Caddo 17B New - HIK
Contents
1. 6 2 Care and Cleaning of Monitor Keep the exterior surface of the monitor clean and free of dirt Regular cleaning of the monitor casing and the screen is strongly recommended Use only non caustic detergents such as soap and water to clean the monitor casing Take extra care when cleaning the display surface These are more sensitive to rough handling scratches and breakage than the other external surface of the monitor Use dry and soft cloth to wipe Warning Unplug the monitor from the AC power source and detach all accessories before cleaning Do not immerse the unit in water or allow liquids to enter the casing Caution 1 Many cleaners must be diluted before use Follow the manufacturer s direction carefully to avoid damaging the monitor 2 Do not use strong solvent for example acetone Do not remain any cleaning solution on the surface of the monitor 4 The monitor surface can be cleaned with hospital grade ethanol and dried in air or with crisp and clean cloth 5 The manufacturer has no responsibility for the effectiveness of controlling infectious disease using these chemical agents Please contact infectious disease experts in your hospital for details 6 3 Care and Cleaning of Transducer 1 Maintenance Usually the transducer should keep clean and maintain in dry environment where the temperature should be lower than 45 degrees Gel must be wiped from the ultrasound transducer after use These precautions2. I Channel No of ultrasound transducer there is only I under single monitoring mode there are I and II under twins monitoring mode Ed Normal connection of ultrasound transducer id Error connection of ultrasound transducer C Connection Status of TOCO transducer E Normal connection of TOCO transducer a Error connection of TOCO transducer D Freeze status EJ Shows current screen is frozen icon will disappear when unfrozen E Recorder status A Printing B Out of paper Ei Failed to print F Alarm on off status gt Alarm on E Alarm off Scientech Technologies Pvt Ltd 12 Caddo 17B 2 Data Section FHR I Data of Ultrasound Transducer I 3 digit data it is in green color under normal status it will be in red when alarm occurs it displays when there is no data FHR 2 Data of Ultrasound Transducer II this data will show in twins monitoring mode the display format is the same with the FHR 1 TOCO data Display the relative contraction data ranging from 0 100 it will be 10 after Auto Zero Fetal Movement data Display Fetal movement numbers it will be after Auto Zero 3 Parameter Bar This section displays important setting parameters it contains alarm on off status alarm upper limit lower limit alarm postpone time print speed and print time 4 Indicate Bar In this item it includes system time bed No gestational age and patient age 4 Waveform Display
3. 3 Auto Zero Button 0 Function Clear the screen TOCO value back to 10 unit Press this button to clear the screen and adjust the present TOCO contractions trace value to reference point 10 when in the status of monitoring after pressing the Auto Zero button the symbol i will be recorded at the trace 4 Print Button Function Enable Disable printing Press Print button in normal situation if it not works it begins real time printing Press Print button in frozen situation it prints the waveform on the screen 5 Volume Control Button gt Volume down AY Volume up Function adjust the audio volume of the Fetal heart Sound 6 Event Button gt Function Press this button to print an event symbol on the screen trend figure at the corresponding time If user want to mark an event on the trend figure he she could achieve this by pushing this button 7 Freeze Button J Function Freezing the screen Press the button to stop drawing and the screen becomes in frozen status press the button again to continue drawing This operation will clear the screen 8 Knob Key CD Press the button to activate the selected button press it again to accept the configuration To choose and adjust the parameters by revolving the knob key 9 Paper Cabinet Open Button Push this button for opening the paper cabinet 10 Push LCD Screen Rotation Lock Function Push this button to unlock the screen for rotation purpose Not
4. Caddo 17B Note 1 When adjustable range is letter or number numeral and letter key will turn on automatically after entering the setup in which SP Space bar CAPS Capital letters lock OK Setup finished exit keyboard output mode DEL Delete delete one selected letter or number after each push 2 The main interface prompt box will show the patient s data renewal after save the patient s data 3 System Setup Revolving the knob key to enter system setup the diagram is showed as Figure 3 8 SYSTEH SETUP gt gt WET HO 1 Figure 3 8 System Setup Scientech Technologies Pvt Ltd 20 Caddo 17B 1 Time Setup Revolving the knob key to enter time setup the diagram is showed as Figure 3 9 TIHE SETUP 2007 SA E SET Back to the upper Renu Figure 3 9 Time Setup Revolving the knob key to enter time setup function The Corresponding function and the adjustable ranges are showed in the table3 4 Table 3 4 the time setup function No Function Adjustable Ranges 1 Year Optional 2005 2036 2 Month Optional 12 3 Day Optional 31 4 Hour Optional 023 5 Minute Optional 0 59 6 Second Optional 0 59 7 en Save setup and return to previous menu 8 Exit Exit Exit to previous menu Note The main interface prompt box will show the time renewal after save the time setting 2 Net No Be used for connecting with central monitoring syste
5. doctors offices and patients at home by trained medical personnel 2 2 Features Light dexterous appearance tops horizontally and walls can be hoisted Nee 8 4screen color LCD display rotatable screen to 60 Display of the patient data and curve clearly Print paper fetal heart rate 120 160bpm normal range label Manual records fetal movement Sound and color alarm for high and low fetal heart rate Continuous 24 hour real time monitoring function Continuous 12 hour patient curve and data storage and playback With picture freeze function Optional English interface Single Twins Monitoring optional 9 chip pulse width beam probe Co So i Ci Ci Gi Gi lt i lt a Extra long life high resolution built in thermal printer matrix the output waveform text and other information Built in communication port can be connected with central monitoring system lt Scientech Technologies Pvt Ltd 9 Caddo 17B Monitor and Setup 3 1 The Monitor Ultrasound Transducer _LCD Display Fetal Monitor Ultrasound Transducer Il TOCO Transducer Remote Maker Figure 3 1 Appearance Twins configuration only for reference 3 1 1 Transducer Introduction Ultrasound Transducer I TOCO Transducer Remote Marker Ultrasound Transducer II 1 2 3 Ultrasound Transducer I The multi crystal broad beam ultrasound transducer is used for monitoring fetal heart rate FHR1 The ultrasound tr
6. 16 Caddo 17B 1 Alarm Setup Revolving the knob key to enter alarm setup the diagram is showed as Figure 3 6 FHR ALH ALH HIGH Back to the upper menu Figure 3 6 Alarm Setup Revolving the knob key to setup alarm function The Corresponding function and the adjustable ranges are showed in the table3 2 Table 3 2 the alarm setup function and adjustable ranges No Function Adjustable Range Optional Turn on shut off The default situation is alarm on 1 FHR ALM FHR Alarm ALM High FHR Upper Limit of Optional lower limit of alarm 310 the 2 Alarm unit is BPM and the default is 190 3 ALM Low FHR Lower Limitof Optional high limit of alarm O FHR the Alarm unit is BPM and the default is 110 4 ALM Delay FHR Alarm Delay Optional 060 the unit is second and the default is 30 seconds Note 1 When FHR is in alarm situation alarm indicator becomes red 2 When FHR exceeds the alarm limit and time exceed the set alarm delay time continuously alarm will occur and an alarm symbol will appear on the screen Scientech Technologies Pvt Ltd 17 Caddo 17B 2 Patient Setup Revolving the knob key to enter patient setup the diagram is showed as Figure 3 7 PATIENT SETUP NAHE PARTUS NUH AGE FETAL NUH BED No _ PREGNANT HUH li PAT NO DEF VEIGHT E ROON HEIGHT LENGTH 23 DELETE BLOOD L Z SP CAPS Figure 3 7 Pati
7. some seconds after turn on the monitor to the monitoring screen shows data and the system will enter normal monitoring after self test 4 6 Connect Transducers Connect all the necessary transducers and cables between the monitor and the patient Note please pay attention to the direction when connecting transducer s the arrow mark in the connector should head upward Scientech Technologies Pvt Ltd 25 Caddo 17B Monitoring 5 1 Operation Procedure Ultrasound Transducer and TOCO Transducer Positioning showed as Figure 5 1 Ultrasound Transducer TOCO Transducer _ Figure 5 1 Ultrasound Transducer amp TOCO Transducer Positioning 5 1 1 Ultrasound Monitoring of FHR Ultrasound monitoring can be used for antepartum monitoring it is a method to obtain FHR through maternal abdominal wall Put the FHR transducer on maternal abdomen to transmit lower energy ultrasound wave to fetal heart then receive the echo signal from it Operation Procedure 1 Preparing the Monitor Turn the monitor on and verify that the normal monitoring screen appears on the display Check the ultrasound transducer to verify proper attachment to the monitor For twins monitoring make sure the second ultrasound transducer if properly connected Set the current heart rate channel to channel USI and adjust FHRI volume well Attach the buckle of the ultrasound transducer to the belt Apply aquasonic coupling gel to the face of the
8. will prolong the life of the transducer Although transducers are designed for durability they should be handled with care Rough handling could damage the cover piezoelectric crystals and mechanical movement The cover is made of a soft plastic and contact with hard or sharp objects should be avoided Do not excessively flex the cables Warning Under no circumstance are transducers to be used to monitor patients under water Caution Be sure that the cleaning solution and transducers do not exceed a temperature of 45 degrees Scientech Technologies Pvt Ltd 31 Caddo 17B 2 Cleaning of Ultrasound Transducer TOCO Transducer and Remote Marker 1 Wipe the transducer with a cloth 2 Clean the transducer with a cloth soaked in a solution of soap and water or a cleaning solution Do not immerse the transducer in the solution Or a cloth soaked in a solution of 70 ethanol to clean the transducer When using a cleaning solution follow the manufacturer s directions carefully to avoid damaging the transducer 4 Wipe the transducer with a cloth soaked in water 5 Wipe the remained humidity with clean and dried cloth 6 4 Care of Recorder and Paper Note Please do not use paper not recommended by CONTEC or we will not warrant to repair if any damage occurs When storing recorder paper including used paper with traces Do not store in plastic envelopes Do not leave exposed to direct sunlight or ultraviolet li
9. 25 Figure 3 3 Twins monitoring interface The main monitoring interface Twins Monitoring is divided into 5 parts according to display content they are status bar data section parameter section indicate bar and wave display section It displays in status bar that sound channel and volume connection status of ultrasound Transducer I ultrasound Transducer II twins monitoring and TOCO transducer Freeze status print status alarm on off It displays FHR 1 from Ultrasound Transducer I FHR 2 from Ultrasound Transducer II Twins monitoring and TOCO Fetal Movement data parameter section displays the important parameter of current settings time bed number time of pregnancy and age of pregnant woman are displayed Scientech Technologies Pvt Ltd 11 Caddo 17B in indicate bar waves from ultrasound transducer I channel ultrasound transducer II channel Twins Monitoring and TOCO transducer are displayed in wave display section Detail instruction as followed 1 Status Bar A Sound channel and volume Icon o 1 3 1 0 A Sound Icon Be Sound Icon I The No of FHR sound channel it is I under single fetal monitoring mode which is default I If selectable under twins monitoring mode it can be changed through the main menu 3 Volume level ranging from 0 7 O stands for sound off It can be changed through the buttons on the panel or set in the main menu B Connection status of ultrasound transducer Icon fa ie S
10. Caddo 17B Fetal Monitor Learning Material Ver 1 1 An ISO 9001 2008 company E scient Ec Innovative Technology Ecosystem 94 Electronic Complex Pardeshipura Indore 452 010 India Tel 91 731 4211100 Fax 91 731 2555643 e mail info scientech bz Websites www caddo bz www scientech bz www scientech bz Certificate Standard ISO 9001 2008 Cerificate Registr No 85 100 001 10182 TUV Rheintand India Pvt Lid Certificate Hoida Scientech Technologies Pvt Ltd Unt 1 94 101 Electronics Complex Pardeshi Pura Indore 452 010 Madhya Pradesh india Unit 2 90 91 Electronics Complex Pardeshi Pura indore 452 010 Madhya Pradesh india Scope Design Manufacture of Electronic Tost amp instruments Training Products for Electrical amp Electronics Education and Providing Technology Training An audit was performed Report No 10182 Proof has been furnished that the requirements according to ISO 9001 2008 are fulfilled The due date for all future audits is 04 10 dd mm Validity The corticate is vald from 2010 12 13 until 2013 12 12 Dangers 2030 12 20 fa The Contador Naty of TUV Anreniana how Pvt Lid ee he oe we see ey yes 6 ee ee ee Se Ce e ee te Cette ee te ere ete NE be net OP Oe eee Se Fee HEY www tuv com A TUVRheinland Precisely Right Caddo 17B Caddo 17B Fetal Monitor Table of Contents Safety Guidance Introduction For The Safe Operation Ultrasound Sa
11. Dimensions 8 4 color LCD display folding 60 degree Display Content bed No pregnancy age age single twins type paper speed date time volume alarm status transducer connection status recorder status FHR data and wave Contraction data and wave Fetal move times and mark etc Scientech Technologies Pvt Ltd 34 Caddo 17B Print Record Paper two double type Z Print Width 112mm Valid Print Width 104mm Paper output speed Icm min 2crn min 3cm min optional Data Precision 5 X Roll 1 1 Y Roll Record Content bed No name pregnancy age single twins type case No paper speed date time FHR data and wave Contraction data and wave Fetal move times and mark etc Signal Interface RJ 45 Ultrasound probe Nominal Frequency 1 0MHz Work Frequency 1 0 MHz 10 Negative peak sound pressure P _ lt 1MPa Output beam intensity ob lt 20mW cm The peak time space peak intensity Ispta lt 100mW cm The average time space peak intensity Ispta lt 10mW cm FHR Rang 65BPM 210BPM Resolution IBPM Accuracy 2BPM TOCO TOCO range 0 100 Resolution 1 Nonlinear error lt 1 10 RZ way Manually Fetal Marking For the manual button the operation of pregnant women there will be a mark display in the bottom area of FHR wave display section Scientech Technologies Pvt Ltd 35 Caddo 17B FHR Alarm Alarm for high and low FHR which exceeds appointed limit A 1 2 Tr
12. Section This section also be divided into 2 sections FHR trend graph is displayed in the upper section TOCO waveform is displayed in lower section FHRI Trend is in green FHR2 trend is in Yellow only displayed in twins monitoring the normal range of the fetal heart rate is 120 160bpm Which be showed in green on the screen Fetal movement mark gt alarm mark W event mark will also be showed in this section Scientech Technologies Pvt Ltd 13 Caddo 17B 3 1 5 Buttons There are several buttons of different functions on the front panel of fetal monitor The diagram is showed as Figure 3 4 Power on Indicator ALARM Button ZERO Button MENU Button PRINT Button PRINT Volume down Button b s40 Volume up Button EVENT Button gt amp FREEZE Button EVENT FREEZE Tp oe Figure 3 4 Buttons 1 Menu Button El Push Menu Button to enter setup menu push it again to return monitor screen When operating in other menu push this button to return this menu Only turning knob button can exit wave review mode Detailed operation please refer Figure 3 2 2 Alarm Button X Function Enable Stop audio alarm when FHR is in alarm range When BA bot appears the alarm indicator status is shut off Press the button to enable audio alarm the alarm indicator becomes 3 when FHR is in alarm situation the alarm sound will be given out Scientech Technologies Pvt Ltd 14 Caddo 17B
13. able Range 1 Speed Print 1 cm min 2cm min and 3cm min The default value is Speed 3cm min 2 Length Print 024 hours the interval is 10 minutes Length The default value is 30 minutes 73 Basellne Baseline Adjustable 10 I 0 the interval is 1 the default value is offset 0 4 baseline print Print the ladder from testing wave PAPER OEE Please select it between American standard printing 5 lof printing paper teh type paper and Europe standard printing paper 6 Exit Return to the upper menu Scientech Technologies Pvt Ltd 23 Caddo 17B Installation Note To ensure that the monitor works properly please read this chapter and Chapter 1 Safety Guidance And follow the steps before using the monitor 4 1 Open the Package and Check Open the package and take out the monitor and accessories carefully Put the monitor at safe and reliable place Check the components according to the packing list Y Check for any mechanical damage y Check all the cable and accessories If there is any problem contact us for your local distributor immediately 4 2 Connect the Power Cable y Make sure the AC power supply of the monitor complies with the following specification 100 V 240AV 50 60Hz Y Consider the local power supply range if the power supply of the monitor exceeds the range please add regulator equipment Apply the power socket of the monitor Plug one end of the power cable to the power socket of th
14. ansducer operates at a frequency of 1 0MHz Put the ultrasound transducer on maternal abdomen to transmit lower energy ultrasound wave to fetal heart then receive the echo signal from it TOCO Transducer This transducer is a too tonometer whose central section is depressed by the forward displacement of the abdominal muscles during a contraction It is used for assessment of frequency and duration of uterine contractions It gives a subjective indication of contractions pressure Remote Marker The remote marker is a hand held switch operated by patient The mother is normally instructed to push down the switch when feeling fetal movement Scientech Technologies Pvt Ltd 10 Caddo 17B Ultrasound Transducer I TOCO Transducer Remote Marker are three in one transducers their sockets are marked FHRI TOCO MARK on the monitor panel 4 Ultrasound Transducer II is the transducer for FHR 2 Twins Configuration it s socket is marked FHR2 on the monitor panel 3 1 2 Left Side Sockets Power Socket Fuse Socket Figure 3 2 Left Side Sockets 3 1 3 Interfaces and Symbols FHRI TOCO MARK socket Socket for FHRI TOCO transducer and remote Marker FHR2 socket Socket for FHR2 Transducer Y Yy Socket for Grounding Cable NET Socket for network A Warning Symbol Push LCD Screen rotation lock 3 1 4 Main Interface ALM HI ALM Low ALM DELAY 14 SPEED 3 LENGTH 1458 23 BED NO 2 WEEKS 23 AGE
15. ansducers 1 Ultrasonic Transducer System Pulsed Doppler Dimension 90mm x 65mm 2 TOCO Transducer System Passive Strain gauge Dimension 102mm x 50mm 3 Remote Marker Length 3 2m Attachment 2 Troubleshooting Note If trouble occurs during operation examine the product by the following ways If it not works please contact the local distributor or manufacturer do not open the machine by the user 1 The screen not display Shut off the power pun out the power cord to check the electrical current goes through the socket and the power cord connects with the equipment properly To check the fuse if it is melt down change the fuse 2 Noises Symptom Possible Cause Solution Too high volume sets other Adjust the volume down Noise Interfered by handset or interfering source Keep the handset or other interfering source far away Scientech Technologies Pvt Ltd 36 Caddo 17B 3 Recorder Errors Symptom Possible Cause Solution Wrong feeding paper or paper is Feed paper correctly and keep Paper jam affected with damp paper from moist Recorder does not work PRINT button is disabled Press the PRINT button again Out of paper Feed paper Just push print button the printing of last line not finished Waiting until it is finished 4 Ultrasound Monitoring of FHR Symptom Possible Cause Solution Wr
16. ble anesthetics or other materials may occur Warning A Shock Hazard the power receptacle must be a three wire grounded outlet A hospital grade outlet is required Never adapt the three prong plug from the monitor to fit a two slot outlet If the outlet has only two slots make sure that it is replaced with a three slot grounded outlet before attempting to operate the monitor Warning A Shock Hazard Do not attempt to connect or disconnect a power cord with wet hands Make certain that your hands are clean and dry before touching a power cord WarningA The monitor should be installed by an authorized and qualified service engineer Warning A Shock Hazard Do not remove the top panel covers during operation or while power is connected Warning A Only connect the device to Contec supplied or recommended accessories to avoid the injury of the doctors and patient Warning A Do not switch on device power until all cables have been properly connected and verified Warning A Don t touch signal input or output connector and the patient simultaneously Warning A Accessory equipment connected to the analog and digital interfaces must be certified according to the respective IEC standards e g IEC 950 for data processing equipment and IEC 60601 1 for medical equipment Furthermore all configurations shall comply with the valid version of the system standard IEC 6060 I I I Everybody who connects additional equipment to the signal input c
17. cts or repaired by anyone other than the manufacturer authorized representative 3 This warranty shall not extend to any instrument that has been damaged subjected to misuse negligence or accident 4 This warranty shall not extend to any instrument from which the manufacturer s original serial number tag or product identification marking have been altered or removed 5 The product were operated and used not properly Scientech Technologies Pvt Ltd 33 Caddo 17B Attachment I Product Specification A1 1 Monitor Physical Characteristics Size 320 length x 260 width x 80 height mm Weight about 3 35 Kg Security The Monitor obey the following norms and standards IEC 60601 1 4 IEC 60601 1 2 Anti shock types Facilities I no internal power supply Anti electric Shock Degree B Degree of protection against Harmful Ingress of Water Moderate equipment and do not have the ability to waterproof immersion Degree of Safety in Presence of Flammable Gases not suitable for use in presence of flammable gases Electromagnetic Compatibility Group I Class A Mode continuous work Power Supply Working Voltage AC 100V 240V Frequency 50Hz 60Hz P lt 60VA Fuse TI 6AL Environment Transport and storage Temperature 10 C 55 c Relative Humidity lt 93 Atmospheric pressure 70kPa 106kPa Working environment Temperature 5 C 40 C Relative Humidity lt 80 Atmospheric pressure 70kPa 106kPa Display
18. e Please lock the LCD Screen during transportation to avoid any damage of the monitor Scientech Technologies Pvt Ltd 15 Caddo 17B 3 2 Setup Under Main monitoring interface Press the Menu button or knob key to enter setup mode the diagram is showed as Figure 3 5 SETUP ALH SEI 93 HONI TYPE PAT SET gt LANGUAGE SYSTEH SET CHANNEL I REVIEW gt gt CHANNEL II PRINT SET Exit the menu Figure 3 5 Setup Revolving knob key to select different function The Corresponding function and the adjustable ranges are showed in table3 1 Table 3 1 the setup function and adjustable ranges No Function Adjustable Ranges 1 ALM SET Alarm Setup Enter Alarm Setup 2 PAT SET Patient Setup Enter Patient Setup 3 System Set System Setup Enter System Setup 4 Review Waveform Review Enter Waveform Review 5 Print Set Print Setup Enter Print Setup Optional single twins the default is single fetus Optional Chinese CH English EN the default is EN 6 MONI TYPE Monitor Mode 7 Language Language Selection Channel Setup I AudiojAdjustable 1 7 and mute the Channel I setup default is 3 Channel II Audio Channel I Adjustable I 7 and mute Setup the default is 3 Optional I II fetal heart audio 10 Channel Audio Channel come from the selected channel Exit main menu back to main I Et interface Scientech Technologies Pvt Ltd
19. e monitor Connect the other end of the power cable to a grounded 3 phase power output special for hospital usage Connect the ground wire if necessary 4 3 Connect with Network If the network has been ready insert the network cable into the RJ45 interface of the monitor 4 4 Feeding Paper and Removing Paper Jam If the paper is used up or paper jam happens you have to feed paper into the recorder the operation procedure is as follows 1 Open the paper cabinet 2 Take out the Z type thermal sensitive paper from the wrapper Put the green safety band to the left and the face of the paper downward Please refer to paper installation note on the bottom of the cabinet 3 Feed the record paper into the slot of the recorder and push out form the middle of the notch 4 Close the paper cabinet properly Scientech Technologies Pvt Ltd 24 Caddo 17B Removing Paper Jam When the recorder sounds or the output of the paper improper open the paper cabinet to check for a paper jam then feed the paper again Note Only use the manufacturer approved paper to avoid poor printing quality deflection or paper jam 4 5 Power on the Monitor Warning If any sign of damage is detected do not use it on any patient Contact biomedical engineer in the hospital or our service engineer immediately Turn on the power and the power indicator lights the monitoring screen lights Note There will be initialization time for
20. ent Setup Revolving the knob key to setup patient function The Corresponding function and the adjustable ranges are showed in the table 3 3 Scientech Technologies Pvt Ltd 18 Caddo 17B Table 3 3 the patient setup function and adjustable ranges No Function Adjustable Ranges 1 Name Name Optional 12 letter or numeral The default is blank 2 Age Age Optional numeral from 1 100 The default is 25 3 Bed No Bed No oo numeral from 1 100 The default A Optional 12 letter or numeral The default 4 Pat No Case History No is blank 5 Room Ward No Optional 5 letter or numeral The default is blank Optional 1 IOO The unit is week The 6 Length Time of Pregnancy default is 0 Optional A B AB 0 and N unknown Te poo peeve TE The default is N Partus NUM Times of 8 Giving Birth Optional 0 20 the default is 0 Ge E Be NUM anny ON a edes Fetus Pregnant Pregnancy 10 NUM Times 0 Optional 0 20 the default is I 2 250 interval 0 5Kg unit Kg or Pound 11 Weight Patient s Weight the default value is 65Kg or 20 300 interval 0 5cm inch unit cm or 12 Height Patient s Height inch the default value is 165cm 13 Delete Delete Information Delete related patient information 14 SAVE Save Information Save related patient information return to previous menu 15 Exit Return to previous menu Scientech Technologies Pvt Ltd 19
21. er at the folding place 3 Switch off the power of monitor Maintenance Care and Cleaning To ensure that the monitor works properly please read the manual and operation procedure as well as the maintenance before using the monitor and operate it as requested 6 1 Preventive Maintenance 1 Visual Inspection The user must check that the equipment cables and transducers do not have visible evidence of damage that may affect patient safety or monitoring capability before use The recommended inspection interval is once per week or less If damage is evident replacement is recommended before use Routine Inspection The equipment should undergo periodic safety testing to insure proper patient isolation from leakage currents This should include leakage current measurement and insulation testing The recommended testing interval is once a year or as specified in the institution s test and inspection protocol Mechanical Inspection Y Make sure all exposed screws are tight Y Make sure all models and connector are in proper positions Check the external cables for splits cracks or signs of twisting replace any cable that shows serious damage 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 Scientech Technologies Pvt Ltd 30 Caddo 17B
22. fety Guide Safety Precautions Introduction Intended Use and Application Features Monitor and Setup The Monitor Setup Installation Open the Package and Check Connect the Power Cable Connect with Network Feeding Paper and Removing Paper Jam Power On the Monitor Connect Transducers Monitoring Operation Procedure Print Operation Operation After Monitoring Maintenance Care and Cleaning Preventive Maintenance Care and Cleaning of Monitor Care and Cleaning of Transducer Care of Recorder and Paper Cleaning of Belt Sterilization 26 26 29 30 30 30 31 31 32 32 32 Scientech Technologies Pvt Ltd Caddo 17B Disinfection 7 Attachment 1 Product Specification Monitor Transducers Attachment 2 Troubleshooting 9 Attachment 3 Monitoring Figure 10 Warranty 11 List of Accessories 33 34 34 36 36 39 40 40 Scientech Technologies Pvt Ltd Caddo 17B Copyright Copyright Scientech Medicare Attention This document contains proprietary information protected by copyright law No part of this document may be photocopied reproduced or translated to another language without prior written consent of Contec Contec assumes no responsibility for any errors that may appear in this document or for incidental or consequential damage in connection with the furnishing performance or use of this material The information contained in this document is subject to change without notice Responsibility
23. ght Do not exceed a storage temperature of 40 C Do not exceed a humidity of 80 Storage conditions outside these limits may distort the paper and adversely affect the accuracy of grid lines or make the trace unreadable 6 5 Cleaning of Belt Wash soiled belts with soap and water The water temperature must not exceed 60 C 6 6 Sterilization To avoid extended damage to the equipment sterilization is only recommended when stipulated as necessary in the hospital maintenance schedule Sterilization facilities should be cleaned first The sterilization the manufacturer recommended to cleaning the monitor and accessories are ethanol and Acetaldehyde Caution To avoid damaging the monitor 1 Follow the manufacturer s instruction to dilute the solution or adopt the lowest possible density 2 Do not let liquid enter the monitor 3 No part of this monitor can be subjected to immersion in liquid 4 Do not pour liquid onto the monitor during sterilization 5 Wipe the device with a clean moistened cloth to remove any remaining sterilant Scientech Technologies Pvt Ltd 32 Caddo 17B 6 7 Disinfection To avoid extended damage to the equipment disinfect ion is only recommended when stipulated as necessary in the hospital maintenance schedule Disinfections facilities should be cleaned first CAUTION 1 Follow the manufacturer s instruction to dilute the solution 2 Do not use bleaching powder containing ch
24. ing process when recorder is printing 3 Recall Print Use know key to select wave to print in wave review status and then push print button to print the selected wave 4 Freeze Print Push print button in freeze status to print the wave displayed in screen 5 Print Content The print output content contains BED NO NAME WEEKS PATIENT NO FHRI trend FHR2 trend Twins Monitoring TOCO wave print speed date time It also contains other icons like auto zero mark X alarm mark M FMOV mark gt event mark etc Note a When paper is used out printing will stop and the data will be saved in memory when paper reloaded operator can use wave review function to print the saved data b The monitor has the function of 12 hour wave storage review and print Record will not saved when monitor is turned off c To ensure print precisely recommend to print and adjust the baseline when paper is loaded d Ifthe paper coming out from the notch in deflection way when printing the data may be not precise or paper jam will occur operator should stop printing and reload paper e Please set all print parameters well before printing and do not try to change the setup in the process of printing Scientech Technologies Pvt Ltd 29 Caddo 17B 5 3 Operation After Monitoring 6 1 Remove transducers from patient Wipe transducer with a soft cloth to remove remaining ultrasound coupling gel 2 Tear the pap
25. lor on the screen Caution Do not mistake the higher maternal heart rate for fetal heart rate 4 Monitor Adjustments Adjust the position of ultrasound scanner according to the need There is only one fetal heart sound can be heard from the speaker change it by selecting different channel of fetal heart sound the first sound channel for FHRI and the second sound channel for FHR2 Readjust the volume setting for the desired loudness Note The ultrasound transducer measures the FUR the misuse of it will be result in wrong measurement or misunderstanding of it So it requires the doctor pay attention to it 1 The best quality records will only be obtained if the transducer is placed in the optimum position 2 Positions with strong placental sounds swishing or fetal cord pulse indistinct pulse at fetal rate should be avoided 3 Tf the fetus is in the cephalic position and the mother is supine the clearest heart sound will normally be found on the midline below the umbilicus During monitoring prolonged lying in the supine position should be avoided owing to the possibility of supine hypotension Sitting up or lateral positions are preferable and may be more comfortable to the mother 4 It is not possible to FUR unless an audible fetal heart signal is present The fetal pulse can be distinguished from the maternal pulse by feeling the mother s pulse during the examination 5 During the monitoring the doctor should observe
26. loros on any parts of the monitor 3 Do not disinfect the monitor and it s accessories with autoclave gassing formaldehyde process or radiation 4 Check carefully after cleaning sterilization or disinfect ion of monitor and accessories If aging and damage are found please do not use them to monitor Note The manufacturer has no responsibility for the effectiveness of controlling infectious disease using these chemical agents Please contact infectious disease experts in your hospital for details 7 Warranties The manufacturer warrants that the Fetal Monitor we sell is free from defects in material and workmanship In the status of normal operation and maintenance if the manufacturer receives notice of such defects during the warranty period that begins on the date of shipment the manufacturer shall at its options either repair or replace hardware products that prove to be defective The unit is guaranteed for periods of 12 months valid from the date of purchase The manufacturer also provides long term repair service for our clients The manufacturer s obligations or liability under this warranty does not include any transportation or other charges or liability for direct indirect or consequential damages or delay resulting from the following conditions The following conditions are not included in the warranty 1 Assembly operation extensions re adjustments are carried out by the importer 2 Application of the produ
27. m 3 System Update This device supports system update service In system setup menu revolving the knob key to enter System update Scientech Technologies Pvt Ltd 21 Caddo 17B Note Please enter password under the item USR KEY before click CONFIRM This password is provided by manufacturer or distributor when Contec add new function to upgrade the system 4 Version Revolving the knob key to enter System setup choose version item and push the knob key to see the equipment version 4 Wave review Choose the Wave Review in the setup menu to enter wave review and press Wave Review in this item to review the history wave which is showed as Figure 3 10 REVIEW REVIEW REVIEW EXIT Figure 3 10 Review Select left or right or revolve the knob key to view monitoring wave in different time the end time for the current monitoring wave is showed at the down right comer in the show area The wave form could be reviewed for twelve hours as the longest 5 Print Setup Revolving the knob key to enter print setup the diagram is showed as Figure 3 11 PRINT SETUP BASELINE BASELINE Figure 3 11 Print Setup Revolving the knob key to setup print function The Corresponding function and the adjustable ranges are showed in the table3 5 Scientech Technologies Pvt Ltd 22 Caddo 17B Table 3 5 The print setup function and adjustable ranges No Function Adjust
28. of the Manufacturer Contec only considers itself responsible for any effects on safety reliability and performance of the equipment if Assembly operations extensions re adjustments modifications or repairs are carried out by persons authorized by Contec and the electrical installation of the relevant room complies with national standards and the instrument is used in accordance with the instructions for use Note This device is not intended for home use A Warning lA This device is not intended for treatment If there is doubt as to fetal well being after using the unit further investigations should be undertaken immediately using alternative techniques The accuracy of FHR is controlled by the equipment and can not be adjusted by user If the FHR result is distrustful please use other method such as stethoscope to verify or contact the local distributor or manufacture to get help Using This Label Guide This guide is designed to give key concepts on safety precautions A Warning A A Warning label advises against certain actions or situations that could result in personal injury or death A Caution A A Caution label advises against actions or situations that could damage equipment produce inaccurate data or invalidate a procedure Note A Note provides useful information regarding a function or procedure Scientech Technologies Pvt Ltd 5 Caddo 17B Safety Guidance 1 1 Introduction for the Safe Ope
29. ong FHR No Inconstant trace The pregnant woman is too fat No Inconstant display Improper ultrasound transducer position Change the position of ultrasound transducer Loose abdomen belt Tighten abdomen belt Superfluous coupling gel Wipe off superfluous coupling gel Fetal movement Wait for a moment then monitor Maternal movement Relax patient s spirit Inadequate coupling gel Use recommended coupling gel quantity Doubtful FHR Record Fetal heart rate wrongly Change the position of Scientech Technologies Pvt Ltd 37 Caddo 17B not The ultrasound transducer is placed well abdomen and the mixed noise has been recorded on the Ultrasound transducer Change the position of ultrasound transducer Feint trace or no trace Improper paper Use the paper recommended by manufacturer 5 Monitoring Contractions External Symptom Possible Cause Solution Worse trace quality or fluctuant TOCO baseline Too tight or too loose Abdomen belt or no elasticity Ensure the abdomen belt has been Used accurately and neither too tight nor too loose Maternal Movement Relax patient s spirit Fetal Movement Wait for a moment then monitor higher than 100 unit The body pressure I f bl f Too high TOCO from r a e a u Te Cae atien skin wi sensitivity Uterus to TOCOr
30. onnector or signal output connector configures a medical system and is therefore responsible that Scientech Technologies Pvt Ltd 7 Caddo 17B ooo amp g the system complies with the requirements of the valid version of the system standard IEC 60601 1 1 If in doubt consult our technical service department or your local distributor Caution ie The device is designed for continuous and is ordinary i e not drip or splash proof Caution k Keep the environment clean Avoid vibration Keep it far ITom corrosive medicine dust area high temperature and humid environment Caution Kk Do not operate the unit if it is damp or wet because of condensation or spills Avoid using the equipment immediately after moving it Tom a cold environment to a warm humid location Caution k Do not immerse transducers in liquid When using solutions use sterile wipes to avoid pouring fluids directly on the transducers Caution k Do not use high temperature heating or gas to disinfect the monitor and its accessories Caution k Turn off the power supply before clean the machine Caution k The temperature should not exceed 60 C when clean the belt Caution k Electromagnetic Interference Ensure that the environment in which the fetal monitor is installed is not subject to any sources of strong electromagnetic interference such as radio transmitters mobile telephones etc Caution k The monitor must serviced by prope
31. ote CD Do not use coupling gel on the TOCO transducer or transducer contact area Check the function by TOCO transducer and observe the change of relevant value 5 1 3 Event Marker Recording of Fetal Movement The event marker is a hand held switch the mother takes When FHR is monitored she operates the hand held event marker press switch when sensing fetal movement At the moment the mark will show in the correspond position of trend wave The count of fetal movement will add 1 after each push of the button Push the button and hold for one second then release for counting one fetal movement the fetal movement will be only counted once if the button is pushed more than one time during 5 seconds And the mark will show in the bottom area of FHR wave display section Scientech Technologies Pvt Ltd 28 Caddo 17B 5 2 Print Operation 1 Baseline Adjustment When start the monitor recorder will print the baseline automatically please check if the base line snap to grid of the paper If the baseline wave has some warp with the paper grid operator can adjust the baseline by the baseline adjustment in main menu Recorder will standby after printing baseline Operator could choose baseline test function in the print setup menu to test baseline at any time 2 Real Time Print Push print button under monitoring and recorder standby status to print real time wave the print icon is Se push the print button to stop the print
32. r training and knowledge practical personnel The recommended testing interval is once twice year or under the leakage current measurement and insulation testing Caution kk The device and reusable accessories could be sent back to the manufacturer for recycling or proper disposal after their useful lives Scientech Technologies Pvt Ltd 8 Caddo 17B Introduction The Fetal Monitor can provide different configurations according to different user requirements FHRI Ultrasonic Channel I FHR2 Ultrasonic Channel II TOCO FMOV Fetal Movement Marker Monitoring results can be recorded by built in recorder for continuous or intermittent records The monitor can be used individually or connected with PC through RJ45 Interface for the purpose of central monitoring 2 1 Intended Use and Application Fetal Monitor can acquire fetal heart rate maternal uterine contraction when pregnancies over 28 weeks to provide reference data for clinical use Dual Heart Rate Monitoring allows simultaneous monitoring of two heart rates for twins This is achieved by using the facilities of two ultrasound transducers and an external contractions TOCO transducer with a recorder The monitor can display FHR TOCO MARK remote sinuously by analyzing their mutual relations to judge fetal physiology pathology and maternity status and so on for medical professionals reference It is only suitable for the equipment in hospitals clinics
33. ration y y The Caddo 17B Ultrasonic Fetal Doppler Monitor Monitor is Class I equipment and designed to comply with IEC 6060 I I Switching within I minute at ambient temperatures between 5 C and 40 C Ambient temperatures that exceed these limits could affect the accuracy of the instrument and cause damage to the modules and circuits Allow at least 2 inches 5cm clearance around the instrument for proper air circulation The user must check the equipment cables and transducers do not have visible evidence of damage that may affect patient safety or monitoring capability before use The recommended inspection interval is once per week or less If damage is evidence replacement is recommended before use The user must be serviced only by authorized and qualified personnel The manufacturer can not accept responsibility for safety compliance reliability and performance if modifications or repairs are carried out by unauthorized personnel Identical replacement parts must be used Perform period safety testing to insure proper patient safety This should include leakage current measurement and insulation testing The recommended testing interval is once per year The protection categories against electric shock of the patient connections are 1 FHR1 2 FHR2 3 TOCO 4 MARK This symbol indicates that the instrument is IEC 6060 I I Type B equipment Type B protection means that these patient connections will comply with pe
34. rmitted leakage currents dielectric strengths and protective earthing limits of IEC 6060 I I y The monitor described in this user manual is not protected against a The effect of defibrillator shocks b The effects of defibrillator discharge c The interference of high frequency currents a The interference of electro surgery equipment e The interference of mobile phone Scientech Technologies Pvt Ltd 6 Caddo 17B 1 2 Ultrasound Safety Guide y Fetal Use The Monitor is designed for continuous fetal heart rate monitoring during pregnancy and labour Clinical interpretation of fetal heart rate patterns can diagnose fetal and or maternal problems and complications Instructions for Use in Minimizing Patient Exposure The acoustic output of the Monitor is internally controlled and can not be varied by the operator in the course of the examination The duration of exposure is however fully under the control of the operator Mastery of the examination techniques described in the User Manual will facilitate obtaining the maximum amount of diagnostic information with the minimum amount of exposure 1 3 Safety Precautions Warning and Caution messages must be observed To avoid the possibility of injury observe the following precautions during the operation of the instrument A A gt gt fe p Warning A Explosion Hazard Do not use the in a flammable atmosphere where concentrations of flamma
35. the monitor screen if the screen break off frequently the position of the ultrasound transducer may had out of proper position due to the moving of the fetus 6 During the monitoring if the FUR can be heard without steadily sound of the fetal Scientech Technologies Pvt Ltd 27 Caddo 17B heart it may not proper positions So move it slowly until the proper position is found But if it is not found the doctor should do other examination to observe if the fetus is normal 5 1 2 Monitoring Contractions Operation Procedure 1 Preparing the Monitor Turn the monitor on and verify that the normal monitoring screen appears on the display Insert the TOCO Transducer into the socket 2 Acquiring Uterine Contraction Data Fix the transducer The transducer is retained on the midline half way between the mother s funds and the umbilicus The position is shown as figure5 1 The display of external pressure is shown as a percentage of full scale The uterine activity reading at this point should be greater than 30 units and less than 90 units If the reading falls outside this range the belt may be too tight or too loose 3 Zero can be set more quickly by pressing the AUTO ZERO button on the front panel provided the mother is not experiencing a contraction The default contraction data will be 10 after press the AUTO ZERO button Caution Under no circumstances are transducers to be used to monitor patients under water N
36. transducer Acquiring the Fetal Heart Signal Determine the location of the fetal heart using palpation or a fetoscope Place the ultrasound transducer on the abdomen over fetal site and move it slowly until the characteristic hoof beat sound of the fetal heart is heard And then fix up the ultrasound transducer The elasticity of belt can be adjusted which make the patient monitored in the comfortable situation and the fetal heart rate value will be shown on the screen At the same time the ultrasound wave will be drawn in green color on the screen Scientech Technologies Pvt Ltd 26 Caddo 17B 3 Acquiring Twins Heart Rates Signal CMS800G is able to monitoring twins heart rates through two ultrasound transducers during the whole pregnant time Follow the step 2 mentioned above to acquire the heart rate for the first fetus Set the current heart rate channel to US2 and adjust FHR2 volume well so that the second heart sounds can be heard Determine the location of the second fetal signal using palpation or a fetoscope Attach the buckle of the ultrasound transducer to the belt Apply aquasonic coupling gel to the face of the transducer Place the second ultrasound transducer on the abdomen over fetal site and move it slowly until the characteristic hoof beat sound of the fetal heart is heard The fetal heart rate value FHR2 will be shown on the screen At the same time the ultrasound wave will be drawn in yellow co
37. transducer is far higher than the average value transducer Change the position ofi TOCO transducer if necessary Scientech Technologies Pvt Ltd 38 Caddo 17B Attachment 3 Monitoring Figure 150 EE OOA E o f BED NO 2 WEEKS 23 AGE 25 as Scientech Technologies Pvt Ltd 39 Caddo 17B Warranty 1 We guarantee this product against all manufacturing defects for 12 months from the date of sale by us or through our dealers Consumables like dry cell etc are not covered under warranty 2 The guarantee will become void if a The product is not operated as per the instruction given in the Learning Material b The agreed payment terms and other conditions of sale are not followed c The customer resells the instrument to another party d Any attempt is made to service and modify the instrument 3 The non working of the product is to be communicated to us immediately giving full details of the complaints and defects noticed specifically mentioning the type serial number of the product and date of purchase etc 4 The repair work will be carried out provided the product is dispatched securely packed and insured The transportation charges shall be borne by the customer List of Accessories Scientech Technologies Pvt Ltd 40
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