GE Healthcare MAC™ 2000 ECG Analysis System Operator's Manual 2053535-002 Revision K English © 2013-2017 General Electric Company. All Rights Reserved.
Publication Information The information in this manual applies only to MAC™ 2000. This applies to software version 1.1 and not to earlier software versions. Due to continuing product innovation, specifications in this manual are subject to change without notice. MUSE, MAC, CASE/CardioSoft/CS, 12SL, and EMR are trademarks owned by GE Medical Systems Information Technologies, Inc., a General Electric Company going to market as GE Healthcare.
Contents 1 Introduction Intended User of this Product ..................................................................... 9 Indications for Use ...................................................................................... 9 Contraindications ..................................................................................... 10 Prescription Device Statement ................................................................. 10 Regulatory and Safety Information....................................
Using the System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 Navigating the User Interface................................................................... 40 Resting ECG Power Up Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 Arrhythmia Power Up Mode . . . . . . . . . . . . .
6 Order Manager Communication Media .............................................................................. 63 Simple Orders............................................................................................ 63 Advanced Order Manager ......................................................................... 64 Downloading Orders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Stress Options. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98 Conducting Stress Tests.......................................................................... 100 Conducting a Stress Test with a Treadmill or Ergometer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100 Conducting a Stress Test with a Master’s Step Device . . . . . . . . . . . . . . . .
Export Setup............................................................................................ 165 Options Setup.......................................................................................... 165 Service Setup........................................................................................... 167 Date/Time Setup ..................................................................................... 168 Order Manager Setup.............................................................
Import/Export/Save Errors...................................................................... 186 SD Card Not Present . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cannot Import or Transmit Records via Modem. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cannot Transmit Records via LAN. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 Introduction This document describes the MAC™ 2000 ECG Analysis System, also referred to as the “product”, “system”, or “device”. The document is intended to be used by clinical professionals who use, maintain, and/or troubleshoot the system. Clinical professionals are expected to have a working knowledge of appropriate medical procedures, practices, and terminology used in the treatment of patients. This chapter provides general information required for the proper use of the system and this manual.
Introduction Arrhythmia detection is provided for the convenience of automatic documentation. Transmission and reception of ECG data to and from a central ECG cardiovascular information system is optional.
Introduction Definitions of Safety Conventions (cont'd.) Safety Convention Definition CAUTION Indicates a potential hazard or unsafe practice, which, if not avoided, could result in moderate or minor injury. NOTICE Indicates a potential hazard or unsafe practice, which, if not avoided, could result in the loss or destruction of property or data. Safety Hazards The following messages apply to the system as a whole. Specific messages may also be provided elsewhere in the manual.
Introduction WARNING: EQUIPMENT FAILURE — Polarizing electrodes (stainless steel or silver constructed) may cause the electrodes to retain a residual charge after defibrillation. A residual charge blocks acquisition of the ECG signal. Whenever patient defibrillation is a possibility, use non-polarizing electrodes (silver-silver chloride construction) for ECG monitoring. WARNING: PERSONAL INJURY — Contact with patients during defibrillation can cause serious injury or death.
Introduction WARNING: ELECTRIC SHOCK — Improper connection of this equipment may cause electric shock. To avoid risk of electric shock, this equipment must only be connected to a supply mains with protective earth. NOTE: Follow the instructions provided. Do not position equipment in a way that makes it difficult to disconnect the device when using an appliance coupler, mains plug, or other separable plug as a means of isolation.
Introduction Recording ECGs During Defibrillation This equipment is protected against the effects of cardiac defibrillator discharge to ensure recovery, as required by test standards. The patient signal input of the acquisition module is defibrillation-proof. Therefore, it is not necessary to remove the ECG electrodes prior to defibrillation.
Introduction Before installing or using the device or system, be aware of the proximity of known RF sources, such as the following: • Radio and TV stations • Portable and mobile RF communication devices (cell phones, two-way radios) • X-ray, CT, or MRI devices These devices are also possible sources of interference as they may emit higher levels of electromagnetic radiation.
Introduction of these optional fields. Race has been acknowledged by the medical profession as useful to analyze some pathologies. You should be aware that, in some jurisdictions, the processing of data revealing an individual's racial origin is subject to legal requirements, such as obtaining the patient's prior consent. If you elect to collect this type of data, it is your responsibility to ensure that you comply with all applicable legal requirements.
Introduction Hardware Label Locations Label Descriptions on Hardware and Packaging 2053535-002K Item Label Location Description 1 Back of the device Product Label Identifies this device. See “Product Label” on page 25 for a description of the label contents. 2 Back of the device Device Address Label and Rating Plate It provides regulatory and cautionary information. See “Device Address Label and Rating Plate” on page 26 for an explanation of the label.
Introduction Label Descriptions on Hardware and Packaging (cont'd.) Item Label Location Description 5 On the shipping package Battery Shipping Label. FRAGILE—Lithium Ion batteries can cause fire if damaged. 6 On the shipping package The shipping label. Symbol Descriptions The following table describes symbols or icons that may be on the device or its packaging. Not all of the symbols defined in the table apply to your device or its packaging.
Introduction Symbol Descriptions (cont'd.) Symbol Description Rx Only US Federal law restricts this device to sale by or on the order of a physician. 12SL Indicates the device uses the Marquette™ 12SL ECG Analysis Program to analyze and interpret ECG readings. IPxy IP Code (Ingress Protection Rating) Classifies and rates the degree of protection provided against the intrusion of solid objects (such as body parts like hands and fingers, dust, accidental contact), and liquids.
Introduction Symbol Descriptions (cont'd.) Symbol Description Non-ionizing Electromagnetic Radiation Indicates that the equipment emits elevated, potentially hazardous, levels of non-ionizing radiation (electromagnetic energy) for diagnosis or treatment. Follow Instructions For Use Read and understand the operator's manual before using the device or product. As a mandatory action sign, this symbol is identified by a blue background and white symbol.
Introduction Symbol Descriptions (cont'd.) Symbol Description WARNING: HAND CRUSHING HAZARD This device contains moving parts that could crush the user's hand. Keep hands clear of the device while it is in operation. Disconnect power before reaching into or servicing the device. As a warning sign, this symbol is identified by a yellow background, black triangular band, and a black symbol. WARNING: BODILY INJURY Indicates the presence of a sharp edge or object that can cause cuts or other bodily injury.
Introduction Symbol Descriptions (cont'd.) Symbol Description WARNING: ENVIRONMENTAL OR HEALTH HAZARD Incinerating the device or product could present a risk to the environment or human health. Do not incinerate this device or product. As a general prohibition sign, this symbol is identified by a white background, red circular band and slash, and a black symbol. WARNING: BREAKAGE DUE TO HEAVY LOAD Heavy objects on the surface may cause it to break.
Introduction Symbol Descriptions (cont'd.) Symbol Description Japan RoHS Indicates the device or product meets the regulations limit or ban for specific substances in new electronic and electric equipment in Japan. The Green Mark (with the G) indicates the product is within the tolerances of hazardous chemicals. The Content Mark (with the R and letters below) indicates which hazardous substance(s) was used during the manufacturing of the electrical or electronic equipment that exceeds maximum tolerances.
Introduction only. To identify which organizations have certified your device, refer to the labeling on your device or its packaging. Certification Symbol Description UL Mark Indicates compliance with applicable Underwriters Laboratories requirements. UL Listed Mark Indicates compliance with international or regional standards for Underwriters Laboratories safety requirements.
Introduction Installation and Connection If the installation of this equipment in the USA will use 240V rather than 120V, the source must be a center-tapped, 240V, single-phase circuit. Contact GE Healthcare for information before connecting any devices to this equipment that are not recommended in this manual or the supplies and accessories reference guide for this system. Training This manual is intended as a supplement to, not a substitute for, thorough product training.
Introduction or requesting support for your product. The serial number format is shown in the following illustration: Serial Number Format Item Name Description 1 Product Code Three-letter code that uniquely identifies the product line. See “Product Codes” on page 27 for more information. 2 Year Manufactured Two-digit code identifying the year the device was manufactured. Values range from 00 to 99 For example: 00 = 2000, 04 = 2004, 05 = 2005 (and so on).
Introduction Item Description 4 Electrical rating of the device 5 Manufacturer name and address Product Codes The product code identifies specific system platforms. You can identify the product code using the serial number listed on the product label located in one of the following places: • On the product label attached to the device. • On the product label provided with the application CD.
Introduction Manual Information This section provides information for the correct use of this manual. Keep this manual with the equipment at all times and periodically review it. You should request training assistance from GE Healthcare, if needed. Manual Purpose The purpose of this manual is to provide the operator with information concerning the safety and use of their ECG system. Document Conventions This manual uses the following conventions.
Introduction Notes Notes provide application tips or additional information that, while useful, are not essential to the correct operation of the system. They are called out from the body text through a flag word and indentation, as follows: NOTE: The tip or additional information is indented below the NOTE flag word. Related Documents For a complete list of related manuals, refer to the "Related Manuals" appendix in the service manual.
Introduction 30 MAC™ 2000 2053535-002K
Product Overview 2 This chapter provides a description of the product, its features, and the requirements necessary to operate this system. Product Description This system provides two basic modes of operation: • Resting ECG This mode is the standard mode for your system. • Arrhythmia This mode is provided for the convenience of automatically generating documentation. You can upgrade the basic system with two other modes of operation: • Exercise This mode is for exercise stress testing.
Product Overview Front View Front View of Device Item Name Description 1 Display Presents waveform and text data. 2 Function Keys Selects menu options on the screen. 3 Keypad Use to select menu options on the screen. 4 Printer door push button Opens the printer door. 5 Printer/Printer door Prints reports.
Product Overview Rear View of Device Item Name Description 1 SD card slot Connection for Secure Digital (SD) card. This system supports SD cards formatted for the FAT or FAT16 file systems. 2 LAN or WLAN connection RJ45 network connector used to connect Ethernet cable for wired LAN communication or LAN communication using wireless bridge.
Product Overview Standard Keypad Standard Keypad Item Name Description 1 Power on/off Turns the system on or off. 2 Battery LED Indicates various battery states: • Steady amber indicates the battery is charging • Flashing amber indicates the battery is low • No light indicates the battery is neither charging nor low 3 Power LED Indicates the unit is plugged in and receiving power. 4 Leads key Scrolls through the leads and allows you to select the display formats for the lead sequence.
Product Overview Standard Keypad (cont'd.) Item Name Description 9 Function keys Use to select menu options on the screen. NOTE: There is no marking on the keypad for the function keys. Up to six menu options may be available at any given time, and each option corresponds to a function key directly below the display. 10 Backspace key Deletes characters. 11 Enter key Use to advance the focus in a window or to select items from the screen.
Product Overview Item Name Description 1 Stress keys Controls stress equipment connected to the system. Stress Keys Stress Keys Item Name Description 1 Pretest stress key Selects the pretest phase or advances to the next stage within the phase. 2 Exercise stress key Selects the exercise phase or advances to the next stage within the phase 3 Recovery stress key Selects the recovery phase or advances to the next stage within the phase 4 Test End stress key Selects the test end phase.
Product Overview Hardware Specifications See “Technical Specifications” on page 203 for a complete description of all hardware and system specifications for this device. Optional Software Features Optional Software Features Item Description QT Correction Formula The system provides the following QT correction formulas: Bazett (default) Framingham Fridericia Hookup Advisor Hookup Advisor alerts users of poor lead quality based on noise measurement and lead-off detection results.
Product Overview Using the Keypad You interact with the system by using the keypad. In addition to entering data as you would on any keypad, you can also use it to do the following tasks: • Select menu options • Navigate through data entry fields • Control optional stress equipment Using the Function Keys You can configure the device and initiate an ECG reading by selecting menu options that are across the bottom of the display.
Product Overview ECG Data Acquisition ECG Data Acquisition provides the following: • Samples with a minimum 500 Hz or 1000 Hz to the ECG processing algorithms and the application software • Pace enhancement enable/disable through the user interface • QRS detection and heart rate calculation • Lead sequences with 6 or 12 leads, where each lead is an element of the set (I, II, III, aVR, aVL, aVF, D, A, J, V1…V6) with an optional –aVR ECG Data Acquisition supports the following: • Default high pass filter (0.
Product Overview Navigating the User Interface You can configure the system in a number of ways. The configuration choices you make determine the actions you need to perform in order to proceed from the Power up display to the Main Menu. • The Power up mode selected in Basic Setup determines which window opens on startup. • If High Security Mode is enabled in Basic Setup, you are required to enter a user ID and password.
Product Overview • If your system is configured to power up in the Stress ECG mode, go to “Stress ECG Power Up Mode” on page 42. • If your system is configured to power up in the Order Manager mode, go to “Order Manager Power Up Mode” on page 43. Resting ECG Power Up Mode This procedure describes how to navigate to the Main Menu after powering on the system when Resting ECG is selected for Power up mode in Basic Setup.
Product Overview 4. Press Login. The Arrhythmia screen is displayed. If the Barcode Reader option is enabled, a window opens prompting you to Scan the Patient barcode. 5. If the barcode reader prompt is not displayed, press Cancel > More > Main Menu. Main Screen Power Up Mode This procedure describes how to navigate to the Main Menu after powering on the system when Main Screen is selected for Power up mode in Basic Setup.
Product Overview If the Barcode Reader option is enabled, a window opens prompting you to Scan the Patient barcode. 5. If the barcode reader prompt is not displayed, press Cancel > More > Main Menu. Order Manager Power Up Mode This procedure describes how to navigate to Main Menu after powering on the system when Order Manager is selected for Power up mode in Basic Setup. NOTE: If you need to perform system setup functions, be sure you log in as a user who is assigned setup editing privileges.
Product Overview 44 MAC™ 2000 2053535-002K
Setting Up the Equipment 3 Setting up this system consists of the following steps: 1. “Inserting the Battery” 2. “Connecting the AC Power” 3. “Connecting the Patient Cable” 4. “Connecting the Barcode Reader” 5. “Connecting the LAN Option” 6. “Connecting the USB Wireless Option” 7. “Connecting External Devices (Stress Option)” 8. “Connecting an Internal Modem” 9. “Inserting the Paper” 10. “Turning on the System” 11. “Configuring the Device” 12.
Setting Up the Equipment Use the following instructions to connect the system to an AC power outlet. Item Description 1 Female end of the device’s power cord connected to the back of the device. 2 Male end of the device’s power cord connected to an AC outlet. 1. Connect the female end of the device’s power cord (1) to the AC power connector on the back of the device. 2. Plug the male end of the device’s power cord (2) into an AC outlet.
Setting Up the Equipment Patient Cables Item Name Description 1 D-Sub 15–pin male connector Connects to the system’s ECG signal input connector. One end of each acquisition cable consists of a D-sub 15–pin male connector. 2 Multi-link Acquisition Cable Leads The lead end of the multi-link acquisition cable attaches to the leadwire adapters and uses 10 or 12 leadwires.
Setting Up the Equipment Leadwire Adapters Item Description 1 Leadwire end 2 4 mm pin 3 Grabber 4 Mactrode clip Use the following procedure to connect the patient cable: 1. Assemble the leadwires and adapters. See “Replacing Leadwire Adapters” on page 175. 2. Connect the leadwires to the front of the patient cable. 3. Connect the patient cable to the system. Ensure the cable is seated securely.
Setting Up the Equipment Connecting to WLAN If you purchased the LANC (LAN Communication to CardioSoft/CS) or LANM (LAN Communication to MUSE) options along with wireless bridge: 1. Connect the wireless bridge to the RJ45 network connector on the back of the device via Ethernet cable. 2. Connect the Power cable of the wireless bridge to USB port of the device. NOTE: Please check with GE representative if this solution is available in your country.
Setting Up the Equipment This system is compatible with MUSE v7.1.1, v8.0.1, and v9.0.0 and with CardioSoft/CS v6.51, v6.61, v6.71 and v6.73. Inserting the Paper Before you can print ECG reports, complete the following steps: 1. Make sure the system is set up for the correct paper size. This device can print on the following papers: A4, standard letter (8.5 x 11 inches), or modified letter (8.433 x 11 inches).
Preparing the Patient 4 This chapter provides the procedures for preparing the patient's skin and properly placing electrodes. NOTE: These instructions do not cover the application of electrodes for the KISS Electrode Application System (not available in the United States). To use the KISS system, see the KISS operator’s manual for instructions. Preparing the Patient’s Skin Careful skin preparation is the key to an interference-free ECG.
Preparing the Patient 4. Apply electrodes to the prepared sites. Electrodes should be placed only by a physician or ECG technician. WARNING: SHOCK HAZARD — Touching the conductive elements cancels the protection provided by the isolated signal input. Ensure that conductive parts of the electrodes or lead wires do not come in contact with other conductive parts. 5. Look at the lead-check screen for indication of lead problems. NOTE: Use only electrodes and contact agents recommended by GE Healthcare.
Preparing the Patient Standard 12–Lead Placement To acquire a standard 12–lead ECG, use the placement shown in the following diagram.
Preparing the Patient NEHB Placement To acquire a NEHB ECG, use the standard 12–lead electrode placement and items 1 and 2 as shown in the following diagram.
Preparing the Patient Stress 12–Lead Placement To acquire a stress 12–lead ECG use the placement shown in the following diagram.
Preparing the Patient 56 MAC™ 2000 2053535-002K
Entering Patient Information 5 The following sections describe how to enter patient information using the following methods: • With an internal keypad or external keyboard • With a barcode reader Entering Patient Information With an Internal Keypad or External Keyboard Patient information should be entered for each new patient from whom readings are taken.
Entering Patient Information 3. Use the Page up and Page down keys to move through the patient data windows. NOTE: If the CTDG (Clinical Trial Data Guard) option is activated, you enter clinical trial data on the last window. 4. When all the patient data has been entered, press Save to save the data. Entering Patient Information with a Barcode Reader Using a barcode reader can simplify the entry of patient information and reduce the chance of introducing errors.
Entering Patient Information 3. Enter or modify patient information as necessary. Refer to “Entering Patient Information With an Internal Keypad or External Keyboard” on page 57 for details. 4. After verifying that the patient information is correct, press Save to save the patient data. Automatic Query The method for downloading patient demographics or orders depends on the option you purchased.
Entering Patient Information 3. Scan the patient barcode using the barcode reader. The scanned Patient ID or Visit displays in the existing dialog box. 4. Press OK to begin querying the database. After the automatic query is complete, the ADT or order is displayed in the Enter Patient Data window. If more than one patient or order is found, a list displays. Select the patient or order from the list and press Select to continue. 5. Click Save to accept the patient ADT or order.
Entering Patient Information 4. Press OK to begin querying the database. After the automatic query is complete, the ADT or order is displayed in the Enter Patient Data window. If more than one patient or order is found, a list displays. Select the patient or order from the list and press Select to continue. 5. Click Save to accept the patient ADT or order. NOTE: Confirm the patient data and test information data is correct before saving.
Entering Patient Information 62 MAC™ 2000 2053535-002K
6 Order Manager The MAC 2000 system may retrieve orders from a Hospital Information System (HIS) through MUSE or non-MUSE systems. There are two types of order managers: Simple Orders and Advanced Order Manager. You can complete orders using any of the communication media outlined in the following section. Communication Media MUSE or non-MUSE systems can communicate with the MAC 2000 system in the following ways: • SD Card If you are communicating to MUSE systems, this is only available with MUSE v7.1.
Order Manager When the options are enabled, the Orders function key is available on the Resting ECG screen. When you select the Orders function key, this system queries for orders in the default location you set in Communication Setup. As a response to this query, the system displays a list of available orders at the location specified. You can select a single order from the list. The Patient Information screen of the Resting ECG application opens with the information populated from the order.
Order Manager 3. Enter the location(s) from which you want to retrieve orders. Locations must match the locations used on the remote system. Separate multiple locations with commas (for example 1, 13, 55). 4. Press Enter. The system connects to the remote system and retrieves a list of matching orders. 5. To select one order from the list, use the Select function key to select the order you want and press Enter.
Order Manager 6. Select Main Menu to return to the Main Menu window. 7. Select More > Order Manager to return to the Order Manager application. An asterisk (*) on the left side of the Patient Name indicates that the order is completed. Using the Order Manager Interface You can do the following things with orders: • Sort the list. • Print the list. • Delete single, multiple, completed, or all stored orders.
Order Manager You can also configure automatic order deletion separately from automatic record deletion. In this case, the system does not automatically delete a stored order when the associated ECG record is manually deleted. Use the following procedures to access the Delete Orders menu and delete orders stored locally on the device. Accessing the Delete Orders Menu Use the following procedure to access the Delete Orders menu. 1. On the Main Menu, select Order Manager.
Order Manager The orders are deleted and you return to the Delete Orders menu options. • To cancel the deletion, select No. The orders are not deleted and you return to the Delete Orders menu options. Deleting All Orders On the Delete Orders menu, use the following procedure to delete all of the orders. 1. Select Delete All. The following message is displayed: Are you sure you want to delete the orders? 2. Do one of the following: • To delete all of the orders, select Yes.
Recording a Resting ECG 7 The Resting ECG function is part of the basic ECG cart system. Resting ECG mode is the default Power up mode. When the system is turned on, the Resting ECG display is similar to the following screen. You can modify the default in the Basic Setup. Resting ECG Display Item Name Description 1 ECG Type The following are valid types of ECGs: • Resting ECG • Arrhythmia • Stress Test 2 2053535-002K Display Format Format of current waveforms.
Recording a Resting ECG Resting ECG Display (cont'd.) Item Name Description 3 Date Current system date. 4 Time Current system time. 5 Battery status indicator Displays the current battery level. For a description of the battery status indicator see “Battery Status Indicator” on page 181. 6 Internal storage indicator This indicator is displayed only if the internal storage option is enabled. It displays the approximate number of ECG records that you can store in the remaining memory.
Recording a Resting ECG The Hookup Advisor is displayed as a three-circle indicator in the upper right corner of the screen. The following table describes each of the indicator’s conditions. Hookup Advisor Indicators Indicator Red Description Indicates a leadfail condition or extreme baseline shifts. The red indicator is always the left-most circle of the indicator and flashes when lit. Yellow Indicates muscle artifact, power line interference, baseline wander, or electrode noise.
Recording a Resting ECG In either case, users may then do either of the following: • Select Continue to continue (print the ECG). • Select Cancel to cancel. Resting ECGs A resting ECG is the default mode of the ECG cart system, although you may change this in the system configuration. This section describes how to record a resting ECG and the available options. Recording a Resting ECG The following steps describe how to conduct a resting ECG. NOTE: To take a stat ECG, go directly to step 6. 1.
Recording a Resting ECG ECG Options This system provides several options for configuring an ECG. The options, presented as option keys across the bottom of the display, are listed in the following tables. ECG Options–First Row Option Description Patient Data Opens the patient data entry window. 25 mm/s Changes the speed of the waveform on the display and printout. Changing the speed also changes the speed at which the wiper bar moves across the display.
Recording a Resting ECG ECG Options–First Row (cont'd.) Option 150 Hz. NOTE: The initial measurement displayed is set in System Configuration > Resting ECG Setup. Description Eliminates noise in the waveform by restricting which frequencies are included. Frequencies are measured in Hertz (Hz) and include the following options: • 20 Hz • 40 Hz • 100 Hz • 150 Hz Selecting a frequency eliminates signals that exceed that frequency. The smaller the frequency selected, the more signal is filtered out.
Recording a Resting ECG Post-Acquisition Options In addition to setup options, the Resting ECG functionality offers additional options after an ECG is acquired. The following screens and tables describe the option keys across the bottom of the display. Post-Acquisition Options—Screen One Option Next Patient Description Displays two new options: • New Patient opens a blank Patient Information window. • Same Patient opens the Patient Information window populated with data from the previous patient.
Recording a Resting ECG Post-Acquisition Options—Screen One (cont'd.) Option Description RR Analysis Allows you to enter into RR Analysis mode. More Returns to the setup options. For more details, refer to “ECG Options” on page 73. Post Acquisition Options—Screen Two 76 Option Description Next Patient Opens the patient entry window allowing you to enter or select a new patient. Speed Changes the speed of the waveform on the display and printout.
Recording a Resting ECG Post Acquisition Options—Screen Three Options Description Printer Leads Rhythm Selects which leads to include in the printout. ADS Toggles the anti-drift system (ADS) on and off. ADS helps reduce baseline drift. Full Disclosure Select to start the full disclosure. Main Menu Exits the Resting ECG function and returns to the Main Menu. More Toggles between the second and third row of acquisition options.
Recording a Resting ECG Continue with step 6. 5. Press Cancel to stop acquiring the ECG, and perform one of the following: • Press Yes to stop acquiring the ECG data and return to the Resting ECG window. • Press No to remain acquiring the ECG data, and continue with step 6. 6. In the Full Disclosure Report window, you can perform the following operations: Full Disclosure Report Window Field Action Export to SD Card Press to export the ECG report to the SD card.
Recording a Resting ECG Full Disclosure Report Setup 1. Press Report Setup on the Full Disclosure Report window. The Full Disclosure Report Setup displays. 2. Perform the following actions to setup the full disclosure report format: Full Disclosure Report Setup Fields Description and Action Report Format Click the drop-down arrow to determine how the full disclosure ECG report prints on the thermal printer.
Recording a Resting ECG Full Disclosure Report Setup (cont'd.) Fields Description and Action Report Format Click the drop-down arrow to determine how the full disclosure ECG report exports to a PDF file. The options are: • one lead @ 25mm/s Lead Click the drop-down arrow to determine which lead to print on the PDF file.
Recording a Resting ECG suppressed. The following figure of an ECG recording with pacer pulses shows the amplitude of the reverse current. Recording ECGs During Defibrillation NOTICE: EQUIPMENT DAMAGE — Damaged cables can cause mechanical problems. Before connecting the cable to the device, check it for signs of physical damage. Do not use a damaged cable. For patient safety, use only the original GE Healthcare patient cable.
Recording a Resting ECG and you cannot store them to internal memory or transmit them. Use the following steps to generate a Rhythm Report. 1. Prepare the patient as described in “Preparing the Patient” on page 51. 2. Verify that the system is in Resting ECG mode. If the system is not in Resting ECG mode, on the Main Menu press Resting ECG. 3. Enter the patient data as described in “Entering Patient Information” on page 57. 4.
Arrhythmia Mode Recording 8 The Arrhythmia mode is part of the basic ECG cart system. The interface of the Arrhythmia mode is similar to the interface for the Resting ECG mode. For more information on the Resting ECG interface, see “Recording a Resting ECG” on page 69. Recording in Arrhythmia Mode This section describes the process for recording an arrhythmia report, the waveform options, and the printing options. Recording Arrhythmia ECGs 1.
Arrhythmia Mode Recording Arrhythmia Recording Options Arrhythmia Options- first row Option Description Start Recording Starts the arrhythmia reading. If you did not fill out the Patient Data to select a patient, you receive the following message: No Patient Selected. Do you want to continue without patient data? 1. Select the No tab to continue. The Enter Patient Data window opens. 25 mm/s NOTE: The initial measurement displayed is set in System Configuration > Arrhythmia Setup. 2.
Arrhythmia Mode Recording Arrhythmia Options- first row (cont'd.) Option Description 20 Hz Eliminates noise in the waveform by restricting which frequencies are included. Frequencies are measured in Hertz (Hz) and include the following options: NOTE: The initial measurement displayed is set in System Configuration > Arrhythmia Setup. • 20 Hz • 40 Hz • 100 Hz • 150 Hz Selecting a frequency eliminates signals that exceed that frequency.
Arrhythmia Mode Recording Refer to “Arrhythmia Printing Options” on page 86 for details. 2. Review the report as necessary. For more information, refer to “Arrhythmia Codes” on page 86. Arrhythmia Printing Options When printing an arrhythmia report, you have the following options: Arrhythmia Printing Options Option Description Print Summary Prints a combined report that includes both the Table and Episode formats. Print Table Prints a breakdown of the recording in tabular format.
Arrhythmia Mode Recording Code PERR Pacemaker error PSVC Premature supraventricular contraction PVC Premature ventricular contraction QRSL Learned QRS complex RUN Ventricular run (3 PVCs) VBIG Ventricular bigeminy VFIB Ventricular fibrillation/flutter VTACH 2053535-002K Arrhythmia Event Ventricular tachycardia (>3 PVCs) MAC™ 2000 87
Arrhythmia Mode Recording 88 MAC™ 2000 2053535-002K
9 RR Analysis RR Analysis is an optional mode of the system. It detects hidden patterns underlying the complex dynamic phenomena of heart rate variability (HRV) and measures the cardiac RR intervals. This option is not available in the U.S. RR Analysis Mode This section outlines the procedure for generating an RR Analysis report and describes the available setup, waveform, and output options. RR Analysis Settings Window Option Description Start Test Starts the RR Analysis test.
RR Analysis 90 MAC™ 2000 2053535-002K
RR Analysis RR Analysis Settings Window Description Field Target Selects the target of the test. Available options are: • 100 Beats • 200 Beats • 300 Beats • 400 Beats • 500 Beats • 1 min • 2 min • 3 min • 4 min • 5 min Record Lead Selects which rhythm lead is displayed and stored. Available options are: • I • II • III • aVR • aVL • aVF • V1 • V2 • V3 • V4 • V5 • V6 2053535-002K Line Filter Enables/disables the line filter defined in Country Setup.
RR Analysis RR Analysis Settings Window (cont'd.) Description Field Gain [mm/mV] Sets the magnitude of the ECG signal. Measurement is in millimeters per millivolt (mm/mV) and includes the following options: • 2.5 mm/mV • 5 mm/mV • 10 mm/mV • 20 mm/mV • 40 mm/mV • Automatic The larger the selected measurement, the larger the waveform. Only the representation of the waveform changes; signal strength is not affected.
RR Analysis 5. Press Save to record your settings. 6. Continue with “Acquiring a Recording for an RR Analysis Report” on page 93. Acquiring a Recording for an RR Analysis Report 1. Press Start Test. The device begins to acquire the ECG. The target beats, acquired beats, and acquired time are updated in real time on the screen. 2. While the ECG is being acquired, you can do any of the following: • Change the Speed. • Change the Gain. • Change Low Pass Filter. • Toggle Pace Enhancement.
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10 Stress Testing The Stress mode is an optional feature that allows you to conduct stress tests with any of the following devices. Stress Equipment Description Supported treadmills and ergometers Supported equipment connects to the ECG cart system through the serial port labelled COMM A on the back of the device. You can control the equipment through this connection. When a test phase changes, a signal is sent from the system to the equipment to change the speed, grade, or load, as appropriate.
Stress Testing • Target heart rate • Test protocol You cannot store the results of the test to internal storage or the external SD card. Instead, you must print the results. You can select any of the following report formats: • Summary Report • Tabular Summary • Trend Report • ST Trend Report • ST Summary Report • Episode Report To use the Stress ECG mode, you must meet the following conditions: • You must purchase the ERGO option and add it to the system.
Stress Testing Stress Test Information Bar Feature Item Number Description 1 Target Rate The target heart rate and the current heart rate’s percentage of that target. 2 VE/min Ventricular ectopics per minute (also known as premature ventricular contraction). This is calculated as the sum of all Premature Ventricular Contractions (PVCs) and Ventricular Escape beats (ESCs) detected in the past 60-second interval.
Stress Testing Stress Test Information Bar (cont'd.) Feature Item Number Description 6 Phase Name of the current test phase and its total duration in minutes and seconds. 7 Stage Name of the current test stage and its total duration in minutes and seconds. Displays in red when the system is in manual mode. 8 Speed/Load Speed of the treadmill or load of the ergometer.
Stress Testing Stress Option Keys–First Row (cont'd.) Option Description Gain Changes the magnitude of the ECG signal on the display or in the report. The measurement is in millimeters per millivolt (mm/mV) and includes the following options: • 5 mm/mV • 10 mm/mV • 20 mm/mV • 40 mm/mV • 2.5 mm/mV • Automatic The larger the selected measurement, the larger the waveform. Only the representation of the waveform changes; signal strength is not affected.
Stress Testing Stress Text Option Keys—Second Row (cont'd.) Option Description Select Protocol Selects a predefined set of test criteria. For more information, see “Editing Stress Protocols” on page 137. Report Format Selects the components and episodes to include in the report. Allows you to override the defaults set on the Stress ECG Setup window. For more information, see “Stress ECG Settings” on page 133.
Stress Testing 3. Enter patient data as described in “Entering Patient Information” on page 57. 4. Adjust the stress options as necessary: This includes the speed and gain, finite residual filter, pacemaker enhancement, printer leads, test protocol, report format, and target heart rate. For more information on setting these options, see “Stress Options” on page 98. 5. Record a preliminary ECG.
Stress Testing The menu options change. Continue to step 10. 10. Do any of the following, as necessary. • Press Next Patient to test another patient. You are warned that testing another patient discards the results of the current test. Do one of the following: • Press No to cancel the change in patients and return to the current test. You can either print the current test report or change the report formats. • Press Yes to erase the current test results and test a new patient.
Stress Testing 7. Press the Exercise key to begin the test. The duration of the exercise phase is dependent on the selected protocol: • SINGLE is 90 seconds • DOUBLE is 180 seconds • TRIPLE is 270 seconds When the test is complete, the first POST EXER. stage begins and the ELECTR.ON message is displayed. 8. Reattach the leadwires to the electrodes. The median report prints at pre-configured intervals during the post exercise stages.
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Managing Internal Storage 11 The File Manager provides an interface to the system’s optional internal storage. It provides the tools to: • Import records from an external source • Print the internal storage directory • Search stored records • Edit a record’s patient data • Delete records • Print records • Transmit records to an external device • Export records to a secure digital card, shared directory, or FTP server You can print resting ECGs or save them to internal storage.
Managing Internal Storage To import data via serial port or modem you need to do the following: • Purchase and activate the appropriate communications option. For more information see “Options Setup” on page 165. • Configure the system’s data communication settings. For more information, see “Communication Setup” on page 140. NOTE: Imported records have a Sent status of Recv and you cannot edit, transmit or export them. Use the following instructions to import a record into internal storage: 1.
Managing Internal Storage Finding Records The File Manager may have up to 200 records to manage (if the M200 option is enabled), making it difficult to find a specific record. To help you locate a record or a group of records, use the following instructions. 1. On the Main Menu, press File Manager. The File Manager window opens. 2. Press Search. The Enter Search Criteria window opens. 3. Enter your search criteria. 4. Press Search.
Managing Internal Storage 3. Use the trimpad to select the record you want to edit. NOTE: You cannot edit the patient data for records that were imported to internal storage. Imported records have a Sent status of Recv. 4. Press Edit. The Enter Patient Data window opens. 5. Edit the information as appropriate. For instructions on editing patient information, see “Entering Patient Information” on page 57. 6. After the information is updated, press Save.
Managing Internal Storage Deleting Records Use the following instructions to delete all records from internal storage: 1. On the Main Menu, press File Manager. The File Manager window opens. 2. Do one of the following. • To delete select records, press Select and use the trimpad to select the record(s) you want to delete. • To delete all the records in storage, press Select All. 3. Press Delete. A window opens and prompts you confirm that you want to delete the selected record(s). 4.
Managing Internal Storage See “Communication Setup” on page 140 for more information. • Connect the device to the communication option. • To set up a LAN connection to a CardioSoft/CS or MUSE system, see “Connecting to LAN” on page 48. • To set up a WLAN connection to a CardioSoft/CS or MUSE system, see “Connecting to WLAN” on page 49. • To set up a Wireless connection to a Cardiosoft/CS or MUSE system, see “Connecting the USB Wireless Option” on page 49.
Managing Internal Storage Exporting Records You can export records from internal storage to a Secure Digital card or a shared directory, in either a Hilltop/XML or PDF format. The maximum number of records you can export in XML format is determined by which storage option is enabled: • If M100 is enabled, the maximum is 100. • If M200 is enabled, the maximum is 200 (with a sampling rate of 500 Hz). • Records exported in PDF format have no maximum limit.
Managing Internal Storage 3. Press More > Export. The function keys change. Depending on which options were activated, the function keys may include Hilltop XML, PDF, and Return. 4. If you are exporting to an SD card, insert the card into the SD card slot. Make sure the card has sufficient free space for the selected records and that it is not write-protected.
System Configuration 12 System Configuration provides access to functions that allow you to customize the system settings and to utilities to help manage those settings. This chapter describes the settings managed by each function and the process followed by each utility. NOTE: Configuration changes can cause data loss. After making configuration changes, you MUST return to the Main Menu to ensure the changes are saved.
System Configuration The following tables describe each setting available on Basic Setup. Basic Setup Fields—Page 1 Field Description Name The name of the institution. Street The street address of the institution. City The city where the institution is located. Ordering Physician The physician who ordered the ECG. Defaults on any patient records created on the system. Referring Physician The physician who referred the patient. Defaults on any patient records created on the system.
System Configuration Basic Setup Fields–System Settings Field Comment Power up mode Determines which screen is displayed when the system is powered on. Available options are: • Resting ECG (default) • Arrhythmia • Main Screen • Stress ECG • Order Manager 2053535-002K Display Colors Determines the appearance of the ECG display. Select a color combination that is legible for you. ECG Grid on Display Determines whether a grid is displayed behind the waveforms. A grid may make reading the ECG easier.
System Configuration Basic Setup Fields–System Settings (cont'd.) Field Comment Disable Wireless When in Standby mode Determines whether the wireless function is disabled while the device enters the standby mode. It is disabled by default. NOTE: If the embedded wireless module is installed, this option is disabled and cannot be enabled. Auto Standby Time (1–255 min) Identifies the amount of time, in minutes, that the device can remain inactive before it enters standby mode.
System Configuration Basic Setup Fields–System Security Setup (cont'd.) Field Comment Automatically synchronize with Time Server Enables/disables automatic synchronization with an external time server either on the institution’s network or the Internet. You must activate a LAN option to set this option. Time Server Name Identifies the server with which the device synchronizes its time. This can be a server on the institution’s network or on the Internet.
System Configuration Resting ECG Setup The Resting ECG Setup window allows you to define: • Waveform parameters • Waveform parameters • Lead usage • Analysis options • Lead sequence • Report options • Storage options (if the internal storage option is activated) • Transmission options (if a communications option is activated) • Full Disclosure Setup To access the Resting ECG Setup window, on the Main Menu press System Configuration> Resting ECG Setup.
System Configuration Resting ECG Setup Fields–Page 1 Field Comment Gain Sets the amplitude of the ECG signal. Measurement is in millimeters per millivolt and includes the following options: • 2.5 mm/mV • 5 mm/mV • 10 mm/mV • 20 mm/mV • 40 mm/mV • Automatic The larger the selected measurement, the larger the waveform. Only the representation of the waveform changes; signal strength is not affected.
System Configuration Resting ECG Setup Fields–Page 1 (cont'd.) Field Comment 6 leads: 2x3 Enables/disables a display option that shows two three-waveform columns. 12 leads: 2x6 Enables/disables a display option that shows two six-waveform columns. 12 leads: 4x3 Enables/disables a display option that shows four three-waveform columns. Display Format Selects the display format of the resting ECG. The default value is 3 leads: 1x3. Other values depend on which of the previous two fields are set.
System Configuration Resting ECG Setup Fields–Page 2 Field Comment Printer Leads Identifies the default set of leads to use for printing. The values are: • First 6 • Second 6 • Rhythm 6 • 12 Start rhythm report on new page Determines whether the rhythm report prints on a separate page. Pace Enhancement Increases the readability of pacemaker ECG either by augmenting small pace pulses or by truncating large pace pulses. If enabled, pace enhancement is done in two steps: 1. Add a marker (1.
System Configuration Resting ECG Setup Fields–Page 2 (cont'd.) Field Comment QTC Calculation Determines which formula is used to correct QT calculations. Available options are: • Bazett QTc = QT √HR\60 Bazett is available only if the MEHR or MIHR option is activated. • Framingham QTc = QT + 154 (1 — 60/HR) Framingham is available only if the ME12 or MI12 option is activated. • Fridericia QTc = QT3 √HR/60 Fridericia is available only if the ME12 or MI12 option is activated.
System Configuration Resting ECG Setup Fields–Page 2 (cont'd.) Field Comment ACI-TIPI Enables/disables the inclusion of the ACI-TIPI (Acute Cardiac Ischemia Time Insensitive Predictive Instrument) statement and enables the Chest Pain field on the Patient Information window.
System Configuration Resting ECG Setup Fields–Page 3 Field Description Lead Sequence Determines the lead sequence to use. Values are: • Standard • Cabrera • NEHB • SEQ4 SEQ4 allows you to configure a custom 12-lead sequence using the following fields. If either 12SL option (ME12 or MI12) is activated, you must select leads I (-I), II (-II), V1, V2, V3, V4, V5, and V6 for a correct 12SL analysis. 124 Sequence Name Set the display name for a custom lead sequence.
System Configuration Resting ECG Setup Fields–Page 4 Field Description 10s ECG Report Format Determines how the 10s ECG report prints. If no format is selected, the report does not print. The values are: • 1x10x12_25 • 1xx10x12_50 • 2x10x6_25 • 1x10x3_25 • 2x5x6_25 • 2x5x6_50 • 2x5x6_25_SYN • 2x5x6_50_SYN • 2x5x6_25_R1 • 4x2.5x3_25 • 4x2.5x3_25_R1 • 4x2.5x3_25_R3 • 4x2.5x3_25_R2_P • H1 • H2 If the CTDG option is enabled, the report format is 4x2.5x3_25_R2_P.
System Configuration Resting ECG Setup Fields–Page 4 (cont'd.) Field Description Auto Store ECG Determines whether the ECG is automatically stored on the internal storage. This is available only if the M100 or M200 internal storage option is activated. For more information, see “Options Setup” on page 165. File Manager Sort by Determines the field by which the File Manager sorts records in internal storage. This is available only if the M100 or M200 internal storage option is activated.
System Configuration Resting ECG Setup Fields–Page 4 (cont'd.) Field Description Auto Export ECG Determines whether the ECG is automatically exported in Hilltop, Hilltop/XML, or PDF format to the shared directory or FTP server location. Availability of Hilltop/XML format depends on whether Export XML option was enabled in Communication Setup. Availability of PDF format depends on PDFC option activation in Options Setup. Available if any of LANC, LANM, WIFC or WIFM option is activated.
System Configuration Resting ECG Setup Fields–Page 4 (PDF Export Setup) Field Description 10s ECG Report Format Determines how the 10s ECG report prints to a PDF file. The options are: • 4x2.5x3_25 • 4x2.5x3_25_R1 • 4x2.5x3_25_R3 • MUSE1 • MUSE2 • 1x10x12_25 • 2x5x6_25 • 2x5x6_25_SYN • 2x5x6_50 • 2x5x6_50_SYN NOTE: Options MUSE1 and MUSE2 are not available in the Chinese version. Baseline Auto Adjust Enables/disables the PDF export.
System Configuration Resting ECG Setup Fields–Page 5 (Full Disclosure Setup) Field Description Thermal Report Format Determines how the full disclosure ECG report prints on the thermal printer. The options are: • one lead @ 25mm/s • one lead @50 mm/s • 12 leads @ 25 mm/s Lead Determines which lead to print on the thermal printer. The options are: • I • II • III • aVR • aVL • aVF • V1 • V2 • V3 • V4 • V5 • V6 Acquisition Time (Minutes) Sets up the full disclosure ECG acquisition time.
System Configuration Resting ECG Setup Fields–Page 5 (Full Disclosure Setup) (cont'd.) Field Description Lead Determines which lead to print to a PDF file. The options are: • I • II • III • aVR • aVL • aVF • V1 • V2 • V3 • V4 • V5 • V6 • 12 Leads Auto Export Determines whether export the full disclosure ECG report to configured location. Location Determines where the full disclosure ECG report export to.
System Configuration Most of the fields on the Arrhythmia Setup windows are the same as those on Resting ECG Setup. The following tables list the arrhythmia settings that are unique or differ from resting ECG. For all other fields, see “Resting ECG Setup” on page 118. Arrhythmia Setup Fields–Page 1 2053535-002K Field Description ADS Enables/disables the Anti-Drift System, which helps reduce baseline shift. In Arrhythmia mode, this setting is always available.
System Configuration Arrhythmia Setup Fields–Page 2 Field Description Rhythm Printing Determines whether the rhythm report starts automatically when recording starts. Arrhythmia Event Printing Determines which events print on the Arrhythmia Report: • All events • Unequal events • No event printing Episodes Printout in Summary Report Determines how arrhythmia events print.
System Configuration Arrhythmia Setup Fields–Page 3 Field Description Lead Sequence Determines the lead sequence to use. Arrhythmia Setup includes the following options in addition to the four options available in the Resting ECG Setup: • STD_C • STD_RED • STD_LI • CABR_LI • NEHB_6 • HIGH_C 1–6 Rhythm Leads Six fields that allow you to define the rhythm leads and their sequence. You can select the rhythm leads for all four lead sequences.
System Configuration are unique or differ from the resting or arrhythmia setups. For all other fields, see “Resting ECG Setup” on page 118 or “Arrhythmia Setup ” on page 130. Stress ECG Setup Fields–Page 1 Field Comment ECG Filter Type Determines which method to use to filter the ECG signal. Options are: • ADS Anti-Drift System – reduces baseline shift • FRF Finite Residual Filter – reduces noise and artifacts The selection also determines the behavior of the Lower Pass Filter [Hz] and ADS/FRF fields.
System Configuration Stress ECG Setup Fields–Page 2 Field Comments Max Predicted HR Formula Determines the formula that predicts the patient’s maximum heart rate. Options are: • WHO This formula, recommended by the World Health Organization, subtracts the patient’s age from 220. For example, a patient who is 50 years old has a maximum predicted heart rate of 220 - 50 = 170. • AHA This formula, recommended by the American Heart Association, varies depending on the age of the patient.
System Configuration Stress ECG Setup Fields–Page 2 (cont'd.) Field Comments J+x Point Formula Determines the method that calculates the post J-Point. Options are: • 0 ms • 10 ms • 20 ms • 40 ms • 80 ms • Rautaharju (default value) • RR/16 The numeric values (0 ms—80 ms) add the selected number of milliseconds to the J-point Calculation (E, J point) Determines when the select J+x point formula is used.
System Configuration Stress ECG Setup Fields–Page 3 Field Comments In-Test Reports Determines the format of the report. Options are: • Median Report • Comparative Medians Report Median Report Speed [mm/s] Determines the speed in millimeters per second at which the waveforms are represented on the report. Options are: • 25 • 50 12-lead Report Determines the layout of a 12-lead report. Options are: • 1x12 One column showing 10 seconds from all 12 leads.
System Configuration Pre-defined Stress Test Protocols (cont'd.) Device Protocols Ergometers Master’s Step WHO WHO50 WHO75 HOLLMANN BAL STD.FRANCE MODWHO CONCONI SINGLE DOUBLE TRIPLE Most treadmill and ergometer protocols consist of three pre-defined phases: Pretest, Exercise, and Recovery. Each phase can include multiple stages that define the parameters of the test. The parameters differ slightly depending on the device, as seen in the following table.
System Configuration Stress Test Parameters (cont'd.) Parameter Treadmill Ergometer Master’s Step BP First ü ü BP Repeat ü ü Comment The interval at which the first blood pressure reading is stored. The interval at which subsequent blood pressure readings are stored. The interval at which subsequent blood pressure readings are stored. You can modify the pre-defined protocols to create custom protocols. Use the following instructions to create a custom protocol: 1.
System Configuration 9. To edit a stage, do the following: a. Select the stage to edit. b. Press Edit. The Edit Stage window opens. c. Modify the stage parameters as appropriate. Refer to the table preceding these instructions for a description of each parameter. d. When you are done, press OK. The Edit Stage window closes. 10. To delete a stage, do the following: a. Select the stage you want to delete. b. Press Delete Stage. The selected stage is deleted. 11.
System Configuration • Wired LAN Settings (if a LAN option is activated for wired communication or wireless communication via wireless bridge) • Wireless Networking Settings (if a wireless option is activated for wireless communication via wireless dongle or embedded wireless module) • EAP Certificate Setting • DCP Settings NOTE: This system is compatible with MUSE v7.1.1, v8.0.1, and v9.0.0, and CardioSoft/CS V6.51, V6.61, v6.71, and V6.73.
System Configuration Communication Setup – Data Communication Settings and Shared Directory Settings (cont'd.) Fields Description Share Name Identifies the name of the shared network drive. It must be the share drive’s name; IP addresses are not supported. This field allows a maximum of 256 characters. This field is available only if the Allow Export Using Shared Directory field is checked. Username Identifies the user name that the system uses to log on to the shared directory.
System Configuration Communication Setup – FTP Server Settings Fields Description Allow Export Using FTP Determines whether ECG records can be exported to a FTP Server. Available only if the LAN Communications to CardioSoft/CS option (LANC), LAN Communications to MUSE option (LANM), Wireless Communications to MUSE option (WIFM) or Wireless Communications to CardioSoft/CS option (WIFC) has been activated. If this field is checked, the following six fields become available.
System Configuration Communication Setup – Data Communication Locations Field Description Location Identifies the name of a communication location that receives the transmission from the system. You can define up to four locations. Device Identifies the type of device to use to transmit data to the location. Options are: • Serial • Modem • LAN Modem and LAN are available only if the corresponding option was activated. This field becomes active only after a corresponding location is entered.
System Configuration Communication Setup – Data Communication Locations (cont'd.) Field Description Phone Number Identifies the location’s phone number. This field is available only if the selected device is Modem. Protocol Determines the protocol to use to communicate with the device. Options are: • A5 • CSI • DCP Select CSI for MUSE connections and A5 for CardioSoft/CS connections. DCP is available only if the selected device is LAN. NOTE: • When using DCP to connect to the MUSE 8.0.
System Configuration This is a serial protocol that you can use for backward compatibility. It is compatible with all versions of the CardioSoft/CS system. It supports sending patient tests. You can use it with modem or serial connections. Communication Setup – Modem Settings 146 Field Description Modem Informs the user that the device is using the internal modem. Dialing Method Determines whether the system uses a tone or pulse to dial.
System Configuration Communication Setup – Modem Settings (cont'd.) Field Description Outside Line Identifies any access numbers that must be dialed to reach an outside line. Manual Dialing Determines whether the system automatically dials. If this field is checked, the connection must be made manually.
System Configuration Communication Setup – Wired LAN Settings Field Description Cardiograph Device Name Identifies the name of the device on the network. By default, the value is set to GE_. A valid network device name contains between 1 and 20 alphanumeric and underscore characters. The first character must be a letter. This field is available only if a LAN or Wireless option was activated.
System Configuration Communication Setup – Wired LAN Settings (cont'd.) Field Description Preferred WINS Server Identifies the IP address of the primary WINS server used to resolve Windows host names. You must have the correct WINS address configured if you are using a shared folder for communication. Alternate WINS Server Identifies the IP address of the secondary WINS server used to resolve Windows host names.
System Configuration Communication Setup – Wireless Networking Settings Field Description Enable Wireless LAN Enables/disables wireless LAN connectivity via USB wireless dongle. Check the field to enable wireless. Clear the field to disable wireless. The field is cleared by default. NOTE: In order to connect to wireless, please insert the USB wireless device after the device status indicates it is working. Otherwise, wireless is not connected correctly.
System Configuration Communication Setup – Wireless Networking Settings (cont'd.) Field Description EAP Phase 2 Specifies the EAP authentication method. Values are: • MSCHAPV2 • MSCHAP • CHAP • PAP • GTC NOTE: If you are using the dongle module, only MSCHAPV2 is available. If you are using the embedded wireless module: • MSCHAPV2 and GTC are available if you select PEAP in EAP Phase 1. • MSCHAPV2, MSCHAP, CHAP, and PAP are available if you select TTLS in EAP Phase 1.
System Configuration Communication Setup – EAP Certificate Setting Field Description Validate Server Allows you to determine whether all clients must validate the server's certificate before they can establish a connection. To enable server validation, select the check box. This field is available only if PEAP or TTLS is selected in the EAP Phase 1 field on the Wireless Networking Settings window.
System Configuration Communication Setup–DCP Settings Fields Field Description Discover DCP Device Allows you to discover GE Healthcare systems that support DCP servers on the same network subnet as this system. This command returns a list of DCP servers and you can select one of them for communication. Usually there is only one server from which to choose. If no servers are displayed, you can enter one manually. DCP WS Address Displays the address of the DCP server to use for communication.
System Configuration The following table identifies the settings on Country Setup. Country Setup Fields Comments Field Language Determines the language the interface and reports use. Date Format Determines the format in which dates are displayed. Options are: • DD.MM.YYYY • MM/DD/YYYY • YYYY-MM-DD Time Format Determines whether the system uses a 12–hour or a 24–hour format.
System Configuration Use the following instructions to print a setup report: 1. On the Main Menu press System Configuration > More > Print Setup Report. 2. On the Print Setup Report window, select the report you want to print. • Basic Setup • Resting Setup • Arrhythmia Setup • Stress Setup • RR Analysis Setup • Communication Setup • Country Setup • Patient Setup • User Setup • Options Setup • Order Manager Setup • Complete Setup 3. When you are done, press Return to return to the Main Menu.
System Configuration This is available only if the CTDG CT Data Guard option is activated. • Barcode reader settings This is available only if the BCRD USB Barcode Reader option is activated To access Patient Setup, on the Main Menu press System Configuration > More > Patient Setup. The following tables identify the settings on Patient Setup. Patient Information Setup Fields 156 Field Description Visit Determines whether the Visit field is available when entering test information.
System Configuration Patient Information Setup Fields (cont'd.) Field Description Height Determines whether the height field is available when entering patient data. Weight Determines whether the weight field is available when entering patient data. Gender Determines whether the gender field is available when entering patient data. Race Determines whether the race field is available when entering patient data.
System Configuration Test Information Window 158 Fields Comments Systolic BP Determines whether the systolic blood pressure field is available when entering test information. Diastolic BP Determines whether the diastolic blood pressure field is available when entering test information. Print Determine whether the following 5 fields will be printed on thermal or PDF report. Location Determines whether the location field is available when entering test information.
System Configuration Test Information Window (cont'd.) Fields Comments Print Determine whether the following field will be printed on thermal or PDF report. Extra Questions… Opens the Extra Questions window, which allows you to define up to four custom fields. Each field consists of a Prompt and a Type. The Prompt can be up to 10 characters.
System Configuration Patient Setup—Clinical Trial Setup Window (cont'd.) Field Comments Extra Questions Opens the Extra Questions window, which allows you to define up to fie custom clinical test fields. Each field consists of a Prompt and a Type. The Prompt can be up to 10 character.
System Configuration Barcode Scanner Setup Field Comments Auto Configure Automatically configures the barcode reader. When you click this link, you are prompted to scan a configuration barcode created by the site’s IT department. For more information on creating the barcodes, see “Creating Barcodes ” on page 193. Total number of bytes Identifies the total number of bytes on the barcode. Offset Identifies the position of the initial character of the corresponding field.
System Configuration • Attending Physicians • Technicians When you select one of these roles, a list of existing users with that role opens. You can now add, edit, and delete users. The following table identifies the settings on User Setup. Comment Field Last Name Identifies the user’s surname. This field is required and allows a maximum of 40 alphanumeric characters. First Name Identifies the user’s given name. This field is optional, but if used, allows a maximum of 20 alphanumeric characters.
System Configuration Comment Field Edit Date and Time Enables/disables the user’s ability to edit system date and time. Edit Users Enables/disables the user’s ability to edit user information. Edit Record Enables/disables the user’s ability to edit ECG records. Delete Record Enables/disables the user’s ability to delete ECG records. Transmit Records Enables/disables the user’s ability to transmit ECG records.
System Configuration 5. To change the name of a system setup file, do the following: a. Select the setup file you want to change. b. Press Edit Name. The Setup Name window opens. c. 6. 7. Type the new name and press Save. To remove all custom settings, do the following: a. Select the setup file you want to reset. b. Press Factory Defaults. c. When prompted to confirm, press Save. When you are done, press Return to exit.
System Configuration Export Setup The Export Setup utility allows you to export saved settings from the device to an SD card. You can then use the SD card to import the settings to another device, greatly simplifying the installation and configuration of multiple devices. 1. Insert an SD card into the SD card slot in the back panel, as shown in the following illustration: 2. Push the SD card into the slot to seat it in place. 3.
System Configuration All purchased options are activated when the system ships. If you purchase a new option or re-activate an option, use the following instructions: 1. On the Main Menu press System Configuration > More > More > Options Setup. 2. In the Option Code field, type the 12–digit activation code. You can find activation codes for purchased options on the Active Code Summary Sheet provided with the system or with additional purchased options. 3. Press Enter.
System Configuration Option Codes (cont'd.) Option Code Name E12L 12–Lead display for Stress Test CFRA 21 CFR Part 11 Audit Trail BCRD USB Barcode Reader TIPI ACI-TIPI (Acute Cardiac Ischemia — Time Insensitive Predictive Instrument) This option is disabled if MEHR or MIHR is enabled.
System Configuration Date/Time Setup The Date/Time Setup function allows you to configure the system’s date and time settings. To access Date/Time Setup, on the Main Menu press System Configuration > More > More > More > Date/Time Setup. The following table identifies the settings on Date/Time Setup. Date and Time Setup Fields Field Description Date Sets the current system date. The format of the fields depends on the date format selected on Country Setup.
System Configuration Order Manager Setup Fields Field Comment Initial sort value Determines how the Order Manager initially sorts the ECGs. Select one of the following values: • Patient Name • Patient ID • Location Auto Order Deletion If enabled, the system deletes orders associated with ECG files that were deleted automatically.
System Configuration The following table identifies each component in the example: Components of the File Naming Convention Value Component Description GEMAC2000 Product name: this is always GEMAC2000. 1.0 Software version: this varies based on the software version installed. SDS07410016WP The device serial number: this varies from device to device. resting ECG mode: this is either resting (Resting ECG mode), rrana (RR Analysis mode) or full (Full Disclosure mode).
System Configuration • Date of Test • Export Date • Secondary ID 5. Press Save and return to the System Configuration window. Retrieving Your Password If the system is set up for High Security Mode and you forget your password, use the following procedure to access the system: 1. Contact GE Healthcare Technical Support and provide the serial number of the device you want to access. GE Healthcare Technical Support generates a temporary, device-specific name and password that you can use for 24 hours. 2.
System Configuration Use the following procedure to export the audit trail to an SD card: 1. Insert an SD card into the device. 2. On the Main Menu, press System Configuration > More > More > More > Export Audit. After the audit trail is copied to the SD card and cleared from the system a message notifies you that the export was successful. After the XML file is exported, you can review or print the audit trail as needed.
13 Maintenance Regular maintenance, irrespective of usage, is essential to ensure that the equipment functions when required. This chapter provides basic maintenance information for the following components: • Device • Cables and leadwires • Paper • Battery See the documentation provided with your peripherals for additional maintenance procedures. This device does not require any calibration.
Maintenance If you notice any items that need repair, contact an authorized service representative to make the repairs. Discontinue using the device until the appropriate repairs can be made. Cleaning the Device Clean the exterior surface of the device monthly, or more frequently if needed.
Maintenance Cleaning, Disinfecting and Storing Leadwires and Reusable Electrodes CAUTION: IMPROPER FUNCTIONING — Carefully inspect instruments between uses to verify proper functioning. Refer to the instructions for use that accompany the supplies and accessories for information on safety, cleaning, disinfection, sterilization and storage of reusable supplies and accessories.
Maintenance • Remove the paper pack • Store the thermal paper Replacing Paper Use the following procedure to add or replace paper: 1. Press the push button on the top of the device (1) to open the printer door (2). 2. Extend the top sheet of the pack of paper and insert the pack into the paper compartment (3). Align the top sheet of the paper to the line located on the near side of the printer door. 3. 176 Close the printer door (4) until it clicks into place (5).
Maintenance Adjusting the Tray for Paper Size Adjusting the Tray for 8.5 x 11 inches or A4 Use the following procedure to adjust the tray for the correct paper size if you are using letter (8.5 x 11 inches) or A4 paper. 1. Turn the device over so the bottom of the device is facing you. 2. Loosen the length and width fasteners (2 and 4) situated close to the paper spacers. 3. Slide the spacers (1 and 3) to the appropriate position for the paper size that you are using. 4.
Maintenance Adjusting the Tray for Modified Letter Paper (8.433 x 11 inches) Use the following procedure to adjust the tray for modified letter paper (8.433 x 11 inches). 1. Press the push button to open the printer door (6) and insert the modified letter paper. 2. Turn the device over so the bottom of the device is facing you. 3. Loosen the screws for the paper tray spacer (4). 4. Slide the spacer (3) until it presses the paper that is already loaded.
Maintenance Storing Thermal Paper Refer to the instructions for use that accompany the thermal paper for information on storing of the thermal paper. Battery Maintenance The device uses a rechargeable battery containing lithium-ion cells. The battery contains an integrated electronic fuel gauge and a safety protection circuit. Because of the bias current needed to operate the integrated electronics, the battery discharges even when it is not installed in the device.
Maintenance 4. Gently lift the cover of the battery compartment. 5. Remove the battery from the compartment. 6. Place the new battery in the compartment and push until it clicks into place. 7. Replace the cover on the battery compartment. It should click into place. 8. Tighten the screw to hold the cover in place.
Maintenance 7. Remove the AC mains power and turn on the device. 8. Allow the battery to discharge until the device shuts down. 9. Reconnect the AC mains power to the device and leave the device turned off. 10. Allow the battery to fully charge. When the Battery LED indicator stops flashing and shines steadily, the battery is fully charged and the conditioning cycle is complete. Battery Status Indicator The battery status indicator is located on the top of the screen.
Maintenance 182 MAC™ 2000 2053535-002K
14 Troubleshooting This section identifies some of the more common problems with the system and lists their potential causes and solutions. If the information in this section cannot resolve your issue, contact GE Healthcare Technical Support. General Troubleshooting Tips Use the following general troubleshooting tips to help diagnose problems not specifically discussed elsewhere in this chapter. • Thoroughly inspect the equipment.
Troubleshooting Frequently Asked Questions (FAQ) This section addresses frequently asked questions concerning maintenance, system setup, and clinical topics. Question Procedure How do I save changes I have made to the System Configuration? Refer to “Export Setup” on page 165. How do I restore system setups from the SD card? Refer to “Import Setup” on page 164 How do I obtain a printed record of the System configuration file? Refer to “Print Setup Report” on page 154.
Troubleshooting Refer to “Replacing the Battery” on page 179 for instructions on installing the battery. • Verify the device is connected to an AC power outlet. Refer to “Connecting the AC Power” on page 45 for instructions. • Verify the equipment is receiving power from the outlet. If the device is receiving power, the Power LED is lit. ECG Data Contains Noise If the acquired ECG data displays unacceptable noise levels, do the following: • Check the patient’s position.
Troubleshooting Paper Jams If the paper jams while printing, do the following: • Verify the paper was inserted correctly. For details, refer to “Replacing Paper” on page 176. • Verify the paper tray spacers are set appropriately for the paper size. For details, refer to “Adjusting the Tray for Paper Size” on page 177.
Troubleshooting • Check Communications Setup to verify the correct dialing method is selected and configured accurately. For details, refer to “Communication Setup” on page 140. • If transmitting records, check the selected location to verify the following: • Modem is the selected device. • The Phone Number is correct. • The correct Protocol is selected. For details, refer to “Communication Setup” on page 140.
Troubleshooting For more information on setting up LAN communication, see Chapter “Options Setup” on page 165 2. Verify the ethernet cable is connected properly to the ethernet port of the Silex Wireless Bridge and the other end of the ethernet cable to ethernet port of the MAC2000 device. For information on where the Silex Wireless Bridge connects to the device, see Chapter “Rear View” on page 32. 3.
Troubleshooting For more information on setting up LAN communication, see “Options Setup” on page 165. 2. Check communication setup to verify whether the IP, netmask, gateway, and DNS server addresses are all correct. For details on checking the IP addresses, see “Communication Setup” on page 140. 3. Check whether the embedded wireless module is enabled and the authentication details are correct.
Troubleshooting Report Errors This section addresses the following report error: “ACI-TIPI Statement is not Included on Report” on page 190. ACI-TIPI Statement is not Included on Report If the ACI-TIPI statement is not displayed when expected, do the following: • Verify the ACI-TIPI option is activated. For information on activating the ACI-TIPI option, refer to “Options Setup” on page 165. • Verify ACI-TIPI is enabled on the ECG. For information, refer to“Resting ECG Setup” on page 118.
Troubleshooting Problem Cause Solution The system does not power up while operating from battery power. Battery is fully discharged. Connect the system to an AC outlet to charge the battery The system powers down while operating from battery power. Battery is fully discharged Connect the system to an AC outlet to charge the battery You are prompted to enter User ID and/or Password while attempting to export records to a shared network directory.
Troubleshooting Problem Cause Solution The following error message is displayed while printing: Printer internal error – Printing not possible The printer encountered a temporary condition that caused it to stop printing the current report. To restart any of the following reports, push the appropriate button: • Rhythm Report in Resting ECG Mode • Arrhythmia recording in Arrhythmia Mode • In-test Reports in Stress Test Mode All other reports restart automatically.
A Creating Barcodes The following sections provide the information you need to configure bar codes. The MAC 2000 barcode reader can read codes that consist of the following linear and 2–D symbologies: • 39 • PDF-417 • 128 • Interleaved Code 2 of 5 • Data Matrix Code 39 0 1 2 3 4 5 6 7 8 9 A B C D E F G H I J K L M N O P Q R S T U V W X Y Z * $ - + % . / NOTE: The barcode scanner shall use C39ENA1, C39ASC1 and C39DCP2 as default configuration for Code39.
Creating Barcodes US “ # $ ‘ , - / @ [ \ ] ^ _ ` [ | } ~ German “ # $ ‘ , - / § Ä Ö Ü ^ _ ` ä ö ü ß French “ £ $ ‘ , - / à ° ç § N/ _ A μ é ù è ¨ Italian “ £ $ ‘ , - / § ° ç é ^ _ ù à ò è ì Spanish “ $ ‘ , - / İ Ñ ¿ ^ _ ` ñ ç NOTE: The barcode scanner shall use PDFENA1 and PDFDCP51 as default configuration for PDF-417.
Creating Barcodes Data Matrix (cont'd.) e f g h I j k l m n o p q r s t u v w x y z * + % . ! & ( ) : ; < > = ? US “ # $ ‘ , - / @ [ \ ] ^ _ ` [ | } ~ German “ # $ ‘ , - / § Ä Ö Ü ^ _ ` ä ö ü ß French “ £ $ ‘ , - / à ° ç § N/ _ A μ é ù è ¨ Italian “ £ $ ‘ , - / § ° ç é ^ _ ù à ò è ì Spanish “ $ ‘ , - / İ Ñ ¿ ^ _ ` ñ ç NOTE: The barcode scanner shall use IDMENA1 and IDMDCP51 as defau
Creating Barcodes Patient Data Scheme (cont'd.) Item Byte Length Gender 1 Visit 8 Configuring the Barcode Reader Configure the barcode reader on the Patient Setup window. You can choose to configure it manually or automatically. The requirements for each method are described in the following sections. Configuring the Barcode Reader Manually The following table identifies the available fields for configuring your bar code reader.
Creating Barcodes Manual Bar Code Reader Configuration Fields (cont'd.) Field Description and Byte Length Visit length The length of the patient visit ID. The value can be from 0 to 19. First name offset The patient's first name Offset. First name length The patient's first name Length. Be aware of the following criteria when setting the length: • value can be from 0 to 20 • should equal the length from the MUSE CV system with which the MAC system communicates.
Creating Barcodes Automatic Bar Code Reader Configuration Fields Item Character Used to Reserve Byte Space Patient ID 9 First name 5 Last name 6 Year of birth 3 Month of birth 1 Day of birth 2 Gender M or m for male F or f or female 8 Visit 198 MAC™ 2000 2053535-002K
Master’s Step Data B The following sections provide the information you need to run a Master's Step stress test. Master's Step Table The following table identifies the number of steps to set according to the patient's age, gender, and weight.
Weight (kg) 18–22 22–26 27–31 32–35 36–40 MAC™ 2000 41–44 45–49 50–53 54–58 59–63 64–67 2053535-002K 68–72 Gender Age (Years) 5–9 10–14 15–19 20–24 25–29 30–34 35–39 40–44 45–49 50–54 55–59 60–64 65–69 70–74 75–79 Male 35 36 Female 35 35 33 Male 33 35 32 Female 33 33 32 Male 31 33 31 Female 31 32 30 Male 28 32 30 Female 28 30 29 Male 26 30 29 29 29 28 27 27 26 25 25 24 23 23 22 Female 26 28 28 28 28 27 26 24 23 22 21 21 20 19
2053535-002K Weight (kg) 73–76 77–81 82–85 86–90 91–93 MAC™ 2000 94–99 100–104 Gender Age (Years) 5–9 10–14 15–19 20–24 25–29 30–34 35–39 40–44 45–49 50–54 55–59 60–64 65–69 70–74 75–79 Male 18 21 23 24 23 22 22 21 20 19 18 18 17 17 Female 15 16 20 19 19 18 18 17 16 16 15 14 13 12 20 22 23 23 22 21 20 19 18 18 17 17 16 14 19 18 18 17 17 16 16 15 14 13 13 12 Male 19 21 23 22 21 20 19 19 18 17 16 16 15 Female 13 18 17 17 17
Master’s Step Data ST-T Changes The existence of any ST-T change is assessed by classifying ST-T into three assessment levels: • Positive One of the following criteria must be met on 2 or more leads: • ST Depression ≥ 0.1 mV • ST Elevation≥ 0.2 mV • T wave change ≥ 1.0 mV • Borderline One of the following criteria must be met on any lead: • ST Depression ≥ 0.05 mV • ST Elevation ≥ 0.1 mV • T wave change ≥ 0.5 mV • Negative This is assessed if neither the Positive nor Borderline criteria are met.
Technical Specifications C System Specifications Instrument Type Microprocessor augmented automatic electrocardiograph; 10-leadwire, 12 lead simultaneous acquisition with programmable lead configuration.
Technical Specifications Processing (cont'd.) Item Specifications Lead Detection All disconnected lead detection except RL & RA Heart Rate Meter 30 to 300 BPM Operating System Microsoft Windows CE 6.
Technical Specifications Operating Modes and Additional Features Item Specifications Resting ECG Mode Records and prints 12-lead resting ECGs with 10 seconds duration as a standard feature. Arrhythmia Mode Continuously monitors ECG and prints report when arrhythmia events of the user-selected class occur. Exercise Mode Exercise mode for exercise stress testing RR Analysis Mode RR Analysis for RR intervals analysis.
Technical Specifications Communication Item Specifications RS232 Serial Cable ECG Transmission with A5 & CSI Protocol Internal Modem ECG Transmission with CSI Protocol Supported MUSE or Cardiosoft/CS Compatible with MUSE V 7.1.1, v8.0.1 and v9.0.0/ CardioSoft/CS V6.51, V6.61, V6.71, and V6.
Technical Specifications Communication (cont'd.
Technical Specifications Communication (cont'd.) Item Specifications Wireless Encryption Dongle: • Disabled (For Open authentication). • WEP (For Shared and Open authentications). • TKIP (for WPA-PSK1, WPA2-PSK1, WPA2 & WPA22 authentications). • AES (for WPA-PSK1, WPA2-PSK1, WPA2 & WPA22 authentications). Wireless Bridge: • Disabled (For Open authentication). • WEP (For Shared and Open authentications). • TKIP (for WPA/WPA2 Mixed Mode authentications). • AES (for WPA & WPA2 authentications).
Technical Specifications Accessories (cont'd.) Electrodes • ECG Electrode Clamp (Large, 4/set) • Baby MAC electrodes • Silver Mactrode Plus 1000 / CASE • Electrode Application System KISS 10 Lead without pump Other Accessories • Electrode Cream 250g bottle, Electrode Spray • Country specific power cords • Z-fold Thermal Paper with pre-printed grid and perforation with Queue mark or Queue hole of size 215mm x 280mm (Letter) / 210mm x 295mm (A4) / 214.2mm x 279.
Technical Specifications Environmental Specification Item Specifications Temperature Operating: 10°C to 40°C Transport/storage: -40°C to 70°C Humidity Operating: 20% to 95% RH non-condensing Transport/storage: 15% to 95% RH non-condensing Pressure Operating: 700 to 1060 hPA (Altitude range: 3010.9 to - 381.
Technical Specifications Wireless Requirements • Wireless LAN Protocol: IEEE 802.11a/b/g/n • Wireless LAN Channel: IEEE 802.11b/g: Ch1~CH13 • Encryption: WEP (64/128), WPA-PSK (TKIP/AES), WPA2-PSK (AES) • IEEE802.1X enterprise authentication: EAP-PEAP, EAP-TLS, EAP-TTLS, EAP-FAST, EAP-LEAP Frequency Band • 2.4 GHz • 5 Ghz Environmental Requirements • Operating Temperature: 0 ~ 40 °C • Operating Relative humidity: 20 ~ 80% • Operating barometric pressures: 700 ~ 1060 hPa (Altitude range: 3010.
Technical Specifications 212 MAC™ 2000 2053535-002K
D Statement for MAC 2000 Silex Wireless Bridge The following sections provide the FCC/IC statement for MAC 2000 Silex Wireless Bridge. NOTE: This device complies with Part 15 of FCC Rules and Industry Canada’s licence-exempt RSSs. Operation is subject to the following two conditions: (1) this device may not cause harmful interference, and (2) this device must accept any interference received, including interference that may cause undesired operation.
Statement for MAC 2000 Silex Wireless Bridge IC Statement The MAC 2000 Silex Wireless Bridge contains transmitter module IC: 4908A-SXPCEAN2. CAUTION: 5150-5250MHz and 5250-5350MHz bands are restricted to indoor operations only. CAUTION: High-power radars are allocated as primary users (i.e. priority users) of the bands 5250-5350 MHz and 5650-5850 MHz and that these radars could cause interference and/or damage to LE-LAN devices.
E Statement for MAC 2000 Embedded Wireless Module The following sections provide the FCC/IC statement for MAC 2000 Embedded Wireless Module. NOTE: This device complies with part 15 of the FCC Rules. Operation is subject to the following two conditions: (1) This device may not cause harmful interference, and (2) this device must accept any interference received, including interference that may cause undesired operation.
Index 12 Lead Display for Resting ECG 166 12 Lead Display for Stress Test 167 12ld stress key 36 12SL Measurement 166 12SL Measurement and Interpretation 166 21 CFR Part 11 Audit Trail 167 A A (artifact) 86 ACI-TIPI option 167 optional software feature 37 Adenosine (protocol) 137 ADS definition 134 on arrhythmia setup 119, 131 on stress ECG setup 134 ADTF option 167 ADTL option 167 Allow Export Using Shared Directory 141 alt key 35 AOMF option 167 AOML option 167 arrhythmia codes 86 Arrhythmia ECG printing
cleaning device exterior 174 materials to avoid device 174 materials to use device 174 clinical trials data guard and audit trail optional software feature 37 comment key 36 Common Documentation Library (CDL) 2 communication protocol 145 Communication Setup cardiograph device name 148 default location 141 device 144 DHCP settings 148 DNS settings 148 location 144 modem settings 146 overview 140 protocol 145 shared directory settings 141 compliance 2, 10 CONCONI (protocol) 138 configurations, switching betwe
transmitting records 109 ECG analysis/interpretation optional software feature 37 ECG Filter Type 134 ECG key 34 ECG records previewing 108 ECG type resting ECG display 69 editing patient information 107 electrodes NEHB placement 54 placement 52 Ellestad (protocol) 137 EMC 14 EMI 14 Enable Patient ID Check 157 enter BP key 36 enter key 35 Episode Printout 132 equipment identification 25 ERGO option 96, 113, 166 ergometer conducting a stress test with 100 supported models 95 unsupported models 95 with remote
I leadwires replacing adapters 175 learn phase 86 Line Filter 91 Location 144 Low Pass Filter 119 identification equipment 25 illustration conventions 28 Import Setup 164 Importing ECG records 105 indications for use 9 inspecting a device 173 intended user 9 internal storage, See File Manager internal storage indicator resting ECG display 70 M M100 option 166 M200 option 166 maintenance battery 179 cleaning device surfaces 174 cleaning materials to avoid device 174 cleaning materials to use device 174 de
optional software features ACI-TIPI 37 clinical trials data guard and audit trail 37 HEART exercise 37 hookup advisor 37 QT correction formula 37 options setting for exporting records 111 order manager 63 Original Equipment Manufacturer (OEM) 2 MODM 186 MODM option 166, 186 ModWHO (protocol) 138 MUSE system communication setup 166 importing from 105 User ID 162 N naming conventions customizing 170 Naughton (protocol) 137 Notes conventions 29 P O OEM 2 on/off key 34 opening a window function key menu opt
PAU2 (pause of 2 missed beats) 86 pause 1 missed beat 86 2 missed beats 86 PCAP (pacemaker capture) 86 PDF Export 93 PDF file copy 167 PDF file naming conventions default 169 PDFC option 167 PERR (pacemaker malfunction) 87 Persantine (protocol) 137 PIN Dialing 146 post-J point 136 power on key 34 Power Up Mode 115 prescription device statement 10 pretest stress key 36 previewing records 108 printer leads 74 Printer Leads 121 printing File Manager directory 106 printing ECG records 109 product codes 27 descr
patient heart rate 70 time 70 revision history 2 rhythm key 34 Rhythm Record 92 Rhythm Report 81 RR analysis option 167 RR Analysis post-test options 93 setup anti drift system 92 gain 92 line filter 91 low pass filter 92 pace enhancement 91 record lead 91 rhythm record 92 RR table 92 sweep speed 92 target 91 RR Analysis mode 89 RR Table 92 RRAN option 167 RUN (ventricular run) 87 S safety conventions definitions 10 hazards 11 saving your selections function key menu option 38 screens startup 37 SD card 11
Stress Test option 166 supraventricular premature contraction 87 sweep speed 92, 98 symbols device 18 packaging 18 system requirements 31 System Setup 89, 113, 118, 130, 133, 140, 153, 155, 161, 165, 169 See alsoArrhythmia ECG , Basic Setup, Communication Setup, Country Setup, Options Setup, Patient Setup, Resting ECG, RR Analysis Setup, Stress ECG, User Setup Date/Time 168 exporting 165 importing 164 switching configurations 163 T taking an ECG function key menu option 38 Target 91 target heart rate 97, 1
MAC™ 2000 2053535-002K
GE Medical Systems Information Technologies, Inc. 8200 West Tower Avenue Milwaukee, WI 53223 USA Tel: +1 414 355 5000 +1 800 558 5120 (US Only) GE Medical Systems Information Technologies GmbH Munzinger Straße 5 79111 Freiburg Germany Tel: +49 761 45 43 -0 GE Medical Systems Information Technologies, Inc., a General Electric Company, going to market as GE Healthcare. www.gehealthcare.
