Home

MAC 1200 Option Codes

image

Contents

1. Sysco BP Dissoie BP c Physician Prono Medicion ane E Commens Ke 3 z Z Z Z Z S S S Z MINN NERE JHHHE TAHHE lang a Z Table 4 1 Patient data entry menu 24 MAC 1200 4 4 Entering Patient Data It is possible to enter patient data and have them annotated on the recording for easy archiving of patient records Press inte to enter the patient data mode The recorder displays the menu items in a de fined order In the patient data setup menu section 9 7 Con figuration of Patient Data Menu you determine the items to be included in the menu In the table at left the items that appear in the patient data menu in the default setup are marked as Yes in the Menu item displayed column the other menu items are marked as No To skip a menu item press D or the cursor key Vor D Itis not possible to write capital and small letters do not use the Shift key For entry of numbers e g date of birth it is not necessary to press the Shift key When filling out alphanumeric text boxes you can activate the Shift Lock function with the Ses button the w symbol appears in the display to indicate the Shift Lock status All entries must be confirmed with GJ Press pel or OD to exit the patient data mode The table at left shows the menu items in the correct order On the display selected options are shown in brackets Refer to sect
2. connected modem is automatically initialized The procedure can be aborted with lt to enable the receive data mode The procedure can be aborted with oq When you have enabled the receive data mode the standard screen display of the 12 Lead Mode dis plays The message 12Lead REC indicates that the unit is ready to receive data Figure 5 17 ECGs can be recorded in the 12 Lead Mode even while the unit is in the receive data mode A message displays on the screen when the unit is receiving data Figure 5 18 The reception can be aborted with Oo The ECG which has just been received is processed for the printout The report is printed in the selected format Multiple ECGs are received and printed one after the other After printout of the last ECG the receive data mode is automatically disabled The mode is also disabled when you select another operating mode The following information is annotated in the bot tom line of each report the sender the software version and analysis program ver sion used at the sending unit e g ACQ DEV M1200 V5 1M12i 12SL V13 MAC 1200 37 Recording in 12 Lead Mode 5 5 6 Cart to Cart Communication Via modem ECG data can be transmitted between two MAC 1200 units or between a MAC 1200 and any ECG recorder using the CSI protocol see sec tions 5 5 1 and 5 5 2 5 5 7 Modem Setup for Modem gt other If you prefer to use another modem than t
3. Secondary ID Secondary ID required Last name required First name required Extra Questions Prompt 1 through Prompt 4 are disabled They can be enabled from the patient data setup menu The patient ID length is selectable from 3 to 16 characters 54 MAC 1200 Required Data Fields If for one of the data fields ID required Secondary ID required Last name required First name required you choose Yes an ECG can be recorded in 12 Lead Mode only if the corresponding patient data is entered Fields on patient data entry screens that require an entry are identified with pointed brackets e g Last Prompt 1 to 4 You can enter any text here 10 characters max When you have entered the text you can select the format of the response field There is a choice of 3 formats alphanumeric field 17 characters max only numbers 9 numbers max Yes or No To exit the menu press DOQ 227 492 04 F System Setup 9 8 Option Code In this menu you enter the option codes to enable a number of optional software functions The respec tive option becomes active after you have entered the code number The code numbers are listed on the option code sheet supplied with the different soft ware options In the setup menu position the bar cursor on Option Code and confirm the selection with The option code menu appears There is a choice of 6 options MEAS measurement
4. muscle filter AC filter pacing pulse identification automatic or manual sensitiv ity adjustment automatic baseline adjustment and drift compensation by means of the anti drift system A D S can be enabled or disabled simul taneously for all channels digital output of proc essed signals via thermal array printhead low cut off frequency 3 db limits 0 08 Hz equivalent to a time constant of 2 04 s high cut off frequency 3 dB limits operating mode 12 Lead 6 Lead 150 Hz IEC AHA op erating mode Arrhy 100 Hz IEC signal sampling rate 1000 s resolution referred to the input 5 uV output rate to recorder 2000 s 227 492 04 F MAC 1200 for all leads gain adjustment in four steps 40 20 10 5 mm mV with active muscle filter low pass characteris tic 3 dB drop of the amplitude frequency re sponse at approx 40 or 20 Hz with active AC filter detection and compensa tion of periodic 50 or 60 Hz frequency compo nents depending on recorder model attenua tion gt 40 dB non linear distortion below values specified in IEC and AHA recommendations coincidence error limits between any two channels 0 5 mm detection of pacer pulses in V2 or other V leads and marking in all channels for signals referred to patient input duration 0 1 ms amplitude gt 5 mV noise in the signal transmission path below values specified in IEC and AHA requirements lt 2 5 uV rms commo
5. 5 min 1 to 99 minutes Low battery beep 0 Off Ssto60s S5s beep at 5 s interval Default mode 12 Lead fava Language 6 Lead Arrhythmia English English French Spanish MAC 1200 3 5 System Setup The table at left shows the system setup parameters that can be modified and the system defaults For instructions on changing the device setup refer to section 9 5 System Setup 227 492 04 F Putting the Device into Operation and Performance Test Warning Shock Hazard Strictly observe the following warnings Failure to do so may endanger the lives of the patient the user and bystanders Connecting peripheral devices to the RS232 in terface of the resting ECG analysis system cre ates a medical system This system must meet the requirements of IEC 60601 1 1 Use only the original GE Medical Systems In formation Technologies connection cables All non medical devices of a system must be connected to the same electric circuit Devices which are not connected to the same circuit must be electrically isolated use isolated RS232 inter face as per IEC 60601 1 A PC connected to the resting ECG analysis sys tem should meet the requirements of EN 60601 If it doesn t it must be set up outside the patient environment If the PC fulfills the requirements of EN 60950 it must be set up within the medi cally used area but outside the patient environ ment Do not connect PCs to the resting ECG ana
6. 9 2 Creating a custom report sequence Press 4 The cursor will move to the position for entry of the lead in channel 1 Follow these steps if you wish to record lead aVR in channel 1 for instance Enter AVR and confirm the entry with EH The cursor moves to the position for entry of the lead designation AVR appears there as well If you wish to enter another designation you can overwrite the default name 4 characters max Confirm your entry with Ap and repeat the above steps for channel 2 etc You can write over SEQ NO 4 if you wish to enter another name for the report sequence 50 MAC 1200 Gain auto 5 10 20 40 mm mV with auto the unit will automatically determine the appropriate gain setting for the 6 simultaneous leads Speed Changes the writer speed Default 25 mm s Muscle Filter AC Filter Elimination of muscle artifact and AC line interfer ence Default muscle filter No AC filter Yes Muscle Filter frequency Cut off frequency of the muscle filter 40 Hz 20 Hz The frequency range is indicated in the lower margin of the recording strip 0 08 40 Hz 40 Hz muscle filter enabled 0 08 20 Hz 20 Hz muscle filter enabled 0 08 150 Hz muscle filter off Anti Drift System ADS cubic spline In case of wandering baselines the anti drift system restores the baseline to its original position signal delay with ADS approx 2 s Default
7. cable Patient Hazard Delayed ECG Display Use sil ver silver chloride electrodes for ECG signal acqui sition if the patient may have to be defibrillated Shock Hazard The patient signal input of the recorder is protected against damage resulting from defibrillation shocks Nevertheless extreme care should be exercised when defibrillators are used on a patient connected to other devices while a shock is released During defibrillation do not touch the patient the electrodes or the leadwires Note Observe the defibrillator safety information MAC 1200 47 System Setup 9 System Setup 9 1 Some Basic Facts Press zt to display the setup menu The setup menu with the following options will appear Operating mode 12 Lead 6 Lead Arrhythmia General Settings Communication Patient Data Setup Option Code At Operating mode you will always see the cur rently selected mode So be sure to select the appro priate mode before entering the setup menu To access the menu options position the bar cursor on the option with the cursor keys and confirm the selection with The operating steps to select a setting are always the same Using the cursor keys lt and you select the option then you confirm the selection with D The cursor will move to the next menu item Individual items can be skipped with hi or Rip Press give to exit the setup mode O O O Ga
8. compounds with benzine 11 2 oe Disinfecting the Pa Then use warm water and a small brush to clean tient Cable the electrodes of cream or gel Do not use pointed Disconnect the cable from the recorder before BESSE cleaning or disinfecting it When disconnecting Disinfect the electrodes with alcohol free disin the cable be sure to pull on the connector not on fectant Ensure that connectors and sockets do the cable not become wet Clean the cable by rubbing it down with a cloth The only approved sterilization method is gas moistened with soap water Use a disinfectant for sterilization disinfection Do not immerse the cable in liquid Frequently sterilizing the electrodes with ethyl ene oxide gas reduces the life of the plastic mate rial 227 492 04 F MAC 1200 59 Cleaning Disinfection and Maintenance 11 4 Maintenance Checks before each use Before each use visually inspect the device the leads and electrodes for signs of mechanical damage If you detect damages or impaired functions that may adversely affect the safety of the patient or user do not use the device before it has been repaired Technical Inspections For safety the devices require regular maintenance To ensure functional and operational safety of the MAC 1200 units Technical Inspections should be carried out on an annual basis These checks should be performed by persons with adequate training and experience The checks can be carried o
9. coun woos SB aA o wv GH retrieve C9 Figure 9 1 System setup keys 48 MAC 1200 9 2 12 Lead Mode Use the cursor keys to position the bar cursor on 12 Lead and confirm the selection with Q The setup menu for automatic 12 lead recording will appear The angular brackets identify the system defaults Report Sequence STANDARD I I IMI aVR aVL aVF V1 V2 V3 V4 V5 V6 CABRERA aVL I aVR II aVF IM V1 V2 V3 V4 V5 V6 Rhythm Leads Any three of the available ECG leads can be selected as rhythm leads They are printed with report for mats 4x2 5R3 and 1x10R3 Formats 2x5R1 and 4x2 5R1 will show only the first of the rhythm leads Gain 5 10 20 40 mm mV auto Report Format For an overview of the available report formats refer to section 5 4 The Report Formats The default format is 4x2 5R1 Detailed Results The Detailed results page will be printed Yes No section 5 4 The Report Formats only available with option MEAS or DIAG Muscle Filter AC Filter Elimination of muscle artifact and AC line interfer ence Default muscle filter No AC filter Yes 227 492 04 F System Setup Note Please note that filters may suppress diagnostically relevant portions of the signal because they limit the transmission range Filters should therefore only be enabled if necessary Muscle Filter Frequency Cut off frequency of the mu
10. must be replaced by a service specialist Note To prolong the battery life discharge the battery at least once per month by operating the resting ECG analysis system on battery power Note In standby mode a fully charged battery is drained within approx 4 hours Therefore when operating the device on battery power be sure to turn it off when it is not in use 16 MAC 1200 227 492 04 F Putting the Device into Operation and Performance Test Figure 3 2 Arranging device and couch Figure 3 3 AC power input OO0GO0 OG 0 aD Figure 3 4 Power switch Note When turning off the MAC 1200 standby mode be sure to press the power switch long enough The backlighting of the display switches off automatically when no key is activated for 5 minutes adjustable Run the full self test at least once a day to ensure that the device is functioning properly 227 492 04 F 3 3 Installation and Mains Connection Figure 3 2 shows a practical arrangement of patient and recorder For interference free operation it is important that the patient cable and the power cord do not run parallel Using the power cord connect the device to the power line Figure 3 1 Use only the original power cord or an equivalent cable The standby indicator 23 will illuminate Check the paper supply the window in the paper door allows you to look inside the compartment If it is necessary
11. options It is intended to be used by trained operators under direct physician supervision when ECG re cords are required It is not suitable for intracardiac application It is designed for continuous operation It is not intended for home use The MAC 1200 is designed as a portable device and can easily be moved from one patient to an other or to different locations It is not intended to be used during patient transport Equipped with the standard software the MAC 1200 supports the following operating modes 12 Lead Mode acquisition of 12 leads of ECG for a period of 10 seconds 6 Lead Mode real time recording of 6 ECG leads and Arrhythmia Mode continuous ECG analysis for arrhythmias The graphics display shows 3 leads at a time 227 492 04 F Resting ECGs can be transferred to the MUSE CV Information System via the RS232 interface The device operates from both AC and DC re chargeable batteries power sources The unit s performance features can be upgraded with the following optional programs MEAS measurement measurement of the 10 second resting ECG DIAG interpretation interpretation of the 10 second resting ECG MEMO memory storage of a maximum of 40 10 second resting ECGs C100 activates the three options MEAS DIAG MEMO for a maximum of 100 ECGs C500 activates the three options MEAS DIAG MEMO for a maximum of 500 ECGs
12. then recorded for approx 1 second It is possible to block the amplifiers manually by disconnecting the RL electrode On the display this condition is indicated by instead of the electrode label e g at i Figure 5 1 Remedy Apply the electrodes according to instructions Do not apply the electrodes on top of clothing Use a contact agent with reusable electrodes e g moistened electrode paper electrode cream spray etc e Wait approx 10 seconds before initiating a recording After the 10 second period the auto matic functions are enabled and the polarization voltages have stabilized provided the electrodes are properly applied In case of improper elec trode application an error message will appear on the display RL LL LA LL V1 to V6 If required the ADS cubic spline and the filters 20 40 Hz 60 Hz can be disabled to verify the raw ECG signal approx 1 s Figure 4 6 Sample recording 227 492 04 F MAC 1200 23 Preparations for ECG Recording mo Yes D Date of Birth 00 00 0000 i O No Y Lol re moll ei SIS HE S SIS Z Z S 2 5 el ale S 5 ATT Y N N es es o o es o es unknown other g mmHg selection froma list of 10 names list of 10 names selection froma list of 10 names C oe Tow S Lei Q 2 5 5 i S 5 fal es emale male Y N Y EEEH Z Z Z Z Z Sej Gender Height Wa Rae
13. this device to sale by or on the order of a physician VENTILATION REQUIREMENTS Set up the device in a location which affords sufficient ventila tion The ventilation openings of the device must not be obstructed The ambient conditions specified in the technical specifications must be ensured at all times 227 492 04 F Putting the Device into Operation and Performance Test NOTES 227 492 04 F The MAC 1200 is designed to comply with IEC 60601 EN 60601 requirements It is Class I equipment equipment with a built in rechargeable electrical power source The device is not suit able for intracardiac use The device is suitable for continuous operation Choose a location which affords an unobstructed view of the display screen and easy access to the operating controls The MAC 1200 has no additional protection against ingress of water Medical technical equipment such as the MAC 1200 must only be used by persons who have re ceived adequate training in the use of such equipment and who are capable of applying it properly At the end of its service life the MAC 1200 and its accessories must be disposed of in compliance with the special waste control regulations for electronic parts If you have any questions in this matter please contact GE Medical Systems In formation Technologies Literature Medical Device Directive 93 42 EEC EN 60601 1 1990 A1 1993 A2 1995 Medical electrical equipment General requirement
14. 1 952 227 492 04 C 1999 05 ECO 062 136 227 492 04 D 1999 10 ECO 062 920 227 492 04 E 2001 02 ECO 064 323 227 492 04 F 2001 10 ECO 068 399 2 MAC 1200 227 492 04 F MAC 1200 Option Codes MAC 1200 Option Codes In addition to the software supplied with the unit optional programs may be purchased to upgrade the MAC 1200 performance features In order to use a new option you need to activate it by entering the option code number refer to section 9 8 for details The option codes are entered into the MAC 1200 prior to shipping Software package Functionality Option Code MEAS measurement measurement of the 10 second resting ECG DIAG interpretation interpretation of the 10 second resting ECG MEMO memory storage of a maximum of 40 10 second resting ECGs C100 activates the three options MEAS DIAG MEMO for a maximum of 100 ECGs C500 activates the three options MEAS DIAG MEMO for a maximum of 500 ECGs EVAL activates the three options MEAS DIAG MEMO for a maximum of 4 weeks EE 227 492 04 F MAC 1200 3 How to Reach Us How to Reach Us Service Calls and To open a service call or obtain product support call the numbers below Product Support 800 558 7044 US amp Canada 561 575 5000 outside US or contact your local sales and service representative For other product information please contact one of the offices listed on the next page Ordering Supplies amp Order supplies leadwires electrode
15. 200 19 Preparations for ECG Recording Figure 4 1 ECG signal input Warning Shock Hazard Strictly observe the following warnings Failure to do so may endanger the lives of the patient the user and bystanders For reasons of patient safety use only the origi nal GE Medical Systems Information Technolo gies patient cable Before connecting the cable to the device check it for signs of mechanical dam age Do not use a damaged cable Ensure that conductive parts such as the patient connectors electrodes transducers that are connected to the isolated patient signal input do not come into contact with other grounded con ductive parts This would bridge the patient s iso lation and cancel the protection provided by the isolated input The neutral electrode in particu lar must not come into contact with ground 4 Preparations for ECG Recording 4 1 Connecting the Patient Cable Use the 10 leadwire patient cable for acquisition of the 12 standard ECG leads Connect the patient cable to connector 3 Figure 4 1 20 MAC 1200 227 492 04 F Preparations for ECG Recording Caution Use only silver silver chloride electrodes if the pa tient may have to be defibrillated Refer to chapter 8 2 ECG Recording during Defibrillation Figure 4 2 Applying limb lead electrodes 4 2 Applying the Electrodes Careful application of the electrodes and
16. 5mm s T 10mm mV V1 V2 V6 f g h i V2 V4 V6 SRIUSBSRRA SRSSHNS wa Figure 7 2 Arrhythmia mode display a Operating mode b Muscle filter enabled c AC filter enabled d Anti drift system enabled e Patient name f Writer speed event episodes g Slow trend recording enabled h Gain i Report sequence J Right leg electrode failure message k Heart rate l Heart rate limit Note The letter A on a recording indicates the presence of artifact which does not allow the algorithm to iden tify arrhythmias Causes include wandering base lines The anti drift system largely prevents these disturbances Still you should check the electrodes and leadwires 227 492 04 F the anti drift system is enabled the automatic baseline adjustment is enabled the slow trend recording is disabled configur able event episodes are recorded at a speed of 25 mm s the unit documents all events that are different from the previous event configurable You can set up the unit to document all events or no event at all All relevant device settings are shown on the display Figure 7 2 The arrhythmia codes annotated on the recording are explained in table 7 1 next page The heart rate limit is automatically calculated from the date of birth WHO 100 220 age When the date of birth is not entered the unit will set the limit at 180 bpm This value can be changed with F and L in steps of 5 bpm The minim
17. 60 02 65 D 79032 Freiburg Germany Telephone 49 761 4543 0 Fax 49 761 4543 233 GE Medical Systems Australia Pty Ltd 13 South Street Rydalmere NSW 2116 Australia Telephone 61 2 9975 5501 Fax 61 2 9975 5503 GE Medical Systems Japan 67 4 Takakura cho Hachiojii shi Tokyo 192 003 Japan Telephone 81 42 648 2944 0120 055 919 toll free inside Japan only Fax 81 42 648 2902 GE Medical Systems Hong Kong Limited 11 Floor The Lee Gardens 33 Hysan Avenue Causeway Bay Hong Kong Telephone 852 2100 6300 Fax 852 2100 6292 Southeast Asia GE Pacific 298 Tion Bahru Road 15 01 06 Central Plaza Singapore 168730 Telephone 65 277 7620 Fax 65 277 7600 MAC 1200 5 General Information General Information e Standards compliance European Council Directive 93 42 EEC TEC60601 1 2 EN 60601 1 2 Electromagnetic Com patibility Medical Electrical Equipment CISPR11 EN 55011 Radio interference emission IEC 60601 protection class I MDD class Ila UL 2601 1 e The symbol AN means Consult accompanying documents It indicates points which are of particular importance in the operation of the device e The warranty does not cover damage resulting from the use of accessories and consumables from other manu facturers e On request GE Medical Systems Information Tech nologies will provide a service manual e The GE Medical Systems Information Technologies quality management system compl
18. Dl a Se a Dn M A H H r DH 7 i i 1 ar r T amp F a RI _ e 1 i pee ras PE Par Pa Pan Pen Ps Pn Bat Pe PP PE a EES ee Pree a T T T F T p F D f T P T E ai Daae aana E et rt d a a 1 TTT Ht t 1 D o d T i e e et ff Bet et wt l U T t F r Feb 09 2001 11 07 22 AM 25mm s 10mm mV ADS 50Hz 0 08 150Hz 1x10R12 12Lead 12SL V5 2 Figure 5 5 1x10R12 report format 227 492 04 F MAC 1200 31 Recording in 12 Lead Mode Note Observe the safety information given in section 3 6 Connecting External Devices Storage program ID Send Delete Change Delete transmitted ECGs Print directory Last Name First Name Dwyer Patrick Edison Charles Farmer Ed Fulham Charlene Gardner Albert Gilham Roberta Hanson Dave Miller Carla Myers Rod Norton Peter Peterson Barbara ol Figure 5 6 Storage program 1 Function keys the Print function is activated 2 Selected patient files 3 Current cursor position 32 MAC 1200 5 5 ECG Transmission Resting ECGs acquired in 12 Lead Mode can be transferred to host systems e g to the MUSE CV Information System version 004A or higher The units can either communicate via modem or directly via a connection cable see section Direct Trans mission below 5 5 1 Transmission via Modem Depending on the modem model used the modem must be connected either with the 9 pole cable 223 378 01 or with the 25 pole cable 223 378 02 For transmiss
19. ECG 10 minutes battery life approx 2 to 3 years replacement by service only lithium battery for built in clock battery life approx 5 years replacement by service only Operational readiness After successful self test approx 10 s after power up Operating position horizontal Environment Operation temperature between 50 and 104 F relative humidity between 25 and 95 atmospheric pressure between 700 and 1060 hPa Transport and storage temperature between 22 and 140 F includ ing battery relative humidity between 25 and 95 atmospheric pressure between 500 and 1060 hPa 227 492 04 F MAC 1200 Recorder dimensions width 14 5 in height 3 7 in depth 12 6 in incl handle Weight approx 12 3 lb with battery 67 Entering Special Characters Appendix Entering Special Characters The following special characters can be entered by means of the appropriate keystroke combination charac ter Le fF 7 a gt Cc Do A Z gt OB gt an O Hay th gt gt gt 68 keystroke combination Alt A Alt J Alt T then Z Alt T then S Alt Y i Alt X Alt D Alt F Alt G Alt K Alt L Alt X Alt C Alt V Alt B Alt N Alt M Alt I then A Alt I then E Alt I then I Alt I then O Alt I then U Alt O then A enter E L in the same manner Alt P then A en
20. EVAL activates the three options MEAS DIAG MEMO for a period of 4 weeks The MAC 1200 resting ECG analysis system has a setup menu to customize the system parameters Patient and user data can be entered for reliable and safe archiving of patient records The patient name is annotated on each printed report page All other data is printed on request Figure 1 1 MAC 1200 MAC 1200 9 Controls and Indicators 2 Controls and Indicators DR ea ne l OOOOOGOOOO G Se A S et E EL vlt E ch 9 GGG Ze v e 4 Ts Figure 2 1 Controls and indicators of the MAC 1200 resting ECG analysis system 10 MAC 1200 227 492 04 F A De N A ON Il 12 13 Controls and Indicators Power input Paper door windows allows you to check the paper supply Patient cable connector Serial interface see chapter 13 Technical Specifications Power switch ON STANDBY Keys to select a higher or lower HR alarm limit Backspace key to correct entered data Confirms entered data Enter Displays the setup menu Enables disables the muscle filter elimination of muscle artifact Selects the writer speed 25 50 5 mm s in 6 Lead Mode and the report formats in 12 Lead Mode Selects the gain 5 10 20 40 mm mV Press to print the report or additional copies of the ECG or to send receive ECGs Explanation of symbols
21. Figure 5 10 Error message 227 492 04 F You will see the transmission menu as shown in Figure 5 7 Check the displayed telephone number and press ek to initiate the transfer If it is necessary to change the number press to display the setup menu e With OY the transmission can be stopped As soon as you initiate the transmission with a the unit will automatically dial the number of the modem at the receiving end and establish a connec tion Figure 5 8 Then it will send the ECG Figure 5 9 After the transmission a message on the display indicates the number of successfully transmitted ECGs As soon as you acknowledge the message with ek the 12 Lead Mode acquisition screen appears The system identifies ECGs that were successfully sent to the host system with the letter S 1 Figure 5 3 All of these ECGs can be deleted with the command Delete transmitted ECGs If it is not possible to transmit the ECG wrong modem setup modem off the unit will display an error message such as ECG Transmission Error CSI Figure 5 10 In this situation you have the following choices you can repeat the transmission with you can change the settings with you can stop the transmission with DOQ MAC 1200 33 Recording in 12 Lead Mode ECG Transmission Error CSI The connection was interrupted due to a fault Check interface Fault in RS232 interface or modem Modem may be swit
22. I to send data to a MUSE CV Information System or select A5 if you will send data to CardioSys CardioSoft Use the cursor keys to position the bar cursor on Modem other and confirm the selection with Choose the modem you use from the list and confirm the selection with a If your modem is not included in the list select other and enter the required modem commands see also Modem Setup in section 5 7 When you have selected a standard modem posi tion the bar cursor on Dial mode and select the appropriate mode Enter the telephone number of the receiving modem and the number to access the public tele phone network and terminate the setup with DOQ MAC 1200 55 System Setup 9 10 Direct ECG Transmission Select the 12 Lead Mode and press zm Press a to display the setup menu for the 12 Lead Mode Use the cursor keys to position the bar cursor on Manual copy to HOST and confirm the selec tion with HOST Press OD to clear the setup menu Use the cursor keys to position the bar cursor on Communication and confirm the selection with Select the same baud rate as at the receiving device 2400 4800 9600 19200 38400 57600 Selecting the Communication Protocol Using the cursor keys position the bar cursor on Protocol Select the protocol CSI to send data to a MUSE CV Information System or select A5 if you will send data to CardioSys CardioSoft Use the cur
23. Lead mode Revision code Revision history 70 25 Index 38 48 49 19 55 55 25 25 49 37 16 27 40 44 23 25 NN MAC 1200 Room number enter Safety information Sales offices addresses Secondary patient ID enter Self test abort Service parts how to order Setup Site number enter Software version Specifications Standard leads Standards compliance Supplies how to order Symbols explanation System defaults 12 Lead mode System defaults 6 Lead mode System defaults arrhythmia mode System setup System setup 12 Lead mode System setup 6 Lead mode System setup Arrhythmia mode System setup general settings T Technical specifications Test DATA Thorax electrodes application Time Trend recording Troubleshooting Units Warning definition 227 492 04 F 25 12 25 17 48 52 63 22 11 26 40 43 18 48 50 52 63 53 22 52 51 61 52 European Headquarters GE Medical Systems Information Technologies GmbH Postfach 60 02 65 D 79032 Freiburg Germany Tel 49 761 45 43 0 Fax 49 761 45 43 233 World Headquarters GE Medical Systems Information Technologies Inc 8200 West Tower Avenue Milwaukee WI 53223 USA Tel 1414 355 5000 Fax 1414 355 3790 GE Medical Systems Information Technologies gemedicalsystems com Asia Pacific GE Medical Systems Hong Kong Ltd 11th Floor The Lee Gardens 33 Hysan Avenue Causeway Bay Hong Ko
24. MAC 1200 resting ECG analysis system Operator s Manual Version 1 2 227 492 04 USA Revision F GE Medical Systems Information Technologies Trademarks Revision History The information contained in this manual describes version 1 2 of the MAC 1200 resting ECG analysis system and reflects software version 5 21 Copyright 2001 GE Medical Systems Information Technologies Inc All rights reserved Trademarked names appear throughout this document Rather than list the names and entities that own the trademarks or insert a trademark symbol with each mention of the trademarked name the publisher states that it is using the names only for editorial purposes and to the benefit of the trademark owner with no intention of improperly using the trademark 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 COROLAN CORO 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 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 OX YMONITOR Pres R Cuff PRES
25. Mode 5 Recording in 12 Lead Mode Note Please bear in mind that no automated analysis of ECG signals is completely reliable Therefore a phy sician should always overread and reassess the sys tem interpretation before performing patient diagno sis 5 1 Some Basic Facts In 12 Lead Mode 12 leads of ECG are acquired simultaneously for a period of 10 seconds When initiated with OAV cording proceed automatically The system how ECG acquisition and re ever may be set up to start recording only when specific patient data ID Secondary ID name have been entered see section 9 7 Configuration of Patient Data Menu Depending on the implemented software options the ECG is only printed out options MEAS measure ment DIAG interpretation not implemented is measured and printed out with the measure ment results with option MEAS measurement is measured interpreted analyzed and printed out with the interpretative statements with op tion DIAG interpretation Units equipped with the optional Memory function MEMO can save up to 40 resting ECG These ECGs can be printed or sent to the MUSE CV Information System CSI protocol see section 5 3 The Storage Pro gram The unit offers different report formats for printout of the ECG With the system defaults all 12 leads including the measurement and analysis results will be documented on a single page see sect
26. NTRAST chart paper or the GE Medical Systems Information Tech nologies thermal paper with queue marks or holes This paper has a special coating that pre vents contamination and debris collecting on the printhead and electrostatic build up Furthermore the thermosensitive layer and the printhead characteristics are exactly matched Using other paper may result in recordings of poor quality Moreover the printhead may wear out prema turely Use of other paper voids the warranty MAC 1200 End of Paper Indication A stripe marks the last 10 pages of the Z fold pad When the writer runs out of paper during a re cording it will emit an audio signal and displays the message End of paper or paper jam if OK press Insert a new paper pad and acknowledge the message with D Aging Stability The standard ECG writer paper CONTRAST is designed to guarantee full contrast for a period between 1 and 5 years if it is handled as described below before and after recording Avoid continued direct exposure of the paper to sunlight and other UV radiation fluorescent light Store the paper in suitable rooms at a temperature between 64 and 77 F and a relative humidity be tween 40 and 60 Avoid direct contact of the paper with carbon and carbonless forms chart papers and adhesives containing tributyl phosphate dibutyl phthalate or any other or ganic solvents document protect
27. No Auto Paper Feed Before each recording the recorder advances the paper to the beginning of a new page Yes No 227 492 04 F System Setup 9 4 Arrhythmia Mode Use the cursor keys to position the bar cursor on Arrhythmia and confirm the selection with D The arrhythmia mode menu will appear Report Sequence STD_C V1 V2 V3 V4 V5 V6 STD_RED I H M V2 V4 V6 STD_LI I I WL aVR aVL aVF CABR_LI aVL I aVR II aVF II HIGH_C VI V2 V3 VE V5 VO C chest leads RED reduced number of leads LI limb leads Gain auto 5 10 20 40 mm mV with auto the unit will automatically determine the gain setting Muscle Filter AC Filter Elimination of muscle artifact and AC line interfer ence Default muscle filter No AC filter Yes Muscle Filter Frequency Cut off frequency of the muscle filter 40 Hz 20 Hz The frequency range is indicated in the lower margin of the recording strip 0 08 40 Hz 40 Hz muscle filter enabled 0 08 20 Hz 20 Hz muscle filter enabled 0 08 100 Hz muscle filter off Trend Recording The slow trend recording of 5 mm s automatically begins at program start No Yes 227 492 04 F Arrhy Data The recorder will document arrhythmias in the following situations each time an arrhythmia occurs each time an arrhythmia occurs that is different from the preceding event arrhythmias are not d
28. Please note that information per responsible for the effects on safety reliability tinent to several chapters is given only once and performance of the device only if Therefore carefully read the manual once in x A assembly operations extensions readjust its entirety y op J ments modifications or repairs are carried e Patient safety the specified measuring accuracy out by persons authorized by GE Medical Sys and interference free operation can be guaranteed tems Information Technologies only if original GE Medical Systems Information Technologies components are used The user is the electrical installation of the relevant room responsible for application of accessories from complies with the requirements of the appro other manufacturers priate regulations and e This manual is in conformity with the device the device is used in accordance with the in specifications and standards on safety of elec structions for use tromedical equipment valid at the time of printing The safety statements presented in this chapter refer All rights are reserved for devices circuits tech to the equipment in general and in most cases apply niques soll ware programs and names appearing in to all aspects of the device There are additional this manual safety statements in the other chapters that are e The terms danger warning and caution are used specific to the topic described The order in which througho
29. SURE 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 Inc registered in the United States Patent and Trademark Office 12SL 15SL Access AccuSpeak ADVANTAGE BAM BODYTRODE Cardiomatic CardioSpeak CD TELEMETRY LAN CENTRALSCOPE Corolation Dash Port Docking Station Dash Responder EK Pro EDIC Event Link Cumulus Event Link Cirrus Event Link Nimbus HI RES ICMMS IMAGE VAULT IMPACT wf INTER LEAD LIFEWATCH Managed Use MARQUETTE PRISM MARQUETTE RESPONDER MENTOR MicroSmart MMS MRT MUSE CardioWindow NST PRO NAUTILUS OCTANET O2 SENSOR OMRS PHi Res Premium Prism QUIK CONNECT V QUICK CONNECT QT Guard SMARTLOOK SMART PAC Spiral Lok Sweetheart UNITY Universal Waterfall and Walkmom are trademarks of GE Medical Systems Information Technologies Inc Revision History This manual is subject to the GE Medical Systems Information Technologies change order service The revision letter which follows the document part number changes with every update of the manual Part No Revision Date Comment 227 492 04 A 1999 01 Initial Release 227 492 04 B 1999 03 ECO 06
30. Select the modem type You can choose among the standard modems MultiTech MT 19 2 56k Elsa 14 4 28 8 33 6 56k and a user defined modem When using one of the standard modems all you have to enter is the dial mode pulse or tone depending on your telephone network the telephone number 28 digits max the number to access the public telephone net work e g 0 For a user defined modem enter the telephone number 28 digits max the init string 20 characters max see modem operator s manual the dial string 20 characters max see modem operator s manual the hangup mode 20 characters max see mo dem operator s manual SYSTEM Use this password if you cannot remember your own password 227 492 04 F MAC 1200 53 System Setup 9 7 Configuration of Patient Data Menu The patient data menu can be set up to meet individ ual requirements If you do not want to enter blood pressure readings for instance you can remove the corresponding prompts Use the cursor keys to position the bar cursor on Setup Patient Data and confirm the selection with The patient data setup menu will appear Select No for prompts that you want to remove from the dialog Items Last name First name Date of birth Patient ID cannot be removed Items Height Weight Diastolic BP Systolic BP Referring Physician Medication Comments ID required
31. anterior axillary line on the same hori zontal level as V4 and V6 at the mid axillary line on the same horizontal level as V4 Connect the 10 lead patient cable as shown in Figure 4 4 Arrange the leadwires and patient cable as shown in Figure 4 5 227 492 04 F Preparations for ECG Recording 4 3 Artifact Due to Poor Electrode Application The resting ECG analysis system is equipped with state of the art electronic utilities that ensure arti fact free recordings Among these are the automatic baseline adjustment and the anti drift system ADS or cubic spline At the beginning of the recording the automatic baseline adjustment algorithm verifies the incoming signal and adjusts the baseline position accordingly During the recording the anti drift system cubic spline continuously checks the baseline position and returns it to the normal level if required Figure 4 6 For the 6 Lead Mode the anti drift system cubic spline can be enabled and disabled from the setup menu in the 12 Lead and Arrhythmia Modes it is always enabled When electrodes are not properly applied these measures may not fully compensate for artifact High polarization voltages induced by electrodes applied without conductive gel may cause the ampli fier to overrange so that a straight line will be recorded instead of the ECG see Figure 4 6 The device will then automatically block and return the baseline to its normal position A baseline is
32. arth contacts only If the installation does not provide for a protective earth conductor disconnect the device from the power line and operate it on battery power if possible If the installation of this equipment in the USA will use 240V rather than 120V the source must be a center tapped 240V single phase circuit MAC 1200 13 Putting the Device into Operation and Performance Test CAUTIONS DEFIBRILLATOR PRECAUTIONS Patient signal inputs labeled with the CF and BF symbols with paddles are protected against damage resulting from defibrillation voltages To ensure proper defi brillator protection use only the recommended cables and leadwires Proper placement of defibrilla tor paddles in relation to the electrodes is required to ensure successful defibrillation DISPOSAL Dispose of the packaging material observing the applicable waste control regulations and keeping it out of children s reach ELECTROCAUTERY PRECAUTIONS To prevent unwanted skin burns apply electrocautery electrodes as far as possible from all other elec trodes a distance of at least 15 cm 6 in is recom mended EMC Magnetic and electrical fields are capable of interfering with the proper performance of the device For this reason make sure that all external devices operated in the vicinity of the MAC 1200 comply with the relevant EMC requirements X ray equipment or MRI devices are a possible source of interference as they may emi
33. c telephone net work e g 0 W W placed after a number tells the modem in a PBX system to wait for the dial tone of an outside telephone line dial string ATDTOW 3 AT Command for Termination of the Commu nication The communication is terminated in two steps First of all the MAC 1200 sends an escape com mand to return from the on line state to the com mand state Then the hangup command follows escape command AT prefix that precedes every command line H hangup command hangup string ATH 227 492 04 F 5 6 Recording in 12 Lead Mode Brief Operating Instructions 12 Lead Mode Switch on the unit and wait for self test to end Apply electrodes to patient Enter patient data Mo Check device settings report sequence report format AC filter override function 12SL interpretation configuration Modify device settings if required om Wait for patient to lie motionless and for the unit to collect 10 seconds of ECG data Check that no lead failure message is displayed Start recording with OD 227 492 04 F MAC 1200 39 Recording in 6 Lead Mode 6 Recording in 6 Lead Mode 6 1 Some Basic Facts In 6 Lead Mode the system acquires 6 leads of ECG in realtime Recordings are started and stopped with DOQ Some of the system settings can be custom ized They are labeled with configurable The following information refers to a unit with the system d
34. ched off Modem configuration error 34 MAC 1200 227 492 04 F Recording in 12 Lead Mode Note Pacemaker information telephone number and com ments entered in the patient data are not transmitted to the MUSE CV Information System Storage program METH Send Delete Change Delete transmitted ECGs Print directory Last Name First Name Dwyer Patrick Edison Charles Farmer Ed Fulham Charlene Gardner Albert Gilham Roberta Hanson Dave Miller Carla Myers Rod Norton Peter Peterson Barbara ol Figure 5 11 Storage program 1 Function keys the Print function is activated 2 Selected patient files 3 Current cursor position 227 492 04 F 5 5 2 Sending Data to a MUSE CV Informa tion System via Modem Before sending data to the MUSE CV Information System the MAC 1200 automatically logs on to MUSE Then the data will be transmitted If the transmission is stopped the MAC 1200 may take a few seconds before canceling the connection be cause it has to log off the MUSE CV Information System first Then the communication link with the receiving modem is interrupted and the standard display reappears 5 5 3 Direct Transmission The unit must be connected to the PC or to the MUSE CV Information System by means of the connection cable 223 362 03 For transmission of the ECG the unit must be set up as described in section 9 10 Direct ECG Transmis sion After acquisition of the ECG the transmiss
35. d here is the default number that appears in Patient Data Default 1 Date Time Enter date and time enter 4 digits for the year Lead fail beep Indicates when electrodes are not properly applied or disconnected Yes No 52 MAC 1200 High HR beep An audible signal sounds when the heart rate ex ceeds a limit value Yes No only in 6 Lead and Arrhythmia Modes The limit value 220 age can be changed manually Lead Labels AAMI codes RA LA RL LL V1 to V6 or IEC codes R L F N C1 to C6 Pace Enhancement Pacer pulses are displayed enhanced and with a given amplitude Yes No When programming pacemakers we recommend to disable the pace enhancement Baseline roll filter Select the lower cut off frequency 0 04 0 08 0 16 Hz Date Format month day year or day month year Time Time format 12 hours am pm or 24 hours Units Units of measurement for the patient s height and weight in lb or cm kg Mains AC line frequency USA 60 Hz Europe 50 Hz LCD light off after If operating controls are not activated within the selected period of time the display backlighting automatically switches off system default 5 min adjustment range to 99 min Default Mode This is the operating mode the unit defaults to after power up 12 Lead 6 Lead Arrhythmia 227 492 04 F System Setup Language Select the language for user interface and printouts Enab
36. data eeh leg electrode disconnected Before initiating a recording check the display d right ann electrode disconnected for error messages see table at left Check all left arm electrode disconnected electrodes if the message persists there must be E a break in the patient cable Replace the cable chest electrode V1 disconnected ath ari Oia chest electrode V2 disconnected chest electrode V3 disconnected chest electrode V4 disconnected chest electrode V5 disconnected chest electrode V6 disconnected The device can be set up to allow a recording only when specific patient data have been entered The MAC 1200 continuously saves 10 seconds of the incoming ECG signal Messages indicating disconnected electrodes last name first name ID Secondary ID section 9 7 Configuration of Patient Data Menu When you initiate a recording with Oo the unit prints the most recent 10 seconds of ECG data and analyzes it Therefore it is recommended to wait until the patient has been lying relaxed and mo tionless for about 10 seconds before starting the recording 227 492 04 F MAC 1200 27 Recording in 12 Lead Mode With the system defaults unchanged the unit will Note activate the following functions and settings after Please note that filters may suppress diagnostically Sa relevant portions of the signal because they limit the the 12 Lead Mode configurable transmission range Filters should the
37. de function section 9 2 12 Lead Mode Open paper compartment and removed jammed sheet place beginning of paper between the marks close paper compartment and 61 Troubleshooting Figure 12 1 Regular AC line interference Note In the presence of very strong AC line interference in all leads the thermal printhead may interrupt the recording Activate the AC filter 60 Hz in these situations Figure 12 2 Irregular AC interference 62 MAC 1200 227 492 04 F Technical Specifications 13 Technical Specifications Recording Direct recording of waveforms and alphanumeric characters with rectangular coordinates by means of thermal array printhead printing on thermosen sitive paper 3 or 6 recording channels or 12 in 12 Lead Mode overlapping baseline pitch 6 channels 31 mm 6 Lead 12 channels 16 mm 12 Lead writing width 200 mm max annotation of recorder settings date time and entered patient name in the margin of the re cording strip with appropriate software documentation of analysis results in the respective operating mode resolution of the recording vertical 8 dots mm horizontal 25 um at 25 mm s Printer paper CONTRAST Z fold pad 150 pages per pad equivalent to a chart length of approx 45 m paper width 8 5 in sheet length 11 in To prevent damage to the printhead use only the original CONTRAST paper or the GE Medical Systems Informa
38. ecording After switching on the unit press er to select the Arrhythmia Mode Before recording the ECG patient data can be entered E We recommend to enter the pa tient s name to annotate it on each page Before initiating a recording check the display for error messages see table at left Check all electrodes if the message persists there must be a break in the patient cable Replace the cable with a new one The recording is started and stopped with the OW key Upon program start the unit records 6 leads of ECG 1 page During the following learn phase the analysis algorithm learns the patient s typical QRS complex After the learn phase the recorder prints a report where the QRS complexes acquired in the learn phase are labeled L and the complex found to be the patient s typical complex is labeled QRSL Having completed the learn phase the MAC 1200 is ready to identify arrhythmias With the system defaults the MAC 1200 will acti vate the following functions and settings the STD_C report sequence V1 through V6 configurable again of 10 mm mV configurable calibration pulse at the beginning of the recording The unit can be set up to automatically adapt the gain to the ECG signal auto the AC filter is enabled configurable the muscle filter is disabled configurable 227 492 04 F Arrhythmia Mode a b c d e Arrhythmia 40Hz 60Hz ADS Patient Name 2
39. ecording with pacer pulses Warning Incorrect HR No HR Alarm If several adverse conditions exist at once the possibility that the pacer pulses are interpreted and counted as QRS com plexes should be considered At the same time how ever QRS complexes might be suppressed in certain situations Therefore pacemaker patients should always be watched closely 227 492 04 F 8 2 ECG Recording During Defibrilla tion The patient signal input is defibrillation proof so it is not necessary to remove the ECG electrodes before defibrillating the patient However when using stainless steel or silver electrodes the defibril lator discharge current may cause complete polariza tion at the electrode skin interface This condition may prevent ECG signal acquisition for several minutes With silver silver chloride electrodes this will not happen Set the MAC 1200 to 6 Lead Mode when you may have to defibrillate the patient while recording the ECG and disable the anti drift system as this would cause a 2 second signal delay section 9 3 6 Lead Mode If electrodes made of other materials are used disconnect the patient cable from the recorder while the shock is applied Warning Equipment Damage For reasons of patient safety use only the original GE Medical Systems Information Technologies patient cable Before connecting the cable to the device check it for signs of mechanical damage Do not use a dam aged
40. efaults see table below For instructions on changing the device setup refer to section 9 3 6 Lead Mode Report Sequence STANDARD CABRERA SEQ NO 4 10 mm mV auto 5 20 40 mm mV a m Muscle Filter Filter kae Filt E Hz Frequ ACFilter Filter asf Ge Hz 40 MAC 1200 6 2 Recording After switching on the unit press why to select the 6 Lead Mode Before recording the ECG patient data can be entered with caste We recommend to enter the patient s name to annotate it on each page Note In 6 Lead Mode messages indicating disconnected electrodes are annotated on the recording e g Lead fail V1 Before initiating a recording check the display for error messages see table below Check all electrodes if the message persists there must be a break in the patient cable Replace the cable with a new one right leg electrode disconnected right arm electrode disconnected left arm electrode disconnected left leg electrode disconnected chest electrode V1 disconnected chest electrode V2 disconnected chest electrode V3 disconnected chest electrode V4 disconnected chest electrode V5 disconnected chest electrode V6 disconnected Messages indicating disconnected electrodes 227 492 04 F Recording in 6 Lead Mode Note Please note that filters may suppress diagnosti cally relevant portions of the signal because they limit the transmission ra
41. ement abnormal ECG will not be shown Interpretation Default Yes If you select No 12 SL interpreta tion results will not be generated nor shown Print Interpretation Only available if Interpretation is set to Yes Default Yes The interpretative statements are printed on the reports When you select No the interpretation will not be printed but it can be sent to the MUSE CV Information System Override Function When this function is enabled Yes the recorder will print in 12 Lead Mode even when not all elec trodes are applied or do not supply a good signal When electrodes are disconnected a message in forming the user of poor signal quality will be printed on the recording Furthermore systems with interpretation capability will print a message indicating that the measurement results and interpretation may be incorrect MAC 1200 49 System Setup 9 3 6Lead Mode Use the cursor keys to position the bar cursor on 6 Lead and confirm the selection with GH The setup menu for continuous recording of 6 leads will appear Report Sequence 1 STANDARD 1 I MI aVR aVL aVF VI V2 V3 V4 V5 V6 2 CABRERA aVL l aVR II aVF II VI V2 V3 V4 V5 V6 3 SEQ NO 4 here users can define a custom report sequence Position the cursor on SEQ NO 4 Press The display shown in Figure 9 2 will appear SEQ NO 4 Label I Report sequence Figure
42. end to enter all demographic data select the neutral entries and unknown Systolic BP Diastolic BP Enter the blood pressure readings in mmHg Phone No Enter the patient s telephone number Ordering Referring Physician Technician When choosing Yes for New patient the default names entered in the General Settings will appear here When choosing other you can pick a name from the list It is also possible to choose No You can exit the menu with The Referring Physician is only relevant if you send ECGs to the MUSE CV Information System This name will not be annotated on the ECG re cording Medication Enter the patient s medications and confirm entries with Comments 4 lines of 30 characters each Location ID number of the sending system 3 digits The default value entered in System Setup will be used but this value can be changed Room Enter the hospital room number 5 characters maxi mum Order number Enter order number of the ECG recording if avail able 9 characters maximum Prompts Answer the prompts entered in the patient data setup menu section 9 7 Fields on patient data entry screens that require an Height Weight entry are identified with pointed brackets e g Last Enter the patient s height in inches and weight in name gt lt pounds The weight can be entered with one deci mal place 227 492 04 F MAC 1200 25 Recording in 12 Lead
43. eport implemented software standard MEAS measure formats available with the MAC 1200 units ment DIAG interpretation ECG traces_ Rhythm lead Interpretation O Uengthiede length leads III 4x2 5R1 default 4x2 5s 4x3 10 s 1 Yes format 4x2 5R3 4x2 5 s 4x3 10s 3 25mms ve Ye 1 10 2x5RI 2x5s 2x6 neit 25mm s e e LI 2x5_50 2x5s 2x6 Ho 50mms Yes e 2 No No Yes es measurement results and interpretative statements are only available from MAC 1200 with the appropriate software options Note Detailed results The printed reports are unconfirmed documents They must be overread verified and signed by a physician for confirmation In the setup menu of units equipped with the MEAS or DIAG option you can choose the Detailed results page When selected this page will be appended to the reports It contains patient data measurement results MEAS interpretative state ments DIAG medians and the tabular measure ment values The heart rate HR annotated on the report pages is calculated from all beats of the 10 second ECG To obtain a printout of the full patient data se lect the 6 Lead Mode and press GEMS IT MAC 1200 John Doe University Hospital Dr Williams male Caucasian 32 years 6 7 ft 172 Ib 161 133 mmHg Pacemaker 414 355 378 HR 101BPM i L t i L 4 k k L k L i L i L L L q EE DS DE DE DE DE TETA TA E Jhb fe pp pp tad Lk Pies a ae ae ak DO a PE PE
44. esecseosceceecseoececocceceecseoececceeeeoececoscecescscosceseseeeosceceseeseseseee 40 60 1 SOME BASICFACTS mue po he aE a TE E SES TEPE E E E E E EE a 40 0 2 e LE 40 6 3 BRIEF OPERATING INSTRUCTIONS 6 LEAD MODE ccccssssssssesssssessssssssssssssssssessessssesaseeseasesesees 42 7 GARREY TEHIMVAIMO DE s6c cessacosevsseecessosststeataastutatacenavedesenesnie sdeenanesedevbiocheuasbanesereanstcaanensessnessatertianeedeasss 43 RE SOME BASIC EE 43 T2 RECORDING hrnie eier EE 44 13 BRIEF OPERATING INSTRUCTIONS ARRHYTHMIA MODE cccscsssessccssesesscsssensesscssseessscssseeseseens 46 8 ECGS OF PACEMAKER PATIENTS ECG RECORDING DURING DEFIBRILLATION 47 8 1 RECORDING ECGS OF PACEMAKER PATIENTS 1 ett 47 8 2 ECG RECORDING DURING DEFIBRILLATION 5 stistssssessesigacersnenodasnsnncenbdnatentaps igecersnniotussnageentenenesasosn 47 9 SYSTEM SEP D 48 9 1 SOME BASIC E 48 925 T2 E 48 9 3 EE 50 E E RE 51 D5 SYSTEM E EE 52 9 67 COMMUNICA TION ips beet ege ee ere EE EE ges boon 53 9 7 CONFIGURATION OF PATIENT DATA MENU ege 54 GEN CEET 55 227 492 04 F MAC 1200 7 Contents 99 ECG TRANSMISSION VIA MODEM s 2 sisecsstsanchsisasstarotscncechasiadge sohanebunsenndin opbenybunsagdbenbsinreabasntseressnuss 55 9 10 DIRECT EE LEE 56 10 LOADING CHART PAPER eeseseeseeseseseoeceseccsesececoscereseeeoececosceceececoseeeecoecesoececeececoseeseecececeseeeoececoseeeeeee 57 11 CLEANING DISINFECTION AND MAINTENANCE essesessessescoccse
45. ge program as shown in Figure 5 2 At the top you will find the function keys Print prints the selected ECG Send see section 5 5 ECG Transmission Delete deletes the selected ECG Change enables modification of the patient data When you first call up the display the Print function is selected 1 The list below shows all patients for whom ECG are stored To perform an action with one or more ECGs you must first select the ECG s To do so move the cursor down with hi When the cursor has reached Print directory it moves on to the patient list In the list the bar cursor changes to a line cursor 3 Figure 5 2 To select multiple ECGs select them with J aly while holding 8 down Selected ECGs are marked with a black bar in the margin of the dis play 2 You can deselect the ECGs with the same key combination MAC 1200 29 Recording in 12 Lead Mode Storage program Print Send Delete Change Delete transmitted ECGs Print directory ECG taken Figure 5 3 Memory table of contents shifted to the left 1 S indicating ECGs transmitted to a host system Memory is full Print Send Dye Delete trax Figure 5 4 Memory full message Note When printing a large number of stored ECGs we recommend to connect the unit to the power line or to check that the battery is fully charged When you terminate the storage program with DQ it is not possible to save the curren
46. he standard models listed in the Communication menu MultiTech Elsa you will have to enter a few parameters required for communication between the MAC 1200 and the modem For the AT commands that your modem under stands please refer to the modem user instructions Three command sequences have to be entered in all each of which defines a specific modem operating state 1 the modem is initialized init string 2 a communication link is established dial string 3 the communication is terminated hangup string These three strings are entered in the modem setup menu see section 3 6 Connecting External De vices The example below shows the command strings for the MultiTech ZDX modem 1 AT Command for Modem Initialization AT prefix that precedes every command line amp F fetch factory configuration loads the factory configuration from ROM into the active configuration memory RAM MI speaker is always on X3 call progress signal monitoring enabled 38 MAC 1200 S0 1 auto answer after one ring Vo digit result codes selected 0 to 999 init string AT amp FM1X3S0 1V0 2 AT Command for Establishing a Communica tion Link Example of a dial string for a modem connected to a branch PBX system and dialing a modem via the public telephone network using the touch tone mode AT prefix that precedes every command line DT touch tone dial mode XXX after DT enter the characters for access to the publi
47. ies with the standards EN ISO 9001 and EN 46001 6 MAC 1200 227 492 04 F Contents 1 INTENDED USE AND FUNCTIONAL DESCRIPTION cccsscssssssssssssscscssessssscncnsessssscncnsesesescnensess 9 2 CONTROLS AND INDICATORS oeeiee eueregdrEeegd egenen teen 10 3 PUTTING THE DEVICE INTO OPERATION AND PERFORMANCE TEST cccscscsssssseseceees 12 Sc SAFETY INFORMATION Eeer ENEE 12 32 gt SPOWER SUPPLY oieee r AE EE ARENE ra EEEE EEEE EREE EEE n ar 16 3 3 INSTALLATION AND MAINS CONNECTION EE 17 DA PERFORMANCE EE 17 Sech SYSTEM SETUP ee 18 3G CONNECTING EXTERNAL EE 19 d PREPARATIONS FOR ECG RECORDING eseseesseecsesecsecscocceeecceesececoceeceeeseoececoseeeeececosceseeeeeeessscseee 20 AA CONNECTING THE PATIENT CABLE elei 20 4 2 APPLYING THE e e 21 4 3 ARTIFACT DUE TO POOR ELECTRODE APPLICATION eiert Eed ie 23 Ad ENTERING PATIENT DATA E 24 5 RECORDING IN 12 LEAD MODE esseseseseesceccsesecseoscoceecsesececocceceecscoecoseeeecoececoseeeescscoseeseeceeeeceseseeeseeseee 26 Sil SOME BASIC FACTS Eeer leede ie 26 Did WRECORDING chisiacheasbobcatscsdacac vis AEL E AEEA A EEEE SE EE E Eer EEA C ANELEE A E a a EEC eseu 27 5 37 THES Te 29 5 4 7 THEREPORT FORMATS eeens eor EEEa E Ea iE eA EEEE EEA A E E Ea EEE Ee NEEE EA E eS RE tions ges beh 31 5 37 ECG RE 32 5 6 BRIEF OPERATING INSTRUCTIONS 12 LEAD MODE yscissssactesipinsstsnssacet veserusenoobaccnbonenesisosnacshonnenseesents 39 6 RECORDING IN 6 LEAD MODE sesseseseseesceccs
48. inues to feed paper This does not hap pen in 6 Lead Mode Recorder does not start after activation of the OD key or the recording is aborted No recording in 12 Lead Mode Failure of at least one electrode Co MAC 1200 227 492 04 F interference from the power line Muscle artifact caused by patient movements hiccup coughing Built in lithium battery is depleted The battery has a life of approx 5 years Defective AC power adapter or fuse Ground bed verify position of the leadwires switch on AC filter The patient should be warm enough and resting comfortably place cush ions under arms and knees Comfort patient or distract patient s attention enable muscle filter 20 Hz 40 Hz if necessary Notify service to check and or replace battery Notify service to check and or replace fuse Paper compartment not properly Paper door must lock into place on closed both sides The paper pad was inserted the wrong way round so the re corder cannot detect the cue mark Unit operated on battery power battery discharged Insert the paper pad as instructed Connect recorder to the power line After a few minutes the recorder is able to resume operation Always connect recorder to the power line when the battery low indicator 22 lights up The battery capacity depends on age temperature and charge level chapter 3 Putting the Device into Operation Check all electrodes or enable Overri
49. ion 5 4 The Report Formats 26 MAC 1200 Several system settings can be customized In this manual they are labeled configurable The following information refers to a unit with the system defaults see table below For instructions on changing the system setup refer to section 9 2 12 Lead Mode Parameter System de faults Report Sequence STANDARD CABRERA Rhythm Leads II V1 V5 I I aVR aVL aVF V2 V3 V4 V6 Gain 10 mm mV auto 5 20 40 mm mV Report Format 4x2 5R1 1x10R12 2x5R1 2x5_50 4x2 5R1 1x10R3 4x2 5R3 AC Filter No Manual copy to HOST Yes No of copies Delete ECG after Transm Autosave ECG Use Screening Yes criteria Suppress Yes NORMAL statem Yes Interpretation No Print Interpreta No tion Override Function No 227 492 04 F Recording in 12 Lead Mode 5 2 Recording On power up the unit defaults to the 12 Lead Mode system defaults configurable Before recording the ECG patient data can be entered E We recommend to enter the pa tient s name to annotate it on every report After applying the electrodes please wait about 10 seconds for the signal to stabilize stabiliza tion of polarization voltages see section 4 3 Ar tifact Due to Poor Electrode Application If you initiate a recording with OD immediately af ter selection of the 12 Lead Mode a waiting pe riod of 10 to 12 seconds ensues message Col lecting
50. ion 9 7 for details on setting up the patient data menu Note Please refer to the Appendix for instructions on en tering special characters New patient Yes existing patient data are deleted No entered data can be edited 227 492 04 F Preparations for ECG Recording Last Name First Name Enter the patient s last and first names 16 characters for last name 10 characters for first name and confirm entries with GI Date of birth The slash key must be entered between month day year Note The button has the function of the Shift Lock key when entering data in alphanumeric text boxes This function allows you to enter the characters shown in the upper part of the keys without pressing the Shift key The w symbol appears in the display to indicate the Shift Lock status Patient ID Secondary ID This field accepts 3 to 16 characters The exact length is determined in the patient data setup menu Note When entering a patient ID which consists of nu merals only the blanks preceding the number are replaced with 0 Example If a 6 digit text box is configured and you enter the patient ID 123 the final ID number will read 000123 Pacemaker Influences the identification of pacer pulses in Arrhythmia Mode Enable the function Yes when recording the ECG of a pacemaker patient The recording will then be annotated with the mes sage Pacemaker Patient Gender Race If you do not int
51. ion is started with 9 The MAC 1200 is also capable of transmitting stored ECGs if Memory option MEMO is in stalled Activate the storage program by simultaneously pressing 8 and cee press the 8 button first and hold it depressed Figure 5 11 To select one or more ECGs for transfer move the cursor down with J When the cursor has reached Print directory it moves on to the patient list In the list the bar cursor changes to a line cursor 3 Figure 5 11 To select multiple ECGs select them with hi Gp while holding E down Selected ECGs are marked with a black bar in the margin of the display 2 You can deselect the ECGs with the same key combination MAC 1200 35 Recording in 12 Lead Mode Cancel START STOP Figure 5 12 Initializing the transmission Figure 5 13 Display during ECG transfer Try again ENTER Modify settings SETUP Cancel START STOP Figure 5 14 Error message When you have selected all ECGs press the key to return to the function keys Using the cursor select the Send command and initiate the function with The transmission is first initialized Figure 5 12 then it starts Figure 5 13 After the transmission a message on the display indicates the number of successfully transmitted ECGs As soon as you acknowledge the message with W the 12 Lead Mode acquisition screen appears If it is not possible to transmi
52. ion of the ECG the unit must be set up as described in section 9 9 ECG Transmission via Modem After acquisition of the ECG the transmission is initiated with if Manual copy is set to Host in the setup menu see section 9 2 12 Lead Mode The recorder is also capable of transmitting stored ECGs if MEMO option is installed To retrieve ECGs from memory hold 8 down while pressing ere You will see the storage program screen Fig ure 5 6 To select one or more ECGs for transfer move the cursor down with Sa When the cursor has reached Print directory it moves on to the patient list In the list the bar cursor changes to a line cursor 3 Figure 5 6 To select multiple ECGs select them with J aD while holding E down Selected ECGs are marked with a black bar in the margin of the display 2 You can deselect the ECGs with the same key combination When you have selected all ECGs press th key to return to the function keys Using the cursor select the Send command and initiate the function with amp 227 492 04 F Recording in 12 Lead Mode Start transmission ENTER Modify settings SETUP Cancel START STOP Figure 5 7 Transmission menu Cancel START STOP Figure 5 8 Initializing the transmission ECG Transmission CSI Figure 5 9 Display during ECG transfer ENTER SETUP START STOP Try again Modify settings Cancel
53. ition For instructions refer to section 3 4 Performance Check in this chapter CONDUCTIVE CONNECTIONS Do not allow electrodes to come into contact with conductive parts The neutral electrode in particular must not be connected to earth DISCONNECTION FROM MAINS When dis connecting the system from the power line remove the plug from the wall outlet first Then you may disconnect the power cord from the device EMERGENCY APPLICATION If the MAC 1200 is used as an emergency device a second ECG recorder must be available MOISTURE CONDENSATION Devices in tended for emergency application must not be stored or transported at temperatures which cause moisture condensation at the application site Wait until all moisture condensation has evaporated before using the device 227 492 04 F MPSO The use of a multiple portable socket outlet MPSO for a system will result in an enclosure leakage current equal to the sum of all individual earth leakage currents of the system if there is an interruption of the MPSO protective earth conduc tor Do not use an additional extension cable with the MPSO as it will increase the chance of the single protective earth conductor interruption OPERATOR The user must have received ade quate training in the use of the MAC 1200 and must be capable of applying it properly POWER SUPPLY The device must be connected to a properly installed power outlet with protective e
54. le password Select Yes to protect the setup menu with a pass word You will be asked to enter a password and to repeat it The password protection is then active To change the password only possible when pass word protection is active select menu item Enable password enter the old password enter the new password repeat the new password Test DATA Used for demonstration purposes Yes It must be set to No for proper clinical use Restore defaults Selecting Yes will restore the default setup in cluding the defaults of the three operating modes The resting ECG analysis system must be switched off standby and on again for the new settings to become effective Print Setup Lists Selecting Yes will display a menu with all avail able setup lists all lists System Setup Communication Periph Devices Patient Data Setup 12 Lead 6 Lead Arrhythmia The master password overriding all other passwords is 9 6 Communication Baud rate HOST Transmission rate for the selected protocol We recommend the default setting of 19200 baud Protocol The recorder offers two communication protocols CSI Client Server Interface and A5 The CSI protocol supports the transfer of resting ECGs from the resting ECG analysis system to a MUSE CV Information System With the A5 protocol the 10 second resting ECG can be transmitted to CardioSys and CardioSoft Modem
55. ll relevant device settings are shown on the display Figure 5 1 are made g Gain 10 mm mV automatic gain adjustment off The display shows 3 leads at a time With Jl you h Report sequence can successively display all leads of the report i Right leg electrode failure message sequence in groups of 3 J Heart rate The recording can be stopped with oq Fora description of the different reports refer to section 5 4 The Report Formats 28 MAC 1200 227 492 04 F Recording in 12 Lead Mode Storage program ID Send Delete Change Delete transmitted ECGs Print directory Last Name First Name Dwyer Patrick Edison Charles Farmer Ed Fulham Charlene Gardner Albert Gilham Roberta Hanson Dave Miller Carla Myers Rod Norton Peter Peterson Barbara el Figure 5 2 Storage program 1 Function keys the Print function is activated 2 Selected patient files 3 Current cursor position Note With a fully charged battery and the unit turned off ECGs will remain stored for approx 4 weeks 227 492 04 F 5 3 The Storage Program With MAC 1200 units equipped with the optional Storage Program MEMO the ECG including patient measurement and analysis data can be saved with the cee button after ECG acquisition A message in forms the user that ECGs are being saved and indi cates the number of stored ECGs To retrieve an ECG from memory simultaneously press 8 and ereng You will see the stora
56. lysis system that fulfill neither EN 60601 nor EN 60950 Modems connected to the resting ECG analysis system must meet the requirements of EN 60950 or UL1950 all modems recommended by GE Medical Systems Information Technologies meet these requirements The specific regulations valid in your country must also be observed The modem must be set up within the medically used area but outside the patient environment 3 6 Connecting External Devices Via the serial interface the resting ECG analysis system can be connected to a MUSE CV Informa tion System These external devices can be con nected directly or via a modem Please contact GE Medical Systems Information Technologies Applica tion Support for details Resting ECGs acquired in the 12 Lead Mode as well as the corresponding data can be transferred to these external devices see section 5 5 ECG Transmission The table below shows the system defaults and all possible adjustments For instructions on changing the default setup refer to section 9 6 Communication System defaults Options Choices for Modem Other none user defined MultiTech 19 2 MultiTech 56k Elsa 14 4 Elsa 28 8 Elsa 33 6 Elsa 56k Choices for Modem gt user defined AT amp FM1X3S 0 1V0 ATDT ATH Choices for Modem gt MultiTech 19 2 56k ELSA 14 4 28 8 33 6 56k dial mode pulse phone 0 to 9 28 digits outside line 0 to 9 20 digits 227 492 04 F MAC 1
57. m PVCs MULT supraventricular arrhythmia SVAR paroxysmal supraventricular tachycar PSVT dia tachycardia TACH bradycardia BRAD 7 pacemaker malfunction PERR ventricular escape beat ESC premature ventricular contraction PVC premature supraventricular contraction PSVC aberrant beat ABR pacemaker capture PCAP pause gt 1 5 times the normal RR inter TL val absolute pause limit value 3 s PAUA artifact A learn phase L learned QRS complex QRSL Table 7 1 Arrhythmia codes 46 MAC 1200 227 492 04 F ECGs of Pacemaker Patients ECG Recording During Defibrillation 8 ECGs of Pacemaker Patients ECG Recording During Defibrillation 8 1 Recording ECGs of Pacemaker Patients Due to the slow paper speed it is not possible to display pacer pulses directly on the ECG recording At a paper speed of 50 mm s and a pulse duration of 0 5 ms the width of the recorded pacer pulse would be only 0 025 mm For this reason the recorder reduces the pulse ampli tude and expands the pulse width so that the pacer pulse is easier to identify The MAC 1200 records the pulse with the correct polarity with a width of 5 ms and with the same amplitude in all leads depend ing on the polarity of the pacer pulse in leads I and II the pacer pulse in lead III may be suppressed The amplitude of the reverse current may differ from lead to lead Figure 8 1 shows an ECG recording with pacer pulses Figure 8 1 ECG r
58. n mode rejection for 50 or 60 Hz signals depending on recorder model with AC filter switched on gt 140 dB ECG calibration automatic recording of a defined voltage step valid for all channels calibration voltage referred to ECG signal input 1 mV calibration pulse width on recording depends on paper speed 25 mm s 5 mm 50mm s 10mm 5 mm s 1 mm 65 Technical Specifications Automatic ECG gain adjustment The gain automatically adapts to the incoming signal The maximum amplitude of the lead group or of all leads determines the gain setting automatic adjustment range 5 to 40 mm mV amplitude range 6 channels 18 to 31 mm Baseline automatic adjustment of the baseline to the optimal recording range in dependence of the signal amplitude Anti drift system ADS cubic spline automatic compensation of baseline fluctuations caused by polarization voltage fluctuations at the lead electrodes delay in recording 4 2 s ECG storage in 12 Lead Mode storage of up to 40 ECGs stored ECGs can be deleted individually or all in one pass printed transferred and patient data can be edited when memory is full user is informed of the possible actions Blocking rapid charge reversal of the coupling capacitors in the preamplifiers after electrode application ensures that the baseline is quickly restored to its original position after overranging Electrode monitoring audible and visual indication on
59. ng Tel 852 2100 6300 Fax 852 2100 6292
60. nge Filters should therefore only be enabled if necessary Before and during the recording the second set of 6 leads can be selected with the ey key a b c d e 6 Lead 40Hz 60Hz ADS Patient Name 25mm s 10mm mV 1 11 1 aVR aVL aVF Ch aVR aVL aVF RL HR 120 lt 180 WEI Figure 6 1 6 Lead mode display a Operating mode b Muscle filter enabled c AC filter enabled d Anti drift system enabled e Patient name f Writer speed g Gain 10 mm mV automatic gain adjustment off h Report sequence i Right leg electrode failure message J Heart rate k Heart rate limit adjustable 227 492 04 F The recording is started and stopped with With the system defaults the MAC 1200 will acti vate the following functions and settings the standard report sequence I Il MI aVR aVL aVF V1 V2 V3 V4 V5 V6 also available CABRERA SEQ NR 4 custom report se quence a gain of 10 mm mV configurable calibration pulse at the beginning of the recording The unit can be set up to automatically adapt the gain to the ECG signal see section 9 3 6 Lead Mode Also the gain setting can be changed with mr 5 10 20 and 40 mm mV the AC filter is enabled the muscle filter is disabled the anti drift system cubic spline is disabled configurable the writer prints at a speed of 25 mm s the speed can be changed with ey Pressing lt will output the patient data after the ECG recording The unit advances
61. nu section 9 4 Arrhythmia Mode you determine the conditions for a recording the recorder starts each time it detects a single beat event all the recorder starts each time it detects an event different from the previous event unequal the recorder does not start at all no Some of the system settings can be customized They are labeled with configurable The following information refers to a unit with the system defaults see table at left For instructions on changing the system setup refer to section 9 4 Arrhythmia Mode MAC 1200 43 Arrhythmia Mode right leg electrode disconnected right arm electrode disconnected left arm electrode disconnected left leg electrode disconnected chest electrode V1 disconnected chest electrode V2 disconnected chest electrode V3 disconnected chest electrode V4 disconnected chest electrode V5 disconnected chest electrode V6 disconnected Messages indicating disconnected electrodes Note With ee a single page recording can be initi ated after program start Please note that filters may suppress diagnosti cally relevant portions of the signal because they limit the transmission range Filters should therefore only be enabled if neces sary For proper functioning of the ECG analysis al gorithm pacemaker patients must be identified in the patient data Pacemaker Yes section 4 4 Entering Patient Data 44 MAC 1200 7 2 R
62. ocumented all unequal no Episodes Final report includes episode report with episodes listed by one of the following criteria in chronological order according to priorities see table 7 1 ventricular beats only no episodes chron prio ventr no MAC 1200 51 System Setup 9 5 System Setup Parameters Ordering Referring Physician Technician In the field at left you see the last name of the physician or technician selected as the default name When selecting other a menu displays where you can enter up to 10 names 3 digit ID number first name last name The default name and ID is automatically selected at power up The Referring Physician is only relevant if you send ECGs to the MUSE CV Information System This name will not be annotated on the ECG re cording Press the OD key to exit the menu Institution Name The name entered here will be printed on each report page Cart Enter any number between 1 and 9999 to identify the cart local system The cart entered here is the default number that appears in Patient Data Default 1 Site Enter any number between 1 and 255 to identify the MUSE CV Information System to which the ECGs will be sent The site entered here is the default number that appears in Patient Data Default 1 Location Enter any number between 1 and 600 to identify the location of the sending system The location en tere
63. of the 10 second resting ECG DIAG measurement and interpretation of the 10 second resting ECG MEMO program for storage of up to 40 resting ECGs C100 activates the three options MEAS DIAG MEMO for a maximum of 100 ECGs C500 activates the three options MEAS DIAG MEMO for a maximum of 500 ECGs EVAL activates the three options MEAS DIAG MEMO for a maximum of 4 weeks Position the bar cursor on the option you wish to activate Enter the 12 digit code number from the key board and confirm the entry with ll The unit will accept the entered number only if it corresponds to the unit s serial number The serial number is indicated at the top of the menu Ser No XXXXXXXXxX This number must be the same as printed on the nameplate back of the device When you enter the code number for DIAG and MEMO the fields for C100 C500 and EVAL will disappear Exit the menu with oq 227 492 04 F 9 9 ECG Transmission via Modem Select the 12 Lead Mode and press ey Press amp to display the setup menu for the 12 Lead Mode Use the cursor keys to position the bar cursor on Manual copy to HOST and confirm the selec tion with HOST Press OD to clear the setup menu Use the cursor keys to position the bar cursor on Communication and confirm the selection with Selecting the Communication Protocol Using the cursor keys position the bar cursor on Protocol Select the protocol CS
64. ors envelopes and sheet separators containing plasticizers Caution The above components may also be found in recycled papers solvents or solvent based products containing alcohols ketones esters or other substances from this chemical group We recommend archiving ECG recordings on our ECG filing cards only P N 217 043 03 If longer storage periods are required we suggest using our ARCHIVIST chart paper image legi bility up to 15 years or other image storage tech nologies 227 492 04 F Cleaning Disinfection and Maintenance 11 Cleaning Disinfection and Maintenance 11 1 Cleaning and Disinfecting the Re corder Housing 11 3 Cleaning and Disinfecting the Elec trodes In addition to the information given in this manual Warning observe the instructions for use of the respective Before cleaning or disinfecting the device discon electrode types nect it from the power line Discard disposable adhesive electrodes immedi s ately after use to prevent that they are reused Clean the recorder housing with a moist cloth Do not let liquid enter the device All cleaning agents Clean reusable electrodes immediately after and disinfectants that contain alcohol and are removing them from the patient EE used in hospitals are suitable but ER Peel off the adhesive foil before cleaning the not use disinfectants on a phenol base or peroxide electrodes rests of the adhesive can be removed
65. paste thermal paper etc or service Service Parts parts manuals circuit boards cables software etc from Accessories GE Medical Systems Accessories and Supplies 2607 North Grandview Blvd Mail Code SN 471 Waukesha WI 53188 Telephone 800 558 5102 US only 262 521 6856 outside US Fax 800 232 2599 US only 262 521 6855 outside US Service Parts GE Clinical Services P O Box 9100 100 Marquette Drive Jupiter FL 33468 9100 Telephone 800 558 7044 US only 561 575 5000 outside US Fax 800 421 6841 US only 561 575 5050 outside US Have the following information available before calling E part number of the defective part or E model and serial number of the equipment E part number name of the assembly where the item is used E item name and WR where applicable reference designation eg R13 12 Ordering Manuals When ordering additional operator manuals be sure to include the software version of the product 4 MAC 1200 227 492 04 F Other Questions or 227 492 04 F Problems How to Reach Us For additional information contact one of the offices listed below or see our website at www gemedicalsystems com Headquarters Europe Australia Japan Hong Kong GE Medical Systems Information Technologies 8200 West Tower Avenue Milwaukee Wisconsin 53223 USA Telephone 414 355 5000 or 800 558 5120 US only Fax 414 355 3790 GE Medical Systems Information Technologies Postfach
66. refore only be the Standard report sequence I Il UL aVR aVL enabled if necessary aVF V1 V2 V3 V4 V5 V6 rhythm leads II V1 and V5 configurable again of 10 mm mV configurable calibration pulse at the beginning of the recording the AC filter is on configurable b c d e the muscle filter is off Te configurable the anti drift system cubic spline is enabled 12Lead 40Hz 60Hz ADS Patient Name wandering baselines are automatically restored 4x2 5R1 10mm mV Standard to thee Gainal position f g h the report format is 4x2 5R1 i e 12 leads and all data are printed on one page configurable aVR the Detailed results page including the median complexes and the measurement results is not printed configurable aVL pressing will print one copy of the ECG configurable units with MEMO option documented ECGs are aVF not automatically saved configurable units with MEMO option after transmission to a host system via the RS232 interface the ECGs RL HR 120 remain stored in the MAC 1200 memory config Figure 5 1 12 Lead mode display urable a Operating mode the Override Function is enabled configurable b Muscle filter enabled QTC is calculated with the Bazett formula only c AC filter enabled with option MEAS measurement or DIAG in d Anti drift system enabled terpretation e Patient name f Report format or REC OFF when no recordings A
67. s for safety EN 60601 1 1 9 1994 A1 12 95 General require ments for safety Requirements for the safety of medical electrical systems Requirements for the safety of medical electrical systems EN 60601 2 25 1993 Medical electrical equipment Part 2 Special requirements for the safety of elec trocardiographs IEC Publication 513 1994 Fundamental aspects of safety standards for medical equipment MAC 1200 15 Putting the Device into Operation and Performance Test 3 2 Power Supply The units are powered from the power line or from al peed ken the rechargeable battery The battery charges automatically when the unit is S E connected to the power line It is not necessary to Kees Wee l turn on the device for charging As soon as the d device is connected to the power line the standby indicator 23 lights up Figure 3 3 To ensure that the battery is always fully charged leave the MAC standby battery low 1200 resting ECG analysis system connected to the power line whenever possible After 4 hours the battery has regained its full capacity The battery low indicator 22 is illuminated when battery needs to be charged The unit can also be set up to emit an additional audio signal when the Figure 3 1 Indicators battery requires charging With a full battery about 50 ECGs 1 page can be recorded in 12 Lead Mode When its capacity drops to about 25 recordings the battery is used up and
68. scle filter 40 Hz 20 Hz The frequency range is indicated in the lower margin of the recording strip 0 08 40 Hz 40 Hz muscle filter enabled 0 08 20 Hz 20 Hz muscle filter enabled 0 08 150 Hz muscle filter off Manual copy to When the 29 key is pressed the unit will print a copy of the ECG EKG or send the ECG to a HOST system MUSE CN Information System No of copies If you do not want to print the ECG but only collect data select 0 message on display REC OFF When a number greater than 1 is selected multiple copies of the reports will be printed Default 1 Autosave ECG only with MEMO option After report generation the ECG will or will not be automatically saved to the internal memory Yes No Delete ECG after Transmission only with MEMO option ECGs that were successfully sent to a host system via the RS232 interface will be cleared from the recorder memory Yes No If this menu item is set to Yes and ECGs have already been sent from the recorder memory these ECGs will be deleted after the next transmission of a stored ECG 227 492 04 F Configuration of the 12SL Interpretation Use Screening criteria The screening criteria can be enabled or disabled Default disabled Suppress NORMAL Statement If you select Yes the interpretation statement normal ECG will not be shown Suppress ABNORMAL Statement If you select Yes the interpretation stat
69. secsecececeecosceesecscoececocceseeeeeosesee 59 11 1 CLEANING AND DISINFECTING THE RECORDER HOUSING ccscsssssssscessessssssssessscssessessasssseseseesens 59 11 2 CLEANING AND DISINFECTING THE PATIENT EE 59 11 3 CLEANING AND DISINFECTING THE ELECTRODES j scesssacastotencetspiassunnhbacskoobenemonesbeaaebipsaweusnonnaciotsiates 59 114 MAINTENANCE E 60 12 TROUBLESHOOTING sssessesseessesesesecscosceceecececsececoreeceeoececoseeeeececereececoseeseeoececeseeeeececeeeecscoseeseecseeeseeee 61 13 TECHNICAL SPECIFICATIONS cscisoscesansicessescossnesene canes toseuascenssnieansvandatbacaabentusabadgeceabaisnatovesnsniaeabe 63 APPENDIX ENTERING SPECIAL CHARACTERS 68 INDEX 69 8 MAC 1200 227 492 04 F Intended Use and Functional Description 1 Intended Use and Functional Description The MAC 1200 is an ECG acquisition and recording system designed and manufactured by GE Medical Systems Information Technologies It is intended to be used for resting ECG re cording and realtime ECG recording with or without arrhythmia detection It is not intended for use as a vital signs physio logical monitor The arrhythmia detection portion of the MAC 1200 is provided to the customer for the conven ience of automatic documentation It is not de signed to provide alarms for arrhythmia detec tion The MAC 1200 offers no diagnostic opinion to the user Instead it provides analytical statements when configured with the appropriate
70. skin prepa ration is the key to an interference free ECG 4 2 1 Applying Electrodes Limb Leads Refer to the illustration shown in Figure 4 2 RA white electrode on right arm LA black electrode on left arm LL red electrode on left leg RL green electrode on right leg 227 492 04 F MAC 1200 21 Preparations for ECG Recording 4 2 2 Applying Electrodes Thorax V1 V2 V5 V4 Vi V2V3 v3 Figure 4 3 Chest electrode placement V4 RL green right leg V5 RA white E rightarm Vi red V2 yellow V3 green V6 E Ai blue _ V5 orange V6 purple pA Plack left arm bw LL red V6 left leg V5 Vi V2V3 V4 Figure 4 4 Connecting the patient cable 10 lead cable standard ECG leads correct wrong Figure 4 5 Arranging the patient cable 22 MAC 1200 Shave application points if necessary 4 2 3 Electrode Placement for Standard Leads I Il Ill aVR aVL aVF V1 V6 For acquisition of the standard ECG leads four elec trodes must be applied on the limbs and six on the chest The limb electrodes should be placed above the wrists and ankles Figure 4 3 shows the chest elec trode application points 4 intercostal space at the right border of the sternum 4 intercostal space at the left border of the sternum midway between locations V2 and V4 at the mid clavicular line in the 5 intercostal space at the
71. sor keys to position the bar cursor on Modem none and confirm the selection with 56 MAC 1200 227 492 04 F Loading Chart Paper 10 Loading Chart Paper SG Switch on the recorder Pull up the handle of the paper door and fold it out Figure 10 1 Remove the cardboard backing of the previous paper pad Remove the cardboard from the top of the new pad and place the pad including the cardboard backing at the bottom and with the arrow point ing towards the unit into the paper compartment Figure 10 2 Pull the top sheet out of the compartment and guide it around the guide roller Figure 10 3 Figure 10 3 Guiding the leading paper edge over the guide roller Holding the leading edge of the paper in place between the two markers on the recorder close the paper door Figure 10 4 Ensure that it locks into place on both sides When inserting an already started Z fold pad the grid side must face up and the first fold must point towards the paper compartment Figure 10 4 Closing the paper compartment door 227 492 04 F MAC 1200 57 Loading Chart Paper 58 Note Having inserted a new paper pad be sure to ac knowledge the end of paper message with D not with When closing the paper door take care that it locks into place on both sides There is a window in the paper door that allows you to look inside the compartment and check the paper supply Use only the original CO
72. stem ECG transmission via modem ECGs receive Electrode placement End of writer paper Entering patient data Environment operation Environment storage and transport Event episodes External equipment connection F Final report Functional description G General information General settings system setup H Heart rate limit HOST system ID number MUSE Indicators overview Installation Intended use Interpretation enable disable Interpretation print Language Lead fail beep Lead labels Limb lead electrodes application Lithium battery Location number enter Mains connection Maintenance Master password Medication Memory option Modem 35 45 42 25 69 47 32 36 37 22 58 24 67 67 51 19 45 49 52 17 49 49 Modem setup Muscle artifact Muscle filter MUSE CV Information System O Option codes Options how to activate Options overview Order number enter Ordering physician Override function Pacemaker patient Paper feed automatic Paper jam Paper inserting new pad Password protection setup menu Patient data setup Patient data entry Patient ID enter Patient name enter Performance check Physician referring ordering Power supply Prompts Protocols Receiving ECGs Recharging the battery Recording in 12 Lead mode Recording in 6 Lead mode Recording in Arrhythmia mode Recording problems Referring physician Report formats 12
73. t ECG again 30 MAC 1200 Due to the limited size of the display it is not possi ble to view the entire list at a time These are the columns that follow to the right of the patient name date and time of the ECG recording indicates that the ECG has been sent to an other system 1 Figure 5 3 patient ID comments To display the remaining columns you can continu ously scroll the display with gt or you can shift the list by the display s width with and gt Figure 5 3 When you have selected all ECGs press the E key to return to the function keys Using the cursor select the function you need ge With the Print directory command you print a list of all stored ECGs The printout includes all col umns except the Comments column and initiate it with If you try to save an ECG when the memory is full a message informs you of the memory status Figure 5 4 When you delete an ECG from memory the new ECG will automatically be saved The unit may be set up to automatically save ECGs without pressing Sch and automatically remove ECGs from memory that were successfully transmit ted to CardioSys CardioSoft or to the MUSE CV Information System The storage program can be terminated at any time with 227 492 04 F Recording in 12 Lead Mode 5 4 The Report Formats The length and scope of the reports depends on the The table below shows all of the 6 different r
74. t higher levels of elec tromagnetic radiation INTERFACING OTHER EQUIPMENT Devices may only be interconnected with each other or to parts of the system when it has been determined by qualified biomedical engineering personnel that there is no danger to the patient the operator or the environment as a result In those instances where there is any element of doubt concerning the safety of connected devices the user must contact the manufacturers concerned or other informed experts for proper use In all cases safe and proper operation should be verified with the applicable manufac turer s instructions for use and system standards IEC 60601 1 1 EN 60601 1 1 must be complied with 14 MAC 1200 MAINTENANCE Regular preventive mainte nance should be carried out annually inspections of equipment with measuring functions should be done every two years refer to chapter 11 Cleaning Disinfection and Maintenance PERFORMANCE CHECKS Check the device performance once a month strictly following the instructions outlined in section 3 4 Performance Check POWER REQUIREMENTS Before connecting the device to the power line check that the voltage and frequency ratings of the power line are the same as those indicated on the unit s label If this is not the case do not connect the system to the power line until you adjust the unit to match the power source RESTRICTED SALE U S Federal law restricts
75. t the ECG wrong modem setup modem off the unit will display an error message such as ECG Transmission Error CSI Figure 5 14 In this situation you have the following choices you can repeat the transmission with you can change the settings with you can stop the transmission with Q 5 5 4 Direct Transmission of Data to a MUSE CV Information System Before sending data to the MUSE CV Information System the MAC 1200 automatically logs on to the MUSE CV Information System Then the data will be transmitted If the transmission is stopped the MAC 1200 may take a few seconds before canceling the connection because it has to log off the MUSE CV Information System first Then the standard display reappears 36 MAC 1200 227 492 04 F Recording in 12 Lead Mode Cancel START STOP Figure 5 15 Screen display after activation of 8 and cy Waiting for ECG data ENTER Cancel START STOP Figure 5 16 Screen display after modem initializa tion 12Lead REC 60Hz ADS 10mm mV Standard Figure 5 17 Unit is ready to receive data Cancel START STOP Figure 5 18 Unit is receiving ECG 1 227 492 04 F 5 5 5 Receiving Data with the CSI Commu nication Protocol see also chapter 13 Technical Specifications Receiving ECGs is only possible in the 12Lead Mode Use the key combination E and lt to display the screen for receiving ECGs Figure 5 15 The
76. tart Data interface one serial RS232 interface for exchange of data with suitable external devices and software hand shake RS232 interface standard V 24 interface input voltage range 15V max output voltage range 5 V min interface protected from electrostatic discharge for 10 kV max Transfer of ECGs with the CSI protocol be tween the MAC 1200 and the following units MUSE CVIS SW version 004A and later MAC 5000 SW version 001B and later MAC VU SW version 002A and later MAC 1200 SW version V5 01 and later Receiving data with the CSI communication protocol from the following units CardioSmart SW version V4 21 and later CardioSmart ST SW version V4 21 and later Sending ECGs to the following units with the A5 protocol CardioSys CardioSoft SW version V1 0 and later 227 492 04 F Technical Specifications Pin assignment of data port 2 RXDE 3 TXDE 5 circuit reference 6 modem supply 8 remote start Remote start hardware Paper feed via remote control connection depend ing on selected operating mode External make contact referred to chassis via circuit reference source impedance R lt 300 Q contact dwell gt 100 ms non destructive load 10 V ESD interface protection up to 10 kV Signal transmission Patient input to recording After lead formation and digitization simultaneous transmission of all electrode signals to the digital processing system
77. ter L in the same manner Alt U then Y enter in the same manner Alt H then A enter in the same manner Alt Q Alt W Alt E Alt R aN e D MAC 1200 227 492 04 F Index 1 12 Lead mode brief operating instructions 12 Lead mode system defaults 12 Lead mode system setup 12SL interpretation configuration 6 6 Lead mode brief operating instructions 6 Lead mode system defaults 6 Lead mode system setup A AC line frequency AC line interference Activating options Addresses of sales offices Aging stability recordings Anti drift system Arrhythmia mode Arrhythmia mode brief operating instructions Arrhythmia mode system defaults Arrhythmia mode system setup Arrhythmia recording Automatic baseline adjustment B Battery charging Baud rate Birthdate enter Brief operating instructions 12 Lead mode Brief operating instructions 6 Lead mode Brief operating instructions arrhythmia mode C Cart number enter Caution definition Cleaning Connecting external equipment Contrast adjustment Controls overview Cubic spline Danger definition Date Detailed results Disinfection Display backlighting Disposal of the device 227 492 04 F 39 48 49 42 40 50 52 48 61 55 58 23 50 43 46 43 51 51 23 MAC 1200 Index E ECG recording during defibrillation ECG transmission modem ECG transmission to MUSE CV sy
78. the LCD of dis connected electrodes or line break each single electrode is monitored 66 MAC 1200 Text input patient and user data as well as comments can be entered via the panel keyboard and are annotated on the recording strip Copy function after ECG recording in 12 Lead Mode copies of the ECG can be printed from memory and or transferred to a MUSE CV Information System configurable Test automatic performance test upon power up includ ing verification of the signal path starting at the signal input stored test ECG data for demonstration of the device functions Power supply from the power line or from a built in rechargeable battery automatic switchover automatic battery charging during line power operation from inte grated AC adapter module Mains operation instrument design in protection class I accord ing to IEC 60601 1 Rated voltage range 95 to 240 V operating voltage range 85 to 264 V 49 to 65 Hz rated current 0 2 to 0 6 A fuse 2 x T1 25A 5x20 typical power consumption battery charging 14W max power consumption 29 W Battery operation type nickel cadmium rated battery voltage 18 V 227 492 04 F Technical Specifications rated battery capacity 1 3 Ah fully charged battery sufficient for up to 50 12 Lead Mode 1 page ECGs if unit is only switched on to record the ECGs battery charge time approx 4 hours min charge time for one 12 Lead Mode
79. the next group of 6 leads with et Change the writer speed with pes Switch on muscle filter with Gier Stop the recording with OD Print patient data with 227 492 04 F Arrhythmia Mode Figure 7 1 Event recording Note After starting the program press EH to selecta continuous recording with a speed of 5 mm s con figurable If the unit identifies an arrhythmic event it will automatically switch to the fast paper speed With the same key EH the trend recording can be stopped The unit can be set up to automatically start a trend recording when the Arrhythmia Mode is initiated Parameter System defaults STD_C chest STD_RED L IL leads V1 M V2 V4 V6 through VO stp LI G 1 M aVR aVL aVF CABR_LI aVL I aVR II aVF II HIGH _C VT through V6 Report sequence Gain mm mV xauto 5 20 40 mm mV 10 Muscle Filter Yes Muscle Filt Freq 20 Hz Trend Rec Yes Arrhy Data unequal all no Episodes prio ventr no 227 492 04 F 7 Arrhythmia Mode 7 1 Some Basic Facts In Arrhythmia Mode the MAC 1200 continuously scans the ECG for arrhythmias From six simultaneously acquired leads the MAC 1200 automatically selects the two that provide the best signal for analysis When the analysis algorithm detects an arrhythmia the event is recorded with context Figure 7 1 The length of the recording varies with the duration of the event episode In the setup me
80. the paper to the beginning of a new page each time a recording is initiated con figurable All relevant device settings are shown on the display Figure 6 1 MAC 1200 If you change the writer speed lead group or any filter settings during a recording the unit will briefly stop With Jet you advance to the next group of 6 leads of the selected report sequence 41 Recording in 6 Lead Mode With YI ch you toggle between the two lead 6 3 Brief Operating Instructions sets 3 each on the display that belong to the re corded group When the anti drift system is enabled there will be a short delay before the recording starts The ECG will then be recorded with a delay of 2 2 s The heart rate limit is automatically calculated from the date of birth WHO 100 220 age When the date of birth is not entered the unit will set the limit at 180 bpm This value can be changed with E and Kg in steps of 5 bpm The minimum value for the heart rate limit is 30 bpm 42 MAC 1200 6 Lead Mode Switch on the unit and wait for self test to end Apply electrodes to patient Select the 6 Lead Mode dy Enter patient data Bach Check device settings report sequence AC filter ADS cubic spline heart rate alarm limits Modify device settings if required zg Watch ECG on display Check that no lead failure message is displayed Start recording with give Proceed to
81. tion Technologies thermal paper with queue holes or marks 227 492 04 F MAC 1200 Paper feed paper speed 5 25 50 mm s key selectable error limits at 25 and 50 mm s typ 1 at 5 mm s 10 max At paper end the recorder emits an audio signal and stops recording the last pages of the pad bear a colored stripe in the lower margin Membrane keypad Pushbuttons with tactile feedback function keys for all routine operations alphanumeric keyboard for entry of text Display graphics display with 24 x 40 characters contrast adjustment resolution of 320 x 240 pixels with display back lighting Indicators LEDs For mains power battery status and start stop function Automatic functions They assist and facilitate operation by automatic control of lead selection paper feed calibration configurable report formatting configurable automatic baseline adjustment anti drift system cubic spline compensating for polarization voltage fluctuations configur able 63 Technical Specifications Detection of pacer pulses pulse length between 0 1 and 2 5 ms pacer pulse marker independent of pulse polar ity pulse amplitude between 5 mV and 700 mV Heart rate indication derivation of the heart rate from all ECG signals display range between 30 and 300 bpm display update with every heart beat maximum every 2 seconds Signal inputs isolated patient signal input IEC
82. to insert a new paper pad refer to chapter 10 for instructions 3 4 Performance Check Press the power switch to switch on the device Figure 3 4 The amber stop indicator Q2 20 will illuminate After power up the resting ECG analysis system runs an automatic self test When no problem is detected it defaults to the 12 Lead Mode If a mal function is identified the display will show an error message Error In this situation notify service to check and repair the device The self test can be aborted with the E button In this case the device immediately activates the 12 Lead Mode Contrast Adjustment To adjust the contrast simultaneously press and the appropriate cursor key GD for more contrast J for less contrast MAC 1200 17 Parameter Ordering Physi cian Referring Physi cian Technician Institution Name Cart Site for CSI protocol only Location Date dd mm yyyy Time hh mm Lead Fail Beep High HR Beep Lead Labels Pace Enhance ment Baseline roll filter Date Time Units Mains LCD light off after Putting the Device into Operation and Performance Test Sse No selection from a list of 10 names No selection from a list of 10 names No selection from a list of 10 names 1 text box 40 chrs 1 to 9999 1 1 to 255 current date current time No No ER Yes 0 04 Hz 0 16 Hz sy in lb cm kg 60 Hz 50 Hz
83. type CF high voltage protection for all lead connections and neutral electrode interference compensation via neutral electrode monitoring for open leads electrode connections for RA LA LL LA V1 to V6 input impedance for differential signals be tween any two electrode connections gt 10 MQ at 10 Hz input impedance for common mode signals referred to neutral electrode gt 50 MQ up to 60 Hz dynamic range for differential signals between any two electrode connections for AC voltage 10 mV for superimposed DC voltage polari zation voltage 600 mV dynamic range for common mode signals referred to neutral electrode 1 V referred to chassis 263 V AC rms quiescent input current via any electrode con nection for kQ termination referred to neutral electrode lt 50 nA patient leakage current rms values according to IEC class CF in normal condition lt 10 uA 64 MAC 1200 in single fault condition e g patient in contact with line voltage lt 20 LA non destructive range for lead electrode con nections and the neutral electrode connection referred to neutral electrode 50 V referred to chassis 1500 V pulse voltage resistance of all lead electrode connections and of the neutral electrode con nection referred to chassis either polarity e g defibrillation 5000 V monitoring of each electrode for open leads RA LA LL RL V1 V2 V3 V4 V5 V6 audio signal at printer s
84. um value for the heart rate limit is 30 bpm Final Report The arrhythmia recording can be stopped with The final report can then be printed with The final report consists of the patient ID sheet with all patient data as well as with all analyzed QRS complexes type and number of detected events and the analysis dura tion in tabular form and the episodes 3 sheets max with 2 episodes each MAC 1200 45 Arrhythmia Mode Brief Operating Instructions Arrhythmia Mode Switch on the unit and wait for self test to end Apply electrodes to patient Select the Arrhythmia Mode up Enter patient data Bach Check device settings report sequence AC filter trend recordings episodes heart rate alarm limits Modify device settings if required Check that no lead failure message is displayed Start recording with give muscli Switch on muscle filter with me Stop the recording with give Print patient data with 7 3 Arrhythmic Events s asystole limit value 4 s ASYSTO ventricular fibrillation flutter VFIB ventricular tachycardia gt 3 PVCs VTAC e ventricular run 3 PVCs RUN e ventricular couplet 2 PVCs CPLT pause of 2 missed beats PAU2 5 pause of 1 missed beat PAU1 2i early PVC EPVC 8 ventricular bigeminy VBIG 2 new form e g intermittent bundle NF 2 branch block multifor
85. used on the device A Consult accompanying documents Signal input 14 15 16 17 18 19 20 21 22 23 24 25 26 27 Jet Type CF signal input highly insulated defibril lation proof 227 492 04 F MAC 1200 Selects the ECG lead in 6 Lead Mode in 12 Lead Mode on the display only Sends ECG to memory retrieves ECG from memory Selects the 12 Lead Mode Selects the 6 Lead Mode Selects the Arrhythmia Mode Starts stops the selected operating mode exits the setup menu and patient data entry Indicators green selected mode started am ber selected mode stopped Enables entry of patient data Indicator is illuminated when battery needs to be charged Indicator is illuminated when unit is connected to the power line Cursor control keys Space bar Shift key Press to access special characters Start Stop Putting the Device into Operation and Performance Test 3 Putting the Device into Operation and Performance Test 3 1 Safety Information SE e This manual is an integral part of the device It indicates a potentially hazardous situation which if should always be kept near the device Close ob not avoided may result in minor or moderate injury servance of the information given in the manual or product property damage is a prerequisite for proper device performance and correct operation and ensures patient and op e GE Medical Systems Information Technologies is erator safety
86. ut by GE Medical Sys tems Information Technologies within the frame work of a service contract The inspections include the following checks Visually inspect the device and the accessories for signs of mechanical damage that may impair the device functions Check that the device labeling relevant for safety is legible Run a performance test as described in the opera tor s manual Measure the resistance of the protective earth conductor and the equivalent leakage current per your national regulations The device does not require any other maintenance Disposal at the End of Its Service Life Note At the end of their service life the device described in this manual and its accessories must be disposed of in compliance with the applicable local waste control regulations If you have questions regarding the disposal of the product or of accessories please contact GE Medical Systems Information Technolo gies or its representatives 60 MAC 1200 227 492 04 F 12 Troubleshooting Troubleshooting Symptom Periodic superimposition of AC line interference 60 Hz Figure 12 1 Superimposition of irregular AC line interference Figure 12 2 The printed date and time are incorrect The green standby indicator 23 does not light up although the recorder is connected to the power line The recorder does not write over the entire paper width In 12 Lead Mode the recorder does not stop and cont
87. ut this manual to point out hazards and safety statements are presented in no way implies to designate a degree or level of seriousness order of importance Hazard is defined as a source of potential injury to a person DANGERS EXPLOSION HAZARD Do not use this equip Danger ment in the presence of flammable anesthetics indicates an imminently hazardous situation which vapors or liquids if not avoided WILL result in death or serious in jury Warning indicates a potentially hazardous situation which if not avoided COULD result in death or serious in jury 12 MAC 1200 227 492 04 F Putting the Device into Operation and Performance Test WARNINGS ACCESSORIES SUPPLIES Use only the original GE Medical Systems Information Technolo gies cables Do not connect other signal sources to the cables The user is responsible for the use of accessories from other manufacturers ACCIDENTAL SPILLS To avoid electric shock or device malfunction liquids must not be allowed to enter the device If liquids have entered a device take it out of service and have it checked by a ser vice technician before it is used again BEFORE USE Before putting the system into operation visually inspect all connecting cables for signs of damage Damaged cables and connectors must be replaced immediately BEFORE USE Before using the device the operator must verify that it is in correct working order and operating cond

Download Pdf Manuals

image

Related Search

Related Contents

バッテリー充電器    

Copyright © All rights reserved.
Failed to retrieve file