GE Medical Systems Information Technologies 340T Model 340 Medical Telemetry Transmitter User Manual
GE Medical Systems Information Technologies Inc. Model 340 Medical Telemetry Transmitter
Contents
- 1. User Manual
- 2. Module User Manual
User Manual
Corometrics Model 340 OPERATOR’S MANUAL MANUAL P/N 2003720-001 REV. B 340R Telemetry Receiver COROMETRICS IUP UA ECG ULTRASOUND REFER TO MANUAL FOR PROPER TRANSDUCERS COROMETRICS Telemetry Transmitter XXX XXX 340T TOCO Corometrics Model 340 OPERATOR’S MANUAL MANUAL P/N 2003720-001 REV. B 340R Telemetry Receiver COROMETRICS IUP UA ECG ULTRASOUND REFER TO MANUAL FOR PROPER TRANSDUCERS COROMETRICS Telemetry Transmitter XXX XXX 340T TOCO GUARANTEE All equipment sold by GE Medical Systems Information Technologies is fully guaranteed as to materials and workmanship for a period of 1 year. Information Technologies reserves the right to perform guarantee service operations in its own factory, at an authorized repair station, or in the customer’s installation. Our obligation under this guarantee is limited to repairing, or, at our option, replacing any defective parts of our equipment, except fuses or batteries, without charge, if such defects occur in normal service. Claims for damage in shipment should be filed promptly with the transportation company. All correspondence covering the instrument should specify the model and serial numbers. GE MEDICAL SYSTEMS Information Technologies A GE Medical Systems Company World Headquarters Europe / Middle East / Africa Asia 8200 West Tower Avenue Milwaukee, WI 53223 USA Tel: +414.355.5000 800.558.5120 (US only) Fax: +414.355.3790 Internet: www.gemedicalsystems.com Postfach 60 02 65 D-79032 Freiburg Germany Tel: +49.761.45.43.0 Fax: +49.761.45.43.233 11th Floor, The Lee Gardens 33 Hysan Avenue Causeway Bay Hong Kong Tel: +852.2100.6300 Fax: +852.2100.6292 Revision A: 5/00 Revision B: 11/00 GE Medical Systems Information Technologies will make available on request such circuit diagrams, component diagrams, component parts lists, descriptions, calibration instructions, or other information which will assist the users or appropriately qualified technical personnel to repair those parts of the equipment which are classified by Information Technologies as repairable. Refer to the service manual for further information. ! CAUTION: In the United States of America, Federal Law restricts this device to sale by or on the order of a physician. 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. ©2000 GE Medical Systems Information Technologies. All rights reserved. No part of this manual may be reproduced without the permission of GE Medical Systems Information Technologies. Contents Figures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v Tables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1 General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2 General Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2 Responsibility of the Manufacturer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2 Definitions of Terminology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3 Equipment Safety Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4 Warnings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4 Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-7 Equipment Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8 FCC Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-9 FCC Rules Compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-9 FCC RF Exposure Compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-9 FCC Service Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-9 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1 Product Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2 Product Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3 Revision B Model 340 Telemetry System 2003720-001 3 Controls, Indicators, and Connectors . . . . . . . . . . . . . . . 3-1 Model 340R Receiver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2 Model 340R Front Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2 Model 340R Rear Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4 Model 340T Transmitter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6 Model 340T Bottom Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6 Model 340T Top Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8 Model 340T Rear Panel Battery Compartment . . . . . . . . . . . . . . . . . . . . . . . . . 3-10 Setup Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1 Connecting the Receiver and Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2 Models 115, 116, 118, 145, 150, 151, and 155 . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2 120 and 170 Series . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5 Setting Up the Model 340T Transmitter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7 Installing Batteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7 Attaching the Antenna . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-9 Attaching the Carrying Strap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-9 Performing a Functional Checkout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-10 Initial Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-10 Testing the Radio Frequency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-10 Testing the Ultrasound Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-11 Testing the ECG Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-13 Testing the UA Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-14 Testing the Remote Event Marker Function . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-16 Testing the Environment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-16 Monitoring via Telemetry . . . . . . . . . . . . . . . . . . . . . . . . . 5-1 Suggestions for Ambulatory Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2 Monitoring Reminders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3 General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3 Ultrasound . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3 FECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3 Tocotransducer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4 IUP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4 ii Model 340 Telemetry System 2003720-001 Revision B 6 Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1 General Cleaning Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2 Cleaning the Transmitter and Receiver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3 Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1 Problem Chart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2 Supplies and Accessories . . . . . . . . . . . . . . . . . . . . . . . . 8-1 General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2 Paper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3 Ultrasound . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4 FECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5 Tocotransducer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-6 IUPC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-7 MECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-8 Technical Specifications . . . . . . . . . . . . . . . . . . . . . . . . . 9-1 Model 340T Transmitter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-2 Model 340R Receiver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-4 Revision B Model 340 Telemetry System 2003720-001 iii For your notes iv Model 340 Telemetry System 2003720-001 Revision B Figures Figure 3-1. Model 340R Receiver Front Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-2 Figure 3-2. Model 340R Receiver Rear Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-4 Figure 3-3. Model 340T Transmitter Bottom Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-6 Figure 3-4. Model 340T Transmitter Top Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-8 Figure 3-5. Model 340T Transmitter Rear Panel Battery Compartment . . . . . . . . . . . . . . . . . . . .3-10 Figure 4-1. Positioning the Receiver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-2 Figure 4-2. Attaching the Receiver Antenna . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-3 Figure 4-3. Attaching the Receiver Interconnect Cables. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-3 Figure 4-4. Attaching the Monitor Interconnect Cables. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-4 Figure 4-5. Attaching the Remote Mark Interconnect Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-4 Figure 4-6. Attaching the Receiver Antenna . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-5 Figure 4-7. Attaching the Monitor Interconnect Cable to a 120 Series Monitor . . . . . . . . . . . . . . .4-6 Figure 4-8. Attaching the Monitor Interconnect Cable to a 170 Series Monitor . . . . . . . . . . . . . . .4-6 Figure 4-9. Accessing the Batteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-7 Figure 4-10. Transmitter Battery Orientation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-8 Figure 4-11. Attaching the Transmitter Antenna . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-9 Revision B Model 340 Telemetry System 2003720-001 Figure 4-12. Attaching the Carrying Strap. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-9 Figure 4-13. Applying Power. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-10 Figure 4-14. Connecting an Ultrasound Transducer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-11 Figure 4-15. Connecting the Headset . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-12 Figure 4-16. Connecting an FECG Cable/Legplate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-13 Figure 4-17. Connecting a Tocotransducer or IUPC Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-14 vi Model 340 Telemetry System 2003720-001 Revision B Tables Table 1-1. Definitions of Terminology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-3 Table 1-2. Equipment Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-8 Table 2-1. Summary of Monitor Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-3 Table 3-1. Receiver Front Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-3 Table 3-2. Receiver Rear Panel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-5 Table 3-3. Transmitter Bottom Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-7 Table 3-4. Transmitter Top Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-9 Table 7-1. Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-2 Table 8-1. General Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-2 Table 8-2. Paper Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-3 Table 8-3. Ultrasound Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-4 Table 8-4. FECG Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-5 Table 8-5. Tocotransducer Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-6 Table 8-6. IUPC Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-7 Table 8-7. MECG Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-8 Revision B Model 340 Telemetry System 2003720-001 vii For your notes viii Model 340 Telemetry System 2003720-001 Revision B Chapter 1 Safety The information presented in this section is important for the safety of both the patient and operator and also serves to enhance equipment reliability. This chapter describes how the terms Danger, Warning, Caution, Important, and Note are used throughout the manual. In addition, standard equipment symbols are defined. This section includes the following important information: General Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Definitions of Terminology . . . . . . . . . . . . . . . . . . . . . . . . . . Equipment Safety Information . . . . . . . . . . . . . . . . . . . . . . . Equipment Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FCC Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Revision B Model 340 Telemetry System 2003720-001 1-2 1-3 1-4 1-8 1-9 1-1 Safety: General Information General Information General Use If any equipment is cold to the touch or below ambient temperature, allow it to stabilize before use. To ensure patient safety, use only parts and accessories manufactured or recommended by GE Medical Systems Information Technologies. Parts and accessories used shall meet the requirements of IEC 601.1.1. Disposable devices are intended for single use only. They should not be reused. Periodically, and whenever the integrity of the equipment is in doubt, test all functions. Refer to the "Maternal/Fetal Monitoring Operator’s Manual" for information concerning the limitations of internal and external fetal heart rate monitoring techniques. Responsibility of the Manufacturer GE Medical Systems Information Technologies (hereinafter Information Technologies) is responsible for the effects on safety, reliability, and performance if: 1-2 assembly operations, extensions, readjustments, modifications, or repairs are carried out by persons authorized by Information Technologies; the electrical installation of the relevant room complies with the requirements of appropriate regulations; and the equipment is used in accordance with the instructions for use. Model 340 Telemetry System 2003720-001 Revision B 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. The warnings and cautions in this safety section relate to the equipment in general and apply to all aspects of the equipment. Be sure to read the other chapters because there are additional warnings and cautions which relate to specific features of the equipment. When grouped, warnings and cautions are listed alphabetically and do not imply any order of importance. Table 1-1. Definitions of Terminology Revision B Danger A DANGER notice indicates an imminently hazardous situation which, if not avoided, will result in death or serious injury. Warning A WARNING indicates a potentially hazardous situation which, if not avoided, could result in death or serious injury. Caution A CAUTION indicates a potentially hazardous situation which, if not avoided, may result in minor or moderate injury. Cautions are also used to avoid damage to equipment. Contraindication A CONTRAINDICATION describes any special symptom or circumstance that renders the use of a remedy or the carrying out of a procedure inadvisable, usually because of a risk. Important An IMPORTANT notice indicates an emphasized note. It is something you should be particularly aware of; something not readily apparent. Note A NOTE indicates a particular point of information; something on which to focus your attention. Model 340 Telemetry System 2003720-001 1-3 Safety: Equipment Safety Information Equipment Safety Information Warnings :$51,1*6 ACCIDENTAL SPILLS—In the event that fluids are accidentally spilled on the equipment, take the equipment out of operation and inspect for damage. APPLICATION—This equipment 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. CONDUCTIVE PARTS—Ensure that the conductive parts of the lead electrodes and associated connectors do not contact other conductive parts including earth. CONNECTIONS—The correct way to connect a patient to the transmitter is to plug the electrode leads into the patient cable which in turn connects to the transmitter. The receiver is connected to the wall socket by the power cord. Do not plug the electrode leads into the power cord, a wall socket, or an extension cord. DEFIBRILLATION—This equipment is not designed for use with defibrillators. ELECTRICAL SHOCK—To reduce the risk of electrical shock, do not remove equipment covers. Refer servicing to qualified personnel. ELECTROMAGNETIC INTERFERENCE—Be aware that strong electromagnetic fields may interfere with equipment operation. Interference prevents the clear reception of signals by the device. If the hospital is close to a strong transmitter such as TV, AM or FM radio, police or fire stations, a HAM radio operator, an airport, or cellular phone, their signals could be picked up as signals by the equipment. If you feel interference is affecting the equipment, contact your Service Representative to check the equipment in your environment. 1-4 Model 340 Telemetry System 2003720-001 Revision B Safety: Equipment Safety Information :$51,1*6 ELECTROSURGERY—The equipment is not designed for use with high-frequency surgical devices. In addition, measurements may be affected in the presence of strong electromagnetic sources such as electrosurgery equipment. EXPLOSION HAZARD—Do not use this equipment in the presence of flammable anesthetics or inside an oxygen tent. GROUNDING—Do not defeat the three-wire grounding feature of the power cord by means of adaptors, plug modifications, or other methods. A dangerous shock hazard to both patient and 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 device 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. INTERFACING OTHER EQUIPMENT—Monitoring equipment must be interfaced with other types of medical equipment by qualified biomedical engineering personnel. Be certain to consult manufacturers’ specifications to maintain safe operation. LEAKAGE CURRENT TEST—The interconnection of auxiliary equipment with this device may increase the total leakage current. When interfacing with other equipment, a test for leakage current must be performed by qualified biomedical engineering personnel before using with patients. Serious injury or death could result if the leakage current exceeds applicable standards. The use of accessory equipment not complying with the equivalent safety requirements of this equipment may lead to a reduced level of safety of the resulting system. Consideration relating to the choice shall include: use of the accessory in the patient vicinity; and evidence that the safety certification of the accessory has been performed in accordance with the appropriate IEC 601.1 and/or IEC 601.1.1 harmonized national standard. Revision B Model 340 Telemetry System 2003720-001 1-5 Safety: Equipment Safety Information :$51,1*6 LINE ISOLATION MONITOR TRANSIENTS—Line isolation monitor transients may resemble actual cardiac waveforms, and thus cause incorrect heart rate determinations and alarm activation (or inhibition). MRI USE—Do not use the equipment during MRI scanning; conducted current could potentially cause burns. PATIENT CABLES AND LEADWIRES—Do not use patient cables and electrode leads that permit direct connection to electrical sources. Use only “safety” cables and leadwires. Use of non-safety patient cables and lead wires creates risk of inappropriate electrical connection which may cause patient shock or death. PACEMAKER PATIENTS—Rate meters may continue to count the pacemaker rate during occurrences of cardiac arrest or some arrhythmias. Do not rely entirely upon rate meter alarms. Keep pacemaker patients under close surveillance. Refer to your monitor’s operator’s manual for disclosure of the pacemaker pulse rejection capability. SIMULTANEOUS DEVICES—Do not simultaneously connect more than one device that uses electrodes to detect ECG and/or respiration to the same patient. Use of more than one device in this manner may cause improper operation of one or more of the devices. STRANGULATION—Make sure all patient cables, leadwires, and tubing are positioned away from the patient’s head to minimize the risk of accidental strangulation. 1-6 Model 340 Telemetry System 2003720-001 Revision B Safety: Equipment Safety Information Cautions &$87,216 ANNUAL SERVICING—For continued safety and performance of the equipment, it is recommended that the calibration, accuracy, and electrical safety of the equipment be verified on an annual basis by an Information Technologies Service Representative. DAILY INSPECTION—It is essential that the equipment and accessories be inspected prior to every use. ENVIRONMENT—The performance of the equipment has not been tested in certain areas, such as x-ray and imaging suites. The equipment is not recommended for use in these environments. PERFORMANCE—Report all problems experienced with the equipment. If the equipment is not working properly, contact your Service Representative for service. The equipment should not be used if it is not working properly. Revision B Model 340 Telemetry System 2003720-001 1-7 Safety: Equipment Symbols Equipment Symbols The following is a list of symbols used on products manufactured by Information Technologies. Some symbols may not appear on your equipment. Table 1-2. Equipment Symbols ATTENTION: Consult accompanying documents. TYPE B EQUIPMENT. Type B equipment is suitable for intentional external and internal application to the patient, excluding direct cardiac application. TYPE BF EQUIPMENT. Type BF equipment is suitable for intentional external and internal application to the patient, excluding direct cardiac application. Type BF equipment has an F-type applied part. DEFIBRILLATOR-PROOF TYPE BF EQUIPMENT: Type BF equipment is suitable for intentional external and internal application to the patient, excluding direct cardiac application. Type BF equipment is type B equipment with an F-type isolated (floating) part. The paddles indicate the equipment is defibrillator proof. ALTERNATING CURRENT (AC). IPX1 DRIP PROOF. EQUIPOTENTIALITY. 1-8 POWER OFF: disconnection from the mains. POWER ON: connection to the mains. Model 340 Telemetry System 2003720-001 Revision B Safety: FCC Information FCC Information FCC Rules Compliance This equipment complies with Part 15 of FCC rules. Operation is subject to the condition that this device does not cause harmful interference. FCC RF Exposure Compliance ,03257$17 RF EXPOSURE—To comply with FCC RF exposure compliance requirements, users should avoid grasping the antenna for any extended period of time while the device is in operation. FCC Service Information Servicing the radio frequency transmitter and receiver sections of the Model 340 Telemetry System requires an FCC General Radio Telephone License. Any changes or modifications made to the Model 340 Telemetry System that are not expressly approved by Information Technologies, could void the user’s authority to operate this equipment. Revision B Model 340 Telemetry System 2003720-001 1-9 For your notes 1-10 Model 340 Telemetry System 2003720-001 Revision B Chapter 2 Introduction This chapter contains the following information: Product Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2 Product Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3 Revision B Model 340 Telemetry System 2003720-001 2-1 Introduction: Product Summary Product Summary The Corometrics Model 340 Telemetry System (Model 340R Receiver and Model 340T Transmitter) provides a wireless means of transmitting heart rate and uterine activity signals from an ambulatory mother to a bedside fetal or maternal/fetal monitor. The system operates with the following Corometrics brand monitors; if your monitor is not listed, check with your saleperson or service representative for a more current list. 127(The Model 340 Telemetry System does not support fetal movement detection. Model 115 Model 116 Model 118 120 Series* Model 145 Model 150 Model 151 Model 155 170 Series The system monitors ultrasound, ECG (FECG or MECG), and uterine activity (TOCO or IUPC) signals individually or in combination. Refer to your monitor’s operator’s manual as needed. * A 120 Series Monitor requires a Communications Board in order to interface to a Model 340 Telemetry System. If your monitor does not have this option, an upgrade kit is available as cat. no. (REF) 1559BAO. Contact your Service Representative for more information. 2-2 Model 340 Telemetry System 2003720-001 Revision B Introduction: Product Features Product Features The following is a summary of product features: Battery operated transmitter provides up to 20 hours* of continuous transmission when operated with fresh batteries. A Low Battery indicator, accompanied by an audio indicator, signals an impending low-battery condition. A transmitter headset* allows the patient or staff to hear the ultrasonically detected heartbeats for reassurance as well as to verify proper transducer placement. A Signal Quality indicator verifies the strength of the radio transmission signal. Transducers are quickly and easily interchangeable amongst the Model 340 Telemetry System and most Corometrics brand monitors: u Models 116, 118, 150, 151, 155, and 170 Series: transducers are interchangeable. u 120 Series: ECG rectangular connector cables are not compatible; round connector cables are compatible. u Models 115 and 145: cat. no. (REF) 5600 ultrasound transducers cannot be used with a Model 340. Use only cat. no. (REF) 5700 transducers when the using a Model 115 or 145 with a Model 340 Telemetry System. Provides simultaneous monitoring of two heart rates (twins or maternal/fetal) when used with a monitor supporting these parameters. Refer to Table 2-1 for a summary of monitor parameters. ,03257$17 INSTRUCTIONS—The operator should review and be familiar with the operator’s manual for the fetal or maternal/fetal monitor as well as the "Maternal/Fetal Monitoring Operator’s Manual". Table 2-1. Summary of Monitor Parameters 115 116 118 126 128 129 145 150 151 151D 155 171 172 173 TOCO á á á á á á á á á á á á á á IUPC á á á á á á á á US á á á á á á á á FECG á á á á á á á á MECG á á á á á á á á á á á á á á * Use of the headset will deplete the batteries more rapidly. Revision B Model 340 Telemetry System 2003720-001 2-3 For your notes 2-4 Model 340 Telemetry System 2003720-001 Revision B Chapter 3 Controls, Indicators, and Connectors This section describes all controls, indicators, and connectors on a Model 340 Telemetry System. Model 340R Receiver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2 Model 340T Transmitter . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6 Revision B Model 340 Telemetry System 2003720-001 3-1 Controls, Indicators, and Connectors: Model 340R Receiver Model 340R Receiver Model 340R Front Panel 340R Telemetry Receiver COROMETRICS TOCO IUP XXX Figure 3-1. Model 340R Receiver Front Panel 3-2 Model 340 Telemetry System 2003720-001 Revision B Controls, Indicators, and Connectors: Model 340R Receiver Table 3-1. Receiver Front Panel Name Description This switch communicates the active uterine activity mode to the fetal or maternal/fetal monitor: UA Mode Selector Switch n When monitoring with a tocotransducer, set the switch to the TOCO position. n When monitoring with an intrauterine pressure catheter, set the switch to the IUP position. Channel Number The channel number is the customer-designated receiving frequency of the Model 340R Receiver. For each telemetry system, the channel number of the receiver must be identical to the channel number of the transmitter. Also, if you have more than one telemetry system, or other RF devices, each system must have a unique channel number. Power Switch and Indicator The Power switch turns the receiver on (I) and off (O). When set to on, the green Power indicator illuminates. Low Battery Indicator The red Low Battery indicator flashes when you have approximately 10 minutes of Model 340T Transmitter battery power remaining. The Low Battery indicator stops flashing and lights continuously as soon as the battery is depleted. Signal Indicator The green Signal indicator lights continuously when the receiver is accepting radio frequency signals from the transmitter. The Signal indicator flashes if the signal strength is weak or marginal. Revision B Model 340 Telemetry System 2003720-001 3-3 Controls, Indicators, and Connectors: Model 340R Receiver Model 340R Rear Panel WARNING: TO REDUCE FIRE HAZARD REPLACE FUSE AS MARKED. 120Vac ANTENNA ULTRASOUND 120V ~ 50-60HZ 30W 0.25A SLOW BLOW ECG UA CONNECT TO COROMETRICS MONITORS ONLY CAUTION OUTPUTS TO MONITOR Note: Antenna shown removed. Figure 3-2. Model 340R Receiver Rear Panel 3-4 Model 340 Telemetry System 2003720-001 Revision B Controls, Indicators, and Connectors: Model 340R Receiver Table 3-2. Receiver Rear Panel Name AC Line Connector and Fuseholder Module Description This module houses the AC-line input connector and the main fuses for the Model 340R Receiver: n 100–120 VAC: requires two, 1 A slow-blow fuses. n 220–240 VAC: requires two, 1 A time-lag fuses. This connector is used with 120 and 170 Series Monitors only. Do not use this connection method for Models 115, 116, 118, 145, 150, 151, and 155 Monitors. Auxiliary Output Connector This connector outputs the US, ECG, UA, and Mark signals, acquired by telemetry, to a 120 or 170 Series Monitor. See page 4-5 for complete interconnection details. As soon as any telemetry mode is detected, the front panel of the 120 or 170 Series Monitor is disabled and all front panel inputs are ignored. In other words, telemetry and monitor modes cannot be “mixed and matched’; you must use telemetry only or direct monitoring only. For proper operation with a 170 Series Monitor, disconnect all transducers from the front panel of the monitor. These connectors are used with Models 115, 116, 118, 145, 150, 151, and 155 Monitors only. Do not use this connection method for 120 and 170 Series Monitors. Each connector outputs the respective signal, acquired by telemetry, to the fetal or maternal/fetal monitor: US, ECG, UA, and Mark Connectors n US: light grey connector which outputs the ultrasound signal. n ECG: grey connector which outputs the FECG or MECG signal. n UA: white connector which outputs the TOCO or IUPC signal. n Mark: connector which outputs the Event Mark signal. See page 4-2 for complete interconnection details. Revision B Antenna Connector Twist-on connector for attaching the Model 340R Receiver antenna. Equipotential Lug Binding post terminal directly connected to the chassis for use as an equipotentiality connection. Model 340 Telemetry System 2003720-001 3-5 Controls, Indicators, and Connectors: Model 340T Transmitter Model 340T Transmitter Model 340T Bottom Panel Figure 3-3. Model 340T Transmitter Bottom Panel 3-6 Model 340 Telemetry System 2003720-001 Revision B Controls, Indicators, and Connectors: Model 340T Transmitter Table 3-3. Transmitter Bottom Panel Name Description Connect a Corometrics 5700 Series pulsed Doppler ultrasound transducer to this light gray receptacle. Revision B Ultrasound Input Corometrics 5600 Series continuous-wave ultrasound transducers are not compatible with the Model 340 Telemetry System. The 5600 Series Transducer was designed for use with Models 115 and 145 Monitors and Models 320 and 330 Telemetry Systems. ECG Input Connect an FECG cable/legplate or MECG cable plug to this grey receptacle. This connector is compatible with all round-connector FECG/MECG patient cables used with Corometrics-brand monitors. UA Input Connect a tocotransducer, IUPC, or strain gauge transducer plug to this white receptacle. Contact your Sales Representative about compatibility. Model 340 Telemetry System 2003720-001 3-7 Controls, Indicators, and Connectors: Model 340T Transmitter Model 340T Top Panel Note: Antenna shown removed. Figure 3-4. Model 340T Transmitter Top Panel 3-8 Model 340 Telemetry System 2003720-001 Revision B Controls, Indicators, and Connectors: Model 340T Transmitter Table 3-4. Transmitter Top Panel Name Description Loops Loops for attaching the carrying strap. Headset Connector Connect the headset to this receptacle to listen to the fetal heart rate derived from ultrasound. Connect a Corometrics Remote Event Marker to this receptacle. When the marker’s button is pressed for at least one second, an event mark signal is transmitted and one of the following marks prints on the strip chart paper: n : This annotation is commonly used to record an “event.” This mark is available on all Corometrics-brand monitors. Remote Event Mark Connector Revision B FM : This annotation is commonly used as an indication that the mother has perceived fetal movement. (Refer to your monitor’s operator’s manual to learn if your monitor supports this feature. Refer to your monitor’s service manual for information about enabling the option.) Power Switch Moving the switch to the on position (I) turns on the Model 340T Transmitter; moving the switch to the off position (O), turns off the transmitter. Antenna Connector Twist-on connector for attaching the Model 340T Transmitter antenna. Model 340 Telemetry System 2003720-001 3-9 Controls, Indicators, and Connectors: Model 340T Transmitter Model 340T Rear Panel Battery Compartment Battery Compartment BATTERY COMPARTMENT DANGER: POSSIBLE EXPLOSION HAZARD IF USED IN THE PRESENCE OF FLAMMABLE ANESTHETICS. CAUTION: REFER SERVICE ONLY TO QUALIFIED PERSONNEL Figure 3-5. Model 340T Transmitter Rear Panel Battery Compartment The battery compartment holds four “AA” alkaline batteries. &$87,21 BATTERY STRENGTH—When the battery power is low, the transmitter emits a chirping sound every 4–5 seconds. This signals approximately 10 minutes of remaining battery power. The chirping continues until the battery power is completely depleted, at which time the Model 340T stops transmitting data. 3-10 Model 340 Telemetry System 2003720-001 Revision B Chapter 4 Setup Procedures This section contains step-by-step instructions for connecting and testing your Model 340 Telemetry System. ,03257$17 CHANNEL NUMBERS—Ensure that the Model 340R Receiver and Model 340T Transmitter are operating on the same frequency; the channel numbers must be identical. The channel number label is located on the front of the Model 340R and on the side of the Model 340T. If you have more than one telemetry system, make sure that each transmitter/receiver pair operates on a unique frequency. Connecting the Receiver and Monitor. . . . . . . . . . . . . . . . . . 4-2 Setting Up the Model 340T Transmitter . . . . . . . . . . . . . . . 4-7 Performing a Functional Checkout . . . . . . . . . . . . . . . . . . . 4-10 Revision B Model 340 Telemetry System 2003720-001 4-1 Setup Procedures: Connecting the Receiver and Monitor Connecting the Receiver and Monitor There are two types of interconnection methods depending on the model of your fetal or maternal/fetal monitor. Check your monitor model number prior to making any connections. Models 115, 116, 118, 145, 150, 151, and 155 1. Turn off both the monitor and the Model 340R Receiver. 2. Place the receiver on top of, or near, the monitor. 340R Telemetry Receiver COROMETRIC TOCO IUP XX 118 ULTRASOUND 2 ECG UA Maternal BP 90 120 150 180 Maternal SpO2 bpm Select 210 Alarm Cancel Setup 240 BP Auto FHR BP Start BP Stop 4305AAO ULTRASOUND Volume Volume COROMETRICS MEDICAL SYSTEMS, 4305AAO MATERNAL / FETAL MONITOR ECG AND SpO 2 ELECTRICALL ELECTRICALLY ISOLATED REFER TO MANUAL FOR PROPER TRANSDUCERS Note: Model 118 shown. Figure 4-1. Positioning the Receiver 4-2 Model 340 Telemetry System 2003720-001 Revision B Setup Procedures: Connecting the Receiver and Monitor 3. Insert the receiver antenna (longer of the two antennas) into the rear panel Antenna connector ; rotate the attachment collar in a clockwise direction until snug. 127(A Remote Antenna Bracket, cat. no. (REF) 1441AAO, is available for attaching the antenna when the receiver will be enclosed in a cart or cabinet. Refer to the Installation Instructions, part no. (REF) 14153AA, included with the bracket; or contact your Biomedical Engineering Department for assistance. To attach the antenna to the BNC connector on the bracket, rotate the antenna attachment collar in a clockwise direction until snug. WARNING: TO REDUCE FIRE HAZARD REPLACE FUSE AS MARKED. 120Vac ANTENNA ULTRASOUND 120V ~ 50-60HZ 30W 0.25A SLOW BLOW ECG UA CONNECT TO COROMETRICS MONITORS ONLY CAUTION OUTPUTS TO MONITOR Figure 4-2. Attaching the Receiver Antenna 4. Connect the appropriate ultrasound, ECG, and uterine activity interconnect cables to the corresponding Ultrasound, ECG, and UA connectors on the receiver rear panel. Figure 4-3. Attaching the Receiver Interconnect Cables Revision B Model 340 Telemetry System 2003720-001 4-3 Setup Procedures: Connecting the Receiver and Monitor 5. Connect the remaining ends of the cables to the color-coded Ultrasound, ECG, and UA input connectors on the front or side panel of the monitor. Note: Model 118 shown. Figure 4-4. Attaching the Monitor Interconnect Cables 6. Connect one end of the Remote Event Mark interconnect cable to the connector on the receiver rear panel; connect the other end to the Remote Marks connector on the rear or side panel of the monitor. Note: Model 118 shown. Figure 4-5. Attaching the Remote Mark Interconnect Cable 4-4 Model 340 Telemetry System 2003720-001 Revision B Setup Procedures: Connecting the Receiver and Monitor 120 and 170 Series ,03257$17 120 SERIES COMMUNICATIONS OPTION—A 120 Series Monitor requires a Communications Board in order to interface to a Model 340 Telemetry System. If your monitor does not have this option, an upgrade kit is available as cat. no. (REF) 1559BAO. Contact your Service Representative for more information. 1. Turn off both the monitor and the Model 340R Receiver. 2. Place the receiver on top of, or near, the monitor. 3. Insert the receiver antenna (longer of the two antennas) into the rear panel Antenna connector ; rotate the attachment collar in a clockwise direction until snug. 127(A Remote Antenna Bracket, cat. no. (REF) 1441AAO, is available for attaching the antenna when the receiver will be enclosed in a cart or cabinet. Refer to the Installation Instructions, part no. (REF) 14153AA, included with the bracket; or contact your Biomedical Engineering Department for assistance. To attach the antenna to the BNC connector on the bracket, rotate the antenna attachment collar in a clockwise direction until snug. WARNING: TO REDUCE FIRE HAZARD REPLACE FUSE AS MARKED. 120Vac ANTENNA ULTRASOUND 120V ~ 50-60HZ 30W 0.25A SLOW BLOW ECG UA CONNECT TO COROMETRICS MONITORS ONLY CAUTION OUTPUTS TO MONITOR Figure 4-6. Attaching the Receiver Antenna Revision B Model 340 Telemetry System 2003720-001 4-5 Setup Procedures: Connecting the Receiver and Monitor 4. Plug one end of the interconnection cable into the Auxiliary Output connector (Connect to Corometrics Monitor Only) on the receiver rear panel. 5. Plug the other end into the respective telemetry connector on the real panel of the monitor: 120 Series: Connect to J101. WARNING: TO REDUCE FIRE HAZARD REPLACE FUSE AS MARKED. 120Vac ANTENNA ECG ULTRASOUND 120V ~ 50-60HZ 30W 0.25A SLOW BLOW UA CONNECT TO COROMETRICS MONITORS ONLY CAUTION OUTPUTS TO MONITOR J10 J10 CONNECT TO COROMETRICS DATA ENTRY SYSTEMS ONLY CONNECT TO COROMETRICS SERIES 400 MONITORS ONLY J10 LEG PL TESTER CAUTION: FEDERAL LAW RESTRICTS THIS DEVICE TO SALE BY OR ON THE ORDER OF A PHYSICIAN. CONNECT TO COROMETRICS TELEMETRY RECEIVERS ONLY Figure 4-7. Attaching the Monitor Interconnect Cable to a 120 Series Monitor 170 Series: Connect to the receptacle labeled WARNING: TO REDUCE FIRE HAZARD REPLACE FUSE AS MARKED. 120Vac ANTENNA ULTRASOUND 120V ~ 50-60HZ 30W 0.25A SLOW BLOW ECG UA CONNECT TO COROMETRICS MONITORS ONLY CAUTION OUTPUTS TO MONITOR PUSH RS232 RS232 Figure 4-8. Attaching the Monitor Interconnect Cable to a 170 Series Monitor 4-6 Model 340 Telemetry System 2003720-001 Revision B Setup Procedures: Setting Up the Model 340T Transmitter Setting Up the Model 340T Transmitter Installing Batteries 1. Turn off the Model 340T Transmitter. 127(If the Model 340T Transmitter will not be used for an 2. Locate the battery compartment cover plate on the transmitter rear extended period of time, remove panel. the batteries to prevent damage due to battery leakage. 3. Remove the cover plate. Use your thumb to lift the raised end. Battery Compartment BATTERY COMPARTMENT DANGER: POSSIBLE EXPLOSION HAZARD IF USED IN THE PRESENCE OF FLAMMABLE ANESTHETICS. CAUTION: REFER SERVICE ONLY TO QUALIFIED PERSONNEL Lift Here Figure 4-9. Accessing the Batteries 4. Remove the depleted batteries. &$87,21 BATTERY DISPOSAL—Follow the battery manufacturer’s recommendations or your hospital policy for the disposal of used batteries. Revision B Model 340 Telemetry System 2003720-001 4-7 Setup Procedures: Setting Up the Model 340T Transmitter 5. Insert four new “AA” alkaline batteries, observing the polarity markings in the battery compartment. BATTERY COMPARTMENT DANGER: POSSIBLE EXPLOSION HAZARD IF USED IN THE PRESENCE OF FLAMMABLE ANESTHETICS. CAUTION: REFER SERVICE ONLY TO QUALIFIED PERSONNEL Note: Antenna shown removed Figure 4-10. Transmitter Battery Orientation 6. Replace the battery compartment cover plate. Insert the lip of the cover in the lower portion of the compartment opening; swing the other end of the cover down and snap into place. 4-8 Model 340 Telemetry System 2003720-001 Revision B Setup Procedures: Setting Up the Model 340T Transmitter Attaching the Antenna Insert the transmitter antenna (shorter of the two antennas) into the top panel Antenna connector; rotate the attachment collar in a clockwise direction until snug. BATTERY COMPARTMENT DANGER: POSSIBLE EXPLOSION HAZARD IF USED IN THE PRESENCE OF FLAMMABLE ANESTHETICS. CAUTION: REFER SERVICE ONLY TO QUALIFIED PERSONNEL Figure 4-11. Attaching the Transmitter Antenna Attaching the Carrying Strap Secure the metal clips at each end of the carrying strap to the belt attachment loops on each side of the transmitter. Figure 4-12. Attaching the Carrying Strap Revision B Model 340 Telemetry System 2003720-001 4-9 Setup Procedures: Performing a Functional Checkout Performing a Functional Checkout Initial Conditions Turn on the Model 340T Transmitter, the Model 340R Receiver, and the monitor attached to the receiver. Figure 4-13. Applying Power Testing the Radio Frequency 1. Check the status of the Signal indicator Receiver: on the Model 340R u Continuous Green: indicates the transmitter is active and the batteries have adequate capacity. u Flashing Green: indicates the signal strength is weak or marginal. 2. Check the status of the Battery indicator Receiver: on the Model 340R u Off: the transmitter batteries have power. u Flashing Red: the transmitter batteries are low and should be replaced before further patient use. u Continuous Red: the transmitter batteries are depleted. 4-10 Model 340 Telemetry System 2003720-001 Revision B Setup Procedures: Performing a Functional Checkout Testing the Ultrasound Functions ,03257$17 TRANSDUCER TYPE—Use only Corometrics 5700 Series Ultrasound Transducers with the Model 340 Telemetry System. 1. Plug an ultrasound transducer into the Ultrasound connector on the transmitter. Figure 4-14. Connecting an Ultrasound Transducer 2. Verify the following: u Models 115, 145: The corresponding FHR display reads 0 BPM. u Models 116, 118, 150, 151, 118, 155 and Series 120, 170: The corresponding FHR display shows “– – –”. If the display fails to illuminate, ensure that the corresponding interconnection cable is firmly attached to both the monitor and the receiver. 3. Use your finger to gently rub the ultrasound transducer face in a rhythmic manner. Try to maintain a steady rate and verify the following on the monitor: u the corresponding FHR display value responds to the rubbing; u the corresponding FHR heartbeat indicator responds to the input; and u the ultrasound audio tones are synchronous with the transducer stroking. Revision B Model 340 Telemetry System 2003720-001 4-11 Setup Procedures: Performing a Functional Checkout 4. Plug the headset into the transmitter’s headset connector Figure 4-15. Connecting the Headset 5. Rub the face of the ultrasound transducer. Verify that you can hear ultrasound audio tones from both sides of the headset. 4-12 Model 340 Telemetry System 2003720-001 Revision B Setup Procedures: Performing a Functional Checkout Testing the ECG Functions 127(Not all monitors have a legplate tester. Refer to your monitor’s operator’s manual for complete information. 1. Slide the legplate into the monitor’s Legplate Tester jack and hold firmly in place. (The legplate tester uses an internal ECG simulator circuit for testing cable/legplate assemblies. The tester simulates a signal of 120 BPM ± 1 BPM.) 2. Plug the other end into the ECG connector on the transmitter. Verify the following on the monitor: u the corresponding FHR value reads 120 BPM; u the corresponding FHR heartbeat indicator flashes at a rate of 120 times per minute; and u the ECG “beep” is heard from the speaker. Figure 4-16. Connecting an FECG Cable/Legplate Revision B Model 340 Telemetry System 2003720-001 4-13 Setup Procedures: Performing a Functional Checkout Testing the UA Functions 1. Place the receiver’s UA Mode Selector switch in the TOCO position. ,03257$17 TRIMLINE TOCOTRANSDUCERS—If the monitor is on when you connect or re-connect a Trimline Tocotransducer to the UA connector, you must wait at least 10 seconds before pressing the UA Reference button. If the monitor is off, you must wait at least 10 seconds from the time the monitor is powered on. 2. Plug a tocotransducer into the transmitter’s UA connector. Verify the following on the monitor: u If the monitor has a UA display: the display reads an arbitrary pressure value. u If the monitor does not have a UA display: turn on the strip chart recorder and check that TOCO prints on the paper’s mode annotation line. Figure 4-17. Connecting a Tocotransducer or IUPC Cable ,03257$17 DEFAULT REFERENCE VALUE—Most monitors have a default UA reference of 10 relative units. Take into consideration that newer model monitor’s can be configured to store a custom default value. 4-14 Model 340 Telemetry System 2003720-001 Revision B Setup Procedures: Performing a Functional Checkout 3. Press the monitor’s UA Reference button to set the UA value to 10 relative units. Verify the following on the monitor: u If the monitor has a UA display: the display reads 10 relative units. u If the monitor does not have a UA display: turn on the strip chart recorder and check that the UA REF message and TOCO mode annotation both print on the paper. 4. Apply gentle pressure to the tocotransducer pressure sensing button and verify that the monitor (display or uterine activity trace) responds to the pressure input. Increasing force should produce an increasing value and vice versa. If no pressure changes are recorded, ensure that the corresponding interconnection cable is firmly attached to both the monitor and the receiver. 5. This step applies to monitors which support IUP monitoring. Place the receiver’s UA Mode Selector switch in the IUP position. Verify the following on the monitor: u If the monitor has a mode indicator: the IUP mode should be indicated. u If the monitor does not have a mode indicator: turn on the strip chart recorder and check that the IUP mode annotation prints on the paper. 127(Place the UA Mode Selector switch back in the TOCO position unless you plan to monitor with an IUPC. Revision B Model 340 Telemetry System 2003720-001 4-15 Setup Procedures: Performing a Functional Checkout Testing the Remote Event Marker Function 1. Plug the Remote Event Marker into the transmitter’s Remote Marks connector. 2. Turn on the monitor’s strip chart recorder. 3. Press the Remote Event Marker’s pushbutton for at least one second. Verify that an appropriate mark is printed on the paper: : This annotation is commonly used to record an “event.” This mark is available on all Corometrics-brand monitors. FM : This annotation is commonly used as an indication that the mother has perceived fetal movement. (Refer to your monitor’s operator’s manual to learn if your monitor supports this feature. Refer to your monitor’s service manual for information about enabling the option.) Testing the Environment Decide on which areas of your facility will be used for ambulatory monitoring. Test each location separately to rule out rooms that are restricted due to metal structures blocking signal transmission. 4-16 Model 340 Telemetry System 2003720-001 Revision B Chapter 5 Monitoring via Telemetry5 This section provides a brief overview of telemetry monitoring procedures. Refer to the "Maternal/Fetal Monitoring Operator’s Manual" for patient application information. Also refer to your monitor’s operator’s manual. Suggestions for Ambulatory Monitoring. . . . . . . . . . . . . . . . 5-2 Monitoring Reminders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3 Revision B Model 340 Telemetry System 2003720-001 5-1 Monitoring via Telemetry: Suggestions for Ambulatory Monitoring Suggestions for Ambulatory Monitoring ,03257$17 DESIGNATED AREAS—Show the patient the areas that are within signal range and where signal reception is clear. 1. Instruct the patient to wear the Model 340T Transmitter with the antenna pointed towards the Model 340R Receiver when possible. 2. Adjust the carrying strap to a comfortable length. 3. Encourage the patient to walk in a smooth, gliding motion. It is preferable to slide feet rather than moving quickly which may cause bouncing and artifact. 4. Instruct the patient, following each fetal movement, to listen via the headset, for continued fetal heart rate tones. 127(Transducers with short cables are available. Contact your Information Technologies Sales Representative. 5-2 5. Make sure the transducer cables are not dragging on the floor. If the patient is in danger of tripping over the cables, drape them over the patient’s arm; or shorten the length by taping a loop. Model 340 Telemetry System 2003720-001 Revision B Monitoring via Telemetry: Monitoring Reminders Monitoring Reminders General Use the correct interconnection method according to your monitor model. See page 4-2 and page 4-5. Remember to apply power to all three devices: monitor, receiver, and transmitter. Check that each interconnection cable is firmly attached to both the receiver and the monitor. As soon as any telemetry mode is detected, the front panel of the 120 or 170 Series Monitor is disabled and all front panel inputs are ignored. In other words, telemetry and monitor modes cannot be “mixed and matched”; you must use telemetry only or direct monitoring only. ,03257$17 170 SERIES—For proper operation with a 170 Series Monitor, disconnect all transducers from the front panel of the monitor. Ultrasound Use only Corometrics 5700 Series ultrasound transducers with a Model 340 Telemetry System. Remind the patient to use the headset to check for continual pickup of the fetal heart rate signal following each fetal movement. You may need to tape the transducer cable to the patient to prevent excessive tension on the legplate or attachment pad. The recommended position for the legplate is on top of the upper thigh instead of the inner thigh. This facilitates walking and minimizes fluid contacting the legplate. FECG Revision B Model 340 Telemetry System 2003720-001 5-3 Monitoring via Telemetry: Monitoring Reminders Tocotransducer Remember to place the receiver’s UA Mode Selector switch in the TOCO position. When connecting or re-connecting a Corometrics Trimline Tocotransducer to the transmitter’s UA connector, you must wait at least 10 seconds before pressing the monitor’s UA Reference button. If any device (monitor, receiver, transmitter is off), you must wait at least ten seconds from the time the last device is powered on. Remember to place the receiver’s UA Mode Selector switch in the IUP position. IUP 5-4 Model 340 Telemetry System 2003720-001 Revision B Chapter 6 Maintenance All equipment, no matter how reliable, needs to be maintained on a regular basis. This section describes general care and cleaning instructions for the Model 340 Telemetry System. General Cleaning Precautions. . . . . . . . . . . . . . . . . . . . . . . . 6-2 Cleaning the Transmitter and Receiver . . . . . . . . . . . . . . . . 6-3 Revision B Model 340 Telemetry System 2003720-001 6-1 Maintenance: General Cleaning Precautions General Cleaning Precautions 127(Refer to your monitor’s operator’s manual for cleaning instructions for the monitor and transducers. 6-2 &$87,21 SHOCK—Unplug the fetal or maternal/fetal monitor and the Model 340R Receiver from the AC power source and detach all accessories. Do not immerse accessories in any liquid. Do not use abrasive cloth or cleaners on the monitor, the Model 340R Receiver, the Model 340T Transmitter, or any accessories. Model 340 Telemetry System 2003720-001 Revision B Maintenance: Cleaning the Transmitter and Receiver Cleaning the Transmitter and Receiver 1. Wipe any fluids from the surface of each unit. 2. Dampen a soft cloth with isopropyl alcohol and gently rub soiled area until clean. 3. Dry with a soft, dry cloth. Revision B Model 340 Telemetry System 2003720-001 6-3 For your notes 6-4 Model 340 Telemetry System 2003720-001 Revision B Chapter 7 Troubleshooting This section of the manual provides a troubleshooting guide for the most basic Model 340 operational problems. If the response to a specific question is not found, contact the Service Department at one of the following telephone numbers: Revision B Inside the United States: Call 1-800-558-5120. Outside the United States: Call 414-355-3790; or contact your local distributor. Model 340 Telemetry System 2003720-001 7-1 Troubleshooting: Problem Chart Problem Chart Table 7-1. Troubleshooting Problem Receiver Power indicator does not light when the receiver is turned on. Probable Cause n Receiver not connected to AC n Connect to AC receptacle. receptacle. n Defective AC power cord. n Defective AC outlet. n Replace AC power cord. n Use a different AC outlet. n Transmitter batteries completely n Replace batteries. Dispose of used discharged. Signal indicator flashes with transmitter turned on. n Mismatched transmitter and receiver channels. n Patient outside signal transmission Signal indicator flashes intermittently as patient ambulates. Signal and Low Battery indicators light with transmitter turned off. range. 7-2 n Instruct patient to stay within signal structures between transmitter and receiver. range and designated areas where reception is clear. n Install optional ceiling antenna system. n Contact your Information Technologies Service Representative. n External source of radio frequency n Contact your Information Technologies n Metal in walls, doors, or other interference is present. n Another transmitter with the same frequency is use within the same facility. n Service required. with transducers plugged into transmitter. Service Representative. n Discontinue use of one of the transmitters. n Contact your Information Technologies Transmitter batteries have less than 10 minutes of energy left. Replace the batteries. Dispose of used batteries according to the manufacturer’s instructions. Transmitter batteries are depleted. Replace the batteries. Dispose of used batteries according to the manufacturer’s instructions. Low Battery indicator lights batteries according to the manufacturer’s directions. n Ensure transmitter and receiver are labeled with identical channel numbers. Service Representative. Low Battery indicator flashes Solution continuously with no transducers plugged into transmitter. Model 340 Telemetry System 2003720-001 Revision B Troubleshooting: Problem Chart Table 7-1. Troubleshooting (Continued) Problem Probable Cause n Transducer not properly placed. n Transducer not properly connected to transmitter. n Receiver interconnection cable(s) not properly attached. n Receiver interconnection cable(s) Erratic FHR/UA recording. defective. n Wrong interconnection cable(s) in use. n Radio frequency interference. n Exceeding transmission range. n Shielding effect of hospital structure. n Monitor, transmitter, and/or receiver Monitor FHR and UA displays do not light when transducers are plugged into transmitter. Transmitter “chirps” every 4–5 seconds. Revision B off. n Receiver interconnection cable(s) not properly attached. n Receiver interconnection cable(s) defective. n Wrong interconnection cable(s) in use. Transmitter batteries have less than 10 minutes of energy left. Model 340 Telemetry System 2003720-001 Solution n Reposition transducer. n Ensure the transducer is securely attached to the transmitter. n Ensure interconnection cable(s) firmly attached to both monitor and receiver. n Replace interconnection cable(s). n Verify interconnection method. n Instruct patient to stay within signal range and designated areas where reception is clear. n Install optional ceiling antenna system. n Contact your Information Technologies Service Representative. n Ensure all three devices are turned on. n Ensure interconnection cable(s) firmly attached to both monitor and receiver. n Replace interconnection cable(s). n Verify interconnection method. Replace the batteries. Dispose of used batteries according to the manufacturer’s instructions. 7-3 For your notes 7-4 Model 340 Telemetry System 2003720-001 Revision B Chapter 8 Supplies and Accessories This section provides an overall listing of supplies and accessories for use with a Corometrics Model 340 Telemetry System and with Corometrics Fetal or Maternal/Fetal Monitors. To order any of the supplies and accessories listed in this manual: Inside the United States: Call 1-800-558-5120. Outside the United States: Call 414-355-3790; or contact your local distributor. This chapter contains the following information: General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Paper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ultrasound . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tocotransducer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IUPC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . MECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Revision B Model 340 Telemetry System 2003720-001 8-2 8-3 8-4 8-5 8-6 8-7 8-8 8-1 Supplies and Accessories: General General Table 8-1. General Supplies Item Catalog Number (REF) Detachable IEC AC Power Cord, United States Plug 1392AAA Remote Event Marker, 8-foot Cord 3919BAO Remote Event Marker, 5-foot Cord 3919CAO Headset for Model 340 Telemetry System 3316AAO Ultrasound Interconnect Cable (Models 115, 145 only) 1399AAO Ultrasound Interconnect Cable (Models 116, 118, 150, 151, 155 only) 1399BAO ECG Interconnect Cable (Models 115, 116, 118, 145, 150, 151, 155 only) 1375BAO UA Interconnect Cable (Models 115, 116, 118, 145, 150, 151, 155 only) 1400AAO Mark Interconnect Cable (Models 115, 116, 118, 145, 150, 151, 155 only) 1397AAO System Interconnect Cable (Series 120, 170 only) 1563AAO Remote Antenna Bracket with Extension Cable for Cart Use 1441AAO Model 2116B Clinical-Notes/Data-Entry System 2116BAX Model 3116 LDR/LDRP Bedroom Style Mobile Cart—Finished 3116AAO Model 3116 LDR/LDRP Bedroom Style Mobile Cart—Unfinished 3116BAO Model 146 Fetal Acoustic Stimulator 0146AAY 8-2 Model 340 Telemetry System 2003720-001 Revision B Supplies and Accessories: Paper Paper Table 8-2. Paper Supplies Item Catalog Number (REF) 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 Revision B Model 340 Telemetry System 2003720-001 8-3 Supplies and Accessories: Ultrasound Ultrasound Table 8-3. Ultrasound Supplies Item Catalog Number (REF) Loop-Style Ultrasound Transducer, 5-foot Cord 5700EAX Loop-Style Ultrasound Transducer, 8-foot Cord 5700AAX Loop-Style Ultrasound Transducer, 10-foot Cord 5700CAX Button-Style Ultrasound Transducer, 5-foot Cord 5700FAX Button-Style Ultrasound Transducer, 8-foot Cord 5700BAX Loop-Style Ultrasound Transducer (Nautilus), 5-foot Cord 5700KAX Loop-Style Ultrasound Transducer (Nautilus, 8-foot Cord 5700LAX Loop-Style Ultrasound Transducer (Nautilus), 10-foot Cord 5700MAX Button-Style Ultrasound Transducer (Nautilus), 5-foot Cord 5700GAX Button-Style Ultrasound Transducer (Nautilus), 8-foot Cord 5700HAX Loop-Style Ultrasound Transducer (Nautilus), 5-foot Cord 5700JAX Ultrasound Coupling Gel Bottle, 250 ml (12/carton) 2434AAO Ultrasound Coupling Gel Bottle, 5 liter 2475AAO Reusable Belt for Loop-Style Transducer, Mesh Style (10/carton) 4425AAO Reusable Belt for Loop-Style Transducer, Velcro Style (10/carton) 4425CAO Reusable Belt for Button-Style Transducer, Elastic Style (10/carton) 4425EAO Semi-Reusable Belt for Loop-Style Transducer, Velcro Style (2/pack; 50 packs/carton) 4425FAO Single-Patient Use Belt for Loop-Style Transducer, Foam Style with Velcro Closure 8024AAO ,03257$17 TRANSDUCER TYPE—Use only Corometrics 5700 Series Ultrasound Transducers. Do not use a Corometrics 5600 Series Transducer. The 5600 Series Transducers are only for direct connection to a Model 115 or Model 145 Fetal Monitor or for use with a Model 320 or Model 330 Telemetry System. 8-4 Model 340 Telemetry System 2003720-001 Revision B Supplies and Accessories: FECG FECG Table 8-4. FECG Supplies Item Catalog Number (REF) Qwik Connect Plus Spiral Electrode (50/carton) 7000AAO Legplate for Qwik Connect Plus Spiral Electrode, 8-foot Cord 1590AAO Button-Style Legplate for Qwik Connect Plus Spiral Electrode, 8-foot Cord 1590CAO Strap Adaptor for Qwik Connect Plus Spiral Electrode Legplates 1594AAO ECG Conductive Cream Bottle, 118 ml (12/carton) 4514AAO Reusable Legplate Strap with Velcro Closure (24/carton) 2023AAO Single-Patient Use Legplate Strap 8036AAO Revision B Model 340 Telemetry System 2003720-001 8-5 Supplies and Accessories: Tocotransducer Tocotransducer Table 8-5. Tocotransducer Supplies Item Catalog Number (REF) Loop-Style Tocotransducer (Nautilus), 5-foot Cord 2264KAX Loop-Style Tocotransducer (Nautilus), 8-foot Cord 2264LAX Loop-Style Tocotransducer (Nautilus), 10-foot Cord 2264MAX Button-Style Tocotransducer (Nautilus), 5-foot Cord 2264GAX Button-Style Tocotransducer (Nautilus), 8-foot Cord 2264HAX Button-Style Tocotransducer (Nautilus), 10-foot Cord 2264JAX Reusable Belt for Loop-Style Transducer, Mesh Style (10/carton) 4425AAO Reusable Belt for Loop-Style Transducer, Velcro Style (10/carton) 4425CAO Reusable Belt for Button-Style Transducer, Elastic Style (10/carton) 4425EAO Semi-Reusable Belt for Loop-Style Transducer, Velcro Style (2/pack; 50 packs/carton) 4425FAO Single-Patient Use Belt for Loop-Style Transducer, Foam Style with Velcro Closure 8024AAO 8-6 Model 340 Telemetry System 2003720-001 Revision B Supplies and Accessories: IUPC IUPC Table 8-6. IUPC Supplies Item Catalog Number (REF) Corometrics Softrans IUPC with Amnio Infusion/Sampling Capabilities (10/carton) 2076AAO Corometrics Softrans Intermediate Cable 1336AAO Reusable Strain Gauge Pressure Transducer, 10-foot Cord (with Holder) 4007BAX Reusable Strain Gauge Pressure Transducer, 10-foot Cord (without Holder) 4007LAX Holder for Reusable Pressure Transducer 4516BAO IUP Kit with Syringe for Reusable Pressure Transducer (50/carton) 2069AAO Single-Patient Use Sterile Dome (10/carton) 5512AAO Single-Patient Use Sterile Dome (120/carton) 5512BAO Reusable Dome (5/carton) 5507AAO Pressure Relief Valve for Pressure Transducer Dome (5/carton) 8070AAO Disposable Strain Gauge Pressure Transducer (10/carton) 4009AAX Holder for Disposable Pressure Transducer 4519AAO Holder Assembly for Disposable Pressure Transducer 4518BAO Revision B Model 340 Telemetry System 2003720-001 8-7 Supplies and Accessories: MECG MECG Table 8-7. MECG Supplies Item Catalog Number (REF) MECG Cable (round connector) for use with detachable leadwires, USA/AHA 1554AAO MECG Cable (round connector) for use with detachable leadwires, Intl./IEC 1554BAO Multi-Link Snap Leadwires, Set of 3, Grouped Detachable, 31 inches 411203-001 Multi-Link Snap Leadwires, Set of 5, Individually Detachable, 31 inches 411200-001 Multi-Link Grabber Leadwires, Set of 3, Grouped Detachable, 31 inches 412682-001 Multi-Link Grabber Leadwires, Set of 5, Individually Detachable, 31 inches 414556-001 Leadwire Adapter, 3-Lead Multi-Link to 3-Lead DIN 414371-001 Electrodes, Round, Foam, Pouches of 30, Case of 300 8-8 Model 340 Telemetry System 2003720-001 9431-004 Revision B Chapter 9 Technical Specifications9 127(Specifications are subject to change without notice. This section contains a detailed list of the technical specifications for the Model 340 Telemetry System. This chapter lists specifications for the following: Model 340T Transmitter . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-2 Model 340R Receiver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-4 Revision B Model 340 Telemetry System 2003720-001 9-1 Technical Specifications: Model 340T Transmitter Model 340T Transmitter Table 9-1. Model 340T Transmitter Category Technical Specifications Physical Characteristics Height: Width: Depth: Weight: 1.8 in (4.5 cm) 5.4 in (13.8 cm) 7.5 in (19.0 cm) 1.75 lbs (0.8 kg) Environmental Conditions Ambient Temperature: Relative Humidity: Atmospheric Pressure: Operating 50°F to 104°F (10°C to 40°C) 5% to 95%, non-condensing 700–1060 mbar (525–795 mmHg) Certification and Compliance UL: FCC: Industry Canada: UL-544 Listed Complies with FCC Part 90 Complies with RSS-119 Monitoring Modes Fetal Heart Rate: Uterine Activity: Maternal Heart Rate: Ultrasound (US) and Fetal ECG (FECG) External Tocotransducer (TOCO) or Internal Intrauterine Pressure Catheter (IUPC) Maternal ECG (MECG) Ultrasound Mode System: Transmitter Frequency: Intensity (Isata): Pulse Doppler 1.151 MHz <5 mW/cm2 ECG Mode Input Impedance: dc Tolerance: Common Mode Rejection Ratio: FECG Sensitivity: MECG Sensitivity: >1 GΩ ±1 V >90 dB 20 µ V to 1 mV 0.5 mV to 5 mV TOCO Mode Type: Sensitivity: Range: Tocotransducer 20 µ V/relative unit –50 to +250 relative units IUPC Mode Type: Sensitivity: Range: dc Strain Gauge 20 µ V/mmHg –50 to +250 mmHg RF Section Output Power: Available Frequencies: Channel Bandwidth: 10 mW 430–470 MHz 25 kHz Transmission Range: 1640 ft (500 m), line of sight Antenna Type: Flexible, detachable, BNC interconnect 9-2 Model 340 Telemetry System 2003720-001 Storage 14°F to 131°F (–10°C to 55°C) 5% to 95%, non-condensing 700–1060 mbar (525–795 mmHg) Revision B Technical Specifications: Model 340T Transmitter Table 9-1. Model 340T Transmitter Category Technical Specifications Batteries Type: Life: Four “AA” Alkaline Cells, 6.0 Vdc at 2450 mAh 20 h, approximatelya Control: On/Off Switch Audio Indicator: Low Battery Connectors: Remote Event Marker Input, Headset Output Use of the headset will deplete the batteries more rapidly. Revision B Model 340 Telemetry System 2003720-001 9-3 Technical Specifications: Model 340R Receiver Model 340R Receiver Table 9-1. Model 340R Receiver Category Technical Specifications Power Requirements Nominal Line Voltage: Line Frequency: Power Consumption (maximum): Chassis Leakage: 100–120 VAC 50/60 Hz 30 W <50 µ A Physical Characteristics Height: Width: Depth: Weight: 3.2 in (8.1 cm) 7.4 in (18.8 cm) 11.4 in (29.0 cm) 7.0 lbs (3.2 kg) Environmental Conditions Ambient Temperature: Relative Humidity: Atmospheric Pressure: Operating 50°F to 104°F (10°C to 40°C) 5% to 95%, non-condensing 700–1060 mbar (525–795 mmHg) Certification and Compliance UL: FCC: Industry Canada: UL-544 Listed Complies with FCC Part 15 Complies with RSS-119 Output Signals: US, ECG, UA, and Mark RF Section Input Impedance: Input Sensitivity: 50 Ω <0.4 µ V for 12 dB SINAD 220–240 VAC 50/60 Hz 30 W Storage 14°F to 131°F (–10°C to 55°C) 5% to 95%, non-condensing 700–1060 mbar (525–795 mmHg) Antenna Type: Flexible, detachable, BNC interconnect (Other factory-approved external antennas or antenna systems may be used. Contact your Information Technologies Service Representative for more information.) Controls: On/Off Switch, UA Mode Switch Visual Indicators: Power: Signal Strength: Transmitter Low/Depleted Battery: Green LED Green LED Red LED Connectors AC Line Input: Mark Output: Ultrasound Output: ECG Output: UA Output: Auxiliary Output: 3-Prong, IEC-Style Use only with Models 115, 116, 118, 145, 150, 151, and 155 Monitors. Use only with Models 115, 116, 118, 145, 150, 151, and 155 Monitors. Use only with Models 115, 116, 118, 145, 150, 151, and 155 Monitors. Use only with Models 115, 116, 118, 145, 150, 151, and 155 Monitors. Use only with Series 120 and 170 Monitors. 9-4 Model 340 Telemetry System 2003720-001 Revision B MANUAL P/N 2003720-001 Ê2003720-001kŠ REV
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