resting ECG analysis system Operator's Manual

1 MAC 1200resting ECG analysis systemOperator's ManualVersion 492 04 GA (USA)Revision D2 MAC 1200227 492 04-DThe information contained in this Manual describes version of the MAC 1200 resting ECG analysis system andreflects software version 1999 GE Marquette Medical Systems, Inc. All rights names appear throughout this document. Rather than list the names and entities that own the trademarks orinsert a trademark symbol with each mention of the trademarked name, the publisher states that it is using the names onlyfor editorial purposes and to the benefit of the trademark owner with no intention of improperly using the SC, ACCUSKETCH, AccuVision, APEX , AQUA-KNOT, ARCHIVIST, Autoseq, BABY MAC, C Qwik Connect,CardioServ, CardioSmart, CardioSys, CardioWindow, CASE, CD TELEMETRY, CENTRA, CHART GUARD, CINE35, COROLAN, CORO, COROMETRICS, Corometrics Sensor Tip, CRG PLUS, DASH, Digistore, Digital DATAQ, Efor M, EAGLE, Event-Link, FMS 101B, FMS 111, HELLIGE, IMAGE STORE, INTELLIMOTION, IQA, LASER SXP,MAC, MAC-LAB, MACTRODE, MARQUETTE, MARQUETTE MAC, MARQUETTE MEDICAL SYSTEMS,MARQUETTE UNITY NETWORK, MARS, MAX, MEDITEL, MEI, MEI in the circle logo, MEMOPORT,MEMOPORT C, MINISTORE, MINNOWS, Monarch 8000, MULTI-LINK, MULTISCRIPTOR, MUSE, MUSE CV,Neo-Trak, NEUROSCRIPT, OnlineABG.

2 OXYMONITOR, Pres-R-Cuff, PRESSURE-SCRIBE, QMI, QS, QuantitativeMedicine, Quantitative Sentinel, RAC, RAMS, RSVP, SAM, SEER, SILVERTRACE, SOLAR, SOLARVIEW, Spectra400, Spectra-Overview, Spectra-Tel, ST GUARD, TRAM, TRAM-NET, TRAM-RAC, TRAMSCOPE, TRIM KNOB,Trimline, UNITY logo, UNITY NETWORK, Vari-X, Vari-X Cardiomatic, VariCath, VARIDEX, VAS, and Vision CareFilter are trademarks of GE Marquette Medical Systems, Inc., registered in the United States Patent and , 15SL, Access, AccuSpeak, ADVANTAGE, BAM, BODYTRODE, Cardiomatic, CardioSpeak, CDTELEMETRY -LAN, CENTRALSCOPE, Corolation, EK-Pro, EDIC, Event-Link Cumulus, Event-Link Cirrus, Event-Link Nimbus, HI-RES, ICMMS, IMAGE VAULT, , INTER-LEAD, LIFEWATCH, Managed Use,MARQUETTE PRISM, MARQUETTE RESPONDER, MENTOR, MicroSmart, MMS, MRT, MUSE CardioWindow,NST PRO, NAUTILUS, OCTANET, O2 SENSOR, OMRS, PHi-Res, Premium, Prism, QUIK CONNECT V. QUICKCONNECT, QT Guard, SMARTLOOK, SMART-PAC, Spiral Lok, Sweetheart, UNITY, Universal, Waterfall, andWalkmom are trademarks of GE Marquette Medical Systems, HistoryThis Manual is subject to the GE Marquette change order service.

3 The revision letter which follows the document partnumber, changes with every update of the RevisionDateComment227 492 04-AJanuary 1999 Initial Release227 492 04-BMarch 17, 1999 ECO 061 952227 492 04-CMay 7, 1999 ECO 062 136227 492 04-DOctober 11, 1999 ECO 062 920 MAC 1200 Option Codes227 492 04-DMAC 12003In addition to the software supplied with the unit, optional programs may be purchased to upgrade the MAC1200 performance features. In order to use a new option, you need to activate it by entering the option codenumber (refer to section for details). The option codes are entered into the MAC 1200 prior to packageFunctionalityOption CodeMEAS measurement (measurement of the10-second resting ECG)_ _ _ _ _ _ _ _ _ _ _ _DIAG interpretation (interpretation of the10-second resting ECG)_ _ _ _ _ _ _ _ _ _ _ _MEMO memory (storage of a maximum of 4010-second resting ECGs)_ _ _ _ _ _ _ _ _ _ _ _C100activates the three options MEAS, DIAG,MEMO for a maximum of 100 ECGs_ _ _ _ _ _ _ _ _ _ _ _C500activates the three options MEAS, DIAG,MEMO for a maximum of 500 ECGs_ _ _ _ _ _ _ _ _ _ _ _EVAL activates the three options MEAS, DIAG,MEMO for a maximum of 4 weeks_ _ _ _ _ _ _ _ _ _ _ _Serial No:_ _ _ _ _ _ _ _ _MAC 1200 Option CodesHow To Reach Us4 MAC 1200227 492 04-DService Calls andProduct SupportOrdering Suppliesand Service PartsTo open a service call or obtain product support call the numbers below.

4 Service callsAll products800-558-7044 ( Canada)561-575-5000 (outside )Product supportMonitors800-558-7044 ( Canada)561-575-5000 (outside )Cardiology800-558-5120 ( )414-355-5000 (outside )or contact your local sales and service representative:Name: _____Telephone: _____For other product information please contact one of the offices listed on thenext supplies (leadwires, electrode paste, thermal paper, etc.) or serviceparts (circuit boards, cables, software, etc.) and manuals from:SuppliesGE Marquette Supplies2607 North Grandview Code: SN-471 Waukesha, WI 53188 Telephone:800-558-5102 ( only)414-521-6856 (outside )Fax:800-232-2599 ( only)414-521-6855 (outside )Service partsGE Marquette Service Box 9100, 100 Marquette DriveJupiter, FL 33468-9100 Telephone:800-321-3251 ( only)561-575-5000 (outside )Fax:800-421-6841 ( only)561-575-5050 (outside )Have the following information handy before calling:n part number of the defective part, orn model and serial number of the equipment,n part number/name of the assembly where the item is used,n item name, andn where applicable, reference designation (eg.)

5 R13, S12)Ordering ManualsWhen ordering additional operator manuals, be sureto include the software version of the to Reach Us ..How To Reach Us227 492 04-DMAC 12005 Other Questions orProblemsFor additional information contact one of the offices listed Marquette Medical Systems, West Tower AvenueMilwaukee, Wisconsin 53223 USAT elephone:414-355-5000800-558-5120 ( only)Fax414-355-3790 EuropeGE Marquette Hellige GmbHPostfach 60 02 65D-79032 FreiburgGermanyTelephone:+49-761-4543-0 Fax:+49-761-4543-233 AustraliaMarquette Medical Systems (Australia) Pty Corporate Centre, Suite 719 Rodborough RoadFrenchs Forest NSW 2086 AustraliaTelephone:(61) (2) 9975-5501 Fax:(61) (2) 9975 5503 JapanMarquette Medical system , JapanWaseda Hirai Building, 7th Floor1-18-9, Nishi-WasedaShinjuku-KuTokyo, JapanTelephone:(81) (3) 3203-1631 Fax:(81) (3) 3202-1626 Hong KongMarquette Medical Systems (HK)26/F, Catic Plaza8 Causeway RoadCauseway Bay, Hong KongTelephone:(852) 2804-2320 Fax:(852) 2804 1776 Southeast AsiaMarquette Electronics (SEA) Pte.

6 #2 Leng Kee Road04-04A Thye Hong CentreSingapore 0315 Telephone:(65) 471-2133 Fax:(65) 471-1540 General Information6 MAC 1200227 492 04-DGeneral Information Standards compliance: European Council Directive 93/42/EEC IEC60601-1-2/EN 60601-1-2 "Electromagnetic Com-patibility - Medical Electrical Equipment" CISPR11 / EN 55011 "Radio interference emission" IEC 60601, protection class I MDD class IIa UL 2601-1 The symbol means: Consult accompanyingdocuments. It indicates points which are of particularimportance in the operation of the device. The warranty does not cover damage resulting from theuse of accessories and consumables from other manu-facturers. On request GE Marquette will provide a servicemanual. The GE Marquette quality management system complieswith the standards EN ISO 9001 and EN 492 04-DMAC 120071 INTENDED USE AND FUNCTIONAL DESCRIPTION 92 CONTROLS AND INDICATORS 103 PUTTING THE DEVICE INTO OPERATION AND PERFORMANCE TEST SAFETY POWER INSTALLATION AND MAINS PERFORMANCE GENERAL DEVICE CONNECTING EXTERNAL DEVICES194 PREPARATIONS FOR ECG RECORDING CONNECTING THE PATIENT APPLYING THE ARTIFACT DUE TO POOR ELECTRODE ENTERING PATIENT DATA245 RECORDING IN 12 LEAD MODE SOME

7 BASIC THE MEMORY THE REPORT ECG BRIEF OPERATING INSTRUCTIONS - 12 LEAD MODE386 RECORDING IN 6 LEAD MODE SOME BASIC BRIEF OPERATING INSTRUCTIONS - 6 LEAD MODE417 ARRHYTHMIA MODE SOME BASIC BRIEF OPERATING INSTRUCTIONS - ARRHYTHMIA MODE45 Contents8 MAC 1200227 492 04-D8 ECGS OF PACEMAKER PATIENTS / ECG RECORDING DURING DEFIBRILLATION RECORDING ECGS OF PACEMAKER ECG RECORDING DURING DEFIBRILLATION469 system SETUP SOME BASIC 12 LEAD 6 LEAD ARRHYTHMIA GENERAL DEVICE PATIENT OPTION ECG TRANSMISSION VIA ECG TRANSMISSION5510 LOADING CHART PAPER 5611 CLEANING, DISINFECTION AND MAINTENANCE AND DISINFECTING THE RECORDER AND DISINFECTING THE PATIENT AND DISINFECTING THE TROUBLESHOOTING 6013 TECHNICAL SPECIFICATIONS 62 APPENDIXENTERING SPECIAL CHARACTERS67 INDEX68 Intended Use and Functional Description227 492 04-DMAC 120091 Intended Use and Functional DescriptionThe MAC 1200 is an ECG acquisition and recordingsystem designed and manufactured by GE MarquetteMedical Systems.

8 It is intended to be used for resting ECGrecording and realtime ECG recording with orwithout arrhythmia detection. It is not intended for use as a vital signs physio-logical monitor. The arrhythmia detection portion of the MAC1200 is provided to the customer for the conven-ience of automatic documentation. It is not de-signed to provide alarms for arrhythmia detec-tion. The MAC 1200 offers no diagnostic opinion tothe user. Instead it provides analytical statementswhen configured with the appropriate options. It is intended to be used by trained operatorsunder direct physician supervision when ECGrecords are required. It is not suitable for intracardiac application. It is designed for continuous operation. It is not intended for home use. The MAC 1200 is designed as a portable deviceand can easily be moved from one patient toanother or to different locations. It is not intendedto be used during patient with the standard software, the MAC 1200supports the following operating modes: 12 Lead Mode (acquisition of 12 leads of ECGfor a period of 10 seconds), 6 Lead Mode (real-time recording of 6 ECGleads), and Arrhythmia Mode (continuous ECG analysis forarrhythmias).

9 The graphics display shows 3 leads at a ECGs can be transferred to the MUSE CVInformation system via the RS232 device operates from both AC and DC (re-chargeable batteries) power unit's performance features can be upgradedwith the following optional programs: MEAS - measurement (measurement of the 10-second resting ECG) DIAG - interpretation (interpretation of the 10-second resting ECG) MEMO - memory (storage of a maximum of 4010-second resting ECGs)- C100 - activates the three options MEAS, DIAG,MEMO for a maximum of 100 ECGs- C500 - activates the three options MEAS, DIAG,MEMO for a maximum of 500 ECGs- EVAL - activates the three options MEAS,DIAG, MEMO for a period of 4 weeksThe MAC 1200 resting ECG analysis system has asetup menu to customize the system and user data can be entered for reliable andsafe archiving of patient records. The patient name isannotated on each printed report page. All other datais printed on ;X:C/V, <M> L) XK( J% H* G+ F- D= S?

10 A! altQ1 W2 E3 R4 T5 Y6 U7 I8O9P0startstoparrhypatinfostore/retriev eleadcopysetupgainformat/speedmusclefilt er126standbybattery lowonoffMAC 1200 Figure 1-1. MAC 1200 Controls and Indicators10 MAC 1200227 492 04-D2 Controls and IndicatorsZ;X:C/V, <M> L) XK( J% H* G+ F- D= S? A! altQ1 W2 E3 R4 T5 Y6 U7 I8O9P0startstoparrhypatinfostore/retriev eleadcopysetupgainformat/speedmusclefilt er126standbybattery lowonoffMAC 1200Z;X:C/V, <M> L) XK( J% H* G+ F- D= S? A! altQ1 W2 E3 R4 T5 Y6 U7 I8O9P0startstoparrhypatinfostore/retriev eleadcopysetupgainformat/speedmusclefilt er126standbybattery lowonstdby312579111012141315161718192021 222324252627864 Figure 2-1. Controls and indicators of the MAC 1200 resting ECG analysis systemControls and Indicators227 492 04-DMAC 1200111 Power input2 Paper door, windows allows you to check thepaper supply3 Patient cable connector4 Serial interface (see chapter 13 "TechnicalSpecifications")5 Power switch (ON/STANDBY)6 Keys to select a higher or lower HR alarm limit7 Backspace key (to correct entered data)8 Confirms entered data (Enter)9 Displays the setup menu10 Enables/disables the muscle filter (eliminationof muscle artifact)11 Selects the writer speed (25, 50, 5 mm/s) in 6 Lead Mode and the report formats in 12 LeadMode12 Selects the gain (5, 10, 20, 40 mm/mV)13 Press to print the report or additional copies ofthe ECG, or to send/receive ECGs14 Selects the ECG lead in 6 Lead Mode (in 12 Lead Mode, on the display only)