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MAC 5000 Resting ECG Analysis System

1. WARNING ConductiveP arts Keep the conductive parts of lead electrodes and associated parts away from other conductive parts including earth 3 4 MAC 5000 System Revision A 2020300 016 Preparing the Patient Apply the Electrodes Apply the Electrodes Resting Electrodes Standard 12 Lead Placement CAUTION Proper L eadwireConenection Improper connection will cause inaccuracies in the ECG Trace each individual leadwire from its acquisition module label to the colored connector and then to the proper electrode to ensure that it is matched tothe correct label location ae IEC Label Electrode Placement A V1 red C1 red Fourth intercostal space at the right sternal border V2 yellow C2 yellow Fourth intercostal space at the left sternal border V3 green C3 green Midway between location B and D V4 blue C4 brown Mid clavicular line in the fifth intercostal space V5 orange C5 black Anterior axillary line on the same horizontal level as D V6 purple C6purple Mid axillary line on the same horizontal level as D and E LA black L yellow Left deltoid H LL red F green Above left ankle Alternate placement upper leg as close to torso as possible RL green N black Above right ankle Alternate placement upper leg as close to torso as possible RA white R red Right deltoid Revision A MAC 5000 System 3 5 2020300 016
2. Define the Signal Averaged ECG Setup Option Within the system setup function select Hi Res to define the HI RES and PHi Res signal averaged ECG program options HI RES and PHi Res signal averaged ECG program options Item Description Analysis filler Select the analysis filter you want to use GE Medical Systems Information Technologies recommends using an analysis filter of 40 250Hz Averaging Selectthe method to average the target target Target Beat Type a value from 1 to 999 GE Medical Systems Information Technologies recommends Count averaging to a minimum of 250 beats Target Noise Type a value from 0 1 to 1 0nV Level GE Medical Systems Information Technologies recommends averaging to a noise level of 0 3uV Correlation Select the degree of correlation threshold Threshold GE Medical Systems Information Technologies recommends the Very High setting Final Report Type a value from 0 to 10 for the number of copies you want to print for each report format Prompt Type the text you want for the patient question Type Select the type of response you want entered for the patient question Select Numbers and letters to answer the prompt using numbers and letters Select Numbers only to answer the prompt using numbers Select Yes or No to answer the prompt using either yes or no 14 30 MAC 5000 System Revision A 2020300 016 System Setup Card Reader Option Setup
3. WARNING BurnProtection To ensure defibrillator protection and protection against high frequency burns use only the CAM 14 acquisition module with this equipment Otherwise serious injury could result CAUTION ProperL eadwireConnection mproper connection will cause inaccuracies in the ECG Trace each individual leadwire from its acquisition module label to the colored connector and then to the proper electrode to ensure that it is matched tothe correct label location Name Description A leadwires Attach to the patient s electrodes The acquisition module uses either 10 or 14 leadwires B rhythm button Press to print a rhythm strip C stop writer button Press to stop the writer from printing Revision A MAC 5000 System 2 9 2020300 016 Equipment Overview Equipment Description Name Description D acquisition module cable Insert into the system s internal acquisition module connector E ECG button Press to record an ECG NOTE If you enable the Preview before anal ysis function press E to view the data Then either press E again to analyzethe data or press C to discard the data Leadwire Labels One of the following leadwire labels may appear on the acquisition module 10 Leadwire AHA 14 Leadwire IEC E Ral C2 C2 CB poron DBGOBEBBENBESEBEB Al TR V 14 Leadwire AHA 13 Leadwire IEC Pediat
4. Card Reader Option Setup NOTE When configured for card reader the system will prompt you to slide the patient card when you select Patient Information If no patient card is available press esc to enter the patient information manually Automatic Configuration of Card Reader 1 on oa u Obtain a configuration card For details on creating a configuration card see Creating Bar Codes and Magnetic Cards on page 14 34 With the card reader properly mounted connect it to the A port on the back of the MAC 5000 From the Main Menu select System Setup gt Basic System gt PS 2 Port Select gt PS 2 Port Device Card Reader gt Return Press esc when the Manual Card Reader Configuration window appears The items in this window will be automatically configured Press esc when the Basic System menu appears Select Save Setup gt To System Reboot the device From the Main Menu select System Setup gt Basic System PS 2 Port Select gt Card Reader Configuration gt Automatic gt Return The following message is displayed Slidethe Configuration Card Slide the configuration card through the card reader The Manual Card Reader Configuration window appears with numbers entered for the various configuration tems 10 Press esc twice 11 Select SaveSetup gt To system Revision A MAC 5000 System 14 31 2020300 016 System Setup Card Reader Option Setup Manual Configuration of Card Reader
5. Revision A MAC 5000 System 7 9 2020300 016 Editing Protocols Save Current Protocol Save Current Protocol 1 Select Save current protocol to save your new or revised protocol 2 Press Menu again The Edit menu appears Return Edit protocol phase names Save current protocol Print current protocol Edit different protocol Erase current protocol New diskette Main Menu 4 Toadd or change another protocol select Edit different protocol 5 Select Main Menu to display the Main Menu 6 Select Exerciseto run an exercise test 7 10 MAC 5000 System Revision A 2020300 016 O Printing an ECG Report evision MAC 5000 System 2020300 016 For your notes 8 2 MAC 5000 System Revision A 2020300 016 Printing an ECG Report Print Stored ECG Reports Print Stored ECG Reports NOTE Before printing a stored ECG report be surethat the unit is powered on and that a diskette containing the ECG report to be printed is in the disk drive Select File Manager A list of stored ECG reports displays Press Select Select one or more ECGs A W N PR Select Print Revision A MAC 5000 System 8 3 2020300 016 Printing an ECG Report Print Another Report Print Another Report To print another report of the same ECG in a different report format follow these steps 1 Run the test The system will automatically print a report as configured in System Setup 2 Select Moret
6. Column What Does This Column Allow You to Do Stage Create multiple stages for each phase except TEST END where only one stage is allowed Duration Setthe duration of each stage You may choose from 00 00 99 59 minutes and seconds or infinite duration The last stage always has an infinite duration This means that your MAC 5000 remains in the last stage for an infinite duration or until you stop the exercise test Ergometer Set the ergometer workload in Watts or KPM Select from 0 to 1000 Watts 5 watt increments or Select from 0 to 6000 KPM 25 KPM increments Treadmill Set the treadmill speed in MPH or Km h Select from 0 0 to 25 0 MPH 0 1 MPH increments Select from 0 0 to 40 0 Km h 0 1 Km h increments Set the treadmill grade Select from 0 0 to 40 0 percent 0 1 percent increments 7 4 MAC 5000 System Revision A 2020300 016 Editing Protocols Operating Steps Pretest Phase Screen Column What Does This Column Allow You to Do Report Print reports during a stage automatically Style sets the type of report that prints You may choose No Report 12 Ld Medians or a 5 second Rhythm report First indicates when the first report prints Repeat indicates the frequency the reports print after the first report prints BP Set blood pressure prompting during a stage First indicates when the first blood pressure prompt occurs Repeat indicates the frequen
7. m Select Manual Dial toretrieve ECGS from another MUSE system Press the return key Enter the telephone number of the receiving device Press the return key For Type choose MUSE Network Press the return key 9999 m Select Connect Select an ECG by typing the patient s ID number NOTE If you do not know the patient s ID number type the patient s last name Then select your patient from the displayed list of patients Select R amp urn The system retrieves a directory of tests Select one or more tests To display the ECG select Display The selected ECG displays along with the following options Medians will display the medians for the displayed ECG Text will display measurements and analysis for the displayed ECG Rhythm will display rhythm information for the displayed ECG Next will display the next selected ECG Return will take you back to the directory of ECGs To print the ECG select Print The system retrieves then prints the test The report format set up in System Setup is used 10 8 MAC 5000 System Revision A 2020300 016 11 Editing an ECG For your notes 11 2 MAC 5000 System Revision A 2020300 016 Editing an ECG Edit Demographic and Interpretive Data Edit Demographic and Interpretive Data NOTE If storing ECGs in XML format DO NOT allow editing ECGs at the MAC 5000 Changes made to ECGs during editing WILL NOT BE SAVED tothe XML file NOTE Before transmit
8. 1 With the card reader properly mounted connect it to the A port on the back of the MAC 5000 From the Main Menu select System Setup gt Basic System gt PS 2 Port Select gt PS 2 Port Device Card Reader gt Return TheManual Card Reader Configuration window is displayed Enter the magnetic card code configuration information in this window See Creating Bar Codes and Magnetic Cards on page 14 34 Press esc twice Select Save Setup gt To system 14 32 MAC 5000 System Revision A 2020300 016 System Setup Bar Code Reader Option Setup Bar Code Reader Option Setup NOTE When configured for bar code reader the system will prompt you to Scan the patient ID bar code when you select Patient Information If no bar code is available press esc to enter the patient information manually Do not use the bar code reader for scanning the bar code that appears on the ECG printout The bar code on ECG printout is of a different format and not readable by the bar code reader Automatic Configuration of Bar Code 1 e NO u Obtain a configuration bar code For details on creating a configuration bar code see Creating Bar Codes and M agnetic Cards on page 14 34 Connect to the bar code reader to the A port on the back of the MAC 5000 From the Main Menu select System Setup gt Basic System gt PS 2 Port Select gt PS 2 Port Device Bar Code Reader gt Return Press esc when the Manual Bar Code
9. Exercise Testing Item Description Standard leads Selectthe standard leads you wantto appear on the ECG reports When you change a channel s lead the new lead appears on all the ECG reports displaying that channel Rhythm reports Choose the type of data displayed in the Rhythm reports Select Real time to print current ECG data on the Ahythm reports This allows you to print the data you see on the screen Select 10 sec delayedto print ECG data delayed by 10 seconds Rhythm leads Choose a lead option for each group to determine the rhythm leads that print when you selectthe rhythm key within an application The six defined groups make up the display list when you select Leads in the Resting Pediatric 15 Lead or Vector Loops Application m Select 3 leads to define which three leads in a three lead Rhythm report print m Select 6 leads to define which six leads in a six lead Rhythm report print m Select All leads to display and print 10 seconds of data for 12 or 15 leads m Select Lead Check to display and print real time data for each of the 12 or 15 leads m Select Lead Placementto display and print real time data for each of the 12 or 15 leads and to display the chest electrode placement Autorhythm Selectthe group of Rhythm leads printed in the Autorhythm report Revision A MAC 5000 System 14 25 2020300 016 System Setup Define the Exercise Test Setup Option
10. Height Weight Choose the units of measurement defining the patient s weight in Select in Ib to enter the patient s height and weight in inches and pounds Select cm kg to enter the patient s height and weight in centimeters and kilograms Race Select Yes to display a prompt asking the patient s race Our equipment contains several fields which can be filled in before performing an ECG Some of these fields must be filled in before performing an exam some are optional and therefore left to the user to assess whether they are needed to perform the exam A field RACE is one of these optional fields lt 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 subjectto legal requirements such as obtaining the patients prior consent If you electto collect this type of data itis your responsibility to ensure that you comply with all applicable legal requirements Blood pressure Select Yes to display a prompt asking the patient s systolic and diastolic blood pressures Medications Select Yes to display a prompt asking what medications a patient is taking Referred by Select Yes to display a prompt asking who referred the patient name and Use the numbers that are compatible with those used for the MUSE CV system to which number the MAC 5000 device is communicating Test indicat
11. NOTE Your keyboard may be slightly different than that shown 2 6 MAC 5000 System 2020300 016 Revision A Equipment Overview Equipment Description lt gt Le Le Le Le a D Dannmannnnnane EF EE EEEUUggugugu FH Opa 7 JIE ECL A ER i q oye N s L K J I 1528 Name Description A function keys Selects screen menu functions B Power Powers the system on or off C delete Erases typed characters D Copy Prints another ECG report E ECG Acquires an ECG Press to acquire a 12SL resting ECG including measurements and interpretation F Rhythm Prints continuous ECG data This data cannot be stored or transmitted G Stop Stops the writer from printing H arrow pad Moves the cursor left right up or down Press the center to selecta highlighted menu or screen item return Enters information into the system Throughout the manual this key is referred to as the return key information Provides additional user information K Space bar Adds a space between typed characters or highlights screen items L option Used to create special characters on non English keyboards M esc Returns you to a previous menu N shift Creates a capital letter Press shift p to type a capital P Keyboard Exercise Test Keys Option Revision A MAC 5000 System 2 7 2020300 016 Equipment Overview
12. Preparing the Patient Apply the Electrodes Standard 15 Lead Placement AHA Label IEC Label Electrode Placement A Vl red Cl red Fourth intercostal space at the right sternal border B V2 yellow C2 yellow Fourth intercostal space at the left sternal border C V3 green C3 green Midway between location B and D D V4 blue C4 brown Mid clavicular line in the fifth intercostal space E V5 orange C5 black Anterior axillary line on the same horizontal y yon level as D F V6 purple C6 purple Mid axillary line on the same horizontal level as D and E G LA black L yellow Left deltoid H LL red F green Above left ankle Alternate placement upper leg as close to torso as possible RL green N black Above right ankle Alternate placement upper T leg as close to torso as possible RA white R red Right deltoid K VAR gray CAR gray Right anterior chest opposite of D L V8 gray C8 gray Under left midscapular line M V9 gray C9 gray Left paraspinal border 3 6 MAC 5000 System Revision A 2020300 016 Preparing the Patient Apply the Electrodes Frank X Y Z Placement 03B NEHB Placement AHA Label IEC Label Electrode Placement A LA black L yellow J ust below the clavicle of the left arm B E orange E light blue Mid sternum on the same horizontal level as C and D C V4 blue C4 brown Mid clavicular line in the fifth
13. Menu Function Event Press to display a list of predefined events Edit Press during Recovery or Test end will allow user to enter or edit patient data reason for test termination or comments Measurements Will allow the system to reestablish the median complex set the point then select the three leads used to calculate heart rate Leads Select the leads used for Rhythm Lead 1 2 and 3 All Leads Lead Check or Lead Placement Median Selecta lead to actas the median lead This can be a fixed lead scanned for lead with most ST depression Writer Change the writer s arrhythmia documentation doc cubic spline baseline control paper speed gain filter and writer on off settings Test End Phase Overview After you press and hold Test end button the following happens m The system no longer acquires and stores ECG measurement data Revision A MAC 5000 System 6 9 2020300 016 Exercise Stress Test Option Test Phases Operating Steps Test End Phase Buttons m Thetreadmill and docks stop and m Workload speed grade no longer display NOTE The button for Test end MUST be held for morethan one second to activate This is done to prevent the test from being stopped by an accidental key press 1 Press and hold the Test end button to end the test and start the test end phase 2 Select Reason for termination or Comments to enter information about this ex
14. Start an Exercise Stress Test Preparation Legal Notice Exercise Test Keys NOTE Before recording an ECG be sure that the unit is powered on and that a diskette is in the disk drive Y ou may store data during an exercise test to diskette see Final Report on page 14 26 The data is stored to the protocol diskette Make sure there is sufficient free space on the diskette before starting the test 1 Select Exercisel2 or Exercisel5 to enter stress test mode 2 Select Patient Data The Patient Data Entry screen opens 3 Enter patient data 4 Prepare the patient for the test and attach leadwires Refer to Chapter 3 Preparingthe Patient for more information 5 Select Protocol to open the list of available stress test protocols 6 Select the desired protocol Our equipment contains several fields which can be filled in before performing an ECG Some of these fields must be filled in before performing an exam some are optional and therefore left to the user to assess whether they are needed to perform the exam A field RACE is one of these optional fields It 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 tha
15. o 144 Preview ECG Data Before Analysis ccc 144 To Printa Resting ECG Report cece cece cent ene 144 Printa Signal Averaged ECG Report isses 14 5 Store aN EEG ois er eec ek VR ORA e pne nalen 14 5 Transmit AME CG Asse en dece a cipe a ife dp gen i de e 14 5 Enable or Disable the ACI TIPl Option ccc cece eee ence eeaeeas 14 5 Define the Basic System Setup cece sees e cece e eee eee nn 14 7 Miscellaneous Setup ssssssssess teens 14 7 Patient Questions s tio ia etn era on Vet e ars 14 8 Screen Colors etc nora nite tse ett gar oa e Wee diee rne ac 14 10 TRANSMISSION coos oss apenas tate meto edet mrt NDA A ME 14 11 IBEXSETDBE OSEE MOT 14 12 language usse cs b e octo m descr dea teat cde Th ect eos re 14 13 PowerUp O plons use oe tato tee cn Lat det et 14 13 Order Manager Interface 2 222 cece cece cette ee 14 13 BES ZAP OMS tota etude Alec eStats dana 14 14 Define the ECG Setup isses 14 15 EEGACQUISIHON Gr re pone testes ue tenute manquait D ME tun 14 15 ECG AnalyslS s rtt ten red tace tea ea d yn tad 14 16 Patient Questions cari ee trop hited ale vA ae 14 18 Writer seUp rc cna at e e ca CAU aa oe 14 18 Resting Pediatric 15 Lead and Vector Loops ECG Reports 14 19 An log O UtULe 3 2 a ste p bot Feeder Pty Peers dd Meh tn 14 22 Define the Exercise Test Setup Option ooooooocoococcocros 14 23 Miscellaneous Setup sss 14 23 Patient Data Que
16. 016 System Setup Program the System to Automatically Do a Task Program the System to Automatically Do a Task Power Up the System into a Specific Resting Function 1 Within the system setup function select Basic System 2 Select Power Up Options 3 Select the function the system always uses when you power on your system 4 Select Return Preview ECG Data Before Analysis Preview shows you the ECG on screen before it is printed or stored After the ECG is displayed select Continueto print or store the ECG or Cancel to discard it 1 Within the system setup function select ECG 2 Select ECG Analysis 3 InthePreview before analysis before field select Y es 4 Select Return To Print a Resting ECG Report 1 Within the system setup function select ECG 2 Select the Resting ECG function for which the system should automatically print reports m Resting ECG Reports m Pediatric ECG Reports m 15Lead Reports m Vector Loops Reports 3 Select Unconfirmed Reports 4 Select the type and quantity of formats printed 14 4 MAC 5000 System Revision A 2020300 016 System Setup Program the System to Automatically Do a Task Select Return Print a Signal Averaged ECG Report 1 2 Store an ECG A WN mp Transmit an ECG Within the system setup function select Hi Res Select the type of format and quantity to be printed Select Return Within the system setup function select ECG Selec
17. 15 responsibility of the manuafacturer 1 13 paper resting ECG reports setup 14 19 14 25 tray size 2 5 restore setup 14 37 Revision A MAC 5000 Index 7 2020300 016 Index return 2 7 rhythm 2 7 leads 14 19 14 25 reports 14 19 14 25 RMR CGR extra rhythm lead 14 20 14 26 room number 14 10 S safety equipment symbols 1 13 general information 1 13 saggital plane 14 21 save setup changes 14 37 Screen 2 3 screen colors 14 10 Screen Filter 14 27 screening criteria 14 16 secondary ID 14 10 select new language 14 13 serial line baud rate 14 12 serial number description 1 18 where to find 1 18 serial power always on 14 8 service requirements 1 18 setup preview before analysis 14 4 shift 2 7 shutdown of system 14 8 signal averaged ECG setup 14 23 Site number 14 7 skin preparation 3 5 Slow Analog Output 14 28 sort ECG orders 14 13 file manager 14 7 space bar 2 7 speaker volume 14 7 speed 2 8 ST Measurements 14 24 standard leads 14 19 14 25 start 2 8 STOP 2 8 stop 2 7 store data compression format 14 17 ECGs automatically 14 5 ST T E 5 SunTech Tango blood pressure device 2 12 suppress ABNORMAL and BORDERLINE statements 14 17 suppress NORMAL statement 14 16 swedish format rhythm leads 14 20 14 26 System password 14 8 system setup print parameters 14 37 restore setup 14 37 save changes 14 37 Tabular Report 14 27 technician 14 10 telephone number 14 11 test 2 8 test Indication 14 10 text entry
18. 18 MAC 5000 System Revision A 2020300 016 System Setup Define the ECG Setup Writer Setup Item Description Speed Select the writer s default speed setting in millimeters per second Gain Selectthe writer s default gain setting For the 10 5 setting limb leads appear at 10 mm mV and precordial leads appear at 5 mm mV Filter Select the writer s default filter setting The screen filter is always set to 40 Hz Resting Pediatric 15 Lead and Vector Loops ECG Reports 1 2 Within the system setup function select ECG Select this function to Specify the leads displayed on reports Refer to Table Report Leads on page 14 20 Choose the unconfirmed and confirmed report formats Refer to Table Confirmed Reports on page 14 20 and to Table Unconfirmed Reports on page 14 21 Identify the three auxiliary leads used to acquire a 15 lead ECG using the 15 lead ECG function option Refer to Table Extra Leads 15 Lead ECG Option Only on page 14 21 Set up the parameters specific to Vector Loops Reports option Refer to Table Vector Loops Vector Loops Option Only on page 14 21 Revision A MAC 5000 System 14 19 2020300 016 System Setup Define the ECG Setup Report Leads ltem Description Standard leads Select the standard leads you want to appear on the ECG reports When you change a channel s lead the new lead appears
19. 25 EN 60601 2 25 EN 60601 1 1 IEC 60601 1 2 2001 To reduce the risk of electric shock do NOT remove cover or back Refer AN servicing to qualified personnel 098A 096A 108A 101A 102A 103A 100A 181A 099A Revision A MAC 5000 System 1 17 2020300 016 Introduction Service Information Service Information Service Requirements Refer equipment servicing to GE Medical Systems Information Technologies authorized service personnel only Any unauthorized attempt to repair equipment under warranty voids that warranty It is the user s responsibility to report the need for serviceto GE Medical Systems Information Technologies or to one of their authorized agents Equipment Identification Every GE Medical Systems Information Technologies device has a unique serial number for identification The serial number appears on the device label THERE HH HE HHHH di Y J Y A B C D E F A IProduct Code B Year Manufactured 00 99 00 22000 01 22001 02 22002 and so on C Fiscal Week Manufactured D Production Sequence Number 1 18 MAC 5000 System Revision A 2020300 016 Introduction Service Information E F Manufacturing Site Miscellaneous Characteristic 1 The product code for MAC 5000 systems is AAY Revision A MAC 5000 System 2020300 016 Introduction Service Information MAC 5000 System 2020300 016 Revision A Equipment Overview evision MA
20. 5000 System 9 5 2020300 016 Transmitting an ECG Transmit Stored ECGs Locally or Select Main Menu to continue 9 6 MAC 5000 System 2020300 016 Revision A Transmitting an ECG Transmit Stored ECGs by Wireless Option Transmit Stored ECGs by Wireless Option NOTE Before transmitting an EGG report be sure that the unit is powered on and that a diskette containing the ECGs to be transmitted is in the disk drive Connect and configurethe MobileLink wireless option as described in the MobileLink Installation and Troubleshooting Guide 1 Select Location to determine the receiving device The choice for wireless communication isSerial Line MUSE Network 2 Select Select A list of available ECGs displays 3 Select the ECGs to betransmitted 4 Select oneor more ECGs 5 Select Transmit to transmit the ECGs 6 If you want totransmit ECG reports from a different disk select esc Insert the appropriate disk in the disk drive Select New Disk Repeat steps 2 through 5 above Or Select Main Menu to continue NOTE Performance of the MobileLink wireless system may vary due to changes in RF radio frequency properties of your site or environmental conditions If you are experiencing intermittent connectivity in certain areas of your facility it may be necessary to reinitiatethe process of transmitting to the MUSE system Y ou may also wish to consult your hospital IT department or your local GE Medical S
21. ECG Acronyms Statement Acronym with complete heart block CHB with frequent FREQ with fusion or intermittent ventricular pre excitation WPW ALTWPW with junctional escape complexes JESC with marked sinus arrhythmia MSAR with occasional OCC with premature aberantly conducted complexes ABER with posterior extension PXT with QRS widening and repolarization abnormality QRSW 2ST with QRS widening QRSW with rapid ventricular response RVR with retrograde conduction RETC with repolarization abnormality 2ST with short PR SPR with sinus arrhythmia SAR with sinus pause PAUSE with slow ventricular response SVR with strain pattern WSTR with undetermined rhythm irregularity IRREG with variable AV block VAVB with ventricular escape complexes VESC Wolffe P arkinson White WPW Revision A MAC 5000 System C 11 2020300 016 MAC 5000 System 2020300 016 Revision A D Appendix D Report Formats evision MAC 5000 System 2020300 016 For your notes D 2 MAC 5000 System Revision A 2020300 016 Appendix D Report Formats Format Description Format Description Numeric report names are used to describe how the ECG data is displayed 4 by 2 5s 1 rhythm ld A B 4 by 2 5s 1 Rhythm Lead Format Description A Four columns of data containing 3 leads with 2 5 seconds of data in each lead B One 10
22. Male 21 23 24 25 24 24 123 22 121 20 20 19 18 18 Female 18 19 22 22 21 20 19 19 18 17 16 15 15 14 68 72 Male 20 22 24 25 24 23 22 21 20 20 19 18 18 17 Female 17 17 21 20 20 19 19 18 17 16 16 15 14 13 Revision A MAC 5000 System E 3 2020300 016 Appendix E Master s Step Data Master s Step Table Age gg 10 15 20 25 30 35 40 45 50 55 60 65 70 75 Weight sax 14 19 24 29 34 39 44 49 54 59 64 69 74 79 kg 73 76 Male 18 21 123 24 23 22 22 21 20 19 18 138 808 1 Female 15 16 20 19 19 18 18 17 16 16 15 14 13 2 77 81 Male 20 22 23 23 22 21 20 19 18 18 17 17 16 Female 13 14 19 18 18 17 16 16 15 14 13 13 12 82 85 Male 19 21 23 22 21 20 19 19 18 17 16 16 15 Female 13 18 17 17 17 16 16 15 14 14 B R u 86 90 Male 18 20 22 21 21 1200 19 18 17 16 135 145 44 Female 12 17 de 16 16 135 135 4 B B R R 44 91 94 Male 19 21 22 20 19 18 17 16 16 15 14 14 Female 16 5 5 15 14 M 13 13 12 11 11 10 94 99 Male 18 21 20 19 18 17 16 15 14 4 13 Female 15 14 14 144 13 13 13 12 1 11 11 10 100 104 Male 17 20 20 19 18 16 35 14 113 B 12 Female 4 13 3 3 13 12 12 11 l 10 10 09 E 4 MAC 5000 System Revision A 202
23. Report Leads Exercise Testing Item Description RMR CGR Select the rhythm lead s you want printed in the RMR and CGR reports extra rhythm leads When you change a rhythm lead the new lead appears on all reports displaying that lead For example if you select V5 for RMR CGR extra rhythm lead 1 then the V5 waveform appears on all reports that include RMR CGR extra rhythm lead 1 Swedish Select the rhythm lead s you want printed in the Swedish format reports format rhythm leads When you change a rhythm lead the new lead appears on all reports displaying that lead For example if you select V5 for the Swedish format rhythm lead 1 then the V5 waveform appears on all reports that include Swedish format rhythm lead 1 When printing or storing 3 lead median or trend reports the first three Swedish format rhythm leads are used When printing or storing 6 lead median reports all six of the Swedish format rhythm leads are used Median Selectthe median lead you want printed in the reports Choices are Fixed or Scan Select Fixedto manually designate the median lead Exercise Reports Final Report Within the system setup function select Exercise Test Select Exercise Reports to choose the report you wish to print with the 12 lead or optional 15 lead exercise tests Within the system setup function select Exercise Test Select Final Report to set up the types of reports you want to print on the final rep
24. acquisition analysis 14 15 14 16 14 23 ECG setup Revision A MAC 5000 Index 5 2020300 016 Index 15 Lead ECG reports 14 19 14 25 analog outputs 14 22 ECG acquisition analysis 14 15 14 16 14 23 patient questions 14 18 pediatric ECG reports 14 19 14 25 resting ECG reports 14 19 14 25 writer 14 18 edit demographic and interpretive data 11 3 editing exercise test protocol sample guide 7 5 EditProtocol function 2 17 electrode application 3 7 12 lead 3 7 15 lead 3 8 Frank X Y Z 3 9 NEHB 3 9 pediatric 3 11 enter BP 2 8 equipment identification 1 18 safety information 1 5 service requirements 1 18 symbols 1 13 type BF 1 16 Ergoline 800 ergometer 2 12 Ergoline 900 ergometer 2 12 Ergoline blood pressure device 2 12 ergometer Ergoline 800 2 12 Ergoline 900 2 12 Lode 2 12 esc 2 7 Event names 14 23 exercise 2 8 Exercise function 2 17 EXT VID 2 5 external video port 14 7 Extra questions 14 24 extra questions 14 10 grade 2 8 green AC power light 2 4 ground lug 2 6 heart rate Max Pred 14 23 Target 14 24 height 14 9 height weight in 14 9 Hi Res setup analysis filter 14 29 14 36 averaging targe 14 29 averaging target 14 36 beat count averaging target 14 29 14 36 correlation threshold 14 29 14 36 final report 14 29 14 36 noise level averaging target 14 29 14 36 how to automatically print a resting report 14 4 automatically print a signal averaged ECG report 14 5 automatically store an ECG 14 5 autom
25. answer the prompt using numbers and letters m Select Numbers only to answer the prompt using only numbers m Select Yes or Noto answer the prompt using either yes or no 1 Within the system setup function select Basic System 2 Select Screen Colorsto display one of three color options Screen Colors Item Description Screen colors Define the screen colors you wantthe system to display Select Monochrome to view white screen elements Select Option 1 to view white green yellow and red screen elements Select Option 2to view white yellow and red screen elements 14 10 MAC 5000 System Revision A 2020300 016 System Setup Define the Basic System Setup Transmission Within the system setup function select Basic System Select Transmission to define your system s transmission parameters Transmission menu items are defined in the table below Transmission Item Description Modem Choose when you wantto hear the modem tones Speaker Select On to hearthe modem tones Select Offto prevent hearing the modem tones Select Dialing only to hear the modem tones while your system dials a telephone number Dialtone Select Yes when the system is connected to telephone lines that have a dialtone required Dialing method Selectthe dialing method used by your telephone line Fax error Select Yes if the facsimile machine to which you transmit ECGs uses an error correcti
26. arrow pad 2 7 authorized service 1 18 automatic ECG storage to diskette 14 17 ECG transmission 14 17 shutdown 14 8 autorhythm 14 19 14 25 averaging target 14 29 14 36 B bar code reader 14 14 baseline roll filter 14 15 14 23 baseline wander warning 14 15 Basic System setup date and time 14 12 language 14 12 power up options 14 13 screen colors 14 10 transmission 14 11 battery conserving power 14 8 location 2 4 switch 1 16 battery status icon 2 14 2 16 beat count averaging target 14 29 14 36 Blood pressure 2 16 blood pressure 14 9 blood pressure device Colin 2 12 Ergoline 2 12 Suntech Tango 2 12 Borderline E 5 C cable acquisition module 2 10 card reader option 14 14 card slot 2 5 cart number 14 7 cleaning what to use A 4 Colin blood pressure device 2 12 colors screen 14 10 comment 2 8 confirmation text 14 21 connector 12 5 225 A2 5 acquisition module 2 10 ANA TTL 2 5 back panel 2 4 EXT VID 2 5 ground lug 2 6 IR 2 5 mains AC power 2 6 copy 2 7 correlation threshold 14 29 14 36 create orders locally setup 14 13 cubic spline 14 23 D date setup 14 12 default location 14 12 delay 14 22 14 28 delete 2 7 dialing two second pause 14 11 dialtone method 14 11 dialtone required 14 11 disable auto gain check 14 15 lead off check 14 15 disk drive slot 2 3 display screen 2 3 ECG 2 7 abnormal report 14 21 normal report 14 20 preview before analysis 14 16 report formats D 3 ECG
27. bar code on ECG printout is of a different format and not readable by the bar code reader Revision A MAC 5000 System 4 5 2020300 016 Entering Patient Information Receive Orders from a MUSE CV System Option Receive Orders from a MUSE CV System Option Preparation The MUSE CV System can communicate orders to a MAC 5000 System in the following ways via modem E MAC 5000 Mode Y 264A via infrared and 1 3ft 30 4 91 4cm 0002 DP MUSE CV infrared device MAC 5000 265A via wireless communication MobileLink or MobileLink UHS wireless system Instructions for mounting configuration and connecting the client bridge to the MAC 5000 can be found in the MobileLink or MobileLink UHS Installation and Troubleshooting Guide NOTE Performance of the MobileLink wireless system may vary due to changes in RF radio frequency properties of your site or environmental conditions If you are experiencing intermittent connectivity in certain areas of your facility re initiate the process of receiving from the MUSE system Consult your hospital IT department or your local GE Medical Systems I nformation 4 6 MAC 5000 System Revision A 2020300 016 Entering Patient Information Receive Orders from a MUSE CV System Option Technologies networking professional regarding modification of your wireless LAN to improve system performance Load the Orders NOTE Before receivin
28. delayed recording of raw data 10 seconds in duration Leads of recall report correspond to leads on the screen Median Report Based on exercise setups a Linked Median Medians amp Rhythms 6 or 12 Lead Comparative Medians amp Rhythm report will print See the Additional Report Names section for a description of these formats Exercise Final Report Names Report Name Description Summary Report One page overview of test with Resting and Max ST or peak median morphologies For Maximal ST Depression report only prints when a minimum of 5 mm of ST depression occurs in one of the following leads I Il Ill aVF V2 V6 V1 aVR aVL excluded For elevation aVR is excluded Tabular Report Tabular summary of test by stage including time speed grade workload MET level heart rate blood pressure RPP and comments Selected Medians Report Records median morphologies at Baseline Maximum ST Depression Peak Exercise and Test End for 12 leads For Maximum ST medians column only prints when a minimum of 5 mm of ST depression occurs in one of the following leads II III aVF V2 V6 V1 aVR aVL excluded For elevation aVR is excluded Trends and Medians Records a plot of the heart rate and blood pressure againsttime Nextto these trend graphs are channels of stored median data from the various stages of an exercise test Median Report Records median morphologies for 3 6 or 12 lead
29. device is out of range Connect and retry or move back into range Wireless option only MAC 5000 is not within range of access point Relocate MAC 5000 to within range of access point and retry transmission Cannot use the system because Device Password does not work Device Password has been changed or has not been adequately communicated to the staff Contact your administrator for Device Password B 6 MAC 5000 System 2020300 016 Revision A C Appendix C Editing Acronyms evision MAC 5000 System 2020300 016 For your notes C 2 MAC 5000 System Revision A 2020300 016 Appendix C Editing Acronyms Resting ECG Acronyms Resting ECG Acronyms NOTE The statements preceded by 7 do not appear on ECG reports when the Screening criteria item is enabled in System Setup To enable or disable Screening criteria see ECG Analysis on page 14 16 Statement Acronym Aberant conduction ABCOND Abnormal ECG AB Abnormal left axis deviation ALAD Abnormal QRS T angle consider primary T wave abnormality QRST Abnormal right axis deviation ARAD Abnormal right superior axis deviation RSAD Accelerated ACCEL Acute pericarditis PCARD ACUTE MI ACUMI age undetermined AU and consecutive CSEC and AND Anterior infarct AMI Anterior injury pattern AINJ Anterior leads ANT Anterolateral
30. infarct ALMI Anterolateral injury pattern ALINJ Anterolateral leads ANTLAT Anteroseptal infarct ASMI Anteroseptal leads ANTSEP MAC 5000 System C 3 2020300 016 Appendix C Editing Acronyms Resting ECG Acronyms Statement Acronym Anteroseptal injury pattern ASIN Atrial fibrillation AFIB Atrial flutter FLUT Atrial rate ARAT Atrial tachycardia ATAC AV sequential or dual chamber electronic pacemaker AVPCK Biatrial enlargement BAE Bifascicular block BIFB Biventricular hypertrophy BIVH Blocked BLKED Borderline ECG BORDE Borderline BO Cannot rule out CRO Clockwise rotation of the heart may invalidate criteria for ventricular hypertrophy CWRT Coarse CRS Counterclockwise rotation of the heart may invalidate criteria for v hypertrophy CCWRT Deep Q wave in lead V6 QV6 Demand pacemaker interpretation is based on intrinsic rhythm DPCK Dextrocardia DXTRO Early repolarization REPOL Electronic atrial pacemaker APCK Electronic ventricular pacemaker PCK Fusion complexes FUS in a pattern of bigeminy BIGEM Incomplete left bundle branch block ILBBB Incomplete right bundle branch block IRBBB C 4 MAC 5000 System Revision A 2020300 016 Appendix C Editing Acronyms Resting ECG Acronyms Statement Acronym Increased R S ratio in V1 c
31. inversion in TINVIN Undetermined rhythm UR Unusual P axis and short PR probable junctional bradycardia JBRAD Unusual P axis and short PR probable junctional rhythm JR MAC 5000 System 2020300 016 C 9 Appendix C Editing Acronyms Resting ECG Acronyms Statement Acronym Unusual P axis and short PR probable junctional tachycardia JTACH Unusual P axis possible ectopic atrial bradycardia EABRAD Unusual P axis possible ectopic atrial rhythm EAR Unusual P axis possible ectopic atrial tachycardia EATACH Ventricular pre excitation WP W pattern type A WPWA Ventricular fibrillation VFIB Ventricular tachycardia VTACH Ventricular pre excitation WPW pattern type B WPWB very large VLAR very small VSMA Voltage criteria for left ventricular hypertrophy LVH with WITH Wide QRS rhythm WQR Wide QRS tachycardia WQTACH with 1st degree AV block FAV with 2 1 AV conduction W2T1 with 2nd degree AV block Mobitz I MBZI with 2nd degree AV block Mobitz 11 MBZII with 2nd degree AV block SAV with 2nd degree SA block Mobitz I SABI with 2nd degree SA block Mobitz II SABII with 3 1 AV conduction W3T1 with 4 1 AV conduction WATI with 5 1 AV conduction W5T1 with a competing junctional pacemaker CJP with AV dissociation AVDIS MAC 5000 System Revision A 2020300 016 Appendix C Editing Acronyms Resting
32. modem as show below Receive via Modem MAC 5000 075A 1 Select Recdveto prepare the MAC 5000 System for receiving ECG reports 2 Select PhoneLine The system is ready to receive ECGs 3 When all of the ECGs arereceived a Select Cancd totakethe MAC 5000 System out of receiving mode b Select Main Menu Revision A MAC 5000 System 10 3 2020300 016 Receiving an ECG Receive ECGs Locally Receive ECGs Locally NOTE Before receiving an EGG report be sure that the unit is powered on and that a diskette with sufficient available space is in the disk drive Receive via Infrared M 1 3ft 30 4 91 4cm 21113333 MAC 5000 MAC 5000 106A 1 Select Recdveto prepare the MAC 5000 System for receiving ECG reports 2 Select Local Line The system is ready to receive ECGs 3 When all of the ECGs are received a Select Cancel totakethe MAC 5000 System out of receiving mode b Select Main Menu 10 4 MAC 5000 System Revision A 2020300 016 Receiving an ECG Retrieve Confirmed ECGs from a MUSE CV System via Modem Option Retrieve Confirmed ECGs from a MUSE CV System via Modem Option NOTE Before receiving an EGG report be sure that the unit is powered on and that a diskette with sufficient available space is in the disk drive Also be sure that the MAC 5000 System is connected to the modem as shown below Receive via Mode
33. of the indicator Hookup Advisor indicator 000 l Press ECG to record an ECG os t BPM aVR V1 V4 t avt V2 V5 Hl aVF V3 V6 CD AC JC JC JC 2 157A When the lead quality is Red or Yellow a message describing the lead problem or status is displayed on the screen Revision A MAC 5000 System 5 3 2020300 016 Recording an ECG Hookup Advisor Hookup Advisor is enabled and configured in the ECG Acquisition menu System Setup gt ECG gt ECG Acquisition Refer to ECG Acquisition on page 14 15 for more information In addition to enabling disabling the Hookup Advisor feature you can set the level at which the MAC 5000 System acknowledges poor signal quality The acknowledgement level can be set to Yellow default Red or Never Hookup Advisor continuously reviews the ECG data for acceptable lead quality m fPreacquisition is enabled in the system setup the lead quality circle indicator will reflect the entire previous 10 seconds of ECG data Any displayed messages will be updated on a real time basis to reflect adjustments i mprovements to the lead quality Once any lead quality problems have been remedied the message Please wait will be displayed until the entire 10 second period is free from lead quality problems m When Preacquisition is not enabled the Hookup Advisor level and messages will respond to a fixed poor lead quality problem within 2 3 seconds When an ECG is a
34. on all the ECG reports displaying that channel Rhythm reports Choose the type of data displayed in the Rhythm reports Select Real time to print currentECG data on the Ahythm reports This allows you to print the data you see on the screen Select 10 sec delayed to print ECG data delayed by 10 seconds Rhythm leads Choose a lead option for each group to determine the rhythm leads that print when you select the rhythm key in an application The six defined groups make up the display list when you select Leads in the Resting Pediatric 15 Lead or Vector Loops Application Select 3 leads to define which three leads in a three lead Rhythm report print Select 6 leads to define which six leads in a six lead Rhythm report print Select All leads to display and print 10 seconds of data for 12 or 15 leads Select Lead Check to display and print real time data for each of the 12 or 15 leads Select Lead Placementto display and print real time data for each of the 12 or 15 leads and to display the chest electrode placement Autorhythm Selectthe group of Rhythm leads printed in the Autorhythm report RMR CGR extra rhythm leads Select the rhythm lead s you want printed in the RMR and CGR reports When you change a rhythm lead the new lead appears on all reports displaying that lead For example if you select V5 for RMR CGR extra rhythm lead 1 then the V5 waveform appears on all reports that include RMR CGR extr
35. or level of seriousness Familiarize yourself with their definitions and significance Hazard is defined as a source of potential injury to a person DANGER indicates an imminent hazard which if not avoided will result in death or serious injury WARNING indicates a potential hazard or unsafe practice which if not avoided could result in death or serious injury CAUTION indicates a potential hazard or unsafe practice which if not avoided could result in minor personal injury or product property damage NOTE provides application tips or other useful information to assure that you get the most from your equipment The safety information given in this manual is classified as follows WARNING Accidental Spills If liquids have entered a device take it out of service and have it checked by a service technician before it is used again To avoid electric shock or device malfunction liquids must not be allowed to enter the device WARNING BatteryOperation If the integrity of the protective earth conductor is in doubt operatethe unit from its battery Revision A MAC 5000 System 1 5 2020300 016 Introduction Safety Information WARNING Cables To avoid possible strangulation route all cables away from patient s throat WARNING Connection ToMains This is dass equipment The mains plug must be connected to an appropriate power supply W
36. second rhythm lead 147A The following reports also use numeric names m 2by5 m 2 55 50 mm s writer speed m 2by 5s 1 rhythm lead m 2by 10s m 3by5 50mm s m 3by10s m 4by2 5s m 4by2 5s 1 rhythm lead Revision A MAC 5000 System D 3 2020300 016 Appendix D Report Formats Format Description m 4by 2 55 3 rhythm leads m 4by 10s m 5by2s m 5 by 2s 1 rhythm lead m 5 by 2s 3 rhythm leads m 5by 10s Key to Bottom of Exercise Reports The following report codes are printed on the lower left edge of the Exercise Report and have the following meaning A Auto Arrythmia Reporting is ON A Auto Arrythmia Reporting is OFF H Stag Hold is ON H Stag Hold is OFF S Cubic Spline is ON S Cubic Spline is OFF 50 50Hz AC filter is ON 60 60Hz AC filter is ON HR Binary encoded format for heart rate leads Additional Report Names Report Name Description 12 Rhythm Leads 10 seconds of 12 lead rhythm Autorhythm 10 seconds of 3 6 or 12 leads of rhythm CGR One median complex for each of the 12 leads combined with 10 seconds of 3 lead rhythm Expanded Median Each median complex can be expanded by double the speed and double the gain D 4 MAC 5000 System 2020300 016 Revision A Appendix D Report Formats Format Description Report Name Description Linked Me
37. the Hookup Advisor option is turned off NOTE If Hookup Advisor and Preview before analysis options are both on this setting is disregarded because any lead quality message will be displayed when the user is prompted to continue in the preview screen Pre acquisition Select Yes to begin acquiring ECG data as soon as the leadwires are connected to a patient The system does not wait until the user presses ecg before it starts acquiring ECG data The latest 10 seconds of ECG data is ready for analysis when Pre acquisition is turned on 1 If Hookup Advisor is turned ON these options do nothing in modes affected by Hookup Advisor ECG Analysis 1 Within the system setup function select ECG 2 Select ECG Analysis to define the ECG analysis parameters ECG Analysis options are defined in the table below 14 16 MAC 5000 System Revision A 2020300 016 System Setup Define the ECG Setup ECG Analysis ltem Description Preview before Select Yes to allow the userto always preview a recorded ECG before the system analysis analyzes the data resting pediatric 15 lead and vector loops only Screening Select Yes to prevent specific 12SL analysis statements from appearing on ECG reports criteria See Appendix C to identify these statements Suppress Select Yes to prevent the Normal ECG 125L analysis statement from appearing on NORMAL printed stored and transmitted ECG reports statement Suppres
38. the U nited States Patent and Trademark Office 12SL 15SL Access AccuSpeak ADVANTAGE BAM BODYTRODE Cardiomatic CardioSpeak CD TELEMETRY amp LAN CENTRALSCOPE Corolation EDIC EK Pro Event Link Cirrus Event Link Cumulus Event Link Nimbus HI RES ICMMS IMAGE VAULT IMPACT wf INTER LEAD IQA LIFEWATCH Managed Use MARQUETTE PRISM MARQUETTE RESPONDER MENTOR MicroSmart MMS MRT MUSE CardioWindow NST PRO NAUTILUS O2SENSOR Octanet OMRS PHi Res Premium Prism QUIK CONNECT V QUICK CONNECT QT Guard SMART PAC SMARTLOOK Spiral Lok Sweetheart UNITY Universal Waterfall and Walkmom aretrademarks of GE Medical Systems Information Technologies OGE Medical Systems Information Technologies 2004 All rights reserved T 2 MAC 5000 System Revision A 2020300 016 24 May 2004 Contents CE Marking Information sess CE 1 Compliance mete pv ETE eap ea ER S rite CE 1 Recommendations nory coria ern a dos CE 1 IntFOQUCLIOTI us aie etico en 1 1 Manual Information ssseeeeeeee m 1 3 Purpose AA AA AAA AA c e n 1 3 tended A Udleli 6 is ur sek ed uoce eei d da Seh 1 3 Revision History E RR RD E M ORC TERCER 1 3 Conventions n errena iner aE EAEE EEEE EEEE DEDEM EERE MEER 1 4 Safety Information cooooccccccocncnrcnr eee eee eee nun 1 6 Definitions e mde nd aee CHER nee A 1 6 ClaSSifICatlon 5s Leche o eren te oe ote RER 1 18 Underwriters Laboratories INC isses 1 18 Legal NOlCe
39. used as a vital signs physiological monitor 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 1 14 MAC 5000 System Revision A 2020300 016 Introduction Safety Information When using stainless steel or silver electrodes a defibrillator discharge current may cause the electrodes to retain a residual charge causing a polarization or dc offset voltage This electrode polarization will block acquisition of the ECG signal To avoid this condition use non polarizing electrodes which will not form a dc offset voltage when subjected to a dc current such as silver sil ver chloride types if there is a situation where there is a likelihood that a defibrillation procedure will be necessary If polarizing electrodes are used we recommend disconnecting the leadwires from the patient before delivering the shock Electrode defibrillation recovery is the ability of the electrode to allow the ECG traceto return after defibrillation We recommend using non polarizing disposable electrodes with defibrillation recovery ratings as specified in AAMI EC12 3 2 2 4 MMS P N 9623 105 Silver MacTrodes MMS spec TP9623 003 AAMI EC12 requires that the polarization potent
40. 000 System 2020300 016 B 5 Appendix B Troubleshooting System Errors System Errors The following errors may occur while you are operating this system You may be required to perform some action If you perform the recommended actions and the condition still remains contact authorized service personnel See How to Reach Us to find out how to contact GE Medical Systems Information Technologies Problem Cause Solution appears on the screen No battery is installed in the system Install a battery and connect the system to an AC wall outlet to charge the battery flashes intermittently The battery charge is low Connectthe system to an AC wall outlet to charge the battery appears on the screen VER The writer door is open Close the writer door The system does not power up when operating from battery power The battery is fully discharged Connectthe system to an AC wall outlet to charge the battery The system shuts down when operating from battery power Battery is empty or the Automatic Shutdown feature is enabled Connect the system to an AC wall outlet to charge the battery or power on the system u Lead disconnected message appears Electrode s disconnected Reconnect the electrode s MODEM ERROR The remote device is not responding Would you like to retry Modem not connected If wireless option Client bridge not connected or
41. 000 System 9 3 2020300 016 Transmitting an ECG Transmit Stored ECGs by Modem Option 5 6 7 m Select a modem type m Select Return Select the E CGs to be transmitted Select Transmit to transmit the ECGs If you want totransmit E CG reports from a different disk select esc Insert the appropriate disk in the disk drive Select New Disk Repeat steps 2 through 6 above or Select Main Menu to continue 9 4 MAC 5000 System Revision A 2020300 016 Transmitting an ECG Transmit Stored ECGs Locally Transmit Stored ECGs Locally NOTE Before transmitting an EGG report be sure that the unit is powered on and that a diskette containing the ECGs to be transmitted is in the disk drive Preparation 1a Transmit via Cable Ay 5000 MUSE er A PN 700060 003 1b Transmit via Infrared 1 3ft m nf a zm p MUSE CV infrared device 11 3ft 30 4 91 4cm 1 333 3 E 1 MAC 5000 MAC 5000 107A 1 Select FileManager A list of ECGs displays N Select Location to determine the method of transmission Choices are Serial Lineor MUSE Network Select Sdect A list of available ECGs displays Select one or more ECGs Select Transmit to transmit the ECGs au B w If you want totransmit E CG reports from a different disk select esc Insert the appropriate disk in the disk drive Select New Disk Repeat steps 2 through 5 above Revision A MAC
42. 0300 016 Appendix E Master s Step Data ST T Change ST T Change Positive Borderline Negative Calculation The existence of any ST T change is assessed by classifying ST T into three assessment levels positive borderline and negative The following criteria is used m ST depression gt 0 1mV 2 or more leads m ST elevation gt 0 2mV 2 or more leads m T wavechange gt 1 0mV 2 or more leads One of these three criteria must be met m ST depression gt 0 05mV any leads m ST elevation gt 0 1mV any leads m T wave change gt 0 5mv any leads One of these three criteria must be met m Positive and borderline criteria are NOT satisfied ST depression rest ST post J post exercise ST post J ST elevation post exercise ST post J rest ST post J T wave change absolute value of rest T wave amplitude post exercise T wave amplitude ST post J amplitude at the post J point When the assessment is positive or borderline the lead with the largest change prints Revision A MAC 5000 System E 5 2020300 016 E 6 MAC 5000 System 2020300 016 Revision A Index Index Numerics 12 ld 2 8 15 lead ECG report setup 14 19 14 25 A abnormal ECG report 14 21 abrasive cleaning agents A 4 AC filter 14 15 AC noise level warning 14 15 AC power connector 2 6 ACI TIPI 5 9 14 5 14 18 ACI TIPI Acute Cardiac Ischemia Time Insensitive Predictive Instrumen
43. 14 7 thermal paper storage A 7 Tic marks 14 24 time setup 14 12 transmission delete ECG after transmission 14 7 setup 14 11 transmit automatic transmission 14 5 via modem 9 3 9 7 troubleshooting basic questions B 3 operator error B 3 visual inspection B 3 TTL Output 14 22 14 28 two second pause 14 11 type 14 11 BF equipment 1 16 V visual inspection A 4 B 3 WwW weight 14 9 Width 14 28 width 14 22 writer filter 14 18 14 24 gain 14 18 14 24 speed 14 18 14 24 X XML Extensible Markup Language 9 8 Index 8 MAC 5000 Revision A 2020300 016 Ce GE Medical Systems 0459 Information Technologies gemedical com World Headquarters GE Medical Systems Information Technologies Inc 8200 West Tower Avenue Milwaukee WI 53223 USA Tel 1 414 355 5000 1 800 558 5120 US only Fax 1 414 355 3790 European Representative GE Medical Systems Information Technologies GmbH Munzinger StraBe 3 5 D 79111 Freiburg Germany Tel 4 49 761 45 43 0 Fax 49 761 45 43 233 Asia Headquarters GE Medical Systems Information Technologies Asia GE China Co Ltd 24th Floor Shanghai MAXDO Center 8 Xing Yi Road Hong Qiao Development Zone Shanghai 200336 P R China Tel 4 86 21 5257 4650 Fax 4 86 21 5208 2008
44. 16 Appendix B Troubleshooting Introduction Introduction First Things to Ask Visual Inspection If the system is not working properly save yourself some time troubleshooting by asking yourself these basic questions m Isthe unit turned on m Havethere been any changes in the use location or environment of the equipment that could cause the failure m Has the equipment s hardware or software been modified m s operator error the cause of the problem Try to repeat the scenario exactly and compare that to the proper operation of the equipment described in the manual m Is the battery installed m When connected to an AC wall outlet does the green AC power light glow m Is the writer door closed m Is the software card installed A thorough visual inspection of the equipment can save time Items such as disconnected cables or missing hardware can frequently cause symptoms and equipment failures that may appear to be unrelated and difficult to track For additional information see Appendix A Appendix A Maintenance Revision A MAC 5000 System B 3 2020300 016 Appendix B Troubleshooting Equipment Problems Equipment Problems Reducing ECG Data Noise If the acquired ECG data displays unacceptable noise levels Verify proper electrode placement Verify proper electrode application Perspiration excessive hair lotions and dead skin cells must be removed from the electrode site C
45. ARNING Defibrillator Precautions Do not come into contact with patients during defibrillation Otherwise serious injury or death could result Patient signal inputs labeled with the CF and BF symbols with paddles are protected against damage resulting from defi brillation voltages To ensure proper defibrillator protection use only the recommended cables and leadwi res Proper placement of defi brillator paddles in relation to the electrodes is required to ensure successful defibrillation WARNING Electrodes Polarizing electrodes stainless steel or silver constructed may cause the electrodes to retain a residual charge after defibrillation A residual charge will block acquisition of the ECG signal Whenever patient defibrillation is a possibility use non polarizing silver sil ver chloride construction electrodes for ECG monitoring MAC 5000 System Revision A 2020300 016 Introduction Safety Information WARNING MagneticAndElectrical nterference Magnetic and electrical fields are capable of interfering with the proper performance of the devi ce For this reason make sure that all external devices operated in the vicinity of the device comply with the relevant EMC requirements X ray equipment or MRI devices are possible sources of interference as they may emit higher levels of electromagnetic radiation WARNING ExplosionH azard Do NOT use in the presenc
46. Advisor option which monitors the quality of resting ECG signals and is available for resting 15 lead pediatric vector loops and Master s Step ECG measurements Revision A MAC 5000 System 14 15 2020300 016 System Setup Define the ECG Setup ECG Acquisition ltem Description Prompt level If Hookup Advisor is enabled set the sensitivity at which the system will prompt users regarding patient hookup quality Choices are Yellow default Red and Never m When the Prompt level is set to Yellow the expected behavior for both yellow and red lead quality situations is as follows Users are prompted to Continue or Cancelthe recording The statement Poor data quality interpretation may be adversely affected is automatically printed on the report m When the Prompt level is set to Red the expected behavior for red lead quality situations is as follows Users are prompted to Continue or Cancel the recording The statement Poor data quality interpretation may be adversely affected is automatically printed on the report m When the Prompt level is set to Never the expected behavior is as follows The prompt does not display on the device for either yellow or red lead quality situations The statement Poor data quality interpretation may be adversely affected is automatically printed on the report for red lead quality situations The Prompt level control is not active if
47. C 5000 System 2020300 016 For your notes 2 2 MAC 5000 System Revision A 2020300 016 Equipment Overview Equipment Description Equipment Description Front View Name Description display screen View the waveform and text data disk drive slot Insert a diskette to store ECG orders or recorded ECG data keyboard Press the keyboard keys to control the system or to enter data Revision A MAC 5000 System 2 3 2020300 016 Equipment Overview Equipment Description Back View 117A Name Description A back panel connectors Connect peripheral devices here B green AC power light Indicates the system is connected to AC power C amber battery light Indicates the battery is re charging D internal access button Press to open the system to change paper or the battery Internal View Name Description A battery Recharge when the battery icon flashes onscreen B writer door Open to replace paper or the battery C acquisition module connector Connectthe acquisition module cable here D paper tray Place paper here E STD or A4 Indicates the size of paper standard or A4 the tray holds 2 4 MAC 5000 System Revision A 2020300 016 Equipment Overview Equipment Description Connectors Back Panel WARNING LeakageCurrent Ke
48. C 5000 System Revision A 2020300 016 13 Completing Other Tasks evision MAC 5000 System 13 1 2020300 016 For your notes 13 2 MAC 5000 System Revision A 2020300 016 Completing Other Tasks Prepare a Disk for Use Prepare a Disk for Use Lock and Unlock Prevent accidental deletion of data Yes No Lock the disk Unlock the disk You can now store or delete data 006A 110A 109A Format NOTE The system will automatically format an unformatted disk Before formatting a disk be surethat the unit is powered on and that a disk is in the disk drive Revision A MAC 5000 System 13 3 2020300 016 Completing Other Tasks Eject a Disk From the Drive Slot Eject a Disk From the Drive Slot Press the button just above the drive slot to eject the disk 13 4 MAC 5000 System Revision A 2020300 016 Completing Other Tasks Display Stored ECGs Display Stored ECGs NOTE Besurethat the unit is powered on and that a disk containing the ECGs to be displayed is in the disk drive Selec FileManager to open the list of stored ECGs to view Select Select to display a list of available ECGs Highlight one or more ECGs to display A W Npe Select Display NOTE Medians Rhythm and Text functions are not available for the signal averaged E CGs Print the ECG Select Print to print the selected E CGs Display Medians or Rhythm Data Select Medians to display medians information for the sele
49. Configuration window appears The items in this window will be automatically configured Press esc when the Basic System menu appears Select SaveSetup gt To System Reboot the device Fromthe Main Menu select System Setup gt Basic System gt PS 2 Port Select 2 Bar Code Configuration gt Automatic gt Return The following message is displayed Scan the Configuration Bar Code Scan the configuration bar code The Manual Bar Code Configuration window appears with numbers entered for the various configuration items 10 Press esc twice Revision A MAC 5000 System 14 33 2020300 016 System Setup Bar Code Reader Option Setup 11 Select SaveSetup gt To system Manual Configuration of Bar Code Reader 1 Connect the bar code reader tothe A port on the back of the MAC 5000 2 FromtheMain Menu select System Setup Basic System gt PS 2 Port Select gt PS 2 Port Device gt Bar Code Reader gt Return The Manual Bar Code Configuration window is displayed 3 Enter the bar code configuration information in this window See Creating Bar Codes and Magnetic Cards on page 14 34 4 Press esc twice 5 Select SaveSetup gt To system Creating Bar Codes and Magnetic Cards The bar code reader can read Code 39 39EX and PDF 417 2 D bar codes The card reader can read magnetic cards which adhere to ISO 7810 and 7811 Usethefollowing rules to set up a scheme including patient demographic dat
50. Equipment Description Y our keyboard may be slightly different than that shown A B C D E F G GO x EPEN 3 ale e Be nme E aa m 9 m m m J D mns jeg m poor s Ji LJ B ee a A PR EE EJGD GJ Q3 CJ 3 09 G2 G3 E E La JJ E JE E GJ EJ E Ce J E 5 H l J K L 1528 Name Description A Pretest Press to advance to the pretest phase B Exercise Press to advance to the exercise phase C Recovery Press to advance to the recovery phase D Test end Press and hold to end the test and start the test end phase E Speed W Press to manually change the belt speed or ergometer load F Grade up down Press to change the elevation of the treadmill belt G Start STOP Press to start or stop the treadmill during the test tmill H Recall Press to print a 10 second delayed recall report 12 ld Press to print a 12 lead report 10 seconds of acquired data J Medians Press to printa medians report K Comment Press to enter comments about the test Comments are printed on many of the final reports L Enter BP Press to enter BP readings or to trigger a reading from an external device Or advance to next stage within the selected phase 2 8 MAC 5000 System 2020300 016 Revision A Equipment Overview Equipment Description Acquisition Module 1618
51. G reports Revision A MAC 5000 System 14 7 2020300 016 System Setup Define the Basic System Setup Miscellaneous Setup Item Description Print barcodes Select Yes if you want the patient information printed in a barcode format on printed reports Automatic Type a number of minutes x greater than zero to enable the battery conservation mode Shutdown Ifa key is not pressed within x minutes your system will automatically power off Only patient data is saved when the system powers off Serial power Select Yes to enable continuous power to the serial ports always on System Type a 6 character password that allows you to access the System Setup and Delete password functions The default System password is system Keep track of all assigned passwords Overread Type a 6 character password that allows you to access the Delete function The default password Overread password is ovread Keep track of all assigned passwords Device Type a 6 character password The MAC 5000 has no default Device Password If a password Device Password is entered here users will be required to enter it in order to use the system See Appendix B Troubleshooting for Device Password override Keep track of all assigned passwords Patient Questions Within the system setup function select Basic System Select Patient Questions to define what patient prompts appear when you select Patient Data in the Rest
52. I option be surethat the unit is powered on and that a diskette is in the disk drive Refer to Chapter 14 System Setup for information on enabling the ACI TIPI option Y ou must have a report with interpretation selected in System setup in order to obtain an ACI TIPI report 1 Enter the patient s demographics either manually with the keyboard or by using the card reader bar code reader 2 Pressthe ECG button 3 Enter the ACI TIPI data m Age 18 40 41 50 gt 50 m Gender Male Female and m Chest or Left Arm Pain Chief Complaint Secondary Complaint Not Present Chief Complaint Select this option if the complaint of chest or left arm pain is the primary reason the patient came tothe hospital Secondary Complaint Select this option if the complaint of chest or left arm pain is secondary the patient cametothe hospital because of other symptoms NotPresent Select this option if the patient has no chest or left arm pain or equivalent discomfort Select Return 4 Print store and transmit the ECG based on instructions given on page 5 5 Revision A MAC 5000 System 5 9 2020300 016 Recording an ECG Using ACI TIPI Option 5 10 MAC 5000 System 2020300 016 Revision A 6 Exercise Stress Test Option Revision A MAC 5000 System 2020300 016 For your notes 6 2 MAC 5000 System Revision A 2020300 016 Exercise Stress Test Option Start an Exercise Stress Test
53. If a message appears indicating there are multiple orders for this PID you must use the Order Manager feature to select the order If you are using the automatic configuration feature use the following information to create a configuration bar code or card Item Character used to reserve byte space Patient ID 9 First name 3 Last name 6 Year of birth 3 Month of birth 1 Day of birth 2 Gender F NOTE All data resides in fixed width fields The bar code or card generator must be programmed to add trailing spaces after patient names shorter than the fixed width of the patient names being used by your system 14 36 MAC 5000 System Revision A 2020300 016 System Setup Master s Step Setup Option Master s Step Setup Option Within the system setup function select Master s Step to define the parameters for the Master s Step option Master s Step Setup Option Item Description Number of The number of steps required during the exercise portion of the test This is calculated Steps from the patient weight sex and age but can be changed here Test Type Test length Select Single for 1 5 minute test Double for 3 minute test or Triple for a 4 5 minute test Post J ms Number of ms after point used to determine the ST level Step Counter Select Up to display steps taken so far Select Down to display steps to go during Display exercise Continuous Continuously prints rhythm between post exe
54. Leads report ST HR Loops Enter the number of copies to be printed ST HR Report Enter the number of copies to be printed for the ST Heart Rate Slope report Screen 1 Within the system setup function select E xerciseT est 2 Select Screen to define how your exercise ECGs are displayed on your screen Revision A MAC 5000 System 14 27 2020300 016 System Setup Define the Exercise Test Setup Option Screen Exercise Testing ltem Description Display Select Yes to display a median complex on the screen in front of Rhythm Lead 1 2 and 3 Rhythm during an exercise test Medians Screen Filter Select 20 or 40 Hz to setthe screen filter Inputs Outputs 1 Within the system setup function select Exercise Test 2 Select Inputs Outputs when you connect additional equipment like an ergometer to your MAC 5000 system Inputs Outputs Item Description Slow Analog Output Select Not Used DC Heart Rate Workload Speed x1 Speed x3 or select Grade to define DC heart rate ergometer workload treadmill speed or treadmill grade If using exercise protocols for an ergometer or an analog treadmill see Chapter 7 Chapter 7 Editing Protocols you must configure the slow and fast analog output properly to control the workload device For ergometers the analog output should be configured for workload for analog treadmills the analog outputs should be configured for Speed and gr
55. MAC 5000 Resting ECG Analysis System Operator s Manual Software Version 008B 2020300 016 Revision A GE Medical Systems Information Technologies gemedical com NOTE Listed below are GE Medical Systems Information Technologies trademarks All other trademarks contained herein are the property of their respective owners 900 SC ACCUSKETCH AccuVision APEX AQUA KNOT ARCHIVIST Autoseq BABY MAC C Qwik Connect CardioServ CardioSmart CardioSys CardioWindow CASE CD TELEMETRY CENTRA CHART GUARD CINE 35 CORO COROLAN COROMETRICS Corometrics Sensor Tip CRG PLUS DASH Digistore Digital DATAQ E for M EAGLE Event Link FMS 101B FMS 111 HELLIGE IMAGE STORE INTELLIMOTION IQA LASER SXP MAC MAC LAB MACTRODE MANAGED USE MARQUETTE MARQUETTE MAC MARQUETTE MEDICAL SYSTEMS MARQUETTE UNITY NETWORK MARS MAX MEDITEL MEI MEI in the circle logo MEMOPORT MEMOPORT C MINISTORE MINNOWS Monarch 8000 MULTI LINK MULTISCRIPTOR MUSE MUSE CV Neo Trak NEUROSCRIPT OnlineABG OXYMONITOR Pres R Cuff PRESSURE SCRIBE QMI QS Quantitative Medicine Quantitative Sentinel RAC RAMS RSVP SAM SEER SILVERTRACE SOLAR SOLARVIEW Spectra 400 Spectra Overview Spectra Tel ST GUARD TRAM TRAM NET TRAM RAC TRAMSCOPE TRIM KNOB Trimline UNION STATION UNITY logo UNITY NETWORK Vari X Vari X Cardiomatic VariCath VARIDEX VAS and Vision Care Filter are trademarks of GE Medical Systems Information Technologies registered in
56. MAC5000 XXXX BPM I aVR V1 V4 tt avt V2 V5 lll aVF V3 V6 CDC DC 2C br 2C e p 157A F Name Description A software version Displays the system s software version during the first few seconds of power up B user prompts Provides additional information C Hookup Advisor Displays quality of patient hookup This can be turned on or off D function icon Indicates the Main Menu function the system is using This is the Resting ECG function E battery status icon Indicates how much charge the battery has available F menu Provides access to additional settings or functions Main Menu Usethe Main Menu to select the different functions available on this system The functions displayed in your Main Menu may vary duetothe installation of purchased software options 2 14 MAC 5000 System Revision A 2020300 016 Equipment Overview Getting Started Start Up Screen Exercise Option EXERCISE STAGE 1 Waiting for Stable Heart Rate uq WIE ny pepe us dod tea ALLE LLL CD DC DC 2C 2C MD1207 028D Name Description system messages Error or informational messages appear in this area current heart rate bar graph The top horizontal line is the maximum predicted heart rate 220 age The line below that is the target heart rate a percentage of 220 age Atthe start of EXERCISE phase a third line r
57. NORMAL and BORDERLINE statements 14 17 suppress NORMAL statement 14 17 swedish format rhythm leads 14 20 14 26 System password 14 8 system setup print parameters 14 38 restore setup 14 38 save changes 14 38 Tabular Report 14 27 technician 14 10 telephone number 14 11 test 2 8 test Indication 14 10 text entry 14 7 thermal paper storage A 7 Tic marks 14 24 time setup 14 12 transmission delete ECG after transmission 14 7 setup 14 11 transmit automatic transmission 14 5 via modem 9 3 9 7 troubleshooting basic questions B 3 operator error B 3 visual inspection B 3 TTL Output 14 22 14 28 two second pause 14 11 type 14 12 BF equipment 1 24 V visual inspection A 4 B 3 Ww weight 14 9 Width 14 29 width 14 22 writer filter 14 19 14 24 gain 14 19 14 24 speed 14 19 14 24 X XML Extensible Markup Language 9 8 Index 4 MAC 5000 Revision A 2020300 016 Index For your notes Numerics 12 ld 2 8 15 lead ECG report setup 14 19 14 25 A abnormal ECG report 14 21 abrasive cleaning agents A 4 AC filter 14 15 AC noise level warning 14 15 AC power connector 2 6 ACI TIPI 5 10 14 6 14 17 ACI TIPI Acute Cardiac Ischemia Time Insensitive Predictive Instrument 1 14 acquisition module buttons 2 9 cable 2 10 lead labels 2 10 leadwire adapters 2 10 leadwires 2 9 age 14 9 amber battery light 2 4 ANA TTL 2 5 analog outputs setup 14 22 analysis filter 14 29 14 36 archivist paper storage A 8
58. QUICKLY Press the emergency stop button usually mounted on the treadmill to stop the treadmill QUICKLY Press Speed W or Speed W and Grade keys on the treadmill controller keyboard to manually control the test However once you press these keys you control the speed and grade during the remainder of the EXERCISE and RECOVERY phases not the protocol Menu Function Patient Data Enter a patient s name ID number etc Enter the patient s age to allow your system to calculate the maximum and target heart rates New Protocol Se Thi ect a different exercise test protocol s function is only available if the test will be printed only not stored to a diskette Measurements Will allow the system to reestablish the median complex set the point then select the three leads used to calculate heart rate Leads Select the leads used for 3 or 6 Rhythm leads All Leads Lead Check or Lead Placement 6 6 MAC 5000 System Revision A 2020300 016 Exercise Stress Test Option Test Phases Menu Function Median Select a lead to act as the median lead This can be a fixed lead or scanned for lead with most ST depression Writer Change the writer s arrhythmia documentation doc cubic spline baseline control paper speed gain filter and writer on off settings Exercise Phase Overview Operating Steps The selected protocol controls the tread
59. Select Treadmill in MPH or Km h Analog Treadmill in MPH or Km h Ergometer in Watts or KPM This is the type of exercise test you want to perform Select Treadmill if using with a T2000 treadmill Ramp Protocol Select Yes if you wantthe ergometer workload or treadmill speed and grade to change every 6 seconds Select No if you wantthe ergometer workload or treadmill speed and grade to change every stage Name of PRETEST Type the name of your PRETEST phase as you would like it to phase appear on your reports Revision A MAC 5000 System 7 8 2020300 016 Editing Protocols Operating Steps Variable Protocols Menu Item Description Name of EXERCISE Type the name of your EXERCISE phase as you would like it to phase appear on your reports Name of Type the name of your RECOVERY phase as you would like it to RECOVERY phase appear on your reports Name of FINAL Type the name of your FINAL TEST END phase as you would phase like it to appear on your reports Peak report style Choose one of the following reports to print a time of peak exercise during transition to RECOVERY phase from EXERCISE phase No report 12 15 Ld Medians and 5 second Rhythm 3 Select Return when you are finished changing the Protocol name Menu name etc The first phase screen usually called PRETEST appears The table below explains each column of the PRETEST phase screen Pretest Phase Screen
60. Statements Insert or Append an Acronym Insert allows you to add text before the current statement Append allows you to add tothe end of the current line 1 Select Diagnostic Statements 2 Select a statement 3 Select Append or Insert 4 Typean acronym 5 Pressthereturn key 6 Select Return 11 4 MAC 5000 System Revision A 2020300 016 Editing an ECG Edit Demographic and Interpretive Data Insert or Append Free Text 1 2 3 4 5 6 Select Diagnostic Statements Select a statement Select Append or Insert Type a statement Press the return key Select Return Move a Statement to a New Line 1 2 3 Select Diagnostic Statements Select a statement Select New Line Delete a Statement 1 2 3 Select Diagnostic Statements Select a statement Select Dal ete Join Two Statements 1 2 Store the Edited ECG A W NM Hp Select Diagnostic Statements Select a statement to join with the preceding statement Select J oin Select Return Select Return The message Savethe edited file displays Select Storeto save the edited file or Press esc to discard the changes to the file Revision A MAC 5000 System 11 5 2020300 016 MAC 5000 System 2020300 016 Revision A 12 Deleting an ECG For your notes 12 2 MAC 5000 System Revision A 2020300 016 Deleting an ECG Delete Stored ECGs Delete Stored ECGs NOTE Before deleting an EGG repo
61. a at two different amplitudes RMR One median complex for each of the 12 leads combined with 10 seconds of 3 lead rhythm Swedish Format 1 One median complex for each of the 12 leads at writer speed of 50mm s combined with 5 seconds of 6 lead rhythm at half writer speed Text is on the bottom of the page Swedish Format 2 5 seconds for each of the 12 leads at writer speed 50mm s Text is on the top of the page Vector Loops Sagittal horizontal and frontal plane vectorgrams Marks on sample X Y Z complexes identify P onset and offset Q onset and offset and T onset Revision A MAC 5000 System D 5 2020300 016 Appendix D Report Formats Format Description In Test Reports Report Name Description 12 or 15 Lead Report Based on Exercise report setups a variety of 12 or 15 Lead report formats will print without ECG analysis when the 12 Id key is pressed or when 12 15 lead reports are configured in the protocol 5 Second Rhythm Report This report can be chosen from the Edit P rotocol application to print at certain points during the test Rhythm Report A continuous real time recording of raw data 3 6 12 leads Leads for rhythm report correspond to leads on the screen Arrhythmia R eport Automatic documentation of arrhythmias with 2 5 seconds of raw data prior to the ectopic beat Leads of arrhythmia report correspond to leads on the screen Recall Report A
62. a in bar codes or magnetic cards Item Byte Length Patient ID 116 maximum Last Name 16 maximum First Name 10 maximum Year of birth 4 Month of birth 2 Day of birth 2 Gender 1 14 34 MAC 5000 System Revision A 2020300 016 System Setup Bar Code Reader Option Setup 1 The Patient ID length should not exceed the 16 character maximum and should be equal to the ID length which is set up on the MAC 5000 in the Patient Questions window This should also be compatible with the patient ID length for the MUSE CV system to which the MAC 5000 device is communicating Once a scheme has been determined the following information must be provided to the MAC 5000 to properly set up the bar code reader or the card reader Total number of bytes Patient ID offset Patient ID length First name offset First name length Last name offset Last name length Year of birth offset Year of birth length Month of birth offset Month of birth length Day of birth offset Day of birth length Gender offset Gender length Revision A MAC 5000 System 14 35 2020300 016 System Setup Bar Code Reader Option Setup Get order from MUSE Select Yesto get orders from the MUSE MAC 5000 will call MUSE If an order for the PID exists on the MUSE system the patient s information will display after reading the bar code or card PID must be included in bar code or magnetic strip for this feature to function properly
63. a rhythm lead 1 Swedish format rhythm leads Selectthe rhythm lead s you want printed in the Swedish format reports When you change a rhythm lead the new lead appears on all reports displaying that lead For example if you select V5for the Swedish format rhythm lead 1 then the V5 waveform appears on all reports that include Swedish format rhythm lead 1 Confirmed Reports Item Description Report formats Choose the report formats you wantto print after an ECG has been confirmed m Select whether you want the report to print with or without interpretation 125 L analysis statements m Enter the number of copies you want to print for each report 0 10 copies 14 20 MAC 5000 System Revision A 2020300 016 System Setup Define the ECG Setup Unconfirmed Reports Item Description Normal ECG Choose the report formats your system automatically prints after you press ECG Reports m Select whether you want the reportto print with or without interpretation 125L analysis statements m Enter the number of copies you want to print for each report 0 10 copies Abnormal ECG Choose the report formats your system automatically prints when an abnormal ECG is Reports detected m Select whether you want the report to print with or without interpretation 125 L analysis statements m Type in the number of copies you want print
64. ade Fast Analog Output Select Not Used DC Heart Rate Workload Speed x1 Speed x3 Grade or select one of the following leads I I V1 V2 V3 V4 V5 or V6 Attach an acquisition module to the MAC 5000 system in order to use this output Blood Pressure Select Manual Ergoline Ergometer Suntech or Nipon Colin If selecting the Suntech blood pressure device the blood pressure device must be configured to use the Ergoline emulation mode See the Suntech blood pressure device Operators Manual TTL Output Select Not Used QRS Detect or BP Promptto define TTL Output If selecting any of the external blood pressure devices the TTL output must be configured to provide a QRS Trigger that meets the specifications of the blood pressure device See the blood pressure device Operators Manual for TTL trigger specifications Polarity Select Positive or Negative to set TTL Output polarity MAC 5000 System 2020300 016 Revision A System Setup Define the Exercise Test Setup Option Inputs Outputs Item Description Width Enter a value from 4 48 milliseconds to define TTL Output signal width Delay Type a value between 0 and 100 to seta delay in milliseconds for the TTL Output QRS detector signal QRS Beep Select On to hear a beep for each QRS complex Revision A MAC 5000 System 14 29 2020300 016 System Setup Define the Signal Averaged ECG Setup Option
65. all moisture has vaporized before using the device MAC 5000 System Revision A 2020300 016 Introduction Safety Information CAUTION Electricshock To reduce the risk of electric shock do NOT remove cover or back Refer servicing to qualified personnel CAUTION Operator Medical technical equipment such as this electrocardi ograph system must only be used by persons who have received adequate training in the use of such equipment and who are capable of applying it properly CAUTION Power Requirements Before connecting the device to the power line check that the voltage and frequency ratings of the power line arethe same as those indicated on the unit s label If this is not the case do not connect the system to the power lineuntil you adjust the unit to match the power source In the U S A if the installation of this equipment will use 240V rather than 120V the source must be a center tapped 240V single phase circuit This equipment is suitable for connection to public mains as defined in CISPR 11 CAUTION RestrictedSale U S federal law restricts this device to sale by or on the order of a physician Revision A MAC 5000 System 1 11 2020300 016 Introduction Safety Information Classification CAUTION ServiceableParts This equipment contains no user serviceable parts Refer servicing to qualified service personne
66. ard 2 3 L language selection 14 13 lead labels 2 10 lead set 14 21 14 25 lead Z display 14 22 leads rhythm 14 20 14 26 RMR CGR extra 14 20 14 26 standard 14 20 14 25 swedish format 14 20 14 26 Trend Report 14 27 leadwire adapters 2 10 location 14 10 14 11 location number 14 7 main loop gain 14 22 Main Menu 2 14 2 16 Main Menu functions 2 17 mains AC power connector 2 6 manual conventions used 1 4 intended audience 1 3 purpose 1 3 revision history 1 3 manual control of exercise stages 6 11 Master s Step E 3 medians 2 8 medications 14 10 modem speaker 14 11 muscle tremor warning 14 15 N Negative E 5 noise level averaging target 14 30 14 37 normal ECG reports 14 21 operation ready for use 2 13 option 2 7 options 14 10 order number 14 10 overread password 14 8 P pacemaker pulse enhancer 14 15 paper tray size 2 5 paper storage A 7 paper tray 2 5 password device 14 8 overread 14 8 system 14 8 patient history 14 10 ID number length 14 9 ID number required 14 9 questions function 14 18 skin preparation 3 3 pediatric ECG report setup 14 19 PHi Res setup 14 23 Polarity 14 28 polarity 14 22 Positive E 5 power mains AC power connector 2 6 serial connector 14 8 power up options 14 13 pretest 2 8 preview before analysis 14 17 print automatic report print 14 5 automatic report printing 14 4 setup parameters 14 38 product code 1 28 Q QRS Beep 14 22 14 29 R Race 14 9 recall 2 8 receiv
67. atically transmit an ECG 14 5 clean A 4 connect the acquisition module 2 12 delete stored ECG orders 12 4 delete stored ECGs 12 3 display stored ECGs 13 5 edit demographic and interpretive data 11 3 eject a disk from the drive slot 13 4 enter data 2 20 enter orders manually 4 9 enter patient information 4 3 format a disk 13 3 lock and unlock a disk 13 3 preview ECG data before analysis 14 4 print stored ECG reports 8 3 receive ECGs by modem 10 3 receive ECGs locally 10 4 retrieve confirmed ECGs 10 5 F select items from a list 2 20 fading traces A 7 select menu functions 2 18 Fast Analog Output 14 28 select the power up function 14 4 fast analog output 14 22 select the system setup function 14 3 fax error correction 14 11 transmit by modem 9 3 file manage sort 14 7 type data into a highlighted field 2 20 filter use the arrow pad 2 19 AC filter 14 15 verify correct operation 2 13 formats l report 14 20 ID length 14 9 function keys 2 7 ID number 14 9 G immersion in water A 4 gender 14 9 information 2 7 Index 6 MAC 5000 Revision A 2020300 016 Index information line 14 7 institution name 14 7 internal access button 2 4 IR 2 5 K keyboard 2 3 L language selection 14 13 lead labels 2 10 lead set 14 21 14 25 lead Z display 14 21 leads rhythm 14 19 14 25 RMR CGR extra 14 20 14 26 standard 14 19 14 25 swedish format 14 20 14 26 Trend Report 14 27 leadwire adapters 2 10 location 14 10 14 11 location numb
68. cquired Hookup Advisor will run a complete and more comprehensive assessment of the full 10 seconds of ECG data and possibly prompt the user regarding any poor lead quality conditions m If Preview before analysis is turned off in the system setup a lead quality message and prompt may be displayed depending on the current lead quality level and the Prompt level in the system setup If a message and prompt is displayed the lead quality indicator will reflect the overall 10 second lead quality m f Preview before analysis is enabled the system setup Prompt level is disregarded and the system immediately displays the Preview screen Any lead quality messages will be displayed in this screen along with the overall 10 second lead quality indicator In either case users may then either m Select Continueto continue print the ECG or m Select Cancd to cancel MAC 5000 System Revision A 2020300 016 Recording an ECG Record a Resting Pediatric Vector Loops or 15 Lead ECG Record a Resting Pediatric Vector Loops or 15 Lead ECG Record the ECG Print Another Report Store the ECG Transmit the ECG NOTE Before recording an ECG be sure that the unit is powered on and that a diskette is in the disk drive NOTE See Enable or Disable the ACI TIPI Option on page 14 5 to enable or disable ACI TIPI Press the ECG button to initiate the recording of the ECG Press the copy button to initiate another printout of t
69. cted E CGs or Select Rhythm to display rhythm information for the selected E CGs Display Measurement and Analysis Statements Select Text to display measurement and analysis statements text information for the selected E CGs Display the Next Selected ECG Select Next to display the next selected ECG Revision A MAC 5000 System 13 5 2020300 016 Completing Other Tasks Display Stored ECGs Return to the Main Menu Select Return to return to the Main Menu from the current screen Display ECGs From a Different Disk Todisplay ECGs from a different disk insert the appropriate disk in the disk drive l Prssesc 2 Press New Disk 13 6 MAC 5000 System Revision A 2020300 016 14 System Setup For your notes 14 2 MAC 5000 System Revision A 2020300 016 System Setup Using the System Setup Function Using the System Setup Function Select the System Setup Function 1 Select System Setup to access the system setup function 2 Enter the system setup password 3 Verify that the password is correct Retype the password if necessary 4 Select a menu function Define the System Parameters Use the information contained in this chapter to define your system s operating parameters Save Your Changes After making a change to the system s operating parameters save your changes 1 Select SaveSetup 2 Select To System 3 Select Main Menu Revision A MAC 5000 System 14 3 2020300
70. cy of blood pressure prompts after the first prompt occurs Median Sethow often Median complexes are saved during a stage for the final report First indicates when the first Median is saved Repeat indicates how often Median complexes are saved after the first Median complex is saved 4 Toedit Stageinformation use the arrow pad to select the desired stage then press the Edit function key A box will pop up that will allow the stage information to be edited Pretest Protocol Information You want to How do you change this item Edit stage Use the arrow pad to select the stage you want to edit A pop up box information appears showing the current information for this stage Edit the information for this stage in the pop up box Press return Add another When you add a stage itis placed below the highlighted stage stage to the Use the arrow pad to highlight a stage phase Press Add to add a stage Change the Use arrow pad to selectthe Duration field Duration of a Use the keyboard to enter the new stage duration stage Type in the duration time or press delete to set to infinite duration Press enter Revision A MAC 5000 System 7 5 2020300 016 Editing Protocols Operating Steps Pretest Protocol Information You want to How do you change this item Change the Use the arrow pad to select the ergometer work load treadmill speed Ergometer or treadmill grade fie
71. d ECGs from a MUSE CV System via Wireless Option 10 7 Display or Print the ECG veces pa ele Pet EH ent 10 8 1 1 Editing al ECG ea ee a 11 1 Edit Demographic and Interpretive Data o oooooooorommmmmmmm 11 3 Store the Edited ECG rt Ere pO c P 11 5 1 2 Deleting AN EGG 2o eRETRR REDI wes 12 1 Delete Stored ECGS cene sen 12 3 Delete Stored ECG Orders Option 0 o00oooooororcorrr nn 12 4 1 3 Completing Other Tasks 13 1 Prepare a Disk for Use cece eee e eee eee eee tees nennen nenn 13 3 A suain oet dtt eel oe dee 13 3 A E cd ebd Perlen er 13 3 Eject a Disk From the Drive Slot esee 13 4 Display Stored ECGS i aauina e Heli 13 5 Printthe ECG nee a Ad de 13 5 Display Medians or Rhythm Data 13 5 Display Measurement and Analysis Statements ssssssssssss 13 5 Display the Next Selected ECG isses 13 5 Return to the Main Menu c teens 13 6 Display ECGs From a Different Disk 0 0 cece cee teen 13 6 iv MAC 5000 System Revision A 2020300 016 14 System Setup coro daa nora 14 1 Using the System Setup Function seseeseeeeeennnnnn 14 3 Select the System Setup Function 0 cece ccc eee 14 3 Define the System Parameters ccc cece ect e cece e 14 3 Save Y CUnCHANGES udo crecer tete er 14 3 Program the System to Automatically Do a Task 14 4 Power Up the System into a Specific Resting Function o0 oo
72. d until Moreis highlighted 176A 2 Pressthe middle of the pad to select More To select a menu function 1 Usethe arrow keys to highlight the desired item 2 Pressthe middle of the pad to select the highligted item 3 Select the appropriate function Revision A MAC 5000 System 2 19 2020300 016 Equipment Overview Getting Started Entering Data Type Data into a Highlighted Field 1 Presstheright or down arrow to highlight the First namefield Last name First name 163A 2 Typethe patient s first name 3 Pressthe middle of the pad or the return key to enter the information The cursor goes to the next data field Selecting Items from a List 1 Presstheright arrow to highlight Gender 2 Pressthe middle of the pad to lock the list in place 2 20 MAC 5000 System Revision A 2020300 016 Equipment Overview Getting Started 167A 4 Pressthe down arrow to highlight Male or Female 5 Pressthe middle of the arrow pad to confirm the selection The cursor goes to the next data field Revision A MAC 5000 System 2020300 016 Equipment Overview Getting Started 2 22 MAC 5000 System 2020300 016 Revision A 3 Preparing the Patient evision MAC 5000 System 2020300 016 For your notes 3 2 MAC 5000 System Revision A 2020300 016 Preparing the Patient Prepare the Patient s Skin Prepare the Pa
73. de of operation to the MANUAL mode NOTE When you create or edit a ramp protocol always define at least four interim stages between the first and last stage This prevents abrupt changes in workload or speed and grade if the stage advances accidentally 2 Changethe EXERCISE phase information See Pretest Protocol Information earlier in this chapter as a sample guide for editing this protocol information Revision A MAC 5000 System 7 7 2020300 016 Editing Protocols Advance to Recovery Advance to Recovery Advance to the RECOVERY phase using one of the following methods m Press Phase m Next press Recovery Changethe RECOVERY phase information See Pretest Protocol Information earlier in this chapter as a sample guidefor editingthis protocol information 7 8 MAC 5000 System Revision A 2020300 016 Editing Protocols Advance to Test End Advance to Test End Advance to the TEST END phase using one of the following methods 1 Press Phase Next press and hold Test end Changethe TEST END phase information The only parameter that may be edited in TEST END phase is the report type You may choose No report or Final Press Menu when you finish editing the phases of the protocol An Edit menu similar to the following appears Return Edit protocol phase names Save current protocol Print current protocol Edit different protocol Erase current protocol New diskette Main Menu
74. dialtone method 14 11 dialtone required 14 11 disable auto gain check 14 15 Revision A MAC 5000 Index 1 2020300 016 Index lead off check 14 15 disk drive slot 2 3 display screen 2 3 ECG 2 7 abnormal report 14 21 normal report 14 21 preview before analysis 14 17 report formats D 3 ECG acquisition analysis 14 15 14 16 14 23 ECG setup 15 Lead ECG reports 14 19 14 25 analog outputs 14 22 ECG acquisition analysis 14 15 14 16 14 23 patient questions 14 18 pediatric ECG reports 14 19 14 25 resting ECG reports 14 19 14 25 writer 14 18 edit demographic and interpretive data 11 3 editing exercise test protocol sample guide 7 5 EditProtocol function 2 17 electrode application 3 5 12 lead 3 5 15 lead 3 6 Frank X Y Z 3 7 NEHB 3 7 pediatric 3 9 enter BP 2 8 equipment identification 1 27 safety information 1 6 service requirements 1 27 symbols 1 20 type BF 1 24 Ergoline 800 ergometer 2 12 Ergoline 900 ergometer 2 12 Ergoline blood pressure device 2 12 ergometer Ergoline 800 2 12 Ergoline 900 2 12 Lode 2 12 esc 2 7 Event names 14 23 exercise 2 8 Exercise function 2 17 EXT VID 2 5 external video port 14 7 Extra questions 14 24 extra questions 14 10 fading traces A 7 Fast Analog Output 14 28 fast analog output 14 22 fax error correction 14 11 file manage sort 14 7 filter AC filter 14 15 formats report 14 21 function keys 2 7 gender 14 9 grade 2 8 green AC power light 2 4 ground lug 2 6
75. dian A 4 x 2 5 with 1 rhythm lead format The rhythm lead printed across the bottom of the report is the first lead ofthe Swedish format rhythm leads group that is configured in Exercise Setups Report Leads Medians and Rhythm A median complex for each of the standard 12 leads is displayed in the upper portion of this report Below the medians are three rhythm strips These rhythm leads are the first three leads of the Swedish format rhythm leads group that is configured in Exercise Setups Report Leads 6 Lead Comparative Medians and Rhythm The baseline and current medians are compared side by side and followed by real time waveforms The 6 leads used by this reportare the Swedish format rhythm leads group that is configured in Exercise Setups Report Leads 12 Lead Comparative Medians and Rhythm A one page report for which the baseline and current medians are compared side by side and followed by 2 5 seconds of real time rhythm for the standard 12 leads ST level and ST slope are reported for each lead Hi Res or PHi Res Signal Averaged Template Dominant averaged beat type Hi Res or PHi Res Signal Averaged Standard Vector magnitudes of X Y Z Hi Res or PHi Res Signal Averaged Expanded 400mm s of expanded X Y Z medians and a RMS voltage function VM plot ACI TIPI The analysis ofthe acquired ECG data appears atthe top ofthe report Hi Res or PHi Res Signal Overlapped X Y Z dat
76. e confirmed ECGs 10 5 10 7 via infrared communication 10 4 via modem 10 3 recovery 2 8 Referred by 14 10 Remote Analog Output 14 28 report abnormal ECG 14 21 Revision A MAC 5000 Index 3 2020300 016 Index confirmation text 14 21 formats setup 14 21 normal ECG 14 21 print barcodes 14 8 print location of ECG test information 14 8 reports description D 3 Tabular 14 27 responsibility of the manuafacturer 1 19 resting ECG reports setup 14 19 14 25 restore setup 14 38 return 2 7 rhythm 2 7 leads 14 20 14 26 reports 14 20 14 25 RMR CGR extra rhythm lead 14 20 14 26 room number 14 10 S safety equipment symbols 1 20 general information 1 20 saggital plane 14 22 save setup changes 14 38 screen 2 3 screen colors 14 11 Screen Filter 14 28 screening criteria 14 17 secondary ID 14 10 select new language 14 13 serial line baud rate 14 12 serial number description 1 27 where to find 1 27 serial power always on 14 8 service requirements 1 27 setup preview before analysis 14 4 shift 2 7 shutdown of system 14 8 signal averaged ECG setup 14 23 Site number 14 7 skin preparation 3 3 Slow Analog Output 14 28 sort ECG orders 14 14 file manager 14 7 space bar 2 7 speaker volume 14 7 speed 2 8 ST Measurements 14 24 standard leads 14 20 14 25 start 2 8 STOP 2 8 stop 2 7 store data compression format 14 17 ECGs automatically 14 5 ST T E 5 SunTech Tango blood pressure device 2 12 suppress AB
77. e EMI performance Consult with qualified personnel regarding changes to the system configuration Operating the MAC 5000 system near radio frequency RF electromagnetic interference EMI above the conditions defined in the EMC Standard EN 60601 1 2 for Radiated Immunity field strengths above 3 volts per meter may cause waveform distortions Medical Electrical Equipment needs special precautions regarding EMC and needs to be installed and put into service according to the EMC information provided in the accompanying service manual Portable and mobile RF communications equipment can affect medical electrical equipment Revision A MAC 5000 System CE 1 2020300 016 CE Marking Information The use of accessories transducers and cables other than those specified with the exception of transducers and cables sold by the manufacturer of the MAC 5000 system as replacement parts for internal components may result in increased emissions or decreased immunity of theM AC 5000 system The MAC 5000 system should not be used adjacent to or stacked with other equipment and that if adjacent to or stacked use is necessary the MAC 5000 system should be observed to verify normal operation in the configuration in which it will be used Review the AAMI Committee Technical Information Report TIR 18 Guidance on Electromagnetic Compatibility of M edical Devices for Clinical Biomedical Engineers This guidance document provides a means to eval
78. e Test NOTE Before recording a Master s Step test be sure that the unit is powered on and that a diskette is in the disk drive Select Master s Step Enter the patient s demographics either manually with the keyboard or by using the card reader bar code reader In the Setup menu confirm that the following parameters are correct m Number of Steps m Test Type m Post ms m Step Counter Display m Sound Option m Continuous Recording and m PostExerdseECG Time Press the return key Press the ECG button to record a pre exercise ECG Remove the leadwires from the patient to prevent the patient from tripping on the leadwires Keep the electrodes on the patient Press Continueto begin the exercise test When the patient finishes the exercise immediately reattach the leadwires to the electrodes Check the waveform quality on the screen to confirm that all leadwires are correctly reattached TheMAC 5000 automatically records additional ECGs requested Once you record all ECGs a final report prints Select Storeto store the ECG data Revision A MAC 5000 System 5 7 2020300 016 Recording an ECG Record a Master s Step Test Option 7 Select Transmit to transmit the ECG data Refer to Chapter 9 Transmitting an ECG for more information 5 8 MAC 5000 System Revision A 2020300 016 Recording an ECG Using ACI TIPI Option Using ACI TIPI Option NOTE Before using the ACI TIP
79. e of flammable anesthetics vapors or liquids WARNING Interpretation H azard Computerized interpretation is only significant when used in conjunction with clinical findings A qualified physician must overread all computer generated tracings WARNING Operator M edical technical equipment such as the MAC 5000 System must only be used by qualified and trained personnel WARNING Shock H azard Improper use of this device presents a shock hazard Strictly observe the following warnings Revision A MAC 5000 System 1 7 2020300 016 Introduction Safety Information Failure to do so may endanger the lives of the patient the user and bystanders When disconnecting the device from the power line remove the plug from the wall outlet first before disconnecting the cable from the device Otherwise there is a risk of coming in contact with line voltage by inadvertently introducing metal parts in the Sockets of the power cord Devices may be connected to other devices or to parts of systems only after making certain that there is no danger to the patient the operators or the environment as a result Standards IE C 60601 1 1 EN 60601 1 1 must be complied with in all cases WARNING SiteRequirements Do not route cables in a way that they may present a stumbling hazard For safety reasons all connectors for patient cables and leadwires are designed to pre
80. ect ECG 2 Select ECG Acquisition to define the ECG acquisition parameters ECG Acquisition options are defined in the table below ECG Acquisition Item Description Baseline roll filler Use this filter to remove baseline sway The higher the setting the more the filter smooths out a wandering baseline This filter does NOT distortthe ST segment displayed on the ECG reports AC filler Use this filter to remove AC line artifact Disable auto gain check Select No to display a prompt after the user presses ECG if the gain ofthe recorded ECG data is either too high or too low The user can adjust the gain Disable lead off check Select Noto display a screen message when the system detects a disconnected leadwire Pacemaker pulse Select Yes to detect very small pacemaker pulses However when Pacemaker pulse enhancer enhancer is on the system is very sensitive and should NOT be close to equipment emitting high frequency radiation High frequency radiation can interfere with pacemaker pulse detection and normal ECG acquisition Baseline wander warning Select Yes to display a screen message when the system detects a wandering baseline Muscle tremor warning1 Select Yes to display a screen message when the system detects muscle tremor AC noise level warning1 Select Yes to program the system to check for powerline interference when recording an ECG Hookup Advisor Select Yes to enable the Hookup
81. ed Confirmation Choose the text that appears on an ECG report that indicates the status of the ECG text m Select Unconfirmed to indicate that the ECG report is not confirmed by a physician Once an ECG is confirmed the word Confirmed appears on the ECG report m Select Reviewed by to display the reviewer s name on a confirmed ECG report If the ECG report is not confirmed then no name appears Extra Leads 15 Lead ECG Option Only Item Description Lead Set Choose the three additional leads used Y ou can m Select one of the pre defined lead sets or m Select Custom 3 to define the electrode positions of A1 A2 and A3 Vector Loops Vector Loops Option Only Item Description Number of Type a value between 0 and 10 for the number of copies you want to print for this report copies format Main loop gain Selecta default setting Lead Z display Selecta default setting Sagittal plane Selecta default setting MAC 5000 System 2020300 016 14 21 System Setup Define the ECG Setup Analog Outputs Within the system setup function select ECG Select Analog Outputs to define the system s output signals when connecting additional equipment to the system Analog Outputs options are defined in the table below Analog Outputs Item Description Fast Analog Select Not Used I Il or V1 V6 Output TTL Output Select Not Used or QRS Detectto define TTL Output Polarity Select Positive or Negat
82. ee dy ehpivri sehe id ehe da yd 1 19 Responsibility ofthe Manufacturer sss 1 19 General Information ok err IR he ER TRE AE EAD eg 1 20 Equipment Symbols sass i rrt tret e ae aes 1 24 Service Information 0 cece eee eee eee eee eee eee m 1 27 Service Requirements 1 27 Equipment Identification 0 ccc ccc ccc een een en 1 27 Equipment Overview 0ccceeceeeeeeeeeeeees 2 1 Equipment Description oooocooocccoccnrcnr He 2 8 FIONEVIEW 1o sers tate tef ette che Ate alte e ect de hua oe der 2 3 Back VISW a Roda oe roo 2 4 A a eec ebrei t rcnt lado rli rent 2 4 CONNECTOTS i mU 2 5 KEY DOAN 5225 0 nen E NR E 2 6 Keyboard Exercise Test Keys Option i i 2 8 Acquisition Module isssssssssee ne 2 9 Getting Started o am een 2 12 Prepare the Equipment for Use 0 0 cece cece cece eee e 2 12 Software Description 60 ieee cece ect mmn 2 14 Selecting Menu Functions 16 0 cece cece cette eet ne 2 18 Entering Data zeit dece Ana 2 20 Revision A MAC 5000 System i 2020300 016 Preparing the Patient ooooooooommmo o 3 1 Prepare the Patien sSkin isses 3 3 Apply the Electrodes sse nh 3 5 Resting Electrodes ness npe on rev HERR Ib Ere ae raed 3 5 Exercise Electrodes with Exercise Option cceec cece eee eeeuees 3 9 Entering Patient Information 4 1 Enter Patient Information 0 0 cece eee eee eee eee eee eee 4 3 En
83. ep leakage current within acceptable limits when connecting auxiliary equipment to this device Total system leakage current must not exceed 100 microamperes Name Description A A Connect an optional card reader or optional bar code reader B 1 Connect a GE Medical Systems Information Technologies KISS pump C 2 Connecta local transmission cable serial line modem or Client bridge wireless option D ANA TTL Connecta device requiring analog data or TTL trigger E EXT VID Connect an external video display F IR Point ata MAC 5000 or MUSE CV system s IR transceiver to transmit or receive ECG data G card slot Insert the system card into this slotto run the system H ground lug Connect non grounded peripheral devices to ensure equipotential main AC power Insertthe main AC power cable Revision A MAC 5000 System 2 5 2020300 016 Equipment Overview Equipment Description Back Panel Exercise Option Keyboard 100 240V 50 60Hz 0 85A 118A WARNING L eakageCurrent Keep leakage current within acceptable limits when connecting auxiliary equipment tothis device Total system leakage current must not exceed 100 microamperes Name Description A 1 Connect a T2000 treadmill or external blood pressure device cable to this port B ANA TTL Connectan analog treadmill ergometer cable or TTL trigger to this port NOTE Ergoline bicycle ergometers require connections to both ports
84. epresenting the resting heart rate will appear workload level Indicates the units of measurement and can be changed phase and stage clocks The top clock displays the total time in a phase The bottom clock displays the time in a stage During the TEST END phase the top clock displays total time in the EXERCISE phase and the bottom clock displays total time in the RECOVERY phase current phase and stage name Top is phase name bottom is stage name protocol name The name of the selected protocol is displayed Rhythm formats Use System Setup see Chapter 14 System Setup or Ld Select to change the leads displayed and printed medians Current pretest systolic diastolic blood pressures The BP numbers become dim if the BP has not changed in over one minute current heart rate Determined by the three leads displayed on your screen during the PRE TEST phase MAC 5000 System 2020300 016 2 15 Equipment Overview Getting Started Name Description K function icon Indicates the Main Menu function the system is using This is the Exercise function L battery status icon Indicates how much charge the battery has available Main Menu Usethe Main Menu to select the different functions available on this system The functions displayed in your Main Menu may vary duetothe installation of purchased software options 1 Select Morefrom the sta
85. equipment used shall have periodic maintenance performed in accordance with GE M edical Systems Information Technologies service manuals and or technical memorandums Revision A MAC 5000 System A 9 2020300 016 Appendix A Maintenance Maintaining the Battery Maintaining the Battery Battery Gauge Icon The battery gauge con appears in the upper right corner of the active screen display The battery gauge tells you how much charge your system s battery has available and when the system is charging the battery Battery MT gue kkk AAA Empty Charging 1 4 Full 1 2 Full Full 160C Charging the Battery To Fully Charge the Battery 1 Power off the system 2 Connect the system to an AC wall outlet 3 Chargethesystem s battery 4 5 hours or until the battery gauge icon indicates a full charge When Should You Charge the Battery Before Initial Use Toensure a fully charged battery charge the system before you use it for the first time A 10 MAC 5000 System Revision A 2020300 016 Appendix A Maintenance Maintaining the Battery Between Acquisitions Toensure a fully charged battery power off the system and connect it to an AC wall outlet until you usethe system again This prolongs battery runtime When the Battery is Low The amber battery light and the empty battery gauge icon flash intermittently NOTE The system may run for a long period of time after the empty bat
86. er 14 7 main loop gain 14 21 Main Menu 2 15 2 16 Main Menu functions 2 17 mains AC power connector 2 6 manual conventions used 1 3 intended audience 1 3 purpose 1 3 revision history 1 3 manual control of exercise stages 6 11 Master s Step E 3 medians 2 8 medications 14 9 modem speaker 14 11 muscle tremor warning 14 15 N Negative E 5 noise level averaging target 14 29 14 36 normal ECG reports 14 20 paper storage A 7 paper tray 2 5 password device 14 8 overread 14 8 system 14 8 patient history 14 10 ID number length 14 9 ID number required 14 9 questions function 14 18 skin preparation 3 5 pediatric ECG report setup 14 19 PHi Res setup 14 23 Polarity 14 28 polarity 14 22 Positive E 5 power mains AC power connector 2 6 serial connector 14 8 power up options 14 13 pretest 2 8 preview before analysis 14 16 print automatic report print 14 5 automatic report printing 14 4 setup parameters 14 37 product code 1 18 Q QRS Beep 14 22 14 28 R Race 14 9 recall 2 8 receive confirmed ECGs 10 5 10 8 via infrared communication 10 4 via modem 10 3 recovery 2 8 Referred by 14 9 Remote Analog Output 14 28 report abnormal ECG 14 21 Oo confirmation text 14 21 goo for use 2 13 formats setup 14 20 option 2 7 normal ECG 14 20 options 14 10 print barcodes Iae order number 14 10 ee location of ECG test information 14 8 reports overread password 14 8 description D 3 P Tabular 14 27 pacemaker pulse enhancer 14
87. er Size Slidethe paper guide toward the front of the device to accommodate standard size paper 188A A 6 MAC 5000 System Revision A 2020300 016 Appendix A Maintenance P aper Replacing Paper Storing Paper Thermal Paper A WN PF 092A 094A 093A 095A Open the unit Place the pad of paper so the holes are on the left side Advance the first sheet of paper Close the unit s lid securely To avoid deterioration or fading of traces follow these precautions 1 Storein cool dark and dry locations Temperature must be below 80 F 27 C Relative humidity must be between 40 and 65 Avoid exposure to bright light or ultraviolet sources such as sunlight fluorescent and similar lighting which causes yellowing of paper and fading of tracings DoNOT store thermal papers with any of the following carbon and carbonless forms Revision A MAC 5000 System A 7 2020300 016 Appendix A Maintenance P aper Archivist Paper m non thermal chart papers or any other products containing tributyl phosphate dibutyl phthalate or any other organic solvents Many medical and industrial charts contain these chemicals m document protectors envelopes and sheet separators containing polyvinyl chloride or other vinyl chlorides 1 Avoid contact with cleaning fluids and solvents such as alcohols ketones esters ether etc 2 DoNOT use mounting forms pressure sensitive tapes or labels con
88. ercise test 3 Select Continueto return tothe TEST END menu A final report prints automatically if you selected this option in the Edit Protocol function Select Main Menu gt Edit Protocol gt TEST END phase screen gt Report column gt Stylecolumn gt Final To change the type of reports that are printed automatically see Final Report in chapter 14 4 Toedit Patient Data Reason for termination or Comments select Edit Y ou can edit this information until you select New Patient or Main Menu Select Reports to print a report containing the revised information NOTE You can storethe final exercise report to a diskette You must definethe type of final report you want stored to your system Select System Setup Exercise Report then Final Report Menu Function Edit Press during Recovery or Test endto edit patient data enter reasons for termination of test or comments regarding test Reports Press during Test endto selecta final report to print 6 10 MAC 5000 System Revision A 2020300 016 Exercise Stress Test Option Test Phases Menu Function Leads Selectthe leads used for Rhythm Lead 1 2 and 3 All Leads Lead Check or Lead Placement Median Selecta lead to actas the median lead This can be a fixed lead scanned for lead with most ST depression Writer Change the writer s arrhythmia documentation doc cubic spline baseline control paper s
89. ereport format set up in System Setup is used 10 6 MAC 5000 System Revision A 2020300 016 Receiving an ECG Retrieve Confirmed ECGs from a MUSE CV System via Wireless Option Retrieve Confirmed ECGs from a MUSE CV System via Wireless Option NOTE Before receiving an EGG report be sure that the unit is powered on and that a diskette with sufficient available spaceis in the disk drive Connect and configurethe MobileLink wireless option as described in the Mobile Installation and Troubleshooting Guide Performance of the M obileLink wireless system may vary due to changes in RF radio frequency properties of your site or environmental conditions If you are experiencing intermittent connectivity in certain areas of your facility it may be necessary to re initiate the process of receiving from the MUSE system Y ou may also wish to consult your hospital IT department or your local GE Medical Systems Information Technologies networking professional regarding modification of your wireless LAN toimprove system performance 1 Select Remote Query 2 Select a MUSE CV system Toretrieve ECGs from the default MUSE CV system select Connect Revision A MAC 5000 System 10 7 2020300 016 Receiving an ECG Retrieve Confirmed ECGs from a MUSE CV System via Wireless Option Display or Print the ECG Toretrieve ECGsfrom a different MUSE CV system select Location m Select the pre defined MUSE CV system or
90. g orders from the MUSE CV system be sure that the unit is powered on and that a diskette is in the disk drive Select Ord Mgr Int The Order Manager interface opens Select Load Orders Choose to delete the old orders or load the new orders A W Npe Enter the location s from which the device should retrieve the orders Select the Orders to Receive 1 Select one or more orders 2 Select Return The system stores the orders Select an Order to Complete 1 Select Se ect 2 Select an order 3 Select Continueto proceed with selecting this order The system will then gotothe ECG test or Select Cancel to abort the selection of this order Y ou can then select a different order to complete Complete the Order 1 Select Patient Data The patient data window for this patient displays 2 Enter patient data or modify the patient data that is diaplayed 3 Select Return to proceed with completing this order The system will then gotothe ECG test Revision A MAC 5000 System 4 7 2020300 016 Entering Patient Information Enter Orders Manually Option Enter Orders Manually Option NOTE Before manually creating orders be sure that the unit is powered on and that a diskette is in the disk drive Manually Create an Order 1 Select Ord Mgr Int The Order Manager interface opens 2 Select Create Order A window opens to enter the manual order 3 Enter the patient data 4 Select Return to close the wi
91. ge Icon ii a do aid A 10 Charging the Battery ici nre entre A 10 Periodic Maintenance sn xerox ERROR Ri A 12 Replacing the Battery 0 cece cece cece mene A 12 Replacing Acquisition Module Leadwire Adapters A 14 Handing a DISK o errar 2 deen ite ee ei A 15 Appendix B Troubleshooting B 1 Introduction nannten B 3 FirSt Things to Ask laa ee ehr B 3 Visual Inspection Jc repro rs das B 3 Equipment Problems sse B 4 Reducing ECG Data Noise cect eens B 4 There is No ACI TIPI Report iiis B 4 No BP Readings from External Device sss B 4 Treadmill Ergometer Does Not Move i sssssssssss ene B 5 System Errors iol o o sd B 6 vi MAC 5000 System Revision A 2020300 016 Appendix C Editing Acronyms C 1 Resting ECG Acronyms sssssseseee IK Hn C 3 Appendix D Report Formats D 1 Format Description e cec ine tr ure ANEAN EE r EAEE D 3 4 by 2 5s 1 Rhythm Lead Format aa D 3 Key to Bottom of Exercise Reports D 4 Additional Report Names scenes ere ae ende nto cate D 4 In Test Reports 1 Fede e oe Re nee onn RD RO p e ab D 5 Exercise Final Repot Names sss D 6 Appendix E Master s Step Data E 1 Master s Step Table 00 c cece cece eee eee n E 3 ST Change eee rtt pao etna ded D e e fia E 5 Positie eioen Eia n D E E EE OE TEE bens tpa E 5 Borde soii Fa ted ed Patera d Hee d d
92. green C3 green Midway between location B and D D V4 blue C4 brown Mid clavicular line in the fifth intercostal space E V5 orange C5 black Anterior axillary line on the same horizontal level as D F V6 purple C6 purple Mid axillary line on the same horizontal level as D and E G LA black L yellow Left deltoid H LL red F green Above left ankle Alternate placement upper M leg as close to torso as possible RL green N black Above right ankle Alternate placement upper leg as close to torso as possible 05B RA white R red Right deltoid K VAR gray CAR gray Mid clavicular line in the fifth right intercostal Space L V3R gray C3R gray Halfway between A and K M V7 gray C7 gray Same horizontal level of D in the left posterior axillary line Exercise Electrodes with Exercise Option In addition to the standard electrodes apply one electrode on the sternum A1 and one in location V5R C5R A2 It is recommended that arm electrodes be placed on the patient s torso just under the clavicles Revision A MAC 5000 System 2020300 016 3 9 Preparing the Patient Apply the Electrodes CM5 CC5 ML Lead Placement Electrode Electrode Placement Al Mid sternum at the second intercostal space A2 In the fifth intercostal space in the right anterior axillary line V5R C5R vx E 254A In addition to the standard electrodes apply one electrode on the sternum A1 onein locat
93. he ECG report If the Saving fileto Disk message appears the ECG is being saved tothe diskette If the Saving fileto Disk message did not appear select Storeto savethe ECG to diskette If the Establishing network connection message appeared the ECG is preparing to transmit If the Establishing network connection message did not appear you will need to manually initiate the transmission Refer to Chapter 9 Transmitting an ECG for more information Revision A MAC 5000 System 5 5 2020300 016 Recording an ECG Record a Signal Averaged ECG Options Record a Signal Averaged ECG Options NOTE Before recording a signal averaged ECG be sure that the unit is powered on and that a diskette is in the disk drive 1 Select Hi Res or PHi Res to enable the system to record a signal averaged ECG NOTE Torecord a PHi Res ECG GE Medical Systems Information Technologies recommends a target noise level of 0 3MV or less 2 Select Templateto initiate the signal averaged ECG recording 3 Changethe seed beat a Select Display b Select SdectQRS C Select a new seed beat 4 Select Averageto average the ECG data 5 Select Storeto store the ECG data 6 Select Transmit to transmit the ECG data Refer to Chapter 9 Transmitting an ECG for more information 5 6 MAC 5000 System Revision A 2020300 016 Recording an ECG Record a Master s Step Test Option Record a Master s Step Test Option Run th
94. heart rate Max Pred 14 24 Target 14 24 height 14 9 height weight in 14 9 Hi Res setup analysis filter 14 30 14 37 averaging targe 14 30 averaging target 14 37 beat count averaging target 14 30 14 37 correlation threshold 14 30 14 37 final report 14 30 14 37 noise level averaging target 14 30 14 37 how to automatically print a resting report 14 4 automatically print a signal averaged ECG report 14 5 automatically store an ECG 14 5 automatically transmit an ECG 14 5 clean A 4 connect the acquisition module 2 12 delete stored ECG orders 12 4 delete stored ECGs 12 3 display stored ECGs 13 5 edit demographic and interpretive data 11 3 eject a disk from the drive slot 13 4 enter data 2 20 enter orders manually 4 8 enter patient information 4 3 format a disk 13 3 lock and unlock a disk 13 3 preview ECG data before analysis 14 4 print another report 8 4 print stored ECG reports 8 3 receive ECGs by modem 10 3 receive ECGs locally 10 4 retrieve confirmed ECGs 10 5 select items from a list 2 20 Index 2 MAC 5000 Revision A 2020300 016 Index select menu functions 2 18 select the power up function 14 4 select the system setup function 14 3 transmit by modem 9 3 type data into a highlighted field 2 20 use the arrow pad 2 19 verify correct operation 2 13 I ID length 14 9 ID number 14 9 immersion in water A 4 information 2 7 information line 14 7 institution name 14 7 internal access button 2 4 IR 2 5 K keybo
95. heck for defective or date expired electrodes Check for defective broken or disconnected leadwires Check the patient s position The patient should remain motionless during the acquisition of a resting ECG Refer to Chapter 3 Preparing the Patient for more information There is No ACI TIPI Report ACI TIPI is disabled Enable ACI TIPI The selected report is without interpretation Select Interpretation for the report The ACI TIPI required information is not entered Make sure the age range gender and chest pain complaints are entered The patient was entered as pediatric Make sure you enter an age greater than 16 The original ECG was acquired in an electrocardiograph without the ACI TIPI option Refer to Using ACI TIPI Option on page 5 9 for more information No BP Readings from External Device Check the blood pressure device setup B 4 MAC 5000 System Revision A 2020300 016 Appendix B Troubleshooting Equipment Problems If Suntech check protocol on Tango m Check cables Serial and TTL m Check TTL trigger Refer to Inputs Outputs on page 14 28 for more information Treadmill Ergometer Does Not Move m Check protocol m Check cables m Check input output settings m Check Emergency Stop switch to make sure it is not depressed or that it still retains settings from the previous patient Refer to Inputs Outputs on page 14 28 for more information Revision A MAC 5
96. hey reside or are entered into the system Age 5 9 10 15 20 25 30 35 40 45 50 55 60 65 70 75 Weight sax 14 19 24 29 34 39 44 49 54 59 64 69 74 79 kg 18 22 Male 35 36 Female 35 35 133 23 26 Male 3 35 32 Female 33 33 32 27 31 Male 31 33 31 Female 31 32 30 32 35 Male 28 32 30 Female 28 30 29 36 40 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 18 41 44 Male 24 29 28 28 28 27 27 26 25 24 23 22 22 21 20 Female 24 27 26 27 26 25 24 23 22 21 20 19 18 18 17 45 49 Male 22 27 27 28 28 27 26 25 25 24 23 22 22 21 20 Female 22 25 25 26 26 25 24 23 22 21 20 19 18 18 17 50 53 Male 20 26 26 27 27 26 25 25 24 23 22 22 21 21 20 Female 20 23 23 25 25 24 23 22 21 20 19 18 18 17 16 54 58 Male 18 24 25 26 27 26 25 24 23 22 22 21 21 20 19 Female 18 22 22 24 24 23 22 21 20 19 18 18 17 16 15 59 63 Male 16 23 24 25 26 25 24 23 23 22 21 20 20 19 18 Female 16 20 20 23 23 22 21 20 19 19 18 17 16 15 15 64 67
97. his is a purchased option Exercise15 e Runs the Master s Step exercise protocol Japan only 253A Ea Master s Step Records a signal averaged high resolution ECG This is a purchased option No Hi Res Records a p wave signal averaged high resolution ECG This is a purchased option 084A PHi Res MAC 5000 System 2020300 016 Equipment Overview Getting Started Function Description a Prints edits displays transmits and deletes ECG data stored to a disk 080A File Manager EN Defines the operating parameters of the system 082A System Setup T Receives ECG data from other devices 4 ts 081A Receive MUSE Requests displays and prints confirmed ECGs retrieved from a MUSE CV system This is a 083A Remote Query purchased option 79 Acquires prints and stores ECG orders received from a MUSE CV system with a Hospital osa LA Information S ystem HIS interface Ord Mgr Int Return to the previous screen 271A Return Selecting Menu Functions The following shows two methods for selecting a menu function Pressing a Function Key To select More press the function key directly below More 2 18 MAC 5000 System Revision A 2020300 016 Equipment Overview Getting Started 162A Using the Arrow Pad Toselect More 1 Presstheright arrow on the arrow pa
98. ial of an electrode pair does not exceed 100mV 5 seconds after a defibrillation discharge Accuracy Of the Input Signal Reproduction m Overall System Error is tested using the method described in AAMI EC11 3 2 7 1 Overall System Error is 4596 m Frequency Responseis tested using the method described in AAMI EC11 3 2 7 2 methods A and D Modulating Effects in Digital Systems This device uses digital sampling techniques that may produce some variation in amplitudes of Q R and or S waves from one heart beat to the next which may be particularly noticeable in pediatric recordings If this phenomenon is observed the clinician should be awarethat the origin of amplitude variations is not entirely physiologic For measuring voltages of Q R and S waves it is advisable to usethe QRS complexes with the largest deflection of the particular waves Installation and Connection If theinstallation of this equipment in the USA will use 240 V rather than 120 V the source must be a center tapped 240 V single phase circuit Revision A MAC 5000 System 1 15 2020300 016 Introduction Safety Information Parts and Accessories Equipment Symbols Contact GE Medical Systems Information Technologies for information before connecting any devices tothis equipment not recommended in this manual Toensure patient safety use only parts and accessories manufactured or recommended by GE Medical Systems Information Technologies Part
99. increase speed within 5 seconds of your last workload change m Press Speed W to decrease speed within 5 seconds of your last workload change m Press Grade to increase grade within 5 seconds of your last workload change m Press Grade to decrease grade within 5 seconds of your last workload change Menu Function Event Press to display a list of predefined events Stage Hold In exercise phase press to hold current stage Measurements Will allow the system to reestablish the median complex set the point then select the three leads used to calculate heart rate Leads Select the leads used for 3 or 6 Rhythm leads All Leads Lead Check or Lead Placement Median Selecta lead to actas the median lead This can be a fixed lead or scanned for lead with most ST depression Writer Change the writer s arrhythmia documentation doc cubic spline baseline control paper speed gain filter and writer on off settings 6 8 MAC 5000 System Revision A 2020300 016 Exercise Stress Test Option Test Phases Recovery Phase Overview Operating Steps Recovery Phase Buttons In recovery the treadmill speed and grade or the ergometer load changes based on the protocol configuration Press the Recovery button to advance to the recovery phase m Theclock begins timing the recovery phase A maximum 12 lead measurement is taken if that is part of the selected protocol
100. ing limb leads appear at 10 mm mV and precordial leads appear at 5 mm mV Filter Select the writer s default filter setting The screen filter is always set to 40 Hz Arrhythmia Select On to automatically print a report when an arrhythmia occurs during the exercise Doc test Tic marks Select Yes to add tic marks on the E J and J plus a measurement points ST Select Yes to enable screen and writer ST measurements Measurements Post J Enter a value between 0 and 200 for the value in milliseconds after the J point where the ST measurement is to be taken Writer ON OFF 14 24 MAC 5000 System Revision A 2020300 016 System Setup Define the Exercise Test Setup Option 12 and 15 Lead Exercise Reports 1 Within the system setup function select Exercise Test 2 Select 12 Lead Exerciseor 15 Lead Exerciseto m Identify the three auxiliary leads used to acquire a 15 lead exercise ECG using the 15 lead ECG function option Refer to Table Extra Leads 15 Lead ECG Option Only Exercise Testing on page 14 25 m Specify the leads displayed on exercise reports Refer to Table Report Leads Exercise Testing on page 14 25 Extra Leads 15 Lead ECG Option Only Exercise Testing ltem Description Lead Set Choose the three additional leads used Y ou can select one of the pre defined lead sets or select Custom 3 to define the electrode positions of Al A2 and A3 Report Leads
101. ing ECG application Patient Questions items are defined in the table below Patient Questions Item Description ID Required Select Yes to require the user to enter the patient s identification number before an ECG can be recorded ID length Type the number of alpha numeric characters used in the patient identification number Use from 3 16 characters Use a format that is compatible with the MUSE CV system to which the MAC 5000 device is communicating 14 8 MAC 5000 System Revision A 2020300 016 System Setup Define the Basic System Setup Patient Questions Item Description Age Choose the method to enter the patient s age m Select Date of birth to enter age in day month year order With this setting the patient s date of birth will be printed m Select Age in years to enter age in years months weeks days or hours With this setting the patient s age in years monthes weeks days or hours will be printed In addition to affecting the method the patient s age is asked in the patient information screen this selection affects the way the age date of birth is printed on the report if the information is transferred from the card reader or order manager Gender Select Yes to display a prompt asking whether the patient is male or female Height Select Yes to display a prompt asking the patient s height Weight Select Yes to display a prompt asking the patient s weight
102. intercostal space D V6 purple C6 purple Mid axillary line on the same horizontal level as C E LL red F green Left leg lower abdominal quadrant F RL green N black Right leg lower abdominal quadrant G orange light blue Right mid axillary line on the same horizontal level as C and D H RA white R red J ust below the clavicle of the right arm H orange H light blue Back of neck avoid the carotid artery and jugular vein J M orange M light blue Center of spine on the same horizontal level as C and D Toacquirea NEHB ECG usethe Standard 12 Lead electrode placement and items A and B shown below Revision A MAC 5000 System 2020300 016 3 7 Preparing the Patient Apply the Electrodes 33A AHA Label IEC Label Electrode Placement A Al orange Nst white Attachment point of the 2nd rib to the right sternal edge A2 orange Nax white 5th intercostal space on the left posterior axillary line Same position as V8 or C8 V4 blue Nap white Mid clavicular line in the fifth intercostal space Same position as C4 3 8 MAC 5000 System 2020300 016 Revision A Preparing the Patient Apply the Electrodes Pediatric Placement AHA Label IEC Label Electrode Placement A V1 red Cl red Fourth intercostal space at the right sternal border B V2 yellow C2 yellow Fourth intercostal space at the left sternal border C V3
103. ion Select Yes to display a prompt asking the reason for the test Patient History Select Yesto display a prompt asking the patient s history Revision A MAC 5000 System 14 9 2020300 016 System Setup Define the Basic System Setup Screen Colors Patient Questions Item Description Technician Select Yes to display a prompt asking the name of the technician who recorded the ECG Use the technician identifiers that are compatible with those used for the MUSE CV system to which the MAC 5000 device is communicating Technician Select Yes to require entry of the name identifier of the technician who recorded the ECC Required Location Select Yes to display a prompt asking the this system s location number Use the location numbers that are compatible with those used for the MUSE CV system to which the MAC 5000 device is communicating Room number Select Yesto display a prompt asking the patient s room number Options Select Yes to prompt the user to enter an options number for this ECG You can define this number to mean whatever you want Order number Select Yes to prompt the user to enter an order number for this ECG Secondary ID Select Yes to prompt the user to enter a second ID for this ECG Extra Prompt Type the text you want for the patient question questions Select the type of response you want entered for the patient question m Select Numbers and letters to
104. ion V5R C5R A2 and one on the neck A3 CM5 CC5 CH Lead Placement Electrode Electrode Placement Al Mid sternum at the second intercostal space A2 In the fifth intercostal space in the right anterior axillary line V5R C5R A3 On either side ofthe neck or anywhere above the shoulders x 255A 3 10 MAC 5000 System Revision A 2020300 016 4 Entering Patient Information evision MAC 5000 System 2020300 016 For your notes 4 2 MAC 5000 System 2020300 016 Revision A Entering Patient Information Enter P atient Information Enter Patient Information Enter the Information NOTE Before entering patient data be sure that the unit is powered on and that a diskette is in the disk drive Select F1 Patient Data for each new patient CAUTION AccurateP atient Data Patient data may be retained from a previous patient Be sure to check the patient info screen for each new patient Data assigned to the wrong patient causes erroneous patient data that can affect diagnosis and treatment of the patient s Make surethat you enter patient data for the correct patient NOTE Our equipment contains several fields which can be filled in before performing an ECG Some of these fields must be filled in before performing an exam some are optional and therefore left to the user to assess whether they are needed to perform the exam A field RACE is one of these opti
105. ipment failure and possible health hazards The manufacturer does not in any manner assume the responsibility for performing the recommended maintenance schedule unless an Equipment Maintenance Agreement exists The sole responsibility rests with the individuals hospitals or institutions utilizing the device Regular maintenance irrespective of usage is essential to ensure that the equipment will always be functional when required See the documentation provided with your peripheral equipment for appropriate maintenance procedures Revision A MAC 5000 System A 3 2020300 016 Appendix A Maintenance Inspecting and Cleaning Inspecting and Cleaning Precautions Visual Inspection Turn off the system before inspecting or cleaning DoNOT immerse any part of the equipment in water DoNOT use organic solvents ammonia based solutions or abrasive cleaning agents which may damage equipment surfaces Perform a visual inspection of all equipment and peripheral devices daily If you notice any items that need repair contact an authorized service person to make the repairs Cleaning Exterior Surfaces Check the case and display screen for cracks or other damage Regularly inspect all plugs cords cables and connectors for fraying or other damage Verify that all cords and connectors are securely seated Inspect keys and controls for proper operation Toggle keys should not stick in one position Knobs
106. iveto define TTL Output polarity Width Type a value between 4 and 48 to define TTL Output signal width in milliseconds Delay Type a value between 0 and 100 to seta delay in milliseconds for the TTL Output QRS detector signal QRS Beep Select On to hear a beep for each QRS complex 14 22 MAC 5000 System Revision A 2020300 016 System Setup Define the Exercise Test Setup Option Define the Exercise Test Setup Option Miscellaneous Setup 1 Within the system setup function select Exercise Test 2 Select Miscellaneous Setup to define your system s basic exercise test set up items Miscellaneous Setup items for exercise testing are defined in the table below Micellaneous Setup Exercise Testing Item Description Timeout The time ittakes for a menu or promptto disappear from the screen when itis not being Interval used You may type in a value between 15 and 600 seconds Cubic Spline Select Yes to turn on the baseline control option Event names This allows you to create a list of event names any of which may be selected to label a patient episode during an exercise test Reason for This allows you to create a list of reasons for terminating the exercise test Select the Termination appropriate reason atthe end of the test Patient Data Questions 1 Within the system setup function select E xerciseT est 2 Select Patient Questions to configure the system to require ent
107. l CAUTION SupervisedUse This equipment is intended for use under the direct supervision of a licensed health care practitioner The unit is classified according to EC 60601 1 as Type of protection against electrical shock Class internally powered equipment Degree of protection against electrical shock Type CF defibrillation proof applied part Degree of protection against harmful ingress of water Ordinary Equipment enclosed equipment without protection against ingress of water Degree of safety of application in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide Equipment not suitable for use in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide Method s of sterilization or disinfection recommended by the manufacturer Not applicable Mode of operation Continuous operation MAC 5000 System 2020300 016 Revision A Introduction Safety Information Underwriters Laboratories Inc Legal Notice SI as o Medical Equipment us With respect to electric shock fire and mechanical hazards only in accordance with UL 2601 1 and CAN CSA C22 2 APA NO 601 1 Our equipment contains several fields which can be filled in before performing an ECG Some of these fields must be filled in before performing an exam some are optional and therefore left to the user to assess whethe
108. ld workload or Use the keyboard to enter the new value for this stage Treadmillspeed Type in the value or press the deletekey to indicate no workload value and grade Press the return key during a stage WARNING FallHazard Severe injury can result from a fall Patients should wait until the treadmill belt is moving before stepping onto the belt Step onto the belt with one foot ata time Avoid rapid changes in belt speed Change the Report Style printed automatically during a stage Use the arrow pad to select the Report Style field Use the arrow pad to selectthe stage Report Style you want to change A pop up box appears showing the types of reports available Use the arrow pad to select the report you want to print automatically for this stage Press the return key Change the Report Median and BP First Repeat values for a stage Use the arrow pad to select the appropriate field Type in your own time value or press the delete key to indicate no Report Median or BP for this stage Press the return key 7 6 MAC 5000 System 2020300 016 Revision A Editing Protocols Advance to Exercise Advance to Exercise Advance to the EXERCISE phase using one of the following methods m Press Phase m Next press Exercise 1 Toedit the settings for the MANUAL mode of operation choose the menu option STAGES MANUAL via the function keys to switch from the STAGES mo
109. lity possible anteroseptal subendocardial injury MSTDAS Marked ST abnormality possible inferior subendocardial injury ISBINJ Marked ST abnormality possible inferolateral subendocardial injury MSTDIL Marked ST abnormality possible lateral subendocardial injury LSBIN Marked ST abnormality possible septal subendocardial injury SSBINJ Marked T wave abnormality consider anterior ischemia MAT Marked T wave abnormality consider anterolateral ischemia MALT Marked T wave abnormality consider inferior ischemia MIT Marked T wave abnormality consider inferolateral ischemia MILT Marked T wave abnormality consider lateral ischemia MLT masked by fascicular block MAFB maybe secondary to QRS abnormality SNDQA Memory allocation failure no ECG interpretation possible ANLERR1 Minimal voltage criteria for LVH may be normal variant QRSV Moderate voltage criteria for LVH may be normal variant LVH3 MAC 5000 System Revision A 2020300 016 Appendix C Editing Acronyms Resting ECG Acronyms Statement Acronym moderate MOD Narrow QRS tachycardia NQTACH No P waves found NOPF No QRS complexes found no ECG analysis possible ANLERR2 Nonspecific intraventricular block IVCB Nonspecific intraventricular conduction delay IVCD Nonspecific ST abnormality NST Nonspecific ST and T wave abnormality NSTT Nonspecific T wave abnormality NT N
110. m 2 E MAC 5000 1 Select Remote Query 2 Select a MUSE CV system Toretrieve ECGs from the default MUSE CV system select Connect Toretrieve ECGs from a different MUSE CV system select Location m Select the pre defined MUSE CV system or m Select Manual Dial to retrieve ECGS from another MUSE system Press thereturn key Enter the telephone number of the receiving device Revision A MAC 5000 System 10 5 2020300 016 Receiving an ECG Retrieve Confirmed ECGs from a MUSE CV System via Modem Option Pressthereturn key ForType choose MUSE Network Pressthereturn key m Select Connect Select an ECG l Select an ECG by typing the patient s ID number NOTE If you do not know the patient s ID number type the patient s last name Select your patient from the displayed list of patients 2 Select R amp urn The system retrieves a directory of tests 3 Select one or more tests Display or Print the ECG To display the ECG select Display The selected ECG displays along with the following options m Medians will display the medians for the displayed ECG m Tex will display measurements and analysis for the displayed ECG m Rhythm will display rhythm information for the displayed ECG m Net will display the next selected ECG m Return will take you back to the directory of ECGs Toprint the ECG select Print The system retrieves then prints the test Th
111. mill or ergometer When you enter the exercise phase m The belt speed and grade or the ergometer workload change according to the selected protocol m Theexercise dock top starts and m Thesystem starts to save the test data WARNING Fall Hazard Severe injury can result from a fall Patients should wait until the treadmill belt is moving before stepping onto the belt Step onto the belt with one foot at a time Avoid rapid changes in belt speed 1 Pressthe Exercise button to begin the exercise phase During the test you can manually perform operations from the function keyboard 2 Pressthe Start tmill button if treadmill or ergometer has not been started yet f you are using an ergometer the ergometer workload is automatically controlled The exercise test advances automatically through the exercise stages unless the operator manually overrides the test Revision A MAC 5000 System 6 7 2020300 016 Exercise Stress Test Option Test Phases Exercise Phase Buttons NOTE When the stages in the treadmill protocol have durations other than infinite the exercise test advances from stage to stage automatically However you can press Exercise on the treadmill controller keyboard at any time to manually advance to the next EXERCISE stage 3 You can manually change a treadmill s speed and grade however this puts you in the manual mode for the remainder of the test m Press Speed W to
112. ndow The system saves the order Selecting and Completing Manually Created Orders Manually created orders are selected and completed the same way downloaded orders are selected and completed m Refer to Select an Order to Complete on page 4 7 for information on selecting an order m Refer to Complete the Order on page 4 7 for information on completing an order 4 8 MAC 5000 System Revision A 2020300 016 D Recording an ECG evision MAC 5000 System 2020300 016 For your notes 5 2 MAC 5000 System Revision A 2020300 016 Recording an ECG Hookup Advisor Hookup Advisor The MAC 5000 System offers the Hookup Advisor feature which is a tool for monitoring the quality of resting ECG signals and is available in the resting pediatric 15 lead vector loops and Master s Step applications It can reduce or eliminate the occurrence of poor technical quality ECGs save time and prevent the need for retakes When Hookup Advisor is enabled a three circleindicator appears on the display m Red indicates a lead fail condition or extreme baseline shifts The red indicator is always the leftmost circle of the of the indicator m Yellow indicates muscle artifact power line interference baseline wander or electrode noise The yellow indicator is always the middle cirde of the of the indicator m Green indicates generally acceptable signal quality The green indicator is always the rightmost circle of the
113. o view the second screen of options 3 Select New Format 4 Highlight the additional reports to print 5 Select Return 6 Select Print or press the copy key to initiate the extra reports NOTE Changes here affecting only the current ECG Once another ECG is recorded the reports specified in the system setup are printed Refer to Chapter 14 System Setup for more information 8 4 MAC 5000 System Revision A 2020300 016 9 Transmitting an ECG evision MAC 5000 System 2020300 016 For your notes 9 2 MAC 5000 System Revision A 2020300 016 Transmitting an ECG Transmit Stored ECGs by Modem Option Transmit Stored ECGs by Modem Option NOTE Before transmitting an EGG report be sure that the unit is powered on and that a diskette containing the ECGs to be transmitted is in the disk drive Also be sure that the MAC 5000 System is connected to the modem as show below Transmit via Modem 1 Select FileManager A list of ECGs displays 2 Select Location to display a list of devices to which the ECG report can betransmitted displays 3 Select thereceiving device 4 If this is the correct receiving device select and transmit the ECGs as described in the next steps If thisis not the correct receiving device follow these steps Select Location Select Manual Dial Enter the telephone number of the receiving device Press the return key Revision A MAC 5
114. on correction factor Two second Type a comma in a telephone number to create a 2 second pause This can be used to pause wait for a dialtone For example the telephone number 9 3216788 will have a 2 second pause between the numbers 9 and 3 as when dialing an outside line Phone number Type from one to six telephone numbers s you frequently transmit to Location Type the name of location s you transmit to Type Choose the type of modem your system uses to transmit data to a receiving device Select the MUSE NETWORK modem to transmit to another cart or to the MUSE CV system Select Fax machine to transmit to facsimile machine Use IR for Select Yes to enable the local infrared communication serial line Revision A MAC 5000 System 14 11 2020300 016 System Setup Define the Basic System Setup Transmission Item Description Serial line Select 9600 baud rate to transmit or receive data between another MAC 5000 ora MUSE baud rate CV system Other serial line baud rates are available for communicating with other devices Default Selectthe default receiving device to which your system transmits ECGs Location m Totransmit by local infrared communication or by local cable select Serial line MUSE m To transmit ASCII data to the serial port select Serial line ASCII out m To transmit XML data to the serial port select Serial line XML out The PC which receives XML data through the serial line must be r
115. on History PN 2020300 016 Revision Date Comment A 24 May 2004 Initial release of manual Conventions NOTE Provides additional user information Styles Bold text Indicates keys on the keyboard text to be entered or hardware items such as buttons or switches on the equipment Italicized text Indicates software terms that identify menu items buttons or options in various windows Revision A MAC 5000 System 1 3 2020300 016 Introduction Manual Information Ctrl esc Indicates a keyboard operation A sign between the names of two keys indicates that you must press and hold the first key while pressing the second key once For example Press Ctrl esc means to press and hold down the Ctrl key while pressing the esc key lt Space gt Indicates you must press the spacebar When instructions are given for typing a precise text string with one or more spaces the point where the spacebar must be pressed is indicated as Space The purpose of the lt gt brackets is to ensure you press the spacebar when required Enter Indicates you must press the Enter or Return key on the keyboard Do not type enter MAC 5000 System Revision A 2020300 016 Introduction Safety Information Safety Information Definitions The terms danger warning and caution are used throughout this manual to point out hazards and to designate a degree
116. onal fields It has been acknowledged by the medical profession as useful to analyze some pathologies Y ou 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 ensurethat you comply with all applicable legal requirements Revision A MAC 5000 System 4 3 2020300 016 Entering Patient Information Using a Patient Card Reader Option Using a Patient Card Reader Option Connect and Configure the Card Reader 1 Connect the card reader to the A port on the back panel of the MAC 5000 2 Configurethe card reader See Card Reader Option Setup on page 14 31 Slide Card Slide the patient data card through the optional card reader when you are prompted 4 4 MAC 5000 System Revision A 2020300 016 Entering Patient Information Using a Bar Code Reader Option Using a Bar Code Reader Option Connect and Configure the Bar Code Reader 1 Connect the bar code reader tothe A port on the back panel of the MAC 5000 2 Configurethe bar code reader See Chapter Bar Code Reader Option Setup on page 14 33 Scan the Bar Code Scan the patient s bar code with the bar code reader when you are prompted E My BN Donot usethe bar code reader for scanning the bar codethat appears on the ECG printout The
117. onsider early transition or posterior infarct QESPMI Idioventricular rhythm IVR Indeterminate axis INDAX Inferior infarct IMI Inferior injury pattern IINJ Inferior leads INF Inferior posterior infarct IPMI Inferolateral leads IFLAT Inferolateral injury pattern ILINJ Inferoposterior leads INFPOS Irregular IRR J unctional bradycardia JUNBRAD J unctional rhythm JUNCTR Junctional ST depression probably abnormal JST Junctional ST depression probably normal JSTN Large LARG Lateral infarct LMI Lateral injury pattern LINJ Lateral leads LAT Left anterior fascicular block AFB Left atrial bradycardia LABRAD Left atrial enlargement LAE Left atrial rhythm LAR Left atrial tachycardia LATACH Left axis deviation LAD3 Left bundle branch block LBBB MAC 5000 System C 5 2020300 016 Appendix C Editing Acronyms Resting ECG Acronyms Statement Acronym Left posterior fascicular block PFB Left ventricular hypertrophy LVH2 Leftward axis LAD Less than 4 QRS complexes detected no interpretation possible ANLERR3 Low right atrial bradycardia RABRAD Low right atrial rhythm RAR Low right atrial tachycardia RATACH Low voltage QRS LOWV Marked sinus bradycardia MSBRAD Marked ST abnormality possible anterior subendocardial injury ASBINJ Marked ST abnormality possible anterolateral subendocardial injury MSTDAL Marked ST abnorma
118. ormal ECG NML Normal sinus rhythm NSR Northwest axis NWA or OR or digitalis effect ODIG Otherwise normal ECG ABR Pediatric ECG anlaysis PEDANL plus right ventricular enlargement RVE P oor data quality interpretation may be adversely affected QCERR Possible PO possibly acute AC Posterior infarct POSTMI Posterior leads POS premature atrial complexes PAC premature ectopic complexes PEC premature junctional complexes PJC premature supraventricular complexes PSVC MAC 5000 System C 7 2020300 016 Appendix C Editing Acronyms Resting ECG Acronyms Statement Acronym premature ventricular and fusion complexes PVCF premature ventricular complexes PVC probably digitalis effect PDIG Prolonged QT LNGQT Prominent lateral voltage PLV Prominent mid precordial voltage PMDPV Prominent posterior voltage PPV Pulmonary disease pattern PULD QRS contour suggests infarct size is probably MISIZ Right atrial enlargement RAE Right axis deviation RAD4 Right bundle branch block or right ventricular hypertrophy RBBRVH Right bundle branch block RBBB Right superior axis deviation RAD5 Right ventricular hypertrophy RVH Rightward axis RAD RSR or QR pattern in V1 suggests right ventricular conduction delay RSR 51 52 53 pattern consider pulmonary disease RVH or normal variant 515253 Septal infarct SMI Septal injury pattern SIN Sep
119. ort These reports print during the TEST END phase 14 26 MAC 5000 System Revision A 2020300 016 System Setup Define the Exercise Test Setup Option Final Report Exercise Testing Item Description Storage Option Select Store strips and final report Store final report only or No storage of test data to store in test strips or final reports to diskette Final Report Select No Preview Report Summary Report Tabular Report Selected Medians Trend amp Preview Medians Median Report or Trend Report format to print as a preview report before Reason for Termination and Comments are entered and all final reports are printed at test end Summary Enter the number of copies to be printed Select either Resting and Max ST Medians or Report Resting and Peak Exercise Medians format for the final summary report Tabular Report Enter the number of copies to be printed Selected Enter the number of copies to be printed Medians Trend amp Enter the number of copies to be printed Medians Median Report Enter the number of copies to be printed Then select either 3 6 or All leads for the Leads median report All means that the report has either 12 or 15 leads Fifteen leads appear only if extra leads such as X Y or Z were chosen in Basic System setup Trend Report Enter the number of copies to be printed Then select either 3 or All leads for the trend
120. peed gain filter and writer on off settings More Selectto see More menu options Main Menu Return to the system Main Menu New Patient Remain in the exercise application and start a test for a new patient Revision A MAC 5000 System 6 11 2020300 016 6 12 MAC 5000 System 2020300 016 Revision A Editing P rotocols evision MAC 5000 System 2020300 016 For your notes 7 2 MAC 5000 System Revision A 2020300 016 Editing Protocols Operating Steps Operating Steps Y ou can edit an existing ergometer or treadmill protocol or you can create a new protocol These protocols are used to run an exercise test NOTE Before editing a protocol be surethat the unit is powered on and that a diskette is in the disk drive Follow these steps to edit an existing protocol or create a new protocol 1 Select Edit Protocol NOTE If using a blank diskette or one without stored protocols default protocols will be written tothe diskette 2 Select a protocol to edit or select spare if you want to create a new protocol Thefollowing table describes the items you can change on the screen Variable Protocols Menu Item Description Protocol name Displays the name of the protocol you are editing You may type a different name to begin creating a new protocol Menu name Type the name of this protocol as you would like it to appear on your screen menu Exercise Test Type
121. r 14 System Setup and exercise protocols must be properly defined see Chapter 7 Editing Protocols Your MAC 5000 system can connect at the ANA TTL port with the following devices m TheErgoline 800 ergometer m TheErgoline 900 ergometer m The Lode ergometer 2 12 MAC 5000 System Revision A 2020300 016 Equipment Overview Getting Started NOTE Other bicycle ergometers and treadmill models with an analog port can be connected to the analog output of the MAC 5000 A TTL QRS trigger signal for external devices can be connected to the ANA TTL port Connect the Acquisition Module Cables 156A Plug the cables into the front of the acquisition module Refer to Acquisition Module on page 2 9 for more information Insert Disk into Disk Drive Insert a disk with enough available capacity intothe disk drive before using the device Use a computer to check the contents available capacity of a disk Verify Correct Operation Press power toturn on the MAC 5000 System m fthesystem starts up without displaying error messages the system is operational m If thesystem displays error messages turn the system power off then on again If error messages persist contact GE Medical Systems Information Technologies Service Revision A MAC 5000 System 2 13 2020300 016 Equipment Overview Getting Started Software Description Start Up Screen B C DE A Press ECG to record an ECG 000 LT PA
122. r they are needed to perform the exam A field RACE is one of these optional fields It 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 Responsibility of the Manufacturer General Information Intended Use GE Medical Systems nformation Technologies is responsible for the effects of safety reliability and performance only if m Assembly operations extensions readjustments modifications or repairs are carried out by persons authorized by GE Medical Systems Information Technologies m Theelectrical installation of the relevant room complies with the requirements of the appropriate regulations m The equipment is used in accordance with the instructions for use The intended use of this device is to record ECG signals from surface ECG electrodes This device can record analyze print and store electrocardiographic information from adult and pediatric populations Revision A MAC 5000 System 1 13 2020300 016 Introduction Safety Information This data can then be computer analyzed with various algorithms such as interpretive ECG and signal averaging for pre
123. rcise ECGs Recording Post Exercise The time in minutes after the 1st post exercise ECG when a additional ECG should be ECG Time taken up to 9 are available Set any undesired tests to 0 Revision A MAC 5000 System 14 37 2020300 016 System Setup Miscellaneous Setup Miscellaneous Setup Print Setup Within the system setup function select Print Setup toto print a report of your system s System Setup parameters Save Setup Select Save Setup to savethe changes you made to the System Setup Restore Setup Select Restore Setup to change your system s System Setup parameters Restore Setup Item Description Restore Setup Choose the method for changing all of your System Setup parameters Select To Original Factory Settings to restore the system to the default GE Medical Systems Information Technologies settings Select From diskette to install System Setup parameters stored on a disk Select Do Not Restore Setup to exit this function 14 38 MAC 5000 System Revision A 2020300 016 A Appendix A Maintenance evision MAC 5000 System 2020300 016 For your notes A 2 MAC 5000 System 2020300 016 Revision A Appendix A Maintenance General General WARNING Maintenance Failure on the part of all responsible individuals hospitals or institutions employing the use of this device to implement the recommended maintenance schedule may cause equ
124. rcise Stress Test oooooococconcccrrrrr nun eee eens 6 3 PIENSA 6 3 Exercise MESES a A 6 3 Test Phases 2 od EUER 6 5 Pretest Phasen nn o ctp 6 5 Exercise Phase iii a dc da d act 6 7 Recovery P lids nee ren rear 6 9 Test End Phase wm D e ee ae ER ani 6 9 Editing Protocols nn ee 7 1 Operating SIeps ica cached an ie cae gated eee 7 3 Advance to Exercise 220 ii nice 7 7 Advance to Recovery nnn 7 8 Advance to Test End cor err ERE RES id 7 9 Save Current Protocol 00 ccc cee ea NAE AA ER ANKAA 7 10 Printing an ECG Report o ooooooooommmmom 8 1 Print Stored ECG Reports 00 cece eee e eee eee n 8 3 Print Another Report a in 8 4 Transmitting an ECG cece cece eee eee 9 1 Transmit Stored ECGs by Modem Option 00ceeeeeeee eee eeeeas 9 3 Transmit Stored ECGs Locally 0 c cece eee eee eee eee n 9 5 A 9 5 Transmit Stored ECGs by Wireless Option 000 0o ooooo 9 7 Transmit Stored ECGs to the Serial Port in XML Format 9 8 Revision A MAC 5000 System iii 2020300 016 10 Receiving an ECG cc e a ARE 10 1 Receive ECGs by Modem Option 0 ccceee eee e eee e eee eens 10 3 Receive ECGs Locally c cece eee eee eee eee eee eeeeaee 10 4 Retrieve Confirmed ECGs from a MUSE CV System via Modem Option 10 5 Select amECG nee er prp ITO ER ehe 10 6 Display or Printthe ECG cuca ads 10 6 Retrieve Confirme
125. ric E G2 E22 C2 C3 E E E C C2 C3 2 D 9 00000524 ooon Al x 13 Leadwire AHA Pediatric 14 Leadwire AHA AUX 000506654 ooro 8 C2 C2 C2 C3 E C3 C3 C2 o C2 vo Lal 2 Al TR 10 Leadwire IEC 14 Leadwire IEC AUX 000900 goo nagggmaomocgos Ly i 204B 205B Leadwire Adapters The MULTI LINK leadwires require an adapter to connect to an electrode 2 10 MAC 5000 System Revision A 2020300 016 Equipment Overview Equipment Description 4 mm pin Grabber MACTRODE clip E gt Leadwire end 119B Revision A MAC 5000 System 2020300 016 Equipment Overview Getting Started Getting Started Prepare the Equipment for Use Modem Option See the MAC 5000 Field Service Manual for information about mounting and connecting the modem option MobileLink Wireless Option See the MobileL ink Installation and Troubleshooting Guide for information about mounting configuring and connecting the wireless option Connect External Devices Exercise Option Your MAC 5000 system can connect at port 1 with the following devices m GE Medical Systems Information Technologies Series T2000 treadmills m SunTech Tango blood pressure device m Colin STBP 780 blood pressure device or m Ergoline 900 900L integrated blood pressure device NOTE Before using external devices the MAC 5000 must be properly set up see Chapte
126. rt be sure that the unit is powered on and that a diskette containing the ECGs to be deleted is in the disk drive Select File Manager A list of ECG reports is displayed Select Se et Highlight one or more ECG reports Select De eteto delete the ECGs ur ode du gr Type the System or Overread password NOTE The System password should only be used by the system administrator or by qualified service personnel All other users should use the Overread password 6 The message De ethese ECGs displays 7 Select Yesto delete the selected ECG reports or Select No to cancel this delete request Select a different ECG report to delete Revision A MAC 5000 System 12 3 2020300 016 Deleting an ECG Delete Stored ECG Orders Option Delete Stored ECG Orders Option NOTE A WN Hp Before deleting a stored ECG order be sure that the unit is powered on and that a that a diskette containing the ECG orders to be deleted is in thedisk drive Select Ord Mgr Int to enable the order manager interface Select Load Orders Select Delete A list of orders displays Select an order to delete NOTE Only orders that have not been completed may be deleted Select Delete The system deletes the orders Enter the location s from which the device should retrieve the orders Refer to Receive Orders from a MUSE CV System Option on page 4 6 for more information Select Cancd to return tothe Main Menu 12 4 MA
127. rt up screen 2 Select Main Menu to begin displaying the Main Menu functions C AC BI EDD E DC 2C E gt Resting ECG PediatricECG Vector Loops 5 Lead ECO EditProtoool Ld Y Xx 12 15 Ea Exercise12 Exercise15 Masters Ste Hi Res PHi Res BI More Ba MUSE a ww B M gt 0 File Manager msc Receive Rem TIT Ord Mgr Int More T d CReum OC 2C C O2 oro 182A 2 16 MAC 5000 System Revision A 2020300 016 Equipment Overview Getting Started Main Menu Functions Function Description o Records a 12 lead ECG Nia Resting ECG o Records a 15 lead pediatric ECG The standard 12 leads and the V3R V4R and V7 leads are feki used 077A Pediatric ECG Records a 15 lead vector cardiogram The standard 12 leads and the X Y Z leads are used 078A s Vector Loops Records an adult 15 lead ECG The standard 12 leads and three user defined leads are used 085A eel 15 lead ECG EditProtocol creates new or edits existing exercise test protocols Also a protocol can be saved J printed or erased i 250A EditProtocol Exercise12 conducts the 12 lead exercise test and allows you to print reports This is a 251A X purchased option Exercise12 Exercise15 conducts the 15 lead 12 standard 3 user defined leads exercise test and allows n Ke you to print reports T
128. ry of the patient s maxi mum predicted heart rate the patient s target heart rate and to definetwo Y es No and alpha numeric patient data prompts Patient Questions Exercise Testing Item Description Max Pred HR Select Yes to require the patients maximum predicted heart rate to be entered Revision A MAC 5000 System 14 23 2020300 016 System Setup Define the Exercise Test Setup Option Patient Questions Exercise Testing Item Description Target Heart Select Yes to require the patient s target heart rate Enter the percentage of maximum Rate predicted heart rate Extra In addition to the patient questions defined under Basic System there are 2 patient data questions prompts that you can define Each of the prompts can be answered in 3 ways Numbers and letters the answer to the prompt can be made up of numbers and letters Numbers only the answer to the prompt can only be in numbers Yes or No the answer to the prompt must be yes or no Writer Setup 1 Within the system setup function select Exercise Test 2 Select Writer Setup to change the writer s default speed gain and filter settings Y ou can also enable or disable reporting tools Writer Setup Exercise Testing Item Description Speed Select the writer s default speed setting in millimeters per second Gain Selectthe writer s default gain setting Forthe 10 5 sett
129. s The 3 and 6 lead reports are configured using the Swedish format rhythm leads of the Exercise Setups Report Leads The 12 lead report uses the standard 12 lead set The median storage intervals also referred to as sample cardiac cycles can be configured using the Median First and Repeat column of the P rotocol E ditor D 6 MAC 5000 System 2020300 016 Revision A Appendix D Report Formats Format Description Report Name Description Trend Reports Records plots of PVCs heart rate and blood pressure Also produces trend report of ST level and slope vs time The 3 lead trend report will use the first three leads of the Swedish format rhythm leads ST HR Loops Report A two dimensional representation of ST Level vs Heart Rate ST HR Slope Report Records linear regression of heart rate adjusted slope for all leads plus median morphology of lead with highest slope Revision A MAC 5000 System D 7 2020300 016 Appendix D Report Formats Format Description D 8 MAC 5000 System 2020300 016 Revision A E Appendix E Master s Step Data evision MAC 5000 System 2020300 016 For your notes E 2 MAC 5000 System Revision A 2020300 016 Appendix E Master s Step Data Master s Step Table Master s Step Table The table below shows the number of steps to set according to the age sex and weight settings for the patient as t
130. s Select Yes to prevent the Abnormal ECG and Borderline ECG 12SL analysis statements ABNORMAL from appearing on printed stored and transmitted ECGs and BORDERLINE statements Storage format Choose the data compression format of the ECGs stored on a MUSE CV system 250Hz not available with ACI TIPI option m Select 500Hz MUSE Network if sending ECGs to a MUSE CV system using MUSE software versions 004A or later m Select 500Hz DVS MUSE Network to store ECGs so that they can be reprinted at the same full original resolution by the receiving device The MUSE CV system must be using software version 5D 04 or later Store XML Select Yes to automatically save each ECG in XML format in addition to the standard GE format proprietary format XML files are stored to the following path a XML XML Use a blank disk to save the XML output m f storing ECGs in XML format DO NOT allow editing ECGs atthe MAC 5000 Changes made to ECGs during editing WILL NOT BE SAVED to the XML file m Exceptfor the XML suffix the name of the XML file is the same as the name of the ECG file m When this option is selected the floppy disk will fill up more quickly due to the size of the XML files Auto ECG Choose the ECGs you want your system to automatically store to a disk storage m Select All ECGs to automatically store a recorded ECG m Select No ECGs to disable automatic storage of a recorded ECG m Select Only ABNORMAL ECGs to automaticall
131. s and accessories used must meet the requirements of the applicable EC 601 series safety standards and or the system configuration must meet the requirements of the I EC 60601 1 1 medical electrical systems standard The use of ACCESSORY equipment not complying with the equivalent safety requirements of this equipment may lead to a reduced level of safety of the resulting system Consideration relating to the choice shall indude m use of the accessory in the PATIENT VICINITY and m evidence that the safety certification of the ACCESSORY has been performed in accordance to the appropriate IEC 60601 1 and or IEC 60601 1 1 harmonized national standard Type BF equipment The acquisition module is protected from defibrillation shocks L B e 2 Alternating current Equipotential Charge the battery The flashing amber LED nextto this symbol indicates you must connect the system to AC power to re charge the battery Do NOT throw the battery into the garbage Recycle the battery Ne tp MAC 5000 System Revision A 2020300 016 Introduction Safety Information i Consult accompanying documents o O This position of the switch removes battery power from the equipment o Classified with respect to electric shock fire mechanical and other UU specified hazards only in accordance with UL 2601 1 CAN CSA C22 2 No uzori cesa 601 1 CAN CSA C22 2 No 601 2
132. safety certification of the ACCESSORY has been performed in accordance to the appropriate EC 60601 1 and or IE C 60601 1 1 harmonized national standard CAUTION BatteryPower If a device equipped with an optional battery pack will not be used or not be connected tothe power linefor a period of over six months remove the battery Revision A MAC 5000 System 1 9 2020300 016 Introduction Safety Information CAUTION Beforel nstallation Compatibility is critical to safe and effective use of this device Please contact your local sales or service representative prior to installation to verify equipment compatibility CAUTION Disposables Disposable devices are intended for single use only They should not be reused as performance may degrade or contamination could occur CAUTION Disposal At the end of its service life the product described in this manual as well as its accessories must be disposed of in compliance with local state or federal guidelines regulating the disposal of such products If you have questions concerning disposal of the product please contact GE Medical Systems I nformation Technologies or its representatives CAUTION EquipmentDamage Devices intended for emergency application must not be exposed to low temperatures during storage and transport to avoid moisture condensation at the application site Wait until
133. sentation to the user This device is intended for use under the direct supervision of a licensed health care practitioner This device is not intended for use with high frequency surgical units Disconnect the patient from the device before using the high frequency surgical unit This equipment uses a computerized ECG analysis program which can be used as a tool in ECG tracing interpretation It is recommended that all ECGs are confirmed by a qualified physician or cardiologist To ensure accuracy only use printed tracings and not the display for physician interpretation This equipment will not cause abnormal operation of a patient s pacemaker or other electronic stimulator The Acute Cardiac I schemia Time Insensitive Predictive Instrument ACI TIPI Option is intended to be used in a hospital or clinical environment by competent health professionals ACI TIPI uses recorded ECG data to produce a numerical score which is the predicted probability of acute cardiac ischemia Like any computer assisted ECG interpretation program the GE Medical Systems Information Technologies ACI TIPI evaluation and probability score is intended to supplement not substitute for the physician s decision process It should be used in conjunction with knowledge of the patient s history the results of a physical examination the ECG tracing and other clinical findings ACI TIPI isintended for adult patient populations This system is not intended to be
134. should rotate fully in both directions Clean the exterior surfaces of all equipment and peripheral devices monthly or more frequently if needed 1 Use a dean soft cloth and a mild dishwashing detergent diluted in water Wring the excess water from the cloth Do NOT drip water or any liquid on the writer assembly and avoid contact with open vents plugs or connectors A 4 MAC 5000 System Revision A 2020300 016 Appendix A Maintenance Inspecting and Cleaning 3 Drythesurfaces with a dean doth or paper towel Disk Drive Clean the disk drive every six months or more frequently if you have data storage problems Use the head deaning kit PN 407546 001 NOTE Do NOT use cleaning solutions or solvents on the disks Data loss or disk drive failure could result 1 Power on the system 2 Follow the head cleaning kit instructions to prepare the head cleaning disk 3 Insert the head deaning disk intothe drive slot and note how long the drive spins The head cleaner disk must spin for a total of 30 seconds to clean the drive 4 Repeat steps 1 3 until the head cleaning disk spins for 30 seconds or more 5 Eject the head deaning disk from the drive slot Revision A MAC 5000 System A 5 2020300 016 Appendix A Maintenance P aper Paper Changing the Paper Tray Size Change to A4 Paper Size Slide the paper guide toward the rear of the device to accommodate A4 size paper 187A Change to Standard Pap
135. stions ccc cece ete eet e ne 14 23 Wiriter S lara aot wer cha RC e 14 24 12 and 15 Lead Exercise Reports 0 ccc ete nennen 14 25 Final REDOR S cis a a aa 14 27 NM ra dao o 14 27 Inputs QUIDUIS tJ E or e s etat e icc op ette DE 14 28 Define the Signal Averaged ECG Setup Option 14 30 Card Reader Option Setup cceccee cece eee eset eee e 14 31 Automatic Configuration of Card Reader ccc cece cece eee eeeees 14 31 Manual Configuration of Card Reader cece cece eee eee aes 14 32 Revision A MAC 5000 System V 2020300 016 Bar Code Reader Option Setup ooococcocccccnnnr cr 14 33 Automatic Configuration of Bar Code occ ete 14 33 Manual Configuration of Bar Code Reader cceec cece cece eees 14 34 Creating Bar Codes and Magnetic Cards 14 34 Master s Step Setup Option 0c cece cece een nennen 14 37 Miscellaneous Setup 00ccc cece cece tenet eee eee eee 14 38 PrintS Up RES 14 38 SAVES CUP crono a waere 14 38 Restore Setup iii a pd EVAN a 14 38 Appendix A Maintenance s A 1 iJ rM Et A 3 Inspecting and Cleaning sess A 4 PFECAUNONS Sans te u a A 4 Visuals pechni cac dete tree ttr pai ect A 4 Cleaning as ee an A 4 Pi en seele af A 6 Changing the Paper Tray Size sisse A 6 Replacing Paper tasa ali Det e oda EAR A 7 O A 7 Maintaining the Battery ooooocoococonccnnnrn eee eee eeeees A 10 Battery Gau
136. system before removing the battery After removing and replacing the battery the battery gauge symbol resets to empty Connect your system to an AC wall outlet to ensure a fully charged battery WARNING BatteryPack Disposal Do NOT dispose of the battery pack by fire or burning Follow local environmental guidelines concerning disposal and recycling A 12 MAC 5000 System Revision A 2020300 016 Appendix A Maintenance Maintaining the Battery NOTE If battery fluid contacts your skin eyes or clothing immediately wash the area with clean water and see a doctor 112A 114A 113A Revision A MAC 5000 System 2020300 016 Appendix A Maintenance Replacing Acquisition Module Leadwire Adapters Replacing Acquisition Module Leadwire Adapters lt Q Ou 015 AQUA 278 MAC 5000 System Revision A 2020300 016 Appendix A Maintenance Handling a Disk Handling a Disk N 35 C 95 F 10 C 50 F Y 8 001Adisk 002Adisk 003Adisk 004Adisk 005Adisk 006Adisk 007Adisk 008Adisk 009Adisk Revision A MAC 5000 System A 15 2020300 016 MAC 5000 System 2020300 016 Revision A B Appendix B Troubleshooting evision MAC 5000 System 2020300 016 For your notes B 2 MAC 5000 System Revision A 2020300 0
137. t 1 20 acquisition module buttons 2 9 cable 2 10 lead labels 2 10 leadwire adapters 2 10 leadwires 2 9 age 14 9 amber battery light 2 4 ANA TTL 2 5 analog outputs setup 14 22 analysis filter 14 30 14 37 archivist paper storage A 8 arrow pad 2 7 authorized service 1 27 automatic ECG storage to diskette 14 17 ECG transmission 14 18 shutdown 14 8 autorhythm 14 20 14 26 averaging target 14 30 14 37 B bar code reader 14 14 baseline roll filter 14 15 14 23 baseline wander warning 14 15 Basic System setup date and time 14 12 language 14 13 power up options 14 13 screen colors 14 10 transmission 14 11 battery conserving power 14 8 location 2 4 switch 1 25 battery status icon 2 14 2 16 beat count averaging target 14 30 14 37 Blood pressure 2 15 blood pressure 14 9 blood pressure device Colin 2 12 Ergoline 2 12 Suntech Tango 2 12 Borderline E 5 C cable acquisition module 2 10 card reader option 14 14 card slot 2 5 cart number 14 7 cleaning what to use A 4 Colin blood pressure device 2 12 colors screen 14 11 comment 2 8 confirmation text 14 21 connector 12 5 225 A2 5 acquisition module 2 10 ANA TTL 2 5 back panel 2 4 EXT VID 2 5 ground lug 2 6 IR 2 5 mains AC power 2 6 copy 2 7 correlation threshold 14 30 14 37 create orders locally setup 14 14 cubic spline 14 23 D date setup 14 12 default location 14 12 delay 14 22 14 29 delete 2 7 dialing two second pause 14 11
138. t ECG Analysis Select the type of ECGs stored Select Return NOTE Before programming your system to automatically transmit an ECG you must define the receiving device and it s default location See Transmission on page 14 11 to define the transmission parameters of the default receiving device Within the system setup function select ECG Select ECG Analysis Select the type of ECGs transmitted In the Auto ECG transmission field select one m All ECGs m NoECGs OnlyABNORMAL ECGs Select Return Enable or Disable the ACI TIPI Option 1 2 Within the system setup function select ECG Select ECG Analysis Revision A MAC 5000 System 14 5 2020300 016 System Setup Program the System to Automatically Do a Task 3 IntheEnable ACI TIPI field select Yes to enable the ACI TIPI option select Noto disable the ACI TIPI option 4 Select Return 14 6 MAC 5000 System Revision A 2020300 016 System Setup Define the Basic System Setup Define the Basic System Setup Miscellaneous Setup 1 Within the system setup function select Basic System 2 Select Miscellaneous Setup to define your system s basic set up items Miscellaneous Setup menu items are defined in the table below Miscellaneous Setup Item Description Institution Type the name of your hospital clinic etc as you wantitto appear on printed reports On name most reports the institution name appears at the top Tex
139. t entry Select Uppercase only to type text in uppercase letters Select Upper and lowercase to type text in upper and lowercase letters Speaker Select Lowto setthe system s speaker to low volume volume Select High to set the system s speaker to high volume External video Select Option 1 to enable this port Most remote monitors function using Option 1 port Otherwise select Option 2 Information line Select Yes to enable the help information line on the screen Cart number Type a number that uniquely identifies this system Site number Type a number from 1 32 to identify where the data will be stored in the MUSE CV system The Site number used must be compatible with the site number for the MUSE CV system to which the MAC 5000 device is communicating Location Type a number to identify the location of this system to a MUSE CV system Use a value number from 1 99 for MUSE CV systems using software version 002B 004 or 3A CLM 1B Use a value from 0 599 for a MUSE CV system using software version 4A or later The Location number used must be compatible with the location number for the MUSE CV system to which the MAC 5000 device is communicating File Manager Select the sorting method your system uses to display stored ECGs Sort Delete after Select Yes to delete an ECG after transmitting itto a receiving device transmit Text on bottom Select Yes to print the ECG test information on the bottom of the EC
140. t you comply with all applicable legal requirements The Exercise test keys perform the functions listed in the table Revision A MAC 5000 System 6 3 2020300 016 Exercise Stress Test Option Start an Exercise Stress Test Key Function Pretest Press to advance to the pretest phase Exercise Press to advance to the exercise phase Recovery Press to advance to the recovery phase Test end Press and hold to end the test and start the test end phase Speed W Press to increase or decrease the belt speed or ergometer load Speed W Grade Press to change the elevation of the treadmill belt Start tmill Press to start the treadmill during the test STOP tmill Press stop the treadmill during the test Recall Press to print a 10 second delayed recall report 12 Id Press to print a 12 lead report Medians Press to print a medians report Comment Press to enter comments that will be stored with the record and printed on some of the final reports Enter BP Press to enter BP readings or to trigger a reading from an external device 6 4 MAC 5000 System Revision A 2020300 016 Exercise Stress Test Option Test Phases Test Phases Pretest Phase Overview The pretest phase consists of stages configured in each protocol Commonly used stages are m Supine m Standing m Hyperventilating Y ou can configure the Protocol Editor to take blood pressure meas
141. taining solvent based adhesives Toassure maximum image life thermal paper should be stored separately in m manila folders m polyester or polyimide protectors Plastic document protectors envelopes or sheet separators made of polystyrene polypropylene or polyethylene will not degrade thermal traces in themselves H owever these materials afford no protection against fading from external causes Use only mounting forms and pressure sensitive tapes made with starch or water based adhesives NOTE Paper manufacturers advise that these thermal products should retain their traces when properly imaged and stored for about 3 5 years If your retention requirements exceed these guidelines we recommend you consider alternate image storage techniques The following applies to Archivist thermal paper only GE Medical Systems Information Technologies warrants that the image produced on Archivist papers by GE Medical Systems Information Technologies equipment will not fade for seven 7 years when handled according to the instructions outlined below Archivist papers must be continuously stored below 104 F 40 C and relative humidity must be maintained between 40 and 60 The customer must notify GE Medical Systems I nformation Technologies promptly following any customer knowledge of fading A 8 MAC 5000 System Revision A 2020300 016 Appendix A Maintenance P aper The GE Medical Systems Information Technologies
142. tal leads SEP Sinus Atrial capture CAPUR Sinus bradycardia SBRAD Sinus rhythm SRTH Sinus tachycardia STACH Small SMA MAC 5000 System Revision A 2020300 016 Appendix C Editing Acronyms Resting ECG Acronyms Statement Acronym ST amp ST amp ST abnormality and STABAND ST abnormality possible digitalis effect STDIG ST depression in STDPIN ST depression consider subendocardial injury or digitalis effect STDEP ST elevation consider anterior injury or acute infarct AIOHAI ST elevation consider anterolateral injury or acute infarct ALIHAI ST elevation consider inferior injury or acute infarct IOHAI ST elevation consider inferolateral injury or acute infarct ILIHAI ST elevation consider lateral injury or acute infarct LIOHAI ST elevation in STELIN ST elevation consider early repolarization pericarditis or injury SERYR1 ST elevation probably due to early repolarization SERYR2 ST elevation consider injury or variant associated with LVH INJ ONV Statement not found SNF S upraventricular tachycardia SVT Suspect arm lead reversal interpretation assumes no reversal ARM T wave abnormality consider anterior ischemia AT T wave abnormality consider anterolateral ischemia ALT T wave abnormality consider inferior ischemia IT T wave abnormality consider inferolateral ischemia ILT T wave abnormality consider lateral ischemia LT T wave
143. ter the Information 0 ccc cece eect ete Hem 4 3 Using a Patient Card Reader Option 0 ccseee eee nennen nenn 4 4 Connect and Configure the Card Reader 4 4 SlideCard ci eek ee ET 4 4 Using a Bar Code Reader Option isses nnn 4 5 Connect and Configure the Bar Code Reader ccc cc ee cece esee 4 5 Scan the Bar Codec aro eere Rp e de septo eben da verde 4 5 Receive Orders from a MUSE CV System Option 4 6 Preparation ae cl eis arte oet t aae aee Ae D Re EAR 4 6 Load the OTders ie sense a eg 4 7 Select the Orders to Receive ccce 4 7 Selectan Order to Complete 4 7 Complete the Order cocoa c n rec i o C RR 4 7 Enter Orders Manually Option 0 ccc ce ee eee e eee eee eee eens 4 8 Manually Create an Order 0 cece cece 4 8 Selecting and Completing Manually Created Orders cece eeeeaeaes 4 8 Recording an EGG u 5 1 Hookup Advisot 200 repe xr aan 5 3 Record a Resting Pediatric Vector Loops or 15 Lead ECG 5 5 Record the ECG a ste rad 5 5 Record a Signal Averaged ECG Options s esses 5 6 Record a Master s Step Test Option 0cc cee ee cece nennen 5 7 Rr n thes Les ios casae hen once EC rub RC DA CAT RO E ERR 5 7 Using ACI TIPI Option 0 cece cece eee eee eee eee eens 5 9 ii MAC 5000 System Revision A 2020300 016 Exercise Stress Test Option 6 1 Start an Exe
144. tery icon appears Battery light Empty battery icon 3 8 EA kkk al A 2698 1598 When the Battery is Completely Discharged Y our system powers off when the battery is completely discharged To operate your system you must connect the system to an AC wall outlet Is the Battery Charging NOTE If the battery is fully charged or exceeds safe charging temperature the system will not charge the battery The system s battery is charging when m theamber battery light glows and m the battery gauge icon shows the battery charging icon Revision A MAC 5000 System A 11 2020300 016 Appendix A Maintenance Maintaining the Battery Battery light Charging battery icon L kkk qe 158C 268A Periodic Maintenance In addition to normal system use periodic deep discharge cycles may be required to ensure consistent battery performance A deep discharge cycle occurs when the battery is discharged until the system shuts down and the battery is charged until it is full NOTE GE Medical Systems nformation T echnologies recommends one deep discharge cycle once every three months but does not recommend over exercising the battery with multiple deep discharge cycles See the MAC 5000 Service Manual for more battery maintenance and diagnostic information Replacing the Battery To prevent loss of data save all patient data to a disk Remove the AC power cable from the AC wall outlet and power off the
145. tient s Skin NOTE Tousethe KISS Electrode Application System see the KISS operator s manual for instructions The KISS system is not available for sale in the United States Careful skin preparation is the key to an interference free ECG The signal quality is shown on the Hookup Advisor indicator 39A 1 Shave any hair from each electrode site and degrease each electrode site with alcohol If conducting a stress test proceed to steps 2 and 3 If you are not conducting a stress test skip ahead to step 4 2 Mark each electrode site with a felt tip pen 3 Removethe epidermal skin layer at each electrode site i e remove the mark left from the felt tip pen Use an abrasive pad or skin prep cream 4 Apply electrode to prepared area 5 Look at the lead check screen for indication of lead problems NOTE Use only electrodes and contact agents recommended by GE Revision A MAC 5000 System 3 3 2020300 016 Preparing the Patient Prepare the Patient s Skin Medical Systems Information Technologies The signal quality on the lead check screen will not be indicated until the RA R electrode has been applied When RA R becomes disconnected the system will report that all electrodes are off the patient WARNING Shock Hazard Ensure that conductive parts of the electrodes or lead wires do not come in contact with other conductive parts This would cancel the protection provided by the isolated signal input
146. ting an EGG report be sure that the unit is powered on and that a diskette containing the ECGs to be edited is in the disk drive Select Se ect So wW E Select File Manager A list of ECG reports is displayed Highlight one or more ECG reports Select Edit to display the list of data that can be edited Editing Option Special Considerations Patient Information Medications Test Information ACI TIPI Chest or Left Arm Pain Demographic data can be edited without overreader password ECG Measurements Diagnostic Statements Interpretive data requires overreader password to edit Editing interpretive data confirms the ECG Return Return to the previous menu Enter the Overreader Password 1 Type the overreader password 2 Press the return key 3 Type the reviewer information Revision A MAC 5000 System 2020300 016 Editing an ECG Edit Demographic and Interpretive Data 4 Select Return Edit Resting Pediatric or Vector Loops Measurements 1 Select ECG Measurements 2 Edit the data 3 Select Return Edit Signal Averaged ECG Measurements 1 Select HI Res Measurements 2 The message Edit the QRS or P wave Onset displays 3 Select Yes to edit the onset Select Onset or Select Noto edit the offset Select Offset 4 Presstheleft or right arrows to increment or decrement the measurement 5 Pressthereturn key Edit Diagnostic
147. tore and print ECG orders received from a MUSE CV system The MUSE CV system must use a Hospital Information System HIS Order Manager Interface Item Description Initial sort value Select how you want to sort displayed ECG orders Create orders locally Select Yes to allow ECG orders to be entered manually into the system Revision A MAC 5000 System 14 13 2020300 016 System Setup Define the Basic System Setup PS 2 Port 1 Within the system setup function select Basic System 2 Select PS 2 Port Select to select the optional card reader or bar code reader PS 2 Port Select options are defined in the table below PS 2 Port Item Description PS 2 Port Select the input device connected to the P S 2 port Keyboard Card Reader or Bar Code Device Reader See Card Reader Option Setup on page 14 31 for details on how to configure the card reader See Bar Code Reader Option Setup on page 14 33 for details on how to configure the bar code reader Card Reader None Manual or Automatic See Card Reader Option Setup on page 14 31 for more Configuration information Bar Code None Manual or Automatic See Bar Code Reader Option Setup on page 14 33 for Configuration more information 14 14 MAC 5000 System Revision A 2020300 016 System Setup Define the ECG Setup Define the ECG Setup ECG Acquisition 1 Within the system setup function sel
148. uate and manage the EMI environment in the hospital The following actions can be taken to reduce the risk of medical device EMI and achieve EMC m Assess the EMC environment of the healthcare facility e g identify radio transmitters in around the facility and identify areas where critical medical devices are used e g ER ICU CCU NICU m Increase the distance between sources of EMI and susceptible devices m Removethe devices that are highly susceptible to EMI m Lower power transmitted from electrical and electronic equipment EMI sources under hospital control i e paging systems m Label devices susceptibleto EMI m Educate healthcare facility staff nurses and doctors to be aware of and to recognize potential EMI related problems MAC 5000 System Revision A 2020300 016 l Introduction evision MAC 5000 System 2020300 016 For your notes 1 2 MAC 5000 System Revision A 2020300 016 Introduction Manual Information Manual Information Purpose Intended Audience Revision History This manual contains the instructions necessary to operatethe MAC 5000 system in accordance with ts function and intended use This manual is intended for the person who uses maintains or troubleshoots this equipment Each page of the document has the document part number and revision letter at the bottom of the page The revision letter identifies the document s update level Table 1 Revisi
149. uis va oe ce Y chen E 5 Negative ar reset AR temen eA D tales er aa ong t ard E 5 Calculation c e RR Eon o epe un a A RR A E 5 liq EE Index 1 Revision A MAC 5000 System vii 2020300 016 For your notes viii MAC 5000 System Revision A 2020300 016 CE Marking Information CE Marking Information CE Compliance The MAC 5000 system bears the CE mark CE 0459 notified body GMED indicating its conformity with the provisions of the Council Directive 93 42 E EC concerning medical devices and fulfills the essential requirements of Annex I of this directive Any other directive s and all the standards the product complies to are listed in the general information of the operator manual for the product following this page The country of manufacture can be found on the equipment labeling The safety and effectiveness of this device has been verified against previously distributed devices Although all standards applicable to presently marketed devices may not be appropriate for prior devices i e electromagnetic compatibility standards this device will not impair the safe and effective use of those previously distributed devices Recommendations Users should be aware of known RF sources such as radio or TV stations and hand held or mobile two way radios and consider them when installing a medical device or system Be aware that adding accessories or components or modifying the medical device or system may degrade th
150. unning a terminal emulator program for example HyperTerminal Date and Time 1 Within the system setup function select Basic System 2 Select Dateand Timeto set the date and time that appears on the ECG reports Date and Time options are defined in the table below Date and Time Item Description Current date Enter the current date Type the day Select the month Type the year Current time Enter the current time Type the hour Type the minutes Language 1 Within the system setup function select Basic System 2 Select Language to choose the language displayed on screen and in ECG reports 14 12 MAC 5000 System Revision A 2020300 016 System Setup Define the Basic System Setup Language Item Description Select new Selectthe language of displayed or printed data language Power the system off then on to view the new language Power Up Options 1 Within the system setup function select Basic System 2 Select Power U p Options to program your system to power up into either the resting pediatric vector loops or 15 lead option ECG function Power Up Options Item Description Power Up Selectthe resting ECG function you want your system to start up in every time you power Application on the system Order Manager Interface 1 Within the system setup function select Basic System 2 Select Order Manager Interfaceto acquire s
151. urements manually or automatically See Chapter 7 Editing Protocols The system will beep and display a message prompt in the header of the display when it is timetotake a manual blood pressure measurement A set of medians is saved at the end of the Pretest phase as baseline medians Operating Steps 1 Onthestress keypad press 12 Id to acquire and print a baseline ECG 2 Press Pretest to advance to the next PRE TEST stage 3 If you are using a treadmill to conduct the exercise test tell the patient to place his her feet on the treadmill frame not on the belt WARNING Fall Hazard Severe injury can result from a fall Patients should wait until the treadmill belt is moving before stepping onto the belt Step onto the belt with one foot at a time Avoid rapid changes in belt speed Revision A MAC 5000 System 6 5 2020300 016 Exercise Stress Test Option Test Phases Pretest Phase Buttons WARNING PinchPointHazard Hair jewelry and loose clothing can catch in moving parts Keep these and other items away from moving parts Otherwise serious injury could result Press Start tmill on the treadmill controller keyboard to start the treadmill belt moving During the exercise test you can Press STOP tmill once on the treadmill controller keyboard to stop the treadmill GRADUALLY Press and hold STOP tmill on the treadmill controller keyboard to stop the treadmill belt
152. vent inadvertent disconnection should someone pull on them For devices installed abovethe patient adequate precautions must be taken to prevent them from dropping on the patient WARNING Treadmills Avoid rapid changes in treadmill speed and or grade during a stress test CAUTION Accessories Supplies To ensure patient safety use only parts and accessories manufactured or MAC 5000 System Revision A 2020300 016 Introduction Safety Information recommended by GE Medical Systems I nformation Technologies Parts and accessories used must meet the requirements of the applicable IE C 60601 series safety standards and essential performance standards and or the system configuration must meet the requirements of the EC 60601 1 1 medical electrical systems standard CAUTION ProperL eadwireConnection I mproper connection will cause inaccuracies in the ECG Trace each individual leadwire from its acquisition module label to the colored connector and then to the proper electrode to ensure that it is matched tothe correct label location CAUTION Accessories E qui pment The use of ACCESSORY equipment not complying with the equivalent safety requirements of this equipment may lead to a reduced level of safety of the resulting system Consideration relating to the choice shall include Use of the accessory in the PATIENT VICINITY and Evidencethat the
153. y store a recorded ECG that the 12SL analysis program has classified as abnormal MAC 5000 System 2020300 016 14 17 System Setup Define the ECG Setup ECG Analysis ltem Description Auto ECG transmission Choose the ECGs you want your system to automatically transmit m Select All ECGS to automatically transmit all recorded ECG upon completion m Select No ECGS to disable automatic transmission of a recorded ECG m Select Only ABNORMAL ECGs to automatically transmit a recorded ECG that the 12SL analysis program has classified as abnormal Enable ACI TIPI Select No to disable the ACI TIPI function Select Yes to enable the ACI TIPI function This is an option and might not be installed on your unit Patient Questions 1 Within the system setup function select ECG 2 Select Patient Questions to define two alpha numeric patient data prompts Patient Questions Item Description Prompt Type the text you want for the patient question Type Select the type of response you want entered for the patient question Select Numbers and letters to answer the prompt using numbers and letters Select Numbers only to answer the prompt using numbers Select Yes or No to answer the prompt using either yes or no Writer Setup 1 Within the system setup function select ECG 2 Select Writer Setup to change the writer s default speed gain and filter settings 14
154. ystems I nformation Technologies networking professional regarding modification of your wireless LAN to improve system performance Revision A MAC 5000 System 9 7 2020300 016 Transmitting an ECG Transmit Stored ECGs to the Serial Port in XML Format Transmit Stored ECGs to the Serial Port in XML Format NOTE Before transmitting an EGG report be surethat the unit is powered on and that a diskette containing the ECGs to be transmitted is in the disk drive 1 Connect the MAC 5000 serial port tothe serial port of a PC runninga terminal emulation program 2 Select the Location From the Main Menu select FileManager Location gt XML Output 3 Select Select A list of available ECGs displays 4 Select the ECGs to betransmitted 5 Select one or more ECGs 6 Select Transmit to transmit the XML files 7 If you want totransmit ECG reports from a different disk select esc Insert the appropriate disk in the disk drive Select New Disk Repeat steps 2 through 6 above or Select Main Menu to continue 9 8 MAC 5000 System Revision A 2020300 016 10 Receiving an ECG For your notes 10 2 MAC 5000 System Revision A 2020300 016 Receiving an ECG Receive ECGs by Modem Option Receive ECGs by Modem Option NOTE Before receiving an EGG report be sure that the unit is powered on and that a diskette with sufficient available spaceis in the disk drive Also besure that the MAC 5000 System is connected to the

MAC 5000 Resting ECG Analysis System

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