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.
Equipment overview Dr af t 2 2001989-301A- draft 1 ApexPro™ 2-1
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.
Equipment overview 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.
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.
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Equipment setup Transmitter setup Views af t 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.
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.
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.
Equipment setup 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 t To use sets of Multi-Link individual leadwires, firmly press the individual leadwires into their appropriate locations on the combiner.
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.
Equipment setup 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.
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.
Equipment setup 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 t A DINALink serial cable is used to connect the transmitter to the Dinamap PRO 100– 400 series monitors.
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 t The START/STOP button starts and stops blood pressure readings.
Equipment setup 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.
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 t 4. 404A Dr 5.
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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.
System setup CIC Pro center setup Standard components include the following items: Processor box Primary display External speakers Standard keyboard Standard mouse 2 3 Dr af t 1 Item 2001989-301A- draft 1 5 4 022B Function 1 Processor box Run the CIC Pro center application. 2 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.
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.
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.
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.
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.
