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Revision C

MAC 1200/1200 ST

9-3

2012250-021

Pacemaker Patients / Recording During Defibrillation: Recording ECGs of Pacemaker Patients

Recording ECGs of Pacemaker Patients

Due to the slow paper speed, it is not possible to display pacer pulses
directly on the ECG recording. At a paper speed of 50 mm/s and a pulse
duration of only 0.5 ms, the width of the recorded pacer pulse would be
only 0.025 mm.

For this reason, the recorder reduces the pulse amplitude and expands
the pulse width, so that the pacer pulse is easier to identify. The MAC
1200/1200 ST records the pulse with the correct polarity, with a width of
5 ms and with the same amplitude in all leads (depending on the polarity
of the pacer pulse in leads I and II, the pacer pulse in lead III may be
suppressed) The amplitude of the reverse current in the figure below
shows an ECG recording with pacer pulses.

ECG Recording with Pacer Pulses

:$51,1*

INCORRECT HR, NO HR ALARM — If several adverse
conditions exist at once, the possibility that the pacer pulses
are interpreted (and counted) as QRS complexes should be
considered. At the same time, however, QRS complexes
might be suppressed in certain situations. Therefore,
pacemaker patients should always be watched closely.

049A

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Содержание MAC 1200

Страница 1: ...MAC 1200 1200 ST Operator s Manual Software Version 6 2012250 021 Revision C ...

Страница 2: ...rch 8000 MULTI LINK MULTISCRIPTOR MUSE MUSE CV Neo Trak NEUROSCRIPT OnlineABG OXYMONITOR Pres R Cuff PRESSURE SCRIBE QMI QS Quantitative Medicine Quantitative Sentinel RAC RAMS RSVP SAM SEER SILVERTRACE SOLAR SOLARVIEW Spectra 400 Spectra Overview Spectra Tel ST GUARD TRAM TRAM NET TRAM RAC TRAMSCOPE TRIM KNOB Trimline UNION STATION UNITY logo UNITY NETWORK Vari X Vari X Cardiomatic VariCath VARID...

Страница 3: ...quirements of standard EN 60601 1 2 Electromagnetic Compatibility Medical Electrical Equipment The safety and effectiveness of this device has been verified against previously distributed devices Although all standards applicable to presently marketed devices may not be appropriate for prior devices i e electromagnetic compatibility standards this device will not impair the safe and effective use ...

Страница 4: ...on General Information The device is designed to comply with IEC 60601 requirements It is a protection class I device The CE mark covers only the accessories listed in the chapter Order Information The information contained in this manual reflects software version 6 ...

Страница 5: ...riters Laboratories Inc 1 10 Biocompatibility 1 11 Literature 1 11 Service Information 1 12 Requirements 1 12 2 Controls and Indicators 2 1 General Information 2 3 MAC 1200 Control Panels 2 3 MAC 1200 Keyboard 2 4 MAC 1200 ST Keyboard 2 5 Symbols 2 6 3 Operating and Performance Tests 3 1 Power Supply 3 3 Installation and Mains Connection 3 4 Performance Check 3 5 Contrast Adjustment 3 6 System Set...

Страница 6: ...ame First Name 4 13 Date of Birth 4 13 Patient ID 4 13 Chest Pain 4 14 Pacemaker 4 14 Gender Race 4 14 Height Weight 4 14 Systolic BP Diastolic BP 4 14 Ordering Physician Referring Physician Technician 4 14 Phone Number 4 15 Medication 4 15 Comments 4 15 Swedish Patient ID 4 15 ID Required 4 15 Secondary ID 4 16 Secondary ID Required 4 16 Last First Name Required 4 16 Location Number 4 16 Room 4 1...

Страница 7: ... Point QT Dispersion 5 23 6 Manual Mode Recording 6 1 General Information 6 3 Recording 6 4 7 Arrhythmia Mode Recording 7 1 General Information 7 3 Recording 7 5 During the Recording 7 6 Final Report 7 8 8 Stress Tests 8 1 General Information 8 3 Stress Test Sequences 8 6 Ergometers without Digital Communication Interface 8 6 Ergometers with Remote Start Pulse 8 8 Ergometers with Digital Communica...

Страница 8: ...Filter AC Filter 10 5 Muscle Filter Frequency 10 5 Manual Copy To 10 6 Number of Copies 10 6 Interpretation 10 6 Print Interpretation 10 6 Override Function no 10 7 Manual Mode 10 8 Report Sequence 10 8 Gain 10 9 Speed 10 9 Muscle Filter AC Filter 10 9 Muscle Filter Frequency 10 9 Anti Drift System ADS 10 10 Auto Paper Feed 10 10 Arrhythmia Mode 10 11 Report Sequence 10 11 Gain 10 11 Muscle Filter...

Страница 9: ...22 Lead Fail Beep 10 22 High HR Beep 10 22 Lead Labels 10 22 Pace Enhancement 10 22 Baseline Roll Filter 10 22 Date 10 23 Time 10 23 Units 10 23 Mains 10 23 LCD Light Off After 10 23 Low Battery Beep 10 23 Beep for Master Step 10 23 Default mode 10 24 Language 10 24 Enable Password Protection 10 24 Test Data 10 24 Restore Defaults 10 24 Print Configuration Lists 10 24 Transmission Log 10 25 Check ...

Страница 10: ...and Disinfecting the Recorder Housing 12 3 Cleaning and Disinfecting the Patient Cable 12 3 Cleaning and Disinfecting the Electrodes 12 3 Maintenance 12 4 Checks Before Each Use 12 4 Technical Inspections 12 4 Disposal 12 4 13 Troubleshooting 13 1 Troubleshooting Chart 13 3 14 Technical Specifications 14 1 Recording 14 3 Printer Paper 14 3 Paper Transport 14 3 Membrane Keypad 14 4 Display 14 4 Ind...

Страница 11: ... Data with the CSI Communication Protocol from the Following Units 14 6 Sending ECGs to the Following Units with the A5 Protocol 14 6 Remote Start Hardware 14 7 Signal Transmission 14 8 15 Order Information 15 1 General Information 15 3 Options 15 3 General Accessories 15 3 Entering Special Characters A 1 Special Characters A 3 Index Index 1 ...

Страница 12: ...viii MAC 1200 1200 ST Revision C 2012250 021 For your notes ...

Страница 13: ...Revision C MAC 1200 1200 ST 1 1 2012250 021 1 The Basics ...

Страница 14: ...1 2 MAC 1200 1200 ST Revision C 2012250 021 For your notes ...

Страница 15: ...ation Automatic acquisition of 12 leads of ECG for a period of 10 seconds Manual real time recording of 6 ECG leads Arrhythmia recording of 6 ECG leads with continuous arrhythmia analysis The graphics display shows 3 leads at a time Resting ECGs acquired in the automatic operating mode can be transferred BETWEEN the MAC 1200 and a PC and FROM the MAC 1200 to a MUSE CV system via the RS232 interfac...

Страница 16: ...RD Medical technical equipment such as the MAC 1200 1200 ST must only be used by qualified and trained personnel Intended Audience This manual is geared for clinical professionals Clinical professionals are expected to have working knowledge of medical procedures practices and terminology as required for monitoring of critically ill patients Definitions The following formats are used in this manua...

Страница 17: ...whenever the manual is updated Revision A is the initial release of the document Space Indicates you must press the space bar When instructions are given for typing a precise text string with one or more spaces the point where the space bar must be pressed is indicated as Space The purpose of the brackets is to ensure you press the space bar when required Enter Indicates you must press the Enter o...

Страница 18: ...nt valid at the time of printing All rights are reserved for devices circuits techniques software programs and names appearing in this manual On request GE will provide a service manual The GE quality management system complies with the standards DIN EN ISO 9001 and EN 46001 To ensure patient safety the specified measuring accuracy and interference free operation we recommend to use only original ...

Страница 19: ...tes a potential hazard or unsafe practice which if not avoided could result in death or serious injury 87 21 indicates a potential hazard or unsafe practice which if not avoided could result in minor personal injury or product property damage 127 provides application tips or other useful information to assure that you get the most from your equipment The safety information given in this manual is ...

Страница 20: ...connected to an appropriate power supply with a non fused grounded to earth wire If these requirements cannot be met operate the device on battery power Do not use multiple portable socket outlets MPSO to connect the device to the power line Devices may be connected to other devices or to parts of systems only when it has been made certain that there is no danger to the patient the operators or th...

Страница 21: ...ctromagnetic radiation Keep the recorder away from these devices and verify the recorder performance before use SUFFOCATION HAZARD Dispose of the packaging material observing the applicable waste control regulations Keep the packaging material out of children s reach 87 216 EQUIPMENT DAMAGE Devices intended for emergency application must not be exposed to low temperatures during storage and transp...

Страница 22: ...e of protection against electrical shock Type CF defibrillation proof applied part Degree of protection against harmful ingress of water Ordinary Equipment enclosed equipment without protection against ingress of water Degree of safety of application in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide Equipment not suitable for use in the presence of a flamma...

Страница 23: ...icable standards If you have questions in this matter please contact GE Medical Systems Information Technologies or its representatives Literature Medical Device Directive of August 2 1994 EN 60601 1 1990 A 1 1993 A 2 1995 Medical electrical equipment General requirements for safety EN 60601 1 1 9 1994 A1 12 1995 General requirements for safety Requirements for the safety of medical electrical sys...

Страница 24: ...s the user s responsibility to report the need for service to GE Medical Systems Information Technologies or to one of their authorized agents Every GE Medical Systems Information Technologies device has a unique serial number for identification The serial number appears on the device label Table 1 Equipment Identification Item Description A name of device B manufacturer C location code D serial n...

Страница 25: ...Revision C MAC 1200 1200 ST 2 1 2012250 021 2 Controls and Indicators ...

Страница 26: ...2 2 MAC 1200 1200 ST Revision C 2012250 021 For your notes ...

Страница 27: ...F D S A alt Q 1 W 2 E 3 R 4 T 5 Y 6 U 7 I 8 O 9 P 0 sta rt sto p arr hy pat info sto re retr ieve lea d cop y set up gai n forma t spe ed mu scl e filte r 12 6 stan dby batt ery low on off MAC 1200 1 001A 1 2 3 4 5 Description 1 Power input 2 Paper door windows allows you to check the paper supply 3 Patient cable connector 4 Connection for electrode application system KISS option 5 Serial interfac...

Страница 28: ...s the muscle filter elimination of muscle artifact 7 Selects the writer speed 25 50 or 5 mm s in Manual Mode and the report formats in Automatic Mode 8 Selects the gain 5 10 20 40 mm mV 9 Press to print the report or additional copies of the ECG or to send receive ECGs 10 Selects the ECG leads displayed and recorded in Manual Mode and displayed Automatic Mode 11 Sends ECG to memory retrieves ECG f...

Страница 29: ... bar 22 Shift key 23 Press to access special characters Description Z X C V B N M L X K J H G F D S A Alt Q 1 W 2 E 3 R 4 T 5 Y 6 U 7 I 8 O 9 P 0 Arrhy Pat Config mm mV mm s Filter Man Auto Ergo HR HR W V W V Start Stop 099A 6 5 4 3 2 1 Description 1 Selects the Stress Test mode and the Arrhythmia mode press button twice 2 Increases reduces load W treadmill grade and treadmill speed V 3 Stops the ...

Страница 30: ...g documents Signal input Type CF signal input highly insulated defibrillation proof Start Stop Battery Saving retrieving ECGs Correction key Direction indicator Device ON OFF ECG lead selector Printout of reports and ECG copies Standby Stage hold Pre exercise phase Exercise phase Post exercise phase Alt ...

Страница 31: ...Revision C MAC 1200 1200 ST 3 1 2012250 021 3 Operating and Performance Tests ...

Страница 32: ...3 2 MAC 1200 1200 ST Revision C 2012250 021 For your notes ...

Страница 33: ...nnected to the power line for four hours Indicator 1 is illuminated when the battery needs to be charged The unit can also be set up to emit an additional audio signal when the battery requires charging With a full battery about 50 ECGs 1 page each can be recorded in the Automatic mode When its capacity drops to about 25 recordings the battery is used up and must be replaced by a service specialis...

Страница 34: ...atient cable and the power cord do not run parallel Arranging the Electrocardiograph and the Examination Couch Use the power cord to connect the device to the power line see figure below Use only the original power cord or an equivalent cable AC Power Input Indicator 2 will illuminate Check the paper supply the window in the paper door allows you to look inside the paper compartment Refer to Chapt...

Страница 35: ...s identified the display will show an error message Error In this situation notify service to check and repair the device The self test can be skipped with the button In this case the device immediately activates the default mode confugured in the Setup menu 127 The backlighting of the display switches off automatically when no key is activated for 20 minutes adjustable The illumination is turned ...

Страница 36: ...3 6 MAC 1200 1200 ST Revision C 2012250 021 Operating and Performance Tests Performance Check Contrast Adjustment Simultaneously press and the appropriate cursor key more contrast less contrast Alt ...

Страница 37: ...box text box for 40 characters Cart 1 1 9999 Site 1 1 1 255 Location 1 600 Ease of Clock Setting No Yes Date dd mm yyyy current date Time hh mm current time Lead fail beep No Yes High HR beep No Yes Lead Labels IEC AAMI Pace Enhancement Yes No Baseline roll filter 0 08 Hz 0 04 Hz 0 16 Hz Date dd mm yyyy mm dd yyyy Time 24 12 Units cm kg in lb Mains 50 Hz 60 Hz LCD light off after 20 min 1 99 min L...

Страница 38: ...sion C 2012250 021 Operating and Performance Tests System Setup Print ECG Tx log No Yes Check Record Retxn No Yes 1 only for CSI communication protocol 2 with MAC 1200 ST only if the selected exercise device is the MASTER STEP ...

Страница 39: ...ot connected to the same circuit must be electrically isolated use isolated RS232 interface as per IEC 60601 1 A PC connected to the electrocardiograph should meet the requirements of EN 60601 If it doesn t it must be set up outside the patient environment If the PC fulfills the requirements of EN 60950 it must be set up within the medically used area but outside the patient environment Do NOT con...

Страница 40: ... 5 ECG Transmission section for details The table below shows the factory defaults and all possible adjustments For instructions on changing the default setup see Chapter 10 Communication section for details Table 2 Modem Configuration Menu Parameter Factory Default Options Choices for Modem Other No other MultiTech 19 2 MultiTech 56k Elsa 14 4 Elsa 28 8 Elsa 33 6 Elsa 56k Choices for Modem other ...

Страница 41: ...Revision C MAC 1200 1200 ST 4 1 2012250 021 4 Preparing for ECG Recording ...

Страница 42: ...4 2 MAC 1200 1200 ST Revision C 2012250 021 For your notes ...

Страница 43: ...he isolated patient signal input do not come into contact with other grounded conductive parts This would bridge the patient s isolation and cancel the protection provided by the isolated input The neutral electrode in particular must not come into contact with ground If your electrocardiograph is equipped with an integrated suction pump connector you can connect the electrode application system K...

Страница 44: ...tem KISS Otherwise use the plate electrodes on the limbs and the suction electrodes on the thorax Applying Plate Electrodes Limbs Plate electrodes are applied by means of a rubber strap and electrode paper is the recommended contact medium Moisten the electrode paper with tap water and place it between skin and electrode Secure the electrode with the rubber strap see figure below but do not hinder...

Страница 45: ...ion C1 4th intercostal space at the right border of the sternum C2 4th intercostal space at the left border of the sternum C3 On the 5th rib midway between locations C2 and C4 C4 At the mid clavicular line in the 5th intercostal space C5 At the anterior auxiliary line on the same horizontal level as C4 and C6 C6 At the mid auxiliary line on the same horizontal level as C4 C7 At the left posterior ...

Страница 46: ... below Connecting the Patient Cable 10 Lead Cable Standard ECG Leads Arrange the leadwires and patient cable as shown below Arranging the Patient Cable C1 C1 C2C3 C4 C5 C6 C2 C3 C4 C5 C6 009A right leg right arm left arm left leg N black R red C1 white C2 white C3 white C4 white C5 white C6 white L yellow F green 010A Correct Incorrect ...

Страница 47: ...or Nehb Leads Nst 4th intercostal space at the right border of the sternum Nax At the posterior auxiliary line in the 5th intercostal space identical with C7 Nap At the mid clavicular line identical with C4 in the 5th intercostal space As an alternative it is also possible to record the Nehb leads with the 10 lead patient cable only in Manual Mode To do so connect as follows R to Nst L to Nax C7 F...

Страница 48: ...lectrode Application Connecting the Patient Cable 12 Lead Cable NEHB Leads C1 C1 Nst Nap C2C3 C4 C5 C6 C2 C3 C4 C5 C6 Nst Nap C8 C7 Nax 012A right leg right arm left arm left leg N black R red C1 white C2 white C3 white Nst C4 white Nap Nax C5 white C6 white L yellow F green ...

Страница 49: ...quired see Sample Recording figure For the Manual Mode the anti drift system cubic spline can be enabled and disabled from the setup menu in the Automatic and Arrhythmia Modes it is always enabled When electrodes are not properly applied these measures may not fully compensate for artifact High polarization voltages induced by electrodes applied without conductive gel may cause the amplifier to ov...

Страница 50: ...ode cream spray etc Wait approximately 10 seconds before initiating a recording After the 10 second period the automatic functions are enabled and the polarization voltages have stabilized provided the electrodes are properly applied In case of improper electrode application an error message will appear on the display R L F N C1 to C6 NA NT NX If required the ADS cubic spline and the filters 20 40...

Страница 51: ...xt page the items that appear in the patient data menu in the default configuration are marked as Yes in the Menu item displayed column the other menu items are marked as No To skip a menu item press or the cursor key or It is not possible to write capital and small letters do not press the Shift key For entry of numbers e g date of birth it is not necessary to press the Shift key For fields that ...

Страница 52: ...n1 Unknown Yes Not Present Secondary Complaint Chief Complaint Pacemaker No Yes Yes Gender Yes female male Height Yes Weight Yes Race unknown Yes other Systolic BP 0 mmHg Yes Diastolic BP 0 mmHg Yes Ordering Physician Yes selection from a list of 10 names Referring Physician Yes selection from a list of 10 names Technician Yes selection from a list of 10 names Phone No Yes Medication Yes 1 unknown...

Страница 53: ...t of the keys without pressing the Shift key The symbol appears in the display to indicate the Shift Lock status Patient ID This field accepts 3 to 16 characters The exact length is determined in the patient data setup menu 127 When entering a patient ID which consists of numerals only the blanks preceding the number are replaced with 0 Example If a 6 digit text box is configured and you enter the...

Страница 54: ...tion Yes when recording the ECG of a pacemaker patient The recording will then be annotated with the message Pacemaker Patient Gender Race These parameters influence the ECG If you do not intend to enter all patient data select the neutral entries and unknown Height Weight Enter the patient s height cm and weight kg The weight can be entered with one decimal place Systolic BP Diastolic BP Enter th...

Страница 55: ...oll through the list with and confirm with no unknown Digitalis Diuretics Antidepress Steroids Beta blockers II Beta blockers III Antiarrhythmics la Antiarrhythmics lb Antiarrhythmics lc Antiarrhythmics III Ca antagonist verapamil type Ca antagonist nifedipine type Nitrates ACE Alpha blockers Cytostatics Comments 4 lines of 30 characters each Swedish Patient ID Default value is No ID Required Defa...

Страница 56: ...ired Last First Name Required Yes patient last or first name required No patient last or first name not required Location Number ID number for the location 3 place When you select Yes for New patient the default value from the System Setup will automatically be adopted but you can overwrite this number Room 5 digits Order Number 9 digits for entry of the ECG order number Prompts Answer the prompts...

Страница 57: ...Revision C MAC 1200 1200 ST 5 1 2012250 021 5 Automatic Mode Recording ...

Страница 58: ...5 2 MAC 1200 1200 ST Revision C 2012250 021 For your notes ...

Страница 59: ...terpretative statements MAC 1200 1200 ST with option DIAG 127 The program will only interpret the standard and Cabrera lead sequences The NEHB leads will only be measured Units equipped with the optional memory function MEMO MAC 1200 1200 ST only can save up to 40 resting ECG These ECGs can be printed or sent to CardioSys CardioSoft A5 protocol or to the MUSE CV system CSI protocol see The Storage...

Страница 60: ...ptions Report Sequence STANDARD CABRERA NEHB Rhythm Leads II V1 V5 V2 V3 V4 all leads Gain 10 mm mV auto 5 20 40 mm mV Report Format 12_FS 12_F1 12_F2 6_F1 6_F2 6_FS 6_F2_25 3_F1 H1 H2 A1 4x2 5R3 1x10R3 MUSE1 Detailed Results No Yes Cont Rhythm Yes No Muscle Filter No Yes Muscle Filter Frequency 40 Hz 20 Hz AC Filter Yes No Manual copy to EKG HOST Number of copies 1 0 9 Delete ECG after Transmissi...

Страница 61: ...2 seconds 3 Before initiating a recording check the display for error messages Check all electrodes if the message persists there must be a break in the patient cable Replace the cable with a new one 4 Initiate a recording with The MAC 1200 1200 ST acquires all 12 leads simultaneously for 10 seconds and then generates a printout 127 The device can be set up to allow a recording only when specific ...

Страница 62: ...10 mm mV configurable calibration pulse at the beginning of the recording Muscle filter is disabled configurable AC line filter is enabled configurable ADS anti drift system is always enabled Report format is 12_FS i e 12 leads and all data are printed on one page configurable Interpretation is printed configurable Detailed results page including the median complexes and the measurement results is...

Страница 63: ...or DIAG measurement interpretation The locations of all relevant device settings are shown below The display shows three leads at a time With you can display all leads of the report sequence in groups of three The recording can be stopped with For a description of the different reports see Report Formats on page 5 10 Operating mode Muscle filter1 1 if enabled AC line filter1 Anti drift system1 Pat...

Страница 64: ...of the menu Print prints the selected ECG Send see ECG Transmission on page 5 12 Send all unsent records see Batch Transmission on page 5 12 Delete deletes the selected ECG Change enables modification of the patient data When you view a saved ECG the Print function is selected The list on the next page shows all patients for whom ECG are stored To perform an action with one or more ECGs you must f...

Страница 65: ... need Initiate it with Other Considerations With the Print directory command you can print a list of all stored ECGs The printout includes all columns except the Comments column If you try to save an ECG when the memory is full a message informs you of the memory status When you delete an ECG from memory the new ECG will automatically be saved The unit may be set up to automatically save ECGs with...

Страница 66: ...1 are only available with MAC 1200 1200 ST units option MEAS or DIAG required In these reports the rhythm leads are printed with a speed of 12 5 mm s and the medians with 50 mm s Format ECG Traces Length Leads Rhythm Lead Length Leads Speed Measurement Interpretation Pages Medians 12_FS 10 s 1x12 no 25 mm s no no 1 no 12_F1 5 s 1x12 10 s 1 V6 25 mm s yes yes 1 no 12_F2 8 s 1x12 10 s 1 V6 50 mm s y...

Страница 67: ... choose the Detailed Results page When selected this page will be appended to the report It contains patient data measurement results interpretative statements reasons are only annotated if the unit is equipped with the HEART interpretation program medians and the tabular measurement values 127 To obtain a printout of the full patient data select the Manual mode and press ...

Страница 68: ...mission can be stopped ECGs that were successfully transmitted are identified with the letter S for Sent After the selected ECG records have been successfully transmitted a confirmation message displays e g 6 of 6 ECG records successfully transmitted All ECG records are time stamped hours minutes and seconds To view a record s time stamp highlight it Then press Use to scroll right to see the time ...

Страница 69: ... set up to automatically print a log of the recently completed transmission See Transmission Log on page 10 25 for more information If the Transmission log is enabled after each record is transmitted the message Print transmission log will display Press to print the log The message Printing Transmission Log displays as the log is printing Error Messages Transmission error messages are listed below...

Страница 70: ...old it depressed 2 To select one or more ECGs for transfer move the cursor down with When the cursor reaches Print directory it moves on to the patient list In the list the bar cursor changes to a line cursor To select multiple ECGs select them with while holding down Selected ECGs are marked with a black bar in the margin of the display Deselect ECGs with the same key combination 3 When you have ...

Страница 71: ...s displayed and the option to cancel the transmission is provided Then it will send the ECG 7 After the transmission a message on the display indicates the number of successfully transmitted ECGs As soon as you acknowledge the message with the Automatic mode acquisition screen appears 8 If the ECG could not be transmitted wrong modem setup modem off etc the unit will display an error message such ...

Страница 72: ...ECG record sent to the MUSE CV system contains a unique serial number for tracking purposes It is made up of the MAC 1200 1200 ST serial number date time 127 The ECG record serial number is printed on the transmission log only if enabled It does not appear on the ECG report printed at the MAC 1200 1200 ST unit See Transmission Log on page 10 25 for more information Direct Transmission The unit mus...

Страница 73: ...choice with The message Initializing transmission is displayed and the option to cancel the transmission is provided Then it starts The message ECG Transmission CSI is displayed 5 After the transmission a message on the display indicates the number of successfully transmitted ECGs As soon as you acknowledge the message with the Automatic mode acquisition screen appears 6 If the ECG could not be tr...

Страница 74: ...re can be aborted with 3 When you have enabled the receive data mode the standard screen display of the Automatic mode displays The message Auto REC indicates that the unit is ready to receive data ECGs can be recorded in the Automatic mode even while the unit is in the receive data mode 4 A message displays on the screen when the unit is receiving data The reception of data can be aborted with 5 ...

Страница 75: ...operating state 1 The modem is initialized init string 2 A communication link is established dial string 3 The communication is terminated hangup string These three strings are entered in the modem setup menu See Chapter 3 Connecting Peripheral Equipment The example below shows the command strings for the MultiTech ZDX modem AT Command for Modem Initialization Symbol Description AT Prefix that pre...

Страница 76: ... terminated in two steps First the MAC 1200 1200 ST sends an escape command to return from the on line state to the command state Then the hangup command follows Symbol Description AT Prefix that precedes every command line DT Touch tone dial mode xxx After DT enter the characters for access to the public telephone network e g 0 W W placed after a number tells the modem in a PBX system to wait for...

Страница 77: ...also required Global Measurement Points After acquisition of an ECG in the Automatic mode the global measurement points for P onset P offset QRS onset QRS offset and T offset can be adjusted manually After acquisition of the ECG press to display the screen for verification of the global measurement point markers Verification of the Global Measurement Points Description 1 Amplitude in mV 2 Selected...

Страница 78: ...ackground The active measurement point marker is large the four inactive markers are small Use these keys to adjust the markers moves the active marker right or left selects the next or previous marker activates the next lead changes the gain terminates the adjustment saving the changes terminates the adjustment without saving the changes space bar for the P onset and P offset values the space bar...

Страница 79: ...he global measurement points the screen for verification of the T offset measurement point appears automatically Verification of the T Offset Measurement Point Therefore this screen always shows only one lead at a time and the T offset point Changing the local T offset point also affects the QT dispersion value Description 1 Amplitude in mV 2 Selected lead 3 Time in s 4 Active marker 1 mV 1 s 029A...

Страница 80: ...out saving the changes When you exit the screen the acquisition screen for the Automatic mode reappears The corrected ECG can be printed with the button If the unit is equipped with the MEMO memory option the corrected data can be saved or it will be saved automatically when the corresponding function is enabled If the original ECG had already been saved the corrected data will overwrite this ECG ...

Страница 81: ...Revision C MAC 1200 1200 ST 6 1 2012250 021 6 Manual Mode Recording ...

Страница 82: ...6 2 MAC 1200 1200 ST Revision C 2012250 021 For your notes ...

Страница 83: ...configurable The following information refers to a unit with the system defaults For instructions on changing the default setup refer to Chapter 10 Manual Mode section for details Table 1 Setup Menu for the Manual Mode Parameter Factory Default Options Report Sequence STANDARD CABRERA NEHB SEQ NO 4 Gain 10 mm mV auto 5 20 40 mm mV Speed 25 mm s 5 50 mm s Muscle Filter No Yes Muscle Filter Frequenc...

Страница 84: ...ssages see table below Check all electrodes if the message persists there must be a break in the patient cable Replace the cable with a new one The recording is started and stopped with Table 2 Messages Indicating Disconnected Electrodes R Right arm electrode disconnected L Left arm electrode disconnected F Left leg electrode disconnected C1 Chest electrode C1 disconnected C2 Chest electrode C2 di...

Страница 85: ...l see Chapter 10 Manual Mode Also the gain setting can be changed with 5 10 20 and 40 mm mV 127 Please note that filters may suppress diagnostically relevant portions of the signal because they limit the transmission range Filters should therefore only be enabled if necessary selects the other 6 leads of the selected report sequence display the other 3 leads of the selected group of 6 The writer p...

Страница 86: ...ystem is enabled there will be a short delay of 2 2 seconds before the recording starts The heart rate limit is automatically calculated from the date of birth WHO 100 220 age When the date of birth is not entered the unit will set the limit at 180 bpm This value can be changed with and in steps of 5 bpm Operating mode Muscle filter1 1 if enabled AC line filter1 Anti drift system1 Patient Name Rep...

Страница 87: ...Revision C MAC 1200 1200 ST 7 1 2012250 021 7 Arrhythmia Mode Recording ...

Страница 88: ...7 2 MAC 1200 1200 ST Revision C 2012250 021 For your notes ...

Страница 89: ...ration of the event episode In the setup menu Chapter 10 Arrhythmia Mode section you determine the conditions for a recording The recorder starts each time it detects a single beat event The recorder starts each time it detects an event different from the previous event The recorder does not start at all Event Recording 127 After starting the program press to select a continuous recording at 5 mm ...

Страница 90: ...he system defaults For instructions on changing the default setup refer to Chapter 10 Arrhythmia Mode section Table 1 Setup Menu for the Arrhythmia Mode Parameter Factory Default Options Report Sequence STD C STD_RED STD_LI CABR_LI NEHB HIGH_C Gain 10 mm mV auto 5 20 40 mm mV Muscle Filter No Yes Muscle Filter Frequency 40 Hz 20 Hz AC Filter Yes No Trend Rec No Yes Arrhy Data unequal all no Episod...

Страница 91: ...messages Check all electrodes if the message persists there must be a break in the patient cable Replace the cable with a new one 3 Start and stop the recording with the key Table 2 Messages Indicating Disconnected Electrodes Symbol Definition R Right arm electrode disconnected L Left arm electrode disconnected F Left leg electrode disconnected C1 Chest electrode C1 disconnected C2 Chest electrode...

Страница 92: ...cally relevant portions of the signal because they limit the transmission range Only enable filters if necessary With the system defaults the MAC 1200 1200 ST will activate the following functions and settings STD_C report sequence lead to channel correspondence V1 to V6 configurable Gain of 10 mm mV configurable calibration pulse at the beginning of the recording The unit can be set up to automat...

Страница 93: ...e unit will set the limit at 180 bpm This value can be changed with and in steps of 5 bpm 127 The letter A on a recording indicates the presence of artifact which does not allow the algorithm to identify arrhythmias Causes include wandering baselines The anti drift system largely prevents these disturbances Check the electrodes and leadwires Operating mode Muscle filter1 1 if enabled AC line filte...

Страница 94: ...stopped with Then the final report can be printed with The final report consists of the following Patient ID sheet with all patient data as well as with all analyzed QRS complexes type and number of detected events and the analysis duration in tabular form Episode report 3 sheets maximum with 2 episodes each Arrhythmia codes ...

Страница 95: ...sed beat PAU1 Early PVC EPVC Ventricular bigeminy VBIG New form e g intermittent bundle branch block NF Multiform PVCs MULT Supraventricular arrhythmia SVAR Paroxysmal supraventricular tachycardia PSVT Tachycardia TACH Bradycardia BRAD Pacemaker malfunction PERR Ventricular escape beat ESC Premature ventricular contraction PVC Premature supraventricular contraction PSVC Aberrant beat ABR Pacemaker...

Страница 96: ...7 10 MAC 1200 1200 ST Revision C 2012250 021 Arrhythmia Mode Recording Recording For your notes ...

Страница 97: ...Revision C MAC 1200 1200 ST 8 1 2012250 021 8 Stress Tests ...

Страница 98: ...8 2 MAC 1200 1200 ST Revision C 2012250 021 For your notes ...

Страница 99: ...nd test protocol Chapter 10 Communication describes how to configure the ergometer model All other exercise test related settings are described in Chapter 10 Stress Test Mode section 51 1 Before connecting peripheral devices to the unit read the safety information in Safety Information on page 1 6 During an exercise test the following occurs The ST segment is analyzed in all 12 leads 3 leads are s...

Страница 100: ...lowing test protocols Bicycle Ergometer WHO HOLLMANN BAL STD FRANCE MODWO CONCONI Treadmill BRUCE MODIFIED BRUCE MODBRUCE NAUGHTON ELLESTAD MODIFIED BALKE MODBALKE USAFSAM SLOW USAFSAM CORNELL BALKEWARE MODIFIED BALKEWARE MODBALKEWARE ADENOSINE DOBUTAMINE PERSANTINE Master s Step Tests SINGLE DOUBLE TRIPLE ...

Страница 101: ... for the Stress Test Mode Parameter Factory Default Options Report Sequence STANDARD CABRERASEQ No 3 Protocol WHO see previous page Rhythm Leads I II aVF V2 V4 V6 Gain 10 mm mV auto 5 20 40 mm mV Speed 25 mm s 50 mm s In Test Reports Comparative Median Report Median Report Muscle Filter No Yes Muscle Filter Frequency 40 Hz 20 Hz AC Filter Yes No max HR after 180 WHO 80 WHO 90 WHO 100 AHA J x point...

Страница 102: ...readmill select internal or remote start Chapter 10 Communication section 2 Select the test protocol Chapter 10 Stress Test Mode section and set the corresponding initial load at the ergometer Press to initiate the test Wait approximately 30 seconds until the first ST measurements are taken Press and ask the test subject to start pedalling Each time you reach the end of a load stage you must set t...

Страница 103: ...Interface Confirm Stop Onscreen On the keyboard Confirm Sensitivity Use the key to stop the test Cancel Speed Use the key to cancel the request to stop the test The test will continue mm mV Ergo Arrhy Config Alt Select Stress Test Mode Select protocol Check report interval Wait approx 30 s until the first ST measurement is completed Automatic when last stage is completed or manual Change load acco...

Страница 104: ...gometer initiates the following functions In Automatic mode Start stop In Manual mode Start stop In Arrhythmia mode Event report In Stress Test mode Stage change Action at Ergometer Remote Start Pulse Action at MAC 1200 ST Test subject starts pedalling 1st remote start pulse No action Load increase at ergometer Remote start pulse with each load increase Stage change ...

Страница 105: ...pports directly connected blood pressure monitors They are controlled by the stage time setting The blood pressure interval will be ignored 1 Select the ergometer type Chapter 10 Communication 2 Select the test protocol configuration Chapter 10 Stress Test Mode 3 Press A blood pressure measurement is now taken automatically if configured Wait until the readings are available or until the first ST ...

Страница 106: ...ified the program waits for the button to be pressed Then the exercise starts regardless of whether the test subject starts pedalling or not When you have configured the internal ergometer the exercise can only be started with Config Ergo Arrhy Alt 034A Select Stress Test Mode Select protocol Check report interval Wait approx 30 s until the first ST measurement is completed Wait approx 30 s until ...

Страница 107: ...ge and a stage report is printed With you advance to the next phase 1 With the EC1200 takes you to the next higher stage and to the preceding stage without generating a stage report After a load change wait until the new load appears in the display before you activate one of these buttons again When the number of revolutions is low the EC1200 will automatically activate a load of 15 Watts and incr...

Страница 108: ...g Patient The next stage is reserved for a hyperventilating patient s ECG 6 Start the treadmill with and press The warm up stage follows in which the patient gets used to the treadmill exercise 7 Press Once the patient is familiar with walking on the treadmill initiate the actual test with From this point forward the program controls the entire test including the recovery phase General Treadmill C...

Страница 109: ...l mode and the phase name is given as Manual For safety reasons the program maintains the current stage and the button is inactive You can only control the test manually with the and buttons speed grade When you push the program increments to the next stage and a stage report is printed With you advance to the next phase Program Sequence for Treadmill Test Start Stop Start Alt Config Ergo Arrhy Al...

Страница 110: ...y once They will be saved and are automatically available for further tests The name of the test protocol is also annotated on the data acquisition screen Running the Test 1 Enter the patient information See Chapter 4 Entering Patient Data section for details For the test the data fields Date of birth Gender and Weight must be filled out Otherwise the device will set the number of steps to the min...

Страница 111: ...e settings or initiate additional reports Initiates printout of a 12 Lead report Toggles between 25mm s and 50mm s Selects the gain 5 10 20 40 mm mV Switches muscle filter ON OFF HR Adjusts HR alarm limits HR Changes the number of passes in the PRE EXERCISE phase depending on the selected Master Step mode the number of passes changes as follows SINGLE increments decrements by 1 pass DOUBLE increme...

Страница 112: ... Stage Advancing to Next Stage Reports PRE EXERCISE 1 SUPINE until baseline ST is available automatic 12 lead report at beginning stage report at end 2 ELECTR OFF until button is pressed with button NO EXERCISE 1 STEPPING 90 180 or 270 seconds automatic NO POST EXERCISE 1 POST EX11 1 In the POST EXERCISE phase the message ELECTR ON is displayed instead of the stage name to prompt the user to reapp...

Страница 113: ...s test 2 Press Now the configuration screen is displayed 3 Move the cursor to Protocol others and press the list of the available Master s step protocols is shown in the window You can also edit the parameters of the post exercise phase as follows 1 Press and select Stress test 2 Press Now the configuration screen is displayed 3 Move the cursor to Protocol SINGLE and press The protocol editor is n...

Страница 114: ...omplex the unit derives the median complex which is the reference beat for calculation of the ST level and slope during the test The locations of all relevant device settings are shown below Operating mode Muscle filter1 1 if enabled AC line filter1 Anti drift system1 Patient Name Report function2 2 or REC OFF when the recording function is disabled Gain Report sequence Three leads display here Se...

Страница 115: ... Anti drift system1 Patient Name Report function2 2 or REC OFF when the recording function is disabled Gain Report sequence Three leads display here Selected exercise test Phase Stage Time since onset of test Speed Time in phase Time in stage Grade METS value PVC min Failure message3 3 if any Current HR HR Limit Stress Test Screen Treadmill ...

Страница 116: ...n as Manual For safety reasons the program maintains the current stage and the button is inactive You can only control the test manually with the and buttons speed grade When you push the program increments to the next stage and a stage report is printed With you advance to the next phase At the end of each load stage and if configured with the ECG interval the recorder prints a 12 lead report and...

Страница 117: ...st For automatically controlled program sequences press the after completing the last stage in the last phase to end the stress test Refer to End Cancel a Stress Test on page 8 7 for more information 127 If the stress test is aborted in the pretest phase with no automatic final report will be printed ...

Страница 118: ...ssion at peak exercise and at the beginning of exercise and of the difference between the heart rate values at the same time ST max lead with the max ST depression of the whole test the leads V1 aVR and aVL being excluded ST recovery lead with max ST depression 3 minutes after the end of the exercise phase the leads V1 aVR and aVL being excluded Arrhythmia results normal beats artifacts VBIG PVC P...

Страница 119: ...unning a Stress Test Graphic Trends Standard HR BP load for bicycle ergometers Load rpm for bicycle ergometers HR BP METS for treadmills Speed slope for treadmills ST slopes ST levels channel 1 ST slopes ST levels channel 2 Heart rate artifacts Paced beats PVC ...

Страница 120: ...8 24 MAC 1200 1200 ST Revision C 2012250 021 Stress Tests Running a Stress Test ...

Страница 121: ...Revision C MAC 1200 1200 ST 9 1 2012250 021 9 Pacemaker Patients Recording During Defibrillation ...

Страница 122: ...9 2 MAC 1200 1200 ST Revision C 2012250 021 For your notes ...

Страница 123: ...asier to identify The MAC 1200 1200 ST records the pulse with the correct polarity with a width of 5 ms and with the same amplitude in all leads depending on the polarity of the pacer pulse in leads I and II the pacer pulse in lead III may be suppressed The amplitude of the reverse current in the figure below shows an ECG recording with pacer pulses ECG Recording with Pacer Pulses 51 1 INCORRECT H...

Страница 124: ...00 ST to Manual mode when you may have to defibrillate the patient while recording the ECG and disable the anti drift system which would cause a 2 second signal delay Chapter 10 Manual Mode section for details When using other electrodes disconnect the patient cable from the recorder while defibrillating the patient 51 1 EQUIPMENT DAMAGE For reasons of patient safety use only the original GEMS IT ...

Страница 125: ...Revision C MAC 1200 1200 ST 10 1 2012250 021 10 System Setup ...

Страница 126: ...10 2 MAC 1200 1200 ST Revision C 2012250 021 For your notes ...

Страница 127: ...selected mode So be sure to select the appropriate mode before entering the configuration menu To access the menu options position the bar cursor on the option with the cursor keys and confirm the selection with The operating steps to select a setting are always the same Using the cursor keys and you select the setting and confirm the selection with The cursor will move to the next menu item Indiv...

Страница 128: ...asured with the HEART interpretation program Rhythm Leads Depending on the selected report format the recorder will print 0 1 3 or 6 selectable rhythm leads With the 12_F1 report format the printed rhythm lead is V6 for NEHB leads lead J with formats 3_F1 6_FS and 6_F1 the first selected rhythm lead with formats 1x10R3 and 4x2 5R3 the first 3 and with formats H1 and A1 all 6 rhythm leads Gain 5 10...

Страница 129: ...tter R will be appended to the report name Report formats 6_F1 3_F1 4x2 5R3 6_F2 H2 become 6_F1_R 3_F1_R 4x2 5R3_R 6_F2_R H2_R Muscle Filter AC Filter Elimination of muscle artifact and AC line interference Muscle filter no AC line filter yes 127 Filters may suppress diagnostically relevant portions of the signal because they limit the transmission range Therefore only enable filters if necessary ...

Страница 130: ... ECGs that were successfully sent to a host system via the RS232 interface will be cleared from the recorder memory Default no If this menu item is set to Yes and ECGs have already been sent from the recorder memory these ECGs will be deleted after the next transmission of a stored ECG Autosave ECG MAC 1200 1200 ST with Memory Option MEMO Only After report generation the ECG will or will not be au...

Страница 131: ...the recorder will print in Automatic mode even when not all electrodes are applied or do not supply a good signal When electrodes are disconnected a message informing the user of poor signal quality will be printed on the recording strip Measurement and interpretation results may be adversely affected by disconnected electrodes ...

Страница 132: ...or the Manual mode appears Report Sequence STANDARD I II III aVR aVL aVF V1 V2 V3 V4 V5 V6 CABRERA aVL I aVR II aVF III V1 V2 V3 V4 V5 V6 NEHB D A J I II III aVR aVL aVF D A J SEQ NO 4 Users can define a custom report sequence here Position the cursor on SEQ NO 4 Press The display shown below will appear Press Report sequence SEQ NO 4 Lead Label Channel 1 Channel 2 Channel 3 I II III I II III ...

Страница 133: ...he above steps for channel 2 etc You can write over SEQ NO 4 if you wish to enter another name for the report sequence Gain The unit will automatically determine the appropriate gain setting for the 6 simultaneous leads auto 5 10 20 40 mm mV with auto Speed Changes the paper speed Default 25 mm s Muscle Filter AC Filter Elimination of muscle artifact and AC line interference Muscle filter no AC li...

Страница 134: ...Drift System ADS In case of wandering baselines the anti drift system restores the baseline to its original position Signal delay with ADS approximately 2 seconds Default no Auto Paper Feed Before each recording the recorder feeds the paper to the beginning of a new page yes no ...

Страница 135: ... STD_RED I II III V2 V4 V6 STD_LI I II III aVR aVL aVF CABR_LI aVL I aVR II aVF III NEHB I II III D A J HIGH_C V1 V2 V3 V4 V5 V6 4 you can configure a custom sequence with these leads Position the cursor on HIGH_C Press and create the report sequence as described in Manual Mode section Gain The unit will automatically determine the gain setting auto 5 10 20 40 mm mV with auto Muscle Filter Elimina...

Страница 136: ...low trend recording of 5 mm s automatically begins at program start no yes Arrhythmia Data The recorder will document arrhythmias in the following situations all unequal no Each time an arrhythmia occurs Each time an arrhythmia occurs that is different from the preceding event Arrhythmias are not documented Episodes Final report includes episode report with episodes listed by one of the following ...

Страница 137: ...ort sequence Position the cursor on SEQ NR 3 Press and create the report sequence as described in Manual Mode section Protocol The test protocols available for selection depend on the selected exercise test device see Communication section The Protocol Editor allows you to change individual test parameters or to create your own test protocols First select the protocol that you would like to edit o...

Страница 138: ...d phase del phase print proto add stage del stage reset proto add proto del proto ok escape Phase Time In Basic Lead Median Repo STAGE 99 001 1 A stage time of 99 00 means an indefinite stage time and the program does not automatically advance to the next stage 0 First PRETEST Ramping 0 00 00 0 EXERCISE Ramping STAGE 1 2 00 252 2 Values for Ramping are 1 or Yes and 0 or No Ramping Yes means the lo...

Страница 139: ...width height of a full screen Editing Parameters Position the cursor on the value to edit and press Enter the new value and confirm the entry with Adding a Phase A phase can only be added when there are less than 3 phases to the protocol The phase names begin in column 1 the stage names in column 2 A new phase is always added before the phase where the cursor is currently located the cursor may be...

Страница 140: ...push 3 Confirm the delete command with Adding a Stage 1 Select the stage that is to follow the new stage and push The cursor moves to the command menu 2 Position the cursor on add stage and confirm with A copy of the stage to edit is added Deleting a Stage 1 Select the stage to delete and confirm with The cursor moves to the command menu 2 Position the cursor on del stage and push 3 Confirm the de...

Страница 141: ...h the parameters for STD FRANCE Question marks appear in place of the protocol name You can overwrite them with a name of your choice The test parameters can be edited as needed Resetting the Protocol With the reset proto command you can restore all parameters to the values that were active when you first called up the protocol editor Printing the Protocol Initiates a printout of the displayed pro...

Страница 142: ...ycle ergometer protocols position the cursor on the Protocol selection field and press Rhythm Leads 6 leads of your choice for recording of the 6 lead event report Gain When you select auto the program will automatically determine the optimal gain setting auto 5 10 20 40 mm mV Speed Writer speed in mm s for the printed reports In Test Reports Format of the In Test Reports Median Report Comparative...

Страница 143: ...220 patient age AHA age below 25 years 160 age from 25 to 75 years 160 age 25 x 45 50 age above 75 115 J x Point Formula 0 20 40 60 80 Rautaharju RR 16 Calculation E J Point The E and J point position are either calculated once single or continuously Arrhythmia Data The recorder will document arrhythmias in the following situations all unequal no Each time an arrhythmia occurs Each time an arrhyth...

Страница 144: ...eports setup determines the scope of the final report Summary report yes no Trend report yes no Trend report ST yes no Sample cardiac cycles yes no Tabular summary yes no Episodes documentation of event episodes in chronological order according to priorities ventricular events only or no documentation ...

Страница 145: ...elected at power up 127 Physician and technician numbers must be unique the system will accept non unique IDs The Referring Physician is only relevant if ECGs are sent to the MUSE CV system This name will not be annotated on the ECG recording To exit the menu press Institution Name The name entered here will be printed on each report page Cart Number 4 place number default 1 range 1 to 9999 Site N...

Страница 146: ...hat the heart rate exceeds the limit value yes no only in Manual and Arrhythmia modes The limit value 220 age can be changed manually 1 The value selected here is the default value appearing in the patient data 2 with CSI protocol only Lead Labels IEC codes R L F N C1 to C6 or AAMI codes RA LA RL LL V1 to V6 Pace Enhancement Pacer pulses are displayed enhanced and with a given amplitude yes no Whe...

Страница 147: ...vated within the selected period of time the display backlighting automatically switches off system default 20 min adjustment range l to 99 min Low Battery Beep Intermittent audible signal indicating that the battery requires charging The interval time for the tone can be selected between 5 and 60 seconds 0 s no audio signal Beep for Master Step no yes This field appears only if the selected exerc...

Страница 148: ...active do the following 1 Select menu item Enable password 2 Enter the old password 3 Enter the new password 4 Repeat the new password Test Data Used for demonstration purposes yes It should be set to no default for proper clinical use Restore Defaults Selecting Yes will restore the factory default settings including the defaults of the three operating modes The electrocardiograph must be switched...

Страница 149: ...m Setup window move the cursor to the prompt Enable the Print ECG Tx Log 2 Select Yes 3 Save this setting by pressing Check Record Retxn If a user attempts to transmit a record that has already been transmitted when the Check Record Retxn function is enabled a message displays informing the user that this record has already been transmitted The Check Record Retxn function defaults to No To enable ...

Страница 150: ...trocardiograph to a MUSE CV system Modem Select the modem type Choose among the standard modems MultiTech MT 19 2 56k Elsa 14 4 28 8 33 6 56k and a user defined modem When using one of the standard modems enter is the following The dial mode pulse or tone depending on your telephone network The telephone number 20 digits maximum The number to access the public telephone network e g 0 For a user de...

Страница 151: ...he cursor to the prompt PIN Dialing 3 Select Yes 4 Enter information for the following fields Delay ddddd Service provider sssss PIN pppppppp Phone number xxxxx Outside line yyyyyy 5 Save this setting by pressing Manual Dialing The MAC 1200 1200 ST can be set up so a facility can manually dial in to transmit ECG records To enable the manual dialing function follow these steps 1 Within the Communic...

Страница 152: ...on C 2012250 021 System Setup Communication Ergometer Treadmill Options internal Other Choose the exercise test device used Selecting Other will open a window where you can choose the appropriate option Confirm your selection with ...

Страница 153: ... bar cursor on Patient Data Setup and confirm the selection with The patient data setup menu will appear 2 Select No for prompts that you want to remove from the dialog The following items cannot be removed Name First name Date of birth Patient ID 3 The following items are disabled They can be enabled from this menu ID required ID patient ID number Secondary ID Secondary ID required Last name requ...

Страница 154: ... e g Last name ID required Secondary ID required 127 If Secondary ID is specified as a required data field make sure that it is not configured out of the patient data set up see Patient Data Menu Setup on page 10 29 for more information Last name required First name required Prompts 1 to 4 Enter any text here 10 characters maximum When you have entered the text you can select the format of the res...

Страница 155: ... second resting ECG MEMO storage of up to 40 resting ECGs C100 activates the three options MEAS DIAG MEMO for a maximum of 100 ECGs C500 activates the three options MEAS DIAG MEMO for a maximum of 500 ECGs EVAL activates the three options MEAS DIAG MEMO for a period of 4 weeks ERGO stress test MAC 1200 ST only Using the cursor keys position the bar cursor on the option that you want to activate En...

Страница 156: ...MAC 1100 units that can send data only to CardioSys CardioSoft the communication protocol A5 is preselected Use the cursor keys to position the bar cursor on Protocol Select the protocol A5 if you will send data to CardioSys CardioSoft or select CSI to send data to MUSE Use the cursor keys to position the bar cursor on Modem other and confirm the selection with Choose the modem you use from the li...

Страница 157: ...t the same baud rate as at the receiving modem 2400 4800 9600 19200 38400 57600 Selecting the Communication Protocol This adjustment is only necessary with MAC 1200 1200 ST units because only these devices can send data to CardioSys CardioSoft or to the MUSE system For a MAC 1100 unit that can send data only to CardioSys CardioSoft the communication protocol A5 is preselected 1 Using the cursor ke...

Страница 158: ...10 34 MAC 1200 1200 ST Revision C 2012250 021 System Setup Direct ECG Transmission ...

Страница 159: ...Revision C MAC 1200 1200 ST 11 1 2012250 021 11 Loading Chart Paper ...

Страница 160: ...11 2 MAC 1200 1200 ST Revision C 2012250 021 For your notes ...

Страница 161: ...ous paper pad 4 Remove the cardboard from the top of the new pad and place the pad including the cardboard backing at the bottom and with the arrow pointing towards the unit into the paper compartment Inserting the New Z fold Pad Z X C V B N M L X K J H G F D S A alt Q 1 W 2 E 3 R 4 T 5 Y 6 U 7 I 8 O 9 P 0 setu p on off MAC 1200 049A Z X C V B N M L X K J H G F D S A alt Q 1 W 2 E 3 R 4 T 5 Y 6 U ...

Страница 162: ...that it locks into place on both sides Closing the Paper Compartment Door 127 When inserting an already started Z fold pad the grid side must face up and the first fold must point toward the paper compartment Z X C V B N M L X K J H G F D S A alt Q 1 W 2 E 3 R 4 T 5 Y 6 U 7 I 8 O 9 P 0 sta rt sto p arrh y pat info stor e retri eve lead cop y setu p gain form at spe ed mus cle filte r 12 6 stan dby...

Страница 163: ...n Technologies writer paper This paper has a special coating that prevents contamination and debris collecting on the printhead and electrostatic build up Furthermore the thermosensitive layer and the printhead characteristics are exactly matched Using other paper may result in recordings of poor quality Moreover the printhead may wear out prematurely Use of other paper may void the warranty A str...

Страница 164: ...between 40 and 60 Avoid direct contact of the paper with carbon and carbonless forms chart papers and adhesives containing tributyl phosphate dibutyl phthalate or any other organic solvents and document protectors envelopes and sheet separators containing plasticizers Solvents or solvent based products containing alcohols ketones esters or other substances from this chemical group 87 21 The above ...

Страница 165: ...Revision C MAC 1200 1200 ST 12 1 2012250 021 12 Cleaning Disinfection and Maintenance ...

Страница 166: ...12 2 MAC 1200 1200 ST Revision C 2012250 021 For your notes ...

Страница 167: ...bing it down with a cloth moistened with soap water Use a disinfectant for disinfection Do not immerse the cable in liquid Cleaning and Disinfecting the Electrodes In addition to the information given in this manual observe the instructions for use of the respective electrode types Discard disposable adhesive electrodes immediately after use to prevent that they are reused Clean reusable electrode...

Страница 168: ...ried out by GE Medical Systems Information Technologies within the framework of a service contract The inspections include the following checks Visually inspect the device and the accessories for signs of mechanical damage that may impair the device functions Check that the device labeling relevant for safety is legible Run a performance test as described in the operator s manual Measure the resis...

Страница 169: ...Revision C MAC 1200 1200 ST 13 1 2012250 021 13 Troubleshooting ...

Страница 170: ...13 2 MAC 1200 1200 ST Revision C 2012250 021 For your notes ...

Страница 171: ... check and or replace fuse The recorder does not write over the entire paper width Paper compartment not properly closed Paper door must lock into place on both sides In Automatic mode the recorder does not stop and continues to feed paper This does not happen in Manual mode The paper pad was inserted the wrong way round so the recorder cannot detect the cue mark Insert the paper pad as instructed...

Страница 172: ...roubleshooting Chart Regular AC Line Interference 127 In the presence of very strong AC line interference in all leads the thermal printhead may interrupt the recording Activate the AC line filter 50 Hz 60 Hz in these situations Irregular AC Interference 054A 054A ...

Страница 173: ...Revision C MAC 1200 1200 ST 14 1 2012250 021 14 Technical Specifications ...

Страница 174: ...14 2 MAC 1200 1200 ST Revision C 2012250 021 For your notes ...

Страница 175: ... With appropriate software documentation of analysis results in the respective operating mode Resolution of the recording Vertical 8 dots mm Horizontal 25 µm at 25 mm s Printer Paper CONTRAST ARCHIVIST Z fold pad 150 pages per pad equivalent to a chart length of approximately 45 m Paper width 210 mm or 8 5 inch 215 9 mm US format Sheet length 297 mm or 11 inch 279 4 mm US format To prevent damage ...

Страница 176: ...tus and start stop function Lead Selection Manual selection of different lead combinations or automatic lead sequencing Lead programs configurable EINTHOVEN GOLDBERGER WILSON NEHB CABRERA lead sequence and user specific combinations in Manual and Arrhythmia modes Automatic Functions They assist and facilitate operation by the following Automatic amplifier blocking Automatic control of lead selecti...

Страница 177: ...tral electrode 50 MW up to 60 Hz Dynamic range for differential signals between any two electrode connections for AC voltage 10 mV for superimposed DC voltage polarization voltage 600 mV Dynamic range for common mode signals referred to neutral electrode l V referred to chassis 263 V AC rms Quiescent input current via any electrode connection for l kW termination referred to neutral electrode 50 n...

Страница 178: ...ut voltage range 5 V minimum Interface protected from electrostatic discharge for 10 kV maximum Transfer of ECGs with the CSI Protocol Between the MAC 1200 and the Following Units MUSE CVIS SW version 004A and later MAC 5000 SW version 001B and later MAC VU SW version 002A and later MAC 1200 SW version V5 01 and later Receiving Data with the CSI Communication Protocol from the Following Units Card...

Страница 179: ... later Remote Start Hardware Paper feed via remote control connection depending on selected operating mode External make contact referred to chassis via circuit reference Source impedance Ri 300 Ω Contact dwell 100 ms Non destructive load 10 V ESD interface protection up to 10 kV Pin Assignment of Data Port 2 RDXE 3 TDXE 5 Circuit reference 6 Modem supply 8 RDXE 2 5 8 3 6 104A ...

Страница 180: ... 100 Hz IEC Signal sampling rate 1000 per second Resolution referred to the input 5 µV Output rate to recorder 2000 per second For all leads gain adjustment in four steps 40 20 10 5 mm mV With active muscle filter low pass characteristic 3 dB drop of the amplitude frequency response at approximately 40 or 20 Hz With active AC line filter detection and compensation of periodic 50 Hz or 60 Hz freque...

Страница 181: ...tomatic adjustment range5 40 mm mV Amplitude range 6 channels 18 to 31 mm Baseline Automatic adjustment of the baseline to the optimal recording range in dependence of the signal amplitude Anti drift System ADS Automatic compensation of baseline fluctuations caused by polarization voltage fluctuations at the lead electrodes delay in recording 4 2 seconds ECG Storage In Automatic mode storage of ap...

Страница 182: ...cted PC configurable Test Automatic performance test upon power up including verification of the signal path starting at the signal input Stored test data for demonstration of the device functions Power Supply From the power line or from a built in rechargeable battery automatic switchover automatic battery charging during line power operation from integrated AC adapter module Mains Operation Inst...

Страница 183: ...ry life approximately 5 years replacement by service only Battery Maintenance The battery in the MAC 1200 1200 ST unit should be exercised regularly This means the battery should be allowed to drain between charging cycles If the ECG unit is left connected to wall power and or only used sporadically on battery power a discharge cycle should be performed on a monthly basis Turn the MAC 1200 1200 ST...

Страница 184: ...midity between 25 and 95 Atmospheric pressure between 700 and 1060 hPa Transport and Storage Temperature between 30 and 60 C including battery Relative humidity between 25 and 95 Atmospheric pressure between 500 and 1060 hPa Recorder Dimensions Width 370 mm Height 95 mm Depth 320 mm include handle Weight Recorder with battery approximately 5 6 kg ...

Страница 185: ...Revision C MAC 1200 1200 ST 15 1 2012250 021 15 Order Information ...

Страница 186: ...15 2 MAC 1200 1200 ST Revision C 2012250 021 For your notes ...

Страница 187: ...t trunk cable 10 lead IEC MultiLink 223 418 09 Patient trunk cable 10 lead AHA MultiLink 384 018 16 Set of leadwires 4 mm connector 10 leads defibrillator proof IEC 384 018 17 Set of leadwires 4 mm connector 10 leads defibrillator proof AHA Electrodes 217 225 03 Adhesive electrodes for babies 13 mm diameter with 4 mm socket 60 cm lead fixation with adhesive rings 927 224 00 217 110 03 Adhesive ele...

Страница 188: ...uction bulb with 4 mm socket 919 202 32 Clip electrode for limb leads package of 4 electrodes red yellow green black 303 442 96 Adapter for connection of electrodes with press stud to patient cable with 4 mm connector ECG Accessories NEHB 223 403 05 Patient trunk cable 12 leads NEHB IEC 384 017 65 Set of leadwires 10 leads defibrillation proof IEC with 4 mm plug 384 017 66 Set of leadwires 2 leads...

Страница 189: ... 01 Electrode paper 200 sheets for electrode 217 144 01 02 217 043 02 ECG filing cards 50 cards Electrode Application Systems 216 121 13 Electrode Application System KISS 10 10 lead system without pump 216 124 13 Electrode Application System KISS 10 10 lead system with pump 216 122 02 Electrode Application System KISS 12 12 lead system NEHB without pump 303 443 77 Swivel arm for KISS 384 015 84 Ta...

Страница 190: ...kit 223 362 03 Connection cable MAC 1100 MAC 1200 to CardioSys 223 378 01 Connection cable MAC 1100 MAC 1200 to modem 9 pin 223 378 02 Connection cable MAC 1100 MAC 1200 to modem 25 pin 223 362 03 Connection cable EC 560 ECB 561 or MAC 1100 MAC 1200 to CardioSys 223 330 04 Connection cable M700 to MAC 1100 MAC 1200 223 366 04 Connection cable EC 1200 to MAC 1100 MAC 1200 2006795 001 Connection cab...

Страница 191: ...Revision C MAC 1200 1200 ST A 1 2012250 021 A Entering Special Characters ...

Страница 192: ...A 2 MAC 1200 1200 ST Revision C 2012250 021 For your notes ...

Страница 193: ...eystroke Combination Alt Q Alt W Alt E Alt R Alt Y Alt D Alt F Ç Alt G Å Alt K Ü Alt L î Alt X Ñ Alt C Alt V Ø Alt B Ö Alt N Ä Alt M Á Alt I then A É Alt I then E Í Alt I then I Ó Alt I then O Ú Alt I then U À Alt O then A enter È Ì Ò Ù in the same manner Â Alt P then A enter Ê Î Ô Û in the same manner ÿ Alt U then Y enter Ï Ä Ö Ü in the same manner Ã Alt H then A enter Ñ Õ in the same manner Ð Al...

Страница 194: ...A 4 MAC 1200 1200 ST Revision C 2012250 021 Entering Special Characters Special Characters For your notes ...

Страница 195: ...Revision C MAC 1200 1200 ST Index 1 2012250 021 Index ...

Страница 196: ...Index 2 MAC 1200 1200 ST Revision C 2012250 021 ...

Страница 197: ...rode disconnected 5 5 EMC requirements 1 9 End of writer paper 11 5 Entering patient data 4 11 Ergoline 500 800 900 900L 8 9 Ergometer type select 10 28 Ergometers with digital communication interface 8 9 Ergometers with remote start pulse 8 8 Ergometers without Digital Communication Interface 8 6 Explosion hazard 1 7 F Final report 7 8 10 12 Final report stress test 8 22 G Global measurement poin...

Страница 198: ...Protocols for data communication 10 26 Protocols create custom protocols 8 17 Protocols reactivate factory defaults 10 18 Q QT dispersion 5 23 R Receiving ECGs 5 18 Recharging the battery 3 3 Recording problems 4 9 Referring physician 4 14 Remote start pulse 8 7 8 8 Report formats 5 10 Revision history 1 5 Rhythm leads 10 4 S Self test abort 3 5 serial number 1 12 service information 1 12 requirem...

Страница 199: ......

Страница 200: ...esentative GE Medical Systems Information Technologies GmbH Munzinger Straße 3 5 D 79111 Freiburg Germany Tel 49 761 45 43 0 Fax 49 761 45 43 233 Asia Headquarters GE Medical Systems Information Technologies Asia GE China Co Ltd 24th Floor Shanghai MAXDO Center 8 Xing Yi Road Hong Qiao Development Zone Shanghai 200336 P R China Tel 86 21 5257 4650 Fax 86 21 5208 2008 0459 gemedical com ...

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Бренд: NEILPRYDE Страницы: 53

Бренд: JAC Страницы: 103

Бренд: 3Disc Страницы: 12

Бренд: Bante Instruments Страницы: 6

Бренд: Datalogic Страницы: 48

Бренд: PageFlip Страницы: 32

Бренд: Hammer Strength Страницы: 18

AquaPure Ei Series

Бренд: Jandy Страницы: 4

AquaPure Ei Series

Бренд: Jandy Страницы: 8

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