GE CIC User manual

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

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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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