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MAC 1200/1200 ST - Frank`s Hospital Workshop

1. Arrhythmic Events Acronym Asystole limit value 4 s ASYSTO Ventricular fibrillation flutter VFIB Ventricular tachycardia 23 PVCs VTAC Ventricular run 3 PVCs RUN Ventricular couplet 2 PVCs CPLT Pause of 2 missed beats PAU2 Pause of 1 missed beat PAUI Early PVC EPVC Ventricular bigeminy VBIG New form e g intermittent bundle branch block NF Multiform PVCs MULT Supraventricular arrhythmia SVAR Paroxysmal supraventricular tachycardia PSVT Tachycardia TACH Bradycardia BRAD Pacemaker malfunction PERR Ventricular escape beat ESC Premature ventricular contraction PVC Premature supraventricular contraction PSVC Aberrant beat ABR Pacemaker capture PCAP Pause gt 1 5 times the normal RR interval TL Absolute pause limit value 3 s PAUA Artifact A Learn phase L Learned QRS complex QRSL MAC 1200 1200 ST 7 9 2012250 021 Arrhythmia Mode Recording Recording For your notes 7 10 MAC 1200 1200 ST Revision C 2012250 021 O Stress Tests evision MAC 1200 1200 ST 2012250 021 For your notes 8 2 MAC 1200 1200 ST Revision C 2012250 021 Stress Tests General Information General Information The Stress Test mode of the MAC 1200 ST allows you to run complete exercise tests Depending on the connected exercise device bicycle ergometer treadmill M aster Step the ECG unit will control the test to varying extents In Stress Test Sequences on page
2. 15 2 MAC 1200 1200 ST Revision C 2012250 021 Order Information General Information General Information Options Subject to change Always refer to latest list of accessories 455 045 01 ECG Measurement MEAS MAC 1200 MAC 1200 ST 455 046 01 ECG Measurement and Interpretation DIAG MAC 1200 MAC 1200 ST 455 050 01 Upgrade Interpretation if MEAS is already implemented 455 044 01 M emory for 40 resting ECGs MEMO MAC 1200 MAC 1200 ST 455 052 01 Stress Test ERGO MAC 1200 ST General Accessories Patient Cables 223 418 08 Patient trunk cable 10 lead IEC MultiLink 223 418 09 Patient trunk cable 10 lead AHA MultiLink 384 018 16 Set of leadwires 4 mm connector 10 leads defibrillator proof IEC 384 018 17 Set of leadwires 4 mm connector 10 leads defibrillator proof AHA Electrodes 217 225 03 Adhesive electrodes for babies 13 mm diameter with 4 mm socket 60 cm lead fixation with adhesive rings 927 224 00 217 110 03 Adhesive electrodes for children 22 mm diameter with 4 mm socket fixation with adhesive rings 217 123 01 217 32001 Adhesive electrodes for children 22 mm diameter with press stud fixation with adhesive rings 217 123 01 217 32101 Adhesive electrodes for adults 35 mm diameter with press stud fixation with adhesive rings 927 223 00 Revision C MAC 1200 1200 ST 15 3 2012250 021 Order Information General Information 504 648 56 Limb lead electrode for adults stainless ste
3. Technical Specifications Recording ECG Calibration Automatic recording of a defined voltage step valid for all channels m Calibration voltage referred to ECG signal input mV Calibration pulse width on recording depends on paper speed 25 mm s 5 mm 50 mm s 10 mm 5 mm s mm Automatic ECG Gain Adjustment Baseline Anti drift System ADS ECG Storage The gain automatically adapts to the incoming signal The maximum amplitude of the lead group or of all leads determines the gain setting m Automatic adjustment ranges 40 mm mV m Amplitude range 6 channels 18 to 31 mm Automatic adjustment of the baseline to the optimal recording range in dependence of the signal amplitude Automatic compensation of baseline fluctuations caused by polarization voltage fluctuations at the lead electrodes delay in recording 4 2 seconds In Automatic mode storage of approximately 40 ECGs m Stored ECGs can be deleted individually or all in one pass printed transferred and patient data can be edited wm n Arrhythmia mode storage of up to 6 event episodes Blocking Rapid charge reversal of the coupling capacitors in the preamplifiers after electrode application Revision C MAC 1200 1200 ST 14 9 2012250 021 Technical Specifications Recording Electrode Monitoring Text Input Copy Function Test Power Supply Mains Operation Audible and visual indication on the LCD of disconnected electro
4. The electrocardiograph must be switched off and on again for the new settings to become effective Print Configuration Lists Selecting Y es will display a menu with all available configuration lists m All lists m System Setup Communication Peripheral Devices Patient Data 10 24 MAC 1200 1200 ST Revision C 2012250 021 System Setup System Setup Transmission Log Check Record Retxn Setup Automatic Manual Stress Test Arrhythmia After each transmission of ECG records the MAC 1200 1200 ST unit can generate a transmission log report This report includes a list of the ECG reports transmitted Toenablethe transmission log function follow these steps 1 Within the System Setup window move the cursor to the prompt EnablethePrint ECG Tx Log 2 Select Yes 3 Savethis setting by pressing OD If a user attempts to transmit a record that has already been transmitted when the Check Record Retxn function is enabled a message displays informing the user that this record has already been transmitted The Check Record Retxn function defaults to No To enable the Check Record Rexn function follow these steps 1 Within the Systen Setup window move the cursor to the prompt Check Record Retxn 2 Select Yes 3 Save this setting by pressing DPD Revision C MAG 1200 1200 ST 10 25 2012250 021 System Setup Communication Communication Baud Rate PC Transmission rate for the selected protocol
5. automatic baseline adjustment and drift compensation by means of the anti drift system A D S can be enabled or disabled simultaneously for all channels digital output of processed signals via thermal array printhead Low cut off frequency 3 db limits 0 08 Hz equivalent to a time constant of 2 04 seconds m High cut off frequency 3 dB limits operating mode Auto Manual 150 Hz IEC AHA operating mode Arrhy 100 Hz IEC Signal sampling rate 1000 per second Resolution referred to the input 5 uV Output rate to recorder 2000 per second For all leads gain adjustment in four steps 40 20 10 5 mm mV With active muscle filter low pass characteristic 3 dB drop of the amplitude frequency response at approximately 40 or 20 Hz m With active AC line filter detection and compensation of periodic 50 Hz or 60 Hz frequency components depending on recorder model attenuation 240 dB m Non linear distortion below values specified in IEC and AHA recommendations Coincidence error limits between any two channels 30 5 mm Detection of pacer pulses in C2 or other C leads and marking in all channels for signals referred to patient input Duration gt 0 1 ms amplitude 5 mV m Noisein the signal transmission path below values specified in IEC and AHA requirements lt 2 5 uV rms m Common mode rejection for 50 or 60 Hz signals depending on recorder model with AC filter switched on 2140 dB 14 8 MAC 1200 1200 ST Revision C 2012250 021
6. m Interface protected from electrostatic discharge for 10 kV maximum Transfer of ECGs with the CSI Protocol Between the MAC 1200 and the Following Units MUSE CVIS SW version 004A and later MAC 5000 SW version 001B and later MAC VU SW version 002A and later MAC 1200 SW version V5 01 and later Receiving Data with the CSI Communication Protocol from the Following Units CardioSmart SW version V4 21 and later Cardiosmart ST SW version V4 21 and later 14 6 MAC 1200 1200 ST Revision C 2012250 021 Technical Specifications Recording Sending ECGs to the Following Units with the A5 Protocol CardioSys CardioSoft SW version V1 0 and later 104A Pin Assignment of Data Port 2 RDXE 3 TDXE 5 Circuit reference 6 Modem supply 8 RDXE Remote Start Hardware Paper feed via remote control connection depending on selected operating mode External make contact referred to chassis via circuit reference m Source impedance Ri lt 300 Q m Contact dwell gt 100 ms wm Non destructive load 10 V m ESD interface protection up to 10 kV Revision C MAC 1200 1200 ST 14 7 2012250 021 Technical Specifications Recording Signal Transmission Patient Input to Recording After lead formation and digitization simultaneous transmission of all electrode signals tothe digital processing system muscle filter AC filter pacing pulse identification automatic or manual sensitivity adjustment
7. As trend values are saved at 30 second intervals it is recommended that the test subject waits approximately 30 seconds before starting to pedal 4 Askthetest subject to start pedalling Controls emp Holds the stage must be pressed Ah Advances to the recovery phase Alt 5 seconds before the end of a END stage atthe latest OD Stops or cancels the test Referto Advances to the next load stage End Cancel a Stress Test on page 8 7 for more information Revision C MAC 1200 1200 ST 8 9 2012250 021 Stress Tests Ergometers with Remote Start Pulse Pre Test Exercise Phase Recovery Phase al ao 9 9 0Q7 12 3 8 68 o Select protocol Wait approx 30 s Wait approx 30 s es Check repor until the first ST until the first ST interval measurement is measurement is 034A completed completed Program Sequence for Ergometers with Digital Interface NOTE Tostart the exercise with the onset of pedalling enter a stage timein the pretest phase of 00 00 If another stage time is specified the program waits for the amp button to be pressed Then the exercise starts regardless of whether the test subject starts pedalling or not When you have configured the internal ergometer the exercise can only be started with 4 8 10 MAC 1200 1200 ST Revision C 2012250 021 Stress Tests Ergometers with Remote Star
8. Current time Lead fail beep No Yes High HR beep No Yes Lead Labels IEC AAMI Pace Enhancement Yes No Baseline roll filter 0 08 Hz 0 04 Hz 0 16 Hz Date dd mm yyyy mm dd yyyy Time 24 12 Units cm kg in Ib Mains 50 Hz 60 Hz LCD light off after 20 min 1 99 min Low battery beep 0 Off 5 s to 60 s 5s beep at5 second interval Beep f Master Step No Yes Default Mode Automatic Manual Arrhythmia MAC 1200 only Stress Test MAC 1200 ST with option Language German all available languages Enable password No Yes Test DATA No Yes Restore defaults No Yes Print Configuration Lists No Yes Revision C MAC 1200 1200 ST 3 7 2012250 021 Operating and Performance Tests System Setup Print ECG Tx log No Yes Check Record Retxn No Yes 1 only for CSI communication protocol 2 with MAC 1200 ST only if the selected exercise device is the MASTER STEP 3 8 MAC 1200 1200 ST 2012250 021 Revision C Operating and Performance Tests Connecting P eripheral Equipment Connecting Peripheral Equipment WARNING SHOCK HAZARD Strictly observe the following warnings Failure to do so may endanger the lives of the patient the user and bystanders Connecting peripheral devices to the RS232 interface of the electrocardiograph creates a medical system This system must meet the requirements of IEC 60601 1 1 Useonly theoriginal GEMS IT connection cables All non medical devices
9. TRIM KNOB Trimline UNION STATION UNITY logo UNITY NETWORK Vari X Vari X Cardiomatic VariCath VARIDEX VAS and Vision Care Filter are trademarks of GE Medical Systems Information Technologies registered in the United States Patent and Trademark Office 12SL 15SL Access AccuSpeak ADVANTAGE BAM BODYTRODE Cardiomatic CardioSpeak CD TELEMETRY LAN CENTRALSCOPE Corolation EDIC EK Pro Event Link Cirrus Event Link Cumulus Event Link Nimbus HI RES ICMMS IMAGE VAULT IMPACT wf INTER LEAD IQA LIFEWATCH Managed Use MARQUETTE PRISM MARQU ETTE RESPON DER MENTOR MicroSmart MMS MRT MUSE CardioWindow NST PRO NAUTILUS O SENSOR Octane OMRS PHi Res Premium Prism QUIK CONNECT V QUICK CONNECT QT Guard SMART PAC SMARTLOOK Spiral Lok Sweetheart UNITY Universal Waterfall and Walkmom aretrademarks of GE Medical Systems Information Technologies OGE Medical Systems Information Technologies 2004 All rights reserved T 2 MAC 1200 1200 ST Revision C 2012250 021 21 July 2004 CE Marking Information CE Marking Information CE Compliance TheMAC 1200 1200 ST bears 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 of this directive Any other directive s and all the standards the product complies to are listed in the general information of the operator m
10. The value selected here is the default value appearing in the patient data with CSI protocol only Revision C MAC 1200 1200 ST 10 21 2012250 021 System Setup System Setup Location Date Time Lead Fail Beep High HR Beep Lead Labels Pace Enhancement Baseline Roll Filter 3 place ID number of thelocation to which the ECG recorder is assigned default 1 range 1 to 600 Enter date and time enter 4 digits for the year Audio signal to indicate electrode problems yes no Audio signal to indicate that the heart rate exceeds the limit value yes no only in Manual and Arrhythmia modes The limit value 220 age can be changed manually 1 The value selected here is the default value appearing in the patient data 2 with CSI protocol only IEC codes R L F N Cl to C6 or AAMI codes RA LA RL LL V1 to V6 Pacer pulses are displayed enhanced and with a given amplitude yes no When programming pacemakers we recommend to disable the pace enhancement Select the lower cut off frequency 0 04 0 08 0 16 Hz 10 22 MAC 1200 1200 ST Revision C 2012250 021 System Setup System Setup Date Time Units Mains LCD Light Off After Low Battery Beep Beep for Master Step Format day month year or month day year Time format 24 hours or 12 hours am pm Units of measurement for the patient s height and weight cm kg or in Ib AC l
11. V4 see Table 1 Setup Menu for the Automatic M ode on page 5 4 5 6 MAC 1200 1200 ST Revision C 2012250 021 Automatic Mode Recording Recording MAC 1200 with the MEMO memory option ECGs are not automatically stored configurable ECGs that were successfully transmitted to a host system are not automatically removed from memory configurable m QTC is calculated with the Bazett formula only MAC 1200 with option MEAS measurement or DI AG measurement interpretati on The locations of all relevant device settings are shown below Operating mode Muscle filter AC line filter Anti drift system Patient Name Report function Gain Report sequence Three leads display here Failure message Heart rate 1 if enabled 2 or REC OFF when the recording function is disabled 3 if any The display shows three leads at a time With by you can display all leads of the report sequence in groups of three m Therecording can be stopped with PO m Foradescription of the different reports see Report Formats on page 5 10 Revision C MAC 1200 1200 ST 5 7 2012250 021 Automatic Mode Recording The Storage Program The Storage Program With MAC 1200 units equipped with the optional storage program MEMO the ECG induding patient measurement and analysis data can be saved with the button after ECG acquisition A message informs the user that ECGs are being saved and
12. We recommend the default setting of 19200 baud Protocol The recorder offers two communication protocols A5 and CSI Client Server Interface MAC 1200 1200 ST only With the A5 protocol the 10 second resting ECG can betransmitted to CardioSys and CardioSoft The CSI protocol supports the transfer of resting ECGs from the electrocardiograph to a MUSE CV system Modem Select the modem type Choose among the standard modems Multi Tech MT 19 2 56k Elsa 14 4 28 8 33 6 56k and a user defined modem When using one of the standard modems enter is the following m Thedial mode pulse or tone depending on your telephone network m Thetelephone number 20 digits maximum m Thenumber to access the public telephone network e g 0 For a user defined modem enter the following m Thetelephone number 20 digits maximum m Theinit string 20 characters maximum See modem operator s manual m Thedial string 20 characters maximum See modem operator s manual m The hangup mode 20 characters maxi mum See modem operator s manual 10 26 MAC 1200 1200 ST Revision C 2012250 021 System Setup Communication PIN Dialing The MAC 1200 1200 ST can be set up so a facility can dial in with a PIN Personal Identification Number and a calling card Toenablethe PIN dialing function follow these steps 1 Within the Communication Setup window select the appropriate modem Movethe cursor to the
13. etc You can write over SEQ NO 4 if you wish to enter another name for the report sequence Gain The unit will automatically determine the appropriate gain setting for the 6 simultaneous leads auto 5 10 20 40 mm mV with auto Speed Changes the paper speed Default 25 mmys Muscle Filter AC Filter Elimination of muscle artifact and AC line interference wm Muscle filter no AC line filter yes Muscle Filter Frequency Cut off frequency of the muscle filter 40 Hz 20 Hz The frequency range is indicated in the lower margin of the recording strip m 0 08 40 Hz 40 Hz muscle filter enabled m 0 08 20 Hz 20 Hz muscle filter enabled m 0 08 150 Hz muscle filter off Revision C MAC 1200 1200 ST 10 9 2012250 021 System Setup Manual Mode Anti Drift System ADS In case of wandering baselines the anti drift system restores the baseline to its original position Signal delay with ADS approximately 2 seconds Default no Auto Paper Feed Before each recording the recorder feeds the paper to the beginning of a new page yes no 10 10 MAC 1200 1200 ST Revision C 2012250 021 System Setup Arrhythmia Mode Arrhythmia Mode Report Sequence Gain Muscle Filter AC Filter Usethe cursor keys to position the bar cursor on Arrhythmia and confirm the selection with e The configuration menu for the Arrhythmia mode will appear STD C V
14. physical working capacity for bicycle ergometers only METS metabolic equivalent as a multiple of the oxygen consumption at rest V m min x 0 1 slope 100 x 1 8 43 5 METS 3 5 Median complexes rest peak exercise 8 22 MAC 1200 1200 ST Revision C 2012250 021 Stress Tests Running a Stress Test Graphic Trends Standard HR BP load for bicycle ergometers Load rpm for bicycle ergometers HR BP METS for treadmills Speed slope for treadmills ST slopes ST levels channel 1 ST slopes ST levels channel 2 Heart rate artifacts Paced beats PVC Revision C MAC 1200 1200 ST 2012250 021 8 23 Stress Tests Running a Stress Test 8 24 MAC 1200 1200 ST 2012250 021 Revision C 9 Pacemaker Patients Recording During Defibrillation evision MAC 1200 1200 ST 2012250 021 For your notes 9 2 MAC 1200 1200 ST Revision C 2012250 021 Pacemaker Patients Recording During Defibrillation Recording ECGs of Pacemaker P atients Recording ECGs of Pacemaker Patients Duetothe slow paper speed it is not possibleto display pacer pulses directly on the ECG recording At a paper speed of 50 mm s and a pulse duration of only 0 5 ms the width of the recorded pacer pulse would be only 0 025 mm For this reason the recorder reduces the pulse amplitude and expands the pulse width so that the pacer pulse is easier to identify The MAC 1200 1200 ST records t
15. 7 After 10 to 20 seconds the first median report is printed The following reports will be printed after the pre configured interval time 8 Attheend of thetest a summary report is printed with trends and tables User Actions During the Master s Step Test During the test you can change settings or initiate additional reports amp mm s HR HR O V Initiates printout of a 12 Lead report Toggles between 25mmys and 50mm s Selects the gain 5 10 20 40 mm mV Switches muscle filter ON OFF Adjusts HR alarm limits Changes the number of passes in the PRE EXERCISE phase depending on the selected M aster Step mode the number of passes changes as follows SINGLE increments decrements by 1 pass DOUBLE increments decrements by 2 passes TRIPLE increments decrements by 3 passes Selects the Master Step mode SINGLE 90 s DOUBLE 180 s TRIPLE 270 s in the PRE EXERCISE phase When pressed in the EXERCISE phase this button returns you tothe ELECTRODE OFF stage of the PRE EXERCISE phase where you can changethe selected number of passes or the Master Step mode with the cursor keys In stage 1 of the PRE EXERCISE phase the button advances to PRE EXERCISE stage 2 Revision C MAC 1200 1200 ST 8 15 2012250 021 Stress Tests Ergometers with Remote Start Pulse v9 cian Alt When pressed while the test is on hold in the EXERCISE phase theEXERCISE phaserestarts I n stage 2 of th
16. 8 6 you will find descriptions of the test sequences with the different exercise devices NOTE The Stress Test mode is only possible with MAC 1200 ST units with the ERGO option Before recording the first exercise test ECGs the unit must be set up accordingly e g by selection of the ergometer model and test protocol Chapter 10 Communication descri bes how to configure the ergometer model All other exercise test related settings are described in Chapter 10 Stress Test Mode section WARNING Before connecting peripheral devices to the unit read the safety information in Safety Information on page 1 6 During an exercise test the following occurs m TheST segment is analyzed in all 12 leads m 3leadsare shown on the display 12 selectable leads are recorded m TheECGis continuously monitored for arrhythmias All relevant measurement results are stored and can be retrieved after the test The maximum length of an exercise test is 90 minutes After the end of the test the unit prints a final report The report includes the following information m Patient data summary Tabular summary Graphic trends of the most important parameters ST summary Episode report Revision C MAC 1200 1200 ST 8 3 2012250 021 Stress Tests General Information Bicycle Ergometer Treadmill Master s Step Tests Y ou can choose among the following test protocols WHO HOLLMANN BAL STD FRANCE MODWO C
17. C6 C6 Atthe mid auxiliary line on the same horizontal level as C4 cr Atthe left posterior auxilary line in the 5th intercostal space C8 Atthe left scapulary line in the 5th intercostal space C3R Opposite C3 on the right side of the chest CAR Opposite C4 on the right side of the chest additional standard leads Revision C MAC 1200 1200 ST 4 5 2012250 021 Preparing for ECG Recording Electrode Application Connect the 10 lead patient cable as shown below N black right leg right arm C1 white C2 white 3 white Cawhite EN Beh left arm C6 left leg C1 C2C3 C4 ES u Connecting the Patient Cable 10 Lead Cable Standard ECG Leads Arrange the leadwires and patient cable as shown below Correct Incorrect 010A Arranging the Patient Cable 4 6 MAC 1200 1200 ST Revision C 2012250 021 Preparing for ECG Recording Electrode Application Electrode Placement for Nehb Leads The figure below shows the electrode sites for acquisition of the Nehb leads Connect the 12 lead patient cable as shown in the figure on the next page Nap is the same as C4 011A Electrode Placement for Nehb Leads Nst 4th intercostal space at the right border of the sternum Nax At the posterior auxiliary line in the 5th intercostal space identical with C7 Nap Atthemid clavicular line identical with C4 in the 5th intercostal space As an alternative it is also possible to record the Nehb lead
18. I n 7 3 Recordihq zoe rec mete ee dete utet eo woe tn nde ape a esr ete 7 5 During he Recording cose rte ana ana SE Tae d 1 6 Final Report e i RC peo GR C cn oc dtd 1 8 Stress Tesis Ai ai nennen ee 8 1 General Information censis nensi e nun nnn 8 3 Stress Test Sequences 0c cece cece e eee eee nne 8 6 Ergometers without Digital Communication Interface 0 cece eee 8 6 Ergometers with Remote Start Pulse oooooooccococcccnccn a 8 8 Ergometers with Digital Communication Interface 0 cece eee eee 8 9 crue 8 12 The Masters Step Test 8 14 Creating Custom Protocols 0 cece cece eee eee eee eens 8 17 Running a Stress Test 00 ec cece eee eee eee eee nnn 8 18 Ending the Stress Tests ns tb iis dimer EL en fomes ga ces 8 21 Final Repo oit reg ne qaae ve SS GUN E AN 8 22 Revision C MAC 1200 1200 ST iii 2012250 021 Pacemaker Patients Recording During Defibrillation 9 1 Recording ECGs of Pacemaker Patients 0 ccseeeeeeee eee nennen 9 3 ECG Recording During Defibrillation Lees 9 4 1 0 System Set p cis 10 1 General Information lsseeseeeeeeen ees 10 3 Automatic Mode oooococccoccnrccnr nnn 10 4 ReportS equence suns catar Ar etre D ce For A e ed 10 4 Rhythm Lads ii eot ER Ann 10 4 GaN kicker sq lebte dn weld heed baka Am och br dd 10 4 Report Format ie CE ee ER 10 4 Detailed Results MAC 1200 1200 ST Only 0 cece eee eee 10 4 Con
19. Name First Name 18 characters each Date of Birth Y ou do not need to enter separators between date month and year fields The qs button has the function of the Shift Lock key when entering data in alphanumeric text boxes This function allows you to enter the characters shown in the upper part of the keys without pressing the Shift key The w symbol appears in the display to indicate the Shift Lock status Patient ID This field accepts 3 to 16 characters The exact length is determined in the patient data setup menu NOTE When entering a patient ID which consists of numerals only the blanks preceding the number are replaced with 0 Example If a 6 digit text box is configured and you enter the patient ID 123 thefinal ID number will read 000123 The default value for this field is 9 characters Revision C MAC 1200 1200 ST 4 13 2012250 021 Preparing for ECG Recording Entering Patient Data Chest Pain NOTE The chest pain option is for use with 12SL program only The entry for this menu item is passed on tothe 12SL program which considers it in the test interpretation If you choose one of the options and additionally enter the patient s gender and date of birth the program will determine a percentage value indicating the probability of acute ischemia This value along with a reason for this condusion will appear in the interpretation Pacemaker Influences the identification of pacer pulses in Arrhyt
20. Power cord US 2 5 m Global modem kit Connection cable MAC 1100 MAC 1200 to modem 9 pin Available separately or as part of the global modem kit Connection cable MAC 1100 MAC 1200 to CardioSys Connection cable MAC 1100 MAC 1200 to modem 9 pin Connection cable MAC 1100 MAC 1200 to modem 25 pin Connection cable EC 560 ECB 561 or MAC 1100 MAC 1200 to CardioSys Connection cable M 700 to MAC 1100 M AC 1200 Connection cable EC 1200 to MAC 1100 MAC 1200 Connection cable Variobike 500 to MAC 1200 ST Connection cable Lode Excalibur to MAC 1200 ST Connection cable T2000 to MAC 1200 ST Connection cable TM 400 to MAC 1200 ST 15 6 MAC 1200 1200 ST Revision C 2012250 021 A Entering Special Characters evision MAC 1200 1200 ST 2012250 021 For your notes A 2 MAC 1200 1200 ST 2012250 021 Revision C Entering Special Characters Special Characters Special Characters The following special characters not for the Czech language can be entered by means of the appropriate keystroke combination Character Keystroke Combination t Q t W t E t R t Y t D t F t G t K t L t X t C t V t B t N t M tl then A t l then E t 1 then t 1 then O t l then U t 0 then A enter E 1 in the same manner t P then A enter f in the same manner t U then Y enter T A 6 in the same manner t H then
21. V1 V5 V2 V3 V4 all leads Gain 10 mm mV auto 5 20 40 mm mV Report Format 12 FS 12 F1 12 F2 6 F1 6 F2 6 FS 6 F2 25 3 FL H1 H2 Al 4x2 5R3 1x10R3 MUSE1 Detailed Results No Yes Cont Rhythm Yes No Muscle Filter No Yes Muscle Filter Frequency 40 Hz 20 Hz AC Filter Yes No Manual copy to EKG HOST Number of copies 1 0 9 Delete ECG after No Yes Transmission Autosave ECG No Yes Interpretation Yes No Print Interpretation Yes No Override Function No Yes 5 4 MAC 1200 1200 ST 2012250 021 Revision C Automatic Mode Recording Recording Recording NOTE When an electrode is off the patient the unit will not start in Automatic mode if the Overridefunction is disabled see Chapter 10 Automatic M ode When the unit is powered up it defaults to the Automatic mode this default setting can be modified 1 Before recording the ECG patient data can be entered E Itis recommended that you enter the patient s name so it appears on every report 2 After applying the electrodes wait about 10 seconds for the signal to stabilize stabilization of polarization voltages see Chapter 4 Artifact Due to Poor Electrode Application If you initiate a recording with immediately after selecting the Automatic mode the message Collecting data displays and you will need to wait for 10 to 12 seconds 3 Before initiating a recording check the display for
22. changes terminates the adjustment without saving the changes space bar for the P onset and P offset values the space bar toggles between definite value and approxi mate value 5 22 MAC 1200 1200 ST Revision C 2012250 021 Automatic Mode Recording Adjusting Measurement P oints QT Dispersion Local T Offset Measurement Point QT Dispersion When you exit the screen for verification of the global measurement points the screen for verification of the T offset measurement point appears automatically 1 2 3 4 029A Verification of the T Offset Measurement Point Description Amplitude in mV Selected lead Time in s ej w N rnm Active marker Therefore this screen always shows only one lead at a time and the T offset point Changing the local T offset point also affects the QT dispersion value Revision C MAC 1200 1200 ST 5 23 2012250 021 Automatic Mode Recording Adjusting Measurement P oints QT Dispersion Use these keys to adjust the marker 2 moves the marker right or left ty displays the next lead em changes the gain terminates the adjustment saving the changes PO terminates the adjustment without saving the changes When you exit the screen the acquisition screen for the Automatic mode reappears The corrected ECG can be printed with the amp button If the unit is equipped with the MEMO memory option the corrected data can be sav
23. entry of patient data 18 Indicator lights up when battery needs to be recharged 19 Indicator is illuminated when unit is connected to the power line 20 Cursor control keys 21 Space bar 22 Shift key 23 Press to access special characters MAC 1200 ST Keyboard 96000900089 WU IU E SE OS ooo US CM 999090066 i 20 Gam 69 eq ely eb ya 6 099A Description 1 Selects the Stress Test mode and the Arrhythmia mode press button twice 2 Increases reduces load W treadmill grade 96 and treadmill speed V 3 Stops the treadmill 4 Starts the test phases pre test exercise recovery 5 Starts the treadmill 6 Holds the stage Revision C MAC 1200 1200 ST 2 5 2012250 021 Controls and Indicators Symbols Symbols A Consult accompanying documents Signal input a Type CF signal input highly insulated defibrillation proof lt gt Start Q Stop Batte l Saving retrieving ECGs D Correction key lt a Direction indicator Device ON OFF dy ECG lead selector 8 Printout of reports and ECG copies b Standby ceo Stage hold En Pre exercise phase gh Exercise phase amp Post exercise phase 2 6 MAC 1200 1200 ST Revision C 2012250 021 j Operating and Performance Tests evision MAC 1200 1200 ST 2012250 021 For your notes 3 2 MAC 120
24. error messages Check all electrodes if the message persists there must be a break in the patient cable Replace the cable with a new one Table 2 Messages Indicating Disconnected Electrodes Symbol Meaning Symbol Meaning R Right arm electrode disconnected C4 Chest electrode C4 disconnected ibe Left arm electrode disconnected C5 Chest electrode C5 disconnected NE Left leg electrode disconnected C6 Chest electrode C6 disconnected XCI amp Chest electrode C1 disconnected NA NEBB electrode Nap disconnected C2 Chest electrode C2 disconnected NT NEHB electrode Nst disconnected C3 Chest electrode C3 disconnected NX NEHB electrode Nax disconnected 4 Initiatea recording with HO The MAC 1200 1200 ST acquires all 12 leads simultaneously for 10 seconds and then generates a printout NOTE The device can be set up to allow a recording only when specific patient information has been entered last name first name 1D Secondary ID Chapter 10 Patient Data Menu Setup Revision C MAC 1200 1200 ST 5 5 2012250 021 Automatic Mode Recording Recording When you initiate a recording with OD the unit prints the most recent 10 seconds of ECG data and analyzes it Therefore wait until the patient has been lying relaxed and motionless for about 10 seconds before starting the recording NOTE Filters may suppress diagnostically relevant portions of the signal because they limit the transmission range Ther
25. ode section that is 10 seconds shorter than the stage time MAC 1200 1200 ST 2012250 021 8 5 Stress Tests Stress Test Sequences Stress Test Sequences The sequences of test phases and test protocols depend upon the exercise test device being used for the stress test Ergometers without Digital Communication Interface With these ergometers the test phases of the stored test protocols are the basis for the test sequence This means that the protocol s initial load and load increases must be manually entered at the ergometer Also manual intervention in the test protocol such as increasing the load or sequencing to the next phase must be repeated at the ergometer 1 For Ergom Treadmill select internal or remote start Chapter 10 Communication secti on 2 Select thetest protocol Chapter 10 Stress Test Mode section and set the corresponding initial load at the ergometer Press oD to initiate the test Wait approximately 30 seconds until the first ST measurements are taken Press Ek and ask the test subject to start pedalling Each time you reach the end of a load stage you must set the load increase indicated by the program at the ergometer As a general rule all load changes implemented in the test protocol must be performed manually at the ergometer 3 During the test you can do the following Advance to the next load stage with ER 280 Hold the current stage with Adv
26. or disinfecting it When disconnecting the cable be sureto pull on the connector not on the cable m Clean the cable by rubbing it down with a cloth moistened with soap water Use a disinfectant for disinfection Do not immerse the cable in liquid Cleaning and Disinfecting the Electrodes In addition to the information given in this manual observe the instructions for use of the respective electrode types m Discard disposable adhesive electrodes immediately after use to prevent that they are reused m Clean reusable electrodes immediately after removing them from the patient Peel off the adhesive foil before cleaning the electrodes rests of the adhesive can be removed with benzine Then use warm water and a small brush to clean the electrodes of cream or gel Do not use pointed or sharp objects for cleaning Disinfect the electrodes with alcohol free disinfectant Ensure that connectors and sockets do not become wet m Theonly approved sterilization method is gas sterilization Frequently sterilizing the electrodes with ethylene oxide gas reduces the life of the plastic material Revision C MAC 1200 1200 ST 12 3 2012250 021 Cleaning Disinfection and Maintenance Maintenance Maintenance Checks Before Each Use Before each use visually inspect the device the leads and electrodes for signs of mechanical damage If you detect damages or impaired functions that may adversely affect the safety of the pat
27. or unsafe practice which if not avoided could result in death or serious injury CAUTION indicates a potential hazard or unsafe practice which if not avoided could result in minor personal injury or product property damage NOTE provides application tips or other useful information to assure that you get the most from your equipment The safety information given in this manual is classified as follows DANGER EXPLOSION HAZARD The device is not designed for use in areas of medically used rooms where an explosion hazard may occur An explosion hazard may result from the use of flammable anesthetics skin cleansing agents and disinfectants Revision C MAC 1200 1200 ST 1 7 2012250 021 The Basics Safety Information WARNINGS SHOCK HAZARD Strictly observe the following warnings Failure to do so may endanger the lives of the patient the user and bystanders Before using the device the operator must ascertain that it is in correct working order and operating condition In particular all connectors electrodes as well as sensors and probes must be checked for signs of damage Damaged parts must be replaced immediately before use 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 Socke
28. prompt PIN Dialing Select Yes Enter information for the following fields Delay ddddd Service provider sssss PIN pppppppp Phone number xxxxx Outside line yyyyyy 9 5 Savethis setting by pressing OD Manual Dialing The MAC 1200 1200 ST can beset up soa facility can manually dial in to transmit ECG records To enable the manual dialing function follow these steps 1 Within the Communication Setup window select CSI A5 Protocol Sdect Move the cursor to the prompt Manual Dialing 3 Select Yes 4 Savethis setting by pressing OD Revision C MAC 1200 1200 ST 10 27 2012250 021 System Setup Communication Ergometer Treadmill Options internal Other Choosethe exercise test device used Selecting Other will open a window where you can choose the appropriate option Confirm your selection with D 10 28 MAC 1200 1200 ST Revision C 2012250 021 System Setup Patient Data Menu Setup Patient Data Menu Setup The patient data menu can be set up to meet individual requirements If you do not want to enter blood pressure readings for instance you can remove the corresponding prompts from the menu 1 Usethe cursor keys to position the bar cursor on Patient Data Setup and confirm the selection with e The patient data setup menu will appear 2 Select Nofor prompts that you want to remove from the dialog The following items cannot be removed Name First name Dateof b
29. the default setup see Chapter 10 Communication section for details Table 2 Modem Configuration Menu Parameter Factory Default Options Choices for Modem gt Other No other MultiTech 19 2 MultiTech 56k Elsa 14 4 Elsa 28 8 Elsa 33 6 Elsa 56k Choices for Modem gt other Phone Number Initial modem AT amp FM1X3S 0 1V0 dial string hang up ATDT HATH Choices for Modem gt MultiTech Elsa Dial mode Tone Pulse Phone Number 0 to 9 20 digits Outside line 0 to 9 20 digits 3 10 MAC 1200 1200 ST Revision C 2012250 021 4 Preparing for ECG Recording evision MAC 1200 1200 ST 2012250 021 For your notes 4 2 MAC 1200 1200 ST 2012250 021 Revision C Preparing for ECG Recording Connecting the Patient Cable Connecting the Patient Cable WARNING SHOCK HAZARD Strictly observe the following warnings Failure to do so may endanger the lives of the patient the user and bystanders Forreasons of patient safety use only the original GE Medical Systems Information Technologies patient cables Before connecting the cable to the device check it for signs of mechanical damage Do not use a damaged cable Ensurethat conductive parts such as the patient connectors electrodes transducers that are connected to the isolated patient signal input do not come into contact with other grounded conductive parts This would bridge the pat
30. will abort the test MAC 1200 1200 ST Revision C 2012250 021 Stress Tests Running a Stress Test Ending the Stress Test For automatically controlled program sequences press the HO after completing the last stage in the last phaseto end the stress test Refer to E nd Cancel a Stress Test on page 8 7 for more information NOTE If the stress test is aborted in the pretest phase with HO no automatic final report will be printed Revision C MAG 1200 1200 ST 2012250 021 Stress Tests Running a Stress Test Final Report Graded Summary Report Immediately after the end of the stress test the unit will print the final report The scope of this report can be selected in the configuration menu The following reports are available Patient data Analysis duration Duration of pretest exercise and recovery Maximum HR HR at rest Maximum BP BP at rest RPP max ST HR index quotient of the difference of the ST depression at peak exercise and at the beginning of exercise and of the difference between the heart rate values at the same time ST max lead with the max ST depression of the whole test the leads V1 aVR and aVL being exduded ST recovery lead with max ST depression 3 minutes after the end of the exercise phase the leads V1 aVR and aVL being exduded Arrhythmia results normal beats artifacts VBIG PVC PWC130 PWC150 PWC170 watts per kg of body weight at HR 130 150 and 170 PWC
31. with display backlighting For mains power battery status and start stop function Manual selection of different lead combinations or automatic lead sequencing m Lead programs configurable EINTHOVEN GOLDBERGER WILSON NEHB CABRERA lead sequence and user specific combinations in Manual and Arrhythmia modes They assist and facilitate operation by the following m Automatic amplifier blocking m Automatic control of lead selection paper feed calibration configurable Report formatting configurable m Automatic baseline adjustment Anti drift system compensating for polarization voltage fluctuations configurable 14 4 MAC 1200 1200 ST Revision C 2012250 021 Technical Specifications Recording Detection of Pacer Pulses m Pulselength between 0 1 and 2 5 ms m Pacer pulse marker independent of pulse polarity m Pulseamplitude between 5 mV and 700 mV Heart Rate Indication Derivation of the heart rate from all ECG signals m Display range 30 to 300 bpm m Display update with every heart beat maximum every 2 seconds Signal Inputs Isolated patient signal input IEC type CF high voltage protection for all lead connections and neutral electrode interference compensation via neutral electrode monitoring for open leads m Electrode connections for R L F N Cl C6 Nax Nst Nap C4 m Input impedance for differential signals between any two electrode connections gt 10 MW at 10 Hz m
32. 0 1200 ST Revision C 2012250 021 Operating and Performance Tests Power Supply Power Supply Ex w Y s ep QJ f 0 _ Pp Indicator 2 Indicator 1 002A Indicators The units are powered from the power line or from the rechargeable battery The battery charges automatically when the unit is connected to the power line and the green indicator 2 is illuminated as shown above It is not necessary to switch on the device for charging To ensurethat the battery is always fully charged leavethe electrocardiograph connected to the power line whenever possible The battery regains its full capacity after being connected to the power line for four hours Indicator Lis illuminated when the battery needs to be charged The unit can also be set up to emit an additional audio signal when the battery requires charging With a full battery about 50 ECGs 1 page each can be recorded in the Automatic mode When its capacity drops to about 25 recordings the battery is used up and must be replaced by a service specialist NOTE To prolong the battery life fully discharge the battery at least once per month by operating the electrocardiograph on battery power NOTE In standby mode a fully charged battery is drained within approximately 4 hours Therefore when operating the device on battery power be sure to turn it off when it is not in use Revision C MAC 1200 1200 ST 3 3 2012250 021 Operating and Performance Tests I
33. 1 Preparing for ECG Recording Entering Patient Data Entering Patient Data It is possible to enter patient data and have them annotated on the recording for easy archiving of patient records m Press fa to enter the patient data mode Therecorder displays the menu items in a defined order In the configuration menu Chapter 10 Patient Data Menu Setup section for details you determine the items to be included in the menu In thetable on the next page the items that appear in the patient data menu in the default configuration are marked as Y es in the Menu item displayed column the other menu items are marked as No To skip a menu item press e or the cursor key X or It is not possible to write capital and small letters do not press the Shift key For entry of numbers e g date of birth it is not necessary to press the Shift key For fields that allow alphanumeric entries the NumLock function can be enabled with uU the symbol w appears in the upper right corner of the display All entries must be confirmed with e 3 Press a or OD to exit the patient data mode NOTE Please refer to the Appendix for instructions on entering special characters Revision C MAC 1200 1200 ST 4 11 2012250 021 Preparing for ECG Recording Entering Patient Data The table below shows the menu items in the correct order On the display selected options are shown in brackets After the table each Parame
34. 1 V2 V3 V4 V5 V6 STD RED Llll III V2 V4 V6 STD LI 1 11 111 aVR aVL aVF CABR LI aVL I aVR II aVF III NEHB 1 11 111 D A J HIGH C VI V2 V3 V4 V5 V6 4 you can configure a custom sequence with these leads m Position the cursor on HIGH C m Press e and create the report sequence as described in M anual Mode section Theunit will automatically determinethe gain setting auto 5 10 20 40 mm mV with auto Elimination of muscle artifact yes no Elimination of AC line interference yes no Revision C MAC 1200 1200 ST 10 11 2012250 021 System Setup Arrhythmia Mode Muscle Filter Frequency Trend Recording Arrhythmia Data Cut off frequency of the muscle filter 40 Hz 20 Hz The frequency range is indicated in the lower margin of the recording strip m 0 08 40 Hz 40 Hz muscle filter enabled m 0 08 20 Hz 20 Hz muscle filter enabled m 0 08 100 Hz muscle filter off The slow trend recording of 5 mm s automatically begins at program start no yes The recorder will document arrhythmias in the following situations all unequal no m Each time an arrhythmia occurs m Each timean arrhythmia occurs that is different from the preceding event m Arrhythmias are not documented Episodes Final report includes episode report with episodes listed by one of the following criteria chron prio ventr no m In chron
35. 10 24 Print Configuration Lists icis 10 24 Transmission Login escena rey cire tote re ce Poste vtm 10 25 Check Record Ren enn 10 25 Communication menn en eade Axe deos 10 26 Baud Rate PG s ee rn dep ee aides baited acted les 10 26 Protocol coser red OS 10 26 Inn Er 10 26 PAN Dialing ves rtc acid ad ra d a c anes 10 27 Manual Di ling s aaa e vex Pe ete vaca PUO eben 10 27 Ergometer Treadmill yere csse mne 10 28 Patient Data Menu Setup cccec cece eee eee eee eee nun nenn 10 29 Required Data Fields 4 20 kette bern 10 30 Prompts TITA st ec erbe ege end dard ras 10 30 Revision C MAC 1200 1200 ST V 2012250 021 Option Code eet eto ah nace nn 10 31 ECG Transmission via Modem slsesueseseeeseeeeeeeeeee 10 32 Selecting the Communication Protocol isse 10 32 Direct ECG Transmission 0 c ccc ee cece eect eee ee eneeees 10 33 Selecting the Communication Protocol 0 0 ccc eee eee 10 33 1 1 Loading Chart Paper oooocooooococoroo 11 1 Proced te a 11 3 End of Paper Indication isses 11 5 Aging Stability coso ia du aes ett ny des Ov P Eo aaa A A 11 6 1 2 Cleaning Disinfection and Maintenance 12 1 Cleaning and Disinfecting the Recorder Housing Lee 12 3 Cleaning and Disinfecting the Patient Cable 0 0 0 ccc ee cece eee aees 12 3 Cleaning and Disinfecting the Electrodes ccceceeeeeeeeeeeueees 12 3 Maintenance nian aa
36. 1200 ST Revision C 2012250 021 Automatic Mode Recording Adjusting Measurement Points QT Dispersion Adjusting Measurement Points QT Dispersion This featureis only available with MAC 1200 1200 ST units equipped with the MEAS or DIAG option The HEART interpretation program is also required Global Measurement Points After acquisition of an ECG in the Automatic mode the global measurement points for P onset P offset QRS onset QRS offset and T offset can be adjusted manually After acquisition of the ECG press Ry to display the screen for verification of the global measurement point markers g 1 mv 028A Verification of the Global Measurement Points Description Amplitude in mV Selected lead Active marker large Inactive marker small on A w N m Time in s Revision C MAC 1200 1200 ST 5 21 2012250 021 Automatic Mode Recording Adjusting Measurement P oints QT Dispersion Onthis display you will seeall 12 ECG leads the activelead is black and displayed in the foreground the inactiveleads appear dimmed in the background Theactive measurement point marker is large thefour inactive markers are small Use these keys to adjust the markers moves the active marker right or left 4 selects the next or previous marker activates the next lead een changes the gain terminates the adjustment saving the
37. 3 00 217 007 03 217 148 01 217 043 02 Electrode Application Systems Electrode cream 5 container Dispenser 30 ml Electrode contact spray 200 ml bottle Electrode contact spray 2 1 refill 500 adhesive rings for electrodes 217 225 500 adhesive rings for electrodes 217 320 217 110 500 adhesive rings for electrodes 217 321 Electrode paper 200 sheets for electrode 504 648 56 Electrode paper 200 sheets for electrode 217 144 01 02 ECG filing cards 50 cards 216 121 13 Electrode Application System KISS 10 10 lead system without pump 216 124 13 Electrode Application System KISS 10 10 lead system with pump 216 122 02 Electrode Application System KISS 12 12 lead system NEHB without pump 303 443 77 Swivel arm for KISS 384 015 84 Table top damp with pole 384 013 30 Wall fixture for swivel arm 303 444 21 Clip adapter for adhesive electrodes Miscellaneous 931 098 80 Instrument bag 227 477 02 Physician s Guide for ECG Interpretation Program HEART V4 3 English 416791 004 12SL ECG Analysis Program Physician s Guide Revision C MAC 1200 1200 ST 15 5 2012250 021 Order Information General Information Connection Cables 217 041 02 919 062 00 401855 107 919 203 37 919 201 81 2020187 001 2008683 001 223 362 03 223 378 01 223 378 02 223 362 03 223 330 04 223 366 04 2006795 001 2006796 001 223 390 03 223 368 02 ECG ruler GUTZER Power cord 3m Power cord CH 3m Power cord UK 3m
38. 5 2 00 125 1 50 STAGE 6 2 00 150 1 50 STAGE 7 2 00 175 1 50 STAGE 8 2 00 200 1 50 STAGE 9 2 00 225 1 50 STAGE 10 2 00 250 1 50 STAGE 11 2 00 275 1 50 STAGE 12 2 00 300 1 50 STAGE 13 2 00 325 1 50 Protocol Editor Window 1 A stage time of 99 00 means an indefinite stage time and the program does not automatically advance to the next stage 2 Values for Ramping are 1 or Yes and 0 or No Ramping 2 Yes means the load increases evenly 3 If the time for the first stage report is longer than the stage time no stage report will be printed The protocol editor has the form of a table It lists all parameters of the protocol names of the protocol phase and stage load parameters depending on exercise test device intervals for the output of reports intervals for blood pressure measurements The command menu is shown at the top of the display When the editor screen is opened the cursor highlights the protocol name e g WHO With the cursor keys the cursor can be positioned on the different commands MAC 1200 1200 ST 2012250 021 Revision C System Setup Stress Test Mode Editing Parameters Adding a Phase When the cursor is in the bottom line of the command menu it can be positioned in the table with vd When the cursor moves beyond the borders of the screen the table position changes accordingly The column listing the stage names however does not change so that users will not lose track of the stage
39. A enter N O in the same manner t A t t T thenZ t T then S t X g x cy m9 O COM m m gt gt gt Cl OF m gt gt OF a gt gt gt E E E D E B E B D B B B B B D B B gt gt gt gt gt gt gt gt gt gt Revision C MAC 1200 1200 ST A 3 2012250 021 Entering Special Characters Special Characters For your notes A 4 MAC 1200 1200 ST 2012250 021 Revision C Index Revision C MAC 1200 1200 ST Index 1 2012250 021 Index 2 MAC 1200 1200 ST Revision C 2012250 021 Index A AC line filter stress test 10 5 10 18 AC line frequency 10 23 AC line interference 13 3 Activating Options 10 31 Aging stability recordings 11 6 Anti drift system 4 9 10 10 Arrhythmia Codes 7 9 Audience manual s 1 4 authorized service 1 12 Automatic baseline adjustment 4 9 Automatic mode 5 3 B Batch Transmission 5 12 Battery charging 3 3 Baud rate 10 26 Bicycle ergometer protocols 8 4 Biocompatibility 1 11 Blood pressure intervals 8 9 Blood pressure monitors 8 9 C CE marking CE 1 Cleaning 12 1 Connecting the patient cable 4 3 Contrast adjustment 3 6 Controls and indicators 2 3 Create new protocol 10 17 D Date 10 22 Detailed results 5 11 10 4 device name 1 12 Disinfection 12 1 Display backlighting 10 23 Disposa
40. Accessories sisse 15 3 Entering Special Characters A 1 Special Characters 2 encre UE eh ue rh een wae ees A 3 Index coro e RI I sins Index 1 Revision C MAC 1200 1200 ST vii 2012250 021 For your notes viii MAC 1200 1200 ST Revision C 2012250 021 l The Basics Revision C MAC 1200 1200 ST 2012250 021 1 1 For your notes 1 2 MAC 1200 1200 ST Revision C 2012250 021 The Basics About This Manual About This Manual Manual Purpose This manual describes the safe and effective operation of the MAC 1200 1200 ST unit NOTE This document describes the functionality of the international non U S interface for the MAC 1200 1200 ST unit Information in this manual differs from operating information for MAC 1200 units developed for use in the United States Please refer to PN 2012250 022 for information on using the U S interface MAC 1200 1200 ST The MAC 1200 1200 ST is a electrocardiograph with the following performance features Electrocardiograph equipped with standard software for the following modes of operation m Automatic acquisition of 12 leads of ECG for a period of 10 seconds wm Manual real time recording of 6 ECG leads m Arrhythmia recording of 6 ECG leads with continuous arrhythmia analysis The graphics display shows 3 leads at a time Resting ECGs acquired in the automatic operating mode can be transferred BETWEEN theMAC 1200 and a PC and FR
41. Input impedance for common mode signals referred to neutral electrode gt 50 MW up to 60 Hz m Dynamic range for differential signals between any two electrode connections for AC voltage 10 mV for superimposed DC voltage polarization voltage 3600 mV wm Dynamic range for common mode signals referred to neutral electrode H V referred to chassis 263 V AC rms m Quiescent input current via any electrode connection for kW termination referred to neutral electrode 50 nA m Patient leakage current rms values according to IEC class CF in normal condition 10 mA in single fault condition e g patient in contact with line voltage 20 mA m Non destructive range for lead electrode connections and the neutral electrode connection referred to neutral electrode 50 V referred to chassis 1500 V m Pulse voltage resistance of all lead electrode connections and of the neutral electrode connection referred to chassis either polarity e g defibrillation 5000 V m Monitoring of each electrode for open leads R L F N Cl C2 C3 C4 C5 C6 Nap Nax Nst Audible lead fail signal at program start Revision C MAC 1200 1200 ST 14 5 2012250 021 Technical Specifications Recording Data Interface One serial RS232 interface for exchange of data with suitable peripheral devices and software handshake RS222 interface standard V 24 interface m Input voltage range 15V maximum m Output voltage range 35 V minimum
42. MAC 1200 1200 ST Operator s Manual Software Version 6 2012250 021 Revision C GE Medical Systems Information Technologies gemedical com NOTE The information in this manual only applies to MAC 1200 1200 ST software version 6 It does not apply to earlier software versions Due to continuing product innovation specifications in this manual are subject to change without notice Listed below are GE Medical Systems Information Technologies trademarks All other trademarks contained herein are the property of their respective owners 900 SC ACCUSKETCH AccuVision APEX AQUA KNOT ARCHIVIST Autoseq BABY MAC C Qwik Connect CardioServ CardioSmart CardioSys CardioWindow CASE CD TELEMETRY CENTRA CHART GUARD CINE 35 CORO COROLAN COROMETRICS Corometrics Sensor Tip CRG PLUS DASH Digistore Digital DATAQ E for M EAGLE Event Link FMS 101B FMS 111 HELLIGE IMAGE STORE INTELLIMOTION IQA LASER SXP MAC MAC LAB MACTRODE MANAGED USE MARQUETTE MARQUETTE MAC MARQUETTE MEDICAL SYSTEMS MARQUETTE UNITY NETWORK MARS MAX MEDITEL MEI MEI in the circle logo MEMOPORT MEMOPORT C MINISTORE MINNOWS Monarch 8000 MULTI LINK MULTISCRIPTOR MUSE MUSE CV Neo Trak NEUROSCRIPT OnlineABG OXYMONITOR Pres R Cuff PRESSURE SCRIBE QMI QS Quantitative Medicine Quantitative Sentinel RAC RAMS RSVP SAM SEER SILVERTRACE SOLAR SOLARVIEW Spectra 400 Spectra Overview Spectra Tel ST GUARD TRAM TRAM NET TRAM RAC TRAMSCOPE
43. OD The ECG which has just been received is processed for the printout The report is printed in the selected format Multiple ECGs are received and printed one after the other After printout of thelast ECG the receive data mode is automatically disabled The mode is also disabled when you select another operating mode The following information is annotated in the bottom line of each report Sender Software version and analysis program version used at the sending unit e g ACQ DEV V5 1M 12i HEART V5 1 5 18 MAC 1200 1200 ST Revision C 2012250 021 Automatic Mode Recording ECG Transmission Modem Setup for Modem Other f you prefer to use another modem than the standard models listed in the Setup menu MultiTech Elsa you will have to enter a few parameters required for communication between the MAC 1200 1200 ST and the modem For the AT commands which your modem understands please refer to the modem user instructions Three command sequences have to be entered each of which defines a specific modem operating state 1 Themodemis initialized init string 2 A communication link is established dial string 3 The communication is terminated hangup string These three strings are entered in the modem setup menu See Chapter 3 Connecting Peripheral Equipment The example below shows the command strings for the MultiTech ZDX modem AT Command for Modem Initialization Symbol Desc
44. OM theMAC 1200 to a MUSE CV system via the RS232 interface The unit operates on AC line power and can also be powered from a rechargeable battery The unit can be ordered with an optional integrated suction pump for the electrode application system KISS The performance features of the MAC 1200 1200 ST can be upgraded with the following optional programs m MEAS measurement of the 10 second resting ECG m DIAG interpretation of the 10 second resting ECG MEMO storage of a maximum of 40 10 second resting ECGs m ERGO stress test ECG MAC 1200 ST only Revision C MAC 1200 1200 ST 1 3 2012250 021 The Basics About This Manual Intended Audience Both versions of the electrocardiograph have a configuration menu to customize the system setup Patient and user data can be entered for reliable and safe archiving of patient records The patient name is annotated on each printed sheet All other data are printed on request The MAC 1200 1200 ST units are designed to comply with I EC 60601 EN 60601 requirements They are protection class I devices devices with an internal power source They are classified as MDD dass Ila devices They are designed for continuous operation The units are not suitable for intracardiac application The units are not intended for use as vital signs physiological monitors CAUTION PATIENT HAZARD Medical technical equipment such as the MAC 1200 1200 ST must only be used by q
45. ONCONI BRUCE MODIFIED BRUCE MODBRUCE NAUGHTON ELLESTAD MODIFIED BALKE MODBALKE USAFSAM SLOW USAFSAM CORNELL BALKEWARE MODIFIED BALKEWARE MODBALKEWARE ADENOSINE DOBUTAMINE PERSANTINE SINGLE DOUBLE TRIPLE 8 4 MAC 1200 1200 ST 2012250 021 Revision C Stress Tests General Information The following description is based on the factory default settings For instructions on changing the default setup refer to Chapter 10 Stress Test Mode section Table 1 Setup Menu for the Stress Test Mode Parameter Factory Default Options Report Sequence STANDARD CABRERASEQ No 3 Protocol WHO see previous page Rhythm Leads l Il aVF V2 V4 V6 Gain 10 mm mV auto 5 20 40 mm mV Speed 25 mm s 50 mm s In Test Reports Comparative Median Report Median Report Muscle Filter No Yes Muscle Filter Frequency 40 Hz 20 Hz AC Filter Yes No max HR after lt 180 WHO 80 WHO 90 WHO 100 AHA J x point formula 60 0 20 40 80 Rautaharju RR 16 Calculation E J point continuous single Arrhy Data No all unequal Final Reports Summary Report Yes No Tabular Summary No Yes Trend Reports No Yes Trend Reports ST No Yes ST Summary Report No Yes Episodes no chron prio ventr NOTE If you wish to record an ECG only at the end of a test stage you must enter a Medians Report time in the protocol editor Chapter 10 Stress Test M
46. Stress Tests Running a Stress Test During the test you can do the following Change the load in 5 Watt increments with OS not possible with all bicycle ergometers or change the speed in steps or deactivate the automatic load increase with zn Ww Changethe treadmill grade in 0 196 increments with SUP Ye Advance to the next stage with eb Eb GA Advance to the next phase with amp L amp Gh Ek Start and stop the treadmill with a Initiate additional report printouts with Change the gain with mni Stop the test with OD l NOTE When you press Ss or o the program enters the manual mode and the phase name is given as Manual For safety reasons the al program maintains the current stage and the 5 button is inactive You can only control thetest manually with the and e buttons speed grade When you push 4 the program increments to the next stage and a stage report is printed With amp you advance to the next phase At the end of each load stage and if configured with the ECG interval the recorder prints a 12 lead report and the median complexes of all 12 leads induding the ST measurement results Depending on what was selected in the Setup menu this is either a Comparative M edians Report or a Medians Report NOTE If theunit runs out of paper during the test a message informs you of the problem After inserting new paper acknowledge the message with e Do NOT press OD this
47. age Heart rate 1 if enabled 2 or REC OFF when the recording function is disabled 3 if any m f you change the writer speed lead group or any filter settings during a recording the unit will briefly stop m With dy you advance to the next group of 6 leads of the selected report sequence m When the anti drift system is enabled there will be a short delay of 2 2 seconds before the recording starts The heart rate limit is automatically calculated from the date of birth WHO 100 220 age When the date of birth is not entered the unit will set the limit at 180 bpm This value can be changed with 5 and S in steps of 5 bpm 6 6 MAC 1200 1200 ST Revision C 2012250 021 Arrhythmia Mode Recording evision MAC 1200 1200 ST 2012250 021 For your notes 7 2 MAC 1200 1200 ST Revision C 2012250 021 Arrhythmia Mode Recording General Information General Information In Arrhythmia mode the MAC 1200 1200 ST continuously scans the ECG for arrhythmias From six simultaneously acquired leads the MAC 1200 1200 ST automatically selects the two that provide the best signal for analysis When the analysis algorithm detects an arrhythmia the event is recorded with context see figure below The length of the recording varies with the duration of the event episode In the setup menu Chapter 10 Arrhythmia Mode section you determine the conditions for a recording m The recorder starts each
48. ancetothe recovery phase with amp 4 This happens automatically when the stage duration has elapsed Enter a stage duration under 99 because 99 infinity 8 6 MAC 1200 1200 ST Revision C 2012250 021 Stress Tests Stress Test Sequences End Cancel a Stress Test Endor cancel the test with OD The following text appears on the MAC 1200 1200 ST display Press the appropriate key to confirm or cancel the test end command Confirm Stop Onscreen Confirm Sensitivity Cancel Speed On the keyboard Use the e key to stop the test Use the em key to cancel the requestto stop the test The test Will continue Exercise Phase Recovery Phase Pre Test Adjust initial load of Change load selected protocol according to protocol ir 8 Contig om0 e El e e 40Q9 2012250 021 Select Stress Select protocol Wait approx 30 s Automatic when Test Mode Check report until the first ST last stage is interval measurement is completed or completed manual 033A Program Sequence for Ergometers Without Digital Interface Revision C MAC 1200 1200 ST 8 7 Stress Tests Ergometers with Remote Start Pulse Ergometers with Remote Start Pulse The remote start pulse of a connected ergometer initiates the following functions In Automatic mode Start stop In Manual mode Start stop I
49. antagonist nifedi pine type Nitrates ACE Alpha blockers Cytostati cs 4 lines of 30 characters each Default valueis No Default valueis No Revision C MAC 1200 1200 ST 4 15 2012250 021 Preparing for ECG Recording Entering Patient Data Secondary ID This field accepts 3 to 16 characters The exact length is determined in the patient data setup menu Secondary ID Required Yes patient secondary ID required No patient secondary ID not required Last First Name Required Yes patient last or first name required No patient last or first name not required Location Number ID number for the location 3 place When you select Yes for New patient the default value from the System Setup will automatically be adopted but you can overwrite this number Room 5 digits Order Number 9 digits for entry of the ECG order number Prompts Answer the prompts entered in the patient data setup menu See Chapter 10 Patient Data M enu Setup section for details 4 16 MAC 1200 1200 ST Revision C 2012250 021 D Automatic Mode Recording evision MAC 1200 1200 ST 2012250 021 For your notes 5 2 MAC 1200 1200 ST Revision C 2012250 021 Automatic Mode Recording General Information General Information In Automatic mode 12 leads of ECG are acquired simultaneously for a period of 10 seconds When initiated with Qo the recording proceeds automatically Depending on the implemente
50. anual for the product following this page The country of manufacture can be found on the equipment labeling The product is in radio interference protection class A in accordance with EN 55011 The product complies with the requirements of standard EN 60601 1 2 Electromagnetic Compatibility Medical Electrical Equipment The safety and effectiveness of this device has been verified against previously distributed devices Although all standards applicable to presently marketed devices may not be appropriate for prior devices i e electromagnetic compatibility standards this device will not impair the safe and effective use of those previously distributed devices See user s information Exceptions The MAC 1200 1200 ST EMC Immunity Performance 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 degradethe EMI performance Consult with qualified personnel regarding changes to the system configuration Revision C MAC 1200 1200 ST CE 1 2012250 021 CE Marking Information General Information m Thedeviceis designed to comply with I EC 60601 requirements It is a protection class device m TheCE mark covers only the accessories listed in the chapter Order Information m Theinformation contai
51. art Paper Procedure Procedure 1 Switch on the recorder Holding the paper door at the handle pull it up and fold it out 049A Opening the Paper Compartment Door Remove the cardboard backing of the previous paper pad Remove the cardboard from the top of the new pad and place the pad including the cardboard backing at the bottom and with the arrow pointing towards the unit into the paper compartment 050A Inserting the New Z fold Pad Revision C MAC 1200 1200 ST 11 3 2012250 021 Loading Chart Paper Procedure 5 Pull thetop sheet from the compartment and guide it around the guide roller 051A Guiding the Leading Paper Edge Over the Guide Roller 6 Holding the leading edge of the paper in place between the two markers on the recorder close the paper door NOTE Toensure proper printer operation the latches at both end of the paper door must be secured Listen for clicks as you close it to ensure that it locks into place on both sides 052A Closing the Paper Compartment Door NOTE When inserting an already started Z fold pad the grid side must face up and the first fold must point toward the paper compartment 11 4 MAC 1200 1200 ST Revision C 2012250 021 Loading Chart Paper Procedure End of Paper Indication NOTE After inserting a new paper pad be sure to acknowledge the E nd of paper message with e not with OD NOTE When closing the paper door take care that
52. atient Name Report function Gain Report sequence Three leads display here Failure message Heart rate 1 if enabled 2 or REC OFF when the recording function is disabled 3 if any Refer to Table 3 Arrhythmia Codes on page 7 9 for an explanation of the arrhythmia codes annotated on the recording The heart rate limit is automatically calculated from the date of birth WHO 100 220 age When the date of birth is not entered the unit will set the limit at 180 bpm This value can be changed with CF and S in steps of 5 bpm NOTE The letter A on a recording indicates the presence of artifact which does not allow the algorithm to identify arrhythmias Causes include wandering baselines The anti drift system largely prevents these disturbances Check the electrodes and leadwires Revision C MAC 1200 1200 ST 7 7 2012250 021 Arrhythmia Mode Recording Recording Final Report The arrhythmia recording can be stopped with OD Then the final report can be printed with E Thefinal report consists of the following m Patient ID sheet with all patient data as well as with all analyzed QRS complexes type and number of detected events and the analysis duration in tabular form m Episode report 3 sheets maximum with 2 episodes each Arrhythmia codes 7 8 MAC 1200 1200 ST Revision C 2012250 021 Arrhythmia Mode Recording Recording Table 3 Arrhythmia Codes
53. ats available with MAC 1200 1200 ST units Format port pepe Speed Measurement Interpretation Pages Medians 12 FS 10s 1x12 no 25 mm s no no 1 no 12 F1 5s 1x12 10s 1 V6 25 mm s yes yes 1 no 12 F2 85 1x12 10s 1 V6 50 mm s yes yes 2 no 6 F1 2x5 s 2x6 10s 1 25 mm s yes yes 1 no 6 FS 2x5 s 2x6 10s 1 25 mm s no no 1 no 6 F2 2x5 s 2x6 no 50 mm s yes yes 2 no 6 F2 25 2x10 s 2x6 no 25 mm s yes yes 2 no 3 Fl 4x2 5 s 4x3 10s 1 25 mm s yes yes 1 no H1 10s 1x6 10s 6 12 5 mm s yes yes 1 12 H2 2x5 s 2x6 no 50 mm s yes yes 2 no Al 10s 1x6 105 6 12 5 mm s yes matrix yes 1 12 1x10R3 105 1x3 105 3 25 mm s yes yes 1 no 4x2 5R3 4x2 5 s 4x3 3x105 3 25 mm s yes yes 1 no MUSE1 4x2 5 s 4x3 3x10 s 2 25 mm s yes yes 1 no Measurements and interpretative statements are only available from MAC 1200 1200 ST with the required software options Only possible with option MEAS or DIAG NOTE Heart rate is calculated from all beats of the 10 second ECG Printed reports are unconfirmed documents They must be overread verified and signed by a physician for confirmation Report formats H 1 and A1 are only available with MAC 1200 1200 ST units option MEAS or DIAG required In these reports the rhythm leads are printed with a speed of 12 5 mm s and the medians with 50 mm s 5 10 MAC 1200 1200 ST Revision C 2012250 021 Automatic Mode Recording Report Formats D
54. by service only Lithium battery for built in clock battery life approximately 5 years replacement by service only Battery Maintenance The battery in the MAC 1200 1200 ST unit should be exercised regularly This means the battery should be allowed to drain between charging cycles If the ECG unit is left connected to wall power and or only used sporadically on battery power a discharge cycle should be performed on a monthly basis Turn the MAC 1200 1200 ST unit on and allow the battery to drain When the Battery Low indicator illuminates the unit can be connected to wall power and allowed to recharge Use a battery maintenance chart to track the discharge cycles Operational Readiness After successful self test approximately 10 seconds after power up Operating Position Horizontal Revision C MAC 1200 1200 ST 14 11 2012250 021 Technical Specifications Recording Environment Recorder Dimensions Weight Operation m Temperature between 10 and 40 C m Relative humidity between 25 and 95 m Atmospheric pressure between 700 and 1060 hPa Transport and Storage m Temperature between 30 and 460 C including battery m Relative humidity between 25 and 95 m Atmospheric pressure between 500 and 1060 hPa Width 370 mm Height 95mm m Depth 320mm indude handle Recorder with battery approximately 5 6 kg 14 12 MAC 1200 1200 ST 2012250 021 Revision C 15 Order Information For your notes
55. c cece cect cette e 4 16 Location Number oa Fer ect e Beate pec sd TC 4 16 ROOM en jet ater pene tavi eem nad 4 16 Order Number u en cc oC tom 4 16 PIOmpts oir eic im eei trek epelebe tecta p weite p 4 16 Automatic Mode Recording lt lt 5 1 General Information 0c cece eee eee eee eee m 5 3 Recordirigi ilex RRDCRIMRERIEEN cos 5 5 The Storage Program cece cece cece eee Ine 5 8 Report FOrMA S arsa serh ds 5 10 Detailed Results ii een 5 11 ECG Transmission 0cceee cece eee een en ne 5 12 General Considerations bak rh rre pk ep AF eret ian 5 12 ii MAC 1200 1200 ST Revision C 2012250 021 Batch Transmission viii dy Recette elec td c t d CR P En 5 12 Transmission LOG iii tet ttd tnde ee ce die hen nde en 5 13 Error Messages ta reed Ree ede Rte bnc gen por d ed 5 13 Transmission to a CardioS ys CardioSoft System via Modem 5 14 Transmitting Data to a MUSE CV System Via Modem ssssssss 5 16 Modem Setup for Modem Other sss 5 19 Adjusting Measurement Points QT Dispersi0N 00ooooooooo 5 21 Global MeasurementPoints isse 5 21 Local T Offset Measurement Point QT Dispersion aace 5 23 Manual Mode Recording 6 1 General Information ccc eet e eect eee eee nnn 6 3 Recording orm ita 6 4 Arrhythmia Mode Recording 7 1 General Information ccc cece cece eee eee
56. d software options the ECG is m only printed out MAC 1200 1200 ST without options MEAS DIAG m measured and printed out with the measurement results MAC 1200 1200 ST with option MEAS and m measured interpreted analyzed and printed out with the interpretative statements MAC 1200 1200 ST with option DIAG NOTE The program will only interpret the standard and Cabrera lead sequences The NEHB leads will only be measured Units equipped with the optional memory function MEMO MAC 1200 1200 ST only can save up to 40 resting ECG These ECGs can be printed or sent to CardioSys CardioSoft A5 protocol or to the MUSE CV system CSI protocol see The Storage Program on page 5 8 Theunit offers different report formats for printout of the ECG With the system defaults all 12 leads induding the measurement and analysis results will be documented on a single sheet See Report Formats on page 5 10 Some of the system settings can be customized They are identified with configurable Revision C MAC 1200 1200 ST 5 3 2012250 021 Automatic Mode Recording General Information The following information refers to a unit with the system defaults F or instructions on changing the default setup see Chapter 10 Automatic Mode Table 1 Setup Menu for the Automatic Mode Parameter Factory Default Options Report Sequence STANDARD CABRERA NEHB Rhythm Leads II
57. des or line break each single electrode is monitored Patient and user data as well as comments can be entered via the panel keyboard and are annotated on the recording stri p In Automatic mode after ECG recording copies of the ECG can be printed from memory and or transferred to a connected PC configurable Automatic performance test upon power up including verification of the signal path starting at the signal input Stored test data for demonstration of the device functions From the power line or from a built in rechargeable battery automatic switchover automatic battery charging during line power operation from integrated AC adapter module Instrument design in protection class according to EC 60601 1 Rated voltage range 95 to 240 V Operating voltage range 85 to 264 V 49 to 65 Hz Rated current 0 2 to 0 6A Fuse 2 x T slow blow 1 25 A 5x20 Typical power consumption battery charging 14 W Maximum power consumption 29 W 14 10 MAC 1200 1200 ST Revision C 2012250 021 Technical Specifications Recording Battery Operation Type nickel cadmium Rated battery voltage 18 V Rated battery capacity 1 3 Ah Fully charged battery sufficient for up to 50 Automatic mode 1 page ECGs provided recorder is only switched on to record the ECGs m Chargetime for depleted battery approximately 4 hours minimum charge time for 1 Automatic mode ECG 10 minutes Battery life approximately 2 to 3 years replacement
58. e Busy No answer No carrier Check modem configuration Revision C MAC 1200 1200 ST 5 13 2012250 021 Automatic Mode Recording ECG Transmission Transmission to a CardioSys CardioSoft System via Modem Depending on the modem model used the modem MUST be connected either with the 9 pole cable 223 378 01 or with the 25 pole cable 223 378 02 For transmission of the ECG the unit must be set up as described in Chapter 10 ECG Transmission via Modem 1 After acquiring the ECG start the transmission with E The MAC 1200 1200 ST s also capable of transmitting stored ECGs if memory option MEMO is installed Activate the storage program by simultaneously pressing a and Press the button first and hold it depressed 2 Toselect one or more ECGs for transfer move the cursor down with o When the cursor reaches Print directory it moves on to the patient list In the list the bar cursor changes to a line cursor Toselect multiple ECGs select them with 4 e while holding down Selected ECGs are marked with a black bar in the margin of the display Deselect ECGs with the same key combination 3 When you have selected the ECG s to transfer press o You will be returned to the function key menu 4 Usingthe cursor select the Send command Confirm your choice with e Thetransmission menu will bedisplayed showing the phone number and the options Start transmission Modify settings and Cancel 5 Check t
59. e PRE EXERCISE phase this button advances to the EXERCISE phase In the exercise phase this button advances to the post exercise phase l n the post exercise phase this button is pressed for the first time when all electrodes have been reapplied After that it can be pressed to initiate additional median beat reports In the exercise phase this button stops the Master steps stage hold When pressed again the test continues While on hold the stage counter stops The Master Step Test Default Protocol Phase Stage Name Duration of Stage ae Reports PRE 1 SUPINE until baseline ST is available automatic 12 lead report at beginning stage EXERCISE report at end 2 ELECTR OFF until button is pressed with button NO EXERCISE 1 STEPPING 90 180 or 270 seconds automatic NO POST 1 POST EX1 3 minutes automatic stage report EXERCISE 2 POST EX2 2 minutes automatic stage report 3 POST EX3 2 minutes automatic stage report 4 POST EX4 2 minutes automatic stage report 5 POST EX5 2 minutes automatic stage report 6 POST EX6 2 minutes automatic stage report 7 POST EX7 2 minutes automatic Stage report 8 POST EX8 2 minutes automatic stage report 9 POST EX9 2 minutes automatic stage report 10 POST EX10 2 minutes automatic Stage report 1 Inthe POST EXERCISE phase the message ELECTR ON is displayed instead of the stage name to prompt the user to reapply the ECG electrodes The stag
60. e Recens Rc ete Rae keen Pardon 10 18 Muscle Filter AC Filler 10 18 Muscle Filter Frequency i i me 10 19 Maximum FRAGE orc or tte pen dra Wee s te enn ict Me 10 19 Jax Poni Formula s ck oe daca RES ern Vel dois hes 10 19 Calculation E J Point 20 ccc ccc ccc cece eee e ete ernennen 10 19 Arrhythmia Datira os A e plc land are a a Rees 10 19 Final Reports Asse rte e etcetera e 10 20 System Setup coser as NE ISI EDI MEME 10 21 Ordering P hysician R eferring Physician Technician 222222222020 10 21 niStittion Name o alta teta Ment nee V A eee 10 21 Cat Number cse pts ne ade dta e 10 21 Site NUMDERE ria aen ed cena obere oder eda ope bdo e bei 10 21 Location ainsa LEM 10 22 Datem ime ede ttt Lett ode elia E de a ette cca 10 22 Eead Fall BeGp a a Fora td dog pce dre teat 10 22 High HR BEED s ite tee teet deat ted e heb e ma 10 22 A a en 10 22 Pace Enhancement seriearen en etica trea ob P en in at 10 22 Baselitie R olERilter ac to ccr an 10 22 br ge PEE 10 23 TE eaa EEUU 10 23 UNE to wc lin A tas ctn AA lnk 10 23 Mains sont ne aan utu e MA ED aries RE 10 23 ECD Eight OM ARET 4 e recte ced ed ier O av qe 10 23 Low Battery Beep zu 2 0 s eere tee Ce OL ala 10 23 Beep forMasterStep ciis 10 23 De tale Mode 35 on oo pe a sc e TOME te M ren 10 24 Language rien een 10 24 Enable Password Protection isssssssss ee 10 24 Test Data ln ee otn ede fttt oen didi al ba tr 10 24 Restore Defaulls ee nenn
61. e name reappears when the user having applied the electrodes presses ED 8 16 MAC 1200 1200 ST 2012250 021 Revision C Stress Tests Creating Custom Protocols Creating Custom Protocols The MAC 1200 ST allows the user to choose among three different test protocols The default protocol is the SINGLE protocol with an exercise phase of 90 seconds Also available in the list of protocols arethe DOUBLE 180 seconds and the TRIPLE 270 seconds protocol The protocol can be selected as follows 1 Press gem and select Stress test 2 Press O Now the configuration screen is displayed 3 Movethe cursor to Protocol others and press Dd the list of the available Master s step protocols is shown in the window SINGLE DOUBLE TRIPLE You can also edit the parameters of the post exercise phase as follows 1 Press cont and select Stress test 2 Press o Now the configuration screen is displayed 3 Movethe cursor to Protocol SINGLE and press conta The protocol editor is now active The protocol editor can be used to change the number of stages in the post exercise phase and the duration of the individual stages Y ou can define between 1 and 50 stages The minimum stage time is 30 seconds Revision C MAC 1200 1200 ST 8 17 2012250 021 Stress Tests Running a Stress Test Running a Stress Test 1 Press This enables the passive mode 2 Select thetest protocol via e 3 Enter patie
62. e ne aid uted niin ase alee gute hae x 12 4 Checks Before Each Use 12 4 Technical Inspections issnin e rode et eec rk Rc lea 124 DISPOSAL er Er 12 4 1 3 Troubleshooting ooooooooconrrommmmmmm o 13 1 Troubleshooting Chart oooooccocccccccnnrr rr 13 3 1 4 Technical Specifications 14 1 hene 14 8 Printer Paper issu sien oh o tei eas Vic deer ce dA n he 14 3 Paper Ts pits Dee e te b dde eme ais 14 3 Membrane Keypad sisse mme 14 4 A EN 14 4 Indiest rs LEDS 4 25 2235 ee ic c bito eld ta ees 14 4 L ad S electiofi occ ctae en rice ee ste REA RE NR 14 4 Automatic FUNCIONS 2 00 ccc ccc me 14 4 Detection of Pacer Pulses 0 cece eee eet ene 14 5 Heart Rate Indication oocoooococcconcco nora n 14 5 SPEI ERE 14 5 Data lnterf ce a Roni a 14 6 vi MAC 1200 1200 ST Revision C 2012250 021 Transfer of ECGs with the CSI Protocol Between the MAC 1200 and the Following UNIS cu sort rette reete tetra e ret e ERR ets 14 6 Receiving Data with the CSI Communication Protocol from the Following Units 14 6 Sending ECGs to the Following Units with the A5 Protocol 14 6 Remote Start Hardware aoaaa Henne 14 7 Signal Rransmission ur nite Aa s 14 8 1 5 Order Information sese 15 1 General Information ccc eee eee eee eee n 15 3 Options Ey a daca negate ht AE ET perpe fter e 15 3 General
63. e selected protocol NOTE Pacemaker information telephone number and comments entered in the patient data are not transmitted tothe MUSE CV system In this situation you have the following choices Repeat thetransmission with Change the settings with Cont Stop the transmission with PO Revision C MAC 1200 1200 ST 5 17 2012250 021 Automatic Mode Recording ECG Transmission Y ou must select one of these choices to clear the transmission error message from the display NOTE Unsuccessful transmission does not remove delete the ECG record from the local database Receiving Data with the CSI Communication Protocol See Chapter 14 Technical Specifications for additional information Receiving ECGs is only possible with MAC 1200 1200 ST units The units must be in the Automatic mode 1 Use the key combination a and E to display the screen for receiving ECGs The connected modem is automatically initialized The procedure can be aborted with PO Press e to enable the receive data mode The procedure can be aborted with e When you have enabled the rece ve data mode the standard screen display of the Automatic mode displays The message Auto REC indicates that the unit is ready to receive data ECGs can be recorded in the Automatic mode even while the unit is in the reca ve data mode A message displays on the screen when the unit is receiving data The reception of data can be aborted with
64. ecord s time stamp highlight it Then press 0 uL Use e to scroll right to see the time stamp Batch Transmission TheMAC 1200 1200 ST unit can send all untransmitted records in a batch transmission 1 Activate the storage program by simultaneously pressing a and e Press the button first and hold it depressed 2 Select Send All Unsent Records Confirm your choice with O The message Initializing transmission is displayed and the option to cancel the transmission is provided 5 12 MAC 1200 1200 ST Revision C 2012250 021 Automatic Mode Recording ECG Transmission Then it sends batch of ECG records 3 After thetransmission a message on the display indicates the number of successfully transmitted ECGs As soon as you acknowledge the message with the Automatic mode acquisition screen appears Transmission Log The MAC 1200 1200 ST unit can be set up to automatically print a log of the recently completed transmission See Transmission Log on page 10 25 for more information If the Transmission log is enabled after each record is transmitted the message Print transmission log will display Press e to print thelog The message Printing Transmission Log displays as thelog is printing Error Messages Transmission error messages are listed below ECG transmission error A5 CS1 Check interface depending on selected protocol Dial locked temporarily No dial ton
65. ed or it will be saved automatically when the corresponding function is enabled If theoriginal ECG had already been saved the corrected data will overwritethis ECG NOTE Changing the local T offset measurement point does not affect the global T offset point 5 24 MAC 1200 1200 ST 2012250 021 Revision C O Manual Mode Recording evision MAC 1200 1200 ST 6 1 2012250 021 For your notes 6 2 MAC 1200 1200 ST Revision C 2012250 021 Manual Mode Recording General Information General Information In Manual mode the system acquires six leads of ECG in real time Recordings are started and stopped with DQ Some of the system settings can be customized They are identified with configurable The following information refers to a unit with the system defaults F or instructions on changing the default setup refer to Chapter 10 Manual Mode section for details Table 1 Setup Menu for the Manual Mode Parameter Factory Default Options Report Sequence STANDARD CABRERA NEHB SEQ NO 4 Gain 10 mm mV auto 5 20 40 mm mV Speed 25 mm s 5 50 mm s Muscle F ilter No Yes Muscle F ilter 40 Hz 20 Hz Frequency AC Filter Yes No Anti Drift System No Yes Automatic Paper Feed Yes No Revision C MAC 1200 1200 ST 6 3 2012250 021 Manual Mode Recording Recording Recording NOTE In Manual
66. efore only enable filters if necessary With the system defaults unchanged the unit will activate the following functions and settings after power up system defaults which can be changed are indicated with configurable Automatic mode configurable Standard report sequence lead to channel correspondence I II III aVR aVL aVF V1 V2 V3 V4 V5 V6 also available CABRERA NEHB Rhythm lead Gain of 10 mm mV configurable calibration pulse at the beginning of the recording Muscle filter is disabled ee configurable AC line filter is enabled configurable ADS anti drift system is always enabled Report format is 12 FS i e 12 leads and all data are printed on one page configurable Interpretation is printed configurable Detailed results page including the median complexes and the measurement results is not printed configurable MAC 1200 only Pressing will produce one copy of the printed ECG configurable Override function is disabled configurable Theselected report format determines the number of displayed rhythm leads see Report Formats on page 5 10 The default report format is the 12 F S format without rhythm lead With the factory default settings the following rhythm leads are recorded in the different report formats Report formats with 1 rhythm lead II Report formats with 3 rhythm leads II V1 V5 Report formats with 6 rhythm leads II V1 V5 V2 V3
67. el plate electrode 31 x 40 mm with 4 mm socket 923 096 47 Rubber strap for electrode 504 648 56 and 301340 00 301 340 00 Button shaped electrode for adults 30 mm diameter with 4 mm socket 217 194 01 Chest electrode for electrode belt 30 mm diameter 217 196 01 Electrode belt for electrodes 21719401 and 301340 00 217 144 01 Chest suction electrode 22 mm diameter small suction bulb with 4 mm socket 217 144 02 Chest suction electrode 22 mm diameter large suction bulb with 4 mm socket 919 202 32 Clip electrode for limb leads package of 4 electrodes red yellow green black 303 442 96 Adapter for connection of electrodes with press stud to patient cable with 4 mm connector ECG Accessories NEHB 223 403 05 Patient trunk cable 12 leads NEHB IEC 384 017 65 Set of leadwires 10 leads defibrillation proof IEC with 4 mm plug 384 017 66 Set of leadwires 2 leads NEHB IEC with 4 mm plug in addition to 384 017 65 defibrillation proof Consumables 226 166 11 ARCHIVIST writer paper non fading A4 package of 10 pads 226 166 05 CONTRAST writer paper A4 package of 10 pads 226 166 06 CONTRAST writer paper B4 package of 10 pads 217 083 06 Electrode gel 10 tubes 100 ml each 217 083 05 Electrode cream 10 tubes 100 ml each 217 083 18 Electrode cream refill 250 ml 15 4 MAC 1200 1200 ST Revision C 2012250 021 Order Information General Information 217 083 14 930 115 82 217 307 01 217 307 05 927 224 00 217 12301 927 22
68. em which would cause a 2 second signal delay Chapter 10 Manual Mode section for details When using other electrodes disconnect the patient cable from the recorder while defibrillating the patient WARNING EQUIPMENT DAMAGE For reasons of patient safety use only theoriginal GEMS IT patient cable Before connecting the cable to the de vice check it for signs of mechanical damage Do not use a damaged cable PATIENT HAZARD DELAYED ECG DISPLAY Use silver silver chloride electrodes for ECG signal acquisition if the patient may haveto be defibrillated SHOCK HAZARD During defibrillation do not touch the patient the electrodes or the leadwires NOTE Observe the defibrillator safety information 9 4 MAC 1200 1200 ST Revision C 2012250 021 10 System Setup For your notes 10 2 MAC 1200 1200 ST Revision C 2012250 021 System Setup General Information General Information m Press a to display the configuration menu The main menu with the following options will appear m Operating mode Automatic Manual Arrhythmia Stress Test System Setup Communication Patient Data Setup Option Code At Operating mode you will always seethe currently selected mode So be sure to select the appropriate mode before entering the configuration menu m Toaccess the menu options position the bar cursor on the option with the cursor keys and confirm the selection with e The o
69. es not remove deletethe ECG record from the local database Revision C MAG 1200 1200 ST 5 15 2012250 021 Automatic Mode Recording ECG Transmission Transmitting Data to a MUSE CV System Via Modem NOTE Pacemaker information telephone number and comments entered in the patient data are not transmitted to the MUSE CV system Before sending data to the MUSE CV system the MAC 1200 1200 ST automatically logs on tothe database Then the data transfer is initiated If thetransfer is stopped the MAC 1200 1200 ST takes a few seconds before cancelling the connection because it has to log off the database first Then the communication link with the receiving modem is interrupted and the standard display reappears ECG Record Serial Number Direct Transmission Every ECG record sent tothe MUSE CV system contains a unique serial number for tracking purposes It is made up of the MAC 1200 1200 ST serial number date time NOTE The ECG record serial number is printed on the transmission log only if enabled It does not appear on the ECG report printed at the MAC 1200 1200 ST unit See Transmission Log on page 10 25 for more information The unit must be connected to the PC or to the MUSE CV system by means of the connection cable pn 223 362 03 For transmission of the ECG the unit must be set up as described in Chapter 10 Direct ECG Transmission section 1 After acquisition of the ECG the transmission is started w
70. etailed Results TheMAC 1200 1200 ST with option MEAS or DIAG setup menu allows you to choose the Detailed Results page When selected this page will be appended to the report t contains patient data measurement results interpretative statements reasons are only annotated if the unit is equipped with the HEART interpretation program medians and the tabular measurement values NOTE To obtain a printout of the full patient data select the Manual od d mode and press 2 Revision C MAC 1200 1200 ST 5 11 2012250 021 Automatic Mode Recording ECG Transmission ECG Transmission NOTE Observe the safety information given in Chapter 3 Connecting Peripheral Equipment Resting ECGs acquired in Automatic mode can be transmitted to CardioSys CardioSoft or to a MUSE CV system Theunits can either communi cate via modem or directl y via a connection cable see Direct Transmission on page 5 16 General Considerations m The status of transmission progress is indicated on the display with message text e g Transmitting 1 of 1 or Transmitting 2 of 6 m With OD the transmission can be stopped m ECGs that were successfully transmitted are identified with the letter S for Sent m After theselected ECG records have been successfully transmitted a confirmation message displays e g 6 of 6 ECG records successfully transmitted m All ECG records are time stamped hours minutes and seconds To view a r
71. fore the reset Toreactivate factory defaults for treadmill and bicycle ergometer protocols position the cursor on the Protocol selection field and press a 6 leads of your choice for recording of the 6 lead event report When you select auto the program will automatically determinethe optimal gain setting auto 5 10 20 40 mm mv Writer speed in mm s for the printed reports Format of the In Test Reports m Median Report wm Comparative Median Report Muscle Filter AC Filter Elimination of muscle artifact and AC line interference m Muscle filter no yes m AClinefilter yes no 10 18 MAC 1200 1200 ST Revision C 2012250 021 System Setup Stress Test Mode Muscle Filter Frequency Cut off filter frequency of the musde filter 20 Hz 40 H z Maximum HR After For selection of the maximum permitted heart rate m lt 180 WHO 80 180 patient age WHO 90 200 patient age WHO 100 220 patient age AHA age below 25 years 160 agefrom 25 to 75 years 160 age 25 x 45 50 ageabove 75 115 J x Point Formula 0 20 40 60 80 Rautaharju RR 16 Calculation E J Point The E and point position are either calculated once single or continuously Arrhythmia Data The recorder will document arrhythmias in the following situations all unequal no m Each time an arrhythmia occurs m Each timean arrhythmia occurs that is different from
72. he displayed telephone number and press O to initiate the transfer If it is necessary to change the number press conte to display the configuration menu 5 14 MAC 1200 1200 ST Revision C 2012250 021 Automatic Mode Recording ECG Transmission NOTE If the MAC 1200 1200 ST unit is configured for manual dialing the prompt Please Dial the number will be display Enter the number to which the ECG is being transmitted See Manual Dialing on page 10 27 for information on configuring the manual dialing option 6 Assoon as you initiate the transmission with e the unit automatically dials the number of the modem at the receiving end and establishes a connection The message Initializing transmission is displayed and the option to cancel the transmission is provided Then it will send the ECG After the transmission a message on the display indicates the number of successfully transmitted ECGs As soon as you acknowledge the message with e the Automatic mode acquisition Screen appears f the ECG could not betransmitted wrong modem setup modem off etc the unit will display an error message such as Transmission Error A5 In this situation you have the following choices Repeat the transmission with e Changethe settings with Cont Stop thetransmission with DPD You must select one of these choices to clear thetransmission error message from the display NOTE Unsuccessful transmission do
73. he pulse with the correct polarity with a width of 5 ms and with the same amplitude in all leads depending on the polarity of the pacer pulse in leads I and II the pacer pulse in lead IIl may be suppressed The amplitude of the reverse current in the figure bel ow shows an ECG recording with pacer pulses 049A ECG Recording with Pacer Pulses WARNING INCORRECT HR NOHR ALARM If several adverse conditions exist at once the possibility that the pacer pulses are interpreted and counted as QRS complexes should be considered At the same time however QRS complexes might be suppressed in certain situations Therefore pacemaker patients should always be watched dosely Revision C MAC 1200 1200 ST 9 3 2012250 021 Pacemaker Patients Recording During Defibrillation ECG Recording During Defibrillation ECG Recording During Defibrillation The patient signal input is defibrillation proof so it is not necessary to remove the ECG electrodes before defibrillating the patient However when using stainless steel or silver electrodes the defibrillator discharge current may cause complete polarization at the electrode skin interface This condition may prevent ECG signal acquisition for several minutes With silver silver chloride electrodes this will not happen Set the MAC 1200 1200 ST to Manual mode when you may have to defibrillate the patient while recording the ECG and disable the anti drift syst
74. hmia M ode Enable the function Yes when recording the ECG of a pacemaker patient The recording will then be annotated with the message Pacenaker Patient Gender Race These parameters influence the ECG If you do not intend to enter all patient data select the neutral entries and unknown Height Weight Enter the patient s height cm and weight kg The weight can be entered with one decimal place Systolic BP Diastolic BP Enter the blood pressure readings in mmHg Ordering Physician Referring Physician Technician When you choose Y es for New patient the default names entered in the System Setup will appear here When you choose other you can pick a name from the list It is also possible to choose none Y ou can press DO to quit the list The Referring Physician is only relevant if you send ECGs tothe MUSE CV system This name will not be annotated on the ECG recording 4 14 MAC 1200 1200 ST Revision C 2012250 021 Preparing for ECG Recording Entering Patient Data Phone Number Medication Comments Swedish Patient ID ID Required Enter the patient s telephone number When you choose others you will see the following list scroll through the list with 4 and confirm with amp no unknown Digitalis Diuretics Antidepress Steroids Beta blockers II Beta blockers Ill Antiarrhythmics la Antiarrhythmics Ib Antiarrhythmics Ic Antiarrhythmics Ill Ca antagonist verapamil type Ca
75. ice immediately activates the default mode confugured in the Setup menu NOTE The backlighting of the display switches off automatically when no key is activated for 20 minutes adjustable The illumination is turned on again by activation of any key Run the full self test at least once a day to ensure that the device is functioning properly Press and hold the power button for several seconds to turn the device off Revision C MAC 1200 1200 ST 3 5 2012250 021 Operating and Performance Tests Performance Check Contrast Adjustment Simultaneously press ES and the appropriate cursor key more contrast DD n less contrast VJ 3 6 MAC 1200 1200 ST Revision C 2012250 021 Operating and Performance Tests S ystem Setup System Setup The table below shows the system setup parameters that can be modified as well as thethe factory defaults Refer to Chapter 10 System Setup section for details Table 1 System Setup Menu Parameter Factory Default Options Ordering Physician none selection from a list of 10 names Referring P hysician none selection from a list of 10 names Technician none selection from a list of 10 names Institution Name empty text box text box for 40 characters Cart 1 1 9999 Site 1 1 255 Location 1 600 Ease of Clock Setting No Yes Date dd mm yyyy current date Time hh mm
76. ient or user do not usethe device before it has been repaired Technical Inspections For safety the devices require regular maintenance To ensure functional and operational safety of the MAC 1200 1200 ST units Technical Inspections should be carried out on an annual basis These checks should be performed by persons with adequate training and experience The checks can be carried out by GE Medical Systems I nformation Technologies within the framework of a service contract The inspections indudethe following checks m Visually inspect the device and the accessories for signs of mechanical damage that may impair the device functions Check that the device labeling relevant for safety is legible m Run a performance test as described in the operator s manual Measure the resistance of the non fused earthed conductor and the equivalent leakage current as per local regulations The device does not require any other maintenance Disposal At the end of their service life the device described in this manual and its accessories must be disposed of in compliance with the applicable local waste control regulations If you have questions regarding the disposal of the product or of the accessories please contact GE M edical Systems Information Technologies or its representatives 12 4 MAC 1200 1200 ST Revision C 2012250 021 13 Troubleshooting For your notes 13 2 MAC 1200 1200 ST Revision C 2012250 021 Troubleshoo
77. ient s isolation and cancel the protection provided by the isolated input The neutral electrode in particular must not come into contact with ground If your electrocardiograph is equipped with an integrated suction pump connector you can connect the electrode application system KISS instead of the standard patient cable Use the 10 lead patient cable for acquisition of the standard ECG leads Einthoven Goldberger Wilson The 12 lead patient cable is required when you intend to record the N ehb leads also m Connect the patient cable toECG signal input m When using the electrode application system connect it to the suction pump ECG Signal Input Connector for Suction Pump 006A Revision C MAC 1200 1200 ST 4 3 2012250 021 Preparing for ECG Recording Electrode Application Electrode Application CAUTION PATIENT HAZARD Delayed ECG Display Useonly silver silver chloride electrodes when recording the ECG of a patient who may have to be defibrillated Refer to Chapter 9 ECG Recording During Defibrillation section for details Careful application of electrodes is the key to an interference free ECG For quick reliable and trouble free application of electrodes we recommend using our electrode application system KISS Otherwise usethe plate electrodes on the limbs and the suction electrodes on the thorax Applying Plate Electrodes Limbs Plate elect
78. indicates the number of stored ECGs To retrieve an ECG from memory simultaneously press 0 and e NOTE With a fully charged battery and the unit turned off ECGs will remain stored for approximately 4 weeks The function keys appear at the top of the menu m Print prints the selected ECG Send see ECG Transmission on page 5 12 Send all unsent records see Batch Transmission on page 5 12 Delete deletes the selected ECG Change enables modification of the patient data When you view a saved ECG the Print function is selected The list on the next page shows all patients for whom ECG are stored To perform an action with one or more ECGs you must first select the ECG s Follow these steps 1 Movethe cursor down with QU When the cursor reaches the Print directory it moves on to the patient list In the list the bar cursor changes to a line cursor 2 Toselect multiple ECGs select them with V T while holding a down Selected ECGs are marked with a black bar in the margin of the display Deselect the ECGs with the same key combination 5 8 MAC 1200 1200 ST Revision C 2012250 021 Automatic Mode Recording The Storage Program NOTE Duetothe limited size of the display you cannot view the entire list at a time These arethe columns that follow tothe right of the patient name Dateandtimeof the ECG recording S indicates that the ECG has been sent to another system Patient ID Com
79. ine frequency Europe 50 Hz USA 60 Hz If operating controls are not activated within the selected period of time the display backlighting automatically switches off system default 20 min adjustment range to 99 min Intermittent audible signal indicating that the battery requires charging Theinterval timefor the tone can be selected between 5 and 60 seconds 0 s 2 no audio signal no yes This field appears only if the selected exercise test device is the MASTER STEP When you choose yes the MAC 1200 ST will emit beeps to control the exercise speed for the Master Step test Revision C MAC 1200 1200 ST 10 23 2012250 021 System Setup System Setup Default mode This is the operating mode the unit defaults to after power up Automatic Language To select the language Enable Password Protection Select Yes to protect the setup menu with a password You will be asked to enter a password and to repeat it Then password protection is active To change the password only possible when password protection is active do the following 1 Select menu item Enable password 2 Enter the old password 3 Enter the new password 4 Repeat the new password Test Data Used for demonstration purposes yes It should be set to no default for proper clinical use Restore Defaults Selecting Y es will restore the factory default settings including the defaults of the three operating modes
80. irth Patient ID 3 Thefollowing items are disabled They can be enabled from this menu ID required ID patient ID number Secondary ID Secondary ID required Last name required First name required Location Number Room Order Number Prompt 1 to 4 99999999 The patient ID length is configurable from 3 to 16 characters Revision C MAC 1200 1200 ST 10 29 2012250 021 System Setup Patient Data Menu Setup Required Data Fields Prompts 1 to 4 If you choose Y es for one of the data fields an ECG can be recorded in Automatic mode only if the corresponding patient data is entered Fields on patient data entry screens that require an entry are identified with pointed brackets e g Last name gt lt m D required m Secondary ID required NOTE If Secondary ID is specified as a required data field make sure that it is not configured out of the patient data set up see Patient Data Menu Setup on page 10 29 for more information m Last name required m First name required Enter any text here 10 characters maximum When you have entered the text you can select the format of the response field There are 3 formats m Alphanumeric field 17 characters maximum m Only numbers 9 numbers maximum m YesorNo To exit the menu press HO l 10 30 MAC 1200 1200 ST Revision C 2012250 021 System Setup Option Code Option Code In this menu you enter option codes to ac
81. is sent to a host system CardioSys CardioSoft and or MUSE CV systems If you do not want to print the ECG but only collect data or send the ECG to a PC select 0 message on display REC OFF When a number greater than 1 is selected multiple copies of the reports will be printed Default 1 Delete ECG After Transmission Autosave ECG Interpretation Print Interpretation MAC 1200 1200 ST with Memory Option MEMO Only Stored ECGs that were successfully sent to a host system via the RS232 interface will be cleared from the recorder memory Default no If this menu item is set to Yes and ECGs have already been sent from the recorder memory these ECGs will be deleted after the next transmission of a stored ECG MAC 1200 1200 ST with Memory Option MEMO Only After report generation the ECG will or will not be automatically saved tothe internal memory no yes If Yes is selected the unit will generate an interpretation of the ECG data If Yes is selected the interpretation will be printed with the report Interpretations will always be sent to CardioSys CardioSoft or MUSE system regardless of the Print Interpretation setting 10 6 MAC 1200 1200 ST Revision C 2012250 021 System Setup Automatic Mode Override Function no When this function is enabled yes the recorder will print in Automatic mode even when not all electrodes are applied or do not supply a good signal When electrodes a
82. it locks into place on both sides There is a window in the paper door that allows you to look inside the compartment and check the paper supply CAUTION Use only the original GE Medical Systems Information Technologies writer paper This paper has a special coating that prevents contamination and debris collecting on the printhead and electrostatic build up Furthermore the thermosensitive layer and the printhead characteristics are exactly matched Using other paper may result in recordings of poor quality Moreover the printhead may wear out prematurely Use of other paper may void the warranty A stripe marks the last 10 pages of the Z fold pad When the writer runs out of paper during a recording it will emit an audio signal and displays the message E nd of paper or paper jam If OK press e Insert a new paper pad and acknowledge the message with Revision C MAC 1200 1200 ST 11 5 2012250 021 Loading Chart Paper Procedure Aging Stability The standard ECG writer paper CONTRAST Gis designed to guarantee full contrast for a period between 1 and 5 years if it is handled as described below before and after recording Avoid continued direct exposure of the paper to sunlight and other UV radiation and fluorescent light Store the paper in suitable rooms at a temperature between 18 C and 24 C and a relative humidity between 4096 and 60 Avoid direct contact of the paper with carbon and carbonle
83. ith a The MAC 1200 1200 ST s also capable of transmitting stored ECGs if the memory option MEMO is installed Activate the storage program by simultaneously pressing a and Ss Press the EY button first and hold it depressed 5 16 MAC 1200 1200 ST Revision C 2012250 021 Automatic Mode Recording ECG Transmission 2 To select one or more ECGs for transfer move the cursor down with QU When the cursor reaches Print directory it moves on tothe patient list In the list the bar cursor changes to a line cursor Toselect multiple ECGs select them with 4 while holding down a Selected ECGs are marked with a black bar in the margin of the display Deselect the ECGs with the same key combination 3 When you have selected the E CG s to transfer press e and you are back in the function key menu 4 Usingthe cursor select the Send command Confirm your choice with o The message nitializing transmission is displayed and the option to cancel the transmission is provided Then it starts The message ECG Transmission CSI is displayed 5 After thetransmission a message on the display indicates the number of successfully transmitted ECGs As soon as you acknowledge the message with e the Automatic mode acquisition Screen appears 6 Ifthe ECG could nat be transmitted e g wrong baud rate connection error the unit will display the error message Transmission Error CSI The message depends on th
84. l of the device 12 4 E EC 1200 8 9 ECG recording during defibrillation 9 4 ECG storage 5 3 ECG transmission to MUSE 5 16 ECG transmission via modem 5 14 ECGs receive 5 18 Electrode application 4 4 Ergometers without Digital Communication Interface 8 6 Explosion hazard 1 7 F Final report 7 8 10 12 Final report stress test 8 22 G Global measurement points 5 21 H Heart rate limit 6 6 Host system 10 6 how to read label 1 12 I Indicators 2 3 Installation 3 4 L Language 10 24 Lead fail beep 10 22 Lead labels 10 22 Literature 1 11 Lithium battery 13 3 Local T offset measurement point 5 23 Lode excalibur 8 9 M Maintenance 12 4 Master step beep 10 23 Master step test protocol 8 16 Master s step protocols create custom protocols 8 17 Master s step test user intervention 8 15 Master s step tests 8 4 8 14 Measurement points adjust 5 21 Medication 4 15 MEMO option 5 3 Modem 5 12 Multiple portable socket outlets 1 8 Muscle artifact 10 5 Muscle filter 10 5 Muscle Filter Stress Test 10 5 Muscle filter stress test 10 18 MUSE database 3 10 DS N Electrode application points 4 5 name of device 1 12 Electrode disconnected 5 5 Nehb 4 7 EMC requirements 1 9 End of writer paper 11 5 O Entering patient data 4 11 Option Code 10 31 Ergoline 500 800 900 900L 8 9 Option MEMO 5 3 Ergometer type select 10 28 Options 10 31 Ergometers with digital communication interface 8 9 Ordering physician 4 14 Ergometers wi
85. m enters the manual mode and the phase name is given as Manual For safety reasons the caD program maintains the current stage and the a button is inactive You can only control thetest manually with the and S buttons speed grade When you push 4 the program increments to the next stage and a stage report is printed With amp you advance to the next phase Pre Test Exercise Phase Recovery Phase EN GO u hy fig e Alt A 9 09 8 9 9 dqQ Start E uli 2o80 Select Stress Select protocol When analyzing ST Start treadmill Automatic when Test Mode Check report segment or taking BP last stage is interval wait for first results to completed or E be displayed manual 035A Program Sequence for Treadmill Test Revision C MAC 1200 1200 ST 8 13 2012250 021 Stress Tests Ergometers with Remote Start Pulse The Master s Step Test Verify Device Settings Running the Test Proceed as follows to use the Master s Step Test with the MAC 1200 ST Press a to select the Stress Test mode Check the configured Ergometer type in the configuration menu under Chapter 10 Communication section It must be set to Master s Step T est Check the configured Protocol in Chapter 10 Stress Test Mode section It must beset to SINGLE DOUBLE or TRIPLE Check the user configured settings in the Stress Test configura
86. ments To display the remaining columns you can continuously scroll the display with 2 or you can shift the list by the display s width with and e 3 When you have selected all ECGs to view press the amp keyto return tothe function keys 4 Usethe cursor to select the function you need Initiate it with o Other Considerations With the Print directory command you can print a list of all stored ECGs The printout includes all columns except the Comments column If you try to save an ECG when the memory is full a message informs you of the memory status When you delete an ECG from memory the new ECG will automatically be saved The unit may be set up to automatically save ECGs without pressing o and automatically remove E CGs from memory that were successfully transmitted to the CardioSys CardioSoft or MUSE systems The storage program can be terminated at any time with OD NOTE If you plan to print a large number of stored ECGs connect the unit to the power line or to check that the battery is fully charged When you terminate the storage program with OD it is not possible to save the current ECG again Revision C MAC 1200 1200 ST 5 9 2012250 021 Automatic Mode Recording Report Formats Report Formats The length and scope of the reports depends on the implemented software standard MEAS measurement DIAG measurement interpretation The table below shows all of the 14 different report form
87. mode messages indicating disconnected electrodes are also annotated on the recording e g Lead fail C1 After switching on the unit press 1 to select Manual mode m Before recording the ECG patient data can be entered Itis recommended that you enter the patient s name to annotate it on every report m Beforeinitiating a recording check the display for error messages see table below Check all electrodes if the message persists there must be a break in the patient cable Replace the cable with a new one wm The recording is started and stopped with PO Table 2 Messages Indicating Disconnected Electrodes R Rightarm electrode disconnected xk Left arm electrode disconnected le Leftleg electrode disconnected C1 Chest electrode C1 disconnected C2 Chest electrode C2 disconnected C3 Chest electrode C3 disconnected C4 Chest electrode C4 disconnected C5 Chest electrode C5 disconnected C6 Chest electrode C6 disconnected NA Nehb electrode Nap disconnected NT Nehb electrode Nst disconnected NX Nehb electrode Nax disconnected 6 4 MAC 1200 1200 ST Revision C 2012250 021 Manual Mode Recording Recording NOTE In Manual mode report sequences can also be selected with these shortcuts 8 Standard MW CABRERA o NEHB SO Seq 4 With the system defaults the MAC 1200 1200 ST will activate the following functions and settings m TheStandard report sequence lead to channel cor
88. ms cellular telephones etc are possible sources of interference as they may emit higher levels of electromagnetic radiation Keep the recorder away from these devices and verify the recorder performance before use SUFFOCATION HAZARD Dispose of the packaging material observing the applicable waste control regulations Keep the packaging material out of children s reach CAUTIONS 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 EQUIPMENT DAMAGE Before connecting the device to the power line verify that the ratings of your local power line are those indicated on the device nameplate Revision C MAC 1200 1200 ST 2012250 021 1 9 The Basics Safety Information Classification The unit is classified according to EC 60601 1 as Type of protection against electrical shock Class internally powered equipment Degree of protection against electrical Shock Type CF defibrillation proof applied part Degree of protection against harmful ingress of water Ordinary Equipment enclosed equipment without protection against ingress of water Degree of safety of application in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide Equipmen
89. n Arrhythmia mode Event report In Stress Test mode Stage change Action at Ergometer Remote Start Pulse Action at MAC 1200 ST Test subject starts pedalling 1stremote start pulse No action Load increase atergometer Remote start pulse with each Stage change load increase 8 8 MAC 1200 1200 ST Revision C 2012250 021 Stress Tests Ergometers with Remote Start Pulse Ergometers with Digital Communication Interface Compatible ergometers include Variobike 500 800 900 900L EC1200 V3 52 and Lode E xcalibur Sport With these ergometers the selected protocol fully controls the test procedure The ergometer operating controls are inoperative Only blood pressure measurements can be taken manually NOTE The EC1200 will display the version number when turned on The following explanations refer to version 3 52 or higher upgrade if possi ble Blood pressure intervals are only valid for Ergoline 900 The EC1200 with version 3 52 and later only supports directly connected blood pressure monitors They are controlled by the stage time setting The blood pressure interval will be ignored 1 Select the ergometer type Chapter 10 Communication 2 Select thetest protocol configuration Chapter 10 Stress Test Mode 3 Press PO A blood pressure measurement is now taken automatically if configured Wait until the readings are available or until the first ST measurement is completed
90. ned in this manual reflects software version 6 CE 2 MAC 1200 1200 ST Revision C 2012250 021 Contents The BASICS ch EUR aC CE e ac P ERR CEA 1 1 About This Manual sen mmm nme 1 3 Manual Purpose ex EHE ERROR HOPES 1 3 Intended A dleriCe ardid 14 Definitions carm oci ced ee ac a t D CURA CERRO UR 14 Illustrations and Names oo cece n HHHeennmme 1 5 R vision History iir reor usb Ea VOCE DT 1 5 Safety Information 00 cc cece eect eee eee eee nenn nun 1 6 DeTININONS 2 4 555 hod s eU icra mede Bh dris seb eas Baiada 1 7 Underwriters Laboratories INC 222020 cece ccc eee 1 10 Biocompatibility lees nennen nennen nenn 1 11 Literature rcm aac e ERES awe omis eek as 1 11 Service Information sssseee mH 1 12 Reguirements oia rper ara ipea vans 1 12 Controls and Indicators esee 2 1 General Information sssseee mmm 2 3 MAC 1200 Control Panels i 7 ECRIRE TES 2 3 MAC 1200 Keyboard 2444 sette onte or ana ae Da 2 4 MAC 1200 ST Keyboard soningen aino a e 2 5 Symbolg eee t xen ee ucts ane eie per ictor a lagi Me enter 2 6 Operating and Performance Tests 3 1 Power Supply 2 0 2230 ne trn ern lt xa aont eae 3 3 Installation and Mains Connection eeen nnn nnn n 3 4 Performance Check 22 Ss dd REESE Ra 3 5 Contrast AdJ stment un arena rer PPP Arena 3 6 System Setup E 0c cece eee eee E 3 7 Connecting Peripheral Equipme
91. ng l After switching on the unit press e to select the Arrhythmia mode When working with the MAC 1200 ST equipped with the Stress Test option ERGO you must press the button twice 2 Beforerecording the ECG patient data can be entered 69 Itis recommended that you enter the patient s name to annotate it on every report Before initiating a recording check the display for error messages Check all electrodes if the message persists there must be a break in the patient cable Replace the cable with a new one 3 Start and stop the recording with the OD key Table 2 Messages Indicating Disconnected Electrodes Symbol Definition R Right arm electrode disconnected bar Left arm electrode disconnected EK Left leg electrode disconnected C1 Chest electrode C1 disconnected C2 Chest electrode C2 disconnected C3 Chest electrode C3 disconnected C 4 Chest electrode C4 disconnected Cas Chest electrode C5 disconnected CO Chest electrode C6 disconnected NA Nehb electrode Nap disconnected NT Nehb electrode Nst disconnected NX Nehb electrode Nax disconnected Revision C MAC 1200 1200 ST 7 5 2012250 021 Arrhythmia Mode Recording Recording During the Recording When the program starts the unit records 6 leads of ECG 1 page During the following learn phase the analysis algorithm learns the patient s typical QRS complex After the learn phase the recorder prints a report where the QRS complexes acqui
92. no Chapter 5 Report Formats section 10 4 MAC 1200 1200 ST Revision C 2012250 021 System Setup Automatic Mode Continuous Rhythm yes In 6 F1reports the first 6 leads represent the first half of the 10 second signal acquisition period while the second set of 6 leads represent the 2nd half of the acquisition period no Thesecond set of 6 leads also represents the first half of the acquisition period The same is true for the report format 3 F 1 NOTE When you select Continuous rhythm yes the letter R will be appended tothe report name Report formats 6 F1 3 F1 4x2 5R3 6 F2 H2 become 6 F1 R 3 F1 R 4x2 5R3 R 6 F2 R H2 R Muscle Filter AC Filter Elimination of muscle artifact and AC line interference m Musclefilter no m AClinefilter yes NOTE Filters may suppress diagnostically relevant portions of the signal because they limit the transmission range Therefore only enable filters if necessary Muscle Filter Frequency Cut off frequency of the muscle filter 40 Hz 20 Hz The frequency range is indicated in the lower margin of the recording strip m 0 08 40 Hz 40 Hz muscle filter enabled m 0 08 20 Hz 20 Hz muscle filter enabled m 0 08 150 Hz muscle filter off Revision C MAC 1200 1200 ST 10 5 2012250 021 System Setup Automatic Mode Manual Copy To Number of Copies When the amp key is pressed the unit will print a copy oftheECG ECG or theECG
93. nstallation and Mains Connection Installation and Mains Connection The figure below shows a practical arrangement of patient and recorder For interference free operation it is important that the patient cable and the power cord do not run parallel 003A Arranging the Electrocardiograph and the Examination Couch m Usethe power cord to connect the device to the power line see figure below Useonly the original power cord or an equivalent cable uw AC Power Input m Indicator 5 2 will illuminate m Check the paper supply the window in the paper door allows you to look insidethe paper compartment Refer to Chapter 10 System Setup for instructions on inserting a new paper pad 3 4 MAC 1200 1200 ST Revision C 2012250 021 Operating and Performance Tests Performance Check Performance Check Press the power button to switch the device on OOOO zi x c V B N y Y Ga 005A Power Button The amber indicator will illuminate After power up the electrocardiograph runs an automatic self test The display indicates the memories currently beingtested The self test takes about 15 to 20 seconds When no problem is detected the device defaults to the Automatic mode If a malfunction is identified the display will show an error message Error In this situation notify service to check and repair the device Theself test can be skipped with the Ry button I n this case the dev
94. nt isses 3 9 Revision C MAC 1200 1200 ST i 2012250 021 Preparing for ECG Recording 4 1 Connecting the Patient Cable 00 cce cece nenn anne 4 3 Electrode Application cece esee 4 4 Applying Plate Electrodes Limbs i sisse 4 4 Applying Suction Electrodes Chest 0 ccc cee cece eet ees 4 4 Electrode Placement for Standard Leads I Il Ill aVR aVL aVF V1 V6 4 5 Electrode PlacementforNehb Leads 4 7 Artifact Due to Poor Electrode Application cc cece cece cece e ees 4 9 Entering Patient Data 4 11 New Patientin ar C E ee A dea d ada beatae 4 13 Last Name FirstName sssssssssssssee me 4 13 Date OnBith d E peer e DR dete YR IET duca 4 13 Patent Dasi rci daran arena Sera eh cep ea A 4 13 Chest Pdi nr C een C Ia 4 14 A echte Tele e ehr hen 4 14 Gender Race cime pH er d Eg RR REO EHOW 4 14 Height Weight th rara rr REED EO AE UP ERR eas 4 14 Systolic BP Diastolic BP kee eee cee e 4 14 Ordering Physician Referring Physician Technician 0 008 4 14 Phone Number sas etra ere redeem a Facile hanson OPAC 4 15 Medication iocos Ak ram err e te ente ME aAA RR 4 15 COMMONS noctes xc desto o m de iu an 4 15 Swedish Patient ID cic az scires eren da veri a teebrfe da 4 15 ID REQUIRED a ERE DERE SE ew 4 15 Secondary ID ceros ar pb Ak Pea EF EEEE EARE EE ET 4 16 Secondary ID Required aaau sss 4 16 Last First Name Required cc
95. nt are available 4 Press amp 4 At this point the ECG of the patient standing upright is recorded 5 Press tah Hyperventilating Patient The next stage is reserved for a hyperventilating patient s ECG Start 6 Start the treadmill with p and press eh The warm up stage follows in which the patient gets used to the treadmill exercise 7 Press fe Once the patient is familiar with walking on the treadmill initiate the actual test with EN From this point forward the program controls the entire test including the recovery phase General Treadmill Considerations m Stopthetest at any time with PO Refer to End Cancel a Stress Test on page 8 7 for more information NOTE The treadmill can be stopped at any time with the emergency stop button wm When using the treadmill model TM4OOE it is important to adjust the same unit of speed measurement at the ergometer and at the CardioSys system km h or mph 8 12 MAC 1200 1200 ST Revision C 2012250 021 Stress Tests Ergometers with Remote Start Pulse If the speed is 0 in one of the stages the treadmill switches off and Start can only be restarted with amp Sto If the treadmill is stopped with P or with the emergency stop button the speed and grade readout is Wait until this readout Start disappears before restarting the treadmill with amp Also remember to reset the emergency stop button When you press or o the progra
96. nt data via ra 4 Apply the electrodes 5 Initiate the stress test with OD The MAC 1200 ST will first record the 12 lead ECG At the sametime the unit learns the patient s typical QRS complex From this QRS complex the unit derives the median complex which is the reference beat for calculation of the ST level and slope during the test The locations of all relevant device settings are shown below Operating mode Muscle filter AC line filter Anti drift system Patient Name Report function Gain Report sequence Three leads display here Selected exercise test Time since onset of test Load RPM Phase Time in phase PVC min Stage Time in stage Failure message Current HR HR Limit Stress Test Screen Bicycle Ergometer 1 if enabled 2 or REC OFF when the recording function is disabled 3 if any 8 18 MAC 1200 1200 ST Revision C 2012250 021 Stress Tests Running a Stress Test n Operating mode Muscle filter AC line filter Anti drift system Patient Name Report function Gain Report sequence Three leads display here Selected exercise test Time since onset of test Speed Grade Phase Time in phase METS value Stage Time in stage PVC min Failure message Current HR HR Limit Stress Test Screen Treadmill 1 if enabled 2 or REC OFF when the recording function is disabled 3 if any Revision C MAC 1200 1200 ST 2012250 021 8 19
97. nt valid at the time of printing All rights are reserved for devices circuits techniques software programs and names appearing in this manual On request GE will provide a service manual The GE quality management system complies with the standards DIN EN ISO 9001 and EN 46001 To ensure patient safety the specified measuring accuracy and interference free operation we recommend to use only original GE components The user is responsible for application of accessories from other manufacturers The warranty does not cover damage resulting from the use of unsuitable accessories and consumables from other manufacturers GE is responsible for the effects on safety reliability and performance of the device only if m assembly operations extensions readjustments modifications or repairs are carried out by GE or by persons authorized by GE and m thedeviceis used in accordance with the instructions given in this operator s manual MAC 1200 1200 ST Revision C 2012250 021 The Basics 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 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
98. of a system must be connected to the same electric circuit Devices which are not connected to the same circuit must be electrically isolated use isolated RS232 interface as per IEC 60601 1 A PC connected to the electrocardiograph should meet the requirements of EN 60601 If it doesn t it must be set up outside the patient environment If the PC fulfills the requirements of EN 60950 it must be set up within the medically used area but outside the patient environment Do NOT connect PCs tothe electrocardiograph that fulfill neither EN 60601 nor EN 60950 Modems connected to the electrocardiograph must meet the requirements of EN 60950 or UL 1950 all modems recommended by GEMS IT meet these requirements The specific regulations valid in your country must also be observed The modem must be set up within the medically used area but outside the patient environment Revision C MAC 1200 1200 ST 2012250 021 3 9 Operating and Performance Tests Connecting P eripheral Equipment The electrocardiograph can be directly connected via the serial interfacevto a PC CardioSoft to the CardioSys system or toa MUSE CV system Resting ECGs acquired in the Automatic mode and the corresponding data can then be transmitted to these peripheral devices See Chapter 5 ECG Transmission section for details The table below shows the factory defaults and all possible adjustments For instructions on changing
99. ological order m According to priorities see Table 3 Arrhythmia Codes on page 7 9 m Ventricular beats only m No episode report 10 12 MAC 1200 1200 ST Revision C 2012250 021 System Setup Stress Test Mode Stress Test Mode Report Sequence STANDARD I II III aVR aVL aVF V1 V2 V3 V4 V5 V6 CABRERA aVL I aVR II aVF III VI V2 V3 V4 V5 V6 SEQ NO 3 Here users can define a custom report sequence m Position the cursor on SEQ NR 3 m Press Cont and create the report sequence as described in Manual Mode section Protocol The test protocols available for selection depend on the selected exercise test device see Communication section The Protocol Editor allows you to change individual test parameters or to create your own test protocols m Firstselect the protocol that you would liketo edit or which is similar to the one you want to create Revision C MAC 1200 1200 ST 10 13 2012250 021 System Setup Stress Test Mode m Push e to open the Protocol Editor window Configuration Stress Test Protocol WHO add phase add stage add proto del phase del stage del proto print proto reset proto ok escape Phase Time In Basic Lead Median Repo STAGE 99 00 0 First PRETEST Ramping 0 00 00 0 EXERCISE Ramping STAGE 1 2 00 252 1 50 STAGE 2 2 00 50 1 50 STAGE 3 2 00 75 1 50 STAGE 4 2 00 100 1 50 STAGE
100. ommand with e 10 16 MAG 1200 1200 ST Revision C 2012250 021 System Setup Stress Test Mode Creating a New Protocol 1 Position the cursor on new proto and push e A screen appears showing 3 command buttons and a list of all existing protocols 2 Select a protocol in the figure on the next page protocol 4 STD FRANCE is selected and confirm with e i 3 Position the cursor on new proto and confirm with e You will see the Protocol Editor with the parameters for STD FRANCE Question marks appear in place of the protocol name You can overwrite them with a name of your choice The test parameters can be edited as needed Resetting the Protocol With the reset proto command you can restore all parameters to the values that were active when you first called up the protocol editor Printing the Protocol Initiates a printout of the displayed protocol Saving the Protocol OK With OK you save the displayed protocol Quitting the Protocol Editor With the Escape command you quit the Protocol Editor Changes to the parameter values will be ignored and are not saved Revision C MAC 1200 1200 ST 10 17 2012250 021 System Setup Stress Test Mode Factory Defaults for Protocols Rhythm Leads Gain Speed In Test Reports The factory defaults for treadmill and bicycle ergometer protocols can be reactivated CAUTION New protocols will be deleted therefore print your custom protocols be
101. onfiguration with OD 10 32 MAC 1200 1200 ST Revision C 2012250 021 System Setup Direct ECG Transmission Direct ECG Transmission Select the Automatic mode and press gon Press e to display the configuration menu for the Automatic mode Use the cursor keys to position the bar cursor on Manual copy to HOST and confirm the selection with e HOST Press OD to clear the configuration menu Use the cursor keys to position the bar cursor on Communication and confirm the selection with e Select the same baud rate as at the receiving modem 2400 4800 9600 19200 38400 57600 Selecting the Communication Protocol This adjustment is only necessary with MAC 1200 1200 ST units because only these devices can send data to CardioSys CardioSoft or to the MUSE system For a MAC 1100 unit that can send data only to CardioSys CardioSoft the communication protocol A5 is preselected 1 2 Using the cursor keys position the bar cursor on Protocol Select the protocol A5 if you will send data to CardioSys CardioSoft system or select CSI to send data to MUSE system Use the cursor keys to position the bar cursor on Modem none and confirm the selection with e Revision C MAC 1200 1200 ST 10 33 2012250 021 System Setup Direct ECG Transmission 10 34 MAC 1200 1200 ST Revision C 2012250 021 11 Loading Chart Paper For your notes 11 2 MAC 1200 1200 ST Revision C 2012250 021 Loading Ch
102. ormati on Technologies authorized service personnel only Any unauthorized attempt to repair equipment under warranty voids that warranty It is the user s responsibility to report the need for serviceto GE Medical Systems I nformation T echnologies or to one of their authorized agents Every GE Medical Systems I nformation Technologies device has a unique serial number for identification The serial number appears on the device label Y XXXXXXXX GE MEDICAL SYSTEMS INC B MILWAUKEE VI NADE IH USA LEITET N E 2 ZZ XXXX P G E D C Table 1 Equipment Identification Item Description name of device manufacturer location code serial number unique product code last digit of year manufactured C n m 9 O x month manufactured 102A MAG 1200 1200 ST 2012250 021 Revision C 2 Controls and Indicators evision MAC 1200 1200 ST 2012250 021 For your notes 2 2 MAC 1200 1200 ST Revision C 2012250 021 Controls and Indicators General Information General Information Controls and indicators of the MAC 1200 1200 ST electrocardiograph are shown in this chapter MAC 1200 Control Panels 001A Description 1 Power input 2 Paper door windows allows you to check the paper supply 3 Patient cable connector 4 Connection for electrode application system KISS op
103. perating steps to select a setting are always the same m Using the cursor keys e and e you select the setting and confirm the selection with e The cursor will move to the next menu item m Individual items can be skipped with y or aD m Toexit the menu press DPD The factory default setting is shown in angular brackets DG ay A 2 eo vA 045A System Setup Keys Revision C MAC 1200 1200 ST 10 3 2012250 021 System Setup Automatic Mode Automatic Mode Use the cursor keys to position the bar cursor on Automatic and confirm the selection with o The configuration menu for the Automatic mode will appear Report Sequence STANDARD I II III aVR aVL aVF V1 V2 V3 V4 V5 V6 CABRERA aVL I aVR II aVF III V1 V2 V3 V4 V5 V6 NEHB I II HI aVR aVL aVF D A J D A J only measured with the HEART interpretation program Rhythm Leads Depending on the selected report format the recorder will print O 1 3 or 6 selectable rhythm leads With the 12 F1 report format the printed rhythm lead is V6 for NEHB leads lead J with formats 3 F1 6 FS and6 F1 the first selected rhythm lead with formats 1x10R3 and 4x2 5R3 the first 3 and with formats H1 and A1 all 6 rhythm leads Gain 5 10 20 40 mm mv auto Report Format Refer to Chapter 5 Report Formats section Detailed Results MAC 1200 1200 ST Only The Detailed results page will be printed yes
104. r m 3or6recording channels or 12 in Automatic mode overlapping m Baseline pitch 6 channels 31 mm manual 12 channels 16 mm automatically m Writing width 200 mm maximum Annotation of recorder settings date time and entered patient name in the margin of the recording strip m With appropriate software documentation of analysis results in the respective operating mode m Resolution of the recording Vertical 8 dots mm Horizontal 25 um at 25 mm s Printer Paper CONTRAST ARCHIVISTO Z fold pad 150 pages per pad equivalent to a chart length of approximately 45 m Paper width 210 mm or 8 5 inch 215 9 mm US format Sheet length 297 mm or 11 inch 279 4 mm US format To prevent damage to the printhead use only the original CONTRAST ARCHIVIST paper Paper Transport m Paper speed 5 25 50 mm s key selectable Error limits at 25 and 50 mm s typical 4 at 5 mm s 10 max m At paper end the recorder emits an audio signal and stops recording The last pages of the pad bear a colored stripe in the lower margin Revision C MAC 1200 1200 ST 14 3 2012250 021 Technical Specifications Recording Membrane Keypad Display Indicators LEDs Lead Selection Automatic Functions Pushbuttons with tactile feedback m Function keys for all routine operations m Alphanumeric keyboard for entry of text m Graphics display with 24 x 40 characters contrast adjustment m Resolution of 320 x 240 pixels
105. re disconnected a message informing the user of poor signal quality will be printed on the recording strip Measurement and interpretation results may be adversely affected by disconnected electrodes Revision C MAC 1200 1200 ST 10 7 2012250 021 System Setup Manual Mode Manual Mode Report Sequence Usethe cursor keys to position the bar cursor on Manual and confirmthe selection with o The configuration menu for the Manual mode appears STANDARD I II 111 aVR aVL aVF V1 V2 V3 V4 V5 V6 CABRERA aVL I aVR II aVF 111 V1 V2 V3 V4 V5 V6 NEHB D A J L IL HII aVR aVL aVF D AJ SEQ NO 4 Users can define a custom report sequence here m Position the cursor on SEQ NO 4 m Press gens The display shown below will appear Report sequence SEQ NO 4 Lead Label Channel 1 l l Channel 2 II II Channel 3 III III Press J 10 8 MAC 1200 1200 ST Revision C 2012250 021 System Setup Manual Mode The cursor will move tothe position for entry of the lead in channel 1 Follow these steps if you wish to record lead aVR in channel 1 for instance 1 Enter AVR and confirm the entry with e z The cursor moves tothe position for entry of the lead designation AVR appears there as well 2 Toenter another designation you can overwrite the default name 4 characters maximum 3 Confirm your entry with amp Repeat the above steps for channel 2
106. red in the learn phase are labeled L and the complex found to be the patient s typical complex is labeled QRSL When the learn phase is complete the MAC 1200 1200 ST is ready to identify arrhythmias NOTE With a single page recording can be initiated after program start NOTE Filters may suppress diagnostically relevant portions of the signal because they limit the transmission range Only enable filters if necessary With the system defaults the MAC 1200 1200 ST will activate the following functions and settings m STD_C report sequence lead to channel correspondence V1 to V6 configurable m Gain of 10 mm mV configurable calibration pulse at the beginning of the recording The unit can be set up to automatically adapt the gain to the ECG signal auto Muscle filter is disabled configurable AC line filter is enabled configurable Slow trend recording is disabled configurable Event episodes are recorded at a speed of 25 mm s Unit documents all events that are different from the previous event configurable The unit can be configured to document all events or no events at all m Inthe final report the event episodes are printed in chronological order 7 6 MAC 1200 1200 ST Revision C 2012250 021 Arrhythmia Mode Recording Recording The locations of all relevant device settings are shown below Operating mode Muscle filter AC line filter Anti drift system P
107. respondence I II III aVR aVL aVF V1 V2 V3 V4 V5 V6 configurable also available CABRERA NEHB SEQ NR 4 custom report sequence wm A gain of 10 mm mvV configurable calibration pulse at the beginning of the recording The unit can be set up to automatically adapt the gain to the ECG signal see Chapter 10 Manual M ode Also the gain setting can be changed with en 5 10 20 and 40 mm mV NOTE Please note that filters may suppress diagnostically relevant portions of the signal because they limit the transmission range Filters should therefore only be enabled if necessary by selects the other 6 leads of the selected report sequence M od display the other 3 leads of the selected group of 6 m Thewriter prints at a speed of 25 mm s the speed can be changed m Themuscle filter is disabled configurable The AC line filter is enabled configurable The anti drift system cubic spline is disabled configurable m Pressing OD will not advance the paper to the next fold Auto Paper F eed configurable m Pressing after the ECG recording will print the patient data Revision C MAC 1200 1200 ST 6 5 2012250 021 Manual Mode Recording Recording The locations of all relevant device settings are shown below Operating mode Muscle filter AC line filter Anti drift system Patient Name Report function Gain Report sequence Three leads display here Failure mess
108. ription AT Prefix that precedes every command line amp F Fetch factory configuration loads the factory configuration from ROM into the active configuration memory RAM M1 Speaker is always on X3 Call progress signal monitoring enabled S0 1 Auto answer after one ring V0 Digit result codes selected 0 to 999 initstring JAT amp FM1X350 1V0 Revision C MAC 1200 1200 ST 5 19 2012250 021 Automatic Mode Recording ECG Transmission AT Command for Establishing a Communication Link The following is an example of a dial string for a modem connected to a branch PBX system and dialing a modem via the public telephone network using the touch tone mode Symbol Description AT Prefix that precedes every command line DT Touch tone dial mode XXX After DT enter the characters for access to the public telephone network e g 0 W W placed after a number tells the modem in a PBX system to wait for the dial tone of an outside telephone line dial string ATDTOW AT Command for Termination of the Communication The communication is terminated in two steps First the MAC 1200 1200 ST sends an escape command to return from the on line state to the command state Then the hangup command follows Symbol Description Escape command AT Prefix that precedes every command line H Hangup command hangup string ATH 5 20 MAC 1200
109. rodes are applied by means of a rubber strap and electrode paper is the recommended contact medium m Moisten the electrode paper with tap water and place it between skin and electrode m Secure the electrode with the rubber strap see figure below but do not hinder blood circulation 007A Applying the Plate Electrodes Applying Suction Electrodes Chest Shave application points if necessary Moisten the electrode paper with tap water and place it between skin and electrode Electrode cream or gel can be used instead of paper On hairy chests the cream or gel improves adhesion of the electrodes 4 4 MAC 1200 1200 ST Revision C 2012250 021 Preparing for ECG Recording Electrode Application Electrode Placement for Standard Leads I Il Ill aVR aVL aVF V1 V6 For acquisition of the standard ECG leads four electrodes must be applied on the limbs and six on the chest The limb electrodes should be placed above the wrists and ankles The figure below shows the chest electrode application points CAR GGR C1 0208 C4 O 008A Chest Electrode Placement Description C1 Ath intercostal space at the right border of the sternum C2 Ath intercostal space at the left border of the sternum C3 On the 5th rib midway between locations C2 and C4 C4 Atthe mid clavicular line in the 5th intercostal space C5 Atthe anterior auxiliary line on the same horizontal level as C4 and
110. s only They may not necessarily reflect your monitoring setup or data displayed on your monitor In this manual all names appearing in examples and illustrations are fictitious The use of any real person s name is purely coincidental This manual has a revision letter located at the bottom of each page This revision letter changes whenever the manual is updated Revision A is theinitial release of the document Revision Date Comments A 7 March 2003 Initial release of manual describes version 6 0 B 15 April 2003 Information regarding UL classification added to manual C 21July 2004 Revised CE compliance information and added information about ending a stress test Revision C MAC 1200 1200 ST 1 5 2012250 021 The Basics Safety Information Safety Information This manual is an integral part of the device It should always be kept near the device Close observance of the information given in the manual is a prerequisite for proper device performance and correct operation and ensures patient and operator safety Please note that information pertinent to several chapters is given only once Therefore carefully read the manual once in its entirety The symbol means Consult accompanying documents It indicates points which are of particular importance in the operation of the device This manual is in conformity with the device specifications and standards on safety of electromedical equipme
111. s with the 10 lead patient cable only in Manual Mode m Todoso connect as follows R toNst L to Nax C7 F to Nap C4 m Select SEQ No 4 Chapter 10 Manual Mode section and change the lead labels as follows toD Il toA III to Revision C MAC 1200 1200 ST 4 7 2012250 021 Preparing for ECG Recording Electrode Application N black W CT white m rightleg EE right arm left arm left leg s sd C5 C1 C2C3 C4 Nst Nap 012A Connecting the Patient Cable 12 Lead Cable NEHB Leads 4 8 MAC 1200 1200 ST 2012250 021 Revision C Preparing for ECG Recording Electrode Application Artifact Due to Poor Electrode Application The electrocardiograph is equipped with state of the art electronic utilities that ensure artifact free recordings Among these are the automatic baseline adjustment and the anti drift system cubic spline ADS At the beginning of the recording the automatic baseline adjustment algorithm verifies the incoming signal and adjusts the baseline position accordingly During the recording the anti drift system cubic spline continuously checks the baseline position and returns it to the normal level if required see Sample Recording figure For theManual Mode the anti drift system cubic spline can be enabled and disabled from the setup menu in the Automatic and Arrhythmia Modes it is always enabled When elec
112. ss forms chart papers and adhesives containing tributyl phosphate dibutyl phthalate or any other organic solvents and document protectors envelopes and sheet separators containing plasticizers Sol vents or sol vent based products containing alcohols ketones esters or other substances from this chemical group CAUTION The above components may also be found in recyded papers Archiving ECG recordings on our ECG filing cards only P N 217 043 03 is recommended If longer storage periods are required use our ARCHIVIST chart paper image legibility up to 15 years or other image storage technologies MAC 1200 1200 ST Revision C 2012250 021 12 Cleaning Disinfection and Maintenance evision MAC 1200 1200 ST 2012250 021 For your notes 12 2 MAC 1200 1200 ST Revision C 2012250 021 Cleaning Disinfection and Maintenance Cleaning and Disinfecting the Recorder Housing Cleaning and Disinfecting the Recorder Housing WARNING SHOCK HAZARD Disconnect the device from the power line before cleaning or disinfecting its surface Wipe the monitor clean with a moist cloth Do not let liquid enter the monitor All cleaning agents and disinfectants that contain alcohol and are commonly used in hospitals are suitable but do not use disinfectants with a phenol base or peroxide compounds Cleaning and Disinfecting the Patient Cable m Disconnect the cable from the recorder before cleaning
113. t Pulse 5 When you press E or gt the program enters the manual mode and the phase name is given as Manual For safety reasons the program maintains the current stage and the a0 j buttons y and 4 areinactive Y ou can only control the test manually with the buttons OQ 6 When you press 4 the program increments to the next stage and a stage report is printed With amp 4 you advance to the next phase With the EC1200 takes you to the next higher stage and to the preceding stage without generating a stage report After a load change wait until the new load appears in the display before you activate one of these buttons again When the number of revolutions is low the EC1200 will automatically activate a load of 15 Watts and increase the load tothe old value when the speed picks up again During that time the buttons 4 gt are inactive and the program will not proceed to the next load stage Does NOT apply to the EC1200 Revision C MAC 1200 1200 ST 8 11 2012250 021 Stress Tests Ergometers with Remote Start Pulse Treadmill Select the ergometer type Chapter 10 Communication section 2 Select thetest protocol configuration Chapter 10 Stress Test Mode section 3 Press PO At this stage the resting ECG of thesitting patient is recorded Continue collecting the ECG signal until the first ST measurement is completed or the results of the first BP measureme
114. t 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 SIE Medical Equipment 9 With respect to electric shock fire and mechanical hazards C US only in accordance with UL 2601 1 and CAN CSA C22 2 NO 601 1 4P41 1 10 MAC 1200 1200 ST Revision C 2012250 021 The Basics Biocompatibility Biocompatibility The parts of the product described in this operator manual induding all accessories that come in contact with the patient during the intended use fulfill the biocompatibility requirements of the applicable standards If you have questions in this matter please contact GE Medical Systems Information Technologies or its representatives Literature Medical Device Directive of August 2 1994 EN 60601 1 1990 A 1 1993 A 2 1995 Medical electrical equipment General requirements for safety EN 60601 1 1 9 1994 A1 12 1995 General requirements for safety Requirements for the safety of medical electrical systems EC Publication 513 1994 Fundamental aspects of safety standards for medical equipment Revision C MAC 1200 1200 ST 1 11 2012250 021 The Basics Service Information Service Information Requirements Refer equipment servicing to GE Medical Systems I nf
115. t operated on battery power battery discharged Connect recorder to the power line After a few minutes the recorder is able to resume operation Always connect recorder to the power line when indicator lights up The battery capacity depends on age temperature and charge level See Chapter 3 Operating and Performance Tests for details No recording in Automatic mode Failure of at least one electrode Check all electrodes or enable Override function See Chapter 10 Automatic Mode section for details Paper jam Open paper compartment and removed jammed sheet place beginning of paper between the marks close paper compartment and press e Revision C MAC 1200 1200 ST 13 3 2012250 021 Troubleshooting Troubleshooting Chart 054A Regular AC Line Interference NOTE In the presence of very strong AC line interference in all leads the thermal printhead may interrupt the recording Activate the AC line filter 50 Hz 60 Hz in these situations 054A Irregular AC Interference 13 4 MAC 1200 1200 ST Revision C 2012250 021 14 Technical S pecifications evision MAC 1200 1200 ST 14 1 2012250 021 For your notes 14 2 MAC 1200 1200 ST Revision C 2012250 021 Technical Specifications Recording Recording Direct recording of waveforms and alphanumeric characters with rectangular coordinates by means of thermal array printhead printing on thermosensitive pape
116. ter is explained in detail Table 1 Patient Data Entry Menu Factory Default rd Adjusted Menu Item Displayed Options New Patient No Yes Yes Last name Yes Firstname Yes Date of Birth 00 00 0000 dd mm yyyy Yes Patient ID Yes Chest pain Unknown Yes Not Present Secondary Complaint Chief Complaint Pacemaker No Yes Yes Gender Yes female male Height Yes Weight Yes Race unknown Yes other Systolic BP 0 mmHg Yes Diastolic BP 0 mmHg Yes Ordering Physician Yes selection from a list of 10 names Referring P hysician Yes selection from a list of 10 names Technician Yes selection from a list of 10 names Phone No Yes Medication Yes 1 unknown Yes other 2 unknown Yes other Comments Yes Swedish Patient ID No ID Required No Patient ID Length Yes 3to 16 characters default is 9 characters Secondary ID No Secondary ID Required No Last Name Required No First Name Required No Location No 1 600 Room No Order number No MAC 1200 1200 ST 2012250 021 Revision C Preparing for ECG Recording Entering Patient Data Table 1 Patient Data Entry Menu Factory Default AAT Adjusted Menu Item Displayed opnom Prompt 1 No Prompt 2 No Prompt 3 No Prompt 4 No 1 with 12SL program only New Patient Yes existing patient data are deleted No entered data can be edited Last
117. th remote start pulse 8 8 Override function 10 7 Revision C MAC 1200 1200 ST Index 3 2012250 021 Index P Pacemaker patient 9 3 Packaging material disposal 1 9 Paper feed automatic 10 10 Paper jam 13 3 Paper inserting new pad 11 3 Password protection setup menu 10 24 Patient cable connection 4 3 Patient Data Setup 10 29 Patient data entry 4 11 Performance dheck 3 5 Peripheral equipment connection 3 9 Physician refering ordering 4 14 Physician referring ordering 10 21 Plate electrodes 4 4 Power supply 3 3 product code 1 12 Program sequence for ergometers with digital interface 8 10 Program sequence for ergometers without digital interface 8 8 Program sequence for treadmill test 8 13 Prompts 10 30 Protection class 1 4 Protocol editor 10 13 Protocol new 10 17 Protocols for data communication 10 26 Protocols create custom protocols 8 17 Protocols reactivate factory defaults 10 18 Q QT dispersion 5 23 R Receiving ECGs 5 18 Recharging the battery 3 3 Recording problems 4 9 Referring physician 4 14 Remote start pulse 8 7 8 8 Report formats 5 10 Revision history 1 5 Rhythm leads 10 4 Self test abort 3 5 serial number 1 12 service information 1 12 requirements 1 12 Setup menu stress test 8 5 Software Version CE 2 Specifications 14 1 Standard leads 4 5 Stress test mode setup 10 13 Stress test end 8 21 Stress test running a test 8 18 Suction electrodes 4 4 Symbols explanation 2 6 System defa
118. the preceding event m Arrhythmias are not documented Revision C MAC 1200 1200 ST 10 19 2012250 021 System Setup Stress Test Mode Final Reports TheFinal Reports setup determines the scope of the final report Summary report yes no Trend report yes no Trend report ST yes no Sample cardiac cydes yes no Tabular summary yes no Episodes documentation of event episodes in chronological order according to priorities ventricular events only or no documentation 10 20 MAC 1200 1200 ST Revision C 2012250 021 System Setup System Setup System Setup Ordering Physician Referring Physician Technician Institution Name Cart Number Site Number In theleftmost field the last name of the physician or technician selected as the default name is shown When other is selected a menu to enter up to 10 names 4 digit ID number first name last name is shown The default name and ID is automatically selected at power up NOTE Physician and technician numbers must be unique the system will accept non unique IDs The Referring Physician is only relevant if ECGs are sent to the MUSE CV system This name will not be annotated on the ECG recording To exit the menu press OD The name entered here will be printed on each report page 4 place number default 1 range 1 to 9999 number of the MUSE CV system that is to receive the data default 1 range 1 to 255
119. they are in With the key combinations y Y at D Ey lt Alt t the table can be repositioned by the width height of a full screen m Position the cursor on the value to edit and press 9 9 m Enter the new value and confirm the entry with D i A phase can only be added when there are less than 3 phases to the protocol The phase names begin in column 1 the stage names in column 2 A new phase is always added before the phase where the cursor is currently located the cursor may be located on any stage 1 Push o The cursor moves to the command menu 2 Position the cursor on add phase and confirm with amp A list with the existing phases appears 3 Select the desired phase and confirm with e The phase is added tothe table Revision C MAC 1200 1200 ST 10 15 2012250 021 System Setup Stress Test Mode Deleting a Phase Adding a Stage Deleting a Stage Delete the phase to delete and confirm with aly The cursor moves to the command menu Position the cursor on del phase and push Dd Confirm the delete command with amp i Select the stage that is to follow the new stage and push e The cursor moves to the command menu Position the cursor on add stage and confirm with e A copy of the stage to edit is added Select the stage to delete and confirm with amp Thecursor moves to the command menu Position the cursor on del stage and push e A Confirm the delete c
120. time it detects a single beat event m The recorder starts each time it detects an event different from the previous event m The recorder does not start at all 031A Event Recording NOTE After starting the program press mms to select a continuous recording at 5 mmys c If the unit identifies an arrhythmia event it will automatically switch to the faster paper speed With the same key gms the trend recording can be stopped The unit can be set up to automatically start a trend recording when the Arrhythmia mode is initiated Revision C MAC 1200 1200 ST 7 3 2012250 021 Arrhythmia Mode Recording General Information Some of the system settings can be customized They are labeled with configurable The following information refers to a unit with the system defaults For instructions on changing the default setup refer to Chapter 10 Arrhythmia Mode section Table 1 Setup Menu for the Arrhythmia Mode Parameter Factory Default Options Report Sequence STD C STD RED STD LI CABR LI NEHB HIGH C Gain 10 mm mV auto 5 20 40 mm mV Muscle Filter No Yes Muscle F ilter Frequency 40 Hz 20 Hz AC Filter Yes No Trend Rec No Yes Arrhy Data unequal all no Episodes chron prio ventr no 74 MAC 1200 1200 ST 2012250 021 Revision C Arrhythmia Mode Recording Recording Recordi
121. ting Troubleshooting Chart Troubleshooting Chart Symptom Cause Remedy Periodic superimposition of AC line interference 50 Hz see figure below Interference from the power line Ground bed verify position of the leadwires switch on AC line filter S uperimposition of irregular AC line interference see figure next page Muscle artifact caused by patient movements hiccup coughing The patient should be warm enough and resting comfortably place cushions under arms and knees Comfort or distract patient enable muscle filter 20 Hz 40 Hz if necessary The printed date and time are incorrect Built in lithium battery is depleted The battery has a life of approximately 5 years Notify service to check and or replace battery The green indicator does not light up although the recorder is connected to the power line Defective AC power adapter or fuse Notify service to check and or replace fuse The recorder does not write over the entire paper width Paper compartment not properly closed Paper door must lock into place on both sides In Automatic mode the recorder does not stop and continues to feed paper This does not happen in Manual mode The paper pad was inserted the wrong way round so the recorder cannot detect the cue mark Insert the paper pad as instructed Recorder does not start after activation of the OD key or the recording is aborted Uni
122. tinuous AMM cayuco e dca d S oci 10 5 Muscle Filter AC Filter 22 isses 10 5 Muscle Filter Frequency i i sss 10 5 Manual Copy TO v imer ar UE APeer HEURE Rare 10 6 Number of Copies occ eis 0 eee be dee b ede be 10 6 Interpret lion sce tr vieta pepe puer ea edes in ee idend 10 6 Print Interpretation iiis mmm 10 6 Ov rride FUNCION ho xor Er RC AREPPEIPRORERPERPGAR P ETAG GS 10 7 Manual Mode seen nnn 10 8 Report Sequences ie caeco c cree peces ee YO 10 8 Galli sss hera mt tlie ette ares fel utes dato renes 10 9 JI 10 9 Muscle Filter AC Filler 10 9 Muscle Filter Frequency isses 10 9 Anti Drift System ADS isses 10 10 Auto Paper Feed uec e RES o o e al 10 10 Arrhythmia Mode eaa se aa ea aE A nn 10 11 Report Sequence uns nz ror rte E EA Re kan AR Cote P e 10 11 Ga Litora eo t m IA WE de RANIA 10 11 MUSCIG FIller ei dep vehe Deben del ue Ia Bebe in eec hn 10 11 ACM oS E exec er o 10 11 Muscle Filter Frequency ciis mmm 10 12 Trend Recording iit eat o eat daa 10 12 Arrhythmia Dalai eere ne een pcs taie eb aE 10 12 EpiSOde5 uczc inr eee E ree ERR E ehe OTHER RC 10 12 Stress Test Mode orbe rernm ER tt ese mre nec 10 13 Report Sequence cocum caida EET us 10 13 Protocol 3e d men onte tod we Vra red a e o 10 13 Rhythimibeads nu pomi rare grate amine ed 10 18 MAC 1200 1200 ST Revision C 2012250 021 Speed iade cte d e tede Aa umo ode bartender a ad A e e ecd 10 18 n TestiKeports 5 cus E
123. tion Check the correct connection of the Master s step devicetothe RS232 interface of the MAC 1200 ST NOTE These settings need to be verified only once They will be saved and are automatically available for further tests The name of the test protocol is also annotated on the data acquisition screen Enter the patient information See Chapter 4 Entering Patient Data section for details For thetest the data fields Dateof birth Gender and Weight must be filled out Otherwise the device will set the number of steps tothe minimum value Apply the electrodes tothe patient If all electrodes are OK press the Q key TheMAC 1200 ST prints a 12 Lead report After 30 seconds the device prints a median report with the first ST measurement results Remove the electrodes for the exercise phase Ask the patient to stand in front of the stair to start exercising Press 4 The Master s step device now activates the LEDs on the stairs on which the patient is expected to step The duration of the exercise phase is 90 seconds SINGLE test 8 14 MAC 1200 1200 ST Revision C 2012250 021 Stress Tests Ergometers with Remote Start Pulse After the 90 second exercise time the display indicates the current phase as POST EXERCISE and shows the message ELECTR ON in place of the stage name 6 Reapply the electrode Press the 4 button when all electrodes are OK The display now indicates the current stage as POST EX 1
124. tion 5 Serial interface See Chapter 14 Technical Specifications for details Revision C MAC 1200 1200 ST 2 3 2012250 021 Controls and Indicators General Information MAC 1200 Keyboard 1 9 o hy ww 7 a KO Filter Man 14 mm mV Ss Arrhy 6600066 o en c 2 e t D ae y B Pat ES Nee JO 21 20 19 18 17 16 098A Description 1 Power switch ON OFF 2 Keys to select a higher or lower HR alarm limit 3 Confirms entered data 4 Correction key entry of data 5 Displays the configuration menu 6 Enables disables the muscle filter elimination of muscle artifact 7 Selects the writer speed 25 50 or 5 mm s in Manual Mode and the report formats in Automatic Mode 8 Selects the gain 5 10 20 40 mm mV 9 Press to print the report or additional copies of the ECG or to send receive ECGs 10 Selects the ECG leads displayed and recorded in Manual Mode and displayed Automatic Mode 11 Sends ECG to memory retrieves ECG from memory 12 Selects the Automatic Mode 13 Selects the Manual Mode 14 Selects the Arrhythmia Mode 15 Starts and stops the recorder clears the setup menu and terminates patient data entry 16 Indicators Green recording in selected mode started Yellow recording in selected mode stopped 2 4 MAC 1200 1200 ST Revision C 2012250 021 Controls and Indicators General Information Description 17 Enables
125. tivate a number of optional software functions The respective option becomes active after you have entered the code number The code numbers are listed on the option code sheet supplied with the different software options 1 Use the cursor keys to position the bar cursor on Option Code and confirm the selection with e The menu for entry of the option code will appear Thereis a choice of seven optional programs MEAS measurement of the 10 second restingE CG DIAG measurement and interpretation of the 10 second resting ECG MEMO storage of up to 40 resting ECGs C100 activates the three options MEAS DIAG MEMO for a maximum of 100 ECGs C500 activates the three options MEAS DIAG MEMO for a maximum of 500 ECGs EVAL activates thethree options MEAS DIAG MEMO for a period of 4 weeks ERGO stress test MAC 1200 ST only Using the cursor keys position the bar cursor on the option that you want to acti vate Enter the 12 digit code number and confirm the entry with e E The unit will accept the entered number only if it corresponds to the unit s serial number The serial number is indicated at the top of the menu Serial Number xxxxxxxxx This number must be the same as printed on the nameplate back of the device When you enter the code number for DIAG and MEMO the fields for C100 C500 and EVAL will disappear Select OD to close the submenu Revision C MAC 1200 1200 ST 10 31 2012250 021 System Set
126. trodes are not properly applied these measures may not fully compensate for artifact High polarization voltages induced by electrodes applied without conductive gel may cause the amplifier to overrange so that a straight line will be recorded instead of the ECG see figure In this situation the device will automatically block and return the baseline to its normal position A baseline is then recorded for approximately 1 second It is possible to block the amplifiers manually by disconnecting the R electrode approximately 1 second 013A Sample Recording On the display this condition is indicated by instead of the electrode label Revision C MAC 1200 1200 ST 4 9 2012250 021 Preparing for ECG Recording Electrode Application Remedy Apply the electrodes according to instructions Do not apply the electrodes on top of clothing Use a contact agent e g moistened electrode paper electrode cream spray etc Wait approximately 10 seconds before initiating a recording After the 10 second period the automatic functions are enabled and the polarization voltages have stabilized provided the electrodes are properly applied In case of improper electrode application an error message will appear on the display R L F N C1 to C6 NA NT NX If required the ADS cubic spline and the filters 20 40 Hz 50 Hz can be disabled to verify the raw ECG signal 4 10 MAC 1200 1200 ST Revision C 2012250 02
127. ts of the power cord The mains plug must be connected to an appropriate power supply with a non fused grounded to earth wire If these requirements cannot be met operate the device on battery power Do not use multiple portable socket outlets MPSO to connec the device to the power line Devices may be connected to other devices or to parts of systems only when it has been made certain that thereis no danger tothe patient the operators or the environment as a result In those instances where thereis any element of doubt concerning the safety of connected devices the user must contact the manufacturers concerned or other informed experts as to whether there is any possible danger to the patient the operator or the environment as a result of the proposed combination of devices Standards IEC 60601 1 1 E N60601 1 1 must be complied with in all cases All devices of a system must be connected to the same electric circuit Devices which are not connected to the same circuit must be electrically isolated isolated RS232 interface MAC 1200 1200 ST Revision C 2012250 021 The Basics Safety Information WARNINGS EQUIPMENT FAILURE Magnetic and electrical fields are capable of interfering with the proper performance of the device For this reason make sure that all peripheral devices operated in the vicinity of the recorder comply with the relevant EMC requirements X ray equipment MRI devices radio syste
128. ualified and trained personnel This manual is geared for clinical professionals Clinical professionals are expected to have working knowledge of medical procedures practices and terminology as required for monitoring of critically ill patients Definitions The following formats are used in this manual to highlight various web viewer features and functions Black 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 Ctrl Esc Indicates a keyboard operation A sign between the names of two keys indicates that you must press and hold the first key while pressing the second Key once For example Press Ctrl Esc means to press and hold down the Ctrl key while pressing the Esc key 1 4 MAC 1200 1200 ST Revision C 2012250 021 The Basics About This Manual Space Enter Indicates you must press the space bar When instructions are given for typing a precise text string with one or more spaces the point where the space bar must be pressed is indicated as Space The purpose of the lt brackets is to ensure you press the space bar when required Indicates you must press the Enter or Return key on the keyboard Do not type enter Illustrations and Names Revision History AII illustrations in this manual are provided as example
129. ults 10 24 System setup 10 21 System version CE 2 T T offset measurement point 5 23 Technical specifications 14 1 Test DATA 10 24 Time 10 22 Time stamp 5 12 Transport 1 9 Treadmill 8 12 Treadmill protocols 8 4 Trend recording 10 12 Troubleshooting 13 1 Units 10 23 Warranty 1 6 Index 4 MAC 1200 1200 ST 2012250 021 Revision C Ce GE Medical Systems 0459 Information Technologies gemedical com World Headquarters GE Medical Systems Information Technologies Inc 8200 West Tower Avenue Milwaukee WI 53223 USA Tel 1 414 355 5000 1 800 558 5120 US only Fax 1 414 355 3790 European Representative GE Medical Systems Information Technologies GmbH Munzinger StraBe 3 5 D 79111 Freiburg Germany Tel 49 761 45 43 0 Fax 49 761 45 43 233 Asia Headquarters GE Medical Systems Information Technologies Asia GE China Co Ltd 24th Floor Shanghai MAXDO Center 8 Xing Yi Road Hong Qiao Development Zone Shanghai 200336 P R China Tel 4 86 21 5257 4650 Fax 4 86 21 5208 2008
130. up ECG Transmission via Modem ECG Transmission via Modem Select the Automatic mode and press gon Press e to display the configuration menu for Automatic mode Use the cursor keys to position the bar cursor on Manual copy to HOST and confirm the selection with e HOST Press OD to dear the configuration menu Use the cursor keys to position the bar cursor on Communication and confirm the selection with Selecting the Communication Protocol This adjustment is only necessary with MAC 1200 1200 ST units because only these devices can send data to CardioSys CardioSoft or to MUSE For MAC 1100 units that can send data only to CardioSys CardioSoft the communication protocol A5 is preselected Use the cursor keys to position the bar cursor on Protocol Select the protocol A5 if you will send data to CardioSys CardioSoft or select CSI to send data toMUSE Use the cursor keys to position the bar cursor on Modem other and confirm the selection with amp l Choose the modem you use from the list and confirm the selection with amp If your modem is not included in the list select other and enter the required modem commands see Chapter 5 M odem Setup for Modem E Other section When you have selected a standard modem position the bar cursor on Dial mode and select the appropriate mode Enter thetelephone number of the receiving modem and the number to access the public telephone network and terminate the c

MAC 1200/1200 ST - Frank`s Hospital Workshop

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