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GE MAC 1200 Operator's Manual
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GE MAC 1200 Operator's Manual

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MAC 1200/1200 ST
Operator's Manual
Software Version 6
2012250-021
Revision C

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Summary of Contents for GE MAC 1200

  • Page 1 MAC 1200/1200 ST Operator’s Manual Software Version 6 2012250-021 Revision C...
  • Page 2 127( The information in this manual only applies to MAC 1200/1200 ST 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 1200/1200 ST bears 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 The device is designed to comply with IEC 60601 requirements. It is a protection class I device. The CE mark covers only the accessories listed in the chapter “Order Information”. The information contained in this manual reflects software version 6. CE-2 MAC 1200/1200 ST Revision C 2012250-021...

  • Page 5: Table Of Contents

    MAC 1200 Control Panels ........
  • Page 6 General Considerations ..........5-12 MAC 1200/1200 ST...
  • Page 7 Final Report ........... . . 8-22 Revision C MAC 1200/1200 ST 2012250-021...
  • Page 8 Report Format ........... 10-4 Detailed Results (MAC 1200 / 1200 ST Only) ......10-4 Continuous Rhythm .
  • Page 9 Prompts 1 to 4 ..........10-30 Revision C MAC 1200/1200 ST 2012250-021...
  • Page 10 Data Interface ........... 14-6 MAC 1200/1200 ST...
  • Page 11 Transfer of ECGs with the CSI Protocol Between the MAC 1200 and the Following Units ............14-6 Receiving Data with the CSI Communication Protocol from the Following Units 14-6 Sending ECGs to the Following Units with the A5 Protocol .
  • Page 12 For your notes viii MAC 1200/1200 ST Revision C 2012250-021...

  • Page 13: The Basics

    The Basics Revision C MAC 1200/1200 ST 2012250-021...
  • Page 14 For your notes MAC 1200/1200 ST Revision C 2012250-021...

  • Page 15: About This Manual

    The unit can be ordered with an optional integrated suction pump for the electrode application system KISS. The performance features of the MAC 1200 / 1200 ST can be upgraded with the following optional programs. MEAS — measurement of the 10-second resting ECG DIAG —...

  • Page 16: Intended Audience

    The patient name is annotated on each printed sheet. All other data are printed on request. The MAC 1200/1200 ST units are designed to comply with IEC 60601 / EN 60601 requirements. They are protection class I devices/devices with an internal power source.

  • Page 17: Illustrations And Names

    7 March 2003 Initial release of manual, describes version 6.0. 15 April 2003 Information regarding UL classification added to manual. 21 July 2004 Revised CE compliance information and added information about ending a stress test. Revision C MAC 1200/1200 ST 2012250-021...

  • Page 18: Safety Information

    GE is responsible for the effects on safety, reliability, and performance of the device, only if assembly operations, extensions, readjustments, modifications, or repairs are carried out by GE or by persons authorized by GE, and the device is used in accordance with the instructions given in this operator’s manual.

  • Page 19: 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 C MAC 1200/1200 ST 2012250-021...
  • Page 20 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). MAC 1200/1200 ST Revision C 2012250-021...
  • Page 21 EQUIPMENT DAMAGE — Before connecting the device to the power line, verify that the ratings of your local power line are those indicated on the device nameplate. Revision C MAC 1200/1200 ST 2012250-021...

  • Page 22: 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 1-10 MAC 1200/1200 ST Revision C 2012250-021...

  • Page 23: 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 24: Service Information

    Technologies’ 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 Medical Systems Information Technologies or to one of their authorized agents.

  • Page 25: Controls And Indicators

    Controls and Indicators Revision C MAC 1200/1200 ST 2012250-021...
  • Page 26 For your notes MAC 1200/1200 ST Revision C 2012250-021...

  • Page 27: General Information

    Controls and Indicators: General Information General Information Controls and indicators of the MAC 1200/1200 ST 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 28: Mac 1200 Keyboard

    Controls and Indicators: General Information MAC 1200 Keyboard mm/s Config Auto Filter < > mm/mV Arrhy 098A Description Power switch (ON/OFF) Keys to select a higher or lower HR alarm limit Confirms entered data Correction key (entry of data) Displays the configuration menu...

  • Page 29: Mac 1200 St Keyboard

    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 MAC 1200 ST Keyboard Config mm/s Auto Filter Ergo <...

  • Page 30: Symbols

    Type CF signal input, highly insulated, defibrillation-proof Start Stop Battery Saving/retrieving ECGs Correction key Direction indicator Device ON/OFF ECG lead selector Printout of reports and ECG copies Standby Stage hold Pre-exercise phase Exercise phase Post-exercise phase MAC 1200/1200 ST Revision C 2012250-021...

  • Page 31: Operating And Performance Tests

    Operating and Performance Tests Revision C MAC 1200/1200 ST 2012250-021...
  • Page 32 For your notes MAC 1200/1200 ST Revision C 2012250-021...

  • Page 33: Power Supply

    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 C MAC 1200/1200 ST 2012250-021...

  • Page 34: Installation And Mains Connection

    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, “System Setup” for instructions on inserting a new paper pad. MAC 1200/1200 ST Revision C 2012250-021...

  • Page 35: 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 C MAC 1200/1200 ST 2012250-021...

  • Page 36: Contrast Adjustment

    Operating and Performance Tests: Performance Check Contrast Adjustment Simultaneously press and the appropriate cursor key: more contrast less contrast MAC 1200/1200 ST Revision C 2012250-021...

  • Page 37: System Setup

    5 s to 60 s (5 s = beep at 5 second interval) Beep f. Master Step Default Mode Automatic Manual, Arrhythmia (MAC 1200 only), Stress Test (MAC 1200 ST with option) Language German all available languages Enable password Test DATA...
  • Page 38 Operating and Performance Tests: System Setup Print ECG Tx.log Check Record Retxn 1. only for CSI communication protocol 2. with MAC 1200 ST only if the selected exercise device is the MASTER STEP MAC 1200/1200 ST Revision C 2012250-021...

  • Page 39: 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 C MAC 1200/1200 ST 2012250-021...
  • Page 40 Initial. modem AT&FM1X3S 0=1V0 dial string hang-up 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 1200/1200 ST Revision C 2012250-021...

  • Page 41: Preparing For Ecg Recording

    Preparing for ECG Recording Revision C MAC 1200/1200 ST 2012250-021...
  • Page 42 For your notes MAC 1200/1200 ST Revision C 2012250-021...

  • Page 43: 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 44: Electrode Application

    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. MAC 1200/1200 ST Revision C 2012250-021...

  • Page 45: Electrode Placement For Standard Leads (L, Ii, Iii, Avr, Avl, Avf, V1

    At the left scapulary line in the 5th intercostal space C3R* Opposite C3, on the right side of the chest C4R* Opposite C4, on the right side of the chest * additional standard leads Revision C MAC 1200/1200 ST 2012250-021...
  • Page 46 F green left leg 009A C1 C2 C3 C4 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 MAC 1200/1200 ST Revision C 2012250-021...

  • Page 47: Electrode Placement For Nehb Leads

    L to Nax (C7) F to Nap (C4) „ Select SEQ. No. 4 (Chapter 10, “Manual Mode” section) and change the lead labels as follows. I to D II to A III to J Revision C MAC 1200/1200 ST 2012250-021...
  • Page 48 C2 white C3 white (Nap) C4 white (Nap) C5 white C6 white C7 (Nax) L yellow left arm F green left leg C2 C3 C4 012A Connecting the Patient Cable (12-Lead Cable, NEHB Leads) MAC 1200/1200 ST Revision C 2012250-021...

  • Page 49: Artifact Due To Poor Electrode Application

    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). Revision C MAC 1200/1200 ST 2012250-021...
  • Page 50 (R, L, F, N, C1 to C6, NA, NT, NX). „ If required, the ADS (cubic spline) and the filters (20/40 Hz, 50 Hz) can be disabled to verify the “raw” ECG signal. 4-10 MAC 1200/1200 ST Revision C 2012250-021...

  • Page 51: Entering Patient Data

    All entries must be confirmed with Press to exit the patient data mode. 127( Please refer to the Appendix for instructions on entering special characters. Revision C MAC 1200/1200 ST 4-11 2012250-021...
  • Page 52 Swedish Patient ID 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 4-12 MAC 1200/1200 ST Revision C 2012250-021...

  • Page 53: New Patient

    0. Example: If a 6- digit text box is configured and you enter the patient ID 123, the final ID number will read “000123”. The default value for this field is 9 characters. Revision C MAC 1200/1200 ST 4-13 2012250-021...

  • Page 54: Chest Pain

    It is also possible to choose none. You can press to quit the list. The Referring Physician is only relevant if you send ECGs to the MUSE CV system. This name will not be annotated on the ECG recording. 4-14 MAC 1200/1200 ST Revision C 2012250-021...

  • Page 55: Phone Number

    Antiarrhythmics III Ca antagonist, verapamil type Ca antagonist, nifedipine type Nitrates Alpha-blockers Cytostatics Comments 4 lines of 30 characters each Swedish Patient ID Default value is No ID Required Default value is No Revision C MAC 1200/1200 ST 4-15 2012250-021...

  • Page 56: Secondary Id

    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 Chapter 10, “Patient Data Menu Setup” section for details). 4-16 MAC 1200/1200 ST Revision C 2012250-021...

  • Page 57: Automatic Mode Recording

    Automatic Mode Recording Revision C MAC 1200/1200 ST 2012250-021...
  • Page 58 For your notes MAC 1200/1200 ST Revision C 2012250-021...

  • Page 59: General Information

    , the recording proceeds automatically. Depending on the implemented software options, the ECG is: „ only printed out (MAC 1200/1200 ST without options MEAS, DIAG), „ measured and printed out with the measurement results (MAC 1200/ 1200 ST with option MEAS), and „...
  • Page 60 Detailed Results Cont. Rhythm Muscle Filter Muscle Filter Frequency 40 Hz 20 Hz AC Filter Manual copy to HOST Number of copies 0...9 Delete ECG after Transmission Autosave ECG Interpretation Print Interpretation Override Function MAC 1200/1200 ST Revision C 2012250-021...

  • Page 61: Recording

    Chest electrode C3 disconnected *NX*: NEHB electrode Nax disconnected 4. Initiate a recording with . The MAC 1200/1200 ST acquires all 12 leads simultaneously for 10 seconds, and then generates a printout. 127( The device can be set up to allow a recording only when specific...
  • Page 62 Report format is 12_FS, i.e. 12 leads and all data are printed on one page (configurable) „ Interpretation is printed (configurable) „ Detailed results page (including the median complexes and the measurement results) is not printed (configurable) (MAC 1200 only) „ Pressing will produce one copy of the printed ECG (configurable) „...
  • Page 63 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 64: The Storage Program

    Automatic Mode Recording: 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 the user that ECGs are being saved and indicates the number of stored ECGs.
  • Page 65 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 C MAC 1200/1200 ST 2012250-021...

  • Page 66: Report Formats

    Printed reports are unconfirmed documents. They must be overread, verified, and signed by a physician for confirmation. Report formats H1 and A1 are only available with MAC 1200/1200 ST units (option MEAS or DIAG required). In these reports, the rhythm leads are printed with a speed of 12.5 mm/s and the medians with...

  • Page 67: Detailed Results

    Automatic Mode Recording: Report Formats Detailed Results The MAC 1200/1200 ST (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 68: Ecg Transmission

    Then press . Use to scroll right to see the time stamp. Batch Transmission The MAC 1200/1200 ST unit can send all untransmitted records in a batch transmission. 1. Activate the storage program by simultaneously pressing . (Press the button first and hold it depressed.)

  • Page 69: Transmission Log

    , the Automatic mode acquisition screen appears. Transmission Log The MAC 1200/1200 ST unit can be set up to automatically print a log of the recently completed transmission. See “Transmission Log” on page 10- 25 for more information.

  • Page 70: Transmission To A Cardiosys/Cardiosoft System Via Modem

    Chapter 10, “ECG Transmission via Modem” 1. After acquiring the ECG, start the transmission with The MAC 1200/1200 ST 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 71 Automatic Mode Recording: ECG Transmission 127( If the MAC 1200/1200 ST unit is configured for manual dialing, the prompt Please Dial the number... will be display. Enter the number to which the ECG is being transmitted. See “Manual Dialing” on page 10-27 for information on configuring the manual dialing option.

  • Page 72: Transmitting Data To A Muse Cv System Via Modem

    Before sending data to the MUSE CV system, the MAC 1200/1200 ST automatically logs on to the database. Then the data transfer is initiated. If the transfer is stopped, the MAC 1200/1200 ST takes a few seconds before cancelling the connection because it has to log off the database first.
  • Page 73 MUSE CV system. In this situation you have the following choices: Repeat the transmission with Change the settings with Stop the transmission with Revision C MAC 1200/1200 ST 5-17 2012250-021...
  • Page 74 Receiving Data with the CSI Communication Protocol See Chapter 14, “Technical Specifications” for additional information. Receiving ECGs is only possible with MAC 1200/1200 ST units. The units must be in the Automatic mode. 1. Use the key combination to display the screen for receiving ECGs.

  • Page 75: Modem Setup (For Modem Æ Other)

    If you prefer to use another modem than the standard models listed in the Setup menu (MultiTech, Elsa), you will have to enter a few parameters required for communication between the MAC 1200/1200 ST and the modem. For the AT commands which your modem understands, please refer to the modem user instructions.
  • Page 76 ATDTOW AT Command for Termination of the Communication The communication is terminated in two steps. First, the MAC 1200/1200 ST sends an escape command to return from the on-line state to the command state. Then the hangup command follows. Symbol...

  • Page 77: Adjusting Measurement Points/Qt Dispersion

    Automatic Mode Recording: Adjusting Measurement Points/QT Dispersion Adjusting Measurement Points/QT Dispersion This feature is only available with MAC 1200/1200 ST 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 Automatic mode, the global measurement points for P onset, P offset, QRS onset, QRS offset, and T offset can be adjusted manually.
  • Page 78 P onset and P offset values, the space bar toggles between definite value and approximate value. 5-22 MAC 1200/1200 ST Revision C 2012250-021...

  • Page 79: Local T Offset Measurement Point/Qt Dispersion

    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. Revision C MAC 1200/1200 ST 5-23 2012250-021...
  • Page 80 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. 5-24 MAC 1200/1200 ST Revision C 2012250-021...

  • Page 81: Manual Mode Recording

    Manual Mode Recording Revision C MAC 1200/1200 ST 2012250-021...
  • Page 82 For your notes MAC 1200/1200 ST Revision C 2012250-021...

  • Page 83: General Information

    STANDARD CABRERA, NEHB, SEQ.NO.4 Gain 10 mm/mV “*auto”, 5, 20, 40 mm/mV Speed 25 mm/s 5, 50 mm/s Muscle Filter Muscle Filter 40 Hz 20 Hz Frequency AC Filter Anti-Drift System Automatic Paper Feed Revision C MAC 1200/1200 ST 2012250-021...

  • Page 84: Recording

    Chest electrode C3 disconnected *C4*: Chest electrode C4 disconnected *C5*: Chest electrode C5 disconnected *C6*: Chest electrode C6 disconnected *NA*: Nehb electrode Nap disconnected *NT*: Nehb electrode Nst disconnected *NX*: Nehb electrode Nax disconnected MAC 1200/1200 ST Revision C 2012250-021...
  • Page 85 = CABRERA = NEHB = Seq. 4 With the system defaults, the MAC 1200/1200 ST 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, NEHB, SEQ.
  • Page 86 (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 1200/1200 ST Revision C 2012250-021...

  • Page 87: Arrhythmia Mode Recording

    Arrhythmia Mode Recording Revision C MAC 1200/1200 ST 2012250-021...
  • Page 88 For your notes MAC 1200/1200 ST Revision C 2012250-021...

  • Page 89: General Information

    Arrhythmia Mode Recording: General Information General Information In Arrhythmia mode, the MAC 1200/1200 ST continuously scans the ECG for arrhythmias. From six simultaneously acquired leads, the MAC 1200/1200 ST automatically selects the two that provide the best signal for analysis.
  • Page 90 CABR_LI NEHB HIGH_C Gain 10 mm/mV “*auto”, 5, 20, 40 mm/mV Muscle Filter Muscle Filter Frequency 40 Hz 20 Hz AC Filter Trend Rec. Arrhy Data unequal all, no Episodes chron. prio., ventr., no MAC 1200/1200 ST Revision C 2012250-021...

  • Page 91: Recording

    1. After switching on the unit, press to select the Arrhythmia 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 ( ).

  • Page 92: 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 1200/1200 ST is ready to identify arrhythmias. 127(...
  • Page 93 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 C MAC 1200/1200 ST 2012250-021...

  • Page 94: 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 1200/1200 ST Revision C 2012250-021...
  • Page 95 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 C MAC 1200/1200 ST 2012250-021...
  • Page 96 Arrhythmia Mode Recording: Recording For your notes 7-10 MAC 1200/1200 ST Revision C 2012250-021...

  • Page 97: Stress Tests

    Stress Tests Revision C MAC 1200/1200 ST 2012250-021...
  • Page 98 For your notes MAC 1200/1200 ST Revision C 2012250-021...

  • Page 99: General Information

    Stress Tests: General Information General Information The Stress Test mode of the MAC 1200 ST allows you to run complete exercise tests. Depending on the connected exercise device (bicycle ergometer, treadmill, Master Step), the ECG unit will control the test to varying extents.
  • Page 100 Bicycle Ergometer HOLLMANN STD. FRANCE MODWO CONCONI Treadmill BRUCE MODIFIED BRUCE (MODBRUCE) NAUGHTON ELLESTAD MODIFIED BALKE (MODBALKE) USAFSAM SLOW USAFSAM CORNELL BALKEWARE MODIFIED BALKEWARE (MODBALKEWARE) ADENOSINE DOBUTAMINE PERSANTINE Master’s Step Tests SINGLE DOUBLE TRIPLE MAC 1200/1200 ST Revision C 2012250-021...
  • Page 101 If you wish to record an ECG only at the end of a test stage, you must enter a Medians Report time in the protocol editor (Chapter 10, “Stress Test Mode” section) that is 10 seconds shorter than the stage time. Revision C MAC 1200/1200 ST 2012250-021...

  • Page 102: Stress Test Sequences

    Advance to the next load stage with Hold the current stage with Advance to the recovery phase with . (This happens automatically when the stage duration has elapsed.) Enter a stage duration under 99, because 99 = infinity. MAC 1200/1200 ST Revision C 2012250-021...
  • Page 103 Stress Tests: Stress Test Sequences End/Cancel a Stress Test End or cancel the test with The following text appears on the MAC 1200/1200 ST display. Press the appropriate key to confirm or cancel the test end command. Confirm Stop? Onscreen:...

  • Page 104: Ergometers With Remote Start Pulse

    In Arrhythmia mode Event report In Stress Test mode Stage change Action at Ergometer Remote Start Pulse Action at MAC 1200 ST Test subject starts pedalling 1st remote start pulse No action Load increase at ergometer Remote start pulse with each...

  • Page 105: Ergometers With Digital Communication Interface

    Advances to the recovery phase 5 seconds before the end of a stage at the latest). Advances to the next load stage Stops or cancels the test. Refer to “End/Cancel a Stress Test” page 8-7 for more information. Revision C MAC 1200/1200 ST 2012250-021...
  • Page 106 Then the exercise starts regardless of whether the test subject starts pedalling or not. When you have configured the “internal” ergometer, the exercise can only be started with 8-10 MAC 1200/1200 ST Revision C 2012250-021...
  • Page 107 15 Watts and increase the load to the old value when the speed picks up again. During that time, the buttons are inactive and the program will not proceed to the next load stage. Does NOT apply to the EC1200. Revision C MAC 1200/1200 ST 8-11 2012250-021...

  • Page 108: Treadmill

    The treadmill can be stopped at any time with the emergency stop button. When using the treadmill model TM400E, it is important to adjust the same unit of speed measurement at the ergometer and at the CardioSys system (km/h or mph). 8-12 MAC 1200/1200 ST Revision C 2012250-021...
  • Page 109 Automatic when Select protocol. Select Stress segment or taking BP, last stage is Check report Test Mode wait for first results to completed, or interval. be displayed. manual 035A Program Sequence for Treadmill Test Revision C MAC 1200/1200 ST 8-13 2012250-021...

  • Page 110: The Master's Step Test

    Stress Tests: Ergometers with Remote Start Pulse The Master’s Step Test Proceed as follows to use the Master’s Step Test with the MAC 1200 ST. Verify Device Settings 1. Press Ergo to select the Stress Test mode. Arrhy 2. Check the configured Ergometer type in the configuration menu under Chapter 10, “Communication”...
  • Page 111 Master Step mode with the cursor keys.In stage 1 of the PRE EXERCISE phase the button advances to PRE EXERCISE stage 2. Revision C MAC 1200/1200 ST 8-15 2012250-021...
  • Page 112 1. In the POST-EXERCISE phase, the message ELECTR. ON is displayed instead of the stage name to prompt the user to reapply the ECG electrodes. The stage name reappears, when the user, having applied the electrodes, presses 8-16 MAC 1200/1200 ST Revision C 2012250-021...

  • Page 113: Creating Custom Protocols

    Stress Tests: Creating Custom Protocols Creating Custom Protocols The MAC 1200 ST allows the user to choose among three different test protocols. The default protocol is the SINGLE protocol with an exercise phase of 90 seconds. Also available in the list of protocols are the DOUBLE (180 seconds) and the TRIPLE (270 seconds) protocol.

  • Page 114: Running A Stress Test

    3. Enter patient data via 4. Apply the electrodes. 5. Initiate the stress test with . The MAC 1200 ST will first record the 12-lead ECG. At the same time, the unit learns the patient’s typical QRS complex. From this QRS complex, the unit derives the median complex which is the reference beat for calculation of the ST level and slope during the test.
  • Page 115 METS value Stage Time in stage PVC/min Failure message Current HR, [HR Limit] Stress Test Screen, Treadmill 1. if enabled 2. or REC OFF when the recording function is disabled 3. if any Revision C MAC 1200/1200 ST 8-19 2012250-021...
  • Page 116 If the unit runs out of paper during the test, a message informs you of the problem. After inserting new paper, acknowledge the message with . Do NOT press ; this will abort the test. 8-20 MAC 1200/1200 ST Revision C 2012250-021...

  • Page 117: Ending The Stress Test

    Refer “End/Cancel a Stress Test” on page 8-7 for more information. 127( If the stress test is aborted in the pretest phase with , no automatic final report will be printed. Revision C MAC 1200/1200 ST 8-21 2012250-021...

  • Page 118: Final Report

    METS = metabolic equivalent as a multiple of the oxygen consumption at rest) (V [m/min] x (0.1 + (slope [%] / 100) x 1.8) +3.5) METS = Median complexes (rest, peak exercise) 8-22 MAC 1200/1200 ST Revision C 2012250-021...
  • Page 119 Load / rpm (for bicycle ergometers) HR / BP, METS (for treadmills) Speed / slope (for treadmills) ST slopes, ST levels channel 1 ST slopes, ST levels channel 2 Heart rate, artifacts Paced beats, PVC Revision C MAC 1200/1200 ST 8-23 2012250-021...
  • Page 120 Stress Tests: Running a Stress Test 8-24 MAC 1200/1200 ST Revision C 2012250-021...

  • Page 121: Pacemaker Patients / Recording During Defibrillation

    Pacemaker Patients / Recording During Defibrillation Revision C MAC 1200/1200 ST 2012250-021...
  • Page 122 For your notes MAC 1200/1200 ST Revision C 2012250-021...

  • Page 123: 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 C MAC 1200/1200 ST 2012250-021...

  • Page 124: 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 1200/1200 ST to Manual mode when you may have to defibrillate the patient while recording the ECG, and disable the anti- drift system which would cause a 2 second signal delay (Chapter 10, “Manual Mode”...

  • Page 125: System Setup

    System Setup Revision C MAC 1200/1200 ST 10-1 2012250-021...
  • Page 126 For your notes 10-2 MAC 1200/1200 ST Revision C 2012250-021...

  • Page 127: General Information

    The cursor will move to the next menu item. Individual items can be skipped with To exit the menu, press The factory default setting is shown in angular brackets [...]. < mm/mV Arrhy > 045A System Setup Keys Revision C MAC 1200/1200 ST 10-3 2012250-021...

  • Page 128: Automatic Mode

    Gain 5, [10], 20, 40 mm/mV, *auto Report Format Refer to Chapter 5, “Report Formats” section. Detailed Results (MAC 1200 / 1200 ST Only) The Detailed results page will be printed, yes/[no] (Chapter 5, “Report Formats” section). 10-4 MAC 1200/1200 ST...

  • Page 129: 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). Revision C MAC 1200/1200 ST 10-5 2012250-021...

  • Page 130: Manual Copy To

    1 is selected, multiple copies of the reports will be printed. Default: [1] Delete ECG After Transmission (MAC 1200/1200 ST 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 131: 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. Revision C MAC 1200/1200 ST 10-7 2012250-021...

  • Page 132: Manual Mode

    SEQ. NO. 4 (Users can define a custom report sequence here): Position the cursor on SEQ. NO. 4. Press The display shown below will appear. Report sequence SEQ. NO. 4 Lead Label Channel 1: Channel 2: Channel 3: Press 10-8 MAC 1200/1200 ST Revision C 2012250-021...

  • Page 133: 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). Revision C MAC 1200/1200 ST 10-9 2012250-021...

  • Page 134: 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). 10-10 MAC 1200/1200 ST Revision C 2012250-021...

  • Page 135: Arrhythmia Mode

    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. Revision C MAC 1200/1200 ST 10-11 2012250-021...

  • Page 136: 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 10-12 MAC 1200/1200 ST Revision C 2012250-021...

  • Page 137: Stress Test Mode

    The Protocol Editor allows you to change individual test parameters or to create your own test protocols. „ First select the protocol that you would like to edit or which is similar to the one you want to create. Revision C MAC 1200/1200 ST 10-13 2012250-021...
  • Page 138 The command menu is shown at the top of the display. When the editor screen is opened, the cursor highlights the protocol name (e.g. WHO). With the cursor keys, the cursor can be positioned on the different commands. 10-14 MAC 1200/1200 ST Revision C 2012250-021...
  • Page 139 2. Position the cursor on [add phase] and confirm with A list with the existing phases appears. 3. Select the desired phase and confirm with . The phase is added to the table. Revision C MAC 1200/1200 ST 10-15 2012250-021...
  • Page 140 Deleting a Stage 1. Select the stage to delete and confirm with . The cursor moves to the command menu. 2. Position the cursor on [del. stage] and push 3. Confirm the delete command with 10-16 MAC 1200/1200 ST Revision C 2012250-021...
  • Page 141 Saving the Protocol (OK) With OK, you save the displayed protocol. Quitting the Protocol Editor With the Escape command, you quit the Protocol Editor. Changes to the parameter values will be ignored and are not saved. Revision C MAC 1200/1200 ST 10-17 2012250-021...

  • Page 142: Rhythm Leads

    Format of the In-Test Reports. „ Median Report „ [Comparative Median Report] Muscle Filter/AC Filter Elimination of muscle artifact and AC line interference. „ Muscle filter: [no], yes „ AC line filter: [yes], no 10-18 MAC 1200/1200 ST Revision C 2012250-021...

  • Page 143: Muscle Filter Frequency

    The recorder will document arrhythmias in the following situations (all, unequal, [no]). „ Each time an arrhythmia occurs. „ Each time an arrhythmia occurs that is different from the preceding event. „ Arrhythmias are not documented. Revision C MAC 1200/1200 ST 10-19 2012250-021...

  • Page 144: Final Reports

    Trend report ST yes / [no] „ Sample cardiac cycles yes / [no] „ Tabular summary yes / [no] „ Episodes (documentation of event episodes in chronological order, according to priorities, ventricular events only, or [no] documentation. 10-20 MAC 1200/1200 ST Revision C 2012250-021...

  • Page 145: 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 Revision C MAC 1200/1200 ST 10-21 2012250-021...

  • Page 146: 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. 10-22 MAC 1200/1200 ST Revision C 2012250-021...

  • Page 147: Date

    Beep for Master Step [no] / yes. This field appears only if the selected exercise test device is the MASTER STEP. When you choose “yes”, the MAC 1200 ST will emit beeps to control the exercise speed for the Master Step test.

  • Page 148: Default Mode

    The electrocardiograph must be switched off and on again for the new settings to become effective. Print Configuration Lists Selecting Yes will display a menu with all available configuration lists. „ All lists „ System Setup/Communication/Peripheral Devices/Patient Data 10-24 MAC 1200/1200 ST Revision C 2012250-021...

  • Page 149: Transmission Log

    „ Arrhythmia Transmission Log After each transmission of ECG records, the MAC 1200/1200 ST 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 150: Communication

    [19200 baud]. Protocol The recorder offers two communication protocols: “A5” and “CSI” (Client Server Interface, MAC 1200 / 1200 ST only). With the “A5” protocol, the 10-second resting ECG can be transmitted to CardioSys and CardioSoft. The CSI protocol supports the transfer of resting ECGs from the electrocardiograph to a MUSE CV system.

  • Page 151: Pin Dialing

    System Setup: Communication PIN Dialing The MAC 1200/1200 ST 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 152: Ergometer/Treadmill

    System Setup: Communication Ergometer/Treadmill Options: [internal], Other. Choose the exercise test device used. Selecting Other will open a window where you can choose the appropriate option. Confirm your selection with 10-28 MAC 1200/1200 ST Revision C 2012250-021...

  • Page 153: 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 C MAC 1200/1200 ST 10-29 2012250-021...

  • Page 154: 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 10-30 MAC 1200/1200 ST Revision C 2012250-021...

  • Page 155: 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 156: Ecg Transmission Via Modem

    Selecting the Communication Protocol This adjustment is only necessary with MAC 1200/1200 ST units, because only these devices can send data to CardioSys/CardioSoft or to MUSE. For MAC 1100 units that can send data only to CardioSys/ CardioSoft, the communication protocol A5 is preselected.

  • Page 157: Direct Ecg Transmission

    9600, 19200, 38400, 57600). Selecting the Communication Protocol This adjustment is only necessary with MAC 1200 / 1200 ST units, because only these devices can send data to CardioSys/CardioSoft or to the MUSE system. For a MAC 1100 unit that can send data only to CardioSys/CardioSoft, the communication protocol A5 is preselected.
  • Page 158 System Setup: Direct ECG Transmission 10-34 MAC 1200/1200 ST Revision C 2012250-021...

  • Page 159: Loading Chart Paper

    Loading Chart Paper Revision C MAC 1200/1200 ST 11-1 2012250-021...
  • Page 160 For your notes 11-2 MAC 1200/1200 ST Revision C 2012250-021...

  • Page 161: 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 C MAC 1200/1200 ST 11-3 2012250-021...
  • Page 162 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. 11-4 MAC 1200/1200 ST Revision C 2012250-021...

  • Page 163: 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 164: 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. 11-6 MAC 1200/1200 ST Revision C 2012250-021...

  • Page 165: Cleaning, Disinfection And Maintenance

    Cleaning, Disinfection and Maintenance Revision C MAC 1200/1200 ST 12-1 2012250-021...
  • Page 166 For your notes 12-2 MAC 1200/1200 ST Revision C 2012250-021...

  • Page 167: 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 C MAC 1200/1200 ST 12-3 2012250-021...

  • Page 168: Maintenance

    If you have questions regarding the disposal of the product or of the accessories, please contact GE Medical Systems Information Technologies or its representatives. 12-4...

  • Page 169: Troubleshooting

    Troubleshooting Revision C MAC 1200/1200 ST 13-1 2012250-021...
  • Page 170 For your notes 13-2 MAC 1200/1200 ST Revision C 2012250-021...

  • Page 171: Troubleshooting Chart

    Check all electrodes or enable Override function. (See Chapter 10, “Automatic Mode” section for details). Paper jam Open paper compartment and removed jammed sheet, place beginning of paper between the marks, close paper compartment and press Revision C MAC 1200/1200 ST 13-3 2012250-021...
  • Page 172 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 13-4 MAC 1200/1200 ST Revision C 2012250-021...

  • Page 173: Technical Specifications

    Technical Specifications Revision C MAC 1200/1200 ST 14-1 2012250-021...
  • Page 174 For your notes 14-2 MAC 1200/1200 ST Revision C 2012250-021...

  • Page 175: 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 C MAC 1200/1200 ST 14-3 2012250-021...

  • Page 176: 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) 14-4 MAC 1200/1200 ST Revision C 2012250-021...

  • Page 177: Detection Of Pacer Pulses

    (either polarity, e.g. defibrillation) 5000 V. „ Monitoring of each electrode for open leads: R, L, F, N, Cl, C2, C3, C4, C5, C6, Nap, Nax, Nst. Audible lead fail signal at program start. Revision C MAC 1200/1200 ST 14-5 2012250-021...

  • Page 178: Data Interface

    „ Output voltage range ±5 V minimum „ Interface protected from electrostatic discharge for ±10 kV maximum Transfer of ECGs with the CSI Protocol Between the MAC 1200 and the Following Units MUSE CVIS SW version 004A and later MAC 5000...

  • Page 179: Sending Ecgs To The Following Units With The A5 Protocol

    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 C MAC 1200/1200 ST 14-7 2012250-021...

  • Page 180: 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. 14-8 MAC 1200/1200 ST Revision C 2012250-021...
  • Page 181 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 C MAC 1200/1200 ST 14-9 2012250-021...
  • Page 182 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 14-10 MAC 1200/1200 ST Revision C 2012250-021...
  • Page 183 Turn the MAC 1200/1200 ST 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 184 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 14-12 MAC 1200/1200 ST Revision C 2012250-021...

  • Page 185: Order Information

    Order Information Revision C MAC 1200/1200 ST 15-1 2012250-021...
  • Page 186 For your notes 15-2 MAC 1200/1200 ST Revision C 2012250-021...

  • Page 187: 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 188 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 15-4 MAC 1200/1200 ST Revision C 2012250-021...
  • Page 189 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 C MAC 1200/1200 ST 15-5 2012250-021...
  • Page 190 (Available separately or as part of the global modem kit.) 223 362 03 Connection cable (MAC 1100 / MAC 1200 to CardioSys) 223 378 01 Connection cable (MAC 1100 / MAC 1200 to modem, 9- pin) 223 378 02 Connection cable (MAC 1100 / MAC 1200 to modem, 25-...

  • Page 191: Entering Special Characters

    Entering Special Characters Revision C MAC 1200/1200 ST 2012250-021...
  • Page 192 For your notes MAC 1200/1200 ST Revision C 2012250-021...

  • Page 193: Special Characters

    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 C MAC 1200/1200 ST 2012250-021...
  • Page 194 Entering Special Characters: Special Characters For your notes MAC 1200/1200 ST Revision C 2012250-021...

  • Page 195: Index

    Index Revision C MAC 1200/1200 ST Index-1 2012250-021...
  • Page 196 Index-2 MAC 1200/1200 ST Revision C 2012250-021...
  • Page 197 Option Code 10-31 Ergoline 500, 800, 900/900L 8-9 Option MEMO 5-3 Ergometer type, select 10-28 Options 10-31 Ergometers with digital communication interface 8-9 Ordering physician 4-14 Ergometers with remote start pulse 8-8 Override function 10-7 Revision C MAC 1200/1200 ST Index-3 2012250-021...
  • Page 198 1-12 requirements 1-12 Setup menu, stress test 8-5 Software Version CE-2 Specifications 14-1 Standard leads 4-5 Stress test mode, setup 10-13 Stress test, end 8-21 Stress test, running a test 8-18 Index-4 MAC 1200/1200 ST Revision C 2012250-021...
  • Page 200 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 D-79111 Freiburg...

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