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Manual - EDAN USA

1. SYS mmHg Low Alarm Limit bpm 50 239 High Alarm Limit bpm 51 240 25 MFM CNS Central Monitoring System Monitor User Manual Functions and Operation DIA mmHg MAP mmHg NOTE The alarm setting change is valid only for the current monitoring of the window When the monitor starts new monitoring or after data saving or clearing is performed the user default alarm settings are restored The factory default alarm settings remain If you want to load the user default alarm settings click on the Default button in the bottom left corner 3 3 7 Viewing Mode By default the ViewBed window provides a full screen of the current monitoring information Optionally two more viewing modes are available Up and Down split mode and Left and Right split mode It 1s configurable by service engineers CTG Review Trend Review NIBP Review Event Review Alarm Settings FHRI1 140 FHR2 139 u5 MHR 227 spo2 97 TemP C 37 7 na fn it a mbu lc bal aa LA ia 8A uh Oo i MMA ERNE si n ace E a E MHR JJ sp02 100 Teea 37 7 FHR1 140 bia 139 UA 5 Sl e 53 16 a a n n B Ai o 110 E ae aa ea a he ae a sane anses ina eee aay PII ICA eR EAS Figure 3 20 Up and down split screen viewbed 2962 MFM CNS Central Monitoring System Monitor User Manual Functions and Operation CTG Review IA Vibe A AN A 09 37 22 09 38 22 Figure 3 21 Right and left split sc
2. 210bpm vertical ordinate is 20bpm cm Time Scale Real Time The time format of the x axis Relative Time Real Time The x axis displays the real time Relative Time The x axis displays the elapsed time of the system running Auto Section When the manual section is empty the system selects a Length section automatically for review diagnosing and printing This section length 1s adjustable 20min The length is 20min 30min The length is 30min 39 MFM CNS Central Monitoring System Monitor User Manual Functions and Operation Select Start For every auto section Position Center Start The cursor stays at the start of the section Center The cursor stays at the center of the section Grid Line Solid Solid The trend background has solid grid line Style Dashed Dashed The trend background has dashed grid line 3 9 2 Maternal Monitoring Setup On the Monitoring Setup interface you can set the maternal monitoring items listed in the following table and the parameters underlined are default values NIBP Unit mmHg Select NIBP unit ve Select temperature unit HR Source ECG Select maternal HR source priority If the set HR source does not have input signal the system switches the source Pulse to the other automatically 0 Fill Wave Choose the way of describing respiratory wave and PLETH and the default is Fill WaveM 3 9 3 CTG Option Setup On the Monitoring Setup
3. The report is exported to the preset directory NOTE 1 The program PDF Creator needs to be installed before you have access to exporting a report in a pdf file 2 Wait until export completes before performing any other operations 3 When exporting a multipage report in JPG format each page is saved in a separated Jpg file The page numbers differentiate their file names e g xxxx 1 jpg xxxx 2 jpg 4 Do not export more than 10 pages at a time 3 7 3 Emailing NOTE Windows XP sends email with Outlook and Win 7 sends email with Windows live Make sure this software can send emails normally before attempting to email the reports You can email the report file to others The file format is set in the export window To email the report 1 Open the Print window 2 Set all the items properly 3 Click on Email to select a recipient type in the subject and note and then click on OK 3 MFM CNS Central Monitoring System Monitor User Manual Functions and Operation OK Cancel E Modify Delete Subject 2011 5 31 Note I ooo Figure 3 29 Email the report The report 1s attached in the email and sent To add a recipient 1 Open the Email to window and click on Add m Recipients x Name JK Suan Wy Cancel E mail susan hotmiail corm lease input character string ength lt 50 Figure 3 30 Add a recipient 2 Type in the recipient name and Email address
4. User Manual EDANUSA MFM CNS Central Monitoring System Release 2 8 C Go About this Manual P N 01 54 13095 28 Release Date June 2011 Copyright EDAN INSTRUMENTS INC 2008 2011 All rights reserved Statement This manual will help you understand the operation and maintenance of the product better It 1s reminded that the product shall be used strictly complying with this manual User s operation failing to comply with this manual may result in malfunction or accident for which EDAN INSTRUMENTS INC hereinafter called EDAN can not be held liable EDAN owns the copyrights of this manual Without prior written consent of EDAN any materials contained in this manual shall not be photocopied reproduced or translated into other languages Materials protected by the copyright law including but not limited to confidential information such as technical information and patent information are contained in this manual the user shall not disclose such information to any irrelevant third party The user shall understand that nothing in this manual grants him expressly or implicitly any right or license to use any of the intellectual properties of EDAN EDAN holds the rights to modify update and ultimately explain this manual Responsibility of the Manufacturer The manufacturer only considers itself responsible for any effect on safety reliability and performance of the equipment if Assembly operations extensions
5. FHR1 US1 FHR2 US2 UA TOCO MHR ECG Figure 3 7 Maternal monitoring window You can read the following information on this interface j ECG waveform ECG waveform is a continuous waveform of the patient s cardiac electric activity detected by one of the leads k SpO waveform SpO2 waveform is a plethysmogram indicating the oxygen saturation of hemoglobin in the arterial blood m NIBP list The system keeps records of NIBP in the format of SYS DIA MAP NOTE The bedside monitor type and network protocol determine whether the maternal ECG PLETH will be transferred to MFM CNS 3 2 5 Selecting a Section Manually The auto section length in the CTG Review frame is preset and fixed You can also select a section manually The manual section has the highest priority when making a diagnosis and printing and the auto section take the second place Right click in the fetal heart trend area and then choose Select Section Start a ke symbol shows up Move the cursor to the next position right click on the mouse and then choose Select 15 MFM CNS Central Monitoring System Monitor User Manual Functions and Operation Section End a symbol shows up and the selected area is encircled 2 Annie Monitoring CTG Review Name Annie ID 1234 Trend Review NIBP Review Event Review Alarm Settings G P 1 0 GesWeek 36 FHR1 126 Fura 126 UA 100 MHR JG spo a a o N N 4 p
6. Forward End 431 Wolk Figure 3 6 Scroll control keys in Right Click Menu D Scroll Bar Drag the scroll bar to jump to the required position E Home Click on Home or KJ to jump to the start of the monitoring trend 4 Backward Click on Backward or 4 to play the monitoring trend backward fast Click in the trend display area to stop playing midway gt Forward Click on Forward or p gt to play the monitoring trend forward fast Click in the trend display area to stop playing midway Click on End or LA to jump to the end of the monitoring trend 13 MFM CNS Central Monitoring System Monitor User Manual Functions and Operation h Maternal Vital Signs If maternal monitoring is in process the MHR SpO2 and TEMP are listed every 10 minutes and NIBP is listed when it is performed i Signal Sources The sources of FHR UA and MHR are shown beneath the trends Source FHRI US FHR1 signal comes from an ultrasound transducer aa DECG FHR1 signal comes from a fetal scalp electrode US FHR2 signal comes from an ultrasound transducer UA TOCO UA signal comes from a TOCO transducer UA signal comes from an IUPC HR signal comes from ECG leads HR signal comes from a SpO sensor The bedside monitor starts new monitoring by pressing the START key A manual fetal movement It appears after the patient presses the FM marker when she feels a fetal movement Note icon indicating a note is added on CNS or
7. The title bar shows the device number of the bedside monitor and the patient name When an alarm is active the alarm message is displayed in the middle of the bar and the alarm indicator flickers in yellow 2 Review Frame Option Click on one of the frames to open this frame 3 Maternal Information The information of the patient you input 1s displayed in this area 4 Numeric Area The numeric measurement result of fetal monitoring includes FHR fetal heart rate UA uterine activity and MFM manual fetal movement count That of maternal monitoring may include llos MFM CNS Central Monitoring System Monitor User Manual Functions and Operation MHR maternal heart rate SpO arterial oxygen saturation NIBP non invasive blood pressure and TEMP temperature 5 Trend Area According to the display mode the trend area displays fetal and or maternal monitoring traces 3 2 3 Monitoring Frame Fetal Monitoring 2 Annie CTG Review Trend Review NIBP Review vent Revie Alarm Settings Name Annie FHR1 142 rr2142 vaB mr76 50298 Tewrco 37 6 AA pe FERE H KONW f Wt oct 0 15 36 44 2011 5 23 15 37 44 FHR1 USL FHR2 US2 UA TOCO MHR ECG Figure 3 4 Fetal Monitoring display NOTE The displayed time corresponds to the thick graduation on the left You can read the following information on this interface a b FHR1 FHR2 Trace The range of FHR numerics has three options 60bpm 210bpm 30bpm 240bpm
8. or 50 bpm 210 bpm The dark band in between the fetal heart rate panes indicates the FHR safety range according to the preset alarm limits and the top edge is not higher than 180 the bottom edge 1s not lower than 100 It makes 1t easy to observe 1f the FHR exceeds the normal range So you can tell if the fetal heart rate is too low or too high NOTE Due to the screen resolution and window size the traces may look different on ll eee MFM CNS Central Monitoring System Monitor User Manual Functions and Operation different LCDs The screen with high resolution and big size provides the interpreter with better reading effect The diagnosis should be made based on the printed monitoring report c HR Trace Maternal heart rate trace the y axis of the trace indicates the numerics of HR d SpO Trace Maternal SpO gt trace the y axis of the trace indicates the numerics of SpO e AFM Trace The y axis indicates the scope of fetal movement NOTE The AFM trace is only for reference please take the MFM marks as criterion f TOCO Trace The y axis indicates the numeric of TOCO The range is 0 100 g Scroll Control To review more data you can drag the scroll bar left or right or use the play back and review keys Scroll Bar Playback and Review Keys Figure 3 5 Scroll control keys Alternatively you can right click in the trace area and select the keys in the pop up menu lind I WE Y Home Backward
9. 117 82 94 120 78 92 122 77 92 123 79 94 121 77 92 118 77 91 123 77 92 118 78 91 118 83 95 120 84 96 119 83 95 117 82 94 124 80 95 119 81 94 118 78 91 121 77 92 118 83 95 123 82 96 120 81 94 117 81 93 118 84 95 118 79 92 119 82 94 121 80 94 123 83 96 123 79 94 124 82 96 118 79 92 123 83 96 122 78 93 122 83 96 123 82 96 117 79 92 124 78 93 121 84 96 122 79 93 119 78 92 116 78 91 118 81 93 123 78 93 123 79 94 117 79 92 117 77 90 116 80 92 119 78 92 MFM CNS Central Monitoring System Monitor User Manual Functions and Operation 3 3 5 Event Review Frame The top half of the Event Review frame shows the CTG and the bottom half of the Event Review frame lists all the events Click on one of the events the system positions it at the center of the screen marked with a pink vertical line 2 Annie Monitoring Name Annie FHR1 153 ID 123456 FHR2 134 va 54 CTG Review Age 28 MHR 77 Trend Review G P 1 0 NIBP Review Event Review Alarm Settings 36 1 Spo2 100 NIBP nmHa 16 34 119 78 92 Teweco 37 5 Do v Ay Pot ee seis brs Sas Eeesesteeek i POETE 15 04 44 0 15 05 44 15 06 44 BEG PEACH A Met PA O HHH 15 12 44 a 15 07 44 15 08 44 15 09 44 15 10 44 15 11 44 15 13 44 15 14 44 System System System System System System System System System System System
10. 20 seconds When the remaining time is out the system enables the alarm sound automatically Alternatively you can click on the button to enable alarm sound manually If the alarm silence duration is set to Off A silence button appears in the toolbar When an alarm is active you can click on this button to disable the alarm sound and the audio alarm status indicator on the interface shows the flickering message Alarm Sound Off The sound is not enabled until the button is pressed 2 Visual alarms appear in the title bar area of each monitor frame When an alarm is active the system shows the following information on the interface Alarm indicator ak the alarm indicator is shown on the right end of the title bar It is illuminated in green if there is no alarm and it turns yellow when a low level alarm occurs or flickers in yellow when a medium level alarm is active Alarm message the alarm message appears in the middle of the title bar If there are more than one message they appear at the same area in succession 0 MFM CNS Central Monitoring System Monitor User Manual Functions and Operation Alarm symbol 44 the system marks an alarm symbol on the CTG at the place where a patient alarm occurs The alarm messages that might appear during monitoring are listed in the table in Appendix 1 NOTE Alarms of MFM CNS and bedside monitors are separated MFM CNS evaluates the patient vital signs and triggers p
11. 3 Click on OK this recipient is added To change a recipient information 1 Open the Email to window and click on Modify 2 Edit the recipient name and or Email address 3 Click on OK the new information is saved ls MFM CNS Central Monitoring System Monitor User Manual Functions and Operation To delete a recipient 1 Open the Email to window and click on Delete 2 Click on Yes the recipient is deleted 3 8 Archives Click on the Archives button studies and the patient information By clicking on the page turners on the bottom left corner you can review more studies m Archives ES to open the Archives window It lists all the monitoring Study List Record No o Name TET 2283 ap 42 1 0 3942 19 2011 4 6 09 33 17 00 30 17 2011104117162 201 2284 Di i 40 3 1 39 5 33 2011 4 6 10 26 14 00 28 29 2011104117165 201 2285 aed 32 3 1 34 1 2011 4 6 11 09 03 00 28 26 2011 04 17166 201 Search 2286 1 30 2 1 37 4 2011 4 6 12 28 54 00 21 20 2011104117167 201 2287 2 29 2011 4 6 13 00 52 00 24 13 2011104117168 201 Refresh 2288 p 37 3 1 38 0 3 2011 4 6 15 17 04 00 28 11 2011 04 17169 201 2289 Ba 29 2 1 40 1 2011 4 6 17 53 51 00 39 14 2011104117170 201 2290 1E 2011 4 6 19 55 29 00 29 12 2011104117171 201 2291 pom 30 2 1 37 4 2011 4 6 20 02 46 00 40 15 2011104117172 201 uan 2292 2011 4 6 22 05 36 00 24 04 2011104117173 201 ES 2293 1 30 2 1 37 4 23 2011 4 6 23 26 53 00 32 49 2011104117174 201 2204 1 34 5 1
12. 9 1 Petal MO Setup eaor a Hawieetatnens 39 3 9 2 Maternal Monitoring Setup erenneren ir ains s 40 E PG UO UI ola 40 A o A asses EA 4 39 SIM PUG Hospital Nail 42 OS CUMS ul API SOUIG la 42 397 SCLUNS AUTO Savin cid 43 O NOUS IV meN o edad ta cee 44 3 9 9 Setting Maternal Information Options oooooooonnnncccnnnnnnnnnnnnnnnonononinonnnnnnnnnnnnnnnnnnnnnos 45 39 10 Seting Auto Created Diada ida 45 Bd CTV IC Si Ue dde ia 45 O 47 DAA ii 47 DOD Modify PA O Sion 48 EN A II A ee nee ne 48 SOF Addie a Us coita tai Ea RE aiaiai 48 310 9 Modi ine a Users Ini Orima ln a 50 Se OC NG PG et Ue APA en o o OO E EE EE se ora orca tees eee eee 50 li A a e on een aero tert neem 50 OS MIO TAMIL ING capers sparse theca eter nee ce veces sesame aa aioe vette eee gee ae 51 o 0 ree ETE S EEE EE RP RP E 52 Oe Ee AU ee A A 52 Chapter 4 Shortcut for Operation xiesicssiiccceeccasssccadcesceeccevescesdiedseonterosssvdcessconacsoseosgecdoseaneonesseanent 53 Chapter Maintenant E ict scacasushdveacecsceaausned dea tonskan eaea aE Eaka Ena ane 55 Chapter O Service 56 Appendix L Alarm IVICSSABES aiii ii 57 IV MFM CNS Central Monitoring System Monitor User Manual Introduction Chapter 1 Introduction CAUTION 1 Federal U S laws restrict this device to sale distribution and use by or on the order of a physician 2 Read this user manual prior to using the device NOTE 1 This manual is explained basing on the highest configuration an
13. Enable time conflicting MoveBed When the time of the source monitor and the target monitor conflicts Ending time of the source data is later than the starting time of the target monitor the system allows the moving bed operation The default 1s on Accept ID from monitor The system accepts the ID made up of digitals or English letters inputted on the bedside monitor F9 software of version 2 5 or greater The default 1s off NOTE Even this feature is enabled the user can still input patient ID on CNS and the most recently modified one will prevail Send ID to monitor The system sends the inputted ID made up of digitals or English letters to the bedside monitor This feature 1s reserved and the default 1s off Show RESP Show RESP waveform and numeric The default 1s off Signals Overlap When the twin signals or the fetal heart signal and maternal heart signal overlap the system issues a message The default 1s off Transfer To monitor the fetus and the mother synchronously transfer the real time data of a patient monitor to a fetal monitor The default 1s off NOTE When this feature is enabled you can set the transfer condition on the monitoring window by right clicking on the mouse and choosing Transfer If the data transfer succeeds the window title flickers and shows 3 gt 5 indicating that data of monitor 3 is transferred to monitor 5 If the transfer fails you should check if the source monitor is a
14. after the monitor gets online again 50 1 Click on the Download button To download the data from the memory MFM CNS Central Monitoring System Monitor User Manual Functions and Operation Download to open the Download window All examinations from the memory are listed and the examinations that do not exist in the database are marked with New Archives and their progress is 0 0 w Download Monitorl 0202242026 0202242024 0202242023 0202241918 0202232303 0202232303 0202232303 0202232111 0202232103 0202232101 0202232054 0202232042 NrFPOWOOMAN AW BRWNHKRFPOVOAN OA UA WN FZ N NN Rp pl pl pl ops 24 02 2002 20 26 11 24 02 2002 20 24 09 24 02 2002 20 23 26 24 02 2002 19 18 52 23 02 2002 23 03 31 23 02 2002 23 03 30 23 02 2002 23 03 09 23 02 2002 21 11 00 23 02 2002 21 05 17 23 02 2002 21 03 51 23 02 2002 21 01 27 23 02 2002 21 01 09 23 02 2002 20 54 35 23 02 2002 20 42 33 00 00 20 00 01 43 00 00 42 01 04 16 19 59 04 00 00 01 00 00 21 01 52 09 00 05 43 00 01 26 00 02 23 00 00 17 00 06 34 00 11 43 Options File No ID Start Time CTGDuration Fiesme _ New Archives Progress File Type 358NXIDYW 18 02 2002 14 45 21 04 07 44 3 New Archives 8 0202172227 17 02 2002 22 27 27 00 01 58 18 02 2002 18 57 57 00 17 10 Select All 18 02 2002 19 23 56 18 40 06 18 02 2002 13 59 30 00 45 21 A 17 02 2002 22 30 07 15 29 03 0202242108 24 02 2002 21 08 17 00 12 30 Dir
15. e g Name 2 Input the key word either a part or all of the key word 3 Click on Search All the monitoring studies that meet the requirement are listed in the window Is MFM CNS Central Monitoring System Monitor User Manual Functions and Operation Record No 10 Name Age G P__ GesWeek Inpatient No Start Time CTG Duration 2283 Alice 42 1 0 239 2 19 2011 4 6 09 33 17 00 30 17 2011104117162 201 2284 Ammie 40 3 1 39 5 33 2011 4 6 10 26 14 00 28 29 2011104117165 201 Figure 3 32 Searching for a study 4 To return to the previous archives window click on the Refresh button 3 8 2 Loading a Study For the studies in the archives you can load them to the main interface At most 35 windows are allowed to be open at the same time Select a study in the list click on the Load button or double click on it It will be loaded to the ViewBed window You can review the traces and other information edit maternal information make diagnosis or print the reports Click on the button to close the window NOTE After modifying or inputting maternal information the change takes effect after the Archives window is closed 3 8 3 Statistic The statistic feature 1s used to search for the studies that were performed between the specified dates Click on the Statistic button in the Archive window input the start date and the end date in the same format as the system date and then click on OK Start Date OK 2
16. interface you can set the CTG items listed below Show normal FHR range Choose whether to show FHR safe range with green background in the FHR trend display area and the default is M The green band indicates the preset alarm range the top edge is not higher than 180 and the bottom edge is not lower than 100 It makes it easy to observe 1f the FHR exceeds the normal range and you can tell if the fetal heart rate is too low or too high Show mat name synchronously Show maternal name synchronously when showing date and time every 10 minutes and the default is O Show AFM trace Choose whether to show AFM trace and the default is O Show fetal movement count choose whether to show the count of fetal movement mark on the CTG and the default is Dl Show CTG duration choose whether to show the monitoring duration timer for each bed and the default is O Show MHR trace Choose whether to show MHR trace and the default is D Show MSpO2 trace Choose whether to show MSpO2 trace and the default is O _ AQ MFM CNS Central Monitoring System Monitor User Manual Functions and Operation 3 9 4 Interface Setup Enter the Setup interface and then click on General Setup You can set the interface items listed below Screen Color Select the color style for the Monitoring window Orange Green Blue Black Customize Color Customizing When Screen Color is set to Customize Item Color is enabled You can
17. note list for future use after it is inputted You can click on the buttons Ctrl Del to delete a note from the list If this item is not ticked the inputted note 1s not saved and can not be deleted directly 44 MFM CNS Central Monitoring System Monitor User Manual Functions and Operation 3 9 9 Setting Maternal Information Options Enter the Setup interface and then click on Mat Info Setup You can choose the maternal information options By default only some of the items are shown You can select or deselect the items as required in the Mat Info area After an item 1s selected it will appear in the maternal information menu the archives interface and the pull down menu of study searching condition 3 9 10 Setting Auto Created ID Enter the Setup interface and then click on Mat Info Setup You can choose whether to create an ID automatically If both Auto Create ID and ID in Mat Info are selected the system creates an ID for the patient when inputting maternal information This ID is editable and is available for real time monitoring 3 9 11 Service Setup The items in the Service Setup menu are password protected Only service engineers can change their settings Once they are changed the software should be restarted Therefore do not change the service settings during monitoring User Login The user management feature In order to protect the user s operation the software should be logged in to using a userna
18. right corner of the trend area with a purple background When the time is out the timer background turns into green and the message NST overtime is issued 18 MFM CNS Central Monitoring System Monitor User Manual Functions and Operation Save the data to start new monitoring the timer will be reset NOTE Instead of the time span the NST timer counts the length of effective CTG that the system has received The timer stops if no data is transferred to the system When the bedside monitor is offline does not has signal or MFM CNS is closed 3 2 9 Saving the Data After a patient finishes monitoring you should save her data as a study in the archives If 1t is not saved data of the new patient will be connected to that of the previous patient making it difficult to distinguish and diagnose If the current window contains data of only one patient you can click on the Save button EE in the toolbar All data will be saved as a study in the archives The data includes patient information CTG trends maternal vital sign trend and NIBP list You can load the study for review diagnosis and printing If the current window contains data of more than one patient you can save it partially Drag the scroll bar or click on the playback key to the new monitoring mark right click on the mouse and select Save Previous Click on Yes to confirm saving The system saves the previous data as a study in the archives and cl
19. the MARK key is pressed on the bedside monitor The monitor is zeroed by pressing the AUTO ZERO key A patient alarm is active Signals overlap Maternal vital sign list or maternal NIBP result NOTE The screen starts advancing when there is 3 second continuous fetal heart signal or if the UA change in 3 seconds is larger than 3 It stops advancing if no valid fetal heart signal is received in 1 minute and the UA change in 1 minute is smaller than 3 14 MFM CNS Central Monitoring System Monitor User Manual Functions and Operation 3 2 4 Monitoring Frame Maternal Monitoring monitoring CTG Review Trend Review NIBP Review Event Review Alarm Settings 2 G P 1 0 28 GesWeek 36 1 mR 76 502100 Tewrco 37 6 Ec I PLETH NIBP mmHg 122 77 92 Time 2011 5 23 14 11 116 83 94 119 77 91 119 81 94 119 79 92 117 78 91 120 82 95 122 79 93 117 78 91 118 77 91 119 82 94 119 83 95 123 80 94 124 81 95 117 82 94 120 78 92 122 77 92 123 79 94 121 77 92 118 77 91 123 77 92 118 78 91 118 83 95 120 84 96 2011 5 23 14 51 2011 5 23 15 01 2011 5 23 15 11 2011 5 23 15 21 2011 5 23 15 31 2011 5 23 15 41 2011 5 23 15 46 2011 5 23 15 56 2011 5 23 16 36 2011 5 23 16 46 2011 5 23 16 56 2011 5 23 17 06 2011 5 23 17 16 2011 5 23 17 26 2011 5 23 17 36 2011 5 23 17 46 2011 5 23 17 56
20. when the software is running the user cannot 46 MFM CNS Central Monitoring System Monitor User Manual Functions and Operation run other software The default is off Shutdown after exit To shut down the computer automatically after exiting the software The default is off 3 10 User Login NOTE 1 This is an optional feature enabled or disabled in Service Setup lo protect the user s operation it is recommended to enable this feature 2 Only advanced users can add modify or delete user information But information of users who already logs in is not modifiable 3 10 1 Login The login dialog box pops up when running the software Liserblame Service Figure 3 39 User login All user names are listed in the pull down menu of the UserName item Select your user name type in the correct password and then click on OK to login The user name is shown on the main l ll int er fa C e z Loan Y ATE MFM CNS Central Monitoring System Monitor User Manual Functions and Operation 3 10 2 Modifying Password After login you can change your password 1 Click on the user name button on the main interface Please input the password Cancel o oe Figure 3 40 Confirm user identity 2 Input the old password to confirm the user s identity m Modify Password x Password Ok ee Cancel Re Enter Password A Figure 3 41 Modify password 3 Input the new password twice
21. 0 11 5 1 Cancel End Date 20 1 1 5 20 Figure 3 33 Archive statistic menu The studies that meet the requirement are listed in the window To return to the previous archives window click on the Refresh button NOTE Statistic only supports the date between 2000 1 1 and the current date Ns MFM CNS Central Monitoring System Monitor User Manual Functions and Operation 3 9 System Setup ih Click on the Setup button in the toolbar to open the Setup window In this window you can change setting of the system NOTE 1 Settings of MFM CNS and the bedside monitors are separated they do not affect each other 2 The following setup can only be performed by advanced users General users do not have access to the setup window System Setup and Service Setup are supposed to be operated by authorized service engineers 3 9 1 Fetal Monitoring Setup After the Setup button is clicked the system enters the Monitoring Setup interface You can set the fetal monitoring items listed in the following table and the parameters underlined are default values Paper Speed lcm min Speed of the CTG trend paper advancing 2cm mim 20 When monitoring twins set FHR2 offset to separate the two FHR trends Paper Style Compact USA The background paper style for CTG trend USA Compact USA 60bpm 210bpm vertical ordinate 1s International 30bpm cm USA 30bpm 240bpm vertical ordinate is 30bpm cm International SObpm
22. 29 1 0 39 1 21 2011 4 8 09 49 43 00 24 03 2011104117195 201 2317 nr 29 1 0 37 0 2011 4 8 10 07 46 00 22 22 2011104117196 201 2318 un 27 1 0 38 6 2011 4 8 10 38 00 00 32 57 2011 04 17197 201 2319 E 25 1 0 41 1 10 2011 4 8 10 58 14 00 28 56 2011104117198 201 2320 nu 29 1 0 39 1 21 2011 4 8 11 09 38 03 51 37 2011104117205 201 2321 34 5 1 35 2 22 2011 4 8 11 12 27 00 56 06 2011104117201 201 2322 omy 26 2 1 35 2 2011 4 8 11 16 15 00 28 53 2011104117199 201 2323 26 1 0 38 2 2011 4 8 11 27 11 00 29 17 2011104117200 201 2324 201 28 1 0 41 0 2011 4 8 11 55 59 00 21 07 2011104117202 201 2325 i 34 5 1 35 2 22 2011 4 8 14 34 27 00 28 17 2011104117204 201 2326 12334455 fia 29 1 0 29 1 2011 5 13 18 46 22 12 02 33 2011 05 2326 2011 2327 0123456 210 29 1 0 35 5 2011 5 16 14 19 17 07 19 42 2011 05 2327 2011 2328 2011 3 10 17 45 59 00 00 00 201110312328 201 2329 aa 2011 5 16 13 48 26 07 51 01 201110512320 33 20 2330 2011 5 23 10 20 44 10 57 55 201110512330 201 2331 2011 5 24 14 02 16 09 16 36 201110512331 2011 2332 2011 5 25 09 21 22 04 53 04 201110512332 201 2333 2011 5 23 10 20 59 00 00 00 2011 05 2333 2011 2334 2011 5 23 10 20 44 20 14 31 201110512334 20117 gt lay 2334 2334 Di b334 Records xi Figure 3 31 Archive window 3 8 1 Searching for a Study When you are looking for a study use the search tool to find 1t quickly Search Method 1 Select a search condition in the pull down menu on the right of the interface
23. 35 1 2011 4 7 01 00 03 00 31 54 2011104117175 201 Backup 2295 wu 2011 4 7 03 15 55 00 23 45 2011 04 17176 201 2206 31 3 1 30 0 20 2011 4 7 08 16 00 00 29 30 2011104117177 201 Statistic 2297 rP 28 2 0 30 2 6 2011 4 7 08 45 31 00 29 58 2011104117178 201 2208 34 5 1 35 1 6 2011 4 7 09 17 50 00 22 43 2011 04 17179 201 2299 29 2 0 39 3 26 2011 4 7 09 22 24 00 28 00 2011104117180 201 2300 28 1 0 38 5 2 2011 4 7 09 50 25 00 26 23 2011104117181 201 2301 of 42 1 0 39 3 19 2011 4 7 10 14 10 00 21 07 2011104117182 201 2302 E 29 2 0 39 4 7 2011 4 7 11 01 03 00 31 48 2011104117183 201 2303 rE 29 2 0 3944 7 2011 4 7 12 17 04 00 25 29 2011104117184 201 2304 ae 29 2 1 40 6 2011 4 7 12 58 46 00 52 06 2011104117185 201 2305 z 27 211 39 6 39 2011 4 7 15 03 40 00 27 38 2011104117186 201 2306 nu 29 1 0 39 0 2011 4 7 16 13 13 00 24 28 2011104117187 201 2307 nu 29 1 0 39 0 21 2011 4 7 21 18 20 00 19 32 2011104117188 201 2308 Fi 24 2 0 39 6 2011 4 8 07 41 46 01 02 23 2011104117190 201 2309 uma 26 3 0 40 3 11 2011 4 8 07 50 30 05 40 55 2011104117203 201 2310 29 2 0 3944 26 2011 4 8 08 02 49 00 30 52 2011104117189 201 2311 A 31 3 1 30 1 20 2011 4 8 08 28 02 00 24 55 2011104117191 201 2312 28 2 0 30 3 6 2011 4 8 08 54 52 00 28 58 2011104117193 201 2313 z m 29 2 1 40 3 2011 4 8 08 56 54 00 26 19 2011104117192 201 2314 29 2 0 3944 26 2011 4 8 08 57 21 05 51 43 2011104117206 201 2315 8 34 5 1 35 2 22 2011 4 8 09 25 47 00 23 55 2011104117194 201 2316 nu
24. Click on the Help button to get the information of how to use this software 15 Exit Click on the Close button to exit from MFM CNS 54 MFM CNS Central Monitoring System Monitor User Manual Maintenance Chapter 5 Maintenance You should be familiar with the operation process and method of this system Read this manual in detail and understand the whole operation process before operating 1t MFM CNS needs simple maintenance during use However proper operation is required to guarantee longtime steady working of the system WARNING Turn off the power and remove the power cords before cleaning Maintenance for the Main Unit and Monitor 1 Keep the main unit and the monitor clean The main unit casing can be cleaned with a soft cloth dampened with water or mild detergent if necessary Use liquid very sparingly to prevent liquid from entering the equipment and remove any residue completely afterward 2 The main unit and the monitor should be placed in the dry and well ventilated place The air path for cooling the system should be kept well ventilated Avoid being placed in the dusty and humid environment CAUTION Avoid pouring liquids on the device while cleaning and do not immerse any parts of the device into any liquids 55 MFM CNS Central Monitoring System Monitor User Manual Service Chapter 6 Service If you have any question about maintenance technical specifications or malfunctions of devices contact you
25. EEE l EA lali ele 150 150 EEES IESO Nad VA RA 17 28 34 6 8 2011 17 31 34 17 33 34 17 35 34 17 37 34 17 39 34 17 41 34 17 42 34 OCKE FR1 132 Fz 442 va 2 mR 76 sp02 100 NIBP mmHa 17 38 1 24 7 oe FHRI 132 FR 142 vag PPP EE EEA A I dd des AH Ak carlin O ara peritoneo UP a ree AA Ppa A eN dE ON nee EEEE 1 100 F J Li fh Shae ave t tt H 17 28 34 6 8 2011 9 17 31 34 17 33 34 17 35 34 17 37 34 17 39 34 41 142 28 31 17 33 34 17 35 34 17 37 34 17 39 34 17 41 34 Figure 3 1 Main operation interface 1 Tool Bar 2 Monitoring Window 3 Device Light 4 Audio Alarm Indication 5 System Time NOTE You should wait until the main interface opens before starting the operation 7 MFM CNS Central Monitoring System Monitor User Manual Functions and Operation 3 1 1 Toolbar The toolbar is located on the top of the main interface Some of the buttons in the toolbar has a corresponding shortcut key on the keyboard Pressing these shortcut keys is equal to clicking on the relevant button Refer to the following table for details pi e Return to the Monitoring window from the ViewBed window ViewBed Maximize the current Monitoring window and enter the ViewBed window to observe the data and trends Open the Mat Info window to input maternal information Move the data from one bedside monitor to another Make a diagnosis to the fetal monitoring data a e Preview and print the monitoring report Sav
26. O e Input an integer 50 209 Figure 3 36 Modify FHR default c Change the editable items and then click on OK Load Factory Default Set all user default to factory default by clicking on the Load Factory Default button 3 9 7 Setting Auto Saving Timer Enter the Setup interface and then click on General Setup You can set the auto saving timer If the bedside monitor is offline the system saves the data automatically after this preset interval Auto Saving Timer Select None 10 min 60 min the default is 30 min NOTE The system does not save the data automatically if the window is being opened or modified 43 MFM CNS Central Monitoring System Monitor User Manual Functions and Operation 3 9 8 Note Management Enter the Setup interface and then click on General Setup You can manage the note list on the Note Management interface m Hote ELO Tgn x JK Turn over Cancel Add if Auto Save Figure 3 37 Note management Adding a note to the list Click on Add input the note content in the following dialogue box and then click on OK this note is added to the note list Please input character string length lt 50 Pe Cancel Figure 3 38 Add a note Deleting a note from the list Select a note and then click on Delete select Yes this note is deleted from the note list Saving a note to the list automatically If the Auto Save item is ticked the system saves a new note to the
27. OCK HAZARD Do not remove the covers during operation or while power is connected Only authorized service engineer could remove the unit cover Do not move the main unit monitor or other parts of the device when they are electrified The system is designed for continuous operation Only connect the equipment to EDAN supplied or recommended accessories Ensure that the environment in which the system is operated is not subject to any sources of strong electromagnetic interference such as radio transmitters mobile telephones etc Keep them far away Clinical decision making based on the output of the device is left to the discretion of the provider Prior to intervening based on the data displayed on the MFM CNS providers must verify this data with the corresponding bedside monitor Make sure the speaker is always in a state of activation It is strictly prohibited to mute the speaker or turn down its volume Make sure that the alarm sound can always be heard Do not unplug the computer hardware when the MFM CNS is in operation CAUTION The system should be used within temperature range from 10 C 50 F to 30 C 86 F Keep the environment clean Keep the system hardware far from corrosive medicine dust area high temperature and humid environment _4 MFM CNS Central Monitoring System Monitor User Manual Safety Guide CAUTION 3 Check if the power cable is worn out or damaged before each use If damage is evide
28. P transducer is not well connected Signals Overlap Two ultrasound transducers are aimed Adjust one of the transducers to FHR1 FHR2 at the same fetal heart find the other fetal heart Signals O US transducer 1 has picked the Adjust the US transducer 1 to FHR1 MHR maternal heart signal find the fetal heart Signals Overlap US transducer 2 has picked the Adjust the US transducer 2 to FHR2 MHR maternal heart signal find the fetal heart The NST duration has exceeded the Complete the monitoring as preset timer required The event amount of the window has Save the data and start new reached the limit monitoring The maternal trend amount of the Save the data and start new window has reached the limit monitoring The NIBP amount of the window has Save the data and start new reached the limit monitoring _ 58 verlap NST times out Event list overflows Trend list overflows NIBP list overflows P N 01 54 13095 28 EDANUSA 4901 Morena Blvd Suite 505 www edanusa com San Deigo CA 92117 Tel 888 850 4597
29. System System System Basic System System System System System System System System System 2011 5 23 14 41 42 2011 5 23 14 50 44 2011 5 23 14 51 42 2011 5 23 15 00 44 2011 5 23 15 01 42 2011 5 23 15 10 44 2011 5 23 15 11 42 2011 5 23 15 20 44 2011 5 23 15 21 42 2011 5 23 15 30 44 2011 5 23 15 31 42 2011 5 23 15 40 44 2011 5 23 15 41 42 2011 5 23 15 44 20 2011 5 23 15 45 20 2011 5 23 15 46 18 2011 5 23 15 50 46 2011 5 23 15 56 18 2011 5 23 16 00 46 2011 5 23 16 06 18 2011 5 23 16 10 46 2011 5 23 16 16 18 2011 5 23 16 20 46 2011 5 23 16 26 18 index Type Time Description System Event System Event System Event System Event System Event System Event System Event System Event System Event System Event System Event System Event System Event System Event New Monitoring System Event System Event System Event System Event System Event System Event System Event System Event System Event q SE A a WP O E A EER SE 650 b it AO 7 a a en A et A CET O i ma it i i 2011 5 23 16 30 46 2011 5 23 16 36 18 UA TOCO MHR ECG System System FHR2 US2 System Event System Event FHR1 US1 Figure 3 16 Event review frame The events in the list are divided into four types Basic Note Alarm and System You can choose to show some or all types of events Right click in the event list and tick the type s of the event you want to show Figure 3 17 Event type
30. TE equipment 3 The configuration mentioned above is not permanent EDAN preserves the right to change and update system settings 1 3 Operating System Requirements 1 Microsoft Windows XP Professional with service pack 3 or Win7 32 2 Microsoft MSDE2000A database system CAUTION 1 Make sure the computer operating system meets the installing and running requirements of the software otherwise the software may not work normally 2 The manufacturer only guarantees that MFM CNS runs normally when the operating system language is the same as the software language MFM CNS Central Monitoring System Monitor User Manual Safety Guide Chapter 2 Safety Guide 2 1 Precautions WARNING and CAUTION messages must be observed To use the system safely and effectively please read the user manual in detail to be familiar with the proper operation method 11 12 13 14 15 WARNING The system should be installed by a qualified service engineer Do not turn on the device until all cables have been properly connected and verified Do not use the device in the presence of flammable anesthetics due to explosion risk SHOCK HAZARD the power receptacle must be a three wire grounded outlet A hospital grade outlet is required Never adapt the three prong plug to a two slot outlet SHOCK HAZARD Do not attempt to connect or disconnect a power cord with wet hands Make sure your hands are clean and dry before touching a power cord SH
31. acuna Boe 8 SS O Y SUCH AMO Aa ida 8 IAES TIE a o 10 DIN NO idl IMEN ICE enai e e e T ATT TET 10 5 251 Electo Diipa Mode cne A E E Ai 10 3 2 2 Monitoring Frame Mat Fet MONItOTIN8 oooooooonnnnncncnnnnnnnnnnnnnnnnnnnnonananannnncnnnnnnnos 11 3 2 3 Monitoring Frame Fetal Monitoring ooooonnnnncnnnnnnnnnnnnnnnnnononnanncnnnnnnnnononnnnnnnnnnss 12 3 2 4 Monitoring Frame Maternal Momnitoring ccccccccccceceeceeeeeessssssseeeeeeeeeeeeeees 15 3 20 DEICCIING a oecon Matallana aa 15 uo Make NOS sao aida 16 A A A A 18 AA T E mamma anta ceteris 18 3202 SAVING the Dista 19 IO A O a 19 Di W TOW INO A A coat actinmmcasinrei ti ancaetcdinncoetalade 20 SL MOROS BAIN ic 20 Dey PR VNC Wale PAI it oditss 20 Dye TEMG RCV IS Wb PAINS A A ame 21 35 4 NIBP Re View Pad cada anida 22 EVE REVIEW E TAMO aa Gua ie Santee oueeiciesaca acess N A 23 SiO PGT SENES TINE O o alee mscauet esse NE 24 DO A A Rncusieaee cunts dontolteduet 26 O norma O OS 28 MONO Di aca 29 OPA MS MOINS O PO PEN EE A eanee iwtene eae 30 SAA cd Baas Geers arctan ee crept Sina E 31 VO ca a Ve 0 220 no O10 AAA NS O o a eer anes ene eee T eee ere 31 A A II E ITE ie eae caterer eer 34 o E Ana 35 O O A aeglea aheeeuuaesteadiewesiadanieie aeaaueeans 37 ISLE Searchne FOL a o eea a e Aa ENE AN E A ENT 37 D022 o A UU ce etl aaa a ected a a aoe 38 oA E e emer mer EE E ee CRN nya OCS EA ee eRe nye eae crs eer eae hee 38 DoF SY SUSI S CUD A O A CR O tdpaten E EE 39 3
32. and then click on OK The password is changed NOTE General users can only change their passwords in this way However advanced users can also change password by modifying user information on the User Management interface 3 10 3 Logout sl Click on the Login button in the tool bar the Login dialog box pops up You should log in again to get access to the operation 3 10 4 Adding a User Enter the Setup interface and then click on General Setup On the User Management interface you can add modify or delete a user s information Ag MFM CNS Central Monitoring System Monitor User Manual Functions and Operation m User Hanagement x Signature Mike M Physician MEE dflesisignaturel Mike Ml bmp Susan W 3 7 Midwife General Figure 3 42 User management To add a user 1 Click on Add in the User Management interface m User Info x Ok UserMame Password Mike M ia Cancel Initials Re Enter Password MM fe Profession Class Physician x General E Signature id flesisignature Mike 2 bmp The optimum size of the joq NA ANN fie 113149 Figure 3 43 Input user information 2 On the User Info interface type the user name and the password the password can only be case insensitive letters a z or numbers 0 9 select a profession Nurse Midwife Technologist or Physician and a class General or Advanced 3 Click on the directory icon fo and choose the jpg file of your si
33. atient alarms according to its alarm settings but does not deal with the alarm status or limits on bedside monitors To test the functions of visible and audible alarms perform the following procedures 1 Start up the system 2 Enable the alarm 3 Set the alarm limits to a small range 4 Stimulate a signal that is higher than the upper limit or lower than the lower limit Or disconnect one of the plugs 5 Verify if the visible and audible alarms are working properly 3 1 4 System Time The system time shows the date and time of the computer The data time and their formats are set in the control panel of the computer You can not change them on MFM CNS WARNING To avoid possible hazards caused by the difference between the system time and local time you must set the computer time correctly before starting up the MFM CNS or restart the MFM CNS after the computer time is changed 3 2 Monitoring Interface 3 2 1 Selecting Display Mode Every monitoring interface of a bedside monitor has three display mode options Fetal Monitoring Mode Mat Fet Monitoring Mode and Maternal Monitoring Mode Right click in the numeric area of the interface the following dialogue is shown eo A N L wi A H W Fetal Monitoring Mat Fet Monitoring Maternal Monitoring Figure 3 2 Display mode selecting menu 10 MFM CNS Central Monitoring System Monitor User Manual Functions and Operation Select one display mode and the i
34. avoid the note covering the trend click on the mouse at a vacant area 2 At most 1024 notes can be added in a monitoring window After the note amount has reached the maximum save the data to start new monitoring 2 Editing a Note To change the content of a note move the cursor to this note icon right click on the mouse and select Edit Note Type in the new content and then click on OK 3 Deleting a Note To delete a note move the cursor to this note icon right click on the mouse and then select Delete Note ira MFM CNS Central Monitoring System Monitor User Manual Functions and Operation 3 2 7 Highlighting a Section Highlighting a section of a trace makes this section noticeable To highlight a section 1 Right click on a trace and select Highlight Start A an symbol shows up 2 Move the cursor to the next point right click on the mouse and then select Highlight End this section of the trace is shown in bold A ao A A o Figure 3 11 Highlight a section NOTE lf the mouse is not clicked on a trace the system highlights the closest trace automatically 3 2 8 NST Timer The NST timer measures the NST monitoring duration and signals when the time is out Right click in the fetal monitoring trend area click on NST Timer and then select a length Lilear ALL TIME 10min 30min 40min omit BUmin freer air Figure 3 12 Setting NST timer The elapsed time appears in the top
35. bol low level alarm is a general warning The alarm levels are preset and can not be changed The medium level alarms have higher priority than low level alarms If both types of alarms are active at the same time the monitor gives the sound for the medium level alarms When an alarm is active the system issues both audio and visible signals to draw your attention 1 Audio alarm is given by speakers Medium level alarm a Do tone is repeated three times and then pauses for 8 seconds Low level alarm a Do tone is sounded once and then pauses for 16 seconds The alarm silence duration has several options Silence Pause for 1min 2 min or 3 and Off It is set in General Setup ay If the alarm silence duration is set to Silence A silence button appears in the toolbar When an alarm is active you can click on this button to disable the alarm sound and the audio alarm indicator on the interface reads Silence During the silence period if another alarm presents the system enables the alarm sound automatically Alternatively you can click on the button to enable alarm sound manually A If the alarm silence duration is set to Pause A pause button appears in the toolbar When an alarm is active you can click on this button to disable the alarm sound temporarily and the audio alarm indicator on the interface reads Alarm Sound Paused and the remaining time is shown next to it e g 2 20 2 minutes and
36. customize the color for a certain item by performing the following procedures 1 Select Customize in the pull down menu of Color Config 2 Select the item that you want to customize color for in Item Color for example FHR1 3 Click on the color box on the right of the item 4 Select a new color in the Color window and then click on OK From the color box you can see that the color of selected item has been changed Interface Color Contig Came ltem Color Interface Color Config Catone ltem Color Print Fe Report Direction CTG Section Length Color q Basic colors MT FM MI MM A Interface 4 Color Contig unes Se a Custom colors ltem Color Fan dl ae Hue 160 Red o Sat 240 Green o Define Custom Eolors gt gt ColorlSolid Lum fi 20 Blue 255 Cancel Add to Custom Colors d c Figure 3 34 Color Customizing A HREH Numeric Window Select the position of the numeric window relative to the trend area Right Top Left Bottom NOTE To acquire optimal display effect the numeric window should be set at a proper place according to the LCD size and screen split mode We recommend you to set _A MFM CNS Central Monitoring System Monitor User Manual Functions and Operation the numeric window to Top or Bottom for Up and Down split mode and set it to Left or Right for Left and Right split mode 3 9 5 Inputt
37. d advanced users Some functions can not be operated with other configuration or by general users 2 This manual only describes operation of the software The configuration of the network system is introduced in MFM CNS Central Monitoring System Service Manual 1 1 Intended Use The Maternal Fetal Monitoring Central Nurse System hereinafter called MFM CNS is a clinical data managing software application and is indicated for antepartum and intrapartum monitoring of pregnant women in a healthcare setting The MFM CNS is intended to manage perinatal monitoring data acquired from bedside monitors or manual input for viewing at the central nursing station The system also produces an electronic medical record The MFM CNS has display fields for the following obstetric data patient demographics provider notes fetal heart rate FHR uterine activity via tocodynamometry or IUP Maternal heart rate SpO2 non invasive blood pressure NIBP respiratory rate temperature 9 A A SE A SE E pulse MFM CNS Central Monitoring System Monitor User Manual Introduction WARNING 1 Check the displayed results on the corresponding bedside prior to intervening based on this data 2 The MFM CNS is intended to be operated by or under guidance of qualified healthcare professionals It is not intended for home use 3 The MFM CNS is intended to be used in obstetric area The maternal vital signs monitoring is applicable during an
38. d start of this auto section are set in the Monitoring Setup menu 3 3 3 Trend Review Frame The Trend Review frame lists maternal monitoring parameters of 24 hours and it is saved every minute The parameters include MHR MSpO NIBP and TEMP 2 Annie Monitoring CTG Review NIBP Review Event Review Alarm Settings Name Annie ID 123456 Age 28 G P 1 0 FR1 132 R2120 w0 mr78 50298 TEMP C 37 8 Time NIBP mmHg TEMP C 2011 5 24 15 45 i Sars 2011 5 24 15 46 37 7 2011 5 24 15 47 37 6 2011 5 24 15 48 37 6 2011 5 24 15 49 37 6 2011 5 24 15 50 37 6 2011 5 24 15 51 37 6 2011 5 24 15 52 37 6 2011 5 24 15 53 0d 2011 5 24 15 54 37 7 2011 5 24 15 55 Sor 2011 5 24 15 56 37 7 2011 5 24 15 57 2011 5 24 15 58 2011 5 24 15 59 2011 5 24 16 00 2011 5 24 16 01 2011 5 24 16 02 2011 5 24 16 03 2011 5 24 16 04 2011 5 24 16 05 2011 5 24 16 06 2011 5 24 16 07 2011 5 24 16 08 2011 5 24 16 09 2011 5 24 16 10 2011 5 24 16 11 2011 5 24 16 12 2011 5 24 16 13 2011 5 24 16 14 2011 5 24 16 15 2011 5 24 16 16 2011 5 24 16 17 2011 5 24 16 18 2011 5 24 16 19 2011 5 24 16 20 2011 5 24 16 21 2011 5 24 16 22 2011 5 24 16 23 2011 5 24 16 24 2011 5 24 16 25 2011 5 24 16 26 2011 5 24 16 27 2011 5 24 16 28 2011 5 24 16 29 2011 5 24 16 30 2011 5 24 16 31 2011 5 24 16 32 2011 5 24 16 33 2011 5 24 16 34 119 78 92 FHR1 US1 FHR2 US2 UA TOCO MHR ECG Figure 3 14 Trend review frame a2 MFM CNS Central Monitorin
39. database When inputting the name all the maternal names which start with the same letters appear next to the blank If you choose a patient whose information 1s saved in the database the system loads her information and calculates the gestation week and day automatically NOTE After 50 6 gestation time the patient s name will not be displayed 3 5 Moving Bed To move a bed is to transfer monitoring data of the source monitor to the target monitor and then connect their data This often happens when moving a patient from predelivery room to delivery room For example after monitoring a patient with a fetal monitor Monitor 1 in the predeliver room you need to move her to the delivery room with a fetal amp maternal monitor Monitor 2 29 MFM CNS Central Monitoring System Monitor User Manual Functions and Operation Select the source monitor and then click on the MoveBed button in the toolbar to open the Movebed menu m Movebed Moni E Target Monitor 3 4 OF Cancel Figure 3 24 Bed moving Select a target monitor number and click on OK Data of the source monitor is transferred to the target monitor and is saved in the front of the new data You can save data of the two parts in one study There are a few limitations on moving a bed The source monitor should not be empty The time should not conflict If time conflict exists a dialog box CTG time conflict are you sure to move bed pops u
40. e FB Save all monitoring data to the database Archive NI Enter the Archive window to view search or load monitoring records ETS Enter the Setup window to change the settings Get help information of the software operation Login Logout I Log m Log out of the current operating user Close o Close the MFM CNS system 3 1 2 Device Light Device light shows the status of the bedside monitor black means offline green means online and yellow means an alarm is active A device light is corresponding to a monitoring window for example is corresponding to the monitoring window of device 1 Besides the device light can remind the user with different colors and flicker frequencies at the time of alarm Device Light Alarm Frequency tl O ae Oe C Interval between two alarm sounds is 8 seconds frequency Yellow and no flicker Interval between two alarm sounds is 16 seconds 3 1 3 System Alarm The system has two types of alarm patient alarm and technical alarm Patient alarms indicate the situation of vital sign exceeding its configured limit Technical alarms indicate the disconnection of the transducers signal loss of the bedside monitor and therefore the monitor can not detect critical patient conditions reliably MFM CNS Central Monitoring System Monitor User Manual Functions and Operation In terms of severity the alarms have two levels medium and low Medium level alarm is a moderate warning labeled with the sym
41. ears it from the current window NOTE 1 The system automatically saves the data every minute You only need to save the data once at the end of every monitoring 2 If the monitoring continues after 24 hours the system saves the data as a study in the archives and begins new monitoring 3 2 10 Clearing the Data For the useless data you can clear it To clear the data partially move the cursor to a point right click in the CTG area and then select Clear Previous Click on Yes to delete the data previous to the point or click on No to cancel If you want to clear all data of the current window right click on the mouse and then select Clear All Click on Yes to delete all data or click on No to cancel NOTE The cleared data cannot be restored Make sure the data is useless before clearing it 19 MFM CNS Central Monitoring System Monitor User Manual Functions and Operation 3 3 Viewing a Bed The monitoring window of every monitor is arranged equally on the main interface and the selected window is marked with dark title bar In order to observe a bed in detail you can select it and then click on the ViewBed button in the toolbar or double click on the mouse in the trend display area The ViewBed window includes several frames Monitoring CTG Review Trend Review NIBP Review Event Review and Alarm Settings E In the ViewBed window click on the MainScreen button Main creen double click on the mo
42. ectory 0202242026 24 02 2002 20 26 31 00 41 28 dai mule Download Figure 3 44 Download offline data 2 Select the examination s you want to download Select All is used to select all the examinations and Select None is used to deselect them 3 Click on Download 4 When downloading 1s completed click on Exit to exit 5 The data is saved in the preset directory d fmdata download You can perform operations on them like other files e g saving printing and making notes 3 12 Opening Files For the downloaded files and other trc files imported from USB disk you can load them to the main interface Click on the OpenFile button on the tool bar the downloaded files are listed 51 MFM CNS Central Monitoring System Monitor User Manual Functions and Operation Start Time CTG Duration File Name 1105111651 1105301801 1105111452 GGHGH 11 05 2011 12 47 01 11 05 2011 17 47 57 31 05 2011 09 16 55 30 05 2011 18 01 18 11 05 2011 16 28 28 11 05 2011 16 35 53 11 05 2011 16 45 11 11 05 2011 16 54 10 11 05 2011 17 05 05 12 05 2011 10 55 34 12 05 2011 10 55 34 12 05 2011 10 55 34 11 05 2011 12 47 01 02 49 00 16 56 01 00 03 47 15 19 28 00 07 25 00 09 18 00 09 23 00 10 55 00 08 22 00 00 03 00 00 03 00 00 03 02 49 00 46 42K 395 09K 5 40K 219 88K 6 99K 7 78K 7 81K 8 99K 7 71K 4 27K 4 27K 4 27K 68 40K c fmdata download 1 DSFSF 20110511 trc c fmdata download 10 20110512
43. elect Current Page NOTE Do not print all the pages when receiving data Eep MFM CNS Central Monitoring System Monitor User Manual Functions and Operation O To zoom in zoom out the report in the preview area Select the preview scale in the pull down menu of the Preview Zoom item Full Page 25 50 75 100 150 and 200 are available O To select a page to preview Depending on the CTG data the report might include several pages Select a page to review Click on Print to start printing the report Click on Exit to exit 2 Maternal Vital Sign List Open the Trend Review frame of a bed and click on the Print button to print the maternal vital sign list Set the items as introduced above 3 NIBP List Open the NIBP Review frame of a bed and click on the Print button to print the NIBP list Set the items as introduced above 4 Event List Open the Event Review frame of a bed and click on the Print button to print the event list Set the items as introduced above 3 2 Exporting You can export the report into PDF JPG or TIF file s To export the report 1 Open the Print window 2 Set all the items properly 3 Click on Export type in the file name select a file format and a path and then click on OK 34 MFM CNS Central Monitoring System Monitor User Manual Functions and Operation m Export Filename paar 100001 20091211164329 pdt cael Figure 3 28 Export the report
44. g System Monitor User Manual Functions and Operation 3 3 4 NIBP Review Frame NIBP Review frame can list 200 groups of NIBP measured during monitoring The system saves a group of data after every NIBP measurement Monitoring Mame Annie FHR1 127 ID 123456 FHR2 129 CTG Review Age 28 va 100 Trend Review G P 1 0 MHR 76 Time 2011 5 23 15 41 2011 5 23 15 46 2011 5 23 15 56 2011 5 23 16 06 2011 5 23 16 16 2011 5 23 16 26 2011 5 23 16 36 2011 5 23 16 46 2011 5 23 16 56 2011 5 23 17 06 2011 5 23 17 16 2011 5 23 17 26 2011 5 23 17 36 2011 5 23 17 46 2011 5 23 17 56 2011 5 24 10 45 2011 5 24 10 55 2011 5 24 11 05 2011 5 24 11 15 2011 5 24 11 25 2011 5 24 11 35 2011 5 24 11 45 2011 5 24 11 55 2011 5 24 12 05 2011 5 24 12 15 2011 5 24 12 25 2011 5 24 12 35 2011 5 24 12 45 2011 5 24 12 55 2011 5 24 13 05 2011 5 24 13 15 2011 5 24 13 25 2011 5 24 13 35 2011 5 24 13 45 2011 5 24 13 55 2011 5 24 14 04 2011 5 24 14 24 2011 5 24 14 34 2011 5 24 14 44 2011 5 24 14 54 2011 5 24 15 04 2011 5 24 15 14 2011 5 24 15 24 2011 5 24 15 34 2011 5 24 15 44 2011 5 24 15 54 2011 5 24 16 04 2011 5 24 16 14 2011 5 24 16 24 2011 5 24 16 34 spo2 99 FHR1 US1 FHR2 US2 UA TOCO MHR ECG NIBP Review Event Review Alarm Settings NIBP mmHg 16 34 119 78 92 z2 s TEMP 37 5 Figure 3 15 NIBP review frame NIBP mmHg 118 77 91 119 82 94 119 83 95 123 80 94 124 81 95
45. g completely the users should not stay at the central monitoring station and leave the patient alone for a long time because the accuracy of the software depends on the stability of the operating system the performance of PC station and network 2 1 Symbols Serial Number Date Of Manufacture Manufacturer Eo REP Authorized Representative in the European Community The symbol indicates that the device complies with the European Council Directive 93 42 EEC concerning medical devices MFM CNS Central Monitoring System Monitor User Manual Safety Guide The symbol indicates that the device should be sent to the special agencies according to local regulations for separate collection after its useful life Federal U S Law restricts this device to sale by or on the order of a Rx only U S i sician NOTE CE only aims at the software MFM CNS Central Monitoring System Monitor User Manual Functions and Operation Chapter 3 Functions and Operation 3 1 Main Interface Switch on the computer and accompanying accessories After a Do alarm sound 1s heard the system enters the main interface automatically as shown in figure below CAUTION A Do alarm sound must be heard when starting up this software If any abnormality is heard do not use this system Check the audio output devices or contact the manufacturer for service E 3 MR JH sp02 TOO MIBP mmHo 17 38 121 82 95 tereccc 37 6 See eee l
46. gnature 49 MFM CNS Central Monitoring System Monitor User Manual Functions and Operation 4 Click on OK this user is added to the user list NOTE 1 Only the physicians can make a diagnosis 2 Scan the signature and save it in a jpg file in advance The optimum size of the Jpg file is 113x49 3 After the customized picture signature is added the system saves the jpg file in the folder D files signature Do not delete it 3 10 5 Modifying a User s Information To change a user s information 1 Select a user on the User Management interface 2 Click on Modify 3 Retype 1n the user s information 4 Click on OK 3 10 6 Deleting a User To delete a user 1 Select a user on the User Management interface 2 Click on Delete 3 Click on Yes to confirm operation this user is deleted from the list 3 11 Downloading Data NOTE 1 This is an optional feature enabled or disabled in Service Setup 2 The system can only receive the data from the memory of F9 F6 series fetal amp maternal monitors F9 with software of version 2 4 or greater and F6 with software of version 1 5 or greater 3 Only the data files whose time length is shorter than 16 hours are transmittable 4 Do not unplug the connecting cable in the process of downloading data 5 The downloaded data does not include maternal vital signs When the bedside monitor is offline the data is saved in the monitor memory You can download this data
47. ing Hospital Name Enter the Setup interface and then click on General Setup You can input the hospital name Input the hospital name in the blank under the Hospital item This name will be shown on the monitoring report NOTE You should set the hospital name before the monitoring starts If the hospital name is changed it will take effect after new monitoring starts 3 9 6 Setting Alarm Sound Enter the Setup interface and then click on General Setup You can change the alarm settings Alarm Volume Select the alarm volume to level 1 2 or 3 1 is the lowest level and 3 is the highest level The default is 2 Silence Duration Select the alarm silence mode Silence Alarm Sound Paused 1min 2min 3min or Alarm Sound Off The default is Silence Modify Default You can change the alarm settings here and save them as user default This default will be loaded in the Alarm Settings frame To change the alarm user default a Click on Modify Default Modify Default x 50 ESN 120 m OS Spo 90 a 100 to 0 TEMP 36 0 40 38 0 70 0 SYS 90 mmHg 160 mmHg O DTA J0 mmHg g0 mmHg O MAF 60 mmHg 110 mmHg O Modify Load Factory Default Figure 3 35 Modify alarm default b Select an alarm item and then click on Modify _42 MFM CNS Central Monitoring System Monitor User Manual Functions and Operation FHR x Low Alarm Lirnit born Ok hoo Cancel High Alarm Limittbprn 110 Alarm Delayts 4 B
48. ls a MN 0 an en O A A i pd _ o a rm rae 10 57 21 2011 5 24 10 58 21 11 04 21 FHR1 US1 FHR2 Us2 UA TOCO MHR ECG Figure 3 8 Select a section NOTE The manual section should include at least 1 minute CTG data and the start end can only be selected in the valid data area If the section start and or end points are located between the gridlines the system moves them to the closest gridline automatically when printing the report or making a diagnosis The manual section is cleared after performing diagnosing printing saving clearing or clicking on another window 3 2 6 Making Notes When there is a significant event for example the patient takes injection or changes position you can make a note on the trend 1 Adding a Note Move the cursor to the fetal monitoring trend area right click on the mouse and then select Add Note 16 MFM CNS Central Monitoring System Monitor User Manual Functions and Operation Mote k di Temperature 38 Turn over Cancel T input character string length lt 50 Figure 3 9 Adding a Note In the pop up dialog box you can type in the note content At most 50 letters are allowed or select one of the notes from the note list below and then click on OK A note icon gt appears in the CTG area where the mouse was clicked with the event content EA Figure 3 10 The event displayed next to 1t For example NOTE 1 To
49. me and the correct password The default 1s on Protect settings Password is required for entering setup interface The default is off Protect archives Password is required for entering the Archives window The default is off Download To download the data in the memory of the bedside monitors F9 software of version 2 4 or greater The default 1s off Open file To open the downloaded files from the bedside monitors at most 10 files are allowed to be opened at one time and only the files on the local hard drive are openable or the files imported from USB disk The default 1s off Export Export the monitoring report to a file The default is off Email to Send the exported file as attachment by email When the report has more than one page it should be exported in the format of PDF or tif Only the first page will be sent if the report is in JPG format The default is off Chalkboard Summarize all patient information in a small window for quick review The default is off Partogram According to the inputted patient s parameter during delivery the system draws a partogram for the physician s or midwife s reference The default 1s off Enable MoveBed When the patient is moved from one bed to another the system allows moving the data from the source monitor to the target monitor The default is on 45 gt e MFM CNS Central Monitoring System Monitor User Manual Functions and Operation
50. nd Operation m Print Nonitor 2 x Preview Printing Options Printer adobe PDF Printing Options Fetal Monitoring Graph Page Range an Pages EM MR Soo Preview Zoom Ful Page gt Preview Page Figure 3 26 Fetal Monitoring Graph To acquire the required report all the items should be set properly according to the print content w Printing ptions x CT Options Section Width 20cm bl Content Selected Data Diagnosis Column First Page Printing Options PHP LaserJet 1022rw amp FinePrint pdfFactory pre S Adobe PDF Orientation Portrait X Shade Demitint Page Footer pee fore o ooo One Page Trend Figure 3 27 Print options ds MFM CNS Central Monitoring System Monitor User Manual Functions and Operation O To select a printer The pull down menu of Printer lists all the supported printers NOTE Select the connected printer and set the printing quality to Best to acquire the optimum printing effect O To select the report orientation The monitoring report is either in Portrait or Landscape orientation O To select print shade To add some shade to the report print
51. nt replacement is recommended 4 Turn off the system power before connecting or disconnecting any accessories 5 Ifthe system does not work properly or any abnormality is detected stop using it at once and contact the manufacturer for service 6 Turn off the system power and remove the power cable before servicing or maintaining the system 7 If RJ45 interface is used when inserting or pulling out the network cable please press the spring of the cable port to avoid the damage caused by incorrect operation 8 Precautionary maintenance including periodic cleaning and appearance checking can be finished by the users because this maintenance does not touch the interior 9 Turn off the system power before cleaning Cleaning consists of removing all dust from the exterior surface of the equipment with a soft brush or cloth Use a brush to dislodge any dirt on or around the connectors and panel edges Remove dirt with a soft cloth slightly dampened with a mild detergent solution or 70 ethanol or isopropranol 10 Avoid pouring liquids on the device while cleaning and do not immerse any parts of the device into any liquids 11 This system is the device special for medical use Forbid installing any other software in this system to avoid virus and system breakdown 12 Forbid deleting or revising any file on the hard disk to avoid that the operating system and monitoring software cant run normally 13 MFM CNS can not replace the bedside monitorin
52. nterface changes accordingly NOTE When viewing a bed you can only right click on the mouse to select display mode in the monitoring frame 3 2 2 Monitoring Frame Mat Fet Monitoring Event Review Alarm Settings Name Annie ID 123456 Age 28 G P 1 0 Gesi Va 36 1 MHR 75 spo2 Q7 NIBP mmHg 16 01 23 80 94 Tevrco 37 5 j a in PSE yy IAE T J C ai y Ku S MHR 77 bom SpOA 98 TEMP 37 6 C 0 0 0 15 58 47 15 59 47 16 00 47 16 01 47 16 02 47 16 03 47 16 04 47 16 05 47 16 06 47 16 07 47 16 08 47 TEMP 37 6 C Y 16 10 47 16 11 47 16 12 47 a AE L Emp CE th aa ee a Ap rT it E HH H E NIBP mmHg 2011 5 23 12 21 121 83 96 2011 5 23 12 31 2011 5 23 12 41 2011 5 23 12 51 2011 5 23 13 01 2011 5 23 13 11 2011 5 23 13 21 2011 5 23 13 31 2011 5 23 13 41 2011 5 23 13 51 2011 5 23 14 01 2011 5 23 14 11 2011 5 23 14 21 2011 5 23 14 31 2011 5 23 14 41 2011 5 23 14 51 2011 5 23 15 01 2011 5 23 15 11 2011 5 23 15 21 2011 5 23 15 31 2011 5 23 15 41 2011 5 23 15 46 117 82 94 121 93 96 121 78 92 121 80 94 120 80 93 119 91 94 124 82 96 120 83 95 121 93 96 117 81 93 122 77 92 116 83 94 119 77 91 119 81 94 119 79 92 117 78 91 120 82 95 122 79 93 117 78 91 119 77 91 119 82 94 2011 5 23 15 56 119 83 95 2011 5 23 16 06 123 80 94 FHR1 US1 FHR2 US2 UA TOCO MHR ECG Figure 3 3 Monitoring window 1 Title Bar
53. out Light Demitint or Dark O To add page footer To input some information this will be printed on the footer area of the report O To select report color Tick Color Printing the report is chromatic otherwise the report is monochromatic NOTE The report is printed chromatically only if a color printer is used and if the screen color is set to Orange or Green Do not tick this item if a mono printer is used O To select trend report format Tick One Page Trend the system compresses the trend list to fit one page O To select the CTG length of every section The CTG length of every section is the product of the paper speed and the time span of this section For example if the printing speed is 3cm min and the CTG length is 60cm the time span of every section of the report is 20min You can set it to 20cm 30cm 40cm 50cm 60cm or All The manufacturer recommends 30cm CTG length for landscape direction or 20cm CTG length for portrait direction NOTE 1 To acquire optimum readability choose the Landscape direction for the section length of 40cm 50cm and 60cm 2 All only takes effect on exporting the report in a PDF file the longest CTG length is 1 hour O To select the diagnosis column choose whether to print the diagnosis column on the report or where to print it O To select the paper range If you want to print all the data select All Pages If you want to print the page that is shown in the window only s
54. p The total time length of the data should not exceed 24 hours Moving bed can be carried out between any types of bedside monitor All the data will be transferred when a bed is moved including maternal information fetal monitoring data and maternal vital signs 3 6 Diagnosing In the diagnose window you can grade and give comments The manual section at least 5 minute data has the priority for diagnosing Click on the Diagnose button to open the diagnose window 30 MFM CNS Central Monitoring System Monitor User Manual Functions and Operation m Diagnose Konitor4d x Comments OK Cancel Performed by Please in put character string length lt 60 Figure 3 25 Diagnose window Input the comments and select the operators The messages inputted before in the comments and signature areas are automatically saved You can open the pull down menus to find the used messages 10 previous comments can be saved 3 7 Printing There are four types of monitoring report fetal monitoring graph maternal trend list NIBP list and event list You can print them with a printer or export them 3 7 1 Printing Reports 1 Fetal Monitor Graph Click on the Print button in the Monitoring frame or CTG Review frame of a bed NOTE There must be more than 1 minute data before you have access to the printing interface zI s MFM CNS Central Monitoring System Monitor User Manual Functions a
55. patient monitor and the target monitor is a fetal monitor and if the same patient ID is inputted on both monitors If you want to transfer the data by ID patient ID should be inputted on the patient monitor before new monitoring starts Otherwise the data cannot be transferred to the target window correctly Copy to To copy the opened file or study and save it in the target directory The default is off Manual Section To select the start and end of a section manually The default is on Clear Previous To clear the data previous to a point on CTG interface The default is on Save Previous To save the data previous to a point on CTG interface The default is on NST Timer After choosing NST duration the system shows the elapse time of the monitoring and gives a message when time is out The default 1s off Highlight To highlight a section of a trace The default is off Show initials notes To show initials of the user next to the note on the condition of that the user login feature is enabled The default is off Show deleted notes To show the deleted notes on the CTG interface The default is off Enable closing monitor window To enable a closing button in each real time monitoring window The default is off Fixed CTG Duration ViewBed When viewing a bed the CTG duration on the screen 1s fixed to 20 or 30 minutes depending on the auto section length The default 1s off Disable OS To disable the operating system
56. pper limit xxx 57 MFM CNS Central Monitoring System Monitor User Manual Technical Alarm Low Level Prompt Message US1 UNPLUGGED or US2 UNPLUGGED US1 SIGNAL LOSS or US2 SIGNAL LOSS TOCO UNPLUGGED DECG LEADS OFF DECG UNPLUGGED US transducer 1 or US transducer 2 is not well connected FHR1 or FHR2 signal is too weak for the system to analyze TOCO transducer is not well connected The spiral electrode is not well connected The DECG cable is not well connected to the monitor Alarm Messages Check the connection of the transducer Check if the US transducer is aimed at the fetal heart check if the alarm limits are suitable check the patient s condition Check the connection of the transducer Check the connection of the spiral electrode Check the connection of the DECG cable Check if the spiral electrode is well attached to the fetus scalp check if the alarm limits are Suitable check the patient s condition DFHR signal is too weak for the system DECG SIGNAL LOSS analyze The are is not monitor ECG leads are not well connected ae the connection of ECG eads Check the connection of SpO SpO sensor is not well connected E placament IUPC and or connecting cable Check the connection of the IUP UNPLUGGED IUPC and connecting cable well connected to the ECG LEADS OFF SpO2 SENSOR OFF Check the connection of TEMP TEMP UNPLUGGED TEM
57. r the ViewBed window You can review CTG trends and NIBP 7 Note Mark When you want to mark a note during monitoring right click on the position in the note display area and select Add Note in the right click menu Also you can edit or delete the note marker by right clicking on the note icon gt and then select Edit Note or Delete Note 53 MFM CNS Central Monitoring System Monitor User Manual Shortcut for Operation 8 Jump and play When the monitoring data is more than one screen you can drag the scroll bar at the bottom of the interface directly or click on the Playback and Review buttons to view the previous monitoring trends 9 Diagnose Click on the Diagnose button to open the Diagnose window and then input diagnostic contents directly 10 Print report Click on the Print button to preview or print fetal monitoring graph maternal vital signs list or NIBP list 11 Save Click on the Save button to save all the monitoring data in the current window to database and clear it afterward 12 Archives Click on the Archives button to open the Archives window You can select one of the records load it to the ViewBed window to make a diagnosis revise maternal information or print report etc If there are too many records click on the Search button to find all the necessary records of the pregnant woman 13 Setup Click on the Setup button to open the Setup window and change settings of the system 14 Help
58. r local distributor Alternatively you can send an email to EDAN service department at support edan com cn _ 56 MFM CNS Central Monitoring System Monitor User Manual Alarm Messages Appendix 1 Alarm Messages The following table lists the alarm prompt messages that might appear during monitoring their respective causes and countermeasures Alarm Message Cause Countermeasure Patient Alarm Medium Level FHR1 HIGH gt xxx bom gt ysor FHR2 HIGH gt xxx bom gt ys FHR1 or FHR2 measuring result is higher than the set upper limit xxx over the alarm delay time y FHR1 LOW lt xxx bpm gt y sor FHR2 LOW lt xxx bpm FHR1 or FHR2 measuring result is lower than the set lower limit xxx gt yS over the alarm delay time y Maternal HR result is higher than HR HIGH gt xxx bpm the upper limit xxx Maternal HR result is lower than HR LOW lt xxx bpm the upper limit xxx SpO result is higher than the SpO2 HIGH gt xxx upper limit xxx SpO result is lower than the upper limit xxx Check if the alarm limits are a o is higher than the upper eine check the patient s hed ior is lower than the upper ae ee is higher than the upper pla pra is lower than the upper oll eared higher than the inci de is lower than the upper TEMP result is higher than the upper limit xxx TEMP result is lower than the SpO2 LOW lt xxx TEMP LOW lt xxx C ae u
59. re adjustments modifications or repairs are carried out by persons authorized by the manufacturer and The electrical installation of the relevant room complies with national standards and The instrument is used in accordance with the instructions for use Upon request the manufacturer may provide with compensation necessary circuit diagrams and other information to help qualified technician to maintain and repair some parts which the manufacturer may define as user serviceable Terms Used in this Manual This guide is designed to give key concepts on safety precautions WARNING A WARNING label advises against certain actions or situations that could result in personal injury or death CAUTION 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 a procedure II _ Table of Contents Chapter T Introductio escroc naa EEES Ea 1 A E N E E AN ET l t2 Hardware Regui ement 2 o 2 13 Operatin amp System Reduire MENiS cidade tii 3 Chapter 2 Safety Guide cussies n ii indi 4 2 EPEC INS dada 4 Ee E E E E E E A EEE o E T 5 Chapter 3 Functions and Operation sssssceecccssssseceecoccsssssscecocosssssccceccocssssscceeccssssssseceocssssssseee 7 E ee EE EEE A E TN 7 mn baal A A enna eee mae eee ee NCR Cerone em aa eee eRe a ene 8 A Glad tacts ciel A eaecuna ati l allt acts oad L
60. reen viewbed To acquire optimal split screen effect the screen specification should meet the following requirements Viewing Full Screen Up and down Split age eit Dual Screen 1 8 17 LCD 19 LCD 19 LCD 19 LCD 1024x768 1280x1024 1440x900 1440x900 9 16 19 LCD 24 LCD 24 LCD 19 LCD 1440x900 1920x1200 1920x1200 1440x900 24 LCD l 24 LCD 17 32 1920x1200 Not available Not available 1920x1200 NOTE 1 Resolution of the LCD should be set to the factory default otherwise the display may be affected 2 lf all the optional functions are enabled the LCD resolution should be set to 1440X900 or greater 3 Only Win XP operating system supports dual screen viewing mode 97x MFM CNS Central Monitoring System Monitor User Manual Functions and Operation 3 4 Maternal Information It is recommended to enter the maternal information at the beginning of every monitoring to make sure that one monitoring record is corresponding to one patient For the studies in the archives you can load them to the main interface and then enter edit the maternal information NOTE By default CNS does not accept the patient information from the bedside monitors You should enter this information for the patient on CNS Operation Method mi 1 Click on the Mat Info button in the toolbar and the Mat Info window opens m Mat Info Honitor4 x Mat Into Mame x Cancel Age GIP Pr Ges eek Inpa
61. s running again it will automatically reload the data saved temporarily last time 52 MFM CNS Central Monitoring System Monitor User Manual Shortcut for Operation Chapter 4 Shortcut for Operation Please follow the basic operation flow below when monitoring the pregnant woman with MFM CNS System Register Mat Info Monitor View Curves Parameters MoveBed Optional 1 After connecting the system turn on the power of the host monitor and printer etc the system enters the main interface several seconds later 2 Login Logout optional Click on the Login button select a user name enter the password and then click on OK to confirm user login Click on the Logout button to logout the current user 3 Select a bed Click on the device light or the window of a bedside monitor to select a bed NOTE To avoid performing operation on the wrong bedside monitor the monitor s device number should be confirmed before taking any action 4 Register maternal information Click on the Mat Info button and enter maternal information in the Mat Info window Click on OK to save the information 5 Start monitoring Turn on the bedside monitor and monitor the patient with transducers The central station receives data from the monitors automatically including fetal monitoring trends or maternal monitoring trends and other parameters 6 ViewBed Click on the ViewBed button or double click in the Monitoring window to ente
62. selection 223 MFM CNS Central Monitoring System Monitor User Manual Functions and Operation 3 3 6 Alarm Settings Frame The Alarm Settings frame shows alarm settings of this window You can change the setting or load default settings 2 Annie Monitoring CTG Review Trend Review NIBP Review Event Review Name Annie ID 123456 Age 28 G P 1 0 36 1 FHRI 142 Fr2156 u10 mr78 5o02 gaa NIBP mma 17 14 4119 81 94 TEMP d 37 6 80 i 30 mmHg 160 mmHg C 777 IN 50 mmHg 30 mmHg PO Meri 60 mmHg 110 mmHg pO Mec O Modify Default FHR1 US1 FHR2 US2 UA TOCO MHR ECG Figure 3 18 Alarm setting frame The alarm items and their status and other information are listed If you want to change the alarm settings select the alarm item and then click on the Modify button The following figure takes FHR alarm settings as an example 24 MFM CNS Central Monitoring System Monitor User Manual Functions and Operation FHR x Alarm OK ee g Alarm Cancel Low Alarm Limit bom To switch the alarm on or off 110 Low Alarm Limit High Alarm Limit barn The lower limit that will trigger the alarm 160 High Alarm Limit Alarm Delay s The upper limit that will trigger the alarm 30 ae Alarm Delay Meum SO The continuous time of the vital sign exceeding its limit that will trigger the alarm Figure 3 19 FHR Alarm setup menu The table below lists options and default setting of each alarm item FHR bpm
63. tepartum period delivery and post partum It is not intended to be used in ICU or CCU 4 As medical information equipment the physiological waveforms and parameters displayed on the screen can only be used for reference of the doctor But they can not be criterion of clinical treatment 1 2 Hardware Requirements i Meet the IEC control requirements defined for ITE equipment CE marked meeting LVD Low voltage directive and EMC directive requirements PC workstation PC compatible CPU Intel 2G RAM XP 512M Win7 2G 80G Fixed Diskette 1440 x 900 65536 Color 75Hz non interlaced 10 Base T 802 3 controller 4 USB ports CE Mark Keyboard PS 2 or USB keyboard with CE Mark PS 2 or USB mouse with CE Mark Display Display Monitor with CE Mark 19 LCD 1440 x 900 Printer HP LaserJet series with CE Mark Printer performance specifications Resolution 600DPI 600DPI Interface USB port Paper size A4 MFM CNS Central Monitoring System Monitor User Manual Introduction Speaker PC or built in in the display It should adopt liable connecting mode and should bear some measures to adjust the volume preventing the sound device from being turned off UPS 1000 W with CE Mark CAUTION 1 Make sure the computer hardware meets the installing and running requirements of the software otherwise the software may not work normally 2 The hardware specifications require the use of PC that complies with IEC requirements for I
64. tient Mo Bed Mo lease input character string length lt 30 Figure 3 22 Maternal information editing menu NOTE Some of the items in the above figure may not be shown depending on the items ticked in the Mat Info Setup menu 2 To input the information type in the content directly The box at the bottom of the window indicates the format of content 3 To input DOB or EDC click on the calendar next to DOB or EDC box _ 28 MFM CNS Central Monitoring System Monitor User Manual Functions and Operation w Select Date x al November 1980 gt 3 10 1i 12 15 14 13 16 1 16 19 20 el oe 23 24 23 Zb of Zo 29 Figure 3 23 Calendar 198 Click on the figure of the year e g 1980 two selection icons are enabled E Click on them to select a year Click on the month e g November all month options are_enabled Select the month Alternatively you may use these two icons to select the month November 1980 Double click on the date to select DOB date of birth or EDC expected date of childbirth NOTE 1 The system gives Age automatically in accordance with DOB Or you can input the age 2 The system automatically updates the patients GesWeek until it reaches 50 6 3 Before GesWeek reaches 40 0 the system automatically calculates EDC accordingly If gestation week or gestation day is not inputted the system takes it as 0 3 Click on OK The system keeps the maternal information in its
65. trc c fmdata download 113 20110531 tre c fmdata download 115 HOT 20110603 tre c fmdata download 12 20110512 trce c fmdata download 13 20110512 trce c fmdata download 14 20110512 trc c fmdata download 15 20110512 trce c fmdata download 16 20110512 trc c fmdata download 17 20110512 trc c fmdata download 18 20110512 trc c fmdata download 19 20110512 trc c fmdata download 2 GGHGH 20110511 tre Directory d fmdata download sl Pe Exit oS 12 05 2011 10 55 34 00 00 03 4 27K gt c fmdata download 20 20110512 trc Figure 3 45 Open files To load a file select a file in the list right click on the mouse and select Load or click on the Load button on the right This file is opened To delete a file select a file in the list right click on the mouse and select Delete click on Yes the file is deleted To open the files in another directory you can click on the directory icon fed to find other files and open them 3 13 Help Press the Help button in the toolbar or shortcut button F1 to get help information of this software 3 14 Exit from MFM CNS After finishing monitoring you should close the system software Click on the Close button in the toolbar to exit from the system If there is still monitoring data that has not been saved to database a dialogue box will pop up to remind you Click on Yes to save the data in the current monitoring window and exit from the system When the system i
66. use in the CTG area to return to the main interface in the toolbar or 3 3 1 Monitoring Frame By default the system enters the Monitoring frame after the ViewBed window is open You should enter this frame before having access to other frames The monitoring frame is the full size of the monitoring interface You can perform all operations introduced in section 3 2 3 3 2 CTG Review Frame Monitoring CTG Review Trend Review NIBP Review Event Review Alarm Settings a Name Annie ID 123456 G P 1 0 GesWeek Age 28 G GesWeek 36 1 FHRI 126 FR 134 va MHR JJ 50200 NIBP mMmMHa 15 44 123 78 93 Tewrco 37 5 ad A il Art 10 20 44 2011 5 23 10 40 44 10 50 44 11 00 44 11 10 44 11 40 44 11 50 44 12 00 44 cl pl a APN a e AI 12 10 44 12 20 44 2011 5 23 12 40 44 12 50 44 13 00 44 13 10 44 13 20 44 13 30 44 13 40 44 13 50 44 14 00 44 14 10 44 v PS E sar it ae nui ae i JER PARANI Ai E EA dung fie a a arin HEAT HEHE A hice HR1 US1 FHR2 US2 UA TOCO MHR ECG n Figure 3 13 CTG review frame 20 MFM CNS Central Monitoring System Monitor User Manual Functions and Operation The top half of the CTG Review frame is the CTG trend of the whole monitoring process 24 hours at most Click on the mouse in the top half area the system covers a section auto section with black background The bottom half shows details of it The length an

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