Professional Documents
Culture Documents
Corometr 115 Fetal Mo Operator's Manual
Corometr 115 Fetal Mo Operator's Manual
115 FETAL MO
OPERATOR'S MANUAL
1
CONTENTS
INTRODUCTION ........................................... 1
SAFETY ................................................... 2
OPERATION ............................................... 12
TROUBLESHOOTING ...................................... 46
SPECIFICATIONS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
ACCESSORIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Features
-
* Quiet, easy-to-load recorder with high-resolution dot
matrix printhead. Prints out continuous trends and
alphanumeric data on one strip chart in single or dual
heart rate modes.
LEAKAGE CURRENT
Volume
Two pushbuttons used to change the volume of sound emitted by the rear-panel speaker. Depressing the button
with the arrow pointing up causes the volume to increase. Depressing the button with the arrow pointing down
causes the volume to decrease. Volume control has no effect on the processing used to compute heart rate.
UA Reference
Pushbutton which sets the pressure reference level on the UA recorder channel at 0-mmHg for the strain gauge
or at 10 for the tocodynamometer. To activate, depress and hold for 1 second.
Test
Pushbutton used to initiate a monitor self-test routine. To activate, depress and hold for 1 second.
Mark
,Depressing the Mark button causes an arrow-shaped mark to be printed on heart rate channel of the strip chart
paper-
Record
Depressing pushbutton activates the recorder, provided paper has been installed. Once the recorder is activated,
- -- * s
An amber light next to the Record pushbutton will be on when the recorder is activated and off when the recorder
is deactivated or if paper has run out. It will flash when the end of the paper is approaching. When the recorder
is out of paper, the recorder will automatically stop and cannot be restarted until chart paper is inserted.
Paper Advance
Pressure on pushbutton causes the recorder to advance chart paper at the speed of 25 crnlminute for as long as
the pushbutton is depressed. The recorder will print the monitoring modes, time, date and chart speed informa-
tion 20 seconds after the pushbutton is released, if the recorder is activated.
Power
Pushbutton switch that turns the monitor on and off. A green light next to the Power pushbutton is illuminated
when the Power switch is activated.
If pressure falls below 0,automatic UA reference wiU occur and new baseline reference is set at 0. The center
margin for the strip chart will automatically be annotated with "UA REF".
FRONT PANEL DISPLAYS
Heart rate in beats-per-minute will be displayed in the left portion of the window.
Heartbeat Indicator
Uterine activity values displayed in the right portion of the window will represent mmHg for internal uterine ac-
tivity monitoring and relative units for the external monitoring (Tm).
FRONTPANELCONNECTORS
Ochre colored 12-pin connector mechanically keyed to accept only the Model 115's phono or ultrasound
transducer plugs. The input connector is electrically keyed to recognize which transducer plug has been inserted.
ECG
Gray colored 12-pin connector which is mechanically and electrically keyed to accept only the ECG transducer .
plugs.
UA
rg.
White 12-pin connector which is mechaniay keyed to accept either the tocotransducer or strain gauge. The con-
nector is electrically keyed to recognize which transducer plug has been inserted.
Section 3
Three pushbuttons located under the lip of the front panel. Only active when the rear panel -/DATE SET
switch is in the ENABLE postion. The function of each pushbutton is indicated by a title or an arrow located im-
mediately above the row of pushbuttons.
SELECT T/D
Successive depression of SELECT T/D permits selection of the time or date parameter to be changed.
Activation of the "increase value" pushbutton increases the value of the selected timeldate parameter.
Continuous activation of the pushbutton causes the front panel display to cycle from the lowest value of the
selected parameter to its highest possible value and then to "wrap around" to the lowest value.
Activation of the "decrease value" pushbutton is similar to "increase value" except that decreasing of the
selected parameters occurs.
STRIP CHART RECORDER
The dual-channel strip chart recorder is located on the right side of the front panel. The lever on the left side of
the recorder opens the paper drawer.
The heart rate channel is located on the left side of the recorder.
The uterine activity channel is located on the right side of the recorder.
Alphanumeric Print-Out
When the recorder is activated, time, date, modes of monitoring and paper speed are printed automatically on the
margin between the fetal and uterine activity channels. Various messages relating to functions and parameter
changes wil be printed as the latter occur. In addition, if the optional 2115 keypad or 2116 keyboard is being
used, messages keyed in by the operator appear in this margin.
C W W f ElCS F E T n l U O V ~ T OM~O M < 2 7 % ZIMSERIES
c c a w n a l c s UEOI(PL SVSTEY uc DATA ~ m mSYSTEM
ECG ARTIFACT ELlMlNlTlON
@
CHART SPEED ECG l -8Ddb l
1 CM MlN 3 CM MIN
6 isi
W T I M I ELECTRIC SHOCK HAZARD DO
NOT REMOVE COVER OR BACK REFER SER
n c E ONLY TO QUIUF~ED PERSONNEL
WARNING TO REWCE FIRE HAZARD REPLACE
111111111
FUSES AS MARKED
117 VOLTS €4 HZ
1CU WATT5
Jt02
CONNECT T O COROMETRICS
SERIES 400 MONITORS ONLY
REAR PANEL
A two position slide switch is locked in place by means of a plate and two screws. In order to change the switch
position, the plate must be removed, the switch changed a d the plate reversed to lock it in the new position.
In the ON position, any new HEART RATE value which differs by more than +25 BPM from the previously
calculated heart rate will not be printed.
In the OFF position, all HEART RATE values will be printed without regard to previous rates. This switch
affects o n l ~the direct ECG mode.
CHART SPEED
Chart paper speed may be set at 1 or 3 cdrnin. (1 or 2 cmlmin.) with this switch.
TIMEIDATE SET
The ENABLE position is used when setting the time and date. The DISABLE position is used at all other times.
ECG (+80dB)
Permits recording of Direct FECG signals on an external recorder. Output level is compatible with standard adult
ECG recorders.
w
NOTE: Data Entry Keypad should be plugged into J103 connector prior to turning on the monitor's power.
LEG PLATE TESTER
Connector from internal ECG simulator used to test 115 leg plate.
REMOTE MARK
HEADSET
Connector for Corometrics headset. Insertion of the headset into this connector will inhibit sounds from speaker.
Connector for use with Corometrics Model 400 Central System Monitors.
GROUND LUG
Terminal which can be used to provide an additional ground for the monitor.
AC-linecord connector.
FlOl
SPARE
5108 (optional)
COROLAN/RS-232C Input/Output Connector
NOTE: If your Model 115 has an option for connection to a data communications system, the connector for this
option is located on the rear panel and is labeled (5108). It is also identified by the symbol (A).
Do not attempt to connect a cable to this connector without contacting your Biomedical Engineering Department
or Corornetrics Service. This is to insure the connection complies with leakage-current requirements of one of the
following applicable standards: Underwriters Laboratories U.L. 544, Canadian Standards Association CSA 22.2
No. 125, or International Electrotechnical Commission IEC 60 1- 1 .
The maximum nondestructive voltage that may be applied to the rear panel connectors is 0 volts.
Section 4
OPERATION
SELECTING MONITORING MODES UTERIh'E ACTIVITY
The Corometrics Model 115 Fetal Monitor can monitor the Internal Method:
fetal heart rate in three modes and the uterine activity in
two modes. For maternal heart rate monitoring see page Intrauterine Pressure Catheter and Strain Gauge
35.
A catheter inserted transcervically into the uterine cavity
FETAL HEART RATE MONITORING transmits intrauterine pressure to the strain gauge. This
pressure is recorded in mrnHg. The membranes must be
Internal Method: ruptured in order to use this method.
When the power is first turned on, the following will occur:
ir
e..,.
.<.
<<.&
,$.S
-..-
;&,
ia
:
ii.
- .&.-
. .-.
"
I
,
i..
.
-.*.
,jT
-f
!.,
<,g
r
,.%,
;"
'...
,.*.
--,+-
.?Z,<
.>E
:?"x
q.;
.<@$
242,
?g,
@?
;;g
.&&
--
<>,;*'
.
D) UnfoId the paper from the bottom of the pack so
that it extends towards you.
18
TABLE 1
TEST,ROUTINE DESCRIPTION
LAMP TEST All indicators illuminate for the duration of the test with the heart rate display
"888" and UA Display reading "+188" during recorder test.
RECORDER TEST The software energizes all the elements in the print head which should appear as
a continuous Sine of dots across the paper. A sin'Iulated trend of 30, 120, and
24.0 or 50-120-210 BPM will be printed Out on the heart rate channel and a
simulated pressure trend at 0, 50, and 100 m a g will be printed out on the UA
(the values will also be printed out numerically in the e n t e r margin of
the strip chart).
COUNTING TEST After recorder test, software generates a 120 BPM heart rate signal and displays
the rate on the numeric display and on the strip chart.
UTERINE ACTIVITY TEST The monitor adds 50 mmHg to present pressure level; displays this value on the
UA display and prifits this value on the recorder paper. (NOTE: If no
transducer is plugged intc the UA connector, no trace will be printed.)
At the completion of the self test routine, the monitor is ready for patient use.
F'HR RECORDING-ULTRASOUND
EQUIPMENT NEEDED:
A) Fetoscope
B) Ultrasound transducer
C) Ultrasound strap
(Disposable or reusable)
E) Headset (optional)
PROCEDURE
12) Insert the other end of the strap through the remain-
ing slot in the transducer and adjust to a comfortable fit.
Three to five seconds after a clear heart sound is heard,
the heart shaped indicator will flash synchronously with
the sound, indicating signal acceptance and recording.
13) Activate the recorder and insure that a tracing appears
on the heart rate channel. Check the maternal pulse to
document recording FHR.
EQUIPMENT NEEDED:
A) Fetoscope
B) Phonotransducer
D) Headset (optional)
PROCEDURE
EQUIPMENT NEEDED:
A) Leg plate
C) EKG Sol
D) Spiral Electrode
PROCEDURE
4) Pass the leg plate strap around and under the patient's
thigh and then through the slot in the leg plate. Fold the
strap back onto itself so that the Velcro adheres.
EQUIPMENT NEEDED:
A) Tocotransducer
PROCEDURE
I 1
7) Lnsert the other end of the strap into the remaining slot
and tighten to hold transducer securely in place. Digital
display andlor recorder should read at least 35, between
contractions.
EQUIPMENT NEEDED:
F) Sterile dome
NOTE: Sterile disposable domes or nonsterile reusable
domes are available.
PROCEDURE
EQUIPMENT NEEDED:
A) Fetoscope
B) Ultrasound transducer or Phonotransducer
C) Ultrasound coupling gel or patient/transducer interface
fig
D) Abdominal strap (disposable or reusable)
E) Headset (optional)
F) 3 disposable ECG electrodes
G) Maternal ECG cable
H) Alcohol swabs
I) Garment clip
PROCEDURE:
MONITORING OF TWINS
EQUIPMENT NEEDED:
A) Fetoscope
B) Ultrasound transducer or phonotransducer
C ) Ultrasound coupling gel or patientltransducer interface
ring
D) Abdominal strap (disposable or reusable)
E) Headset (optional)
F) Spiral Electrode
G) Leg plate
H) Leg plate strap (disposable or reusable)
I) EKG solution
PROCEDURE:
The following chart summarizes the functions of the 115 Fetal Monitor.
See Table 1
NOTE: If NOT using dual HR monitoring never plug tuio HR transducers in at the same time.* .-
k ",
TABLE 1
HR DISPLAY HEARTBEAT
MODE OF
MONITORING
TRACING AUDIO
lND,CATOR 0 CENTRAL
STATION
FHR DISPLAY
HEART BEEPS
SOUNDS
MATERNAUFETAL
1) MECG& US US - ~ 4 US MECG US US US
MECG j l _
TWINS:
1) FECG& US US % US FECG US US US
FECG - - e
US ALONE* Us US - US US US
ALPHAhTUMERIC MESSAGES
Alphanumeric messages will be printed in the center C) Messages keyed in by the operator via the optional
margin of the Model 115 chart paper, Up to four lines of 2 115 or 2116 keyboard-(refer to the Model 2 115 and/or
data can be printed, with the messages falling into three Model 21 16 Operator's Manual for a complete listing of these
categories: messages).
A) Messages printed automatically each time the recorder The parameter and mode status messages generated by the
is activated. 115 are listed below in TABLE 2. The recorder must be
activated before any trend curves or messages will be
. B) Messages printed in response to certah conditions. displayed (except during monitor self test).
TABLE 2
MESSAGE FORMAT HOW ACTIVATED COMMENTS
FECG Insertion of leg plate into ECG connector. Printed each time the recorder is
activated, when the mode is changed
and after paper advance.
CARD10 INOP No les plate or FHR transducer is Printed each time the recorder is
plugged into the fiont panel activated, after paper advance
connectors or 20 seconds after and after connector removal.
all plugs are removed.
Recorder activation and every ten minutes Time printed in 24 hour format. The
on the ten minute mark. printing of the time will be inhibited if
other mode or status message is being
printed at the ten minute mark.
15 SEPT 83 Printed only at time of recorder activation Not printed if clock battery has
(Day, Month, Year) and after paper advance. . discharged sin& last monitor usage.
BASELINE Printed automatically when the uterine ' Printed on lower portion of UA scale.
PRESSURE OFF pressure drops below the established
SCALE pressure baseline for more than 20
seconds.
SET TIMEIDATE Printed on recorder activation if the Time will be printed in hours and
internal battery .has discharged since minutes lapsed since monitor activation
previous monitor usage. Also printed at rather than real time (until the timeldate
the ten minute mark until the clock is is reset).
reset.
UNIT OF
TIME CODE RANGE
Minutes 5 00-59
Hours 6 00-23
Day 7 01-31
Month 8 01-12
Year 9 00-99
TO SET MTPdlJTES
I;
, f
TO SET B[O
NOTE: The internal clock is a 24 hour clock. 'One minute
past midnight will be printed as 00:01 on the recorder, and
1 minute to midnight will be printed as 2359.
TO SET M B h m
--
numeric display. Any two numbers between the range of
00-99 will appear on the right of the code (9).
On the rear panel, set the TIME DATE SET switch to the
DISABLE position. .
MONITOR CLEANING
CAUTION: Do not clean the lens that covers the heart rate
digital display with isopropyl alcohol; clean' the lens with a
soft dry cloth.
PHONO TRANSDUCER
The Velcro straps for the leg plate and the reuseable
stretch belts for the toco and ultrasound transducer may be
Section 6
!!XRAIN GAUGE
CLEANING
Monitor connected to AC Monitor not c o ~ e c t e dto a~-line Connect power cord to receptacle.
power, green Power On light receptacle.
does not illuminate upon AC power cord defective. Replace power cord.
power switch depression. AC outlet defective r .Use different outlet.
Power cord not connected to Model -%all Biomedical Department.
115.
Recorder does not function.
(Record light off) &order not activated. Depress Record Pushbutton.
Recorder out of paper. Install chart paper.
PHONO not functioning Connector not properly connected to Check that the connector is firmly
properly. monitor. attached to monitor.
Transducer placement. Reposition transducer.
Defective transducer. Replace transducer.
Active fetus or mother. Use alternate technique.
Excessive maternal abdorrLinal
movemeni.
Excessive transducer cable movement. Call Biomediczl Department.
ULTRASOUND not Connector not properly connected to Check that connector is firmly attached
functioning properly. monitor. to monitor.
Transducer placement. Reposition transducer.
Too little gel applied to transducer. Apply more gel.
Defective transducer. Replace transducer.
Active fetus or mother. Wait before moving transducer, FHR
will often return.
Fetal arrhythmia, hiccups. Use alternate technique
Call Biomedical Department.
MATERNAL ECG Connector not properly connected to Check that connector is firmly attached
erraticlnot functioning monitor. to monitor.
properly. Electrodes improperly placed. Re-apply electrodes.
Clips not attached to electrodes Check clip attachment.
properly.
Electrode gel dried. Check electrodes and reapply if
necessary.
Defective MECG Cable. Replace cable.
Call Biomedical Department.
Tocotransducer not recording Connector not properly connected to Check that the connector is firmly
contractions. monitor. attached to monitor.
Transducer not properly placed. Reposition transducer.
Transducer not secured to patient. Secure transducer to patient.
Defective transducer cable. Replace transducer.
No maternal contractions.
UA Reference range exceeded. Remove transducer.
Depress UA reference button. Re-apply
transducer. Depress UA reference
button again, between contractions.
Transducer defective Replace transducer.
Call Biomedical Department.
Flashing " +" sign Relative pressure > 100 Depress UA reference button between
contractions.
46
PROBLEM PROBABLE CAUSE SOLUTION
Internal pressure not Connector not properly connected to monitor. check that connecto; is firmly attached to
measuring correctly. moniior .
Air bubbles in dome or catheter plugged. Flush dome and catheter.
Dome is cracked. Replace dome
Strain gauge not at same height as catheter Adjust strain gauge.
tip.
Catheter has fallen out of place. Replace catheter.
Strain gauge not zeroed. Calibrate strain gauge.
Cali Biomedical Department.
Internal ECG erraticlnot Connector not properly connected to monitor- Check that connector is finnly attached to
recording properly. monitor.
Leg plate not finnly secured to patient. Secure leg plate to patient.
Electrode wires not secured to leg plate post.' Inspect leg plate connection.
Correct paste not being used or is dried. Check ECG paste.
Electrode not properly placed. Replace electrode.
No FECG signal. Check for ECG signal.
Defective electrode. Replace electrode.
Defective leg plate. Check leg plate by attaching it to leg plate
tester on rear panel. If functioning
+
correctly it will display 120 1 beat on
+
the display window and print 120 1 beat
on strip chart.
Replace if necessary.
Call Biomedical Department.
The following problems may occur if the 2115 if plugged into the 115 while the 115 is powered up.
1) Display shows Error 3
2) Display is blank
3) Display shows Error 1 when a message is entered
If these problems occur turn the 115 off then on and the 2115 should respond with the READY message. If the
problems persist, call service.
Section 8
SPECIFICATIONS
DIRECT ECG
Technique: Autocorrelation
Sampling frequency: 200 Hz
Heart rate range: 50-210 BPM
Low noise preamplifier
PRESSURE
Chart width: 7 cm or 8 cm
Scaling: 30 BPM/cm or 20 BPM /cm
Range: 30-240 BPM or 50-210 BPM
Resolution: 1 BPM
Chart width:
Scaling:
Range:
Resolution:
CHART DRIVE
Speeds:
Accuracy:
PHYSICAL CHARACTERISTICS:
Height: 6.9 in. (17.6 cm)
Width: 16.5 in. (41.9 cm)
Depth: 17.2 in. (43.7 cm)
Weight: 37 lbs. (16.8 kg.)
Remote Event > f a k e r , Catalog No. 3919BAO Tranurenical Intrauterine Kits. Carton of 50.
Catalog KO. 2069.&40
Detachable Line Cord, Catalog KO. 1392A.%4 Pressure Relief Valves for 4007BXY,2802AAX, Package of 5
(Sterile), Catalog No. 8070AAO
Bell & Howell Prrssure Transducer, Includes Pressure Relief Valve, Reusable Domes for Bell & Howell Pressure Transducer UH)7BAX,
Catalog S o . J007B.LX Package of I , Catalog S o . 5507AAO
UItrasonic Transducer, Catalog No. 5600AA.X Legplate for Model OllSAAA, Catalog No. 2608DAO
Tocotransducer, Catalog No. 2260- Spiral Electrodes, Carton of 50, Catalog No. 2462AAO
1
Phonotransducer, Catalog No. 3996BAX
Reusable Transducer Straps Carton of 10 (Mesh Style)
Catalog No. 4425AAO
Reusable Transducer Straps Carton of 10 (Velcro Style)
Catalog No. 4425CAO
Disposable Transducer Straps Carton of 150 Catalog No. 8024AAO
hlodel 115 Fetal 3ionitoi, Catalog No. 0115AAA
Supplemental Chart Guard Label Packet (200 each: Blue, Form So.
2506 and U'hite, Form Soio.2505 labels), Catalog KO. 4914BAO