GE MAC 600 Operator's Manual
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GE MAC 600 Operator's Manual

GE MAC 600 Operator's Manual

Resting ecg analysis system
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GE Healthcare
MAC™ 600
Resting ECG Analysis System
Operator's Manual
Software Version 1.0
2047426-001 Revision K
MAC 600 Resting ECG Analysis System
English
© 2009-2022 General Electric Company.
All Rights Reserved.
General user documentation. Copyright General Electric company. GE proprietary. Reproduction and/or distribution is prohibited.

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  • Page 1 Resting ECG Analysis System Operator's Manual Software Version 1.0 2047426-001 Revision K MAC 600 Resting ECG Analysis System English © 2009-2022 General Electric Company. All Rights Reserved. General user documentation. Copyright General Electric company. GE proprietary. Reproduction and/or distribution is prohibited.
  • Page 2 CardioSoft, Hookup Advisor, MAC, MULTI-LINK, MUSE, MACTRODE, and 12SL are trademarks owned by GE Medical Systems Information Technologies, Inc., a General Electric Company going to market as GE Healthcare. All other trademarks contained herein are the property of their respective owners.
  • Page 3 To avoid the problem, acquire ECGs using the steps outlined in this document. Always check the date/time stamped on the report to see if it matches the date/time when you acquired the ECG. GE Medical Systems Information Technologies, Inc., a General Electric Company, going to market as GE Healthcare.
  • Page 4 ECG is a required metric for European data registries used to evaluate and improve time-to-treatment.[8, 9, 10, 11] As a result, GE Healthcare prints the acquisition date/time on every report and this practice has been adopted as a safety and performance requirement for computerized electrocardiographs in Europe.[12]...
  • Page 5 2098702-001B MAC ECG Carts...
  • Page 6 Item Description Time/Date stamped on printed report should match the time and date that you acquired the ECG. MAC ECG Carts 2098702-001B...
  • Page 7 Steps for Acquiring an ECG There are many educational materials available that describe proper skin preparation, lead placement, and so on, to obtain a quality ECG recording. Instead of reiterating these, this document focuses on the interaction between the user and the computerized electrocardiograph to eliminate the possibility that a previously acquired ECG could be mistakenly printed and used as if it is the patient’s current ECG.
  • Page 8 settle before a quality ECG can be obtained, it is customary during this phase of the test to enter patient information. MAC ECG Carts 2098702-001B...
  • Page 9 The MAC 1200 has no soft keys. All functions are supported via hard keys. For example, patient information is selected via a dedicated hard key. MAC 600, MAC 800 have 4 soft keys. MAC 1600, MAC 2000, MAC 3500, MAC 5000, MAC 5500, and MAC 5500 HD have 6 soft keys as shown in step 1.
  • Page 10 Press The Hard Key To Acquire An ECG To acquire a 12-lead ECG record, press the hard key of the electrocardiograph dedicated for this purpose. On some device models, the patient cable also has a hard key for acquiring an ECG.
  • Page 11 Print / Copy Keys Now Enabled At this point, the screen menu will display as follows. This is the only point in the workflow when the print/copy keys are active. The purpose of the print/copy keys is to allow you to inspect the ECG report on the display before printing it or, if necessary, generate extra copies.
  • Page 12 an ECG report for a patient. Remember, the next person may have less training than you do. So please leave the device in a state that is ready to start a new test. What You Should Do: Any of the following actions will prevent the occurrence of printing the wrong ECG for a patient: Pushing the ECG button to record an ECG, or Pushing “Next Patient”, “Same Patient”, or “Main Menu”...
  • Page 13 Bibliography Roffi, M., et al., 2015 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation. Task Force for the Management of Acute Coronary Syndromes in Patients Presenting without Persistent ST-Segment Elevation of the European Society of Cardiology (ESC), 2016. 37(3): p. 267-315. Priori, S.G., et al., 2015 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death.
  • Page 14 Montalescot, G., et al., STEMI and NSTEMI: are they so different? 1 year outcomes in acute myocardial infarction as defined by the ESC/ACC definition (the OPERA registry). Eur Heart J, 2007. 28(12): p. 1409-17. Gitt, A.K., et al., BENCHMARKING IN THE MYOCARDIAL INFARCTION REGISTRY RHEINLAND-PFALZ (MIR-RLP) RESULTED IN INCREASE IN PRE-HOSPITAL ECG-RECORDING AND REDUCTION IN ISCHEMIC TIME TO REPERFUSION IN STEMI.
  • Page 15 Documentation Library (CDL), located at www.gehealthcare.com/documents, and click Cardiology. Additional Assistance GE Healthcare maintains a trained staff of application and technical experts to answer questions and respond to issues and problems that may arise during the installation, maintenance, and use of this system.
  • Page 16 This product complies with the requirements concerning medical devices from the following regulatory bodies. For more information about compliance, refer to the Regulatory and Safety Guide for this product. Date of first CE mark — 2010. The document part number and revision are on each page of the document. The revision identifies the document’s update level. The revision history of this document is summarized in the following table.
  • Page 17 To access Original Equipment Manufacturer (OEM) documents, go to the device manufacturer's website. This document describes the MAC 600 Resting ECG Analysis System, also referred to as the " product", "system", or "device". This document is intended to be used by qualified medical personnel who have received proper medical and product training, and those who use, maintain, and/or troubleshoot the MAC 600 system.
  • Page 18 For TinyCrypt Cryptographic Library used in MAC600, Copyright (c) 2017, Intel Corporation. All rights reserved. THIS SOFTWARE IS PROVIDED BY THE COPYRIGHT HOLDERS AND CONTRIBUTORS "AS IS" AND ANY EXPRESS OR IMPLIED WARRANTIES, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE ARE DISCLAIMED. IN NO EVENT SHALL THE COPYRIGHT OWNER OR CONTRIBUTORS BE LIABLE FOR ANY DIRECT, INDIRECT, INCIDENTAL, SPECIAL, EXEMPLARY, OR CONSEQUENTIAL DAMAGES (INCLUDING, BUT NOT LIMITED TO, PROCUREMENT OF SUBSTITUTE GOODS OR SERVICES;...
  • Page 19 MAC™ 600 2047426-001K 01 Apr 2022...

  • Page 20: Table Of Contents

    Contents Introduction Manual Information ..................15 Purpose ..................... . 15 Intended Audience .
  • Page 21 Device Symbols ................... . . 27 Service Information..................
  • Page 22 Selecting the Menu Options ................54 Using the Arrow Pad .
  • Page 23 Introduction ....................75 Accessing the File Manager ................76 Printing the Stored ECGs ................. 77 Report Setup ....................78 Displaying the Stored ECGs................79 Transmitting Stored ECGs through Serial Line..........80 Transmitting Stored ECGs in XML Format ............81 Transmitting Stored ECGs to the MUSE System ..........82 Transmitting Stored ECGs to CardioSoft v6.61..........
  • Page 24 System Setup Introduction ....................91 Accessing the Setup Function ................. 91 ECG........................92 Resting ECG Reports ..................93 Lead Sequence .
  • Page 25 Save Setup..................... 122 Restore Setup....................123 Maintenance Device Maintenance..................126 Inspecting the Device..................126 Cleaning and Disinfecting Exterior Surfaces ............126 Cleaning Materials to Use.
  • Page 26 SD Card Error ....................137 System Errors .
  • Page 27 MAC™ 600 2047426-001K...

  • Page 28: Introduction

    The person using the MAC 600 system is expected to have a working knowledge of appropriate medical procedures, practices, and terminology used in the treatment of patients.

  • Page 29: Contraindications

    Product Reference The product described in this manual is the MAC 600 Resting ECG Analysis System. It will be referred to as the “MAC 600”, “the system”, or “the device” throughout this document. Illustrations All illustrations in this manual are provided as examples only.

  • Page 30: Blank Pages

    NOTE provides application tips or other useful information to assure that you get the most from your equipment. Applicable Hazard Messages This section lists the warnings that are applicable to the MAC 600 Resting ECG Analysis System. WARNING ACCIDENTAL SPILLS If liquids have entered a device, switch off the device and inform Service.
  • Page 31 Introduction WARNING MATERIAL INGRESS If materials have entered a device, switch off the device and inform your service representative. To avoid electric shock or device malfunction, material must not be allowed to enter the device. WARNING BATTERY OPERATION If the integrity of the functional earth conductor is in doubt, operate the unit from its battery.
  • Page 32 Introduction WARNING ELECTRODES Polarizing electrodes (stainless steel or silver constructed) may cause the electrodes to retain a residual charge after defibrillation. A residual charge will block acquisition of the ECG signal. WARNING OPERATOR Medical technical equipment such as this electrocardiograph system must only be used by persons who have received adequate training in the use of such equipment and who are capable of applying it properly.
  • Page 33 WARNING ACCESSORIES (SUPPLIES) To ensure patient safety, use only parts and accessories manufactured or recommended by GE Medical Systems Information Technologies. Parts and accessories used must meet the requirements of the applicable IEC 60601 series safety standards and essential performance standards, and/or the system configuration must meet the requirements of the IEC 60601-1-1 medical electrical systems standard.

  • Page 34: Classification

    Introduction WARNING SUPERVISED USE This equipment is intended for use under the direct supervision of a licensed healthcare practitioner. WARNING POWER REQUIREMENTS Before connecting the device to the power line, check that the voltage and frequency ratings of the power line are the same as those indicated on the unit's label. WARNING INTERPRETATION HAZARD Computerized interpretation is only significant when used in conjunction with clinical findings.

  • Page 35: Certification Information

    Mode of operation Continuous operation Certification Information The MAC 600 system bears the CE mark “CE-0459”, notified body GMED, indicating its conformity with the provisions of the Council Directive 93/42/EEC, concerning medical devices and fulfils the essential requirements of Annex I of this directive.

  • Page 36: Biocompatibility

    Please contact GE Healthcare or its representatives with any questions. Responsibility of the Manufacturer GE Healthcare is responsible for the effects of safety, reliability and performance only if: Assembly operations, extensions, readjustments, modifications, or repairs are carried out by persons authorized by GE Healthcare.

  • Page 37: Recording Ecgs Of Pacemaker Patients

    Introduction Electrode defibrillation recovery is the ability of the electrode to allow the ECG trace to return after defibrillation. We recommend using non-polarizing disposable electrodes with defibrillation recovery ratings as specified in AAMI EC12 4.2.2.4. (MMS P/N 9623-105 Silver MacTrodes, MMS spec. TP9623-003).

  • Page 38: Emi/Emc/Rf Safety Information

    Introduction EMI/EMC/RF Safety Information Users should consider RF sources, such as radio or TV stations and hand-held or mobile two-way radios, when installing and operating a medical device or system. Operating the system near radio frequency (RF) and electromagnetic interference (EMI) above the conditions defined in the EMC Standard EN60601-1-2 for Radiated Immunity (field strengths above 3 volts per meter) may cause waveform distortions.

  • Page 39: Security Information

    Introduction Label devices susceptible to EMI. Educate healthcare facility staff (nurses and doctors) to be aware of, and to recognize, potential EMI related problems. Security Information This section provides information about the security information for the user. The user should ensure that password needs to be changed during initial configuration. Also the user may implement administrative controls.

  • Page 40: Device Symbols

    Introduction Device Symbols The following symbols may appear on the product, accessories, its packaging, and its documentation. Symbol Description Type CF equipment. The acquisition module is protected from defibrillation shocks. Do NOT throw the battery into the garbage. Alternating current. Indicates that the waste of electrical and electronic equipment must not be disposed as unsorted municipal waste and must be collected separately.
  • Page 41 Introduction Description Symbol The flashing amber LED next to this symbol on keypad indicates you must connect the system to AC power to recharge the battery. The arrow on top of the battery symbol on display indicates that the battery is charging. The packaging of this product can be recycled.
  • Page 42 Introduction Description Symbol Lot number. Eurasian Conformity Mark. The single conformity mark for circulation of products on the markets of member-states of Customs Union. This product passed all conformity assessment (approval) procedures that correspond to the requirements of applicable technical regulations of the Customs Union.
  • Page 43 Introduction Description Symbol Follow Instructions For Use Read and understand the operator's manual before using the device or product. As a mandatory action sign, this symbol is identified by a blue background and white symbol. Indicates the device or product conforms with applicable EU (European Union) directives.
  • Page 44 Introduction Description Symbol Environment-friendly Use Period per Chinese standard SJ/T11363-2006 (China specific). Environment-friendly Use Period per Chinese standard SJ/T11363-2006 (China specific). Atmospheric pressure limitation. Temperature limitation. Humidity limitation. 2047426-001K MAC™ 600...
  • Page 45 Introduction Description Symbol Recycle the battery. Manufacturer name and address. Indoor use only. No serviceable parts. PCT. GOST marking symbolizing conformity with applicable Russian Gosstandart technical and safety standards. MAC™ 600 2047426-001K...
  • Page 46 Introduction Description Symbol China Metrology Certification. CCC Mark - China Compulsory Certification mark. CCC Mark - China Compulsory Certification mark for safety and EMI. Indicates that the device is classified as type 20 for solid and water ingress per IEC/EN 60529. In IP20, the 2 indicates protection against ingress of solid objects, >...
  • Page 47 Introduction Description Symbol This side up. Keep dry. Fragile. Authorized European Representative. DC output connector polarity. USA only. For use by or on the order of a Physician, or persons licensed by state law. MAC™ 600 2047426-001K...
  • Page 48 Introduction Description Symbol Power button on the key pad on the device. Turns the system on and off. Leads key on the key pad on device. ECG key on the key pad on the device. Acquires an ECG. Rhythm key on the key pad on the device. Prints a continuous, real-time rhythm ECG strip.

  • Page 49: Service Information

    Refer equipment servicing to GE Healthcare authorized service personnel only. Any unauthorized attempt to repair equipment under warranty voids that warranty. It is the user’s responsibility to report the need for service to GE Healthcare or to one of their authorized agents. Serial Number Label Format The serial number label appears on the back of the device.
  • Page 50 Introduction Part number of product Date of manufacture in YYYY-MM format Barcode Serial Number of the product 2047426-001K MAC™ 600...

  • Page 51: Serial Number Format

    Introduction Serial Number Format Every GE device has a serial number for identification. The serial number is located on the serial number label on the back of the device. See “Back View” on page 43. The serial number appears similar to the following:...

  • Page 52: Product Label

    Introduction Product Label The product label is located on the rear side of the device next to the external power inlet module. Label Description Product name (MAC 600) Country of Origin Input power rating Symbols 2047426-001K MAC™ 600...
  • Page 53 Introduction MAC™ 600 2047426-001K...

  • Page 54: Equipment Overview

    Equipment Overview Front View Name Description Prints ECG reports Writer/Printer 2047426-001K MAC™ 600...

  • Page 55: Side View

    Equipment Overview Display screen Displays the waveform and text data Keypad Means of input to operate the system and to enter data Side View Name Description ECG signal input connector Connect the patient cable here MAC™ 600 2047426-001K...

  • Page 56: Back View

    Equipment Overview Back View Name Description Used to connect a GE Healthcare specified ACDC power adaptor Used to insert SD card. The system supports SD cards that are formatted for the FAT16 file systems. (FAT16 may also be indicated as FAT file system.)

  • Page 57: Inside View

    Equipment Overview Inside View Name Description Printer roller Connects the paper to thermal print head Print head Thermal print head Lifting Tape Helps lift the z-fold paper pack Spindle Holds roll paper MAC™ 600 2047426-001K...

  • Page 58: Bottom View

    Equipment Overview Bottom View Name Description Battery Compartment Holds the rechargeable Lithium-ion battery Option Code Label Displays the option code label (Optional) 2047426-001K MAC™ 600...

  • Page 59: Keypad

    Equipment Overview Keypad The keypad has 0-9 keys that can be used for entering numbers and alphabets into the system. For information about changing settings to enable entering alphabets into the system see “PatientQuestions” on page 104. Name Description Power Turns the system on or off Power LED Indicates the unit is plugged in and...

  • Page 60: Getting Started

    Press to return to the previous menu Getting Started Before using the system, charge the battery to full power for 3 to 4 hours. The following sections describe the process of setting up the MAC 600 device. 2047426-001K MAC™ 600...

  • Page 61: Confirming The Box Contents

    MAC 600 Quick Reference Guide Ordering Optional Accessories The following are . To purchase these optional accessories, contact GE Healthcare Customer Service. Refer to the MAC 600 Service Manual for the accessory part numbers. Reusable clamp and bulb electrodes Disposable electrodes...

  • Page 62: Purchasing Software Options

    PDF generation is not supported for the Russian language. This manual describes all the above options. To obtain an option activation code to enable the above options, contact GE Healthcare Customer Service. Connecting the Patient Cable Plug the patient cable to the side of the system as show in section “Side View”...
  • Page 63 Equipment Overview The device supports the following standard thermal recording papers: Z-fold paper (Part number - 2030887-001) Roll paper (Part number - 2030888-001) To load the Z-fold pack into the device, refer to the following procedure. Open the Writer door. Place the Z-fold pack inside the Writer compartment.

  • Page 64: Turning On The System

    Equipment Overview To load the roll paper into the device, do the following: Open the Writer door. Remove the leftover paper from the spindle and slide the paper roll onto the spindle. Place the roll, with the print side (red grid) facing the thermal print head, into the compartment by fitting the spindle into the grooves on either side.

  • Page 65: Configuring The Device

    If the same settings are to be applied to multiple devices, save the settings to an SD card and use the card when you configure the system settings of other MAC 600 systems. For more information, “Save Setup” on page 121 “Restore Setup”...

  • Page 66: Startup Screen

    Equipment Overview Startup Screen The startup screen appears as shown in the following figure: Menu options appear across the bottom of the display. Each menu option corresponds to a function key (F1–F4) directly below the display. You can view four menu options at a time. Select the More option to view the additional menu options.

  • Page 67: Selecting The Menu Options

    Equipment Overview Name Description Hookup Advisor Indicator Displays the quality of lead signals. See “Hookup Advisor” on page 64. for more information. Battery status indicator Displays the current battery level. Patient’s Heart Rate Displays the patient heart rate measured in beats per minute. Software Version Displays the system’s software version during the first few seconds of power up.

  • Page 68: Preparing The Patient

    Preparing the Patient Prepare the Patient’s Skin Careful skin preparation is the key to an interference-free ECG. The lead signal quality is shown on the Hookup Advisor indicator. See “Hookup Advisor” on page 64. 2047426-001K MAC™ 600...
  • Page 69 Preparing the Patient Shave any hair from each electrode site and degrease each electrode site with alcohol. Dry the skin completely. MAC™ 600 2047426-001K...

  • Page 70: Applying Resting Electrodes

    Verify the leads are all connected and working properly. NOTE: Use only electrodes and contact agents recommended by GE Healthcare. The signal quality on the lead-check screen will not be indicated until the RL/N electrode has been applied. When RA/ R becomes disconnected, the system will display Limb Lead Disconnected.
  • Page 71 Preparing the Patient MAC™ 600 2047426-001K...
  • Page 72 Preparing the Patient 12–Lead Electrode Placement AHA Label IEC Label Description V1 red C1 Red Fourth intercostal space at the right sternal border. V2 yellow C2 yellow Fourth intercostal space at the left sternal border. V3 green C3 green Midway between C2/V2 and C4/V4.
  • Page 73 Preparing the Patient 12–Lead Electrode Placement (cont'd.) Description AHA Label IEC Label V5 orange C5 black Anterior auxiliary line on the same horizontal level as C4/V4. V6 purple C6 purple Mid-auxillary line on the same horizontal level as C4/V4 and C5/V5.

  • Page 74: Acquiring An Ecg

    Acquiring an ECG Recording a Resting ECG When the system is turned on, the Startup screen opens. 2047426-001K MAC™ 600...
  • Page 75 Acquiring an ECG the following steps describe how to acquire a resting ECG: Prepare the patient as described in “Preparing the Patient” on page Ensure that the patient cable is connected and the system is turned on. Enter the patient data as described in “Entering Patient Information”...
  • Page 76 Acquiring an ECG Press the ECG key to begin the acquisition. A message indicating that the data is being acquired is displayed on the screen. When the acquisition is complete, one of two things will occur, depending on the Preview before print setting in Setup >...

  • Page 77: Entering Patient Information

    Acquiring an ECG Entering Patient Information Patient information should be entered for each new patient from whom readings are taken. CAUTION ACCURATE PATIENT INFORMATION Patient information may be retained from a previous patient. Be sure to check the patient information screen for each new patient. Data assigned to the wrong patient causes erroneous patient information that can affect diagnosis and treatment of the patient(s).

  • Page 78: Ecg Options - Before Acquiring An Ecg

    Acquiring an ECG Enter the patient’s data of birth in the Date of birth field. NOTE: To set up the patient’s age in years/months/weeks/days/hours format, see “Patient Questions” on page 102. Enter the patient’s gender in the Gender field. NOTE: If the Gender field does not appear in the Patient datawindow, you will need to enable it.
  • Page 79 Acquiring an ECG Option Description Patient Data Opens the patient data entry window. Speed Changes the speed of the waveform on the display and printout. Measurement is in millimeter per second (mm/s) and includes the following options: 25 mm/s 50 mm/s 5 mm/s 12 mm/s NOTE:...
  • Page 80 Acquiring an ECG Option Description Filter Attenuates noise in the waveform by restricting the frequencies that are included. Frequencies are measured in Hertz (Hz) and include the following options: 20 Hz 40 Hz 100 Hz 150 Hz Selecting a frequency eliminates signals that exceed that frequency.

  • Page 81: Ecg Options - After Acquiring An Ecg

    Acquiring an ECG ECG Options – After Acquiring an ECG After you acquire and print an ECG, the system displays menu options across the bottom of the screen. They are listed in the following table. Option Description Print Prints another report of the same ECG. Before printing, you can change the report format, speed, gain and filter settings.
  • Page 82 Acquiring an ECG In addition to enabling/disabling the Hookup Advisor feature, you can set the level at which the system acknowledges poor signal quality. The acknowledgement level can be set to yellow, red (default), or never. Description Indicator Indicates a lead-fail condition or extreme baseline shifts. The red indicator is always the left circle of the indicator.

  • Page 83: Generating A Rhythm Report (Manual Recording)

    Acquiring an ECG Generating a Rhythm Report (Manual Recording) The system allows you to generate Rhythm Reports, which are printed reports only. They will not have computer-generated interpretation or measurements, and they cannot be stored or transmitted. Use the following steps to generate a Rhythm Report. Prepare the patient as described in “Preparing the Patient”...

  • Page 84: Configuring Auto Storage

    Acquiring an ECG Configuring Auto Storage Perform the following procedure to configure the device to auto save an acquired ECG in xml format. Within the system setup function, select Storage. In Auto ECG Storage, select the type of stored ECGs. Select the storage format.

  • Page 85: Configuring Auto Transmit

    Acquiring an ECG In PDF File Name Configuration, select the tpe of configuration. For more information, see “PDF Configuration” on page 118. Select Return. NOTE: The PDF reports can be transferred from an SD card to a computer and then can be printed like any PDF document.
  • Page 86 Acquiring an ECG In Default Location, choose the destination for the transmitted file. Select Return. NOTE: If the transmission of the ECG fails, the file will be saved on the SD card. NOTE: If you have chosen MUSE Network as the type of transmission, verify the configuration for Site, Location, and Cart number in Miscellaneous setup.
  • Page 87 Acquiring an ECG MAC™ 600 2047426-001K...

  • Page 88: File Manager

    File Manager Introduction File Manager is an optional feature and is available when the SD card storage option is enabled. File Manager provides an interface to the system’s external storage. It provides functions to do the following: print stored ECGs display stored ECGs transmit stored ECGs to an external device delete stored ECGs...

  • Page 89: Accessing The File Manager

    File Manager Accessing the File Manager To access File Manager, do the following: NOTE: Before accessing File Manager, ensure that an SD card with stored ECGs is inserted in the SD card slot. If there is no card in the SD card slot, the following message appears on the screen: Please Insert SD Card Press ‘Esc’...

  • Page 90: Printing The Stored Ecgs

    File Manager The menu that appears across the bottom of File Manager and its functions are described in the following table. Function Description Select Selects a file. Select All Selects all files stored on the SD card. Report Setup Defines the report format, speed, gain, and filter settings for printing the stored ECGs.

  • Page 91: Report Setup

    File Manager Report Setup The Report Setup function helps you to define the following parameters for the stored ECGs to be printed: Report format Speed Gain Filter The following table describes the menus and functions under Report Setup. Function Description Report Format Selects the report format for printing a stored ECG.

  • Page 92: Displaying The Stored Ecgs

    File Manager Change the settings for Auto gain and Auto shift. Select Return to exit the Resting ECG reports window. NOTE: Changes made here affect only the current ECG. Once another ECG is recorded, the reports specified in the system setup are printed. See “System Setup”...

  • Page 93: Transmitting Stored Ecgs Through Serial Line

    Baud rate: 115.2 Kbps Data Bits: 8 Parity: None Stop Bits: 1 At the MAC 600, verify that the EXST: External Storage and TRANS: Transmission options are activated by performing the following the steps: Select Setup. Type the passcode 1111 and press Enter.

  • Page 94: Transmitting Stored Ecgs In Xml Format

    The Option Activation screen opens. Make sure that EXST: External Storage and TRANS: Transmission are activated. Contact your GE Healthcare Sale Representative to purchase this feature if it is not available. Set up communication to the MAC 600 by performing steps in “Transmission”...

  • Page 95: Transmitting Stored Ecgs To The Muse System

    File Manager Select one or more files. Select Transmit. The selected file(s) will be transmitted in XML format. Transmitting Stored ECGs to the MUSE System Connect one end of the serial cable to the serial port on the system. Connect the other end of the serial cable to the serial port of the MUSE Server/Client.
  • Page 96 Install the connectivity server software from the CardioSoft v. 6.61 CD. Configure Cardiosoft v6.61 for serial communication by performing the following steps: On the Connectivity Server, open Windows Explorer. Create a new folder and name it MAC 600. Share the folder with Full control permissions to Everyone. NOTE: For enhanced security, only the user name running the connectivity server service needs to have read-write permission on the folder.
  • Page 97 File Manager 5. At the CardioSoft home screen, click the System Configuration button on the right panel The System Configuration window opens. MAC™ 600 2047426-001K...
  • Page 98 File Manager Click the Option Code tab to open it. Verify that the option RESB: Resting ECG/Exercise Test Standard is activated. If the option is not activated, see the CardioSoft Operator Manual. 2047426-001K MAC™ 600...
  • Page 99 File Manager Click on the Connectivity Server tab to open it. MAC™ 600 2047426-001K...
  • Page 100 File Manager Add an Inbound Connection by clicking Add. The Add Inbound Connection window opens. Select the following: Device Type – Serial COM Port – select the correct port for your facility Baud Rate – 115200 Destination Directory for the shared folder. Click OK to add the selected inbound connection.

  • Page 101: Deleting Stored Ecgs

    File Manager Deleting Stored ECGs Press Select. Select one or more ECGs. Select Delete. You will be prompted to enter the password. Type the user password and press the Enter key. The selected file(s) will be deleted from the SD card. NOTE: Deleting stored ECGs will not delete the corresponding ECGs stored in PDF format.

  • Page 102: Using The Sd (Secure Digital) Card

    The resulting PDF file(s) will be stored on to the SD card in the PDF folder. Using the SD (Secure Digital) Card GE Healthcare recommends using a 2 GB SanDisk or Transcend SD card. NOTE: Use an SD card exclusively to store ECGs. Do not use this SD card for any other purpose.

  • Page 103: Ejecting An Sd Card From The Drive Slot

    File Manager Ejecting an SD Card from the Drive Slot Press the SD card into the drive slot to eject it. The drive slot is spring loaded, and it will eject the SD card. MAC™ 600 2047426-001K...

  • Page 104: System Setup

    System Setup Introduction System Setup provides access to functions that allow you to customized the system settings and utilities to help you manage those settings. Accessing the Setup Function From the startup screen select the More option. Select Setup to access the System Setup function. Enter the System Setup password.

  • Page 105: Ecg

    System Setup The System Setup menu opens. On the System Setup menu, verify the ECG is selected and press the Enter key to enter the ECG function. The ECG window opens. MAC™ 600 2047426-001K...

  • Page 106: Resting Ecg Reports

    System Setup The ECG function allows you to define the following information: Number of reports printed for the available report formats Auto gain and Auto shift Lead Sequence and Lead Groups Writer settings Parameters for ECG Analysis and ECG Acquisition Resting ECG Reports With Resting ECG Reports highlighted, press the Enter key.
  • Page 107 System Setup The Resting ECG Reports window setup options are defined in the following table. MAC™ 600 2047426-001K...
  • Page 108 System Setup Function Description Normal ECG Reports Choose the report formats your system automatically prints after you press the ECG key Select whether you want the report to print with or without interpretation (12SL analysis statements). Enter the number of copies you want to print for each report (0 - 10 copies).

  • Page 109: Lead Sequence

    System Setup Function Description Auto gain Select Yes to enable Auto gain. The Auto gain feature adjust the gain to minimize waveform overlap. Depending on the amount of overlap, the Auto gain may be applied to all leads or only the chest leads. The default is No. Auto shift Select Yes to enable Auto shift.
  • Page 110 System Setup The following table describes how to define the lead groups, extra rhythm lead, and lead group for autorhythm. Function Description Group 1 – Group 3 These groups are only displayed on the screen. The options available under the leads displayed are: All Leads and 6 leads. The default is All leads for Group 1 and 6 leads for Group 2 and Group 3.

  • Page 111: Writer Setup

    System Setup Writer Setup With Writer Setup highlighted, press the Enter key. The Writer Setup window opens. The Writer Setup window setup options are defined in the following table. Function Description Speed Select the writer’s speed setting in millimeters per second. The default is 25 mm/s.

  • Page 112: Ecg Acquisition

    System Setup Function Description Suppress NORMAL Select Yes to prevent the Normal ECG 12SL analysis statement statements from appearing in the report. The default is No. Suppress ABNORMAL and Select Yes to prevent the Abnormal ECG and Borderline ECG 12SL BORDERLINE statements analysis statements from appearing in the report.

  • Page 113: Basic System

    System Setup Function Description Hookup Advisor Select Yes to enable the Hookup Advisor option, which monitors the quality of resting ECG. The default is Yes. Prompt level Select the level at which the system acknowledges poor signal quality. See “Hookup Advisor” on page 68 for information on setting up this option.
  • Page 114 System Setup The functions under Basic System allow you to perform the following Set up patient questions Set screen colors Activate an option Change settings for miscellaneous parameters. 2047426-001K MAC™ 600...

  • Page 115: Patient Questions

    System Setup Patient Questions On the Basic Setup menu, highlight Patient Questions and press the Enter key. The Patient Questions window opens. The Patient Questions window setup options are defined in the following table: Function Description Patient Info required Select Yes to display a prompt to enter the patient information after the user presses the ECG key.
  • Page 116 System Setup Function Description Method of entering age Choose the method to enter the patient’s age: Select Date of birth to enter a patient’s age in day-month-year format. With this setting, the patient’s date of birth will appear on the printed ECG. Select Age in years to enter the patient’s age in years, months, weeks, days, or hours.

  • Page 117: Screen Colors

    System Setup Screen Colors On the Basic Setup menu, highlight Screen colors and press the Enter key. The Screen colors window opens. The Screen colors window setup options are defined in the following table: Function Description Monochrome Select Monochrome to view white screen elements. Option 1 Select Option 1 to view white, green, yellow, and red screen elements.

  • Page 118: Miscellaneous Setup

    System Setup This window will display the options available. An asterisk (*) appears next to each option which is currently activated on the system. Use the following instructions to activate an option on your system, At the Option Code field, type the 12-digit option activation code and press the Enter key. If you typed the code for an option which has been purchased for the system, an asterisk will appear next to that option in the list.
  • Page 119 System Setup Function Description Location number Type a number to identify the location of this system to a MUSE system. Use a value from 0-9999 for a MUSE system using software version 7 or later. The Location number used must match the location number on the MUSE system to which the system is communicating File Manager sort...

  • Page 120: Reset Password

    System Setup Reset Password If you forget your password you can reset the password using the below steps. On System Setup Password, highlight Forget Password and press the Enter key. NOTE: Forgot password will reset to factory default settings including the encryption key and stored ECG Files will not be assessable.
  • Page 121 System Setup Press Lead + F3 keys to continue. MAC™ 600 2047426-001K...
  • Page 122 System Setup Enter the New Password. Confirm the New Password. 2047426-001K MAC™ 600...
  • Page 123 System Setup The settings are restored to default, the existing encryption key is erased and the new key is generated. NOTE: The password is not exported to SD card in save set up. MAC™ 600 2047426-001K...

  • Page 124: Change Password

    System Setup Change Password Change the password using the below steps. On the Basic Setup menu, highlight Miscellaneous Setup and press the Enter key. The Miscellaneous Setup window opens. In Miscellaneous Setup menu, highlight Change Password and press the Enter key. The Change Password menu opens.
  • Page 125 System Setup Enter the New Password. MAC™ 600 2047426-001K...
  • Page 126 System Setup Confirm the New Password. NOTE: The password is not exported to SD card in save set up. Select Return and press the Enter key to exit. 2047426-001K MAC™ 600...

  • Page 127: Country Setup

    System Setup Country Setup On the Basic Setup menu, highlight Country Setup and press the Enter key. The Country Setup window opens. The options under Country Setup allow you to perform the following: Set the language of the device. Set the date and time. Set AC filter parameters.

  • Page 128: Language

    System Setup Language On the Country Setup menu, select and set the language: Highlight Language and press the Enter key. The Select new language window opens. Highlight a language of your choice and press the Enter key. Save and exit from the System Setup to view the new language. Press the esc key until you reach System Setup menu.

  • Page 129: Ac Filter

    System Setup AC Filter On the Country Setup menu, set the AC filter parameters. Select the AC filter and press Enter key. The AC filter window opens. Select the value for the AC filter. The default is Off. Select the setting for the Adaptive AC filter. The default is Yes.

  • Page 130: Storage

    System Setup Storage On the System Setup menu, highlight Storage and press the Enter key. The Storage window opens. This function helps you to define the type and format of the ECG to be stored. The Storage window setup options are defined in the following table: 2047426-001K MAC™...

  • Page 131: Pdf Configuration

    5D.04 or later. Store XML format Select Yes to automatically save each ECG in XML format in addition to the standard GE Healthcare proprietary format. The default is No. PDF Configuration On the System Setup menu, highlight PDF Configuration and press the Enter key. The PDF Configuration window opens.
  • Page 132 Description Store PDF format Select Yes to automatically save each ECG in PDF format in addition to the standard GE Healthcare proprietary format. The default is No. PDF Grid Select Yes to enable the grid lines to appear in the PDF file. The default is Yes.
  • Page 133 System Setup Function Description PDF Format Select report format for the ECG stored in PDF format. The default is 4 by 2.5s + 1rhythm ld. PDF File Format Select how the PDF file will be named. The PDF file name can Configuration include all or any of the following: Patient ID...

  • Page 134: Transmission

    NOTE: If the baud rate of the MAC 600 is changed, the setting of the PC or the MUSE Server/Client must be updated accordingly. The Transmission window setup options are defined in the following table:...

  • Page 135: Print Setup

    System Setup Function Description Serial line baud rate Select the baud rate of the serial line. The default is 115.2k. Default Location Select the default location where the file is to be transmitted. The default is None. Print Setup On the System Setup menu, highlight Print Setup and press the Enter key to print a report of the System Setup parameters defined for your device.

  • Page 136: Restore Setup

    System Setup The Save Setup window setup options are defined in the following table: Function Description To system Saves the changes to the system. To SD Card Saves the changes to an SD card. Do not save setup Exits the Save Setup menu without saving the changes made to Setup.
  • Page 137 System Setup The Restore Setup window setup options are defined in the following table: Function Description To Original Factory Settings Select to restore the system to the default factory settings. From SD Card Select to restore the system setup parameters from an SD card. Do Not Restore Setup Select to exit this function.
  • Page 138 Maintenance Regular maintenance, irrespective of usage, is essential to ensure that the equipment functions as required. This chapter provides basic maintenance information for the following components: The device Paper Battery WARNING MAINTENANCE Failure on the part of all responsible individuals, hospitals, or institutions using this device to implement the recommended maintenance schedule may result in equipment failure and possible health hazards.

  • Page 139: Device Maintenance

    Maintenance Device Maintenance CAUTION ELECTRICAL HAZARD Improper handling during inspection or cleaning could result in electrical shock. To avoid potential shock, observe the following guidelines at all times: Before inspecting or cleaning the system, turn it off, unplug it from AC power, and remove the battery.

  • Page 140: Cleaning Materials To Use

    Maintenance To clean the exterior surfaces: Use a clean, soft cloth and an agent or disinfectant that contains alcohol and is commonly used in hospitals. NOTE: Do not use disinfectants with a phenol base or peroxide compounds. Wring excess water/solution from the cloth. Do NOT drip water or any liquid on the system and avoid open vents, plugs, or connectors.

  • Page 141: Precautions

    Maintenance Alcohol Virex Sani-Master Precautions Observe the following precautions when cleaning cables: Never immerse cables in any liquid. Never pour or spray any liquid directly onto cables. Never permit fluid to seep into connections or openings. Never autoclave or steam clean cables or dip them in CIDEX solution. Always wipe gently to avoid pulling long wires from the connectors.

  • Page 142: Calibration Check

    Do not to touch the thermal printhead when inserting the paper. NOTE: Use only original GE Healthcare Writer paper. This paper has a special coating that prevents contamination and debris collection on the printhead, and electrostatic buildup. Using other paper may result in recordings of poor quality. The printhead may wear out prematurely, and use of other paper may void the warranty.

  • Page 143: Preventive Maintenance

    GE Healthcare does not recommend any preventive maintenance for this system. However preventive maintenance may be performed by the user. Refer to MAC 600 Service Manual for details on how to perform preventive maintenance. If further technical assistance is required, contact the nearest GE Healthcare Service Centre.

  • Page 144: Battery Maintenance

    NOTE: For optimal battery life, GE Healthcare recommends one deep discharge cycle every three months, but does not recommend over-exercising the battery with multiple deep discharge cycles.

  • Page 145: Battery Safety

    Maintenance Battery Safety Observe the following warnings whenever handling the system battery: WARNING EXPLOSION OR FIRE Using non-recommended batteries could result in injury/burns to patients or users and may void the warranty. WARNING PHYSICAL INJURY Leaks from battery cells can occur under extreme conditions. The liquid is caustic to eyes and skin.

  • Page 146: Connecting The Acdc Power Adapter

    Plug the male end of the power cord in the ACDC power adapter to the AC outlet. Check the power LED to make sure the unit is receiving power from the AC outlet. NOTE: Use only the GE Healthcare recommended ACDC power adapters. The system requires a working battery for printing ECG reports. 2047426-001K...

  • Page 147: Charging The Battery

    Maintenance Charging the Battery To fully charge the system battery: Connect the system to an AC wall outlet. Charge the system’s battery 2–3 hours or until the battery LED switches off. NOTE: If the battery is deeply discharged, you may have to charge the battery for 6 to 7 hours. Is the Battery Charging? The following are indications show that your device is being charged.

  • Page 148: Troubleshooting

    Unauthorized modifications to the equipment may cause unexpected results, poor performance, or system failure. If the equipment has had unauthorized modifications, contact GE Healthcare Technical Support. Verify the software has not been updated. Updated software may change system functionality. If the user is unaware of the changes, they may appear as unexpected results.

  • Page 149: Equipment Problems

    If these steps do not resolve the problem, refer to the following section for specific problems and solutions. If the problem still cannot be resolved, contact GE Healthcare Technical Support. Equipment Problems This section lists the problems that are likely to occur and their solutions.

  • Page 150: Paper Jams

    Troubleshooting Replace the electrodes if there are any questions about their effectiveness. Check for defective, broken, or disconnected patient cable. Replace the lead wires if you see that they are not effective. See “Connecting the Patient Cable” on page Paper Jams If the paper jams while printing, verify the paper was inserted correctly.

  • Page 151: System Errors

    Troubleshooting System Errors The following table identifies some potential errors that may occur while you are operating the system, the possible causes, and a recommended action to resolve the error. If performing the recommended actions does not resolve the problem, contact authorized service personnel.
  • Page 152 Troubleshooting Cause Problem Solution The system shuts down when Low battery, or the Automatic Connect the system to an operating from battery power. Shutdown feature is enabled AC wall outlet to charge the battery. Check the setting for Automatic Shutdown. "..”...
  • Page 153 Troubleshooting MAC™ 600 2047426-001K...

  • Page 154: 12Sl Statements

    12SL Statements Introduction The statements given in the following table do not appear on ECG reports when the Screening criteria option is enabled in System Setup.re Statement Aberrant conduction Abnormal QRS-T angel, consider primary T wave abnormality Cannot rule out Deep Q wave in lead V6 Early repolarization Incomplete right bundle branch block...
  • Page 155 12SL Statements Statement Minimal voltage criteria for LVH, may be normal variant Moderate voltage criteria for LVH, may be normal variant Nonspecific intraventricular conduction delay Northwest axis , plus right ventricular enlargement Possible Prominent mid-precordial voltage. Pulmonary disease pattern Right axis deviation Right superior axis deviation Rightward axis RST’...
  • Page 156 12SL Statements Statement with retrograde conduction with slow ventricular response with undetermined rhythm irregularity 2047426-001K MAC™ 600...
  • Page 157 12SL Statements MAC™ 600 2047426-001K...

  • Page 158: Report Formats

    Report Formats Format Description Numeric report names are used to describe how the ECG data is displayed. Description Label Four columns of data containing 3 leads with 2.5 seconds of data in each lead. One 10 second rhythm lead. 2047426-001K MAC™...

  • Page 159: Sample Reports

    Report Formats Sample Reports Following is a sample report format for 4 by 2.5s Lead: MAC™ 600 2047426-001K...
  • Page 160 Index 12SL statements 141 Charging icon 134 Fully discharged Print ECG 131 Initial charge time 47 Low battery shutdown AC filter setup 116 Print ECG 131 ACDC power adapter 133 Replacing 132 Amplitude variation in digital Safety messages 132 systems 24 Times to charge 134 Arrow pad, using 54 Battery compartment 45...
  • Page 161 Contraindications 16 Recording resting ECG 61 Country setup 114 Report format 145 Resting ECG reports, setup 93 Rhythm report 70 Sample report 146 System Setup 92 Date and time setup 115 Unacceptable noise 136 Demo mode setup 106 ECG signal input connector, See Device maintenance 126 Patient cables Device symbols 27...
  • Page 162 Lead sequence setup 96 Function check 52 Leads Groups window 96 Location number setup 106 GE Healthcare Responsibility 23 MAC 600 Amplitude variation in digital systems 24 Arrow pad, using 54 Back view 43 Hazard messages, See Safety Battery compartment 45...
  • Page 163 Patient Questions window 102 Illustrations 16 Patient’s skin preparation 55 Manual information 15 PDF configuration 118 Manual recording 70 Print setup 122 Manufacturer, See GE Printhead, cleaning 128 Healthcare Product label 39 Menu options, using 54 Location 45 Messages, See Safety messages...
  • Page 164 Serial number 38 Transmission setup 121 Serial number label format 36 Writer setup 98 Service information 36 Side view 42 Setup Site number setup 105 Accessing 91 Software options Basic System 100 File Manager 75 AC filter setup 116 Option activation 104 Country setup 114 Option activation code 49 Date and time setup 115...
  • Page 166 Milwaukee, WI 53223 USA D-79111 Freiburg Germany Tel: +1 414 355 5000 Tel: +49 761 45 43 -0 +1 800 558 5120 (US Only) GE Medical Systems Information Technologies, Inc., a General Electric Company, going to market as GE Healthcare. www.gehealthcare.com 0459...

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