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Editing Acronyms: Resting ECG Acronyms

MAC 5000 System — 2000657-024, Revision A

C-5

Left  atrial  rhythm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . LAR
Left  atrial  tachycardia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . L ATA C H
Left  axis  deviation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . L A D 3
Left  bundle  branch  block . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . L B B B
Left  posterior  fascicular  block . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PFB
Left  ventricular  hypertrophy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . LV H 2
Leftward  axis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . LAD
** Less than 4 QRS complexes detected, no

interpretation possible **. . . . . . . . . . . . . . . . . . . . . . . . . A N L E R R 3

Low  right  atrial  bradycardia . . . . . . . . . . . . . . . . . . . . . . . . . R A B R A D
Low  right  atrial  rhythm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . RAR
Low  right  atrial  tachycardia . . . . . . . . . . . . . . . . . . . . . . . . . . R ATA C H
Low  voltage  QRS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . L O W V
Marked  sinus  bradycardia . . . . . . . . . . . . . . . . . . . . . . . . . . . M S B R A D
Marked ST abnormality, possible

anterior subendocardial injury . . . . . . . . . . . . . . . . . . . . . . . A S B I N J

Marked ST abnormality, possible

anterolateral subendocardial injury . . . . . . . . . . . . . . . . M S T D A L

Marked ST abnormality, possible

anteroseptal subendocardial injury. . . . . . . . . . . . . . . . . M S T D A S

Figure C-1. Resting ECG Acronyms (Continued)

Statement Acronym

Marked ST abnormality, possible

inferior subendocardial injury . . . . . . . . . . . . . . . . . . . . . . . . I S B I N J

Marked ST abnormality, possible

inferolateral subendocardial injury . . . . . . . . . . . . . . . . . M S T D I L

Marked ST abnormality, possible

lateral subendocardial injury . . . . . . . . . . . . . . . . . . . . . . . . L S B I N J

Marked ST abnormality, possible septal

subendocardial injury . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S S B I N J

Marked T wave abnormality, consider

anterior ischemia. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . MAT

Marked T wave abnormality, consider

anterolateral ischemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . M A LT

Marked T wave abnormality, consider

inferior ischemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . MIT

Marked T wave abnormality, consider

inferolateral ischemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . M I LT

Marked T wave abnormality, consider

lateral ischemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . MLT

# (masked by fascicular block?) . . . . . . . . . . . . . . . . . . . . . . . . . . . M A F B

, maybe secondary to QRS

abnormality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S N D Q A

Figure C-1. Resting ECG Acronyms (Continued)

Statement Acronym

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Summary of Contents for MAC 5000

Page 1: ... 0 5HVWLQJ QDO VLV 6 VWHP 2SHUDWRU V 0DQXDO Software Version 005A 31 5HYLVLRQ ...

Page 2: ...ve Medicine Quantitative Sentinel RAC RAMS RSVP SAM SEER SILVERTRACE SOLAR SOLARVIEW Spectra 400 Spectra Overview Spectra Tel ST GUARD TRAM TRAM NET TRAM RAC TRAMSCOPE TRIM KNOB Trimline UNION STATION UNITY logo UNITY NETWORK Vari X Vari X Cardiomatic VariCath VARIDEX VAS and Vision Care Filter are trademarks of GE Medical Systems Information Technologies registered in the United States Patent and...

Page 3: ...ctured in Germany the CE mark is applied under the authority of Notified Body VDE 0366 The country of manufacture and appropriate Notified Body can be found on the equipment labeling The product complies with the requirements of standard EN 60601 1 2 Electromagnetic Compatibility Medical Electrical Equipment The safety and effectiveness of this device has been verified against previously distribut...

Page 4: ...MAC 5000 System 2000657 024 Revision A CE 2 For Your Notes ...

Page 5: ...2 Equipment Overview Equipment Description 2 3 Getting Started 2 12 3 Preparing the Patient Prepare the Patient s Skin 3 3 Apply the Electrodes 3 4 4 Entering Patient Information Enter Patient Information 4 3 Using a Patient Card Reader Option Japan only 4 5 Receive Orders From a MUSE CV System Option 4 6 Enter Orders Manually Option 4 9 ...

Page 6: ...ion 5 10 6 Printing an ECG Report Print Stored ECG Reports 6 3 7 Transmitting an ECG Transmit Stored ECGs by Modem Option 7 3 Transmit Stored ECGs Locally 7 5 8 Receiving an ECG Receive ECGs by Modem Option 8 3 Receive ECGs Locally 8 5 Retrieve Confirmed ECGs from a MUSE CV System Option 8 7 9 Editing an ECG Edit Demographic and Interpretive Data 9 3 10 Deleting an ECG Delete Stored ECGs 10 3 Dele...

Page 7: ...2 5 Define the Basic System Setup 12 9 Define the ECG Setup 12 21 Define the Signal Averaged ECG Setup Option 12 32 Master s Step Setup Option Japan Only 12 34 Miscellaneous Setup 12 35 A Maintenance General A 3 Inspecting and Cleaning A 4 Changing the Paper Tray Size A 6 Replacing Paper A 7 Storing Paper A 8 Maintaining the Battery A 11 Mounting or Dismounting the Trolley A 15 Replacing Acquisiti...

Page 8: ...ion A B Troubleshooting Introduction B 3 Equipment Problems B 4 C Editing Acronyms Resting ECG Acronyms C 3 D Technical Specifications E Report Formats Format Description E 3 F Masters Step Data Masters Step Table F 3 ST T Change F 6 Index ...

Page 9: ...MAC 5000 System 2000657 024 Revision A 1 1 Introduction 1 ...

Page 10: ...MAC 5000 System 2000657 024 Revision A 1 2 For your notes ...

Page 11: ...th its function and intended use Intended Audience This manual is intended for the person who uses maintains or troubleshoots this equipment Revision History Each page of the document has the document part number and revision letter at the bottom of the page The revision letter identifies the document s update level Figure 1 1 Revision History Letter Date Comment A 12 January 2001 Initial release ...

Page 12: ...d operation A sign between the names of two keys indicates that you must press and hold the first key while pressing the second key once For example Press Ctrl Esc means to press and hold down the Ctrl key while pressing the Esc key Space Indicates you must press the spacebar When instructions are given for typing a precise text string with one or more spaces the point where the spacebar must be p...

Page 13: ...User Instructions Your Action A Press the f1 f2 f3 f4 f5 or f6 key located below the screen menu item B Press to close a screen menu C Press to turn the system power on or off as indicated in the procedure D Press to enter data into the system E Press to acquire ECG data and to print or stop printing writer reports F Insert or remove a diskette as indicated by the direction of the arrow G Select t...

Page 14: ...ipment in general and in most cases apply to all aspects of the equipment There are additional safety statements in the document s chapters that are specific to that chapter Danger Indicates an imminently hazardous situation which if not avoided WILL result in death or serious injury Indicates a potentially hazardous situation which if not avoided COULD result in death or serious injury Indicates ...

Page 15: ...nit from its battery if the integrity of the protective earth conductor is in doubt M15287 120A WARNING Interpretation hazard A qualified physician must overread all computer generated tracings Computerized interpretation is only significant when used in conjuction with clinical findings M15287 17B CAUTION U S Federal law restricts this device to sale by or on the order of a physician M15287 17B C...

Page 16: ...whether they are needed to perform the exam A field RACE is one of these optional fields It has been acknowledged by the medical profession as useful to analyze some pathologies You should be aware that in some jurisdictions the processing of data revealing an individual s racial origin is subject to legal requirements such as obtaining the patient s prior consent If you elect to collect this type...

Page 17: ...ructions for use General Information Intended Use The intended use of this device is to record ECG signals from surface ECG electrodes This device can analyze record and store electrocardiographic information from adult and pediatric populations This data can then be computer analyzed with various algorithms such as interpretive ECG and signal averaging for presentation to the user This device is ...

Page 18: ...or clinical environment by competent health professionals ACI TIPI uses recorded ECG data to produce a numerical score which is the predicted probability of acute cardiac ischemia Like any computer assisted ECG interpretation program the GE Medical Systems Information Technologies ACI TIPI evaluation and probability score is intended to supplement not substitute for the physician s decision proces...

Page 19: ... the ECG signal To avoid this condition use non polarizing electrodes which will not form a dc offset voltage when subjected to a dc current such as silver silver chloride types if there is a situation where there is a likelihood that a defibrillation procedure will be necessary If polarizing electrodes are used we recommend disconnecting the leadwires from the patient before delivering the shock ...

Page 20: ...ne 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 the installation o...

Page 21: ... system configuration must meet the requirements of the IEC 60601 1 1 medical electrical systems standard The use of ACCESSORY equipment not complying with the equivalent safety requirements of this equipment may lead to a reduced level of safety of the resulting system Consideration relating to the choice shall include n use of the accessory in the PATIENT VICINITY and n evidence that the safety ...

Page 22: ...ery into the garbage Recycle the battery Consult accompanying documents This position of the switch removes battery power from the equipment Classified with respect to electric shock fire mechanical and other specified hazards only in accordance with UL 2601 1 CAN CSA C22 2 No 601 1 CAN CSA C22 2 No 601 2 25 EN 60601 2 25 EN 60601 1 1 098A 096A 108A 101A 102A 103A 100A 181A 099A CLASSIFIED C MEDIC...

Page 23: ...quipment servicing to GE Medical Systems Information Technologies authorized service personnel only Any unauthorized attempt to repair equipment under warranty voids that warranty It is the user s responsibility to report the need for service to GE Medical Systems Information Technologies or to one of their authorized agents ...

Page 24: ...The serial number appears on the device label The product code for the MAC 5000 system is MP XXXXXXXXX XXXXXXXX XXXXXXX XXXXXXX XXX XXXXXXXXX XX XXXX XX XXXXX J6XX0415FXX 022C B A E D I H G F C Figure 1 3 Equipment Identification Description A name of device B manufacturer C serial number D device characteristics E division F product sequence number G product code H year manufactured I month manuf...

Page 25: ...MAC 5000 System 2000657 024 Revision A 2 1 Equipment Overview 2 ...

Page 26: ...MAC 5000 System 2000657 024 Revision A 2 2 For your notes ...

Page 27: ... 3 Equipment Description Front View A B C 115A Figure 1 1 Front View Name Description A display screen View the waveform and text data B disk drive slot Insert a diskette to store ECG orders or recorded ECG data C keyboard Press the keypad keys to control the system or to enter data ...

Page 28: ...re 1 2 Internal View Name Description A writer door Open to replace paper or the battery B acquisition module connector Connect the acquisition module cable here C paper tray Place paper here D STD or A4 Indicates the size of paper standard or A4 the tray holds E battery Recharge when the screen battery symbol flashes ...

Page 29: ... Figure 1 3 Back View Name Description A internalaccess button Press down to open the system to change paper or the battery B amber battery light Indicates the battery is re charging C green AC power light Indicates the system is connected to AC power D back panel connectors Connect peripheral devices here ...

Page 30: ...tional card reader Japan only B 1 Connect a GE Medical Systems Information Technologies KISS pump C 2 Connect a local transmission cable serial line or external modem D ANA TTL Connect a device requiring analog data or TTL trigger Connect an optional Masters Step E EXT VID Connect an external video display F IR Point at a MAC 5000 or MUSE CV system s IR transceiver to transmit or receive ECG data ...

Page 31: ...ame Description A function keys Selects screen menu functions B delete Erases typed characters C copy Prints another ECG report D ECG Acquires an ECG Press to acquire a 12SL resting ECG including measurements and interpretation E rhythm Prints continuous ECG data This data cannot be stored or transmitted F stop Stops the writer from printing G arrow pad Moves the cursor left right up or down Press...

Page 32: ...2A N M L K J I H Figure 1 6 Keypad Continued Name Description H return Enters information into the system I on off Powers the system on or off J information Provides additional user information K space bar Adds a space between typed characters or highlights screen items L option Not functional at this time M esc Returns you to a previous menu N shift Creates a capital letter Press shift k to type ...

Page 33: ...4 C4 C5 C6 L F M15287 6C A B C D E WARNING To ensure defibrillator protection and protection against high frequency burns use only the CAM 14 acquisition module with this equipment Otherwise serious injury could result 161B Figure 1 7 Acquisition Module Name Description A leadwires Attach to the patient s electrodes The acquisition module uses either 10 or 14 leadwires B rhythm button Press to pri...

Page 34: ...2 V3 I V4 V5 V6 LA LL H E RL RA V1 V2 V3 M V7 V4 V5 V6 LA LL V3R V4R RL RA V1 V2 V3 C4 C5 C6 L F N R C1 C2 C3 10 Lead AHA 14 Lead AHA 14 Lead AHA Pediatric 10 Lead IEC 204A A3 V4 V5 V6 LA LL A1 A2 RL RA V1 V2 V3 A4 I C4 C5 C6 L F H E N R C1 C2 C3 M C7 C4 C5 C6 L F C3R N R C1 C2 C3 C4R C4 C5 C6 L F N R C1 C2 C3 C3 C1 C2 C4 14 Lead IEC 205A 14 Lead IEC Pediatric 14 Lead AHA AUX 14 Lead IEC AUX ...

Page 35: ...rview Equipment Description MAC 5000 System 2000657 024 Revision A 2 11 Leadwire Adapters The MULTI LINK leadwires require an adapter to connect to an electrode 4 mm pin Grabber MACTRODE clip Leadwire end 119B 119A ...

Page 36: ...7 024 Revision A Equipment Overview Getting Started 2 12 Getting Started Prepare the Equipment for Use Mount the System to the Trolley Option NOTE Your trolley may look different depending on the model ordered 1 171A 2 172A ...

Page 37: ...Equipment Overview Getting Started MAC 5000 System 2000657 024 Revision A 2 13 3 211A ...

Page 38: ...MAC 5000 System 2000657 024 Revision A Equipment Overview Getting Started 2 14 Mount the Modem to the Trolley Option 1 2 206A 207A 3 208A ...

Page 39: ...unt the Card Reader Option Japan only 1 Set the card reader in the cavity in the tray in front of the MAC 5000 unit 2 Drop the cable through the hole in the tray Route the cable below the MAC 5000 and plug into the far left port on the back of the MAC 5000 see Connectors on page 1 6 ...

Page 40: ... the trolley frame 2 Place vertical pole on the inside of the frame lining up the bolt holes 3 Attach the CAM 14 upright block to the pole with the two Allen screws 4 Place the horizontal arm onto the vertical pole The horizontal arm has a sleeve that fits over the end of the vertical pole 5 Attach with the bolt provided throught at the top of the pole ...

Page 41: ...ct the System Cables Contact your GE Medical Systems Information Technologies sales rep for the correct modem Connect the Acquisition Module Cables Modem Line MAC 5000 155A M15287 5C WARNING This is Class I equipment The mains plug must be connected to an appropriate power supply 156A ...

Page 42: ...rted 2 18 Verify Correct Operation power Does the system start up without displaying error messages Yes No The system is operational Are the errors resolved The system is operational Contact GE Medical Systems Information Technologies Service Yes No 006A 150A power power ...

Page 43: ...re 1 8 Start Up Screen Name Description A software version Displays the system s software version during the first few seconds of power up B user prompts Provides additional information C function icon Indicates the Main Menu function the system is using This is the Resting ECG function D battery status icon Indicates how much charge the battery has available E menu Provides access to additional s...

Page 44: ...e the Main Menu to select the different functions available on this system The functions displayed in your Main Menu may vary due to the installation of purchased software options Select More from the start up screen then select Main Menu to begin displaying the Main Menu functions More 180A ...

Page 45: ...Figure 1 9 Main Menu Functions Function Description Resting ECG Records a 12 lead ECG PediatricECG Records a 15 lead pediatric ECG The standard 12 leads and the V3R V4R and V7 leads are used Vector Loops Records a 15 lead vectorcardiogram The standard 12 leads and the X Y Z leads are used 15 lead ECG Records an adult 15 lead ECG The standard 12 leads and three user defined leads are used Master s ...

Page 46: ...k System Setup Defines the operating parameters of the system Receive Receives ECG data from other devices Figure 1 9 Main Menu Functions Continued Function Description Remote Query Displays and prints confirmed ECGs retrieved from a MUSE CV system This is a purchased option Ord Mgr Int Acquires prints and stores ECG orders received from a MUSE CV system with a Hospital Information System HIS inte...

Page 47: ... 23 Selecting Menu Functions The following shows two methods for selecting a menu function Pressing a Function Key To select More press the function key directly below More Using the Arrow Pad To select More 1 Press the right arrow until More is highlighted More 162A More 176A ...

Page 48: ...C 5000 System 2000657 024 Revision A Equipment Overview Getting Started 2 24 2 Press the middle of the pad to select More To select ECG 1 Press the right arrow until ECG is highlighted More 177A ECG 179A ...

Page 49: ...00657 024 Revision A 2 25 2 Press the middle of the pad to select ECG The system displays the next screen Entering Data Type Data into a Highlighted Field 1 Press the right arrow until the First name field is highlighted ECG 178A First name Last name 163A ...

Page 50: ...ient s first name 3 Press the middle of the pad to enter the information The cursor goes to the next data field Selecting Items from a List 1 Press the right arrow until Gender is highlighted 2 Press the middle of the pad to lock the list in place First name Last name Lisa 164A Male Female 167A ...

Page 51: ...etting Started MAC 5000 System 2000657 024 Revision A 2 27 3 Press the down arrow to highlight Female 4 Press the middle of the arrow pad to select Female The cursor goes to the next data field Male Female 165A Female 166A ...

Page 52: ...MAC 5000 System 2000657 024 Revision A Equipment Overview Getting Started 2 28 For your notes ...

Page 53: ...MAC 5000 System 2000657 024 Revision A 3 1 Preparing the Patient 3 ...

Page 54: ...MAC 5000 System 2000657 024 Revision A 3 2 For your notes ...

Page 55: ...for instructions The KISS system is not available for sale in the U S 2 3 1 C2H6O Alcohol 064B 5 6 4 Use an abrasive pad to remove the epidermal skin layer at each electrode site Use a skin preparation analyzer to test each electrode sit for good conductivity 065B M15287 4C WARNING Keep the conductive parts of lead electrodes and associated parts away from other conductive parts including earth ...

Page 56: ...w Fourth intercostal space at the left sternal border C V3 green C3 green Midway between location B and D D V4 blue C4 brown Mid clavicular line in the fifth intercostal space E V5 orange C5 black Anterior axillary line on the same horizontal level as D F V6 purple C6 purple Mid axillary line on the same horizontal level as D and E G J LA black RA white L yellow R red Right and left deltoids H I L...

Page 57: ...een location B and D D V4 blue C4 brown Mid clavicular line in the fifth intercostal space E V5 orange C5 black Anterior axillary line on the same horizontal level as D F V6 purple C6 purple Mid axillary line on the same horizontal level as D and E G J LA black RA white L yellow R red Right and left deltoids H I LL red RL green F green N black Right and left thighs K V4R gray C4R gray Right anteri...

Page 58: ...lavicular line in the fifth intercostal space D V6 purple C6 purple Mid axillary line on the same horizontal level as C E F LL red RL green F green N black Right and left thighs G I orange I light blue Right mid axillary line on the same horizontal level as C and D I H orange H light blue Back of neck avoid the carotid artery and jugular vein J M orange M light blue Center of spine on the same hor...

Page 59: ...el IEC Label Electrode Placement A A1 orange Nst white Attachment point of the 2nd rib to the right sternal edge B A2 orange Nax white 5th intercostal space on the left posterior axillary line Same position as V8 or C8 C V4 blue Nap white Mid clavicular line in the fifth intercostal space Same position as C4 A B C 033A ...

Page 60: ...4 brown Mid clavicular line in the fifth intercostal space E V5 orange C5 black Anterior axillary line on the same horizontal level as D F V6 purple C6 purple Mid axillary line on the same horizontal level as D and E G J LA black RA white L yellow R red Left and right deltoids H I LL red RL green F green N black Left and right thighs K V4R gray C4R gray Mid clavicular line in the fifth right inter...

Page 61: ...MAC 5000 System 2000657 024 Revision A 4 1 Entering Patient Information 4 ...

Page 62: ...MAC 5000 System 2000657 024 Revision A 4 2 For your notes ...

Page 63: ...Patient Data for each new patient CAUTION Make sure that you enter patient data for the correct patient Patient data may be retained from a previous patient Be sure to check the patient info screen for each new patient Data assigned to the wrong patient causes erroneous patient data that can affect diagnosis and treatment of the patiant s 3 2 1 Patient Data power 061A ...

Page 64: ...er to assess whether they are needed to perform the exam A field RACE is one of these optional fields It has been acknowledged by the medical profession as useful to analyze some pathologies You should be aware that in some jurisdictions the processing of data revealing an individual s racial origin is subject to legal requirements such as obtaining the patient s prior consent If you elect to coll...

Page 65: ...ient Card Reader Option Japan only Connect the Card Reader Slide Card Slide the patient data card through the optional card reader when you are prompted 1a 1b NT K B HOST Insert the 6 pin cable connector into port A on the MAC 5000 Insert the 9 pin cable connector into the HOST port on the card reader J O M S Power Busy O K Error ...

Page 66: ...mation Receive Orders From a MUSE CV System Option 4 6 Receive Orders From a MUSE CV System Option Preparation 1a 1b Receive via Modem Receive via Infrared MAC 5000 Modem MAC 5000 Line MUSE CV infrared device 1 3ft 30 4 91 4cm 104A 4 2 3 A power Ord Mgr Int 090A ...

Page 67: ...an Order to Complete Load Orders Load Orders from the default location Yes No Type one or more location numbers 005A 006A 018A Select one or more orders The system stores the orders Return 005A 006A 019A Select an order Run the test to complete this order Yes No The system goes to the ECG test Select a different order to complete Select Continue Cancel 005A 006A 020A ...

Page 68: ...Information Receive Orders From a MUSE CV System Option 4 8 Complete the Order Use this patient data Yes No Yes No Return Select a different order to complete Edit the patient data Edit the data Record an ECG esc Patient Data 005A 006A 017A 022A 066A Return ...

Page 69: ...rders Manually Option MAC 5000 System 2000657 024 Revision A 4 9 Enter Orders Manually Option Preparation Create an Order 2 1 3 A Ord Mgr Int power 072A Enter the patient data Return The system stores the order Create Order 005A 006A 017A ...

Page 70: ...er Select an order Run the test to complete this order Yes No The system goes to the ECG test Select a different order to complete Select Continue Cancel 005A 006A 020A Use this patient data Yes No Yes No Return Select a different order to complete Edit the patient data Edit the data Record an ECG esc Patient Data 005A 006A 017A 022A 066A Return ...

Page 71: ...MAC 5000 System 2000657 024 Revision A 5 1 Recording an ECG 5 ...

Page 72: ...MAC 5000 System 2000657 024 Revision A 5 2 For your notes ...

Page 73: ... 15 Lead Resting Pediatric or Vector Loops ECG Preparation See Enable or Disable the ACI TIPI Option on page 12 8 to enable or disable ACI TIPI Record the ECG To Print Another Report To Store the ECG Did the Saving file to Disk message appear 1 2 power 014A ECG 006 013A Copy 006 008A Yes No The ECG is stored Store 005 006A ...

Page 74: ...A Recording an ECG Record a 15 Lead Resting Pediatric or Vector Loops ECG 5 4 To Transmit the ECG Did the Establishing network connection message appear Yes No The ECG is transmitted See Transmitting an ECG on page 7 1 to Transmit 005 006A ...

Page 75: ...ord a Signal Averaged ECG Options Preparation To record a PHi Res ECG GE Medical Systems Information Technologies recommends a target noise level of 0 3MV or less Record the ECG To Change the Seed Beat Select a new seed beat 2 1 3 power PHi Res 015A Hi Res 005A 006 Template Display SelectQRS 005A 006 ...

Page 76: ...00657 024 Revision A Recording an ECG Record a Signal Averaged ECG Options 5 6 To Average the ECG Data To Store the ECG To Transmit the ECG See Transmitting an ECG on page 7 1 to transmit Average 005A 006 005A 006 Store ...

Page 77: ...Option Japan only MAC 5000 System 2000657 024 Revision A 5 7 Record a Master s Step Test Option Japan only Connect Masters Step Attach the Masters Step to the ANA TTL port on the back of the MAC 5000 Preparation 118A 2 1 3 power Master s Step 015A ...

Page 78: ...us Recording n Sound Option and n Post Exercise ECG Time Press Return Record the ECG Press the ECG button to record a pre exercise ECG Run the Test 1 Remove the leadwires from the patient Keep the electrodes on the patient 2 Press Continue to begin the exercise test 3 When the patient finishes the exercise immediately reattach the leadwires to the electrodes Check the waveform quality on the scree...

Page 79: ...cording an ECG Record a Master s Step Test Option Japan only MAC 5000 System 2000657 024 Revision A 5 9 To Store the Test To Transmit the ECG See Transmitting an ECG on page 7 1 to transmit 005A 006 Store ...

Page 80: ...TIPI Option 5 10 Using ACI TIPI Option Preparation Enter the Information Enter the patient data Press the ECG button Enter the ACI TIPI data See the beginning of this chapter to print store or transmit the ECG 3 2 1 Patient Data power 061A Return 006A ECG 036A Return ...

Page 81: ...e cardiac ischemia u Chief Complaint Select this option if the com plaint of chest or left arm pain is the primary reason the patient came to the hospital u Secondary Complaint Select this option if the complaint of chest or left arm pain is second ary the patient came to the hospital because of other symptoms u Not Present Select this option if the patient has no chest or left arm pain or equival...

Page 82: ...MAC 5000 System 2000657 024 Revision A Recording an ECG Using ACI TIPI Option 5 12 For your notes ...

Page 83: ...MAC 5000 System 2000657 024 Revision A 6 1 Printing an ECG Report 6 ...

Page 84: ...MAC 5000 System 2000657 024 Revision A 6 2 For your notes ...

Page 85: ...rint Stored ECG Reports MAC 5000 System 2000657 024 Revision A 6 3 Print Stored ECG Reports Preparation Select the ECGs Select one or more ECGs Print the ECGs 3 2 1 File Manager power 062A Select 005A 006A 019A 005A 006A Print ...

Page 86: ...MAC 5000 System 2000657 024 Revision A Printing an ECG Report Print Stored ECG Reports 6 4 Print ECGs from a different disk 005A 006A 071A Main Menu New Disk Yes No ...

Page 87: ...MAC 5000 System 2000657 024 Revision A 7 1 Transmitting an ECG 7 ...

Page 88: ...MAC 5000 System 2000657 024 Revision A 7 2 For your notes ...

Page 89: ...g an ECG Transmit Stored ECGs by Modem Option MAC 5000 System 2000657 024 Revision A 7 3 Transmit Stored ECGs by Modem Option Preparation 1Transmit via Modem MAC 5000 Modem Line 075A 4 2 3 power 070A File Manager ...

Page 90: ...device Select the ECGs Transmit the ECGs Yes No Location Manual Dial Select and transmit the ECGs as described in the next sections Type the telephone number of the receiving device 005A 006A 35A 036A 063A Select a modem type Return Select Select one or more ECGs 005A 006A 019A 005A 006A 071A Transmit Yes No Transmit ECGs from a different disk Main Menu New Disk ...

Page 91: ...NTION Ne pas utiliser dans les salles occupees par des patients CAUTION For use in nonpatient areas only Read Diskette MAC 6 MAC 8 MAC PC 1a 1b 1c Transmit via Cable Transmit via Infrared Transmit via Infrared MAC 5000 MAC 5000 MAC 5000 MUSE CV MUSE CV infrared device 1 3ft 30 4 91 4cm 1 3ft 30 4 91 4cm 107A 4 2 3 File Manager power 070A ...

Page 92: ...tored ECGs Locally 7 6 Select the Method of Transmission Select the ECGs Transmit the ECGs Location 005A 006A 068A Serial Line MUSE Network 005A 006A 019A Select one or more ECGs Select 005A 006A 071A Yes No Transmit ECGs from a different disk Main Menu New Disk Transmit ...

Page 93: ...MAC 5000 System 2000657 024 Revision A 8 1 Receiving an ECG 8 ...

Page 94: ...MAC 5000 System 2000657 024 Revision A 8 2 For your notes ...

Page 95: ...Receiving an ECG Receive ECGs by Modem Option MAC 5000 System 2000657 024 Revision A 8 3 Receive ECGs by Modem Option Preparation 1Receive via Modem Line Modem MAC 5000 075A 4 2 3 power 190A Receive ...

Page 96: ...evision A Receiving an ECG Receive ECGs by Modem Option 8 4 Receive the ECGs 005A 006A The system is ready to receive the ECGs Cancel Main Menu The system is ready to receive ECGs Yes No Are all the ECGs received Receive Phone Line ...

Page 97: ...Receiving an ECG Receive ECGs Locally MAC 5000 System 2000657 024 Revision A 8 5 Receive ECGs Locally Preparation 1Receive via Infrared 1 3ft 30 4 91 4cm MAC 5000 MAC 5000 106A 4 2 3 power 190A Receive ...

Page 98: ...24 Revision A Receiving an ECG Receive ECGs Locally 8 6 Receive the ECGs 005A 006A The system is ready to receive the ECGs Cancel Main Menu The system is ready to receive ECGs Yes No Are all the ECGs received Receive LocalLine ...

Page 99: ...nfirmed ECGs from a MUSE CV System Option MAC 5000 System 2000657 024 Revision A 8 7 Retrieve Confirmed ECGs from a MUSE CV System Option Preparation 1 MAC 5000 Modem Line Receive via Modem 075A 4 2 3 MUSE power Remote Query 191A ...

Page 100: ...ystem Option 8 8 Select a MUSE CV System To Retrieve ECGs From the Default MUSE CV Sys tem To Retrieve ECGs from a Different MUSE CV Sys tem Connect Yes No Retrieve ECGs from a pre defined MUSE CV system Select the location Location Connect 005A 006A 035A 063A Type the telephone number Manual Dial ...

Page 101: ...Receiving an ECG Retrieve Confirmed ECGs from a MUSE CV System Option MAC 5000 System 2000657 024 Revision A 8 9 Connect Type MUSE Network Return 005A 006A 036A 063A 111A ...

Page 102: ...last name Then select your patient from the displayed list of patients Display or Print the ECG To Display the ECG To Print the ECG Return The system retrieves a directory of tests Select Select one or more tests 005A 006A 019A 036A The system retrieves then displays the test Display The system retrieves then prints the test Print Display or print another ECG Yes No Select an ECG Return Main Menu ...

Page 103: ...MAC 5000 System 2000657 024 Revision A 9 1 Editing an ECG 9 ...

Page 104: ...MAC 5000 System 2000657 024 Revision A 9 2 For your notes ...

Page 105: ...emographic and Interpretive Data MAC 5000 System 2000657 024 Revision A 9 3 Edit Demographic and Interpretive Data Preparation Select the ECGs 3 2 1 power 062A File Manager Select one or more ECGs Edit 005A 006A 019A Select ...

Page 106: ...pretive Data Because editing interpretive data confirms the ECG you must enter a password before editing this data Enter the Overreader Password Type the overreader password Patient Information Edit the data Return 006A 044A 189A Questions Test Information History Medications Blood Pressure ECG Measurements Diagnostic Statements ...

Page 107: ...it Resting Pediatric or Vector Loops Measure ments Edit the data Edit Signal Averaged ECG Measurements Edit the QRS or P wave Onset Return 006A 053A 054A 063A ECG Measurements 006A 055A 056A Return Hi Res Measurements Press the left or right arrows to increment or decrement the measurement 005A 006A 057A 063A Offset Onset Yes No ...

Page 108: ...tements To Insert or Append an Acronym To Insert or Append Free Text Diagnostic Statements Append Insert Append Insert Select a statement Select a statement Type an acronym 005A 006A 050A 058 063A Return Append Insert Select a statement Select a statement Type a statement 005A 006A 050A 058 063A Return Append Insert ...

Page 109: ...7 To Move a Statement to a New Line Select a statement To Delete a Statement Select a statement To Join Two Statements Select a statement to join with the preceding statement Store the Edited ECG Save the edited file NewLine Delete 005A 006A Join Return Return Store esc 005A 006A 052A 066A No Yes ...

Page 110: ...MAC 5000 System 2000657 024 Revision A Editing an ECG Edit Demographic and Interpretive Data 9 8 For your notes ...

Page 111: ...MAC 5000 System 2000657 024 Revision A 10 1 Deleting an ECG 10 ...

Page 112: ...MAC 5000 System 2000657 024 Revision A 10 2 For your notes ...

Page 113: ... ECG Delete Stored ECGs MAC 5000 System 2000657 024 Revision A 10 3 Delete Stored ECGs Preparation Select the ECGs Select one or more ECGs Delete the ECGs 3 2 1 File Manager power 062A Select 005A 006A 019A Delete ...

Page 114: ...eleting an ECG Delete Stored ECGs 10 4 Type the System or Overread password Delete these ECGs Delete ECGs from a different disk The system deletes the ECGs Select a different ECG to delete Yes No 005A 006A 063A 071A Main Menu New Disk Yes No ...

Page 115: ...lete Stored ECG Orders Option MAC 5000 System 2000657 024 Revision A 10 5 Delete Stored ECG Orders Option Preparation Select the Orders Select one or more orders 2 1 3 A Ord Mgr Int power 072A Load Orders 005A 006A 019A ...

Page 116: ... A Deleting an ECG Delete Stored ECG Orders Option 10 6 Delete the Orders The system deletes the orders Receive ECG orders now Delete See Select the Orders to Receive on page 4 7 to Receive orders Cancel Cancel Main Menu 005A 006A Yes No ...

Page 117: ...MAC 5000 System 2000657 024 Revision A 11 1 Completing Other Tasks 11 ...

Page 118: ...MAC 5000 System 2000657 024 Revision A 11 2 For your notes ...

Page 119: ...7 024 Revision A 11 3 Prepare a Disk for Use Lock and Unlock Prevent accidental deletion of data Format The system automatically formats an unformatted disk 006A 109A 110A Lock the disk Unlock the disk to format the disk or to store or delete data Yes No 1 2 power 014A ...

Page 120: ...MAC 5000 System 2000657 024 Revision A Completing Other Tasks Eject a Disk From the Drive Slot 11 4 Eject a Disk From the Drive Slot 186A ...

Page 121: ...leting Other Tasks Display Stored ECGs MAC 5000 System 2000657 024 Revision A 11 5 Display Stored ECGs Preparation Select the ECGs Select one or more ECGs 3 2 1 File Manager power 062A Select 005A 006A 019A ...

Page 122: ...edians Rhythm and Text functions are not available for the signal averaged ECGs To Print the ECG To Display Medians or Rhythm Data To Display Measurement and Analysis Statements To Display the Next Selected ECG To Return to the Main Menu Display Print Medians Rhythm or Text Next Return Main Menu 005A 006A ...

Page 123: ...Completing Other Tasks Display Stored ECGs MAC 5000 System 2000657 024 Revision A 11 7 To Display ECGs From a Different Disk New Disk 005A 006A 071A ...

Page 124: ...MAC 5000 System 2000657 024 Revision A Completing Other Tasks Display Stored ECGs 11 8 For your notes ...

Page 125: ...MAC 5000 System 2000657 024 Revision A 12 1 Defining the System Setup 12 ...

Page 126: ...MAC 5000 System 2000657 024 Revision A 12 2 For your notes ...

Page 127: ...lect the System Setup Function Preparation Enter the System Setup Password Type the password Is the password correct Define the System Parameters Use the information contained in this chapter to define your system s operating parameters 2 1 System Setup power 151A Select a menu function More System Setup 005A 006A Yes No Type the password ...

Page 128: ...MAC 5000 System 2000657 024 Revision A Defining the System Setup To Use the System Setup Function 12 4 Save Your Changes System Setup Save Setup To System Main Menu 006A 026A 027A 028A ...

Page 129: ...Task To Power Up the System into a Specific Resting Function Select the function the system always uses when you power on your system To Preview ECG Data Before Analysis System Setup Basic System Basic System Power Up Options Return 006A 022A 057A 168A Return Preview before analysis 006A 025A 057A 168A 185A Yes System Setup ECG ECG ECG Acquisition Analysis ...

Page 130: ... Report Select the type and quantity of formats printed To Print a Signal Averaged ECG Report Select the type of format and quantity to be printed ECG Resting ECG Reports Pediatric ECG Reports 15 Lead Reports Vector Loops Reports Unconfirmed Reports System Setup ECG 006A 031A 057A 168A 184A Return System Setup Hi Res 006A 031A 168A Return ...

Page 131: ...rogramming your system to automatically transmit an ECG you must define the receiving device and it s default location See Transmission on page 12 15 of this chapter to define the transmission parameters of the default receiving device System Setup ECG ECG Acquisition Analysis Auto ECG storage Return 006A 025A 057A 168A 185A ECG ECG Acquisition Analysis System Setup ECG 006A 025A 057A 168A ...

Page 132: ... 12 8 Select the type of ECGs transmitted Enable or Disable the ACI TIPI Option Select Yes to enable the ACI TIPI Option select No to disable the ACI TIPI Option All ECGs Auto ECG transmission All ECGs No ECGs Only ABNORNAL ECGs 006A 185A Return System Setup ECG ECG ECG Acquisition Analysis Enable ACI TIPI Yes ...

Page 133: ...ution name Type the name of your hospital clinic etc as you want it to appear on writer reports On most reports the institution name appears at the top Text entry Select Uppercase only to type text in uppercase letters Select Upper and lowercase to type text in upper and lowercase letters Speaker volume Select Low to set the system s speaker to low volume Select High to set the system s speaker to...

Page 134: ...Gs Delete after transmit Select Yes to delete an ECG after transmitting it to a receiving device Figure 12 1 Miscellaneous Setup Continued Item Description Text on bottom Select Yes to print the ECG test information on the bottom of the ECG reports Print barcodes Select Yes if you want the patient information printed in a barcode format Automatic Shutdown Type a number x greater than zero to enabl...

Page 135: ...p MAC 5000 System 2000657 024 Revision A 12 11 Overread password Type a 6 character password that allows you to access the Delete function The Overread password that is set at the factory is ovread Figure 12 1 Miscellaneous Setup Continued Item Description ...

Page 136: ...ired Select Yes to require the user to enter the patient s identification number before an ECG can be recorded ID length Type the number of alpha numeric characters used in the patient identification number Use from 3 16 characters Age Choose the method to enter the patient s age n Select Date of birth to enter age in day month year order n Select Age in years to enter age in years months weeks da...

Page 137: ...ntains several fields which can be filled in before performing an ECG Some of these fields must be filled in before performing an exam some are optional and therefore left to the user to assess whether they are needed to perform the exam A field RACE is one of these optional fields It has been acknowledged by the medical profession as useful to analyze some pathologies You should be aware that in ...

Page 138: ...e ECG Location Select Yes to display a prompt asking the this system s location number Figure 12 2 Patient Questions Continued Item Description Room number Select Yes to display a prompt asking the patient s room number Options Select Yes to prompt the user to enter an options number for this ECG You can define this number to mean whatever you want Order number Select Yes to prompt the user to ent...

Page 139: ...r options System Setup Basic System Basic System Screen Colors 057A 168A Figure 12 3 Screen colors Item Description Screen colors Define the screen colors you want to system to display n Select Monochrome to view white screen elements n Select Option 1 to view white green yellow and red screen elements n Select Option 2 to view white yellow and red screen elements ...

Page 140: ...er Choose when you want to hear the modem tones n Select On to hear the modem tones n Select Off to prevent hearing the modem tones n Select Dialing only to hear the modem tones while your system dials a telephone number Dialtone required Select Yes when the system is connected to telephone lines that have a dialtone Dialtone method Select the dialtone method used by your telephone line Fax error ...

Page 141: ...o Type Choose the type of modem your system uses to transmit data to a receiving device n Select the MUSE NETWORK modem to transmit to a MUSE CV system n Select Fax machine to transmit to facsimile machine Use IR for serial line Select Yes to enable the local infrared communication Figure 12 4 Transmission Item Description Serial line baud rate Select 9600 baud rate to transmit or receive data bet...

Page 142: ...function to set the date and time that appears on the ECG reports System Setup Basic System Basic System Date and Time 057A 168A Figure 12 5 Date and Time Item Description Current date Enter the current date 1 Type the day 2 Select the month 3 Type the year Current time Enter the current time 1 Type the hour 2 Type the minutes ...

Page 143: ...c vector loops or 15 lead option ECG function Figure 12 6 Language Item Description Select new language Select the language of displayed or printed data Power the system off then on to view the new language System Setup Basic System Basic System Language 057A 168A Figure 12 7 Power Up Options Item Description Power Up Application Select the resting ECG function you want your system to start up in ...

Page 144: ...er Manager Enable Item Description Initial sort value Select how you want to sort displayed ECG orders Create orders locally Select Yes to allow ECG orders to be entered manually into the system System Setup Basic System Basic System Order Manager Interface 057A 168A Figure 12 9 Order Manager Enable Item Description PS 2 Port Device Select the input device connected to the PS 2 port keyboard or ca...

Page 145: ...her the setting the more the filter smooths out a wandering baseline This filter does NOT distort the ST segment displayed on the ECG reports Pre acquisition Select Yes to begin acquiring ECG data as soon as the leadwires are connected to a patient The system does not wait until the user presses ECG before it starts acquiring ECG data The latest 10 seconds of ECG data is ready for analysis when Pr...

Page 146: ...Acronyms on page C 1 to identify these statements Figure 12 10 ECG Acquisition Analysis Continued Item Description Suppress NORMAL statement Select Yes to prevent the Normal ECG 12SL analysis statement from appearing on printed stored and transmitted ECG reports Suppress ABNORMAL and BORDERLINE statements Select Yes to prevent the Abnormal ECG and Borderline ECG 12SL analysis statements from appea...

Page 147: ...NOTE The Storage format item does not display if the MAC 5000 has the ACI TIPI option installed With ACI TIPI you can only store 500 Hz ECGs Figure 12 10 ECG Acquisition Analysis Continued Item Description Auto ECG storage Choose the ECGs you want your system to automatically store to a disk n Select All ECGs to automatically store a recorded ECG n Select No ECGs to disable automatic storage of a ...

Page 148: ...s program has classified as abnormal Enable ACI TIPI Select No to disable the ACI TIPI function Select Yes to enable the ACI TIPI function Note This is an option and might not be installed on your unit Figure 12 10 ECG Acquisition Analysis Continued Item Description Figure 12 11 Patient Questions Item Description Prompt Type the text you want for the patient question Type Select the type of respon...

Page 149: ...ure 12 12 Writer Setup Item Description Speed Select the writer s default speed setting in millimeters per second Gain Select the writer s default gain setting For the 10 5 setting limb leads appear at 10 mm mV and precordial leads appear at 5 mm mV Filter Select the writer s default filter setting The screen filter is always set to 40 Hz System Setup ECG ECG Writer Setup 057A 168A ...

Page 150: ...Loops Reports option Report Leads System Setup ECG ECG Resting ECG Reports Pediatric ECG Reports 15 Lead Reports 168A 183A Vector Loops Figure 12 13 Report Leads Item Description Standard leads Select the standard leads you want to appear on the ECG reports When you change a channel s lead the new lead appears on all the ECG reports displaying that channel Rhythm reports Choose the type of data di...

Page 151: ...0 seconds of data for 12 or 15 leads n Select Lead Check to display and print real time data for each of the 12 or 15 leads n Select Lead Placement to display and print real time data for each of the 12 or 15 leads and the a chest electrode placement Figure 12 13 Report Leads Continued Item Description Autorhythm Select the group of Rhythm leads printed in the Autorhythm report RMR CGR extra rhyth...

Page 152: ...ect V5 for the Swedish format rhythm lead 1 then the V5 waveform appears on all reports that include Swedish format rhythm lead 1 Figure 12 13 Report Leads Continued Item Description Figure 12 14 Confirmed Reports Item Description Report formats Choose the report formats you want to print after an ECG has been confirmed n Select whether you want the report to print with or without interpretation 1...

Page 153: ...t formats your system automatically prints when an abnormal ECG is detected n Select whether you want the report to print with or without interpretation 12SL analysis statements n Type in the number of copies you want printed Confirmation text Choose the text that appears on an ECG report that indicates the status of the ECG n Select Unconfirmed to indicate that the ECG report is not confirmed by ...

Page 154: ...hree additional leads used You can n select one of the pre defined lead sets or n select Custom 3 to define the electrode positions of A1 A2 and A3 Figure 12 17 Vector Loops Reports Item Description Number of copies Type a value between 0 and 10 for the number of copies you want to print for this report format Main loop gain Select a default setting Lead Z display Select a default setting Sagittal...

Page 155: ...ure 12 18 Analog Outputs Item Description Fast Analog Output Select Not Used I II or V1 V6 TTL Output Select Not Used or QRS Detect to define TTL Output Polarity Select Positive or Negative to define TTL Output polarity Width Type a value between 0 and 48 to define TTL Output signal width in milliseconds Delay Type a value between 0 and 100 to set a delay in milliseconds for the TTL Output QRS det...

Page 156: ... the method to average the target Target Beat Count Type a value from 1 to 999 GE Marquette Medical Systems Inc recommends averaging to a minimum of 250 beats System Setup Hi Res 168A Target Noise Level Type a value from 0 1 to 1 0µV GE Marquette Medical Systems Inc recommends averaging to a noise level of 0 3µV Correlation Threshold Select the degree of correlation threshold GE Marquette Medical ...

Page 157: ...lect the type of response you want entered for the patient question n Select Numbers and letters to answer the prompt using numbers and letters n Select Numbers only to answer the prompt using numbers n Select Yes or No to answer the prompt using either yes or no Figure 12 19 Signal Averaged ECGs Continued Item Description ...

Page 158: ... or Triple for a 4 5 minute test System Setup Master s Step 168A Post J ms Number of ms after J point Used to determine the ST level Step Counter Display Select Up to display steps taken so far Select Down to display steps to go during exercise Continuous Recording Print rhythm between post exercise ECGs Sound Option Sets the sound option so that you can select different tones The options are Opti...

Page 159: ...ct this function to change your system s System Setup parameters System Setup Print Setup 168A System Setup Save Setup 168A Figure 12 21 Restore Setup Item Description Restore Setup Choose the method for changing all of your System Setup parameters n Select To Original Factory Settings to restore the system to the default GE Marquette settings n Select From diskette to install System Setup paramet...

Page 160: ...MAC 5000 System 2000657 024 Revision A Defining the System Setup Miscellaneous Setup 12 36 For your notes ...

Page 161: ...MAC 5000 System 2000657 024 Revision A A 1 Maintenance A ...

Page 162: ...MAC 5000 System 2000657 024 Revision A A 2 For your notes ...

Page 163: ...responsibility rests with the individual or institution using the equipment GE Medical Systems Information Technologies service personnel may at their discretion follow the procedures provided in this manual as a guide during visits to the equipment site Regular maintenance irrespective of usage is essential to ensure that the equipment will always be functional when required See the documentation...

Page 164: ...isual Inspection Perform a visual inspection of all equipment and peripheral devices daily If you notice any items that need repair contact an authorized service person to make the repairs n Check the case and display screen for cracks or other damage n Regularly inspect all plugs cords cables and connectors for fraying or other damage n Verify that all cords and connectors are securely seated n I...

Page 165: ... clean cloth or paper towel Disk Drive Clean the disk drive every six months or more frequently if you have data storage problems Use the head cleaning kit PN 407546 001 Do NOT use cleaning solutions or solvents on the disks Data loss or disk drive failure could result 1 Power on the system 2 Follow the head cleaning kit instructions to prepare the head cleaning disk 3 Insert the head cleaning dis...

Page 166: ...MAC 5000 System 2000657 024 Revision A Maintenance Changing the Paper Tray Size A 6 Changing the Paper Tray Size To Change to A4 Paper Size To Change to Standard Paper Size 187A 188A ...

Page 167: ...Maintenance Replacing Paper MAC 5000 System 2000657 024 Revision A A 7 Replacing Paper 2 1 3 4 092A 093A 094A 095A ...

Page 168: ...luorescent and similar lighting which causes yellowing of paper and fading of tracings 3 Do NOT store thermal papers with any of the following u carbon and carbonless forms u non thermal chart papers or any other products con taining tributyl phosphate dibutyl phthalate or any other organic solvents Many medical and industrial charts contain these chemicals u document protectors envelopes and shee...

Page 169: ...eet separators made of polystyrene polypropylene or polyethylene will not degrade thermal traces in themselves However these materials afford no protection against fading from external causes Use only mounting forms and pressure sensitive tapes made with starch or water based adhesives Paper manufacturers advise us that these thermal products should retain their traces when properly imaged and sto...

Page 170: ...7 years when handled according to the instructions outlined below Archivist papers must be continuously stored below 104 F 40 C and relative humidity must be maintained between 40 and 60 The customer must notify GE Medical Systems Information Technologies promptly following any customer knowledge of fading The GE Medical Systems Information Technologies equipment used shall have periodic maintenan...

Page 171: ...ct the system to an AC wall outlet 3 Charge the system s battery 4 5 hours or until the battery gauge icon indicates a full charge When Should you Charge the Battery Before Initial Use To ensure a fully charged battery charge the system before you use it for the first time Between Acquisitions To ensure a fully charged battery power off the system and connect it to an AC wall outlet until you use ...

Page 172: ...is completely discharged To operate your system you must connect the system to an AC wall outlet Is the Battery Charging If the battery is fully charged or exceeds safe charging temperature the system will not charge the battery The system s battery is charging when n the amber battery light glows and n the battery gauge icon shows the battery charging icon BPM Battery light Empty Battery Icon 159...

Page 173: ...ecommend over exercising the battery with deep discharge cycles See the MAC 5000 Service Manual for more battery maintenance and diagnostic information Replacing the Battery If battery fluid contacts your skin eyes or clothing immediately wash the area with clean water and see a doctor To prevent loss of data remove the AC power cable from the AC wall outlet and power off the system before removin...

Page 174: ...MAC 5000 System 2000657 024 Revision A Maintenance Maintaining the Battery A 14 1 2 112A 113A 3 114A ...

Page 175: ...Maintenance Mounting or Dismounting the Trolley MAC 5000 System 2000657 024 Revision A A 15 Mounting or Dismounting the Trolley Mount the System onto the Trolley 1 2 171A 172A ...

Page 176: ...00 System 2000657 024 Revision A Maintenance Mounting or Dismounting the Trolley A 16 Dismount the System From the Trolley Japan only Press the release button at the side of the MAC 5000 trolley 3 211A 1 212 ...

Page 177: ...Maintenance Mounting or Dismounting the Trolley MAC 5000 System 2000657 024 Revision A A 17 2 173 3 174 4 175A ...

Page 178: ...MAC 5000 System 2000657 024 Revision A Maintenance Replacing Acquisition Module Leadwire Adapters A 18 Replacing Acquisition Module Leadwire Adapters 1 2 3 4 027A ...

Page 179: ...Maintenance Handling a Disk MAC 5000 System 2000657 024 Revision A A 19 Handling a Disk 35 C 95 F 10 C 50 F 001Adisk 002Adisk 003Adisk 004Adisk 005Adisk 006Adisk 007Adisk 008Adisk 009Adisk ...

Page 180: ...enance Updating Software A 20 Updating Software Eject Old Version Insert New Version Did the new version number appear during start up power marquette marquette MAC5000 XXXX power The update is complete Repeat the steps 006A 150A 213A 214A Yes No ...

Page 181: ...MAC 5000 System 2000657 024 Revision A B 1 Troubleshooting B ...

Page 182: ...MAC 5000 System 2000657 024 Revision A B 2 For your notes ...

Page 183: ...n Is operator error the cause of the problem Try to repeat the scenario exactly and compare that to the proper operation of the equipment described in the manual n Is the battery installed n When connected to an AC wall outlet does the green AC power light glow n Is the writer door closed n Is the software card installed Visual Inspection A thorough visual inspection of the equipment can save time...

Page 184: ...ective broken or disconnected leadwires n Check the patient s position The patient should remain motionless during the acquisition of a resting ECG There is no ACI TIPI report n ACI TIPI is disabled u Enable ACI TIPI n The selected report is without interpretation u Select Interpretation for the report n The ACI TIPI required information is not entered u Make sure the age range gender and whether ...

Page 185: ... the screen No battery is installed in the system Install a battery and connect the system to an AC wall outlet to charge the battery flashes intermittently The battery charge is low Connect the system to an AC wall outlet to charge the battery appears on the screen The writer door is open Close the writer door The system does not power up when operating from battery power The battery is empty Con...

Page 186: ...00657 024 Revision A Troubleshooting Equipment Problems B 6 X Lead disconnected message appears Electrode s disconnected Reconnect the electrode s 153A 154A 209A Figure B 1 System Errors Continued Problem Cause Solution ...

Page 187: ...MAC 5000 System 2000657 024 Revision A C 1 Editing Acronyms C ...

Page 188: ...MAC 5000 System 2000657 024 Revision A C 2 For your notes ...

Page 189: ...ht superior axis deviation RSAD Accelerated ACCEL Acute pericarditis PCARD ACUTE MI ACUMI Age undetermined AU and consecutive C SEC and AND Anterior infarct AMI Anterior injury pattern AINJ Anterior leads ANT Anterolateral infarct ALMI Anterolateral injury pattern A LINJ Anterolateral leads AN TLAT Anteroseptal infarct ASMI Anteroseptal leads ANTSEP Anteroseptal injury pattern ASINJ Atrial fibrill...

Page 190: ... branch block IRBBB Increased R S ratio in V1 consider early transition or posterior infarct QESPMI Idioventricular rhythm IVR Indeterminate axis INDAX Figure C 1 Resting ECG Acronyms Continued Statement Acronym Inferior infarct IMI Inferior injury pattern IINJ Inferior leads INF Inferior posterior infarct IPMI Inferolateral leads IFLAT Inferolateral injury pattern ILINJ Inferoposterior leads INFP...

Page 191: ...AL Marked ST abnormality possible anteroseptal subendocardial injury MSTDAS Figure C 1 Resting ECG Acronyms Continued Statement Acronym Marked ST abnormality possible inferior subendocardial injury ISBINJ Marked ST abnormality possible inferolateral subendocardial injury MSTDIL Marked ST abnormality possible lateral subendocardial injury LSBINJ Marked ST abnormality possible septal subendocardial ...

Page 192: ...T Normal ECG NML Normal sinus rhythm NSR Northwest axis NWA or OR Figure C 1 Resting ECG Acronyms Continued Statement Acronym or digitalis effect ODIG Otherwise normal ECG ABR Pediatric ECG anlaysis PEDANL plus right ventricular enlargement RVE Poor data quality interpretation may be adversely affected QCERR Possible PO possibly acute AC Posterior infarct POSTMI Posterior leads POS premature atria...

Page 193: ...arct SMI Septal injury pattern SINJ Septal leads SEP Sinus Atrial capture CAPUR Sinus bradycardia SBRAD Figure C 1 Resting ECG Acronyms Continued Statement Acronym Sinus rhythm SRTH Sinus tachycardia STACH Small SMA ST ST ST abnormality and STABAND ST abnormality possible digitalis effect STDIG ST depression in STDPIN ST depression consider subendocardial injury or digitalis effect STDEP ST elevat...

Page 194: ...lateral ischemia ILT T wave abnormality consider lateral ischemia LT T wave inversion in TINVIN Figure C 1 Resting ECG Acronyms Continued Statement Acronym Undetermined rhythm UR Unusual P axis and short PR probable junctional bradycardia JBRAD Unusual P axis and short PR probable junctional rhythm JR Unusual P axis and short PR probable junctional tachycardia JTACH Unusual P axis possible ectopic...

Page 195: ...ith frequent FREQ with fusion or intermittent ventricular pre excitation WPW ALTWPW Figure C 1 Resting ECG Acronyms Continued Statement Acronym with junctional escape complexes JESC with marked sinus arrhythmia MSAR with occasional OCC with premature aberantly conducted complexes ABER with posterior extension PXT with QRS widening and repolarization abnormality QRSW 2ST with QRS widening QRSW with...

Page 196: ...MAC 5000 System 2000657 024 Revision A Editing Acronyms Resting ECG Acronyms C 10 For your notes ...

Page 197: ...MAC 5000 System 2000657 024 Revision A D 1 Technical Specifications D ...

Page 198: ...MAC 5000 System 2000657 024 Revision A Technical Specifications D 2 For your notes ...

Page 199: ...te 500 samples s sps Digital Sampling Rate 4000 samples s channel Dynamic Range 320 mV DC 10 mV AC Resolution 4 88 µV LSB 500 sps Frequency Response 3 dB 0 01 to 150 Hz Common Mode Rejection 140 dB minimum 123 dB with AC filter disabled Input Impedance 10 MΩ defibrillator protected Patient Leakage Current 10 µA Pacemaker Detection Sensitivity 750 µV amplitude 50 µs duration Orthogonal LA LL and V6...

Page 200: ...0 15 50 60 Hz 10 Power Consumption 115 V ac 240 V ac 0 5 A typ 0 3 A typ Analog Outputs 2 channels 0 10 V 1 channel 10 V ECG OUT Analog Input 2 channels 0 10 V sampled approx 100 sps TTL 1 output channel with programmable polarity delay and width Figure D 3 Physical Item Description Table Top Unit Dimensions Height Width Depth 9 4 cm 3 7 in display closed 30 5 cm 12 in display open 38 1 cm 15 0 in...

Page 201: ...1 1 CE marking for Council Directive 93 42 EEC concerning Medical Devices Meets applicable AAMI EC 11 requirements Type of protection against electrical shock Class 1 internally powered Degree of protection against ingress of liquids Ordinary Handling of disposable supplies and other consumables Use only parts and accessories manufactured or recommended by GE Medical Systems Information Technologi...

Page 202: ...h the patient Every six months routine maintenance checks and test procedures performed by qualified technical personnel See the field service manual for details Repair Guidelines Calibration instructions equipment descriptions and all other information which will assist qualified technical personnel in repairing those parts of the equipment designated as repairable is available in the field servi...

Page 203: ...ge Conditions Temperature Relative Humidity Atmosphere Pressure 40 C to 70 C 40 F to 158 F 15 to 95 noncondensing 500 to 1060 hPa Disposal Batteries Device Disposing of battery by fire or burning will cause the battery to explode The battery is recycleable Follow local environmental guidelines concerning disposal and recycling Batteries may be returned to GE Medical Systems Information Technologie...

Page 204: ...ription Type Thermal dot array horizontal 1000 dots in at 25 mm s vertical 200 dots in Frequency Response 0 01 to 150 Hz Number of Traces 3 6 12 15 user selectable and programmable same as display Paper Speeds 5 12 5 25 50 mm s DC drive Sensitivity Gain 2 5 5 10 20 and 10 5 split calibration mm mV Speed Sensitivity Accuracy 2 Sensitivity Gain Accuracy 5 Paper Type Thermal perforated 214 63 mm x 28...

Page 205: ...m mV Time Resolution 2 ms Figure D 9 Pediatric Analysis Optional Item Description Acquisition Simultaneous 15 lead acquisition Standard 12 lead plus pediatric leads V3R V4R and V7 Figure D 10 Late Potential Analysis HI RES and PHi Res Signal Averaged Electrocardiography Optional Item Description Frequency Response Input 3 dB 0 01 and 250 Hz Frequency Response Output Upper Limit Lower Limit 250 Hz ...

Page 206: ...0 mm mV 1 mm µV Analysis Sampling Rate 1000 samples per second per channel Digital Sampling Rate 4000 samples per second per channel High Low Pass Filters Spectral filter using Fast Fourier Transform FFT ADC Resolution 1 22 µV LSB Analysis Resolution 0 1525 µV LSB Figure D 10 Late Potential Analysis HI RES and PHi Res Signal Averaged Electrocardiography Optional Item Description ...

Page 207: ...MAC 5000 System 2000657 024 Revision A E 1 Report Formats E ...

Page 208: ...MAC 5000 System 2000657 024 Revision A E 2 For your notes ...

Page 209: ...Description Numeric report names are used to describe how the ECG data is displayed 4 by 2 5s 1 rhythm ld A B Figure E 1 4 by 2 5s 1 Rhythm Lead Format Description A Four columns of data containing 3 leads with 2 5 seconds of data in each lead B One 10 second rhythm lead 147A A A A A B ...

Page 210: ...ollowing reports also use numeric names n 2 by 5 n 2 5s 50 mm s writer speed n 2 by 5s 1 rhythm lead n 2 by 10s n 3 by 5 50mm s n 3 by 10s n 4 by 2 5s n 4 by 2 5s 1 rhythm lead n 4 by 2 5s 3 rhythm leads n 4 by 10s n 5 by 2s n 5 by 2s 1 rhythm lead n 5 by 2s 3 rhythm leads n 5 by 10s ...

Page 211: ...ead rhythm Expanded Median Each median complex is expanded by double the speed and double the gain HI RES or PHi Res Signal Averaged Template Dominant averaged beat type HI RES or PHi Res Signal Averaged Standard Vector magnitudes of X Y Z HI RES or PHi Res Signal Averaged Expanded 400mm s of expanded X Y Z medians and a RMS voltage function VM plot ACI TIPI The analysis of the acquired ECG data a...

Page 212: ...omplex for each of the 12 leads at writer speed of 50mm s combined with 5 seconds of 6 lead rhythm at half writer speed Text is on the bottom of the page Swedish Format 2 5 seconds for each of the 12 leads at writer speed 50mm s Text is on the top of the page Vector Loops Sagittal horizontal and frontal plane vectorgrams Marks on sample X Y Z complexes identify P onset and offset Q onset and offse...

Page 213: ...MAC 5000 System 2000657 024 Revision A F 1 Masters Step Data F ...

Page 214: ...MAC 5000 System 2000657 024 Revision A F 2 For your notes ...

Page 215: ...9 50 54 55 59 60 64 65 69 70 74 75 79 WEIGHT kg SEX 18 22 Male Female 35 35 36 35 33 23 26 Male Female 33 33 35 33 32 32 27 31 Male Female 31 31 33 32 31 30 32 35 Male Female 28 28 32 30 30 29 36 40 Male Female 26 26 30 28 29 28 29 28 29 28 28 27 27 26 27 24 26 23 25 22 25 21 24 21 23 20 23 19 22 18 41 44 Male Female 24 24 29 27 28 26 28 27 28 26 27 25 27 24 26 23 25 22 24 21 23 20 22 19 22 18 21 ...

Page 216: ...15 18 14 68 72 Male Female 20 17 22 17 24 21 25 20 24 20 23 19 22 19 21 18 20 17 20 16 19 16 18 15 18 14 17 13 73 76 Male Female 18 15 21 16 23 20 24 19 23 19 22 18 22 18 21 17 20 16 19 16 18 15 18 14 17 13 17 12 77 81 Male Female 13 20 14 22 19 23 18 23 18 22 17 21 17 20 16 19 16 18 15 18 14 17 13 17 13 16 12 82 85 Male Female 19 13 21 18 23 17 22 17 21 17 20 16 19 16 19 15 18 14 17 14 16 13 16 1...

Page 217: ...99 Male Female 18 15 21 14 20 14 19 14 18 13 17 13 17 13 16 12 15 11 14 11 14 11 13 10 100 104 Male Female 17 14 20 13 20 13 19 13 18 13 17 12 16 12 15 11 14 11 13 10 13 10 12 09 AGE 5 9 10 14 15 19 20 24 25 29 30 34 35 39 40 44 45 49 50 54 55 59 60 64 65 69 70 74 75 79 WEIGHT kg SEX ...

Page 218: ...e leads u No 1 2 or 3 is satisfied Borderline n ST depression 0 05mV any leads n ST elevation 0 1mV any leads n T wave change 0 5mV any leads u No 1 2 or 3 is satisfied Negative n Positive and borderline criteria are NOT satisfied Calculation ST depression rest ST post J post exercise ST post J ST elevation post exercise ST post J rest ST post J T wave change absolute value of rest T wave amplitud...

Page 219: ... 9 2 10 leadwires 2 9 age 12 12 amber battery light 2 5 ANA TTL 2 6 analog outputs setup 12 31 analysis filter 12 32 12 34 archivist paper storage A 10 arrow pad 2 7 authorized service 1 15 automatic ECG storage to diskette 12 23 ECG transmission 12 24 shutdown 12 10 autorhythm 12 27 averaging target 12 32 12 34 B baseline roll filter 12 21 baseline wander warning 12 22 Basic System setup date and...

Page 220: ...rmation text 12 29 connector 1 2 6 2 2 6 A 2 6 acquisition module 2 9 ANA TTL 2 6 back panel 2 5 EXT VID 2 6 ground lug 2 6 IR 2 6 mains AC power 2 6 copy 2 7 correlation threshold 12 32 12 34 create orders locally setup 12 19 12 20 D date setup 12 17 default location 12 17 delay 12 31 delete 2 7 device name 1 16 dialing two second pause 12 16 dialtone method 12 16 dialtone required 12 16 disable ...

Page 221: ...G reports 12 26 writer 12 25 edit demographic and interpretive data 9 3 electrode application 3 4 12 lead 3 4 15 lead 3 5 Frank X Y Z 3 6 NEHB 3 7 pediatric 3 8 equipment identification 1 16 maintenance contract A 3 safety information 1 6 service requirements 1 15 storage conditions D 7 symbols 1 9 type BF 1 14 esc 2 8 EXT VID 2 6 external video port 12 9 extra questions 12 14 F fading traces A 8 ...

Page 222: ...2 17 connect the system cables 2 14 2 15 delete stored ECG orders 10 5 delete stored ECGs 10 3 display stored ECGs 11 5 edit demographic and interpretive data 9 3 eject a disk from the drive slot 11 4 enter data 2 25 enter orders manually 4 9 enter patient information 4 3 format a disk 11 3 lock and unlock a disk 11 3 mount the system to the trolley 2 12 preview ECG data before analysis 12 5 print...

Page 223: ...d labels 2 10 lead set 12 30 lead Z display 12 30 leads rhythm 12 27 RMR CGR extra 12 27 standard 12 26 swedish format 12 28 leadwire adapters 2 9 2 10 leakage current D 3 location 12 14 12 16 location number 12 10 M main loop gain 12 30 Main Menu 2 20 Main Menu functions 2 21 mains AC power connector 2 6 maintenance contract A 3 responsibility for A 3 manual conventions used 1 4 intended audience...

Page 224: ...P pacemaker pulse enhancer 12 22 paper tray size 2 4 paper storage A 8 paper tray 2 4 password overread 12 11 system 12 10 patient history 12 14 ID number length 12 12 ID number required 12 12 questions function 12 24 skin preparation 3 3 pediatric ECG report setup 12 26 PHi Res setup 12 32 polarity 12 31 Positive F 6 power mains AC power connector 2 6 serial connector 12 10 power up options 12 19...

Page 225: ... of ECG test information 12 10 reports description E 3 responsibility of the manuafacturer 1 9 resting ECG reports setup 12 26 restore setup 12 35 return 2 8 rhythm 2 7 leads 12 27 reports 12 26 RMR CGR extra rhythm lead 12 27 room number 12 14 S safety definitions 1 6 equipment symbols 1 9 general information 1 9 statements 1 6 saggital plane 12 30 save setup changes 12 35 screen 2 3 screen color...

Page 226: ... D 7 store data compression format 12 23 ECGs automatically 12 7 ST T F 6 suppress ABNORMAL and BORDERLINE statements 12 22 suppress NORMAL statement 12 22 swedish format rhythm leads 12 28 system password 12 10 system setup print parameters 12 35 restore setup 12 35 save changes 12 35 T technician 12 14 telephone number 12 16 test Indication 12 14 text entry 12 9 thermal paper storage A 8 time se...

Page 227: ... 5000 System 2000657 024 Revision A Index 9 TTL Output 12 31 two second pause 12 16 type 12 16 BF equipment 1 14 V visual inspection A 4 B 3 W weight 12 13 width 12 31 writer filter 12 25 gain 12 25 speed 12 25 ...

Page 228: ...MAC 5000 System 2000657 024 Revision A Index Index 10 For your notes ...

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