GE CIC User manual

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CIC ProTM Clinical

Information Center

Operator’s Manual

Software Version 4.1

2001099-183 Revision A

GE Medical Systems

Information Technologies

gemedicalsystem.com

NOTE:

The information in this manual only applies to CIC Pro Clinical Information Center software version 4.1. It does not apply to earlier software versions. Due to continuing product innovation, specifications in this manual are subject to change without notice.

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.

APEX and CD TELEMETRY are trademarks of GE Medical Systems Information Technologies registered in the United States Patent and Trademark Office.

APEXPRO, CD TELEMETRY

-LAN, CENTRALSCOPE, CIC PRO, and OCTACOMM are a trademarks of

GE Medical Systems Information Technologies.

T-2 CIC Pro Clinical Information Center Revision A

2001099-183 22 April 2004

CE Marking Information

Compliance

The CIC Pro Clinical Information Center bears CE mark CE-0459 indicating its 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. The product is in radiointerference protection class A in accordance with EN 55011.

The country of manufacture can be found on the equipment labeling.

The product complies with the requirements of standard EN 60601-1-2 “Electromagnetic Compatibility - Medical Electrical Equipment”.

The CE marking prescribed above is only found on the equipment labeling of the 230V European equipment. Only applicable equipment will bear the CE marking.

The safety and effectiveness of this device has been verified against previously distributed devices. Although all standards applicable to presently marketed devices may not be appropriate for prior devices (i.e. electromagnetic compatibility standards), this device will not impair the safe and effective use of those previously distributed devices. See user’s information.

CE Marking Information Exceptions

EMC: Immunity Performance

Users should be aware of known RF sources, such as radio or TV stations and hand-held or mobile two-way radios, and consider them when installing a medical device or system.

Be aware that adding accessories or components, or modifying the medical device or system may degrade the EMI performance. Consult with qualified personnel regarding changes to the system configuration.

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CE Marking Information

Specified Electromagnetic Environment.

The CIC Pro and ApexPro server is suitable for use in the specified electromagnetic environment. The customer and/or the user of the CIC Pro and ApexPro server should assure that it is used in an electromagnetic environment as described below:

CE Exception Table

EN60601-1-2 Clause 36 Exception Electromagnetic Environment Guidance

36.202.1 Immunity: ESD Direct - Discharges of 6 KV or greater to the rear I/O connector area may cause the system to lock up, thus experiencing loss of data and loss of functionality. Operator intervention may be required.

Likelihood of occurrence: Remote During testing there were 2 occurrences out of 1,920 discharges.

The rear I/O connector area is not considered to be user accessible during normal operation.

36.202.3.1 Immunity: Fast Transient Transients on the AC power line of +/- 1 KV or higher may cause momentary network packet loss (i.e. waveform and/or numeric data), thus experiencing momentary loss of data at the time of the surge.

36.202.3.2 Immunity: Fast Surges Surges on the AC power line of +/- 1 KV or higher may cause momentary network packet loss (i.e. waveform and/or numeric data), thus experiencing momentary loss of data at the time of the surge.

Floors should be wood, concrete, or ceramic tile. If floors are covered with synthetic material, the relative humidity should be at least 30 %.

Mains power quality should be that of a typical commercial and/or hospital environment.

CE-2 CIC Pro Clinical Information Center Revision A

2001099-183

General Information

 This manual is an integral part of the product and describes its

 The symbol means ATTENTION: Consult accompanying

 Information which refers only to certain versions of the product is

 The warranty does not cover damages resulting from the use of

 GE Medical Systems Information Technologies is responsible for the

CE Marking Information

intended use. It should always be kept close to the equipment. Observance of the manual is a prerequisite for proper product performance and correct operation and ensures patient and operator safety.

documents.

accompanied by the model number(s) of the product(s) concerned. The model number is given on the nameplate of the product.

accessories and consumables from other manufacturers.

effects on safety, reliability, and performance of the product, only if:

 assembly operations, extensions, readjustments, modifications,

or repairs are carried out by persons authorized by GE Medical Systems Information Technologies;

 the electrical installation of the relevant room complies with the

requirements of the appropriate regulations; and,

 the Clinical Information Center is used in accordance with the

instructions for use.

 All publications conform with the product specifications and

applicable IEC publications on safety and essential performance of electromedical equipment as well as with applicable UL and CSA requirements and AHA recommendations valid at the time of printing.

 The quality management system complies with the international

standards EN ISO 9001, ISO 13485 and EN 46001, and the Council Directive on Medical Devices 93/42/EEC.

Revision A CIC Pro Clinical Information Center CE-3

2001099-183

For your notes

CE Marking Information

CE-4 CIC Pro Clinical Information Center Revision A

2001099-183

Contents

1 The Basics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1

About This Manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3

Manual Purpose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3

Intended Audience . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3

Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4

Illustrations and Names . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-4

Revision History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5

About the Clinical Information Center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6

Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8

Turning Power On . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-8

Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-9

Mouse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-9

Optional Touchscreen Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-11

Keyboard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-12

Display Formats . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-13

Terminology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-14

Bedside Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-14

Telemetry Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-14

Locked or Unlocked Beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-15

Multiple Patient Viewer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-16

Telemetry and Network Bed Names . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-18

Locked/Unlocked Beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-18

Waveform Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-19

ECG Parameter Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-21

Initiating a Manual Graph . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-22

User Help Message Area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-22

Alarm Condition Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-23

Main Menu Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-23

Single Patient Viewer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-24

Data Source . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-25

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Time Focus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-26

Viewing Alarm Histories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-26

Viewing Graphic Trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-26

Viewing Vital Signs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-27

Viewing Full Disclosure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-27

Web Browser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-28

Browser Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-28

Menu Formats . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-29

Main Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-29

Popup Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-29

Text Entry Fields . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-30

Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-31

Radio Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-31

Check Boxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-31

Scroll Bars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-32

System Environment Monitor Notification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-33

2 Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1

For Your Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3

Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3

Terminology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3

Monitor Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4

Reference Literature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-11

Equipment Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-12

Classification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-14

Underwriters Laboratories, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-14

3 Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1

Biocompatibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3

Inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4

Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5

General Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5

Cleaning the Touchscreen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6

Technical Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7

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4 CIC Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3

CIC Defaults . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4

CIC Defaults Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5

Telemetry Unit Defaults . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-9

Telemetry Unit Defaults Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-10

Telemetry Alarm Control Defaults . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-12

Telemetry Alarm Control Defaults Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-13

Current Telemetry Listings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-14

Current Telemetry Listings Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-15

Alpha-Numeric TTX ID Numbering . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-15

Display Format . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-16

Display Format Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-17

Changing the Display Format . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-18

Assigning Patients to Patient Slots . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-20

Screen Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-21

Service Password . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-22

Full Disclosure Defaults . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-23

Full Disclosure Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-24

Full Disclosure Off-line Storage (Minute Rule) . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-26

Bedside Status Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-27

5 Printing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1

Initiating and Stopping a Graph . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3

Initiating a Graph . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3

Stopping a Graph . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3

Graph All Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4

Initiating a Graph All Patients Request . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5

Graph Paper Out Indicator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6

Graph Location Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7

Graph Setup Tab Sheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8

Graph Waveforms Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-9

Graph Location Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-11

Graph Speed Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-14

Laser Printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-15

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6 Alarm Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1

Alarm Structure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3

Patient Status Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-3

System Status Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5

Alarm Control Tab Sheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6

Printing Alarm Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-12

Silencing Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-13

7 Admit/View a Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1

Admitting a Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3

Ways to Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3

Admit Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-5

Special Considerations for Rover Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-8

Discharging a Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-9

Discharge Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-9

New Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-12

Move Telemetry Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-13

Moving Locked/Unlocked Beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-13

Viewing a Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-14

View Patient Tab Sheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-15

Viewing Other Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-16

View Other Button . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-16

Viewing Patients Through Alarm Condition Indicators . . . . . . . . . . . . . . . . . . . . . 7-17

Viewing PDS Data For a Discharged Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-17

8 Alarm Histories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1

Alarm Histories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3

Alarm Histories Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5

Printing Alarm Histories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-9

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9 Graphic Trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-1

Graphic Trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-3

Graphic Trends Tab Sheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-4

Graphic Trends Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-5

Printing Graphic Trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-9

10 Vital Signs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-1

Vital Signs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-3

Vital Signs Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-4

Printing Vital Signs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-6

11 Full Disclosure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-1

Full Disclosure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-3

Full Disclosure Tab Sheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-4

Full Disclosure Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-5

Full Disclosure Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-7

Printing Full Disclosure Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-10

Print Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-10

Printing from the Main Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-13

Calipers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-14

Measurement Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-15

Calipers Measurement Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-16

Performing a Calipers Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-18

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12 Parameter Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-1

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-3

Data Synchronization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-3

ECG Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-4

ECG Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-4

SpO2/Respiration Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-8

SpO

Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-8

Respiration Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-9

Pressure Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-11

NBP Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-12

Invasive Pressure Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-13

A Abbreviations and Symbols . . . . . . . . . . . . . . . . . . . . . . . .A-1

Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-3

Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-8

B Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .B-1

Contact Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-3

Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Index-1

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1 The Basics

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For your notes

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About This Manual

Manual Purpose

This operator manual has been prepared by the Technical Writing staff of GE Medical Systems Information Technologies. It provides operating instructions for the CIC Pro with GE Medical Systems Information Technologies patient monitors and interface devices.

The CIC Pro can be used as a central station for viewing bedside monitored patients, telemetry patients, or both. All of the basic operating instructions for the CIC Pro itself are in this manual. Information presented in this manual applies when the type of monitoring (using either a bedside patient monitor or telemetry) is not a factor in CIC Pro operation. For information about monitoring functions that are specific to the patient monitor or telemetry system, refer to the operator’s manual for that product.

Intended Audience

The Basics: About This Manual

This manual is geared for clinical professionals. Clinical professionals are expected to have working knowledge of medical procedures, practices, and terminology as required for monitoring of critically ill patients.

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Definitions

The Basics: About This Manual

The following formats are used in this manual to highlight various web viewer features and functions.

Black text Indicates keys on the keyboard, text to be entered, or hardware items such as buttons or

switches on the equipment.

Italicized text Indicates software terms that identify menu items, buttons, or options in various windows.

Ctrl+Esc Indicates a keyboard operation. A (+) sign between the names of two keys indicates that

you must press and hold the first key while pressing the second key once. For example, “Press Ctrl+Esc” means to press and hold down the Ctrl key while pressing the Esc key.

<Space> Indicates you must press the spacebar. When instructions are given for typing a precise text

string with one or more spaces, the point where the spacebar must be pressed is indicated as: <Space>. The purpose of the < > brackets is to ensure you press the spacebar when required.

Enter Indicates you must press the “Enter” or “Return” key on the keyboard. Do not type “enter”.

Illustrations and Names

All illustrations in this manual are provided as examples only. They may not necessarily reflect your monitoring setup or data displayed on your monitor.

In this manual, all names appearing in examples and illustrations are fictitious. The use of any real person’s name is purely coincidental.

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Revision History

The Basics: About This Manual

This manual has a revision letter, located at the bottom of each page. This revision letter changes whenever the manual is updated. Revision A is the initial release of the document.

Revision Date Comments

A 22 April 04 Manual released with this document number to

correspond with CIC Pro software version 4.1

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The Basics: About the Clinical Information Center

About the Clinical Information Center

This manual addresses the operation of the Clinical Information Center.

The Clinical Information Center is referred to as the CIC Pro throughout the rest of this document.

The CIC Pro displays data from up to 16 bedside devices (patient monitors, Unity Network

transmitters, etc.) at one time. This data is collected for each individual monitor and sent to the CIC Pro via the Unity Network. Included are the bed number, the primary ECG waveform, heart rate, alarm messages, etc.

The vital sign numerics displayed are determined at the GE Medical Systems Information Technologies bedside monitor or the telemetry receiver cabinet. GE bedside monitors send numerics for all actively monitored parameters as well.

Control is provided through the mouse or optional touchscreen display and keyboard.

ID connectivity devices, telemetry

Telemetry Compatibility

The following page shows an illustration of the CIC Pro with the various components, indicators, and controls labeled.

Refer to the service manual for installation instructions, including mounting and support requirements.

The following issues apply with regard to compatibility with CIC Pro software version 4.1

 Due to changes in Telemetry Unit Defaults and Telemetry Alarm

Control defaults, Centralscope

central stations and previous software versions of CIC are not in-unit compatible with CIC Pro software version 4.1.

 The CD Telemetry-LAN software is compatible with all versions of

CIC Pro software.

 The ApexPro telemetry system software 3.x is only compatible with

CIC Pro software version 4.x.

 The ApexPro telemetry system software 1.7 and 2.x is compatible

with CIC software version 3.x.

 The ApexPro telemetry system software 1.x is compatible with CIC

software version 2.x.

 The ApexPro telemetry system is not compatible with versions of CIC

software earlier than 2.x.

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Front View

The Basics: About the Clinical Information Center

001B

Clinical Information Center

The components shown in the photograph above are representative of a typical CIC Pro. They may not appear identical to the components of your system. The CIC Pro processing unit is not shown.

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Power

Turning Power On

The Basics: Power

WARNING

Check the service manual for AC power requirements before installation.

When you properly connect all cables, press the power switches on the back of the processing unit and the monitor. (Refer to the service manual for information on system connections.) A green indicator light means the power is on. (Refer to the figure on the previous page.)

CAUTION

Do NOT load any software other than that specified by GE Medical Systems Information Technologies onto the CIC Pro. Installation of software not specified by GE Medical Systems Information Technologies may cause damage to the server or loss or corruption of data.

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Controls

Mouse

The Basics: Controls

Operating the CIC Pro is done with the mouse, the keyboard or an optional touchscreen display.

The mouse is the primary means of user interaction with the CIC Pro.

Left Mouse Button Right Mouse Button

Mouse Pointer Shapes

027A

Depending on your action, or the mode of operation, the mouse pointer on the CIC Pro screen shapes differently.

Arrow

The mouse pointer is arrow-shaped when you operate in user mode. When the mouse pointer is arrow-shaped, you can choose

028A

commands, highlight options, and move from window to window.

I-Beam

The mouse pointer is shaped like an I-beam when you are in a

030A

text entry field.

Cross

The mouse pointer is cross-shaped when you are operating in service mode. For more information on the CIC Pro’s service

029A

mode, refer to the service manual.

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Left Mouse Button

Right Mouse Button

The Basics: Controls

Use the left mouse button for making patient-oriented selections and initiating actions on the screen of the CIC Pro.

Use the right mouse button for making system-oriented selections. When you press the right mouse button, the right-click menu opens.

NOTE

The right mouse button only opens the right-click menu. It does not highlight selections or initiate actions other than the items you select.

Right-Click Menu—Example

Right-click menu items available within the user mode are:

Select Care Unit then Bed Number

Select Waveform #1 color

Select Waveform #2

Select Waveform #3

Select Waveform #4

023B

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The Basics: Controls

“Clicking” the Mouse

For purposes of this manual, the term “clicking” refers to positioning the mouse pointer on a selection and pressing the left mouse button.

NOTE

In situations where the right mouse button is pressed, this is specifically called out. In all other cases, assume you should press the LEFT mouse button.

Optional Touchscreen Display

The touchscreen display is an optional component of the CIC Pro. A touchscreen display (or simply touchscreen) is a screen with areas that are sensitive to touch. Essentially, any area that can be selected using the mouse pointer, can be selected using the touchscreen.

Guidelines for using the touchscreen display:

 The touchscreen feature does not function properly if tape or paper is

stuck to the screen’s surface.

 Do not use pencils, pens, and other sharp, pointed objects to activate

the touchscreen.

 The right mouse click function cannot be used with a touchscreen

display.

NOTE

Any time the manual says to “click with the mouse” you can optionally tap the display control with a finger.

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Keyboard

Use the keyboard to enter patient information when you admit a patient.

To enter patient data, position the mouse pointer in the text entry field. When the mouse pointer is positioned correctly, its shape changes from an arrow to an I-beam. The I-beam mouse pointer indicates that you can type, select text, or reposition the insertion point.

Silence Alarms Keyboard Key

Press the Silence Alarms key located on the keyboard to silence the audible alarm tones.

This sends a silence alarms command to those beds displayed in the multiple patient viewer or single patient viewer who have queued or are sounding an audio alarm on the CIC Pro.

The Basics: Controls

107A

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Display Formats

The Basics: Display Formats

NOTE

Display format is subject to licensing restrictions. Refer to the service manual for licensing information.

You can configure the CIC Pro to display patient information for one to 16 patients. Set up the display format in the CIC Setup window. For more information on configuring the display, refer to Chapter 4, “CIC

Setup”.

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Terminology

Bedside Monitoring

Telemetry Monitoring

The Basics: Terminology

For the purposes of this document, the following terms apply:

A bedside monitor is a stationary monitor (user-configured or factory configured).

These monitors are connected directly to the patient. They are set up with a unit name as well as a bed name (e.g., IMC-BED4). For a userconfigured monitor, data is processed by an acquisition module. For a factory-configured monitor, data is processed within the monitor itself.

Telemetry monitoring occurs when ECG data is transmitted by a telemetry transmitter to a telemetry receiver cabinet over an established antenna system and viewed at a designated location. The display monitor identifies a telemetry bed by placing an asterisk next to the bed name (e.g., IMC-BED4*). ECG data is processed by the telemetry receiver cabinet.

Switching Transmitters

If you wish to switch to an ApexPro transmitter from a CDT-LAN transmitter (e.g. Apex, Apex S) or vice versa, while a patient is admitted, you must:

 Discharge the patient (losing stored data).

 Switch transmitters.

 Re-admit the patient.

Monitoring stops if you switch transmitters while a patient is admitted.

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Locked or Unlocked Beds

The clinical information center can be configured with the bed names either in locked or unlocked mode. When locked, the bed names are permanently assigned to specific windows. For more information, refer to

“Locked/Unlocked Beds” on page 1-18.

NOTE

It is possible to admit a patient to a window with a bed name that is locked to NONE. To avoid duplication of patient waveforms, a window locked as NONE should not be used to admit a patient.

The Basics: Terminology

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The Basics: Multiple Patient Viewer

Multiple Patient Viewer

The multiple patient viewer of the CIC Pro displays information for up to 16 patients along with the Main Menu buttons. (For more information on the Main Menu buttons, refer to “Main Menu Buttons” on page 1-23.)

Each patient slot contains an ECG parameter window and ECG waveform. Any default and user-selected leads appear in the waveform window. Depending on the selected display format, additional monitored parameters display for patients monitored on a GE Medical Systems Information Technologies bedside monitor. Refer to Chapter 4, “CIC

Setup”, for information on modifying display formats.

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The Basics: Multiple Patient Viewer

031C

Clinical Information Center Multiple Patient Viewer

A Browse button J Alarm Condition/Quick Access Buttons

B Click Here to Open This Patient’s Single Patient Viewer K Message Area

C Colored Border Alarm Indicator L Patient Name

D Alarm Message M Bed Name / Unit Name

E Empty Patient Window N Additional Parameter Information

F Admit Button O Patient’s Waveform Window

G Click Here to Print this Patient’s Waveforms P Patient’s ECG Parameter Window

H Click Here to Open Graph All Patients Menu Q Header bar: Displays time, maker of software, product name,

I Main Menu Buttons

and server name.

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The Basics: Multiple Patient Viewer

Telemetry and Network Bed Names

Telemetry bed names are designated with an asterisk (*) to distinguish them from bedside monitored patients.

Network beds (such as Unity Network ID) are designated with a plus sign (+).

The same bed may be used for patients connected to a bedside monitor, an Unity Network ID connection, and the telemetry monitoring system. Duplicate bed numbers are not allowed, so the system adds these designators to accommodate this feature.

Monitor Setup Bed Name Designation

ECG Source = Bedside Monitor Unit Name | Bed Name

ECG Source = Telemetry Unit Name | Bed Name*

ECG Source = Bedside Monitor with Unity Network ID connection Unit Name | Bed Name+

ECG Source = Telemetry with Unity Network ID connection Unit Name | Bed Name*+

Table 1. Bed Name Designations

Locked/Unlocked Beds

Throughout this document, references are made to “locked” beds. If a bed is locked, it means that a particular bed is allocated permanently to a particular slot on the CIC Pro and users are unable to move the bed to another slot on the CIC Pro.

Within the service mode, this option is enabled. You can choose between LOCK and UNLOCK.

034B

Lock/Unlock Beds Right-Click Menu

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Locking or Unlocking a Bed

NOTE

In order to lock or unlock a bed, you MUST be in service mode.

To lock or unlock a bed:

1. Position the mouse pointer in the patient’s waveform window.

2. Press the right mouse button to open the right-click menu.

3. Check either LOCK or UNLOCK. The right-click menu closes, and

Waveform Window

Each patient’s primary ECG lead displays, along with lead label and gain (if not 1x), at a display speed of 25 mm/second.

Designating Waveform Color

To designate the color for your primary ECG lead (waveform #1):

1. Position the mouse pointer in the patient’s waveform window.

The Basics: Multiple Patient Viewer

the change takes effect immediately.

2. Press the right mouse button to open the right-click menu.

034B

Set Waveform Color Right-Click Menu

3. Highlight the Select waveform #1 color option. The color menu opens.

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The Basics: Multiple Patient Viewer

4. Select and click the desired color. The right-click menu closes, and the color change takes effect immediately.

NOTE

Displaying Additional Waveforms

You can display up to three additional waveforms in a patient’s waveform window. To select a second waveform for display:

For UNLOCKED hardwire bed (referring to monitors such as Dash, Solar, etc), the modification remains in effect regardless of a discharge and re-admit. However, the color returns to the default color setting after the bed is moved to a different position on the display.

For UNLOCKED telemetry bed, the modification remains in effect until the bed is removed from the display, discharged or moved to a different position on the display. The color then returns to the default setting.

On an LOCKED bed, this color modification remains in effect until the user manually changes the color. A “discharge” does NOT return the waveform colors to the default settings.

1. Position the mouse pointer in the patient’s waveform window.

2. Press the right mouse button to open the right-click menu.

033B

Select Waveforms Right-Click Menu

3. Select the Select waveform #2 option to open a list of available waveforms.

4. Highlight the desired waveform in the second position and click on it. The right-click menu closes and the waveform appears immediately.

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The Basics: Multiple Patient Viewer

5. Repeat Steps 1 – 3 until a maximum of 4 waveforms display in the patient’s waveform slot.

NOTE

This modification remains in effect until you remove the bed from the display or to a different slot on the display.

Optional: Designate a color for the waveform you’ve just

selected. Refer to “Designating Waveform Color” on page 1-19.

CAUTION

On an unlocked bed this color modification remains in effect until the bed is removed from the display “discharged” or until the bed is moved to a different slot on the display. At this time, the color returns to the default.

On a locked bed, this color modification remains in effect until the user changes the color manually. A “discharge” or moving the bed does not return the waveform colors to their default settings.

NOTE

ECG Parameter Window

A patient’s ECG parameter window contains heart rate information, PVC/minute information, ST measurement (if available), and pace detection indicator if pace detection is enabled, as calculated by the monitoring device. If an alarm is silenced, an icon appears inside the box.

PVC Information

ST Information

If pressure waveforms are requested, they are scaled for display at the CIC Pro, but no scale indicators are provided.

Pace Detection

Silence Alarm icon

Heart Rate

035C

ECG Parameter Window

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Initiating a Manual Graph

To initiate a manual graph, click the mouse pointer in the desired patient’s ECG parameter window. The manual graph continues indefinitely until it is stopped by clicking the mouse pointer again in the patient’s ECG parameter window.

To set manual graph locations, see “Graph Location Controls” on page 5-

11.

User Help Message Area

Messages are displayed in the lower left corner of the CIC screen. Messages presented here can include descriptions of button functions, and information about what action is initiated by clicking the mouse in the cursor’s current location. Refer to “Clinical Information Center

Multiple Patient Viewer” on page 1-17 to see an example of this.

The Basics: Multiple Patient Viewer

User Help Message Area

032C

Alarm Condition Indicators

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The Basics: Multiple Patient Viewer

Alarm Condition Indicators

The four highest priority alarms within the care unit may be displayed simultaneously. The highest priority alarm always displays first (displayed on the left), with the next three highest priority alarms displayed (in left-to-right order of descending priority).

To open a single patient view of one of these beds, use the mouse to click on the alarm condition indicator. For more information, refer to Chapter 7, “Admit/View a Patient”.

Main Menu Buttons

There are six Main Menu buttons at the bottom of the CIC Pro display. They are Auto Display, View Other, Setup CIC, Silence Alarms, Print, and Close.

AUTO DISPLAY—The Auto Display button toggles between configuring the CIC Pro display in the optimal configuration for the number of patients admitted (i.e., the number of patient windows is equal to the number of patients admitted), and optimal plus an empty bed window for admitting a new patient. For more information on Auto Display, refer to Chapter 4, “CIC Setup”.

VIEW OTHER—The View Other button allows you to access the menus of any patient on the network, including those displayed at your CIC Pro. For more information on the View Other button, refer to Chapter 7,

“Admit/View a Patient”.

SETUP CIC—The Setup CIC button opens the CIC Setup window, which contains a “stack” of tab sheets for customizing the CIC Pro. For more information on CIC Pro setup, refer to Chapter 4, “CIC Setup”.

SILENCE ALARMS—The Silence Alarms button silences an audible alarm tone for one minute. For more information on silencing alarms, refer to Chapter 6, “Alarm Control”.

PRINT—The Print button opens the Graph All Patients window, or initiate a printout of the single patient viewer.

CLOSE—The Close button closes the single patient viewer.

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The Basics: Single Patient Viewer

Single Patient Viewer

To access an enlarged view of a single patient’s information, click anywhere except the ECG parameter window inside that patient’s window on the multiple patient viewer.

NOTE

Clicking on the patient’s ECG parameter window initiates a manual graph of that patient’s data. Clicking a second time stops a manual graph.

Viewed patient’s waveform window is indicated with a white border

Clinical Information Center Single Patient Viewer

Viewed Patient Window

032C

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Data Source

The Basics: Data Source

The Data Source option allows the user to select the specific data source from which historical patient data (Alarm Histories, Graphic Trends, and Vital Signs) can be retrieved. The Data Source option is only available when PDS is Enabled (refer to “Telemetry Unit Defaults” on page 4-9).

The Data Source option is labeled Data Source and exists on the left side of the screen, between the Multi-patient viewer and the Single view window. Next to this label are two radio buttons that indicate the possible data sources:

 Bedside — This can be either a telemetry or a hardwire bedside. The

amount of historical data is limited to the specific data source. For most hardwire bedsides, there is a limit of around 32 history events and 24 hours of trend data.

 PDS — This server gathers and stores trend and history events from

hardwire bedsides and telemetry transmitters (refer to the compatibility list in the Unity Network Patient Data Server (PDS) Operator’s Manual. Patient data recorded during previous (72 hours) bedside or telemetry device admissions can be viewed as a single “patient centric” session. Up to 72 hours of trend data and 500 history events can be stored for a single patient.

The radio button for PDS data source will be disabled in the Alarm Histories, Graphic Trends and Vital Signs tab sheets for a bedside that is not being monitored by PDS.

Data Source:

Once the user makes a data source selection for a specific patient, the setting remains in effect, allowing the user to interact with the data from the selected data source. Data for printing will be consistent with the currently selected data source. Selecting a different patient in the multiviewer or re-selecting the same patient will automatically change the data source to be the bedside device.

NOTE

If the operator is on a tab sheet other than Alarm Histories, Graphic Trends, or Vital Signs, no selection of the data source is possible. For

any application where information needs to be retrieved, such as patient name, patient ID and alarm control information, the bedside device will be used.

Bedside

{

PDS

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Time Focus

The CIC Pro has a feature called Time Focus. When you are viewing an alarm history event, time focus allows you to view the patient’s vital signs, graphic trends, and full disclosure data for the same given time stamp (within one minute). The user can choose to look at a particular time and click on either the Alarm Histories, Graphic Trends, Vital Signs, or Full Disclosure tabs and view data at the same time interval the user selected on the previous tab.

NOTE

Viewing Alarm Histories

The Basics: Time Focus

Since graphic trends are only visible for the period of time specified in the Graphic Trends tab sheet (refer to Chapter 9, “Graphic

Trends”, for more details), it is possible to view an alarm history

event for which the graphic trend is no longer stored on the clinical information center. In this case, clicking on the Graphic Trends tab takes you to the most recent graphic trend, not the trend that corresponds to the alarm history you are viewing.

To open the Alarm Histories tab sheet from Graphic Trends, use the mouse to click on the Alarm Histories tab in the single patient viewer. The Alarm Histories tab sheet moves to the front, displaying the alarm history event that occurred closest to the time focus.

Viewing Graphic Trends

To open the Graphic Trends tab sheet from Alarm Histories, use the mouse to click on the Graphic Trends tab in the single patient viewer. The Graphic Trends tab sheet moves to the front, with data corresponding to the time focus at the cursor location.

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Viewing Vital Signs

To open the Vital Signs tab sheet from Alarm Histories, use the mouse to click on the Vital Signs tab in the single patient viewer. The Vital Signs tab sheet moves to the front, with data corresponding to the time focus highlighted.

Viewing Full Disclosure

To open the Full Disclosure tab sheet from Alarm Histories, use the mouse to click on the Full Disclosure tab in the single patient viewer. The Full Disclosure tab sheet moves to the front, displaying the full disclosure data corresponding to the time focus highlighted.

The Basics: Time Focus

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Web Browser

The Basics: Web Browser

CAUTION

SECURITY — The web browser which runs in conjunction with the CIC Pro is intended for hospital INTRANET use only. If confidential patient information is made available from the hospital intranet, the security of the data is the responsibility of the hospital.

The Browse option is at the top right corner of the title bar of the CIC Pro display screen. Select this button to launch (start) a separate Microsoft Internet Explorer

If a patient monitoring alarm occurs while the browser is open, the CIC Pro window moves to the foreground of the display, and the browser window moves to the background of the display. To restore the browser window, select the Browse option again or select the Internet Explorer button from the lower task bar.

application.

Browser Configuration

The web browser runs independently of CIC Pro operation. However, if the CIC Pro detects 15 minutes of web browser inactivity, the web browser window closes. Subsequent web browser activity then requires you to select the Browse option to relaunch the program.

Refer to “Browser Configuration” on page 4-7 for information on Browser Configuration.

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Menu Formats

Main Menu

Popup Menus

The Basics: Menu Formats

A menu, like the name implies, is a selection of available options. These options are accessed with the mouse.

There are six Main Menu buttons at the bottom of the CIC Pro display. They are Auto Display, View Other, Setup CIC, Silence Alarms, Print, and Close. These buttons are top-level control buttons, and are always visible on the CIC Pro.

When some menu options are selected, a small menu “pops up” from the selected menu option. These are called popup menus. To use a popup menu, click the mouse pointer on the desired selection. The popup menu closes. The choice either becomes effective immediately, or when the window it was accessed from closes.

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Text Entry Fields

The Basics: Menu Formats

In a text entry field, you must use the keyboard to enter the required information. To enter text:

1. Position the mouse pointer so it is inside the text entry field. When the mouse pointer is inside a text entry field, it is shaped like an Ibeam. Click the mouse.

037B

2. Type the appropriate information. Press the Tab key to move to the next field, or position the mouse pointer in the next field. Click the mouse.

Backspace Key

036A

NOTE

Press the Backspace key on the keyboard to delete characters when you change or correct entered information in the text entry field.

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Controls

Radio Buttons

The Basics: Controls

To use a radio button control, click on the label text or in the adjacent white circle. When selected, a black dot displays in this white circle. To deselect a radio button control, click on another selection. When deselected, no black dot displays.

Radio Buttons —

“dot” in center

indicates active

selection.

Check Boxes

007A

To use check box controls, click on the label text or in the square. When selected, a check mark displays in this square. To deselect a check box control, click again on the label text or in the square. When deselected, no check mark displays.

Check Boxes —

indicates active

selection.

078A

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Scroll Bars

The Basics: Controls

Use horizontal and vertical scroll bars to move a window’s content left/ right and up/down. Place the mouse pointer on the appropriate arrow to move the scroll bar, or click and hold the mouse down while dragging the scroll bar until the desired information is displayed.

Vertical Scroll Bar

024C

Horizontal Scroll Bar

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The Basics: System Environment Monitor Notification

System Environment Monitor Notification

The System Environment Monitor Notification feature notifies the user in the event one of the system environment parameters goes out of range. The CIC Pro responds by displaying a message window identifying the parameter(s).

The CIC Pro supports the following notifications:

 5v Power supply out of range

 12v Power supply out of range

 CPU fan speed out of range

 Chassis fan out of range

 CPU temperature out of range

 Enclosure temperature out of range

 Internal speaker unplugged

 External speaker unplugged

 HDD failure

125A

CAUTION

When a system environment monitor notification appears, contact your service personnel.

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For your notes

The Basics: System Environment Monitor Notification

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2 Safety

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For your notes

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For Your Safety

Intended Use

Safety: For Your Safety

The Clinical Information Center (CIC) Pro Central Station is intended for use under the direct supervision of a licensed healthcare practitioner. The intended use is to provide clinicians with adult, pediatric and neonatal patient data in a centralized location within a hospital or clinical environment.

The CIC Pro Central Station is intended to collect information from a network and display this data. This data includes physiological, patient demographic and / or other non-medical information.

Physiological parameters and waveforms from GE Medical Systems Information Technologies monitors and telemetry systems can be displayed and printed from the CIC Pro Central Station. Beat to beat patient information for all parameters and waveforms from the bedside and telemetry systems can be displayed.

Terminology

The CIC Pro Central Station supports the ability to access information from GE Medical Systems Information Technologies’ products in a web browser format. Additionally, CIC Pro Central Station supports the ability to access patient information collected from the Unity network and stored on a network server.

The terms danger, warning, and caution are used throughout this manual to point out hazards and to designate a degree or level of seriousness. Familiarize yourself with their definitions and significance.

Hazard is defined as a source of potential injury to a person.

DANGER indicates an imminent hazard which, if not avoided, will result in death or serious injury.

WARNING indicates a potential hazard or unsafe practice which, if not avoided, could result in death or serious injury.

CAUTION indicates a potential hazard or unsafe practice which, if not avoided, could result in minor personal injury or product/property damage.

NOTE provides application tips or other useful information to assure that you get the most from your equipment.

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Monitor Safety

Dangers

Warnings

Safety: For Your Safety

The safety statements presented in this chapter refer to the equipment in general. Look for additional device safety information throughout the rest of this manual.

The order in which safety statements are presented in no way implies order of importance.

There are no dangers that refer to the equipment in general. Specific “Danger” statements may be given in the respective sections of this manual.

WARNINGS

ACCIDENTAL SPILLS — To avoid electric shock or device malfunction liquids must not be allowed to enter the device. If liquids have entered a device, take it out of service and have it checked by a service technician before it is used again.

ACCURACY — If the accuracy of any value displayed on the screen or printed on a graph strip is questionable, first determine the patient’s vital signs by alternative means and then verify that the clinical information center and printer are working correctly.

ALARMS — Do NOT rely exclusively on the audible alarm system for patient monitoring. Adjustment of alarm volume to a low level or off during patient monitoring may result in a hazard to the patient. Remember that the most reliable method of patient monitoring combines close personal surveillance with correct operation of monitoring equipment.

After connecting the monitor to the central station and/or nurse-alert system, verify the function of the alarm system. Repeat this verification periodically, including a check of all connected speakers.

CIC Pro audible alarms will not sound for patients with bedside monitoring devices configured to “Operating Room” mode.

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Safety: For Your Safety

WARNING

BEFORE INSTALLATION — Compatibility is critical to safe and effective use of this device. Please contact your local sales or service representative prior to installation to verify equipment compatibility.

BEFORE USE — Before putting the system into operation visually inspect all connecting cables for signs of damage. Damaged cables and connectors must be replaced immediately.

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.

DISCHARGE TO CLEAR PATIENT DATA — When admitting a new patient, you must clear all previous patient data from the system. To accomplish this, disconnect patient cables then do a discharge.

DISCONNECTION FROM MAINS — When disconnecting the system from the power line, remove the plug from the wall outlet first. Then you may disconnect the power cord from the device. If you do not observe this sequence, there is a risk of coming into contact with line voltage by inserting metal objects, such as the pins of leadwires, into the sockets of the power cord by mistake.

DISPOSAL — Dispose of the packaging material, observing the applicable waste control regulations and keeping it out of children’s reach.

EXPLOSION HAZARD — Do NOT use this equipment in the presence of flammable anesthetics, vapors or liquids.

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Safety: For Your Safety

WARNINGS

INTERFACING OTHER EQUIPMENT — Devices may only be interconnected with each other or to parts of the system when it has been determined by qualified biomedical engineering personnel that there is no danger to the patient, the operator, or the environment as a result. In those instances where there is any element of doubt concerning the safety of connected devices, the user must contact the manufacturers concerned (or other informed experts) for proper use. In all cases, safe and proper operation should be verified with the applicable manufacturer’s instructions for use, and system standards IEC 601-1-1/EN 60601-1-1 must be complied with.

LEAKAGE CURRENT TEST — When interfacing with other equipment, a test for leakage current must be performed by qualified biomedical engineering personnel before using with patients.

LOSS OF MONITORING — If the monitoring at the CIC Pro is temporarily interrupted, alternate monitoring devices or close observation should be used until the monitoring function at the CIC Pro is restored.

Indications of a loss of the monitoring function at the CIC Pro are as follows.

 RED SCREEN indicates the CIC Pro application is

restarting itself and patient monitoring at the CIC Pro is NOT occurring. The monitoring function at the CIC Pro will automatically resume. No user action is required.

 BLUE SCREEN indicates the Windows operating

system has a functional error and patient monitoring at the CIC Pro is NOT occurring. If the CIC Pro does not automatically restart after 60 seconds, the monitoring function at the CIC Pro will not resume until you turn off the power to the CIC Pro and then turn the power back on. The monitoring function should resume in approximately 2 to 3 minutes.

Once the monitoring function at the CIC Pro has been restored, you should verify the correct monitoring state and alarm function.

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Safety: For Your Safety

WARNINGS

LOSS OF MONITORING — If the browser function is inappropriately used, loss of monitoring function may result. Use alternate monitoring devices or close patient observation until the monitoring function at the CIC Pro is restored.

When using the browser function, follow these restrictions:

 Do not attempt to access the file systems of the CIC

Pro through the use of the browser.

 Do not attempt to download files of any type. This

includes, but is not limited to, audio or video files.

 Do not play user defined audio (i.e. Media Player,

streaming radio stations).

NETWORK INTEGRITY — The clinical information center resides on the hospital’s computer network, and it is possible that inadvertent or malicious network activity could adversely affect patient monitoring. The integrity of the computer network is the responsibility of the hospital.

POWER SUPPLY — The device must be connected to a properly installed power outlet with protective earth contacts only.

GE Medical Systems Information Technologies recommends the use of a UPS with the CIC Pro. If a UPS is NOT used, improper shut downs of the system could result in the event of a power outage and cause a lengthy disk scan procedure when the unit reboots. You could also lose data in the event of a power outage if you do not use a UPS.

All devices of a system must be connected to the same power supply circuit. Devices which are not connected to the same circuit must be electrically isolated when operated (electrically isolated RS232 interface).

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Cautions

Safety: For Your Safety

WARNINGS

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.

SITE REQUIREMENTS — Do NOT route cables in a way that they may present a stumbling hazard. For devices installed above the user, adequate precautions must be taken to prevent them from dropping.

CAUTIONS

DISPOSAL — At the end of its service life, the product described in this manual, as well as its accessories, must be disposed of in compliance with the guidelines regulating the disposal of such products. If you have questions concerning disposal of the product, please contact GE Medical Systems Information Technologies or its representatives.

EMC — Magnetic and electrical fields are capable of interfering with the proper performance of the device. For this reason make sure that all external devices operated in the vicinity of the monitor comply with the relevant EMC requirements. X-ray equipment or MRI devices are a possible source of interference as they may emit higher levels of electromagnetic radiation.

INSTRUCTIONS FOR USE — For continued safe use of this equipment, it is necessary that the listed instructions are followed. However, instructions listed in this manual in no way supersede established medical practices concerning patient care.

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Safety: For Your Safety

CAUTIONS

LOSS OF DATA — Should the monitor at any time temporarily lose patient data, the potential exists that active monitoring is not being done. Close patient observation or alternate monitoring devices should be used until monitor function is restored.

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.

MAINTENANCE — Regular preventive maintenance should be carried out annually. You are responsible for any requirements specific to your country.

MPSO — The use of a multiple portable socket outlet (MPSO) for a system will result in an enclosure leakage current equal to the sum of all individual earth leakage currents of the system if there is an interruption of the MPSO protective earth conductor. Do NOT use an additional extension cable with the MPSO as it will increase the chance of the single protective earth conductor interruption.

NEGLIGENCE — GE Medical Systems Information Technologies does not assume responsibility for damage to the equipment caused by improperly loaded software, failure or data loss due to not using a UPS, and/or improperly vented cabinets, or improper or faulty power.

OPERATOR — Medical technical equipment such as this monitor/monitoring system must only be used by persons who have received adequate training in the use of such equipment and who are capable of applying it properly.

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Safety: For Your Safety

CAUTIONS

POWER REQUIREMENTS — Before connecting the device to the power line, check that the voltage and frequency ratings of the power line are the same as those indicated on the unit's label. If this is not the case, do not connect the system to the power line until you adjust the unit to match the power source.

In U.S.A., if the installation of this equipment will use 240V rather than 120V, the source must be a centertapped, 240V, single-phase circuit.

RESTRICTED SALE — U.S. federal law restricts this device to sale by or on the order of a physician.

SECURITY — The web browser which runs in conjunction with the clinical information center is intended for hospital INTRANET use only. If confidential patient information is made available from the hospital intranet, the security of the data is the responsibility of the hospital.

SUPERVISED USE — This equipment is intended for use under the direct supervision of a licensed health care practitioner.

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. Refer to the service manual for more information.

VENTILATION REQUIREMENTS — Set up the device in a location which affords sufficient ventilation. The ventilation openings of the device must not be obstructed. The ambient conditions specified in the technical specifications must be ensured at all times.

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Notes

Reference Literature

Safety: For Your Safety

 Choose a location which affords an unobstructed view of the clinical

information center’s screen and easy access to the operating controls.

 This product is not likely to cause abnormal operation of other

patient-connected equipment such as a cardiac pacemaker or other electrical stimulators.

 This equipment is suitable for connection to public mains as defined

in CISPR 11.

 This equipment is suitable for use in the presence of electrosurgery.

Medical Device Directive 93/42/EEC

EN 60601-1/1990 + A1: 1993 + A2: 1995: Medical electrical equipment. General requirements for safety

EN 60601-1-1/9.1994 + A1 12.95: General requirements for safety. Requirements for the safety of medical electrical systems.

IEC Publication 513/1994: Fundamental aspects of safety standards for medical equipment.

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Equipment Symbols

NOTE

ATTENTION: Consult accompanying documents.

CAUTION: To reduce the risk of electric shock, do NOT remove cover. Refer servicing to qualified service personnel.

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 601-1/UL 2601-1/CSA 601.1 Medical Standards to provide protection against electric shock, particularly regarding allowable leakage current.

TYPE BF APPLIED PART: Isolated (floating) applied part suitable for intentional external and

NOTE

The rating of protection against electric shock (indicated by symbol for CF or BF) is achieved only when used with patient applied parts recommended by GE Medical Systems

Information Technologies.

internal application to the patient excluding 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 601-1/UL 2601-1/CSA 601.1 Medical Standards to provide a higher degree of protection against electric shock than that provided by type B applied parts.

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 601-1/UL 2601-1/CSA 601.1 Medical Standards to provide a higher degree of protection against electric shock than that provided by type BF applied parts.

Safety: Equipment Symbols

Some symbols may not appear on all equipment.

Fuse

Equipotential Stud: A ground wire from another device can be tied here to ensure the devices share a common reference.

Alternating current (AC)

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Safety: Equipment Symbols

Power; I = ON; O = OFF

KEYBOARD ICON: Denotes the keyboard port.

MOUSE ICON: Denotes the mouse port.

USB PORT ICON: Denotes the USB port. Not used for CIC Pro.

VGA MONITOR ICON: Denotes the VGA monitor port.

PARALLEL (PRINTER) PORT ICON: Denotes the parallel port into which the optional laser printer is connected.

SERIAL COMMUNICATION (COM) PORT ICON: Denotes the communication (COM) ports, used for:

 Optional Service Modem (COM 1) and  Optional PRN-50/PRN-50M Writer (COM 2).

IOIOI

ETHERNET ICON: Denotes the ethernet ports, used for the Unity MC network connection.

SPEAKER OUT ICON: Denotes the speaker port connection.

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PRESS

Indicates where to press to open the door on printer.

Silence Alarms keyboard key.

Classification

The device is classified, according to IEC/UL/EN 60601-1, as:

Type of protection against electrical shock Class I

Safety: Equipment Symbols

Degree of protection against electrical shock

Degree of protection against harmful ingress of water

Degree of safety of application in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide

Method(s) of sterilization or disinfection recommended by the manufacturer

Mode of operation Continuous operation

Not applicable (No Applied Parts)

IPX0 (enclosed equipment without protection against ingress of water)

Equipment not suitable for use in the presence of a flammable anesthetic mixture

with air or with oxygen or nitrous oxide

Not applicable

Underwriters Laboratories, Inc.

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 IEC, EN 60601-1.

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3 Maintenance

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Biocompatibility

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. If you have questions about this matter, please contact GE Medical Systems Information Technologies or its representatives.

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Inspection

Maintenance: Inspection

All equipment needs to be maintained on a regular basis to ensure reliability. This chapter describes inspection and cleaning procedures. Refer to the service manual for technical maintenance information.

An effective maintenance schedule should be established for your monitoring equipment and reusable supplies. This should include inspection as well as general cleaning on a regular basis.

CAUTION

Failure on the part of the responsible hospital or institution employing the use of this monitoring equipment to implement a satisfactory maintenance schedule may cause undue equipment failure and possible health hazards.

Check with your Biomedical Department to be sure preventive maintenance and calibration has been done. The applicable service manuals contain detailed information.

Follow these guidelines when inspecting the equipment:

 Inspect the equipment for obvious physical damage and replace

damaged items.

 Inspect all cords for fraying or other damage. Inspect all plugs and

connectors for bent prongs or pins. Repair or replacement must be performed by qualified service personnel.

 Inspect all cable insulation. Qualified service personnel should repair

or replace damaged or deteriorated cables.

GE Medical Systems Information Technologies is available 24 hours a day by calling 800-558-7044.

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Cleaning

General Cleaning

Maintenance: Cleaning

Your equipment should be cleaned on a regular basis. Follow these guidelines when preparing to clean, disinfect, or sterilize the equipment:

 Consult your hospital’s policies and procedures for cleaning,

disinfecting, or sterilizing equipment.

 Refer to Material Safety Data Specifications (MSDS) or hospital

guidelines when choosing a cleaning, disinfecting, or sterilizing agent.

The exterior surfaces of the equipment may be cleaned with a lint-free cloth, dampened with a diluted cleaning solution. Drying off excess cleaning solution is recommended. Following are examples of tested cold cleaning/disinfectant/sterilizing solutions:

 ammonia (diluted),

 CompuBlend B (ammonium chloride),

 Virex (ammonium chloride),

 Cidex (glutaraldehyde),

 sodium hypochlorite bleach (diluted), or

 mild soap (diluted).

To avoid damage to the equipment, follow these rules:

CAUTION

Failure to follow these rules may melt, distort, or dull the finish of the case, blur lettering on the labels, or cause equipment failures.

 ALWAYS dilute the solutions according to the manufacturer’s

suggestions.

NOTE

Damage to equipment caused from submersion or from use of unrecommended cleaning agents is not covered by warranty. Always refer to your hospital/MSDS guidelines when choosing a cleaning/disinfectant/sterilizing agent.

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 ALWAYS wipe off all the cleaning solution with a dry cloth after

cleaning.

 NEVER use wax containing a cleaning substance.

 NEVER SUBMERSE, POUR OR SPRAY water or any cleaning

solution on the equipment or permit fluids to run behind switches, into the connectors, or into any ventilation openings in the equipment.

 Never use these cleaning agents:

 abrasive cleaners or solvents of any kind,

 acetone,

 alcohol based cleaning agents,

 Betadine

Cleaning the Touchscreen

NOTE: Turn the display power off before cleaning the touchscreen.

Clean the touchscreen with one of the following approved solutions:

 Household glass cleaner,

 Virex (full strength), or

 Cavicide (diluted: 1/2 oz per gallon of water).

Maintenance: Cleaning

To avoid damage to the equipment, follow these rules:

CAUTION

Failure to follow these rules may melt, distort, or dull the finish of the case, blur lettering on the labels, or cause equipment failures.

 Always dampen the towel and then clean the touchscreen.

 Do NOT spray cleaner directly on the touchscreen.

 Do NOT use these chemicals on the touchscreen:

 Acetone

 Methylene chloride

 Methyl ethyl ketone

 Hexane

 Ammonia-based glass cleaners

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Maintenance: Technical Maintenance

Technical Maintenance

Schematic diagrams, specifications, and other relevant technical information can be found in the service manuals supplied with this equipment. Comply with the policies of your institution’s Biomedical Department, or the recommendations made within the Preventive Maintenance section of the product’s service manual.

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Maintenance: Technical Maintenance

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4 CIC Setup

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Introduction

CIC Setup: Introduction

The Setup CIC button in the Main Menu opens the CIC Setup window, which contains a “stack” of tab sheets for customizing the clinical information center.

The tab sheets include:

 CIC Defaults,

 Telemetry Unit Defaults,

 Telemetry Alarm Control Defaults,

 Current Telemetry Listings,

 Display Format,

 Screen Calibration,

 Service Password, and

 Full Disclosure Defaults.

While the user can view all of the tab sheets within the CIC Setup window, many of the functions on these tab sheets may only be configured using the service mode.

The functions available on these tab sheets that can only be configured in service mode are discussed in detail in the service manual.

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CIC Defaults

In user mode, these are the only active controls.

CIC Setup: CIC Defaults

NOTE

In user mode, most of the controls on the CIC Defaults tab sheet are view-only and appear grayed-out in color. The only controls on this tab sheet that are active from user mode are the Alarm Volume drop- down menu and the Cancel Print Jobs buttons.

When in service mode, the CIC Defaults window allows you to modify several elements of the clinical information center display. To open the CIC Defaults tab sheet, follow these steps.

1. Use the mouse to click on Setup CIC in the Main Menu.

2. Click on the CIC Defaults tab to bring it to the front.

005E

CIC Defaults Tab Sheet

NOTE

To access the service mode, use the mouse pointer to click on the Service Password tab sheet. Then type in the service password. Select OK to activate the password. The service password is available only to the appropriate personnel.

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CIC Defaults Controls

Name

Alarm Volume

CIC Setup: CIC Defaults

CENTRAL NAME —This option allows you to enter the name for this clinical information center.

UNIT NAME—This option allows you to enter the care unit name for use on the GE Medical Systems Information Technologies Unity IS network.

The current alarm volume can be set to any level above the minimum alarm volume that was designated in the service mode. To adjust the current alarm volume:

1. Click on the Current drop down menu in the Alarm Volume control area. The Current drop down menu opens.

2. Click on the desired alarm volume level. The choice becomes effective immediately.

063C

Alarm Volume Popup Menu

NOTE

You must enter the service mode to change the minimum alarm volume.

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Mirror Central Display

CIC Setup: CIC Defaults

You can set up a mirrored CIC Pro for remote monitoring. This is set in the service mode. When a mirrored CIC Pro is set up, these rules are in place:

 The main and mirrored CIC Pro display the same patients and the

same number of patient slots. However, if the user selects new parameters to view on one display, those parameters are NOT mirrored on the other display.

 Auto Display should be set to disabled at the mirrored CIC Pro when

a mirrored CIC Pro is set up. However, Auto Display is still active on the main CIC Pro. See “Changing the Display Format” on page 4-18.

 When using the mirror feature on the CIC Pro product, both the

main and mirrored CIC Pro must be set to the same display format for the mirror feature to work correctly. Set the Number of Patients in the Display Format tab of the mirrored CIC Pro to match the main CIC Pro. See “Changing the Display Format” on page 4-18.

 The title bar of the mirror CIC Pro displays mirror of [CIC

SELECTED].

Waveforms

ECG 1 — This waveform is defined by the ECG source.

WAVEFORMS 2 – 4—These selections allows you to define multiple patient viewer waveforms.

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Browser Configuration

Printer/Writer

CIC Setup: CIC Defaults

This control allows you to disable/enable and configure the web browser (refer to “Web Browser” on page 1-28). When enabled, the Browser Configuration includes the following possibilities.

 Single Monitor—Browser Integrated into Single Patient Viewer,

 Single Monitor—Browser Free Floating

 Dual Monitor—Browser into second monitor.

To exit the web browser, select the Close button on the CIC Pro.

Dual Monitor

The CIC Pro allows for the use of a secondary monitor when using the web browser. The browser displays full screen on the secondary monitor. Please refer to your CIC Pro service manual for configuration.

LASER PRINTER —This control allows you to designate the default laser printer for this clinical information center.

DDW —This control allows you to designate the default DDW for this clinical information center.

FULL DISCLOSURE—This control allows you to designate the default printer to print Full Disclosure for this clinical information center.

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Cancel Print Jobs

Color Set

CIC Setup: CIC Defaults

This control allows you to cancel a print job to the Laser printer or Full Disclosure printer. Click on the Cancel Print Jobs to cancel any printing jobs. This only cancels print jobs that originate from the same CIC Pro. You cannot cancel print jobs at another CIC Pro.

This control allows you to set a color scheme for waveforms. Preset choices are Clinical, Transducer, or Custom.

 Clinical

This sets the colors for single-parameter or double-parameter patient monitoring. ECG waveforms display in orange; ART, PA, FEM, CVP, RA, LA, ICP, SP, UAC, and UVC display in green; and RESP, SPO2, and CO2 display in blue.

 Transducer

This sets the colors for multi-parameter patient monitoring. Display colors are: ECG in brown, ART in red, PA in yellow, FEM in red, CVP and RA in blue, LA and ICP in white, SP in green, UAC in red, UVC in blue, RESP and SPO2 in green, and CO2 in white.

 Custom

This selection allows you to set each waveform color individually.

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CIC Setup: Telemetry Unit Defaults

Telemetry Unit Defaults

NOTE

In user mode, all of the controls on the Telemetry Unit Defaults tab sheet are view-only. You must enter the service mode to make modifications to the Telemetry Unit Defaults tab sheet.

In service mode, Telemetry Unit Defaults can be reviewed and modified at the clinical information center. To open the Telemetry Unit Defaults tab sheet:

1. Click on Setup CIC in the Main Menu.

2. Click on the Telemetry Unit Defaults tab.

011F

Telemetry Unit Defaults Tab Sheet

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CIC Setup: Telemetry Unit Defaults

Telemetry Unit Defaults Controls

NOTE

For more information on setting Telemetry Unit Defaults, refer to the telemetry system’s operator manual.

Graph Setup

MANUAL GRAPH LOCATION —This option allows you to designate the default manual graph location for telemetry patients.

ALARM GRAPH LOCATION —This option allows you to designate the default alarm graph location for telemetry patients.

PRINT WINDOW LOCATION —This option allows you to designate the default print window location for telemetry patients.

Graph Waveforms

ECG 1:—This option allows you to designate the primary ECG lead for printing.

Transmitter Graph

Alarm Graph

Event Marker Graph

WAVEFORM 2 – 4—This option allow you to enable/disable graphing for subsequent ECG leads. Choices are Off, I, II, III, V, aVR, aVL, and aVF.

This option allows you to turn on/off transmitter graph printing.

This option allows you to turn on/off alarm graph printing.

This option allows you to turn on/off event marker graph printing.

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ECG

CIC Setup: Telemetry Unit Defaults

DISPLAY LEAD—This option allows you to set the primary ECG lead for display in the patient’s waveform window. Choices are I, II, III, V, aVR, aVL, and aVF.

ARRHYTHMIA—This option allows you to enable/disable an arrhythmia analysis program. Choices are Full, Lethal, and Off.

LEAD ANALYSIS—This option allows you to designate Single-Lead or Multi-Lead analysis for ECG and arrhythmia analysis.

ST ANALYSIS—This option allows you to enable/disable ST analysis. Choices are On or Off.

VA LEAD/VB LEAD—This option allows you to set the default for the V leads that will be monitored in these positions. A 6-lead cable is required for multiple V-lead monitoring. Choices for Va are V1, V2, V3, V4, V5, and V6. Choices for Vb are V2, V3, V4, V5, and V6.

DETECT PACE—This option allows you to enable/disable pacer detection. Choices are Pace 1, Pace 2, and Off.

PDS

Patient Age

Transmitter Alarm Pause

Alarm Pause Breakthrough

Event Marker

This option allows you to enable/disable use of the Patient Data Server.

This option allows you to set patient age. Choices are 0–2 years, 3–11 years, 11–13 years, and Adult.

This option allows you to turn on/off transmitter alarm pausing. Choices are Enabled, Disabled, and Off.

This option allows you to turn on/off transmitter pause breakthrough. Choices are Always on and Always off.

This option allows you to turn on/off transmitter event marker.

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CIC Setup: Telemetry Alarm Control Defaults

Telemetry Alarm Control Defaults

NOTE

In user mode, all of the controls on the Telemetry Alarm Control Defaults tab sheet are view-only. You must enter the service mode to

make modifications to the Telemetry Alarm Control tab sheet.

In service mode, the Telemetry Alarm Control Defaults tab sheet allows you to set default limits and alarm settings for telemetry patients. To open the Telemetry Alarm Control Defaults tab sheet:

1. Use the mouse to click on Setup CIC in the Main Menu.

2. Click on the Telemetry Alarm Control Defaults tab.

010D

Telemetry Alarm Control Defaults Tab Sheet

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CIC Setup: Telemetry Alarm Control Defaults

Telemetry Alarm Control Defaults Controls

NOTE

For more information on setting Telemetry Alarm Control Defaults, refer to the telemetry system’s operator manual.

Parameter Limits And Alarm Levels

This option allows you to set default parameter alarms limits and alarm levels for the following parameters: HR, NBP-S, NBP-D, NBP-M, SPO2, SPO2-R, ST-I, ST-II, ST-III, ST-V, ST-V2, ST-V3, ST-V4, ST-V5, ST-V6, ST-aVR, ST-aVL, ST-aVF, and PVC.

Arrhythmia Alarm Levels

This option allows you to set default alarm levels for the following arrhythmia calls: ASYSTOLE, VFIB/VTAC, V TACH, VT>2, V BRADY, ACC VENT, PAUSE, TACHY, BRADY, R ON T, COUPLET, BIGEMINY, TRIGEMINY, PVC, IRREGULAR and ATRIAL FIB.

System Alarm Levels

The default alarm levels for ASYSTOLE and VFIB/VTACH cannot be moved from the Crisis level.

This option allows you to set default alarm levels for the following system alarms: CHANGE BATTERY, OFF NETWORK, ARR SUSPEND, LEADS FAIL, PROBE OFF.

WARNING

ADJUSTING SYSTEM ALARM LEVELS — The LEADS FAIL alarm indicates that one or more electrodes are not connected to the patient and, as a result, there is loss of all waveforms and arrhythmia analysis. The ARR SUSPEND alarm indicates that arrhythmia conditions are not being detected and therefore alarms associated with arrhythmias will not occur. The LEADS FAIL and ARR SUSPEND alarms should be adjusted to a lower priority level only by experienced qualified personnel and with great caution. Adjusting these alarms to a lower priority level may result in reduced awareness of conditions that indicate the loss of patient monitoring.

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CIC Setup: Current Telemetry Listings

Current Telemetry Listings

NOTE

In user mode, the Current Telemetry Listings tab sheet is view-only. You must enter the service mode to make modifications to the Current Telemetry Listings tab sheet.

In service mode, the Current Telemetry Listings tab sheet allows you to view and modify characteristics of telemetry settings. To open the Current Telemetry Listings tab sheet:

1. Click on Setup CIC in the Main Menu.

2. Click on the Current Telemetry Listings tab.

012C

Current Telemetry Listings Tab Sheet

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CIC Setup: Current Telemetry Listings

Current Telemetry Listings Controls

The Admitted Telemetry Patients control is for information only. The Bed and Transmitters controls can only be modified from within service

mode.

Admitted Telemetry Patients

NOTE

This overview covers the controls in a row. Each row contains information for one telemetry patient.

The second line of an entry shows the current software level for the patient bed in question.

TOWER—indicates which telemetry receiver cabinet (tower) this telemetry patient is communicating with.

RECEIVER—indicates which receiver assembly inside the telemetry receiver cabinet this telemetry patient is communicating with.

UNIT|BED—indicates the unit and bed to which this patient has been assigned.

TYPE—indicates the type of patient this is: Tele Bed or Tele Combo.

TRANSMITTER—indicates the identification number assigned to this patient’s transmitter.

Bed and Transmitters

TELEMETRY BEDS—allows you to add, modify, or delete a telemetry bed name.

HARDWIRE BEDS—allows you to add, modify, or delete a hardwire bed name.

TRANSMITTERS—allows you to add, modify, or delete a telemetry transmitter.

Alpha-Numeric TTX ID Numbering

During setup, the CIC Pro does NOT allow the user to enter alphanumeric transmitter numbers. However, by entering the transmitter ID number (found in parenthesis on the back of the ApexPro transmitter), the CIC Pro automatically converts the ID to an alphanumeric numbering scheme and displays this number under the patient’s bed window.

NOTE

The TTX ID number is composed of either a three, four, or five-digit number.

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Display Format

“Map” of new display format

CIC Setup: Display Format

The Display Format tab sheet allows you to format the clinical information center’s multiple patient viewer with the required number of patient windows.

NOTE

Modifications to display format are subject to licensing restrictions.

To open the Display Format tab sheet:

1. Click on Setup CIC in the Main Menu.

2. Click on the Display Format tab.

006B

Display Format Tab Sheet

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Display Format Controls

Columns

This control allows you to designate the number of columns of patient windows in the multiple patient viewer.

Rows

This control allows you to designate the number of rows of patient windows in the multiple patient viewer.

Map Of New Display

This control reflects the current Columns/Rows selections graphically. When the Columns or Rows selections change, this map is immediately updated.

AUTO DISPLAY BUTTON—allows you to set the function of the Auto Display button in the Main Menu, or to disable it. Choices are Maximize Waveform Length, Maximize Number of Waveforms, and Disable Auto Display Button.

CIC Setup: Display Format

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CIC Setup: Display Format

Changing the Display Format

You must remove admitted beds from the display before you can select a display format that would eliminate those patient slots from the display.

To do this, right-click the mouse pointer in the appropriate slot, and choose None from the Select Care Unit then Bed Number menu.

NOTE

An alarm will sound when removing admitted beds from the display if the beds are not viewed on another CIC Pro.

To change the display format, follow these steps.

1. Click on the selection corresponding to the number of columns you want in the multiple patient viewer.

2. Click on the selection corresponding to the number of rows you want in the multiple patient viewer.

3. Visually verify in the map of the new display that the new setting is what you want.

4. Click Apply in the lower left corner of the CIC Setup window to apply your changes. The display updates immediately to reflect your changes.

5. Select OK to save your changes and close the CIC Setup window, or Cancel to close the window without making changes to the format.

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Patient Window

CIC Setup: Display Format

The clinical information center identifies the patient windows and assigns an internal number in a top-to-bottom, left-to-right format. Refer to the figure below.

Slot 1

Slot 2

Slot 3

Slot 4

Slot 5

Slot 6

Slot 7

Slot 8

ICU | BED 1

SMITH,DAVID

ICU | BED 2

JONES,BETH

ICU | BED 3

MASON,ANN

ICU | BED 4

DUNN,PAUL

ICU | BED 5

OTTO,DONALD

ICU | BED 6

REED,JAMES

ICU | BED 7

KANE,MARY

ICU | BED 8

TATE,ERIC

HR PVC

ICU | BED1

SMITH,DAVID

HR PVC

ICU | BED1

SMITH,DAVID

HR PVC

ICU | BED1

SMITH,DAVID

HR PVC

ICU | BED1

SMITH,DAVID

HR PVC

ICU | BED1

SMITH,DAVID

HR PVC

ICU | BED1

SMITH,DAVID

HR PVC

ICU | BED1

SMITH,DAVID

HR PVC

ICU | BED1

SMITH,DAVID

P 0

-0.1

P 0

-0.1

P 0

-0.1

P 0

-0.1

P 0

-0.1

P 0

-0.1

P 0

-0.1

P 0

-0.1

ICU | BED 9

EVANS,TERESA

ICU | BED 10

PERKINS,JOHN

ICU | BED 11

SMITH,JOSEPH

ICU | BED 12

BRADY,PETER

ICU | BED 13

MICHAELS,TINA

ICU | BED 14

CHASE,KATE

ICU | BED 15

WARNER,JOAN

ICU | BED 16

YOUNG,BETTY

HR PVC

ICU | BED1

SMITH,DAVID

HR PVC

ICU | BED1

SMITH,DAVID

HR PVC

ICU | BED1

SMITH,DAVID

HR PVC

ICU | BED1

SMITH,DAVID

HR PVC

ICU | BED1

SMITH,DAVID

HR PVC

ICU | BED1

SMITH,DAVID

HR PVC

ICU | BED1

SMITH,DAVID

HR PVC

ICU | BED1

SMITH,DAVID

P 0

-0.1

P 0

-0.1

P 0

-0.1

P 0

-0.1

P 0

-0.1

P 0

-0.1

P 0

-0.1

P 0

-0.1

Slot 9

Slot 10

Slot 11

Slot 12

Slot 13

Slot 14

Slot 15

Slot 16

072A

Example

Assume your CIC Pro’s display is configured to show eight rows and two columns of patient slots (16 patient slots).

If you change the clinical information center display format to show four rows and two columns of patient slots (eight patient slots), you would “lose” patient slots 9 – 16, since the new configuration only accommodates the first eight patient slots (refer to the note on page 4-

18).

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CIC Setup: Display Format

Assigning Patients to Patient Slots

There are two ways to assign patients to the available slots on the clinical information center.

Admit Button

If the patient slot is empty, except for an Admit button, use the mouse to click anywhere in the slot. The single patient viewer for that patient slot opens, with the Admit tab sheet in front. Proceed with the Admit procedure as outlined in Chapter 7, “Admit/View a Patient”.

Right-click Shortcut

Click the RIGHT mouse button anywhere in the slot you want to fill. The right-click shortcut menu opens. Slide the mouse over the Select Care Unit then Bed Number text, without pressing either mouse button. The text highlights, and a list of units on the network pops up. For more information, refer to “Viewing Other Patients” on page 7-16.

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Screen Calibration

NOTE

Screen calibration adjusts the gain and sweep speed of the displayed waveforms. Accurate sweep speed is important for all waveforms.

To open the Screen Calibration tab sheet:

1. Click on Setup CIC in the Main Menu.

2. Click on the Screen Calibration tab.

CIC Setup: Screen Calibration

In user mode, the Screen Calibration tab sheet is view-only. You must enter the service mode to perform the Screen Calibration procedure.

008B

Screen Calibration Tab Sheet

For information on performing the screen calibration procedure, refer to the service manual.

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Service Password

CIC Setup: Service Password

CAUTION

The service mode is intended for use only by qualified personnel with training and experience in its use. The consequences of misuse include loss of alarm configuration, loss of patient data, corruption of the clinical information center operating system software, or disruption of the entire Unity network.

The Service Password tab sheet contains a field for entering the password for accessing the clinical information center’s service mode.

To open the Service Password tab sheet:

1. Click on Setup CIC in the Main Menu.

2. Click on the Service Password tab.

009B

Service Password Tab Sheet

3. To change from the user mode to the service mode, use the keyboard to enter the service password, then click Apply. The Current Permission entry changes from User to Service.

NOTE

Contact your biomedical engineering department or your GE Medical Systems Information Technologies representative to access the service mode.

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CIC Setup: Full Disclosure Defaults

Full Disclosure Defaults

The Full Disclosure Defaults tab sheet allows you to view full disclosure settings. To open the Full Disclosure Defaults tab sheet:

1. Click on Setup CIC in the Main Menu.

2. Click on the Full Disclosure Defaults tab.

082C

Full Disclosure Defaults Tab Sheet

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Full Disclosure Controls

Report

DURATION—This control allows you to designate how much data is included in the report. The maximum report duration is 72 hours.

To set the report duration, place the cursor on the scroll bar below the Report Duration display field. Move the scroll bar to the left for shorter duration or to the right for longer duration.

HOLE LOCATION—This control allows space for binding printed reports. Options are none, top, bottom, left, and right.

Include

This control allows you to enable print characteristics. Options include Graybar, Arrhythmia Annotations, and Heart Rate. You may select all or none of these options.

CIC Setup: Full Disclosure Defaults

Line Time

Strip

 In Graybar, every other line of the report appears on a shaded

background to provide visual differentiation from other lines.

 In Arrhythmia Annotations, the name of an applicable arrhythmia

call appears underneath its occurrence in the report.

 In Heart Rate, the last active heart rate included in the report

appears at the end of the report line.

This control allows you to designate how much data shows on an individual report line. Choices are 15sec, 30sec, and 1min.

LOCATION—This control allows you to designate how much data is included in the strip. The maximum strip duration is 60 minutes.

To set the strip duration, place the cursor on the scroll bar below the Strip Duration display field. Move the scroll bar to the left for shorter duration or to the right for longer duration.

HOLE LOCATION—This control allows space for binding printed report strips. Options are none, top, bottom, left, and right.

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Unit License Default

Start Data Storage

CIC Setup: Full Disclosure Defaults

FULL DISCLOSURE LICENSE TYPE—This control shows a list of Full Disclosure license options. Choices are none, 24 hours, 48 hours, and 72 hours.

NOTE

 If the default does NOT match the actual license, Full Disclosure

does NOT work.

 If licenses are added to the system, the 1 hour licenses that were

issued with the system are no longer available.

OFFLINE STORAGE—This control allows you to select a time period for the monitor to be off line before Full Disclosure data is deleted.

This control allows you to designate how full disclosure is enabled for patients at the time of admission. Choices are automatically for all beds, automatically if listed, and manually.

Bed List

NOTE

In user mode, the Start Data Storage, Bed List, Unit License Default: Full Disclosure License Type, and Offline Storage controls are view-

only. You must enter the service mode to modify these control settings.

Bed List shows a listing of beds for which full disclosure data is automatically stored.

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CIC Setup: Full Disclosure Defaults

Full Disclosure Off-line Storage (Minute Rule)

The Full Disclosure Minute Rule exists as a precautionary measure when contact with a monitor has been lost. The feature is applied most often when the monitor is being used in the Rover application, since the monitor “roves” from room to room, on and off the network.

If a discharge/admit cycle occurs off the network for a bed that is being full disclosed, the Full Disclosure sub-system is unaware that the patient has changed. When the bed returns to the network, Full Disclosure will present the data from the discharged and admitted patients as part of the more recent patient’s data. The Full Disclosure Minute Rule helps to prevent this by assuming that the patient has been discharged if the monitor is off the network for greater than the number of minutes selected with the Offline Storage control.

To modify an offline storage time period, follow these steps.

1. Use the mouse to click on the Offline Storage field. A down arrow icon is displayed next to the current offline time period.

2. Click on the down arrow to display a list of time periods and select the desired time period. Choices are 30 mins, 1, 2, 4, 8, and 12 hours.

3. A prompt appears. Select YES if you are sure you want to change the offline storage time. The offline storage menu closes, with the selected time remaining visible.

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CIC Setup: Bedside Status Messages

Bedside Status Messages

On the clinical information center display, there are up to 16 waveform slots which display information from up to 16 bedside monitors. If no information appears in a waveform slot, a message indicating the status of the bedside monitor displays.

064A

065A

This waveform slot indicates that the bedside monitor is communicating with the clinical information center.

NO COMM indicates there is no communication between a bedside monitor and the clinical information center. The bedside monitor may be turned off.

ICU | BED1

SMITH,DAVID

NO PARAMETERS indicates there is no patient data to be sent. The bedside monitor has no module, or no cables are attached to the module.

067A

DISCHARGED indicates that the bedside monitor is in discharged mode.

NOTE

If the bed number is unlocked, all discharged bed

068A

numbers are available for selection when ADMIT is selected in an empty patient slot.

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CIC Setup: Bedside Status Messages

LEADS FAIL indicates that the patient’s leads are not transmitting data. Check the lead contact with the skin and that the leads are still plugged into the transmitter or the bedside monitor.

097A

NO TELEM indicates there is no communication between telemetry and the clinical information center. The telemetry system may be turned off.

096A

ALL ALARMS OFF indicates that the alarm feature is turned off (telemetry only).

095A

NOTE

The unit name and bed number entered at both the CIC Pro and the bedside monitor must match exactly for communication between bedside monitor and a CIC Pro.

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5 Printing

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For your notes

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Printing: Initiating and Stopping a Graph

Initiating and Stopping a Graph

Initiating a Graph

If you use the mouse to click on a patient’s ECG parameter window (the small box in the upper right corner of the patient slot), a continuous graph initiates for the patient.

The DDW (Direct Digital Writer) prints patient data (generally referred to as a graph or graph strip). Data can also print to a laser printer.

NOTE

Full Disclosure and the Vital Signs tab sheet cannot print to a DDW. They must print to a laser printer.

When you use a bedside monitor, the bedside monitor’s graph menu controls printing formats, including the waveforms graphed, graph speed, and graph location. Refer to the patient monitor’s operator’s manual.

When you use telemetry, the CIC Pro controls these functions.

Stopping a Graph

To stop a graph request that has been sent to a DDW, press the GRAPH STOP button on the DDW or click on the patient’s ECG parameter

window. This stops any graph already in process. If this key is pressed when no graph is in process, it advances the paper in the writer.

To stop a graph request sent to a laser printer, click on a patient’s ECG parameter window.

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Graph All Patients

NOTE

The Graph All Patients function is only available when no single patient view is open.

Printing: Graph All Patients

The Graph All Patients command sends a graph request to all beds displayed on this clinical information center, initiating a 10-second graph for each admitted telemetry patient, and a 20-second graph for bedside monitor patients.

If a single patient view is open, selecting Print from the Main Menu initiates a printout of whichever tab sheet is in front.

When you select this option for telemetry patients, graph requests always print at a speed of 25 millimeters per second. For bedside monitor patients, however, the graph prints at the speed selected at the monitor.

The Graph All Patients process stops automatically. If you press the GRAPH STOP control key on the external DDW, the current patient’s graph stops and the writer begins to print a 10-second graph for the next patient.

If a patient’s data is currently graphing or is being saved to graph when a Graph All Patients request is initiated, this patient’s data is not included in the Graph All Patients graph. This patient’s data graphs independently of the Graph All Patients graph.

Using the mouse to click on the ECG parameter window for a patient whose data is saving cancels the Graph All Patients request for that patient.

If, while a Graph All Patients request is running, an arrhythmia alarm sounds for a patient, the alarm data replaces the data that was saved for the Graph All Patients request.

If, while a Graph All Patients request is running, a telemetry patient initiates a graph from his or her telemetry transmitter, the Graph All Patients graph for that patient is replaced by a transmitter graph.

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GE CIC User manual

Specifications and Main Features

Frequently Asked Questions

User Manual