Manual Monitor Fetal
Manual Monitor Fetal
Operation Manual
Ver. 2.03
2016.08.23
www.ebionet.com
FC1400 User Manual
Warranty Period
This product is manufactured and passed through strict quality control and through
inspection.
We will repair or replace any part of the FC1400 found to be defective in usual
operating circumstance for free to you.
This warranty does not apply to any defect caused by improper abuse, misuse or
exposure to poor management.
Warning
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How to reach us …
The following are telephone numbers and addresses for contacting various service, product
supplies and sales personnel
※ In the event of a malfunction or failure, contact Service Dept. Of Bionet Co., Ltd. along
with the model name, serial number, date of purchase and explanation of failure.
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Charged service
If you request for any non-warrantyservice, including checking the unit when there is
no problem present, you will be charged accordingly.Therefore, please be sure to read
this user manual.
1. Product cleaning, adjustments, use instructions, etc., are not product troubles.
(If the product cannot be repaired, separate criteria shall apply.)
3. Other cases
- When a problem has been caused by a natural disaster (fire, damage by salt, damage by
water, earthquake, etc.)
- When the lifetime of a consumable part (accessory) has ended
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Table of Contents
CHAPTER 1. BASICS ................................................................................... 8
DEFINITION OF W ARNING, PROHIBITION, MANDATORY ACTION, AND, NOTE ................. 8
GENERAL PRECAUTION ON ENVIRONMENT ............................................................... 9
GENERAL PRECAUTION ON ELECTRIC SAFETY ........................................................ 13
SAFETY SYMBOLS ................................................................................................. 18
CHAPTER 2. INSTALLATION..................................................................... 19
1) OVERVIEW OF THE PRODUCT ............................................................................. 19
2) CHARACTERISTICS OF THE PRODUCT ................................................................. 19
3) COMPOSITION OF THE PRODUCT ........................................................................ 20
4) COMPOSITION OF FC1400 ................................................................................ 22
5) SYSTEM INSTALLATION ...................................................................................... 25
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Chapter 1. Basics
For special emphasis on agreement, terms are defined as listed below in user’s manual.
Users should operate the equipment according to all the warnings and cautions.
Warning
To inform that it may cause serious injury or death to the patient, property
damage, material losses .
Caution
Mandatory Action
To inform that it must be done for safe operation and maintenance of the
equipment.
Note
To inform that it is not dangerous but important “note” sign for proper installation,
operation, and maintenance of the equipment.
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CAUTIONS
Before Installation
Compatibility is critical to safe and effective use of this device. Please contact your local
sales or service representative prior to installation to verify equipment compatibility.
Defibrillator Precaution
Patient signal inputs labeled with the CF and BF symbols with paddles are protected against
damage resulting from defibrillation voltages. To ensure proper defibrillator protection, use
only the recommended cables and lead wires.
Proper placement of defibrillator paddles in relation to the electrodes is required to ensure
successful defibrillation.
Disposables
Disposable devices are intended for single use only. They should not be reused as
performance could degrade or contamination could occur.
WARNING
Electrocute Precautions
To prevent skin burns, apply electrocute electrodes as far as possible from all other
electrodes, a distance of at 15 cm/6 in. is recommended.
EMC
Magnetic and electrical fields are capable of interfering with the proper performance of the
device. For this reason make sure that all external devices operated in the vicinity of the
monitor comply with the relevant EMC requirements. X-ray equipment or MRI devices are
possible source of interference as they may emit higher levels of electromagnetic radiation.
Also, keep cellular phones to other telecommunication equipment away from the monitor.
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CAUTIONS
Instruction for Use
For continued safe use of this equipment, it is necessary that the instructions are followed.
However, instructions listed in this manual in no way supersede established medical
practices concerning patient care.
Loss of Data
Should the monitor at any time temporarily lose patient data, the potential exists that active
monitoring is not being done. Close patient observation or alternate monitoring devices
should be used until monitor function is restored.
If the monitor does not automatically resume operation within 60 seconds, power cycle the
monitor using the power on/off switch. Once monitoring is restored, you should verify correct
monitoring state and alarm function.
Maintenance
Regular preventive maintenance should be carried out annually (Technical inspections). You
are responsible for any requirements specific to your country.
MPSO
The use of a multiple portable socket outlet (MPSO) for a system will result in an enclosure
leakage current equal to the sum of all individual earth leakage currents of the system if
there is an interruption of the MPSO protective ground conductor. Do not use an additional
extension cable with the MPSO as it will increase the chance of the single protective ground
conductor interruption.
Negligence
BIONET does not assume responsibility for damage to the equipment caused by improperly
vented cabinets, improper or faulty power, or insufficient wall strength to support equipment
mounted on such walls.
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NOTES
Power Requirements
Before connecting the device to the power line, check the voltage and frequency. Ratings of
the power line are the same as those indicated on the unit’s label. If this is not the case, do
not connect the system to the power line until you adjust the unit to match the power source.
In U.S.A, if the installation of this equipment will use 240V rather than 120V, the source must
be a center-tapped, 240V, single-phase circuit.
Restricted Sale
U.S.A federal law restricts this device to sale by or on the order of a physician.
Supervised Use
This equipment is intended for use under the direct supervision of a licensed health care
practitioner.
Ventilation Requirements
Set up the device in a location which affords sufficient ventilation. The ventilation openings of
the device must not be obstructed. The ambient conditions specified in the technical
specifications must be ensured at all times.
·Put the monitor in a location where you can easily see the screen and access the operating
controls.
-This product is protected against the effects of cardiac defibrillator discharges to ensure
proper recovery, as required by test standards (The screen may blank during a defibrillator
discharge but recovers within a second as required by the test standards).
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NOTE
1. The equipment should not be placed in the vicinity of electric generator, X-ray,
broadcasting apparatus to eliminate electric noise during operation. Otherwise, it
may cause incorrect results.
Isolated power line is important for FC1400 To use same power source with other
electric instruments may cause incorrect results.
NOTE
NOTE
Warning
Avoid contact with the patient during any defibrillation (may result in serious
injury or death). To avoid the danger of serious electric burning, shock, or
injury, everybody should stay away from the bed and should refrain from
touching any equipment connected to the patient.
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NOTE
This equipment must only be connected to a supply mains with protective ground.
NOTE
Avoid contact with the connector pin of the equipment and the patient at the same
time while the equipment is in use.
Do not connect or remove the power cable with wet hands.
NOTE
In case the medical equipment does not operate normally, or if it has been damaged,
do not use it on any patient; instead, contact the medical equipment engineer in your
hospital or the equipment supplier.
Warning
Devices for fetal heartbeat sound measurements using ultrasonic (US) waves
or uterine contraction measurements (TOCO) performed from outside of the
uterus are not designed for use during any electric operation, defibrillation, or
defibrillator discharge.
Warning
The equipment has not been designed for use with other types of monitoring
equipment apart from those devices permitted for use together with the
equipment in this manual.
Warning
Do not touch signal input, signal output or other connectors, and the patient
simultaneously.
Warning
Biocompatibility
When used as intended, the parts of the product described in this operator manual, including
accessories that come in contact with the patient during the intended use, fulfill the
biocompatibility requirements of the applicable standards. If you have questions about this
matter, please contact BIONET or its representatives.
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If any dangerous material other than those designated for cleaning has been used, the
resulting contaminated or damaged equipment will not be repaired free of charge even
during the warranty period.
Make sure that the monitor, probe, cable, and accessories are free of sand or dust. Carefully
check the equipment after each cleaning or disinfection. If degeneration or damage has been
found, do not use the equipment.
NOTE
After cleaning the equipment, carefully check the main body and the probe.
NOTE
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Electric cables and lead wires can be wiped off or cleaned with towels wet with lukewarm
water, neutral soap, or isopropyl alcohol. Using ethylene oxide for intensive disinfection
(almost complete sterilization) is allowed. Note, however, that it will reduce the lifetime of
cables or lead wires. Clean the belt using soap and water while making sure that the water
temperature does not exceed 60°C.
NOTE
The decision to sterilize must be made per your institution’s requirements with an
awareness of the effect on the integrity of the cable or leadwires.
NOTE
The Equipment needs safety inspection once a year. Please refer to user’s guide or
service manual.
After cleaning the equipment, carefully inspect the main body and the sensors. Do not use
the equipment if it has been damaged or if it has deteriorated.
Clean the exterior of the equipment at least once a month using soft cloth wet with tepid
water or alcohol. Do not use lacquer, thinner, ethylene, or any oxidizing agent that may
cause damage to the equipment. After verifying that there is no dust or contamination on the
cables and accessories, wipe them off with soft cloth wet with 40˚C/104˚F water. Wipe them
at least once a week using clinical alcohol.
NOTE
There is back-up battery on board inside system. Please dispose of according to all local
regulations.
Warning
If the installation or arrangement of the external grounding wire is doubtful, operate the
equipment with internal power.
In case the equipment is not to be used for some time, remove the primary battery if no
safety problem is expected to occur.
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NOTE
Daily Testing – It is essential that the monitor and accessories be inspected every day. It
is recommended practice to initiate the monitor’s self-test feature at the beginning of each
monitoring session; follow the instructions in Chapter 1,2.
Keep dry
fragile
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Safety Symbols
The International Electro technical Commission (IEC) has established a set of symbols for
medical electronic equipment which classify a connection or warn of any potential hazards.
The classifications and symbols are shown below.
Symbols contents
Stand by
Equipotentiality
Video Out
IPX0, IPX1 and Protection against vertically falling water drops(IEC 60529) Water
IPX7 Protection Specification Level 0, Level 1 and Level 7
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Chapter 2. Installation
1) Overview of the product
FC1400 is a fetus monitoring device used to measure Fetal Heart Rates (FHR), degree of
maternal uterine contraction (UA: Uterine Activity),and fetal movements (FM). FC1400
projects ultrasounds into the abdomen of the patient. From the signals returned after being
reflected by the heart of the fetus, FC1400 extracts Doppler frequencies that vary with the
movements of the heart of the fetus to output changes in the heartbeats of the fetus as
sounds for the analysis of the signals; thus detecting the heart rates and fetal movements of
the fetus. In addition, it detects the degrees of uterine contraction of patient using a pressure
sensor. It indicates the fetal heart rates, maternal uterine activity, and fetal movements on its
LCD screen as figures and saves the information to its memory.
Warning
Using accessories other than those supplied by the company or non-standard
ones may cause signal distortions or noise. Be sure to use only standard
accessories supplied by the company.
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<Option>
Warning
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Warning
How to replace battery: Please make sure you use the right battery as shown
here.
Otherwise we are not liable for any damages and/or explosion caused by the
wrong battery.
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4) Composition of FC1400
▣ Top view
②
① ③
① Graphic display window: Part that displays the contents of measurements and condition
of the equipment
② Alarm LED : Part that displays the status of alarm
③ Control panel : Controls the functions
④ Printer door : Opens for replacing recording paper
Warning
To avoid high-voltage electric shock, please refrain from disassembling the
equipment. If any of the probes has been damaged, please stop using it to
prevent electric shock and contact our company’s service center or agency
for the replacement of the probe. Disassembly, etc., may be performed only
by those who are qualified to provide service for our products.
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▣ Front view
▣ Rear view
② ③ ④
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③ ④ ⑤
① Marker jack connection terminal: Terminal to which the marker jack cable is to be
connected
② Stimulator jack connection terminal : Terminal to which the stimulator cable is to be
connected.
③ US probe connection terminal 1: Connection terminal to which the US probe is to be
connected
④ US probe connection terminal 2: Connection terminal to which the US probe is to be
connected when measuring twin fetus
⑤ TOCO probe connection terminal: Connection terminal to which the TOCO probe is to be
connected
Prohibition
Please instruct the operators to avoid contact with both the USB or LAN port
area and the patient simultaneously.
RISK OF ELECTRICAL SHOCKS – DO NOT OPEN THE DEVICE : Device
disassembly is only authorized to individuals with Bionet service
authorization.
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5) System installation
▣ Cautions in installation
Preparations before use
Stand hole
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Operating procedure
- Turn on power to the equipment. Power will be turned on if the power switch on the
front side of the main body is pressed for two seconds when power has been turned off;
on the other hand, power will be turned off if the power switch is pressed for two
seconds when power has been turned on.
- Put some ultrasound gel on US probe, find heart beat of fetus and fix it around the
abdomen of pregnant woman using a fixing belt.
- Fix TOCO probe on Fundus which is located 10 cm above the belly button of the
maternal abdomen using a fixing belt.
- Determine a use mode and use the equipment accordingly.
Cautions in use
Installation and storage
- Please avoid moisture, high temperature, dust in the air, salt, and sulfuric materials
including places that are not well-ventilated and direct sunlight.
- Please avoid vibrations or mechanical impacts.
- Please avoid places where chemicals are stored or gases are generated.
- The equipment should operate at the indicated voltage and frequency.
Before operation
- The equipment should be properly grounded.
- Please connect all cords accurately and safely.
- When using an optional battery, please charge it for at least four hours.
- Any area directly connected to the patient should be double-checked.
- Please use the equipment within the range of operating temperatures.
During operation
- The patient should not come into contact with any metal areas of the equipment such as
sash or case. The operator should not touch the patient and the equipment
simultaneously.
- If any abnormality has been found, turn off power and unplug the power cord.
- Do not use any sharp or pointed object when pressing the LCD or any touch key.
- Do not confuse demo data with patient data.
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After use
- Turn off the power switch and unplug the power cord.
- Take off the probes connected to the patient.
- Once the operation has been completed, clean the equipment and accessories to
prevent malfunction.
Periodic checking
- Please keep the main body and the measuring probe clean by wiping them off with soft
cloth wet with alcohol at least once a month. Do not use lacquer, thinner, ethylene, or
oxidizing substances.
- Keep the cables free of dust or dirt. Wipe off the cables with cloth wet with tepid water
(40˚C/104˚F) after use and wipe them off with clinical alcohol at least once a week.
- Please periodically check this equipment once a year.
- The equipment should be serviced only by designated specialized engineers.
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2) System finishing
Holding the power switch for 3 seconds will turn off. Holding the power button of the device
for more than 6 seconds will trigger power off action.
3) Graphic screen
▣ Monitoring screen
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4) Operation panel ① ②
③ ④
⑤ ⑥
⑦ ⑧
⑨ ⑩
⑩
⑪ ⑫
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⑪ Home and function key: General screens and large value screens can be swapped; the
function of a home key to move from a sub-menu to the main screen can be executed.
⑫ Printing start/stop key and Paper feeding key
Short key :
A. This is used to record data on the recording sheet in real time in the monitoring
mode.
B. This is also used to print data on the recording sheet at high speeds in the data
view mode.
Long key : Paper feeding key Used when feeding paper while printing is stopped.
5) Menu
▣ Menu selection
▣ Letter entry
To enter a letter, drag the cursor to the letter using the wheel and then touch the selection
key or the screen
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▣ Value entry
To enter a value, drag the cursor to the value using the wheel and then touch the selection
key or the screen.
▣ Line selection
To select the thickness of a line of a trend graph or a waveform to be printed, drag the cursor
to the desired line thickness and touch the selection key or the line thickness on the screen.
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6) Power connection
▣ AC power
If AC power is connected to the main body of the equipment, the Power LED on the front
side of the equipment will emit a green light; if a battery has been installed, the power mode
will be automatically changed to automatic charging mode, and the battery will be charged.
▣ Battery power
If the AC power is disconnected, and the equipment is used, power will be supplied by the
battery when the power switch has been turned on; if AC power is connected to the main
body of the equipment, the Power LED on the front side of the equipment will emit a green
light. In case a battery has been installed, the power mode will be automatically changed to
automatic charging mode, and the battery will be charged.
If the battery power is insufficient (8.6V or lower), alarms will sound, and “Battery low” will be
displayed on the LCD screen for a few minutes before power to the equipment is
automatically turned off. In this case, AC power should be immediately connected to the
equipment to use it.
- Charging time: Minimum of 4 hours ( Standby status)
- Continuous use time: Maximum 2 hours
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* No Battery
* Battery only
* AC and Battery
▣ Battery replacement
When the battery of this equipment is to be replaced, the same type of battery should be
used.
- Type : SDI1865L240 3S2PMXZ,Lithium Ion Rechargeable Battery Pack
(11.1V/4800mV)
- Time: The battery will be automatically charged when the equipment is connected to AC
power, and the battery cannot be charged when it is separated from the equipment. The
battery can be charged at least 500 times; if using the battery for 20 minutes or longer
after it is completely charged is difficult, please replace the battery with a new one. If the
battery has been damaged, or battery fluid has leaked out, please replace the battery
immediately. Do not use a damaged battery in the equipment.
- Method: Connect the connector as shown in the following image. (Connector cannot be
plugged inversely)
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Warning
When replacing the battery, please pay attention to the polarity.
Plug/Unplug the Battery with the AC power removed
Warning
To protect the environment, do not carelessly dispose of wastes or residues
such as the components of the equipment after its lifetime; instead, ask the
biomedical engineering department of the hospital to dispose of them in the
designated places following appropriate procedures.
If the installation or arrangement of the external grounding wire is doubtful,
operate the equipment with internal power. In case the equipment is not to be
used for some time, remove the primary battery if no safety problem is
expected to occur.
Inspection guideline
Check the performance of the battery every 6 months through complete charge and
complete discharge in the monitoring equipment.
Storage guidelines
The battery should be stored at 20°C ~ 25°C (68°F ~ 77°F) when it is not in the monitor.
When the battery is installed in the equipment and connected to AC power, the temperature
of the battery is increased by around 15°C ~ 20°C (59°F ~ 68°F). This shortens the lifetime
of the battery.
When installed in the equipment and connected to AC power, the battery does not supply
power in general. The lifetime of the battery may be shorter than 12 months. Bionet
recommends detaching the battery from the monitor for storage until the equipment is moved.
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7) Operating modes
There are 3 operating modes. Some are password protected.
Monitoring mode: This is normal mode for monitoring patients. You can change elements
such as alarm limits and so forth. When you discharge the patient, these elements return to
their default values(preset value). Changes can be stored permanently in Configuration
Mode .
Configuration mode : Password protected, this is for personnel trained in configuration
tasks.
Factory mode(Service mode) : Password protected, this is for trained service personnel.
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1) Patient registration
This is a method of registering patients when the equipment is used as independent
equipment.
If the equipment is used without registering patients, patient IDs will be saved as Default
values.
Patients can be registered using the “New” function if they are measured for the first time. If
the records of the patients measured before are left in the Trace, the “Search” function can
be used to register the patients.
③ Enter the ID, last name, and first name of the patient and press OK.
< Default : ID, last name and first name is made by date and time >
④ Information on the currently registered patient will appear on the position of patient
information on top of the screen.
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② Select “Search” to register a patient with records left in the Trace records.
③ By referring to the IDs, last names, and first names shown in the Patient List, touch the
patient to be registered to select said patient.
④ Information on the currently registered patient will appear on the position of patient
information on top of the screen.
③ Information on the currently registered patient will appear on the position of patient
information on top of the screen.
NOTE
The patient information which has been entered or modified in the device do not
synchronize patient information in the FC central.
NOTE
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This equipment adjusts the volume automatically according to the amount of input data.
When no input occurs while probe is connected, the noise will increase. In the running
condition of the equipment, turn on the Mute by long pressing volume down key when not
measured, long press volume up key to return back to the previous setting for the
measurement.
1) FHR measurement
▣ US probe connection
Please connect US probes to the “US1” and “US2” connection terminals on the left side of
the equipment to use the US probes.
▣ US probe
<New Probe>
When US Probe is not connected to main body, nothing will display of FHR area. On the
other hand, connection of US Probe will change displaye to “---“ of FHR area. When a US
probe has been put into the “US1” connection terminal, a numerical value will be displayed
in the FHR display area, indicating that the system is ready to measure FHRs.
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② To remove air bubbles between the abdomen of the patient and the surface of the US
probe, please apply a sufficient amount of ultrasonic gel to the US probe.
③ Feel the abdomen of the patient to find the back side of the fetus and place the US
probe there. If the fetus faces laterally, please place the US probe on the position shown
in the figure below.
NOTE
2. If the US Probe is placed on the side of the chest of the fetus instead of the back
side, ultrasounds will not be accurately shot to the heart of the fetus; thus, the
heartbeat sounds of the fetus may be frequently missed.
④ Move the US probe little by little around its position to place the US probe in a position
where the sounds from the heart of the fetus are heard relatively loud and clear and the
heart shape in the FHR display area turns green and blinks according to the sounds
from the heart of the fetus; adjust the speaker volume so that the sounds from the heart
of the fetus becomes appropriately louder.
⑤ Put the button on the upper part of the US probe into the hole in the fixing belt to fix the
US probe so that the US probe does not slip.
NOTE
If the probe cable is fixed near the head of the patient, the cable will not be damaged,
and there will be relatively less movement by the probe.
It will take around 2~8 seconds for FHRs to be calculated and displayed.
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2) US screen
If the US area on the screen is selected and touched, the following selection window pops up
on the screen:
① Title
② FHR Volume Icon: This informs the user of the current state of the Volume; if this icon is
touched, a volume adjusting window will be displayed.
③ Alarm range: This indicates the alarm ranges of parameters.
④ Beat indication: When FHRs are detected as beats, the heart icon will blink.
⑤ FHR value: This indicates the FHR values.
3) Setup
If the US area on the screen is selected and touched, the following selection window pops up
on the screen (by touching the US1 area, US1-related items and common items can be set
up; by touching the US2 area, US2-related items can be set up):
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Touch the Sound Volume menu. Select the value to be set from Off or volumes at levels 1~9.
FHR sounds can be adjusted using the operation panel or LCD screen touch the volume
adjusting icon and select a volume from the popup window. And to adjust the volume of US2,
touch the volume adjusting icon.
In addition, you can directly go to the Sound Volume window using the speaker icon in the
US area.
▣ Alarm
FHR alarms for US1 and US2 can be adjusted separately.
Please set up whether alarm functions for FHRs will be used.
▣ Alarm level
Set up the levels of alarms for FHRs. Patient condition alarms can be set to Medium and
Low alarms. Please refer to the alarm section in Chapter 6 for details.
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▣ Alarm limit
Touch Alarm Limit section within FHR setting menu to set the alarm range of FHR.
Set by either entering numbers or touching arrow keys.
▣ Alarm delay
This is set up to prevent alarms from ringing when FHR values exceed the alarm range but
only for a short time; the value is not maintained for a certain time.
To set up an alarm delay, please touch the Alarm Delay area in the FHR setting menu. If this
function is not to be used, please select Off; to use this function, please select the minimum
use time.
▣ Color
This is used to set up the colors of FHR values and Trace lines.
▣ Offset
This is used to display FHR2 values on the position where FHR2 Trace values and related
Offset values in printing are found to identify the twin fetus’ FHR values easily when they are
similar to each other.
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1) UC measurement
Please connect a TOCO probe to the “TOCO” connection terminal on the left side of the
equipment.
▣ TOCO Probe
<New Probe>
When no TOCO probe has been connected to the main body, “---” will be displayed in the
FHR display area. When a TOCO probe has been connected to the equipment, a numerical
value will be displayed, indicating that the system is ready to measure uterine activities.
When FMs (Fetal Movements) are viewed, “UC+FM” will be displayed.
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▣ UA measurement
① Place a fixing belt below the back of the patient.
② Place a TOCO probe on the highest peak of the abdomen of the patient (Fundus:
located around 10cm above the umbilicus) or the place that hardens first in the abdomen
of the patient.
③ Put the fixing button protruding on top of the TOCO probe into the hole of the fixing belt
to fix the TOCO probe. At this time, please adjust the degree of fastening through the
belt to make the TOCO value around 20 ∼ 90.
④ Press the zero point adjusting button to set up a reference value.
NOTE
If a TOCO probe is connected to the equipment but not used, unreliable values may
appear in the TOCO display area.
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2) TOCO screen
If the TOCO area on the screen is selected and touched, the following selection window
pops up on the screen:
① ②
① Title
TOCO: Displays only uterine contraction but not fetal movements
TOCO+ FM: Displays both fetal movements and uterine contraction simultaneously
② TOCO Zero value: Displays the reference value that appears when Zeroing has been
done
③ TOCO: Displays the degrees of uterine contraction
3) Setup
If the TOCO area of the screen is touched, the following selection window pops up on the
screen:
▣ Zeroing
This is used to adjust the zero point of TOCO. If this is touched, the TOCO value at the
moment will be set up as Offset value.
▣ Offset
This is used to set up a reference value to be used when adjusting the zero point of TOCO.
One of the values 0, 10, and 20 can be selected.
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▣ Auto Zeroing
This is a function for initiating automatic adjustment of the zero point when a TOCO value is
maintained below 0 for at least five seconds.
▣ Fetal Movement
This is used to set up whether to output fetal movement-related graphs to the screen or
through the printer.
If the value is “FMD+FM” or “FMD”, the title of TOCO will be displayed as “TOCO+FM” (if Off,
“TOCO”). Fetal Movements are displayed as Fetal Movement graphs, and automatically
detected Fetal Movements, as FMDs in the form of points.
<LCD Display>
<Paper Display>
▣ TOCO Color
This is used to set up TOCO values and Trace line colors.
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This is a method of recording fetal movements by relying on maternal perception for the time
points of fetal movements by having the patient press the button on the marker jack. When
the marker jack has been pressed, “|” will be displayed in the FHR waveform display area.
<LCD display>
<Paper display>
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▣ Marker jack
The automatic fetal movement measurements extract information in proportion to the sizes
and durations of fetal movement from the received ultrasonic Doppler signals and display the
information along with information on uterine contraction. In addition, if any of the obtained
values is larger than the preset critical value of the size of fetal movements, the values will be
marked as points in the UA waveform display area. Please refer to Chapter 9 (TOCO
measurement) on how to set up the critical value
To turn ON/OFF the sound of pressing Marker jack, touch the Main Menu->System-> Marker
Sound.
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Chapter 8. Stimulator
When stimulator has been pressed, simulator symbol will be displayed on the screen.
<LCD display>
Warning
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Common
words Marker
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▣ Entering Note
When Clinical Mark key is long pressed, Note screen will be printed. Press OK after
selecting related item from the list, and Trace and Real time Note will be printed.
▣ Adding Note
Note lists can be added and edited by Users having Administrator rights. Touch Main menu-
>system->Edit Note and enter the Admin password, and then set the user environment using
New/Edit/Delete button.
However, the additional number of notes that can be saved is only 100.
NOTE
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1) Trace area
⑥
⑦
⑧
①
②
③
②
③
③
④
⑤
④
⑤
⑤
⑥
⑥
① These are data for an area of 30~240bpm, which indicate the traces of fetal heart rates.
Markers or note entries are displayed at the bottom grids.
② FMD: Automatically detected fetal movements are displayed.
③ TOCO values in the range of 0~99 Units; ditto for graphs of fetal movements detected
from US.
④ Scroll bar: This is used to move the time point of Traces. Time points may be moved by
touching the scroll bar or by using the cursor movement key on the operation panel.
⑤ TOCO Zeroing: This indicates that TOCO Zeroing has been done.
The figure above shows Zeroing.
⑥ Grid: This indicates the standard of the grids.
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2) Trace
▣ Trace
: Trace Key
Trace data times may be changed by moving the scroll bar on Trace, by using volume
adjustment keys on the operation panel or by touching the left or right of trace window.
If US1 volume up key is pressed, the view will be moved to earlier 1 min; if US2 volume up
key is pressed, the view will be moved to later 1 min.
If US1 volume down key is pressed, the view will be moved to earlier 6 secs; if US2 volume
down key is pressed, the view will be moved to later 6 secs.
If the left side of LCD is touched, the view will be moved to earlier 10 min; if the right side of
LCD is touched, The view will be moved to later 10 mins.
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To view data entered in real time when the Trace screen is displayed, touch the Main Home
of the Trace menu or the “screen switching or function key” on the operation panel.
▣ Print
Print 'Trace' data of a fixed duration. In this function, the device will print up to 1 hour of data
starting from the point of 'Trace' on the current screen. If the patient is discharged before the
1 hour mark, then only the data up to discharge will be printed.
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▣ Data Save
Trace a period of time, stored on a USB storage device. When you insert a USB storage
device is displayed on the LCD screen on the right. Trace mode from the main menu, touch
the “Data Save” button appears.
When "Data Save" is touched, data will be saved to USB. The first position of the Trace of
current screen will be saved as data image up to 4hrs 30min within one page. Duration will
depend on the print speed, 30 min for 3cm/min, 60 min for 2cm/min and 90 min for
10cm/min. In the situation of patient change, the data until before the change will be saved.
The following windows appear, approximately 10 seconds after the end of the progress bar
window disappears automatically. Data storage device recognition can be found at the
path ”\NewFC1400\data”.
Warning
Do not remove USB from the device during the data transportation.
▣ Main Home
The system will exit the Trace mode, and data will be output in real time.
Warning
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To start or stop print, press the following Print key. For the normal start or stop print, press
the button for short. To accelerate the paper, press the key continuously and feed the paper.
When hand is removed from the key while feeding, max. 2.5cm will be additionally printed
and feeding will stop.
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Printing speeds will not be changed during a printing. To change the speed, stop the printing,
change the speed, and then print again.
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2) Trend printing
To print trend data, please move to the point from which you want to print on the Trend
window and press Print. The trend will then be printed up to the next measurement or for the
time designated in advance. When trends are printed, the printing speed will be high at
25CM/sec.
3) Paper replacement
If the paper is off during printing, "No paper" alarm occurs.
If "No paper" alarm occurs, load paper or push "alarm silence" button to clear "no paper"
alarm status
You can open printer cover by pushing “Printer cover open” lever to the right. Load paper
with printable side up and close the cover.
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Patient condition alarms will sound when the value exceeds the maximum and minimum limit
values for alarms; there are two levels of alarms: Medium and Low. These differ in terms of
the order of ringing and volume.
Medium alarms will be shown as ** on the alarm list when they occur, and Low alarms, as *.
Certain alarms will occur after their set alarm delay time.
If more than one alarm sounds, alarm messages will appear successively on the alarm
condition window. An arrow next to an alarm message means that there is more than one
message.
If two or more alarms occur, the alarm at the highest level will sound.
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3) Visual Alarm
Alarm messages appear in the Alarm Status Area on the screen. If more than one alarm
occurred, messages are changed every two seconds, with an arrow displayed next to the
messages. The colors of the alarm messages match the levels of the alarms. Medium
Alarms are displayed in red, Low Alarms, in yellow, and product condition alarms, in sky blue.
The asterisks next to alarm messages also match the levels of alarms. ** indicates medium
alarms, * indicates Low Alarms, and no asterisk indicates equipment condition alarms.
When a patient condition alarm occurs, the color of the numerical value in the numeral
window will be changed to red.
Visual Alarms will be maintained even after identifying the alarm statuses.
4) Alarm LED
There are two types of Alarm LED around the exterior to help checking the alarm condition
from far.
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6) Alarm Latching
Audible alarm will continue to ring until the situation is resolved. If no responsive action is
taken, it will continue to ring until the user takes an appropriate action. Once the user takes
action and alarm situation is over, both audible and visual alarm will disappear.
7) Alarm history
This is a function of making the history of Alarms that occurred visible. When the alarm
message area on the screen has been touched, an alarm history window will appear.
If the patient is admitted, the alarm history is cleared.
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8) Preset
It is a function which standard settings can be only changed by authorized person. Volume
adjusting function applies to current patient, and when device is restarted or moved to
another patient, it turns on to preset function value. But, if the device is turned off abnormally
and turned on within 30sec, it recognizes as same patient and maintains previous setting
value.
Preset function consists of alarm volume, alarm function usage, alarm range, alarm level,
alarm delay time, US1 Volume, US2 Volume.
WARNING
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③ Check if the current alarm volume is displayed on the alarm icon on the screen.
: Alarm silence
: Alarm pause
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NOTE
When using the device through FC central, all setting values will be synchronized once
the device is out of main menu and parameter window.
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Wireless setting
If you use the Wireless LAN, wireless LAN module is inserted into the USB slot on the
rear side, and the touch the Wireless menu, and the touch the central menu
When “On” the wireless LAN function is activated. IP button then touch the screen that
appears depends. When “Off” wired LAN function works.
Using wireless LAN FCCentral II for more information, please refer to the separate
document on how to connect.
Central setting
If you set the state “ON” by touching “Central” button, the device can be
connected to the Central. If you set the state “Off”, the connection will be
terminated.
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Warning
First, check the Wireless LAN module equipment to make sure that it is
properly seated, before Central of state and Wireless change “On”
Wireless is not set to "On" in unrecognized status.
To change the Bed number, which is designed to identify the equipment, touch “Bed
Num” in the setting menu.
The Bed number can be selected from 1~16
NOTE
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=>
The following is the setting menu:
1) Date changing
To set up a date, touch the Date in the setting menu.
2) Time changing
To set up a time, touch the Time in the setting menu
3) Language changing
To set up a language, touch the “Lang” in the setting menu
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4) Version information
To verify the version information, touch the “version” in the setting menu
S/W Version
UI : UI Software version
F/W #1 : Fetal module firmware version
F/W #2 : Printer module firmware version
H/W Version
Digital : Digital board version
Analog : Analog board version
6) Demo operation
To operate the equipment as a demo, touch the Demo in the setting menu to set the demo
mode to On.
7) Edit Note
Touch for New/Edit/Delete of Note list. This function can be only used by administrator.
When correct Preset password is inserted, setting window will popup. Refer to Chapter 9,
Clinical Mark and Note, for more information.
8) Marker sound
Touch to turn ON/OFF the sound when clicking Marker. Refer to Chapter 7, Fetal movement
measurement, for more information.
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9) Factory
Only the administrator can enter Factory mode. In order to change the content, request for
A/S through Headquarter or agency.
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1) NST measurement
▣ Starting NST
Touch “print key”. When the set NST time has passed, alarms will sound to inform the user
that the NST measurement has been finished.
To silence "NST ending" alarm, Touch “Alarm silence” button on control panel.
▣ Stopping NST
If Print key is touched, the current NST will stop. At this time, the printing will also stop.
2) NST Setting
Clicking “Main menu->Setting->Printer->NST” causes the following setting window to pop up.
▣ NST Time
This is used to set the NST Time.
The time period can be selected from OFF, 10, 20, 30, 40, 50, 60, and 90 mins.
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1) Setting
▣ CTG Setting
Main Menu → Printer → touch CTG Print and when screen change as “CTG Print: On”, you
can print out CTG result.
2) CTG Output
▣ Start CTG
When you start real time printing, you can find remarked CTG interim result on the top of
print paper after setting up CTG in every 10 minutes. If you want to print out CTG interim
result, you have to measure data at least 10 minutes. To remark certain CTG interim result
on the print, it is needed enough print paper blank for 10 minutes at least.
▣ Stop CTG
When you stop real time printing, you can find print of CTG final result after 5 seconds.
If you want to print out CTG final result, you have to measure data at least 10 minutes.
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▣ Number of TOCO
It is number of uterus contractions during measurement.
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5) ACCELERATION
Visually apparent abrupt increase (onset to peak is < 30sec) of FHR above baseline.
Peak is ≥ 15 bpm. Duration is ≥ 15 bpm and <2 min. Peak of 10 bpm and duration 10sec is
acceleration
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6) LATE DECELERATION
Visually apparent gradual decrease (onset to nadir is ≥ 30 sec.) of FHR below baseline.
Return to baseline associated with a uterine contraction. Nadir of deceleration occurs after
the peak of the contraction. Generally, the onset, nadir and recovery of the deceleration
occur after same time as the onset, peak, and recovery of the contraction.
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7) EARLY DECELERATION
Visually apparent gradual decrease (onset to nadir is ≥ 30 sec.) of FHR below baseline.
Return to baseline associated with a uterine contraction. Nadir of deceleration occurs at
the same time as the peak of the contraction. Generally, the onset, nadir, and recovery of
the deceleration occur at the same time as the onset, peak and recovery of the contraction.
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8) Variable DECELERATION
Visually apparent abrupt decrease (onset to nadir is <30sec) in FHR below baseline.
Decrease is ≥15 bpm. Duration is ≥ 2 min and < 10 min.
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2) INOP Alarm
Short Msg Figure Msg
No Paper Main
Low Battery Main
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Warning
If Touch Calibration is not properly set, the system may not operate properly.
You must calibrate the touch input as written in the operation manual..
Just like all kinds of medical equipment, please conduct safety inspections on FC1400
periodically (once a year). Refer to the service manual provided by the company for the
inspection items.
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Performance Specification
Input Signal : Ultrasound pulsed doppler
FHR detection method : Autocorrelation
Fetal Heart Rate FHR range : 50~210
FHR accuracy : 120~160 : ±1 bpm
Except 120~160 : ±2 bpm
Operating mode : PWD Mode
Transducer Type : 7-crystal
Ultrasound Transducer Ultrasound frequency : 1.0MHz
Pulse Repetition Frequency : 3125Hz
Spatial-Peak Temporal Average Intensity : <10mW/cm2
Input Source : External Transducer
Reference Control : One touch switch
Uterine Contraction
Auto zeroing
Measurement range : 0~99
Average Baseline FHR
Number of TOCO
Number of Acceleration
Auto CTG Analysis Number of Deceleration : Late, Early, Variable
High/Low Episode
Short term Variability
Signal Loss
* CTG Analysis results is printed out every 10 minutes
Data Storage Storage for 72 Hours
Power Specification
Power Input : 100~240VAC, 50~60Hz, 1.5A, Single phase
Li-ion : 4 hours ( charging)
Battery(Option)
2 hours(discharging)
External Link LAN, Wi-fi, USB,SD
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▣ Intended Use
FC1400 is a fetus monitoring device used to measure Fetal Heart Rates (FHR), degree of
maternal uterine contraction (UA: Uterine Activity), fetal movements (FM). FC1400 shoots
ultrasounds to the abdomen of the patient. From the signals returned after being reflected by
the heart of the fetus, FC1400 extracts Doppler frequencies that vary with the movements of
the heart of the fetus to output changes in the heartbeats of the fetus as sounds for the
analysis of the signals; thus detecting the heart rates and fetal movements of the fetus. In
addition, it detects the degrees of uterine contraction of the patient using a pressure sensor.
It indicates the fetal heart rates, maternal uterine activity, fetal movements, on its LCD screen
as figures and saves the information to its memory.
▣ Claimed indications
- Previous history of stillbirth
- Complications of pregnancy
- Induction of Labor
- Preterm labor
- Nonreassuring fetal status; fetal movement
▣ Contraindications : Unknown
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The FC1400 system is intended for use in the electromagnetic environment specified bel
ow.
The customer or the user of the FC1400 system should assure that it is used in such an
environment
Immunit IEC 60601 Compliance level E l e c t r o m a g n e t i c environment -
y test Test level guidance
Conduct 3 Vrms 3 Vrms Portable and mobile RF communications
ed RF 150 kHz to 80 150 kHz to 80 MH equipment should be used no closer to an
IEC 6100 MHz z y part of the system, including cables, tha
0-4-6 n the recommended separation distance c
alculated from the equation applicable to t
he frequency of the transmitter.
Note 1) Uт is the A.C. mains voltage prior to application of the test level.
Note 2) At 80 MHz and 800 MHz, the higher frequency range applies.
Note 3) These guidelines may not apply in all situations. Electromagnetic propagation is af
fected by absorption and reflection from structures, objects and people.
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a Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless)
telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV bro
adcast cannot be predicted theoretically with accuracy. To assess the electromagnetic envi
ronment due to fixed RF transmitters, an electromagnetic site survey should be considere
d. If the measured field strength in the location in which the EUT is used exceeds the appli
cable RF compliance level above, the EUT should be observed to verify normal operation.
If abnormal performance is observed, additional measures may be necessary, such as re-
orienting or relocating the EUT.
b Over the frequency range 150 kHz to 80 MHz, field strengths should be less than [V1] V
/ m.
Recommended Separation Distances Between Portable and Mobile RF Communications
Equipment and
the FC1400 system.
The FC1400 system is intended for use in an electromagnetic environment in which
radiated RF disturbances are controlled. The user of the FC1400 system can help prevent
electromagnetic interference by maintaining a minimum distance between portable and
mobile RF communications equipment (transmitters) and the FC1400 system as
recommended below, according to the maximum output power of the communications
equipment.
Rated maximum out Separation distance (m) according to frequency of transmitter
put
power (W) of transm 800 MHz to 2.5
150 kHz to 80 MHz 80 MHz to 800 MHz
itter GHz
0.01 0.12 0.12 0.23
Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is af
fected by absorption and reflection from structures, objects, and people.
Immunity test IEC 60601 Test Level Actual Immunity Level Compliance Level
Conducted RF 3 Vrms, 150 kHz to 80 3 Vrms, 150 kHz to 80 3 Vrms, 150 kHz to
IEC 61000-4-6 MHz MHz 80 MHz
Radiated RF 3 V/m, 80 MHz to 2.5 3 V/m, 80 MHz to 2.5 3 V/m, 80 MHz to
IEC 61000-4-3 GHz GHz 2.5 GHz
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The FC1400 system is intended for use in the electromagnetic environment specified belo
w.
The customer or the user of the FC1400 system should assure that it is used in such an
environment
Immunit IEC 60601 Compliance le Electromagnetic environment -guidance
y test Test level vel
Conducte 3 Vrms 3 Vrms FC1400 system must be used only in a shiel
d RF 150 kHz to 80 150 kHz to 80ded location with a minimum RF shielding eff
IEC 6100 MHz MHz ectiveness and, for each cable that enters th
0-4-6 e shielded location with a minimum RF shield
ing effectiveness and, for each cable that ent
ers the shielded location
Radiated 3 V/m 3 V/m Field strengths outside the shielded location f
RF 80.0 MHz to 2. 80.0 MHz to 2. rom fixed RF transmitters, as determined by
IEC 6100 5 GHz 5 GHz an electromagnetic site survey, should be les
0-4-3 s than 3V/m.a
Note 1) These guidelines may not apply in all situations. Electromagnetic propagation is a
ffected by absorption and reflection from structures, objects and people.
Note 2) It is essential that the actual shielding effectiveness and filter attenuation of the s
hielded location be verified to assure that they meet the minimum specification.
a- Field strengths from fixed transmitters, such as base stations for radio (cellular/cordles
s) telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV
broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic
environment due to fixed RF transmitters, an electromagnetic site survey should be consi
dered. If the measured field strength outside the shielded location in which the EUT is use
d exceeds 3V/m, the EUT should be observed to verify normal operation.
If abnormal performance is observed, additional measures may be necessary, such as rel
ocating the EUT or using a shielded location with a higher RF shielding effectiveness and
filter attenuation.
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※Description
1) Model name
(1) Model name: FC1400
2) Manufacturer’s company name and address
(1) Company name: Bionet Co., Ltd.
(2) Address: #1101 11F E&C Venture Dream Tower3, 38-21, Digital-Ro,31-Gil,Guro,
Seoul 08376, REPUBLIC OF KOREA
3) Manufacturing business permission number and manufacturing item permission number
(1) Manufacturing business permission no.:
4) Manufacturing item permission number:
Purpose of use of the manufacturing item: Device for combining maternal uterine
contraction and fetal heartbeats to show the conditions during parturitions
5) Manufacturing number, manufacturing date, and weight
(1) Manufacturing number: To be written at the back of the main body when selling the
product after obtaining item permission
(2) Manufacturing date: To be written at the back of the main body when selling the
product after obtaining item permission
(3) Main body dimension: 296(w)x.305.5(H)x97.5(D)
(4) Weight: 2.6 Kg
6) Other descriptions
(1) Electric/Mechanical indications
(A)Rated voltage: 100~ 240 VAC
(B)Frequency: 50/60Hz
(C)Power consumption: Max. of 50.4W
(2) Phrase indicating that the equipment is medical equipment: To be written in the
attached document
(3) Waterproof Level : Probe(IPX-1), Main equipment(IPX-0)
7) Position for attaching indications
At the back of the product after manufacturing
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Warning
Ultrasound probes are highly sensitive medical instruments that can easily be
damaged by improper handling. Use care when handling and protect from
damage when not in use.
DO NOT use a damaged or defective probe.
DO NOT drop the probes or subject them to other types of mechanical shock
or impact.
Warning
2) Biological hazard
Warning
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3) Electrical hazard
Warning
In case Gel contacts internal electronic device, Defective probe may cause
electrical shock.
Prior to each use, visually inspect the probe lens and case area for cracks,
cuts, tears, and other signs of physical damage.
DO NOT use a probe which appears to be damaged until you verify functional
and safe performance.
Perform a more thorough inspection, including the cable, and connector, each
time you clean the probe.
DO NOT kink, tightly coil, or apply excessive force on the probe cable.
Insulation failure may result.
warning: To avoid risk of electric shock, this equipment must only be
connected to a supply mains with ground
Do not modify this equipment without authorization of the manufacturer
If this equipment is modified, appropriate inspection and testing must be
conducted to ensure continued safe use of equipment
Do not to touch signal input, signal output or other connectors, and the
patient simultaneously.
Refer servicing to qualified personnel of Bionet Co., Ltd.
Power supply is specified as a part of ME Equipment.
Warning
Mandatory Action
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AIUM
14750 Sweitzer Lane
Suite 100
Laurel, MD, USA 20707-5906
telephone 1-800-638-5352.
In accordance with US FDA Guidelines, the overall maximum acoustic SPTA intensity for the
product is limited to 100 mW/cm^2 and MI is limited to 1.0.
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4) Table Key
IEC FDA Meaning IEC60601-2-37 / FDA&NEMA UD2,UD3
α a Acoustic Attenuation Coefficient / Derating factor
(usually 0.3 dB/cm-MHz)
Aaprt Aaprt -12db Output Beam Area / Active aperture area
CMI - Normalizing Coefficient
Deq Deq Equivalent Aperture Diameter
d-6 d-6 Pulse Beam Width / Beam diameter at –6 dB
deq deq Equivalent Beam Diameter
ƒawf fc Acoustic Working Frequency / Center frequency
Ipa Ipa Pulse-Average Intensity
Ipa,α Ipa.3 Attenuated Pulse-Average Intensity
Ipi PII Pulse-Intensity Integral
Ipi,α PII.3 Attenuated Pulse-Intensity Integral
Ita(z) ITA Temporal-Average Intensity
Ita,α(z) ITA.3(Z) Attenuated Temporal-Average Intensity at depth z
Izpta(z) ISPTA(Z) Spatial-Peak Temporal-Average Intensity
Izpta,α(z) ISPTA.3(Z) Attenuated Spatial-Peak Temporal-Average Intensity
MI MI Mechanical Index
P Wo Output Power / Time average acoustic power at the
source
Pα W.3(Z) Attenuated Output Power / Time average acoustic
power derated to depth z
P1 Wo1 Bounded Output Power / Power emitted from the
central 1cm of aperture
pi PII Pulse Pressure Squared Integral / Pulse intensity
integral
pr pr Peak-Rarefactional Acoustic Pressure
prα pr.3 Attenuated Peak-Rarefactional Acoustic Pressure
prr PRF Pulse Repetition Rate / Pulse repetition frequency
TI TI Thermal Index
TIB TIB Bone Thermal Index
TIC TIC Cranial-Bone Thermal Index
TIS TIS Soft-Tissue Thermal Index
td PD Pulse Duration
X, Y x-12,y-12 -12 dB Output Beam Dimensions
Z Z Distance from the Source to a Specified Point
Zb Zsp Depth for TIB / Depth at which the relevant index is
maximum
Zbp Zbp Break-Point Depth
Zs Zsp Depth for TIS / Depth at which the relevant index is
maximum
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Abbreviations
A
AC alternating current
C
C Celsius
cm, CM centimeter
D
DC direct current
E
EMC electromagnetic compatibility
EMI electromagnetic interference
F
F Fahrenheit
G
g gram
H
HR heart rate, hour
Hz hertz
I
Inc incorporated
J
K
kg, KG kilogram
L
L liter, left
lbs, LBS pounds
LCD liquid crystal display
LED light emitting diode
M
M mean, minute
m meter
MIN, min minute
MM, mm millimeters
MM/S millimeters per second
MMHG, mmHg millimeters of mercury
mV millivolt
N
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S
sec second
T
Temp, TEMP temperature
U
V
V volt
W
X
X multiplier when used with a number (2X)
Symbols
& and
° degree(s)
> greater than
< less than
– minus
# number
% percent
± , +/- plus or minus
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Product Warranty
Manufacturing no.
Date of purchase MM / DD / YY
Hospital name:
Customer Address:
column Name:
Phone:
Seller name
Manufacturer name
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