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Sonoline A/B Pocket Fetal Doppler user manual - …

www.drkits.com/fetal-doppler.html I Attention This user manual is written and compiled in accordance with the council directive MDD93/42/EEC for

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Text of Sonoline A/B Pocket Fetal Doppler user manual - …

Sonoline A/B Pocket Fetal Doppler CONTEC Medical Systems CO., LTD I Attention This user manual is written and compiled in accordance with the council directive MDD93/42/EEC for medical devices and harmonized standards. In case of modifications and software upgrades, the information contained in this document is subject to change without notice. The manufacturer makes no warranty of any kind with regard to this material, including, but not limited to the implied warranties of merchantability and fitness for a particular purpose. The manufacturer assumes no responsibility for any errors that may appear in this document, or for incidental or consequential damage in connection with the furnishing, performance or use of this material. No part of this document may be photocopied, reproduced or translated to another language without prior written consent of the manufacturer. The information contained in this document is subject to change without notice. Responsibility of the Manufacturer The manufacturer only considers itself responsible for any effects on safety, reliability and performance of the equipment if: Assembly operations, repairs are carried out by persons authorized by the manufacturer, and the device is used in accordance with the instructions for use. WARNING: This device is not intended for treatment. The intended use is for detecting Fetal Heart Rate. If the FHR result is distrustful, please use other methods such as stethoscope to verify immediately. Warranty The unit can not be repaired by users themselves. All services must be done by the engineers approved by manufacturer. We warrant that each product we sell you is free from defects in labor and materials and shall conform to its product specifications as defined in the user documentation. If the product doesn't function as warranted during the warranty period, we will repair or replace it without charge. Misuse, improper maintenance may void the warranty. Using This Label Guide This guide is designed to give key concepts on safety precautions. WARNING: A WARNING label advises against certain actions or situations that could result in personal injury or death. CAUTION: A CAUTION label advises against actions or situations that could damage equipment, produce inaccurate data, or invalidate a procedure. Note: A NOTE provides useful information regarding a function or procedure. : This item is compliant with Medical Device Directive 93/42/EEC of June 14, 1993, a directive II of the European Economic Community. III Table of Contents Chapter 1 Safety Guidance ........................................ ........................................ ............................... 1 Safety Precautions ........................................ ........................................ ............................... 1 Chapter 2 Introduction ........................................ ........................................ ...................................... 4 Overview ........................................ ........................................ ........................................ ..... 4 Features ........................................ ........................................ ........................................ ....... 4 Chapter 3 Outlook and Configuration ........................................ ........................................ ............... 5 Front Panel ........................................ ........................................ ........................................ .. 6 Push Button ........................................ ........................................ ........................................ . 8 Introduction to Top 9 Chapter 4 General Operation ........................................ ........................................ .......................... 11 FHR Inspection ........................................ ........................................ ................................. 11 Mode Selection ........................................ ........................................ ................................. 11 Probe Operation ........................................ ........................................ ................................ 12 Inspection of Low Power ........................................ ........................................ .................. 13 Replacing Battery ........................................ ........................................ .............................. 13 Chapter 5 Product 15 Chapter 6 Maintenance ........................................ ........................................ ................................... 17 Maintenance ........................................ ........................................ ...................................... 17 Cleaning ........................................ ........................................ ........................................ .... 17 Disinfecting and Sterilization ........................................ ........................................ ............ 17 Chapter7 Solutions for Possible Problems ........................................ ........................................ ...... 19 Appendix 1 ........................................ ........................................ ........................................ .............. 20 Appendix 2 ........................................ ........................................ ........................................ .............. 21 Appendix 3 ........................................ ........................................ ........................................ .............. 25 1 Chapter 1 Safety Guidance This unit is internally powered equipment; the degree of shock protection is type B applied part. Type B applied part protection means that these patient connections will comply with permitted leakage currents, dielectric strengths of IEC 60601-1. Safety Precautions WARNING and CAUTION messages must be observed. To avoid the possibility of injury, observe the following precautions during the operation of the device. WARNING: This device is not explosion-proof and cannot be used in the presence of flammable anaesthetics. WARNING: Do not throw batteries in fire as this may cause them to explode. WARNING: Do not attempt to recharge normal dry-cell batteries, they may leak, and may cause a fire or even explode. WARNING: Don t touch signal input or output connector and the patient simultaneously. WARNING: Accessory equipment connected to the analog and digital interfaces must be certified according to the respective IEC standards ( IEC 950 for data processing equipment and IEC60601-1 for medical equipment). Furthermore all configurations shall comply with the valid version of the system standard IEC60601-1-1. Everybody who connects additional equipment to the signal input connector or signal output connector configures a medical system, and is therefore responsible that the system complies with the requirements of the valid version of the system standard IEC 60601-1-1. If in doubt, consult our technical service department or your local distributor. WARNING: Sonoline Pocket Fetal Doppler is a tool to aid the healthcare professional and should not be used in place of normal fetal monitoring. This is not intended for fetal use. WARNING: Replacing battery shall only be done outside the patient environment ( away from the patient). WARNING: Please use the Sonoline probe provided by the manufacturer. WARNING: Do not pull the line of probe longer than 2 meters, or else the probe may break away from the connector of the Sonoline. CAUTION: The device must be serviced only by authorized and qualified personnel. CAUTION:The device is designed for continuous operation and is ordinary . Do not immerse in any liquid ( not drip or splash- proof). CAUTION: Keep the device clean. Avoid vibration. CAUTION: Do not use high temperature sterilizing process and E-beam or gamma radiation sterilization. CAUTION: Electromagnetic Interference-Ensure that the environment in which the device is operated is not subject to any sources of strong electromagnetic interference, such as radio transmitters, 2 mobile telephones, etc. Keep them far away. CAUTION: The user must check that the equipment does not have visible evidence of damage that may affect patient safety or monitoring capability before use. The recommended inspection interval is once per month or less. If damage is evident, replacement is recommended before use. CAUTION: The following safety checks should be performed once every two years or as specified in the institution s test and inspection protocol by a qualified person who has adequate training, knowledge, and practical experience to perform these tests. Inspect the equipment for mechanical and functional damage. Inspect the safety relevant labels for legibility. Verify that the device functions properly as described in the instructions for use. Test the patient leakage current according to IEC 60601-1/1988: Limit: 100 uA (B). The leakage current should never exceed the limit. The data should be recorded in an equipment log. If the device is not functioning properly or fails any of the above tests, the device has to be repaired. CAUTION: The battery must be properly disposed according to local regulation after their use. CAUTION: The battery must be taken out from the battery compartment if the device will not be used for a long time. CAUTION: The device shall only be used if the battery cover is closed. CAUTION: Battery must be stored in cool and dry place. CAUTION: If use rechargeable battery, to insure capability and life, please fully charge batteries before first use, normally, batteries must be continuously charged over 14 hours or charged according to the guidance displayed on the battery. CAUTION: Please don t set anode and cathode of the battery wrongly. CAUTION: The valid period of this product is five years. CAUTION: After the service life, please return the products to the manufacture or disposal the products according to local regulations. CAUTION: This device cannot be used with defibrillator or high frequency surgical unit. CAUTION: Please choose the accessories authorized by our company or the device may be damaged. CAUTION: Please keep the probe from edge tool. CAUTION: Please use Sonoline under the environment without strong electromagnetic field, which may influence measure result. When cleaning the machine: CAUTION: Don t use strong solvent, for example, acetone. CAUTION: Never use an abrasive such as steel wool or metal polish. CAUTION: Do not allow any liquid to enter the product, and do not immerse any parts of the device into any liquids. 3 CAUTION: Avoid pouring liquids on the device while cleaning. CAUTION: Don t remain any cleaning solution on the surface of the device. When disinfecting the machine: WARNING: Never try to sterilize the probe or equipment by low temperature steam or other methods. : Refer to accompanying documents. 4 Chapter 2 Introduction Overview Pocket Fetal Doppler is a hand-held obstetrical unit, which can be used in hospital, clinic and home for daily self-check by pregnant woman. There are two different models available: Sonoline A and Sonoline B. Sonoline A model is for simple auscultation. Sonoline B model is a high performance model with (fetal heart rate) LCD digital display. It has 3 work modes: real-time FHR display mode, averaged FHR display mode, and manual mode. They are all availabe for user replaceable batteries. The user interface includes power button, mode button, volume control, single speaker, headphone jack and LCD display for heart rate, battery and working mode, probe type. Both of the two models have audio output, and can be connected with earphone or recorder with audio input. They use standard V DC alkaline battery (2 pieces). Rechargeable battery and charger can be optionally configured. Sonoline A and Sonoline B includes four interchangeable probes (2MHz normal ultrasound probe, 2MHz water proof probe,3MHz normal ultrasound probe,3MHz water proof probe). Features Battery LED indicator (Sonoline A only) Battery status indicator (Sonoline B only) Low power inspection of the battery Built-in speaker Output for headphones 2 MHz/3 MHz probe can be connected Probe inspection Backlight (Sonoline B only) Auto shut off (Sonoline B only) Two pieces of standard alkaline battery available which can work no less than 10 hours. 5 Chapter 3 Outlook and Configuration Front Panel (Sonoline B as Example) Rear Panel Top Panel Battery Compartment Headphone Attention Headphone Socket Probe Backlight Control Button LCD Panel Mode Button Power Button Loudspeaker 6 Table 1: Model and Configuration Configuration Model Sonoline A Sonoline B 1. LCD Panel * 2. Headphone Socket * * 3. Volume Control * * 4. Loudspeaker * * 5. Power Button * * 6. MODE Button * Control Button * 8. Probe * * 9. Battery Compartment * * 10. Probe Socket * * * Indicated the model has the configuration. Front Panel Display Sonoline A model: Indicator light will be green when turn on the machine. When the power of the battery is low, the LED indicator light of the battery will flicker in green color. When the probe falls away from the Sonoline A, the power indicator light turns into yellow and flicker. While self-testing,the LCD display for Sonoline B is as follows: LCD Display Probe Sonoline A and Sonoline B includes four interchangeable probes (2MHz normal ultrasound probe,2MHz water proof probe,3MHz normal ultrasound probe,3MHz water proof probe). 2MHz Normal Ultrasound Probe: The 2MHz nor mal ultrasound probe is standard configuration for the pocket fetal doppler. Working Mode FHR Display Type of Probe Power Display 7 2MHz Normal Ultrasound Probe The meanings of on the label are as follows: C: The work mode for the probe is continuous wave. D: The structure form for the probe is cell type. : The frequency of the probe is 2 MHz. 3MHz Normal Ultrasound Probe: The 3MHz nor mal ultrasound probe is optional configuration for the pocket fetal doppler. 3MHz Normal Ultrasound Probe The meanings of on the label are as follows: C: The work mode for the probe is continuous wave. D: The structure form for the probe is cell type. : The frequency of the probe is 3 MHz. Serious Statement: The above are descriptions of 2MHz and 3MHz normal ultrasound probe, they are applicable for USA market and European market. 2MHz water proof probe and 3MHz water proof probe are only applicable for USA market. 8 Probe Socket Probe Socket The probe socket is shown as above. The definition of the jacks of the socket is as below: Pin Definition 1 Power Supply 2 Signal 3 Probe Coding 1 4 Probe Coding 2 5 Probe Coding 3 6 (Shell) GND WARNING: Do not attempt to connect the probes which are not manufactured by our company with the machine. Push Button There are three push buttons POWER, MODE, and BACKLIGHT CONTROL and a volume control button on Pocket Fetal Doppler. The primary functions are as follows: Power Button Function: Power on/off Power on: Push the button once Power off: Push down the button until the machine is off (Sonoline A). Push down the button and hold 3 seconds to power off (Sonoline B) Mode Button (Sonoline B only) Mode selection button. Function: mode selection, press once to enter next working mode under working status. 9 For the Fetal Doppler has memory function, when turning on the machine, it will enter the mode selected before last power off automatically after self-testing. Backlight Control Button (Sonoline B Only) Function: Under mode 1 and mode 2, press the button to turn on /off backlight. Under mode 3, the button is for start/stop operation, please refer to manual mode (Mode 3) Volume Control Indicator Volume adjusting direction indicator. From left to right means that the sound level is from high to low. Introduction to Top Panel Headphone Socket: a socket for audio output, and can be connected with earphone or recorder with audio input to record. : The socket, terminal post, or switch that connected with the headphones. : Attention. Refer to the accompanying documents. Accessory equipment connected to the analog and digital interfaces must be certified according to the respective IEC standards ( IEC 950 for data processing equipment and IEC 60601-1 for medical equipment). Furthermore all configurations shall comply with the valid version of the system standard IEC60601-1-1. Everybody who connects additional equipment to the signal input connector or signal output connector configures a medical system, and is therefore responsible that the system complies with the requirements of the valid version of the system standard IEC60601-1-1. If in doubt, consult our technical service department or your local distributor. Signal Interface Headphone Socket for Audio Output 10 Headphone socket showed as , the definition of pins showed as below: Pin Definition 1 GND 2 Signal 3 Signal 4 Signal 5 Signal 11 Chapter 4 General Operation FHR Inspection Power on by pressing the power button. For Sonoline A, indicator light will be on in green color. For Sonoline B, it will do self-test when turning on the machine. After self-testing, the LCD display is as Find the position of fetus. At first, please feel the position of the fetus by hand. Find out the best direction for inspecting the fetal heart. Apply a liberal amount of gel to the faceplate of probe; place the faceplate of probe at the best position for detecting fetal heart. Adjust the probe to obtain an optimum audio signal ideally by angling the probe around. Adjust the volume according to requirements. FHR Calculation: For Sonoline A, the method is to count the fetal heart beat times in one minute to get the FHR. For Sonoline B, the FHR result will be showed on LCD screen. Turn off the machine For Sonoline A, press power button to turn off the machine directly For Sonoline B, keep pressing the power button 3 seconds to turn off. CAUTION: Put the probe on the best detecting position to get better detecting effect. Don't put the probe on the position where have strong Placental Blood Sound(PBS) or strong Umbilical Sound(UMS). If pregnant woman adopts horizontal position and the fetus position is normal, put the probe on the position of lower navel midline to get the clearest FHR sound. Do not measure FHR unl ess audible fetal sound has been heard. Mode Selection Real-time FHR Display Mode (Mode 1) This mode is only for Sonoline B. At the moment of detecting FHR signal, the LCD will display the flashing heart symbol, and display real-time FHR simultaneously. Averaged FHR Display Mode (Mode 2) This mode is only for Sonoline B. 12 It is used to obtain more stable heart rate readings. In this mode, FHR is averaged 8 beats. The LCD displays the flashing heart symbol when displaying FHR. Manual Mode (Mode 3) This mode is only for Sonoline B. When entering into mode 3, the system will automatically counts the audible beats, FHR will be showed in Format, and the LCD flashes heart symbol. Press the backlight control button to stop calculating. The unit will automatically calculate the derived FHR averaged over the caculating time and display the result. If measure FHR again, press the backlight control button to start. Repress it, it will stop calculating .This rate value is retained until the measurement is repeated or the mode is changed. Probe Operation Inspecting Probe When the probe falls away from the Sonoline, for Sonoline A, the power indicator light turns into yellow and flicker. For Sonoline B, the LCD screen displays the flickering and the probe frequency indication data disappeared. At this moment the probe needs to be reconnected. After connected well, LCD screen will stop flickering and display the probe frequency data. Replacing Probe There has been a probe connected to Sonoline while packaged by the manufacturer. If users need to replace it with another probe, power off the Sonoline at first, then take out the probe from the parking of Sonoline. And then pull out the plug of the probe from its socket. Then connect the plug of the probe which needs to be displaced with the socket. Note: Place the temporarily unused probe carefully and avoid falling off, stress, etc. When the Sonoline is not used for a long time, users are recommended to connect the plug of one probe to Sonoline socket and put the probe in the parking. Then pack the Sonoline with the probe in the wrapping box. Taking out Probe and Placing Probe Taking out the probe Hold the main unit with one hand, and hold the handle of the probe with another hand to take out the probe. (See ). 13 Taking Out Probe Placing probe It is opposite to take out probe. Hold the main unit with one hand, and hold the top of the probe with another hand, then push the probe into the probe holder. Inspection of Low Power For Sonoline A, when it works normally, the LED indicator light of the battery is green; but when the power of the battery is low to the degree that it cannot support the Sonoline A to work normally, the LED indicator light of the battery will flicker in green to remind the customer to change another new battery or charge the battery (only the chargeable battery can be charged.) For Sonoline B, when it works normally,the LCD screen displays the status of the battery, and the number of the grid in the status represents how much power is left; when the power of the battery is low, the power of the battery displays grid 0 to remind the customer to change another new battery or charge the battery (only the chargeable battery can be charged.). Replacing Battery Taking out Battery The rear panel is upturned. First open the battery compartment, then take out the battery from the battery compartment (see ). 14 Replacing Battery Replacing Battery First put two AA size batteries into the battery compartment (as for the direction of battery, please refer to the instruction inside the battery compartment), at last close the battery compartment. CAUTION: The battery must be taken out from the battery compartment if the device will not be used for a long time. 15 Chapter 5 Product Specification Product Name: Sonoline Pocket Fetal Doppler Model No.: Sonoline A and Sonoline B Safety: Complies with: IEC 60601-1:1988 A1:1991 A2:1995 Classification: Anti-electroshock Type: Internally powered equipment. Anti-electroshock Degree: Type B applied part Harmful Liquid Proof Degree: Main unit: Ordinary equipment (sealed equipment without liquid proof). Probe: Prevent from water splashing, degree of protection: IPX4. Degree of Safety in Presence of Flammable Gases: Equipment not suitable for use in presence of flammable gases Working System: Continuous running equipment EMC: Group I Class B Suitable Using Range: Suitable for use after the 12th week of pregnancy Physical Characteristic Size: 135 mm (Length) 95 mm (Width) 35 mm (Height) Weight: About 180 g (including batteries) Environment Working: Temperature: +5 +40 Humidity: 80 Atmospheric Pressure: 70 kPa l06 kPa Transport and Storage: Temperature: -10 +55 Humidity: 93 Atmospheric Pressure: 50 kPa l06 kPa Display: 45 mm 25 mm LCD display Backlight: The two statuses can be alternated: turn off/on the backlight. FHR Performance (Sonoline B model only) FHR Measuring Range: 50 BPM ~ 240 BPM (BPM: beat per minute) Resolution: 1 BPM Accuracy: 2 BPM Power Consumption :< W Auto Shut-OFF: After 1 minute no signal, power off automatically (Sonoline B only). Battery Type Recommended: Two pieces of V DC batteries (SIZE AA LR6). 2MHz Ultrasound Probe (Standard Configuration) 16 Nominal Frequency: MHz Working Frequency: MHz 10% P-: < MPa Iob: <10 mW/cm2 Ispta: <50 mW/cm2 Ultrasonic Output Intensity: Isata < 5 mW/cm2 Working Mode: Continuous wave doppler Effective Radiating Area of Transducer: 208 mm2 15% Note:In all working application modes, mechanical index: MI<1, thermal index: TI<1. 17 Chapter 6 Maintenance Maintenance The probe acoustic surface is frangible and must be handled with care. Gel must be wiped from the probe after use. These precautions will prolong the life of the unit. The user must check that the equipment does not have visible evidence of damage that may affect patient safety or Pocket Fetal Doppler capability before use. The recommended inspection interval is once per month or less. If damage is evident, replacement is recommended before use. The equipment should undergo periodic safety testing to insure proper patient isolation from leakage currents. This should include leakage current measurement. The recommended testing interval is once every two years or as specified in the institution s test and inspection protocol. The accuracy of FHR is controlled by the equipment and cannot be adjusted by user. If the FHR result is distrustful, please use other method such as stethoscope to verify immediately or contact local distributor or manufacture to get help. Cleaning Before cleaning, switch off and take out the batteries. Keep the outside surface of the device clean and free of dust and dirt, clean exterior surface (display screen included) of the chassis with a dry, soft cloth. If necessary, clean the chassis with a soft cloth soaked in a solution of soap, or water and wipe dry with a clean cloth immediately. Wipe the probe with soft cloth to remove any remaining ultrasound coupling gel. Clean with soap and water only. CAUTION: Don t use strong solvent, for example, acetone. CAUTION: Never use an abrasive such an steel wool or metal polish. CAUTION: Do not allow any liquid to enter the product, and do not immerse any parts of the device into any liquids. CAUTION: Avoid pouring liquids on the device while cleaning. CAUTION: Don t remain any cleaning solution on the surface of the device. Notes: Wipe the surface of probe with 70% ethanol, self-air dry, or clean with a clean, dry cloth. Disinfecting and Sterilization Clean the equipment case, probe, etc. as above, and then wipe the probe with an alcohol impregnated wipe (70% ethanol). Wipe the probe with a clean, dry cloth to remove any remaining moisture. 18 NOTE: 1. The recommended periods of cleaning, sterilization and disinfecting are once per month. 2. After cleaning, sterilization and disinfecting, users must inspect whether have any obvious damage which may affect the patient safety and instrument performance possibly. WARNING: Never try to sterilize the probe or equipment by low temperature steam or other method. 19 Chapter7 Solutions for Possible Problems If it appears below problems when you use the Sonoline, please solve them as below: Problems Possible reasons Solutions No sound AVolume is too low APower is low AAdjust the volume louder AChange the battery Weak sound AVolume is too low APower is low ADid not daub the gel AAdjust the volume louder AChange the battery ADaub the gel Noise AProbe is too near from the main unit ADisturbance from the outside signal APower is low AMake the distance between the probe and the main unit a little further AKeep far away from the outside signal AChange the battery Low sensitivity APosition of the probe is not correct ADid not daub the gel AAdjust the position of the probe ADaub the gel 20 Appendix 1 Essentiality of Fetal Domestic Monitor Modern medicines think that: FHR is an important gist to identify fetal health, by recording FHR changes can observe fetal hypoxia, fetal distress and the umbilical cord around the neck, and other symptoms. Fetal domestic monitor test FHR rate changes by listening to fetal heart sound mainly; fetal domestic monitor is a powerful guarantee to improve generational safety. Fetal heart rate changes most obviously in the following three periods: 1) Within 30 minutes after pregnant women get up 2) Within 60 minutes after pregnant women finish lunch 3) Within 30 minutes before pregnant women go to bed For the above three periods, because of the change of the body status of pregnant women, the activity of food digesting needs the body to provide more oxygen, relatively, the oxygen for fetus becomes less. It is easy to arose symptoms such as fetus anoxia. Testing the FHR at this time can display the healthy status for the fetus best. The above three periods can only be tested at home by pregnant women themselves, so FHR domestic monitor is very important. This Sonoline can hear the fetal heart sound for fetus above twelve weeks, and calculate the FHR with heart fetal heart sound (for Sonoline A) or check the LCD display (for Sonoline B). You can listen to the fetal heart sound for 1-2 minutes every time. Pregnant women can take down the record data which can be a reference for doctors to insure the health of the fetus. 21 Appendix 2 Guidance and manufacture s declaration electromagnetic emissions- For all EQUIPMENT and SYSTEMS Guidance and manufacture s declaration electromagnetic emission The Sonoline Pocket Fetal Doppler is intended for use in the electromagnetic environment specified below. The customer of the user of the Sonoline Pocket Fetal Doppler should assure that it is used in such an environment. Emission test Compliance Electromagnetic environment guidance RF emissions CISPR 11 Group 1 The Sonoline Pocket Fetal Doppler uses RF energy only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment. RF emission CISPR 11 Class B The Sonoline Pocket Fetal Doppler is suitable for use in all establishments, including domestic establishments and those directly connected to the public low-voltage power supply network that supplies buildings used for domestic purposes. Harmonic emissions IEC 61000-3-2 Not applicable Voltage fluctuations/ flicker emissions IEC 61000-3-3 Not applicable 22 Guidance and manufacture s declaration electromagnetic immunity for all EQUIPMENT and SYSTEMS Guidance and manufacture s declaration electromagnetic immunity The Sonoline Pocket Fetal Doppler is intended for use in the electromagnetic environment specified below. The customer or the user of Sonoline Pocket Fetal Doppler should assure that it is used in such an environment. Immunity test IEC 60601 test level Compliance level Electromagnetic environment - guidance Electrostatic discharge (ESD) IEC 61000-4-2 r6 kV contact r8 kV air r6 kV contact r8 kV air Floors should be wood, concrete or ceramic tile. If floor are covered with synthetic material, the relative humidity should be at least 30%. Power frequency (50Hz) magnetic field IEC 61000-4-8 3A/m 3A/m Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment. 23 Guidance and manufacture s declaration electromagnetic immunity For EQUIPMENT and SYSTEMS that are not LIFE-SUPPORTING Guidance and manufacture s declaration electromagnetic immunity The Sonoline Pocket Fetal Doppler is intended for use in the electromagnetic environment specified below. The customer or the user of Sonoline Pocket Fetal Doppler should assure that it is used in such an environment. Immunity test IEC 60601 test level Compliance level Electromagnetic environment - guidance Radiated RF IEC 61000-4-3 3 V/m 80 MHz to GHz 3 V/m Portable and mobile RF communications equipment should be used no closer to any part of the Sonoline Pocket Fetal Doppler, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter. Recommended separation distance PEd 80 MHz to 800 MHz PEd 17 800 MHz to GHz Where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer and d is the recommended separation distance in metres (m). Field strengths from fixed RF transmitters, as determined by an electromagnetic site survey,a should be less than the compliance level in each frequency Interference may occur in the vicinity of equipment marked with the following symbol: NOTE 1 At 80 MHz and 800 MHz, the higher frequency range applies. NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. 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 broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the Sonoline Pocket Fetal Doppler is used exceeds the applicable RF compliance level above, the Sonoline Pocket Fetal Doppler should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as reorienting or relocating the Sonoline Pocket Fetal Doppler. b Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m. 24 Recommended separation distances between portable and mobile RF communications equipment and the EQUIPMENT or SYSTEM for EQUIPMENT or SYSTEM that are not LIFE-SUPPORTING Recommended separation distances between portable and mobile RF communications equipment and the Sonoline Pocket Fetal Doppler The Sonoline Pocket Fetal Doppler is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the Sonoline Pocket Fetal Doppler can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the Sonoline Pocket Fetal Doppler as recommended below, according to the maximum output power of the communications equipment. Rated maximum output power of transmitter (W) Separation distance according to frequency of transmitter (m) 80 MHz to 800 MHz PEd 800 MHz to GHz PEd 17 1 10 100 For transmitters rated at a maximum output power not listed above, the recommended separation distance d in metres (m) can be estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer. NOTE 1 At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies. NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. 25 Appendix 3 Overall Sensitivity

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