User's Manual
Table Of Contents
- Introduction
- What's New
- What's New in Release J.3
- Avalon CL Transducer System
- Support For Use of Maternal Cableless Measurement Devices
- Maternal Temperature Measurement
- Manually Entered Maternal Temperature Measurements
- New Design for the User Interface
- New SmartKeys
- Coincidence INOP Tone
- Increased Internal Back-up Memory
- USB Interface
- Flexible Nurse Call Interface
- DHCP Support
- Data Export Support
- NBP Configurable Measurement Sequence
- Alarms Enhancements
- Alarm Reminder
- Auto Free
- What's New in Release G.0
- Battery Option and Patient Transport Improvements for the Avalon FM20 and FM30
- Maternal Pulse from Toco MP Transducer
- Non Stress Test (NST) Analysis as Clinical Decision Support (CDS) Application
- FHR Sound Source
- FHR Numeric Display
- Improved FHR and DFHR Label Concept
- New SmartKeys
- Trace Separation On/Off Operation
- NBP
- Alarms
- CCV INOP
- New Demographic Fields
- Recorder
- Stored Data Recording
- FHR Sound Volume
- Avalon CTS
- What's New in Release J.3
- Basic Operation
- Supported Measurements
- Avalon FM20 and FM30
- Avalon FM40 and FM50
- Avalon CL Transducer System
- Getting to Know Your Avalon FM20/FM30
- Getting to Know Your Avalon FM40/FM50
- Transducers
- Getting to Know Your Avalon CL
- 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
- Operating and Navigating
- Operating Modes
- Automatic Screen Layouts
- Settings
- Preparing to Monitor
- 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
- Alarms
- Patient Alarms and INOPs
- Admitting and Discharging
- Non-Stress Test Timer
- Non-Stress Test Report
- Cross-Channel Verification (CCV)
- 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
- Troubleshooting
- Additional Information
- Testing Ultrasound Transducers
- Monitoring Twin FHRs
- Monitoring Triple FHRs
- Fetal Heart Rate Alarms
- Monitoring Uterine Activity Externally
- Monitoring Uterine Activity Internally
- Monitoring FHR Using DECG
- Monitoring Noninvasive Blood Pressure
- Introducing the Oscillometric Noninvasive Blood Pressure Measurement
- Preparing to Measure Noninvasive Blood Pressure
- 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
- Monitoring SpO2
- Monitoring Maternal Heart / Pulse Rate
- Printing the ECG Waveform
- Paper Save Mode for Maternal Measurements
- Recovering Data
- Care and Cleaning
- Maintenance
- Accessories and Supplies
- 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
- Safety and Performance
- Safety Tests Fetal Monitor
- Electromagnetic Compatibility (EMC)
- EMC Testing
- Reducing Electromagnetic Interference
- System Characteristics
- Electromagnetic Emissions and Immunity
- Electromagnetic Immunity
- Radio Compliance Notice
- Finding Recommended Separation Distances
- Recommended Separation Distances from Other RF Equipment
- Radio Frequency Radiation Exposure Information
- 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
21 Monitoring Maternal Heart / Pulse Rate
230
WARNING
• No alarm is possible when Toco MP or CL Toco
+
MP transducer is the source of the pulse rate.
• No QRS tone is audible when Toco MP or CL Toco
+
MP transducer is the source of the pulse
rate.
• The Toco MP or CL Toco
+
MP transducer signal is significantly less reliable if the patient is up
and moving about, or is pushing during the second stage of labor.
NOTE
In rare cases it is possible to pick up a fetal signal source. When a Toco MP or CL Toco
+
MP
transducer is connected to the monitor but not applied to the patient, the measurement may generate
unexpected intermittent pulse readings.
Pulse Rate from SpO2
If you are not monitoring MHR via MECG electrodes, but you are monitoring SpO
2
, the maternal
pulse rate is derived from the SpO
2
measurement. The pulse numeric is labeled Pulse on the screen.
WARNING
No QRS tone is audible when the CL SpO2 Pod is the source of the pulse rate.
Adjusting the Heart Rate / Pulse Alarm Limits
To adjust the pulse alarm limits for SpO
2
:
1 In the Setup SpO₂ menu, select Pulse (SpO₂). This opens the Setup Pulse (SpO₂) menu.
2 Ensure Pulse (SpO₂) is On. Select Pulse (SpO₂) to toggle between On and Off.
3 Set the pulse alarm limit:
– Select
High Limit then choose the upper alarm limit for tachycardia from the pop-up list.
– Select
Low Limit then choose the lower alarm limit for bradycardia from the pop-up list.
To adjust the pulse alarm limits for MECG:
1 In the Setup MECG menu, select MECG/Pulse Alarms. This opens the Setup Pulse (MECG) menu.
2 Ensure Pulse MECG is On. Select Pulse MECG to toggle between On and Off.
3 Set the pulse alarm limit.
– Select
High Limit then choose the upper alarm limit for tachycardia from the pop-up list.
– Select
Low Limit then choose the lower alarm limit for bradycardia from the pop-up list.