Quick Reference Guide – PRD101007/1
Contents
1. SO TASS A A SSS O So S gt SS x SSS ces Ky gt Always use gel for Direct the US transducer Fix the transducer by using ultrasound towards the fetal heart the abdominal belt then Reposition the transducer connect to STAN 31 regularly as the fetus moves to improve signal quality ie Press the button to switch US Sound on off sand Press and hold to select sound volume Internal Recording Fetal ECG FECG ST When monitoring with scalp electrode the fetal ECG is recorded and ST Analysis is performed if enabled on your monitor Locate the position for Prepare the skin properly Connect the skin electrode the skin electrode by rubbing with abrasive to the legplate and apply device Clean the area to the prepared skin area with alcohol Let dry S Only use recommended disposables and follow the instructions for use included with the disposable package l Read the STAN S31 User Manual on Signal Quality Apply the recommended Connect the scalp electrode Connect the legplate to sterile scalp electrode to the legplate STAN S31 and inspect the FECG signal The fetal ECG will automatically be displayed a in FECG Signal window until a stable signal has been achieved EERE Press the button to switch FECG Sound on off sond Press and hold to select sound volume Monitoring the maternal vital signs NIBP MSpO2 and MHR For more information see the STAN S312. AN S31 User Manual for information on how to configure alarms Alarm Conditions The alarm triggering conditions are grouped into Clinical Conditions and Sig nal Loss Conditions When alarms are enabled they may be configured for ei ther Clinical Conditions only Signal Loss Conditions only or both Clinical and Signal Loss Conditions See STAN S31 User Manual for more information Alarm Signal If alarms are enabled the alarm signal may be visual or both audio and visual When alarm is triggered operator confirmation is required in order for the alarm signal to cease Alarm Conditions Clinical and Signal Loss conditions Alarm Signal Audible and Visual Alarm Confirmation Identification dialog Alarm Sound Level Level 1 of 5 High Low FHR Detection Enabled High FHR Over 160 bpm for 5 min Low FHR Under 110 bpm for 1 min FHR Signal Loss Absent HR more than 50 for 2 min ST Signal Loss No T QRS for 1 min 30 s Matching HR Equal HR for 30 s High MHR detection Over 100 bpm for 5 min Low MHR detection Under 50 bpm for 2 min High NIBP detection Sys 180mmHg Dia 110 mmHg MAP Disabled Low NIBP detection Sys 100mmHg Dia 50mmHg MAP Disabled Low MSpO2 detection 95 or below for 5 s Restore Test Done Alarms Sound Alarm Alarm Audio Off Off Visual alarm signal Confirm Alam Press button to stop the visual alarm signal Audible alarm signal Confirm Alan Press button to stop the audib
3. KR OK A ce RE OK x x Sai Network Int Storage Zero Start zee a Event Note FECG US2 ane Therma Centr Mon Th Recorder TOCO NIBP g Log Event Sound Sound Recorder STAN S31 fetal heart monitor The display area is divided into three sections is available in several versions 1 Information Panel instantaneous data Not all functions may be 2 Data presentation trends changes over time available on your monitor 3 Function buttons menus and system functions Information panel D O 0o00 Patient Data __ Status Maternal ae po came ECG Average 09 25 43 WEE 10s Sots Po UA TOCO MAP 95a NIBP Cycle 01 25 6 9 1 Patient data 7 FECG US1 heart beat 2 FECG average 8 US2 heart beat 3 Status window 9 FECG US1 signal quality 4 Maternal window 10 US2 signal quality 5 FECG signal information 11 FECG US1 heart rate 6 Maternal uterine activity 12 US2 heart rate Function buttons Function buttons are located at the bottom row of the display Depressed button indicates activated function Shaded gray button or text indicates that the function is not enabled Zero start Baden aial Event Note FECG Use Eii Thermal Ew TOCA NIBP 9 Log Event Sound Sound Recorder Navigation Operate the function buttons via the LCD touch screen Press the function button with a finger or a touchpen to activate function Press and hold the function button to open the pop up m
4. P measurement are presented in the Maternal Window TUT When the pulse oximetry sensor is correctly applied the MSpO value and MHR value are presented and updated continuously in the Maternal Window NIGP Cycle 01 25 The Event marker The Event marker is used to indicate fetal movements or other events Each press results in a vertical line marker in the uterine activity curve Printout i N ly N A d r Different printer types can be connected to the system via network See STAN S31 Service Manual for compatible printer models Network Printer om Press the button to open Print dialog Thermal Recorder Thema Press the button to start stop the recorder Press feo and hold to select printing options Neoventa Medical AB e Agatan 32 431 35 M lndal SWEDEN Tel 46 0 31 758 32 00 Fax 46 0 31 758 32 99 www neoventa com www stancases com USA Customer Support Tel 1 888 777 7856 info us neoventa com PRD 101 007 1 R5A 2009 Neoventa Medical AB All rights reserved STAN Goldtrace and the STAN baby logo are trademarks of Neoventa Medical AB
5. User Manual Read and follow the NIBP cuff instructions for use Read and follow the SpO sensor instructions for use STAN S31 monitor may be equipped with an integrated maternal module The following maternal vital signs can be monitored directly with STAN S31 non invasive blood pressure NIBP oxygen saturation MSpO7 and pulse heart rate MHR NIBP is measured with an NIBP cuff and pulse oximetry with an SpO sensor MHR is derived directly from the MSpO measurement Apply the sensor on a suit able location index finger is cuffed arm in extension with preferred Ensure the light For optimum accuracy the mother should keep the Select a cuff of appropriate size Wrap the cuff snugly around the mother s bare arm Center the arrow on the cuff directly over the brachial artery point ing towards the hand emitter is facing the nail and the finger is inserted right to the end of the sensor the cuffed part placed at the same level as the heart dur ingthe whole measurement Start Press NIBP Start button on screen in order to start the measurement sill Press and hold NIBP Start button on screen Select the desired NIBP cycle in the pop up menu A measurement will start right away mae Press NIBP Stop button on screen in order to stop an ongoing measurement Maternal MH MSpaz 98 99 09 25 43 Systolic 119gr Diastolic Bgg MAF 95g The values of the latest NIB
6. al lim Mins aR a 7 Quick Reference Guide neoventa STAN S31 fetal heart monitor eh t li i N Important Read the STAN S31 User Manual 1 Transducer connectors 4 Function buttons 2 Power switch 5 Information panel 3 Fetal ECG FECG average 6 Display unit Power ON OFF Power on the monitor by setting the power switch beneath the display unit to position I Shut down the monitor by pressing the End function me button on the screen When instructed on the screen power off the monitor by setting the power switch to position O Temporary ending You can end the recording temporarily If you restart the monitor within two hours you will be able to continue the recording ST Analysis Fetal ECG analysis ST When monitoring with scalp electrode the fetal ECG 1s record ed and ST Analysis is performed if enabled on your monitor C 0413 In this document this symbol indicates information related to ST Analysis function STAN S31 MLQ0019_080525 0007320AD70A STN Review 01 06 59 2008 05 26 FHR FECG Patient Data S mMatenma r Info FECG Name MHR 78 __ id No Mspo2 100 1 5 ECG Average p Review 18 12 49 T 4198 T QRS 0 14 LH Se 9 Diastolic 895r VA TOCO MAP 95a NIBP Cycle 01 25 x x x x oA KR Ri x TE RM a Ke KP KX yY KE x Ly SOA ly ge KEK KR KE a EK Mm oo
7. enu Data Presentation 18 10 lt _ 1 ERM O Time date and connected transducers 2 ST Event This symbol indicates a significant change in the fetal ECG waveform has occurred You can find more information regarding this event in the Event Log See STAN S31 User Manual for more information 3 Fetal heart rate trace When no transducer 1s connected or when HR 1s not detected or out of scale no line will be drawn 4 Maternal heart rate trace Discontinuous or intermittent trace presented as green rings in order to differentiate from FHR trace MHR is calculated from the SpO measurements in STAN S31 monitors with maternal monitor 5 Event marker line when Event marker button depressed 6 Uterine activity trace TOCO or IUP values are shown When no transducer 1s connected no line will be drawn 7 T QRS ratios T QRS ratios between 0 125 and 0 50 are drawn 8 Biphasic BP indications Calculated biphasic indications are displayed at the bottom end of the grid The Event Log records information about various events The Event Log al is always active even when hidden When an ST Event Fetal Heart Rate o ____ Event or Maternal Event occurs the Event Log is automatically displayed Event Press the button to display or hide the Event Log og mre alaala e m F Press the button to enter an event using the keyboard Event Press and hold to select a predefined event lt gt Use t
8. he arrows in the Event Log window to move up and down in the Event Log Important information might be missed when the event log is hidden Data Presentation Windows es 4 J Network int Storage Iwo Ssa Event Note FECO 5 Toco aop f Pme Signal pin loii E Pent End Alarms A Do not base patient monitor ing solely on the alarm system Absence of alarm trigger ing events does not imply the wellbeing of the mother or fetus The alarms system does not replace personal surveillance and clinical as sessment of your patient Live EFM Window This is the window you normally use when monitoring FECG Signal Window When monitoring with scalp electrode use this window to inspect the fetal ECG signal This window is always displayed after power ON until STAN S31 is recording with good signal quality In case of low or poor signal quality it may be necessary to apply a new scalp or skin electrode The current live recording 1s still visible in the right side window Sigal Press the button to display or hide the FECG Signal Window EFM Scroll Window This window permits review of the ongoing recording The live recording is still visible in the right side window Review Press the button to display or hide the EFM Scroll Window Move finger or touchpen across the scrollbar or across the recording to scroll through the recording You may configure alarms on STAN S31 See ST
9. le alarm signal Inactivate restore alarm signal Press and hold the Event Log button to access the Alarm Settings Overview Press button Alarm Audio Off to silence alarm signal The visual alarm signal is still active Press button Alarm Off to inactivate alarm signal completely All alarm signals are now inactivated If the alarm signal is either silenced or inactivated press button Restore Alarms to revert to the initial alarm settings Recording of the uterine activity Set up External TOCO Place the transducer on the Fix the transducer in position Adjust the sensitivity upper part of the maternal using the abdominal belt by tightening or abdomen over the fundus then connect to STAN S31 loosening the belt Press the button to set the TOCO value to default A value 5 Press and hold button to select sensitivity Set up Internal IUP Only use recommended cathethers and adapter cables See STAN S31 User Manual Follow the application instruc tions included with the catheter and the IUP adapter cable Use a sterile IUP catheter Introduce the catheter Press the Zero IUP menu of recommended type Conneceiie TUP adapter button to zero the IUP signal Connect the catheter to the IUP adapter cable cable to STAN S31 Recording of the fetal heart rate External Recording Ultrasound In external monitoring us ing ultrasound US no f BN FECG is obtained and ST Analysis is not performed e Ss
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