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3

Preparing the Patient

This chapter provides the procedures for preparing the patient's skin and properly
placing electrodes.

NOTE:

These instructions do not cover the application of electrodes for the KISS Electrode
Application System (not available in the United States). To use the KISS system, see
the KISS operator’s manual for instructions.

2046275-016B

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Summary of Contents for MAC 5500

Page 1: ...e MAC 5500 MAC 5500 HD Resting ECG Analysis System Operator s Manual Software Version 10 2046275 016 B MAC 5500 MAC 5500 HD Resting ECG Analysis System English 2010 2013 General Electric Company All Rights Reserved ...

Page 2: ... The document part number and revision are on each page of the document The revision identifies the document s update level The revision history of this document is summarized in the following table Revision History Revision Publication Date Description A 29 October 2010 Initial release of the document B 28 February 2013 Updated the following sections Safety Messages Supplies and Accessories Equip...

Page 3: ...Laboratories Inc 21 EMI EMC Requirements 21 Legal Notice 21 Responsibility of the Manufacturer 22 Responsibility of the Purchaser Customer 22 Service Information 22 Service Requirements 22 Additional Assistance 22 Manual Information 22 Manual Purpose 22 Intended Audience 23 Document Conventions 23 Related Documentation 24 Training 24 2 System Overview Hardware Description 25 Front View 25 Back Vie...

Page 4: ...tient Information Manually Entering Patient Information 56 Reading a Patient Card Option 56 Connecting the Card Reader 57 Reading a Patient ID Card 57 Scanning a Bar Code Option 58 Connecting the Bar Code Scanner 58 Scanning the Bar Code 58 Entering Orders 59 Receiving Orders from a MUSE CV System Option 59 Manually Entering Orders 61 Selecting and Completing Orders 61 5 Recording an ECG Hookup Ad...

Page 5: ... Wirelessly 85 Transmitting ECGs in XML Format 86 10 Receiving ECGs Receiving ECGs from Another MAC System 87 Receiving ECGs via Modem 87 Receiving ECGs Locally 88 Receiving ECGs from a MUSE CV System 88 11 Editing ECGs Editing Demographic Information 91 Editing ECG Measurements 92 Editing Interpretive Statements 93 12 Deleting ECGs and Orders Deleting ECGs 95 Deleting Orders 96 13 Using an SD Car...

Page 6: ...tic ECG Transmission 110 Setting Up Signal Averaged ECG Report Printing 110 Setting Up ACI TIPI Interpretation 110 Setting Up System Basics 111 Miscellaneous Setup 111 Patient Questions 113 Screen Colors 116 Transmission 116 Network Settings 118 Option Activation 118 Date and Time 120 Language 120 Power Up Options 121 Order Manager Interface 121 Input Method 122 Setting Up ECGs 123 ECG Acquisition...

Page 7: ...ECG Cables and Leadwires 157 Cleaning Disinfecting and Storing Handheld Devices 159 Paper Maintenance 161 Setting the Correct Paper Size 162 Loading the Paper 163 Battery Maintenance 163 Charging the Battery 164 Conditioning the Battery 165 Replacing the Battery 165 Replacing Leadwire Adapters 166 B Troubleshooting General Troubleshooting Guidelines 169 Visual Inspection 169 Performance Problems 1...

Page 8: ...xercise Report Codes 177 D Master s Step Data Master s Step Table 179 ST T Changes 182 E Creating Bar Codes and Magnetic Cards Manual Reader Configuration 183 Automatic Reader Configuration 185 8 MAC 5500 MAC 5500 HD 2046275 016B ...

Page 9: ...sion of a licensed healthcare practitioner by trained operators in a hospital or medical professional s facility Prescription Device Statement CAUTION United States federal law restricts this device to sale by or on the order of a physician Recording ECGs During Defibrillation This equipment is protected against the effects of cardiac defibrillator discharge to ensure recovery as required by test ...

Page 10: ...r S waves from one heart beat to the next which may be particularly noticeable in pediatric recordings If this phenomenon is observed the clinician should be aware that the origin of amplitude variations is not entirely physiologic For measuring voltages of Q R and S waves it is advisable to use the QRS complexes with the largest deflection of the particular waves Installation and Connection If th...

Page 11: ...ompanying documentation Classified with respect to electric shock fire mechanical and other specified hazards only in accordance with applicable UL standards To reduce the risk of electric shock do NOT remove cover or back Refer servicing to qualified personnel This product consists of devices that may contain mercury which must be recycled or disposed of in accordance with local state or country ...

Page 12: ...Introduction Product and Packaging Labeling This section identifies the product labels and their locations on the product and packaging 12 MAC 5500 MAC 5500 HD 2046275 016B ...

Page 13: ...abel on page 15 for detailed information 5 Located on the back of the device this label provides regulatory and cautionary information Refer to Equipment Symbols on page 10 for detailed descriptions of the symbols 6 Located on the back of the device this label identifies the device s electrical ratings 7 Located inside the battery compartment this label provides information about the specification...

Page 14: ...g label contains the following information Product description Sales order number Configuration number Model number Serial number Storage conditions Regulatory compliance Country of Origin EC Representative information Equipment Identification Every GE Healthcare device has a product label that identifies the product name part number manufacturing information and unique serial number This informat...

Page 15: ...Format on page 15 for more information Serial Number Format Each device has a serial number that uniquely identifies the device and provides important information about the device The serial number format is shown in the following illustration Serial Number Format Item Name Description 1 Product Code A three letter code that uniquely identifies the product line Refer to Product Codes on page 16 fo...

Page 16: ...product code using the device s serial number which can be located in one of the following places On the product label attached to the base of the device On the product label provided with the application CD In the application on IT systems Launch the system application and click Help About to view the serial number For information on launching the application refer to the product s service or ope...

Page 17: ...g messages apply to the system as a whole Specific messages may also be provided elsewhere in the manual WARNING PATIENT MONITORING This device does not provide alarms and is not intended to be used as electrocardiographic monitoring equipment vital signs physiological monitor If patient monitoring is required use a device that has been qualified for that use WARNING ACCIDENTAL SPILLS If liquids e...

Page 18: ...e relevant EMC requirements X ray equipment or MRI devices are possible sources of interference as they may emit higher levels of electromagnetic radiation WARNING EXPLOSION HAZARD Do NOT use in the presence of flammable anesthetics vapors or liquids WARNING INTERPRETATION HAZARD Computerized interpretation is only significant when used in conjunction with clinical findings A qualified physician m...

Page 19: ...ements of the IEC 60601 1 1 medical electrical systems standards To ensure patient safety use only parts and accessories manufactured or recommended by GE Healthcare CAUTION ACCESSORIES EQUIPMENT The use of accessory equipment that does not comply with the equivalent safety requirements of this equipment may lead to a reduced level of safety of the resulting system Consideration relating to the ch...

Page 20: ...e connecting the device to the power line check that the voltage and frequency ratings of the power line are the same as those indicated on the unit s label If this is not the case do not connect the system to the power line until you adjust the unit to match the power source In the USA if the installation of this equipment will use 240V instead of 120V the source must be center tapped 240V single...

Page 21: ...ildings used for domestic purposes Mains power should be a typical commercial or hospital environment NOTE Compliance provides reasonable protection against radio frequency interference However there is no guarantee that interference will not occur in a particular installation You can tell whether this device or system is causing interference by turning it off If the interference stops it was prob...

Page 22: ...sting service from GE Healthcare or its authorized representatives Service Requirements Failure on the part of the responsible individual hospital or institution using this equipment to implement a satisfactory maintenance schedule may cause undue equipment failure and possible safety hazards Regular maintenance irrespective of usage is essential to ensure that the components of this system are al...

Page 23: ...ess and release the ESC key space Indicates that 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...

Page 24: ...020299 021 MobileLink Wireless Communications Installation Manual 2025521 001 KISS Multilead Operator s Manual 2020299 025 LAN Option for MAC Resting ECG Systems Installation and Troubleshooting Guide 2046275 223 MAC3500 MAC5500 HD Resting ECG Analysis Supplies and Accessories Reference Manual Training This manual is intended as a supplement to not a substitute for thorough product training If you...

Page 25: ...rmation before using the device Hardware Description This section identifies the key components of the MAC system hardware Familiarize yourself with these components their location and their use before attempting to use the equipment Front View Name Description 1 Display Screen View the waveform and text data 2 Modem Port Connect to a telephone line 2046275 016B MAC 5500 MAC 5500 HD 25 ...

Page 26: ...Controls the system and enters data Back View Name Description 1 Back panel connectors Connect to peripherals 2 Secure data card slot Insert a secured data SD card for external storage 3 Green AC Power Indicates the system is connected to AC power 4 Internal access button Opens the system to change paper or battery 5 Amber battery light Indicates the battery is charging Internal View 26 MAC 5500 M...

Page 27: ...must not exceed 100 microamperes Name Description 1 A Connects to an optional card reader bar code reader or PS 2 keyboard for entering patient information 2 1 Connects to a GE KISS pump When using the exercise option connects to a T2000 treadmill or external blood pressure device NOTE Ergoline bicycle ergometers must be connected to both this port and the ANA TTL port 3 2 Connects to a local tran...

Page 28: ...8 Ground lug Connects to non grounded peripheral devices to ensure equipotential 9 Main AC Power Connects the system to an AC power supply via power cable Keyboard Standard Keys Name Description 1 Function keys Selects screen menu functions 2 Power button Powers the system on and off 3 Delete key Erases typed characters 4 Copy key Prints an additional copy ECG report 5 ECG key Acquires a 12SL rest...

Page 29: ...additional user information 11 Spacebar Adds a space between typed characters or highlights screen items 12 Option key Used to create special characters on non English keyboards 13 Esc key Returns to the previous menu 14 Shift key Creates capital letters Press shift p to type P Keyboard Exercise Test Keys Option Name Description 1 Pretest Advances to the next stage within the current pretest phase...

Page 30: ...ill quickly 8 Recall Prints a 10 second delayed recall report 9 12 ld Prints a 12 lead report with 10 seconds of acquired data 10 Medians Prints a medians report 11 Comment Allows you to enter comments about the test Comments are printed on many of the final reports 12 Enter BP Allows you to enter blood pressure readings or to trigger a reading from an external device Acquisition Equipment This se...

Page 31: ...ng of an ECG NOTE If you enable the Preview before analysis function press 5 to view the data Then either press 5 again to analyze the data or press 3 to discard the data Leadwire Labels One of the following set of labels may appear on the acquisition device CAUTION PROPER LEADWIRE CONNECTION Improper connection causes inaccuracies in the ECG Trace each individual leadwire from its acquisition mod...

Page 32: ...re AHA Aux 14 Leadwire IEC Aux Leadwire Adapters MULTI LINK leadwires require one of the following adapters to connect to electrodes 1 4 mm pin 2 Grabber 3 MACTRODE clip 4 Leadwire end Connecting Peripherals You should connect any of the following peripheral devices to the MAC system before powering it on 32 MAC 5500 MAC 5500 HD 2046275 016B ...

Page 33: ...her you purchased the internal modem or the external modem To connect to the internal modem insert a standard phone line with an RJ 11 jack to the modem port as shown in the following illustration To connect to the external modem you must first install the external modem kit See the Field Service Manual for instructions on mounting and connecting the external modem kit After connecting to the mode...

Page 34: ...external devices the system must be properly set up see Chapter 14 System Setup and exercise protocols must be properly defined see Chapter 7 Editing Protocols ANA TTL Port The Ergoline 800 ergometer The Ergoline 900 ergometer NOTE Other bicycle ergometers and treadmill models with an analog port can be connected to the analog output of the MAC 5500 A TTL QRS trigger signal for external devices ca...

Page 35: ...ying error messages the system is operational If the system displays error messages turn the system power off then on again If error messages persist contact GE Healthcare Service Software Overview This section provides an overview of the system software It describes the basic screen layout main menu functions and basic data entry and navigation techniques Familiarize yourself with these features ...

Page 36: ...example the Resting ECG function is being used 5 Battery Status Icon Indicates the status of the battery charge 6 High Definition Pace Detection Indicator Indicates that high definition HD pacemaker detection is enabled HD provides better analysis of patients with pacemakers HD is an optional feature that is available if the following conditions are met The HDMD option has been purchased and activ...

Page 37: ...d can be changed 4 Phase and Stage Clocks Indicates the current duration of the phase and stage The top clock displays the total time in a phase The bottom clock displays the time in a stage During the Test End phase the top clock displays total time in the Exercise phase and the bottom clock displays total time in the Recovery phase 5 Current Phase and Stage Name Indicates what phase top name and...

Page 38: ...formation about the functions available on the Main Menu and instructions on how to select functions from the Main Menu Familiarize yourself with this information before using the MAC system Main Menu Functions The following table identifies the functions available on the Main Menu The functions displayed in your Main Menu may vary due to the installation of purchased software options Function Des...

Page 39: ...cise test and allows you to print reports This is a purchased option Master s Step Runs the Master s Step exercise protocol Japan only Hi Res Records a signal averaged high resolution ECG This is a purchased option PHI Res Records a p wave signal averaged high resolution ECG This is a purchased option File Manager Prints edits displays transmits and deletes stored ECG data System Setup Defines the...

Page 40: ...with a Hospital Information System HIS interface Return Returns to the previous screen Selecting a Menu Function You have two methods for selecting functions from the Main Menu Function Keys Arrow Pad Using Function Keys 1 Press the function key directly below the menu function to be selected 2 To display more functions on the Main Menu press the function key directly below the More menu item 40 M...

Page 41: ...d menu item is highlighted 2 Press the middle button on the Arrow Pad to select the highlighted menu item Report Layout The following illustration and table describe the basic report layout For more information about reports refer to ECG Reports on page 128 2046275 016B MAC 5500 MAC 5500 HD 41 ...

Page 42: ...M HD or if the report was generated on a MAC3500 7 12SL Version Displays the version of 12SL used to analyze the ECG MAC version 10 uses 12SL version 22 and appears on the report as 12SL v241 8 Product Model and Software Version Displays the product model MAC55 and software version 010x 9 Report Format Displays the title of the report 10 Gain Setting Displays the gain setting of the ECG Refer to S...

Page 43: ... a drop down list Typing Data into a Highlighted Field 1 Using the Arrow Pad press the arrow keys to highlight the desired field 2 Type the relevant data into the field 3 Press either the middle button of the Arrow Pad or the Return key to enter the data into the field The cursor moves to the next data field 2046275 016B MAC 5500 MAC 5500 HD 43 ...

Page 44: ... the middle button of the Arrow Pad A list of available values drops down 3 Using the Arrow Pad press the arrow keys to highlight the desired value 4 Press the middle button of the Arrow Pad to select the desired value The value is entered into the field and the cursor moves to the next data field 44 MAC 5500 MAC 5500 HD 2046275 016B ...

Page 45: ... skin and properly placing electrodes NOTE These instructions do not cover the application of electrodes for the KISS Electrode Application System not available in the United States To use the KISS system see the KISS operator s manual for instructions 2046275 016B MAC 5500 MAC 5500 HD 45 ...

Page 46: ... Mark each electrode site with a felt tip pen b Degrease each site with a skin preparation cream c Use a mild abrasion to remove the mark left by the felt tip pen 4 Apply electrodes to the prepared sites Electrodes should be placed only by a physician or ECG technician WARNING SHOCK HAZARD Touching the conductive elements cancels the protection provided by the isolated signal input Ensure that con...

Page 47: ... Placement AHA Label IEC Label Description 1 V1 Red C1 Red Fourth intercostal space at the right sternal border 2 V2 yellow C2 yellow Fourth intercostal space at the left sternal border 3 V3 green 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...

Page 48: ...erior 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 RL green N black Above right ankle Alternate placement upper leg as close to torso as possible 10 RA white R red Right deltoid 11 V4R gra...

Page 49: ...le Mid axillary line on the same horizontal level as 3 5 LL red F green Left leg lower abdominal quadrant 6 RL green N black Right leg lower abdominal quadrant 7 I orange I light blue Right mid axillary line on the same horizontal level as 3 and 4 8 RA white R red Just below the clavicle of the right arm 9 H orange H light blue Back of neck avoid the carotid artery and jugular vein 10 M orange M l...

Page 50: ...tachment 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 V8 or C8 3 V4 blue Nap white Mid clavicular line in the fifth intercostal space Same position as C4 50 MAC 5500 MAC 5500 HD 2046275 016B ...

Page 51: ...rizontal level as 4 6 V6 purple C6 purple Mid axillary line on the same horizontal level as 4 and 5 7 LA black LA black Left deltoid 8 LL red F green Above left ankle Alternate placement upper leg as close to torso as possible 9 RL green N black Above right ankle Alternate placement upper leg as close to torso as possible 10 RA white R red Right deltoid 11 V4R gray C4R gray Mid clavicular line in ...

Page 52: ... one electrode on the sternum A1 and one in location V5R C5R A2 It is recommended that arm electrodes be placed on the patient s torso just under the clavicles CM5 CC5 ML Lead Placement Electrode Description 1 A1 Mid sternum at the second intercostal space 2 A2 In the fifth intercostal space in the right anterior axillary line V5R C5R 52 MAC 5500 MAC 5500 HD 2046275 016B ...

Page 53: ...lectrode Description 1 A1 Mid sternum at the second intercostal space 2 A2 In the fifth intercostal space in the right anterior axillary line V5R C5R 3 A3 On either side of the neck or anywhere above the shoulders 2046275 016B MAC 5500 MAC 5500 HD 53 ...

Page 54: ...Preparing the Patient 54 MAC 5500 MAC 5500 HD 2046275 016B ...

Page 55: ...g orders from a MUSE CV system Manually entering orders Some methods may not be available on all systems depending on which options have been purchased CAUTION INACCURATE PATIENT DATA Patient data may be retained from a previous patient Check the patient info screen for each new patient Data assigned to the wrong patient causes erroneous patient data that can affect diagnosis and treatment of the ...

Page 56: ...ts such as obtaining the patient s prior consent If you elect to collect this type of data it is your responsibility to ensure that you comply with all applicable legal requirements 3 If the optional Clinical Trial Data feature is enabled do one of the following If the patient is part of a clinical trial select Yes in the Clinical Trial Data field at the bottom of the Patient Data window A pop up ...

Page 57: ...umber to retrieve orders or ADT data Orders may be retrieved from the local cart or from the MUSE system while ADT information is always retrieved from the MUSE system With this variety of options several configuration combinations are possible However even with all the potential configurations only five responses are possible If the system is not configured to retrieve orders or ADT information o...

Page 58: ...ed and ready for use 1 Connect the bar code scanner to port A on the back panel of the system For information on the system ports refer to Back Panel on page 27 2 Configure the scanner For information refer to Setting Up a Bar Code Reader on page 151 Scanning the Bar Code After the scanner has been set up use the following procedure to scan the bar code 1 For each new patient select Patient Data T...

Page 59: ...load it You can then modify the order information or begin the test Select Cancel to load the patient information directly from the bar code You can then use or modify the patient information as needed For information on configuring your system refer to Appendix E Creating Bar Codes and Magnetic Cards Entering Orders The MAC system offers two methods for entering orders This section describes both...

Page 60: ...receiving from the MUSE system Consult your hospital IT department or your local GE Healthcare networking professional regarding modification of your wireless LAN to improve system performance Regardless of which method s you use to communicate with the MUSE CV system use the following procedure to receive orders 1 Select Ord Mgr Int The Order Manager Interface opens 2 Select Load Orders A pop up ...

Page 61: ... to the Order Manager Interface window The new order is now available 5 Proceed to Selecting and Completing Orders on page 61 Selecting and Completing Orders After you have orders on the system whether they were downloaded from a MUSE CV system or created manually use the following procedure to select and complete them 1 Choose Select The cursor moves to the list of available orders 2 Select the o...

Page 62: ...Entering Patient Information 62 MAC 5500 MAC 5500 HD 2046275 016B ...

Page 63: ...tructions in this chapter assume that the patient has been properly prepared and the electrodes have been placed correctly for the selected ECG type Refer to Chapter 3 Preparing the Patient for details Hookup Advisor The system offers the Hookup Advisor feature which is a tool for monitoring the quality of resting ECG signals and is available in the resting pediatric 15 lead vector loops and Maste...

Page 64: ...dgement level can be set to Yellow Red default or Never Hookup Advisor continuously reviews the ECG data for acceptable lead quality If Pre acquisition is enabled in the system setup the lead quality indicator will reflect the entire previous 10 seconds of ECG data Any displayed messages will be updated on a real time basis to reflect adjustments improvements to the lead quality Once any lead qual...

Page 65: ...opens NOTE All options may not be available depending on system configuration 2 Enter the correct patient information Refer to Chapter 4 Entering Patient Information for details 3 Adjust the ECG settings as appropriate To select a different set of leads press Leads A list of available leads opens All leads selects all the available leads V1 II V5 selects the identified leads I II aVR aVL aVF selec...

Page 66: ...ce all the settings have been adjusted accordingly press ECG Any of the following may occur depending on your system settings TheACI TIPI Required Information window opens This occurs only if the optional ACI TIPI feature is enabled If this window opens complete the following information Age 18 40 41 50 50 Gender Male Female Chest or Left Arm Pain Select Chief Complaint if the complaint of chest p...

Page 67: ...available only if the system was not configured to save the file automatically After the ECG has been stored it can be transmitted to a MUSE system If the system is set up to automatically transmit data the message Establishing network connection will be displayed on the screen If the system is not set up to automatically transmit data you will need to manually initiate the transmission Refer to C...

Page 68: ...nter Display Sound Option Continuous Recording Post Exercise ECG Time 4 Press the ECG button to record a pre exercise ECG 5 Remove the leadwires but keep the electrodes on the patient This prevents the patient from tripping on the leadwires during the test 6 Press Continue to begin the exercise test 7 When the patient finishes the exercise immediately reattach the leadwires to the electrodes Check...

Page 69: ...er to Chapter 7 Editing Protocols This chapter describes how to initiate a stress test and how to conduct each phase of the test Starting a Stress Test Use the following procedure to start a stress test 1 Prepare the patient for the test and attach the leadwires Refer to Chapter 3 Preparing the Patient for instructions 2 Select the appropriate exercise test mode Select Exercise12 to conduct a 12 l...

Page 70: ...itor to configure the protocol to take blood pressure measurements manually or automatically Refer to Chapter 7 Editing Protocols A set of medians is saved at the end of the Pretest phase as the baseline medians 1 On the stress keypad press 12 ld to acquire and print a baseline ECG 2 Press Pretest to advance to the next pretest stage 3 If you are using a treadmill to conduct the exercise test tell...

Page 71: ...m leads All Leads Lead Check or Lead Placement Median Select a lead to act as the median lead This can be a fixed lead or scanned for lead with most ST depression Writer Change the writer s arrhythmia documentation doc cubic spline baseline control paper speed gain filter and writer on off settings Exercise Phase The selected protocol controls the treadmill or ergometer When you enter the exercise...

Page 72: ... speed within 5 seconds of your last workload change Press Speed W to decrease speed within 5 seconds of your last workload change Press Grade to increase grade within 5 seconds of your last workload change Press Grade to decrease grade within 5 seconds of your last workload change The following menu items are available during the exercise phase of the test Menu Item Description Event Press to dis...

Page 73: ...load change Press Grade to decrease grade within 5 seconds of your last workload change The following menu items are available during the recovery phase of the test Menu Item Description Event Press to display a list of predefined events Edit Press during the recovery or test end phase to allow you to enter or edit patient data reason for test termination or comments Measurements Reestablish the m...

Page 74: ...nal Report The following menu items are available during the test end phase of the test Menu Item Description Edit Press during the recovery or test end phase to allow you to enter or edit patient data reason for test termination or comments Reports Reestablish the median complex set the J point and select the three leads used to calculate heart rate Leads Select the leads used for Rhythm Lead 1 2...

Page 75: ...er Description Protocol Name Displays the name of the protocol you are editing To create a new protocol change the name of an existing protocol Menu name Determines how the protocol name appears on the screen menu Exercise Test Type Determines which exercise equipment will be used during the test and consequently the type of test to conduct Valid values are Treadmill in MPH or Km h Select this opt...

Page 76: ...rts The final phase prints the final report Peak report style Determines which report to print at the exercise peak at the beginning of the recovery phase Options include No report 12 15 Ld Medians 5 Second Rhythm Each of a protocol s four phases may consist of several stages that slowly adjust the intensity of the exercise over a period of time The following table lists the stage fields that you ...

Page 77: ... when the first complex is saved and how often the complex will be saved after the first complex is saved Editing or Creating Protocols Use the following procedure to edit an existing protocol or create a new one 1 From the Main Menu select Edit Protocol 2 Select a protocol to edit or spare to create a new protocol 3 Edit the protocol parameters as desired Refer to Protocol Overview on page 75 for...

Page 78: ... foot at a time Avoid rapid changes in belt speed To change the report a Use the arrow pad to select the Report Style field b Click the arrow pad button to open the Report Style pop up c Highlight the report you want to print at this stage d When you are done press Return To change Report Median or BP times a Use the arrow pad to select the appropriate First field b Enter the time at which you wan...

Page 79: ...the Test End phase window 12 Select the report type to print during the Test End phase of the test Test End has only one stage and Report Type is the only parameter you can modify during the phase You have two options No Report or Final 13 When done press Menu This opens a menu with the following options Return Edit protocol phase names Save current protocol Print current protocol Edit different p...

Page 80: ...Editing Protocols 80 MAC 5500 MAC 5500 HD 2046275 016B ...

Page 81: ... the following procedure during an ECG test to print the ECG data in a different report format 1 Run the test The system automatically prints a report as configured in System Setup 2 Select More to view the second screen of options 3 Select New Format 4 Highlight the additional report format s to print 5 Press Return 6 Select Print or press the Copy key to print the selected reports NOTE Changes m...

Page 82: ...ether and so forth Store thermal paper separately in manilla folders or polyester or polyimide protectors Plastic document protectors envelopes or sheet separators made of polystyrene polypropylene or polyethylene will not degrade thermal traces in themselves However these materials afford no protection against fading from external causes Do NOT store thermal papers with any of the following carbo...

Page 83: ...u can also manually transmit stored ECGs at any time This chapter explains how to manually transmit ECGs For information on how to configure the MAC system to automatically print a report refer to Chapter 14 System Setup NOTE When transmitting ECGs to another MAC system the receiving MAC system must be set up to receive the ECGs Refer to Chapter 10 Receiving ECGs for details Transmitting ECGs via ...

Page 84: ...ual Dial c Enter the telephone number of the receiving device d Press Return e Select the modem type f Press Return g Continue to step 4 4 Select the ECG s to be transmitted 5 Select Transmit Transmitting ECGs Locally Use the following procedure to transmit ECGs locally that is within the facility Using this method the devices must be connected via a manual line serial line or Ethernet line 1 Pres...

Page 85: ... ECGs wirelessly NOTE Performance of the MobileLink wireless system may vary due to changes in RF radio frequency properties of your site or environmental conditions If you are experiencing intermittent connectivity in certain areas of your facility it may be necessary to re initiate the process of transmitting to the MUSE system You may also wish to consult your hospital IT department or your loc...

Page 86: ...racted for analysis 1 Connect the serial port of the MAC system to the serial port of a PC running a terminal emulation program 2 On the MAC system press File Manager A list of ECGs opens 3 Press Location A list of available locations opens 4 Highlight a Serial Line location with a Type of XML Output and press Select A list of ECGs opens 5 Select the ECG s to transmit 6 Press Transmit 86 MAC 5500 ...

Page 87: ...from other MAC systems via modem or locally Receiving ECGs via Modem If the modem option was purchased use the following procedure to set up your MAC system to receive ECGs via the modem Before using the following procedure make sure your modem is connect to an analog phone line as shown in the following illustrations Internal Modem External Modem 1 Select Receive to prepare the system for receivi...

Page 88: ...ECGs Refer to Transmitting ECGs Locally on page 84 for instructions on setting up the other MAC system to transmit ECGs locally 3 After all the ECGs have been received select Cancel to take the system out of receiving mode 4 Select Main Menu Receiving ECGs from a MUSE CV System If you purchased the MUSE CV option you can receive ECGs from any MUSE CV system Receiving ECGs from another MAC system i...

Page 89: ...CGs from the default MUSE CV system skip to step 3 To receive ECGs from a different predefined MUSE CV system highlight the correct system in the list of predefined systems and proceed to step 3 To receive ECGs from a MUSE CV system that has not been set up do the following a Select Location Manual Dial b Press Return c Enter the telephone number of the receiving device d Press Return e For Type s...

Page 90: ... selected ECG Return closes the display and returns to the list of ECGs To print the selected ECG s press Print The system retrieves and prints the test s The report format set up in System Setup is used Refer to Chapter 14 System Setup for more information 90 MAC 5500 MAC 5500 HD 2046275 016B ...

Page 91: ...s the patient information medications test information and the ACI TIPI chest or left arm pain data This allows anyone to correct or update the information as necessary 1 Press File Manager A list of ECG reports opens 2 Press Select The cursor appears on the screen 3 Highlight the ECG report to edit 4 Press Edit to open a list of editing options 5 Select one of the following options Patient Inform...

Page 92: ...ws you to edit averaged signal measurements You are prompted to enter the overreader password 6 Enter the overreader password and press Return One of two things happens depending on which option was selected If you selected ECG Measurements the reviewer information fields open Enter the reviewer information and press Return to display the ECG measurements to edit If you select Hi Res Measurements ...

Page 93: ...Edit to open a list of editing options 5 Select Diagnostic Statements You are prompted to enter the overreader password 6 Enter the overreader password and press Return The diagnostic statements open 7 Select the statement to edit 8 To add text to the beginning of the selected statement do the following a Press Insert The following message is displayed The new statement will be inserted BEFORE the...

Page 94: ...d statement with another statement select the second statement and press Join 11 To delete the selected statement press Delete 12 Continue to edit statements as necessary 13 When you are done press Return twice The following message is displayed Select Store to save the edited file This will replace the original file Select Cancel or press Esc to discard the changes made to the current file 14 Sel...

Page 95: ... on the screen 3 Highlight the ECG report s to delete 4 Press Delete Depending on system setup you may be prompted for a password 5 If prompted enter the System or Overread password NOTE The System password should only be used by the system administrator or qualified service personnel All other users should use the Overread password The following message is displayed Warning You have selected file...

Page 96: ...y Use the Page Up function key Page Down function key and arrow pad to navigate through the list of orders NOTE If you select an order that has not been processed a window opens to ask whether you want to delete the unprocessed order Select Yes to continue with the unprocessed order Select No to cancel the selection c When all the orders are selected select Delete The message Are you sure you want...

Page 97: ... The message Are you sure you want to delete all completed orders opens Do one of the following To delete all the completed orders select Yes The orders are deleted and you return to the opening set of menu options To cancel the deletion select No The orders are not deleted and you return to the opening set of menu options 2046275 016B MAC 5500 MAC 5500 HD 97 ...

Page 98: ...Deleting ECGs and Orders 98 MAC 5500 MAC 5500 HD 2046275 016B ...

Page 99: ...g corresponding ECG file1 No Yes Memory Status Messaging 70 90 Full SD Card Full Copy Restore ECG files to from SD card Yes N A Ability to create XML file from File Manager Yes Yes Save System Setup to SD Card Yes Yes Ability to access orders on SD card No Yes 1 System overwrites XML files with the same name Supported SD Cards The system supports SD cards of the following capacity 64 MB 128 MB 256...

Page 100: ...sition until you are ready to copy data to or remove data from the card Inserting and Ejecting the SD Card To use the card insert it into the card reader on the back of the MAC system When it is properly inserted it will snap into place To remove the SD card from the slot press the card into the slot the slot is spring loaded and will eject the SD card Formatting the SD Card Most secure digital ca...

Page 101: ...ng must be set to No on the Miscellaneous Setup screen NOTE Copying files from internal storage to external storage deletes any files on the SD card Be sure the SD card does not contain any files you need before continuing 1 Insert the SD card into the system s card slot Refer to Inserting and Ejecting the SD Card on page 100 2 Select File Manager to open the list of stored ECGs 3 Select Copy All ...

Page 102: ...e following message is displayed Existing records if any in memory will be deleted Continue 4 Do one of the following To cancel the copy select No To continue copying the files select Yes The following message is displayed Deleting existing records if any in memory Please wait An indicator shows the progress completion of the copying procedure Saving Files in XML Format In addition to transmitting...

Page 103: ...The following message is displayed Please Insert SD Card Press Esc to cancel 5 Insert the SD card The following message is displayed Current Version xx xx New Software Version yy yy Press Enter to start update 6 Press Enter NOTE If the device is not connected to AC power the message Please switch to AC Power is displayed Connect the device to an AC outlet A series of messages flash on the screen t...

Page 104: ... later from service setup To update the boot code press Enter The following messages are displayed Programming Primary Boot Programming Over System will shut down Press any key to continue Press any key to shut down the device 8 After the device shuts down press Power to restart the device 9 On the Resting ECG screen verify the software version has been updated 104 MAC 5500 MAC 5500 HD 2046275 016...

Page 105: ...s In addition the chapter provides an overview of the System Setup hierarchy and instructions on how to print save and restore the system settings System Setup Hierarchy The following list shows the hierarchy of the device s System Setup menu Use it to help you locate the system settings to configure Basic System Miscellaneous Setup Patient Questions Screen Colors Transmission Network Setup Option...

Page 106: ...ts Unconfirmed Reports 15 Lead Reports Extra Leads Report Leads Confirmed Reports Unconfirmed Reports Vector Loops Vector Loops Report Leads Confirmed Reports Unconfirmed Reports Analog Outputs CD Data Guard Setup Critical Values Setup Notifications Setup Restore from SD Card Save to SD Card Exercise Tests Miscellaneous Setup Patient Questions Writer Setup 12 Lead Exercise Report Leads Exercise Re...

Page 107: ...nter the system setup password 2 Type the system setup password and press Return The System Setup window opens 3 Select the function to configure The selected function s settings are displayed on the screen 4 Configure the settings as appropriate Refer to the corresponding function sections in this chapter for detailed descriptions of the settings 5 When you are done configuring the section select...

Page 108: ...stem to start up into the function you use most often 1 Log into the System Setup function Refer to Process Overview on page 107 2 Select Basic System 3 Select Power Up Options 4 Select the function you want the system to load on startup For more information refer to Power Up Options on page 121 5 Press Return Setting Up ECG Preview Preview allows you to review the ECG on screen before it is print...

Page 109: ...Reports Vector Loops Reports 4 Select Unconfirmed Reports A list of available report formats is displayed 5 Select the type and quantity of formats to print 6 When you are done press Return Setting Up Automatic ECG Storing Use the following procedure to set up the system to automatically store an ECG 1 Log into the System Setup function Refer to Process Overview on page 107 2 Select ECG ECG Analys...

Page 110: ...ng This option allows you to select the report format that will print for signal averaged ECGs 1 Log into the System Setup function Refer to Process Overview on page 107 2 Select Hi Res A list of available report formats is displayed 3 Select the type and quantity of formats to print 4 When you are done press Return Setting Up ACI TIPI Interpretation Use the following procedure to set up the syste...

Page 111: ...rmines how text will be entered in the system Select Uppercase only to type text in uppercase letters Select Upper and lowercase to type text in upper and lowercase letters Speaker volume Determines how loud the system speaker will be Select Low to set the system s speaker to low volume Select High to set the system s speaker to high volume External video port To use an external monitor with the s...

Page 112: ...s to print the ECG information on the report Print barcodes Determines whether the system will print the patient information in a barcode format on the report Select Yes to print the bar code Automatic Shutdown Determines whether the system will shut down automatically after a set number of minutes if a key is not pressed To disable automatic shutdown enter 0 in the field To enable automatic shutd...

Page 113: ... described in this manual Data access speeds may vary depending on the SD card capacity and manufacturer This may affect the time required to read or write ECG records and other information to the SD card For more information on SD cards refer to Chapter 13 Using an SD Card Patient Questions To configure the prompts that are displayed when you select Patient Data in the Resting ECG application log...

Page 114: ... measured Select in lb to measure the height in inches and weight in pounds Select cm kg to measure the height in centimeters and the weight in kilograms Race Determines whether the system will prompt for the patient s race Select Yes to prompt for race NOTE Race has been acknowledged by the medical profession as useful to analyze some pathologies You should be aware that in some jurisdictions the...

Page 115: ...n s name Location Determines whether the system prompts for the test location Select Yes to prompt for location Enter numbers that corresponds with the locations on the MUSE CV system with which this unit communicates Room number Determines whether the system prompts for the room number where the test was taken Select Yes to prompt for room number Options Determines whether the system prompts for ...

Page 116: ...plete the fields described in the following table Transmission Settings Field Description Modem Speaker Determines whether the modem s tones are audible Select the appropriate value Select On to hear modem tones Select Off to silence modem tones Select Dialing Only to hear the modem tones only when it is dialing Dialtone required Determines whether the system must be connected to a telephone line ...

Page 117: ... transmitting to a facsimile machine NOTE When faxing a batch of ECGs the system does not transmit all the ECGs in the batch in a single fax Instead it faxes the first ECG hangs up redials and faxes the next ECG This is its normal mode of operation Use IR for serial line Determines whether the system will use the serial port or infrared port To use the infrared port select Yes To use the serial po...

Page 118: ...ield Description IP Address Identifies the network s IP address Subnet Mask Identifies the network s subnet mask Gateway Identifies the network s gateway Port Number Identifies the network s port number Option Activation Use the following procedure to activate system options 1 Log into the System Setup function Refer to Process Overview on page 107 2 Select Basic System Option Activation 118 MAC 5...

Page 119: ...al score representing the probability that the patient has acute cardiac ischemia Gen 12SL GN12 Enables the use of gender and age specific interpretation criteria when generating 12SL diagnosis Color COLR Allows you select one of two color options for the display screen Master s Step MAST Enables the Master s Step stress test Available only in Japan Wireless WIFI Enables the transmission of ECGs o...

Page 120: ...played next to the option in the list indicating it is now active 4 Repeat for each option you purchased 5 When you are done select Return Date and Time To configure the system s date and time log on to the System Setup screen select Basic System Date and Time and complete the fields described in the following table Date and Time Configuration Field Description Current date Select the current date...

Page 121: ...ng ECG Pediatric ECG Vector Loops 15 Lead ECG Order Manager Interface Order Manager Interface To configure the system s Order Manager log on to the System Setup screen select Basic System Order Manager Interface and complete the fields described in the following table Order Manager Interface Field Description Initial sort value Determines how the Order Manager initially sorts the ECGs Select one o...

Page 122: ...sociated orders are deleted automatically To delete all ECGs use the following settings Auto ECG Storage No ECGs Auto ECG Transmission All ECGs To delete only abnormal ECGs use the following settings Auto ECG Storage No ECGs Auto ECG Transmission Only Abnormal ECGs To delete only normal ECGs use the following settings Auto ECG Storage Only Abnormal ECGs Auto ECG Transmission All ECGs Default order...

Page 123: ...select Card Reader or Bar Code Reader the valid options are Automatic Manual None If you select Internal Keyboard the valid options are Manual None For more information on configuring the card reader or the bar code reader refer to Setting Up a Card Reader on page 149 and Setting Up a Bar Code Reader on page 151 Setting Up ECGs This section describes the following ECG settings ECG Acquisition ECG ...

Page 124: ...ed the system is very sensitive and should NOT be placed close to equipment that emits high frequency radiation High frequency radiation can interfere with pacemaker pulse detection and normal ECG acquisition NOTE GE Healthcare recommends that this be set to No unless it is known that the majority of this cardiograph usage will be on patients with pacemakers The pacemaker pulse enhancement can alw...

Page 125: ... be displayed when the user is prompted to continue in the preview screen The generation of the statement Poor data quality interpretation may be adversely affected is based on the Hookup Advisor quality level as previously described even if Hookup Advisor is not turned on If Hookup Advisor is not turned on the statement will be generated based on what the Hookup Advisor level would have been had ...

Page 126: ...ceiving device 250Hz This option is not available with the ACI TIPI option Store XML format Determines whether the system will automatically save ECGs in XML format in addition to the proprietary GE Healthcare Hilltop format If this option is selected the XML files are stored to the following path on a blank SD Card Drive XML XML Before setting this option be aware of the following If storing ECGs...

Page 127: ...Description Prompt Allows you to define custom patient questions Type Allows you to set the type of response for the custom patient question Valid values are Numbers and letters Allows the entry of any alphanumeric value Numbers only Allows the entry of numeric values only Yes or No Allows only Yes and No answers Writer Setup To configure the writer s behavior log on to the System Setup screen sel...

Page 128: ...though the available values for each setting may differ depending on the ECG type Use the following instructions to select the correct Report Leads for each report type Resting ECG Report System Setup ECG Resting ECG Reports Report Leads Pediatric ECG Report System Setup ECG Pediatric ECG Reports Report Leads 15 Lead ECG Report System Setup ECG 15 Lead Reports Report Leads Vector Loops ECG Report ...

Page 129: ...rts When you change a rhythm lead the new lead prints on all reports that include the lead For example if you select V5 for RMR CGR extra rhythm lead 1 then the V5 waveform prints on all reports that include RMR CGR extra rhythm lead 1 Swedish format rhythm leads Sets the rhythm lead s to print in the Swedish Format reports When you change a rhythm lead the new lead prints on all reports that incl...

Page 130: ...default value for the lead z display Sagittal plane Select a default value for sagittal plane Confirmed Reports The Confirmed Reports settings allow you to configure the following values number of copies to print for each format whether to include tic marks on the Medians Report whether to increase the median by two on the Medians Report whether to include auto gain and auto shift on the 2 by 5s S...

Page 131: ...elect Yes to include tic marks Medians times 2 Available only for the Expanded Median report this field determines whether the medians will be doubled Select Yes to double the medians Auto gain Available only for the 2 by 5s Simult report this field determines whether the report will apply the auto gain filter Select Yes to apply the auto gain filter Auto shift Available only for the 2 by 5s Simul...

Page 132: ...o on the Medians Report whether to include auto gain and auto shift on the 2 by 5s Simult report the confirmation text that will print on the reports The formats are the same for each ECG type except for the Resting ECG Report which includes additional formats Use the following instructions to select the correct Unconfirmed Reports for each report type Resting ECG Report System Setup ECG Resting E...

Page 133: ...s whether the medians will be doubled Select Yes to double the medians Auto gain Available only for the 2 by 5s Simult report this field determines whether the report will apply the auto gain filter Select Yes to apply the auto gain filter Auto shift Available only for the 2 by 5s Simult report this field determines whether the report will apply the auto shift filter Select Yes to apply the auto s...

Page 134: ...he system log on to the System Setup screen select ECG Analog Outputs and complete the fields described in the following table Analog Outputs Field Description Fast Analog Output Determines the lead signals sent to the device Options are Not used I II V1 V6 TTL Output Determines how the TTL output will be used Options are Not Used QRS Detect Polarity Determines the polarity of the TTL Output Optio...

Page 135: ...or clinical trials Project Code Enter the code identifying the project It can be up to 32 characters long Trial ID Enter the ID of the trial It can be up to 10 characters long Investigator ID Determines whether the investigator s ID must be entered on each test The investigator s ID can be up to 16 characters long Select Yes to require the investigator s ID Visit Number Determines whether the visi...

Page 136: ...sables the deletion of ECGs that have not been transmitted Select Yes to prevent the deletion of untransmitted ECGs Enable record re transmit notification Enables a notification if users attempt to retransmit records that have already been transmitted to the MUSE CV system Select Yes to enable the notification Critical Values Setup The optional Critical Values function allows you to set up custom ...

Page 137: ...nute Adult heart rates that equal or exceed this value will trigger the notification Adult Low HR Value Adult Low HR enables the notification for ECGs that do not meet or exceed a set heart rate Select Yes to enable Adult Low HR notifications Value identifies the trigger value in beats per minute Adult heart rates less than or equal to this value will trigger the notification Pediatric High HR Val...

Page 138: ...al Values Notifications Refer to Notifications Setup on page 137 for details 2 When you are done configuring your settings select Return at the bottom of the window This saves your settings to local memory and returns you to the Critical Values Setup menu 3 Insert the SD card if necessary 4 Select Save to SD Card and press Return The settings are saved to the card 5 Eject the card and save it in a...

Page 139: ...get Noise Level Determines the target level of noise in microvolts Enter a value from 0 1 to 1 0 GE Healthcare recommends averaging a noise level of 0 3 microvolts Correlation Threshold Determines the degree of correlation threshold GE Healthcare recommends the Very High setting Final Report Determines how many copies of the final report to print Enter a value from 0 to 10 Prompt Allows you to def...

Page 140: ...ss test was terminated Patient Questions To configure the patient s heart rate values and questions log on to the System Setup screen select Exercise Test Patient Question and complete the fields described in the following table Patient Questions Field Description Max Pred HR Determines whether the patient s maximum predicted heart rate must be entered Target Heart Rate Determines whether the pati...

Page 141: ...efines the location in milliseconds after the J point where the ST Measurement is to be taken Enter a value from 0 to 200 Writer Enables or disables the writer for the exercise test Exercise Reports You can configure the reports generated for 12 Lead Exercise Stress ECGs 15 Lead Exercise Stress ECGs and Final Report For each ECG you can configure the leads used for the reports formats used for the...

Page 142: ...on for each of the six rhythm groups to determine the rhythm leads that print when you select the rhythm key within an application Select 3 leads to define which three leads in a three lead Rhythm report print Select 6 leads to define which six leads in a six lead Rhythm report print Select All leads to display and print 10 seconds of data for 12 or 15 leads Select Lead Check to display and print ...

Page 143: ...u to define the leads used by the three additional electrodes To configure the extra leads log on to System Setup Exercise Test 15 Lead Exercise Extra Leads Extra Leads Field Description Lead Set Determines the three additional leads used for 15 lead reports You can Select a predefined set of leads CML CM5 CC5 ML CMH CM5 CC5 CH NEHB D A J Frank X Y Z Select Custom 3 to define electrode positions f...

Page 144: ...dians Rhythm 12 Lead Comparative Medians Rhythm The following table lists the available report formats Exercise Reports Formats Report Format 12 Leads 15 Leads 2 by 5s Y 2 by 5s 1 rhythm ld Y 4 by 2 5s 1 rhythm ld Y 4 by 2 5s 3 rhythm lds Y 4 by 2 5s Y 5 by 2s Y 5 by 2s 1 rhythm ld Y 5 by 2s 3 rhythm ld Y 12 rhythm leads Y Autorhythm Y Y CGR Y RMR Y Y Swedish format 1 Y Final Report The Final Repo...

Page 145: ...If you enter 0 the report will not print Selected Medians Determines how many copies of the report will print Enter a value from 0 to 10 If you enter 0 the report will not print Trend Medians Determines how many copies of the report will print Enter a value from 0 to 10 If you enter 0 the report will not print Median Report Leads Determines how many copies of the report will print Enter a value fr...

Page 146: ...her the median complex is displayed in front of the Rhythm Lead 1 2 and 3 Screen Filter Determines the filter to use for displaying the exercise test Options are 20Hz 40Hz Inputs and Outputs To configure the input and output signals sent to additional equipment such as ergometers connected to the system log on to the System Setup screen select Exercise Test Inputs Outputs and complete the fields d...

Page 147: ...ergometers the analog output should be configured for workload for analog treadmills they should be configured for speed and grade Fast Analog Output Determines the lead signals sent to the device Options are Not Used DC Heart Rate Workload Speed x1 Speed x3 Grade Not used I II V1 V6 Blood Pressure Determines how the blood pressure will be entered into the system Options are Manual Ergoline Ergome...

Page 148: ...RS detector signal Enter a value from 0 to 100 QRS Beep Determines whether the system beeps for each QRS complex Select On to enable the beep Hi Res To configure the settings for the Hi Res option select System Setup Hi Res and complete the fields described in the following table Hi Res Settings Field Description Analysis Filter Determines which analysis filter to use Options are 25 250Hz 40 250Hz...

Page 149: ...ort will not print Overlapped Format Determines how many copies of this report print for the Hi Res function Enter a value from 0 to 10 If you enter 0 the report will not print Prompt Allows you to define two custom patient questions when entering patient data for the Hi Res test Type Determines the type of response allowed for each custom patient question Options are Numbers and Letters Numbers o...

Page 150: ...lect Card Reader Configuration Automatic Return The following message is displayed Slide the Configuration Card 9 Slide the configuration card through the card reader The Manual Card Reader Configuration window opens with the values filled in 10 Press esc twice 11 Select Save Setup To System Manual Configuration Use the following procedure to manually configure your magnetic card reader 1 With the...

Page 151: ...k of the system 3 From the Main Menu select System Setup Basic System Input Method Select Patient Data Input Device Bar Code Reader Return 4 When the Manual Bar Code Reader Configuration window opens press esc 5 When the Basic System menu opens press esc 6 Select Save Setup To System 7 Restart the device 8 From the Main Menu select System Setup Basic System Input Method Select Bar Code Reader Conf...

Page 152: ...ered If the patient s age weight sex and age are entered the number of steps is automatically calculated For more information refer to Appendix D Master s Step Data Test Type Determines the test duration Options are Single Sets the test for a 1 5 minute duration Double Sets the test for a 3 minute duration Triple Sets the test for a 4 5 minute duration Post J ms Defines the location in millisecond...

Page 153: ... or to an SD card After saving your changes to local memory you should also save the settings to an SD card for use in restoring your settings at a later date You can also use a saved configuration to quickly configure subsequent systems NOTE Saving the system setup to an SD card does NOT save your Critical Values configuration You must manually save the Critical Values configuration Refer to Savi...

Page 154: ...System Setup An SD card with the system settings must be inserted into the device s card slot To cancel the restore select Do Not Restore Setup 154 MAC 5500 MAC 5500 HD 2046275 016B ...

Page 155: ...bility for performing the recommended maintenance schedule unless an Equipment Maintenance Agreement exists The sole responsibility rests with the individuals hospitals or institutions utilizing the device Inspecting and Cleaning the MAC System When inspecting and cleaning your system take the following precautions Turn off the system Do NOT immerse any part of the equipment in liquid Do NOT use o...

Page 156: ...re to observe all cautions when cleaning the device 1 To clean wipe with a lightly moistened cloth Use a mild soap and water solution to moisten the cloth Do NOT use any of the following cleaning products or products that contain the same active ingredients and solutions which are known to cause the problems previously listed Sani Cloth Wipes Ascepti Wipes HB Quat Clorox Wipes they do not contain ...

Page 157: ...an the device cables or leadwires Do not use until thoroughly dry Cleaning Disinfecting and Storing ECG Cables and Leadwires In addition to keeping the MAC system clean and in good repair it is important to keep the leadwires clean and disinfected This section provides instructions for cleaning disinfecting and storing ECG cables and leadwires to extend their life and protect patients NOTE This in...

Page 158: ...for Selection and Use of Disinfectants 1996 Sodium hypochlorite 5 2 household bleach minimum 1 500 dilution minimum 100 ppm free chlorine and maximum 1 10 dilution Any sodium hypochlorite wipe product that meets the previous guidelines can be used 5 Observe the following guidelines when cleaning and disinfecting cables and leadwires Do NOT immerse either end of a cable or leadwire connector Immers...

Page 159: ...rovides instructions for cleaning disinfecting and storing the acquisition modules to extend their life and protect patients Cleaning and Disinfecting Acquisition Modules Proper cleaning and disinfecting prolongs the life of acquisition devices Failure to use the proper cleaning solutions or to follow proper procedures can result in the following Appearance of waveforms when not connected to a pat...

Page 160: ...ne minute or per hospital guidelines 5 Wipe off the cleaning solution disinfectant with a clean moistened cloth 6 Dry with a clean cloth or paper towel Cautions Follow the cleaning instructions exactly Wring excess disinfectant from wipe before using Never immerse the device cables or leadwires in any liquid as this may corrode metal contacts and affect signal quality Do not allow fluid to pool ar...

Page 161: ...nner other than that described in the following procedure may cause the unit to malfunction and void the warranty The battery compartment is not waterproof Make certain fluids do not enter the electronics through the air holes in the battery compartment floor 1 Remove the battery from the battery compartment 2 Clean the device with a gauze pad or cloth lightly moistened with one of the following a...

Page 162: ... the paper feeds correctly you must adjust the paper guide 1 Open the MAC writer drawer 2 To set the tray for A4 paper slide the paper guide toward the rear of the device 3 To set the tray for standard US Letter paper slide the guide toward the front of the device 4 You are now ready to load your paper 162 MAC 5500 MAC 5500 HD 2046275 016B ...

Page 163: ...er with the holes on the left 3 Advance the first sheet of paper 4 Close the writer drawer securely Battery Maintenance Proper battery maintenance prolongs the battery life and ensures that the MAC system will operate when needed Proper maintenance consists of the following Charging the battery Conditioning the battery Replacing the battery 2046275 016B MAC 5500 MAC 5500 HD 163 ...

Page 164: ...scription 1 Battery gauge icon position 2 Battery fully charged 3 Battery 1 2 charged 4 Battery 1 4 charged 5 Battery fully discharged NOTE The system may run for a long time after the fully discharged icon appears When the battery is fully discharged the system will power off To operate your system at that time you must connect the system to an AC wall outlet Use the following procedure to charge...

Page 165: ...tent battery performance A deep discharge cycle occurs when the battery is discharged until the system shuts down and then recharged until it is full GE Healthcare recommends one deep discharge cycle once every three months but does not recommend over exercising the battery with multiple deep discharge cycles Replacing the Battery No matter how well you maintain your battery you will eventually ne...

Page 166: ... guidelines concerning disposal and recycling WARNING CHEMICAL BURN If battery fluid contacts your skin eyes or clothing immediately wash the area with clean water and see a doctor Replacing Leadwire Adapters The following diagram shows how to replace the acquisition leadwire adapters 166 MAC 5500 MAC 5500 HD 2046275 016B ...

Page 167: ...Maintenance 2046275 016B MAC 5500 MAC 5500 HD 167 ...

Page 168: ...Maintenance 168 MAC 5500 MAC 5500 HD 2046275 016B ...

Page 169: ...o the proper operation of the equipment described in the manual Is the battery installed When connected to an AC wall outlet does the green AC power light glow Is the writer door closed Visual Inspection A thorough visual inspection of the equipment can save time Items such as disconnected cables or missing hardware can frequently cause symptoms and equipment failures that may appear to be unrelat...

Page 170: ...ange gender and chest arm pain complaints be entered Verify the patient is older than 16 ACI TIPI does not apply for pediatric patients Verify the original ECG was acquired with an electrocardiograph with the ACI TIPI option enabled ACI TIPI information must be gathered when the ECG was acquired For more information refer to Setting Up ACI TIPI Interpretation on page 110 External Device Does Not R...

Page 171: ...nnect the system to an AC wall outlet to charge the battery Refer to Battery Maintenance on page 163 Battery is discharged Connect the system to an AC wall outlet to charge the battery Refer to Battery Maintenance on page 163 The system shuts down when operating from battery The Automatic Shutdown feature is enabled Power up the unit Adjust the Automatic Shutdown settings if necessary Refer to Cha...

Page 172: ...ted to the staff Contact your administrator for the Device Password You are prompted to format to recover the file system The internal storage has been corrupted Format the internal storage to restore the file system NOTE System recovery from internal storage corruption will destroy all ECG records in the system s internal memory 172 MAC 5500 MAC 5500 HD 2046275 016B ...

Page 173: ...Numeric Reports Several reports use numeric titles that describe the way in which the data is presented For example the report 4 by 2 5s 1 rhythm ld presents the following information 1 Four columns of data containing 3 leads with 2 5 seconds of data in each lead 4 by 2 5s 2 One 10 second rhythm lead 1 rhythm ld The following numeric reports are available 2 by 5 2 5s 50 mm s writer speed 2 by 5s 1...

Page 174: ...the upper portion of this report Below the medians are three rhythm strips These rhythm leads are the first three leads of the Swedish format rhythm leads group that is configured in Exercise Setups Report Leads 6 Lead Comparative Medians and Rhythm The baseline and current medians are compared side by side and followed by real time waveforms The 6 leads used by this report are the Swedish format ...

Page 175: ...e waveform overlap Depending on the amount of overlap the Auto Gain may be applied to all leads or only the chest leads If enabled this feature affects the printed 2x5 second report If both Auto Shift and Auto Gain are selected the 2x5 second printed report will be a 2 or a 3 page report The first page will be in the 2x5 format with the default system gain and with Auto Shift applied In most cases...

Page 176: ...1 aVR aVL excluded For elevation aVR is excluded Tabular Report Tabular summary of test by stage including time speed grade workload MET level heart rate blood pressure RPP and comments Selected Medians Report Records median morphologies at Baseline Maximum ST Depression Peak Exercise and Test End for 12 leads For Maximum ST medians the column only prints when a minimum of 5 mm of ST depression oc...

Page 177: ...ercise reports Code Description A Auto Arrhythmia Reporting is ON A Auto Arrhythmia Reporting is OFF H Stag Hold is ON H Stag Hold is OFF S Cubic Spline is ON S Cubic Spline is OFF 50 50Hz AC filter is ON 60 60Hz AC filter is ON HR Binary encoded format for heart rate leads 2046275 016B MAC 5500 MAC 5500 HD 177 ...

Page 178: ...Report Formats 178 MAC 5500 MAC 5500 HD 2046275 016B ...

Page 179: ... need to run a Master s Step stress test NOTE The Master s Step is an option and is available only in Japan Master s Step Table The following table identifies the number of steps to set according to the patient s age gender and weight 2046275 016B MAC 5500 MAC 5500 HD 179 ...

Page 180: ...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 20 23 2...

Page 181: ...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 17 20...

Page 182: ...evation 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 post J a...

Page 183: ...onfiguring your magnetic card reader and bar code reader Refer to Setting Up a Card Reader on page 149 and Setting Up a Bar Code Reader on page 151 for instructions on accessing the configuration window When instructed to enter a field s Offset and Length keep in mind the following information For Offset enter the field s beginning position For the first field in the bar code or magnetic card the ...

Page 184: ...h Be aware of the following criteria when setting the length value can be from 0 to 10 should equal the 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 Last Name The patient s last name Enter the field s Offset and Length Be aware of the following c...

Page 185: ...retrieves orders from the MUSE system or cart depending on the setting of the Retrieve Orders From field Orders then ADT if no orders This option first attempts to retrieve matching orders If no orders are found it then attempts to retrieve patient demographics ADT Patient Demographics This option retrieves patient demographics from the associated ADT system SWEDEN ONLY To enable support for Maste...

Page 186: ...c Cards Automatic Configuration Settings Field 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 F Visit Number 8 186 MAC 5500 MAC 5500 HD 2046275 016B ...

Page 187: ......

Page 188: ...GmbH Munzinger Straße 5 D 79111 Freiburg Germany Tel 49 761 45 43 0 Fax 49 761 45 43 233 GE Medical Systems Information Technologies Inc Asia GE China Co Ltd 1 Huatuo Road Zhangjiang Hi tech Park Pudong Shanghai People s Republic of China 201203 Tel 86 21 3877 7888 Fax 86 21 3877 7451 GE Medical Systems Information Technologies Inc a General Electric Company going to market as GE Healthcare www ge...

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