GE ApexPro User manual

GE Healthcare
ApexPro™
English
2028341-001 (CD)
2028340-001E (paper)
© 2007, 2008 General Electric
Company.
All rights reserved.
ApexPro™ Telemetry System
Operator’s Manual
Software Version 4

T-2 ApexPro™ 2001989-200E
11 August 2008
NOTE
Due to continuing product innovation, specifications in this manual are subject to change without notice. The information
in this manual applies to ApexPro software version 4 or later.
NOTE
For technical documentation purposes, the abbreviation GE is used for the legal entity name, GE Medical Systems
Information Technologies.
Listed below are GE Medical Systems Information Technologies trademarks used in this document. All other trademarks
contained herein are the property of their respective owners.
APEX, APEXPRO, DASH, DINAMAP, SOLAR, and TRAM are trademarks of GE Medical Systems Information
Technologies registered in the United States Patent and Trademark Office.
CENTRALSCOPE, CD TELEMETRY, CD TELEMETRY-LAN, CIC PRO, EAGLE, IMPACT.wf, PRN 50, TRAMSCOPE
and UNITY NETWORK are trademarks of GE Medical Systems Information Technologies.

2001989-200E ApexPro™ CE-1
CE marking information
Compliance
The ApexPro telemetry system bears CE mark CE-0459 indicating 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 radio-
interference protection class A in accordance with EN 55011.
The country of manufacture can be found on the equipment labeling.
The product complies with the requirements of standard EN 60601-1-2 “Medical
electrical equipment - Part 1-2: General requirements for safety - Collateral standard:
Electromagnetic compatibility - Requirements and tests.”
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.
Exceptions
The CIC Pro Clinical Information Center and telemetry server are suitable for use in
the specified electromagnetic environment. For more information, refer to the
appropriate service manual.
R&TTE directive
The ApexPro 420-460 MHz transmitters and receiver system conform to the R&TTE
Directive 1999/5/EC.
For more information, refer to the appropriate service manual.
General information
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.
The symbol means ATTENTION: Consult accompanying documents.
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.
The warranty does not cover damages resulting from the use of accessories and
consumables from other manufacturers.
GE is responsible for the effects on safety, reliability, and performance of the
product, only if:

CE-2 ApexPro™ 2001989-200E
CE marking information
assembly operations, extensions, readjustments, modifications, or repairs are
carried out by persons authorized by GE;
the electrical installation of the relevant room complies with the
requirements of the appropriate regulations; and,
the device is used in accordance with the instructions for use.
All publications conform with the product specifications and applicable IEC
publications on safety and essential performance of electromedical equipment as
well as with applicable UL and CSA requirements and AHA recommendations
valid at the time of printing.
The quality management system complies with the international standards ISO
9001 and ISO 13485, and the Council Directive on Medical Devices 93/42/EEC
Annex II.

2001989-200E ApexPro™ i
Contents
1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
Manual information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Purpose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Intended audience . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Related documents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Conventions used. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Equipment terms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Text styles. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
Illustrations and names . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
Ordering manuals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
Revision history . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
Equipment information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
Intended use of this equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
Safety statements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
Dangers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
Warnings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-12
Notes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-16
Equipment symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-16
Equipment compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-17
IEC, UL, and EN 60601-1 device classification. . . . . . . . . . . . . . . . . 1-17
FCC compliance information statement . . . . . . . . . . . . . . . . . . . . . . 1-18
Industry Canada . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-18
2 Equipment overview . . . . . . . . . . . . . . . . . . . . . . . . . 2-1
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
ApexPro telemetry system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
Transmitters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
Antenna system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
Receiver system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
Server . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
CIC Pro center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
Optional components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
Apex oximeter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
Xpod oximeter. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
Accutracker DX noninvasive blood pressure (NBP) monitor. . . . . . . . 2-4
Dinamap PRO monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
3 Equipment setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
Transmitter setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Views . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2

ii ApexPro™ 2001989-200E
Battery installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Leadwire installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
Electrode attachment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5
Verify transmitter/leadwires status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
Antenna system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
Optional components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
Xpod oximeter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
Apex oximeter. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8
Battery installation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8
Transmitter connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9
Dinamap PRO monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9
Interconnection cables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-10
Accutracker DX. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-10
Battery installation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-11
Connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-12
4 System setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1
Bedside monitor setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
CIC Pro center setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Configuring the CIC Pro center . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4
Verifying proper operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4
Customizing the system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4
Licenses (instituted) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
Defaults (persistent) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6
Service-level defaults . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6
User-level defaults (persistent) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7
Control settings (temporary). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-17
Alarm volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-18
5 Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
Alarm notification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
Alarm categories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Patient status alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
System status alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4
Managing patient alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4
Enable transmitter pause . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
Pausing alarms at the transmitter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
Reactivating alarms at the transmitter . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6
Alarm pause breakthrough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6
Silencing alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7
Temporarily silencing alarms from the CIC Pro center . . . . . . . . . . . . 5-7
Alarm silence indicator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8
Adjusting alarm control settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8
Monitor alarm control settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8

2001989-200E ApexPro™ iii
Alarm unit default settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12
Telemetry alarm control defaults . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12
Parameter limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-13
Parameter alarm levels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-14
Arrhythmia alarm levels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-14
System alarm levels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-15
Recalling unit defaults . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-16
Alarm help . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-16
Printing patient alarm graphs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-16
Configure the automatic printing of alarm graphs . . . . . . . . . . . . . . . . . . 5-16
Printing alarm settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-17
Stop printing an alarm graph . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-17
Stop printing to a laser printer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-17
Stop printing to a local digital writer. . . . . . . . . . . . . . . . . . . . . . . . . . 5-17
6 Managing patients . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
Skin preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
Electrode placement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
6-leadwire electrode placement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3
5-leadwire electrode placement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4
3-leadwire electrode placement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4
Electrode placement for pediatric patients . . . . . . . . . . . . . . . . . . . . . . . . 6-6
Verify status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6
Maintaining quality ECG signal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6
Special considerations for 6-leadwire monitoring. . . . . . . . . . . . . . . . . . . . 6-7
V FAIL message . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7
Relearn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7
Admitting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7
Terminology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-8
Factors guiding the admit process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-9
The source of the ECG data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-10
The source of the patient demographic information . . . . . . . . . . . . . 6-10
The monitor moves (roves) from room to room. . . . . . . . . . . . . . . . . 6-10
The permanent (locked) beds in the multi-patient viewer . . . . . . . . . 6-11
Admitting a patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-11
Changing patient demographic information . . . . . . . . . . . . . . . . . . . . . . . 6-16
Moving a patient to a different bed. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-17
Move a patient to a different bed. . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-17
Move a patient to telemetry monitoring. . . . . . . . . . . . . . . . . . . . . . . 6-18
Move a telemetry patient to a different transmitter . . . . . . . . . . . . . . 6-18
Switching transmitters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-18
Discharging an admitted patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-19
Combo and Rover Combo monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-19
Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-19
Constraints . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-20

iv ApexPro™ 2001989-200E
ECG setting source. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-21
7 Viewing real-time patient data . . . . . . . . . . . . . . . . . 7-1
Real-time patient views. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2
Data synchronization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2
Multi-patient viewer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2
Single patient viewer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3
In-unit patient beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-5
Viewing in-unit patients experiencing an alarm condition . . . . . . . . . . . . . 7-5
Viewing patient beds from another in-unit CIC Pro center . . . . . . . . . . . . 7-5
Out-of-unit patient beds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-6
Viewing an out-of-unit patient bed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-6
Removing viewed out-of-unit patient beds . . . . . . . . . . . . . . . . . . . . . . . . 7-6
Configuring the real-time trend window . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-6
Printing real-time data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-8
Printing a continuous ECG strip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-8
Printing parameter limits or waveforms for all in-unit patient beds . . . . . . 7-9
Stopping a print job. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-10
Stop printing to a laser printer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-10
Stop printing to a local digital writer. . . . . . . . . . . . . . . . . . . . . . . . . . 7-10
Monitored parameters. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-11
Adjusting parameter control settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-11
ECG. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-11
ECG control settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-11
Monitoring pacemaker patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-13
Multi-vector pace detection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-15
Pace help . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-16
Lead analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-16
Multi-Lead analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-16
Single-Lead analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-16
Single-Lead ECG telemetry data. . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-17
Arrhythmia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-18
No arrhythmia detection with 7015 software level patient monitors . 7-19
Full arrhythmia conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-19
Lethal arrhythmia conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-21
AFIB identification. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-21
Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-22
ST analysis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-22
ST deviation alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-23
Adjusting ST limits. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-23
SpO2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-24
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-24
SpO2 in the multi-patient viewer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-24
SpO2 control settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-25
SpO2 probe safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-26

2001989-200E ApexPro™ v
Pediatric patients and pulse oximetry . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-27
Signal and data validity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-27
Signal strength indicator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-27
Error messages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-28
Pressures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-28
Non-invasive blood pressure control settings . . . . . . . . . . . . . . . . . . . . . 7-28
NBP monitoring with telemetry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-30
Patient preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-30
Microphone placement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-31
Placement in the microphone pad. . . . . . . . . . . . . . . . . . . . . . . . . . . 7-31
Placement in the blood pressure cuff . . . . . . . . . . . . . . . . . . . . . . . . 7-32
Safety considerations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-32
Setting the measurement interval . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-33
Setting test parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-34
Setting limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-35
Software and hardware versions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-35
8 Viewing stored patient data . . . . . . . . . . . . . . . . . . . 8-1
Stored data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2
Time focus data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2
Events directory. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3
Viewing the Events directory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3
Printing the Events directory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4
Counting how many events occurred . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4
Identifying the most recent occurring event . . . . . . . . . . . . . . . . . . . . . . . . 8-4
Deleting a stored event or data sample . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5
Viewing or printing an Event strip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5
Full disclosure data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-6
Full disclosure strip. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-7
Viewing or printing a full disclosure strip. . . . . . . . . . . . . . . . . . . . . . . 8-7
Full disclosure page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-9
Viewing or printing a full disclosure page . . . . . . . . . . . . . . . . . . . . . . 8-9
Graphic trends data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-10
Viewing graphic trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-11
Printing graphic trends data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-14
Vital signs data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-14
Viewing vital signs data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-15
Printing vital signs data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-16
Measuring ECG waveform intervals and amplitude. . . . . . . . . . . . . . . . . . 8-17
Viewing or printing a waveform from the Calipers window . . . . . . . . . . . 8-17
Reports. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-19
Patient discharge summary report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-19
Transmitter battery status report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-20

vi ApexPro™ 2001989-200E
9 Printing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-1
Print devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-2
Print output . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-2
Telemetry bed parameter data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-2
Graph location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-2
Printing real-time data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-3
Printing stored patient data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-3
Initiating a manual graph . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-3
Transmitter initiated graphs (manual graphs) . . . . . . . . . . . . . . . . . . . . . . 9-4
Automatic alarm graphs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-4
Graph messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-4
Graph all patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-5
Initiating a graph all patients request . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-5
Stopping a print job. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-6
Stop printing to a laser printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-6
Stop printing to a local digital writer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-6
Adjusting print control settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-6
Enable transmitter graph . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-7
Alarm graphs enabled/disabled . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-8
Graph paper out indicator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-8
A Abbreviations and symbols . . . . . . . . . . . . . . . . . . .A-1
Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2
Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-8
B Customized defaults worksheet . . . . . . . . . . . . . . . .B-1
Alarms Off selection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-2
Telemetry Unit Defaults . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-2
Telemetry parameter limits and alarm levels . . . . . . . . . . . . . . . . . . . . . . . B-3
C Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .C-1
Biocompatibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-2

2001989-200E ApexPro™ vii
Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-2
Inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-2
Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-3
Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-3
Results of improper cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .C-4
Cleaning products to avoid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .C-5
Transmitter/device cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-5
Cleaning/disinfecting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .C-5
Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .C-6
ECG cable/leadwire cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-6
Results of improper cleaning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .C-6
Cleaning/disinfecting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .C-6
Sterilizing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .C-7
Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .C-7
D Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . .D-1
ECG. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-2
Arrhythmia troubleshooting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-2
Problem: Inaccurate heart rate and/or false asystole . . . . . . . . . . . . .D-2
Problem: False ventricular calls . . . . . . . . . . . . . . . . . . . . . . . . . . . . .D-2
Problem: ARR Suspend . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .D-3
Pacemaker troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-3
Interface connector ports. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .D-4
Problem: Inaccurate pacemaker detection . . . . . . . . . . . . . . . . . . . . .D-4
Notes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .D-4
ST troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-5
Problem: ST numerics changed to Xs. . . . . . . . . . . . . . . . . . . . . . . . .D-5
SpO2 messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-5
NBP. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-7
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .D-7
NBP status messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .D-7
Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-8
Alarm messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .D-8
Graph messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .D-9
Transmitter-related messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .D-10
System status messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .D-10
Patient status messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .D-11
E Technical specifications . . . . . . . . . . . . . . . . . . . . . . E-1
ApexPro and ApexPro CH transmitters. . . . . . . . . . . . . . . . . . . . . . . . . . . . E-2
Power requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-2
Alarms and controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .E-2
Transmission . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-2
ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-2

viii ApexPro™ 2001989-200E
Environmental specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-3
Operating conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-3
Transport and storage conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . .E-3
Device specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-3
Physical specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-4
FCC compliance information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-4
Certifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-4
Telemetry server . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-5
Display specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-5
Power specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-5
Environmental specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-5
Operating conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-5
Transport and storage conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . .E-5
Physical specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-5
FCC compliance information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-5
Certifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-6
ApexPro receiver system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-6
Performance specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-6
Network requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-6
Power requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-6
Environmental specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-7
Operating conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-7
Transport and storage conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . .E-7
Physical specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-7
FCC compliance information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-7
Certifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-7

2001989-200E ApexPro™ 1-1
1 Introduction

1-2 ApexPro™ 2001989-200E
Introduction
Manual information
Purpose
This manual contains the instructions necessary to operate the ApexPro telemetry
system safely and in accordance with its function and intended use.
It also contains limited instructions necessary to operate the telemetry system when
used with the CIC Pro Clinical Information Center. For more information, refer to
Related documents on page 1-2.
Intended audience
This manual is intended for clinical professionals. Clinical professionals are expected
to have a working knowledge of medical procedures, practices, and terminology, as
required for monitoring of critically ill patients.
Related documents
This manual assumes that you are familiar with the operating procedures of the CIC
Pro Clinical Information Center. It uses the CIC Pro software version 5 (or later) user
interface for procedures, navigation and illustration purposes.
If your system uses an earlier CIC Pro software version, you may notice minor
discrepancies between what you see on the equipment and the information presented
in this manual. Refer to the documentation provided with your system for the most
accurate operator’s and service instructions.
Conventions used
Equipment terms
This manual uses the following terms to simplify common equipment names.
Term Description
CIC Pro center Refers to the CIC Pro Clinical Information Center.
Monitor Refers to a bedside monitor, transport monitor, blood pressure
monitor, or a wireless monitor on the Unity Network.
Printer Refers generically to a direct digital writer or a laser printer.
Transmitter Refers to the ApexPro and/or ApexPro CH transmitter.
Writer Refers to the PRN 50-M digital writer.

Introduction
2001989-200E ApexPro™ 1-3
Text styles
This manual uses the following text styles to identify hardware terms, software terms
and the correct way to enter data.
Illustrations and names
In this manual, all illustrations are provided as examples only. They may not
necessarily reflect your monitoring setup or data viewed on your monitoring device.
All names appearing in examples and illustrations are fictitious. The use of any real
person’s name is purely coincidental.
Ordering manuals
A paper copy of this manual will be provided upon request. Contact your local GE
representative and request the part number on the first page of the manual.
Revision history
Each page of the document has the document part number and revision letter at the
bottom of the page. The revision letter changes whenever the document is updated.
Style Definition
Bold Indicates hardware items, such as keys, labels or connectors.
Bold and italicized Indicates software items, such as menus, menu options or
screen text.
Italics Emphasizes a word.
> Indicates menu options or control settings to select
consecutively.
+ Indicates keyboard keys to select simultaneously.
Revision Comments
A Release of ApexPro software version 4.
B Updated equipment symbols, EMC warning and covers.
C Corrected UL equipment symbol text, updated Change Battery
information and corrected ApexPro telemetry server certifications.
D Updated for new hardware and updated Intended use, Optional
components, Electrode placement, Infants and pulse oximetry, and
Technical specification sections.
E Updated SPO2 information, added Loss of Alarms Warnings, updated
R&TTE, added definition of minimize/maximize buttons, clarified infant/
pediatric terms.

1-4 ApexPro™ 2001989-200E
Introduction
Equipment information
Intended use of this equipment
The ApexPro telemetry system is intended for use under the direct supervision of a
licensed healthcare practitioner. The system is designed to acquire and monitor
physiological data for ambulating patients within a defined coverage area. The system
processes this physiological data to detect various ECG arrhythmia events and select
physiological parameter limit violations.
The ApexPro telemetry system is intended to be installed in the hospital or clinical
environment in order to provide clinicians with patient physiological data, while
allowing for patient mobility. These systems are typically deployed in sub acute care
areas in hospitals or clinical sites where patient mobility can enhance the
effectiveness of the medical procedures administered.
The physiological parameters monitored include ECG, non-invasive blood pressure,
non-invasive temperature and SpO2. The ApexPro telemetry system is intended to
provide ECG data via Ethernet to the computer platform for processing. The ApexPro
is also intended to provide physiologic data over the Unity network to clinical
information systems for display.
Safety statements
The safety statements presented in this chapter refer to the equipment in general and,
in most cases, apply to all aspects of the device. There are additional safety statements
in other chapters which are specific to that chapter content.
The order in which safety statements are presented in no way implies the order of
importance.
Dangers
Danger statements identify an imminent hazard which, if not avoided, will result in
death or serious injury. No danger statements apply to this system.
Warnings
Warning statements identify a potential hazard or unsafe practice which, if not
avoided, could result in death or serious injury.
The following warning statements apply to this system.
WARNING
Do not monitor pacemaker patients with a 3-leadwire set when
reliable pacer detection is required. Pacer pulse detection can be
erratic when only a single vector is monitored. Always use a 5- or 6-
leadwire set when reliable pacer detection is required.

Introduction
2001989-200E ApexPro™ 1-5
WARNING
ACCESSORIES (SUPPLIES) — To ensure patient safety, use only
parts and accessories manufactured or recommended by GE.
Parts and accessories used must meet the requirements of the
applicable IEC 60601 series safety standards and essential
performance standards, and/or the system configuration must meet
the requirements of the IEC 60601-1-1 medical electrical systems
standard.
WARNING
ACCESSORIES (EQUIPMENT) — The use of accessory
equipment not complying with the equivalent safety requirements of
this equipment may lead to a reduced level of safety of the resulting
system. Consideration relating to the choice shall include:
use of the accessory in the patient vicinity; and
evidence that the safety certification of the accessory has been
performed in accordance to the appropriate IEC 60601-1 and/or
IEC 60601-1-1 harmonized national standard.
WARNING
ACCIDENTAL SPILLS — To avoid electric shock or device
malfunction, liquids must not be allowed to enter the device. If
liquids have entered a device, take it out of service and have it
checked by a service technician before it is used again.
WARNING
ACCURACY — If the accuracy of any value displayed on the
monitor, central station, or printed on a graph strip is questionable,
determine the patient's vital signs by alternative means. Verify that
all equipment is working correctly.
WARNING
ADJUSTING SYSTEM ALARM LEVELS — The Leads Fail
alarm indicates that one or more electrodes are not connected to the
patient and, as a result, there is loss of all waveforms and arrhythmia
analysis. The ARR SUSPEND alarm indicates that arrhythmia
conditions are not being detected and therefore alarms associated
with arrhythmias will not occur. The Leads Fail and ARR
SUSPEND alarms should be adjusted to a lower priority level only
by experienced qualified personnel and with great caution.
Adjusting these alarms to a lower priority level may result in
reduced awareness of conditions that indicate the loss of patient
monitoring.

1-6 ApexPro™ 2001989-200E
Introduction
WARNING
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, nurse-call
system, and/or network, verify the function of the alarm system.
The functions of the alarm system for monitoring of the patient must
be verified at regular intervals.
Do not rely exclusively on the Alarm Pause Breakthrough feature
for alarm notification during an alarm pause. This may result in a
hazard to the patient. Only crisis alarms break through an alarm
pause.
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.
WARNING
BEFORE USE — Before putting the system into operation visually
inspect all connecting cables for signs of damage. Damaged cables
and connectors must be replaced immediately.
Before using the system, the operator must verify that it is in correct
working order and operating condition.
Periodically, and whenever the integrity of the product is in doubt,
test all functions.
WARNING
CABLES — Route all cables away from patient's throat to avoid
possible strangulation.

Introduction
2001989-200E ApexPro™ 1-7
WARNING
CONDUCTIVE CONNECTIONS — Extreme care must be
exercised when applying medical electrical equipment. Many parts
of the human/machine circuit are conductive, such as the patient,
connectors, electrodes, transducers. It is very important that these
conductive parts do not come into contact with other grounded,
conductive parts when connected to the isolated patient input of the
device. Such contact would bridge the patient's isolation and cancel
the protection provided by the isolated input. In particular, there
must be no contact of the neutral electrode and ground.
WARNING
DEFIBRILLATION — Do not come into contact with patients
during defibrillation. Otherwise serious injury or death could result.
WARNING
DISCONNECTION FROM MAINS — When disconnecting the
system from the power line, remove the plug from the wall outlet
first. Then you may disconnect the power cord from the device. If
you do not observe this sequence, there is a risk of coming into
contact with line voltage by inserting metal objects, such as the pins
of leadwires, into the sockets of the power cord by mistake.
WARNING
DISPOSAL — Dispose of the packaging material, observing the
applicable waste control regulations and keeping it out of children's
reach.
WARNING
DUST COVERS — If the dust covers for the interface connectors
become detached from the transmitter, they may pose a choking
hazard for pediatric patients. Inspect the dust covers before each use
to verify that they are securely attached. If the dust covers become
detached and cannot be reinserted into their retaining slot, do not use
them on the transmitter, and keep them out of pediatric patients’
reach.
WARNING
ELECTRODES — Whenever patient defibrillation is a possibility,
use non-polarizing (silver/silver chloride construction) electrodes
for ECG monitoring. Polarizing electrodes (stainless steel or silver
constructed) may cause the electrodes to retain a residual charge
after defibrillation. A residual charge will block acquisition of the
ECG signal.

1-8 ApexPro™ 2001989-200E
Introduction
WARNING
ELECTROMAGNETIC INTERFERENCE — Operation of
transmitters outside the designated WMTS frequency band (608-614
MHz) is at increased risk for electromagnetic interference. WMTS is
protected in the U.S. only. This interference could lead to lapses in
patient monitoring and missed alarm events, putting the patient at
risk and compromising patient safety.
WARNING
EMC INTERFERENCE— 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 monitoring system 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.
Interference may cause changes to ECG baseline waveform, which
may not be obvious to a clinician.