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Fetatrack 310 - Frank`s Hospital Workshop
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1. Kingdom T 44 0 1291 425425 F 44 0 1291 427093 E ultratec doppler co uk W www doppler co uk Ultrasound Technologies Ltd Operating Procedures The Printer The FETATRACK 310 prints on preprinted z fold thermal paper using a thermal array print head Fetal heart rate uterine activity and fetal movement are recorded together with date time recorder speed operating mode and alarm status The printer also prints a header block each time the printer is turned on that contains Time and Date Patient Name Gestational Age Patient or Bed Number Hospital or Doctor along with a print viability test bar that prints to all dots of the printhead To load the printer with paper open the printer door by pulling the recorder door using the opening provided on the printer It will then release and opens downwards exposing the printer paper tray Remove the new paper pack from its protective plastic cover and insert the pack into the recorder so that the printed side of the paper is uppermost and the FHR trace is on the left Pull the paper out of the front of the unit making sure it is positioned parallel to the roller and the close the door The pack will self align when the recorder is run To operate the printer press the Recorder On Off button The printer will start to run and the chart speed will be shown in the LCD display To turn the printer off press and hold the Recorder On Off button until the printer stops This only operates
2. is only showing an outline heart then this is an indication that the signal quality is not optimum Improved recordings can be obtained by repositioning the transducer so that this indicator always shows a solid heart In the absence of signals of adequate quality this indicator will be permanently off The audio volume can be increased by pressing the volume up button marked with the up arrow Conversely to decrease audio volume press the button marked with the down arrow In twins mode the audio output is selected for either channel by pressing the US 1 2 button The selected channel is indicated on the LCD display by the capital US letters Once a clear fetal heart signal has been located set the volume to the desired level using these controls Transducer position should be checked at least half hourly during labour monitoring or prolonged NST When repositioning the transducer further coupling gel may be required When repositioning the transducers always ensure that the fetal pulse indicates the optimum signal conditions Results will vary from one patient to another but in all cases good transducer positioning is essential and this may be aided by the use of a liberal amount of coupling gel With the fetus in the vertex presentation and the mother sitting or supine the clearest sound will normally be found on the midline below the umbilicus In the lateral position clearer sounds may be found with the transducer displaced from the cen
3. unit as part of the AC line input socket When the unit is on the front panel LED Y will be illuminated The FETATRACK 310 starts and then enters its User Configuration Mode release the Toco Zero button as soon as Calibrate System is displayed You are then prompted to enter the date if different to that displayed To change the day and month press the Volume Up button One press advances the day by one pressing the Volume Up button for longer advances the day by 10 To change the year press the Volume Down button One press advances the year by one pressing the Volume Down button for longer advances the year by 10 When the correct date is displayed press the Toco Zero button once You are then prompted to enter the time if different to that displayed This works in a similar manner to the date with the Volume Up button advancing the hours and the Volume Down button advancing the minutes When the correct time is displayed press the Toco Zero button once You are then prompted to enter the Toco Base Line offset This sets an artificial zero line for the toco transducer above zero it can be set by pressing the Volume Up or Volume Down buttons for a value between 0 20 After setting this value the Toco will be set to this every time the Toco Zero switch is pressed and allows small negative Toco excursions to be seen on the chart When the chosen zero offset is displayed press the Toco Zero button once Fetatrack3 1OOpM
4. 4 0 1291 425425 F 44 0 1291 427093 E ultratec doppler co uk W www doppler co uk Ultrasound Technologies Ltd Operating Procedures Ultrasound Fetal Monitoring The FETATRACK 310 ultrasound transducer is used to detect and monitor the fetal heart beat The FETATRACK 310 can monitor twins and if this option is chosen it is supplied with two Ultrasound transducers The primary Ultrasound Transducer always supplied has a yellow coded plug while the twin channel has a blue coded plug Push the relevant plug firmly into is colour coded front panel US socket and turn the unit on Locate a clear fetal heart sound using a Doppler Fetal Heart Detector and secure the stretch belt in position so that it passes over the transducer site and clamp in place by fastening the buckle after feeding the belt through the transducer Apply gel to the surface of the transducer locating it approximately in the position determined by the Doppler detector Position the transducer to obtain the clearest fetal heart sound The heart rate processor will start to calculate heart rate within a few seconds and the heart rate can be observed on the LCD display Correct operation can be verified by observing that the pulse lamp is flashing at the heart rate The heart shaped fetal pulse indicator is also used as a signal quality indicator When positioning the transducer observe the indicator which should be solid under the best signal conditions If this indicator
5. Do not remove the system cover The system should be serviced by trained and qualified personnel only Contacting the hazardous voltages within the system could cause serious injury Do not use the system if the power cord has any cuts or openings Do not use the transducer if the cable has any cuts or openings Do not use the transducer if the transducer face is cracked or chipped Do not immerse the transducer cable connectors in any liquids Should the electrical safety fuses have to be replaced use only fuses of the same type and rating Explosion Hazard Do not operate or use this system in the presence of flammable anesthetics or gases as it could lead to explosion Fetatrack3 10OpManuallssue6 Page 2 Ultrasound Technologies Ltd Lodge Way Portskewett Caldicot South Wales NP26 5PS United Kingdom T 44 0 1291 425425 F 44 0 1291 427093 E ultratec doppler co uk W www doppler co uk Ultrasound Technologies Ltd Safety In Use Handling the Delicate Transducers The transducers are delicate parts of the ultrasound system and should be treated with care The delicate crystals in the transducer may crack and render the transducer unusable if the transducer is subject to shock Room temperature liquids should be used for cleaning NEVER use alcohol or mineral oil as an acoustic coupling agent as transducer face and cable damage will occur ONLY use approved ultrasound coupling gels Symbols Used The following symbo
6. Non reactive evidence of fetal movement during a forty minute period but without the reactivity indicated above Unsatisfactory recording quality too poor to determine the above criteria Stimulation of the fetus or repositioning of the transducers may result in an improved recording Results from the NST may indicate the requirements to perform other diagnostic checks such as the Contractions Stress Test CST Fetatrack3 10OOpManuallssue6 Page 12 Ultrasound Technologies Ltd Lodge Way Portskewett Caldicot South Wales NP26 5PS United Kingdom T 44 0 1291 425425 F 44 0 1291 427093 E ultratec doppler co uk W www doppler co uk Ultrasound Technologies Ltd Troubleshooting The information in this section will help you to check and correct common operation and system problems Refer to the troubleshooting hints which deal with your problem Perform the suggested steps If the problem is not solved check once again to make sure that you have used all of the suggested steps to resolve the problem Electronic failures and service procedures are not included in this manual as all servicing of the system must be performed by a qualified service technician Valuable time however can be saved by documenting the problem In general when you have a problem check your control settings to be sure that they are in proper operating position Consult the appropriate section in this manual for specific information on particular con
7. RNING Any external equipment connected to this output must meet the equivalent MEDICAL safety standard to this product Connection must only be made by a qualified technician An isolation connection may be necessary when connection is to be made to a personal computer Remote Event Marker Connection of an external event mark switch allows the patient to indicate events by printing an arrow in the gap between the FHR and UA traces The maximum voltage that can be applied to this output is 15VDC Probe Connections US1 US2 Toco This is for the connection of approved Doppler and Toco transducers The maximum voltage that can be applied to this output is 15VDC Fetatrack3 1OOpManuallssue6 Page 5 Ultrasound Technologies Ltd Lodge Way Portskewett Caldicot South Wales NP26 5PS United Kingdom T 44 0 1291 425425 F 44 0 1291 427093 E ultratec doppler co uk W www doppler co uk Ultrasound Technologies Ltd Operating Procedures Operating the FETATRACK 310 In this section information is supplied which will help you use the FETATRACK 310 for the fist time User Configuration Firstly connect the AC supply cord Itis necessary to set the operation of the FETATRACK 310 to meet your requirements Before turning the FETATRACK 310 on press and hold down the Toco Zero button Then whilst keeping the Toco Zero button pressed down turn the FETATRACK 310 on by flicking the AC input on off switch which is located on the rear of the
8. Ultrasound Technologies Ltd o Operating Manual Fetatrack 310 Fetal Monitor Ultrasound Technologies Ltd Contents PADOUT TMS MAN UA bic cnnnas cecccecnceatcnentenccetectununcn vecaueansecaseannscaneanchsateandectednnsdxanetenGeneusuec ehannnsdens 1 STMAT 64 i Sa eS Bo Seo E oS E eee eee ee eee ee 2 Special Precautions 2 cccccccccceseseseeseseseeseseseeecsesescceseseceesenseaesesececaeseaeseeeeecaeseeeeaeeeceeseeeeeeeeeetaees 2 Electrical SHOCK HAZard cccccccesccssesscssesecsscsecssecscssecssesecsscsecsacsecsaccssesecsecsecssseaceascaessecssceeeaceaes 2 Explosion Hazard oeenn iniaa EEEE AEREE N 2 Handling the Delicate TranSGucers ccccccccccssesscssssesscscssesscsccesecseseesececseesececsessecesseesesseeesseees 3 SYMDOISWUSEOh EE AT bide eee T a sdeiee deen arid beer ete Se 3 Parts and Their FUNCTIONS ccceseeceeeseeeceeeseeeeeenseeeeenseaeeeenseaeeeensneaeeeensaeeeenseaeeeenneeeeeenas 4 F1310 Front Panel GOmtrols sciviccec 8 scutes ieee hanks ves teads dele elisa dates een tend chi edbes accessed tae 4 Recorder OWO eroriren ie de eke eile betendi aed havent ada ented ea ees 4 Front Panel Event Mark s sccccicetecesndes devsecs seveshessscsnus bee vendoedoudncs beacahes seavehesbesdender E 4 Volume UD serin ieceres ore e E E EE ONE P ETET EERE EERE E EEO RENTE ERE 4 Volume DOWNS s cs2s heeled ened EEE E LEE AEREE ata EEEE EAE A e 4 US1 US2 Transducer Select ccc cccccccccscssecssesecssesecssssecsaecs
9. activity The transducer plug is colour coded grey for ease of identification To monitor uterine activity plug the Toco transducer into the grey UA input socket The Toco transducer is sealed to prevent the ingress of fluids NO coupling gel is required for this transducer to operate correctly Place the transducer on the centre line over the fundus in a position where the uterus is firm and secure in place with the stretch belting Attach belt in the same fashion as with the ultrasound transducer Once the transducer is in position push the Toco Zero button on the front panel to zero the recording The position of the zero baseline can be set to suit individual preferences For details of how to change the pre programmed baseline refer to User Configuration Fetal Activity Fetal activity may be recorded with the assistance of the patient A hand held marker switch is provided for this purpose and this is plugged into the socket immediately to the right of the UA input on the front of the unit If the patient feels movement of the fetus she may press the switch and this will mark the paper with an arrow in the gap between the HR and UA traces Alternatively this marker may be used by the midwife to indicate any changes made during the procedure such as repositioning of the transducers or movement of the patient A front panel event marker is also provided and this marks the trace on the top edge of the HR scale This can be used wh
10. after the data block has been printed A small amount of paper will be fed out at high speed The printer will record at 1 2 or 3 cm min To change the speed during recording simply press the Recorder On Off button momentarily The FETATRACK 310 can be run at the speed of your choice and will always start at this pre programmed speed every time the printer is turned on For details of how to change the pre programmed speed refer to User Configuration When the paper pack runs out the Fetatrack 310 will sound a short alarm and display Paper For the next 30 min the system will store HR1 HR2 and Toco until either the store becomes full the user presses and holds the Recorder On Off button to reset the store and loose the stored data or the user inserts a new paper pack presses Recorder On Off button once and the Fetatrack 310 prints the stored data and returns to normal printing When the store reaches 90 full the Fetatrack 310 will Alarm and show StoreLow if the store then becomes full the display changes to StoreFull and there will be no further storage The data can still be printed by pressing Recorder On Off button once or reset by pressing and holding the Recorder On Off button The print from store is lighter than the normal trace to distinguish stored data Fetatrack3 10OpManuallssue6 Page 8 Ultrasound Technologies Ltd Lodge Way Portskewett Caldicot South Wales NP26 5PS United Kingdom T 4
11. anuallssue6 Page 6 Ultrasound Technologies Ltd Lodge Way Portskewett Caldicot South Wales NP26 5PS United Kingdom T 44 0 1291 425425 F 44 0 1291 427093 E ultratec doppler co uk W www doppler co uk Ultrasound Technologies Ltd Operating Procedures You are then prompted to enter the Toco Filter Value This sets the filtering within the monitor to produce a smoother Toco trace if required The filter can remove some of the maternal breathing artifact It is set by pressing the Volume Up button for a value soothing value between 1sec and 2sec When the correct filter value is displayed press the Toco Zero button once You are then prompted to enter the Toco Range This sets the response of the Toco transducer to either a full scale of 100 or 200 on the chart print out It is set by pressing the Volume Up button for a value between 100 and 200 When the correct range is displayed press the Toco Zero button once You are then prompted to enter the Chart recorder speed This sets the initial turn on speed of the chart recorder Then once the chart is running the speed can be further changed to 1 2 or 3 cm min It is set by pressing the Volume Up button for a value of 1 2 or 3 cm min When the correct speed is displayed press the Toco Zero button once You are then prompted to select the Data Block on or off The Data Block is printed at the start of each recording this function can be disabled by setting Data B
12. chnologies Ltd The FETATRACK 310 is supplied complete with the following FETATRACK 310 Single Fetus FETATRACK 310 Twin Fetus Monitor Monitor US1 Monitoring Transducer US1 Monitoring Transducer External Toco Transducer US2 Monitoring Transducer Patient Event Marker External Toco Transducer Belt and Buckle set x2 Patient Event Marker Chart pack x1 Belt and Buckle set x3 Power Cord Chart pack x1 Operating instructions Power Cord Coupling gel 0 25ltr Operating instructions Coupling gel 0 25ltr Fetatrack3 10OpManuallssue6 Page 1 Ultrasound Technologies Ltd Lodge Way Portskewett Caldicot South Wales NP26 5PS United Kingdom T 44 0 1291 425425 F 44 0 1291 427093 E ultratec doppler co uk W www doppler co uk Ultrasound Technologies Ltd Safety In Use Special Precautions Your FETATRACK 310 Antenatal Cardiotocograph has been designed for electrical safety All the safety and operating instructions should be read before operating the FETATRACK 310 Failure to do so could result in injury to the user patient or damage to the system and accessories Electrical Shock Hazard Do not defeat the grounding integrity of this system Protection against electrical shock in the event of failure of basic insulation is provided by the connection of the chassis to the safety ground Safety grounding occurs only when the 3 wire cable and plug provided with the system are connected to a properly grounded receptacle
13. er co uk Ultrasound Technologies Ltd Specification Power Supply AC input voltage 200 260 VAC or 100 130 VAC User selected Frequency 46 64 Hz Power 60VA Enclosure Material Aluminum Environmental Working temperature 10 C to 40 C Relative humidity 30 to 75 Storage Transport temperature 10 C to 70 C Safety Unit Designed to BS EN60601 1 1990 Electrical Designation Class 1 Type B Computer interface Transfer 3 wire RS232 Data Rate 9600 baud Data Standard 8 bits no parity 1 stop bit Data Format UltraTec Comms Standard The following Consumables are available for use with the FETATRACK 310 Belt Buckle set 10 belts 2 Buckles per pack Chart pack 10 per pack Power Cord Coupling gel 0 25ltr 12 per box This Equipment complies with the essential requirements of the European Council Directive 93 42 EEC 0120 Fetatrack3 10OpManuallssue6 Page 16 Ultrasound Technologies Ltd Lodge Way Portskewett Caldicot South Wales NP26 5PS United Kingdom T 44 0 1291 425425 F 44 0 1291 427093 E ultratec doppler co uk W www doppler co uk Ultrasound Technologies Ltd Electromagnetic Compatibility Guidelines for Identifying and resolving adverse EMC conditions Emissions Care has been taken through the design and manufacturing processes to minimise the EM emissions that may be produced by this equipment However in the unlikely event that the unit causes an EM disturbance to adjacent equipment we sugg
14. ere two types of indication are required Fetatrack3 10OpManuallssue6 Page 10 Ultrasound Technologies Ltd Lodge Way Portskewett Caldicot South Wales NP26 5PS United Kingdom T 44 0 1291 425425 F 44 0 1291 427093 E ultratec doppler co uk W www doppler co uk Ultrasound Technol gies Ltd Operating Procedures Alarms The Fetatrack 310 has built in Bradycardia and Tachycardia alarms These can be set On or Off in the setup program The status of the alarms are printed in the center of trace between the UA and FHR traces When an alarm is activated a down arrow with an A is printed at the top of the trace and an audio alarm sounds Pressing either volume up or down can reset the alarm When set to Level the Fetatrack 310 monitors the average of the last 30 sec of Heart Rate data and alarms if this falls below the selected numeric value When set to Complex the Fetatrack 310 monitors the last 3 time periods of 20 sec each of Heart Rate data and alarms if the fall below the selected numeric value and are in a descending rate for Bradycardia or ascending for Tachycardia Paper Out will sound a short alarm to draw attention to the monitor if the paper out store reaches 90 full the Alarm will sound again until cancelled by the user pressing either volume up or volume down Fetatrack3 10OpManuallssue6 Page 11 Ultrasound Technologies Ltd Lodge Way Portskewett Caldicot South Wales NP26 5PS United Kingd
15. essecsscsecsaceecsaseseesecseeseenees 4 TOCO ZEO ranea N rere eee rere AEE ey rere eee eee 4 Indicators ANA Connectors ceececeeceseescesecssesecsecsecssesecsaecssesecsscsecsacecsaccsseaecsecsecsaseeceseesesseeeess 5 Powe r On Indication 0 eee ec ccceeccceseceeeecssecscssecssesecsscsecsscsecsaccasesecsecsecsacecsascseesecsaeseenaeeees 5 RS232 Output oo ceeeecececesceseseseeeeecsesessesesececsenenacsesesecsesesacscsesecseseeaeacsececaeseeateceeceeaeeesataeeees 5 Remote Patient Event Marker c cccccccsesesssseseccceceseeeesescseeeeseseseeecaeeceaeaeseeeeaeeeeateeeeeeeaees 5 Prob CONN CHiON 00 eccecccscssssesscsseseescssssesecsessesccseesesecssssesecsscseecsessececsecseeecsessecessesaeeessesaees 5 User Configuration ccccecceccceescsseseseesesescscecescecsecacsceaescsesesacseseesceesecaesesasacsecesaeseeasaeeeeecaececaeaeases 6 The UM seraa A A E EAE eeseede deen E A een ae 8 Ultrasound Fetal Monitoring e ssseesssseseseeresesessesestereststssssesrereststsstsesteresestssenesreresestsntsesestsstsenne 9 Uterine Activity MONitoring ccccccceceseesesescseecesesesececsescescscsececsencaesceesecaeseacscsececaeneeataceeteeatees 10 RACIE h O A A E thaphaus vals A A cost ilupsasateunanbers 10 E EENE E EI ETTE O OE EEEO TOE TETA ddd 11 Transducer Boll senesaiesiniiitisni tetinin Ne Ai ea eve bse ised ded keel 12 INErPFEtAllON sinees eet salen es celia ai ai weeded neds 12 Troubleshooting ccceseeeceensseeeeee
16. est that the procedure is carried out out of range of the affected equipment Immunity If the user has any doubt regarding the unit s EM immunity during routine operation we suggest that the source of EM disturbance is identified and its emissions reduced If the user has any doubt regarding the identification and resolution of adverse EM conditions they may contact Ultrasound Technologies Ltd to seek advice EMC Testing During conformity testing the Fetatrack 310 was subjected to International Standard EMC tests During the majority of these tests no non conformances were observed During EN60601 1 1 2001 testing the FetaTrack 310 was shown to be susceptible to the following tests Effect was a displayed rate of 115 to Applied test signal is very high for high 125 bpm at each harmonic and sub _ sensitivity electronics and non applied Conductive Test applied a 3Vrms RF magnetic harmonic of the transducer frequency transducers With correctly applied disturbance induced field to transducer cables with a 2Hz No disturbance was detected at other transducers interference from in band by applied RF field modulation frequencies RF signals is unlikely Effect was a disturbance to the UA Normal operation is unaffected and the transducer causing a static UA static reading can be cancelled by Radiated RF Test applied 3V m 80Mz to 2 5GHz reading of up to 9 units pressing the toco zero button Normal mains power is unlikely to cause
17. intenance The following are the user preventative maintenance tasks It is recommended that these be performed on a regular basis at a frequency determined by the usage of the equipment but not less than once every month WARNING Before undertaking any of these tasks disconnect the unit from the mains General Check all cables connectors and transducers for damage and repair or replace where necessary The repair may involve your local service centre supplier or Ultrasound Technologies Ltd For advise on any damaged part contact them immediately Cleaning Enclosure Clean the exterior of the system with a soft dry cloth In the event of stubborn spots disconnect the system from the power source Use a soft cloth that has been dampened not soaked in a mild detergent solution or isopropyl alcohol Be sure to keep excess moisture from entering the cabinet via any openings that may be present Cleaning Transducers Use a cloth dampened in a mild detergent solution or isopropyl alcohol to clean the transducer and cable Remove all traces of the detergent or alcohol by wiping with a cloth dampened in clear water Never soak the transducer cable or connector WARNING Transducers must never be exposed to gas or heat sterilization or be left immersed in any liquid for more that a few seconds Fetatrack3 1OOpManuallssue6 Page 14 Ultrasound Technologies Ltd Lodge Way Portskewett Caldicot South Wales NP26 5PS United Kingd
18. lock to off It changes from on to off and back again by pressing the Volume Up button When the Data Block is set to your requirements press the Toco Zero button once You are then prompted to select the Tachycardia Alarm on or off The Tachycardia Alarm is triggered when the system detects a Tachycardia above a preset value that the user can choose The Alarm can be a level alarm or one calculated from a complex Press the Volume Up button to change the setting The alarm is tone is silenced by pressing the units Volume button When the Tachycardia Alarm is set to your requirements press the Toco Zero button once You are then prompted to select the Bardycardia Alarm on or off The Bradycardia Alarm is triggered when the system detects a Bradycardia below a preset value that the user can choose The Alarm can be a level alarm or one calculated from a complex Press the Volume Up button to change the setting The alarm is tone is silenced by pressing the units Volume button When the Bradycardia Alarm is set to your requirements press the Toco Zero button once The FETATRACK 310 will then restart and operate according to your settings The FETATRACK 310 is now operational and the LCD screen will show US1 us2 if the unit is only a single fetus monitor it will only display US1 and a Toco value Fetatrack3 10OpManuallssue6 Page7 Ultrasound Technologies Ltd Lodge Way Portskewett Caldicot South Wales NP26 5PS United
19. ls are used on the FETATRACK 310 and are in accordance with BS EN60601 1 1990 Where they are associated with the connection of external equipment that equipment must meet the relevant safety standards in all cases NI Alternating current Associated with power on indicator Unit classification R Type B Equipment O Off power disconnection from the mains On power connection to the mains Attention consult accompanying documents Associated with auxiliary connections see operating instructions JFL This symbol on the product or on its packaging indicates that this product must not be disposed of with your normal waste Fetatrack3 10OpManuallssue6 Page 3 Ultrasound Technologies Ltd Lodge Way Portskewett Caldicot South Wales NP26 5PS United Kingdom T 44 0 1291 425425 F 44 0 1291 427093 E ultratec doppler co uk W www doppler co uk Ultrasound Technologies Ltd Parts and Their Functions FETATRACK 310 Front Panel Controls The front panel control area contains 6 buttons used to control the operation of the unit they are all indicated by icons to aid language variations Event Mark 1 Places arrow in upper portion of Volume Down chart Volume Up Toco Zero Sets Toco channel to preset baseline value Recorder On Select ultrasound channel Off and speed for audio output in twins control mode Recorder On Off and Speed Change This button is used to control the operation of the reco
20. n place throughout the European Union Ultrasound Technologies Position with regard to the WEEE Directive Product recycling is nothing new and Ultrasound Technologies have implemented processes in each member state where the company has a presence Ultrasound Technologies will comply with the provisions of the WEEE Directive and national implementing legislation Instructions for Disposal of Waste Equipment by Users in Private Households This symbol on the product or on its packaging indicates that this product must not be disposed of with your other household waste Instead it is your responsibility to dispose of your waste equipment by handing it over to a designated collection point for the recycling of waste electrical and electronic equipment The separate collection and recycling of your waste equipment at the time of disposal will help to conserve natural resources and ensure that it is recycled in a manner that protects human health and the environment For more information about where you can drop off your waste equipment for recycling please contact your local waste disposal authority your household waste disposal service or the supplier where you purchased the product As a producer of electronic devices Ultrasound Technologies will provide for the financing of the treatment and recycling of waste returned through these designated collection points in accordance with local requirements Instructions for Disposal of Waste Equi
21. nsneeeeenneeeeeenaneeeeeeaneeeeenaneeseensaneeseesaneesesnaneeseenanaeseenaneeseenanee 13 No Display Information ON LCD cccccccesecscsseseesesseseescseeseeecssesececsecsececsesseeecsecsececseesecaeeesseees 13 Keyboard Does Not Respond ceeseesesescssesesesesescscecacscsececacnesacacsececaenesacecsececaeeeeateeeeeseatees 13 No Sound From LOUASPEAKELS eeceecesescsceceseseeseecseecsescsececsenesesceeeecaeneaesesececaeenataeeeeseatees 13 No FHR Information on Display or RECOrED ccccecececcececeseeseseseececesesceceeseceseseeeeeeeesentaes 13 No Chart PIinte esineeseen EE EEEE EREE ENEE EE iSi 13 Maintenant eosa Aa Aa 14 Lea y e Perr AEE A TS RE AE EEE AEE EA EE 14 System Cabinets sneinen ea a E ai a EE E EREA EEE 14 TiWANSGUGEIS eraa E A es ieee 14 Specificati ti cda ea to aa aaa Eto ene Teme nee a aaea a aa NAE aaa eer ee 15 Environmental srona Aa AAAA AE A AEAN AEA AARE ARARA AEA 16 Electrommagnetic Compatibility 0 0 0 ce ceeecceccsseseseeeescecscseesesesececacnenaescsececaeneaesesecesaeeeeateeeeeees 17 WEEE and ROHS cece cceccccsesecsscesceseescsccssesecsecsecsscsecsaecasesecsassecsaseacuaccasesecsacsecsasesesaseasenaseneeas 18 Ultrasound Technologies Position with regard to the WEEE Directive 0 cee 18 Instructions for Disposal of Waste Equipment by Users in Private Households 18 Instructions for Disposal of Waste Equipment by Commercial Users cceeeeeeeee 18 aCe a e o
22. om T 44 0 1291 425425 F 44 0 1291 427093 E ultratec doppler co uk W www doppler co uk Ultrasound Frequency Transducer Audio Response Range Power Output Signal Processing Indicators Toco Transducer Response Scale Indicators Event Mark Hand held Unit Front Panel Alarms Bradycardia Tachycardia Paper Out Data Presentation Ultrasound Technologies Ltd Specification 1 5 or 2 1 and 1 8 MHz continuous wave Multi element wide angle 300 1 KHz 50 210 bpm 5 mW sq cm max SATA Software AUTOCORRELATOR LCD heart rate and pulse indication Differential external pressure transducer 0 5Hz 0 100 LCD Toco numeric level indication User operated User operated Complex and Level alarms Complex and Level alarms Short Alarm Strip chart recorder and alphanumeric display module Printhead Resolution Speeds Speed accuracy Paper Paper type Paper out storage Display Controls Indicators Fetatrack3 10OpManuallssue6 4 inch thermal solid state printhead 8 dots mm 1 2 3 cm min Better than 1 Z fold Black thermal 30 mins 32 character by 2 line LCD display module 6 control buttons for Paper Start Stop Volume Up Volume Down US Toco Zero and Event Mark Green power on off Page 15 Ultrasound Technologies Ltd Lodge Way Portskewett Caldicot South Wales NP26 5PS United Kingdom T 44 0 1291 425425 F 44 0 1291 427093 E ultratec doppler co uk W www doppl
23. om T 44 0 1291 425425 F 44 0 1291 427093 E ultratec doppler co uk W www doppler co uk Ultrasound Technologies Ltd Operating Procedures Transducer Belts Both the ultrasound and contractions transducers are held in position with elastic belting which maintains the active elements in contact with the abdomen The belts should first be placed around the patient and held in place at the correct tension with the plastic buckles As the transducers are free to slide on the belt final positioning can be easily achieved Similarly repositioning of the transducers is made very much simpler mR 1 Attach the buckle to the a cae belt using the velcro P fastening 2 Place the belt around aT b the patient pass the free N A eee ee end into the buckle adjust i X 5 to correct tension and N ie close to lock belt in position a 3 The tranducers can be easily slid around the belt to best position Interpretation The following is intended only as a brief guide For a fuller explanation of the interpretation of chart records refer to suitable reference books During the antepartum period the Non Stress Test NST is an accurate means of predicting fetal well being The criteria proposed by Schifrin et al for the interpretation of the NST is summarised Reactive accelerations of 15 BPM or more which last for 15 seconds or longer twice in any 10 minute period These may be accompanied by fetal activity
24. pment by Commercial Users For users of Ultrasound Technologies equipment other than private households Ultrasound Technologies will provide free recycling of equivalent medical electronic equipment once a customer has returned the equipment to Ultrasound Technologies with all transport and importation costs paid and where a replacement product is being supplied by Ultrasound Technologies Where a replacement product is not being supplied recycling services may be provided on request at additional cost The RoHS Restriction of Hazardous Substances directive 2002 95 EC compliments the WEEE Directive by banning the presence of specific hazardous substances in the products at the point of manufacture Ultrasound Technologies is a manufacturer of Medical Devices and is currently exempt from this directive However at Ultrasound Technologies we take our responsibilities to the environment very seriously and currently 99 of our entire manufacturing process and parts meet the RoHS directive and full compliance is expected within 2007 Fetatrack3 10OOpManuallssue6 Page 18 Ultrasound Technologies Ltd Lodge Way Portskewett Caldicot South Wales NP26 5PS United Kingdom T 44 0 1291 425425 F 44 0 1291 427093 E ultratec doppler co uk W www doppler co uk
25. rder Press once and the chart recorder will start each consecutive short press will change the speed Pressing and holding the button down will stop the recording Event Mark 1 Places an event mark arrow at the top of the FHR scale Volume Up This button is used to increase the audio volume level or in configuration mode to change user options Volume Down This button is used to decrease the audio volume level or in configuration mode to change user operations US1 US1 Transducer Select in Twins mode Pressing this button changes the selected probe from US1 to US2 for volume output This is used when the unit is in twins mode with two US channels for listening to either of the two fetuses Press and hold to activate twins trace offset Toco Zero This button zeros the Toco trace to the selected baseline Fetatrack3 10OpManuallssue6 Page 4 Ultrasound Technologies Ltd Lodge Way Portskewett Caldicot South Wales NP26 5PS United Kingdom T 44 0 1291 425425 F 44 0 1291 427093 E ultratec doppler co uk W www doppler co uk Ultrasound Technologies Ltd Parts and Their Functions Inputs Outputs and Displays Power On Indication The green LED associated with the above symbol indicates that power is connected to the apparatus when illuminated RS232 Output This output is for the connection of an external computer for data transfer The maximum voltage that can be applied to this output is 15VDC WA
26. s fo E PER TEE EEEE EENS sth E ENE AEE NE EEEE E EE E 18 Ultrasound Technologies Ltd Lodge Way Portskewett Caldicot South Wales NP26 5PS United Kingdom T 44 0 1291 425425 F 44 0 1291 427093 E ultratec doppler co uk W www doppler co uk Ultrasound Technologies Ltd About This Manual This booklet explains the operation and use of the FETATRACK 310 Antenatal Cardiotocograph Care has been taken during the design and manufacture of this product so that it satisfies all of the current safety standards set down by BS EN60601 1 1990 To achieve the best from this product read the following sections several times and if you have any problems in the operation of a particular part of the product then contact your dealer immediately or contact Ultrasound Technologies Ltd Lodge Way Portskewett Caldicot NP26 5PS South Wales UK Tel 44 0 1291 425425 Fax 44 0 1291 427093 EMAIL service doppler co uk A service manual containing circuit descriptions diagrams parts and spares lists is available for the FETATRACK 310 by contacting the address above To maintain the FETATRACK 310 s performance it is recommended that it be included in a periodic maintenance program The user preventative maintenance program is covered in this manual Maintenance outside the scope of the user should be undertaken on an annual basis by trained service personnel full details are available from your supplier service centre or from Ultrasound Te
27. such a transient burst Displayed rate is Electrical fast Test applied 2KV AC power Effect was a FHR reading of 198 BPM unlikely to occur when transducers are transients and bursts 1KV Signal Cables connected to a patient Test applied 2KV 4Kv Unit should be used in a low static 8KV Air Discharge 2KV environment Displayed rate is unlikely Electro Static 4KV 6KV Contact Discharge to occur when transducers are Discharge Repetition Rate 1second Effect was a FHR reading of 58 BPM connected to a patient Test applied 0 5KV 1KV Normal mains power is unlikely to cause 2KV AC power line to ground such a surge Displayed rate is unlikely 0 5KV 1KV 6KV AC power to occur when transducers are line to line Effect was a FHR reading of 58 BPM Jconnected to a patient Fetatrack3 10OpManuallssue6 Page 17 Ultrasound Technologies Ltd Lodge Way Portskewett Caldicot South Wales NP26 5PS United Kingdom T 44 0 1291 425425 F 44 0 1291 427093 E ultratec doppler co uk W www doppler co uk Ultrasound Technologies Ltd WEEE and RoHS Waste Electrical and Electronic Equipment WEEE Directive 2002 96 EC There is an increasing interest in the proper disposal of used electronic equipment The European Union EU has developed the WEEE Waste Electrical and Electronic Equipment Directive to ensure that systems for collection treatment and recycling of electronic waste will be i
28. tre line to the upper surface of the abdomen The clearest signals in breach presentation may be located higher and to one side Fetatrack3 10OpManuallssue6 Page 9 Ultrasound Technologies Ltd Lodge Way Portskewett Caldicot South Wales NP26 5PS United Kingdom T 44 0 1291 425425 F 44 0 1291 427093 E ultratec doppler co uk W www doppler co uk Ultrasound Technologies Ltd Operating Procedures Transducer position which results in sounds with a strong placental or cord signal should be avoided as these frequently render traces with artifacts It is important that a distinct fetal heart sound is present during monitoring for correct function of the unit Any doubt about fetal variability should be checked by listening to the audible signal or by an alternative diagnostic technique A simple check of the ultrasonic system can be made by holding the transducer against the palm of the hand and stroking the back of the hand at a fixed rate for example twice per second A clear audible signal should be heard and the digital display should show a rate after approximately five seconds With the printer running this rate will be recorded on the chart In the event of HR1 and HR2 traces overlapping or having similar rates the HR2 US2 trace can be offset by 20bpm by pressing and holding the US key This is reset when the recording session finishes Uterine Activity Monitoring The Toco transducer is used to monitor uterine
29. trols or operating modes WARNING Disconnect system from the power source before checking fuses and connections Check all connections and fuses Replace fuses with same type and rating as indicated on the rear panel of the unit No display information on LCD Verify the system is on and that the fuses are intact Keyboard does not respond Reset system by turning off then back on Verify the system is on and that the fuses are intact No sound from loudspeaker Verify the system is on and that the fuses are intact Check volume control is set high Check that the correct transducer has been selected Check connection of the transducer No FHR information on display or FH trace printed on recorder Check that the correct transducer has been selected and connected to the patient Check connection of the transducer Check for audio FH complex and reposition transducer until clearly heard No chart printed Verify the system is on and that the fuses are intact Check that the recorder is turned on Check paper is inserted into the recorder correctly Check recorder door is correctly closed Check that paper moves out of the recorder at the correct rate Fetatrack3 10OpManuallssue6 Page 13 Ultrasound Technologies Ltd Lodge Way Portskewett Caldicot South Wales NP26 5PS United Kingdom T 44 0 1291 425425 F 44 0 1291 427093 E ultratec doppler co uk W www doppler co uk Ultrasound Technologies Ltd Ma
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