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GE ApexPro Operator's Manual

Telemetry system
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GE Healthcare
ApexPro™ Telemetry System
Operator's Manual
Software Version 4
ApexPro™
English
2028341-001 (CD)
2028340-001E (paper)
© 2007, 2008 General Electric
Company.
All rights reserved.

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Summary of Contents for GE ApexPro

  • Page 1 GE Healthcare ApexPro™ Telemetry System Operator’s Manual Software Version 4 ApexPro™ English 2028341-001 (CD) 2028340-001E (paper) © 2007, 2008 General Electric Company. All rights reserved.
  • Page 2 ApexPro software version 4 or later. 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. All other trademarks contained herein are the property of their respective owners.
  • Page 3 For more information, refer to the appropriate service manual. R&TTE directive The ApexPro 420-460 MHz transmitters and receiver system conform to the R&TTE Directive 1999/5/EC. For more information, refer to the appropriate service manual. General information This manual is an integral part of the product and describes its intended use.
  • Page 4 CE marking information assembly operations, extensions, readjustments, modifications, or repairs are carried out by persons authorized by GE; the electrical installation of the relevant room complies with the requirements of the appropriate regulations; and, the device is used in accordance with the instructions for use.

  • Page 5: Table Of Contents

    ApexPro telemetry system ........
  • Page 6 Adjusting alarm control settings ....... . . 5-8 Monitor alarm control settings ....... 5-8 ApexPro™ 2001989-200E...
  • Page 7 Constraints ..........6-20 2001989-200E ApexPro™...
  • Page 8 SpO2 probe safety ......... . 7-26 ApexPro™...
  • Page 9 Patient discharge summary report ......8-19 Transmitter battery status report ....... 8-20 2001989-200E ApexPro™...
  • Page 10 Biocompatibility ..........C-2 ApexPro™...
  • Page 11 Technical specifications ..... . E-1 ApexPro and ApexPro CH transmitters......E-2 Power requirements .
  • Page 12 ApexPro receiver system ........

  • Page 13: Introduction

    Introduction 2001989-200E ApexPro™...

  • Page 14: Manual Information

    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.

  • Page 15: Text Styles

    All names appearing in examples and illustrations are fictitious. The use of any real person’s name is purely coincidental. Ordering manuals A paper copy of this manual will be provided upon request. Contact your local GE representative and request the part number on the first page of the manual. Revision history Each page of the document has the document part number and revision letter at the bottom of the page.

  • Page 16: Equipment Information

    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.
  • Page 17 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.
  • Page 18 Before using the system, the operator must verify that it is in correct working order and operating condition. Periodically, and whenever the integrity of the product is in doubt, test all functions. WARNING CABLES — Route all cables away from patient's throat to avoid possible strangulation. ApexPro™ 2001989-200E...
  • Page 19 ELECTRODES — Whenever patient defibrillation is a possibility, use non-polarizing (silver/silver chloride construction) electrodes for ECG monitoring. Polarizing electrodes (stainless steel or silver constructed) may cause the electrodes to retain a residual charge after defibrillation. A residual charge will block acquisition of the ECG signal. 2001989-200E ApexPro™...
  • Page 20 EMC requirements. X-ray equipment or MRI devices are a possible source of interference as they may emit higher levels of electromagnetic radiation. Interference may cause changes to ECG baseline waveform, which may not be obvious to a clinician. ApexPro™ 2001989-200E...
  • Page 21 Changes or modifications to this device/system not expressly approved by GE may cause EMC issues with this or other equipment. This device/system is designed and tested to comply with applicable standards and regulations regarding EMC and needs...
  • Page 22 If the monitor does not automatically resume operation within 60 seconds, power cycle the monitor using the power on/off switch. Once monitoring is restored, you should verify correct monitoring state and alarm function. 1-10 ApexPro™ 2001989-200E...
  • Page 23 The use of unprotected leadwires and patient cables creates the potential for making an electrical connection to ground or to a high voltage power source which can cause serious injury or death to the patient. Unprotected Leadwire Protected Leadwire 322C 2001989-200E ApexPro™ 1-11...

  • Page 24: Cautions

    For locked patient bed, the color changes remain in effect until a user manually changes the colors. Moving or discharging a patient bed does not return the waveform colors to the default settings. 1-12 ApexPro™ 2001989-200E...
  • Page 25 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.
  • Page 26 CAUTION NEGLIGENCE — GE does not assume responsibility for damage to the equipment caused by improperly vented cabinets, improper or faulty power, or insufficient wall strength to support equipment mounted on such walls.
  • Page 27 CAUTION When using the ApexPro transmitter with a 3-leadwire set, an RF signal continues to be transmitted upon removal of ECG leadwires. A Leads Fail alarm appears at the central station however the system does not transition to a No TELEM alarm.

  • Page 28: Notes

    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”. 1-16 ApexPro™ 2001989-200E...

  • Page 29: Equipment Compliance

    Mode of operation Continuous operation The ApexPro transmitter is designed to be IPX3 compliant, so it can withstand inadvertent exposure to sprays. The transmitter should not be exposed to spray or shower during patient monitoring The ApexPro CH 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.

  • Page 30: Fcc Compliance Information Statement

    Introduction FCC compliance information statement The ApexPro CH 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.

  • Page 31: Equipment Overview

    Equipment overview 2001989-200E ApexPro™...

  • Page 32: Introduction

    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.

  • Page 33: Antenna System

    For more information, refer to ApexPro Receiver System Service Manual. Server A server hosts the ApexPro software. The server can be a telemetry server or a CIC Pro center. If your system includes a telemetry server, it 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.

  • Page 34: Cic Pro Center

    Equipment overview 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.

  • Page 35: Dinamap Pro Monitors

    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. 2001989-200E ApexPro™...
  • Page 36 Equipment overview ApexPro™ 2001989-200E...

  • Page 37: Equipment Setup

    Equipment setup 2001989-200E ApexPro™...

  • Page 38: Transmitter Setup

    Equipment setup Transmitter setup Views The transmitters have the following buttons and LEDs: 605A, 205A ApexPro Transmitter and ApexPro CH Transmitter ApexPro ApexPro CH Function RL RA LA LL Va Vb RL RA LA LL Va Vb When first powered up, the lead LEDs flash rapidly, followed by two slow flashes.

  • Page 39: 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 transmitter will compromise functionality of the transmitter and increase the risk of fire hazard.
  • Page 40 Locate the battery cover at the bottom of the transmitter. Slide the cover over to open the battery compartment. Insert the batteries according to the polarity signs on the lower back side of the transmitter. Close the battery cover. ApexPro™ 2001989-200E...

  • Page 41: Leadwire Installation

    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 2001989-200E ApexPro™...

  • Page 42: Verify Transmitter/Leadwires Status

    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. ApexPro™ 2001989-200E...

  • Page 43: Antenna System

    The Xpod oximeter uses the battery power supplied by the transmitter. Connect the oximeter to the INTFC connector (labeled 2 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. 428A 2001989-200E ApexPro™...

  • Page 44: Apex Oximeter

    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.

  • Page 45: Transmitter Connection

    Dinamap PRO monitors 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. 2001989-200E ApexPro™...

  • Page 46: Interconnection Cables

    Apex S transmitter (CD Telemetry-LAN monitoring system). The connector ends that are plugged into the transmitters are different and are not interchangeable. CD Telemetry-LAN monitoring system ApexPro system interconnection interconnection cable connector cable connector 423A Accutracker DX The blood pressure monitor allows telemetry monitoring of a patient’s NBP data.

  • Page 47: Battery Installation

    Insert the new batteries, being careful to follow the polarity signs. Be sure to place the batteries on top of the ribbon. Slide the battery cover back on securely. 2001989-200E ApexPro™ 3-11...

  • Page 48: Connection

    407A Microphone cable connection Patient connection cable ApexPro 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.
  • Page 49 NBP data. NOTE 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. 2001989-200E ApexPro™ 3-13...
  • Page 50 Equipment setup 3-14 ApexPro™ 2001989-200E...

  • Page 51: System Setup

    System setup 2001989-200E ApexPro™...

  • Page 52: Bedside Monitor Setup

    ApexPro system patient data can be viewed on most GE patient monitors. The monitor and the ApexPro system must be connected to the same Unity network. The telemetry patient can be viewed on the bedside monitor using the monitor split screen view.

  • Page 53: Cic Pro Center Setup

    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. 2001989-200E ApexPro™...

  • Page 54: Configuring The Cic Pro Center

    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...

  • Page 55: Licenses (Instituted)

    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. 2001989-200E ApexPro™...

  • Page 56: Defaults (Persistent)

    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. ApexPro™ 2001989-200E...

  • Page 57: User-Level Defaults (Persistent)

    This option sets telemetry unit default settings. You must be in the Service mode to set the Telemetry Unit Defaults at the CIC Pro center. To view the telemetry unit default settings, click CIC Setup > Telemetry Unit Defaults. 502A 2001989-200E ApexPro™...
  • Page 58 Turn on or off Alarm Graph printing. Choices are: Always on or Always off. On is the default. This option sets the unit default for all patients admitted to the CIC Pro center. It cannot be changed on an individual patient basis. ApexPro™ 2001989-200E...
  • Page 59 Temporary changes may be made for a specific patient via the single patient viewer > Monitor Setup > ECG. NOTE Correctly labelling V leads is important to facilitate correct ECG analysis when viewing real-time waveforms, histories or printouts. 2001989-200E ApexPro™...
  • Page 60 (ApexPro CH transmitter only) Turn on or off Event Marker alert. Off is the default. Barbara J. Drew, RN, PhD, FAAN (2000). Value of Monitoring a Second Precordial Lead for Patients in a Telemetry Unit, GE Medical Systems (order document number M04243ME0) Patient age WARNING INCORRECT ALGORITHMS, ARRHYTHMIA PROCESSING AND CALCULATIONS BASED ON PATIENT AGE —...
  • Page 61 Advisory Crisis 11-13 years 50, 150 Advisory Advisory Factory defaults These factory defaults are in effect, depending upon the patient’s age, unless they have been modified through Telemetry Unit Defaults. ECG Display Lead is II Multi-Lead analysis 2001989-200E ApexPro™ 4-11...
  • Page 62 You must be in Service mode to set the Telemetry Alarm Control Defaults at the CIC Pro center. To view the telemetry unit default settings, click CIC Setup > Telemetry Alarm Control Defaults. 4-12 ApexPro™ 2001989-200E...
  • Page 63 Warning ST-V3 -2.0 Warning ST-V4 -2.0 Warning ST-V5 -2.0 Warning ST-V6 -2.0 Warning ST-aVR -2.0 Warning ST-aVL -2.0 Warning ST-aVF -2.0 Warning NBP-S mmHg Warning NBP-D mmHg Warning NBP-M mmHg Warning SPO2 Warning SPO2-R Warning breaths/min Warning 2001989-200E ApexPro™ 4-13...
  • Page 64 This option sets the full disclosure settings. In user mode, only the full disclosure Report and Strip settings can be configured. You must be in the Service mode to set the other full disclosure settings at the CIC Pro center. 4-14 ApexPro™ 2001989-200E...
  • Page 65 Strip Duration display field. Move the scroll bar to the left for shorter duration or to the right for longer duration. Hole Location Provide space for binding printed reports. Choices are: none, top, bottom, left, and right. 2001989-200E ApexPro™ 4-15...
  • Page 66 For important configuration information, refer to the appropriate CIC Pro center service manual. NOTE Telemetry beds are distinguished from monitoring beds by an asterisk appended to the end of the bed number. To view the Current Telemetry Listings, click CIC Setup > Current Telemetry Listings. 4-16 ApexPro™ 2001989-200E...

  • Page 67: Control Settings (Temporary)

    CIC Pro center. Control settings are temporary, meaning they apply to a selected patient and are erased when the patient is discharged. However, alarm volume changes apply to the CIC Pro center and cannot be changed on an individual patient basis. 2001989-200E ApexPro™ 4-17...

  • Page 68: Alarm Volume

    The Current Alarm Volume cannot be set below the Minimum Alarm Volume. Click the down arrow next to Minimum and select the desired Alarm Volume. The minimum Alarm Volume can be set between OFF and 100%. Click Apply. 4-18 ApexPro™ 2001989-200E...

  • Page 69: Alarms

    Alarms 2001989-200E ApexPro™...

  • Page 70: Alarm Notification

    The following picture shows examples of on-screen alarm indicators: 058A On-screen alarm indicators ADU Alarm buttons NOTE Clicking the alarm button displays detailed real-time parameter data for the alarming patient in a single patient viewer. Parameter window Waveform area alarm message ApexPro™ 2001989-200E...

  • Page 71: Alarm Categories

    Only patient status Crisis and Warning alarms and system status Warning alarms activate the colored border. Patients selected for single patient view have a white border in the multi- patient viewer. 2001989-200E ApexPro™...

  • Page 72: System Status Alarms

    See Adjusting alarm control settings on page 5-8. The bedside monitors automatically stores a 10-second strip for all Advisory, Warning, or Crisis arrhythmia events. The CIC Pro center can retrieve and display the 10-second strip stored at the bedside monitor. ApexPro™ 2001989-200E...

  • Page 73: Enable Transmitter Pause

    The Pause Alarm LED will flash at a 1 second rate until the pause alarm condition times out (5 minutes by default, but settable through the programming box). ALARM PAUSE displays in the patient’s waveform window on the CIC Pro center screen. 2001989-200E ApexPro™...

  • Page 74: Reactivating Alarms At The Transmitter

    All alarms at any alarm level will sound at the CIC Pro center. If you wish to continue pausing alarms after an Alarm Pause Breakthrough occurs, you must re-initiate the alarm pause: ApexPro™ 2001989-200E...

  • Page 75: Silencing Alarms

    Silence Alarms key located on the keyboard. This sends a silence notification to the bedside monitor. For most GE monitors, this silence notification will silence the alarms for up to one minute. However, the viewed bedside monitors must be configured to allow bedside alarms to be silenced from the CIC Pro center.

  • Page 76: Alarm Silence Indicator

    The changes you make to the settings apply to the selected patient only and are adopted by the patient’s monitor. Some control settings for non-GE acquisition devices that are interfaced via the Unity Network Interface Device or the OCTANET interface device are not adjustable.
  • Page 77 Repeat the previous steps to adjust additional alarm limit values. After making your selections, complete one of the following tasks: Choose a different control setting to adjust. 2001989-200E ApexPro™...
  • Page 78 The telemetry Alarm Pause - Smart Alarms feature reduces false patient alarms and works as follows: When a patient is re-connected to the telemetry device and continuous ECG data is recorded, the alarm pause condition automatically clears. 5-10 ApexPro™ 2001989-200E...
  • Page 79 Allow Alarms OFF on this CIC service-level default to Yes. For more information, refer to the appropriate CIC Pro center service manual. To turn off alarms for this telemetry patient, click OFF. WARNING The telemetry alarms remain off until you manually select ON again. 2001989-200E ApexPro™ 5-11...

  • Page 80: Alarm Unit Default Settings

    The consequences of misuse include loss of patient data, corruption of the CIC Pro center operating system software, or disruption of the entire Unity network. Click on the Telemetry Alarm Control Defaults tab to bring it to the front. 5-12 ApexPro™ 2001989-200E...

  • Page 81: Parameter Limits

    If you make only one change, you do not need to click on the Apply button. The change will take effect automatically, and the Apply button will appear dimmed. If you are finished making changes to the Telemetry Alarm Control Defaults tab sheet, click the OK button. 2001989-200E ApexPro™ 5-13...

  • Page 82: Parameter Alarm Levels

    Click in the Level field of the arrhythmia alarm you wish to modify. A down arrow button appears in the field. NOTE The Arrhythmia Alarm Levels for ASYSTOLE and VFIB/VTAC cannot be changed. Therefore, the text in the Level field for these alarms always appears dimmed. 5-14 ApexPro™ 2001989-200E...

  • Page 83: System Alarm Levels

    Click in the Level field of the system alarm you wish to modify. A down arrow button appears in the field. Click on the down arrow button. A popup list of alarm level selections appears. Click on your choice to select it. 2001989-200E ApexPro™ 5-15...

  • Page 84: Recalling Unit Defaults

    Configure the automatic printing of alarm graphs The automatic printing of alarm graphs for telemetry beds must be enabled in the Service mode. For more information, refer to User-level defaults (persistent) on page 4-7. 5-16 ApexPro™ 2001989-200E...

  • Page 85: Printing Alarm Settings

    Complete the following procedure to stop printing the current print job sent to a local digital writer: Locate the digital writer. Press the (Graph Stop) button located on the front of the digital writer to stop the print job. 2001989-200E ApexPro™ 5-17...
  • Page 86 Alarms 5-18 ApexPro™ 2001989-200E...

  • Page 87: Managing Patients

    Managing patients 2001989-200E ApexPro™...

  • Page 88: Introduction

    After a long period of time, the patient’s skin may also be irritated by the gel or adhesive, causing discomfort. Electrode placement WARNING CONTAMINATED LEADWIRES— Contaminated leadwires may cause infection. Always follow the skin preparation guidelines and leadwire cleaning instructions provided in this manual. ApexPro™ 2001989-200E...

  • Page 89: 6-Leadwire Electrode Placement

    NOTE When using a 6-leadwire set, the V leads must be labelled correctly. Choices for Va: V1 to V6. Choices for Vb: V2 toV6. For more information, refer to User- level defaults (persistent) on page 4-7. 2001989-200E ApexPro™...

  • Page 90: 5-Leadwire Electrode Placement

    Always use a 5- or 6- leadwire set when reliable pacer detection is required. Barbara J. Drew, RN, PhD, FAAN (2000). Value of Monitoring a Second Precordial Lead for Patients in a Telemetry Unit, GE Medical Systems (order document number M04243ME0). ApexPro™ 2001989-200E...
  • Page 91 Wait for 10 seconds the ECG waveforms will be displayed. CAUTION When using the ApexPro transmitter with a 3-leadwire set, an RF signal continues to be transmitted upon removal of ECG leadwires. A Leads Fail alarm appears at the central station however the system does not transition to a No TELEM alarm.

  • Page 92: Electrode Placement For Pediatric Patients

    If the transmitter is allowed to dangle or jostle as the patient moves, then the weight of the device will tug on the electrodes, causing degradation of the signal. Even if the electrodes are in good contact, excessive tugging on the electrodes will change the ApexPro™ 2001989-200E...

  • Page 93: Special Considerations For 6-Leadwire Monitoring

    Prior to admitting a telemetry patient to the CIC Pro center, several steps need to be performed: Transmitter setup on page 3-2. Battery installation on page 3-3. Leadwire installation on page 3-5. Electrode attachment on page 3-5. 2001989-200E ApexPro™...

  • Page 94: Terminology

    Pro center, the CIC Pro center recognizes the transmitter type and translates the information into an alpha-numeric number. The alpha-numeric number of the transmitter is displayed under the ECG parameter window. NOTE The TTX ID number is a four digit number. ApexPro™ 2001989-200E...

  • Page 95: Factors Guiding The Admit Process

    The source of the ECG data. The source of the patient demographic information. The mobility level of the monitor. Does the monitor move (rove) from room-to- room? The permanent assignment (locking) of beds in the multi-patient viewer. 2001989-200E ApexPro™...

  • Page 96: The Source Of The Ecg Data

    CIC Pro center: Turn off the monitor when you are storing it. Keep the monitor turned off when you bring it into the patient room. Verify the monitor is on the network. 6-10 ApexPro™ 2001989-200E...

  • Page 97: The Permanent (Locked) Beds In The Multi-Patient Viewer

    See The monitor moves (roves) from room to room on page 6-10. Look for an empty patient window displaying an Admit button From the multi-patient viewer, look for an empty patient window displaying an Admit button. 2001989-200E ApexPro™ 6-11...
  • Page 98 From the right click menu, click Select Care Unit then Bed Number > None. The patient window should now be empty except for an Admit button. Go to step 2. Click Admit to display the Admit window. 057A To automatically enter the patient demographics 6-12 ApexPro™ 2001989-200E...
  • Page 99 From the Admit window, type one of the following patient search criteria into the appropriate data field: Medical record number (patient identification number) Last name Bed number Click Request Admit Info to display a list of possible patient matches and their demographic information. 070A 2001989-200E ApexPro™ 6-13...
  • Page 100 Under First Name, type the patient’s first name. Under Patient ID, type the patient’s medical record number (patient identification number). Under Age, click the down arrow to display the list of age ranges. Choose the patient’s age range from the displayed list. 6-14 ApexPro™ 2001989-200E...
  • Page 101 TTX ID number label located on the back of the transmitter. When the source of the ECG data is a monitor, choose Monitor. Admit the patient Complete the following procedure to admit the patient: Click Admit to admit the patient. 2001989-200E ApexPro™ 6-15...

  • Page 102: Changing Patient Demographic Information

    Once a patient is admitted, you may add or change patient demographic information: From the multi-patient viewer, click on the patient you want to change. The single patient viewer displays. From the single patient viewer, click Admit to display the Admit window. Make changes to the patient demographic information. 6-16 ApexPro™ 2001989-200E...

  • Page 103: Moving A Patient To A Different Bed

    Verify you are moving the correct patient: When this is the patient you want to move, click Yes. When this is not the patient you want to move, click No to cancel this action and display the multi-patient viewer. 2001989-200E ApexPro™ 6-17...

  • Page 104: Move A Patient To Telemetry Monitoring

    Re-admit the patient. Monitoring will stop if you switch transmitters while a patient is admitted. Attempting to change the TTX ID number for an admitted telemetry patient at the CIC Pro center with generate the message Invalid TTX. 6-18 ApexPro™ 2001989-200E...

  • Page 105: Discharging An Admitted Patient

    The following are guidelines to remember when monitoring in Combo or Rover Combo monitoring modes. When monitoring ECG from telemetry: ECG limits and Arrhythmia Alarm Levels are not your monitor defaults, but are the telemetry defaults from the central station. You can adjust these settings at the monitor. 2001989-200E ApexPro™ 6-19...

  • Page 106: Constraints

    The SpO and SpO Rate parameter alarm levels become Warning. The SpO pulse search and probe off system status alarm levels become Warning. Connecting the ECG cable to the monitor will not automatically turn the ECG parameter on. 6-20 ApexPro™ 2001989-200E...

  • Page 107: Ecg Setting Source

    Otherwise the appropriate age-related algorithms, arrhythmia detection, and calculations will not be applied. 2001989-200E ApexPro™ 6-21...
  • Page 108 For both the TELE DEFINED and USER DEFINED options, when discharging from the monitor (exiting Combo mode), but remaining admitted to telemetry, the ECG settings for the current patient persist until the patient is discharged from telemetry. 6-22 ApexPro™ 2001989-200E...

  • Page 109: Viewing Real-Time Patient Data

    Viewing real-time patient data 2001989-200E ApexPro™...

  • Page 110: Real-Time Patient Views

    Admit or discharge a patient. See Chapter 6. View beds outside your care unit. See Out-of-unit patient beds on page 7-6. Silence all alarms. See Silencing alarms on page 5-7. The multi-patient viewer displays menu bar options similar to the following: ApexPro™ 2001989-200E...

  • Page 111: Single Patient Viewer

    5-8. See Adjusting parameter control settings on page 7- View Alarm Control or parameter control settings for out-of-unit patient beds on the Unity Network. See Adjusting alarm control settings on page 5-8. See Adjusting parameter control settings on page 7-11. 2001989-200E ApexPro™...
  • Page 112 The heart rate value appears briefly as Xs during the relearn process and returns to numerics when the relearn process is complete. Configuration Configure the selected patient’s real-time trend window. Configuring the real-time trend window on page 7-6. ApexPro™ 2001989-200E...

  • Page 113: In-Unit Patient Beds

    When you have more than one CIC Pro center in your care unit, you can view (monitor) a patient bed from another in-unit CIC Pro center. Complete the following procedure to view (monitor) in-unit patient beds from another in-unit CIC Pro center: 2001989-200E ApexPro™...

  • Page 114: Out-Of-Unit Patient Beds

    From the right click menu, choose Select Care Unit then Bed Number > None. Configuring the real-time trend window You can configure the display of a real-time trend window in the multi-patient viewer. The real-time trend window displays the recent patient trends for a maximum of two parameters. ApexPro™ 2001989-200E...
  • Page 115 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. Ensure that the Display Real-time Trend Graph checkbox is checked. 062A Change any of the undimmed setting options. 2001989-200E ApexPro™...

  • Page 116: Printing Real-Time Data

    Printing a continuous ECG strip From the multi-patient viewer, you can click in the ECG parameter window of any displayed patient bed to print a continuous ECG strip. A print icon appears as you position the cursor over the ECG parameter window. ApexPro™ 2001989-200E...

  • Page 117: Printing Parameter Limits Or Waveforms For All In-Unit Patient Beds

    Patients request is running, the Graph All Patients graph for that patient is replaced by a Transmitter Graph. Complete the following procedures to print parameter limits or waveforms for all patient beds displayed in the multi-patient viewer: Printing limits NOTE The Limits option only prints parameter limits for telemetry beds. 2001989-200E ApexPro™...

  • Page 118: Stopping A Print Job

    Complete the following procedure to stop printing all print jobs sent to a local digital writer: Locate the digital writer. Press the (Graph Stop) button located on the front of the digital writer to stop the print job. 7-10 ApexPro™ 2001989-200E...

  • Page 119: Monitored Parameters

    These changes are also adopted by the monitor. You may not be able to adjust some of the control settings for non-GE acquisition devices that are interfaced via the Unity Network Interface Device.
  • Page 120 ECG pattern. Remove the V Fail message or activate the second V-lead when changing between a 5-and 6-leadwire set on the ApexPro CH transmitter. NOTE The heart rate value appears briefly as Xs during the relearn process and returns to numerics when the relearn is complete.

  • Page 121: Monitoring Pacemaker Patients

    Be aware of the following when monitoring a patient with a pacemaker. WARNING FALSE CALLS—False low heart rate indicators or false asystole calls may result with certain pacemakers because of electrical overshoot. WARNING MONITORING PACEMAKER PATIENTS—Monitoring of pacemaker patients can only occur with the pace program activated. 2001989-200E ApexPro™ 7-13...
  • Page 122 1350 Piccard Drive, Mail Stop HFZ-510 Rockville, MD 20850 U.S.A. NOTE ECG monitoring with patients on non-invasive transcutaneous pacemakers may not be possible due to large amounts of energy produced by these devices. Monitoring ECG with an external device may be needed. 7-14 ApexPro™ 2001989-200E...

  • Page 123: Multi-Vector Pace Detection

    Single-Lead analysis; try switching to the other pace detection mode. Multi-vector pace detection The ApexPro CH transmitter uses multi-vector pace detection. Here are some additional guidelines for successful monitoring pacemaker patients when using the ApexPro CH transmitter. When using the 5- or 6-leadwire set with all the electrodes attached, pace detection occurs on two ECG leads simultaneously.

  • Page 124: Pace Help

    Continue arrhythmia processing even after a lead change. Single-Lead analysis Single-Lead analysis uses only the lead displayed on the CIC Pro center screen to process ECG and arrhythmia information. To change the lead used for Single-Lead analysis, you must change the displayed lead. 7-16 ApexPro™ 2001989-200E...

  • Page 125: Single-Lead Ecg Telemetry Data

    Leads other than the default displayed lead may appear to be selectable at the CIC Pro center. However, you must select the transmitter’s default displayed lead to obtain a graph of the waveform. 2001989-200E ApexPro™ 7-17...

  • Page 126: Arrhythmia

    When arrhythmia program is in Full mode, the program counts the number of PVCs that occur within a minute. Turning arrhythmia on automatically starts a relearn procedure. When arrhythmia is turned off, ARR OFF appears in the ECG parameter window. 7-18 ApexPro™ 2001989-200E...

  • Page 127: No Arrhythmia Detection With 7015 Software Level Patient Monitors

    Viewing real-time patient data No arrhythmia detection with 7015 software level patient monitors If an ApexPro system patient is admitted to a patient monitor at the 7015 software level (ECG source is telemetry, not the monitor), the following scenario may occur...
  • Page 128 Ventricular fibrillation occurs when the ECG waveform indicates a chaotic ventricular rhythm. WARNING VFIB/VTAC should not be considered a substitute for the V TACH arrhythmia call. Efforts to lower the V TACH alarm level can result in missed ventricular tachycardia alarms. 7-20 ApexPro™ 2001989-200E...

  • Page 129: Lethal Arrhythmia Conditions

    Atrial fibrillation (AFIB) is characterized by random, chaotic, low-amplitude deflections of the supraventricular component of the ECG waveform, resulting in irregular timing of QRS complexes and an absence of uniform P waves preceding the QRS complex. 2001989-200E ApexPro™ 7-21...

  • Page 130: Alarms

    Turn ST ON to display the numerics calculated for ST at the CIC Pro center. GE identifies the ST segment of the QRS complex as beginning at the J point and ending 60 milliseconds following the J point in Adult mode. The ST measurement factory defaults are: Adult—...

  • Page 131: St Deviation Alarm

    ST alarm levels from the CIC Pro center. Some bedside monitors allow users to adjust ST alarm limits and levels at the bedside when the patient is admitted in combination monitoring mode. For more information on adjusting ST limits, refer to the bedside monitor operator’s manual. 2001989-200E ApexPro™ 7-23...

  • Page 132: Spo2

    SpO2 displays the current SpO2 value; one, two, or three asterisks indicating signal strength; and, if turned on, the derived pulse rate for the patient. The following figure is an example of a telemetry patient’s bed window in the multi-patient viewer. 7-24 ApexPro™ 2001989-200E...
  • Page 133 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. 064A 2001989-200E ApexPro™ 7-25...

  • Page 134: Spo2 Control Settings

    If a probe is damaged in any way, discontinue use immediately. CAUTION Use only approved Nonin SpO2 probes (refer to the Additional Product Information addendum) with the Apex oximeter and Xpod oximeter. The reliability of SpO2 data obtained with any other probe has not been verified. 7-26 ApexPro™ 2001989-200E...
  • Page 135 SpO2 signals of marginal quality, and blinks red when the SpO2 signal is too weak or the quality is very poor. When the perfusion LED blinks red, the numeric data displayed on the Apex oximeter will be replaced by dashes within 10 seconds. 2001989-200E ApexPro™ 7-27...
  • Page 136 If any of the listed messages appear, check the position of the probe or replace the probe. See SpO2 messages on page D-5. If the problem persists, call GE Service or contact your sales/service representative. Pressures The Pressures tab sheet allows you to view and modify settings specific to the viewed telemetry patient’s NBP display.
  • Page 137 For more information, refer to the appropriate bedside monitor’s operator’s manual. NOTE Cuff size cannot be changed on telemetry beds. Clear Message button Clear the display of inflation messages and current NBP readings. After making your selections, complete one of the following tasks: 2001989-200E ApexPro™ 7-29...
  • Page 138 Do not bend or squeeze the microphone. Route the microphone cable up, toward the patient’s shoulder. Wrap the blood pressure cuff around the arm. Be sure that the artery marker is aligned over the brachial artery. 7-30 ApexPro™ 2001989-200E...
  • Page 139 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. 2001989-200E ApexPro™ 7-31...
  • Page 140 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. 7-32 ApexPro™ 2001989-200E...
  • Page 141 (X number of minutes) after the manual measurement is complete. The patient’s blood pressure is displayed for one minute on the blood pressure monitor and for two hours on the CIC Pro center. The blood pressure reading is updated each time a measurement is successfully completed. 2001989-200E ApexPro™ 7-33...
  • Page 142 After selecting dynamic or fixed inflate, the DEFLATE RATE can be set. It can be set to: 6, 5, 4, 3, or 2 mmHg, using the YES + and NO – buttons. A deflate rate of 3 mmHg per second is recommended. 7-34 ApexPro™ 2001989-200E...
  • Page 143 Although it is not shown on the blood pressure monitor display, both the software and hardware version have a period in them. For example, if the hardware version reads 11 on the display, this actually indicates that it is hardware version 1.1. 2001989-200E ApexPro™ 7-35...
  • Page 144 Viewing real-time patient data 7-36 ApexPro™ 2001989-200E...
  • Page 145 Viewing stored patient data 2001989-200E ApexPro™...
  • Page 146 No data is available for requested time. NOTE When using a second display, you can display data from two different data review tools using the same time focus in the top and bottom halves of the display screen. ApexPro™ 2001989-200E...
  • Page 147 Sort tool. Click the down arrow to sort stored events and data samples by the date and time the event occurred or by the type of event (e.g. arrhythmias). 2001989-200E ApexPro™...
  • Page 148 Sort by: Type and choose Sort by: Time from the displayed list. The list sorts itself by event time. To move up or down through the list of events one at a time, click arrows located under the Events directory. ApexPro™ 2001989-200E...
  • Page 149 You can view or print a maximum of a 10-second strip for any arrhythmia event or ECG data sample stored in the Events directory. You can also view or print the current and reference ST complexes for all available ECG leads. The following is an example of an Event Strip. 2001989-200E ApexPro™...
  • Page 150 You can view full disclosure data using the following data review tools: Full disclosure strip: Automatically scan forwards and backwards through full disclosure data for specific areas of interest. Full disclosure page: View full disclosure waveform data in a full page format and view specific areas of interest. ApexPro™ 2001989-200E...
  • Page 151 Display the full disclosure strip window From the multi-patient viewer, click on the patient you want to view. The single patient viewer displays. From the single patient viewer, click Patient Data... > FD Strip. The full disclosure strip window displays. 067A 2001989-200E ApexPro™...
  • Page 152 The printed strip displays the parameter waveform and numeric data for the selected time focus. The duration of the printed FD Strip is determined in the Strip > Duration setting in the Full Disclosure Defaults window. ApexPro™ 2001989-200E...
  • Page 153 Otherwise, the most current full disclosure data displays. NOTE When an event or ECG data sample occurs outside of the time limit of your full disclosure license, a message similar to the following displays: No patient data is available for the selected time. 2001989-200E ApexPro™...
  • Page 154 A patient’s parameter numeric data is continually collected for a maximum of 24 hours. After the maximum hours of data collection have elapsed, the oldest data is deleted to accommodate the newer data. 8-10 ApexPro™ 2001989-200E...
  • Page 155 From the multi-patient viewer, click on the patient you want to view. The single patient viewer displays. From the single patient viewer, click Patient Data... > Graphic Trends. The Graphic Trends window displays the current parameter trends. 2001989-200E ApexPro™ 8-11...
  • Page 156 Range. Display the selected time range from 15 minutes to 24 hours. Scroll bar. Move backward or forward in time. Event summary. Display a brief overview of the type and number of events that occurred during a specific time focus. 8-12 ApexPro™ 2001989-200E...
  • Page 157 A window displays the parameters scales available for the selected parameter trend. Choose the desired scale. The window closes and the scale setting is automatically applied. Repeat step and step for each parameter trend scale you want to adjust. 2001989-200E ApexPro™ 8-13...
  • Page 158 Unity Network Interface. You can view trended parameter numeric data for varying time intervals. When the CIC Pro center is connected to a laser printer, you can also print the trended parameter 8-14 ApexPro™ 2001989-200E...
  • Page 159 Complete the following procedure to view periodic and episodic trend data in a tabular format: From the multi-patient viewer, click on the patient you want to view. The single patient viewer displays. From the single patient viewer, click Patient Data... > Vital Signs. The Vital Signs window displays. 074A 2001989-200E ApexPro™ 8-15...
  • Page 160 The data sorts itself by your chosen category. Click the Interval button to choose the time interval of the displayed data. Click (print button) located in the top right corner of the Vital Signs window. 8-16 ApexPro™ 2001989-200E...
  • Page 161 When an event or ECG data sample occurs outside of the time limit of your full disclosure license, the data will not be available to view from the Calipers measurement tool. Click Calipers to display the Calipers window. Ten seconds of waveform data displays. 079A 2001989-200E ApexPro™ 8-17...
  • Page 162 Click and drag the center calipers handle (grey-colored rectangle) to position the calipers over the waveform complex. Click and drag the left or right caliper handles (grey-colored rectangles) to move the caliper arms closer together or farther apart. 8-18 ApexPro™ 2001989-200E...
  • Page 163 CIC Pro center when a telemetry patient is discharged. The report provides general patient, system status alarm and patient status alarm information. NOTE Contact biomed/service department for configuration of laser printer for patient discharge summary report. 2001989-200E ApexPro™ 8-19...
  • Page 164 The report is displayed in the browser window. Click the column heading links to sort the data by Location, TTX or Battery Level. Click the print icon from the browser window to print the report. 885B 8-20 ApexPro™ 2001989-200E...
  • Page 165 Viewing stored patient data Item Description Favorites link Transmitter Battery Status Report Print icon 2001989-200E ApexPro™ 8-21...
  • Page 166 Viewing stored patient data 8-22 ApexPro™ 2001989-200E...
  • Page 167 Printing 2001989-200E ApexPro™...
  • Page 168 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., hardwired bed, Combo bed, or telemetry bed) and from where you choose to...
  • Page 169 Printing vital signs data on page 8-16. Initiating a manual graph If you click on a patient’s ECG parameter window, a continuous graph is initiated for the patient. Clicking on the ECG parameter window again will stop the graph. 2001989-200E ApexPro™...
  • Page 170 SAVING—An alarm or a manual graph has been requested but the writer is in use; the writer door is open; the writer is out of paper; or a writer is not connected. The graph is being saved until the writer is available. The most recent 20-second alarm or ApexPro™ 2001989-200E...
  • Page 171 Click on the Print button on the CIC Pro center display. The Graph All Patients window opens. Click on Limits or Waveforms. Selecting Limits graphs all patient limits. Selecting Waveforms graphs all patient waveforms. Click on the OK button to complete the Graph All Patients request. 2001989-200E ApexPro™...
  • Page 172 Pro center service manual. From the multi-patient viewer, click on the patient you want to view. The single patient viewer displays. From the single patient viewer, click Monitor Setup > Graph Setup to display the Graph Setup window. ApexPro™ 2001989-200E...
  • Page 173 CIC Pro center, no graph can be initiated from the transmitter. To enable or disable this option, follow this procedure: To enable the Transmitter Graph option, point and click with the mouse to place a check mark in the Enable Transmitter Graph check box. 2001989-200E ApexPro™...
  • Page 174 When printing to a laser printer, a similar status message is displayed if the printer is unable to print. NOTE Because the CIC Pro center can communicate with many laser printers, specific status messages are not documented in this manual. ApexPro™ 2001989-200E...
  • Page 175 Abbreviations and symbols 2001989-200E ApexPro™...
  • Page 176 Arr, Arrhy arrhythmia arterial Auto automatic auxiliary arterial venous average AVOA automatic view on alarm bispectral index blood pressure Brady bradycardia blood temperature celsius calibrate Calc, calcs calculation(s) cubic centimeter computation constant continuous cardiac output compact disc ApexPro™ 2001989-200E...
  • Page 177 ET CO end-tidal carbon dioxide etc. etcetera ethylene oxide expired Fahrenheit femoral 2001989-200E ApexPro™...
  • Page 178 INDV individual infusion, inferior Inject injectate INSP inspired interior isoflurane injectate temperature intravenous ST measurement point kilogram L, LD lead left liter left arm left arterial local area network ApexPro™ 2001989-200E...
  • Page 179 MPSO multiple portable socket outlet magnetic resonance image milliseconds millivolt not applicable nitrous oxide NBP, NIBP non-invasive blood pressure neonatal oxygen oxygen consumption index operating room pace pulmonary artery pulmonary artery diastolic parameter pulmonary artery wedge personal computer 2001989-200E ApexPro™...
  • Page 180 Reprep re-prepare resistance Resp respiration radio-frequency rhythm right leg respiration rate systolic second sevoflurane simulator solution special arterial oxygen saturation (pulse oximetry) signal quality index interval of ventricular repolarization Stat right away systolic time radio stroke volume ApexPro™ 2001989-200E...
  • Page 181 Vent ventilator VFib ventricular fibrillation velocity index view on alarm volume VTach ventricular tachycardia WF, WFS waveform(s) multiplier (2X) invalid data 2001989-200E ApexPro™...
  • Page 182 Abbreviations and symbols Symbols & ° degree(s) > greater than < less than minus number percent ± plus or minus " inches µ micro ApexPro™ 2001989-200E...
  • Page 183 Customized defaults worksheet 2001989-200E ApexPro™...
  • Page 184 Default Locations for this CIC Manual Alarm Print Window Waveforms ECG 1 Waveform 2 Waveform 3 Waveform 4 Transmitter Graph Alarm Graph Always On Event Marker Graph Display Lead Arrhythmia Full Lead Analysis Multi-Lead ST Analysis Va Lead Vb Lead Detect Pace ApexPro™ 2001989-200E...
  • Page 185 Atrial Fib Message SPO2 Warning SPO2-R Warning System Alarm Levels Levels breaths/min Warning CHANGE BATTERY System Warning RR-APNEA seconds Warning OFF NETWORK System Warning #/min Advisory ARR SUSPEND System Warning LEADS FAIL System Warning PROBE OFF System Warning 2001989-200E ApexPro™...
  • Page 186 Customized defaults worksheet ApexPro™ 2001989-200E...
  • Page 187 Maintenance 2001989-200E ApexPro™...
  • Page 188 Inspect all plugs and connectors for corrosion, contaminants, bent prongs or pins. Inspect all cable insulation for cracks, tears, or other damage. In the U.S., GE Service is available 24-hours a day by calling 800-558-7044. Outside the U.S., please contact your local sales/service representative.
  • Page 189 If you have any questions concerning disposal of a product, please contact GE or its representatives. Cleaning All equipment should be cleaned on a regular basis. Comply with the policies of your institution’s infection control unit and/or biomed department.
  • Page 190 Leads Fail alarm and may not provide a visual and/or audible Leads Fail alarm. Brittle and breaking device case. Overall system performance degradation. Melting, dulling, or distorting the case. Total handheld medical device failure requiring replacement. Unit malfunction. Void warranty. ApexPro™ 2001989-200E...
  • Page 191 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. Take care not to let fluid pool around connection pins. If this should happen, blot dry with a soft, lint-free cloth. 2001989-200E ApexPro™...
  • Page 192 NOTE Any contact of disinfectant solutions with metal parts may cause corrosion. Do not immerse either end of a cable or leadwire connector. Immersing or soaking the connector ends may corrode metal contact ends and affect signal quality. ApexPro™ 2001989-200E...
  • Page 193 Sterilize with ethylene oxide gas (EtO) at a maximum temperature of 50° C (122° F). After EtO sterilization, follow the recommendations from the sterilizer manufacturer for required aeration. Storage Store in a dry well-ventilated area. Vertically hang cables and leadwires. Do not coil leadwires or cables tightly around any medical device. 2001989-200E ApexPro™...
  • Page 194 Maintenance ApexPro™ 2001989-200E...
  • Page 195 Troubleshooting 2001989-200E ApexPro™...
  • Page 196 Check/perform skin preparation. Check/replace electrodes. (If V lead is a problem, move the V lead to another V position.) Relearn ECG: Click on the patient’s ECG tab. Click on the Relearn button. IF PROBLEM CONTINUES: Remove the V lead(s). ApexPro™ 2001989-200E...
  • Page 197 NOTE With all leads connected, pacemaker signal acquisition occurs on lead II or on II and V simultaneously when using the ApexPro CH transmitter. In a Leads Fail condition, signal acquisition occurs on any available lead. When a 3-leadwire set is used, single channel acquisition occurs on the programmed lead.
  • Page 198 Pace 1 mode analyzes the presence of a pacer spike, assesses the waveform for residual pacemaker energy, and determines the presence of an R wave following the pacer spike. If an event occurs during the first few milliseconds following the pacer spike, it will be counted. ApexPro™ 2001989-200E...
  • Page 199 Apex oximeter, except for the CHANGE BATTERY message. For the Xpod oximeter CHANGE BATTERY message, refer to Transmitter-related messages on page D-10. The Xpod oximeter uses the battery power supplied by the transmitter and therefore does not support this message. 2001989-200E ApexPro™...
  • Page 200 Message displayed with SPO2 data displayed—The batteries in the Dinamap Pro monitor are low. There is approximately 1 hour of reserve power left in the batteries. Dinamap Pro monitors Change the batteries. only SPO2 NO DATA The probe is off the patient. Check the probe. ApexPro™ 2001989-200E...
  • Page 201 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. 2001989-200E ApexPro™...
  • Page 202 FAIL A hardware failure has been detected in the blood pressure monitor. In the U.S., contact GE Service. Outside the U.S., contact your local sales/service representative. LEAK The NBP cuff is loose or there is an air leak in the cuff or tubing. Check that the cuff is on snugly.
  • Page 203 Graph messages The following messages appear in the patient’s bed window on the CIC Pro center display. These relate to running graphs at the printer. 2001989-200E ApexPro™...
  • Page 204 One of these may appear, indicating failure of a lead. NO TELEM The transmitter was out of range for more than 30 seconds. If this condition persists, contact GE Technical Support. If a LEADS FAIL condition occurs prior to a NO TELEM...
  • Page 205 Troubleshooting DUPLICATE TOWER NAME A network problem exists. Restart the system. If this condition persists, contact GE Technical Support. DUPLICATE NAME A network problem exists. Restart the system. If this condition persists, contact GE Technical Support. Patient status messages Patient status messages are also displayed at the top of the CIC Pro center screen.
  • Page 206 Troubleshooting D-12 ApexPro™ 2001989-200E...
  • Page 207 Technical specifications 2001989-200E ApexPro™...
  • Page 208 ApexPro and ApexPro CH transmitters Power requirements Battery type ANSI/NEDA 15 A, 1.5V AA alkaline (2 required) Battery life ApexPro: 40 hours ApexPro CH: 120 hours typical, without accessories Polarity Electronic reverse polarity protection Alarms and controls Battery integrity Transmitted and indicated via LED...
  • Page 209 ApexPro CH: IEC 60529 IPX7 rating (can survive inadvertent submersion) Input configuration 3, 5 or 6 electrodes Frequency range ApexPro: 420 to 460 MHz or 584 to 613.975 MHz (programmable synthesizer) (The frequency range depends on the PCB installed) ApexPro CH: 608.025—613.975 MHz Modulation...
  • Page 210 Pacemaker detection ApexPro: ± 2 mV to ± 700 mV (RTI); 100 µsec to 2 msec; either polarity ApexPro CH: ± 2 mV to ± 700 mV (RTI); 100 µsec to 2 msec; either polarity; on multiple leads Patient leakage current...
  • Page 211 FCC compliance information This device complies with Part 95 of the FCC Rules and RSS-210 of Industry Canada. Operation of this equipment requires the prior coordination with a frequency coordinator designated by the FCC for the Wireless Medical Telemetry Service. 2001989-200E ApexPro™...
  • Page 212 IEC/EN 60601-1-4 EN 55022 (Class A) EN 55024 EN 61000-3-2 EN 61000-3-3 CE marked to the Medical Device Directive 93/42/EEC ApexPro receiver system Performance specifications RF module type GFSK and GMSK digitally demodulated UHF frequency range 560.025 to 613.975 MHz (U.S.)
  • Page 213 Operation of this equipment requires the prior coordination with a frequency coordinator designated by the FCC for the Wireless Medical Telemetry Service. Certifications UL/IEC/EN 60601-1 CAN/CSA C22.2 No.601.1 IEC/EN 60601-1-2 IEC/EN 60601-1-4 CE marked to the Medical Device Directive 93/42/EEC 2001989-200E ApexPro™...
  • Page 214 Technical specifications ApexPro™ 2001989-200E...
  • Page 215 ..........7-29 primary.............. 4-3 microphone placement ........7-31 secondary ............4-3 patient preparation.......... 7-30 troubleshooting ..........D-7 calipers ............8-17 parameter alarm limits..........5-9 control settings ..........7-11 patient demographics..........6-13 electrode placement ......... 6-3 2001989-200E ApexPro™...
  • Page 216 ............. 2-2 transmitter graph ..........9-7 battery............... 3-3 buttons/LEDs ............ 3-2 R&TTE ..............CE-1 electrodes ............3-5 real-time data ............7-2 leadwires ............3-5 real-time trend window ..........7-6 reference lead ............8-18 vital signs .............. 8-15 ApexPro™ 2001989-200E...
  • Page 218 + 86 21 5257 4650 Fax: + 1 414 355 3790 Fax: + 49 761 45 43 - 233 Fax: + 86 21 5208 2008 GE Medical Systems Information Technologies, a General Electric Company, going to market as GE Healthcare. www.gehealthcare.com 0459...

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