GE Healthcare ApexPro™ Telemetry System Operator’s Manual Software Version 4 CARESCAPE® Telemetry T14 Transmitter ApexPro™ English 2028341-012 (CD) 2028340-030A (paper) © 2007 General Electric Company. All rights reserved.
NOTE Due to continuing product innovation, specifications in this manual are subject to change without notice. The information in this manual applies to ApexPro software version 4 or later and the CARESCAPE Telemetry T14 transmitter. NOTE For technical documentation purposes, the abbreviation GE is used for the legal entity name, GE Medical Systems Information Technologies. Listed below are GE Medical Systems Information Technologies trademarks used in this document.
Contents 1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1 Manual information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2 Purpose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2 Intended audience . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2 Related documents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Leadwire installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4 Electrode attachment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5 Verify transmitter/leadwires status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6 Antenna system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6 Optional components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Alarm unit default settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12 Telemetry alarm control defaults . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12 Parameter limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-14 Parameter alarm levels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-15 Arrhythmia alarm levels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Constraints . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-20 ECG setting source . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-21 7 Viewing real-time patient data . . . . . . . . . . . . . . . . . 7-1 Real-time patient views . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2 Data synchronization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SpO2 probe safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-25 Infants and pulse oximetry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-26 Signal and data validity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-27 Signal strength indicator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-27 Error messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9 Printing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-1 Print devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-2 Print output . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-2 Telemetry bed parameter data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-2 Graph location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-2 Inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-2 Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-3 Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-3 Results of improper cleaning . . . . .
Environmental specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-3 Operating conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-3 Storage conditions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-3 Device specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-3 Physical specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Introduction D ra ft 1 2001989-301A- draft 2 ApexPro™ 1-1
Introduction Manual information Purpose This manual contains the instructions necessary to operate the ApexPro telemetry system safely and in accordance with its function and intended use. It also contains limited instructions necessary to operate the telemetry system when used with the CIC Pro Clinical Information Center. For more information, refer to Related documents on page 1-2. Intended audience This manual is intended for clinical professionals.
Introduction Term Description Transmitter Refers to the CARESCAPE Telemetry T14 transmitter. Writer Refers to the PRN 50-M digital writer. Text styles This manual uses the following text styles to identify hardware terms, software terms and the correct way to enter data. Style Definition Indicates hardware items, such as keys, labels or connectors. Bold and italicized Indicates software items, such as menus, menu options or screen text. Italics Emphasizes a word.
Introduction Equipment information Intended use of this equipment The ApexPro telemetry system is intended for use under the direct supervision of a licensed healthcare practitioner. The system is designed to acquire and monitor physiological data for ambulating patients within a defined coverage area. The system processes this physiological data to detect various ECG arrhythmia events and select physiological parameter limit violations.
Introduction WARNING ACCESSORIES (SUPPLIES) — To ensure patient safety, use only parts and accessories manufactured or recommended by GE. Parts and accessories used must meet the requirements of the applicable IEC 60601 series safety standards and essential performance standards, and/or the system configuration must meet the requirements of the IEC 60601-1-1 medical electrical systems standard.
Introduction WARNING ALARMS — Do not rely exclusively on the audible alarm system for patient monitoring. Adjustment of Alarm Volume to a low level or off during patient monitoring may result in a hazard to the patient. Remember that the most reliable method of patient monitoring combines close personal surveillance with correct operation of monitoring equipment. After connecting the monitor to the central station, nurse-call system, and/or network, verify the function of the alarm system.
Introduction WARNING CONDUCTIVE CONNECTIONS — Extreme care must be exercised when applying medical electrical equipment. Many parts of the human/machine circuit are conductive, such as the patient, connectors, electrodes, transducers. It is very important that these conductive parts do not come into contact with other grounded, conductive parts when connected to the isolated patient input of the device.
Introduction WARNING ELECTROMAGNETIC INTERFERENCE — Operation of transmitters outside the designated WMTS frequency band is at increased risk for electromagnetic interference. WMTS is protected in the U.S. only. This interference could lead to lapses in patient monitoring and missed alarm events, putting the patient at risk and compromising patient safety. WARNING EMC— Magnetic and electrical fields are capable of interfering with the proper performance of the device.
Introduction WARNING 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.
Introduction WARNING LOSS OF DATA —Caregivers and telemetry patients should be made aware of antenna coverage areas. Movement outside of the coverage area may result in loss of patient monitoring. WARNING NETWORK INTEGRITY — The ApexPro server resides on the Unity network. It is possible that inadvertent or malicious network activity could adversely affect patient monitoring. The integrity of the Unity network is the responsibility of the hospital.
Introduction WARNING RATE METERS — Keep pacemaker patients under close observation. Rate meters may continue to count the pacemaker rate during cardiac arrest and some arrhythmias. Therefore, do not rely entirely on rate meter alarms. WARNING SINGLE PATIENT USE —This transmitter is designed for use on one patient at a time. Using this equipment to monitor different parameters on different patients at the same time compromises the accuracy of data acquired.
Introduction CAUTION DISPOSAL — At the end of its service life, the product described in this manual, as well as its accessories, must be disposed of in compliance with the guidelines regulating the disposal of such products. If you have questions concerning disposal of the product, please contact GE or its representatives. CAUTION ELECTROCAUTERY PRECAUTIONS — To prevent unwanted skin burns, apply electrocautery electrodes as far as possible from all other electrodes, a distance of at least 15 cm/6 in.
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.
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.
Introduction 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.
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.
