Viewing real-time patient data Real-time patient views You can view real-time data for patients located in your care unit, and when networked with other CIC Pro centers, you may also view real-time data for patients located outside of your care unit. The CIC Pro center allows you to view real-time patient data from two different patient viewers.
Viewing real-time patient data 059A Multi-patient viewer menu bar options Option Function Auto Display When enabled, the Auto Display button is selectable from the menu bar. Clicking the Auto Display button while viewing the multipatient viewer automatically completes the following tasks: Removes any un-locked, unoccupied beds. t Adds at least one empty patient window with an Admit button. Resizes the remaining patient windows to maximize the amount of displayed patient data.
Viewing real-time patient data NOTE You cannot change the Alarm Control or parameter control settings of an out-of-unit patient. Adjust the real-time trend window for any in-unit patient. See Configuring the real-time trend window on page 7-6. Print real-time parameter data and waveforms for any in-unit patient. See Printing real-time data on page 7-8.
Viewing real-time patient data In-unit patient beds You can view any in-unit patient bed that is on the Unity Network. Viewing in-unit patients experiencing an alarm condition When an in-unit patient experiences an alarm condition, you can quickly display this patient’s data by displaying the single patient viewer. You can use one of the following methods to display the single patient viewer of an alarming patient bed: Click in the patient window. Click the alarm button.
Viewing real-time patient data 1. Go to the CIC Pro center in your care unit that has room to view additional admitted patient beds. 2. From the multi-patient viewer, right click in an empty patient window displaying an Admit button. The right click menu displays. 3. From the right click menu, choose Select Care Unit then Bed Number. A list of networked care units displays. 4. From the list, choose the care unit and bed name you want to view. The patient bed is displayed in the multi-patient viewer.
Viewing real-time patient data Complete the following procedure to configure a patient’s real-time trend window: 1. Right-click on the patient you want to configure and select Configuration. The Real-time Trend Graph window displays. Click on the patient you want to configure. The single patient viewer displays. From the single patient viewer, click Real-time View to display the real-time window. Click Configuration to display the Real-time Trend Graph window. Dr af t 2.
Viewing real-time patient data Real-time Trend Graph control settings Option Display Real-time Trend Graph Function Display a real-time trend window with a maximum of two real-time parameter trends. To display the Real-time Trend Graph, click in the empty check box to fill the box with a check mark. Display Parameter 1 Display the first real-time parameter trend. To display one real-time parameter trend, click in the empty check box to fill the box with a check mark.
Viewing real-time patient data NOTE When using a digital writer, click in the ECG parameter window of any displayed in-unit patient bed. Then, press the (Graph Stop) button on the front of the digital writer to stop printing a continuous ECG strip. NOTE The printing formats are controlled by the data source device (monitor or telemetry system). This includes printed waveforms, speed, and graph location. See the operating instructions for the devices you are using.
Viewing real-time patient data Complete the following procedure to print telemetry bed parameter limits: 1. From the multi-patient viewer, click Graph All. The Graph All Patients window displays. 2. From the Graph All Patients window, click Limits. 3. Click OK to begin printing. Printing waveforms Complete the following procedure to print parameter waveforms for all displayed patient beds: 1. From the multi-patient viewer, click Graph All. The Graph All Patients window displays. 2.
Viewing real-time patient data Monitored parameters The CIC Pro center can display data for many monitoring parameters. NOTE For a complete list of supported parameters, refer to the CIC Pro Clinical Information Center Operator’s Manual. Adjusting parameter control settings The following guidelines apply to adjusting parameter control settings at the CIC Pro center: You may view and adjust parameter settings for any in-unit patient.
Viewing real-time patient data 063A t ECG control settings Option Function Set the top or first lead displayed on the monitor and on the CIC Pro center. This is the lead data that prints during an alarm or manual graph. Relearn button Relearn the selected patient’s ECG rhythm after changes occur to heart rate or rhythm. The CIC Pro center uses 14 current complexes to relearn the patient’s ECG pattern.
Viewing real-time patient data ECG control settings Option Arrhythmia Function Set the arrhythmia detection level: Full: Detect all arrhythmia conditions defined by the software. Lethal: Detect lethal arrhythmia conditions. Off: Turn off arrhythmia detection. Arrhythmia detection remains off until you choose Full or Lethal, or the patient is discharged. NOTE OFF appears dimmed and is not selectable when the following option is set: CIC Setup > CIC Defaults > Allow Alarms OFF on this CIC > No.
Viewing real-time patient data WARNING PACEMAKER SPIKE—An artificial pacemaker spike is displayed in place of the actual pacemaker spike. All pacemaker spikes appear uniform. Do not diagnostically interpret pacemaker spike size and shape. WARNING PATIENT HAZARD—A pacemaker pulse can be counted as a QRS during asystole in either pace mode. Keep pacemaker patients under close observation. t WARNING RATE METERS—Keep pacemaker patients under close observation.
Viewing real-time patient data The Pace 1 mode allows successful detection of the largest variety of paced QRS morphologies. As a direct consequence, this mode does have a higher risk of counting pacemaker artifact as QRS complexes during ASYSTOLE. For this reason, it is imperative that the user keep patients with pacemakers under close observation.
Viewing real-time patient data 047A Lead analysis NOTE t The Lead Analysis control signals the transmitter to process the ECG in Single-Lead or Multi-Lead mode. Use the mouse to click on your selection. Multi-Lead analysis is the default setting for Adult. Multi-Lead analysis af ECG is relearned whenever Lead Analysis is changed.
Viewing real-time patient data Single-Lead ECG telemetry data NOTE When acquiring Single-Lead ECG data using a 5- or 6-leadwire set, it is not necessary to connect the V leads or the right leg lead to the transmitter or to the patient. The following constraints apply when using Single-Lead ECG telemetry data. Function change the displayed lead Single-Lead Constraints The factory default Display Lead is lead II. Contact your local service representative to change the default displayed lead.
Viewing real-time patient data WARNING SUSPENDED ANALYSIS—Certain conditions suspend arrhythmia analysis. When suspended, arrhythmia conditions are not detected and alarms associated with arrhythmias do not occur. The messages which alert you to the conditions causing suspended arrhythmia analysis are: ALL ALARMS OFF, ALARM PAUSE, ARR OFF, ARR SUSPEND, DISCHARGED, LEADS FAIL, and NO TELEM.
Viewing real-time patient data CAUTION Under these conditions, arrhythmia detection is OFF. There is NO INDICATION of this at the bedside monitor, central station or CIC Pro center. If the patient is later discharged from the monitor, and monitoring continues from telemetry, the message ARR OFF will then appear at the central station or CIC Pro center. Arrhythmia monitoring remains OFF. NOTE Solar 7000 monitors, Solar 8000 monitors, Dash monitors, and Eagle monitors may include the 7015 software level.
Viewing real-time patient data IRREGULAR Occurs when six consecutive normal R-to-R intervals vary by 100 milliseconds or more. PAUSE Occurs when a 3-second interval without a QRS complex is detected. NOTE Some bedside monitors allow the Pause time interval to be adjusted. For more information, refer to the appropriate bedside monitor’s operator’s manual. PVC Isolated premature ventricular complexes occur when a premature ventricular beat is detected and has non-ventricular beats before and after.
Viewing real-time patient data V TACH Adult—Ventricular tachycardia occurs when a run of six or more ventricular beats is detected with an average heart rate greater than or equal to 100 beats per minute. 0-2 years—Occurs when a run of six or more ventricular beats is detected with an average heart rate greater than or equal to 160 beats per minute. 3-10 years—Occurs when a run of six or more ventricular beats is detected with an average heart rate greater than or equal to 140 beats per minute.
Viewing real-time patient data The AFIB algorithm feature identifies atrial fibrillation arrhythmias for the transmitter. When an AFIB event is detected, the ATRIAL FIB alarm text replaces the IRREGULAR arrhythmia alarm text. AFIB event patient data is stored for review in the Graphic Trends and Vital Signs tab sheets. Alarms A patient status alarm is triggered when an AFIB arrhythmia is detected. The message ATRIAL FIB is displayed in the message area of the display.
Viewing real-time patient data The ST value shown in the ECG parameter window is the lead with the greatest ST deviation. This may or may not be the lead that is in alarm, since a lead with a lesser deviation from the isoelectric line may have changed more than the lead with the greatest deviation. NOTE ST numerics are always calculated with reference to 1X size. Displaying the ECG waveform at a different size does not affect the ST values.
Viewing real-time patient data SpO2 Introduction NOTE SpO2 and SPO2 are used interchangeably throughout this manual to refer to pulse oximetry. The transmitter supports the Apex oximeter and the Xpod oximeter. Unless specified, oximeter refers to both units.
Viewing real-time patient data 3. Click SPO2/Resp to display the control window. NOTE The SpO2 tab is labeled SpO2/Respiration because respiration monitoring settings are available on this tab sheet for bedside monitored patients only. Respiration monitoring is not an option for telemetry patients. Therefore only SpO2 information appears on this tab sheet when monitoring a telemetry patient. Change any of the undimmed setting options. Dr af t 4. Option 5.
Viewing real-time patient data WARNING DATA VALIDITY—Do not expose probe detector to strong ambient light while monitoring a patient. A poor signal may result. Do not allow tape to block the probe light detector. WARNING PATIENT SAFETY—Prolonged monitoring may require changing the probe site periodically. Move the probe if there is any sign of skin irritation or impaired circulation. Change the probe site AT LEAST every four hours to prevent ischemic skin necrosis.
Viewing real-time patient data Procedures or devices previously applied in your facility for SpO2 monitoring should be used in the event that the SpO2 value from the equipment cannot be validated by the above criteria. CAUTION Do not use the Apex oximeter on neonatal patients. It is not designed for use on neonates. Signal and data validity It is extremely important to determine that the probe is attached to the patient correctly and the data is verifiable.
Viewing real-time patient data Pressures The Pressures tab sheet allows you to view and modify settings specific to the viewed telemetry patient’s NBP display. Settings may be viewed for any patient. However, you can only modify settings for patients who are admitted to a bed in your unit. NOTE The NBP tab is labeled Pressures because other invasive pressures settings are available on this tab sheet for bedside monitored patients only. Invasive pressure monitoring is not an option for telemetry patients.
Viewing real-time patient data Non-invasive blood pressure control settings Option Auto Function Turn Off automatic NBP measurements. When turned On at the monitor, NBP measurements are acquired automatically at regular intervals. NOTE This option does not apply to telemetry beds and cannot be turned on from the CIC Pro center.
Viewing real-time patient data 1. Place the K-sound microphone in the microphone pad (or blood pressure cuff). For more information on microphone placement, refer to Microphone placement on page 7-30. 2. Locate the patient’s brachial artery on the inside of the arm, just above the elbow. Mark the location with a pen for easy microphone placement. 3. Remove the backing from the microphone pad and adhere it in the location marked on the patient’s arm. Do not bend or squeeze the microphone.
Viewing real-time patient data the blood pressure cuff, or alternatively, it can be placed directly into the microphone pocket inside the blood pressure cuff. Placement in the microphone pad Using a microphone pad is recommended. Place the microphone in the pad as illustrated below. Do not bend or squeeze the microphone when placing it in the pad, or when adhering the pad to the patient’s arm.
Viewing real-time patient data Safety considerations WARNING The Accutracker DX blood pressure monitor is designed for use with adult patients only. Do not use on neonates or on patients known to be susceptible to bruising. Do not attach the blood pressure cuff to a limb being used for IV infusions as the cuff inflation can block the infusion, causing harm to the patient. CAUTION The blood pressure monitor’s safety and effectiveness in neonates has not been established.
Viewing real-time patient data When the desired measurement interval is reached, press the START/STOP button. The blood pressure monitor immediately begins a measurement cycle. It will attempt one retry if the first measurement cycle fails. Measurements are taken at the selected interval. A measurement may be initiated in between intervals by pressing the START/STOP button.
Viewing real-time patient data Dynamic inflate is recommended for most patients. However, if a patient’s systolic pressure readings vary by 25 mmHg or more, fixed inflate may be more comfortable for the patient. In all likelihood, dynamic inflate would not inflate the cuff high enough for such a patient, prompting the blood pressure monitor to retry, and causing the patient to endure two inflations for each reading.
Viewing stored patient data Dr af t 8 2001989-301A- draft 1 ApexPro™ 8-1
Viewing stored patient data Stored data The CIC Pro center can retrieve in-unit parameter data from patient monitors connected to the Unity Network and retrieve parameter data from secondary devices connected through a Unity Network Interface. Stored events, parameter numeric data, graphic trends, and full disclosure patient data is identified by the date and time the data was collected. As a result, stored data is linked to a specific time focus.
Viewing stored patient data Events directory From the Events directory, you can view information about any Crisis, Warning, or Advisory level arrhythmia or ST event that is stored at a bedside monitor. You can also view any ECG data sample that is also stored at a bedside monitor from the Events directory.
Viewing stored patient data Scroll bar. Move up or down through the directory. Print directory button. Print the list of events displayed in the Events directory. Up and down buttons. Move up or down through the directory one event at a time. Delete event button. Delete the selected event or data sample from the Events directory.
Viewing stored patient data 4. Use the scroll bar to move up or down through the list of events and data samples. Deleting a stored event or data sample NOTE Deleting an event or data sample from the CIC Pro center Events directory also deletes the corresponding data from the monitor or telemetry system. When the Patient Data Server (PDS) is active, the delete events button is dimmed and you cannot delete any events or data samples from the Events directory.
Viewing stored patient data 066A Complete the following procedure to view or print an event strip or data sample stored in the Events directory: From the single patient viewer, click Patient Data... > Events. The Events directory displays. 2. Sort the data by event time or by event type. 3. Use the scroll bar to move up or down through the list of events and data samples. 4. Click on a single event or data sample you want to view or print. 5. From the patient data menu, click Event Strip.
Viewing stored patient data Full disclosure strip A full disclosure strip displays a maximum of 10-seconds of available full disclosure parameter waveforms and numeric data. You can choose to view the waveforms and numeric data for all monitored parameters or all of the ECG waveforms and numeric data. You can automatically scroll backward or forward through the displayed data, view, and print a selected full disclosure strip.
Viewing stored patient data FD Strip window Item Description 1 Parameter numeric data corresponding with the cursor’s time focus. 2 Speed. Adjust the sweep speed of the scanned waveforms. For example, when you choose 25 mm/s, the displayed data scrolls in 8second increments. 3 Scan Older. Scan through the older full disclosure data. When the end of the data has been reached, the scan automatically stops. During the scanning process, this button function changes to Stop.
Viewing stored patient data Complete the following procedure to print a full disclosure strip: 1. Position the cursor on the waveform area of interest. 2. Click (print button) located in the top right corner of the FD Strip window. The full disclosure strip prints. Full disclosure page The full disclosure page allows you to view and examine the full range of stored waveforms, zoom in on areas of interest, and print a customized full disclosure report.
Viewing stored patient data 2 1 3 4 5 6 8 7 068A FD Page window Item Description Time and date stamp for this row of waveform data. 2 Zoom box. Click inside the small blue-colored zoom box to display an enlarged view of the selected waveform area. af t 1 Click on another area of interest to re-position the zoom box. Waveform data. 4 Tools icon. Customize the on-screen display of full disclosure data. Dr 3 5 Print icon. Customize and print a full disclosure report.
Viewing stored patient data The CIC Pro center retrieves non-episodic parameter data at one-minute resolution from the patient monitor and displays it at one-minute resolution. Episodic parameter events (e.g. NBP) are retrieved every time episodic events are recorded. If more than one episodic event occurs during the same minute, the more recent episodic event overwrites the older episodic event. The CIC Pro center also retrieves AFIB trend data from telemetry patients.
Viewing stored patient data 2 1 3 5 4 6 073A Graphic Trends window Description t Item Graphic Trends window. 2 Graphic trend scales. 3 Graphic trend buttons. Identify the trended data and the associated parameter numeric values. Click on a graphic trend button to change the scale of this graphic trend. 4 Scroll bar. Move backward or forward in time. Dr af 1 5 Time focus cursor (yellow line) and time focus label (yellow label).
Viewing stored patient data Complete the following steps from the Graphic Trends window to adjust the start and stop time of the displayed graphic trends: 1. To make minor time adjustments, use the scroll bar to move backward and forward in time. 2. To display a specific time range (e.g. 30 Minutes), complete the following steps: a. Click Range to display a list of time ranges. b. Choose the time range for the displayed trended data. You can choose from 15, 30 minutes or 1, 2, 4, 8, 12, 24 hours.
Viewing stored patient data Digital writer output for stored telemetry graphic trends data Displayed data Printed output 8 hours 12 hours 24 hours 24 hours To print the displayed graphic trends data, click right corner of the Graphic Trends window.
Viewing stored patient data 2. From the single patient viewer, click Patient Data... > Vital Signs. The Vital Signs window displays. 2 3 1 6 4 5 074A Description af Item t Vital Signs window Vital Signs sort tool. Click the down arrow to choose the data group you want to display. 2 Print button. Print the list of events displayed in the Events directory. 3 Close button. Close this window. 4 Scroll bars. Move up and down or left and right through the displayed data. 5 Focus indicator.
Viewing stored patient data Printing vital signs data NOTE Up to five events of the Vital Signs data for telemetry patients can be printed to a digital writer. Complete the following procedure to print periodic and episodic trend data in a tabular format to a laser printer: 1. From the single patient viewer, click Patient Data... > Vital Signs. The Vital Signs window displays. 2. Click the down arrow next to the Vital Signs sort tool and choose the data group you want to display.
Viewing stored patient data 1 2 6 6 5 4 3 079A Calipers window Item Measurement table. Enter or clear the waveform measurement values for the PR, QRS, QT, R-R, and ST intervals or amplitudes. t 1 Description af NOTE The QTc value is a calculated value. Measurement window. View, measure time intervals and amplitude for displayed waveforms, and compare the interval of multiple waveform complexes. 3 Scroll bars. Move up and down or left and right through the displayed data.
Viewing stored patient data 4. Click (print button) located in the top right corner of the Calipers window. All measurements are lost when the window is closed. Reports The following reports are available for telemetry patients if a laser printer is configured for the CIC Pro center. These reports are enabled and configured through Webmin. Refer to the CIC Pro Clinical Information Center Bedrock Hardware Platform Service Manual for more information.
Printing Dr af t 9 2001989-301A- draft 1 ApexPro™ 9-1
Printing Print devices You can print real-time and stored parameter data to the following Unity Network print devices: PRN 50-M digital writer Laser printer Print output You can print displayed real-time or stored parameter data from a CIC Pro center or from other GE patient monitors that are connected to the Unity Network. The type of parameter data available to print depends on the source of the patient data (e.g.
Printing Use the following guidelines to identify the operating conditions that determine where your data prints out (graph location): Manual graphs and print windows: These print at the CIC Pro center where the graph was requested, provided that CIC Pro center has the same type of writer or printer as the graph location set for the patient for that type of graph.
Printing The PRN 50 digital writer and the Direct Digital Writers (DDW) print patient data (generally referred to as a graph or graph strip). Data can also be printed on a laser printer. The waveforms graphed and graph speed are controlled in the individual patient’s Graph Setup tab sheet. Unit defaults for telemetry patients can be set in the CIC Defaults tab sheet and the Telemetry Unit Defaults tab sheet.
Printing writer is available. The most recent 20-second alarm or manual graph will be saved in alarm history. Additional data maybe available with Full Disclosure. Graph all patients Clicking on the Print button at the bottom of the CIC Pro center display sends a Graph All Patients request to all beds displayed on the CIC Pro center, initiating a 10second graph for all telemetry and Combo patients and a 20-second graph for all bedside patients.
Printing Stopping a print job You must stop a print job from the same CIC Pro center you used to send the print job to the printer. Stop printing to a laser printer Complete the following procedure to stop printing all print jobs sent to the laser printer: 1. From the multi-patient viewer, click CIC Setup > CIC Defaults. The CIC Defaults window displays. 2. Under Printer/Writer, click Cancel Print Jobs for the printer you want to stop printing to. 3.
Printing 081A 3. Change any of the undimmed setting options. When an option appears dimmed, you cannot change it unless you enter the service-level password. Option Set the print order of the ECG waveforms: ECG 1: Set the lead and its associated waveform to print first. Waveform 2: Set the ECG lead or parameter and its associated waveform to print second. Waveform 3: Set the ECG lead or parameter and its associated waveform to print third.
Printing Enable Transmitter Graph Check Box 357C 2. To disable the Transmitter Graph option, point and click with the mouse to remove the check mark in the Enable Transmitter Graph check box. Alarm graphs enabled/disabled t This message line indicates whether the graph on alarm feature is on (Alarm Graph ENABLED) or off (Alarm Graph DISABLED). This feature cannot be set on an individual patient basis.
Abbreviations and symbols Dr af t A 2001989-301A- draft 1 ApexPro™ A-1
Abbreviations and symbols Abbreviations Abbreviations and symbols that you may encounter while reading this manual are listed below with their meanings.
Abbreviations and symbols CI cardiac index CIC CIC Pro Clinical Information Center cm centimeter CO cardiac output CO carbon monoxide CO2 carbon dioxide comm communication CP cardiopulmonary CPP cerebral perfusion pressure CRG cardiorespirogram CSA Canadian Standards Association CVP central venous pressure D diastolic DES desflurane direct interface device connection adapter af DIDCA t D DSC digital signal converter E expired e.g.
Abbreviations and symbols G g gram gHz gigahertz gtt drops H HAL halothane Hb hemoglobin HR heart rate Hz hertz I inspired IABP intra-aortic balloon pump ICG impedance cardiography ICP intracranial pressure ICU intensive care unit identification af ID t I inches INDV individual INF infusion, inferior Inject injectate Dr in INSP inspired INT interior ISO isoflurane IT injectate temperature IV intravenous J J ST measurement point K kg kilogram L A-4 L, LD le
Abbreviations and symbols LAT lateral lbs pounds LCWI left cardiac work index LED light emitting diode LIS lab information system LL left leg LVET left ventricular ejection time LVSWI left ventricular stroke work index M mean MAC minimum alveolar concentration MAP mean arterial pressure Min minimum mm millimeters mmHg millimeters of mercury multiple portable socket outlet af MPSO t M MRI magnetic resonance image ms milliseconds mV millivolt Dr N N/A not applicable N
Abbreviations and symbols pCO2, pO2 partial pressure of arterial carbon dioxide PED pediatric PEP pre-ejection period PVC premature ventricular resistance Q QRS interval of ventricular depolarization Qty quantity R right R rate R&TTE Radio and Telecommunication Terminal Equipment RA right arm RA right artial REF reference Reprep re-prepare resistance af RES t R respiration RF radio-frequency RHY rhythm RL right leg Dr Resp RR A-6 respiration rate S S systolic sec
Abbreviations and symbols SVR systemic vascular resistance SVRI systemic vascular resistance index Sync synchronized T T1, T2 temperature sites Tachy tachycardia TC transcutaneous Tech technical Temp, TMP, TP temperature TFC thoracic fluid content TIR technical information report U umbilical artery catheter UO urometer UVC umbilical venous catheter t UAC af V volt V version V ventrical lead Vent ventilator Dr V VFib ventricular fibrillation VI velocity index VOA vi
Abbreviations and symbols greater than < less than - minus # number % percent ± plus or minus " inches µ micro Dr af t > A-8 ApexPro™ 2001989-301A- draft 1
Customized defaults worksheet Dr af t B 2001989-301A- draft 1 ApexPro™ B-1
Customized defaults worksheet NOTE Before filling out this worksheet, you should make additional copies for future use. Use this worksheet to record customized settings for the following defaults: Alarms Off selection on page B-2. Telemetry Unit Defaults on page B-2. Telemetry parameter limits and alarm levels on page B-3. Alarms Off selection This telemetry setting is located in CIC Setup > CIC Defaults.
Customized defaults worksheet Telemetry unit default Default setting Patient Age Adult Transmitter Pause Enabled Alarm Pause Breakthrough Always On Event Marker1 On 1 The Event Marker Graph and Event Marker features are not applicable to all transmitters. Telemetry parameter limits and alarm levels Low High Level Arrhythmia Alarm Levels Levels HR bpm 50 150 Warning Asystole Crisis ST-I mm -2.0 2.0 Warning VFIB/VTAC Crisis ST-II mm -2.0 2.
Dr af t Customized defaults worksheet B-4 ApexPro™ 2001989-301A- draft 1
Maintenance Dr af t C 2001989-301A- draft 1 ApexPro™ C-1
Maintenance Biocompatibility When used as intended, the parts of the product described in this operator manual, including accessories that come in contact with the patient during the intended use, fulfill the biocompatibility requirements of the applicable standards. For more information, contact your local sales/service representative. Supplies To ensure patient safety, use only supplies manufactured or recommended by GE. For more information, contact your local sales/service representative.
Maintenance Disposal WARNING PACKAGING DISPOSAL—Dispose of all packaging material, observing all applicable waste control regulations and keeping out of children’s reach. WARNING DISPOSAL—At the end of its service life, the products described in this manual, as well as its accessories, must be disposed of in compliance with guidelines regulating the disposal of each product. If you have any questions concerning disposal of a product, please contact GE or its representatives.
Maintenance CAUTION Do not pour or spray any liquid directly on cables or leadwires or permit fluid to seep into connections or openings. CAUTION Never use conductive solutions, solutions that contain chlorides, wax, or wax compounds to clean devices, cables or leadwires.
Maintenance Cleaning products to avoid Cleaning products known to cause the types of problems listed above include, but are not limited to: Sani-Cloth Wipes Ascepti Wipes HB Quat Clorox Wipes (they do not contain bleach) Over-the-counter detergents (e.g. Fantastic, Tilex, etc.) Products that contain active ingredients and solutions similar to these products should also be avoided.
Maintenance Storage Always remove batteries when the device is not in use (even for short periods of time). Store in a dry well-ventilated area. Hang the device, use a holder if available. If leadwires/cables are attached, they should hang straight. Do not coil leadwires/cables tightly around the device. ECG cable/leadwire cleaning Results of improper cleaning Metal part corrosion. Brittle wires. Brittle and breaking connectors. Reduced cables and leadwires life.
Maintenance 6. Wipe off cleaning solutions with a clean, lightly moistened cloth. 7. Dry thoroughly with a dry lint-free cloth and let air dry for at least 30 minutes. NOTE Drying times may vary based on the environmental conditions. 8. Take care not to let fluid pool around connection pins. If this should happen, blot dry with a soft, lint-free cloth. 9. Do not use excessive drying techniques, such as oven, forced heat or sun drying.
Dr af t Maintenance C-8 ApexPro™ 2001989-301A- draft 1
Troubleshooting Dr af t D 2001989-301A- draft 1 ApexPro™ D-1
Troubleshooting ECG Arrhythmia troubleshooting Problem: Inaccurate heart rate and/or false asystole Solution: Check ECG signal from patient: 1. Check/adjust lead placement. 2. Check/perform skin preparation. 3. Check/replace electrodes. Check amplitude of ECG waveform: Click on the patient’s ECG tab. 2. Click on all ECG leads in the Display section and check for 0.5 mV amplitude at normal (1X) size. (At least 0.5 mV amplitude is required for QRS detection.
Troubleshooting 2. Click on the patient’s ECG tab. 3. Click on the Relearn button. Problem: ARR Suspend Solution: Check ECG signal from patient. 1. Check/adjust lead placement. 2. Check/perform skin preparation. 3. Check/replace electrodes. 4. Correct artifact source.
Troubleshooting L LA V1 RA LL RL C1 F R N 369B, 374B The right arm electrode is moved down to the fifth intercostal space, and the left leg electrode is moved up to the fifth intercostal space. NOTE After all electrodes are in place, ensure that a minimum of 1/2 mV of signal is present on each lead (I, II, III, V). t Interface connector ports af Pace detection performance is optimized with proper lead application and correct use of the serial interface connector ports.
Troubleshooting Pace 2 mode analyzes waveforms with the added capability of minimizing the chance of counting severe residual pacemaker energy as QRS complexes. In relation to the event rejection capability of Pace 2 pace mode, certain morphologies may not be detected. Arrhythmia calls like asystole or pause may be made with heart rate identified as less than actual. Again, pacemaker patients should be kept UNDER CLOSE OBSERVATION.
Troubleshooting CHANGE BATTERY Message displayed with SPO2 data displayed—The batteries in the Apex oximeter are low. There is approximately 1 hour of reserve power left in the batteries. Change the batteries. Message displayed, no SPO2 data displayed—The batteries in the Apex oximeter are depleted. Replace the batteries. This is a system Warning alarm. The alarm will sound, and a red alarm button will appear on the CIC Pro center display.
Troubleshooting 7. Patient may have a weak pulse. 8. Calibration may be necessary. NBP status messages NBP status messages appear in abbreviated form in graph headers, when applicable. A message will clear when the next measurement is initiated, or a message can be cleared manually with the Clear Message option on the NBP tab sheet. The following system status alarm messages may be displayed in the patient’s bed window during monitoring. An NBP measurement was attempted with low batteries.
Troubleshooting ALARM PAUSE All alarms for this patient have been turned off for five minutes. This is initiated from the transmitter by pressing both the Verify Leads and Graph buttons simultaneously. Refer to ALL ALARMS OFF. ALL ALARMS OFF All alarms for this patient have been turned off. No graph strips run, arrhythmia events are not stored, and no audible tones sound if an alarm condition should occur. ARR OFF The arrhythmia program for a selected patient has been turned off.
Troubleshooting NO TELEM The NO TELEM alarm occurs in two situations: 1. The patient moves out of range. If the transmitter is out of range for more than 30 seconds, the NO TELEM message displays. Should a LEADS FAIL condition occur prior to a NO TELEM condition, the LEADS FAIL condition takes priority. The LEADS FAIL message is displayed along with the NO TELEM message. 2. Transmitter batteries are extremely low or dead.
Troubleshooting Transmitter-related messages The following messages appear in the patient’s bed window on the CIC Pro center display. CHANGE BATTERY This message flashes when the batteries are low. There is approximately 1 hour of use left after this message appears. If the batteries are extremely low or completely dead, a NO TELEM message flashes, and an audible alarm sounds. LEADS FAIL All leads have failed, right leg lead failed, right arm lead failed, leadwires unplugged or reference lead failed.
Troubleshooting A telemetry patient is admitted but is not displayed (and therefore is unmonitored) on any CIC Pro center. If an alarm occurs on an unmonitored bed, the information will appear in the alarm text line and an audible tone will sound. You must view the patient first if you would like to silence the alarm. To view an unmonitored bed, click on the View Other button. “Unit/Bed”: DUPLICATE NAME There is another device on the network with the same bed name. The duplicate device must be renamed.
Dr af t Troubleshooting D-12 ApexPro™ 2001989-301A- draft 1
Technical specifications Dr af t E 2001989-301A- draft 1 ApexPro™ E-1
Technical specifications NOTE Specifications are provided to help you determine the space, ventilation, air conditioning and power requirements to ensure proper operation of your system. Specifications are approximate and may change with the actual unit shipped. Specifications are subject to change without notice. Contact your sales or service representative for more information. T14 transmitters Power requirements Battery type ANSI/NEDA 15 A, 1.
Technical specifications A/D converter resolution 10 bits, 9.
Technical specifications Pacemaker detection ± 2 mV to ± 700 mV (RTI); 100 µsec to 2 msec; either polarity; on multiple leads Patient leakage current Meets UL/IEC 60601-1 Serial communications 2 ports at 9600 baud asynchronous Physical specifications Height 13.7 cm (5.38 in) Width 7.3 cm (2.875 in) Depth 2.3 cm (0.91 in) Weight 141.8 g (0.275 lb) without battery; 170.1 g (0.
Technical specifications Environmental specifications Operating conditions Temperature 10 to 35° C (50 to 95° F) Relative humidity 15 to 80% (non-condensing) Vibration 5 to 500 Hz, 0.5 G RMS Altitude 0 to 3048m (0 to 10000 ft) Acoustic noise Less than 52 dB sound pressure at 5 to 28° C (41 to 82° F) Temperature -23 to 49° C (-10 to 120° F) Relative humidity 10 to 90% (non-condensing) Storage conditions af t Physical specifications 8.8 cm (3.46”) Depth 45 cm (17.7”) Width 48.
Technical specifications ApexPro receiver system Performance specifications RF module type GFSK and GMSK digitally demodulated UHF frequency range 560.025 to 613.975 MHz (U.S.) 420 to 460 MHz (International) Frequency step resolution Synthesized tuning to any transmitter; 25 kHz spacing Receiver system capacity 1 to 4 quad receiver modules (4 to 16 receivers) Frequency stability ± 0.0003% (3 PPM) of assigned channel frequency Bit rate 10 kbps Sensitivity 8.
Technical specifications Storage conditions Temperature -20 to 50° C Relative humidity 15 to 90% (non-condensing) Pressure 700 to 1060 hPa Physical specifications Height 17.0 cm (6.7 in) Width 32.5 cm (12.8 in) Depth 25.0 mm (9.8 in) Weight 6.4 kg (14 lb) FCC compliance information t This device complies with Part 95 of the FCC Rules and RSS-210 of Industry Canada. UL/IEC/EN 60601-1 CAN/CSA C22.2 No.601.
Dr af t Technical specifications E-8 ApexPro™ 2001989-301A- draft 1
Index 6-leadwire................................................... 6-3 neonate patients......................................... 6-5 pediatric patients ........................................ 6-5 measurements ................................................ 8-16 setting source ................................................. 6-21 signal ................................................................ 6-6 skin preparation ................................................ 6-2 troubleshooting arrhythmia ....
print alarm graphs................................................... 5-17 all patients ........................................................ 9-5 automatic graphs .............................................. 9-4 control settings ................................................. 9-6 devices ............................................................. 9-2 graph location ................................................... 9-2 manual graph....................................................
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Asia Headquarters GE Medical Systems Information Technologies GmbH Munzinger Straße 3-5 D-79111 Freiburg Germany Tel: + 49 761 45 43 - 0 Fax: + 49 761 45 43 - 233 GE Medical Systems Information Technologies Asia; GE (China) Co., Ltd. 24th Floor, Shanghai MAXDO Center, 8 Xing Yi Road, Hong Qiao Development Zone Shanghai 200336, P.R. China Tel: + 86 21 5257 4650 Fax: + 86 21 5208 2008 Dr af t GE Medical Systems Information Technologies, Inc.
