GE Medical Systems MAC 1200 Operator's Manual

GE Medical Systems MAC 1200 Operator's Manual

Resting ecg analysis system
Table of Contents

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®
MAC
1200
Operator's Manual
Software Version 6
2012250-022
Revision B

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Summary of Contents for GE Medical Systems MAC 1200

  • Page 1 ® 1200 Operator’s Manual Software Version 6 2012250-022 Revision B...
  • Page 2 127( The information in this manual only applies to MAC 1200 software version 6. It does not apply to earlier software versions. Due to continuing product innovation, specifications in this manual are subject to change without notice. Listed below are GE Medical Systems Information Technologies trademarks. All other trademarks contained herein are the property of their respective owners.
  • Page 3 CE Marking Information CE Marking Information Compliance The MAC 1200 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 fulfills the essential requirements of Annex I of this directive.
  • Page 4: General Information

    The device is designed to comply with IEC 60601 requirements. It is a protection class I device. The CE mark covers only the accessories listed in the chapter “Order Information”. The information contained in this manual describes software version CE-2 MAC 1200 Revision B 2012250-022...
  • Page 5: Table Of Contents

    MAC 1200 Control Panels ........
  • Page 6 ECG Transmission ..........5-12 MAC 1200...
  • Page 7 Gain ............9-5 Revision B MAC 1200 2012250-022...
  • Page 8 Site Number * ........... 9-20 MAC 1200...
  • Page 9 Aging Stability ........... 10-6 Revision B MAC 1200 2012250-022...
  • Page 10 General Accessories ..........14-3 MAC 1200...
  • Page 11 Index ........Index-1 Revision B MAC 1200 2012250-022...
  • Page 12 For your notes viii MAC 1200 Revision B 2012250-022...
  • Page 13: The Basics

    The Basics Revision B MAC 1200 2012250-022...
  • Page 14 For your notes MAC 1200 Revision B 2012250-022...
  • Page 15: About This Manual

    21 July 2004 Revised CE compliance information, High Security “memory full” information added. Manual Purpose This manual describes the safe and effective operation of the MAC 1200 unit. 127( This document describes the functionality of the U.S. interface for the MAC 1200 unit.
  • Page 16: Mac 1200 Resting Ecg Analysis System Option Codes

    Codes In addition to the software supplied with the unit, optional programs may be purchased to upgrade the MAC 1200 performance features. In order to use a new option, you need to activate it by entering the option code number (refer to “Option Code”...
  • Page 17: Intended Use And Functional Description

    It is designed for continuous operation. It is not intended for home use. The MAC 1200 is designed as a portable device and can easily be moved from one patient to another or to different locations. It is not intended to be used during patient transport.
  • Page 18 All other data is printed on request. 102A The MAC 1200 units are designed to comply with IEC 60601 / EN 60601 requirements. They are protection class I devices/devices with an internal power source. They are classified as MDD class IIa devices. They are designed for continuous operation.
  • Page 19: Intended Audience

    &$87,21 PATIENT HAZARD — Medical technical equipment such as the MAC 1200 must only be used by qualified and trained personnel. Definitions The following formats are used in this manual to highlight various web viewer features and functions.
  • Page 20: Safety Information

    GE or by persons authorized by GE, and the device is used in accordance with the instructions given in this operator’s manual. MAC 1200 Revision B 2012250-022...
  • Page 21: Definitions

    EXPLOSION HAZARD — The device is not designed for use in areas of medically used rooms where an explosion hazard may occur. An explosion hazard may result from the use of flammable anesthetics, skin cleansing agents and disinfectants. Revision B MAC 1200 2012250-022...
  • Page 22 IEC 60601-1-1/EN60601-1-1 must be complied with in all cases. ‹ All devices of a system must be connected to the same electric circuit. Devices which are not connected to the same circuit must be electrically isolated (isolated RS232 interface). 1-10 MAC 1200 Revision B 2012250-022...
  • Page 23 RESTRICTED SALE — U.S. federal law restricts this device to sale by or on the order of a physician. Revision B MAC 1200 1-11 2012250-022...
  • Page 24: Underwriters Laboratories, Inc

    Mode of operation Continuous operation Underwriters Laboratories, Inc. Medical Equipment With respect to electric shock, fire and mechanical hazards only in accordance with UL 2601-1, and CAN/CSA C22.2 NO. 601.1. 4P41 1-12 MAC 1200 Revision B 2012250-022...
  • Page 25: Biocompatibility

    The parts of the product described in this operator manual, including all accessories, that come in contact with the patient during the intended use, fulfill the biocompatibility requirements of the applicable standards. If you have questions in this matter, please contact GE Medical Systems Information Technologies or its representatives. Literature...
  • Page 26: Service Information

    It is the user’s responsibility to report the need for service to GE Medical Systems Information Technologies or to one of their authorized agents. Every GE Medical Systems Information Technologies device has a unique serial number for identification. The serial number appears on the device label.
  • Page 27: Controls And Indicators

    Controls and Indicators Revision B MAC 1200 2012250-022...
  • Page 28 For your notes MAC 1200 Revision B 2012250-022...
  • Page 29: General Information

    Controls and Indicators: General Information General Information Controls and indicators of the MAC 1200 electrocardiograph are shown in this chapter. MAC 1200 Control Panels 001A Description Power input Paper door, windows allows you to check the paper supply Patient cable connector...
  • Page 30: Mac 1200 Keyboard

    Controls and Indicators: General Information MAC 1200 Keyboard format/ setup copy speed muscle lead stdby filter store/ < gain arrhy > retrieve start info stop standby battery low 098A Description Power switch (ON/OFF) Keys to select a higher or lower HR alarm limit...
  • Page 31 Enables entry of patient data Indicator lights up when battery needs to be recharged Indicator is illuminated when unit is connected to the power line Cursor control keys Space bar Shift key Press to access special characters Revision B MAC 1200 2012250-022...
  • Page 32: Symbols

    Controls and Indicators: Symbols Symbols Consult accompanying documents Signal input Type CF signal input, highly insulated, defibrillation-proof Start Stop MAC 1200 Revision B 2012250-022...
  • Page 33: Operating And Performance Tests

    Operating and Performance Tests Revision B MAC 1200 2012250-022...
  • Page 34 For your notes MAC 1200 Revision B 2012250-022...
  • Page 35: Power Supply

    (by operating the electrocardiograph on battery power). 127( In standby mode, a fully charged battery is drained within approximately 4 hours. Therefore, when operating the device on battery power, be sure to turn it off when it is not in use. Revision B MAC 1200 2012250-022...
  • Page 36: Installation And Mains Connection

    Indicator 2 will illuminate. Check the paper supply (the window in the paper door allows you to look inside the paper compartment). Refer to Chapter 10, “Loading Chart Paper” for instructions on inserting a new paper pad. MAC 1200 Revision B 2012250-022...
  • Page 37: Performance Check

    Run the full self-test at least once a day to ensure that the device is functioning properly. Press and hold the power button for several seconds to turn the device off. Revision B MAC 1200 2012250-022...
  • Page 38: Contrast Adjustment

    Operating and Performance Tests: Performance Check Contrast Adjustment Simultaneously press and the appropriate cursor key: more contrast less contrast MAC 1200 Revision B 2012250-022...
  • Page 39: System Setup

    1 ... 99 min Low battery beep 0 (Off) 5 s to 60 s (5 s = beep at 5 second interval) Default Mode 12-Lead 6-Lead, Arrhythmia (MAC 1200 only) Language German all available languages Enable password Test DATA Restore defaults...
  • Page 40 Operating and Performance Tests: System Setup 1. only for CSI communication protocol MAC 1200 Revision B 2012250-022...
  • Page 41: Connecting Peripheral Equipment

    GEMS IT meet these requirements). The specific regulations valid in your country must also be observed. The modem must be set up within the medically used area, but outside the patient environment. Revision B MAC 1200 2012250-022...
  • Page 42 Phone Number Initial. modem AT&FM1X3S 0=1V0 dial string hang- ATDT +++ATH Choices for Modem —> MultiTech, Elsa Dial mode Tone Pulse Phone Number 0 to 9 (20 digits) Outside line 0 to 9 (20 digits) 3-10 MAC 1200 Revision B 2012250-022...
  • Page 43 Operating and Performance Tests: Connecting Peripheral Equipment For your notes Revision B MAC 1200 3-11 2012250-022...
  • Page 44 Operating and Performance Tests: Connecting Peripheral Equipment 3-12 MAC 1200 Revision B 2012250-022...
  • Page 45: Preparing For Ecg Recording

    Preparing for ECG Recording Revision B MAC 1200 2012250-022...
  • Page 46 For your notes MAC 1200 Revision B 2012250-022...
  • Page 47: Connecting The Patient Cable

    Failure to do so may endanger the lives of the patient, the user and bystanders. For reasons of patient safety, use only the original GE Medical Systems Information Technologies patient cables. Before connecting the cable to the device, check it for signs of mechanical damage. Do not use a damaged cable.
  • Page 48: Electrode Application

    (Refer to Chapter 8, “Pacemaker Patients / Recording During Defibrillation” for details.) Careful application of electrodes and skin preparation are the key to an interference-free ECG. MAC 1200 Revision B 2012250-022...
  • Page 49: Applying Plate (Limb) Electrodes

    Moisten the electrode paper with tap water and place it between skin and electrode. Electrode cream or gel can be used instead of paper. On hairy chests, the cream or gel improves adhesion of the electrodes. Revision B MAC 1200 2012250-022...
  • Page 50: Electrode Placement For Standard Leads (L, Ii, Iii, Avr, Avl, Avf, V1

    At the left posterior auxiliary line in the 5th intercostal space At the left scapulary line in the 5th intercostal space V3R* Opposite V3, on the right side of the chest V4R* Opposite V4, on the right side of the chest * additional standard leads MAC 1200 Revision B 2012250-022...
  • Page 51 LL red left leg 009A V1 V2 V3 V4 Connecting the Patient Cable (10-Lead Cable, Standard ECG Leads) Arrange the leadwires and patient cable as shown below. Correct Incorrect 010A Arranging the Patient Cable Revision B MAC 1200 2012250-022...
  • Page 52: Artifact Due To Poor Electrode Application

    A baseline is then recorded for approximately 1 second. It is possible to block the amplifiers manually by disconnecting the R electrode. approximately 1 second 013A Sample Recording On the display this condition is indicated by **** instead of the electrode label). MAC 1200 Revision B 2012250-022...
  • Page 53 (RL, LL, LA, LL, V1 to V6). „ If required, the ADS (cubic spline) and the filters (20/40 Hz, 50 Hz) can be disabled to verify the “raw” ECG signal. Revision B MAC 1200 2012250-022...
  • Page 54: Entering Patient Data

    All entries must be confirmed with Press to exit the patient data mode. info 127( Please refer to the Appendix for instructions on entering special characters. 4-10 MAC 1200 Revision B 2012250-022...
  • Page 55 ID Required Patient ID Length 3 to 16 characters; default is 9 characters Secondary ID Secondary ID Required Last Name Required First Name Required Location # 1 ... 600 Room Order number Prompt 1 Revision B MAC 1200 4-11 2012250-022...
  • Page 56: New Patient

    Prompt 4 1. with 12SL program only. This will appear only if the ACI-TIPI option is enabled in the HARDWARETESTS menu. Refer to the MAC 1200/1200 ST Service Manual for more information on enabling this option. New Patient Yes: existing patient data are deleted.
  • Page 57: Chest Pain

    “-” and unknown. Height/Weight Enter the patient's height (cm) and weight (kg). The weight can be entered with one decimal place. Systolic BP/Diastolic BP Enter the blood pressure readings in mmHg. Revision B MAC 1200 4-13 2012250-022...
  • Page 58: Ordering Physician / Referring Physician / Technician

    Default value is Yes. Secondary ID This field accepts 3 to 16 characters. The exact length is determined in the patient data setup menu. If Secondary ID Required is enabled, then Secondary ID must also be enabled. 4-14 MAC 1200 Revision B 2012250-022...
  • Page 59: Secondary Id Required

    5 digits Order Number 9 digits for entry of the ECG order number. Prompts Answer the prompts entered in the patient data setup menu. (See “Patient Data Menu Setup” on page 9-27 for details). Revision B MAC 1200 4-15 2012250-022...
  • Page 60 Preparing for ECG Recording: Entering Patient Data For your notes 4-16 MAC 1200 Revision B 2012250-022...
  • Page 61: Recording In 12 Lead Mode

    Recording in 12 Lead Mode Revision B MAC 1200 2012250-022...
  • Page 62 For your notes MAC 1200 Revision B 2012250-022...
  • Page 63: General Information

    Depending on the implemented software options, the ECG is: only printed out (MAC 1200 without options MEAS, DIAG), measured and printed out with the measurement results (MAC 1200 with option MEAS), and measured, interpreted (analyzed) and printed out with the interpretative statements (MAC 1200/1200 ST with option DIAG).
  • Page 64 40 Hz 20 Hz AC Filter Manual copy to HOST Number of copies 0 to 9 Delete ECG after Transmission Autosave ECG Use Screening criteria Suppress NORMAL statement Suppress ABNORMAL statement Interpretation Print Interpretation Override function MAC 1200 Revision B 2012250-022...
  • Page 65: Recording

    *LL*: Left leg electrode disconnected *V1*: Chest electrode V1 disconnected *V2*: Chest electrode V2 disconnected *V3*: Chest electrode V3 disconnected *V4*: Chest electrode V4 disconnected *V5*: Chest electrode V5 disconnected *V6*: Chest electrode V6 disconnected Revision B MAC 1200 2012250-022...
  • Page 66 Report format is 4x2.5R1, i.e. 12 leads and all data are printed on one page (configurable) Interpretation is printed (configurable) Detailed results page (including the median complexes and the measurement results) is not printed (configurable) (MAC 1200 only) Pressing will produce one copy of the printed ECG copy...
  • Page 67 ECGs that were successfully transmitted to a host system are not automatically removed from memory (configurable) „ QTC is calculated with the Bazett formula (only MAC 1200 with option MEAS (measurement) or DIAG (measurement + interpretation)). The locations of all relevant device settings are shown below:...
  • Page 68: The Storage Program

    Recording in 12 Lead Mode: The Storage Program The Storage Program With MAC 1200 units equipped with the optional storage program MEMO the ECG including patient, measurement and analysis data can be saved with the button after ECG acquisition. A message informs...
  • Page 69 If you plan to print a large number of stored ECGs, connect the unit to the power line or to check that the battery is fully charged. When you terminate the storage program with , it is not possible to save the current ECG again. Revision B MAC 1200 2012250-022...
  • Page 70: Report Formats

    4x2.5 s/ 4x3 3x10 s / 2 25 mm/s MUSE2 1. Measurement results and interpretative statements are only available from MAC 1200 with the appropriate software options 2. MUSE2 report format is only available on Pharma devices. 127( Heart rate is calculated from all beats of the 10-second ECG.
  • Page 71: Detailed Results

    Recording in 12 Lead Mode: Report Formats Detailed Results The MAC 1200 (with option MEAS or DIAG) setup menu allows you to choose the Detailed Results page. When selected, this page will be appended to the report. It contains patient data, measurement results,...
  • Page 72: Ecg Transmission

    9-pole cable 223 378 01 or with the 25-pole cable 223 378 For transmission of the ECG, the unit must be set up as described in “ECG Transmission via Modem” on page 9-30. 5-12 MAC 1200 Revision B 2012250-022...
  • Page 73 127( Manual copy to: HOST must be enabled in the 12 Lead setup menu. The MAC 1200 is also capable of transmitting stored ECGs (if memory option MEMO is installed). Activate the storage program by simultaneously pressing . (Press the button first and hold it depressed.)
  • Page 74: Error Messages

    Transmission error messages are listed below. „ ECG transmission error! (A5)/(CSI) (depending on selected protocol) „ Check interface! „ Dial locked! (temporarily) „ No dial tone! „ Busy! „ No answer! „ No carrier! „ Check modem configuration! 5-14 MAC 1200 Revision B 2012250-022...
  • Page 75: Batch Transmission

    , the 12 Lead mode acquisition screen appears. Transmission Log The MAC 1200 unit can be set up to automatically print a log of the recently completed transmission. See “Transmission Log” on page 9-24 for more information.
  • Page 76: Transmitting Data To A Muse Cv System Via Modem

    Before sending data to the MUSE CV system, the MAC 1200 automatically logs on to the database. Then the data transfer is initiated. If the transfer is stopped, the MAC 1200 takes a few seconds before cancelling the connection because it has to log off the database first.
  • Page 77 Then it starts. The message ECG Transmission (A5) is displayed. 5. After the transmission, a message on the display indicates the number of successfully transmitted ECGs. As soon as you acknowledge the message with , the 12 Lead mode acquisition screen appears. Revision B MAC 1200 5-17 2012250-022...
  • Page 78 Change the settings with Stop the transmission with You must select one of these choices to clear the transmission error message from the display. 127( Unsuccessful transmission does not remove/delete the ECG record from the local database. 5-18 MAC 1200 Revision B 2012250-022...
  • Page 79: Receiving Data

    Recording in 12 Lead Mode: ECG Transmission Receiving Data See Chapter 13, “Technical Specifications” for additional information. Receiving ECGs is only possible with MAC 1200 units. The units must be in the 12 Lead mode. 1. Use the key combination to display the screen for copy receiving ECGs.
  • Page 80: Cart To Cart Communication

    Recording in 12 Lead Mode: ECG Transmission Cart to Cart Communication Via modem, ECG data can be transmitted between two MAC 1200 units or between a MAC 1200 and any ECG recorder using the CSI protocol (see “Transmission via Modem”...
  • Page 81 ATDTOW AT Command for Termination of the Communication The communication is terminated in two steps. First, the MAC 1200 sends an escape command to return from the on- line state to the command state. Then the hangup command follows. Symbol...
  • Page 82: Adjusting Measurement Points/Qt Dispersion

    Recording in 12 Lead Mode: Adjusting Measurement Points/QT Dispersion Adjusting Measurement Points/QT Dispersion This feature is only available with MAC 1200 units equipped with the MEAS or DIAG option. The HEART interpretation program is also required. Global Measurement Points After acquisition of an ECG in the 12 Lead mode, the global measurement points for P onset, P offset, QRS onset, QRS offset, and T offset can be adjusted manually.
  • Page 83 P onset and P offset values, the space bar toggles between definite value and approximate value. Revision B MAC 1200 5-23 2012250-022...
  • Page 84: Local T Offset Measurement Point/Qt Dispersion

    Selected lead Time in [s] Active marker Therefore, this screen always shows only one lead at a time and the T offset point. Changing the local T offset point also affects the QT dispersion value. 5-24 MAC 1200 Revision B 2012250-022...
  • Page 85 If the original ECG had already been saved, the corrected data will overwrite this ECG. 127( Changing the local T offset measurement point does not affect the global T offset point. Revision B MAC 1200 5-25 2012250-022...
  • Page 86: Brief Operating Instructions - 12 Lead Mode

    Modify device settings, if required setup „ Wait for patient to lie motionless and for the unit to collect 10 seconds of ECG data. „ Check that no lead failure message is displayed. „ Start recording with 5-26 MAC 1200 Revision B 2012250-022...
  • Page 87: Recording In 6 Lead Mode

    Recording in 6 Lead Mode Revision B MAC 1200 2012250-022...
  • Page 88 For your notes MAC 1200 Revision B 2012250-022...
  • Page 89: General Information

    Report Sequence STANDARD CABRERA, SEQ.NO.4 Gain 10 mm/mV “*auto”, 5, 20, 40 mm/mV Speed 25 mm/s 5, 50 mm/s Muscle Filter Muscle Filter 40 Hz 20 Hz Frequency AC Filter Anti-Drift System Automatic Paper Feed Revision B MAC 1200 2012250-022...
  • Page 90: Recording

    *V2*: Chest electrode V2 disconnected *V3*: Chest electrode V3 disconnected *V4*: Chest electrode V4 disconnected *V5*: Chest electrode V5 disconnected *V6*: Chest electrode V6 disconnected *RL*: Right leg electrode disconnected *RA*: Right arm electrode disconnected MAC 1200 Revision B 2012250-022...
  • Page 91 = Standard = CABRERA = Seq. 4 With the system defaults, the MAC 1200 will activate the following functions and settings. „ The Standard report sequence (lead to channel correspondence): I, II, III, aVR, aVL, aVF, V1, V2, V3, V4, V5, V6 (configurable); also available: CABRERA, SEQ.
  • Page 92 The heart rate limit is automatically calculated from the date of birth (WHO 100% = 220 - age). When the date of birth is not entered, the unit will set the limit at 180 bpm. This value can be changed with (in steps of 5 bpm). MAC 1200 Revision B 2012250-022...
  • Page 93: Arrhythmia Mode Recording

    Arrhythmia Mode Recording Revision B MAC 1200 2012250-022...
  • Page 94 For your notes MAC 1200 Revision B 2012250-022...
  • Page 95: General Information

    Arrhythmia Mode Recording: General Information General Information In Arrhythmia mode, the MAC 1200 continuously scans the ECG for arrhythmias. From six simultaneously acquired leads, the MAC 1200 automatically selects the two that provide the best signal for analysis. When the analysis algorithm detects an arrhythmia, the event is recorded with “context”...
  • Page 96 HIGH_C (V1’ through V6’) Gain 10 mm/mV “*auto”, 5, 20, 40 mm/mV Muscle Filter Muscle Filter Frequency 40 Hz 20 Hz AC Filter Trend Rec. Arrhythmia Data unequal all, no Episodes chron. prio, ventr., no MAC 1200 Revision B 2012250-022...
  • Page 97: Recording

    Arrhythmia arrhy mode. When working with the MAC 1200 ST equipped with the Stress Test option ERGO, you must press the button twice. 2. Before recording the ECG, patient data can be entered ( ). It is info recommended that you enter the patient’s name to annotate it on...
  • Page 98: During The Recording

    After the learn phase, the recorder prints a report where the QRS complexes acquired in the learn phase are labeled L and the complex found to be the patient’s typical complex is labeled QRSL. When the learn phase is complete, the MAC 1200 is ready to identify arrhythmias. 127(...
  • Page 99 The letter A on a recording indicates the presence of artifact which does not allow the algorithm to identify arrhythmias. Causes include wandering baselines. The anti-drift system largely prevents these disturbances. Check the electrodes and leadwires. Revision B MAC 1200 2012250-022...
  • Page 100: Final Report

    Patient ID sheet (with all patient data as well as with all analyzed QRS complexes, type and number of detected events and the analysis duration in tabular form) „ Episode report (3 sheets maximum with 2 episodes each Arrhythmia codes) MAC 1200 Revision B 2012250-022...
  • Page 101 Ventricular escape beat Premature ventricular contraction Premature supraventricular contraction PSVC Aberrant beat Pacemaker capture PCAP Pause (>1.5 times the normal RR interval) Absolute pause, limit value 3 s PAUA Artifact Learn phase Learned QRS complex QRSL Revision B MAC 1200 2012250-022...
  • Page 102 Arrhythmia Mode Recording: Recording For your notes 7-10 MAC 1200 Revision B 2012250-022...
  • Page 103: Pacemaker Patients / Recording During Defibrillation

    Pacemaker Patients / Recording During Defibrillation Revision B MAC 1200 2012250-022...
  • Page 104 For your notes MAC 1200 Revision B 2012250-022...
  • Page 105: Recording Ecgs Of Pacemaker Patients

    (and counted) as QRS complexes should be considered. At the same time, however, QRS complexes might be suppressed in certain situations. Therefore, pacemaker patients should always be watched closely. Revision B MAC 1200 2012250-022...
  • Page 106: Ecg Recording During Defibrillation

    This condition may prevent ECG signal acquisition for several minutes. With silver/silver chloride electrodes, this will not happen. Set the MAC 1200 to 6 Lead mode when you may have to defibrillate the patient while recording the ECG, and disable the anti-drift system which would cause a 2 second signal delay (“6 Lead Mode”...
  • Page 107: System Setup

    System Setup Revision B MAC 1200 2012250-022...
  • Page 108 For your notes MAC 1200 Revision B 2012250-022...
  • Page 109: General Information

    Individual items can be skipped with „ To exit the menu, press The factory default setting is shown in angular brackets [...]. *The Pharma and HIGH SECURITY options appear only if the device has been configured as a Pharma device. Revision B MAC 1200 2012250-022...
  • Page 110 System Setup: General Information store/ < gain arrhy > retrieve start info stop standby battery low 045A System Setup Keys MAC 1200 Revision B 2012250-022...
  • Page 111: 12 Lead Mode

    2x5R1 and 4x2.5R1 will show only the first of the rhythm leads. Gain 5, [10], 20, 40 mm/mV, *auto Report Format Refer to Chapter 5, “Report Formats” section. Detailed Results The Detailed results page will be printed, yes/[no] (Chapter 5, “Report Formats” section). Revision B MAC 1200 2012250-022...
  • Page 112: Continuous Rhythm

    The frequency range is indicated in the lower margin of the recording strip. „ 0.08 – 40 Hz (40-Hz muscle filter enabled) „ 0.08 – 20 Hz (20-Hz muscle filter enabled) „ 0.08 – 150 Hz (muscle filter off). MAC 1200 Revision B 2012250-022...
  • Page 113: Manual Copy To

    1 is selected, multiple copies of the reports will be printed. Default: [1] Delete ECG After Transmission (MAC 1200 with Memory Option MEMO Only) Stored ECGs that were successfully sent to a host system via the RS232 interface will be cleared from the recorder memory. Default: [no]...
  • Page 114: Override Function [No]

    When electrodes are disconnected, a message informing the user of poor signal quality will be printed on the recording strip. Measurement and interpretation results may be adversely affected by disconnected electrodes. MAC 1200 Revision B 2012250-022...
  • Page 115: Lead Mode

    The display shown below will appear. Report sequence SEQ. NO. 4 Lead Label Chan. 1: Chan. 2: Chan. 3: Chan. 4: Chan. 5: Chan. 6: Chan. 7: Chan. 8: Chan. 9: Chan. 10: Chan. 11: Chan. 12: Press Revision B MAC 1200 2012250-022...
  • Page 116: Gain

    The frequency range is indicated in the lower margin of the recording strip. „ 0.08 – 40 Hz (40-Hz muscle filter enabled) „ 0.08 – 20 Hz (20-Hz muscle filter enabled) „ 0.08 – 150 Hz (muscle filter off). 9-10 MAC 1200 Revision B 2012250-022...
  • Page 117: Anti-Drift System (Ads)

    Signal delay with ADS approximately 2 seconds (Default: [no]). Auto Paper Feed Before each recording, the recorder feeds the paper to the beginning of a new page ([yes], no). Revision B MAC 1200 9-11 2012250-022...
  • Page 118: Arrhythmia Mode

    Gain The unit will automatically determine the gain setting (*auto, 5, [10], 20, 40 mm/mV; with “*auto”). Muscle Filter Elimination of muscle artifact: yes, [no]. AC Filter Elimination of AC line interference: [yes], no. 9-12 MAC 1200 Revision B 2012250-022...
  • Page 119: Muscle Filter Frequency

    Final report includes episode report, with episodes listed by one of the following criteria ([chron.], prio., ventr., no.). „ In chronological order „ According to priorities (see Table 3, “Arrhythmia Codes,” on page 7-9) „ Ventricular beats only „ No episode report Revision B MAC 1200 9-13 2012250-022...
  • Page 120: Pharma

    Pharma option are configured for specific pharmaceutical trials by CROs and then sent out to trial sites to collect data. The Pharma option allows users to configure the MAC 1200 unit to capture additional patient data; the MAC 1200 unit acquires, saves and transmits ECG information regardless of whether the Pharma option is enabled or disabled.
  • Page 121: Project Code

    ECG studies. Trial ID Assigned by pharma trial administrator at CRO. Enter the 10-digit trial ID number. Investigator ID Assigned by pharma trial administrator at CRO. Enter the alphanumeric investigator ID number. Revision B MAC 1200 9-15 2012250-022...
  • Page 122: Visit Number

    (in addition to the existing four questions) which the user/technician then must answer accordingly. The pharma trial administrator can select from the following formats for question responses: Combination of numbers and letters Numbers only Yes/No 9-16 MAC 1200 Revision B 2012250-022...
  • Page 123: High Security

    Device Password When enabled, the Device Password high security option requires users to enter a password when the MAC 1200 unit is powered on. The unit cannot be used if the Device Password is not entered correctly. The default value for Device Password? is No.
  • Page 124: Don't Allow Record Edits

    System Setup: High Security Don’t Allow Record Edits When enabled, the MAC 1200 unit will not allow records to be edited after ECG data is acquired. „ If a user decides to modify patient information BEFORE ECG data is acquired, the unit will accept the modification(s).
  • Page 125: Force Technician Name

    ECG test is initiated. If this option is enabled, a test will not start if the technician name is not entered. The default value for Force Technician Name is Yes. Revision B MAC 1200 9-19 2012250-022...
  • Page 126: System Setup

    MUSE CV system that is to receive the data, default: 1, range: 1 to 255. *The value selected here is the default value appearing in the patient data **with CSI protocol only 9-20 MAC 1200 Revision B 2012250-022...
  • Page 127: Location

    Pacer pulses are displayed enhanced and with a given amplitude ([yes], no). When programming pacemakers, we recommend to disable the pace enhancement. Baseline Roll Filter Select the lower cut-off frequency: = 0.04, [0.08], 0.16 Hz. Revision B MAC 1200 9-21 2012250-022...
  • Page 128: Date

    This is the operating mode the unit defaults to after power-up: [12 Lead]. Language To select the language. Language is configurable only if the device is NOT a Pharma device. Pharma devices are availble in English only. 9-22 MAC 1200 Revision B 2012250-022...
  • Page 129: Enable Password Protection

    Print Setup Lists Selecting Yes will display a menu with all available setup lists. „ All lists „ System Setup (Communication/Peripheral Devices/Patient Data Setup) „ 12 Lead „ 6 Lead „ Stress Test „ Arrhythmia Revision B MAC 1200 9-23 2012250-022...
  • Page 130: Transmission Log

    System Setup: System Setup Transmission Log After each transmission of ECG records, the MAC 1200 unit can generate a transmission log report. This report includes a list of the ECG reports transmitted. To enable the transmission log function, follow these steps.
  • Page 131: Communication

    The telephone number (20 digits maximum). „ The init string (20 characters maximum). (See modem operator's manual.) „ The dial string (20 characters maximum). (See modem operator's manual.) „ The hangup mode (20 characters maximum). (See modem operator's manual.) Revision B MAC 1200 9-25 2012250-022...
  • Page 132: Pin Dialing

    System Setup: Communication PIN Dialing The MAC 1200 can be set up so a facility can dial in with a PIN (Personal Identification Number) and a calling card. To enable the PIN dialing function, follow these steps. 1. Within the Communication Setup window, select the appropriate modem.
  • Page 133: Patient Data Menu Setup

    ID required (ID = patient ID number) Secondary ID Secondary ID required Last name required First name required Location Number Room Order Number Prompt 1 to 4 The patient ID length is configurable from 3 to [16] characters. Revision B MAC 1200 9-27 2012250-022...
  • Page 134: Required Data Fields

    There are 3 formats: „ Alphanumeric field (17 characters maximum) „ Only numbers (9 numbers maximum) „ Yes or No To exit the menu, press 9-28 MAC 1200 Revision B 2012250-022...
  • Page 135: Option Code

    500 ECGs EVAL activates the three options MEAS,DIAG, MEMO for a period of 4 weeks ERGO stress test (MAC 1200 ST only) „ Using the cursor keys, position the bar cursor on the option that you want to activate.
  • Page 136: Ecg Transmission Via Modem

    Use the cursor keys to position the bar cursor on Communication and confirm the selection with Selecting the Communication Protocol This adjustment is only necessary with MAC 1200 units, because only these devices can send data to CardioSys/CardioSoft or to MUSE. „...
  • Page 137: Direct Ecg Transmission

    9600, 19200, 38400, 57600). Selecting the Communication Protocol This adjustment is only necessary with MAC 1200 units, because this device can send data to CardioSys/CardioSoft or to the MUSE system. 1. Using the cursor keys, position the bar cursor on Protocol.
  • Page 138 System Setup: Direct ECG Transmission For your notes 9-32 MAC 1200 Revision B 2012250-022...
  • Page 139: Loading Chart Paper

    Loading Chart Paper Revision B MAC 1200 10-1 2012250-022...
  • Page 140 For your notes 10-2 MAC 1200 Revision B 2012250-022...
  • Page 141: Procedure

    4. Remove the cardboard from the top of the new pad and place the pad, including the cardboard backing at the bottom and with the arrow pointing towards the unit, into the paper compartment. 050A Inserting the New Z-fold Pad Revision B MAC 1200 10-3 2012250-022...
  • Page 142 052A Closing the Paper Compartment Door 127( When inserting an already started Z-fold pad, the grid side must face up and the first fold must point toward the paper compartment. 10-4 MAC 1200 Revision B 2012250-022...
  • Page 143: End-Of-Paper Indication

    There is a window in the paper door that allows you to look inside the compartment and check the paper supply. &$87,21 Use only the original GE Medical Systems Information Technologies writer paper. This paper has a special coating that prevents contamination and debris collecting on the printhead and electrostatic build up.
  • Page 144: Aging Stability

    Archiving ECG recordings on our ECG filing cards only (P/N 217 043 03 is recommended. „ If longer storage periods are required, use our ARCHIVIST chart paper (image legibility up to 15 years) or other image storage technologies. 10-6 MAC 1200 Revision B 2012250-022...
  • Page 145: Cleaning, Disinfection And Maintenance

    Cleaning, Disinfection and Maintenance Revision B MAC 1200 11-1 2012250-022...
  • Page 146 For your notes 11-2 MAC 1200 Revision B 2012250-022...
  • Page 147: Cleaning And Disinfecting The Recorder Housing

    Disinfect the electrodes with alcohol-free disinfectant. Ensure that connectors and sockets do not become wet. „ The only approved sterilization method is gas sterilization. Frequently sterilizing the electrodes with ethylene oxide gas reduces the life of the plastic material. Revision B MAC 1200 11-3 2012250-022...
  • Page 148: Maintenance

    Technical Inspections For safety, the devices require regular maintenance. To ensure functional and operational safety of the MAC 1200 units, Technical Inspections should be carried out on an annual basis. These checks should be performed by persons with adequate training and experience.
  • Page 149: Troubleshooting

    Troubleshooting Revision B MAC 1200 12-1 2012250-022...
  • Page 150 For your notes 12-2 MAC 1200 Revision B 2012250-022...
  • Page 151: Troubleshooting Chart

    Check all electrodes or enable Override function. (See Chapter 9, “System Setup” for details). Paper jam Open paper compartment and removed jammed sheet, place beginning of paper between the marks, close paper compartment and press 054A Regular AC Line Interference Revision B MAC 1200 12-3 2012250-022...
  • Page 152 In the presence of very strong AC line interference in all leads, the thermal printhead may interrupt the recording. Activate the AC line filter (50 Hz/60 Hz) in these situations. 054A Irregular AC Interference 12-4 MAC 1200 Revision B 2012250-022...
  • Page 153: Technical Specifications

    Technical Specifications Revision B MAC 1200 13-1 2012250-022...
  • Page 154 For your notes 13-2 MAC 1200 Revision B 2012250-022...
  • Page 155: Recording

    25 and 50 mm/s, typical ±l% at 5 mm/s, ±10% max. At paper end, the recorder emits an audio signal and stops recording. The last pages of the pad bear a colored stripe in the lower margin. Revision B MAC 1200 13-3 2012250-022...
  • Page 156: Membrane Keypad

    They assist and facilitate operation by the following: „ Automatic amplifier blocking „ Automatic control of lead selection, paper feed, calibration (configurable) „ Report formatting (configurable) „ Automatic baseline adjustment „ Anti-drift system compensating for polarization voltage fluctuations (configurable) 13-4 MAC 1200 Revision B 2012250-022...
  • Page 157: Detection Of Pacer Pulses

    (either polarity, e.g. defibrillation) 5000 V. „ Monitoring of each electrode for open leads: RA, LA, LL, RL, V1, V2, V3, V4, V5, V6 audio signal at printer start. Revision B MAC 1200 13-5 2012250-022...
  • Page 158: Data Interface

    Output voltage range ±5 V minimum „ Interface protected from electrostatic discharge for ±10 kV maximum Transfer of ECGs Transfer of ECGs with the CSI protocol between the MAC 1200 and the following units: MUSE CVIS SW version 004A and later...
  • Page 159: Remote Start (Hardware)

    External make contact referred to chassis via circuit reference. „ Source impedance Ri < 300 Ω „ Contact dwell > 100 ms „ Non-destructive load ± 10 V „ ESD interface protection up to ± 10 kV Revision B MAC 1200 13-7 2012250-022...
  • Page 160: Signal Transmission

    Noise in the signal transmission path below values specified in IEC and AHA requirements: ≤ 2,5 µV rms. „ Common-mode rejection for 50 or 60-Hz signals (depending on recorder model) with AC filter switched on >140 dB. 13-8 MAC 1200 Revision B 2012250-022...
  • Page 161: Ecg Storage

    Stored ECGs can be deleted (individually or all in one pass), printed, transferred and patient data can be edited. „ In Arrhythmia mode, storage of up to 6 event episodes. Blocking Rapid charge reversal of the coupling capacitors in the preamplifiers after electrode application. Revision B MAC 1200 13-9 2012250-022...
  • Page 162 Operating voltage range 85 to 264 V, 49 to 65 Hz „ Rated current 0.2 to 0.6 A „ Fuse: 2 x T (slow-blow) 1.25 A, 5x20 „ Typical power consumption – battery charging 14 W „ Maximum power consumption 29 W 13-10 MAC 1200 Revision B 2012250-022...
  • Page 163: Battery Operation

    Turn the MAC 1200 unit on, and allow the battery to drain. When the Battery Low indicator illuminates, the unit can be connected to wall power and allowed to recharge.
  • Page 164 Relative humidity between 25 and 95% „ Atmospheric pressure between 500 and 1060 hPa Recorder Dimensions „ Width 370 mm „ Height 95 mm „ Depth 320 mm (include handle) Weight Recorder with battery approximately 5.6 kg 13-12 MAC 1200 Revision B 2012250-022...
  • Page 165: Order Information

    Order Information Revision B MAC 1200 14-1 2012250-022...
  • Page 166 For your notes 14-2 MAC 1200 Revision B 2012250-022...
  • Page 167: General Information

    / MAC 1200 ST) 455 050 01 Upgrade “Interpretation” (if MEAS is already implemented) 455 044 01 Memory (for 40 resting ECGs) MEMO (MAC 1200 / MAC 1200 ST) 455 052 01 Stress Test ERGO (MAC 1200 ST) General Accessories...
  • Page 168 CONTRAST writer paper, B4, package of 10 pads 217 083 06 Electrode gel, 10 tubes, 100 ml each 217 083 05 Electrode cream, 10 tubes, 100 ml each 217 083 18 Electrode cream, refill, 250 ml 14-4 MAC 1200 Revision B 2012250-022...
  • Page 169 Wall fixture for swivel arm 303 444 21 Clip adapter for adhesive electrodes Miscellaneous 931 098 80 Instrument bag 227 477 02 Physician’s Guide for ECG Interpretation Program HEART V4.3, English 416791-004 12SL ECG-Analysis Program Physician’s Guide Revision B MAC 1200 14-5 2012250-022...
  • Page 170 1200 to CardioSys) 223 330 04 Connection cable (M700 to MAC 1100/MAC 1200) 223 366 04 Connection cable (EC 1200 to MAC 1100 / MAC 1200) 2006795-001 Connection cable (Variobike 500 to MAC 1200 ST) 2006796-001 Connection cable (Lode Excalibur to MAC 1200 ST)
  • Page 171: Special Characters

    Entering Special Characters Revision B MAC 1200 2012250-022...
  • Page 172 For your notes MAC 1200 Revision B 2012250-022...
  • Page 173 Alt + H, then A (enter Ñ, Õ in the same manner) Ð Alt + A Æ Alt + J Alt + T, then Z Š Alt + T, then S ¡ Alt + X Revision B MAC 1200 2012250-022...
  • Page 174 Entering Special Characters: Special Characters For your notes MAC 1200 Revision B 2012250-022...
  • Page 175: Index

    Index Revision B MAC 1200 Index-1 2012250-022...
  • Page 176 Index-2 MAC 1200 Revision B 2012250-022...
  • Page 177 Paper, inserting new pad 10-3 Explosion hazard 1-9 Password protection (setup menu) 9-23 Patient cable, connection 4-3 Patient Data Setup 9-27 Final report 7-8, 9-13 Patient data, entry 4-10 Functional Description 1-5 Performance dheck 3-5 Revision B MAC 1200 Index-3 2012250-022...
  • Page 178 System version CE-2 T offset measurement point 5-24 Technical specifications 13-1 Test DATA 9-23 Time 9-21 Time stamp 5-12 Transport 1-11 Trend recording 9-13 Trial Administrator, Pharma 9-14 Troubleshooting 12-1 Units 9-22 Warranty 1-8 Index-4 MAC 1200 Revision B 2012250-022...
  • Page 180 0459 gemedical.com European Representative Asia Headquarters World Headquarters GE Medical Systems GE Medical Systems GE Medical Systems Information Technologies GmbH Information Technologies Asia; GE (China) Co., Ltd. Information Technologies, Inc. Munzinger Straße 3-5 24th Floor, Shanghai MAXDO Center, 8200 West Tower Avenue...

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