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Corometrics 170 Series
GE Corometrics 170 Series User Manual
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Revision D
170 Series Monitor
10-3
2003023-001
Supplies Accessories:
Corometrics Saflex Intermediate Cable
1336AAO
Holder Assembly for Disposable Pressure Transducer
4518BAO
104
106
Table of Contents
Default Chapter
7
Table of Contents
7
Safety
13
Chapter 1
14
General Information
14
General Use
14
Responsibility of the Manufacturer
14
Definitions of Terminology
15
Monitor Safety Information
16
Warnings
16
Cautions
18
Definitions of Symbols
20
Introduction
23
Indications for Use
24
Models 171 and 172
24
Models 173 and 174
24
Risk Conditions
25
Maternal Conditions Which Place the Fetus at Risk
25
Fetal Indications of Potential Fetal Compromise
25
Monitoring Methods
26
Fetal Heart Rate
26
Internal Method, Direct Fetal Electrocardiogram (FECG)
26
Maternal Uterine Activity
26
External Method, Tocotransducer (TOCO)
26
Internal Method, Intrauterine Pressure Catheter and Strain Gauge (IUP)
26
Controls, Indicators, and Connectors
27
Chapter 3
28
Front Panel Controls
28
Power Button and Indicator
29
Record Button and Indicator
29
Paper Advance Button
29
Mark/Offset Button
29
Mark
29
Offset (Models 172, 173, and 174 Only)
29
Setup Button
30
Volume Buttons
30
Model 171
30
Models 172, 173, and 174
30
Setup Mode
30
UA Reference Button
31
Setting a Baseline for External Monitoring (Tocotransducer)
31
Setting a Baseline for Internal Monitoring (IUPC)
31
Setup Mode
31
Alarm Silence Button
31
Front Panel Displays and Indicators
32
Fetal Heart Rate Display(S) and Indicator(S)
32
FHR Display
32
Heartbeat Indicator
32
Primary Versus Secondary (Models 172, 173, and 174 Only)
32
Uterine Activity Display
32
IUP (Models 173 and 174 Only)
32
Tocotransducer
32
Alarms Disabled Indicator
33
Audio Alarm Indicator
33
Active Patient Alarms
33
Resolved Patient Alarms
33
Signal Quality Alarms
33
Front Panel Connectors
34
Model 171 Connectors
34
Ultrasound Connector
34
Uterine Activity Connector
34
Model 172 Connectors
35
Primary Ultrasound Connector
35
Secondary Ultrasound Connector
35
Uterine Activity Connector
35
Model 173 Connectors
36
FECG Connector
36
Ultrasound Connector
36
Uterine Activity Connector
36
Model 174 Connectors
37
Combi-Connector (Primary Ultrasound or FECG)
37
Secondary Ultrasound Connector
37
Uterine Activity Connector
37
Strip Chart Recorder
38
Heart Rate Grid
38
Uterine Activity Grid
39
Annotation Area
39
Rear Panel Connectors
40
Power Supply Connector
40
Remote Mark Connector
40
Nurse Call Interface
40
RS-232C Connectors
41
Telemetry Connector
41
Setup Procedures
43
Chapter 4
44
Loading Strip Chart Paper
44
Turning the Monitor on
49
Monitor Self-Test Routines
50
Recorder Test
50
Customizing the Monitor
52
Mounting the Strain Gauge for IUP Monitoring
56
Preparing the Monitor for Patient Use
57
Chapter 5
60
Ultrasound (External Method)
60
Methodology
60
Fetal Movement Detection
60
Enabling/Disabling Fetal Movement Detection
60
Simulated Fetal Movement Detection Trace
61
Strip Chart Annotations
61
Using the Remote Event Marker to Complement the Patient Record
61
FECG (Internal Method)
62
Methodology
62
Artifact Elimination
62
Enabling/Disabling Artifact Elimination
62
Theory and Methodology
62
Fetal Heart Rate Offset
63
Enabling/Disabling the Fetal Heart Rate Offset Mode
63
Activating the Fetal Heart Rate Offset Mode
64
Heartbeat Coincidence
65
Enabling/Disabling Heartbeat Coincidence Detection
65
Display Indicator
65
Strip Chart Annotation
66
Fetal Heart Rate Alarms
67
FHR Threshold Alarms
67
FHR High Alarm
68
Latching Alarms
68
FHR Low Alarm
69
Sample Clinical Exceptions
69
Signal Quality Alarms
70
100% Signal Loss
70
Active Signal Quality Alarm
70
Resolved Signal Quality Alarm
70
Intermittent Signal Loss
71
Silencing an Audio Alarm
71
Summary
71
Uterine Activity Monitoring
73
Tocotransducer (External Method)
74
Methodology
74
Establishing a Baseline
74
Accounting for Belt Tension
75
Initial Referencing
75
More about Referencing
76
Automatic Baseline "Zeroing
76
Manually Overriding the Baseline Default Value
76
Manually Setting the Baseline at the Default Value
76
Out of Range Condition
76
Intrauterine Pressure Monitoring (Internal Method)
77
Methodology
77
Why Zeroing Is Important
77
Chapter 7
80
Strip Chart Paper
80
Trends
83
Annotations
84
Standard Annotations
84
Peripheral Equipment Data
84
Data from a Fetal Oxygen Saturation Monitor
84
Data from a Maternal Non-Invasive Blood Pressure Monitor
84
Annotations from a Central Information System
86
Multiple Annotations
86
Paper Error Conditions
90
Paper-Out Condition
90
Paper-Load-Error Condition
90
Removing Unused Paper from the Recorder
91
Cleaning
93
Monitor Exterior (Including Displays)
94
Tocotransducer, Ultrasound Transducer, and Legplate
95
UA Strain Gauge
96
Troubleshooting
97
General Troubleshooting
98
Ultrasound Troubleshooting
99
FECG Troubleshooting
100
External UA Troubleshooting
101
Internal UA Troubleshooting
102
Supplies and Accessories
103
Technical Specifications
107
General Monitor
108
Operating Modes
109
Strip Chart Recorder
110
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GE Corometrics 170 Series Specifications
General
Brand
GE
Model
Corometrics 170 Series
Category
Medical Equipment
Language
English
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