GE Healthcare

MAC 600 Quick Reference Guide Rev C Jan 2010

Quick Reference Guide

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MAC™ 600 Resting ECG Analysis System Quick Reference Guide

Education Services

Clinical Development

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Notice The materials contained in this document are intended for educational purposes only. This document does not establish specifications, operating procedures or maintenance methods for any of the products referenced. Always refer to the official written materials (labeling) provided with the product for specifications, operating procedures and maintenance requirements. Proprietary Training Material, property of GE Healthcare. Use of these materials is limited to agents and employees of GE Healthcare or other parties expressly licensed by GE. Unlicensed use is strictly prohibited.

Contents Skin Preparation and Lead Placement... 1 Acquire an ECG ... 3 Print Continuous Rhythm... 6 File Manager ... 7

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Skin Preparation and Lead Placement

AHA IEC V2

AHA Alternative RA

AHA

IEC

IEC R

AHA V3

IEC C3

AHA LA

IEC L Alternative

AHA V6

IEC C6

AHA V5

IEC C5 IEC L

AHA IEC V4 C4

AHA RA

IEC R

AHA LA

AHA

IEC

Alternative RL

AHA IEC LL F Alternative

AHA

IEC

AHA LL

IEC F

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1. Shave any hair from each electrode site and degrease each electrode site with alcohol. 2. Dry skin completely. 3. Apply the leads on the prepared area. 4. Verify the leads are connected and working properly. Table 1 AHA and IEC Lead Placement AHA lead

IEC lead

Electrode Placement

V1 red

C1 red

Fourth intercostal space at the right sternal border.

V2 yellow

C2 yellow

Fourth intercostal space at the left sternal border.

V3 green

C3 green

Midway between C2/V2 and C4/V4.

V4 blue

C4 brown

Mid-clavicular line in the fifth intercostal space.

V5 orange

C5 black

Anterior auxiliary line on the same horizontal level as C4/V4.

V6 purple

C6 purple

Mid-auxiliary line on the same horizontal level as C4/V4 and C5/V5.

LA black

L yellow

Above left wrist (alternate placement: left deltoid).

LL red

F green

Above left ankle (alternate placement: upper leg close to torso).

RL green

N black

Above right ankle (alternate placement: upper leg close to torso).

RA white

R red

Above right wrist (alternate placement: right deltoid).

Skin Preparation and Lead Placement

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Acquire an ECG

Press ‘ECG’ (Green) key to record an ECG.

77 BPM

0:29:40 5-Aug-2009

aVR

Leads V1

aVL

aVF

III Patient Data

MAC 600

25 mm/s

ECG 10 mm/mV

esc

- +

6 3b 7

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1 Power the system on.

Enter Patient Data.

2. Prepare the patient. Refer to section Skin Preparation and Lead Placement for details. 3. Verify waveform quality by:

MAC600

I II III

3a • Checking Hook-up Advisor. Green (always right most circle) indicates a good quality waveform.

0:29:40 5-Aug-2009

77 BPM

ID number V1 Date aVRof birth Gender aVL V2 Return aVF

- +

6 Use the F keys to make any necessary adjustments to:

• Speed (F2)

• Gain (F3)

• More (F4) > Filter (F1) to adjust Waveform Filter. Press More (F4) to return ECG Screen.

Color Display is a purchasable option.

Note! Refer to the Operator’s Manual for instruction on how to use Secondary ID, age and alfa-numeric input feature.

• Press the Leads key to 3b scroll through the leads.

Acquire an ECG

7 Press the ECG key on the keypad to record an ECG.

4 Press F1 to open the Patient 5. Select Return, and press the Data window. Enter the of the arrow pad to Enter Patientcenter Data. - + patient ID, DOB and gender close the Patient 0:29:40Data window. 77 BPM 5-Aug-2009 using the numbered MAC600 keyboard and arrow pad. ID number V1 I V4 Date aVRof birth • Press F1 to insert a dash Gender while entering the patientII aVL V2 V5 Return ID if needed. III

• Press F2 to insert a + symbol while entering the patient ID if needed.

aVF

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77 BPM

Acquire an ECG

5-Aug-2009

aVR

aVL

Continue

Rhythm

Store

Cancel

c 3

1a 8. Press Analysis (F2) to view 4 the Measurement and Interpretation information. 7 Once you have pressed Analysis you see the F keys as displayed in the above esc illustration. Note! Analysis and Measurement are purchasable options.

the ECG and 59 If after reviewing 6

Analysis if you wish to stop and acquire another ECG, 8 press Cancel 9 (F4) and press the ECG key on the keypad to record another ECG. 0 Otherwise 6 continue with step 10.

10 Other options from the Analysis window include: a Press Continue (F1) to continue with the acquired 12 lead ECG. b Press Store (F3) to store the ECG to the SD Card.

Note! Storing to SD card is a purchasable option. c Press Rhythm (F2) to view the waveform.

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29-Jul-09 03:17:10 29-Jul-09 03:15:36 29-Jul-09 03:16:14

Total files: 20 Selected files: 1

No No No

Select

Select All

Report Setup

esc

2 3

Print Continous Rhythm

0000003 0000004 0000005

Print Continous Rhythm 1 Press the Leads key to select the desired 3-lead group for rhythm. 2 Press the Rhythm key on the Keypad to start the printing of continuous rhythm.

Note! If your display is showing the 12-lead or 6-lead presentation, pressing the Rhythm key will result in the display of 3 leads from the group configured as the autorhythm and will begin rhythm printing with those 3 leads.

3 Press the Stop Writer key on the keypad to stop the printing of the continuous rhythm.

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File Manaager (Purchasable option)

Directory of files in SD card

File Manager

- +

Directory of files in SD card ID number Date/Time 0000001 0000002 0000003 0000004 0000005

01- Aug-09 23:35:48 30-Jul-09 23:35:48 29-Jul-09 03:17:10 29-Jul-09 03:15:36 29-Jul-09 03:16:14

Total files: 20 Selected files: 1 Select All

Report Setup

5 3

1. From the startup screen press 7 More (F4).

File Manager (Option)

esc

3 Press Report Setup (F3) to select desired format for your printed reports.

a. Press Report Format (F1) to open the reports selection screen. b. Use the arrow pad to go to the desired report.

No No No No No

Select

2. Press File Manager (F3).

Sent

Enter key f. Press Return (F2) to get back to the main File Manager Screen.

0 Arrow key c. Enter 1 for each report you wish printed. You may enter a higher number if you wish more copies. d. Select Return to save and exit screen. e. Press More (F4).

4 Press Select (F1) to select individual reports. Use the arrow pad to navigate through the list and press the Enter key of the arrow pad to highlight the desired report. Use the same procedure to highlight multiple reports if desired. 5 If you wish to highlight all reports press Select All (F2).

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- +

File Manager

Directory of files in SD card ID number Date/Time

Sent

0000001 0000002 0000003 0000004 0000005

No No No No No

Selected report

01- Aug-09 23:35:48 30-Jul-09 23:35:48 29-Jul-09 03:17:10 29-Jul-09 03:15:36 29-Jul-09 03:16:14

Total files: 20 Selected files: 1 Print

Display

Transmit

1 1

2 3

Note! Your F key order may 2 Display (F2): allows you to vary slightly from what is 7 view (F1), 8 the Medians 9 described based on your Analysis (F2) or Print (F3) of purchased options. esc the selected record(s).

File Manager

Directory of files in SD card

4 Select More (F4) then Return (F2) to get back to File Manager main screen.

Once you have selected a report(s) you have the following options:

3 Transmit (F3): allows you to transmit to a MUSE system or XML output via Serial Line.

1 Print (F1): prints the ECG of the selected report(s)

Note! Serial Transmission is a purchasable option.

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File Manager

Directory of files in SD card

File Manager

- +

Directory of files in SD card ID number Date/Time

Sent

0000001 0000002 0000003 0000004 0000005

No No No No No

01- Aug-09 23:35:48 30-Jul-09 23:35:48 29-Jul-09 03:17:10 29-Jul-09 03:15:36 29-Jul-09 03:16:14

Total files: 20 Selected files: 1 Delete

F1 1 a 5. More (F4): Gives more selections including:

7 a Delete (F1): press to delete record. User must enter password to esc delete record(s) from system b Save XML (F2): saves record to SD card in XML format

Save XML

Save PDF

b 3

c 5 Save PDF6(F3): saves record to SD card in PDF format

Note! Save to PDF is purchasable option. 6

6. From the main File Manager screen press More (F4) then press Resting ECG (F3) to return to the Resting ECG screen.

d More (F4): returns previous screen. Press Return (F1) to return to File Manager main screen.

Note! Save to XML is purchasable option.

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© 2009 General Electric Company – All rights reserved. General Electric Company reserves the right to make changes in specifications and features shown herein, or discontinue the product described at any time without notice or obligation. GE, GE Monogram, Marquette, 12SL, MAC and MUSE are trademarks of General Electric Company. GE Medical Systems Information Technology, a General Electric company, doing business as GE Healthcare. Notice: The materials contained in this document are intended for educational purposes only. This document does not establish specifications, operating procedures or maintenance methods for any of the products referenced. Always refer to the official written materials (labeling) provided with the product for specifications, operating procedures and maintenance requirements. Proprietary Training Material, property of GE Healthcare. Use of these materials is limited to agents and employees of GE Healthcare or other parties expressly licensed by GE Healthcare. Unlicensed use is strictly prohibited.

GE Healthcare 9900 Innovation Drive Wauwatosa, WI 53223 USA www.gehealthcare.com

PN: 2047426-003 C Printed in India

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