Getting Started Guide

Patch Placement & Skin Prep
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Remove protector from back of Patch plastic clip.
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Stick Patch down over umbilicus and follow picture instructions on Patch pouch. When umbilicus is displaced, see below.
Start/During Monitoring
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Follow instructions on Interface screen. Only select POD if battery status shown above POD is green.
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Keep patient rested for irst 1015 minutes in bed before ambulation.
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If FHR gap: (1) Stop ambulation; (2) Place pillow behind patient’s back/head; (3) Re-position patient, turn to left or right side;
(4) Has Patch been displaced relative to the uterus? If yes, consider supporting abdomen with a pillow or maternity belt to ensure
Patch remains centered over uterus; and/or (5) reposition the lower electrode down or place on underside of pannus just after
turn; (6) ‘Fill’ gap for a short period with US transducer.
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If UA is hypersensitive: Is there excessive fetal or maternal movement? Press UA High/Low button on Interface to reduce
sensitivity for 60 minutes.
Swap POD (low battery) or End Monitoring
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Remove POD from Patch, if time, clean with an approved cleaner, but must return to empty charging bay.
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Take other charged POD from charging bay and place in Patch clip.
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When done, keep Interface power on at all times with PODs docked to keep charged.
Caution
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Novii FHR/MHR/UA are synchronized but delayed 10 second with respect to US FHR and TOCO UA on trace. If Novii UA is
unplugged the Novii FHR is delayed 6 seconds with respect to US FHR and TOCO UA.
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The Novii UA trace does not show patient pushing or UA baseline tone.
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Avoid placing electrode center over umbilicus, pronounced stretch marks, linea nigra & other skin defects.
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After removal of POD from Patch, clean if you can and return to charging bay; do not put it down anywhere else, the gold pins
may be damaged or you may lose it.
Displaced Uterus
In high BMI women the umbilicus can be displaced downwards with respect to the uterus, so the Patch clip should not be
positioned over the umbilicus. Two alternatives:
1. Position the Patch plastic clip on the midline on the center of the uterus i.e. midway between the fundus and symphysis pubis.
The lower electrode on the lexible tail should be placed on top of pannus, approximately 2.4/6 cm horizontally from the
symphysis pubis*.
2. Position the Patch plastic clip along the midline such that the edge of the top electrode, marked with the red arrow, is placed 4
to 5/10 to 13 cm (width of a hand), below the fundus. The lower electrode on the flexible tail should be placed on top of pannus,
approximately 2.4/6 cm horizontally from the symphysis pubis*.
Monica Novii Wireless Patch System Help Card
Before Monitoring
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Check Patch expiration date & conirm the pouch has not been opened.
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Wash abdomen to remove any cream/oil/gel from skin and dry.
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Location of umbilicus. Is it at center of uterus? If yes, use as landmark for Patch placement, If no, see ‘Displaced Umbilicus’ below.
*This can be difficult to estimate; if the FHR signal is poor, reposition this electrode lower down
on abdomen to maximize FHR signal and consider placing under pannus just below turn.
Part Number; 107-PT-006-USrev2