TRAINING GUIDE

Avalon Fetal Monitor

FM20 / FM30 / FM40 / FM50
Release F.0 with Software Revision F.01.xx

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

© Copyright 2003 - 2008.

Koninklijke Philips Electronics N.V.
All Rights Reserved.

Printed in Germany 12/08

*453564129711*
4535 641 29711
4535 641 29711

1 Table Of Contents
1 Introduction 1

About this Guide 1

How to use this Training Guide 1
Symbols 1
Generating Data 2
Activating Demo Mode 2
Exiting Demo Mode 2
Demo Mode and OB TraceVue 3
References 3

2 Training Objectives 5

Competency Statement 5
Performance Objectives 5

3 Overview 7

Avalon FM20/FM30 7
Avalon FM40/FM50 8
Transducers 9
Related Product 10
User Interface 11
Touchscreen Operation 11
Operating and Navigating 12
Keys 13
Loading Paper 15

4 Basics 19

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

5 Standard Functions 23

Fetal Measurements 23
Monitoring FMP using Ultrasound 23
Monitoring FHR using DECG 24
Monitoring Uterine Activity Internally 26
Cordless Transducer System - Avalon CTS 28
Monitoring Twins and Triplets 30
Maternal Measurements 32
Monitoring Noninvasive Blood Pressure (NBP) 32

I
 Monitoring SpO2 and Pulse Rate 33
Cross-Channel Verification 35
Monitoring MECG 35
General Parameters 37
Entering Notes 37
Marking an Event 37
Admitting, Transferring and Discharging Patients 39
Fetal Monitor Connections 47
Connection Status Indicator 48

6 Changing Settings 49

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

II
 1

1Introduction

About this Guide

This training guide assists you, as a trained healthcare professional, using the Avalon FM20, FM30,
FM40, and FM50, to learn the basic functions of the monitors. It is task-oriented, providing a fast,
hands-on introduction to the monitor.
In the Overview, a short introduction gives you an quick outline of the monitor.
The training is divided into three sections:
Basics provides information about the fetal Basics
monitor. By going from task to task you will Functions
learn to start monitoring immediately after
switching on the monitor.
Standard
In Standard Functions, you will learn about
monitoring all the maternal and fetal
Functions
measurements.
Changing Monitor Settings familiarizes you
Changing
with the monitor settings. Monitor Settings

How to use this Training Guide

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

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

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

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

1
1 Introduction Generating Data

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

Activating Demo Mode

Demo mode is for demonstration and training purposes only. Never use Demo mode when a patient is
attached to the monitor.
1 Select the Main Setup SmartKey.

Main
Setup

2 In the Main Setup menu, scroll down and

select Operating Modes. Main Setup

Operating Modes

3 From the Operating Modes menu, select

Demo. Operating Modes
Demo

4 Using the pop-up keyboard, type in the

password 14432 and select Enter.
Numeric values or readings appear together
with a flashing Demo flag.

DEMO

Exiting Demo Mode

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

2 From the Operating Modes menu, select

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

2
References 1 Introduction

Demo Mode and OB TraceVue

The fetal monitor’s demo data is not transferred to OB TraceVue when connected with a serial
connection (RS232).
Demo data is transferred to OB TraceVue when the fetal monitor is connected via LAN, and both the
fetal monitor and OB TraceVue are in Demo Mode.

References
This training guide is additional to, and does not replace, the monitor’s IfU. It is an initial training
tool. For full operating instructions and safety-related information, it is essential to read and follow the
IfU. For applicable warnings and precautions refer to the IfU of the respective fetal monitor.
Before monitoring patients you must have a comprehensive understanding of patient monitoring.
The following documentation was shipped with your Avalon Fetal Monitor:
• Instructions for Use
• Quick Guide
• Avalon training video (FM 20/30 only)
• Fetal Monitoring Documentation DVD, which contains the service guide, this training guide, and
the above documents as pdf files (readable with Adobe Reader), as well as all other documents
associated with this monitor:
– application notes (English only)
– configuration guide (English only).
The DVD can be used as a source of reference or to print additional copies of the documents. To
purchase printed copies of any documentation, or to purchase additional copies of the DVD, please
contact:
Globalware Solutions
Tel: +1-800-527-6871; Fax: +1-978-469-7529; e-mail: aftermarket@gwsmail.com.

3
1 Introduction References

4
 2

2Training Objectives

Competency Statement
You will be able to perform fundamental monitoring functions.

Performance Objectives
You will be able
• to explain or demonstrate the:
–monitor controls, indicators and connectors
–operation and navigation using the touchscreen and the SmartKeys
–measurement values and waves
• to acquire, manage, and to evaluate fetal data:
–fetal heart rate (FHR) and fetal movement profile (FMP) by using ultrasound (US)
–fetal heart rate (FHR) by using direct ECG (DECG)
• to acquire, manage, and to evaluate maternal data:
–uterine activity externally (Toco)
–internal uterine activity (IUP)
–noninvasive blood pressure (NBP)
–SpO2 and pulse rate
–maternal ECG (MECG)
–notes and events
–admission, transfer and discharge
• to use the monitor together with the cordless transducer system Avalon CTS
• to monitor twins and triplets
• to change monitor settings and evaluate alarm and data history:
–alarm settings
–measurement settings
–printing data
• to set the non-stress test timer
• to activate and deactivate Demo mode.

5
2 Training Objectives Performance Objectives

6
 3

3Overview

Avalon FM20/FM30
1 Touchscreen display
1 2 Power LED
3 Paper drawer
2 4 Paper drawer release
3 5 Fetal sensor sockets, or event marker
6 Noninvasive blood pressure socket
7 SpO2 socket
4

76
5

8 On/Off switch
9 Power connector
10 Slot 01 for optional LAN / RS232
system interface
8
9 11 Slot 02 dual PS/2 system interface
for mouse and keyboard connection

11 10

12 Display release
13 Carrying handle
14 Built-in stand
12

13

14

7
3 Overview Avalon FM40/FM50

Avalon FM40/FM50

1 Touchscreen color display

1 2
6 5
2 Transparent paper guide with tear-off
edge
3 Paper eject button
3
4 On/Off/Standby switch
5 Power LED
6 Recorder paper table
7 SpO2 socket
8 Noninvasive blood pressure socket
4
9 Fetal sensor sockets

7 8 9

1 Reserved for future use: protective

earth intended for use in system
installations.
2 Equipotential grounding point
3 Power connector
4 Loudspeaker
5 Slot 01 for LAN / RS232 system
1 2 3 4 interface
6 Slot 03 for future use
(B) (A) 7 Video output (VGA)
9 5 8 Telemetry interface
9 Slot 02 for optional interfaces:
6 • Either dual PS/2 system interface
(A) for mouse and keyboard
connection)
• Or MIB interface (B) for external
touch screen connection
8 7

8
Transducers 3 Overview

Transducers

1 Transducer finder LED

2 Belt button
1 3 Cable to any of the four fetal
3 sensor sockets on the monitor

Toco Transducer Ultrasound Transducer

(M2734A) (M2736A)

4 Connector - for connecting

4 ECG/IUP adapter cables
(M2735A Toco+ transducer
only)

5 Butterfly belt clip for use with

belts without button holes
5

Toco+ Transducer with ECG/IUP

capability (M2735A)

6 Connector - for connecting

ECG/IUP adapter cables (same
as for Toco+ transducer)
6 7 7 Cable to any of the four fetal
sensor sockets on the monitor

Patient module for ECG/IUP

(M2738A)

9
3 Overview Related Product

For detailed information about transducers, read the “Avalon Smart

Transaducers” application note (English only) on the “Fetal Monitor
Documentation” DVD.

Related Product

1 Cordless Transducer
2 Base station
2 3 ECG Transducer
1

Avalon CTS (M2720A)

Cordless Fetal Transducer System

10
User Interface 3 Overview

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

Touchscreen Operation
Your monitor has a touchscreen. Everything you need to operate the monitor, other than to turn it on
and off, is contained on its screen. For example, when you touch a measurement numeric, that
measurement’s Setup menu opens, from which you can make your selection. This may be another
menu, or a pop-up list from which to choose an item.

Setup FHR1 menu

11
3 Overview User Interface

Operating and Navigating

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

2 3 4 5 6 7
1 Doe, Jane 31 Jan 13:31 Bed 11
FHR2 UNPLUGGED INOP Only
18 NST 20 min 00:12 30

17 FHR1 Toco

16 8

NBP Pulse 60 Man 08:28 SpO2 Pulse

Sys.

15 All Settings restored successfully 9, 10

TELE

Toco Start/ Paper Admit/ Main

Silence
Baseline Stop Advance Dischrge Screen

14 13 12 11

1 INOP and alarm status area

2 LAN connection status indicator
3 Patient identification
4 Date and time
5 Bed label
6 Fetal heart sound volume adjust/indicator
7 Alarm volume adjust/indicator
8 Numeric/measurement values
9 Status indicator for Avalon CTS system
10 Status indicator for fetal trace recorder
11 Main Screen SmartKey
12 Scroll to display more SmartKeys
13 SmartKeys
14 Silence key
15 Status line - shows status and prompt messages
16 Signal quality indicator
17 Measurement label
18 NST timer (off by default)

12
User Interface 3 Overview

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

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

Silence - acknowledges an active alarm by switching off audible alarm

indicators. The acknowledgement is visible by a checkmark displayed in the
visible alarm bar. Silence

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

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

Reset Toco baseline

Toco
Baseline

Start and stop trace recorder Start/

Stop

Paper advance to the next fold Paper

Advance

Admit and discharge a patient Admit/

Dischrge

Enter notes Enter

Notes

13
3 Overview User Interface

Start and stop manual NBP measurement

Start automatic NBP measurement series Start/
Stop current automatic NBP measurement. Automatic mode remains active. Stop

Stop all NBP measurements Stop

All

Set time interval between two NBP measurements Repeat

Time

Alarms off (if pause duration is infinite)

Pause alarms Alarms
Re-enable alarm indicators Off

Print trace data from the monitor’s memory Stored

Data Rec

Enter standby mode Monitor

Standby

Enter Main Setup menu Main

Setup

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

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

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

14
Loading Paper 3 Overview

Loading Paper

1 If the recorder is on, press the recorder

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

2 Press the table release to unlock the paper

drawer.

3 Pull the table forward to open it fully.

Remove any remaining paper from the tray.

4 Unfold the top page of the pack and

position the uterine activity scale on the
right.
The bottom side is indicated by the word
STOP printed on the final page of the new
pack.
Slide the pack into the tray, with the
bottom side down.

15
3 Overview Loading Paper

5 Push the paper drawer back, securing the

paper with your fingers, until you hear a
“click” that indicates the table release is
closed.
To switch on the recorder, see “Recording
Data” on page 21.
Click

1 If the recorder is on, press the recorder

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

2 Press the Paper Eject button to unlock the

paper drawer.
Remove any remaining paper from the tray.

3 Move the Transparent Paper Guide

forward.

16
Loading Paper 3 Overview

4 Unfold the top page of the pack and

position the Uterine Activity Scale on the
right.
The bottom side is indicated by the word
STOP printed on the final page of the new
pack.
Slide the pack into the tray, with the
bottom side down.

5 Feed the paper evenly through the paper

guide.
Do not close the paper guide yet.

6 Close the paper drawer.

7 Now close the paper guide.

When you hear the “click”, the paper guide
is closed.
To switch on the recorder, see “Recording
Data” on page 21.
Click

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

17
3 Overview Loading Paper

18
 4

4Basics

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

1 Press the power switch to turn on the

On
monitor.
Off
“Self-Test OK”, the serial number, and
revisions for the software and firmware are
printed on the fetal trace paper (if recorder
Autostart is configured to On).
FM 20/30 FM 40/50

Monitoring FHR using Ultrasound

Monitoring Mode

1 Place the FHR transducer into the socket.

Push gently until you hear it “click” into
position.
This symbol indicates that the FHR Fetal Sensors
transducer is not pushed far enough
into the socket.
Use any of the four fetal sensor sockets Click
labeled with the words “Fetal Sensors” or
with the symbol .

19
4 Basics Monitoring FHR using Ultrasound

2 Confirm fetal life before starting

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

3 Generate an artificial FHR. Note what

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

FHR1

4 To open the Fetal Heart Sound Volume

menu, touch the tone volume symbol on
the right-upper corner of the display.
Change the fetal heart sound volume to
different volumes and hear the differences
Fetal Heart Sound Volume
by again generating an artificial FHR.
To close the menu, select the Main Off
Screen SmartKey, which is permanently
in the bottom-right corner of the display.
There are different ways to get to a specific
point in the menu. To close open menus, it
is recommended to use the Main Screen
SmartKey.
Main
Screen

20
 Monitoring Uterine Activity Externally 4 Basics

Monitoring Uterine Activity Externally

Monitoring Mode

1 Connect the Toco transducer. Use any of

the four fetal sensor sockets marked
or “Fetal Sensors”.
Fetal Sensors

2 Fasten the abdominal belt as described in

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

3 To open the Setup Toco menu, select the

Toco numeric. Toco

4 Press the Toco Baseline SmartKey to

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

Recording Data
Monitoring Mode

1 To switch the recorder on or off, press the

Start/Stop SmartKey.
Start/
Stop

2 You can advance the paper automatically to

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

3 If the recorder is running, the running

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

21
 4 Basics Switching the Monitor to Standby

Switching the Monitor to Standby

Monitoring Mode

1 Select the Monitor Standby

SmartKey to place the monitor into
Standby mode. Monitor
Standby

2 All waves and numerics disappear from the

display, but all settings and patient data
information are retained. A running NBP
automatic series measurement will be
stopped when Standby mode is entered.
A special Standby screen is displayed and
the screen will dim. Power consumption is
reduced.
Press any field on the screen to resume
monitoring.
If desired, resume the NBP automatic series
measurement as described in “Monitoring
Noninvasive Blood Pressure (NBP)” on
page 32.

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

Monitoring Mode

1 Press the power switch to turn off the

monitor. On
Off

Monitoring Mode

1 Press the power switch to turn off the

monitor. This switch does not disconnect
the monitor from AC power. To
disconnect, unplug the power cord from
the AC mains socket.
A beeper warns you if the monitor is
disconnected from AC mains.

22
 5

5Standard Functions

Fetal Measurements
Monitoring FMP using Ultrasound
Monitoring Mode

1 The Fetal Movement Profile FMP detects

fetal movements on the FHR1 channel via
an ultrasound sensor and marks “activity FMP
blocks” along the top of the Toco scale on Toco
the paper tray.
In our training it is not simple to generate
FMP onto the paper trace. For a good
understanding of the FMP measurement,
see “Monitoring FHR and FMP - Fetal
Movement Profile” in the IfU.

2 Select FHR1 numeric to open the Setup

FHR1
FHR1 menu.

3 In the Setup FHR1 menu, select Fetal

Movement to toggle between On and Setup FHR1
Off.
Fetal Movement On

23
 5 Standard Functions Fetal Measurements

Monitoring FHR using DECG

1 Make sure that you are using the parts and combinations of the equipment as described in
“Monitoring FHR using DECG - What you need” and “Accessories and Supplies - DECG
Accessories: Component Compatibility” in the IfU.
1

Monitoring Mode The standard procedures in use in your facility determine the appropriate sequence of actions.
1 Depending on the equipment you are
using, ensure that either the Toco+
transducer or the patient module is
connected to a free sensor socket of the fetal
monitor.

2 Attach a pre-gelled attachment electrode to

the DECG adapter cable.
Fix the attachment electrode to the
Mother’s thigh.

24
Fetal Measurements 5 Standard Functions

3 Depending on the equipment you are

using, connect the red connector plug of
the DECG adapter cable either to the
Toco+ transducer or the Patient Module.

4 DFHR appears on the left-upper corner DFHR FHR1

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

5 Attach the Fetal Scalp electrode to the fetus.

Connect the fetal scalp electrode to the
DECG adapter cable.

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

25
 5 Standard Functions Fetal Measurements

Demo Mode Since it is not possible to obtain real DECG values via the scalp electrode during this training, and you
might have no access to a simulator, enter the monitor’s Demo mode (see “Activating Demo Mode” on
page 2).
6 The DFHR numeric appears on the left- DFHR FHR1
upper corner.
On a running paper trace, DFHR appears
as a new measurement.
Be aware that in Demo mode the values are
different, as if you would monitor twins. FHR1
When monitoring one fetus, using FHR DFHR
and DFHR, the values coincide. The cross- Pulse
channel verification feature detects this, a
“?” appears on the screen and is repeatedly
printed on the trace paper every 30 seconds.
As soon as you disconnect the US
transducer, FHR1 disappears from the
screen and the paper trace.
Exit Demo mode (see “Exiting the Demo
Mode” on page 2).
Demo Data
Monitoring Uterine Activity Internally
Monitoring Mode The standard procedures in use in your facility determine the appropriate sequence of actions.
1 Depending on the equipment you are
using, ensure that either the Toco+
transducer or the Patient Module is
connected to a free sensor socket of the fetal
monitor.

2 Connect the red connector plug of the

Koala IUP Adapter Cable on either the
Toco+ transducer or the Patient Module.

26
Fetal Measurements 5 Standard Functions

3 The IUP numeric replaces the Toco and

IUP
shows 0. The monitor is automatically
zeroed.
On a running paper trace, IUP appears
instead of Toco.

FMP
IUP

4 Connect the Koala IUP catheter to the

Koala IUP adapter cable.

IUP

5 Select the IUP numeric on the screen to

open the Setup IUP menu. Setup IUP
Select Zero IUP to reset the IUP back to
Zero. Zero IUP
While zeroing the IUP measurement in a IUP
real situation, ensure that the transducer
(see arrow) is at the same level as the
maternal xiphoid (lower-end of the
sternum).

27
 5 Standard Functions Fetal Measurements

Cordless Transducer System - Avalon CTS

Monitoring Mode

1 This is not a training section for the Avalon

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

2 Connect Avalon CTS via the M2731-

60001 interface cable (with red connector) Tele
or via the M2732-60001 interface cable
(with black connector - for FM 40/50
only) to the fetal monitor.
FM 20/30 FM 40/50
All wired transducers can remain plugged
into the fetal sensor sockets. FM 40/50 only
Do not switch the Avalon CTS on. Check
the Avalon CTS indicator on the fetal
monitor screen.
3 When the monitor recognizes an Avalon Avalon CTS Cordless Fetal Transducer System
CTS interface cable M2731-60001 (red Off On On
connector) or M2732-60001 (black
connector, for rear connection on FM40/
FM50 only), it provides confirmation by
showing the following status indicator in
Ready Active
the lower right-hand corner of the screen.
Wireless Transducer
4 Press the Power switch to turn on the
Avalon CTS.

5 On the fetal monitor screen, the wired

FHR1 Toco
transducers are still active and the Avalon
CTS indicator displays an active base
station, and that all cordless transducers are
currently inactive.

6 Switch on the recorder to document the

next steps.
Start/
Stop

28
Fetal Measurements 5 Standard Functions

7 Take out at least one of the transducers to

FHR1 Toco
activate the wireless mode and check the
changes on the
FHR1
• fetal monitor screen
• paper trace
Toco

8 Bring the wireless transducers out of range

FHR1 Toco
of the base station and check the changes
on the
FHR1
• fetal monitor screen
• paper trace
Toco

9 Bring the wireless transducers back into

FHR1 Toco
range of the base station and check the
changes again.
FHR1
Observe the FMP indicator on the paper
trace.
Toco

10 Switch off the recorder.

Start/
Stop

11 Switch off the Avalon CTS.

29
5 Standard Functions Fetal Measurements

Monitoring Twins and Triplets

1 For detailed information about monitoring

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

Demo Mode Since it is not possible to obtain real twin or triple data during this training, enter the monitor’s Demo
mode (see “Activating Demo Mode” on page 2).
2 Depending on the equipment you are
using, connect the sensors to a free sensor
socket of the fetal monitor. In our example,
one Toco and three US sensors will be
used.

30
Fetal Measurements 5 Standard Functions

3 The monitor displays the labels of the three FHR2

FHRs and the Toco on the screen. FHR1 Toco

On the paper trace, the three FHR traces FHR3

are recorded in different grey scales and line

thicknesses. NBP Pulse 60 Auto 16:30

The Demo mode generates values for all DEMO

measurements, also for the NBP and SpO2
measurement (even when they are
unplugged).
FHR1
FHR2
FHR3
Pulse

Demo Data
4 Select a FHR numeric on the screen and FHR2
check the bright, blue finder LED on the
corresponding transducer.

FHR3

5 In the Setup FHR3 menu, select Select

Audio to hear the fetal heart beat of Setup FHR3
FHR3. It may take a few seconds for the
audio source symbol to appear on the Select Audio
screen.
Be aware that Demo mode does not FHR3
provide any audio signal of the FHRs.

6 To switch On trace separation, open the

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

31
 5 Standard Functions Maternal Measurements

7 In the Fetal Recorder menu, select Trace

Separation to toggle between On and Fetal Recorder
Off.
Trace Separation On

8 FHR1 trace stays where it is.

FHR1
FHR2 trace is shifted up by 20 bmp (it is FHR2
recorded 20 bpm higher than it really is). FHR3
Pulse
FHR3 trace is shifted down by 20 bmp (it
is recorded 20 bpm lower than it really is).
For further information about the two
different methods (Standard or Classic) for
determining the trace separation, see
“Monitoring Twins FHRs” in the IfU. Demo Data
Exit Demo mode (see “Exiting Demo
Mode” on page 2).

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

Monitoring Noninvasive Blood Pressure (NBP)

Monitoring Mode

1 Attach a correctly sized cuff to your arm

and connect the NBP tubing to the
monitor.
For further information about the correct
placement of the NBP cuff, see
“Monitoring Noninvasive Blood Pressure -
Preparing to Measure Noninvasive Blood
Pressure” in the IfU.
2 With the arrow scroll button, change to the
second set of SmartKeys.

3 To start an NBP measurement, select the

NBP Start/Stop SmartKey.
Start/
Stop

32
 Maternal Measurements 5 Standard Functions

4 As soon as the measurement is finished, the

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

5 Select the Repeat Time SmartKey to

open the Pop-up keys list.
Repeat
Time

6 Select the 30 minutes pop-up key to

change the repetition time to 30 minutes.

7 Select the NBP numeric field on the screen

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

Repetition Time 30 min

Auto/Manual Auto

8 To start an NBP automatic series

measurement, select the NBP Start/
Stop SmartKey. Start/
Stop

9 To stop the automatic measurement, select

the NBP Stop All SmartKey.
Stop
All

Monitoring SpO2 and Pulse Rate

Monitoring Mode

1 Attach a correctly sized SpO2 sensor to your

finger and connect the SpO2 cable to the
monitor.
For further information about the correct
application of the SpO2 sensor, see
“Monitoring SpO2” in the IfU.

33
5 Standard Functions Maternal Measurements

2 The screen displays the SpO2 numeric and

the pulse value, derived from SpO2. SpO2 Pulse
Select the SpO2 numeric to open the Setup
SpO2 menu.

3 In the Setup SpO2 menu, select Tone

Modulation to toggle between Yes Setup SpO2
(for on) and No (for off).
If tone modulation is on, the QRS tone Tone Modulation Yes
pitch lowers when the SpO2 level drops.
4 Select the Main Screen SmartKey to
return to the Main Screen.
Main
Screen

5 Select the Pulse numeric to open the Setup

Setup Pulse (SpO2)
Pulse (SpO2) menu.
In the Setup Pulse SpO2, select QRS QRS Volume
Volume and change the QRS tone
volume.

6 Select the Main Screen SmartKey to

return to the Main Screen.
Main
Screen

34
Maternal Measurements 5 Standard Functions

Cross-Channel Verification

1 To reduce the probability of mistaking the

MHR for FHR, it is recommended that FHR1
you monitor both maternal and fetal heart
rates. The monitor’s cross-channel
verification (CCV) facility can help by
automatically detecting when the same
heart rate is being recorded by different
transducers. When the MHR and FHR are
being monitored, CCV will alert you
within approximately one minute when the
values are the same.
Pulse

FHR1 FHR1
Pulse Pulse

Monitoring MECG

1 Prepare for MECG monitoring as described

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

Demo Mode Since it is not possible to obtain real MECG data during this training, enter the monitor’s Demo mode
(see “Activating Demo Mode” on page 2).
The standard procedures in use in your facility determine the appropriate sequence of actions.
2 Depending on the equipment you are
using, ensure that either the Toco+
transducer or the patient module is
connected to a free sensor socket of the fetal
monitor.

35
5 Standard Functions Maternal Measurements

2 Connect the red connector plug of the

ECG cable to either the Toco+ transducer
or the patient module.

3 The monitor displays the HR numeric

HR
together with a running ECG wave.
On the paper trace, HR is recorded.
In Demo mode, the monitor generates
values for all measurements, also for NBP
and SpO2 measurement, even when they ECG
are unplugged.
DEMO
1mV

FHR1

HR

4 Select the ECG waveform to open the ECG

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

5 Move the ECG Wave menu to the right ECG Wave

side of the screen: FHR1

Size Up
Touch the title bar of the ECG Wave menu
Size Down
and keep your finger on the title. Drag the
menu window to the right side of the NBP Pulse 60 Man ECG
Start ECG Wave

display. Take your finger off the screen to Setup ECG

D
place the window in this position. Global Speed 25 mm/sec

6 In the ECG Wave menu, select Size Up

and Size Down to increase and decrease ECG Wave
the QRS signal of the ECG wave.
Observe the size changes on the wave. Size Up

Exit Demo mode (see “Exiting Demo

Mode” on page 2). Size Down

36
 General Parameters 5 Standard Functions

General Parameters
Entering Notes
Monitoring Mode

1 To switch on the recorder, press the

Start/Stop SmartKey.
Start/ Enter
Select the Enter Notes SmartKey to Stop Notes
open the Enter Notes menu.
2 In the Enter Notes menu, scroll, if
necessary, then select the note you wish to Enter Note
enter.
Patient Repositioned

Vaginal Examination

MD Notified

Sitting

3 Select Confirm to enter the note.

Confirm

4 The note is then shown in the status line of

the display and is annotated on the fetal Note: Patient Repositioned
trace.
Stop the recorder.
Vaginal Examination Sitting
For further information about entering
Patient Repositioned MD Notified
notes, especially if you try to enter more
than four notes at one time, see “Basic FMP FMP
Operation - Entering Notes” in the IfU.

Marking an Event
Monitoring Mode

1 Connect the remote event marker to any

free fetal sensor socket.
Start the recorder.

37
5 Standard Functions General Parameters

2 Press the button on the remote event

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

3 A small arrow is printed on the heart rate

scale on the trace paper.
Stop the recorder.

For detailed information about fetal

monitoring technology, read the “Fetal
Monitoring Technology” application note
(English only) on the “Fetal Monitor
Documentation” DVD.
This application note explains how Philips
fetal monitoring technology supports safe
and accurate fetal and maternal monitoring.
Four technological aspects are presented
together here:
• Precision Signal Track and Hold
• Cross-Channel Verification
• Fetal Heart Rate Baseline Offset
• Fetal Movement Profile.

38
 General Parameters 5 Standard Functions

Admitting, Transferring and Discharging Patients

In this section you will learn about patient data management in your monitor. With regard to the
training aspect, you will go through different steps which do not correspond exactly with your daily
work. Some of the steps are not the fastest procedure to perform a task, they just show you an
additional way.
To prevent additional entries in your OB TraceVue’s database, you will use the Quick Admit
procedure, where you can delete your training patients, instead of using real patient names. If you have
a unique test patient in your OB TraceVue system, it is also possible to use this patient.
From these steps, your hospital will develop the best method for managing your patients’ data.

Standalone Fetal Monitor

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

Monitoring Mode

1 Select the Admit/Dischrg SmartKey

to open the Patient Demographics menu.
Admit/
Dischrge

2 To trigger a new patient data episode for

Stored Data Recording, select the Dischrge
Dischrge Patient pop-up key of the Confirm
Patient
fetal monitor and then Confirm. This
also activates the user default settings in the
fetal monitor.
3 Select Admit Patient to open the on-
screen keyboard, which prompts for the Admit
Last Name. Patient

39
 5 Standard Functions General Parameters

4 Enter the patient information; select each

field, using the on-screen keyboard.
Type in the information and select Enter.
• Selecting Enter moves you
consecutively through all fields.
• To skip a field, select Enter without
entering data.
When you have entered all required data,
select Confirm to admit the patient.

Confirm

5 The name of the patient appears in the

patient identification field on the fetal Doe, Jane
monitor.

Fetal Monitor connected to OB TraceVue via LAN

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

When the monitor is connected to an OB TraceVue system over a LAN connection, the OB TraceVue
system acts as the “master” over patient demographic data. It is not possible to admit a patient on the
fetal monitor. A patient discharge on the monitor is possible and will be reflected on the OB TraceVue
system.
All tasks in shaded rows refer to OB TraceVue.
Monitoring Mode Discharge Patient
1 To trigger a new patient data episode for
Stored Data Recording, select the Dischrge
Dischrge Patient pop-up key of the Confirm
Patient
fetal monitor and then Confirm. This
also activates the user default settings in the
fetal monitor.

Quick Admit in OB TraceVue

2 Select the icon with the beds to open the
Chalkboard. Make sure you have set the
check marks to include Departmental
Chalkboard
and Empty Beds. Include
Departmental Empty Beds

40
General Parameters 5 Standard Functions

3 Select the bed location of your monitor to

open the bed02 NO ARCHIVING Bed Phys Patient Name
menu.
bed02 NO ARCHIVING

4 In the Quick Admit menu, check bed02 NO ARCHIVING

Convert to Quick Admit and press
the OK button.
If you have a unique test patient in your Convert to Quick Admit

OB TraceVue system, it is also possible to

Remove this episode
admit this patient at the Search/Identify
Patient screen of OB TraceVue.
OK Cancel

5 OB TraceVue automatically generates a bed02 9:54:21 11/10/2008

temporary patient ID using Time and Date
in place of a name.
6 After a few seconds, the temporary patient
ID appears in the Main Name area on the 9:54:21 11/10/200,
fetal monitor.
Transfer in OB TraceVue
When the monitor is connected to an OB TraceVue system, perform pending transfers before
switching off the monitor.
7 Select the bed location again to open the
Patient Transfer menu. Bed Phys Patient Name

bed02 9:54:21 11/10/2008

8 Enter the bed list in the Departmental bed02: 9:45:21 11/10/2008

field.
To transfer the patient to the Patient Transfer
Transfer Location, select the bed
9:54:21 11/10/2008
with the -symbol. The name of the
Transfer Location depends on your
configuration (in this case ---). Confirm Location
with OK. Unit

Departmental

---
bed03

9 The fetal monitor reflects this transfer as a

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

41
5 Standard Functions General Parameters

Transfer back in OB TraceVue

10 Transfer your patient from the Transfer
Location back to the fetal monitor and Bed Phys Patient Name
review the changes on the fetal monitor.
--- 9:54:21 11/10/2008
bed02 NO ARCHIVING

Discharge in the Fetal Monitor

11 To trigger a new patient data episode for
Stored Data Recording, select the Dischrge
Dischrge Patient pop-up key of the Confirm
Patient
fetal monitor and then Confirm. This
also activates the user default settings in the
fetal monitor.
12 The fetal monitor indicates that there is no
patient admitted and NO ARCHIVING in No Patient Admitted
OB TraceVue occurs.

NO ARCHIVING,

13 The patient in OB TraceVue is

automatically transferred back to the Bed Phys Patient Name
Transfer Location.
--- 9:54:21 11/10/2008
Select the patient’s Name to mark the bed02 NO ARCHIVING
patient.

Delete Patient in OB TraceVue

14 To open the Search/Identify Patient screen

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

Patient Identification
Last Name

9:54:21 11/10/2008

Clear

Last Name First Na M.I.

9:54:21 11/10/

42
 General Parameters 5 Standard Functions

15 On the Search/Identify Patient screen,

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

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

Yes No

Fetal Monitor connected to OB TraceVue via RS232

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

When the monitor is connected to an OB TraceVue system over an RS232 connection, the
OB TraceVue system has no control over the monitor’s patient admission and discharge functions.
• A discharge in the fetal monitor clears any previous patient data and replaces any user settings with
user defaults.
• A transfer in OB TraceVue changes the patient’s name in the monitor, but does not provide a real
patient’s discharge in the fetal monitor. Patient data and user settings remain the same.
• You must discharge a patient in the fetal monitor to trigger a new patient data episode.
The recommended patient discharge and admission procedure is:
1. Discharge the previous patient in the fetal monitor.
2. Transfer the previous patient in OB TraceVue.
3. Admit the following patient in OB TraceVue.
• Patient details (first name, last name, bed) is transferred to the fetal monitor.
• Patient details are shown on the fetal monitor screen and on the trace.
You must not change the patient name or medical record number in the fetal monitor. Although this
procedure would display patient details on the fetal monitor screen and on the paper trace, they would
not be transferred to OB TraceVue.
Monitoring Mode For a fetal monitor connected to OB TraceVue via RS232, the following admission and discharge is
recommended:
Discharge Patient
1 To trigger a new patient data episode for
Stored Data Recording, select the Dischrge
Dischrge Patient pop-up key of the Confirm
Patient
fetal monitor and then Confirm. This
also activates the user default settings in the
fetal monitor.

43
5 Standard Functions General Parameters

2 You must not admit the patient in the fetal

Patient Demographics
monitor.
Last Name : No Patient admitted
Close the Patient Demographics window.
First Name :

MRN :

Quick Admit in OB TraceVue

3 With the Quick Admit button, open the
Quick Admit menu.
If you have a unique test patient in your
OB TraceVue system, it is also possible to
admit this patient at the Search/Identify
Patient screen of OB TraceVue.
4
Select the bed location with the - Quick Admit
symbol to assign your patient to a bed with Create Temporary Patient
a fetal monitor.
Location
Select OK to quick admit your patient. Unit

Departmental

bed01
---
bed02
bed03
bed04
bed05
bed06
cafe

OK Cancel

5 OB TraceVue automatically generates a bed01 9:54:21 11/10/2008

temporary patient ID using time and date
in place of a name.
6 After a few seconds, the temporary patient
ID appears in the Main Name area on the 9_54_21 11/10/2008
fetal monitor.
bed01
The status line shows the following prompt
message:
Note from System:{*bed01:9_54_21 11/10/2008}

44
General Parameters 5 Standard Functions

Transfer in OB TraceVue
When the monitor is connected to an OB TraceVue system, perform pending transfers before
switching off the monitor.
7 Select the beds icon to open the
Chalkboard. Make sure you have set the
check marks to include Departmental
Chalkboard
and Empty Beds. Include
Departmental Empty Beds

8 Select the bed location of your patient to

open the Patient Transfer menu. Bed Phys Patient Name

bed01 9:54:21 11/10/2008

9 Enter the bed list in the Departmental bed01: 9:54:21 11/10/2008

field.
To transfer the patient to the Patient Transfer
Transfer Location, select the bed
9:54:21 11/10/2008
with the -symbol. The name of the
Transfer Location depends on your
configuration (in this case ---). Confirm Location
with OK. Unit

Departmental

---
bed01

10 After a few seconds, the name of the patient

disappears in the patient identification field -,
on the fetal monitor, and a dash is
displayed instead. Note from System:{*bed01:-,}

11 The Chalkboard of OB TraceVue

reflects that your patient is in the Bed Phys Patient Name
Transfer Location (---), and the
--- 9:54:21 11/10/2008
data of the fetal monitor from bed01 is not
archived. bed01 NO ARCHIVING

Transfer back in OB TraceVue

12 Transfer your patient from the Transfer
Location back to the fetal monitor and Bed Phys Patient Name
review the changes on the fetal monitor.
--- 9:54:21 11/10/2008
bed01 NO ARCHIVING

45
5 Standard Functions General Parameters

Delete Patient in OB TraceVue

13 To open the Search/Identify Patient screen
of OB TraceVue, select the Identify/
Search Patient icon.

14 On the Search/Identify Patient screen,

Patient Identification
select the Delete Patient pop-up key
Last Name
and then confirm with Yes.
9:54:21 11/10/2008

Clear

Last Name First Na M.I.

9:54:21 11/10/

Delete Patient

Please Confirm...

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

Yes No

Discharge in the Fetal Monitor

15 To trigger a new patient data episode for
Stored Data Recording, select the Dischrge
Dischrge Patient pop-up key of the Confirm
Patient
fetal monitor and then Confirm. This
also activates the user default settings in the
fetal monitor.

46
General Parameters 5 Standard Functions

Fetal Monitor Connections

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

LAN Connection
Your fetal monitor is connected to OB TraceVue via a LAN connection (register card “Network”).
Fetal Monitor Connections
After changing a fetal monitor connection, verify that the trace appears
in the Single Patient Trace and for the expected bed.
Classic Network
Care Unit:

Equipment Label MAC Last Activity Unit (PC) PC Name Connection Bed
Fm50 00-09-FB-0C-F2-1C connected --- PC’s name permanent bed02

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

RS232 Connection
Your fetal monitor is connected to OB TraceVue via an RS232 connection (register card “Classic“).
Fetal Monitor Connections
After changing a fetal monitor connection, verify that the trace appears
in the Single Patient Trace and for the expected bed.
Classic Network
Care Unit:

PC Name COM Port Bed

PC’s Name FM is connected to bed01

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

47
5 Standard Functions General Parameters

Connection Status Indicator

On the left-upper corner of the fetal monitor, the Connection Status Indicator is displayed.
1 The monitor is connected to an
OB TraceVue system via a LAN cable.

2 A LAN cable is connected to the monitor,

but there is no connection to an
OB TraceVue system.

3 If no indicator is shown, there is no

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

48
 6

6Changing Settings

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

For further information about alarms, especially if your default settings are changed, refer to “Alarms”
in the IfU.
Alarms are not transmitted to OB TraceVue. It is recommended to use either OB TraceVue’s alarm
capabilities or the fetal monitor’s alarms, but not both, and to document that decision.
Monitoring Mode

1 Select the INOP and alarm status area to Doe, Jane 14 Nov 13:55
open the Setup menu. Unsupported LAN INOP Only

2 In the Setup menu, select Alarm

Messages to open the Alarm messages Setup
menu.
Alarm Messages

3 Select the Review Alarms pop-up key

to open the Review Alarms menu. Review
Alarms

4 Select the Active Alarms pop-up key

to go back to the Alarm Messages menu. Active
Alarms

5 Select the Main Screen SmartKey to

return to the Main Screen.
Main
Screen

49
6 Changing Settings Alarms

6 Select the Main Setup SmartKey to

open the Main Setup menu.
Main
Setup

7 In the Main Setup menu, select Alarms

to open the Alarms menu. Main Setup

Alarms

8 In the Alarms menu, select Alarms Off

to switch all alarms off. Alarms

In the alarm status area, the message Alarms

Off appears together with its symbol. Alarms Off

Switch back to activate the alarms again.

Alarms OFF

9 In the Alarms menu, select Alarm

Settings to open the Alarm Settings Alarms
menu.
Alarm Settings

10 In the Alarm Settings menu, select Alarm

Volume to open the Alarm Volume menu. Alarm Settings

Alarm Volume

11 In the Alarm Volume menu, change the

Alarm Volume
alarm volume to a different volume. After
selecting one of the different tone volume
numbers, an audible example of the tone
volume is played.
Greyed-out keys are not selectable and only
changeable in Configuration mode.
11 Select the Main Screen SmartKey to
return to the Main Screen.
Main
Screen

50
 Switching NBP On/Off manually 6 Changing Settings

Switching NBP On/Off manually

Monitoring Mode Noninvasive blood pressure is the only measurement which you can manually switch on and off in a
measurement menu.
1 Select the NBP reading on the screen to Man
NBP
open the Setup NBP menu.
(If the NBP reading is not visible on your
current screen, open the Setup NBP menu
as described in step 4 to step 6).
2 In the Setup NBP menu, select NBP to
switch Off the measurement. Setup NBP

NBP Off

3 Select the Main Screen SmartKey to

return to the Main Screen.
Main
The screen display indicates the active
Screen
setting, and the NBP reading disappears
from the screen.
4 Select the Main Setup SmartKey to
open the Main Setup menu.
Main
Setup

5 In the Main Setup menu, select

Measurements to open the Main Setup
Measurements menu.
Measurements

6 In the Measurements menu, select NBP to

open the Setup NBP menu Measurements

NBP

7 In the Setup NBP menu, select NBP to

switch On the measurement. Setup NBP

The screen display indicates the active

setting and the NBP reading appears again NBP On
on the screen.
8 Select the Main Screen SmartKey to
return to the Main Screen.
Main
The NBP reading appears again on the
Screen
screen.

51
 6 Changing Settings Adjusting Tone Volume

Adjusting Tone Volume

Monitoring Mode In addition to the method of changing the tone volume for measurements, you can also change the
tone volume via the Main Setup menu.
1 Select the Main Setup SmartKey to
open the Main Setup menu.
Main
Setup

2 In the Main Setup menu, select User

Interface to open the User Interface Main Setup
menu.
User Interface

3 In the User Interface menu, select QRS

User Interface
Volume and change the QRS tone
volume. QRS Volume

4 Select the Main Screen SmartKey to

return to the Main Screen.
Main
Screen

Stored Data Recording

Monitoring Mode

1 Select the Stored Data Rec

SmartKey to open the Stored Data
Recording menu. Stored
Data Rec

2 In the Stored Data Recording menu, select Stored Data Recording

an entry for a patient.
Doe, Jane 14 Nov 16:01 ( 0:36)

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

3 Select one of the choices on the pop-up Last Last Last

keys to print a specified portion of the entry All
15 Min 30 Min 60 Min
(for example, the last 15 minutes of trace
data).

52
 Setting Non-Stress Test Timer 6 Changing Settings

4 For further information about stored data

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

Setting Non-Stress Test Timer

Monitoring Mode

1 Select the INOP and alarm status area to Doe, Jane 14 Nov 13:55
open the Setup menu. INOP Only

2 In the Setup menu, select NST Timer to

open the Setup NST Timer menu. Setup

NST Timer

3 In the Setup NST Timer menu,

Setup NST Timer
• select Run Time to define the NST
run time.
Run Time 20 min
• select Notification to define the
timer expiry notification. Notification Sound
• select Timer to set the timer to On, so
that the timer is visible on the top left- Timer Off
hand corner of the screen.
Timer Volume 4
• select Timer Volume to define the
volume of the timer expiry notification.
• Select the Start pop-up key to start
Start
the timer and begin the non-stress test.

4 Select the Main Screen SmartKey to

return to the Main Screen.
Main
Screen

53
6 Changing Settings Setting Non-Stress Test Timer

5 The displayed timer shows the elapsed time NST 20min

from the start.
When the runtime ends the notification
sounds.
NST 20min
After that, the timer changes its color and
counts up from then on.

6 Select the INOP and Alarm Status area to Doe, Jane 14 Nov 13:55
open the Setup menu. INOP Only

7 In the Setup menu, select NST Timer to

open the Setup NST Timer menu. Setup

NST Timer

8 In the Setup NST Timer menu, select the

Stop Pop-up key to stop the timer.
Select the Main Screen SmartKey to Stop Main
return to the Main Screen. Screen
For further information about the
configuration options of the NST, refer to
“Non-stress test timer” in the IfU.

54
 7Glossary
A
Admitting and Discharging Patients (ADT)
Assigns the current measurements and reading with the patient’s demographics. A discharge deletes the demo-
graphics and resets the monitor to its defaults.

Audio in FHR
Audible tone which represents the FHR.

Avalon CTS
Cordless fetal transducer system.

C
Competency
The ability to perform monitoring functions.

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

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

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

E
ECG
Electrocardiogram.

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

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

Fetal Trace Paper

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

FHR
Fetal Heart Rate.

55
I
INOP
Technical alarm condition. INOP stands for "inoperative".

IUP
Intrauterine Pressure.

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

L
LAN connection
Connection to a local area network.

M
MECG
Maternal electrocardiogram.

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

N
NBP
Noninvasive blood pressure.

Non-Stress Test (NST)

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

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

NST
Non-Stress Test.

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

R
RS232 connection
Serial interface connection

S
SpO2

56
 Saturation of peripheral oxygen in the blood.

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

T
Toco Baseline
Range of uterine pressure between the labor contractions.

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

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

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

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

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

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

US Sensor
Ultrasound sensor.

57
58
 8Index
A K SmartKeys, using 13
overview
admitting patients 39 keys 13 Avalon CTS 10
alarm settings 49 permanent 13 Avalon FM20/FM30 7
artificial FHR 20 permanent keys 13 Avalon FM40/FM50 8
pop-up keys 14 fetal monitors 7
Avalon CTS 28
SmartKeys 13 transducers 9
B L overview Avalon FM40/FM50 7
belt overview transducers 9
LAN connection, status indicator 48
butterfly clip 9
LAN-connection 40 P
blood pressure, noninvasive 32
loading paper paper trace 21
butterfly belt clip 9
FM20/FM30 15
parameters, general 37
C FM40/FM50 16
permanent keys 13
changing settings 49 M
Q
clip for belt 9 marking event 37
connected to OB TraceVue via LAN 40 Quick Admit to OB TraceVue 40, 44
maternal measurements 32
connected to OB TraceVue via RS232 43 measurement, switching on/off 51 R
cordless monitoring 28 measurements, fetal 23
recorder 21
D measurements, maternal 32
recording data 21
MECG 35
data, recovering 52 recovering data 52
monitor standby 22
direct ECG 24 references 2
monitoring
discharging patients 39 FHR, DECG 24 RS232-connection 43
FMP 23 S
E
MECG 35
ECG, maternal 35 NBP 32 settings, changing 49
pulse rate 33, 35 SmartKeys 13
entering notes 37
SpO2 33, 35
event marker 37 standby, monitor 22
twins and triplets 30
uterine activity 21, 26 status indicator, LAN connection 48
F
monitoring cordless 28 switching off 22
fetal heart rate 19 switching on 19
DECG 24 N switching on/off, measurement 51
fetal movement profile 23 navigating 12 symbols 1
FHR 24 SmartKeys 13
T
FHR monitoring, DECG 24 NBP
FHR, ultrasound 19 monitoring 32 tone volume, adjusting 52
finder LED 9 noninvasive blood pressure 32 touchscreen 12
FMP non-stress test timer 53 transducer
fetal movement profile 23 notes, entering 37 finder LED 9
FMP, monitoring 23 NST 53 transferring patients 39
FMP, ultrasound 23 twins and triplets, monitoring 30
O
I U
objectives 5
introduction 1 operating 12 ultrasound

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 FHR 19
usage of training guide 1
uterine activity
externally 21
internally 26
uterine activity monitoring 21, 26

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