Telemetry ApexPro Service Manual
Telemetry ApexPro Service Manual
Telemetry ApexPro Service Manual
Receiver
Technical Manual
ApexPro
English
2028341-028 (CD)
2028340-059 (paper)
© 2014 General Electric Company.
All rights reserved.
NOTE
Due to continuing product innovation, specifications in this manual are
subject to change without notice.
NOTE
The information in this manual only applies to ApexPro software version 3A
and later, ApexPro CH software version 1A and later, and the ApexPro,
ApexPro CH, and CARESCAPE telemetry T4 and T14 transmitters hardware. It
does not apply to earlier software versions. Due to continuing product
innovation, specifications in this manual are subject to change without
notice.
NOTE
For technical documentation purposes, the abbreviation GE is used for the
legal entity name, GE Medical Systems Information Technologies, Inc.
1 Introduction . . . . . . . . . . . . . . . . . . . . . . 1-1
Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
CARESCAPE Network . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-4
ApexPro antenna system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-4
Enterprise Access antenna system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-6
ApexPro and CARESCAPE transmitters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-7
Transmitter controls, indicators and labels . . . . . . . . . . . . . . . . . . . . . . . . 2-10
Transmitter interfaces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-14
DINAMAP PRO series monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-15
SpO2 oximeter modules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-16
Apex oximeter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-17
Interconnection cables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-18
ApexPro receiver system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-19
2001989-469A ApexPro i
3 Installation and configuration . . . . . . 3-1
4 Maintenance . . . . . . . . . . . . . . . . . . . . . 4-1
Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
Cleaning products to avoid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-7
Transmitter/device cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-7
ECG cable/leadwire cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-8
ii ApexPro 2001989-469A
Antenna system coverage test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-23
In-band noise test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-27
Transmitter Frequency Validation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-31
Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-32
Receiver calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-33
Transmitter calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-38
5 Troubleshooting . . . . . . . . . . . . . . . . . . 5-1
Connectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7
Adapters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-9
Splitters/combiners . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-10
Transmitters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-25
Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-25
iv ApexPro 2001989-469A
ApexPro . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-25
ApexPro CH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-26
T14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-26
General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-28
Replace the fuse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-28
Open the unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-29
Remove a quad receiver module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-29
Add a quad receiver module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-30
Remove/replace the power supply assembly . . . . . . . . . . . . . . . . . . . . . . 6-30
Remove/replace receiver subsystem pcb (backplane) . . . . . . . . . . . . . . 6-31
Close and reconnect unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-32
7 Checkout . . . . . . . . . . . . . . . . . . . . . . . . . 7-1
2001989-469A ApexPro v
Over-pressure release check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-22
Hardware time-out and system leak check . . . . . . . . . . . . . . . . . . . . . . . . 7-23
Communication test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-23
vi ApexPro 2001989-469A
Warranty information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-16
Manual Information
Revision history
The first letter shown in this revision history table is the first customer-released
version of this document.
Revision Comment
Purpose
This manual provides technical information for maintaining the ApexPro, ApexPro
CH and CARESCAPE T4 and T14 transmitters, ApexPro receiver subsystem,
ApexPro antenna infrastructure equipment and GE equipment that connects to
the transmitter.
Intended audience
Users of this manual are expected to have a background in electronics, including
analog and digital circuitry, RF, and microprocessor architectures. It is intended
for service representatives and technical personnel who maintain, troubleshoot
or repair this equipment.
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.
Conventions
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.
Text styles
Style Definition
bold italic Indicates software terms such as menu items or screen text.
All names appearing in examples and illustrations are fictitious. The use of any
real person’s name is purely coincidental.
Safety information
Intended use
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 adult and pediatric patients within a defined
coverage area. The system processes this physiological data to detect various
ECG arrhythmia events and select physiological parameter limit violations.
Equipment symbols
NOTE
Some symbols may not appear on all equipment.
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 60601-1/UL 60601-1/CSA 601.1 Medical Standards to provide a higher degree of
protection against electric shock than that provided by type BF applied parts.
NOTE
The rating of protection against electric shock (indicated by symbol for CF) is achieved only when used
with patient applied parts recommended by GE.
TYPE B APPLIED PART: Non-isolated applied part suitable for intentional external and internal
application to the patient excluding direct cardiac application.
[Medical Standard Definition:] Applied part complying with the specified requirements of IEC 60601-1/
UL 60601-1/CSA 601.1 Medical Standards to provide protection against electric shock, particularly
regarding allowable leakage current.
R&TTE equipment class 2 identifier: An alert sign, indicating that transmitting radio equipment operates
in non-harmonized frequency bands and can cause interference.
Equipotential
DC In or RF In
Medical Equipment
With respect to electric shock, fire and mechanical hazards only in accordance with UL 60601-1, and
CAN/CSA C22.2 NO. 601.1 and if applicable, IEC 60601-2-27, IEC 60601-2-30, and IEC 60601-2-49.
4P41
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.
Interface Connector(s)
INTFC.
Complies with IPX3 standards (IEC 60529) for protection against water ingress under test conditions;
water sprayed at an angle up to 60 degrees on either side of the vertical axis shall have no harmful
effects, with device not in actual use.
Complies with IPX7 standards (IEC 60529) for protection against water ingress under test conditions;
immersion in one meter of water for 30 minutes, with device not in actual use.
This symbol indicates that the waste of electrical and electronic equipment must not be disposed as
unsorted municipal waste and must be collected separately. Please contact an authorized
representative of the manufacturer for information concerning the decommissioning of your
equipment.
This symbol indicates the date of manufacture of this device. The first 4 digits identify the year and the
last 2 digits identify the month.
2005-08
Safety statements
Dangers
Danger statements identify an imminent hazard which, if not avoided, will result in
death or serious injury. No danger statements apply to this product.
Warnings
Warning statements identify a potential hazard or unsafe practice which, if not
avoided, could result in death or serious injury. The following warnings apply to
this product.
WARNING
BEFORE USE —Periodically, and whenever the integrity of the
device is in doubt, test all functions.
WARNING
EXPLOSION HAZARD —Do not use this equipment in the
presence of flammable anesthetics, vapors or liquids.
WARNING
FALSE CALLS—False low heart rate indicators or false asystole
calls may result with certain pacemakers because of electrical
overshoot.
WARNING
INTERFACING WITH OTHER EQUIPMENT —Contact GE for
information before connecting any devices to the equipment
that are not recommended in this manual.
WARNING
LOSS OF DATA — Notify the affected users relying upon this data
flow before shutting down the ApexPro antenna infrastructure
components for any reason.
WARNING
MONITORING PACEMAKER PATIENTS —Monitoring of pacemaker
patients can only occur with the pace program activated.
WARNING
PACEMAKER SPIKE —An artificial pacemaker spike is displayed in
place of the actual pacemaker spike. All pacemaker spikes
appear uniform. Do not diagnostically interpret pacemaker spike
size and shape.
WARNING
PATIENT HAZARD —A pacemaker pulse can be counted as a QRS
during asystole in either pace mode. Keep pacemaker patients
under close observation.
WARNING
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.
Cautions
Caution statements identify a potential hazard or unsafe practice which, if not
avoided, could result in minor personal injury or product/property damage. The
following cautions apply to this product.
CAUTION
ACCESSORIES (SUPPLIES) —To ensure patient safety, use only
parts and accessories manufactured or recommended by GE.
CAUTION
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:
CAUTION
FDA POSTMARKET SAFETY ALERT—The United States FDA Center
for Devices and Radiological Health issued a safety bulletin
October 14, 1998. This bulletin states “that minute ventilation
rate-adaptive implantable pacemakers can occasionally interact
with certain cardiac monitoring and diagnostic equipment,
causing the pacemakers to pace at their maximum programmed
rate.”
CAUTION
POWER REQUIREMENTS —If the installation of the equipment, in
the USA, uses 240V rather than 120V, the source must be a
center-tapped, 240V, single-phase circuit.
CAUTION
RESTRICTED SALE —Federal law restricts this device to be sold by
or on the order of a physician.
CAUTION
SUPERVISED USE —This system is intended for use under the
direct supervision of a licensed health care practitioner.
Notes
Note statements provide application tips or other useful information to assure
that you get the most from your equipment. The following notes apply to this
product.
NOTE
ECG monitoring with patients on non-invasive transcutaneous pacemakers
may not be possible due to large amounts of energy produced by these
devices. Monitoring ECG with an external device may be needed.
NOTE
This device is not intended for home use.
NOTE
Patient environment is any volume in which intentional or unintentional
contact can occur between patient and parts of the system or between
patient and other persons touching parts of the system. (IEC 60601-1-1)
Service information
Service requirements
Follow the service requirements listed below.
Refer equipment servicing to GE authorized service personnel only.
Any unauthorized attempt to repair equipment under warranty voids that
warranty.
It is the user’s responsibility to report the need for service to GE or to one of
their authorized agents.
Failure on the part of the responsible individual, hospital, or institution using
this equipment to implement a satisfactory maintenance schedule may
cause undue equipment failure and possible health hazards.
Regular maintenance, irrespective of usage, is essential to ensure that the
equipment will always be functional when required.
Equipment identification
Every GE device has a unique serial number for identification. A sample of the
information found on a serial number label is shown below.
### ## ## #### #
A B C D E F
Description
A product code1
B year manufactured
E manufacturing site
F miscellaneous characteristic
Previously installed equipment may utilize this configuration rather than the one
shown above.
D 4 XX 0005 G XX
Month Year Product Sequence
Manufactured Manufactured Product Code Number Division Device Characteristics
A = January 2 = 2002 Two-character Manufacturing F = Cardiology One or 2 letters that further
B = February 3 = 2003 product descriptor number (of total G = Monitoring describe the unit, for
C = March 4 = 2004 TT = ApexPro units N = Freiburg example:
D = April (and so on) transmitter, manufactured.) Hellige
E = May domestic P = prototype not
F = June AM = ApexPro conforming to marketing
G = July transmitter, specification
H = August international R = refurbished equipment
J = September T9 = ApexPro CH S = special product
K = October transmitter documented under Specials
L = November TS = ApexPro part numbers
M = December receiver subsystem -
US (560-614 MHz)
AV = ApexPro
receiver subsystem -
International (420-
474 MHz)
System overview
Overview
A transmitter is directly connected to the patient and transmits monitored data
via the antenna to a corresponding receiver in a one-to-one correspondence
between transmitters and receivers. Up to 16 receivers (four quad receiver
modules with four receivers on each) may reside in a receiver system. Up to four
quad receiver modules connect to the receiver backplane PCB, which is
responsible for managing communications between all connected receivers and
the telemetry host application software on the PC. The communication between
the PC and the receiver backplane is 10BaseT Ethernet and is called the Receiver-
Exchange (RX) network. The host application software processes the patient data
from the receivers and makes the patient’s ECG parameter and waveform data
available for display at network viewing stations or the Clinical Information Center
(CIC) central station.
Transmitter
Cable
Antenna System
035B
Power requirements
The DC power requirements for the ApexPro antenna system depend greatly on
the configuration of each individual system. To ease the power requirements of
the ApexPro telemetry system, the power supply for the antenna system is
external to the ApexPro receiver system and separate from the antenna.
The interface between the antennas and the receiver system consists of coaxial
cabling and connectors for transferring the transmitted signal. The interface uses
75-ohm cable from each antenna field and F style 75-ohm connectors as a
connection medium. The preferred cable is RG-6, but for longer lengths RG-11
may be used.
Equipment
CARESCAPE Network
NOTE
The Unity Network has been renamed to the CARESCAPE Network. Not all
references to the Unity Network will be changed immediately; Unity may
appear in some places and CARESCAPE in others. It is important to
understand that while the CARESCAPE Network replaces the Unity Network
name, they refer to the same GE monitoring network.
Antenna amplifier
The antenna amplifier boosts the signal when losses from other antenna
components exceed the gain of the antenna. DC power for the amplifier is
obtained from the +12VDC power supply.
Coaxial cable
Coaxial cabling is used to connect the omni-directional antennas and amplifiers
to the receiving equipment. Controlled-impedance cabling is used and 75-ohm,
RG-6 type is recommended. Plenum- or riser-rated cable is used to meet NEC fire
codes. RG-11 may be used if cable lengths become long and dB losses become
excessive.
Splitters/combiner
Passive splitters/combiners split or combine the RF signal into multiple paths. The
same splitter may also be used as a combiner to join multiple RF signals into one
path. There are two-, four-, or eight-way splitters available that are DC-passive.
Attenuators
Attenuators lower signals and balance antenna runs. The attenuators are DC-
passive and are available as 3 dB, 6 dB and 10 dB attenuators.
Power supply
A +12VDC power supply at 1A supplies power to the antenna system. Power
supplies accept AC voltages between 90-270VAC. AC inputs have internal fuses
that are not replaceable. The output of the supply is short circuit protected.
Bias tee
The antenna bias tee allows the injection of DC power from the antenna power
supply into the antenna system cabling. The bias tee supplies RF isolation
between the RF signals on the antenna cabling and the power supply. It contains
a DC block that blocks the conduction of DC power to the receiver system and
associated hardware. A bias tee is used with each power supply.
Notch filter
Notch filters are frequency or TV channel specific and notch out the TV video,
audio, or digital center of the band signals. Notch filters also filter pager signals or
other strong RF signals that can be found in a telemetry environment.
Bandpass filter
The bandpass filter rejects frequencies outside its listed bandwidth and passes
frequencies inside its listed bandwidth. It is used in place of certain notch filters to
provide wide band filtering with less in-band loss than multiple notch filters.
Identify antennas
Identify the high-power and active antennas by the part number label and the GE
logo only on the front (bottom). The passive antenna looks identical to the high-
power antenna except it has a black cap over the LED power indicator. To visually
identify the antenna type, observe the following:
The -002, -003, -004, and -005 models have an embossed GE logo.
The -006, -007, and -008 models have a blue GE logo.
The -003, -005, and -006 passive antennas have a black cap over the LED
power indicator.
For further identification, check the part number label.
Design
Part number Antenna type Description Status
frequency
2000673-002 600 MHz ApexPro Antenna Hi- This high-power antenna operates within 560- Obsolete
Pwr 560-614MHz 614MHz and has filtering for out-of-band signals.
It has >15dB rejection below 470MHz.
2000673-003 600 MHz ApexPro Antenna This passive antenna has no internal filtering or Obsolete
Passive 560-614MHz amplification, therefore requires no DC voltage.
Use this antenna with notch filters, high- or
low-pass filters, or a bandpass filter and an in-line
amplifier. Use only when other antennas do not
meet design requirements.
2000673-004 450 MHz ApexPro Antenna Hi- This high-power antenna operates within 420- Obsolete
Pwr 420-474MHz 474MHz and has filtering for out-of-band signals.
It has >15dB rejection below 320MHz.
2000673-005 450 MHz ApexPro Antenna This passive antenna has no internal filtering or Current
Passive 420-474MHz amplification, therefore requires no DC voltage.
Use this antenna with notch filters, high- or
low-pass filters, or a bandpass filter and an in-line
amplifier. Use only when other antennas do not
meet design requirements.
2000673-006 600 MHz ApexPro Passive This passive antenna has no internal filtering or Current
Antenna 560-614MHz amplification, therefore requires no DC voltage.
Use this antenna with notch filters, high- or
low-pass filters, or bandpass filters and an in-line
amplifier. Use only when the other antennas do
not meet design requirements.
2000673-007 600 MHz ApexPro Active This active antenna operates within 608-614MHz. Current
Antenna 608-614MHz This antenna also has a bandpass filter element
that rejects signals outside of 608-614MHz,
except for signals in channels 36 and 38.
2000673-008 450 MHz ApexPro Antenna Hi- This high-power antenna operates within 420- Current
Pwr 420-474 MHz 474MHz and has filtering for out-of-band signals.
It has >15dB rejection below 320MHz.
CAUTION
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.
The ApexPro and CARESCAPE transmitters send the patient’s ECG data to the
ApexPro receiver system for processing. Data is then transmitted via a dedicated
Ethernet interface to the CIC Pro center for viewing. The transmitter can also send
DINAMAP PRO data to the CIC Pro center via the DinaLink cable.
Additionally, the transmitter can send the patient’s SpO2 and noninvasive blood
pressure data when the interface connector ports are enabled and when the
optional oximeter and/or Accutracker DX noninvasive blood pressure monitor are
connected to it.
309C
ApexPro Transmitter
205A
ApexPro CH Transmitter
700A
207B
NOTE
In this manual, wherever the transmitter is shown, the ApexPro, ApexPro CH,
T4 and T14 transmitter are valid, except where otherwise noted.
e
ativ
Neg
itive
Pos
220A
NOTE
When the Change Battery LED starts flashing, the transmitter has
approximately 1 hour of reserve power before the unit shuts down.
CAUTION
GE recommends that you always replace both batteries at the
same time. Re-using old batteries or using a combination of old
and new batteries in the transmitter will compromise
functionality of the transmitter and increase the risk of fire
hazard.
The transmitters runs on 2 AA batteries. For the ApexPro transmitter, the battery
life is approximately 40 hours. For the ApexPro CH transmitter, the battery life is
approximately 120 hours. For the T4 transmitter, the battery life is approximately
110 hours. For the T14 transmitter, the battery life is approximately 65 hours.
ApexPro CH, T4
ApexPro Function
& T14
ApexPro CH, T4
ApexPro Function
& T14
B
G A
H B H
C I
C I
J
D J
D
K
A RA LED Used in troubleshooting (“Frequent lead fail” on page 5-21) and when manually viewing or
programming the TTX number (“Manually view/program TTX” on page 3-21.)
B Good Lead These light when testing the verify leads function.
LEDs
C Verify Leads Checks the lead/skin preparation quality. Pressing the Verify Leads button enables the good
button lead LEDs. After pressing this button, the LEDs for good leads illuminate for 1 minute.
D Battery Holds 2 AA alkaline batteries. The sliding cover of the compartment also functions as the on/off
compartment switch.
E Interface The interface connector ports (on the end of the transmitter) are used to connect the transmitter
connector to the APEX Programming Device. The TTX number and desired reference lead are programmed
ports using the APEX Programming Device. These interface connector ports may also be used to
connect additional parameter devices to the transmitter.
F Well for dust Location for attaching the set of dust covers.
covers
G Dust covers Transmitters have a set of 2 dust covers, used when the interface connectors are not being
used. Markings on the covers indicate the number of the interface connector port.
H Change The Change Battery LED flashes when battery power is running low and the batteries need
Battery LED changing.
I Graph button Initiates the printing of a graph strip. Pressing the Graph button initiates printing a 20-second
graph strip to the writer or printer.
J Pause Alarm To pause the alarms for the programmed amount of time (typically 5 minutes), press the Graph
LED button and the Verify Leads button simultaneously. The Pause Alarm LED flashes. “ALARM
PAUSE” also displays in the patient’s waveform window on the CIC Pro center screen. At the end
of the pause time, the LED on the transmitter no longer flashes and alarms are reactivated. To
reactivate the alarms before the pause time has elapsed, press both buttons simultaneously
again.
K Event Marker When pressed, displays a message on the CIC Pro center that a graph is being generated to
button mark an event. This function can be turned off at the CIC Pro center.
(Available on
the ApexPro
CH, T4, and
T14
transmitter
only.)
Labels
The main back label contains the ECG orientation chart, the serial number and
any certification markings required for each country (FCC, UL, etc.) This label also
provides the color coordination for the multi-link cables.
320A
The TTX number label corresponds to the TTX number that is programmed into
the transmitter.
321
Transmitter appearance
ApexPro transmitters have 2 user buttons: Verify Leads and Graph. They have a
white endcap on the end opposite the battery compartment cover.
The ApexPro CH, T4, and T14 transmitters have 3 user buttons: Verify Leads,
Graph, and Event Marker. There is a blue endcap on the end opposite the battery
compartment cover.
Start-up
At power-up, the transmitter LEDs flash during start-up. The following table
defines the sequence.
All LEDs flash slowly twice. Indicates that all LEDs are functional.
Transmitter interfaces
ECG Multi-Link leadwire set
The ECG connector is designed to accept 3-, 5- or 6-multi-link leadwire sets. The
ECG data is acquired from the patient through a set of leadwires. The signals are
then amplified, processed, and transmitted.
For ApexPro, ApexPro CH, T4 and T14 transmitter, the top set of pins is the ECG
signal lead. The bottom set of pins function as the signal lead shield connections.
Also, the RA shield functions as the RF antenna for the ApexPro, ApexPro CH, and
T4 transmitter; the T14 transmitter has an internal antenna.
317A
Switches/LEDs
When the transmitter is powered up, all of the LEDs should flash rapidly indicating
code is being loaded. The code is done loading and executed when just the top
row LEDs flash twice.
605A, 205B
While in normal application mode, pressing and releasing the Verify Leads button
causes the LEDs to light up for one minute if their corresponding lead is good.
Pressing and releasing the Graph button causes either a save or a manual graph
at the CIC Pro center.
Pressing both the Verify Leads and the Graph buttons together causes an alarm
pause condition for the programmed amount of time (typically five minutes) or
until the alarm pause action is initiated again. When the transmitter is in alarm
pause, the corresponding LED flashes once every second at a 1/8th duty cycle.
Upon any activation (Verify Leads, Graph, or Alarm Pause) the top row of LEDs
flash twice. All these functions are disabled in service mode.
When the battery voltage drops below 1.9 volts for ApexPro,1.6 volts for ApexPro
CH, 1.6 volts for T4, or 1.73 volts for the T14, the Change Battery LED flashes once
every second at a 1/8 duty cycle.
RF
The RF output is transmitted through one of the shield wires on the multi-link
cables. The carrier frequency can be programmed to any frequency within the
allowable band.
The DinaLink interface cable assembly consists of a monitor adapter cable, the
DinaLink adapter, and an interconnection cable. It connects the transmitter to the
PRO 100–400 series monitors and provides electrical isolation. The interconnect
cable connects to either of the optional interface ports on the transmitter
201A
Sp
Pu O 2
lse %
Ra
te
Po
we
r Pe
rfu
sio
n
D
Onisp
/O lay
ff
o
xi
m
et
er
310C
NOTE
The telemetry system supports two SpO2 oximeter modules:
Apex Oximeter
Nonin Xpod Oximeter
Apex oximeter
Theory of operation - pulse oximetry
Pulse oximeters shine light (red and infrared) through perfused tissue and detect
the fluctuating signals caused by arterial blood pressure pulses. Well-oxygenated
blood is bright red, while poorly oxygenated blood is dark red. The pulse oximeter
determines functional oxygen saturation of arterial hemoglobin from this color
difference by measuring the ratio of absorbed red and infrared light as the blood
volume fluctuates with each heart beat. Since steady conditions (steady venous
blood flow, skin thickness, bone, finger nails, etc.) do not cause fluctuations, they
do not affect the saturation reading.
Mathematically:
min
SpO2 = f
(
In max ( red
In min
( ( infrared
max
801
Anything that affects the intensity of the light such as thick or colored skin affects
the maximum and minimum proportionally and thus the ratio minimum/
maximum does not change. However, if too little light gets through, the pulse
oximeter does not function.
Pulse oximeters use two different wavelengths of light (colors) and thus have the
ability to determine one component of blood. Pulse oximeters are calibrated to
closely approximate functional oxygen saturation values. Pulse oximeter oxygen
saturation values will closely approximate laboratory instrument fractional
saturation values if the dysfunctional hemoglobin saturation levels are negligible.
If the dysfunctional hemoglobin is carboxyhemoglobin or methemoglobin, then
the difference between the oxygen saturation value displayed by the Pulse
oximeter and the oxygen saturation values determined by the laboratory
instrument are greater as the dysfunctional hemoglobin levels rise approximately
in accordance with the following formulas:
Example 1 Example 2
O2Hb = 96 O2Hb = 88
SpO2 = 97 SpO2 = 98
The mathematics are fixed in the pulse oximeter hardware and software. Thus, no
field calibrations are needed or are possible. There are no adjustable parts within
the pulse oximeter that affect the calibration.
Because the pulse oximeter does all critical computations in software and there
are no critical parts to drift; no re-calibration is needed.
Interconnection cables
NOTE
Refer to the ApexPro Telemetry System or CARESCAPE Telemetry T14
transmitter Operator’s Manual for further details on interconnection cables.
502A
rcrsysblk
1 HOST_XMIT_POS
2 HOST_XMIT_NEG
3 HOST_RCV_POS
4 N/C
5 N/C
6 HOST_RCV_NEG
7 N/C
8 N/C
1 N/C
2 TX
3 RX
4 N/C
5 DGND
6 N/C
7 N/C
8 N/C
9 N/C
1 GND
2 GND
3 GND
4 +5V
5 +5V
6 +5V
Infrastructure installation
Overview
This chapter provides direction for how to install specific parts and gives
guidelines for specific tools to use for installation.
2 4
3
1 5
200A
Recommended tools
The following table indicates the recommended cable strippers and crimpers.
NOTE
The CT611QS will work for both RG-6 Riser and RG-11 Plenum cable.
The current RG-11 crimper will work with the new RG-11 cable and
connector.
The old RG-6 Riser crimp tool will work for the RG-6 Plenum.
Italics = preferred tool.
Thoma
Tool # and
Part number and s& Tool # and
Hex Manufacture
description Betts Manufacturer
r
(T&B)
Thoma
Tool # and
Part number and s& Tool # and
Hex Manufacture
description Betts Manufacturer
r
(T&B)
Strippers
For RG-6 coax cable, use Xcelite coaxial cable stripper (3CSK-GN).
For RG-11 coax cable, use Cooper cable stripper, RG11 Maxi-Corex 360.
Coaxial cable
205A
Crimpers
The typical hex crimping tool is shown below. The recommended crimping tool
part numbers are the following.
For RG-6 plenum, use a HCT-659 crimper from CablePrep.
For RG-6 riser, use a CT611QS crimper from T&B.
For RG-11 riser and plenum, use a CT611QS crimper from T&B
(recommended) or HCT-211 crimper from CablePrep.
Before you crimp, check the dimensions for the specific type of coaxial cable and
connector.
Crimp here
215A
1/4
to 1/4 1/4
5/16
220A
For this cable, use stripper 3CSK-GN from Cooper/Xcelite. The stripper requires 3
blades.
1. To start with a squarely-cut cable end, open the stripper and place the cable
so that 1/4 – 5/16 inch of cable extends past the first blade. Then close and
latch the stripper and rotate around the cable 3 – 4 times.
2. Open the stripper and adjust stripping blades until the correct dimensions are
achieved as shown in the figure above. Then strip the cabling.
a. Expose the center conductor 1/4 – 5/16 inch. Do not score the conductor.
b. Expose the dielectric another 1/4 inch without braid.
c. Expose the braid an additional 1/4 inch. Do not score the braid.
d. Remove and discard excess dielectric, foil and braiding.
3. Place the connector over the prepared cable end.
NOTE
Make sure the braid does not fold back over the jacket.
221A
4. Crimp the collar once in the area shown below using a 0.260 inch hex crimp
tool.
Crimp area
217A
1/4” 1/4”
222A
For this cable, use stripper 3CSK-GN from Cooper/Xcelite. The stripper requires 2
blades.
1. To start with a squarely-cut cable end, open the stripper and place the cable
so that 1/4 – 5/16 inch of cable extends past the first blade. Then close and
latch the stripper and rotate around the cable 3 – 4 times.
2. Open the stripper and adjust stripping blades until the correct dimensions are
achieved as shown in the figure above. Then strip the cabling.
a. Expose the center conductor 1/4 inch. Do not score the conductor.
b. Expose the braid another 1/4 inch. Do not score the braid.
c. Remove and discard excess dielectric, foil and braiding.
3. Fold the braid back over the jacket.
218A
4. Place the connector, reversed as shown below, over the cable end until it
bottoms against the braid.
219A
5. Remove the connector. Reverse it once more. Position the connector over the
cable end as shown below. Then push and rotate the connector until it
bottoms.
The connector is properly positioned when the cable dielectric end is flush
with the connector post end.
223A
6. Crimp the collar once in the area shown below using a 0.360 inch hex crimp
tool
Crimp area
224A
1/8”
1/2”
1-1/16”
225A
For this cable, use stripper RG11 Maxi-Corex, 360. The stripper requires 3 blades.
1. To start with a squarely-cut cable end, open the stripper and place the cable
so that 1/4 – 5/16 inch of cable extends past the first blade. Then close and
latch the stripper and rotate around the cable 3 – 4 times.
2. Open the stripper and adjust stripping blades until the correct dimensions are
achieved as shown in the figure above.
a. Expose the center conductor 1/2 inch. Do not score the conductor.
b. Expose the dielectric another 1/8 inch without braid.
c. Expose the braid an additional 7/16 inch (a total of 1-1/16 inch from the
end of the center conductor.) Do not score the braid.
d. Remove and discard excess dielectric, foil and braid.
4. Push the cable center conductor into the connector until the conductor is
inserted into the contact pin. A slight back-and-forth motion may be
necessary to locate the entryway of the pin, however, avoid excessive
twisting of the cable as the braiding is not to fold back over the jacket.
228A
5. Crimp the collar of the connector in two places, the first beginning at the
furthest ring away from the cable entry end. Using an LRC tool CT611QS,
crimp the first four rings using a .470 size hex. Crimp the last three rings,
being careful to align the resulting hex-shaped areas together.
First crimp
Second crimp
229A
1/4”
1/
230A
1. For RG-11 riser coaxial cable, use stripper RG11 Maxi-Corex, 360.To start with
a squarely-cut cable end, open the stripper and place the cable so that 1/4 –
5/16 inch of cable extends past the first blade. Then close and latch the
stripper and rotate around the cable 3 – 4 times.
2. Open the stripper and adjust stripping blades until the correct dimensions are
achieved as shown in the figure above.
a. Expose the center conductor 1/4 inch. Do not score the conductor.
b. Expose the braid an additional 1/2 inch (a total of 3/4 inch from the end
of the center conductor.) Do not score the braid.
c. Remove and discard excess dielectric, foil, braid and jacket.
3. Fold the braid back over the jacket. Then use the stripper to cut through to
the center conductor an additional 3/8 inch as shown below. Do not score the
conductor. Remove and discard excess dielectric and foil.
5/8”
231A
4. Insert the connector post over the foil and dielectric until it bottoms.
Crimp area
232A
5. Crimp the collar once in the area shown above using a 0.470 inch hex crimp
tool.
6. Wrench-tighten the connector.
Install antennas
NOTE
Be sure that after planning and designing the antenna system, the
Penetration Check test (described in the ApexPro Antenna System Installation
Test Instructions) is completed. It is used to estimate the RF penetration of the
hospital construction.
The standard installation for antennas uses a T-bar mount connected to the drop
ceiling support. The retaining clip and pin come with the antenna.
For ceiling tile or dry wall mounting, see “Optional antenna mounting kits” on
page 6-3 to order additional hardware kits necessary for these mounting options.
All antenna mounting installation options and instructions are described in the
ApexPro Telemetry Antenna Mounting Instructions that are included with the
antenna.
235A
240A
233A
NOTE
For customer site reasons, some antennas may require installation above the
ceiling. Antennas cannot be mounted in a plenum air shaft, since the
antenna is not plenum rated. For specific guidance on above-ceiling antenna
mounting, contact the Network Design and Integration (ND&I) team.
In/ ut
DC F O
To receiver system
R
In ut/
RF C O
D
To antenna
245A
Do not install antenna amplifiers backwards. Note the markings on the amplifier
for installation orientation. If connected backwards, the LED will illuminate,
however the amplifier will not work correctly; there will be signal loss instead of
gain.
4:1
Antenna
Amplifier
Antenna Receiver System
Bias
Tee
DC
Installing antenna amplifier here
increases gain for all antennas
connected to splitter.
Power Supply
250A
Install attenuators
Attenuators are used to attenuate the signal levels from the antennas. The
locations of the attenuators and the types of attenuators used are determined by
the ND&I team for each site installation.
Attenuator
Ant.
Amp. To other antennas
4:1
Ant.
Amp.
Antenna Receiver System
Attenuator Bias
Tee
255A
NOTE
To mount a power supply and bias tee use the Bias Tee and Power Supply
Mounting kit (pn 2010197-001)
To antenna
To receiver
system
260A
NOTE
Do not install bias tees backwards. Note the markings on the bias tee for
installation orientation. If connected backwards, the LEDs on all antennas
and/or amplifiers in that specific antenna field run will not illuminate. Neither
the antennas nor the amplifiers will work correctly.
NOTE
Use the two mounting holds to secure the Cavity Bandpass Filter 608-614
MHz (pn 2027458-001).
Notch or
Bandpass DC Antenna To splitter
Filter Block Amplifier
4:1
Passive Antenna
265A
270B
Before installing in the United States, determine and record the date of initial
factory calibration of receivers from the removable calibration sticker that ships
on these devices. If installation does not occur within 30 months of the date
shown on the manufacturer calibration sticker, calibrate before installing, and
every 24 months thereafter. See Calibration on page 4-32.
All receivers installed outside of the United States must be calibrated 24 months
after initial receipt of the unit, and every 24 months thereafter. See Calibration on
page 4-32.
Mounting options
The mounting options for the ApexPro Telemetry System Receiver System are:
Standard tabletop mount (four rubber feet)
Optional rack mount for standard 19 inch network rack system with a 4U
panel height (177.8mm/7in.). (Order rack mounting kit #2004232-001
separately.)
RackMount
CAUTION
Mount the receiver system securely and away from vibration.
Vibration may cause patient waveform dropout at the CIC.
NOTE
If using rack mount, route all cables to the hinge side so the receivers are
accessible for service. A right angle F-connector may be helpful for the
coaxial cable.
Connections
Keep the following in mind when connecting the system.
Use a dedicated connection between the RX network and the ApexPro
Telemetry System.
If the distance between the ApexPro Telemetry System and the Receiver
System is less than 100 meters (328 ft.) use point-to-point with Ethernet
crossover cable connection.
If the distance is greater than 100 meters (328 ft.) then use either an
additional hub or use fiber optic cable.
Ethernet
Async
Comm
Power
Switch
RearPanel
NOTE
The factory default is that all four fields are enabled.
1. Using the 9-pin, serial cable supplied with the transmitter programming kit,
connect a PC to Async Comm (asynchronous serial communication) for
setup.
2. At the PC, use a communication program such as HyperTerminal to set up
the ComPort connection.
Parity: No
Stop Bit: 1
Data Bits: 8
7. Exit the communication program, then disconnect serial cable and PC, or
continue with step 6 in “Setup the receiver” on page 3-18.
CAUTION
Equipment damage. If receiver system software needs updating,
the system LED flashes yellow while software is updating. DO
NOT power down the system during a software update.
1. Using the nine-pin, serial cable supplied with the transmitter programming
kit, 6 connect a PC to Async Comm (asynchronous serial communication) for
setup.
Parity: No
Stop Bit: 1
Data Bits: 8
9. Exit the communication program, then disconnect serial cable and PC.
10. Go to “Maintenance” on page 4-1 and complete the Receiver System
Checkout procedures to make sure the Receiver System is working properly.
Transmitter installation
Due to the fact that frequency drift occurs even without power applied, the
calibration schedule should take into account the date the equipment was last
calibrated, including equipment in storage locations and spares.
Before installation, determine and record the date of initial factory calibration of
all T14 transmitters. The date of initial factory calibration of T14 transmitters can
be determined from the removable calibration sticker that ships on these devices.
After determining the date of initial factory calibration for each T14 transmitter,
calibrate each T14 transmitter within 30 months of its initial factory calibration or
24 months after installation, whichever occurs first, and every 24 months
thereafter.
For all other transmitters (that is, non-T14 transmitters), calibrate each transmitter
24 months after initial receipt, and every 24 months thereafter.
Refer to the ApexPro Telemetry Frequency Chart Reference Manual for the
operating frequencies and the corresponding TTX ID numbers.
Transmitter configuration
Program code storage
Executable program code for the main processor is stored in non-volatile
programmable memory. Program code can be changed via an interface
connector port using the PC-based programming box software or a
HyperTerminal program and a programming box. The version of the currently
stored transmitter code can be displayed using the transmitter programming box
software kit. See the Transmitter Programming Box Programming Instructions.
Error log
The transmitter contains an error log in its non-volatile programmable memory.
When a synthesizer lock error occurs, this is logged and latched into the
appropriate memory space. When a checksum error on start-up occurs, this is
logged into the appropriate memory space for this as well. The error log can be
viewed using the programming box PC software or a HyperTerminal program.
This reports both of these errors as well as a real-time report of the synthesizer
lock status.
Parameters
Using the ApexPro programming box software, certain transmitter parameters
can be viewed and some can be changed while in service mode.
ApexPro, ApexPro CH, T4, T14 Synthesizer Lock Error Log Read / Clear
ApexPro, ApexPro CH, T4, T14 Firmware Checksum Failure Log Read / Clear
ApexPro, ApexPro CH, T4, T14 Reference Lead (3-lead) Read / Write
ApexPro, ApexPro CH, T4, T14 Alarm Pause Time Read / Write
ApexPro, ApexPro CH, T4, T14 Code Version (Manufacturing / Service) Read
WARNING
Choose a unique TTX number for each transmitter. Programming
two transmitters to the same TTX number may result in
monitoring the wrong patient.
1. Short connector pin 2 of either interface connector port to pin 4 of that same
interface connector port.
Pins 2 and 4
401
2. Power up the transmitter while holding down the Verify Leads and Graph
buttons. This causes the service code to load.
3. The first four LEDs (five on T14 transmitter) of the top row light up indicating it
is in manual TTX program mode.
4. Release the Verify Leads and Graph buttons.
5. The RA LED flashes corresponding to the number of the first digit of the TTX
number.
6. Increment the first digit by pressing the Verify Leads button repeatedly. Each
time you press the button, the current digit is increased by one.
7. Release the Verify Leads button when you reach the desired number.
8. At this point, the LED begins to flash again, indicating acceptance of your
entry. The LED flashes the number corresponding to the new number.
9. Proceed to the next digit by pressing the Graph button until the next LED
flashes.
10. Repeat for all four (five for T14 transmitter) digits.
11. The TTX number is not changed until the fourth/fifth digit is accepted by
pressing the Graph button. The top row LEDs flash twice upon acceptance of
the TTX number.
12. To exit service mode, remove the short from pins 2 and 4. The service
program runs until the short is removed. Then the transmitter reloads the
application code and continues to run normally at the new TTX number.
RF environment changes
Changes in the RF environment could adversely affect the output of the original
design of the antenna infrastructure.
Schedule
WARNING
LOSS OF DATA—The manufacturer requires that calibration be
performed by service personnel as follows:
T14 transmitter
RIM 1400 (if present) See the Enterprise Access service
manual for the RIM 1400 calibration procedure.
Receiver subsystem
Due to the fact that frequency drift occurs even without power applied, the
calibration schedule should take into account the date the equipment was last
calibrated, including equipment in storage locations and spares.
Receivers
Before installing in the United States, determine and record the date of initial
factory calibration of receivers from the removable calibration sticker that ships
on these devices. If installation does not occur within 30 months of the date
shown on the manufacturer calibration sticker, calibrate before installing, and
every 24 months thereafter.
All receivers installed outside of the United States must be calibrated 24 months
after initial receipt of the unit, and every 24 months thereafter.
Transmitters
Before installation, determine and record the date of initial factory calibration of
all T14 transmitters. The date of initial factory calibration of T14 transmitters can
be determined from the removable calibration sticker that ships on these devices.
After determining the date of initial factory calibration for each T14 transmitter,
calibrate each T14 transmitter within 30 months of its initial factory calibration or
For all other transmitters (that is, non-T14 transmitters), calibrate each transmitter
24 months after initial receipt, and every 24 months thereafter.
Maintenance procedures
Additionally, the manufacturer recommends that service personnel perform the
following maintenance procedures upon installation of antenna infrastructure,
prior to every antenna expansion, and every 12 months thereafter.
Test
Unity signal gain test with transmitter. See Unity signal gain test with
transmitter on page 4-13.
Noise floor performance test. See Noise floor performance test on page
4-18.
Subsystem tests
Test
Receiver Function
Transmitter tests
Test
Visual inspection
Inspect for damage
The following steps check for obvious damage.
General
Inspect the equipment (transmitter, receiver, etc.) case for cracks or other
physical damage. Do not use a transmitter that is damaged. Refer all
damaged equipment to qualified personnel.
Inspect all external connections for loose connectors or frayed cables.
Have any damaged connectors or cables replaced by qualified service
personnel.
Transmitter
Inspect the transmitter case for damage that may affect the
environmental seals (such as if the unit was dropped and the case seals
opened as a result of the impact). Do not use a transmitter that has seals
that have been compromised.
Inspect the membrane switch for the Graph and Verify Leads controls. If
the membrane is cracked or damaged, do not use the transmitter.
Inspect the leadwire connections for corroded or bent connector pins. Do
not use a transmitter with bad leadwire connectors.
Inspect the leadwires for cracks or other damage. Replace leadwires that
are cracked, damaged, or no longer flexible.
Open battery compartment and inspect the battery contacts. Clean them
if they are dirty or corroded.
The battery compartment is not sealed and may be exposed to moisture.
If there are any visible signs of moisture within the battery, return for
service.
Inspect the dust covers before each use to verify that they are securely
attached.
ApexPro User buttons Three: Verify Leads, Graph and Event Marker
CH, T4 &
T14 Port covers Blue interface connector port covers, label and
endcap
Verify labels
Follow these steps to be sure that the TTX number shown on the transmitter is the
same as the programmed TTX number:
1. Verify that the Switch Label is present and securely attached to the front of
the case.
2. Determine the programmed TTX number. For more information, see “View the
TTX number” on page 3-21.
3. Verify that the data recorded on the TTX label on the back of the transmitter is
accurate for the transmitter.
CAUTION
Make sure the TTX numbers match. Failure to do so may result in
monitoring the wrong patient.
Cleaning
All equipment should be cleaned on a regular basis. Comply with the policies of
your institution’s infection control unit and/or biomed department. The decision to
disinfect or sterilize must be made per your institution’s requirements with an
awareness of the effect on the integrity of the transmitter and leadwire.
WARNING
Disconnect AC-powered equipment from the power line before
cleaning or disinfecting its surface. Turn off the power to
battery-powered equipment before cleaning or disinfecting its
surface.
CAUTION
Never immerse devices, cables, or leadwires in any liquid.
CAUTION
Do not pour or spray any liquid directly on cables or leadwires or
permit fluid to seep into connections or openings.
CAUTION
Never use conductive solutions, solutions that contain chlorides,
wax, or wax compounds to clean devices, cables or leadwires.
CAUTION
Never use solutions or products that contain the following:
Any type of Ammonium Chloride such as, but not limited to:
Dimethyl Benzyl Ammonium Chloride
Quaternary Ammonium Chloride solutions
Abrasive cleaners or solvents of any kind
Acetone
Ketone
Betadine
Alcohol-based cleaning agents
Sodium salts
CAUTION
Never autoclave or steam clean devices, cables or leadwires.
CAUTION
Do not attach the device to a patient until it is thoroughly dry.
CAUTION
IMPROPER TRANSMITTER/LEADWIRE APPLICATION — Applying a
transmitter and/or leadwire that is not thoroughly dry to a
patient can result in an electrically conductive path being
established and a Leads Fail alarm not being provided if
leadwires come off the patient.
Products that contain active ingredients and solutions similar to these products
should also be avoided.
Transmitter/device cleaning
These instructions apply to transmitters and any other devices, such as oximeters,
blood pressure monitors, etc.
Cleaning/disinfecting
1. Remove all batteries and leadwires.
2. Close the battery door before cleaning the device.
3. Wipe the exterior of the device with a soft lint-free cloth, using the following
solution as recommended in the APIC Guidelines for Selection and Use of
Disinfectants (1996):
Sodium hypochlorite (5.2% household bleach) minimum 1:500 dilution
(minimum 100 ppm free chlorine) and maximum 1:10 dilution.
Any sodium hypochlorite wipe product that meets the above guidelines
of can be used.
NOTE
Wring excess disinfectant from wipe before using.
NOTE
Any contact of disinfectant solutions with metal parts may cause
corrosion.
7. Take care not to let fluid pool around connection pins. If this should happen,
blot dry with a soft, lint-free cloth.
Storage
Always remove batteries when the device is not in use (even for short periods
of time).
Store in a dry well-ventilated area.
Hang the device, use a holder if available.
If leadwires/cables are attached, they should hang straight.
Do not coil leadwires/cables tightly around the device.
Cleaning/disinfecting
1. Remove cables and leadwires from the handheld device or system before
cleaning.
2. Use care in cleaning leadwires to prevent pulling the long wires from the
connector ends. Metal connections can be pulled away from the connectors.
3. For general cleaning of cables and leadwires, wipe using a lightly moistened
cloth with a mild soap and water solution. Then wipe and air dry.
4. For disinfecting the cables and leadwires, wipe exterior with a soft lint-free
cloth, using the following solution as recommended in the APIC Guidelines for
Selection and Use of Disinfectants (1996):
Sodium hypochlorite (5.2% household bleach) minimum 1:500 dilution
(minimum 100 ppm free chlorine) and maximum 1:10 dilution.
Any sodium hypochlorite wipe product that meets the above guidelines
of can be used.
NOTE
Wring excess disinfectant from wipe before using.
NOTE
Any contact of disinfectant solutions with metal parts may cause
corrosion.
8. Take care not to let fluid pool around connection pins. If this should happen,
blot dry with a soft, lint-free cloth.
9. Do not use excessive drying techniques, such as oven, forced heat or sun
drying.
Sterilizing
NOTE
EtO sterilization is not recommended, but may be required for cables and
leadwires. Frequent sterilization will reduce the useful life of cables and
leadwires.
Sterilize with ethylene oxide gas (EtO) at a maximum temperature of 50° C (122° F).
After EtO sterilization, follow the recommendations from the sterilizer
manufacturer for required aeration.
Storage
Store in a dry well-ventilated area.
Vertically hang cables and leadwires.
Do not coil leadwires or cables tightly around any medical device.
Battery recycling
This product contains alkaline AA-size batteries. At the end of their service life,
batteries in this product must not be disposed as trash or unsorted municipal
waste. Batteries must be recycled or disposed in accordance with local or
Customers in the USA may follow the battery manufacturers instructions on the
battery to recycle it. Alternatively, customers may return GE product batteries to
GE for recycling. For information about returning batteries to GE, contact your
authorized GE Service representative or contact GE Equipment Services at 1-800-
437-1171.
Customers not in the USA or Canada should recycle batteries through your local,
regional or national collective scheme in accordance with your local or national
regulations.
Equipment needed
NOTE
The steps in this procedure are based on the use of the Rohde & Schwarz
FSH3 spectrum analyzer. If a different spectrum analyzer is being used, the
detailed substeps may be different.
Spectrum analyzer
N-connector-to-BNC-connector adapter
BNC-connector-to-F-connector adapter
Cable with F-connectors on both ends to connect the antenna system output
to the spectrum analyzer input
NOTE
This cable should be less than 6.1 m (20 ft) long.
Test procedure
For each antenna field, perform the following test.
1. At the main board, connect the spectrum analyzer to one of the ports on the
splitter that feeds the ApexPro receiver subsystems for the field under test.
a. Connect the N-connector-to-BNC-connector adapter to the 50-ohm
input port of analyzer.
a. Press MARKER.
b. Using the rotating knob, move the marker to the peak of the first (or next)
RF signal that is above the marker line.
015A
NOTE
The previous figure shows frequencies, such as 493 MHz, that are
above the display line and therefore fail the Out-of-Band RF Signal
Test. The marker here is located on the first frequency that fails the
Out-of-Band Test.
020A
NOTE
This example shows one of the failed out-of-band RF signals in more
detail. What showed as 493.0 MHz in step 7, is now seen to be 495.25
MHz, due to the more narrow – and therefore more accurate – span (880
MHz in the prior example, 60 MHz in this example.)
Acceptance criteria
Any signal level above -50 dBm will require the appropriate filtering. All signals
above -20 dBm require passive antennas and the appropriate filtering. Please
contact the Network Design and Implementation group (ND&I) for assistance in
determining the proper filtering.
Equipment needed
NOTE
The steps in this procedure are based on the use of the Rohde & Schwarz
FSH3 spectrum analyzer. If a different spectrum analyzer is being used, the
detailed substeps may be different.
Spectrum analyzer
N-connector-to-BNC-connector adapter
BNC-connector-to-F-connector adapter
Cable with F-connectors on both ends, to connect the antenna system output
to the spectrum analyzer input
NOTE
This cable should be less than 6.1 m (20 ft) long.
Transmitter
Transmitter programming box and ApexPro programming box software
Technical information
The purpose of this test is to verify proper gain for each antenna using a peak-
hold test for each antenna. For each antenna in the antenna system, the signal
level should be -50 dBm ±5 dB for a unity gain signal balance design and -40 dBm
±5 dB for a +10 dB gain balance design, as measured at the receiver system.
NOTE
This test should not be used to balance the antenna system. The accuracy of
this test due to variation in transmitter output power, path loss, multi-path
fading, etc., results in this test having a variability of 10dB or more. Rather, this
test is intended to reveal major issues in your system.
Test procedure
Transmitter setup
1. Program a known good transmitter to an unused frequency close to the
frequency of the transmitters used in the hospital.
See the Transmitter Programming Box Programming Instructions for steps
needed to program the transmitter.
2. Connect a shorted-lead set to the transmitter. Otherwise, each time you turn
the transmitter on you need to set the transmitter into Pause Alarm mode.
(See step 14 in the “Rohde & Schwarz FSH3 test procedure” on page 5-9.)
c. Type 250.
d. Press kHz.
e. Press ENTER.
4. Set the reference amplitude to -30 dBm.
a. Press AMPT.
b. Type 30.
c. Press -dBm.
d. Press ENTER.
5. Set the Resolution Bandwidth.
a. Press BW.
b. If necessary, press F1 MANUAL RES BW.
c. Type 10.
d. Press kHz.
e. Press ENTER.
6. Set the frequency to the transmitter under test.
a. Press FREQ.
b. Press the numbers corresponding to the frequency of the transmitter and
press ENTER.
7. Set the Marker.
a. Press MARKER.
b. Press F3 SET MARKER.
c. Select PEAK and press ENTER.
d. If the correct peak corresponding to the transmitter is not selected, press
F3 - SET MARKER and select NEXT PEAK until you are on the correct
signal.
NOTE
Testing is designed for standard 8 - 10 foot (2.4 - 3 meter) ceilings. The tester
should be 3 - 7 feet (1 - 2 meters) away from the antenna.
One person should operate the spectrum analyzer and record the signal
measurements; the second person should operate the transmitter.
The use of two-way radios greatly increases the efficiency of this test.
7. Walk in a pattern under the antenna being tested. Include a circle with a
radius of 6 to 8 feet centered under the antenna.
8. If this test is performed during commissioning, record the maximum level of
the signal of the transmitter used to test this antenna in the Unity_Gain tab
of the Design Tool.
9. Clear the spectrum analyzer.
a. Press F1 TRACE MODE twice to reset the max signal.
10. Repeat steps 2 through 9 for all antennas.
Acceptance criteria
All antennas measured should have signal levels of -50 dBm ±5 dB as measured
at the receiver system.
323A
051A
NOTE
The lower the number of antennas on a given field, the lower the noise floor
should be. A system should only approach a noise floor of -100 dBm if it is
approaching or exceeding approximately 300k square feet of total coverage.
In addition to the sensitivity of the receiver, this test will also indicate if one of the
active components in the antenna system is overloaded. Active devices such as
in-line amplifiers can be overloaded when the input signals are too strong. When
the devices are overloaded, they produce more noise, which raises the noise floor
of the entire field that they are attached to. This can happen when there is too
much gain in the antenna system causing transmitter signals to be too strong, or
when strong TV stations are present in the area. To mitigate against these
possibilities, the antenna system is designed to have unity gain, 0 dB ± 3 dB by
design, before each active component, and filters are used for TV stations. This
means that the signal that is present at the antenna is also present as an input to
each active device unless filtered.
Equipment needed
NOTE
The steps in this procedure are based on the use of the Rohde & Schwarz
FSH3 spectrum analyzer. If a different spectrum analyzer is being used, the
detailed substeps may be different.
Spectrum analyzer
N-connector-to-BNC-connector adapter
BNC-connector-to-F-connector adapter
Cable with F-connectors on both ends, to connect the antenna system output
to the spectrum analyzer input
NOTE
This cable should be less than 6.1 m (20 ft) long.
Test procedure
1. At the main board, connect the spectrum analyzer to one of the ports on the
splitter that feeds the ApexPro receiver subsystems for the antenna field
under test.
a. Connect the N-connector-to-BNC-connector adapter to the 50-ohm
input port of the analyzer.
b. Connect the BNC-connector-to-F-connector adapter to the BNC
connector of the N-connector-to-BNC-connector adapter.
c. Connect one end of the cable to the F-connector on the set of adapters
on the analyzer. Connect the other end to one of the unused outputs on
the antenna system under test.
d. Press ON.
e. Press PRESET.
2. Make sure the Preamplifier is on.
a. Press SETUP.
b. Press F3 - HARDWARE SETUP.
c. Select PREAMP and press ENTER.
d. Select ON and press ENTER.
3. Set the spectrum analyzer to a span of 250 kHz.
a. Press SPAN.
b. Press F1 - MANUAL SPAN.
c. Type 250.
d. Press kHz.
e. Press ENTER.
4. Set the reference amplitude to -30 dBm.
a. Press AMPT.
b. Type 30.
c. Press -dBm.
d. Press ENTER.
5. Turn on averaging to average over 10 samples.
a. Press TRACE.
b. Press F1 - TRACE MODE.
c. Select AVERAGE and press ENTER.
d. Type 10.
e. Press ENTER.
6. Set the Resolution Bandwidth.
a. Press BW.
b. Type 3.
c. Press kHz.
d. Press ENTER.
7. Set the frequency to low frequency (e.g., 608 MHz).
a. Press FREQ.
b. Enter the low frequency and press MHz.
c. Press ENTER.
8. Set the marker on the spectrum analyzer to low frequency (e.g., 608 MHz).
a. Press MARKER.
b. Enter the low frequency and press MHz.
c. Press ENTER.
9. Verify that a transmitter or noise source is not occupying this frequency by
checking the slope of the noise floor. It should look relatively flat in the area
being measured. See the figure in step 10 below.
10. Determine the noise floor by reading the level of the marker (units of -dBm). If
this test is performed during commissioning, record the noise floor level on
the FE -> View Install tab of the Design Tool.
061A
066A
11. Repeat steps 7 through 10 for the center frequency (e.g., 611 MHz).
12. Repeat steps 7 through 10 for the high frequency (e.g., 614 MHz).
13. If another band is also used, repeat steps 7 through 12 for that band using
the low, high, and center frequencies.
14. Repeat steps 7 through 12 for all antenna fields.
15. If this test is performed during commissioning, record all data on the FE ->
View Install tab of the Design Tool.
Acceptance criteria
The noise floor at all measured points shall be less than -100 dBm. (For example,
-101 dBm passes and -99 dBm fails.)
Zero
Acceptable
Equipment needed
NOTE
The steps in this procedure are based on the use of the Rohde & Schwarz
FSH3 spectrum analyzer. If a different spectrum analyzer is being used, the
detailed substeps may be different.
Spectrum analyzer
N-connector-to-BNC-connector adapter
BNC-connector-to-F-connector adapter
Cable with F-connectors on both ends, to connect the antenna system output
to the spectrum analyzer input
NOTE
This cable should be less than 6.1 m (20 ft) long.
Transmitter
Transmitter programming box
Personal computer with programming box software
Two-way radios
Setting Value
Preamplifier On
Marker Peak
Test procedure
1. Set up the transmitter.
a. Program a known good transmitter to an unused frequency close to the
frequency of the transmitters used in the hospital.
See the Transmitter Programming Box Programming Instructions for
steps needed to program the transmitter.
202A
Transmitter placement
The use of two-way radios greatly increases the efficiency of this test.
Coverage areas to be tested should include the outer edges of the coverage
area, any difficult construction areas including bathrooms and deep patient
rooms. Testing should be done with all doors closed and transmitter facing
away from measuring antenna.
a. At the main board, connect the spectrum analyzer to one of the ports on
the splitter that feeds the ApexPro receiver subsystems for antenna field
A.
b. Press PRESET on the spectrum analyzer.
c. Make sure the Preamplifier is on.
i. Press SETUP.
v. Press ENTER.
v. Press ENTER.
3. At the main board, connect the spectrum analyzer to one of the ports on the
splitter that feeds the ApexPro receiver subsystems for antenna field B, then C
and finally D, recording the signal level measured for each field.
4. Repeat steps 2 through 3 for the next difficult coverage area on this floor of
the site.
5. Repeat steps 2 through 4 for each floor of the site.
Acceptance criteria
Zero
Acceptable
Minimum
acceptable -80
signal level
Unacceptable
-100
Equipment needed
NOTE
The steps in this procedure are based on the use of the Rohde & Schwarz
FSH3 spectrum analyzer. If a different spectrum analyzer is being used, the
detailed substeps may be different.
Spectrum analyzer
N-connector-to-BNC-connector adapter
BNC-connector-to-F-connector adapter
Cable with F-connectors on both ends, to connect the antenna system output
to the spectrum analyzer input
NOTE
This cable should be less than 6.1 m (20 ft) long.
Technical information
This test assumes that there are no transmitters operating in the antenna system
coverage area. If any such transmitters are in operation, each must be turned off
while testing the range of frequencies that include that specific transmitter.
Test procedure
For each antenna field, perform the following test.
1. At the main board, connect the spectrum analyzer to one of the ports on the
splitter that feeds the ApexPro receiver subsystems for the antenna field
under test.
a. Connect the N-connector-to-BNC-connector adapter to the 50-ohm
input port of analyzer.
b. Connect the BNC-connector-to-F-connector adapter to the BNC
connector of the N-connector-to-BNC-connector adapter.
c. Connect one end of the cable to the F-connector on the set of adapters
on the analyzer. Connect the other end to one of the unused outputs on
the antenna system under test.
d. Press ON on the spectrum analyzer.
e. Press PRESET on the spectrum analyzer.
2. Make sure the Preamplifier is on.
a. Press SETUP
b. Press F3 - HARDWARE SETUP.
c. Select PREAMP and press ENTER.
d. Select ON and press ENTER.
3. Set the spectrum analyzer to a start frequency of the low frequency (e.g., 608
MHz) and to a stop frequency of the low frequency + 0.250 MHz (e.g., 608.250
MHz).
a. Press FREQ.
b. Press F3 - START FREQ.
c. Type in the selected start low frequency.
d. Press MHz.
e. Press ENTER
f. Press F4 - STOP FREQ.
g. Type in the selected stop low frequency + 0.250 MHz.
h. Press MHz.
i. Press ENTER.
4. Set the reference amplitude to –40 dBm.
a. Press AMPT.
b. Type 40.
c. Press –dBm.
d. Press ENTER
5. Turn on the display line.
a. Press MEAS.
b. Press F4 - DISPLAY LINE.
c. Type 95.
d. Press -dBm.
6. Turn on the marker.
a. Press MARKER.
b. If the marker is not already on, press F1 - MARKER.
7. Set the marker to the first (or next) RF signal that is above the display marker
line (–95 dBm).
a. Press MARKER.
b. Using the rotating knob, move the marker to the peak of the first (or next)
RF signal that is above the marker line.
8. If this test is performed during commissioning, record the frequency and
amplitude of the marker in the Clinical Systems Design Tool.
If you have trouble taking a reading, put the spectrum analyzer in Max Hold:
a. Press TRACE.
b. Press F1 - TRACE MODE.
c. Select MAX HOLD and press ENTER.
d. When you are ready to take the next reading, press F1 - TRACE MODE
twice to reset the max signal.
NOTE
The following example shows a noise source at 598.8444 MHz at a
level of -88.39 dBm. The noise source is greater than -95 dBm,
therefore this frequency and its corresponding TTX number should
be avoided when programming transmitter frequencies.
071A
9. Press FREQ.
a. Press F2 - CF STEPSIZE.
b. Select MANUAL and press ENTER.
c. Type 250.
d. Press kHz.
e. Press ENTER.
10. Press FREQ.
a. If not already selected, press F1 - CENTER FREQ.
b. Press the up arrow once. You should now have increased both the start
and stop frequency by 250 kHz.
c. Repeat steps 7 and 8 to record the in-band noise sources.
d. Repeat this step until your start frequency equals your high frequency
(e.g., 614 MHz).
11. Repeat steps 7 through 10 for the remaining antenna fields in this frequency
range.
12. Repeat steps 7 through 11 for any remaining frequency ranges.
13. If this test is performed during commissioning, record the test results
(frequencies, TTX numbers and noise levels for all antenna fields) on the TTX
tab of the Design Tool, especially noise levels and sources above -95 dBm.
14. When programming transmitters and selecting channel ranges for reporting,
use these test results to specify low and high frequencies for noise sources
and notch channels.
Acceptance criteria
Any signal level above –95 dBm will require the TTX number most closely
matching the frequency of the signal level to be unusable for telemetry
transmitter use.
If a notch filter is used that is one channel above the channel occupied by the
ApexPro Telemetry System, then the top two megahertz can not be used by
transmitters. For example, if the ApexPro Telemetry System occupies channel 37
(608 - 614 MHz) and a notch filter is required on channel 38, then only 608 - 612
MHz should be used by transmitters. Begin programming transmitters from the
lowest frequencies in channel 37 first.
If a notch filter is used that is one channel below the channel occupied by the
ApexPro Telemetry System, then the bottom two megahertz can not be used by
transmitters. For example, if the ApexPro Telemetry System occupies channel 37
and a notch filter is required on channel 36, then only 610 - 614 MHz should be
used by transmitters. Begin programming transmitters from the highest
frequencies in channel 37 first.
NOTE
ApexPro transmitters do not support TTX numbers below 7560 (Ch 32 and
lower) or above 8760 (Ch 38 and higher.) ApexPro CH transmitters do not
support TTX numbers below 8520 (Ch 36 and lower) or above 8760 (Ch 38 and
higher).
Technical information
This test is designed for the United States only. For sites outside of the United
States, contact ND&I with a list of frequencies and signal levels for the noise
sources that need filtering.
Calibration
WARNING
LOSS OF DATA—The manufacturer requires that calibration be
performed by service personnel as follows:
T14 transmitter
RIM 1400 (if present). See the Enterprise Access service
manual for the RIM 1400 calibration procedure.
Receiver subsystem
Before installing in the United States, determine and record the date of initial
factory calibration of receivers from the removable calibration sticker that ships
on these devices. If installation does not occur within 30 months of the date
shown on the manufacturer calibration sticker, calibrate before installing, and
every 24 months thereafter.
All receivers installed outside of the United States must be calibrated 24 months
after initial receipt of the unit, and every 24 months thereafter.
Before installation, determine and record the date of initial factory calibration of
all T14 transmitters. The date of initial factory calibration of T14 transmitters can
be determined from the removable calibration sticker that ships on these devices.
After determining the date of initial factory calibration for each T14 transmitter,
calibrate each T14 transmitter within 30 months of its initial factory calibration or
24 months after installation, whichever occurs first, and every 24 months
thereafter.
For all other transmitters (that is, non-T14 transmitters), calibrate each transmitter
24 months after initial receipt, and every 24 months thereafter.
Receiver calibration
Determine target frequency
NOTE
The Rohde & Schwarz FSH3 spectrum analyzer is used for the following steps.
If a different spectrum analyzer is being used, the detailed substeps may be
different.
1. Connect a serial cable between a laptop and the receiver subsystem Async
Comm connector.
2. Launch HyperTerminal.
3. Configure HyperTerminal to the following settings.
Baud-Rate 19200
Data Bits 8
Parity None
Stop Bit 1
401A
d. Click OK.
5. Press Enter.
6. When prompted, type the password mms_aps and press Enter.
7. At the @> prompt, type ss and press Enter.
8. Determine if patients are admitted to the receiver, use the following graphics
for reference:
If the column next to FQ is all -1 values, no beds are admitted on the
receiver subsystem tested. Proceed to step 9.
402A
If the column next to FQ is displays any hertz values, each hertz value
represents an admitted bed on the receiver subsystem tested. Proceed to
step 10.
403A
NOTE
404A
NOTE
5. The external reference must be accurate to 0.0083ppm. Ensure that you
allow the external reference to warm up (See the device operators manual).
6. Set the analyzer for external 10 MHz reference mode.
a. Press SETUP.
b. Press F3 - HARDWARE SETUP.
c. Select BNC I/O MODE and press ENTER.
d. Select EXT REF IN and press ENTER.
7. Ensure the preamplifier is on.
a. Press SETUP.
8. Set the center frequency to match the target frequency of the receiver
subsystem being tested.
a. Press FREQ.
b. Type the target frequency, press the correct units button and press
ENTER.
9. Set the reference amplitude to -60 dBm.
a. Press AMPT.
b. Type -60.
c. Press dBm.
d. Press ENTER.
10. Set the span to 1 kHz.
a. Press SPAN.
b. Type 1.
c. Press kHz.
d. Press ENTER.
11. Set the resolution bandwidth to 100 Hz.
a. Press BW.
b. Press F1 - MANUAL RES BW.
c. Type 100.
d. Press Hz.
e. Press Enter.
NOTE
Ensure that the antenna is located as close to the back of the
receiver as possible. Depending on the antenna used, the signal will
be very small (–100 dBm or smaller). When positioning the antenna,
do not move it too quickly as the analyzer is doing a three cycle
average and the peak will build. If you do not see a signal, change
the center frequency up or down by 1 kHz up to 4 kHz (signal should
not be outside of this range). Ensure that the resolution bandwidth
does not change while doing this.
NOTE
Multiply MHz by 1000000 (one followed by six zeros) to convert to Hz.
16. If the difference is less than or equal to ±10 Hz, no adjustment is required as
the receiver subsystem is within specifications. If the difference is greater,
proceed to “Adjust frequency”.
Adjust frequency
1. In HyperTerminal, type gvd and press Enter.
2. Record the initial DAC value:
_____________
CAUTION
Do not move the DAC setting by more than one value at a time
to prevent moving the intended set point/frequency too far,
which could cause signal dropout.
4. Check the frequency on the spectrum analyzer. If the frequency is not within
50 Hz of the target frequency, repeat by either further increasing or
decreasing the DAC value by one.
Transmitter calibration
Required equipment
NOTE
The steps in this procedure are based on the use of the Rohde & Schwarz
FSH3 spectrum analyzer. If a different spectrum analyzer is being used, the
detailed substeps may be different.
NOTE
When entering frequencies, be sure to enter all of the significant digits
displayed on the spectrum analyzer.
Spectrum analyzer
Rubber duck antenna (must support frequency range for selected
transmitter)
An external 10 MHz reference (accurate to 0.0083 ppm)
Laptop with HyperTerminal
ApexPro telemetry system programming box and software
Pins 2 and 4
401
Plug the programming box into one of the two serial ports.
3. Power up the transmitter.
4. Place the transmitter within one foot of the spectrum analyzer.
5. Press PRESET.
6. Connect the external 10 MHz reference to the EXT TRIG IN/EXT REF IN.
NOTE
The external reference must be accurate to 0.0083ppm. Ensure that you
allow the external reference to warm up (See the device operators
manual).
18. Start the programming box software and enter Super User Mode. Refer to the
Transmitter Programming Box Programming Instructions for more details on
how to perform this step.
19. Click on the Freq Adj button.
20. Enter the target frequency into the Marker Frequency BEFORE Adjustment
text box.
21. Enter the initial measured frequency from the spectrum analyzer into the
Marker Frequency AFTER Adjustment text box. Record this value as it will be
used later in this procedure. _______.
NOTE
Enter values exactly as they appear on the spectrum analyzer. Rounding
or otherwise using different significant figures will skew results. For T14
transmitter, ensure the values used are in GHz, not MHz.
23. If the absolute value of the calculated value in the Frequency Adjustment
box is greater than 130 Hz, adjustment is required. If the frequency
adjustment value is positive, click the Decrement button. If the value is
negative, click the Increment button.
NOTE
If the calculated value exceeds 1400 Hz, return the unit to service for
repair. This is beyond the range of adjustable frequencies.
24. The change in transmitter frequency will be shown on the spectrum analyzer.
Reset the marker to the new peak.
25. Enter the frequency of the new marker on the spectrum analyzer into the
Marker Frequency AFTER Adjustment box, overwriting the initial value.
Remember to record the initial measured value.
26. Repeat steps 22 through 25 until the frequency adjustment is within130 Hz of
the target frequency.
27. Enter the initial measured frequency from step 20 into the Marker Frequency
BEFORE Adjustment text box, overwriting the target frequency.
28. Enter the final measured frequency from the spectrum analyzer into the
Marker Frequency AFTER Adjustment text box.
29. Click Calculate.
30. Click Save.
31. Verify the cumulative frequency adjustment value is less than 1400 Hz. For T4
transmitters, this can be seen directly in the programming box software
super use window. For all other transmitters, adjustment histories need to be
recorded elsewhere.
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System troubleshooting
RF drop-out determination
Turn on drop-out flags on the CIC Pro to check the color of any drop-out on the
patient signal lead waveform at the CIC Pro patient view.
1. From the main CIC Pro screen, select the Setup CIC button.
2. Select the Service Password tab.
3. Type the password mms_com and then select OK. A Command prompt
window is displayed.
4. Type setflags<Space>-mark<Space>all and press Enter on the keyboard to
turn on drop-out flags.
If the color is yellow, suspect RF drop-out on the transmitter, the antenna
system or the receiver system.
If the color is light blue or dark blue, suspect a network issue, not an RF-
related drop-out.
If it is another color, refer to the CIC Pro Service Manual provided with
your system for the cause since this indicates that it is not RF drop-out.
5. Type setflags<Space>-mark<Space>off and press Enter on the keyboard to
turn off drop-out flags.
6. Close the Command prompt window and the CIC Setup window.
3. Check the transmitter battery status. If the status is Low Batt, correct the
condition by replacing the batteries with new ones.
NOTE
If needed, refer to the appropriate ApexPro Telemetry Service Manual or
the operator’s manual provided with your system.
1. From the main CIC Pro screen, select the Setup CIC button.
2. Select the Service Password tab.
3. Type the password mms_com and then select OK. A Command prompt
window is displayed.
4. Type setflags<Space>-dup<Space>on and press Enter on the keyboard to
allow duplicate transmitters.
NOTE
Once you select this option, you have five minutes to enter the duplicate
TTX numbers. If that is not enough time, simply select this option again
and continue entering TTX numbers.
5. At the CIC Pro center, admit a duplicate TTX four times. You should have the
same TTX admitted five times. This will ensure that the TTX is admitted to at
least two different receiver cards.
6. Type setflags<Space>-dup<Space>off and press Enter on the keyboard
when you want to turn off duplicate TTX.
7. Close the Command prompt window and the CIC Setup window.
If drop-out continues on both receivers, suspect the transmitter. Swap
the transmitter with a known good transmitter. Drop-out should go away.
If drop-out is on one receiver and not the other, See Troubleshoot the
receiver on page 5-6.
1. Isolate which receiver subsystem is attached to the CIC Pro center you’re
viewing by using the service diagnostic tool PTSCONFIG at the CIC Pro center/
telemetry server and the command “blink patient unit|bed*” in order to
associate a care unit/bed number to a receiver in a given rack.
2. Once the receiver subsystem is known, check all LEDs for proper operation.
Verify their status with the “Receiver Subsystem LED status chart” on page 5-
13.
3. Swap the suspected receiver with a known good receiver card. Drop-out
should go away.
If drop-out does not go away, suspect an antenna coverage problem. See
Antenna system troubleshooting on page 5-8.
1. Identify the antenna run, or runs, that failed the unity signal gain test.
2. Using the site design documents, verify that the installation matches the
design. If it does not match, contact ND&I for assistance.
3. If all the antennas associated with one receiver input failed the test, focus on
common components of the run to adjust or replace, for example, the
amplifier.
4. If a subset of the antennas associated with one input to the receiver fails,
focus on unique components of that run to adjust or replace. An example
would be the active antenna itself.
5. After adjustment or replacement of component(s), repeat the unity signal
gain test and perform any applicable check out procedures if components
were replaced.
NOTE
The “ApexPro transmitter troubleshooting tree” on page 5-4 references this
test.
Equipment needed
Spectrum Analyzer (Rohde & Schwarz FSH3 preferred)
N-connector-to-BNC-connector adapter (attached)
BNC-connector-to-F-connector adapter
Cable with F-connectors on both ends, to connect the antenna system output
to the spectrum analyzer input
ApexPro transmitter (PN 418500-XXX)
Rubber duck antenna
5. Turn on the transmitter under test. Disconnect any attached leadwires. Wait
10 seconds for the transmitter to stop transmitting.
6. Set the center frequency of the analyzer to the frequency of the transmitter
under test.
a. Press FREQ.
b. Press the numbers corresponding to the center frequency for the
channel being tested and press ENTER.
7. Set the analyzer span to 25 kHz.
a. Press SPAN.
b. Press F1 - MANUAL SPAN.
c. Press 25.
d. Press kHz.
e. Press ENTER.
8. Set the analyzer reference amplitude to -30 dB.
a. Press AMPT.
b. Press 30.
c. Press GHz/-dBm.
d. Press ENTER.
9. Place the transmitter face up in front of the stand. See the figure below. Make
sure the placement of the transmitter is consistent.
Transmitter
position
12. Move away from the analyzer. Your body will affect the measurement, so
make sure your hands are at least three feet away from the analyzer,
antenna, and transmitter.
13. Watch the peak signal for 30 seconds and record the highest value you see.
14. Put the transmitter into Pause Alarm mode to force the transmitter to
transmit an RF signal.
To put the transmitter into Pause Alarm mode, do the following:
With transmitter powered, press Graph and Verify Leads buttons at the same
time. The Pause Alarm LED will begin to blink. This mode will remain active for
five minutes (default time) or until transmitter is powered down or is taken off
Pause Alarm mode, whichever occurs first. (After five minutes the RF will shut
off.)
15. Place the transmitter in the same position on the spectrum analyzer as in
step 9.
16. Turn on a marker and place it on the peak of the signal.
17. Turn on averaging to average over 10 samples.
a. Press TRACE.
b. Press F1 - TRACE MODE.
c. Select AVERAGE.
d. Press ENTER.
18. Move away from the analyzer. Your body will affect the measurement, so
make sure your hands are at least three feet away from the analyzer,
antenna, and transmitter.
19. Wait for 10 seconds and then record the peak of the signal.
NOTE
When measuring the signal, ensure that the transmitter is still in Pause
Alarm mode by verifying that the no alarm LED on the front of the
transmitter is blinking.
Transmitter
Transmitter
Transmitter Transmitter modulated data
carrier level (dB)
TTX number serial number level (dB)
from step 13
from step 19
Transmitter
Transmitter
Transmitter Transmitter modulated data
carrier level (dB)
TTX number serial number level (dB)
from step 13
from step 19
Acceptance criteria
Flashing
LED Solid Green Solid Yellow Flashing Yellow Blank
Green
Receiver 1 Normal Module 1 Module 1 Error Single Receiver Error on Not installed
Operation Initialization Module 1 or
Blink rack command at CIC Pro
center
Receiver 2 Normal Module 2 Module 2 Error Single Receiver Error on Not installed
Operation Initialization Module 2 or
Blink rack command at CIC Pro
center
Receiver 3 Normal Module 3 Module 3 Error Single Receiver Error on Not installed
Operation Initialization Module 3 or
Blink rack command at CIC Pro
center
Receiver 4 Normal Module 4 Module 4 Error Single Receiver Error on Not installed
Operation Initialization Module 4 or
Blink rack command at CIC Pro
center
The following steps might seem trivial but it is highly recommended that they be
performed to remove these “simple” failures as causes of problems.
NOTE
Notify the staff and move any admitted patients off the receiver system or
provide for alternate monitoring before removing power from it.
Set the ON/OFF switch to the OFF position and disconnect the Receiver
System from its power source.
Perform an internal visual inspection of the components. See Replaceable
parts on page 6-1.
Take the time to make all the recommended visual checks (refer to the visual
inspection table below) before starting any detailed troubleshooting procedures.
Mounting Loose or missing screws or other hardware, especially fasteners used as connections
Hardware to ground planes on PCBs
Receiver System mounted loosely or near vibration
Verify connectivity
Verify the connectivity between the ApexPro Telemetry System and the Receiver
Subsystem by completing one of the following procedures:
“Ping the receiver system” on page 5-15 or
“Check the ApexPro log file” on page 5-16.
NOTE
Using the log file to verifying connectivity will result in approximately 10
seconds of unmonitored activity.
2. At the CIC Pro center with ApexPro that is connected to the Receiver System,
click Setup CIC.
3. Select the Service Password tab.
4. Type the service password mms_com and press Enter to open a command
prompt.
5. Type ping 119.X.X.X (where 119.X.X.X is the Receiver System IP address) and
press Enter.
6. Verify that the reply reads similar to the example. Again, 119.X.X.X in the
example below refers to the Receiver System IP address obtained in step 5
above.
Pinging 119.X.X.X with 32 bytes of data:
Reply from 119.X.X.X: 32 bytes = 32 time <10ms TTL 255
Reply from 119.X.X.X: 32 bytes = 32 time <10ms TTL 255
Reply from 119.X.X.X: 32 bytes = 32 time <10ms TTL 255
065A
NOTE
Using the log file to verifying connectivity will result in approximately 10
seconds of unmonitored activity.
1. 120 VAC (± 10 VAC) between the line contact and neutral and between the
line contact and ground.
2. Less than 3 VAC between neutral and ground.
❷ ❶
120VACplug
❷ ❶
240VACplug
Event logs
Events can be stored in two locations, the receiver system and the ApexPro host
hard drive.
1. Using the 9-pin, serial cable supplied with the transmitter programming kit,
connect a PC to Async Comm (asynchronous serial communication).
2. At the PC, use a communication program such as HyperTerminal to set up
the ComPort connection.
3. Press Enter to get the @> Enter Service Password: prompt.
4. Type password, mms_aps (case-sensitive).
5. Press Enter.
There is no command to view how many events are stored, but typically the
most recent event will be examined first. Event 1 is the first (oldest) stored
event.
Use the del (display error log) command with a parameter of 999 to
determine the number of events stored. Since 999 is greater than the number
of events that can be stored, the command errors and reports the number of
events in the system.
6. At the @> prompt type del 999 and press Enter. The following displays.
NOTE
“XXX” is representative of the number of events stored in the error log. It
will appear on screen as an actual number.
7. At the @> prompt type del XXX (where XXX equals the number of events as
indicated in the error message) and press Enter to display the most recent
event.
Severity: 4
Passed Parameter: 15
Ticks: 525
The date and time are set by the ApexPro Telemetry System. If the date and time
have not been updated by the time the event occurs, the time defaults to 1
January 1990 00:00.
The number of ticks indicates when the event occurred relative to the last time
the system was rebooted. There are 60 ticks in one second.
The Passed Parameter, in most cases but not all, indicates which receiver in the
system logged the event. The receivers are indexed starting with 0.
System dropout
If you suspect any system-related dropout or if you are not sure what the problem
is, consult the ApexPro System Troubleshooting Instructions or the Enterprise
Access Service Manual Troubleshooting section as applicable, available to GE
service personnel.
Transmitter
Frequent lead fail
Swap the leadwire set with either a new set or a known good set. Leadwires
may have hidden internal damage that can cause signal failure.
Leadwires may become brittle or damaged after frequent cleanings. Inspect
them before each use and replaced if damaged.
Leadwires that have been wrapped around the transmitter are more likely to
be damaged. Use a transmitter holder when the transmitter is not in use.
Leadwires should be either laid out flat or hung up such that there are no
kinks or sharp bends in the wires.
Check the electrodes on the patient. Improper preparation can cause Lead
Fail events.
Should Lead Fail events continue to occur regularly, a call for service may be
necessary.
If, after powering up the transmitter, only the RA LED flashes rapidly:
The transmitter has lost its memory.
The application code contained in the EEPROM has been erased or
corrupted.
The transmitter needs to be reprogrammed.
Return the transmitter to the factory for service.
If, after powering up the transmitter, only the LA LED flashes rapidly:
The transmitter has lost its memory.
The manufacturing/service code contained in the EEPROM has been
erased or corrupted.
The transmitter needs to be reprogrammed.
Return the transmitter to the factory for service or contact Technical
Support.
Once used in a transmitter for any length of time, dispose of (recycle) used
batteries immediately.
Batteries must NOT be re-used for telemetry. Use batteries for only one
patient. DO NOT store used batteries for use with the next patient. A battery
contains a finite amount of stored energy. Each unit of time a battery is used
diminishes the amount of stored energy. Installing a used battery in a
transmitter results in a greatly reduced, and unpredictable, monitoring
period.
NEVER use a battery beyond the recommended expiration date for the
battery. The amount of stored energy in the battery may not be sufficient for
proper monitoring.
DO NOT use rechargeable batteries. The transmitter circuitry, Apex Oximeter,
and the Accutracker were designed for the power output characteristics of
alkaline batteries.
NOTE
Rechargeable batteries DO NOT store as much energy as alkaline
batteries and have very different output characteristics. The monitoring
period may be greatly shortened and the specified low-battery warnings
may be adversely affected or possibly not even displayed.
If, after working through the above steps, your transmitter still has a short
battery life, a call for service may be necessary.
Waveform dropout
To determine the type of dropout, enable flags as described in “RF signal
integrity” on page 7-16.
If out of antenna range, position the transmitter within range of the antenna.
Check the voltage levels of the batteries. If the voltage level is below the
acceptable value as listed in “Switches/LEDs” on page 2-14, replace the
batteries. Alternatively, you can replace the batteries and see if the waveform
is displayed properly.
For external RF interference, use the spectrum analyzer to verify the external
noise and reprogram the transmitter if necessary.
If you suspect a bad transmitter, perform checkout procedure. (See Checkout
on page 7-1.) Return to service if defective.
If, after working through the above steps, your oximeter still has a short
battery life, a call for service may be necessary.
Once the leads are reconnected, about one second is required for the digital
signal processor to power up the RF circuitry and resume transmitting patient
data.
Once the leads are reconnected or if a button is pressed, about one second is
required for the digital signal processor to power up the VCO regulator. If the
leads are still bad after a button is pressed the VCO regulator will turn off again
(the RF turns on for 70 seconds for Verify Leads button press, 15 seconds for the
other buttons).
If the transmitter is reporting a synthesizer lock error the VCO regulator will be
turned off.
WARNING
LOSS OF DATA — Notify the affected users relying upon this data
flow before shutting down the ApexPro antenna infrastructure
components for any reason.
When replacing any component, be sure to replace it with the same part number.
If a different part number is used, consult with GE ND&I to verify if any system
redesign is required.
NOTE
The inclusion of “RoHS” in the part number or description indicates that the
component is compliant with the ROHS Directive 2011/65/EU.
Retaining clip
Retaining pin
040A
050A
045A
Power supply
Power cords must be ordered separately. See Power cords on page 6-22.
055A
NOTE
The power supply must be deactivated or unplugged when working with the
antenna equipment.
Bias tee
NOTE
If using bias tee PN 2001546-001 or PN 2001546-002 (RoHS), you must use GE
power supply PN 422766-001.
060A
The power supply sits inside the bracket and two screws are provided for
mounting the bias tee to the front of the bracket.
065A
For technical specifications, see “Bias tee & power supply mounting kit
specifications” on page -17.
Antenna amplifier
The antenna amplifier is used to strengthen the antenna signal. A green LED on
the side indicates that the amplifier is receiving power. The antenna amplifier is
DC passing.
NOTE
Do not plug in backwards! Note the markings on the amplifier for installation
orientation. If connected backwards, the LED will illuminate, however the
amplifier will not work correctly: there will be signal loss instead of gain.
In/ ut
DC F O
R
In ut/
RF C O
D
070A
75 Ohm Cable
075A
Connectors
NOTE
For obsolete connectors, stripping dimensions for the associated cables are
shown in this section.
1/8"
1/4"
1/4"
080A
5/16"
1/4"
1/4"
085A
1/8"
1/4"
1/4"
0909A
1/4" 1/4"
1/4" - 5/16"
095A
100A
105A
110A
115A
Adapters
130A
NOTE
The 75-ohm terminator must always be used with a DC power block.
DC-power block
The DC-power block is used to isolate antenna system components that are not
DC passive, such as terminations and notch filters, from DC voltage.
Splitters/combiners
The splitters/combiners are used to combine antenna runs to create an antenna
field or used to split an antenna field to support multiple receiver systems.
145A
dB loss/gain DC
Part number Description @ 474 @ 614 loss Status
MHz MHz ohms
DC passing attenuators
DC-passing attenuators are used to balance antenna runs.
150A
dB loss/gain DC
Part number Description @ 474 @ 614 loss Status
MHz MHz ohms
Notch filters
Notch filters are sealed filters tuned to filter specific frequencies as listed in the
table below. These notch filters are passive components and should not be used
with +12 volts to prevent damage to the units. The filters also do not pass DC
voltages.
155A
Notch
Part number Description RF range
frequencies
2005063-018 Filter High Pass 550 MHz See High pass filter N/A
560 MHz on page
6-14.
2005063-017 Filter Low Pass 610 MHz See Low pass filter N/A
614 MHz on page
6-14.
Notch
Part number Description RF range
frequencies
0 dB 0 dB
10 dB/div
10 dB/div
Attenuation = –75 dB
Video Audio
Notch Notch
Attenuation = –48 dB
1 MHz/div 1 MHz/div
160A 165A
NOTE
Do not use the above filters with any transmitters within the specific TV
channel. The entire channel is severely attenuated.
510 520 530 540 550 560 570 580 590 600 610 65 575 585 595 605 615 625 635 645 655 665
0 dB 0 dB
-3.4934 dB -3.827 dB
560 MHz 614 MHz
10 dB/div
10 dB/div
-80.782 dB -73.96 dB
533.53 MHz 648.76 MHz
10 MHz/div 10 MHz/div
170A
175A
High pass filter 560 MHz Low pass filter 614 MHz
36 6.25 dB max
38 5.00 dB max
Filter dB loss
Bandpass filters
When an antenna system is designed only with notch filters rather than with the
bandpass filter, the use of multiple notch filters can cause excessive signal loss. In
addition, whenever a new TV station is activated in the vicinity, the antenna
system must be redesigned and corresponding notch filters must be installed.
In general, bandpass filters eliminate the need for notch filters on every channel.
They pass only the channel of interest and reject other channels. The result is
fewer parts to install, significant reduction of signal loss in the desired channel,
and no redesign of the system to accommodate new TV stations.
185A
273A
The ApexPro bandpass filter 608-614 MHz replaces the following part numbers:
The ApexPro bandpass filter 608-614 MHz does not replace the following part
numbers:
274A
1. 605 MHz is the center of channel 36; 617 MHz is the center of channel 38.
271A
The cavity bandpass filter 608-614 MHz replaces the following part numbers:
The cavity bandpass filter 608-614 MHz does not replace the following part
numbers:
155A
dB loss in
dB loss outside of passband Status
passband
272A
The international bandpass filter 433.05 - 434.75 MHz replaces the following part
numbers:
155A
dB loss dB loss
Minimum dB Maximum dB 3dB
outside of outside of
loss in loss in bandwidth
passband passband
passband passband (MHz)
5-425 MHz 500-860 MHz
2 6 20-30 45 50
280A
Power cords
Use one power cord per power supply.
Ordering parts
The parts lists in this chapter supply enough detail for you to order parts
considered field replaceable.
To order parts, contact Service Parts at the address or telephone number listed on
the “How to Reach Us...,” page found in the front of this manual.
egems.gemedicalsystems.com/partsiduser/gems/Welcome.jsp
The tables below list the most commonly replaced assemblies ordered in the
service spare circuit board kits.
Label kits
Transmitters
The versions of transmitters are:
Upper Level
Model Frequency Range Frequency Type
Part Number
Interconnect cables
The following table lists the interconnect cables used to connect the transmitter
with other devices.
Labels
Each of these kits is a full set of TTX labels.
ApexPro
ApexPro CH
T14
NOTE
The ApexPro CH transmitter has no internal field-replaceable parts.
NOTE
The T4 transmitter has no internal field-replaceable parts.
NOTE
The T14 transmitter has no internal field-replaceable parts.
General
WARNING
PATIENT MONITORING INTERRUPTION—Make sure a patient is
not being monitored.
When removing the receiver subsystem pcb, use the following tools:
3/4 inch Phillips head screwdriver
12 inch Phillips head screwdriver
1/2 inch crescent wrench
PCB assemblies
CAUTION
Solder multilayer and surface mount PCB assemblies at your
own risk! Improper repair methods can damage the PCB
assemblies even further and void the warranty. Only qualified
service personnel with the proper laboratory equipment should
attempt to repair PCB assemblies.
Hardware
Before disassembly, note the positions of any wires or cables, marking them if
necessary to ensure that they are replaced correctly.
Gray ribbon cables have retainer clips holding them in the connector.
Save and set aside all hardware for re-assembly.
CAUTION
EQUIPMENT DAMAGE—Power must be off to add or remove any
internal assemblies or circuit boards.
1. Turn the unit OFF at the rear power switch and disconnect the AC power cord
and all communication cables.
2. Remove two screws from the front cover.
3. Remove cover and set aside.
Front cover
frontcover
CAUTION
EQUIPMENT DAMAGE—Do not remove or install Quad Receiver
Modules with power applied.
Top cover
Retaining clip
Quad receiver
modules
Chassis front
disassy cover
Receiver cage
Antenna checkout
Procedure
1. If the antenna is active, verify that the power LED on the antenna is lit.
2. Perform visual inspection. See Visual inspection on page 4-4.
3. For the replaced antenna, perform the “Unity signal gain test with
transmitter” on page 4-13.
4. For the field that the replaced antenna is on, perform the “Out-of-band RF
signal test” on page 4-10.
5. For the field that the replaced antenna is on, perform the “Noise floor
performance test” on page 4-18.
Procedure
1. If replacing coaxial cables or connectors, perform a distance-to-fault or other
similar test to verify continuity of the cable.
2. Perform visual inspection. See Visual inspection on page 4-4.
3. Multiple antennas may be connected to the replaced component. For each
affected antenna, perform the “Unity signal gain test with transmitter” on
page 4-13. If there are more than 10 affected antennas, it is sufficient to
perform the test on only 10 of the affected antennas.
4. For the field that the replaced component is on, perform the “Out-of-band RF
signal test” on page 4-10.
5. For the field that the replaced component is on, perform the “Noise floor
performance test” on page 4-18.
LED Solid Green Flashing Green Solid Yellow Flashing Yellow Blank
System Status
RearPanel
LED Locations
CAUTION
EQUIPMENT DAMAGE —If receiver system software needs
updating, the system LED flashes yellow while software is
updating. DO NOT power down the system during a software
update.
8. Verify that diagnostic information can be retrieved from the Async Comm
(asynchronous serial) port via a laptop. Refer to the “Receiver system event
logs” on page 5-19.
Receiver function
Follow all procedures sequentially to the end of this section to verify that all
receivers are available and communicating with the ApexPro Telemetry System.
Open prompt
1. Connect a patient simulator to a transmitter.
2. Depending on where the ApexPro application resides, open a command
prompt. See ApexPro application residing on a CIC Pro center on page 5-15.
or See ApexPro application residing on a telemetry server on page 5-15..
3. In the MS-DOS command window type
cd <space> C:\Program Files\Marquette\PTS\X.X> (where X.X is the current
ApexPro software version)
2. In the displayed information, identify the TELE TOWER with the arrow
preceding the IP address and click on the + (on the left) to expand.
NOTE
The small arrow preceding the IP address identifies the tele tower (i.e. the
ApexPro Telemetry System) currently being checked for connectivity. This
arrow is highlighted in the following graphic.
unityviewer
3. This displays the number of beds admitted on the ApexPro Telemetry System.
Note this number and close the window.
1 LED = 4 receivers
2 LEDs = 8 receivers
3 LEDs = 12 receivers
4 LEDs = 16 receivers
TTX# = number of transmitter using for test (Use the number in parentheses
on the transmitter label or in the CIC Pro center drop-down menu, e.g., 1071.)
age = 55
pstconfig2
Recommendations
Test conditions – Electrical safety tests may be performed under normal ambient
conditions of temperature, humidity, and pressure.
Item Specification
For international power outlets, refer to the internal standards agencies of that
particular country. Use a digital multimeter to ensure the power outlet is wired
properly.
If other than normal polarity and ground is indicated, corrective action must be
taken before proceeding. The results of the following tests will be meaningless
unless a properly wired power outlet is used.
Ground
Pin
Perform the test method below that is required by your Country/Local governing
safety organization.
Some country agencies do require this test after field equipment repairs (i.e.
Germany's DIN VDE 0751 standards).
1. A current not less than 10 A and not exceeding 25 A from a current source
with a frequency of 50 or 60 Hz with a no-load voltage not exceeding 6 V is
passed for at least 5 s through the protective earth terminal or the protective
earth pin in the mains plug and each accessible metal part which could
become live in case of failure in basic insulation.
2. The voltage drop between the parts described is measured and the
impedance determined from the current and voltage drop. It shall not exceed
the values indicated.
For equipment without a power supply cord, the impedance between the
protective earth terminal and any accessible metal part which is protectively
earthed shall not exceed 0.1 ohms
For equipment with a power supply cord, the impedance between the protective
earth pin in the mains plug and any accessible metal part which is protectively
earthed shall not exceed 0.2 ohms.
When taking this measurement, move the unit's power cord around. There should
be no fluctuations in resistance.
NOTE
The DMM plus leakage tester network shown is the circuitry defined by the UL
60601-1 standard for measuring leakage current.
2. Connect the power cord of the device under test to the power receptacle on
the leakage tester.
3. The device under test is to be tested at its normal operating voltage.
4. Set the power switch of the device under test to ON.
5. Read the current leakage indicated on DMM.
6. Set the polarity switch on the leakage tester to RVS (reverse).
7. Read the current leakage indicated on DMM.
NOTE
If either reading is greater than the appropriate specification below, the
device under test fails. Contact GE Technical Support.
300 µA (0.3 volts on the DMM), and the device under test is powered from
100-120 V/50-60 Hz
300 µA (0.3 volts on the DMM), and the device under test is powered from
a centered-tapped 200-240 V/50-60 Hz, single phase circuit
500 µA (0.5 volts on the DMM), and the device under test is powered from
a non-center-tapped, 200-240 V/50-60 Hz, single-phase circuit
NOTE
Center-tapped and non-center-tapped supply circuits produce
different leakage currents and the UL and IEC limits are different.
1. Configure the leakage tester like the circuit shown below with GND switch
OPEN and polarity switch NORM.
enclosure leak
300 µA (0.3 volts on the DMM), and the device under test is powered from
100-120 V/50-60 Hz
300 µA (0.3 volts on the DMM), and the device under test is powered from
a centered-tapped 200-240 V/50-60 Hz, single phase circuit
500 µA (0.5 volts on the DMM), and the device under test is powered from
a non-center-tapped, 200-240 V/50-60 Hz, single-phase circuit
NOTE
If the reading is greater than the specification below, and the device under
test is powered from 100-240 V/50-60 Hz, the device under test fails. Contact
GE Technical Support.
100 µA (0.1 volts on the DMM), and the device under test is powered from
100-240 V/50-60 Hz
11. Set the power switch of the device under test to OFF.
Test completion
1. Disconnect the leakage tester from the power outlet.
2. Disconnect all test equipment from the device.
3. Disconnect the device power cord from the leakage tester.
Transmitter checkout
Checkout procedure
NOTE
Due to IPX7 rating, the ApexPro CH, T4 and T14 Transmitters are not field
repairable.
Transmitter
The transmitter performs a limited amount of testing of the internal memory
components when it powers up. The results of these tests are indicated by the
LEDs on the transmitter case. Test results may also be viewed on a remote
terminal or personal computer if the ApexPro transmitter programming box is
connected and in use.
To start the tests, install new batteries into the transmitter. The internal digital
signal processor performs the self-tests automatically.
NOTE
Any test failures are stored and appear when you view TTX information
Apex oximeter
The following is the Apex Oximeter power-up sequence:
1. The display reads 888 888 and the perfusion LED is red for approximately 1
second.
2. The display reads 888 888 and the perfusion LED is green for approximately 1
second.
3. The software revision level displays for 1-2 seconds and the perfusion LED is
off.
4. The display goes to - - and there is a flashing dash in the upper left-hand
corner of the SpO2 display.
If the unit functions properly, these indications occur in the specified order.
Accutracker
The Accutracker error codes are translated in the software to display on the
system monitor. See the operator’s manual for your system for an explanation of
error codes.
LED displays
This test verifies LED operation.
Power-up self-tests
This test verifies completion of the power-up self-tests.
RF power shutdown
This test verifies that the transmitter reduces its output when an all-leads-fail
condition lasts more than eight seconds.
This test can also be done using the RF monitor to measure the decrease in
RF output under a LEADS FAIL condition.
RF test
The following series of tests verify operation of the transmitter's RF circuitry.
NOTE
The Rohde & Schwarz FSH3 spectrum analyzer is used for the following steps.
If a different spectrum analyzer is being used, the detailed sub-steps may be
different.
Power output
This test measures the power output of the transmitter. (Refer to the RF monitor
operator's manual for setup information.)
1. Turn on the RF monitor and allow it to operate for at least one hour for
temperature stabilization.
2. Set the center frequency to the frequency of the transmitter. Refer to the
ApexPro Telemetry Frequency Chart Reference Manual.
a. Press FREQ.
b. Press the numbers corresponding to the frequency of the transmitter.
c. Press MHz and press Enter.
3. Set the span to 500 KHz (50 KHz/div).
a. Press Span.
b. Press 500.
c. Press KHz and press Enter.
4. Set the reference amplitude to -10 dBm at 10 dB/div.
a. Press AMPT.
b. Press 10.
c. Press GHz/-dBm and press Enter.
5. Connect the transmitter with lead wires to a patient simulator.
6. Wrap the leadwires around the antenna of the RF monitor.
316A
7. Verify that a peak signal of at least -20 dBm (-10 dBm for T14 transmitter) can
be obtained. It may be necessary to move the transmitter and leadwires
around to obtain this peak signal.
NOTE
If the RF monitor has a Max Hold function, enable the max hold to help
detect the RF peak signal strength.
RF signal integrity
This test verifies the integrity of the transmitter’s RF signal.
a. At the bottom of the CIC Pro center screen, select the Setup CIC button.
b. Select the Service Password tab.
c. Type the password mms_com and then select OK. A DOS command
prompt window is displayed.
d. Type setflags<space>-dup<space>on and press Enter on the keyboard
to allow duplicate transmitters.
NOTE
Once you select this option, you have a set time, generally five
minutes, to enter the duplicate TTX numbers. If that is not enough
time, simply select this option again and continue entering TTX
numbers.
If the diagnostic tic marks are yellow on all receivers at the same time, then
either the transmitter or the antenna system (or both) may require service.
Any color other than yellow indicates a system problem unrelated to the
transmitter. If this is the case, please contact GE technical support.
Communications tests
The following series of tests verify that the transmitter is operating properly with
the receiving system and the monitoring network. A CIC Pro center that has
access to the receiver system is required.
Verify leads
This test verifies that the transmitter can test for, and indicate, good lead signals.
4. Press the Verify Leads button. The Lead Status and Change Battery LEDs
flash twice to acknowledge that the button was pressed. The lead status
displays for approximately one minute. Lead status LEDs for good leads
remain illuminated for the time period.
5. Verify, both at the CIC Pro center and on the transmitter, Lead Status each
time with a different lead wire removed from the ECG source. The LED
associated with the disconnected leadwire should not remain illuminated and
the associated lead should show lead fail at the CIC Pro center.
NOTE
In 3-lead mode, the reference lead is always displayed as “Good” during
the “verify leads” test.
Graph request
This test verifies that pressing the Graph button results in a graph run at the
assigned printer device.
1. Configure the CIC Pro center so that graph requests (from the transmitter) are
printed at the CIC Pro center.
2. Press the Graph button. The Lead Status and Change Battery LEDs flash
twice to acknowledge that the switch was pressed.
3. Verify that a graph run occurs at the printer.
Event marker
This test verifies the Event Marker feature. This feature is available only on the
ApexPro CH, T4, and T14 transmitter.
Pause alarm
This test verifies that the transmitter enters into the PAUSE ALARMS condition for
approximately five minutes.
1. With the transmitter operating, press the Graph and Verify Leads buttons
simultaneously. The Lead Status and Change Battery LEDs flash twice to
acknowledge the switch was pressed.
2. Once the transmitter enters the PAUSE ALARMS condition the Pause Alarm
LED begins flashing, and flashes for the programmed period. (Typically five
minutes but this value can be changed by reprogramming the transmitter.)
3. At the end of the period the Pause Alarm LED stops flashing.
4. Terminate the PAUSE ALARMS condition by pressing the Verify Leads and
Graph buttons simultaneously. The Pause Alarm LED stops flashing.
Pacemaker transmission
This test verifies detection of a pace pulse and transmission to the CIC Pro center
display.
Completion
If the transmitter fails any of the above tests, return it to the factory for service.
6. Set the simulator’s selector switch to “Nellcor” and check the heart rate
accuracy.
Accuracy specification for 18 – 300 BPM is +/– 3% or +/–1, whichever is
greater.
Nonin Xpod
This test verifies the functionality of the Nonin Xpod oximeter.
5. Set the simulator’s selector switch to “Nellcor” and check the heart rate
accuracy.
Accuracy specification for 18 – 321 BPM is ± 3 digits with no motion, and for
40-240 BPM is ± 5 digits for high motion.
Display
Press and hold the button while turning the switch on. This display includes
hardware and software version, the Gain Setting for the mic, and the pressure
setting (mmHg).
Accutracker DX
Module to be
Tested
S U N T E C H
Accutracker D
SUNTECH
R
START/
ABP MONITORx STOP
Coupling, Male
(pn 400787-006)
Sensym
PDM200M or Tubing,
Equivalent Approximately
Manometer 2 Feet
(pn 401582-001)
NOTE
Make sure no external pressure is applied to the Accutracker when you
turn it on.
2. Press and hold the button and turn the Accutracker on. The unit is now in
Technical Calibrate mode and valve #1 is closed.
3. Apply pressures to the Accutracker between 0 mmHg and 250 mmHg in
increments of 50 mmHg. Make sure there is no more than a +/–2 mmHg
difference between the mercury column or PDM200 display and the
Accutracker display value.
4. Turn off the Accutracker.
5. After five seconds (to prevent the unit from “locking up”), press and hold the
button and turn the Accutracker on.
6. Press the button twice; then press the button to force the Accutracker
to activate the pump and valve circuitry. The unit goes through a diagnostic
self-test. If the unit passes the test, TEST PASSED displays briefly.
1. Press and hold the button and turn the Accutracker on.
NOTE
Make sure no external pressure is applied to the Accutracker when you
turn it on.
2. Apply 200 mmHg pressure to the Accutracker pressure circuit and start a
timer to clock the Hardware Time-Out circuit.
3. The Hardware Time-Out occurs in three minutes (+/–45 seconds). Valve #1
opens and dumps pressure once the time-out is finished. As you monitor the
Time-Out, monitor the pressure (in mmHg) displayed on the Accutracker LCD.
The Accutracker should leak no more than 2 mmHg per minute.
Communication test
This procedure verifies that the telemetry system transmits and receives the data
correctly from the Accutracker.
CAUTION
Refer to the appropriate ApexPro operator’s manual for proper
operation guidelines and cuff/microphone placement.
Repair log
Institution Name:
NOTE
Due to continual product innovation, GE designs and specifications are
subject to change without notice. Contact your sales/service representative
for the most current information.
Transmission
ECG
Environmental specifications
Operating conditions
Device specifications
ApexPro CH model:
9.7 KHz
Gain accuracy: ± 5% at 15 Hz
Defibrillator protection: ± 5000 VDC, 360 joules into 100 ohm load
ApexPro CH model:
± 2 mV to ± 700 mV (RTI); 100 µsec to 2 msec;
either polarity
Lead fail detection: DC type; indicates leadwire failed (i.e., RA, LA, LL,
Va, or Vb)
Physical specifications
Certifications
ApexPro transmitter
420-460 MHz – R&TTE, CE marking for the 93/42/EEC Medical Device Directive
ApexPro CH transmitter
608.025 – 613.975 MHz – FCC Part 95
Transmission
ECG
Environmental specifications
Operating conditions
Temperature 5 to 40° C
Device specifications
Modulation GFSK
Defibrillator protection ± 5000 VDC, 360 joules into 100 ohm load
Physical specifications
Certifications
UL/IEC/EN 60601-1
IEC/EN 60601-1-1
IEC/EN 60601-1-2
Apex oximeter
Performance specifications
Processing
Certification
UL 60601-1 CE marking for the 93/42/EEC Medical Device Directive.
Physical specifications
Weight: 75.0 g (2.7 oz) including 1.8 m (6.0 ft) of cable and
connector
Pulse Pressure
Sample quantity: Over 250 samples per set of four new batteries.
Environmental specifications
Operating conditions
Physical specifications
Certification
UL60601 Medical Equipment with respect to electric shock, fire and mechanical
hazards only in accordance with UL 60601-1, and CAN/CSA C22.2 No. 601.1, and
IEC 60601-1
ApexPro receiver
Performance specifications
Quad receiver module
Serial diagnostics 19200 baud, 1 stop bit, 8 data bits, no parity, XON/
XOFF flow control
Power requirements
Environmental specifications
Operating conditions
Physical specifications
Subsystem
560 – 614 MHz – FCC Part 15, Subpart B Class B (U.S. only)
Subsystem
420-474 MHz – CE marked per the Medical Devices Directive 93/42/EEC. Yakuji
(Japanese Ministry of Health, Labour and Welfare).
560 – 614 MHz – UL 60601-1 Classified. IEC 60601-1 and IEC 60601-1-2 Certified.
Antenna specifications
Performance specifications
Environmental specifications
Operating conditions
Storage conditions
Height 11 in.
Width 11 in.
Warranty information
Standard warranty is one year. Other options are available.
Environmental specifications
Operating environment
Storage environment
Device specifications
Device specifications
Device specifications
Current draw 50 mA 55 mA
CAUTION
Use of portable phones or other radio frequency (RF) emitting
equipment near the system may cause unexpected or adverse
operation.
CAUTION
The equipment or system should not be used adjacent to, or
stacked with, other equipment. If adjacent or stacked use is
necessary, the equipment or system should be tested to verify
normal operation in the configuration in which it is being used.
RF Emissions (radiated) Group 1 The device intentionally transmits energy in the 420-460, 584-614,
EN 55011 Class A or 608-614MHz range. Nearby electronic equipment may be
affected. Outside the range of intentional transmission, the device
RF Emissions Group 1 emissions are very low and are not likely to cause any interference.
(conducted) Class A The equipment is suitable for use in all establishments other than
EN 55011 domestic and those directly connected to the public low-voltage
power supply network that supplies buildings used for domestic
purposes.
Compliance
Immunity test IEC 60601 test level Electromagnetic environment – guidance
level
Power Frequency (50/ 3 A/m 3 A/m Power frequency magnetic fields should
60 Hz) Magnetic Field be at levels characteristic of a typical
location in a typical commercial or
EN 61000-4-8 hospital environment.
NOTE
Ut is the AC mains voltage prior to application of the test level.
Note 1: At 80 MHz and 800 MHz, the higher frequency range applies.
Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by reflection from
structures, objects, and people.
aField strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile
radio, AM and FM radio broadcast, and TV broadcast cannot be predicted theoretically with accuracy. To assess the
electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the
measured field strength in the location in which the equipment is used exceeds the applicable RF compliance level
above, the equipment should be observed to verify normal operation. If abnormal performance is observed, additional
measures may be necessary, such as re-orienting or relocating the equipment.
b
Over the frequency range 150 KHz to 80 MHz, field strengths should be less than 0.3 V/m.
c The low power design does not allow the use of high dynamic range operational amplifiers. To further reduce size,
the ECG section utilizes single supply topology, and unshielded Flex assemblies. The result of the above mentioned
design choices results in a design that provides acceptable performance in the clinical environment.
The ApexPro and CARESCAPE Telemetry T14 Transmitters are intended for use in
the electromagnetic environment on which radiated RF disturbances are
controlled. The customer or the user of the transmitters can help prevent
electromagnetic interference by maintaining a minimum distance between
portable and mobile RF communications equipment (transmitters) and the
ApexPro or CARESCAPE Telemetry T14 Transmitters as recommended below,
according to the maximum output power of the communications equipment.
Rated maximum output 150 kHz to 80 MHza 80 MHz to 800 MHz a 800 MHz to 2.5 GHza
power of transmitter in
watts d = 11.6 d = 11.6 d = 23.3
For transmitters rated at a maximum output power not listed above, the
recommended separation distance [d] in meters (m) can be estimated using the
equitation applicable to the frequency of the transmitter, where P is the maximum
output power rating of the transmitter in watts (W) according to the transmitter
manufacturer.
NOTE
These guidelines may not apply in all instances. Electromagnetic propagation
is affected by absorption and reflection from structures, objects and people.
WARNING
The use of accessories, transducers and cables other than those
specified may result in increased emissions or decreased
immunity performance of the equipment or system.
The table below lists cables with which GE claims EMC compliance.
NOTE
Any supplied accessories that do not affect EMC compliance are not included.
Maximum
Description
length
SpO2/Oximetry
CAUTION
Use of portable phones or other radio frequency (RF) emitting
equipment near the system may cause unexpected or adverse
operation.
CAUTION
The equipment or system should not be used adjacent to, or
stacked with, other equipment. If adjacent or stacked use is
necessary, the equipment or system should be tested to verify
normal operation in the configuration in which it is being used.
RF Emissions (radiated) Group 1 The device intentionally transmits energy in the 420-460 MHz range.
EN 55011 Class A Nearby electronic equipment may be affected. Outside the range of
intentional transmission, the device emissions are very low and are
RF Emissions Group 1 not likely to cause any interference.
(conducted) Class A
EN 55011 The equipment is suitable for use in all establishments other than
domestic and those directly connected to the public low-voltage
power supply network that supplies buildings used for domestic
purposes.
NOTE
Ut is the AC mains voltage prior to application of the test level.
Compliance
Immunity test IEC 60601 test level Electromagnetic environment – guidance
level
Note 1: At 80 MHz and 800 MHz, the higher frequency range applies.
Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by reflection from
structures, objects, and people.
a
Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile
radio, AM and FM radio broadcast, and TV broadcast cannot be predicted theoretically with accuracy. To assess the
electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the
measured field strength in the location in which the equipment is used exceeds the applicable RF compliance level
above, the equipment should be observed to verify normal operation. If abnormal performance is observed, additional
measures may be necessary, such as re-orienting or relocating the equipment.
b
Over the frequency range 150 KHz to 80 MHz, field strengths should be less than 3 V/m.
Rated maximum output 150 kHz to 80 MHza 80 MHz to 800 MHz a 800 MHz to 2.5 GHza
power of transmitter in
watts d = 1.2 d = 1.2 d = 2.3
100 12 12 23
a
At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
For transmitters rated at a maximum output power not listed above, the
recommended separation distance [d] in meters (m) can be estimated using the
equitation applicable to the frequency of the transmitter, where P is the maximum
output power rating of the transmitter in watts (W) according to the transmitter
manufacturer.
NOTE
These guidelines may not apply in all instances. Electromagnetic propagation
is affected by absorption and reflection from structures, objects and people.
WARNING
The use of accessories, transducers and cables other than those
specified may result in increased emissions or decreased
immunity performance of the equipment or system.
The table below lists cables with which GE claims EMC compliance.
NOTE
Any supplied accessories that do not affect EMC compliance are not included.
Maximum
Description
length
SpO2/Oximetry
ApexPro receiver
Electromagnetic compatibility (EMC)
Changes or modifications to this system not expressly approved by GE could
cause EMC issues with this or other equipment. This system is designed and
tested to comply with applicable regulation regarding EMC and needs to be
installed and put into service according to the EMC information stated in this
appendix.
CAUTION
Use of portable phones or other radio frequency (RF) emitting
equipment near the system may cause unexpected or adverse
operation.
CAUTION
The equipment or system should not be used adjacent to, or
stacked with, other equipment. If adjacent or stacked use is
necessary, the equipment or system should be tested to verify
normal operation in the configuration in which it is being used.
RF Emissions Group 1
EN 55011 [Radiated] The equipment uses RF energy only for its internal function.
Therefore, its RF emissions are very low and are not likely to cause
RF Emissions Class A any interference in nearby electronic equipment.
EN 55011 [Conducted]
Electromagnetic immunity
The ApexPro receiver is intended for use in the electromagnetic environment
specified below. It is the responsibility of the customer or user to assure that the
ApexPro receiver is used in such an environment.
Electromagnetic environment –
Immunity test IEC 60601 test level Compliance level
guidance
Electrical Fast ± 2 kV for power supply lines Mains power should be that of a
± 2 kV for power supply
Transient/Burst typical commercial or hospital
± 1 kV for input/output lines lines
IEC 61000-4-4 environment.
<5% Ut (>95% dip in Ut) for 0.5 <5% Ut (>95% dip in Ut) for
Mains power should be that of a
Voltage dips, cycles 0.5 cycles typical commercial or hospital
short
<40% Ut (>60% dip in Ut) for 5 <40% Ut (>60% dip in Ut) environment. If the user of the
interruptions and
cycles for 5 cycles equipment requires continued
voltage
operation during power mains
variations on <70% Ut (>30% dip in Ut) for <70% Ut (>30% dip in Ut) interruptions, it is recommended
power supply 25 cycles for 25 cycles that the equipment be powered
input lines
<5% Ut (>95% dip in Ut) for 5 s <5% Ut (>95% dip in Ut) for from an uninterruptable power
IEC 61000-4-11
supply or a battery.
5s
Compliance
Immunity test IEC 60601 test level Electromagnetic environment – guidance
level
Note 1: At 80 MHz and 800 MHz, the higher frequency range applies.
Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by reflection from
structures, objects, and people.
aField strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile
radio, AM and FM radio broadcast, and TV broadcast cannot be predicted theoretically with accuracy. To assess the
electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the
measured field strength in the location in which the equipment is used exceeds the applicable RF compliance level
above, the equipment should be observed to verify normal operation. If abnormal performance is observed, additional
measures may be necessary, such as re-orienting or relocating the equipment.
b
Over the frequency range 150 KHz to 80 MHz, field strengths should be less than 3 V/m.
NOTE
These guidelines may not apply in all instances. Electromagnetic propagation
is affected by absorption and reflection from structures, objects and people.
CAUTION
The use of accessories, transducers and cables other than those
specified may result in increased emissions or decreased
immunity performance of the equipment or system.
The table below lists cables, transducers, and other applicable accessories with
which GE Medical Systems claims EMC compliance.
NOTE
Any supplied accessories that do not affect EMC compliance are not included.
GE Medical Systems Information Technologies, Inc., a General Electric Company, doing business as
GE Healthcare.
www.gehealthcare.com