Mac 5000

.
0$&®
5HVWLQJ(&*$QDO\VLV6\VWHP
2SHUDWRU·V0DQXDO
Software Version 005A
315HYLVLRQ$
Listed below are GE Medical Systems Information Technologies trademarks. All other trademarks contained herein are the property of their respective
owners.
900 SC, ACCUSKETCH, AccuVision, APEX, AQUA-KNOT, ARCHIVIST, Autoseq, BABY MAC, C Qwik Connect, CardioServ, CardioSmart,
CardioSys, CardioWindow, CASE, CD TELEMETRY, CENTRA, CHART GUARD, CINE 35, CORO, COROLAN, COROMETRICS, Corometrics
Sensor Tip, CRG PLUS, DASH, Digistore, Digital DATAQ, E for M, EAGLE, Event-Link, FMS 101B, FMS 111, HELLIGE, IMAGE STORE,
INTELLIMOTION, IQA, LASER SXP, MAC, MAC-LAB, MACTRODE, MANAGED USE, MARQUETTE, MARQUETTE MAC, MARQUETTE
MEDICAL SYSTEMS, MARQUETTE UNITY NETWORK, MARS, MAX, MEDITEL, MEI, MEI in the circle logo, MEMOPORT, MEMOPORT C,
MINISTORE, MINNOWS, Monarch 8000, MULTI-LINK, MULTISCRIPTOR, MUSE, MUSE CV, Neo-Trak, NEUROSCRIPT, OnlineABG,
OXYMONITOR, Pres-R-Cuff, PRESSURE-SCRIBE, QMI, QS, Quantitative Medicine, Quantitative Sentinel, RAC RAMS, RSVP, SAM, SEER,
SILVERTRACE, SOLAR, SOLARVIEW, Spectra 400, Spectra-Overview, Spectra-Tel, ST GUARD, TRAM, TRAM-NET, TRAM-RAC, TRAMSCOPE,
TRIM KNOB, Trimline, UNION STATION, UNITY logo, UNITY NETWORK, Vari-X, Vari-X Cardiomatic, VariCath, VARIDEX, VAS, and Vision
Care Filter are trademarks of GE Medical Systems Information Technologies registered in the United States Patent and Trademark Office.
12SL, 15SL, Access, AccuSpeak, ADVANTAGE, BAM, BODYTRODE, Cardiomatic, CardioSpeak, CD TELEMETRY®-LAN, CENTRALSCOPE,
Corolation, EDIC, EK-Pro, Event-Link Cirrus, Event-Link Cumulus, Event-Link Nimbus, HI-RES, ICMMS, IMAGE VAULT, IMPACT.wf, INTER-
LEAD, IQA, LIFEWATCH, Managed Use, MARQUETTE PRISM, MARQUETTE® RESPONDER, MENTOR, MicroSmart, MMS, MRT, MUSE
CardioWindow, NST PRO, NAUTILUS, O 2SENSOR, Octanet, OMRS, PHi-Res, Premium, Prism, QUIK CONNECT V, QUICK CONNECT, QT Guard,
SMART-PAC, SMARTLOOK, Spiral Lok, Sweetheart, UNITY, Universal, Waterfall, and Walkmom are trademarks of GE Medical Systems Information
Technologies.
© GE Medical Systems Information Technologies, 2001. All rights reserved.
T-2 12 January 2001 MAC 5000 System — 2000657-024, Revision A

Marking Information The safety and effectiveness of this device has been
0459 verified against previously distributed devices. Although
all standards applicable to presently marketed devices
Compliance may not be appropriate for prior devices (i.e.
This device bears CE mark CE-0366 or CE-0459 electromagnetic compatibility standards), this device will
indicating its conformity with the provisions of the not impair the safe and effective use of those previously
Council Directive 93/42/EEC concerning medical distributed devices. See user’s information.
devices and fulfills the essential requirements of Annex I
of this directive. The product is in radio-interference Exceptions
protection class A in accordance with EN 55011.
There are no exceptions.
For devices manufactured in the United States, the CE
mark is applied under the authority of Notified Body
GMED (0459).
For devices manufactured in Germany, the CE mark is
applied under the authority of Notified Body VDE
(0366).
The country of manufacture and appropriate Notified

Body can be found on the equipment labeling.
The product complies with the requirements of standard

EN 60601-1-2 “Electromagnetic Compatibility - Medical
Electrical Equipment”.
MAC 5000 System — 2000657-024, Revision A CE-1

For Your Notes.
CE-2 MAC 5000 System — 2000657-024, Revision A

Contents
1 Introduction
Manual Information ...................................................................................... 1-3
Safety Information ........................................................................................ 1-6
Service Information .................................................................................... 1-15
2 Equipment Overview
Equipment Description ................................................................................. 2-3
Getting Started ........................................................................................... 2-12
3 Preparing the Patient

Prepare the Patient’s Skin ........................................................................... 3-3
Apply the Electrodes .................................................................................... 3-4
4 Entering Patient Information

Enter Patient Information ............................................................................. 4-3
Using a Patient Card Reader (Option–Japan only) ..................................... 4-5
Receive Orders From a MUSE CV System (Option) .................................. 4-6
Enter Orders Manually (Option) ................................................................... 4-9
MAC 5000— 2000657-024, Revision A Contents-1

5 Recording an ECG
Record a 15 Lead, Resting, Pediatric, or Vector Loops ECG ..................... 5-3
Record a Signal Averaged ECG (Options) .................................................. 5-5
Record a Master’s Step Test (Option–Japan only) ..................................... 5-7
Using ACI-TIPI (Option) ............................................................................. 5-10
6 Printing an ECG Report

Print Stored ECG Reports ........................................................................... 6-3
7 Transmitting an ECG
Transmit Stored ECGs by Modem (Option) ................................................ 7-3
Transmit Stored ECGs Locally .................................................................... 7-5
8 Receiving an ECG
Receive ECGs by Modem (Option) ............................................................. 8-3
Receive ECGs Locally ................................................................................. 8-5
Retrieve Confirmed ECGs from a MUSE CV System (Option) ................... 8-7
9 Editing an ECG
Edit Demographic and Interpretive Data ..................................................... 9-3
10 Deleting an ECG
Delete Stored ECGs .................................................................................. 10-3
Delete Stored ECG Orders (Option) .......................................................... 10-5
Contents-2 MAC 5000— 2000657-024, Revision A

11 Completing Other Tasks
Prepare a Disk for Use .............................................................................. 11-3
Eject a Disk From the Drive Slot ............................................................... 11-4
Display Stored ECGs ................................................................................. 11-5
12 Defining the System Setup

To Use the System Setup Function .......................................................... 12-3
Program the System to Automatically do a Task ...................................... 12-5
Define the Basic System Setup ................................................................. 12-9
Define the ECG Setup ............................................................................. 12-21
Define the Signal Averaged ECG Setup (Option) ................................... 12-32
Master’s Step Setup (Option–Japan Only) .............................................. 12-34
Miscellaneous Setup ................................................................................ 12-35
A Maintenance
General ........................................................................................................ A-3
Inspecting and Cleaning .............................................................................. A-4
Changing the Paper Tray Size .................................................................... A-6
Replacing Paper .......................................................................................... A-7
Storing Paper ............................................................................................... A-8
Maintaining the Battery .............................................................................. A-11
Mounting or Dismounting the Trolley ......................................................... A-15
Replacing Acquisition Module Leadwire Adapters .................................... A-18
Handling a Disk ......................................................................................... A-19
Updating Software ..................................................................................... A-20

B Troubleshooting
Introduction .................................................................................................. B-3
Equipment Problems ................................................................................... B-4
C Editing Acronyms
Resting ECG Acronyms .............................................................................. C-3
D Technical Specifications
E Report Formats
Format Description ...................................................................................... E-3
F Masters’ Step Data

Masters’ Step Table ..................................................................................... F-3
ST-T Change ............................................................................................... F-6
Index

Introduction 1
MAC 5000 System — 2000657-024, Revision A 1-1

For your notes.
1-2 MAC 5000 System — 2000657-024, Revision A

Introduction: Manual Information
Manual Information
Purpose Revision History

This manual contains the instructions necessary to Each page of the document has the document part
operate the MAC 5000 system in accordance with its number and revision letter at the bottom of the page. The
function and intended use. revision letter identifies the document’s update level.
Intended Audience Figure 1-1. Revision History

This manual is intended for the person who uses, Letter Date Comment
maintains, or troubleshoots this equipment.
A 12 January 2001 Initial release.

Conventions <Space> Indicates you must press the spacebar.

When instructions are given for typing a
Symbol precise text string with one or more spaces,
the point where the spacebar must be
Provides additional user information. pressed is indicated as: <Space>. The
purpose of the < > brackets is to ensure you
press the spacebar when required.
Styles
Enter Indicates you must press the “Enter” or
Black text Indicates keys on the keyboard, text to be “Return” key on the keyboard. Do not type
entered, or hardware items such as buttons “enter”.
or switches on the equipment.
Italicized Indicates software terms that identify menu
text items, buttons, or options in various windows.
Ctrl+Esc Indicates a keyboard operation. A (+) sign
between the names of two keys indicates
that you must press and hold the first key
while pressing the second key once.
For example, “Press Ctrl+Esc” means to
press and hold down the Ctrl key while
pressing the Esc key.

User Instructions
Figure 1-2. User Instructions
Pictures show you which key to press, screen item to
select, or action you must do to complete a task. Your Action
A G A Press the f1, f2, f3, f4, f5, or f6 key located below
the screen menu item.
B Press to close a screen menu.
C Press to turn the system power on or off as indicated in
the procedure.
B
D Press to enter data into the system.
E Press to acquire ECG data and to print or stop printing
writer reports.
F Insert or remove a diskette as indicated by the direction
C of the arrow.
G Select the displayed screen item.
D F
E
002A

Introduction: Safety Information
Safety Information
Definitions Equipment
The terms danger, warning, and caution are used The safety statements presented in this chapter refer to
throughout this document to point out hazards and to the equipment in general and, in most cases apply to all
designate a degree or level of seriousness. Familiarize aspects of the equipment. There are additional safety
yourself with their definitions and significance. statements in the document’s chapters that are specific to
that chapter.
Indicates an imminently hazardous
DANGER
situation which, if not avoided, WILL result Danger
in death or serious injury.
WARNING Indicates a potentially hazardous situation DANGER

which, if not avoided, COULD result in Do NOT use in the
death or serious injury. presence of flammable
anesthetics.
CAUTION Indicates a potentially hazardous situation M15287-1B
which, if not avoided may result in minor or

moderate injury.

Warning
WARNING
WARNING Interpretation hazard. A qualified physician
must overread all computer-generated
tracings. Computerized interpretation is
Do NOT contact unit only significant when used in conjuction
or patient during with clinical findings.
M15287-120A
defibrillation.
M15287-8C Caution
WARNING CAUTION
This is class I U.S. Federal law restricts this device to
equipment. The sale by or on the order of a physician.
mains plug must be M15287-17B
connected to an
appropriate power CAUTION
supply. M15287-8C
This equipment contains no user serviceable
parts. Refer servicing to qualified service
personnel.
WARNING M15287-17B
Operate the unit from

its battery if the
integrity of the
protective earth
conductor is in doubt.
M15287-8C

Legal Notice
Our equipment contains several fields which can be filled
in before performing an ECG. Some of these fields must
be filled in before performing an exam, some are optional
and therefore left to the user to assess whether they are
needed to perform the exam. A field RACE is one of
these optional fields. It has been acknowledged by the
medical profession as useful to analyze some
pathologies. You should be aware that, in some
jurisdictions, the processing of data revealing an
individual’s racial origin is subject to legal requirements,
such as obtaining the patient’s prior consent. If you elect
to collect this type of data, it is your responsibility to
ensure that you comply with all applicable legal
requirements.

Responsibility of the Manufacturer General Information

GE Medical Systems Information Technologies is
responsible for the effects of safety, reliability, and Intended Use
performance only if: The intended use of this device is to record ECG signals
from surface ECG electrodes. This device can analyze,
n Assembly operations, extensions, readjustments,
record, and store electrocardiographic information from
modifications, or repairs are carried out by persons
adult and pediatric populations. This data can then be
authorized by GE Medical Systems Information
computer analyzed with various algorithms such as
Technologies.
interpretive ECG and signal averaging for presentation to
n The electrical installation of the relevant room the user.
complies with the requirements of the appropriate
regulations. This device is intended for use under the direct
n The equipment is used in accordance with the supervision of a licensed health care practitioner.
instructions for use.
This device is not intended for use with high frequency
surgical units. Disconnect the patient from the device
before using the high frequency surgical unit.
This equipment uses a computerized ECG analysis

program which can be used as a tool in ECG tracing
interpretation.

To ensure accuracy, only use computer-generated ACI-TIPI is intended for adult patient populations.
tracings and not the display for physician interpretation.
This equipment will not cause abnormal operation of a

patient’s pacemaker or other electronic stimulator.
The Acute Cardiac Ischemia–Time Insensitive Predictive

Instrument (ACI-TIPI ) Option is intended to be used in
a hospital or clinical environment by competent health
professionals. ACI-TIPI uses recorded ECG data to
produce a numerical score which is the predicted
probability of acute cardiac ischemia. Like any
computer-assisted ECG interpretation program, the GE
Medical Systems Information Technologies ACI-TIPI
evaluation and probability score is intended to
supplement, not substitute for, the physician’s decision
process. It should be used in conjunction with
knowledge of the patient’s history, the results of a
physical examination, the ECG tracing, and other clinical
findings.

Recording ECGs During Defibrillation If polarizing electrodes are used, we recommend

This equipment is protected against the effects of cardiac disconnecting the leadwires from the patient before
defibrillator discharge to ensure recovery, as required by delivering the shock.
test standards.
Electrode defibrillation recovery is the ability of the
The patient signal input of the acquisition module is electrode to allow the ECG trace to return after
defibrillation-proof. Therefore, it is not necessary to defibrillation. We recommend using non-polarizing
remove the ECG electrodes prior to defibrillation. disposable electrodes with defibrillation recovery ratings
as specified in AAMI EC12 3.2.2.4. (MMS P/N 9623-
When using stainless steel or silver electrodes a 105 Silver MacTrodes, MMS spec. TP9623-003). AAMI
defibrillator discharge current may cause the electrodes EC12 requires that the polarization potential of an
to retain a residual charge causing a polarization or dc electrode pair does not exceed 100mV, 5 seconds after a
offset voltage. This electrode polarization will block defibrillation discharge.
acquisition of the ECG signal. To avoid this condition,
use non-polarizing electrodes (which will not form a dc
offset voltage when subjected to a dc current) such as
silver/silver-chloride types if there is a situation where
there is a likelihood that a defibrillation procedure will be
necessary.

Accuracy of the Input Signal Reproduction Installation and Connection

n Overall System Error is tested using the method If the installation of this equipment, in the USA, will use
described in AAMI EC11 3.2.7.1. Overall System 240 V rather than 120 V, the source must be a center-
Error is +5%. tapped, 240 V, single-phase circuit.
n Frequency Response is tested using the method
described in AAMI EC11 3.2.7.2 methods A and Contact GE Medical Systems Information Technologies
D. for information before connecting any devices to this
equipment that are not recommended in this manual.
Modulating Effects in Digital Systems
This device uses digital sampling techniques that may
produce some variation in amplitudes of Q, R, and/or S
waves from one heart beat to the next, which may be
particularly noticeable in pediatric recordings. If this
phenomenon is observed, the clinician should be aware
that the origin of amplitude variations is not entirely
physiologic. For measuring voltages of Q, R, and S
waves, it is advisable to use the QRS complexes with the
largest deflection of the particular waves.

Parts and Accessories

To ensure patient safety, use only parts and accessories
manufactured or recommended by GE Medical Systems
Information Technologies.
Parts and accessories used must meet the requirements of

the applicable IEC 601 series safety standards, and/or the
system configuration must meet the requirements of the
IEC 60601-1-1 medical electrical systems standard.
The use of ACCESSORY equipment not complying with

the equivalent safety requirements of this equipment may
lead to a reduced level of safety of the resulting system.
Consideration relating to the choice shall include:
n use of the accessory in the PATIENT VICINITY;

and
n evidence that the safety certification of the
ACCESSORY has been performed in accordance
to the appropriate IEC 60601-1 and/or IEC 60601-
1-1 harmonized national standard.

Equipment Symbols
This position of the switch removes battery
power from the equipment.
Type BF equipment. The acquisition module is
protected from defibrillation shocks.
ASSIFIED
Classified with respect to electric shock, fire,
CL
Alternating current. C R US
mechanical, and other specified hazards only in
MEDICAL EQUIPMENT
UL 2601-1 CAN/CSA 601.1
accordance with UL 2601-1, CAN/CSA C22.2
4P41
No. 601-1, CAN/CSA C22.2 No. 601-2-25, EN
Equipotential. 60601-2-25, EN 60601-1-1.
Charge the battery. The flashing amber LED

next to this symbol indicates you must connect CAUTION
the system to AC power to re-charge the battery. To reduce the risk of
electric shock, do NOT
Do NOT throw the battery into the garbage. remove cover (or
back). Refer servicing
to qualified personnel.
M15287-16B
Recycle the battery. 098A, 096A, 108A, 101A, 102A, 103A, 100A, 181A, 099A
Consult accompanying documents.

Introduction: Service Information
Service Information
Service Requirements
Refer equipment servicing to GE Medical Systems
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.

Introduction: Service Information
Equipment Identification Figure 1-3. Equipment Identification

Every GE Medical Systems Information Technologies Description
device has a unique serial number for identification. The
A name of device
serial number appears on the device label.
B manufacturer
C serial number
XXXXXXXXX A
D device characteristics
XXXXXXXX XXXXXXX XXXXXXX XXX B
XXXXXXXXX XX XXXX XX XXXXX E division
F product sequence number
J6XX0415FXX C G product code
022C
I H G F E D H year manufactured
I month manufactured
The product code for the MAC 5000 system is MP.

Equipment Overview 2

For your notes.

Equipment Overview: Equipment Description
Equipment Description
Front View Figure 1-1. Front View
Name Description
A display screen View the waveform and text data.
B disk drive slot Insert a diskette to store ECG orders
or recorded ECG data.
C keyboard Press the keypad keys to control the
system or to enter data.
A
115A

Internal View Figure 1-2. Internal View
Name Description
A writer door Open to replace paper or the
battery.
A
E B acquisition Connect the acquisition module
module cable here.
connector
B
C paper tray Place paper here.
D STD or A4 Indicates the size of paper (standard
or A4) the tray holds.
C E battery Recharge when the screen battery
116A
symbol flashes.
D

Back View Figure 1-3. Back View
Name Description
A internal access Press down to open the system to
button change paper or the battery.
B amber battery Indicates the battery is re-charging.
light
C green AC Indicates the system is connected to
power light AC power.
D back panel Connect peripheral devices here.
connectors
116A
D C B A

Connectors Figure 1-4. Back Panel Connectors

Name Description
Back Panel
A A Connect an optional card reader
A B C D E F G H I (Japan only).
B 1 Connect a GE Medical Systems
Information Technologies KISS pump.
C 2 Connect a local transmission cable,
serial line, or external modem.
D ANA/TTL Connect a device requiring analog
data or TTL trigger. Connect an
WARNING 118A optional Masters’ Step.
Keep leakage current
E EXT.VID. Connect an external video display.
within acceptable limits F IR Point at a MAC 5000 or MUSE CV
when connecting system’s IR transceiver to transmit or
auxiliary equipment to receive ECG data.
this device. G card slot Insert the system card into this slot to
M15287-7C
run the system.

WARNING
H ground lug Connect non-grounded peripheral
Total system devices to ensure equipotential.
leakage current I mains AC power Insert the mains AC power cable.
must not exceed 100
microamperes.
M15287-7C

Keypad Figure 1-5. Keypad

A
Name Description
A function keys Selects screen menu functions.
F1 F2 F3 F4 F5 F6
B B delete Erases typed characters.

C copy Prints another ECG report.
D ECG Acquires an ECG.
Press to acquire a 12SL resting
copy C ECG, including measurements and
_
!
1
@
2
#
3
$
4
%
5
^
6
&
7
*
8
(
9
)
0 -
+
= ECG D interpretation.
? |
Q W E R T Y U I O P / \
rhythm
E E rhythm Prints continuous ECG data. This
A S D F G H J K L
:
;
"
'
stop F data cannot be stored or
< >
G transmitted.
Z X C V B N M , .
G
esc power F stop Stops the writer from printing.
G arrow pad Moves the cursor left, right, up, or
152A
down. Press the center to select a
highlighted menu or screen item.

Figure 1-6. Keypad (Continued)

F1 F2 F3 F4 F5 F6
Name Description
H return Enters information into the system.
I on/off Powers the system on or off.
J information Provides additional user information.
copy
! @ # $ % ^ & * ( ) _ + ECG
K space bar Adds a space between typed
1 2 3 4 5 6 7 8 9 0 - =
? |
characters or highlights screen
Q W E R T Y U I O P rhythm
/ \
items.
: "
A S D F G H J K L stop
; '
< >
L option Not functional at this time.
Z X C V B N M , .
esc power
M esc Returns you to a previous menu.
N shift Creates a capital letter. Press
152A
shift+k to type a capital K.
N M L K J I H

Acquisition Module Figure 1-7. Acquisition Module

A
Name Description
A leadwires Attach to the patient’s electrodes.
The acquisition module uses either
10 or 14 leadwires.
N R C1 C2 C3 A1 A2 A3 A4 C4 C5 C6 L F B B rhythm button Press to print a rhythm strip.
E C C stop writer Press to stop the writer from

button printing.
1 2 3
D acquisition Insert into the system’s internal

module cable acquisition module connector.
E ECG button Press to record an ECG.
If you enable the Preview before analysis function, press
D
(E) to view the data. Then, either press (E) again to
WARNING analyze the data or press (C) to discard the data.
161B To ensure defibrillator protection and
protection against high-frequency burns, Japan only: For instructions on attaching the articulating
use only the CAM-14 acquisition module arm, see “Mount the Articulating Arm (Japan only)” on
with this equipment. Otherwise, serious page 1-16.
injury could result.
M15287-6C

Lead Labels
One of the following lead labels may appear on the
acquisition module.
10 Lead AHA 14 Lead IEC
RL RA V1 V2 V3 V4 V5 V6 LA LL N R C1 C2 C3 H E I M C4 C5 C6 L F
14 Lead AHA 14 Lead IEC Pediatric
RL RA V1 V2 V3 H E I M V4 V5 V6 LA LL N R C1 C2 C3 C3R C4R C7 C4 C5 C6 L F
14 Lead AHA Pediatric 14 Lead AHA AUX
RL RA V1 V2 V3 V3R V4R V7 V4 V5 V6 LA LL RL RA V1 V2 V3 A1 A2 A3 A4 V4 V5 V6 LA LL
10 Lead IEC 14 Lead IEC AUX
N R C1 C2 C3 C4 C5 C6 L F N R C1 C2 C3 C1 C2 C3 C4 C4 C5 C6 L F
205A
204A

Leadwire Adapters
The MULTI-LINK leadwires require an adapter to
connect to an electrode.
4 mm pin
119B
Grabber Leadwire end
119A
MACTRODE clip

Equipment Overview: Getting Started
Getting Started
Prepare the Equipment for Use 2

Mount the System to the Trolley (Option)
NOTE: Your trolley may look different depending on the
model ordered.
172A
171A

211A

Mount the Modem to the Trolley (Option)

3
1
206A
208A
207A

Mount the Card Reader (Option–Japan only) 1. Set the card reader in the cavity in the tray in front
of the MAC 5000 unit.
2. Drop the cable through the hole in the tray. Route
the cable below the MAC 5000 and plug into the
far left port on the back of the MAC 5000 (see
“Connectors” on page 1-6).

Mount the Articulating Arm (Japan only) 3. Attach the CAM-14 upright block to the pole with
the two Allen screws.
1. Attach the CAM-14 upright block to the trolley

frame. 4. Place the horizontal arm onto the vertical pole.
2. Place vertical pole on the inside of the frame, The horizontal arm has a sleeve that fits over the
lining up the bolt holes. end of the vertical pole.
5. Attach with the bolt provided throught at the top of
the pole.

Connect the System Cables Connect the Acquisition Module Cables
MAC 5000
Modem Line 155A
Contact your GE Medical Systems Information 156A

Technologies sales rep for the correct modem.
WARNING
This is Class I
equipment. The mains
plug must be
connected to an
appropriate power
supply. M15287-5C

Verify Correct Operation
power
Does the system start up without displaying error

messages?
Yes No
The system is
operational. power
power
Are the errors resolved?

Yes No
The system is Contact GE Medical

operational. Systems Information
006A, 150A
Technologies Service.

Software Description Figure 1-8. Start Up Screen
Start Up Screen Name Description
B C D A software Displays the system’s software

version version during the first few seconds
of power up.
Press ECG to record an ECG
A *** B user prompts Provides additional information.
BPM
MAC5000 XXXX *** C function icon Indicates the Main Menu function
the system is using. This is the
Resting ECG function.
I aVR V1 V4
D battery status Indicates how much charge the
icon battery has available.
E menu Provides access to additional
II aVL V2 V5 settings or functions.
III aVF V3 V6
157A
E

Main Menu Select More from the start up screen, then select Main
Use the Main Menu to select the different functions Menu to begin displaying the Main Menu functions.
available on this system. The functions displayed in your
Main Menu may vary due to the installation of purchased
software options.
More
180A

Main Menu Functions Figure 1-9. Main Menu Functions
Function Description
Pace Gain Setup Main Records a 12-lead ECG.
Resting ECG
Resting ECG PediatricECG VectorLoops 15 Lead Master’s Step More
Records a 15-lead pediatric ECG. The
standard 12 leads and the V3R, V4R, and
+
? V7 leads are used.
PediatricECG
Hi-Res PHi-Res File Manager SystemSetup Receive More
Records a 15 lead vectorcardiogram. The
MUSE standard 12 leads and the X,Y,Z leads are
?
A Vector Loops used.
RemoteQuery Ord Mgr Int. Return More
Records an adult 15 lead ECG. The
182A
standard 12 leads and three user-defined
15 lead ECG leads are used.
Runs the Master’s Step exercise protocol.

This is an option only available in Japan.
Master’s Step

Figure 1-9. Main Menu Functions (Continued) Figure 1-9. Main Menu Functions (Continued)
Function Description Function Description

Records a signal-averaged high-resolution Displays and prints confirmed ECGs
+ ECG. This is a purchased option.
MUSE
retrieved from a MUSE CV system. This is
?
a purchased option.
HI-RES Remote Query
Records a p-wave signal-averaged high- Acquires, prints, and stores ECG orders
resolution ECG. This is a purchased received from a MUSE CV system with a
option. A Hospital Information System (HIS)
PHi-Res Ord Mgr Int interface.
076A, 077A, 078A, 085A, 079A, 084A, 080A, 082A, 081A,
Prints, edits, displays, transmits, and 083A, 086a
deletes ECG data stored to a disk.
File Manager
Defines the operating parameters of the
? system.
System Setup
Receives ECG data from other devices.
Receive

Selecting Menu Functions Using the Arrow Pad

The following shows two methods for selecting a menu To select More:
function.
1. Press the right arrow until More is highlighted.
Pressing a Function Key
To select More, press the function key directly below
More.
More
More
176A
162A

2. Press the middle of the pad to select More. To select ECG:
1. Press the right arrow until ECG is highlighted.
ECG
More
177A
179A

2. Press the middle of the pad to select ECG. The Entering Data
system displays the next screen.
Type Data into a Highlighted Field
1. Press the right arrow until the First name field is
highlighted.
ECG
Last name
First name
178A
163A

2. Type the patient’s first name. Selecting Items from a List

3. Press the middle of the pad to enter the 1. Press the right arrow until Gender is highlighted.
information. The cursor goes to the next data field. 2. Press the middle of the pad to lock the list in place.
Last name
First name Lisa Male
Female
164A
167A

3. Press the down arrow to highlight Female. 4. Press the middle of the arrow pad to select Female.
The cursor goes to the next data field.
Male
Female
Female
165A
166A

For your notes.

Preparing the Patient 3

For your notes.

Preparing the Patient: Prepare the Patient’s Skin
Prepare the Patient’s Skin
4 Use an abrasive pad to remove the

1 epidermal skin layer at each electrode site
2 065B
6 Use a skin preparation analyzer to test each electrode sit

C2H6O
for good conductivity.
Alcohol WARNING
3 Keep the conductive
parts of lead electrodes
and associated parts
away from other
conductive parts,
064B including earth.
M15287-4C
To use the KISS Electrode Application System, see the
KISS operator’s manual for instructions. (The KISS
system is not available for sale in the U.S.)

Preparing the Patient: Apply the Electrodes
Apply the Electrodes

Figure 3-1. Standard 12 Lead Placement
AHA Label IEC Label Electrode Placement

A V1 red C1 red Fourth intercostal space at the right sternal border.
B V2 yellow C2 yellow Fourth intercostal space at the left sternal border.
J G
C V3 green C3 green Midway between location B and D.
A B
C D V4 blue C4 brown Mid-clavicular line in the fifth intercostal space.
DEF
E V5 orange C5 black Anterior axillary line on the same horizontal level as D.
I H
F V6 purple C6 purple Mid-axillary line on the same horizontal level as D and E.
01B
G LA black L yellow Right and left deltoids.
J RA white R red
H LL red F green Right and left thighs.
I RL green N black

Figure 3-2. Standard 15 Lead Placement

J G B V2 yellow C2 yellow Fourth intercostal space at the left sternal border.
A B C V3 green C3 green Midway between location B and D.

C
K DEF D V4 blue C4 brown Mid-clavicular line in the fifth intercostal space.
I H E V5 orange C5 black Anterior axillary line on the same horizontal level as D.

G LA black L yellow Right and left deltoids.
J RA white R red
H LL red F green Right and left thighs.
I RL green N black
K V4R gray C4R gray Right anterior chest opposite of D.
LM
L V8 gray C8 gray Under midscapular line.
M V9 gray C9 gray Left paraspinal border.
088A, 089A

To acquire a NEHB ECG, use the Standard 12 Lead electrode placement and items A and B shown below.
Figure 3-3. Frank X,Y,Z Placement

H A
A LA black L yellow Just below the clavicle of the right and left arms.
H RA white R red
B E orange E light blue Mid-sternum on the same horizontal level as C and D.
G B C D
C V4 blue C4 brown Mid-clavicular line in the fifth intercostal space.
D V6 purple C6 purple Mid-axillary line on the same horizontal level as C.
F E
E LL red F green Right and left thighs.
F RL green N black
G I orange I light blue Right mid-axillary line on the same horizontal level as C
I
and D.
I H orange H light blue Back of neck, avoid the carotid artery and jugular vein.
J M orange M light blue Center of spine on the same horizontal level as C and D.
J
02B, -03B

Figure 3-4. NEHB Placement
A A A1 orange Nst white Attachment point of the 2nd rib to the right sternal edge.
B A2 orange Nax white 5th intercostal space on the left posterior axillary line.
B (Same position as V8 or C8.)
C C V4 blue Nap white Mid-clavicular line in the fifth intercostal space. (Same
position as C4.)
033A

Figure 3-5. Pediatric Placement

J G B V2 yellow C2 yellow Fourth intercostal space at the left sternal border.
A B C V3 green C3 green Midway between location B and D.

L C
K DE F D V4 blue C4 brown Mid-clavicular line in the fifth intercostal space.
I H E V5 orange C5 black Anterior axillary line on the same horizontal level as D.
G LA black L yellow Left and right deltoids.
J RA white R red
H LL red F green Left and right thighs.
I RL green N black
K V4R gray C4R gray Mid-clavicular line in the fifth right intercostal space.
M L V3R gray C3R gray Halfway between A and K.
M V7 gray C7 gray Same horizontal level of D in the posterior axillary line.
04B, 05B

Entering Patient Information 4

For your notes.

Entering Patient Information: Enter Patient Information
Enter Patient Information
Preparation Enter the Information

3 Select F1 (Patient Data) for each new patient.
Patient Data CAUTION

Make sure that you enter patient data for the correct
patient. Patient data may be retained from a previous
patient. Be sure to check the patient info screen for each
new patient. Data assigned to the wrong patient causes
erroneous patient data that can affect diagnosis and
treatment of the patiant(s).
power 1
061A

Entering Patient Information: Enter Patient Information
Enter the patient data.
Return
006A
Note: Our equipment contains several fields which can be

filled in before performing an ECG. Some of these fields
must be filled in before performing an exam, some are
optional and therefore left to the user to assess whether
they are needed to perform the exam. A field RACE is
one of these optional fields. It has been acknowledged
by the medical profession as useful to analyze some
pathologies. You should be aware that, in some
jurisdictions, the processing of data revealing an
individual’s racial origin is subject to legal requirements,
such as obtaining the patient’s prior consent. If you elect
to collect this type of data, it is your responsibility to
ensure that you comply with all applicable legal
requirements.

Entering Patient Information: Using a Patient Card Reader (Option–Japan only)
Using a Patient Card Reader (Option–Japan only)
Connect the Card Reader Slide Card

Slide the patient data card through the optional card
1a Insert the 6-pin 1b Insert the 9-pin cable reader when you are prompted.
cable connector connector into the “HOST”
into port “A” on the port on the card reader.
MAC 5000.
K/B HOST
NT
JO
M
S
r
Powe sy
Bu K
O ror
Er

Entering Patient Information: Receive Orders From a MUSE CV System (Option)
Receive Orders From a MUSE CV System (Option)
Preparation
1a Receive via Modem Line
MAC 5000
Modem
4
A
1b Receive via Infrared Ord Mgr Int
1-3ft 090A
30.4-91.4cm
MUSE CV 2 3
infrared
device power
MAC 5000 104A

Load the Orders Select an Order to Complete

Load Orders Select
Load Orders from the default location? Select an order.

Yes No
Type one or more location

numbers.
005A, 006A, 018A
Run the test to complete this order?

Select the Orders to Receive Yes No
Select one or more orders.
Continue Cancel
The system goes to the ECG Select a different order to

test. complete.
005A, 006A, 020A
Return
005A, 006A, 019A
The system stores the orders.

Complete the Order

Patient Data
Use this patient data?

Yes No
Select a different order to

complete.
Return
Edit the patient data?

Yes No
Edit the data.

esc
Return
005A, 006A, 017A, 022A, 066A

Record an ECG.

Entering Patient Information: Enter Orders Manually (Option)
Enter Orders Manually (Option)
Preparation Create an Order
3 Create Order
A
Ord Mgr Int Enter the patient data.
Return
2
power The system stores the order.
005A, 006A, 017A,
072A

Entering Patient Information: Enter Orders Manually (Option)
Select an Order to Complete Complete the Order

Select Patient Data
Select an order. Use this patient data?

Yes No
Select a different order to

complete.
Return
Run the test to complete this order? Edit the patient data?
Yes No Yes No
Continue Cancel Edit the data. esc
The system goes to the Select a different order to

ECG test. complete.
005A, 006A, 020A
Return
005A, 006A, 017A, 022A, 066A
Record an ECG.

Recording an ECG 5

For your notes

Recording an ECG: Record a 15 Lead, Resting, Pediatric, or Vector Loops ECG
Record a 15 Lead, Resting, Pediatric, or Vector Loops ECG
Preparation Record the ECG

006, 013A
ECG
To Print Another Report

006, 008A
Copy
014A
To Store the ECG

Did the “Saving file to Disk” message appear?
2 1
Yes No
power
The ECG is stored. Store
005, 006A
See “Enable or Disable the ACI-TIPI Option” on

page 12-8 to enable or disable ACI-TIPI.

Recording an ECG: Record a 15 Lead, Resting, Pediatric, or Vector Loops ECG
To Transmit the ECG

Did the “Establishing network connection” message appear?
Yes No
The ECG is transmitted. See “Transmitting an

ECG” on page 7-1 to
Transmit. 005, 006A

Recording an ECG: Record a Signal Averaged ECG (Options)
Record a Signal Averaged ECG (Options)
Preparation Record the ECG

Template
3 +
005A, 006
Hi-Res To Change the Seed Beat

Display
SelectQRS
005A, 006
PHi-Res
Select a new seed beat.
2 1
power
015A
To record a PHi-Res ECG, GE Medical Systems

Information Technologies recommends a target noise
level of 0.3MV or less.

Recording an ECG: Record a Signal Averaged ECG (Options)
To Average the ECG Data

Average
005A, 006
To Store the ECG

Store
005A, 006
To Transmit the ECG

See “Transmitting an ECG” on page 7-1 to transmit.

Recording an ECG: Record a Master’s Step Test (Option–Japan only)
Record a Master’s Step Test (Option–Japan only)
Connect Masters’ Step Preparation
Master’s Step
118A
Attach the Masters’ Step to the ANA/TTL port on the

back of the MAC 5000.
2 1
power
015A

Enter Patient Data Record the ECG

Enter the patient’s gender, age, and weight either Press the ECG button to record a pre-exercise ECG.
manually with the keyboard or by sliding the patient data ECG
card through the card reader option.
Run the Test
Confirm Test Steps
1. Remove the leadwires from the patient. Keep the
Note: The Masters’ Step only generates a 2 x 5 second report.
electrodes on the patient.
In the Setup menu, confirm that the following parameters 2. Press Continue to begin the exercise test.
as correct:
3. When the patient finishes the exercise, immediately
n Number of Steps, reattach the leadwires to the electrodes. Check the
n Test Type, waveform quality on the screen to confirm that all
leadwires are correctly reattached.
n Post J (ms),
4. Press Continue to record the ECG right after the
n Step Counter Display,
Masters’ Step exercise.
n Continuous Recording,
5. The MAC 5000 automatically records any additional
n Sound Option, and ECGs you program using the post-ECG time in the
n Post Exercise ECG Time. setups.
Press Return. 6. Once you record all ECGs, a final report prints.

To Store the Test

Store
005A, -006
To Transmit the ECG

See “Transmitting an ECG” on page 7-1 to transmit.

Recording an ECG: Using ACI-TIPI (Option)
Using ACI-TIPI (Option)
Preparation Enter the Information

3 Enter the patient data.
Patient Data
Return 006A
Press the ECG button.

ECG
Enter the ACI-TIPI data.

2
power 1
Return 036A
061A See the beginning of this chapter to print, store, or transmit

the ECG.

Enter the ACI-TIPI data. u Not Present: Select this option if the patient has
no chest or left arm pain or equivalent discom-
n Age (18-40, 41-50, >50), fort.
n Gender (Male/Female), and
n Chest or Left Arm Pain (Chief Complaint,
Secondary Complaint, Not Present).
Return 036A
This question asks if the patient’s symptom is due
to chest pain, pressure or discomfort, arm pain,
See the beginning of this chapter to print, store, or transmit
jaw pain or equivalent discomfort, or epigastric the ECG.
discomfort that suggests acute cardiac ischemia.
u Chief Complaint: Select this option if the com- You must have a report “with interpretation” selected in
plaint of chest or left arm pain is the primary System setup in order to obtain an ACI-TIPI report.
reason the patient came to the hospital.
u Secondary Complaint: Select this option if the
complaint of chest or left arm pain is second-
ary– the patient came to the hospital because of
other symptoms.

For your notes.

Printing an ECG Report 6

For your notes.

Printing an ECG Report: Print Stored ECG Reports
Print Stored ECG Reports
Preparation Select the ECGs

Select
3
005A, 006A
Select one or more ECGs.

File Manager
019A
2
power
Print the ECGs
Print
1 005A, 006A
062A

Printing an ECG Report: Print Stored ECG Reports
Print ECGs from a different disk?

Yes No
Main Menu
New Disk 005A, 006A, 071A

Transmitting an ECG 7

For your notes.

Transmitting an ECG: Transmit Stored ECGs by Modem (Option)
Transmit Stored ECGs by Modem (Option)
Preparation
1 Transmit via Modem
File Manager
Line
MAC 5000 Modem 2 3

power
075A
070A

Transmitting an ECG: Transmit Stored ECGs by Modem (Option)
Select the Receiving Device Select the ECGs

Transmit to the default receiving device? Select
Yes No
Select and transmit the Location Select one or more ECGs.

ECGs as described in the
next sections.
005A, 006A, 019A

Manual Dial
Type the telephone number

of the receiving device. Transmit the ECGs
Transmit
Transmit ECGs from a different disk?

Yes No
Select a modem type.
Main Menu
005A, 006A, 35A, 036A, 063A Return

Transmitting an ECG: Transmit Stored ECGs Locally
Transmit Stored ECGs Locally
Preparation
1a Transmit via Cable
MAC 6
MAC 8 MAC PC
CAUTION: For use in nonpatient areas only.
Read
4
ATTENTION: Ne pas utiliser dans les salles
occupees par des patients. Diskette
MAC 5000
MUSE CV
File Manager
1b Transmit via Infrared
1-3ft
30.4-91.4cm
MUSE CV infrared
device
2 3
1c Transmit via Infrared power
1-3ft
30.4-91.4cm
070A
MAC 5000 MAC 5000 107A

Transmitting an ECG: Transmit Stored ECGs Locally
Select the Method of Transmission Transmit the ECGs

Location Transmit
Transmit ECGs from a different disk?

Yes No
Serial Line MUSE Network
Main Menu
005A, 006A, 068A
New Disk
Select the ECGs
005A, 006A, 071A
Select
005A, 006A, 019A

Receiving an ECG 8

For your notes.

Receiving an ECG: Receive ECGs by Modem (Option)
Receive ECGs by Modem (Option)
Preparation
1 Receive via Modem
Receive
Line
MAC 5000 Modem

2 3
power
075A
190A

Receiving an ECG: Receive ECGs by Modem (Option)
Receive the ECGs

Receive
Phone Line
The system is ready to receive ECGs.
Are all the ECGs received?

Yes No
Cancel The system is ready to

receive the ECGs.
Main Menu 005A, 006A

Receiving an ECG: Receive ECGs Locally
Receive ECGs Locally
Preparation
1 Receive via Infrared
4
1-3ft
30.4-91.4cm
Receive
MAC 5000 MAC 5000 2 3

106A power
190A

Receiving an ECG: Receive ECGs Locally
Receive the ECGs

Receive
LocalLine
The system is ready to receive ECGs.
Are all the ECGs received?

Yes No
Cancel The system is ready to

receive the ECGs.
Main Menu
005A, 006A

Receiving an ECG: Retrieve Confirmed ECGs from a MUSE CV System (Option)
Retrieve Confirmed ECGs from a MUSE CV System (Option)
Preparation
1 Receive via Modem
4 MUSE
?
Remote Query
Line
MAC 5000 Modem

2 3
075A power
191A

Select a MUSE CV System To Retrieve ECGs from a Different MUSE CV Sys-

tem
To Retrieve ECGs From the Default MUSE CV Sys-
Location
tem
Connect Retrieve ECGs from a pre-defined MUSE CV system?

Yes No
Select the location.
Connect Manual Dial
005A, 006A, 035A, 063A Type the telephone number.

Type MUSE Network
Return
Connect
005A, 006A, 036A, 063A, 111A

Select an ECG Display or Print the ECG

Type the patient’s ID number.
To Display the ECG
Display
Return
The system retrieves then displays the test.
The system retrieves a directory of tests.
To Print the ECG

Select
Print
Select one or more tests.

The system retrieves then prints the test.
Display or print another ECG?

Yes No
005A, 006A, 019A, 036A
Return Disconnect
If you do not know the patient’s ID number, type the

patient’s last name. Then, select your patient from the Select an ECG. Main Menu 005A, 006A
displayed list of patients.

Editing an ECG 9

For your notes.

Editing an ECG: Edit Demographic and Interpretive Data
Edit Demographic and Interpretive Data
3 Select

File Manager
2
Edit 005A, 006A, 019A
power
062A

Edit Demographic Data Edit Interpretive Data
Patient Information ECG Measurements

Blood Pressure
Diagnostic Statements
Medications
History Because editing interpretive data “confirms” the ECG,
Test Information you must enter a password before editing this data.
Questions
Enter the Overreader Password
Type the overreader password.
Edit the data.
Return 006A, 044A,189A

Type the reviewer information. Edit Signal Averaged ECG Measurements
Hi-Res Measurements
Return 006A, 053A, 054A, 063A
Edit Resting, Pediatric, or Vector Loops Measure- Edit the QRS or P-wave Onset?
ments Yes No
Onset Offset
ECG Measurements
Press the left or right
arrows to increment or
decrement the
Edit the data. measurement.
005A, 006A, 057A, 063A

Return 006A, 055A, 056A

Edit Diagnostic Statements To Insert or Append Free Text

Append Insert
Select a statement. Select a statement.

Diagnostic Statements
Append Insert
To Insert or Append an Acronym
Append Insert Type a statement.
Select a statement. Select a statement.
Append Insert
Type an acronym. Return 005A, 006A, 050A, 058, 063A
005A, 006A, 050A, 058, 063A

Return

To Move a Statement to a New Line Store the Edited ECG

Select a statement. Return
NewLine
To Delete a Statement Return
Select a statement.
Save the edited file?
Yes No
Delete
Store esc
To Join Two Statements
005A, 006A, 052A, 066A
Select a statement to join with the preceding statement.
Join
005A, 006A

For your notes.

Deleting an ECG 10

For your notes.

Deleting an ECG: Delete Stored ECGs
Delete Stored ECGs

Select
3
File Manager
005A, 006A, 019A
2
power Delete the ECGs
Delete
1
062A

Deleting an ECG: Delete Stored ECGs
Type the System or Overread password.
Delete these ECGs?

Yes No
The system deletes the Select a different ECG to

ECGs. delete.
Delete ECGs from a different disk?

Yes No
Main Menu
New Disk 005A, 006A, 063A, 071A

Deleting an ECG: Delete Stored ECG Orders (Option)
Delete Stored ECG Orders (Option)
Preparation Select the Orders

Load Orders
3
A Select one or more orders.
Ord Mgr Int
005A, 006A, 019A
2
power
072A

Deleting an ECG: Delete Stored ECG Orders (Option)
Delete the Orders

Delete
The system deletes the orders.
Receive ECG orders now?

Yes No
See “Select the Orders Cancel

to Receive” on page 4-7
to Receive orders.
Cancel
Main Menu
005A, 006A

Completing Other Tasks 11

For your notes.

Completing Other Tasks: Prepare a Disk for Use
Prepare a Disk for Use
Lock and Unlock Format

Prevent accidental deletion of data?
The system automatically formats an unformatted disk.
Yes No
Lock the disk. Unlock the disk to format the

disk or to store or delete data.
006A, 109A, 110A
2 1
power
014A

Completing Other Tasks: Eject a Disk From the Drive Slot
Eject a Disk From the Drive Slot
186A

Completing Other Tasks: Display Stored ECGs
Display Stored ECGs

Select
3
File Manager
005A, 006A, 019A
2
power
062A

Display the ECGs To Display Measurement and Analysis Statements
Medians, Rhythm, and Text functions are not available Text

for the signal averaged ECGs.
Display
To Display the Next Selected ECG
Next
To Print the ECG
Print
To Return to the Main Menu
Return
To Display Medians or Rhythm Data
Medians Main Menu

or 005A, 006A
Rhythm

To Display ECGs From a Different Disk

For your notes.

Defining the System Setup 12

For your notes.

Defining the System Setup: To Use the System Setup Function
To Use the System Setup Function
Select the System Setup Function Enter the System Setup Password
Type the password.
Preparation
Is the password correct?

2
? Yes No
System Setup Select a menu function.

More
System Setup
1 Type the password.

005A, 006A,
power
151A
Define the System Parameters
Use the information contained in this chapter to define
your system’s operating parameters.

Defining the System Setup: To Use the System Setup Function
Save Your Changes

System Setup
Save Setup
To System
Main Menu 006A, 026A, 027A, 028A

Defining the System Setup: Program the System to Automatically do a Task
Program the System to Automatically do a Task
To Power Up the System into a Specific To Preview ECG Data Before Analysis
Resting Function System Setup
ECG
System Setup
Basic System
ECG
ECG Acquisition/Analysis
Basic System
Power Up Options
Select the function the system always uses when you power Preview before analysis Yes
on your system.
Return 006A, 022A, 057A, 168A

Return
006A, 025A, 057A, 168A, 185A

To Print a Resting ECG Report To Print a Signal Averaged ECG Report

System Setup System Setup
ECG Hi-Res
ECG
Resting ECG Reports Select the type of format and quantity to be printed.
Pediatric ECG Reports
15 Lead Reports
Vector Loops Reports Return 006A, 031A, 168A,
Unconfirmed Reports
Select the type and quantity of formats printed.
Return 006A, 031A, 057A, 168A, 184A

To Store an ECG To Transmit an ECG

System Setup
Before programming your system to automatically
ECG
transmit an ECG, you must define the receiving device
and it’s default location. See “Transmission” on page 12-
15 of this chapter to define the transmission parameters
ECG of the default receiving device.
System Setup
Acquisition/Analysis
ECG
ECG
Auto ECG storage ECG Acquisition/Analysis
Select the type of ECGs stored.

006A, 025A, 057A, 168A,
Return 006A, 025A, 057A, 168A, 185A

Select the type of ECGs transmitted. Enable or Disable the ACI-TIPI Option
System Setup
ECG
Auto ECG transmission All ECGs All ECGs

No ECGs
Only ABNORNAL ECGs
ECG
ECG Acquisition/Analysis
Return 006A, -185A
Enable ACI-TIPI Yes
Select Yes to enable the ACI-TIPI Option; select No to

disable the ACI-TIPI Option

Defining the System Setup: Define the Basic System Setup
Define the Basic System Setup
Miscellaneous Setup Figure 12-1. Miscellaneous Setup

Select this function to define your system’s basic set up
Item Description
items.
Institution Type the name of your hospital, clinic, etc.
System Setup Basic System name as you want it to appear on writer reports.
Basic System On most reports the institution name
Miscellaneous Setup
appears at the top.
Text entry Select Uppercase only to type text in
057A, 168A,
uppercase letters.
Select Upper and lowercase to type text in
upper and lowercase letters.
Speaker Select Low to set the system’s speaker to
volume low volume.
Select High to set the system’s speaker to
high volume.
External video Select Option 1 to enable this port. Most
port remote monitors function using Option 1.
Otherwise, select Option 2.

Figure 12-1. Miscellaneous Setup (Continued) Figure 12-1. Miscellaneous Setup (Continued)
Item Description Item Description

Information Select Yes to enable the help information Text on bottom Select Yes to print the ECG test
line line on the screen. information on the bottom of the ECG
reports.
Cart number Type a number that identifies this system.
Print barcodes Select Yes if you want the patient
Site number Type a number from 1-32 to identify where
information printed in a barcode format.
the data will be stored in the MUSE CV
system. Automatic Type a number (x) greater than zero to
Shutdown enable the battery conservation mode. If a
Location Type a number to identify the location of
key is not pressed within (x) minutes, your
number this system to a MUSE CV system. Use a
system will automatically power off. Only
value from 1-99 for MUSE CV systems
patient data is saved when the system
using software version 002B-004 or 3A/
powers off.
CLM-1B. Use a value from 0-599 for a
MUSE CV system using software version Serial power Select Yes to enable continuous power to
4A or later. always on the serial ports.
File Manager Select the sorting method your system System Type a 6-character password that allows
sort uses to display stored ECGs. password you to access the System Setup and
Delete functions. The System password
Delete after Select Yes to delete an ECG after
that is set at the factory is “system.”
transmit transmitting it to a receiving device.

Figure 12-1. Miscellaneous Setup (Continued)
Item Description
Overread Type a 6-character password that allows
password you to access the Delete function. The
Overread password that is set at the
factory is “ovread.”

Patient Questions Figure 12-2. Patient Questions

Select this function to define what patient prompts
Item Description
appear when you select Patient Data in the Resting ECG
application. ID Required Select Yes to require the user to enter the
patient’s identification number before an
ECG can be recorded.
System Setup Basic System
Basic System ID length Type the number of alpha-numeric
Patient Questions characters used in the patient identification
number. Use from 3-16 characters.
057A, 168A, Age Choose the method to enter the patient’s
age:
n Select Date of birth to enter age in
day-month-year-order.
n Select Age in years to enter age in
years, months, weeks, days, or hours.
Gender Select Yes to display a prompt asking
whether the patient is male or female.
Height Select Yes to display a prompt asking the
patient’s height.

Figure 12-2. Patient Questions (Continued) Figure 12-2. Patient Questions (Continued)

Weight Select Yes to display a prompt asking the Race Select Yes to display a prompt asking the
patient’s weight. patient’s race.
Note: Our equipment contains several
Height/Weight Choose the units of measurement defining
fields which can be filled in before
in the patient’s weight:
performing an ECG. Some of these fields
n Select in./lb. to enter the patient’s must be filled in before performing an
height and weight in inches and exam, some are optional and therefore
pounds. left to the user to assess whether they
n Select cm./kg. to enter the patient’s are needed to perform the exam. A field
height and weight in centimeters and RACE is one of these optional fields. It
kilograms. has been acknowledged by the medical
profession as useful to analyze some
pathologies. You should be aware that,
in some jurisdictions, the processing of
data revealing an individual’s racial origin
is subject to legal requirements, such as
obtaining the patient's prior consent. If
you elect to collect this type of data, it is
your responsibility to ensure that you
comply with all applicable legal
requirements.

Figure 12-2. Patient Questions (Continued) Figure 12-2. Patient Questions (Continued)

Blood Select Yes to display a prompt asking the Room number Select Yes to display a prompt asking the
pressure patient’s systolic and diastolic blood patient’s room number.
pressures.
Options Select Yes to prompt the user to enter an
Medications Select Yes to display a prompt asking what options number for this ECG. You can
medications a patient is taking. define this number to mean whatever you
want.
Referred by Select Yes to display a prompt asking who
name and referred the patient. Order number Select Yes to prompt the user to enter an
number order number for this ECG.
Test indication Select Yes to display a prompt asking the Secondary ID Select Yes to prompt the user to enter a
reason for the test. second ID for this ECG.
Patient Select Yes to display a prompt asking the Extra Define these patient data prompts in one
History patient’s history. questions of three ways:
Select Numbers and letters to answer the
Technician Select Yes to display a prompt asking the
prompt using numbers and letters.
name of the technician who recorded the
Select Numbers only to answer the prompt
ECG.
using only numbers.
Location Select Yes to display a prompt asking the Select Yes or No to answer the prompt
this system’s location number. using either yes or no

Screen Colors Figure 12-3. Screen colors

Select this function to display one of three color options.
Item Description

Screen colors Define the screen colors you want to
system to display.
Basic System
Screen Colors n Select Monochrome to view white
screen elements.
057A, 168A, n Select Option 1 to view white, green,
yellow, and red screen elements.
n Select Option 2 to view white,
yellow, and red screen elements.

Transmission Figure 12-4. Transmission

Select this function to define your system’s transmission
Item Description
parameters.
Modem Choose when you want to hear the modem
Speaker tones:
Basic System n Select On to hear the modem tones.
Transmission
n Select Off to prevent hearing the
modem tones.
057A, 168A, n Select Dialing only to hear the
modem tones while your system dials
a telephone number.
Dialtone Select Yes when the system is connected
required to telephone lines that have a dialtone.
Dialtone Select the dialtone method used by your
method telephone line.
Fax error Select Yes if the facsimile machine you
correction transmit ECGs to uses an error correction
factor.

Figure 12-4. Transmission Figure 12-4. Transmission

, - Two second Type a comma (,) in a telephone number Serial line Select 9600 baud rate to transmit or
pause to create a 2-second pause. This can be baud rate receive data between another MAC 5000
used to wait for a dialtone. For example, or a MUSE CV system.
the telephone number 9,3216788 will have
Default Select the default receiving device your
a 2-second pause between the numbers 9
Location system transmits ECGs to.
and 3.
To transmit by local infrared
Phone number Type from one to six telephone
numbers(s) you frequently transmit to. communication or by local cable,
select Serial line (MUSE).
Location Type the name of location(s) you transmit
to.
Type Choose the type of modem your system
uses to transmit data to a receiving device.
n Select the MUSE NETWORK modem
to transmit to a MUSE CV system.
n Select Fax machine to transmit to
facsimile machine.
Use IR for Select Yes to enable the local infrared
serial line communication.

Date and Time Figure 12-5. Date and Time

Select this function to set the date and time that appears
Item Description
on the ECG reports.
Current date Enter the current date:
System Setup Basic System 1. Type the day.
Basic System 2. Select the month.
Date and Time
3. Type the year.
057A, 168A, Current time Enter the current time:

1. Type the hour.
2. Type the minutes.

Language Power Up Options

Select this function to choose the language displayed on Select this function to program your system to power up
screen and in ECG reports. into either the resting, pediatric, vector loops, or 15 lead
(option) ECG function.
Basic System System Setup Basic System
Language
Basic System
Power Up Options
057A, 168A,
057A, 168A,
Figure 12-6. Language

Figure 12-7. Power Up Options
Item Description
Select new Select the language of displayed or printed Item Description
language data. Power Up Select the resting ECG function you want
Power the system off then on to Application your system to start up in every time you
view the new language. power on the system.

Order Manager Enable PS/2 Port

Select this function to acquire, print, and store ECG Select this function to select the optional card reader
orders received from a MUSE CV system. The MUSE configuration.
CV system must use a Hospital Information System
(HIS). System Setup Basic System
Basic System
PS/2 Port Select
Basic System
Order Manager Interface 057A, 168A,
057A, 168A,
Figure 12-9. Order Manager Enable
Item Description
Figure 12-8. Order Manager Enable
PS/2 Port Select the input device connected to the
Item Description Device PS/2 port (keyboard or card reader).
Initial sort Select how you want to sort displayed Card Reader Select Automatic or Manual configuration
value ECG orders. Configuration of the optional card reader.
Create orders Select Yes to allow ECG orders to be
locally entered manually into the system.

Defining the System Setup: Define the ECG Setup
Define the ECG Setup
ECG Acquisition/Analysis Figure 12-10. ECG Acquisition/Analysis

Select this function to define the ECG acquisition and Item Description
analysis parameters.
Baseline roll filter Use this filter to remove baseline sway.
System Setup The higher the setting, the more the

Basic System
ECG filter smooths out a wandering
ECG Acquisition/Analysis baseline. This filter does NOT distort
the ST segment displayed on the ECG
057A, 168A,
reports.
Pre-acquisition Select Yes to begin acquiring ECG data as
soon as the leadwires are connected to a
patient.The system does not wait until the
user presses ECG before it starts
acquiring ECG data. The latest 10 seconds
of ECG data is ready for analysis when
Pre-acquisition is turned on.
Disable auto gain Select No, to display a prompt after the
check user presses ECG if the gain of the
recorded ECG data is either too high or too
low. The user can adjust the gain.

Figure 12-10. ECG Acquisition/Analysis (Continued) Figure 12-10. ECG Acquisition/Analysis (Continued)

Disable lead off Select No to display a screen message Suppress Select Yes to prevent the “Normal ECG”
check when the system detects a disconnected NORMAL 12SL analysis statement from appearing
leadwire. statement on printed, stored, and transmitted ECG
reports.
Baseline wander Select Yes to display a screen message
warning when the system detects a wandering Suppress Select Yes to prevent the “Abnormal ECG”
baseline. ABNORMAL and and “Borderline ECG” 12SL analysis
BORDERLINE statements from appearing on printed,
Muscle tremor Select Yes to display a screen message
statements stored, and transmitted ECG reports.
warning when the system detects muscle tremor.
Pacemaker pulse Select Yes to detect very small pacemaker
AC filter Use this filter to remove AC line artifact.
enhancer pulses. However, when Pacemaker pulse
AC noise level Select Yes to program the system to check enhancer is on, the system should NOT be
warning for alternating current interference when close to equipment emitting high frequency
recording an ECG. radiation. High frequency radiation can
Screening criteria Select Yes to prevent specific 12SL interfere with pacemaker pulse detection.
analysis statements from appearing on Preview before Select Yes to allow the user to always
ECG reports. analysis preview a recorded ECG before the system
analyzes the data.
See “Editing Acronyms” on page C-1 to
identify these statements.

Figure 12-10. ECG Acquisition/Analysis (Continued) Figure 12-10. ECG Acquisition/Analysis (Continued)

Storage format Choose the data compression format of the Auto ECG Choose the ECGs you want your system to
ECGs stored on a MUSE CV system: storage automatically store to a disk:
n Select 250 Hz (MUSE) to transmit n Select All ECGs to automatically
ECGs to a MUSE CV system using a store a recorded ECG.
software version earlier than version n Select No ECGs to disable automatic
004A. storage of a recorded ECG.
n Select 500 Hz (MUSE Network) to n Select Only ABNORMAL ECGs to
transmit ECGs to a MUSE CV system automatically store a recorded ECG
using MUSE software versions 004A that the 12SL analysis program has
or later. classified as abnormal.
NOTE: The Storage format item does not
display if the MAC 5000 has the
ACI-TIPI option installed. With ACI-TIPI,
you can only store 500 Hz ECGs.

Figure 12-10. ECG Acquisition/Analysis (Continued) Patient Questions

Item Description Select this function to define two alpha-numeric patient
data prompts.
Auto ECG Choose the ECGs you want your system to
transmission automatically transmit: System Setup ECG
n Select All ECGS to automatically ECG
Patient Questions
transmit a recorded ECG.
n Select No ECGS to disable automatic 057A,
transmission of a recorded ECG.

n Select Only ABNORMAL ECGs to Figure 12-11. Patient Questions
automatically transmit a recorded
Item Description
ECG that the 12SL analysis program
has classified as abnormal. Prompt Type the text you want for the patient
question.
Enable ACI-TIPI Select No to disable the ACI-TIPI function. Type Select the type of response you want
Select Yes to enable the ACI-TIPI function. entered for the patient question.
Note: This is an option and might not be
installed on your unit. n Select Numbers and letters to answer
the prompt using numbers and
letters.
n Select Numbers only to answer the
prompt using numbers.
n Select Yes or No to answer the
prompt using either yes or no.

Writer Setup
Select this function to change the writer’s speed, gain,
and filter settings.
System Setup ECG
ECG
Writer Setup
057A, 168A,
Figure 12-12. Writer Setup
Item Description
Speed Select the writer’s default speed setting in
millimeters per second.
Gain Select the writer’s default gain setting.
For the 10/5 setting, limb leads
appear at 10 mm/mV and precordial
leads appear at 5 mm/mV.
Filter Select the writer’s default filter setting.
The screen filter is always set to 40
Hz.

Resting, Pediatric, 15 Lead, and Vector Report Leads

Loops ECG Reports Figure 12-13. Report Leads
Select this function to:
Item Description
n Specify the leads displayed on reports.
Standard Select the standard leads you want to
n Choose the unconfirmed and confirmed report leads appear on the ECG reports.
formats. When you change a channel’s lead,
n Identify the three auxiliary leads used to acquire a the new lead appears on all the ECG
15 lead ECG using the 15 lead ECG function reports displaying that channel.
(option). Rhythm Choose the type of data displayed in the
n Set up the parameters specific to Vector Loops reports Rhythm reports.
Reports (option). n Select Real time to print current ECG
data on the Rhythm reports. This
System Setup ECG allows you to print the data you see
ECG on the screen.
Resting ECG Reports
Pediatric ECG Reports n Select 10 sec delayed to print ECG
data delayed by 10 seconds.
15 Lead Reports
Vector Loops
168A, 183A,

Figure 12-13. Report Leads (Continued) Figure 12-13. Report Leads (Continued)

Rhythm leads Choose a lead option for each group to Autorhythm Select the group of Rhythm leads printed
determine the rhythm leads that print when in the Autorhythm report.
you select the rhythm key in an
RMR/CGR/ Select the rhythm lead(s) you want printed
application. The six defined groups make
extra rhythm in the RMR and CGR reports.
up the display list when you select Leads
leads
in the Resting, Pediatric, 15 Lead, or When you change a rhythm lead,
Vector Loops Application. the new lead appears on all reports
n Select 3 leads to define which three displaying that lead. For example, if
leads in a three lead Rhythm report you select V5 for RMR/CGR/extra
print. rhythm lead 1, then the V5 waveform
n Select 6 leads to define which six leads appears on all reports that include
in a six lead Rhythm report print. RMR/CGR/extra rhythm lead 1.
n Select All leads to display and print 10
seconds of data for 12 (or 15) leads.
n Select Lead Check to display and print
real time data for each of the 12 (or 15)
leads.
n Select Lead Placement to display and
print real time data for each of the 12
(or 15) leads and the a chest electrode
placement.

Figure 12-13. Report Leads (Continued) Confirmed Reports
Item Description Figure 12-14. Confirmed Reports
Swedish Select the rhythm lead(s) you want printed Item Description
format rhythm in the Swedish format reports.
Report formats Choose the report formats you want to
leads
When you change a rhythm lead, print after an ECG has been confirmed.
the new lead appears on all reports n Select whether you want the report to
displaying that lead. For example, if print with or without interpretation
you select V5 for the Swedish format (12SL analysis statements).
rhythm lead 1, then the V5 waveform n Type a value between 0 and 10 for
appears on all reports that include the number of copies you want to
Swedish format rhythm lead 1. print for each report format.

Unconfirmed Reports Figure 12-15. Unconfirmed Reports (Continued)

Figure 12-15. Unconfirmed Reports Item Description
Item Description Confirmation Choose the text that appears on an ECG
text report that indicates the status of the ECG.
Normal ECG Choose the report formats your system
Reports automatically prints after you press ECG. n Select Unconfirmed to indicate that
the ECG report is not confirmed by a
n Select whether you want the report to
physician. Once an ECG is
print with or without interpretation
confirmed, the word Confirmed
(12SL analysis statements).
appears on the ECG report.
n Type in the number of copies you
Select Reviewed by to display the
want to print for each report format.
reviewer’s name on a confirmed ECG
Abnormal Choose the report formats your system report. If the ECG report is not confirmed,
ECG Reports automatically prints when an abnormal then no name appears.
ECG is detected.
n Select whether you want the report to
print with or without interpretation
(12SL analysis statements).
n Type in the number of copies you
want printed.

Extra Leads (15 Lead ECG Option Only) Vector Loops (Vector Loops Option Only)
Figure 12-16. Extra Leads Figure 12-17. Vector Loops Reports
Lead Set Choose the three additional leads used. Number of Type a value between 0 and 10 for the
You can: copies number of copies you want to print for this
report format.
n select one of the pre-defined lead
sets, or Main loop gain Select a default setting.
n select Custom 3 to define the Lead Z display Select a default setting.
electrode positions of A1, A2, and
A3. Sagittal plane Select a default setting.

Analog Outputs Figure 12-18. Analog Outputs

Select this function to define the system’s output signals
Item Description
when connecting additional equipment to the system.
Fast Analog Select Not Used, I, II, or V1-V6.
System Setup ECG Output
ECG TTL Output Select Not Used or QRS Detect to define
Analog Outputs
TTL Output.
057A, 168A,
Polarity Select Positive or Negative to define TTL
Output polarity.
Width Type a value between 0 and 48 to define
TTL Output signal width in milliseconds.
Delay Type a value between 0 and 100 to set a
delay in milliseconds for the TTL Output
QRS detector signal.
QRS Beep Select On to hear a beep for each QRS
complex.

Defining the System Setup: Define the Signal Averaged ECG Setup (Option)
Define the Signal Averaged ECG Setup (Option)

Select this function to define the HI-RES and PHi-Res Figure 12-19. Signal Averaged ECGs (Continued)
signal averaged ECG program (options).
Item Description
System Setup
Hi-Res Target Noise Type a value from 0.1 to 1.0µV.
Level GE Marquette Medical Systems, Inc.
recommends averaging to a noise level of
168A,
0.3µV.
Figure 12-19. Signal Averaged ECGs Correlation Select the degree of correlation threshold.
Threshold GE Marquette Medical Systems, Inc.
Item Description recommends the Very High setting.
Analysis filter Select the analysis filter you want to use. Final Report Type a value from 0 to 10 for the number
GE Marquette Medical Systems, Inc. of copies you want to print for each report
recommends using an analysis filter of 40- format.
250Hz.
Averaging Select the method to average the target. Prompt Type the text you want for the patient
target question.
Target Beat Type a value from 1 to 999. GE Marquette
Count Medical Systems, Inc. recommends
averaging to a minimum of 250 beats.

Defining the System Setup: Define the Signal Averaged ECG Setup (Option)
Figure 12-19. Signal Averaged ECGs (Continued)
Item Description
Type Select the type of response you want
entered for the patient question.
n Select Numbers and letters to answer
the prompt using numbers and
letters.
n Select Numbers only to answer the
prompt using numbers.
n Select Yes or No to answer the
prompt using either yes or no.

Defining the System Setup: Master’s Step Setup (Option–Japan Only)
Master’s Step Setup (Option–Japan Only)

Select this function to define the parameters for the Figure 12-20. Master’s Step (Continued)
Master’s Step option.
Item Description
System Setup
Post J(ms) Number of ms after J point. Used to
Master’s Step determine the ST level
Step Counter Select Up to display steps taken so far.
168A,
Display Select Down to display steps to go during
exercise.
Figure 12-20. Master’s Step Continuous Print rhythm between post exercise ECGs.
Recording
Item Description
Sound Option Sets the sound option so that you can
Number of The number of steps required during the select different tones. The options are
Steps exercise portion of the test. This is Option 1, Option 2, Option 3, and Off. The
calculated from the patient weight, sex and pace of the tone is set by the patient’s
age, but can be changed here. weight, sex, and age.
Test Type Test length. Select Single for 1.5 minute Post Exercise The time, in minutes, after the 1st post
test, Double for 3 minute test or Triple for a ECG Time exercise ECG when a additional ECG
4.5 minute test. should be taken (up to 9 are available).
Set any undesired tests to 0.

Defining the System Setup: Miscellaneous Setup
Miscellaneous Setup
Print Setup Restore Setup

Select this function to print a report of your system’s Select this function to change your system’s System Setup
System Setup parameters. parameters.
System Setup System Setup
Print Setup Restore Setup
168A,
168A,
Figure 12-21. Restore Setup

Save Setup Item Description
Select this function to save the changes you made to the Restore Setup Choose the method for changing all of
System Setup. your System Setup parameters.
n Select To Original Factory Settings to
System Setup
restore the system to the default GE
Save Setup Marquette settings.
n Select From diskette to install System
168A,
Setup parameters stored on a disk.
n Select Do Not Restore Setup to exit this
function.

Defining the System Setup: Miscellaneous Setup
For your notes.

Maintenance A
MAC 5000 System — 2000657-024, Revision A A-1

For your notes.
A-2 MAC 5000 System — 2000657-024, Revision A

Maintenance: General
General
Unless you have an Equipment Maintenance
Contract, GE Medical Systems Information
Technologies does not in any manner assume the
responsibility for performing the recommended
maintenance procedures. The sole responsibility
rests with the individual or institution using the
equipment. GE Medical Systems Information
Technologies service personnel may, at their
discretion, follow the procedures provided in this
manual as a guide during visits to the equipment
site.
Regular maintenance, irrespective of usage, is

essential to ensure that the equipment will always be
functional when required.
See the documentation provided with your

peripheral equipment for appropriate maintenance
procedures.

Maintenance: Inspecting and Cleaning
Inspecting and Cleaning
Precautions Visual Inspection

n Turn off the system before inspecting or cleaning. Perform a visual inspection of all equipment and peripheral
n Do NOT immerse any part of the equipment in water. devices daily. If you notice any items that need repair, contact
an authorized service person to make the repairs.
n Do NOT use organic solvents, ammonia based
solutions, or abrasive cleaning agents which may n Check the case and display screen for cracks or other
damage equipment surfaces. damage.
n Regularly inspect all plugs, cords, cables, and
connectors for fraying or other damage.
n Verify that all cords and connectors are securely seated.
n Inspect keys and controls for proper operation.
u Toggle keys should not stick in one position.
u Knobs should rotate fully in both directions.

Maintenance: Inspecting and Cleaning
Cleaning 2. Follow the head cleaning kit instructions to prepare the

head cleaning disk.
Exterior Surfaces 3. Insert the head cleaning disk into the drive slot and note
Clean the exterior surfaces of all equipment and peripheral how long the drive spins.
devices monthly, or more frequently if needed. u The head cleaner disk must spin for a total of 30
1. Use a clean, soft cloth and a mild dishwashing detergent seconds to clean the drive.
diluted in water. 4. Repeat steps 1-3 until the head cleaning disk spins for
2. Wring the excess water from the cloth. Do NOT drip 30 seconds or more.
water or any liquid on the writer assembly, and avoid 5. Eject the head cleaning disk from the drive slot.
contact with open vents, plugs, or connectors.
3. Dry the surfaces with a clean cloth or paper towel.
Disk Drive
Clean the disk drive every six months, or more frequently
if you have data storage problems.
Use the head cleaning kit: PN 407546-001.

Do NOT use cleaning solutions or solvents on the
disks. Data loss or disk drive failure could result.
1. Power on the system.

Maintenance: Changing the Paper Tray Size
Changing the Paper Tray Size
To Change to A4 Paper Size To Change to Standard Paper Size
187A, 188A

Maintenance: Replacing Paper
Replacing Paper
1 3
2
4
092A, 093A, 094A, 095A

Maintenance: Storing Paper
Storing Paper
Thermal Paper 3. Do NOT store thermal papers with any of the

To avoid deterioration or fading of traces follow these following:
precautions. u carbon and carbonless forms.
1. Store in cool, dark, and dry locations. Temperature u non-thermal chart papers or any other products con-
must be below 80°F (27°C). Relative humidity must be taining tributyl phosphate, dibutyl phthalate, or any
between 40% and 65%. other organic solvents. Many medical and industrial
charts contain these chemicals.
2. Avoid exposure to bright light or ultraviolet sources
such as sunlight, fluorescent, and similar lighting which u document protectors, envelopes, and sheet
causes yellowing of paper and fading of tracings. separators containing polyvinyl chloride or other
vinyl chlorides.
4. Avoid contact with: cleaning fluids and solvents such

as alcohols, ketones, esters, ether, etc.

5. Do NOT use: mounting forms, pressure-sensitive tapes, Paper manufacturers advise us that these thermal
or labels containing solvent-based adhesives. products should retain their traces when properly imaged
and stored for about 3 - 5 years. If your retention
To assure maximum image life, thermal paper should be stored requirements exceed these guidelines, we recommend
separately in: you consider alternate image storage techniques.
n manila folders
n polyester or polyimide protectors.
Plastic document protectors, envelopes, or sheet

separators made of polystyrene, polypropylene, or
polyethylene will not degrade thermal traces in
themselves. However, these materials afford no
protection against fading from external causes.
Use only mounting forms and pressure-sensitive tapes

made with starch or water-based adhesives.

Archivist Paper The GE Medical Systems Information Technologies

The following applies to Archivist thermal paper only. equipment used shall have periodic maintenance
performed in accordance with GE Medical Systems
GE Medical Systems Information Technologies warrants Information Technologies service manuals and/or
that the image produced on Archivist papers by GE technical memorandums.
Medical Systems Information Technologies equipment
will not fade for seven (7) years when handled according
to the instructions outlined below:
Archivist papers must be continuously stored below

104°F (40°C) and relative humidity must be maintained
between 40% and 60%.
The customer must notify GE Medical Systems

Information Technologies promptly following any
customer knowledge of fading.

Maintenance: Maintaining the Battery
Maintaining the Battery
Battery Gauge Icon Charging the Battery

The battery gauge icon appears in the upper right corner
of the active screen display. The battery gauge tells you To Fully Charge the Battery
how much charge your system’s battery has available and 1. Power off the system.
when the system is charging the battery. 2. Connect the system to an AC wall outlet.
Battery gauge icon 3. Charge the system’s battery 4-5 hours or until the
battery gauge icon indicates a full charge.
Empty
When Should you Charge the Battery?
*** BPM Before Initial Use To ensure a fully charged battery,
Charging charge the system before you use it for the first time.
Between Acquisitions To ensure a fully charged battery,

1/4 Full
power off the system and connect it to an AC wall outlet
until you use the system again. This prolongs battery
1/2 Full runtime.
Full
When the Battery is Low The amber battery light and the
160A
“empty” battery gauge icon flash intermittently.

The system may run for a long period of time after Is the Battery Charging?
the “empty” battery icon appears. If the battery is fully charged or exceeds safe charging
temperature, the system will not charge the battery.
The system’s battery is charging when:

n the amber battery light glows, and
n the battery gauge icon shows the battery charging icon.
Battery light Empty Battery Icon
*** BPM Battery light Charging Battery Icon
159A
*** BPM
When the Battery is Completely Discharged Your system
158A
powers off when the battery is completely discharged. To
operate your system, you must connect the system to an
AC wall outlet.

Periodic Maintenance Replacing the Battery

In addition to normal system use, periodic deep discharge
cycles may be required to ensure consistent battery
WARNING
Do NOT dispose of the
performance. battery pack by fire or
burning. Follow local
A deep discharge cycle occurs when the battery is environmental guidelines
discharged until the system shuts down and the battery is concerning disposal and
charged until it is full. recycling.
M15287-082A
GE Medical Systems Information Technologies If battery fluid contacts your skin, eyes, or clothing,
recommends one deep discharge cycle once every three immediately wash the area with clean water and see a
months. doctor.
GE Medical Systems Information Technologies does To prevent loss of data, remove the AC power cable
not recommend over-exercising the battery with deep from the AC wall outlet and power off the system
discharge cycles. See the MAC 5000 Service Manual for before removing the battery.
more battery maintenance and diagnostic information.
After removing and replacing the battery, the battery
gauge symbol resets to empty. Connect your system to
an AC wall outlet to ensure a fully charged battery.

1 3
114A
2
112A,-113A

Maintenance: Mounting or Dismounting the Trolley
Mounting or Dismounting the Trolley
Mount the System onto the Trolley 2
171A, 172A

3 Dismount the System From the Trolley
211A
Japan only: Press the release button at the side of the

MAC 5000 trolley.
1
212

2 4
173
3
175A
174

Maintenance: Replacing Acquisition Module Leadwire Adapters
Replacing Acquisition Module Leadwire Adapters
027A

Maintenance: Handling a Disk
Handling a Disk
35° C (95° F)
10° C (50° F)
001Adisk ,002Adisk, 003Adisk, 004Adisk, 005Adisk, 006Adisk, 007Adisk, 008Adisk, 009Adisk

Maintenance: Updating Software
Updating Software
power
power
Eject Old Version
MAC5000 XXXX
marquette
Did the new version number appear during start up?
Insert New Version
Yes No
The update is complete. Repeat the steps.

006A, 150A, 213A, 214A
marquette

Troubleshooting B
MAC 5000 System — 2000657-024, Revision A B-1

For your notes.
B-2 MAC 5000 System — 2000657-024, Revision A

Troubleshooting: Introduction
Introduction
First Things to Ask Visual Inspection

If the system is not working properly, save yourself some A thorough visual inspection of the equipment can save
time troubleshooting by asking yourself these basic time. Items such as disconnected cables or missing
questions. hardware can frequently cause symptoms and equipment
n Is the unit turned on? failures that may appear to be unrelated and difficult to
n Have there been any changes in the use, location, or track.
environment of the equipment that could cause the
failure? For additional information, see “Maintenance” on
n Has the equipment’s hardware or software been page A-1.
modified?
n Is operator error the cause of the problem? Try to repeat
the scenario exactly and compare that to the proper
operation of the equipment described in the manual.
n Is the battery installed?
n When connected to an AC wall outlet, does the green
AC power light glow?
n Is the writer door closed?
n Is the software card installed?

Troubleshooting: Equipment Problems
Equipment Problems
Reducing ECG Data Noise There is no ACI-TIPI report.

If the acquired ECG data displays unacceptable noise n ACI-TIPI is disabled.
levels: u Enable ACI-TIPI.
n Verify proper electrode placement. n The selected report is “without interpretation.”
n Verify proper electrode application. Perspiration and u Select “Interpretation” for the report.
dead skin cells must be removed from the electrode site.
n The ACI-TIPI required information is not entered.
n Check for defective or date expired electrodes.
u Make sure the age range, gender, and whether chest
n Check for defective, broken, or disconnected leadwires. pain complaint are entered.
n Check the patient’s position. The patient should remain n The patient was entered as pediatric.
motionless during the acquisition of a resting ECG.
u Make sure you enter an age range >16.
n The original ECG was acquired in an
electrocardiograph without the ACI-TIPI option.

System Errors If you perform the recommended actions and the

The following errors may occur while you are operating condition still remains, contact authorized service
this system. You may be required to perform some action. personnel. See “How to Reach Us” to find out how to
contact GE Medical Systems Information Technologies.
Figure B-1. System Errors
Problem Cause Solution

appears on the screen. No battery is installed in the system. Install a battery and connect the system
to an AC wall outlet to charge the
battery.
flashes intermittently. The battery charge is low. Connect the system to an AC wall outlet
to charge the battery.
appears on the screen. The writer door is open. Close the writer door.
The system does not power up when The battery is empty. Connect the system to an AC wall outlet
operating from battery power. to charge the battery.
The system shuts down when operating Battery is empty, or the Automatic Connect the system to an AC wall outlet
from battery power. Shutdown feature is enabled. to charge the battery, or power on the
system.

Figure B-1. System Errors (Continued)
Problem Cause Solution

“X” Lead disconnected message Electrode(s) disconnected. Reconnect the electrode(s).
appears.
153A, 154A, 209A

Editing Acronyms C
MAC 5000 System — 2000657-024, Revision A C-1

For your notes.
C-2 MAC 5000 System — 2000657-024, Revision A

Editing Acronyms: Resting ECG Acronyms
Resting ECG Acronyms Figure C-1. Resting ECG Acronyms (Continued)

Statement Acronym
The statements preceded by “#” do not appear on ECG Anterior injury pattern . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A I NJ
reports when the Screening criteria item is enabled in Anterior leads . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ANT
System Setup. To enable or disable Screening criteria, Anterolateral infarct. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A LMI
See “ECG Acquisition/Analysis” on page 12-21. Anterolateral injury pattern. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A L I N J
Anterolateral leads . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A N T L AT
Figure C-1. Resting ECG Acronyms Anteroseptal infarct . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A SMI
Statement Acronym Anteroseptal leads . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A N T S E P
# Aberant conduction ..................................................... A B C O N D Anteroseptal injury pattern . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A S I N J
Abnormal ECG.......................................................................... AB Atrial fibrillation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A FIB
Abnormal left axis deviation . . . . . . . . . . . . . . . . . . . . . . . . . . . . ALA D Atrial flutter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F LUT
# Abnormal QRS-T angle, consider primary (Atrial rate=. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A RAT
T wave abnormality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Q RST Atrial tachycardia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ATAC
Abnormal right axis deviation . . . . . . . . . . . . . . . . . . . . . . . . . . . A RA D AV sequential or dual chamber
Abnormal right superior axis deviation . . . . . . . . . . . . . . . . . . RSA D electronic pacemaker. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AV P C K
Accelerated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A C C E L Biatrial enlargement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . BAE
Acute pericarditis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P C A R D *** Bifascicular block***. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B IFB
** ACUTE MI ** . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A C U M I Biventricular hypertrophy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . BI VH
, Age undetermined . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AU Blocked. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B L K E D
, and consecutive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C S E C Borderline ECG. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B O R D E
and . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A N D Borderline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . BO
Anterior infarct . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AMI # Cannot rule out . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CRO

Figure C-1. Resting ECG Acronyms (Continued) Figure C-1. Resting ECG Acronyms (Continued)
Statement Acronym Statement Acronym
Clockwise rotation of the heart, may Inferior infarct . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IMI
invalidate criteria for ventricular Inferior injury pattern . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I IN J
hypertrophy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CWRT Inferior leads . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . INF
Coarse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CRS Inferior-posterior infarct. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I PMI
Counterclockwise rotation of the heart, Inferolateral leads . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I F L AT
may invalidate criteria for v. hypertrophy . . . . . . . . . . . . C C W RT Inferolateral injury pattern. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I L I N J
# Deep Q wave in lead V6, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . QV6 Inferoposterior leads . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I N F P O S
Demand pacemaker; interpretation is Irregular . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IRR
based on intrinsic rhythm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DPC K Junctional bradycardia. . . . . . . . . . . . . . . . . . . . . . . . . . . . . J U N B R A D
Dextrocardia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D X T R O Junctional rhythm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . J U N C T R
# Early repolarization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . R E P O L # Junctional ST depression, probably
Electronic atrial pacemaker. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . APC K abnormal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . JST
Electronic ventricular pacemaker . . . . . . . . . . . . . . . . . . . . . . . . . . PCK # Junctional ST depression, probably
Fusion complexes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FUS normal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . JST N
In a pattern of bigeminy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B I G E M Large . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . L AR G
# Incomplete left bundle branch block . . . . . . . . . . . . . . . . . . . . I L B B B Lateral infarct . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . LMI
Incomplete right bundle branch block. . . . . . . . . . . . . . . . . . . I R B B B Lateral injury pattern . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . L IN J
Increased R/S ratio in V1, consider early Lateral leads . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . LAT
transition or posterior infarct . . . . . . . . . . . . . . . . . . . . . . . Q E S P M I Left anterior fascicular block . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AFB
Idioventricular rhythm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IVR Left atrial bradycardia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . L A B R A D
Indeterminate axis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I N D A X Left atrial enlargement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . LAE

Left atrial rhythm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . LAR Marked ST abnormality, possible
Left atrial tachycardia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . L ATA C H inferior subendocardial injury . . . . . . . . . . . . . . . . . . . . . . . . I S B I N J
Left axis deviation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . L AD 3 Marked ST abnormality, possible
Left bundle branch block . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . LB BB inferolateral subendocardial injury . . . . . . . . . . . . . . . . . M S T D I L
Left posterior fascicular block . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PFB Marked ST abnormality, possible
Left ventricular hypertrophy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . LVH 2 lateral subendocardial injury . . . . . . . . . . . . . . . . . . . . . . . . L S B I N J
Leftward axis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . LAD Marked ST abnormality, possible septal
** Less than 4 QRS complexes detected, no subendocardial injury . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S S B I N J
interpretation possible **. . . . . . . . . . . . . . . . . . . . . . . . . A N L E R R 3 Marked T wave abnormality, consider
Low right atrial bradycardia . . . . . . . . . . . . . . . . . . . . . . . . . R A B R A D anterior ischemia. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . MAT
Low right atrial rhythm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . RAR Marked T wave abnormality, consider
anterolateral ischemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . M ALT
Low right atrial tachycardia . . . . . . . . . . . . . . . . . . . . . . . . . . R ATA C H
Marked T wave abnormality, consider
Low voltage QRS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . LO WV
inferior ischemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . MIT
Marked sinus bradycardia . . . . . . . . . . . . . . . . . . . . . . . . . . . M S B R A D
Marked ST abnormality, possible
inferolateral ischemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . MILT
anterior subendocardial injury . . . . . . . . . . . . . . . . . . . . . . . A S B I N J
lateral ischemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . MLT
anterolateral subendocardial injury . . . . . . . . . . . . . . . . M S T D A L
# (masked by fascicular block?) . . . . . . . . . . . . . . . . . . . . . . . . . . . M AFB
, maybe secondary to QRS
anteroseptal subendocardial injury. . . . . . . . . . . . . . . . . M S T D A S
abnormality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S N D Q A

** Memory allocation failure, no ECG or digitalis effect . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . O DI G
interpretation possible ** . . . . . . . . . . . . . . . . . . . . . . . . . A N L E R R 1 Otherwise normal ECG. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ABR
# Minimal voltage criteria for LVH, may be *** Pediatric ECG anlaysis *** . . . . . . . . . . . . . . . . . . . . . P E D A N L
normal variant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . QR SV # , plus right ventricular enlargement . . . . . . . . . . . . . . . . . . . . . . . RV E +
# Moderate voltage criteria for LVH, may *** Poor data quality, interpretation may
be normal variant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . LV H3 be adversely affected . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Q C E R R
Moderate. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . MOD # Possible . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PO
Narrow QRS tachycardia . . . . . . . . . . . . . . . . . . . . . . . . . . . . N Q TA C H , possibly acute. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AC
(No P- waves found) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . N OPF Posterior infarct . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P O S T M I
** No QRS complexes found, no ECG analysis Posterior leads . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . POS
possible ** . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A N L E R R 2 premature atrial complexes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PAC
# Nonspecific intraventricular block . . . . . . . . . . . . . . . . . . . . . . . . I V CB premature ectopic complexes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PEC
# Nonspecific intraventricular conduction premature junctional complexes . . . . . . . . . . . . . . . . . . . . . . . . . . . . PJC
delay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I VC D premature supraventricular complexes . . . . . . . . . . . . . . . . . . . . PSV C
Nonspecific ST abnormality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NST premature ventricular and fusion
Nonspecific ST and T wave abnormality. . . . . . . . . . . . . . . . . . N STT complexes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PV CF
Nonspecific T wave abnormality . . . . . . . . . . . . . . . . . . . . . . . . . . . . NT premature ventricular complexes . . . . . . . . . . . . . . . . . . . . . . . . . . PVC
Normal ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NML , probably digitalis effect . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PDI G
Normal sinus rhythm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NSR Prolonged QT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . L N G Q T
# Northwest axis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NWA Prominent lateral voltage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLV
or . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . OR # Prominent mid-precordial voltage,. . . . . . . . . . . . . . . . . . . . . P M D P V

Prominent posterior voltage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PPV Sinus rhythm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SRTH
# Pulmonary disease pattern. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PU LD Sinus tachycardia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S TA C H
*** QRS contour suggests infarct size Small . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SMA
is probably . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . M I S I Z ST &. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ST&
Right atrial enlargement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . RAE ST abnormality and . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S TA B A N D
# Right axis deviation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . R AD 4 ST abnormality, possible digitalis effect . . . . . . . . . . . . . . . . S T D I G
Right bundle branch block -or-right ST depression in . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S T D P I N
ventricular hypertrophy . . . . . . . . . . . . . . . . . . . . . . . . . . . R B B RV H ST depression, consider
Right bundle branch block . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . RB BB subendocardial injury or digitalis effect. . . . . . . . . . . . . . . S T D E P
# Right superior axis deviation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . R AD 5 ST elevation consider anterior injury
Right ventricular hypertrophy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . RVH or acute infarct . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A I O H A I
# Rightward axis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . RAD ST elevation consider anterolateral
# RSR’ or QR pattern in V1 suggests right injury or acute infarct. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A L I H A I
ventricular conduction delay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . RSR ST elevation consider inferior injury or
# S1-S2-S3 pattern, consider pulmonary acute infarct. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I I O H A I
disease, RVH, or normal variant. . . . . . . . . . . . . . . . . . . . . S 1 S 2 S 3 ST elevation consider inferolateral injury
Septal infarct. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SMI or acute infarct . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I L I H A I
Septal injury pattern. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SIN J ST elevation consider lateral injury or
Septal leads . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SEP acute infarct. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . L I O H A I
Sinus/Atrial capture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C A P U R ST elevation in . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S T E L I N
Sinus bradycardia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S B R A D

# ST elevation, consider early Undetermined rhythm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UR
repolarization, pericarditis, or injury . . . . . . . . . . . . . . . . S E RY R 1 Unusual P axis and short PR, probable
# ST elevation, probably due to early junctional bradycardia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . J B R A D
repolarization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S E RY R 2 Unusual P axis and short PR, probable
ST elevation, consider injury or variant junctional rhythm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . JR
associated with LVH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I N J O N V Unusual P axis and short PR, probable
Statement not found . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SNF junctional tachycardia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . J TA C H
Supraventricular tachycardia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SVT Unusual P axis, possible ectopic atrial
*** Suspect arm lead reversal, bradycardia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E A B R A D
interpretation assumes no reversal . . . . . . . . . . . . . . . . . . . . . . . ARM Unusual P axis, possible ectopic atrial
T wave abnormality, consider anterior rhythm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . EAR
ischemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AT Unusual P axis, possible ectopic atrial
T wave abnormality, consider anterolateral tachycardia. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E ATA C H
ischemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ALT Ventricular pre-excitation, WPW
T wave abnormality, consider inferior pattern type A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . WPWA
ischemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IT Ventricular fibrillation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . VFI B
T wave abnormality, consider inferolateral Ventricular tachycardia. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . V TA C H
ischemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ILT Ventricular pre-excitation, WPW
T wave abnormality, consider lateral pattern type B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . W PWB
ischemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . LT very large . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . V LA R
T wave inversion in . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . T I N V I N very small. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . V SMA

Voltage criteria for left ventricular with junctional escape complexes . . . . . . . . . . . . . . . . . . . . . . . . . J ESC
hypertrophy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . LVH with marked sinus arrhythmia . . . . . . . . . . . . . . . . . . . . . . . . . . . M SAR
with. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . WI TH with occasional . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . OCC
wide QRS rhythm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . WQR with premature aberantly conducted complexes. . . . . . . . . . A BER
wide QRS tachycardia. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . W Q TA C H , with posterior extension. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PXT
with 1st degree AV block . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FAV with QRS widening and repolarization
# with 2:1 AV conduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . W2 T 1 abnormality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Q R S W -2 S T
with 2nd degree AV block (Mobitz I). . . . . . . . . . . . . . . . . . . . . MB ZI with QRS widening . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Q RS W
with 2nd degree AV block (Mobitz II) . . . . . . . . . . . . . . . . . . . M B Z I I # with rapid ventricular response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . RVR
with 2nd degree AV block. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SAV with retrograde conduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . R ETC
with 2nd degree SA block (Mobitz I) . . . . . . . . . . . . . . . . . . . . . SA BI with repolarization abnormality . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2ST
with 2nd degree SA block (Mobitz II) . . . . . . . . . . . . . . . . . . . S A B I I with short PR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SPR
# with 3:1 AV conduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . W3 T 1 with sinus arrhythmia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SAR
# with 4:1 AV conduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . W4 T 1 with sinus pause . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PA U S E
# with 5:1 AV conduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . W5 T 1 # with slow ventricular response . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SVR
# with a competing junctional pacemaker. . . . . . . . . . . . . . . . . . . . . CJP with strain pattern . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . WSTR
with AV dissociation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AV D I S # with undetermined rhythm irregularity . . . . . . . . . . . . . . . . . I R R E G
with complete heart block . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CHB with variable AV block . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . VAVB
with frequent. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FR EQ with ventricular escape complexes . . . . . . . . . . . . . . . . . . . . . . . V ESC
with fusion or intermittent ventricular Wolffe-Parkinson-White . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . WPW
pre-excitation (WPW) . . . . . . . . . . . . . . . . . . . . . . . . . . . . A LT W P W

For your notes.

Technical Specifications D
MAC 5000 System — 2000657-024, Revision A D-1

Technical Specifications:
For your notes.
D-2 MAC 5000 System — 2000657-024, Revision A

Figure D-1. Computerized Electrocardiograph

Item Description
Instrument Type 14 leadwire microcomputer-augmented, automatic electrocardiograph
Battery Capacity 100 ECG acquisitions and one-page reports or 6 hours continuous operation (without
printing)
ECG Storage 150 ECG’s (typ), 200 (max) on removable media (1.44 MB, 3.5” diskette)
Acquisition Simultaneous acquisition of up to 14 leadwires with programmable lead configurations
Analysis 12SL adult and 12SL pediatric analysis. Optional: HI-RES or PHI-RES late Potential
Analysis (standard 12 leads plus leads V3R, V4R, V7), ACI-TIPI
Analysis Sampling Rate 500 samples/s (sps)
Digital Sampling Rate 4000 samples/s/channel
Dynamic Range ±320 mV DC, ±10 mV AC
Resolution 4.88 µV/LSB @ 500 sps
Frequency Response –3 dB @ 0.01 to 150 Hz
Common-Mode Rejection 140 dB minimum (123 dB with AC filter disabled)
Input Impedance >10 MΩ, defibrillator protected
Patient Leakage Current <10 µA
Pacemaker Detection Sensitivity 750 µV amplitude, 50 µs duration, Orthogonal LA, LL and V6
Special Functions Disconnected and/or shorted lead detection, excessive AC noise, baseline wander,
muscle tremor messages, preacquisition, and electrode impedance
Modem (option) Full duplex Async, FAX
Remote Muse Network Query Remote retrieval of confirmed ECG records from Muse Network Series using the Async/
(option) CSI modem. Records can be displayed and printed.
RS-232 MAC and MUSE system compatible
Auxiliary Peripheral I/O port (magnetic card reader, bar code, etc.)

Figure D-1. Computerized Electrocardiograph (Continued)

Item Description
Infrared Optional I/O
Figure D-2. Electrical

Item Description
Power Supply AC or battery operation
Input Voltage 100-240 V ac, +10, -15%, 50/60 Hz, ±10%
Power Consumption
115 V ac 0.5 A (typ.)
240 V ac 0.3 A (typ.)
Analog Outputs 2 channels 0-10 V
1 channel ±10 V (ECG-OUT)
Analog Input 2 channels, 0-10 V, sampled @ approx. 100 sps
TTL 1 output channel with programmable polarity delay and width
Figure D-3. Physical

Item Description
Table Top Unit Dimensions
Height 9.4 cm (3.7 in) display closed/30.5 cm (12 in) display open
Width 38.1 cm (15.0 in)
Depth 35.1 cm (13.8 in)
Table Top Unit Weight 6.8 kg (15 lb) without paper

Figure D-3. Physical (Continued)

Item Description
Table Top Unit w/Cart Dimensions
Handle Height 88.9 cm (35 in)
Width 41.9 cm (16.5 in)
Depth 66 cm (26 in)
Table Top Unit w/Cart Weight 20.4 kg (45 lb)
Figure D-4. Safety

Item Description
Certification UL 2601-1 classified
UL classified for CAN/CSA C22.2 No. 601.1
CB certified for IEC 601-1
CE marking for Council Directive 93/42/EEC concerning Medical Devices
Meets applicable AAMI EC-11 requirements
Type of protection against electrical Class 1, internally powered
shock
Degree of protection against ingress Ordinary
of liquids
Handling of disposable supplies and Use only parts and accessories manufactured or recommended by GE Medical
other consumables Systems Information Technologies. Follow manufacturer’s instructions for use for
disposable/consumable products. Follow local environmental guidelines concerning the
disposal of hazardous materials.
Mode of Operation Continuous

Figure D-4. Safety (Continued)

Item Description
Patient Leakage Current <10 µA
Degree of protection against electric Type BF defibrillation protection for the patient cable (acquisition module)
shock
Maintenance Frequency Daily visual inspection and routine cleaning (if needed) performed by user. Use a
commercially available, industrial strength disinfectant cleaner on any part of the
equipment (other than electrodes) which comes into direct contact with the patient.
Every six months routine maintenance checks and test procedures performed by
qualified technical personnel (See the field service manual for details.)
Repair Guidelines Calibration instructions, equipment descriptions, and all other information which will
assist qualified technical personnel in repairing those parts of the equipment designated
as repairable is available in the field service manual for the equipment.
GE Medical Systems Information Technologies will make available upon request circuit
diagrams and component parts lists for printed circuit boards deemed repairable by
qualified technical personnel.

Figure D-5. Environmental

Item Description
Operating Conditions
Temperature 10°C to 40°C (50°F to 104°F)*
Relative Humidity 20% to 95% noncondensing
Atmosphere Pressure 700 to 1060 hPa
Storage Conditions
Temperature -40°C to 70°C (-40°F to 158°F)*
Relative Humidity 15% to 95% noncondensing
Atmosphere Pressure 500 to 1060 hPa
Disposal
Batteries Disposing of battery by fire or burning will cause the battery to explode. The battery is
recycleable. Follow local environmental guidelines concerning disposal and recycling.
Batteries may be returned to GE Medical Systems Information Technologies for
recycling.
Device
Recycleable.
Video Output Standard
VGA

Figure D-6. Battery

Item Description
Type User replaceable, 18 V rechargeable NiMH pack
Capacity 3.5 AH ±15%
Charge 5.0 hours (4.5 hours typical) (with display off)
NOTE: Cannot charge battery at or above 45°C (best if below 40°C)
Figure D-7. Writer

Item Description
Type Thermal dot array (horizontal 1000 dots/in at 25 mm/s; vertical 200 dots/in)
Frequency Response 0.01 to 150 Hz
Number of Traces 3, 6, 12, 15 user-selectable and programmable (same as display)
Paper Speeds 5, 12.5, 25, 50 mm/s DC drive
Sensitivity/Gain 2.5, 5, 10, 20, and 10/5 (split calibration) mm/mV
Speed/Sensitivity Accuracy ± 2%
Sensitivity (Gain) Accuracy ± 5%
Paper Type Thermal, perforated, 214.63 mm x 280 mm (8.45 in x 11 in), z-fold, 300 sheets per pack
(European 210 mm x 297.5 mm (8.27 in x 11.7 in) A4 style paper available)

Figure D-8. Vectorcardiography (Optional)

Item Description
Vector Plot Formats Vector loops of component vectors (P, QRS, ST-T)
Sensitivities 20, 40, 80, 160 mm/mV
Time Resolution 2 ms
Figure D-9. Pediatric Analysis (Optional)

Item Description
Acquisition Simultaneous 15-lead acquisition. (Standard 12 lead plus pediatric leads V3R, V4R and
V7.)
Figure D-10. Late Potential Analysis (HI-RES and PHi-Res Signal Averaged Electrocardiography - Optional
Item Description
Frequency Response/Input -3 dB @ 0.01 and 250 Hz
Frequency Response/Output
Upper Limit 250 Hz
Lower Limit 0.01, 25, 40 or 80 Hz

Figure D-10. Late Potential Analysis (HI-RES and PHi-Res Signal Averaged Electrocardiography - Optional
Item Description
Sensitivities
Raw Data and Template 20 mm/mV
Average Beat 20 mm/mV and 50 mm/mV
Filtered Signals and Vector 1 mm/µV
Magnitude
Analysis Sampling Rate 1000 samples per second per channel
Digital Sampling Rate 4000 samples per second per channel
High/Low Pass Filters Spectral filter using Fast Fourier Transform (FFT)
ADC Resolution 1.22 µV/LSB
Analysis Resolution 0.1525 µV/LSB

Report Formats E
MAC 5000 System — 2000657-024, Revision A E-1

For your notes.
E-2 MAC 5000 System — 2000657-024, Revision A

Report Formats: Format Description
Format Description
Numeric report names are used to describe how the ECG
data is displayed. Figure E-1. 4 by 2.5s + 1 Rhythm Lead Format
4 by 2.5s + 1 rhythm ld Description
A B A Four columns of data containing 3 leads with 2.5

seconds of data in each lead.
B One 10 second rhythm lead.
A A A A
B
147A

The following reports also use numeric names:

n 2 by 5
n 2. 5s @ 50 mm/s (writer speed)
n 2 by 5s + 1 rhythm lead
n 2 by 10s
n 3 by 5 @ 50mm/s
n 3 by 10s
n 4 by 2.5s
n 4 by 2.5s + 1 rhythm lead
n 4 by 2.5s + 3 rhythm leads
n 4 by 10s
n 5 by 2s
n 5 by 2s + 1 rhythm lead
n 5 by 2s + 3 rhythm leads
n 5 by 10s

Additional Report Names
Figure E-2. Additional Report Names
Report Name Description

12 Rhythm Leads 10 seconds of 12-lead rhythm.
Autorhythm 10 seconds of 3, 6, or 12 leads of rhythm.
CGR One median complex for each of the 12 leads combined with 10 seconds of 3-lead
rhythm.
Expanded Median Each median complex is expanded by double the speed and double the gain.
HI-RES or PHi-Res Signal Averaged Dominant (averaged) beat type.
Template
HI-RES or PHi-Res Signal Averaged Vector magnitudes of X,Y,Z.
Standard
HI-RES or PHi-Res Signal Averaged 400mm/s of expanded X,Y,Z medians and a RMS voltage function/VM plot.
Expanded
ACI-TIPI The analysis of the acquired ECG data appears at the top of the report.
Masters’ Step Final Report A table of ECG data and medians of each ECG taken during the Masters’ Step test.

Figure E-2. Additional Report Names
Report Name Description

HI-RES or PHi-Res Signal Overlapped X,Y,Z data at two different amplitudes.
RMR One median complex for each of the 12 leads combined with 10 seconds of 3-lead
rhythm.
Swedish Format 1 One median complex for each of the 12 leads at writer speed of 50mm/s combined
with 5 seconds of 6-lead rhythm at half writer speed. Text is on the bottom of the page.
Swedish Format 2 5 seconds for each of the 12 leads at writer speed 50mm/s. Text is on the top of the
page.
Vector Loops Sagittal, horizontal, and frontal plane vectorgrams. Marks on sample X,Y,Z complexes
identify P onset and offset, Q onset and offset, and T onset.

Masters’ Step Data F
MAC 5000 System — 2000657-024, Revision A F-1

For your notes.
F-2 MAC 5000 System — 2000657-024, Revision A

Masters’ Step Data: Masters’ Step Table
Masters’ Step Table

As shown in the table below, the number of steps is set according to the age, sex, and weight settings for the patient as
they reside or are entered into the system.
AGE 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79
WEIGHT
(kg) SEX
18-22 Male 35 36
Female 35 35 33
23-26 Male 33 35 32
Female 33 33 32
27-31 Male 31 33 31
Female 31 32 30
32-35 Male 28 32 30
Female 28 30 29
36-40 Male 26 30 29 29 29 28 27 27 26 25 25 24 23 23 22
Female 26 28 28 28 28 27 26 24 23 22 21 21 20 19 18
41-44 Male 24 29 28 28 28 27 27 26 25 24 23 22 22 21 20
Female 24 27 26 27 26 25 24 23 22 21 20 19 18 18 17
45-49 Male 22 27 27 28 28 27 26 25 25 24 23 22 22 21 20
Female 22 25 25 26 26 25 24 23 22 21 20 19 18 18 17

AGE 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79
WEIGHT
(kg) SEX
50-53 Male 20 26 26 27 27 26 25 25 24 23 22 22 21 21 20
Female 20 23 23 25 25 24 23 22 21 20 19 18 18 17 16
54-58 Male 18 24 25 26 27 26 25 24 23 22 22 21 21 20 19
Female 18 22 22 24 24 23 22 21 20 19 18 18 17 16 15
59-63 Male 16 23 24 25 26 25 24 23 23 22 21 20 20 19 18
Female 16 20 20 23 23 22 21 20 19 19 18 17 16 15 15
64-67 Male 21 23 24 25 24 24 23 22 21 20 20 19 18 18
Female 18 19 22 22 21 20 19 19 18 17 16 15 15 14
68-72 Male 20 22 24 25 24 23 22 21 20 20 19 18 18 17
Female 17 17 21 20 20 19 19 18 17 16 16 15 14 13
73-76 Male 18 21 23 24 23 22 22 21 20 19 18 18 17 17
Female 15 16 20 19 19 18 18 17 16 16 15 14 13 12
77-81 Male 20 22 23 23 22 21 20 19 18 18 17 17 16
Female 13 14 19 18 18 17 17 16 16 15 14 13 13 12
82-85 Male 19 21 23 22 21 20 19 19 18 17 16 16 15
Female 13 18 17 17 17 16 16 15 14 14 13 12 11
86-90 Male 18 20 22 21 21 20 19 18 17 16 15 15 14
Female 12 17 16 16 16 15 15 14 13 13 12 12 11
91-94 Male 19 21 21 20 19 18 17 16 16 15 14 14
Female 16 15 15 15 14 14 13 13 12 11 11 10

AGE 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79
WEIGHT
(kg) SEX
94-99 Male 18 21 20 19 18 17 17 16 15 14 14 13
Female 15 14 14 14 13 13 13 12 11 11 11 10
100-104 Male 17 20 20 19 18 17 16 15 14 13 13 12
Female 14 13 13 13 13 12 12 11 11 10 10 09

Masters’ Step Data: ST-T Change
ST-T Change
The existence of any ST-T change is assessed by Calculation
classifying ST-T into three assessment levels: positive, ST depression = (rest ST - post J) - (post exercise ST -
borderline, and negative. The following criteria is used: post J)
Positive ST elevation = (post exercise ST - post J) - (rest ST - post

n ST depression ≥ 0.1mV (2 or more leads). J)
n ST elevation ≥ 0.2mV (2 or more leads).
n T wave change ≥ 1.0mV (2 or more leads). T wave change = absolute value of (rest T wave
amplitude - post-exercise T wave amplitude)
u No. 1, 2, or 3 is satisfied.
(ST - post J:amplitude at the post J point)

Borderline
n ST depression ≥ 0.05mV (any leads). When the assessment is positive or borderline, the lead
n ST elevation ≥ 0.1mV (any leads). with the largest change prints.
n T wave change ≥ 0.5mV (any leads).
u No. 1, 2, or 3 is satisfied.
Negative
n Positive and borderline criteria are NOT satisfied.

Index
Numerics analysis filter............................................................. 12-32, 12-34

1 ................................................................................................. 2-6 archivist paper storage .........................................................A-10
15 lead ECG report setup .................................................. 12-26 arrow pad ..................................................................................2-7
2 ................................................................................................. 2-6 authorized service .................................................................1-15
automatic
A ECG storage to diskette..............................................12-23
A................................................................................................. 2-6 ECG transmission ........................................................12-24
abnormal ECG report.......................................................... 12-29 shutdown .......................................................................12-10
abrasive cleaning agents .......................................................A-4 autorhythm............................................................................12-27
AC filter ................................................................................. 12-22 averaging target....................................................... 12-32, 12-34
AC noise level warning....................................................... 12-22
AC power connector ............................................................... 2-6 B
ACI-TIPI .................................................... 1-10, 5-10, 12-8, 12-24 baseline roll filter..................................................................12-21
acquisition module baseline wander warning....................................................12-22
buttons............................................................................... 2-9 Basic System setup
cable .................................................................................. 2-9 date and time ................................................................12-17
lead labels....................................................................... 2-10 language........................................................................12-18
leadwire adapters ...................................................2-9, 2-10 power up options..........................................................12-19
leadwires ........................................................................... 2-9 screen colors ................................................................12-15
age......................................................................................... 12-12 transmission..................................................................12-15
amber battery light .................................................................. 2-5 battery
ANA/TTL ................................................................................... 2-6 conserving power.........................................................12-10
analog outputs setup .......................................................... 12-31 location ..............................................................................2-4
MAC 5000 System — 2000657-024, Revision A Index-1

Index:
switch............................................................................... 1-14 ground lug .........................................................................2-6

battery status icon ................................................................. 2-19 IR ........................................................................................2-6
beat count averaging target....................................12-32, 12-34 mains AC power ...............................................................2-6
blood pressure ..................................................................... 12-14 copy ...........................................................................................2-7
Borderline ................................................................................. F-6 correlation threshold................................................ 12-32, 12-34
create orders locally setup ..................................... 12-19, 12-20
C
cable D
acquisition module........................................................... 2-9 date setup .............................................................................12-17
card slot .................................................................................... 2-6 default location .....................................................................12-17
cart number .......................................................................... 12-10 delay ......................................................................................12-31
cleaning delete .........................................................................................2-7
what to use .......................................................................A-4 device name ...........................................................................1-16
colors dialing
screen ............................................................................ 12-15 two second pause ........................................................12-16
confirmation text .................................................................. 12-29 dialtone method ...................................................................12-16
connector dialtone required ..................................................................12-16
1.......................................................................................... 2-6 disable
2.......................................................................................... 2-6 auto gain check ............................................................12-21
A ......................................................................................... 2-6 lead off check................................................................12-22
acquisition module........................................................... 2-9 disk drive slot............................................................................2-3
ANA/TTL............................................................................ 2-6 display screen ..........................................................................2-3
back panel......................................................................... 2-5
EXT.VID ............................................................................ 2-6
Index-2 MAC 5000 System — 2000657-024, Revision A

Index:
E identification ....................................................................1-16
ECG........................................................................................... 2-7 maintenance contract......................................................A-3
abnormal report............................................................ 12-29 safety information.............................................................1-6
normal report ................................................................ 12-29 service requirements .....................................................1-15
preview before analysis .............................................. 12-22 storage conditions........................................................... D-7
report formats ................................................................... E-3 symbols .............................................................................1-9
ECG acquisition/analysis ................................................... 12-21 type BF ............................................................................1-14
ECG setup esc..............................................................................................2-8
15 Lead ECG reports .................................................. 12-26 EXT.VID. ...................................................................................2-6
analog outputs.............................................................. 12-31 external video port.................................................................12-9
ECG acquisition/analysis............................................ 12-21 extra questions.....................................................................12-14
patient questions.......................................................... 12-24
pediatric ECG reports ................................................. 12-26 F
resting ECG reports..................................................... 12-26 fading traces.............................................................................A-8
writer .............................................................................. 12-25 fast analog output ................................................................12-31
edit fax error correction ..............................................................12-16
demographic and interpretive data ............................... 9-3 file manage sort ...................................................................12-10
electrode application............................................................... 3-4 filter
12 lead............................................................................... 3-4 AC filter ..........................................................................12-22
15 lead............................................................................... 3-5 formats
Frank X,Y,Z....................................................................... 3-6 report..............................................................................12-28
NEHB................................................................................. 3-7 function keys ............................................................................2-7
pediatric............................................................................. 3-8
equipment

Index:
G delete stored ECGs .......................................................10-3

gender ................................................................................... 12-12 display stored ECGs......................................................11-5
green AC power light .............................................................. 2-5 edit demographic and interpretive data ........................9-3
ground lug................................................................................. 2-6 eject a disk from the drive slot .....................................11-4
enter data ........................................................................2-25
H enter orders manually......................................................4-9
height..................................................................................... 12-12 enter patient information .................................................4-3
height/weight in.................................................................... 12-13 format a disk ...................................................................11-3
Hi-Res setup lock and unlock a disk ...................................................11-3
analysis filter......................................................12-32, 12-34 mount the system to the trolley ....................................2-12
averaging target ................................................12-32, 12-34 preview ECG data before analysis..............................12-5
beat count averaging target ............................12-32, 12-34 print stored ECG reports .................................................6-3
correlation threshold.........................................12-32, 12-34 read label.........................................................................1-16
final report ..........................................................12-32, 12-34 receive ECGs by modem................................................8-3
noise level averaging target ............................12-32, 12-34 receive ECGs locally .......................................................8-5
how to record a signal averaged ECG............................... 5-5, 5-7
automatically print a resting report.............................. 12-6 record an ECG..................................................................5-3
automatically print a signal averaged ECG report.... 12-6 retrieve confirmed ECGs.................................................8-7
automatically store an ECG ......................................... 12-7 select items from a list...................................................2-26
automatically transmit an ECG .................................... 12-7 select menu functions....................................................2-23
clean ..................................................................................A-4 select the power up function.........................................12-5
connect the acquisition module ................................... 2-17 select the system setup function ....................... 12-3, 12-8
connect the system cables..................................2-14, 2-15 transmit by modem ..........................................................7-3
delete stored ECG orders............................................. 10-5 type data into a highlighted field ..................................2-25

Index:
use the arrow pad .......................................................... 2-23 standard.........................................................................12-26

verify correct operation ................................................. 2-18 swedish format .............................................................12-28
leadwire adapters .......................................................... 2-9, 2-10
I leakage current ....................................................................... D-3
ID length................................................................................ 12-12 location ...................................................................... 12-14, 12-16
ID number............................................................................. 12-12 location number ...................................................................12-10
immersion in water ..................................................................A-4
information................................................................................ 2-8 M
information line .................................................................... 12-10 main loop gain ......................................................................12-30
institution name...................................................................... 12-9 Main Menu ..............................................................................2-20
internal access button............................................................. 2-5 Main Menu functions .............................................................2-21
IR................................................................................................ 2-6 mains AC power connector....................................................2-6
maintenance
K contract ............................................................................. A-3
keyboard ................................................................................... 2-3 responsibility for .............................................................. A-3
manual
L conventions used .............................................................1-4
language selection .............................................................. 12-18 intended audience............................................................1-3
lead labels .............................................................................. 2-10 purpose ..............................................................................1-3
lead set.................................................................................. 12-30 revision history..................................................................1-3
lead Z display....................................................................... 12-30 user instructions ...............................................................1-5
leads Masters’ Step ........................................................................... F-3
rhythm............................................................................ 12-27 medications...........................................................................12-14
RMR/CGR/extra........................................................... 12-27 modem...................................................................................... D-3

Index:
modem speaker ................................................................... 12-16 paper tray ..................................................................................2-4

muscle tremor warning ....................................................... 12-22 password
overread.........................................................................12-11
N system............................................................................12-10
name of device ...................................................................... 1-16 patient
Negative.................................................................................... F-6 history.............................................................................12-14
noise level averaging target....................................12-32, 12-34 ID number length..........................................................12-12
normal ECG reports ............................................................ 12-29 ID number required......................................................12-12
questions function ........................................................12-24
O skin preparation ................................................................3-3
on/off.......................................................................................... 2-8 pediatric ECG report setup.................................................12-26
operating conditions................................................................D-7 PHi-Res setup ......................................................................12-32
operation polarity ...................................................................................12-31
ready for use................................................................... 2-18 Positive ......................................................................................F-6
option......................................................................................... 2-8 power
options................................................................................... 12-14 mains AC power connector ............................................2-6
order number........................................................................ 12-14 serial connector ............................................................12-10
overread password.............................................................. 12-11 power up options .................................................................12-19
pre-acquisition......................................................................12-21
P preview before analysis ......................................................12-22
pacemaker pulse enhancer ............................................... 12-22 print
paper automatic report pri........................................................12-6
tray size ............................................................................. 2-4 automatic report printing ...............................................12-6
paper storage...........................................................................A-8 setup parameters .........................................................12-35

Index:
product code .......................................................................... 1-16 restore setup.........................................................................12-35

return .........................................................................................2-8
Q rhythm........................................................................................2-7
QRS Beep ............................................................................ 12-31 leads...............................................................................12-27
reports............................................................................12-26
R RMR/CGR/extra rhythm lead.............................................12-27
Race ...................................................................................... 12-13 room number ........................................................................12-14
receive
confirmed ECGs............................................................... 8-7 S
via infrared communication ............................................ 8-5 safety
via modem ........................................................................ 8-3 definitions ..........................................................................1-6
Referred by........................................................................... 12-14 equipment symbols..........................................................1-9
repair guidelines ......................................................................D-6 general information ..........................................................1-9
report statements.........................................................................1-6
abnormal ECG ............................................................. 12-29 saggital plane .......................................................................12-30
confirmation text........................................................... 12-29 save setup changes ............................................................12-35
formats setup................................................................ 12-28 screen ........................................................................................2-3
normal ECG .................................................................. 12-29 screen colors ........................................................................12-15
print barcodes............................................................... 12-10 screening criteria .................................................................12-22
print location of ECG test information....................... 12-10 secondary ID ........................................................................12-14
reports select new language ...........................................................12-18
description......................................................................... E-3 serial line baud rate .............................................................12-17
responsibility of the manuafacturer ...................................... 1-9 serial number
resting ECG reports setup ................................................. 12-26 description .......................................................................1-16

Index:
where to find ................................................................... 1-16 swedish format rhythm leads .............................................12-28

serial power always on ....................................................... 12-10 system password .................................................................12-10
service requirements ............................................................ 1-15 system setup
setup print parameters ...........................................................12-35
preview before analysis ................................................ 12-5 restore setup .................................................................12-35
shift ............................................................................................ 2-8 save changes................................................................12-35
shutdown of system ............................................................ 12-10
signal averaged ECG setup............................................... 12-32 T
Site number .......................................................................... 12-10 technician..............................................................................12-14
skin preparation ....................................................................... 3-3 telephone number................................................................12-16
sort test Indication .......................................................................12-14
ECG orders........................................................12-19, 12-20 text entry .................................................................................12-9
file manager .................................................................. 12-10 thermal paper storage............................................................ A-8
space bar .................................................................................. 2-8 time setup .............................................................................12-17
speaker volume ..................................................................... 12-9 transmission
standard leads ..................................................................... 12-26 delete ECG after transmission...................................12-10
stop ............................................................................................ 2-7 setup...............................................................................12-15
storage conditions ...................................................................D-7 transmit
store automatic transmission .................................................12-7
data compression format ............................................ 12-23 via modem.........................................................................7-3
ECGs automatically....................................................... 12-7 troubleshooting
ST-T........................................................................................... F-6 basic questions................................................................ B-3
suppress ABNORMAL and BORDERLINE statements 12-22 operator error................................................................... B-3
suppress NORMAL statement .......................................... 12-22 visual inspection .............................................................. B-3

Index:
TTL Output ........................................................................... 12-31

two second pause ............................................................... 12-16
type ........................................................................................ 12-16
BF equipment ................................................................. 1-14
V
visual inspection .............................................................. A-4, B-3
W
weight .................................................................................... 12-13
width ...................................................................................... 12-31
writer
filter ................................................................................ 12-25
gain ................................................................................ 12-25
speed ............................................................................. 12-25

Index:
For your notes.

Mac 5000

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Mac 5000

Uploaded by

Copyright:

Available Formats

.

© GE Medical Systems Information Technologies, 2001. All rights reserved.

T-2 12 January 2001 MAC 5000 System — 2000657-024, Revision A

The country of manufacture and appropriate Notified

The product complies with the requirements of standard

MAC 5000 System — 2000657-024, Revision A CE-1

CE-2 MAC 5000 System — 2000657-024, Revision A

3 Preparing the Patient

4 Entering Patient Information

MAC 5000— 2000657-024, Revision A Contents-1

6 Printing an ECG Report

Contents-2 MAC 5000— 2000657-024, Revision A

12 Defining the System Setup

Contents-3 MAC 5000— 2000657-024, Revision A

F Masters’ Step Data

Contents-4 MAC 5000— 2000657-024, Revision A

MAC 5000 System — 2000657-024, Revision A 1-1

1-2 MAC 5000 System — 2000657-024, Revision A

Purpose Revision History

Intended Audience Figure 1-1. Revision History

MAC 5000 System — 2000657-024, Revision A 1-3

Conventions <Space> Indicates you must press the spacebar.

1-4 MAC 5000 System — 2000657-024, Revision A

MAC 5000 System — 2000657-024, Revision A 1-5

WARNING Indicates a potentially hazardous situation DANGER

which, if not avoided may result in minor or

1-6 MAC 5000 System — 2000657-024, Revision A

Operate the unit from

MAC 5000 System — 2000657-024, Revision A 1-7

1-8 MAC 5000 System — 2000657-024, Revision A

Responsibility of the Manufacturer General Information

This equipment uses a computerized ECG analysis

MAC 5000 System — 2000657-024, Revision A 1-9

This equipment will not cause abnormal operation of a

The Acute Cardiac Ischemia–Time Insensitive Predictive

1-10 MAC 5000 System — 2000657-024, Revision A

Recording ECGs During Defibrillation If polarizing electrodes are used, we recommend

MAC 5000 System — 2000657-024, Revision A 1-11

Accuracy of the Input Signal Reproduction Installation and Connection

1-12 MAC 5000 System — 2000657-024, Revision A

Parts and Accessories

Parts and accessories used must meet the requirements of

The use of ACCESSORY equipment not complying with

n use of the accessory in the PATIENT VICINITY;

MAC 5000 System — 2000657-024, Revision A 1-13

Charge the battery. The flashing amber LED

Consult accompanying documents.

1-14 MAC 5000 System — 2000657-024, Revision A

It is the user’s responsibility to report the need for service

MAC 5000 System — 2000657-024, Revision A 1-15

Equipment Identification Figure 1-3. Equipment Identification

The product code for the MAC 5000 system is MP.

1-16 MAC 5000 System — 2000657-024, Revision A

MAC 5000 System — 2000657-024, Revision A 2-1

2-2 MAC 5000 System — 2000657-024, Revision A

Front View Figure 1-1. Front View

MAC 5000 System — 2000657-024, Revision A 2-3

Internal View Figure 1-2. Internal View

2-4 MAC 5000 System — 2000657-024, Revision A

Back View Figure 1-3. Back View

MAC 5000 System — 2000657-024, Revision A 2-5

Connectors Figure 1-4. Back Panel Connectors

run the system.