Due to continuing product innovation, specifications in this manual are subject to change without notice.
NOTE
The information in this manual only applies to ApexPro software version 3A and later, ApexPro CH software version 1A
and later, and the ApexPro, ApexPro CH, and CARESCAPE telemetry T14 transmitters hardware. It does not apply to
earlier software versions. Due to continuing product innovation, specifications in this manual are subject to change
without notice.
NOTE
For technical documentation purposes, the abbreviation GE is used for the legal entity name, GE Medical Systems
Information T echnologies.
Listed below are GE Medical Systems Information Technologies trademarks. All other trademarks contained herein are the
property of their respective owners.
APEX, ApexPro, CARESCAPE and DINAMAP Pro are trademarks of GE Medical Systems Information Technologies
registered in the United States Patent and Trademark Office.
CIC is a trademark of GE Medical Systems Information Technologies.
Each page of this manual has the document part number and revision letter at the
bottom of the page. The revision letter identifies the document’s update level. The
revision history of this document is summarized below.
RevisionComment
Purpose
This manual provides technical information for maintaining the ApexPro, ApexPro
CH and CARESCAPE T14 transmitters, ApexPro receiver subsystem, ApexPro
antenna infrastructure equipment and GE equipment that connects to the transmitter.
AInitial release
Intended audience
Ordering manuals
Conventions
Users of this manual are expected to have a background in electronics, including
analog and digital circuitry, RF, and microprocessor architectures. It is intended for
service representatives and technical personnel who maintain, troubleshoot or repair
this equipment.
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.
StyleDefinition
bold Indicates hardware items such as keys, labels, or text entered by the
user.
bold italicIndicates software terms such as menu items or screen text.+Indicates keyboard keys to select simultaneously.
>Indicates menu options to select consecutively.
1-2ApexPro™2001989-351A
Safety information
Intended use
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 adult and pediatric patients within a defined
coverage area. The system processes this physiological data to detect various ECG
arrhythmia events and select physiological parameter limit violations.
The ApexPro Telemetry System is intended to be installed in the hospital or clinical
environment in order to provide clinicians with patient physiological data, while
allowing for patient mobility. These systems are typically deployed in sub acute care
areas in hospitals or clinical sites where patient mobility can enhance the
effectiveness of the medical procedures administered.
The physiological parameters monitored include ECG, non-inv a si ve blood pressure,
non-invasive temperature and SpO2. The ApexPro Telemetry System is intended to
provide ECG data via Ethernet to the computer platform for processing. The ApexPro
is also intended to provide physiologic data over the Unity network to clinical
information systems for display.
Introduction
Responsibility of the manufacturer
GE is responsible for the effects of safety, reliability, and performance only if:
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.
Equipment symbols
NOTE
Some symbols may not appear on all equipment.
ATTENTION: Consult accompanying documents.
Non-ionizing electromagnetic radiation: T o 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”.
2001989-351AApexPro™1-3
Introduction
INTFC.
Type CF applied part: Isolated (floating) applied part suitable for intentional external and internal application to the patient
including direct cardiac application. “Paddles” outside the box indicate the applied part is defibrillator proof.
[Medical Standard Definition:] F-type applied part (floating/isolated) complying with the specified requirements of IEC
60601-1/UL 60601-1/CSA 601.1 Medical Standards to provide a higher degree of protection against electric shock than
that provided by type BF applied parts.
NOTE
The rating of protection against electric shock (indicated by symbol for CF) is achieved only when used with patient
applied parts recommended by GE.
TYPE B APPLIED PART: Non-isolated applied part suitable for intentional external and internal application to the patient
excluding direct cardiac application.
[Medical Standard Definition:] Applied part complying with the specified requirements of IEC 60601-1/UL 60601-1/CSA
601.1 Medical Standards to provide protection against electric shock, particularly regarding allowable leakage current.
R&TTE equipment class 2 identifier: An alert sign, indicating that transmitting radio equipment operates in nonharmonized frequency bands and can cause interference.
Equipotential
4P41
DC In/RF Out or DC Out/RF In
DC In or RF In
For indoor use only.
Power supply cable configuration.
+ = Power
– = Return
Medical Equipment
With respect to electric shock, fire and mechanical hazards only in accordance with UL 60601-1, and CAN/CSA C22.2 NO.
601.1 and if applicable, IEC 60601-2-27, IEC 60601-2-30, and IEC 60601-2-49.
CE mark CE-0459 indicating conformity with the provisions of the Council Directive 93/42/EEC concerning medical
devices, and fulfills the essential requirements of Annex I of this directive.
Interface Connector(s)
1-4ApexPro™2001989-351A
Introduction
2005-08
Complies with IPX3 standards for water ingress
Complies with IPX7 standards for water ingress
This symbol indicates that the waste of electrical and electronic equipment must not be disposed as unsorted municipal
waste and must be collected separately. Please contact an authorized representative of the manufacturer for information
concerning the decommissioning of your equipment.
This symbol indicates the date of manufacture of this device. The first 4 digits identify the year and the last 2 digits identify
the month.
Manufacturer name and address.
European authorized representative.
Safety statements
Dangers
Warnings
Danger statements identify an imminent hazard which, if not avoided, will result in
death or serious injury. No danger statements apply to this product.
Warning statements identify a potential hazard or unsafe practice which, if not
avoided, could result in death or serious injury. The following warnings apply to this
product.
WARNING
BEFORE USE —Periodically, and whenever the integrity of the
device is in doubt, test all functions.
WARNING
EXPLOSION HAZARD —Do not use this equipment in the
presence of flammable anesthetics, vapors or liquids.
2001989-351AApexPro™1-5
Introduction
WARNING
FALSE CALLS—False low heart rate indicators or false asystole
calls may result with certain pacemakers because of electrical
overshoot.
WARNING
INTERFACING WITH OTHER EQUIPMENT —Contact GE for
information before connecting any devices to the equipment that are
not recommended in this manual.
WARNING
LOSS OF DATA — Notify the affected users relying upon this data
flow before shutting down the ApexPro™ antenna infrastructure
components for any reason.
WARNING
MONITORING PACEMAKER PATIENTS —Monitoring of
pacemaker patients can only occur with the pace program activated.
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
P ATIENT HAZARD —A pacemaker pulse can be counted as a QRS
during asystole in either pace mode. Keep pacemaker patients under
close observation.
WARNING
RATE METERS—Keep pacemaker patients under close
observation. Rate meters may continue to count the pacemaker rate
during cardiac arrest and some arrhythmias. Therefore, do not rely
entirely on rate meter alarms.
Cautions
Caution statements identify a potential hazard or unsafe practice which, if not
avoided, could result in minor personal injury or produ ct/property damage. The
following cautions apply to this product.
1-6ApexPro™2001989-351A
Introduction
CAUTION
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/or the system
configuration must meet the requirements of the IEC 60601 medical
electrical systems standard.
CAUTION
ACCESSORIES (EQUIPMENT) —The use of accessory equipment
not complying with the equivalent safety requirements of this
equipment may lead to a reduced level of safety of the resulting
system. Consideration relating to the choice shall include:
use of the accessory in the patient environment; and
evidence that the safety certification of the accessory has been
performed in accordance to the appropriate IEC 60601-1 and/or
IEC 60601 harmonized national standard.
CAUTION
FDA POSTMARKET SAFETY ALERT—The United States FDA
Center for Devices and Radiological Health issued a safety bulletin
October 14, 1998. This bulletin states “that minute ventilation rateadaptive implantable pacemakers can occasionally interact with
certain cardiac monitoring and diagnostic equipment, causing the
pacemakers to pace at their maximum programmed rate.”
The FDA further recommends precautions to take into
consideration for patients with these types of pacemakers. These
precautions include disabling the rate responsive mode and
enabling an alternate pace mode. For more information contact:
Office of Surveillance and Biometrics, CDRH, FDA
1350 Piccard Drive, Mail Stop HFZ-510
Rockville, MD 20850
U.S.A.
CAUTION
POWER REQUIREMENTS —If the installation of the equipment,
in the USA, uses 240V rather than 120V, the source must be a
center-tapped, 240V, single-phase circuit.
CAUTION
RESTRICTED SALE —Federal law restricts this device to be sold
by or on the order of a physician.
2001989-351AApexPro™1-7
Introduction
Notes
CAUTION
SUPERVISED USE —This system is intended for use under the
direct supervision of a licensed health care practitioner.
Note statements provide application tips or other useful information to assure that you
get the most from your equipment. The following notes apply to this product.
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.
NOTE
This device is not intended for home use.
NOTE
Service information
Service requirements
Follow the service requirements listed below.
Refer equipment servicing to GE authorized service personnel only.
Any unauthorized attempt to repair equipment under warranty voids that
It is the user’s responsibility to report the need for service to GE or to one of their
Failure on the part of the responsible individual, hospital, or institution using this
Regular maintenance, irrespective of usage, is essential to ensure that the
Patient environment is any volume in which intentional or unintentional cont act
can occur between patient and parts of the system or between patient and other
persons touching parts of the system. (IEC 60601-1-1)
warranty.
authorized agents.
equipment to implement a satisfactory maintenance schedule may cause undue
equipment failure and possible health hazards.
equipment will always be functional when required.
1-8ApexPro™2001989-351A
Equipment identification
### ## ## #### # #
ABCDEF
Every GE device has a unique serial number for identification. A sample of the
information found on a serial number label is shown below.
Introduction
Description
A
Byear manufactured
Cfiscal week manufactured
Dproduction sequence number
Emanufacturing site
Fmiscellaneous characteristic
product code
1
The product code is: TT for ApexPro transmitter, domestic; AM for
ApexPro transmitter, international; T9 for Ap exPro CH transmitter;
SE3 for the CARESCAPE Telemetry T14 transmitter; RTS for US
(560-614 MHz) ApexPro receiver subsystem; and RAV for
international (420-474 MHz) ApexPro receiver subsystem.
1
2001989-351AApexPro™1-9
Introduction
1-10ApexPro™2001989-351A
2
Equipment Overview
2001989-351AApexPro™2-1
Equipment Overview
System overview
Overview
A transmitter is directly connected to the patient and transmits monitored data via the
antenna to a corresponding receiver in a one-to-one correspondence between
transmitters and receivers. Up to 16 receivers (four quad receiver modules with four
receivers on each) may reside in a receiver system. Up to four quad receiver modules
connect to the receiver backplane PCB, which is responsible for managing
communications between all connected receivers and the telemetry host application
software on the PC. The communication between the PC and the receiver backplane
is 10BaseT Ethernet and is called the Receiver-Exchange (RX) network. The host
application software processes the patient data from the receivers and makes the
patient’s ECG parameter and waveform data available for display at network viewing
stations or the Clinical Information Center (CIC) central station.
The ApexPro telemetry system consists of the following components:
Patient monitoring equipment
Apex oximeter (optional)
Xpod oximeter (optional)
Accutracker DX noninvasive blood pressure monitor (optional)
DINAMAP PRO 100, 200, 300, and 400 series monitor (optional)
Transmitter (one for each monitored patient)
ApexPro transmitter, or
ApexPro CH transmitter
Antenna system
ApexPro antenna system
Receiver antenna
Attenuator
Antenna splitters/combiner
Amplifier
Bias tee
Antenna filter as needed (bandpass and/or notch)
DC power source to power the receiver antennas and antenna amplifiers
Enterprise Access antenna system.
Refer to the Enterprise Access System Service Manual for more details.
Receiver system (holds up to 4 ApexPro quad receivers)
Unity Network
ApexPro Telemetry Server (ATS) with ApexPro software
PC with CIC Pro Clinical Information Center (CIC)
2-2ApexPro™2001989-351A
Power requirements
Transmitter
Monitor(s)
Attenuator
Attenuator
Cable
Antenna
RX
RF
DC
+12 VDC
1A
Unity MC
Antenna System
Splitter
Bias
Tee
Filter,
Notch,
or
Bandpass
Combiner
ApexPro
Receiver
System
ATS
CIC Pro
Center(s)
Amplifier
Antenna
Cable
Power Supply
Equipment Overview
035B
The DC power requirements for the ApexPro antenna system depend greatly on the
configuration of each individual system. To ease the power requirements of the
ApexPro telemetry system, the power supply for the antenna system is external to the
ApexPro receiver system and separate from the antenna.
Interface with ApexPro receiver subsystem
Each receiver in the quad receiver module, located in the receiver subsystem, receives
data from the transmitters. This data is processed by the receiver system and then
transmitted via the dedicated Ethernet interface to a CIC Pro center for further
processing and display. The quad receivers and the receiver subsystem together are
known as the receiver system.
The interface between the antennas and the receiver system consists of coaxial
cabling and connectors for transferring the transmitted signal. The interface uses 75ohm cable from each antenna field and F style 75-ohm connectors as a connection
medium. The preferred cable is RG-6, but for longer lengths RG-11 may be used.
Interface with multiple ApexPro receiver subsystems
To interface the antenna system with multiple ApexPro receiver systems, each
antenna field in the antenna system is split into the appropriate number of tap points
using combiners/splitters before connecting to each ApexPro receiver system.
Equipment
Unity Network
2001989-351AApexPro™2-3
The Unity Network is the networking system used to transmit information from one
GE product to others connected to the same Unity Network.
Equipment Overview
ApexPro antenna system
Antenna
The antenna system is used for transmission of data from the transmitter to the
receiver system.
The antenna is a circularly-polarized array of sloping half-wave dipoles with an omnidirectional coverage pattern. The antenna is available in two versions: active and
passive. An active antenna includes an active amplifier, while a passive antenna
provides no signal amplification. The receiver antenna comes with a standard drop
ceiling T-bar mount.
Antenna amplifier
The antenna amplifier boosts the signal when losses from other antenna components
exceed the gain of the antenna. DC power for the amplifier is obtained from the
+12VDC power supply.
Coaxial cable
Splitters/combiner
Attenuators
Power supply
Coaxial cabling is used to connect the omni-directional antennas and amplifiers to the
receiving equipment. Controlled-impedance cabling is used and 75-ohm, RG-6 type
is recommended. Plenum- or riser-rated cable is used to meet NEC fire codes. RG-11
may be used if cable lengths become long and dB losses become excessive.
Passive splitters/combiners split or combine the RF signal into multiple paths. The
same splitter may also be used as a combiner to join multiple RF signals into one
path. There are two-, four-, or eight-way splitters available that are DC-passive.
Attenuators lower signals and balance antenna runs. The attenuators are DC-passive
and are available as 3 dB, 6 dB and 10 dB attenuators.
A +12VDC power supply at 1A supplies power to the antenna system. Power supplies
accept AC voltages between 90-270VAC. AC inputs have internal fuses that are not
replaceable. The output of the supply is short circuit protected.
Bias tee
The antenna bias tee allows the injection of DC power from the antenna power supply
into the antenna system cabling. The bias tee supplies RF isolation between the RF
signals on the antenna cabling and the power supply. It contains a DC block that
2-4ApexPro™2001989-351A
Notch filter
Bandpass filter
Identify antennas
Equipment Overview
blocks the conduction of DC power to the receiver system and associated hardware. A
bias tee is used with each power supply.
Notch filters are frequency or TV channel specific and notch out the TV video, audio,
or digital center of the band signals. Notch filters also filter pager signals or other
strong RF signals that can be found in a telemetry environment.
The bandpass filter rejects frequencies outside its listed bandwidth and passes
frequencies inside its listed bandwidth. It is used in place of certain notch filters to
provide wide band filtering with less in-band loss than multiple notch filters.
Identify the high-power and active antennas by the part number label and the GE logo
only on the front (bottom). The passive antenna looks identical to the high-power
antenna except it has a black cap over the LED power indicator. To visually identify
the antenna type, observe the following:
The -002, -003, -004, and -005 models have an embossed GE logo.
The -006, -007, and -008 models have a blue GE logo.
The -003, -005, and -006 passive antennas have a black cap over the LED power
indicator.
For further identification, check the part number label.
Part number
2000673-002600 MHzApexPro Antenna Hi-Pwr
2000673-003600 MHzApexPro Antenna
2000673-004450 MHzApexPro Antenna Hi-Pwr
2000673-005450 MHzApexPro Antenna
Design
frequency
Antenna typeDescriptionStatus
560-614MHz
Passive 560-614MHz
420-474MHz
Passive 420-474MHz
This high-power antenna operates within 560-614MHz and has
filtering for out-of-band signals. It has >15dB rejection below
470MHz.
This passive antenna has no internal filtering or amplification,
therefore requires no DC voltage. Use this antenna with notch
filters, high- or low-pass filters, or a bandpass filter and an in-line
amplifier. Use only when other antennas do not meet design
requirements.
This high-power antenna operates within 420-474MHz and has
filtering for out-of-band signals. It has >15dB rejection below
320MHz.
This passive antenna has no internal filtering or amplification,
therefore requires no DC voltage. Use this antenna with notch
filters, high- or low-pass filters, or a bandpass filter and an in-line
amplifier. Use only when other antennas do not meet design
requirements.
Obsolete
Obsolete
Obsolete
Current
2000673-006600 MHzApexPro Passive
Antenna 560-614MHz
This passive antenna has no internal filtering or amplification,
therefore requires no DC voltage. Use this antenna with notch
filters, high- or low-pass filters, or bandpass filters and an in-line
amplifier. Use only when the other antennas do not meet design
requirements.
Current
2001989-351AApexPro™2-5
Equipment Overview
Part number
2000673-007600 MHzApexPro Active Antenna
2000673-008450 MHzApexPro Antenna Hi-Pwr
Design
frequency
Antenna typeDescriptionStatus
This active antenna operates within 608-614MHz. This antenna
608-614MHz
420-474 MHz
also has a bandpass filter element that rejects signals outside of
608-614MHz, except for signals in channels 36 and 38.
This high-power antenna operates within 420-474MHz and has
filtering for out-of-band signals. It has >15dB rejection below
320MHz.
For technical specifications, see Antenna specifications on page A-13.
Enterprise Access antenna system
Refer to the Enterprise Access System Service Manual for details on the system.
ApexPro and CARESCAPE transmitters
CAUTION
UNINTENTIONAL RADIO FREQUENCY (RF)
INTERFERENCE—Unintentional RF interference could degrade
the reliability and performance of the wireless data link. The facility
must maintain an RF environment free from unintentional
interference.
Current
Current
The ApexPro and CARESCAPE transmitters send the patient’s ECG data to the
ApexPro receiver system for processing. Data is then transmitted via a dedicated
Ethernet interface to the CIC Pro center for viewing. The transmitter can also send
DINAMAP PRO data to the CIC Pro center via the DinaLink cable.
Additionally, the transmitter can send the patient’s SpO2 and noninvasive blood
pressure data when the interface connector ports are enabled and when the optional
oximeter and/or Accutracker DX noninvasive blood pressure monitor are connected
to it.
309C
ApexPro Transmitter
2-6ApexPro™2001989-351A
ApexPro CH Transmitter
Equipment Overview
205A
NOTE
Transmitter battery installation
NOTE
Install 2 new AA alkaline batteries in the transmitter.
1.Locate the battery cover at the bottom of the transmitter.
2.Slide the cover over to open the battery compartment.
3.Insert batteries, being careful to follow the polarity signs embossed on the lower
207B
CARESCAPE Telemetry T14 Transmitter
In this manual, wherever the transmitter is shown, the ApexPro, ApexPro CH and
T14 transmitter are valid, except where otherwise noted.
Refer to the ApexPro Telemetry System or the CARESCAPE Telemetry T14
Transmitter Operator’s Manual for further details on battery installation.
back side of the transmitter’s molded case.
2001989-351AApexPro™2-7
Equipment Overview
P
o
s
i
t
i
v
e
N
e
g
a
t
i
v
e
220A
4.Close the battery cover.
NOTE
When the Change Battery LED starts flashing, the transmitter has
approximately 1 hour of reserve power before the unit shuts down.
Battery functional life
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.
Do not store the batteries in the transmitter when not in use. Storing
the batteries in the transmitter can cause corrosion of the batteries
and of the transmitter.
Be sure to insert batteries into the transmitter in the correct
direction as indicated on the back of the case. Do not insert batteries
in the reverse direction.
The transmitters runs on 2 AA batteries. For the ApexPro transmitter, the battery life
is approximately 40 hours. For the ApexPro CH transmitter, the battery life is
approximately 120 hours. For the T14 transmitter, the battery life is approximately 65
hours.
For optimum performance, follow these guidelines:
Install 2 new alkaline batteries each time you begin monitoring a new patient or
whenever the Change Battery LED on the transmitter is flashing.
Do not use rechargeable batteries.
Always change both batteries at the same time.
Always use new batteries.
2-8ApexPro™2001989-351A
Transmitter controls, indicators and labels
Views
The transmitters have the following buttons and LEDs:
Equipment Overview
605A, 207A, 206B
ApexPro, ApexPro CH, and T14 Transmitters
ApexProApexPro CH & T14 Function
RL RA LA LL Va VbRL RA LA LL Va Vb
N R L F Ca Cb
Change BatteryWhen the battery power is running low, the
Verify Leads
Pause Alarm
When first powered up, the lead LEDs flash
rapidly, followed by two slow flashes. The
transmitter begins functioning after the two
slow flashes.
When any of the transmitter's buttons are
pushed, the lead LEDs flash twice.
change battery LED flashes.
When pressed, the lead LEDs flash twice. If a
lead is valid, its LED stays lit for one minute.
When the Pause Alarm condition occurs, the
pause alarm LED flashes until the condition
ends.
2001989-351AApexPro™2-9
Equipment Overview
F
C
G
H
I
J
H
I
J
K
A
B
C
D
E
A
B
D
ApexProApexPro CH & T14 Function
Controls and indicators
Graph
(not available)When pressed, a blue border displays
When pressed, a 20-second graph strip is
printed on the writer or printer.
around the event bed and an alarm tone
sounds at the CIC Pro center. The message
Remote Event displays under the ECG
parameter window for approximately ten
seconds.It also generates a 20-second graph
and saves the event.
317A, 420B, 432A
ARA LEDUsed in troubleshooting (Frequent lead fail on page 5-21) and when manually viewing or programming the TTX
number (Manually view/program TTX on page 3-19.)
BGood Lead
LEDs
CVerify Leads
button
DBattery
compartment
EInterface
connector
ports
These light when testing the verify leads function.
Checks the lead/skin preparation quality. Pressing the Verify Leads button enables the good lead LEDs. After
pressing this button, the LEDs for good leads illuminate for 1 minute.
Holds 2 AA alkaline batteries. The sliding cover of the compartment also functions as the on/off switch.
The interface connector ports (on the end of the transmitter) are used to connect the transmitter to the APEX
Programming Device. The TTX number and desired reference lead are programmed using the APEX Programming
Device. These interface connector ports may also be used to connect additional parameter devices to the
transmitter.
2-10ApexPro™2001989-351A
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