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What This Guide Helps With
This guide assists Clinical Engineering in troubleshooting situations where the Avalon FM20 fetal monitor fails to print reports or produces incomplete/blank paper recordings. These issues can prevent proper documentation of fetal and maternal monitoring during labor. Most causes are external or setup-related, such as paper loading errors, sensor issues, or communication problems with the recorder.
Step-by-Step Troubleshooting
Check Paper Supply
- Confirm the correct type and size of paper is loaded.
- Ensure paper is not jammed or folded.
- Why: The recorder cannot print without properly loaded paper.
Inspect Printer Door and Paper Path
- Verify the printer door is fully closed and the paper path is clear of obstructions.
- Remove any debris or small torn pieces of paper.
- Why: Mechanical sensors may prevent printing if the door isn’t closed or path is blocked.
Verify Recorder Settings
- Check the monitor’s menu settings for print mode and interval.
- Ensure the recorder is enabled and the correct channel(s) are selected.
- Why: Incorrect configuration can prevent prints even if the paper is loaded.
Inspect Printer Connections
- Ensure cables (if external) between monitor and printer are secure.
- If the printer is built-in, confirm internal connectors have not loosened.
- Why: Loose connections can prevent data from reaching the recorder.
Test with a Known Good Paper Roll
- Swap the paper with a new roll to rule out defects or moisture damage.
- Why: Faulty paper can cause jams or blank printouts.
Power Cycle the Monitor
- Turn the monitor off, wait 30 seconds, then power back on.
- Attempt a test print.
- Why: A software glitch can sometimes prevent printing; restarting can reset the printer subsystem.
If the Problem Persists
After all external checks, if printing still fails:
- The recorder mechanism or internal electronics may be malfunctioning.
- Action: Remove the device from service, label Out of Service, and send for repair or bench evaluation.
- Note: Knowing when to stop is proper troubleshooting—do not attempt internal repairs beyond trained service limits.
Clinical Use Tip
- Do not attempt to troubleshoot the recorder during active patient monitoring.
- Move the patient to another functional monitor first.
- Ensure documentation is maintained manually if necessary until the monitor is fully operational.
Work Order Documentation (CCR Method)
CCR = Complaint, Cause, Resolution
Complaint
What was reported by the clinical staff.
Example:
“User reports that the Avalon FM20 monitor fails to print paper records.”
Cause
What was observed during troubleshooting.
Example:
“Paper not loaded correctly, printer door not closed, or communication issue with recorder.”
Resolution
What action was taken.
Example:
“Cleared jams, verified paper, confirmed settings, and tested print function. Escalated to repair if issue persists.”
Helpful Details to Include
- Printer indicator lights (on/off, error)
- Paper type and manufacturer
- Any unusual sounds (grinding, clicking)
- Device power cycle status
- Last successful printout time
Final Thought
Ensuring proper fetal monitoring documentation is critical for patient safety. A logical, stepwise approach—starting with external checks and moving to escalation when necessary—prevents unnecessary downtime and maintains accurate records. Always document actions clearly in CCR format.
That is successful troubleshooting.