GE CIC Pro Service Manual

Download

GE Healthcare

CIC Pro

Clinical Information Center

Service Manual

Software Version 5.0

Bedrock hardware platform

CIC ProTM Clinical Information Center English 2026420-002 (CD) 2026421-002D (paper)

NOTE: The information in this manual only applies to CIC Pro center software versions 5.0 or later. It does not

apply to earlier software versions. Due to continuing product innovation, specifications in this manual are subject to change without notice.

NOTE: For technical documentation purposes, the abbreviation GE is used for the legal entity name, GE

Medical Systems Information Technologies.

Listed below are GE Medical Systems Information Technologies trademarks used in this document. All other trademarks contained herein are the property of their respective owners.

APEX, Aware, CD TELEMETRY, Quantitative Sentinel, SOLAR, and MUSE are trademarks of GE Medical Systems Information Technologies registered in the United States Patent and Trademark Office.

APEXPRO, CD TELEMETRY

-LAN, CENTRALSCOPE, CIC PRO, OCTACOMM, and UNITY NETWORK are

trademarks of GE Medical Systems Information Technologies.

T-2 CIC ProTM Clinical Information Center 2026419-002D

25 October 2006

Contents

1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1

Equipment information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2

License agreement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2

Safety information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5

Responsibility of the manufacturer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-5

General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-5

Hazard definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-5

CIC Pro center hazards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-6

Equipment symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-11

Service requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-13

Equipment identification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-14

Manual information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-15

Manual purpose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-15

Intended audience . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-15

Conventions used . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-15

Revision history . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-15

2 Equipment overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1

Standard components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2

Primary display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-3

Processor box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-3

Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-5

Indicator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-7

Optional components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7

Secondary display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-7

Touchscreen display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-8

Remote display with speakers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-8

Laser printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-8

PRN 50-M digital writer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-9

Un-interruptible power supply (UPS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-10

Theory of operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-10

Functional description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-10

Physiological data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-11

File or data management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-11

Licensing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-13

Full disclosure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-13

2026419-002D CIC ProTM Clinical Information Center i

Networking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-19

Patient monitoring network . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-19

Web access server network . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 -20

Patient data interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-22

Multi-patient viewer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-22

Single patient viewer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-23

Patient data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-24

Real-time patient data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-24

Stored patient data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-25

Service interfaces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-26

3 Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1

The installation process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2

Completing the pre-installation requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3

Complete a site survey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-3

Complete product training . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-3

Gather required tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-3

Verify proper operating conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-3

Verify care unit software and hardware compatibility . . . . . . . . . . . . . . . . . . . . . . .3-5

Verify proper electrical grounding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-5

Verify the use of an un-interruptible power supply (UPS) . . . . . . . . . . . . . . . . . . .3-6

Verify the equipment is undamaged . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-7

Installing the equipment in the care unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7

Mount the equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-9

Connect the cables and peripheral devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-9

Turn on the power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-13

Configure the CIC Pro center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-13

4 Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1

The configuration process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2

Software licenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3

Available licenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 -3

CIC Pro center full disclosure license management setup . . . . . . . . . . . . . . . . . .4-5

Activating software licenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5

CIC Pro center license activation requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6

Activate licenses (automatically) via a USB Memory stick . . . . . . . . . . . . . . . . . . .4-6

Activate licenses (automatically) via a service laptop . . . . . . . . . . . . . . . . . . . . .4-12

Activate licenses (manually) via the Activation Code Summary Sheet . . . . . . . .4-16

Setting the network IP address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-18

Get the site survey workbook for this care area . . . . . . . . . . . . . . . . . . . . . . . . . .4-18

Log on to the Webmin service interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-18

ii CIC ProTM Clinical Information Center 2026419-002D

Display the Configuration window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-18

Set the IP address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-19

Installing or deleting a network laser printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-20

Log on to the Webmin service interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-21

Display the Printers window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-21

Install a network laser printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-22

Delete a laser printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-23

Installing or deleting a USB laser printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-24

Configuring for Remote Service access . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-24

Setting up a Citrix client . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-27

Log on to the Webmin service interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-28

Display the Citrix window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-28

Enter the Citrix configuration information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-28

Browser Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-29

Configure the CIC Pro center’s internet connection properties . . . . . . . . . . . . . .4-29

Adding or deleting a browser favorite . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-33

Configuring the clinical application, telemetry, and care unit settings . . . . . . . 4-34

Display the CIC Setup window and menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-35

Log on to the Service mode service interface . . . . . . . . . . . . . . . . . . . . . . . . . . .4-35

Configure the CIC Defaults settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-35

Configure the Telemetry Unit Defaults Settings . . . . . . . . . . . . . . . . . . . . . . . . . .4-41

Set the Telemetry Alarm Control Defaults . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-43

Set the Full Disclosure Defaults . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-45

Set the Display Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-48

Set the Current Telemetry Listings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-50

Activating the NO COMM alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-53

Configuring the speaker volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-53

Setting Locked or Unlocked Beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-54

Configuring a secondary display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-54

Verify the secondary display interface is working . . . . . . . . . . . . . . . . . . . . . . . .4-55

Configure the secondary display properties . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-55

Setting the laser printer default paper size . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-57

Log on as an Administrator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-57

Display the Printers window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-58

Set the default paper size . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-58

Setting the CIC Pro center language . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-59

Log on as an Administrator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-59

Launch the Windows Internet Explorer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-59

Log on to the Webmin service interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-60

Display the Language window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-60

Set the language . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-60

Restarting the CIC Pro center application . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-61

2026419-002D CIC ProTM Clinical Information Center iii

Calibrating the primary or secondary display screens . . . . . . . . . . . . . . . . . . . . 4-61

Calibrate a display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-61

Calibrate a touchscreen display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-63

Setting the time zone and daylight savings time . . . . . . . . . . . . . . . . . . . . . . . . . 4-66

Check for time zone and daylight savings time network errors . . . . . . . . . . . . . .4-66

Set the time zone and the daylight savings time setting . . . . . . . . . . . . . . . . . . .4-67

Setting the time-of-day or the date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-68

Pre-configuration requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-69

Log on to the Webmin service interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-69

Display the time and date window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 -70

Set the time-of-day or the date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-70

Configuring the print location of non-real-time patient data . . . . . . . . . . . . . . . . 4-71

Pre-configuration requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-71

Log on to the Webmin service interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-72

Display the Printers window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-72

Set the print location settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-73

Configuring a keyboard and mouse group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-74

Pre-configure the CIC Pro centers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-75

Configure a keyboard and mouse group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-77

Adding a CIC Pro center to an existing keyboard and mouse group . . . . . . . . . .4-82

Dividing a mouse and keyboard group into two groups . . . . . . . . . . . . . . . . . . . .4-82

Combining two keyboard and mouse groups into one group . . . . . . . . . . . . . . . .4-85

Troubleshooting MultiKM license activation failures . . . . . . . . . . . . . . . . . . . . . .4-85

Backing up the configuration settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-86

Completing the Checkout Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-86

5 Service interfaces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1

Service interfaces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2

Service interface usernames and passwords . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-2

System user modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-3

Webmin service interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6

Log on to the Webmin service interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-6

CIC Service Tool . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 -12

Command-line utilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-17

6 Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1

Maintenance schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2

Manufacturer responsibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-2

Manufacturer recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-2

PM form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 -2

iv CIC ProTM Clinical Information Center 2026419-002D

Visual inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3

Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4

External surfaces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-4

Internal components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-6

Changing writer paper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-8

7 Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2

Required tools and equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-2

Troubleshooting methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-2

Troubleshooting tips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-2

Symptoms of trouble . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3

A blank display screen or the device does not power up . . . . . . . . . . . . . . . . . . . .7 -3

A red-colored or blue-colored display screen . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-3

The clinical application display colors are not correct . . . . . . . . . . . . . . . . . . . . . .7-4

The Browser does not function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-4

Unable to connect to the Citrix server . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 -5

The print button is dimmed and unselectable . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-6

The Admit Request Info button is dimmed and unselectable . . . . . . . . . . . . . . . . .7-6

The keyboard and mouse do not work in a configured MultiKM keyboard and mouse

group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-6

Unable to display the Cntrl+Alt+Delete window on the targeted CIC Pro center . .7-6

Error messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-7

Power source verification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-7

Diagnosing problems using the Service interfaces . . . . . . . . . . . . . . . . . . . . . . . . 7-7

Service Tools utilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-8

Webmin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-8

Command-line utilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-8

Safe shutdown or restart procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-11

Backup or restore the CIC Pro center configuration . . . . . . . . . . . . . . . . . . . . . . 7-12

Log on to the Webmin service interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-12

Display the backup and restore links . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-12

Planning your backup or restore strategy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-13

Backing up or restoring care unit default configuration settings . . . . . . . . . . . . .7-14

Backing up or restoring local custom default configuration settings . . . . . . . . . .7-17

Data module detail . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-20

Stopping a print job . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-23

Stop printing to a laser printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-23

Stop printing to a local digital writer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-23

2026419-002D CIC ProTM Clinical Information Center v

8 Field replaceable units (FRUs) . . . . . . . . . . . . . . . . . . . . . 8-1

Ordering parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2

Exploded views . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3

Exploded view part list . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-7

Part Lists . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-9

Field replaceable units . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-9

Optional components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-9

Power cables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8 -10

Keyboard kits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-10

Disassembly guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-12

Required tools and equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-12

Before Disassembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-12

During disassembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-13

Electrostatic discharge (ESD) precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-13

FRU components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-14

Replacing the fan fuses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-14

Removing or replacing the cover . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-15

Replacing the CPU battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8 -16

Replacing the hard drive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-18

Replacing the cooling fans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-21

Replacing the CPU board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-22

Replacing the power supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-27

Replacing the internal speaker . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8 -30

Recommended checkout procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-31

9 Checkout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-1

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-2

Manufacturer Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 -2

Frequency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-2

Test Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-2

Checkout process flow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-3

Preventive maintenance and checkout checklist . . . . . . . . . . . . . . . . . . . . . . . . . .9-4

“Visual inspection” on page 6-3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-4

“Cleaning” on page 6-4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-4

“Disconnect the device power cord from the leakage tester.” on page 9-11 . . . . .9-4

“Backup or restore the CIC Pro center configuration” on page 7-12 . . . . . . . . . . .9-5

“Checkout” on page 9-1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-5

Power source tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-6

Power outlet test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-6

Power cord and plug test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-6

Electrical safety tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-7

General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-7

vi CIC ProTM Clinical Information Center 2026419-002D

Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-7

Ground (Earth) Integrity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-8

Ground (Earth) Wire Leakage Current Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-9

Enclosure Leakage Current Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-10

Test Completion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-11

Checkout procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-12

Check the operation of the input devices and display screens . . . . . . . . . . . . . .9-12

Check for hard disk and compact disk errors (disk check) . . . . . . . . . . . . . . . . .9-13

Runtime application tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-13

Diagnostic and verification tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-16

Repair log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-31

A Technical Specifications . . . . . . . . . . . . . . . . . . . . . . . . . .A-1

General performance specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2

Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-4

Display requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-4

Computer specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-4

Software platform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-5

Power requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-5

Environmental specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-6

Physical specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-6

Recorder (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .A-6

B Upgrading CIC Pro center software . . . . . . . . . . . . . . . . .B-1

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-2

Required equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-2

Preparing the CIC Pro center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-3

Preparing the service laptop . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-3

Connect the service laptop to the Unity Network IX network . . . . . . . . . . . . . . . . .B-3

Set up the service laptop’s network domain . . . . . . . . . . . . . . . . . . . . . . . . . . . . .B-4

Start the software transfer utility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .B-5

Enter the Unity Network IX network addresses of the CIC Pro centers to be updated B-6

Installing the software on the target CIC Pro centers . . . . . . . . . . . . . . . . . . . . . . B-7

2026419-002D CIC ProTM Clinical Information Center vii

Activating the software packages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-8

Log on to the local Webmin service interface . . . . . . . . . . . . . . . . . . . . . . . . . . . .B-8

Display the Software Management window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .B-9

Completing the checkout procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-9

C Electromagnetic Compatibility . . . . . . . . . . . . . . . . . . . . .C-1

Electromagnetic Compatibility (EMC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-2

Guidance and Manufacturer’s Declaration – Electromagnetic Emissions . . . . . . .C-2

Guidance and Manufacturer’s Declaration – Electromagnetic Immunity . . . . . . . .C-3

Recommended Separation Distances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-5

Compliant Cables and Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .C-6

viii CIC ProTM Clinical Information Center 2026419-002D

1 Introduction

2026419-002D CIC ProTM Clinical Information Center 1-1

Equipment information

License agreement

It is important that you carefully read the terms and conditions of this license agreement before commencing the use of the clinical information center workstation (the “workstation”) and the clinical information center program recorded therein and any accompanying user documentation (“program”). This license represents the entire license agreement concerning the program between you and GE and supersedes all other communications or advertising related to the program except any terms and conditions of sale or warranties or warranty limitations relative to the program and/or the workstation as may be embodied in any documentation supplied with the workstation. By commencing the use of the workstation and the program contained therein, you are accepting and agreeing to be bound by all the terms and conditions of this license agreement. If you are not willing to be bound by the terms and conditions of this license agreement, you should promptly return the workstation to GE and you will receive a refund of the purchase price.

I. Grant

The Program is capable of coupling one to sixteen patient monitoring units to the Workstation. GE hereby grants you a non-exclusive, non-transferable right and license to use the Program for coupling the number of patient monitoring units to the Workstation for which a per-unit royalty has been paid pursuant to Article II hereof.

II. Royalty

You have paid GE a one-time, per-unit royalty equal to GE Medical Systems Information Technologies’ current published price for the use of the Program. The per-unit royalty is based on the actual number of patient monitors intended to be coupled by the Program to the Workstation as stated in the Purchase Order for the Workstation and the Program. If you use the Program to couple any patient monitoring units to the Workstation in addition to the number for which a per unit royalty was previously paid, you agree to pay GE an additional perunit royalty equal to GE Medical Systems Information Technologies ' then current published royalty for the Program for each such additional patient monitoring unit so coupled. The additional per-unit royalty shall be paid to GE within 30 days of the use of the Program to couple any such additional patient monitoring units to the Workstation.

1-2 CIC ProTM Clinical Information Center 2026419-002D

Introduction: Equipment information

III. Limitations

You hereby agree not to: (1) use the Program in any network or system other than to couple patient monitoring units to the Workstation; (2) make any copy of the Program for any reason, or allow or assist others to do so; (3) modify, reverse engineer, de compile or disassemble the Program or merge any part of the Program into any other program; (4) rent, sell, sublease, assign, transfer or otherwise share the Program or any of your rights in the Program under thi s Agreement with any third party; or, (5) remove or alter any copyright notice, labels or trademarks from the Program or the Workstation.

IV. Title

This License is not a sale. Title and all copyrights to the Program and any copy made by you remains the sole property of GE.

V. Term

This Agreement shall continue in force until terminated. This Agreement shall terminate automatically when you cease using the Workstation and the Program for their intended purpose. GE may terminate this Agreement on 30 days written notice if you make any unauthorized copies of the Program or fail to comply with any of the restrictions on use of the Program as set forth herein.

VI. Limited warranty, disclaimer and limitation of liability

A. Licensor warrants that on the acceptance date the Program shall be free from

significant programming errors and shall operate and conform to the published functional specifications applicable thereto, and that the Program shall conform to the standards generally observed in the industry for similar software.

B. This warranty shall be invalidated by your modification of the Program if

such modification or the interaction between such modification and the Program as supplied by GE is the cause of the defect, error or nonconformity.

C. Except as stated above, the warranty covering the Program and the

W orkstation shall be either GE S tandard Warranty or Limited Extended Parts Warranty as published by GE and hereby made a part hereof.

D. Except for the express warranties stated herein, GE disclaims all warranties

with regard to the program including implied warranties of merchantability or fitness for a particular purpose.

2026419-002D CIC ProTM Clinical Information Center 1-3

Introduction: Equipment information

E. GE Medical Systems Information Technologies’ entire liability to you

arising out of or in connection with this Agreement shall not exceed the perunit royalty paid to GE for use of the Program. You acknowledge that the amount paid to GE for use of the Program is insufficient for GE to undertake any greater risk. In no event shall GE be liable for any indirect, incidental, consequential, special or exemplary damages (including without limitation, lost profits, business interruption, loss of business information, personal injury or any other pecuniary loss) arising from the use of the program, even if GE has been advised of the possibility of such damages.

VII. Governing law

This Agreement shall be governed by the laws of the State of Wisconsin.

VIII.Partial invalidity

If any provision of this Agreement is held invalid or unenforceable, the remaining portions of the Agreement shall continue in full force and effect.

1-4 CIC ProTM Clinical Information Center 2026419-002D

Introduction: Safety information

Safety information

Responsibility of the manufacturer

GE is responsible for the effects of safety, reliability, and performance only if:

 Assembly operations, extensions, readjustments, modifications, or repairs are

carried out by persons authorized by GE;

 The electrical installation of the relevant room complies with the requirements

of the appropriate regulations.

 The equipment is used in accordance with the instructions for use.

General

This device is intended for use under the direct supervision of a licensed health care practitioner.

This device is not intended for home use. Federal law restricts this device to be sold by or on the order of a physician.

Hazard definitions

Contact GE for information before connecting any devices to the equipment that are not recommended in this manual.

Parts and accessories used must meet the requirements of the applicable IEC 60601 series safety standards, and or the system configuration must meet the requirements of the IEC 60601-1-1 medical electrical systems standard.

Parts and accessories used must meet all local building and safety requirements. Periodically, and whenever the integrity of the device is in doubt, test all functions. The use of accessory equipment not complying with the equivalent safety

requirements of the device may lead to a reduced level of safety of the resulting system. Consideration relating to the choice shall include:

 use of the accessory in the patient vicinity; and  evidence that the safety certification of the accessory has been performed in

accordance to the appropriate IEC 60601-1 and/or IEC 60601-1-1 harmonized national standards.

If the installation of the equipment, in the USA, will use 240V rather than 120V, the source must be a center-tapped, 240V, single-phase circuit.

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

A hazard is defined as a source of potential injury to a person.

DANGER

Indicates an imminent hazard which, if not avoided, will result in

2026419-002D CIC ProTM Clinical Information Center 1-5

Introduction: Safety information

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.

CIC Pro center hazards

WARNING

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.

WARNING

POWER SUPPLY — The device must be connected to a properly installed power outlet with protective earth contacts only. If the installation does not provide for a protective earth conductor, disconnect the monitor from the power line and operate it on battery power, if possible.

GE recommends the use of an Uninterrupted Power Supply (UPS) with the CIC Pro center. If a UPS is not used, improper shutdowns 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.

1-6 CIC ProTM Clinical Information Center 2026419-002D

Introduction: Safety information

WARNING

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.

WARNING

NETWORK INTEGRITY — The CIC Pro 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.

WARNING

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 60601-1-1/EN 60601-1-1 must be complied with.

WARNING

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

WARNING

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

2026419-002D CIC ProTM Clinical Information Center 1-7

Introduction: Safety information

checked by a service technician before it is used again.

WARNING

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. Then, verify the CIC Pro center and printer are working correctly.

WARNING

ALARMS — Do not rely exclusively on the audible alarm system for patient monitoring. Adjustment of alarm volum e 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 nursealert system, verify the function of the alarm system. Repeat this verification periodically, including a check of all connected speakers.

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

WARNING

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

WARNING

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

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

 RED SCREEN indicates the CIC Pro center application is

restarting itself and patient monitoring at the CIC Pro center is NOT occurring. The monitoring function at the CIC Pro center will automatically resume in less than 30 seconds. No user action is required.

 BLUE SCREEN indicates the Windows

operating system

has a functional error and patient monitoring at the CIC Pro

1-8 CIC ProTM Clinical Information Center 2026419-002D

Introduction: Safety information

center is not occurring. If the CIC Pro center does not automatically restart after 90 seconds, the monitoring function at the CIC Pro center will not resume until you turn off the power to the CIC Pro center and then turn the power back on. The monitoring function should resume in approximately 90 seconds

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

WARNINGS

CIC Pro center V5.0.x is in-unit compatible with CIC Pro center V4.0.x and V4.1.x. The CIC Pro center is not in-unit compatible with CIC Pro center V3.1 or earlier and is not in-unit compatible with any versions of Centralscope. Sharing of the same care unit name across CIC Pro centers having incompatible software versions can result in lost or corrupted telemetry alarm defaults data and loss of audible alarms.

Both hardwire and telemetry beds are limited in the number of remote view connections that can be supported.

Do not exceed a maximum of 15 CIC Pro centers in a single logical care unit.

Attempting simultaneous displays of a patient monitor (bedside or telemetry) at too many CIC Pro centers may cause lost or intermittent communication between CIC Pro centers and the patient monitor. This is evidenced by NO COMM or intermittent communication conditions for the beds.

The maximum CIC Pro centers viewing a patient monitor can vary depending on patient monitor capabilities and network design.

Do not load any software other than that specified by GE onto the CIC Pro. Installation of software not specified by GE may cause damage to the CIC Pro center or loss or corruption of data.

CAUTION

NEGLIGENCE — GE does not assume r esponsibil ity for damage to the equipment caused by improperly vented cabinets, improper or faulty power, or insufficient wall strength to support equipment mounted on such walls.

CAUTION

MPSO — Do not use a multiple portable socket outlet (MPSO) for a system because it could result in unacceptable enclosure leakage currents.

2026419-002D CIC ProTM Clinical Information Center 1-9

Introduction: Safety information

CAUTION

SECURITY — The web browser which runs in conjunction with the CIC Pro 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.

CAUTION

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.

1-10 CIC ProTM Clinical Information Center 2026419-002D

Equipment symbols

The following symbols appear on the equipment, but some symbols may not appear on all equipment.

Symbol Description

Introduction: Equipment symbols

Equipment Symbols

ATTENTION: Consult accompanying documents before using the equipment.

Provide electrostatic discharge damage protection.

USB connector port

Ethernet connector port used to connect to the Unity Network MC network.

Ethernet connector port used to connect to the Unity Network IX network.

External speaker connector port

Primary video output connector port

Secondary video output connector port

Primary serial communication connector port

Secondary serial communication connector port

Power switch indicator. Indicates the power switch is in the on position when filled

Power Off: Indicates the power switch is in the OFF position.

2026419-002D CIC ProTM Clinical Information Center 1-11

Introduction: Equipment symbols

Equipment Symbols

Symbol Description

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

Type B applied part: Non-isolated applied part suitable for intentional external and internal application to the patient excluding direct cardiac application.

[Medical Standard Definition:] Applied part complying with the specified requirements of IEC 60601-1/UL 60601-1/CSA 601.1 Medical Standards to provide protection against electric shock, particularly regarding allowable leakage current.

Type BF applied part: Isolated (floating) applied part suitable for intentional external and 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 60601-1/UL 60601-1/ CSA 601.1 Medical Standards to provide a higher degree of protection against electric shock than that provided by type B applied parts.

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.

Type CF applied part: Isolated (floating) applied part suitable for intentio nal external and internal application to the patient including direct cardiac application. “Paddles” outside the box indicate the applied part is defibrillator proof.

[Medical Standard Definition:] F-type applied part (floating/isolated) complying with the specified requirements of IEC 60601-1/UL 60601-1/ CSA 601.1 Medical Standards to provide a higher degree of protection against electric shock than that provided by type BF applied parts.

Fuse. Replace the fuse with a fuse of the same type and rating.

Power

Writer door button

Silence Alarm keyboard key

1-12 CIC ProTM Clinical Information Center 2026419-002D

Introduction: Service requirements

Equipment Symbols

Symbol Description

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.

4P41

This symbol indicates that the waste of electrical and electronic equipment must not be disposed as unsorted municipal waste and must be collected separately. Please contact the manufacturer or other authorized disposal company to decommission your equipment.

This symbol indicates the date of manufacture of this device. The first four digits identify the year and the last two digits identify the month.

2005-08

Service requirements

Follow the service requirements listed below, and in the “Maintenance” chapter of this manual.

 Refer equipment servicing to GE authorized service personnel only.  Any unauthorized attempt to repair equipment under warranty voids that

warranty.

 It is the user’s responsibility to report the need for service to GE or to one of

their authorized agents.

 Failure on the part of the responsible individual, hospi tal, or inst itution using

this equipment to implement a satisfactory maintenance schedule may cause undue equipment failure and possible health hazards.

 Regular maintenance, irrespective of usage, is essential to ensure that the

equipment is always functional when required.

2026419-002D CIC ProTM Clinical Information Center 1-13

Introduction: Equipment identification

Equipment identification

Every GE device has a unique serial number for identification. A sample of the information found on a serial number label is shown below.

### ## ## #### # #

123456

Description

Product code

2 Year manufactured 3 Fiscal week manufactured 4 Production sequence number 5 Manufacturing site 6 Miscellaneous characteristic

1. The product code for the CIC Pro center is SCH.

646A

1-14 CIC ProTM Clinical Information Center 2026419-002D

Manual information

Manual purpose

This manual supplies technical information for service representatives and technical personnel so they can maintain the equipment to the assembly level. Use it as a guide for maintenance and electrical repairs considered field repairable. Where necessary, the manual identifies additional sources of relevant information and technical assistance.

See the operator’s manual for the instructions necessary to operate the equipment safely in accordance with its function and intended use.

Intended audience

This manual is intended for use by service representatives and technical personnel who maintain, troubleshoot, or repair the equipment.

Conventions used

Introduction: Manual information

Revision history

Bold text Indicates keys on the keyboard, text to be entered, or hardware items

such as buttons or switches on the equipment.

Bold Italicized

text

Ctrl+Esc Indicates a keyboard operation. A plus (+) sign between the names of

<Space> Indicates you must press the spacebar. When instructions are given

Enter Indicates you must press the Enter or Return key on the keyboard.

The document part number and revision letter are listed at the bottom of each page in this manual. The revision letter identifies the document’s update level. The

revision history of this document is summarized below.

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

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.

for typing a precise text string with one or more spaces, the point where the spacebar must be pressed is indicated as <Space>.

Do not type “enter”.

Revision History

Revision Comment

A Initial release of the document item number to develop the Bills of Material. B Initial release of document content for limited customer use.

2026419-002D CIC ProTM Clinical Information Center 1-15

Introduction: Manual information

Revision History

Revision Comment

C Initial release of document for all customers world wide. D Release of document with revisions to meet additional service requirements.

1-16 CIC ProTM Clinical Information Center 2026419-002D

2 Equipment overview

2026419-002D CIC ProTM Clinical Information Center 2-1

Standard components

Standard components include the following items:

 Processor box  Primary display  External speakers  Standard keyboard  Standard mouse

Standard components

523B

Item Function

1 Processor box Run the CIC Pro center application. 2 Primary display Display real-time and stored patient data,

control windows, and various system-level operations. Up to two displays may be connected to the CIC Pro center simultaneously.

3 Secondary display (optional) Display stored patient data and browser

information.

4 Standard mouse and keyboard Enter data, navigate menus, and choose

options.

3 External speakers Sound audible patient status and system

status alarm tones.

2-2 CIC ProTM Clinical Information Center 2026419-002D

Equipment overview: Standard components

Primary display

The CIC Pro center supports either a standard 19-inch or 20-inch color display or a standard 19-inch or 20-inch color touchscreen display. See “Optional components” on page 8-9.

Processor box

System interconnection diagram

Laser printer

(Optional)

MC Unity

Network

IX Unity

Network

Speaker

Mouse

Keyboard

Touchscreen

USB cable

USB to parallel printer adapter

Network

cable

USB

PORT

USB

PORT

USB

PORT

USB

PORT

ETHERNET

PORT

ETHERNET

PORT

SPEAKER/AUDIO

CIC Pro

Computer

COM 1

SERIAL PORT

COM 2

DDW cable

SERIAL PORT

DVI

PORT

Monitor cable

DVI

PORT

Monitor cable

Touchscreen serial cable

(Optional)

PRN-50, digital

writer (Optional)

Primary display

Secondary display

(Optional)

Uninterruptable

power supply

(Recommended)

695A

2026419-002D CIC ProTM Clinical Information Center 2-3

Back panel

Equipment overview: Standard components

The back panel of the processor box has the following connectors, ports, receptacle, and switch.

12 9

4115

Back panel of the processor box

Item Function

1 Equipotential stud Connect a ground wire from another device

to ensure the devices share a common reference point.

2 Ventilation ports Vent internal processor heat to the outside of

the processor box.

3 Unity Network MC Ethernet port

 Interface with other networked GE patient

monitoring and telemetry system devices.

 Display waveform, parameter, and alarm

condition data from other networked devices.

031A

4 Unity Network IX Ethernet port

 Connect to an optional network laser

printer.

 Share licenses with other CIC Pro centers

within the same care unit.

 Display full disclosure data.  Access remote serviceability.  Provide access to data and servers

outside of your facility. 5 COM 1 port Connect to the touchscreen display. 6 External speaker port Connect to external speakers to hear patient

and system status alarm notification.

7 COM 2 port Connect to the PRN 50-M digital writer.

2-4 CIC ProTM Clinical Information Center 2026419-002D

Controls

Mouse

Equipment overview: Standard components

Item Function

8 USB ports There are four USB ports you can use to

connect the following devices:

 Standard mouse.  Standard keyboard.  Touchscreen displays.  USB Memory stick. (Used to activate CIC

Pro center licenses.) 9 Primary video port Connect to the primary display. 10 Secondary video port Connect to an optional secondary display. 11 Power receptacle Connect the power cable. 12 Power switch Press to turn on or to turn off.

NOTE

If the MultiKM license is activated, you can connect one keyboard and one mouse to a group of centralized and configured CIC Pro centers. When the

(MultiKM icon) appears in the lower right corner of the display screen, the MultiKM license is activated on this CIC Pro center.

With the MultiKM license activated, you can do the following tasks:

 Move the mouse across all CIC Pro centers in the group.  Access any CIC Pro center’s display screen or enter text into any of the

CIC Pro center’s text fields in the group.

 Support right and left mouse clicks and scroll wheel movement.

Use a standard mouse to select menu options or patient data.

NOTE

When using the MultiKM software application, you may use one mouse and one keyboard across multiple centralized CIC Pro centers.

Using the mouse

 Clicking refers to positioning the mouse pointer on a selection and pressing the

left mouse button once.

 Right clicking refers to clicking the ri ght mouse button.  This displays a control setting menu that allows you to temporarily adjust some

of the defaults or to select a different patient bed to view. See the “CIC Pro Clinical Information Center Operator’s Manual” for details.

2026419-002D CIC ProTM Clinical Information Center 2-5

Equipment overview: Standard components

Mouse pointer shapes

Depending on the operation mode of the CIC Pro center, the mouse pointer changes its appearance.

Pointer Function

Arrow: Indicates the CIC Pro center center is operating in user mode. Use the arrow pointer to select menu options, patient data, and to navigate from window to window.

024A

I-beam: Indicates the pointer is in a data entry field. Enter text when this pointer is displayed.

025A

Cross: Indicates the CIC Pro center center is operating in service mode.

WARNING

026

QUALIFIED PERSONNEL — 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 CIC Pro center operating system software, or disruption of the entire Unity Network.

Keyboard

Use a standard keyboard to type text into a data entry field.

NOTE

When using the MultiKM software application, you may use one mouse and one keyboard across multiple centralized CIC Pro centers.

Typing text into a data entry field

To type text into a data entry field, position the mouse pointer over the data entry field. When the mouse pointer changes to an I-beam, click the left mouse button and begin typing.

Silence Alarms keyboard key

019A

2-6 CIC ProTM Clinical Information Center 2026419-002D

Equipment overview: Optional components

NOTE

If the MultiKM license is activated, you must position the mouse cursor in the patient window of the CIC Pro center where the alarm condition is occurring. Then press the Silence Alarms keyboard key to silence all alarms on this CIC Pro center for one minute.

Press the Silence Alarms key to silence all alarms for one minute. Alarms that are in queue to sound are also silenced. Any new patient alarm condition cancels the alarm silence, breaking through to sound the new alarm.

Indicator

The power indicator is located on the front left side of the CIC Pro center’s processor box. The power indicator illuminates green when the power is turned on.

Optional components

Optional components include the following items:

 Secondary display  Touchscreen display  Remote display with speakers  Laser printer  PRN 50-M digital writer  Un-interruptible power supply (UPS)

Secondary display

Up to two displays may be connected to the CIC Pro center simultaneously.

From a secondary display, you can do the following:

 View all of the single viewer applications.  Use the second display as a review display.  View two single applications at the top and bottom half of the screen.  View all applications (excluding Multi-view) in this second display.  Navigate between applications via the enhan c ed software tools provided.  Access custom views of routine applications using a single mouse click.

The following requirements apply when using a secondary display with your CIC Pro center:

 Secondary display monito rs must be the same type and the same size as the

primary display monitor. Only use the 19-inch or 20-inch display monitors that are validated for use with the v5 CIC Pro center.

 Secondary display monito rs and primary disp lay monitors must be set to the

same 1280 x 1024 display resolution. No other display resolutions have been validated for use with the v5 CIC Pro center.

 Secondary display monito rs can be a combin ation of touchscreen and non-

touchscreen displays.

2026419-002D CIC ProTM Clinical Information Center 2-7

Touchscreen display

Equipment overview: Optional components

 Secondary display monitors will not function until you have first completed the

following tasks:

 Activate the LVSL or the LVSM license.  Activate the DDIS license.  Restart the CIC Pro center.

A touchscreen display allows you to select any selectable screen object by gently tapping the object with your finger.

NOTE

The touch screen display does not allow you to disp l a y th e right click menu.

The following guidelines apply to using a touchscreen display:

 Applying tape or other items to the screen impairs the touchscreen’s

functionality.

 Using pencils, pens, or other sharp, pointed objects can dam a ge the

touchscreen.

Remote display with speakers

Networked remote displays can provide a duplicate (mirror image) view of a primary CIC Pro center. When speakers are connected to the remote displays, audible alarm tones can also be sounded.

Laser printer

A laser printer can be connected to the CIC Pro center to print the following patient data:

 Alarm graphs  ECG numeric data and waveforms  12 lead ECG  Arrhythmia events  Events  Caliper measurements  Full disclosure  Graphic trends  ST alarm trends  Vital signs

WARNING

SHOCK HAZARD — Laser printers are UL 60950/IEC 60950 certified equipment, which may not meet the leakage current requirements of patient care equipment. This equipment must not be located in the patient vicinity unless the medical system standard IEC 60601-1-1 is followed.

2-8 CIC ProTM Clinical Information Center 2026419-002D

PRN 50-M digital writer

Equipment overview: Optional components

Do not connect a laser printer to a multiple portable socket outlet (MPSO) supplying patient care equipment. The use of an MPSO for a system will result in an enclosure leakage current equal to the sum of all the individual earth leakage currents of the system if there is an interruption of the MPSO protective earth cond uctor.

A PRN 50-M digital writer can be connected to the CIC Pro center to print the following patient data on 2-inch wide paper:

 Alarm graphs  ECG numeric data and waveforms  Graphic trends  Vital signs

The following controls, indicators, and connectors are located on the digital writer.

4 3

PRN 50-M digital writer: front and back views

Item Function

1 Writer door button Press to open the door and replace the writer

paper.

2 Graph stop button. Press to stop printing a graph.

030A

3 Paper out indicator. Illuminates when you need to

replace the paper. See “Changing writer paper” on page -8.

2026419-002D CIC ProTM Clinical Information Center 2-9

Equipment overview: Theory of operation

Item Function

4 Power indicator. Illuminates when the writer is

5 Power switch Press to turn on or turn off the writer. 6 Power connector Connect the writer’s power cable. 7 Power cable clamp Connect to the writer’s power cable. This prevents

8 M-port connector Connect to the CIC Pro center’s COM 2 port. 9 ASYNC COMM port Not used.

Un-interruptible power supply (UPS)

WARNING

If power to the CIC Pro center is lost, patient monitoring information will no longer be displayed or stored.

connected to a power source.

the cable from being pulled out of the power connector.

GE recommends using an un-interruptible power supply with the CIC Pro center. Without a UPS, power line outages may result in:

Theory of operation

Functional description

The CIC Pro center application is designed to provide real-time patient data and alarms for central nurses’ stations in hospitals. It can display real-time waveforms and vital sign data, with visual and audible alarms, for up to 16 patients simultaneously. The CIC Pro center supports both hardwired and telemetry data.

The CIC Pro center software allows users to select any bed on the Unity Network MC network and display an expanded view of that bed’s real-time parameters and waveforms. This expanded view also allows users to view and modify settings within the care unit, and view a patient’s other data (including alarm histories, graphic trends and tabular trends).

The user can configure the number of patients displayed by the system, and the number of displayed waveforms per patient. Waveform colors are configurable.

 Improper shut down of the CIC Pro center, causing lengthy disk scan

procedures on reboot.

 Data loss.

All configuration data is stored, and is restored after a system power cycle or software restart.

The CIC Pro center is connected to the Unity Network MC network via the Ethernet.

2-10 CIC ProTM Clinical Information Center 2026419-002D

Physiological data

Periodic data

Equipment overview: Theory of operation

CIC Pro centers trend two types of physiological data: periodic and episodic.

Periodic data is constantly updated. Data is sampled every two seconds to yield 30 samples per minute. The displayed value is the median of the 30 samples. It is always the median of a one-minute time frame, regardless of the interval selected.

The interval is the time between values, not the time of the value itself. For example, a five minute interval means one minute samples spaced five minutes apart, not five minute samples, and not a median of the five one minute samples. Odd number values are rounded down to the nearest even number.

If the calibration of the system clock changes (for example, daylight savings time), the “time” for periodic data “slides” into the revised time. However, episodic data is time-stamped and retains its original time.

Examples of periodic data include heart rate (HR) and blood pressure (BP).

Episodic data

Episodic data are events that are user, or system, generated. Examples of episodic data include temperature (Temp) and non-invasive blood pressure (NBP).

File or data management

Log files

Log files generated by the CIC Pro center application, other associated applications and the CIC Pro center operating system are used during system analysis, problem diagnosis and troubleshooting. See “Log Files” on page 5-14 for more information about log files.

RWHAT packets

All monitoring devices on the GE Unity Network periodically broadcast information about themselves in “RWHAT” packets. Among other things, RWHAT packets contain IP address, port number, name, and offered services information about each device.

All monitoring devices listen for RWHAT packets, and maintain a database of information about other devices on the network. When devices need to communicate, the appropriate IP address information is obtained from the database, Unity Network-protocol messages are created, and operating system services are used to transmit the message on the network.

For example, when a CIC Pro center computer communicates with a telemetry device, the telemetry device’s IP address is retrieved from the CIC Pro center computer RWHAT database, the Unity Network messages are created, and the CIC Pro center Windows operating system sends the messages to the telemetry device.

2026419-002D CIC ProTM Clinical Information Center 2-11

Storage

Printing

Equipment overview: Theory of operation

 The FD Data interface uses the Unity Network IX network to retrieve data from

the database.

 Each bed is stored in a separate directory, containing one index file and many

record files.

 The FD Page printout is a configurable, long-time-period overview of

waveform activity. It is activated by clicking the (print button) located in the top right corner of the FD Page window.

 The FD Strip printout is a quick snapshot of what is currently on the screen. It

is activated by clicking the (print button) while the FD Page is being viewed.

 There is a separate full disclosure printer selection fro m the main laser printer

selection on the setup page. Specifying a printer here does not advertise this CIC Pro center as a print server on RWHAT (like the main laser selection). It is used exclusively by the local FD system. A printer must be “Added” to the operating system before it will show up in the drop-down list.

2-12 CIC ProTM Clinical Information Center 2026419-002D

Licensing

Full disclosure

Equipment overview: Theory of operation

All features and functions of the CIC Pro center are determined by the licenses activated and running on each CIC Pro center. Licenses are specific to each individual CIC Pro center’s serial number, are node locked, and cannot be used (floated) by another CIC Pro center.

The CIC Pro center full disclosure (FD) system stores all waveform and parametric data from a patient for up to 76 hours. This data can be randomly accessed later in a static display that looks similar to the real-time display window. T o accomplish this, every Unity Network waveform packet (4/sec) and every parameter packet (1 every 2 seconds) is stored on the CIC Pro center. In addition, one R WHAT packet and one admit packet is stored every minute to help recreate the patient’s history.

Unlike an alarm history event stored at the bedside, which only stores a 10 second snap shot surrounding the event, full disclosure allows the user to scroll back in time (prior to the event and leading up to the event).

Behaviors or rules

Licensing

Installation

 Incompatible wit h old F D system (prior to CIC Pro center v3.x).  Certain Unit Defaults are incompatible with CIC Pro center v3.x systems.

Start-up modes

 Auto For All: Automatically detects admitted beds that are not currently storing

full disclosure data anywhere and attempts to start full disclosure on one of the CIC Pro centers within the care unit. This works regardless of whether the bed was admitted directly at the bedside or the CIC Pro center. Full disclosure cannot be stopped on a particular bed until the bed is discharged.

 Auto If Listed: Same as Auto For All, but only if the bed in question is entered

into the list on the FD Unit Defaults setup screen. All other beds are not storing full disclosure data.

 Manual Mode: Beds are not automatically storin g ful l disclosure data upon

admission. Users can manually start and stop full disclosure for a particular bed by using a button located on the CIC Setup > Full Disclosure Defaults window. All full disclosure data is deleted when full disclosure is stopped for a bed. See the “CIC Pro Clinical Information Center Operator’s Manual” for more information.

 Support for up to 16 patients per CIC Pro center.  Stores 76 hours of data per patient regardless of license type. Licensing controls

amount of data that is viewable.

 Unit Licensing Mode sets which type of licen se is requested. Supported types:

None (1 hour), 24, 48, 72 hours.

2026419-002D CIC ProTM Clinical Information Center 2-13

Control

Equipment overview: Theory of operation

 Failure to obtain a license results in one hour of viewable full disclosure.  Licensing information is stored with data, so restrictions follow data regardless

of where it is viewed, even if viewed in a different care unit with a different Unit License Mode.

CIC Pro center master and full disclosure

NOTE

There is only one master CIC Pro center per care unit (with respect to full disclosure). The CIC Pro center with the lowest IP address becomes the master.

CIC Pro center master perform the following activities in one minute increments:

 Detects admitted (but not full disclosure data collection) beds within the care

unit, for Auto modes.

 Assigns beds (for full disclosure acquisition) to CIC Pro centers within the care

unit.

 Applies Multi-FD and Twin-Bed Rules.  Uses the FDSvr process to find the FULL DISCLO service, identifying CIC

Pro centers with full disclosure capability. The FULL DISCLO service is used by the CIC Pro center master while searching for other CIC Pro centers to query, control, and assign beds.

NOTE

The CIC Pro center master checks the software versions of the other CIC Pro centers before trying to identify CIC Pro cen ters with full disclosure capability . Software versions earlier than 2.5 are ignored.

 Uses the LocateFD service (provided by FDSvr) to guarantee that the right CIC

Pro center is contacted if retrieving data while a multi-full disclosure condition is occurring.

NOTE

A CIC Pro center will not act as master during the first minute after it starts up. Instead, the latest data is first collected from the other CIC Pro centers on the network, and this data determines which CIC Pro center becomes master. Multiple masters on a network might occur, but only briefly (this will selfcorrect within a couple of minutes).

Minute rule or the Offline Storage setting

(see “Set the Full Disclosure Defaults” on page 4-45): The Offline Storage setting determines the length of time the CIC Pro center will

maintain full disclosure data for a bed from which it has stopped receiving data (e.g., a NO COMM condition).

 If the NO COMM condition ends within the Offline Storage setting time frame,

full disclosure data collection for the bed continues.

2-14 CIC ProTM Clinical Information Center 2026419-002D

Equipment overview: Theory of operation

 If a NO COMM condition exceeds the Offline Storage setting time frame, all

data for the bed is deleted. If (while in Auto mode) the bed comes back online (the NO COMM condition ends) after this point, the bed is reassigned as a new and different bed.

 When full disclosure starts up on a CIC Pro center, it determines when data was

last received from the assigned beds.

If the latest data for a bed:

 Is not older than the Offline Storage setting, then full disclosure data

collection continues for the bed.

 Is older than the Offline Storage setting, existing data associated with the

bed is deleted, and new data collection is started for the bed.

Multi-full disclosure rule

If multiple CIC Pro centers are running in a care unit, the Multi-full disclosure rule allows the switching of full disclosure data collection from one CIC Pro center to another, if a CIC Pro center goes offline (e.g., reboot, shutdown, etc.).

The following examples describe how the Multi-full disclosure rule works when using two CIC Pro centers (CICA and CICB).

NOTE

In the examples, start up mode is Auto, and only one bed (BED1) is used.

Example 1:

719A

1. CICA goes offline and stops full disclosure data collection on BED1. This causes CICB to begin full disclosure data collection on BED1.

NOTE

The master CIC Pro center detects CICA going offline, and switches full disclosure data collection over to CICB, within a minute of the offline event occurring.

2. CICA comes back online within the Offline Storage setting time frame, and continues full disclosure data collection on BED1 again. At this point, CICA and CICB are both collecting full disclosure data on BED1.

3. The Multi-full disclosure rule does not allow more than one CIC Pro center to collect full disclosure data from the same bed at the same time--only the data that goes the farthest back in time (CICA) is kept. Because of this, CICA continues collecting full disclosure data on BED1, and CICB stops.

2026419-002D CIC ProTM Clinical Information Center 2-15

Equipment overview: Theory of operation

Example 2:

1. CICA goes offline and stops collecting full disclosure data on BED1. This causes CICB to begin collecting full disclosure data on BED1.

NOTE

The master CIC Pro center detects CICA going offline, and switches full disclosure data collection over to CICB, within a minute of the offline event.

2. CICA comes back online after exceeding the Offline Storage setting time frame. Because of this, existing BED1 data is deleted from CICA, and the new BED1 data collection begins on CICA. At this point, CICA and CICB are BOTH collecting full disclosure data on BED1.

3. The Multi-full disclosure rule does not allow more than one CIC Pro center to collect full disclosure data from the same bed at the same time (only the data that goes the farthest back in time (CICB) is kept). Because of this, CICB continues collecting full disclosure data from BED1, and CICA stops.

720A

NOTE

At every wake-up cycle (1 minute interval), the CIC Pro center master scans all CIC Pro centers within the care unit to determine if more than one CIC Pro center is collecting full disclosure data from the same bed (this can happen as part of normal operation). If the master detects this condition, all CIC Pro centers are instructed to stop collecting full disclosure data from the bed except for the one CIC Pro center with the oldest data for the bed.

Combo mode (Twin-bed rule)

In combo mode:

1. Two beds are on the network: one is a hardwired bed, and the other is telemetry bed. Both beds share the same name (e.g. BED), but '*' is appended to the telemetry bed name (e.g. BED and BED*). Both beds represent the same patient.

NOTE

If the CIC Pro center was not functioning in combo mode, these two beds would be treated as distinct and separate.

2. Only the oldest bed data is kept. Data for the other bed is deleted.

3. No matter which data is kept, full disclosure data collection continues, and the data is stored under the bed name, but without the '*'.

Combo mode is stopped (breaking combo) by discharging either bed. If this happens, full disclosure data collection continues on the undischarged bed, and the data is stored under the undischarged bed name.

2-16 CIC ProTM Clinical Information Center 2026419-002D

Equipment overview: Theory of operation

NOTE

If the hardwired bed is discharged, '*' would again be included in the name.

To follow are combo mode examples:

Combo Mode Example 1:

a. A hardwired bed BED is admitted and full disclosure data is collected. b. A telemetry bed BED* is admitted and full disclosure data is collected.

T wo separate full disclosure data stores exist, one for each bed (possibly on a different CIC Pro centers).

c. The two beds are put into combo mode. When this happens, BED data is

kept because it is older than BED* data, and BED* data is deleted. Full disclosure data collection continues, and the data is stored under the name BED.

714A

d. Combo is broken by discharging BED*. Full disclosure data collection

continues, with the data still stored under the name BED.

Combo Mode Example 2:

a. A hardwired bed BED is admitted and full disclosure data is collected. b. A telemetry bed BED* is admitted and full disclosure data is collected.

T wo separate full disclosure data stores exist, one for each bed (possibly on a different CIC Pro centers).

c. The two beds are put into combo mode. When this happens, BED data is

kept because it is older than BED* data, and BED* data is deleted. Full disclosure data collection continues, and the data is stored under the name BED.

d. Combo is broken by discharging BED. Full disclosure data collection

continues, and the data is now stored under the name BED*.

715A

2026419-002D CIC ProTM Clinical Information Center 2-17

Equipment overview: Theory of operation

Combo Mode Example 3:

a. A telemetry bed BED* is admitted and full disclosure data is collected. b. A hardwire bed BED is admitted and full disclosure data is collected. Two

separate full disclosure data stores exist, one for each bed (possibly on a different CIC Pro centers).

c. The two beds are put into combo mode. When this happens, BED* data is

kept because it is older than BED data, and BED data is deleted. Full disclosure data collection continues, and the data is stored under the name BED*.

d. Combo is broken by discharging BED*. Full disclosure data collection

continues, and the data is still stored under the name BED.

716A

Combo Mode Example 4:

a. A telemetry bed BED* is admitted and full disclosure data is collected. b. A hardwired bed BED is admitted and full disclosure data is collected. T wo

separate full disclosure data stores exist, one for each bed (possibly on a different CIC Pro center).

c. The two beds are put into combo mode. When this happens, BED* data is

kept because it is older than BED data, and BED data is deleted. Full disclosure data collection continues, and the data is stored under the name BED.

d. Combo is broken by discharging BED. Full disclosure data collection

continues, and the data is now stored under the name BED*.

Bed Name/IP Address Changes

The CIC Pro center tracks full disclosure data for individual beds using a combination of the bed name and IP address.

717A

If a bed name changes during full disclosure data collection, information within the data reflects the new name at the point the name change occurred.

If a bed IP address changes during full disclosure data collection, but the name does not, it is interpreted as a new and different bed, and a new full disclosure data store is created and utilized for the new bed.

2-18 CIC ProTM Clinical Information Center 2026419-002D

Unit Boundary

Equipment overview: Networking

If a bed goes offline, and another bed with the same name but a different IP address comes online, it is interpreted as a new and different bed and a full disclosure data store is created and utilized for it. However, the following conditions apply:

 If the bed that went offline (with the original IP address) comes back online

within the Offline Storage setting time frame, the two beds continue to be treated as separate, since the different IP addresses positively identify them as distinct and separate.

 If the bed that went offline (with the original IP address) does not come back

online within the Offline Storage setting time frame, the bed with the new IP address is interpreted as a replacement for the bed with the original IP address. In this case, the full disclosure data for the bed with the original IP address is deleted, and full disclosure data collection continues, and the data is stored under the bed with the new IP address only.

 Each care unit operates independently with respect to full disclosure. The only

interaction is when displaying data across care units.

 License mode: All beds within a care unit will have access to the same amount

of data storage (based on time) unless there is a failure to get a license (1 hour). Can be different across different care units (e.g., UnitA-72hours, UnitB-None (1 hour).

 Start-up mode: The same start-up rules apply to all beds within a care unit.  Default: The same full disclosure defaults are used on all CIC Pro centers

within a care unit.

 Master: One per care unit.  Acquisition/Storage: The master CIC Pro center will only assig n beds wit hin

the care unit to CIC Pro centers within that care unit. At no time will data for a bed be stored on a CIC Pro center in a different care unit.

 Bed Unit Changes: If a bed changes it s care unit name during full disclosure

data collection, all data for the bed is deleted. The care unit where the bed moved becomes responsible for the bed.

 CIC Pro center Unit Changes: If a CIC Pro center changes its care unit name

during full disclosure data collection, all data for all beds being having full disclosure data collected by that CIC Pro center is deleted. The care unit with the original name is responsible for the beds.

Networking

Patient monitoring network

The CIC Pro center processes and displays real-time data acquired from up to 16 networked GE monitors or telemetry transmitters connected to the Unity Network.

When patient data is acquired from ApexPro telemetry transmitters (telemetry beds), the data is transmitted to a telemetry receiver where it is then transferred to the Unity Network via a wired connection. The CIC Pro center displays this telemetry bed patient data along with the patient data acquired from other monitors.

2026419-002D CIC ProTM Clinical Information Center 2-19

Equipment overview: Networking

Web access server network

WARNING

INTERNET EXPLORER FAVORITES—S aving Internet Explorer Favorites (bookmarks) for web pages containing patient data is not recommended. Doing so may result in patient data displayed in Internet Explorer not matching the patient’s medical number on the Launch Pad or iPanel application toolbar.

CAUTIONS

SECURITY—The healthcare institution is responsible for ensuring the privacy of any protected health information that is displayed on this device.

SECURITY—The web browser which runs in conjunction with the CIC Pro 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.

The CIC Pro center can provide access to a Citrix Client or an intranet browser for viewing other applications (e.g., the hospital information system) or other sources of

patient data (e.g., labs, images, or MUSE Access to a Citrix server or intranet server depends upon how your CIC Pro center is

configured and your on-site information technology offerings. To set up a Citrix Client, see “Setting up a Citrix client” on page 4-27.

CITRIX Intranet web portal

You can use the Citrix Client to view patient data from other data systems or repositories.

Complete the following steps to access the Citrix server:

1. From the multi-patient viewer, click Browser. The Browser window displays.

2. From the menu bar, click Citrix to display the Citrix window.

Web browser intranet web portal

™

Cardiology Information System data).

WARNING

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 center is restored.

When using the browser, follow these restrictions:

2-20 CIC ProTM Clinical Information Center 2026419-002D

Equipment overview: Networking

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

center 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.

The CIC Pro center can provide a web portal to access and view other in-hospital web applications or other sources of patient data. This web browser option is at the top right corner of the title bar of the CIC Pro center display screen. Select this

button to start a separate Microsoft Internet Explorer

application.

If a patient monitoring alarm occurs while the browser is open, the CIC Pro center application 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 Browser option again or select the Internet Explorer button from the lower task bar.

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

Complete the following steps to access the intranet browser application:

1. From the multi-patient viewer, click Browser. The web access server window displays.

2. Click Browser to display the intranet browser application.

3. Under Favorites, click the web site you want to access.

2026419-002D CIC ProTM Clinical Information Center 2-21

Equipment overview: Patient data interface

Patient data interface

The CIC Pro center allows you to view patient data using two different viewers, varying in data granularity:

Multi-patient viewer Single patient viewer

Multi-patient viewer

The multi-patient viewer displays a snapshot of real-time waveform data and parameter numeric data for a maximum of 16 patients.

The following picture identifies different areas of the multi-patient viewer.

2 3 41

601A

Multi-patient viewer

Description

1 Alarm buttons. Show the care unit name, bed number, and the cause of the

alarm. This screen location is also known as the Alarm Display Unit (ADU) line.

2 Colored border alarm indicator. The patient window is outlined in red or yellow

to identify a patient alarm condition. The alarm message is also displayed.

3 Alarm message.

2-22 CIC ProTM Clinical Information Center 2026419-002D

Equipment overview: Patient data interface

Multi-patient viewer

Description

4 Multi-viewer menu bar buttons. See the CIC Pro Clinical Information

Center Operator’s Manuals for details. 5 Additional parameter information. 6 Patient name and Unit Name / Bed Name.

NOTE

The source of a patient’s parameter data can be from a monitor, a telemetry transmitter, or from both a monitor and a telemetry transmitter. To prevent the duplication of bed names and to help you identify the parameter data source, the CIC Pro center appends the following symbols to the bed name:

 no symbol = monitor (e.g. Unit Name/Bed Name).  * = telemetry bed (e.g. Unit Name/Bed Name*).  + = monitor with a Unity Network ID connection (e.g. Unit

Name/Bed Name+).

 *+ = telemetry bed with a Unity Network ID connection (e.g.

Unit Name/Bed Name*+).

Single patient viewer

7 Real-time trend window. 8 Empty patient window displaying an Admit window.

The single patient viewer allows you to view detailed real-time or stored parameter data for one patient.

The following picture identifies different areas of a single patient viewer window.

12 3

640A

2026419-002D CIC ProTM Clinical Information Center 2-23

Patient data

Real-time patient data

Equipment overview: Patient data

Single patient viewer

Item Description

1 Single patient viewer menu buttons. 2 Expanded waveform data. 3 Single patient viewer control buttons

You can view real-time patient data or retrieve and view patient data that has been collected and stored at the CIC Pro center.

Monitored parameters

Real-time trend window

The CIC Pro center can retrieve and display many different types of parameter data from patient monitors connected to the Unity Network It can also retrieve and display many different types of parameter data from secondary devices connected through a Unity Network Interface.

NOTE A more complete list of supported parameters is included in the “CIC Pro Clinical

Information Center Operator’s Manual.” For detailed parameter monitoring instructions, see the appropriate monitor or

telemetry system operator’s manual. For detailed clinical and troubleshooting information, see the “Critical Care

Monitoring Clinical Reference and Troubleshooting Guide.”

The multi-patient viewer can be configured to display a real-time trend window. This trend window displays the recent trends for a maximum of two parameters. Each trend contains one hour of data displayed at one minute intervals. When you

2-24 CIC ProTM Clinical Information Center 2026419-002D

Equipment overview: Patient data

see a trend variation, you can review this trend more closely from the Graphic Trends tool.

Stored patient data

603A

Real-time trends display from left (olde r data) to right (newer data)

To review a trend, click in the real-time trend window. The single patient viewer automatically displays the Graphic Trends window for this patient.

To configure the real-time trend window, see the “CIC Pro Clinical Information Center Operator’s Manual.”

You retrieve in-unit parameter data from patient monitors connected to the Unity Network and retrieve parameter data from secondary devices connected through a Unity Network Interface. In addition, can use the following CIC Pro center patient data review tools to examine the data more closely:

 Events: Review any crisis, warning , or advisory level arrhy thm ia event or ST

event that is saved in the Events directory. You can also view saved ST references and sample ECG waveforms.

 Event st rip: Review 10-second snapshot of event data. The strip displays 5-

seconds of data before the event occurred and 5-seconds of data during the event.

 FD Strip: Review a 10-second snapshot of available full disclosure parameter

waveforms and values. You can scroll through the displayed data to change the

2026419-002D CIC ProTM Clinical Information Center 2-25

Service interfaces

Equipment overview: Service interfaces

data’s time focus.

 FD Page: Review a maximum of 72 hours of the most current full disclosure

waveform and parameter numeric data. The amount of full disclosure data collected for a patient is determined by the type of licenses installed on the CIC Pro center.

 Graphic Trends: Review parameter numeric data over a specified period of time

in bar graph format.

 Vital signs: Review parameter numeric data values for monitored parameters

over a selected period of time.

 Calipers: Record measurements on the ECG waveforms

The CIC Pro center provides local, on-site remote, and off-site remote service interfaces for configuring, troubleshooting, and completing some of the checkout procedures.

See Chapter 5, “Service interfaces” .

2-26 CIC ProTM Clinical Information Center 2026419-002D

3 Installation

2026419-002D CIC ProTM Clinical Information Center 3-1

The installation process

After un-crating your equipment and inspecting it for damage, you can begin the physical installation process of the CIC Pro center. The following graphic illustrates the pre-installation requirements and the physical installation process flow:

Completing pre-installation requirements

“Complete product training”

“Verify care unit software and hardware compatibility”

“Verify proper electrical grounding”

Installing the equipment in the care unit

“Connect the cables and peripheral devices”

“Gather required tools”“Complete a site survey”

“Verify the use of an uninterruptible power supply (UPS)”

“Turn on the power”“Mount the equipment”

“Verify proper operating conditions”

“Verify the equipment is undamaged”

“Configure the CIC Pro center”

3-2 CIC ProTM Clinical Information Center 2026419-002D

Installation: Completing the pre-installation requirements

Completing the pre-installation requirements

This section describes the pre-installation requirements that must be completed before physically installing the CIC Pro center.

Complete a site survey

CAUTION

Failure to complete a pre-purchase site survey may lead to improper performance of the CIC Pro center.

A site survey with all network design, installation, and testing must be completed and documented prior to equipment installation. The site survey is completed by authorized GE personnel.

Complete product training

Product training is recommended prior to installing, configuring, and calibrating the CIC Pro center. Contact your Regional Service Manager or the sales representative for your region to determine specific training needs.

Gather required tools

 A standard set of hand tools is required for equipment installa tion.

Verify proper operating conditions

WARNINGS

SERVER LOCATION — The CIC Pro center is UL/IEC/EN 60601-1 certified equipment which may not meet the leakage requirements for patient care area equipment. The CIC Pro center must not be located in the patient vicinity as a shock hazard may exist, unless the medical electrical system standard, UL/IEC/EN 60601-1 is followed.

Failure to adequately ventilate the CIC Pro center may cause equipment failure or improper operating conditions which may endanger the patients being monitored.

CAUTION

The CIC Pro center uses an internal forced-air cooling system, but most displays do not. The user must determine the heat dissipation requirements of the selected display and provide for any required cooling ventilation.

2026419-002D CIC ProTM Clinical Information Center 3-3

Installation: Completing the pre-installation requirements

Environmental limits

The CIC Pro center operates reliably within normal office environmental limits. Select a site which meets the following criteria:

 Clean and reasonably free of excess dust. Dust accelerates system wear.  Well-ventilated and away from sources of heat.  Away from sources of vibration or physical shock.

Electromagnetic fields and electrical noise

The CIC Pro center should be isolated from strong electromagnetic fields and electrical noise produced by electrical devices such as:

 Elevators  Copy machines  Air conditioners, large fans  Large electric motors  Radio and TV transmitters  High frequency security devices  High-load medical devices (e.g. imaging, defibrillators, etc.)

Clearance and airflow

Access space

Keep the CIC Pro center ventilation openings free of obstructions. The CIC Pro center physical location should provide at least the following minimal ventilation clearances:

Minimum ventilation clearance

Front 20.5 centimeters (8 inches) Back 20.5 centimeters (8 inches)

Bottom

1 centimeter (3/8 inches)

1. The vent holes in the bottom of the unit must not be obstructed. A minimum airspace of 1 centimeter (3/8 inches) must be provided between the vent holes and the supporting surface. When installed with the bottom vent holes down, the unit must be on a hard flat surface with the bottom feet intact.

Do not remove the bottom feet or operate with the bottom of the unit on a carpeted surface.

If installed with the vent holes in the bottom surface to the side (standing on a side, or “vertical” installation), a minimum of 1 centimeter (3/8 inches) clearance must be provided between the vent holes and the adjacent surface.

WARNING

Ample access for AC power cord disconnect (from the wall outlet, or from the back of the unit) is vital to provide positive AC power disconnection for service or in the event of emergency.

3-4 CIC ProTM Clinical Information Center 2026419-002D

Installation: Completing the pre-installation requirements

Physical specifications

See “Physical specifications” on page A-6

Verify care unit software and hardware compatibility

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.

When installing a CIC Pro center into a care unit, you need to verify that the CIC Pro center’s hardware and software are compatible with care unit’s operating environment. See the “CIC Pro Clinical Information Center V5.0 What’s in this Release Instructions” shipped with the product and with the software upgrade and update kits.

Verify proper electrical grounding

Duplex power outlet

A properly grounded duplex power outlet is required for each CIC Pro center. Additional outlets may be required to accommodate connected peripheral equipment. The power outlet must be installed in an approved junction box. Use only a three-prong, polarized, hospital-grade power outlet to accept the three-prong polarized CIC Pro center power plug.

Grounding system

WARNING

SHOCK HAZARD — The CIC Pro center and all peripheral equipment must be adequately grounded or a shock hazard may exist.

Do not use plug adapters that defeat the grounding capability of the three-prong power plug. An ungrounded electrical device presents a potentially severe and dangerous shock hazard.

The grounding pin of all power outlets and all exposed metal parts (beds, radiators, water pipes, etc.) in any patient area should be electrically connected together. This common ground point should be connected to the nearest equipotential ground through a bonded grounding system, or with a 10 AWG stranded copper grounding cable.

The equipotential ground point should be as close to earth ground potential as possible. If a bonded grounding system is not available, the ground pin of each

2026419-002D CIC ProTM Clinical Information Center 3-5

Installation: Completing the pre-installation requirements

power outlet must be individually connected to a central grounding point. Do not jumper from ground pin-to-ground pin of the outlets.

The grounding system must not carry current, such as a grounded neutral, since the current flow will produce potential differences along the ground path. These potential differences are a shock hazard source for equipment users and patients.

Do NOT use conduit as a ground conductor. Plastic (PVC) piping or fittings used in the conduit runs can break the electrical connection to ground, resulting in potential shock hazards.

The electrical grounding system should be connected to an earth ground. If this is not possible, then a good ground reference, such as a metal water pipe, or an electrically-conductive building component, should be used. It is more important that all grounded objects in the patient area are at the same ground potential rather than at earth ground potential.

Verify the use of an un-interruptible power supply (UPS)

WARNING

If power to the CIC Pro center is lost, patient monitoring information will no longer be displayed or stored.

UPS recommendations

UPS run-times and options

GE recommends using an un-interruptible power supply (UPS) with the CIC Pro center.

Without a UPS, power line outages may result in:

 Improper shut down of the CIC Pro center, causing lengthy disk scan

procedures on reboot

 Data loss.

Follow the manufacturer’s recommendations for installing the UPS. See “Optional components” on page 8-9 for a listing of UPS units available for the

CIC Pro center.

WARNING

Connect the UPS to the CIC Pro center(s) and display monitor(s) only. Do not connect printers or other devices to a UPS, as such devices may shorten estimated run-times. If AC line power is not restored before UPS run-time is exceeded, the CIC Pro center shuts down and patients will not be monitored.

The uninterruptable power supply (UPS) run-times are affected by the following conditions:

3-6 CIC ProTM Clinical Information Center 2026419-002D

Installation: Installing the equipment in the care unit

 Battery age.  Ambient temperature.  Site specific UPS usage patterns.  Load characteristics.

Your actual run times may be different. The following table identifies estimated un-interruptible power supply (UPS) run-

times resulting from estimated load requirements:

Estimated UPS run-times

Total CIC Pro

centers

connected to UPS

1 1 display (primary) 90 W 60 1 2 displays (dual) 140 W 38 2 4 displays (two dual) 180 W 30

NOTE

The CIC Pro center Bedrock hardware draws approximately 40 watts of power. The 19” and 20” displays each draw approximately 50 watts of power.

See “Optional components” on page 8-9 for UPS part number information.

connected to UPS

Verify the equipment is undamaged

Unpack the equipment and inspect for shipping damage:

1. Remove all equipment, including all peripheral devices, from the shipping cartons. Inspect for damage. If any damage is found, contact GE Technical Support.

2. Identify all required cables and prepare them for installation.

Total 19” or 20”

displays

Total load with CIC Pro

centers and displays

(estimated watts)

UPS Run time

(estimated

minutes)

3. Complete the “Visual inspection” on page 6-3 to inspect for shipping damage.

Installing the equipment in the care unit

This section describes the procedures required to install the equipment and components in the care unit:

WARNINGS

CIC Pro center V5.0 is in-unit compatible with CIC Pro center V4.0.x, but is not with versions of CIC Pro center V3.1 or earlier and is not in-unit compatible with any versions of Centralscope. Sharing of the same care unit name across central stations having incompatible software versions can result in lost or corrupted telemetry alarm defaults data and loss of audible alarms.

2026419-002D CIC ProTM Clinical Information Center 3-7

Installation: Installing the equipment in the care unit

Both hardwire and telemetry beds are limited in the number of remote view connections that can be supported.

Do not exceed a maximum of 15 CIC Pro centers in a single logical care unit.

The maximum CIC Pro centers viewing a patient bedside monitor can vary depending on bedside monitor capabilities and network design.

WARNING

Only external devices specifically designed to be connected to the CIC Pro center, or approved by GE for use with the CIC Pro center, should be connected, as specified in this manual or as otherwise specified by the manufacturer.

A shock hazard may exist if external devices are connected differently from described in this manual, or as directed by the manufacturer.

External equipment must be connected to the CIC Pro center only by qualified biomedical engineering personnel.

When using keyboard/video/mouse (KVM) switching devices with the CIC Pro, only the keyboard and mouse should be switched through the KVM. The video for each CIC Pro should be displayed on its own monitor. Failure to do so may result in delayed recognition of alarm events.

WARNING

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 on the user.

CAUTIONS

All external cabling used with the CIC Pro center must be routed so it does not interfere with access to, or operation of, the CIC Pro center. Install cabling to guard against tripping and accidental cable disconnection.

Do NOT apply power until all equipment is installed and ready for use.

3-8 CIC ProTM Clinical Information Center 2026419-002D

Installation: Installing the equipment in the care unit

This assembly is static sensitive and should be handled using precautions to prevent electrostatic discharge damage.

Mount the equipment

The CIC Pro center may be physically mounted using one of the following strategies:

 Desktop: The CIC Pro center may be placed on a desktop, under the monitor

stand/base, or on a shelf or floor without the use of any mounting hardware.

 Wall mounting: The CIC Pro center may be physically mounted to a wall or the

bottom side of a desk or shelf using standard GCX mounting hardware.

 Foot stand: The CIC Pro center may be placed in a footstand and positioned on

a desktop or floor.

Connect the cables and peripheral devices

Keyboard and Mouse

External speakers

500A

 Insert the keyboard and mouse cables into any available USB port

located on the back of the CIC Pro center.

NOTE

If you connect more than one mouse to a configured mouse group, always position the additional mice on a flat surface. Otherwise erratic mouse movements and behaviors may result.

In addition to two internal speakers, the CIC Pro center is equipped with an 1/8” external speaker connection port.

WARNING

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

2026419-002D CIC ProTM Clinical Information Center 3-9

Displays

Installation: Installing the equipment in the care unit

mode.

NOTE

External speakers are connected during normal operation. An alert message displays when no external speaker connection is present. This is true even if the CIC Pro center is used as a mirrored CIC Pro center and its audible alarm volume is set to OFF.

1. Connect the external speaker cable into the speaker port located on the back of the CIC Pro center.

2. Insert the speaker power cable into an electrical power outlet.

Complete the following procedures to connect up to two displays to the CIC Pro center.

Connecting a primary display

The primary display can be a non-touchscreen or touchscreen display.

NOTE

To prevent accidental disconnection and loss of display screen information, always firmly tighten the DVI connector screws into the DVI connector port.

1. To connect a non-touchscreen display, complete the following steps:

a. Insert the single display monitor DVI cable into the primary video

DVI port located on the back of the CIC Pro center.

b. Insert the display power cable into an appropriate electrical power outlet.

2. To connect a touchscreen display, complete the following steps:

a. Insert the touchscreen monitor DVI cable into the primary video

DVI port located on the back of the CIC Pro center.

b. Insert the touchscreen monitor cable into the

the back of the CIC Pro center.

c. Insert the display power cable into an appropriate electrical power outlet.

USB port located on

Preconditions for installing and configuring the secondary display

When installing and configuring a secondary display to the CIC Pro center, use the following process (in the order presented) to ensure proper operation:

 Complete the physical installation of all the equipment, except the secondary

display.

 Activate all the licenses purchased for this CIC Pro center, including the

following dual display licenses:

 LVSL or the LVSM license.

3-10 CIC ProTM Clinical Information Center 2026419-002D

Installation: Installing the equipment in the care unit

 DDIS license.  Shut down and turn off the power to the CIC Pro center and the primary

display.

 Connect the secondary display’s video and power cables.  Turn on the power and restart the CIC Pro center, primary display, and the

secondary display. The secondary display screen should be illuminated and appear grey in color.

Connecting a secondary display

NOTE

 The primary and secondary displays can both be non-touchscreen or

touchscreen displays or one of each.

 The use of USB video cables are recommended when using touchscreen

displays.

 The video connection supports DVI-A analog/digital connections. Analog

VGA monitors require either a VGA to DVI-A connection cable, or a VGA to DVI-A plug adapter.

 When connecting a second display to a CIC Pro center that is currently in

use, always shut down the CIC Pro center before connecting the secondary display’s video cable. See “Safe shutdown or restart procedure” on page 7-

11.

 T o prevent accidental disconnection and loss of display screen information,

always firmly tighten the DVI connector screws into the DVI connector port.

Complete the following procedure to connect a secondary display:

1. Complete the “Preconditions for installing and configuring the secondary

display” on page 3-10.

2. To connect a non-touchscreen secondary display, complete the following steps:

a. Insert the primary display monitor data cable into the primary

DVI video port located on the back of the CIC Pro center. Be sure to firmly screw in the DVI connector into the connector port.

b. Insert the display power cable into an appropriate electrical power outlet.

3. To connect a touchscreen secondary display, complete the following steps:

a. Insert the secondary touchscreen monitor video cable into the

secondary video port located on the back of the CIC Pro center. Be sure to firmly screw in the DVI connector into the connector port.

b. Insert the touchscreen monitor data cable into the

USB port

located on the back of the CIC Pro center.

c. Insert the display power cable into an appropriate electrical power outlet.

2026419-002D CIC ProTM Clinical Information Center 3-11

Digital writer

Installation: Installing the equipment in the care unit

1. Insert the PRN 50-M data cable into the port located on the port back of the CIC Pro center.

NOTE

The PRN 50-M must use software V2B or later to operate properly with the CIC Pro center and telemetry systems.

2. Load the printer with paper. See the “CIC Pro Operator’s Manual” for instructions.

3. Insert the digital writer power cable into an appropriate electrical power outlet.

Clinical Information Center

Network laser printer

Complete the following procedure to connect a network laser printer to the Unity Network IX network:

1. Connect the laser printer Ethernet cable to the Unity Network IX network.

2. Insert the laser printer power cable into an appropriate electrical power outlet.

3. Turn on the power to the printer.

Unity Network: do not connect the Unity Network IX or Unity Network MC cables

CAUTION

Perform “Set the IP address” on page 4-19 before connecting to the Unity Network IX or MC networks.

Do not adjust time/date settings while connected to the network. Changes to the time or date data affects all units on the network. This can result in other monitors altering the time and date parameter of some patient data.

 Do not insert the Unity Network IX cable or the Unity Network MC cable in to

the CIC Pro center at this time. You will complete this connection task when you “Set the IP address” on page 4-19.

3-12 CIC ProTM Clinical Information Center 2026419-002D

Power cable

Installation: Installing the equipment in the care unit

1. Insert the power cable into the power outlet on the back of the CI C Pro center.

088A

2. Install the provided cable clamp around the power cable.

3. Tighten the cable clamp screw to secure the clamp to the chassis.

4. Insert the power cable into an un-interruptible power supply or into an electrical power outlet.

Turn on the power

Turn on the power by pressing the power switch located on the back of the CIC Pro center and on the back of the display monitors.

A green power indicator illuminates when the power is turned on. After approximately 30 seconds, the multi-patient viewer should display.

Configure the CIC Pro center

After installing the equipment and turning on the power, you must now configure the standard and specialized functions of CIC Pro center. See Chapter 4,

“Configuration” .

2026419-002D CIC ProTM Clinical Information Center 3-13

Installation: Installing the equipment in the care unit

3-14 CIC ProTM Clinical Information Center 2026419-002D

4 Configuration

2026419-002D CIC ProTM Clinical Information Center 4-1

The configuration process

After completing the physical installation of the equipment, you can configure the standard and specialized functions of CIC Pro center. The following table identifies this configuration process.

CIC Pro center configuration process

Process steps Service interface tool

NOTE

Disconnect the CIC Pro center from the Unity Network IX and MC networks before you begin the configuration process.

1. Activating the software licenses. You must use one of the following activation methods:

Automatic activation:

 “Activate licenses (automatically) via a USB Memory stick” on page 4-6.  “Activate licenses (automatically) via a service laptop” on page 4-12. Setup CIC

Manual activation:

 “Activate licenses (manually) via the Activation Code Summary Sheet” on page 4-16.

“Setting the network IP address” on page 4-18. “Installing or deleting a network laser printer” on page 4-20.

4. “Configuring for Remote Service access” on page 4-24.

Webmin

5. “Setting up a Citrix client” on page 4-27.

6. “Browser Configuration” on page 4-29.

7. “Configuring the clinical application, telemetry, and care unit settings” on page 4-34. Setup CIC

8. “Activating the NO COMM alarm” on page 4-53. Setup CIC > command line

9. “Configuring the speaker volume” on page 4-53. Setup CIC > command line

10.

“Setting Locked or Unlocked Beds” on page 4-54. Right-click menu

11.

“Configuring a secondary display” on page 4-54. Administrator mode

12.

“Setting the laser printer default paper size” on page 4-57. Administrator mode > Webmin

13.

“Setting the CIC Pro center language” on page 4-59. Administrator mode > Webmin

14.

“Restarting the CIC Pro center application” on page 4-61. --

15.

Calibrating the primary and secondary display.

a. “Calibrate a touchscreen display” on page 4-63. Administrator mode b.

“Calibrate a display” on page 4-61. Setup CIC

16.

“Setting the time zone and daylight savings time” on page 4-66. Setup CIC > command line

and WIndows settings.

17. “Setting the time-of-day or the date” on page 4-68 Webmin

4-2 CIC ProTM Clinical Information Center 2026419-002D

Configuration: Software licenses

CIC Pro center configuration process

Process steps Service interface tool

NOTE

Re-connect the CIC Pro center to the Unity Network IX and MC networks.

18. “Configuring the print location of non-real-time patient data” on page4-71 Webmin

19.

“Configuring a keyboard and mouse group” on page 4-74. Webmin

20.

“Backing up the configuration settings” on page 4-86. Webmin

21.

“Completing the Checkout Procedures” on page 4-86. --

Software licenses

Software licenses control all of the standard and specialized features available for each CIC Pro center. All licenses must be purchased and can only be activated on the CIC Pro center they were purchased for. Licenses and license activation codes are node locked to a specific CIC Pro center’s unique serial number. Node locked licenses cannot be activated on a CIC Pro center when the CIC Pro center’s serial number does not match the license activation code.

WARNING

UNTESTED SOFTWARE — Do not load any software other than that specified by GE onto the CIC Pro center. Installation of software not specified by GE may cause damage to the server or loss or corruption of data.

Available licenses

Name

ADT - Basic Functionality ADTF ADT - Picklist ADTP

Option

Code

NOTE

For information about the clinical application functions of the CIC Pro center,

see the “CIC Pro

The following table identifies the licenses available for the CIC Pro center:

CIC Pro center licenses

 Fast and accurate way to admit patients.  Search by patient last name, room, bed and medical record number or patient ID.  View a list of possible patient matches with their demographics.  Select a patient from the list instead of needing to enter characters with the keyboard.  Interface with Hospital Information Systems via the Aware Gateway to select a patient

from a list.

Clinical Information Center Operator’s Manual.”

Description

2026419-002D CIC ProTM Clinical Information Center 4-3

Configuration: Software licenses

CIC Pro center licenses

Name

Dual Display DDIS

Option

Code

Description

 View all of the single viewer applications in this second display.  Use the second display as a review display.  View two single applications at the top and bottom half of the screen.  View all applications (excluding Multi-view) in this second display.  Navigate between applications via enhanced software tools.  Access custom views of routine applications using a single mouse click.

Events - Directory EVDR Sort and count parameter events: Events - Patient Data

Server

EVPD

 Sort parameter events by time and type.  View the total count of each event type in the patient’s event directory.  Scan for Events without scrolling down a long list of individual events.

Events - Review EVRW Full Disclosure - 24 Hours

Storage Full Disclosure - 48 Hours

Storage Full Disclosure - 72 Hours

Storage

FD24 Store 24 hours of full disclosure data. This data is viewable from the FD Strip and FD Page

data review tools.

FD48 Store 48 hours of full disclosure data. This data is viewable from the FD Strip and FD Page

data review tools.

FD72 Store 72 hours of full disclosure data. This data is viewable from the FD Strip and FD Page

data review tools.

Full Disclosure - Calipers FDCL Calculate a waveform interval or amplitude:

 Calculate QTc measurement from the QT and R-R interval measurements.  Automatic calculation of QTc measurement when both QT and R-R measurements are

recorded.

Full Disclosure - Page Review

FDPR Display multiple waveforms of full disclosure data in a page view:

 View up to 72 hours of full disclosure data as a half page or a full page view.  View multiple (up to 5) waveforms per line in 15-second, 30-second, or one minute per

line increments.

 Quick magnification of 10 seconds of full disclosure data.  View full disclosure data that is time-synched to Events, Trends, and the FD Strip view.

Full Disclosure - Strip Review

FDST Display multiple waveforms of full disclosure data in a page view:

 Scroll through and review 1, 24, 48 or 72 hours of full disclosure data.

Live View - Alarm Silence LVAS Silence alarms. Live View - Basic View LVBV Display a patient bed in a single patient viewer. Live View - Enterprise LVEN View patient beds outside of the care unit. Live View - Graph All LVGA Print the parameter limits or the waveform data for all patients in the care unit. Live View - MultiViewer LVMV Display a maximum of 16 patient beds (slots) in the multi-patient viewer. LiveView - View Slot LVSL Display a patient bed (slot) in the multi-patient viewer. One license is required for each

displayed bed. A maximum of 16 LiveView - View Slot licenses can be activated.

Live View - Mirror View

LVSM Provide a mirror image view of a primary CIC Pro center.

Slot

4-4 CIC ProTM Clinical Information Center 2026419-002D

Configuration: Activating software licenses

CIC Pro center licenses

Name

Option

Code

Description

Setup - Remote Monitor MNSU Display the Monitor Setup single patient viewer menu option. This menu option provides

the following real-time and stored patient data controls: ECG, Graph Setup, Alarm

Control, SPO2, Pressures, and Trends-Patient Data Server.

Trends - Graphical TDGR View parameter numeric data over a selected period of time in bar graph format. Trends - Patient Data

Server

TDPD Configure the CIC Pro center to retrieve patient trend data from an available Patient Data

Server (PDS).

Trends - Real-Time TDRT Display parameter trends in a patient’s live view display slot:

 Quick, hands-free view of recent patient trends.  Display trend changes in the patient condition over one hour time period at 1-minute

resolution for two parameters.

 Configure the trended parameters per patient.  Turn on or turn off the trend window per patient.  Click on a trend of interest to display detailed graphic trends.

Trends - Vital Signs TDVS View parameter numeric data values for monitored parameters over a selected period of

time.

System Utilities - Citrix UTCX

 View Clinical Information System applications using a citrix client.  To leverage this capability, a Citrix server is required.

System Utilities - MultiKM UTMM Configure Keyboard and mouse groups:

 Share one keyboard and one mouse between multiple configured and centralized CIC

Pro centers.

 Navigate and use multiple CIC Pro centers or displays at the same time.

CIC Pro center full disclosure license management setup

Every CIC Pro center with version 5.0.x software has the ability to store 16 beds of full disclosure (FD) data for one hour without a license. A CIC Pro center with the Full Disclosure option and version 5.0.x software has the ability to store up to 16 beds for 72 hours with the appropriate licenses and license settings.

When operating two CIC Pro centers within the same care unit, with one having the Full Disclosure option, and the other without: It is necessary to turn full disclosure OFF on the CIC Pro center without the full disclosure option, to prevent a conflict between the two different storage capacities of the CIC Pro centers.

To turn off full disclosure on the CIC Pro center without the full disclosure option, you must set the full disclosure License type to none. See “Set the Full Disclosure

Defaults” on page 4-45.

Activating software licenses

You can use one of three procedures to activate software licences on a CIC Pro center. The procedure you use is dependent upon the activation method you want to use (e.g., automatic or manual) and where the license activation codes reside (e.g., Memory stick, CD, floppy disk, hard drive, or printed on paper):

2026419-002D CIC ProTM Clinical Information Center 4-5

Configuration: Activating software licenses

This section describes the procedures required to activate licenses during the installation of a new CIC Pro center or for activating licenses at a later date.

Automatic activation methods:

 “Activate licenses (automatically) via a USB Memory stick”.  “Activate licenses (automatically) via a service laptop”.

Manual activation method:

 “Activate licenses (manually) via the Activation Code Summary Sheet”.

CIC Pro center license activation requirements

Before attempting to activate licenses, be sure the CIC Pro center meets the following requirements:

 The CIC Pro center software V5.0.x is installed on the device you want to

activate licenses on.

 The CIC Pro center V5.0.x software is running.  The serial number of the CIC Pro center you want to activate licenses on

matches the serial number used in the license activation codes. The serial number is displayed in the upper right-hand corner of the CIC Pro center application window. The serial number is also printed on the equipment label located on the back panel of the processor box. It can also be viewed via Webmin (Configuration > Remote Service > Configuration).

Activate licenses (automatically) via a USB Memory stick

Use this procedure when the license activation codes are available on a USB Memory stick.

This section describes the procedures required to activate licensing options during the installation of a new CIC Pro center or for activating licenses at a later date:

 “Gather the required tools and equipment”.  “If necessary, format a blank USB Memory stick and copy the SNO.txt file”.  “Insert the USB Memory stick containing the SNO.txt file into the CIC Pro

center’s USB port”.

 “Display the CIC Setup window and menu”.  “Activate the licenses”.  “Compare the list of purcha sed licenses to those activated on the CIC Pro

center”.

 “Remove the USB Memory stick and store it in a safe place”.  Restart the CIC Pro center.

Gather the required tools and equipment

The following items are required to activate the licenses on this CIC Pro center using a USB Memory stick:

 NTFS formatted USB Memory stick containing the serialized option activation

SNO.txt codes (generated by the option activation tool), matching the serial number of your CIC Pro center.

 (If necessary) Blank USB Memory stick and access to the SNO.txt codes

4-6 CIC ProTM Clinical Information Center 2026419-002D

Configuration: Activating software licenses

(generated by the option activation tool).

 “Activation Code Summary Sh eet” listing the serialized activation codes

matching the serial number of your CIC Pro center.

NOTE

The “Activation Code Summary Sheet” was shipped electronically with your order. For another copy of the “Activation Code Summary sheet” or the USB Memory stick containing the license codes, contact Technical Support. For the US and Canada, call 800.558.7044. For outside the US and Canada, contact your local GE representative or distributor.

If necessary, format a blank USB Memory stick and copy the SNO.txt file

This section describes the procedures required to prepare a blank USB Memory stick for activating licenses on a CIC Pro center:

 “Verify the USB Memory stick uses the NTFS file format”.  “To format the USB Memory stick using a Wi ndows XP laptop”.  “To format the USB Memory stick using a Wi ndows 2000 laptop”.  “Copy the SNO.txt license file to the blank NTFS formatted USB Memory

stick”.

Verify the USB Memory stick uses the NTFS file format

1. Insert the blank USB Memory stick into one of the service laptop’s USB ports.

2. Complete the following steps to verify the blank memory stick uses the NTFS file format:

a. From the Windows Explorer, right-click on the Removable Disk drive

containing the USB Memory stick.

b. From the displayed right-click menu, click Properties. c. From the General tab, next to File System, verify NTFS is displayed. d. If NTFS is not displayed, format the USB Memory stick according to the

operating system of your service laptop.

e. If NTFS is displayed, “Copy the SNO.txt license file to the blank NTFS

formatted USB Memory stick” on page 4-8.

To format the USB Memory stick using a Windows XP laptop

Complete the following steps to apply the NTFS file format the USB Memory stick using a Windows XP service laptop:

1. From the Windows Explorer, right-click on the Removable Disk drive containing the USB Memory stick.

2. From the displayed right-click menu, click Properties > Hardware.

3. Choose the USB drive and click Properties > Policies.

4. Next to Optimize for Performance option, click to fill the radio button.

5. Click OK to close the Policies window and click OK again to close the Properties window.

2026419-002D CIC ProTM Clinical Information Center 4-7

Configuration: Activating software licenses

6. From the Windows Explorer window, right-click on the disk drive containing the USB Memory stick.

7. From the displayed right-click menu, click Format. A Format window displays.

8. Under File System, click the down arrow and choose NTFS from the displayed list.

9. Click Start. A warning message displays.

10. Verify that this is the USB drive you want to format. Then, click OK to begin formatting.

To format the USB Memory stick using a Windows 2000 laptop

Complete the following steps to apply the NTFS file format to the USB Memory stick using a Windows 2000 service laptop:

1. From the Windows Explorer, right-click on the Removable Disk drive containing the USB Memory stick.

2. From the displayed right-click menu, click Format. A Format window displays.

3. Under File System, click the down arrow and choose NTFS from the displayed list.

4. Click Start. A warning message displays.

5. Verify that this is the USB drive you want to format. Then, click OK to begin formatting.

Copy the SNO.txt license file to the blank NTFS formatted USB Memory stick

Access the SNO.txt file specific to your CIC Pro center’s serial number (available from the option activation tool).

Complete the following procedure to copy the SNO.txt file to the NTFS formatted USB memory stick:

1. Insert the blank, NTFS formatted USB memory stick into one of the CIC Pro center’s USB ports.

2. Navigate to where you stored the SNO.txt file.

3. Open the SNO.txt file and confirm the SNO.txt file displays the CIC Pro center serial number that is identified in the “Gather the required tools and equipment” on page 4-6.

4. Use the Windows File Save As... function to save the SNO.txt file to the blank USB memory stick. The CIC Pro center’s USB port is typically drive F:\.

5. Write the serial number of the CIC Pro center on the outside of the USB Memory stick.

4-8 CIC ProTM Clinical Information Center 2026419-002D

Configuration: Activating software licenses

Insert the USB Memory stick containing the SNO.txt file into the CIC Pro center’s USB port

1. Confirm the serial number on the memory stick matches the serial number of the CIC Pro center you are activating licenses on.

2. Insert the NTFS formatted memory stick into one of the USB ports on the back panel of the CIC Pro center.

Display the CIC Setup window and menu

From the multi-patient viewer, click Setup CIC to display the CIC Setup window and menu.

CIC Setup menu

645A

Display the Licensing window

 From the multi-patient viewer, click Setup CIC > Licensing. The Licensing

window displays.

NOTE

If no licenses have been installed on this CIC Pro center, no option

2026419-002D CIC ProTM Clinical Information Center 4-9

Configuration: Activating software licenses

activation codes are listed and the activation icons appear red in color.

Item Description

1 License Name The licensing options available for activation. 2 Serial number The serial number of this CIC Pro center. 3 Activation Code The activation code for each license activated on

this CIC Pro center. A license is activated when an activation code

displays and the activation icon appears green in color.

4 Install Licenses...

 Activate purchased licenses.

button

5 Activation icons The activation level of each license on this CIC

Pro center:

 Green = activated.  Red = not activated.

607A

4-10 CIC ProTM Clinical Information Center 2026419-002D

Configuration: Activating software licenses

Activate the licenses

Complete the following procedure to automatically activate the licenses purchased for this CIC Pro center:

1. From the Licensing window, click the Install Licenses button.

2. Navigate to the directory on the USB Memory stick where the <Sno>.txt file is stored.

3. Click Open. After a short delay, the following message displays, “All available Licenses for this Serial Number Installed”.

4. Click OK. The Licensing window on the CIC Pro center should now display the option activation codes for the activated licenses.

Compare the list of purchased licenses to those activated on the CIC Pro center

Complete the following procedure to confir m all purchased licenses fo r this CIC Pro center have been activated:

1. Get the “Activation Code Summary Sheet” that matches the serialized USB Memory stick and the serial number of your CIC Pro center.

2. Compare that all of the licences identified on the “Activation Code Summary Sheet” were activated on the CIC Pro center. A license is activated when an activation code displays and the activation icon appears green in color.

Activation code summary sheet

CIC Setup > Licensing window

Green colored activation icons

Remove the USB Memory stick and store it in a safe place

607A

1. From the Windows system tray, left-click the (Unplug or Eject) icon to safely stop running the USB Memory stick. The Safe Eject window displays.

2. Choose the drive running the USB Memory stick. Typically, this is Drive F:\ on the CIC Pro center.

3. Click OK.

4. Remove the USB Memory stick from the USB port.

2026419-002D CIC ProTM Clinical Information Center 4-11

Configuration: Activating software licenses

5. Store the USB Memory stick and the “Activation Code Summary Sheet” in a safe and accessible location. In the event of a hard drive failure, the option activation codes on this USB Memory stick are required for disaster recovery.

6. Restart the CIC Pro center. You must restart before you can use any of the newly activated features. For more information, refer to “Safe shutdown or

restart procedure” on page 7-11.

Activate licenses (automatically) via a service laptop

Use this procedure when the license activation codes are retrieved from a service laptop via a USB Memory stick, CD, floppy disk, or the service laptop’s hard drive.

This section describes the procedures required to activate licensing options during the installation of a new CIC Pro center or for activating licenses at a later date:

 “Gather the required tools and equipment”.  “Prepare the CIC Pro center”.  “Prepare the service laptop”.  “Activate the licenses”.  “Restore the service laptop”.  “Store the media containing the SNO.txt file in a safe place”.  Restart the CIC Pro center.

Gather the required tools and equipment

The following tools and equipment are required:

 Service laptop (PC laptop or desktop computer) equipped with an

Ethernet network card and running Windows

 Ethernet crossover cable.  CD, floppy disk, or hard drive space to copy a text file.

 Access to the SNO.txt license activation file. This file may be stored on the

NTFS-formatted USB Memory stick.

Prepare the CIC Pro center

 The CIC Pro center must be running.

Prepare the service laptop

This section describes the procedures required to prepare the service laptop for activating licenses on the CIC Pro center:

 “Connect the crossover cable to the CIC Pro center’s Unity Network IX

network port”.

 “Record the CIC Pro center’s IP addresses and configure the service laptop’s IP

addresses to match”.

NT, 2000, or XP.

4-12 CIC ProTM Clinical Information Center 2026419-002D

Configuration: Activating software licenses

Connect the crossover cable to the CIC Pro center’s Unity Network IX network port

 Connect the crossover cable from the service laptop’s Ethernet port to the CIC

Pro center’s IX network port.

Record the CIC Pro center’s IP addresses and configure the service laptop’s IP addresses to match

NOTE

The network domain information (network IP addresses) of the two connected devices must match before you can interface between the service laptop and the CIC Pro center.

Complete the following procedure to first record the CIC Pro center’s network IP addresses. Then, configure the service laptop’s network IP addresses to match:

1. From the Network and Dial-Up Connections window, right-click the network port (used to connect to the CIC Pro center) and select Properties.

2. Choose Internet Protocol (TCP/IP) and click Properties.

3. If the IP address of the port is static (the Use the following IP address radio button is filled), record the IP address information for the service laptop in the spaces provided below.

NOTE

The service laptop may not have values for all settings listed.

Service laptop static IP address Information

Static IP setting Record the IP setting values below

IP Address Subnet Mask Default Gateway

NOTE

The network adapter settings will be restored once the service laptop is disconnected from the CIC Pro center.

4. Next to Use the following IP address, click to fill the radio button to select it.

5. Type 192.168.2.1 into the IP address field.

6. Type 255.255.255.0 into the Subnet mask field.

7. Click OK.

8. Click OK again to exit the Properties window.

9. If you are using a service laptop running a Windows NT operating system, restart the service laptop with the crossover cable connected to the CIC Pro center.

2026419-002D CIC ProTM Clinical Information Center 4-13

Activate the licenses

Configuration: Activating software licenses

Log on to the Webmin service interface

If not already logged on to the Webmin service interface, see “Log on to the local

Webmin service interface” on page 5-6 or “Log on to the remot e We bmin service interface” on page 5-6.

Display the Licensing window

1. From the Webmin application window, click Configuration. The Configuration window displays.

2. From the Configuration window, click the Licensing link. The Licensing window displays.

608B

625B

4-14 CIC ProTM Clinical Information Center 2026419-002D

Configuration: Activating software licenses

Navigate to the SNO.txt file and update the licenses

Complete the following procedure to navigate to where the license activation codes are stored and update the licenses of this CIC Pro center:

1. Use the vertical scroll bar to scroll down to the bottom of the Add/Remove Feature Activation Codes window.

2. Click Browse... and navigate to where you stored the SNO.txt license activation file on the service laptop.

3. Click Upload to load the licenses on this CIC Pro center.

4. Click Logout to close the Webmin service interface.

Restore the service laptop

Disconnect the crossover cable from the CIC Pro center’s Unity Network IX network port

 Disconnect the crossover cable from the service laptop’s Ethernet port and the

CIC Pro center’s IX network port.

Store the media containing the SNO.txt file in a safe place

Store the media containing the SNO.txt file and the “Activation Code Summary Sheet” in a safe and accessible location. The option activation codes are required for

disaster recovery. You must restart the CIC Pro center.

635B

2026419-002D CIC ProTM Clinical Information Center 4-15

Configuration: Activating software licenses

Activate licenses (manually) via the Activation Code Summary Sheet

Use this procedure when the license activation codes reside on the printed “Activation Code Summary Sheet.”

This section describes the procedures required to type the activation codes (printed on the “Activation Code Summary Sheet”) into the Activation Code data fields:

 “Gather the required tools”.  “Log on to the Webmin service interface”.  “Display the Licensing window”.  “Type the activation codes into the Activation Code dat a fields”.  Restart the CIC Pro center.

Gather the required tools

You must have the printed “Activation Code Summary Sheet” that matches the serial number of the CIC Pro center you are the activating the options on.

Log on to the Webmin service interface

If not already logged on to the Webmin service interface, see “Log on to the local

Webmin service interface” on page 5-6 or “Log on to the remot e We bmin service interface” on page 5-6.

4-16 CIC ProTM Clinical Information Center 2026419-002D

Configuration: Activating software licenses

Display the Licensing window

1. From the Webmin application window, click Configuration. The

2. From the Configuration window, click the Licensing link. The Licensing

Configuration window displays.

608B

window displays.

625B

Type the activation codes into the Activation Code data fields

Complete the following procedure to type the activation codes for each purchased license:

1. Next to the license you want to activate, type the activation code into the Activation Code field. See the “Activation Code Summary Sheet”.

2. Click Activate to activate the license on this CIC Pro center.

2026419-002D CIC ProTM Clinical Information Center 4-17

Configuration: Setting the network IP address

3. Repeat step 1 and step 2 until you have activated all of the purchased licenses.

4. Restart the CIC Pro center. For more information, refer to “Safe shutdown or

restart procedure” on page 7-11.

To remove an activated license

 Next to the license you want to remove, click Remove. The message, This

option has been removed displays.

Store the Activation Code Summary Sheet in a safe place

Store the “Activation Code Summary Sheet” in a safe and accessible location. In the event of a hard drive failure, the option activation codes on this “Activation Code Summary Sheet” are required for disaster recovery.

Setting the network IP address

This section describes the procedures required to configure the CIC Pro center’s IP address and computer name:

 “Get the site survey workbook for this care area”  “Log on to the Webmin service interface” on page 4-18  “Display the Configuration window”  “Set the IP address”

Get the site survey workbook for this care area

You will need the site survey work book in order to set the CIC Pro center’s IP addresses required for your network domain.

Log on to the Webmin service interface

If not already logged on to the Webmin service interface, see “Log on to the local

Webmin service interface” on page 5-6 or “Log on to the remot e We bmin service interface” on page 5-6.

Display the Configuration window

 From the Webmin application window, click Configuration. The

4-18 CIC ProTM Clinical Information Center 2026419-002D

Set the IP address

Configuration: Setting the network IP address

Configuration window displays.

608B

WARNING

Duplicate IP addresses will cause erratic system communication and data loss! Be extremely careful not to assign the same IP address to two different devices.

1. From the Configuration window, click the Network link. The Network window displays.

609B

2. Under Unity MC, if the site uses a custom Unity Network MC network addressing scheme (e.g., not 126.x.x.x scheme), change the Unity Network MC network IP address so that it is unique on the network.

NOTE

The default IP address settings are recommended. See the site survey workbook for the IP address values.

NOTE

Typically, the Unity MC > Subnet Mask setting should remain at the

2026419-002D CIC ProTM Clinical Information Center 4-19

Configuration: Installing or deleting a network laser printer

default setting 255.0.0.0. See the site survey workbook.

3. Under Unity IX, enter the IP Address, Subnet Mask, and Default Gateway settings according to the values identified in the site survey workbook.

NOTE

Typically, the Unity IX > Subnet Mask setting should remain at

255.255.255.0. See the site survey workbook.

NOTE

A route must exist from the Unity IX network to other CIC Pro centers, Citrix servers, browser services, and the Internet for InSite 2.0 Digital Services.

NOTE

The Unity IX IP address must be open to the internet before the browser can access internet web addresses (external to the hospital network). Contact your hospital IT Administrator.

4. If the Unity Network IX network IP Address or Subnet Mask has been changed, replace the label on the CIC Pro center cover with a new label displaying the IP address and subnet mask value(s).

5. Under DNS Settings, enter the Primary DNS and Secondary DNS settings according to the values identified in the site survey workbook.

NOTE

DNS addresses can be used for browser sources and for InSite 2.0 configuration only.

6. Click Save.

7. Complete any other pending CIC Pro center configuration procedures, if required.

8. From the Windows taskbar, click Start > Shut Down > Restart and press Enter.

NOTE

You must restart the CIC Pro center for the new IP address settings to take effect.

Installing or deleting a network laser printer

This section describes the procedures required to install or delete a network laser printer:

 “Log on to the Webmin service interface” on page 4-21.  “Display the Printers window” on page 4-21.  “Install a network laser printer” on page 4-22.  “Delete a laser printer” on page 4-23 .

NOTE

The following installation procedure requires a Unity Network IX network connection. See “Setting the network IP address” on page 4-18.

NOTE

The following procedure only applies when the printer TCP/IP scheme follows Unity Network IX network IP addressing factory defaults (192.168.x.x), and the printer is physically located on the Unity Network IX network. When the

4-20 CIC ProTM Clinical Information Center 2026419-002D

Configuration: Installing or deleting a network laser printer

printer uses a custom TCP/IP addressing scheme, refer to the site survey for resolving TCP/IP values.

Log on to the Webmin service interface

If not already logged on to the Webmin service interface, see “Log on to the local

Webmin service interface” on page 5-6 or “Log on to the remot e We bmin service interface” on page 5-6.

Display the Printers window

1. From the Webmin application window, click Configuration. The Configuration window displays.

608B

2. From the Configuration window, click the Printers link. The Printers window displays.

610B

2026419-002D CIC ProTM Clinical Information Center 4-21

Configuration: Installing or deleting a network laser printer

Install a network laser printer

1. With the laser printer physically connected to the Unity Network IX network , turn on the power to the laser printer.

2. Under the Printers link, click the Install Laser Printer link. The Install Laser Printer window displays.

611B

3. Type the IP address assigned to the printer (e.g., 192.168.x.x) into the Printer’s IP Address field.

NOTE

If the addressing scheme has been changed from factory defaults, the assigned addresses must be tracked and maintained at the site. This includes printers. The above scheme only applies when the Unity Network IX network IP addressing has not changed from the factory defaults or when the printer is not connected to your hospital’s network.

4. Click the down arrow next to Printer Type to display a list of supported printers. The supported printers include:

 HP LaserJet 4050 Series PS  HP LaserJet 4250 PS  HP LaserJet 2430 PS  HP LaserJet 2430 PS (USB)  HP LaserJet 4100 Series PS  HP LaserJet 4200 PS  HP LaserJet 4000 Series PS  HP LaserJet 4300 Series PS

CAUTION

Do NOT install HP LaserJet 2430 USB printers via this service interface. For HP LaserJet 2430 USB printer support, refer to

“Installing or deleting a USB laser printer” on page 4-24.

5. If desired, type a name for the printer into the Printer Name field (29 character limitation).

4-22 CIC ProTM Clinical Information Center 2026419-002D

Configuration: Installing or deleting a network laser printer

Delete a laser printer

NOTE

If a printer name isn’t specified, the printer type will be used as the printer’s name.

6. If desired, enter a comment about the printer into the Comment field. (29 character limitation).

7. Click the down arrow next to Test Page and choose Yes to print a test page. This step is strongly recommended.

8. Click Submit. The installed printer displays in the printer list.

612A

Complete the following procedure to delete a network laser printer:

1. Under the Printers link, click the Delete Laser Printer link. The Delete Laser Printer window displays.

613A

2. Under Select the printer to delete, click the down arrow to display a list of printer names.

3. Choose the printer you want to delete from the displayed list.

4. Click Submit. The printer is deleted fro m the printer list.

614A

2026419-002D CIC ProTM Clinical Information Center 4-23

Configuration: Installing or deleting a USB laser printer

Installing or deleting a USB laser printer

The CIC Pro center v5 only supports the HP LaserJet 2430 USB printer as a plug and play printer. This printer does not require any special installation. As long as the printer is connected to the CIC Pro center, it is readily available for configuration at the CIC Setup.

Configuring for Remote Service access

The CIC Pro center is capable of remote service using InSite 2.0. Digital Services. See the site survey workbook for required configuration information.

This section describes the procedures required to view the Remote Service settings and to enable or disable the Remote Service Agent:

 “Log on to the Webmin service interface”.  “Display the Remote Service window”.

Log on to the Webmin service interface

If not already logged on to the Webmin service interface, see “Log on to the local

Webmin service interface” on page 5-6 or “Log on to the remot e We bmin service interface” on page 5-6.

4-24 CIC ProTM Clinical Information Center 2026419-002D

Configuration: Configuring for Remote Service access

Display the Remote Service window

1. From the Webmin application window, click Configuration. The Configuration window displays.

2. From the Configuration window, click the Remote Service link. The Remote Service links display.

608B

637B

View the Remote Service > Configuration data

Complete the following procedure to view the Remote Service > Configuration data:

 Under Remote Service, click the Configuration link. The Remote Service

2026419-002D CIC ProTM Clinical Information Center 4-25

Configuration: Configuring for Remote Service access

Configuration window displays.

The following table summarizes the Remote Service Configuration data fields:

Remote Service Configuration settings

638B

Item Description Comments

HTTP Proxy Server Configuration Address Port Username and Password Scheme

 If this site uses an HTTP proxy server,

a specific site proxy server IP Address and Port number are required for the Remote Service communication to work. Otherwise, None is selected.

 If the HTTP proxy server requires user

authorization, a specific Username, Password, and authorization Scheme

(e.g., Basic, Digest, or NTLM) is required. Otherwise, None is selected.

Remote Service Configuration System ID Identify the system to the GE backoffice

servers.

Serial Number Identify the unit and is determined at the

time of manufacture.

Enterprise URL Designate the address of the GE

backoffice servers required to communicate with the Remote Service

Agent.

Enterprise Tunnel URL Designate the address of the GE

backoffice servers required to communicate with the tunneling agent.

These values are determined during the site survey. See the site survey workbook.

These values are read-only and are unique.

This address should never be changed unless explicit instructions are given to do so.

4-26 CIC ProTM Clinical Information Center 2026419-002D

Configuration: Setting up a Citrix client

Remote Service Configuration settings

Item Description Comments

Protocol Designate the protocol required to

communicate with the enterprise servers.

Remote Desktop Enable a remote screen-sharing for a GE

Technical Support view of the two clinical displays for diagnosing problems with the CIC Pro center or Unity Network.

Enable or disable the Remote Service Agent

After a GE Field Engineer (FE) has configured your CIC Pro center for remote serviceability, this option must be enabled for use.

Complete the following procedure to enable or disable the Remote Service Agent:

1. Under Remote Service, click Control. The Remote Service Controls window displays.

This field is read-only and cannot be changed.

This is a view-only option. If No is selected, then GE Technical Support will not be able to view.

639B

2. Under Remote Service Controls, complete one of the following tasks:

 To enable the Remote Service Agent, click Enable.  To disable the Remote Service Agent, click Disable.

3. Click Save to save your changes.

Setting up a Citrix client

When your facility supports a Citrix server, you can set up a Citrix client on the CIC Pro center.

This sections describes the procedures required to set up a Citrix client:

 “Log on to the Webmin service interface”  “Display the Citrix window”

2026419-002D CIC ProTM Clinical Information Center 4-27

Configuration: Setting up a Citrix client

 “Enter the Citrix configuration info rm ation”

Log on to the Webmin service interface

If not already logged on to the Webmin service interface, see “Log on to the local

Webmin service interface” on page 5-6 or “Log on to the remot e We bmin service interface” on page 5-6.

Display the Citrix window

1. From the Webmin application window, click Configuration. The Configuration window displays.

2. From the Configuration window, click the Citrix link. The Citrix Configuration window displays.

Enter the Citrix configuration information

1. Get the Citrix configuration information for the Citrix server from the hospital’s information technologies (IT) or biomedical engineering department.

608B

615B

2. From the Citrix Configuration window, type the applicable information into the displayed data fields.

4-28 CIC ProTM Clinical Information Center 2026419-002D

Configuration: Browser Configuration

3. In the width and height fields, type an appropriate numeric value to define the display size of the Citrix application window:

 The approximate width x height default settings for a full-page application

(on a secondary display) is 1280 x 900.

 The approximate width x height default settings for a half-page application

is 1280 x 280.

NOTE

When you define both the width and height values for the displayed Citrix application window, scroll bars allow you to move through the displayed information.

Scroll bars are not provided in the Citrix application window unless you enter numeric values for both the width and the height fields.

When you leave the width and height fields empty, the Citrix application automatically resizes itself to fit the default page size of the CIC Pro center.

4. Click Save. Your changes will not take affect until the CIC Pro center is rebooted.

Browser Configuration

This section describes the procedures required to set up, configure the Internet browser and add or delete browser favorites on the CIC Pro center.

Configure the CIC Pro center’s internet connection properties

Before you set up your initial Browser favorite, you must first configure the CIC Pro center’s internet connection properties.

This section describes the procedures required to configure the CIC Pro center’s internet connection properties:

 “Log on to the Service mode service interface”.  “Display the Browser window”.  “Configure the Internet Properties”.

Log on to the Service mode service interface

 See “Log on to the Service mode” on page 5-5.

WARNING

2026419-002D CIC ProTM Clinical Information Center 4-29

Display the Browser window

Configuration: Browser Configuration

1. From the Multi-patient viewer, click Browser. The Browser window displays.

641A

The following table identifies the icons you click to navigate the Browser. window:

Icon Description

Back navigation button.

 Return to previous (cached) webpage.

Forward navigation button.

 Advance to next (cached) webpage.

Stop button.

 Stop the webpage loading process.

Reload button.

 Reload the current webpage.

Home button.

 Go to the home webpage. To set a home page, see “Browser

Configuration” on page 4-29.

Print button.

 Print the current webpage.

Internet properties button.

 Configure the internet options for the CIC Pro center.

Favorites button.

 View the list of webpage shortcuts (favorites) displayed on the

right side of the browser. To change the list of displayed favorites, see “Browser Configuration” on page 4-29.

4-30 CIC ProTM Clinical Information Center 2026419-002D

Configuration: Browser Configuration

Configure the Internet Properties

1. From the Browser window, double-click the (internet properties) icon to display the Internet Properties window.

WARNING

LOSS OF MONITORING — If the browser funct i o n 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 center is restored.

When using the browser, follow these restrictions:

 Do NOT attempt to access the file systems of the CIC Pro

center 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.

NOTE

The internet options icon will not be selectable unless you first log on to the CIC Pro center in the Service mode.

2. In the Address field, in the Home Page section enter the internet address you want for your browser home page, or select Use Blank. Click OK.

NOTE

When Internet Explorer starts, the browser displays the specified Home Page.

3. Enter the Automatic configuration script or Proxy server address and port according to the hospital IT Administrator. Click OK

2026419-002D CIC ProTM Clinical Information Center 4-31

Configuration: Browser Configuration

NOTE

Before the browser can access internet web addresses (external to the hospital network), a connection for the Unity Network IX network to the internet is required. Contact the hospital IT Administrator.

4. Click the Connections tab. The Connections window displays.

642A

5. Under Local Area Network (LAN) settings, click LAN Settings... The Local Area Network (LAN) settings window displays. Then, enter the Automatic configuration script or the Proxy server address.

NOTE

Before you can access internet or intranet web addresses, you must contact the hospital’s IT department.

6. Under Automatic Configuration, deselect (click to remove the check mark from the check box) the Automatically detect settings and Use automatic configuration script options.

7. Click OK to close the Local Area Network (LAN) settings window.

8. Click OK again to close the Internet Properties window.

4-32 CIC ProTM Clinical Information Center 2026419-002D

Configuration: Browser Configuration

Adding or deleting a browser favorite

This section describes the procedures required to add or delete a browser favorite:

 “Log on to the Webmin service interface”.  “Display the Browser window”.  “Add a browser favorite”.  “Delete a browser favorite”.

Log on to the Webmin service interface

If not already logged on to the Webmin service interface, see “Log on to the local

Webmin service interface” on page 5-6 or “Log on to the remot e We bmin service interface” on page 5-6.

Display the Browser window

1. From the Webmin application window, click Configuration. The Configuration displays.

608B

2. From the Configuration window, click the Browser link. The Browser window displays.

623B

2026419-002D CIC ProTM Clinical Information Center 4-33

Configuration: Configuring the clinical application, telemetry, and care unit settings

Add a browser favorite

Complete the following procedure to add a browser favorite:

1. Under Please enter a name for this favorite, type the name that will identi fy this website in the browser’s Favorites menu.

2. Under Please enter an IP address or URL (webpage address), type the internet address (IP address) of this website.

3. Under Please select a favorite type, click to fill the radio button next to the type of browser favorite this is.

4. If necessary, click Reset to clear the fields and selections in this window and start again.

5. Click Create Favorite. A message similar to the following displays:

624A

6. Click the link to test the URL of this website.

7. Click Logout to log out of the Webmin service interface.

Delete a browser favorite

Complete the following procedure to delete a browser favorite:

1. From the Browser window, right-click on the favorite link you want to delete.

2. Click Delete. A Confirm File Delete message displays.

3. Click Yes to delete this browser favorite.

Configuring the clinical application, telemetry, and care unit settings

This section describes the procedures required to configure the clinical application, telemetry, and care unit settings protected by the Service mode password:

 “Display the CIC Setup window and menu”.  “Log on to the Service mode service interface”.  “Configure the CIC Defaults settings”.  “Configure the Telemetry Unit Defaults Settings”.  “Set the Full Disclosure Defaults”.  “Set the Display Configuration”.  “Set the Current Telemetry Listings”.

4-34 CIC ProTM Clinical Information Center 2026419-002D

GE CIC Pro Service Manual

Specifications and Main Features

Frequently Asked Questions

User Manual

1 Introduction

Equipment information

License agreement

Safety information

Responsibility of the manufacturer

General

Hazard definitions

CIC Pro center hazards

Equipment symbols

Service requirements

Equipment identification

Manual information

Manual purpose

Intended audience

Conventions used

Revision history

2 Equipment overview

Standard components

Primary display

Processor box

Controls

Indicator

Optional components

Secondary display

Touchscreen display

Remote display with speakers

Laser printer

PRN 50-M digital writer

Un-interruptible power supply (UPS)

Theory of operation

Functional description

Physiological data

File or data management

Licensing

Full disclosure

Networking

Patient monitoring network

Web access server network

Patient data interface

Multi-patient viewer

Single patient viewer

Patient data

Real-time patient data

Stored patient data

Service interfaces

3 Installation

The installation process

Completing the pre-installation requirements

Complete a site survey

Complete product training

Gather required tools

Verify proper operating conditions

Verify care unit software and hardware compatibility

Verify proper electrical grounding

Verify the use of an un-interruptible power supply (UPS)

Verify the equipment is undamaged

Installing the equipment in the care unit

Mount the equipment

Connect the cables and peripheral devices

Turn on the power

Configure the CIC Pro center

4 Configuration

The configuration process

Software licenses

Available licenses

CIC Pro center full disclosure license management setup

Activating software licenses

CIC Pro center license activation requirements

Activate licenses (automatically) via a USB Memory stick

Activate licenses (automatically) via a service laptop

Activate licenses (manually) via the Activation Code Summary Sheet

Setting the network IP address

Get the site survey workbook for this care area

Log on to the Webmin service interface

Display the Configuration window

Set the IP address