Grafco 4077 User manual

4077
EXTERNAL FETAL MONITOR
USER MANUAL
Important: Do not use the External Fetal Monitor without rst reading
and understanding this manual! Save this manual for future use.
Federal Law (USA) restricts this device to sale by or on the order of a
physician. This product should not be used unless the operator has
been instructed by a qualied healthcare professional.
4077-INS-LAB-RevB09

4077-INS-LAB-RevB09 2
CONTENTS
1 INTRODUCTION ...............................................................................................................................3
INTENDED USE OF THIS DEVICE....................................................................................................... 3
FEATURES .......................................................................................................................................... 3
2 SAFETY INFORMATION....................................................................................................................4
ULTRASOUND SAFETY GUIDE........................................................................................................... 5
SAFETY PRECAUTIONS ..................................................................................................................... 5
DEFINITIONS AND SYMBOLS ............................................................................................................ 7
3 HANDLING........................................................................................................................................8
GF HEALTH PRODUCTS, INC. FREIGHT POLICY ............................................................................... 8
UNPACKING........................................................................................................................................ 8
STORAGE............................................................................................................................................ 8
4 FETAL MONITOR AND ACCESSORIES .............................................................................................9
FETAL MONITOR ................................................................................................................................ 9
ACCESSORIES (TRANSDUCERS AND CABLES)............................................................................... 17
5 MENU DESCRIPTION .....................................................................................................................18
FUNCTION MENU ............................................................................................................................. 18
ALARM PARAMETER CONFIGURATION ........................................................................................... 19
FETAL MONITORING CONFIGURATION ........................................................................................... 21
PRINT CONFIGURATION .................................................................................................................. 22
AUTO MONITORING ......................................................................................................................... 22
DATE AND TIME................................................................................................................................ 23
SYSTEM ............................................................................................................................................ 23
6 SETUP ............................................................................................................................................24
FETAL MONITOR CONNECTIONS..................................................................................................... 24
FETAL MONITOR PRINTER PAPER................................................................................................... 24
TURNING ON THE FETAL MONITOR ................................................................................................ 25
CONNECTING TRANSDUCERS AND CABLES .................................................................................. 25
TURNING OFF THE FETAL MONITOR .............................................................................................. 25
7 FETAL MONITOR OPERATION .......................................................................................................26
ULTRASOUND MONITORING OF FHR .............................................................................................. 26
MONITORING UTERINE ACTIVITY (CONTRACTIONS) .................................................................... 27
REMOTE PATIENT MARKER RECORDING OF FETAL MOVEMENT .................................................. 28
AFTER MONITORING........................................................................................................................ 28
8 MAINTENANCE, CARE AND CLEANING.........................................................................................29
PREVENTIVE MAINTENANCE .......................................................................................................... 29
CARE AND CLEANING OF MONITOR................................................................................................ 29
CARE AND CLEANING OF ACCESSORIES........................................................................................ 30
STERILIZATION ................................................................................................................................ 32
DISINFECTION.................................................................................................................................. 32
CARE OF RECORD PAPER ................................................................................................................ 33
9 TROUBLESHOOTING......................................................................................................................34
10 SPECIFICATIONS ...........................................................................................................................36
MONITOR .......................................................................................................................................... 36
TRANSDUCERS AND CABLES .......................................................................................................... 38
SIGNAL INPUT/OUTPUT CONNECTOR............................................................................................. 38
11 LIMITED WARRANTY .....................................................................................................................39
12 APPENDIX A, EC DECLARATION OF CONFORMITY ......................................................................41
13 INDEX .............................................................................................................................................42
Graham-Field and Grafco are registered trademarks of GF Health Products, Inc.
Packaging, warranties, products, and specications are subject to change without notice.
GF Health Products, Inc. is not responsible for typographical errors.

4077-INS-LAB-RevB09 3
1 INTRODUCTION
This user manual contains important information and safety precautions for the Grafco
External Fetal Monitor. Before using the Fetal Monitor, please read and understand this
entire user manual. Take special note of all safety precautions that begin “DANGER” and
“WARNING”. Save this user manual for future reference.
INTENDED USE OF THIS DEVICE
The Grafco External Fetal Monitor is intended for use as a diagnostic tool to measure
Fetal Heart Rate and Maternal Uterine Contraction in a hospital or clinic setting, using
non-invasive, ultrasound Doppler and external TOCO technique. The Fetal Monitor is not
intended for treatment. The Fetal Monitor is not intended for home use. Use the Fetal
Monitor only as prescribed by a physician.
WARNING: This device is not intended to be used for treatment or diagnosis. If
External Fetal Monitor results are ambiguous, please use other methods, such as
a stethoscope, to verify immediately.
WARNING: To ensure patient safety, use this device only with accessories recom-
mended by Graham-Field, your Graham-Field equipment provider, or your physi-
cian.
FEATURES
Included features
4.1" x 3.1" (103.0 x 79.0 mm) LCD adjustable within 60 degree angle
Built-in thermal line recorder
Nine-crystal broadband pulsed wave transducer
FHR monitoring
Remote marker automatic fetal movement recognition
TOCO monitoring
Real-time displaying CTG, 12-hour monitoring trends, data saving, and playback
Audible and visible alarm with upper and lower alarm limit settings
Automatic-identification transducers
TOCO zero
Vibrating operation marks can be displayed and/or recorded on CTG trends
Lightweight, compact size with either table or wall-mount placement
Optional features
Audio cable for fetal stimulator

4077-INS-LAB-RevB09 4
2 SAFETY INFORMATION
The safety statements presented in this chapter refer to the basic safety information that
the operator of the Fetal Monitor shall pay attention to and abide by. There are addition-
al safety statements in other chapters or sections, which may be the same as or similar
to the following, or specic to the operations. Please note the following special state-
ments, used throughout this manual, and their signicance:
WARNING: Indicates a potential hazard situation or unsafe practice that, if not
avoided, could result in death or serious personal injury.
Caution: Indicates a potential hazard or unsafe practice that, if not avoided, could
result in minor personal injury or product/property damage.
Note: Provides application recommendations or other useful information to ensure that
you get the most from your product.
The Grafco Fetal Monitor is designed to comply with the international safety require-
ments IEC 60601-1 for medical electrical equipment.
WARNING: Electrical shock hazard. Do not open the monitor. Any disassembly of
the device must be performed only by a qualied service technician.
WARNING: To reduce the risk of electric shock, perform leakage current measure-
ment and insulation testing on this device at least once per year.
WARNING: This Fetal Monitor is not protected against:
1. The effects of debrillator shocks
2. The effects of debrillator discharge
3. The effects of high frequency currents
4. The interference of electrosurgery equipment
5. The interference of mobile phone
The protective categories against electric shock of the patient connections are:
Ultrasound (FHR)
External TOCO
Remote Marker
Fetal Stimulator
This symbol indicates that the instrument is IEC 60601-1 Type
B equipment. Type B protection means that these patient con-
nections will comply with permitted leakage currents, dielectric
strengths and protective earthing limits of IEC 60601-1.
Caution: The Grafco External Fetal Monitor operates within specifications at ambi-
ent temperatures between 41°F and 104°F (5°C and 40°C). Ambient temperatures
that exceed these limits could affect the accuracy of the instrument and cause dam-
age to the modules and circuits. Allow at least 2 inches (5cm) clearance around the
instrument for proper air circulation.
Caution: Before use, check that the equipment, cables and transducers do not have
visible evidence of damage that may affect patient safety or monitoring capability.
Thereafter, inspect at least once per week. If damage is evident, replace compo-
nent before use.

4077-INS-LAB-RevB09 5
ULTRASOUND SAFETY GUIDE
Fetal Use
The Grafco Fetal Monitor is designed for continuous fetal heart rate monitoring during
pregnancy and labor. Clinical interpretation of fetal heart rate trends can diagnose fetal
and/or maternal problems and complications.
Instructions for Use in Minimizing Patient Exposure
The acoustic output of the Grafco Fetal Monitor is internally controlled and can not be
varied by the operator in the course of the examination. The duration of exposure is,
however, fully under the control of the operator. Mastery of the examination techniques
described in the User Manual will facilitate obtaining the maximum amount of diagnostic
information with the minimum amount of exposure. The exercising of clinical judgment
in the monitoring of low risk patients will avoid unnecessary insonation.
SAFETY PRECAUTIONS
WARNING and CAUTION messages must be observed. To avoid the possibility of injury,
observe the following precautions during the operation of the instrument.
WARNING:
To reduce the risk of burns and/or serious personal injury
WARNING: Federal Law (USA) restricts this device to sale by or on the order of a
physician.
WARNING: Use this product only for its intended use as described in this manual.
WARNING: This device is to be used only in accordance with the prescription of a
physician and this user manual.
WARNING: EXPLOSION HAZARD—Do not use the Grafco Fetal Monitor in a am-
mable atmosphere where concentrations of ammable anesthetics or other mate-
rials may occur.
WARNING: SHOCK HAZARD—The power receptacle must be a three-wire ground-
ed outlet. A hospital-grade outlet is required. Never adapt the three-prong plug
from the monitor to t a two-slot outlet. If the outlet has only two slots, make sure
that it is replaced with a three-slot grounded outlet before attempting to operate
the monitor.
WARNING: Disconnect power cord before changing fuse. Replace with the same
rating and type only.
WARNING: SHOCK HAZARD—Do not attempt to connect or disconnect a power
cord with wet hands. Make certain that your hands are clean and dry before touch-
ing a power cord.
WARNING: Do not apply this monitor and other ultrasonic equipment simultane-
ously on the same patient, in case of the possible hazard caused by leakage cur-
rent superposition.

4077-INS-LAB-RevB09 6
WARNING: The alarm must be congured to different situations of individual pa-
tients. Ensure that audio sounds can be activated when alarm occurs.
WARNING: DO NOT switch on device power until all cables have been properly
connected and veried.
WARNING: DO NOT touch the signal input or output connector and the patient si-
multaneously.
WARNING: Accessory equipment connected to the analog and digital interfaces
must be certied according to the respective IEC standards (e.g. IEC 950 for data
processing equipment and IEC 60601-1 for medical equipment). Furthermore all
congurations shall comply with the valid version of the system standard IEC
60601-1-1. Anyone who connects additional equipment to the signal input con-
nector or signal output connector congures a medical system, and is therefore
responsible that the system complies with the requirements of the valid version of
the system standard IEC 60601-1-1. If in doubt, consult your Graham-Field equip-
ment provider.
WARNING: Electromagnetic Interference—Ensure that the environment in which
the Fetal Monitor is installed is not subject to any source of strong electromagnet-
ic interference, such as radio transmitters, mobile telephones, etc. The device will
show a xed gure at the LCD under the environment of strong electromagnetic
interference, and CANNOT be used as a diagnostic criterion.
CAUTION:
To reduce the risk of minor personal injury and/or product/property damage
Caution: The device is designed for continuous use and is “ordinary” (i.e. not drip
or splash-proof).
Caution: Keep the Fetal Monitor's environment clean and dust-free. Protect the
device from vibration, corrosive medicine, high temperatures and humidity.
Caution: When installing the Fetal Monitor in a cabinet, allow for adequate ventila-
tion, accessibility for servicing, and room for adequate visualization and operation.
Caution: Do not operate the Fetal Monitor if it is damp or wet because of condensa-
tion or spills. When moving the Fetal Monitor from a cold environment to a warm,
humid location, do not use the device until it has reached room temperature.
Caution: Do not immerse transducers in liquid. When using solutions, use sterile
wipes to avoid pouring fluids directly on the transducers.
Caution: Do not autoclave or gas sterilize the monitor or any accessory.
Caution: Do not dispose of this device with household waste. Dispose of this device
in accordance with your local laws and regulations.

4077-INS-LAB-RevB09 7
DEFINITIONS AND SYMBOLS
Socket for Channel 1 Ultrasound Transducer (for connection with ultrasound transducer, Protection
Category B)
TOCO Socket (TOCO input socket—for connection with external contractions (TOCO) transducer,
Protection Category B)
Socket for Channel 2 Ultrasound Transducer (not used)
Socket for DECG Cable (not used)
Socket for Remote Marker (for connection with the marker, Protection Category B)
EXT.1, Socket for Marking (for connection with the fetal stimulator, Protection Category B)
Power Socket
Fuse Socket
DB9 interface (not used)
RJ45 Interface (not used)
Equipotential Grounding System
Attention; Consult Accompanying Documents (this manual)
Type B Applied Part Symbol
Type BF Applied Part Symbol
Type CF Applied Part Symbol
This item is compliant with Medical Device Directive 93/42/EEC of June 14, 1993, a directive of the
European Economic Community.
This symbol consisting of two parts, see below.
Indicates that the equipment should be disposed of according to local regulation for separate collec-
tion after its useful life. Do not dispose of this device with household waste.
Indicates that the equipment is put on the market after 13 August 2005.

4077-INS-LAB-RevB09 8
3 HANDLING
GF HEALTH PRODUCTS, INC. FREIGHT POLICY
For your protection, read carefully
The carrier accepted this merchandise “in good condition” and is responsible for safe
delivery. Before signing the freight bill, inspect the shipment carefully for damage or
missing pieces.
Apparent loss or damage
Should visual inspection show loss or damage, this MUST be noted on the freight bill and
signed by the carrier's agent. Failure to do so may result in the carrier failing to honor
the claim. Please contact the carrier to obtain the paperwork necessary to le a claim or
contact Graham-Field Customer Service at the number on the back cover of this manual.
Concealed loss or damage
If damage is discovered after delivery is made, a concealed damage claim must be en-
tered with the freight carrier. When this occurs, make a written request to the carrier for
inspection. This request for inspection must be made within 15 days of delivery. The car-
rier will provide all paperwork necessary to le a concealed damage or loss claim, since
such damage or loss is the carrier's responsibility.
UNPACKING
Note: Unless the Fetal Monitor is to be used immediately, retain containers and packing
materials for storage until Fetal Monitor use is required.
1. Check for obvious damage to the carton or its contents. If damage is evident, please
notify the carrier and your Graham-Field authorized distributor.
2. Remove all loose packing from the carton.
3. Carefully remove all the components from the carton.
Inspection
Check the Fetal Monitor for nicks, dents, scratches, mechanical or other damage. Check
all the cables and accessories.
STORAGE
Store the repackaged Fetal Monitor in a dry area. DO NOT place anything on top of the
repackaged Fetal Monitor.
Caution: Ensure that the temperature at the Fetal Monitor's location during storage
does not fall below ~14°F (-10°C) or exceed ~131°F (55°C).

4077-INS-LAB-RevB09 9
4 FETAL MONITOR AND ACCESSORIES
The Grafco Fetal Monitor and accessories are illustrated below.
Fetal monitor features
TOCO
transducer
ultrasound
transducer
sockets,
power switch
power
indicator
alarm indicator
charge
indicator
display screen
keys
recorder
remote
marker
FETAL MONITOR
Key Functions and Operations
The Grafco External Fetal Monitor is a user-friendly device with operation conducted by
a few keys on the monitor. Monitor keys are shown below, and functions and operations
are listed in the table that follows.
monitor keys

4077-INS-LAB-RevB09 10
Monitor Key Function and Operation Table
Key Function Name and Description
Set menu item
Press this key to enter the menu interface. Move the cursor up and down among the menu items
by pressing the / key. When the cursor is moved to the menu item to be executed or
changed, this item will be encircled by a pane. Press the key to execute the relevant function,
or press the key to highlight this item, then press the / key to change the relevant
content, and press the key to confirm. Press this key again to enter the next menu page, until
you return to the main interface. Press the key to return to the main interface quickly under the
status of menu.
Disable/Enable alarm
Press this key to mute the alarm. The alarm information will still display and the alarm indicator
will flash continuously. Press this key again to resume the alarm.
There are two alarm levels available: middle-level alarm (serious warning) and low-level alarm
(general warning). A middle-level alarm is a higher priority than a low-level alarm. If the two alarm
levels exist simultaneously, the alarm sound is always that of the higher priority, or middle-level
alarm. When an alarm occurs, the monitor may get the user’s attention in at least three ways: au-
dio prompt, visual prompt, and description.
Audio Prompt: (Alarm Sound): If the alarm is not muted, the system will emit the appropriate alarm
sound; different level alarms have different alarm sounds. If the alarm sound is “Do-do-do”, the
alarm level is middle. If the alarm sound is “Do-”, the alarm level is low.
Visual Prompt (Alarm Indicator): Middle-level alarm: Alarm indicator flashes orange with low fre-
quency of 0.5Hz. Low-level alarm: Alarm indicator illuminates orange.
Description (Screen Display): When an alarm occurs, the alarm message will display in red at the
top left corner of the monitor screen. When more than one level of alarm appears, continuous
alarm messages will display.
WARNING: Do not disable the alarm sound if the patient’s safety is endangered.
Notes:
1) The alarm description can never be paused or cancelled.
2) The alarm sound is that of the higher level when more than one alarm level exists.
When an Alarm Occurs:
1) Check the patient’s condition;
2) Identify the cause of the alarm;
3) Silence the alarm, if necessary;
4) When cause of alarm has ended, check to see if the alarm is working properly.
Enable/Disable printing
Press this key to start printing. If the system is at playback status, press this key to quickly print
the selected paragraph, i.e. 20 minutes from the left of the current screen, or press this key to print
from current data by paper advance speed set; if feeding paper is out of paper, the recorder will
print from the data that last printed.
The following may cause failure to print:
1) Pressing the key to end printing before the last row output has been completed.
2) The ultrasound transducer has fallen off.
3) Recorder is out of paper.
4) Recorder failure.
Press this key again to stop printing.
TOCO zero
Adjust the external TOCO contractions trace/value to default (external monitoring contractions).

4077-INS-LAB-RevB09 11
Freeze
Press this key at the main interface, then press the / key to play back automatically. Press the
key to play. Press the key continuously to increase play speed until desired speed is obtained.
If you press the key at this time, the playback speed will be decelerated. Press the key to play
backward. Press the key continuously to play backward until the desired speed is obtained. If you
press the key at this time, the playback speed will be decelerated. After stopping playback, press
the key to return to the real-time monitoring status. Press the key to stop playback automatically.
Press the key to print the CTG trends of current 20 minutes from the left of the screen.
Note: The longest automatic playback time is 12 hours.
Record event at the trace
If the physician wants to make a label for a patient event under monitoring status, he/she can
press this key to mark that event. At that moment, the “↓” symbol label will display at the CTG
trend and print on the record paper.
Under load status, an abnormal audio will be given out when pressing this key, and no function
will be executed.
Auto
Press this key at the main screen and the system will execute the function of TOCO zero / FM zero
/ adjusting audio volume, etc. automatically according to user settings. If automatic printing is set,
the system will begin to print.
Press this key to return to the main interface.
Channel
1) Press this key to select a fetal heart audio channel; the default fetal heart audio channel is US1.
2) When the cursor is moved to the menu item to be executed or changed, the item will be encir-
cled by a pane. Press this key to execute relevant function or to highlight the item; then press the
/ key to change the relevant content; then press this key to confirm.
Increase
1) Increase the fetal heart audio volume of the channel selected.
2) Press the key under monitoring mode, then press this key to play back backward.
3) Press this key to move the cursor downward among the menu items after entering the menu
interface.
4) Adjust the values of items in menu.
Decrease
1) Decrease the fetal heart audio volume of the channel selected.
2) Press the key under monitoring mode, then press this key to play back forward.
3) Press this key to move the cursor upward among the menu items after entering the menu interface.
4) Adjust the values of items in menu.
Indicators
Indicator Description Table
Indicator Indicator Status Meaning
Alarm Indicator Orange flash or illumination Alarm
Green or no illumination No alarm
Power Indicator ON Power ON
OFF Power OFF

4077-INS-LAB-RevB09 12
Display Screen
The Fetal Monitor's LCD display shows the monitor's collected fetal parameters, trends,
menus, information, etc (see pictures below).
displayscreen
(trendframeincluded)
parameter
frame
trend
frame
information
frame
displayscreen
(menuframeincluded)
parameter
frame
menu
frame
information
frame
The screen display includes three frames:
1. information frame
2. trend/menu frame
3. parameter frame
Information Frame
The information frame, located at the bottom of the screen, indicates the monitor's cur-
rent status.
Information Frame Symbols
AC power supply No AC power supply
Recording Recording stopped
Alarm sounds enabled Alarm sounds disabled
Online; equipment connected Offline; equipment not connected
Current length of time spent monitoring

4077-INS-LAB-RevB09 13
Trend/Menu Frame
Example of trend (left picture below) and menu (right picture below).
trendexample
FHRtrend
AFMtrend
TOCOtrend
menu example
Under auto monitoring and load status, the trend frame may display three trends at most
(see above left picture): FHR (US1) trend, AFM trend, and TOCO trend.
Two horizontal graticules are included at the FHR trend frame to make it easier for the
caregiver to observe heart rate trend or heart rates that exceed limits. The range is
120bpm -160bpm.
The y-axis of FHR trend indicates FHR values, and the range is 30bpm - 240bpm.
The y-axis of TOCO trend indicates TOCO values, and the range is 0% - 100%. There is a
horizontal baseline at the TOCO trend.
The AFM trend is displayed within the range of 30 - 60 units of FHR trend, and its y-axis
indicates AFM values.
The menu size on the screen is xed, and always occupies the trend frame, which makes
the trends temporarily invisible. See the MENU Section, for a detailed introduction to the
menu.
Note: The AFM trend is only for reference; please refer to remote mark.
Parameter Frame
The parameter frame (see picture below) is at the right of the trend frame. The param-
eters in the parameter frame may include: FHR (US1), TOCO, and FM count.
parameter
frame
147:FHRvalueofUS1
FHRrefreshmentrateofUS1
28:CurrentUAvalue
0:Manual/AutomaticFMcount

4077-INS-LAB-RevB09 14
Recorder
If the transducers and connectors are correctly connected, press the key to print. The
date, time, paper speed, and bed No., etc. will be printed at the beginning of the paper.
After printing the information mentioned above, “FHR”, “AFM”, “TOCO ext”/“TOCO int”
will be printed at the relevant trace. In the process of printing after record-
ing, the recorder will print system time once every 10 minutes and “FHR”, “AFM”,
“TOCO ext”/“TOCO int” once every 8 minutes (see the following examples of printing
patterns).
The FHR trace is very broad.
If the key is pressed, the symbol of TOCO zero is printed. If the key is pressed, the
“↓”symbol will be printed at the trace. If an alarm occurs, the symbol will be printed
at the trace.
Note: Ensure that all parameters are correctly set before printing; DO NOT try to change
parameters while printing. The printing speed cannot be changed during the process of
printing.
example of printing pattern (USA standard record paper)

4077-INS-LAB-RevB09 15
example of printing pattern (international standard record paper)
Printed Indicator Table
Indicator Description
Indicates the monitoring alarm status information
↑Indicates the fetal movement event marked by the patient
↓Indicates the event marked by the physician
Indicates the auto zero information
■Indicates an automatic fetal movement event
Note: When paper is empty, the recorder will stop printing and the data waiting to be
printed will be kept in memory. After re-feeding paper, press the key to continue. The
current printing data will be lost when the ultrasound transducer connector disconnects,
or the Fetal Monitor is powered off.

4077-INS-LAB-RevB09 16
Monitor Right Side Features
Monitor right side features—sockets and power switch—are shown below, followed by
descriptions.
Features on the right
side of the monitor
power
socket
fuse socket
power
switch
Feature Description
Power Switch AC ON/OFF switch
Fuse Specification Size: 5 x 20 mm T1.6AL 250V
Power Socket Input socket for the AC supply
Rated AC supply voltage 100V-240V (alternating current)
Monitor Base Panel Features
Base panel features are shown below.
Base panel features
label
mounting hole

4077-INS-LAB-RevB09 17
ACCESSORIES (TRANSDUCERS AND CABLES)
The ultrasound transducer, TOCO transducer, and fetal remote marker are connected to
the front panel of the monitor. Each cable has a corresponding tab located on the con-
nector housing to ensure proper insertion into the appropriate socket on the monitor.
Ultrasound Transducer
A multi-crystal, broad beam ultrasound transducer is used to monitor fetal heart rate
(FHR). The ultrasound transducer operates at a frequency of 2.0MHz. Place the FHR
transducer on the maternal abdomen to transmit the low-energy ultrasound wave to the
fetal heart, and receive the echo signal from it.
The main information on the label is as follows:
1. PM 2.0: P means pulsed wave, M means multicomponent. 2.0 means central frequency
is 2.0 MHz.
2. A1: Version number for the ultrasound transducer.
3. DO NOT IMMERSE IN WATER, CLEAN WITH SOAP AND WATER ONLY (the CAUTION
message).
TOCO Transducer
This transducer is a tocotonometer whose central section is depressed by the forward
displacement of the abdominal muscles during a contraction. It is used for assessment of
frequency and duration of uterine contractions. It gives a subjective indication of con-
traction pressure.
The main information on the label is as follows:
1. A1: Version number for the TOCO transducer.
2. DO NOT IMMERSE IN WATER, CLEAN WITH SOAP AND WATER ONLY (the CAUTION
message).
Remote Patient Marker
The remote marker cable, shown at right, is inserted
into a socket at the front panel. The remote marker
is a hand-held switch operated by the patient. The
mother is normally instructed to push down this
switch when feeling a fetal movement.
remote patient marker

4077-INS-LAB-RevB09 18
5 MENU DESCRIPTION
The Fetal Monitor features exible congurations. The setup of functions such as alarm
parameters, fetal monitoring conguration, print conguration, interpartum congura-
tion, auto monitoring, and date and time can be performed by the user or congured ac-
cordingly. Press the monitor panel's key continuously to display the menus. Move the
cursor up and down among the menu items by pressing the / key. When the cursor
is moved to the menu item to be executed or changed, that menu item will be encircled
by a pane. Press the key to execute the relevant function or highlight the item; then
press the / key to change the relevant content; then press the key to conrm.
FUNCTION MENU
Functionmenu
Login
Press the key to activate the login menu (gure follows).
Loginmenu
Login ID: the default is 10 characters, i.e. the date and time of the rst Login occasion.
The Login ID can be changed. 10 characters can be input at most. The characters avail-
able are A-Z, 0-9, underline, dash, and space.
Login Operation Procedure: After entering the login menu, press the key to high-
light the ID item. A control panel appears with the rst gure “A” highlighted. Press
the / key to move the cursor left/right. Or press the key to move the cursor
up/down. Select a gure, then press the key to conrm. If input error occurs, press
the button to delete it. After the ID input is complete, move the cursor to the but-
ton and press the key. When nished, press the key to return to main interface.

4077-INS-LAB-RevB09 19
Load
The load window will display (gure follows).
Loadwindow
After pressing the key, the loaded trend can be played back by pressing the
/ key (the longest playback time is 12 hours). Press the key to play forward.
Press the key continuously to play back forward increasingly fast until the desired
speed is obtained. If the key is pressed during this, the speed of playback is decelerat-
ed. Press the key to play back backward. Press the key continuously to play back-
ward until the fastest speed is obtained. If you press the key at this time, the speed
of playback is decelerated. The pregnant woman's information will be updated synchro-
nously during playback.
Press the key to return to the main interface quickly under the status of load.
ClearFM
Zero the fetal movement count.
ALARM PARAMETER CONFIGURATION
Figure follows.
Alarmconfigurationmenu

4077-INS-LAB-RevB09 20
FHR Alert
• Enabled:Enable/DisableaudioalarmwhenFHRexceedsthealarmlimit;ONmeans
enabled, OFF means disabled, and the default is ON.
• Lower:ThelowerlimitofacceptableFHRrange;Theadjustablerangeis50bpm-
130bpm, the default is 120bpm, and the increment is 5bpm.
• Upper:TheupperlimitofacceptableFHRrange;Theadjustablerangeis150bpm-
210bpm, the default is 160bpm, and the increment is 5bpm.
• Keep:Durationoftimeuntilalarmoccursifultrasoundsignalqualityisunacceptable;
The adjustable range is 0-30 seconds, the default is 30 seconds, and the increment is
5 seconds.
• Probe:Enable/Disableaudioalarmwhenultrasoundtransducer(US1)fallsoff;ON
means enabled, OFF means disabled, and the default is OFF.
• Quality:Enable/DisableaudioalarmwhenFHRsignalquality isunacceptable;ON
means enabled, OFF means disabled, and the default is OFF.
UA alert menu
• UAProbe:Enable/DisableaudioalarmwhenTOCOtransducerfallsoff;ONmeans
enabled, OFF means disabled, and the default is OFF.