Product Information Product Model: F80/F30 Product Name: Fetal monitor Manufacturer Name: After Service Contact Information: Guangdong Biolight Meditech Co.,Ltd. Address: No.2 Innovation First Road, Technical Innovation Coast, Hi-tech Zone, Zhuhai, P.R. China Fax: +86-756-3399919 Post code: 519085 Toll-free consultation hot line: +86-400-8818-233 Revision History This revision number changes whenever the manual is updated due to software or technical specification change. Contents of this manual are subject to change without prior notice. Document No.: Release time: J/ CEF80-A-008 Mar.2015 Copyright © 2015 Guangdong Biolight Meditech Co., Ltd. All rights reserved. Statement Manufacturer holds the copyright of this manual, and we are also entitled to deal with this manual as confidential files. This manual is only used for operation, maintenance and service of product, someone else can not publish the manual. This manual contains exclusive information protected by copyright laws and we reserve its copyright. Without written approval of manufacturer no parts of this manual shall be photocopied, Xeroxed or translated into other languages. The contents contained in this manual are subject to amendments without notification. I CE mark EC Representative Name: Shanghai International Holding Corp. GmbH (Europe) EC Representative Address: Eiffestrasse 80, 20537 Hamburg Germany Manufacturer's Responsibility Only under the following circumstances will manufacturer be responsible for the safety, reliability and performance of the instrument: All the installation, expansion, readjustment, renovation or repairs are conducted by the personnel certified by manufacturer. The storage condition, operation condition and electrical status of the instrument conform to the product specification. The instrument is used in accordance with the user’s manual. Cautions and Warnings The monitor does not contain any parts for self-repair by users. The repair of the instrument must be conducted by the technical personnel authorized by manufacturer. The monitor is neither a therapeutic instrument nor a device that can be used at home. Do not touch the patient, bed or the monitor during defibrillation. Be sure to shut down the system and disconnect all power cables from the outlets before cleaning the equipment. Make sure the fetus is alive before using the monitor. The monitor can not be used underwater. Be sure the electrical source and grounding environment of the monitor is stable and safe. Do not use the monitor in an environment with flammable substance, high temperature, high humidity, excessive dust or a magnetic and electrical fields. (Other contents are specified in this manual) II About this manual This manual contains the instructions necessary to operate the product safely and in accordance with its function and intended use. Observance of this manual is a prerequisite for proper product performance and correct operation and ensures patient and operator safety. This manual is based on the maximum configuration and therefore some contents may not apply to your product. If you have any question, please contact us. This manual is an integral part of the product. It should always be kept close to the equipment so that it can be obtained conveniently when needed. The manual is geared for clinical professionals who are expected to have a working knowledge of medical procedures, practiced and terminology as required for monitoring patients. All illustrations in this manual serve as examples only. They may not necessarily reflect the setup or data displayed on your product. Conventions: Bold Italic text is used in this manual to quote the referenced chapter or sections. 【】is used to enclose screen texts. → is used to indicate operational procedures. Signs in this manual: 0 Warning: Indicates a potential hazard or unsafe practice that, if not avoided, will result in death or serious injury. Caution: Indicates a potential hazard or unsafe practice that, if not avoided, could result in minor personal injury or product/property damage. ) Note: Provides application tips or other useful information to ensure that you get the most from your product. III Contents Chapter 1 General Introduction ....................................................................... 1-1 1.1 Intended Use .............................................................................................................. 1-1 1.2 Product Structure ....................................................................................................... 1-1 1.3 Main Unit................................................................................................................... 1-2 1.4 Equipment Symbols.................................................................................................... 1-8 Chapter 2 Safety ................................................................................................ 2-1 2.1 Safety Information ..................................................................................................... 2-1 2.2 General Safety............................................................................................................ 2-4 2.3 Important Notes for Safety ......................................................................................... 2-5 2.4 Safe Operation Conditions.......................................................................................... 2-8 Chapter 3 Basic Operations .............................................................................. 3-1 3.1 Unpacking and Checking ............................................................................................ 3-1 3.2 Connecting power supply ........................................................................................... 3-2 3.3 Connecting patient cables ........................................................................................... 3-2 3.4 Recording Paper Loading ........................................................................................... 3-3 3.5 Networked Monitoring ............................................................................................... 3-5 3.6 Screen Display ........................................................................................................... 3-5 3.7 General Setting .......................................................................................................... 3-7 Chapter 4 User Interface ................................................................................... 4-1 4.1 Display Style.............................................................................................................. 4-1 4.2 Screen Layout ............................................................................................................ 4-1 Chapter 5 Alarm ................................................................................................ 5-1 5.1 Alarm Category .......................................................................................................... 5-1 5.2 Alarm Level ............................................................................................................... 5-1 5.3 Alarm Indicators......................................................................................................... 5-2 5.4 Alarm Status Symbol .................................................................................................. 5-4 5.5 Setting Alarm Volume ................................................................................................ 5-4 5.6 Parameter Alarm ........................................................................................................ 5-4 5.7 Pausing Alarms .......................................................................................................... 5-5 IV 5.8 Acknowledging Alarms .............................................................................................. 5-6 5.9 When an Alarm Occurs............................................................................................... 5-7 5.10 Testing alarms .......................................................................................................... 5-7 5.11 Alarm when power is lost ......................................................................................... 5-8 Chapter 6 FHR .................................................................................................. 6-1 6.1 Introduction ............................................................................................................... 6-1 6.2 Safety Information ..................................................................................................... 6-1 6.3 Monitoring Procedure................................................................................................. 6-1 6.4 Fetal Parameter Setup................................................................................................. 6-5 Chapter 7 TOCO................................................................................................ 7-1 7.1 Introduction ............................................................................................................... 7-1 7.2 Safety Information ..................................................................................................... 7-1 7.3 Monitoring Procedure................................................................................................. 7-1 7.4 TOCO Value Display .................................................................................................. 7-2 7.5 TOCO setup ............................................................................................................... 7-2 Chapter 8 Fetal Movement (FM) ...................................................................... 8-1 8.1 Introduction ............................................................................................................... 8-1 8.2 Safety Information ..................................................................................................... 8-1 8.3 Monitoring Procedure................................................................................................. 8-1 8.4 FM Display ................................................................................................................ 8-2 8.5 FM Trace ................................................................................................................... 8-2 8.6 FM Setup ................................................................................................................... 8-2 Chapter 9 Battery .............................................................................................. 9-1 9.1 Introduction ............................................................................................................... 9-1 9.2 Battery Installation..................................................................................................... 9-2 9.3 Optimizing Battery Performance ................................................................................ 9-2 9.4 Checking Battery Performance ................................................................................... 9-3 9.5 Disposing Batteries .................................................................................................... 9-3 Chapter 10 Maintenance and Cleaning........................................................... 10-1 10.1 Introduction ........................................................................................................... 10-1 10.2 Cleaning of the Monitor ......................................................................................... 10-1 V 10.3 Cleaning and Sterilizing of Accessories .................................................................. 10-2 Chapter 11 Accessories .................................................................................... 11-1 Appendix A Product Specifications ...................................................................... 1 A.1 Safety Specifications .................................................................................................... 1 A.2 Environmental Specifications ....................................................................................... 1 A.3 Physiological Specifications ......................................................................................... 2 A.4 Power Specifications .................................................................................................... 2 A.5 Hardware Specifications ............................................................................................... 2 A.6 Measurement Specifications ......................................................................................... 5 Appendix B Factory Defaults ............................................................................... 7 Appendix C Alarm messages ................................................................................ 9 Appendix D Guidance and Manufacturer’s Declaration of EMC..................... 10 VI F80/F30 Fetal Monitor User’s Manual Chapter 1 General Introduction 1.1 Intended Use This monitor is applicable for medical institutions to monitor fetal heart rate, fetal movement and uterine contraction pressure, monitoring information can be displayed, saved, reviewed and printed. This monitor can be used in a parturient room, a prenatal care room in a hospital, for providing medical personnel with the physiological information of fetuses. 0 Warning: The monitor is intended for use only by clinical professionals or under their guidance. It must only be used by persons who have received adequate training in its use. Anyone unauthorized or untrained must not perform any operations on it. The monitor is not intended for use in ICU room or operating room. The monitor can not be used during defibrillation , electrosurgery or MRI. 1.2 Product Structure This fetal monitor is composed of a main unit, a built-in printer and corresponding functional accessories (ultrasonic sensors, uterine contraction pressure sensors, a fetal movement marking button, a fetus waker). 1-1 F80/F30 Fetal Monitor User’s Manual 1.3 Main Unit 1.3.1 Front View F80 Fetal monitor : 1 2 3 4 5 67 8 9 10 11 1-2 12 13 14 F80/F30 Fetal Monitor User’s Manual F30 Fetal monitor : 1 2 6 3 7 5 14 4 8 9 10 11 12 13 1. Physiological alarm indicating lamp When a physiological alarm occurs, this lamp will light up as defined below: High level alarm: the lamp quickly flashes red. Medium level alarm: the lamp slowly flashes yellow. Low level alarm: the lamp lights yellow without flashing. 2. Technical alarm indicating lamp When a technical alarm occurs, this lamp will light up as defined below: Low level alarm: the lamp lights blue without flashing. 3. Display screen 4. Printer 5. Power button 6. Power indicating lamp It is a LED that lights green and orange, the status of the LED is specified as follows: 1-3 F80/F30 Fetal Monitor User’s Manual Green: When the AC mains is connected. Orange: When the AC mains is not connected and monitor is powered by battery. Off: When the AC mains is not connected. 7. Battery charging indicating lamp Light up: When the battery is being charged. Off: When the battery is fully charged or no battery in monitor. NIBP measurement button 8. This botton is invalid. Alarm pausing/acknowledging button 9. ——Press this button to suspend all alarm indicators of the monitor; ——Long press this button for 2 seconds to acknowledge all active physiological and technical alarms. Switch button 10. Press this button to switch the output of the FHR1 sound or the FHR2 sound during twin monitoring. Clinical event marking button 11. The event marking symbol will display on the screen by press this button. 12. 13. TOCO Reset Button Press this button to reset the value back to the specified value. Print button After loading the printing paper, press this button to enter the real-time printing state and to end it by press this button again. 14. Trim Knob The Trim Knob is used for: 1-4 F80/F30 Fetal Monitor User’s Manual Turn left or turn right to move the cursor. Press down to perform an operation, such as open a menu dialog or select one option. 1.3.2 Side View F80 Fetal monitor : Left side: Right side: 1 2 3 1. Ultrasonic triple-sensor connector 2. FHR2 sensor connector 3. Fetus waker connector F30 Fetal monitor : Left side: Right side: 4 5 6 7 8 1 2 3 9 1-5 F80/F30 Fetal Monitor User’s Manual 1. Fetus waker connector 2. Ultrasonic Triple-Sensor connector 3. FHR2 sensor connector 4. Machine switch 5. Power socket 6. USB socket 7. Wired network connector 8. Serial port 9. Equipotential grounding terminal Caution: In order to prevent poor contact due to dust accumulated, please regularly clean the contact point according to actual application condition. Before cleaning, the monitor must be powered off. When cleaning, please wipe the point with medical cotton dipped into medicinal alcohol by use of a nipper. 1.3.3 Bottom View F80 Fetal monitor : Battery compartment F30 Fetal monitor : Battery compartment 1-6 F80/F30 Fetal Monitor User’s Manual 1.3.4 Rear View F80 Fetal monitor : 5 4 3 2 1 F30 Fetal monitor : Handle 1. AC power input connector 2. Equipotential grounding terminal Base on the requirements of safety and anti-interference, the monitor must be connected with equipotential grounding system individual. Connect the equipotential grounding terminal to the equipotential grounding system with the green and yellow equipotential grounding cable. If the protective earth system is damaged, the equipotential grounding system can take on the safety function of protective earth conductor. 3. Serial port 4. USB socket 1-7 F80/F30 Fetal Monitor User’s Manual Reserved. 5. Wired network connector Standard RJ45 socket. It is used for connection with the central monitoring system provided by manufacturer. 1.4 Equipment Symbols Symbol Symbol Note Symbol Symbol Note Attention: Consult accompanying documents (this manual). FHR Short for “ Fetal Heart Rate ” Non-ionizing radiation FM Short for “ Fetal Movement” TOCO Reset TOCO Uterine contraction Clinical event marking IPX1 Switch for FHR1/FHR2 SN Degree of protection against ingress of liquid Serial number Network connector USB socket Dangerous voltage Alternating current Printer button CE mark Equipotential grounding Manufacture date Symbol for the marking of electrical and electronics Manufacturer devices according to Directive 2002/96/EC. Type B applied part The unit displaying this symbol providing a specified degree of protection against shock . 1-8 F80/F30 Fetal Monitor User’s Manual Chapter 2 Safety 2.1 Safety Information 0 Warning: Before putting the system into operation, verify that the monitor, connecting cables and accessories are in correct working order and operating condition. To guarantee the safe operation of the monitor, please use the patient cables and accessories provided or designated by the manufacturer. Otherwise, different type of the accessories may damage the monitor and affect the performance of the monitor. Do not open the monitor housings; electric shock hazard may exist. All servicing and future upgrades must be carried out by the personnel trained and authorized by manufacturer only. To avoid explosion hazard, do not use the monitor in the presence of flammable anesthetics or other flammable substance in combination with air, oxygen-enriched environments, or nitrous oxide. Do not use the monitor in the presence of high voltage device or in the environment with high quantity of static, otherwise it may bring out spark due to the instantly discharge. Please connect the monitor to a socket with protective earth. If the socket does not have protective earth conductor, please do not use the socket and use battery to provide power to the monitor. When using the monitor with electrosurgical units (ESU), make sure the patient is safe. Do not come into contact with the patient during defibrillation. Otherwise serious injury or death could result. To guarantee the safety of patient, summation of the leakage current should not excess the admit value when patient is connected to more than one medical electrical equipment. Make sure all the electrodes are connected to the right position on the body of patient. Be sure that all the electrodes(including neuter electrode) and patient never come into contact with other conductive 2-1 F80/F30 Fetal Monitor User’s Manual parts, or with earth. To avoid inadvertent disconnection, route all cables in a way to prevent a stumbling hazard. Wrap and secure excess cabling to avoid risk of entanglement or strangulation by patient or personnel. Disposal of the packing materials should observer the applicable waste control regulations. Keep the packing materials out of children’s reach. Safety requirements were fully considered when this instrument was designed. However, the operator should not neglect watching the machine condition and observing patients. The operator should be especially careful not to move the instrument and the patient when the instrument is working. Auxiliary equipment connected to analog and digital interfaces must be verified in accordance with respective IEC standards (e.g. Medical Instrument Standard IEC 60601-1). And all the configurations should be in conformity with the valid version of IEC 60601-1-1. Therefore, when configuring the medical system, personnel who connect auxiliary equipment to signal input and output interfaces should ensure that the system meet the requirements of the valid version of IEC 60601-1-1. The monitor can not be applied to heart directly. All the probes, buttons and their connecting cables shall not be dipped into water or other liquids during normal usage. The monitor should not be used adjacent to or stacked with other equipment and that if adjacent or stacked use is necessary, the monitor should be observed to verify normal operation in the configuration in which it will be used. Class A equipment is intended for use in an industrial environment. The monitor may be potential difficulties in ensuring electromagnetic compatibility in other environments, due to conducted as well as radiated disturbances. Caution: At the end of its service life, the monitor, as well as its accessories, must be disposed of in compliance with the guidelines regulating the 2-2 F80/F30 Fetal Monitor User’s Manual disposal of such products. If you have any questions concerning disposal of the monitor, please contact us. Magnetic and electrical fields are capable of interfering with the proper performance of the monitor. For this reason make sure that all external devices operated in the vicinity of the monitor comply with the relevant EMC requirements. Mobile phone, X-ray equipment or MRI devices are a possible source of interference as they may emit higher levels of electromagnetic radiation. Before connecting the monitor to the power line, check that the voltage and frequency ratings of the power line are the same as those indicated on the monitor’s label or in this manual. Always install or carry the monitor properly to avoid damage caused by drop, impact, strong vibration or other mechanical force. Although the fetal monitor is designed to be firm, dropping and shaking resistant, and to meet complicated clinical working needs, it should be handled carefully during its usage, especially, the ultrasonic probe wafer is ceramic, shall not be dropped, bumped or surface scratched. Every time after the ultrasonic probe is used, the couplant on its surface should be wiped away. The user can scrub the probe and the instrument by using a wet rag dipped with a neutral disinfectant or detergent. Please do not turn off loudspeaker volume during monitoring, because fetal heart sound monitoring is very important. The accuracy of fetal heart rate is controlled by the equipment, cannot be adjusted by the user. If the result of fetal heart rate is not credible, please verify it by using another method such as by using a stethoscope, or contact a local agent or the manufacturer for help. The monitor meets the requirement of electromagnetic compatibility in IEC60601-1-2. The user needs to install and use according to electromagnetism compatibility information which is attached with it. Portable and mobile RF communication devices may influence the monitor performance, so the monitor should be kept away from them during using. Guidance and manufacturer’s declaration stated in the appendix. 2-3 F80/F30 Fetal Monitor User’s Manual ) Note: Put the monitor in a location where you can easily see the screen and access the operating controls. Keep this manual in the vicinity of the monitor so that it can be obtained conveniently when needed. The software was developed in compliance with IEC 60601-1-4. The possibility of hazards arising from software errors is minimized. This manual describes all features and options. Your monitor may not have all of them. 2.2 General Safety 0 Warning: The monitor is neither a therapeutic instrument nor a device that can be used at home. 1. Safety precautions for installation z Connect the power cord to a properly earthing socket. Avoid putting the socket used for it in the same loop of such devices as the air conditioners, which regularly switch between on and off. z Avoid putting the monitor in the locations where it easily shakes or wobbles. z Enough space shall be left around the monitor so as to guarantee normal ventilation. z Make sure the ambient temperature and humidity are stable and avoid the occurrence of condensation in the operation process of the monitor. 0 Warning: Never install the monitor in an environment where flammable anesthetic gas is present. 2 . Monitor conforms to the safety requirements of IEC 60601-1:1988+ A1:1991+A2:1995. This monitor is protected against defibrillation effects. 3. Notes on symbols related to safety 2-4 F80/F30 Fetal Monitor User’s Manual Type B applied part The unit displaying this symbol providing a specified degree of protection against shock. Attention! Please refer to the documents accompanying this monitor (this manual)! 4. To guarantee the safe operation of the monitor, the monitor is provided with various replaceable parts, accessories and consuming materials (such as sensors and their cables, electrode pads). Please use the products provided or designated by the manufacturer. 5. Monitor only guarantees its safety and accuracy under the condition that it is connected to the devices provided or designated by manufacturer. If the monitor is connected to other undesignated electrical equipment or devices, safety hazards may occur for causes such as the cumulating of the leakage current. 6. To guarantee the normal and safe operation of the monitor, a preventive check and maintenance should be conducted for the monitor and its parts every 6-12 months (including performance check and safety check) to verify the instrument can work in a safe and proper condition and it is safe to the medical personnel and the patient and has met the accuracy required by clinical use. Caution: The monitor does not contain any parts for self-repair by users. The repair of the instrument must be conducted by the technical personnel authorized by manufacturer. 2.3 Important Notes for Safety Patient Number The monitor can only be applied to one patient at one time. Interference Do not use mobile phone in the vicinity of the monitor. High level of electromagnetic radiation emitted from such devices may result in strong interference with the monitor performance. Protection against ingress of liquid 2-5 F80/F30 Fetal Monitor User’s Manual To avoid electric shock or device malfunction, liquids must not be allowed to enter the device. If liquids have entered the device, take it out of service and have it checked by a service technician before it is used again. Accuracy If the accuracy of any value displayed on the monitor or printed on a printout paper is questionable, determine the patient’s vital signs by alternative means. Verify that the equipment is working correctly. Alarm Do not rely exclusively on the audible alarm system for patient monitoring. Adjustment of alarm volume to a low level or off during patient monitoring may result in a hazard to the patient.Remember that the most reliable method of patient monitoring combines close personal surveillance and correct operation of monitor. The functions of the alarm system for monitoring the patient must be verified at regular intervals. Before Use Before putting the system into operation, please visually inspect all connecting cables for signs of damage. Damaged cables and connectors must be replaced immediately. Before using the system, the operator must verify that it is in correct working order and operating condition. Periodically, and whenever the integrity of the product is in doubt, test all functions. Cables Route all cables away from patient’s throat to avoid possible strangulation. Disposal of package Dispose of the packaging material, please observe the applicable waste control regulations and keeping it out of children’s reach. Explosion hazard Do not use this equipment in the presence of flammable anesthetics, vapors or liquids. Leakage current test When interfacing with other equipment, a test for leakage current must be performed by qualified biomedical engineering personnel before using with patients. Battery 2-6 F80/F30 Fetal Monitor User’s Manual The device is equipped with a battery. The battery discharges even when the device is not in use. Store the device with a fully charged battery and take out the battery, so that the service life of the battery will not be shortened. Disposal of accessories and device Disposable accessories are intended for single use only. They should not be reused as performance could degrade or contamination could occur. The service life of this monitor is 5 years. At the end of its service life, the monitor, as well as its accessories, must be disposed of in compliance with the guidelines regulating the disposal of such products. If you have questions concerning disposal of products, please contact manufacturer or its representatives. EMC Magnetic and electrical fields are capable of interfering with the proper performance of the device. For this reason, make sure that all external devices operated in the vicinity of the monitor comply with the relevant EMC requirements. X-ray equipment or MRI devices are a possible source of interference as they may emit higher levels of electromagnetic radiation. Also, keep mobile phones or other telecommunication equipment away from the monitor. Instruction for use For continuous safe use of the monitor, it is necessary that listed instructions were followed. However, instructions listed in this manual in no way can supersede established medical practices concerning patient care. Loss of data Should the monitor at any time temporarily lose patient data, close patient observation or alternative monitoring devices should be used until monitor function is restored. If the monitor does not automatically resume operation within 60s, restart the monitor using the power switch. Once monitoring is restored, you should verify correct monitoring state and alarm function. If you have any questions, please contact manufacturer or its representatives. 2-7 F80/F30 Fetal Monitor User’s Manual 2.4 Safe Operation Conditions Methods of sterilization or Sterilization: not applicable disinfection recommended by Disinfection: Refer to Maintenance the manufacturer Cleaning Chapter Electromagnetic interference Electrosurgical interference damage Diathermy instruments influence and No mobile telephone nearby No damage Displayed values and prints may be disturbed or erroneous during diathermy 2-8 F80/F30 Fetal Monitor User’s Manual Chapter 3 Basic Operations 3.1 Unpacking and Checking 1. Unpacking Before unpacking, examine the packing case carefully for signs of damage. If any damage is detected, contact the carrier. If the packing case is intact, open the package. 2. Remove the monitor and accessories carefully. 3. Keep all the packaging materials for future use in transportation or storage. 4. Check the monitor and accessories Check the monitor and its accessories one by one in accordance with the packing list. Check to see if the parts have any mechanical damages. In case of problems, please contact us or our agent. 0 Warning: Keep the packing materials out of children’s reach. Disposal of the packing materials should observer the applicable waste control regulations. The monitor might be contaminated during storage and transport. Before use, please verify whether the packages, especially the package of disposable accessories, are intact. In case of any damage, do not apply it to the patient. Please ensure the monitor is working under specified conditions; otherwise, the technical specifications mentioned in this manual will not be met, thus possibly leading to damage of equipment and other unexpected results. Caution: Please put a monitor onto a horizontal and stable supporting plane. Avoid putting the monitor in the locations where it easily shakes or wobbles. Enough space shall be left around the monitor so as to guarantee normal ventilation. 3-1 F80/F30 Fetal Monitor User’s Manual 3.2 Connecting power supply 3.2.1 AC power supplying Ensure the AC mains is: AC 100V-240V, 50Hz/60Hz. Take out the power cables provided with the monitor. Plug the pin of the fan-out in the AC socket on the rear panel of the monitor and the input end must connected with the grounding socket which is the dedicated socket of hospital through the ground wire. When the AC mains is connected, the power indicating lamp lights up. When the battery is being charged, the power indicating lamp lights in orange. Caution: The monitor does not have mains switch. The monitor is switched completely only by unplugging the power cable from the AC power source. Connect the monitor to the equipotential grounding system 。 Use the green/yellow equipotential grounding cable and connect it to the terminal labeled with the symbol. 3.2.2 Battery power supplying The monitor is fitted with inserted battery to ensure its continuous work after the failure of AC power supply . Charge the battery before use,ther e is no external char ger. While the monitor connecting with AC power, the rechargeable battery can be charged. To make sure the battery is full charged and can be used at any moment, we recommend connecting the monitor to the AC power source. Get power supply from battery to support monitoring when excessive AC interferences are founded during testing in order to reduce the interference effects among alternating current. The operating time of a battery refers to product specifications. Please refer to Battery chapter for the maintenance of battery. 3.3 Connecting patient cables Plug the patient cable into the patient cable connector on monitor, tighten the screws beside the plugs. 3-2 F80/F30 Fetal Monitor User’s Manual 3.4 Recording Paper Loading When recording paper is not loaded or used up, “No Paper” will be displayed on the monitor’s display in order to remind the user of loading or changing recording paper. 1. Press and hold the cover button on the front casing of the recorder with one hand, add a little force to pull out the recorder’s paper container, and take out folded paper remaining inside the paper container. Figure 3-1 load recording paper 2. Remove the packing of a new pile of recording paper, place recording paper into the paper container. Pull recording paper out of the recorder’s paper outlet by approximately 2cm. Attention: When you unfold the topmost page of a pile of printing paper from the outside (the side near to the machine) to the inside (the side near to your body), you can see the side of paper with thermal sensitive grids; fetal heart rate grids are on the left, while uterine contraction grids are on the left, as shown on the left of Figure 3-2. Figure 3-2 load recording paper 3. Push in the paper container, close the recorder cover. And now paper loading is completed. 3-3 F80/F30 Fetal Monitor User’s Manual Figure 3-3 load recording paper Note: 1. The paper container can be pulled out of the paper compartment as well when the recorder is turned on, as shown in the figure below: Figure 3-4 load recording paper 2. When loading paper, as shown in the figure below, slightly lift up the paper container, so that the guide rails on the paper container completely align to the grooves inside the paper compartment, then gently lower the paper container. Figure 3-5 load recording paper 3-4 F80/F30 Fetal Monitor User’s Manual Caution: The keeping of printing paper should meet the following requirements: Recording paper should be placed in a dry and cool place, prevented from high temperature, moisture and direct sunlight. Recording paper with recorded waveforms shall not be piled up for a long time; otherwise recorded waveforms will be copied mutually. Printing can be started only after waveforms appearance on the screen. Please use recording paper provided by the manufacturer; using other recording paper may shorten the life of the printer’s thermal recording head. 3.5 Networked Monitoring If the user intends to connect the monitor to the central monitoring system, plug its connecting electrical cable into the network connector at the back of the monitor. ) Note: This monitor can only be connected to the central monitoring system provided by manufacturer, do not attempt to connect this monitor to other central monitoring system. 3.6 Screen Display The monitor adopts a display screen of high-resolution TFT LCD. Measurement numerics, waveforms, patient info, alarm area and menu can be displayed on the screen. Standard screen is shown as follows: 3-5 F80/F30 Fetal Monitor User’s Manual 1 2 3 8 4 7 5 6 1. Patient information area Display the number and the name of the patient. 2. Alarm state area The alarm sound is off. The alarm is suspended and the alarm paused time shown at the same time. 3. Display area of system state and time 4. Parameter area It consists of various parameter areas, and shows measurement numerics for each parameter module. Label displays on the top left corner of each parameter area. 5. Area of touch smartkeys Shows smartkeys, these smartkeys are used to conduct some common operations. 6. System status area Shows system prompt message, network status icon, battery status icon and so on. Please refer to Battery chapter for the state of battery. 3-6 F80/F30 Fetal Monitor User’s Manual 7. Waveform area Shows the waveforms of each physiological parameter. Label displays on the top left corner of each waveform area. 8. Technical and Physiological alarm area The left area shows the technical alarm messages and prompt messages. The middle area shows the medium-level and low-level physiological alarm messages while the high-level physiological alarm messages shows in the right area. 3.7 General Setting 3.7.1 System Setup 1. Display Mode Select【Main Menu】→【System Setup】→【Display Mode】 The display mode can be set to Monitor or Demo mode. 2. Brightness Select【Main Menu】→【System Setup】→【Brightness】 The screen brightness can be set to a value between 1 and 5. 1 is the minimum brightness and 5 is the maximum. 3.7.2 Volume Setup 1. Setting the FHR Sound Volume Select【Vol. Set】smartkey→【FHR Vol.】 The FHR sound volume can be set to silence or a level between 1 and 4. 4 is the maximum volume. 2. Setting the alarm volume Select【Vol. Set】smartkey→【Alm Vol.】 The alarm volume can be set to silence or a level between 1 and 3. 3 is the maximum volume. 3.7.3 Setting the System Time User can configure the system time. The user is advised to set system time before implementing monitoring. If the configuration is to be conducted during the process of monitoring, the time for the revision takes effect after the current window is exited. To set the date and time: 3-7 F80/F30 Fetal Monitor User’s Manual 1. Select【Main Menu】smartkey→【System Time】. 2. Select Year/Month/Day/Hour/Min/Sec to set the system time. 3. The time format is 24 hour change. Caution: Changing the date or time will affect the storage of trends and events, it may result in data loss. 3.7.4 Color Setup On the monitor, you can select to set the color of each parameter displayed on the main menu in order to felicitate the distinguishing of various parameters. 1. Select【Color Setup】on the main menu. 2. You can set the colors of parameters such as FHR1/FHR2/TOCO/FM. 3. 10 colors are available for each parameter. 3.7.5 Print Setup On the monitor, you can select to set the monitor's printing. Select【Print Setup】on the main menu. 1. Print Speed By selecting【 Print Speed】 , you can set the printer’s print speed; selectable print speeds are 1cm/min, 2cm/min and 3cm/min. 2. Print Density By selecting 【Print Density】, you can set the printer’s printing density; selectable printing densities are 1 to 5; 1 is the minimum density, while 5 is the maximum density. 3. Timing Print By selecting【Timing Print】, you can set the printer’s timed printing function; selectable times are: Off, 10min, 20min, 30min and 40min. 4. Print Score By selecting 【Print Score】, you can set the On and Off of the automatic printing CTG scoring function. 5. Scoring Select By selecting 【Score Select】, you can select the FHR channels to be scored. 3-8 F80/F30 Fetal Monitor User’s Manual 3.7.6 Maternal Information On the monitor, you can select to set the maternal information. Select the【Mat Info】smartkey to set the name, age, gestational weeks, gestational days and fetal number of the pregnant woman. 3.7.7 Data Review The monitor is provided with a data review function. Select the【Data Review】button on the touch screen and then press the rotary coding disc to enter into the data review screen. The data have recorded the number, name, age, fetal number, date and time with respect to the pregnant woman. If there are several pages of stored data, you can use【Page Up】and【Page Down】to turn pages, and 【Delete】 to delete all the stored data, be caution when you use it. When you select a record, a dialog box will pop up on the screen; you can select: 【 Enter 】 to view recorded contents (fetal heart rate curve, uterine contraction curve, fetal movement curve); 【Exit】to return to the data review screen. After you have selected【Enter】, you will enter into the review screen of this record; similarly, if there are several pages of data, you can use【Page Up】and【Page Down】to turn pages. By selecting【CTG】, you can carry out print score output on this record. Caution:CTG scoring can be carried out only when the monitoring duration exceeds 20 minutes; otherwise 【CTG】 will be shielded, inoperable. 3-9 F80/F30 Fetal Monitor User’s Manual Chapter 4 User Interface 4.1 Display Style Display style of user interface can be set according to your need. Including: ——Screen brightness: ——Display color of wave and parameter: 4.1.1 Screen Brightness Select【Main Menu】→【System Setup】→【Brightness】 You can set the brightness to a value between 1 and 5. 1 is the minimum brightness and 5 is the maximum. 4.1.2 Parameter Color 1. Select【Main Menu】→【Color Setup】. 2. Click the color block of corresponding parameter, and then select the color according to your need from the popped menu. 4.2 Screen Layout You can set the screen layout as required. The setting method is as follows: 1. Select the【Main Menu】→【Screen Layout】. 2. Select one screen according to your need. The following are the display interface of screens, which may differ from those on your monitor. 4-1 F80/F30 Fetal Monitor User’s Manual Fetal Screen To enter fetal screen: Select【Main Menu】smartkey→【Screen Layout】→【Fetal Screen】. Big Numerics (F)(applicable to F30) You can display the Big Numerics(F) by the method as follows: ¾ Select【 Main Menu】smartkey→【Screen Layout】→【Big Numerics(F)】 4-2 F80/F30 Fetal Monitor User’s Manual Fetal Cascade(applicable to F80) You can display the Fetal Cascade by the method as follows: ¾ Select【Main Menu】smartkey→【Screen Layout】→【Fetal Cascade】 4-3 F80/F30 Fetal Monitor User’s Manual Chapter 5 Alarm Alarm refers to a prompt that is given by the monitor for medical personnel through visual, audible and other means when a vital sign appears abnormal or the monitor occurs technical problem. 5.1 Alarm Category According to character of alarm, the monitor’s alarms can be classified into three categories: physiological alarms, technical alarms and prompt messages. Physiological alarms Physiological alarms are triggered by a monitored parameter value that violates set alarm limits or an abnormal patient condition. Physiological alarm message are displayed in the physiological alarm area. Technical alarms Technical alarms are triggered by a device malfunction due to improper operation or system problems. The problems may result in system abnormal operation or irresponsible monitoring parameters. Technical alarm message are displayed in the technical alarm area. Prompt messages As a matter of fact, prompt messages are not alarm messages. Apart from the physiological and technical alarm messages, the monitor will show some message to indicate the system status. 5.2 Alarm Level According to severity of alarm, the monitor’s physiological alarms are classified into three categories: high level alarms, medium level alarms and low level alarms. High level alarms: Indicate that the patient is in a life threatening situation and an emergency treatment is necessary. This is the highest level alarm. Medium level alarms: Indicate that the patient’s vital signs appear abnormal and an immediate treatment is required. 5-1 F80/F30 Fetal Monitor User’s Manual Low level alarm: Indicate that the patient’s vital signs appear abnormal and an immediate treatment may be required. The levels of some physiological alarms are predefined before the monitor leaves the factory and can not be changed by users. While some levels of physiological alarms can be changed by users. The monitor’s technical alarms are classified into categories: low level. The levels of technical alarms are predefined before the monitor leaves the factory and can not be changed by users. 5.3 Alarm Indicators When an alarm occurs, the monitor will indicate it through the following means: Alarm tone: According to alarm level, speaker in the monitor gives alarm sound in different tone. Alarm lamp: According to alarm level, alarm lamp on monitor flashes in different color and speed. Alarm message: Alarm messages are displayed on the screen. Caution: The concrete presentation of each alarm prompt is related to the alarm level. The alarm system is real-time alarming. 5.3.1 Alarm Tone The different level alarms are indicated by the system in following different audio ways: Alarm level Audible prompt High “DO-DO-DO------DO-DO, DO-DO-DO------DO-DO” Medium “DO-DO-DO” Low “DO-” Caution: For alarm pressure in different alarm levels, alarm pressure in medium level can not be over than the one in high level. Alarm pressure in low level can not be over than the one in medium level. 5-2 F80/F30 Fetal Monitor User’s Manual 5.3.2 Alarm Lamp When a physiological alarm occurs, the alarm levels are indicated in the following different visual ways: Alarm level Visual prompt High Alarm lamp flashes in red with 2 Hz. Medium Alarm lamp flashes in yellow with 0.5 Hz. Low Alarm lamp lights on in yellow without flashing. When a technical alarm occurs, the alarm levels are indicated in following different visual ways: Alarm level Low Visual prompt Alarm lamp lights on in blue without flashing. Caution: When multiple alarms of different levels occur at the same time, the monitor will select the alarm of the highest level and give visual and audible alarm indications. 5.3.3 Alarm Message Physiological alarm 1) Physiological alarm messages are displayed in the physiological alarm area. 2) The “*” symbol before the alarm message match the alarm level as follows: High level alarms: *** Medium level alarms: ** Low level alarms: * 3) The system uses different background colors for the alarm message to match the alarm level: High level alarms: red Medium level alarms: yellow Low level alarms: yellow Technical alarm 1) Technical alarm messages are displayed in the technical alarm area. 2) The “*” symbol before the alarm message match the alarm level as follows: 5-3 F80/F30 Fetal Monitor User’s Manual Low level alarms: * 3) The background color for the alarm message is blue. Prompt messages 1) Prompt messages are displayed in technical alarm area or the corresponding parameter area. 2) The background color for the technical alarm area is blue, parameter area have no color and visual and audible alarm indication. When multiple alarms occur at the same time, the alarm messages will be displayed in the alarm area in turn. 5.4 Alarm Status Symbol The alarm sound is off. The alarm is suspended. The parameter alarm is off. 5.5 Setting Alarm Volume Select 【Vol. Set】→【Alm Vol.】 to set the alarm volume of system. The alarm volume can be set to silence or a value between 1 and 3. 3 is the maximum volume. When the alarm volume is set to be silence, other alarm mode works normally except the alarm tone, and the button will show at the top of the screen. 5.6 Parameter Alarm The alarm setting of parameter is independent from each other. You can select【 Main Menu】smartkey→【 Fetal Alm Setup】to set the parameter alarm limit, alarm status. For the parameters whose alarm switch is set to ON, the alarm will be triggered when at least one of them exceeds alarm limit. The following actions take place: 1. Trigger audible and visual alarm according to alarm level; 5-4 F80/F30 Fetal Monitor User’s Manual 2. Alarm message is displayed in the physiological alarm area. 5.6.1 Alarm Switch and Level You can select 【Main Menu】smartkey→【Fetal Alm Setup】→【Alm Level】to set the alarm switch and alarm level of them; when a parameter alarm is off, a symbol “ ” will be displayed near the parameter. If the alarm is turned on, the symbol will disappear. Select【Alm Level】in the setting menu of each parameter, you can view and set the alarm levels of present parameters. The level can be set to【Low】, 【Med】or【High】. 5.6.2 Alarm Limit Setting All Alarm Limits Select【Main Menu】smartkey→【Fetal Alm Setup】→【Hi Lmt】/【Lo Lmt】to set the alarm limits of all present parameters. The alarm limit is adjustable, Physiological alarm will be triggered when the measuring value exceeds the set limit. 0 Warning: Medical personnel should set the alarm limits of parameters in line with the clinical environment and existing clinical experience. Before monitoring, please confirm whether the alarm setting is suitable for the monitored patient. In any single zone (such as patient room or delivery room), that different alarm settings are used in the same or similar equipment will make a potential hazard. 5.7 Pausing Alarms By pressing the button on the monitor's front panel, you can pause all the alarm prompts on the monitor. The alarm pausing time is displayed at the top of the screen, and the symbol is displayed in this prompt zone. The alarm pausing time is fixed to 2min, and there should be a countdown time (e.g. 1:56) displayed on the screen. When the alarm pausing time is up, the monitor will cancel alarm pausing automatically. Pressing the button during alarm pausing can cancel 5-5 F80/F30 Fetal Monitor User’s Manual alarm pausing manually. Physiological Alarm Pausing ——All the light and sound alarms are paused. ——Alarm messages in the physiological alarm message area will not be displayed. ——During alarm pausing, it a new alarm occurs, it is still not issued. After the system has returned to its normal state, whether or not an alarm exists depends on whether or not the alarm condition is met. Technical Alarm Pausing ——The sound alarm is paused. ——Alarm messages in the light alarm and technical alarm message area are unchanged, still displayed. ——If a new technical occurs during alarm pausing, the system exits pausing and returns to the normal condition. After the system has returned to its normal state, whether or not an alarm exists depends on whether or not the alarm condition is met. 5.8 Acknowledging Alarms Long press the button on the front panel of the monitor for 2seconds, you can acknowledge all active physiological and technical alarms: Acknowledging physiological alarm ——The visual alarm and audible alarm are all shut off. ——The sign “√” is added in front of the acknowledged physiological alarm message. After acknowledging the alarms, if a new physiological alarm occurs, the monitor will enable the visual and audible alarm once again to the normal state . Acknowledging technical alarm ——The audible alarm is shut off. ——The visual alarm is keep on. ——The sign “√” is added in front of the acknowledged technical alarm message, but the alarm of lead-off/sensor-off turns into a prompt message. After acknowledging the alarms, if a new technical alarm occurs, the monitor will enable the visual and audible alarm once again to the normal state . If handlers take off the sensor, probe or module on purpose, the function of 5-6 F80/F30 Fetal Monitor User’s Manual acknowledging the alarms can be used to restrain the alarm indication of lead-off/sensor-off , and turns it into a prompt message. 5.9 When an Alarm Occurs ) Note: When an alarm occurs, you should always check the patient’s condition first. Check the alarm message appeared on the screen. It is needed to identify the alarm and action appropriately, according to the cause of the alarm. 1. Check the patient’s condition. 2. Identify alarming parameter and alarm category. 3. Identify the cause of the alarm. 4. Silence the alarm, if necessary. 5. When cause of alarm has been over, check that the alarm system is working properly. You will find the alarm messages for the individual parameter in Appendix C Alarm message. 5.10 Testing alarms In general, to test the functioning of visible and audible alarms, do the following: 1. Enable the alarm. 2. Set the alarm limits. 3. Measure or simulate the parameter that is out of range, or signal loss. 4. Verify that the visible and audible alarms are working. As an example, to test the FHR alarms: 1. Connect the US transducer to a fetal sensor socket. 2. Enable the FHR alerting . 3. Set the high alert limit to 150 bpm respectively, and the low alert limit to 110 bpm respectively. 4. Generate a fetal heart rate of approximately 180 bpm (3 beats per second) for more that one minute. 5. Verify the functioning of the visible and audible alarm. 5-7 F80/F30 Fetal Monitor User’s Manual 5.11 Alarm when power is lost After a loss of power, the alarm settings prior to the power loss are restored. If you want to restore either the alarm settings from the default settings, please enter the alarm setting menu to select the setting. If power is lost for less than one minute, the alarm settings prior to the power loss are restored. 5-8 F80/F30 Fetal Monitor User’s Manual Chapter 6 FHR 6.1 Introduction Fetal heart rate is regulated by sympathetic and parasympathetic nerves, a monitoring curve formed by instant fetal heart changing described by a signal. For in vitro signal fetal heart rate monitoring, you can install an ultrasonic sensor on the auxiliary belt wrapping around the mother’s abdomen. The ultrasonic sensor will emit low energy ultrasonic beams to the fetus’s heart, and detect the reflected signal. The monitor can also detect fetal movement and plot out a fetal movement profile (FMP) on the trace curve. If you want to monitor the fetal heart rates of twin, you will need two ultrasonic sensors. 6.2 Safety Information 0 Warning: When you use ultrasound to monitor a fetus, if ultrasonic imaging or Doppler blood flow measuring is carried out concurrently, it may cause false FHR readings, and trace recording distortion. Current fetal monitoring technology cannot always distinguish the fetal heart rate signal source from the maternal heart rate signal source under all circumstances. Therefore, you must use another method (e.g. fetal movement percussion or fetal heart sound auscultation by using a stethoscope or fetal stethoscope) to verify that the fetus is still alive before carrying out fetal monitoring. If you hear no fetal heart sounds or feel no fetal movements, verify whether the fetus is still alive by means of ultrasonic obstetrical examination. 6.3 Monitoring Procedure 6.3.1 Monitoring Preparation 1. After installation of the monitor, press the power button to turn on main 6-1 F80/F30 Fetal Monitor User’s Manual unit and start the running of the machine, then the main operating screen appears. 2. Prepare a probe, an ultrasonic couplant and a bandage. 3. Insert the needed probe and fetal movement marking button into the fetal monitor. Probe connection is unique; if the probe is inserted to a wrong receptacle, it cannot fit into the receptacle properly. ) Note: If you prepare only for fetal heart rate monitoring, place a bandage on the bed, then let the pregnant woman lie down; if you prepare for concurrent fetal heart rate and uterine contraction pressure monitoring, place two bandages on the bed, then let the pregnant woman lie down. The bandages are used to bind probes to the pregnant woman’s abdomen. 6.3.2 Ultrasonic Sensor Placement 1. Ask the pregnant woman to take a body position (usually semi-supine position) conducive to monitoring. 2. Pass a bandage through from underneath the waist (two bandages are needed for monitoring fetal heart rate and uterine contraction pressure). 3. Coat an appropriate amount of couplant onto the surface of an ultrasonic probe, place the probe onto the pregnant woman’s abdomen; the couplant should enable the probe to nicely contact the pregnant woman’s abdomen. The ultrasonic signal will be the best when the probe is positioned at the upper rear position of the left shoulder of the fetus; place the probe and then move and adjust the probe slowly to find the best position, at which the fetal heart beating sound from the loudspeaker will be strongest and the screen displays continuous fetal heart rate. 4. After the probe finds the best position, keep it at this position, fasten the bandage. If the probe moves, adjust the probe’s position again to seek for the best signal. 5. During monitoring, please do not turn off the loudspeaker’s volume; when the fetal heart rate signal is very weak, you can hardly hear the fetal heart sound produced by the loudspeaker, be cautious that the digital fetal heart rate displayed on the screen now might be meaningless. 6-2 F80/F30 Fetal Monitor User’s Manual 6. Having fixed the ultrasonic probe, adjust the volume to a volume you think appropriate. 7. The fetal heart monitoring probe’s best position might change during monitoring for a long time. The reasons are fetus squirming, the pregnant woman turning sideways and the bandage sliding, etc. If the probe’s position deviates too seriously, there may be such a sign as no sound or no heart rate curve or the detection precision may be affected. In order to reduce and avoid the occurrence of similar circumstances, do the followings steps properly: ¾ Accurately find the best position for fetal heart monitoring, which is a basic skill. ¾ It is required that the pregnant woman’s lying posture be natural and comfortable. ¾ The bandage should be reliably bound to an appropriately tightness. ¾ The ultrasonic couplant should be appropriate. ¾ During monitoring, the operator should be earnest and responsible, carry out patrolling inspection once every few minutes, readjust the probe's position if finding that the fetal hear sound diminishes significantly. 0 Warning: Using an unapproved ultrasonic couplant may result in signal quality deterioration, and damage the sensor; such a damage is not included in warranty terms. Check the mother’s pulse regularly, and compare it with the signal produced by the monitor’s loudspeaker to ensure the fetal heart rate during monitoring. Do not mistake the doubled or accelerated maternal heart rate as the fetal heart rate. During monitoring, please do not turn off the loudspeaker’s volume; when the fetal heart rate signal is very weak, you can hardly hear the fetal heart sound produced by the loudspeaker, note that the digital fetal heart rate displayed on the screen now might be meaningless. ) Note: When placed on the body of the pregnant woman, the ultrasonic sensor will have a slight temperature rise (which will not be 1℃ /1.8℉ 6-3 F80/F30 Fetal Monitor User’s Manual higher than the ambient temperature). The waterproof rating of the ultrasonic sensor used for this monitor is IPX1; the sensor is a dripping liquid proof enclosed device; be careful not to let it splashed by water. 6.3.3 Fetus waker If your machine is equipped with a fetus waker, when you need to use it, you need to connect the plug on one end of the audio cable to the fetus waker receptacle. When the monitoring is in a turned-on condition, the screen will display the symbol of the fetus waker. Mode Setting Whenever you press the Mode button once, the fetus waker will switch alternatively between the 3-times mode (the device will stop vibrating automatically after it has vibrated 3 times) and the continuous mode. Vibrating Rhythm Adjustment Vibration is produced intermittently during operation. The vibrating rhythm adjusting knob adjusts the repeating cycle of intermittent vibration. Operating Apply the surface of the instrument’s vibrating head to the mother’s abdomen and press the power switch, there will be vibration; press the power switch again to stop vibrating. Battery Loading Batteries were not loaded into the battery holder when the fetus waker was purchased; before using, you need to load batteries and close the battery holder cover. Attention: ¾ Please do not use new and old batteries or different types of batteries in a mixed way. ¾ Please do not dismantle batteries, less doing so might result in a battery fluid leak or a battery rupture. ¾ If the instrument is not used for a long time, take batteries out in a timely manner. This device is provided with the following characteristics: Light, small, convenient for carrying; 6-4 F80/F30 Fetal Monitor User’s Manual The 3-times mode and the continuous mode are optional; The vibrating rhythm is adjustable; The device can be connected to the fetal monitor, and record a stimulation mark on the recorded trace; Two alkaline batteries (1.5V) are used for power supplying; low power consumption: the recommended model can be used 7000 times under the 3-times mode. 6.3.4 Fetal Heart Rate Display The monitor can display two channels of fetal heart numerical values; you can hear only the fetal sound from one ultrasonic sensor at a time; after you have selected the fetal heart sound for one channel, you can see the sound making source symbol by the FHR numerical value marked for that channel. FHR Volume FHR channel Trace separation value FHR signal FHR value FHR unit 6.4 Fetal Parameter Setup Select【Main Menu】→【Fetal Param.】to set fetal parameters. Trace Separation (Trace Offset) When more than one fetal heart rate is measure, fetal heart rate 2 is moved down to a corresponding position, while the baseline of fetal heart rate 1 always remains unchanged. Select trace separation, which can help you identify baseline similar traces; options: 20bpm, 30bpm and 40bpm. FHR Channel (FHR Chan.) This monitor support twins monitor. By selecting Fetal Heart Sound Channel, you can switch between two fetal heart sound channels to select Fetal Heart Sound 1 or Fetal Heart Sound 2. Return to the main screen after selection, you can then monitor the fetal heart sound of the corresponding channel. Alarm Delay Alarm delay options: Off, 5s, 10s, 15s and 20s. TOCO Reset 6-5 F80/F30 Fetal Monitor User’s Manual Options: 0, 5, 10 and 15. FM Count Options: Manual and automatic. FM Strength Trace Options: Off and On. FM Threshold Options: 30, 40, 50, 60 and 70. 6-6 F80/F30 Fetal Monitor User’s Manual Chapter 7 TOCO 7.1 Introduction Uterine contraction is an important characteristic of imminent giving birth , in short, uterine contract is the regular contraction of the uterus . At the beginning, the uterine contraction is irregular and its strength is weak, then the uterine contraction gradually becomes regular while its strength becomes stronger and stronger, and the duration becomes longer while the interval time is shortened. You can use a uterine contraction pressure sensor to detect uterine activities in vitro. Using the monitor to measure uterine contract pressure is one of important means for protecting the fetus and the mother. 7.2 Safety Information 0 Warning: The amplitude and sensitivity of a uterine contraction pressure sensor depend on many factors, such as sensor position, patient stature, and abdominal belt tightness. The uterine contraction pressure sensor should never be coated with an ultrasonic couplant, less the couplant might damage the uterine contraction pressure probe, or more seriously, cause a safety danger. The probe should be kept away from moisture when it is not used. ) Note: During monitoring you need to adjust the zero point of uterine contraction pressure: You need to carry out uterine contraction pressure zeroing whenever you find that the zero point changes significantly over a certain period of time. 7.3 Monitoring Procedure 1. Pass a bandage through the back of the pressure probe, place the sensor 7-1 F80/F30 Fetal Monitor User’s Manual at the pregnant woman’s uterine fundus and fix the bandage, the tightness of the bandage should be appropriate when adjusting the position. 2. Press the uterine contract pressure reset button (“ ”), then the uterine contraction reset value is displayed at the uterine contraction position on the screen. 7.4 TOCO Value Display The monitor can display the uterine contraction pressure value, and the uterine contraction pressure reset value, which is adjustable. Label TOCO resetting value TOCO value 7.5 TOCO setup TOCO Reset setting Select 【Fetal Param.】on the main menu, then select【TOCO Reset】 to set a numerical value as needed. 7-2 F80/F30 Fetal Monitor User’s Manual Chapter 8 Fetal Movement (FM) 8.1 Introduction Fetal movement refers to the movement of the fetus inside the uterine cavity, which impact the uterine wall. After 4 months of pregnancy, i.e. starting from the 5th month, the mother can obviously feel the movement of the fetus. The fetus stretches his/her hands or kicks his/her legs inside the uterus, which impacts the uterine wall, is called as fetal movement. The number of times, frequency and strength of fetal movements indicate the safety/danger of the fetus. Fetal movement is the movement of the fetus inside the mother’s uterus. Fetal movement marking options include such two modes as manual and automatic. 8.2 Safety Information ) Note: The number of times of fetal movement is not constant. Weeks 28~38 of pregnancy are a fetal movement active period, later, fetal movement gradually weakens, until delivery. The pregnant woman’s movements, postures and moods, as well as loud noises, high intensity light beams and abdomen touches etc, can all cause the changing of fetal movement. 8.3 Monitoring Procedure Automatic fetal movement: After you have selected the automatic fetal movement mode, the monitor will monitor fetal movements on corresponding channel while it monitors fetal heart rate. Manual fetal movement: If you need to record fetal movements manually, let the examinee (the pregnant woman) hold the fetal movement button connected to the instrument, and ask her to press the button once whenever 8-1 F80/F30 Fetal Monitor User’s Manual there is a fetal movement. Detected fetal movement signals will be marked on corresponding position on plotting paper. This instrument has such two modes as manual recording and automatic recording for fetal movements. 8.4 FM Display FM method FM count 8.5 FM Trace Fetal movement parameters detect fetal movements via the ultrasonic sensor connected to the monitor. You can select the On/Off setting of the FM trace in fetal parameters. When the setting is On, the FM trace will be triggered automatically after the ultrasonic sensor is connected. 8.6 FM Setup FM Count Select 【Fetal Param.】on the main menu, then select【 FM Count】to set a manual or automatic counting mode as needed. FM Strength Trace Select 【Fetal Param.】on the main menu, then select【FM Strength Trace】to turn on or off the fetal movement strength trace. FM Threshold Select 【Fetal Param.】on the main menu, then select【FM Threshold】 to select a corresponding numerical value. 8-2 F80/F30 Fetal Monitor User’s Manual Chapter 9 Battery 9.1 Introduction The monitor can be fitted with rechargeable battery to ensure its continuous work after the failure of alternating current power supply, and it needs no special maintenance under the normal condition. While the monitor connecting with alternating current power, no matter whether the monitor is operating or not, the battery always can be charged. In the event of sudden being powered off, the monitor will automatically get power supply from battery without interruption of monitoring work. Indicative message under the screen will display battery states: Indicates that the battery is fully charged. Indicates that the battery is three quarters charged. Indicates that the battery is half charged. Indicates that the battery is one quarters charged. Indicates that the battery is almost depleted and need to be charged immediately. The power supply of battery can only function for a certain period. Excessively low voltage of battery will trigger a technical alarm and the “Battery Low” message will be displayed. At this moment, the monitor shall immediately connect with alternating current power supply to charge the battery. Caution: Remove the batteries prior to shipping or if the monitor is not likely to be used for an extended period of time. 0 Warning: Use only batteries specified in this manual. Keep the batteries out of children’s reach. 9-1 F80/F30 Fetal Monitor User’s Manual 9.2 Battery Installation The battery compartment is located at the bottom of the monitor, please refer to the following steps for battery installation or replacement: 1. Turn off the power supply for the monitor, disconnect the power cord and other connecting wires. 2. Use a screwdriver to unscrew the fixing screws above the battery door, open the battery door and take out the old batteries. 3. Place new batteries into the battery compartment in the marked direction, and press batteries down, ensure the close contacting between batteries and polar slices. 4. Reinstall the battery door. 5. Connect the monitor to an AC power supply, and check whether the monitor’s battery status indicator displays a normal condition. 9.3 Optimizing Battery Performance A battery needs at least two optimizing cycles when it is put into use for the first time. A battery cycle is one complete, uninterrupted charge of the battery, followed by a complete, uninterrupted discharge of the battery. A battery should be conditioned regularly to maintain its useful life. Condition a battery once when it is used or stored for two months, or when its run time becomes noticeably shorter. To optimize a battery, follow this procedure: 1. Disconnect the monitor from the patient and stop all monitoring and measuring procedures. 2. Place the battery in need of optimizing into the battery compartment to the monitor. 3. Place the monitor in the charger stand and connect the AC mains. Allow the battery to be charged uninterruptedly for above 6 hours. 4. Remove the AC mains and allow the monitor to run from the battery until it shuts off. 5. Replace the monitor in the charger stand and connect the AC mains. Allow the battery to be charged uninterruptedly for above 6 hours. 6. The optimizing of the battery is over. 9-2 F80/F30 Fetal Monitor User’s Manual 9.4 Checking Battery Performance The performance of a battery may deteriorate over time. To check the performance of a battery, follow this procedure: 1. Disconnect the monitor from the patient and stop all monitoring and measuring procedures. 2. Place the monitor in the charger stand and connect the AC mains. Allow the battery to be charged uninterruptedly for above 6 hours. 3. Disconnect AC mains and allow the monitor to run on the battery until it shuts off. 4. The operating time of a battery reflects its performance directly. Caution: The operating time of a battery depends on the configuration and operation of the monitor. FHR measurement and using of recorder will deplete the battery faster than other parameters’ measurement. 9.5 Disposing Batteries Batteries that are damaged or depleted should be replaced and discarded properly. Dispose of used batteries according to local regulations. Caution: The service life of battery depends on the service time and frequency. This monitor battery can be charged and discharged for 300 times generally. 0 Warning: Do not disassemble batteries, or dispose of them in fire, or cause them to short circuit. They may ignite, explode, or leak, causing personal injury. 9-3 F80/F30 Fetal Monitor User’s Manual Chapter 10 Maintenance and Cleaning 10.1 Introduction Keep your equipment and accessories free of dust and dirt. To avoid damage to the equipment, follow these rules: 1. Always dilute according the manufacturer’s instructions or use lowest possible concentration. 2. Do not immerse part of the equipment in the liquid. 3. Do not pour liquid onto the equipment or accessories. 4. Do not allow liquid to enter the case. 5. Never use abrasive materials (such as steel wool or silver polish), or erosive cleaners (such as acetone or acetone-based cleaners). In order to ensure the normal service life of the equipment, safty tests should be taken in a cycle of 6-12 months, main contents to be tested are as follows: 1. Verify the equipment functions according to the operating manual; 2. Check if the monitor or any accessory is damaged; 3. Run the related safety tests according to the requirements of IEC60601-1 and IEC60601-2-37. 0 Warning: Be sure to shut down the system and disconnect all power cables from the outlets before cleaning the equipment. Caution: If you spill liquid onto the equipment or accessories, contact us or your service personnel. 10.2 Cleaning of the Monitor Common detergent and non-corrosive disinfectant used in hospital can be applied to clean monitor, however you must be aware that many kinds of detergents must be diluted prior to utilization, and please use it according to the instruction of detergent manufacturer. Avoid the use of alcohols, amino or acetonyl detergent. 10-1 F80/F30 Fetal Monitor User’s Manual The enclosure and screen of monitor shall be free of dust, and they can be wiped with lint-free soft cloth or sponge soaked in detergent. While cleaning, be careful and do not spill liquid onto the instrument and keep any liquid out of it. When wiping the side panel of monitor, you must be especially careful to keep water out of all kinds of cable and outlet on the panel. Do not use abrasive material including wire brush or metal brightener during cleaning because this material will damage the panel and monitor screen. Do not submerge the monitor in liquid. While cable or plug of attachment accidentally gets wet, please rinse it with distilled water or deionized water and dry it in the environment of temperature 40℃ to 80℃ for at least one hour. 10.3 Cleaning and Sterilizing of Accessories 1. Ultrasonic Sensor Recommended disinfectants includes glutaraldehyde solution, ethanol solution, 1- and 2-propanol solution. a) Before disinfection, please clean sensor surface; b) Use a hair free soft rag dipped with an appropriate amount of clear water or mild soap water to clean sensor surfaces; c) Use a hair free soft rag dipped with an appropriate amount of disinfectant to clean the sensor; d) Use a hair free soft rag dipped with clear water to wipe away disinfectant remaining on the sensor; e) Place the sensor in a shady and cool environment for drying. Attention: Never mix the disinfectants, less they might produce a dangerous gas. Use soap water to wash a repeatedly usable abdominal belt and the water temperature shall not exceed 60℃. Never use high pressure, rays or steam to disinfect the sensor. Never soak the sensor directly in a liquid. In order to prevent long term damage caused to the sensor, we recommend that you disinfect the product only when you think it necessary according to hospital stipulations Do not clean and reuse disposable sensor. 10-2 F80/F30 Fetal Monitor User’s Manual Caution: Check patient cables and wires on a regular basis in order to make sure that their integrity and conductivity are good Replace such a damaged or aging cable or wire in a timely manner. Untangle the lead wires whenever possible while be used and never pull then forcefully. 0 Warning: Never use EtO, Phenyl, amino or Iodine based for disinfection. Caution: Sterilization maybe do some harm to monitor, it is suggested that the sterilization be performed only when your hospital considers it necessary in line with maintenance plan. Clean equipment before sterilization. ) Note: The electric schematic and element list can only be offered to the eligible service center or personnel. 10-3 F80/F30 Fetal Monitor User’s Manual Chapter 11 Accessories 0 Warning: Use only accessories specified in this manual. Using other accessories may cause damage to the monitor. Disposable accessories are designed for single-patient use only. Reuse of them may cause a risk of contamination and affect the measurement accuracy. Check the accessories and their packages for any sign of damage. Do not use them if any damage is detected. Accessories Specification PN Reusable Triple sensor Including FHR1, TOCO sensor 15-100-0113 and FM sensor Twins Ultrasonic sensor Reusable ( FHR2) 15-100-0114 Fetus waker Reusable 15-100-0115 11-1 F80/F30 Fetal Monitor User’s Manual Appendix A Product Specifications A.1 Safety Specifications According to the MDD 93/42/EEC, the monitor is Type Ⅱa equipment. Classified according to the IEC60601-1 is as follows: Classification of protection against Class I, internally and externally powered equipment electric shock Degree of protection against electric Type B applied part shock Degree of protection against ingress of IPX1 liquid Degree of protection Non- AGP equipment. Equipment is not suitable for against hazards of use in the presence of flammable anesthetic mixture explosion with air or with oxygen or nitrous oxide Mode of operation Continuous EMC Group 1, class A A.2 Environmental Specifications Operating temperature 5℃ to 40℃ Operating humidity 15% to 85% (non condensing) Operating atmospheric pressure 700hPa to 1060hPa Transportation and storage temperature -20℃ to +55℃ Transportation and storage humidity 10% to 93% (non condensing) Transportation and storage atmospheric pressure 1 500hPa to 1060 hPa F80/F30 Fetal Monitor User’s Manual A.3 Physiological Specifications Size(W×H×D) Weight F80: 383mm×367mm×124mm F30: 332mm×295mm×144mm F80: ≤6kg F30: ≤5kg A.4 Power Specifications Input voltage 100V-240V AC Frequency 50Hz/60Hz Input current 1.0A~0.5A Standard requirement According to IEC 60601-1, IEC 60601-1-2 A.5 Hardware Specifications A.5.1 Display Mainframe display Type Color TFT LCD Size(diagonal) F80: 12.1 inch F30: 7.0 inch Resolution F80: 800×600 pixels F30: 800×480 pixels A.5.2 Recorder Type Thermal dot array Resolution 8 dots/mm Paper width 152 mm, Z type paper Paper length 13.5 m Recording speed Real-time recording : 1cm/min, 2cm/min, 3cm/min Review of fast recording: up to 25mm/s Speed accuracy of printing ≤ ±5% 2 F80/F30 Fetal Monitor User’s Manual Recording trace FHR trace for twins, TOCO trace, and FM trace optional Recording way Real-time printing, history data printing A.5.3 Battery Type Rechargeable lithium ion battery Model LB-08 Size 106m×78mm×21.5mm Weight <360 g Quantity 1 Rated voltage 11.1 VDC Charge method Constant current/Constant voltage Voltage to stop charging 12.6V±0.05V Voltage to stop discharging 9.5V±0.3V Charge current 0.8A~1.5A Capability 4000 mAh 4 hours Under the circumstance of using a new and fully Operating time charged battery at 25 ℃ ambient temperature and working on the typical config(connecting a FHR sensor, and the printer keeping on printing). Charge time 6h to 100%(Standby) Turn off delay 5 min -15 min after the low battery alarm first occurs. Indicator of battery capability With 3 F80/F30 Fetal Monitor User’s Manual A.5.4 Mainframe LED including physiological indicating lamp Alarm indicating lamp and technical alarm physiological alarm indicating lamp:1 (Yellow/Red) technical alarm indicating lamp: 1 (Blue) AC/Battery indicating lamp: 1 (Green/Orange) Power indicating lamp When powered with AC, it lights green while turn on and off the monitor When powered with battery, it lights orange only while turn on the monitor Battery charging indicating lamp 1 (Yellow) A.5.5 Audio indicating Speaker Alarm pressure FHR Sound Alarm tones meet the requirement of IEC 60601-1-8. 45 dB to 85 dB. Testing place is 1 meter from the tone Output the FHR sound from monitoring channel A.5.6 Input device Button 6, power switch, FHR sound channel, pausing Function button alarm/acknowledging alarm, event, TOCO reset, print Knob Type Mechanical Other Keyboard input Optional 4 Mark for clinical F80/F30 Fetal Monitor User’s Manual A.5.7 Connectors Power F80: 1 AC power inlet F30: 1 DC +15V inlet Wired network 1 standard RJ45 interface USB Reserved RS232 1 standard RS232 connector A.5.8 Data Storage Data storage Store and review CTG for 24h A.6 Measurement Specifications A.6.1 FHR Measurement method Ultrasound Pulsed Doppler Transducer 9 crystals Ultrasonic intensity < 5mW/cm 2 Ultrasonic frequency 1.0MHz, deviation less than ±10% Measurement range 50~210bpm Accuracy ±2bpm Resolution 1bpm Ultrasonic output parameter Peak-negative acoustic pressure(P-) (0.03 ± 0.0022)MPa Output beam intensity(I ob ) (0.59±0.045)mW/cm2 Spatial-peak temporal average (0.85 ±0.064)mW/cm2 intensity (I spta ) A.6.2 TOCO Measurement method Strain Gauge Sensor Element Measurement range 0~100 units (relative to %) Resolution 1% (1 unit) 5 F80/F30 Fetal Monitor User’s Manual Nonlinear accuracy ≤ ±10% TOCO baseline 0, 5, 10, 15 A.6.3 FM Auto FM Measurement method Doppler ultrasound FM intensity measurement range 0-40 (%) relative range Manual FM Measurement method Press the FM button by pregnant women 6 F80/F30 Fetal Monitor User’s Manual Appendix B Factory Defaults This section lists the most important factory default settings. These settings are not user-adjustable. However, you can restore the factory default settings of the monitor and EMS if necessary. Volume Setup Main Menu Item Factory Defaults FHR Sound Volume 3 Alarm Volume 3 Screen Layout Main Menu Item Factory Defaults F80 Interface layout Fetal Screen F30 Interface layout Fetal Screen System Setup Main Menu Item Factory Defaults Display Mode Monitor Brightness 3 Color Setup Main Menu Item Factory Defaults FHR1 red FHR2 pink TOCO bottle green FM yellow Print Setup Main Menu Item Factory Defaults Print Speed 3cm/min Print Density 3 Timing Print 30min 7 F80/F30 Fetal Monitor User’s Manual Print Score On(when have Scoring Module) Scoring Select FHR1 Fetal Param Main Menu Item Factory Defaults Trace Separation 20bpm FHR Channel FHR1 Alarm Delay Off TOCO Reset 5 FM Count Manual FM Strength Trace On FM Threshold 50 8 F80/F30 Fetal Monitor User’s Manual Appendix C Alarm messages C.1 Physiological alarm messages Prompt messages Cause Level FHR1 low FHR1 measuring value is below the low alarm limit User-Selectable FHR1 high FHR1 measuring value is above the high alarm limit User-Selectable FHR2 low FHR2 measuring value is below the low alarm limit User-Selectable FHR2 high FHR2 measuring value is above the high alarm limit User-Selectable C.2 Technical alarm messages Prompt messages Cause Level Battery Low Voltage of battery is too low Low Out of Paper No paper in the recorder when recording Low Printer Panel Open the recorder door is open Low FHR Overlap Use the same sensor to monitor a twin Low FHR sensor off FHR Triple-sensor falls off from the monitor Low 9 F80/F30 Fetal Monitor User’s Manual Appendix D Guidance and Manufacturer’s Declaration of EMC Guidance and manufacturer’s declaration – electromagnetic emissionsfor all EQUIPMENT and SYSTEMS Guidance and manufacturer’s declaration –electromagnetic emissions The Fetal monitor F80/F30 is intended for use in the electromagnetic environment specified below. The customer or the user of the SECP-II should assure that it is used in such an environment. Emissions test RF emissions CISPR 11 Compliance Electromagnetic environment - guidance Group 1 The Fetal monitor F80/F30 uses RF energy only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment. RF emissions CISPR 11 Class A Harmonic emissions IEC 61000-3-2 Class A Voltage fluctuations / flicker emissions IEC 61000-3-3 Complies The Fetal monitor F80/F30 is suitable for use in all establishments other than domestic and those directly connected to the public low-voltage power supply network that supplies buildings used for domestic purposes. 10 F80/F30 Fetal Monitor User’s Manual Guidance and manufacturer’s declaration – electromagnetic immunity – for all EQUIPMENT and SYSTEMS Guidance and manufacturer’s declaration – electromagnetic immunity The Fetal monitor F80/F30 is intended for use in the electromagnetic environment specified below. The customer or the user of the monitor should assure that it is used in such an environment. Electromagnetic IEC 60601 test Immunity test Compliance level environment – level guidance Electrostatic ±6 kV contact ± 6 kV contact Floors should be wood, discharge (ESD) ±8 kV air ± 8 kV air concrete or ceramic tile. If floors are covered with IEC 61000-4-2 synthetic material, the relative humidity should be at least 30 %. Electrical fast ±1 kV for power ±1 kV for power Mains power quality should transient/burst supply lines supply lines be that of a typical IEC 61000-4-4 commercial or hospital environment. Surge ± 1 kV line(s) to ± 1 kV line(s) to Mains power quality should line(s) line(s) be that of a typical IEC 61000-4-5 ± 2 kV line(s) to ± 2 kV line(s) to commercial or hospital earth earth environment. Voltage dips, short interruptions and voltage variations on power supply input lines IEC 61000-4-11 <5 % UT (>95 % dip in UT) for 0,5 cycle 40 % UT (60 % dip in UT) for 5 cycles 70 % UT (30 % dip in UT) for 25 cycles <5 % UT (>95 % dip in UT) for 5 s <5 % UT (>95 % dip in UT) for 0,5 cycle 40 % UT (60 % dip in UT) for 5 cycles 70 % UT (30 % dip in UT) for 25 cycles <5 % UT (>95 % dip in UT) for 5 s 11 Mains power quality should be that of a typical commercial or hospital environment. If the user of the monitor requires continued operation during power mains interruptions, it is recommended that the monitor be powered from an uninterruptible power supply or a battery. F80/F30 Fetal Monitor User’s Manual 3 A/m 3 A/m Power frequency magnetic fields should be at levels magnetic field characteristic of a typical IEC 61000-4-8 location in a typical commercial or hospital environment. NOTE UT is the a.c. mains voltage prior to application of the test level. Power frequency (50/60 Hz) Caution: The fetal heart rate measurement is very sensitive measurement. Technological limitations do not allow higher immunity levels than ±1 kV for EFT. Immunity for EFT above ±1 kV may cause erroneous measurements. 12 F80/F30 Fetal Monitor User’s Manual Guidance and manufacturer’s declaration – electromagnetic immunity – for EQUIPMENT and SYSTEMS that are not LIFE-SUPPORTING Guidance and manufacturer’s declaration – electromagnetic immunity The Fetal monitor F80/F30 is intended for use in the electromagnetic environment specified below. The customer or the user of the monitor should assure that it is used in such an environment. Immunity test IEC 60601 test level Compliance level Electromagnetic environment – guidance Portable and mobile RF communications equipment should be used no closer to any part of the monitor, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter. Recommended separation distance Conducted RF IEC 61000-4-6 3Vrms 150kHz to 80MHz 3Vrms Radiated RF IEC 61000-4-3 3V/m 80MHz to 2.5GHz 3V/m d = 1.2 P d = 1.2 P 80MHz to 800MHz d = 2.3 P 800MHz to 2.5GHz where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer and d is the recommended separation distance in meters (m). Field strengths from fixed RF transmitters, as determined by an electromagnetic site survey, ashould be less than the compliance level in each frequency range. b Interference may occur in the vicinity of equipment marked with the following symbol: NOTE 1 At 80MHz and 800MHz, the higher frequency range applies. NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. 13 F80/F30 Fetal Monitor User’s Manual a b Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the monitor is used exceeds the applicable RF compliance level above, the monitor should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as reorienting or relocating the monitor. Over the frequency range 150kHz to 80MHz, field strengths should be less than 3V/m. Recommended separation distances between portable and mobile RF communications equipment and the EQUIPMENT or SYSTEM – for EQUIPMENT or SYSTEM that are not LIFE-SUPPORTING Recommended separation distances between portable and mobile RF communications equipment and the monitor The Fetal monitor F80/F30 is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the monitor can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the monitor as recommended below, according to the maximum output power of the communications equipment. Rated Separation distance according to frequency of transmitter maximum m output power 150kHz to 80MHz 80MHz to 800MHz 800MHz to 2.5GHz of transmitter d = 1.2 P d = 1.2 P d =2.3 P W 0.01 0.1 1 10 100 0.12 0.38 1.2 3.8 12 0.12 0.38 1.2 3.8 12 0.23 0.73 2.3 7.3 23 For transmitters rated at a maximum output power not listed above, the recommended separation distance d in meters (m) can be estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer. NOTE 1 At 80MHz and 800MHz, the separation distance for the higher frequency range applies. NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. 14 Product name: Fetal monitor Product type: F80/F30 Manufacturer: Guangdong Biolight Meditech Co., Ltd. Address: No.2 Innovation First Road, Technical Innovation Coast, Hi-tech Zone, Zhuhai, P.R. China Fax: +86-756-3399919 Post code: 519085 Toll-free consultation hot line: +86-400-8818-233 PN: 22-045-0012