PAD Signal Quality Indicators for FHR Starting/Stopping the Recorder Tearing Off the Paper

Either Touch the Start/Stop SmartKey

Avalon Fetal Monitors 1 Touch to stop the recorder.
Quick Guide Or 1 Touch the recorder status icon. The Fetal
Avalon FM20/FM30/FM40/FM50 Rev. G.0 onwards Good/full Acceptable/medium Poor/no signal 2 Select the Paper Advance SmartKey to advance paper
Recorder menu opens.
Confirm fetal life by independent means before you start 2 Select Start/Stop. to the next perforation.
Check signal quality indicators are full during monitoring, and
fetal monitoring. Continue to confirm that the fetus is the Recorder Status Icon States Never pull paper by hand.
signal source for the fetal heart rate (FHR) during reposition transducers as necessary.
3 Tear off paper.
monitoring. Admitting a Patient
Changing the Fetal Heart Sound Volume
If you are using an OB TraceVue system, admit your patient Recorder Recorder User-solvable Recorder defective
Touchscreen Operation with Menus there. Otherwise admit her via the Patient Demographics On Off problem (e.g. paper (call service) 1 Touch the symbol.
Control monitor functions (except switching on) by touching window on the monitor. out)
elements on the screen. 2 Pick the required volume from the pop-up volume scale.
1 Touch the Admit/Dischrg SmartKey or touch the gray Selecting Fetal Heart Sound
FHR1 Main Screen – closes all open menus/ information line at the top of the screen, then select Admit/ Touch the icon to enter the Fetal Recorder Menu.
windows and returns to main screen. You can listen to the fetal heart sound from one ultrasound
Dischrg to open the Patient Demographics window: Safeguarding Traces when the Paper Runs Out
Main Setup – gives access to all No Patient Admitted 29 Apr 8: 24
transducer at a time. You see the audio source symbol next
functions. Trace data for the period when the paper was out is stored in to the FHR numeric label for the channel you are listening to:
INOP Only
Auto
NST memory and printed out at high speed automatically when the
Setup FHR2
SmartKeys recorder restarts. 1 Enter the Setup FHR menu for the channel you want to
SmartKeys
A l ar m M es s ag es
Marking an Event on the Trace Paper hear.
provide fast Toco Start/ Paper Admit/ Admit / Dischrg
• Either select the Set Marker SmartKey 2 Press Select Audio. It may take a few seconds for the audio
access to Baseline Stop Advance Dischrge source symbol to appear.
2 Touch the Admit Patient pop-up key.
functions such as starting/stopping the recorder, or resetting • Or press the button on the remote event marker. Identifying Transducers
3 Enter Last Name, using the on-screen keyboard, and press
the Toco baseline. Use the scrolling key to access more Entering Notes Touch a FHR numeric on the screen...
enter.
SmartKeys. NST
4 Repeat for First Name and MRN, then select Confirm. 1 Press the Enter Notes SmartKey . Enter Note Setup FHR3 FHR2
Getting Started FHR1
Discharging a Patient menu opens. Select Audio
1 Switch the monitor on.
After monitoring, always discharge the patient, even if she had 2 Pick a note (scroll if needed). FHR Sound Volume
FHR3

2 Connect sensors or
transducers. Push
SpO2
connectors firmly into
(model dependent) in any socket
sockets.
3 Apply transducers to the patient.
4 Measurements appear on the display.
not been admitted before, to ensure that the settings are reset
3 Select Confirm. The note appears in the display status line, FHR3 On
NBP Any fetal sensor to user defaults for a new patient. NBP Pulse
and on the trace if the fetal recorder is on.
1 Open Patient Demographics window.
...and the bright, blue Finder LED lights up on the
2 Touch the Discharge Patient pop-up key. corresponding transducer monitoring that channel.
3 Select Confirm.
Loading Paper
1 If the recorder is on, stop it. Finder
LED on
2 Open the paper drawer.
3 With the bottom side of the paper pack down (“STOP”
appears on the final page), unfold the top page of the pack,
and position the uterine activity scale on the right.
4 Put the pack into the tray.
5 Push the paper drawer back until it “clicks” closed.

4535 641 80821 *453564180821*

Cross-Channel Verification (CCV) Changing the Alarm Volume Noninvasive Blood Pressure (NBP): Starting and MECG: Printing the Waveform (FM30/50 only)
CCV indicates when monitored heart rates (fetal or maternal) This alarm volume indicator at the top right of
Stopping Measurements Fetal Recorder ECG Wave Separate/Overlap
coincide, by displaying the symbol on the screen, and the monitor screen gives you an indication of the
• Either touch the NBP numeric to enter the Separate: records a real-time six-second MECG strip in fast
on the trace recording. Additionally, the INOP current alarm volume. Setup NBP menu, then pick the appropriate setting printout mode. This temporarily interrupts fetal trace
“COINCIDENCE” will appear after one minute of persistent 1 Touch alarm volume indicator. • Or touch the appropriate SmartKey
CCV warning. recording while MECG strip prints.
2 Pick the required volume from the pop-up volume scale. Action Setup Menu SmartKey
FHR1 FHR1
FHR2 FHR2 FHR2 Changing Alarm Limits (Alarm Mode ‘All’) Start/stop manual measurement ECG

1 Touch the measurement numeric to open the Setup Menu. Start auto series 1 mV

Check the trace and reposition one of the transducers if Start/Stop 25 mm/sec

15:12:31, 24 Mar 2006, 3 cm/min

2 Touch the limit you want to change, and pick a new limit Stop current auto measurement 4 Mar 2006, 3 cm/min

necessary using sound. within series Toco

Doe, Jane, 123456

from the pop-up list.
Separating Traces Stop auto/manual AND series Stop All
Responding to Alarms measurements
To help you interpret traces with similar baselines:
The monitor responds to three alarms levels: Overlap: records a delayed six-second MECG snapshot on the
1 Touch an FHR numeric. NBP: Enabling Automatic Mode and Setting
Technical (INOP) Alarms: message in blue INOP field, INOP fetal trace, without interrupting the fetal trace.
2 Scroll down open menu and select Trace Separation to Repetition Time
tone.
toggle between On or Off. In the Setup NBP menu:
Examples: FHR1 UNPLUGGED ECG

Resetting the Toco Baseline Yellow Alarms: message in yellow alarms field, medium
1 Select Auto/Man (toggle as necessary).
1 mV

Touch the Toco Baseline SmartKey to reset the priority audible alarm signal. 2 Select Repeat Time to set the interval between automatic 25 mm/sec

17:20, 24 Mar 2006, 3 cm/min

Toco baseline to 20. NBP measurements. FMP

Examples: **FHR1 94 110 Toco

Priority for Maternal Heart Rate (MHR) / Pulse Rate

Zero IUP (FM30/50 only)
Touch the Zero IUP SmartKey (resets display and trace to 0).
While zeroing, the transducer should be level with the
maternal xiphoid.
Selecting the IUP Scale (FM30/50 only)
1 Enter the Setup IUP menu.
2 Touch IUP Scale to switch between mmHg and kPa.
Setting Non-Stress Test Timer run time
1 Touch the gray information line at the top of the screen then
select NST Timer from the menu.
2 Select Run Time and pick desired time from the pop-up list.
Red Alarms: red alarm messages on screen, high priority
audible alarm signal.
Examples: ***EXTREME TACHY
Touch Silence to acknowledge all active alarms by
stopping audible alarm indicators.
Select Pause Alarms if you want to temporarily
Pause prevent alarms from sounding (pause duration is
Alarms configurable to 1, 2 or 3 minutes, or infinite).
If the pause duration is configured to infinite, this
Alarms key is labeled Alarms Off.
Off
The audible alarm indicators configured for your monitor
depend on which alarm standard applies in your hospital.
When more than one maternal heart rate / pulse rate
measurement is present at the same time, only one will be If you are also monitoring direct fetal ECG (DECG), the DECG
displayed and recorded, depending on their priority (see table) waveform will be printed above the MECG waveform.
and validity. Turning Artifact Suppression On/Off (FM30/50 only)
1 Touch the DFHR numeric to enter the DFHR menu.
Priority Maternal Heart/Pulse Rate Source Used for CCV
1 HR from MECG measurement Yes
2 Select ArtifactSuppress to toggle between:
2 Pulse from SpO2 measurement Yes – On (artifacts are suppressed)
– Off (no artifact suppression, use this setting if you suspect
3 Pulse from Toco MP measurement Yes
4 Pulse from NBP measurement No fetal arrhythmia)
MHR / MECG: Applying Electrodes
RA

LL
For MHR For MECG (FM30/FM50 only) Obtaining Further Information
Full operating and safety information is contained in your monitor’s
Instructions for Use (IfU). Familiarize yourself with the IfU content before
putting the monitor into use and beginning to monitor patients. This Quick
Guide is in addition to, and does not replace, the IfU.

4535 641 80821 Printed in Germany, April 2010

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