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GE CIC - Frank`s Hospital Workshop

1. Alarm Level Monitor Response WARNING AB amp Fog horn Tone OE m Warning sounds continuously ADVISORY m Advisory sounds only once MESSAGE White Text Displayed on Red Background 052B System Status Alarms Chart System status alarms cannot in most cases be moved from one level to another However the CIC Pro allows you to set default alarm levels for telemetry patients for the following system alarms CHANGE BATTERY OFF NETWORK ARR SUSPEND LEADS FAIL and PROBE OFF The System Alarm Levels are configurable in Telemetry Alarm Control Defaults Revision A CIC Pro Clinical Information Center 6 5 2001099 183 Alarm Control Alarm Control Tab Sheet Alarm Control Tab Sheet A patient s alarm settings can be reviewed modified and printed at the clinical information center To view a patient s alarm settings follow these steps 1 Use the mouse to click on the desired patient s information in the multiple patient viewer The single patient viewer for that patient opens 2 Usethe mouse to click on the Alarm Control tab in the single patient viewer The Alarm Control tab sheet moves to the front 016D Alarm Control Tab Sheet The Alarm Control tab sheet provides controls for Parameter Limits and Alarm Levels Arrhythmia Alarm Levels Alarms On Off reasons and Enable Transmitter Pause NOTE The Alarms On Off reasons controls are active for tel
2. Revision A CIC Pro Clinical Information Center 1 11 2001099 183 The Basics Controls Keyboard Use the keyboard to enter patient information when you admit a patient To enter patient data position the mouse pointer in the text entry field When the mouse pointer is positioned correctly its shape changes from an arrow to an I beam The I beam mouse pointer indicates that you can type select text or reposition the insertion point Silence Alarms Keyboard Key Press the Silence Alarms key located on the keyboard to silence the audible alarm tones 107A This sends a silence alarms command to those beds displayed in the multiple patient viewer or single patient viewer who have queued or are sounding an audio alarm on the CIC Pro 1 12 CIC Pro Clinical Information Center Revision A 2001099 183 The Basics Display Formats Display Formats NOTE Display format is subject to licensing restrictions Refer to the service manual for licensing information You can configure the CIC Pro to display patient information for one to 16 patients Set up the display format in the CIC Setup window For more information on configuring the display refer to Chapter 4 CIC Setup Revision A CIC Pro Clinical Information Center 1 13 2001099 183 The Basics Terminology Terminology Bedside Monitoring Telemetry Monitoring Switching Transmitters For the purposes of this document the following terms
3. Patient status alarms are triggered by a patient condition which exceeds parameter limits or by an arrhythmia condition Patient status alarms provide the highest priority information The levels within the Patient Status Alarm category and how the CIC Pro responds to each are shown in the following chart The chart begins with the most critical type of alarm Crisis and ends with the least critical type of alarm Message Alarm Level CRISIS WARNING ADVISORY MESSAGE ALARM SILENCED 7 200 User must silence Crisis Alarms Monitor Response E Alarm Tone 3 2 or 1 beep E White Text or Parameter Value j Displayed on Red Background Qe E Colored Border Around Alarming Patient s Slot mL EM Red Crisis o Yellow Warning Automatic Graph Stored in Alarm History 051B Patient Status Alarms Chart Revision A CIC Pro Clinical Information Center 6 3 2001099 183 Alarm Control Alarm Structure Colored Window Borders End of Event Graphing Parameter and arrhythmia alarm levels are from most critical to least critical Crisis Warning Advisory and Message Each alarm level elicits a specific response from the clinical information center The four alarm levels are configurable This means that an alarm can be moved from one category to another if the default is not satisfactory to your situation NOTE ASYSTOLE and VFIB VTAC alarms cannot be moved from the C
4. Select waveform 1 color f im 82 b 033B Select Waveforms Right Click Menu 3 Select the Select waveform 2 option to open a list of available waveforms 4 Highlight the desired waveform in the second position and click on it The right click menu closes and the waveform appears immediately 1 20 CIC Pro Clinical Information Center Revision A 2001099 183 The Basics Multiple Patient Viewer ECG Parameter Window PVC Information ST Information Repeat Steps 1 3 until a maximum of 4 waveforms display in the patient s waveform slot NOTE This modification remains in effect until you remove the bed from the display or to a different slot on the display Optional Designate a color for the waveform you ve just selected Refer to Designating Waveform Color on page 1 19 CAUTION On an unlocked bed this color modification remains in effect until the bed is removed from the display discharged or until the bed is moved to a different slot on the display At this time the color returns to the default On a locked bed this color modification remains in effect until the user changes the color manually A discharge or moving the bed does not return the waveform colors to their default settings If pressure waveforms are requested they are scaled for display at the CIC Pro but no scale indicators are provided A patient s ECG parameter window contains hear
5. 2 10 CIC Pro Clinical Information Center 2001099 183 Revision A Safety For Your Safety Notes Reference Literature m Choose a location which affords an unobstructed view of the clinical information center s screen and easy access to the operating controls m This product is not likely to cause abnormal operation of other patient connected equipment such as a cardiac pacemaker or other electrical stimulators m This equipment is suitable for connection to public mains as defined in CISPR 11 m This equipment is suitable for use in the presence of electrosurgery Medical Device Directive 93 42 EEC EN 60601 1 1990 Al 1993 A2 1995 Medical electrical equipment General requirements for safety EN 60601 1 1 9 1994 A1 12 95 General requirements for safety Requirements for the safety of medical electrical systems IEC Publication 513 1994 Fundamental aspects of safety standards for medical equipment Revision A CIC Pro Clinical Information Center 2 11 2001099 183 Safety Equipment Symbols Equipment Symbols 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 A A R RT v NOTE Some symbols may not appear on all equipment ATTENTION Consult accompanying documents CAUTION To reduce the risk of electric shock do NOT remove cover Refer servicing t
6. Printing Alarm Histories 0 0 cece cette eee eee eee eee eens 8 9 iv CIC Pro Clinical Information Center Revision A 2001099 183 Graphic Trends 2 2 2 eere rs so ser n 9 1 Graphic Trends i iioc meme EE ERI EU 9 3 Graphic Trends Tab Sheet 9 4 Graphic Trends Controls 9 5 Printing Graphic Trends lssssseen serraria 9 9 1 0 Vital SIONS 2253 d eater ds QU eara itat 10 1 Vital SIGNOS MR 10 3 Vital Signs Controls 7 ci ai Lethe 10 4 Printing Vital Signs cece cece ete 10 6 1 1 Full Disclosure ss css srs sopas bi VERTES 11 1 Full Disclosure ass zip nnnm iaa 11 3 Full Disclosure Tab Sheet nuunuu 11 4 Full Disclosure Window 00 cece cece tenet I 11 5 Full Disclosure Controls 0 0 c cece cece e eee cnet eee 11 7 Printing Full Disclosure Information 0 a cece cece eee eee 11 10 Print Repo i re IECUR eg tna RU ee AL E dS 11 10 Printing from the Main Menu 2 2 eee eee eee eee 11 13 Calipers o1 en vesc fer b aca dao SSD ao A a let aie US ad 11 14 Measurement Table 0000 rea 11 15 Calipers Measurement Window 00000e cece eee eee m 11 16 Performing a Calipers Measurement 00 eee e eee eee ee 11 18 Revision A CIC Pro Clinical Information Center V 2001099 183 12 Parameter Monitoring lt lt 12 1 Introduction xx atada VR rr Dru eet dp ae Ea aC Ce le 12 3 Data Synchronization e ai 0 0 cece cett
7. Technologies E Fue Equipotential Stud A ground wire from another device can be tied here to ensure the devices share a common reference IN Alternating current AC 2 12 CIC Pro Clinical Information Center Revision A 2001099 183 Safety Equipment Symbols Power ON O OFF KEYBOARD ICON Denotes the keyboard port MOUSE ICON Denotes the mouse port USB PORT ICON Denotes the USB port Not used for CIC Pro VGA MONITOR ICON Denotes the VGA monitor port PARALLEL PRINTER PORT ICON Denotes the parallel port into which the optional laser printer is connected SERIAL COMMUNICATION COM PORT ICON Denotes the communication COM ports used for m Optional Service Modem COM 1 and m Optional PRN 50 PRN 50M Writer COM 2 ETHERNET ICON Denotes the ethernet ports used for the Unity MC network connection SPEAKER OUT ICON Denotes the speaker port connection e lu E vp e Revision A CIC Pro Clinical Information Center 2 13 2001099 183 Safety Equipment Symbols PRESS Classification Indicates where to press to open the door on printer Silence Alarms keyboard key The device is classified according to IEC UL EN 60601 1 as Type of protection against electrical shock Class Degree of protection against electrical shock Not applicable No Applied Parts Degree of protection against harmful ingress of water IPXO enclosed equipment without protecti
8. The Speed chosen sets the pre determined increments for moving the scroll bar in viewing the displayed data 1 e if 25 mm s is selected for speed the cursor moves in 8 second increments The Full Disclosure menu grays out while the waveform speed changes Because of the amount of data there is a delay before waveform resumes displaying Do NOT continue to select the speed while the screen is refreshing To set the full disclosure speed 1 Click on the Speed field A down arrow icon displays next to the current Speed setting 2 Click on the down arrow to display a list of Speed selections Speed 25 mm s 50 mm s 12 5 mm s 5 mm s 1 mm s Click on the desired speed 084A 3 Click on the desired speed The Speed menu closes and displays the selected compression setting Calipers The Calipers option is described in detail in Calipers on page 11 14 Revision A CIC Pro Clinical Information Center 11 7 2001099 183 Full Disclosure Full Disclosure Stop Start FD Scan Older Scan Newer Older Event When Full Disclosure is set for manual mode this option stops or starts the Full Disclosure process If Stop FD is selected the user is prompted Are you sure you want to stop Full Disclosure before Full Disclosure is stopped NOTE When the Full Disclosure mode is set for automatically if listed or automatically for all beds the Stop Start FD button is hidden The Scan
9. Viewer single patient 1 24 Viewing Relearn 7 15 sample 7 15 view all ECG 7 15 viewed patient tab sheet 7 15 Viewing a patient 7 14 view other patient 7 16 Vital signs 10 6 accessing 9 3 10 3 increment control 10 5 printing 10 6 scroll bars 10 5 sort mode 10 4 vital signs tab sheet 10 3 Ww Warnings 2 4 Waveform window 1 19 Waveforms displaying additional 1 20 setting color 1 19 Window numbering patient windows 4 19 X X ray equipment 2 8 Revision A CIC Pro Clinical Information Center Index 5 2001099 183 Index Index 6 CIC Pro Clinical Information Center Revision A 2001099 183 Ce GE Medical Systems 0459 Information Technologies gemedical com World Headquarters GE Medical Systems Information Technologies Inc 8200 West Tower Avenue Milwaukee WI 53223 USA Tel 1414 355 5000 1 800 558 5120 US only Fax 1414 355 3790 European Representative GE Medical Systems Information Technologies GmbH Munzinger Stra e 3 5 D 79111 Freiburg Germany Tel 49 761 45 43 0 Fax 49 761 45 43 233 Asia Headquarters GE Medical Systems Information Technologies Asia GE China Co Ltd 24th Floor Shanghai MAXDO Center 8 Xing Yi Road Hong Qiao Development Zone Shanghai 200336 P R China Tel 86 21 5257 4650 Fax 86 21 5208 2008
10. and Off This option allows you to enable disable use of the Patient Data Server This option allows you to set patient age Choices are 0 2 years 3 11 years 11 13 years and Adult This option allows you to turn on off transmitter alarm pausing Choices are Enabled Disabled and Off Alarm Pause Breakthrough Event Marker This option allows you to turn on off transmitter pause breakthrough Choices are Always on and Always off This option allows you to turn on off transmitter event marker Revision A CIC Pro Clinical Information Center 4 11 2001099 183 CIC Setup Telemetry Alarm Control Defaults Telemetry Alarm Control Defaults NOTE In user mode all of the controls on the Telemetry Alarm Control Defaults tab sheet are view only You must enter the service mode to make modifications to the Telemetry Alarm Control tab sheet In service mode the Telemetry Alarm Control Defaults tab sheet allows you to set default limits and alarm settings for telemetry patients To open the Telemetry Alarm Control Defaults tab sheet 1 Use the mouse to click on Setup CIC in the Main Menu 2 Click on the Telemetry Alarm Control Defaults tab CIC Setup Desa Format Screen Calls bon CIC Onlus HR sra stu ST II ST V J ST2 sr va ST V4 ST V5 Srv6 ST AVR Telemetry Ur Deba Lowe High bpm mm mm Level Servee Password Ful Disclosure Delauts Teleeretry Alem Corti Def nds Chart Tob
11. the full disclosure report preview Full Disclosure Report Preview Print Cancel Refresh Preview The Full Disclosure Report Preview is a miniature graphic representation of the full disclosure report It is updated immediately when waveforms are added repositioned or removed from the Waveform Selection display list Configuration of the print characteristics of full disclosure reports e g turning on off the graybar feature refer to Full Disclosure Defaults on page 4 23 Once the full disclosure report is configured satisfactorily select Print to print the report Select Cancel to close the Full Disclosure Report window without making changes Select Refresh Preview to redraw the full disclosure report preview Printing from the Main Menu When you select Print from the Main Menu while viewing full disclosure information you get a printout of the currently viewed full disclosure information Revision A CIC Pro Clinical Information Center 11 13 2001099 183 Full Disclosure Calipers Calipers The calipers feature allows you to take measurements on the ECG waveforms When selected this option displays 10 seconds of historical ECG waveform data for the patient The Calipers control can be found on the Full Disclosure or Alarm Histories tab sheet To perform a measurement using the calipers option click on the Calipers control The Calipers Window opens ICU BED1 View Pationt Admit EC
12. 0 18 00 20 00 22 00 00 00 oop 16 00 022D Scales Trends Scans Older Newer Graphic Trends Indicates PDS Information is Being Displayed Graphic Trends Tab Sheet CIC Pro Clinical Information Center Revision A 2001099 183 Graphic Trends Graphic Trends Graphic Trends Controls Data Source Trend Directory Window vV This option allows the user to select the specific data source from which historical patient data can be retrieved option not shown on figure refer to Data Source on page 1 25 Up to three graphic trend plots can display in the Graphic Trends window at a time You can select from preset groupings of trends or select from individually available trends To select the trends for display in the Graphic Trends window click on a preset trend grouping or individual trends up to three When selected a check appears in the box to the left of the label Graphic Trends Window This option displays the selected graphic trends in blue NOTE Data points that go off the scale are shown at the graticule limit in red not in the normal green Revision A CIC Pro Clinical Information Center 9 5 2001099 183 Graphic Trends Graphic Trends OST AVF 16 00 18 00 Cursor One minute median values can be accessed through the use of a cursor at the clinical information center Time and Date Corresponding to Cursor
13. 1 26 CIC Pro Clinical Information Center Revision A 2001099 183 The Basics Time Focus Viewing Vital Signs To open the Vital Signs tab sheet from Alarm Histories use the mouse to click on the Vital Signs tab in the single patient viewer The Vital Signs tab sheet moves to the front with data corresponding to the time focus highlighted Viewing Full Disclosure To open the Full Disclosure tab sheet from Alarm Histories use the mouse to click on the Full Disclosure tab in the single patient viewer The Full Disclosure tab sheet moves to the front displaying the full disclosure data corresponding to the time focus highlighted Revision A CIC Pro Clinical Information Center 1 27 2001099 183 The Basics Web Browser Web Browser CAUTION SECURITY The web browser which runs in conjunction with the CIC Pro is intended for hospital INTRANET use only If confidential patient information is made available from the hospital intranet the security of the data is the responsibility of the hospital The Browse option is at the top right corner of the title bar of the CIC Pro display screen Select this button to launch start a separate Microsoft Internet Explorer application If a patient monitoring alarm occurs while the browser is open the CIC Pro window moves to the foreground of the display and the browser window moves to the background of the display To restore the browser window select the Browse
14. BED5 BED6 BED7 BED8 BED9 BED10 BED11 BED12 0238 gt gt lt RSS Right Click Menu Example Right click menu items available within the user mode are Select Care Unit then Bed Number Select Waveform 1 color Select Waveform 2 Select Waveform 8 Select Waveform 4 1 10 CIC Pro Clinical Information Center Revision A 2001099 183 The Basics Controls Clicking the Mouse For purposes of this manual the term clicking refers to positioning the mouse pointer on a selection and pressing the left mouse button NOTE In situations where the right mouse button 1s pressed this 1s specifically called out In all other cases assume you should press the LEFT mouse button Optional Touchscreen Display The touchscreen display is an optional component of the CIC Pro A touchscreen display or simply touchscreen is a screen with areas that are sensitive to touch Essentially any area that can be selected using the mouse pointer can be selected using the touchscreen Guidelines for using the touchscreen display m The touchscreen feature does not function properly if tape or paper is stuck to the screen s surface m Do not use pencils pens and other sharp pointed objects to activate the touchscreen m The right mouse click function cannot be used with a touchscreen display NOTE Any time the manual says to click with the mouse you can optionally tap the display control with a finger
15. Card Calc Pulm Calc VENT Gas ABG 043A Sort Mode Popup Menu 2 Click the desired Sort Mode The Sort Mode menu closes and displays the selected Sort Mode The Sort Mode also appears immediately in the Vital Signs window 10 4 CIC Pro Clinical Information Center Revision A 2001099 183 Vital Signs Vital Signs Increment Within the Vital Signs tab sheet you can define the amount of data resolution to display in the vital signs window Do this from the Increment popup menu in the upper left corner of the Vital Signs tab sheet 1 Click on the down arrow to display all of the Increment options increment RENTES sj 1 Minute 5 Minutes 30 Minutes 60 Minutes 042A Increment Popup Menu 2 Click on the desired ncrement The Increment menu closes and displays the selected Increment remaining visible The Increment also appears immediately in the Vital Signs window Scroll Bars If all of the vital signs data do not fit into the available display space use the scroll bars to navigate among columns and rows of data For more information on using scroll bars refer to Chapter 1 The Basics Revision A CIC Pro Clinical Information Center 10 5 2001099 183 Vital Signs Printing Vital Signs Printing Vital Signs In order to print Vital Signs information displayed from a bedside monitor the CIC Pro must connect to a laser printer If there is no connected laser printer the vital signs are for review only
16. Click on the down arrow to display the drop down list Waveform Selection Select To Add LI I v AVR AVL AVF ARI PA2 CV3 I Remove 089A Waveform Selection Drop Down List 2 Click on the waveform label to be excluded from the Full Disclosure report The drop down list of waveforms closes and the remaining waveform s display in the Waveform Selection display list 3 Repeat this process until all of the unnecessary waveforms are excluded from the Waveform Selection display list Waveform Selection Display List NS ee Full Disclosure y Report Previ J gt Waveform Selection Full Disclosure Report epo MEM Wednesday February 09 2000 09 42 00 Select To Add 20825 IcU 25 Wednesday February 09 2000 zd iig Wednesday February 09 2000 09 49 30 KA 00 07 30 CV3 1 min 00 12 00 1 Remove 21310 NOT TOR ATTEND OF REPORT 088A Full Disclosure Report Window 11 12 CIC Pro Clinical Information Center Revision A 2001099 183 Full Disclosure Printing Full Disclosure Information Up Dn Control Use the Up or Dn buttons to reposition a selected waveform in the Waveform Selection display list Remove Use the Remove button to remove a selected waveform from the Waveform Selection display list NOTE As soon as a change is made to the Waveform Selection display list i e added repositioned or removed it is reflected immediately in
17. M Discharge Request Admit Info New Patient 015G Admit Patient Tab Sheet 7 12 CIC Pro Clinical Information Center Revision A 2001099 183 Admit View a Patient Move Telemetry Patients Move Telemetry Patients This option allows you to move a telemetry patient to a new bed within the same care unit or to move Combo patients in and out of combo mode The Move feature is located on the Admit tab sheet on the CIC Pro To move a patient within the same care unit follow this procedure 1 Atthe CIC Pro select the bed window of the patient you wish to move 2 Click on the Admit tab to bring the tab sheet to the front 3 Select a new bed from the Location Bed list 4 The Save button changes to Move click Move to move the patient to the bed you selected from the bed list 5 Select Yes when the Patient Move dialog is displayed View Patent Admit eca 02 Respiration pressures Graph setup Alarm Control alarm Mistotias Graphic Trends vital sions ruli Disclosura Patient Information Last Name First Name Patlent ID e 999999999 Adult bi Location Unit Bed ECG From Move BAY4 APEX2 bd B595AP 8595 Discharge Request Admit Info New Patient Ready 126A Admit Patient Tab Sheet A patient can not be moved to an unlocked bed if no bed slot is available A dialog window appears indicating that the change is disallowed because the patient would be unmoni
18. SYSTEM ALARM LEVELS The LEADS FAIL alarm indicates that one or more electrodes are not connected to the patient and as a result there is loss of all waveforms and arrhythmia analysis The ARR SUSPEND alarm indicates that arrhythmia conditions are not being detected and therefore alarms associated with arrhythmias will not occur The LEADS FAIL and ARR SUSPEND alarms should be adjusted to a lower priority level only by experienced qualified personnel and with great caution Adjusting these alarms to a lower priority level may result in reduced awareness of conditions that indicate the loss of patient monitoring Revision A CIC Pro Clinical Information Center 4 13 2001099 183 CIC Setup Current Telemetry Listings Current Telemetry Listings NOTE In user mode the Current Telemetry Listings tab sheet is view only You must enter the service mode to make modifications to the Current Telemetry Listings tab sheet In service mode the Current Telemetry Listings tab sheet allows you to view and modify characteristics of telemetry settings To open the Current Telemetry Listings tab sheet 1 Click on Setup CIC in the Main Menu 2 Click on the Current Telemetry Listings tab Display Format Screen Calibration Service Password Full Disclosure Defaults CC Defauts Telemetry Unit Defaults Telemetry Alarm Control Defaults sa Admitted Telemetry Patients Tower Receiver Unit Bed Type Transm
19. Schematic diagrams 3 7 Screen calibration 4 21 Scroll bar controls 1 32 Scroll bars vital signs 10 5 Service mode accessing 4 4 Service password 4 22 Setup CIC 1 23 Silence alarms 1 23 Silencing alarms 6 13 Single patient viewer 1 24 Site requirements warning 2 8 Size control ECG 12 4 Specifications 3 7 SpO2 rate control 12 8 size control 12 9 SpO2 monitoring 12 8 SpO2 tab sheet 12 8 ST control ECG 12 7 Standard monitoring 7 3 Start data storage full disclosure 4 25 Status messages 4 27 Strip hole location full disclosure 4 24 Supervised use caution 1 28 2 10 Supplies B 1 System environment monitor notification 1 33 System status alarms 6 5 T Technical maintenance 3 7 Telemetry alarm control defaults 4 12 4 13 current listings 4 14 unit defaults 4 9 Telemetry monitoring Index 4 CIC Pro Clinical Information Center Revision A 2001099 183 Index definition 1 14 Text entry field 1 30 Time focus 8 3 Time Stamp viewing alarm histories from 1 26 viewing full disclosure from 1 27 viewing graphic trends from 1 26 viewing vital signs from 1 27 Touchscreen Cleaning recommendations 3 6 Touchscreen display 1 11 Transmitter alarm pause 4 11 Turning power on 1 8 U Unintentional radio frequency RF interference warning 2 10 Unit defaults telemetry 4 9 Unity Network ID connectivity device 1 6 V Ventilation requirements caution 2 10 View all ECG 7 15 View other 1 23 Viewer multiple patient 1 16
20. cleaned on a regular basis Follow these guidelines when preparing to clean disinfect or sterilize the equipment m Consult your hospital s policies and procedures for cleaning disinfecting or sterilizing equipment m Refer to Material Safety Data Specifications MSDS or hospital guidelines when choosing a cleaning disinfecting or sterilizing agent The exterior surfaces of the equipment may be cleaned with a lint free cloth dampened with a diluted cleaning solution Drying off excess cleaning solution is recommended Following are examples of tested cold cleaning disinfectant sterilizing solutions ammonia diluted CompuBlend B ammonium chloride Virex ammonium chloride Cidex glutaraldehyde sodium hypochlorite bleach diluted or mild soap diluted To avoid damage to the equipment follow these rules CAUTION Failure to follow these rules may melt distort or dull the finish of the case blur lettering on the labels or cause equipment failures m ALWAYS dilute the solutions according to the manufacturer s suggestions NOTE Damage to equipment caused from submersion or from use of unrecommended cleaning agents is not covered by warranty Always refer to your hospital MSDS guidelines when choosing a cleaning disinfectant sterilizing agent Revision A CIC Pro Clinical Information Center 3 5 2001099 183 Maintenance Cleaning m ALWAYS wipe off all the cleaning solution with a dry c
21. option again or select the Internet Explorer button from the lower task bar The web browser runs independently of CIC Pro operation However if the CIC Pro detects 15 minutes of web browser inactivity the web browser window closes Subsequent web browser activity then requires you to select the Browse option to relaunch the program Browser Configuration Refer to Browser Configuration on page 4 7 for information on Browser Configuration 1 28 CIC Pro Clinical Information Center Revision A 2001099 183 The Basics Menu Formats Menu Formats Main Menu Popup Menus A menu like the name implies is a selection of available options These options are accessed with the mouse There are six Main Menu buttons at the bottom of the CIC Pro display They are Auto Display View Other Setup CIC Silence Alarms Prini and Close These buttons are top level control buttons and are always visible on the CIC Pro When some menu options are selected a small menu pops up from the selected menu option These are called popup menus To use a popup menu click the mouse pointer on the desired selection The popup menu closes The choice either becomes effective immediately or when the window it was accessed from closes Revision A CIC Pro Clinical Information Center 1 29 2001099 183 The Basics Menu Formats Text Entry Fields In a text entry field you must use the keyboard to enter the required informatio
22. page 5 4 If you want to change a print location for a bedside monitor the location is set at the bedside monitor NOT at the CIC Pro To designate where manual graph requests print 1 Click in the Manual field A list of available printers appears Graph Location Manual U KMCS LASER PRT 407 DDW 2IN D4SHP DDW 2IN EAGSB DDW 2IN 1102 DDW 2IN KAS DDW 2IN KMCS DDW 2IN PHLPIDDW 2IN 058B Manual Graph Location Menu 2 Click on the desired printer The printers menu closes with the selected printer name remaining visible You can now designate other print destinations Revision A CIC Pro Clinical Information Center 2001099 183 Printing Graph Setup Tab Sheet Alarm Graph Location To designate where alarm graphs print NOTE You can set each patient s alarm graph location individually 1 Click in the Alarm field A list of available printers appears Alarm ICU KMCS DDW 2IN y ICU AMYK LASER PRT ICU KMCS LASER PRT ICU A07 DDW 2IN ICU EAGSB DDW 2IN ICU I102 DDW 2IN HICU KAS DDW 2IN IICU KMCS DDW 2IN HCU PHLP DDW 2IN 054B Alarm Graph Location Menu 2 Click on the desired printer The printers menu closes with the selected printer name remaining visible You can now designate other print destinations Print Window Graph Location To designate where print window graph requests print 1 Click in the Print Window field A list of available printers appears P
23. power line check that the voltage and frequency ratings of the power line are the same as those indicated on the unit s label If this is not the case do not connect the system to the power line until you adjust the unit to match the power source In U S A if the installation of this equipment will use 240V rather than 120V the source must be a center tapped 240V single phase circuit RESTRICTED SALE U S federal law restricts this device to sale by or on the order of a physician SECURITY The web browser which runs in conjunction with the clinical information center is intended for hospital INTRANET use only If confidential patient information is made available from the hospital intranet the security of the data is the responsibility of the hospital SUPERVISED USE This equipment is intended for use under the direct supervision of a licensed health care practitioner UNINTENTIONAL RADIO FREQUENCY RF INTERFERENCE Unintentional RF interference could degrade the reliability and performance of the wireless data link The facility must maintain an RF environment free from unintentional interference Refer to the service manual for more information VENTILATION REQUIREMENTS Set up the device in a location which affords sufficient ventilation The ventilation openings of the device must not be obstructed The ambient conditions specified in the technical specifications must be ensured at all times
24. print them to a laser printer or Direct Digital Writer Revision A CIC Pro Clinical Information Center 9 3 2001099 183 Graphic Trends Graphic Trends Graphic Trends Tab Sheet Graphic Trends Trend Directory Window The graphic trends tab sheet contains a window to display patient data trends in graphic form and trend directory window of preset trend combinations for display Graphic Trends uses the Time Focus feature For more information on Time Focus see Time Focus on page 1 26 To view a patient s graphic trends 1 Click on the desired patient s information in the multiple patient viewer The single patient viewer for that patient opens 2 Click on the Graphic Trends tab in the single patient viewer The Graphic Trends tab sheet moves to the front Cursor Graphic Trend Labels Numeric Values Window at the Cursor Time Scale Menu View Patient MHR PVC ST III OHR PVC ST V1 OHR ST II ST V1 OHR ST I ST III OST I ST II ST III LIST AVR ST AVF ST AVL OHR DIPVC LIST I LIST II LIST HI OST V1 LISTV2 LIST AVR LHIST AVL LIST AVF Deselect All ICU BED1 ECG SPO2 5 Respiration Pressures Graph setup Alarm Control Ala Histories Graphic Trends vita Sid es Full Disclosure 21 25 08 May 2003 y j 24 hrs 150 m oe im 12 hrs 8 hrs o om 4 hrs cem me 2 hrs 50 250 csl M EI I LR A 0 2 0 2
25. system verify the function of the alarm system Repeat this verification periodically including a check of all connected speakers CIC Pro audible alarms will not sound for patients with bedside monitoring devices configured to Operating Room mode 2 4 CIC Pro Clinical Information Center Revision A 2001099 183 Safety For Your Safety WARNING BEFORE INSTALLATION Compatibility is critical to safe and effective use of this device Please contact your local sales or service representative prior to installation to verify equipment compatibility BEFORE USE Before putting the system into operation visually inspect all connecting cables for signs of damage Damaged cables and connectors must be replaced immediately Before using the system the operator must verify that it is in correct working order and operating condition Periodically and whenever the integrity of the product is in doubt test all functions DISCHARGE TO CLEAR PATIENT DATA When admitting a new patient you must clear all previous patient data from the system To accomplish this disconnect patient cables then do a discharge DISCONNECTION FROM MAINS When disconnecting the system from the power line remove the plug from the wall outlet first Then you may disconnect the power cord from the device If you do not observe this sequence there is a risk of coming into contact with line voltage by inserting metal objects such
26. the next to the unit from which you wish to view a bed A list of beds admitted to that unit appears below the unit name 4 Use the mouse to click on the bed name you wish to view The name appears highlighted 5 Use the mouse to click on the OK button The single patient viewer opens at the bottom of the display showing the viewed patient s data Viewing Patients Through Alarm Condition Indicators You can open the single patient viewer for any patient in your care unit who is experiencing an alarm condition When a patient experiences an alarm condition a red button appears at the bottom of the clinical information center display The button contains the unit name and bed number as well as the cause of alarm NOTE Up to four of these red buttons display at one time so only the four highest level alarms are indicated in this way To access the single patient viewer for the alarming patient simply use the mouse to click on the red button at the bottom of the display The display rearranges to accommodate the single patient viewer at the bottom of the display and all the patient s information is available to you Viewing PDS Data For a Discharged Patient If you would like to view PDS data for a discharged patient follow the steps outlined below PDS must have collected data for that patient previously 1 Re admit the patient to an open CIC Pro slot using a spare monitor The patient does not need to be connected to
27. touchscreen display Mouse The mouse is the primary means of user interaction with the CIC Pro Left Mouse Button Right Mouse Button Depending on your action or the mode of operation the mouse pointer on the CIC Pro screen shapes differently 027A Mouse Pointer Shapes Arrow The mouse pointer is arrow shaped when you operate in user mode When the mouse pointer 1s arrow shaped you can choose commands highlight options and move from window to window 028A I Beam The mouse pointer is shaped like an I beam when you are in a 0304 text entry field Cross The mouse pointer is cross shaped when you are operating in service mode For more information on the CIC Pro s service 029A a mode refer to the service manual Revision A CIC Pro Clinical Information Center 1 9 2001099 183 The Basics Controls Left Mouse Button Use the left mouse button for making patient oriented selections and initiating actions on the screen of the CIC Pro Right Mouse Button Use the right mouse button for making system oriented selections When you press the right mouse button the right click menu opens NOTE The right mouse button only opens the right click menu It does not highlight selections or initiate actions other than the items you select Select Waverton SICU gt cou gt f fammi color y z dicu eco gt NICU gt v BED2 CVICU gt v BED3 2NTELE 2WTELE 3NTELE PACU BED4 v
28. two minutes NOTE Allow time for the monitor to be identified by the network this usually takes at least 30 seconds Admit accordingly Discharge and Monitor Removal Protocol 1 2 Rover Admit Discharge Menu 1 Discharge the patient from the monitor Turn the power off via the power toggle switch located at the back of the monitor on the power supply Unplug the power supply from wall outlet Disconnect the monitor from the network Rove or store the monitor to the desired location Use the mouse to click in an available patient window The single patient viewer for that bed opens The Admit tab sheet is at the front Admitting Patients from the Clinical Information Center 2 Select Bed amp from the patient s Admit tab sheet If the bed is locked there is no need to select the bed number from the Admit tab sheet 3 Select ECG From Highlight the appropriate ECG source 4 Admit the patient according to the admit procedures outlined earlier 1n this chapter 7 8 CIC Pro Clinical Information Center Revision A 2001099 183 Admit View a Patient Discharging a Patient Discharging a Patient Performing the discharge procedure at the clinical information center m discharges bedside monitor patients from the clinical information center and from the bedside monitor and m discharges telemetry patients from the clinical information center Discharge Procedure To discharge a patient follow thes
29. 1 x is compatible with CIC software version 2 x m The ApexPro telemetry system is not compatible with versions of CIC software earlier than 2 x CIC Pro Clinical Information Center Revision A 2001099 183 The Basics About the Clinical Information Center Front View 001B Clinical Information Center The components shown in the photograph above are representative of a typical CIC Pro They may not appear identical to the components of your system The CIC Pro processing unit is not shown Revision A CIC Pro Clinical Information Center 1 7 2001099 183 The Basics Power Power Turning Power On WARNING Check the service manual for AC power requirements before installation When you properly connect all cables press the power switches on the back of the processing unit and the monitor Refer to the service manual for information on system connections green indicator light means the power is on Refer to the figure on the previous page CAUTION Do NOT load any software other than that specified by GE Medical Systems Information Technologies onto the CIC Pro Installation of software not specified by GE Medical Systems Information Technologies may cause damage to the server or loss or corruption of data 1 8 CIC Pro Clinical Information Center Revision A 2001099 183 The Basics Controls Controls Operating the CIC Pro is done with the mouse the keyboard or an optional
30. 1099 183 Alarm Control Alarm Control Tab Sheet Silencing Alarms WARNING Do NOT continuously press the silence key You may inadvertently silence new patient alarms You can silence the audible alarm tones in one oftwo ways m Use the mouse and click on the Silence Alarms button located on the display monitor s screen Silence Alarms 098A m Press the Silence Alarms key located on the keyboard 107A Alarm Silence Icon When the CIC requests a bedside to silence alarms a hollow alarm silence icon will appear When the bedside responds that alarms are silenced the icon will become solid Message type alarms do not silence therefore the hollow icon will remain The alarm silence icon displays in the ECG parameter window next to the ECG heart rate The alarm silence icon remains on the display for one minute unless a new alarm occurs 119A Hollow Icon Solid icon The alarms remain silent for one minute unless the alarm condition is resolved NOTE 4 You cannot silence patients one at a time 4 Ifyou are monitoring a bedside monitor new alarms of any priority level break the alarm silence condition 4 Ifyou are monitoring telemetry patients new alarms of equal or greater priority level break the alarm silence condition Monitors that are silenced at the bedside will also show an alarm silence icon at the CIC Revision A CIC Pro Clinical Information Center 6 13 2001099 183 Alarm Con
31. CIC Pro Clinical Information Center Operator s Manual Software Version 4 1 2001099 183 Revision A GE Medical Systems Information Technologies gemedicalsystem com NOTE The information in this manual only applies to CIC Pro Clinical Information Center software version 4 1 It does not apply to earlier software versions Due to continuing product innovation specifications in this manual are subject to change without notice Listed below are GE Medical Systems Information Technologies trademarks used in this document All other trademarks contained herein are the property of their respective owners APEX and CD TELEMETRY are trademarks of GE Medical Systems Information Technologies registered in the United States Patent and Trademark Office APEXPRO CD TELEMETRY LAN CENTRALSCOPE CIC PRO and OCTACOMM are a trademarks of GE Medical Systems Information Technologies GE Medical Systems Information Technologies 2004 All rights reserved T 2 CIC Pro Clinical Information Center Revision A 2001099 183 22 April 2004 CE Marking Information CE Marking Information CE Compliance The CIC Pro Clinical Information Center bears CE mark CE 0459 indicating its conformity with the provisions of the Council Directive 93 42 EEC concerning medical devices and fulfills the essential requirements of Annex I of this directive The product is in radio interference protection class in accordance with EN 55011 The cou
32. Click on the down arrow to display a list of alarm level selections NOTE Alarm levels are usually shown in black type If an alarm level is shown 1n blue this indicates that the shown level is not the default value Parameter Limits and Alarm Levels Level HR bpm 3 NO BREATH seconds CRISIS PVC min 6 ADVISORY AR1 S mmHg 70 235 MESSA sor 060A Click on the desired alarm level Click on the desired alarm level The alarm level menu closes with the selected alarm level remaining visible You can now modify another parameter s alarm level When you finish making changes in the Alarm Control tab sheet click on Close in the bottom right corner of the display to close the single patient viewer Revision A CIC Pro Clinical Information Center 2001099 183 Alarm Control Alarm Control Tab Sheet Arrhythmia Levels The Arrhythmia Alarm Levels controls allow you to view and modify a patient s arrhythmia alarm levels Arrhythmia Alarm Levels ASYSTOLE CRISIS VFIB VTAC CRISIS V TACH CRISIS EXVTS29 CRISIS V BRADY CRISIS RONT MESSAGE COUPLET MESSAGE O BIGEMINY MESSAGE ACCVENT MESSAGE PAUSE MESSAGE TRIGEMINY MESSAGE PVC MESSAGE TACHY MESSAGE a 026A Arrhythmia Alarm Levels Controls 6 10 CIC Pro Clinical Information Center Revision A 2001099 183 Alarm Control Alarm Control Tab Sheet Modifying Arrhythmia Alarm Le
33. Controls SpO Respiration Tab Sheet Sensitivity To change the breath detection threshold select the desired sensitivity percentage To increase the sensitivity lower the threshold percentage Revision A CIC Pro Clinical Information Center 12 9 2001099 183 Parameter Monitoring SpO2 Respiration Monitoring Waveform Size Cardifact Alarm Lead Relearn To change the size of the respiration waveform select the desired waveform size Auto Size Select Auto Size in the Waveform Size control to automatically size the respiration waveform to fit in the available space on the display The cardiac artifact cardifact alarm alerts you to the fact that the respiration rate is within 596 of the heart rate over 30 consecutive breaths If this happens the respiration program may be counting heart beat artifact as respiration The cardiac artifact alarm is an Advisory alarm Cardifact displays in the patient s window in the multiple patient viewer and an advisory alarm sounds There is no adjustable limit for this alarm but you can turn it Off or On The default setting is Off WARNING If the cardifact alarm is off apnea events may not be detected There are two choices for the respiration lead Lead I and Lead IT Select this menu option to automatically switch the monitored lead for respiration The label of the lead currently being monitored J or ID appears in the menu option and in the upper left
34. Disclosure Window with Cursor Revision A CIC Pro Clinical Information Center 11 5 2001099 183 Full Disclosure Full Disclosure Parameter Information The parameter information displayed on the Full Disclosure tab sheet reflects the cursor position on the waveform display Numeric information for all monitored parameters is provided Alarm Status Message Field Scroll Bar Control Any alarms or patient messages at the cursor time display in this field When you scan newer and older events an End of Full Disclosure message displays in this field NOTE Alarm messages display at the time when Full Disclosure receives the alarm NOT when the message displays on the patient monitor Clicking the arrows on the scroll bar control on the Full Disclosure tab sheet moves the displayed data in one second increments Clicking inside the scroll bar moves the displayed data in pre determined increments based on the Speed chosen i e if 25 mm s is selected for speed the cursor moves in 8 second increments Click to Move cursor in increments forward backward in time Increments vary depending on the speed selected Click to Move cursor In one second increments forward backward in time CIC Pro Clinical Information Center Revision A 2001099 183 Full Disclosure Full Disclosure Full Disclosure Controls Speed The Speed option allows you to set the sweep speed at which you view the full disclosure waveforms NOTE
35. Full mode at the bedside the scale controls at the clinical information center are not active The scale controls are only active if the viewed patient s pressures are set to Individual mode Revision A CIC Pro Clinical Information Center 12 13 2001099 183 Parameter Monitoring Pressure Monitoring Pulse Rate ART FEM and UAC only IABP ART and FEM only The Pulse Rate control displays an arterial pulse rate in the ART FEM or UAC parameter windows No other control panels have this option NOTE There must be at least a 10 mmHg difference between systolic and diastolic pressures to calculate a pulse rate To turn Pulse Rate on off click on the Pulse Rate option from the pressure controls for ART or FEM Choices are On and Off The default selection for Pulse Rate is On To turn the JABP program on off click on the JABP option from the pressure controls for ART or FEM Choices are On and Off The default selection for IABP detect is Off When on the parameter label begins with an I as shown below Pin parameter label indicates that IABP is RATE 69 turned On PA2 34 16 23 IC3 11 CPP 84 046A Smart BP ART and FEM only To turn Smart BP on off click on the Smart BP option from the Pressures Controls window for ART or FEM Choices are On and Off The default selection for Smart BP is Off 12 14 CIC Pro Clinical Information Center Revision A 2001099 183 A Abbreviations and oymb
36. G SP02 Respiration Pressures Graph setup Alarm Control Alarm Histories Graphic Trends Vital Signs Full Disclosure Measurement Value eat PR ec cas sec or sex RR ael Rae bem ST 1 mv E Clow mw ECO Waveform Enable Gain Cos tx Cm C dx Calipers Window The left side of the window displays the Measurement table As measurements are made they are displayed on the table at the selected interval with the unit of measure The ECG Waveform section allows you to select the leads for measurement and reference The Gain for the waveform is also selectable from this side of the window The right side of the window displays the waveform and the calipers tool Controls under this window allow you to enable Marching Calipers and Grids Zoom in out of the window and change the waveform s displayed sweep Speed 11 14 CIC Pro Clinical Information Center Revision A 2001099 183 Full Disclosure Calipers Measurement Table This table displays a list of common waveform measurement intervals The measurements that can be entered in the measurement table and printing on the caliper report are PR QRS QT R R and ST View Patient Admit ECG Mess emet Vaso Ont e 2 TU Ss Oum n oT 2 sec RR 2 sec Rate x bon ST 15 mv Apph Clear Cleer ECG Waveform j s F Enable Reference F Gain C OSx ix 2x C ax 121A Measurement Table ECG Waveform The ECG Waveform control allows you to c
37. Older button scans older full disclosure data Press to begin scanning older full disclosure data across the display This option changes to Stop when a scan is in process When the oldest event is displays the scan automatically stops The Scan Newer button scans newer full disclosure data Press to begin scanning newer full disclosure data across the display This option changes to Stop when a scan is in process When the newest event is displays the scan automatically stops The Older Event button moves the cursor to a position on the waveform display corresponding to the next older alarm history event When the oldest event displays the scan automatically stops and the label on this button grays out NOTE This option is unavailable if there are no older alarm history events in the full disclosure data 11 8 CIC Pro Clinical Information Center Revision A 2001099 183 Full Disclosure Full Disclosure Newer Event View All ECG Monitor The Newer Event button moves the cursor to a position on the waveform display corresponding to the next most recent alarm history event When the newest event displays the scan automatically stops and the label on this button grays out NOTE This option is unavailable if there are no newer alarm history events in the full disclosure data This option toggles between View All ECG and Monitor The View All ECG option displays all ECG waveforms The Monitor option displays all of
38. Position Numeric Values at the Cursor ICU BED1 View Patient Admit ECG SPO2 Respiration eressures Graph Setup Alarm Control Alarm Histories Graphic Trends vita signs Full Disclosure 21 25 08 May 2003 12 hrs MHR PVC ST III 2 24 hrs 150 OHR PVC ST V1 F CHR ST II ST V1 L P 8 hrs amp E CHR ST I ST III 4 hrs pm CIST I ST II ST 111 A A i HS 50 LIST AVR ST AVF ST AVL 250 OHR PVC LIPVC ESTA i e min LIST II 0 LIST III 2 0 OST V1 OST V2 ae Ea ry amp ST 111 DIST AVR mm LIST AVL x 20 00 22 00 00 00 o2tobl REDE 022D C ue a a Indicates PDS Information is Being Displayed Graphic Trends Tab Sheet with Cursor m The default cursor location is at the current time when entering the Graphic Trends tab sheet m You can move the cursor to any median value and review the actual numeric data m The cursor is not printed with the graphic trend data 9 6 CIC Pro Clinical Information Center Revision A 2001099 183 Graphic Trends Graphic Trends Time Scale Menu Within the Graphic Trends tab sheet you can define the amount of trend data scale to display in the trend window This is done via the popup menu located to the right of the time and date 1 Click the mouse pointer on the down arrow to display all of the time options 12 HRS 24 HRS N abe iniese 8 HRS 4 HRS 2 HRS 041A Time Scale Menu 2 Click the mouse pointer on the
39. Revision A CIC Pro Clinical Information Center iii 2001099 183 Alan Control 2 osos eee sob EA a EE 6 1 Alarm Structure ss irssi cece cece eeee eee eee e ne ci n 6 3 Patient Status Alarms 6 3 System Status Alarms 2 0 cece eee een e e me 6 5 Alarm Control Tab Sheet 0 cece eee e eee n 6 6 Printing Alarm Settings 6 12 Silencing Alarms rhe p Re RU et p Rt eet 6 13 Admit View a Patient 0oooooooooo o 7 1 Admitting a Patient ooooococccocccocnnr cr 7 3 Ways to MONO Fer trenso ng da aa ica a oe 7 3 Admit INSWUCHONS io seek svete ots ne SERE deere E inked noted 7 5 Special Considerations for Rover Monitoring s sasse 7 8 Discharging a Patient cece cece teen eee e eee eens 7 9 Discharge Procedure 2 000 ee eee eme nens 7 9 New Patient 5 teclas rede IEEE tre Sa ER ER n 7 12 Move Telemetry Patients lessen eee eee eee ees 7 13 Moving Locked Unlocked Beds 0 c cece eee eee eee een eee 7 13 Viewing a Patient 00sec cece nnn 7 14 View Patient Tab Sheet sisse sess ene 7 15 Viewing Other Patients sse 7 16 View Other Button coemeterium 7 16 Viewing Patients Through Alarm Condition Indicators 7 17 Viewing PDS Data For a Discharged Patient 00 cee eee eee 7 17 Alarm Histories 0oooooooommmmrrrra eae 8 1 Alarm Histories 200 0002 ccc0 ecu e m rr e ne 8 3 Alarm Histories Controls 8 5
40. TE 69 PAZ 33 15 23 wep x x x RR 1 20 Click to open single patient viewer ICUJBED1 Ku e Ic Auto View Setup Silence Wu om A mme tm ce ER J 031C Clinical Information Center Multiple Patient Viewer A Browse button J Alarm Condition Quick Access Buttons B Click Here to Open This Patient s Single Patient Viewer K Message Area C Colored Border Alarm Indicator L Patient Name D Alarm Message M Bed Name Unit Name E Empty Patient Window N Additional Parameter Information F Admit Button O Patients Waveform Window G Click Here to Print this Patients Waveforms P Patients ECG Parameter Window H Click Here to Open Graph All Patients Menu Q Header bar Displays time maker of software product name Main Menu Buttons and SINGU name Revision A CIC Pro Clinical Information Center 1 17 2001099 183 The Basics Multiple Patient Viewer Telemetry and Network Bed Names Telemetry bed names are designated with an asterisk to distinguish them from bedside monitored patients Network beds such as Unity Network ID are designated with a plus sign The same bed may be used for patients connected to a bedside monitor an Unity Network ID connection and the telemetry monitoring system Duplicate bed numbers are not allowed so the system adds these designators to accommodate this feature Table 1 Bed Name Designations Monitor Setup Bed Name Designation ECG Source Bedsi
41. UVC in blue RESP and SPO2 in green and CO2 in white Custom This selection allows you to set each waveform color individually 4 8 CIC Pro Clinical Information Center Revision A 2001099 183 CIC Setup Telemetry Unit Defaults Telemetry Unit Defaults NOTE In user mode all of the controls on the Telemetry Unit Defaults tab sheet are view only You must enter the service mode to make modifications to the Telemetry Unit Defaults tab sheet In service mode Telemetry Unit Defaults can be reviewed and modified at the clinical information center To open the Telemetry Unit Defaults tab sheet 1 Click on Setup CIC in the Main Menu 2 Click on the Telemetry Unit Defaults tab CIC Setup 011F Telemetry Unit Defaults Tab Sheet Revision A CIC Pro Clinical Information Center 4 9 2001099 183 CIC Setup Telemetry Unit Defaults Telemetry Unit Defaults Controls Graph Setup Graph Waveforms Transmitter Graph Alarm Graph Event Marker Graph NOTE For more information on setting Telemetry Unit Defaults refer to the telemetry system s operator manual MANUAL GRAPH LOCATION This option allows you to designate the default manual graph location for telemetry patients ALARM GRAPH LOCATION This option allows you to designate the default alarm graph location for telemetry patients PRINT WINDOW LOCATION This option allows you to designate the default print window location for telemetry
42. X X ARI 137 74 95 Viewed Patient Window Ready 032C Clinical Information Center Single Patient Viewer 7 14 CIC Pro Clinical Information Center Revision A 2001099 183 Admit View a Patient Viewing a Patient View Patient Tab Sheet View All ECG Monitor Sample Relearn The View Patient tab sheet shows all the information that normally appears in patient s bed window in the multiple patient viewer but also displays additional parameter information and waveforms that space confines of the multiple patient viewer did not permit There are three buttons in the View Patient tab sheet Their functions are described below Using the mouse to click on the View All ECG button temporarily changes the displayed waveform set to one containing ECG leads I II HI V aVR aVL and aVF NOTE The View All ECG button is dimmed when viewing telemetry patients because telemetry patients normally display all ECG waveforms After the View All ECG button is selected its label text changes to View All Monitor Click on the View All Monitor button to return to the normal view Using the mouse to click on the Sample button records a sample of the patient s real time ECG data This sample is then stored in alarm histories and can be viewed in the Alarm Histories tab under the title of Sample For more information about viewing alarm histories refer to Chapter 8 Alarm Histories Using the mouse to click on the Relearn bu
43. X7X 00 TXE 946 RATE 69 ICUBEDT ECG ma BETTY ECG View Patient Admit Eco 8p02 4 Respiration Prossures Graph Setup Alarm Control Alarm Histories Graphic Trends Vital Signs Fult Disclosure wo 69 NBP X X X ARI 137 74 95 RATE 69 User Help Message Area Mm sy NO TELEM NO TELEM NO TELEM 032C View Setup Silence Other cic Alarms Alarm Condition Indicators 1 22 CIC Pro Clinical Information Center Revision A 2001099 183 The Basics Multiple Patient Viewer Alarm Condition Indicators Main Menu Buttons The four highest priority alarms within the care unit may be displayed simultaneously The highest priority alarm always displays first displayed on the left with the next three highest priority alarms displayed in left to right order of descending priority To open a single patient view of one of these beds use the mouse to click on the alarm condition indicator For more information refer to Chapter 7 Admit View a Patient There are six Main Menu buttons at the bottom of the CIC Pro display They are Auto Display View Other Setup CIC Silence Alarms Print and Close AUTO DISPLAY The Auto Display button toggles between configuring the CIC Pro display in the optimal configuration for the number of patients admitted i e the number of patient windows is equal to the number of patients admitted and optimal plus an empty bed window for admit
44. a patient s SPO2 Respiration tab sheet 1 Click on the desired patient s information in the multiple patient viewer The single patient viewer for that patient opens 2 Click on the SpO2 Respiration tab in the single patient viewer The SpO2 Respiration tab sheet moves to the front SpO Controls The SPO2 controls allow you to view and modify settings specific to the pulse rate and waveform size ICU 1101 DOE JOHN View Patient Admit ECG Sp02 Respiration pressures Graph Setup Alarm Control Alarm Histories Graphic Trends vital Signs Full Disclosure SPO2 RESPIRATION Rate Sensitivity Waveform Size Cardifact Alarm con 10 1x On C Off C 20 96 C 2x C Off Si C 30 C 3x cix f 40 C ax 1x 2x C 50 96 C 5x C ax C 60 96 C 6x C 8x C 70 960 C 7x 80 C 8x Relearn C 90 96 C 9x C 10x Auto Size AVES 021C SpO Controls SpO2 Respiration Tab Sheet Rate The SpOs Rate control enables disables the heart rate from the SPO2 parameter display Click On or Off 12 8 CIC Pro Clinical Information Center Revision A 2001099 183 Parameter Monitoring SpO2 Respiration Monitoring Size Click on a Size option This changes the display size of the SpOs waveform on the screen Respiration Controls The Respiration controls allow you to view and modify settings specific to the viewed patient s respiration information display s C C 2 L s y s q 021C Respiration
45. alled Time Focus When you are viewing an alarm history event time focus allows you to view the patient s vital signs graphic trends and full disclosure data for the same given time stamp within one minute The user can choose to look at a particular time and click on either the Alarm Histories Graphic Trends Vital Signs or Full Disclosure tabs and view data at the same time interval the user selected on the previous tab NOTE Since graphic trends are only visible for the period of time specified in the Graphic Trends tab sheet refer to Chapter 9 Graphic Trends for more details it is possible to view an alarm history event for which the graphic trend is no longer stored on the clinical information center In this case clicking on the Graphic Trends tab takes you to the most recent graphic trend not the trend that corresponds to the alarm history you are viewing Viewing Alarm Histories To open the Alarm Histories tab sheet from Graphic Trends use the mouse to click on the Alarm Histories tab in the single patient viewer The Alarm Histories tab sheet moves to the front displaying the alarm history event that occurred closest to the time focus Viewing Graphic Trends To open the Graphic Trends tab sheet from Alarm Histories use the mouse to click on the Graphic Trends tab in the single patient viewer The Graphic Trends tab sheet moves to the front with data corresponding to the time focus at the cursor location
46. apply A bedside monitor is a stationary monitor user configured or factory configured These monitors are connected directly to the patient They are set up with a unit name as well as a bed name e g IMC BEDA4 For a user configured monitor data is processed by an acquisition module For a factory configured monitor data is processed within the monitor itself Telemetry monitoring occurs when ECG data is transmitted by a telemetry transmitter to a telemetry receiver cabinet over an established antenna system and viewed at a designated location The display monitor identifies a telemetry bed by placing an asterisk next to the bed name e g IMC BED4 ECG data is processed by the telemetry receiver cabinet If you wish to switch to an ApexPro transmitter from a CDT LAN transmitter e g Apex Apex S or vice versa while a patient is admitted you must m Discharge the patient losing stored data m Switch transmitters m Re admit the patient Monitoring stops if you switch transmitters while a patient is admitted CIC Pro Clinical Information Center Revision A 2001099 183 The Basics Terminology Locked or Unlocked Beds The clinical information center can be configured with the bed names either in locked or unlocked mode When locked the bed names are permanently assigned to specific windows For more information refer to Locked Unlocked Beds on page 1 18 NOTE It is possible to admit a patient to a
47. as the pins of leadwires into the sockets of the power cord by mistake DISPOSAL Dispose of the packaging material observing the applicable waste control regulations and keeping it out of children s reach EXPLOSION HAZARD Do NOT use this equipment in the presence of flammable anesthetics vapors or liquids Revision A CIC Pro Clinical Information Center 2001099 183 2 5 Safety For Your Safety WARNINGS INTERFACING OTHER EQUIPMENT Devices may only be interconnected with each other or to parts of the system when it has been determined by qualified biomedical engineering personnel that there is no danger to the patient the operator or the environment as a result In those instances where there is any element of doubt concerning the safety of connected devices the user must contact the manufacturers concerned or other informed experts for proper use In all cases safe and proper operation should be verified with the applicable manufacturer s instructions for use and system standards IEC 601 1 1 EN 60601 1 1 must be complied with LEAKAGE CURRENT TEST When interfacing with other equipment a test for leakage current must be performed by qualified biomedical engineering personnel before using with patients LOSS OF MONITORING If the monitoring at the CIC Pro is temporarily interrupted alternate monitoring devices or close observation should be used until the monitoring function at
48. at the CIC Pro and must print from the bedside monitor When a telemetry patient s vital signs are printed to a Direct Digital Writer the anchor column right most column and four additional columns print based on the time interval selected Printed data may be delayed by one minute from the displayed data due to time of request and update of trend files NOTE All data prints do not include calculations To print pulmonary or cardiac calculations sort the data then select the Print button in the Main Menu 10 6 CIC Pro Clinical Information Center Revision A 2001099 183 11 Full Disclosure Revision A CIC Pro Clinical Information Center 2001099 183 For your notes 11 2 CIC Pro Clinical Information Center Revision A 2001099 183 Full Disclosure Full Disclosure Full Disclosure Upon admission a history of the patient s waveforms and vital signs is continually collected to hold a maximum of 72 hours of data After 72 hours have elapsed the oldest data 1s deleted to accommodate newer patient data NOTE The amount of full disclosure data stored is determined by the number of full disclosure licenses purchased by your institution One hour of full disclosure data storage is standard without additional licensing This accumulated patient data can be viewed in a graphic format at the clinical information center by using the Full Disclosure feature You cannot change any full disclosure information but
49. ation Center 2001099 183 A 7 Abbreviations and Symbols Symbols Symbols inches degrees plus or minus minus Yo percent A 8 CIC Pro Clinical Information Center Revision A 2001099 183 B Supplies Revision A CIC Pro Clinical Information Center 2001099 183 For your notes B 2 CIC Pro Clinical Information Center Revision A 2001099 183 Supplies Contact Information Contact Information To ensure patient safety use only supplies manufactured or recommended by GE Medical Systems Information Technologies Your local sales representative can provide current supplies lists or you can contact GE Medical Systems Information Technologies Supplies Refer to How to Reach Us at the front of this manual Revision A CIC Pro Clinical Information Center B 3 2001099 183 Supplies Contact Information For your notes B 4 CIC Pro Clinical Information Center Revision A 2001099 183 Index Index For your notes A Aberrant rhythm 8 7 Accidental spills warning 2 4 Accuracy warning 2 4 Admit admit instructions 7 5 HL7 admit data 7 6 rover monitoring 7 8 AFIB atrial fibrillation rhythm 8 7 Alarm condition indicators 1 23 7 17 Alarm control telemetry defaults 4 12 4 13 Alarm control tab sheet 6 6 Alarm graph location 5 12 Alarm histories alarm histories tab sheet 8 3 printing 8 9 relearn 8 8 reviewing histories 8 3 time focus 8 3 Alarm history delete event 8 6
50. calculates measurements in millimeters and milli volts m Forall other measurements the calipers application calculates measurements in millimeters and seconds Speed The Speed option allows you to set the display sweep speed at which the waveform is displayed Choices are 12 5 25 and 50 millimeters per second To set the sweep speed 1 Click on the down arrow in the Speed field to display a list of Speed selections 2 Click on the desired speed The Speed menu closes and displays the selected setting Back Select this key to close the Calipers window and go Back to the Full Disclosure tab sheet NOTE Calipers measurements are not saved once the calipers window is closed To save a hard copy click the Print button at the bottom of the CIC Pro display 11 18 CIC Pro Clinical Information Center Revision A 2001099 183 12 Parameter Monitoring evision CIC Pro Clinical Information Center 2001099 183 For your notes 12 2 CIC Pro Clinical Information Center Revision A 2001099 183 Parameter Monitoring Introduction Introduction NOTE All changes made to the parameter controls at the clinical information center are also reflected at the bedside monitor Parameter Waveforms ECG View Patient Admit Data Synchronization Uu EE 8p02 Respiration Pressures Graph Setup Alarm Control Alarm Histories Graphic Trends Vital signs Full Disclosure The parameter monitor
51. corner of the Resp parameter window The Relearn control tells the bedside monitor to relearn the respiration waveform 12 10 CIC Pro Clinical Information Center Revision A 2001099 183 Parameter Monitoring Pressure Monitoring Pressure Monitoring The Pressures tab sheet allows you to view and modify settings specific to the viewed patient s invasive and noninvasive pressure displays To view a patient s Pressures tab sheet 1 Click on the desired patient s information in the multiple patient viewer The single patient viewer for that patient opens 2 Click on the Pressures tab in the single patient viewer The Pressures tab sheet moves to the front The Pressures tab sheet contains controls for both noninvasive and invasive pressures ra ra s C go Ld C Ai ce V Y AVE 020C NBP Controls Invasive Pressure Controls Pressures Tab Sheet Revision A CIC Pro Clinical Information Center 12 11 2001099 183 Parameter Monitoring Pressure Monitoring NBP Controls Auto Cuff Size Clear Message The NBP controls are located in the left most part of the Pressures tab sheet The Auto control turns off the Auto NBP program which initiates NBP readings at regular intervals If the program is active it must be turned on from the bedside monitor On is indicated Select Offto deactivate the program NOTE You cannot turn the Auto NBP program on from the CIC Pro This control is no
52. de Monitor Unit Name Bed Name ECG Source Telemetry Unit Name Bed Name ECG Source Bedside Monitor with Unity Network ID connection Unit Name Bed Name ECG Source Telemetry with Unity Network ID connection Unit Name Bed Name Locked Unlocked Beds Throughout this document references are made to locked beds If a bed 1s locked it means that a particular bed 1s allocated permanently to a particular slot on the CIC Pro and users are unable to move the bed to another slot on the CIC Pro Select Care Unit then Bed Number gt Select waveform 1 color Select waveform 2 Within the service mode this option is enabled You can choose between LOCK and UNLOCK 034B Lock Unlock Beds Right Click Menu 1 18 CIC Pro Clinical Information Center Revision A 2001099 183 The Basics Multiple Patient Viewer Locking or Unlocking a Bed NOTE In order to lock or unlock a bed To lock or unlock a bed you MUST be in service mode i E Position the mouse pointer in the patient s waveform window 2 Pressthe right mouse button to open the right click menu 3 Check either LOCK or UNLOCK The right click menu closes and the change takes effect immediately Waveform Window Each patient s primary ECG lead displays along with lead label and gain if not 1x at a display speed of 25 mm second Designating Waveform Color To designate the color for your primary ECG lead waveform 1 1 P
53. desired time resolution The time scale menu closes with the selected resolution remaining visible The selected time scale is also reflected immediately in the Graphic Trends Window Deselect All The Deselect All button clears all trends from the Graphic Trends window Also selecting this option removes any checks from the Trend Directory window Scan Older The Scan Older button scans older trend data When pressed the scan begins and older trend data scrolls across the display This option changes to Stop when a scan is in process You can also select Scan Newer to reverse the scanning direction When the oldest event is displayed the scan automatically halts and the label on this button grays out Revision A CIC Pro Clinical Information Center 9 7 2001099 183 Graphic Trends Graphic Trends Scan Newer Arrow Buttons Scalable Trends Key amp 431A The Scan Newer button scans newer trend data When pressed the scan begins and newer trend data scrolls across the display This option changes to Stop when a scan is in process You can also select Scan Older Events to reverse the scanning direction When the most recent event 1s displayed the scan automatically halts and the label on this button grays out The arrow buttons on the Graphic Trends tab sheet allow you to move the cursor one minute to the left or right Using the left arrow moves the cursor one minute in the older direction When the olde
54. dicates active selection HR PVC ST III El HR PVC ST V HR ST II ST V HR ST I ST III IST I ST II ST III ST AVR ST AVF ST AVL HR PVC IST I ST II ST III ST V IST AVR ST AVL IST AVF Revision A CIC Pro Clinical Information Center 2001099 183 1 31 The Basics Controls Scroll Bars View Patient Admit ECG ARIR bpm PA2 S mmHg PA2 D mmHg PA2 M mmHg CVP3 mmHg 68 34 23 25 68 34 23 25 Use horizontal and vertical scroll bars to move a window s content left right and up down Place the mouse pointer on the appropriate arrow to move the scroll bar or click and hold the mouse down while dragging the scroll bar until the desired information is displayed ICU BED 1 68 68 68 34 34 34 15 15 15 2 2 23 25 25 25 DOE JOHN Spo2s Respiration Pressures Graph Setup Alarm Control Alarm Histories Graphic Trends Vital Signs Full Disclosure 68 34 23 25 68 34 23 25 68 34 23 25 Vertical Scroll Bar 024C Horizontal Scroll Bar 1 32 CIC Pro Clinical Information Center 2001099 183 Revision A The Basics System Environment Monitor Notification System Environment Monitor Notification The System Environment Monitor Notification feature notifies the user in the event one of the system environment parameters goes out of range The CIC Pro responds by displaying a message window ide
55. e enna 12 3 ECG Monitoring rre EE ex Rr ER RE 12 4 EGG COntrolS 35 Lee etd e et Da Br etd c t Da Dy etc 12 4 SpO2 Respiration Monitoring 0 c cece eee eee eee eens 12 8 SPOS Cohlrols ok sez cca ertet rt emen tede t etes deed ta 12 8 Respiration Controls saset di aiana deea eee eee aa 12 9 Pressure Monitoring 0c cece e eect eee eee eee eee nee 12 11 NBP Controls 0 ccc ccc ccc e 12 12 Invasive Pressure Controls 0 0 cece cece IR 12 13 Abbreviations and Symbols A 1 Abbreviations sais pri a aa aro aid A 3 Syimbolsz cit RI UE NM e A 8 Supplies 545 Ks Delos a cr Velum pre dara vee B 1 Contact Information aa css seat ai eeepc tale E eC ERA B 3 pl d mem Index 1 vi CIC Pro Clinical Information Center Revision A 2001099 183 1 The Basics Revision A CIC Pro Clinical Information Center 2001099 183 1 1 For your notes 1 2 CIC Pro Clinical Information Center Revision A 2001099 183 The Basics About This Manual About This Manual Manual Purpose Intended Audience This operator manual has been prepared by the Technical Writing staff of GE Medical Systems Information Technologies It provides operating instructions for the CIC Pro with GE Medical Systems Information Technologies patient monitors and interface devices The CIC Pro can be used as a central station for viewing bedside monitored patients telemetry patients or both All of the basic opera
56. e left and right mouse button also moves the caliper measurement handles 1 Position the mouse pointer to where you want to move the right caliper measurement handle 2 Right click to move the right caliper handle to where the mouse pointer is positioned 9 Now position the mouse pointer to where you want to move the left caliper measurement handle 4 Left click to move the left caliper handle to where the mouse pointer is positioned Displayed waveforms are labeled with waveform lead time focus and current gain setting The calculated measurement is shown on a floating yellow label within the Calipers Measurement Window You can click on and drag this label to reposition it if desired 11 16 CIC Pro Clinical Information Center Revision A 2001099 183 Full Disclosure Calipers Marching Calipers This option turns Marching Calipers on off When on vertical lines are displayed on both sides of the caliper cursor at the same intervals as the current caliper span 124A Marching Calipers Marching calipers are used to compare the interval of multiple waveform complexes To adjust the measurement use the handles on the caliper or on the marching caliper to increase or decrease the interval You may have to zoom to 1x size to see the marching calipers handles Grids The Grids display mode displays the background grid on the screen The background grid will print on t
57. e newer event waveforms if any When the most recent event 1s displayed the label on this button will be dimmed If you would like to print this event press the Print button in the Main Menu Select View Older Event to view the next older event waveforms if any When the oldest event is displayed the label on this button will be dimmed If you would like to print this event press the Print button in the Main Menu Revision A CIC Pro Clinical Information Center 8 5 2001099 183 Alarm Histories Alarm Histories Delete Event Select Delete Event to delete the event currently displayed and correspondingly highlighted in the event directory If only one event was highlighted in the event directory selecting Delete Event deletes it immediately NOTE Selecting Delete Event at the clinical information center deletes the currently displayed event from the corresponding bedside monitor or telemetry tower in addition to deleting it from the clinical information center To delete more than one event hold the shift key down and highlight all of the events you wish to delete If more than one event was highlighted in the event directory a popup menu opens Delete Alarm Histories Are you sure you want to DELETE the currently selected Alarm Histories Co OBA Delete Alarm Histories Popup Window Select Yes to delete the highlighted events or No to cancel the request CIC Pro Clinical Information Center Revis
58. e patient viewer The single patient viewer for that patient opens 2 Click on the ECG tab in the single patient viewer The ECG tab sheet moves to the front ICU BED1 View Patient Admit ECG SPO 2 Respiration Pressures Graph Setup Alarm Control Alarm Histories Graphic Trends Vital Signs Full Disclosure ECG Display Lead Size Lead Analysis ST cm 0 5x f SingleLead On cn Fix Multi Lead off c c c d gt v Arrhythmia VaLead Vb Lead C AVR Full e vi v2 P ANL Detect Pace Lethal c c v3 C AVF Pace 1 off c v3 C v4 ase f Pace 2 PVC Limit r v4 CS off iS CVS v6 es On P Pace Help r off v6 Relearn 018D ECG Tab Sheet ECG Controls The ECG controls allow you to view and modify settings specific to the viewed patient s ECG information display Display Lead This option enables you to change the lead currently displayed as the primary lead Click on the Display Lead selection 12 4 CIC Pro Clinical Information Center Revision A 2001099 183 Parameter Monitoring ECG Monitoring Size Click on a Size option This changes the size of all ECG waveforms displayed on the screen NOTE If a size other than 1x is used the size displays on the left side of the screen next to the ECG waveform Detect Pace WARNING PATIENT HAZARD A pacemaker pulse can be counted as a QRS during asystole in either pace mode Keep pacemaker patients under close observation Pace detection cho
59. e steps 1 Atthe clinical information center use the mouse to click on the bed window of the patient to be discharged That patient s single patient viewer opens 2 Usethe mouse to click on the Admit tab to bring the tab sheet to the front ICU BED 1 SMITH DAV View Patient Admit ECO 8p02 Respiration Pressures Graph Setup Alarm Control Alarm Histories Graphic Trends Vital Signs Full Disclosure Patient Information Last Name First Name sm ITH DAVID Patient ID Age 333111222 Adult Y Location Unit Bed ECG From icu BED 1 MONITOR M Discharge Request Admit Info New Patient Admit Patient Tab Sheet Revision A CIC Pro Clinical Information Center 7 9 2001099 183 Admit View a Patient Discharging a Patient 3 4 Use the mouse to click on the Discharge button in the lower right corner of the tab sheet The dialog window shown below appears on the display Patient Discharge Are you sure you want to DISCHARGE this patient SMITH DAV 333111222 ICUIBED 1 Yes 071A Patient Discharge Dialog Window Use the mouse to click Yes or type the letter Y on the keyboard if this is the patient to be discharged All patient information clears While the information clears the message Discharging patient appears briefly on the Admit tab sheet The single patient viewer closes and the display returns to the multiple patient viewer If the just discha
60. eed and graph location Refer to the patient monitor s operator s manual When you use telemetry the CIC Pro controls these functions To stop a graph request that has been sent to a DDW press the GRAPH STOP button on the DDW or click on the patient s ECG parameter window This stops any graph already in process If this key is pressed when no graph is in process it advances the paper in the writer To stop a graph request sent to a laser printer click on a patient s ECG parameter window Revision A CIC Pro Clinical Information Center 5 3 2001099 183 Printing Graph All Patients Graph All Patients NOTE The Graph All Patients function is The Graph All Patients command sends a graph request to all beds only available when no single patient view is open If a single patient view is open selecting Print from the Main Menu initiates a printout of whichever tab sheet is in front displayed on this clinical information center initiating a 10 second graph for each admitted telemetry patient and a 20 second graph for bedside monitor patients When you select this option for telemetry patients graph requests always print at a speed of 25 millimeters per second For bedside monitor patients however the graph prints at the speed selected at the monitor The Graph All Patients process stops automatically If you press the GRAPH STOP control key on the external DDW the current patient s graph stops and the writer b
61. egins to print a 10 second graph for the next patient If a patient s data is currently graphing or is being saved to graph when a Graph All Patients request is initiated this patient s data is not included in the Graph All Patients graph This patient s data graphs independently of the Graph All Patients graph Using the mouse to click on the ECG parameter window for a patient whose data is saving cancels the Graph All Patients request for that patient If while a Graph All Patients request is running an arrhythmia alarm sounds for a patient the alarm data replaces the data that was saved for the Graph All Patients request If while a Graph All Patients request is running a telemetry patient initiates a graph from his or her telemetry transmitter the Graph All Patients graph for that patient is replaced by a transmitter graph CIC Pro Clinical Information Center Revision A 2001099 183 Printing Graph All Patients Initiating a Graph All Patients Request To initiate a Graph All Patients request 1 Clickon the Print button in the Main Menu The Graph All Patients window opens Graph All Patients x Limits C Waveforms Cancel 053A Graph AII Patients Window 2 Click on Limits or Waveforms 4 Selecting Limits graphs all patient limits NOTE The Limits function is active for telemetry patients only Selecting Waveforms graphs all patient waveforms 3 Select OK to complete the Grap
62. emetry patients only For more information refer to the telemetry system s operator manual 6 6 CIC Pro Clinical Information Center Revision A 2001099 183 Alarm Control Alarm Control Tab Sheet Parameter Limits and Alarm Levels The Parameter Limits and Alarm Levels controls allow you to view and modify the limits and alarm settings for a patient s monitored parameters Parameter Limits and Alarm Levels Low HR 50 150 WARNING NO BREATH 20 WARNING PVC 6 ADVISORY AR1 S 70 215 ADVISORY AR1 D 20 210 ADVISORY AR1 M 40 220 ADVISORY PA2 S 99 350 ADVISORY PA2 D 99 350 ADVISORY PA2 M 99 350 ADVISORY CO2 EXP 1 50 ADVISORY CO2 INSP 5 ADVISORY CO2 RESP s ADVISORY 02 EXP 1 102 ADVISORY a TS Mo TY Parameter Limits and Alarm Levels Controls NOTE Alarms are always sorted in a top to bottom highest to lowest priority When you change a level the list is resorted to reflect the change in alarm priority Revision A CIC Pro Clinical Information Center 6 7 2001099 183 Alarm Control Alarm Control Tab Sheet Modifying Parameter Limits NOTE Parameter limits are usually shown in black type If a parameter limit is shown in blue this indicates that the shown level is not the default value To modify a parameter s low or high limit NOTE The alarm limits for some parameters cannot be changed Alarm limits that cannot be changed always ap
63. emetry Listings Parameter Limits and Alarm Levels Arrhythmia Alarm Levels Level ASYSTOLE VFIB VTAC V TACH LAS x 2 V BRADY ACCVENT PAUSE TACHY BRADY System Alarm Levels Level CHANGE BATTERY ee ARR SUSPEND LEADS FAIL PROBE OFF 010D Telemetry Alarm Control Defaults Tab Sheet CIC Pro Clinical Information Center 2001099 183 Revision A CIC Setup Telemetry Alarm Control Defaults Telemetry Alarm Control Defaults Controls NOTE For more information on setting Telemetry Alarm Control Defaults refer to the telemetry system s operator manual Parameter Limits And Alarm Levels Arrhythmia Alarm Levels System Alarm Levels This option allows you to set default parameter alarms limits and alarm levels for the following parameters HR NBP S NBP D NBP M SPO2 SPO2 R ST I ST II ST III ST V ST V2 ST V3 ST V4 ST V5 ST V6 ST aVR ST aVL ST aVF and PVC This option allows you to set default alarm levels for the following arrhythmia calls ASYSTOLE VFIB VTAC V TACH VT gt 2 V BRADY ACC VENT PAUSE TACHY BRADY R ON T COUPLET BIGEMINY TRIGEMINY PVC IRREGULAR and ATRIAL FIB The default alarm levels for ASYSTOLE and VFIB VTACH cannot be moved from the Crisis level This option allows you to set default alarm levels for the following system alarms CHANGE BATTERY OFF NETWORK ARR SUSPEND LEADS FAIL PROBE OFF WARNING ADJUSTING
64. ents using the Standard and Rover monitoring applications are included in this chapter Combo and Rover Combo Admit Instructions Because Combo and Rover Combo monitoring applications can use telemetry their Admit instructions are documented in the telemetry system s operator manual Revision A CIC Pro Clinical Information Center 2001099 183 7 3 Admit View a Patient Admitting a Patient Admitting Telemetry Patients Refer to the telemetry system s operator manual for information on admitting telemetry patients NOTE 4 The ApexPro telemetry system software 3 x is only compatible with CIC Pro software version 4 x 4 The ApexPro telemetry system software 1 7 and 2 x is compatible with CIC Pro software version 3 x 4 The ApexPro telemetry system software 1 x is compatible with CIC Pro software version 2 x 4 The ApexPro telemetry system is not compatible with versions of CIC Pro software earlier than 2 x 7 4 CIC Pro Clinical Information Center Revision A 2001099 183 Admit View a Patient Admitting a Patient Admit Instructions To admit a bedside monitor patient to the clinical information center follow these steps NOTE These admit instructions apply to 1 Select a patient window from the multiple patient viewer that is bedside monitors using both the blank except for an Admit button standard and rover monitoring applications ES 069A Empty Window in Multiple Patient Viewer If there is no
65. er considerations 7 8 Discharge instructions 7 9 Discharge to clear patient data warning 2 5 DISCHARGED message 4 27 Disconnection from mains warning 2 5 Display format 4 16 changing 4 18 Display formats 1 13 Display lead control ECG 12 4 Displaying additional waveforms 1 24 Disposal caution 2 8 Disposal warning 2 5 E ECG arrhythmia control 12 6 detect pace 12 5 display lead control 12 4 Backspace key 1 30 p ECG tab sheet 12 4 P y lead analysis controls 12 6 Index 2 CIC Pro Clinical Information Center Revision A 2001099 183 Index PVC limit control 12 7 size control 12 5 ST control 12 7 ECG parameter window 1 21 EMC caution 2 8 Enable transmitter graph 5 13 End of event graphing 6 4 Environment monitor notification 1 33 Equipment inspection 3 4 Equipment symbols 2 12 Explosion hazard warning 2 5 F Full disclosure 11 3 cursor 11 5 minute rule 4 26 parameter information 11 6 printing 5 3 5 15 11 10 waveform display 11 5 G Graph all patients 5 4 initiating request 5 5 Graph speed 5 14 Graph waveforms controls 5 9 Graphic trends 9 3 9 9 arrow buttons 9 8 cursor 9 6 deselect all 9 7 printing 9 9 tab sheet 9 4 time resolution menu 9 7 trend directory window 9 5 Graphic trends tab sheet 9 4 Graphing 5 3 5 7 alarm graph location controls 5 12 enable transmitter graph controls 5 13 end of event 6 4 graph all patients 5 4 graph location controls 5 11 graph location defaults 5 7 graph paper out 5 7
66. esent a stumbling hazard For devices installed above the user adequate precautions must be taken to prevent them from dropping CAUTIONS DISPOSAL At the end of its service life the product described in this manual as well as its accessories must be disposed of in compliance with the guidelines regulating the disposal of such products If you have questions concerning disposal of the product please contact GE Medical Systems Information Technologies or its representatives EMC Magnetic and electrical fields are capable of interfering with the proper performance of the device For this reason make sure that all external devices operated in the vicinity of the monitor comply with the relevant EMC requirements X ray equipment or MRI devices are a possible source of interference as they may emit higher levels of electromagnetic radiation INSTRUCTIONS FOR USE For continued safe use of this equipment it 1s necessary that the listed instructions are followed However instructions listed in this manual in no way supersede established medical practices concerning patient care CIC Pro Clinical Information Center 2001099 183 Revision A Safety For Your Safety CAUTIONS LOSS OF DATA Should the monitor at any time temporarily lose patient data the potential exists that active monitoring is not being done Close patient observation or alternate monitoring devices should be used until m
67. eter monitoring overview 12 3 Password service 4 22 Patient status alarms 6 3 Patient window assigning patients 4 20 Patient window numbering 4 19 Popup menu 1 29 Power requirements 1 8 Power requirements caution 2 10 Power supply warning 2 7 Pressure monitoring 12 11 Pressures invasive pressure controls 12 13 invasive pressures IABP control 12 14 pulse rate control 12 14 scale control 12 13 site names 12 13 NBP clear message button 12 12 cuff size controls 12 12 NBP monitoring 12 12 Pressures tab sheet 12 11 Preventive maintenance 2 9 Print button 1 23 Print report full disclosure 11 10 Print window location 5 12 Printing alarm histories 8 9 alarm settings 6 12 full disclosure 5 3 5 15 11 10 full disclosure Full disclosure printing 5 15 graphic trends 9 9 Printing See also Graphing PVC limit control 12 7 Q QS system admit information from 7 6 R Radio button control 1 31 Rate meters warning 2 8 Relearn 7 15 Report duration Full disclosure 4 24 Report hole location Full disclosure 4 24 Report line time Full disclosure 4 24 Respiration lead control 12 10 sensitivity control 12 9 waveform size control 12 10 Respiration monitoring 12 9 Respiration tab sheet 12 9 Restricted sale caution 2 10 Revision history 1 5 Rover combo monitoring 7 3 Rover monitoring 7 3 admit from the clinical information center 7 8 discharge from 7 8 monitor removal protocol 7 8 pre admission protocol 7 8 S Sample 7 15
68. f the CIC Setup window to apply your changes The display updates immediately to reflect your changes Select OK to save your changes and close the CIC Setup window or Cancel to close the window without making changes to the format 4 18 CIC Pro Clinical Information Center Revision A 2001099 183 CIC Setup Display Format Patient Window The clinical information center identifies the patient windows and assigns an internal number in a top to bottom left to right format Refer to the figure below Slot 1 Slot 9 Slot 2 Slot 10 Slot 3 Slot 11 Slot 4 Slot 12 Slot 5 Slot 13 Slot 6 Slot 14 Slot 7 Slot 15 Slot 8 Slot 16 072A Example Assume your CIC Pro s display is configured to show eight rows and two columns of patient slots 16 patient slots If you change the clinical information center display format to show four rows and two columns of patient slots eight patient slots you would lose patient slots 9 16 since the new configuration only accommodates the first eight patient slots refer to the note on page 4 18 Revision A CIC Pro Clinical Information Center 4 19 2001099 183 CIC Setup Display Format Assigning Patients to Patient Slots There are two ways to assign patients to the available slots on the clinical information center Admit Button If the patient slot is empty except for an Admit button use the mouse to click anywhere in the slot The single patient viewer for that
69. graph setup tab sheet 5 7 graph speed controls 5 14 initiating 5 3 laser printer 5 15 manual graph location controls 5 11 print window location controls 5 12 stopping a graph 5 3 Increment vital signs 10 5 Installation instructions see service manual 1 6 Instructions for use caution 2 8 Interfacing other equipment warning 2 6 L Lead analysis control ECG 12 6 Leakage current test warning 2 6 Learn as alarm history 8 7 Locked or unlocked beds 1 15 Loss of data caution 2 9 Loss of Monitoring 2 6 Main Menu 1 29 Main menu 1 23 Maintenance caution 2 9 Manual graph location 5 11 Manual graph initiating 1 22 Material safety data specifications 3 5 Menu formats 1 29 Main Menu 1 29 popup menus 1 29 text entry fields 1 30 Message area 1 22 Microsoft Internet Explorer 1 28 Mirror 4 9 Mirroring 4 9 Mouse 1 9 left and right buttons 1 10 pointer shapes 1 9 MPSO multiple portable socket outlet 2 9 MRI device 2 8 Multiple patient viewer 1 16 alarm condition indicators 1 23 message area 1 22 MUSE system admit information from 7 6 N NBP monitoring 12 12 Negligence caution 2 9 Network integrity warning 2 7 New Patient 7 12 NO COMM message 4 27 4 28 NO PARAMETERS message 4 27 Normal rhythm 8 7 to a laser printer 5 15 O H Operator caution 2 9 HL7 admit data 7 6 P Pacemaker pulse detection pace help 12 6 IABP 14 Pacer detection 12 5 Revision A CIC Pro Clinical Information Center Index 3 2001099 183 Index Param
70. h cont manta ECG NBP X 7X 0 AR1 137 74 95 TTX 748 6 5 El ECG P RADY PETER ECG YOUNG BETTY ECG ARI 133 71 92 NBP X X X TIx 946 RATE 69 DOE JOHN Admit Eco p02 Respiration Prossuros Graph Setup Alarm Control Alarm Histories Graphic Trends Vital Signs Full Disclosure NBP X X X ARI 137 74 95 59 Relearn Clinical Information Center Single Patient Viewer Viewed patient s waveform window is indicated with a white border Viewed Patient Window 032C 1 24 CIC Pro Clinical Information Center 2001099 183 Revision A The Basics Data Source Data Source The Data Source option allows the user to select the specific data source from which historical patient data Alarm Histories Graphic Trends and Vital Signs can be retrieved The Data Source option is only available when PDS is Enabled refer to Telemetry Unit Defaults on page 4 9 The Data Source option is labeled Data Source and exists on the left side of the screen between the Multi patient viewer and the Single view window Next to this label are two radio buttons that indicate the possible data sources m Bedside This can be either a telemetry or a hardwire bedside The amount of historical data is limited to the specific data source For most hardwire bedsides there is a limit of around 32 history events and 24 hours of trend data m PDS This server gat
71. h AII Patients request Revision A CIC Pro Clinical Information Center 5 5 2001099 183 Printing Graph Paper Out Indicator Graph Paper Out Indicator When there is no graph paper in the DDW or the door is open the message Graph Paper Out Door Open displays at the top of the screen When printing to a laser printer a similar status message displays if the printer is unable to print NOTE Because the clinical information center can communicate with many manufacturers laser printers specific status messages are not documented in this manual CIC Pro Clinical Information Center Revision A 2001099 183 Printing Graph Location Settings Graph Location Settings Graphs print at the graph locations specified in the patient s Graph Setup tab sheet Upon admission of a patient these locations are set from the unit defaults but they can be modified if desired Following are guidelines for Graph Location wm Manual graphs and print window requests print at the CIC Pro where the graph was requested provided that CIC Pro has the same type of writer or printer as the graph location set for the patient for that type of graph If the CIC Pro where the graph was requested does not have the same type of writer or printer the graph prints to the patient s specified graph location m fa telemetry patient is duplicated on another CIC Pro alarm graphs continue to print at the clinical information center where the pa
72. h one or more spaces the point where the spacebar must be pressed is indicated as Space The purpose of the lt gt brackets is to ensure you press the spacebar when required Indicates you must press the Enter or Return key on the keyboard Do not type enter Illustrations and Names All illustrations in this manual are provided as examples only They may not necessarily reflect your monitoring setup or data displayed on your monitor In this manual all names appearing in examples and illustrations are fictitious The use of any real person s name is purely coincidental CIC Pro Clinical Information Center Revision A 2001099 183 The Basics About This Manual Revision History This manual has a revision letter located at the bottom of each page This revision letter changes whenever the manual is updated Revision A is the initial release of the document Revision Date Comments A 22 April 04 Manual released with this document number to correspond with CIC Pro software version 4 1 Revision A CIC Pro Clinical Information Center 1 5 2001099 183 The Basics About the Clinical Information Center About the Clinical Information Center Telemetry Compatibility This manual addresses the operation of the Clinical Information Center The Clinical Information Center is referred to as the CIC Pro throughout the rest of this document The CIC Pro displays data from up to 16 bedside dev
73. hasty Suk aen toad t ott oir et 1 32 System Environment Monitor Notification ooooooommmm o 1 33 Safety 1s dites A CR AUC aces 2 1 For Your Safety vcs cece baie nite eR RR EE A 2 3 Intended Use ee el ERE Deb e EE RD cee 2 3 Terminology ou A ttt ad tette P wee habeas 2 3 Monitor Safety encuentre toe e ede oe Rr cn otn 24 Reference Literature 0 00 c cece eee eee eee eee 2 11 Equipment Symbols cece eee eee eee eens 2 12 Classification occ boku eh dah bla hale MER Pub bite died e bue 2 14 Underwriters Laboratories Inc 2 000 cece eee eee ee 2 14 Maintenance 5 5 serae rte 3 1 BiocompatibilitY out rs RIDE tri Rm P TORRES Eres 3 3 Inspection sacas e M Aie net USD RA a 3 4 Cleaning 25 oe beds rte EM O cod 3 5 General Cleaning a ruada ea pe nine nme hh me eer res 3 5 Cleaning the Touchscreen 2 cece eee ene 3 6 Technical Maintenance ooocooococcconc e ene 3 7 ii CIC Pro Clinical Information Center Revision A 2001099 183 CIC Sopa t Ee EATER OR aes chicks 4 1 Introduction eer a Re UU end eae Teteres 4 3 CIC Defaults as AD cod ERES 4 4 CIC Defaults Controls ze ei nep iR ERROR AE NER 4 5 Telemetry Unit Defaults ooooococccoccconcrr nr 4 9 Telemetry Unit Defaults Controls 2 2 0 eee eee 4 10 Telemetry Alarm Control Defaults ccc cece ete eee eee een eeee 4 12 Telemetry Alarm Control Defaults Controls 0 ooooooccoo ooo 4 13 Cur
74. he web browser The browser displays full screen on the secondary monitor Please refer to your CIC Pro service manual for configuration LASER PRINTER This control allows you to designate the default laser printer for this clinical information center DDW This control allows you to designate the default DDW for this clinical information center FULL DISCLOSURE This control allows you to designate the default printer to print Full Disclosure for this clinical information center Revision A CIC Pro Clinical Information Center 4 7 2001099 183 CIC Setup CIC Defaults Cancel Print Jobs Color Set This control allows you to cancel a print job to the Laser printer or Full Disclosure printer Click on the Cancel Print Jobs to cancel any printing jobs This only cancels print jobs that originate from the same CIC Pro You cannot cancel print jobs at another CIC Pro This control allows you to set a color scheme for waveforms Preset choices are Clinical Transducer or Custom 4 Clinical This sets the colors for single parameter or double parameter patient monitoring ECG waveforms display in orange ART PA FEM CVP RA LA ICP SP UAC and UVC display in green and RESP SPO2 and CO2 display in blue 4 Transducer This sets the colors for multi parameter patient monitoring Display colors are ECG in brown ART in red PA in yellow FEM in red CVP and RA in blue LA and ICP in white SP in green UAC in red
75. he calipers measurement page regardless of whether or not grids are turned on At sweep speeds of 25 millimeters per second each of the heavy grid lines are 5 millimeters apart Zoom In Out This option enables you to Zoom in and Zoom out of the Calipers Measurement Window This feature may be necessary when using the Marching Calipers option or to precisely place the caliper on the waveform The size options are 1x 2x and 3x The current zoom level is displayed to the left side of the Zoom button NOTE Waveforms are always printed at 1X zoom Revision A CIC Pro Clinical Information Center 11 17 2001099 183 Full Disclosure Calipers Performing a Calipers Measurement Follow these instructions to measure the complex and display the measurement value on the measurement table 1 Highlight the measurement to be recorded in the Measurement table 2 Use the calipers measurement handles to align the caliper with the waveform interval you are measuring 3 Select Apply to calculate the measurement and display the unit of measure on the measurement table 4 Use the Clear Value key to clear the selected waveform value or the Clear All key to clear all values in the Measurement window The calipers application calculates the measurement value and units as follows m In R R Rate measurements the calipers application calculates measurements in millimeters seconds and beats per minute m InST measurement the calipers application
76. he stimulus occurring within a few milliseconds after the pacer spike Close 047A Pacemaker Help Window Lead Analysis The Lead Analysis control signals the bedside monitor to process the ECG in Single lead or Multi lead mode Click on your selection NOTE In single lead mode only the display lead processes ECG and arrhythmia information Arrhythmia The Arrhythmia control signals the CIC Pro to ignore or accept arrhythmia calls from the bedside monitor Click on Full Lethal or Off 12 6 CIC Pro Clinical Information Center Revision A 2001099 183 Parameter Monitoring ECG Monitoring PVC Limit ST ST V Lead When on the PVC Limit control displays a PVC counter in the ECG parameter window shown left When off the PVC counter is not displayed in the ECG parameter window Click the PVC Limit control On or Off The PVC limits are preset in Alarm Control defaults NOTE PVC Limit is only available if you select Full Arrhythmia 035C PVC Counter The ST control turns ST segment analysis on off from the display Click the ST segment analysis On or Off This choice list allows you to label the V Lead position Click on your V Lead selection Revision A CIC Pro Clinical Information Center 12 7 2001099 183 Parameter Monitoring SpO2 Respiration Monitoring SpO2 Respiration Monitoring The SpO2 Respiration tab sheet provides controls for SpO and respiration monitoring To view
77. hers and stores trend and history events from hardwire bedsides and telemetry transmitters refer to the compatibility list in the Unity Network Patient Data Server PDS Operator s Manual Patient data recorded during previous 72 hours bedside or telemetry device admissions can be viewed as a single patient centric session Up to 72 hours of trend data and 500 history events can be stored for a single patient The radio button for PDS data source will be disabled in the Alarm Histories Graphic Trends and Vital Signs tab sheets for a bedside that is not being monitored by PDS DataSource 9 Bedside O PDS Once the user makes a data source selection for a specific patient the setting remains in effect allowing the user to interact with the data from the selected data source Data for printing will be consistent with the currently selected data source Selecting a different patient in the multi viewer or re selecting the same patient will automatically change the data source to be the bedside device NOTE If the operator is on a tab sheet other than Alarm Histories Graphic Trends or Vital Signs no selection of the data source is possible For any application where information needs to be retrieved such as patient name patient ID and alarm control information the bedside device will be used Revision A CIC Pro Clinical Information Center 1 25 2001099 183 The Basics Time Focus Time Focus The CIC Pro has a feature c
78. hoose ECG leads for Measurement and Reference The choices for Measurement leads are I II III V AVR AVL AVF and V2 When the caliper tool is accessed from Alarm Histories only leads II III and V are available for measurement When Enable is selected you can display Reference leads Those choices are II II V AVR AVL AVF and V2 These leads are for reference only therefore measurements made on the reference waveform components cannot be recorded to the measurement table Gain This control is used to adjust the Gain for the ECG waveforms Choices are 0 5x 1x 2x and 4x Revision A CIC Pro Clinical Information Center 11 15 2001099 183 Full Disclosure Calipers Calipers Measurement Window This window displays the default ECG waveform and caliper which allow you to measure time intervals and amplitudes for selected displayed waveforms Calipers Measuring Handles Stand rd Scale 1 cm 1 mv 30 Apr 2003 14 46 30 3 i I mas E E ae AMA LIANA LIANA AMAS ALE AI 4 Calipers Central Fine Cursor Control Handle IV Marching Calipers Grids 2x Floating Label Calipers Measurement Window m Use the central handle on the caliper to position it on a desired waveform complex m Use the caliper s measuring handles to resize and reposition the caliper arms over the waveform m Th
79. ices patient monitors Unity Network ID connectivity devices telemetry transmitters etc at one time This data is collected for each individual monitor and sent to the CIC Pro via the Unity Network Included are the bed number the primary ECG waveform heart rate alarm messages etc The vital sign numerics displayed are determined at the GE Medical Systems Information Technologies bedside monitor or the telemetry receiver cabinet GE bedside monitors send numerics for all actively monitored parameters as well Control is provided through the mouse or optional touchscreen display and keyboard The following page shows an illustration of the CIC Pro with the various components indicators and controls labeled Refer to the service manual for installation instructions including mounting and support requirements The following issues apply with regard to compatibility with CIC Pro software version 4 1 m Dueto changes in Telemetry Unit Defaults and Telemetry Alarm Control defaults Centralscope central stations and previous software versions of CIC are not in unit compatible with CIC Pro software version 4 1 m The CD Telemetry LAN software is compatible with all versions of CIC Pro software m The ApexPro telemetry system software 3 x is only compatible with CIC Pro software version 4 x m The ApexPro telemetry system software 1 7 and 2 x is compatible with CIC software version 3 x m The ApexPro telemetry system software
80. ices are Pace 1 and Pace 2 You can also choose to turn pace detection Off Use the mouse to click on a Detect Pace selection 035C Indicates Pace Detection is enabled There are two pacemaker processing modes Pace 1 and Pace 2 The Pace 1 and Pace 2 modes use different algorithms for pacemaker artifact rejection The clinician must judge which mode is better for each patient Refer to the appropriate operator s manual for details on these pace modes When you enable either pace mode the software places an artificial spike on the waveform whenever the pacemaker triggers Pacemaker spikes are shown as white segments on ECG waveforms When pacemaker detection is on it is indicated by a P in the patient s ECG parameter window NOTE Pacemaker spikes do NOT appear in white when using Combo monitoring Revision A CIC Pro Clinical Information Center 12 5 2001099 183 Parameter Monitoring ECG Monitoring Pace Help Clicking on the Pace Help button opens a window that shows common problems and solutions in regard to pacemaker detection Pacemaker Help Problems Heart rate is double counting Alarming for low heart rate or asystole Pacemaker spikes are not detected Solutions Assign the lead with the best pace marker to the top trace position Try an alternate electrode placement Use the PACE 2 program for atrial or A V sequential paced patients Use the PACE 1 program for ventricular pacemakers with t
81. ing v ses dorait Ene ea eee eee teenies 1 14 Locked or Unlocked Beds 1 15 Multiple Patient Viewer 0 0 cee eect eee RII 1 16 Telemetry and Network Bed Names 0 e cece eee eee eens 1 18 Locked Unlocked Beds 0 00 cece cence eee eee een eeees 1 18 Waveform Window 00 0c cece sean 1 19 ECG Parameter WIndOW i ete i vied at 1 21 Initiating a Manual Graph 0 eens 1 22 User Help Message Area 2 eee eens 1 22 Alarm Condition Indicators s s 0000 cece e eee eee tees 1 23 Main Menu Buttons ici ria eter aul Ro ence nt 1 23 Single Patient Viewer essseen nr 1 24 Data Source feck onesie Lure E eee HER AE 1 25 Revision A CIC Pro Clinical Information Center i 2001099 183 Time FOCUS ads A A eee 1 26 Viewing Alarm Histories ee irana taea alarar ne 1 26 Viewing Graphic Trends 0000 cece cee eee e 1 26 Viewing Vital Signs cicer n 1 27 Viewing Full Disclosure 0 0 ect eae 1 27 Web Browset usuais ecce e tete eda whe ont 1 28 Browser Configuration 0 c cece eect nent 1 28 Menu Formats isis sa mese her ap ere EE EE MEE Re 1 29 Main Menu ce m bee tone ed e CER bes eh 1 29 Popup Men s ee gente tc OD alas 1 29 Text Entry Fields mamas mesa correo Rep ip or dest 1 30 CONOIS uns echec stories ma Re ees CHE EA b ER da DU a Rd x 1 31 Radio Buttons tec vos E ox e o ec Pa 1 31 Check BOXES circos RE Ds ORE HER EA ARR RENE S 1 31 AAA t eth Ces
82. ing information included in this chapter is a brief overview of how ECG respiration SpOs and pressure data displays at the CIC Pro For more in depth instructions on monitoring these parameters refer to the appropriate bedside monitor operator s manual Within the single patient viewer of the clinical information center you can view parameter values and limits For in unit devices you can also modify parameter values and limits NOTE For devices viewed from other units you can view parameter values and limits but you cannot make changes to them EOJICUIBEDA _ DOE JOHN ECG P C 0 PA NBP X X X AR1 138 73 95 69 Parameter Values 048B Patient s Waveform Window in Multiple Patient Viewer ICU 1101 DOE JOHN AR1 130 69 90 PAZ 30 13 20 NBP X X X View All ECG Sample Relearn 045C Single Patient Viewer Information displayed on the ECG SpO2 Respiration and Pressures tab sheets is synchronized with the source bed every two seconds If the CIC detects differences the display refreshes with the new information Revision A CIC Pro Clinical Information Center 12 3 2001099 183 Parameter Monitoring ECG Monitoring ECG Monitoring The ECG tab sheet allows you to view and modify settings specific to the viewed patient s ECG parameter display To view a patient s ECG tab sheet 1 Click on the desired patient s information in the multipl
83. iological patient demographic and or other non medical information Physiological parameters and waveforms from GE Medical Systems Information Technologies monitors and telemetry systems can be displayed and printed from the CIC Pro Central Station Beat to beat patient information for all parameters and waveforms from the bedside and telemetry systems can be displayed The CIC Pro Central Station supports the ability to access information from GE Medical Systems Information Technologies products in a web browser format Additionally CIC Pro Central Station supports the ability to access patient information collected from the Unity network and stored on a network server The terms danger warning and caution are used throughout this manual to point out hazards and to designate a degree or level of seriousness Familiarize yourself with their definitions and significance Hazard is defined as a source of potential injury to a person DANGER indicates an imminent hazard which if not avoided will result in death or serious injury WARNING indicates a potential hazard or unsafe practice which if not avoided could result in death or serious injury CAUTION indicates a potential hazard or unsafe practice which if not avoided could result in minor personal injury or product property damage NOTE provides application tips or other useful information to assure that you get the most from your equipment Revision A CIC Pro C
84. ion A 2001099 183 Alarm Histories Alarm Histories Learn As Category The Learn As feature is active for telemetry patients only Select Learn As to tell the arrhythmia algorithm the telemetry patient is in a normal rhythm for that patient and you are not concerned about the rhythm This changes the name of the arrhythmia call on the template in the alarm history and the new name displays with an to indicate it is renamed NOTE If a call name is changed via this option it only applies to subsequent occurrences of this call IT DOES NOT CHANGE THE NAMES OF CALLS STORED IN HISTORY BEFORE THE CHANGE WAS MADE Once Learn As is used for an active template the arrhythmia algorithm adheres to that change WARNING Do NOT use the Learn As feature for rhythms that include true ventricular beats in the 10 second history This could affect the ventricular template depending on its relation to the beats involved in the arrhythmia call The following rhythm categories allow user feedback to reclassify arrhythmia calls Description Limitations NORMAL Used when the patient is normally in a Disallowed when the heart rate of the paced rhythm and then has an early and ventricular beats exceeds the high heart wide beat or rhythm that is the patient s rate limit normal rhythm ABERRANT Used when the system is alarming as a Disallowed when the heart rate of the VTach or Accelerated Ventricular ve
85. ion in order to admit a patient The only fields that are mandatory to admit a patient are the Bed and ECG From fields If information is entered here however be sure that it is entered accurately and that you do not use the patient ID number of an already admitted patient 7 Once you have entered all the patient information desired click on the Admitbuttonin the lowerrightcorner of the tab to admitthe patient NOTE If the Full Disclosure is set for manual mode a prompt appears asking Would you like to start Full Disclosure Select Yes or No to complete the admit process Full Disclosure can be stopped or started at any time by selecting the Stop Start FD button found in the Full Disclosure tab sheet Revision A CIC Pro Clinical Information Center 7 7 2001099 183 Admit View a Patient Admitting a Patient Special Considerations for Rover Monitoring IMPORTANT When using the Rover monitoring application you must complete the following steps in sequence Pre Admission Protocol OE Et LO ee T Store the bedside monitor with the power supply off Bring the monitor into the desired room Connect the monitor to the network Plug the power cord into the wall outlet Turn the power on via the power toggle switch located at the back of the monitor on the power supply Verify Unit Name and Bed Name The choices automatically appear on screen after the monitor is turned on if it has been off the network for more than
86. itter ICU BED1 TELE BED 3444 Software Revision CDT diskette version is 64 407692 064 2NTELEIBED6 TELEBED 247 2WEST 1 2WTELE BED3 TELE BED 816 Software Revision CDT diskette version is 6B X05 407692 082 NORTE ng AEE Ft SNTELEjBEBT 7 HERB MERE Software Revision APEX PRO 1 0 16 AMAD TI MTEI CIDENAs TC c DEM BAGA tz Hardwire Beds Transmitters Current Telemetry Listings Tab Sheet CIC Pro Clinical Information Center Revision A 2001099 183 CIC Setup Current Telemetry Listings Current Telemetry Listings Controls The Admitted Telemetry Patients control is for information only The Bed and Transmitters controls can only be modified from within service mode Admitted Telemetry Patients Bed and Transmitters NOTE This overview covers the controls in a row Each row contains information for one telemetry patient The second line of an entry shows the current software level for the patient bed in question TOWER indicates which telemetry receiver cabinet tower this telemetry patient is communicating with RECEIVER indicates which receiver assembly inside the telemetry receiver cabinet this telemetry patient is communicating with UNIT BED indicates the unit and bed to which this patient has been assigned TYPE indicates the type of patient this is Tele Bed or Tele Combo TRANSMITTER indicates the identification number assigned to this patient s transmi
87. l Information Center Revision A 2001099 183 CIC Setup Bedside Status Messages Bedside Status Messages On the clinical information center display there are up to 16 waveform slots which display information from up to 16 bedside monitors If no information appears in a waveform slot a message indicating the status of the bedside monitor displays ICU BED1 HR P PVC 0 V5 OA This waveform slot indicates that the bedside monitor ASK TT is communicating with the clinical information ti i center 064A ICU BED1 NO COMM indicates there is no communication between a bedside monitor and the clinical information center The bedside monitor may be turned off 065A ICU BED1 NO PARAMETERS indicates there is no patient data to be sent The bedside monitor has no module or no cables are attached to the module 067A i DISCHARGED indicates that the bedside monitor is CUT BEDA in discharged mode NOTE If the bed number is unlocked all discharged bed numbers are available for selection when ADMIT is selected in an empty patient slot 068A Revision A CIC Pro Clinical Information Center 4 27 2001099 183 CIC Setup Bedside Status Messages ICU BED12 DOE JOHN ICU BED3 DOE JOHN eie PVC X NBP X X X ECG PVC X Hx TTX 726 X LEADS FAIL indicates that the patient s leads are not transmitting data Check the lead contact with the skin and that the leads are sti
88. lay those parameters are NOT mirrored on the other display m Auto Display should be set to disabled at the mirrored CIC Pro when a mirrored CIC Pro is set up However Auto Display is still active on the main CIC Pro See Changing the Display Format on page 4 18 m When using the mirror feature on the CIC Pro product both the main and mirrored CIC Pro must be set to the same display format for the mirror feature to work correctly Set the Number of Patients in the Display Format tab of the mirrored CIC Pro to match the main CIC Pro See Changing the Display Format on page 4 18 m The title bar of the mirror CIC Pro displays mirror of CIC SELECTEDJ Waveforms ECG 1 This waveform is defined by the ECG source WAVEFORMS 2 4 These selections allows you to define multiple patient viewer waveforms 4 6 CIC Pro Clinical Information Center Revision A 2001099 183 CIC Setup CIC Defaults Browser Configuration Printer Writer This control allows you to disable enable and configure the web browser refer to Web Browser on page 1 28 When enabled the Browser Configuration includes the following possibilities m Single Monitor Browser Integrated into Single Patient Viewer m Single Monitor Browser Free Floating m Dual Monitor Browser into second monitor To exit the web browser select the Close button on the CIC Pro Dual Monitor The CIC Pro allows for the use of a secondary monitor when using t
89. learn as 8 7 scan newer events 8 5 scan older events 8 5 view newer events 8 5 view older event 8 5 Alarm pause breakthrough 4 11 Alarms adjusting alarm volume 4 9 alarm condition indicators 7 17 alarm control tab sheet 6 6 alarm structure 6 3 end of event graphing 6 4 modifying arrhythmia alarm levels 6 11 modifying parameter alarm levels 6 9 modifying parameter limits 6 8 parameter limits and alarm levels controls 6 7 patient status alarms 6 3 printing alarm settings 6 12 silencing 6 13 system status alarms 6 5 Alarms warning 2 4 Arrhythmia arrhythmia alarm levels controls 6 10 modifying arrhythmia alarm levels 6 11 Arrhythmia control 12 6 Arrhythmia levels setting 6 10 Audience manual s 1 3 Auto display 1 23 Bedside monitoring definition 1 14 Before installation warning 2 5 Before use warning 2 5 Biocompatibility 3 3 Browse 1 28 C Calibration screen 4 21 Calipers measurement 11 14 Check box controls 1 31 CIC defaults window 4 4 Cleaning Cleaning the touchscreen 3 6 general 3 5 recommended solutions 3 5 Clearing a patient window 7 11 Color setting waveform 1 19 Combo monitoring 7 3 Controls 1 9 1 31 check boxes 1 31 radio buttons 1 31 scroll bars 1 32 Current telemetry listings 4 14 Cursor full disclosure 11 5 Cursor graphic trends 9 6 D Data Source 1 25 Data synchronization 12 3 Deselect all 9 7 Detect pace control 12 5 Discharge clearing a patient window 7 11 discharge procedure 7 9 rov
90. linical Information Center 2 3 2001099 183 Safety For Your Safety Monitor Safety The safety statements presented in this chapter refer to the equipment in general Look for additional device safety information throughout the rest of this manual The order in which safety statements are presented in no way implies order of importance Dangers There are no dangers that refer to the equipment in general Specific Danger statements may be given in the respective sections of this manual Warnings WARNINGS ACCIDENTAL SPILLS To avoid electric shock or device malfunction liquids must not be allowed to enter the device If liquids have entered a device take it out of service and have it checked by a service technician before 1t 1s used again ACCURACY If the accuracy of any value displayed on the screen or printed on a graph strip 1s questionable first determine the patient s vital signs by alternative means and then verify that the clinical information center and printer are working correctly ALARMS Do NOT rely exclusively on the audible alarm system for patient monitoring Adjustment of alarm volume to a low level or off during patient monitoring may result in a hazard to the patient Remember that the most reliable method of patient monitoring combines close personal surveillance with correct operation of monitoring equipment After connecting the monitor to the central station and or nurse alert
91. ll plugged into the transmitter or the bedside monitor 097A NO TELEM indicates there is no communication between telemetry and the clinical information center The telemetry system may be turned off 096A ICU BED6 DOE JOHN ECG PVC X 11 X TIX amp 748 ALL ALARMS OFF indicates that the alarm feature is turned off telemetry only 095A NOTE The unit name and bed number entered at both the CIC Pro and the bedside monitor must match exactly for communication between bedside monitor and a CIC Pro 4 28 CIC Pro Clinical Information Center Revision A 2001099 183 2 Printing Revision A CIC Pro Clinical Information Center 2001099 183 For your notes 5 2 CIC Pro Clinical Information Center Revision A 2001099 183 Printing Initiating and Stopping a Graph Initiating and Stopping a Graph Initiating a Graph Stopping a Graph If you use the mouse to click on a patient s ECG parameter window the small box in the upper right corner of the patient slot a continuous graph initiates for the patient The DDW Direct Digital Writer prints patient data generally referred to as a graph or graph strip Data can also print to a laser printer NOTE Full Disclosure and the Vital Signs tab sheet cannot print to a DDW They must print to a laser printer When you use a bedside monitor the bedside monitor s graph menu controls printing formats including the waveforms graphed graph sp
92. loth after cleaning NEVER use wax containing a cleaning substance NEVER SUBMERSE POUR OR SPRAY water or any cleaning solution on the equipment or permit fluids to run behind switches into the connectors or into any ventilation openings in the equipment 4 Never use these cleaning agents abrasive cleaners or solvents of any kind acetone alcohol based cleaning agents Betadine 999 Cleaning the Touchscreen NOTE Turn the display power off before cleaning the touchscreen Clean the touchscreen with one of the following approved solutions m Household glass cleaner m Virex full strength or m Cavicide diluted 1 2 oz per gallon of water To avoid damage to the equipment follow these rules CAUTION Failure to follow these rules may melt distort or dull the finish of the case blur lettering on the labels or cause equipment failures m Always dampen the towel and then clean the touchscreen Do NOT spray cleaner directly on the touchscreen m Do NOT use these chemicals on the touchscreen 4 Acetone Methylene chloride Methyl ethyl ketone Hexane 999 Ammonia based glass cleaners 3 6 CIC Pro Clinical Information Center Revision A 2001099 183 Maintenance Technical Maintenance Technical Maintenance Schematic diagrams specifications and other relevant technical information can be found in the service manuals supplied with this equipment Comply with the policies of your i
93. n To enter text 1 Position the mouse pointer so it is inside the text entry field When the mouse pointer is inside a text entry field it is shaped like an I beam Click the mouse Admit Patient Information Last Name First Name Text Entry Fields Patient ID Age 1999999999 Adult Y 037B 2 ype the appropriate information Press the Tab key to move to the next field or position the mouse pointer in the next field Click the mouse NOTE Press the Backspace key on the keyboard to delete characters when you change or correct entered information in the text entry ZN 036A field Backspace Key 1 30 CIC Pro Clinical Information Center Revision A 2001099 183 The Basics Controls Controls Radio Buttons Check Boxes To use a radio button control click on the label text or in the adjacent white circle When selected a black dot displays in this white circle To deselect a radio button control click on another selection When deselected no black dot displays Graph All Patients x Radio Buttons dot in center indicates active selection Limits C Waveforms Cancel 007A To use check box controls click on the label text or 1n the square When selected a check mark displays in this square To deselect a check box control click again on the label text or in the square When deselected no check mark displays Check Boxes vi in
94. n center The laser printer at the clinical information center can print more information than 1s currently provided on the 2 inch printers To graph information to a laser printer at the clinical information center select the laser printer under the Graph Location controls in the Graph Setup tab sheet The types of information that can be printed on a laser printer may include Graphic trends Vital signs 12 lead ECG Non real time windows Histories and Full disclosure information Due to the enormity of full disclosure reports a separate printer is recommended NOTE Full Disclosure and the Vital Signs tab sheet can only print to a laser printer Revision A CIC Pro Clinical Information Center 5 15 2001099 183 Printing Laser Printer For your notes 5 16 CIC Pro Clinical Information Center Revision A 2001099 183 6 Alarm Control Revision A CIC Pro Clinical Information Center 2001099 183 For your notes CIC Pro Clinical Information Center 2001099 183 Revision A Alarm Control Alarm Structure Alarm Structure The alarm structure of the clinical information center is divided into two classifications m Patient Status Alarms and m System Status Alarms Within each classification there are levels which correlate to how severe the condition is that causes the alarm The levels and how the clinical information center responds to each are described below Patient Status Alarms
95. n the service password Select OK to activate the password The service password is available only to the appropriate personnel 4 4 CIC Pro Clinical Information Center Revision A 2001099 183 CIC Setup CIC Defaults CIC Defaults Controls Name CENTRAL NAME This option allows you to enter the name for this clinical information center UNIT NAME This option allows you to enter the care unit name for use on the GE Medical Systems Information Technologies Unity IS network Alarm Volume The current alarm volume can be set to any level above the minimum alarm volume that was designated in the service mode To adjust the current alarm volume 1 Click on the Current drop down menu in the Alarm Volume control area The Current drop down menu opens 2 Click on the desired alarm volume level The choice becomes effective immediately Alarm volume Current Minimum 063C Alarm Volume Popup Menu NOTE You must enter the service mode to change the minimum alarm volume Revision A CIC Pro Clinical Information Center 4 5 2001099 183 CIC Setup CIC Defaults Mirror Central Display You can set up a mirrored CIC Pro for remote monitoring This is set in the service mode When a mirrored CIC Pro is set up these rules are in place m The main and mirrored CIC Pro display the same patients and the same number of patient slots However if the user selects new parameters to view on one disp
96. nd AHA recommendations valid at the time of printing m The quality management system complies with the international standards EN ISO 9001 ISO 13485 and EN 46001 and the Council Directive on Medical Devices 93 42 EEC Revision A CIC Pro Clinical Information Center CE 3 2001099 183 CE Marking Information For your notes CE 4 CIC Pro Clinical Information Center Revision A 2001099 183 Contents The BASICS a cae tit p e Ete to etas 1 1 About This Manual 0 00 cece eee Inn 1 3 Manual PUIDOSE icono seid rimas en ean apa do a ne E ee 1 3 Intended Audience 2 00 ccc eect eee II 1 3 Definitions xc ern pin pao aaa eon isan as RED Geena A 1 4 Illustrations and Names ssssssssseennmm I 1 4 Revision History cueste tee bt Re Ro RI Ca 1 5 About the Clinical Information Center o ooocoooocccccnorr oo 1 6 POWER heh titra ld SRS UA Mable iach SOS CAS ae oce e ei eL 1 8 Turning Power On 41 tt are e HG DU C ER ROG ICM ERO a 1 8 AA A quM ru est o A reb Pe quotes diede 6 1 8 Controls unica dl dd xis due X ere ck Peas 1 9 MQUSER padre att ca te upar its E IS D ET IE E 1 9 Optional Touchscreen Display 000 ccc eee cece e ees 1 11 Keyboard same dh atte d pat dain Ed Ue E Pale ae 1 12 Display Formats spas sensei podas IRR RII RR EI RE eee 1 13 Terminology ocioteca ad seals ere reet eek me ra ede ee eek 1 14 Bedside Monitoring es cte da dete etm et a te 1 14 Telemetry Monitor
97. nly controls on this tab sheet that are active from user mode are the Alarm Volume drop down menu and the Cancel Print Jobs buttons When in service mode the CIC Defaults window allows you to modify several elements of the clinical information center display To open the CIC Defaults tab sheet follow these steps 1 Usethe mouse to click on Setup CIC in the Main Menu 2 Click on the CIC Defaults tab to bring it to the front x Display Format Screen Calibration Service Password Full Disclosure Defaults CIC Defaults Telemetry Unit Defaults Telemetry Alarm Control Defaults Current Telemetry Listings In user mode these gt Name 4 q Alarm Volume m Color Set PET are the only active Cea us Lo o BN Pd fi ET controls is he y Mrena SUR Y Coon a E ECG E gt irror Central Display a E NONE PA FEM Browser Configuration E EA RA EC Kalama Iv Enabled LA Waveform 3 Integrated ICP E i sp EEE aveform 4 uec ES r Printer witer UVC E Laser x Cancel Print Jobs RESP E E DDW comz x seo M gt Full Disclosure forr z Cancel Print Jobs coz E E CIC Version 4 1 0 1 Copyright GEMS Information Technologies Inc 1999 2003 All rights reserved CIC Defaults Tab Sheet NOTE To access the service mode use the mouse pointer to click on the Service Password tab sheet Then type i
98. nstitution s Biomedical Department or the recommendations made within the Preventive Maintenance section of the product s service manual Revision A CIC Pro Clinical Information Center 2001099 183 Maintenance Technical Maintenance For your notes 3 8 CIC Pro Clinical Information Center Revision A 2001099 183 4 CIC Setup Revision A CIC Pro Clinical Information Center 2001099 183 For your notes CIC Pro Clinical Information Center 2001099 183 Revision A CIC Setup Introduction Introduction The Setup CIC button in the Main Menu opens the CIC Setup window which contains a stack of tab sheets for customizing the clinical information center The tab sheets include CIC Defaults Telemetry Unit Defaults Telemetry Alarm Control Defaults Current Telemetry Listings Display Format Screen Calibration Service Password and Full Disclosure Defaults While the user can view all of the tab sheets within the CIC Setup window many of the functions on these tab sheets may only be configured using the service mode The functions available on these tab sheets that can only be configured in service mode are discussed in detail in the service manual Revision A CIC Pro Clinical Information Center 4 3 2001099 183 CIC Setup CIC Defaults CIC Defaults NOTE In user mode most of the controls on the CIC Defaults tab sheet are view only and appear grayed out in color The o
99. ntifying the parameter s CIC Environment Monitor E The following Parameter s are out of the normal Range External speaker is unplugged 125A The CIC Pro supports the following notifications 5v Power supply out of range 12v Power supply out of range CPU fan speed out of range Chassis fan out of range CPU temperature out of range Enclosure temperature out of range Internal speaker unplugged External speaker unplugged HDD failure CAUTION When a system environment monitor notification appears contact your service personnel Revision A CIC Pro Clinical Information Center 1 33 2001099 183 The Basics System Environment Monitor Notification For your notes 1 34 CIC Pro Clinical Information Center Revision A 2001099 183 2 oafety Revision A CIC Pro Clinical Information Center 2001099 183 For your notes CIC Pro Clinical Information Center 2001099 183 Revision A Safety For Your Safety For Your Safety Intended Use Terminology The Clinical Information Center CIC Pro Central Station is intended for use under the direct supervision of a licensed healthcare practitioner The intended use is to provide clinicians with adult pediatric and neonatal patient data in a centralized location within a hospital or clinical environment The CIC Pro Central Station is intended to collect information from a network and display this data This data includes phys
100. ntricular beats exceeds the high heart arrhythmia rate limit The rhythm is most likely a bundle branch block AFIB Atrial Fibrillation Used when the system is alarming for VT gt 2 NOTE This feature does not correct noise related arrhythmia calls Address noise related arrhythmia calls with proper skin preparation and electrode placement Revision A CIC Pro Clinical Information Center 8 7 2001099 183 Alarm Histories Alarm Histories Relearn Select Relearn to tell the bedside monitor of the viewed bed to relearn the current ECG morphology and clear all templates When all of the templates are cleared all renamed calls revert to their original names and the Learn As intervention is nullified Calipers The Calipers option is described in detail in Calipers on page 11 14 PDS Icon The PDS Patient Data Server icon indicates that information is being T provided by the PDS server and is available to be viewed on the Alarm ET Histories tab sheet m If this icon does not appear in the lower right corner of the Alarm Histories tab sheet it could mean two things m ThePDS server is not available for retrieving patient information or m No PDS information has been archived to the PDS server for this patient 8 8 CIC Pro Clinical Information Center Revision A 2001099 183 Alarm Histories Printing Alarm Histories Printing Alarm Histories To print a viewed alarm history click on P
101. ntry of manufacture can be found on the equipment labeling The product complies with the requirements of standard EN 60601 1 2 Electromagnetic Compatibility Medical Electrical Equipment The CE marking prescribed above is only found on the equipment labeling of the 230V European equipment Only applicable equipment will bear the CE marking The safety and effectiveness of this device has been verified against previously distributed devices Although all standards applicable to presently marketed devices may not be appropriate for prior devices i e electromagnetic compatibility standards this device will not impair the safe and effective use of those previously distributed devices See user s information CE Marking Information Exceptions EMC Immunity Performance Users should be aware of known RF sources such as radio or TV stations and hand held or mobile two way radios and consider them when installing a medical device or system Be aware that adding accessories or components or modifying the medical device or system may degrade the EMI performance Consult with qualified personnel regarding changes to the system configuration Revision A CIC Pro Clinical Information Center CE 1 2001099 183 CE Marking Information Specified Electromagnetic Environment The CIC Pro and ApexPro server is suitable for use in the specified electromagnetic environment The customer and or the user of the CIC Pro and ApexPro server
102. o qualified service personnel TYPE B APPLIED PART Non isolated applied part suitable for intentional external and internal application to the patient excluding direct cardiac application Medical Standard Definition Applied part complying with the specified requirements of IEC 601 1 UL 2601 1 CSA 601 1 Medical Standards to provide protection against electric shock particularly regarding allowable leakage current TYPE BF APPLIED PART Isolated floating applied part suitable for intentional external and internal application to the patient excluding direct cardiac application Paddles outside the box indicate the applied part is defibrillator proof Medical Standard Definition F type applied part floating isolated complying with the specified requirements of IEC 601 1 UL 2601 1 CSA 601 1 Medical Standards to provide a higher degree of protection against electric shock than that provided by type B applied parts TYPE CF APPLIED PART Isolated floating applied part suitable for intentional external and internal application to the patient including direct cardiac application Paddles outside the box indicate the applied part is defibrillator proof Medical Standard Definition F type applied part floating isolated complying with the specified requirements of IEC 601 1 UL 2601 1 CSA 601 1 Medical Standards to provide a higher degree of protection against electric shock than that provided by type BF applied parts Information
103. o files 4 Do not play user defined audio i e Media Player streaming radio stations NETWORK INTEGRITY The clinical information center resides on the hospitals computer network and it 1s possible that inadvertent or malicious network activity could adversely affect patient monitoring The integrity of the computer network is the responsibility of the hospital POWER SUPPLY The device must be connected to a properly installed power outlet with protective earth contacts only GE Medical Systems Information Technologies recommends the use of a UPS with the CIC Pro If a UPS is NOT used improper shut downs of the system could result in the event of a power outage and cause a lengthy disk scan procedure when the unit reboots You could also lose data in the event of a power outage if you do not use a UPS All devices of a system must be connected to the same power supply circuit Devices which are not connected to the same circuit must be electrically isolated when operated electrically isolated RS232 interface Revision A CIC Pro Clinical Information Center 2 7 2001099 183 Safety For Your Safety Cautions WARNINGS RATE METERS Keep pacemaker patients under close observation Rate meters may continue to count the pacemaker rate during cardiac arrest and some arrhythmias Therefore do NOT rely entirely on rate meter alarms SITE REQUIREMENTS Do NOT route cables in a way that they may pr
104. ols evision CIC Pro Clinical Information Center 2001099 183 A 1 For your notes CIC Pro Clinical Information Center 2001099 183 Revision A Abbreviations and Symbols Abbreviations Abbreviations Abbreviations and symbols which you may encounter while reading this manual or using the clinical information center are listed below with their meanings A ABG arterial blood gas AHA American Heart Association AR arterial ARRHY arrhythmia ART arterial AVF left foot augmented lead AVL left arm augmented lead AVR right arm augmented lead B BP blood pressure Btu British thermal unit C C Celsius Card Calc cardiac calculations CCU critical care unit CD coherent digital CD ROM compact disk read only memory CDT coherent digital telemetry CE Conformit Europ ene CIC clinical information center CISPR International Special Committee on Radio Interference cm centimeter Revision A CIC Pro Clinical Information Center A 3 2001099 183 Abbreviations and Symbols Abbreviations COMM communication CPP cerebral perfusion pressure CRT cathode ray tube CSA Canadian Standards Association CV central venous CVP central venous pressure D DDW direct digital writer DIA diastolic E ECG electrocardiograph EEC European Economic Community EN European Norm European standard EMC electromagnetic compatibility F F Fahrenheit FE FEM femoral G GB gigabyte H HRS hours Hz hertz A 4 CIC Pro Clinical Information Center Re
105. on Center 2001099 183 Revision A CE Marking Information General Information C m This manual is an integral part of the product and describes its intended use It should always be kept close to the equipment Observance of the manual is a prerequisite for proper product performance and correct operation and ensures patient and operator safety m The symbol A means ATTENTION Consult accompanying documents m Information which refers only to certain versions of the product is accompanied by the model number s of the product s concerned The model number is given on the nameplate of the product m The warranty does not cover damages resulting from the use of accessories and consumables from other manufacturers m GE Medical Systems Information Technologies is responsible for the effects on safety reliability and performance of the product only if m assembly operations extensions readjustments modifications or repairs are carried out by persons authorized by GE Medical Systems Information Technologies m the electrical installation of the relevant room complies with the requirements of the appropriate regulations and m the Clinical Information Center is used in accordance with the instructions for use m All publications conform with the product specifications and applicable IEC publications on safety and essential performance of electromedical equipment as well as with applicable UL and CSA requirements a
106. on against ingress of water Degree of safety of application in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide Equipment not suitable for use in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide Method s of sterilization or disinfection recommended by the manufacturer Not applicable Mode of operation Continuous operation Underwriters Laboratories Inc 8 Gps only in accordance with UL 60601 1 and CAN CSA C22 2 NO 601 1 and IEC EN 60601 1 t SAA Medical Equipment With respect to electric shock fire and mechanical hazards 2 14 CIC Pro Clinical Information Center 2001099 183 Revision A 3 Maintenance Revision A CIC Pro Clinical Information Center 2001099 183 For your notes 3 2 CIC Pro Clinical Information Center Revision A 2001099 183 Maintenance Biocompatibility Biocompatibility When used as intended the parts of the product described in this operator manual including accessories that come 1n contact with the patient during the intended use fulfill the biocompatibility requirements of the applicable standards If you have questions about this matter please contact GE Medical Systems Information Technologies or its representatives Revision A CIC Pro Clinical Information Center 3 3 2001099 183 Maintenance Inspection Inspection All equipment need
107. onfiguration loss of patient data corruption of the clinical information center operating system software or disruption of the entire Unity network The Service Password tab sheet contains a field for entering the password for accessing the clinical information center s service mode To open the Service Password tab sheet 1 Click on Setup CIC in the Main Menu 2 Click on the Service Password tab CIC Setup x CIC Defaults l Telemetry Unit Defaults l Telemetry Alarm Control Defaults l Current T elemetry Listings l Display Format l Screen Calibration Full Disclosure Defaults Enter password to set SERVICE mode Password Current Permission User A cms J 009B Service Password Tab Sheet 3 To change from the user mode to the service mode use the keyboard to enter the service password then click Apply The Current Permission entry changes from User to Service NOTE Contact your biomedical engineering department or your GE Medical Systems Information Technologies representative to access the service mode 4 22 CIC Pro Clinical Information Center Revision A 2001099 183 CIC Setup Full Disclosure Defaults Full Disclosure Defaults The Full Disclosure Defaults tab sheet allows you to view full disclosure settings To open the Full Disclosure Defaults tab sheet 1 Click on Setup CIC in the Main Menu 2 Click on the Full Disclosure Defaults tab Full Disclosure Defa
108. onitor function is restored If the monitor does not automatically resume operation within 60 seconds power cycle the monitor using the power on off switch Once monitoring is restored you should verify correct monitoring state and alarm function MAINTENANCE Regular preventive maintenance should be carried out annually You are responsible for any requirements specific to your country MPSO The use of a multiple portable socket outlet MPSO for a system will result in an enclosure leakage current equal to the sum of all individual earth leakage currents of the system if there is an interruption of the MPSO protective earth conductor Do NOT use an additional extension cable with the MPSO as it will increase the chance of the single protective earth conductor interruption NEGLIGENCE GE Medical Systems Information Technologies does not assume responsibility for damage to the equipment caused by improperly loaded software failure or data loss due to not using a UPS and or improperly vented cabinets or improper or faulty power OPERATOR Medical technical equipment such as this monitor monitoring system must only be used by persons who have received adequate training in the use of such equipment and who are capable of applying it properly Revision A CIC Pro Clinical Information Center 2001099 183 Safety For Your Safety CAUTIONS POWER REQUIREMENTS Before connecting the device to the
109. osition the mouse pointer in the patient s waveform window 2 Pressthe right mouse button to open the right click menu Set Waveform Color Right Click Menu 3 Highlight the Select waveform 1 color option The color menu opens Revision A CIC Pro Clinical Information Center 1 19 2001099 183 The Basics Multiple Patient Viewer 4 Select and click the desired color The right click menu closes and the color change takes effect immediately NOTE For UNLOCKED hardwire bed referring to monitors such as Dash Solar etc the modification remains in effect regardless of a discharge and re admit However the color returns to the default color setting after the bed is moved to a different position on the display For UNLOCKED telemetry bed the modification remains in effect until the bed is removed from the display discharged or moved to a different position on the display The color then returns to the default setting On an LOCKED bed this color modification remains in effect until the user manually changes the color A discharge does NOT return the waveform colors to the default settings Displaying Additional Waveforms You can display up to three additional waveforms in a patient s waveform window To select a second waveform for display 1 Position the mouse pointer in the patient s waveform window 2 Press the right mouse button to open the right click menu Select Care Unit then Bed Number
110. ow in question is now empty except for an Admit button Revision A CIC Pro Clinical Information Center 7 11 2001099 183 Admit View a Patient New Patient New Patient This option is only available for Telemetry Beds and Tele Combo type patients It is located on the Admit tab sheet on the CIC Pro It allows the user to discharge a patient and admit a new patient while keeping the same bed number and transmitter ID number To discharge then admit a patient follow this procedure 1 Atthe CIC Pro click on the bed window of the patient you wish to discharge The display rearranges to accommodate the single patient viewer at the bottom of the display 2 Click on the Admit tab to bring the tab sheet to the front 3 Click on New Patient in the lower right corner of the tab sheet 4 Click on Yes or type the letter Y on the keyboard if this is the patient you wish to discharge The CIC Pro automatically discharges the old patient and allows the user to enter a new patient to the patient bed slot The transmitter ID stays in that slot so that the new patient can be admitted to the same transmitter ICU BED 1 SMITH DAV View Patient Admit ECO Spo2s Respiration Pressures Graph Setup Alarm Control Alarm Histories Graphic Trends Vital Signs Full Disclosure Patient Information Last Name First Name SMITH DAVID Patient ID Age 333111222 Adult Location Unit Bed ECG From Save fcu BED 1 MONITOR
111. patient slot opens with the Admit tab sheet in front Proceed with the Admit procedure as outlined in Chapter 7 Admit View a Patient Right click Shortcut Click the RIGHT mouse button anywhere in the slot you want to fill The right click shortcut menu opens Slide the mouse over the Select Care Unit then Bed Number text without pressing either mouse button The text highlights and a list of units on the network pops up For more information refer to Viewing Other Patients on page 7 16 4 20 CIC Pro Clinical Information Center Revision A 2001099 183 CIC Setup Screen Calibration Screen Calibration NOTE In user mode the Screen Calibration tab sheet is view only You must enter the service mode to perform the Screen Calibration procedure Screen calibration adjusts the gain and sweep speed of the displayed waveforms Accurate sweep speed is important for all waveforms To open the Screen Calibration tab sheet 1 Click on Setup CIC in the Main Menu 2 Click on the Screen Calibration tab Screen Calibration Tab Sheet For information on performing the screen calibration procedure refer to the service manual Revision A CIC Pro Clinical Information Center 4 21 2001099 183 CIC Setup Service Password Service Password CAUTION The service mode is intended for use only by qualified personnel with training and experience in its use The consequences of misuse include loss of alarm c
112. patients ECG 1 This option allows you to designate the primary ECG lead for printing WAVEFORM 2 4 This option allow you to enable disable graphing for subsequent ECG leads Choices are Off I II III V aVR aVL and aVF This option allows you to turn on off transmitter graph printing This option allows you to turn on off alarm graph printing This option allows you to turn on off event marker graph printing 4 10 CIC Pro Clinical Information Center Revision A 2001099 183 CIC Setup Telemetry Unit Defaults ECG PDS Patient Age Transmitter Alarm Pause DISPLAY LEAD This option allows you to set the primary ECG lead for display in the patient s waveform window Choices are J II III V a VR aVL and aVF ARRHYTHMIA This option allows you to enable disable an arrhythmia analysis program Choices are Full Lethal and Off LEAD ANALYSIS This option allows you to designate Single Lead or Multi Lead analysis for ECG and arrhythmia analysis ST ANALYSIS This option allows you to enable disable ST analysis Choices are On or Off VA LEAD VB LEAD This option allows you to set the default for the V leads that will be monitored in these positions A 6 lead cable is required for multiple V lead monitoring Choices for Va are V1 V2 V3 V4 V5 and V6 Choices for Vb are V2 V3 V4 V5 and V6 DETECT PACE This option allows you to enable disable pacer detection Choices are Pace 1 Pace 2
113. pear dimmed Fields that are not dimmed can be selected for editing 1 Use the mouse to click on the Low or High field for the parameter you are modifying The field is then framed by a rectangle and up and down arrow buttons appear in the field Parameter Limits and Alarm Levels Level WARNING PVC min Du ADVISORY l 061A When a limit field is selected the keyboard may be used to Click on these up and down directly enter the desired arrows to change limit values value 2 To increase or decrease the limit by 1 or 5 depending upon the parameter selected click on the up or down arrow button To increase or decrease the limit in increments other than 1 or 5 use the keyboard to enter a new limit value 3 When you are satisfied with the new limit value use the mouse to click outside the just modified field in the single patient viewer This activates your change You can now modify another limit 4 When you are finished making changes in the Alarm Control tab sheet click on the Close button in the bottom right corner of the display to close the single patient viewer CIC Pro Clinical Information Center Revision A 2001099 183 Alarm Control Alarm Control Tab Sheet Modifying Parameter Alarm Levels To modify a parameter s alarm level T Click on the Level field for the parameter alarm level you are modifying A down arrow icon is displayed next to the parameter s current alarm level
114. pisodic trend data in tabular or spreadsheet form Vital Signs uses the Time Focus feature For more information on Time Focus see Time Focus on page 1 26 To view a patient s vital signs 1 Click in the desired patient s bed window in the multiple patient viewer The single patient viewer for that patient opens 2 Click on the Vital Signs tab in the single patient viewer The Vital Signs tab sheet moves to the front Sort Mode Menu Increment Menu Vertical Scroll Bar ICU BED1 DOE JOHN 74 74 74 74 72 74 74 74 74 94 94 94 94 94 94 94 94 94 68 68 68 68 68 68 68 68 68 34 34 34 34 34 34 34 34 34 15 15 15 15 15 15 15 15 15 23 23 23 23 23 23 23 23 23 25 25 25 25 25 25 25 25 25 Horizontal Scroll Bar i Vital Signs Tab Sheet Revision A CIC Pro Clinical Information Center 10 3 2001099 183 Vital Signs Vital Signs Vital Signs Controls Data Source Sort Mode This option allows the user to select the specific data source from which historical patient data can be retrieved option not shown on figure refer to Data Source on page 1 25 You can display vital signs in different orders Within the Vital Signs tab sheet you can define the sort order for the Vital Signs window Do this from the Sort Mode popup menu in the upper left corner of the Vital Signs tab sheet 1 Click on the down arrow to display all of the sort options Sort Mode All Data NBP
115. rent Telemetry Listings sees 4 14 Current Telemetry Listings Controls 4 15 Alpha Numeric TTX ID Numbering 0 0 cece cece eee eee 4 15 Display Formater co ED EIER A 4 16 Display Format Controls 4 17 Changing the Display Format 4 18 Assigning Patients to Patient Slots 20 0 cece cee eee 4 20 Screen Calibration cece cette eee eee eee 4 21 Service Password 0 0 cece cece teens 4 22 Full Disclosure Defaults ccc eee eects 4 23 Full Disclosure Controls 0 0c cece cette eee cnet eee 4 24 Full Disclosure Off line Storage Minute Rule 0 0 cee eee eee 4 26 Bedside Status Messages 0 ccc cece cece eee eee eee eee ene eee 4 27 Printing Scarpa eatin dem eee 5 1 Initiating and Stopping a Graph 00 cece cee 5 3 Initiating a Graph seen mapeia Ret tte a e a ga nace eck 5 3 Stopping a Graph oi ss eec ge ades panto RO Mey 5 3 Graph All Patients ez IEA a ek X mc ER us 5 4 Initiating a Graph All Patients Request 5 5 Graph Paper Out Indicator ooooocoooccccccnnnr 5 6 Graph Location Settings ooooocoocrocccnanrn srs srta 5 7 Graph Setup Tab Sheet o ooooooccoccccc eens 5 8 Graph Waveforms Controls 0 cc cece cece e eee eees 5 9 Graph Location Controls muta dett tte alien dl ad inlet a 5 11 Graph Speed Controls 200 0 scr 5 14 Laser Printer sais sais eee rere a a den tee sada ra adia 5 15
116. rged patient was a telemetry patient and the slot is locked the patient window shows the message DISCHARGED at the bottom of the window If the telemetry bed is not locked the DISCHARGED message disappears and an ADMIT button appears in the window If the just discharged patient was a bedside monitor patient the bed remains shown in the multiple patient viewer and the message DISCHARGED is shown at the bottom of the window 7 10 CIC Pro Clinical Information Center Revision A 2001099 183 Admit View a Patient Discharging a Patient Clearing a Patient Window To clear discharged patient information from the window and bring up the Admit button use the right click shortcut menu 1 Usethe RIGHT mouse button to click anywhere inside a bed window A shortcuts window appears NOTE You must use the right mouse button to access this shortcuts window Select Care Unit then Bed Number CCU Select waveform tt1 color gt SICU Select waveform 2 ICU Celert wavetorrm E gt 4 NICU CVICU 2NTELE LOCK 2WTELE Z UNUE 3NTELE oo PACU NONE 077B DANA EL SAN Right Click Menu Select NONE 2 Slide the mouse over the Select Care Unit then Bed Number text without pressing either mouse button The text highlights and a list of units on the network pops up 3 Without pressing either mouse button slide the mouse pointer to LEFT mouse button on None 4 The popup list closes and the patient wind
117. rint Cancel Refresh Preview EA a SE cx Ven 0 18 NOT TOR PATDEND OF REPORT Full Disclosure Report Window 11 10 CIC Pro Clinical Information Center Revision A 2001099 183 Full Disclosure Printing Full Disclosure Information Start End Use the scroll bars or the arrow buttons 15 second increments to set the duration of the report Duration The duration of the full disclosure report as configured via the Start End controls is displayed in a hh mm ss format Time Per Line The Time Per Line control allows you to set the amount of data to appear on each line of the full disclosure report Choices are 1 min 30 sec and 15 sec Time Per Page Total Pages The time per page and the total number of pages in the full disclosure report are shown here This information reflects configuration of the Start End and Time Per Line controls To update the Total Pages click on Refresh Preview before you print a report Revision A CIC Pro Clinical Information Center 11 11 2001099 183 Full Disclosure Printing Full Disclosure Information Waveform Selection Start Kil End Duration Time Per Line Time Per Page Total Pages Print Cancel Refresh Preview The Waveform Selection area of the Full Disclosure Report window contains a drop down list of all available waveforms All waveforms in the list print by default To select the waveforms for display in the full disclosure report 1
118. rint Window ICU KMCS DDW 2IN ICU AMYK LASER PRT ICU KMCS LASER PRT ICU A07 DDW 2IN ICU D4SHP DDW 2IN ICU EAGSB DDW 2IN ICU KAS DDW 2IN ICU KMCS DDW 2IN ICU PHLP DDW 2IN 050B Print Window Location Menu 2 Click on the desired printer The printers menu closes with the selected printer name remaining visible You can now designate other print destinations CIC Pro Clinical Information Center Revision A 2001099 183 Printing Graph Setup Tab Sheet Enable Transmitter Graph Transmitter graphing can be initiated from the telemetry transmitter box Please see the ApexPro Operator s Manual for further instructions The Enable Transmitter Graph control allows you to turn on off transmitter graph printing When selected transmitter graphing is turned on When deselected transmitter graphing is turned off Graph Location Manual SNS CS2 DDW 2IN Alarm This control is SNS CS2 DOW 2IN checked when Print Window transmitter Em cic cict ODW 2IN graphing is Enable Transmitter Graph enabled Alarm Graphs ENABLED 049B This indicates mecum of the Alarms Graph feature NOTE The Enable Transmitter Graph control is active for telemetry patients only For more information refer to the telemetry system s operator manual Alarm Graphs Status Indicator The Alarm Graphs status indicator reflects the status for the Alarm Graphs feature This function is configurable in Telemet
119. rint in the Main Menu Select Print Directory to initiate a printout of the event directory Revision A CIC Pro Clinical Information Center 2001099 183 8 9 Alarm Histories Printing Alarm Histories For your notes 8 10 CIC Pro Clinical Information Center Revision A 2001099 183 9 Graphic Trends Revision A CIC Pro Clinical Information Center 2001099 183 9 1 For your notes 9 2 CIC Pro Clinical Information Center Revision A 2001099 183 Graphic Trends Graphic Trends Graphic Trends Upon admission a history of the patient s vital signs is continually collected to hold a maximum of 24 hours of data After 24 hours have elapsed the oldest data is deleted to accommodate newer trend data NOTE When the PDS server is active for a bed 72 hours of patient data is collected You can view the trended vital signs data in a graphic format at the clinical information center by using the Graphic Trends feature The CIC Pro retrieves every non episodic parameter at one minute resolution from the patient monitor These values are displayed at one minute resolution Episodic parameters NBP etc are retrieved every time one occurs If more than one episodic event occurs during the same minute the more recent event overwrites the earlier one You cannot change any graphic trends values but you can use the controls to view all the collected data You can view graphic trends in varying time scales and
120. risis level at the clinical information center Crisis and warning alarms are indicated with a large border around the individual patient s window in the multiple patient viewer This border flashes on off several times when the alarm occurs before staying on The color of the border indicates the severity of the alarm m Red indicates a crisis alarm and m Yellow indicates a warning alarm This is consistent with standard GE Medical Systems Information Technologies Unity network alarms When the alarm is silenced the colored border reverts to the black background NOTE No alarms other than Crisis or Warning activate the colored border Patients selected for single patient view have a white border in the multiple patient viewer Alarm graphs continue to run until the end of the event The printer prints 10 seconds before the event and stops when the patient returns to a normal rhythm If a printer is not available at the time of the event a 20 second graph is saved This saved graph prints when a printer is available CIC Pro Clinical Information Center Revision A 2001099 183 Alarm Control Alarm Structure System Status Alarms System status alarms are triggered by mechanical or electrical problems and are of lesser priority than patient status alarms The levels within the System Status Alarm category and how the clinical information center responds to each are shown in the following chart
121. rmation is Being Displayed Ses Graphic Trends Vital signs Full Disclosure ICUJBED1 3 Usethe control buttons described in the following section to view alarm history events or click on an entry in the event directory to display the waveforms for that event 8 4 CIC Pro Clinical Information Center 2001099 183 Revision A Alarm Histories Alarm Histories Alarm Histories Controls Data Source Scan Newer Events Scan Older Events Print Directory View Newer Events View Older Event This option allows the user to select the specific data source from which historical patient data can be retrieved option not shown on figure refer to Data Source on page 1 25 Select Scan Newer Events to scan newer event waveforms This option toggles to Stop when a scan is in process You can also select Scan Older Events while the scan is in progress to reverse the scanning direction When the most recent event is displayed the scan automatically halts and the label on this button dims Select Scan Older Events to scan older event waveforms This option toggles to Stop when a scan is in process You can also select Scan Newer Events while the scan is in progress to reverse the scanning direction When the oldest event is displayed the scan automatically halts and the label on this button dims Select Print Directory to initiate a printout of the event directory Select View Newer Event to view th
122. ry Unit Defaults and cannot be changed on a per patient basis Revision A CIC Pro Clinical Information Center 5 13 2001099 183 Printing Graph Setup Tab Sheet Graph Speed Controls The Speed controls allow you to adjust the graph printing speed Speed c 0 1 C 0 5 1 5 10 12 5 25 50 o e e e 4 056A Speed Control Menu To adjust the graph printing speed click on the desired speed Changes take effect immediately 5 14 CIC Pro Clinical Information Center Revision A 2001099 183 Printing Laser Printer Laser Printer NOTE The clinical information center must be formatted to print to a laser printer at the time of system installation Refer to the service manual for more information You can connect a laser printer to the back of the clinical information center Refer to the service manual for more information on printer connections You must configure the print window location for bedside monitoring from the GE bedside monitor For more information on printing to the laser printer via the bedside monitor refer to the appropriate operator s manual Printing to a laser printer for a telemetry patient may be configured on an individual basis or be set up as a unit default For more information refer to the telemetry system s operator manual You can send all information that can currently be formatted for the 2 inch DDW to a laser printer at the clinical informatio
123. s bedside it can print to a direct digital writer or to a laser printer depending on how the print functions are configured on the bedside monitor Revision A CIC Pro Clinical Information Center 9 9 2001099 183 Graphic Trends Printing Graphic Trends For your notes 9 10 CIC Pro Clinical Information Center Revision A 2001099 183 10 Vital Signs Revision A CIC Pro Clinical Information Center 10 1 2001099 183 For your notes 10 2 CIC Pro Clinical Information Center Revision A 2001099 183 Vital Signs Vital Signs Vital Signs Vital Signs Tab Sheet Upon admission a history of the patient s vital signs is continually collected You can view the trended vital signs data in a tabular format at the CICP Pro by using the Vital Signs feature The CIC Pro samples every non episodic parameter every two seconds A median value is determined and stored for display at one minute resolution Episodic parameters NBP etc are stored every time one occurs If more than one episodic event occurs during the same minute the more recent event overwrites the earlier one You cannot change any vital signs values but you can use the controls to view all the data collected You can view these vital signs in varying time scales and print them to a connected laser printer or a Direct Digital Writer For more information refer to Printing Vital Signs on page 10 6 The Vital Signs tab sheet displays periodic and e
124. s occur relatively infrequently and are usually very minor users are urged to verify diagnostic waveform measurements with the waveform data from realtime graph strips Alarm Histories uses the Time Focus feature For more information on Time Focus see Time Focus on page 1 26 Revision A CIC Pro Clinical Information Center 8 3 2001099 183 Alarm Histories Alarm Histories Event Directory To view a patient s alarm histories 1 Click on the desired patient s information in the multiple patient viewer The single patient viewer for that patient opens Click on the Alarm Histories tab in the single patient viewer The Alarm Histories tab sheet moves to the front Waveforms for Topmost Event ICUJBED1 View Patit ne Admit ECG VFIBAVTAE 09 00 07 09 vT gt 2 08 57 59 094 V TACH 08 53 50 09 VFIBAVTAC 08 35 13 09 ASYSTOLE VT gt 2 VT gt 2 VFIBATAC VFIB VTAC ASYSTOLE VT gt 2 ACC VENT VFIBAVTAC f Scan Newer Print View Newer Events Directory Event Scan Older Events 08 35 11 09 a 08 19 59 09 08 01 07 09 07 59 53 09 07 59 51 09 07 52 19 09 07 50 53 09 07 39 57 094 SPO 2 Respiration pressures Graph Setup Alarm Control jlan Hi ay 2003 jay 2003 May 2003 ay 2003 jay 2003 May 2003 ay 2003 ay 2003 jay 2003 May 2003 ay 2003 May 2003 09 May 2003 08 20 09 Alarm Histories Tab Sheet Indicates PDS Info
125. s to be maintained on a regular basis to ensure reliability This chapter describes inspection and cleaning procedures Refer to the service manual for technical maintenance information An effective maintenance schedule should be established for your monitoring equipment and reusable supplies This should include inspection as well as general cleaning on a regular basis CAUTION Failure on the part of the responsible hospital or institution employing the use of this monitoring equipment to implement a satisfactory maintenance schedule may cause undue equipment failure and possible health hazards Check with your Biomedical Department to be sure preventive maintenance and calibration has been done The applicable service manuals contain detailed information Follow these guidelines when inspecting the equipment m Inspect the equipment for obvious physical damage and replace damaged items m Inspect all cords for fraying or other damage Inspect all plugs and connectors for bent prongs or pins Repair or replacement must be performed by qualified service personnel m Inspect all cable insulation Qualified service personnel should repair or replace damaged or deteriorated cables GE Medical Systems Information Technologies is available 24 hours a day by calling 800 558 7044 CIC Pro Clinical Information Center Revision A 2001099 183 Maintenance Cleaning Cleaning General Cleaning Your equipment should be
126. sclosure Full Disclosure Window Full Disclosure Waveform Display The full disclosure waveform display allows you to view a patient s accumulated waveforms for a set period of time You can set displayed waveforms to either Monitor to display all waveforms displayed on the patient monitor acquiring the data or to View All ECG to display all available ECG leads Cursor The full disclosure cursor denotes the currently viewed position on the waveform display Move the cursor using the scroll bar control or clicking the mouse pointer directly on the waveform display NOTE The cursor is NOT click and drag but is click and click Click on the cursor release the mouse button then click where you want the cursor to move m The default cursor location is at the current time when entering the Full Disclosure tab sheet from the Multi Patient Viewer m The scroll bar control moves the cursor in preset increments m Clicking the mouse pointer directly on the waveform display jumps the cursor to that position allowing quick access to the corresponding numeric information m An arrow prints with the full disclosure data strip printout to note the cursor location This arrow does not print with the full disclosure report Cursor i Parameter Values at the Cursor ECG pvc a 14 37 fixe BODOAP 4 Apr 2009 14 37 35 7 Scroll Bar Control Moves Cursor Date Time Corresponding to Cursor Position Full
127. should assure that it is used in an electromagnetic environment as described below CE Exception Table EN60601 1 2 Clause 36 Exception Electromagnetic Environment Guidance 36 202 1 Immunity ESD Direct Discharges of 6 KV or greater to the rear I O connector area may cause the system to lock up thus experiencing loss of data and loss of functionality Operator intervention may be required Likelihood of occurrence Remote During testing there were 2 occurrences out of 1 920 discharges The rear I O connector area is not considered to be user accessible during normal operation Floors should be wood concrete or ceramic tile If floors are covered with synthetic material the relative humidity should be at least 30 36 202 3 1 Immunity Fast Transient Transients on the AC power line of 1 KV or higher may cause momentary network packet loss i e waveform and or numeric data thus experiencing momentary loss of data at the time of the surge Mains power quality should be that of a typical commercial and or hospital environment 36 202 3 2 Immunity Fast Surges Surges on the AC power line of 1 KV or higher may cause momentary network packet loss i e waveform and or numeric data thus experiencing momentary loss of data at the time of the surge Mains power quality should be that of a typical commercial and or hospital environment CE 2 CIC Pro Clinical Informati
128. sion A CIC Pro Clinical Information Center 6 11 2001099 183 Alarm Control Alarm Control Tab Sheet Alarms On Off Reasons Enable Transmitter Pause 3 Click on the desired alarm level The alarm level menu closes with the selected alarm level remaining visible You can now modify another arrhythmia s alarm level 4 When you finish making changes in the Alarm Control tab sheet click on Close in the bottom right corner of the display to close the single patient viewer The Alarms On Off reasons controls are active for telemetry patients only For more information refer to the telemetry system s operator manual The Enable Transmitter Pause control is active for telemetry patients only For more information refer to the telemetry system s operator manual Alarm Pause Breakthrough Indicator The Alarm Pause Breakthrough indicator reflects the status of the Alarm Pause feature This function is configurable in Telemetry Unit Defaults and cannot be configured on a per patient basis Printing Alarm Settings A telemetry patient s Alarm Control tab sheet can be printed showing all current alarm settings and limits To initiate a printout of a patient s Alarm Control tab sheet use the mouse to click on the Print button in the Main Menu NOTE This feature is active for telemetry patients only For more information refer to the telemetry system s operator manual 6 12 CIC Pro Clinical Information Center Revision A 200
129. st least recent event is displayed the left arrow is dimmed Using the right arrow moves the cursor one minute in the newer direction When the newest most recent event is displayed the right arrow is dimmed The Scalable Trends keys allow you to adjust the graphic trend plots Selecting this key will scale the trend up or down in preset increments For example the preset scales for HR are m 50 150 m 0 100 m 100 200 m 0 250 PDS Icon The PDS Patient Data Server icon indicates that information is being provided by the PDS server and is available to be viewed on the Graphic E Trends tab sheet If this icon does not appear in the lower right corner of the Graphic 087A Trends tab sheet it could mean two things m The PDS server is not available for retrieving patient information or m No PDS information has been archived to the PDS server for this patient 9 8 CIC Pro Clinical Information Center Revision A 2001099 183 Graphic Trends Printing Graphic Trends Printing Graphic Trends Displayed trends can be printed using the same time scale as the display To print a graphic trend select the Print button in the Main Menu You can print graphic trend printouts for telemetry patients to a laser printer or to a direct digital writer For bedside monitor patients graphic trend printouts initiated from a clinical information center print only to a laser printer If the graphic trend printout initiates from a patient
130. such window shown in the multiple patient viewer use the mouse to click on the Auto Display button in the Main Menu The multiple patient view reconfigures to accommodate empty patient windows 2 Usethe mouse to click on the Admit button or anywhere in the empty patient window The single patient viewer for this window opens with the Admit tab sheet at the front of the stack ICU BED1 SMITHDAV View Patient Admit ECO 8p02 Respiration Pressures Graph Setup Alarm Contro Alarm Histories Graphic Trends Vital Signs Full Disclosure Patient Information Last Name First Name SMITH DAVID Patient ID Age 333111222 Adult Location Unit Bed ECG From Save fcu BED 1 MONITOR Discharge Request Admit Info New Patient 015G Admit Patient Tab Sheet Revision A CIC Pro Clinical Information Center 7 5 2001099 183 Admit View a Patient Admitting a Patient Select the desired bed number by using the mouse to click on the down arrow that appears to the right of the Bed field A popup list of beds in the unit appears Click on your choice to select it The bed number selection will not change if the bed number is locked Refer to Locked or Unlocked Beds on page 1 15 for more information on locked beds Select the Request Admit Info option If HL7 admit data is available on a MUSE system or QS system the appropriate fields on the Admit tab sheet will be populated with data from those devices After selecting
131. t windows in the multiple patient viewer Rows This control allows you to designate the number of rows of patient windows in the multiple patient viewer Map Of New Display This control reflects the current Columns Rows selections graphically When the Columns or Rows selections change this map is immediately updated AUTO DISPLAY BUTTON allows you to set the function of the Auto Display button in the Main Menu or to disable it Choices are Maximize Waveform Length Maximize Number of Waveforms and Disable Auto Display Button Revision A CIC Pro Clinical Information Center 4 17 2001099 183 CIC Setup Display Format Changing the Display Format You must remove admitted beds from the display before you can select a display format that would eliminate those patient slots from the display To do this right click the mouse pointer in the appropriate slot and choose None from the Select Care Unit then Bed Number menu NOTE An alarm will sound when removing admitted beds from the display if the beds are not viewed on another CIC Pro To change the display format follow these steps 1 Click on the selection corresponding to the number of columns you want in the multiple patient viewer Click on the selection corresponding to the number of rows you want in the multiple patient viewer Visually verify in the map of the new display that the new setting is what you want Click Apply in the lower left corner o
132. t active for telemetry patients The cuff size selection changes the algorithm used to calculated NBP The cuff size option determines the inflation pressure for the first measurement Adult 160 mmHg Pediatric 130 mmHg Neonatal 100 mmHg Click on the appropriate cuff size NOTE This control is not active for telemetry patients To clear an NBP message from the CIC Pro select Clear Message The last valid NBP reading displays in the NBP parameter window Also press this button while an NBP reading displays to clear the measurement from the NBP parameter window 12 12 CIC Pro Clinical Information Center Revision A 2001099 183 Parameter Monitoring Pressure Monitoring Invasive Pressure Controls The invasive pressure control area can accommodate controls for up to 10 invasive pressures depending on the pressure sites Site Names Site names supported and values displayed are arterial AR systolic diastolic mean and rate femoral FE systolic diastolic mean and rate umbilical arterial UA systolic diastolic mean and rate pulmonary artery PA systolic diastolic and mean intracranial IC CPP and mean umbilical venous UV mean central venous CV mean left atrial LA mean right atrial RA mean special SP mean Scale The Scale control is a set of radio buttons labeled with scale selections Click on your scale selection NOTE If the viewed patient s pressures are set to
133. t rate information PVC minute information ST measurement if available and pace detection indicator if pace detection is enabled as calculated by the monitoring device If an alarm is silenced an icon appears inside the box Pace Detection Silence Alarm icon Heart Rate 035C ECG Parameter Window Revision A CIC Pro Clinical Information Center 1 21 2001099 183 The Basics Multiple Patient Viewer Initiating a Manual Graph To initiate a manual graph click the mouse pointer in the desired patient s ECG parameter window The manual graph continues indefinitely until it is stopped by clicking the mouse pointer again in the patient s ECG parameter window To set manual graph locations see Graph Location Controls on page 5 11 User Help Message Area Messages are displayed in the lower left corner of the CIC screen Messages presented here can include descriptions of button functions and information about what action is initiated by clicking the mouse in the cursor s current location Refer to Clinical Information Center Multiple Patient Viewer on page 1 17 to see an example of this ICUBEDT TA ICUBEDS G ICUBEDS MITH DAVE E TTO DON pjece EVANS THERESA cG r c pvc O 69 NBP X X X NBP INF FAIL ARI 137 74 95 AR1 136 73 94 m ICUBED10 SA i al d ES CX H ICUBEDI ICUIBED ICUIBEDS 7 ICUBEDT NN PAL RADY PE TE pvc o 69 pvc x X pvc x X ARI 133 71 92 NBP
134. the CIC Pro is restored Indications of a loss of the monitoring function at the CIC Pro are as follows 4 RED SCREEN indicates the CIC Pro application is restarting itself and patient monitoring at the CIC Pro is NOT occurring The monitoring function at the CIC Pro will automatically resume No user action is required BLUE SCREEN indicates the Windows operating system has a functional error and patient monitoring at the CIC Pro is NOT occurring If the CIC Pro does not automatically restart after 60 seconds the monitoring function at the CIC Pro will not resume until you turn off the power to the CIC Pro and then turn the power back on The monitoring function should resume in approximately 2 to 3 minutes Once the monitoring function at the CIC Pro has been restored you should verify the correct monitoring state and alarm function CIC Pro Clinical Information Center Revision A 2001099 183 Safety For Your Safety WARNINGS LOSS OF MONITORING If the browser function is inappropriately used loss of monitoring function may result Use alternate monitoring devices or close patient observation until the monitoring function at the CIC Pro is restored When using the browser function follow these restrictions 4 Do not attempt to access the file systems of the CIC Pro through the use of the browser 4 Do not attempt to download files of any type This includes but is not limited to audio or vide
135. the bed number and requesting admit information select the source of the ECG in the ECG From field Use the mouse to click on the down arrow at the right of the field and a popup list of choices will appear Click on your choice to select it You can enter patient information by clicking in the various patient information fields typing in the information and then tabbing into or clicking in the next field NOTE Patient information entered here may be truncated on the CIC Pro display based on limitations of the associated monitoring device The patient information that can be entered is Last Name First Name Patient ID and Age Last Name First Name and Patient ID are entered using the keyboard or the Request Admit Info button When entering information with the keyboard click or tab into the field before typing the information Press the backspace key to delete characters when changing or correcting the patient s name or ID number 7 6 CIC Pro Clinical Information Center Revision A 2001099 183 Admit View a Patient Admitting a Patient NOTE A Patient ID must be entered to access patient information from the Patient Data Server PDS 4 Age appears as a popup list of selections Click on the down arrow to the right of the field to open the list Click on your choice to select it Age Adult Adult 0 2 Years 3 10 Years SIS Cars as 070A Age Popup Menu You do NOT have to enter this informat
136. the monitor Note that the correct patient ID for the patient must be entered 2 Goto the Graphic Trends Vital Signs or Alarm History tabs to view the patient s previous data from the PDS server 3 Discharge the spare monitor when you are done viewing the data Revision A CIC Pro Clinical Information Center 7 17 2001099 183 Admit View a Patient Viewing Other Patients For your notes 7 18 CIC Pro Clinical Information Center Revision A 2001099 183 8 Alarm Histories Revision A CIC Pro Clinical Information Center 2001099 183 For your notes 8 2 CIC Pro Clinical Information Center Revision A 2001099 183 Alarm Histories Alarm Histories Alarm Histories A patient s arrhythmia events can be reviewed printed and deleted from within the Alarm Histories tab sheet at the CIC Pro Within this tab sheet a directory of all stored events is shown along with a graphic representation of those events All stored events comprise only arrhythmia events which have alarm levels set at crisis warning or advisory After you select the Alarm Histories tab the topmost highlighted event in the event directory corresponds with the currently shown graphic event representation CAUTION MEASURING DATA STORED IN ALARM HISTORY Waveform data is stored in the alarm history using compression technology that may not allow perfect reconstruction of the waveform data when subsequently viewed Although difference
137. the waveforms displayed at the bedside at the time of full disclosure Print Report The Print Report option is described in detail in Printing Full Disclosure Information on page 11 10 Revision A CIC Pro Clinical Information Center 11 9 2001099 183 Full Disclosure Printing Full Disclosure Information Printing Full Disclosure Information Print full disclosure information using either m The Print Report option on the Full Disclosure tab sheet report format or m The Print option in the Main Menu strip format NOTE Full disclosure information cannot print to a DDW Print Report To initiate a configurable printout of full disclosure information select Print Report on the Full Disclosure tab sheet The Full Disclosure Report window opens Click on the scroll emo We endo Click and drag the scroll box to move it Click on these arrow controls to move the the scroll bars to start end times by 15 second increments move the start end exactly where you want it f startiend times by 15 second i times by one minute IA SS EEE increments 4 SJ We etorm Selection Full Disclosure Report Stat Wednesday February 09 2000 09 42 00 Beled To Add B as Icus Wednesday February 09 2000 Report start end a _bI times displayed End Wednesday February 09 2000 09 49 30 gt here Duration 00 07 30 Time Per Line 1 min Time Per Page 00 12 00 Total Pages 1 P
138. tient was first displayed admitted m Ifusing the move feature the patient s graph settings are retained as set on the original clinical information center m Ifa patient displays on a clinical information center that is not connected to a printer the graph settings default to the graph location designated in the unit defaults See Telemetry Unit Defaults on page 4 9 m fno graph location is defined for a telemetry patient at the time of admission the message Saving displays Graphs are not sent to printers outside the unit For more information on designating graph locations please refer to Graph Location Controls on page 5 11 Revision A CIC Pro Clinical Information Center 5 7 2001099 183 Printing Graph Setup Tab Sheet Graph Setup Tab Sheet The Graph Setup tab sheet allows you to define the waveforms to be graphed change the graph location and speed and turn the transmitter graph on and off telemetry patients only To view a patient s Graph Setup tab sheet 1 Click on the desired patient s information in the multiple patient viewer The single patient viewer for that patient opens 2 Click on the Graph Setup tab in the single patient viewer s C y s gr Ese 019C Graph Setup Tab Sheet 5 8 CIC Pro Clinical Information Center Revision A 2001099 183 Printing Graph Setup Tab Sheet Graph Waveforms Controls ECG 1 Control The Graph Waveforms controls allow
139. ting instructions for the CIC Pro itself are in this manual Information presented in this manual applies when the type of monitoring using either a bedside patient monitor or telemetry is not a factor in CIC Pro operation For information about monitoring functions that are specific to the patient monitor or telemetry system refer to the operator s manual for that product This manual is geared for clinical professionals Clinical professionals are expected to have working knowledge of medical procedures practices and terminology as required for monitoring of critically ill patients Revision A CIC Pro Clinical Information Center 1 3 2001099 183 The Basics About This Manual Definitions Black text Italicized text Ctrl Esc lt Space gt Enter The following formats are used in this manual to highlight various web viewer features and functions Indicates keys on the keyboard text to be entered or hardware items such as buttons or switches on the equipment Indicates software terms that identify menu items buttons or options in various windows Indicates a keyboard operation A sign between the names of two keys indicates that you must press and hold the first key while pressing the second key once For example Press Ctrl Esc means to press and hold down the Ctrl key while pressing the Esc key Indicates you must press the spacebar When instructions are given for typing a precise text string wit
140. ting a new patient For more information on Auto Display refer to Chapter 4 CIC Setup VIEW OTHER The View Other button allows you to access the menus of any patient on the network including those displayed at your CIC Pro For more information on the View Other button refer to Chapter 7 Admit View a Patient SETUP CIC The Setup CIC button opens the CIC Setup window which contains a stack of tab sheets for customizing the CIC Pro For more information on CIC Pro setup refer to Chapter 4 CIC Setup SILENCE ALARMS The Silence Alarms button silences an audible alarm tone for one minute For more information on silencing alarms refer to Chapter 6 Alarm Control PRINT The Print button opens the Graph All Patients window or initiate a printout of the single patient viewer CLOSE The Close button closes the single patient viewer Revision A CIC Pro Clinical Information Center 1 23 2001099 183 The Basics Single Patient Viewer Single Patient Viewer NTE M D T NES BETH ICUBEDI MASON ANN ICUBEDA UNN PAL View Patient Ready NO TELEM NO TELEM NO TELEM To access an enlarged view of a single patient s information click anywhere except the ECG parameter window inside that patient s window on the multiple patient viewer NOTE Clicking on the patient s ECG parameter window initiates a manual graph of that patient s data Clicking a second time stops a manual grap
141. tion Center 4 25 2001099 183 CIC Setup Full Disclosure Defaults Full Disclosure Off line Storage Minute Rule The Full Disclosure Minute Rule exists as a precautionary measure when contact with a monitor has been lost The feature is applied most often when the monitor is being used in the Rover application since the monitor roves from room to room on and off the network If a discharge admit cycle occurs off the network for a bed that is being full disclosed the Full Disclosure sub system is unaware that the patient has changed When the bed returns to the network Full Disclosure will present the data from the discharged and admitted patients as part of the more recent patient s data The Full Disclosure Minute Rule helps to prevent this by assuming that the patient has been discharged if the monitor is off the network for greater than the number of minutes selected with the Offline Storage control To modify an offline storage time period follow these steps 1 Usethe mouse to click on the Offline Storage field A down arrow icon is displayed next to the current offline time period 2 Click on the down arrow to display a list of time periods and select the desired time period Choices are 30 mins 1 2 4 8 and 12 hours 3 A prompt appears Select YES if you are sure you want to change the offline storage time The offline storage menu closes with the selected time remaining visible 4 26 CIC Pro Clinica
142. tored Moving Locked Unlocked Beds The following guide lines apply when moving locked and unlocked beds m A patient can be moved from an unlocked bed to another available unlocked bed m A patient can be moved from a locked bed to another available locked bed m A patient can be moved from an unlocked bed to an available locked bed Revision A CIC Pro Clinical Information Center 7 13 2001099 183 Admit View a Patient Viewing a Patient Viewing a Patient When you wish to see detailed information about a patient s status you can use the View Patient tab 1n the single patient viewer To access the View Patient tab follow the instructions below 1 Use the mouse to click in the bed window of the patient you wish to view The single patient viewer for that patient opens 2 Usethe mouse to click on the View Patient tab to bring it to the front cosa Pares Eco NET NBP X X X NBP INF FAIL AR 137 74 95 136 73 94 ICUBED2 c ISUBEDIO ee Viewed patient s waveform window is indicated with a white a ESG 22 69 bum ec ES border TIx TIX 748 ICUIBEDS gt ICUBEDT z ICUBEDT MN PAL Y PE TE cG E 69 E x ARL 133 71 92 NBP X X X TIXA 946 RATE 69 ICUJBEDS DOE JOHN View Patient Admit Eco 8p02 Respiration Pressures Graph Setup Alarm Control Alarm Histories Graphic Trends Vital Signs Full Disclosure ECG PVC O NBP X
143. trol Alarm Control Tab Sheet For your notes CIC Pro Clinical Information Center 2001099 183 Revision A l AdmitView a Patient evision CIC Pro Clinical Information Center 2001099 183 For your notes 7 2 CIC Pro Clinical Information Center Revision A 2001099 183 Admit View a Patient Admitting a Patient Admitting a Patient Ways to Monitor There are four ways to monitor patients with GE Medical Systems Information Technologies bedside monitors Standard Combo Rover and Rover Combo The chart below outlines the features and requirements of each Table 1 Monitoring Methods Monitor s Admit Menu Accomm dates accessed from within Service ECG source Network connection required telemetry menu Standard Bedside monitor For stand alone monitoring No No For monitoring at a clinical information center Yes Combo Bedside monitor and telemetry Yes Yes transmitter Rover Bedside monitor Yes No Rover Combo Bedside monitor and telemetry Yes Yes transmitter At the time your system is installed it is determined which monitoring application applies At that time a menu option in the bedside monitor s service menu is used to set the bedside monitor for STANDARD ROVER COMBO or ROVER COMBO For the four different kinds of monitoring the admit procedure depends on how the monitor is to be used Standard and Rover Admit Instructions Instructions for admitting pati
144. tter TELEMETRY BEDS allows you to add modify or delete a telemetry bed name HARDWIRE BEDS allows you to add modify or delete a hardwire bed name TRANSMITTERS allows you to add modify or delete a telemetry transmitter Alpha Numeric TTX ID Numbering During setup the CIC Pro does NOT allow the user to enter alpha numeric transmitter numbers However by entering the transmitter ID number found in parenthesis on the back of the ApexPro transmitter the CIC Pro automatically converts the ID to an alphanumeric numbering scheme and displays this number under the patient s bed window NOTE The TTX ID number is composed of either a three four or five digit number Revision A CIC Pro Clinical Information Center 4 15 2001099 183 CIC Setup Display Format Display Format The Display Format tab sheet allows you to format the clinical information center s multiple patient viewer with the required number of patient windows NOTE Modifications to display format are subject to licensing restrictions To open the Display Format tab sheet 1 Click on Setup CIC in the Main Menu 2 Click on the Display Format tab Map of new display format Q e e e e Display Format Tab Sheet 4 16 CIC Pro Clinical Information Center Revision A 2001099 183 CIC Setup Display Format Display Format Controls Columns This control allows you to designate the number of columns of patien
145. tton initiates a relearn of the patient s ECG rhythm The relearn takes only a few seconds and is nearly unnoticeable The patient s heart rate reading appears as Xs momentarily and then is replaced by numerics once the relearn is complete You should use the relearn function whenever there has been a significant change in the patient s rhythm Revision A CIC Pro Clinical Information Center 7 15 2001099 183 Admit View a Patient Viewing Other Patients Viewing Other Patients To access the menus of a patient on the network that is not displayed at your clinical information center use the View Other button NOTE When viewing a patient from another unit you cannot make any changes to the patient s information or settings View Other Button 1 Usethe mouse to click on the View Other button in the Main Menu at the bottom of the clinical information center display Auto View Setup Silence o Display Other CIC Alarms Print Glose 074A Main Menu Buttons 2 The View Other Patient window appears This window displays all the units currently available on your network View Other Patient BED15 BED5 SICU PACU BED1 BED2 NICU ICU CVICU BED1 BED2 BED3 BED4 BED5 BED6 2WTELE 3NTELE zl View Other Patient Window 7 16 CIC Pro Clinical Information Center Revision A 2001099 183 Admit View a Patient Viewing Other Patients 3 Use the mouse to click on
146. ults Tab Sheet Revision A CIC Pro Clinical Information Center 4 23 2001099 183 CIC Setup Full Disclosure Defaults Full Disclosure Controls Report DURATION This control allows you to designate how much data is included in the report The maximum report duration is 72 hours To set the report duration place the cursor on the scroll bar below the Report Duration display field Move the scroll bar to the left for shorter duration or to the right for longer duration HOLE LOCATION This control allows space for binding printed reports Options are none top bottom left and right Include This control allows you to enable print characteristics Options include Graybar Arrhythmia Annotations and Heart Rate You may select all or none of these options m In Graybar every other line of the report appears on a shaded background to provide visual differentiation from other lines m In Arrhythmia Annotations the name of an applicable arrhythmia call appears underneath its occurrence in the report m In Heart Rate the last active heart rate included in the report appears at the end of the report line Line Time This control allows you to designate how much data shows on an individual report line Choices are 15sec 30sec and Imin Strip LOCATION This control allows you to designate how much data is included in the strip The maximum strip duration 1s 60 minutes To set the strip duration place the c
147. ursor on the scroll bar below the Strip Duration display field Move the scroll bar to the left for shorter duration or to the right for longer duration HOLE LOCATION This control allows space for binding printed report strips Options are none top bottom left and right 4 24 CIC Pro Clinical Information Center Revision A 2001099 183 CIC Setup Full Disclosure Defaults Unit License Default Start Data Storage FULL DISCLOSURE LICENSE TYPE This control shows a list of Full Disclosure license options Choices are none 24 hours 48 hours and 72 hours NOTE 4 Ifthe default does NOT match the actual license Full Disclosure does NOT work 4 Iflicenses are added to the system the 1 hour licenses that were issued with the system are no longer available OFFLINE STORAGE This control allows you to select a time period for the monitor to be off line before Full Disclosure data is deleted This control allows you to designate how full disclosure is enabled for patients at the time of admission Choices are automatically for all beds automatically if listed and manually NOTE In user mode the Start Data Storage Bed List Unit License Default Full Disclosure License Type and Offline Storage controls are view only You must enter the service mode to modify these control settings Bed List Bed List shows a listing of beds for which full disclosure data is automatically stored Revision A CIC Pro Clinical Informa
148. vels To modify an arrhythmia alarm level follow these steps 1 Use the mouse to click on the Level field for the arrhythmia alarm you are modifying down arrow icon is displayed next to the current arrhythmia alarm level NOTE You cannot change the arrhythmia alarm levels for ASYSTOLE and VFIB VTAC Therefore the text in the level fields for these alarms always appears dimmed If you are viewing a neonatal bedside you cannot change the arrhythmia alarm levels for BRADY ASYSTOLE and VFIB VTAC Therefore the text in the level fields for these alarms always appears dimmed If you click on the right side of the level field the down arrow button and a popup list of selections may appear simultaneously It may be necessary to use the scroll bar on the right side of the Arrhythmia Alarm Levels controls in order to view the appropriate arrhythmia alarm Alarm levels are usually shown in black type If an alarm level is shown 1n blue this indicates that the shown level is not the default value 2 Click on the down arrow to display a list of alarm level selections Arrhythmia Alarm Levels ASYSTOLE CRISIS You cannot move ASYSTOLE AND VFIB VTAC CRISIS VFIB VTAC from CRISIS level V TACH CRISIS If you are viewing a vT gt 2 S255 4 neonatal bedside you also cannot V BRADY move BRADY RONT COUPLE4 059A Click on the desired alarm level Revi
149. vision A 2001099 183 Abbreviations and Symbols Abbreviations IABP intra aortic balloon pump ICU intensive care unit IEC International Electrotechnical Commission in inch ISO International Organization for Standardization L LA left arm M MAX maximum MB megabyte MCL modified chest lead Mhz megahertz mmHg millimeters of mercury mm S millimeters per second MSDS Material Data Safety Specifications N NBP noninvasive blood pressure O OEM original equipment manufacturer OR operating room Revision A CIC Pro Clinical Information Center A 5 2001099 183 Abbreviations and Symbols Abbreviations P PA PC PDS Pulm Calc PVC Q pulmonary artery personal computer patient data server pulmonary calculations premature ventricular contraction QRS interval of ventricular depolarization R RA right arm RAM random access memory RESP respiration S SP special SpO2 arterial oxygen saturation ST interval of ventricular repolarization STD VGA standard graphics array SYS systolic T Tl temperature site T2 temperature site 2 Temp TMP temperature TTX transmitter A 6 CIC Pro Clinical Information Center Revision A 2001099 183 Abbreviations and Symbols Abbreviations U UA umbilical artery UAC umbilical artery catheter UL Underwriters Laboratories UV umbilical venous V V Fib V FIB ventricular fibrillation VAC voltage alternating current VENT ventilator Revision A CIC Pro Clinical Inform
150. window with a bed name that is locked to NONE To avoid duplication of patient waveforms a window locked as NONE should not be used to admit a patient Revision A CIC Pro Clinical Information Center 1 15 2001099 183 The Basics Multiple Patient Viewer Multiple Patient Viewer The multiple patient viewer of the CIC Pro displays information for up to 16 patients along with the Main Menu buttons For more information on the Main Menu buttons refer to Main Menu Buttons on page 1 23 Each patient slot contains an ECG parameter window and ECG waveform Any default and user selected leads appear in the waveform window Depending on the selected display format additional monitored parameters display for patients monitored on a GE Medical Systems Information Technologies bedside monitor Refer to Chapter 4 CIC Setup for information on modifying display formats CIC Pro Clinical Information Center Revision A 2001099 183 The Basics Multiple Patient Viewer EE E VISA BEDI Icu BEDS ICUJBEDS EVANS THERESA NBP X X X 7 AR1 137 73 95 3 q 1 A A ZA FIC PAZ 33 15 23 2 ABG 2 PO2X PCO2 X R pH xX HCO3 x O MV VENT OFF ICUJBED10 PERKINS J nx Tixe 748 ICUJBED G ICUJBED11 M KONA KANE MARY pix SMITH JOSEPH x ICUIBED4 frog P ICU BED8 CG ICUBEDIZ ECG ICUIBEDIE ECG DUNN PAUL Lie o 69 TATE ERIC janie BRADY PETER ave x X YOUNG BETTY ove x X nx ARI 133 71 92 NBP X X X K RA
151. you can use the controls to view all the data collected Graphic trends can be viewed in varying time scales and can be printed to a laser printer Revision A CIC Pro Clinical Information Center 11 3 2001099 183 Full Disclosure Full Disclosure Full Disclosure Tab Sheet The Full Disclosure tab sheet contains a window to display patient waveforms and parameter information Full Disclosure uses the Time Focus feature For more information on Time Focus see Time Focus on page 1 26 To view a patient s full disclosure information 1 Click on the desired patient s information in the multiple patient viewer The single patient viewer for that patient opens 2 Clickon the Full Disclosure tab in the single patient viewer The Full Disclosure tab sheet moves to the front Cursor Full Disclosure Waveform Display Parameter Alarm Status Information i Message Field ICU BED1 View Patient Admit ECG SPO2 Res iration Pressures Graph setup Alarm Control Alarm Histories Graphic Trends Vital Signs Full D closure 25 mm s Stop FD Calipers Scan Older Scan Newer 24 Apr 2003 14 37 35 View All ECG Print Report 083D Full Disclosure Tab Sheet NOTE Many Full Disclosure defaults are configurable by the user To set up the Full Disclosure defaults see Full Disclosure Defaults on page 4 23 11 4 CIC Pro Clinical Information Center Revision A 2001099 183 Full Disclosure Full Di
152. you designate which waveforms should print in which positions on a patient s graph printout To designate which waveforms you want to print 1 Clickin the ECG 1 field A list of available ECG waveforms appears 055B ECG 1 Menu 2 Click on the desired ECG waveform The ECG 1 menu closes with the selected ECG Waveform name remaining visible You can now designate other waveforms for printing NOTE The primary ECG waveform in the patient slot will be updated to reflect the change made in the ECG 1 control Revision A CIC Pro Clinical Information Center 5 9 2001099 183 Printing Graph Setup Tab Sheet Waveform 2 Waveform 3 and Waveform 4 1 Click in the field for the waveform you wish to designate A list of available waveforms appears Waveform 2 Waveform 2 Menu 2 Click on the desired waveform The waveforms menu close with the selected waveform name remaining visible 5 10 CIC Pro Clinical Information Center Revision A 2001099 183 Printing Graph Setup Tab Sheet Graph Location Controls Manual Graph Location The Graph Location controls allow you to set the print destinations for manual alarm and print window graphs A manual graph is one that is initiated by the user An alarm graph is one that is triggered by the onset of a patient alarm condition m A print window graph is one that is initiated when the Print Main Menu button is pressed Refer to Graph All Patients on

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