laerdal Moyo User manual

EN
Moyo
Fetal Heart Rate Monitor
User Guide
www.laerdalglobalhealth.com

22
Intended Use
The "Moyo - Fetal Heart Rate Monitor" by Laerdal Global Health is intended for healthcare professionals to
monitor fetal heart rate during labor. Moyo uses a Doppler ultrasound sensor to measure and analyze the
fetal heart rate.The calculated fetal heart rate is presented on the display together with an audible (doppler)
sound. Moyo provides an alarm in the case of prolonged abnormal fetal heart rate.
Intended medical indication is to screen for or monitor fetal distress on pregnant women - particularly in
the setting of labor.
There are no known contraindications to the use of Moyo.
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Illustrations in this User Guide may vary from actual product.

2 32
Contents
1 Overview 4
2Cautions & Warnings 5
3Getting Started 7
4 Alarms 15
5Cleaning & Charging 21
6Features in Detail 29
7Troubleshooting 43
8Technical Description 47

4
Overview
Power on/off button
Display
Status Light
Speaker
Maternal heart rate pads (electrodes) *
Cable
Ultrasound
transducer
(sensor) *
* Patient applied part
Speaker on/off button
History graph button
Items included: 1 Moyo main unit with ultrasound sensor, 1 neck strap, 3 reusable
abdominal transducer belts, 1 charger, 1 charger cable and this User Guide.

4 5
Please ensure that following precautions are taken to ensure that Moyo functions properly
during use.
This product is intended for use by authorized healthcare professionals only.
Read this User Guide and become familiar with the operation of the device prior to use.
The device is intended for monitoring only one fetus at a time. In case of monitoring of
multiple fetuses, alternative devices/methods should be used.
In case the device displays erratic or unreliable FHR, try to reposition the ultrasound
transducer or use alternative monitoring devices/methods.
Excessive handling and movement of the product may cause lost or erroneous heart rate
readings.
Do not connect the charger to Moyo while in use with a patient.
Turn off device and clean/disinfect between patient uses.
Additional equipment connected to medical electrical equipment must comply with
the respective IEC or ISO standards (e.g. IEC 60950 for data processing equipment).
Furthermore all configurations shall comply with the requirements for medical electrical
systems (see IEC 60601-1-1 or clause 16 of the 3rd ed. of IEC 60601-1, respectively).
Anybody connecting additional equipment to medical electrical equipment configures
a medical system and is therefore responsible that the system complies with the
requirements for medical electrical systems. Attention is drawn to the fact that local
laws take priority over the above mentioned requirements. If in doubt, consult your local
representative or the technical service department.
Do not modify this equipment without authorization of the manufacturer. If this
equipment is modied, appropriate inspection and testing must be conducted to ensure
continued safe operation.
Take special precautions regarding electromagnetic compatibility (EMC) when using
medical electrical equipment.You must operate your monitoring equipment according to
the EMC information provided:
• Measurements can be affected by ESD, portable and mobile RF communications
equipment.
• Use of high frequency electrosurgical equipment in the vicinity of this equipment
may produce interference and cause incorrect measurements.
Do not immerse this product in liquid.
Use of Moyo does not replace clinical supervision.
Cautions & Warnings

66

To start operating Moyo, you need to learn the basic functions first.
Getting Started
3
6 76

8
Getting Started
To get started, this manual will take you through a few simple scenarios where
you will learn the main functions of Moyo.
What you need:
Ultrasound gel
Abdominal transducer belt
MOYO
Only water-based ultrasound gel should be used. If ultrasound gel is not available, water
can be used for short time monitoring.
You should charge Moyo's battery regularly to ensure that it is always ready for use.
To learn more about how to charge Moyo, refer to page 28.

8
Getting Started
Turn on Moyo.
If you encountered a problem, go to
Troubleshooting on page 43.
Do you see the display turning on?
Do you hear the startup sound?
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To start using Moyo, press and hold the power button
9
PRACTICE OBSERVE

1010
Getting Started
?means that no heart rate (HR) is found by the sensor.
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You can tap on the sensor to manually simulate a HR when there is no dedicated FHR
simulator available.
SIMULATION NOTE

1010
To measure fetal heart rate (FHR), you first need to apply gel on the ultrasound sensor
and place it on the mother’s abdomen (if possible over the fetal back). If no HR sound is
heard, reposition the ultrasound sensor until you hear the rhythmic HR sound.
Getting Started
11
Apply gel on the ultrasound sensor.
Place the ultrasound sensor on the mother’s abdomen.
(Reposition the ultrasound sensor if you do not hear a rhythmic HR sound)
PRACTICE
Palpate to identify fetal position. Best results will be achieved with the ultrasound sensor
placed over the fetal back.

12
Moyo shows a HR number.
Green color means that HR is in the normal range for a fetus.
You can hear rhythmic HR sound from the speaker.
Do you hear the rhythmic HR sound?
Do you read the numbers on the display?
OBSERVE
12
Notice when FHR is shown, the status light blinks at the same rate as the FHR together
with the rhythmic HR sound.
To silence the Doppler sound, press "speaker on/off" button. Note that audible alarms will
still be provided.
Getting Started

12
If you are not sure that the found heart rate is the fetal, you can instruct the mother
to hold the pads to measure mother’s HR. If the two numbers are similar, then the HR
found by the ultrasound sensor might be the maternal HR.
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Instruct the mother to hold the pads.
Compare the HR found by the ultrasound sensor with the maternal HR.
PRACTICE
12 13
Refer to page 32 for details about the maternal HR display.
The ultrasound sensor might measure or be affected by mother's HR, a twin (multiples)
or excessive patient movement/handling. In case the device displays unreliable or erratic
FHR, try to reposition the ultrasound transducer or use alternative monitoring devices/
methods.
Getting Started

When you are sure that you have found the FHR, tighten the abdominal transducer belt
around the mother to secure the ultrasound sensor in place.
Keep the sensor in place using the abdominal transducer belt.
PRACTICE
1414
Getting Started

Moyo provides alarms if the FHR is lost or if prolonged abnormal
FHR is detected. In this chapter, you will learn about the alarms.
Alarms
4
151414 15

16
Alarms
Moyo will give an alarm if the ultrasound sensor has not picked up any HR for 60 seconds.
You will see the ?blinking, and hear an alarm sound.
If you hear the alarm, press the speaker button to silence (acknowledge) the
alarm.
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Remove the ultrasound sensor
from the mother, or stop
simulating FHR, and wait more
than 60 seconds.
Did you hear the alarm sound?
Did you silence the alarm?
PRACTICE OBSERVE
Lost FHR alarm
16

16
Alarms
Search and find the FHR.
PRACTICE
When ?is shown, reposition the ultrasound sensor to find the FHR.
If FHR is not found after repositioning the sensor, continue monitoring according to your
medical procedures, e.g. using alternative devices to obtain FHR.
If you are not sure that the detected heart rate is the fetal, you can instruct the mother
to hold the pads to obtain the maternal HR for comparison.
1716

Moyo is designed to monitor FHR, and provide visual and auditory alarm when
abnormal FHR is present over a prolonged period.
Moyo shows the number and status light in 3 different colors as shown below:
Simulate / tap on the sensor for 3 minutes at the rate of
e.g. 80 bpm (beats per minute) to trigger an abnormal
FHR alarm.
After you have triggered the alarm, continue to the next page.
Between
110 - 160 bpm
More than
160 bpm
Less than
110 bpm
(yellow and red)
(yellow and red)
(green)
PRACTICE
Normal FHR
Abnormally low FHR
Abnormally high FHR
Abnormal FHR alarm
To learn more about abnormal FHR alarm rules, refer to pages 36 and 48.
Yellow color turns red when abnormal FHR is present for a period of time.
1818
Alarms

Did you hear the alarm sound?
Did you silence the alarm?
Continue standard procedures - respond in a timely and appropriate manner.
Moyo will give an alarm when the FHR has been abnormal for a prolonged time.
You will see the status light and number in red color, and hear the alarm sound.
If you hear the alarm you can press the speaker button to silence (acknowledge)
the alarm.
OBSERVE
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191818
Alarms

2020