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MUMO MAKASABIO-MEDICAL ENGINEER

+256 773 299 154+256 706 232 079

24/2/2014

COOPER SURGICAL FETAL MONITOR

KEEPING YOU AT THE FOREFRONTOF WOMEN’S HEALTH CARE™

CooperSurgical Fetal Monitor MODEL F9

BUTTONS AND FUNCTIONS1. START: Start monitoring \return to the main interface when entering maternal

information

2. SILENCE: Enable\disable the alarm audio.

3. AUTO ZERO: Adjust the external TOCO contractions trace or value

4. MARK: used to mark an event. A mark symbol will appear on the monitor trace and on the record paper to record an event.

5. PRINT: press this button to start or stop printing.

6. CHANNEL: Switch the channel. The monitor default fetal heart audio is USI. When two ultrasound transducers are connected to the monitor, press this button to switch the audio to US2,press it again to switch the audio to USI.

7. NIBP: star or stop NIBP measurement. This button is not active unless optional NIBP feature is enabled.

8. CONTROL KNOB: adjust volume, set up, input maternal information and review settings. Rotate and \or press to operate.

Benefits of CooperSurgical

Fetal Monitor include:

Touch-screen display facilitates operator interface

Large real-time color monitor provides instantaneous feedback to the staff and facilitates patient interaction

A 12-crystal, wide-beam, 1 MHz transducer yields industry leading signal acquisition and maintenance of FHR, even in challenging situations

Signal Overlap Verification provides visual and audible indications when synchronous heart-rate signals are detected

Configured to monitor twins for cost efficiency

Insight™ software permits transfer of patient data to a personal computer for study review and record storage

EMR capatibility

24-hour data storage facilitates data transfer or reprinting

Fetal Monitor System Components:• 2 ultrasound transducers• 1 TOCO transducer• 1 Event marker• 2 reusable belts• Ultrasound gel• Printer paper• Power cord• Insight™ software• System and software user

manuals• RS232 and Ethernet cables• Rechargeable lithium--ion

battery (optional)

CooperSurgical®F9 Fetal Monitor

Bpm - Breaths Per MinuteEFM - Electronic Fetal MonitoringFHR - Fetal Heart RateNICHD – National Institute of Child Health and Human DevelopmentSIA – Structured Intermitted Auscultation

NICHD Category III – ABNORMALAbsence baseline FHR variabilityWith recurrent late or variable

Deceleration and or bradycardia,Or with sinusoidal pattern

General measures; DiscontinueOxytocin (Pitocin);expedite

delivery by operative vaginalOr caesarean delivery

NICHD CATEGORY II – INDETERMINENATEFHR patterns that are concerning

Enough to warrant increased frequencyIn monitoring, but that respond to

Interventions provided

General measures; considerDiscontinuing oxytocin; consider

Potential need to expediteDelivery if abnormalities

Persist or worsen

NICHD CATEGORY I – NORMAL

Normal baseline FHR,moderate

Variability, and lack of concerning

Deceleration

Continue monitoring

Category I: Normal A Category I FHR pattern has the following four characteristics:

baseline rate, 110–160 bpm

moderate variability (6–25 bpm)

absence of late or variable decelerations

absence or presence of early decelerations or accelerations.

Category II: Indeterminate Category II comprises all FHR patterns not in Category I or III. Category II tracings are not predictive of abnormal fetal acid–base status. When a Category II tracing is identified, a fetal scalp stimulation test may help identify fetuses in which acid–base status is normal.

Category III: Abnormal The new NICHD guidelines label four FHR patterns as abnormal. One of the abnormal patterns is a sinusoidal heart rate, defined as a pattern of regular variability resembling a sine wave, with fixed periodicity of 3–5 cycles/ min and amplitude of 5–40 bpm. A sinusoidal pattern may indicate fetal anemia caused by fetomaternal hemorrhage or alloimmunization.

Guidelines on fetal monitoring – monitoring spotlightaim to codify normal, abnormal FHR

Baseline FHR Variability; Baseline variability is defined as fluctuations in the fetal heart rate of more than 2 cycles per minute. No distinction is made between short-term variability (or beat-to-beat variability or R-R wave period differences in the electrocardiogram) and long-term variability

AccelerationsAn acceleration is an abrupt increase in FHR above baseline with onset to peak of the acceleration less than < 30 seconds and less than 2 minutes in duration. The duration of the acceleration is defined as the time from the initial change in heart rate from the baseline to the time of return to the FHR to baseline. Adequate accelerations are defined as:<32 weeks' : >10 BPMabove baseline for >10 seconds >32 weeks' : >15 BPM above baseline for > 15 seconds

Prolonged acceleration: Increase in heart rate lasts for 2 to 10 minutes. The absence of accelerations for more than 80 minutes correlates with increased neonatal morbidity

Prolonged deceleration – defined as the decrease in fetal heart rate below the baseline.

• Familiarize yourself with your new equipment

1

• Understand settings and use of all knobs/keys

2• Teach new

colleagues how to operate and use the equipment

3

Today’s Overview

General measures includes vaginal examination, checking maternal vital signs, giving O2,changing maternal positions, administering intravenous fluids and assessing fetal PH with acoustic or fetal scalp stimulation.

GOOD EQUIPMENT USE & PRACTICES

1. Don’t Drop the transducers.2. Don’t use the cables when coiled - un-coil them.3. Don’t use ultrasound gel to TOCO transducer or transducer contact area.4. Clean the transducers after each use and keep the equipment clean.5. Call the engineer incase of anything that you are doubting.6. Don’t use \ connect a faulty equipment on a patient.7. Always ensure that the battery is fully charged to avoid disturbances incase of

power black out.8. Avoid using a pen to activate or operate the touch screen..! Its capacitive – too

sensitive and senses your finger touch.

QUESTIONS ??

THANKS