NOTE: Due to continuing product innovation, specifications in this manual are subject to change without notice.
Listed below are GE Medical Systems Information Technologies trademarks used in this manual. All other trademarks
contained herein are the property of their respective owners.
UNITY NETWORK, ApexPro, CD TELEMETRY, and RSVP are trademarks of GE Medical Systems Information Technologies registered in the United States Patent and Trademark Office.
CD TELEMETRY
®
–LAN, CENTRALSCOPE, CIC Pro, ICMMS, Prism, Octacomm, and Octanet are trademarks of GE
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 MEDICAL SYSTEMS INFORMATION TECHNOLOGIES
(“INFORMATIONTECHNOLOGIES”) 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 Medical Systems Information Technologies AND YOU
WILL RECEIVE A REFUND OF THE PURCHASE PRICE.
Introduction: License Agreement
I.GRANT
The Program is capable of coupling one to sixteen patient monitoring units to
the Workstation. GE Medical Systems Information Technologies 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 W orkstation for which a
per-unit royalty has been paid pursuant to Article II hereof.
II.ROYALTY
You have paid GE Medical Systems Information Technologies a one-time, perunit 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 Medical Systems Information
Technologies an additional per-unit 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 Medical Systems Information Technologies within
30 days of the use of the Program to couple any such additional patient
monitoring units to the Workstation.
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
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Introduction: License Agreement
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 Medical Systems Information Technologies.
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 Medical Systems Information Technologies 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 Information Technologies is the cause of the defect,
error or non-conformity.
C. Except as stated above, the warranty covering the Program and the
Workstation shall be either Information Technologies Standard Warranty or
Limited Extended Parts Warranty as published by Information Technologies
and hereby made a part hereof.
D. EXCEPT FOR THE EXPRESS WARRANTIES STATED HEREIN, GE
Medical Systems Information Technologies DISCLAIMS ALL
WARRANTIES WITH REGARD TO THE PROGRAM INCLUDING
IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR
A PARTICULAR PURPOSE.
E. GE Medical Systems Information Technologies entire liability to you arising
out of or in connection with this Agreement shall not exceed the per-unit
royalty paid to GE Medical Systems Information Technologies for use of the
Program. You acknowledge that the amount paid to Information
Technologies for use of the Program is insufficient for Information
Technologies to undertake any greater risk. IN NO EVENT SHALL
INFORMATION TECHNOLOGIES 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 INFORMATION TECHNOLOGIES HAS BEEN ADVISED OF THE POSSIBILITY OF
SUCH DAMAGES.
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Introduction: License Agreement
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.
Revision DCIC Pro1-5
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Manual Information
Revision History
Each page of this manual has the document part number and revision letter at the
bottom of the page. The revision letter identifies the document’s update level. The
revision history of this document is summarized below.
Introduction: Manual Information
RevisionComment
AInitial release.
BChanges to part numbers and descriptions for Field Replacement Units;
Removal of components from BCM Server BOM. Changes to Parallel
Printer configuration description.
Changes to Log file utilities descriptions.
CAdded System Resource Mon itor section to Maintenance chapter; a dded
explanation of using Alt + F4 key sequence to reboot CIC Pro affected by
low system resources.
DUpdated theory of operation and added Webmin Asset Management
information.
Manual Purpose
Intended Audience
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.
This manual is intended for service representatives and technical personnel who
maintain, troubleshoot, or repair this equipment.
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Introduction: Safety Information
Safety Information
Responsibility of the Manufacturer
GE Medical Systems Information Technologies is responsible for the effects of
safety, reliability, and performance only if:
assembly operations, extensions, readjustmen ts, m odi fications, or repairs are
carried out by persons authorized by GE Medical Systems Information
Technologies;
the electrical installation of the relevant room complies with the requirements of
the appropriate regulations; and
the device is used in accordance with the instructions for use.
Intended Use
These devices are intended for use under the direct supervision of a licensed
health care practitioner.
These devices are not intended for home use.
Federal law restricts these devices to be sold by or on the order of a physician.
Contact GE Medical Systems Information Technologies 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.
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 this equipment may lead to a reduced level of safety of the
resulting system. Consideration relating to the choice shall include:
use of the accessory in the PATIENT 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 standard.
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.
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Hazard Definitions
Definitions
Introduction: Safety Information
Warnings and cautions are used throughout this manual to designate a degree or
level of hazardous situations. Hazard is defined as a source of potential injury to a
person.
WARNING
A WARNING indicates a potential hazard or unsafe practice
which, if not avoided, could result in death or serious injury.
CAUTION
A CAUTION indicates a potential hazard or unsafe practice
which, if not avoided, could result in minor personal injury or
product/property damage.
Messages
NOTE
A NOTE provides application tips or other useful information to assure that you
get the most from your equipment.
WARNINGS
LOSS OF MONITORING — If the monitoring at the CIC Pro is
temporarily interrupted, alternate monitoring devices or close
observation should be used until the monitoring function at the
CIC Pro is restored.
Indications of a loss of the monitoring function at the CIC Pro are
as follows.
RED SCREEN (RED/GRAY screen for second monitor in
dual-display configured systems) indicates the CIC Pro
application is restarting itself and patient monitoring at the
CIC Pro is NOT occurring. The monitoring function at the
CIC Pro will automatically resume. No user action is
required.
BLUE SCREEN indicates the Windows NT operating system
has a functional error and patient monitoring at the CIC Pro is
NOT occurring. If the CIC Pro does not automatically restart
after 60 seconds, the monitoring function at the CIC Pro will
not resume until you turn off the power to the CIC Pro and
then turn the power back on. The monitoring function should
resume in approximately 3 to 4 minutes.
Once the monitoring function at the CIC Pro has been restored,
you should verify the correct monitoring state and alarm function.
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Introduction: Safety Information
WARNINGS
CIC Pro V4.0.x is NOT in-unit compatible with prior versions of
CIC Pro or any version 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. Additionally, CIC Pro V4.0.x
cannot access full-disclosure data on CIC Pro V3.x units.
(CIC Pro v4.0.7 Only) Care units running more than one CIC Pro
must complete the procedure “Care Units with Multiple CIC Pros
Telemetry Defaults Upgrade” on page 3-53 after performing the
upgrade procedure. Failure to perform this procedure creates a inunit incompatibility situation which can result in lost or corrupted
telemetry alarm defaults data and loss of audible alarms.
ApexPro v3.X is not compatible with prior versions of ApexPro
within the same facility. If one ApexPro v3.X is installed at a
facility , all ApexPro installation at the same facility must be
upgraded to v3.X.
Definitions
Do not exceed a maximum of 15 CIC Pros in a single logical care
unit. Both hardwire and telemetry beds are limited in the number
of remote view connections that can be supported. Attempting
simultaneous displays of a patient monitor (bedside or telemetry)
at too many CIC Pros may cause lost or intermittent
communication between CIC Pros and the patient monitor. This is
evidenced by NO COMM or intermittent communication
conditions for the beds. The maximum CIC Pros viewing a patient
monitor can vary depending on patient monitor capabilities and
network design.
CAUTION
Do not load any software other than that specified by GE Medical
Systems Information Technologies onto the CIC Pro server.
Installation of software not specified by GE Medical Systems
Information Technologies may cause damage to the server or loss
or corruption of data.
Bold textIndicates keys on the keyboard, text to be entered, or hardware items
such as buttons or switches on the equipment.
Italic textIndicates software terms that identify menu items, buttons, or options
in various windows.
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Introduction: Safety Information
Ctrl+EscIndicates a keyboard operation. A (+) sign between the names of two
keys indicates that you must press and hold the first key while
pressing the second key once.
For example, “Press Ctrl+Esc” means to press and hold down the
Ctrl key while pressing the Esc key.
<Space>Indicates you must press the spacebar. When instructions are given
for typing a precise text string with one or more spaces, the point
where the spacebar must be pressed is indicated as: <Space>. The
purpose of the < > brackets is to ensure you press the spacebar
when required.
EnterIndicates you must press the “Enter” or “Return” key on the
keyboard. Do not type “enter”.
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Equipment Symbols
The following symbols appear on the CIC Pro computer.
ATTENTION: Consult accompanying documents before using the equipment.
KEYBOARD ICON: Denotes the keyboard port.
MOUSE ICON: Denotes the mouse port.
USB PORT ICON: Denotes the USB port. This port is NOT used on this system.
Introduction: Equipment Symbols
IOIOI
12
VGA MONITOR ICON: Denotes the VGA monitor port. This port is NOT used on this
system.
PARALLEL (PRINTER) PORT ICON: Denotes the parallel port into which the optional
laser printer is connected.
SERIAL COMMUNICATION (COM) PORT ICON: Denotes the communication (COM)
ports, used for optional service modem and optional PRN 50/PRN 50-M writer.
ETHERNET ICON: Denotes the Ethernet ports used for the Unity Network MC, Unity
Network IX, and RX network connections. The optional RX port is located on an
additional Ethernet card, and is used for connection to telemetry systems, such as
ApexPro.
SPEAKER OUT ICON: Denotes the speaker port connection.
VIDEO 1 ICON: Denotes the primary video port connection.
VIDEO 2 ICON: Denotes the secondary video port connection.
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Service Information
Service Requirements
Follow the service requirements listed below.
Refer equipment servicing to GE Medical Systems Information Technologies’
Any unauthorized attempt to repair equipment under warranty voids that
It is the user’s responsibility to report the need for service to GE Medical
Failure on the part of the responsible individual, hospi tal, or inst itut ion using
Regular maintenance, irrespective of usage, is essential to ensure that the
Equipment Identification
Introduction: Service Information
authorized service personnel only.
warranty.
Systems Information Technologies or to one of their authorized agents.
this equipment to implement a satisfactory maintenance schedule may cause
undue equipment failure and possible health hazards.
equipment is always functional when required.
Every GE device has a unique serial number for identification. A sample of the
information found on a serial number label is shown below.
### ## ## #### # #
ABCDEF
Description
A
product code
Byear manufactured
Cfiscal week manufactured
Dproduction sequence number
Emanufacturing site
Fmiscellaneous characteristic
1. The product code for the CIC Pro is AA1.
1
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Older Unit Identification
D 0 XX 0005 G XX
Introduction: Service Information
CIC Pro versions prior to version 4.0.x use the following serial number code
scheme:
Month
Manufactured
A = January
B = February
C = March
D = April
E = May
F = June
G = July
H = August
J = September
K = October
L = November
M = December
Year
Manufactured
0 = 2000
1 = 2001
2 = 2002
3 = 2003
(and so on)
Product Code
Two-character
product descriptor
Product Sequence
Number
Manufacturing
number (of total
units
manufactured)
Division
F = Cardiology
G = Monitoring
Device Characteristics
One or two letters that further
describe the unit, for example:
P = prototype not conforming to
marketing specification
R = refurbished equipment
S = special product documented
under Specials part numbers
U = upgraded unit
The Unity Network MC (Mission Critical) network is the network that is used to
connect the server systems to the monitors and to the telemetry cabinets. This
network contains all the waveforms, parameters, alarms and other time-sensitive
data. The CIC Pro server should be connected to the Unity Network MC backbone.
Unity Network IX
The Unity Network IX (Information eXchange) network is used by the network
laser printer and to interconnect the server systems for license sharing. The Unity
Network IX network is also used for the Full Disclosure option.
Unity Network RX
The UnityNetwork RX (Receiver eXchange) network is the connection to
telemetry systems (e.g. ApexPro).
Network Connections
The following tables specify the physical location of the Unity Network connections
for CIC Pro Nightshade and BCM platforms.
CIC Pro Network Connections
Unity Network
Connection
Unity Network MCEthernet Port on CPUEthernet Port marked “MC”
Unity Network IXEthernet card on back of CPUEthernet Port marked “IX”
Unity Network RXOptional ethernet card on back
Nightshade ServerBCM Server
Optional ethernet card on back
of CPU
of CPU. Port is marked “RX”
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Equipment Description: Theory of Operation
Theory of Operation
CIC Pro Functional Description
The CIC Pro application is connected to the Unity Network MC network via
Ethernet to provide real-time patient data and alarms for central nurses’ stations in
hospitals.
The CIC Pro can display real-time waveforms and vital sign data with visual and
audible alarms for up to 16 patients simultaneously. CIC Pro supports both hardwire
and telemetry data.
The software allows the user to select any bed on the Unity Network MC network
and to display an expanded view of that bed’s real-time parameters and waveforms.
This expanded view also allows the user to view and modify settings (within the
care unit) and view other patient 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.
All configuration data is stored, and is restored after a system power cycle or
software restart.
The system runs on the Microsoft Windows NT operating system (version 4.0 SP6
or later).
ApexPro Telemetry System Functional Description
The ApexPro telemetry system is connected to the Unity Network MC network via
Ethernet to provide real-time patient data and alarms for central nurses’ stations in
hospitals and also connects to a telemetry system via the Unity Network RX
network (refer to your specific telemetry system documentation for more
information).
ApexPro telemetry provides clinicians with patient physiological information while
allowing for patient mobility. The physiological parameters monitored include
ECG, non-invasive blood pressure, and SpO
to the CIC Pro for processing and display via Ethernet or the Unity Network MC
network.
. This physiological information is sent
2
How Trends are Calculated
GE Medical Systems Information Technologies systems trend two types of
physiological data: periodic and episodic.
Periodic data is constantly updated. Examples of periodic data include heart rate
(HR) and blood pressure (BP). Episodic data are events that are user or system
generated. Examples of episodic data include temperature (Temp) and non-invasive
blood pressure (NiBP).
Periodic data is sampled every two seconds to get 30 samples per minute. The value
displayed is the median of the 30 samples. Odd-number values are rounded down to
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File/Data Handling
Log Files
Equipment Description: Theory of Operation
the nearest even-number. The value is always the median of a one-minute time
frame, regardless of the interval selected. The interval simply defines which trended
data displays (i.e., five minute intervals means the trended data are one-minute
samples spaced five minutes apart, NOT five-minute samples and NOT a median of
the five one-minute samples from that period).
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.
Log files generated by the CIC Pro application, other associated applications and the
CIC Pro operating system are used during system analysis, problem diagnosis and
troubleshooting. For more information about retrieving log files, refer to the
following:
“Download Logs” on page 7-11.
“View Logs” on page 7-16.
“CIC Pro Log Files” on page 8-6.
“getlog Function” on page 8-7.
“Webmin Connection Errors” on page 8-10.
“Capture All Logs on the CIC Pro” on page 8-19.
“ApexPro Application Log Files” on page 8-27.
RWHAT Packets
Storage
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
and Unity network protocol messages are created. The operating system services are
used to transmit the message on the network.
For example, when a CIC Pro computer communicates with a telemetry device, the
telemetry device’s IP address is retrieved from the CIC Pro computer’s RWHAT
database. The Unity network messages are created and the operating system sends
the messages to the telemetry device.
The FD Data interface uses the Unity Network IX network to retrieve data from
the database.
Each bed is stored in separate directory, containing one index file and many
record files.
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Printing
Full Disclosure
Equipment Description: Theory of Operation
The Report printout is a configurable, long-time-peri od ov erview of waveform
activity. It is activated by pressing the Report Print button on the FD display.
The Strip printout is a quick snapshot of what is currently on the screen. It is
activated by pressing the Print button while the FD tab page is being viewed.
There is a separate FD printer selection from the main laser printer selection on
the setup page. Specifying a printer here does not advertise this CIC Pro as a
print server on (like the main laser selection). It is used exclusively by the local
FD system. A printer must be “Added” to the NT system before it will show up
in the drop-down list.
The CIC Pro 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. To accomplish this every
Unity Network waveform packet (4/sec) and every parameter packet (1 every 2
seconds) are stored to disk on the CIC Pro. In addition one RWHAT packet and one
admit packet are stored every minute to help recreate the patient’s history.
Unlike an alarm history event stored by the bedside, which only stores a 10 second
snap-shot surrounding the event, with Full Disclosure the user can scroll back in
time prior to the event to see what was going on with the patient, leading up to the
event. Each CIC Pro can handle up to 16 patients.
CAUTION
TIME CHANGES AFFECT FULL DISCLOSURE DATA —
When the time is changed on the Unity MC network for spring
and fall Daylight Savings Time (DST) events, CIC Pro Full
Disclosure data will be affected.
When the time is ADVANCED by one hour, the oldest hour
of Full Disclosure data at the end of the FD storage file is
deleted.
When the time is set BACK one hour, the most recent hour of
Full Disclosure data will is replaced with the new hour's Full
Disclosure data.
Before changing the time on the Unity MC network, review the
Full Disclosure information for all patients in the care unit. If
there are events which should be archived, record this information
BEFORE changing the time.
Behaviors/Rules
Installation
Incompatible with CIC Pro v2.X and v3.X.
Certain Unit Defaults are incompatible with CIC Pro v2.X and v3.X.
Installation deletes all FD data if upgraded from v2.X/3.X to v4.X.
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