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GE Corometrics 170 Series Operator's Manual
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GE Corometrics 170 Series Operator's Manual

Fetal monitor
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Corometrics
170 Series
®
OPERATOR'S MANUAL
MANUAL P/N 2003023-001 REV. D

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Summary of Contents for GE Corometrics 170 Series

  • Page 1 Corometrics 170 Series ® OPERATOR’S MANUAL MANUAL P/N 2003023-001 REV. D...
  • Page 3 Corometrics 170 Series ® OPERATOR’S MANUAL MANUAL P/N 2003023-001 REV. D...
  • Page 4 Corometrics and Marquette are registered trademarks of GE Medical Systems Information Technologies. GE is a registered trademark of General Electric Company. All other product and brand names are trademarks or registered trademarks of their respective companies.
  • Page 5 CE Marking Information CE Marking Information 0459 Compliance A Corometrics brand 170 Series Monitor bears CE mark CE-0459 indicating its conformity with the provisions of the Council Directive 93/42/EEC concerning medical devices and fulfills the essential requirements of Annex I of this directive. The device is manufactured in the United States;...
  • Page 6 CE Marking Information Be aware that adding accessories or components, or modifying the medical device or system may degrade the EMI performance. Consult with qualified personnel regarding changes to the system configuration. CE-2 170 Series Monitor Revision D 2003023-001...

  • Page 7: Table Of Contents

    Contents Safety ......... 1-1 General Information .
  • Page 8 Model 171 ........... 3-4 Models 172, 173, and 174 .
  • Page 9 Setup Procedures ....... 4-1 Loading Strip Chart Paper ..........4-2 Turning the Monitor On .
  • Page 10 Intermittent Signal Loss ........5-13 Silencing an Audio Alarm .
  • Page 11 Troubleshooting ....... . 9-1 General Troubleshooting ..........9-2 Ultrasound Troubleshooting .

  • Page 13: Safety

    This chapter describes how the terms Danger, Warning, Caution, Important, and Note are used throughout the manual. In addition, GE Medical Systems Information Technologies’ standard equipment symbols are defined. This section includes the following important information: General Information .

  • Page 14: General Information

    170 Series Monitor. Responsibility of the Manufacturer GE Medical Systems Information Technologies is responsible for the effects on safety, reliability, and performance if: assembly operations, extensions, readjustments, modifications, or repairs are carried out by persons authorized by GE Medical Systems Information Technologies;...

  • Page 15: Definitions Of Terminology

    Safety: Definitions of Terminology Definitions of Terminology Six types of special notices are used throughout this manual. They are: Danger, Warning, Caution, Contraindication, Important, and Note. (See Table 1-1.) The warnings and cautions in this Safety section relate to the equipment in general and apply to all aspects of fetal monitoring.

  • Page 16: Monitor Safety Information

    Safety: Monitor Safety Information Monitor Safety Information Warnings WARNINGS ACCIDENTAL SPILLS—In the event that fluids are accidentally spilled on the monitor, take the monitor out of operation and inspect for damage. APPLICATION—This monitor is not designed for direct cardiac connection. CONDUCTIVE CONNECTIONS—Avoid making any conductive connections to applied parts (patient connection) which are likely to degrade safety.
  • Page 17 Safety: Monitor Safety Information operator may result. INSTRUCTIONS—For continued and safe use of this equipment, it is necessary to follow all listed instructions. However, the instructions provided in this manual in no way supersede established medical procedures concerning patient care. The monitor does not replace observation and evaluation of the patient, at regular intervals, by a qualified care provider who will make diagnoses and decide on treatments and interventions.

  • Page 18: Cautions

    ANNUAL SERVICING—For continued safety and performance of the monitor, it is recommended that the calibration, accuracy, and electrical safety of the monitor be verified on an annual basis by a GE Medical Systems Information Technologies Service Representative. DAILY TESTING—It is essential that the monitor and accessories be inspected every day.
  • Page 19 Turn equipment in the vicinity off and on to isolate the offending equipment. Reorient or relocate the other receiving device. Increase the separation between the interfering equipment and this equipment. If assistance is required, contact your GE Service Representative. Revision D 170 Series Monitor...

  • Page 20: Definitions Of Symbols

    Definitions of Symbols NOTE: Refer to “Controls, Indicators, The following is a list of symbols used on products manufactured by GE Medical and Connectors” on page 3-1 for Systems Information Technologies. Some symbols may not appear on your unit. additional information.
  • Page 21 Safety: Definitions of Symbols For your notes Revision D 170 Series Monitor 2003023-001...
  • Page 22 Safety: Definitions of Symbols 1-10 170 Series Monitor Revision D 2003023-001...

  • Page 23: Introduction

    Chapter 2 Introduction This section lists the indications for use for monitors in the 170 Series as well as provides an explanation of the different patient monitoring modalities. This section summarizes the clinical applications of monitors in the 170 Series: Indications for Use .

  • Page 24: Indications For Use

    Introduction: Indications for Use Indications for Use Models 171 and 172 Models 171 and 172 Fetal Monitors are indicated for use: in antepartum testing of fetal well-being, particularly in the high-risk pregnancy; and for routine non- invasive monitoring throughout labor and delivery. Models 173 and 174 Models 173 and 174 Fetal Monitors can be used for routine non-invasive and invasive monitoring throughout labor and delivery.

  • Page 25: Risk Conditions

    Introduction: Risk Conditions Risk Conditions NOTE: There may be other factors or The goal of electronic fetal monitoring for antepartum testing is to differentiate the conditions that place a patient at risk. fetus who is tolerating the intrauterine environment well, from the fetus who may be compromised and require further evaluation or delivery.

  • Page 26: Monitoring Methods

    Introduction: Monitoring Methods Monitoring Methods The following is a summary of all the clinical monitoring methods found in the 170 Series. Refer to “‘Preface, Overview” for information about which modalities apply to your monitor. Fetal Heart Rate External Method, Pulsed Doppler Ultrasound Ultrasound monitoring is available on all 170 Series Monitors.

  • Page 27: Controls, Indicators, And Connectors

    Chapter 3 Controls, Indicators, and Connectors This section describes all possible controls, indicators, and connectors in the 170 Series. This section contains the following information: Front Panel Controls........Front Panel Displays and Indicators.

  • Page 28: Front Panel Controls

    Controls, Indicators, and Connectors: Front Panel Controls Front Panel Controls Figure 3-1. Front Panel Controls (Model 172 shown) Table 3-1. Front Panel Controls Symbol Name Power Record Paper Advance Mark/Offset Setup Volume UA Reference Alarm Silence 170 Series Monitor Revision D 2003023-001...

  • Page 29: Power Button And Indicator

    Controls, Indicators, and Connectors: Front Panel Controls Power Button and Indicator Pressing the blue Power button turns the monitor on and illuminates the green indicator to the left of the button. Pressing the button again puts the monitor in standby and extinguishes the indicator. Record Button and Indicator Pressing the Record pushbutton activates the recorder, provided paper is installed;...

  • Page 30: Setup Button

    Controls, Indicators, and Connectors: Front Panel Controls Setup Button Pressing and holding this button while the monitor is on enters a user setup mode for configuring the monitor. Refer to “Chapter 4, Setup Procedures” for instructions. Pressing and holding this button during power up enters a service setup mode. Refer to the “170 Series Service Manual”...

  • Page 31: Ua Reference Button

    Controls, Indicators, and Connectors: Front Panel Controls UA Reference Button The UA Reference button is used to set the uterine activity pressure reference. This button is also used during setup. Setting a Baseline for External Monitoring (Tocotransducer) Briefly pressing the UA Reference button sets the pressure baseline at a preset default.

  • Page 32: Front Panel Displays And Indicators

    Controls, Indicators, and Connectors: Front Panel Displays and Indicators Front Panel Displays and Indicators Fetal Heart Rate Display(s) and Indicator(s) FHR Display A three-digit yellow numeric display indicates the fetal heart rate in beats per minute. The value flashes during an alarm condition. Heartbeat Indicator A yellow heart shaped indicator flashes with each detected valid heartbeat for the fetal heart.

  • Page 33: Alarms Disabled Indicator

    Controls, Indicators, and Connectors: Front Panel Displays and Indicators Alarms Disabled Indicator This yellow indicator illuminates when all alarms have been disabled. The indicator is unlit when alarms are enabled. Refer to “Chapter 4, Setup Procedures” information on enabling/disabling alarms. Audio Alarm Indicator Active Patient Alarms For active patient alarms, this yellow indicator flashes;...

  • Page 34: Front Panel Connectors

    Controls, Indicators, and Connectors: Front Panel Connectors Front Panel Connectors Model 171 Connectors Figure 3-2. Model 171 Connectors Ultrasound Connector The ultrasound connector is a blue, round receptacle mechanically keyed to accept only a Corometrics ultrasound transducer plug. The fetal heart rate derived from this transducer shows in the fetal heart rate display.

  • Page 35: Model 172 Connectors

    Controls, Indicators, and Connectors: Front Panel Connectors Model 172 Connectors Figure 3-3. Model 172 Connectors Primary Ultrasound Connector The primary ultrasound connector is a blue, round receptacle mechanically keyed to accept only a Corometrics ultrasound transducer plug. The fetal heart rate derived from this transducer shows in the primary fetal heart rate display.

  • Page 36: Model 173 Connectors

    Controls, Indicators, and Connectors: Front Panel Connectors Model 173 Connectors Figure 3-4. Model 173 Connectors Ultrasound Connector The ultrasound connector is a blue, round receptacle mechanically keyed to accept only a Corometrics ultrasound transducer plug. The fetal heart rate derived from this transducer shows in the primary fetal heart display.

  • Page 37: Model 174 Connectors

    Controls, Indicators, and Connectors: Front Panel Connectors Model 174 Connectors Figure 3-5. Model 174 Connectors Combi-Connector (Primary Ultrasound or FECG) The combi-connector is a blue connector with a dark grey inner center. This round receptacle is mechanically keyed to accept only a Corometrics ultrasound transducer plug or a Corometrics FECG cable/legplate plug.

  • Page 38: Strip Chart Recorder

    Controls, Indicators, and Connectors: Strip Chart Recorder Strip Chart Recorder Figure 3-6. Strip Chart Recorder The strip chart recorder is located on the right side of the front panel. Latches on each side of the recorder open the paper drawer. Two styles of paper are available: 30-240 BPM scale and 50-210 BPM scale.

  • Page 39: Uterine Activity Grid

    Controls, Indicators, and Connectors: Strip Chart Recorder Uterine Activity Grid The uterine activity trend prints in black on the bottom (or right) grid of the strip chart paper. Read “Chapter 6, Uterine Activity Monitoring” “Chapter 7, Strip Chart Recorder” for more information about uterine activity trends and annotations. Annotation Area An annotation area is provided between the fetal heart rate and uterine activity grids.

  • Page 40: Rear Panel Connectors

    AC wall outlet. The connector is labeled . The power supply is a CONNECT TO GE MEDICAL SYSTEMS REF 7714AAT ONLY universal AC-to-DC converter which can accept an AC input in the range 100–230 VAC.

  • Page 41: Rs-232C Connectors

    Controls, Indicators, and Connectors: Rear Panel Connectors RS-232C Connectors Two RS-232C connectors are provided for interfacing to peripheral equipment such a maternal non-invasive blood pressure monitor a Nellcor Model N-400 Fetal Oxygen Saturation Monitor a central information system that uses Hewlett-Packard’s Digital Series Interface Protocol Contact your Service Representative for more information.
  • Page 42 For your notes 3-16 170 Series Monitor Revision D 2003023-001...

  • Page 43: Setup Procedures

    Chapter 4 Setup Procedures This section contains information about configuring a 170 Series Monitor to meet the individual needs of your clinic or hospital. Use of the monitor will vary according to the accessories attached to it, the clinical applications in which it is used, and the personal preferences of the users.

  • Page 44: Loading Strip Chart Paper

    Setup Procedures: Loading Strip Chart Paper Loading Strip Chart Paper The required paper for use with the 170 Series Monitor is: catalog number (REF) 4305AAO/CAO (HR scale of 30–240 BPM); or catalog number (REF) 4305BAO/DAO (HR scale of 50–210 BPM). Refer to “Chapter 7, Strip Chart Recorder”...
  • Page 45 Setup Procedures: Loading Strip Chart Paper To install Corometrics catalog number (REF) 4305AAO/BAO/CAO/DAO chart paper in the 170 Series Monitor, follow these steps: CAUTION LOADING PAPER—Paper loading instructions for a 170 or 120 Series Monitor are different than other Corometrics monitors with which you may be familiar.
  • Page 46 GE Medical Systems Information Technologies name and page recorder has approximately 20 minutes numbers are on the left side of the pack.
  • Page 47 Setup Procedures: Loading Strip Chart Paper Unfold two sheets from the top of the pack so that they extend toward you. Figure 4-5. Creating a Paper Leader Place the pack in the drawer so that the pack is laying flat in the bottom of the paper tray.
  • Page 48 Setup Procedures: Loading Strip Chart Paper Pull the paper leader taut at an angle between remaining pack and the paper guides. The balance of the paper pack should stay flat in the drawer as shown in Figure 4-7. (The paper guides are shown in Figure 4-8.) Pull paper...

  • Page 49: Turning The Monitor On

    Series Monitor. Connect the AC adapter into the power supply connector labeled: CONNECT TO GE MEDICAL SYSTEMS REF 7714AAT ONLY Figure 4-9. Connecting the AC Adapter Connect one end of the detachable line cord to the AC adapter; connect the other end into a hospital grade grounded wall outlet.

  • Page 50: Monitor Self-Test Routines

    Setup Procedures: Monitor Self-Test Routines Monitor Self-Test Routines NOTE: Ensure paper is installed in the Each 170 Series Monitor contains a self-test routine which checks the internal recorder in order to verify a successful circuitry of the monitor, the displays and indicators, and the strip chart recorder. recorder test.
  • Page 51 Setup Procedures: Monitor Self-Test Routines GE MEDICAL SYSTEMS 4305CAO 41153 PAGES REMAING 30-240 HR Scale TEST: ARE ALL DOTS PRINTED? mm Hg Figure 4-11. Recorder Test Revision D 170 Series Monitor 2003023-001...

  • Page 52: Customizing The Monitor

    Setup Procedures: Customizing the Monitor Customizing the Monitor The monitor includes a user setup mode where you can: enable/disable alarm functionality set the high alarm limit for the fetal heart rate set the low alarm limit for the fetal heart rate set the alarm volume set the time and date (A 170 Series Monitor is Year 2000 compliant.)
  • Page 53 Setup Procedures: Customizing the Monitor NOTE: If an alarm occurs while in You can enter the user setup mode during a monitoring session. The fetal heart rate user setup mode, the heart rate display and uterine activity trends print without interruption; however you will be unable to will not flash;...
  • Page 54 Setup Procedures: Customizing the Monitor Table 4-2. Summary of User Setup Codes Code Setting or Value (UA Display) (Primary FHR Display) Code Description FHR Alarms 0 = off (disabled) 1 = on (enabled) FHR High Alarm Limit 140–210 (BPM, in increments of 5 BPM) FHR Low Alarm Limit 50–140 (BPM, in increments of 5 BPM) FHR Alarm Volume...
  • Page 55 Setup Procedures: Customizing the Monitor Table 4-3. Summary of Factory Defaults Setup Option Factory Default Hospital/Clinic Setting FHR Alarms FHR High Alarm Limit 160 BPM FHR Low Alarm Limit 120 BPM FHR Alarm Volume Eastern Standard Time or Daylight- Time/Date Saving Time—whichever is applicable *ECG Artifact Elimination...

  • Page 56: Mounting The Strain Gauge For Iup Monitoring

    Setup Procedures: Mounting the Strain Gauge for IUP Monitoring Mounting the Strain Gauge for IUP Monitoring IUP monitoring is an intrapartum monitoring method available on Models 173 and 174 Fetal Monitors only. There is no provision for mounting the strain gauge directly on the monitor. It is recommended that you use a standard IV (intravenous) pole and mount it according to your hospital protocol.

  • Page 57: Preparing The Monitor For Patient Use

    Setup Procedures: Preparing the Monitor for Patient Use Preparing the Monitor for Patient Use The following steps should be performed prior to each patient monitoring session: Ensure an adequate supply of paper is in the recorder. The recorder automatically stops when paper runs out. If the recorder requires paper, refer to “Loading Strip Chart Paper”...
  • Page 58 For your notes 4-16 170 Series Monitor Revision D 2003023-001...
  • Page 59 Chapter 5 Fetal Heart Rate Monitoring This section provides a brief overview of fetal heart rate monitoring using a 170 Series Fetal Monitor. Refer to the “Maternal/Fetal Monitoring Operator’s Manual” for additional information. The 170 Series offers the following: 171: singleton ultrasound 172: dual ultrasound 173: ultrasound and FECG 174: FECG/ultrasound or dual ultrasound...

  • Page 60: Ultrasound (External Method)

    The fetal heart rate is displayed in BPM and continuously plotted on the strip chart recorder paper. GE Medical Systems Information Technologies offers two styles of ultrasound transducers: loop-style and button-style. Both styles are discussed in the “Maternal/ Fetal Monitoring Operator’s...

  • Page 61: Strip Chart Annotations

    Fetal Heart Rate Monitoring: Ultrasound (External Method) Strip Chart Annotations When fetal movement detection is enabled, the mode annotation is printed on the center margin. The annotation only provides an indication that the feature is enabled—it does not indicate detection. When fetal movement is detected, a solid line is automatically marked on the bottom of the heart rate grid for the duration of the detected movement.

  • Page 62: Fecg (Internal Method)

    Fetal Heart Rate Monitoring: FECG (Internal Method) FECG (Internal Method) Methodology This method uses an electrode attached directly to the fetal presenting part. The electrode is connected to the cable/legplate secured to the mother. The fetal heart rate is computed based upon the interval between successive R-wave peaks of the fetal QRS complex.

  • Page 63: Fetal Heart Rate Offset

    Fetal Heart Rate Monitoring: Fetal Heart Rate Offset Fetal Heart Rate Offset The Model 172 monitors twins using dual ultrasound. The Model 173 (with only one ultrasound channel) monitors twins using FECG and ultrasound. The Model 174 (with a combi-connector) can monitor twins using FECG/ultrasound or dual ultrasound.

  • Page 64: Activating The Fetal Heart Rate Offset Mode

    Fetal Heart Rate Monitoring: Fetal Heart Rate Offset Activating the Fetal Heart Rate Offset Mode When you activate the heart rate offset mode, the secondary FHR trend is shifted +20 BPM. (See Figure 5-2.) Ensure the recorder is on. Press and hold the t button for two seconds.

  • Page 65: Heartbeat Coincidence

    Fetal Heart Rate Monitoring: Heartbeat Coincidence Heartbeat Coincidence Heartbeat coincidence is available on Models 172, 173, and 174 (dual heart rate monitors) to alert you when you may be monitoring a duplicate signal. Heartbeat coincidence is indicated when two heartbeats have a consistent phase relationship for equal to or greater than 60% of the detected beats for about 60 seconds;...

  • Page 66: Strip Chart Annotation

    Fetal Heart Rate Monitoring: Heartbeat Coincidence Strip Chart Annotation When heartbeat coincidence detection is enabled, and both heart rate channels are active, the annotation prints in the center margin of the strip chart paper following the active FHR modes. (Refer to Figure 5-3.) As soon as heartbeat coincidence is detected, two overlaid hearts...

  • Page 67: Fetal Heart Rate Alarms

    Fetal Heart Rate Monitoring: Fetal Heart Rate Alarms Fetal Heart Rate Alarms FHR Threshold Alarms NOTE: The alarm enable/disable A fetal heart rate threshold alarm occurs when any fetal heart rate falls outside of setting controls all FHR alarms: high, the pre-defined alarm limits—greater than the high limit setting or less than the low low, and signal quality.

  • Page 68: Latching Alarms

    Fetal Heart Rate Monitoring: Fetal Heart Rate Alarms Latching Alarms Fetal heart rate threshold alarms are “latching.” This means that a clinician must acknowledge the alarm using the monitor’s button in order to clear the Alarm Silence alarm. Active Threshold Alarm: Press the Alarm Silence button to cancel the audio...

  • Page 69: Fhr Low Alarm

    Fetal Heart Rate Monitoring: Fetal Heart Rate Alarms FHR Low Alarm The simplest example of a low FHR alarm occurs when the FHR value is continuously less than the threshold (low limit) for 30 seconds. When data consistently violates the limit, the time-to-alarm is 30 seconds. See Figure 5-6.

  • Page 70: Signal Quality Alarms

    Fetal Heart Rate Monitoring: Fetal Heart Rate Alarms Signal Quality Alarms A fetal heart rate signal quality alarm occurs if the monitor is unable to detect an acceptable FHR signal. Active Signal Quality Alarm Signal quality alarms are indicated both visually and audibly. The Alarm indicator illuminates and dashes “–...

  • Page 71: Intermittent Signal Loss

    Fetal Heart Rate Monitoring: Fetal Heart Rate Alarms Intermittent Signal Loss In the clinical environment, a partial loss of signal is seen more frequently than a complete loss of signal. The time-to-alarm will vary related to the percentage of signal loss. Figure 5-9 shows an example where there is 70% signal loss resulting in a signal quality alarm after 5 minutes.
  • Page 72 Fetal Heart Rate Monitoring: Fetal Heart Rate Alarms For your notes 5-14 170 Series Monitor Revision D 2003023-001...

  • Page 73: Uterine Activity Monitoring

    Chapter 6 Uterine Activity Monitoring This section provides a brief overview of the uterine activity monitoring methods available on 170 Series Fetal Monitors. Refer to the “Maternal/Fetal Monitoring Operator’s Manual” for additional information. The 170 Series offers the following: 171/172: TOCO 173/174: TOCO and IUP This section summarizes the uterine activity monitoring methods available in the 170 Series:...

  • Page 74: Tocotransducer (External Method)

    0–100. Uterine activity is continuously plotted on the bottom (or right) of the strip chart paper as a plain black line. GE Medical Systems Information Technologies offers two models of tocotransducers: Nautilus and Trimline. Each model is available in a loop-style and button-style.

  • Page 75: Initial Referencing

    When you adjust the belt on the patient, regardless of transducer type, you want to ensure a comfortable fit; you also want to ensure that the transducer is held securely in place. GE Medical Systems Information Technologies recommends adjusting the belt tension so that, between contractions, the UA display shows approximately 25 relative units above the initial baseline.

  • Page 76: More About Referencing

    Uterine Activity Monitoring: Tocotransducer (External Method) More About Referencing Out of Range Condition After you press the button, if there is insufficient range to provide at UA Reference least 100 relative units above the reference level (probably because the belt is too tight), the UA display area flashes “–...

  • Page 77: Intrauterine Pressure Monitoring (Internal Method)

    Uterine Activity Monitoring: Intrauterine Pressure Monitoring (Internal Method) Intrauterine Pressure Monitoring (Internal Method) Methodology A catheter inserted transcervically into the uterine cavity measures intrauterine pressure. You can monitor using either a fluid-filled catheter or a transducer-tipped catheter. The uterine activity value is displayed in mmHg from 0–100 and the trend is continuously plotted on the bottom (or right) grid of the strip chart paper as a plain black line.
  • Page 78 For your notes 170 Series Monitor Revision D 2003023-001...
  • Page 79 Chapter 7 Strip Chart Recorder This chapter discusses the different types of strip chart paper as well as the trends and annotations which are printed. This section includes the following information: Strip Chart Paper ........Trends.

  • Page 80: Strip Chart Paper

    “Chapter 4, Setup Procedures”. This chapter discusses the two kinds of strip chart paper available from GE Medical Systems Information Technologies. The two kinds of paper are: z-fold chart paper with pre-printed 30–240 BPM heart rate scale (Refer to Figure 7-1.)
  • Page 81 Strip Chart Recorder: Strip Chart Paper 4305CAO GE MARQUETTE MEDICAL SYSTEMS, INC. GE MARQUETTE MEDICAL SYSTEMS, INC. 02377 02378 PAGES AING REMAING TOP GRID PRE-PRINTED HR SCALE 1 CM PRIMARY ANNOTATION AREA 3 CM PRE-PRINTED UA SCALE BOTTOM GRID mm Hg mm Hg Figure 7-1.
  • Page 82 Strip Chart Recorder: Strip Chart Paper GE MARQUETTE MEDICAL SYSTEMS, INC. 4305DAO GE MARQUETTE MEDICAL SYSTEMS, INC. 02377 02378 PAGES REMAING FHR-bpm FHR-bpm TOP GRID PRE-PRINTED HR SCALE PRIMARY ANNOTATION AREA 1 CM 3 CM PRE-PRINTED UA SCALE BOTTOM GRID...

  • Page 83: Trends

    Strip Chart Recorder: Trends Trends NOTE: A fourth trend can be printed if Up to three trends can be simultaneously printed on the strip chart paper— the monitor is interfaced to a fetal depending on your model monitor and the active modalities. oxygen saturation monitor.

  • Page 84: Annotations

    Strip Chart Recorder: Annotations Annotations Several standard annotations are made by the monitor to help analyze the strip chart data and to complete the patient record. Most annotations print in the area between the top and bottom grids on the strip chart paper; however, there are some annotations that print in either grid.
  • Page 85 Strip Chart Recorder: Annotations prints on any of the first three annotation lines—as soon as a printing line is available. A solid diamond marker prints on the bottom two lines of the heart rate grid, marking the time of the reading. (See Figure 7-3.) FSpO...

  • Page 86: Annotations From A Central Information System

    Strip Chart Recorder: Annotations Annotations from a Central Information System The 170 Series Monitor can be configured via a service setup mode to print annotations received from a central information system. These annotations print on any available line except the first. (The first annotation line is usually reserved for maternal blood pressure readings.) A computer marker prints on the bottom two lines of the heart rate grid to mark the time of the annotation and to indicate the...
  • Page 87 Strip Chart Recorder: Annotations Table 7-2. Summary of Recorder Messages Annotation Explanation Time and date are both printed on the bottom annotation line twenty seconds after the recorder is turned on and when the date changes after midnight. A time stamp automatically prints approximately every ten minutes—at the Time and Date ten-minute mark.
  • Page 88 Strip Chart Recorder: Annotations Table 7-2. Summary of Recorder Messages (Continued) Annotation Explanation This annotation prints at startup indicating the fetal heart rate alarm status Fetal Heart Rate Alarm Status/Limits. For and limits. The bell icon indicates that the alarm function is enabled. HI example: represents the high alarm limit in BPM;...
  • Page 89 Strip Chart Recorder: Annotations Table 7-2. Summary of Recorder Messages (Continued) Annotation Explanation This annotation prints on the bottom two lines of the heart rate grid indicating that active telemetry signals are being received. The annotation re-prints every ten minutes along with the modes. This annotation prints once on the bottom two lines of the heart rate grid indicating that telemetry signals are no longer being received.

  • Page 90: Paper Error Conditions

    Strip Chart Recorder: Paper Error Conditions Paper Error Conditions A 170 Series Monitor indicates when the recorder is completely out of paper and when the strip chart paper is incorrectly loaded. Paper-Out Condition When the recorder runs out of paper, the monitor automatically ejects the paper and then turns off the recorder.

  • Page 91: Removing Unused Paper From The Recorder

    Strip Chart Recorder: Removing Unused Paper from the Recorder Removing Unused Paper from the Recorder If you need to remove unused paper from the recorder: Slide the monitor forward so that the front is aligned with the edge of the cart or table on which it stands.
  • Page 92 Strip Chart Recorder: Removing Unused Paper from the Recorder For your notes 7-14 170 Series Monitor Revision D 2003023-001...

  • Page 93: Cleaning

    Chapter 8 Cleaning All equipment, no matter how reliable, needs to be maintained on a regular basis. This chapter describes general care and cleaning instructions for the 170 Series Monitor and its accessories. If an accessory is not listed, consult the manufacturer’s instructions.

  • Page 94: Monitor Exterior (Including Displays)

    Cleaning: Monitor Exterior (Including Displays) Monitor Exterior (Including Displays) To clean the exterior of the monitor: Wipe any fluids from the surface of the monitor. Dampen a cloth or paper towel with isopropyl alcohol and gently rub soiled area until clean. 170 Series Monitor Revision D 2003023-001...

  • Page 95: Tocotransducer, Ultrasound Transducer, And Legplate

    Cleaning: Tocotransducer, Ultrasound Transducer, and Legplate Tocotransducer, Ultrasound Transducer, and Legplate CAUTIONS ABRASION—Do not use abrasive cloth, sharp objects, or abrasive cleaners. ALCOHOL—Do not use Alcohol in cleaning solutions. DISCONNECTION—Detach the transducers/cables/legplate from the monitor. IMMERSION—Do not immerse transducers/cables/legplate or hold under running water.

  • Page 96: Ua Strain Gauge

    Cleaning: UA Strain Gauge UA Strain Gauge Remove the plastic dome. If desired, wash the transducer with sterile water or saline solution. Carefully clean the diaphragm seal with a cotton swab to remove deposits. Avoid excessive pressure since this may damage the diaphragm. If there are excessive stains on the diaphragm or sides of the transducer, remove with a cotton swab and solvents of increasing strength.

  • Page 97: Troubleshooting

    Chapter 9 Troubleshooting This section of the manual provides a troubleshooting guide for the most basic 170 Series Monitor operational problems. If the response to a specific question is not found, contact your Service Representative: Call 1-800-558-5120. Inside the United States: Outside the United States: Call 414-355-3790;...

  • Page 98: General Troubleshooting

    Troubleshooting: General Troubleshooting General Troubleshooting Table 9-1. General Troubleshooting Problem Probable Cause Possible Solution Power cord (AC or DC) not connected or is Check cord connections from monitor to No monitoring functions and green Power defective. converter and from converter to AC line indicator does not illuminate when Power power.

  • Page 99: Ultrasound Troubleshooting

    Troubleshooting: Ultrasound Troubleshooting Ultrasound Troubleshooting Table 9-2. Ultrasound Troubleshooting Problem Probable Cause Possible Solution Transducer not properly connected to Ensure that transducer is firmly attached to monitor. monitor. Transducer placement. Wait before moving transducer; FHR often returns. Reposition transducer. Too little gel applied to transducer. Apply more gel.

  • Page 100: Fecg Troubleshooting

    Troubleshooting: FECG Troubleshooting FECG Troubleshooting Table 9-3. FECG Troubleshooting Problem Probable Cause Possible Solution Transducer not properly connected to Ensure transducer is firmly attached to the monitor. monitor. Legplate not firmly secured to legplate post. Secure legplate to patient. Electrode wire not secure in legplate post. Inspect legplate connection.

  • Page 101: External Ua Troubleshooting

    Troubleshooting: External UA Troubleshooting External UA Troubleshooting Table 9-4. External UA Troubleshooting Problem Probable Cause Possible Solution Transducer not properly connected to Ensure that transducer is firmly attached to monitor. monitor. Transducer not properly placed. Reposition transducer. Transducer not secured to patient. Secure or re-apply transducer to patient.

  • Page 102: Internal Ua Troubleshooting

    Troubleshooting: Internal UA Troubleshooting Internal UA Troubleshooting Table 9-5. Internal UA Troubleshooting Problem Probable Cause Possible Solution Ensure transducer is securely attached to Transducer not properly connected to monitor. monitor. Flush dome and catheter. Air bubble in dome; or catheter blocked. Dome is cracked.

  • Page 103: Supplies And Accessories

    Chapter 10 Supplies Accessories This section provides an overall listing of supplies and accessories for use with 170 Series Monitors. To place an orderl: Call 1-800-558-5120. Inside the United States: Outside the United States: Call 414-355-3790; or contact your local distributor. Table 10-1.
  • Page 104 Supplies Accessories: Model 3116 LDR/LDRP Bedroom Style Mobile Cart—Unfinished 3116BAO Model 146 Fetal Acoustic Stimulator 0146AAY Z-Fold Chart Paper Pack, 30–240 BPM Heart Rate Scale (40/carton) 4305CAO Z-Fold Chart Paper Pack, 50–210 BPM Heart Rate Scale (40/carton) 4305DAO Chart Guard Label Packet 4914BAO Loop-Style Ultrasound Transducer (Nautilus), 8-foot Cord 5700LAX...
  • Page 105 Supplies Accessories: Corometrics Saflex Intermediate Cable 1336AAO Holder Assembly for Disposable Pressure Transducer 4518BAO Revision D 170 Series Monitor 10-3 2003023-001...
  • Page 106 Supplies Accessories: 10-4 170 Series Monitor Revision D 2003023-001...

  • Page 107: Technical Specifications

    Chapter 11 Technical Specifications This section contains a detailed list of the technical specifications for the 170 Series Monitor. This chapter lists specifications for the following: General Monitor ........11-2 Operating Modes .

  • Page 108: General Monitor

    Technical Specifications: General Monitor General Monitor Table 11-1. General Monitor Specifications Category Technical Specifications Power Requirements Nominal Line Voltage: 100–230 VAC Line Frequency: 50/60 Hz (operates over 47–63 Hz) Power Consumption (maximum): ≤30 VA Monitor DC Input: 12 Vdc at 2.5 A Physical Characteristics Height: 5.75 in (14.6 cm)

  • Page 109: Operating Modes

    Technical Specifications: Operating Modes Operating Modes Table 11-2. Operating Mode Specifications FECG Mode Technique: Peak detecting, beat-to-beat cardiotachometer Heart Rate Counting Range: 30–240 BPM Heart Rate Resolution: 1 BPM Artifact Elimination: Service selectable, ±25 BPM artifact rejection Countable Input Signal Range: 15 µV to 2 mV peak-to-peak Offset Voltage Tolerance (Differential): ±300 mVdc maximum...

  • Page 110: Strip Chart Recorder

    Technical Specifications: Strip Chart Recorder Strip Chart Recorder Table 11-3. Strip Chart Recorder Specifications Heart Rate Scale Domestic International 7 cm 8 cm Chart Width: 30 BPM/cm 20 BPM/cm Scaling: 30–240 BPM 50–210 BPM Range: 1 BPM 1 BPM Resolution: Uterine Activity Scale Strain Gauge Tocotransducer...
  • Page 112 Asia Headquarters World Headquarters GE Medical Systems GE Medical Systems GE Medical Systems Information Technologies GmbH Information Technologies Asia; GE (China) Co., Ltd. Information Technologies, Inc. Munzinger Straße 3-5 24th Floor, Shanghai MAXDO Center, 8200 West Tower Avenue D-79111 Freiburg...

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