CMS800G FETAL MONITOR

CONTEC MEDICAL SYSTEMS CO., LTD

TABLE OF CONTENTS 1 Safety Guidance .2 1.1 Introduction For The Safe Operation 2 1.2 !tra"ound Safety Guide 2 1.# Safety $recaution" ...# 2 Introduction% 2.1 Intended "e and App!ication% 2.2 Feature"% # &onitor and Setup..' #.1 The &onitor..' #.2 Setup.11 ( In"ta!!ation..1' (.1 Open the $ac)a*e and Chec)1' (.2 Connect the $o+er Ca,!e...1' (.# Connect +ith Net+or)1(.( Feedin* $aper and .e/o0in* $aper 1a/1(.% $o+er On the &onitor1(.' Connect Tran"ducer"..1% &onitorin*..1%.1 Operation $rocedure .1%.2 $rint Operation...22 %.# Operation After &onitorin* ..21 ' &aintenance3 Care and C!eanin*.21 '.1 $re0enti0e &aintenance.21 '.2 Care and C!eanin* of &onitor...22 '.# Care and C!eanin* of Tran"ducer..22 '.( Care of .ecorder and $aper...2# '.% C!eanin* of Be!t2# '.' Steri!i4ation...2( '.- 5i"infection...2( - 6arrantie"...........2( Attach/ent 1 $roduct Specification.2% A 1.1 &onitor..2% A 1.2 Tran"ducer"...2' Attach/ent 2 Trou,!e"hootin*..2Attach/ent # &onitorin* Fi*ure..27

Copyright Copyright: Contec Medical System CO., LTD.2007 Attention This document contains proprietary in ormation protected !y copyright la". #o part o this document may !e photocopied, reproduced or translated to another language "ithout prior "ritten consent o CO#T$C. CO#T$C assumes no responsi!ility or any errors that may appear in this document, or or incidental or conse%uential damage in connection "ith the urnishing, per ormance or use o this material. The in ormation contained in this document is su!&ect to change "ithout notice. Responsibility of the Manufacturer CO#T$C only considers itsel responsi!le or any e ects on sa ety, relia!ility and per ormance o the e%uipment i : 'ssem!ly operations, e(tensions, re)ad&ustments, modi ications or repairs are carried out !y persons authori*ed !y CO#T$C, and the electrical installation o the rele+ant room complies "ith national standards, and the instrument is used in accordance "ith the instructions or use. Note: This de+ice is not intended or home use. WARNING : This de+ice is not intended or treatment.

, there is dou!t as to etal "ell)!eing a ter using the unit, urther in+estigations should !e underta-en immediately using alternati+e techni%ues.

The accuracy o ./0 is controlled !y the e%uipment and can not !e ad&usted !y user. , the ./0 result is distrust ul, please use other method such as stethoscope to +eri y or contact the local distri!utor or manu acture to get help.
Using This Label Guide This guide is designed to gi+e -ey concepts on sa ety precautions.

WARNING ' WARNING la!el ad+ises against certain actions or situations that could result in personal in&ury or death. C'1T,O# ' CAUTION la!el ad+ises against actions or situations that could damage e%uipment, produce inaccurate data, or in+alidate a procedure. Note: ' NOT pro+ides use ul in ormation regarding a unction or procedure.

! "afety Guidance !#! Introduction $or the "afe Operation The CMS2003 1ltrasonic .etal Doppler Monitor 4Monitor5 is Class , e%uipment and designed to comply "ith ,$C 60607)7. S"itching "ithin 7 minute, at am!ient temperatures !et"een 5 and 80 . 'm!ient temperatures that e(ceed these limits could a ect the accuracy o the instrument and cause damage to the modules and circuits. 'llo" at least 2 inches 49cm5 clearance around the instrument or proper air circulation. The user must chec- the e%uipment, ca!les and transducers do not ha+e +isi!le e+idence o damage that may a ect patient sa ety or monitoring capa!ility !e ore use. The recommended inspection inter+al is once per "ee- or less. , damage is e+idence, replacement is recommended !e ore use. The user must !e ser+iced only !y authori*ed and %uali ied personnel, The manu acturer can not accept responsi!ility or sa ety compliance, relia!ility and per ormance i modi ications or repairs are carried out !y unauthori*ed personnel. ,dentical replacement parts must !e used. :er orm period sa ety testing to insure proper patient sa ety. This should include lea-age current measurement and insulation testing. The recommended testing inter+al is once per year. The protection categories against electric shoc- o the patient connections are: ./07 ./02 TOCO < M'0;

This sym!ol indicates that the instrument is ,$C 60607)7 Type = e%uipment. Type = protection means that these patient connections "ill comply "ith permitted lea-age currents, dielectric strengths and protecti+e earthing limits o ,$C 60607)7. The monitor descri!ed in this user manual is not protected against: '5 The e ect o de i!rillator shoc-s =5 The e ects o de i!rillator discharge C5 The inter erence o high re%uency currents D5 The inter erence o electrosurgery e%uipment $5 The inter erence o mo!ile phone !#% Ultrasound "afety Guide $etal Use The Monitor is designed or continuous etal heart rate monitoring during pregnancy and la!or . Clinical interpretation o etal heart rate patterns can diagnose etal and>or maternal pro!lems and complications. Instructions for Use in Mini&i'ing (atient )posure The acoustic output o the Monitor is internally controlled and can not !e +aried !y the operator in the course o the e(amination. The duration o e(posure is, ho"e+er, ully under the control o the operator. Mastery o the e(amination techni%ues descri!ed in the 1ser Manual "ill acilitate o!taining the ma(imum amount o diagnostic in ormation "ith the minimum amount o e(posure.

!#* "afety (recautions WARNING and CAUTION messages must !e o!ser+ed. To a+oid the possi!ility o in&ury, o!ser+e the ollo"ing precautions during the operation o the instrument.

WARNING

: +(LO"ION ,A-AR.)Do not use the in a lamma!le atmosphere "here concentrations o lamma!le anesthetics or other materials may occur.

WARNING

: ",OC/ ,A-AR.)the po"er receptacle must !e a three)"ire grounded outlet. ' hospital grade outlet is re%uired. #e+er adapt the three)prong plug rom the monitor to it a t"o)slot outlet. , the outlet has only t"o slots, ma-e sure that it is replaced "ith a three)slot grounded outlet !e ore attempting to operate the monitor.

WARNING

: ",OC/ ,A-AR.)Do not attempt to connect or disconnect a po"er cord "ith "et hands. Ma-e certain that your hands are clean and dry !e ore touching a po"er cord.

WARNING

: The monitor should !e installed !y an authori*ed and %uali ied ser+ice engineer.

WARNING

: ",OC/ ,A-AR.)Do not remo+e the top panel co+ers during operation or "hile po"er is connected.

WARNING

: Only connect the de+ice to Contec supplied or recommended accessories, to a+oid the in&ury o the doctors and patient.

WARNING

: Do not s"itch on de+ice po"er until all ca!les ha+e !een properly connected and +eri ied.

WARNING

: Don?t touch signal input or output connector and the patient simultaneously.

WARNING

: 'ccessory e%uipment connected to the analog and digital inter aces must !e certi ied according to the respecti+e ,$C standards 4e.g. ,$C @90 or data processing e%uipment and ,$C 60607)7 or medical e%uipment5. .urthermore all con igurations shall comply "ith the +alid +ersion o the system standard

,$C 60607)7)7. $+ery!ody "ho connects additional e%uipment to the signal input connector or signal output connector con igures a medical system, and is there ore responsi!le that the system complies "ith the re%uirements o the +alid +ersion o the system standard ,$C 60607)7)7. , in dou!t, consult our technical ser+ice department or your local distri!utor. CAUTION : The de+ice is designed or continuous and is AordinaryB 4i.e. not drip or splash)proo 5.

CAUTION

: ;eep the en+ironment clean. '+oid +i!ration. ;eep it ar rom corrosi+e medicine, dust area, high)temperature and humid en+ironment.

CAUTION

: Do not operate the unit i it is damp or "et !ecause o condensation or spills. '+oid using the e%uipment immediately a ter mo+ing it rom a cold en+ironment to a "arm, humid location.

CAUTION

: Do not immerse transducers in li%uid. Chen using solutions, use sterile "ipes to a+oid pouring luids directly on the transducers.

CAUTION

<Do not use high temperature heating or gas to disin ect the monitor and its accessories.

CAUTION

<Turn o the po"er supply !e ore clean the machine.

CAUTION

: The temperature should not e(ceed 60 "hen clean the !elt.

CAUTION

lectro&agnetic Interference)$nsure that the en+ironment in "hich the etal monitor is installed is not su!&ect to any sources o strong electromagnetic inter erence, such as radio transmitters, mo!ile telephones, etc.

CAUTION

: The monitor must ser+iced !y proper training and -no"ledge, practical personnel. The recommended testing inter+al is once t"ice year or under the lea-age current measurement and insulation testing.

CAUTION

: The de+ice and reusa!le accessories could !e sent !ac- to the manu acturer or recycling or proper disposal a ter their use ul li+es.

% Introduction The .etal Monitor can pro+ide di erent con igurations according to di erent user re%uirements: ./07 41ltrasonic Channel 5, ./02 41ltrasonic Channel 5,TOCO, .MOD 4.etal Mo+ement Mar-er5. Monitoring results can !e recorded !y !uilt)in recorder or continuous or intermittent records. The monitor can !e used indi+idually or connected "ith :C through 0E89 ,nter ace or the purpose o central monitoring. %#! Intended Use and Application .etal Monitor can ac%uire etal heart rate, maternal uterine contraction "hen pregnancies o+er 22 "ee-s to pro+ide re erence data or clinical use. Dual /eart 0ate Monitoring allo"s simultaneous monitoring o t"o heart rates or t"ins. This is achie+ed !y using the acilities o t"o ultrasound transducers and an e(ternal contractions 4TOCO5 transducer "ith a recorder. The monitor can display ./0, TOCO, M'0; 4remote5 sinuously, !y analy*ing their mutual relations, to &udge etal physiology, pathology and maternity status, and so on, or medical pro essionals re erence. ,t is only suita!le or the e%uipment in hospitals, clinics, doctors o ices and patients at home !y trained medical personnel. %#% $eatures Light de(terous appearance, tops hori*ontally and "alls can !e hoisted 2.8screen color LCD display, rotata!le screen to 60F Display o the patient data and cur+e clearly :rint paper etal heart rate 720)760!pm normal range la!el Manual records etal mo+ement Sound and color alarm or high and lo" etal heart rate Continuous 28)hour real)time monitoring unction Continuous 72)hour patient cur+e and data storage and play!ac Cith picture ree*e unction Optional $nglish inter ace

Single, T"ins Monitoring optional @ chip pulse "idth !eam pro!e $(tra)long li e, high)resolution !uilt)in thermal printer matri(, the output "a+e orm, te(t, and other in ormation =uilt)in communication port, can !e connected "ith central monitoring system.

* Monitor and "etup *#! The Monitor

.igure G.7 'ppearance 4T"ins con iguration, only or re erence5 *#!#! Transducer Introduction 1ltrasound Transducer<TOCO Transducer<0emote Mar-er<1ltrasound Transducer <7<1ltrasound Transducer The multi)crystal, !road !eam ultrasound transducer is used or monitoring etal heart rate4./075.The ultrasound transducer operates at a re%uency o 7.0M/*. :ut the ultrasound transducer on maternal a!domen to transmit lo"er energy ultrasound "a+e to etal heart, then recei+e the echo signal rom it. <2<TOCO Transducer This transducer is a toco tonometer "hose central section is depressed !y the or"ard displacement o the a!dominal muscles during a contraction. ,t is used or assessment o re%uency and duration o uterine contractions. ,t gi+es a su!&ecti+e indication o contractions pressure. <G<0emote Mar-er The remote mar-er is a hand)held s"itch operated !y patient. The mother is normally instructed

to push do"n the s"itch "hen eeling etal mo+ement. 1ltrasound Transducer<TOCO Transducer<0emote Mar-er are three in one transducers, their soc-ets are mar-ed ./07>TOCO>M'0; on the monitor panel. <8<1ltrasound Transducer is the transducer or ./0 24T"ins Con iguration5, it?s soc-et is mar-ed ./02 on the monitor panel. *#!#% Left "ide "oc0ets

.igure G.2 Le t Side Soc-ets *#!#* Interfaces and "y&bols ./07>TOCO>M'0; soc-et: Soc-et or ./07>TOCO transducer and remote Mar-er ./02 soc-et: Soc-et or ./02 Transducer : Soc-et or 3rounding Ca!le #$T.: Soc-et or net"or: Carning Sym!ol :ush: LCD Screen rotation locG.7.8 Main Interface

.igure G.G T"ins Monitoring inter ace The main monitoring inter ace4T"ins Monitoring5 is di+ided into 9 parts according to display content, they are status !ar<data section< parameter section< indicate !ar and "a+e display section. ,t displays in status !ar that sound channel and +olume< connection status o ultrasound Transducer , < ultrasound Transducer ,,4t"ins monitoring5 and TOCO transducer, .ree*e status < print

status<alarm on >o H ,t displays ./0 7 rom 1ltrasound Transducer , <./0 2 rom 1ltrasound Transducer ,, 4T"ins monitoring5 and TOCO< .etal Mo+ement dataH parameter section displays the important parameter o current settingsH time<!ed num!er<time o pregnancy and age o pregnant "oman are displayed in indicate !arH "a+es rom ultrasound transducer , channel < ultrasound transducer ,, channel4T"ins Monitoring5 and TOCO transducer are displayed in "a+e display section. Detail instruction as ollo"ed. 1!1"tatus 2ar <'<Sound channel and +olume ,con< :G :0

<Sound ,con <Sound o ,con ,<The #o. o ./0 sound channel, it is , under single etal monitoring mode "hich is de aultH ,<,, selecta!le under t"ins monitoring mode, it can !e changed through the main menu. G<Dolume le+el, ranging rom 0)7, 0 stands or sound o . ,t can !e changed through the !uttons on the panel or set in the main menu. <=<Connection status o ultrasound transducer ,con<: :

,<Channel #o. o ultrasound transducer, there is only , under single monitoring mode, there are , and ,, under t"ins monitoring mode <#ormal connection o ultrasound transducer <$rror connection o ultrasound transducer <C<Connection Status o TOCO transducer <#ormal connection o TOCO transducer <$rror connection o TOCO transducer <D<.ree*e status <Sho"s current screen is ro*enH icon "ill disappear "hen un ro*en. <$<0ecorder status <:rinting <out o paper <.ailed to print

<.<'larm on>o status <'larm on <'larm o

1%1.ata "ection ./0 7 Data o 1ltrasound Transducer , < G)digit data, it is in green color under normal status, it "ill !e in red "hen alarm occursH it displays AIIIB "hen there is no data. ./0 2 Data o 1ltrasound Transducer ,,: this data "ill sho" in t"ins monitoring mode, the display ormat is the same "ith the ./0 7. TOCO data <Display the relati+e contraction data, ranging rom 0)700, it "ill !e 70 a ter 'uto Jero. .etal Mo+ement Data < Display .etal mo+ement num!ers, it "ill !e AIIIB a ter 'uto Jero. 1*1(ara&eter 2ar This section displays important setting parameters: it contains alarm on>o status < alarm upper limit<lo"er limit<alarm postpone time<print speed and print time. 131Indicate 2ar ,n this item, it includes system time<!ed #o.<gestational age and patient age. 141Wa5efo& .isplay "ection This section also !e di+ided into 2 sections, ./0 trend graph is displayed in the upper section, TOCO "a+e orm is displayed in lo"er section. ./07 Trend is in green< ./02 trend is in Kello"4only displayed in t"ins monitoring5<the normal range o the etal heart rate is 720)760!pm<"hich !e sho"ed in green on the screen. .etal mo+ement mar- ALB< alarm mar- < e+ent mar- AMB "ill also !e sho"ed in this section. *#!#4 2uttons There are se+eral !uttons o di erent unctions on the ront panel o etal monitor. The diagram is sho"ed as .igure G.8.

.igure G.8 =uttons 1!1 Menu 2utton

:ush Menu =utton to enter setup menu, push it again to return monitor screen. Chen operating in other menu, push this !utton to return this menu. Only turning -no! !utton can e(it "a+e re+ie" mode. Detailed operation please re er .igure G.2 1%1 Alar& 2utton

.unction: $na!le>Stop audio alarm "hen ./0 is in alarm range. Chen sym!ol appears, the alarm indicator status is shut o . :ress the !utton to ena!le audio alarm, the alarm indicator !ecomes situation, the alarm sound "ill !e gi+en out. 1*1 Auto -ero 2utton

, "hen ./0 is in alarm

.unction: Clear the screen, TOCO +alue !ac- to 70 unit, :ress this !utton to clear the screen and ad&ust the present TOCO contractions trace>+alue to re erence point 70 "hen in the status o monitoring, a ter pressing the AUTO - RO !utton, the sym!ol 6 7 "ill !e recorded at the trace.

131

(rint 2utton

.unction: $na!le>Disa!le printing. :ress (RINT !utton in normal situation, i it not "or-s, it !egins real)time printing :ress (RINT !utton in ro*en situation, it prints the "a+e orm on the screen. 141 8olu&e Control 2utton

9 8olu&e do:n 98olu&e up .unction: ad&ust the audio +olume o the .etal heart Sound. <6< 5ent 2utton

.unction: :ress this !utton to print an e+ent sym!ol on the screen trend igure at the corresponding time. , user "ant to mar- an e+ent on the trend igure, he>she could achie+e this !y pushing this !utton. <7< $ree'e 2utton

.unction: .ree*ing the screen. :ress the !utton to stop dra"ing and the screen !ecomes in ro*en status, press the !utton again to continue dra"ing. This operation "ill clear the screen. <2< /nob /ey 7 :ress the !utton to acti+ate the selected !utton, press it again to accept the con iguration. 2 To choose and ad&ust the parameters !y re+ol+ing the -no! -ey. 1;1 (aper Cabinet Open 2utton :ush this !utton or opening the paper ca!inet. 1!<1(ush7 = LC. "creen Rotation Loc0 .unction: :ush this !utton to unloc- the screen or rotation purpose. Note9 (lease loc0 the LC. "creen during transportation to a5oid any da&age of the &onitor# *#% "etup 1nder Main monitoring inter ace, :ress the Menu !utton or -no! -ey to enter setup mode, the diagram is sho"ed as .igure G.9

.igure G.9 Setup 0e+ol+ing -no! -ey to select di erent unction. The Corresponding unction and the ad&usta!le ranges are sho"ed in ta!leG.7. No ! % * 3 4 ? @ A ; !< !! Ta!le G.7 The setup unction and ad&usta!le ranges $unction Ad>ustable Ranges 'LM S$T4'larm Setup5 $nter 'larm Setup :'T S$T4:atient Setup5 $nter :atient Setup SKST$M S$T4System Setup5 $nter System Setup 0$D,$C4Ca+e orm 0e+ie"5 $nter Ca+e orm 0e+ie" :0,#T S$T4:rint Setup5 $nter :rint Setup MO#, TK:$4Monitor Mode5 Optional: single, t"ins the de ault is single etus L'#31'3$4Language Selection5 Optional: Chinese 4C/5, $nglish 4$#5, the de ault is $#. C/'##$L ,4'udio Channel , 'd&usta!le:7<7 and mute, Setup5 the de ault is G C/'##$L ,,4'udio Channel ,, 'd&usta!le:7<7 and mute, Setup5 the de ault is G C/'##$L4'udio Channel5 Optional: ,, ,,, etal heart audio come rom the selected channel. $N,T $(it main menu, !ac- to main inter ace

1!1Alar& "etup 0e+ol+ing the -no! -ey to enter alarm setup, the diagram is sho"ed as .igure G.6:

.igure G.6 'larm Setup 0e+ol+ing the -no! -ey to setup alarm unction. The Corresponding unction and the ad&usta!le ranges are sho"ed in the ta!leG.2: Ta!le G.2 The alarm setup unction and ad&usta!le ranges No ! % * 3 #ote: 1 Chen ./0 is in alarm situation, alarm indicator !ecomes red continuously, alarm "ill occur and an alarm sym!ol "ill appear on the screen. 1%1(atient "etup 0e+ol+ing the -no! -ey to enter patient setup, the diagram is sho"ed as .igure G.7: $unction ./0 'LM4./0 'larm5 Ad>ustable Range Optional: Turn on, shut o The de ault situation is alarm on. 'LM /,3/4./0 1pper Limit o Optional: lo"er limit o alarm)G70, the unit is 'larm5 =:M, and the de ault is 7@0 'LM LOC4./0 Lo"er Limit o Optional: high limit o alarm 0<./0, the unit is 'larm5 =:M, and the de ault is 770 'LM D$L'K4./0 'larm Delay5 Optional:0<60,the unit is second, and the de ault is G0 seconds

2 Chen ./0 e(ceeds the alarm limit and time e(ceed the set alarm delay time

.igure G.7 :atient Setup 0e+ol+ing the -no! -ey to setup patient unction. The Corresponding unction and the ad&usta!le ranges are sho"ed in the ta!leG.G: Ta!le G.G the patient setup unction and ad&usta!le ranges No ! % * 3 $unction #'M$4#ame5 '3$4'ge5 =$D #O.4=ed #o.5 :'T #O.4Case /istory #o.5 Ad>ustable Ranges Optional: 72 letter or numeral. The de ault is !lanOptional: numeral rom 7)700. The de ault is 29 Optional: numeral rom 7)700. The de ault is 7 Optional: 72 letter or numeral. The de ault is !lan-

4 ? @ A ; !< !! !% !* !3 !4

0OOM4Card #o.5 L$#3T/4Time o :regnancy5 =LOOD4=lood Type5 :'0T1S #1M4Times o 3i+ing =irth .$T'L #1M.4Ouantity o .etus5 :0$3#'#T #1M4Times o :regnancy5 C$,3/T4:atient?s Ceight5 /$,3/T4:atient?s /eight5 D$L$T$4Delete ,n ormation5 S'D$4Sa+e ,n ormation5 $(it

Optional: 9 letter or numeral. The de ault is !lanOptional: 7)700.The unit is "ee-. The de ault is 0 Optional: ', =, '=, O, and #4un-no"n5. The de ault is #. Optional: 0)20, the de ault is 0 Optional: 0)20, the de ault is 7 Optional: 0)20, the de ault is 7 2)290, inter+al<0.9;g,unit: ;g or :oundH the de ault +alue is 69;g 20)G00, inter+al < 0.9cm4inch5 < unit: cm or inchH the de ault +alue is 769cm Delete related patient in ormation Sa+e related patient in ormation, return to pre+ious menu 0eturn to pre+ious menu

#ote: Chen ad&usta!le range is letter or num!er, numeral and letter -ey "ill turn on automatically a ter entering the setup, in "hich: S:: Space !ar C':S: Capital letters locO;: Setup inished, e(it -ey!oard output mode D$L: Delete, delete one selected letter or num!er a ter each push. The main inter ace prompt !o( "ill sho" the patient?s data rene"al a ter sa+e the patient?s data. 1*1"yste& "etup 0e+ol+ing the -no! -ey to enter system setup, the diagram is sho"ed as .igure G.2:

.igure G.2 System Setup Ti&e "etup 0e+ol+ing the -no! -ey to enter time setup, the diagram is sho"ed as .igure G.@:

.igure G.@ Time Setup 0e+ol+ing the -no! -ey to enter time setup unction. The Corresponding unction and the

ad&usta!le ranges are sho"ed in the ta!leG.8: Ta!le G.8 The time setup unction No ! % * 3 4 ? @ A $unction K$'0 MO#T/ D'K /O10 M,#1T$ S$CO#D S'D$ S$T4Sa+e5 $N,T4$(it5 Ad>ustable Ranges Optional:2009<20G6 Optional:7<72 Optional:7<G7 Optional:0<2G Optional:0<9@ Optional:0<9@ Sa+e setup and return to pre+ious menu $(it to pre+ious menu

NOT 9 The main inter ace prompt !o( "ill sho" the time rene"al a ter sa+e the time setting. 1N T NO# Be used for connecting with central monitoring system. 1"yste& Update This de+ice supports system update ser+ice. ,n system setup menu, re+ol+ing the -no! -ey to enter System update. #ote: :lease enter pass"ord under the item A1S0 ;$KB !e ore clic- ACO#.,0MB. This pass"ord is pro+ided !y manu acturer or distri!utor "hen Contec add ne" unction to upgrade the system. <8ersion 0e+ol+ing the -no! -ey to enter System setup, choose +ersion item and push the -no! -ey to see the e%uipment +ersion 131Wa5e re5ie: Choose the C'D$ 0$D,$C in the setup menu to enter "a+e re+ie", and press C'D$ 0$D,$C in this item to re+ie" the history "a+e, "hich is sho"ed as .igure G.70

P
.igure G.70 0e+ie" Select lright 4le t or right5, or re+ol+e the -no! -ey to +ie" monitoring "a+e in di erent time, the end time or the current monitoring "a+e is sho"ed at the do"n right corner in the sho" area. The "a+e orm could !e re+ie"ed or t"el+e hours as the longest. 141(rint "etup 0e+ol+ing the -no! -ey to enter print setup, the diagram is sho"ed as .igure G.77:

.igure G.77:rint Setup 0e+ol+ing the -no! -ey to setup print unction. The Corresponding unction and the ad&usta!le ranges are sho"ed in the ta!leG.9: Ta!le G.9 The print setup unction and ad&usta!le ranges No $unction Ad>ustable Range ! S:$$D4:rint 7cm>min, 2cm>min, and Gcm>min. The de ault +alue is Gcm>min. Speed5 % L$#3T/4:rint 0<284hours5 ,the inter+al is 70 minutes. Length5 The de ault +alue is G0 minutes. @* ='S$L,#$4=aselin 'd&usta!le:)70QR70, the inter+al is 7, the de ault +alue is0. e o set5 3 ='S$L,#$ :0,#T :rint the ladder) rom testing "a+e. 4 :':$04Selection o :lease select it !et"een 'merican standard printing paper and printing paper type5 $urope standard printing paper. ? $N,T 0eturn to the upper menu. 3 Installation Note9 To ensure that the monitor "or-s properlyB please read this chapter and Chapter ! "afety Guidance. 'nd ollo" the steps !e ore using the monitor. 3#! Open the (ac0age and Chec0 Open the pac-age and ta-e out the monitor and accessories care ully. :ut the monitor at sa e and relia!le place. Chec- the components according to the pac-ing list. Chec- or any mechanical damage. Chec- all the ca!le, and accessories. , there is any pro!lem, contact us or your local distri!utor immediately. 3#% Connect the (o:er Cable Ma-e sure the 'C po"er supply o the monitor complies "ith the ollo"ing speci ication: 700D)280'D, 90>60/*. Consider the local po"er supply range, i the po"er supply o the monitor e(ceeds the range, please add regulator e%uipment. 'pply the po"er soc-et o the monitor. :lug one end o the po"er ca!le to the po"er soc-et o the monitor. Connect the other end o the po"er ca!le to a grounded G)phase po"er output special or hospital usage. Connect the ground "ire i necessary.

8.G Connect :ith Net:or0

, the net"or- has !een ready, insert the net"or- ca!le into the 0E89 inter ace o the monitor. 3#3 $eeding (aper and Re&o5ing (aper Ca& , the paper is used up or paper &am happens, you ha+e to eed paper into the recorder, the operation procedure is as ollo"s: 1 Open the paper ca!inet the le t and the ace o the paper do"n"ard. :lease re er to Apaper installation noteB on the !ottom o the ca!inet. 3 4 .eed the record paper into the slot o the recorder and push out orm the middle o the notch. Close the paper ca!inet properly.

2 Ta-e out the AJB type thermal sensiti+e paper rom the "rapper. :ut the green sa ety !and to

Re&o5ing (aper Ca& Chen the recorder sounds or the output o the paper improper, open the paper ca!inet to chec- or a paper &am, then eed the paper again. Note9 Only use the &anufacturer appro5ed paper to a5oid poor printing DualityB deflectionB or paper >a&#

3#4 (o:er on the Monitor WARNING9 If any sign of da&age is detectedB do not use it on any patient# Contact bio&edical engineer in the hospital or our ser5ice engineer i&&ediately# Turn on the po"er, and the po"er indicator lights, the monitoring screen lights. NOT 9 There "ill !e initiali*ation time or some seconds a ter turn on the monitor to the monitoring screen sho"s data, and the system "ill enter normal monitoring a ter sel )test.

3#? Connect Transducers Connect all the necessary transducers, and ca!les !et"een the monitor and the patient. Note9 please pay attention to the direction "hen connecting transducer4s5, the arro" mar- in the

connector should head up"ard.

4# Monitoring 4#! Operation (rocedure 1ltrasound Transducer and TOCO Transducer :ositioning sho"ed as .igure 9.7

.igure 9.7 1ltrasound Transducer S TOCO Transducer :ositioning 4#!#! Ultrasound Monitoring of $,R 1ltrasound monitoring can !e used or antepartum monitoringH it is a method to o!tain ./0 through maternal a!dominal "all. :ut the ./0 transducer on maternal a!domen to transmit lo"er energy ultrasound "a+e to etal heart, then recei+e the echo signal rom it. Operation (rocedure9

:reparing the Monitor Turn the monitor on and +eri y that the normal monitoring screen appears on the display. Chec- the ultrasound transducer to +eri y proper attachment to the monitor. .or t"ins monitoring, ma-e sure the second ultrasound transducer i properly connected. Set the current heart rate channel to channel 1S7B and ad&ust ./07 +olume "ell. 'ttach the !uc-le o the ultrasound transducer to the !elt. 'pply a%uasonic coupling gel to the ace o the transducer. 2 'c%uiring the .etal /eart Signal Determine the location o the etal heart using palpation or a etoscope. :lace the ultrasound transducer on the a!domen o+er etal site and mo+e it slo"ly until the characteristic hoo )!eat sound o the etal heart is heard. 'nd then i( up the ultrasound transducer. The elasticity o !elt can !e ad&usted, "hich ma-e the patient monitored in the com orta!le situation, and the etal heart rate +alue "ill !e sho"n on the screen. 't the same time, the ultrasound "a+e "ill !e dra"n in green color on the screen. G 'c%uiring T"ins? /eart 0ates Signal CMS2003 is a!le to monitoring t"ins? heart rates through t"o ultrasound transducers during the "hole pregnant time. .ollo" the stepmentioned a!o+e to ac%uire the heart rate or the irst etus. Set the current heart rate channel to 1S2, and ad&ust ./02 +olume "ell so that the second heart sounds can !e heard

Determine the location o the second etal signal using palpation or a etoscope. 'ttach the !uc-le o the ultrasound transducer to the !elt. 'pply a%uasonic coupling gel to the ace o the transducer. :lace the second ultrasound transducer on the a!domen o+er etal site and mo+e it slo"ly until the characteristic hoo )!eat sound o the etal heart is heard. The etal heart rate +alue ./02 "ill !e sho"n on the screen. 't the same time, the ultrasound "a+e "ill !e dra"n in yello" color on the screen. CAUTION9 .o not &ista0e the higher &aternal heart rate for fetal heart rate . 8 Monitor 'd&ustments: 'd&ust the position o ultrasound scanner according to the need. There is only one etal heart sound can !e heard rom the spea-er, change it !y selecting di erent channel o etal heart sound 4the irst sound channel or ./07, and the second sound channel or ./025 0ead&ust the +olume setting or the desired loudness. Note9 The ultrasound transducer &easures the $,RE the &isuse of it :ill be result in :rong &easure&ent or &isunderstanding of it# "o it reDuires the doctor pay attention to it9 The best Duality records :ill only be obtained if the transducer is placed in the opti&u& position# (ositions :ith strong placental sounds Fs:ishingG or fetal cord pulse Findistinct pulse at fetal rateG should be a5oided# If the fetus is in the cephalic position and the &other is supineB the clearest heart sound :ill nor&ally be found on the &idline belo: the u&bilicus# .uring &onitoring prolonged lying in the supine position should be a5oided o:ing to the possibility of supine hypotension# "itting up or lateral positions are preferable and &ay be &ore co&fortable to the &other# It is not possible to $,R unless an audible fetal heart signal is present# The fetal pulse can be distinguished fro& the &aternal pulse by feeling the &otherHs pulse during the e)a&ination# .uring the &onitoringB the doctor should obser5e the &onitor screenB if the screen brea0 off freDuentlyB the position of the ultrasound transducer &ay had out of proper position due to the &o5ing of the fetus# .uring the &onitoringB if the $,R can be heard :ithout steadily sound of the fetal heartB it &ay not proper positions# "o &o5e it slo:ly until the proper position is found# 2ut if it is not foundB the doctor should do other e)a&inationB to obser5e if the fetus is nor&al# 4#!#% Monitoring Contractions Operation (rocedure9 7 :reparing the Monitor Turn the monitor on and +eri y that the normal monitoring screen appears on the display. ,nsert the TOCO Transducer into the soc-et.

'c%uiring 1terine Contraction Data

.i( the transducer. The transducer is retained on the midline hal )"ay !et"een the mother?s undus and the um!ilicus. The position is sho"n as igure9.7 The display o e(ternal pressure is sho"n as a percentage T o ull scale. The uterine acti+ity reading at this point should !e greater than G0 units and less than @0 units. , the reading alls outside this range, the !elt may !e too tight or too loose.

Jero can !e set more %uic-ly !y pressing the AUTO - RO !utton on the ront panel, pro+ided the mother is not e(periencing a contraction. The de ault contraction data "ill !e 70T a ter press the '1TO J$0O !utton. Caution9 1nder no circumstances are transducers to !e used to monitor patients under "ater. Note9 Do not use coupling gel on the TOCO transducer or transducer contact area. Chec- the unction !y TOCO transducer, and o!ser+e the change o rele+ant +alue.

4#!#* 5ent Mar0er Recording of $etal Mo5e&ent The e+ent mar-er is a hand)held s"itch the mother ta-es. Chen ./0 is monitored, she operates the hand)held e+ent mar-er press)s"itch "hen sensing etal mo+ement. 't the moment, the marAB "ill sho" in the correspond position o trend "a+e. The count o etal mo+ement "ill add 7 a ter each push o the !utton. :ush the !utton and hold or one second then release or counting one etal mo+ement, the etal mo+ement "ill !e only counted once i the !utton is pushed more than one time during 9 seconds. 'nd the mar- "ill sho" in the !ottom area o ./0 "a+e display section. 4#% (rint Operation 1!12aseline Ad>ust&ent Chen start the monitor, recorder "ill print the !aseline automatically, please chec- i the !ase line snap to grid o the paper. , the !aseline "a+e has some "arp "ith the paper grid, operator can ad&ust the !aseline !y the !aseline ad&ustment in main menu. 0ecorder "ill stand!y a ter printing !aseline. Operator could choose !aseline test unction in the print setup menu to test !aseline at any time. 1%1Real Ti&e (rint :ush print !utton under monitoring and recorder stand!y status to print real time "a+e, the print icon is <push th e print !utton to stop the printing process "hen recorder is printing. 1*1Recall (rint 1se -no" -ey to select "a+e to print in "a+e re+ie" status, and then push print !utton to print the selected "a+e. 131$ree'e (rint :ush print !utton in ree*e status to print the "a+e displayed in screen. 141(rint Content

The print output content contains: =$D #O. < #'M$ < C$$;S < :'T,$#T #O. < ./07 trend <./02 trend<T"ins Monitoring<<TOCO "a+e<print speed<date<time. ,t also contains other icons li-e<auto *ero mar- <alarm mar- <.MOD mar- ALB<e+ent marAMB etc. Note1 :hen paper is used outB printing :ill stopB and the data :ill be sa5ed in &e&oryB :hen paper reloadedB operator can use :a5e re5ie: function to print the sa5ed data# the &onitor has the function of !%Ihour :a5e storageB re5ie: and print# Record :ill not sa5ed :hen &onitor is turned off# To ensure print preciselyB reco&&end to print and ad>ust the baseline :hen paper is loaded # if the paper co&ing out fro& the notch in deflection :ay :hen printingB the data &ay be not precise or paper >a& :ill occurB operator should stop printing and reload paper# 1 (lease set all print para&eters :ell before printingB and do not try to change the setup in the process of printing#

4#* Operation After Monitoring 0emo+e transducers rom patient. Cipe transducer "ith a so t cloth to remo+e remaining ultrasound coupling gel. Tear the paper at the olding place. S"itch o the po"er o monitor.

MaintenanceB Care and Cleaning

To ensure that the monitor "or-s properly, please read the manual and operation procedure as "ell as the maintenance !e ore using the monitor, and operate it as re%uested.

?#! (re5enti5e Maintenance F!G 8isual Inspection The user must chec- that the e%uipment, ca!les and transducers do not ha+e +isi!le e+idence o damage that may a ect patient sa ety or monitoring capa!ility !e ore use. The recommended inspection inter+al is once per "ee- or less. , damage is e+ident, replacement is recommended !e ore use. F%G Routine Inspection The e%uipment should undergo periodic sa ety testing to insure proper patient isolation rom lea-age currents. This should include lea-age current measurement and insulation testing. The recommended testing inter+al is once a year or as speci ied in the institution?s test and inspection protocol.

F*G Mechanical Inspection Ma-e sure all e(posed scre"s are tight. Ma-e sure all models and connector are in proper positions. Chec- the e(ternal ca!les or splitsH crac-s or signs o t"isting replace any ca!le that sho"s serious damage.

WARNING9 $ailure on the part of the responsible indi5idual hospital or institution e&ploying the use of this eDuip&ent to i&ple&ent a satisfactory &aintenance schedule &ay cause undue eDuip&ent failure and possible health ha'ards#

?#% Care and Cleaning of Monitor ;eep the e(terior sur ace o the monitor clean and ree o dirt.

0egular cleaning o the monitor casing and the screen is strongly recommended. 1se only non) caustic detergents such as soap and "ater to clean the monitor casing. Ta-e e(tra care "hen cleaning the display sur ace. These are more sensiti+e to rough handling, scratches and !rea-age than the other e(ternal sur ace o the monitor. 1se dry, and so t cloth to "ipe.

WARNING9 Unplug the &onitor fro& the AC po:er source and detach all accessories before cleaning# .o not i&&erse the unit in :ater or allo: liDuids to enter the casing# CAUTION9 1 2 3 4 5 Many cleaners must !e diluted !e ore use. .ollo" the manu acturer?s direction care ully to a+oid damaging the monitor. Do not use strong sol+ent, or e(ample, acetone. Do not remain any cleaning solution on the sur ace o the monitor. The monitor sur ace can !e cleaned "ith hospital)grade ethanol and dried in air or "ith crisp and clean cloth. The manu acturer has no responsi!ility or the e ecti+eness o controlling in ectious disease using these chemical agents. :lease contact in ectious disease e(perts in your hospital or details.

?#* Care and Cleaning of Transducer 1!1 Maintenance 1sually, the transducer should -eep clean and maintain in dry en+ironment, "here the temperature should !e lo"er than 89 degrees. 3el must !e "iped rom the ultrasound transducer a ter use. These precautions "ill prolong the li e o the transducer.

'lthough transducers are designed or dura!ility, they should !e handled "ith care. 0ough handling could damage the co+er, pie*oelectric crystals and mechanical mo+ement. The co+er is made o a so t plastic, and contact "ith hard or sharp o!&ects should !e a+oided. Do not e(cessi+ely le( the ca!les.

WARNING9 Under no circu&stance are transducers to be used to &onitor patients under :ater# CAUTION9 2e sure that the cleaning solution and transducers do not e)ceed a te&perature of 34 degrees# 1%1Cleaning of Ultrasound TransducerB TOCO Transducer and Re&ote Mar0er#

7 Cipe the transducer "ith a cloth. 2 Clean the transducer "ith a cloth soa-ed in a solution o soap and "ater, or a cleaning
solution. Do not immerse the transducer in the solution. Or a cloth soa-ed in a solution o 70T ethanol to clean the transducer. Chen using a cleaning solution, ollo" the manu acturer?s directions care ully to a+oid damaging the transducer.

G Cipe the transducer "ith a cloth soa-ed in "ater. 8 Cipe the remained humidity "ith clean and dried cloth.
?#3 Care of Recorder and (aper Note9 (lease do not use paper not reco&&ended by CONT C or :e :ill not :arrant to repair if any da&age occurs# Chen storing recorder paper 4including used paper "ith traces5: Do not store in plastic en+elopes. Do not lea+e e(posed to direct sunlight or ultra+iolet light. Do not e(ceed a storage temperature o 800C. Do not e(ceed a humidity o 20T. Storage conditions outside these limits may distort the paper and ad+ersely a ect the accuracy o grid lines or ma-e the trace unreada!le.

?#4 Cleaning of 2elt Wash soiled belts :ith soap and :ater# The :ater te&perature &ust not e)ceed ?< <C#

?#? "terili'ation To a+oid e(tended damage to the e%uipment, sterili*ation is only recommended "hen stipulated as necessary in the hospital maintenance schedule. Sterili*ation acilities should !e cleaned irst.

The sterili*ation the manu acturer recommended to cleaning the monitor and accessories are ethanol and 'cetaldehyde. CAUTION9 To a5oid da&aging the &onitor9 1 2 3 4 5 .ollo" the manu acturer?s instruction to dilute the solution, or adopt the lo"est possi!le density. Do not let li%uid enter the monitor. #o part o this monitor can !e su!&ected to immersion in li%uid. Do not pour li%uid onto the monitor during sterili*ation. Cipe the de+ice "ith a clean moistened cloth to remo+e any remaining sterilant.

?#@ .isinfection To a+oid e(tended damage to the e%uipment, disin ect ion is only recommended "hen stipulated as necessary in the hospital maintenance schedule. Disin ections acilities should !e cleaned irst. CAUTION9 .ollo" the manu acturer?s instruction to dilute the solution. Do not use !leaching po"der containing chloros on any parts o the monitor. gassing< ormaldehyde process Do not disin ect the monitor and it?s accessories "ith autocla+e< or radiation. Chec- care ully a ter cleaning, sterili*ation, or disin ect ion o monitor and accessories. , aging and damage are ound, please do not use them to monitor. Note: The manu acturer has no responsi!ility or the e ecti+eness o controlling in ectious disease using these chemical agents. :lease contact in ectious disease e(perts in your hospital or details. @ Warranties The manu acturer "arrants that the .etal Monitor "e sell is ree rom de ects in material and "or-manship. ,n the status o normal operation and maintenance, i the manu acturer recei+es notice o such de ects during the "arranty period that !egins on the date o shipment, the manu acturer shall, at its options, either repair or replace hard"are products that pro+e to !e de ecti+e. The unit is guaranteed or periods o 72 months, +alid rom the date o purchase. The manu acturer also pro+ides long)term repair ser+ice or our clients. The manu acturer?s o!ligations or lia!ility under this "arranty does not include any transportation or other charges or lia!ility or direct, indirect or conse%uential damages or delay resulting rom the ollo"ing conditions. The ollo"ing conditions are not included in the "arranty: 7 2 G 'ssem!ly operation, e(tensions, re)ad&ustments are carried out !y the importer. 'pplication o the products or repaired !y anyone other than the manu acturer authori*ed representati+e. This "arranty shall not e(tend to any instrument that has !een damaged su!&ected to misuse,

negligence or accident. 8 9 This "arranty shall not e(tend to any instrument rom "hich the manu acturer?s original serial num!er tag or product identi ication mar-ing ha+e !een altered or remo+ed. The product "ere operated and used not properly.

Attach&ent ! (roduct "pecification A!#! Monitor (hysical Characteristics Si*e: G20 4length5 U 260 4"idth5 U 20 4height5 mm Ceight: a!out G.2 ;g "ecurity9 The Monitor o!ey the ollo"ing norms and standards: ,$C 60607)7)8<,$C 60607)7)2 'nti)shoc- types: .acilities ,, no internal po"er supply 'nti)electric Shoc- Degree: = Degree o protection against /arm ul ,ngress o Cater: Moderate e%uipment and do not ha+e the a!ility to "aterproo immersion Degree o Sa ety in :resence o .lamma!le 3ases: not suita!le or use in presence o lamma!le gases $lectromagnetic Compati!ility: 3roup Class ' Mode: continuous "or(o:er "upply Cor-ing Doltage: 'C 700D Q 280D .re%uency: 90/*>60/* :<60D' .use: T7.6'L n5iron&ent Transport and storage Temperature: )70 FC Q99 FC 0elati+e /umidity: V @GT 'tmospheric pressure: 70-:a Q 706-:a Wor0ing en5iron&ent Temperature: 9 FCQ 80 FC 0elati+e /umidity: V 20T 'tmospheric pressure: 70-:a Q 706-:a .isplay Dimensions: 2.8 Wcolor LCD display, olding 60 degree Display Content: !ed #o. , pregnancy age, age, single>t"ins type, paper speed, date, time , +olume, alarm status, transducer connection status, recorder status, ./0 data and "a+e, Contraction data and "a+e, .etal mo+e times and mar- etc. (rint9 0ecord :aper t"o)dou!le type J :rint Cidth: 772mm Dalid :rint Cidth: 708mm :aper output speed: 7cm>min<2cm>min<Gcm>min4optional5 Data :recision: 9<<N 0oll<<X7<<K 0oll<

0ecord Content: !ed #o. ,name, pregnancy age, single>t"ins type, case #o., paper speed, date, time , ./0 data and "a+e, Contraction data and "a+e, .etal mo+e times and maretc. "ignal Interface: 0E 89 Ultrasound probe: #ominal .re%uency: 7.0M/* Cor- .re%uency: 7.0M/*X70< #egati+e pea- sound pressure : P_<7M:a Output !eam intensity : Io!<20mC>cm The pea- time space pea- intensity: Ispta<700mC>cm The a+erage time space pea- intensity: Ispta<70mC>cm ./0 0ang: 69=:M<270=:M<'llo" error: "ithin X2!pm 0esolution: 7=:M 'ccuracy : X2< TOCO TOCO range: 0<700< 0esolution: 7< #onlinear error: <X70< 0J "ay: Manually $etal Mar0ing .or the manual !utton 4the operation o pregnant "omen5, there "ill !e a mar- display in the !ottom area o ./0 "a+e display section. $,R Alar&9 'larm or high and lo" ./0, "hich e(ceeds appointed limit.
2< < 2< < 2< <

A !#% Transducers 475 1ltrasonic Transducer System: :ulsed Doppler Dimension: @0mm U 69mm 425 TOCO Transducer System: :assi+e Straingauge Dimension: 702mm U 90mm 4G5 0emote Mar-er Length: G.2m Attach&ent % Troubleshooting Note9 If trouble occurs during operationB e)a&ine the product by the follo:ing :ays# If it not :or0sB please contact the local distributor or &anufacturerE do not open the &achine by the user#

! The screen not display Shut o the po"erH pull out the po"er cord, to chec- the electrical current goes through the soc-et, and the po"er cord connects "ith the e%uipment properly. To chec- the use, i it is melt do"n, change the use.

% Noises "y&pto& #oise (ossible Cause Too high +olume sets ,nter ered !y handset inter ering source or other "olution 'd&ust the +olume do"n ;eep the handset or inter ering source ar a"ay other

* Recorder rrors "y&pto& :aper &am 0ecorder does not "or(ossible Cause Crong eeding paper or paper is a ected "ith damp (RINT !utton is disa!led Out o paper Eust push print !utton, the printing o last line not inished. "olution .eed paper correctly and -eep paper rom moist :ress the (RINT !utton again .eed paper Caiting until it is inished.

3 Ultrasound Monitoring of $,R "y&pto& ,nconstant trace ,nconstant display (ossible Cause Crong ./0 The pregnant "oman is too at ,mproper ultrasound transducer position Loose a!domen !elt Super luous coupling gel .etal mo+ement Maternal mo+ement ,nade%uate coupling gel Dou!t ul ./0 0ecord .etal heart rate "rongly The ultrasound transducer is not placed "ell on the a!domen, and the mi(ed noise has !een recorded ,mproper paper #o #o Change the position ultrasound transducer Tighten a!domen !elt Cipe o super luous coupling gel Cait or a moment then monitor 0ela( patient?s spirit 1se recommended coupling gel %uantity Change the position o ultrasound transducer Change the position o ultrasound transducer 1se the paper recommended !y manu acturer o "olution

.eint trace or no trace

4 Monitoring Contractions F )ternalG "y&pto& Corse trace %uality or luctuant TOCO !aseline (ossible Cause Too tight or too loose a!domen !elt or no elasticity "olution $nsure the a!domen !elt has !een used accurately and neither too tight, nor too loose

Maternal Mo+ement .etal Mo+ement Too high TOCO sensiti+ity 4higher than 700 unit5 The !ody pressure rom uterus to TOCO transducer is ar higher than the a+erage +alue.

0ela( patient?s spirit Cait or a moment then monitor ,nsure a+ora!le contact or patient s-in "ith TOCO transducer. Change the position o TOCO transducer, i necessary.

Attach&ent * Monitoring $igure

CONTEC MEDICAL SYSTEMS CO., LTD

A ress:!2"1 #e$%s&a$ Roa ' (i$&ua$% ao E)o$o*i) +e)&$i)al De,elo-*e$t .o$e' #e/ei 0ro,i$)e' 0RC +el: 182"334"8014533 Fa6: 182"334"8014532 E"*ail: )*s7)o$te)*e .)o*.)$ 8e/site: &tt-://999.)o$te)*e .)o*.)$

EC REPRESENTATIVE S&a$%&ai :$ter$atio$al #ol i$% Cor-. ;*/# <Euro-e=

A ress: Ei>>estrasse 80' D"20437' #a*/ur%' ;er*a$y +el: 59"50"2413174 Fa6: 59"50"244722 E"*ail: s&&ol i$%7&ot*ail.)o*

File No.: CMS2.782.029ESS/1.0 File Ver.: 1.0 Release Date: July .2007