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MAC™ 5500 - Livermore Scientific, Inc.

1. Statement Acronym Marked ST abnormality possible anteroseptal MSTDAS subendocardial injury Marked ST abnormality possible inferior subendocardial injury ISBIN Marked ST abnormality possible inferolateral MSTDIL subendocardial injury Marked ST abnormality possible lateral subendocardial injury LSBINJ Marked ST abnormality possible septal subendocardial injury SSBINJ Marked T wave abnormality consider anterior ischemia MAT Marked T wave abnormality consider anterolateral ischemia MALT Marked T wave abnormality consider inferior ischemia MIT Marked T wave abnormality consider inferolateral ischemia MILT Marked T wave abnormality consider lateral ischemia MLT masked by fascicular block MAFB maybe secondary to QRS abnormality SNDQA Memory allocation failure no ECG interpretation possible ANLERR1 Minimal voltage criteria for LVH may be normal variant QRSV Moderate voltage criteria for LVH may be normal variant LVH3 Moderate MOD Narrow QRS tachycardia NQTACH No P waves found NOPF No QRS complexes found no ECG analysis possible ANLERR2 Nonspecific intraventricular block IVCB Nonspecific intraventricular conduction delay IVCD Nonspecific ST abnormality NST Nonspecific ST and T wave abnormality NSTT Nonspecific T wave abnormality NT Normal ECG NML Normal sinus rhythm NSR Northwest
2. Statement Acronym Septal injury pattern SINJ Septal leads SEP Sinus Atrial capture CAPUR Sinus bradycardia SBRAD Sinus rhythm SRTH Sinus tachycardia STACH Small SMA ST 8 ST amp ST abnormality and STABAND ST abnormality possible digitalis effect STDIG ST depression in STDPIN ST depression consider subendocardial injury or digitalis effect STDEP ST elevation consider anterior injury or acute infarct AIOHAI ST elevation consider anterolateral injury or acute infarct ALIHAI ST elevation consider inferior injury or acute infarct IIOHAI ST elevation consider inferolateral injury or acute infarct ILIHAI ST elevation consider lateral injury or acute infarct LIOHAI ST elevation in STELIN ST elevation consider early repolarization pericarditis orinjury SERYR1 ST elevation probably due to early repolarization SERYR2 ST elevation consider injury or variant associated with LVH INJ ONV Statement not found SNF 5 upraventricular tachycardia SVT Suspect arm lead reversal interpretation assumes ARM no reversal T wave abnormality consider anterior ischemia AT T wave abnormality consider anterolateral ischemia ALT T wave abnormality consider inferior ischemia IT T wave abnormality consider inferolateral ischemia ILT T wave abnormality consider lateral ischemia LT T wave inversion in TINVIN 2020299 153C MAC 5500 C 7 Editin
3. pu IEC Label Electrode Placement A V1 red C1 red Fourth intercostal space at the right sternal border d B V2 yellow C2 yellow Fourth intercostal space at the left sternal border lt 6 V3 green C3 green Midway between location B and D J 6 p V4 blue C4 brown Mid clavicular line in the fifth intercostal space NS i Re e E V5orange C5black Anterior axillary line on the same horizontal level as D 9 F V6 purple C6 purple Mid axillary line on the same horizontal level as D and E g 0 G LAblack Lyelow Left deltoid eH LL red Fgreen Above leftankle Alternate placement upper leg as close to torso as possible RL green N black Above right ankle Alternate placement upper leg as close to torso as possible RA white R red Right deltoid 3 4 MAC 5500 2020299 153C Preparing the Patient Standard 15 Lead Placement AHA Label IEC Label Electrode Placement A V1 red Cl red Fourth intercostal space at the right sternal border B V2 yellow C2 yellow Fourth intercostal space at the left sternal border X C V3 green C3 green Midway between location B and D A B Te Wm 6 AN QD EL D V4 blue C4 brown Mid clavicular line in the fifth intercostal space SS H E V5 orange C5 black Anterior axillary line on the same horizontal J levelas D y y esa F V6 purple C6 purple Mid axillary line on
4. Conventions NOTE Provides additional user information Style Bold text Indicates keys on the keyboard text to be entered or hardware items such as buttons or switches on the equipment Italicized text Indicates software terms that identify menu items buttons or options in various windows 1 2 MAC 5500 2020299 153C Introduction Product Reference Ctrl Esc Indicates a keyboard operation A sign between the names of two Keys indicates that you must press and hold the first key while pressing then releasing the second key For example Press Ctrl esc means to press and hold down the Ctrl key while pressing the Esc key Space Indicates you must press the spacebar When instructions are given for typing a precise text string with one or more spaces the point where the spacebar must be pressed is indicated as Space The purpose of the brackets is to ensure you press the spacebar when required Enter Indicates you must press the Enter or Return key on the keyboard Do not type enter The product described in this manual is MAC 3500 Resting ECG Analysis System It will be referred to as the system throughout this document Safety Information Definitions The terms danger warning and caution are used throughout this manual to point out hazards and to designate a degree or level of seriousness Familiarize yourself with their definitions and
5. Statement Acronym with fusion or intermittent ventricular pre excitation WP W ALTWPW with junctional escape complexes JESC with marked sinus arrhythmia MSAR with occasional OCC with premature aberantly conducted complexes ABER with posterior extension PXT with QRS widening and repolarization abnormality QRSW 2ST with QRS widening QRSW with rapid ventricular response RVR with retrograde conduction RETC with right ventricular involvement RVI with repolarization abnormality 2ST with short PR SPR with sinus arrhythmia SAR with sinus pause PAUSE with slow ventricular response SVR with strain pattern WSTR with undetermined rhythm irregularity IRREG with variable AV block VAVB with ventricular escape complexes VESC Wolffe P arkinson White WPW 2020299 153C MAC 5500 C 9 Editing Acronyms C 10 MAC 5500 2020299 153C D Report Formats 2020299 153C MAC 5500 Report Formats Format Description Numeric report names are used to describe how the ECG data is displayed 4 by 2 5s 1 rhythm Id A B 4 by 2 5s 1 Rhythm Lead Format Description A Four columns of data containing 3 leads with 2 5 seconds of data in each lead B One 10 second rhythm lead NEN e l Y EE LE LERRA RR SERE E 147A The following reports also use numeric names 2 by 5 2 5s 50 mm s writer speed 2 by 5s 1 rhythm lead 2 by 10s 3 by 5 6 50mm
6. MAC 5500 2 13 Equipment Overview Main Menu Use the Main Menu to select the different functions available on this system The functions displayed in your Main Menu may vary due to the installation of purchased software options 1 Select More from the start up screen 2 Select Main Menu to begin displaying the Main Menu functions Main Menu Functions Function Description 4 Resting ECG Pediatric ECG Records a 12 lead ECG Records a 15 lead pediatric ECG The standard 12 leads and the V3R V4R and V7 leads are used Vector Loops Records a 15 lead vector cardiogram The standard 12 leads and the X Y Z leads are used ES 15 lead ECG Records an adult 15 lead ECG The standard 12 leads and three user defined leads are used R EditP rotocol EditP rotocol creates new or edits existing exercise test protocols Also a protocol can be saved printed or erased 2 14 MAC 5500 2020299 153C Equipment Overview Function Description wee 12 Exercise12 Exercise12 conducts the 12 lead exercise test and allows you to print reports This is a purchased option 9 15 Exercise15 Exercise15 conducts the 15 lead 12 standard 3 user defined leads exercise test and allows you to print reports This is a purchased option E Master s Step Runs the Master s Step exercise protocol J apan only Ex
7. Exercise Electrodes with Exercise Option In addition to the standard electrodes apply one electrode on the sternum A1 and one in location V5R CSR A2 It is recommended that arm electrodes be placed on the patient s torso just under the clavicles 2020299 153C MAC 5500 3 7 Preparing the Patient CM5 CC5 ML Lead Placement SS A2 Electrode Electrode Placement Al Mid sternum at the second intercostal space zi In the fifth intercostal space in the right anterior axillary line V5R C5R Q 254A In addition to the standard electrodes apply one electrode on the sternum A1 one in location V5R C5R A2 and one on the neck A3 CM5 CC5 CH Lead Placement Electrode Electrode Placement Al Mid sternum at the second intercostal space J d E A2 In the fifth intercostal space in the right anterior axillary line V5R C5R A3 On either side of the neck or anywhere above the shoulders 225A 3 8 MAC 5500 2020299 153C 4 Entering Patient Information 2020299 153C MAC 5500 Entering Patient Information Enter Patient Information Select F1 Patient Data for each new patient CAUTION ACCURATE PATIENT DATA Patient data may be retained from a previous patient Be sure to check the patient info screen for each new patient Data assigned to the wrong patient causes erroneous patient data that ca
8. Median Set how often Median complexes are saved during a stage for the final report First indicates when the first Median is saved Repeat indicates how often Median complexes are saved after the first Median complex is saved 2020299 153C MAC 5500 7 3 Editing Protocols 4 To edit Stage information use the arrow pad to select the desired stage then press the Edit function key A box will pop up that will allow the stage information to be edited Pretest Protocol Information Duration of a stage You want to How do you change this item Edit stage Use the arrow pad to select the stage you want to edit A pop up box information appears showing the current information for this stage Edit the information for this stage in the pop up box Press return Add another When you add a stage it is placed below the highlighted stage stage to the 7 phase Use the arrow pad to highlight a stage Press Add to add a stage Change the Use arrow pad to selectthe Duration field Use the keyboard to enter the new stage duration Type in the duration time or press delete to set to infinite duration Press enter Change the Ergometer workload or Treadmill speed and grade during a stage Use the arrow pad to selectthe ergometer work load treadmill speed or treadmill grade field Use the keyboard to enter the new value for this stage Type in the value or press the delete
9. NOTE Regular maintenance irrespective of usage is essential to ensure that the equipment will always be functional when required See the documentation provided with your peripheral equipment for appropriate maintenance procedures Inspecting and Cleaning Precautions Turn off the system before inspecting or cleaning Do NOT immerse any part of the equipment in water Do NOT use organic solvents ammonia based solutions or abrasive cleaning agents which may damage equipment surfaces Visual Inspection Perform a visual inspection of all equipment and peripheral devices daily If you notice any items that need repair contact an authorized service person to make the repairs Check the case and display screen for cracks or other damage Regularly inspect all plugs cords cables and connectors for fraying or other damage Verify that all cords and connectors are securely seated Inspect keys and controls for proper operation A 2 MAC 5500 2020299 153C Maintenance Toggle keys should not stick in one position m Knobs should rotate fully in both directions Cleaning Exterior Surfaces Clean the exterior surfaces of all equipment and peripheral devices monthly or more frequently if needed 1 Use a clean soft cloth and a mild dishwashing detergent diluted in water 2 Wring the excess water from the cloth Do NOT drip water or any liquid on the writer assembly and avoid contact with open vents
10. EXC eae ies 14 34 MAC 5500 2020299 153C 2020299 153C Maintenance General ice cba Uh kon RO ed ER OR de po AA A 2 Inspecting and Cleaning sn nnnm A 2 600005 a cd cec o beate aaa ert do cate Lu ou ER bate A 2 Visual Inspection 5 ete te des hcec Roe por t A 2 Cleaning Exterior Surfaces A 3 dum PEUT A 3 Changing the Paper Tray Size rr e A 3 Replacing P apel 5 215525 teta an retire ceti ain BA kukka aan A 4 Thermal Paper Storage concen Aro A 5 Archivist Paper Stor ge cedo oet e e Ae tot Ge ee k A 6 A 6 Battery Gaugesconi 3 secs a d thee bales caw Bias ane A A 6 Charging the Balestra A 7 To Fully Charge the Battery 0200000000 e A 7 Is the Battery Charging A 8 Periodic A 8 Replacing the Battery ior o eto See ode vont wh ed EAN A 9 Replacing Acquisition Module Leadwire Adapters coo o A 10 Troubleshooting Introduction scisco Ex aon Ora o ieee ae RR B 2 First TIOS O ASK osado e Pra loe aba B 2 Visuallhspect n sedan atinada B 2 Equipment Problems ricsina yn as u s P upaya ayy NYA awa B 2 Reducing ECG Data Noise B 2 There is No ACI TIPI Report 0000000000 B 3 No BP Readings from External Device B 3 Treadmill Ergometer Does Not Move rr B 3 System Errors 0 0
11. Miscellaneous Setup Define the Exercise Test Setup Option Within the system setup function select Exercise Test Select Miscellaneous Setup to define your system s basic exercise test set up items Miscellaneous Setup items for exercise testing are defined in the table below Miscellaneous Setup Exercise Testing Item Description Timeout The time it takes for a menu or prompt to disappear from the screen when it is not being Interval used You may type in a value between 15 and 600 seconds Cubic Spline Select Yes to turn on the baseline control option Eventnames This allows you to create a list of event names any of which may be selected to label a patient episode during an exercise test Reason for This allows you to create a list of reasons for terminating the exercise test Selectthe Termination appropriate reason atthe end of the test Patient Data Questions Within the system setup function select Exercise Test Select Patient Questions to configure the system to require entry of the patient s maximum predicted heart rate the patient s target heart rate and to define two Yes No and alpha numeric patient data prompts 2020299 153C MAC 5500 14 23 System Setup Patient Questions Exercise Testing Item Description Max Pred HR Select Yes to require the patient s maximum predicted heart rate to be entered
12. Target Heart Select Yes to require the patient s target heart rate Enter the percentage of maximum Rate predicted heart rate Extra In addition to the patient questions defined under Basic S ystem there are 2 patient data questions prompts that you can define Each ofthe prompts can be answered in 3 ways Numbers and letters the answer to the prompt can be made up of numbers and letters Numbers only the answer to the prompt can only be in numbers Yes or No the answer to the prompt must be yes or no Writer Setup 1 Within the system setup function select Exercise Test 2 Select Writer Setup to change the writer s default speed gain and filter settings You can also enable or disable reporting tools Writer Setup Exercise Testing Item Description Speed Selectthe writer s default speed setting in millimeters per second Gain Select the writer s default gain setting For the 10 5 setting limb leads appear at 10 mm mV and precordial leads appear at 5 mm mV Filter Select the writer s default filter setting The screen filter is always setto 40 Hz Arrhythmia Select On to automatically print a report when an arrhythmia occurs during the exercise Doc test Tic marks Select Yes to add tic marks on the E J and J measurement points NOTE The value for J is set with the Post control described below ST Select Yes to enable screen and writer ST measurements Measurements Post Enter a value between 0 and 200 for the value in milliseco
13. 1 Select File Manager A list of ECGs displays 2 Select Location to display a list of devices to which the ECG report can be transmitted displays 3 Select the receiving device 4 If this is the correct receiving device select and transmit the ECGs as described in the next steps 9 2 MAC 5500 2020299 153C Transmitting an ECG If this is not the correct receiving device follow these steps Select Location Select Manual Dial Enter the telephone number of the receiving device Press the return key Select a modem type Select Return 5 Select the ECGs to be transmitted 6 Select Transmit to transmit the ECGs Transmit Stored ECGs Locally 1 Select File Manager A list of ECGs displays 2 Select Location to determine the method of transmission Choices are Manual Line Serial Line MUSE Network or Ethernet Line 3 Choose Select A list of available ECGs displays 4 Select one or more ECGs 5 Select Transmit to transmit the ECGs Transmit Stored ECGs by Wireless Option Connect and configure the MobileLink wireless option as described in the MobileLink Installation and Troubleshooting Guide 1 Select Location to determine the receiving device The choice for wireless communication is Serial Line MUSE Network 2 Choose Select A list of available ECGs displays 3 Select the ECGs to be transmitted 4 Select one or more ECGs 5 Select Transmit to transmit the ECGs NOTE P
14. 6 Select Transmit to transmit the ECG data Refer to Transmitting an ECG on page 9 1 for more information Record a Master s Step Test Option 1 Select Master 5 Step 2 Enter the patient s demographics either manually with the keyboard or by using the card reader bar code reader 5 4 MAC 5500 2020299 153C Recording an ECG Run the Test In the Setup menu confirm that the following parameters are correct Number of Steps Test Type Post J ms Step Counter Display Sound Option Continuous Recording and Post Exercise ECG Time Press the return key Press the ECG button to record a pre exercise ECG Remove the leadwires from the patient to prevent the patient from tripping on the leadwires Keep the electrodes on the patient Press Continue to begin the exercise test When the patient finishes the exercise immediately reattach the leadwires to the electrodes Check the waveform quality on the screen to confirm that all leadwires are correctly reattached The system automatically records additional ECGs requested Once you record all ECGs a final report prints Select Store to store the ECG data Select Transmit to transmit the ECG data Refer to Transmitting an ECG on page 9 1 for more information Using ACI TIPI Option Refer to Enable or Disable the ACI TIPI Option on page 14 4 for information on enabling the ACI TIPI option You must have a report with interp
15. Description Select Yes to require the user to enter the patient s identification number before an ECG can be recorded ID length Age Type the number of alpha numeric characters used in the patient identification number Use from 3 16 characters Use a format that is compatible with the MUSE CV system to which the system is communicating Choose the method to enter the patient s age m Select Date of birth to enter age in day month year order With this setting the patient s date of birth will be printed m Select Age in years to enter age in years months weeks days or hours With this setting the patient s age in years months weeks days or hours will be printed In addition to affecting the method the patient s age is asked in the patient information screen this selection affects the way the age date of birth is printed on the report if the information is transferred from the card reader or order manager Gender Select Yes to display a prompt asking whether the patient is male or female Height Select Yes to display a prompt asking the patient s height Weight Select Yes to display a prompt asking the patient s weight 14 6 MAC 5500 2020299 153C System Setup Patient Questions Item Description Height Weight Choose the units of measurement defining the patient s weight Select in Ib to enter the patient s height and weight in inches and pounds Selec
16. Green indicates generally acceptable signal quality The green indicator is always the right most circle of the of the indicator Hookup Advisor indicator P ECGt d an ECG ooe ress o record an amp BPM aVR V1 V4 aVL V2 V5 1 aVF V3 V6 ED Cc cc X 157A When the lead quality is Red or Yellow a message describing the lead problem or status is displayed on the screen Hookup Advisor is enabled and configured in the ECG Acquisition menu System Setup gt ECG gt ECG Acquisition Refer to ECG Acquisition on page 14 13 for more information In addition to enabling disabling the Hookup Advisor feature you can set the level at which the system acknowledges poor signal quality The acknowledgement level can be set to Yellow Red default or Never Hookup Advisor continuously reviews the ECG data for acceptable lead quality IfPre acquisition is enabled in the system setup the lead quality circle indicator will reflect the entire previous 10 seconds of ECG data Any displayed messages will be updated on a real time basis to reflect adjustments improvements to the lead quality Once any lead quality problems have been 5 2 MAC 5500 2020299 153C Recording an ECG remedied the message Please wait will be displayed until the entire 10 second period is free from lead quality problems When Pre acquisition is not enabled the Hookup Advisor level and messages will r
17. Hi Res Records a signal averaged high resolution ECG This is a purchased option PHi Res Records a p wave signal averaged high resolution ECG This is a purchased option 1 File Manager Prints edits displays transmits and deletes stored ECG data System Setup Defines the operating parameters of the system Receive Receives ECG data from other devices 2020299 153C MAC 5500 2 15 Equipment Overview Function Description Requests displays and prints confirmed ECGs retrieved from a MUSE CV system This is a purchased option p Mm m iS Remote Query Acquires prints and stores ECG orders received from a MUSE system with a Hospital Information System HIS interface gt J Ord Mgr Int Return to the previous screen t Return Selecting Menu Functions The following shows two methods for selecting a menu function Pressing a Function Key To select More press the function key directly below More 162A 2 16 MAC 5500 2020299 153C Equipment Overview Using the Arrow Pad To select More 1 Press the right arrow on the arrow pad until More is highlighted 176A 2 Press the middle of the pad to select More To select a menu function a Use the arrow keys to highlight the desired item b Press the middle
18. plugs or connectors 3 Dry the surfaces with a clean cloth or paper towel Paper Changing the Paper Tray Size Change to A4 Paper Size Slide the paper guide toward the rear of the device to accommodate A4 size paper 187A 2020299 153C MAC 5500 A 3 Maintenance Change to Standard Paper Size Slide the paper guide toward the front of the device to accommodate standard size paper 188A Replacing Paper 92A 93A 94A 95A A 4 MAC 5500 2020299 153C Maintenance Thermal Paper Storage Open the unit Place the pad of paper so the holes are on the left side Advance the first sheet of paper Close the unit s lid securely To avoid deterioration or fading of traces follow these precautions 1 Store in cool dark and dry locations Temperature must be below 80 F 27 C Relative humidity must be between 40 and 65 Avoid exposure to bright light or ultraviolet sources such as sunlight fluorescent and similar lighting which causes yellowing of paper and fading of tracings Do NOT store thermal papers with any of the following carbon and carbonless forms non thermal chart papers or any other products containing tributyl phosphate dibutyl phthalate or any other organic solvents Many medical and industrial charts contain these chemicals document protectors envelopes and sheet separators containing polyvinyl chloride or other vinyl chlorides Avoid contact with
19. 4 Software Update From Secure Digital Card 0 2 13 5 System Setup Using the System Setup Function nn n n n n n n n nn 14 2 Select the System Setup Function eee eee 14 2 Define the System Parameters 14 2 Save Youre NAN GOS spe dA wot cta e dle Ad 14 2 Program the System to Automatically Do a Task 14 2 Power Up the System into a Specific Resting Function 14 2 Preview ECG Data Before Analysis rr rr 14 2 To Printa Resting ECG Report 2 00 20 14 3 Printa Signal Averaged ECG Report 14 3 Store 00 tan p si ee s 14 3 Tiatismitan ECG ari A tede Atto dee Roh dts 14 3 Enable or Disable the ACI TIPI Option isis 144 MAC 5500 V vi Define the Basic System Setup isse n nn n n n n n n nnn 14 4 Miscellaneous Set p 2 ga aya sa aaa ana akan MED UTER ARI IER 14 4 Patient QUESTIONS coo Ct eoa nna Et 14 6 Screen Colors editio e eire 14 8 druide c uma yaku aaa eee ation ae amp 14 8 E O 14 9 14 10 Dated Time ooa qe he Rr ded thay 14 11 Language iz 14 12 Power Up Options essc cxteris penkeeroo aa a RET ea 14 12 Order Manager Interface 14 12 RS 14 13 Define the ECG Setup iiie nnne nennen 14 13 ECO ACUSA e GR pea 14 13 EGG AnalyslS override enr eer dr fa Mele da wei 14 16 Patient Questions s lu a DEED ERG Ya 14 17 Writer SetiD x
20. 5500 Field Service Manual for information about mounting and connecting the modem option MobileLink Wireless Option See the MobileLink Installation and Troubleshooting Guide for information about mounting configuring and connecting the wireless option Connect External Devices Exercise Option The system can connect at port 1 with the following devices Series T2000 treadmills SunTech Tango blood pressure device m Colin STBP 780 blood pressure device or N Ergoline 900 900L integrated blood pressure device OTE Before using external devices the system must be properly set up see Chapter 14 System Setup and exercise protocols must be properly defined see Chapter 7 Editing Protocols The system can connect at the ANA TTL port with the following devices The Ergoline 800 ergometer m The Ergoline 900 ergometer m The Lode ergometer NOTE Other bicycle ergometers and treadmill models with an analog port can be connected to the analog output of the MAC 5500 A TTL QRS trigger signal for external devices can be connected to the ANA TTL port 2 10 MAC 5500 2020299 153C Equipment Overview Connect the Acquisition Module Cables Verify Correct Operation 156A Plug the cables into the front of the acquisition module Refer to Acquisition Module on page 2 9 for more information Press power to turn on the system Ifthe system starts up without displaying er
21. B 3 Editing Acronyms Resting ECG Acronyms isa icre nran n nennen C 2 Report Formats D 2 4 by 2 55 1 Rhythm Lead Format 0 cece cect eet e eee e D 2 Key to Bottom of Exercise Reports alacena D 3 Additional Repot Names D 3 MAC 5500 vii viii Reporte c yy ee POCO e RI Re ea ee D 4 651 Exercise Final ReportNames rr e eset en eeneees D 5 Master s Step Data Master s Step Table 0 0 E 2 ST T Chang e iiis iia nc exerk Con erra acea nca v Fdo ra wc OE E 3 MAC 5500 2020299 153C 1 Introduction 2020299 153C MAC 5500 Introduction Manual Information Purpose Intended Audience Revision History This manual contains the instructions necessary to operate the system in accordance with its function and intended use This manual is intended for the person who uses maintains or troubleshoots this equipment Each page of the document has the document part number and revision letter at the bottom of the page The revision letter identifies the document s update level Revision History Revision Date Comment A 16 October 2007 Initial release of document B 14 February 2008 Revised Document Assembly Worksheet to add RoHS addendum to English and Chinese manuals only 6 31 October 2008 Extended document to v9C software Updated Equipment Symbols
22. Enter the number of copies to be printed Selected Enter the number of copies to be printed Medians Trend amp Enter the number of copies to be printed Medians 14 26 MAC 5500 2020299 153C System Setup Final Report Exercise Testing Continued Item Description Median Report Leads Enter the number of copies to be printed Then select either 3 6 or All leads for the median report All means that the report has either 12 or 15 leads Fifteen leads appear only if extra leads such as X Y or Z were chosen in Basic System setup Trend Report Leads Enter the number of copies to be printed Then select either 3 or All leads for the trend report ST HR Loops Enter the number of copies to be printed ST HR Report Enter the number of copies to be printed for the ST Heart Rate Slope report Within the system setup function select Exercise Test 2 Select Screen to define how your exercise ECGs are displayed on your screen Screen Exercise Testing Description Select Yes to display a median complex on the screen in front of Rhythm Lead 1 2 and 3 during an exercise test Select 20 or 40 Hz to set the screen filter Screen Item Display Rhythm Medians Screen Filter Inputs Outputs Within the system setup function select Exercise Test 2 Select Inputs Outputs when you connect additional equipment like
23. See Card Reader Option Setup on page 14 29 Slide Card Slide the patient data card through the optional card reader when you are prompted 4 2 MAC 5500 2020299 153C Entering Patient Information Using a Bar Code Reader Option Connect and Configure the Bar Code Reader 1 Connect the bar code reader to the A port on the back panel of the system 2 Configure the bar code reader See Bar Code Reader Option Setup on page 14 30 Scan the Bar Code Scan the patient s bar code with the bar code reader when you are prompted 272A NOTE Do not use the bar code reader for scanning the bar code that appears on the ECG printout The bar code on ECG printout is of a different format and not readable by the bar code reader Receive Orders from a MUSE CV System Option Preparation The MUSE CV System can communicate orders to this system in the following ways m SD card MUSE v005D or higher via modem internal or external via LAN via infrared or 2020299 153C MAC 5500 4 3 Entering Patient Information Load the Orders 1 3 ft 30 4 91 4 cm 0 1 EB MUSE CV infrared device MAC 5500 265A via wireless communication MobileLink or MobileLink UHS wireless system Instructions for mounting configuration and connecting the client bridge to the system can be found in the MobileLink Installation and Troubleshooting Guide NOTE Performan
24. access point Ethernet option only Bad LAN connection Relocate the system to within range of access point and retry transmission Verify that the LAN cable is connected to LAN port and the Link LED Green lights up and Activity LED Yellow blinks Cannot use the system because Device Password does not work Device Password has been changed or has not been adequately communicated to the staff Contact your administrator for Device Password Internal Storage If there is corruption to file system the system will display a prompt for formatting to recover the file system NOTE System recovery from internal storage corruption will destroy the ECG records present in the system s internal memory B 4 MAC 5500 2020299 153C C Editing Acronyms 2020299 153C MAC 5500 Editing Acronyms Resting ECG Acronyms NOTE The statements preceded by do not appear on ECG reports when the Screening criteria item is enabled in System Setup To enable or disable Screening criteria see ECG Analysis on page 14 16 Statement Acronym Aberant conduction ABCOND Abnormal ECG AB Abnormal left axis deviation ALAD Abnormal QRS T angle consider primary T wave abnormality QRST Abnormal right axis deviation ARAD Abnormal right superior axis deviation RSAD Accelerated ACCEL Acut
25. aq 6 7 Test End Phase Buttons sees da tere Ae eed 6 8 Editing Protocols Operating Steps irrien ierat Erun TEPEE EE RETAN 7 2 Advance to Exercise 7 5 Advance to Recovery 7 5 Advance to Test End sssssssssrsrnnnnnnnnnnnnnnnnnnnnnnnnannnnnnnna 7 6 Save Current Protocol enne 7 6 MAC 5500 1 10 11 Printing an ECG Report Print Stored ECG Reports 0 0 0 8 2 PrintAnother Report ccccccccccecceeeeeeeeeeaeeaeeaneaeeeneaneaneags 8 2 Transmitting an ECG Transmit Stored ECGs by Modem Option sene nnn n n n n nn 9 2 Transmit Stored ECGs Locally se 9 3 Transmit Stored ECGs by Wireless Option ccccecececucueueueueueueas 9 3 Transmit Stored ECGs to the Serial Port in XML 9 4 Receiving an ECG Receive ECGs by Modem Option sse n n n n n n nn 10 2 Receive ECGs Locally cccccececccueueeeeecucuceeueueueueueuneuaugs 10 3 Querying the MUSE CV System iiis n nen n n n n n nnns 10 3 Retrieve Confirmed ECGs from a MUSE CV System via Modem Option 10 3 Retrieve Confirmed ECGs from a MUSE CV System via LAN Option 10 4 Selectan ECG ii ios oo ad C ee ee v FR XC E ERG be 10 4 Display or Printthe ECG 7 gt 10 4 Retrieve Confirmed ECGs from a MUSE CV System via Wireless Option 10 4 Editing an ECG Editing an ECG 54 conceit a e ac DC CC RD a w sa 11 2 Edit Demographic and Interpret
26. axis NWA or OR or digitalis effect ODIG Otherwise normal ECG ABR 2020299 153C MAC 5500 C 5 Editing Acronyms Statement Acronym Pediatric ECG analysis PEDANL plus right ventricular enlargement RVE Poor data quality interpretation may be adversely affected QCERR Possible PO possibly acute AC Posterior infarct POSTMI Posterior leads POS premature atrial complexes PAC premature ectopic complexes PEC premature junctional complexes PJC premature supraventricular complexes PSVC premature ventricular and fusion complexes PVCF premature ventricular complexes PVC probably digitalis effect PDIG Prolonged QT LNGQT Prominent lateral voltage PLV Prominent mid precordial voltage PMDPV Prominent posterior voltage PPV Pulmonary disease pattern PULD QRS contour suggests infarct size is probably MISIZ Right atrial enlargement RAE Right axis deviation RAD4 Right bundle branch block or right ventricular hypertrophy RBBRVH Right bundle branch block RBBB Right superior axis deviation RAD5 Right ventricular hypertrophy RVH Rightward axis RAD RSR or QR pattern in V1 suggests right ventricular RSR conduction delay 5 1 52 53 pattern consider pulmonary disease RVH or 515253 normal variant Septal infarct SMI C 6 MAC 5500 2020299 153C Editing Acronyms
27. computer generated tracings WARNING OPERATOR Medical technical equipment such as this system must only be used by qualified and trained personnel WARNING SHOCK HAZARD Improper use of this device presents a shock hazard Strictly observe the following warnings Failure to do so may endanger the lives of the patient the user and bystanders When disconnecting the device from the power line remove the plug from the wall outlet first before disconnecting the cable from the device Otherwise there is a risk of coming in contact with line voltage by inadvertently introducing metal parts in the sockets of the power cord Devices may be connected to other devices or to parts of systems only after making certain that there is no danger to the patient the operators or the environment as a result Standards IEC 60601 1 1 EN60601 1 1 must be complied with in all cases 2020299 153C MAC 5500 1 5 Introduction WARNING SITE REQUIREMENTS Do not route cables in a way that they may present a stumbling hazard For safety reasons all connectors for patient cables and leadwires are designed to prevent inadvertent disconnection should someone pull on them For devices installed above the patient adequate precautions must be taken to prevent them from dropping on the patient WARNING TREADMILLS Avoid rapid changes in treadmill speed and or grade during a stres
28. disable the ACI TIPI function Select Yes to enable the ACI TIP function This is an option and might not be installed on your unit Patient Questions Within the system setup function select ECG 2 Select Patient Questions to define two alpha numeric patient data prompts Patient Questions Item Description Prompt Type the text you want for the patient question Type Selectthe type of response you want entered for the patient question Select Numbers and letters to answer the prompt using numbers and letters Select Numbers only to answer the prompt using numbers Select Yes or No to answer the prompt using either yes or no Writer Setup Within the system setup function select ECG 2 Select Writer Setup to change the writer s default speed gain and filter settings 2020299 153C MAC 5500 14 17 System Setup Writer Setup Item Description Speed Selectthe writer s default speed setting in millimeters per second Gain Select the writer s default gain setting For the 10 5 setting limb leads appear at 10 mm mV and precordial leads appear at 5 mm mV Filter Select the writer s default filter setting The screen filter is always setto 40 Hz Resting Pediatric 15 Lead and Vector Loops ECG Reports 1 Within the system setup function select ECG 2 Select this function to Specify the leads displayed on reports Choose the unconfirmed and con
29. expired electrodes Check for defective broken or disconnected leadwires Check the patient s position The patient should remain motionless during the acquisition of a resting ECG Refer to Chapter 3 Preparing the Patient for more information B 2 MAC 5500 2020299 153C Troubleshooting There is No ACI TIPI Report ACI TIPI is disabled Enable ACI TIPI The selected report is without interpretation Select Interpretation for the report The ACI TIPI required information is not entered Make sure the age range gender and chest pain complaints are entered The patient was entered as pediatric Make sure you enter an age greater than 16 The original ECG was acquired in an electrocardiograph without the ACI TIPI option Refer to Using ACI TIPI Option on page 5 5 for more information No BP Readings from External Device Check the blood pressure device setup If Suntech check protocol on Tango Check cables Serial and TTL Check TTL trigger Refer to Inputs Outputs on page 14 27 Inputs Outputs on page 14 28 for more information Treadmill Ergometer Does Not Move System Errors Check protocol Check cables Check input output settings Check Emergency Stop switch to make sure it is not depressed or that it still retains settings from the previous patient Inputs Outputs on page 14 27 for more information The following errors may occur while you are operating
30. here C green AC power light Indicates the system is connected to AC power D amber battery light Indicates the battery is recharging E internal access button Press to open the system to change paper or the battery Internal View 116A Name Description A battery Recharge when the battery icon flashes on screen B writer door Open to replace paper or the battery C acquisition module Connect the acquisition module cable here connector D papertray Place paper here E 844 A the size of paper standard or A4 the tray olds 2020299 153C MAC 5500 2 3 Equipment Overview Connectors Back Panel 118A WARNING LEAKAGE CURRENT Keep leakage current within acceptable limits when connecting auxiliary equipment to this device Total system leakage current must not exceed 100 microamperes Description Connect an optional card reader or optional bar code reader Connect a GE KISS pump Connect a local transmission cable serial line modem or client bridge wireless option Connect a device requiring analog data or TTL trigger Connect an external video display Point ata MAC 5500 or MUSE CV system s IR transceiver to transmit or receive ECG data Insert the system card into this slot to archive or restore data from external media or to update software Connect non grounded periphera
31. lead median or trend reports the first three Swedish format rhythm leads are used When printing or storing 6 lead median reports all six of the Swedish format rhythm leads are used Median Select the median lead you want printed in the reports Choices are Fixed or Scan Select Fixed to manually designate the median lead Exercise Reports Final Report Within the system setup function select Exercise Test Select Exercise Reports to choose the report you wish to print with the 12 lead or optional 15 lead exercise tests Within the system setup function select Exercise Test Select Final Report to set up the types of reports you want to print on the final report These reports print during the TEST END phase Final Report Exercise Testing Item Description Storage Option Select Store strips and final report Store final report only or No storage of test data to Store in test strips or final reports to memory Final Report Select No Preview Report Summary Report Tabular Report Selected Medians Trend amp Preview Medians Median Report or Trend Report format to print as a preview report before Reason for Termination and Comments are entered and all final reports are printed at test end Summary Enter the number of copies to be printed Select either Resting and Max ST Medians or Report Resting and Peak Exercise Medians format for the final summary report Tabular Report
32. leads are the first three leads of the Swedish format rhythm leads group that is configured in Exercise Setups Report Leads 6 Lead Comparative Medians and Rhythm The baseline and current medians are compared side by side and followed by real time waveforms The 6 leads used by this report are the Swedish format rhythm leads group that is configured in Exercise Setups Report Leads 12 Lead Comparative Medians and Rhythm A one page report for which the baseline and current medians are compared side by side and followed by 2 5 seconds of real time rhythm for the standard 12 leads ST level and ST slope are reported for each lead Hi Res or PHi Res Signal Averaged Template Hi Res or PHi Res Signal Averaged Standard Dominant averaged beat type Vector magnitudes of X Y Z 2020299 153C MAC 5500 D 3 Report Formats Report Name Description Hi Res or PHi Res 400mm s of expanded X Y Z medians and a RMS voltage function VM plot Signal Averaged Expanded ACI TIPI The analysis ofthe acquired ECG data appears atthe top of the report Hi Res or PHi Res X Y Z data attwo different amplitudes Signal Overlapped RMR One median complex for each of the 12 leads combined with 10 seconds of 3 lead rhythm Swedish Format 1 One median complex for each of the 12 leads at writer speed of 50mm s combined with 5 seconds of 6 lead rhythm at half writer speed Text is on the bott
33. necessary to re initiate the process of receiving from the MUSE system You may also wish to consult your hospital IT department or your local GE networking professional regarding modification of your wireless LAN to improve system performance 1 Select Remote Query 2 Select a MUSE CV system To retrieve ECGs from the default MUSE CV system select Connect To retrieve ECGs from a different MUSE CV system select Location m Select the pre defined MUSE CV system or Select Manual Dial to retrieve ECGs from another MUSE system Press the return key Enter the telephone number of the receiving device Press the return key For Type choose MUSE Network Press the return key 3 Select Connect NOTE If you do not know the patient s ID number type the patient s last name Then select your patient from the displayed list of patients 4 Select Return The system retrieves a directory of tests 5 Select one or more tests Display or Print the ECG To display the ECG select Display The selected ECG displays along with the following options Medians will display the medians for the displayed ECG Text will display measurements and analysis for the displayed ECG Rhythm will display rhythm information for the displayed ECG Next will display the next selected ECG Return will take you back to the directory of ECGs To print the ECG select Print The system retrieves then prints the test The report
34. of the pad to select the highlighted item c Select the appropriate function Entering Data Type Data into a Highlighted Field 1 Press the right or down arrow to highlight the First name field Last name 163A 2 Type the patient s first name 2020299 153C MAC 5500 2 17 Equipment Overview 3 Press the middle of the pad or the return key to enter the information The cursor goes to the next data field Selecting Items from a List 1 Press the right arrow to highlight Gender 2 Press the middle of the pad to lock the list in place 167A 3 Press the down arrow to highlight Male or Female 4 Press the middle of the arrow pad to confirm the selection The cursor goes to the next data field 2 18 MAC 5500 2020299 153C 3 Preparing the Patient 2020299 153C MAC 5500 Preparing the Patient Prepare the Patient s Skin Careful skin preparation is the key to an interference free ECG The signal quality is shown on the Hookup Advisor indicator NOTE To use the KISS Electrode Application System see the KISS operator s manual for instructions The KISS system is not available for sale in the United States 4 e 1 Shave any hair from each electrode site and degrease each electrode site with alcohol If conducting a stress test proceed to steps 2 and 3 If you are not conducting a stress test skip ahead to step 4 2 Mark eac
35. or without interpretation 125 L analysis statements m Enter the number of copies you want to print for each report 0 10 copies AbnormalECG Choose the report formats your system automatically prints when an abnormal ECG is Reports detected m Select whether you want the report to print with or without interpretation 12SL analysis statements Type in the number of copies you want printed Confirmation Choose the text that appears on an ECG report that indicates the status of the ECG text m Select Unconfirmed to indicate that the ECG report is not confirmed by a physician Once an ECG is confirmed the word Confirmed appears on the ECG report Select Reviewed by to display the reviewer s name on a confirmed ECG report If the ECG report is not confirmed then no name appears Extra Leads 15 Lead ECG Option Only Item Description Lead Set Choose the three additional leads used You can m Select one of the pre defined lead sets or m Select Custom 3 to define the electrode positions of Al A2 and A3 Vector Loops Vector Loops Option Only Item Description Number of Type a value between 0 and 10 for the number of copies you want to print for this report copies format Main loop gain Selecta default setting Lead Z display Selecta default setting Sagittal plane Selecta default setting 14 20 MAC 5500 2020299 153C System Setup Analog Ou
36. protocol select Edit different protocol 4 Select Main Menu to display the Main Menu 7 6 MAC 5500 2020299 153C 8 Printing an ECG Report 2020299 153C MAC 5500 Printing an ECG Report Print Stored ECG Reports 1 Select File Manager A list of stored ECG reports displays NOTE If SD Card Storage Only is enabled this is a list of ECGs on the SD card which is currently inserted If SD Card Storage Only is not enabled this is a list of ECGs in internal memory 2 Press Select 3 Select one or more ECGs 4 Select Print Print Another Report To print another report of the same ECG in a different report format follow these steps 1 Run the test The system will automatically print a report as configured in System Setup 2 Select More to view the second screen of options 3 Select New Format 4 Highlight the additional reports to print 5 Select Return 6 Select Print or press the copy key to initiate the extra reports NOTE Changes here affecting only the current ECG Once another ECG is recorded the reports specified in the system setup are printed Refer to Chapter 14 System Setup for more information 8 2 MAC 5500 2020299 153C 9 Transmitting an ECG 2020299 153C MAC 5500 Transmitting an ECG Transmit Stored ECGs by Modem Option 75A Connection to External Modem Internal modem port 115B Connection to Internal Modem
37. s 3 by 10s 4 by 2 5s 4 by 2 5s 1 rhythm lead 4 by 2 5s 3 rhythm leads 4 by 10s 5 by 2s 5 by 2s 1 rhythm lead 5 by 2s 3 rhythm leads 5 by 10s D 2 MAC 5500 2020299 153C Report Formats Key to Bottom of Exercise Reports The following report codes are printed on the lower left edge of the Exercise Report and have the following meaning A Auto Arrhythmia Reporting is ON A Auto Arrhythmia Reporting is OFF H Stag Hold is ON H Stag Hold is OFF S Cubic Spline is ON 5 Cubic Spline is OFF 50 50Hz AC filter is ON 60 60Hz AC filter is ON HR Binary encoded format for heart rate leads Additional Report Names Report Name Description 12 Rhythm Leads 10 seconds of 12 lead rhythm Autorhythm 10 seconds of 3 6 or 12 leads of rhythm CGR One median complex for each of the 12 leads combined with 10 seconds of 3 lead rhythm Expanded Median Each median complex can be expanded by double the speed and double the gain Linked Median A 4 2 5 with 1 rhythm lead format The rhythm lead printed across the bottom of the report is the first lead of the Swedish format rhythm leads group that is configured in Exercise Setups Report Leads Medians and Rhythm A median complex for each of the standard 12 leads is displayed in the upper portion of this report Below the medians are three rhythm strips These rhythm
38. silver chloride types if there is a situation where there is a likelihood that a defibrillation procedure will be necessary MAC 5500 2020299 153C Introduction If polarizing electrodes are used we recommend disconnecting the leadwires from the patient before delivering the shock Electrode defibrillation recovery is the ability of the electrode to allow the ECG trace to return after defibrillation We recommend using non polarizing disposable electrodes with defibrillation recovery ratings as specified in AAMI EC12 3 2 2 4 MMS P N 9623 105 Silver MacTrodes MMS spec TP9623 003 AAMI EC12 requires that the polarization potential of an electrode pair does not exceed 100mV 5 seconds after a defibrillation discharge Accuracy Of the Input Signal Reproduction Overall System Error is tested using the method described in AAMI ECII 3 2 7 1 Overall System Error is 4 596 m Frequency Response is tested using the method described in AAMI EC11 3 2 7 2 methods A and D Modulating Effects in Digital Systems This device uses digital sampling techniques that may produce some variation in amplitudes of Q R and or S waves from one heart beat to the next which may be particularly noticeable in pediatric recordings If this phenomenon is observed the clinician should be aware that the origin of amplitude variations is not entirely physiologic For measuring voltages of Q R and S waves it is advisable to use the QRS complexes w
39. the same horizontal level as D and E G LA black L yellow Left deltoid H LL red F green Above left ankle Alternate placement upper leg as close to torso as possible RL green N black Above right ankle Alternate placement upper leg as close to torso as possible RA white R red Right deltoid K VAR gray CAR gray Right anterior chest opposite of D ll B V8 gray C8 gray Under left midscapular line M V9 gray C9 gray Left paraspinal border 2020299 153C MAC 5500 3 5 Preparing the Patient Frank X Y Z Placement AHA Label IEC Label Electrode Placement A LA black L yellow J ust below the clavicle of the left arm B E orange E lightblue Mid sternum on the same horizontal level as C and D C V4 blue C4 brown Mid clavicular line in the fifth intercostal space D V6 purple C6 purple S line on the same horizontal level as E LL red F green Leftleg lower abdominal quadrant F RL green N black Right leg lower abdominal quadrant G orange light blue Right mid axillary line on the same horizontal level as C and D H RA white R red J ust below the clavicle of the right arm H orange Hlightblue Back of neck avoid the carotid artery and jugular vein M orange M light blue nad of spine on the same horizontal level as and D 03B NEHB Placement To acquire a NEHB ECG use the Standard 12 Lead electrode placement and items A and B shown below AHA Lab
40. unless the operator manually overrides the test NOTE When the stages in the treadmill protocol have durations other than infinite the exercise test advances from stage to stage automatically However you can press Exercise on the treadmill controller keyboard at any time to manually advance to the next EXERCISE stage You can manually change a treadmill s speed and grade however this puts you in the manual mode for the remainder of the test m Press Speed W to increase speed within 5 seconds of your last workload change m Press Speed W to decrease speed within 5 seconds of your last workload change m Press Grade to increase grade within 5 seconds of your last workload change m Press Grade to decrease grade within 5 seconds of your last workload change 2020299 153C MAC 5500 6 5 Exercise Stress Test Option Exercise Phase Buttons Menu Function Event Stage Hold Press to display a list of predefined events In exercise phase press to hold current stage Measurements Will allow the system to reestablish the median complex set the J point then select the three leads used to calculate heart rate Leads Select the leads used for 3 or 6 Rhythm leads All Leads Lead Check or Lead Placement Median Select a lead to act as the median lead This can be a fixed lead or scanned for lead with most ST depression Writer Change the writer s arrh
41. use is necessary the system should be observed to verify normal operation in the configuration in which it will be used 2020299 153C MAC 5500 CE 1 CE Marking Information Review the AAMI Committee Technical Information Report TIR 18 Guidance on Electromagnetic Compatibility of Medical Devices for Clinical Biomedical Engineers This guidance document provides a means to evaluate and manage the EMI environment in the hospital The following actions can be taken to reduce the risk of medical device EMI and achieve EMC Assess the EMC environment of the healthcare facility e g identify radio transmitters in around the facility and identify areas where critical medical devices are used e g ER ICU CCU NICU Increase the distance between sources of EMI and susceptible devices Remove the devices that are highly susceptible to EMI Lower power transmitted from electrical and electronic equipment EMI sources under hospital control i e paging systems Label devices susceptible to EMI Educate healthcare facility staff nurses and doctors to be aware of and to recognize potential EMI related problems CE 2 MAC 5500 2020299 153C Contents 1 Introduction 1 2 PUlDOSe 0 pi UR 35 12 Intended 12 Revision History yatan o oreet 00 12 GONVENTONS x cun tos ode Ap etd ewe etae at e te t e 12 SMe sore EM 12 APP reda nA A oid d RA 1 3 Safety 1 3 D efif
42. want for the patient question Type Select the type of response you want entered for the patient question Select Numbers and letters to answer the prompt using numbers and letters Select Numbers only to answer the prompt using numbers Select Yes or No to answer the prompt using either yes or no Card Reader Option Setup NOTE When configured for card reader the system will prompt you to slide the patient card when you select Patient Information If no patient card is available press esc to enter the patient information manually Automatic Configuration of Card Reader 1 Obtain a configuration card For details on creating a configuration card see Creating Bar Codes and Magnetic Cards on page 14 31 With the card reader properly mounted connect it to the A port on the back of the system From the Main Menu select System Setup Basic System PS 2 Port Select PS 2 Port Device Card Reader Return Press esc when the Manual Card Reader Configuration window appears The items in this window will be automatically configured Press esc when the Basic System menu appears Select Save Setup To System Reboot the device 2020299 153C MAC 5500 14 29 System Setup From the Main Menu select System Setup Basic System PS 2 Port Select gt Card Reader Configuration Automatic Return The following message is displayed Slide the Configuration Card Sli
43. 4 13 13 12 82 85 Male 19 21 23 22 21 20 19 19 18 17 16 16 5 Female 13 18 17 17 17 16 16 15 14 14 13 12 1 86 90 Male 18 20 22 21 21 20 9 18 17 16 5 15 14 Female 12 17 16 16 16 15 15 14 13 13 12 12 1 91 94 Male 19 21 21 20 19 18 17 16 16 15 14 14 Female 16 15 15 15 14 14 13 13 12 1 1 10 94 99 Male 18 21 20 19 18 17 17 16 15 14 14 13 Female 15 14 14 14 13 13 13 12 11 1 1 10 100 104 Male 17 20 20 19 18 17 16 15 14 13 13 12 Female 14 13 13 13 13 12 12 11 11 10 10 09 ST T Change The existence of any ST T change is assessed by classifying ST T into three assessment levels positive borderline and negative The following criteria is used Positive ST depression gt 0 1mV 2 or more leads ST elevation gt 0 2mV 2 or more leads m T wave change lt 1 0mV 2 or more leads One of these three criteria must be met Borderline ST depression lt 0 05mV any leads m ST elevation gt 0 1mV any leads m T wave change gt 0 5mV any leads One of these three criteria must be met 2020299 153C MAC 5500 E 3 Master s Step Data Negative Positive and borderline criteria are NOT satisfied Calculation ST depression rest ST post J post exercise ST post J ST elevation post exercise ST post J rest ST post J T wave change absolute value of rest T wave amplitude post exercise T wa
44. 7 26 25 25 24 23 22 22 21 0 Female 22 25 25 26 26 25 24 23 22 21 20 19 18 18 17 50 53 Male 20 26 26 27 27 26 25 25 24 23 22 22 21 21 0 Female 20 23 23 25 25 24 23 22 21 20 19 18 18 17 6 54 58 Male 18 24 25 26 27 26 25 24 23 22 22 21 21 20 9 Female 18 22 22 24 24 23 22 21 20 19 18 18 17 16 15 59 63 Male 16 23 24 25 26 25 24 23 23 22 21 20 20 19 18 Female 16 20 20 23 23 22 21 20 19 19 18 17 16 15 15 64 67 Male 21 23 24 25 24 24 23 22 21 20 20 19 18 18 Female 18 19 22 22 21 20 19 19 18 17 16 15 15 14 68 72 Male 20 22 24 25 24 23 22 21 20 20 19 18 18 17 Female 17 17 21 20 20 19 19 18 17 16 16 15 14 13 E 2 MAC 5500 2020299 153C Master s Step Data I iix 5 9 10 15 20 25 30 35 40 45 50 55 60 65 70 75 Weight 14 19 24 29 34 39 44 49 54 59 64 69 74 79 kg Sex 13 16 Male 18 21 23 24 23 22 22 21 20 19 18 18 17 17 Female 15 16 20 19 19 18 18 17 16 16 15 14 13 12 77 81 Male 20 22 23 23 22 21 20 9 18 18 17 17 16 Female 13 14 19 18 18 17 17 16 16 15 1
45. 8 Secure data card eject 13 2 formatting 13 2 lock and unlock 13 2 software update from 13 5 Secure data card slot 2 3 select new language 14 12 serial line baud rate 14 9 serial number description 1 13 where to find 1 13 serial power always on 14 5 service requirements 1 13 setup preview before analysis 14 2 shift 2 6 shutdown of system 14 5 signal averaged ECG setup 14 23 Site number 14 4 skin preparation 3 2 Slow Analog Output 14 28 Software update from secure data card 13 5 sort ECG orders 14 12 file manager 14 4 space bar 2 6 speaker volume 14 4 speed 2 7 ST Measurements 14 24 standard leads 14 18 14 25 start 2 7 STOP 2 7 stop 2 6 store data compression format 14 16 ECGs automatically 14 3 ST T E 3 subnet mask 14 10 SunTech Tango blood pressure device 2 10 suppress ABNORMAL and BORDERLINE statements 14 16 suppress NORMAL statement 14 16 swedish format rhythm leads 14 19 14 26 system password 14 5 system setup print parameters 14 34 restore setup 14 34 save changes 14 34 Tabular Report 14 26 technician 14 7 telephone number 14 9 test 2 7 test Indication 14 7 text entry 14 4 thermal paper storage A 5 Tic marks 14 24 time setup 14 10 transmission delete ECG after transmission 14 5 setup 14 8 transmit automatic transmission 14 3 via modem 9 3 troubleshooting basic questions B 2 operator error B 2 visual inspection B 2 TTL Output 14 21 14 28 two second pause 14 9 type 14 9 BF equipment 1 12 V
46. D1207 28D Name Description system messages Error or informational messages appear in this area current heart rate bar graph The top horizontal line is the maximum predicted heart rate 220 age The line below thatis the target heart rate a percentage of 220 age At the start of EXERCISE phase a third line representing the resting heart rate will appear workload level Indicates the units of measurement and can be changed phase and stage clocks The top clock displays the total time in a phase The bottom clock displays the time in a stage During the TEST END phase the top clock displays total time in the EXERCISE phase and the bottom clock displays total time in the RECOVERY phase current phase and stage name Top is phase name bottom is stage name protocol name The name of the selected protocol is displayed rhythm formats Use System Setup see Chapter 14 System Setup or Ld Select to change the leads displayed and printed medians Current pretest systolic diastolic blood pressures The BP numbers become dim if the BP has not changed in over one minute current heart rate Determined by the three leads displayed on your screen during the PRE TEST phase function icon Indicates the Main Menu function the system is using This is the Exercise function battery status icon Indicates how much charge the battery has available
47. ECG Time taken up to 9 are available Set any undesired tests to 0 2020299 153C MAC 5500 14 33 System Setup Miscellaneous Setup Print Setup Within the system setup function select Print Setup to print a report of your system s System Setup parameters Save Setup Select Save Setup to save the changes you made to the System Setup Restore Setup Select Restore Setup to change your system s System Setup parameters Restore Setup Item Description Restore Setup Choose the method for changing all of your System Setup parameters Select To Original Factory Settings to restore the system to the default GE settings Select From secure data card to install System Setup parameters stored on an SD card Select Do Not Restore Setup to exit this function 14 34 MAC 5500 2020299 153C A Maintenance 2020299 153C MAC 5500 Maintenance General WARNING MAINTENANCE Failure on the part of all responsible individuals hospitals or institutions employing the use of this device to implement the recommended maintenance schedule may cause equipment failure and possible health hazards The manufacturer does not in any manner assume the responsibility for performing the recommended maintenance schedule unless an Equipment Maintenance Agreement exists The sole responsibility rests with the individuals hospitals or institutions utilizing the device
48. GE Healthcare MAC 5500 Resting ECG Analysis System Version 9B amp 9C Operator s Manual 2020299 153 Revision C The information in this manual only applies to MAC 5500 system software versions 9B and 9C It does not apply to earlier software versions Due to continuing product innovation specifications in this manual are subject to change without notice MAC MULTI LINK MUSE MACTRODE MobileLink and 12SL are trademarks owned by GE Medical Systems Information Technologies a General Electric Company going to market as GE Healthcare All other marks are owned by their respective owners 2007 2008 General Electric Company All rights reserved T 2 MAC 5500 2020299 153C 31 October 2008 CE Marking Information CE Marking Information C 6 Compliance The MAC 5500 system bears the CE mark CE 0459 notified body GMED indicating its conformity with the provisions of the Council Directive 93 42 EEC concerning medical devices and fulfills the essential requirements of Annex I of this directive Any other directive s and all the standards the product complies to are listed in the general information of the operator manual for the product following this page The country of manufacture can be found on the equipment labeling The safety and effectiveness of this device has been verified against previously distributed devices Although all standards applicable to presently marketed devices may not be appropriate f
49. Rhythm Leads Vector Loops Sagittal horizontal and frontal plane vectorgrams Marks on sample X Y Z complexes identify P onset and offset Q onset and offset and T onset In Test Reports Report Name Description 12 or 15 Lead Report Based on Exercise report setups a variety of 12 or 15 Lead report formats will print without ECG analysis when the 12 Id key is pressed or when 12 15 lead reports are configured in the protocol 5 Second Rhythm Report This report can be chosen from the Edit Protocol application to print at certain points during the test D 4 MAC 5500 2020299 153C Report Formats Report Name Description Rhythm Report A continuous real time recording of raw data 3 6 12 leads Leads for rhythm report correspond to leads on the screen Arrhythmia Report Automatic documentation of arrhythmias with 2 5 seconds of raw data prior to the ectopic beat Leads of arrhythmia report correspond to leads on the screen Recall Report A delayed recording of raw data 10 seconds in duration Leads of recall report correspond to leads on the screen Median Report Based on exercise setups a Linked Median Medians amp Rhythms 6 or 12 Lead Comparative Medians amp Rhythm report will print See the Additional Report Names section for a description of these formats Exercise Final Report Names Report Name Description Summary Report One pag
50. ST appears The table below explains each column of the PRETEST phase screen Pretest Phase Screen Column What Does This Column Allow You to Do Stage Create multiple stages for each phase except TEST END where only one stage is allowed Duration Set the duration of each stage You may choose from 00 00 99 59 minutes and seconds or infinite duration The last stage always has an infinite duration This means that your MAC 5500 remains in the last stage for an infinite duration or until you stop the exercise test Ergometer Set the ergometer workload in Watts or KP M Select from 0 to 1000 Watts 5 watt increments Select from 0 to 6000 KPM 25 KPM increments Treadmill Setthe treadmill speed in MPH or Km h Select from 0 0 to 25 0 MPH 0 1 MPH increments Select from 0 0 to 40 0 Km h 0 1 Km h increments Setthe treadmill grade Select from 0 0 to 40 0 percent 0 1 percent increments Report Print reports during a stage automatically Style sets the type of report that prints You may choose No Report 12 Ld Medians or a 5 second Rhythm report First indicates when the first report prints Repeat indicates the frequency the reports print after the first report prints BP Set blood pressure prompting during a stage First indicates when the first blood pressure prompt occurs Repeat indicates the frequency of blood pressure prompts after the first prompt occurs
51. ace opens 2 Select Create Order A window opens to enter the manual order 3 Enter the patient data 4 Select Return to close the window The system saves the order Selecting and Completing Manually Created Orders Manually created orders are selected and completed the same way downloaded orders are selected and completed Refer to Select an Order to Complete on page 4 4 for information on selecting an order m Refer to Complete the Order on page 4 5 for information on completing an order 2020299 153C MAC 5500 4 5 Entering Patient Information 4 6 MAC 5500 2020299 153C D Recording an ECG 2020299 153C MAC 5500 Recording an ECG Hookup Advisor The system offers the Hookup Advisor feature which is a tool for monitoring the quality of resting ECG signals and is available in the resting pediatric 15 lead vector loops and Master s Step applications It can reduce or eliminate the occurrence of poor technical quality ECGs save time and prevent the need for retakes When Hookup Advisor is enabled a three circle indicator appears on the display Red indicates a lead fail condition or extreme baseline shifts The red indicator is always the left most circle of the of the indicator Yellow indicates muscle artifact power line interference baseline wander or electrode noise The yellow indicator is always the middle circle of the of the indicator
52. al Averaged ECG Measurements Select HI Res Measurements The message Edit the QRS or P wave Onset displays Select Yes to edit the onset Select Onset or Select No to edit the offset Select Offset Press the left or right arrows to increment or decrement the measurement Press the return key Edit Diagnostic Statements Insert or Append an Acronym Insert allows you to add text before the current statement Append allows you to add to the end of the current line 1 2 Insert or Append Free Text Select Diagnostic Statements Select a statement Select Append or Insert Type an acronym Press the return key Select Return Select Diagnostic Statements Select a statement Select Append or Insert Type a statement Press the return key Select Return Move a Statement to a New Line 1 2 3 Select Diagnostic Statements Select a statement Select New Line 2020299 153C MAC 5500 11 3 Editing an ECG Delete a Statement 1 Select Diagnostic Statements 2 Select a statement 3 Select Delete Join Two Statements 1 Select Diagnostic Statements 2 Select a statement to join with the preceding statement 3 Select Join Store the Edited ECG 1 Select Return 2 Select Return 3 The message Save the edited file displays 4 Select Store to save the edited file or press esc to discard the changes to the file 11 4 MAC 5500 2020299 153C 12 Deleting
53. an ergometer to your system 2020299 153C MAC 5500 14 27 System Setup Inputs Outputs Item Description Slow Analog Select Not Used DC Heart Rate Workload Speed x1 Speed x3 or select Grade to Output define DC heart rate ergometer workload treadmill speed or treadmill grade If using exercise protocols for an ergometer or an analog treadmill see Chapter 7 Chapter 7 Editing Protocols you must configure the slow and fast analog output properly to control the workload device For ergometers the analog output should be configured for workload for analog treadmills the analog outputs should be configured for speed and grade Fast Analog Select Not Used DC HeartRate Workload Speed x1 Speed x3 Grade or select one Output of the following leads Il V1 V2 V3 V4 V5 or V6 Attach an acquisition module to the Blood Pressure MAC 5500 system in order to use this output Select Manual Ergoline Ergometer Suntech or Nipon Colin If selecting the Suntech blood pressure device the blood pressure device must be configured to use the Ergoline emulation mode See the Suntech blood pressure device Operators Manual TTL Output Select Not Used QRS Detect or BP Prompt to define TTL Output If selecting any of the external blood pressure devices the TTL output must be configured to provide a QRS Trigger that meets the specifications of the blood pressure device See t
54. an ECG Deleting an ECG Delete Stored ECGs Select File Manager A list of ECG reports is displayed Choose Select Highlight one or more ECG reports Select Delete to delete the ECGs Type the System or Overread password NOTE The System password should only be used by the system administrator or by qualified service personnel All other users should use the Overread password The message Delete these ECGs displays Select Yes to delete the selected ECG reports or Select No to cancel this delete request Select a different ECG report to delete Delete Stored ECG Orders Option Select Ord Mgr Int to enable the order manager interface Select Load Orders Select Delete A list of orders displays Select an order to delete NOTE Only orders that have not been completed may be deleted Select Delete The system deletes the orders Enter the location s from which the device should retrieve the orders Refer to Receive Orders from a MUSE CV System Option on page 4 6 for more information Select Cancel to return to the Main Menu 12 2 MAC 5500 2020299 153C 13 Completing Other Tasks 2020299 158C MAC 5500 Completing Other Tasks Prepare a Secure Data SD Card for Use Lock and Unlock To prevent accidental deletion of data protect the SD card by moving the lock panel into locked position Move the lock panel back into the original unlocked position to allows you to sto
55. anager Interface 1 Within the system setup function select Basic System 2 Select Order Manager Interface to acquire store and print ECG orders received from a MUSE CV system The MUSE CV system must use a Hospital Information System HIS Order Manager Interface Item Description Initial sort Select how you wantto sort displayed ECG orders Orders can be sorted by Patient name value Patient ID Location Time or Stat Create orders Select Yes to allow ECG orders to be entered manually into the system locally 14 12 MAC 5500 2020299 153C System Setup PS 2 Port Within the system setup function select Basic System Select PS 2 Port Select to select the optional card reader or bar code reader PS 2 Port Select options are defined in the table below PS 2 Port Item Description PS 2 Port Select the input device connected to the P 5 2 port Keyboard Card Reader or Bar Code Device Reader See Card Reader Option Setup on page 14 31 for details on how to configure the card reader See Bar Code Reader Option Setup on page 14 33 for details on how to configure the bar code reader Card Reader Configuration None Manual or Automatic See Card Reader Option Setup on page 14 31 for more information Bar Code Configuration None Manual or Automatic See Bar Code Reader Option Setup on page 14 33 for more information Define the ECG Setu
56. ans information for the selected ECGs or Select Rhythm to display rhythm information for the selected ECGs Display Measurement and Analysis Statements Select Text to display measurement and analysis statements text information for the selected ECGs Display the Next Selected ECG Select Next to display the next selected ECG Return to the Main Menu Select Return to return to the Main Menu from the current screen Display ECGs From a Different SD Card To display ECGs from a different SD card insert the appropriate SD card in the drive slot and select the File Manager Restore All option Restore All on page 13 3 for more information 13 4 MAC 5500 2020299 153C Completing Other Tasks Software Update From Secure Digital Card Connect the system to AC power before you begin the software update Keep the system connected to AC power during the software update and do not power off the system during the software update 1 2 Press Power to turn on the system From the Main Menu select System Setup Enter the system password and press Enter Press Shift F3 The message below is displayed Please Insert SD Card Press Esc to cancel Insert the secure digital card A message similar to the one shown below is displayed Current Version New Software Version Press Enter to start installation Press the Enter key If the system is not connected to AC power the message shown below is dis
57. ase C Recovery Press to advance to the recovery phase D Testend Press and hold to end the test and start the test end phase E Speed W Press to manually change the belt speed or ergometer load F Grade up down Press to change the elevation of the treadmill belt G Start STOP Press to start or stop the treadmill during the test tmill H Recall Press to print a 10 second delayed recall report 12 ld Press to print a 12 lead report 10 seconds of acquired data Medians Press to print a medians report K Comment Press to enter comments aboutthe test Comments are printed on many of the final reports L EnterBP Press to enter BP readings or to trigger a reading from an external device Or advance to next stage within the selected phase 2020299 153C MAC 5500 2 7 Equipment Overview Acquisition Module 161B WARNING BURN PROTECTION To ensure defibrillator protection and protection against high frequency burns use only the CAM 14 acquisition module with this equipment Otherwise serious injury could result CAUTION PROPER LEADWIRE CONNECTION Improper connection will cause inaccuracies in the ECG Trace each individual leadwire from its acquisition module label to the colored connector and then to the proper electrode to ensure that it is matched to the correct label location Description Name A leadwires Attach to the patie
58. ation on setting MUSE location numbers 3 Select Connect Select an ECG 1 Select an ECG by typing the patient s ID number NOTE If you do not know the patient s ID number type the patient s last name Select your patient from the displayed list of patients 2 Select Return The system retrieves a directory of tests 3 Select one or more tests Display or Print the ECG 1 To display the ECG select Display The selected ECG displays along with the following options Medians will display the medians for the displayed ECG Text will display measurements and analysis for the displayed ECG Rhythm will display rhythm information for the displayed ECG Next will display the next selected ECG Return will take you back to the directory of ECGs 2 To print the ECG select Print The system retrieves then prints the test The report format set up in System Setup is used Retrieve Confirmed ECGs from a MUSE CV System via Wireless Option Before receiving an EGG report be sure that the unit is powered on Connect and configure the MobileLink wireless option as described in the Mobile Installation and Troubleshooting Guide 10 4 MAC 5500 2020299 153C Receiving an ECG Performance of the MobileLink wireless system may vary due to changes in RF radio frequency properties of your site or environmental conditions If you are experiencing intermittent connectivity in certain areas of your facility it may be
59. attery CAUTION BEFORE INSTALLATION Compatibility is critical to safe and effective use of this device Please contact your local sales or service representative prior to installation to verify equipment compatibility CAUTION DISPOSABLES Disposable devices are intended for single use only They should not be reused as performance may degrade or contamination could occur CAUTION DISPOSAL Atthe end of its service life the product described in this manual as well as its accessories must be disposed of in compliance with local state or federal guidelines regulating the disposal of such products If you have questions concerning disposal of the product please contact GE or its representatives CAUTION EQUIPMENT DAMAGE Devices intended for emergency application must not be exposed to low temperatures during storage and transport to avoid moisture condensation at the application site Wait until all moisture has vaporized before using the device CAUTION ELECTRIC SHOCK To reduce the risk of electric shock do NOT remove cover or back Refer servicing to qualified personnel 2020299 153C MAC 5500 1 7 Introduction Classification CAUTION OPERATOR Medical technical equipment such as this electrocardiograph system must only be used by persons who have received adequate training in the use of such equipment and who are capab
60. ber LED next to this symbol indicates you must connect the system to AC power to re charge the battery Do NOT throw the battery into the garbage Recycle the battery Consult accompanying documents This position of the switch removes battery power from the equipment Classified with respect to electric shock fire mechanical and other specified hazards only in accordance with UL 60601 1 CAN CSA C22 2 No 601 1 CAN CSA C22 2 No 601 2 25 EN 60601 2 25 EN 60601 1 1 IEC 60601 1 2 2001 To reduce the risk of electric shock do NOT remove cover or back Refer servicing to qualified personnel This symbol indicates that the waste of electrical and electronic equipment must not be disposed as unsorted municipal waste and must be collected separately Please contact an authorized representative of the manufacturer for information concerning the decommissioning of your equipment This product consists of devices that may contain mercury which must be recycled or disposed of in accordance with local state or country laws Within this system the backlight lamps in the monitor display contain mercury Manufacturer name and address European authorized representative PCT GOST marking symbolizing conformity with applicable Russian Gosstandart technical and safety standards MAC 5500 2020299 153C Introduction Service Information Service Requirements Refer equipment servicing to GE authorized service personn
61. by Hookup Advisor 2020299 153C MAC 5500 14 15 ECG Analysis Within the system setup function select ECG Select ECG Analysis to define the ECG analysis parameters ECG Analysis options are defined in the table below ECG Analysis Item Description Preview before Select Yes to allow the user to always preview a recorded ECG before the system analysis analyzes the data resting pediatric 15 lead and vector loops only Screening Select Yes to prevent specific 12SL analysis statements from appearing on ECG reports criteria See Appendix C to identify these statements Suppress Select Yes to prevent the Normal ECG 12SL analysis statement from appearing on NORMAL printed stored and transmitted ECG reports Statement Suppress Select Yes to prevent the Abnormal ECG and Borderline ECG 12SL analysis statements ABNORMAL from appearing on printed stored and transmitted ECGs and BORDERLINE statements Storage format Choose the data compression format of the ECGs stored on a MUSE CV system 250Hz not available with ACI TIPI option m Select 500Hz MUSE Network if sending ECGs to a MUSE CV system using MUSE software versions 004A or later m Select 500Hz DVS MUSE Network to store ECGs so that they can be reprinted at the same full original resolution by the receiving device The MUSE CV system must be using software version 5D 04 or later Store XML format Select Yes to a
62. ce of the MobileLink wireless system may vary due to changes in RF radio frequency properties of your site or environmental conditions If you are experiencing intermittent connectivity in certain areas of your facility re initiate the process of receiving from the MUSE system Consult your hospital IT department or your local GE Medical Systems networking professional regarding modification of your wireless LAN to improve system performance Select Ord Mgr Int The Order Manager interface opens Select Load Orders Choose to delete the old orders or load the new orders Enter the location s from which the device should retrieve the orders Select the Orders to Receive 1 2 Select one or more orders Select Return The system stores the orders Select an Order to Complete 1 2 Choose Select Select an order Select Continue to proceed with selecting this order The system will then go to the ECG test or Select Cancel to abort the selection of this order You can then select a different order to complete 4 4 MAC 5500 2020299 153C Entering Patient Information Complete the Order 1 Select Patient Data The patient data window for this patient displays 2 Enter patient data or modify the patient data that is displayed 3 Select Return to proceed with completing this order The system will then go to the ECG test Enter Orders Manually Option 1 Select Ord Mgr Int The Order Manager interf
63. ceiving mode b Select Main Menu 10 2 MAC 5500 2020299 153C Receiving an ECG Receive ECGs Locally Receive via Infrared 1 3ft 30 4 91 4cm 00 MAC 5500 MAC 5500 106A 1 Select Receive to prepare the system for receiving ECG reports a b Select Local Line The system is ready to receive ECGs When all of the ECGs are received Select Cancel to take the system out of receiving mode Select Main Menu Querying the MUSE CV System Retrieve Confirmed ECGs from a MUSE CV System via Modem Option 1 Select Remote Query Select a MUSE CV system To retrieve ECGs from the default MUSE CV system select Connect To retrieve ECGs from a different MUSE CV system select Location Select the pre defined MUSE CV system or Select Manual Dial to retrieve ECGS from another MUSE system Press the return key Enter the telephone number of the receiving device Press the return key For Type choose MUSE Network Press the return key 4 4 2020299 153C MAC 5500 10 3 Receiving an ECG 3 Select Connect Retrieve Confirmed ECGs from a MUSE CV System via LAN Option 1 Select Remote Query 2 Select a MUSE CV system To retrieve ECGs from the default MUSE CV system select Connect To retrieve ECGs from a different MUSE CV system select that system pre defined in System Setup Refer to Miscellaneous Setup on page 14 4 for inform
64. cleaning fluids and solvents such as alcohols ketones esters ether etc Do NOT use mounting forms pressure sensitive tapes or labels containing solvent based adhesives To assure maximum image life thermal paper should be stored separately in manila folders m polyester or polyimide protectors Plastic document protectors envelopes or sheet separators made of polystyrene polypropylene or polyethylene will not degrade thermal traces in themselves However these materials afford no protection against fading from external causes Use only mounting forms and pressure sensitive tapes made with starch or water based adhesives 2020299 153C MAC 5500 A 5 Maintenance NOTE Paper manufacturers advise that these thermal products should retain their traces when properly imaged and stored for about 3 5 years If your retention requirements exceed these guidelines we recommend you consider alternate image storage techniques Archivist Paper Storage The following applies to Archivist thermal paper only GE warrants that the image produced on Archivist papers by GE equipment will not fade for seven 7 years when handled according to the instructions outlined below Archivist papers must be continuously stored below 104 F 40 C and relative humidity must be maintained between 40 and 60 The customer must notify GE promptly following any customer knowledge of fading The GE equipment used shall have p
65. ct Network Setup to define your system s LAN parameters Network Setup menu items are defined in the table below MAC 5500 System Setup Network Setup Item Description IP Address Enter the IP Address The formatis ss Subnet Mask Enter the Subnet Mask information The formatis Gateway Enter the gateway information The formatis Port Number Enter the 4 digit port number Option Activation 1 Within the system setup function select Basic System 2 Select Option Activation to activate one or more new options Options are defined in the table below Option Activation 4 Letter ae Item Option Name Description 12 Lead ST12 This option allows you to perform a 12 lead stress test Exercise 15 Lead ST15 This option allows you to perform a 15 lead stess test Exercise Hi Res HRES This option is a QRS signal averaging program PHi Res PRES This option is a P wave signal averaging program which enhances measurement accuracy by maximizing signal fidelity AT Modem MODM This option allows you to send and receive data over the external AT modem FAX Modem FAXM This option allows you to send and receive data over the external Fax modem Interpretation DIAG This option allows you to print the 1251 diagnosis on resting ECG reports Remote Query RQRY This option allows you to query the MUSE database to view and print
66. d Select Return Within the system setup function select ECG Select ECG Analysis Select the type of ECGs stored Select Return Before programming your system to automatically transmit an ECG you must define the receiving device and its default location See Transmission on page 14 8 to define the transmission parameters of the default receiving device 1 2 Within the system setup function select ECG Select ECG Analysis Select the type of ECGs transmitted In the Auto ECG transmission field select one m All ECGs m No ECGs m Only ABNORMAL ECGs Select Return 2020299 153C MAC 5500 14 3 System Setup Enable or Disable the ACI TIPI Option 4 Within the system setup function select ECG Select ECG Analysis In the Enable ACI TIPI field select Yes to enable the ACI TIPI option select No to disable the ACI TIPI option Select Return Define the Basic System Setup Miscellaneous Setup 1 2 Within the system setup function select Basic System Select Miscellaneous Setup to define your system s basic set up items Miscellaneous Setup menu items are defined in the table below Miscellaneous Setup Item Description Institution Type the name of your hospital clinic etc as you want it to appear on printed reports On name most reports the institution name appears at the top Text entry Select Uppercase only to type text in uppercase letters Select Uppe
67. de the configuration card through the card reader The Manual Card Reader Configuration window appears with numbers entered for the various configuration items 10 Press esc twice 11 Select Save Setup To system Manual Configuration of Card Reader Bar Code Reader With the card reader properly mounted connect it to the A port on the back of the MAC 5500 From the Main Menu select System Setup Basic System PS 2 Port Select gt PS 2 Port Device Card Reader gt Return The Manual Card Reader Configuration window is displayed Enter the magnetic card code configuration information in this window See Creating Bar Codes and Magnetic Cards on page 14 31 Press esc twice Select Save Setup To system Option Setup NOTE When configured for bar code reader the system will prompt you to Scan the patient ID bar code when you select Patient Information If no bar code is available press esc to enter the patient information manually Do not use the bar code reader for scanning the bar code that appears on the ECG printout The bar code on ECG printout is of a different format and not readable by the bar code reader Automatic Configuration of Bar Code 1 Obtain a configuration bar code For details on creating a configuration bar code see Creating Bar Codes and Magnetic Cards on page 14 31 Connect to the bar code reader to the port on the back of the MAC 5500 From the Main Men
68. der number 14 7 overread password 14 5 P pacemaker pulse enhancer 14 14 paper tray size 2 3 paper storage A 5 paper tray 2 3 password device 14 5 overread 14 5 system 14 5 patient history 14 7 ID number length 14 6 ID number required 14 6 questions function 14 17 skin preparation 3 2 pediatric ECG report setup 14 18 PHi Res setup 14 23 Polarity 14 28 polarity 14 21 port number 14 10 Positive E 3 power mains AC power connector 2 4 serial connector 14 5 power up options 14 12 pretest 2 7 preview before analysis 14 16 print automatic report print 14 3 setup parameters 14 34 product code 1 13 Q QRS Beep 14 21 14 28 R Race 14 7 recall 2 7 receive confirmed ECGs 10 3 10 4 recovery 2 7 Referred by 14 7 Remote Analog Output 14 28 report abnormal ECG 14 20 confirmation text 14 20 formats setup 14 19 normal ECG 14 20 print barcodes 14 5 print location of ECG test information 14 5 reports description D 2 Tabular 14 26 responsibility of the manufacturer 1 9 resting ECG reports setup 14 18 14 25 restore all 13 3 restore setup 14 34 return 2 6 rhythm 2 6 leads 14 19 14 25 reports 14 18 14 25 RMR CGhH extra rhythm lead 14 19 14 25 room number 14 7 safety equipment symbols 1 10 general information 1 10 saggital plane 14 20 save setup changes 14 34 screen 2 2 screen colors 14 8 Screen Filter 14 27 Index 4 MAC 5500 2020299 153C Index screening criteria 14 16 secondary ID 14
69. ds which adhere to ISO 7810 and 7811 Use the following rules to set up a scheme including patient demographic data in bar codes or magnetic cards Item Byte Length Patient ID The Patient ID length should not exceed the 16 character maximum and should be equal to the ID length which is set up on the system in the Patient Questions window This should also be compatible with the patient ID length for the MUSE CV system to which the system is communicating Last Name 16 maximum First Name 10 maximum 2020299 153C MAC 5500 14 31 System Setup Year of birth Month of birth Day of birth Gender Once a scheme has been determined the following information must be provided to the system to properly set up the bar code reader or the card reader Total number of bytes Patient ID offset Patient ID length First name offset First name length Last name offset Last name length Year of birth offset Year of birth length Month of birth offset Month of birth length Day of birth offset Day of birth length Gender offset Gender length Getorder from MUSE Select Yes to get orders from the MUSE The system will call MUSE If an order for the PID exists on the MUSE system the patient s information will display after reading the bar code or card PID must be included in bar code or magnetic strip for this feature to function properly If a message appears indicating there are multiple orders for this PID you must use th
70. e enhancement can always be enabled on a per patient basis at the time of ECG acquisition within the resting ECG programs Baseline wander warning Select Yes to display a screen message when the system detects a wandering baseline Muscle tremor warning AC noise level warning1 Select Yes to display a screen message when the system detects muscle tremor Select Yes to program the system to check for powerline interference when recording an ECG Hookup Advisor Select Yes to enable the Hookup Advisor option which monitors the quality of resting ECG Signals and is available for resting 15 lead pediatric vector loops and Master s Step ECG measurements 14 14 MAC 5500 2020299 153C System Setup ECG Acquisition Continued Item Description Prompt level If Hookup Advisor is enabled set the sensitivity at which the system will prompt users regarding patient hookup quality Choices are Yellow Red default and Never When the Prompt level is set to Yellow the expected behavior for both yellow and red lead quality situations is as follows Users are prompted to Continue or Cancel the recording m The statement Poor data quality interpretation may be adversely affected is automatically printed on the report When the Prompt level is setto Red the expected behavior for red lead quality situations is as follows m Users are prompted to Continue or Cancel t
71. e Order Manager feature to select the order If you are using the automatic configuration feature use the following information to create a configuration bar code or card 14 32 MAC 5500 2020299 153C System Setup Item Character used to reserve byte space Patient ID 9 First name 5 Lastname 6 Year of birth 3 Month of birth 1 Day of birth 2 Gender F NOTE All data resides in fixed width fields The bar code or card generator must be programmed to add trailing spaces after patient names shorter than the fixed width of the patient names being used by your system Master s Step Setup Option Within the system setup function select Master s Step to define the parameters for the Master s Step option Master s Step Setup Option Item Description Number of The number of steps required during the exercise portion of the test This is calculated Steps from the patient weight sex and age but can be changed here Test Type Test length Select Single for 1 5 minute test Double for 3 minute test or Triple for a 4 5 minute test Post ms Number of ms after point used to determine the ST level Step Counter Select Up to display steps taken so far Select Down to display steps to go during Display exercise Continuous Continuously prints rhythm between post exercise ECGs Recording PostExercise The time in minutes after the 1st post exercise ECG when a additional ECG should be
72. e overview of test with Resting and Max ST or peak median morphologies For Maximal ST Depression report only prints when a minimum of 5 mm of ST depression occurs in one of the following leads Il Ill aVF V2 V6 V1 aVR aVL excluded For elevation aVR is excluded Tabular Report Tabular summary of test by stage including time speed grade workload MET level heart rate blood pressure RPP and comments Selected Medians Report Trends and Medians Records median morphologies at Baseline Maximum ST Depression Peak Exercise and Test End for 12 leads For Maximum ST medians column only prints when a minimum of 5 mm of ST depression occurs in one of the following leads Il Ill aVF V2 V6 V1 aVR aVL excluded For elevation aVR is excluded Records a plot of the heart rate and blood pressure against time Next to these trend graphs are channels of stored median data from the various stages of an exercise test Median Report Records median morphologies for 3 6 or 12 leads The 3 and 6 lead reports are configured using the Swedish format rhythm leads of the Exercise Setups Report Leads The 12 lead report uses the standard 12 lead set The median storage intervals also referred to as sample cardiac cycles can be configured using the Median First and Repeat column of the Protocol Editor Trend Reports Records plots of PVCs heart rate and blood pressure Also produces trend report of ST level a
73. e pericarditis PCARD ACUTE MI ACUMI Age undetermined AU and consecutive CSEC and AND Anterior infarct AMI Anterior injury pattern AINJ Anterior leads ANT Anterolateral infarct ALMI Anterolateral injury pattern ALINJ Anterolateral leads ANTLAT Anteroseptal infarct ASMI Anteroseptal leads ANTSEP Anteroseptal injury pattern ASIN Atrial fibrillation AFIB Atrial flutter FLUT Atrial rate ARAT Atrial tachycardia ATAC AV sequential or dual chamber electronic pacemaker AVPCK C 2 MAC 5500 2020299 153C Editing Acronyms Statement Acronym Biatrial enlargement BAE e Bifascicular block BIFB Biventricular hypertrophy BIVH Blocked BLKED Borderline ECG BORDE Borderline BO Cannot rule out CRO Consider right ventricular involvement in acute inferior infarct CRVI Clockwise rotation of the heart may invalidate criteria for CWRT ventricular hypertrophy Coarse CRS Counterclockwise rotation of the heart may invalidate criteria for CCWRT v hypertrophy Deep Q wave in lead V6 QV6 Demand pacemaker interpretation is based on intrinsic rhythm DPCK Dextrocardia DXTRO Early repolarization REPOL Electronic atrial pacemaker APCK Electronic ventricular pacemaker PCK Fusion complexes FUS In a pattern of bigeminy BIGEM Incomplete left bundle branch block ILBBB Incomplete right bundle branch block IRBBB Increased R S rati
74. e to Memory message did not appear select Store to save the ECG to internal memory 2020299 153C MAC 5500 5 3 Recording an ECG Transmit the ECG For systems which are set up to store ECGs to SD card SD Card Storage Only is enabled in Miscellaneous Setup Ifthe Saving file to SD card message appears the ECG is being saved to the SD card Ifthe Saving file to SD card message did not appear select Store to save the ECG to the SD card NOTE Data access speeds may vary depending on the SD card capacity and manufacturer This may affect the time required to read or write ECG records and other information to the SD card GE recommends the use of a 128 MB 256 MB or 512 MB card manufactured by SanDisk If the Establishing network connection message appeared the ECG is preparing to transmit If the Establishing network connection message did not appear you will need to manually initiate the transmission Refer to Transmitting an ECG on page 9 1 for more information Record a Signal Averaged ECG Options 1 Select Hi Res or PHi Res to enable the system to record a signal averaged ECG NOTE To record a PHi Res ECG GE recommends a target noise level of 0 3MV or less 2 Select Template to initiate the signal averaged ECG recording 3 Change the seed beat Select Display Select SelectQRS Select a new seed beat 4 Select Average to average the ECG data 5 Select Store to store the ECG data
75. e to begin creating a new protocol Menu name Type the name of this protocol as you would like it to appear on your screen menu Exercise Test Type Select Treadmill in MPH or Km h Analog Treadmill in MPH or Km h Ergometer in Watts or KPM This is the type of exercise test you want to perform Select Treadmill if using with a T2000 treadmill Ramp Protocol Select Yes if you want the ergometer workload or treadmill speed and grade to change every 6 seconds Select No if you want the ergometer workload or treadmill speed and grade to change every stage Name of PRETEST phase Type the name of your PRETEST phase as you would like it to appear on your reports Name of EXERCISE phase Type the name of your EXERCISE phase as you would like it to appear on your reports Name of RECOVERY phase Type the name of your RECOVERY phase as you would like it to appear on your reports Name of FINAL phase Type the name of your FINAL TEST END phase as you would like it to appear on your reports Peak report style Choose one of the following reports to print a time of peak exercise during transition to RECOVERY phase from EXERCISE phase No report 12 15 Ld Medians and 5 second Rhythm 7 2 MAC 5500 2020299 153C Editing Protocols 3 Select Return when you are finished changing the Protocol name Menu name etc The first phase screen usually called PRETE
76. eal time data for each of the 12 or 15 leads and to display the chest electrode placement Autorhythm Select the group of Rhythm leads printed in the Autorhythm report RMR CGR extra rhythm leads Select the rhythm lead s you want printed in the RMR and CGR reports When you change a rhythm lead the new lead appears on all reports displaying that lead For example if you select V5 for RMR CGR extra rhythm lead 1 then the V5 waveform appears on all reports that include RMR CGR extra rhythm lead 1 Swedish Select the rhythm lead s you want printed in the Swedish format reports format rhythm leads When you change a rhythm lead the new lead appears on all reports displaying that lead For example if you select V5 for the Swedish format rhythm lead 1 then the V5 waveform appears on all reports that include Swedish format rhythm lead 1 Confirmed Reports Item Description Reportformats Choose the report formats you wantto print after an ECG has been confirmed Select whether you want the report to print with or without interpretation 12SL analysis statements Enter the number of copies you wantto print for each report 0 10 copies MAC 5500 14 19 System Setup Unconfirmed Reports Item Description Normal ECG Choose the report formats your system automatically prints after you press ECG Reports m Select whether you want the report to print with
77. east four interim stages between the first and last stage This prevents abrupt changes in workload or speed and grade if the stage advances accidentally 2 Change the EXERCISE phase information See Pretest Protocol Information earlier in this chapter as a sample guide for editing this protocol information Advance to Recovery Advance to the RECOVERY phase using one of the following methods 1 Press Phase 2 Next press Recovery Change the RECOVERY phase information See Pretest Protocol Information earlier in this chapter as a sample guide for editing this protocol information 2020299 153C MAC 5500 7 5 Editing Protocols Advance to Test End Advance to the TEST END phase using one of the following methods Press Phase Next press and hold Test end 1 Change the TEST END phase information The only parameter that may be edited in TEST END phase is the report type You may choose No report or Final 2 Press Menu when you finish editing the phases of the protocol An Edit menu similar to the following appears Return Edit protocol phase names Save current protocol Print current protocol Edit different protocol Erase current protocol Restore default protocols Copy All to SD Card Restore All from SD Card Main Menu Save Current Protocol 1 Select Save current protocol to save your new or revised protocol 2 Press Menu again The Edit menu appears 3 To add or change another
78. easurements and interpretation F Rhythm Prints continuous ECG data This data cannot be stored or transmitted G Stop Stops the writer from printing H arrow pad Moves the cursor left right up or down Press the center to select a highlighted menu or screen item return Enters information into the system Throughout the manual this key is referred to as the return key information Provides additional user information K space bar Adds a space between typed characters or highlights screen items L option Used to create special characters on non English keyboards M esc Returns you to a previous menu N shift Creates a capital letter P ress shift p to type a capital P 2 6 MAC 5500 2020299 153C Equipment Overview Keyboard Exercise Test Keys Option Your keyboard may be slightly different than that shown A B C D E F G Cal Q2 SE El Recall 121d Medians J Comment t J Enter BP J J 0994 sor gt wie 6 1 1 C U LJ GJ 6363 03 6 1 6 LJ G O fe 8 EJ 6 HJ CG 6 EJ E C8 e EJ la H J K L 152B Name Description A Pretest Press to advance to the pretest phase B Exercise Press to advance to the exercise ph
79. ecure data card 13 2 preview ECG data before analysis 14 2 print another report 8 2 print stored ECG reports 8 2 receive ECGs locally 10 3 retrieve confirmed ECGs 10 3 10 4 select items from a list 2 18 select menu functions 2 16 select the power up function 14 2 select the system setup function 14 2 use the arrow pad 2 17 verify correct operation 2 11 I ID length 14 6 ID number 14 6 immersion in water A 2 information 2 6 information line 14 4 institution name 14 4 internal access button 2 3 IP address 14 10 IR 2 4 K keyboard 2 2 L LAN port 2 2 language selection 14 12 lead labels 2 9 lead set 14 20 14 25 lead Z display 14 20 leads rhythm 14 19 14 25 RMR CGR extra 14 19 14 25 standard 14 18 14 25 swedish format 14 19 14 26 Trend Report 14 27 leadwire adapters 2 8 location 14 7 14 9 location number 14 4 main loop gain 14 20 Main Menu 2 12 2 14 Main Menu functions 2 14 mains AC power connector 2 4 manual conventions used 1 2 intended audience 1 2 purpose 1 2 revision history 1 2 manual control of exercise stages 6 8 Master s Step E 2 medians 2 7 medications 14 7 modem options 14 9 Modem port 2 2 modem speaker 14 8 muscle tremor warning 14 14 2020299 153C MAC 5500 Index 3 Index Negative E 4 network setup 14 9 noise level averaging target 14 29 14 33 normal ECG reports 14 20 O operation ready for use 2 11 option 2 6 option activation 14 10 options 14 7 or
80. el IEC Label Electrode Placement A Al orange Nst white Attachment point of the 2nd rib to the right sternal edge B A2 orange Nax white 5th intercostal space on the left posterior axillary line Same position as V8 or C8 6 V4 blue Nap white Mid clavicular line in the fifth intercostal space Same position as C4 33A 3 6 MAC 5500 2020299 153C Preparing the Patient Pediatric Placement AHA Label IEC Label Electrode Placement A V1 red Cl red Fourth intercostal space at the right sternal border B V2 yellow C2 yellow Fourth intercostal space at the left sternal border 6 V3 green C3 green Midway between location B and D D V4 blue C4 brown Mid clavicular line in the fifth intercostal space E V5 orange C5 black Anterior axillary line on the same horizontal level as D oB F V6 purple C6 purple Mid axillary line on the same horizontal level as D and E G LA black L yellow Left deltoid H LL red F green Above left ankle Alternate placement upper leg as close to torso as possible RL green N black Above right ankle Alternate placement upper leg as close to torso as possible M RA white R red Right deltoid K VAR gray CAR gray Mid clavicular line in the fifth right intercostal space 05B L V3R gray C3R gray Halfway between A and K M V7 gray C7 gray Same horizontal level of D in the left posterior axillary line
81. el only Any unauthorized attempt to repair equipment under warranty voids that warranty It is the user s responsibility to report the need for service to GE or to one of their authorized agents Equipment Identification Every GE device has a unique serial number for identification The serial number appears on the device label HHH HH HH HHH A B 0 D A The product code for MAC 5500 systems is SCD B Year Manufactured 00 99 00 2000 01 2001 02 2002 and so on C Fiscal Week Manufactured D Production Sequence Number E Manufacturing Site F Miscellaneous Characteristic 2020299 153C MAC 5500 1 13 Introduction 1 14 MAC 5500 2020299 153C Equipment Overview 2020299 153C MAC 5500 Equipment Overview Equipment Description Front View 115B Name Description A display screen View the waveform and text data B modem port Connect the telephone cable here C LAN port Connectto the LAN here m The green LED right of this port indicates a good Ethernet link m The amber LED left of this port flashes to indicate network traffic D keyboard Press the keyboard keys to control the system or to enter data 2 2 MAC 5500 2020299 153C Equipment Overview Back View 117A Name Description A back panel connectors Connect peripheral devices here B secure data card slot Insert secure data card for external storage
82. el the Copy All request or Select Yes to continue with the Copy All request If Yes was selected in step 3 the following message displays Deleting existing records if any in SD card Please wait An indicator shows the progress completion of the copying procedure The Restore All command can only be used when all records in the File Manager have been transmitted 1 Insert an SD card with ECGs to be restored to the internal memory of the MAC 5500 device Select File Manager to open the list of stored ECGs to view Select Restore All to begin restoring all of the files from the SD card to internal memory The following message displays Existing records if any in File Manager will be deleted Continue Select No to cancel the Restore All request or Select Yes to continue with the Restore All request If Yes was selected in step 3 the following message displays 2020299 153C MAC 5500 13 3 Completing Other Tasks Deleting existing records if any in File Manager Please wait An indicator shows the progress completion of the restoration procedure Save XML 1 Select File Manager to open the list of stored ECGs to view 2 Highlight the record s to be saved as XML 3 Select Save XML to generate the XML data The resulting XML file s will be saved to the SD card Print the ECG Select Print to print the selected ECGs Display Medians or Rhythm Data Select Medians to display medi
83. elect Basic System 2 Select Screen Colors to display one of three color options Screen Colors Item Description Screen colors Define the screen colors you want the system to display Select Monochrome to view white screen elements Select Option 1 to view white green yellow and red screen elements Select Option 2 to view white yellow and red screen elements Transmission 1 Within the system setup function select Basic System 2 Select Transmission to define your system s transmission parameters Transmission menu items are defined in the table below Transmission Item Description Modem Choose when you want to hear the modem tones Speaker Select On to hear the modem tones Select Off to prevent hearing the modem tones Select Dialing only to hear the modem tones while your system dials a telephone number Dialtone Select Yes when the system is connected to telephone lines that have a dialtone required 14 8 MAC 5500 2020299 153C System Setup Transmission Item Description Dialing method Select the dialing method used by your telephone line Fax error Select Yes if the facsimile machine to which you transmit ECGs uses an error correction correction factor Modem Set the type of modem to be used for ECG transmission Choices are Autodetect Internal Options and External Two second Type a comma in a telephone number t
84. elect Yes to display a prompt asking the name of the technician who recorded the ECG Use the technician identifiers that are compatible with those used for the MUSE CV system to which the system is communicating Technician Select Yes to require entry of the name identifier of the technician who recorded the ECG Required Location Select Yes to display a prompt asking the this system s location number Use the location numbers that are compatible with those used for the MUSE CV system to which the system is communicating Room number Select Yes to display a prompt asking the patient s room number Options Select Yes to prompt the user to enter an options number for this ECG You can define this number to mean whatever you want Ordernumber Select Yes to prompt the user to enter an order number for this ECG 2020299 153C MAC 5500 14 7 System Setup Patient Questions Item Description Secondary ID Select Yes to prompt the user to enter a second ID for this ECG Extra questions Prompt Type the text you want for the patient question Select the type of response you want entered for the patient question m Select Numbers and letters to answer the prompt using numbers and letters Select Numbers only to answer the prompt using only numbers m Select Yes or No to answer the prompt using either yes or no Screen Colors 1 Within the system setup function s
85. eport 6 2 MAC 5500 2020299 153C Exercise Stress Test Option Test Phases Pretest Phase Overview Operating Steps Key Function 12 Id Press to print a 12 lead report Medians Press to print a medians report Comment Press to enter comments that will be stored with the record and printed on some of the final reports Enter BP Press to enter BP readings or to trigger a reading from an external device The pretest phase consists of stages configured in each protocol Commonly used stages are m Supine m Standing m Hyperventilating You can configure the Protocol Editor to take blood pressure measurements manually or automatically See Editing Protocols on page 7 1 The system will beep and display a message prompt in the header of the display when it is time to take a manual blood pressure measurement A set of medians is saved at the end of the Pretest phase as baseline medians 1 On the stress keypad press 12 ld to acquire and print a baseline ECG 2 Press Pretest to advance to the next PRE TEST stage 3 Ifyou are using a treadmill to conduct the exercise test tell the patient to place his her feet on the treadmill frame not on the belt WARNING FALL HAZARD Severe injury can result from a fall Patients should wait until the treadmill belt is moving before stepping onto the belt Step onto the belt with one foot at a time Avoid rapid chang
86. erformance of the MobileLink wireless system may vary due to changes in RF radio frequency properties of your site or environmental conditions If you are experiencing intermittent connectivity in certain areas of your facility it may be necessary to re initiate the process of transmitting to the MUSE system You may also wish to consult your hospital IT department or your local GE networking professional regarding modification of your wireless LAN to improve system performance 2020299 153C MAC 5500 9 3 Transmitting an ECG Transmit Stored ECGs to the Serial Port in XML Format 1 Connect the serial port to the serial port of a PC running a terminal emulation program 2 Select the Location From the Main Menu select File Manager Location gt XML Output 3 Choose Select A list of available ECGs displays 4 Select the ECGs to be transmitted 5 Select one or more ECGs 6 Select Transmit to transmit the XML files 9 4 MAC 5500 2020299 153C 10 Receiving an ECG Receiving an ECG Receive ECGs by Modem Option Be sure that the system is connected to the modem as shown below oo EA T VID 2 ANA TIL EX TSA Internal modem port 115B Connection to Internal Modem 1 Select Receive to prepare the system for receiving ECG reports 2 Select Phone Line The system is ready to receive ECGs 3 When all of the ECGs are received a Select Cancel to take the system out of re
87. eriodic maintenance performed in accordance with GE service manuals and or technical memorandums Maintaining the Battery Battery Gauge Icon The battery gauge icon appears in the upper right corner of the active screen display The battery gauge tells you how much charge your system s battery has available and when the system is charging the battery 1 Battery Ao em C7 Sa ND kkk BPM Empty Charging 1 4 Full 1 2 Full Full 160C 270C A 6 MAC 5500 2020299 153C Maintenance Charging the Battery To Fully Charge the Battery 1 Power off the system 2 Connect the system to an AC wall outlet 3 Charge the system s battery 4 5 hours or until the battery gauge icon indicates a full charge When Should You Charge the Battery Before Initial Use To ensure a fully charged battery charge the system before you use it for the first time Between Acquisitions To ensure a fully charged battery power off the system and connect it to an AC wall outlet until you use the system again This prolongs battery runtime When the Battery is Low The amber battery light and the empty battery gauge icon flash intermittently NOTE The system may run for a long period of time after the empty battery icon appears Empty battery icon 2020299 153C MAC 5500 A 7 Maintenance Is the Battery Charging Periodic Maintenance When the Battery is Completely Discharged Your system powers
88. es in belt speed 2020299 153C MAC 5500 6 3 Exercise Stress Test Option WARNING PINCH POINT HAZARD Hair jewelry and loose clothing can catch in moving parts Keep these and other items away from moving parts Otherwise serious injury could result 4 Press Start tmill on the treadmill controller keyboard to start the treadmill belt moving During the exercise test you can Pretest Phase Buttons Press STOP tmill once on the treadmill controller keyboard to stop the treadmill GRADUALLY Press and hold STOP tmill on the treadmill controller keyboard to stop the treadmill belt QUICKLY Press the emergency stop button usually mounted on the treadmill to stop the treadmill QUICKLY Press Speed W or Speed W and Grade keys on the treadmill controller keyboard to manually control the test However once you press these keys you must manually control the speed and grade during the remainder of the EXERCISE and RECOVERY phases The preprogrammed protocol becomes inactive Menu Function Patient Data Entera patient s name ID number etc Enter the patient s age to allow your system to calculate the maximum and target heart rates New Protocol Selecta different exercise test protocol This function is only available if the test will be printed only not stored to memory Measurements Will allow the system to reestablish the median complex set the J poin
89. es is selected for Dose Type you can edit the list of dose types Up to 20 entries can be configured with capacity for 32 characters per each dose type entry Additional Select Yes to require responses to additional questions on every test Questions Select No to perform tests without requiring responses to additional questions on every test If Yes is selected for Additional Questions you can enter prompts for up to five questions Each prompt has an associated response m Prompts have capacity for 10 characters and response types must be designated as Numbers and Letters or Yes or No m A Numbers and Letters response type has capacity for 17 characters Data Guard Features NOTE The data guard features described below pertain to all types of records in the File Manager Preventediting of records Select Yes to prevent editing of records Select No to allow records to be edited 14 22 MAC 5500 2020299 153C System Setup CT Data Guard Continued Item Description Prevent Select Yes to prevent deletion of untrasmitted records deleting of f untransmitted Select No to allow untransmitted records to be deleted records Enable record re transmit notification If enabled this option will display a notification if users attempt to retransmit records which have already been transmitted to the MUSE system Select Yes to enable the notification of retransmission
90. espond to a fixed poor lead quality problem within 2 3 seconds When an ECG is acquired Hookup Advisor will run a complete and more comprehensive assessment of the full 10 seconds of ECG data and possibly prompt the user regarding any poor lead quality conditions If Preview before analysis is turned off in the system setup a lead quality message and prompt may be displayed depending on the current lead quality level and the Prompt level in the system setup If a message and prompt is displayed the lead quality indicator will reflect the overall 10 second lead quality If Preview before analysis is enabled the system setup Prompt level is disregarded and the system immediately displays the Preview screen Any lead quality messages will be displayed in this screen along with the overall 10 second lead quality indicator In either case users may then either Select Continue to continue print the ECG or Select Cancel to cancel Record a Resting Pediatric Vector Loops or 15 Lead ECG Record the ECG Print Another Report Store the ECG NOTE See Enable or Disable the ACI TIPI Option on page 14 4 to enable or disable ACI TIPI Press the ECG button to initiate the recording of the ECG Press the copy button to initiate another printout of the ECG report For systems which are set up to store ECGs to internal memory If the Saving file to Memory message appears the ECG is being saved If the Saving fil
91. ete 4 4 Complete the OTder cerrarse RIO P pre 4 5 Enter Orders Manually Option enn n n nnne 4 5 Selecting and Completing Manually Created Orders sss 4 5 MAC 5500 2020299 153C 2020299 153C Recording an ECG Hookup Advisor isse mener 5 2 Record a Resting Pediatric Vector Loops or 15 Lead 566 5 3 Record a Signal Averaged ECG Options ise n nnn nnn 5 4 Record a Master s Step Test Option ccccccuscccccucucueueueueerenans 5 4 R n the Test eese aaa aaa aan 5 5 Using ACFTIPI Option sssnnnnnnmmmmmmmmmmmmemmns 5 5 Exercise Stress Test Option Startan Exercise Stress Test enn 6 2 Preparation mnm 6 2 Erb ETE 6 2 Exercise TestKeys s nome e Te ROTER UR E RIDE Red 6 2 Test Pas cir a ia 6 3 Pretest P1858 worn oett eere o cet Dacicus 6 3 O VeIVIBW 50 A cien Rer dtu hes yasa 6 3 Operating Steps it bo dte irat SA 6 3 Pretest Phase Buttons 0 isses 6 4 E Cer nde ET taa woh aka amie kappa eska Maem wees 6 5 ER 6 5 Operating STEPS iore nod shies darned darth ol mice dp gt 6 5 Exercise Phase Buttons r cod oe ee eee dus 6 6 Recovery Phase ceci Wile d 6 6 DU n 6 6 Operating Steps n L uu ha 0 ba Pe eh be 6 6 Recovery Phase Buttons 6 6 TestERdPllases da weis teo Cn a yen d e kaca naa A 6 7 O VervigW oos soe e rco Maca de PT ud ei dod teet 6 7 Operating Steps zs cosa et o bat ergeben donc wed Pet
92. f Assembly operations extensions readjustments modifications or repairs are carried out by persons authorized by GE m The electrical installation of the relevant room complies with the requirements of the appropriate regulations m The equipment is used in accordance with the instructions for use 2020299 153C MAC 5500 1 9 Introduction General Information Intended Use The intended use of this device is to record ECG signals from surface ECG electrodes This device can record analyze print and store electrocardiographic information from adult and pediatric populations This data can then be computer analyzed with various algorithms such as interpretive ECG and signal averaging for presentation to the user This device is intended for use under the direct supervision of a licensed health care practitioner This device is not intended for use with high frequency surgical units Disconnect the patient from the device before using the high frequency surgical unit This equipment uses a computerized ECG analysis program which can be used as a tool in ECG tracing interpretation It is recommended that all ECGs are confirmed by a qualified physician or cardiologist To ensure accuracy only use printed tracings and not the display for physician interpretation This equipment will not cause abnormal operation of a patient s pacemaker or other electronic stimulator The Acute Cardiac Ischemia Time Insens
93. f available stress test protocols 6 Select the desired protocol Legal Notice Our equipment contains several fields which can be filled in before performing an ECG Some of these fields must be filled in before performing an exam some are optional and therefore left to the user to assess whether they are needed to perform the exam A field RACE is one of these optional fields It has been acknowledged by the medical profession as useful to analyze some pathologies You should be aware that in some jurisdictions the processing of data revealing an individual s racial origin is subject to legal requirements such as obtaining the patient s prior consent If you elect to collect this type of data it is your responsibility to ensure that you comply with all applicable legal requirements Exercise Test Keys The Exercise test keys perform the functions listed in the table Key Function Pretest Press to advance to the pretest phase Exercise Press to advance to the exercise phase Recovery Press to advance to the recovery phase Test end Press and hold to end the test and startthe test end phase Speed W Press to increase or decrease the belt speed or ergometer load Speed W Grade Press to change the elevation of the treadmill belt Start tmill Press to startthe treadmill during the test STOP tmill Press stop the treadmill during the test Recall Press to print a 10 second delayed recall r
94. firmed report formats Identify the three auxiliary leads used to acquire a 15 lead ECG using the 15 lead ECG function option m Set up the parameters specific to Vector Loops Reports option Report Leads Item Description Standard leads Selectthe standard leads you wantto appear on the ECG reports When you change a channel s lead the new lead appears on all the ECG reports displaying that channel Rhythm reports Choose the type of data displayed in the Rhythm reports Select Real time to print current ECG data on the Rhythm reports This allows you to print the data you see on the screen Select 10 sec delayed to print ECG data delayed by 10 seconds 14 18 MAC 5500 2020299 153C System Setup Report Leads Continued Item Description Rhythm leads Choose a lead option for each group to determine the rhythm leads that print when you select the rhythm key in an application The six defined groups make up the display list when you select Leads in the Resting Pediatric 15 Lead or Vector Loops Application Select 3 leads to define which three leads in a three lead Rhythm report print Select 6 leads to define which six leads in a six lead Rhythm report print Select All leads to display and print 10 seconds of data for 12 or 15 leads Select Lead Check to display and print real time data for each of the 12 or 15 leads Select Lead Placement to display and print r
95. format set up in System Setup is used 2020299 153C MAC 5500 10 5 Receiving an ECG 10 6 MAC 5500 2020299 153C ll Editing an ECG 2020299 158C MAC 5500 Editing an ECG Editing an ECG Edit Demographic and Interpretive Data If storing ECGs in XML format DO NOT allow editing ECGs at the system Changes made to ECGs during editing WILL NOT BE SAVED to the XML file NOTE Before transmitting an EGG report be sure that the unit is powered on 1 Select File Manager A list of ECG reports is displayed 2 Choose Select 3 Highlight one or more ECG reports 4 Select Edit to display the list of data that can be edited Editing Option Special Considerations Patient Information Medications Test Information ACI TIPI Chest or Left Arm Pain Demographic data can be edited without overreader password ECG Measurements Diagnostic Statements Interpretive data requires overreader password to edit Editing interpretive data confirms or acknowledges the ECG Return Enter the Overreader Password 1 Type the overreader password 2 Press the return key 3 Type the reviewer information 4 Select Return Return to the previous menu Edit Resting Pediatric or Vector Loops Measurements 1 Select ECG Measurements 2 Edit the data 3 Select Return 11 2 MAC 5500 2020299 153C Editing an ECG Edit Sign
96. g Acronyms Statement Acronym Undetermined rhythm UR Unusual P axis and short PR probable junctional bradycardia J BRAD Unusual P axis and short PR probable junctional rhythm JR Unusual P axis and short PR probable junctional tachycardia JTACH Unusual P axis possible ectopic atrial bradycardia EABRAD Unusual P axis possible ectopic atrial rhythm EAR Unusual P axis possible ectopic atrial tachycardia EATACH Ventricular pre excitation WPW pattern type A WPWA Ventricular fibrillation VFIB Ventricular tachycardia VTACH Ventricular pre excitation WP W pattern type B WPWB very large VLAR very small VSMA Voltage criteria for left ventricular hypertrophy LVH with WITH wide QRS rhythm WQR wide QRS tachycardia WQTACH with 15 degree AV block FAV with 2 1 AV conduction W2T1 with 2nd degree AV block Mobitz I MBZI with 2nd degree AV block Mobitz II MBZII with 2nd degree AV block SAV with 2nd degree SA block Mobitz SABI with 2nd degree SA block Mobitz II SABII with 3 1 AV conduction W3T1 with 4 1 AV conduction WATI with 5 1 AV conduction W5T1 with a competing junctional pacemaker CJP with AV dissociation AVDIS with complete heart block CHB with frequent FREQ C 8 MAC 5500 2020299 153C Editing Acronyms
97. h electrode site with a felt tip pen 3 Remove the epidermal skin layer at each electrode site 1 e remove the mark left from the felt tip pen Use an abrasive pad or skin prep cream 4 Apply electrode to prepared area WARNING SHOCK HAZARD Ensure that conductive parts of the electrodes or lead wires do not come in contact with other conductive parts This would cancel the protection provided by the isolated signal input 3 2 MAC 5500 2020299 153C Preparing the Patient Apply the Electrodes WARNING CONDUCTIVE PARTS Keep the conductive parts of lead electrodes and associated parts away from other conductive parts including earth Look at the lead check screen for indication of lead problems NOTE Use only electrodes and contact agents recommended by GE The signal quality on the lead check screen will not be indicated until the RA R electrode has been applied When RA R becomes disconnected the system will report that all electrodes are off the patient CAUTION PROPER LEADWIRE CONNECTION Improper connection will cause inaccuracies in the ECG Trace each individual leadwire from its acquisition module label to the colored connector and then to the proper electrode to ensure that it is matched to the correct label location 2020299 153C MAC 5500 3 3 Preparing the Patient Resting Electrodes Standard 12 Lead Placement
98. he blood pressure device Operators Manual for TTL trigger specifications Polarity Select Positive or Negative to set TTL Output polarity Width Enter a value from 4 48 milliseconds to define TTL Output signal width Delay Type a value between 0 and 100 to seta delay in milliseconds for the TTL Output QRS detector signal QRS Beep Select On to hear a beep for each QRS complex Define the Signal Averaged ECG Setup Option Within the system setup function select Hi Res to define the HI RES and PHi Res signal averaged ECG program options HI RES and PHi Res signal averaged ECG program options Item Description Analysis filter Select the analysis filter you want to use GE recommends using an analysis filter of 40 250Hz Averaging target Select the method to average the target 14 28 MAC 5500 2020299 153C System Setup HI RES and PHi Res signal averaged ECG program options Item Description Target Beat Count Type a value from 1 to 999 GE recommends averaging to a minimum of 250 beats Target Noise Level Type a value from 0 1 to 1 0uV GE recommends averaging to a noise level of 0 3uV Correlation Threshold Select the degree of correlation threshold GE recommends the Very High setting Final Report Type a value from 0 to 10 for the number of copies you want to print for each report format Prompt Type the text you
99. he recording m The statement Poor data quality interpretation may be adversely affected is automatically printed on the report When the P rompt level is setto Never the expected behavior is as follows m The prompt does not display on the device for either yellow or red lead quality situations m The statement P oor data quality interpretation may be adversely affected is automatically printed on the report for red lead quality situations m The Prompt level control is not active if the Hookup Advisor option is turned off NOTE If Hookup Advisor and Preview before analysis options are both on this setting is disregarded because any lead quality message will be displayed when the user is prompted to continue in the preview screen The generation of the statement P oor data quality interpretation may be adversely affected is based on the Hookup Advisor quality level as described above even if Hookup Advisor is not turned on If Hookup Advisor is not turned on the statement will be generated based on what the Hookup Advisor level would have been had it been enabled Pre acquisition Select Yes to begin acquiring ECG data as soon as the leadwires are connected to a patient The system does not wait until the user presses ecg before it starts acquiring ECG data The latest 10 seconds of ECG data is ready for analysis when P re acquisition is turned on lf Hookup Advisor is turned ON this option is overridden
100. iitionS aot ca ah 1 3 1 8 Underwriters Laboratories 999 1 9 Legal Or etc eot ete ode A dote aude aches 1 9 Responsibility of the 0 1 9 General OMAN std redes tote dero a bare 1 10 Intended Use ior corre 0 aban a t e 1 10 Recording ECGs During Defibrillation 0 0 cece eee e eee teas 1 10 Accuracy Of the Input Signal Reproduction 1 11 Modulating Effects in Digital Systems 0 ccc eee e eee eee eae 1 11 Installation and Connection 0200000000 1 11 Parts and AGCESSONES currado 1 11 EquipmentSymbols 7 1 12 Service 1 13 Service Requirements 1 13 1 13 2 Equipment Overview 2 2 Pront VIEW a aa a EE A N 2 2 Back ir A a AAA 2 3 rt a a 2 3 Internal VW 6 ea ost NO 2 4 A pep A M LAM E D a saa 2 4 Back Panel Exercise Option r e 2 5 Keyboard EE IM 26 Keyboard Exercise Test Keys Option 0002000202 2 7 Acquisition Mod le s ssa tee rero Saa Ronde banca 2 8 keadwire Labels 3 ier ee rtr dunt etui satan ien AA 2 9 Leadwire Adapters ot esce s eo EI ck noe ts 2 9 Getting Started 2 10 Prepare the EquipmentforUse tect e n ne 2 10 2020299 153C MAC 5500 i Modem Opti li ict rcd erc ad FCR ree ca 2 10 MobileLink Wireless Option e 2 10 Connect External Devices Exercise Opt
101. ion 2 10 Connect the Acquisition Module Cables 00000000 2 11 Verify Correct Operation isses ne 2 11 Software Descriptionm sana ua RR Ent per CO HERE 2 12 Start Up Screen ci ek meo b CU A C 2 12 Main Menu titi da aid MERET EUT ET DA 2 12 Start Up Screen Exercise Option 2 13 Main Menu cereri ra Deine EE ETA arse ME E Ei 2 14 Main Menu FUNCHONS 2 14 Selecting Menu Functions 2 16 Pressing a Function Key 2 16 Using the ATTOW Pad ces rece ARTS RR AA er ganana 2 17 Entering Data ta ot ER ot n dc Cm Y WEAR 2 17 Type Data into a Highlighted Field 0000000000 2 17 Selecting Items from a List 2 18 Preparing the Patient Prepare the Patient s Skin ss 3 2 Apply the Electrodes uu isse nennen 3 3 3 4 Exercise Electrodes with Exercise Option 22 0202202 3 7 Entering Patient Information 4 2 Using a Patient Card Reader Option 5 121 4 2 Connect and Configure the CardReader rr 4 2 SHIDO CA ei cce cr eoe obe med n ou o 4 2 Using a Bar Code Reader Option 5565656555 4 3 Connect and Configure the Bar Code Reader 00000000 4 3 A A 4 3 Bar CO iit lot 69 06 5 Receive Orders from a MUSE CV System Option nnn 4 3 Preparation i eee ner erkh eA hei AD rp drena A s 4 3 Load the Orders coe e etre HC EROR RUN 4 4 Select the Orders to Receive 7 etna 4 4 Selectan Order to Compl
102. ith the largest deflection of the particular waves Installation and Connection If the installation of this equipment in the USA will use 240 V rather than 120 V the source must be a center tapped 240 V single phase circuit Contact GE for information before connecting any devices to this equipment not recommended in this manual Parts and Accessories To ensure patient safety use only parts and accessories manufactured or recommended by GE Parts and accessories used must meet the requirements of the applicable IEC 601 series safety standards and or the system configuration must meet the requirements of the IEC 60601 1 1 medical electrical systems standard The use of ACCESSORY equipment not complying with the equivalent safety requirements of this equipment may lead to a reduced level of safety of the resulting system Consideration relating to the choice shall include use of the accessory in the PATIENT VICINITY and evidence that the safety certification of the ACCESSORY has been performed in accordance to the appropriate IEC 60601 1 and or IEC 60601 1 1 harmonized national standard 2020299 153C MAC 5500 1 11 Introduction Equipment Symbols a De 2 P Ne te 6 6 lt MEDICAL EQUIPMENT UL 2601 1 CANICSA 601 1 4P41 ARES Dx lt Type BF equipment The acquisition module is protected from defibrillation shocks Alternating current Equipotential Charge the battery The flashing am
103. itive Predictive Instrument ACI TIPI Option is intended to be used in a hospital or clinical environment by competent health professionals ACI TIPI uses recorded ECG data to produce a numerical score which is the predicted probability of acute cardiac ischemia Like any computer assisted ECG interpretation program the GE ACI TIPI evaluation and probability score is intended to supplement not substitute for the physician s decision process It should be used in conjunction with knowledge of the patient s history the results of a physical examination the ECG tracing and other clinical findings ACI TIPI is intended for adult patient populations This system is not intended to be used as a vital signs physiological monitor Recording ECGs During Defibrillation This equipment is protected against the effects of cardiac defibrillator discharge to ensure recovery as required by test standards The patient signal input of the acquisition module is defibrillation proof Therefore it is not necessary to remove the ECG electrodes prior to defibrillation When using stainless steel or silver electrodes a defibrillator discharge current may cause the electrodes to retain a residual charge causing a polarization or dc offset voltage This electrode polarization will block acquisition of the ECG signal To avoid this condition use non polarizing electrodes which will not form a dc offset voltage when subjected to a 60 current such as silver
104. ive Data eee eee ees 11 2 Enter the Overreader Password cece cece cece 11 2 Edit Resting Pediatric or Vector Loops Measurements 11 2 Edit Signal Averaged ECG Measurements eee ea tenes 11 3 Edit Diagnostic Statements 0 ccc ccc cect ne 11 3 Insert or Append an Acronym cc ccc cece cece ne 11 3 Insert or Append Free 11 3 Move a Statementto a New Line 0000000000 11 3 Delete a Statement 114 Join TWO Semen cacas a Wer eek 11 4 Store the Edited ECG es 11 4 MAC 5500 2020299 153C 2020299 153C 12 13 14 Deleting an ECG Delete Stored ECGS ssssssnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnann 12 2 Delete Stored ECG Orders Option nnn n e nnne 122 Completing Other Tasks Prepare a Secure Data SD Card for 056 13 2 Eock and Unlock aaa ua s a pie anta ean 13 2 13 2 Ejectan SD Card From the Drive Slot ss 13 2 File Manager rayu 13 2 Display Stored ECGS ia ia 132 enne 13 3 Restore Al sas eee ee etos bend s cond ot d 13 3 Save XM b wit ods need nasce treu Race au d eda ho a ato Pelr 134 Printthe ECG uapa A A CQ E SRL RC a 13 4 Display Medians or Rhythm Data ccccceeceecaeeaeeaeeeeeeneaueas 13 4 Display Measurement and Analysis Statements eee 13 4 Display the Next Selected ECG cccccuceceeeeeeeeee nen n n n n n n n nn 134 Return to the Main Menu 13 4 Display ECGs From a Different SD 676 13
105. key to indicate no workload value Press the return key WARNING FALL HAZARD Severe injury can result from a fall Patients should wait until the treadmill belt is moving before stepping onto the belt Step onto the belt with one foot ata time Avoid rapid changes in belt speed MAC 5500 2020299 153C Editing Protocols Pretest Protocol Information automatically during a stage You want to How do you change this item Change the Use the arrow pad to select the Report Style field Report Style printed Use the arrow pad to select the stage Report Style you want to change A pop up box appears showing the types of reports available Use the arrow pad to select the report you want to print automatically for this stage Press the return key Change the Report Median and BP First Repeat values for a stage Use the arrow pad to select the appropriate field Type in your own time value or press the delete key to indicate no Report Median or BP for this stage Press the return key Advance to Exercise Advance to the EXERCISE phase using one of the following methods Press Phase Next press Exercise 1 To edit the settings for the MANUAL mode of operation choose the menu option STAGES MANUAL via the function keys to switch from the STAGES mode of operation to the MANUAL mode NOTE When you create or edit a ramp protocol always define at l
106. l devices to ensure equipotential Name A JA B 1 C 2 D ANA TTL E EXT VID F IR G slot H ground lug main AC power Insert the main AC power cable 2 4 MAC 5500 2020299 153C Equipment Overview Back Panel Exercise Option 100 240V 50 60Hz 0 858 118A WARNING LEAKAGE CURRENT Keep leakage current within acceptable limits when connecting auxiliary equipment to this device Total system leakage current must not exceed 100 microamperes Name Description A 1 Connect a T2000 treadmill or external blood pressure device cable to this port B ANA TTL Connectan analog treadmill ergometer cable or TTL trigger to this port NOTE Ergoline bicycle ergometers require connections to both ports 2020299 153C MAC 5500 2 5 Equipment Overview Keyboard NOTE Your keyboard may be slightly different than that shown A B 0 0 s e 0 Koc amp D 1 6 6 5 6 EJ E ej gt E dado Oo EF HODHHHHHoHooHR gt EJE 2 T i lt N ML K J 152B Name Description A function keys Selects screen menu functions B Power Powers the system on or off 6 delete Erases typed characters D Copy Prints another ECG report E ECG Acquires an ECG Press to acquire a 1251 resting ECG including m
107. le of applying it properly CAUTION POWER REQUIREMENTS Before connecting the device to the power line check that the voltage and frequency ratings of the power line 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 In the U S A if the installation of this equipment will use 240V rather than 120V the source must be a center tapped 240V single phase circuit This equipment is suitable for connection to public mains as defined in CISPR 11 CAUTION RESTRICTED SALE USS federal law restricts this device to sale by or on the order of a physician CAUTION SERVICEABLE PARTS This equipment contains no user serviceable parts Refer servicing to qualified service personnel CAUTION SUPERVISED USE This equipment is intended for use under the direct supervision of a licensed health care practitioner The unit is classified according to IEC 60601 1 as Type of protection against electrical shock Class internally powered equipment Degree of protection against electrical shock Type BF defibrillation proof applied part Degree of protection against harmful ingress of water Ordinary Equipment enclosed equipment without protection against ingress of water 1 8 MAC 5500 2020299 153C Introduction Degree of
108. m an asterisk will now appear next to that option in the list 4 Repeat step 3 for each option which needs to be activated Sn Date and Time Highlight Return and press Enter to return to the Basic System menu 1 Within the system setup function select Basic System 2 Select Date and Time to set the date and time that appears on the ECG reports Date and Time options are defined in the table below Date and Time Item Description Current date Enter the current date m Type the day m Select the month m Type the year Current time Enter the current time m Type the hour m Type the minutes 2020299 153C MAC 5500 14 11 System Setup Language 1 Within the system setup function select Basic System 2 Select Language to choose the language displayed on screen and in ECG reports Language Item Description Select new Select the language of displayed or printed data language Power the system off then on to view the new language Power Up Options 1 Within the system setup function select Basic System 2 Select Power Up Options to program your system to power up into either the resting pediatric vector loops or 15 lead option ECG function Power Up Options Item Description Power Up Selectthe resting ECG function you want your system to start up in every time you power Application on the system Order M
109. n affect diagnosis and treatment of the patient s Make sure that you enter patient data for the correct patient NOTE Our equipment contains several fields which can be filled in before performing an ECG Some of these fields must be filled in before performing an exam some are optional and therefore left to the user to assess whether they are needed to perform the exam A field RACE is one of these optional fields It has been acknowledged by the medical profession as useful to analyze some pathologies You should be aware that in some jurisdictions the processing of data revealing an individual s racial origin is subject to legal requirements such as obtaining the patient s prior consent If you elect to collect this type of data it is your responsibility to ensure that you comply with all applicable legal requirements Clinical Trial Data Option If the Clinical Trial Data feature is enabled in System Setup the Clinical Trial Data option will appear at the bottom of the Patient Data entry screen If the current patient is part of a clinical trial select Yes and enter the appropriate clinical trial information If this patient is not part of a clinical trial select No Refer to CT Data Guard Setup on page 14 21 for more information Using a Patient Card Reader Option Connect and Configure the Card Reader 1 Connect the card reader to the A port on the back panel of the system 2 Configure the card reader
110. n on the bottom of the ECG reports Printbarcodes Select Yes if you want the patient information printed in a barcode format on printed reports Automatic Type a number of minutes x greater than zero to enable the battery conservation mode Shutdown If a key is not pressed within x minutes your system will automatically power off Only patient data is saved when the system powers off Serial power Select Yes to enable continuous power to the serial ports always on System Type a 6 character password that allows you to access the System Setup and Delete password functions The default System password is system Keep track of all assigned passwords Overread Type a 6 character password that allows you to access the Delete function The default password Overread password is overread Keep track of all assigned passwords Device Type a 6 character password The system has no default Device Password If a Device password Password is entered here users will be required to enter itin order to use the system See Appendix B Troubleshooting for Device Password override Keep track of all assigned passwords SD Card Select Yes if you want ECGs stored to SD card only Storage Only Select No if you want ECGs stored to internal memory See Internal Storage Mode vs SD Card Storage Only Mode on page 14 6 for more details about the differences between the internal storage mode and the SD Card Storage Only mode NOTE An
111. nd slope vs time The 3 lead trend report will use the first three leads of the Swedish format rhythm leads ST HR Loops Report A two dimensional representation of ST Level vs Heart Rate ST HR Slope Report Records linear regression of heart rate adjusted slope for all leads plus median morphology of lead with highest slope 2020299 153C MAC 5500 D 5 Report Formats D 6 MAC 5500 2020299 153C E Master s Step Data 2020299 153C MAC 5500 Master s Step Data Master s Step Table The table below shows the number of steps to set according to the age sex and weight settings for the patient as they reside or are entered into the system Age 5 9 10 15 20 25 30 35 40 45 50 55 60 65 70 75 Weight 14 19 24 29 34 39 44 49 54 59 64 69 74 79 Sex kg 18 22 Male 35 36 Female 35 35 33 23 26 Male 33 35 32 Female 33 33 32 27 31 Male 31 33 31 Female 31 32 30 32 35 Male 28 32 30 Female 28 30 29 36 40 Male 26 30 29 29 29 28 27 27 26 25 25 24 23 23 22 Female 26 28 28 28 28 27 26 24 23 22 21 21 20 19 18 41 44 Male 24 29 28 28 28 27 27 26 25 24 23 22 22 21 0 Female 24 27 26 27 26 25 24 23 22 21 20 19 18 18 17 45 49 Male 22 27 27 28 28 2
112. nds after the J point where the ST measurement is to be taken Writer ON OFF 14 24 MAC 5500 2020299 153C System Setup 12 and 15 Lead Exercise Reports 1 Within the system setup function select Exercise Test 2 Select 12 Lead Exercise or 15 Lead Exercise to Identify the three auxiliary leads used to acquire a 15 lead exercise ECG using the 15 lead ECG function option Specify the leads displayed on exercise reports Extra Leads 15 Lead ECG Option Only Exercise Testing Item Description Lead Set Choose the three additional leads used You can m Select one of the pre defined lead sets or m Select Custom 3 to define the electrode positions of Al A2 and A3 Report Leads Exercise Testing Item Description Standard leads Select the standard leads you want to appear on the ECG reports When you change a channel s lead the new lead appears on all the ECG reports displaying that channel Rhythm reports Choose the type of data displayed in the Rhythm reports Select Real time to print current ECG data on the Rhythm reports This allows you to print the data you see on the screen Select 10 sec delayed to print ECG data delayed by 10 seconds Rhythm leads Choose a lead option for each group to determine the rhythm leads that print when you selectthe rhythm key within an application The six defined groups make up the display list when you select Leads in the Res
113. ne your system s operating parameters Save Your Changes After making a change to the system s operating parameters save your changes 1 Select Save Setup 2 Select To system To secure data card or Do not save setup 3 Select Main Menu Program the System to Automatically Do a Task Power Up the System into a Specific Resting Function 1 Within the system setup function select Basic System 2 Select Power Up Options 3 Select the function the system always uses when you power on your system 4 Select Return Preview ECG Data Before Analysis Preview shows you the ECG on screen before it is printed or stored After the ECG is displayed select Continue to print or store the ECG or Cancel to discard it 1 Within the system setup function select ECG 2 Select ECG Analysis 3 Inthe Preview before analysis before field select Yes 4 Select Return 14 2 MAC 5500 2020299 153C System Setup To Print a Resting ECG Report Within the system setup function select ECG Select the Resting ECG function for which the system should automatically print reports Resting ECG Reports Pediatric ECG Reports 15 Lead Reports Vector Loops Reports Select Unconfirmed Reports Select the type and quantity of formats printed Select Return Print a Signal Averaged ECG Report Store an ECG Transmit an ECG Within the system setup function select Hi Res Select the type of format and quantity to be printe
114. nt s electrodes The acquisition module uses either 10 or 14 leadwires B rhythm button Press to print a rhythm strip C stop writer button Press to stop the writer from printing D acquisition module cable Insert into the system s internal acquisition module connector E ECG button Press to record an ECG NOTE If you enable the Preview before analysis function press E to view the data Then either press E again to analyze the data or press C to discard the data 2 8 MAC 5500 2020299 153C Equipment Overview Leadwire Labels 10 Leadwire AHA One of the following leadwire labels may appear on the acquisition module 14 Leadwire AHA 13 Leadwire AHA Pediatric 1 mammm 10 Leadwire IEC 00000 Leadwire Adapters 14 Leadwire IEC 13 Leadwire IEC Pediatric 00000210 00000 14 Leadwire AHA AUX OOOO 14 Leadwire IEC AUX s 2 204B 205B The MULTI LINK leadwires require an adapter to connect to an electrode s 4 mm pin i 2 Grabber Leadwire end MACTRODE clip 119A 2020299 153C MAC 5500 2 9 Equipment Overview Getting Started Prepare the Equipment for Use Modem Option See the MAC
115. o create a 2 second pause This can be used to pause wait for a dialtone For example the telephone number 9 3216788 will have a 2 second pause between the numbers 9 and 3 as when dialing an outside line Phone number Type from one to six telephone numbers you frequently transmit to Location Type the name of location s you transmit to Type Choose the type of modem your system uses to transmit data to a receiving device Select the MUSE NETWORK modem to transmit to another cart or to the MUSE CV system Select Fax machine to transmit to facsimile machine Use IR for Select Yes to enable the local infrared communication Serial line Serial line Select 9600 baud rate to transmit or receive data between another system or a MUSE CV baud rate system Other serial line baud rates are available for communicating with other devices Default Select the default receiving device to which your system transmits ECGs Location To transmit by local infrared communication or by local cable select Serial line MUSE To transmit ASCII data to the serial port select Serial line ASCII out To transmit XML data to the serial port select Serial line XML out The PC which receives XML data through the serial line must be running a terminal emulator program for example HyperTerminal m To transmit by LAN select Ethernet MUSE Network Setup Within the system setup function select Basic System 2 Sele
116. o in V1 consider early transition or QESPMI posterior infarct Idioventricular rhythm IVR Indeterminate axis INDAX Inferior infarct IMI Inferior injury pattern IINJ Inferior leads INF Inferior posterior infarct IPMI Inferolateral leads IFLAT 2020299 153G MAC 5500 C 3 Editing Acronyms Statement Acronym Inferolateral injury pattern ILINJ Inferoposterior leads INFPOS Irregular IRR J unctional bradycardia JUNBRAD J unctional rhythm J UNCTR J unctional ST depression probably abnormal JST Junctional ST depression probably normal JSTN Large LARG Lateral infarct LMI Lateral injury pattern LINJ Lateral leads LAT Left anterior fascicular block AFB Left atrial bradycardia LABRAD Left atrial enlargement LAE Left atrial rhythm LAR Left atrial tachycardia LATACH Left axis deviation LAD3 Left bundle branch block LBBB Left posterior fascicular block PFB Left ventricular hypertrophy LVH2 Leftward axis LAD Less than 4 QRS complexes detected no ANLERR3 interpretation possible Low right atrial bradycardia RABRAD Low right atrial rhythm RAR Low right atrial tachycardia RATACH Low voltage QRS LOWV Marked sinus bradycardia MSBRAD Marked ST abnormality possible anterior subendocardial injury ASBINJ Marked ST abnormality possible anterolateral MSTDAL subendocardial injury 4 MAC 5500 2020299 153C Editing Acronyms
117. o longer acquires and stores ECG measurement data and Workload speed grade no longer display NOTE The button for Test end MUST be held for more than one second to activate This is done to prevent the test from being stopped by an accidental key press Operating Steps 1 Press and hold the Test end button to end the test and start the test end phase 2 Select Reason for termination or Comments to enter information about this exercise test 3 Select Continue to return to the TEST END menu A final report prints automatically if you selected this option in the Edit Protocol function Select Main Menu gt Edit Protocol gt TEST END phase screen Report column gt Style column Final To change the type of reports that are printed automatically see Final Report in chapter 14 4 To edit Patient Data Reason for termination or Comments select Edit You can edit this information until you select New Patient or Main Menu Select Reports to print a report containing the revised information NOTE You can store the final exercise report to the system or to an SD card You must define the type of final report you want stored to your system Select System Setup Exercise Report then Final Report 2020299 153C MAC 5500 6 7 Exercise Stress Test Option Test End Phase Buttons Menu Function Edit Press during Recovery or Test end to edit patient data enter reas
118. o secos obese a 14 17 Resting Pediatric 15 Lead and Vector Loops ECG Reports 14 18 Analog OUtp ls i e hebes fovere he iba em Pri eb ee caos 14 21 CT Data Guard S eps ee Hime CERRO qme Ya 14 21 Define the Exercise Test Setup Option n nnn 14 23 Miscellaneous Setup 0 0 0 tenn aaa 14 23 Patient Data QuestionS 0 ccc c cece cette 14 23 Writer Setup desis eg ub 14 24 12 and 15 Lead Exercise Reports r rn 14 25 Exercise Reports sity ai d e dades 14 26 Final Repolto aos tot ya ay Fab ER ae abes ao 14 26 SCIECN M TE 14 27 Inputs QUtpUts AAA eg OC e GRE Re Ram 14 27 Define the Signal Averaged ECG Setup Option eene 14 28 Card Reader Option Setup iiissssseeen n nn n n nen nnn 14 29 Automatic Configuration of Card Reader isses 14 29 Manual Configuration of Card Reader rr 14 30 Bar Code Reader Option Setup nnns 14 30 Automatic Configuration of 14 30 Manual Configuration of Bar Code Reader ence aes 14 31 Creating Bar Codes and Magnetic Cards 0000000000 14 31 Master s Step Setup Option se 14 33 Miscellaneous 56010 0 0 14 34 Print Setup deena avast anand AN rel esc ol o pecca 14 34 DAVE ela ida erue deb on dad tete ta det noida cintas 14 34 Restore Setup yapu eae Er
119. ode If Clinical Trial Data is enabled the clinical trial administrator will enter the P roject Code in this field Up to 32 characters are allowed Trial ID If Clinical Trial Data is enabled the clinical trial administrator will enter the Trial ID in this field Up to 10 characters are allowed 2020299 153C MAC 5500 14 21 System Setup CT Data Guard Continued Item Description Investigator ID Select Yes to require entry of the investigator ID on every test Up to 16 characters are allowed Select No to perform tests without requiring entry of the investigator ID on every test Visit Number Select Yes to require entry of the patient visit number on every test Up to six characters are allowed Select No to perform tests without requiring entry of the patient visit number on every test Visit Type Select Yes to require entry of the patient visit type on every test Select No to perform tests without requiring entry of the patient visit type on every test If Yes is selected for Visit Type you can edit the list of visit types Up to six entries are allowed including preconfigured visit types Preconfigured visit type selections are Unknown Scheduled Unscheduled Repeat Early Termination and Follow Up Dose Type Select Yes to require entry of the medication dose type on every test Select No to perform tests without requiring entry of the medication dose type on every test If Y
120. off when the battery is completely discharged To operate your system you must connect the system to an AC wall outlet NOTE If the battery is fully charged or exceeds safe charging temperature the system will not charge the battery The system s battery is charging when the amber battery light glows and the battery gauge icon shows the battery charging icon CF 0 Battery light Charging battery icon E oe th ue kkk BPM 158C 268A In addition to normal system use periodic deep discharge cycles may be required to ensure consistent battery performance A deep discharge cycle occurs when the battery is discharged until the system shuts down and the battery is charged until it is full NOTE GE recommends one deep discharge cycle once every three months but does not recommend over exercising the battery with multiple deep discharge cycles See the MAC 5500 Service Manual for more battery maintenance and diagnostic information A 8 MAC 5500 2020299 153C Maintenance Replacing the Battery WARNING BATTERY PACK DISPOSAL Do NOT dispose of the battery pack by fire or burning Follow local environmental guidelines concerning disposal and recycling NOTE If battery fluid contacts your skin eyes or clothing immediately wash the area with clean water and see a doctor 112A 114A 113A 2020299 153C MAC 5500 A 9 Maintenance Replacing Acquisi
121. oline 900 ergometer 2 10 Ergoline blood pressure device 2 10 ergometer Ergoline 800 2 10 Ergoline 900 2 10 Lode 2 10 esc 2 6 Ethernet link 2 2 Event names 14 23 exercise 2 7 Exercise function 2 15 EXT VID 2 4 external video port 14 4 Extra questions 14 24 extra questions 14 8 F fading traces A 5 Fast Analog Output 14 28 fast analog output 14 21 fax error correction 14 9 file manage sort 14 4 filter AC filter 14 13 formats report 14 19 function keys 2 6 edit G demographic and interpretive data 11 2 editing gateway 14 10 exercise test protocol sample guide 7 4 gender 14 6 EditProtocol function 2 14 grade 2 7 Index 2 MAC 5500 2020299 153C Index green AC power light 2 3 ground lug 2 4 H heart rate Max Pred 14 24 Target 14 24 height 14 6 height weight in 14 7 Hi Res setup analysis filter 14 28 14 33 averaging target 14 28 14 33 beat count averaging target 14 29 14 33 correlation threshold 14 29 14 33 final report 14 29 14 33 noise level averaging target 14 29 14 33 how to automatically print a resting report 14 3 automatically print a signal averaged ECG re port 14 3 automatically store an ECG 14 3 automatically transmit an ECG 14 3 clean A 2 delete stored ECG orders 12 2 delete stored ECGs 12 2 display stored ECGs 13 2 edit demographic and interpretive data 11 2 eject a secure data card from the drive slot 13 2 enter orders manually 4 5 format a secure data card 13 2 lock and unlock a s
122. om of the page Swedish Format 2 5 seconds for each of the 12 leads at writer speed 50mm s Text is on the top of the page 2 by 5s Simultaneous Displays and prints ECG data in a 2 x 5 second simultaneous format This report format allows you to enable Auto Gain and or Auto Shift features NOTE The Auto Shift feature automatically shifts the waveforms vertically to avoid or minimize waveform overlap between rows If enabled this feature affects only the printed 2x5 second report The Auto Gain feature adjusts the gain to minimize waveform overlap Depending on the amount of overlap the Auto Gain may be applied to all leads or only the chest leads If enabled this feature affects the printed 2x5 second report If both Auto Shift and Auto Gain are selected the 2x5 second printed report will be a 2 or a 3 page report The first page will be in the 2x5 format with the default system gain and with Auto Shift applied m In most cases if waveforms overlap on the first page the second page will be in the 2x5 format with Auto Shift and Auto Gain applied This page is only printed if the first page had waveform overlap m The third page will be the 10 second rhythm strip for the first extra lead defined in the resting ECG lead setup with the default gain Select Yes for Auto Gain and or Auto Shift to enable these features Pharma 4 by 2 55 2 Displays and prints clinical trial data in a 4 x 2 55 format with two rhythm leads
123. ons for termination of test or comments regarding test Reports Press during Test end to selecta final report to print Leads Select the leads used for Rhythm Lead 1 2 and 3 All Leads Lead Check or Lead Placement Median Selecta lead to actas the median lead This can be a fixed lead scanned for lead with most ST depression Writer Change the writer s arrhythmia documentation doc cubic spline baseline control paper speed gain filter and writer on off settings More Select to see More menu options Main Menu Return to the system Main Menu New Patient Remain in the exercise application and start a test for a new patient 6 8 MAC 5500 2020299 153C E diting Protocols 2020299 153C MAC 5500 Editing Protocols Operating Steps You can edit an existing ergometer or treadmill protocol or you can create a new protocol These protocols are used to run an exercise test Follow these steps to edit an existing protocol or create a new protocol 1 Select Edit Protocol NOTE When using the system for the first time the default protocols are stored to memory 2 Select a protocol to edit or select spare lt lt if you want to create a new protocol The following table describes the items you can change on the screen Variable Protocols Menu Item Description Protocol name Displays the name of the protocol you are editing You may type a different nam
124. or prior devices i e electromagnetic compatibility standards this device will not impair the safe and effective use of those previously distributed devices Recommendations Users should be aware of known RF sources such as radio or TV stations and hand held or mobile two way radios and consider them when installing a medical device or system Be aware that adding accessories or components or modifying the medical device or system may degrade the EMI performance Consult with qualified personnel regarding changes to the system configuration Operating the system near radio frequency RF electromagnetic interference EMI above the conditions defined in the EMC Standard EN60601 1 2 for Radiated Immunity field strengths above 3 volts per meter may cause waveform distortions Medical Electrical Equipment needs special precautions regarding EMC and needs to be installed and put into service according to the EMC information provided in the accompanying service manual Portable and mobile RF communications equipment can affect medical electrical equipment The use of accessories transducers and cables other than those specified with the exception of transducers and cables sold by the manufacturer of the system as replacement parts for internal components may result in increased emissions or decreased immunity of the system The system should not be used adjacent to or stacked with other equipment and that if adjacent to or stacked
125. p ECG Acquisition Within the system setup function select ECG 2 Select ECG Acquisition to define the ECG acquisition parameters ECG Acquisition options are defined in the table below ECG Acquisition Item Description Baseline roll filter Use this filter to remove baseline sway The higher the setting the more the filter smooths out a wandering baseline This filter does NOT distortthe ST segment displayed on the ECG reports AC filter Use this filter to remove AC line artifact Disable auto gain check Select No to display a prompt after the user presses ECG if the gain of the recorded ECG data is either too high or too low The user can then manually adjust the gain Disable lead off check Select No to display a screen message when the system detects a disconnected leadwire 2020299 153C MAC 5500 14 13 System Setup ECG Acquisition Continued Item Description Pacemaker pulse enhancer Select Yes to detect very small pacemaker pulses However when Pacemaker pulse enhancer is on the system is very sensitive and should NOT be close to equipment emitting high frequency radiation High frequency radiation can interfere with pacemaker pulse detection and normal ECG acquisition NOTE GE Healthcare recommends that this be set to No unless itis known that the majority of this cardiograph usage will be on patients with pacemakers The pacemaker puls
126. played Please switch on AC Power Press Esc to cancel If the message shown above appears on the screen connect the system to AC power and continue with step 7 A series of messages is displayed on the screen Copying code to Main Memory Erasing Flash Please Wait Programming Flash 10 96 If the system does not need a boot code update or does not require a user intervention for boot code update the last message to appear is Programming Over System is Shutting Down The next time the system is powered on the software will be updated If the boot code needs updating a message similar to the one shown below is displayed 2020299 153C MAC 5500 13 5 Completing Other Tasks Current Boot Version New Boot Version Press Enter to start Installation 9 Ifthe message shown in step 8 appears press Enter The messages below are displayed Programming Primary Boot Programming Over System is Shutting Down The next time the system is powered on the software will be updated 13 6 MAC 5500 2020299 153C 14 System Setup System Setup Using the System Setup Function Select the System Setup Function 1 Select System Setup to access the system setup function 2 Enter the system setup password 3 Verify that the password is correct Retype the password if necessary 4 Select a menu function Define the System Parameters Use the information contained in this chapter to defi
127. r and lowercase to type text in upper and lowercase letters Speaker Select Low to set the system s speaker to low volume volume Select High to set the system s speaker to high volume External video port Select Option 1 to enable this port Most remote monitors function using Option 1 Otherwise select Option 2 Information line Select Yes to enable the help information line on the screen Cart number Type a number that uniquely identifies this system Site number Type a number from 1 32 to identify where the data will be stored in the MUSE CV system The Site number used must be compatible with the site number for the MUSE CV system to which the system is communicating Location Type a number to identify the location of this system to a MUSE CV system Use a value number from 1 99 for MUSE CV systems using software version 002B 004 or 3A CLM 1B Use a value from 0 599 fora MUSE CV system using software version 4A or later The Location number used must be compatible with the location number for the MUSE CV system to which the system is communicating File Manager Select the sorting method your system uses to display stored ECGs sort 14 4 MAC 5500 2020299 153C System Setup Miscellaneous Setup Item Description Delete after Select Yes to delete an ECG after transmitting it to a receiving device transmit Text on bottom Select Yes to print the ECG test informatio
128. re data to the SD card or to delete data from the SD card Format Most secure digital cards do not require formatting In the event an unformatted SD card is used with the system the following message will display This SD Card cannot be read and requires formatting Formatting will destroy all data on this SD Card Are you sure you want to format Select Yes to format the SD card Eject an SD Card From the Drive Slot ces N gt Drive Slot 117A Press the SD card into the drive slot to eject it The drive slot is spring loaded and it will eject the SD card File Manager Display Stored ECGs Be sure that the unit is powered on 1 Select File Manager to open the list of stored ECGs to view 2 Choose Select to display a list of available ECGs 3 Highlight one or more ECGs to display 13 2 MAC 5500 2020299 153C Completing Other Tasks Copy All Restore All 4 Select Display NOTE Medians Rhythm and Text functions are not available for the signal averaged ECGs This option allows you to copy ECGs from internal memory to an SD card NOTE The external storage option must be enabled and SD Card Storage Only must be set to No in Miscellaneous Setup Select File Manager to open the list of stored ECGs to view Select Copy All to begin copying all of the files to the SD card The following message displays Existing records if any in SD card will be deleted Continue Select No to canc
129. reports ACI TIPI TIPI This option applies the ACI TIPI analysis to the resting ECGs This analysis generates a numerical score representing the probability that the patient has acute cardiac ischemia Gen 12SL GN12 This option applies gender and age specific interpretation criteria when generating the 12SL diagnosis Color COLR This option allows you to select one of two color options for the display screen Master s Step MAST This option allows you to perform a Master s Step stress test Wireless WIFI This option allows you to transmit reports to the MUSE system over a wireless network 14 10 MAC 5500 2020299 153C System Setup Option Activation Item dA Nae Description Bar Code BCRD This option allows you to enter patient information using a bar code reader Reader Card Reader MGRD This option allows you to enter patient information using the patient card reader Edit Protocol EDPR This option allows you to editthe exercise test protocols CT Data Guard CTDG This option allows you to enable and configure clinical trial features and data guard features Ethernet LAN ELAN This option allows you to enable Ethernet LAN connectivity NOTE An asterisk appears next to each option which is currently activated on the system 3 Type the 12 digit option activation code and press the Enter key If you typed the code for an option which has been purchased for the syste
130. retation selected in System setup in order to obtain an ACI TIPI report 1 Enter the patient s demographics either manually with the keyboard or by using the card reader bar code reader Press the ECG button Enter the ACI TIPI data Age 18 40 41 50 gt 50 m Gender Male Female and 2020299 153C MAC 5500 5 5 Recording an ECG Chest or Left Arm Pain Chief Complaint Secondary Complaint Not Present Chief Complaint Select this option if the complaint of chest pain or left arm pain is the primary reason the patient came to the hospital Secondary Complaint Select this option if the complaint of chest pain or left arm pain is secondary the patient came to the hospital because of other symptoms Not Present Select this option if the patient has no chest pain or left arm pain or equivalent discomfort Select Return 4 Print store and transmit the ECG based on instructions given on page 4 5 6 MAC 5500 2020299 153C 6 Exercise Stress Test Option 2020299 153C MAC 5500 Exercise Stress Test Option Start an Exercise Stress Test Preparation 1 Select Exercise12 or Exercise15 to enter stress test mode 2 Select Patient Data The Patient Data Entry screen opens 3 Enter patient data 4 Prepare the patient for the test and attach leadwires Refer to Preparing the Patient on page 3 1 for more information 5 Select Protocol to open the list o
131. ror messages the system is operational m Ifthe system displays error messages turn the system power off then on again If error messages persist contact GE Service 2020299 153C MAC 5500 2 11 Equipment Overview Software Description Start Up Screen B C DE 666 L Press ECG to record an ECG td Tas MAC5500 XXXX BPM aVR V1 V4 tt avt V2 V5 1 aVF V3 V6 CD 6 X MAMA F 157A Name Description software version Displays the system s software version during the first few seconds of power up user prompts Provides additional information Hookup Advisor Displays quality of patient hookup This can be turned on or off O wl gt function icon Indicates the Main Menu function the system is using This is the Resting ECG function E battery status icon Indicates how much charge the battery has available F menu Provides access to additional settings or functions Main Menu Use the Main Menu to select the different functions available on this system The functions displayed in your Main Menu may vary due to the installation of purchased software options 2 12 MAC 5500 2020299 153C Equipment Overview Start Up Screen Exercise Option 0 20 EXERCISE 20 STAGE 1 BRUCE 10 Watts Waiting for Stable Heart Rate uc Yr rore cr ll d I LL LL V CD DC DC DC 6 D M
132. s test CAUTION ACCESSORIES SUPPLIES To ensure patient safety use only parts and accessories manufactured or recommended by GE Medical Systems Information Technologies Parts and accessories used must meet the requirements of the applicable IEC 60601 series safety standards and essential performance standards and or the system configuration must meet the requirements of the IEC 60601 1 1 medical electrical systems standard CAUTION PROPER LEADWIRE CONNECTION Improper connection will cause inaccuracies in the ECG Trace each individual leadwire from its acquisition module label to the colored connector and then to the proper electrode to ensure that it is matched to the correct label location CAUTION ACCESSORIES EQUIPMENT The use of ACCESSORY equipment not complying with the equivalent safety requirements of this equipment may lead to a reduced level of safety of the resulting system Consideration relating to the choice shall include Use of the accessory in the PATIENT VICINITY and Evidence that the safety certification of the ACCESSORY has been performed in accordance to the appropriate IEC 60601 1 and or IEC 60601 1 1 harmonized national standard MAC 5500 2020299 153C Introduction CAUTION BATTERY POWER If a device equipped with an optional battery pack will not be used or not be connected to the power line for a period of over six months remove the b
133. safety of application in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide Equipment not suitable for use in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide Method s of sterilization or disinfection recommended by the manufacturer Not applicable Mode of operation Continuous operation Underwriters Laboratories Inc Medical Equipment SS F Ry With respect to electric shock fire and mechanical hazards only in accordance with UL 60601 1 and CAN CSA C22 2 NO C US 601 1 4P41 Legal Notice Our equipment contains several fields which can be filled in before performing an ECG Some of these fields must be filled in before performing an exam some are optional and therefore left to the user to assess whether they are needed to perform the exam A field RACE is one of these optional fields It has been acknowledged by the medical profession as useful to analyze some pathologies You should be aware that in some jurisdictions the processing of data revealing an individual s racial origin is subject to legal requirements such as obtaining the patient s prior consent If you elect to collect this type of data it is your responsibility to ensure that you comply with all applicable legal requirements Responsibility of the Manufacturer GE is responsible for the effects of safety reliability and performance only i
134. significance Hazard is defined as a source of potential injury to a person DANGER indicates an imminent hazard which if not avoided will result in death or serious injury WARNING indicates a potential hazard or unsafe practice which if not avoided could result in death or serious injury CAUTION indicates a potential hazard or unsafe practice which if not avoided could result in minor personal injury or product property damage NOTE provides application tips or other useful information to assure that you get the most from your equipment WARNING ACCIDENTAL SPILLS If liquids have entered a device take it out of service and have it checked by a service technician before itis used again To avoid electric shock or device malfunction liquids must not be allowed to enter the device 2020299 153C MAC 5500 1 3 Introduction WARNING BATTERY OPERATION If the integrity of the protective earth conductor is in doubt operate the unit from its battery WARNING CABLES To avoid possible strangulation route all cables away from patient s throat WARNING CONNECTION TO MAINS This is class I equipment The mains plug must be connected to an appropriate power supply WARNING DEFIBRILLATOR PRECAUTIONS Do not come into contact with patients during defibrillation Otherwise serious injury or death could result Patient signal inputs labeled
135. t then select the three leads used to calculate heart rate Leads Select the leads used for 3 or 6 Rhythm leads All Leads Lead Check or Lead Placement Median Select a lead to act as the median lead This can be a fixed lead or scanned for lead with most ST depression Writer Change the writer s arrhythmia documentation doc cubic spline baseline control paper speed gain filter and writer on off settings 6 4 MAC 5500 2020299 153C Exercise Stress Test Option Exercise Phase Overview Operating Steps The selected protocol controls the treadmill or ergometer When you enter the exercise phase The belt speed and grade or the ergometer workload change according to the selected protocol The exercise clock top starts and The system starts to save the test data WARNING FALL HAZARD Severe injury can result from a fall Patients should wait until the treadmill belt is moving before stepping onto the belt Step onto the belt with one foot at a time Avoid rapid changes in belt speed Press the Exercise button to begin the exercise phase During the test you can manually perform operations from the function keyboard Press the Start tmill button if treadmill or ergometer has not been started yet If you are using an ergometer the ergometer workload is automatically controlled The exercise test advances automatically through the exercise stages
136. t cm kg to enter the patient s height and weight in centimeters and kilograms Race Select Yes to display a prompt asking the patient s race Our equipment contains several fields which can be filled in before performing an ECG Some of these fields must be filled in before performing an exam some are optional and therefore left to the user to assess whether they are needed to perform the exam A field RACE is one of these optional fields It has been acknowledged by the medical profession as useful to analyze some pathologies You should be aware that in some jurisdictions the processing of data revealing an individual s racial origin is subject to legal requirements such as obtaining the patient s prior consent If you electto collect this type of data itis your responsibility to ensure that you comply with all applicable legal requirements Blood pressure Select Yes to display a prompt asking the patient s systolic and diastolic blood pressures Medications Select Yes to display a prompt asking what medications a patient is taking Referred by Select Yes to display a prompt asking who referred the patient name and number Use the numbers that are compatible with those used for the MUSE CV system to which the system is communicating Test indication Select Yes to display a prompt asking the reason for the test Patient History Select Yes to display a prompt asking the patient s history Technician S
137. this system You may be required to perform some action If you perform the recommended actions and the condition still remains contact authorized service personnel See How to Reach Us to find out how to contact GE 2020299 153C MAC 5500 B 3 Troubleshooting Problem Cause Solution appears on the screen No battery is installed in the system Install a battery and connect the system to an AC wall outlet to charge the battery flashes intermittently The battery charge is low Connect the system to an AC wall outlet to charge the battery appears on the screen The writer door is open Close the writer door The system does not power up when operating from battery power The battery is fully discharged Connect the system to an AC wall outlet to charge the battery The system shuts down when operating from battery power Battery is empty or the Automatic Shutdown feature is enabled Connect the system to an AC wall outlet to charge the battery or power on the system u Lead disconnected message appears Electrode s disconnected Reconnect the electrode s MODEM ERROR The remote device is not responding Would you like to retry Modem not connected If wireless option client bridge not connected or device is out of range Connect and retry or move back into range Wireless option only The system is not within range of
138. ting Pediatric 15 Lead or Vector Loops Application Select 3 leads to define which three leads in a three lead Rhythm report print Select 6 leads to define which six leads in a six lead Rhythm report print Select All leads to display and print 10 seconds of data for 12 or 15 leads Select Lead Check to display and print real time data for each of the 12 or 15 leads Select Lead Placement to display and print real time data for each of the 12 or 15 leads and to display the chest electrode placement Autorhythm Select the group of Rhythm leads printed in the Autorhythm report RMR CGR extra rhythm leads Selectthe rhythm lead s you want printed in the RMR and CGR reports When you change a rhythm lead the new lead appears on all reports displaying that lead For example if you select V5 for RMR CGR extra rhythm lead 1 then the V5 waveform appears on all reports that include RMR CGR extra rhythm lead 1 2020299 153C MAC 5500 14 25 System Setup Report Leads Exercise Testing Continued Item Description Swedish Select the rhythm lead s you want printed in the Swedish format reports format rhythm I I leads When you change a rhythm lead the new lead appears on all reports displaying that lead For example if you select V5 for the Swedish format rhythm lead 1 then the V5 waveform appears on all reports that include Swedish format rhythm lead 1 When printing or storing 3
139. tion Module Leadwire Adapters al A 10 MAC 5500 2020299 153C B Troubleshooting 2020299 153C MAC 5500 Troubleshooting Introduction First Things to Ask Visual Inspection If the system is not working properly save yourself some time troubleshooting by asking yourself these basic questions Is the unit turned on Have there been any changes in the use location or environment of the equipment that could cause the failure Has the equipment s hardware or software been modified Is operator error the cause of the problem Try to repeat the scenario exactly and compare that to the proper operation of the equipment described in the manual Is the battery installed When connected to an AC wall outlet does the green AC power light glow Is the writer door closed A thorough visual inspection of the equipment can save time Items such as disconnected cables or missing hardware can frequently cause symptoms and equipment failures that may appear to be unrelated and difficult to track For additional information see Appendix A Maintenance Equipment Problems Reducing ECG Data Noise If the acquired ECG data displays unacceptable noise levels Verify proper electrode placement Verify proper electrode application Perspiration excessive hair lotions and dead skin cells must be removed from the electrode site Check for defective or date
140. tputs CT Data Guard Setup 1 Within the system setup function select ECG 2 Select Analog Outputs to define the system s output signals when connecting additional equipment to the system Analog Outputs options are defined in the table below Analog Outputs Item Description FastAnalog Select Not Used Il or V1 V6 Output TTL Output Select Not Used or QRS Detectto define TTL Output Polarity Select Positive or Negative to define TTL Output polarity Width Type a value between 4 and 48 to define TTL Output signal width in milliseconds Delay Type a value between 0 and 100 to set a delay in milliseconds for the TTL Output QRS detector signal QRS Beep Select On to hear a beep for each QRS complex CT Data Guard stands for Clinical Trial Data Guard The CT elements configured in this menu pertain specifically to clinical trial usage of the system The Data Guard elements configured in this menu pertain specifically to data protection features 1 Within the system setup function select ECG 2 Select CT Data Guard Setup to define the system s settings for data security CT Data Guard Setup options are defined in the table below CT Data Guard Item Description Clinical Trial Setup NOTE The clinical trial options described below pertain only to 12 lead resting ECG records Enable Clinical Select Yes to enable clinical trial features Trial Data Project C
141. u select System Setup Basic System PS 2 Port Select gt PS 2 Port Device Bar Code Reader Return Press esc when the Manual Bar Code Configuration window appears The items in this window will be automatically configured 14 30 MAC 5500 2020299 153C System Setup Press esc when the Basic System menu appears Select Save Setup To System Reboot the device 9 G 9 tA From the Main Menu select System Setup Basic System PS 2 Port Select Bar Code Configuration Automatic Return The following message is displayed Scan the Configuration Bar Code 9 Scanthe configuration bar code The Manual Bar Code Configuration window appears with numbers entered for the various configuration items 10 Press esc twice 11 Select Save Setup To system Manual Configuration of Bar Code Reader 1 Connect the bar code reader to the A port on the back of the system 2 From the Main Menu select System Setup Basic System PS 2 Port Select gt PS 2 Port Device gt Bar Code Reader gt Return The Manual Bar Code Configuration window is displayed 3 Enter the bar code configuration information in this window See Creating Bar Codes and Magnetic Cards on page 14 31 4 Press esc twice 5 Select Save Setup To system Creating Bar Codes and Magnetic Cards The bar code reader can read Code 39 39EX 128 and PDF 417 2 D bar codes The card reader can read magnetic car
142. ule 2 8 card reader option 14 13 card slot 2 4 cart number 14 4 cleaning what to use A 2 Clinical trial data option 4 2 Clinical trial setup 14 21 Colin blood pressure device 2 10 colors screen 14 8 comment 2 7 confirmation text 14 20 connector 1 2 4 2 2 4 A 2 4 acquisition module 2 8 ANA TTL 2 4 back panel 2 3 2020299 153C MAC 5500 Index 1 Index EXT VID 2 4 ground lug 2 4 IR 2 4 mains AC power 2 4 copy 2 6 copy all 13 3 13 4 correlation threshold 14 29 14 33 create orders locally setup 14 12 CT data guard setup 14 21 cubic spline 14 23 D Data guard setup 14 21 date setup 14 11 default location 14 9 delay 14 21 14 28 delete 2 6 dialing two second pause 14 9 dialtone method 14 9 dialtone required 14 8 disable auto gain check 14 13 lead off check 14 13 display screen 2 2 E ECG 2 6 abnormal report 14 20 normal report 14 20 preview before analysis 14 16 report formats D 2 ECG acquisition analysis 14 13 14 16 14 23 ECG setup 15 Lead ECG reports 14 18 14 25 analog outputs 14 21 ECG acquisition analysis 14 13 14 16 14 23 patient questions 14 17 pediatric ECG reports 14 18 14 25 resting ECG reports 14 18 14 25 writer 14 17 electrode application 3 3 12 lead 3 4 15 lead 3 5 Frank X Y Z 3 6 NEHB 3 6 pediatric 3 7 enter BP 2 7 equipment identification 1 13 safety information 1 3 service requirements 1 13 symbols 1 10 type BF 1 12 Ergoline 800 ergometer 2 10 Erg
143. utomatically save each ECG in XML format in addition to the standard GE proprietary format XML files are stored to the following path SD Card Drive XML XML Use a blank SD card to save the XML output m f storing ECGs in XML format DO NOT allow editing ECGs at the system Changes made to ECGs during editing WILL NOT BE SAVED to the XML file m Except for the XML suffix the name of the XML file is the same as the name of the ECG file m When this option is selected the SD card will fill up more quickly due to the size of the XML files m In XML files waveform data is saved as numeric points MAC 5500 2020299 153C System Setup ECG Analysis Continued Item Description Auto ECG storage Choose the ECGs you want your system to automatically store m Select All ECGs to automatically store a recorded ECG m Select No ECGs to disable automatic storage of a recorded ECG m Select Only ABNORMAL ECGs to automatically store a recorded ECG that the 12SL analysis program has classified as abnormal Auto ECG transmission Choose the ECGs you want your system to automatically transmit Select All ECGS to automatically transmit all recorded ECG upon completion Select No ECGS to disable automatic transmission of a recorded ECG Select Only ABNORMAL ECGs to automatically transmit a recorded ECG that the 12SL analysis program has classified as abnormal Enable ACI TIPI Select No to
144. ve amplitude m ST post J amplitude at the post J point When the assessment is positive or borderline the lead with the largest change prints E 4 MAC 5500 2020299 153C Index Index Numerics 12 ld 2 7 15 lead ECG report setup 14 18 14 25 A abnormal ECG report 14 20 abrasive cleaning agents A 2 AC filter 14 13 AC noise level warning 14 14 AC power connector 2 4 ACI TIPI 14 4 14 17 ACI TIPI Acute Cardiac Ischemia Time Insensitive Predictive Instrument 1 10 ACI TIPI option 5 5 acquisition module buttons 2 8 cable 2 8 lead labels 2 9 leadwire adapters 2 8 leadwires 2 8 age 14 6 amber battery light 2 3 ANA TTL 2 4 analog outputs setup 14 21 analysis filter 14 28 14 33 archivist paper storage A 6 arrow pad 2 6 authorized service 1 13 automatic ECG storage to diskette 14 17 ECG transmission 14 17 shutdown 14 5 autorhythm 14 19 14 25 averaging target 14 28 14 33 B bar code reader 14 13 baseline roll filter 14 13 14 23 baseline wander warning 14 14 Basic System setup date and time 14 11 language 14 12 network setup 14 9 option activation 14 10 power up options 14 12 screen colors 14 8 transmission 14 8 battery conserving power 14 5 location 2 3 switch 1 12 battery status icon 2 12 2 13 beat count averaging target 14 29 14 33 Blood pressure 2 13 blood pressure 14 7 blood pressure device Colin 2 10 Ergoline 2 10 Suntech Tango 2 10 Borderline E 3 0 cable acquisition mod
145. visual inspection A 2 B 2 W weight 14 6 Width 14 28 width 14 21 writer filter 14 18 14 24 gain 14 18 14 24 speed 14 18 14 24 2020299 153C MAC 5500 Index 5 Index Index 6 MAC 5500 2020299 153C Asia Headquarters GE Medical Systems GE Medical Systems GE Medical Systems Information Technologies Inc Information Technologies GmbH Information Technologies Asia GE China Co Ltd 8200 West Tower Avenue Munzinger StraBe 3 5 No 1 Huatuo Road Milwaukee WI 53223 USA D 79111 Freiburg Zhangjiang Hi tech Park Pudong Tel 1 414 355 5000 Germany Shanghai People s Republic of China 201203 1 800 558 7044 US Only Tel 49 76145 43 0 Tel 86 215257 4650 Fax 1414 555 0 Fax 49 761 45 43 233 Fax 86 21 5208 2008 www gehealthcare com
146. with the CF and BF symbols with paddles are protected against damage resulting from defibrillation voltages To ensure proper defibrillator protection use only the recommended cables and leadwires Proper placement of defibrillator paddles in relation to the electrodes is required to ensure successful defibrillation WARNING ELECTRODES Polarizing electrodes stainless steel or silver constructed may cause the electrodes to retain a residual charge after defibrillation A residual charge will block acquisition of the ECG signal Whenever patient defibrillation is a possibility use non polarizing silver silver chloride construction electrodes for ECG monitoring MAC 5500 2020299 153C Introduction WARNING MAGNETIC AND ELECTRICAL INTERFERENCE Magnetic and electrical fields are capable of interfering with the proper performance of the device For this reason make sure that all external devices operated in the vicinity of the device comply with the relevant EMC requirements X ray equipment or MRI devices are possible sources of interference as they may emit higher levels of electromagnetic radiation WARNING EXPLOSION HAZARD Do NOT use in the presence of flammable anesthetics vapors or liquids WARNING INTERPRETATION HAZARD Computerized interpretation is only significant when used in conjunction with clinical findings A qualified physician must overread all
147. y ECGs which are in internal memory storage will not be accessible when switching to SD card storage Be sure that they have been printed and or stored before switching to SD card storage only When Yes is selected for this option an SD card must be inserted in the SD card slot before performing many of the procedures described in this manual Data access speeds may vary depending on the SD card capacity and manufacturer This may affectthe time required to read or write ECG records and other information to the SD card GE recommends the use of a 128 MB 256 MB or 512 MB card manufactured by SanDisk 2020299 153C MAC 5500 14 5 System Setup Internal Storage Mode vs SD Card Storage Only Mode Internal Storage SD Card Storage Only Delete XML file when deleting corresponding ECG file No Yes Memory Status Messaging 70 90 F ull SD Card full only Copy Restore ECG files to from SD card Yes Not Applicable Ability to create XML file from File Manager Yes Yes Save System Setup to SD Card Yes Yes Ability to access orders on SD card No Yes 1 System will overwrite XML file with same name Patient Questions Item ID Required Within the system setup function select Basic System Select Patient Questions to define what patient prompts appear when you select Patient Data in the Resting ECG application Patient Questions items are defined in the table below Patient Questions
148. ythmia documentation doc cubic spline baseline control paper speed gain filter and writer on off settings Recovery Phase Overview In recovery the treadmill speed and grade or the ergometer load changes based on the protocol configuration Operating Steps Press the Recovery button to advance to the recovery phase The clock begins timing the recovery phase A maximum 12 lead measurement is taken if that is part of the selected protocol Recovery Phase Buttons Menu Function Event Press to display a list of predefined events Edit Press during Recovery or Test end will allow user to enter or edit patient data reason for test termination or comments Measurements Will allow the system to reestablish the median complex set the J point then select the three leads used to calculate heart rate Leads Select the leads used for Rhythm Lead 1 2 and 3 All Leads Lead Check or Lead Placement 6 6 MAC 5500 2020299 153C Exercise Stress Test Option Menu Function Median Select a lead to act as the median lead This can be a fixed lead scanned for lead with most ST depression Writer Change the writer s arrhythmia documentation doc cubic spline baseline control paper speed gain filter and writer on off settings Test End Phase Overview After you press and hold Test end button the following happens m The system n

MAC™ 5500 - Livermore Scientific, Inc.

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MAC™ 5500 - Livermore Scientific, Inc.