Outline

This product is designed to simulate various antenatal and intrapartum, normal and abnormal electronic fetal monitoring (EFM) patterns clinically to enhance EFM pattern recognition skills of users in a safe and repeatable training environment. This aims to accelerate their response and management speed when facing real-life emergencies with patients, thereby reducing the occurrence of adverse events such as neonatal seizures and cerebral palsy, effectively ensuring the safety of mother and baby during the perinatal period.

Skill Gained

? Operation of FHR monitoring equipment

? Dynamic interpretation of FHR monitoring data

? Analysis and assessment of patient’s condition

? Critical alarm response

? Clinical decision-making

Features

Patient Monitor Simulator

1. Realistic Appearance & Comprehensive Ports

1) Design: Features a high-fidelity replica of a real FHR monitor, complete with a touchscreen for clear display of waveforms and parameters, ensuring intuitive and convenient operation.

2) Standard Ports: Equipped with 3 standard functional ports on the side, identical to real monitors in their connection methods. Compatible accessories include:

--2 FHR probes and 1 TOCO probe with disconnection detection, triggering an “FH1/FHR2/UA not connected!” prompt

2. Physical Keys & Core Functions

1) On/off Key: Press it to start the monitor; at the startup state, press and hold it to close.

2) Help Key: Allowing for settings-network, hotspots, printer, language, and about.

3) Alarm Mute Key: Instantly silences all active alarms with one press, press again to resume.

4) Home Key: Return to the main interface.

5) Back Key: Return to the previous interface.

6) Navigation Knob: Features a smooth, endless rotation design (clockwise/counter-clockwise) for selecting on-screen functions. Pressing the knob confirms and executes the selected action.

3. Screen Functions & System Configuration
1) Patient Info: Centrally displays maternal information (Gestational weeks and Age), device connection status, time, and battery level.

2) Parameter Options: FHR1, FHR2, and UA values.

3) Waveform: Fetal heart rates and contraction waveforms.

4) Progress Settings: Allows learners to pause the current waveform and data, tapping “Pause/Run” icon again makes the waveform quickly transition to the latest view.

5) Data Review:

--Provides trend review for parameters including FHR1, FHR2, UA. Selectable time windows: 12, 18, 36 minutes.

6) Alarm Management:

--Allows personalized alarm configuration (status, range, volume) for parameters: FHR1, FHR2, UA.

--Alarms are triggered when monitored data exceeds the set limits.

4. Extensions & Connectivity

1) Display Extension: Supports HDMI output to mirror the screen content to a larger display.

2) Data Output: Can connect to a printer for direct printing of FHR and contraction waveforms. Feed speed can be set according to regional standards or customary practice (3, 2, 1 cm/min).

3) Quick Connection: Offers three convenient methods to connect the smart control station to the simulator:

--Connection via Wi-Fi network.

--Connection via the hotspot created by the simulated patient monitor.

--Direct connection by scanning the QR code displayed on the simulated patient monitor screen.

Lite Control Software

1. The instructor station offers a choice between three modes: Patient Mode, Case Mode, and Standalone Mode.

? Patient Mode: Includes default patient profiles with age, height, weight, gestational weeks, and profile photo for the following categories: prime maternal age, advanced maternal age.

? Case Mode: Includes 20 cases, each displaying the case name, patient information (name, age, gender, height, weight, gestational weeks, profile photo), case description, and initial fetal monitoring parameters.

? Standalone Mode: Enables quick setting of FHR1, FHR2, UA parameter values.

--FHR1&2: FHR, FHR baseline waveform, fetal heart acceleration/deceleration waveform, amplitude value, amplitude change, duration, interval time.

--UA: Uterine contraction waveform, intermittent phase of uterine contraction waveform, uterine contraction interval, intrauterine pressure, uterine contraction duration, intrauterine resting pressure, noise.

Functions Available in Patient Mode and Case Mode

1) Dynamic Condition Simulation

During a running case, instructor can activate different physiological states to simulate changes in the patient's condition. Complications can also be quickly added to achieve immediate adjustments to the patient's status.

2) Teaching Evaluation System

Instructor can record and evaluate learner actions within the “Intervention” module. Learner or team names can be added in the personnel management section for targeted recording and assessment, allowing for evaluation based on specific actions under different intervention methods.

Instructors can also quickly log and evaluate learner performance using icon-based notation.

3) Quick Assessment of Key Procedures

The system provides defibrillation, pacing, and CPR quick-assessment buttons to help instructor evaluate critical actions in real time:

          --Defibrillation: Supports evaluation of defibrillation mode and energy.

          --Pacing: Supports evaluation of pacing rate and current.

          --CPR: Supports evaluation of patient response check, compression depth, compression position, chest recoil, compression frequency, compression interruption, airway opening, tidal volume, and ventilation duration.

4) Auscultation and Voice Simulation

The system includes built-in common heart sounds, breath sounds, bowel sounds, and voices, allowing instructor to simulate changes in auscultatory signs and achieve voice interaction with learners.

Functions Available in Patient Mode, Case Mode, and Standalone Mode

1)      Real-time Data Adjustment and Alarm Settings

During a running case, 7 kinds of FHR1&FHR2 parameter values can be adjusted in real time. Parameters can be set to change immediately or to transition gradually to the target value after a set delay. Custom alarm ranges can be defined, and all adjustments are synchronized between the control interface and the patient monitor display.

2) Simulated Device Connection and Detection

The system allows for the simulation of lead wire “disconnection”. When disconnected, the patient monitor displays a corresponding prompt, upon correct reconnection, the waveform automatically restores. All status changes are synchronized in real time to the patient monitor.

3) Case Speed Adjustment

Offers multiple speed options, including 0.5x, 1x, 2x, 4x, and 10x, allowing adjustment of the case progression pace according to teaching needs.

4) Operation Recording and Teaching Data Save

The system automatically logs all instructor actions during operation, generating detailed logs for post-session review and debriefing.

Instructor can capture key teaching moments by taking screenshots of significant data waveforms and monitoring data.

5) Device Settings

During case running, the FHR2 waveform can be optionally displayed. The display of monitoring parameters including FHR1, FHR2, and UA waveforms can be set individually.

2. Resource Management

The resource management integrates three core modules for comprehensive training customization: Complications Management, Case Management, and CTG Waveform Management.

·The Complication Management features 3 special conditions, including arrested labor, shoulder dystocia, and nuchal cord, while enabling instructor to create custom complications.

--Custom complications can be created by configuring UA, FHR1 waveforms, complication names, expected interventions, sounds and descriptions. The option to select the FHR2 waveform is available. All waveforms can be previewed.

·The Case Management offers 20 ready-to-use cases enabling keyword search, cloud-based case import, and permits creation/deletion of cases with sortable case lists by usage timestamp.

--When creating a new case, editable information includes case information (case name, department, patient type) and patient information (patient name, age, height, weight, gestational week, case description). It also allows adding system-preset or custom monitoring parameters and complications.

·The CTG Waveform Management features 4 kinds of waveforms including pre-set FHR Baseline Waveform (5), Fetal heart acceleration/deceleration Waveform (28 basic waveforms+6 combined random waveforms), Uterine Contraction Waveform (25 basic waveforms+9 combined random waveforms), Intermittent Phase of Uterine Contraction Waveform (3 basic waveforms+2 combined random waveforms).

--Supporting the creation, modification and deletion of custom waveforms based on preset waveforms.

--For these 4 kinds of custom-created waveforms, instructor can edit them by dragging the control points.

--About custom-created Fetal Heart Acceleration/Deceleration Waveform, instructor can set the relationship between FHR and UC: No FHR/UC Correction, Synchronous, FHR Later than UC.