GE Novii Clinical Application Manual

GE Novii Clinical Application Manual

Wireless patch system

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Novii
Wireless
Patch System
Clinical Application Guide
gehealthcare.com
1

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Summary of Contents for GE Novii

  • Page 1 Novii Wireless ™ Patch System Clinical Application Guide gehealthcare.com...
  • Page 3: Table Of Contents

    Before Placing Novii Patch ........
  • Page 4: Introduction

    CTG Fetal monitor. The Novii Interface enables signals collected by the Novii Pod to be printed and displayed on a CTG Fetal Monitor and sent on to a central network, if connected. The Novii Pod maternal-fetal monitor and its accessories...
  • Page 5: Device Components

    COM Port [Service Use Only] UA/TOCO MECG FECG *Varies per use depending on Bluetooth range ** Disclaimer: Novii works well in shower with splashing, but Bluetooth signal cannot transmit and all signals will be lost if Pod is submerged under water in a tub.
  • Page 6: Novii Patch

    • May reinforce electrodes with medical tape or transparent adhesive dressing Pod positioned correctly in Pod Clip *Disclaimer: Novii works well in shower with splashing, but Bluetooth signal cannot transmit and all signals will be lost if Pod is submerged under water in a tub.
  • Page 7: How Novii Works

    TOCO Novii processes the EMG signals from the myometrium and coverts them in to the typical bell shaped curve contractions. Novii is able to distinguish between smooth and striated muscle activity, therefore pushing, coughing, vomiting, and fetal kicks will not be reflected on Novii UA.
  • Page 8: Applying The Novii Patch

    Applying the Novii Patch The Novii Patch is Latex Place the Novii Patch before Free, however ask if connecting Novii Interface the patient has any to fetal monitor, to allow other allergies or skin gel time to absorb in to sensitivities that might skin.
  • Page 9: Applying Electrodes/Skin Preparation

    Applying Electrodes/Skin Preparation Focusing on the area of skin Lift up one of the electrodes below black foam, use skin around Pod Clip and remove prep tape to exfoliate (remove the protective cover. (Do not dead skin cells). Use one piece exfoliate skin under center of 1”...
  • Page 10: Avoiding Skin Redness/Reaction

    Avoiding Skin Redness/Reaction Application of electrodes on patients may result in some skin irritation or redness upon removal, but usually subsides within 24 hours and will leave no permanent marks. Correct removal will reduce skin 10 minutes after Patch removal 6 hours after Patch removal 24 hours after Patch removal irritation: Gently peel electrode...
  • Page 11: Novii Interface Connection

    MECG FECG fECG Interface Connection Cable mECG Interface Connection Cable UA Interface Connection Cable Power Supply Cable Y Adapter Cable – needed for GE 259 monitors Interface Connection Test Novii Start Screen Zero UA Screen Settings Display Screen Midline SELECT LANGUAGE ENGLISH 1.
  • Page 12: Interface/Pod Connection

    Umbilicus 2. ZERO UA ON FETAL MONITOR 3. TAKE AN AVAILABLE POD TEST Ensure Novii Patch is placed, Interface is connected to fetal Zero UA (press the UA Reference) on Fetal SKIN PREPARTION GOOD WAIT/REPEAT SKIN PREP monitor and Novii test is complete. Follow on screen instructions.
  • Page 13: Trace Features

    Trace Features Note: Trace is displayed with print speed at 1cm/minute or 3cm/minute. Slower speeds will compress appearance of images. Monica Mark (at the start of a new monitoring session). Monica Identifier (every 5 minutes) – larger height indicates high UA Sensitivity (see pg.20). Monica Identifier (every 5 minutes) –...
  • Page 14: Monitoring Screens

    Increased noise or poor Patch placement may cause poor/bad signal quality. For additional information, see How Novii Works (page 7) and FHR Troubleshooting (page 17). Pod battery status while in use Battery status of active Pod, consisting of 8 charge levels, lasting 11 hours when full*.
  • Page 15: Alerts

    Patch and dock Low battery - see instructions for swapping Pods (Page 16). Patient out of range – ask patient to return to room, and Novii Pod will automatically reconnect. Will also see this message if patient is in tub with Pod submerged.
  • Page 16: Ending Monitoring/Swapping Pods

    Ending Monitoring/Swapping Pods Remove Pod Return Pod to Interface, from Patch. then wait for battery icon to be displayed above Pod (Monitoring Ended). Once battery icon of returned Place a charged Pod Pod is displayed, zero the UA, on Patch (Swapping then take fully charged Pod Pod Complete).
  • Page 17: Fhr Troubleshooting

    If electrode site is hairy, preventing good contact/adhesion, it may be necessary to clip the hair. *A small number of patients will not be able to be monitored successfully with the Novii despite troubleshooting. **During a FHR gap there is silence, and it is therefore advised to explain this to the patient and partners so they are aware and not distressed when there is no audio noise.
  • Page 18 If Interface has lost power Bluetooth pairing with Pod is lost. Remove Pod from Patch, place in charging bay and start new monitoring session when power is returned. b) Interface does not have a battery back-up. All Novii signals are lost. Blue- tooth communication or cable/ power connection problem...
  • Page 19: Fhr Artifact

    US FHR due to the Novii 10 second delay. Caution: FHR Offset may be enabled on the fetal monitor. Caution: Novii FHR, Novii MHR and Novii UA are delayed by 10 seconds. See page 22 for Novii timing explanation. Using a US Transducer to ‘fill’ in FHR gaps should only be done for short periods.
  • Page 20: Ua Troubleshooting

    • N ovii UA duration may be somewhat different from TOCO/IUPC. Note: Patient perception, palpation, TOCO, IUPC, and Novii may produce 5 different measurements of duration for the same contraction. • N ovii data is delayed by 10 seconds, so take this into consideration if using Novii UA to coach the patient to push.
  • Page 21 Low UA setting enabled • Zero UA before starting Novii monitoring. Do not zero during monitoring. Although UA Reference may be done between contractions, using palpation to confirm, it is best practice to return the Pod to the Interface, and then Zero UA.
  • Page 22: Timing

    Novii, which results from a timing discrepancy of the recorded data. Novii should never be mixed with a TOCO, IUPC, or Scalp fECG as this could lead to misinterpretation of FHR data.
  • Page 23: Cleaning

    Help/tip: The Novii Pod pins on the underside of the Pod must be carefully maintained for proper functioning of the Novii and transmission of signals. Inspect the Pod pins regularly for debris or damage, especially if the Pod is dropped. All of the pins should be the same length and feel bouncy when you gently touch them.
  • Page 25 ©2017 General Electric Company – All rights reserved. General Electric Company reserves the right to make changes in specifications and features shown herein, or discontinue the product described at any time without notice or obligation. GE, the GE Monogram are trademarks of the General Electric Company. GE Healthcare, a division of General Electric Company.

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