog No. 8090.4AO
Data E n t r Keyboard, Catalog No. 2116ArU;
Disposable Transducer Srraps, Carton of 150,
Catalog No. 8024.t40

Disposable Attachment -s for 3996BAX, Box of 100,

Catalog No. 383.AAO

hiaternal ECG Cable. Catalog No. 1313AAO

Disposable ECG Electrodes. Carton of 100;

Catalog No. 2922.4AO

Mobit Cart, Catalog 50.3978BAO