User's Manual

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Table Of Contents

Introduction
- Who this Book is For
- Confirm Fetal Life Before Using the Monitor
- Introducing the Avalon Family of Fetal Monitors
What's New
- What's New in Release J.3
- What's New in Release G.0
Basic Operation
- Supported Measurements
- Avalon FM20 and FM30
  - Avalon FM20
  - Avalon FM30
- Avalon FM40 and FM50
  - Avalon FM40
  - Avalon FM50
- Avalon CL Transducer System
- Getting to Know Your Avalon FM20/FM30
  - Overview
  - Right Side
  - Left Side
  - Bottom
  - Rear
- Getting to Know Your Avalon FM40/FM50
  - Front
  - Rear
- Transducers
- Getting to Know Your Avalon CL
  - Front
  - Rear and Bottom
- Cableless Transducers
  - Radio Range of CL Transducers
  - The CL transducers have a operating range around the base station of at least 70 m in the line of sight. Obstructions as walls, metal doors, elevators and other environment structures can lead to signal loss. The Tele symbol indicator and the Tele In...
  - Connector Cap for the CL Toco+ MP Transducer
  - Cableless Transducer LED Indication
  - CL Transducer Battery
  - Audio Signal CL Transducers
- CL Pods
  - Battery Status LED for CL Pods
  - Audio Signal
- Operating and Navigating
  - Screen Elements
  - Keys
  - Using the Touchscreen
  - Disabling Touchscreen Operation
- Operating Modes
- Automatic Screen Layouts
- Settings
  - Active Settings
  - User Default
  - Factory Default
  - Global Settings
  - Changing Measurement Settings
  - Switching the Noninvasive Blood Pressure Measurement On and Off
  - Changing Monitor Settings
  - Checking Your Monitor Revision
- Preparing to Monitor
  - Switching On: FM20/FM30
  - Switching On: FM40/FM50
  - Adjusting the Display Angle (FM20/FM30)
  - Fastening Belts and Transducers
  - Connecting a Transducer to the Monitor
    - What You See on the Monitor
  - Start Recording
  - Signal Quality
  - Cableless Monitoring
- Switching the Monitor to Standby
- After Monitoring
- Disconnecting from Power
- Power On/Power Off Behavior
- Monitoring After a Power Failure
- Troubleshooting
FM20/30 Battery Option
- External Power Supply M8023A
- Using Batteries
  - Battery Power Indicators
- Optimizing Battery Performance
Alarms
- Alarm Mode
- Nurse Call Systems
- Visual Alarm Indicators
- Audible Alarm Indicators
- Acknowledging Alarms
- Acknowledging Disconnect INOPs
- Alarm Reminder
- Pausing or Switching Off Alarms
- Alarm Limits
  - Viewing Individual Alarm Limits (Alarm Mode "All" Only)
  - Changing Alarm Limits
- Reviewing Alarms
  - Alarm Messages Window
  - Review Alarms Window
- Latching Alarms
  - Viewing the Alarm Latching Settings
  - Alarm Latching Behavior
- Testing Alarms
- Alarm Behavior at Power On
Patient Alarms and INOPs
- Alarm Messages
- Technical Alarm Messages (INOPs)
Admitting and Discharging
- Admit/Discharge on the Monitor
- New Patient Check
- OB TraceVue/IntelliSpace Perinatal
  - Transferring a Patient
  - OB TraceVue/IntelliSpace Perinatal via RS232
Non-Stress Test Timer
- Setting NST Autostart/Autostop
- Viewing the NST Timer
- Timer Expiry Notification
- Accessing the NST Setup Pop-up Keys
Non-Stress Test Report
- Setting Up an NST Report
- NST Report Status Window
  - Example NST Report
- NST Criteria
- Non-Reassuring Report
- Non-Reactive NST Test
Cross-Channel Verification (CCV)
- Misidentification of Heart Rates
- Cross-Channel Verification Functionality
- Overview of Cross-Channel Comparisons
- Coincidence Examples
  - Coincidence of Maternal Pulse and FHR
  - Coincidence of Twins/Triplets FHRs
- Recommended Actions for INOP Coincidence
Monitoring FHR and FMP Using Ultrasound
- Technical Description
- Limitations of the Technology
- Misidentification of MHR as FHR
- What You Need
- Cableless Monitoring - Important Considerations
- Preparing to Monitor
- Selecting Fetal Heart Sound
- Changing the Fetal Heart Sound Volume
- Fetal Movement Profile
  - FMP Statistics
  - Switching FMP On and Off
- Troubleshooting
- Additional Information
- Testing Ultrasound Transducers
Monitoring Twin FHRs
- Important Considerations
- Monitoring Twins Externally
- Monitoring Twins Internally
- Separating FHR Traces
- Troubleshooting
Monitoring Triple FHRs
- Important Considerations
- Monitoring Triplets
- Separating FHR Traces
- "Standard" Separation Order
- "Classic" Separation Order
- Switching Trace Separation On and Off
- When Trace Separation is On
- When Trace Separation is Off
- Troubleshooting
Fetal Heart Rate Alarms
- Changing Alarm Settings
- Changing Signal Loss Delay
Monitoring Uterine Activity Externally
- What You Need
- External Toco Monitoring
  - Resetting the Toco Baseline
- Toco Sensitivity
- Troubleshooting
- Testing Toco Transducers
Monitoring Uterine Activity Internally
- What You Need
- Internal (IUP) Monitoring
  - Zeroing the Monitor
  - Selecting the IUP Unit
- Troubleshooting
Monitoring FHR Using DECG
- Misidentification of MHR as FHR
- What You Need
- Making Connections
- Monitoring DECG
- Suppressing Artifacts
  - Printing the Waveform
- Troubleshooting
- Testing DECG Mode
Monitoring Noninvasive Blood Pressure
- Introducing the Oscillometric Noninvasive Blood Pressure Measurement
- Preparing to Measure Noninvasive Blood Pressure
  - Correcting the Measurement if Limb is not at Heart Level
  - Understanding the Numerics
- Starting and Stopping Measurements
- Enabling Automatic Mode and Setting Repetition Time
- Enabling Sequence Mode and Setting Up The Sequence
- Choosing the Alarm Source
- Assisting Venous Puncture
- Calibrating NBP
- Troubleshooting
Monitoring Maternal Temperature
- Measuring Tympanic Temperature
Monitoring SpO2
- Selecting an SpO2 Sensor
- Applying the Sensor
- Connecting SpO2 Cables
- Measuring SpO2
- SpO2 Signal Quality Indicator (Fast SpO2 only)
- Assessing a Suspicious SpO2 Reading
- Understanding SpO2 Alarms
- Setting Up Tone Modulation
- Setting the QRS Volume
Monitoring Maternal Heart / Pulse Rate
- Priority for Maternal Heart / Pulse Rate
- Misidentification of MHR for FHR
- MHR from MECG Electrodes
- Monitoring MECG Wave
- Pulse Rate from Toco MP
- Pulse Rate from SpO2
- Adjusting the Heart Rate / Pulse Alarm Limits
- Average Pulse Rate from Noninvasive Blood Pressure
- Testing MECG Mode
Printing the ECG Waveform
Paper Save Mode for Maternal Measurements
Recovering Data
- Recovering Traces on Paper
- Recovering Traces on an OB TraceVue/IntelliSpace Perinatal System
- Recording Stored Data
Care and Cleaning
- General Points
- Cleaning and Disinfecting
  - Recommended Disinfectants
- Cleaning and Disinfecting Monitoring Accessories
- Cleaning and Disinfecting the Tympanic Temperature Accessories
  - Probe and Thermometer Body
- Sterilizing
Maintenance
- Inspecting the Equipment and Accessories
  - Batteries Preventive Maintenance
- Inspecting the Cables and Cords
- Maintenance Task and Test Schedule
- Recorder Maintenance
  - Removing the Paper Guide: FM40/FM50
  - Storing Recorder Paper
- Cleaning the Print Head
- Disposing of the Monitor
Accessories and Supplies
- Information on Latex
- Avalon CL Base Station
- Transducers
- Fetal Accessories
  - DECG Accessories: Component Compatibility
- MECG Accessories
- Noninvasive Blood Pressure Accessories
- SpO2 Accessories
- Tympanic Temperature Accessories
- Recorder Paper
- Batteries
Specifications and Standards Compliance
- Environmental Specifications
- Physical Specifications
- Performance Specifications
- Recorder Specifications
- Compatible External Displays: FM40/FM50 Only
- Manufacturer's Information
- Trademark Acknowledgment
- Regulatory and Standards Compliance
- Environment
- Monitoring After a Loss of Power
- ESU, MRI and Defibrillation
- Cardiac Pacemakers and Electrical Stimulators
- Fast Transients/Bursts
- Symbols on the System
Default Settings Appendix
- Alarm and Measurement Default Settings
- Recorder Default Settings
  - A
  - B
  - C
  - D
  - E
  - F
  - G
  - H
  - I
  - L
  - M
  - N
  - O
  - P
  - R
  - S
  - T
  - U
  - V

12 Monitoring Twin FHRs

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When Trace Separation is Off

To indicate that trace separation is switched off, a dotted line labeled +0 prints across the FHR scale.

Standard trace separation switched

off here

Classic trace separation switched off

here