GE HEALTHCARE MAC 2000 Operator'S Manual Download Page 54

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Preparing the Patient

NEHB Placement

To acquire a NEHB ECG, use the standard 12–lead electrode placement and items 1
and 2 as shown in the following diagram.

NEHB Electrode Placement

AHA Label

IEC Label

Description

A1 orange

Nst white

Attachment point of the second rib to the right sternal
edge

A2 orange

Nax white

Fifth intercostal space on the left posterior axillary line
(Same position as V7 or C7)

V4 blue

Nap white

Mid-clavicular line in the fifth intercostal space (Same
position as C4)

MAC™ 2000

2053535-002K

Summary of Contents for MAC 2000

Page 2: ... the OpenSSL Project for use in the OpenSSL Toolkit http www openssl org This product includes cryptographic software written by Eric Young eay cryptsoft com This product includes software written by Tim Hudson tjh cryptsoft com This product complies with the requirements concerning medical devices from the following regulatory bodies For more information about compliance refer to the Regulatory a...

Page 3: ...compatibility 15 Legal Notice 15 Supplies and Accessories 16 Responsibility of the Manufacturer 16 Responsibility of the Purchaser Customer 16 Product and Packaging Information 16 Equipment Identification 25 Product Label 25 Serial Number Format 25 Device Address Label and Rating Plate 26 Product Codes 27 Service Information 27 Service Requirements 27 Warranty Information 27 Additional Assistance ...

Page 4: ...Connecting to WLAN 49 Connecting the USB Wireless Option 49 Connecting External Devices Stress Option 49 Connecting an Internal Modem 49 Inserting the Paper 50 Turning on the System 50 Configuring the Device 50 Testing the Device 50 4 Preparing the Patient Preparing the Patient s Skin 51 Electrode Placement 52 Resting ECG Placement 52 Stress 12 Lead Placement 55 5 Entering Patient Information Ente...

Page 5: ...p 79 Special Considerations 80 Recording ECGs of Pacemaker Patients 80 Recording ECGs During Defibrillation 81 Generating a Rhythm Report Manual Recording 81 8 Arrhythmia Mode Recording Recording in Arrhythmia Mode 83 Recording Arrhythmia ECGs 83 Arrhythmia Recording Options 84 Printing 85 Printing an Arrhythmia Report 85 Arrhythmia Printing Options 86 Arrhythmia Codes 86 9 RR Analysis RR Analysis...

Page 6: ...nt Data 107 Previewing Records 108 Deleting Records 109 Printing Records 109 Transmitting Records 109 Exporting Records 111 Setting Up Export Options 111 Exporting Records 111 12 System Configuration Basic Setup 113 Resting ECG Setup 118 Arrhythmia Setup 130 Stress ECG Setup 133 Stress ECG Settings 133 Editing Stress Protocols 137 Communication Setup 140 Country Setup 153 Print Setup Report 154 Pa...

Page 7: ...d Storing Leadwires and Reusable Electrodes 175 Replacing Leadwire Adapters 175 Paper Maintenance 175 Replacing Paper 176 Adjusting the Tray for Paper Size 177 Removing the Paper Pack 178 Storing Thermal Paper 179 Battery Maintenance 179 Replacing the Battery 179 Conditioning the Battery Pack 180 Battery Status Indicator 181 Supplies and Accessories 181 14 Troubleshooting General Troubleshooting T...

Page 8: ...rs 190 ACI TIPI Statement is not Included on Report 190 System Errors 190 A Creating Barcodes Setting Up the Patient Data Scheme 195 Configuring the Barcode Reader 196 Configuring the Barcode Reader Manually 196 Configuring the Barcode Reader Automatically 197 B Master s Step Data Master s Step Table 199 ST T Changes 202 C Technical Specifications System Specifications 203 Silex Wireless Bridge 21...

Page 9: ... s facility environment as well as used in clinics physician offices outreach centers or wherever ECG testing is performed Indications for Use The MAC 2000 ECG Analysis System is a portable device intended to be used by or under the direct supervision of a licensed healthcare practitioner using surface electrodes to acquire analyze display and record information for adult and pediatric populations...

Page 10: ...ns before attempting to use this system The system software is considered medical software As such it was designed and manufactured to the appropriate medical regulations and controls NOTE Disregarding the safety information provided in this manual is considered abnormal use of this system and could result in injury data loss or a voided warranty Safety Conventions A Hazard is a source of potentia...

Page 11: ...ients WARNING PERSONAL INJURY STUMBLING HAZARD Patients can become entangled in the cables and leadwires connected to the device which could cause the patient to stumble or trip Route cables and leadwires in a way to avoid creating a stumbling hazard keep them off the floor and route leadwires away from the patient s legs and the healthcare provider s work area WARNING MAGNETIC AND ELECTRICAL INTE...

Page 12: ...gist must review and confirm the measurements and waveforms recorded by the system It should be used only as an adjunct to the clinical history symptoms and results of other tests WARNING INTERPRETATION HAZARD Computerized interpretation is only significant when used in conjunction with clinical findings A qualified physician must overread all computer generated tracings WARNING POOR SIGNAL QUALIT...

Page 13: ...against solid foreign objects with a diameter of 12 5 mm and greater The object probe a sphere 12 5 mm diameter shall not fully penetrate The jointed test finger 12 mm diameter 80 mm length shall have adequate clearance from hazardous parts Degree of protection against harmful ingress of liquids IP20 The IP code for this device is IP20 Non protected This device is ordinary equipment enclosed equip...

Page 14: ...fter a defibrillation discharge Refer to the supplies and accessories reference guide for this system for a list of approved electrodes Accuracy of Input Signal Reproduction Overall System Error meets AAMI EC11 3 2 7 1 requirements Overall System Error is between or within 5 or 40 µV whichever is greater Frequency Response meets AAMI EC11 3 2 7 2 requirements using testing methods A and D Frequenc...

Page 15: ...creased IMMUNITY of the device or system Use the following resources for more information on EMI EMC and RF concerns The Supplies and Accessories Reference Guide for your system Qualified GE Healthcare or approved third party personnel The Electromagnetic Compatibility appendix in your system service or operator s manual NOTE Compliance provides reasonable protection against radio frequency interf...

Page 16: ...E Healthcare is responsible for the safety reliability and performance of hardware supplied by GE Healthcare only if the following conditions are met Assembly operations extensions readjustments modifications or repairs are performed by persons authorized by GE Healthcare The electrical installation of the room where the device is used complies with the requirements of the appropriate local state ...

Page 17: ...vice Device Address Label and Rating Plate It provides regulatory and cautionary information See Device Address Label and Rating Plate on page 26 for an explanation of the label 3 Bottom cover of the device The Option Code label Use the option codes to setup the purchased options in your system See Options Setup on page 165 for an explanation of the Option Codes 4 On the shipping package Environme...

Page 18: ...ion or may indicate a caution Familiarity with these symbols assists in the use and disposal of the equipment For equipment symbols not shown refer to the original equipment manufacturer OEM manuals Symbol Descriptions Symbol Description Catalog or Orderable Part Number Indicates the manufacturer s catalog or part number Serial Number Indicates the manufacturer s serial number Batch Code or Lot Nu...

Page 19: ... to electrical earth US ground No single failure results in dangerous voltage becoming exposed and causing an electric shock This is achieved without relying on an earthed metal casing Consult Instructions for Use Consult the operating instructions Defibrillation proof Type BF Applied Part Identifies a defibrillation proof type BF applied part on medical equipment that complies with IEC 60601 1 Th...

Page 20: ...may be specific warnings or precautions associated with the device that are not otherwise found on the label Consult the accompanying documentation for more information about safely using this device CAUTION ELECTRIC SHOCK Indicates the presence of hazardous energy circuits or electric shock hazards To reduce the risk of electric shock hazards do not open this enclosure Refer servicing to qualifie...

Page 21: ... a potential tip over hazard that can result in bodily injury To avoid risk of bodily injury follow all instructions for maintaining the stability of the equipment during transport installation and maintenance As a warning sign this symbol is identified by a yellow background black triangular band and a black symbol WARNING PINCH POINT This device contains moving parts that could pinch body parts ...

Page 22: ...ountry laws Waste Electrical and Electronic Equipment WEEE Indicates this equipment contains electrical or electronic components that must not be disposed of as unsorted municipal waste but collected separately Contact an authorized representative of the manufacturer for information concerning the decommissioning of your equipment Contains heavy metal chemical symbol Indicates this equipment conta...

Page 23: ...es of moisture Humidity Limits Indicates upper and lower humidity limits for the transportation and handling of this package They are indicated next to the upper and lower horizontal lines Atmospheric Limits Indicates the upper and lower barometric pressure limitations for the transportation and handling of this package They are indicated next to the upper and lower horizontal lines Upper Temperat...

Page 24: ...L Classified with respect to electric shock fire and mechanical hazards only in accordance with UL 60601 1 CAN CSA C22 2 NO 601 1 and IEC 60601 2 25 for the US and Canada CE Mark Indicates the device or product conforms with applicable EU European Union directives PCT GOST R Mark Indicates the device or product conforms with applicable Russian Gosstandart technical and safety standards NRTL Certif...

Page 25: ...fferings tools and reference guides you may find useful please visit the GE Healthcare Education Store at www gehealthcare com educationstore Equipment Identification Every GE Healthcare product has a product label that identifies the product name part number manufacturing information and unique serial number This information is required when contacting GE Healthcare for support Product Label The ...

Page 26: ...irst week in January 4 Product Sequence Four digit number identifying the order in which this device was manufactured Values range from 0001 to 9999 5 Manufacturing Site One letter code identifying the site where the device was manufactured For example F Milwaukee N Freiburg P Bangalore 6 Miscellaneous Characteristic For example P device is a prototype R device was refurbished U device was upgrade...

Page 27: ... the responsible individual hospital or institution using this equipment to implement a satisfactory maintenance schedule may result in equipment failure and possible safety hazards For software only products maintenance of the hardware and operating system on which the software resides is the responsibility of the customer Regular maintenance irrespective of usage is essential to ensure that the ...

Page 28: ...at you must press the spacebar When instructions are given for typing a precise text string with one or more spaces the point where you must press the spacebar is indicated as space This ensures that the correct number of spaces is inserted in the correct positions within the literal text string The purpose of the brackets is to distinguish the command from the literal text within the string Enter...

Page 29: ... operation of the system They are called out from the body text through a flag word and indentation as follows NOTE The tip or additional information is indented below the NOTE flag word Related Documents For a complete list of related manuals refer to the Related Manuals appendix in the service manual 2053535 002K MAC 2000 29 ...

Page 30: ...Introduction 30 MAC 2000 2053535 002K ...

Page 31: ...ode is for RR intervals analysis The basic system prints 6 or 12 leads of ECG and provides optional transmission and reception of ECG data to and from a central ECG cardiovascular information system You can also upgrade it with software options such as 12 lead ECG measurement and interpretive analysis Product Specifications This section describes the device s hardware components and system specifi...

Page 32: ...ion 1 Display Presents waveform and text data 2 Function Keys Selects menu options on the screen 3 Keypad Use to select menu options on the screen 4 Printer door push button Opens the printer door 5 Printer Printer door Prints reports Rear View 32 MAC 2000 2053535 002K ...

Page 33: ...al USB wireless dongle an external non multimedia USB keyboard or optional USB powered wireless bridge 4 COMM A port Serial connector for data communication with CASE CardioSoft CS or MUSE systems 5 COMM B port Serial connector for stress devices bicycle ergometer or treadmill 6 Phone jack RJ11 connector from the internal modem to an analog phone line 7 AC Power Cord connection Standard connector ...

Page 34: ...or low 3 Power LED Indicates the unit is plugged in and receiving power 4 Leads key Scrolls through the leads and allows you to select the display formats for the lead sequence 5 ECG key Acquires and prints a 12 lead ECG 6 Rhythm key Prints real time continuous rhythm 7 Writer Stop Stops the printing function 8 Trimpad Cursor Control keys Provides movement through menus and windows For description...

Page 35: ... from the screen 12 Alt key Switches between different input methods for Japanese and Korean keyboard languages 13 Space bar Enters a space in the text As a secondary function it moves through the menu lists 14 Option key Use to enter special characters on non English keyboards 15 ESC escape Closes a window on a screen 16 Shift key Use to enter a capital letter For example press Shift p to type a ...

Page 36: ...nually increases the treadmill speed or ergometer load 7 Grade á á á stress key Grade up Increases the elevation of the treadmill 8 Tmil stress key Starts the treadmill during the test 9 Tmil stress key Stops the treadmill during the test 10 Gradeâ â â stress key Grade down Decreases the elevation of the treadmill 11 Speed W stress key Speed Load down Manually decreases the treadmill speed or ergo...

Page 37: ...21 CFR part 11 compliance for the data generated using the device Option incudes password protection and time stamped audit trails ECG Analysis Interpretation 12SL ECG Analysis Program V22 K042177 HEART exercise HEART exercise v5 2 2 1 Using the System This section describes the startup screen keypad use and ECG data acquisition Startup Screen Depending on the options you selected for Power up mod...

Page 38: ...taking a resting ECG Change a setting during an ECG recording During a resting ECG selecting the 25 mm s option changes the speed of the waveform Other options are available to change different settings Open a window Selecting the Patient Data option opens the Enter Patient Data window Change menu options Selecting the More option displays additional menu options Save your selections Selecting the...

Page 39: ...orts the following Default high pass filter 0 04 Hz if ADS is on high pass filter 0 56 Hz Selectable low pass filter 20 40 100 150 Hz Selectable mains filter 50 Hz 60 Hz Anti Drift System ADS Baseline shift correction with finite impulse response high pass filter enable disable through the user interface in Resting ECG Stress and RR analysis modes The following are selectable data formats for exte...

Page 40: ...d Power up mode as set in System settings The BCRD option in the Option Code window indicates that the USB Barcode Reader support is activated The following sections describe how to navigate from the Power up screen to the Main Menu for the each possible logon configuration Use the procedure that applies to your logon configuration settings If your system is configured to power up in the Resting E...

Page 41: ...eld press Enter or the down arrow on the Trimpad 3 In the Password field enter your password 4 Press Login The Resting ECG screen is displayed If the Barcode Reader option is enabled a window opens prompting you to Scan the Patient barcode 5 If the barcode reader prompt is not displayed press Cancel More Main Menu Arrhythmia Power Up Mode This procedure describes how to navigate to the Main Menu a...

Page 42: ...ing procedure 1 In the User ID field enter your user ID 2 To move the cursor to the Password field press Enter or the down arrow on the Trimpad 3 In the Password field enter your password 4 Press Login The Main Menu is displayed Stress ECG Power Up Mode This procedure describes how to navigate to the Main Menu after powering on the system when Stress ECG is selected for Power up mode in Basic Setu...

Page 43: ... in as a user who is assigned setup editing privileges If the system is configured for Order Manager Power Up Mode and it does not have High Security Mode enabled press Main Menu The Order Manager screen is displayed after turning on the system If High Security Mode is enabled when the window opens prompting for a user ID and password use the following procedure 1 In the User ID field enter your u...

Page 44: ...Product Overview 44 MAC 2000 2053535 002K ...

Page 45: ...Testing the Device Each step is described in more detail in the following sections Inserting the Battery The system is shipped with a lithium ion battery that is charged when inserted into the system connected to AC power NOTE Do not use the system on battery power until the battery is fully charged as indicated by the battery charging LED on the keysheet You may use the system on AC power while t...

Page 46: ... into an uninterruptible power supply UPS or a surge suppressor 3 Check the Power LED to make sure the device is receiving power form the AC outlet Connecting the Patient Cable This system supports a variety of patient cables WARNING HIGH FREQUENCY BURNS Use of cables not supplied with this equipment can lead to serious injury Use only the acquisition cable that ships with this equipment CAUTION I...

Page 47: ...he lead end of the multi link acquisition cable attaches to the leadwire adapters and uses 10 or 12 leadwires 3 NEHB Acquisition Cable Leads The lead end of the NEHB acquisition cable attaches to the leadwire adapters and uses 12 leadwires 4 Value Acquisition Cable leads The lead end of the value acquisition cable consists of 10 leadwires The leadwires require an adapter to connect to an electrode...

Page 48: ...ctivated at the factory when the barcode reader is purchased with the device However you need to configure the barcode settings for your site before you can use the reader See Appendix A Connecting the LAN Option This system is compatible with MUSE v7 1 1 v8 0 1 and v9 0 0 and with CardioSoft CS v6 51 v6 61 v6 71 and v6 73 Connecting to LAN If you purchased the LANC LAN Communication to CardioSoft...

Page 49: ...the back of the device WIFC is wireless communication to the CardioSoft CS system WIFM is wireless communication to the MUSE system NOTE Wireless options are purchased if USB wireless dongle is purchased as a wireless module Please check with GE representative if this solution is available in your country This system is compatible with MUSE v7 1 1 v8 0 1 and v9 0 0 and with CardioSoft CS v6 51 v6 ...

Page 50: ...wer Up on page 184 for further troubleshooting instructions Configuring the Device When the device is ready for operation configure the system settings using the information in System Configuration on page 113 If you are applying the same settings to multiple devices at the site export the settings to an SD card and use that card to import the settings to other systems Testing the Device After you...

Page 51: ...he Hookup Advisor indicator 1 Select the electrode placement sites for ECG monitoring or diagnosis per the protocol specified by the hospital or physician Refer to Electrode Placement on page 52 for diagrams and descriptions of electrode placement for various protocols 2 Ensure that each site is dry clean and free of excessive hair NOTE Do not use solvents to clean the skin solvents trapped under ...

Page 52: ... electrodes are applied If RA R becomes disconnected the system reports that all electrodes are off the patient Electrode Placement This section describes various methods for placing electrodes for both resting and exercise ECGs NOTE Some of the procedures for placing electrodes may not apply in all cases depending on the system and options purchased CAUTION DELAYED DIAGNOSIS Improper connection o...

Page 53: ... C3 green Midway between location 2 and 4 4 V4 blue C4 brown Mid clavicular line in the fifth intercostal space 5 V5 orange C5 black Anterior axillary line on the same horizontal level as 4 6 V6 purple C6 purple Mid axillary line on the same horizontal level as 4 and 5 7 LA black L yellow Left deltoid 8 LL F green Above left ankle Alternate placement upper leg as close to torso as possible 9 RL gr...

Page 54: ...B Electrode Placement AHA Label IEC Label Description 1 A1 orange Nst white Attachment point of the second rib to the right sternal edge 2 A2 orange Nax white Fifth intercostal space on the left posterior axillary line Same position as V7 or C7 3 V4 blue Nap white Mid clavicular line in the fifth intercostal space Same position as C4 54 MAC 2000 2053535 002K ...

Page 55: ... C3 green Midway between location 2 and 4 4 V4 blue C4 brown Mid clavicular line in the fifth intercostal space 5 V5 orange C5 black Anterior axillary line on the same horizontal level as 4 6 V6 purple C6 purple Mid axillary line on the same horizontal level as 4 and 5 7 LA black L yellow Left deltoid 8 LL red F green Above left ankle Alternate placement upper leg as close to torso as possible 9 R...

Page 56: ...Preparing the Patient 56 MAC 2000 2053535 002K ...

Page 57: ...screen for each new patient Data assigned to the wrong patient causes erroneous patient information that can affect diagnosis and treatment of the patient s 1 Open the Enter Patient Data window For Resting ECG press Main Menu Resting ECG Patient Data to open the window For Arrhythmia or Stress the window opens automatically when you initially select the application For subsequent patients you need...

Page 58: ...can use the barcode scanner you need to verify that it is connected to the system and that the system is correctly configured to use the peripheral If it is not connected follow the instructions for connecting and configuring the barcode reader in the section Connecting the Barcode Reader on page 48 and Appendix A Creating Barcodes on page 193 Scanning the Barcode Use the following procedure to sc...

Page 59: ...t is not 0 the system parses the query key according to the offset and length configured in Configuring the Barcode Reader Manually on page 196 and displays the query key in the text box Configuring Automatic Query 1 From the Main Menu press System Configuration Basic Setup 2 Configure the site that you want to query the patient demographics or order the default site number is 1 3 Navigate to the ...

Page 60: ...nt data and test information data is correct before saving The patient demographic or order data is downloaded and displayed NOTE For more information on the type of codes supported by the MAC 2000 see Creating Barcodes on page 193 Using the Internal Keypad or External Keyboard to Query the Database and Select Patient Use the following procedure to query the database and select the patient demogra...

Page 61: ...dow If more than one patient or order is found a list displays Select the patient or order from the list and press Select to continue 5 Click Save to accept the patient ADT or order NOTE Confirm the patient data and test information data is correct before saving The patient demographic or order data depends on setup is downloaded and displayed 2053535 002K MAC 2000 61 ...

Page 62: ...Entering Patient Information 62 MAC 2000 2053535 002K ...

Page 63: ...ect to an internal modem Local Area Network LAN Connect the MAC system to the LAN through the communications port of the MAC system Direct Serial Connection Connect the MAC system to the remote system using a standard serial cable Wireless Connect the MAC system to the remote system using a wireless module connected to the MAC system NOTE Please check with GE representative regarding wireless solu...

Page 64: ...ute a single order 1 Navigate to Resting ECG in the application 2 Select More Orders The single order available at the default location is automatically downloaded from the remote system and populated in the Patient Information screen Advanced Order Manager Advanced Order Manager provides an interface to download and store multiple orders on the system and execute them later To use Advanced Order ...

Page 65: ...list When you select an order the resting ECG application opens and the Patient Information window is populated with the patient demographics from the selected order An order is completed when the ECG record is saved or transmitted to the MUSE or non MUSE system Completed orders are marked as completed Selecting and Completing Orders After you have orders on the system use the following procedure ...

Page 66: ...rs and displays the patient information in an editable format Load Orders Obtains the orders from the MUSE system and displays them on the Order List Display screen Delete Orders Provides the user a set of options to delete orders stored locally on the device See Deleting Orders on page 66 Sort Orders Allows the user to sort the orders based on a user selected field Print Prints the selected order...

Page 67: ...eted orders on the device proceed to Deleting Completed Orders on page 68 4 To cancel without deleting any order select Cancel You return to the Delete Orders menu options Deleting Specific Orders On the Delete Orders menu use the following procedure to delete one or more specific orders The cursor is placed at the first order in the list of orders 1 Select the order s you want to delete Use Page ...

Page 68: ... Orders menu options To cancel the deletion select No The orders are not deleted and you return to the Delete Orders menu options Deleting Completed Orders On the Delete Orders menu use the following procedure to delete all completed orders 1 Select Del Completed The following message is displayed Are you sure you want to delete all completed orders 2 Do one of the following To delete all of the c...

Page 69: ... turned on the Resting ECG display is similar to the following screen You can modify the default in the Basic Setup Resting ECG Display Item Name Description 1 ECG Type The following are valid types of ECGs Resting ECG Arrhythmia Stress Test 2 Display Format Format of current waveforms Press Leads to cycle through all 12 leads 2053535 002K MAC 2000 69 ...

Page 70: ... difference equals the number of ECGs currently stored in the system 7 Hookup Advisor Indicator A tool for monitoring the quality of ECG signals For more information see Hookup Advisor on page 70 8 Patient s Heart Rate Current patient heart rate measured in beats per minute 9 Menu Options The list of available menu options changes depending on the function and the current location within that func...

Page 71: ...dicator When the lead quality is red or yellow a message describing the lead problem or status is displayed on the screen Hookup Advisor continuously reviews the ECG data for acceptable lead quality When an ECG is acquired Hookup Advisor runs a complete and more comprehensive assessment of the full 10 seconds of ECG data and possibly prompts the user regarding any poor lead quality conditions If P...

Page 72: ... ECG Options on page 73 5 Select More Printer Leads to scroll through the leads or change the lead format 6 When the waveforms are configured press ECG to begin the acquisition A progress bar indicates the percentage of the data acquired When the acquisition is complete one of the following occurs depending on the setting of the Preview Before Analysis option on the Resting ECG Setup window If the...

Page 73: ... 5 mm s 5 mm s the first speed is for the display and the second speed is for the printout Changing the measurement here does not change the measurement set in System Configuration 10 mm mV NOTE The initial measurement displayed is set in System Configuration Resting ECG Setup Changes the magnitude of the ECG signal on the display or in the report Measurement is in millimeters per millivolt mm mV ...

Page 74: ...On and Off More Toggles between the first row of options previous and the second row of options following ECG Options Second Row Option Description Printer Leads NOTE The initial measurement displayed is set in System Configuration Resting ECG Setup Selects which leads to include in the printout Options are First 6 Second 6 Rhythm 6 12 Use this option only when conducting rhythm ECGs For more info...

Page 75: ... window Same Patient opens the Patient Information window populated with data from the previous patient NOTE Check the patient information before you start the next acquisition Copy Prints an additional copy ECG report Save Stores the current ECG report This option is available only if the internal storage option is enabled Transmit Sends the current ECG report to the location defined on the Commu...

Page 76: ...atient Speed Changes the speed of the waveform on the display and printout Changing the speed also changes the speed the wiper bar moves across the display Gain Changes the magnitude of the ECG signal on the display or in the report Measurement is in millimeter per millivolt mm mV Filter Eliminates noise in the waveform by restricting which frequencies are included Frequencies are measured in Hert...

Page 77: ...re is optional and can be configured during system setup This section outlines the procedure for generating a Full Disclosure ECG report and describes the available setup waveform and output options Generating a Full Disclosure ECG Report 1 Configure the Full Disclosure setting in Resting ECG Setup on page 118 2 Prepare the patient as described in Preparing the Patient on page 51 3 From the Main M...

Page 78: ... Server See Communication Setup on page 140 for detailed instruction on configuring the FTP server Export to Shared Folder Press to export the ECG report to the configured Shared Folder See Communication Setup on page 140 for detailed instruction on configuring the Shared Folder Print Press to print the ECG report to the thermal printer Report Setup Press to setup the full disclosure report See Fu...

Page 79: ...closure report format Full Disclosure Report Setup Fields Description and Action Report Format Click the drop down arrow to determine how the full disclosure ECG report prints on the thermal printer The choices are one lead 25mm s one lead 50 mm s 12 leads 25 mm s Lead Click the drop down arrow to determine which lead to print The options are I II III aVR aVL aVF V1 V2 V3 V4 V5 V6 2053535 002K MAC...

Page 80: ...g ECGs of pacemaker patients Recording ECGs during defibrillation Recording ECGs of Pacemaker Patients Because of slow paper speed pacer pulses cannot be displayed directly on the ECG recording For example with 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 If Pace Enhance is enabled the recorder reduces the pulse amplitude...

Page 81: ... necessary to remove the ECG electrodes before defibrillating the patient if non polarizing electrodes are being used When using stainless steel or silver electrodes the defibrillator discharge current may cause the electrodes to retain a residual charge causing an electrode polarization or DC offset voltage This blocks ECG signal acquisition for several minutes If polarizing electrodes are used G...

Page 82: ...ient has a pacemaker press Pace Enhance For more information see ECG Options on page 73 6 Press Leads to scroll through all 12 leads For more information on display formats see Resting ECG Setup on page 118 7 Press More Printer Leads to select the appropriate option For more information on the Printer Leads option see ECG Options on page 73 8 Press Rhythm to begin recording the ECG 9 Press Stop to...

Page 83: ... described in Entering Patient Information on page 57 4 Adjust the gain speed filter and pacemaker enhancement as necessary Refer to Arrhythmia Recording Options on page 84 5 After the settings are adjusted as required select Start Recording to begin the arrhythmia ECG 6 After you have recorded an adequate amount of information press Stop Recording Two new options become available Confirm Stop and...

Page 84: ...s 25 mm s 50 mm s 12 5 mm s 5 mm s 12 5 mm s When the option includes two speeds 12 5 mm s 5 mm s the first speed is for the display and the second speed is for the printout Changing the measurement here does not change the measurement set in System Configuration 5 mm mV NOTE The initial measurement displayed is set in System Configuration Arrhythmia Setup Changes the magnitude of the ECG signal o...

Page 85: ... previous and the second row of options following Arrhythmia Options second row Option Description Pace Enhance Improves the readability of pacemaker ECGs Options are On and Off Patient Data Opens the Patient Data Entry window This tab is available only if you did not complete the Portent Data Entry window earlier Main Menu Exits the Arrhythmia function and returns to the Main Menu More Toggles be...

Page 86: ...r a description of the possible event codes refer to Arrhythmia Codes on page 86 Print Episodes Prints a standard waveform report of the recorded events The signal from all recorded leads is printed and each event is marked with the corresponding arrhythmia code For a description of the possible event codes see Arrhythmia Codes on page 86 Main Menu Exits the Arrhythmia function and returns to the ...

Page 87: ...error PSVC Premature supraventricular contraction PVC Premature ventricular contraction QRSL Learned QRS complex RUN Ventricular run 3 PVCs VBIG Ventricular bigeminy VFIB Ventricular fibrillation flutter VTACH Ventricular tachycardia 3 PVCs 2053535 002K MAC 2000 87 ...

Page 88: ...Arrhythmia Mode Recording 88 MAC 2000 2053535 002K ...

Page 89: ...ent Data Opens the Patient Data Entry window RR Analysis Setup Configures the RR Analysis test See RR Analysis Setup on page 89 for details Main Menu Exits the RR Analysis mode and returns to the Main Menu RR Analysis Setup The RR Analysis Setup function allows you to configure the RR Analysis report including Target Record lead Waveform parameters Report options 1 Prepare the patient as described...

Page 90: ...RR Analysis 90 MAC 2000 2053535 002K ...

Page 91: ...2 min 3 min 4 min 5 min Record Lead Selects which rhythm lead is displayed and stored Available options are I II III aVR aVL aVF V1 V2 V3 V4 V5 V6 Line Filter Enables disables the line filter defined in Country Setup See Country Setup on page 153 for more information Pace Enhancement Improves the readability of pacemaker ECGs Options are On and Off 2053535 002K MAC 2000 91 ...

Page 92: ...also changes the speed at which the wiper bar moves across the display Measurement is in millimeters per second mm s and includes the following options 12 5 mm s 25 mm s 50 mm s Low Pass Filter Hz Eliminates noise in the waveform by restricting which frequencies are included Frequencies are measured in Hertz Hz and include the following options 20 Hz 40 Hz 100 Hz 150 Hz Selecting a frequency elimi...

Page 93: ...the system automatically stops and displays a preview of the summary results histogram trendgram and output options 3 While reviewing the preview execute one of the output options described in Output Options on page 93 Output Options The following options are available after the RR Analysis test completes Output Options Option Description Press Return Discards the reading and returns to pre test s...

Page 94: ...RR Analysis 94 MAC 2000 2053535 002K ...

Page 95: ...000 and T2100 eBike Ergometers with remote start This equipment also connects to the ECG cart system through the serial port labelled COMM A on the back of the device However the system does not control the equipment Instead when the equipment changes load it signals the system which changes test stages accordingly Unsupported treadmills and ergometers Unsupported equipment does not connect to the...

Page 96: ...ee Options Setup on page 165 You must select the correct equipment on the Basic System Setup For more information see Basic Setup on page 113 You must configure the Stress ECG Setup correctly For more information see Stress ECG Settings on page 133 Stress Mode Interface The Stress ECG mode uses two special features a Stress Test Information Bar and Stress Test Keys It also offers several configura...

Page 97: ... second interval 3 Blood Pressure Blood pressure in mmHg millimeters of mercury or kPa kilopascals depending on the Blood Pressure Unit setting on the Country Settings window For more information see Country Setup on page 153 4 RPP 100 The Rate Pressure Product divided by 100 The rate pressure product is calculated by multiplying the systolic blood pressure with the current heart rate The product ...

Page 98: ...ometer 10 METS Metabolic equivalent of the current exercise level Stress Test Keys The Stress keys are described in Stress Keys on page 36 Stress Options This ECG cart system provides several options for configuring a Stress ECG The options presented as option keys across the bottom of the display are listed in the following tables Stress Option Keys First Row Option Description Patient Data Opens...

Page 99: ... Stress ECG Settings on page 133 for more information If the ADS filter type was selected in Stress Setup this softkey is displayed regardless of whether the filter is on or off If the FRF filter type was selected in Stress Setup this softkey is displayed only if the filter is off ECG Filter Type Toggles on and off the ECG filter type ADS or FRF selected on the Stress Setup window In addition if t...

Page 100: ...ing a stress test with a Master s Step device Each process is described in this section For information on the Stress Mode interface see Stress Mode Interface on page 96 Conducting a Stress Test with a Treadmill or Ergometer Use the following instructions to conduct a stress test with a treadmill or ergometer The process is essentially identical for all devices with only minor differences between ...

Page 101: ...st the equipment s speed grade or load With unsupported equipment the equipment must be adjusted manually at the equipment itself For more information on making these adjustments see Stress Test Keys on page 98 8 When the exercise phase is complete press the Recovery key to begin the recovery phase of the test NOTE When using an ergometer with remote start you do not need to press the Recovery key...

Page 102: ...tup 1 Prepare the patient as described in Preparing the Patient on page 51 2 On the Main Menu press Stress ECG The Enter Patient Data window opens 3 Enter patient data as described in Entering Patient Information on page 57 Be sure you enter accurate information for Date of Birth Gender and Weight The number of steps is determined by these three parameters For more information on using Master s St...

Page 103: ...onds TRIPLE is 270 seconds When the test is complete the first POST EXER stage begins and the ELECTR ON message is displayed 8 Reattach the leadwires to the electrodes The median report prints at pre configured intervals during the post exercise stages When the last post exercise stage is complete a summary report with trends and tables prints 2053535 002K MAC 2000 103 ...

Page 104: ...Stress Testing 104 MAC 2000 2053535 002K ...

Page 105: ...tomatically on the Resting ECG Settings window select the Auto Store ECG check box For more information see Resting ECG Setup on page 118 To save resting ECG records manually after the resting ECG is acquired press Save For more information see Post Acquisition Options on page 75 To enable internal storage you must enable the M100 option Internal Storage for 100 ECGs or the M200 option Internal St...

Page 106: ...import source from the following options To import ECGs via serial port press Serial The serial port opens The system waits while the external device transmits the records To import ECGs via modem press Modem The modem initializes The system waits while the external device transmits records To import ECGs from an SD card insert the SD card and press SD Card A list of the available ECGs on the card...

Page 107: ...rch The Enter Search Criteria window opens 3 Enter your search criteria 4 Press Search The File Manager retrieves all the records that match your search criteria 5 To clear the search results do one of the following Press Main Menu File Manager Press Search Return Press Search Clear All Search Editing Patient Data Use the following instructions to edit a record s patient data 1 On the Main Menu pr...

Page 108: ...ion is updated press Save The updated information is saved and you return to the File Manager window NOTE If you only edit demographic information the record is still transmitted to the MUSE system as an unconfirmed record Previewing Records Use the following instructions to preview recorded patient data 1 From the Main Menu press File Manager The File Manager window opens 2 Press Select and use t...

Page 109: ...To delete the record s press Yes Printing Records Use the following instructions to print records 1 On the Main Menu press File Manager The File Manager window opens 2 Do one of the following To print select records press Select and use the trimpad to select the record s you want to print To print all the records in storage press Select All 3 Press Print The selected records are printed on the wri...

Page 110: ...tion on setting up a WLAN connection to a MUSE or Cardiosoft CS system refer to the MobileLink Wireless Communication Installation Manual To locate the part numbers for these manuals refer to Related Documents in the service manual Use the following procedure to transmit records 1 On the Main Menu press File Manager The File Manager window opens 2 Do one of the following To transmit select records...

Page 111: ...To export XML data to an SD card you must first enable Export XML in Communication Setup To export PDF files to an SD card you must first enable the PDFC PDF Export system option Refer to Options Setup on page 165 for details To export either Hilltop XML or PDF to a shared directory you must do the following Purchase and activate the LANC option or WIFC option See Options Setup on page 165 for det...

Page 112: ... If a shared directory was not configured the records are automatically exported in the selected format to the SD card When the export is complete one of two things happens depending on the selected format For the Hilltop XML format the screen clears and the function keys change For the PDF format a summary window opens with the number of records that exported successfully and the number that fail...

Page 113: ...ns were activated some of these functions may not be available on your system Basic Setup The Basic Setup function allows you to define the following information Institutional identification Default physicians System settings Stress test accessory if the ERGO stress test option is activated System security Time servers NOTE You must add physicians in User Setup before they can be picked as default...

Page 114: ...any patient records created on the system Technician The technician who conducted the ECG Defaults on any patient records created on the system Location Location ID where the device is located Defaults on any patient records created on the system Site This field is required to store ECG reports on a cardiology information system such as the MUSE system Cart Unique cart number of the device Default...

Page 115: ...Determines whether a grid is displayed behind the waveforms A grid may make reading the ECG easier The default is on Anti Aliasing of ECG Waveforms Determines whether anti aliasing is applied to waveforms to reduce distortion caused by the video display The default is on Auto Standby Determines whether the device automatically enters standby mode if it is inactive for a predefined time limit It is...

Page 116: ...ty Setup Field Comment High Security Mode When High Security Mode is enabled users are prompted to enter an ID and password when logging on to the system You must add each user in User Setup Audit Trail Copies the system audit trail in XML format to an SD card and then clears the audit trial on the system For more information see Exporting the Audit Trail on page 171 Auto Logoff Determines whether...

Page 117: ...me Server Display only field that identifies where the last synchronization occurred Enable Data Retrieval If this option is enabled the user can download patient demographics or orders Query Key Allows a user to select Patient ID or Visit as a Query key Data Retrieval Allows a user to select which data to query Order ADT or Order then ADT Retrieve Orders from Allows a user to select data origin C...

Page 118: ...quence Report options Storage options if the internal storage option is activated Transmission options if a communications option is activated Full Disclosure Setup To access the Resting ECG Setup window on the Main Menu press System Configuration Resting ECG Setup The following tables describe each setting available on Resting ECG Setup 118 MAC 2000 2053535 002K ...

Page 119: ...ss the display Measurement is in millimeters per second mm s and includes the following options 5 mm s rhythm 12 5 mm s display 12 5 mm s 25 mm s 50 mm s Low Pass Filter Sets the maximum frequency to include in the waveform Restricting frequencies can help eliminate noise in the waveform Frequencies are measured in Hertz Hz and include the following options 20 Hz 40 Hz 100 Hz 150 Hz Selecting a fr...

Page 120: ...ay option that shows four three waveform columns Display Format Selects the display format of the resting ECG The default value is 3 leads 1x3 Other values depend on which of the previous two fields are set Display Lead Group Determines which group of leads is displayed The available values depends on which Display Format is selected For example if 3 Leads 1x3 is selected the available values are ...

Page 121: ...eview before Analysis Determines waveform preview options Values include No Waveforms are never previewed Always Waveforms are always previewed Yellow electrodes Waveforms are previewed when the Hookup Advisor indicator shows a yellow or red electrode Red electrodes Waveforms are previewed when the Hookup Advisor indicator shows a red electrode For additional information see Hookup Advisor on page...

Page 122: ...criteria This setting is available only if the MI12 option is activated If this filed is enabled Suppress reason statements field is available Suppress normal statement Enable disables the inclusion of the normal statement This setting is available only if the MI12 option is activated Suppress abnormal borderline Enable disables the inclusion of the abnormal borderline statements This setting is a...

Page 123: ...s the following conditions must be met MI12 or ME12 system option is activated TIPI system option is activated ACI TIPI is enabled 10s ECG Report Format is enabled Print Interpretation is enabled Patient data includes gender date of birth and chest pain indication Patient cannot be a pediatric patient 15 years or younger as calculated form the date of birth Sample Rate Determines the report freque...

Page 124: ...isplay name for a custom lead sequence Available only if SEQ4 is selected for the Lead Sequence 1 12 Lead Twelve fields that allow you to define the sequence in which the leads are displayed Available only if SEQ4 is selected for the Lead Sequence 1 12 Label Twelve fields that allow you to define the labels that are displayed printed for the corresponding leads Available only if SEQ4 is selected f...

Page 125: ...5x3_25_R3 4x2 5x3_25_R2_P H1 H2 If the CTDG option is enabled the report format is 4x2 5x3_25_R2_P Detailed Results Report Format Determines how the Detailed Results report prints If no format is selected the report does not print The values are Median_25 Median_50 Report Copies Determines how many copies of the selected report print The values are 0 1 2 3 4 5 Print Interpretation Determines wheth...

Page 126: ...e Available only if one of the communications options is activated If the Auto Export for Pharma is enabled the Auto Transmit ECG will be disabled by the system For more information see Options Setup on page 165 Delete After Transmission Determines whether the ECG is deleted from internal storage after it is transmitted to an external device Available only if one of the communications options is a...

Page 127: ...led in Communication Setup Availability of PDF format depends on PDFC option activation in Options Setup Available if any of LANC LANM WIFC or WIFM option is activated For more information see Communication Setup on page 140 Export Location Determines where to export the report Available options are Shared Directory and FTP Server Available if any of LANC LANM WIFC or WIFM option is activated If t...

Page 128: ...PDF file The options are 4x2 5x3_25 4x2 5x3_25_R1 4x2 5x3_25_R3 MUSE1 MUSE2 1x10x12_25 2x5x6_25 2x5x6_25_SYN 2x5x6_50 2x5x6_50_SYN NOTE Options MUSE1 and MUSE2 are not available in the Chinese version Baseline Auto Adjust Enables disables the PDF export Available only when the 1x10x12_25 of 10s ECG Report Format option is selected 128 MAC 2000 2053535 002K ...

Page 129: ... lead 25mm s one lead 50 mm s 12 leads 25 mm s Lead Determines which lead to print on the thermal printer The options are I II III aVR aVL aVF V1 V2 V3 V4 V5 V6 Acquisition Time Minutes Sets up the full disclosure ECG acquisition time Available value is 1 5 in minutes PDF Report Format Determines how the full disclosure ECG report export to a PDF file The options are one lead 25mm s 2053535 002K M...

Page 130: ...ation Location Determines where the full disclosure ECG report export to Available options are SD Card FTP Server Shared Directory See Communication Setup on page 140 for detailed instructions on configuring the FTP server and shared directory Arrhythmia Setup The Arrhythmia Setup function allows you to define Waveform parameters Lead usage Analysis options Lead sequence Report options To access A...

Page 131: ...les list the arrhythmia settings that are unique or differ from resting ECG For all other fields see Resting ECG Setup on page 118 Arrhythmia Setup Fields Page 1 Field Description ADS Enables disables the Anti Drift System which helps reduce baseline shift In Arrhythmia mode this setting is always available 2053535 002K MAC 2000 131 ...

Page 132: ... when recording starts Arrhythmia Event Printing Determines which events print on the Arrhythmia Report All events Unequal events No event printing Episodes Printout in Summary Report Determines how arrhythmia events print Options are Chronological order Priority order Only episodes with ventricular events No episodes 132 MAC 2000 2053535 002K ...

Page 133: ..._6 HIGH_C Stress ECG Setup Stress ECG Setup is available only if the ERGO Stress Test option was activated For more information see Options Setup on page 165 The Stress ECG Setup differs from the resting or arrhythmia ECGs In addition to defining the stress ECG settings you can create edit or delete test protocols Stress ECG Settings The Stress ECG Setup function allows you to define Waveform para...

Page 134: ...ilter Type Determines which method to use to filter the ECG signal Options are ADS Anti Drift System reduces baseline shift FRF Finite Residual Filter reduces noise and artifacts The selection also determines the behavior of the Lower Pass Filter Hz and ADS FRF fields ADS FRF Enables disables the selected ECG Filter Type The label for this field changes depending on the filter type selected 134 MA...

Page 135: ...ple a patient who is 50 years old has a maximum predicted heart rate of 160 50 25 0 9 138 Target HR Determines the percentage of the maximum predicted heart rate the stress test is targeting Protocol Master s Step Mode Determines which protocol conducts the stress test The protocol determines the test phases stages stage durations stage loads and the times at which auto reports are printed and blo...

Page 136: ...meric values 0 ms 80 ms add the selected number of milliseconds to the J point Calculation E J point Determines when the select J x point formula is used Valid options are Single The E and J points are calculated once in the beginning and remain unchanged during the stress test Continuous The E and J points are continuously updated during the PRETEST EXERCISE and RECOVERY phases of the stress test...

Page 137: ...ular report format is included in the stress report Trend Report Determines whether the trend report format is included in the stress report ST Trend Report Determines whether the ST trend report format is included in the stress report ST Summary Report Determines whether the ST summary report format is included in the stress report Episodes Printout in Summary Report Determines how episodes are p...

Page 138: ...er s Step Comment Stage ü ü The stage name The stage name Stage Time ü ü ü The stage duration in minutes Speed ü The treadmill speed in kilometers or miles per hour depending on the Country Setup The treadmill speed in kilometers or miles per hour depending on the Country Setup Grade ü The percentage of increase in the treadmill s elevation Basic Load W ü The load at which the ergometer operates i...

Page 139: ...readmills and ergometers the Select Protocol window opens to display applicable protocols Perform step 4 through step 16 For Master s Step devices the Edit Master Step Post Exercise window opens to display the display the post exercise stages Perform step 8 through step 12 4 Press Add A list of templates opens 5 Select the template on which you want to base the new protocol The templates are based...

Page 140: ...s 8 through 10 as necessary 13 To rename the protocol do the following a Press Edit Name The Edit Name window opens NOTE This option is not available when editing a Master Step protocol b Change the name as appropriate c Press OK The protocol s name is changed 14 When you are done with the stages press Save This saves your changes and returns you to the previous window 15 To remove custom protocol...

Page 141: ... More Communication Setup The following tables describe the settings on Communication Setup Communication Setup Data Communication Settings and Shared Directory Settings Fields Description Default Location Determines which of the four available communication locations is the default The locations are defined on Page 2 of this Communication Setup Fields table Allow Export Using Shared Directory Det...

Page 142: ...ilable only if the Allow Export Using Shared Directory field is checked Password Identifies the password that the system uses to log on to the shared directory This field allows a maximum of 30 characters This field is available only if the Allow Export Using Shared Directory field is checked Confirm Re enter the password in this field to confirm that the password was entered correctly This field ...

Page 143: ...coming IP connections The port values range from 1 to 65535 This field is available only if the Allow Export Using FTP field is checked Username Identifies the user name the system uses to log on to the FTP server The user must have write permission to the specific path of the FTP server This field allows a maximum of 30 characters This field is available only if the Allow Export Using FTP field i...

Page 144: ...eives the transmission from the system You can define up to four locations Device Identifies the type of device to use to transmit data to the location Options are Serial Modem LAN Modem and LAN are available only if the corresponding option was activated This field becomes active only after a corresponding location is entered 144 MAC 2000 2053535 002K ...

Page 145: ...e test data and retrieve patients or orders You should choose the protocol based on systems with which you want to connect the data you want to send and receive and the connection type LAN wireless modem or serial DCP This is a newer protocol that is faster than CSI and A5 DCP does not require this system to use a fixed IP address It is currently compatible with the MUSE 8 0 system or later and ot...

Page 146: ... Required Determines whether the system must receive a dial tone before dialing PIN Dialing Identifies whether a personal identification number PIN is required to dial out If this field is checked you must complete the following three fields Delay Service Provider Number and PIN Number Delay Determines how long in seconds the system should pause between dialing the Service Provider Number and the ...

Page 147: ...If this field is cleared the system automatically dials and you must complete the following fields Dialing Method Dialtone Required PIN Dialing The following fields are only displayed if one or both of the following options are activated for LAN or WLAN communications NOTE Please check with a GE Healthcare representative regarding the wireless solution available in your country LAN communications ...

Page 148: ...strator for assistance If this field is checked the IP Address Netmask and Gateway fields are display only If this field is cleared you must complete those fields IP Address Identifies the IP address of the device If the Obtain an IP address automatically DHCP field is cleared you must define a unique IP address Netmask Identifies the netmask of the device If the Obtain an IP address automatically...

Page 149: ...mes You must have the correct WINS address configured if you are using a shared folder for communication The following fields are only displayed if one or both of the following options are activated for WLAN communications NOTE These wireless network settings fields are applicable only if the USB wireless option is purchased Please check with a GE Healthcare representative regarding the wireless s...

Page 150: ... characters NOTE When the network name is empty the system connects to any available network The system uses Infrastructure Mode wireless access point to provide the connection with Enterprise network or internet Authentication Specifies the authentication protocol Values are Open Shared WPA PSK WPA2 PSK WPA WPA2 Encryption The user net configuration determines the encryption Values are Disabled W...

Page 151: ...TE If you are using the dongle module only MSCHAPV2 is available If you are using the embedded wireless module MSCHAPV2 and GTC are available if you select PEAP in EAP Phase 1 MSCHAPV2 MSCHAP CHAP and PAP are available if you select TTLS in EAP Phase 1 User name The user name for EAP authentication User password This is the password to use for EAP authentication 2053535 002K MAC 2000 151 ...

Page 152: ...tings window this field is optional Client Public Key Allows you to choose a client public key used for client authentication The key files must use the cer extension on the root path of the SD card or the files will not be recognized by the system This field is available only if TLS is selected in the EAP Phase 1 field on the Wireless Networking Settings window Client Private Key Allows you to ch...

Page 153: ...use for communication You can locate this address using Discover DCP Device or enter it manually A server address has the form http server name port SendTest where server name is the server name or IP address and port is the server port number usually 9240 Test Device Connection Allows you to test the connection to the selected DCP server The status of the connection is displayed in the text box C...

Page 154: ...ters per hour km h or miles per hour mph ST Level Unit Determines whether the ST segment is measured in millivolts mV or millimeters mm Blood Pressure Unit Determines whether blood pressure is measured in millimeters of mercury mmHg or kilopascals kPa Line Filter Determines the frequency of the line filter Options are 50 Hz and 60 Hz Lead Label Determines whether the system labels leads using the ...

Page 155: ...tup Arrhythmia Setup Stress Setup RR Analysis Setup Communication Setup Country Setup Patient Setup User Setup Options Setup Order Manager Setup Complete Setup 3 When you are done press Return to return to the Main Menu Patient Setup The Patient Setup function allows you to define the following information Available and required patient information Available test information Available clinical tri...

Page 156: ...ary patient ID is available when entering patient data and whether it is required It can only be required if it is first enabled On reports it is labelled ID 2 Last Name Determines whether the patient s last name field is available when entering patient data and whether it is required It can only be required if it is first enabled First Name Determines whether the patient s first name field is ava...

Page 157: ... ID Type This field is available only if the Enable Patient ID Check field is set This field determines which type of ID is used and therefore which checks to perform Options are Swedish Patient ID Danish Patient ID Norwegian Patient ID When a patient ID is entered the system verifies its format extracts the patient s gender and date of birth and populates those fields if they are enabled Patient ...

Page 158: ...test information Indication Determines whether the indication field is available when entering test information Medications 0 3 Determines the number of medications that you can enter into the test information window Print Determine whether the following 4 fields will be printed on thermal or PDF report Ordering Physician Determines whether the ordering physician field is available when entering t...

Page 159: ...Clinical Trial Setup Window Field Comments Visit Number Determines whether the visit number field is available when entering clinical trial information Visit Type Determines whether the visit type field is available when entering clinical trial information Dose Type Determines whether the Dose Type field is available when entering clinical trial information If this field is set use Dose List to de...

Page 160: ... the following Alphanumeric Numeric Yes No Unknown Dose List Opens the Dose List window which allows you to define the dose types that will be available when entering clinical trial information Doses are plain text up to 32 alphanumeric characters The user can add up to 20 does Project Code and Trial ID Identifies the Project Code and Trial ID that are displayed when entering clinical trial inform...

Page 161: ... corresponding field User Setup The User Setup function allows you to define the following User names User identification User roles User privileges Users entered in setup can be selected for system defaults and patient information If High Security Mode is enabled anyone who uses the system must be set up as a user with a user ID a password and privileges to log on to the system For more informati...

Page 162: ...g physician If this is the role that was selected on the Edit User List window this field is checked by default You may select multiple roles but you must select at least one role Referring Determines whether the user fills the role of referring physician If this is the role that was selected on the Edit User List window this field is checked by default You may select multiple roles but you must s...

Page 163: ... clinical trials Use the following instructions to save and load configuration files 1 On the Main Menu press System Configuration More More Select Setup The Select Setup window opens The name of the setup the system is using currently is displayed in the Loaded Setup field 2 To save a copy of the current setup do the following a Press Save As The Setup Name window opens b Type a name for the conf...

Page 164: ...is feature is useful to sites with multiple systems that need to have the same or similar setups 1 Insert the SD card with the saved setup file If you do not have a valid SD card you receive the following message 2 On the Main Menu press System Configuration More More Import Setup The Select Setup for Import window opens All saved settings on the device are listed in the left column All saved sett...

Page 165: ...Setup The Select Setup for Export window opens All saved settings on the device are listed in the left column All saved settings on the SD card are listed in the right column 4 In the left pane select the setup file you want to export 5 Press Export The selected file is copied to the SD card and is displayed in the right column 6 Repeat step 4 through step 5 for each saved configuration file you w...

Page 166: ...p 3 for any additional options you want to activate 5 Press Save to save the configuration options Option Codes Option Code Name CTDG CT Data Guard R12L 12 Lead display for Resting ECG This is always active FULL Full Disclosure ME12 12SL Measurement MEHR HEART Resting Measurement MI12 12SL Measurement and Interpretation MIHR HEART Resting Measurement and Interpretation M100 Storage for 100 ECGs M2...

Page 167: ...r for MUSE and non MUSE systems AOML Order Manager for non MUSE systems ADTF ADT Patient Demographics downloaded from MUSE and non MUSE systems ADTL ADT Patient Demographics downloaded from non MUSE systems NOTE To disable an option go to System Configuration Option Codes type the text disable option code in the text box and press OK For example to disable ADTL type disable ADTL in the text box an...

Page 168: ...Description Date Sets the current system date The format of the fields depends on the date format selected on Country Setup For more information see Country Setup on page 153 Time Sets the current system time If the Automatically Synchronize with Time Server field is set on Basic Setup any changes made to the time are overwritten during the next synchronization For more information see Basic Setup...

Page 169: ...he system Default Order Location s for example 1 13 65 Identifies the locations displayed on the prompt when downloading orders This will typically be the device s location see Basic Setup on page 113 If the device is used in multiple locations enter multiple locations and separate them with commas 1 3 10 and so on RR Analysis Setup The RR Analysis Setup function allows you to configure the RR Ana...

Page 170: ...wing subcomponents 2007 Year the PDF was written 11 Month the PDF was written 22 Date the PDF was written T Indicates the following numbers are time 17 Hour in 24 hour format the PDF was written 56 Minute the PDF was written 32 Second the PDF was written Customizing the Naming Convention Users can name the PDF files according to their own requirements by using given elements 1 On the Main Menu pre...

Page 171: ...r your device 4 Record this information and store it in a secure location for future reference Exporting the Audit Trail The Audit Trail Export function copies the system audit trail in XML format to an SD card and then clears the audit trail on the system If a previous audit trail exists on the SD card it IS overwritten automatically by the new audit trail GE Healthcare recommends exporting the a...

Page 172: ...opied to the SD card and cleared from the system a message notifies you that the export was successful After the XML file is exported you can review or print the audit trail as needed For more information on how to parse the XML file for viewing or printing refer to the GE Cardiology Open XML Reference Manual To locate the part number for this manual refer to Related Documents in the service manua...

Page 173: ... maintenance CAUTION ELECTRICAL HAZARD Improper handling during inspection or cleaning could result in electrical shock To avoid potential shock observe the following guidelines at all times Before inspecting or cleaning the device turn it off unplug it from AC power and remove the battery Do NOT immerse any part of the equipment in water Inspecting the Equipment Perform a visual inspection daily ...

Page 174: ... propan 2 ol 25 ETHANOL Cleaning Materials to Avoid DO NOT use any of the following materials to clean the device because their use may damage equipment surfaces Organic solvents Ammonia based solvents Abrasive cleaning agents Alcohol Virex Sani Master Cleaning the Device Surfaces Use the following procedure to clean the surfaces of the device 1 Dilute mild dishwashing detergent in water to create...

Page 175: ...ng disinfection sterilization and storage of reusable supplies and accessories Replacing Leadwire Adapters Although proper cleaning and storage prolong the life of leadwires you eventually need to replace the leadwire adapters The following illustration shows the proper method for replacing adapters Paper Maintenance For the proper handling of the device s thermal writer you need to know how to do...

Page 176: ... the push button on the top of the device 1 to open the printer door 2 2 Extend the top sheet of the pack of paper and insert the pack into the paper compartment 3 Align the top sheet of the paper to the line located on the near side of the printer door 3 Close the printer door 4 until it clicks into place 5 176 MAC 2000 2053535 002K ...

Page 177: ...to the paper spacers 3 Slide the spacers 1 and 3 to the appropriate position for the paper size that you are using 4 Tighten the screws 2 and 4 in the selected position 5 Turn the device to the upright position and press the push button to open the printer door 6 6 If you are using letter size 8 5 x 11 inches remove the paper spacer post print 7 NOTE If you are using A4 paper the paper spacer post...

Page 178: ...ed in between the letter and A4 symbol 5 Tighten the screws 4 with the spacer 5 at this position 6 Loosen the other set of screws for the paper spacer 2 7 Move the spacer 1 to the letter symbol 8 Tighten the screws 2 with the spacer 1 at this position Removing the Paper Pack Use the following procedure and pictures to remove the pack of paper from the device Use the following procedure to remove t...

Page 179: ...eration An on screen LED indicates the condition and capacity of the battery s charge For more information on the battery gauge refer to Front View on page 32 and System Errors on page 190 When the LED flashes amber connect the device to AC power to charge the battery to full capacity As the battery ages the full charge capacity of the battery degrades and is permanently lost As a result the amoun...

Page 180: ...cycle consists of an uninterrupted charge discharge charge cycle Use the following instructions to condition the battery 1 Insert the battery into a device that is not recording patient tests For details refer to Replacing the Battery on page 179 2 Disconnect the AC mains power from the device 3 Enter the Battery Status Service Diagnostic window For details on accessing the Battery Status Service ...

Page 181: ... battery status indicator is located on the top of the screen For the exact location see the screen in Recording a Resting ECG on page 69 The following diagram and table describe the battery status Battery Status Item Description 1 The battery is fully charged and above 75 2 The battery charge is above 50 3 The battery charge is above 25 4 The battery charge is below 25 This status is also used wh...

Page 182: ...Maintenance 182 MAC 2000 2053535 002K ...

Page 183: ...cal Support Verify the software was not updated Updated software may change system functionality If the user is unaware of the changes they may seem to be unexpected results If the software has been updated refer to the revised Operator s Manual to determine whether the update changed features Verify whether there were changes in the equipment s location or environment that could cause the failure...

Page 184: ...nance Equipment Cleaning and Storage on page 173 What is the capacity of the battery Refer to the Battery information in Product Overview Hardware Specifications on page 37 I need to provide the address of the device to the network administrator to enable the LAN communication option How do I obtain the address After the LANM LANC option is enabled and the network cable connected you can obtain th...

Page 185: ...ut their effectiveness Check for defective broken or disconnected leadwires Replace the leadwires if there are any questions about their effectiveness Refer to Connecting the Patient Cable on page 46 Consider using filters ADS and FRF to help eliminate or reduce ECG noise For more information refer to ECG Options on page 73 Arrhythmia Printing Options on page 86 or Stress Options on page 98 Extern...

Page 186: ...d for a FAT or FAT16 file system To verify an SD card is formatted for the correct file system do the following 1 Insert the card into an SD card reader attached to a PC 2 Copy any files you want to save from the SD card to a folder on the PC 3 Using the Windows Format command specify either FAT or FAT16 for the file system and format the card NOTE Formatting the SD card erases any existing files ...

Page 187: ...r communicating with a MUSE system For more information on setting up LAN communication see Options Setup on page 165 2 Verify the LAN cable is connected properly to the LAN connection slot For information on where the LAN cable connects to the device see Rear View on page 32 3 Check the communication setup to verify whether the IP Netmask Gateway and DNS addresses are all correct For details on c...

Page 188: ...r more information on setting up LAN communication see Options Setup on page 165 2 Verify the wireless dongle is connected properly to the USB port on the rear of the device If the wireless dongle is not working try changing the port For information on where the wireless dongle connects to the device see Rear View on page 32 3 Check communication setup to verify whether the IP netmask gateway and ...

Page 189: ...ay and DNS server addresses are all correct Refer to Communication Setup on page 140 for instructions on setting these values The two systems can communicate To verify this ping the device from the file server Verify the logon information is correct Check the user name password and domain information Refer to Communication Setup on page 140 for information on the log on information Verify share an...

Page 190: ...atric patients Verify the original ECG was acquired in an electrocardiograph with the ACI TIPI option If you attempt to print an ECG that was imported from an external device the cart does not generate an ACI TIPI statement it prints only if the statement was saved as part of the ECG System Errors The following table identifies some potential errors that may occur while you are operating the syste...

Page 191: ...ion Setup window Communication Setup on page 140 are incorrect 1 Press Esc to close the prompt 2 Exit the export program 3 Run Communication Setup 4 Enter the correct User ID and Password for the shared directory and save the new values 5 Export the records User cannot log on to the system High Security Mode is enabled and the user s User ID or Password were entered incorrectly Try the following V...

Page 192: ... button Rhythm Report in Resting ECG Mode Arrhythmia recording in Arrhythmia Mode In test Reports in Stress Test Mode All other reports restart automatically The following error message is displayed while printing Battery low Printing not possible The battery is low and does not have enough charge to power the printer Try the following Allow the battery to charge to 50 before printing again Connec...

Page 193: ...logies 39 PDF 417 128 Interleaved Code 2 of 5 Data Matrix Code 39 0 1 2 3 4 5 6 7 8 9 A B C D E F G H I J K L M N O P Q R S T U V W X Y Z NOTE The barcode scanner shall use C39ENA1 C39ASC1 and C39DCP2 as default configuration for Code39 PDF 417 0 1 2 3 4 5 6 7 8 9 A B C D E F G H I J K L M N O P Q R S T U V W X Y Z a b c d e f g h I j k l m n o p q r s t u v w x y z 2053535 002K MAC 2000 193 ...

Page 194: ...P Q R S T U V W X Y Z a b c d e f g h I j k l m n o p q r s t u v w x y z US _ German _ French _ Italian _ Spanish _ NOTE The barcode scanner shall use 128ENA1 and 128DCP51 as default configuration for Code128 Interleaved Code 2 of 5 0 1 2 3 4 5 6 7 8 9 NOTE The barcode scanner shall use I25ENA1 as default configuration for Interleaved Code 2 of 5 Data Matrix 0 1 2 3 4 5 6 7 8 9 A B C D E F G H I ...

Page 195: ... add trailing spaces after fields shorter than the fixed length of the fields your system is using Setting Up the Patient Data Scheme Use the following rules to set up a data scheme including patient demographic data for your barcodes Patient Data Scheme Item Byte Length Patient ID The Patient ID length should not exceed the 30 character maximum and should be equal to the ID length set up on the s...

Page 196: ...ght moves to the overflow field Manual Bar Code Reader Configuration Fields Field Description and Byte Length Total number of bytes Enter the total number of bytes contained in the patient bar code This is usually the sum of the bytes listed in the following fields The value can be from 0 to 255 Once the largest value of offset plus the largest value of length is more than the value you set in Tot...

Page 197: ...length from the MUSE CV system with which the MAC system communicates NOTE The MAC system does not support long names if the MUSE system uses long names this field should be set to its maximum value Year of birth offset The year the patient was born Enter the field s Offset Year of birth length The year the patient was born Enter the field s Length The length must be set to 4 Month of birth offset...

Page 198: ...Code Reader Configuration Fields Item Character Used to Reserve Byte Space Patient ID 9 First name 5 Last name 6 Year of birth 3 Month of birth 1 Day of birth 2 Gender M or m for male F or f or female Visit 8 198 MAC 2000 2053535 002K ...

Page 199: ...ing sections provide the information you need to run a Master s Step stress test Master s Step Table The following table identifies the number of steps to set according to the patient s age gender and weight 2053535 002K MAC 2000 199 ...

Page 200: ...18 17 Male 22 27 27 28 28 27 26 25 25 24 23 22 22 21 20 45 49 Female 22 25 25 26 26 25 24 23 22 21 20 19 18 18 17 Male 20 26 26 27 27 26 25 25 24 23 22 22 22 21 20 50 53 Female 20 23 23 25 25 24 23 22 21 20 19 18 18 17 16 Male 18 24 25 26 27 26 25 24 23 22 22 21 21 20 19 54 58 Female 18 22 22 24 24 23 22 21 30 19 18 18 17 16 15 Male 16 23 24 25 26 25 24 23 23 22 21 20 20 19 18 59 63 Female 16 20 2...

Page 201: ...17 16 16 15 14 13 13 12 Male 19 21 23 22 21 20 19 19 18 17 16 16 15 82 85 Female 13 18 17 17 17 16 16 15 14 14 13 12 11 Male 18 29 22 21 21 29 18 17 17 16 15 15 14 86 90 Female 12 17 16 16 16 15 15 14 13 13 12 12 11 Male 19 21 21 20 19 18 17 16 16 15 14 14 91 93 Female 16 15 15 15 14 14 13 13 12 11 11 10 Male 18 21 20 19 18 17 17 16 15 14 14 13 94 99 Female 15 14 14 14 13 13 13 12 11 11 11 10 Male...

Page 202: ... ST Elevation 0 1 mV T wave change 0 5 mV Negative This is assessed if neither the Positive nor Borderline criteria are met To following formulas are used to calculate the values in the previous criteria ST depression rest ST post J post exercise ST post J ST depression rest ST post J post exercise ST post J T wave change absolute value of rest T wave amplitude post exercise T wave amplitude ST po...

Page 203: ...es second channel for normal data acquisition Pace Sampling Rate 75K samples second channel ECG On screen Preview On screen preview of acquired 10 second ECG waveform Acquisition Mode Provides 10 seconds of instantaneous ECG acquisition Dynamic Range AC Differential 5 mV DC offset 300 mV Resolution 4 88 µV 1 per LSB 500SPS Frequency Range 0 04 to 150 Hz Low Cutoff Frequency 0 04 Hz ADS Off 0 56 Hz...

Page 204: ...ution WVGA resolution 800x480 Data Heart rate patient ID clock battery power indicator waveforms lead labels speed gain and filter settings warning messages prompts help messages and 12 lead display Writer Item Specifications Technology Thermal dot array Speed 5 12 5 25 50 mm s Number of Traces Up to 12 ECG traces Sensitivity Gain 2 5 5 10 20 40 mm mV Speed Accuracy 5 12 5 mm s 5 and 25 50 mm s 2 ...

Page 205: ...ging ECG records Order Manager Provides an interface for managing orders System Setup Provides an interface for managing device configurations ADT Query Provides an interface for querying patient demographics and orders Stress Pharma Application Options Item Specifications Stress Testing Application Ergometers supported include eBike Treadmills supported include T2100 T2000 Master s Step device wi...

Page 206: ...with A5 CSI Protocol Internal Modem ECG Transmission with CSI Protocol Supported MUSE or Cardiosoft CS Compatible with MUSE V 7 1 1 v8 0 1 and v9 0 0 CardioSoft CS V6 51 V6 61 V6 71 and V6 73 RJ45 Wired LAN ECG Transmission with CSI DCP Protocol FTPS and Shared directory 206 MAC 2000 2053535 002K ...

Page 207: ...red key WPA2 with PEAP WPA WPA2 Mixed Mode with PEAP WPA2 with EAP TLS WPA WPA2 Mixed Mode with EAP TLS WPA2 with EAP TTLS WPA WPA2 Mixed Mode with EAP TTLS WPA2 with EAP FAST WPA WPA2 Mixed Mode with EAP FAST WPA2 with LEAP WPA WPA2 Mixed Mode with LEAP Embedded Wireless Module Open Shared WPA PSK WPA2 PSK WPA WPA2 with PEAP WPA WPA2 with TLS WPA WPA2 with TTLS Certain network settings are requir...

Page 208: ... PSK1 WPA2 WPA22 authentications 1 WPA PSK and WPA2 PSK are personal authentication frameworks 2 WPA and WPA2 are enterprise authentication frameworks Internal modem Secured Digital card Serial LAN and wireless communicates outbound to MUSE and Cardiosoft CS Internal modem LAN and wireless communicates inbound to MUSE Storage Item Specifications ECG Storage Format XML format Hilltop format PDF sto...

Page 209: ... Card 4GB Electrical Item Specifications Power Supply Internal AC DC or battery operation AC DC operation specifications Input Voltage 100 to 240 VAC 10 Input Current Maximum 1 5A in voltage range 115V to 230V AC Input Frequency 47 to 63 Hz Battery specifications Battery type Replaceable and rechargeable Lithium Ion Battery capacity 14 54V nominal voltage 3 5 AH 10 150 single page resting ECG reco...

Page 210: ...y IEC 60601 1 4 Requirements for Collateral Standard Programmable Electrical Medical Systems IEC 60601 2 25 Safety of Electrocardiographs IEC 60601 2 51 Safety and performance of ECG recorders UL 60601 1 2006 UL Standard for Safety Medical Electrical Equipment Part 1 General Requirements for Safety CAN CSA C22 2 No 601 1 M90 AAMI EC 11 1991 R 2001 R 2007 Diagnostic Electrocardiography Devices AAMI...

Page 211: ...e range 3010 9 to 381 9 meters Non Operating Temperature 10 50 C Non Operating Relative humidity 20 90 Non Operating barometric pressures 500 1060 hPa Altitude range 5570 to 380 meters Accessories LAN Cable Length 250mm RJ45 2 connector USB Power Cable Length 260mm Type A Plug Right angle USB connector Right angle DC connector Wire size 24 AWG Certification Requirements CE certification EMC test w...

Page 212: ...Technical Specifications 212 MAC 2000 2053535 002K ...

Page 213: ... radiation exposure limits set forth for an uncontrolled environment and meets the FCC radio frequency RF Exposure Guidelines and RSS 102 of the IC radio frequency RF Exposure rules This equipment should be installed and operated keeping the radiator at least 20cm or more away from person s body FCC Statement The MAC 2000 Silex Wireless Bridge contains transmitter module FCC ID N6C SXPCEAN2 CAUTIO...

Page 214: ...350MHz bands are restricted to indoor operations only CAUTION High power radars are allocated as primary users i e priority users of the bands 5250 5350 MHz and 5650 5850 MHz and that these radars could cause interference and or damage to LE LAN devices Complies with IMDA Standards The MAC 2000 Silex Wireless Bridge complies with IMDA Standards 214 MAC 2000 2053535 002K ...

Page 215: ...edded Wireless Module NOTE This device complies with part 15 of the FCC Rules Operation is subject to the following two conditions 1 This device may not cause harmful interference and 2 this device must accept any interference received including interference that may cause undesired operation 2053535 002K MAC 2000 215 ...

Page 216: ...using to navigate 38 artifact 86 Assistance 27 ASYSTO asystole 86 asystole 86 Audit Trail 116 auto configuring a reader 161 Auto Logoff 116 B backspace key 35 Bal protocol 138 Balkeware protocol 137 barcode scanning 58 barcode reader automatic configuration 197 configuring 161 entering patient information 58 option 167 baseline shift reducing 74 Basic Setup audit trail 116 auto logoff 116 high sec...

Page 217: ...54 ST Level Unit 154 time format 154 CPLT ventricular couplet 86 CT Data Guard 166 CTDG option 58 166 cursor control keys 34 D data acquisition ECG 39 data formats selectable 39 date resting ECG display 70 date format 154 Date Setup 168 daylight savings time 168 Default Location 141 default naming conventions PDF files 169 defibrillation recording an ECG during 81 deleting records 109 device front...

Page 218: ...ation 107 exporting records 111 finding records 107 importing records 105 overview 105 printing directory 106 printing records 109 transmitting records 109 finding ECG records 107 Finite Residual Filter See FRF FRF definition 134 on stress ECG setup 134 front view 32 Full Disclosure 166 Full Disclosure ECG mode 77 Full Disclosure option 166 function keys 35 menu options 38 changing a setting 38 ch...

Page 219: ... 133 leadwires replacing adapters 175 learn phase 86 Line Filter 91 Location 144 Low Pass Filter 119 M M100 option 166 M200 option 166 maintenance battery 179 cleaning device surfaces 174 cleaning materials to avoid device 174 cleaning materials to use device 174 device 173 inspecting a device 173 overview 173 replacing leadwire adapters 175 manufacturer responsibilities 16 Master s Step mode 135 ...

Page 220: ...IPI 37 clinical trials data guard and audit trail 37 HEART exercise 37 hookup advisor 37 QT correction formula 37 options setting for exporting records 111 order manager 63 Original Equipment Manufacturer OEM 2 P Pace Enhancement 91 pacemaker capture code 86 error 87 improving ECG readability 74 91 121 recording ECGs of patient with 80 packaging symbols 18 paper problems with 186 troubleshooting p...

Page 221: ...l software feature 37 R R12L option 166 Radio Frequency RF cautions 15 devices 15 rear view 33 recall stress key 36 Record Lead 91 recording a resting ECG 72 recording during defibrillation 81 recovery stress key 36 replacing leadwire adapters 175 requirements service 27 system 31 responsibilities manufacturer 16 purchaser customer 16 Resting ECG deleting records 109 editing patient information 10...

Page 222: ...OMF option 167 SOML option 167 space bar 35 speed 119 Speed Unit 154 speed load down key 36 speed load up key 36 standard keypad 34 start treadmill key 36 Std France protocol 138 stop treadmill key 36 Storage for 100 ECGs 166 Stress ECG blood pressure 97 conducting with ergometer 100 conducting with treadmill 100 mode 95 options 98 prerequisites 96 rate pressure product 97 report formats 96 setup ...

Page 223: ...n 117 TIPI option 167 training 25 transmitting ECG records 109 treadmill conducting a stress test with 100 supported models 95 unsupported models 95 troubleshooting operator error 183 visual inspection 183 typographical conventions 28 U USAFSAM protocol 137 User Setup MUSE ID 162 overview 161 V VBIG ventricular bigeminy 87 ventricular bigeminy 87 couplet 86 ectopics per minute 97 escape beat 86 fi...

Page 224: ...224 MAC 2000 2053535 002K ...

Page 225: ......

Page 226: ... USA Tel 1 414 355 5000 1 800 558 5120 US Only GE Medical Systems Information Technologies GmbH Munzinger Straße 5 79111 Freiburg Germany Tel 49 761 45 43 0 GE Medical Systems Information Technologies Inc a General Electric Company going to market as GE Healthcare www gehealthcare com 0459 ...

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