GEHealthcare
MAC™2000
ECGAnalysisSystem
Operator'sManual
2053535-002RevisionS
English
©2013-2020GeneralElectricCompany.
AllRightsReserved.
PublicationInformation
TheinformationinthismanualappliesonlytoMAC™2000.Thisappliestosoftwareversion1.1andnottoearliersoftwareversions.Dueto
continuingproductinnovation,specicationsinthismanualaresubjecttochangewithoutnotice.
MUSE,MAC,CASE/CardioSoft/CS,12SL,andEMRaretrademarksownedbyGEMedicalSystemsInformationTechnologies,Inc.,aGeneral
ElectricCompanygoingtomarketasGEHealthcare.Allothertrademarkscontainedhereinarethepropertyoftheirrespectiveowners.
ThisprogramusestheSOA4DDPWSCore(CDPWStoolkit)library,©2004–2010SchneiderElectricSA,licensedundertheBSDLicense.
PartofthesoftwareembeddedinthisproductisgSOAPsoftware.PortionscreatedbygSOAPareCopyright©2001-2004RobertA.van
Engelen,GeniviaInc.AllRightsReserved.
THESOFTWAREINTHISPRODUCTWASINPARTPROVIDEDBYGENIVIAINCANDANYEXPRESSORIMPLIEDWARRANTIES,INCLUDING,BUT
NOTLIMITEDTO,THEIMPLIEDWARRANTIESOFMERCHANTABILITYANDFITNESSFORAPARTICULARPURPOSEAREDISCLAIMED.INNOEVENT
SHALLTHEAUTHORBELIABLEFORANYDIRECT,INDIRECT,INCIDENTAL,SPECIAL,EXEMPLARY,ORCONSEQUENTIALDAMAGES(INCLUDING,
BUTNOTLIMITEDTO,PROCUREMENTOFSUBSTITUTEGOODSORSERVICES;LOSSOFUSE,DATA,ORPROFITS;ORBUSINESSINTERRUPTION)
HOWEVERCAUSEDANDONANYTHEORYOFLIABILITY,WHETHERINCONTRACT,STRICTLIABILITY,ORTORT(INCLUDINGNEGLIGENCEOR
OTHERWISE)ARISINGINANYWAYOUTOFTHEUSEOFTHISSOFTWARE,EVENIFADVISEDOFTHEPOSSIBILITYOFSUCHDAMAGE."
ThisproductincludessoftwaredevelopedbytheOpenSSLProjectforuseintheOpenSSLToolkit(http://www.openssl.org/).Thisproduct
includescryptographicsoftwarewrittenbyEricYoung(eay@cryptsoft.com).ThisproductincludessoftwarewrittenbyTimHudson
(tjh@cryptsoft.com).
Thisproductcomplieswiththerequirementsconcerningmedicaldevicesfromthefollowingregulatorybodies.Formoreinformationabout
compliance,refertotheRegulatoryandSafetyGuideforthisproduct.
Thedocumentpartnumberandrevisionareoneachpageofthedocument.Therevisionidentiesthedocument’supdatelevel.Therevision
historyofthisdocumentissummarizedinthefollowingtable.
Revision
Date
Comments
A
17October2012InternalRelease
B
24April2013CustomerRelease
C
15July2013RevisionsperSPRHCSDM00204349relatingtoIEC3rdEditionlabeling,and
SPRHCSDM00222909.
D
27May2015
UpdatedforMAC2000V1.1SP3.
E
26July2016Updatedformaintenanceprojects.UDIsymboladdedtotheSymboltable,and
theFCCstatement
F
25November2016UpdatedforMAC2000SilexWWprojects.
G
14April2017Addedthenewaccessoriesandsuppliesmanual.
Removethesuppliesandaccessoriescleaninginformation.
H
8June2017
Updatethefollowing:
•AddedFullDisclosureinstruction
•AddedAutoQueryinstruction
•Updatedsomeproductspecication
J
31August2017
Updatethenewcapabilitybatteryrelatedinformation.
K
30September2017Updatetheembeddedwirelessmodulerelatedinformation.
L
1December2017UpdatetheFCC,ICandREDinformationfortheembeddedwirelessmodule.
M
23October2018UpdatetheOperationSystemfromWinCE6toWinCE7.
N
1January2019
UpdateSDcardcapacityinformation,removethedonglerelatedinformation,
updatetheCEinformation.
P
6December2019UpdatecontentforSoftwareSP9.
2MAC™20002053535-002S
10December2020
Revision
Date
Comments
R
25April2020Addferriteringinstallationcontent.
S
10December2020AddBarcodeReaderJadak-2593.
ToaccessotherGEHealthcareDiagnosticCardiologydocuments,gototheCommonDocumentationPortal(CDP),locatedat
https://www.gehealthcare.com/support/support-documentation-library,andselectEnterCustomerDocumentationPortal.IntheModality
menu,selectDiagnosticCardiology(DCAR)andselectSearch.
ToaccessOriginalEquipmentManufacturer(OEM)documents,gotothedevicemanufacturer'swebsite.
2053535-002SMAC™2000
3
4
MAC™20002053535-002S
10December2020
Contents
1Introduction
IntendedUserofthisProduct...................................................................11
IndicationsforUse....................................................................................11
Contraindications.....................................................................................12
PrescriptionDeviceStatement.................................................................12
RegulatoryandSafetyInformation...........................................................12
SafetyConventions..................................................................................12
SafetyHazards........................................................................................13
ClassicationofMedicalDevice...................................................................15
CerticationInformation............................................................................16
RecordingECGsDuringDebrillation.............................................................16
AccuracyofInputSignalReproduction...........................................................16
ModulatingEffectsinDigitalSystems............................................................17
EMI/EMC/RFSafetyInformation...................................................................17
Biocompatibility.......................................................................................18
LegalNotice...........................................................................................18
SuppliesandAccessories...........................................................................18
ResponsibilityoftheManufacturer................................................................18
ResponsibilityofthePurchaser/Customer.......................................................19
ProductandPackagingInformation..............................................................19
EquipmentIdentication...........................................................................27
ProductLabel.........................................................................................28
SerialNumberFormat...............................................................................28
DeviceAddressLabelandRatingPlate...........................................................29
ProductCodes........................................................................................29
ServiceInformation...................................................................................30
ServiceRequirements...............................................................................30
WarrantyInformation...............................................................................30
AdditionalAssistance................................................................................30
ManualInformation..................................................................................30
ManualPurpose......................................................................................30
DocumentConventions.............................................................................30
RelatedDocuments...................................................................................31
2ProductOverview
ProductDescription..................................................................................33
ProductSpecications..............................................................................33
HardwareDescriptions..............................................................................33
OptionalSoftwareFeatures........................................................................39
2053535-002SMAC™2000
5
UsingtheSystem.....................................................................................40
NavigatingtheUserInterface...................................................................43
RestingECGPowerUpMode.......................................................................44
ArrhythmiaPowerUpMode........................................................................44
MainScreenPowerUpMode.......................................................................45
StressECGPowerUpMode.........................................................................45
OrderManagerPowerUpMode...................................................................46
HighSecurityMode..................................................................................46
3SettingUptheEquipment
InsertingtheBattery.................................................................................49
ConnectingtheACPower..........................................................................49
ConnectingthePatientCable...................................................................50
ApplyingtheFerriteRingtoCables...........................................................52
ConnectingtheBarcodeReader...............................................................53
ConnectingtheLANOption.......................................................................53
ConnectingtoLAN...................................................................................53
ConnectingtoWLAN.................................................................................53
ConnectingExternalDevices(StressOption)............................................53
ConnectinganInternalModem................................................................54
InsertingthePaper...................................................................................54
TurningontheSystem..............................................................................54
ConguringtheDevice..............................................................................54
TestingtheDevice.....................................................................................55
4PreparingthePatient
PreparingthePatient’sSkin......................................................................57
ElectrodePlacement.................................................................................58
RestingECGPlacement.............................................................................58
Stress12–LeadPlacement..........................................................................61
5EnteringPatientInformation
EnteringPatientInformationWithanInternalKeypadorExternal
Keyboard...................................................................................................63
EnteringPatientInformationwithaBarcodeReader...............................64
ScanningtheBarcode...............................................................................64
AutomaticQuery.......................................................................................65
6MAC™20002053535-002S
6OrderManager
CommunicationMedia..............................................................................69
SimpleOrders............................................................................................69
AdvancedOrderManager.........................................................................70
DownloadingOrders.................................................................................70
SelectingandCompletingOrders.................................................................71
UsingtheOrderManagerInterface..........................................................72
DeletingOrders.......................................................................................72
7RecordingaRestingECG
HookupAdvisor.........................................................................................76
RestingECGs.............................................................................................78
RecordingaRestingECG............................................................................78
ECGOptions...........................................................................................79
Post-AcquisitionOptions............................................................................81
FullDisclosure...........................................................................................83
GeneratingaFullDisclosureECGReport.........................................................83
FullDisclosureReportSetup........................................................................85
SpecialConsiderations..............................................................................86
RecordingECGsofPacemakerPatients..........................................................86
RecordingECGsDuringDebrillation.............................................................87
GeneratingaRhythmReport(ManualRecording)....................................87
8ArrhythmiaModeRecording
RecordinginArrhythmiaMode.................................................................89
RecordingArrhythmiaECGs........................................................................89
ArrhythmiaRecordingOptions.....................................................................90
Printing.....................................................................................................91
PrintinganArrhythmiaReport.....................................................................91
ArrhythmiaPrintingOptions........................................................................92
ArrhythmiaCodes.....................................................................................92
9RRAnalysis
RRAnalysisMode......................................................................................95
RRAnalysisSetup.....................................................................................95
AcquiringaRecordingforanRRAnalysisReport...............................................99
OutputOptions........................................................................................99
10StressTesting
StressModeInterface.............................................................................102
StressTestInformationBar.......................................................................102
StressTestKeys.....................................................................................104
2053535-002SMAC™2000
7
StressOptions.......................................................................................104
ConductingStressTests..........................................................................106
ConductingaStressTestwithaTreadmillorErgometer....................................106
ConductingaStressTestwithaMaster’sStepDevice......................................108
11ManagingInternalStorage
ImportingRecords..................................................................................111
PrintingtheFileManagerDirectory........................................................112
FindingRecords.......................................................................................113
EditingPatientData................................................................................113
PreviewingRecords.................................................................................114
DeletingRecords.....................................................................................115
PrintingRecords......................................................................................115
TransmittingRecords..............................................................................115
ExportingRecords...................................................................................117
SettingUpExportOptions........................................................................117
ExportingRecords..................................................................................117
12SystemConguration
BasicSetup..............................................................................................119
RestingECGSetup...................................................................................124
ArrhythmiaSetup...................................................................................136
StressECGSetup.....................................................................................139
StressECGSettings.................................................................................139
EditingStressProtocols...........................................................................143
CommunicationSetup.............................................................................146
CountrySetup.........................................................................................159
PrintSetupReport...................................................................................160
PatientSetup...........................................................................................161
UserSetup...............................................................................................167
CongurethePasswordRule.....................................................................168
ExportRecoveryKey...............................................................................170
CongureUser......................................................................................171
SelectSetup.............................................................................................172
8MAC™20002053535-002S
ImportSetup...........................................................................................173
ExportSetup............................................................................................174
OptionsSetup..........................................................................................175
ServiceSetup...........................................................................................176
Date/TimeSetup.....................................................................................177
OrderManagerSetup..............................................................................178
RRAnalysisSetup....................................................................................178
PDFFileNamingConvention...................................................................178
DefaultNamingConvention......................................................................179
CustomizingtheNamingConvention...........................................................179
ExportingtheAuditTrail.........................................................................180
13Maintenance
EquipmentCleaningandStorage...........................................................183
InspectingtheEquipment.........................................................................183
CleaningtheDevice................................................................................184
Cleaning,DisinfectingandStoringLeadwiresandReusable
Electrodes...............................................................................................185
ReplacingLeadwireAdapters.................................................................185
PaperMaintenance.................................................................................185
ReplacingPaper....................................................................................186
AdjustingtheTrayforPaperSize................................................................187
RemovingthePaperPack.........................................................................188
StoringThermalPaper.............................................................................189
BatteryMaintenance..............................................................................189
ReplacingtheBattery..............................................................................189
ConditioningtheBatteryPack...................................................................190
BatteryStatusIndicator...........................................................................191
SuppliesandAccessories........................................................................191
14Troubleshooting
GeneralTroubleshootingTips.................................................................193
FrequentlyAskedQuestions(FAQ)..........................................................194
EquipmentProblems...............................................................................194
SystemDoesNotPowerUp......................................................................194
ECGDataContainsNoise.........................................................................195
ExternalStressEquipmentdoesnotMove.....................................................195
PaperJams..........................................................................................196
2053535-002SMAC™20009
Import/Export/SaveErrors......................................................................196
SDCardNotPresent...............................................................................196
CannotImportorTransmitRecordsviaModem..............................................196
CannotTransmitRecordsviaLAN...............................................................197
CannotTransmitRecordsViaWLAN(SilexWirelessBridge)...............................197
CannotTransmitRecordsviaEmbeddedWirelessModule.................................198
CannotExporttoSharedDirectories............................................................198
Acquisition/PrinterErrorMessages........................................................199
ReportErrors...........................................................................................199
ACI-TIPIStatementisnotIncludedonReport.................................................199
SystemErrors..........................................................................................200
ACreatingBarcodes
SettingUpthePatientDataScheme.......................................................205
ConguringtheBarcodeReader.............................................................205
ConguringtheBarcodeReaderManually....................................................205
ConguringtheBarcodeReaderAutomatically..............................................207
BMaster’sStepData
Master'sStepTable.................................................................................209
ST-TChanges..........................................................................................212
CTechnicalSpecications
SystemSpecications.............................................................................213
SilexWirelessBridge...............................................................................219
DStatementforMAC2000SilexWirelessBridge
FCCStatement........................................................................................221
ICStatement...........................................................................................222
ComplieswithIMDAStandards...............................................................222
EStatementforMAC2000EmbeddedWirelessModule
FCCStatement........................................................................................223
ICStatement...........................................................................................224
CEREDInformation.................................................................................224
10MAC™20002053535-002S
1
Introduction
ThisdocumentdescribestheMAC™2000ECGAnalysisSystem,alsoreferredto
asthe“product”,“system”,or“device”.Thedocumentisintendedtobeusedby
clinicalprofessionalswhouse,maintain,and/ortroubleshootthesystem.Clinical
professionalsareexpectedtohaveaworkingknowledgeofappropriatemedical
procedures,practices,andterminologyusedinthetreatmentofpatients.
Thischapterprovidesgeneralinformationrequiredfortheproperuseofthesystem
andthismanual.Familiarizeyourselfwiththisinformationbeforeusingthesystem.
IntendedUserofthisProduct
TheMAC™2000ECGAnalysisSystemisaportableECGacquisition,analysis,and
recordingsystemthatisintendedforusebytrainedoperatorsinahospitalormedical
professional’sfacilityenvironment,aswellasusedinclinics,physicianofces,
outreachcenters,orwhereverECGtestingisperformed.
IndicationsforUse
TheMAC™2000ECGAnalysisSystemisaportabledeviceintendedtobeusedby
orunderthedirectsupervisionofalicensedhealthcarepractitionerusingsurface
electrodestoacquire,analyze,display,andrecordinformationforadultandpediatric
populationsinahospital,medicalprofessional’sfacility,clinics,physician’sofceor
outreachcenters.
NOTE:
Pediatricpopulationsaredenedaspatientsbetweentheagesof0and15years.
TheMAC™2000ECGAnalysisSystemprovidesthefollowingmodesofoperation:
•RestingECGmode
•Arrhythmiamode
•Exercisemodeforexercisestresstesting(optional)
•RRanalysismodeforRRintervalanalysis(optional)
Thebasicsystemprints6or12leadsofECGandisupgradeabletoprovidesoftware
optionssuchas12-leadECGmeasurementandinterpretiveanalysis.
2053535-002SMAC™200011
Introduction
Arrhythmiadetectionisprovidedfortheconvenienceofautomaticdocumentation.
TransmissionandreceptionofECGdatatoandfromacentralECGcardiovascular
informationsystemisoptional.
Contraindications
Thissystemisnotintendedforuseinthefollowingmanner:
•Duringpatienttransport
•Withhigh-frequencysurgicalunits
•Asanintra-cardiacapplication
•Asavitalsignsphysiologicalmonitor
PrescriptionDeviceStatement
CAUTION:
UnitedStatesfederallawrestrictsthisdevicetosalebyorontheorderofa
physician.
RegulatoryandSafetyInformation
Thissectionprovidesinformationaboutthesafeuseandregulatorycomplianceof
thissystem.Familiarizeyourselfwiththisinformation,andreadandunderstandall
instructionsbeforeattemptingtousethissystem.Thesystemsoftwareisconsidered
medicalsoftware.Assuch,itwasdesignedandmanufacturedtotheappropriate
medicalregulationsandcontrols.
NOTE:
Disregardingthesafetyinformationprovidedinthismanualisconsidered
abnormaluseofthissystemandcouldresultininjury,dataloss,oravoided
warranty.
SafetyConventions
AHazardisasourceofpotentialinjurytoaperson,property,orthesystem.
ThismanualusesthetermsDANGER,WARNING,CAUTION,andNOTICEtopointout
hazardsandtodesignateadegreeorlevelofseriousness.Familiarizeyourselfwith
thefollowingdenitionsandtheirsignicance.
DenitionsofSafetyConventions
Safety
Convention
Denition
DANGER
Indicatesanimminenthazard,which,ifnotavoided,willresultindeath
orseriousinjury.
WARNING
Indicatesapotentialhazardorunsafepractice,which,ifnotavoided,
couldresultindeathorseriousinjury.
12MAC™20002053535-002S
Introduction
DenitionsofSafetyConventions(cont'd.)
Safety
Convention
Denition
CAUTION
Indicatesapotentialhazardorunsafepractice,which,ifnotavoided,
couldresultinmoderateorminorinjury.
NOTICE
Indicatesapotentialhazardorunsafepractice,which,ifnotavoided,
couldresultinthelossordestructionofpropertyordata.
SafetyHazards
Thefollowingmessagesapplytothesystemasawhole.Specicmessagesmayalso
beprovidedelsewhereinthemanual.
WARNING:
EQUIPMENTMALFUNCTION—Anyattemptbyunauthorizedpersonneltoservice
thedevicecouldresultinequipmentmalfunctionandvoidthewarranty.
Thisequipmentcontainsnouser-serviceableparts.Referservicingtoauthorized
servicepersonnel.
WARNING:
PATIENTINJURY–STRANGULATION—Cablespresentapossiblestrangulation
hazard.
Toavoidpossiblestrangulation,routeallcablesawayfromthepatient’sthroat.
Useashortversionofcableforpediatricpatients.
WARNING:
PERSONALINJURY–STUMBLINGHAZARD—Patientscanbecomeentangledinthe
cablesandleadwiresconnectedtothedevice,whichcouldcausethepatient
tostumbleortrip.
Routecablesandleadwiresinawaytoavoidcreatingastumblinghazard:keep
themofftheoor,androuteleadwiresawayfromthepatient’slegsandthe
healthcareprovider’sworkarea.
WARNING:
MAGNETICANDELECTRICALINTERFERENCE—Magneticandelectriceldscan
interferewiththeacquisitionofECGreadings.
Makesurethatallperipheralcomponentsoperatedinthevicinityofthedevice
complywiththerelevantEMCrequirements.X-rayequipment,MRIdevices,
radiosystems(cellularphones)andsoforth,arepossiblesourcesofinterference
becausetheymayemithigherlevelsofelectromagneticradiation.Verifythe
performanceofthesystembeforeuse.
WARNING:
EXPLOSIONHAZARD—Usingthisdeviceinthepresenceofanestheticvaporsor
liquidscancauseexplosions.
Donotusethisdeviceinthepresenceofanestheticvaporsorliquids.Onlypersons
withadequatetraininginthecorrectuseofthisdevicemayusethisdevice.
2053535-002SMAC™200013
Introduction
WARNING:
EQUIPMENTFAILURE—Polarizingelectrodes(stainlesssteelorsilverconstructed)
maycausetheelectrodestoretainaresidualchargeafterdebrillation.Aresidual
chargeblocksacquisitionoftheECGsignal.
Wheneverpatientdebrillationisapossibility,usenon-polarizingelectrodes
(silver-silverchlorideconstruction)forECGmonitoring.
WARNING:
PERSONALINJURY—Contactwithpatientsduringdebrillationcancauseserious
injuryordeath.
Donotcontactpatientsduringdebrillation.Patientsignalinputslabeledwiththe
CFsymbolwithpaddlesareprotectedagainstdamageresultingfromdebrillation
voltages.
Toensureproperdebrillatorprotection,useonlyGEHealthcarerecommended
cablesandleadwires.Properplacementofdebrillatorpaddlesinrelationtothe
electrodesisrequiredtoensuresuccessfuldebrillation.
WARNING:
INTERPRETATIONHAZARD—ResultsoftheautomatedQTanalysisarenot
consideredadiagnosis.
Aqualiedphysicianorcardiologistmustreviewandconrmthemeasurements
andwaveformsrecordedbythesystem.Itshouldbeusedonlyasanadjunctto
theclinicalhistory,symptoms,andresultsofothertests.
WARNING:
INTERPRETATIONHAZARD—Computerizedinterpretationisonlysignicantwhen
usedinconjunctionwithclinicalndings.
Aqualiedphysicianmustoverreadallcomputer-generatedtracings.
WARNING:
POORSIGNALQUALITY—Improperskinpreparationcancausepoorsignalquality
duringtheECGrecording.
Carefulskinpreparationisthekeytoaninterference-freeECG.
WARNING:
IMPROPERUSE—Thisisaprescriptivedevice.
Thisequipmentisintendedforusebyorunderthedirectsupervisionofalicensed
healthcarepractitioner.
WARNING:
EXPLOSIONHAZARD—Batteriesmayexplodeinres
Donotdisposeofthebatterybyre.Followlocalenvironmentalguidelines
concerningdisposalandrecycling.
WARNING:
ELECTRICSHOCKHAZARD/SYSTEMMALFUNCTIONLiquidsinsideadevicecan
causeelectricshockorsystemmalfunction.
Donotallowliquidstoenterthedevice.Ifliquidsenterthedevice,turnitoffand
informyourservicetechnician.Donotusethedeviceuntilitischeckedbya
servicetechnician.
14MAC™20002053535-002S
Introduction
WARNING:
ELECTRICSHOCK—Improperconnectionofthisequipmentmaycauseelectric
shock.
Toavoidriskofelectricshock,thisequipmentmustonlybeconnectedtoasupply
mainswithprotectiveearth.
NOTE:
Followtheinstructionsprovided.Donotpositionequipmentinawaythatmakesit
difculttodisconnectthedevicewhenusinganappliancecoupler,mainsplug,or
otherseparableplugasameansofisolation.
ClassicationofMedicalDevice
Thedeviceisclassiedasfollows,accordingtoIEC60601-1:
MedicalDeviceClassications
Category
Classication
Typeofprotectionagainstelectrical
shock
ClassIinternallypoweredequipment
Degreeofprotectionagainstelectrical
shock
TypeCFdebrillation-proofappliedpart
DegreeofprotectionagainstsolidsTheIPcodeforthisdeviceisIP20.
Protectedagainstsolidforeignobjectswitha
diameterof12.5mmandgreater
Theobjectprobe,asphere12.5mmdiameter,
shallnotfullypenetrate.Thejointedtestnger
12mmdiameter,80mmlength,shallhave
adequateclearancefromhazardousparts.
Degreeofprotectionagainstharmful
ingressofliquids(IP20)
TheIPcodeforthisdeviceisIP20.
Non-protected
Thisdeviceisordinaryequipment(enclosed
equipmentwithoutprotectionagainstingress
ofliquids)
Degreeofsafetyofapplicationinthe
presenceofammableanesthetic
mixturewithairorwithoxygenorwith
nitrousoxide
Equipmentisnotsuitableforuseinthepresence
ofaammableanestheticmixturewithairor
withoxygenorwithnitrousoxide
Method(s)ofsterilizationordisinfection
recommendedbythemanufacturer
Notapplicable
Modeofoperation
Continuousoperation
2053535-002SMAC™200015
Introduction
CerticationInformation
MedicalEquipment
Withrespecttoelectricshock,re,andmechanicalhazardsonlyin
accordancewithUL60601–1,andCAN/CSAC22.2NO.601.1.
ThissystembearsCEmark0459indicatingitconformswiththe
provisionsofCouncilDirective93/42/EECconcerningmedical
devices,anditfulllstheessentialrequirementsofAnnexIofthis
directive.
Thesystemisinradio-interferenceprotectionclassBinaccordance
withEC55011.Thecountryofmanufacturesisindicatedonthe
equipmentlabeling.
TheproductcomplieswiththerequirementsofstandardEN
60601–1–2“ElectromagneticCompatibility—MedicalElectrical
Equipment”.
Themedicaldevicehasalifetimeof7yearswithrespectivetothe
CouncilDirective93/42/EECessentialrequirement#4.
RecordingECGsDuringDebrillation
Thisequipmentisprotectedagainsttheeffectsofcardiacdebrillatordischarge
toensurerecovery,asrequiredbyteststandards.Thepatientsignalinputofthe
acquisitionmoduleisdebrillation-proof.Therefore,itisnotnecessarytoremove
theECGelectrodespriortodebrillation.
Whenusingstainlesssteelorsilverelectrodes,adebrillatordischargecurrentmay
causetheelectrodestoretainaresidualchargecausingapolarizationorDCoffset
voltage.ThiselectrodepolarizationblocksacquisitionoftheECGsignal.Toavoidthis
condition,ifthereisasituationwhereadebrillationproceduremightbenecessary,
usenon-polarizingelectrodes(whichdonotformaDCoffsetvoltagewhensubjected
toaDCcurrent)suchassilver/silver-chloridetypes.
Ifyouusepolarizingelectrodes,GEHealthcarerecommendsdisconnectingthe
leadwiresfromthepatientbeforedeliveringtheshock.
ElectrodedebrillationrecoveryistheabilityoftheelectrodetoallowtheECGtraceto
returnafterdebrillation.GEHealthcarerecommendsusingnon-polarizingdisposable
electrodeswithdebrillationrecoveryratingsasspeciedinAAMIEC125.2.2.4.AAMI
EC12requiresthatthepolarizationpotentialofanelectrodepairdoesnotexceed100
mV5secondsafteradebrillationdischarge.
Refertothesuppliesandaccessoriesreferenceguideforthissystemforalistof
approvedelectrodes.
AccuracyofInputSignalReproduction
•OverallSystemErrormeetsAAMIEC113.2.7.1requirements.OverallSystemErroris
betweenorwithin±5%or±40µV,whicheverisgreater.
•FrequencyResponsemeetsAAMIEC113.2.7.2requirements,usingtestingmethods
AandD.Frequencyresponseisbetweenorwithin±10%between0.67and40Hz
andbetween+0and-10%for20ms,1.5mVtriangularinput.
16MAC™20002053535-002S
Introduction
ModulatingEffectsinDigitalSystems
Thisdeviceusesdigitalsamplingtechniquesthatmayproducesomevariationin
amplitudesofQ,R,and/orSwavesfromoneheartbeattothenext,whichmaybe
particularlynoticeableinpediatricrecordings.Ifyouobservethisphenomenon,
beawarethattheoriginofamplitudevariationsisnotentirelyphysiological.For
measuringvoltagesofQ,R,andSwaves,GEHealthcareadvisesusingtheQRS
complexeswiththelargestdeectionoftheparticularwaves.
EMI/EMC/RFSafetyInformation
Thissystemisdesignedandtestedtocomplywithapplicableregulationsregarding
EMCandmustbeinstalledandputintoserviceaccordingtotheEMCinformation
statedintheElectromagneticCompatibilityappendixoftheServiceand/orOperator’s
manual.ChangesormodicationstothissystemnotexpresslyapprovedbyGE
HealthcarecouldcauseEMCissueswiththisorotherequipment.Mainspowershould
beastandardcommercialorhospitalenvironment.
Beforeinstallingorusingthedeviceorsystem,beawareoftheproximityofknownRF
sources,suchasthefollowing:
•RadioandTVstations
•PortableandmobileRFcommunicationdevices(cellphones,two-wayradios)
•X-ray,CT,orMRIdevices
Thesedevicesarealsopossiblesourcesofinterferenceastheymayemithigher
levelsofelectromagneticradiation.
WARNING:
EQUIPMENTMALFUNCTION/INTERFERENCE—Useofportablephonesorother
radiofrequency(RF)emittingequipmentnearthesystemmaycauseunexpected
oradverseoperation.
Donotuseportablephonesorotherelectronicequipmentthatmayemitradio
frequency(RF)nearthissystem.
WARNING:
EQUIPMENTMALFUNCTION/INTERFERENCE—Donotusetheequipmentorsystem
adjacentto,orstackedwith,otherequipment.
Ifadjacentorstackeduseisnecessary,testtheequipmentorsystemtoverify
normaloperationinthecongurationinwhichyouareusingit.
WARNING:
ACCESSORIES/COMPONENTS—Addingaccessoriesorcomponents,ormodifying
themedicaldeviceorsystem,mayresultinincreasedEMISSIONSordecreased
IMMUNITYofthedeviceorsystem.
2053535-002SMAC™200017
Introduction
UsethefollowingresourcesformoreinformationonEMI/EMCandRFconcerns:
•TheSuppliesandAccessoriesReferenceGuideforyoursystem
•QualiedGEHealthcareorapprovedthird-partypersonnel
•TheElectromagneticCompatibilityappendixinyoursystemserviceoroperator’s
manual
NOTE:
Complianceprovidesreasonableprotectionagainstradio-frequencyinterference.
However,thereisnoguaranteethatinterferencewillnotoccurinaparticular
installation.Youcantellwhetherthisdeviceorsystemiscausinginterferenceby
turningitoff.Iftheinterferencestops,itwasmostlikelycausedbythedeviceor
system.
Biocompatibility
Thepartsofthesystemdescribedinthismanualthatcomeintocontactwiththe
patientduringtheintendeduse,includingallaccessories,fulllthebiocompatibility
requirementsoftheapplicablestandards.Ifyouhavequestionsinthismatter,contact
yourGEHealthcarerepresentative.
LegalNotice
GEHealthcaresoftwarecontainsseveraleldsthatcanbelledinbeforeperforming
anECG.Someoftheseeldsarerequired,whileothersareoptionalandlefttothe
usertoassesswhethertheyareneededtoperformtheexam.TheeldRaceisone
oftheseoptionalelds.Racehasbeenacknowledgedbythemedicalprofessionas
usefultoanalyzesomepathologies.Youshouldbeawarethat,insomejurisdictions,
theprocessingofdatarevealinganindividual'sracialoriginissubjecttolegal
requirements,suchasobtainingthepatient'spriorconsent.Ifyouelecttocollectthis
typeofdata,itisyourresponsibilitytoensurethatyoucomplywithallapplicable
legalrequirements.
SuppliesandAccessories
YoushoulduseonlysuppliesandaccessoriesthatGEHealthcarerecommends.For
alistofrecommendations,refertothesuppliesandaccessoriesreferenceguide
forthissystem
ContactGEHealthcarebeforeusinganythingthatisnotrecommendedforthissystem.
ResponsibilityoftheManufacturer
GEHealthcareisresponsibleforthesafety,reliability,andperformanceofhardware
suppliedbyGEHealthcareonlyifthefollowingconditionsaremet:
•Assemblyoperations,extensions,readjustments,modications,orrepairsare
performedbypersonsauthorizedbyGEHealthcare.
•Theelectricalinstallationoftheroomwherethedeviceisusedcomplieswiththe
requirementsoftheappropriatelocal,state,andothergovernmentregulations.
•Theequipmentisusedinaccordancewiththeinstructionsforuse.
18MAC™20002053535-002S
Introduction
ResponsibilityofthePurchaser/Customer
Thecustomerisresponsibleforprovidingappropriatedesks,chairs,electricalwall
outlets,networkconnections,andanalogphonelines,andforlocatinganyofthe
systemcomponentsdescribedinthismanualincompliancewithalllocal,state,and
nationalcodes.
ProductandPackagingInformation
Thissectionidentiesthefollowing:
•Hardwarelabelsandtheirlocationsonpage19
•SymbolDescriptionsonpage20
HardwareLabelLocations
LabelDescriptionsonHardwareandPackaging
Item
Label
LocationDescription
1
BackofthedeviceProductLabel
Identiesthisdevice.See
“ProductLabel”onpage28
foradescriptionofthelabel
contents.
2
BackofthedeviceDeviceAddressLabeland
RatingPlate
Itprovidesregulatoryand
cautionaryinformation.See
“DeviceAddressLabeland
RatingPlate”onpage29for
anexplanationofthelabel.
2053535-002SMAC™200019
Introduction
LabelDescriptionsonHardwareandPackaging(cont'd.)
Item
Label
LocationDescription
3
Bottomcoverofthe
device
TheOptionCodelabel.
Usetheoptioncodestosetup
thepurchasedoptionsinyour
system.
See“OptionsSetup”onpage
175foranexplanationofthe
OptionCodes.
4
Ontheshipping
package
Environmentalsymbols
requiredforshipping.
5
Ontheshipping
package
BatteryShippingLabel.
FRAGILE—LithiumIon
batteriescancausereif
damaged.
6
Ontheshipping
package
Theshippinglabel.
SymbolDescriptions
Thefollowingtabledescribessymbolsoriconsthatmaybeonthedeviceorits
packaging.Notallofthesymbolsdenedinthetableapplytoyourdeviceorits
packaging.
Symbolsareusedtoconveywarnings,cautions,prohibitions,mandatoryactions,
orinformation.Anysymbolonyourdeviceorpackagingwithmarkingsincolor
indicatestheremaybeadanger,warning,ormandatoryaction.Anysymbolonyour
deviceorpackagingthatisinblackandwhiteprovidesadditionalinformationormay
indicateacaution.Familiaritywiththesesymbolsassistsintheuseanddisposal
oftheequipment.
20MAC™20002053535-002S
Introduction
Forequipmentsymbolsnotshown,refertotheoriginalequipmentmanufacturer
(OEM)manuals.
SymbolDescriptions
Symbol
Description
CatalogorOrderablePartNumber
Indicatesthemanufacturer'scatalogorpartnumber.
SerialNumber
Indicatesthemanufacturer'sserialnumber.
BatchCodeorLotNumber
Indicatesthemanufacturer'sbatchcodeorlotnumber.
DateofManufacture(Year-Month)
Indicatestheoriginalmanufacturedateforthisdevice.
Manufacturer
Indicatesthenameandaddressforthemanufacturerofthisdevice.It
mayalsoincludethedateitwasmanufactured.
AuthorizedRepresentativeintheEuropeanCommunity
Indicatesthenameandaddressoftheauthorizedrepresentativeinthe
EuropeanCommunityforthisdevice.
UniqueDeviceIdenticationisauniquemarkingforidenticationof
themedicaldevice.
RxOnly
USFederallawrestrictsthisdevicetosalebyorontheorderofa
physician.
12SL
IndicatesthedeviceusestheMarquette™12SLECGAnalysisProgram
toanalyzeandinterpretECGreadings.
IPxy
IPCode(IngressProtectionRating)
Classiesandratesthedegreeofprotectionprovidedagainstthe
intrusionofsolidobjects(suchasbodypartslikehandsandngers,
dust,accidentalcontact),andliquids.
Therstnumeral(x)representsthedegreeofprotectionagainstthe
ingressofsolidobjects.
Thesecondnumeral(y)representsthedegreeofprotectionagainstthe
ingressofliquids.
ForproductswithanIPxyrating,seetheClassicationofMedicalDevice
inthischapterforadescriptionofthatrating.Notallproductshave
anIPxyrating.
ClassIIEquipment
Identiesequipmentthatmeetsthesafetyrequirementsspeciedfor
classIIequipmentbyIEC60601–1.
Thisdevicewasdesignedsothatitdoesnotrequireasafetyconnection
toelectricalearth(USground).Nosinglefailureresultsindangerous
voltagebecomingexposedandcausinganelectricshock.Thisis
achievedwithoutrelyingonanearthedmetalcasing.
2053535-002SMAC™200021
Introduction
SymbolDescriptions(cont'd.)
Symbol
Description
ConsultInstructionsforUse
Consulttheoperatinginstructions.
Debrillation-proofTypeCFAppliedPart
Identiesadebrillation-prooftypeCFappliedpartonmedical
equipmentthatcomplieswithIEC60601–1.
Thisdevicemeetstherequirementsforprotectionagainstelectric
shockforanearth-free(oating)appliedpart(oneintendedforcontact
withpatients)forcardiacapplication.
NoUser–orField-serviceableParts
Donotopenordisassemblethedeviceforanyreason.
ProtectiveEarth(ground)
Identiestheterminalofaprotectiveearth(ground)electrodeorany
terminalthatisintendedforconnectiontoanexternalconductorfor
protectionagainstelectricshockincaseofafault.
Non-ionizingElectromagneticRadiation
Indicatesthattheequipmentemitselevated,potentiallyhazardous,
levelsofnon-ionizingradiation(electromagneticenergy)fordiagnosis
ortreatment.
FollowInstructionsForUse
Readandunderstandtheoperator'smanualbeforeusingthedevice
orproduct.
Asamandatoryactionsign,thissymbolisidentiedbyablue
backgroundandwhitesymbol.
CAUTION:
SAFETYGROUNDPRECAUTION
Pullingonthecablecancausethecordtodeteriorateresultingin
electricalproblems.
Removethepowercordfromthemainssourcebygraspingthe
plug.DONOTpullonthecable.
CAUTION:
CONSULTACCOMPANYINGDOCUMENTS
Theremaybespecicwarningsorprecautionsassociatedwiththe
devicethatarenototherwisefoundonthelabel.
Consulttheaccompanyingdocumentationformoreinformation
aboutsafelyusingthisdevice.
CAUTION:
ELECTRICSHOCK
Indicatesthepresenceofhazardousenergycircuitsorelectric
shockhazards.
Toreducetheriskofelectricshockhazards,donotopenthis
enclosure.Referservicingtoqualiedpersonnel.
22MAC™20002053535-002S
Introduction
SymbolDescriptions(cont'd.)
Symbol
Description
CAUTION:
HOTSURFACE
Indicatesthatthemarkeditemmaybehot.
Takeappropriateprecautionsbeforetouchingtheitem.
WARNING:
BODILYINJURY
Indicatesthepresenceofmechanicalpartsthatcanresultin
pinching,crushing,orotherbodilyinjury.
Toavoidriskofbodilyinjury,keepawayfrommovingparts.
Disconnectpowerbeforereachingintoareaorservicing.
Asawarningsign,thissymbolisidentiedbyayellowbackground,black
triangularband,andablacksymbol.
WARNING:
HANDCRUSHINGHAZARD
Thisdevicecontainsmovingpartsthatcouldcrushtheuser'shand.
Keephandsclearofthedevicewhileitisinoperation.Disconnect
powerbeforereachingintoorservicingthedevice.
Asawarningsign,thissymbolisidentiedbyayellowbackground,black
triangularband,andablacksymbol.
WARNING:
BODILYINJURY
Indicatesthepresenceofasharpedgeorobjectthatcancause
cutsorotherbodilyinjury.
Topreventcutsorotherbodilyinjury,donotcontactsharpedgeof
object.
Asawarningsign,thissymbolisidentiedbyayellowbackground,black
triangularband,andablacksymbol.
WARNING:
BODILYINJURY
Indicatesthepresenceofapotentialtip-overhazardthatcanresult
inbodilyinjury.
Toavoidriskofbodilyinjury,followallinstructionsformaintaining
thestabilityoftheequipmentduringtransport,installation,and
maintenance.
Asawarningsign,thissymbolisidentiedbyayellowbackground,black
triangularband,andablacksymbol.
2053535-002SMAC™200023
Introduction
SymbolDescriptions(cont'd.)
Symbol
Description
WARNING:
PINCHPOINT
Thisdevicecontainsmovingpartsthatcouldpinchbodyparts.
Keephandsclearofthedevicewhileitisinoperation.Disconnect
thepowerbeforereachingintoorservicingthedevice.
Asageneralprohibitionsign,thissymbolisidentiedbyawhite
background,redcircularbandandslash,andablacksymbol.
WARNING:
PERSONALINJURYDONOTREACHIN
Reachingintotheequipmentcancausepersonalinjury.
Donotplacehandsintoanyopenings.
Asageneralprohibitionsign,thissymbolisidentiedbyawhite
background,redcircularbandandslash,andablacksymbol.
WARNING:
ENVIRONMENTALORHEALTHHAZARD
Incineratingthedeviceorproductcouldpresentarisktothe
environmentorhumanhealth.
Donotincineratethisdeviceorproduct.
Asageneralprohibitionsign,thissymbolisidentiedbyawhite
background,redcircularbandandslash,andablacksymbol.
WARNING:
BREAKAGEDUETOHEAVYLOAD
Heavyobjectsonthesurfacemaycauseittobreak.
Donotloadobjectsheavierthanthemaximumpermissibleload
indicatedforasafeworkingload.
Asageneralprohibitionsign,thissymbolisidentiedbyawhite
background,redcircularbandandslash,andablacksymbol.
CanBeRecycled
Indicatesyoumayrecyclethismaterialordevice.Recycleordisposeof
inaccordancewithlocal,state,orcountrylaws.
WasteElectricalandElectronicEquipment(WEEE)
Indicatesthisequipmentcontainselectricalorelectroniccomponents
thatmustnotbedisposedofasunsortedmunicipalwastebutcollected
separately.Contactanauthorizedrepresentativeofthemanufacturer
forinformationconcerningthedecommissioningofyourequipment.
Contains<heavymetalchemicalsymbol>
Indicatesthisequipmentcontainsheavymetalandmustnotbe
disposedofasunsortedmunicipalwastebutcollectedseparately.
TheexampleshowsLithiumIon.
24MAC™20002053535-002S
Introduction
SymbolDescriptions(cont'd.)
Symbol
Description
EnvironmentalFriendlyUsePeriod(EFUP)
PerChinesestandardSJ/T11363–2006,indicatesthenumberofyears
fromthedateofmanufactureduringwhichyoucanusetheproduct
beforeanyrestrictedsubstancesarelikelytoleak,causingapossible
environmentalorhealthhazard.
NOTE:
•Ifthedevicecontainslessthanthemaximumconcentrationof
restrictedsubstances,thesymbolcontainsalowercasee
•ThisisalsoreferredtoasChinaRoHS.
JapanRoHS
Indicatesthedeviceorproductmeetstheregulationslimitorbanfor
specicsubstancesinnewelectronicandelectricequipmentinJapan.
TheGreenMark(withtheG)indicatestheproductiswithinthe
tolerancesofhazardouschemicals.
TheContentMark(withtheRandlettersbelow)indicateswhich
hazardoussubstance(s)wasusedduringthemanufacturingofthe
electricalorelectronicequipmentthatexceedsmaximumtolerances.
Fragile
Indicatesthecontentsarefragile.Handlewithcare.
ThisWayUp
Indicatesthecorrectuprightpositionofthepackage.
DoNotStack
Indicatesthatyoushouldnotstackthecontainerorplacealoadon
thecontainer.
KeepDry
Indicatesthatyouneedtokeepthecontainerawayfromrainandother
sourcesofmoisture.
HumidityLimits
Indicatesupperandlowerhumiditylimitsforthetransportationand
handlingofthispackage.Theyareindicatednexttotheupperand
lowerhorizontallines.
AtmosphericLimits
Indicatestheupperandlowerbarometricpressurelimitationsforthe
transportationandhandlingofthispackage.Theyareindicatednextto
theupperandlowerhorizontallines.
2053535-002SMAC™200025
Introduction
SymbolDescriptions(cont'd.)
Symbol
Description
UpperTemperatureLimit
Indicatesthemaximumtemperaturefortransportationandhandlingof
thispackage.Thelimitisindicatednexttotheupperhorizontalline.
TemperatureLimits
Indicatestheupperandlowertemperaturelimitsforthetransportation
andhandlingofthispackage.Theyareindicatednexttotheupper
andlowerhorizontallines.
Thefollowingtabledescribescerticationsymbolsthatmaybeusedonyourdevice
oritspackaging.Theinclusionofasymbolinthistabledoesnotindicatethatyour
productwascertiedbythatsymbol’sgoverningbodyandislistedforreference
only.Toidentifywhichorganizationshavecertiedyourdevice,refertothelabeling
onyourdeviceoritspackaging.
Certication
Symbol
Description
ULMark
IndicatescompliancewithapplicableUnderwritersLaboratories
requirements.
ULListedMark
Indicatescompliancewithinternationalorregionalstandardsfor
UnderwritersLaboratoriessafetyrequirements.
ULListed,Canada/US
Indicatescompliancewithinternationalorregionalstandardsfor
UnderwritersLaboratoriessafetyrequirementsinCanadaandthe
UnitedStates.
ULClassicationMark
IndicatesthismedicalequipmentisULClassiedwithrespectto
electricshock,re,andmechanicalhazardsonlyinaccordancewithUL
60601-1,CAN/CSAC22.2NO.601.1,andIEC60601-2-25.
ULClassicationMark,Canada/US
IndicatesthismedicalequipmentisULClassiedwithrespectto
electricshock,re,andmechanicalhazardsonlyinaccordancewith
UL60601-1,CAN/CSAC22.2NO.601.1,andIEC60601-2-25forthe
USandCanada.
CEMark
IndicatesthedeviceorproductconformswithapplicableEU(European
Union)directives.
26MAC™20002053535-002S
Introduction
Certication
Symbol
Description
PCT(GOST-R)Mark
IndicatesthedeviceorproductconformswithapplicableRussian
Gosstandarttechnicalandsafetystandards.
NRTLCertication
IndicatesthedeviceorproducthasmettheNationalRecognized
TestingLaboratoriescertication.
TheNRTLcerticationattaintedisaddedtothemarkoftheapplicable
testinglaboratory.TheexampledisplaystheNRTLcerticationwith
theMETLaboratoriesmark.
ChinaMetrologyCertication
IndicatesthedeviceorproductcomplieswithapplicableChina
MetrologyCerticationrequirements.
TÜVRheinland
Indicatesthedeviceorproductcomplieswithapplicabletechnical
andsafetyrequirementsfollowingtestingbyTechnischer
Überwachungs-Verein,(TechnicalInspectionsOrganization).
InstallationandConnection
IftheinstallationofthisequipmentintheUSAwilluse240Vratherthan120V,the
sourcemustbeacenter-tapped,240V,single-phasecircuit.
ContactGEHealthcareforinformationbeforeconnectinganydevicestothis
equipmentthatarenotrecommendedinthismanualorthesuppliesandaccessories
referenceguideforthissystem.
Training
Thismanualisintendedasasupplementto,notasubstitutefor,thoroughproduct
training.Ifyouhavenotreceivedtrainingontheuseofthesystem,youshouldrequest
trainingassistancefromGEHealthcare.
Toseeavailabletraining,gototheGEHealthcaretrainingWeb
site(www.gehealthcare.com/training).SelectEducation>Product
Education-Technical>DiagnosticCardiology.
Formoreself-pacedcourseofferings,tools,andreferenceguidesyou
maynduseful,pleasevisittheGEHealthcareEducationStoreat
www.gehealthcare.com/educationstore.
EquipmentIdentication
EveryGEHealthcareproducthasaproductlabelthatidentiestheproductname,
partnumber,manufacturinginformation,anduniqueserialnumber.Thisinformation
isrequiredwhencontactingGEHealthcareforsupport.
2053535-002SMAC™200027
Introduction
ProductLabel
Theproductlabelislaidoutinthefollowingformat.Dependingontheproduct,the
labelmayvaryslightlyinformat,butitcontainsthesameinformation.
ProductLabelFormat
Item
Description
1
Productdescription
2
Productpartnumber
3
Deviceserialnumber(See“SerialNumberFormat”onpage28formoreinformation.)
4
Productbarcode
5
DateofmanufactureinYYYY-MMformat
SerialNumberFormat
Eachdevicehasaserialnumberthatuniquelyidentiesitandprovidesimportant
information.Youneedtheproductcodeandtheentireserialnumberbeforeservicing
orrequestingsupportforyourproduct.Theserialnumberformatisshowninthe
followingillustration:
SerialNumberFormat
ItemName
Description
1
ProductCodeThree-lettercodethatuniquelyidentiestheproductline.
See“ProductCodes”onpage29formoreinformation.
2
YearManufacturedTwo-digitcodeidentifyingtheyearthedevicewas
manufactured.Valuesrangefrom00to99
Forexample:00=2000,04=2004,05=2005(andsoon).
3
FiscalWeek
Manufactured
Two-digitcodeidentifyingtheweekthedevicewas
manufactured.
Valuesrangefrom01to52.GEHealthcare'sscalweeks
correspondtothecalendarweek.Forexample,01=rst
weekinJanuary.
4
ProductSequenceFour-digitnumberidentifyingtheorderinwhichthis
devicewasmanufactured.Valuesrangefrom0001to
9999.
28MAC™20002053535-002S
Introduction
SerialNumberFormat(cont'd.)
ItemName
Description
5
ManufacturingSiteOne-lettercodeidentifyingthesitewherethedevicewas
manufactured.Forexample,F=Milwaukee,N=Freiburg,
P=Bangalore
6
Miscellaneous
Characteristic
Forexample,P=deviceisaprototype,R=devicewas
refurbished,U=devicewasupgradedtomeetthe
specicationsofanotherproductcode,A=deviceisin
production.
DeviceAddressLabelandRatingPlate
TheDeviceAddresslabelandRatingPlateislaidoutinthefollowingformat.
Dependingontheproduct,thelabelmayvaryslightlyinformat.
Item
Description
1
Productdescription
2
Countryoforigin
3
Symbols
See“SymbolDescriptions”onpage20foradescriptionofthesymbolsusedon
thislabel.
4
Electricalratingofthedevice
5
Manufacturernameandaddress
ProductCodes
Theproductcodeidentiesspecicsystemplatforms.
Youcanidentifytheproductcodeusingtheserialnumberlistedontheproductlabel
locatedinoneofthefollowingplaces:
•Ontheproductlabelattachedtothedevice.
•OntheproductlabelprovidedwiththeapplicationCD.
Forsoftwareapplicationsystems,youcanviewtheserialnumberbylaunchingthe
systemapplicationandclickingHelp>About.
Forinformationonlaunchingtheapplication,refertotheserviceoroperator'smanual
forthissystem.
2053535-002SMAC™200029
Introduction
ServiceInformation
Thissectionprovidesinformationpertainingtothemaintenanceandservicingofthe
system.FamiliarizeyourselfwiththisinformationbeforerequestingservicefromGE
Healthcareoritsauthorizedrepresentatives.
ServiceRequirements
ForsystemswithhardwareprovidedbyGEHealthcare,failureonthepartofthe
responsibleindividual,hospital,orinstitutionusingthisequipmenttoimplement
asatisfactorymaintenanceschedulemayresultinequipmentfailureandpossible
safetyhazards.
Forsoftwareonlyproducts,maintenanceofthehardwareandoperatingsystemon
whichthesoftwareresidesistheresponsibilityofthecustomer.
Regularmaintenance,irrespectiveofusage,isessentialtoensurethatthecomponents
ofthissystemarealwaysfunctionalwhenrequired.
WarrantyInformation
ThisdeviceisconsideredGEHealthcare-suppliedhardware.OnlyauthorizedGE
Healthcareservicepersonnelshouldservicethedevice.Anyunauthorizedattemptto
repairequipmentunderwarrantyvoidsthatwarranty.Itistheuser'sresponsibilityto
reporttheneedforservicetoGEHealthcareortooneoftheirauthorizedagents.
AdditionalAssistance
GEHealthcaremaintainsatrainedstaffofapplicationandtechnicalexpertstoanswer
questionsandrespondtoissuesandproblemsthatmayariseduringtheinstallation,
maintenance,anduseofthissystem.
ContactyourlocalGEHealthcarerepresentativetorequestadditionalassistance.
ManualInformation
Thissectionprovidesinformationforthecorrectuseofthismanual.
Keepthismanualwiththeequipmentatalltimesandperiodicallyreviewit.You
shouldrequesttrainingassistancefromGEHealthcare,ifneeded.
ManualPurpose
Thepurposeofthismanualistoprovidetheoperatorwithinformationconcerning
thesafetyanduseoftheirECGsystem.
DocumentConventions
Thismanualusesthefollowingconventions.
30MAC™20002053535-002S
Introduction
TypographicalConventions
ConventionDescription
BoldTextIndicateskeysonthekeyboard,texttoenter,orhardwareitemssuchas
buttonsorswitchesontheequipment.
Italicized-Bold
Text
Indicatessoftwaretermsthatidentifymenuitems,buttonsoroptions
invariouswindows.
CTRL+ESC
Indicatesakeyboardoperation.Aplus(+)signbetweenthenamesoftwo
keysindicatesthatwhileholdingtherstkey,youshouldpressandrelease
thesecondkey.Forexample,PressCTRL+ESCmeanstopressandhold
theCTRLkeyandthenpressandreleasetheESCkey.
<space>
Indicatesthatyoumustpressthespacebar.Wheninstructionsaregiven
fortypingaprecisetextstringwithoneormorespaces,thepointwhere
youmustpressthespacebarisindicatedas<space>.Thisensuresthat
thecorrectnumberofspacesisinsertedinthecorrectpositionswithinthe
literaltextstring.Thepurposeofthe<>bracketsistodistinguishthe
commandfromtheliteraltextwithinthestring.
Enter
IndicatesthatyoumustpresstheEnterorReturnkeyonthekeyboard.Do
nottypeEnter.
>
Thegreaterthansymbol,orrightanglebracket,isaconcisemethodto
indicateasequenceofmenuselections.
Forexample,thestatement“Fromthemainmenu,selectSystem>Setup
>OptionstoopentheOptionActivationwindow”replacesthefollowing:
1.Fromthemainmenu,selectSystemtoopentheSystemmenu.
2.FromtheSystemmenu,selectSetuptoopentheSetupmenu.
3.FromtheSetupmenu,selectOptionstoopentheOptionActivation
window.
Illustrations
Allillustrationsinthemanualareprovidedasexamplesonly.Dependingonsystem
conguration,screensinthemanualmaydifferfromthescreensonyoursystem.
Allpatientnamesanddataarectitious.Anysimilaritytoactualpersonsis
coincidental.
Notes
Notesprovideapplicationtipsoradditionalinformationthat,whileuseful,arenot
essentialtothecorrectoperationofthesystem.Theyarecalledoutfromthebody
textthroughaagwordandindentation,asfollows:
NOTE:
ThetiporadditionalinformationisindentedbelowtheNOTEagword.
RelatedDocuments
Foracompletelistofrelatedmanuals,refertothe"RelatedManuals"appendixin
theservicemanual.
2053535-002SMAC™200031
Introduction
32MAC™20002053535-002S
2
ProductOverview
Thischapterprovidesadescriptionoftheproduct,itsfeatures,andtherequirements
necessarytooperatethissystem.
ProductDescription
Thissystemprovidestwobasicmodesofoperation:
•RestingECG
Thismodeisthestandardmodeforyoursystem.
•Arrhythmia
Thismodeisprovidedfortheconvenienceofautomaticallygenerating
documentation.
Youcanupgradethebasicsystemwithtwoothermodesofoperation:
•Exercise
Thismodeisforexercisestresstesting.
•RRAnalysis
ThismodeisforRRintervalsanalysis.
Thebasicsystemprints6or12leadsofECGandprovidesoptionaltransmissionand
receptionofECGdatatoandfromacentralECGcardiovascularinformationsystem.
Youcanalsoupgradeitwithsoftwareoptionssuchas12-leadECGmeasurement
andinterpretiveanalysis.
ProductSpecications
Thissectiondescribesthedevice’shardwarecomponentsandsystemspecications.
Familiarizeyourselfwiththisinformationbeforeusingthedevice.
HardwareDescriptions
Thissectionidentiesthekeycomponentsofthesystemhardware.Familiarize
yourselfwiththesecomponents,theirlocation,andtheirusebeforeattempting
tousetheequipment.
2053535-002SMAC™2000
33
ProductOverview
FrontView
FrontViewofDevice
ItemName
Description
1
DisplayPresentswaveformandtextdata.
2
FunctionKeys
Selectsmenuoptionsonthescreen.
3
KeypadUsetoselectmenuoptionsonthescreen.
4
PrinterdoorpushbuttonOpenstheprinterdoor.
5
Printer/Printerdoor
Printsreports.
RearView
RearViewofDevice
ItemName
Description
1
SDcardslotConnectionforSecureDigital(SD)card.This
systemsupportsSDcardsformattedfortheFATor
FAT16lesystems.
2
LANorWLANconnection
RJ45networkconnectorusedtoconnectEthernet
cableforwiredLANcommunicationorLAN
communicationusingWirelessbridge.
34
MAC™20002053535-002S
ProductOverview
RearViewofDevice(cont'd.)
ItemName
Description
3
USBports(2)
StandardUniversalSerialBus(USB)connectorfor
USBdevices,suchastheoptionalbarcodereader,
anexternalnon-multimediaUSBkeyboardor
optionalUSBpoweredWirelessbridge.
4
COMMAport
Serialconnectorfordatacommunicationwith
CASE/CardioSoft/CSorMUSEsystems.
5
COMMBport
Serialconnectorforstressdevices(bicycle,
ergometer,ortreadmill).
6
PhonejackRJ11connectorfromtheinternalmodemtoan
analogphoneline.
7
ACPowerCordconnectionStandardconnectorfortheACpowercable.
SideView
SideViewofDevice
ItemName
Description
1
KISSconnection
ConnectionportfortheoptionalKISSPump
system.
2
ECGPatientCableconnectionD-sub15–pinfemaleconnectorfortheacquisition
cable.
2053535-002SMAC™2000
35
ProductOverview
StandardKeypad
StandardKeypad
ItemName
Description
1
Poweron/off
Turnsthesystemonoroff.
2
BatteryLED
Indicatesvariousbatterystates:
•Steadyamberindicatesthebatteryischarging
•Flashingamberindicatesthebatteryislow
•Nolightindicatesthebatteryisneithercharging
norlow
3PowerLED
Indicatestheunitispluggedinandreceiving
power.
4
Leadskey
Scrollsthroughtheleadsandallowsyoutoselect
thedisplayformatsfortheleadsequence.
5
ECGkey
Acquiresandprintsa12–leadECG.
6
RhythmkeyPrintsreal-timecontinuousrhythm.
7
WriterStop
Stopstheprintingfunction.
36MAC™20002053535-002S
ProductOverview
StandardKeypad(cont'd.)
ItemName
Description
8
Trimpad/CursorControlkeys
Providesmovementthroughmenusandwindows.
Fordescriptionsonusingthetrimpadandcursor
controlkeys,see“UsingtheTrimpad”onpage41.
9
FunctionkeysUsetoselectmenuoptionsonthescreen.
NOTE:
Thereisnomarkingonthekeypadforthe
functionkeys.Uptosixmenuoptionsmaybe
availableatanygiventime,andeachoption
correspondstoafunctionkeydirectlybelow
thedisplay.
10
Backspacekey
Deletescharacters.
11
Enterkey
Usetoadvancethefocusinawindowortoselect
itemsfromthescreen.
12
AltkeySwitchesbetweendifferentinputmethodsfor
JapaneseandKoreankeyboardlanguages.
13
Spacebar
Entersaspaceinthetext.
Asasecondaryfunction,itmovesthroughthe
menulists.
14
Optionkey
Usetoenterspecialcharactersonnon-English
keyboards.
15
ESC(escape)
Closesawindowonascreen.
16
Shiftkey
Usetoenteracapitalletter.
Forexample,pressShift+ptotypeacapitalP.
StressKeypad
Thestresskeypadhasthesamekeysasastandardkeypadwiththeadditionofspecic
stresskeys.Ifyoudonothavethestressoption,youdonothaveastresskeypad.
2053535-002SMAC™2000
37
ProductOverview
ItemName
Description
1
StresskeysControlsstressequipmentconnectedtothe
system.
StressKeys
StressKeys
ItemName
Description
1
PreteststresskeySelectsthepretestphaseoradvancestothenext
stagewithinthephase.
2
ExercisestresskeySelectstheexercisephaseoradvancestothenext
stagewithinthephase
3
RecoverystresskeySelectstherecoveryphaseoradvancestothenext
stagewithinthephase
4
TestEndstresskeySelectsthetestendphase.
5
HoldStagestresskeyRemainsatthecurrentstage.
6
SpeedW+stresskey
(Speed/Loadup)
Manuallyincreasesthetreadmillspeedor
ergometerload.
38MAC™20002053535-002S
ProductOverview
StressKeys(cont'd.)
ItemName
Description
7
Gradeá á
á
stresskey
(Gradeup)
Increasestheelevationofthetreadmill.
8
Tmil
stresskey
Startsthetreadmillduringthetest
9
Tmilstresskey
Stopsthetreadmillduringthetest.
10
Gradeâ â
â
stresskey
(Gradedown)
Decreasestheelevationofthetreadmill.
11
SpeedW-stresskey
(Speed/Loaddown)
Manuallydecreasesthetreadmillspeedor
ergometerload.
12
EnterBPstresskeyAllowsyoutoenterbloodpressurevaluesorstart
abloodpressuremeasurement.
13
Commentstresskey
Allowsyoutoenteracommentduringthestress
test.
14
MediansstresskeyPrintsamedianreportduringthetest.
15
12ldstresskey
Printsa12–leadreport
16
RecallstresskeyPrintstheprevious10secondsofECG
HardwareSpecications
See“TechnicalSpecications”onpage213foracompletedescriptionofallhardware
andsystemspecicationsforthisdevice.
OptionalSoftwareFeatures
OptionalSoftwareFeatures
Item
Description
QTCorrectionFormulaThesystemprovidesthefollowingQTcorrection
formulas:
Bazett(default)
Framingham
Fridericia
HookupAdvisorHookupAdvisoralertsusersofpoorleadqualitybased
onnoisemeasurementandlead-offdetectionresults.
ACI-TIPI
AcuteCardiacIschemiaTime-InsensitivePredictive
Instrument(ACI-TIPI)Option(K974199).
ClinicalTrials(CT)DataGuard
andAuditTrail
CTDataGuardandAuditTrailsupports21CFRpart11
complianceforthedatageneratedusingthedevice.
Optionincudespasswordprotectionandtimestamped
audittrails.
ECGAnalysis/Interpretation
12SLECGAnalysisProgram(V22)K042177.
HEARTexerciseHEARTexercisev5.2.2.1.
2053535-002SMAC™200039
ProductOverview
UsingtheSystem
Thissectiondescribesthesecuritymodewindow,startupscreen,keypaduse,and
ECGdataacquisition.
SecurityModeWindow
Whenyoupowerupthedeviceforthersttime,awindowdisplaysaskingyouto
selectthesecuritymode:
•IfyouselectNoAuthenticationMode,pressSave,thestartupscreendisplays.
•IfyouselectHighSecurityMode,pressSave,thesystemwillcreateauseraccount.
AdialogwindowdisplaystoprovideyouthedefaultuserIDandthedefault
password.
1.SelectOK.YouwillberequiredtoentertheuserIDandpassword.
2.IntheUserIDeld,enterthedefaultuserID.
3.InthePasswordeld,enterthedefaultpassword.
4.PressLogin.Amessagedisplays:Pleasechangethedefaultadminpassword
atthersttimeofloggingin.
5.PressChangePassword.
6.InthePasswordeld,enterthenewpassword.
7.IntheRetypePasswordeld,retypethenewpassword.
8.PressSave,thestartupscreendisplaysasRestingECGPowerUpMode.
StartupScreen
DependingontheoptionsyouselectedforPowerupmodeinBasicSetup,oneofthe
followingscreensisyourstartupscreen:
•RestingECG
•StressECG
•Arrhythmia
•MainScreen
•OrderManager
•AwindowpromptingyoutoenteryourUserIDandPassword.
NOTE:
ThepasswordwindowisdisplayedonlyifyouselectedtheHighSecurityMode
optioninBasicSetup.YoucanusethesystemtotakeaSTATECGwithout
loggingintothesystem.PressthefunctionkeydirectlybelowtheSTATECG
tabtoselectit.
40MAC™20002053535-002S
ProductOverview
UsingtheKeypad
Youinteractwiththesystembyusingthekeypad.Inadditiontoenteringdataasyou
wouldonanykeypad,youcanalsouseittodothefollowingtasks:
•Selectmenuoptions
•Navigatethroughdataentryelds
•Controloptionalstressequipment
UsingtheFunctionKeys
YoucancongurethedeviceandinitiateanECGreadingbyselectingmenuoptions
thatareacrossthebottomofthedisplay.Uptosixmenuoptionsareavailableatany
giventime,andeachoptioncorrespondstoafunctionkeydirectlybelowthedisplay.
Pressthefunctionkeybelowthecorrespondingmenuoptiontoselectit.Thefollowing
tabledescribessomeofthepossibleoptions.
UsingtheFunctionKeys
DesiredActionExampleResults
TakeanECGSelectingtheRestingECGmenuoptionopenstheRestingECG
functionanddisplaysadditionalmenuitemsrelatedtotaking
arestingECG.
Changeasettingduring
anECGrecording
DuringarestingECG,selectingthe25mm/soptionchangesthe
speedofthewaveform.Otheroptionsareavailabletochange
differentsettings.
OpenawindowSelectingthePatientDataoptionopenstheEnterPatient
Datawindow.
ChangemenuoptionsSelectingtheMoreoptiondisplaysadditionalmenuoptions.
SaveyourselectionsSelectingtheSaveoptionallowsyoutosavechangesafter
enteringdataorchangingaconguration.
UsingtheTrimpad
Usethetrimpadtonavigatethroughdataentrywindows.
Pressthearrowstomovethecursorleft,right,upanddownthroughthedataelds.
Pressthecenterbuttontoselecttheeldinwhichthecursoriscurrentlyresting.Ifthe
eldisassociatedwithalistofvalidvalue,thatlistisdisplayed.
UsingtheStressKeys
Ifyoupurchasedtheoptionalstressmodule,usethestresskeysonthekeypadto
controlstressequipmentconnectedtothesystem.Foradescriptionofthestresskeys
andtheirfunction,see“StressKeys”onpage38.
2053535-002SMAC™200041
ProductOverview
ECGDataAcquisition
ECGDataAcquisitionprovidesthefollowing:
•Sampleswithaminimum500Hzor1000HztotheECGprocessingalgorithms
andtheapplicationsoftware
•Paceenhancementenable/disablethroughtheuserinterface
•QRSdetectionandheartratecalculation
•Leadsequenceswith6or12leads,whereeachleadisanelementoftheset(I,II,III,
aVR,aVL,aVF,D,A,J,V1…V6)withanoptional–aVR
ECGDataAcquisitionsupportsthefollowing:
•Defaulthighpasslter(0.04Hz),ifADSisonhighpasslter(0.56Hz)
•Selectablelowpasslter(20,40,100,150Hz)
•Selectablemainslter(50Hz,60Hz)
•AntiDriftSystem(ADS):Baselineshiftcorrectionwithniteimpulseresponsehigh
passlterenable/disablethroughtheuserinterfaceinRestingECG,Stress,and
RRanalysismodes
ThefollowingareselectabledataformatsforexternalECGstorage:
•DCARXML,500Hzuncompressed
•DCARXML,1000Hzuncompressed
•Hilltop,500HzDVS
•PDF
ExternalStorage
ThissystemsupportsaSecureDigitalHighCapacity(SDHC)cardasexternalstorage.
42MAC™20002053535-002S
ProductOverview
NavigatingtheUserInterface
Youcancongurethesysteminanumberofways.Thecongurationchoicesyou
makedeterminetheactionsyouneedtoperforminordertoproceedfromthePower
updisplaytotheMainMenu.
•ThePowerupmodeselectedinBasicSetupdetermineswhichwindowopenson
startup.
•IfHighSecurityModeisenabled,youarerequiredtoenterauserIDandpassword.
NOTE:
AdialogwindowwillopenbeforethesystementersintotheselectedPower
upmodeassetinSystemsettings.
•TheBCRDoptionintheOptionCodewindowindicatesthattheUSBBarcode
Readersupportisactivated.
ThefollowingsectionsdescribehowtonavigatefromthePowerupscreentothe
MainMenufortheeachpossiblelogonconguration.Usetheprocedurethatapplies
toyourlogoncongurationsettings.
•IfyoursystemisconguredtopowerupintheRestingECGmode,goto“Resting
ECGPowerUpMode”onpage44.
•IfyoursystemisconguredtopowerupintheArrhythmiamode,goto“Arrhythmia
PowerUpMode”onpage44.
•IfyoursystemisconguredtopowerupintheMainScreenmode,goto“Main
ScreenPowerUpMode”onpage45.
2053535-002SMAC™2000
43
ProductOverview
•IfyoursystemisconguredtopowerupintheStressECGmode,goto“StressECG
PowerUpMode”onpage45.
•IfyoursystemisconguredtopowerupintheOrderManagermode,goto“Order
ManagerPowerUpMode”onpage46.
RestingECGPowerUpMode
ThisproceduredescribeshowtonavigatetotheMainMenuafterpoweringonthe
systemwhenRestingECGisselectedforPowerupmodeinBasicSetup.
NOTE:
Ifyouneedtoperformsystemsetupfunctions,besureyouloginasauserwhois
assignedsetupeditingprivileges.
IfthesystemisconguredforRestingECGPowerUpModeandHighSecurityMode
isnotenabled,theRestingECGscreenopensonpowerup.TogototheMainMenu,
pressMore>MainMenu.
IfHighSecurityModeisenabled,whenthewindowopenspromptingforauserIDand
password,usethefollowingprocedure:
NOTE:
Ifyouforgotthepassword,refertoSee“HighSecurityMode”onpage46.
1.IntheUserIDeld,enteryouruserID.
2.InthePasswordeld,enteryourpassword.
3.PressLogin.
TheRestingECGscreenisdisplayed.
IftheBarcodeReaderoptionisenabled,awindowopenspromptingyouto
ScanthePatientbarcode.
4.Ifthebarcodereaderpromptisnotdisplayed,pressCancel>More>MainMenu.
ArrhythmiaPowerUpMode
ThisproceduredescribeshowtonavigatetotheMainMenuafterpoweringonthe
systemwhenArrhythmiaisselectedforPowerupmodeinBasicSetup.
NOTE:
Ifyouneedtoperformsystemsetupfunctions,besureyouloginasauserwhois
assignedsetupeditingprivileges.
IfthesystemisconguredforArrhythmiaPowerUpMode,andHighSecurityMode
isnotenabled,theArrhythmiascreenopensonPowerup.TogototheMainMenu,
pressCancel>More>MainMenu.
IfHighSecurityModeisenabled,whenthewindowopenspromptingforauserIDand
password,usethefollowingprocedure:
NOTE:
Ifyouforgotthepassword,refertoSee“HighSecurityMode”onpage46.
1.IntheUserIDeld,enteryouruserID.
2.InthePasswordeld,enteryourpassword.
44
MAC™20002053535-002S
ProductOverview
3.PressLogin.
TheArrhythmiascreenisdisplayed.
IftheBarcodeReaderoptionisenabled,awindowopenspromptingyouto
ScanthePatientbarcode.
4.Ifthebarcodereaderpromptisnotdisplayed,pressCancel>More>MainMenu.
MainScreenPowerUpMode
ThisproceduredescribeshowtonavigatetotheMainMenuafterpoweringonthe
systemwhenMainScreenisselectedforPowerupmodeinBasicSetup.
NOTE:
Ifyouneedtoperformsystemsetupfunctions,besureyouloginasauserwhois
assignedsetupeditingprivileges.
IfthesystemisconguredforMainScreenPowerupmodeanddoesnothaveHigh
SecurityModeenabled,theMainMenuisdisplayedafterpoweringupthesystem.
YoudonotneedtopressanyotherkeysinordertodisplaytheMainMenu.
IfHighSecurityModeisenabled,whenthewindowopenspromptingforauserIDand
password,usethefollowingprocedure:
NOTE:
Ifyouforgotthepassword,refertoSee“HighSecurityMode”onpage46.
1.IntheUserIDeld,enteryouruserID.
2.InthePasswordeld,enteryourpassword.
3.PressLogin.
TheMainMenuisdisplayed.
StressECGPowerUpMode
ThisproceduredescribeshowtonavigatetotheMainMenuafterpoweringonthe
systemwhenStressECGisselectedforPowerupmodeinBasicSetup.
NOTE:
Ifyouneedtoperformsystemsetupfunctions,besureyouloginasauserwhois
assignedsetupeditingprivileges.
IfthesystemisconguredforStressECGPowerupmodeandHighSecurityMode
isnotenabled,theStressECGscreenopensonpowerup.TogototheMainMenu,
pressCancel>More>MainMenu.
IfHighSecurityModeisenabled,whenthewindowopenspromptingforauserIDand
password,usethefollowingprocedure:
NOTE:
Ifyouforgotthepassword,refertoSee“HighSecurityMode”onpage46.
1.IntheUserIDeld,enteryouruserID.
2.InthePasswordeld,enteryourpassword.
3.PressLogin.
TheStressECGscreenisdisplayed.
2053535-002SMAC™2000
45
ProductOverview
IftheBarcodeReaderoptionisenabled,awindowopenspromptingyouto
ScanthePatientbarcode.
4.Ifthebarcodereaderpromptisnotdisplayed,pressCancel>More>MainMenu.
OrderManagerPowerUpMode
ThisproceduredescribeshowtonavigatetoMainMenuafterpoweringonthesystem
whenOrderManagerisselectedforPowerupmodeinBasicSetup.
NOTE:
Ifyouneedtoperformsystemsetupfunctions,besureyouloginasauserwhois
assignedsetupeditingprivileges.
IfthesystemisconguredforOrderManagerPowerUpModeanditdoesnot
haveHighSecurityModeenabled,pressMainMenu.TheOrderManagerscreenis
displayedafterturningonthesystem.
IfHighSecurityModeisenabled,whenthewindowopenspromptingforauserIDand
password,usethefollowingprocedure:
NOTE:
Ifyouforgotthepassword,refertoSee“HighSecurityMode”onpage46.
1.IntheUserIDeld,enteryouruserID.
2.InthePasswordeld,enteryourpassword.
3.PressLogin.
TheOrderManagerscreenisdisplayed.
4.PressMainMenu.
HighSecurityMode
IfHighSecurityModeisenabled,youarerequiredtoenterauserIDandpassword.
ThedialogwindowwillopenbeforethesystementersintotheselectedPowerup
modeassetinSystemsettings.
1.IntheUserIDeld,enteryouruserID.
2.InthePasswordeld,enteryourpassword.
46MAC™20002053535-002S
ProductOverview
3.Ifyouforgotthepassword,pressForgotPassword.
4.Adialogwindowdisplaysforyoutoselect.
•IfrecoverykeyisexportedtotheSDcard,inserttheSDcardthenselect
ImportRecoveryKey.Howtoexportrecoverykey,See“UserSetup”onpage
167.
IntheUserIDeld,enteryouruserID.
InthePasswordeld,enterthenewpassword.
IntheRetypePasswordeld,retypethenewpassword.
•Ifrecoverykeyisnotexported,selectRestoreSystem.
NOTE:
TheSystemRestoredialogdisplaysawarningthatsystemrestorewill
resetyoursystemtotheoriginalfactoryconguration,andallpatient
data,systemsettings,logsanduserdatawillbelostandunrecoverable.
IntheEnterSerialNumbereld,entertheserialnumberandpressFactory
Defaults.
Restartthesystemaftertherestoresuccess.
2053535-002SMAC™2000
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ProductOverview
48MAC™20002053535-002S
3
SettingUptheEquipment
Settingupthissystemconsistsofthefollowingsteps:
1.“InsertingtheBattery”
2.“ConnectingtheACPower”
3.“ConnectingthePatientCable”
4.“ApplyingtheFerriteRingtoCables”
5.“ConnectingtheBarcodeReader”
6.“ConnectingtheLANOption”
7.“ConnectingtoWLAN”
8.“ConnectingExternalDevices(StressOption)”
9.“ConnectinganInternalModem”
10.“InsertingthePaper”
11.“TurningontheSystem”
12.“ConguringtheDevice”
13.“TestingtheDevice”
Eachstepisdescribedinmoredetailinthefollowingsections.
InsertingtheBattery
Thesystemisshippedwithalithiumionbatterythatischargedwheninsertedintothe
systemconnectedtoACpower.
NOTE:
Donotusethesystemonbatterypoweruntilthebatteryisfullycharged,as
indicatedbythebatterychargingLEDonthekeysheet.Youmayusethesystem
onACpowerwhilethebatteryischarging.
ConnectingtheACPower
ThissystemcanrunusingACorbatterypower.WhenthedeviceispluggedintoanAC
outlet,itusesACpowerandchargestheinstalledbattery.
2053535-002SMAC™200049
SettingUptheEquipment
UsethefollowinginstructionstoconnectthesystemtoanACpoweroutlet.
Item
Description
1
Femaleendofthedevice’spowercordconnectedtothebackofthedevice.
2
Maleendofthedevice’spowercordconnectedtoanACoutlet.
1.Connectthefemaleendofthedevice’spowercord(1)totheACpowerconnector
onthebackofthedevice.
2.Plugthemaleendofthedevice’spowercord(2)intoanACoutlet.
NOTE:
Itisrecommendedthatyouplugthedeviceintoanuninterruptiblepower
supply(UPS)orasurgesuppressor.
3.CheckthePowerLEDtomakesurethedeviceisreceivingpowerformtheAC
outlet.
ConnectingthePatientCable
Thissystemsupportsavarietyofpatientcables.
WARNING:
HIGH-FREQUENCYBURNS—Useofcablesnotsuppliedwiththisequipmentcan
leadtoseriousinjury.
Useonlytheacquisitioncablethatshipswiththisequipment.
CAUTION:
INACCURACIESINECGImproperconnectioncancauseinaccuraciesintheECG.
Traceeachindividualleadwirefromitsacquisitioncablelabeltothecolored
connectorandthentotheproperelectrodetoensurethatitismatchedtothe
correctlabellocation.
50MAC™20002053535-002S
SettingUptheEquipment
PatientCables
ItemName
Description
1
D-Sub15–pinmaleconnectorConnectstothesystem’sECGsignal
inputconnector.Oneendofeach
acquisitioncableconsistsofaD-sub
15–pinmaleconnector.
2
Multi-linkAcquisitionCableLeadsTheleadendofthemulti-link
acquisitioncableattachestothe
leadwireadaptersanduses10or12
leadwires.
3
NEHBAcquisitionCableLeadsTheleadendoftheNEHBacquisition
cableattachestotheleadwire
adaptersanduses12leadwires.
4
ValueAcquisitionCableleadsTheleadendofthevalueacquisition
cableconsistsof10leadwires.
Theleadwiresrequireanadaptertoconnecttoanelectrode,asshowninthefollowing
diagram.
2053535-002SMAC™200051
SettingUptheEquipment
LeadwireAdapters
Item
Description
1
Leadwireend
2
4mmpin
3
Grabber
4
Mactrodeclip
Usethefollowingproceduretoconnectthepatientcable:
1.Assembletheleadwiresandadapters.
See“ReplacingLeadwireAdapters”onpage185.
2.Connecttheleadwirestothefrontofthepatientcable.
3.Connectthepatientcabletothesystem.
Ensurethecableisseatedsecurely.
ApplyingtheFerriteRingtoCables
Beforeyouconnectthebarcodereader,aLANcable,aserialcableoraphoneline
tothedevice,makesurethatyouapplytheferritering:
1.Openaferritering.
2.Wrapthecablearoundtheferriteringasshown,andmakesurethatthe
distancebetweentheferriteringandthecableportislessthan50mm.
3.Fastentolocktheferritering.
52MAC™20002053535-002S
SettingUptheEquipment
ConnectingtheBarcodeReader
Iftheoptionalbarcodereaderwaspurchasedwiththedevice,connectittotheUSB
portonthedevice.Beforeyouconnectthecabletothedevice,makesurethatyou
applyaferriteringtothecable,see“ApplyingtheFerriteRingtoCables”onpage52.
NOTE:
TheBCRDoptiontousethereaderisactivatedatthefactorywhenthebarcode
readerispurchasedwiththedevice.However,youneedtocongurethebarcode
settingsforyoursitebeforeyoucanusethereader,SeeAppendixA.
ConnectingtheLANOption
ThissystemiscompatiblewithMUSEv7.1.1,v8.0.1andv9.0.0,andwithCardioSoft/CS
v6.51,v6.61,v6.71andv6.73.
ConnectingtoLAN
IfyoupurchasedtheLANC(LANCommunicationtoCardioSoft/CS)orLANM(LAN
CommunicationtoMUSE)options,connectawiredLANEthernetcabletotheRJ45
networkconnectoronthebackofthedevice.Beforeyouconnectthecabletothe
device,makesurethatyouapplyaferriteringtothecable,see“ApplyingtheFerrite
RingtoCables”onpage52.
NOTE:
Thisappliesonlyifyouareusingthedeviceasastationarydevice.Ifyouare
usingitasamobileunit,donotconnectthedevicetoaLANuntilyouareready
toimport,transmit,orexportrecords.
ConnectingtoWLAN
IfyoupurchasedtheLANC(LANCommunicationtoCardioSoft/CS)orLANM(LAN
CommunicationtoMUSE)optionsalongwithwirelessbridge:
1.ConnectthewirelessbridgetotheRJ45networkconnectoronthebackofthe
deviceviaEthernetcable.
2.ConnectthePowercableoftheWirelessbridgetoUSBportofthedevice.
NOTE:
PleasecheckwithGErepresentativeifthissolutionisavailableinyourcountry.
Therequiredoption(s)tousethewirelessbridgeareactivatedatthefactorywhenthe
wirelessbridgecommunicationoptionispurchasedwiththedevice.However,the
wirelessbridgeneedstobeconguredbeforeyoucanuseit,refertoMobileLink
WirelessCommunicationInstallationManualfordetailedinformation.
ConnectingExternalDevices(StressOption)
IfyoupurchasedthestressoptionERGO,connecttheexternalstressdevicetothe
systemusingaserialcabletotheCOMMBportonthebackpanelofthedevice.Before
youconnectthecabletothedevice,makesurethatyouapplyaferriteringtothe
cable,see“ApplyingtheFerriteRingtoCables”onpage52.
2053535-002SMAC™2000
53
SettingUptheEquipment
Thissystemworkswithanyofthefollowingdevices:
•GEmodelT2100treadmill
•GEmodelT2000treadmill
•eBikeergometer
•Master’sStep(acousticsignalonly)
ConnectinganInternalModem
Ifyoupurchasedthissystemwiththeinternalmodemoption,connectthemodemto
ananalogphonelineusingtheRJ11connectoronthebackofthedevice.Beforeyou
connectthecabletothedevice,makesurethatyouapplyaferriteringtothecable,
see“ApplyingtheFerriteRingtoCables”onpage52.
MODCisModemCommunicationtotheCardioSoft/CSsystem.
MODMisModemCommunicationtotheMUSEsystem.
ThissystemiscompatiblewithMUSEv7.1.1,v8.0.1,andv9.0.0andwithCardioSoft/CS
v6.51,v6.61,v6.71andv6.73.
InsertingthePaper
BeforeyoucanprintECGreports,completethefollowingsteps:
1.Makesurethesystemissetupforthecorrectpapersize.
Thisdevicecanprintonthefollowingpapers:A4,standardletter(8.5x11
inches),ormodiedletter(8.433x11inches).
Forinformationonadjustingtheprinterforthepapersize,see“Adjustingthe
TrayforPaperSize”onpage187.
2.Inserttheappropriatelysizedpaper.
TurningontheSystem
1.Pressthepowerbuttontoturnonthesystem.
2.Verifythesystemwelcomescreenisdisplayedwithnoerrors.
NOTE:
Ifyouencounteranyproblemspoweringonthesystem,see“SystemDoes
NotPowerUp”onpage194forfurthertroubleshootinginstructions.
ConguringtheDevice
Whenthedeviceisreadyforoperation,congurethesystemsettingsusingthe
informationin“SystemConguration”onpage119.
Ifyouareapplyingthesamesettingstomultipledevicesatthesite,exportthesettings
toanSDcardandusethatcardtoimportthesettingstoothersystems.
54
MAC™20002053535-002S
SettingUptheEquipment
TestingtheDevice
Afteryouhavesetupandconguredthedevice,testthedevicecompletelybefore
usingitwithpatients.Usethefollowingtestscenarios:
•ConductingandprintingarestingECG
See“RecordingaRestingECG”onpage75forinstructions.
•ConductingandprintinganarrhythmiaECG
See“ArrhythmiaModeRecording”onpage89forinstructions.
•ConductingandprintingastressECG.
See“StressTesting”onpage101forinstructions.
•Saving,importing,printing,deleting,transmitting,andexportingrecords.
See“ManagingInternalStorage”onpage111forinstructions.
2053535-002SMAC™2000
55
SettingUptheEquipment
56MAC™20002053535-002S
4
PreparingthePatient
Thischapterprovidestheproceduresforpreparingthepatient'sskinandproperly
placingelectrodes.
NOTE:
TheseinstructionsdonotcovertheapplicationofelectrodesfortheKISSElectrode
ApplicationSystem(notavailableintheUnitedStates).TousetheKISSsystem,see
theKISSoperator’smanualforinstructions.
PreparingthePatient’sSkin
Carefulskinpreparationisthekeytoaninterference-freeECG.Signalqualityis
indicatedonthedeviceviatheHookupAdvisorindicator.
1.SelecttheelectrodeplacementsitesforECGmonitoringordiagnosisperthe
protocolspeciedbythehospitalorphysician.
Referto“ElectrodePlacement”onpage58fordiagramsanddescriptionsof
electrodeplacementforvariousprotocols.
2.Ensurethateachsiteisdry,clean,andfreeofexcessivehair.
NOTE:
Donotusesolventstocleantheskin;solventstrappedunderelectrodes
mayleadtoabnormalskinreactions.
3.Toprepareforastresstest,dothefollowing:
a.Markeachelectrodesitewithafelttippen.
b.Degreaseeachsitewithaskinpreparationcream.
c.Useamildabrasiontoremovethemarkleftbythefelttippen.
2053535-002SMAC™2000
57
PreparingthePatient
4.Applyelectrodestothepreparedsites.
ElectrodesshouldbeplacedonlybyaphysicianorECGtechnician.
WARNING:
SHOCKHAZARD—Touchingtheconductiveelementscancelstheprotection
providedbytheisolatedsignalinput.
Ensurethatconductivepartsoftheelectrodesorleadwiresdonotcomein
contactwithotherconductiveparts.
5.Lookatthelead-checkscreenforindicationofleadproblems.
NOTE:
UseonlyelectrodesandcontactagentsrecommendedbyGEHealthcare.
Thesignalqualityonthelead-checkscreenisnotindicateduntiltheRA/R
andRL/Nelectrodesareapplied.IfRA/Rbecomesdisconnected,thesystem
reportsthatallelectrodesareoffthepatient.
ElectrodePlacement
Thissectiondescribesvariousmethodsforplacingelectrodesforbothrestingand
exerciseECGs.
NOTE:
Someoftheproceduresforplacingelectrodesmaynotapplyinallcases,
dependingonthesystemandoptionspurchased.
CAUTION:
DELAYEDDIAGNOSIS—Improperconnectionoftheleadwireswillcause
inaccuraciesintheECG.
Ensuretheleadwiresareconnectedproperly.Traceeachleadwirefromits
acquisitionmodulelabeltoitscoloredconnectorandthentoitselectrodeto
ensurethatitismatchedtothecorrectlabelleadwireconnectionlocation.
RestingECGPlacement
ThefollowingmethodsareapplicableforrestingECGs.
58MAC™20002053535-002S
PreparingthePatient
Standard12–LeadPlacement
Toacquireastandard12–leadECG,usetheplacementshowninthefollowingdiagram.
12–LeadElectrodePlacement
AHALabelIECLabel
Description
1
V1redC1redFourthintercostalspaceattherightsternalborder
2
V2yellowC2yellowFourthintercostalspaceattheleftsternalborder
3V3green
C3green
Midwaybetweenlocation2and4
4
V4blueC4brownMid-clavicularlineinthefthintercostalspace
5V5orange
C5blackAnterioraxillarylineonthesamehorizontallevelas4
6
V6purpleC6purpleMid-axillarylineonthesamehorizontallevelas4and5
7
LAblackLyellowLeftdeltoid
8
LLFgreen
Aboveleftankle(Alternateplacement,upperlegas
closetotorsoaspossible)
9
RLgreen
NblackAboverightankle(Alternateplacement,upperlegas
closetotorsoaspossible)
10
RAwhiteRredRightdeltoid
2053535-002SMAC™200059
PreparingthePatient
NEHBPlacement
ToacquireaNEHBECG,usethestandard12–leadelectrodeplacementanditems1
and2asshowninthefollowingdiagram.
NEHBElectrodePlacement
AHALabelIECLabelDescription
1A1orange
NstwhiteAttachmentpointofthesecondribtotherightsternal
edge
2A2orange
NaxwhiteFifthintercostalspaceontheleftposterioraxillaryline
(SamepositionasV7orC7)
3
V4blueNapwhiteMid-clavicularlineinthefthintercostalspace(Same
positionasC4)
60MAC™20002053535-002S
PreparingthePatient
Stress12–LeadPlacement
Toacquireastress12–leadECGusetheplacementshowninthefollowingdiagram.
12–LeadStressElectrodePlacement
AHALabelIECLabel
Description
1
V1redC1redFourthintercostalspaceattherightsternalborder
2
V2yellowC2yellowFourthintercostalspaceattheleftsternalborder
3V3green
C3green
Midwaybetweenlocation2and4
4
V4blueC4brownMid-clavicularlineinthefthintercostalspace
5V5orange
C5blackAnterioraxillarylineonthesamehorizontallevelas4
6
V6purpleC6purpleMid-axillarylineonthesamehorizontallevelas4and5
7
LAblackLyellowLeftdeltoid
8
LLred
Fgreen
Aboveleftankle(Alternateplacement,upperlegas
closetotorsoaspossible)
9
RLgreen
NblackAboverightankle(Alternateplacement,upperlegas
closetotorsoaspossible)
10
RAwhiteRredRightdeltoid
2053535-002SMAC™200061
PreparingthePatient
62MAC™20002053535-002S
5
EnteringPatientInformation
Thefollowingsectionsdescribehowtoenterpatientinformationusingthefollowing
methods:
•Withaninternalkeypadorexternalkeyboard
•Withabarcodereader
EnteringPatientInformationWithanInternal
KeypadorExternalKeyboard
Patientinformationshouldbeenteredforeachnewpatientfromwhomreadings
aretaken.Usethefollowingproceduretoentertheinformationifyoudonotuse
abarcodereaderorifyouwanttomodifyoraddtothepatientdataenteredwith
abarcodereader.
NOTE:
Patientinformationmayberetainedfromapreviouspatient.Besuretocheck
thepatientinformationscreenforeachnewpatient.Dataassignedtothewrong
patientcauseserroneouspatientinformationthatcanaffectdiagnosisand
treatmentofthepatient(s).
1.OpentheEnterPatientDatawindow.
ForRestingECG,pressMainMenu>RestingECG>PatientDatatoopenthe
window.
ForArrhythmiaorStress,thewindowopensautomaticallywhenyouinitially
selecttheapplication.
Forsubsequentpatients,youneedtodooneofthefollowingtoreopenthe
EnterPatientDatawindow.
•InArrhythmiamode,pressStartRecording>NewPatient.
•InStressmode,pressPatientData.
2.Enterthepatientinformation,orpressPatientListtoselectapatientfromthe
establishedlist.
NOTE:
IfyouselectapatientfromthePatientList,onlytherstpageofpatient
informationisreused;youneedtomanuallyenterallsubsequentpages.
2053535-002SMAC™200063
EnteringPatientInformation
3.UsethePageupandPagedownkeystomovethroughthepatientdata
windows.
NOTE:
IftheCTDG(ClinicalTrialDataGuard)optionisactivated,youenterclinical
trialdataonthelastwindow.
4.Whenallthepatientdatahasbeenentered,pressSavetosavethedata.
EnteringPatientInformationwithaBarcode
Reader
Usingabarcodereadercansimplifytheentryofpatientinformationandreduce
thechanceofintroducingerrors.Whenyouscanapatient’sbarcode,itretrieves
thepatientinformationencodedinthebarcode.Youcanthenverifyormodifythe
informationasappropriate.
Beforeyoucanusethebarcodescanner,youneedtoverifythatitisconnectedtothe
systemandthatthesystemiscorrectlyconguredtousetheperipheral.
Ifitisnotconnected,followtheinstructionsforconnectingandconguringthe
barcodereaderinthesection“ConnectingtheBarcodeReader”onpage53and
AppendixA“CreatingBarcodes”onpage203.
ScanningtheBarcode
Usethefollowingproceduretoscanthepatient’sbarcode:
1.Whenthefollowingpromptisdisplayedonthescreen,scanthepatient’s
barcode:
ScanthePatientBarcode
Thefollowingmessageisdisplayedonthescreen:Pleasewait.
Thebarcodereaderbeeps.TherstPatientDatawindowopenswiththedata
fromthepatient’sbarcodeenteredintheappropriateelds.
2.Conrmthatthedataenteredfromthepatient’sbarcodeisaccurate.
64MAC™20002053535-002S
EnteringPatientInformation
3.Enterormodifypatientinformationasnecessary.
Referto“EnteringPatientInformationWithanInternalKeypadorExternal
Keyboard”onpage63fordetails.
4.Afterverifyingthatthepatientinformationiscorrect,pressSavetosavethe
patientdata.
AutomaticQuery
Themethodfordownloadingpatientdemographicsorordersdependsontheoption
youpurchased.
Youwilluseoneofthefollowingoptioncodes:
•ADTF-ADT—PatientdemographicsdownloadusingtheMUSEsystemoranother
similarapplication
•ADTL-ADT—Patientdemographicsdownloadusinganapplicationsimilartothe
MUSESystem.
NOTE:
IftheBCRDUSBBarcodeReaderoptionisnotactivated,orthelengthofthe
correspondingquerykey(PatientIDorVisit)is0,thesystemdoesnotparsethe
barcode,anddisplaysthescannedcontentinthetextbox.
IftheBCRDUSBBarcodeReaderoptionisactivated,andthelengthofthe
correspondingquerykey(PatientIDorVisit)isnot0,thesystemparsesthequery
keyaccordingtotheoffsetandlengthconguredin“ConguringtheBarcode
ReaderManually”onpage205,anddisplaysthequerykeyinthetextbox.
ConguringAutomaticQuery
1.FromtheMainMenu,pressSystemConguration>BasicSetup.
2.Congurethesite#thatyouwanttoquerythepatientdemographicsororder,
thedefaultsitenumberis1.
3.NavigatetotheInputMethodSettingspagebypressingPageDown>Page
Down.
4.ConguretheInputMethodSettingsaccordingtoyourrequirements.
5.Ifyouneedtoinputthequerykey(PatientIDorVisit)byscanningamulti-elds
barcode,congurethequerykeybarcodesettingsinSystemConguration
>PatientSetup.
See“SettingUpthePatientDataScheme”onpage205and“Conguringthe
BarcodeReader”onpage205forthedetailedinstructions.
UsingtheBarcodeReadertoQuerytheDatabaseandSelectaPatient
Usethefollowingprocedurestoquerythedatabaseandselectthepatient
demographicsusingabarcodereader.
1.NavigatetoRestingECG.
2.SelectthePatientDatamenu.
Adialogboxopensinstructingyoutoscanthepatientbarcode.
2053535-002SMAC™200065
EnteringPatientInformation
3.Scanthepatientbarcodeusingthebarcodereader.
ThescannedPatientIDorVisitdisplaysintheexistingdialogbox.
4.PressOKtobeginqueryingthedatabase.
Aftertheautomaticqueryiscomplete,theADTororderisdisplayedintheEnter
PatientDatawindow.
Ifmorethanonepatientororderisfound,alistdisplays.Selectthepatientor
orderfromthelistandpressSelecttocontinue.
5.ClickSavetoacceptthepatientADTororder.
NOTE:
Conrmthepatientdataandtestinformationdataiscorrectbeforesaving.
Thepatientdemographicororderdataisdownloadedanddisplayed.
NOTE:
FormoreinformationonthetypeofcodessupportedbytheMAC2000,see
“CreatingBarcodes”onpage203.
UsingtheInternalKeypadorExternalKeyboardtoQuerytheDatabaseandSelectPatient
Usethefollowingproceduretoquerythedatabaseandselectthepatient
demographicsusingtheinternalkeypadorexternalkeyboard.
1.NavigatetoRestingECG.
2.SelectthePatientDatamenu.
AdialogboxopenswithoutPatientIDorVisit(dependsonsetup).
3.EnterthePatientIDorvisit(dependsonsetup)usingtheinternalkeypador
externalkeyboard.
66MAC™20002053535-002S
EnteringPatientInformation
4.PressOKtobeginqueryingthedatabase.
Aftertheautomaticqueryiscomplete,theADTororderisdisplayedintheEnter
PatientDatawindow.
Ifmorethanonepatientororderisfound,alistdisplays.Selectthepatientor
orderfromthelistandpressSelecttocontinue.
5.ClickSavetoacceptthepatientADTororder.
NOTE:
Conrmthepatientdataandtestinformationdataiscorrectbeforesaving.
Thepatientdemographicororderdata(dependsonsetup)isdownloadedand
displayed.
2053535-002SMAC™200067
EnteringPatientInformation
68MAC™20002053535-002S
6
OrderManager
TheMAC2000systemmayretrieveordersfromaHospitalInformationSystem(HIS)
throughMUSEornon-MUSEsystems.Therearetwotypesofordermanagers:Simple
OrdersandAdvancedOrderManager.
Youcancompleteordersusinganyofthecommunicationmediaoutlinedinthe
followingsection.
CommunicationMedia
MUSEornon-MUSEsystemscancommunicatewiththeMAC2000systeminthe
followingways:
•SDCard
IfyouarecommunicatingtoMUSEsystems,thisisonlyavailablewithMUSEv7.1.1
orlater.
•Modem
Youcanonlyconnecttoaninternalmodem.
•LocalAreaNetwork(LAN)
ConnecttheMACsystemtotheLANthroughthecommunicationsportoftheMAC
system.
•DirectSerialConnection
ConnecttheMACsystemtotheremotesystemusingastandardserialcable.
•Wireless
ConnecttheMACsystemtotheremotesystemusingawirelessmoduleconnected
totheMACsystem.
NOTE:
PleasecheckwithGErepresentativeregardingwirelesssolutionavailableinyour
country.
ThissystemiscompatiblewithMUSEv7.1.1,v8.0.1,andv9.0.0,andCardioSoft/CS
v6.51,v6.61,v6.71andv6.73.
SimpleOrders
SimpleOrdersprovidesaninterfacetoquicklydownloadandexecuteoneorderat
atime.TouseSimpleOrders,youneedtoenableeithertheSOMLorSOMFoption.
2053535-002SMAC™200069
OrderManager
Whentheoptionsareenabled,theOrdersfunctionkeyisavailableontheResting
ECGscreen.
WhenyouselecttheOrdersfunctionkey,thissystemqueriesforordersinthedefault
locationyousetinCommunicationSetup.Asaresponsetothisquery,thesystem
displaysalistofavailableordersatthelocationspecied.Youcanselectasingle
orderfromthelist.ThePatientInformationscreenoftheRestingECGapplication
openswiththeinformationpopulatedfromtheorder.
UsethefollowingproceduretoexecuteordersinSimpleOrders.
1.NavigatetoRestingECGintheapplication.
2.SelectMore>Orders.
Thesystemdisplaysalistofordersavailableatthedefaultlocation.
3.SelectanorderandpressLoad.
Theselectedsingleorderisautomaticallydownloadedfromtheremotesystem
andpopulatedinthePatientInformationscreen.
YoucanalsoautomaticallyexecuteasingleorderiftheAutoExecuteSingleOrder
settingisenabledinRestingECGSetupandonlyoneopenorderforthegivenlocation
ispresentintheremotesystem.
Usethefollowingproceduretoautomaticallyexecuteasingleorder:
1.NavigatetoRestingECGintheapplication.
2.SelectMore>Orders.
Thesingleorderavailableatthedefaultlocationisautomaticallydownloaded
fromtheremotesystemandpopulatedinthePatientInformationscreen.
AdvancedOrderManager
AdvancedOrderManagerprovidesaninterfacetodownloadandstoremultipleorders
onthesystemandexecutethemlater.TouseAdvancedOrderManager,youneedto
enableeithertheAOMLorAOMFoption.
AdvancedOrderManagerisavailableasaseparateapplicationnamedOrder
Manageronthemainmenuofthesystem.
TheAdvancedOrderManagerapplicationhasaninterfacethatdisplaysalistoforders
thatarealreadydownloadedtothesystem.Theapplicationallowsyoutoqueryfor
ordersfromtheremotesystemsbasedonmultiplelocations.Allmatchingorders
aredisplayedastheresponsetothisqueryandyoucandownloadasingleorderor
multipleorderstothesystem.Thedownloadedordersaredisplayedasopenresting
ECGordersintheapplicationmainscreen.
DownloadingOrders
Regardlessofthemethodyouusetocommunicatewiththeremotesystem,usethe
followingproceduretoreceiveorders:
1.FromtheMainMenu,selectOrderManager.
TheOrderManagerwindowopens.
2.SelectLoadOrders.
Apop-upwindowopens.
70MAC™20002053535-002S
OrderManager
3.Enterthelocation(s)fromwhichyouwanttoretrieveorders.
Locationsmustmatchthelocationsusedontheremotesystem.Separate
multiplelocationswithcommas(forexample1,13,55).
4.PressEnter.
Thesystemconnectstotheremotesystemandretrievesalistofmatching
orders.
5.Toselectoneorderfromthelist,usetheSelectfunctionkeytoselecttheorder
youwantandpressEnter.
Ifyouneedtoselectmultipleorders,usethetrimpadandtheEnterkeyto
highlightmultipleorders.
6.Afteryouhaveselectedalltheordersyouwanttodownload,presstheLoad
Ordersfunctionkey.
Thesystemloadsandstorestheselectedorders.
7.Proceedto“SelectingandCompletingOrders”onpage71.
ThedownloadedorderlistdisplaysthePatientName,PatientID,Room,Time,Type,
Location,andOrderNumber.Thelistchangesasyounavigatethelist.Youcan
selectandexecuteonlyoneorderatatimefromthelist.Whenyouselectanorder,
therestingECGapplicationopensandthePatientInformationwindowispopulated
withthepatientdemographicsfromtheselectedorder.
AnorderiscompletedwhentheECGrecordissavedortransmittedtotheMUSEor
non-MUSEsystem.Completedordersaremarkedascompleted.
SelectingandCompletingOrders
Afteryouhaveordersonthesystem,usethefollowingproceduretoselectand
completethem.
1.OntheOrderManagerwindow,chooseSelect.
Thecursormovestothelistofavailableorders.
2.SelecttheorderyouwanttouseandpressEnter.
Awindowopenswiththeorderdetails.
3.Dooneofthefollowing:
•Toselectadifferentorder,selectCancel.
ThedetailwindowclosesandyoureturntotheOrderManagerwindow.
•Tousetheselectedorder,selectOkay.
•IftheTIPIoptionisactivated,thePatentInformationwindowopenswith
theinformationfromtheorder.
•IftheTIPIoptionisnotactivated,selectPatientDatatoopenthePatient
Informationwindow.
4.Enterorcorrectthepatientdata.
5.AcquireanECGfortheorderandsaveortransmittheacquiredECG.
2053535-002SMAC™200071
OrderManager
6.SelectMainMenutoreturntotheMainMenuwindow.
7.SelectMore>OrderManagertoreturntotheOrderManagerapplication.
Anasterisk(*)ontheleftsideofthePatientNameindicatesthattheorderis
completed.
UsingtheOrderManagerInterface
Youcandothefollowingthingswithorders:
•Sortthelist.
•Printthelist.
•Deletesingle,multiple,completed,orallstoredorders.
OrderManagerInterfaceOptions
OptionDescription
SelectSelectsthepatientfromtheListofordersanddisplaysthepatient
informationinaneditableformat.
LoadOrdersObtainstheordersfromtheMUSEsystemanddisplaysthemon
theOrderListDisplayscreen.
DeleteOrdersProvidestheuserasetofoptionstodeleteordersstoredlocally
onthedevice.
See“DeletingOrders”onpage72.
SortOrdersAllowstheusertosorttheordersbasedonauser-selectedeld.
Print
Printstheselectedorder.
MainMenu
ReturnstheusertotheMainMenu.
DeletingOrders
YoucanautomaticallydeleteastoredorderwhentheassociatedECGrecordis
automaticallydeleted,byenablingAutoOrderDeletionintheOrderManagerSetup
screen.See“OrderManagerSetup”onpage178.
72MAC™20002053535-002S
OrderManager
Youcanalsocongureautomaticorderdeletionseparatelyfromautomaticrecord
deletion.Inthiscase,thesystemdoesnotautomaticallydeleteastoredorderwhen
theassociatedECGrecordismanuallydeleted.
UsethefollowingprocedurestoaccesstheDeleteOrdersmenuanddeleteorders
storedlocallyonthedevice.
AccessingtheDeleteOrdersMenu
UsethefollowingproceduretoaccesstheDeleteOrdersmenu.
1.OntheMainMenu,selectOrderManager.
TheOrderManagerInterfacewindowopenswithalistoflocalordersdisplayed.
2.SelectDeleteOrders.
Theavailableoptionsonthemenuchange.
3.Dooneofthefollowing:
•Toselectorderstodelete,proceedto“DeletingSpecicOrders”onpage73.
•Todeletealloftheordersonthedevice,proceedto“DeletingAllOrders”
onpage74.
•Todeleteallcompletedordersonthedevice,proceedto“DeletingCompleted
Orders”onpage74.
4.Tocancelwithoutdeletinganyorder,selectCancel.
YoureturntotheDeleteOrdersmenuoptions.
DeletingSpecicOrders
OntheDeleteOrdersmenu,usethefollowingproceduretodeleteoneormore
specicorders.
Thecursorisplacedattherstorderinthelistoforders.
1.Selecttheorder(s)youwanttodelete.
•UsePageUp,PageDown,andthetrimpadtonavigatethroughthelistof
orders.
•Toselectanorder,highlightitandpressEnter.
2.Selectasmanyordersasnecessary.
NOTE:
Ifyouselectanorderthathasnotbeenprocessed,awindowopenstoask
whetheryouwanttodeletetheunprocessedorder.
•SelectYestocontinuedeletingtheunprocessedorder.
•SelectNotocanceltheselection.
3.Afteryouhaveselectedalloftheorderstodelete,selectDeleteSelected.
Thefollowingmessageisdisplayed:Areyousureyouwanttodeletethe
orders?
4.Dooneofthefollowing:
•Todeletetheselectedorders,selectYes.
2053535-002SMAC™2000
73
OrderManager
TheordersaredeletedandyoureturntotheDeleteOrdersmenuoptions.
•Tocancelthedeletion,selectNo.
TheordersarenotdeletedandyoureturntotheDeleteOrdersmenuoptions.
DeletingAllOrders
OntheDeleteOrdersmenu,usethefollowingproceduretodeletealloftheorders.
1.SelectDeleteAll.
Thefollowingmessageisdisplayed:Areyousureyouwanttodeletethe
orders?
2.Dooneofthefollowing:
•Todeletealloftheorders,selectYes.
TheordersaredeletedandyoureturntotheDeleteOrdersmenuoptions.
•Tocancelthedeletion,selectNo.
TheordersarenotdeletedandyoureturntotheDeleteOrdersmenuoptions.
DeletingCompletedOrders
OntheDeleteOrdersmenu.usethefollowingproceduretodeleteallcompleted
orders:
1.SelectDelCompleted.
Thefollowingmessageisdisplayed:Areyousureyouwanttodeleteall
completedorders?
2.Dooneofthefollowing:
•Todeleteallofthecompletedorders,selectYes.
TheordersaredeletedandyoureturntotheDeleteOrdersmenuoptions.
•Tocancelthedeletion,selectNo.
TheordersarenotdeletedandyoureturntotheDeleteOrdersmenuoptions.
NOTE:
Non-MUSEsystems,suchasEMRGateway,areGEHealthcareproprietarysystems.
74
MAC™20002053535-002S
7
RecordingaRestingECG
TheRestingECGfunctionispartofthebasicECGcartsystem.RestingECGmodeis
thedefaultPowerupmode.Whenthesystemisturnedon,theRestingECGdisplayis
similartothefollowingscreen.YoucanmodifythedefaultintheBasicSetup.
RestingECGDisplay
ItemName
Description
1ECGType
ThefollowingarevalidtypesofECGs:
•RestingECG
•Arrhythmia
•StressTest
2
DisplayFormatFormatofcurrentwaveforms.Press
Leadstocyclethroughall12leads.
2053535-002SMAC™2000
75
RecordingaRestingECG
RestingECGDisplay(cont'd.)
ItemName
Description
3Date
Currentsystemdate.
4
Time
Currentsystemtime.
5
BatterystatusindicatorDisplaysthecurrentbatterylevel.
Foradescriptionofthebatterystatus
indicatorsee“BatteryStatusIndicator”
onpage191.
6
InternalstorageindicatorThisindicatorisdisplayedonlyifthe
internalstorageoptionisenabled.It
displaystheapproximatenumberof
ECGrecordsthatyoucanstoreinthe
remainingmemory.
XrepresentsthenumberofECGsthat
youcanstoreintheremainingmemory.
YYrepresentsthetotalnumberofECGs
thatthesystemcanstore.YYcan
beeither100(iftheM100optionis
activated)or200(iftheM200optionis
activated).Thedifferenceequalsthe
numberofECGscurrentlystoredinthe
system.
7
HookupAdvisorIndicatorAtoolformonitoringthequalityof
ECGsignals.Formoreinformation,see
“HookupAdvisor”onpage76.
8
Patient’sHeartRate
Currentpatientheartratemeasuredin
beatsperminute.
9
MenuOptions
Thelistofavailablemenuoptions
changesdependingonthefunction
andthecurrentlocationwithinthat
function.
Formoreinformation,see“Usingthe
FunctionKeys”onpage41.
10
LeadLabels
Identieseachwaveformandindicates
thewaveformquality.
Yellow=anoisylead
Red=disconnectedlead
HookupAdvisor
ThissystemofferstheHookupAdvisorfeature,whichisatoolformonitoringthe
qualityofECGsignals,andisavailableintheResting,Arrhythmia,andRRAnalysis
applications.ItcanreduceoreliminatetheoccurrenceofpoortechnicalqualityECGs,
savetime,andpreventtheneedforretakes.
76MAC™20002053535-002S
RecordingaRestingECG
TheHookupAdvisorisdisplayedasathree-circleindicatorintheupperrightcorner
ofthescreen.
Thefollowingtabledescribeseachoftheindicator’sconditions.
HookupAdvisorIndicators
Indicator
Description
RedIndicatesaleadfailconditionorextremebaselineshifts.
Theredindicatorisalwaystheleft-mostcircleoftheindicatorandashes
whenlit.
YellowIndicatesmuscleartifact,powerlineinterference,baselinewander,or
electrodenoise.
Theyellowindicatorisalwaysthemiddlecircleoftheindicator.
NOTE:
InRRAnalysismode,theyellowindicatorisnotactive.RRAnalysis
supportsonlytheredandgreenindicatorsofHookupAdvisor.
Green
Indicatesacceptablesignalquality.
Thegreenindicatorisalwaystheright-mostcircleoftheindicator.
Whentheleadqualityisredoryellow,amessagedescribingtheleadproblemor
statusisdisplayedonthescreen.
HookupAdvisorcontinuouslyreviewstheECGdataforacceptableleadquality.
WhenanECGisacquired,HookupAdvisorrunsacompleteandmorecomprehensive
assessmentofthefull10secondsofECGdataandpossiblypromptstheuser
regardinganypoorleadqualityconditions.
•IfPreviewbeforeanalysisisturnedoffinthesystemsetup,aleadqualitymessage
andpromptmaybedisplayed,dependingonthecurrentleadqualitylevelandthe
Promptlevelinthesystemsetup.Ifamessageandpromptisdisplayed,thelead
qualityindicatorwillreecttheoverall10-secondleadquality.
•IfPreviewbeforeanalysisisenabled,thesystemsetupPromptlevelisdisregarded
andthesystemimmediatelydisplaysthePreviewscreen.Anyleadquality
messageswillbedisplayedinthisscreenalongwiththeoverall10-secondlead
qualityindicator.
2053535-002SMAC™2000
77
RecordingaRestingECG
Ineithercase,usersmaythendoeitherofthefollowing:
•SelectContinuetocontinue(printtheECG).
•SelectCanceltocancel.
RestingECGs
ArestingECGisthedefaultmodeoftheECGcartsystem,althoughyoumaychange
thisinthesystemconguration.ThissectiondescribeshowtorecordarestingECG
andtheavailableoptions.
RecordingaRestingECG
ThefollowingstepsdescribehowtoconductarestingECG.
NOTE:
TotakeastatECG,godirectlytostep6.
1.Preparethepatientasdescribedin“PreparingthePatient”onpage57.
2.SelectPatientDataandenterthepatientdataasdescribedin“EnteringPatient
Information”onpage63.
3.AdjusttheSpeed,GainandLowpasslteruntilthewaveformsarecongured
asdesired.
4.Ifthepatienthasapacemaker,turnonPaceEnhance.
Formoreinformation,see“ECGOptions”onpage79.
5.SelectMore>PrinterLeadstoscrollthroughtheleadsorchangethelead
format.
6.Whenthewaveformsarecongured,pressECGtobegintheacquisition.
Aprogressbarindicatesthepercentageofthedataacquired.Whenthe
acquisitioniscomplete,oneofthefollowingoccurs,dependingonthesettingof
thePreviewBeforeAnalysisoptionontheRestingECGSetupwindow.
•IfthePreviewBeforeAnalysisoptionisenabled,apreviewofthe10–second
ECGisdisplayed.Continuewithstep7.
•IfthePreviewBeforeAnalysisoptionisnotenabled,theECGdataisanalyzed
andprintedafteritisacquired.Proceedtostep8.
7.Whilereviewingthepreview,dooneofthefollowing:
•DiscardthereadingandpressCancel.Beginagainfromstep3.
•Waitforthemenuoptionstochangeandthencontinuewithstep8.
8.Usetheoptionstochangepatients,toprintacopyoftheECG,ortosave,
transmit,orreanalyzethedata.
Formoreinformationoneachoption,see“Post-AcquisitionOptions”onpage81.
78MAC™20002053535-002S
RecordingaRestingECG
ECGOptions
ThissystemprovidesseveraloptionsforconguringanECG.Theoptions,presentedas
optionkeysacrossthebottomofthedisplay,arelistedinthefollowingtables.
ECGOptions–FirstRow
OptionDescription
PatientData
Opensthepatientdataentrywindow.
25mm/s
NOTE:
Theinitial
measurement
displayedis
setinSystem
Conguration
>RestingECG
Setup.
Changesthespeedofthewaveformonthedisplayandprintout.
Changingthespeedalsochangesthespeedatwhichthewiper
barmovesacrossthedisplay.
Measurementisinmillimeterspersecond(mm/s)andincludesthe
followingoptions:
•25mm/s
•50mm/s
•12.5mm/s-5mm/s
•12.5mm/s
Whentheoptionincludestwospeeds(12.5mm/s-5mm/s),the
rstspeedisforthedisplayandthesecondspeedisforthe
printout.
Changingthemeasurementheredoesnotchangethe
measurementsetinSystemConguration.
10mm/mV.
NOTE:
Theinitial
measurement
displayedis
setinSystem
Conguration
>RestingECG
Setup.
ChangesthemagnitudeoftheECGsignalonthedisplayorinthe
report.Measurementisinmillimeterspermillivolt(mm/mV)and
includesthefollowingoptions:
•5mm/mV
•10mm/mV
•20mm/mV
•40mm/mV
•2.5mm/mV
•Automatic
Thelargertheselectedmeasurement,thelargerthewaveform.
Onlytherepresentationofthewaveformchanges;signalstrength
isnotaffected.
NOTE:
IfAutomaticisselected,thesystemcalculatesthebestgain
basedonthepeak-to-peakamplitudesofalldisplayedleads
andtheselecteddisplayformat.
Changingthemeasurementheredoesnotchangethe
measurementsetinSystemConguration.
2053535-002SMAC™200079
RecordingaRestingECG
ECGOptions–FirstRow(cont'd.)
OptionDescription
150Hz.
NOTE:
Theinitial
measurement
displayedis
setinSystem
Conguration
>RestingECG
Setup.
Eliminatesnoiseinthewaveformbyrestrictingwhichfrequencies
areincluded.FrequenciesaremeasuredinHertz(Hz)andinclude
thefollowingoptions:
•20Hz
•40Hz
•100Hz
•150Hz
Selectingafrequencyeliminatessignalsthatexceedthat
frequency.Thesmallerthefrequencyselected,themoresignalis
lteredout.Forexample,alterof40Hzdisplaysonlysignalsat
40Hzorless;signalsgreaterthan40Hzareignored.
Changingthemeasurementheredoesnotchangethe
measurementsetinSystemConguration.
PaceEnhanceImprovesthereadabilityofpacemakerECGs.OptionsareOnand
Off.
More
Togglesbetweentherstrowofoptions(previous)andthesecond
rowofoptions(following).
ECGOptions–SecondRow
OptionDescription
PrinterLeads
NOTE:
Theinitial
measurement
displayedis
setinSystem
Conguration
>RestingECG
Setup.
Selectswhichleadstoincludeintheprintout.Optionsare:
•First6
•Second6
•Rhythm6
•12
UsethisoptiononlywhenconductingrhythmECGs.Formore
information,see“GeneratingaRhythmReport(ManualRecording)
”onpage87.
Changingthemeasurementheredoesnotchangethe
measurementsetinSystemConguration.
ADS
Togglestheanti-driftsystem(ADS)onandoff.ADShelpsreduce
baselinedrift.
FullDisclosurePresstostartgeneratingaFullDisclosureECGreport.
See“FullDisclosure”onpage83fordetailedinstruction.
MainMenu
ExitsRestingECGandreturnsyoutotheMainMenu.
More
Togglesbetweentherstrowofoptions(previous)andthesecond
rowofoptions(following).
80MAC™20002053535-002S
RecordingaRestingECG
Post-AcquisitionOptions
Inadditiontosetupoptions,theRestingECGfunctionalityoffersadditionaloptions
afteranECGisacquired.Thefollowingscreensandtablesdescribetheoptionkeys
acrossthebottomofthedisplay.
Post-AcquisitionOptions—ScreenOne
OptionDescription
NextPatient
Displaystwonewoptions:
•NewPatientopensablankPatientInformationwindow.
•SamePatientopensthePatientInformationwindow
populatedwithdatafromthepreviouspatient.
NOTE:
Checkthepatientinformationbeforeyoustartthenext
acquisition.
Copy
Printsanadditional(copy)ECGreport.
Save
StoresthecurrentECGreport.Thisoptionisavailableonlyifthe
internalstorageoptionisenabled.
Transmit
SendsthecurrentECGreporttothelocationdenedonthe
CommunicationSetupwindow.Thisoptionappliesonlyifa
validLANorModemcommunicationoptionisenabled.
Referto“SystemConguration”onpage119formore
information.
2053535-002SMAC™200081
RecordingaRestingECG
Post-AcquisitionOptions—ScreenOne(cont'd.)
OptionDescription
RRAnalysisAllowsyoutoenterintoRRAnalysismode.
More
Returnstothesetupoptions.
Formoredetails,referto“ECGOptions”onpage79.
PostAcquisitionOptions—ScreenTwo
OptionDescription
NextPatient
Opensthepatiententrywindowallowingyoutoenterorselect
anewpatient.
SpeedChangesthespeedofthewaveformonthedisplayand
printout.Changingthespeedalsochangesthespeedthewiper
barmovesacrossthedisplay.
Gain
ChangesthemagnitudeoftheECGsignalonthedisplayorin
thereport.Measurementisinmillimeterpermillivolt(mm/mV).
FilterEliminatesnoiseinthewaveformbyrestrictingwhich
frequenciesareincluded.FrequenciesaremeasuredinHertz
(Hz).
PaceEnhanceStandardizesthepacespike.OptionsareOnandOff.
More
Togglesbetweenthesecondandthirdrowofacquisition
options.
82MAC™20002053535-002S
RecordingaRestingECG
PostAcquisitionOptions—ScreenThree
OptionsDescription
PrinterLeadsRhythmSelectswhichleadstoincludeintheprintout.
ADS
Togglestheanti-driftsystem(ADS)onandoff.ADShelpsreduce
baselinedrift.
FullDisclosureSelecttostartthefulldisclosure.
MainMenu
ExitstheRestingECGfunctionandreturnstotheMainMenu.
More
Togglesbetweenthesecondandthirdrowofacquisition
options.
FullDisclosure
FullDisclosureallowsyoutoacquireandsaveuptoveminutesofECGwaveforms
toprintatalatertimeorviewonacomputer.Youcanmanuallycancelornish
acquisitionatanytimebeforetheveminutesareconcluded.FullDisclosureis
optionalandcanbeconguredduringsystemsetup.
ThissectionoutlinestheprocedureforgeneratingaFullDisclosureECGreportand
describestheavailablesetup,waveform,andoutputoptions.
GeneratingaFullDisclosureECGReport
1.ConguretheFullDisclosuresettingin“RestingECGSetup”onpage124.
2.Preparethepatientasdescribedin“PreparingthePatient”onpage57.
3.FromtheMainMenu,pressRestingECG>More>FullDisclosuretoopenthe
FullDisclosurewindow.
Thesystemautomaticallystartsacquiringthefulldisclosuredata,andthe
Acquiringmessagedisplaysonthescreenduringtheacquisition.
Thesystemautomaticallycompletesthetestafterthepre-conguredtime,and
youcancontinuewithstep6.
Otherwise,gotostep4orstep5.
4.PressFinishtocompleteacquiringtheECG.ThefollowingFullDisclosure
Reportwindowdisplays.
2053535-002SMAC™200083
RecordingaRestingECG
Continuewithstep6.
5.PressCanceltostopacquiringtheECG,andperformoneofthefollowing:
•PressYestostopacquiringtheECGdataandreturntotheRestingECG
window.
•PressNotoremainacquiringtheECGdata,andcontinuewithstep6.
6.IntheFullDisclosureReportwindow,youcanperformthefollowingoperations:
FullDisclosureReportWindowField
Action
ExporttoSDCardPresstoexporttheECGreporttotheSD
card.
ExporttoFTPServer
PresstoexporttheECGreporttothe
conguredFTPServer.
See“CommunicationSetup”onpage146
fordetailedinstructiononconguringthe
FTPserver.
ExporttoSharedFolderPresstoexporttheECGreporttothe
conguredSharedFolder.
See“CommunicationSetup”onpage146
fordetailedinstructiononconguringthe
SharedFolder.
Print
PresstoprinttheECGreporttothe
thermalprinter.
ReportSetup
Presstosetupthefulldisclosurereport.
See“FullDisclosureReportSetup”on
page85fordetailedinstructions.
Return
Pressandthenthefollowingmessage
displays:
Thecurrentfulldisclosurerecordwillbe
deleted.Doyouwanttocontinue?
•PressYestoreturntotheRestingECG
window.
•PressNotoremaininthecurrentfull
disclosurereportwindow.
84MAC™20002053535-002S
RecordingaRestingECG
FullDisclosureReportSetup
1.PressReportSetupontheFullDisclosureReportwindow.TheFullDisclosure
ReportSetupdisplays.
2.Performthefollowingactionstosetupthefulldisclosurereportformat:
FullDisclosureReportSetup
FieldsDescriptionandAction
ReportFormat
Clickthedrop-downarrowtodeterminehowthefulldisclosure
ECGreportprintsonthethermalprinter.
Thechoicesare:
•onelead@25mm/s
•onelead@50mm/s
•12leads@25mm/s
LeadClickthedrop-downarrowtodeterminewhichleadtoprint.
Theoptionsare:
•I
•II
•III
•aVR
•aVL
•aVF
•V1
•V2
•V3
•V4
•V5
•V6
2053535-002SMAC™200085
RecordingaRestingECG
FullDisclosureReportSetup(cont'd.)
FieldsDescriptionandAction
ReportFormat
Clickthedrop-downarrowtodeterminehowthefulldisclosure
ECGreportexportstoaPDFle.
Theoptionsare:
•onelead@25mm/s
LeadClickthedrop-downarrowtodeterminewhichleadtoprint
onthePDFle.
Theoptionsare:
•I
•II
•III
•aVR
•aVL
•aVF
•V1
•V2
•V3
•V4
•V5
•V6
SpecialConsiderations
WhenrecordingECGs,youneedtomakespecialconsiderationsforthefollowing
situations:
•RecordingECGsofpacemakerpatients
•RecordingECGsduringdebrillation
RecordingECGsofPacemakerPatients
Becauseofslowpaperspeed,pacerpulsescannotbedisplayeddirectlyontheECG
recording.Forexample,withapaperspeedof50mm/sandapulsedurationofonly
0.5ms,thewidthoftherecordedpacerpulsewouldbeonly0.025mm.
IfPaceEnhanceisenabled,therecorderreducesthepulseamplitudeandexpands
itswidthtomakepacerpulseseasiertoidentify.Thesystemrecordsthepulsewith
thecorrectpolarity,awidthof5ms,andequalamplitudeinallleads.Dependingon
thepolarityofthepacerpulseinleadsIandII,thepacerpulseinleadIIImaybe
86MAC™20002053535-002S
RecordingaRestingECG
suppressed.ThefollowinggureofanECGrecordingwithpacerpulsesshowsthe
amplitudeofthereversecurrent.
RecordingECGsDuringDebrillation
NOTICE:
EQUIPMENTDAMAGE—Damagedcablescancausemechanicalproblems.
Beforeconnectingthecabletothedevice,checkitforsignsofphysicaldamage.Do
notuseadamagedcable.
Forpatientsafety,useonlytheoriginalGEHealthcarepatientcable.
WARNING:
SHOCKHAZARD—Touchingthepatient,electrodes,orleadwiresduring
debrillationcancauseashock.
Duringdebrillation,donottouchthepatient,theelectrodes,ortheleadwires.
Observealldebrillatorsafetyinformation.
Thisequipmentisprotectedagainsttheeffectsofcardiacdebrillatordischargeto
allowtheECGtracetoreturnafterdebrillation,asrequiredbyteststandards.
Thepatientsignalinputisdebrillation-proof;itisnotnecessarytoremovetheECG
electrodesbeforedebrillatingthepatientifnon-polarizingelectrodesarebeingused.
Whenusingstainlesssteelorsilverelectrodes,thedebrillatordischargecurrentmay
causetheelectrodestoretainaresidualcharge,causinganelectrodepolarizationor
DCoffsetvoltage.ThisblocksECGsignalacquisitionforseveralminutes.Ifpolarizing
electrodesareused,GEHealthcarerecommendsthatyoudisconnecttheleadwires
fromthepatientbeforedeliveringtheshock.
Topreventpolarization,GEHealthcarerecommendstheuseofnon-polarizing
disposableelectrodeswithdebrillationrecoverratingsasspeciedinAAMIEC12
3.2.2.4(MMSPN9623-105SilverMacTrodes,MMSspecTP9623-003),whichrequires
thepolarizationpotentialofanelectrodepairnotexceed100mVvesecondsaftera
debrillationdischarge.
GeneratingaRhythmReport(ManualRecording)
TheRestingECGmodeallowsyoutogenerateRhythmReports,whichareprinted
reportsonly.Theydonothavecomputer-generatedinterpretationormeasurements,
2053535-002SMAC™200087
RecordingaRestingECG
andyoucannotstorethemtointernalmemoryortransmitthem.Usethefollowing
stepstogenerateaRhythmReport.
1.Preparethepatientasdescribedin“PreparingthePatient”onpage57.
2.VerifythatthesystemisinRestingECGmode.
IfthesystemisnotinRestingECGmode,ontheMainMenupressRestingECG.
3.Enterthepatientdataasdescribedin“EnteringPatientInformation”onpage63.
4.AdjusttheSpeed,Gain,andLowPassFilteruntilthewaveformsarecongured
asdesired.
Formoreinformation,see“ECGOptions”onpage79.
5.Ifthepatienthasapacemaker,pressPaceEnhance.
Formoreinformation,see“ECGOptions”onpage79.
6.PressLeadstoscrollthroughall12leads.
Formoreinformationondisplayformats,see“RestingECGSetup”onpage124.
7.PressMore>PrinterLeadstoselecttheappropriateoption.
FormoreinformationonthePrinterLeadsoption,see“ECGOptions”onpage79.
8.PressRhythmtobeginrecordingtheECG.
9.PressStoptostoptheECGrecording.
IfyoupressRhythmafterpressingStop,thenewreporteitherbeginsprinting
immediatelyonthecurrentsheetofpaperoradvancestoanewpage,dependingon
thesettingoftheeld:Startrhythmreportonanewpage.Thiseldislocatedonthe
RestingECGSetupwindow.See“RestingECGSetup”onpage124fordetails.
88MAC™20002053535-002S
8
ArrhythmiaModeRecording
TheArrhythmiamodeispartofthebasicECGcartsystem.Theinterfaceofthe
ArrhythmiamodeissimilartotheinterfacefortheRestingECGmode.Formore
informationontheRestingECGinterface,see“RecordingaRestingECG”onpage75.
RecordinginArrhythmiaMode
Thissectiondescribestheprocessforrecordinganarrhythmiareport,thewaveform
options,andtheprintingoptions.
RecordingArrhythmiaECGs
1.Preparethepatientasdescribedin“PreparingthePatient”onpage57.
2.SelectMainMenu>Arrhythmia.
TheEnterPatientDatawindowopens.
3.Enterthepatientdataasdescribedin“EnteringPatientInformation”onpage63.
4.Adjustthegain,speed,lter,andpacemakerenhancementasnecessary.
Referto“ArrhythmiaRecordingOptions”onpage90.
5.Afterthesettingsareadjustedasrequired,selectStartRecordingtobeginthe
arrhythmiaECG.
6.Afteryouhaverecordedanadequateamountofinformation,pressStop
Recording.
Twonewoptionsbecomeavailable:ConrmStopandContinueRecording.
7.Dooneofthefollowing:
•Ifyouneedtorecordadditionalinformation,pressContinueRecording.
Thisreturnstotherecordingmode.Repeatfromstep6.
•Ifyouhavedeterminedenoughinformationwasrecorded,pressConrm
Stop.
Reportoptionsbecomeavailable.
IfyouwanttoprinttheArrhythmiarecording,continuewith“PrintinganArrhythmia
Report”onpage91.
2053535-002SMAC™200089
ArrhythmiaModeRecording
ArrhythmiaRecordingOptions
ArrhythmiaOptions-rstrow
OptionDescription
StartRecordingStartsthearrhythmiareading.
IfyoudidnotlloutthePatientDatatoselectapatient,you
receivethefollowingmessage:NoPatientSelected.Doyou
wanttocontinuewithoutpatientdata?
1.SelecttheNotabtocontinue.
TheEnterPatientDatawindowopens.
2.EntertheinformationoneachpageandselectSave.
3.SelectStartRecording.
25mm/s
NOTE:
Theinitial
measurement
displayedis
setinSystem
Conguration>
ArrhythmiaSetup.
Changesthespeedofthewaveformonthedisplayand
printout.Changingthespeedalsochangesthespeedatwhich
thewiperbarmovesacrossthedisplay.
Measurementisinmillimeterspersecond(mm/s)andincludes
thefollowingoptions:
•25mm/s
•50mm/s
•12.5mm/s-5mm/s
•12.5mm/s
Whentheoptionincludestwospeeds(12.5mm/s-5mm/s),
therstspeedisforthedisplayandthesecondspeedisfor
theprintout.
Changingthemeasurementheredoesnotchangethe
measurementsetinSystemConguration.
5mm/mV
NOTE:
Theinitial
measurement
displayedis
setinSystem
Conguration>
ArrhythmiaSetup.
ChangesthemagnitudeoftheECGsignalonthedisplayorin
thereport.Measurementisinmillimeterspermillivolt(mm/mV)
andincludesthefollowingoptions:
•5mm/mV
•10mm/mV
•20mm/mV
•40mm/mV
•2.5mm/mV
•Automatic
Thelargertheselectedmeasurement,thelargerthewaveform.
Onlytherepresentationofthewaveformchanges;signal
strengthisnotaffected.
NOTE:
IfAutomaticisselected,thesystemcalculatesthebest
gainbasedonthepeak-to-peakamplitudesofalldisplayed
leadsandtheselecteddisplayformat.
Changingthemeasurementheredoesnotchangethe
measurementsetinSystemConguration.
90MAC™20002053535-002S
ArrhythmiaModeRecording
ArrhythmiaOptions-rstrow(cont'd.)
OptionDescription
20Hz
NOTE:
Theinitial
measurement
displayedis
setinSystem
Conguration>
ArrhythmiaSetup.
Eliminatesnoiseinthewaveformbyrestrictingwhich
frequenciesareincluded.FrequenciesaremeasuredinHertz
(Hz)andincludethefollowingoptions:
•20Hz
•40Hz
•100Hz
•150Hz
Selectingafrequencyeliminatessignalsthatexceedthat
frequency.Thesmallerthefrequencyselected,themoresignal
islteredout.Forexample,alterof40Hzdisplaysonlysignals
at40Hzorless;signalsgreaterthan40Hzareignored.
Changingthemeasurementheredoesnotchangethe
measurementsetinSystemConguration.
More
Togglesbetweentherstrowofoptions(previous)andthe
secondrowofoptions(following).
ArrhythmiaOptionssecondrow
OptionDescription
PaceEnhanceImprovesthereadabilityofpacemakerECGs.OptionsareOn
andOff.
PatientData
OpensthePatientDataEntrywindow.
ThistabisavailableonlyifyoudidnotcompletethePortent
DataEntrywindowearlier.
MainMenu
ExitstheArrhythmiafunctionandreturnstotheMainMenu.
More
Togglesbetweentherstrowofoptionsandthesecondrow
ofoptions
Printing
Youcanmanuallygenerateanarrhythmiaprintoutinatableformat,anepisode
format,orasummaryformat.
PrintinganArrhythmiaReport
UsethefollowingproceduretoprintanArrhythmiareport.
1.SelectthetypeofArrhythmiareportyouwanttoprintandpresstheappropriate
functionkey.
•Toprintthesummaryreport,pressPrintSummary.
•Toprintthetablereport,pressPrintTable.
•Toprintthearrhythmiaepisodes,pressPrintEpisodes.
2053535-002SMAC™200091
ArrhythmiaModeRecording
Referto“ArrhythmiaPrintingOptions”onpage92fordetails.
2.Reviewthereportasnecessary.
Formoreinformation,referto“ArrhythmiaCodes”onpage92.
ArrhythmiaPrintingOptions
Whenprintinganarrhythmiareport,youhavethefollowingoptions:
ArrhythmiaPrintingOptions
OptionDescription
PrintSummary
PrintsacombinedreportthatincludesboththeTableand
Episodeformats.
PrintTablePrintsabreakdownoftherecordingintabularformat.The
reportincludes:
•theanalysisdurationinminutesandseconds
•theartifactdurationinminutesandseconds
•acodeforeacheventtyperecorded
•thenumberofeacheventtyperecorded
Foradescriptionofthepossibleeventcodes,referto
“ArrhythmiaCodes”onpage92.
PrintEpisodes'Printsastandardwaveformreportoftherecordedevents.
Thesignalfromallrecordedleadsisprintedandeacheventis
markedwiththecorrespondingarrhythmiacode.
Foradescriptionofthepossibleeventcodes,see“Arrhythmia
Codes”onpage92.
MainMenu
ExitstheArrhythmiafunctionandreturnstotheMainMenu.
More
Togglesbetweenthearrhythmiarecordingoptionsandthe
arrhythmiaprintingoptions.
ArrhythmiaCodes
ThefollowingtableidentiesthecodesusedontheArrhythmiareportsandthe
eventstheyrepresent.
CodeArrhythmiaEvent
A
Artifact
ASYSTO
Asystole,limitvalue3s
CPLT
Ventricularcouplet(2PVCs)
ESC
Ventricularescapebeat
L
Learnphase
PAU1
Pauseof1missedbeat
PAU2
Pauseof2missedbeats
PCAP
Pacemakercapture
92MAC™20002053535-002S
ArrhythmiaModeRecording
CodeArrhythmiaEvent
PERR
Pacemakererror
PSVC
Prematuresupraventricularcontraction
PVC
Prematureventricularcontraction
QRSL
LearnedQRScomplex
RUN
Ventricularrun(3PVCs)
VBIG
Ventricularbigeminy
VFIB
Ventricularbrillation/utter
VTACH
Ventriculartachycardia(>3PVCs)
2053535-002SMAC™200093
ArrhythmiaModeRecording
94MAC™20002053535-002S
9
RRAnalysis
RRAnalysisisanoptionalmodeofthesystem.Itdetectshiddenpatternsunderlying
thecomplexdynamicphenomenaofheartratevariability(HRV)andmeasuresthe
cardiacRRintervals.ThisoptionisnotavailableintheU.S.
RRAnalysisMode
ThissectionoutlinestheprocedureforgeneratinganRRAnalysisreportanddescribes
theavailablesetup,waveform,andoutputoptions.
RRAnalysisSettingsWindow
OptionDescription
StartTest
StartstheRRAnalysistest.
PatientData
OpensthePatientDataEntrywindow.
RRAnalysisSetupCongurestheRRAnalysistest.See“RRAnalysisSetup”
onpage95fordetails.
MainMenu
ExitstheRRAnalysismodeandreturnstotheMainMenu.
RRAnalysisSetup
TheRRAnalysisSetupfunctionallowsyoutoconguretheRRAnalysisreport,
including:
•Target
•Recordlead
•Waveformparameters
•Reportoptions
1.Preparethepatientasdescribedin“PreparingthePatient”onpage57.
2.FromthedeviceMainMenu,pressRRAnalysis.
3.PressPatientDataandenterthepatientdataasdescribedin“EnteringPatient
Information”onpage63.
4.PressRRAnalysisSetupandadjustthesetupoptionsasnecessary.
2053535-002SMAC™200095
RRAnalysis
96MAC™20002053535-002S
RRAnalysis
RRAnalysisSettingsWindow
Field
Description
Target
Selectsthetargetofthetest.
Availableoptionsare:
•100Beats
•200Beats
•300Beats
•400Beats
•500Beats
•1min
•2min
•3min
•4min
•5min
RecordLeadSelectswhichrhythmleadisdisplayedandstored.
Availableoptionsare:
•I
•II
•III
•aVR
•aVL
•aVF
•V1
•V2
•V3
•V4
•V5
•V6
LineFilter
Enables/disablesthelinelterdenedinCountry
Setup.See“CountrySetup”onpage159formore
information.
PaceEnhancementImprovesthereadabilityofpacemakerECGs.Options
areOnandOff.
2053535-002SMAC™200097
RRAnalysis
RRAnalysisSettingsWindow(cont'd.)
Field
Description
Gain[mm/mV]SetsthemagnitudeoftheECGsignal.Measurement
isinmillimeterspermillivolt(mm/mV)andincludes
thefollowingoptions:
•2.5mm/mV
•5mm/mV
•10mm/mV
•20mm/mV
•40mm/mV
•Automatic
Thelargertheselectedmeasurement,thelargerthe
waveform.Onlytherepresentationofthewaveform
changes;signalstrengthisnotaffected.
NOTE:
IfAutomaticisselected,thesystemcalculates
thebestgainbasedonthepeak-to-peak
amplitudesofalldisplayedleadsandtheselected
displayformat.
Speed[mm/s]Changesthespeedofthewaveformonthedisplay
andprintout.Changingthespeedalsochanges
thespeedatwhichthewiperbarmovesacrossthe
display.
Measurementisinmillimeterspersecond(mm/s)and
includesthefollowingoptions:
•12.5mm/s
•25mm/s
•50mm/s
LowPassFilter[Hz]Eliminatesnoiseinthewaveformbyrestrictingwhich
frequenciesareincluded.Frequenciesaremeasured
inHertz(Hz)andincludethefollowingoptions:
•20Hz
•40Hz
•100Hz
•150Hz
Selectingafrequencyeliminatessignalsthatexceed
thatfrequency.Thesmallerthefrequencyselected,
themoresignalislteredout.Forexample,alterof
40Hzdisplaysonlysignalsat40Hzorless;signals
greaterthan40Hzwillbeignored.
ADS
EnablesordisablesADS(AntiDriftSystem).
RhythmRecord
Enables/disablestheprintingoftherhythmlead
waveformonthereport.
RRTable
Enables/disablestheprintingoftheRRtableonthe
report.
98MAC™20002053535-002S
RRAnalysis
5.PressSavetorecordyoursettings.
6.Continuewith“AcquiringaRecordingforanRRAnalysisReport”onpage99.
AcquiringaRecordingforanRRAnalysisReport
1.PressStartTest.
ThedevicebeginstoacquiretheECG.Thetargetbeats,acquiredbeats,and
acquiredtimeareupdatedinrealtimeonthescreen.
2.WhiletheECGisbeingacquired,youcandoanyofthefollowing:
•ChangetheSpeed.
•ChangetheGain.
•ChangeLowPassFilter.
•TogglePaceEnhancement.
Formoreinformationonanyoftheseoptions,see“RRAnalysisSetup”onpage
95.
Whenthetargetisachieved,thesystemautomaticallystops,anddisplaysa
previewofthesummaryresults,histogram,trendgram,andoutputoptions.
3.Whilereviewingthepreview,executeoneoftheoutputoptionsdescribedin
“OutputOptions”onpage99.
OutputOptions
ThefollowingoptionsareavailableaftertheRRAnalysistestcompletes:
OutputOptions
OptionDescription
PressReturn.
Discardsthereadingandreturnstopre-teststatus.
Repeatthestepsin“AcquiringaRecordingforanRRAnalysis
Report”onpage99.
PressMainMenu.
Discardsthereading,exitstheRRAnalysismode,andreturnsto
theMainMenu.
PressPrint.
AcceptthereadingandprintstheRRAnalysisReportonthe
thermalprinter.
PDFExport
AcceptsthereadingandexportstheRRAnalysisReporttoaPDF
le.
2053535-002SMAC™200099
RRAnalysis
100MAC™20002053535-002S
10
StressTesting
TheStressmodeisanoptionalfeaturethatallowsyoutoconductstresstestswithany
ofthefollowingdevices.
StressEquipmentDescription
Supportedtreadmillsand
ergometers
SupportedequipmentconnectstotheECGcartsystemthrough
theserialportlabelledCOMMAonthebackofthedevice.You
cancontroltheequipmentthroughthisconnection.Whena
testphasechanges,asignalissentfromthesystemtothe
equipmenttochangethespeed,grade,orload,asappropriate.
YoucanalsomanuallyoverridetheequipmentfromtheECG
cartkeyboard.See“StressTestKeys”onpage104,formore
information.
Supportedequipmentincludesthefollowing:
•T2000andT2100
•eBike
Ergometerswithremote
start
ThisequipmentalsoconnectstotheECGcartsystemthrough
theserialportlabelledCOMMAonthebackofthedevice.
However,thesystemdoesnotcontroltheequipment.Instead,
whentheequipmentchangesload,itsignalsthesystem,which
changesteststagesaccordingly.
Unsupportedtreadmills
andergometers
UnsupportedequipmentdoesnotconnecttotheECGcart
system.Insteadofsignalingtheequipmentwhenatestphase
changes,thesystemnotiestheoperator,whomanually
adjuststheequipment’sparameters.
MasterStep
Thisequipmentdoesnotconnecttothesystem.Thesystem
emitsatonetoinstructthepatientwhentotakeastep.
Stresstestsincludethefollowingparameters:
•Patientdata
•Waveformspeedandgain
•Pacemakerenhancement
•Finiteresiduallter
•Printerleads
•Reportformat
2053535-002SMAC™2000101
StressTesting
•Targetheartrate
•Testprotocol
YoucannotstoretheresultsofthetesttointernalstorageortheexternalSDcard.
Instead,youmustprinttheresults.Youcanselectanyofthefollowingreportformats:
•SummaryReport
•TabularSummary
•TrendReport
•STTrendReport
•STSummaryReport
•EpisodeReport
TousetheStressECGmode,youmustmeetthefollowingconditions:
•YoumustpurchasetheERGOoptionandaddittothesystem.
Formoreinformation,see“OptionsSetup”onpage175.
•YoumustselectthecorrectequipmentontheBasicSystemSetup.
Formoreinformation,see“BasicSetup”onpage119.
•YoumustconguretheStressECGSetupcorrectly.
Formoreinformation,see“StressECGSettings”onpage139.
StressModeInterface
TheStressECGmodeusestwospecialfeatures:aStressTestInformationBarand
StressTestKeys.Italsooffersseveralcongurationoptions.
StressTestInformationBar
TheStressECGmodeaddsaninformationbarontherightsideoftheECGcart
systemdisplay,asseeninthefollowingillustration.Descriptionsofthebar’skey
elementsfollowtheillustration.
102MAC™20002053535-002S
StressTesting
StressTestInformationBar
Item
Number
Feature
Description
1
TargetRate
Thetargetheartrateandthecurrentheart
rate’spercentageofthattarget.
2
VE/min
Ventricularectopicsperminute(alsoknown
asprematureventricularcontraction).This
iscalculatedasthesumofallPremature
VentricularContractions(PVCs)andVentricular
Escapebeats(ESCs)detectedinthepast
60-secondinterval.
3
BloodPressureBloodpressureinmmHg(millimetersofmercury)
orkPa(kilopascals),dependingontheBlood
PressureUnitsettingontheCountrySettings
window.
Formoreinformation,see“CountrySetup”on
page159.
4
RPP/100
TheRate-PressureProductdividedby100.
Therate-pressureproductiscalculatedby
multiplyingthesystolicbloodpressurewiththe
currentheartrate.Theproductisthendivided
byonehundred.Forexample,anRPPof10200
displaysas102.
5
ProtocolNameofthecurrenttestprotocolanditstotal
durationinminutesandseconds.
2053535-002SMAC™2000103
StressTesting
StressTestInformationBar(cont'd.)
Item
Number
Feature
Description
6
PhaseNameofthecurrenttestphaseanditstotal
durationinminutesandseconds.
7
Stage
Nameofthecurrentteststageanditstotal
durationinminutesandseconds.Displaysinred
whenthesystemisinmanualmode.
8
Speed/Load
Speedofthetreadmillorloadoftheergometer.
Speedmaybedisplayedaskm/h(kilometers
perhour)ormph(milesperhour)dependingon
theSpeedUnitselectedontheCountrySettings
window.
Loadisdisplayedinwatts.
Formoreinformation,see“CountrySetup”on
page159.
9
Grade/RPM
Thegradeforatreadmill,inpercent,orthe
revolutionsperminuteforanergometer.
10METS
Metabolicequivalentofthecurrentexercise
level.
StressTestKeys
TheStresskeysaredescribedin“StressKeys”onpage38.
StressOptions
ThisECGcartsystemprovidesseveraloptionsforconguringaStressECG.The
options,presentedasoptionkeysacrossthebottomofthedisplay,arelistedinthe
followingtables.
StressOptionKeys–FirstRow
OptionDescription
PatientData
Opensthepatientdataentrywindow.
SweepSpeedChangesthespeedofthewaveformonthedisplayandprintout.
Changingthemeasurementalsochangesthespeedofthewiper
baronthedisplay.
Themeasurementisinmillimeterspersecond(mm/s)andincludes
thefollowingoptions:
•25mm/s
•50mm/s
•12.5mm/s-5mm/s
•12.5mm/s
Whentheoptionincludestwomeasurements(12.5mm/s-5
mm/s),therstspeedisforthedisplayandthesecondspeedis
fortheprintout.
104MAC™20002053535-002S
StressTesting
StressOptionKeys–FirstRow(cont'd.)
OptionDescription
Gain
ChangesthemagnitudeoftheECGsignalonthedisplayorinthe
report.Themeasurementisinmillimeterspermillivolt(mm/mV)
andincludesthefollowingoptions:
•5mm/mV
•10mm/mV
•20mm/mV
•40mm/mV
•2.5mm/mV
•Automatic
Thelargertheselectedmeasurement,thelargerthewaveform.
Onlytherepresentationofthewaveformchanges;signalstrength
isnotaffected.
NOTE:
IfAutomaticisselected,thesystemcalculatesthebestgain
basedonthepeak-to-peakamplitudesofallthedisplayed
leadsandtheselecteddisplayformat.
LowPassFilterTogglesthroughtheLowPassFilteroptions:20Hz,40Hz,100Hz,
and150Hz.ItdefaultstothesettingselectedontheStress
Setupwindow.(See“StressECGSettings”onpage139formore
information.)
IftheADSltertypewasselectedinStressSetup,thissoftkeyis
displayedregardlessofwhetherthelterisonoroff.IftheFRF
ltertypewasselectedinStressSetup,thissoftkeyisdisplayed
onlyifthelterisoff.
ECGFilterTypeTogglesonandofftheECGltertype(ADSorFRF)selectedonthe
StressSetupwindow.Inaddition,iftheFRFltertypewasselected,
togglingthelteroffalsodisplaystheLowPassFiltersoftkey.
More
Togglesbetweentherstandsecondrowofoptions.
StressTextOptionKeys—SecondRow
OptionDescription
PaceEnhanceIncreasesthereadabilityofpacemakerECGs.OptionsareOnand
Off.
PrinterLeadsSelectswhichleadstoincludeintheprintout.Optionsare:
•FirstSix
•SecondSix
•RhythmSix
•12
UsethissettingonlywhenconductingrhythmECGs.Formore
information,see“GeneratingaRhythmReport(ManualRecording)
”onpage87.
2053535-002SMAC™2000105
StressTesting
StressTextOptionKeys—SecondRow(cont'd.)
OptionDescription
SelectProtocolSelectsapredenedsetoftestcriteria.Formoreinformation,see
“EditingStressProtocols”onpage143.
ReportFormat
Selectsthecomponentsandepisodestoincludeinthereport.
AllowsyoutooverridethedefaultssetontheStressECGSetup
window.Formoreinformation,see“StressECGSettings”onpage
139.
TargetHR
Enterthemaximumheartratecalculatedforthepatientbasedon
weight,gender,age,andcondition.TheECGcartsystemmonitors
theheartrateagainstthistarget.
More
Togglesbetweentherst,second,andthirdrowofoptions.
StressTextOptionKeys—ThirdRow
OptionDescription
MainMenu
ExitstheStressECGfunctionandreturnstotheMainMenu.
More
Togglesbetweentherst,second,andthirdrowofoptions.
ConductingStressTests
Therearetwobasicprocessesforconductingastresstest:
•Conductingastresstestwithatreadmillorergometer
•ConductingastresstestwithaMaster’sStepdevice
Eachprocessisdescribedinthissection.ForinformationontheStressModeinterface,
see“StressModeInterface”onpage102.
ConductingaStressTestwithaTreadmillorErgometer
Usethefollowinginstructionstoconductastresstestwithatreadmillorergometer.
Theprocessisessentiallyidenticalforalldeviceswithonlyminordifferencesbetween
supportedequipment,unsupportedequipment,andergometerswithremotestart.
Deviationsforspecicaccessoriesarenotedwhereappropriate.
WARNING:
PATIENTINJURY—Whenonamovingtreadmill,apatientcouldfallandsustain
aninjury.
Tominimizethepossibilityofafallingcausedbythebelt’ssuddenmovement,
havethepatientstepontothebeltonlyafteritbeginsmoving.
Whenconductingstresstestsonasupportedtreadmill,presstheStopTMbutton
twicetoimmediatelystopthebeltinthecaseofanemergency(forexample,if
thepatientstumblesorfallswhilethebeltismoving).
1.Preparethepatientasdescribedin“PreparingthePatient”onpage57.
2.OntheMainMenupresstheStressECGoption.
TheEnterPatientDatawindowopens.
106MAC™20002053535-002S
StressTesting
3.Enterpatientdataasdescribedin“EnteringPatientInformation”onpage63.
4.Adjustthestressoptionsasnecessary:
Thisincludesthespeedandgain,niteresiduallter,pacemakerenhancement,
printerleads,testprotocol,reportformat,andtargetheartrate.Formore
informationonsettingtheseoptions,see“StressOptions”onpage104.
5.RecordapreliminaryECG.
Thismaybeaseated,standing,supine,orhyperventilatingECG,dependingon
therequirementsoftheselectedprotocol.
6.Beginthepretestphase.
a.Havethepatientgetonthedevice.
b.PressthePretestkey.
c.Allowthepatienttowarmupbeforebeginningtheexercisephaseofthe
test.
NOTE:
Onsupportedtreadmills,pressStartTMtostartthebelt.
7.Whenthepatientisreadytobeginthestresstest,presstheExercisekey.
Duringthetest,youcanusethestresskeystoholdthecurrentstage,enter
bloodpressure,addacomment,changethedisplayedleads,andtogglethe
niteresiduallter.Withsupportedequipment,youcanalsousethestresskeys
toadjusttheequipment’sspeed,grade,orload.Withunsupportedequipment,
theequipmentmustbeadjustedmanuallyattheequipmentitself.
Formoreinformationonmakingtheseadjustments,see“StressTestKeys”on
page104.
8.Whentheexercisephaseiscomplete,presstheRecoverykeytobeginthe
recoveryphaseofthetest.
NOTE:
Whenusinganergometerwithremotestart,youdonotneedtopressthe
Recoverykeybecausetherecoveryphasebeginsautomaticallyattheend
ofthelaststage.However,youcanpresstheRecoverykeytobeginthe
recoveryphasebeforethelaststageends.
Onsupportedtreadmills,thebeltbeginstoslowandthegradedropsto0%.On
supportedergometers,theloadbeginstolighten.Onunsupportedtreadmills
andergometers,theseadjustmentsmustbemademanually.
ContinuetomonitorthepatientandrecordtheECGuntilthedevicestops.
9.Whentherecoveryphaseisover,presstheTestEndkey.
ThemenuoptionsatthebottomofthescreenchangetoConrmTestEndand
ContinueTest.Dooneofthefollowing:
•Toreturntothetest,pressContinueTest.
Thepreviousmenuoptionsreturn.ContinuetorecordtheECGasneeded.
Whenyouaredone,repeatthisstep.
•Tostopthetest,pressConrmTestEnd.
2053535-002SMAC™2000107
StressTesting
Themenuoptionschange.Continuetostep10.
10.Doanyofthefollowing,asnecessary.
•PressNextPatienttotestanotherpatient.
Youarewarnedthattestinganotherpatientdiscardstheresultsofthe
currenttest.Dooneofthefollowing:
•PressNotocancelthechangeinpatientsandreturntothecurrenttest.
Youcaneitherprintthecurrenttestreportorchangethereportformats.
•PressYestoerasethecurrenttestresultsandtestanewpatient.
Repeatfromstep3forthenextpatient.
•PressPrinttoprintthetest’sreport.
Thereportprintswiththeselectedformatoptions.
•PressReportFormattomodifythereportformat.
TheReportFormatwindowopens.Selecttheoptionsyouwanttoincludein
thereportandpressSave.Youcannowprintthetest’sreport.
ConductingaStressTestwithaMaster’sStepDevice
UsethefollowinginstructionstoconductastresstestwithaMaster’sStepdevice,
ifitisselectedinBasicSetup.
1.Preparethepatientasdescribedin“PreparingthePatient”onpage57.
2.OntheMainMenupressStressECG.
TheEnterPatientDatawindowopens.
3.Enterpatientdataasdescribedin“EnteringPatientInformation”onpage63.
BesureyouenteraccurateinformationforDateofBirth,Gender,andWeight.
Thenumberofstepsisdeterminedbythesethreeparameters.
FormoreinformationonusingMaster’sStep,see“Master’sStepData”onpage
209.
4.Adjustthestressoptionsasnecessary:
Thisincludesthespeedandgain,niteresiduallter,pacemakerenhancement,
printerleads,testprotocol,reportformat,andtargetheartrate.Formore
informationonsettingtheseoptions,see“StressOptions”onpage104.
5.RecordapreliminaryECG.
Thismaybeseated,standing,supine,orhyperventilating,dependingonthe
requirementsoftheselectedprotocol.
6.Beginthepretestphasetoallowthepatienttowarmup.
a.Removetheleadwiresfromthepatient,butleaveontheelectrodes.
Thispreventsthepatientfromtrippingontheleadwiresduringthetest.
b.Instructthepatienttotakeastepwheneverthesystembeeps.
c.PressthePretestkey.
108MAC™20002053535-002S
StressTesting
7.PresstheExercisekeytobeginthetest.
Thedurationoftheexercisephaseisdependentontheselectedprotocol:
•SINGLEis90seconds
•DOUBLEis180seconds
•TRIPLEis270seconds
Whenthetestiscomplete,therstPOSTEXER.stagebeginsandtheELECTR.ON
messageisdisplayed.
8.Reattachtheleadwirestotheelectrodes.
Themedianreportprintsatpre-conguredintervalsduringthepostexercise
stages.Whenthelastpostexercisestageiscomplete,asummaryreportwith
trendsandtablesprints.
2053535-002SMAC™2000109
StressTesting
110MAC™20002053535-002S
11
ManagingInternalStorage
TheFileManagerprovidesaninterfacetothesystem’soptionalinternalstorage.
Itprovidesthetoolsto:
•Importrecordsfromanexternalsource
•Printtheinternalstoragedirectory
•Searchstoredrecords
•Editarecord’spatientdata
•Deleterecords
•Printrecords
•Transmitrecordstoanexternaldevice
•Exportrecordstoasecuredigitalcard,shareddirectory,orFTPserver
YoucanprintrestingECGsorsavethemtointernalstorage.Youcanonlyprint
arrhythmiaandstressECGs.
YoucanstorerestingECGsautomaticallyormanually:
•TosaverestingECGrecordsautomatically,ontheRestingECGSettingswindow,
selecttheAutoStoreECGcheckbox.Formoreinformation,see“RestingECG
Setup”onpage124.
•TosaverestingECGrecordsmanually,aftertherestingECGisacquired,pressSave.
Formoreinformation,see“Post-AcquisitionOptions”onpage81.
Toenableinternalstorage,youmustenabletheM100option,InternalStoragefor100
ECGs,ortheM200option,InternalStoragefor200ECGs(ata500Hzsamplingrate).
ImportingRecords
InadditiontosavingECGsrecordedwiththesystem,youcanalsoimportECGrecords
tointernalstoragefromthefollowingsources:
•SecureDigital(SD)cards
•CardioSoft/CSsystemsconnectedviaserialportormodem
•MUSEsystemsconnectedviamodem
NoadditionalsetupisrequiredtoimportfromanSDcard.
2053535-002SMAC™2000111
ManagingInternalStorage
Toimportdataviaserialportormodemyouneedtodothefollowing:
•Purchaseandactivatetheappropriatecommunicationsoption.
Formoreinformationsee“OptionsSetup”onpage175.
•Congurethesystem’sdatacommunicationsettings.
Formoreinformation,see“CommunicationSetup”onpage146.
NOTE:
ImportedrecordshaveaSentstatusofRecvandyoucannotedit,transmitor
exportthem.
Usethefollowinginstructionstoimportarecordintointernalstorage:
1.OntheMainMenupressFileManager.
TheFileManagerwindowopens.
2.PressImport.
Thefunctionkeyschange.
3.Selecttheappropriateimportsourcefromthefollowingoptions:
•ToimportECGsviaserialport,pressSerial
Theserialportopens.Thesystemwaitswhiletheexternaldevicetransmits
therecords.
•ToimportECGsviamodem,pressModem.
Themodeminitializes.Thesystemwaitswhiletheexternaldevicetransmits
records.
•ToimportECGsfromanSDcard,inserttheSDcardandpressSDCard.
AlistoftheavailableECGsonthecardopens.Continuewithstep4.
4.SelecttherecordsyouwanttoimportfromtheSDcard.
5.Whenthecorrectrecordsareselected,pressImport.
PrintingtheFileManagerDirectory
UsethefollowinginstructionstoprintthedirectoryofECGsstoredininternalmemory:
1.OntheMainMenupressFileManager.
TheFileManagerwindowopens.
2.PressPrintDirectory.
Thedirectoryprintsonthewriter.
112MAC™20002053535-002S
ManagingInternalStorage
FindingRecords
TheFileManagermayhaveupto200recordstomanage(iftheM200optionis
enabled),makingitdifculttondaspecicrecord.Tohelpyoulocatearecordora
groupofrecords,usethefollowinginstructions.
1.OntheMainMenu,pressFileManager.
TheFileManagerwindowopens.
2.PressSearch.
TheEnterSearchCriteriawindowopens.
3.Enteryoursearchcriteria.
4.PressSearch.
TheFileManagerretrievesalltherecordsthatmatchyoursearchcriteria.
5.Toclearthesearchresults,dooneofthefollowing:
•PressMainMenu>FileManager.
•PressSearch>Return.
•PressSearch>ClearAll>Search.
EditingPatientData
Usethefollowinginstructionstoeditarecord’spatientdata:
1.OntheMainMenupressFileManager.
TheFileManagerwindowopens.
2.PressSelect.
ThisenterstheFileManagerintoSelectmode.
2053535-002SMAC™2000113
ManagingInternalStorage
3.Usethetrimpadtoselecttherecordyouwanttoedit.
NOTE:
Youcannoteditthepatientdataforrecordsthatwereimportedtointernal
storage.ImportedrecordshaveaSentstatusofRecv.
4.PressEdit.
TheEnterPatientDatawindowopens.
5.Edittheinformationasappropriate.
Forinstructionsoneditingpatientinformation,see“EnteringPatient
Information”onpage63.
6.Aftertheinformationisupdated,pressSave.
Theupdatedinformationissaved,andyoureturntotheFileManagerwindow.
NOTE:
Ifyouonlyeditdemographicinformation,therecordisstilltransmittedtothe
MUSEsystemasanunconrmedrecord.
PreviewingRecords
Usethefollowinginstructionstopreviewrecordedpatientdata:
1.FromtheMainMenu,pressFileManager.
TheFileManagerwindowopens.
2.PressSelectandusethetrimpadtoselecttherecordyouwanttopreview.
3.PressPreview.
Awindowopenswiththerecordforyoutoreview.
4.Afterreviewingtherecord,pressReturnandreturntotheFileManager.
114MAC™20002053535-002S
ManagingInternalStorage
DeletingRecords
Usethefollowinginstructionstodeleteallrecordsfrominternalstorage:
1.OntheMainMenu,pressFileManager.
TheFileManagerwindowopens.
2.Dooneofthefollowing.
•Todeleteselectrecords,pressSelectandusethetrimpadtoselectthe
record(s)youwanttodelete.
•Todeletealltherecordsinstorage,pressSelectAll.
3.PressDelete.
Awindowopensandpromptsyouconrmthatyouwanttodeletetheselected
record(s).
4.Dooneofthefollowing:
•Tocancelthedeletion,pressNo.
•Todeletetherecord(s),pressYes.
PrintingRecords
Usethefollowinginstructionstoprintrecords:
1.OntheMainMenu,pressFileManager.
TheFileManagerwindowopens.
2.Dooneofthefollowing:
•Toprintselectrecords,pressSelectandusethetrimpadtoselectthe
record(s)youwanttoprint.
•Toprintalltherecordsinstorage,pressSelectAll.
3.PressPrint.
Theselectedrecordsareprintedonthewriter.
TransmittingRecords
Usethefollowinginstructionstotransmitrecordsfrominternalstoragetoanexternal
device.
Beforetransmittingarecord,youmustdothefollowing:
•Purchaseandactivateacommunicationoption.
See“OptionsSetup”onpage175formoreinformation.
•Conguredatacommunications.
2053535-002SMAC™2000115
ManagingInternalStorage
See“CommunicationSetup”onpage146formoreinformation.
•Connectthedevicetothecommunicationoption.
•TosetupaLANconnectiontoaCardioSoft/CSorMUSEsystem,see“Connecting
theLANOption”onpage53.
•TosetupaWLANconnectiontoaCardioSoft/CSorMUSEsystem,see
“ConnectingtheLANOption”onpage53.
•TosetupawirelessconnectiontoaCardioSoft/CSorMUSEsystem,see“”on
page.
NOTE:
FormoreinformationonsettingupaLANorUSBwirelessconnectiontoaMUSE
system,refertotheLANOptionInstallationandTroubleshootingGuide.Formore
informationonsettingupaLANorUSBwirelessconnectiontoaCardiosoft/CS
system,refertotheLANoptiontoCardiosoft/CSconnectivityserver.
FormoreinformationonsettingupaWLANconnectiontoaMUSEorCardiosoft/CS
system,refertotheMobileLinkWirelessCommunicationInstallationManual.To
locatethepartnumbersforthesemanuals,referto“RelatedDocuments”inthe
servicemanual.
Usethefollowingproceduretotransmitrecords
1.OntheMainMenu,pressFileManager.
TheFileManagerwindowopens.
2.Dooneofthefollowing:
•Totransmitselectrecords,pressSelectandselecttherecord(s)youwant
totransmit.
NOTE:
Youcannottransmitrecordsthatwereimportedtointernalstorage.
ImportedrecordshaveaSentstatusofRecv.
•Totransmitalltherecordsinstorage,pressSelectAll.
3.PressTransmit.
Oneoftwothingshappens,dependingonthenumberoflocationsdenedin
CommunicationsSetup:
•Ifonlyonelocationisdened,thelesaretransmittedtothedefaultlocation.
•Ifmultiplelocationsaredened,awindowlistingthelocationsopens.Select
thecorrectlocationandpressOK.
116MAC™20002053535-002S
ManagingInternalStorage
ExportingRecords
YoucanexportrecordsfrominternalstoragetoaSecureDigitalcardorashared
directory,ineitheraHilltop/XMLorPDFformat.Themaximumnumberofrecordsyou
canexportinXMLformatisdeterminedbywhichstorageoptionisenabled:
•IfM100isenabled,themaximumis100.
•IfM200isenabled,themaximumis200(withasamplingrateof500Hz).
•RecordsexportedinPDFformathavenomaximumlimit.
NOTE:
TheSDcardcapacityandmanufacturerdeterminedatatransferratesand
storagespace.ThismayaffectthetimerequiredtoreadorwritetotheSDcard.It
mayalsolimitthenumberofrecordsthatyoucanstoreonthecard.
SettingUpExportOptions
Therequirementsforsettingupexportdifferdependingontheexportmethod:
•ToexportXMLdatatoanSDcard,youmustrstenableExportXMLin
CommunicationSetup.
•ToexportPDFlestoanSDcard,youmustrstenablethePDFC(PDFExport)
systemoption.Referto“OptionsSetup”onpage175fordetails.
•ToexporteitherHilltop/XMLorPDFtoashareddirectory,youmustdothefollowing:
•PurchaseandactivatetheLANCoptionorWIFCoption.
See“OptionsSetup”onpage175fordetails.
•DenetheshareddirectorysettingonCommunicationsSetup.
See“OptionsSetup”onpage175fordetails
ExportingRecords
Oncethenecessarycongurationsarecomplete,usethefollowinginstructionsto
exportrecordsfrominternalstorage:
1.OntheMainMenu,pressFileManager.
TheFileManagerwindowopens.
2.Selecttherecord(s)youwanttoexport.
•Toexportselectrecords,pressSelectandusethetrimpadtoselectthe
recordsyouwanttoexport.
NOTE:
Recordsthatareimportedtointernalstoragecannotbeexportedfrom
internalstorageinHilltoporXMLformats;thoserecordscanbeexported
inPDFformat.ImportedrecordshaveaSentstatusofRecv.
•Toexportallrecordsinstorage,pressSelectAll.
3.PressMore>Export.
Thefunctionkeyschange.Dependingonwhichoptionswereactivated,the
functionkeysmayincludeHilltopXML,PDF,andReturn.
2053535-002SMAC™2000117
ManagingInternalStorage
4.IfyouareexportingtoanSDcard,insertthecardintotheSDcardslot.
Makesurethecardhassufcientfreespacefortheselectedrecordsandthatit
isnotwrite-protected.
NOTE:
IfyoudonotentertheSDcardintotheSDcardslot,youreceivethe
followingwarningwhenattemptingtoexportdatatothecard:
SDCardisnotpresent.
Referto“SDCardNotPresent”onpage196forfurtherinstructions.
5.Presstheappropriatefunctionkey:
•ToexportinbothXMLandHilltopformats,pressHilltopXML.
•ToexportinPDFformat,pressPDF.
•Toreturntotheprevioussetoffunctionkeys,pressReturn.
IfyoupressHilltopXMLorPDF,oneoftwothingshappens,dependingonyour
systemconguration:
•Ifashareddirectorywascongured,theSelectExportDestinationwindow
opens.
Gotostep6
•Ifashareddirectorywasnotcongured,therecordsareautomatically
exportedintheselectedformattotheSDcard.
Whentheexportiscomplete,oneoftwothingshappens,dependingonthe
selectedformat:
•FortheHilltopXMLformat,thescreenclearsandthefunctionkeys
change.
•ForthePDFformat,asummarywindowopenswiththenumberofrecords
thatexportedsuccessfullyandthenumberthatfailedtoexport.Press
OKtoclosethesummarywindow.
Ifyouwanttoselectadditionalrecordstoexport,returntostep2or
continuetostep6.
6.IntheSelectExportDestinationwindow,selecttheappropriateexport
destination:
•ToexporttoanSDcard,selectSDCard.
•Toexporttotheshareddirectory,selectSharedDirectory.
•ToexporttotheFTPserver,selectFTPServer.
NOTE:
WhenexportingtoashareddirectoryoranFTPserver,thedevicelogsonto
thedirectoryorFTPserverwiththeusernameandpassworddenedon
theCommunicationsSetupwindow.Ifeitherofthosevaluesareincorrect,
youreceiveanerrormessage.Correcttheusernameandpasswordonthe
CommunicationsSetupwindowandrepeattheexportprocess.
7.PressOK.
118MAC™20002053535-002S
12
SystemConguration
SystemCongurationprovidesaccesstofunctionsthatallowyoutocustomizethe
systemsettingsandtoutilitiestohelpmanagethosesettings.Thischapterdescribes
thesettingsmanagedbyeachfunctionandtheprocessfollowedbyeachutility.
NOTE:
Congurationchangescancausedataloss.Aftermakingcongurationchanges,
youMUSTreturntotheMainMenutoensurethechangesaresaved.
Dependingonwhichoptionswereactivated,someofthesefunctionsmaynotbe
availableonyoursystem.
BasicSetup
TheBasicSetupfunctionallowsyoutodenethefollowinginformation:
•Institutionalidentication
•Defaultphysicians
•Systemsettings
•Stresstestaccessory(iftheERGOstresstestoptionisactivated)
•Systemsecurity
•Timeservers
NOTE:
YoumustaddphysiciansinUserSetupbeforetheycanbepickedasdefault
physicians.Formoreinformation,see“UserSetup”onpage167.
FormoreinformationontheERGOandCFRAoptions,see“OptionsSetup”on
page175.
ToaccessBasicSetup,ontheMainMenu,pressSystemConguration>BasicSetup.
2053535-002SMAC™2000119
SystemConguration
ThefollowingtablesdescribeeachsettingavailableonBasicSetup.
BasicSetupFields—Page1
Field
Description
Name
Thenameoftheinstitution.
Street
Thestreetaddressoftheinstitution.
City
Thecitywheretheinstitutionislocated.
OrderingPhysicianThephysicianwhoorderedtheECG.
Defaultsonanypatientrecordscreatedonthesystem.
ReferringPhysicianThephysicianwhoreferredthepatient.
Defaultsonanypatientrecordscreatedonthesystem.
AttendingPhysicianThephysicianwhosupervisedtheECG.
Defaultsonanypatientrecordscreatedonthesystem.
TechnicianThetechnicianwhoconductedtheECG.
Defaultsonanypatientrecordscreatedonthesystem.
Location
LocationIDwherethedeviceislocated.
Defaultsonanypatientrecordscreatedonthesystem.
Site#
ThiseldisrequiredtostoreECGreportsonacardiology
informationsystemsuchastheMUSEsystem.
Cart#
Uniquecartnumberofthedevice.
Defaultsonanypatientrecordscreatedonthesystem.
TestPatient
(temporary)
Enables/disablessimulatedECGs.Whenenabled,simulated
waveformsaregeneratedintheresting,arrhythmia,RRanalysis,
orstressECGfunctions.Thisisusefulfordemonstration,training,
ortestingpurposes.
NOTE:
Thissettingclearswhenthesystemisreset.
120MAC™20002053535-002S
SystemConguration
BasicSetupFields–SystemSettings
Field
Comment
PowerupmodeDetermineswhichscreenisdisplayedwhenthe
systemispoweredon.Availableoptionsare:
•RestingECG(default)
•Arrhythmia
•MainScreen
•StressECG
•OrderManager
DisplayColorsDeterminestheappearanceoftheECGdisplay.
Selectacolorcombinationthatislegibleforyou.
ECGGridonDisplayDetermineswhetheragridisdisplayedbehindthe
waveforms.AgridmaymakereadingtheECGeasier.
Thedefaultison.
Anti-AliasingofECGWaveformsDetermineswhetheranti-aliasingisappliedto
waveformstoreducedistortioncausedbythevideo
display.
Thedefaultison.
AutoStandbyDetermineswhetherthedeviceautomaticallyenters
standbymodeifitisinactiveforapredenedtime
limit.Itisenabledbydefault.
Ifthiseldischecked,thefollowingtwoelds
becomeavailable(DisableWirelessWhenStandby
andAutoStandbyTime(1–255min)).
2053535-002SMAC™2000121
SystemConguration
BasicSetupFields–SystemSettings(cont'd.)
Field
Comment
DisableWirelessWheninStandby
mode
Determineswhetherthewirelessfunctionisdisabled
whilethedeviceentersthestandbymode.Itis
disabledbydefault.
NOTE:
Iftheembeddedwirelessmoduleisinstalled,this
optionisdisabledandcannotbeenabled.
AutoStandbyTime(1–255min)Identiestheamountoftime,inminutes,thatthe
devicecanremaininactivebeforeitentersstandby
mode.AutoStandbyusesthiseld.
Thedefaultvalueis5mins.
BasicSetupFields–SystemSecuritySetup
Field
Comment
HighSecurityModeWhenHighSecurityModeisenabled,usersare
promptedtoenteranIDandpasswordwhenlogging
ontothesystem.YoumustaddeachuserinUser
Setup.
AuditTrailCopiesthesystemaudittrailinXMLformattoanSD
cardandthenclearstheaudittrialonthesystem.
Formoreinformationsee“ExportingtheAuditTrail”
onpage180.
LinkTechnicianwithloginuserLinksthetechniciantotheloginuser.Whenyouenter
patientdata,thetechnicianwillbesettologinuser
andisnoteditable.
122MAC™20002053535-002S
SystemConguration
BasicSetupFields–SystemSecuritySetup(cont'd.)
Field
Comment
AutoLogoffDetermineswhetherthesystemautomaticallylogs
theuseroffafterapredenedperiodofinactivity.
SeealsoAutoLogoffTime.Thisisavailableonlyif
HighSecurityModeisenabled.
AutoLogoffTime(1–255min)Determinesthelengthofinactivity,inminutes,before
thesystemlogsofftheuser.Thisisavailableonlyif
HighSecurityModeisenabled.
Automaticallysynchronizewith
TimeServer
Enables/disablesautomaticsynchronizationwith
anexternaltimeservereitherontheinstitution’s
networkortheInternet.YoumustactivateaLAN
optiontosetthisoption.
TimeServerName
Identiestheserverwithwhichthedevice
synchronizesitstime.Thiscanbeaserveronthe
institution’snetworkorontheInternet.Contactyour
serveradministratorforthisinformation.
LastsynchronizationatDisplay-onlyeldthatidentieswhenthelast
synchronizationoccurred.
LastsynchronizedfromTimeServerDisplay-onlyeldthatidentieswherethelast
synchronizationoccurred.
EnableDataRetrievalIfthisoptionisenabled,theusercandownload
patientdemographicsororders.
QueryKey
AllowsausertoselectPatientIDorVisitasaQuery
key.
DataRetrievalAllowsausertoselectwhichdatatoquery:Order,
ADT,orOrderthenADT.
RetrieveOrdersfromAllowsausertoselectdataorigin:Cart,Remote,or
CartthenRemote.
IfthePDFCoptionisenabledinOptionsSetup,theSystemSettings–PDFNaming
Settingswindowdisplays.
2053535-002SMAC™2000123
SystemConguration
BasicSetupFields–SystemSettings(PDFNamingSettings)
Field
Description
GenerateautomaticlenameSelectthecheckbox;thenumberedeldsareenabled.
Usethedrop-downarrowtoselecteachsetting.
Formoreinformation,see“CustomizingtheNamingConvention”onpage179.
RestingECGSetup
TheRestingECGSetupwindowallowsyoutodene:
•Waveformparameters
•Waveformparameters
•Leadusage
•Analysisoptions
•Leadsequence
•Reportoptions
•Storageoptions(iftheinternalstorageoptionisactivated)
•Transmissionoptions(ifacommunicationsoptionisactivated)
•FullDisclosureSetup
ToaccesstheRestingECGSetupwindow,ontheMainMenupressSystem
Conguration>RestingECGSetup.
ThefollowingtablesdescribeeachsettingavailableonRestingECGSetup.
124MAC™20002053535-002S
SystemConguration
RestingECGSetupFields–Page1
Field
Comment
Gain
SetstheamplitudeoftheECGsignal.Measurementis
inmillimeterspermillivoltandincludesthefollowing
options:
•2.5mm/mV
•5mm/mV
•10mm/mV
•20mm/mV
•40mm/mV
•Automatic
Thelargertheselectedmeasurement,thelargerthe
waveform.Onlytherepresentationofthewaveform
changes;signalstrengthisnotaffected.
NOTE:
IfAutomaticisselected,thesystemcalculates
thebestgainbasedonthepeak-to-peak
amplitudesofalldisplayedleadsandthe
selecteddisplayformat.
SpeedChangesthespeedofrhythmprintingandthewiper
barmovementacrossthedisplay.
Measurementisinmillimeterspersecond(mm/s)
andincludesthefollowingoptions:
•5mm/s(rhythm)/12.5mm/s(display)
•12.5mm/s
•25mm/s
•50mm/s
LowPassFilterSetsthemaximumfrequencytoincludeinthe
waveform.Restrictingfrequenciescanhelpeliminate
noiseinthewaveform.Frequenciesaremeasuredin
Hertz(Hz)andincludethefollowingoptions:
•20Hz
•40Hz
•100Hz
•150Hz
Selectingafrequencyeliminatessignalsabovethat
frequency.Forexample,ifyouselect40,onlysignals
thathaveafrequencyof40Hzorlowerareincluded
inthewaveform.
ADS
Togglestheanti-driftsystem(ADS)onandoff.ADS
helpsreducebaselinedrift.
LineFilter
Enables/disablesthelinelterdenedinCountry
Setup.
6leads:1x6
Enables/disablesadisplayoptionthatshowsone
six-waveformcolumn.
2053535-002SMAC™2000125
SystemConguration
RestingECGSetupFields–Page1(cont'd.)
Field
Comment
6leads:2x3
Enables/disablesadisplayoptionthatshowstwo
three-waveformcolumns.
12leads:2x6
Enables/disablesadisplayoptionthatshowstwo
six-waveformcolumns.
12leads:4x3
Enables/disablesadisplayoptionthatshowsfour
three-waveformcolumns.
DisplayFormatSelectsthedisplayformatoftherestingECG.The
defaultvalueis3leads:1x3.Othervaluesdependon
whichoftheprevioustwoeldsareset.
DisplayLeadGroupDetermineswhichgroupofleadsisdisplayed.The
availablevaluesdependsonwhichDisplayFormat
isselected.Forexample,if3Leads:1x3isselected,
theavailablevaluesare:
•3rhythmleads
•1stgroup
•2ndgroup
•3rdgroup
•4thgroup
126MAC™20002053535-002S
SystemConguration
RestingECGSetupFields–Page2
Field
Comment
PrinterLeadsIdentiesthedefaultsetofleadstouseforprinting.
Thevaluesare:
•First6
•Second6
•Rhythm6
•12
StartrhythmreportonnewpageDetermineswhethertherhythmreportprintsona
separatepage.
PaceEnhancementIncreasesthereadabilityofpacemakerECGeither
byaugmentingsmallpacepulsesorbytruncating
largepacepulses.Ifenabled,paceenhancementis
doneintwosteps:
1.Addamarker(1.5mVamplitude,6msduration)
totheelectrodesignal.
2.Limitthesumto0.5mVintheleadsignal.
PreviewbeforeAnalysisDetermineswaveformpreviewoptions.Values
include:
•No
Waveformsareneverpreviewed.
•Always
Waveformsarealwayspreviewed.
•Yellowelectrodes
WaveformsarepreviewedwhentheHookup
Advisorindicatorshowsayelloworredelectrode.
•Redelectrodes
WaveformsarepreviewedwhentheHookup
Advisorindicatorshowsaredelectrode.
Foradditionalinformation,see“HookupAdvisor”on
page76.
Reanalysis
Enables/disablesthereanalysisfeature,whichallows
youtoadjustthefollowingECGmeasurements:
•PDuration
•PRInterval
•QRSDuration
•QTInterval
ThisisavailableonlyifAuditTrailisdisabledandone
ofthefollowingoptionsisactivated:ME12,MEHR,
MI12,orMIHR.
Formoreinformationonactivatingoptions,see
“OptionsSetup”onpage175.
2053535-002SMAC™2000127
SystemConguration
RestingECGSetupFields–Page2(cont'd.)
Field
Comment
QTCCalculationDetermineswhichformulaisusedtocorrectQT
calculations.Availableoptionsare:
•Bazett
QTc=QT√HR\60
BazettisavailableonlyiftheMEHRorMIHRoption
isactivated.
•Framingham
QTc=QT+154(1—60/HR)
FraminghamisavailableonlyiftheME12orMI12
optionisactivated.
•Fridericia
QTc=QT
3
√HR/60
FridericiaisavailableonlyiftheME12orMI12
optionisactivated.
NOTE:
Inallformulas,HR=HeartRate.
ScreeningCriteria
Enables/disablestheinclusionofthescreencriteria.
ThissettingisavailableonlyiftheMI12optionis
activated.
Ifthisledisenabled,Suppressreasonstatements
eldisavailable.
Suppressnormalstatement
Enable/disablestheinclusionofthenormal
statement.
ThissettingisavailableonlyiftheMI12optionis
activated.
Suppressabnormal/borderline
Enable/disablestheinclusionofthe
abnormal/borderlinestatements.
ThissettingisavailableonlyiftheMI12optionis
activated.
Suppressallstatements
Enable/disablestheinclusionofallstatements.
ThissettingisavailableonlyiftheMI12orMIHR
optionisactivated.
Suppressreasonstatements
Enable/disablestheinclusionofreasonstatements.
ThissettingisavailableiftheMI12optionisactivated.
128MAC™20002053535-002S
SystemConguration
RestingECGSetupFields–Page2(cont'd.)
Field
Comment
ACI-TIPI
Enables/disablestheinclusionoftheACI-TIPI
(AcuteCardiacIschemiaTimeInsensitivePredictive
Instrument)statementandenablestheChestPain
eldonthePatientInformationwindow.
ToincludeACI-TIPIstatements,thefollowing
conditionsmustbemet:
•MI12orME12systemoptionisactivated
•TIPIsystemoptionisactivated
•ACI-TIPIisenabled
•10sECGReportFormatisenabled
•PrintInterpretationisenabled
•Patientdataincludes:gender,dateofbirth,and
chestpainindication
•Patientcannotbeapediatricpatient(15yearsor
younger)ascalculatedformthedateofbirth
SampleRateDeterminesthereportfrequency.Optionsare500
Hzor1000Hz.1000HZissupportedonlyforXML
output.
2053535-002SMAC™2000129
SystemConguration
RestingECGSetupFields–Page3
Field
Description
LeadSequenceDeterminestheleadsequencetouse.Valuesare:
•Standard
•Cabrera
•NEHB
•SEQ4
SEQ4allowsyoutocongureacustom12-lead
sequenceusingthefollowingelds.Ifeither12SL
option(ME12orMI12)isactivated,youmustselect
leadsI(-I),II(-II),V1,V2,V3,V4,V5,andV6fora
correct12SLanalysis.
SequenceName
Setthedisplaynameforacustomleadsequence.
AvailableonlyifSEQ4isselectedfortheLead
Sequence.
1–12LeadTwelveeldsthatallowyoutodenethesequencein
whichtheleadsaredisplayed.AvailableonlyifSEQ4
isselectedfortheLeadSequence.
1–12LabelTwelveeldsthatallowyoutodenethelabels
thataredisplayed/printedforthecorresponding
leads.AvailableonlyifSEQ4isselectedfortheLead
Sequence.
1–6RhythmLeadsSixeldsthatallowyoutodenetherhythmleads
andtheirsequence.Youcanselecttherhythmleads
forallfourleadsequences.
130MAC™20002053535-002S
SystemConguration
RestingECGSetupFields–Page4
Field
Description
10sECGReportFormat
Determineshowthe10sECGreportprints.Ifno
formatisselected,thereportdoesnotprint.
Thevaluesare:
•1x10x12_25
•1xx10x12_50
•2x10x6_25
•1x10x3_25
•2x5x6_25
•2x5x6_50
•2x5x6_25_SYN
•2x5x6_50_SYN
•2x5x6_25_R1
•4x2.5x3_25
•4x2.5x3_25_R1
•4x2.5x3_25_R3
•4x2.5x3_25_R2_P
•H1
•H2
IftheCTDGoptionisenabled,thereportformatis
4x2.5x3_25_R2_P.
DetailedResultsReportFormatDetermineshowtheDetailedResultsreportprints.If
noformatisselected,thereportdoesnotprint.
Thevaluesare:
•Median_25
•Median_50
ReportCopies
Determineshowmanycopiesoftheselectedreport
print.
Thevaluesare:
•0
•1
•2
•3
•4
•5
PrintInterpretation
DetermineswhetherECGinterpretationprintson
thereport.AvailableonlyifeithertheMI12orMIHR
optionisactivated.
2053535-002SMAC™2000131
SystemConguration
RestingECGSetupFields–Page4(cont'd.)
Field
Description
AutoStoreECG
DetermineswhethertheECGisautomaticallystored
ontheinternalstorage.
ThisisavailableonlyiftheM100orM200internal
storageoptionisactivated.
Formoreinformation,see“OptionsSetup”onpage
175.
FileManagerSortbyDeterminestheeldbywhichtheFileManagersorts
recordsininternalstorage.
ThisisavailableonlyiftheM100orM200internal
storageoptionisactivated.Availableoptionsare:
•PatientName
•Date
•PatientID
•OrderNumber
AutoTransmitECG
DetermineswhethertheECGistransmitted
automaticallytoanexternaldevice.Availableonly
ifoneofthecommunicationsoptionsisactivated.
IftheAutoExportforPharmaisenabled,theAuto
TransmitECGwillbedisabledbythesystem.
Formoreinformation,see“OptionsSetup”onpage
175.
DeleteAfterTransmissionDetermineswhethertheECGisdeletedfrominternal
storageafteritistransmittedtoanexternaldevice.
Availableonlyifoneofthecommunicationsoptionsis
activated.IftheAutoExportforPharmaisenabled,
theDeleteAfterTransmissionwillbedisabledby
thesystem.
Formoreinformation,see“OptionsSetup”onpage
175.
PrintTransmissionLog
Determineswhetherthetransmissionlogprints
afteranECGistransmittedfromFileManagerto
anexternaldevice.Availableonlyifoneofthe
communicationsoptionsisactivated.
Formoreinformation,see“OptionsSetup”onpage
175.
132MAC™20002053535-002S
SystemConguration
RestingECGSetupFields–Page4(cont'd.)
Field
Description
AutoExportECG
DetermineswhethertheECGisautomatically
exportedinHilltop,Hilltop/XML,orPDFformattothe
shareddirectoryorFTPserverlocation.Availability
ofHilltop/XMLformatdependsonwhetherExport
XMLoptionwasenabledinCommunicationSetup.
AvailabilityofPDFformatdependsonPDFCoption
activationinOptionsSetup.
AvailableifanyofLANC,LANM,WIFCorWIFM
optionisactivated.
Formoreinformation,see“CommunicationSetup”
onpage146.
ExportLocation
Determineswheretoexportthereport.
AvailableoptionsareSharedDirectoryandFTP
Server
AvailableifanyofLANC,LANM,WIFCorWIFM
optionisactivated.
IfthePDFCoptionisenabled,youreceivetheRestingECGSettings–PDFExport
Setupwindow.
2053535-002SMAC™2000133
SystemConguration
RestingECGSetupFields–Page4(PDFExportSetup)
Field
Description
10sECGReportFormat
Determineshowthe10sECGreportprintstoaPDF
le.
Theoptionsare:
•4x2.5x3_25
•4x2.5x3_25_R1
•4x2.5x3_25_R3
•MUSE1
•MUSE2
•1x10x12_25
•2x5x6_25
•2x5x6_25_SYN
•2x5x6_50
•2x5x6_50_SYN
NOTE:
OptionsMUSE1andMUSE2arenotavailablein
theChineseversion.
BaselineAutoAdjust
Enables/disablesthePDFexport.
Availableonlywhenthe1x10x12_25of10sECG
ReportFormatoptionisselected.
134MAC™20002053535-002S
SystemConguration
RestingECGSetupFields–Page5(FullDisclosureSetup)
Field
Description
ThermalReportFormatDetermineshowthefulldisclosureECGreportprints
onthethermalprinter.
Theoptionsare:
•onelead@25mm/s
•onelead@50mm/s
•12leads@25mm/s
LeadDetermineswhichleadtoprintonthethermalprinter.
Theoptionsare:
•I
•II
•III
•aVR
•aVL
•aVF
•V1
•V2
•V3
•V4
•V5
•V6
AcquisitionTime(Minutes)
SetsupthefulldisclosureECGacquisitiontime.
Availablevalueis1–5(inminutes).
PDFReportFormat
DetermineshowthefulldisclosureECGreportexport
toaPDFle.
Theoptionsare:
•onelead@25mm/s
2053535-002SMAC™2000135
SystemConguration
RestingECGSetupFields–Page5(FullDisclosureSetup)(cont'd.)
Field
Description
LeadDetermineswhichleadtoprinttoaPDFle.
Theoptionsare:
•I
•II
•III
•aVR
•aVL
•aVF
•V1
•V2
•V3
•V4
•V5
•V6
•12Leads
AutoExport
DetermineswhetherexportthefulldisclosureECG
reporttoconguredlocation.
Location
DetermineswherethefulldisclosureECGreport
exportto.
Availableoptionsare:
•SDCard
•FTPServer
•SharedDirectory
See“CommunicationSetup”onpage146fordetailed
instructionsonconguringtheFTPserverand
shareddirectory.
ArrhythmiaSetup
TheArrhythmiaSetupfunctionallowsyoutodene:
•Waveformparameters
•Leadusage
•Analysisoptions
•Leadsequence
•Reportoptions
ToaccessArrhythmiaSetup,ontheMainMenupressSystemConguration>
ArrhythmiaSetup.
136MAC™20002053535-002S
SystemConguration
MostoftheeldsontheArrhythmiaSetupwindowsarethesameasthoseonResting
ECGSetup.Thefollowingtableslistthearrhythmiasettingsthatareuniqueordiffer
fromrestingECG.Forallotherelds,see“RestingECGSetup”onpage124.
ArrhythmiaSetupFields–Page1
Field
Description
ADS
Enables/disablestheAnti-DriftSystem,whichhelpsreduce
baselineshift.InArrhythmiamode,thissettingisalways
available.
2053535-002SMAC™2000137
SystemConguration
ArrhythmiaSetupFields–Page2
Field
Description
RhythmPrintingDetermineswhethertherhythmreportstarts
automaticallywhenrecordingstarts.
ArrhythmiaEventPrintingDetermineswhicheventsprintontheArrhythmia
Report:
•Allevents
•Unequalevents
•Noeventprinting
EpisodesPrintoutinSummary
Report
Determineshowarrhythmiaeventsprint.Options
are:
•Chronologicalorder
•Priorityorder
•Onlyepisodeswithventricularevents
•Noepisodes
138MAC™20002053535-002S
SystemConguration
ArrhythmiaSetupFields–Page3
Field
Description
LeadSequenceDeterminestheleadsequencetouse.Arrhythmia
Setupincludesthefollowingoptionsinadditionto
thefouroptionsavailableintheRestingECGSetup:
•STD_C
•STD_RED
•STD_LI
•CABR_LI
•NEHB_6
•HIGH_C
1–6RhythmLeadsSixeldsthatallowyoutodenetherhythmleads
andtheirsequence.Youcanselecttherhythmleads
forallfourleadsequences.
IfyouchoseanyofthefollowinginLeadSequence,
therhythmleadsarenotdisplayed:
•STD_C
•STD_RED
•STD_LI
•CABR_LI
•NEHB_6
•HIGH_C
StressECGSetup
StressECGSetupisavailableonlyiftheERGOStressTestoptionwasactivated.For
moreinformation,see“OptionsSetup”onpage175.
TheStressECGSetupdiffersfromtherestingorarrhythmiaECGs.Inadditionto
deningthestressECGsettings,youcancreate,edit,ordeletetestprotocols.
StressECGSettings
TheStressECGSetupfunctionallowsyoutodene:
•Waveformparameters
•Leadusage
•Analysisoptions
•Reportoptions
•Leadsequence
ToaccesstheStressECGSetup,ontheMainMenupressSystemConguration>
StressECGSetup.
ManyoftheeldsontheStressECGSetupwindowsarethesameasthoseonthe
RestingECGSetuportheArrhythmiaSetup.Thefollowingtableslistthesettingsthat
2053535-002SMAC™2000139
SystemConguration
areuniqueordifferfromtherestingorarrhythmiasetups.Forallotherelds,see
“RestingECGSetup”onpage124or“ArrhythmiaSetup”onpage136.
StressECGSetupFields–Page1
Field
Comment
ECGFilterTypeDetermineswhichmethodtousetoltertheECG
signal.Optionsare:
•ADS
Anti-DriftSystem–reducesbaselineshift
•FRF
FiniteResidualFilter–reducesnoiseandartifacts
Theselectionalsodeterminesthebehaviorofthe
LowerPassFilter[Hz]andADS/FRFelds.
ADS/FRF
Enables/disablestheselectedECGFilterType.The
labelforthiseldchangesdependingonthelter
typeselected.
140MAC™20002053535-002S
SystemConguration
StressECGSetupFields–Page2
Field
Comments
MaxPredictedHRFormulaDeterminestheformulathatpredictsthepatient’smaximum
heartrate.Optionsare:
•WHO
Thisformula,recommendedbytheWorldHealth
Organization,subtractsthepatient’sagefrom220.
Forexample,apatientwhois50yearsoldhasamaximum
predictedheartrateof220-50=170.
•AHA
Thisformula,recommendedbytheAmericanHeart
Association,variesdependingontheageofthepatient.
•<25yearsold=160bpm
•>75yearsold=115bpm
•25—75yearsold=160–(age–25)*0.9
Forexample,apatientwhois50yearsoldhasa
maximumpredictedheartrateof160-(50-25)*0.9=
138.
TargetHR[%]
Determinesthepercentageofthemaximumpredictedheart
ratethestresstestistargeting.
Protocol/Master’sStep
Mode
Determineswhichprotocolconductsthestresstest.The
protocoldeterminesthetestphases,stages,stagedurations,
stageloads,andthetimesatwhichautoreportsareprinted
andbloodpressureisrecorded.
YoucancreatecustomprotocolsbyselectingtheEdit
Protocolsbutton.
Formoreinformation,see“EditingStressProtocols”onpage
143.
NOTE:
IfMaster’sStepdeviceisselectedastheStressTest
DeviceinBasicSetup(see“BasicSetup”onpage119),this
eldislabeledMaster’sStepModeinsteadofProtocol.
2053535-002SMAC™2000141
SystemConguration
StressECGSetupFields–Page2(cont'd.)
Field
Comments
J+xPointFormulaDeterminesthemethodthatcalculatesthepostJ-Point.
Optionsare:
•0ms
•10ms
•20ms
•40ms
•80ms
•Rautaharju(defaultvalue)
•RR/16
Thenumericvalues(0ms—80ms)addtheselectednumber
ofmillisecondstotheJ-point
Calculation(E,Jpoint)DetermineswhentheselectJ+xpointformulaisused.Valid
optionsare:
•Single
TheEandJpointsarecalculatedonceinthebeginningand
remainunchangedduringthestresstest.
•Continuous
TheEandJpointsarecontinuouslyupdatedduringthe
PRETEST,EXERCISE,andRECOVERYphasesofthestresstest.
142MAC™20002053535-002S
SystemConguration
StressECGSetupFields–Page3
Field
Comments
In-TestReports
Determinestheformatofthereport.Optionsare:
•MedianReport
•ComparativeMediansReport
MedianReport
Speed[mm/s]
Determinesthespeedinmillimeterspersecondatwhichthe
waveformsarerepresentedonthereport.Optionsare:
•25
•50
12-leadReportDeterminesthelayoutofa12-leadreport.Optionsare:
•1x12
Onecolumnshowing10secondsfromall12leads.
•2x6
Twocolumnseachshowing5secondsfrom6leads.
SummaryReport
Determineswhetherthesummaryreportformatisincludedin
thestressreport.
TabularSummaryDetermineswhetherthetabularreportformatisincludedin
thestressreport.
TrendReportDetermineswhetherthetrendreportformatisincludedinthe
stressreport.
STTrendReportDetermineswhethertheSTtrendreportformatisincludedin
thestressreport.
STSummaryReport
DetermineswhethertheSTsummaryreportformatisincluded
inthestressreport.
EpisodesPrintoutin
SummaryReport
Determineshowepisodesarepresentedinthestressreport.
Optionsare:
•ChronologicalOrder
•PriorityOrder
•OnlyEpisodeswithVentricularEvents
•NoEpisodes
EditingStressProtocols
Thefollowingpre-denedstresstestprotocolsareavailable.
Pre-denedStressTestProtocols
Device
Protocols
BRUCEMODBRUCENAUGHTON
ELLESTADMODBALKEUSAFSAM
SLOWUSAFSAMCORNELL
BALKEWARE
MODBALKEWAREADENOSINEDOBUTAMINE
Treadmills
PERSANTINE
2053535-002SMAC™2000143
SystemConguration
Pre-denedStressTestProtocols(cont'd.)
Device
Protocols
WHOWHO50WHO75
HOLLMANN
BAL
STD.FRANCE
Ergometers
MODWHOCONCONI
Master’sStepSINGLEDOUBLE
TRIPLE
Mosttreadmillandergometerprotocolsconsistofthreepre-denedphases:Pretest,
Exercise,andRecovery.Eachphasecanincludemultiplestagesthatdenethe
parametersofthetest.Theparametersdifferslightlydependingonthedevice,as
seeninthefollowingtable.
StressTestParameters
Parameter
Treadmill
Ergometer
Master’sStepComment
Stage
üü
Thestage
name.
Thestagename.
StageTime
üüü
Thestageduration,inminutes.
Speed
ü
Thetreadmill
speedin
kilometers
ormiles
perhour,
dependingon
theCountry
Setup.
Thetreadmillspeedinkilometers
ormilesperhour,dependingon
theCountrySetup.
Grade[%]
ü
Thepercentageofincreaseinthe
treadmill’selevation.
BasicLoad
(W)
ü
Theloadat
whichthe
ergometer
operates,in
watts.
Theloadatwhichtheergometer
operates,inwatts.
StoreMedian
First
üü
Theintervalatwhichtherst
medianreadingisstored.
StoreMedian
Repeat
üü
Theinterval
atwhicha
subsequent
median
readingis
stored.
Theintervalatwhichasubsequent
medianreadingisstored.
144MAC™20002053535-002S
SystemConguration
StressTestParameters(cont'd.)
Parameter
Treadmill
Ergometer
Master’sStepComment
BPFirst
üü
Theintervalatwhichtherst
bloodpressurereadingisstored.
BPRepeat
üü
Theinterval
atwhich
subsequent
blood
pressure
readingsare
stored.
Theintervalatwhichsubsequent
bloodpressurereadingsare
stored.
Youcanmodifythepre-denedprotocolstocreatecustomprotocols.Usethe
followinginstructionstocreateacustomprotocol:
1.OntheMainMenupressSystemConguration>StressECGSetup.
TheStressECGSetupwindowopens.
2.PressPageDown.
Thesecondpageopens.
3.SelectEditProtocolsandpresseitherEnterorthetrimpad.
Fortreadmillsandergometers,theSelectProtocolwindowopenstodisplay
applicableprotocols.Performstep4throughstep16.
ForMaster’sStepdevices,theEditMasterStepPost-Exercisewindowopensto
displaythedisplaythepost-exercisestages.Performstep8throughstep12.
4.PressAdd.
Alistoftemplatesopens.
5.Selectthetemplateonwhichyouwanttobasethenewprotocol.
Thetemplatesarebasedontheexistingprotocols.AnEmptyProtocolisalso
available.
6.PressOK.
TheAddProtocolwindowopens.
7.TypeanameforthenewprotocolandpressOK.
TheProtocolwindowopenswithallthestagesfromthetemplate.Youcan
nowadd,edit,ordeletestages.
8.Toaddastage,dothefollowing:
a.Selectthestagethatprecedesthenewstage.
b.PressAddStage.
Theselectedstageisduplicated.
c.Edittheduplicatestageasappropriate.
Seestep9.
2053535-002SMAC™2000145
SystemConguration
9.Toeditastage,dothefollowing:
a.Selectthestagetoedit.
b.PressEdit.
TheEditStagewindowopens.
c.Modifythestageparametersasappropriate.
Refertothetableprecedingtheseinstructionsforadescriptionofeach
parameter.
d.Whenyouaredone,pressOK.
TheEditStagewindowcloses.
10.Todeleteastage,dothefollowing:
a.Selectthestageyouwanttodelete.
b.PressDeleteStage.
Theselectedstageisdeleted.
11.ToremovecustomMaster’sStepstages,pressFactoryDefaults.
NOTE:
Resettreadmillsandergometerstofactorydefaultsattheprotocollevel.
Seestep15.
12.Repeatsteps8through10asnecessary.
13.Torenametheprotocol,dothefollowing:
a.PressEditName.
TheEditNamewindowopens.
NOTE:
ThisoptionisnotavailablewheneditingaMasterStepprotocol.
b.Changethenameasappropriate.
c.PressOK.
Theprotocol’snameischanged.
14.Whenyouaredonewiththestages,pressSave.
Thissavesyourchangesandreturnsyoutothepreviouswindow.
15.Toremovecustomprotocols,pressFactoryDefaults.
16.Whentheprotocolisdone,pressReturn.
TheprotocolissavedandyoureturntotheSelectProtocolwindow.
CommunicationSetup
TheCommunicationSetupfunctionallowsyoutodenethefollowingsettings:
•DataCommunicationSettingsandSharedDirectorySettings
•FTPserversettings
•DataCommunicationLocations
•Modemsettings(ifamodemoptionisactivated)
146MAC™20002053535-002S
SystemConguration
•WiredLANSettings(ifaLANoptionisactivatedforwiredcommunicationorwireless
communicationviawirelessbridge)
•WirelessNetworkingSettings(ifawirelessoptionisactivatedforwireless
communicationviaembeddedwirelessmodule)
•EAPCerticateSetting
•DCPSettings
NOTE:
ThissystemiscompatiblewithMUSEv7.1.1,v8.0.1,andv9.0.0,andCardioSoft/CS
V6.51,V6.61,v6.71,andV6.73.
ToaccesstheCommunicationSetup,ontheMainMenupressSystemConguration
>More>CommunicationSetup.
ThefollowingtablesdescribethesettingsonCommunicationSetup.
CommunicationSetup–DataCommunicationSettingsandSharedDirectory
Settings
Fields
Description
DefaultLocationDetermineswhichofthefouravailable
communicationlocationsisthedefault.Thelocations
aredenedonPage2ofthisCommunicationSetup
Fieldstable.
AllowExportUsingShared
Directory
DetermineswhetherECGrecordscanbeexportedto
asharednetworkdrive.
NOTE:
Thiseldisdisplayedifthecommunication
options(LANC,LANM,WIFM,orWIFC)isactivated.
Ifthiseldischecked,thefollowingveelds
becomeavailable(ShareName,Username,
Password,Conrm,andDomain).
2053535-002SMAC™2000147
SystemConguration
CommunicationSetup–DataCommunicationSettingsandSharedDirectorySettings(cont'd.)
Fields
Description
ShareNameIdentiesthenameofthesharednetworkdrive.It
mustbethesharedrive’sname;IPaddressesare
notsupported.Thiseldallowsamaximumof256
characters.
ThiseldisavailableonlyiftheAllowExportUsing
SharedDirectoryeldischecked.
Username
Identiestheusernamethatthesystemusestolog
ontotheshareddirectory.Theusermustbeset
uponthedomainwiththeappropriatepermissions
toaccesstheshareddirectory.Thiseldallowsa
maximumof30characters.
ThiseldisavailableonlyiftheAllowExportUsing
SharedDirectoryeldischecked.
PasswordIdentiesthepasswordthatthesystemusestologon
totheshareddirectory.Thiseldallowsamaximum
of30characters.
ThiseldisavailableonlyiftheAllowExportUsing
SharedDirectoryeldischecked.
ConrmRe-enterthepasswordinthiseldtoconrmthatthe
passwordwasenteredcorrectly.
ThiseldisavailableonlyiftheAllowExportUsing
SharedDirectoryeldischecked.
Domain
Identiestheuser’sdomain.Thiseldallowsa
maximumof30characters.
ThiseldisavailableonlyiftheAllowExportUsing
SharedDirectoryeldischecked.
TestConnection
Presstotestwhetherthesystemcanconnecttothe
shareddirectory.
ThiseldisavailableonlyifAllowExportUsing
SharedDirectoryisactivated.
148MAC™20002053535-002S
SystemConguration
CommunicationSetup–FTPServerSettings
Fields
Description
AllowExportUsingFTPDetermineswhetherECGrecordscanbeexported
toaFTPServer.AvailableonlyiftheLAN
CommunicationstoCardioSoft/CSoption(LANC),
LANCommunicationstoMUSEoption(LANM),
WirelessCommunicationstoMUSEoption(WIFM)or
WirelessCommunicationstoCardioSoft/CSoption
(WIFC)hasbeenactivated.
Ifthiseldischecked,thefollowingsixeldsbecome
available.
SecuredFTP(FTPS)DetermineswhethertosettheFTPasasecuredFTP.
ThiseldisavailableonlyiftheAllowExportUsing
FTPeldischecked.
FTPServer
IdentiestheFTPserverandpath.Thiseldallowsa
maximumof256characters.Theformatisftp://ftp
server/path.
ThiseldisavailableonlyiftheAllowExportUsing
FTPeldischecked.
Port
IdentiestheportforincomingIPconnections.The
portvaluesrangefrom1to65535.
ThiseldisavailableonlyiftheAllowExportUsing
FTPeldischecked.
Username
Identiestheusernamethesystemusestologonto
theFTPserver.Theusermusthavewritepermission
tothespecicpathoftheFTPserver.Thiseldallows
amaximumof30characters.
ThiseldisavailableonlyiftheAllowExportUsing
FTPeldischecked.
IftheFTPserversupportsanonymouslogin,boththe
usernameandpasswordcouldbeblank.
PasswordIdentiesthepasswordthesystemusestologonto
theFTPserver.Thepasswordshouldcontainonly
numeric,uppercase,andlowercaseletters.Thiseld
allowsamaximumof30characters.
ThiseldisavailableonlyiftheAllowExportUsing
FTPeldischecked.
IftheFTPserversupportsanonymouslogin,boththe
usernameandpasswordcouldbeblank.
TestConnection
Presstotestwhetherthesystemcanconnecttothe
FTPserver.
ThiseldisavailableonlyiftheAllowExportUsing
FTPeldischecked.
2053535-002SMAC™2000149
SystemConguration
CommunicationSetup–DataCommunicationLocations
Field
Description
Location
Identiesthenameofacommunicationlocationthat
receivesthetransmissionfromthesystem.Youcan
deneuptofourlocations.
Device
Identiesthetypeofdevicetousetotransmitdatato
thelocation.Optionsare:
•Serial
•Modem
•LAN
ModemandLANareavailableonlyifthe
correspondingoptionwasactivated.
Thiseldbecomesactiveonlyafteracorresponding
locationisentered.
150MAC™20002053535-002S
SystemConguration
CommunicationSetup–DataCommunicationLocations(cont'd.)
Field
Description
PhoneNumberIdentiesthelocation’sphonenumber.Thiseldis
availableonlyiftheselecteddeviceisModem.
ProtocolDeterminestheprotocoltousetocommunicatewith
thedevice.Optionsare:
•A5
•CSI
•DCP
SelectCSIforMUSEconnectionsandA5for
CardioSoft/CSconnections.
DCPisavailableonlyiftheselecteddeviceisLAN.
NOTE:
•WhenusingDCPtoconnecttotheMUSE8.0.1
systemandgetorders,theMUSEsystemonly
returnsordersthathavealocationvalue.
•WhenusingDCPtoconnecttotheMUSE8.0.1
systemtogetorders,theMUSEsystemdoes
notreturntheorderpriority(Normal,Preop,
Stat).
Thissystemcanuseseveralprotocolstocommunicatetestdataandretrievepatients
ororders.Youshouldchoosetheprotocolbasedonsystemswithwhichyouwant
toconnect,thedatayouwanttosendandreceive,andtheconnectiontype(LAN,
wireless,modem,orserial).
•DCP
ThisisanewerprotocolthatisfasterthanCSIandA5.DCPdoesnotrequirethis
systemtouseaxedIPaddress.ItiscurrentlycompatiblewiththeMUSE8.0
systemorlater,andotherGEHealthcaresystemsthatsupportDCP.Itsupports
retrievingpatientdemographicsandordersandsendingpatienttests.Youcan
useitwithLANorwirelessconnections.
•CSI
Thisisaprotocolthatreceivesaconnectionfromaserverandrequiresaxed
IPaddress.ItiscurrentlycompatiblewithallversionsoftheMUSEsystemand
CardioSoft/CSsystemv6.6andlater.Itsupportsretrievingpatientdemographics
andordersandsendingpatienttests.YoucanuseitwithLAN,wireless,modem,
andserialconnections.
•A5
2053535-002SMAC™2000151
SystemConguration
Thisisaserialprotocolthatyoucanuseforbackwardcompatibility.Itiscompatible
withallversionsoftheCardioSoft/CSsystem.Itsupportssendingpatienttests.You
canuseitwithmodemorserialconnections.
CommunicationSetup–ModemSettings
Field
Description
ModemInformstheuserthatthedeviceisusingthe
internalmodem.
DialingMethodDetermineswhetherthesystemusesatone
orpulsetodial.
DialtoneRequiredDetermineswhetherthesystemmustreceive
adialtonebeforedialing.
PINDialingIdentieswhetherapersonalidentication
number(PIN)isrequiredtodialout.If
thiseldischecked,youmustcomplete
thefollowingthreeelds(Delay,Service
ProviderNumber,andPINNumber).
DelayDetermineshowlong,inseconds,thesystem
shouldpausebetweendialingtheService
ProviderNumberandthePINNumberand
betweendialingthePINNumberandthe
OutsideLine.
ServiceProviderNumberIdentiestheserviceprovider’saccess
telephonenumber.
PINNumberIdentiesthepersonalidenticationnumber
toenter.
152MAC™20002053535-002S
SystemConguration
CommunicationSetup–ModemSettings(cont'd.)
Field
Description
OutsideLineIdentiesanyaccessnumbersthatmustbe
dialedtoreachanoutsideline.
ManualDialingDetermineswhetherthesystem
automaticallydials.Ifthiseldischecked,
theconnectionmustbemademanually.If
thiseldiscleared,thesystemautomatically
dialsandyoumustcompletethefollowing
elds:
•DialingMethod
•DialtoneRequired
•PINDialing
Thefollowingeldsareonlydisplayedifoneorbothofthefollowingoptionsare
activatedforLANorWLANcommunications.
NOTE:
PleasecheckwithaGEHealthcarerepresentativeregardingthewirelesssolution
availableinyourcountry.
•LANcommunicationstoaCardioSoft/CSsystem(LANC)
•LANcommunicationstoaMUSEsystem(LANM)
2053535-002SMAC™2000153
SystemConguration
CommunicationSetup–WiredLANSettings
Field
Description
CardiographDeviceNameIdentiesthenameofthedeviceonthe
network.Bydefault,thevalueissetto
GE_<serialnumber>.Avalidnetwork
devicenamecontainsbetween1and20
alphanumericandunderscorecharacters.
Therstcharactermustbealetter.
ThiseldisavailableonlyifaLANorWireless
optionwasactivated.
Serial/IPRedirectorListenPortIdentiestheportwherethedeviceshould
listenforincomingserial/IPconnections.
Thesecommunicationsmustmatchthe
valuesdenedonthetransmittingMUSE
system.
ThissettingonlyappliestotheCSIprotocol.
ObtainanIPaddressautomatically(DHCP)Determineswhetherthedeviceautomatically
receivesanIPaddressfromthenetwork.
IfthisboxischeckedandLANcommunication
toaMUSEsystemisenabled,youmust
conguretheDHCPservertoreserveastatic
IPaddressforthedevice.Contactyour
networkadministratorforassistance.
Ifthiseldischecked,theIPAddress,
Netmask,andGatewayeldsaredisplay
only.Ifthiseldiscleared,youmust
completethoseelds.
IPAddressIdentiestheIPaddressofthedevice.Ifthe
ObtainanIPaddressautomatically(DHCP)
eldiscleared,youmustdeneauniqueIP
address.
NetmaskIdentiesthenetmaskofthedevice.Ifthe
ObtainanIPaddressautomatically(DHCP)
eldiscleared,youmustdeneanetmask.
Gateway
IdentiestheIPaddressofthegatewayfor
thedevicetouse.IftheObtainanIPaddress
automatically(DHCP)eldiscleared,you
mustenterthegateway’sIPaddress.
ObtainDNSserviceaddressautomatically
(DHCP)
Determineswhetherthedeviceautomatically
obtainsaDNS(DomainNameServer)IP
address.Ifthiseldischecked,thefollowing
twoeldsaredisplay-only.Ifthiseldis
cleared,youmustdenetheIPaddressof
theDNSserverstouse.
PreferredDNSServerIdentiestheIPaddressoftheprimaryDNS
serverusedtoresolveInternetdomain
names.
AlternateDNSServerIdentiestheIPaddressofthesecondary
DNSserverusedtoresolveInternetdomain
names.
154MAC™20002053535-002S
SystemConguration
CommunicationSetup–WiredLANSettings(cont'd.)
Field
Description
PreferredWINSServerIdentiestheIPaddressoftheprimaryWINS
serverusedtoresolveWindowshostnames.
YoumusthavethecorrectWINSaddress
conguredifyouareusingasharedfolder
forcommunication.
AlternateWINSServerIdentiestheIPaddressofthesecondary
WINSserverusedtoresolveWindowshost
names.
YoumusthavethecorrectWINSaddress
conguredifyouareusingasharedfolder
forcommunication.
Thefollowingeldsareonlydisplayedifoneorbothofthefollowingoptionsare
activatedforWLANcommunications.
NOTE:
Thesewirelessnetworksettingseldsareapplicableonlyifthewirelessoption
ispurchased.
PleasecheckwithaGEHealthcarerepresentativeregardingthewirelesssolution
availableinyourcountry.
•WIFC-wirelesscommunicationtoaCardioSoft/CSsystem
•WIFM-wirelesscommunicationtoaMUSEsystem
2053535-002SMAC™2000155
SystemConguration
CommunicationSetup–WirelessNetworkingSettings
Field
Description
EnableWirelessLAN
Enables/disableswirelessLANconnectivity.
Checktheeldtoenablewireless.Cleartheeldto
disablewireless.Theeldisclearedbydefault.
NetworkName(SSID)Speciesthenameofthewirelesslocalarea
network(WLAN).Thisledallowsamaximumof32
characters.
NOTE:
Whenthenetworknameisempty,thesystem
connectstoanyavailablenetwork.
ThesystemusesInfrastructureMode(wireless
accesspoint)toprovidetheconnectionwith
Enterprisenetworkorinternet.
AuthenticationSpeciestheauthenticationprotocol.
Valuesare:
•Open
•Shared
•WPA-PSK
•WPA2–PSK
•WPA
•WPA2
Encryption
Theusernetcongurationdeterminestheencryption.
Valuesare:
•Disabled
•WEP
•TKIP
•AES
Enable802.1Xauthenticationon
thisnetwork
Enable/Disable802.1Xauthentication.
Checktoenable802.1X.
Cleartheeldtodisable802.1X.
EAPPhase1SpeciestheEAPauthenticationmethod.
Valuesare:
•PEAP
•TLS
Availablefortheembeddedwirelessmoduleonly
•TTLS
Availablefortheembeddedwirelessmoduleonly.
156MAC™20002053535-002S
SystemConguration
CommunicationSetup–WirelessNetworkingSettings(cont'd.)
Field
Description
EAPPhase2SpeciestheEAPauthenticationmethod.
Valuesare:
•MSCHAPV2
•MSCHAP
•CHAP
•PAP
•GTC
NOTE:
Ifyouareusingtheembeddedwirelessmodule:
•MSCHAPV2andGTCareavailableifyou
selectPEAPinEAPPhase1.
•MSCHAPV2,MSCHAP,CHAP,andPAPare
availableifyouselectTTLSinEAPPhase1.
Username
TheusernameforEAPauthentication.
UserpasswordThisisthepasswordtouseforEAPauthentication.
2053535-002SMAC™2000157
SystemConguration
CommunicationSetup–EAPCerticateSetting
Field
Description
ValidateServerAllowsyoutodeterminewhetherallclientsmust
validatetheserver'scerticatebeforetheycan
establishaconnection.Toenableservervalidation,
selectthecheckbox.
ThiseldisavailableonlyifPEAPorTTLSisselected
intheEAPPhase1eldontheWirelessNetworking
Settingswindow.
CACerticateAllowsyoutochooseaCA(CerticateAuthority)
certicatethatthesystemcanusetoverifythatthe
peer'sservercerticateisvalid.
IfTLSisselectedintheEAPPhase1eldonthe
WirelessNetworkingSettingswindow,aCA
certicatemustbeselectedfromtheSDcardroot
path.
IfPEAPorTTLSisselectedintheEAPPhase1eld
ontheWirelessNetworkingSettingswindow,this
eldisoptional.
ClientPublicKeyAllowsyoutochooseaclientpublickeyusedfor
clientauthentication.Thekeylesmustusethe"cer"
extensionontherootpathoftheSDcard,ortheles
willnotberecognizedbythesystem.
ThiseldisavailableonlyifTLSisselectedintheEAP
Phase1eldontheWirelessNetworkingSettings
window.
ClientPrivateKeyAllowsyoutochooseaclientprivatekeyusedfor
clientauthentication.Thekeylesmustusethe"pvk"
extensionontherootpathoftheSDcard,ortheles
willnotberecognizedbythesystem.
ThiseldisavailableonlyifTLSisselectedintheEAP
Phase1eldontheWirelessNetworkingSettings
window.
ClientPrivateKeyPasswordAllowsyoutoinputaclientprivatekeypassword
whichisneededforinstallingaclientcerticateon
thedevice.
ThiseldisavailableonlyifTLSisselectedintheEAP
Phase1eldontheWirelessNetworkingSettings
window.
158MAC™20002053535-002S
SystemConguration
CommunicationSetup–DCPSettingsFields
Field
Description
DiscoverDCPDevice
AllowsyoutodiscoverGEHealthcaresystemsthat
supportDCPserversonthesamenetworksubnetas
thissystem.
ThiscommandreturnsalistofDCPserversandyou
canselectoneofthemforcommunication.Usually
thereisonlyoneserverfromwhichtochoose.Ifno
serversaredisplayed,youcanenteronemanually.
DCPWSAddressDisplaystheaddressoftheDCPservertousefor
communication.Youcanlocatethisaddressusing
DiscoverDCPDeviceorenteritmanually.
Aserveraddresshastheformhttp://
<server-name>:<port>/SendTest,where
<server-name>istheservernameorIPaddressand
<port>istheserverportnumber,usually9240.
TestDeviceConnection
AllowsyoutotesttheconnectiontotheselectedDCP
server.
Thestatusoftheconnectionisdisplayedinthetext
box.
CountrySetup
TheCountrySetupfunctionallowsyoutodenethefollowing:
•Systemlanguage
•Dateandtimeformats
•Measurementunits
•Linelter
•Leadlabel
ToaccesstheCountrySetup,ontheMainMenupressSystemConguration>More
>CountrySetup.
2053535-002SMAC™2000159
SystemConguration
ThefollowingtableidentiesthesettingsonCountrySetup.
CountrySetupFields
Field
Comments
Language
Determinesthelanguagetheinterfaceand
reportsuse.
DateFormat
Determinestheformatinwhichdatesare
displayed.Optionsare:
•DD.MM.YYYY
•MM/DD/YYYY
•YYYY-MM-DD
TimeFormat
Determineswhetherthesystemusesa
12–hourora24–hourformat.
Height/WeightUnitDetermineswhetherthesystemuses
metricmeasurements(cm,kg)orAmerican
measurements(in,lb)forpatientweightand
height.
SpeedUnitDetermineswhetherthespeedofstress
devicesismeasuredinkilometersperhour
(km/h)ormilesperhour(mph).
STLevelUnitDetermineswhethertheSTsegmentis
measuredinmillivolts(mV)ormillimeters
(mm).
BloodPressureUnitDetermineswhetherbloodpressureis
measuredinmillimetersofmercury(mmHg)
orkilopascals(kPa).
LineFilterDeterminesthefrequencyofthelinelter.
Optionsare50Hzand60Hz.
LeadLabelDetermineswhetherthesystemlabelsleads
usingthestandardsoftheInternational
ElectrotechnicalCommission(IEC)orthe
AmericanHeartAssociation(AHA).
PrintSetupReport
ThePrintSetupReportutilityprintsareportofindividualsettingsorthecomplete
systemsettings.Youmayusethereporttoverifythatallofyourdevicesare
conguredidenticallyorasareferenceifyouneedtore-congureadevice.
160MAC™20002053535-002S
SystemConguration
Usethefollowinginstructionstoprintasetupreport:
1.OntheMainMenupressSystemConguration>More>PrintSetupReport.
2.OnthePrintSetupReportwindow,selectthereportyouwanttoprint.
•BasicSetup
•RestingSetup
•ArrhythmiaSetup
•StressSetup
•RRAnalysisSetup
•CommunicationSetup
•CountrySetup
•PatientSetup
•UserSetup
•OptionsSetup
•OrderManagerSetup
•CompleteSetup
3.Whenyouaredone,pressReturntoreturntotheMainMenu.
PatientSetup
ThePatientSetupfunctionallowsyoutodenethefollowinginformation:
•Availableandrequiredpatientinformation
•Availabletestinformation
•Availableclinicaltrialinformation
2053535-002SMAC™2000161
SystemConguration
ThisisavailableonlyiftheCTDGCTDataGuardoptionisactivated.
•Barcodereadersettings
ThisisavailableonlyiftheBCRDUSBBarcodeReaderoptionisactivated
ToaccessPatientSetup,ontheMainMenupressSystemConguration>More>
PatientSetup.
ThefollowingtablesidentifythesettingsonPatientSetup.
PatientInformationSetupFields
Field
Description
Visit
DetermineswhethertheVisiteldisavailablewhen
enteringtestinformation.
PatientID
DetermineswhetherthepatientIDisrequired.On
reports,itislabelledID.
SecondaryIDDetermineswhetherasecondarypatientIDis
availablewhenenteringpatientdataandwhetherit
isrequired.Itcanonlyberequiredifitisrstenabled.
Onreports,itislabelledID2.
LastName
Determineswhetherthepatient’slastnameeldis
availablewhenenteringpatientdataandwhetherit
isrequired.Itcanonlyberequiredifitisrstenabled.
FirstName
Determineswhetherthepatient’srstnameeldis
availablewhenenteringpatientdataandwhetherit
isrequired.Itcanonlyberequiredifitisrstenabled.
KanjiName
DetermineswhethertheKanjinameeldisavailable
whenenteringpatientdata.
DateofBirthDetermineswhetherthedateofbirtheldisavailable
whenenteringpatientdata.
Age
Determineswhethertheageeldisavailablewhen
enteringpatientdata.
162MAC™20002053535-002S
SystemConguration
PatientInformationSetupFields(cont'd.)
Field
Description
HeightDetermineswhethertheheighteldisavailable
whenenteringpatientdata.
WeightDetermineswhethertheweighteldisavailable
whenenteringpatientdata.
GenderDetermineswhetherthegendereldisavailable
whenenteringpatientdata.
Race
Determineswhethertheraceeldisavailablewhen
enteringpatientdata.
PhoneNumberDetermineswhetherthephonenumbereldis
availablewhenenteringpatientdata.
PacemakerDetermineswhetherthepacemakereldisavailable
whenenteringpatientdata.
EnablePatientIDCheckDetermineswhetheradditionalchecksareperformed
toensurethatthepatientIDmeetstherequirements
ofthenationalpatientIDusedinScandinavian
countries.Ifthiseldisset,youmustselectthe
appropriatePatientIDType.
PatientIDType
ThiseldisavailableonlyiftheEnablePatientID
Checkeldisset.Thiselddetermineswhichtypeof
IDisusedand,therefore,whichcheckstoperform.
Optionsare:
•SwedishPatientID
•DanishPatientID
•NorwegianPatientID
WhenapatientIDisentered,thesystemveriesits
format,extractsthepatient’sgenderanddateof
birth,andpopulatesthoseeldsiftheyareenabled.
PatientIDLength(0-30)DenesthemaximumlengthofthepatientIDwithin
therangeof0to30characters.
ThiseldisavailableonlyiftheEnablePatientID
Checkeldiscleared.
PatientIDwithleadingzerosDetermineswhetherthesystemshouldprexthe
PatientIDwithzeroestollinthelengthofthe
PatientIDspeciedintheeldPatientIDLength.
Forexample,Iftheuserselectedthelengthofthe
PatientIDeldas10andenteredthePIDPID098,it
isdisplayedbythesystemas0000PID098.
SortPatientListbyDeterminestheeldbywhichthepatientlistis
sorted.Optionsare:
•PatientID
•SecondaryID
•PatientName
2053535-002SMAC™2000163
SystemConguration
TestInformationWindow
Fields
Comments
SystolicBPDetermineswhetherthesystolicbloodpressureeldis
availablewhenenteringtestinformation.
DiastolicBPDetermineswhetherthediastolicbloodpressureeldis
availablewhenenteringtestinformation.
Print
Determinewhetherthefollowing5eldswillbeprintedon
thermalorPDFreport.
Location
Determineswhetherthelocationeldisavailablewhen
enteringtestinformation.
Room
Determineswhethertheroomeldisavailablewhenentering
testinformation.
OrderNumberDetermineswhethertheordernumbereldisavailablewhen
enteringtestinformation.
IndicationDetermineswhethertheindicationeldisavailablewhen
enteringtestinformation.
Medications(0-3)Determinesthenumberofmedicationsthatyoucanenterinto
thetestinformationwindow.
Print
Determinewhetherthefollowing4eldswillbeprintedon
thermalorPDFreport.
OrderingPhysicianDetermineswhethertheorderingphysicianeldisavailable
whenenteringtestinformation.
ReferringPhysicianDetermineswhetherthereferringphysicianeldisavailable
whenenteringtestinformation.
AttendingPhysicianDetermineswhethertheattendingphysicianeldisavailable
whenenteringtestinformation.
TechnicianDetermineswhetherthetechnicianeldisavailablewhen
enteringtestinformationandwhetheritisrequired.Itis
requiredonlyifitisenabled.
164MAC™20002053535-002S
SystemConguration
TestInformationWindow(cont'd.)
Fields
Comments
Print
Determinewhetherthefollowingeldwillbeprintedon
thermalorPDFreport.
ExtraQuestions…
OpenstheExtraQuestionswindow,whichallowsyoutodene
uptofourcustomelds.EacheldconsistsofaPromptanda
Type.ThePromptcanbeupto10characters.TheTypecan
beanyofthefollowing:
•Alphanumeric
•Numeric
•Yes/No/Unknown
PatientSetup—ClinicalTrialSetupWindow
Field
Comments
VisitNumberDetermineswhetherthevisitnumbereld
isavailablewhenenteringclinicaltrial
information.
VisitType
Determineswhetherthevisittypeeld
isavailablewhenenteringclinicaltrial
information.
DoseType
DetermineswhethertheDoseTypeeld
isavailablewhenenteringclinicaltrial
information.Ifthiseldisset,useDoseList…
todenethetypesofdosesthatareavailable
whenenteringclinicaltrialinformation.
InvestigatorID
DetermineswhethertheinvestigatorID
eldisavailablewhenenteringclinicaltrial
information.
2053535-002SMAC™2000165
SystemConguration
PatientSetup—ClinicalTrialSetupWindow(cont'd.)
Field
Comments
ExtraQuestions
OpenstheExtraQuestionswindow,which
allowsyoutodeneuptoecustomclinical
testelds.
EacheldconsistsofaPromptandaType.
ThePromptcanbeupto10character.The
Typecanbeanyofthefollowing:
•Alphanumeric
•Numeric
•Yes/No/Unknown
DoseList
OpenstheDoseListwindow,whichallows
youtodenethedosetypesthatwill
beavailablewhenenteringclinicaltrial
information.
Dosesareplaintextupto32alphanumeric
characters.
Theusercanaddupto20does.
ProjectCodeandTrialIDIdentiestheProjectCodeandTrialIDthat
aredisplayedwhenenteringclinicaltrial
information.
Allowstheusertodeneuptovesetsof
ProjectCodeandTrialID.
166MAC™20002053535-002S
SystemConguration
BarcodeScannerSetup
Field
Comments
AutoCongureAutomaticallyconguresthebarcodereader.Whenyouclick
thislink,youarepromptedtoscanacongurationbarcode
createdbythesite’sITdepartment.
Formoreinformationoncreatingthebarcodes,see“Creating
Barcodes”onpage203.
TotalnumberofbytesIdentiesthetotalnumberofbytesonthebarcode.
OffsetIdentiesthepositionoftheinitialcharacterofthe
correspondingeld.
LengthIdentiesthenumberofcharactersforthecorrespondingeld.
UserSetup
TheUserSetupfunctionallowsyoutodenethefollowing:
•Usernames
•Useridentication
•Userroles
•Userprivileges
Usersenteredinsetupcanbeselectedforsystemdefaultsandpatientinformation.
IfHighSecurityModeisenabled,anyonewhousesthesystemmustbesetupasa
userwithauserID,apassword,andprivilegestologontothesystem.Formore
informationonsettingsystemdefaultsandenablingHighSecurityMode,see“Basic
Setup”onpage119.
ToaccessUserSetup,ontheMainMenupressSystemConguration>More>User
Setup.
2053535-002SMAC™2000167
SystemConguration
WhenyourunUserSetup,theEditUserListswindowopenstooffertheoptions:
•Security
•ExportRecoveryKey
NOTE:
ThisoptiondisplaysonlyifHighSecurityModeisenabled.
•OrderingPhysicians
•ReferringPhysicians
•AttendingPhysicians
•Technicians
CongurethePasswordRule
InUserSetup>EditUserListswindow,selectSecuritytocongurethepasswordrule:
168MAC™20002053535-002S
SystemConguration
Field
ActionDescription
UserPassword
Expiration
Enableordisable
thissetting.
Ifthissettingisenabled,setthedurationfor
passwordexpirationintheMinimumvalidity
period(0–364days)andMaximumvalidity
period(2–365days)elds.Thepasswordexpires
aftertheconguredduration,andtheuseris
promptedtosetanewpassword.
Ifthissettingisdisabled,thepassworddoesnot
expire.
Defaultvalue:Disabled
Minimumvalidity
period(0–364
days)
Settheminimum
password
expiration
durationindays.
UserPassword
Expirationmustbe
enabled.
Defaultvalueforminimum:0
Allowedvaluesforminimum:0to364
Thepasswordcannotbechangedduringtheset
period(indays).
Maximumvalidity
period(2–365days)
Setthemaximum
password
expiration
durationindays.
UserPassword
Expirationmustbe
enabled.
Defaultvalueformaximum:365
Allowedvaluesformaximum:2to365
Thepasswordwillexpireafterthesettime(in
days).
Minimum
PasswordLength
Settheminimum
numberof
characters
requiredforauser
password.
Whileaddingormodifyingauser,iftheuser
passworddoesnotmeettheminimumnumber
ofrequiredcharacters,thepasswordisnot
acceptedbythesystem.
Thepasswordisnotacceptedbythesystemif
theuserdoesnotaddtheminimumnumberof
requiredcharacters.
Defaultvalue:8
Allowedvalues:8to14
2053535-002SMAC™2000169
SystemConguration
PreventReuse
ofPrevious
Password
Selectavaluefrom
thedrop-downlist.
Defaultvalue:10
Allowedvalues:10to32
Lowercase
Enableordisable
thissetting.
Ifenabled,theusermustaddlowercasealphabet
charactersinthepassword.
Ifdisabled,theuserdoesnotneedtoadd
lowercasealphabetcharactersinthepassword.
Defaultvalue:Disabled
Numeric
Enableordisable
thissetting.
Ifenabled,theusermustaddnumericcharacters
inthepassword.
Ifdisabled,theuserdoesnotneedtoadd
numericcharactersinthepassword.
Defaultvalue:Disabled
Uppercase
Enableordisable
thissetting.
Ifenabled,theusermustadduppercase
alphabetcharactersinthepassword.
Ifdisable,theuserdoesnotneedtoadd
uppercasealphabetcharactersinthepassword.
Defaultvalue:Disabled
SpecialCharactersEnableordisable
thissetting.
SpecialCharacters:~`!@#$%^&*()_+{}|:\"<>?[]\
\;',./
Ifenabled,theusermustaddspecialcharacters
inthepassword.
Ifdisabled,theuserdoesnotneedtoaddspecial
charactersinthepassword.
Defaultvalue:Disabled
AccountLockout
Attempts(0–99)
Selectavaluefrom
thedrop-downlist
tolocktheaccount
afterfailedlogon
attempts.
Defaultvalue:5
Allowedvalues:0to99
AccountLockout
Duration(1–120
min)
Selectavaluefrom
thedrop-downlist
tosettheduration
(inminutes)for
theaccounttobe
locked.
Defaultvalue:1
Allowedvalues:1to120
ExportRecoveryKey
InUserSetup>EditUserListswindow,ifHighSecurityModeisenabled,followbelow
stepstoExportRecoveryKey:
1.InserttheSDcard.
2.PressExportRecoveryKey.Amessagedisplays:Recoverykeyexported
successfully.
NOTE:
Therecoverykeyisusedtorecoverthesystemwhenyouforgetyourpassword.
See“HighSecurityMode”onpage46.
170MAC™20002053535-002S
SystemConguration
CongureUser
InUserSetup>EditUserListswindow,whenyouselectoneofbelowroles,alist
ofexistinguserswiththatroledisplays.
•OrderingPhysicians
•ReferringPhysicians
•AttendingPhysicians
•Technicians
Youcanadd,edit,anddeleteusers.
ThefollowingtableidentiesthesettingsonUserSetup.
Field
Comment
LastName
Identiestheuser’ssurname.
Thiseldisrequiredandallowsamaximumof40alphanumeric
characters.
FirstName
Identiestheuser’sgivenname.
Thiseldisoptional,butifused,allowsamaximumof20
alphanumericcharacters.
UserID
DenesauniqueIDfortheuser.
IfHighSecurityModeisenabled,theuserneedstoenterthisID
tologontothesystem.
Thiseldisrequiredandallowsamaximumof30alphanumeric
characters.
NOTE:
ThesystemdoesnotpreventduplicateIDs.IfthesameIDis
usedmorethanonce,onlytherstusercreatedwiththeIDis
abletologontothesystem.
MUSEID
DenestheIDwithwhichtheuserlogsontotheMUSEsystem.
Thiseldisusedifreportsfromthissystemaretransmittedtoa
MUSEsystem.
OrderingDetermineswhethertheuserllstheroleoforderingphysician.If
thisistherolethatwasselectedontheEditUserListwindow,this
eldischeckedbydefault.Youmayselectmultipleroles,butyou
mustselectatleastonerole.
ReferringDetermineswhethertheuserllstheroleofreferringphysician.If
thisistherolethatwasselectedontheEditUserListwindow,this
eldischeckedbydefault.Youmayselectmultipleroles,butyou
mustselectatleastonerole.
AttendingDetermineswhethertheuserllstheroleofattendingphysician.If
thisistherolethatwasselectedontheEditUserListwindow,this
eldischeckedbydefault.Youmayselectmultipleroles,butyou
mustselectatleastonerole.
TechnicianDetermineswhethertheuserllstheroleoftechnician.Ifthisisthe
rolethatwasselectedontheEditUserListwindow,thiseldis
checkedbydefault.Youmayselectmultipleroles,butyoumust
selectatleastonerole.
2053535-002SMAC™2000171
SystemConguration
Field
Comment
PasswordDenesthepasswordtheusermustenteralongwiththeUserIDto
logontothesystemifHighSecurityModeisenabled.
Thiseldmustbebetween6and30alphanumericcharacters.
RetypePasswordConrmsthepasswordwasenteredcorrectly.
EditSetup
Enables/disablestheuser’sabilitytoeditsystemsetupinformation.
EditDateandTime
Enables/disablestheuser’sabilitytoeditsystemdateandtime.
EditUsers
Enables/disablestheuser’sabilitytoedituserinformation.
EditRecord
Enables/disablestheuser’sabilitytoeditECGrecords.
DeleteRecord
Enables/disablestheuser’sabilitytodeleteECGrecords.
TransmitRecords
Enables/disablestheuser’sabilitytotransmitECGrecords.
NOTE:
IntheeldsEditUsersandEditSetup,privilegesarerequiredbytheactivated
usertoactivateHighSecuritymode.
IntheeldsEditSetupandDeleteRecord,privilegesarerequiredbytheactivated
usertoexportthesystemaudittraillog.
SelectSetup
TheSelectSetuputilityallowsyoutosaveuptovesystemcongurationsand
switchbetweenthem.Thisisusefulifthesystemissharedbydepartmentsorused
inmultipleclinicaltrials.
Usethefollowinginstructionstosaveandloadcongurationles:
1.OntheMainMenupressSystemConguration>More>More>SelectSetup.
TheSelectSetupwindowopens.Thenameofthesetupthesystemisusing
currentlyisdisplayedintheLoadedSetupeld.
2.Tosaveacopyofthecurrentsetup,dothefollowing:
a.PressSaveAs.
TheSetupNamewindowopens.
b.TypeanameforthecongurationandpressSave.
Thecongurationissaved,andtheSetupNamewindowcloses.
3.Toloadadifferentsetup,dothefollowing:
a.Selectthesetupyouwanttoload.
b.PressLoadSetup.
c.Restartthesystem.
Youmustpowerthedeviceoffandthenonforallsetupchangestotake
effect,especiallyifthenewsetupincludesachangetothelanguage
setting;thelanguagedoesnotchangeuntilthesystemrestarts.
172MAC™20002053535-002S
SystemConguration
4.Todeleteasetuple,dothefollowing:
a.Selecttheleyouwanttodelete.
b.PressDelete.
Youarepromptedtoconrmthedeletion.
c.PressOK.
NOTE:
Youcannotdeleteacongurationthatiscurrentlyloaded.
5.Tochangethenameofasystemsetuple,dothefollowing:
a.Selectthesetupleyouwanttochange.
b.PressEditName.
TheSetupNamewindowopens.
c.TypethenewnameandpressSave.
6.Toremoveallcustomsettings,dothefollowing:
a.Selectthesetupleyouwanttoreset.
b.PressFactoryDefaults.
c.Whenpromptedtoconrm,pressSave.
7.Whenyouaredone,pressReturntoexit.
ImportSetup
TheImportSetuputilityallowsyoutoimportuptovesystemsetuplesfromanother
devicethatwereexportedtoanSDcard.Thisfeatureisusefultositeswithmultiple
systemsthatneedtohavethesameorsimilarsetups.
1.InserttheSDcardwiththesavedsetuple.
IfyoudonothaveavalidSDcard,youreceivethefollowingmessage:
2.OntheMainMenupressSystemConguration>More>More>ImportSetup.
TheSelectSetupforImportwindowopens.
2053535-002SMAC™2000173
SystemConguration
Allsavedsettingsonthedevicearelistedintheleftcolumn.Allsavedsettings
ontheSDcardarelistedintherightcolumn.
3.Intherightpane,selectthesetupleyouwanttoimport.
4.PressImport.
Theselectedleiscopiedtothedeviceandisdisplayedintheleftcolumn.
5.Repeatstep3throughstep4foreachsavedcongurationleyouwantto
import.
6.Whenyouaredone,pressReturn.
ExportSetup
TheExportSetuputilityallowsyoutoexportsavedsettingsfromthedevicetoanSD
card.YoucanthenusetheSDcardtoimportthesettingstoanotherdevice,greatly
simplifyingtheinstallationandcongurationofmultipledevices.
1.InsertanSDcardintotheSDcardslotinthebackpanel,asshowninthe
followingillustration:
2.PushtheSDcardintotheslottoseatitinplace.
3.OntheMainMenupressSystemConguration>More>More>ExportSetup.
TheSelectSetupforExportwindowopens.Allsavedsettingsonthedevice
arelistedintheleftcolumn.AllsavedsettingsontheSDcardarelistedinthe
rightcolumn.
4.Intheleftpane,selectthesetupleyouwanttoexport.
5.PressExport.
TheselectedleiscopiedtotheSDcardandisdisplayedintherightcolumn.
174MAC™20002053535-002S
SystemConguration
6.Repeatstep4throughstep5foreachsavedcongurationleyouwantto
export.
7.Whenyouaredone,pressReturn.
OptionsSetup
TheOptionsSetupfunctionallowsyoutoactivateoptionsbyenteringOptionCodes,
whicharegeneratedforaspecicserialnumberandcanonlyactivateoptionsonthe
devicewiththatserialnumber.
Allpurchasedoptionsareactivatedwhenthesystemships.Ifyoupurchaseanew
optionorre-activateanoption,usethefollowinginstructions:
1.OntheMainMenupressSystemConguration>More>More>OptionsSetup.
2.IntheOptionCodeeld,typethe12–digitactivationcode.
YoucanndactivationcodesforpurchasedoptionsontheActiveCode
SummarySheetprovidedwiththesystemorwithadditionalpurchasedoptions.
3.PressEnter.
TheOptionActivatedmessageisdisplayedatthebottomofthewindow.
4.Repeatstep2throughstep3foranyadditionaloptionsyouwanttoactivate.
5.PressSavetosavethecongurationoptions.
OptionCodes
OptionCode
Name
CTDG
CTDataGuard
R12L
12–LeaddisplayforRestingECG.Thisisalwaysactive.
FULL
FullDisclosure
ME1212SLMeasurement
MEHR
HEARTRestingMeasurement
MI12
12SLMeasurementandInterpretation
MIHR
HEARTRestingMeasurementandInterpretation
2053535-002SMAC™2000175
SystemConguration
OptionCodes(cont'd.)
OptionCode
Name
M100
Storagefor100ECGs
M200
Storagefor200ECGs.
LANC
LANCommunicationtotheCardioSoft/CSsystem
LANM
LANCommunicationtotheMUSEsystem
MODC
ModemorserialcommunicationtotheCardioSoft/CSsystem
MODM
ModemorserialcommunicationtotheMUSEsystem
ERGO
Stresstestwithtreadmill,bicycle,orMaster’sSteptest.
Thisisa6–leadwaveformdisplay.
E12L
12–LeaddisplayforStressTest
CFRA
21CFRPart11AuditTrail
BCRD
USBBarcodeReader
TIPI
ACI-TIPI(AcuteCardiacIschemia—TimeInsensitivePredictive
Instrument)
ThisoptionisdisabledifMEHRorMIHRisenabled.
RRAN
RRanalysis
PDFC
PDFlecopy
WIFC
WirelesscommunicationstoaCardioSoft/CSsystem
WIFM
WirelesscommunicationstoaMUSEsystem
SOML
SimpleOrdersfromnon-MUSEsystems
SOMF
SimpleOrdersfromMUSEandnon-MUSEsystems
AOMF
OrderManagerforMUSEandnon-MUSEsystems
AOML
OrderManagerfornon-MUSEsystems
ADTF
ADT(PatientDemographics)downloadedfromMUSEand
non-MUSEsystems
ADTL
ADT(PatientDemographics)downloadedfromnon-MUSEsystems
NOTE:
Todisableanoption,gotoSystemConguration>OptionCodes,typethetext
disable<optioncode>inthetextboxandpressOK.
Forexample,todisableADTL,typedisableADTLinthetextboxandpressOK.
ServiceSetup
TheServiceSetupoptionallowsservicepersonneltocongurethefollowing:
•DeviceSettings
•EventLog
•SystemDiagnostics
176MAC™20002053535-002S
SystemConguration
•SoftwareUpdate
•FormatFlash
•OpenCommandPrompt
•SetPassword
•WIFIParameterSettings
•WirelessCountryofOperation
Servicepersonnelneedtoentertheservicepasswordtogainaccesstothesystem.
Refertotheservicemanualforyoursystemformoredetails.
Date/TimeSetup
TheDate/TimeSetupfunctionallowsyoutocongurethesystem’sdateandtime
settings.
ToaccessDate/TimeSetup,ontheMainMenupressSystemConguration>More>
More>More>Date/TimeSetup.
ThefollowingtableidentiesthesettingsonDate/TimeSetup.
DateandTimeSetupFields
Field
Description
Date
Setsthecurrentsystemdate.Theformatoftheelds
dependsonthedateformatselectedonCountry
Setup.
Formoreinformation,see“CountrySetup”onpage
159.
Time
Setsthecurrentsystemtime.IftheAutomatically
SynchronizewithTimeServereldissetonBasic
Setup,anychangesmadetothetimeareoverwritten
duringthenextsynchronization.
Formoreinformation,see“BasicSetup”onpage119.
NOTE:
DaylightSavingTimechangestakeeffectonly
afterarestart.
2053535-002SMAC™2000177
SystemConguration
OrderManagerSetup
OrderManagerSetupFields
Field
Comment
InitialsortvalueDetermineshowtheOrderManagerinitiallysorts
theECGs.Selectoneofthefollowingvalues:
•PatientName
•PatientID
•Location
AutoOrderDeletionIfenabled,thesystemdeletesordersassociatedwith
ECGlesthatweredeletedautomatically.Automatic
deletionofECGlescanhappeninthefollowing
conditions:
•DeleteafterTransmissioneldontheResting
ECGSetupwindowisenabledandtheassociated
ECGlewassuccessfullytransmittedtoa
receivingsystem.
•AfterthesuccessfultransmissionofanECGle
associatedwithanorder,providedtheECGwas
neversavedonthesystem.
DefaultOrderLocation(s),
forexample1,13,65:
Identiesthelocationsdisplayedontheprompt
whendownloadingorders.Thiswilltypicallybethe
device'slocation(see“BasicSetup”onpage119).
Ifthedeviceisusedinmultiplelocations,enter
multiplelocationsandseparatethemwithcommas:
1,3,10,andsoon.
RRAnalysisSetup
TheRRAnalysisSetupfunctionallowsyoutoconguretheRRAnalysisreport.For
details,see“RRAnalysisSetup”onpage95.
PDFFileNamingConvention
Thedeviceprovidestwotypesofnamingconventions:
•DefaultNaming
•CustomizeNaming
178MAC™20002053535-002S
SystemConguration
DefaultNamingConvention
TohelpidentifytheexportedPDFles,theyareautomaticallynamedwiththe
followingdescriptivecomponents:
product_version_serial_ECGmode_cartID_creationdata.pdf
Forexample:
GEMAC2000_1.0_SDS07410016WP_resting_1_2007-11-22T17-56-32.pdf
Thefollowingtableidentieseachcomponentintheexample:
ComponentsoftheFileNamingConvention
Value
ComponentDescription
GEMAC2000
Productname:thisisalwaysGEMAC2000.
1.0
Softwareversion:thisvariesbasedonthesoftwareversion
installed.
SDS07410016WP
Thedeviceserialnumber:thisvariesfromdevicetodevice.
resting
ECGmode:thisiseitherresting(RestingECGmode),rrana(RR
Analysismode)orfull(FullDisclosuremode).
1
CartID:thisvariesfromdevicetodevice.
TheCartIDisthesameastheCart#eldinBasicSetup.For
moreinformationsee“BasicSetup”onpage119.
2007-11-22T17-56-32
Creationdata:.thisconsistsofthefollowingsubcomponents:
•2007-YearthePDFwaswritten.
•11-MonththePDFwaswritten.
•22-DatethePDFwaswritten.
•T-Indicatesthefollowingnumbersaretime.
•17-Hour,in24hourformat,thePDFwaswritten.
•56-MinutethePDFwaswritten.
•32-SecondthePDFwaswritten.
CustomizingtheNamingConvention
UserscannamethePDFlesaccordingtotheirownrequirementsbyusinggiven
elements:
1.OntheMainMenu,pressSystemConguration.
TheSystemCongurationwindowopens.
2.PressBasicSetup.
TheBasicSetupwindowopens.
3.PressPageDowntothePDFNamingSettingsoption.
2053535-002SMAC™2000179
SystemConguration
4.SelecttheGenerateAutomaticFileNamecheckbox.
Thefollowingelementsareavailable:
•PatientID
•Visit
•LastName
•FirstName
•DateofBirth
•Procedure
ProceduremeansECGMode.Thisiseitherresting(RestingECGmode),rrana
(RRAnalysismode)orFullDisclosure(FullDisclosuremode).
•DateofTest
•ExportDate
•SecondaryID
5.PressSaveandreturntotheSystemCongurationwindow.
ExportingtheAuditTrail
TheAuditTrailExportfunctioncopiesthesystemaudittrailinXMLformattoanSD
cardandthenclearstheaudittrailonthesystem.Ifapreviousaudittrailexistsonthe
SDcard,itisoverwrittenautomaticallybythenewaudittrail.
GEHealthcarerecommendsexportingtheaudittrailweeklytolongtermstorageto
meetarchiverequirements.Iftheaudittrailisnotexportedregularly,itconsumes
storagespaceandreducesthenumberofECGsthatyoucanstoreonthedevice
Toexportanaudittrail,thefollowingconditionsmustbemet:
•HighSecurityModemustbeenabled.
ToenableHighSecurityMode,see“BasicSetup”onpage119.
•AuditTrailmustbeenabled.
ToenableAuditTrail,see“BasicSetup”onpage119.
•YoumusthaveEditSetupandDeleteRecordspermissionsset.
TosetpermissionsforEditSetupandDeleteRecords,see“UserSetup”onpage167.
UsethefollowingproceduretoexporttheaudittrailtoanSDcard:
1.InsertanSDcardintothedevice.
2.OntheMainMenu,pressSystemConguration>More>More>More>Export
Audit>SD-Card.
AftertheaudittrailiscopiedtotheSDcardandclearedfromthesystema
messagenotiesyouthattheexportwassuccessful.
UsethefollowingproceduretoexporttheaudittrailtotheSharedDirectory:
1.SetuptheSharedDirectory,seeSee“CommunicationSetup”onpage146.
2.OntheMainMenu,pressSystemConguration>More>More>More>Export
Audit>SharedDirectory.
AftertheaudittrailiscopiedtotheSharedDirectoryandclearedfromthesystem
amessagenotiesyouthattheexportwassuccessful.
180MAC™20002053535-002S
SystemConguration
UsethefollowingproceduretoexporttheaudittrailtotheFTPServer:
1.SetuptheFTPServer,seeSee“CommunicationSetup”onpage146.
2.OntheMainMenu,pressSystemConguration>More>More>More>Export
Audit>FTPServer.
AftertheaudittrailiscopiedtotheFTPServerandclearedfromthesystema
messagenotiesyouthattheexportwassuccessful.
AftertheXMLleisexported,youcanrevieworprinttheaudittrailasneeded.For
moreinformationonhowtoparsetheXMLleforviewingorprinting,refertotheGE
CardiologyOpenXMLReferenceManual.Tolocatethepartnumberforthismanual,
referto“RelatedDocuments”intheservicemanual.
2053535-002SMAC™2000181
SystemConguration
182MAC™20002053535-002S
13
Maintenance
Regularmaintenance,irrespectiveofusage,isessentialtoensurethattheequipment
functionswhenrequired.Thischapterprovidesbasicmaintenanceinformationforthe
followingcomponents:
•Device
•Cablesandleadwires
•Paper
•Battery
Seethedocumentationprovidedwithyourperipheralsforadditionalmaintenance
procedures.
Thisdevicedoesnotrequireanycalibration.
EquipmentCleaningandStorage
Thedeviceisdesignedtorequirelittlemorethanregularinspectionandcleaningto
functionproperly.QualiedGEHealthcareservicepersonnelshouldperformany
additionalmaintenance.
CAUTION:
ELECTRICALHAZARD—Improperhandlingduringinspectionorcleaningcould
resultinelectricalshock.
Toavoidpotentialshock,observethefollowingguidelinesatalltimes:
•Beforeinspectingorcleaningthedevice,turnitoff,unplugitfromACpower,
andremovethebattery.
•DoNOTimmerseanypartoftheequipmentinwater.
InspectingtheEquipment
Performavisualinspectiondaily,preferablybeforetheequipment’srstuseeachday.
Duringtheinspection,verifythatthedevicemeetsthefollowingminimumconditions:
•Thecaseanddisplayscreenarefreeofcracksandotherdamage.
•Allplugs,cords,cables,andconnectorsarefreeofkinks,frays,andotherdamage.
•Allcordsandconnectorsaresecurelyseated.
•Allkeysandcontrolsoperateproperly.
2053535-002SMAC™2000183
Maintenance
Ifyounoticeanyitemsthatneedrepair,contactanauthorizedservicerepresentative
tomaketherepairs.Discontinueusingthedeviceuntiltheappropriaterepairscan
bemade.
CleaningtheDevice
Cleantheexteriorsurfaceofthedevicemonthly,ormorefrequentlyifneeded.
CleaningMaterialstoUse
Usethefollowingmaterialstocleanthedevice:
•Milddishwashingdetergent
•Clean,softcloth
•Water
Thedeviceiscompatiblewithcleaningagentsthatcontainchemicalslistedbelow,
eitherindividuallyorasacombinationwithrespectiveconcentration:
•50%PROPYLALCOHOL(50%propan-1-ol)
•25%ISOPROPYLALCOHOL(25%propan-2-ol)
•25%ETHANOL
CleaningMaterialstoAvoid
DONOTuseanyofthefollowingmaterialstocleanthedevice,becausetheirusemay
damageequipmentsurfaces.
•Organicsolvents
•Ammonia-basedsolvents
•Abrasivecleaningagents
•Alcohol
•Virex
•Sani-Master
CleaningtheDeviceSurfaces
Usethefollowingproceduretocleanthesurfacesofthedevice.
1.Dilutemilddishwashingdetergentinwatertocreateacleaningsolution.
2.Soakacleanclothinthesolutionandwringoutanyexcess.
3.Thoroughlywipethesurfaceofthedevicewiththedampcloth.
DoNOTdripthesolutionoranyliquidonthewriterassembly.
Avoidcontactwithopenvents,plugs,orconnectors.
4.Repeatstep2andstep3asnecessaryuntilthesurfaceisadequatelycleaned.
5.Wipethesurfaceswithadry,cleanclothorpapertowel.
184MAC™20002053535-002S
Maintenance
Cleaning,DisinfectingandStoringLeadwires
andReusableElectrodes
CAUTION:
IMPROPERFUNCTIONING—Carefullyinspectinstrumentsbetweenusestoverify
properfunctioning.
Refertotheinstructionsforusethataccompanythesuppliesandaccessoriesfor
informationonsafety,cleaning,disinfection,sterilizationandstorageofreusable
suppliesandaccessories.
ReplacingLeadwireAdapters
Althoughpropercleaningandstorageprolongthelifeofleadwires,youeventually
needtoreplacetheleadwireadapters.Thefollowingillustrationshowstheproper
methodforreplacingadapters.
PaperMaintenance
Fortheproperhandlingofthedevice’sthermalwriter,youneedtoknowhowtodo
thefollowing:
•Replacethepaper
•Adjustingthetrayforpapersize
2053535-002SMAC™2000185
Maintenance
•Removethepaperpack
•Storethethermalpaper
ReplacingPaper
Usethefollowingproceduretoaddorreplacepaper:
1.Pressthepushbuttononthetopofthedevice(1)toopentheprinterdoor(2).
2.Extendthetopsheetofthepackofpaperandinsertthepackintothepaper
compartment(3).
Alignthetopsheetofthepapertothelinelocatedonthenearsideofthe
printerdoor.
3.Closetheprinterdoor(4)untilitclicksintoplace(5).
186MAC™20002053535-002S
Maintenance
AdjustingtheTrayforPaperSize
AdjustingtheTrayfor8.5x11inchesorA4
Usethefollowingproceduretoadjustthetrayforthecorrectpapersizeifyouare
usingletter(8.5x11inches)orA4paper.
1.Turnthedeviceoversothebottomofthedeviceisfacingyou.
2.Loosenthelengthandwidthfasteners(2and4)situatedclosetothepaper
spacers.
3.Slidethespacers(1and3)totheappropriatepositionforthepapersizethat
youareusing.
4.Tightenthescrews(2and4)intheselectedposition.
5.Turnthedevicetotheuprightpositionandpressthepushbuttontoopenthe
printerdoor(6).
6.Ifyouareusinglettersize(8.5x11inches),removethepaperspacerpostprint(7).
NOTE:
IfyouareusingA4paper,thepaperspacerpostprintshouldbesnapped
on.Bydefault,thetrayissettoA4paperandthereforethepaperspacer
postprintisinplace.
2053535-002SMAC™2000187
Maintenance
AdjustingtheTrayforModiedLetterPaper(8.433x11inches)
Usethefollowingproceduretoadjustthetrayformodiedletterpaper(8.433x11
inches).
1.Pressthepushbuttontoopentheprinterdoor(6)andinsertthemodiedletter
paper.
2.Turnthedeviceoversothebottomofthedeviceisfacingyou.
3.Loosenthescrewsforthepapertrayspacer(4).
4.Slidethespacer(3)untilitpressesthepaperthatisalreadyloaded.
Ensurethatthepaperspacer(5)ispositionedinbetweentheletterandA4
symbol.
5.Tightenthescrews(4)withthespacer(5)atthisposition.
6.Loosentheothersetofscrewsforthepaperspacer(2).
7.Movethespacer(1)tothelettersymbol.
8.Tightenthescrews(2)withthespacer(1)atthisposition.
RemovingthePaperPack
Usethefollowingprocedureandpicturestoremovethepackofpaperfromthedevice.
Usethefollowingproceduretoremovethepaperpackfromtheprinter:
1.Pressthepushbuttononthetopofthedevicetoopentheprinterdoor(1).
2.Liftupthepackofpaper(2).
3.Pressthepackofpaperagainstthetopplateofthepapercompartment(3).
4.Pullthepackofpaperoutofthedevice(4).
188MAC™20002053535-002S
Maintenance
StoringThermalPaper
Refertotheinstructionsforusethataccompanythethermalpaperforinformation
onstoringofthethermalpaper.
BatteryMaintenance
Thedeviceusesarechargeablebatterycontaininglithium-ioncells.Thebattery
containsanintegratedelectronicfuelgaugeandasafetyprotectioncircuit.
Becauseofthebiascurrentneededtooperatetheintegratedelectronics,thebattery
dischargesevenwhenitisnotinstalledinthedevice.Therateatwhichitdischarges
isdependentontheambienttemperatureatwhichitisstored.Thehigherthe
temperature,themorequicklyitdischarges.Toprolongthebattery’schargewhennot
inuse,storethebatteryinacool,drylocation.
Anew,fully-chargedbatteryshouldlastforapproximately6hours(typical)of
continuousmonitoringwithoutprinting.Anon-screenLEDindicatestheconditionand
capacityofthebattery’scharge.(Formoreinformationonthebatterygauge,refer
to“FrontView”onpage34and“SystemErrors”onpage200).WhentheLEDashes
amber,connectthedevicetoACpowertochargethebatterytofullcapacity.
Asthebatteryages,thefullchargecapacityofthebatterydegradesandis
permanentlylost.Asaresult,theamountofchargethatisstoredandavailablefor
useisreduced.Whenthecapacityisnolongersufcientforyourdailyoperation,
youneedtoreplacethebattery.
ReplacingtheBattery
WARNING:
ENVIRONMENTALHAZARD—DoNOTdisposeofthebatterybyreorburning.
Followlocalenvironmentalguidelinesconcerningdisposalandrecycling.
Usethefollowingproceduretoreplacethebattery:
1.UnplugthedevicefromtheACadapter.
2.Gentlyturnthedeviceoverandremovethescrewholdingthebatterycover.
3.Pushthetabtoremovethecoverofthebatterycompartment.
2053535-002SMAC™2000189
Maintenance
4.Gentlyliftthecoverofthebatterycompartment.
5.Removethebatteryfromthecompartment.
6.Placethenewbatteryinthecompartmentandpushuntilitclicksintoplace.
7.Replacethecoveronthebatterycompartment.
Itshouldclickintoplace.
8.Tightenthescrewtoholdthecoverinplace.
ConditioningtheBatteryPack
Tomaintainthestoragecapacityofthebatteryinstalledinthedevice,GE
Healthcarerecommendsthatyouconditionthebatteryonceevery6monthsto
recalibrateitselectronicfuelgauge.Aconditioncycleconsistsofanuninterrupted
“charge-discharge-charge”cycle.
Usethefollowinginstructionstoconditionthebattery:
1.Insertthebatteryintoadevicethatisnotrecordingpatienttests.
Fordetails,referto“ReplacingtheBattery”onpage189.
2.DisconnecttheACmainspowerfromthedevice.
3.EntertheBatteryStatusServiceDiagnosticwindow.
FordetailsonaccessingtheBatteryStatusServiceDiagnosticwindow,referto
thisdevice’sservicemanual.
4.AllowthebatterytodischargeuntilitsChargeLevelislessthan90%.
5.TurnoffthedeviceandreconnecttheACmainspower.
6.Allowthebatterytofullycharge.
TheBatteryLEDissteadyamberwhileitischargingandturnsoffwhen
chargingiscomplete.
190MAC™20002053535-002S
Maintenance
7.RemovetheACmainspowerandturnonthedevice.
8.Allowthebatterytodischargeuntilthedeviceshutsdown.
9.ReconnecttheACmainspowertothedeviceandleavethedeviceturnedoff.
10.Allowthebatterytofullycharge.
WhentheBatteryLEDindicatorstopsashingandshinessteadily,thebattery
isfullychargedandtheconditioningcycleiscomplete.
BatteryStatusIndicator
Thebatterystatusindicatorislocatedonthetopofthescreen.Fortheexactlocation,
seethescreenin“RecordingaRestingECG”onpage75.
Thefollowingdiagramandtabledescribethebatterystatus.
BatteryStatus
Item
Description
1
Thebatteryisfullychargedandabove75%.
2
Thebatterychargeisabove50%.
3
Thebatterychargeisabove25%.
4
Thebatterychargeisbelow25%.
Thisstatusisalsousedwhenthebatterychargeisunknown.
SuppliesandAccessories
Foralistofavailablesuppliesandaccessories,refertothesuppliesandaccessories
referenceguideforthisdevice.
2053535-002SMAC™2000191
Maintenance
192MAC™20002053535-002S
14
Troubleshooting
Thissectionidentiessomeofthemorecommonproblemswiththesystemandlists
theirpotentialcausesandsolutions.Iftheinformationinthissectioncannotresolve
yourissue,contactGEHealthcareTechnicalSupport.
GeneralTroubleshootingTips
Usethefollowinggeneraltroubleshootingtipstohelpdiagnoseproblemsnot
specicallydiscussedelsewhereinthischapter.
•Thoroughlyinspecttheequipment.
Disconnectedorloosecables,missinghardware,anddamagedequipmentcan
causewhatmayseemtobeunrelatedsymptomsorequipmentfailure.
Foradditionalinformation,referto“InspectingtheEquipment”onpage183.
•Verifytheequipmentwasnotmodied.
Unauthorizedmodicationstotheequipmentmaycauseunexpectedresults,poor
performance,orsystemfailure.
Iftheequipmenthasunauthorizedmodications,contactGEHealthcareTechnical
Support.
•Verifythesoftwarewasnotupdated.
Updatedsoftwaremaychangesystemfunctionality.Iftheuserisunawareofthe
changes,theymayseemtobeunexpectedresults.
Ifthesoftwarehasbeenupdated,refertotherevisedOperator’sManualto
determinewhethertheupdatechangedfeatures.
•Verifywhethertherewerechangesintheequipment’slocationorenvironmentthat
couldcausethefailure.
Forexample,equipmentthatemitsradiowavescouldcauseinterferenceduring
acquisition.
Iftheenvironmentorlocationhaschanged,tryusingtheequipmentintheoriginal
locationtodeterminewhethertheproblempersists.
•Verifytheproblemwasnotcausedbyoperatorerror.
Repeatthescenarioandcomparethattotheoperationasdescribedinthemanual.
Iftheoperatordeviatedfromthemanual,repeatthetaskusingtheinstructions
aswritten.
Ifthesestepsdonotresolvetheproblem,refertothefollowingsectionsforspecic
problemsandsolutions.Iftheproblemstillcannotberesolved,contactGEHealthcare
TechnicalSupport.
2053535-002SMAC™2000193
Troubleshooting
FrequentlyAskedQuestions(FAQ)
Thissectionaddressesfrequentlyaskedquestionsconcerningmaintenance,system
setup,andclinicaltopics.
Question
Procedure
HowdoIsavechangesIhavemadetothe
SystemConguration?
Referto“ExportSetup”onpage174.
HowdoIrestoresystemsetupsfromtheSD
card?
Referto“ImportSetup”onpage173
HowdoIobtainaprintedrecordofthe
Systemcongurationle?
Referto“PrintSetupReport”onpage160.
Ineedtoreactivatetheoptionsonmy
system.WherecanIndtheOptionCodes?
Thecodesarelistedonthelastpageofyour
printedsetupreport.Referto“PrintSetup
Report”onpage160.
Theyarealsofoundonalabelnexttothe
batterycompartment.
Whywon’tanyoftheECGsIperformsave
totheSDcard?
Referto“ExportingRecords”onpage117.
ShouldIcleanthedevice?Referto“Maintenance”.“EquipmentCleaning
andStorage”onpage183.
Whatisthecapacityofthebattery?RefertotheBatteryinformationin“Product
Overview”.“HardwareSpecications”on
page39.
Ineedtoprovidetheaddressofthedeviceto
thenetworkadministratortoenabletheLAN
communicationoption.HowdoIobtainthe
address?
AftertheLANM/LANCoptionisenabledand
thenetworkcableconnected,youcanobtain
theIPaddressfrom“CommunicationSetup”
onpage146.
EquipmentProblems
Thefollowingissuesarediscussedinthissection:
•“SystemDoesNotPowerUp”onpage194
•“ECGDataContainsNoise”onpage195
•“ExternalStressEquipmentdoesnotMove”onpage195
•“PaperJams”onpage196
SystemDoesNotPowerUp
Ifthesystemdoesnotpowerup,dothefollowing:
•Verifythedeviceisturnedon.
Ifitisnot,turnthedeviceon.Referto“TurningontheSystem”onpage54for
instructions.
•Verifythebatteryisinstalledandcharged.
Referto“SystemErrors”onpage200forinstructionsonverifyingwhetherthe
batteryisinstalledandcharged.
194MAC™20002053535-002S
Troubleshooting
Referto“ReplacingtheBattery”onpage189forinstructionsoninstallingthe
battery.
•VerifythedeviceisconnectedtoanACpoweroutlet.
Referto“ConnectingtheACPower”onpage49forinstructions.
•Verifytheequipmentisreceivingpowerfromtheoutlet.
Ifthedeviceisreceivingpower,thePowerLEDislit.
ECGDataContainsNoise
IftheacquiredECGdatadisplaysunacceptablenoiselevels,dothefollowing:
•Checkthepatient’sposition.
ThepatientshouldremainmotionlessduringtheacquisitionofarestingECG.
•UsetheHookupAdvisorindicatortohelpdeterminethecauseofthenoise.
Formoreinformation,referto“HookupAdvisor”onpage76.
•Verifytheelectrodesareplacedproperly.
Referto“ElectrodePlacement”onpage58forinformationonproperelectrode
placement.
•Verifytheelectrodesareappliedcorrectly.
Youmustremoveperspiration,excessivehair,lotions,anddeadskincellsfrom
theelectrodesite.
Referto“PreparingthePatient’sSkin”onpage57formoreinformation.
•Checkfordefectiveorexpiredelectrodes.
Replacetheelectrodesifthereareanyquestionsabouttheireffectiveness.
•Checkfordefective,broken,ordisconnectedleadwires.
Replacetheleadwiresifthereareanyquestionsabouttheireffectiveness.Referto
“ConnectingthePatientCable”onpage50.
•Considerusinglters,ADS,andFRFtohelpeliminateorreduceECGnoise.
Formoreinformation,referto“ECGOptions”onpage79,“ArrhythmiaPrinting
Options”onpage92,or“StressOptions”onpage104.
ExternalStressEquipmentdoesnotMove
Iftheexternalstressequipmentdoesnotmoveautomaticallywhenexpected,do
thefollowing:
•VerifythecorrectstressequipmentisselectedinBasicSetup.
Formoreinformation,referto“BasicSetup”onpage119.
•Verifytheselectedstressequipmentissupported.
Foralistofsupportedstressequipment,referto“ConnectingExternalDevices
(StressOption)”onpage53.
•Verifythestressequipmentisconnectedtothecart.
Externalstressequipmentisconnectedtothecartthroughaserialcable.Formore
information,referto“RearView”onpage34.
•Verifytheprotocolissetuptoactivatethestressequipment.
Theprotocolcansetthestressequipment’sspeedandgradeorload.Formore
information,referto“EditingStressProtocols”onpage143.
•VerifytheStopTMbuttonisnotdepressed.
Formoreinformation,referto“StressTestKeys”onpage104.
2053535-002SMAC™2000195
Troubleshooting
PaperJams
Ifthepaperjamswhileprinting,dothefollowing:
•Verifythepaperwasinsertedcorrectly.
Fordetails,referto“ReplacingPaper”onpage186.
•Verifythepapertrayspacersaresetappropriatelyforthepapersize.
Fordetails,referto“AdjustingtheTrayforPaperSize”onpage187.
Import/Export/SaveErrors
Thefollowingissuesarediscussedinthissection:
•“SDCardNotPresent”onpage196
•“CannotImportorTransmitRecordsviaModem”onpage196
•“CannotExporttoSharedDirectories”onpage198
SDCardNotPresent
IfyoureceiveanerrormessagestatingthattheSDcardisnotpresentorcannotbe
found,dothefollowing:
•VerifyanSDcardisinsertedintothecardslotonthedevice.
Fordetails,referto“RearView”onpage34.
•VerifytheSDcardisseatedrmly.
TheSDcardclicksintoplacewhenseatedrmly.
•VerifytheSDcardisformattedforaFATorFAT16lesystem.
ToverifyanSDcardisformattedforthecorrectlesystem,dothefollowing:
1.InsertthecardintoanSDcardreaderattachedtoaPC.
2.CopyanylesyouwanttosavefromtheSDcardtoafolderonthePC.
3.UsingtheWindowsFormatcommand,specifyeitherFATorFAT16forthele
systemandformatthecard.
NOTE:
FormattingtheSDcarderasesanyexistinglesonthecard.
4.CopythelesfromthefolderonthePCtothenewlyformattedSDcard.
CannotImportorTransmitRecordsviaModem
IfyoureceiveanerrorwhileattemptingtoimportortransmitECGrecordsviamodem,
dothefollowing:
•Verifythecorrectcommunicationoptionwasactivated.
Thesystemsupportstwooptionsforcommunicatingviamodem:MODC(for
communicatingwithaCardioSoftsystem)andMODM(forcommunicatingwitha
MUSEsystem).Formoreinformation,referto“OptionsSetup”onpage175.
•Verifythemodemisconnectedtoananalogtelephonelineusingastandard
RJ11phonejack.
Formoreinformation,referto“RearView”onpage34.
196MAC™20002053535-002S
Troubleshooting
•CheckCommunicationsSetuptoverifythecorrectdialingmethodisselectedand
conguredaccurately.
Fordetails,referto“CommunicationSetup”onpage146.
•Iftransmittingrecords,checktheselectedlocationtoverifythefollowing:
•Modemistheselecteddevice.
•ThePhoneNumberiscorrect.
•ThecorrectProtocolisselected.
Fordetails,referto“CommunicationSetup”onpage146.
CannotTransmitRecordsviaLAN
IfyoureceiveanerrorwhileattemptingtotransmitrecordsviaLAN,verifythe
following:
1.Verifythecorrectcommunicationoptionwasactivated.
ThesystemsupportstwooptionsforcommunicatingviaLAN:
•LANC(forcommunicatingwithaCardioSoft/CSsystem)
•LANM(forcommunicatingwithaMUSEsystem
FormoreinformationonsettingupLANcommunication,see“OptionsSetup”
onpage175.
2.VerifytheLANcableisconnectedproperlytotheLANconnectionslot.
ForinformationonwheretheLANcableconnectstothedevice,see“RearView”
onpage34.
3.CheckthecommunicationsetuptoverifywhethertheIP,Netmask,Gateway,
andDNSaddressesareallcorrect.
Fordetailsoncheckingaddresses,see“CommunicationSetup”onpage146.
CannotTransmitRecordsViaWLAN(SilexWirelessBridge)
IfyoureceiveanerrorwhileattemptingtotransmitrecordsviaSilexWirelessBridge,
usethefollowingprocedure:
1.Verifythecorrectcommunicationoptionwasactivated.
ThesystemsupportstwooptionsforcommunicatingoverWLANusingSilex
WirelessBridge:
•LANC(forcommunicatingwithaCardioSoft/CSsystem)
•LANM(forcommunicatingwithaMUSEsystem)
2053535-002SMAC™2000197
Troubleshooting
FormoreinformationonsettingupLANcommunication,seeChapter“Options
Setup”onpage175
2.VerifytheethernetcableisconnectedproperlytotheethernetportoftheSilex
WirelessBridgeandtheotherendoftheethernetcabletoethernetportof
theMAC2000device.
ForinformationonwheretheSilexWirelessBridgeconnectstothedevice,see
Chapter“RearView”onpage34.
3.CheckcommunicationsetuptoverifywhethertheIP,netmask,gateway,and
DNSserveraddressesareallcorrect.
Fordetailsoncheckingaddresses,see“CommunicationSetup”onpage146.
CannotTransmitRecordsviaEmbeddedWirelessModule
Ifyoureceiveanerrorwhileattemptingtotransmitrecordsviatheembeddedwireless
module,usethefollowingprocedure:
1.Verifythecorrectcommunicationoptionwasactivated.
Thesystemsupportstwooptionsforcommunicatingoverawirelessnetwork
usingtheembeddedwirelessmodule:
•WIFCforcommunicatingwithaCardioSoft/CSsystem
•WIFMforcommunicatingwithaMUSEsystem
FormoreinformationonsettingupLANcommunication,see“OptionsSetup”
onpage175.
2.CheckcommunicationsetuptoverifywhethertheIP,netmask,gateway,and
DNSserveraddressesareallcorrect.
FordetailsoncheckingtheIPaddresses,see“CommunicationSetup”onpage
146.
3.Checkwhethertheembeddedwirelessmoduleisenabledandtheauthentication
detailsarecorrect.
Forinformationonthewirelessnetworkingsettings,see“WirelessNetworking
Settings”in“CommunicationSetup”onpage146.
CannotExporttoSharedDirectories
ToresolveerrorsreceivedwhileattemptingtoexportECGrecordstoashared
directory,dothefollowing:
•VerifytheLANCcommunicationoptionwasactivated.
Referto“OptionsSetup”onpage175forinformationonactivatingoptions.
•Verifyconnectivitybycheckingthefollowing:
•Thenetworkcablesareconnected.
•TheIP,netmask,gateway,andDNSserveraddressesareallcorrect.
Referto“CommunicationSetup”onpage146forinstructionsonsettingthese
values.
•Thetwosystemscancommunicate.
Toverifythis,pingthedevicefromtheleserver.
198MAC™20002053535-002S
Troubleshooting
•Verifythelogoninformationiscorrect.
Checktheusername,password,anddomaininformation.Referto“Communication
Setup”onpage146forinformationonthelogoninformation.
•Verifyshareanddirectorypermissions.
Ensurethattheaccountusedtologontotheshareddirectoryhasread/write/create
permissionstoboththeshareandthedirectory.
RefertoMicrosoftWindowsonlinehelpforinstructionsonhowtosetuser
permissions.
Acquisition/PrinterErrorMessages
Ifyoureceiveanacquisition/printererrormessage,alongwithanerrorcode,usethe
followingtabletodeterminewhatyouneedtodo.
Message
Action
Messagedisplaysforashortdurationand
thenstops.
Noactiontotake.
Messagedisplayspersistently.Tryrebootingthesystem.
Messagedisplayspersistently,evenafter
rebootingthesystem.
ContactGEHealthcareService.
ReportErrors
Thissectionaddressesthefollowingreporterror:“ACI-TIPIStatementisnotIncluded
onReport”onpage199.
ACI-TIPIStatementisnotIncludedonReport
IftheACI-TIPIstatementisnotdisplayedwhenexpected,dothefollowing:
•VerifytheACI-TIPIoptionisactivated.
ForinformationonactivatingtheACI-TIPIoption,referto“OptionsSetup”onpage
175.
•VerifyACI-TIPIisenabledontheECG.
Forinformation,referto“RestingECGSetup”onpage124.
•VerifytheinformationACI-TIPIrequireswasentered.
TheACI-TIPIstatementprintsonlyifthepatient’sgender,dateofbirth,andchest
painindicationareincludedinthepatientinformation.
•Verifythepatientis16yearsoldorolder.
TheACI-TIPIstatementdoesnotprintforpediatricpatients.
•VerifytheoriginalECGwasacquiredinanelectrocardiographwiththeACI-TIPI
option.
IfyouattempttoprintanECGthatwasimportedfromanexternaldevice,the
cartdoesnotgenerateanACI-TIPIstatement;itprintsonlyifthestatementwas
savedaspartoftheECG.
2053535-002SMAC™2000199
Troubleshooting
SystemErrors
Thefollowingtableidentiessomepotentialerrorsthatmayoccurwhileyouare
operatingthesystem,thepossiblecauses,andarecommendedcourseofaction
toresolvetheerror.
Ifperformingtherecommendedactionsdoesnotresolvetheproblem,contact
authorizedGEHealthcareservicepersonnel.
Problem
Cause
Solution
Thisiconisdisplayedandthe
batteryLEDisashing.
Systemisoperatingfrom
thebatteryandthebattery
chargeislow.
ConnectthesystemtoanAC
outlettochargethebattery.
Thisiconisdisplayedandthe
batteryLEDisnotlit.
Systemisoperatingfrom
ACpowerandbatteryisnot
installed.
Installabattery.
Thesystemdoesnotpower
upwhileoperatingfrom
batterypower.
Batteryisfullydischarged.ConnectthesystemtoanAC
outlettochargethebattery
Thesystempowersdown
whileoperatingfrombattery
power.
BatteryisfullydischargedConnectthesystemtoanAC
outlettochargethebattery
Youarepromptedtoenter
UserIDand/orPassword
whileattemptingtoexport
recordstoasharednetwork
directory.
TheUserIDand/or
Passworddenedon
theCommunicationSetup
window(“Communication
Setup”onpage146)are
incorrect.
1.PressEsctoclosethe
prompt.
2.Exittheexportprogram.
3.RunCommunication
Setup.
4.EnterthecorrectUser
IDandPasswordforthe
shareddirectoryand
savethenewvalues.
5.Exporttherecords.
200MAC™20002053535-002S
Troubleshooting
Problem
Cause
Solution
Usercannotlogontothe
system.
HighSecurityModeis
enabledandtheuser’sUser
IDorPasswordwereentered
incorrectly.
Trythefollowing:
•Verifytheuserissetupin
thesystem.
Referto“UserSetup”on
page167.
•Verifytheusertypedthe
UserIDandPassword
correctly.
•Contacttheadministrator
toresettheuser’sUserID
orPassword.
•ContactGEHealthcare
technicalsupportto
obtainatemporary
supervisorpassword.
Thefollowingerrormessage
isdisplayedwhileprinting:
Printerinternalerror–
Printingnotpossible
Theprinterencountereda
temporaryconditionthat
causedittostopprintingthe
currentreport.
Torestartanyofthefollowing
reports,pushtheappropriate
button:
•RhythmReportinResting
ECGMode
•Arrhythmiarecordingin
ArrhythmiaMode
•In-testReportsinStress
TestMode
Allotherreportsrestart
automatically.
Thefollowingerrormessage
isdisplayedwhileprinting:
Batterylow–Printingnot
possible
Thebatteryislowanddoes
nothaveenoughchargeto
powertheprinter.
Trythefollowing:
•Allowthebatteryto
chargeto50%before
printingagain.
•Connectthedevicetoan
ACoutlet.
•Powerdownthedevice
thenpoweritbackon.
2053535-002SMAC™2000201
Troubleshooting
202MAC™20002053535-002S
A
CreatingBarcodes
Thefollowingsectionsprovidetheinformationyouneedtocongurebarcodes.
TheMAC2000barcodereadercanreadcodesthatconsistofthefollowinglinearand
2–Dsymbologies:
•39
•PDF-417
•128
•InterleavedCode2of5
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2053535-002SMAC™2000203
CreatingBarcodes
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204MAC™20002053535-002S
CreatingBarcodes
Regardlessofwhichcodeisused,thesite’sITdepartmentmustdothefollowing:
•Setupthepatientdatascheme.
•Congurethebarcodereader.
NOTE:
Alldataresidesinxed-widthelds.Thebarcodemustbeprogrammedtoadd
“trailingspaces”aftereldsshorterthanthexedlengthoftheeldsyoursystem
isusing.
SettingUpthePatientDataScheme
Usethefollowingrulestosetupadatascheme,includingpatientdemographicdata,
foryourbarcodes.
PatientDataScheme
Item
ByteLength
PatientID
ThePatientIDlengthshouldnotexceedthe
30–charactermaximumandshouldbeequalto
theIDlengthsetuponthesysteminthePatient
Setupwindow.
IfthesystemiscommunicatingwithaMUSE
system,thelengthofthePatientIDshouldbethe
sameasthePatientIDthattheMUSEsystemuses.
LastName
40(maximum)
FirstName
20(maximum)
Yearofbirth
4
Monthofbirth
2
Dayofbirth
2
Gender
1
Visit
8
ConguringtheBarcodeReader
CongurethebarcodereaderonthePatientSetupwindow.Youcanchooseto
congureitmanuallyorautomatically.Therequirementsforeachmethodare
describedinthefollowingsections.
ConguringtheBarcodeReaderManually
Thefollowingtableidentiestheavailableeldsforconguringyourbarcodereader.
NOTE:
Thesystemautomaticallycheckstheoverlapbetweenevery2elds.
Onceoverlapissueisdetected,thefollowingmessagedisplayswhensavingthe
conguration:
Fieldsoverlapfoundbetween[eldname]and[eldname].
2053535-002SMAC™2000205
CreatingBarcodes
NOTE:
Oncethetotalnumberofoffsetandlengthofoneledisover255bytes,the
systembeepsonceyouaresavingtheconguration,andthehighlightmovesto
theoveroweld.
ManualBarCodeReaderCongurationFields
FieldDescriptionandByteLength
TotalnumberofbytesEnterthetotalnumberofbytescontainedinthepatient
barcode.Thisisusuallythesumofthebyteslistedinthe
followingelds.
Thevaluecanbefrom0to255.
Oncethelargestvalueofoffsetplusthelargestvalueof
lengthismorethanthevalueyousetinTotalnumberof
bytes,thesystembeepsonceyousavetheconguration,the
highlightmovestotheTotalnumberofbyteseld,andthe
systemautomaticallycorrectTotalnumberofbytesvalue.
PatientIDoffsetEnterthePatientID’sOffset.
PatientIDlengthEnterthePatientID’sLength.
Beawareofthefollowingcriteriawhensettingthelength:
•Canbefrom0to30
•ShouldequaltheIDlengthsetuponthePatientQuestion
window
•ShouldequalthepatientIDlengthfortheMUSECV
systemwithwhichtheMACsystemcommunicates.
VisitoffsetThepatient'svisitID’sOffset.
VisitlengthThelengthofthepatientvisitID.
Thevaluecanbefrom0to19.
FirstnameoffsetThepatient'srstnameOffset.
FirstnamelengthThepatient'srstnameLength.
Beawareofthefollowingcriteriawhensettingthelength:
•valuecanbefrom0to20
•shouldequalthelengthfromtheMUSECVsystemwith
whichtheMACsystemcommunicates.
NOTE:
TheMACsystemdoesnotsupport“long”names;ifthe
MUSEsystemuseslongnames,thiseldshouldbeset
toitsmaximumvalue.
LastnameoffsetThepatient'slastnameOffset.
206MAC™20002053535-002S
CreatingBarcodes
ManualBarCodeReaderCongurationFields(cont'd.)
FieldDescriptionandByteLength
LastnamelengthThepatient'slastnameLength.
Beawareofthefollowingcriteriawhensettingthelength:
•valuecanbefrom0to40
•shouldequalthelengthfromtheMUSECVsystemwith
whichtheMACsystemcommunicates
NOTE:
TheMACsystemdoesnotsupport“long”names;ifthe
MUSEsystemuseslongnames,thiseldshouldbeset
toitsmaximumvalue.
YearofbirthoffsetTheyearthepatientwasborn.Entertheeld'sOffset
YearofbirthlengthTheyearthepatientwasborn.Entertheeld'sLength
Thelengthmustbesetto4.
MonthofbirthoffsetThemonththepatientwasborn.Entertheeld'sOffset.
MonthofbirthlengthThemonththepatientwasborn.Entertheeld'sLength.
Thelengthmustbesetto2.
DayofbirthoffsetThedaythepatientwasborn.Entertheeld'sOffset.
GenderoffsetThepatient'sgender.Entertheeld'sOffset.
GenderlengthThepatient'sgender.Entertheeld'sLength.
Thelengthmustbesetto1.
ConguringtheBarcodeReaderAutomatically
Youcancongurethebarcodereaderautomaticallybyscanningabarcodethathas
beensetupusingthefollowinginformation:
AutomaticBarCodeReaderCongurationFields
Item
CharacterUsedtoReserveByteSpace
PatientID
9
Firstname
5
Lastname6
Yearofbirth
3
Monthofbirth
1
Dayofbirth
2
GenderMormformale
Forforfemale
Visit
8
2053535-002SMAC™2000207
CreatingBarcodes
208MAC™20002053535-002S
B
Master’sStepData
ThefollowingsectionsprovidetheinformationyouneedtorunaMaster'sStepstress
test.
Master'sStepTable
Thefollowingtableidentiesthenumberofstepstosetaccordingtothepatient's
age,gender,andweight.
2053535-002SMAC™2000209
Age(Years)
Weight(kg)Gender
5–910–1415–1920–2425–2930–3435–3940–4445–4950–5455–5960–6465–6970–7475–79
Male
35
36
18–22
Female
353533
Male
3335
32
22–26
Female
3333
32
Male
31
33
31
27–31
Female
313230
Male
283230
32–35
Female
283029
Male
263029292928272726252524232322
36–40
Female
262828282827262423222121201918
Male
242928282827272625242322222122
41–44
Female
242726272625242322212019181817
Male
222727282827262525242322222120
45–49
Female
222525262625242322212019181817
Male
202626272726252524232222222120
50–53
Female
202323252524232221201918181716
Male
182425262726252423222221212019
54–58
Female
182222242423222130191818171615
Male
162324252625242323222120201918
59–63
Female
162020232322212019191817161515
Male
2123242524242322212020191818
64–67
Female
1819222221201919181716151514
Male
2022242524232221202019181817
68–72
Female
1717212020191918171616151413
210MAC™20002053535-002S
Master’sStepData
Age(Years)
Weight(kg)Gender
5–910–1415–1920–2425–2930–3435–3940–4445–4950–5455–5960–6465–6970–7475–79
Male
1821232423222221201918181717
73–76
Female
1516201919181817161615141312
Male
20222323222120191818171716
77–81
Female
1314191818171716161514131312
Male
19212322212019191817161615
82–85
Female
13181717171616151414131211
Male
18292221212918171716151514
86–90
Female
12171616161515141313121211
Male
192121201918171616151414
91–93
Female
161515151414131312111110
Male
182120191817171615141413
94–99
Female
151414141313131211111110
Male
172020191817161514131312
100–104
Female
141313131312121111101009
2053535-002SMAC™2000211
Master’sStepData
ST-TChanges
TheexistenceofanyST-TchangeisassessedbyclassifyingST-Tintothreeassessment
levels:
•Positive
Oneofthefollowingcriteriamustbemeton2ormoreleads:
•STDepression≥0.1mV
•STElevation≥0.2mV
•Twavechange≥1.0mV
•Borderline
Oneofthefollowingcriteriamustbemetonanylead:
•STDepression≥0.05mV
•STElevation≥0.1mV
•Twavechange≥0.5mV
•Negative
ThisisassessedifneitherthePositivenorBorderlinecriteriaaremet.
Tofollowingformulasareusedtocalculatethevaluesinthepreviouscriteria:
•STdepression=(restST-postJ)-(postexerciseST-postJ)
•STdepression=(restST-postJ)-(postexerciseST-postJ)
•Twavechange=absolutevalueof(restTwaveamplitude-post-exerciseTwave
amplitude)
•(ST-postJ:amplitudeatthepostJpoint)
Whentheassessmentispositiveorborderline,theleadwiththelargestchangeprints.
212MAC™20002053535-002S
C
TechnicalSpecications
SystemSpecications
InstrumentType
Microprocessoraugmentedautomaticelectrocardiograph;10-leadwire,12leadsimultaneousacquisition
withprogrammableleadconguration.
Processing
Item
Specications
ECGInterpretation
Marquette12SLECGAnalysisProgramforAdultsandPediatrics
ComputerizedMeasurements12-leadanalysis
ECGAnalysisFrequency
500or1000samples/second/channel
DigitalSamplingRate
16000samples/second/channelfornormaldataacquisition
PaceSamplingRate
75Ksamples/second/channel
ECGOn-screenPreview
On-screenpreviewofacquired10secondECGwaveform
AcquisitionModeProvides10secondsofinstantaneousECGacquisition
DynamicRange
ACDifferential±5mV,DCoffset±300mV
Resolution
4.88µV+/-1%perLSB@500SPS
FrequencyRange
0.04to150Hz
LowCutoffFrequency0.04Hz(ADSOff)
0.56Hz(ADSOn)
HighCutoffFrequencyCongurableat20Hz,40Hz,100Hzor150Hz
CommonModeRejection
>135dB(with50/60HZlterON)
InputImpedance
>10MΩ@10Hz
PatientLeakage<10µA(NormalCondition),<50µA(SingleFaultCondition)
2053535-002SMAC™2000213
TechnicalSpecications
Processing(cont'd.)
Item
Specications
LeadDetectionAlldisconnectedleaddetectionexceptRL&RA
HeartRateMeter
30to300BPM
Start-upTime
Lessthan30seconds
PatientInformation
Item
Specications
SupportedpatientInformationPatientID,SecondaryPatientID,VisitID,Lastname,Firstname,Height,
Weight,Gender,Race,PacemakerPatient,SystolicBP,DiastolicBP,
Location#,Room,OrderNumber,PhoneNumber,Medication,Ordering
physician,Referringphysician,Attendingphysician,Technician,Test
indication.
Display
Item
Specications
Type
7"colorTFTdisplaywithsupportofminimum32Kcolors
ResolutionWVGAresolution–800x480
Data
Heartrate,patientID,clock,batterypowerindicator,waveforms,lead
labels,speed,gainandltersettings,warningmessages,prompts,help
messagesand12leaddisplay.
Writer
Item
Specications
TechnologyThermaldotarray
Speed
5,12.5,25,&50mm/s
NumberofTraces
Upto12ECGtraces
Sensitivity/Gain2.5,5,10,20,40mm/mV
SpeedAccuracy
5,12.5mm/s@±5%and25,50mm/s@±2%
AmplitudeAccuracy
±5%
Resolution
Horizontal40dots/mm@25mm/s,8dots/mmvertical
PaperType
Z-foldThermalPaperwithpre-printedgridandperforationwithQueue
markorQueuehole.
PaperSize
215mmx280mm(Letter),210mmx295mm(A4)and214.2mmx
279.4mm(ModiedLetter)
Keyboard
Item
Specications
Type
Membranekeyboardwithtactilefeedback-Softfunctionkeys,
alphanumerickeys(Qwertykeyset),writercontrolsandTrimPadcursor
controls
214MAC™20002053535-002S
TechnicalSpecications
OperatingModesandAdditionalFeatures
Item
Specications
RestingECGModeRecordsandprints12-leadrestingECGswith10secondsdurationas
astandardfeature.
ArrhythmiaModeContinuouslymonitorsECGandprintsreportwhenarrhythmiaevents
oftheuser-selectedclassoccur.
ExerciseModeExercisemodeforexercisestresstesting
RRAnalysisModeRRAnalysisforRRintervalsanalysis.
FullDisclosureModeStoreupto5minutesof1leaddatainPDFformat
*Thisfeatureisnotavailableinsomecountries.
HookupAdvisorProvidesvisualindicationofsignalquality
Multi-languageSupportSupports19languagesinUserInterfaceand31languagesinUser
Manual
FileManagerProvidesaninterfaceformanagingECGrecords.
OrderManagerProvidesaninterfaceformanagingorders.
SystemSetup
Providesaninterfaceformanagingdevicecongurations.
ADTQuery
Providesaninterfaceforqueryingpatientdemographicsandorders
Stress/PharmaApplicationOptions
Item
Specications
StressTestingApplicationErgometerssupportedinclude:eBike.
Treadmillssupportedinclude:T2100,T2000
Master'sStepdevicewithoutinterface(acousticsignalonly)
NOTE:
Ergometer,MasterStepandTreadmillsoldseparately.
PharmaApplicationPharmaapplicationoptionsinclude:
•Date&TimePromptuponlogin
•AutoSaveandexporttoSDCardofPatienttestrecordafter
acquisition
•Audittrailexport
•CTDataGuard
®
•Highsecurityloginprotection
ExternalPeripherals
Item
Specications
KeyboardStandardUSBEnglishKeyboard.
BarcodeReader
Jadak-1799/Jadak-2593
BarcodeSymbologiesCode39,Code39EX,Code128,PDF-417,InterleavedCode2of5,Data
Matrix
2053535-002SMAC™2000215
TechnicalSpecications
Communication
Item
Specications
RS232SerialCableECGTransmissionwithA5&CSIProtocol
InternalModemECGTransmissionwithCSIProtocol
SupportedMUSE/Cardiosoft/CSCompatiblewithMUSEV7.1.1,8.0.1and9.0.0/CardioSoft/CSV6.51,
V6.61,V6.71,andV6.73
RJ45WiredLANECGTransmissionwithCSI,DCPProtocol,FTPSandShareddirectory
WirelessLAN(wireless)ECGTransmissionwithCSI,DCPProtocol,FTPSandShareddirectory
WirelessAuthenticationProtocolsWirelessBridgeOption:
•Open
•Shared
•WPA2withpre-sharedkey
•WPA/WPA2MixedModewithpre-sharedkey
•WPA2withPEAP
•WPA/WPA2MixedModewithPEAP
•WPA2withEAP-TLS
•WPA/WPA2MixedModewithEAP-TLS
•WPA2withEAP-TTLS
•WPA/WPA2MixedModewithEAP-TTLS
•WPA2withEAP-FAST
•WPA/WPA2MixedModewithEAP-FAST
•WPA2withLEAP
•WPA/WPA2MixedModewithLEAP
EmbeddedWirelessModule:
•Open
•Shared
•WPA–PSK*
•WPA2-PSK*
•WPA/WPA2withPEAP
•WPA/WPA2withTLS
•WPA/WPA2withTTLS
*Certainnetworksettingsarerequiredforwirelessauthentication.To
determinewhetheryournetworkiscompatible,pleaserefertothe
MAC2000sitesurveydocument2053535-067.
216MAC™20002053535-002S
TechnicalSpecications
Communication(cont'd.)
Item
Specications
WirelessEncryptionWirelessBridge:
•Disabled(ForOpenauthentication).
•WEP(ForSharedandOpenauthentications).
•TKIP(forWPA/WPA2MixedModeauthentications).
•AES(forWPA&WPA2authentications).
EmbeddedWirelessModule:
•Disabled(ForOpenauthentication).
•WEP(ForSharedandOpenauthentications).
•TKIP(forWPA-PSK
1
,WPA2-PSK
1
,WPA
2
authentications).
•AES(forWPA-PSK
1
,WPA2-PSK
1
,WPA
2
&WPA2
2
authentications).
1
WPA-PSKandWPA2-PSKarepersonalauthenticationframeworks.
2
WPAandWPA2areenterpriseauthenticationframeworks.
•Internalmodem,SecuredDigitalcard,Serial,LANandwirelesscommunicatesoutboundtoMUSEand
Cardiosoft/CS.
•Internalmodem,LANandwirelesscommunicatesinboundtoMUSE.
Storage
Item
Specications
ECGStorageFormat
XMLformat
Hilltopformat
PDFstorageformat
StorageCapacity
Internalstorageof100or200ECGs
Accessories
ECGCables/Leadwires
•IEC/AHAValue10LDPatientCable/Ldwr
•10-leadIEC/AHAPatienttrunkcable
•IEC/AHA(Nst,Nax)Leadwireset(ECG10-Lw/resist,Banana)
•IEC/AHASetofleadwires(4mmconnector,10leads,debrillator
proof)
ECGAdapter
•IEC/AHAKitAdapter10SetBanana
•ElectrodePrepPads,CLIPUniversalGE10/PKG
2053535-002SMAC™2000217
TechnicalSpecications
Accessories(cont'd.)
Electrodes
•ECGElectrodeClamp(Large,4/set)
•BabyMACelectrodes
•SilverMactrodePlus1000/CASE
•ElectrodeApplicationSystemKISS10Leadwithoutpump
OtherAccessories
•ElectrodeCream250gbottle,ElectrodeSpray
•Countryspecicpowercords
•Z-foldThermalPaperwithpre-printedgridandperforationwith
QueuemarkorQueueholeofsize215mmx280mm(Letter)/
210mmx295mm(A4)/214.2mmx279.4mm(ModiedLetter)(150
sheets/pack,1500sheets/case)
•USBDataMatrixBarcodescanner
•SecureDigitalHighCapacityCard-2GB/4GB/8GB/16GB/32GB
Electrical
Item
Specications
PowerSupply
InternalAC/DCorbatteryoperation
AC/DCoperationspecications
InputVoltage
100to240VAC±10%
InputCurrent
Maximum1.5Ainvoltagerange115Vto230VAC
InputFrequency
47to63Hz
Batteryspecications
Batterytype
Replaceableandrechargeable,LithiumIon
Batterycapacity
14.54Vnominalvoltage@3.5AH±10%
150singlepagerestingECGrecordingsor6Hours(typical)ofcontinuous
monitoringwithoutprinting,ataminimum
BatterychargetimeApproximately3.5hoursafterlowbatteryshutdown(withdeviceoff)
to90%fullcapacity
PhysicalSpecication
Item
Specications
Height
200mm
Width
390mm
Depth
330mm
WeightApprox.5Kgincludingbattery,withoutpaper
218MAC™20002053535-002S
TechnicalSpecications
EnvironmentalSpecication
Item
Specications
Temperature
Operating:10°Cto40°C
Transport/storage:-40°Cto70°C
HumidityOperating:20%to95%RHnon-condensing
Transport/storage:15%to95%RHnon-condensing
Pressure
Operating:700to1060hPA(Altituderange:3010.9to-381.9meters)
Transport/storage:500to1060hPA(Altituderange:5570to-380
meters)
SafetyandRegulatory
•CEmarkingforCouncilDirective93/42/EECconcerningmedicaldevices
•EN60601-1(IEC60601-1)Medicalelectricalequipment-Part1:Generalrequirementsforsafety
•IEC60601-1-1MedicalElectricalEquipment:GeneralRequirementsforSafety
•IEC60601-1-2GeneralRequirementsforSafetyElectromagneticCompatibility
•IEC60601-1-4RequirementsforCollateralStandardProgrammableElectricalMedicalSystems
•IEC60601-2-25SafetyofElectrocardiographs
•IEC60601-2-51SafetyandperformanceofECGrecorders
•UL60601-1:2006ULStandardforSafetyMedicalElectricalEquipment,Part1:GeneralRequirements
forSafety
•CAN/CSAC22.2No.601.1M90
•AAMIEC11:1991/(R)2001/(R)2007)DiagnosticElectrocardiographyDevices
•AAMIEC13:2002/(R)2007Section4.2.7only
•IEC60601-1-6GeneralRequirementsforSafety–Usability
SilexWirelessBridge
Manufacturer/Model
GEH-BR-4600WAN2-01-XX
PhysicalRequirements
•Dimension:110.5×79.0×27.6(mm)
•Weight:130(g)
InterfaceRequirements
•EthernetPort:10M/100MbpsBASE-T,supportAutoMDIX
•PowerConnector:5.5(outer)/2.1(Inner)mmDiameter
•Indication:LEDindicationforPower,Wirelessconnection,Data
communication
PowerRequirements
•NominalInputPower:5V
•InputCurrent:750mA
2053535-002SMAC™2000219
TechnicalSpecications
WirelessRequirements
•WirelessLANProtocol:IEEE802.11a/b/g/n
•WirelessLANChannel:IEEE802.11b/g:Ch1~CH13
•Encryption:WEP(64/128),WPA-PSK(TKIP/AES),WPA2-PSK(AES)
•IEEE802.1Xenterpriseauthentication:EAP-PEAP,EAP-TLS,EAP-TTLS,
EAP-FAST,EAP-LEAP
FrequencyBand
•2.4GHz
•5GHz
EnvironmentalRequirements
•OperatingTemperature:0~40°C
•OperatingRelativehumidity:20~80%
•Operatingbarometricpressures:700~1060hPa(Altituderange:
3010.9to-381.9meters)
•Non-OperatingTemperature:-10~+50°C
•Non-OperatingRelativehumidity:20%~90%
•Non-Operatingbarometricpressures:500~1060hPa(Altitude
range:5570to-380meters)
Accessories
•LANCable:Length250mm,RJ45*2connector
•USBPowerCable:Length260mm,TypeAPlug,RightangleUSB
connector,RightangleDCconnector,Wiresize24AWG
CerticationRequirements
•CEcertication
•FCC/ICcetication
•ThisproductcomplieswiththefollowingRegulatoryrequirementsfor
Australia,NewZealand,andSingapore.
•EMCDirective:EN55032ClassB,EN55024,EN301489-1/-17v1.8.1
•REDirective:EN300-328v2.1.1,EN301-893v1.8.5(EN301-893v1.8.1
(Adaptivity),EN301-893v2.1.0(ReceiverBlocking)),EN60950-1,EN
62311,EN301-489-1v2.1.1,EN301-489-17v3.1.1
•ThisproductiscompliantwiththeEU'sRoHSdirective(2011/65/EUor
newer)
•ThisproductiscompliantwiththeEU’sWEEEdirective(2002/96/EC)
220MAC™20002053535-002S
D
StatementforMAC2000SilexWireless
Bridge
ThefollowingsectionsprovidetheFCC/ICstatementforMAC2000SilexWireless
Bridge.
NOTE:
ThisdevicecomplieswithPart15ofFCCRulesandIndustryCanada’s
licence-exemptRSSs.Operationissubjecttothefollowingtwoconditions:(1)this
devicemaynotcauseharmfulinterference,and(2)thisdevicemustacceptany
interferencereceived,includinginterferencethatmaycauseundesiredoperation.
NOTE:
ThisequipmentcomplieswithFCC/ICradiationexposurelimitssetforthforan
uncontrolledenvironmentandmeetstheFCCradiofrequency(RF)Exposure
GuidelinesandRSS-102oftheICradiofrequency(RF)Exposurerules.This
equipmentshouldbeinstalledandoperatedkeepingtheradiatoratleast20cmor
moreawayfromperson’sbody.
FCCStatement
TheMAC2000SilexWirelessBridgecontainstransmittermoduleFCCID:
N6C-SXPCEAN2.
CAUTION:
Changesormodicationsnotexpresslyapprovedbythepartyresponsiblefor
compliancecouldvoidtheuser’sauthoritytooperatetheequipment.
CAUTION:
Thistransmittermustnotbeco-locatedoroperatedinconjunctionwithanyother
antennaortransmitter.
2053535-002SMAC™2000221
StatementforMAC2000SilexWirelessBridge
ICStatement
TheMAC2000SilexWirelessBridgecontainstransmittermoduleIC:4908A-SXPCEAN2.
CAUTION:
5150-5250MHzand5250-5350MHzbandsarerestrictedtoindooroperationsonly.
CAUTION:
High-powerradarsareallocatedasprimaryusers(i.e.priorityusers)ofthe
bands5250-5350MHzand5650-5850MHzandthattheseradarscouldcause
interferenceand/ordamagetoLE-LANdevices.
ComplieswithIMDAStandards
TheMAC2000SilexWirelessBridgecomplieswithIMDAStandards.
222MAC™20002053535-002S
E
StatementforMAC2000Embedded
WirelessModule
ThefollowingsectionsprovidetheFCC/ICstatementforMAC2000EmbeddedWireless
Module.
FCCStatement
Thisdevicecomplieswithpart15oftheFCCRules.Operationissubjecttothe
followingtwoconditions:
1.Thisdevicemaynotcauseharmfulinterference,and
2.thisdevicemustacceptanyinterferencereceived,includinginterferencethat
maycauseundesiredoperation.
Pleasenotethatchangesormodicationsnotexpresslyapprovedbytheparty
responsibleforcompliancecouldvoidtheuser’sauthoritytooperatetheequipment.
NOTE:
ThisequipmenthasbeentestedandfoundtocomplywiththelimitsforaClass
Bdigitaldevice,pursuanttopart15oftheFCCRules.Theselimitsaredesigned
toprovidereasonableprotectionagainstharmfulinterferenceinaresidential
installation.Thisequipmentgenerates,usesandcanradiateradiofrequency
energyand,ifnotinstalledandusedinaccordancewiththeinstructions,may
causeharmfulinterferencetoradiocommunications.However,thereisno
guaranteethatinterferencewillnotoccurinaparticularinstallation.Ifthis
equipmentdoescauseharmfulinterferencetoradioortelevisionreception,which
canbedeterminedbyturningtheequipmentoffandon,theuserisencouragedto
trytocorrecttheinterferencebyoneormoreofthefollowingmeasures:
•Reorientorrelocatethereceivingantenna.
•Increasetheseparationbetweentheequipmentandreceiver.
•Connecttheequipmentintoanoutletonacircuitdifferentfromthattowhich
thereceiverisconnected
•Consultthedealeroranexperiencedradio/TVtechnicianforhelp.
ThisequipmentcomplieswithradiofrequencyexposurelimitssetforthbytheFCCfor
anuncontrolledenvironment.
Thisequipmentshouldbeinstalledandoperatedwithaminimumdistanceof20cm
betweenthedeviceandtheuserorbystanders.
2053535-002SMAC™2000223
StatementforMAC2000EmbeddedWirelessModule
Thisdevicemustnotbeco-locatedoroperatinginconjunctionwithanyotherantenna
ortransmitter.
ICStatement
ThisdevicecomplieswithIndustryCanada’slicence-exemptRSSs.Operationis
subjecttothefollowingtwoconditions:
1.Thisdevicemaynotcauseinterference;and
2.Thisdevicemustacceptanyinterference,includinginterferencethatmaycause
undesiredoperationofthedevice.
LeprésentappareilestconformeauxCNRd'IndustrieCanadaapplicablesaux
appareilsradioexemptsdelicence.L'exploitationestautoriséeauxdeuxconditions
suivantes:
1.l'appareilnedoitpasproduiredebrouillage;
2.l'utilisateurdel'appareildoitacceptertoutbrouillageradioélectriquesubi,même
silebrouillageestsusceptibled'encompromettrelefonctionnement.
Thisequipmentcomplieswithradiofrequencyexposurelimitssetforthbythe
Innovation,ScienceandEconomicDevelopmentCanadaforanuncontrolled
environment.
Thisequipmentshouldbeinstalledandoperatedwithaminimumdistanceof20cm
betweenthedeviceandtheuserorbystanders.
Thisdevicemustnotbeco-locatedoroperatinginconjunctionwithanyotherantenna
ortransmitter.
Cetéquipementestconformeauxlimitesd'expositionauxradiofréquencesdénies
parlaInnovation,SciencesetDéveloppementéconomiqueCanadapourun
environnementnoncontrôlé.
Cetéquipementdoitêtreinstalléetutiliséavecunminimumde20cmdedistance
entreledispositifetl'utilisateuroudestiers.
Cedispositifnedoitpasêtreutiliséàproximitéd’uneautreantenneoud’unautre
émetteur.
CEREDInformation
TheMAC2000embeddedwirelessmodulecomplieswithCERED2014/53/EU.
Thisproductisrestrictedtoindooruse.
224MAC™20002053535-002S
StatementforMAC2000EmbeddedWirelessModule
FrequencyRange
2.4GHzfrequencybands:2.4-2.483GHz
5GHzfrequencybands:5.15-5.35GHz,5.47-5.725GHz
MaximumRFOutput
Power(EIRP)
20dBm
2053535-002SMAC™2000225
Index
12LeadDisplayforResting
ECG175
12LeadDisplayforStress
Test176
12ldstresskey39
12SLMeasurement175
12SLMeasurementand
Interpretation175
21CFRPart11AuditTrail176
A
A(artifact)92
ACI-TIPI
option176
optionalsoftwarefeature39
Adenosine(protocol)143
ADS
denition140
onarrhythmia
setup125,137
onstressECGsetup140
ADTFoption176
ADTLoption176
AllowExportUsingShared
Directory147
altkey37
AOMFoption176
AOMLoption176
arrhythmiacodes92
ArrhythmiaECG
printingoptions92
ArrhythmiaEvent
Printing92,138
ArrhythmiaSetup
ADS125,137
episodeprintout138
eventprinting138
leadsequence139
overview136
arrowpad
usingtonavigate41
artifact92
Assistance30
ASYSTO(asystole)92
asystole92
AuditTrail122
autoconguringareader167
AutoLogoff123
B
backspacekey37
Bal(protocol)144
Balkeware(protocol)143
barcode
scanning64
barcodereader
automaticconguration207
conguring167
enteringpatient
information64
option176
baselineshift,reducing80
BasicSetup
audittrail122
autologoff123
highsecuritymode122
overview119
powerupmode121
timesynchronization123
battery
conditioning190
maintenance189
batterystatusindicator
restingECGdisplay76
BCRDoption176
biocompatibilitystatement18
Bruce(protocol)143
C
CardioSoftsystem
communicationoption176
CardioSoft/CSsystem
importingfrom111
CFRAoption176
changingasetting
functionkeymenuoption41
changingmenuoptions
functionkeymenuoption41
classication
226MAC™20002053535-002S
medicaldevice15
cleaning
deviceexterior184
materialstoavoid
device184
materialstouse
device184
clinicaltrialsdataguardand
audittrail
optionalsoftwarefeature39
commentkey39
CommonDocumentation
Portal(CDP)3
communicationprotocol151
CommunicationSetup
cardiographdevicename154
defaultlocation147
device150
DHCPsettings154
DNSsettings154
location150
modemsettings152
overview146
protocol151
shareddirectorysettings147
compliance2,12
CONCONI(protocol)144
congurations,switching
between172
conguring
barcodereader
automatically207
contraindications12
conventions
document30
illustrations31
Notes31
safety12
typographical31
Cornell(protocol)143
CountrySetup
BloodPressureUnit160
dateformat160
height/weightunit160
language160
overview159
speedunit160
STLevelUnit160
timeformat160
CPLT(ventricularcouplet)92
CTDataGuard175
CTDGoption64,175
cursorcontrolkeys37
D
dataacquisition
ECG42
dataformats
selectable42
date
restingECGdisplay76
dateformat160
DateSetup177
daylightsavingstime177
DefaultLocation147
defaultnamingconventions
PDFles179
debrillation
recordinganECGduring87
deletingrecords115
device
frontview34
maintenance183
rearview34
sideview35
symbols20
deviceexterior
cleaning184
DHCPsettings154
displayformat
restingECGdisplay75
DisplayFormat126
DisplayLeadGroup126
DNSsettings154
Dobutamine(protocol)143
document
partnumber2
revision2
documentconventions30
DoseType165
E
E12Loption176
ECG75,83,95,101
SeealsoFullDisclosure
ECGmode
,RestingECG,RRAnalysis
mode,StressECG
deletingrecord115
editingpatient
information113
exportingrecords117
ndingrecords113
importingrecords111
previewingrecords114
printingrecords115
2053535-002SMAC™2000227
transmittingrecords115
ECGanalysis/interpretation
optionalsoftwarefeature39
ECGFilterType140
ECGkey36
ECGrecords
previewing114
ECGtype
restingECGdisplay75
editingpatientinformation113
electrodes
NEHBplacement60
placement58
Ellestad(protocol)143
EMC17
EMI17
EnablePatientIDCheck163
enterBPkey39
enterkey37
EpisodePrintout138
equipment
identication27
ERGOoption102,119,176
ergometer
conductingastresstest
with106
supportedmodels101
unsupportedmodels101
withremotestart101
ESC(ventricularescapebeat)92
escapekey37
exercisestresskey38
ExportSetup174
exporting
ECGrecords117
exportingECGrecords117
exportingrecords
settingoptions117
externaldevices
supportedmodels101
unsupportedmodels101
F
FileManager
deletingrecords115
editingpatient
information113
exportingrecords117
ndingrecords113
importingrecords111
overview111
printingdirectory112
printingrecords115
transmittingrecords115
ndingECGrecords113
FiniteResidualFilter,See
FRF
FRF
denition140
onstressECGsetup140
frontview34
FullDisclosure175
FullDisclosureECGmode83
FullDisclosureoption175
functionkeys37
menuoptions41
changingasetting41
changingmenuoptions41
openingawindow41
savingyourselections41
takinganECG41
usingformenuoptions41
G
gain98,105,125
GEHealthcare
CommonDocumentation
Portal(CDP)3
manuals3
gradedownkey39
gradeupkey39
H
HEARTexercise
optionalsoftwarefeature39
HEARTResting
Measurement175
HEARTResting
Measurementand
Interpretation175
Height/WeightUnit160
HighSecurityMode122
holdstagekey38
Hollmann(protocol)144
hookupadvisor
indicators77
optionalsoftwarefeature39
HookupAdvisor
affectedbyskin
preparation57
hookupadvisorindicator
restingECGdisplay76
228MAC™20002053535-002S
I
identication
equipment27
illustrationconventions31
ImportSetup173
ImportingECGrecords111
indicationsforuse11
inspectingadevice183
intendeduser11
internalstorage,SeeFile
Manager
internalstorageindicator
restingECGdisplay76
J
J+xPointFormula142
K
KanjiName162
keypad
standard36
stress38
keys
alt37
backspace37
cursorcontrol37
ECG36
enter37
escape37
function37
lead36
on/off36
option37
poweron36
rhythm36
shift37
spacebar37
writerstop36
L
L(learnphase)92
LANCommunicationto
CardioSoft176
LANCommunicationto
MUSE176
LANCoption176
LANMoption176
leadkey36
leadlabels
restingECGdisplay76
LeadSequence130,139
leadwires
replacingadapters185
learnphase92
LineFilter97
Location150
LowPassFilter125
M
M100option176
M200option176
maintenance
battery189
cleaningdevicesurfaces184
cleaningmaterialsto
avoid
device184
cleaningmaterialstouse
device184
device183
inspectingadevice183
overview183
replacingleadwire
adapters185
manufacturer
responsibilities18
Master’sStep
mode141
overview101
selecting141
MaximumPredictedHR
Formula141
ME12option175
mediansstresskey39
medicaldevice
classication15
MEHRoption175
menuoptions
restingECGdisplay76
MI12option175
MIHRoption175
ModBalke(protocol)143
ModBalkeware(protocol)143
ModBruce(protocol)143
MODC196
MODCoption176,196
modem
settings152
troubleshooting196
Modemorserial
communicationto
CardioSoft176
Modemorserial
communicationtoMUSE176
2053535-002SMAC™2000229
MODM196
MODMoption176,196
ModWHO(protocol)144
MUSEsystem
communicationsetup176
importingfrom111
UserID171
N
namingconventions
customizing179
Naughton(protocol)143
Notesconventions31
O
OEM3
on/offkey36
openingawindow
functionkeymenuoption41
option
ADTF176
ADTL176
AOMF176
AOML176
BCRD176
CFRA176
CTDG64,175
E12L176
ERGO102,176
FULL175
LANC176
LANM176
M100176
M200176
ME12175
MEHR175
MI12175
MIHR175
MODC176
MODM176
PDFC176
R12L175
RRAN176
setup175
SOMF176
SOML176
TIPI176
WIFC176
WIFM176
optionkey37
optionalfeatures
software39
optionalsoftwarefeatures
ACI-TIPI39
clinicaltrialsdataguard
andaudittrail39
HEARTexercise39
hookupadvisor39
QTcorrectionformula39
options
settingforexporting
records117
ordermanager69
OriginalEquipment
Manufacturer(OEM)3
P
PaceEnhancement97
pacemaker
capturecode92
error93
improvingECG
readability80,97,
127
recordingECGsofpatient
with86
packaging
symbols20
paper
problemswith196
troubleshootingproblems
with196
partnumber
document2
patient
setup
autocongure167
dosetype165
enablingIDcheck163
extraquestions165
IDtype163
Kanjiname162
overview161,165
skinpreparation57
patientheartrate
restingECGdisplay76
PatientIDType163
patientinformation
editingwithFileManager113
enteringmanually63
enteringwithabarcode
reader64
PAU1(pauseof1missed
beat)92
230MAC™20002053535-002S
PAU2(pauseof2missed
beats)92
pause
1missedbeat92
2missedbeats92
PCAP(pacemakercapture)92
PDFExport99
PDFlecopy176
PDFlenamingconventions
default179
PDFCoption176
PERR(pacemaker
malfunction)93
Persantine(protocol)143
PINDialing152
post-Jpoint142
poweronkey36
PowerUpMode121
prescriptiondevice
statement12
preteststresskey38
previewingrecords114
printerleads80
PrinterLeads127
printing
FileManagerdirectory112
printingECGrecords115
product
codes29
description33
features33
protocol
communication151
description144
editing143
list143
selecting141
PSVC(premature
supraventricular
contraction)93
purchaser/customer
responsibilities19
PVC(prematureventricular
contraction)93
Q
QRSL(learnedQRScomplex)93
QTcorrectionformula
optionalsoftwarefeature39
R
R12Loption175
RadioFrequency(RF)
cautions17
devices17
rearview34
recallstresskey39
RecordLead97
recordingarestingECG78
recordingduring
debrillation87
recoverystresskey38
replacing
leadwireadapters185
requirements
service30
system33
responsibilities
manufacturer18
purchaser/customer19
RestingECG
deletingrecords115
editingpatient
information113
exportingrecords117
ndingrecords113
importingrecords111
mode75
options79
post-acquisitionoptions81
printingrecords115
recording78
rhythmreport87
savingautomatically111
savingmanually111
setup
displayformat126
displayleadgroup126
gain125
LeadSequence130
lowpasslter125
overview124
paceenhancement127
printerleads127
speed125
transmittingrecords115
restingECGdisplay
batterystatusindicator76
date76
displayformat75
ECGtype75
hookupadvisorindicator76
internalstorageindicator76
leadlabels76
menuoptions76
2053535-002SMAC™2000231
patientheartrate76
time76
revisionhistory2
rhythmkey36
RhythmRecord98
RhythmReport87
RRanalysis
option176
RRAnalysis
post-testoptions99
setup
antidriftsystem98
gain98
linelter97
lowpasslter98
paceenhancement97
recordlead97
rhythmrecord98
RRtable98
sweepspeed98
target97
RRAnalysismode95
RRTable98
RRANoption176
RUN(ventricularrun)93
S
safety
conventions
denitions12
hazards13
savingyourselections
functionkeymenuoption41
screens
startup40
SDcard117,173174,196
selectabledataformats42
service
information30
requirements30
ServiceSetup,Seethe
ServiceManual
SetupReport160
shareddirectory117,147
shiftkey37
sideview35
SlowUSAFSAM(protocol)143
software
optionalfeatures39
SOMFoption176
SOMLoption176
spacebar37
speed125
SpeedUnit160
speed/loaddownkey39
speed/loadupkey38
standardkeypad36
starttreadmillkey39
Std.France(protocol)144
stoptreadmillkey39
Storagefor100ECGs176
StressECG
bloodpressure103
conductingwith
ergometer106
conductingwithtreadmill106
mode101
options104
prerequisites102
rate-pressureproduct103
reportformats102
setup
ADS140
ECGltertype140
FRF140
J+xPointFormula142
Master’sStepMode141
maximumpredicted
heartrate141
overview139
protocol141
targetheartrate141
targetheartrate103
testinformationbar102
VE/min103
stresskeypad38
stresskeys
12ld39
comment39
enterBP39
exercise38
gradedown39
gradeup39
holdstage38
median39
pretest38
recall39
recovery38
speed/loaddown39
speed/loadup38
starttreadmill39
stoptreadmill39
testend38
usingtocontrolstress
equipment41
stresstestinformationbar102
232MAC™20002053535-002S
StressTestoption176
supraventricular
prematurecontraction93
sweepspeed98,104
symbols
device20
packaging20
system
requirements33
SystemSetup95,119,124,
136,139,146,159,161,
167,175,178
SeealsoArrhythmia
ECG
,BasicSetup,
CommunicationSetup,
CountrySetup,Options
Setup,PatientSetup,
RestingECG,RRAnalysis
Setup,StressECG,User
Setup
Date/Time177
exporting174
importing173
switchingcongurations172
T
takinganECG
functionkeymenuoption41
Target97
targetheartrate103,141
testendkey38
time
restingECGdisplay76
TimeFormat160
TimeSetup177
timesynchronization123
TIPIoption176
training27
transmittingECGrecords115
treadmill
conductingastresstest
with106
supportedmodels101
unsupportedmodels101
troubleshooting
operatorerror193
visualinspection193
typographicalconventions31
U
USAFSAM(protocol)143
UserSetup
MUSEID171
overview167
V
VBIG(ventricularbigeminy)93
ventricular
bigeminy93
couplet92
ectopicsperminute103
escapebeat92
brillation/utter93
prematurecontraction93
run93
tachycardia93
VFIB(ventricularbrillation/
utter)93
visualinspection193
VTACH(ventricular
tachycardia)93
W
warrantyinformation30
WHO(protocol)144
WHO50(protocol)144
WHO75(protocol)144
WIFCoption176
WiFitoCardioSoftoption176
WiFitoMUSEoption176
WIFMoption176
writerstopkey36
2053535-002SMAC™2000233
234MAC™20002053535-002S
GEMedicalSystems InformationTechnologies ,Inc.,aGeneralElectricCompany,goingtomarketas
GEHealthcare.
www.gehealthcare.com
0459
+18005585120(USOnly)
GEMedicalSystems
InformationTechnologies GmbH
MunzingerStraße5
79111FreiburgGermany
Tel:+497614543-0
GEMedicalSystems
InformationTechnologies ,Inc.
8200WestTowerAvenue
Milwaukee,WI53223USA
Tel:+14143555000