www, compelling Series 50T Fetal Telemetry System Setting Up and Using Your Fetal Telemetry System Series 50 T woo headmasters A radian HP Part No. M1310-8001A Printed in Germany February 1996 Edition 1 A.01.00 www. petioles.
Notice Hewlett-Packard makes no warranty of any kind with regard to this material, including, but not limited to, the implied warranties of merchant ability and fitness for a particular purpose. Hewlett-Packard shall not be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing, performance or use of this material. This document contains proprietary information that is protected by copyright. All rights are reserved.
Warning © Failure on the part of the responsible individual hospital or institution employing the use of this equipment to implement a satisfactory maintenance schedule may cause undue equipment failure and possible health hazards. Important United States federal law restricts this device fo sale by or on the order of a physician. This device Is not intended for home use.
: : Additional Documentation specifications, accessories, ordering, upgrading and re-ordering information. Techno! Du ta Sheet (5091-8 The transducers, with the Telemeter Manuel (M1310-90004) Detailed servicing information. lies that can be used This guide Setting Up und Using Your Telemetry System is to be used in conjunction with the following Fetal Monitor documentation: Setting Up and Using Your Monitor (M1351-90011) Detailed operating instructions for the Series 50 A Feral Monitor.
How to use this The guide 1s intended for midwives, nurses and Guide Doctorow nd describes low to install and operate the Series 50 T Fetal Telemetry First, read the safety information in Chapter 10. Then, follow the instr unpacking the Telemetry for use. Then read Append mount the Telemetry Rice ions in Appendix A for em and setting it up ready B for details on how to Read Capt Telemetry application.
s for notes, cautions, and guide: The following conventicle warnings are used in th Note 9 A note calls attention to an important point in the text. situation that could damage or destroy the product or the user’ Caution ¢ A caution calls attention to a condition or possible work. Warning A warning calls attention to a condition or possible situation that could cause injury to the user and/or patient. vi www. petioles.
: : Contents 1. Overview Product Overview Application Overview External Monitoring Internal Monitoring: I Internal Monitoring: TUF 2. Monitoring FHR using Ultrasound What You Need Ce nine the Belt around the Patient | Switching On the Receiver and the Fetal Monitor Switching On and Plugging IN Applying the Transducer to the Patient Ambulant Monitoring . Solving Common Problems 3.
4. Monitoring Uterine Activity What You Need Fastening the Belt around the Patient . . 4-3 Connecting the Transducer to the I mutter Applying the Transducer to the Patient . 4-5 Ambulant Monitoring Solving Common Problems Monitoring Intrauterine Pressure What You Need Preparing and Applying the Trans due er to the Patient La Ce 5-5 Conn the Transducer er ta the Transmitter . . Ambulant Monitoring . Solving Common Problems 6. Fetal Movement Profile Switching FMP Off and Solving Common Problems Co OYA AAR 7.
www, elope 10. HP %041A ©. Safety Information Safety Information A\ . Maximum Input/Output Volt, Protective Patient Environment . ages Setting Up the Fetal Telemetry System Unpacking the Telemetry System Connecting the Remote Antenna S Connecting the Local Antenna Assembling the Antenna Connecting the Antenna to the Receiver Connecting the Receiver to the Fetal Monitor Co Connecting Power .
Inside a HP 80300A Mobile Cart Care and Cleaning emitter and Receiver C-1 Preventive Maintenance Replacing Fuses and Batteries Replacing the Fuses in the Receiver . © D-1 Checking the Batteries Replacing the Batteries in the Transmitter D-6 E. Ordering Accessories Standard Ac Optional Ace Gels. oo Toto, Ultrasound and E Disposable 0 ] TUP Transducers Kits E Bs Domes . . «oo .oou = © Transducer Tipped IUP Catheters 8 : Belts and Buttons.
www, elope Overview The HP Series 50 T Fetal Telemetry atom allows continuous non-invasive or invasive Fetal Heart Rate (FHR) and Uterine Activity monitoring of an ambulant patient during postpartum testing and labor and delivery. The FIR and uterine activity signals are transmitted continuously via radio frequency from the Telemeter Transmitter to the Telemetry Receiver, where they are displayed and recorded on the connected Fetal Monitor. = With the Series 50 IX.
www, elope Product Overview 1. Rawer On/Off Button ol ai 2. Power On Light 3. Nurse Call Acknowledge/ “fd Volume Control Button 4. Nurse Call Light § 5. Transmission IN OP Light Battery Low Light 7. Channel Frequency Label 1-2 Overview Telemetry Receiver (Front View) Firescreen LED, Tit when the Receiver is switched on Pressed when Nurse Call activated on the Transmitter to acknowledge Call Light flashing and t sounding. If can also be used to set Nurse Call volume.
I. Battery Compartment For 3 x 1.OV AA batteries. 2. Remote Event Marker/ RV For recording significant events on the fetal trace Service Socket with the Event Marker. Ii can also be used by Service Engineers for servicing. = 3. Toto Socket v For connecting a Toto or TUP transducer. = pat. (Pat. Can. Alec Iso) 2 2 1. Cardio Socket ® For connecting an ultrasound or DEG transducer. & 2 (Pat. Con. Ele Iso) o 3 5. On/Off Switch ol Off position 0 , On position Light Green LED, lit.
9. Carrying Belt Clips 10. Carrying Clip 11. PTT Approval Label 12. Product Number and Serial Number Label Telemetry Transmitter (Bottom View) For attaching the carrying belt to the Transmitter. Clipped to patients” clothes during ambulant monitoring. Overview 1-5 www. petioles.
www, elope Application Overview External Monitoring [145]0 [20 Applying the Transducers 1-8 Overview www. petioles.
www, elope internal Monitoring: DEG Attaching the Leg Brit Attaching the Scalp Electrode = Electrode Attached www. petioles.
AT LL Switching On and Plugging In Ambulant Monitoring Internal Monitoring: Follow the same procedure for preparing and applying UP the IUP transducer as decried in the Operating Instructions supplied with your Fetal Monitor. : : woo" For details of how to prepare and apply HP 139758 or 139¢ transducer-tipped catheters, refer to the Application Notes that accompany them. 1-8 Overview www. petioles.
2 Monitoring FHR using Ultrasound This chapter describes how to use the Series 530 T with a Fetal Monitor (a Series 8040A or S041AY and an ultrasound transducer to monitor FHR. It lists the materials you need and describes how to: # Fasten the helot around the patient. = Switch on the Receiver and Fetal Monitor. ch on the Transmitters Le ”ARARAT = Connect the transducer and s ® Apply the transducer to the patient. ® Prepare the patient for ambulant monitoring.
2 Warning Under no circumstances are the brown ultrasound transducers to be used to monitor patients under water. Ultrasound transducers that are colored blue are watertight and comply with IEC 529 (IP68). Under NO circumstances are these blue transducers to be directly connected to the Fetal Monitor when they are immersed in water, or come in contact with water, eternal method available today, und has certain Migrations in obtaining an ideal recording of FHR. These include: ® Patient discomfort.
2 What You Need Materials Product Number US transducer (2.3m cable} MI1336A or ek US “Felony transducer (hci cable) MI3364 Option C03 Gel AOA (Europe only) AURA (Worldwide) Transducer belt and bunion MIGRANT and MI369A Caution Using ultrasound gel that is not approved by HP may gal qua nd may damage the transducer, pe of damage will not be covered by warranty. oy Ma Fastening the Belt Follow the same procedure for fastening the belt as around the Patient shown in Chapter 1 Application Overview.
www, elope Switching On the Receiver and the Fetal Monitor 6. . Ensure that the Receiver is connected to the . Remove all transducer Fetal A for Monitor via the Interface Cable {see Appendix details). s from the front panel of the Fetal Monitor, otherwise telemetry will not function. (See Chapter § for a list of possible error messages.) . Switch on the Fetal Monitor and Recorder. . Switch on the Receiver by pressing the Power On/Off Button.
: : Switching On and L Plugging In Ensure that the member on the Channel Frequency Label (A) on the Transmitter is the same as the number on the Receiver. . Connect the Ultrasound transducer to the Cardio socket. . Push up the On/Off Switch to position | to switch on the Transmitter. The green On Light {B) comes on and the Transmission IN OP light on the Receiver will then go out. Connecting the Ultrasound Transducer to the Transmitter Monitoring FHR using Ultrasound 2.5 www. petioles.
www, elope Applying the Transducer to the Patient Note 9 Warning @ 1. Find the fetal heart by palpation, auscultation, or ultrasound imaging. Apply a small amount of gel onto the surface of the transducer. There should be enough to give a thin layer over the surface of the transducer when if is applied to the patient's abdomen. Do not apply too much gel to the Ultrasound transducer.
E 8 www, elope Ambulant Monitoring Note v. When a clear signal is obtained on the Fetal Monitor: 1. Ask the patient fo stand up. 2. Ensure that the Ultrasound transducer stay position after the patient has moved and th have not lost the FHR. signal as the fetal position may change. 3.
2 Caution During ambulant FHR monitoring, the chance of losing ¢ the signal or detecting the maternal heart rate is higher than during stationary monitoring. It is also possible. inn some cases, that the frequency of the patient’s walk may be detected. The risk that this may happen is higher whe the patient is overweight or with a breech presentation. The operating range of your Series 50 T' Fetal Telemetry System will have been defined during purchase.
www, elope Solving Common Problems Problem Possible Causes Solutions Erratic trace Fetal arrhythmia, None Obese patient None. Transducer wrongly positioned. Belt loose Tow much gel. Very active fetus. Patient walking heavily, Insufficient gel. Reposition the transducer until the Signal Quality Indicator is green. Tighten the belt Remove excess. None. Ask Patient to walk quietly. Use the recommended amount las Transducer slipping down Too much gel.
Problem Possible Causes Solutions Questionable HR. Recording MHR, Reposition the transducer. FHR exceeds 300 bpm.* FHE is half-counted (for example, 320 hip is recorded ns 160 pm). Au error message is displayed on the Monitor See Chapter § for a table of error messages, their causes and solutions If you suspect the signal from the transducer. Carry out the Parameter Test described in Chapter 9 * If the FHR is less than 50 bpm or between 24( and 300 bpm, it is not recorded.
3 Monitoring FHR using DEG 3 This chapter describes how to use the Series 30 T with a Fetal Monitor {a Series 80404) and rial electrode to monitor FHR. It lists the materials vou need and describes how to: as = Fasten the leg belt. # Connect the spiral electrode to the fetus. ® Switch on the Receiver and Fetal Monitor = Connect the transducer and switch on the Transmitter = Prepare the patient for ambulant monitoring. cod Af the end of the chapter is a table of the most commons problems and their solutions.
Caution ¢ Warning 7) : : While using the DEG method with the Series 50 T Fetal Telemetry System, if you suspect the fetal heart rate hang recorded, it is recommended to check the mother’s pulse periodically during monitoring and compare this to the FHR signal. Because the tip of the spiral electrode is designed to penetrate the fetal epidermis, the possibility of trauma, hemorrhage and infection exists. it should therefore be used only under aseptic conditions.
: : What You Need Warning Materials Product Number DEG transducer 2in cable) or Telemetry DEC transducer (70cm/28in cable) MISHMASH or M1357A Option (03 Cable electrode 4B Spiral electrode: Double spiral and applicator or Single spiral or Double spiral 15130A and 15131A Leg belt and button T1569A [7] Be sure the belt is correctly attached to prevent tension & in the cable from pulling on the spiral electrode and causing injury to the fetus. Monitoring FHR using DEG 3-3 www. petioles.
Fastening the Leg Belt 3 Note 9 Follow the same procedure for fastening the helot as shown in Chapter 1 Application Over 3 If the patient is going to ambulate during monitoring, ensure that the belt is tighter than usual, but still comfortable. Connecting the Spiral Electrode E 2 www, elope Follow the same procedure for connecting the Spiral Electrode as described in the Operating Instructions supplied with your Fetal Monitor. woo headmasters 3-4 Monitoring FHR using DEG www. petioles.
Ensure that the Receiver is connected to the Fetal Monitor via the Interface Cable (see Appendix A for details). Switching On the L Receiver and the Fetal Monitor 2. Remove all transducers from the front panel of the Fetal Monitor, otherwise telemetry will not function. 3 {See Chapter 9 for a list of possible error messages.) 3.5 4. Switch on the Receiver by pressing the Power On/Off Button. h on the Fetal Monitor and Recorder. www, elope sure that the Power On light {A) Transmission OP Light (B) are lit.
1. Ensure that the number on the Channel Frequency Switching On and E hat th ! he Channel Frequency; Plugging In Label (A) on the Transmitter is the same as the number on the Receiver. 2. Connect the DEG transducer to the Cardio socket, 3 3. Push up the On/Off Switch to position | to switch on the Transmitter. The green On light (B) comes on and the Transmission IN OP light on the Receiver will then go out.
Ambulant Monitoring Warning 9 Note 9 Caution ¥ When a clear signal is obtained: 1. Ask the patient fo stand up. 2. Check that the DEG transducer stays in position after the patient has moved and that you have not lost the FHR signal. 3 Ensure that the leg belt is tight enough and will not slip whilst patient is walking around. 3. Hook the Tra the carrying attach the ¢ mutter to the patient’s clothing using p at the back of the Transmitter or > belt to the Transmitter.
Solving Common Problems Problem Possible Cannes Solutions Erratic trace. Erratic display on Monitor. Signal Quail on Monitor is rad continuous ¢ Indicator No BCG signal Poor contact between the reference electrode and the mother. Fetal arrhythmia. Replace the red electrode wire with electrode 152431 (see Replacing the Electrode Wire.) If this does not solve the problem, use a new spiral electrode. Be sure that Logic is off. See Operating Instructions provided with your Fetal Monitor.
: : Replacing the Electrode Wire If there is no trace or an erratic trace, due to no contact or poor contact between the reference electrode and the mother, vou should replace the electrode wire. 1. Disconnect the red electrode wire from the ECG cable block. 2. Connect electrode 152438 in its place. 3. Place a per-gelled disposable ECG electrode on the patient’s thigh. 4. Connect electrode 15: Replacing the Electrode Wire Monitoring FHR using DEG 3-8 www. petioles.
Heart Rate Limits Although the following problem has no solution, it should be noted that questionable heart rate only occurs in extremely rare These are detailed below. Problem Possible Cause Questionable heart rate FHR less than 30 bpm FHR is not. recorded and the Signal Quality Indicator is red PHR between 30 and 50 bpm With Series 50 Monitors only BU-210 bpm paper records a straight line at 50 bp.
4 Monitoring Uterine Activity s chapter describes how to use the Series 30 T with Monitor HP8O4DA } and a Toc seducer to monitor uterine 4 ity. It lists the materials you need and describes = Fasten the belt around the patient. » Connect the transducer to the Transmitter. ® Apply the transducer to the patient. Nd AAR & Prepare the patient for ambulant monitoring. the end of the chapter is a table of the most commodores problems and their solutions.
Warning Under no circumstances are brown Toto transducers to be used to monitor patients under water. External Toto transducers that are colored blue are watertight and comply with IEC 529 (IP68). Under NO circumstances are these blue transducers to be directly connected to the Fetal Monitor when they are immersed or come in contact with water. is an Monitoring uterine activity using a Toto transducer external method.
: : What You Need Materials Product Number or cable) Toto transducer 2in cable) MI355A Toto Telemetry transducer {T0em/28in MI1355A Option CDF ‘Transducer belt and button MI562A and M15694 Note 9 Orly use belts supplied by HP fo ensure good quality Toto recording. Fastening the Belt around the Patient Note 9g Follow the same procedure for fastening the belt as shown in Chapter I Application Overview.
i 1. Ensure that the number on the Channel Frequency Connecting the Jen; Transducer to the Label (A) on the Transmitter is the same as the " number on the Receiver. Transmitter ) 2. Connect the Toto transducer to the Toto socket, Connecting the Toto Transducer to the Transmitter woo headmasters www, elope 4-4 Monitoring Uterine Activity www. petioles.
Applying the 1. Place the transducer just above the umbilicus and Transducer to the not at the funds; this ensures the optimum uterine . activity recording for ambulant monitoring. Patient 2. Slide the belt over the transducer and clip the transducer in place. 3. Between contractions, adjust the Toto Baseline on the Fetal Monitor; this resets the display and trace Monitoring Uterine Activity 4-5 www. petioles.
Ambulant Monitoring www, elope When contractions are displayed on the Monitor and obtained on the fetal trace: 1. Ask the patient to stand up. 2. Adjust the Toto Baseline on the Fetal Monitor to reset the display and trace to 20. 3. Ensure that the Toto transducer stays in position after the patient has moved and that you have not lost the uterine activity displayed on the monitor and obtained on the fetal trace, 4.
Note You must ensure that vou have obtained the best possible signal before you allow the patient to ambulate. While the patient is ambulating, it is possible that the frequency of the patient's walk may be detected. The operating range of your Series 50 T Fetal Telemetry System will have been defined during purchase. Find out what it is, and make sure that your patient knows the boundaries within which she can walk and still be monitored.
: : Solving Common Problems Problem Possible Causes Solutions Quality of the trace The belt. is too slack or too | Reposition the transducer just above deteriorates tight, the umbilicus, adjust the belt, and or press the Toto Baseline Key. the Toto baseline varies. Artifact on Toto t recorded. recorded Maternal respiration being k frequency is bring Position too transducer lower, None. "Toto flat Belt is loose. correctly. Fetal Monitor is not set Tighten the hell.
: : Monitoring Intrauterine Pressure T 5 5 chapter describes how to use the Series 50 T with a Fetal Monitor {a Series 80404) and a fluid-filled catheter to monitor intrauterine pressure (1UP). It lists the materials you need and describes how to ® Prepare and apply the transducer to the patient. = Connect the transducer to the Transmitter. = Prepare the patient for ambulant monitoring. At the end of the chapter is a table of the most common problems and their solutions.
Note You may experience problems monitoring IUP with $ an HP 8040A Fetal Monitor and the Series 50 ‘teal Telemetry System. The sensitivity setting for TUP with the 8040A may be higher than the setting used with Series 50 T Fetal Telemetry System. This sensitive setting can be changed, but once it is changed you will only be able to monitor TUP with the Series 50 T and not with the HPS040A. To change the setting, contact your HP Response Center complete clinical evaluation and membrane rupture.
What You Need If you are using the re-usable transducer 1290C Option J05, then you need the following materials: Materials Product Number Transducer 1290C Option JUS Disposable intrauterine kit 14009C, Door Dome (not included in 14090C, D) Sterile water or saline solution Note The UP seducer 1200C" Option JO6 and adapter cable 40460C Option JOB cannot be used with the Series 507 Fetal Telemetry Sys : : Monitoring Intrauterine Pressure 5-3 www. petioles.
If vou are using the dis transducer 139724, then you need the following materials: Materials Product Number Disposable intrauterine kit with | 139724 disposable transducer Transducer adapter cable 1271A Option J05 Sterile water or saline solution IUP can also be monitored using the HP 139758 or 139954 transducer-tipped catheter. Metals of how to use these catheters are given on the Application Notes that accompany them. 5-4 Monitoring Intrauterine Pressure www. petioles.
E 2 www, elope Preparing and Applying the Transducer to the Patient Follow the same procedure for preparing and applying the [UP transducer decried in the Operating Instructions supplied with your Fetal Monitor. For details of how to prepare and apply HP 139758 or transducer-tipped catheters, refer to the ion Notes that accompany them. Connecting the Transducer to the Transmitter 1. Ensure that the umber on the Channel Frequency Label (A) on the Transmitter is the same as the number on the Receiver, 2.
Ambulant Monitoring Note Caution When contractions are displayed on the Monitor and obtained on the fetal trace: 1. Ask the patient to stand up. 2. et the Toto baseline to 0 hy adjusting the Toto baseline on the Fetal Monitor. 3. Ensure that the TUP transducer stays in position after the patient has moved and that the [UP transducer is positioned at the same height as the tip, so vou do not lose the uterine activity signal displayed on the monitor and obtained on the fetal trace. 4.
Solving Common Problems Problem Possible Causes Solutions No trace No change in pressure during contraction. Catheter clogged ‘Dry’ environment Flush with sterile solution Only pressure peaks can be seen (baseline not visible) indicator flashes Zero adjustment is corrector, Zero the system sight, line duper defective, Touch the catheter. If it does not show up and down movements. replace the transducer, : Trace superimposed with noise.
Fetal Movement Profile Note 9 The Fetal Movement Profile (FMP) measurement can only be obtained whilst monitoring FUR us sound with a Series 50 Fetal Monitor, and i label on the Fetal Monitor. 10 FMP is f label underneath the US socket on Series 50 Fetal Monitors indicates that the Monitor can detect fetal movements via the ultrasound transducer.
Note It is not recommended to use FMP during ambulant $ monitoring, as any movement of the ultrasound transducer whilst the patient is ambulating, may he recorded as fetal movement. Positioning or repositioning the transducer may be recorded as fetal movement: maternal movement, excessive fetal breathing or fetal hiccups may also be recorded as fetal movement.
Solving Common Problems Problem Possible Causes Solutions FMP does not appear on the trace, FMP is switched off. The FMP Option was not ordered with the Fetal Monitor Older software revision or older Telemetry Interface in Fetal Monitor. soon and enhanced inter fa Switch FMP on. Order FMP Option. te Monitor with newest software FMP printed on Series trace but cannot be switched off. Software re cop: 5 on not h FMP from 30 T Fetal Telemetry bile w Order software upgrade www. petioles.
: : Marking Events The Remote Event Marker (HP 152497) records significant events on the fetal trace (for example, when pain medication is admins felt). red or when a contraction is Note The Remote Event Marker will only function when a Toto or IUP transducer is also connected to the Transmitter. woo" Marking Events 7-1 www. petioles.
To attach the Remote Event Marker to the Transmitter: 1. Insert the Remote Event Marker into the Remote Event Marker Socket on the Transmitter, Racket for Remote Event Marker To mark an event on the paper: : : 1. Press the button on the Remote Event Marker. 7-2 Marking Events www. petioles.
: : When you press the button, the following is printed on the trace: = 80 Fella Mongoloids with enhanced interface A small arrow (A) is printed on the FHR scale. The arrow starts with the peak to show the exact time when the button is pressed. 80 60 30 Marking Events 7-3 www. petioles.
= Series 530, HP 8040 and HF 8041 Fetal Monitors A Tull scale deviation of 106 units {B) is printed on the Toto scale. woo headmasters www, elope 7-4 Marking Events www. petioles.
: : 8 Using the Nurse Call 1. If the patient needs to call a Nurse during monitoring she can press the Nurse Call Button on the Transmitter. Nurse Call Button Transmitter Using the Nurse Call 8-1 www. petioles.
: : 2. When this button is pressed the Nurse Call Light on the Receiver (A) flashes and an intermittent tone sounds. Nurse Call Button Receiver 3. To acknowledge the call and turn off the tone, press the Nurse Call Acknowledge/ Volume Control Button. ¢ The Nurse Call Lamp (A) also goes out when the call a is acknowledged. = the Nurse Call is not being activated. See Appendix A for details ou how to change the volume of the Nurse Call.
: : Troubleshooting 9 Common problems that may McEnroe during monitoring are dealt with in Chapters 2 to 5. This chapter describes how to: = Solve General Problems. » Carry out the Parameter Test. = Test the Receiver, = Test the Transmitter. able of error mess At the end of the chapter is a related to telemetry that appear on the Fetal Monitor, & their causes and solutions. Detailed tests are given in the Service Manual (M1310-90004). 2 Troubleshooting 9 www. petioles.
Solving General Problems Problem Possible Cannes Solutions All the lights on the Receive the Reed on. ¢ on when s turned Fetal Monitor is switched off. Possible defect in the Receiver, Interface Cable or Fetal Monitor. Switch on Fetal Monitor Carey out the tests described in later in this chapter tn Testing Your Receiver, v Indicator The Telemeter Lamp on the Fetal Monitor does not light when the Monitor and the Receiver are switched on. Incorrect interface connection between the Monitor and the Receive °F.
E 8 www, elope Problem Possible Causes Solutions Battery Lew Light lit on Receiver Power in batteries is low From the time that the Lamp i first lit you have a certain length of time until the catteries are completely zephyr. This time varies depending on the type of batteries See table Remaining Battery Life tufter Battery Low Light.
he Parameter Test tests the signal path to and arraying out the The P T he signal path 1 Parameter Test from the trans ockers, but not the transducers themselves. To carry ont the test: ich on the Feral Monitor, the Recorder and the Telemetry Receiver. 2. Connect the appropriate transducer to each socket on the Transmitter. 3. Standing within view of the Fetal Monitor, press the Nurse Call Button on the Transmitter and switch on the Transmitter simultaneously.
The correct Monitor response for each signal is given in the following table: Signal Correct Monitor Response us 126 is displayed and printed, Signal Quality Indicator is green. Fetal heartbeat is heard from the loudspeaker or Tosca A triangle signal with an amplitude of 40 units is ved and printed. Each last for 12 seconds.
www, elope Testing the Receiver Self-Test 9-6 Troubleshooting 1. Switch on the Fetal Monitor and Recorder. 2. Press the Power On/Off Button to switch the Receiver on. When vou switch on: woo headmasters = The Receiver On light (A) comes on. » The Nurse Call Light (B) and the Battery Low light are lit for 1 second. ym IN OP Light (D) lights and stays transmitter is switched on. = The Transmits lit until the # The Telemetry Lamp Indicator on the Fetal Monitor lights, indicating Telemetry monitoring mode.
: : Testing the Interface between the Fetal Monitor and Receiver Testing the Interface Cable 1 . Remove Fetal Monitor interface cable from the back of the Receiver, All the lights on the front of the Receiver will go ont. If they are still lit the Receiver is not working properly. Please contact your HP Response Irenic. . Ensure that the interface cable is connected to the Receiver. . Remove interface cable from the Fetal Monitor. There are two possible outcomes of this rest: a.
Testing the Transmitter Self Test 1. Slide hack the battery cover. Push the Oncoming switch to position | on the Transmitter. The green On/Off Light (A) lights and the Transmitter Check the red Light {B) situated behind the middle battery. The possible LED reposes are 1 in the following table: 551 LED R Red Light is lit for a | Self Test completed successfully. few seconds then goes spouse Cause and Solution out. Red Light not Batteries are low, permanently out after | Change batteries 3 seconds.
Error Messages The following error messages are directly related to Telemetry and appear on the Fetal Monitor. Refer to the Operating Instructions provided with your Monitor for error messages not related to Telemetry monitoring. Series 50 Family Message Display Cause and Solution Err 9 U: Toto Invalid Telemetry mode. Check the cable from the Telemetry rand.
www, elope HP 8041A 9-10 Troubleshooting Message | Display Cause and Solution Signal Indicator | Invalid Telemetry mode. indicator | Panel. | Check the cable from the Telemetry lamps Receiver and, if necessary, replace if flashing, Incorrect transducer connected nto I Check that the transducer is compatible with | 50T Fetal Telemetry System. submitter. Transducers are connected to the front panel of the Fetal Monitor. Disconnect the transducers from the Fetal Monitor or switch of the Telemetry Ree www.
10 Safety Information Safety Information A Warning 9 Read this chapter before setting up and using your Sheri 50 T Fetal Telemetry tem. FCC WARNING: This equipment generates, uses and can radiate radio frequency energy, and if it is not installed and used in accordance with this manual, may cause interference to radio communications.
10 Note 9 10-2 Safety Information Earth Terminal @ This symbol identifies the terminal for connection to an external protective earth system. Battery Symbol 5 15v This symbol identifies the battery holder in the transmitter containing three 1.5 V batteries. Three types of batteries can be used in the transmitter: =A saline Cd (rechargeable) ® Nigh (rechargeable) Use only high quality batteries. born batteries are not recommended as they a low energy content, resulting in shorter operating times.
: : Maximum Input/Output Voltages 6. WY l Transmitter rice Socket The Service Engineer can also connect an HP Omnibus, HP 95LX/100LX or HP Electra 3 to this socket and so carry out various extended configuration and service functions. Maximum voltage of £12V. . Socket to Fetal Monitor Maximum voltage of £12V. . Power Input Socket 100-120V ~~ or 220-240V ~~ 4. Event Marker/Service Socket Maximum Voltage of +5V. . Toto Socket Maximum Voltage of +53V. Cardio Socket Maximum Voltage of +5V.
10 Protective Earth The following guidelines, if con piously followed, will guarantee maximum patient safe » To protect hospital personnel and the patient, the cabinet must be grounded. Accordingly, the R is equipped with a 3-wire power cable which grounds it to the power line ground when plugged into an e receptacle. Do not use a 3-wire to 2-wire adapter with the Receiver. Any interruption of the protective earth grounding will cause a potential shock hazard that could result in serious personal injury.
Patient Safety The Telemetry em should only be used by, or under the direct supervision of, a licensed physician or other health care practitioner who is trained in the use of fetal heart rate monitors and in the interpretation of fetal heart rate traces. US federal law restricts this device to sale by, or on the order of, a physician. The Telemetry Receiver is a Protection Class 1. Type B & instrument. It is designed to fulfill safety requirements according to IEC 601-1, UL 544 and C8A-C22.
Setting Up the Fetal Telemetry System This chapter describes how to set up the Telemetry Receiver and Transmitter for use and how to connect the Fetal Monitor and mount the Re wall. an angled mount and a cart. The procedure for setting up the Telemeter em. : 1. Unpacking the Telemetry 2. Connecting the Antenna to the Receiver. = 3. Connecting the Receiver to the Fetal Monitor. = 4. Connecting power to the Receiver, Setting up the Transmitter.
Unpacking the 1. Unpack the Telemetry System. Telemetry System If any of the equipment is damaged. cont he carrier and your local HP Service Organization. act f 2. Ensure that the contents are complete. tem consist of: The Series 50 T Fetal Telemetry ® A Receiver with: o Antenna. o Power Cable. a Interface Cable to the Fetal Monitor. = A Transmitter with: © 3 Batteries. «1 Carrying Strap = An Operating Guide woo headmasters www, elope A-2 Setting Up the Fetal Telemetry System www. petioles.
OY ATRIA Checking the Channel Frequency Labels : : 3. Ensure that the number on the Channel Frequency Label (A) on the Transmitter is the same as the number on the Receiver. If the numbers are not the same, contact your HP Response Center. Setting Up the Fetal Telemetry System A-3 www. petioles.
Connecting the Remote Antenna System The operating range of your Sheri tern will have been defined prior to perch has not been done, contact your HP Customer or Response Center.) 50 T Fetal Telemetry {If this ‘engineer During this survey, your Customer Engineer will have established whether you require a Remote Antenna tem or if the antenna on the Telemetry Receiver provides a sufficient operating range. If you require a Remote Antenna will be sent separately to the § System.
Connecting the Local Antenna Assembling the Before vou can connect the antenna to the Receiver, you Antenna must connect it to the right angle connector, 1. Line up the nodules on the right angle connector with the spaces on the antenna connector. 2. Push in and twist. Assembling the right angle connector and antenna : : Setting Up the Fetal Telemetry System A-§ www. petioles.
senna input socket is located at the rear of the symbol ¥. To connect Connecting the The Antenna to the Receiver and marked with the Receiver the Antenna to the Re any IRE [wm] ©, Put artwork here for antenna 1. Turn the connector screw (A) at the base of the antenna so that the two spaces (B) are positioned at the top and bottom. These fit over the two notches (C) on the Receiver antenna socket. 2. Push the antenna onto the socket connection. 3. Turn the connector screw (A) clockwise until it stops.
www, elope Connecting the Receiver to the Fetal Monitor The Series 50 T Fetal Telemetry system can be used with the following Fetal Monitors: s 50 Fetal Monitors: %040A Fetal Monitor. » HP 8041A Fetal Monitor. 1. Connect one end of the interface cable to the socket (A) on the Receiver. This socket is labeled FETAL PRIMOGENITOR FETAL and + (Electrical Output), Setting Up the Fetal Telemetry System A-7 www. petioles.
: : insect the other end of the interface cable to the telemetry socket (B) on the Fetal Monitor. This socket is labeled with a ~2) (Electrical Input). Series 50 IX Series 50 A and woo" HP 80404 HP 80414 Note If you wish, you can leave the Receiver connected to the Fetal Monitor during normal monitoring. In this case, the Receiver must be switched off A-8 Setting Up the Fetal Telemetry System www. petioles.
: : Connecting Power The Receiver will be set to the correct voltage at the factory, but before you connect power: 1. Ensure that the voltage switch (A) is in the correct position for your country. The voltage and fuse values are shown on the rear panel {B). If it is incorrect, contact your HP Response Center. 2. Connect the power cord to the mains socket (C) a 3 Setting Up the Fetal Telemetry System A-8 www. petioles.
Switching On the 1. Switch on the Fetal Monitor and Recorder. Receiver 2. Press the Power On/Off Switch to switch the Receiver [IN When you switch on: = The Receiver On light (A) comes on. # The Nurse Call Light (B) and the Battery Low light (C) are lit for 1 second. = The Transmission IN OP Li lit until the Transmitter woo headmasters www, elope t (D) lights and stays teed on. » The Telemetry Lamp Indicator on the Fetal Monitor lights, indicating Telemetry monitoring mode.
: : Setting Up the Transmitter inserting Batteries Note 9 1. Slide back the hatter cover. 2. Insert 3 AA size batteries { The following type of hatter = Al 1.5V) noting their polarity. can be used: saline d (rechargeable) » Nigh (rechargeable) Use only high quality batteries. Zine-carbon batteries {also known as “Avalanche” are not recommended as they have a low energy content, resulting in shorter operating times. They can also leak.
A 3. Close the battery cover. 4. Switch on the Receiver. The green Power On light (A) lights. The yellow Transmission IN OP light (B) will be lit if the transmitter is not switched on. Details of troubleshooting general problems and error messages are given in Chapter woo" A-12 Setting Up the Fetal Telemetry System www. petioles.
: : Switching On the 1. Check that the number on the Channel Frequency Transmitter Label (A) on the Transmitter is the same as the number on the Receiver. 3. The green On Light (B) lights and the Transmitter sits on. e 4. The yellow Transmission IN OP light (C) on the Receiver will go out after 3 seconds. Details of solving general problems and error messages are given in Chapter 9. Setting Up the Fetal Telemetry System A-13 www. petioles.
se Call can be changed provided A Setting the Volume of The volume of the titivated. the Nurse Call that the Nurse Call is not being currently To set the Nurse Call volume: 1. Press the Nurse Call Acknowledge/ Volume Control Button on the Receiver. You will hear a constant tone which will increase in volume until it gets to the maximum level then : decreases in volume. tallish how loud you want the volume and let go of 2 the button when that volume is reached.
Mounting the Receiver B There are a variety of different ways to mount the Receiver. It can be mounted: = Under the following: 3 A Fetal Monitor o An Angle Mount = On top of the following: rr A flat surface 3c ARM 0 Series 50 Mobile Cart. 2 y o Series 50 IX Fetal Monitor (with Top Mounting Kit or HP 8040A Fetal Monitor ’ o HP 803004 Mobile Cart (with Top Mounting Kit) € www, elope Woo") # On a wall with a Wall Mount. = Inside a HP 20300A Mobile Cart Mounting the Receiver B-1 www. petioles.
Mounting the Receiver under a Fetal Monitor mounting cam {part number 50 IX, 5061-3654 for the HP B Series 50 IX, HP These Monitors require 8040A and HP 8041A 5051-8340 for the Sheri S8040A and S041A). To mount the Receiver under the Fetal Monitor: 1. Attach the mounting cam kit to the base of the Fetal Monitor and ensure the locking lever is moved fully to the left. woo headmasters www, elope 2. Slot the feet on the base of the Monitor into the slots on. the Receiver, 3.
: : Series 50 A and S0 IP The Series 50 A and 50 IP Monitors just fit inside the slots on the Receiver, To fit the Series the Receiver: 1 1. Holding the Monitor slight angle, sit the front feet in the front slots along the top the Receiver. B The small step on each foot helps it locate firmly in place. 2. Lower the Monitor till the back feet “click” into the back slots. Warning 9 Make sure that all four feet are located firmly in place. To remove the Monitor from the Receiver: 1.
: : Mounting the Receiver under an Angle Mount To fit the angle mount to the Receiver: 1. Slide the feet of the angle mount into the recesses on top of the Receiver. 2. Secure the angle mount in place by turning the mounting cam to the locked position. To remove the angle mount from the Rice 1. Turn the mounting cam to the unlocked position. 2. Lift off. B-4 Mounting the Receiver www. petioles.
E 2 www, elope Mounting the Receiver on a flat surface Mounting the Receiver on top of Receiver can be rested on, but not fixed to an existing surface. To mount the Receiver on top of a Series 50 Mobile Cart or HP 8040A Monitor: a Series 50 Mobile 1. Move the mounting cam on the base of the Receiver Cart or HP 8040A to the left. 2. Slot the feet on the base of the Receiver into the slots on the HP 8040A Monitor or Series 50 Mobile Cart. 3.
E 2 www, elope Mounting the Receiver on top of a Series 50 IX On top of the HP 80300A Mobile Cart To mount the Receiver on top of a Series 50 IX you require the Top Mounting Kit HP M1360A Option #1AB (kit number M1350-68701). Refer to the Series 50 IX Installation Guide for details of how to install the Top Mounting Kit onto the Monitor, When it is in position: 1. Move the mounting cam on the base of the Receiver to the left. 2.
Wall The Series 50 T Fetal Telemetry Receiver can he mounted on the wall when used with a Series 50 A or Series 50 IP Monitor. To mount the Series 50 T Fetal Telemetry Receiver on a wall vou require the Telemetry Receiver Wall Mounting B Kit (kit number M1310-64158.) To then mount your top of the Receiver when it is on the wall, vou need the Fetal Monitor Wall-Mounting Kit (M1353-64150) 1.
4. Attach the Fetal Monitor Wall Mount to the Receiver with 3 screws (A). You can now mount your Monitor on top of the Receiver. Inside a HP to mount the Lecher pied the 1P 503004 Mobile A Mobil art vou require the Rack Mounting for MPG Cabinet, goa bile {kit number 5061-5676). Refer to the equipment note for details. woo headmasters www, elope B-8 Mounting the Receiver www. petioles.
E 8 www, elope Cc Care and Cleaning Transmitter and Receiver Keep the outside surfaces of the Transmitter and Receiver clean and free of dust and dir water or ETHANOL 70%. © use soap and Caution ¢ Although the Transmitter and Receiver are chemically-resistant to most common hospital cleaners and non-caustic detergents, different cleaners are not recommended and may stain the Transmitter and Receiver.
Preventive Maintenance www, elope €-2 Care and Cleaning The following should be routinely inspected {approximately every 12 months) by the user or biomedical engineer: = Mechanical inspection of cables, loose/bent connectors ® Check and clean the Transmitter and Receiver housings. For more details HP M1310 Se on service and maintenance, refer to the Manual. www. petioles.
www, elope Replacing Fuses and Batteries Replacing the The fuse values are printed beside the mains soc Fuses in the For 100-120V ~~ Line T300mA 250V ~~ UL Receiver Voltage For 220-240V ~~ Line TI L 250V ~~ TEC Voltage == alternating current) To replace the fuses: 1S main power supply. tch off the Receiver and disconnect it from the woo headmasters Sing a flat-blade screwdriver, turn the fuse cover (A) anti-clockwise. 3. Pull out the fuse holder and fuse. Replacing Fuses and Batteries D-1 www. petioles.
4. Remove the fuse from the holder and replace it with another of the correct type and value. 5. Slide the holder and fuse back into place. 6. Using a flat bladed screwdriver press in the fuse cover and simultaneously turn the cover clockwise. 7. Repeat steps 2 to 6 for the second fuse. Checking the When the batteries in the Transmitter are low, the Batteries Battery Low Light (A) on the Receiver is lit. WEE 5 NY =) Battery Low Lamp D-2 Replacing Fuses and Batteries www. petioles.
Remaining Battery Life (in minutes) after Battery Low Light Battery Type Monitoring Modes US + DEG + | DEG + TOCO{ext}| Extractor) wre Alkaline (1.8 AH) 180 min E00 main 80 min Ni Cd aka (0.6 AH) 10 min 6 min 5 min Nigh acct (1.2 AH) 20 min 12 min 10 min : : Replacing Fuses and Batteries D-3 www. petioles.
The Transmitter noses three 1.5V { batteries. Three types of batter] transmitter: = Alkaline size, LR6 type) can be used in the = Ni Cd {rechargeable} = NIGH (rechargeable). Note Use only high quality batteries. Zinc-carbon batteries {also known as “Leclanche™jare not recommended as they have a lo v content, resulting in shorter operating times. can also leak. Remove the batteries if you do not intend to use the Transmitter for a long period of time. D-4 Replacing Fuses and Batteries www. petioles.
The expected length of battery operating times are shown in the table below: Typical Operating Times in hours Battery Type Monitoring Modes US + DEG + | DEG + TOCO{ext}| Extractor) wre Alkaline (1.8 AH) 40) hes 16 hrs 14.5 hrs Ni Cd aka (0.6 AH) 12 brs 5.5 brs 4.5 hes Nigh acct (1.2 AH) 22 hrs 11 hrs 9 hrs : : Replacing Fuses and Batteries D-5 www. petioles.
Replacing the To replace the batteries: Batteries in the 1. Open the battery Transmitter 2. Replace the batteries (noting their polarity). woo headmasters 3. Close the battery cover. D-6 Replacing Fuses and Batteries www. petioles.
E Ordering Accessories osier supplied as standard This appendix lists the 2 and as options, and describes: = Types of gel. ® Transducers. = Belts and buttons. 3c ARARAT Standard The following accessories are supplied as standard with == Accessories the Series 50 T Fetal Telemetry Sy ® A Receiver with: oO Antenna. o Power Cable. o Interface Cable to the Fetal Monitor. Woo soo; www, elope u A Transmitter with: 1 3 Batteries. rr Carrying Strap = An Operating Guide Ordering Accessories E-1 www. petioles.
Optional Accessories colic E-2 Ordering Accessories The following accessories can also be supplied when the appropriate option is ordered: No. Option C11 Remote Event Marker. 0B3 Manual. C99 Special Frequency Option. The following a un also be supplied: A Ultrasound transducer (with 2in cable). Ultrasound transducer (with Thcm/28in cable). Toto transducer (with 2in cable). Toto transducer {with 70cm/2R in cable). DEG transducer (with 2.5m /8ft 2in cable).
Gels Caution ¢ 40404A Ultrasound transmission gel for use with ultrasound transducers. Available in Europe only. Eater-soluble. Easy patient clean-up. Supplied in packs of 12 bottles {each 250ml). Shelf life: 24 months maximum; 6 months minimum. 404048 is a S-liter refill container (with dispenser) to refill 40404A bottles. 404834 Aqua sonic transmission gel for use with ultrasound transducers. liable worldwide. » Water-soluble. ® Easy patient clean-up. » Supplied in packs of twelve 8oz {250gm) bottles.
Toto, Ultrasound and ECG Transducers colic E-4 Ordering Accessories are not supplied automatically with the 50 T Fetal Telemetry System. There are two types of transducer available, standard Series 50 dupers with 0/80 2in cables and Telemetry Transducers with 70cm /28in cables. Both are colored blue and are watertight complying with IEC 528 (P68). Standard Series 50 Transducers with a 2.5m cable. = Toto Transducer (M1355.69011) Supplied singly. » Ultrasound Transducer {M1356-69011) Supplied singly.
: : Disposable Scalp Electrodes 15136A Available in Europe only. Use with applicator tool 15131A. 15133A Available worldwide. Single spiral. Driven by inner drive tube, ETO sterilized. Supplied in packs of 50. Shelf life: 24 months maximum; 6 months minimum. AROMA 15133C Available in Europe only. # Double spiral. ® Driven by inner drive tube. Gamma sterilized. » Supplied in packs of 25. » Shelf life: months maximum; 6 months minimum. 15133CF Available in France only. = Double spiral.
IUP Transducers 1290C Option JOS Reusable, fluid-filled pressure transducer (5p V/V /mmHg). Supplied individually. When this transducer is ordered as M1353A Option C07, it is supplied with Transducer Holder 1292C and five disposable TUP Kits 14099C. Related products: = Disposable IUP Kits 14099C, I and E. = Sterile domes 1205A-020 and 1295A-100. = Sterile flared port domes 1205CK and 1295CK-020, colic WO" S|OOYaA MARA E-6 Ordering Accessories www. petioles.
: : UP Kits 13972A Disposable IUP kit with disposable transducer. Reassembled. ETO sterilized. Contains: catheter, needle adapter, 20ce syringe, inserted, t drape and caps. Shelf life: 24 months maximums 6 months minimum. Supplied in packs of 20. Related products: = Connector for HP 80404 1271 Option JOS. = Transducer holder 1 5. = Pole clamp 1273A. 14099C Disposable TUP kit. Assembled. ETO sterilized. Contains: catheter, needle adapter, 20cc syringe, inserted, two stopcocks and drape.
Ordering Accessories 14098D Disposable TUP kit without drape. Un sterilized. Contains: catheter, needle adapter, 20cc syringe, inserted and two stopcocks. resembled. Shelf life: 24 months maximum; 6 months minimum. Supplied in packs of 20. Related products: = IUP Transducer 1200C Option JO5. seducer holder 1292C, rile domes 129 14099EF Disposable TUP kit with dome. Reassembled. ETO catheter, needle adapter, 20ce stopcocks, * dome, caps and syringe, inserted, drape.
www, elope Domes Transducer-Tipped IUP Catheters 1295A-020 and 1295A-100 Sterile, disposable dome with parallel ports for use with TUP transducer 1296C Option JO3, and IUP kits 14099C and 14099D. ETO sterilized. hell life: 24 months maximum; 6 months minimum. 2954-020 is supplied in pac F220, S100 is supplied in cases of 5 boxes, each containing 20 domes. 1295CK and 1295CK-020 Sterile, disposable dome with flared ports for use with IUP transducer 1200C Option J05, and TUP kits 14099C and 14089D.
Belts and Buttons colic Abdominal Transducer Belt (M15614} Roll of brown, breathable least Buttonholes every 32mm (1.25in). Reusable. Washable. Width: 50mm (2 in). Length: Lom (50ft). Supplied in packs of one roll. Abdominal Transducer Belt (M15624) ® Pr-cut. » Width: 50mm (2 in). » Length 3m (4ft Bin). » Supplied in packs of 5. Leg Transducer Belt (M1563A) cut he St mm (2 in). = Length: 0.8m {2.50t). = Supplied in packs of 5. woo headmasters Belt Buttons (M1569A) » Supplied in packs of 10.
Declaration and Technical Specifications (M1310A) Receiver Power Requirements Operating Voltage 100 to 120V or 220 to 240V (+ 10%) Line Frequency 50 to 60M Power Consumption 19 VA max Battery Type 3x1 5V (AA size) Environment Operating Temperature 0 to +45°C Storage Temperature 40° fo 475°C 1 Relative Humidity Receiver Dimensions and Weight F Height 50mm (2in) Width 425mm (16.7) Depth Adm {15.4in) Weight 6.5kg (14.3 1h) CE Declaration and Technical Specifications {M1310A} F-1 www. petioles.
Transmitter Dimensions and Weight Without transducers and batteries Height 120mm (4.8m) Width 8m (3.310) Depth 40mm (1.6in) Weight 200g (8pz) input Sensitivity Receiver ~L18 dBm E Transmitter Output Power USA Europe Japan I mW & image Rejection : : Image Rejection Declaration and Technical Specifications (M1310A) www. petioles.
Declaration of Conform ISOMERIC Guide 22 and EN Manufacturer's Name Hewlett-Packard Grouch Manufacturer’s Address Heisenberg Strapless 110-130 4 Bollocking Germany Declares that, the product Product Name Series 50T Fetal Telemetry System Model Number(s) MI310A Product Options/ Revisions all g to which this declaration relates is in conformity with the technical requirements a of the following standard(s} ov other normative documented: 3 Safety, Performance EN G0501-1 / 1988 a & EMC EN 60601-1-2 / 1993 5 Sup
Index Index A accessories optional, B-2 standard, E-1 antenna assembling, connecting cola connecting remote B Batteries 3 checking hel inserting, £ = replacing, D-6 © 2 belt © : buttons, E-10 CORE local Index-1 www. petioles.
index D DEG monitoring FHR.
Index H heart rate limits, 3-10 I installation, A-1 problems when monitoring, 5-7 transducer types, EB 16 K knob adapter, E-10 M maintenance preventative raring events, 7-1 maternal movement, 4-8 maximum input/output voltages, 10-3 monitoring FHR using DEG, 3-1 using ultrasound monitoring uterine problems using UP, 5 problems g Toto, 4-8 using UP, ! wing Tara, 4-1 mounting the Receiver inside the HP 803004, B-8 on a flat surface, B-5 woo headmasters www, elope ou a wall, B an tap of a Mobile Cart, B-5 on to
www, elope index Index-4 Call, 8-1 ting the volume.
Index Transmitter, A-13 T testing interface between the Monitor and Receiver, 9-7 Parameter t, 0-4 Receiver sell test, 9-6 Transmitter self test, Y-8 trace no FHR rec ded transducers knob adapter, E10 types, 4 transducer-tipped catheters, types, E-9 Transmitter, 1-4, inserting batter testing, 9-8 U ultrasound limitations, 2-2 on monitoring FHR, 2 z problems when motoring, 2:9 unpacking the Telemeter uterine activity UP, 5-1 meriting using Toc problems when monitoring using 1UP problems when monitoring using