GE Medical Systems Information Technologies 2014748-002 Medical Telemetry Transmitter User Manual

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Document ID	881641
Application ID	maTnhnqxAd0JjwUy/T2xFQ==
Document Description	Manual Draft1 Part 5
Short Term Confidential	No
Permanent Confidential	No
Supercede	No
Document Type	User Manual
Display Format	Adobe Acrobat PDF - pdf
Filesize	91.23kB (1140416 bits)
Date Submitted	2007-12-19 00:00:00
Date Available	2007-12-19 00:00:00
Creation Date	2007-12-19 14:18:24
Producing Software	Acrobat Distiller 7.0.5 (Windows)
Document Lastmod	2007-12-19 14:18:38
Document Title	untitled
Document Creator	FrameMaker 7.2

Introduction
CAUTION
POWER REQUIREMENTS — Before connecting the device to the
power line, check that the voltage and frequency ratings of the
power line are the same as those indicated on the unit's label. If this
is not the case, do not connect the system to the power line until you
adjust the unit to match the power source.
In the U.S.A., if the installation of this equipment will use 240 V
rather than 120V, the source must be a center-tapped, 240V, singlephase circuit.
This equipment is suitable for connection to public mains as defines
in CISPR 11.
CAUTION
RESTRICTED SALE — U.S. federal law restricts this device to sale
by or on the order of a physician.
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CAUTION
SECURITY — The web browser which runs in conjunction with the
ApexPro server is intended for hospital INTRANET use only. If
confidential patient information is made available from the hospital
intranet, the security of the data is the responsibility of the hospital.
Dr
CAUTION
SUPERVISED USE — This equipment is intended for use under the
direct supervision of a licensed health care practitioner.
CAUTION
UNINTENTIONAL RADIO FREQUENCY (RF)
INTERFERENCE — Unintentional RF interference could degrade
the reliability and performance of the wireless data link. The facility
must maintain an RF environment free from unintentional
interference. Refer to the service manuals for more information.
CAUTION
VENTILATION REQUIREMENTS — Set up the device in a
location which affords sufficient ventilation. The ventilation
openings of the device must not be obstructed. The ambient
conditions specified in the technical specifications must be ensured
at all times.
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Introduction
Notes
Note statements provide application tips or other useful information.
The following note statements apply to this system.
„
Put the CIC Pro center in a location where you can easily see the screen and
access the operating controls.
„
This product is not likely to cause abnormal operation of other patient-connected
equipment such as cardiac pacemakers or other electrical stimulators. Exceptions
are noted in the pacemaker monitoring section, if applicable.
„
This product is protected against the effects of cardiac defibrillator discharges to
ensure proper recovery, as required by test standards.
„
This equipment is suitable for use in the presence of electrosurgery.
Equipment symbols
NOTE
Some symbols may not appear on all equipment.
af
ATTENTION: Consult accompanying documents.
TYPE B APPLIED PART: Non-isolated applied part suitable for intentional external and
internal application to the patient excluding direct cardiac application.
Dr
[Medical Standard Definition:] Applied part complying with the specified requirements of IEC/
EN/UL 60601-1 Medical Standards to provide protection against electric shock, particularly
regarding allowable leakage current.
TYPE CF APPLIED PART: Isolated (floating) applied part suitable for intentional external and
internal application to the patient including direct cardiac application. “Paddles” outside the
box indicate the applied part is defibrillator proof.
[Medical Standard Definition:] F-type applied part (floating/isolated) complying with the
specified requirements of IEC/EN/UL 60601-1 Medical Standards to provide a higher degree
of protection against electric shock than that provided by Type BF applied parts.
INTFC.
Interface connector(s)
Complies with IPX3 standards (IEC 60529) for protection against water ingress under test
conditions; water sprayed at an angle up to 60 degrees on either side of the vertical axis shall
have no harmful effects, with device not in actual use.
Complies with IPX7 standards (IEC 60529) for protection against water ingress under test
conditions; immersion in one meter of water for 30 minutes, with device not in actual use.
Operation of this equipment requires the prior coordination with a frequency coordinator
designated by the FCC for the Wireless Medical Telemetry Service.
Non-ionizing electromagnetic radiation: To indicate elevated, potentially dangerous, levels of
non-ionizing radiation. Note - In case of application in a warning sign the rules according to
ISO 3864-1 shall be adhered to.
IEC 60878 note: See safety sign ISO 7010 - W005 "Warning, non-ionizing radiation".
1-14
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This symbol indicates that the waste of electrical and electronic equipment must not be
disposed as unsorted municipal waste and must be collected separately. Please contact an
authorized representative of the manufacturer for information concerning the
decommissioning of your equipment.
This symbol indicates the date of manufacture of this device. The first four digits identify the
year and the last two digits identify the month.
2005-08
Medical Equipment
4P41
With respect to electric shock, fire and mechanical hazards only in accordance with UL
60601-1, CAN/CSA C22.2 NO. 601.1, IEC 60601-1, IEC 60601-1-1, IEC 60601-2-27 and IEC
60601-2-49.
Manufacturer name and address.
af
Equipment compliance
European authorized representative.
IEC, UL, and EN 60601-1 device classification
Transmitter — Internally powered
Dr
Type of protection against electrical shock
Receiver system — Class I
Degree of protection against electrical
shock
T14 transmitter — Type CF Defibrillation proof applied part
Degree of protection against harmful
ingress of water
T14 transmitter — IPX7 (IEC 60529)1
Receiver system — Ordinary Equipment (enclosed equipment without protection against
ingress of water)
Degree of safety of application in the
presence of a flammable anesthetic
mixture with air or with oxygen or nitrous
oxide
Equipment not suitable for use in the presence of a flammable anesthetic mixture with air
or with oxygen or nitrous oxide
Method(s) of sterilization or disinfection
recommended by the manufacturer
Not applicable
Mode of operation
Continuous operation
The T14 transmitter is designed to be IPX7 compliant, so it can withstand inadvertent submersion. The transmitter should not be exposed to
spray or shower during patient monitoring.
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Introduction
FCC compliance information statement
The CARESCAPE Telemetry T14 transmitter complies with Part 95 Subpart H of the
FCC rules to be used in wireless medical telemetry service. Operation of this
equipment requires prior coordination with a frequency coordinator designated by the
FCC for the Wireless Medical Telemetry Service.
Installation and maintenance of this transmitter should be performed by a person
certified as technically qualified to perform such operations. Replacement of any
transmitter component or modifications to the transmitter could result in a violation of
the rules. Changes or modifications not expressly approved by the party responsible
for compliance could void the user’s authority to operate the equipment. Use only GE
approved replacement parts, non-approved parts may result in a violation of the FCC
rules.
RF Exposure
Dr
af
This device complies with FCC radiation exposure limits set forth for an uncontrolled
environment. The RF transmission power from the antenna conforms to the general
public FCC limit of Specific Absorption Rate (SAR) 1.6 W/kg. The maximum SAR
value measured from this device was 0.0555 W/kg. This device must not be colocated or operating in conjunction with any other antenna or transmitter.
1-16
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Equipment overview
Introduction
This chapter provides an overview of the equipment used in the ApexPro telemetry
system. For detailed installation instructions, refer to the appropriate service manual.
ApexPro telemetry system
The ApexPro telemetry system provides clinicians with patient data while allowing
for patient mobility. The system consists of the following components:
CARESCAPE Telemetry T14 transmitters
„
Enterprise Access antenna system
„
ApexPro receiver system
„
Server hosting the ApexPro software
„
CIC Pro center
„
Apex oximeter
„
Xpod oximeter
„
Accutracker DX blood pressure monitor
„
Dinamap Pro 100, 200, 300, and 400 series monitor
Dr
af
„
ApexPro telemetry system
Transmitters
A transmitter connects to a patient, acquires ECG data, and converts it to digital
format to send the patient data and RF status signals to the antenna system. For setup
information, refer to Transmitter setup on page 3-2.
There are three transmitter configurations that define the ECG lead analysis option
and determine whether other devices, such as oximeters, can be connected to the
transmitter’s interface connector ports.
2-2
„
Single-Lead with inactive interface connector ports (blue dust covers).
„
Single-Lead with active interface connector ports (gray dust covers).
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„
Multi-Lead with active interface connector ports (gray dust covers).
For more information on ECG lead analysis options, refer to Lead analysis on page 716.
The two INTFC (interface) connector ports are used for connecting serial interface
devices. The ports are labeled 1 and 2 (on the dust covers).
„
2 is the inside port, closest to the leadwire set. It is for use with episodic
monitoring serial devices, such as blood pressure monitors.
„
1 is the outside port, furthest from the leadwire set. It is for use with continuous
monitoring serial devices, such as oximeters.
For more information on connecting devices to the transmitter, refer to Equipment
setup on page 3-1.
Antenna system
Receiver system
The antenna system sends data to the receiver system. Data is then transmitted via a
dedicated Ethernet connection to the server for further processing and viewing. For
more information, refer to the Enterprise Access Service manual.
af
The receiver system sends data via a dedicated Ethernet connection to the server for
further processing and viewing. For more information, refer to ApexPro Receiver
System Service Manual.
Dr
Server
A server hosts the ApexPro software. The server can be an ApexPro Telemetry Server
(ATS) or a CIC Pro center with a BCM or Nightshade server.
If your system includes an ATS, the ATS receives and analyzes patient and transmitter
data from the receiver system, runs the ApexPro software, stores the data and sends
the data to the CIC Pro center for display. For more information, refer to the ApexPro
Telemetry Server Service Manual.
If your system includes a BCM or Nightshade server, the CIC Pro center receives and
analyzes patient and transmitter data from the receiver system, runs the ApexPro
software, stores and displays all telemetry patient data. For more information, refer to
the appropriate CIC Pro center service manual.
CIC Pro center
The CIC Pro center displays real-time data acquired from up to 16 networked GE
monitors or transmitters. The CIC Pro center displays this telemetry bed patient data
along with the patient data acquired from other monitors.
The transmitter number is displayed under the ECG parameter window and identifies
the type of transmitter.
The CIC Pro center is also used to define telemetry defaults. For more information,
refer to System setup on page 4-1.
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Equipment overview
Optional components
Apex oximeter
CAUTION
Do not use the Apex oximeter on neonatal patients. It is not designed
for use on neonates.
An Apex oximeter can be connected to a transmitter in order to monitor the patient’s
pulse oximetry data and send the SpO2 data for display at the CIC Pro center. Only
digital data is available; no waveforms are generated or transmitted. Digital data is
stored in Graphic Trends and Vital Signs. For setup information, refer to Apex
oximeter on page 3-7.
Xpod oximeter
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An Xpod oximeter can be connected to a transmitter in order to measure arterial
oxygen saturation (SpO2), peripheral pulse rate (PPR), and perfusion quality and send
the data for display at the CIC Pro center. For setup information, refer to Xpod
oximeter on page 3-7.
Accutracker DX noninvasive blood pressure (NBP) monitor
NOTE
Dr
The Accutracker DX noninvasive blood pressure monitor has been modified by
SunTech Medical Instruments to operate with the ApexPro system.
An Accutracker DX noninvasive blood pressure monitor can be connected to a
transmitter in order to measure the systolic and diastolic blood pressures and send for
display at the CIC Pro center. Digital values are stored in Graphic Trends and Vital
Signs. For setup information, refer to Accutracker DX on page 3-10.
Dinamap PRO monitors
NOTE
The Dinamap PRO monitors’ alarm limits are not configurable at the CIC Pro
center, but they can be silenced at the CIC Pro center. However, alarms that are
silenced at the CIC Pro center will not be silenced at the monitor. Refer to the
Dinamap Pro 100–400 Operation Manual for detailed information.
A Dinamap PRO 100, 200, 300, and 400 monitor can be connected to a transmitter in
order to monitor SpO2, NBP, and temperature and send the data for display at the CIC
Pro center. For setup information, refer to Dinamap PRO monitors on page 3-9.
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Equipment setup
Dr
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2001989-301A- draft 1
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Equipment setup
Transmitter setup
Views
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The transmitter has the following buttons and LEDs:
102A
CARESCAPE Telemetry T14 Transmitter
Function
RL RA LA LL Va Vb
When first powered up, the lead LEDs flash rapidly, followed by two
slow flashes. The transmitter begins functioning after the two slow
flashes.
Dr
Button/LED
N R L F Ca Cb
When any of the transmitter's buttons are pushed, the lead LEDs
flash twice.
When the battery power is running low, the change battery LED
flashes.
When pressed, the lead LEDs flash twice. If a lead is valid, its LED
stays lit for one minute.
When the Pause Alarm condition occurs, the pause alarm LED
flashes until the condition ends. See Pausing alarms at the
transmitter on page 5-5.
3-2
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Equipment setup
Button/LED
Function
When pressed, a 20-second graph strip is printed on the writer or
printer.
When pressed with an IMPACT.wf paging system (version II or later)
also available in the same care unit, the View on Demand feature
(also called the Apex Graph Button Push feature) is enabled. The
IMPACT.wf server generates a sample page of the patient’s ECG
waveform and any other enabled/monitored non-arrhythmia
parameters.
If pressed again, it generates both an IMPACT.wf update and a
standard ECG waveform graph at the CIC Pro center. The
IMPACT.wf update is labeled Sample for display on the IMPACT.wf
receiver and stored in history. Additionally, all receivers assigned to
the patient receive an update/sample.
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Battery installation
When pressed, a blue border displays around the event bed and an
alarm tone sounds at the CIC Pro center. The message Remote
Event displays under the ECG parameter window for approximately
ten seconds.It also generates a 20-second graph and saves the
event.
Dr
WARNING
INGESTION OF BATTERIES— Make sure the battery
compartment is closed completely and closely observe patients to
prevent ingestion of batteries.
CAUTION
Never store the transmitter with the batteries inside. Storing the
transmitter with the batteries inside may result in damage to the
transmitter.
CAUTION
GE recommends that you always replace both batteries at the same
time. Re-using old batteries or using a combination of old and new
batteries in the transmitter will compromise functionality of the
transmitter and increase the risk of fire hazard.
CAUTION
LED INDICATOR — Replace the transmitter batteries promptly
when the Low Battery message is displayed at the central station or
when the Change Battery LED flashes on the transmitter. Failure to
replace the batteries before they are completely depleted will result
in interrupted patient monitoring and may cause damage to the
transmitter.
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Equipment setup
NOTE
„
When new batteries are installed, all LEDs on the transmitter flash, then
flash again twice to acknowledge the new battery installation. The flashing
LEDs do not indicate good leads. You must press the Verify Leads button to
check lead status.
„
When the Change Battery LED starts flashing, the transmitter has
approximately one hour of reserve power before the unit shuts down.
„
When a low battery condition occurs, approximately two hours before the
battery loses power, a Low Battery message displays at the CIC Pro center
without an audible alarm. When the battery is dead, an audible system
warning alarm is generated at the CIC Pro center.
For optimum performance, follow these guidelines:
„
Install two new AA alkaline batteries when you begin monitoring a new patient.
„
Install two new AA alkaline batteries when the Change Battery LED flashes.
„
Do not use rechargeable batteries.
To install batteries in the transmitter, follow these steps.
Locate the battery cover at the bottom of the transmitter.
2.
Slide the cover over to open the battery compartment.
3.
Insert the batteries according to the polarity signs on the lower back side of the
transmitter.
Dr
af
1.
4.
Close the battery cover.
Leadwire installation
The transmitter can use the following Multi-Link leadwire sets:
„
Multi-Link 6-leadwire set
„
Multi-Link 5-leadwire set
„
Multi-Link 3-leadwire set
To install a leadwire set into the transmitter, align the leadwire pins with the
connector on the top of the transmitter, then push the leadwire set firmly into the
transmitter.
3-4
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307C
To disconnect the leadwire set from the transmitter, grasp the molded end or the
combiner firmly and pull away from the transmitter.
Electrode attachment
1.
Attach leadwires to the transmitter by plugging the Multi-Link leadwire set into
the transmitter.
Dr
af
To use sets of Multi-Link individual leadwires, firmly press the individual
leadwires into their appropriate locations on the combiner. Use the colors on the
leadwires to place them in corresponding order with the colors that appear on the
back of the transmitter.
308B
2.
Attach leadwire clip to the terminal on the electrodes. Take care to attach the
color-coded clips to the corresponding electrode locations.
3.
Loop the leadwires and secure them to the patient with tape. Stress loops prevent
the connection to the electrode from being loosened or pulled apart as the patient
moves.
NOTE
Do not tape across the electrode.
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Equipment setup
Verify transmitter/leadwires status
CAUTION
IMPROPER TRANSMITTER/LEADWIRE APPLICATION —
Applying a transmitter and/or leadwire that is not thoroughly dry to
a patient can result in an electrically conductive path being
established and a Leads Fail alarm not being provided if leadwires
come off the patient.
Use the following procedure to verify transmitter/leadwires status before applying to
a patient:
Connect the leadwire to the transmitter, but do not connect the leadwire to a
patient.
2.
Insert batteries in the transmitter and close the battery door.
3.
Wait for the transmitter to start up. The LEDs will first flash rapidly and then
flash slowly twice. Wait until the LEDs are done flashing.
4.
Press the Verify Leads button. All the LEDs flash twice to indicate the button
was pushed.
5.
Look for LEDs that light up and stay lit.
af
1.
If the transmitter is dry, none of the LEDs light up.
„
If you are using a 5- or 6-leadwire and it is dry, none of the LEDs light up.
„
If you are using a 3-leadwire and it is dry, only the reference LED will light
up and stay lit.
„
If the transmitter is wet and an electrically conductive path is established,
some of the LEDs will light up.
Dr
„
6.
If any of the LEDs stay lit, make sure the transmitter is dry. Allow the transmitter
to air dry if other methods are not effective.
Do not attach the transmitter/leadwire to a patient until the transmitter/leadwire is
thoroughly dry.
Antenna system
Patient and transmitter status data are dependent on the telemetry system transmission
coverage area. For more information on the telemetry coverage area in your
institution, contact your biomedical or information technology engineers.
202A
3-6
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Optional components
Xpod oximeter
CAUTION
Use only Nonin SpO2 probes with the oximeter. The reliability of
SpO2 data obtained with any other probe has not been verified.
The Xpod oximeter uses the battery power supplied by the transmitter. Connect the
oximeter to the INTFC connector (labeled 1 on its dust cover) on the transmitter and
to the Nonin SpO2 probe. Once connected, follow your unit’s protocol for attaching
the transmitter and the oximeter to the patient.
af
Apex oximeter
428A
Dr
CAUTION
Use only Nonin SpO2 probes with the Apex oximeter. The
reliability of SpO2 data obtained with any other probe has not been
verified.
Sp
O2
lse
Ra
te
Pu
Po
we
Pe
rf
Onisp
/O lay
ff
xi
us
ion
et
er
400C
The perfusion LED indicates the strength of the patient’s SpO2 signal.
To turn the digital display on or off at any time, press the Display On/Off button. To
turn the display on continuously, press and hold the Display On/Off button for 2
seconds. The flashing Power LED turns off.
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Equipment setup
NOTE
Using the Apex oximeter with the display on continuously will result in reduced
battery life.
Battery installation
CAUTION
GE recommends that you always replace both batteries at the same
time. Re-using old batteries or using a combination of old and new
batteries in the Apex oximeter will compromise functionality of the
transmitter and increase the risk of fire hazard.
NOTE
When the digital display starts flashing, there is approximately one hour of
reserve power left before the unit shuts down.
The Apex oximeter runs on two AA alkaline batteries. Battery life is approximately
60 hours. For optimum performance, follow these guidelines:
Install two new AA alkaline batteries when you begin monitoring a new patient.
„
Install two new AA alkaline batteries when the digital display starts flashing.
„
af
To install two new AA alkaline batteries:
Locate the battery cover at the bottom back of the oximeter.
2.
Press the latch tab and lift up to open the battery compartment.
3.
Insert the batteries as indicated with the polarity signs within the battery
compartment.
4.
Close the battery cover.
Dr
1.
Transmitter connection
WARNING
DUST COVERS — If the dust covers for the interface connectors
become detached from the transmitter, they may pose a choking
hazard for pediatric patients. Inspect the dust covers before each use
to verify that they are securely attached. If the dust covers become
detached and cannot be reinserted into their retaining slot, do not use
them on the transmitter, and keep them out of pediatric patients’
reach.
3-8
1.
Connect the non-sensor end of the SpO2 probe into the 9-pin connector on the
top of the oximeter.
2.
Plug one end of the interconnection cable into the INTFC connector on the
oximeter. Plug the other end into the INTFC connector (labeled 2 on its dust
cover) on the transmitter. See Interconnection cables on page 3-10.
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3.
Turn the oximeter on. The digital display turns on and the power LED (horizontal
bar) flashes. The digital display stays on for one minute.
Once connected, follow your unit’s protocol for attaching the transmitter and the
oximeter to the patient. A common method is to place them back-to-back in the same
pouch and belt them on the patient.
Dinamap PRO monitors
Dr
af
A DINALink serial cable is used to connect the transmitter to the Dinamap PRO 100–
400 series monitors. The interconnect cable connects to either of the interface ports
on the transmitter.
425A
Interconnection cables
The interconnection cables used to connect the transmitter with the Apex oximeter
and/or the blood pressure monitor are not the same as those used with the Apex S
transmitter (CD Telemetry-LAN monitoring system). The connector ends that are
plugged into the transmitters are different and are not interchangeable.
ApexPro system interconnection
cable connector
CD Telemetry-LAN monitoring system
interconnection cable connector
423A
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Equipment setup
Accutracker DX
The blood pressure monitor allows telemetry monitoring of a patient’s NBP data. The
blood pressure cuff is connected to the blood pressure monitor, which measures and
displays systolic and diastolic blood pressures using the auscultatory method. Digital
values are also displayed at the CIC Pro center, and stored in Graphic Trends and
Vital Signs.
403A
Dr
Battery installation
af
The START/STOP button starts and stops blood pressure readings. During the
monitoring period, it can be used by the patient at the clinician’s discretion. Pressing
the START/STOP button once while a patient is being monitored wakes up the blood
pressure monitor from sleep mode and offers the options to change the measurement
interval, view the time left until the next measurement, or perform a manual reading
by pressing the START/STOP button a second time.
The blood pressure monitor contains an internal lithium battery capable of sustaining
a maximum, cumulative period of 9 months (6400 hours) without AA alkaline
batteries installed, over the life of the monitor. The four AA alkaline batteries will last
for approximately 250 blood pressure readings, taken at an average interval of 15
minutes.
If the lithium battery is completely drained, the unit will not function. The internal
lithium battery is not user replaceable. The unit must be returned for service if the
lithium battery needs to be replaced.
For optimum performance, follow these guidelines:
„
Store with four good AA alkaline batteries installed.
„
Change the batteries when the message Low Batt displays.
„
Install four new batteries when you begin monitoring a patient.
„
Install new batteries and replace them every four months for long-term storage.
„
Service the lithium battery every three to five years.
To install four new AA alkaline batteries:
3-10
1.
Locate the battery cover on the back of the monitor.
2.
Press down and gently slide off the cover.
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3.
Remove the old batteries by lifting up on the ribbon in the battery case. Dispose
of the old batteries properly, following your local ordinances.
4.
Insert the new batteries, being careful to follow the polarity signs. Be sure to
place the batteries on top of the ribbon.
5.
Slide the battery cover back on securely.
Connection
The patient cable, microphone cable, and interconnection cable are attached to one
another in one assembly. See Interconnection cables on page 3-10. To connect the
blood pressure monitor, follow this procedure:
1.
Attach the brass end of the patient cable to the brass air hose connector on the
side of the monitor.
2.
Connect the microphone cable to the 6-pin connector on the side of the monitor,
near the air hose connector.
af
Dr
3.
2001989-301A- draft 1
407A
Microphone cable connection
Patient connection cable
Transmitter interconnection cable
Blood pressure cuff connection cable
Microphone cable
Secure the cable by screwing on the metal cable cap, then insert the monitor into
the nylon pouch.
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Equipment setup
411A
Attach the blood pressure cuff hose to the white plastic fitting on the patient
cable. Turn the fitting to the right approximately one quarter turn. Some
connector models will click when they are connected. Make sure that it is
securely tightened. Then plug the 3-pin microphone connector into the 3-pin
connector on the microphone cable.
af
4.
404A
Dr
5.
Connect the 5-pin end of the interface cable to the inside 5-pin INTFC connector
on the transmitter (labeled 2 on its dust cover). The interface cable is already
connected to the blood pressure monitor because it is a branch of the patient
cable. Ensure that the transmitter’s patient leadwires are properly connected. The
leadwires must be connected for telemetry transmission of NBP data.
NOTE
3-12
„
Use a microphone pad to maintain the best microphone position.
„
Use a cuff anchor to maintain the blood pressure cuff’s position.
„
Advise the patient not to shower or bathe while being monitored.
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af
2001989-301A- draft 1
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4-1
System setup
Bedside monitor setup
WARNING
INCORRECT ALGORITHMS, ARRHYTHMIA PROCESSING
AND CALCULATIONS BASED ON PATIENT AGE — After
manually updating or automatically retrieving patient demographic
information from a network database, always confirm that the
entered patient’s date of birth matches the patient’s actual date of
birth. Otherwise the appropriate age-related algorithms, arrhythmia
detection, and calculations will not be applied.
CAUTION
BEDSIDE MONITOR ECG COMPATIBILITY— The minimum
software version of the following GE bedside monitors are required
for ECG monitoring in Rover or Rover Combo modes:
Dash 3000/4000 patient monitor v2B or later
„
Dash 5000 patient monitor v6 or later
„
Eagle 4000 patient monitor v5B or later
„
Solar 7000 patient monitor v6 or later
af
„
„
Solar 8000i patient monitor v4F or later
„
Solar 8000M patient monitor v3D
„
Tram critical care monitor (Tramscope) v7D or later
Dr
Monitoring other parameters is not compatible. Erroneous patient
data may result.
NOTE
When the monitor is set for Combo mode, the second V lead can not be viewed
or manipulated.
NOTE
Users should be aware of a possible time discrepancy between the waveforms
from the telemetry device and the waveforms hard-wired to the display device.
Users should not consider these waveforms to be synchronous. If absolute
synchronicity is desired, Combo mode should be discontinued and the ECG
waveforms should be acquired via the hard-wired bedside device.
ApexPro system patient data can be viewed on most GE patient monitors. The
monitor must be connected to the Unity network and in the same care unit as the
ApexPro system.
The telemetry patient can be viewed on the bedside monitor using the monitor’s split
screen view, or when the monitor is set for either Combo or Rover Combo monitoring
mode.
Refer to the appropriate monitor’s operator’s manual for more information. Contact
your sales/service representative if you have questions regarding compatibility.
4-2
ApexPro™
2001989-301A- draft 1
System setup
CIC Pro center setup
Standard components include the following items:
„
Processor box
„
Primary display
„
External speakers
„
Standard keyboard
„
Standard mouse
Dr
af
Item
2001989-301A- draft 1
022B
Function
Processor box
Run the CIC Pro center application.
Primary display
Display real-time and stored patient data,
control windows, and various system level
operations. Up to two displays may be
connected to the CIC Pro center
simultaneously.
Secondary display (optional)
Display stored patient data.
Standard mouse and keyboard
Enter data, navigate menus, and choose
options.
External speakers
Sound audible patient status and system
status alarm tones.
ApexPro™
4-3
System setup
Configuring the CIC Pro center
WARNING
Before using this device for the first time, refer to the CIC Pro
Clinical Information Center Operator’s Manual for safety
information.
WARNING
UNTESTED SOFTWARE—Do not load any software other than
that specified by GE onto the CIC Pro center. Installation of
software not specified by GE may cause damage to the server or loss
or corruption of data.
Before use, qualified personnel must configure the CIC Pro center for use within your
monitoring environment:
Service personnel must configure the CIC Pro center to work with your patient
monitor. For more information, refer to the CIC Pro Clinical Information Center
Bedrock Hardware Platform Service Manual.
„
Clinical personnel must configure the clinical applications of the CIC Pro center.
For more information, refer to the CIC Pro Clinical Information Center Bedrock
Hardware Platform Service Manual and/or the CIC Pro Clinical Information
Center Operator’s Manual.
af
„
Dr
Verifying proper operation
Before using this device, you should confirm that the CIC Pro center application and
alarms are operating properly:
1.
Check that the CIC Pro center is displaying waveforms and numerical data from
selected patient monitors and telemetry beds.
2.
Check that the CIC Pro center notifies you of an alarm condition when you verify
the alarm function. For more information, refer to the CIC Pro Clinical
Information Center Operator’s Manual.
Customizing the system
Three configuration levels control the features and functions of your CIC Pro Center.
For a complete listing of configurations and instructions, refer to the CIC Pro Clinical
Information Center Operator’s Manual and/or CIC Pro Clinical Information Center
Bedrock Hardware Platform Service Manual.
4-4
„
Licenses (instituted): Licenses control the standard and specialized features
available for your CIC Pro center. These licenses are instituted during
installation, but can be changed by qualified personnel.
„
Defaults (persistent): Defaults control the network, system, and clinical
application settings of the CIC Pro center. Defaults are persistent, meaning they
are recalled after a patient is discharged.
ApexPro™
2001989-301A- draft 1
System setup
„
Control settings (temporary): Control settings allow you to make temporary
adjustments to some of the system and clinical application settings of the CIC
Pro center. Control settings are temporary, meaning they apply to a selected
patient and are erased when the patient is discharged.
Licenses (instituted)
Licenses control the standard and specialized features available for your CIC Pro
center. These licenses are instituted during installation, but can be changed by
qualified personnel.
Dr
af
To view the licenses installed on your CIC Pro center from the multi-patient viewer,
click Setup CIC > Licensing.
049A
Licenses are divided into the following categories:
2001989-301A- draft 1
„
View: View real-time patient information for a maximum of 16 patients from the
multi-patient viewer and one patient from the single patient viewer.
„
Monitor: Admit and discharge patients, modify parameter limits, manage Alarm
Control, and silence alarms.
„
Review: Review historical patient information (e.g., events, trends, and full
disclosure).
„
Central surveillance: View single viewer applications from a secondary display,
navigate multiple configured centralized CIC Pro centers using a single mouse
and keyboard, and connect to your facility's Citrix server to view any CIC Pro
center or Hospital Information System (HIS).
„
Service: Remote service tools.
ApexPro™
4-5
System setup
Defaults (persistent)
Defaults control the network, system and clinical application settings of the CIC Pro
center. Defaults are persistent, meaning they are recalled after a patient is discharged.
Defaults are divided into two categories:
„
Service-level defaults: Service-level defaults are password protected and should
be configured by qualified service and clinical personnel.
„
User-level defaults: User-level defaults are not password protected and can be
configured by any qualified user.
Dr
af
To view the CIC Defaults window, from the multi-patient viewer, click Setup CIC >
CIC Defaults.
053A
Service-level defaults
CAUTION
QUALIFIED PERSONNEL — The service mode is intended for
use only by qualified personnel with training and experience in its
use. The consequences of misuse include loss of alarm
configuration, loss of patient data, corruption of the CIC Pro center’s
operating system software, or disruption of the entire Unity
Network.
4-6
ApexPro™
2001989-301A- draft 1
System setup
Unless you are using the password protected CIC Pro center service mode, the
service-level defaults appear in light, dimmed text.
To configure the service-level defaults, see the CIC Pro Clinical Information Center
Bedrock Platform Service Manual.
User-level defaults (persistent)
In user mode, all of the controls are view-only. You must be in the Service mode to set
defaults. For more information, refer to CIC Pro Clinical Information Center Bedrock
Hardware Platform Service Manual.
Telemetry unit defaults
This option sets telemetry unit default settings. In user mode, all of the controls are
view-only. You must be in the Service mode to set the Telemetry Unit Defaults at the
CIC Pro center.
Dr
af
To view the telemetry unit default settings, click CIC Setup > Telemetry Unit
Defaults.
502A
2001989-301A- draft 1
ApexPro™
4-7

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