2046275-016B Mac5500 Om

GE Healthcare
MAC® 5500/MAC® 5500 HD

Resting ECG Analysis System
Operator's Manual
Software Version 10
2046275-016 B
MAC® 5500/MAC® 5500 HD Resting ECG

Analysis System
English
© 2010-2013 General Electric Company.
All Rights Reserved.
Publication Information
The information in this manual only applies to MAC® 5500 and MAC® 5500 HD system software version 10. It does not apply to earlier
software versions. Due to continuing product innovation, specifications in this manual are subject to change without notice.
MAC, MULTI-LINK, MUSE, MACTRODE, Ultra-Archivist, MobileLink, and 12SL are trademarks owned by GE Medical Systems Information
Technologies, Inc., a General Electric Company going to market as GE Healthcare. All other marks are the properties of their respective
owners.
This product complies with the regulatory requirements concerning medical devices from the following bodies:
The document part number and revision are on each page of the document. The revision identifies the document’s update level. The revision
history of this document is summarized in the following table.
Revision History
Revision Publication Date Description
A 29 October 2010 Initial release of the document.
B 28 February 2013 Updated the following sections:
• Safety Messages.
• Supplies and Accessories.
• Equipment Symbols
• Product and Packaging Labels
• Related Documentation
• Connecting the LAN Option
• Connecting the Modem Option
• Saving Files in XML Format
• Updating Software from the SD Card
• Miscellaneous Setup
• Order Manager Interface
To access other GE Healthcare Diagnostic Cardiology manuals, go to the Common Documentation Library (CDL), located at
www.gehealthcare.com/documents, and click Cardiology.
2 MAC® 5500/MAC® 5500 HD 2046275-016B

28 February 2013
Contents
1 Introduction
Product Information.................................................................................... 9
Indications for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Prescription Device Statement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Recording ECGs During Defibrillation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Accuracy Of the Input Signal Reproduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Modulating Effects in Digital Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Installation and Connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Supplies and Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Equipment Symbols. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Product and Packaging Labeling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Equipment Identification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Regulatory and Safety Information........................................................... 16

Safety Conventions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Safety Messages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Classification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Underwriters Laboratories, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
EMI/EMC Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Legal Notice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Responsibility of the Manufacturer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Responsibility of the Purchaser/Customer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Service Information................................................................................... 22
Service Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Additional Assistance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Manual Information .................................................................................. 22

Manual Purpose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Intended Audience . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Document Conventions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Related Documentation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Training. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
2 System Overview
Hardware Description ............................................................................... 25
Front View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Back View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Internal View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Back Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Keyboard — Standard Keys. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Keyboard — Exercise Test Keys (Option). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Acquisition Equipment .............................................................................. 30

Acquisition Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Leadwire Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Leadwire Adapters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Connecting Peripherals............................................................................. 32
Connecting the LAN Option. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
2046275-016B MAC® 5500/MAC® 5500 HD 3

Connecting the Modem Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Connecting the MobileLink Wireless Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Connecting External Exercise Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Connecting the Acquisition Device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Verifying Correct Operation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Software Overview.................................................................................... 35
Test Screens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Main Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Report Layout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Entering Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
3 Preparing the Patient

Preparing the Patient's Skin ...................................................................... 46
Electrode Placement ................................................................................. 47

Resting ECG Placement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Exercise ECG Placement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
4 Entering Patient Information

Manually Entering Patient Information..................................................... 56
Reading a Patient Card (Option)................................................................ 56

Connecting the Card Reader . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Reading a Patient ID Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Scanning a Bar Code (Option) ................................................................... 58

Connecting the Bar Code Scanner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Scanning the Bar Code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Entering Orders......................................................................................... 59
Receiving Orders from a MUSE CV System (Option) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Manually Entering Orders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Selecting and Completing Orders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
5 Recording an ECG
Hookup Advisor ......................................................................................... 63
Standard ECGs .......................................................................................... 65
Signal Averaged ECGs ............................................................................... 67
Master's Step ECGs ................................................................................... 68
6 Exercise Stress Testing

Starting a Stress Test ................................................................................ 69
Pretest Phase ............................................................................................ 70
Exercise Phase........................................................................................... 71
Recovery Phase ......................................................................................... 73
4 MAC® 5500/MAC® 5500 HD 2046275-016B

Test End Phase .......................................................................................... 73
7 Editing Protocols
Protocol Overview..................................................................................... 75
Editing or Creating Protocols .................................................................... 77
8 Printing ECG Reports

Printing Another Report ............................................................................ 81
Printing Stored ECGs ................................................................................. 81
Storing Printouts....................................................................................... 82
9 Transmitting ECGs
Transmitting ECGs via Modem .................................................................. 83
Transmitting ECGs Locally ........................................................................ 84
Transmitting ECGs Wirelessly ................................................................... 85
Transmitting ECGs in XML Format............................................................. 86
10 Receiving ECGs
Receiving ECGs from Another MAC System............................................... 87
Receiving ECGs via Modem . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
Receiving ECGs Locally . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
Receiving ECGs from a MUSE CV System................................................... 88
11 Editing ECGs
Editing Demographic Information ............................................................ 91
Editing ECG Measurements....................................................................... 92
Editing Interpretive Statements................................................................ 93
12 Deleting ECGs and Orders

Deleting ECGs............................................................................................ 95
Deleting Orders......................................................................................... 96
13 Using an SD Card
Supported SD Cards .................................................................................. 99
Preparing the SD Card............................................................................. 100
2046275-016B MAC® 5500/MAC® 5500 HD 5

Locking and Unlocking the SD Card. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100
Inserting and Ejecting the SD Card. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100
Formatting the SD Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100
Managing Files on the SD Card ............................................................... 101

Displaying Stored ECGs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
Copying Files to the SD Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
Restoring Files from the SD Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102
Saving Files in XML Format . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102
Updating Software from the SD Card...................................................... 103
14 System Setup
System Setup Hierarchy.......................................................................... 105
Process Overview.................................................................................... 107
Setting Up Automatic Tasks .................................................................... 108

Setting Up Power Up Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108
Setting Up ECG Preview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108
Setting Up Resting ECG Report Printing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109
Setting Up Automatic ECG Storing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109
Setting Up Automatic ECG Transmission. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110
Setting Up Signal Averaged ECG Report Printing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110
Setting Up ACI-TIPI Interpretation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110
Setting Up System Basics........................................................................ 111

Miscellaneous Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
Patient Questions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113
Screen Colors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116
Transmission . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116
Network Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118
Option Activation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118
Date and Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120
Language . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120
Power Up Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121
Order Manager Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121
Input Method . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122
Setting Up ECGs ...................................................................................... 123

ECG Acquisition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124
ECG Analysis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125
Writer Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127
ECG Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 128
Analog Outputs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134
CT Data Guard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135
Critical Values Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136
Setting Up Signal Averaged ECGs............................................................ 139
Setting Up Exercise Tests ........................................................................ 139

Miscellaneous Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140
Writer Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141
Exercise Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141
Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 146
Inputs and Outputs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 146
6 MAC® 5500/MAC® 5500 HD 2046275-016B

Hi-Res...................................................................................................... 148
Setting Up a Card Reader........................................................................ 149

Automatic Configuration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 150
Manual Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 150
Setting Up a Bar Code Reader ................................................................. 151

Automatic Configuration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151
Manual Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151
Setting Up Master's Step Test ................................................................. 152
Managing System Setup ......................................................................... 153

Printing System Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153
Saving System Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153
Restoring System Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153
A Maintenance
Inspecting and Cleaning the MAC System............................................... 155
Inspecting the MAC System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155
Cleaning and Disinfecting Exterior Surfaces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 156
Cleaning, Disinfecting, and Storing ECG Cables and Leadwires. . . . . . . . . . . . . . . . . . . . . . . . . . . . 157
Cleaning, Disinfecting, and Storing Handheld Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159
Paper Maintenance ................................................................................. 161

Setting the Correct Paper Size . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 162
Loading the Paper. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163
Battery Maintenance .............................................................................. 163

Charging the Battery. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 164
Conditioning the Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165
Replacing the Battery. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165
Replacing Leadwire Adapters ................................................................. 166
B Troubleshooting
General Troubleshooting Guidelines....................................................... 169
Visual Inspection ..................................................................................... 169
Performance Problems............................................................................ 169

Unacceptable Noise Levels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169
ACI-TIPI Report Does Not Print . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 170
External Device Does Not Record BP Readings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 170
Treadmill/Ergometer Does Not Move . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 170
System Errors.......................................................................................... 171
C Report Formats
Numeric Reports ..................................................................................... 173
Additional Reports .................................................................................. 174
In-Test Reports........................................................................................ 175

2046275-016B MAC® 5500/MAC® 5500 HD 7
Exercise Final Reports ............................................................................. 176
Exercise Report Codes............................................................................. 177
D Master's Step Data

Master's Step Table ................................................................................. 179
ST-T Changes .......................................................................................... 182
E Creating Bar Codes and Magnetic Cards

Manual Reader Configuration................................................................. 183
Automatic Reader Configuration ............................................................ 185
8 MAC® 5500/MAC® 5500 HD 2046275-016B

Introduction
1
This chapter provides information required for the proper use of the product and
manual. Familiarize yourself with this information before using the product.
Product Information
This section provides a general overview of the product. A detailed description of the
product can be found in Chapter 2, System Overview.
Indications for Use

The MAC 5500/5500 HD ECG Analysis System is intended to acquire, analyze, display,
and record electrocardiographic information from adult and pediatric populations.
Basic systems deliver 3, 6, 12, or 15 lead ECG’s, interpretive analysis, vector loops,
and can be upgraded to provide software analysis options such as high resolution
signal averaging of QRS and P wave portions of the electrocardiogram. Transmission
and reception of ECG data to and from a central ECG cardiovascular information
system is optional.
The MAC 5500 HD is intended to be used under the direct supervision of a licensed
healthcare practitioner, by trained operators in a hospital or medical professional’s
facility.
Prescription Device Statement

CAUTION: United States federal law restricts this device to sale by or on the order
of a physician.
Recording ECGs During Defibrillation

This equipment is protected against the effects of cardiac defibrillator discharge
to ensure recovery, as required by test standards. The patient signal input of the
acquisition module is defibrillation-proof. Therefore, it is not necessary to remove
the ECG electrodes prior to defibrillation.
When using stainless steel or silver electrodes a defibrillator discharge current may
cause the electrodes to retain a residual charge causing a polarization or dc offset
voltage. This electrode polarization will block 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.
2046275-016B MAC® 5500/MAC® 5500 HD 9
Introduction
If polarizing electrodes are used, we recommend disconnecting the leadwires from

the patient before delivering the shock.
Electrode defibrillation recovery is the ability of the electrode to allow the ECG
trace to return after defibrillation. We recommend using non-polarizing disposable
electrodes with defibrillation recovery ratings as specified in AAMI EC12 4.2.2.4. (Refer
to the MAC3500/MAC5500 HD Supplies and Accessories Reference Manual for a list
of approved electrodes.)
Accuracy Of the Input Signal Reproduction

• Overall System Error meets AAMI EC11 3.2.7.1.
Overall System Error is between or within +/–5%.
• Frequency Response meets AAMI EC11 3.2.7.2 methods A and D.
Frequency response is between or within +/- 10% between 0.67 and 40 Hz and
between +0 and -10% for 20 ms, 1.5 mV triangular input.
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.
Installation and Connection

If the installation of this equipment, in the USA, will use 240 V rather than 120 V, the
source must be a center-tapped, 240 V, single-phase circuit.
Contact GE Healthcare for information before connecting any devices to this
equipment not recommended in this manual.
Supplies and Accessories

For ordering information and a list of supplies and accessories that have been
approved by GE Healthcare for use with this device, see the MAC 3500/MAC 5500 HD
Resting ECG Analysis Supplies and Accessories Reference Manual.
Equipment Symbols
The following symbols may appear on the product or its packaging.
Symbol Description
Type BF equipment. The acquisition module is protected from
defibrillation shocks.
Alternating Current
10 MAC® 5500/MAC® 5500 HD 2046275-016B

Introduction
Symbol Description
Equipotential
Charge the battery. The flashing amber LED next to this symbol
indicates you must connect the system to AC power to recharge the
battery.
LAN port for connecting an Ethernet cable with a standard RJ-45 jack.
Internal modem port for connecting a phone line with a standard

RJ-11 jack.
Waste of electrical and electronic equipment must not be disposed

as unsorted municipal waste and must be collected separately.
Please contact an authorized representative of the manufacturer for
information concerning the decommissioning of your equipment.
Recycle the battery.
Consult the accompanying documentation.
Classified with respect to electric shock, fire, mechanical, and other

specified hazards only in accordance with applicable UL standards.
To reduce the risk of electric shock, do NOT remove cover (or back).
Refer servicing to qualified personnel.
This product consists of devices that may contain mercury, which

must be recycled or disposed of in accordance with local, state, or
country laws. (Within this system, the backlight lamps in the monitor
display contain mercury.)
Manufacturer name and address.
Authorized European representative.
PCT. GOST marking symbolizing conformity with applicable Russian

Gosstandart technical and safety standards.
USA Only: For use only on or by order of a physician.
CE Mark — Symbolizes conformity with applicable EU (European

Union) directives.
2046275-016B MAC® 5500/MAC® 5500 HD 11

Introduction
Product and Packaging Labeling

This section identifies the product labels and their locations on the product and
packaging.
12 MAC® 5500/MAC® 5500 HD 2046275-016B

Introduction
Refer to the previous illustrations for the locations of the labels identified in the
following table.
No. Label Description

1 Located on the bottom of the device, this label
indicates the device contains mercury and must
be disposed of in accordance with state and local
laws.
2 Located on the cover of the device, this label
identifies the product's model number.
3 Located on the back of the device, this label
contains the Disposal and GOST labels. Refer to
“Equipment Symbols” on page 10 for detailed
descriptions of the symbols.
4 Located inside the writer compartment, this label
uniquely identifies this unit. Refer to “Product
Label” on page 15 for detailed information.

provides regulatory and cautionary information.
Refer to “Equipment Symbols” on page 10 for
detailed descriptions of the symbols.
identifies the device's electrical ratings.
7 Located inside the battery compartment,

this label provides information about the
specifications and disposal of the battery. Refer
to “Equipment Symbols” on page 10 for detailed
descriptions of the symbols.
8 Located on the front of the device, this label
indicates that, in the USA, federal law restricts
sale of the device to or on the order of a physician.
9 Located below the display, this label indicates the
device uses the Marquette™ 12SL™ ECG Analysis
Program to analyze and interpret ECG readings.
2046275-016B MAC® 5500/MAC® 5500 HD 13

Introduction
No. Label Description

10 Located to the right of the display, this label
instructs the user on where to place leads.
11 Located on the right side of the device, this label

distinguishes between the LAN RJ-45 port and
the internal modem RJ-11 port.
12 Located on the package, the shipping label

contains the following information:
• Product description
• Sales order number
• Configuration number
• Model number
• Serial number
• Storage conditions
• Regulatory compliance
• Country of Origin
• EC Representative information
Equipment Identification
Every GE Healthcare device has a product label that identifies the product name, part
number, manufacturing information, and unique serial number. This information is
required when contacting GE Healthcare for support.
14 MAC® 5500/MAC® 5500 HD 2046275-016B

Introduction
Product Label
The product label is laid out in the following format. Depending on the product, the
label may vary slightly in format, but it contains the same information.
Product Label Format
Item Description
1 Product part number

2 Product description
3 Date of manufacture in YYYY-MM format
4 Manufacturer name and address
5 Country of origin
6 Product bar code
7 Unit serial number (See “Serial Number Format” on page 15 for more
information.)
Serial Number Format

Each device has a serial number that uniquely identifies the device and provides
important information about the device. The serial number format is shown in the
following illustration:
Serial Number Format
Item Name Description
1 Product Code A three-letter code that uniquely identifies the

product line. Refer to “Product Codes” on page
16 for more information.
2 Year Manufactured A two-digit code identifying the year the device
was manufactured. Values range from 00 to 99.
For example: 00 = 2000, 04 = 2004, 05 = 2005
(and so on).
2046275-016B MAC® 5500/MAC® 5500 HD 15

Introduction
Serial Number Format (cont'd.)
Item Name Description
3 Fiscal Week A two-digit code identifying the week the device

Manufactured was manufactured.
Values range from 01 to 52. GE Healthcare's fiscal
weeks correspond to the calendar week. For
example, 01 = the first week in January.
4 Product Sequence A four-digit number identifying the order in which
this device was manufactured. Values range from
000 to 9999.
5 Manufacturing Site A one-letter code identifying the site where the
device was manufactured. For example, F =
Milwaukee, N = Freiburg, P = Bangalore
6 Miscellaneous For example, P = the device is a prototype, R =
Characteristic the device was refurbished, U = the device was
upgraded to meet the specifications of another
product code.
Product Codes
The product code identifies specific system platforms. You need the product code
before servicing or requesting support for your device.
You can identify the product code using the device’s serial number, which can be
located in one of the following places:
• On the product label attached to the base of the device.
• On the product label provided with the application CD.
• In the application on IT systems:
Launch the system application and click Help > About to view the serial number.
For information on launching the application, refer to the product's service or
operator's manual.
Regulatory and Safety Information

This section provides information about the safe use and regulatory compliance of
this system. Familiarize yourself with this information, and read and understand all
instructions before attempting to use this system. The system software is considered
medical software. As such, it was designed and manufactured to the appropriate
medical regulations and controls.
NOTE:
Disregarding the safety information provided in this manual is considered
abnormal use of this system and could result in injury, data loss, or a voided
warranty.
Safety Conventions
A Hazard is a source of potential injury to a person, property, or the system.
16 MAC® 5500/MAC® 5500 HD 2046275-016B

Introduction
This manual uses the terms DANGER, WARNING, CAUTION, and NOTICE to point out
hazards and to designate a degree or level of seriousness. Familiarize yourself with
the following definitions and their significance.
Definitions of Safety Conventions
Safety Definition
Convention
DANGER Indicates an imminent hazard, which, if not avoided, will result in death
or serious injury.
WARNING Indicates a potential hazard or unsafe practice, which, if not avoided,
could result in death or serious injury.
CAUTION Indicates a potential hazard or unsafe practice, which, if not avoided,
could result in moderate or minor injury.
NOTICE Indicates a potential hazard or unsafe practice, which, if not avoided,
could result in the loss or destruction of property or data.
Safety Messages
The following messages apply to the system as a whole. Specific messages may also
be provided elsewhere in the manual.
WARNING:
PATIENT MONITORING — This device does not provide alarms and is not intended
to be used as electrocardiographic monitoring equipment (vital signs physiological
monitor).
If patient monitoring is required, use a device that has been qualified for that use.
WARNING:
ACCIDENTAL SPILLS — If liquids enter a device, take the device out of service and
have it checked by a service technician before it is used again.
To avoid electric shock or device malfunction, liquids must not be allowed to
enter the device.
WARNING:
BATTERY OPERATION — If the integrity of the protective earth conductor is in
doubt, operate the unit from its battery.
WARNING:
CABLES — To avoid possible strangulation, route all cables away from the patient's
throat.
WARNING:
CONNECTION TO MAINS — This is class I equipment.
The mains plug must be connected to an appropriate power supply.
2046275-016B MAC® 5500/MAC® 5500 HD 17

Introduction
WARNING:
DEFIBRILLATOR PRECAUTIONS — Do not come into contact with patients during
defibrillation. Otherwise, serious injury or death could result.
Patient signal inputs labeled with the CF and BF symbols with paddles are
protected against damage resulting from defibrillation voltages.
To ensure proper defibrillation protection, use only the recommended cables and
leadwires.
Proper placement of defibrillator paddles in relation to the electrodes is required to
ensure successful defibrillation.
WARNING:
ELECTRODES — Polarizing electrods (stainless steel or silver constructed) may
cause the electrodes to retain a residual charge after defibrillation. A residual
charge will block acquisition of the ECG signal.
Whenever patient defibrillation is a possibility, use non-polarizing electrodes (silver
or silver chloride construction) for ECG monitoring.
WARNING:
MAGNETIC AND ELECTRICAL INTERFERENCE — Magnetic and electrical fields are
capable of interfering with the proper performance of the device.
For this reason, make sure that all external devices operated in the vicinity of
the device comply with the relevant EMC requirements. X-ray equipment or MRI
devices are possible sources of interference as they may emit higher levels of
electromagnetic radiation.
WARNING:
EXPLOSION HAZARD — Do NOT use in the presence of flammable anesthetics
vapors or liquids.
WARNING:
INTERPRETATION HAZARD — Computerized interpretation is only significant when
used in conjunction with clinical findings.
A qualified physician must overread all computer-generated tracings.
WARNING:
OPERATOR — Medical technical equipment such as this system must be used
only by qualified and trained personnel.
WARNING:
SHOCK HAZARD — Improper use of this device presents a shock hazard. Strictly
observe the following guidelines. Failure to do so may endanger the lives of the
patient, user, and bystanders.
When disconnecting the device from the power line, remove the plug from the
wall outlet before disconnecting the cable from the device; otherwise, there is a
risk of coming into contact with line voltage by inadvertently introducing metal
parts in the sockets of the power cord.
Devices may be connected to other devices or to parts of systems only after
making certain that there is no danger to the patient, operators, or environment
as a result. Standards IEC 60601–1–1/EN60601–1–1 must be complied with in
all cases.
18 MAC® 5500/MAC® 5500 HD 2046275-016B

Introduction
WARNING:
SITE REQUIREMENTS — Improper placement of the device and/or accessories may
result in a hazard to the patient, operator, or bystanders.
Do not route cables in a way that they may present a stumbling hazard.
Connectors for patient cables and leadwires are designed to prevent accidental
disconnection.
For devices installed above the patient, adequate precautions must be taken to
prevent them from dropping on the patient.
WARNING:
TREADMILLS — Avoid rapid changes in treadmill speed and/or grade during a
stress test.
CAUTION:
PROPER LEADWIRE CONNECTION — Improper connection will cause inaccuracies
in the ECG.
Trace each individual leadwire from its acquisition module label to the colored
connector and then to the proper electrode to ensure that it is matched to the
correct label location.
CAUTION:
ACCESSORIES (SUPPLIES) — Parts and accessories used must meet the
requirements of the applicable IEC 60601 series safety standards and essential
performance standards, and/or the system configuration must meet the
requirements of the IEC 60601–1–1 medical electrical systems standards.
To ensure patient safety, use only parts and accessories manufactured or
recommended by GE Healthcare.
CAUTION:
ACCESSORIES (EQUIPMENT) — The use of accessory equipment that does not
comply 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 of equipment shall include:
• Use of the accessory in the patient vicinity, and
• Evidence that the safety certification of the accessory has been performed
in accordance with the appropriate IEC 60601–1 and/or IEC 60601–1–1
harmonized national standard.
CAUTION:
BATTERY POWER — If a device equipped with an optional battery pack will not be
used or connected to the power line for a period of over six months, remove the
battery.
CAUTION:
BEFORE INSTALLATION — Compatibility is critical to safe and effective use of
this device. Please contact your local sales or service representative prior to
installation to verify equipment compatibility.
CAUTION:
DISPOSABLES — Disposable devices are intended for single use only. They should
not be reused as performance may degrade or contamination could occur.
2046275-016B MAC® 5500/MAC® 5500 HD 19

Introduction
CAUTION:
DISPOSAL — At the end of its service life, the product described in this manual,
as well as its accessories, must be disposed of in compliance with local, state, or
federal guidelines regulating the disposal of such products.
If you have questions concerning the disposal of the product, please contact GE
Healthcare or its representative.
CAUTION:
EQUIPMENT DAMAGE — Devices intended for emergency application must not be
exposed to low temperatures during storage and transport to avoid moisture
condensation at the application site.
Wait until all moisture has vaporized before using the device.
CAUTION:
ELECTRIC SHOCK — To reduce the risk of electric shock, do not remove cover
or back.
Refer servicing to qualified personnel.
CAUTION:
OPERATOR — Medical technical equipment such as this electrocardiograph system
must only be used by persons who have received adequate training in the use of
such equipment and who are capable of applying it properly.
CAUTION:
POWER REQUIREMENTS — Before connecting the device to the power line, check
that the voltage and frequency ratings of the power line are the same as those
indicated on the unit's label. If this is not the case, do not connect the system to
the power line until you adjust the unit to match the power source.
In the USA, if the installation of this equipment will use 240V instead of 120V, the
source must be center-tapped, 240V single-phase circuit.
This equipment is suitable for connection to public mains as defined in CISPR 11.
CAUTION:
SERVICEABLE PARTS — This equipment contains no user serviceable parts.
Refer servicing to qualified service personnel.
CAUTION:
SUPERVISED USE — This equipment is intended for use under the direct supervision
of a licensed health care practioner.
Classification
This device is classified as follows, in accordance with IEC 60601–1:
Category Classification
Type of protection against electric shock Class I internally powered equipment.
Degree of protection against electric shock Type BF defibrillation-proof applied part.
Degree of protection against harmful ingress Ordinary equipment (enclosed equipment
of water without protection against ingress of water).
20 MAC® 5500/MAC® 5500 HD 2046275-016B

Introduction
Category Classification
Degree of safety of application in the Equipment not suitable fo use in the presence
presence of a flammable anesthetic mixture of a flammable anesthetic mixture with air or
with air or with oxygen or nitrous oxide with oxygen or nitrous oxide.
Method(s) of sterilization or disinfection Not applicable.
recommended by the manufacturer
Mode of operation Continuous operation.
Underwriters Laboratories, Inc.

Medical Equipment
With respect to electric shock, fire, and mechanical hazards only in
accordance with applicable UL standards.
EMI/EMC Requirements
The device or system is labeled under the original equipment manufacturers label (for
example, USA FCC 47CFR15, CE EU EMC 2004/108/EC), and deemed sufficient by
GE Healthcare to be in compliance with EN/IEC 60601-1-2 when used according to
the device or system’s intended use. GE Healthcare-supplied hardware meets the
applicable country requirements.
Classification Description
Class A The device or system is suitable for use in all establishments other than
domestic and those directly connected to the public low-voltage power
supply network that supplies buildings used for domestic purposes.
Mains power should be a typical commercial or hospital environment.
NOTE:
Compliance provides reasonable protection against radio-frequency interference.
However, there is no guarantee that interference will not occur in a particular
installation. You can tell whether this device or system is causing interference by
turning it off. If the interference stops, it was probably caused by the device or
system.
For more information regarding the installation of this product in compliance with its
electromagnetic compatibility, refer to the service manual.
Legal Notice
Our equipment contains several fields that 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. Race 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.
2046275-016B MAC® 5500/MAC® 5500 HD 21

Introduction
Responsibility of the Manufacturer

GE Healthcare is responsible for the safety, reliability, and performance of hardware
supplied by GE Healthcare only if the following conditions are met:
• Assembly operations, extensions, readjustments, modifications, or repairs are
performed by persons authorized by GE Healthcare.
• The electrical installation of the room where the device is used complies with the
requirements of the appropriate local, state, and other government regulations.
• The equipment is used in accordance with the instructions for use.
Responsibility of the Purchaser/Customer

The customer is responsible for providing appropriate desks, chairs, electrical wall
outlets, network connections, and analog phone lines, and for locating any of the
system components described in this manual in compliance with all local, state, and
national codes.
Service Information
This section provides information pertaining to the maintenance and servicing of the
system. Familiarize yourself with this information before requesting service from GE
Healthcare or its authorized representatives.
Service Requirements
Failure on the part of the responsible individual, hospital, or institution using this
equipment to implement a satisfactory maintenance schedule may cause undue
equipment failure and possible safety hazards.
Regular maintenance, irrespective of usage, is essential to ensure that the components
of this system are always functional when required.
Additional Assistance
GE Healthcare maintains a trained staff of application and technical experts to answer
questions and respond to issues and problems that may arise during the installation,
maintenance, and use of this system.
Contact your local GE Healthcare representative to request additional assistance.
Manual Information
This section provides information for the correct use of this manual.
Manual Purpose
This manual provides information necessary for the configuration and safe operation
of this equipment in accordance with its function and intended use. It is not intended
as a replacement for, but a supplement to, thorough product training. Keep it with
the equipment at all times. Additional manuals may be ordered by contacting GE
Healthcare.
22 MAC® 5500/MAC® 5500 HD 2046275-016B

Introduction
Refer to the service manual for technical information related to the maintenance and
repair of the equipment.
Intended Audience
This manual is intended to be used by the person(s) responsible for the configuration
and operation of the equipment. It is expected that the user of this manual will
complete thorough product training as well as read and understand all instructions
in this manual before attempting to use the product.
Request training from GE Healthcare, if needed.
Document Conventions
This manual uses the following conventions.
Typographical Conventions
Convention Description
Bold Text Indicates keys on the keyboard, text to enter, or hardware items such as
buttons or switches on the equipment.
Italicized-Bold Indicates software terms that identify menu items, buttons or options in
Text various windows.
CTRL+ESC Indicates a keyboard operation. A plus (+) sign between the names of two
keys indicates that while holding the first key, you should press and release
the second key. For example, Press CTRL+ESC means to press and hold the
CTRL key and then press and release the ESC key.
<space> Indicates that you must press the spacebar. When instructions are given
for typing a precise text string with one or more spaces, the point where
you must press the spacebar is indicated as <space>. This ensures that
the correct number of spaces is inserted in the correct positions within
the literal text string. The purpose of the < > brackets is to distinguish the
command from the literal text within the string.
Enter Indicates that you must press the Enter or Return key on the keyboard. Do
not type Enter.
> The greater than symbol, or right angle bracket, is a concise method to
indicate a sequence of menu selections.
For example, the statement “From the main menu, select System > Setup >
Options to open the Option Activation window” replaces the following:
1. From the main menu, select System to open the System menu.
2. From the System menu, select Setup to open the Setup menu.
3. From the Setup menu, select Options to open the Option Activation
window.
Illustrations
All illustrations in the manual are provided as examples only. Depending on system
configuration, screens in the manual may differ from the screens on your system.
All patient names and data are fictitious. Any similarity to actual persons is
coincidental.
2046275-016B MAC® 5500/MAC® 5500 HD 23

Introduction
Notes
Notes provide application tips or additional information that, while useful, are not
essential to the correct operation of the system. They are called out from the body
text through a flag word and indentation, as follows:
NOTE:
The tip or additional information is indented below the NOTE flag word.
Related Documentation
The following documents are referenced in this manual and provide additional
information that may be helpful in the installation, configuration, maintenance, and
use of this product.
Part Number Title

2036070-006 Marquette™ 12SL™ ECG Analysis Program Physician's Guide
2046275-017 MAC™ 5500/MAC™ 5500 HD Resting ECG Analysis System Field
Service Manual
2020299-021 MobileLink™ Wireless Communications Installation Manual
2025521-001 KISS™ Multilead Operator’s Manual
2020299-025 LAN Option for MAC™ Resting ECG Systems Installation and
Troubleshooting Guide
2046275-223 MAC3500/MAC5500 HD Resting ECG Analysis Supplies and
Accessories Reference Manual
Training
This manual is intended as a supplement to, not a substitute for, thorough product
training. If you have not received training on the use of the system, you should request
training assistance from GE Healthcare.
To see available training, go to the GE Healthcare training Web
site (www.gehealthcare.com/training). Select Education>Product
Education-Technical>Diagnostic Cardiology.
For more self-paced course offerings, tools, and reference guides you
may find useful, please visit the GE Healthcare Education Store at
www.gehealthcare.com/educationstore.
24 MAC® 5500/MAC® 5500 HD 2046275-016B

System Overview
2
This chapter describes the device's hardware components, software screen
components, report layout, and basic navigation and data entry. Familiarize yourself
with this information before using the device.
Hardware Description
This section identifies the key components of the MAC system hardware. Familiarize
yourself with these components, their location, and their use before attempting
to use the equipment.
Front View
Name Description
1 Display Screen View the waveform and text data.
2 Modem Port Connect to a telephone line.
2046275-016B MAC® 5500/MAC® 5500 HD 25

System Overview
Name Description
3 LAN Port Connect to a LAN cable. LEDs provide information
about connection status.
• The green LED indicates a good Ethernet link.
• The amber LED flashes to indicate network traffic.
4 Keyboard Controls the system and enters data.
Back View
Name Description
1 Back panel connectors Connect to peripherals.
2 Secure data card slot Insert a secured data (SD) card for external storage.
3 Green AC Power Indicates the system is connected to AC power.
4 Internal access button Opens the system to change paper or battery.
5 Amber battery light Indicates the battery is charging.
Internal View
26 MAC® 5500/MAC® 5500 HD 2046275-016B

System Overview
Name Description
1 Battery Supplies power when unit is not connected to AC
power. Recharge the battery when the battery icon
flashes on-screen.
2 Writer door Provides access to the writer, paper tray, and battery.
3 Acquisition module Connects the unit to an acquisition module.
connector
4 Paper tray Contains the paper used to print ECGs.
5 Paper size selector Adjusts the paper tray for STD (US Letter) or A4 paper
sizes.
Back Panel
WARNING:
CURRENT LEAKAGE — Keep current leakage within acceptable limits when
connecting auxiliary equipment to this device.
Total system current leakage must not exceed 100 microamperes.
Name Description
1 A Connects to an optional card reader, bar code reader,
or PS/2 keyboard for entering patient information.
2 1 Connects to a GE KISS pump.
When using the exercise option, connects to a T2000
treadmill or external blood pressure device.
NOTE:
Ergoline bicycle ergometers must be connected
to both this port and the ANA/TTL port.
3 2 Connects to a local transmission cable, serial line,
modem, or client bridge (wireless option).
4 ANA/TTL Connects to a device requiring analog data or a TTL
trigger.
When using the exercise option, connects to an
analog treadmill, ergometer cable, or TTL trigger.
NOTE:
Ergoline bicycle ergometers must be connected
to both this port and port 1.
5 EXT.VID. Connects to an external video display.
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System Overview
Name Description
6 IR Exchanges ECG data with a MAC system or MUSE CV
system via infrared transmission.
NOTE:
Depending on the age of your system, infrared
transmission may not be supported.
7 Card slot Houses a system card for external data storage or
to update software.
8 Ground lug Connects to non-grounded peripheral devices to
ensure equipotential.
9 Main AC Power Connects the system to an AC power supply via
power cable.
Keyboard — Standard Keys
Name Description
1 Function keys Selects screen menu functions.
2 Power button Powers the system on and off.
3 Delete key Erases typed characters.
4 Copy key Prints an additional (copy) ECG report.
5 ECG key Acquires a 12SL resting ECG, including measurements
and interpretation.
28 MAC® 5500/MAC® 5500 HD 2046275-016B

System Overview
Name Description
6 Rhythm key Prints continuous ECG data, which cannot be stored
or transmitted.
7 Stop key Stops the writer from printing.
8 Arrow pad Moves the cursor left, right, up, or down. Pressing
the center button selects the highlighted menu or
screen item.
9 Return key Enters information into the system.
10 Information key Provides additional user information.
11 Spacebar Adds a space between typed characters or highlights
screen items.
12 Option key Used to create special characters on non-English
keyboards.
13 Esc key Returns to the previous menu.
14 Shift key Creates capital letters. Press shift + p to type P.
Keyboard — Exercise Test Keys (Option)
Name Description
1 Pretest Advances to the next stage within the current pretest
phase.
2 Exercise Advances the exercise test to the exercise phase or
to the next stage within the current exercise phase.
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System Overview
Name Description
3 Recovery Advances the exercise test to the recovery phase or
to the next stage within the current recovery phase.
4 Test end Ends the test and starts the test end phase.
5 Speed W Adjusts the belt speed on treadmills or load on
ergometers. Press Speed W — to decrease the speed
or load. Press Speed W + to increase the speed or
load.
6 Grade Adjusts the grade of the treadmill. Press Grade á to
increase the grade. press Grade â to decrease the
grade.
7 Start/STOP tmill Starts or stops the treadmill during the test. Press
Start tmill to manually start the treadmill. Press
STOP tmill to manually stop the treadmill.
NOTE:
In the event of an emergency, press and hold the
STOP tmill key to stop the treadmill quickly.
8 Recall Prints a 10–second delayed recall report.
9 12 ld Prints a 12–lead report with 10 seconds of acquired
data.
10 Medians Prints a medians report.
11 Comment Allows you to enter comments about the test.
Comments are printed on many of the final reports.
12 Enter BP Allows you to enter blood pressure readings or to
trigger a reading from an external device.
Acquisition Equipment
This section provides an overview of the external equipment connected to the MAC
system for the acquisition of ECG data. Familiarize yourself with these components
before attempting to acquire ECG data.
Acquisition Module
WARNING:
BURN PROTECTION — Use of acquisition modules other than the CAM-14 or CAM
HD acquisition modules could result in high-frequency burns.
To ensure defibrillation protection and protection against serious injury, use only
the CAM-14 or CAM HD acquisition modules with this equipment.
30 MAC® 5500/MAC® 5500 HD 2046275-016B

System Overview
Name Description
1 Leadwires Attaches to the patient electrodes. The acquisition
module uses either 10 or 14 leadwires.
2 Rhythm button Initiates the printing of a rhythm strip.
3 Stop writer button Cancels the current print job.
4 Acquisition module cable Connects the acquisition module to the MAC system.
5 ECG Button Initiates the recording of an ECG.
NOTE:
If you enable the Preview before analysis function, press (5) to view the data. Then,
either press (5) again to analyze the data or press (3) to discard the data.
Leadwire Labels
One of the following set of labels may appear on the acquisition device.
CAUTION:
PROPER LEADWIRE CONNECTION — Improper connection causes inaccuracies in
the ECG.
Trace each individual leadwire from its acquisition module label to the color-coded
connector and proper electrode to ensure that it is matched to the correct label
location.
2046275-016B MAC® 5500/MAC® 5500 HD 31

System Overview
10 Leadwire AHA 10 Leadwire IEC
13 Leadwire AHA Pediatric 13 Leadwire IEC Pediatric
14 Leadwire AHA 14 Leadwire IEC
14 Leadwire AHA Aux 14 Leadwire IEC Aux
Leadwire Adapters
MULTI-LINK leadwires require one of the following adapters to connect to electrodes.
1 4 mm pin
2 Grabber
3 MACTRODE clip
4 Leadwire end
Connecting Peripherals
You should connect any of the following peripheral devices to the MAC system before
powering it on:
32 MAC® 5500/MAC® 5500 HD 2046275-016B

System Overview
Connecting the LAN Option

If you purchased the LAN option, insert an Ethernet cable with an RJ-45 jack to the
LAN port as shown in the following illustration.
Before you can use the LAN option, you must configure the LAN settings on both the
MAC device and the MUSE system to which it will communicate. See the LAN Option
for MAC™ Resting ECG Systems Installation and Troubleshooting Guide for information.
Connecting the Modem Option

The procedure for connecting the modem option differs depending on whether you
purchased the internal modem or the external modem.
To connect to the internal modem, insert a standard phone line with an RJ-11 jack to
the modem port as shown in the following illustration.
To connect to the external modem, you must first install the external modem kit. See
the Field Service Manual for instructions on mounting and connecting the external
modem kit.
After connecting to the modem, you must configure the MAC device to use the
modem. See “Transmission” on page 116 for more information.
Connecting the MobileLink Wireless Option

See the MobileLink Installation and Troubleshooting Guide for information about
mounting, configuring, and connecting the wireless option.
2046275-016B MAC® 5500/MAC® 5500 HD 33

System Overview
Connecting External Exercise Devices

The following table identifies the optional exercise devices that can be connected to
the MAC system and the ports through which they connect.
Port Devices
Port 1
• Series T2000 treadmills,
• SunTech Tango blood pressure device,
• Colin STBP-780 blood pressure device, or
• Ergoline 900/900L integrated blood pressure device.
NOTE:
Before using external devices the system must be properly set up
(see Chapter 14, “System Setup”) and exercise protocols must be
properly defined (see Chapter 7, “Editing Protocols”).
ANA/TTL Port
• The Ergoline 800 ergometer.
• The Ergoline 900 ergometer
NOTE:
Other bicycle ergometers and treadmill models with an analog
port can be connected to the analog output of the MAC 5500.
A TTL QRS trigger signal for external devices can be connected to
the ANA/TTL port.
Connecting the Acquisition Device

Use the following procedure to connect the acquisition device to the MAC system.
34 MAC® 5500/MAC® 5500 HD 2046275-016B

System Overview
1. Connect one end of the acquisition module cable to the MAC system and the
other end to the acquisition module.
2. Connect the leadwires to the acquisition module.
Refer to “Acquisition Equipment” on page 30 for more information.
Verifying Correct Operation

To verify the correct operation of the MAC system, press the power button to turn
on the system.
• If the system starts up without displaying error messages, the system is operational.
• If the system displays error messages, turn the system power off, then on again. If
error messages persist, contact GE Healthcare Service.
Software Overview
This section provides an overview of the system software. It describes the basic
screen layout, main menu functions, and basic data entry and navigation techniques.
Familiarize yourself with these features before attempting to use the MAC system.
Test Screens
The test screen differs depending on which test is selected, although all test screens
share some common components.
2046275-016B MAC® 5500/MAC® 5500 HD 35

System Overview
Resting ECG Screen

The following illustration is the standard test screen.
Name Description
1 Software Version Displays the system's software version during the
first few seconds of power up.
2 User Prompts Provides additional information for the user.
3 Hookup Advisor Displays the quality of the patient hookup. Can be
turned on or off.
4 Function Icon Indicates the Main Menu function currently being
used. In this example, the Resting ECG function is
being used.
5 Battery Status Icon Indicates the status of the battery charge.
6 High Definition Pace Indicates that high definition (HD) pacemaker
Detection Indicator detection is enabled. HD provides better analysis of
patients with pacemakers.
HD is an optional feature that is available if the
following conditions are met:
• The HDMD option has been purchased and
activated.
• The CAM HD acquisition module is connected to
the system.
For information on activating HD, refer to “Option
Activation” on page 118.
7 Menu Provides access to additional settings or functions.
36 MAC® 5500/MAC® 5500 HD 2046275-016B

System Overview
Exercise Test Screen

The following illustration is the exercise test screen.
Name Description
1 System Messages Provides error or other information.
2 Current Heart Rate Bar Provides a graphical representation of the patient's
Graph latest heart rate. The top horizontal line is the
maximum predicted heart rate (220 - age). The line
below that is the target heart rate (a percentage of
220 - age). At the start of Exercise phase, a third line
displays the resting heart rate.
3 Workload Level Indicates the units of measurement and can be
changed.
4 Phase and Stage Clocks Indicates the current duration of the phase and
stage. The top clock displays the total time in a
phase. The bottom clock displays the time in a stage.
During the Test End phase, the top clock displays
total time in the Exercise phase and the bottom clock
displays total time in the Recovery phase.
5 Current Phase and Stage Indicates what phase (top name) and stage (bottom
Name name) are currently being performed.
6 Protocol Name Identifies the name of the protocol.
7 Rhythm Formats Displays the lead readings. Refer to Chapter 14,
“System Setup” for instructions on changing the
leads being displayed.
8 Medians Displays the median of the current and pretest
rhythms.
2046275-016B MAC® 5500/MAC® 5500 HD 37

System Overview
Name Description
9 Current Heart Rate Displays the patient's heart rate. Determined using
the three leads displayed on your screen during the
pre-test phase. These leads can be changed during
the test by selecting the Measurements function.
10 Function Icon Indicates the Main Menu function currently being
used. In this example, the Exercise12 function is
being used.
11 Battery Status Icon Indicates the status of the battery charge.
12 Systolic/Diastolic Blood Displays the current systolic and diastolic blood
Pressure pressure readings.
Main Menu
This section provides information about the functions available on the Main Menu and
instructions on how to select functions from the Main Menu. Familiarize yourself with
this information before using the MAC system.
Main Menu Functions
The following table identifies the functions available on the Main Menu. The functions
displayed in your Main Menu may vary due to the installation of purchased software
options.
Function Description
Records a 12-lead ECG.
Resting ECG
Records a 15-lead pediatric ECG. The standard 12 leads and the
V3R, V4R, and V7 leads are used.
Pediatric ECG
Records a 15-lead vector cardiogram. The standard 12 leads and
the X,Y,Z leads are used.
Vector Loops
Records an adult 15-lead ECG. The standard 12 leads and three
user-defined leads are used.
15–lead ECG
38 MAC® 5500/MAC® 5500 HD 2046275-016B

System Overview
Creates new or edits existing exercise test protocols. Also, a
protocol can be saved, printed, or erased.
EditProtocol
Conducts the 12-lead exercise test and allows you to print reports.
This is a purchased option.
Exercise 12
Conducts the 15-lead (12 standard, 3 user-defined leads) exercise
test and allows you to print reports. This is a purchased option.
Exercise 15
Runs the Master’s Step exercise protocol. (Japan only.)
Master's Step
Records a signal-averaged high-resolution ECG. This is a
purchased option.
Hi-Res
Records a p-wave signal-averaged high-resolution ECG. This is a
purchased option.
PHI-Res
Prints, edits, displays, transmits, and deletes stored ECG data.
File Manager
Defines the operating parameters of the system.
System Setup
Receives and prints ECG data from other devices.
Receive
2046275-016B MAC® 5500/MAC® 5500 HD 39

System Overview
Requests, displays, and prints confirmed ECGs retrieved from a
MUSE CV system. This is a purchased option.
Remote Query
Acquires, prints, and stores ECG orders received from a MUSE

system with a Hospital Information System (HIS) interface.
Ord Mgr Int.

Returns to the previous screen.
Return
Selecting a Menu Function

You have two methods for selecting functions from the Main Menu:
• Function Keys
• Arrow Pad
Using Function Keys
1. Press the function key directly below the menu function to be selected.
2. To display more functions on the Main Menu, press the function key directly
below the More menu item.
40 MAC® 5500/MAC® 5500 HD 2046275-016B

System Overview
Using the Arrow Pad
1. Press the arrow keys on the Arrow Pad until the desired menu item is highlighted.
2. Press the middle button on the Arrow Pad to select the highlighted menu item.
Report Layout
The following illustration and table describe the basic report layout. For more
information about reports, refer to “ECG Reports” on page 128.
2046275-016B MAC® 5500/MAC® 5500 HD 41

System Overview
Name Description
1 Patient Demographics Displays information about the patient, including
patient name, birth date, gender, race, height,
weight, room, and location.
2 Vital Signs Displays information about the patient's vital signs,
including heart rate, PR interval, QRS duration,
QT/QTc, P-R-T axes, and blood pressure.
3 ECG Header Displays information about the ECG, including patient
ID, ECG date and time, and hospital name.
4 Messages Displays system notifications, including 12SL
interpretation (if enabled), ACI-TIPI information (if
enabled), ACS information (if enabled), and critical
value notifications (if enabled).
5 Report Status Displays the status of the report and physicians.
6 HD Status Indicates whether high definition (HD) pacemaker
detection mode was used. HD mode is available only
on reports generated by a MAC5500 on which HD
is enabled and for ECGs acquired with a CAM HD
device, It will not appear if HD was not enabled, if the
ECG was not acquired with a CAM-HD, or if the report
was generated on a MAC3500.
7 12SL Version Displays the version of 12SL used to analyze the ECG.
MAC version 10 uses 12SL version 22 and appears on
the report as 12SL v241
8 Product Model and Displays the product model (MAC55) and software
Software Version version (010x).
9 Report Format Displays the title of the report.
10 Gain Setting Displays the gain setting of the ECG. Refer to
“Standard ECGs” on page 65 for more information
on the gain setting.
11 Speed Settings Displays the speed setting of the ECG. Refer to
on the speed setting.
12 Filter Setting Displays the filter setting of the ECG. Refer to
on the filter setting.
13 Waveforms Displays the ECG waveforms. The leads and
waveforms printed depend on the leads selected
when conducting the test. Refer to “Standard ECGs”
on page 65 for more information on the leads setting.
14 Clinical Trial Data Displays the clinical trial data gathered during the
ECG test, if the CT Data Guard option was activated
and configured. Refer to “CT Data Guard” on page
135 for more information.
42 MAC® 5500/MAC® 5500 HD 2046275-016B

System Overview
Entering Data
You have two methods for entering data into the MAC system:
• Typing data into a highlighted field
• Selecting data from a drop-down list
Typing Data into a Highlighted Field
1. Using the Arrow Pad, press the arrow keys to highlight the desired field.
2. Type the relevant data into the field.
3. Press either the middle button of the Arrow Pad or the Return key to enter the
data into the field.
The cursor moves to the next data field.
2046275-016B MAC® 5500/MAC® 5500 HD 43

System Overview
Selecting Data from a Drop-down List
1. Using the Arrow Pad, press the arrow keys to highlight the desired field.
2. Press the middle button of the Arrow Pad.
A list of available values drops down.
3. Using the Arrow Pad, press the arrow keys to highlight the desired value.
4. Press the middle button of the Arrow Pad to select the desired value.
The value is entered into the field and the cursor moves to the next data field.
44 MAC® 5500/MAC® 5500 HD 2046275-016B

Preparing the Patient
3
This chapter provides the procedures for preparing the patient's skin and properly
placing electrodes.
NOTE:
These instructions do not cover the application of electrodes for the KISS Electrode
Application System (not available in the United States). To use the KISS system, see
the KISS operator’s manual for instructions.
2046275-016B MAC® 5500/MAC® 5500 HD 45

Preparing the Patient's Skin

Careful skin preparation is the key to an interference-free ECG. Signal quality is
indicated on the device via the Hookup Advisor indicator.
1. Select the electrode placement sites for ECG monitoring or diagnosis per the
protocol specified by the hospital or physician.
Refer to “Electrode Placement” on page 47 for diagrams and descriptions of
electrode placement for various protocols.
2. Ensure that each site is dry, clean, and free of excessive hair.
NOTE:
Do not use solvents to clean the skin; solvents trapped under electrodes
may lead to abnormal skin reactions.
3. To prepare for a stress test, do the following:
a. Mark each electrode site with a felt tip pen.
b. Degrease each site with a skin preparation cream.
c. Use a mild abrasion to remove the mark left by the felt tip pen.
4. Apply electrodes to the prepared sites.
Electrodes should be placed only by a physician or ECG technician.
WARNING:
SHOCK HAZARD — Touching the conductive elements cancels the protection
provided by the isolated signal input.
Ensure that conductive parts of the electrodes or lead wires do not come in
contact with other conductive parts.
5. Look at the lead-check screen for indication of lead problems.
NOTE:
Use only electrodes and contact agents recommended by GE Healthcare.
The signal quality on the lead-check screen is not indicated until the RA/R
electrode is applied. If RA/R becomes disconnected, the system will report
that all electrodes are off the patient.
46 MAC® 5500/MAC® 5500 HD 2046275-016B

Electrode Placement
This section describes various methods for placing electrodes for both resting and
exercise ECGs.
CAUTION:
DELAYED DIAGNOSIS Improper connection of the leadwires will cause inaccuracies
in the ECG.
Ensure the leadwires are connected properly. Trace each leadwire from its
acquisition module label to its colored connector and then to its electrode to
ensure that it is matched to the correct label leadwire connection location.
Resting ECG Placement

The following methods are applicable for resting ECGs.
Standard 12 Lead Placement
AHA Label IEC Label Description

1 V1 Red C1 Red Fourth intercostal space at the right sternal border
2 V2 yellow C2 yellow Fourth intercostal space at the left sternal border
3 V3 green C3 green Midway between location 2 and 4
4 V4 blue C4 brown Mid-clavicular line in the fifth intercostal space
5 V5 orange C5 black Anterior axillary line on the same horizontal level as 4
6 V6 purple C6 purple Mid-axillary line on the same horizontal level as 4 and 5
7 LA black L yellow Left deltoid
8 LL red F green Above left ankle (Alternate placement, upper leg as close
to torso as possible)
9 RL green N black Above right ankle (Alternate placement, upper leg as close
10 RA white R red Right deltoid
2046275-016B MAC® 5500/MAC® 5500 HD 47

Standard 15 Lead Placement

1 V1 red C1 red Fourth intercostal space at the right sternal border
7 LA black L yellow Left deltoid
11 V4R gray C4R gray Right anterior chest opposite of 4
12 V8 gray C8 gray Under left mid-scapular line
13 V9 gray C9 gray Left paraspinal border
48 MAC® 5500/MAC® 5500 HD 2046275-016B

Frank X, Y, Z Placement

1 LA black L yellow Just below the clavicle of the left arm
2 E orange E light blue Mid-sternum on the same horizontal level as 3 and 4
4 V6 purple C6 purple Mid-axillary line on the same horizontal level as 3
5 LL red F green Left leg, lower abdominal quadrant
6 RL green N black Right leg, lower abdominal quadrant
7 I orange I light blue Right mid-axillary line on the same horizontal level as 3
and 4
8 RA white R red Just below the clavicle of the right arm
9 H orange H light blue Back of neck, avoid the carotid artery and jugular vein
10 M orange M light blue Center of spine on the same horizontal level as 3 and 4
2046275-016B MAC® 5500/MAC® 5500 HD 49

NEHB Placement

1 A1 orange Nst white Attachment point of the second rib to the right sternal
edge
2 A2 orange Nax white Fifth intercostal space on the left posterior axillary line
(Same position as V8 or C8)
3 V4 blue Nap white Mid-clavicular line in the fifth intercostal space (Same
position as C4)
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Pediatric Placement

1 V1 red C1 red Fourth intercostal space at the right sternal border
7 LA black LA black Left deltoid
11 V4R gray C4R gray Mid-clavicular line in the fifth right intercostal space
12 V3R gray C3R gray Halfway between 1 and 11
13 V7 gray C7 gray Same horizontal level of 4 in the left posterior axillary line
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Exercise ECG Placement

The following methods are applicable only if the Exercise option has been enabled.
In addition to the standard electrodes, apply one electrode on the sternum (A1) and
one in location V5R/C5R (A2). It is recommended that arm electrodes be placed on the
patient’s torso, just under the clavicles.
CM5, CC5, ML Lead Placement
Electrode Description
1 A1 Mid-sternum at the second intercostal space
2 A2 In the fifth intercostal space in the right anterior axillary line
(V5R/C5R)
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CM5, CC5, CH Lead Placement
Electrode Description
1 A1 Mid-sternum at the second intercostal space
2 A2 In the fifth intercostal space in the right anterior axillary line
(V5R/C5R)
3 A3 On either side of the neck or anywhere above the shoulders
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54 MAC® 5500/MAC® 5500 HD 2046275-016B

Entering Patient Information
4
The first step in conducting any ECG test (resting, pediatric, 15-lead, vector loops, or
exercise) is to identify the patient. Patients can be identified by manually entering the
data, by bar code scanner or magnetic card reader, or by retrieving it from a MUSE CV
system. This chapter describes the available methods for entering patient information
and order information into the system:
• Manually entering patient information
• Reading a patient ID card
• Scanning a patient bar code
• Receiving orders from a MUSE CV system
• Manually entering orders
Some methods may not be available on all systems, depending on which options
have been purchased.
CAUTION:
INACCURATE PATIENT DATA — Patient data may be retained from a previous
patient. 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 patient(s).
Make sure that you enter patient data for the correct patient.
NOTE:
The patient information you are required to enter depends on your system
configuration. Refer to “Patient Questions” on page 113 for a description of the
patient information you are requested to enter.
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Manually Entering Patient Information

You can manually enter patient data on all MAC systems.
1. For each new patient, select Patient Data.
The Patient Data entry window opens.
2. Using the arrow pad, navigate from field to field and enter data as appropriate.
For more information on how to manually enter data in the MAC system, refer to
“Entering Data” on page 43.
NOTE:
Our equipment contains several fields that can be filled in before performing
an ECG. Some of these fields must be filled in before performing an exam;,
others are optional and therefore left to the user to assess whether they are
needed to perform the exam. The 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
3. If the optional Clinical Trial Data feature is enabled, do one of the following:
• If the patient is part of a clinical trial, select Yes in the Clinical Trial Data field
at the bottom of the Patient Data window.
A pop-up window opens. Enter the clinical trial information as appropriate.
• If the patient is not part of a clinical trial, select No in the Clinical Trial Data
field at the bottom of the Patient Data window.
See “CT Data Guard” on page 135 for information on enabling the Clinical Trial
Data feature.
4. Select Return to save the patient data and return to the ECG window.
You can now begin the ECG test.
Reading a Patient Card (Option)

If the system includes the option to read a patient ID or visit card (depending on
configuration), you can enter patient information by sliding the patient's magnetic
card through the card reader. This section provides instructions for connecting and
using the card reader.
56 MAC® 5500/MAC® 5500 HD 2046275-016B

Connecting the Card Reader

Before you can use the card reader, it must be connected to the MAC system and the
system must be configured to correctly use the peripheral. Typically, this is done only
once and the card reader remains attached and ready for use.
1. Connect the magnetic card reader to port A on the back panel of the system.
For information on the system ports, refer to “Back Panel” on page 27.
2. Configure the card reader.
For information, refer to “Setting Up a Card Reader” on page 149.
Reading a Patient ID Card

After the card reader has been set up, use the following procedure to read a patient's
ID card.
The message Slide the Patient ID card or Slide the Visit Number card opens,
depending on system configuration.
2. Slide the magnetic card through the magnetic card reader, making sure the
magnetic strip is facing the correct direction.
What happens next depends on your system settings.
The system may be set up to simply load the patient data directly from the
card. Or, it may be set up to use either the card's Patient ID or Visit Number
to retrieve orders or ADT data. Orders may be retrieved from the local cart or
from the MUSE system, while ADT information is always retrieved from the MUSE
system. With this variety of options, several configuration combinations are
possible. However, even with all the potential configurations, only five responses
are possible:
• If the system is not configured to retrieve orders or ADT information, or if it
finds no matching records, the system loads the patient information from the
card and displays it in the Patient Data window.
Accept or modify the data as needed.
• If the system locates only one ADT record, it loads that record and displays it
in the Patient Data window.
• If the system locates multiple matching ADT records, it displays a list of those
records.
Do one of the following:
• Select the correct record to load its ADT information.
You can then use or modify the patient information as needed.
• Select Cancel to load the patient information directly from the card.
• If the system locates one matching order, it retrieves that order.
You can then modify the order information or begin the test.
• If the system locates multiple matching orders, it displays a list of those
orders.
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• Select the correct order to load it.
• Select Cancel to load the patient information directly from the card.
For information on configuring your system, refer to Appendix E, “Creating Bar Codes
and Magnetic Cards”.
Scanning a Bar Code (Option)

If the system includes the option to scan a bar code, you can enter patient information
by scanning the bar code. This section provides instructions for connecting and using
the bar code scanner.
NOTE:
Do not use the bar code reader for scanning the bar code that appears on the
ECG printout. The bar code on the ECG printout is a different format and not
readable by the bar code reader.
Connecting the Bar Code Scanner

Before you can use the bar code scanner, it must be connected to the MAC system
and the system must be configured to correctly use the peripheral. Typically, this is
done only once and the scanner remains attached and ready for use.
1. Connect the bar code scanner to port A on the back panel of the system.
For information on the system ports, refer to “Back Panel” on page 27.
2. Configure the scanner.
For information, refer to “Setting Up a Bar Code Reader” on page 151.
Scanning the Bar Code

After the scanner has been set up, use the following procedure to scan the bar code.
The message Scan the bar code opens.
2. Scan the bar code.
What happens next depends on your system settings.
The system may be set up to simply load the patient data directly from the bar
code. Or, it may be set up to use either the bar code's Patient ID or Visit Number
to retrieve orders or ADT data. Orders may be retrieved from the local cart or
from the MUSE system, while ADT information is always retrieved from the MUSE
system. With this variety of options, several configuration combinations are
possible. However, even with all the potential configurations, only five responses
are possible:
• If the system is not configured to retrieve orders or ADT information, or if it
finds no matching records, the system loads the patient information from the
bar code and displays it in the Patient Data window.
58 MAC® 5500/MAC® 5500 HD 2046275-016B


• If the system locates only one ADT record, it loads that record and displays it
in the Patient Data window.
• If the system locates multiple matching ADT records, it displays a list of those
records.
• Select the correct record to load its ADT information.
• Select Cancel to load the patient information directly from the bar code.
• If the system locates one matching order, it retrieves that order.
• If the system locates multiple matching orders, it displays a list of those
orders.
• Select the correct order to load it.
• Select Cancel to load the patient information directly from the bar code.
For information on configuring your system, refer to Appendix E, “Creating Bar Codes
Entering Orders
The MAC system offers two methods for entering orders. This section describes both
methods for entering orders and provides instructions for selecting and completing
orders on the system.
Receiving Orders from a MUSE CV System (Option)

The MUSE CV System can communicate orders to this system in the following ways:
• SD card
This is only available with MUSE v005D or later
• Modem
This method works with both internal and external modems.
• Local area network
The MAC system must be connected to the LAN through the communications port
on the right side of the MAC system.
• Direct serial connection
The MAC system and MUSE system can be connected using a standard serial cable.
• Infrared
2046275-016B MAC® 5500/MAC® 5500 HD 59

The MUSE system’s infrared device must be pointed directly at the MAC system’s IR
port with no obstruction, as shown in the following illustration.
• Wireless
This method works with MobileLink and MobileLink UHS wireless systems. For
instructions on mounting, configuring, and connecting the client bridge to the
system, refer to the MobileLink Wireless Communication Installation Manual.
NOTE:
Performance of the MobileLink wireless system may vary due to changes
in RF (radio frequency) properties of your site or environmental conditions. If
you are experiencing intermittent connectivity in certain areas of your facility,
reinitiate the process of receiving from the MUSE system. Consult your hospital
IT department or your local GE Healthcare networking professional regarding
modification of your wireless LAN to improve system performance.
Regardless of which method(s) you use to communicate with the MUSE CV system, use
the following procedure to receive orders.
1. Select Ord Mgr Int.
The Order Manager Interface opens.
2. Select Load Orders.
A pop-up window opens.
3. Enter the location(s) for which you want to retrieve orders.
Locations must match the locations used on the MUSE CV system. Multiple
locations must be separated by commas (1, 13, 55).
4. Press Return
The system connects to the MUSE system and retrieves a list of matching orders.
5. Select one or more orders and press Return.
The system loads and stores the selected orders.
6. Proceed to “Selecting and Completing Orders ” on page 61.
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Manually Entering Orders

If you do not have a MUSE CV system, or cannot connect to the MUSE CV system for
some reason, you can manually create the order directly on the MAC system using
the following procedure.
NOTE:
The option to add orders locally must be in System Setup. Refer to “Order Manager
Interface” on page 121.
1. Select Ord Mgr Int.
The Order Manager Interface opens.
2. Select More > Create Order.
The Create Order window opens.
3. Enter the order information as appropriate.
Refer to “Entering Data” on page 43 for information on how to enter data.
4. When you are done, press Return.
The order is saved, the entry window closes, and you return to the Order
Manager Interface window. The new order is now available.
5. Proceed to “Selecting and Completing Orders ” on page 61.
Selecting and Completing Orders

After you have orders on the system, whether they were downloaded from a MUSE CV
system or created manually, use the following procedure to select and complete them.
1. Choose Select.
The cursor moves to the list of available orders.
2. Select the order you want to use and press Return.
A window opens with the order details.
3. Do one of the following:
• To select a different order, select Cancel.
The detail window closes and you return to the Order Manager Interface.
• To use the selected order, select Continue.
The appropriate ECG test window opens with the selected order. The Patient
Information window opens with the information from the order.
4. Enter or correct the patient data.
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62 MAC® 5500/MAC® 5500 HD 2046275-016B

Recording an ECG
5
The method for recording an ECG varies depending on the type of ECG to be recorded.
This chapter describes how to record the following ECG types:
• Standard ECGs
• Signal Averaged ECGs
• Master's Step ECGs
Some methods may not be available on your system, depending on which options
have been purchased and enabled.
To assist you in recording an interference-free ECG, the MAC system provides a
Hookup Advisor to alert you to troubles with the electrode connection.
NOTE:
The instructions in this chapter assume that the patient has been properly
prepared and the electrodes have been placed correctly for the selected ECG type.
Refer to Chapter 3, “Preparing the Patient” for details.
Hookup Advisor
The system offers the Hookup Advisor feature, which is a tool for monitoring the
quality of resting ECG signals, and is available in the resting, pediatric, 15-lead, vector
loops, and Master’s Step applications. It can reduce or eliminate the occurrence of
poor technical quality ECGs, save time, and prevent the need for retakes.
When enabled, the Hookup Advisor is displayed as a three-circle indicator in the upper
right corner of the screen.
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Recording an ECG
• Red indicates a lead-fail condition or extreme baseline shifts. The red indicator is
always the left-most circle of the of the indicator and flashes when lit.
• Yellow indicates muscle artifact, power line interference, baseline wander, or
electrode noise. The yellow indicator is always the middle circle of the of the
indicator.
• Green indicates generally acceptable signal quality. The green indicator is always
the right-most circle of the of the indicator.
When the lead quality is red or yellow, a message describing the lead problem or
status is displayed on the screen.
Hookup Advisor is enabled and configured in the ECG Acquisition menu (System Setup
> ECG > ECG Acquisition). Refer to “ECG Acquisition” on page 124 for more information.
In addition to enabling/disabling the Hookup Advisor feature, you can set the level at
which the system acknowledges poor signal quality. The acknowledgement level can
be set to Yellow, Red (default), or Never.
Hookup Advisor continuously reviews the ECG data for acceptable lead quality.
• If Pre-acquisition is enabled in the system setup, the lead quality indicator will
reflect the entire previous 10 seconds of ECG data. Any displayed messages will
be updated on a real-time basis to reflect adjustments/improvements to the lead
quality. Once any lead quality problems have been remedied, the message Please
wait... will be displayed until the entire 10-second period is free from lead quality
problems.
• If Pre-acquisition is not enabled, the Hookup Advisor level and messages will
respond to a fixed poor lead quality problem within two to three seconds.
When an ECG is acquired, Hookup Advisor runs a complete and more comprehensive
assessment of the full 10 seconds of ECG data and possibly prompts the user
regarding any poor lead quality conditions.
• If Preview before analysis is turned off in the system setup, a lead quality message
and prompt may be displayed, depending on the current lead quality level and the
64 MAC® 5500/MAC® 5500 HD 2046275-016B
Recording an ECG
Prompt level in the system setup. If a message and prompt is displayed, the lead
quality indicator will reflect the overall 10-second lead quality.
• If Preview before analysis is enabled, the system setup Prompt level is disregarded
and the system immediately displays the Preview screen. Any lead quality
messages will be displayed in this screen along with the overall 10-second lead
quality indicator.
In either case, users may then do either of the following:
• Select Continue to continue (print the ECG).
• Select Cancel to cancel.
Standard ECGs
Use the following method for resting, pediatric, vector loop, and 15–lead ECGs.
1. After preparing the patient, select the correct ECG softkey.
• To conduct a resting ECG, press Resting ECG.
• To conduct a pediatric ECG, press Pediatric ECG.
• To conduct a vector loops ECG, press Vector Loops.
• To conduct a 15-lead ECG, press 15 lead ECG.
The appropriate ECG test window opens.
NOTE:
All options may not be available, depending on system configuration.
2. Enter the correct patient information.
Refer to Chapter 4, “Entering Patient Information” for details.
3. Adjust the ECG settings as appropriate:
• To select a different set of leads, press Leads.
A list of available leads opens:
• All leads selects all the available leads.
• V1, II, V5 selects the identified leads.
• I, II, aVR, aVL, aVF selects the identified leads.
• V1, V2, V3, V4, V5, V6 selects the identified leads.
• Lead check conducts a check of all available leads and displays their
results.
• Lead placement conducts a lead check and displays a diagram of the
proper placement for each lead.
• To adjust the speed with which the waveforms are displayed, press 25 mm/s.
This opens a list of available speeds. Options include 5 mm/s, 12.5 mm/s,
25 mm/s, and 50 mm/s. This affects only the speed of the waveform as it
appears on the screen and reports; it does not affect the actual speed with
which the ECG is recorded. The selected value appears on the function key
on the screen.
• To adjust the gain of the ECG, press 10 mm/mV.
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Recording an ECG
This opens a list of available gains. Options include 2.5 mm/mV, 5 mm/mV, 10
mm/mV, 20 mm/mV, and 10/5. The selected value appears on the function
key on the screen.
• To adjust the filter of the printed ECG, press 150 Hz.
This opens a list of available filters. Options include 20 Hz, 40 Hz, 100 Hz, and
150 Hz. This affects only the printout; the screen filter is always set to 40 Hz.
The selected value is displayed on the function key.
• To change the pacemaker enhancement, press More > Pace Gain.
This opens the Pacemaker Enhancement window. Highlight Pacemaker
Enhancement, press Return, and select Yes.
• To turn on the Acute Coronary Syndrome algorithm, press More > ACS Off.
This opens the ACS On/Off window. Select ACS On and press Return.
NOTE:
ACS is an optional feature. This function key is available only if the option
has been purchased and activated. Refer to “Option Activation” on page
118 for instructions on activating this option.
NOTE:
ACS is activated on a per-patient basis. Settings are not retained from
patient to patient; it must be activated for each patient.
4. Once all the settings have been adjusted accordingly, press ECG.
Any of the following may occur, depending on your system settings:
• TheACI-TIPI Required Information window opens.
This occurs only if the optional ACI-TIPI feature is enabled. If this window
opens, complete the following information:
• Age (18–40, 41–50, >50)
• Gender (Male/Female)
• Chest or Left Arm Pain
• Select Chief Complaint if the complaint of chest pain or left arm pain is
the primary reason the patient is at the hospital.
• Select Secondary Complaint if chest pain or left arm pain is not the
primary reason the patient came to the hospital.
• Select Not Present if the patient is not experiencing any chest pain or
left arm pain or equivalent discomfort.
See “ECG Acquisition” on page 124) for information on enabling the optional
ACI-TIPI feature.
NOTE:
If any of the information was provided on the Patient Information screen,
you will not be asked for it here.
• The message Acquiring data x sec is displayed in the upper left corner of the
screen.
This counts down as it acquires 10 seconds of ECG data.
• A Critical Test Result window opens.
This occurs only if (a) the optional Critical Values feature has been enabled
and configured and (b) one or more of the critical values has been met. Press
66 MAC® 5500/MAC® 5500 HD 2046275-016B
Recording an ECG
Continue to close the message and continue. See “Critical Values Setup” on
page 136 for more information on configuring Critical Values.
• The ECG report prints.
This occurs only if the report has been configured to print automatically. See
Chapter 14, “System Setup”, for more information.
• The Saving ECG window flashes on the screen.
This occurs only if a report has been set to save automatically. See Chapter
14, “System Setup”, for more information.
• The ECG is transmitted to the MUSE CV system.
This occurs only if the system has been set up to transmit ECGs automatically.
See Chapter 14, “System Setup”, for more information.
5. To print the ECG, press the Print.
6. To save the ECG, select Store.
This stores the ECG either to internal memory or to an external SD card,
depending on whether the SD Card Storage Only option is enabled in
Miscellaneous Setup.
NOTE:
This option is available only if the system was not configured to save the
file automatically.
After the ECG has been stored, it can be transmitted to a MUSE system. If the
system is set up to automatically transmit data, the message Establishing
network connection will be displayed on the screen. If the system is not
set up to automatically transmit data, you will need to manually initiate the
transmission. Refer to Chapter 9, “Transmitting ECGs”.
• To take another ECG for the same patient, press Same Pat.
• To take an ECG for another patient, press Next Pat.
Signal Averaged ECGs

This is an optional method used for Hi-Res and PHi-Res ECGs.
1. Select Hi-Res or PHi-Res to enable the system to record a signal averaged ECG.
NOTE:
GE Healthcare recommends a target noise level of 0.3 μV or less when
recording a PHi-Res ECG.
2. Select Template to initiate the signal averaged ECG recording.
3. Use the following steps to change the seed beat:
a. Select Display.
b. Select SelectQRS.
c. Select a new seed beat.
4. Select Average to average the ECG data.
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Recording an ECG
5. Select Store to store the ECG data.

6. You are now ready to transmit the ECG data to a MUSE system.
Refer to Chapter 9, “Transmitting ECGs” for details.
Master's Step ECGs

This is an optional test method that is available only in Japan. For information on
enabling the Master's Step Exercise option, refer to “Option Activation” on page 118.
For information on configuring the Master's Step Exercise, refer to “Setting Up Master's
Step Test” on page 152.
1. Select Master's Step.
2. Enter the patient's information using the appropriate method.
Refer to Chapter 4, “Entering Patient Information” for more information.
3. Select More > Setup, confirm the following parameters are correct, and press
Return.
• Number of steps
• Test type
• Post J (ms)
• Step Counter Display
• Sound Option
• Continuous Recording
• Post Exercise ECG Time
4. Press the ECG button to record a pre-exercise ECG.
5. Remove the leadwires but keep the electrodes on the patient.
This prevents the patient from tripping on the leadwires during the test.
6. Press Continue to begin the exercise test.
7. When the patient finishes the exercise, immediately reattach the leadwires
to the electrodes.
Check the waveform quality on the screen to confirm that all the leadwires were
correctly reattached.
8. Press Continue.
The system records the ECG and prints a final report. If the system is set up to
automatically store ECGs, it will also automatically store the ECG.
9. If the system is not set up to automatically store ECGs, or if it is unable to store
the ECG, select Store to store the ECG manually.
10. You are now ready to transmit the ECG data to a MUSE system.
Refer to Chapter 9, “Transmitting ECGs” for details.
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Exercise Stress Testing
6
Exercise Stress Tests are optional features that allow you to conduct ECG tests while
the patient exercises on a treadmill or ergometer. For information on enabling the
12–Lead Exercise and 15–Lead Exercise options, refer to “Option Activation” on page
118.
Stress tests are controlled by test protocols. Protocols consist of several phases
intended to allow the patient to warm up prior to the exercise and to cool down
afterward. Each phase consists of stages that incrementally adjust the intensity of the
exercise. Depending on the exercise equipment used and the test protocol settings,
the MAC system may automatically adjust equipment settings during a test or notify
the operator when to manually adjust the settings. For more information on protocols,
refer to Chapter 7, “Editing Protocols”.
This chapter describes how to initiate a stress test and how to conduct each phase of
the test.
Starting a Stress Test

Use the following procedure to start a stress test.
1. Prepare the patient for the test and attach the leadwires.
Refer to Chapter 3, “Preparing the Patient” for instructions.
2. Select the appropriate exercise test mode.
• Select Exercise12 to conduct a 12–lead test.
• Select Exercise15 to conduct a 15–lead test.
The corresponding ECG window opens.
3. Enter the patient information.
Refer to Chapter 4, “Entering Patient Information” for instructions on entering
patient information.
4. Adjust the device settings as appropriate.
• To adjust the writer settings, select Writer.
A writer setup window opens. This window allows you to turn on Arrhythmia
document and cubic spline, and set the paper speed, gain, and filter for the
writer. Adjust the settings as appropriate and select Return.
• To change the leads, select Leads.
2046275-016B MAC® 5500/MAC® 5500 HD 69
The Rhythm Leads window opens. This window allows you select the lead
groups to use in the test, check lead connections, and check lead placement.
Highlight the appropriate option and press Return.
5. After the settings have been adjusted, select Select Proto.
A list of available stress test protocols opens.
6. Select the desired protocol.
The selected test begins. Refer to the following sections for instructions on how
to proceed during each phase of the test.
Pretest Phase
The pretest phase differs depending on the stages configured in each protocol.
Commonly used stages are:
• Supine
• Standing
• Hyperventilating
If the system is configured to manually take blood pressure measurements, the
system will beep and display a message when it is time to take the blood pressure.
If the system is configured to take blood pressure measurements automatically, the
system will take the measurements as appropriate.
You can use the Protocol Editor to configure the protocol to take blood pressure
measurements manually or automatically. Refer to Chapter 7, “Editing Protocols”.
A set of medians is saved at the end of the Pretest phase as the baseline medians.
1. On the stress keypad, press 12 ld to acquire and print a baseline ECG.
2. Press Pretest to advance to the next pretest stage.
3. If you are using a treadmill to conduct the exercise test, tell the patient to place
his/her feet on the treadmill frame, not on the belt.
WARNING:
FALLING HAZARD — Severe injury can result from a fall.
Patients should wait until the treadmill belt is moving before stepping onto
the belt. Step onto the belt with one foot at a time. Avoid rapid changes in
belt speed.
WARNING:
PINCH POINT HAZARD — Hair, jewelry, and loose clothing can catch in
moving parts, which could result in serious injury.
Keep these and other items away from moving parts.
4. Press Start tmill to start the treadmill belt moving.
During the exercise test, you can adjust the test in the following ways:
• Press STOP tmill once to stop the treadmill GRADUALLY.
• Press and hold STOP tmill to stop the treadmill belt QUICKLY.
70 MAC® 5500/MAC® 5500 HD 2046275-016B

• Press the emergency stop button (usually mounted on the treadmill) to stop
the treadmill IMMEDIATELY.
• Press the Speed W +, Speed W –, and Grade keys to manually control the
test. However, once you press these keys, the pre-programmed protocol
becomes inactive: you must manually control the speed and grade during
the remainder of the exercise and recovery phases.
The following menu items are available during the pretest phase of the exercise test:
Menu Item Description

Patient Data Enter a patient’s name, ID number, and so forth. Enter the
patient’s age to allow your system to calculate the maximum
and target heart rates.
New Protocol Select a different exercise test protocol. This function is only
available if the test will be printed only (not stored to memory).
Measurements Reestablish the median complex, set the J point, and select the
three leads used to calculate heart rate.
Leads Select the leads used for 3 or 6 Rhythm leads, All Leads, Lead
Check, or Lead Placement.
Median Select a lead to act as the median lead. This can be a fixed lead
or scanned for lead with most ST depression.
Writer Change the writer’s arrhythmia documentation (doc.), cubic
spline (baseline control), paper speed, gain, filter, and writer
on/off settings.
Exercise Phase
The selected protocol controls the treadmill or ergometer. When you enter the
exercise phase:
• the belt speed and grade or the ergometer workload changes according to the
selected protocol,
• the exercise clock (top) starts, and
• the system starts to save the test data.
WARNING:
Patients should wait until the treadmill belt is moving before stepping onto the
belt. Step onto the belt with one foot at a time. Avoid rapid changes in belt speed.
1. Press the Exercise button to begin the exercise phase.
During the test you can manually perform operations from the function
keyboard.
2. Press the Start tmill button if the treadmill or ergometer has not been started
yet.
If you are using an ergometer, the ergometer workload is automatically
controlled.
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The exercise test advances automatically through the exercise stages unless
the operator manually overrides the test.
NOTE:
When the stages in the treadmill protocol have durations other than infinite,
the exercise test advances from stage to stage automatically. However,
you can press Exercise (on the treadmill controller keyboard) at any time
to manually advance to the next exercise stage.
3. Manually adjust the treadmill's speed and grade, or the ergometer's load, as
necessary.
You can adjust the speed, grade, or load in the following ways. However, once
you press these keys, the pre-programmed protocol becomes inactive: you must
manually control the speed and grade during the remainder of the exercise
and recovery phases.
• Press Speed W + (to increase speed) within 5 seconds of your last workload
change.
• Press Speed W – (to decrease speed) within 5 seconds of your last workload
change.
• Press Grade + (to increase grade) within 5 seconds of your last workload
change.
• Press Grade – (to decrease grade) within 5 seconds of your last workload
change.
The following menu items are available during the exercise phase of the test:

Event Press to display a list of predefined events.
Stage Hold Press to hold current stage.
Leads Select the leads used for 3 or 6 Rhythm leads, All Leads, Lead
or scanned for lead with most ST depression.
on/off settings.
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Recovery Phase
In recovery, the treadmill speed and grade or the ergometer load decreases based
on the protocol configuration.
1. Press the Recovery button to advance to the recovery phase.
The clock begins timing the recovery phase. A maximum 12-lead measurement
is taken (if that is part of the selected protocol).
2. If necessary, adjust the equipment's speed, grade, or load manually.
You can adjust the speed, grade, or load in the following ways. However, once
you press these keys, the pre-programmed protocol becomes inactive: you must
manually control the speed and grade during the remainder of the exercise
and recovery phases.
• Press Speed W + (to increase speed) within 5 seconds of your last workload
change.
• Press Speed W – (to decrease speed) within 5 seconds of your last workload
change.
• Press Grade + (to increase grade) within 5 seconds of your last workload
change.
• Press Grade – (to decrease grade) within 5 seconds of your last workload
change.
The following menu items are available during the recovery phase of the test:

Event Press to display a list of predefined events.
Edit Press during the recovery or test end phase to allow you to enter
or edit patient data, reason for test termination, or comments.
Leads Select the leads used for Rhythm Lead 1, 2, and 3, All Leads, Lead
Test End Phase

During the text end phase, the system no longer acquires or stores ECG data or
displays workload, speed, or grade information.
1. Press and hold the Test end button to end the test and start the test end phase.
You MUST hold the Test end button for more than one second to activate. This
prevents the test from being stopped by an accidental key press.
2. Select Reason for termination or Comments to enter information about this
exercise test.
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3. Select Continue to return to the Test-End menu.

• A final report prints automatically if you selected this option in the Edit
Protocol function (select System Setup > Exercise Test > Final Report).
• To change the type of reports that print automatically, see “Final Report”
on page 144.
4. To edit Patient Data, Reason for termination, or Comments, select Edit.
You can edit this information until you select New Patient or Main Menu.
5. To print a report with the revised information, select Reports.
NOTE:
You can store the final exercise report to the system or to an SD card.
You must define the type of final report you want stored to your system (select
System Setup > Exercise Report > Final Report).
The following menu items are available during the test end phase of the test:

Edit Press during the recovery or test end phase to allow you to enter
or edit patient data, reason for test termination, or comments.
Reports Reestablish the median complex, set the J point, and select the
Leads Select the leads used for Rhythm Lead 1, 2, and 3, All Leads, Lead
scanned for lead with most ST depression.
on/off settings.
More Select to see More menu options.
Main Menu Return to the system Main Menu.
New Patient Remain in the exercise application and start a test for a new
patient.
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Editing Protocols
7
Protocols are scripts used to run exercise stress tests. The Exercise Stress Test option
comes with several predefined protocols. The Edit Protocol function allows you to edit
the predefined protocols or create new ones.
This chapter describes the protocol fields that can be modified and explains how to
modify them. For information on conducting stress tests, refer to Chapter 6, “Exercise
Stress Testing”.
Protocol Overview
A protocol controls the duration and intensity of an exercise stress test. If used with
supported exercise equipment, the protocol can automatically adjust the equipment;
with unsupported equipment, the protocol can alert the tester to manually adjust
the equipment.
You can modify the following protocol fields:
Protocol Parameters
Parameter Description
Protocol Name Displays the name of the protocol you are editing.
To create a new protocol, change the name of an existing protocol.
Menu name Determines how the protocol name appears on the screen menu.
Exercise Test Type Determines which exercise equipment will be used during the test
and, consequently, the type of test to conduct. Valid values are:
• Treadmill in MPH or Km/h
Select this option for digital treadmills that can connect to and
be controlled by the MAC system. You would select this option
if you are using GE Healthcare's T2000 treadmill.
• Analog Treadmill in MPH or Km/h
Select this option for analog treadmills that cannot be
connected to the MAC system. If this option is selected, the
MAC system will alert the operator to manually adjust the
treadmill at the appropriate points in the test.
• Ergometer in Watts or KPM
Select this option for digital ergometers that can connect to
and be controlled by the MAC system.
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Editing Protocols
Protocol Parameters (cont'd.)
Ramp Protocol Determines how frequently the intensity of the exercise should
change.
• Select Yes if you want the ergometer workload or treadmill
speed and grade to change every 6 seconds.
• Select No if you want the ergometer workload or treadmill
speed and grade to change with each stage change.
Name of PRETEST Determines the name of the pretest phase as it will appear
phase on your reports. The pretest phase warms up the patient and
acquires baseline values.
Name of EXERCISE Determines the name of the exercise phase as it will appear on
phase your reports. The exercise phase exerts the patient and acquires
target values.
Name of RECOVERY Determines the name of the recovery phase as it will appear on
phase your reports. The recovery phase cools down the patient and
acquires peak values.
Name of FINAL phase Determines the name of the final phase as it will appear on your
reports. The final phase prints the final report.
Peak report style Determines which report to print at the exercise peak, at the
beginning of the recovery phase. Options include:
• No report
• 12/15 Ld
• Medians
• 5 Second Rhythm
Each of a protocol's four phases may consist of several stages that slowly adjust
the intensity of the exercise over a period of time. The following table lists the stage
fields that you can modify:
Stage Identifies the name of the stage. Each phase can have multiple
stages, except for Test End, which allows only one stage.
Duration Sets the length of the stage in minutes and seconds. Values can
range from 00:00 to 99:59, or an infinite duration.
If a duration is entered, the stage automatically progresses to the
next stage when the duration has passed. If an infinite duration
is entered, the stage must be manually ended. The last stage
always has an infinite duration and continues until you manually
stop the test.
Ergometer Sets the ergonometer workload in watts or KPM:
• Watts can range from 0 to 1000 in 5 watt increments.
• KPM can range from 0 to 6000 KPM in 25 KPM increments.
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Editing Protocols
Treadmill Sets the treadmill speed in MPH or Km/h and grade in percentages.
• MPH can range from 0.0 to 25.0 in 0.1 MPH increments.
• Km/h can range from 0.0 to 40.0 Km/h in 0.1 Km/h increments
• Grade can range from 0.0% to 40.0% in 0.1% increments.
Report Sets the reports that will print and the points during the stage in
which they print.
You can select any of the following reports:
• No Report
• 12 Ld
• Medians
• 5 Second Rhythm
You can also select when the first report prints and how frequently
the report will be repeated during the stage.
BP Sets when you will be prompted to record the blood pressure
during the stage. You can select when the first prompt appears
and how frequently the prompt will be repeated.
Median Sets how often Median complexes are saved for the final report
during the stage. You can select when the first complex is saved
and how often the complex will be saved after the first complex is
saved.
Editing or Creating Protocols

Use the following procedure to edit an existing protocol or create a new one.
1. From the Main Menu, select Edit Protocol.
2. Select a protocol to edit or <<spare>> to create a new protocol.
3. Edit the protocol parameters as desired.
Refer to “Protocol Overview” on page 75 for a description of the available
parameters.
4. Press Return when you are done editing the protocol parameters.
The Pretest phase window opens.
5. Edit the stages of the phase as appropriate.
For more information on any of the stage fields, refer to “Protocol Overview”
on page 75.
NOTE:
Some of the following options may not be available for each stage. For
example, duration cannot be changed for the last stage in a phase. If you
select a <<spare>> protocol, it has only one stage so the duration cannot
be changed until additional stages are added.
• To edit the stage:
a. Use the arrow pad to select the stage you want to edit.
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Editing Protocols
The current stage information is displayed.

b. Edit the information.
c. When you are done, press Return.
• To change the duration:
a. Use the arrow pad to select the Duration field.
b. Enter the desired duration.
c. To enter an infinite duration, delete the value in the field.
d. When you are done, press Return.
• To change the exercise intensity:
a. Use the arrow pad to select the ergometer workload, treadmill speed,
or treadmill grade, as appropriate.
b. Enter the desired value.
c. To indicate no in workload, speed, or grade, delete the value.
WARNING:
Patients should wait until the treadmill belt is moving before stepping
onto the belt. Step onto the belt with one foot at a time. Avoid rapid
changes in belt speed.
• To change the report:
a. Use the arrow pad to select the Report Style field.
b. Click the arrow pad button to open the Report Style pop-up.
c. Highlight the report you want to print at this stage.
• To change Report, Median, or BP times:
a. Use the arrow pad to select the appropriate First field.
b. Enter the time at which you want the selected event to occur.
To prevent the event from occurring, delete the value in the field.
c. Use the arrow pad to select the appropriate Repeat field.
d. Enter the frequency at which you want the selected event to occur.
To prevent the event from recurring, delete the value in the field.
e. When you are done, press Return.
• To add another stage:
a. Use the arrow pad to select the stage you want to add the new stage
after.
b. Press Add.
You can now use any of the previous options to edit the stage as
appropriate.
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Editing Protocols
6. When you are done editing the stages of the Pretest phase, press Phase >
Exercise.
This opens the Exercise phase window.
7. Press the Stages/Manual function key to toggle between the Stages and
Manual modes of the phase as appropriate.
8. With the Stages mode selected, repeat step 5 to edit the stages of the Exercise
phase.
9. When you are done editing the stages of the Exercise phase, press Phase
> Recovery.
This opens the Recovery phase window.
10. Repeat step 5 to edit the stages of the Recovery phase.
11. When you are done editing the stages of the Recovery phase, press Phase >
Test End.
This opens the Test End phase window.
12. Select the report type to print during the Test End phase of the test.
Test End has only one stage, and Report Type is the only parameter you can
modify during the phase. You have two options: No Report or Final.
13. When done, press Menu.
This opens a menu with the following options:
• Return
• Edit protocol/phase names
• Save current protocol
• Print current protocol
• Edit different protocol
• Erase current protocol
• Restore default protocol
• Copy All to SD Card
• Restore All from SD Card
• Main Menu
14. Select Save current protocol to save your new or revised protocol.
15. Press Menu to open the Edit menu.
• To add or modify another protocol, press Edit different protocol and repeat
from step 2.
• To return to the main menu, press Main Menu.
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Editing Protocols
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Printing ECG Reports
8
The MAC system can be configured to print a report automatically during an ECG test.
In addition, you can choose to reprint an ECG report in a different format during the
test. Finally, you can print ECG reports that are stored on the system. This chapter
explains how to print another report during the ECG test, how to print a stored ECG
report, and how to store the printouts after they print.
For information on how to configure the MAC system to automatically print a report,
refer to Chapter 14, “System Setup”.
Printing Another Report

Use the following procedure during an ECG test to print the ECG data in a different
report format.
1. Run the test.
The system automatically prints a report as configured in System Setup.
2. Select More to view the second screen of options.
3. Select New Format.
4. Highlight the additional report format(s) to print.
5. Press Return.
6. Select Print or press the Copy key to print the selected reports.
NOTE:
Changes made here affect only the current ECG. Once another ECG is
recorded, the reports specified in System Setup are printed.
Printing Stored ECGs

Use the following procedure after an ECG test to print stored reports.
1. Press File Manager.
A list of stored ECG reports opens.
2. Press Select.
3. Select the ECG(s) to print.
4. Press Print.
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Printing ECG Reports
Storing Printouts
When imaged and stored properly, ECG tracings will resist fading for several years.
To ensure the tracing is imaged properly, the equipment must be maintained in
accordance with its service manuals and technical memoranda.
To ensure the tracing lasts for the paper's expected lifespan, observe the following
precautions when storing your printouts:
• Store in a cool, dark, and dry location.
Temperature must be < 80°F (27°C). Relative humidity must be < 65%.
• Avoid exposure to bright light or UV sources.
Sources of ultraviolet light include sunlight, fluorescent lights, halogen lights,
mercury vapor lamps, and germicidal lamps.
• Avoid contact with cleaning fluids and solvents.
Solvents to avoid include alcohols, ketones, esters, ether, and so forth.
• Store thermal paper separately in manilla folders or 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.
• Do NOT store thermal papers with any of the following:
• carbon and carbonless forms
• document protectors, envelopes, and sheet separators containing polyvinyl
chloride or other vinyl chlorides
• non-thermal chart papers or any other products containing tributyl phosphate,
dibutyl phthalate, or any other organic solvents
NOTE:
Many medical and industrial charts contain these chemicals.
• Do NOT use mounting forms, pressure-sensitive tapes, or labels containing
solvent-based adhesives.
Use only mounting forms and pressure-sensitive tapes made with starch or
water-based adhesives.
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Transmitting ECGs
9
The MAC system can transmit ECGs to other MAC systems, a MUSE CV system, or
a PC using any of the following methods, depending on which options have been
purchased:
• Modem
• Manual Line
• Serial Line
• MUSE Network
• Ethernet Line
• Wireless
Most methods transmit ECGs in GE Healthcare's Hilltop format, but you can also
choose to transmit ECGs in XML format.
The MAC system can be configured to transmit ECGs during an ECG test. However,
you can also manually transmit stored ECGs at any time. This chapter explains how
to manually transmit ECGs. For information on how to configure the MAC system to
automatically print a report, refer to Chapter 14, “System Setup”.
NOTE:
When transmitting ECGs to another MAC system, the receiving MAC system must
be set up to receive the ECGs. Refer to Chapter 10, “Receiving ECGs”. for details.
Transmitting ECGs via Modem

If you purchased an optional modem, you can transmit ECGs via modem. Before using
the following procedure, make sure your modem is connected to an analog phone
line, as shown in the following illustrations.
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Transmitting ECGs
Internal Modem External Modem
1. Select File Manager.

A list of ECGs opens.
2. Select Location.
A list of devices to which the ECG report can be transmitted opens.
3. Do one of the following
• If the receiving device is shown, select it and continue to step 4.
• If the receiving device is not shown, manually enter the device:
a. Select Location.
b. Select Manual Dial.
c. Enter the telephone number of the receiving device.
d. Press Return.
e. Select the modem type.
f. Press Return.
g. Continue to step 4.
4. Select the ECG(s) to be transmitted.
5. Select Transmit.
Transmitting ECGs Locally

Use the following procedure to transmit ECGs locally, that is, within the facility. Using
this method, the devices must be connected via a manual line, serial line, or Ethernet
line.
2. Press Location.
A list of locations opens. Each location contains three elements:
• Location
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Transmitting ECGs
This identifies the connection method and includes the following:

• Manual Dial
• Serial Line
• MUSE Network
• Ethernet Line
• Phone Number
For predefined modem locations, this column will contain the location's
phone number. For Manual Dial locations, this column will contain a question
mark (?) and a phone number must be entered if the location is selected. For
Serial Line, MUSE Network, and Ethernet Line, this column will be blank.
• Type
This identifies the kind of location and includes the following:
• MUSE Network
• XML Output
• ASCII Output
3. Highlight the desired location and press Select.
4. Select the ECG(s) to transmit.
5. Press Transmit.
Transmitting ECGs Wirelessly

If you purchased the MobileLink option, you can transmit ECGs wirelessly.
NOTE:
Performance of the MobileLink wireless system may vary due to changes in RF
(radio frequency) properties of your site or environmental conditions. If you are
experiencing intermittent connectivity in certain areas of your facility, it may be
necessary to re-initiate the process of transmitting to the MUSE system. You may
also wish to consult your hospital IT department or your local GE Healthcare
networking professional regarding modification of your wireless LAN to improve
system performance.
Before using the following procedure, connect and configure the MobileLink wireless
device as described in the MobileLink Installation and Troubleshooting Guide.
2. Press Location.
A list of locations opens.
3. Highlight a Serial Line location with a Type of MUSE Network and press Select.
5. Press Transmit.
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Transmitting ECGs
Transmitting ECGs in XML Format

Most methods transmit ECGs in GE Healthcare's proprietary Hilltop format. You can,
however, use the following procedure to transmit ECGs in XML to a PC; the data can
then be extracted for analysis.
1. Connect the serial port of the MAC system to the serial port of a PC running a
terminal emulation program.
2. On the MAC system, press File Manager.
3. Press Location.
A list of available locations opens.
4. Highlight a Serial Line location with a Type of XML Output and press Select.
6. Press Transmit.
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Receiving ECGs
10
This chapter explains how to receive ECGs from other MAC systems and from a
MUSE CV system.
Receiving ECGs from Another MAC System

Chapter 9, “Transmitting ECGs”, explains how to manually transmit ECGs from one
MAC system to another. However, in order to receive those ECGs on the other MAC
system, the receiving system must be set up to receive them. The following sections
explain how to set up the MAC system to receive ECGs from other MAC systems via
modem or locally.
Receiving ECGs via Modem

If the modem option was purchased, use the following procedure to set up your MAC
system to receive ECGs via the modem. Before using the following procedure, make
sure your modem is connect to an analog phone line, as shown in the following
illustrations.
Internal Modem External Modem
1. Select Receive to prepare the system for receiving ECG reports.

2. Select Phone Line.
The system is now ready to receive ECGs. Refer to “Transmitting ECGs via
Modem” on page 83 for instructions on setting up the other MAC system to
transmit ECGs via modem.
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Receiving ECGs
3. After all the ECGs have been received, select Cancel to take the system out of
receiving mode.
4. Select Main Menu.
Receiving ECGs Locally

Use the following procedure to prepare the MAC system to receive ECGs locally,
that is, from within the facility. This method receives ECGs via infrared or direct
connection between the two systems. Before using this procedure, the MAC systems
must be connected via their serial ports or, if using infrared, positioned as shown in
the following illustration:
1. Select Receive to prepare the system for receiving ECG reports.

2. Select Local Line.
The system is now ready to receive ECGs. Refer to “Transmitting ECGs Locally”
on page 84 for instructions on setting up the other MAC system to transmit
ECGs locally.
3. After all the ECGs have been received, select Cancel to take the system out of
receiving mode.
4. Select Main Menu.
Receiving ECGs from a MUSE CV System

If you purchased the MUSE CV option, you can receive ECGs from any MUSE CV
system. Receiving ECGs from another MAC system is passive; you receive whatever
ECGs the other MAC system chooses to send. Receiving ECGs from a MUSE CV system,
however, is active; you select the ECGs to receive. You can receive ECGs from a MUSE
CV system using any of the following methods.
• LAN
This is a standard method available on all MAC systems. Before receiving ECGs via
LAN, connect your MAC system to the LAN via its Ethernet port.
• Modem
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Receiving ECGs
This is a purchased option. Before receiving ECGs via modem, connect your
modems as described in “Receiving ECGs via Modem” on page 87.
• MobileLink wireless
This is a purchased option. Before receiving ECGs via MobileLink, connect and
configure the MobileLink wireless system as described in the MobileLink Installation
and Troubleshooting Guide.
NOTE:
Performance of the MobileLink wireless system may vary due to changes in RF
(radio frequency) properties of your site or environmental conditions. If you are
experiencing intermittent connectivity in certain areas of your facility, it may
be necessary to re-initiate the process of receiving from the MUSE system.
You may also wish to consult your hospital IT department or your local GE
networking professional regarding modification of your wireless LAN to improve
system performance.
1. Select Remote Query.
• To receive ECGs from the default MUSE CV system, skip to step 3.
• To receive ECGs from a different predefined MUSE CV system, highlight the
correct system in the list of predefined systems and proceed to step 3.
• To receive ECGs from a MUSE CV system that has not been set up, do the
following:
a. Select Location > Manual Dial.
b. Press Return.
c. Enter the telephone number of the receiving device.
d. Press Return.
e. For Type, select MUSE Network.
f. Press Return.
g. Proceed to step 3.
3. Select Connect.
The MAC system connects to the MUSE CV system.
4. Select an ECG by entering the patient's ID number.
NOTE:
If you do not know the patient's ID number, enter the patient's last name.
You can then select the correct patient from a list of matching patients.
5. Press Return.
A list of matching ECGs opens.
6. Select the ECG(s) you want to retrieve.
• To display the selected ECG(s), press Display.
The first selected ECG is displayed. You have the following options:
• Medians displays the median complexes for the current ECG.
• Text displays the measurements and analysis for the current ECG.
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Receiving ECGs
• Rhythm displays rhythm information for the current ECG.

• Next displays the next selected ECG.
• Return closes the display and returns to the list of ECGs.
• To print the selected ECG(s), press Print.
The system retrieves and prints the test(s). The report format set up in System
Setup is used. Refer to Chapter 14, “System Setup”, for more information.
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Editing ECGs
11
While it usually not necessary to modify an ECG, the MAC system allows you to edit
an ECG's demographic information, ECG measurements, and interpretive statements.
After you have edited the ECG, you are prompted to save the updated file.
NOTE:
If you plan to store ECGs in XML format (see “Transmitting ECGs in XML Format”
on page 86), DO NOT edit the ECGs on the MAC system. Edits made to ECGs WILL
NOT BE SAVED in the XML file.
Editing Demographic Information

Anyone can edit an ECG's demographic information. This includes the patient
information, medications, test information, and the ACI-TIPI chest or left arm pain
data. This allows anyone to correct or update the information as necessary.
A list of ECG reports opens.
2. Press Select.
The cursor appears on the screen.
3. Highlight the ECG report to edit.
4. Press Edit to open a list of editing options.
5. Select one of the following options:
• Patient Information • Test Information

• Medication • ACI-TIPI Chest or Left Arm Pain
The correct fields for the selected ECG open.

6. Make the necessary corrections and press Return.
7. Continue to edit demographic information as necessary.
8. When you are done, press Return twice.
The following message is displayed:
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Editing ECGs
Select Store to save the edited file. This will replace the original file.
Select Cancel or press ‘Esc’ to discard the changes made to the current file.
9. Select Store to save the edited file.
Editing ECG Measurements

Only overreaders can modify ECG measurements. You must enter an overreader's
password and reviewer information before you can edit the measurements. This
prevents unqualified persons from adjusting the ECG reading.
2. Press Select.
The cursor is displayed on the screen.
5. Select one of the following options:
• ECG Measurements
This allows you to edit resting, pediatric, or vector loop measurements.
• Hi-Res Measurements
This allows you to edit averaged signal measurements.
You are prompted to enter the overreader password.
6. Enter the overreader password and press Return.
One of two things happens, depending on which option was selected:
• If you selected ECG Measurements, the reviewer information fields open.
Enter the reviewer information and press Return to display the ECG
measurements to edit.
• If you select Hi-Res Measurements, the Onset and Offset softkeys are
displayed.
Press the appropriate softkey to display the associated Hi-Res measurements
to edit.
7. Select the measurement(s) to be edited and type the appropriate value.
9. Continue to edit measurements as necessary.
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Editing ECGs
Editing Interpretive Statements

The MAC system automatically adds interpretive statements to ECG reports. The
system allows you to edit these statements as you deem necessary. You can add,
modify, join, and delete statements. You must enter an overreader's password and
reviewer information before you can edit the statements. This prevents unqualified
persons from adjusting the statements.
2. Press Select.
5. Select Diagnostic Statements.
You are prompted to enter the overreader password.
6. Enter the overreader password and press Return.
The diagnostic statements open.
7. Select the statement to edit.
8. To add text to the beginning of the selected statement, do the following:
a. Press Insert.
The new statement will be inserted BEFORE the current statement.
Select statement type…
b. Select the type of statement to insert.
The options are:
• Acronym
• Freetext
• Newline
c. Enter a 12SL library acronym or free form text and press Return.
9. To add text to the end of the selected statement, do the following:
a. Press Append.
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Editing ECGs
The new statement will be inserted AFTER the current statement. Select
statement type…
b. Select the type of statement to insert.
The options are:
• Acronym
• Freetext
• Newline
c. Enter a 12SL library acronym or free form text and press Return.
10. To join the selected statement with another statement, select the second
statement and press Join.
11. To delete the selected statement, press Delete.
12. Continue to edit statements as necessary.
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Deleting ECGs and Orders
12
To free up storage space, the MAC system allows you to delete ECGs and uncompleted
orders. This chapter describes those procedures.
Deleting ECGs
To delete ECGs, you must enter a System or Overread password, if the passwords are
defined. You should only delete ECGs that have been transmitted to another ECG,
a MUSE CV system, or a PC for storage.
2. Press Select.
3. Highlight the ECG report(s) to delete.
4. Press Delete.
Depending on system setup, you may be prompted for a password.
5. If prompted, enter the System or Overread password.
NOTE:
The System password should only be used by the system administrator
or qualified service personnel. All other users should use the Overread
password.
Warning! You have selected files for delete. This is the only warning you will
receive! Do you want to delete these files?'
• To delete the select ECG report(s), press Yes.
• To cancel the deletion and select different reports, press No.
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Deleting Orders
Use the following procedure to delete orders stored locally on the device.
1. From the Main Menu, select Ord Mgr Int.
NOTE:
Depending on the options enabled on your system, you may need to select
More to toggle through the menu until Ord Mgr Int is available.
The Order Manager Interface window opens with a list of local orders displayed.
2. Select Delete Orders.
The available options on the menu change.
3. To cancel without deleting any orders, select Cancel.
You return to the opening set of menu options.
4. To delete one or more specific order, do the following:
a. Press Select.
The cursor moves to the list of orders.
b. Select the order(s) to delete.
To select an order, highlight it and press Return or the arrow pad button.
Select as many orders as necessary.
Use the Page Up function key, Page Down function key, and arrow pad to
navigate through the list of orders.
NOTE:
If you select an order that has not been processed, a window opens to
ask whether you want to delete the unprocessed order. Select Yes to
continue with the unprocessed order. Select No to cancel the selection.
c. When all the orders are selected, select Delete.
The message Are you sure you want to delete the orders? opens.
d. Do one of the following:
• To delete the selected orders, select Yes.
The orders are deleted and you return to the opening set of menu
options.
• To cancel the deletion, select No.
The orders are not deleted and you return to the opening set of menu
options.
5. To delete all the orders, select Delete All.
The message Are you sure you want to delete the orders? opens.
• To delete all the orders, select Yes.
The orders are deleted and you return to the opening set of menu options.
96 MAC® 5500/MAC® 5500 HD 2046275-016B

The orders are not deleted and you return to the opening set of menu options.
6. To delete all the completed orders, select Del Completed.
The message Are you sure you want to delete all completed orders? opens.
• To delete all the completed orders, select Yes.
The orders are deleted and you return to the opening set of menu options.
The orders are not deleted and you return to the opening set of menu options.
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Using an SD Card
13
The MAC system allows you to extend the device's storage capacity by using an
external Secure Digital (SD) card. The SD Card is also used to distribute and apply
software updates.
The following table compares the differences between internal storage and SD card
storage. Be aware of these differences when selecting your storage option.
Internal Storage vs SD Card Storage
Internal Storage SD Card

Delete XML file when deleting corresponding ECG file1 No Yes
Memory Status Messaging 70%..90%.. Full SD Card Full
Copy/Restore ECG files to/from SD card Yes N/A
Ability to create XML file from File Manager Yes Yes
Save System Setup to SD Card Yes Yes
Ability to access orders on SD card No Yes
1 System overwrites XML files with the same name.
Supported SD Cards
The system supports SD cards of the following capacity:
• 64 MB
• 128 MB
• 256 MB
• 512 MB
• 1 GB
• 2 GB
NOTE:
The system does NOT support SDHC (High Capacity) SD cards.
While cards from any manufacturer work with the system, GE Healthcare recommends
and provides cards from SanDisk Corporation.
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Using an SD Card
Preparing the SD Card

Before using the SD card, you must know how to lock, unlock, insert, eject, and format
the card.
Locking and Unlocking the SD Card

You can lock an SD card to secure the data. Before using the SD card, unlock it
by moving the lock tab into the unlocked position (1). This allows you to store data
on or delete data from the card.
To prevent accidental deletion of data, protect the SD card by moving the lock tab into
the locked position (2). The tab should remain in the locked position until you are ready
to copy data to or remove data from the card.
Inserting and Ejecting the SD Card

To use the card, insert it into the card reader on the back of the MAC system. When it
is properly inserted, it will snap into place.
To remove the SD card from the slot, press the card into the slot; the slot is
spring-loaded and will eject the SD card.
Formatting the SD Card

Most secure digital cards do not require formatting. In the event an unformatted SD
card is inserted into the system, the following message will be displayed:
This SD Card cannot be read and requires formatting. Formatting will destroy all
data on this SD Card. Are you sure you want to format?
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Using an SD Card
Select Yes to format the card.
Managing Files on the SD Card

To use the SD card for external storage, use the File Manager to copy files to the card,
restore files from the card, and save files in XML format to the card.
Displaying Stored ECGs

1. Power on the unit.
2. Select File Manager.
A list of stored ECGs is displayed.
3. Choose Select.
The cursor moves to the screen.
4. Highlight the ECG(s) to display.
5. Select Display.
Copying Files to the SD Card

Use the following procedure to copy ECGs from internal memory to the SD card. To use
this option, the SD Card Storage Only setting must be set to No on the Miscellaneous
Setup screen.
NOTE:
Copying files from internal storage to external storage deletes any files on the SD
card. Be sure the SD card does not contain any files you need before continuing.
1. Insert the SD card into the system's card slot.
Refer to “Inserting and Ejecting the SD Card” on page 100.
2. Select File Manager to open the list of stored ECGs.
3. Select Copy All.
Existing records (if any) in SD card will be deleted. Continue?
• To cancel the copy, select No.
• To continue copying the files, select Yes.
Deleting existing records (if any) in SD card.... Please wait.
An indicator shows the progress/completion of the copying procedure.
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Using an SD Card
Restoring Files from the SD Card

After files have been copied to an SD card, you can use the Restore All function to
copy files from the SD card to internal storage.
NOTE:
If CT Data Guard is enabled and its Prevent deleting of untransmitted records
field is set to Yes, you will receive the following warning if any of the records in
internal storage have not been transmitted:
The operation deletes existing records. This cannot be done since there are
untransmitted records!
If you receive this message, make sure that all records have been transmitted and try
Restore All again.
1. Insert an SD card with ECGs into the system's card slot.
3. Select Restore All.
Existing records (if any) in memory will be deleted. Continue?
• To cancel the copy, select No.
• To continue copying the files, select Yes.
Deleting existing records (if any) in memory.... Please wait.
An indicator shows the progress/completion of the copying procedure.
Saving Files in XML Format

In addition to transmitting ECG records as XML files to a PC (see “Transmitting ECGs in
XML Format” on page 86), the MAC system can save ECG records as XML files on an
SD card.
NOTE:
Only ECGs recorded at 500 Hz or 500 Hz DVS can be saved in XML format. ECGs
recorded at 250 Hz cannot be saved in XML format.
1. Insert an SD card into the system's card slot.
3. Highlight the record(s) to export as XML.
4. Select Save XML.
The ECGs are converted to XML and saved to the SD card.
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Using an SD Card
Updating Software from the SD Card

Software updates are provided on an SD card.
NOTE:
Before applying a software update, do the following:
• Confirm the update is compatible with the main board in your device.
• Updates with boot code version B4 or higher cannot be applied to devices
with the –007 main board (P/N 801212-007).
• Updates with software version 10A, 9C, or earlier cannot be applied to
devices with the –008 main board (P/N 801212-008).
• Connect the device to AC power.
Keep the device connected to AC power and do not power off the device during
the update.
Use the following procedure to apply updates.
1. Press Power to turn on the device.
2. From the Main Menu, select System Setup.
3. Enter the system password. and press Enter.
4. Press Shift + F3.
Please Insert SD Card
Press ‘Esc’ to cancel
5. Insert the SD card.
Current Version: xx.xx
New Software Version: yy.yy
Press 'Enter' to start update.
6. Press Enter.
NOTE:
If the device is not connected to AC power, the message Please switch to AC
Power is displayed. Connect the device to an AC outlet.
A series of messages flash on the screen to indicate the installation progress.
One of two things will happen:
• If the boot code on the device and the boot code on the SD card are the same
version, the following messages are displayed:
Programming Over
System will shut down
Press any key to continue...
Press any key to shut down the device. Skip to step 8.
• If the boot code on the device and the boot code on the SD card are different
versions, the following messages are displayed:
Current Boot Version: xx.xx
New Boot Version: yy.yy
Press 'Enter' to start Installation
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Using an SD Card
Proceed to step 7.
• To cancel the update to the boot code, press any key other than Enter.
The following messages are displayed:
Boot code not updated.
Can update later from service setup.
• To update the boot code, press Enter.
The following messages are displayed:
Programming Primary Boot
Programming Over
System will shut down
Press any key to continue...
Press any key to shut down the device.
8. After the device shuts down, press Power to restart the device.
9. On the Resting ECG screen, verify the software version has been updated.
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System Setup
14
This chapter describes how to use System Setup to configure your system. It provides
an overview of the setup process and details on how to set up:
• Automatic tasks
• System basics
• ECGs
• Signal Averaged ECGs
• Exercise Stress Tests
• Master's Step Tests
• Card Readers
• Bar Code Readers
In addition, the chapter provides an overview of the System Setup hierarchy and
instructions on how to print, save, and restore the system settings.
System Setup Hierarchy

The following list shows the hierarchy of the device's System Setup menu. Use it to
help you locate the system settings to configure.
• Basic System
• Patient Questions
• Screen Colors
• Transmission
• Network Setup
• Option Activation
• Date and Time
• Language
• Power Up Options
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System Setup

• Input Method Select
• ECG
• ECG Acquisition
• ECG Analysis
• Writer Setup
• Resting ECG Reports
• Report Leads
• Confirmed Reports
• Unconfirmed Reports
• Pediatric ECG Reports
• Report Leads
• 15 Lead Reports
• Extra Leads
• Report Leads
• Vector Loops
• Vector Loops
• Report Leads
• Analog Outputs
• CD Data Guard Setup
• Critical Values Setup
• Notifications Setup
• Restore from SD Card
• Save to SD Card
• Exercise Tests
• Writer Setup
• 12 Lead Exercise
• Report Leads
• Exercise Reports
106 MAC® 5500/MAC® 5500 HD 2046275-016B
System Setup
• 15 Lead Exercise
• Extra Leads
• Report Leads
• Final Report
• Screen
• Inputs/Outputs
• Hi-Res
• Master's Step
• Print Setup
• Save Setup
• To System
• To SD Card
• Do not save setup
• Restore Setup
• To Original Factory Settings
• From SD Card
• Do Not Restore Setup
Process Overview
The following procedure describes the basic flow and steps for using the System
Setup function. Use this process when configuring specific settings.
1. Select System Setup.
You are prompted to enter the system setup password.
2. Type the system setup password and press Return.
The System Setup window opens.
3. Select the function to configure.
The selected function’s settings are displayed on the screen.
4. Configure the settings as appropriate.
Refer to the corresponding function sections in this chapter for detailed
descriptions of the settings.
5. When you are done configuring the section, select Save Setup.
A list of options is displayed.
• To save the settings to internal storage, select To system.
Use this option to enable the changes on the system.
• To save the settings to external storage, select To SD Card.
2046275-016B MAC® 5500/MAC® 5500 HD 107
System Setup
Use this option if you want to use the settings to quickly configure other MAC
systems. Be sure that an SD card is inserted into the system's card slot.
• To cancel, select Do not save setup.
7. Select Main Menu to exit System Setup.
Setting Up Automatic Tasks

The MAC system can be configured to perform the following tasks automatically:
• Power up into a specific function
• Preview the ECG before analysis
• Print a resting ECG report
• Print a signal averaged ECG report
• Perform ACI-TIPI Interpretation
• Store an ECG
• Transmit an ECG report
Setting Up Power Up Function

You can set up the system to start up into the function you use most often.
1. Log into the System Setup function.
Refer to “Process Overview” on page 107.
2. Select Basic System.
3. Select Power Up Options.
4. Select the function you want the system to load on startup.
For more information, refer to “Power Up Options” on page 121.
5. Press Return.
Setting Up ECG Preview

Preview allows you to review the ECG on screen before it is printed or stored. After
the ECG is displayed, you can select Continue to print or store the ECG or Cancel
to discard it.
2. Select ECG.
The ECG options are displayed.
3. Select ECG Analysis.
The analysis options are displayed.
4. In the Preview before analysis field, select Yes.
5. Press Return.
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System Setup
Setting Up Resting ECG Report Printing

This option allows you to select the report format that will print for different resting
ECGs.
2. Select ECG.
3. Select the type of ECG reports to configure.
You have the following options:
• Resting ECG Reports
• Pediatric ECG Reports
• 15-Lead Reports
• Vector Loops Reports
4. Select Unconfirmed Reports.
A list of available report formats is displayed.
5. Select the type and quantity of formats to print.
Setting Up Automatic ECG Storing

Use the following procedure to set up the system to automatically store an ECG.
2. Select ECG > ECG Analysis > Auto ECG Storage.
A list of options opens.
• All ECGs
• No ECGs
• Only ABNORMAL ECGs
3. Select the desired option and press Return.
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System Setup
Setting Up Automatic ECG Transmission

Use the following procedure to set up the system to automatically transmit ECGs.
NOTE:
Before setting up automatic transmission, you must define the receiving device,
its default location, and its transmission paramters. Refer to “Transmission” on
page 116.
2. Select ECG > ECG Analysis > Auto ECG Transmission.
A list of options opens.
• All ECGs
• No ECGs
3. Select the desired option and press Return.
Setting Up Signal Averaged ECG Report Printing

This option allows you to select the report format that will print for signal averaged
ECGs.
2. Select Hi-Res.
A list of available report formats is displayed.
3. Select the type and quantity of formats to print.
Setting Up ACI-TIPI Interpretation

Use the following procedure to set up the system to automatically prompt you for
ACI-TIPI information required for interpretation.
2. Select ECG.
3. Select ECG Analysis.
• To enable ACI-TIPI, select Yes in the Enable ACI-TIPI field.
• To disable ACI-TIPI, select No in the Enable ACI-TIPI field.
110 MAC® 5500/MAC® 5500 HD 2046275-016B
System Setup
Setting Up System Basics

This section describes the following basic system settings:
• Screen Colors
• Transmission
• Network Setup
• Option Activation
• Date and Time
• Language
• Input Method Select
Miscellaneous Setup
To configure the system's basic settings, log on to the System Setup screen, select
Basic System > Miscellaneous Setup, and complete the fields described in the
following table.
Miscellaneous Setup
Field Description
Institution name Enter the name of your hospital, clinic, and so on as you want it
to print on reports. On most reports the institution name prints at
the top.
Text entry Determines how text will be entered in the system.
• Select Uppercase only to type text in uppercase letters.
• Select Upper and lowercase to type text in upper and lowercase
letters.
Speaker volume Determines how loud the system speaker will be.
• Select Low to set the system’s speaker to low volume.
• Select High to set the system’s speaker to high volume.
External video port To use an external monitor with the system, select one of the
following options.
• Select Option 1 for most remote monitors.
• Select Option 2 if your monitor does not work with Option 1.
Information line Determines whether additional help will be displayed on the screen.
• Select Yes to display the Additional Information line on the screen.
• Select No to hide the Additional Information line.
Cart number Distinguishes this unit from other MAC systems. Enter a unique
number.
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System Setup
Miscellaneous Setup (cont'd.)
Field Description
Site number Identifies the site where the unit is located. This corresponds with
a site number used by the MUSE CV system with which this unit
communicates. Valid values range from 1–254, inclusive.
Location number Identifies the location where the unit is located. This corresponds
with the locations on the MUSE CV system with which this unit
communicates. Valid values range from 0–9999, inclusive.
File Manager sort Determines the method the File Manager uses to sort ECGs.
Delete after transmit Determines whether the system will automatically delete ECGs
after they are transmitted from File Manager to a receiving device.
It does not delete ECGs that are transmitted automatically after
acquisition. Select Yes to delete ECGs.
NOTE:
This setting does not apply when faxing ECGs. When an ECG is
faxed, it will NOT be deleted even if this field is set to Yes.
Text on bottom Determines whether the system will print ECG test information
on the bottom of the ECG reports. Select Yes to print the ECG
information on the report.
Print barcodes Determines whether the system will print the patient information in
a barcode format on the report. Select Yes to print the bar code.
Automatic Shutdown Determines whether the system will shut down automatically after a
set number of minutes if a key is not pressed.
• To disable automatic shutdown, enter 0 in the field.
• To enable automatic shutdown, enter the number of minutes to
wait before shutdown.
For example, if you enter 5, the system will shut down automatically
if a key is not pressed within 5 minutes.
Serial power always Determines whether the serial port will receive continuous power.
on Select Yes to continuously power the serial port.
System password Prevents unauthorized persons from accessing the System Setup
functions. The password must be entered to access the System
Setup menus.
Enter a 6–character password. The default password is SYSTEM.
Keep track of all assigned passwords.
Overread password Prevents unauthorized persons from editing or deleting ECG
measurements. The password must be entered to access these
functions.
Enter a 6–character password. The default password is OVREAD.
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System Setup
Miscellaneous Setup (cont'd.)
Field Description
Device password Prevents unauthorized persons from accessing the system. The
password must be entered to use the system.
Enter a 6–character password. By default, the password is blank.
SD Card Storage Determines where the ECGs are automatically stored.
Only • To store to internal storage, select No.
• To store to an SD card, select Yes.
NOTE:
Any ECGs that are in internal memory storage will not be
accessible when switching to SD card storage. Be sure that
they have been printed and/or stored before switching to SD
card storage only.
When Yes is selected for this option, an SD card must be inserted
in the SD card slot before performing many of the procedures
described in this manual.
Data access speeds may vary, depending on the SD card
capacity and manufacturer. This may affect the time required to
read or write ECG records and other information to the SD card.
For more information on SD cards, refer to Chapter 13, “Using an

SD Card”.
Patient Questions
To configure the prompts that are displayed when you select Patient Data in the
Resting ECG application, log on to the System Setup screen, select Basic System >
Patient Questions, and complete the fields described in the following table.
Patient Questions
Field Description
ID Required Determines whether you must enter the Patient ID before an ECG
can be recorded.
• Select Yes to require the ID.
• Select No to make the ID optional.
ID length Determines the maximum length of the Patient ID. It must match
the same length of the Patient ID in the MUSE CV system to which
the MAC system communicates.
Enter any number from 3 — 16.
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System Setup
Patient Questions (cont'd.)
Field Description
Age Determines the method the system uses to enter the patient's age.
Select one of the following values:
• Date of birth
Select this option to enter the patient's birth date in
day-month-year format. The system will calculate the patient's
age.
• Age in years
Select this option to enter the patient's age in years, months,
weeks, days, or hours.
Your selection also affects the way in which the patient's age is
printed on the report when data is transferred from a card reader
or order manager.
Gender Determines whether the system will prompt you for the patient's
gender. Select Yes to prompt for gender.
Height Determines whether the system will prompt you for the patient's
height. Select Yes to prompt for height.
Weight Determines whether the system will prompt you for the patient's
weight. Select Yes to prompt for weight.
Height/Weight in Determines the unit or measurement in which height and weight
are measured.
• Select in./lb. to measure the height in inches and weight in
pounds.
• Select cm./kg. to measure the height in centimeters and the
weight in kilograms.
Race Determines whether the system will prompt for the patient's race.
Select Yes to prompt for race.
NOTE:
Race 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
Blood pressure Determines whether the system will prompt for the patient's
systolic and diastolic blood pressure. Select Yes to prompt for blood
pressure.
Medications Determines whether the system will prompt you to enter any
medications the patient is taking. Select Yes to prompt for
medications.
Referred by name Determines whether the system will prompt you to enter the name
of the referring physician. Select Yes to prompt for this information.
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System Setup
Patient Questions (cont'd.)
Field Description
Referred by number Determines whether the system will prompt you to enter the ID
number of the referring physician. Select Yes to prompt for this
information. When entering the referring physician's number, enter
numbers that are compatible with the MUSE CV system to which
the MAC system communicates.
Test Indication Determines whether the system will prompt for the test reason.
Select Yes to prompt for the reason.
Patient History Determines whether the system will prompt for the patient's history.
Select Yes to prompt for the history.
Technician Determines whether the system will prompt you to enter the name
of the technician conducting the test. Select Yes to prompt for this
information.
When entering the technician's ID, enter numbers that are
compatible with the MUSE CV system to which the MAC system
communicates.
Tech. Required Determines whether the technician's name is required. Select Yes to
require the technician's name.
Location Determines whether the system prompts for the test location. Select
Yes to prompt for location.
Enter numbers that corresponds with the locations on the MUSE CV
system with which this unit communicates.
Room number Determines whether the system prompts for the room number
where the test was taken. Select Yes to prompt for room number.
Options Determines whether the system prompts for the option number for
the ECG. Select Yes to prompt for the option number.
Option numbers are user-defined.
Order number Determines whether the system prompts for the order number for
the ECG. Select Yes to prompt for order number.
Secondary ID Determines whether the system prompts for a second ID for the
ECG. Select Yes to prompt for secondary ID.
Visit Determines whether the system prompts for the Visit ID. Select Yes
to prompt for the Visit number.
Extra Questions Allows you to define custom questions to prompt for. For each
question, select the type of information that can be entered:
• Numbers and letters
Allows the entry of any alphanumeric value.
• Numbers only
Allows the entry of numeric values only.
• Yes or No
Allows only Yes and No answers.
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System Setup
Screen Colors
To configure the system's screen colors, log on to the System Setup screen, select
Basic System > Screen Colors, and complete the field described in the following table.
Screen Colors
Field Description
Screen Colors Defines the system colors. Select the desired color scheme:
• Monochrome
Select this option to display white elements.
• Option 1
Select this option to view white, green, yellow, and red elements.
• Option 2
Select this option to view white, yellow, and red elements.
Transmission
To configure the settings for transmitting ECGs, log on to the System Setup screen,
select Basic System > Transmission, and complete the fields described in the
following table.
Transmission Settings
Field Description
Modem Speaker Determines whether the modem's tones are audible. Select the
appropriate value:
• Select On to hear modem tones.
• Select Off to silence modem tones.
• Select Dialing Only to hear the modem tones only when it is
dialing.
Dialtone required Determines whether the system must be connected to a telephone
line that has a dial tone. Select Yes to require a dial tone.
Dialing method Determines the dialing method used by the telephone line.
Fax error correction Determines whether the facsimile machine to which you transmit
ECGs uses an error correction factor. Select Yes if the machine uses
error correction.
Modem Identifies the type of modem being used. Valid options are:
• Autodetect
• Internal
• External
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System Setup
Transmission Settings (cont'd.)
Field Description
, - Two second pause Indicates you can create a two-second pause by entering a comma
in a telephone number. This will force the modem to wait for a dial
tone before dialing. This is useful when accessing an outside line;
the pause allows time to connect to the outside line before dialing
the telephone number. For example, if you enter have to dial 9 to
access an outside line, entering a phone number of 9,3216788 will
pause for two seconds after dialing 9 for the outside line and before
dialing the telephone number 3216788.
Phone number Identifies the telephone numbers you most frequently transmit to.
Enter from one to six telephone numbers.
Location Type a location name to identify each telephone number.
Type Identifies the receiving device type. Valid options are:
• MUSE NETWORK
Select this option when transmitting to a MUSE CV system or
another MAC system.
• Fax Machine
Select this option when transmitting to a facsimile machine.
NOTE:
When faxing a batch of ECGs, the system does not transmit
all the ECGs in the batch in a single fax. Instead it faxes the
first ECG, hangs up, redials, and faxes the next ECG. This is its
normal mode of operation.
Use IR for serial line Determines whether the system will use the serial port or infrared
port.
• To use the infrared port, select Yes.
• To use the serial port, select No.
Serial line baud rate Determines the speed to transmit data on the serial port.
Default Location Determines the method and device to which ECGs are automatically
transmitted. Select one of the following values:
• To transmit by local infrared communication or by local cable,
select Serial line (MUSE).
• To transmit ASCII data to the serial port, select Serial line (ASCII
out).
• To transmit XML data to the serial port, select Serial line (XML
out).
• To transmit by LAN, select Ethernet (MUSE).
NOTE:
Infrared communication is not available on MAC 5500 HD
systems.
If transmitting ASCII or XML data, the PC that receives XML data
through the serial line must be running a terminal emulator
program (for example, HyperTerminal).
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System Setup
Network Settings
To configure the system's local area network settings, log on to the System Setup
screen, select Basic System > Network Setup, and complete the fields described in
the following table.
Network Settings
Field Description
IP Address Identifies the network's IP address.
Subnet Mask Identifies the network's subnet mask.
Gateway Identifies the network's gateway.
Port Number Identifies the network's port number.
Option Activation
Use the following procedure to activate system options.
2. Select Basic System > Option Activation.
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System Setup
A list of the following options is displayed.
Option Code Description

12 Lead ST12 Enables 12–lead stress tests.
Exercise
15 Lead ST15 Enables 15–lead stress tests.
Exercise
Hi-Res HRES Enables QRS signal averaging.
PHi-Res PRES Enables P-wave signal averaging, which enhances
measurement accuracy by maximizing signal
fidelity.
AT Modem MODM Enables transmission and receipt of data over an
external AT modem.
FAX Modem FAXM Enables transmission and receipt of data over an
external FAX modem.
Interpretation DIAG Enables the printing of 12SL diagnosis on ECG
reports.
Remote Query RQRY Enables you to query MUSE databases to review and
print ECG reports.
ACI TIPI TIPI Enables ACI-TIPI analysis for resting ECGs. This
analysis generates a numerical score representing
the probability that the patient has acute cardiac
ischemia.
Gen-12SL GN12 Enables the use of gender and age specific
interpretation criteria when generating 12SL
diagnosis.
Color COLR Allows you select one of two color options for the
display screen.
Master’s Step MAST Enables the Master's Step stress test. Available only
in Japan.
Wireless WIFI Enables the transmission of ECGs over a wireless
network.
Bar Code BCRD Enables collection of patient data via bar code
Reader reader.
Card Reader MGRD Enables collection of patient data via patient card
reader.
Edit Protocol EDPR Allows you to edit stress test protocols.
CT Data Guard CTDG Enables the clinical trial and data guard features.
Ethernet LAN ELAN Enables you to connect to an Ethernet local area
network.
HD HDMD Enables the high-definition pacemaker detection
Pacemaker function. Requires the use of the CAM HD acquisition
Detection module.
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System Setup
Option Code Description

Critical Values CRIT Enables the critical value function, which allows you
to define custom alerts based on key ECG values. If
the Critical Values function is enabled, you must
configure the alerts. Refer to “Critical Values Setup”
on page 136 for more information.
Acute ACSM Enables the acute coronary syndrome (ACS) function.
Coronary This function performs an ACS analysis on resting
Syndrome ECGs, vector loops ECGs, and 15-lead ECGs.
3. Type the 12-digit activation code you received when you purchased the option
and press Return.
If you enter a valid option code, an asterisk (*) will be displayed next to the option
in the list, indicating it is now active.
4. Repeat for each option you purchased.
5. When you are done, select Return.
Date and Time

To configure the system's date and time, log on to the System Setup screen, select
Basic System > Date and Time, and complete the fields described in the following
table.
Date and Time Configuration
Field Description
Current date Select the current date, month, and year.
Current time Select the current hour and minute.
Language
To configure the system's display and report language, log on to the System Setup
screen, select Basic System > Language, and complete the fields described in the
following table.
Language Selection
Field Description
Select new language Select the desired language.
The language changes when you reboot the system.
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System Setup
Power Up Options
To configure the system's power up application, log on to the System Setup screen,
select Basic System > Power Up Options, and complete the fields described in the
following table.
NOTE:
For detailed instructions, refer to “Setting Up Power Up Function” on page 108.
Power Up Options
Field Description
Power Up Select the application that opens automatically when you start the
Application system. Options are:
• Resting ECG
• Pediatric ECG
• Vector Loops
• 15 Lead ECG
Order Manager Interface

To configure the system's Order Manager, log on to the System Setup screen, select
Basic System > Order Manager Interface, and complete the fields described in the
following table.
Order Manager Interface
Field Description
Initial sort value Determines how the Order Manager initially sorts the ECGs. Select
one of the following values:
• Patient name
• Patient ID
• Location
• Time
• Stat
Create orders locally Determines whether you can manually create orders on the MAC
system. Select Yes to allow manual order creation.
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System Setup
Order Manager Interface (cont'd.)
Field Description
Auto order delete Determines whether an order will deleted automatically when the
associated ECG is deleted.
Select Yes to automatically delete an order when its associated ECG
is deleted.
An ECG is deleted automatically in either of the following conditions:
• The ECG has been successfully transmitted to a receiving system
and the Delete after transmit field on the Miscellaneous Setup
window is set to Yes.
• The ECG has been successfully transmitted to a receiving system
and has not been saved to the device.
The settings of the Auto ECG Storage and Auto ECG
Transmission fields on the ECG Analysis setup window determine
which ECGs, and consequently which associated orders, are
deleted automatically:
• To delete all ECGs, use the following settings:
Auto ECG Storage: No ECGs.
Auto ECG Transmission: All ECGs.
• To delete only abnormal ECGs, use the following settings:
Auto ECG Storage: No ECGs.
Auto ECG Transmission: Only Abnormal ECGs.
• To delete only normal ECGs, use the following settings:
Auto ECG Storage: Only Abnormal ECGs.
Auto ECG Transmission: All ECGs.
Default order Identifies the locations displayed on the prompt when downloading
locations orders. This will typically be the device's location (see “Miscellaneous
Setup” on page 111).
If the device is used in multiple locations, enter multiple locations
and separate them with commas: 1,3,10, and so on.
Input Method
To configure the how the system's PS/2 port will be used, log on to the System Setup
screen, select Basic System > Input Method Select, and complete the fields described
in the following table.
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System Setup
Input Method
Field Description
Patient Data Input Determines which device will be connected to the PS/2 port. Valid
Device options are:
• PS/2 Keyboard
• Card Reader
• Bard Code Reader
• Internal Keyboard
Query Configuration Determines how the input device should be configured. Valid values
vary depending on the selected device.
If you select Card Reader or Bar Code Reader, the valid options are:
• Automatic
• Manual
• None
If you select Internal Keyboard, the valid options are:
• Manual
• None
For more information on configuring the card reader or the bar code
reader, refer to “Setting Up a Card Reader” on page 149 and “Setting
Up a Bar Code Reader” on page 151.
Setting Up ECGs
This section describes the following ECG settings:
• ECG Acquisition
• ECG Analysis
• Writer Setup
• ECG Reports
• Analog Outputs
• CT Data Guard
• Critical Values Setup
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System Setup
ECG Acquisition
To configure ECG acquisition, log on to the System Setup screen, select ECG > ECG
Acquisition, and complete the fields described in the following table.
ECG Acquisition
Field Description
Baseline roll filter Removes baseline sway. The higher the settings, the more the filter
smooths out wandering baseline. This filter does not distort the ST
segment displays on the ECG reports.
AC filter Removes AC line artifacts.
Disable auto gain Disables the check for out of range ECG gain. Select No to enable
check. the auto gain check. If enabled, the system will display a prompt if
the gain of the recorded ECG is either too high or too low, allowing
the user to manually adjust the gain.
Disable lead off Disables the check for leads that are disconnected. Select No to
check enable the check. If enabled, the system will display a message if it
detects any disconnected leads.
Pacemaker pulse Enhances the system detection of small pacemaker pulses. When
enhancer enabled, the system is very sensitive and should NOT be placed
close to equipment that emits high frequency radiation. High
frequency radiation can interfere with pacemaker pulse detection
and normal ECG acquisition.
NOTE:
GE Healthcare recommends that this be set to No unless it is
known that the majority of this cardiograph usage will be on
patients with pacemakers. The pacemaker pulse enhancement
can always be enabled on a per-patient basis at the time of ECG
acquisition within the resting ECG programs.
Baseline wander Enables the display a message when the system detects a
warning wandering baseline.
Muscle tremor Enables the display of a message when the system detects a muscle
warning tremor.
AC noise level Enables the system to check for powerline interference when
warning recording ECGs.
Hookup Advisor Enables the Hookup Advisor option, which monitors the quality of
ECG signals for resting, 15-lead, pediatric, vector loops, and Master's
Step measurements. When enabled, the system overrides the
settings for Baseline wander warning, Muscle tremor warning, and
AC noise level warning.
For more information, refer to “Hookup Advisor” on page 63.
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System Setup
ECG Acquisition (cont'd.)
Field Description
Prompt Level Determines the level at which the Hookup Advisor prompts users
regarding patient hookup quality. This field is available only if
Hookup Advisor is enabled.
There are three possible settings:
• Never
The system will not prompt the user when the signal quality
is poor. However, the statement ***Poor data quality,
interpretation may be adversely affected will print on reports
for red lead quality situations.
• Yellow
The system will prompt the user for both red and yellow signal
quality situations. The user can then choose to continue or cancel
the ECG. The statement ***Poor data quality, interpretation
may be adversely affected will print on reports.
• Red
The default value, the system will prompt the user for red signal
quality situations. The user can then choose to continue or cancel
the ECG. The statement ***Poor data quality, interpretation
may be adversely affected will print on reports.
NOTE:
If Hookup Advisor and Preview before analysis are both on,
this setting is disregarded because any lead quality message
will be displayed when the user is prompted to continue in the
preview screen.
The generation of the statement *** Poor data quality,
interpretation may be adversely affected is based on the
Hookup Advisor quality level as previously described even if
Hookup Advisor is not turned on. If Hookup Advisor is not
turned on, the statement will be generated based on what the
Hookup Advisor level would have been had it been enabled
Pre-acquisition Determines whether the system begins to acquire ECG data as soon
as the leadwires are connected to a patient. If set to Yes, the system
does not wait for the user to press ecg. The latest 10 seconds of ECG
data is ready for analysis when this setting is enabled.
ECG Analysis
To configure the analysis of ECGs, log on to the System Setup screen, select ECG >
ECG Analysis, and complete the fields described in the following table.
ECG Analysis
Field Description
Preview before Determines whether the system will display the ECG data before it
analysis analyzes it. Applies for resting, pediatric, 15–lead, and vector loops
only. Select Yes to enable preview.
Screening criteria Prevents specific 12SL statements from appearing on ECG reports.
Refer to the 12SL Physician's Guide for more information on 12SL
statements.
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System Setup
ECG Analysis (cont'd.)
Field Description
Suppress NORMAL Prevents the Normal ECG 12SL analysis statement from appearing
statement on printed, stored, and transmitted ECG reports. Select Yes to
suppress the NORMAL statement.
Suppress Prevents the Abnormal ECG and Borderline ECG 12SL statements
ABNORMAL and from appearing on the printed, stored, and transmitted ECGs. Select
BORDERLINE Yes to suppress the statement.
statements
Storage format Determines the data compression format in which ECG data is
stored on the MUSE CV system. The appropriate value depends on
the version of the MUSE CV system:
• 500Hz (MUSE Network)
Select this option for systems running MUSE CV version 004A
or later.
• 500Hz DVS (MUSE Network)
Select this option for systems running MUSE CV version 5D.04
or later. This allows the ECGs to be reprinted at the original
resolution of the receiving device.
• 250Hz
This option is not available with the ACI-TIPI option.
Store XML format Determines whether the system will automatically save ECGs in XML
format in addition to the proprietary GE Healthcare Hilltop format. If
this option is selected, the XML files are stored to the following path
on a blank SD Card Drive: \XML\*.XML.
Before setting this option, be aware of the following:
• If storing ECGs in XML format, DO NOT allow editing ECGs at
the system. Changes made to ECGs during editing WILL NOT
BE SAVED to the XML file
• Except for the XML suffix, the name of the XML file is the same as
the name of the ECG file.
• When this option is selected, the SD card will fill up more quickly
due to the size of the XML files.
• In XML files, waveform data is saved as numeric points.
Auto ECG storage Determines which ECGs are stored automatically:
• All ECGS
All ECGs are stored upon completion.
• No ECGS
No ECGs are stored automatically.
Only ECGs that the 12SL interpretation mark as abnormal are
stored automatically.
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System Setup
ECG Analysis (cont'd.)
Field Description
Auto ECG Determines which ECGs are transmitted automatically:
transmission • All ECGS
All ECGs are transmitted upon completion.
• No ECGS
No ECGs are transmitted automatically.
Only ECGs that the 12SL interpretation mark as abnormal are
transmitted automatically.
Enable ACI-TIPI Determines whether ACI-TIPI interpretation will be performed.
Available only if the ACI-TIPI option has been activated.
Patient Questions
To configure the custom patient questions to ask, log on to the System Setup screen,
select ECG > Patient Questions, and complete the fields described in the following
table.
Patient Questions
Field Description
Prompt Allows you to define custom patient questions.
Type Allows you to set the type of response for the custom patient
question. Valid values are:
• Numbers only
• Yes or No
Writer Setup
To configure the writer's behavior, log on to the System Setup screen, select ECG >
Writer Setup, and complete the fields described in the following table.
Writer Setup
Field Description
Speed Determines the writer's default speed in millimeters per second.
Gain Determines the writer's default gain setting in millimeters per
millivolts. For example, the setting 10/5 displays limb leads at 10
mm/mV and precordial leads at 5 mm/mV.
Filter Determines the writer's default filter setting. The default setting is
150 Hz.
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System Setup
ECG Reports
You can configure the reports generated for Resting ECGs, Pediatric ECGs, 15-Lead
ECGs, and Vector Loops ECG. For each ECG, you can configure the:
• leads used for the reports,
• report formats used for confirmed ECGs, and
• report formats used for unconfirmed ECGs.
In addition, you can configure the extra leads used by the 15-Lead ECG reports and
the settings for the Vector Loops reports.
Report Leads
The Report Leads settings allow you to configure the following values:
• the leads used for each standard channel
• the rhythm reporting method
• the leads used for each rhythm report lead group
• the autorhythm lead group
• the extra leads used by the CGR and RMR reports
• the leads used by the Swedish rhythm report
The settings are essentially the same for each ECG type, although the available values
for each setting may differ depending on the ECG type.
Use the following instructions to select the correct Report Leads for each report type:
• Resting ECG Report
System Setup > ECG> Resting ECG Reports > Report Leads
• Pediatric ECG Report
System Setup > ECG > Pediatric ECG Reports > Report Leads
• 15 Lead ECG Report
System Setup > ECG> 15 Lead Reports > Report Leads
• Vector Loops ECG Report
System Setup > ECG> Vector Loops ECG Reports > Report Leads
Report Leads
Field Description
Standard leads Defines which leads will print for each channel. When you change
a channel's lead, the new lead prints on all ECG reports including
the channel.
You can define the lead for channels 1 through 15, except for the
Resting ECG Report, which includes only channels 1 through 12.
Rhythm reports Defines the data that will print on the rhythm reports:
• Real time
Prints the ECG data currently on the screen.
• 10 sec delayed
Delays the printing by 10 seconds.
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System Setup
Report Leads (cont'd.)
Field Description
Rhythm leads Defines the lead option for each of the six rhythm groups to
determine the rhythm leads that print when you select the rhythm
key within an application.
• Select 3 leads to define which three leads in a three-lead Rhythm
report print.
• Select 6 leads to define which six leads in a six-lead Rhythm
report print.
• Select All leads to display and print 10 seconds of data for 12 (or
15) leads.
• Select Lead Check to display and print real time data for each
of the 12 (or 15) leads.
• Select Lead Placement to display and print real-time data for
each of the 12 (or 15) leads and to display the chest electrode
placement.
Autorhythm Determines the group of rhythm leads to print on the Autorhythm
report.
RMR/CGR/extra Determines the rhythm lead(s) to print on the RMR and CGR reports.
rhythm leads When you change a rhythm lead, the new lead prints on all
reports that include the lead. For example, if you select V5 for
RMR/CGR/extra rhythm lead 1, then the V5 waveform prints on all
reports that include RMR/CGR/extra rhythm lead 1.
Swedish format Sets the rhythm lead(s) to print in the Swedish Format reports.
rhythm leads When you change a rhythm lead, the new lead prints on all reports
that include the lead. For example, if you select V5 for the Swedish
format rhythm lead 1, then the V5 waveform prints on all reports
that include Swedish format rhythm lead 1.
When printing or storing 3-lead median or trend reports, the first
three Swedish format rhythm leads are used. When printing or
storing 6-lead median reports, all six of the Swedish format rhythm
leads are used.
Extra Leads
In addition to the report leads, the 15-Lead ECG Report also allows you to define the
leads used by three additional electrodes. To configure the extra leads, log on to the
System Setup > ECG> 15 Lead Reports > Extra Leads,
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System Setup
Extra Leads
Field Description
Lead Set Determines the three additional leads used for 15–lead reports. You
can:
• Select a predefined set of leads.
• Right Precordial [V4r, V5r, V6r]
• Posterior [V7, V8, V9]
• NEHB [D, A, J]
• Mixed 3 [V4r, V8, V9]
• Select Custom 3 to define electrode positions for A1, A2, and A3.
Vector Loops
In addition to the report leads, the Vector Loops Report also allows you to configure
the vector loops. To configure the vector loops, log on to System Setup > ECG> Vector
Loops ECG Reports > Vector Loops.
Vector Loops
Field Description
Number of copies Determines the number of report copies that print. Enter a value
from 0 to 10.
Main loop gain Select a default value for the main loop gain in millimeters per
millivolts.
Lead Z display Select a default value for the lead z display.
Sagittal plane Select a default value for sagittal plane.
Confirmed Reports
The Confirmed Reports settings allow you to configure the following values:
• number of copies to print for each format
• whether to include tic marks on the Medians Report
• whether to increase the median by two on the Medians Report
• whether to include auto gain and auto shift on the 2 by 5s Simult.report
The settings are the same for each ECG type, except for the Resting ECG Report,
which includes two additional report formats: 2 by 5s Simult. and Pharma 4 by 2.5s.
Use the following instructions to select the correct Confirmed Reports for each report
type:
System Setup > ECG> Resting ECG Reports > Confirmed Reports
System Setup > ECG > Pediatric ECG Reports > Confirmed Reports
System Setup > ECG> 15 Lead Reports > Confirmed Reports
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System Setup
System Setup > ECG> Vector Loops ECG Reports > Confirmed Reports
The following table identifies the available report settings for confirmed ECGs.
Confirmed Reports Settings

Field Description
Interpretation with Available for each report format, this field determines how many
copies of the report with 12SL interpretation will print. You can enter
any value from 0 to 10. If you enter 0, the report will not print.
Interpretation Available for each report format except the Expanded Median
without report, this field determines how many copies of the report without
12SL interpretation will print. You can enter any value from 0 to 10.
If you enter 0, the report will not print.
Tic marks Available only for the Expanded Median report, this field determines
whether tic marks will print on the report. Select Yes to include tic
marks.
Medians times 2 Available only for the Expanded Median report, this field determines
whether the medians will be doubled. Select Yes to double the
medians.
Auto gain Available only for the 2 by 5s Simult. report, this field determines
whether the report will apply the auto gain filter. Select Yes to apply
the auto gain filter.
Auto shift Available only for the 2 by 5s Simult. report, this field determines
whether the report will apply the auto shift filter. Select Yes to apply
the auto shift filter.
The following table lists the available formats for confirmed ECGs and identifies the
type of ECG for which each format is available.
Confirmed Reports Formats

Formats Resting Pediatric 15 Lead Vector Loops
2 by 5s Y
2 by 5s @50mm/s Y
2 by 5s + 1 rhythm ld Y
2 by 5s Simult. Y
2 by 10s Y
3 by 5s @50mm/s Y Y Y
3 by 10s Y Y Y
4 by 10s Y
4 by 2.5s Y
4 by 2.5s + 1 rhythm ld Y
4 by 2.5s + 3 rhythm Y Y Y Y
lds
5 by 2s Y Y Y
5 by 2s + 1 rhythm ld Y Y Y
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System Setup
Confirmed Reports Formats (cont'd.)

5 by 2s + 3 rhythm lds Y Y Y
5 by 10s Y Y Y
12 Rhythm leads Y
Autorhythm Y Y Y Y
CGR Y
Expanded Median Y
Pharma 4 by 2.5s + 2 Y
rhythm lds
RMR Y Y Y Y
Swedish Format 1 Y
Swedish Format 2 Y
Unconfirmed Reports
The Unconfirmed Reports settings allow you to configure the following values:
• number of copies to print for each format
• whether to include tic marks on the Medians Report
• whether to increase the median by two on the Medians Report
• whether to include auto gain and auto shift on the 2 by 5s Simult. report
• the confirmation text that will print on the reports
The formats are the same for each ECG type, except for the Resting ECG Report,
which includes additional formats.
Use the following instructions to select the correct Unconfirmed Reports for each
report type:
System Setup > ECG> Resting ECG Reports > Unconfirmed Reports
System Setup > ECG > Pediatric ECG Reports > Unconfirmed Reports
System Setup > ECG> 15 Lead Reports > Unconfirmed Reports
System Setup > ECG> Vector Loops ECG Reports > Unconfirmed Reports
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System Setup
The following table identifies the available report settings for unconfirmed ECGs.
Unconfirmed Reports Settings
Field Description
Interpretation with Available for each report format, this field determines how many
copies of the report with 12SL interpretation will print. You can enter
any value from 0 to 10. If you enter 0, the report will not print.
Interpretation Available for each report format except the Expanded Median
without report, this field determines how many copies of the report without
12SL interpretation will print. You can enter any value from 0 to 10.
If you enter 0, the report will not print.
Tic marks Available only for the Expanded Median report, this field determines
whether tic marks will print on the report. Select Yes to include tic
marks.
Medians times 2 Available only for the Expanded Median report, this field determines
whether the medians will be doubled. Select Yes to double the
medians.
Auto gain Available only for the 2 by 5s Simult. report, this field determines
whether the report will apply the auto gain filter. Select Yes to apply
the auto gain filter.
Auto shift Available only for the 2 by 5s Simult. report, this field determines
whether the report will apply the auto shift filter. Select Yes to apply
the auto shift filter.
Confirmation text Available only on the report for unconfirmed resting ECGs, this field
contains the text that prints on the report to identify the ECG as
unconfirmed. Options are Unconfirmed and Reviewed by.
The following table lists the available formats for confirmed ECGs and identifies the
type of ECG for which each format is available.
Unconfirmed Reports Formats

2 by 5s Y
2 by 5s @50mm/s Y
2 by 5s Simult. Y
2 by 10s Y
3 by 5s @50mm/s Y Y Y
3 by 10s Y Y Y
4 by 10s 1 Y
4 by 2.5s Y
4 by 2.5s + 3 rhythm Y Y Y Y
lds
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System Setup
Unconfirmed Reports Formats (cont'd.)

5 by 2s Y Y Y
5 by 2s + 1 rhythm ld Y Y Y
5 by 2s + 3 rhythm lds Y Y Y
5 by 10s 1 Y Y Y
12 Rhythm leads Y
Autorhythm 1 Y Y Y Y
CGR Y
Expanded Median 1 Y
Pharma 4 by 2.5s + 2 Y
rhythm lds
RMR Y Y Y Y
Swedish Format 1 Y
Swedish Format 2 Y
Analog Outputs
To configure the output signals sent to additional equipment connected to the system,
log on to the System Setup screen, select ECG > Analog Outputs, and complete the
fields described in the following table.
Analog Outputs
Field Description
Fast Analog Output Determines the lead signals sent to the device. Options are:
• Not used
• I
• II
• V1–V6
TTL Output Determines how the TTL output will be used. Options are:
• Not Used
• QRS Detect
Polarity Determines the polarity of the TTL Output. Options are:
• Positive
• Negative
Width Defines the width of the TTL Output signal in milliseconds. Enter a
value from 4 to 48.
1. These reports are available for both normal and abnormal ECGs
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System Setup
Analog Outputs (cont'd.)
Field Description
Delay Defines the delay in milliseconds for the TTL Output QRS detector
signal. Enter a value from 0 to 100.
QRS Beep Determines whether the system beeps for each QRS complex. Select
On to enable the beep.
CT Data Guard
To configure the Clinical Trial Data Guard, log on to the System Setup screen, select
ECG > CT Data Guard Setup, and complete the fields described in the following tables.
NOTE:
These settings pertain only to clinical trial usage of the system.
CT Data Guard — Clinical Trial Setup
Field Description
Enable Clinical Trial Enables the clinical trial features. Select Yes if you will use this
Data system for clinical trials.
Project Code Enter the code identifying the project. It can be up to 32 characters
long.
Trial ID Enter the ID of the trial. It can be up to 10 characters long.
Investigator ID Determines whether the investigator's ID must be entered on each
test. The investigator's ID can be up to 16 characters long. Select
Yes to require the investigator's ID.
Visit Number Determines whether the visit number is required on each test. Visit
number can be up to six characters long. Select Yes to require the
visit number.
Visit Type Determines whether the visit type is required on each test. Select
Yes to require the visit type.
If you require visit type, you can edit the list of visit types. You can
have up to six types, including the following preconfigured types:
• Unknown
• Scheduled
• Unscheduled
• Repeat
• Early Termination
• Follow Up
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System Setup
CT Data Guard — Clinical Trial Setup (cont'd.)
Field Description
Dose Type Determines whether the dose type is required on each test. Select
Yes to require the dose type.
If you require dose type, you can edit the list of dose types. You can
have up to 20 types. Each type can be up to 32 characters long.
Additional Questions Determines whether the response to additional patient questions
are required on each test. Select Yes to require additional questions.
If you select Yes, you can define up to five additional questions of
10 characters each. For each question, you must define one of the
following response types:
Allows the entry of any alphanumeric value. Answers can be
up to 17 characters long.
• Yes or No
CT Data Guard — Data Guard Features
Field Description
Prevent editing of Disables editing ECG files in File Manager. Select Yes to prevent
records ECG editing.
Prevent deleting Disables the deletion of ECGs that have not been transmitted. Select
of untransmitted Yes to prevent the deletion of untransmitted ECGs.
records
Enable record Enables a notification if users attempt to retransmit records that
re-transmit have already been transmitted to the MUSE CV system. Select Yes
notification to enable the notification.
Critical Values Setup

The optional Critical Values function allows you to set up custom notifications for
select ECG events. The notification is displayed after the ECG has been acquired, and
you must acknowledge it before proceeding. They also print on the ECG reports. You
can customize the notification text and select the events that trigger the notifications.
For some events, you can also select the specific values that trigger the notification.
After configuring your critical values, you can save the configuration to an SD card,
which you can use to restore the critical value configuration in the case of a system
failure or to quickly configure other systems.
NOTE:
The Critical Values option must be activated before you can configure the
notifications. Refer to “Option Activation” on page 118 for more information.
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Notifications Setup
To configure the critical value notifications, log on to the System Setup screen, select
ECG > Critical Values Setup, and complete the fields described in the following tables.
Critical Values Notification Setup
Field Description
Enabled Enables or disables the critical value notifications. Select Yes to
notifications enable the critical value notifications.
Critical values Defines the password required to edit the critical values notifications.
password Blank by default. Enter up to six characters to define the password.
Notification string Defines the text that introduces the critical values notifications. The
string immediately precedes trigger values on-screen and in reports.
The default string is *** Critical Test Results:. Modify as necessary.
You can enter up to 29 characters.
NOTE:
This is a string from the 12SL Statement Library. If you modify
this string, you must make the same modification to the
statement in the 12SL Statement Library on the MUSE systems
that communicate with this device. This ensures that the
statements match when viewing the ECGs in the MUSE system.
Adult High HR / Value Adult High HR enables the notification for ECGs that exceed a set
heart rate. Select Yes to enable Adult High HR notifications.
Value identifies the trigger value in beats per minute. Adult heart
rates that equal or exceed this value will trigger the notification.
Adult Low HR / Value Adult Low HR enables the notification for ECGs that do not meet
or exceed a set heart rate. Select Yes to enable Adult Low HR
notifications.
Value identifies the trigger value in beats per minute. Adult heart
rates less than or equal to this value will trigger the notification.
Pediatric High HR / Pediatric High HR enables the notification for ECGs that exceed a
Value set heart rate. Select Yes to enable Pediatric High HR notifications.
Value identifies the trigger value in beats per minute. Pediatric heart
rates that meet or exceed this value will trigger the notification.
Pediatric Low HR / Pediatric Low HR enables the notification for ECGs that do not
Value meet or exceed a set heart rate. Select Yes to enable Pediatric Low
HR notifications.
Value identifies the trigger value in beats per minute. Pediatric heart
rates less than or equal to this value will trigger the notification.
High QTc / Value High QTc enables the notification for ECGs where the corrected QT
interval exceeds a maximum duration. Select Yes to enable High
QTc notifications.
Value identifies the trigger value in milliseconds. Corrected QT
intervals whose duration meet or exceed this value will trigger the
notification.
STEMI detection STEMI detection enables the notification for ECGs in which an ST
segment elevation myocardial infarction is detected. Select Yes to
enable STEMI notifications.
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System Setup
Critical Values Notification Setup (cont'd.)
Field Description
Ischemia detection Ischemia detection enables the notification for ECGs in which
ischemia is detected. Select Yes to enable ischemia notifications.
AV Block detection AV Block detection enables the notification for ECGs in which an AV
block is detected. Select Yes to enable AV Block notifications.
Arrhythmia Arrhythmia detection enables the notification for ECGs in which
detection an arrhythmia is detected. Select Yes to enable arrhythmia
notifications.
NOTE:
For more information on the critical values for STEMI detection, ischemia detection,
AV block detection, or arrhythmia detection, refer to the 12SL Physician's Guide.
Saving Critical Values to SD Card

Use the following procedure to save your critical value notification settings to an
external SD card. You can use the card to restore the notification settings in the case
of a system failure. You can also use the card to quickly configure other systems.
1. Configure your Critical Values Notifications.
Refer to “Notifications Setup” on page 137 for details.
2. When you are done configuring your settings, select Return at the bottom of
the window.
This saves your settings to local memory and returns you to the Critical Values
Setup menu.
3. Insert the SD card if necessary.
4. Select Save to SD Card and press Return.
The settings are saved to the card.
5. Eject the card and save it in a safe location or use it to configure other devices.
Restoring Critical Values from SD Card

Use the following procedure to restore your critical value notification settings from an
external SD card. You can use this procedure to restore the notification settings in the
case of a system failure. You can also use it to quickly configure other systems.
1. Insert the SD card with your critical value notification settings.
Refer to “Saving Critical Values to SD Card” on page 138 for details and backing
up your settings to an SD card.
2. From the Main Menu select System Setup > ECGs > Critical Values Setup >
Restore from SD Card.
The settings on the SD card overwrite any settings on the device.
3. Eject the card and save it in a safe location or use it to configure other devices.
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System Setup
Setting Up Signal Averaged ECGs

To configure how the system calculates signal averages ECGs, log on to the System
Setup screen, select Hi-Res, and complete the fields described in the following table.
NOTE:
These settings are available only if you have purchased the optional HI-Res or
PHi-Res functions.
Signal Averaged ECGs
Field Description
Analysis filter Defines the analysis filter the Hi-Res and PHi-Res options use. GE
Healthcare recommends using the 40–25Hz filter.
Averaging target Determines which method to use to average the target.
Target Beat Count Determines the target heart rate. Enter a value from 1 to 999. GE
Healthcare recommends averaging to a minimum of 250 beats.
Target Noise Level Determines the target level of noise in microvolts. Enter a value from
0.1 to 1.0. GE Healthcare recommends averaging a noise level of
0.3 microvolts.
Correlation Determines the degree of correlation threshold. GE Healthcare
Threshold recommends the Very High setting.
Final Report Determines how many copies of the final report to print . Enter a
value from 0 to 10.
Prompt Allows you to define custom patient questions.
Type Allows you to set the type of response for the custom patient
question. Valid values are:
• Numbers only
• Yes or No
Setting Up Exercise Tests

This section describes the following stress test settings:
• Writer Setup
• Screen
• Inputs and Outputs
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System Setup
Miscellaneous Setup
To configure the exercise tests' basic settings, log on to the System Setup screen,
select Exercise Test > Miscellaneous Setup, and complete the fields described in
Miscellaneous Setup
Field Description
Timeout Interval Determines how long it takes for a menu or prompt to close if it is
not being used. Enter a value from 15 to 600 seconds.
Cubic Spline Enables baseline control.
Event names: Defines a list of event names that may be selected to label patient
episodes during the stress test.
Reason for Defines a list of reasons that may be selected to indicate why a
Termination: stress test was terminated.
Patient Questions
To configure the patient's heart rate values and questions, log on to the System Setup
screen, select Exercise Test > Patient Question, and complete the fields described in
Patient Questions
Field Description
Max Pred HR Determines whether the patient's maximum predicted heart rate
must be entered.
Target Heart Rate Determines whether the patient's target heart rate must be entered.
Enter a percentage of the maximum predicted heart rate.
Extra Questions Defines two additional patient questions to ask during the test. For
each question, you must select the type of valid response:
• Numbers only
• Yes or No
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System Setup
Writer Setup
To configure the writer settings for exercise tests, log on to the System Setup screen,
select Exercise Test > Writer Setup, and complete the fields described in the following
table.
Writer Setup
Field Description
Speed Determine the writer's default speed in millimeters per second.
Gain Determines the writer's default gain setting in millimeters per
millivolts. For example, the setting 10/5 displays limb leads at 10
mm/mV and precordial leads at 5 mm/mV.
Filter Determines the writer's default filter setting. The default is 150 Hz.
Arrhythmia Doc. Determines whether a report will print whenever an arrhythmia
occurs during the exercise test.
Tic marks Enables tic marks on the E, J, and J+ measurement points. The value
for the J+ point is set using the Post J field.
ST Measurements Enables ST Measurements on the display and printout.
Post J Defines the location, in milliseconds, after the J point where the ST
Measurement is to be taken. Enter a value from 0 to 200.
Writer Enables or disables the writer for the exercise test.
Exercise Reports
You can configure the reports generated for 12 Lead Exercise/Stress ECGs, 15 Lead
Exercise/Stress ECGs, and Final Report. For each ECG, you can configure the:
• leads used for the reports,
• formats used for the reports, and
• settings for the final report.
In addition, you can configure the extra leads used by the 15 Lead Exercise report.
Report Leads
The Report Leads settings allow you to configure the following values:
• the leads used for each standard channel
• the rhythm reporting method
• the leads used for each rhythm report lead group
• the autorhythm lead group
• the extra leads used by the CGR and RMR reports
• the leads used by the Swedish rhythm report
• the method used for the median report
The settings are essentially the same for each ECG type, although the available values
for each setting may differ depending on the ECG type.
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System Setup
Use the following instructions to select the correct Report Leads for each report type:
• 12 Lead Exercise Report
System Setup > Exercise Test > 12 Lead Exercise > Report Leads
System Setup > Exercise Test > 15 Lead Exercise > Report Leads
Report Leads
Field Description
Standard leads Defines which leads will print for each channel. When you change
a channel's lead, the new lead will print on all exercise reports that
include the channel.
For the 12 Lead Exercise Reports, you can define the lead for
channels 1 through 12. For the 15 Lead Exercise Reports, you can
define the lead for channels 1 through 15.
Rhythm reports Defines the data displayed on the rhythm reports:
• Real time
Prints the ECG data currently on the screen.
• 10 sec delayed
Delays the printing by 10 seconds.
Rhythm leads Defines the lead option for each of the six rhythm groups to
determine the rhythm leads that print when you select the rhythm
key within an application.
• Select 3 leads to define which three leads in a three-lead Rhythm
report print.
• Select 6 leads to define which six leads in a six-lead Rhythm
report print.
• Select All leads to display and print 10 seconds of data for 12 (or
15) leads.
• Select Lead Check to display and print real-time data for each
of the 12 (or 15) leads.
• Select Lead Placement to display and print real time data for
each of the 12 (or 15) leads and to display the chest electrode
placement.
Autorhythm Determines the group of rhythm leads to print on the Autorhythm
report.
RMR/CGR/extra Determines the rhythm lead(s) to print on the RMR and CGR reports.
rhythm leads When you change a rhythm lead, the new lead will print on all
reports that include the lead. For example, if you select V5 for
RMR/CGR/extra rhythm lead 1, then the V5 waveform will print on all
reports that include RMR/CGR/extra rhythm lead 1.
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System Setup
Report Leads (cont'd.)
Field Description
Swedish format Sets the rhythm lead(s) to print in the Swedish Format reports.
rhythm leads When you change a rhythm lead, the new lead will print on all
reports that include the lead. For example, if you select V5 for the
Swedish format rhythm lead 1, then the V5 waveform will print on all
reports that include Swedish format rhythm lead 1.
When printing or storing 3-lead median or trend reports, the first
three Swedish format rhythm leads are used. When printing or
storing 6-lead median reports, all six of the Swedish format rhythm
leads are used.
Median Sets the method for determining the median. You have two options:
Fixed and Scan. If you select Fixed, you must define the lead to use.
Extra Leads
In addition to the report leads, the 15 Lead Exercise Report also allows you to define
the leads used by the three additional electrodes. To configure the extra leads, log on
to System Setup > Exercise Test > 15 Lead Exercise > Extra Leads,
Extra Leads
Field Description
Lead Set Determines the three additional leads used for 15-lead reports. You
can:
• Select a predefined set of leads.
• CML: [CM5, CC5, ML]
• CMH [CM5, CC5, CH]
• NEHB [D, A, J]
• Frank [X, Y, Z]
• Select Custom 3 to define electrode positions for A1, A2, and A3.
Exercise Reports
The Exercise Reports settings allow you to configure the following values:
• select the format for exercise reports
• select the format for median reports
The available formats for each field differ depending on whether you configure the
12 Lead Exercise report or the 15 Lead Exercise report.
Use the following instructions to select the correct Confirmed Reports for each report
type:
System Setup > Exercise Test >12 Lead Exercise > Exercise Reports
System Setup > Exercise Test >15 Lead Exercise > Exercise Reports
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System Setup
The following table identifies the available report settings for exercise reports.
Exercise Reports Settings
Field Description
Exercise Reports Determines which format will be used for each exercise report.
Refer to the following table for a list of the available formats.
Median Report Determines which format will be used for each median report.
Options are:
• Linked Medians
• Medians & Rhythm
• 6 Lead Comparative Medians & Rhythm
• 12 Lead Comparative Medians & Rhythm
The following table lists the available report formats.
Exercise Reports Formats
Report Format 12 Leads 15 Leads

2 by 5s Y
4 by 2.5s + 3 rhythm lds Y
4 by 2.5s Y
5 by 2s Y
12 rhythm leads Y
Autorhythm Y Y
CGR Y
RMR Y Y
Swedish format 1 Y
Final Report
The Final Report settings allow you to configure the following values:
• storage option
• format of the final report preview
• format of the medians to include
• which reports to include in the final report
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System Setup
To configure the final report, select System Setup > Exercise Test > Final Report and
complete the fields in the following table.
Final Report
Field Description
Storage Option Selects the method for storing the final report. Options are:
• Store Strips and Final Report
• Store Final Report Only
• No storage of test data
Final Report Preview Selects the format of the final report preview. Options are:
• No preview report
• Summary report
• Tabular report
• Selected median
• Trend & Medians
• Median report
• Trend report
Summary Report Determines how many copies of the report will print. Enter a value
from 0 to 10. If you enter 0, the report will not print.
[Medians] The field below Summary Report selects the medians to include on
the Summary report. Options are Resting and Max ST Medians
and Resting and Peak Medians.
Tabular Report Determines how many copies of the report will print. Enter a value
Selected Medians Determines how many copies of the report will print. Enter a value
Trend & Medians Determines how many copies of the report will print. Enter a value
Median Report / Determines how many copies of the report will print. Enter a value
Leads from 0 to 10. If you enter 0, the report will not print.
If you enter a number greater than 0, select the leads to include on
the report. Options are 3, 6, and All.
Trend Report / Leads Determines how many copies of the report will print. Enter a value
If you enter a number greater than 0, select the leads to include on
the report. Options are 3 and All.
ST-HR Loops Determines how many copies of the report will print. Enter a value
ST/HR Report Determines how many copies of the report will print. Enter a value
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System Setup
Screen
To configure how your exercise tests are displayed on the screen, log on to the System
Setup screen, select Exercise Test > Screen, and complete the fields described in
Screen
Field Description
Display Rhythm Determines whether the median complex is displayed in front of the
Medians Rhythm Lead 1, 2, and 3.
Screen Filter Determines the filter to use for displaying the exercise test. Options
are:
• 20Hz
• 40Hz
Inputs and Outputs

To configure the input and output signals sent to additional equipment, such as
ergometers, connected to the system, log on to the System Setup screen, select
Exercise Test > Inputs / Outputs, and complete the fields described in the following
table.
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System Setup
Inputs/Outputs
Field Description
Slow Analog Output Determines the slow analog output for controlling external exercise
equipment. Options include:
• Not Used
• DC Heart Rate
• Workload
• Speed (x1)
• Speed (x3)
• Grade
If using exercise protocols for an ergometer or an analog treadmill
(see Chapter 7, “Editing Protocols”) you must configure the slow and
fast analog output properly to control the workload device. For
ergometers, the analog output should be configured for workload;
for analog treadmills, they should be configured for speed and
grade.
Fast Analog Output Determines the lead signals sent to the device. Options are:
• Not Used
• DC Heart Rate
• Workload
• Speed (x1)
• Speed (x3)
• Grade
• Not used
• I
• II
• V1–V6
Blood Pressure Determines how the blood pressure will be entered into the system.
Options are:
• Manual
• Ergoline Ergometer
• Suntech
• Nipon-Colin
NOTE:
If using the Suntect blood pressure device, select the Eregoline
emulation mode on the device. Refer to the Suntech's operators
manual for details.
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System Setup
Inputs/Outputs (cont'd.)
Field Description
TTL Output Determines how the TTL output will be used. Options are:
• Not Used
• QRS Detect
• BP Prompt
NOTE:
If selecting any of the external blood pressure devices, the TTL
output must be configured to provide a QRS Trigger that meets
the specifications of the blood pressure device. (See the blood
pressure device operators manual for TTL trigger specifications.)
Polarity Determines the polarity of the TTL Output. Options are:
• Positive
• Negative
Width Defines the width of the TTL Output signal in milliseconds. Enter a
value from 4 to 48.
Delay Defines the delay in milliseconds for the TTL Output QRS detector
signal. Enter a value from 0 to 100.
QRS Beep Determines whether the system beeps for each QRS complex. Select
On to enable the beep.
Hi-Res
To configure the settings for the Hi-Res option, select System Setup > Hi-Res and
complete the fields described in the following table.
Hi-Res Settings
Field Description
Analysis Filter Determines which analysis filter to use. Options are:
• 25–250Hz
• 40–250Hz
• 80–250Hz
Averaging Target Selects the item to use for averaging the Hi-Res results. Options are:
• Beat Count
• Noise Level
Target Beat Count Determines the target beat if Beat Count is selected as the
Averaging Taget. Enter the target number of beats per minutes.
Target Noise Level Determines the target noise level if Noise Level is selected as the
Averaging Taget. Enter the target noise level in microVolts.
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System Setup
Hi-Res Settings (cont'd.)
Field Description
Correlation Determines the correlation threshold. Options are:
Threshold • Medium
• High
• Very High
• Ultra High
Template Format Determines how many copies of this report print for the Hi-Res
function. Enter a value from 0 to 10. If you enter 0, the report will
not print.
Standard Format Determines how many copies of this report print for the Hi-Res
not print.
Expanded Format Determines how many copies of this report print for the Hi-Res
not print.
Overlapped Format Determines how many copies of this report print for the Hi-Res
not print.
Prompt Allows you to define two custom patient questions when entering
patient data for the Hi-Res test.
Type Determines the type of response allowed for each custom patient
question. Options are:
• Numbers and Letters
• Numbers only
• Yes or No
Setting Up a Card Reader

This section describes two methods for configuring the magnetic card reader:
• Automatic Configuration
• Manual Configuration
NOTE:
When configured for a card reader, the system will prompt you to slide the patient
card when you select Patient Information. If no patient card is available, press esc
to enter the patient information manually.
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System Setup
Automatic Configuration
Use the following procedure to automatically configure your magnetic card reader.
1. Obtain a configuration card.
For information on creating magnetic patient ID cards, refer to Appendix E,
“Creating Bar Codes and Magnetic Cards”.
2. With the card reader properly mounted, connect to port A on the back of the
system.
3. From the Main Menu, select System Setup > Basic System > Input Method
Select > Patient Data Input Device > Card Reader > Return.
4. When the Manual Card Reader Configuration window opens, press esc.
5. When the Basic System menu opens, press esc.
6. Select Save Setup > To System.
7. Restart the device.
Select > Card Reader Configuration > Automatic > Return.
Slide the Configuration Card
9. Slide the configuration card through the card reader.
The Manual Card Reader Configuration window opens with the values filled in.
10. Press esc twice.
Manual Configuration
Use the following procedure to manually configure your magnetic card reader.
1. With the card reader properly mounted, connect to port A on the back of the
system.
Select > Patient Data Input Device > Card Reader > Return.
The Manual Card Reader Configuration window opens.
3. Enter the magnetic card code configuration information.
For information on creating magnetic patient ID cards, refer to Appendix E,
“Creating Bar Codes and Magnetic Cards”.
4. Press esc twice.
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System Setup
Setting Up a Bar Code Reader

This section describes two methods for configuring the bar code reader:
• Automatic Configuration
• Manual Configuration
NOTE:
When configured for a bar code reader, the system will prompt you to scan
the patient ID bar code when you select Patient Information. If no bar code is
available, press esc to enter the patient information manually.
Do not use the bar code reader for scanning the bar code that appears on the ECG
printout: that bar code format is not supported by the bar code reader.
Automatic Configuration
Use the following procedure to automatically configure your bar code reader.
1. Obtain a configuration bar code.
For information on creating patient bar codes, refer to Appendix E, “Creating Bar
Codes and Magnetic Cards”.
2. Connect the bar code reader to port A on the back of the system.
Select > Patient Data Input Device > Bar Code Reader > Return.
4. When the Manual Bar Code Reader Configuration window opens, press esc.
5. When the Basic System menu opens, press esc.
7. Restart the device.
Select > Bar Code Reader Configuration > Automatic > Return.
Scan the Configuration Bar Card
9. Scan the bar code.
The Manual Bar Code Reader Configuration window opens with the values
filled in.
10. Press esc twice.
Manual Configuration
Use the following procedure to manually configure your bar code reader.
1. Connect the bar code reader to port A on the back of the system.
Select > Patient Data Input Device > Bar Code Reader > Return.
The Manual Bar Code Reader Configuration window opens.
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System Setup
3. Enter the bar code configuration information.

For information on creating bar codes, refer to Appendix E, “Creating Bar Codes
4. Press esc twice.
Setting Up Master's Step Test

To configure the Master's Step Test, log on to the System Setup screen, select
Master's Step, and complete the fields described in the following table.
NOTE:
This option is available only Japan.
Master's Step Setup
Field Description
Number of Steps Defines the default number of steps required by the Master's Step
test if the patient's weight, sex, and age are not entered. If the
patient's age weight, sex, and age are entered, the number of steps
is automatically calculated. For more information, refer to Appendix
D, “Master's Step Data”.
Test Type Determines the test duration. Options are:
• Single
Sets the test for a 1.5 minute duration.
• Double
Sets the test for a 3 minute duration.
• Triple
Sets the test for a 4.5 minute duration.
Post J(ms) Defines the location, in milliseconds, after the J point to determine
the ST measurement.
Step Counter Display Determines whether the system displays the number of steps taken
or remaining. Options are:
• Up
Displays the number of steps taken so far.
• Down
Displays the number of steps remaining.
Sound Option Sets the sound volume for the Master's Step Test. Select one of the
following options:
• 1
• 2
• 3
• Off
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System Setup
Master's Step Setup (cont'd.)
Field Description
Continuous Determines whether the rhythm is printed continuously between
Recording post exercise ECGs.
Post Exercise ECG Defines the time, in minutes, after the first post exercise ECG when
Time an additional ECG should be taken. You can take up to nine ECGs.
Set any undesired tests to 0.
Managing System Setup

This section describes how to do the following:
• Print System Setup
• Save System Setup
• Restore System Setup
Printing System Setup

To print your system settings for future reference, select System Setup > Print Setup.
Place the printout in a secure location in case you need to manually restore the
settings at a later date.
Saving System Setup

To save the changes you make to your system settings, select System Setup > Save
Setup. You can choose to save the settings to local memory or to an SD card.
After saving your changes to local memory, you should also save the settings to an
SD card for use in restoring your settings at a later date. You can also use a saved
configuration to quickly configure subsequent systems.
NOTE:
Saving the system setup to an SD card does NOT save your Critical Values
configuration. You must manually save the Critical Values configuration. Refer to
“Saving Critical Values to SD Card” on page 138 for more information.
Restoring System Setup

Restore Setup allows you to revert your settings. You can use this option to return to
the default factory settings or to restore custom settings that were saved to an SD
card. If using an SD card, you can also use this feature to quickly configure other
MAC systems.
To restore your system settings, do the following:
1. From the Main Menu, select System Setup > Restore Setup.
• To restore the default settings, select To Original Factory Settings.
• To restore your custom settings, select From SD Card.
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System Setup
An SD card with the system settings must be inserted into the device's card
slot.
• To cancel the restore, select Do Not Restore Setup.
154 MAC® 5500/MAC® 5500 HD 2046275-016B

Maintenance
A
Regular maintenance, irrespective of usage, is essential to ensure that the equipment
will be functional when required. For the MAC system, regular maintenance includes
the following:
• Equipment Inspection and Cleaning
• Paper Maintenance
• Battery Maintenance
• Leadwire Adapter Replacement
For the maintenance procedures for your peripheral equipment, refer to the
documentation provided with that equipment.
WARNING:
MAINTENANCE — Failure on the part of all responsible individuals, hospitals, or
institutions employing the use of this device to implement the recommended
maintenance schedule may cause equipment failure and possible health
hazards. The manufacturer does not in any manner, assume the responsibility
for performing the recommended maintenance schedule, unless an Equipment
Maintenance Agreement exists. The sole responsibility rests with the individuals,
hospitals, or institutions utilizing the device.
Inspecting and Cleaning the MAC System

When inspecting and cleaning your system, take the following precautions:
• Turn off the system.
• Do NOT immerse any part of the equipment in liquid.
• Do NOT use organic solvents, ammonia based solutions, or abrasive cleaning
agents. These may damage the equipment surfaces.
Inspecting the MAC System

Perform a visual inspection of all equipment and peripheral devices daily. If you notice
any items that need repair, do not use the equipment until an authorized service
person has completed the repairs.
• Check the case and display screen for cracks or other damage.
• Inspect all plugs, cords, cables, and connectors for fraying or other damage.
2046275-016B MAC® 5500/MAC® 5500 HD 155
Maintenance
• Verify that all cords and connectors are securely seated.

• Inspect keys and controls for proper operation:
• Toggle keys should not stick in one position.
• Knobs should rotate fully in both directions.
Cleaning and Disinfecting Exterior Surfaces

Clean and disinfect the exterior surfaces of all equipment and peripheral devices
monthly, or more frequently if needed.
Cleaning and Disinfecting the Surfaces
Proper cleaning and disinfecting prolongs the life of the product. Failure to use the
proper cleaning solutions or to follow proper procedures can result in the following:
• Damage or corrosion
• Product discoloration
• Metal part corrosion
• Unit malfunction
• Voided warranty
Use the following procedure to clean the equipment's exterior surfaces. Be sure to
observe all cautions when cleaning the device.
1. To clean, wipe with a lightly moistened cloth.
Use a mild soap and water solution to moisten the cloth.
Do NOT use any of the following cleaning products, or products that contain the
same active ingredients and solutions, which are known to cause the problems
previously listed:
• Sani-Cloth® Wipes
• Ascepti® Wipes
• HB Quat®
• Clorox® Wipes (they do not contain bleach)
• Over-the-counter detergents (such as Fantastic®, Tilex®, and so on)
2. To disinfect, wipe with a soft, lint-free cloth moistened with an appropriate
disinfectant.
Use the following solutions, as recommended in the APIC Guidelines for Selection
and Use of Disinfectants (1996):
• Sodium hypochlorite (5.2% household bleach) minimum 1:500 dilution
(minimum 100 ppm free chlorine) and maximum 1:10 dilution.
• Any sodium hypochlorite wipe product that meets the previous guidelines
can be used.
3. Dry with a clean cloth or paper towel.
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Maintenance
Cautions
• Follow the cleaning instructions exactly.
• Wring excess disinfectant from wipe before using.
• Never immerse the device, cables, or leadwires in any liquid, as this may corrode
metal contacts and affect signal quality.
• Do not allow fluid to pool around connection pins. If this happens, blot dry with a
soft, lint-free cloth.
• Never use conductive solutions or solutions that contain chlorides, wax, or wax
compounds to clean the device, cables, or leadwires.
• Never use solutions or products that contain any type of Ammonium Chloride such
as, but not limited to:
• Dimethyl Benzyl Ammonium Chloride
• Quaternary Ammonium Chloride solutions
• Abrasive cleaners or solvents of any kind
• Acetone
• Ketone
• Betadine
• Alcohol-based cleaning agents
• Sodium salts
• Never autoclave or steam clean the device, cables, or leadwires.
• Do not use until thoroughly dry.
Cleaning, Disinfecting, and Storing ECG Cables and

Leadwires
In addition to keeping the MAC system clean and in good repair, it is important to keep
the leadwires clean and disinfected. This section provides instructions for cleaning,
disinfecting, and storing ECG cables and leadwires to extend their life and protect
patients.
NOTE:
This information applies to the Multi-Link cable and leadwires. For systems
with the optional KISS system, see the KISS operator’s manual for cleaning and
disinfecting information.
Cleaning and Disinfecting Leadwires

Proper cleaning and disinfecting prolongs the life of cables and leadwires. Failure to
use the proper cleaning solutions or to follow proper procedures can result in the
following:
• Damage or corrosion
• Diminished signal quality
• Product discoloration
• Metal part corrosion
• Brittle wires and connectors
• Reduced cables and leadwires life
2046275-016B MAC® 5500/MAC® 5500 HD 157
Maintenance
• Voided warranty
Use the following procedure to clean and disinfect the cables and leadwires.
1. Remove cables and leadwires from the device or system before cleaning.
2. Use care in cleaning leadwires to prevent pulling the long wires from the
connector ends. Metal connections can be pulled away from the connectors.
previously listed:
• Ascepti® Wipes
• HB Quat®
disinfectant.
can be used.
5. Observe the following guidelines when cleaning and disinfecting cables and
leadwires.
• Do NOT immerse either end of a cable or leadwire connector.
Immersing or “soaking” the connector ends may corrode metal contact ends
and affect signal quality.
• Do NOT let fluid “pool” around connection pins.
If this happens, blot dry with a soft, lint-free cloth.
Cautions
158 MAC® 5500/MAC® 5500 HD 2046275-016B
Maintenance
• Acetone
• Ketone
• Betadine
• Sodium salts
Storage
Store cables and leadwires by hanging them vertically in a dry, well-ventilated area.
Do NOT coil leadwires or cables around the device.
Cleaning, Disinfecting, and Storing Handheld Devices

In addition to keeping the MAC system, leadwires, and cables clean and in good repair,
it is important to keep the associated acquisition modules clean and disinfected as
well. This section provides instructions for cleaning, disinfecting, and storing the
acquisition modules to extend their life and protect patients.
Cleaning and Disinfecting Acquisition Modules
Proper cleaning and disinfecting prolongs the life of acquisition devices. Failure to use
the proper cleaning solutions or to follow proper procedures can result in the following:
• Appearance of waveforms when not connected to a patient, resulting in false
alarms instead of lead failure alarms
• Brittle and cracked device case
• Melting, dulling, or distortion of the case
• Total device failure, requiring replacement
• Voided warranty
Use the following procedure to clean and disinfect the cables and leadwires.
1. Remove cables, leadwires, and batteries from the device before cleaning.
Make sure to firmly close the battery door after removing the batteries.
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Maintenance
previously listed:
• Ascepti® Wipes
• HB Quat®
disinfectant.
can be used.
4. Allow the cleaning solution/disinfectant to remain on the device for a minimum
of one minute, or per hospital guidelines.
5. Wipe off the cleaning solution/disinfectant with a clean, moistened cloth.
Cautions
• Acetone
• Ketone
• Betadine
• Sodium salts
160 MAC® 5500/MAC® 5500 HD 2046275-016B
Maintenance
Storage
Use the following guidelines when storing acquisition modules:
• Always remove the batteries when the device is not in use, even for short periods
of time.
• Store in a dry, well-ventilated area.
• Hang the device, using a holder if available.
• If leadwires are attached, they should hang straight.
• Do not coil leadwires or cables around the device.
Battery Compartment Cleaning

NOTE:
This procedure applies only for frequency hopping telemetry transceivers. It
should not be used for other devices.
Under normal operation, the battery compartment should not require cleaning. If the
battery compartment should require cleaning, use the following instructions.
CAUTION:
DEVICE MALFUNCTION — Cleaning the battery compartment in a manner other
than that described in the following procedure may cause the unit to malfunction
and void the warranty.
The battery compartment is not waterproof. Make certain fluids do not enter the
electronics through the air holes in the battery compartment floor.
1. Remove the battery from the battery compartment.
2. Clean the device with a gauze pad or cloth lightly moistened with one of the
following agents:
• Water
• Soap
3. Use a cloth lightly moistened with distilled water to rinse away the cleaning
solution. Make certain that moisture does not enter the electronics area below
the battery compartment floor.
4. Dry thoroughly with a lint-free cloth and allow the battery compartment to air
dry completely prior to closing the compartment door.
Paper Maintenance
Proper paper maintenance ensures optimum ECG printouts. Paper maintenance
includes:
• Setting the correct paper size
• Loading the paper
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Maintenance
Setting the Correct Paper Size

The MAC system can accommodate standard (US Letter) and A4 fanfold thermal ECG
paper. To ensure that the paper feeds correctly, you must adjust the paper guide
1. Open the MAC writer drawer.
2. To set the tray for A4 paper, slide the paper guide toward the rear of the device.
3. To set the tray for standard (US Letter) paper, slide the guide toward the front
of the device.
4. You are now ready to load your paper.
162 MAC® 5500/MAC® 5500 HD 2046275-016B

Maintenance
Loading the Paper

Use the following instructions to load paper into the MAC system. Refer to the
following illustration.
1. Open the writer drawer.

2. Place the pad of paper with the holes on the left.
3. Advance the first sheet of paper.
4. Close the writer drawer securely.
Battery Maintenance
Proper battery maintenance prolongs the battery life and ensures that the MAC
system will operate when needed. Proper maintenance consists of the following:
• Charging the battery
• Conditioning the battery
• Replacing the battery
2046275-016B MAC® 5500/MAC® 5500 HD 163

Maintenance
Charging the Battery

A fully charged battery ensures that the MAC system will operate without being
connected to an AC outlet. The MAC system's battery should be charged at the
following times:
• Before initial use
• Between acquisitions
• When the battery is low
• When the battery is completely discharged
To determine when the battery is low, use the battery gauge icon that appears in the
upper right corner of the system screen.
Item Description
1 Battery gauge icon position.
2 Battery fully charged.
3 Battery 1/2 charged.
4 Battery 1/4 charged.
5 Battery fully discharged.
NOTE:
The system may run for a long time after the fully-discharged icon appears. When
the battery is fully discharged, the system will power off. To operate your system
at that time, you must connect the system to an AC wall outlet.
Use the following procedure to charge the battery:
1. Power off the system.
2. Connect the system to an AC wall outlet.
To indicate the battery is charging, the amber battery light glows (1) and the
charging battery icon is displayed on the screen (2).
164 MAC® 5500/MAC® 5500 HD 2046275-016B

Maintenance
3. Charge the system for 4–5 hours or until the battery gauge icon indicates a full
charge.
NOTE:
If the battery is fully charged or exceeds safe charging temperature, the
system will not charge the battery.
Conditioning the Battery

In addition to normal system use, periodic deep discharge cycles may be required to
ensure consistent battery performance. A deep discharge cycle occurs when the
battery is discharged until the system shuts down and then recharged until it is full.
GE Healthcare recommends one deep discharge cycle once every three months, but
does not recommend over-exercising the battery with multiple deep discharge cycles.
Replacing the Battery

No matter how well you maintain your battery, you will eventually need to replace it.
Refer to the following illustration for instructions on how to replace the battery.
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Maintenance
WARNING:
BATTERY PACK DISPOSAL — Do NOT dispose of the battery pack by fire or burning.
Follow local environmental guidelines concerning disposal and recycling.
WARNING:
CHEMICAL BURN — If battery fluid contacts your skin, eyes, or clothing,
immediately wash the area with clean water and see a doctor.
Replacing Leadwire Adapters

The following diagram shows how to replace the acquisition leadwire adapters:
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Maintenance
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Maintenance
168 MAC® 5500/MAC® 5500 HD 2046275-016B

Troubleshooting
B
The following sections identify some of the more common problems with the MAC
system and list their potential causes and solutions. If this information cannot resolve
your issue, contact GE Healthcare Technical Support.
General Troubleshooting Guidelines

If the system is not working properly, save time troubleshooting by asking these basic
questions:
• Is the unit turned on?
• Have there been any changes in the use, location, or environment of the equipment
that could cause the failure?
• Has the equipment’s hardware or software been modified?
• 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.
• Is the battery installed?
• When connected to an AC wall outlet, does the green AC power light glow?
• Is the writer door closed?
Visual Inspection
A thorough visual inspection of the equipment can save time. Items such as
disconnected cables or missing hardware can frequently cause symptoms and
equipment failures that may appear to be unrelated and difficult to track. For
additional information, see Appendix A, “Maintenance”.
Performance Problems
This section describes some of the more common performance problems with the
MAC system. Typically, these result from faulty peripherals, configuration issues, or
operator error.
Unacceptable Noise Levels

If the acquired ECG data displays unacceptable noise levels, do the following:
• Verify proper electrode placement.
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Troubleshooting
Slipped or misplaced electrodes can result in faulty readings. Refer to “Preparing

the Patient's Skin” on page 46.
• Verify proper electrode application.
Perspiration, excessive hair, lotions, and dead skin cells must be removed from the
electrode site. Refer to “Electrode Placement” on page 47.
• Check for defective or expired electrodes.
Verify the electrodes have not exceeded their shelf life.
• Check for defective, broken, or disconnected leadwires.
Replace or reconnect leadwires as necessary.
• Check the patient's position.
The patient should remain motionless during the acquisition of a resting ECG.
ACI-TIPI Report Does Not Print

If the ACI-TIPI report does not print when expected, do the following:
• Verify ACI-TIPI is enabled.
Refer to “Setting Up ACI-TIPI Interpretation” on page 110.
• Verify the selected report format includes Interpretation.
Reports without interpretation will not include ACI-TIPI information.
• Verify the ACI-TIPI information was entered for the patient.
ACI-TIPI requires that age range, gender, and chest/arm pain complaints be entered.
• Verify the patient is older than 16.
ACI-TIPI does not apply for pediatric patients.
• Verify the original ECG was acquired with an electrocardiograph with the ACI-TIPI
option enabled.
ACI-TIPI information must be gathered when the ECG was acquired.
For more information, refer to “Setting Up ACI-TIPI Interpretation” on page 110.
External Device Does Not Record BP Readings

If an external device is not automatically recording blood pressure as expected, do
the following:
• Check the blood pressure device setup.
• Check the serial and TTL cables to make sure they are seated correctly.
• Check the TTL trigger.
For more information, refer to “Inputs and Outputs” on page 146.
Treadmill/Ergometer Does Not Move

If the exercise equipment is not moving in response to the test protocol, do the
following:
• Check the protocol.
Verify it is set up to control the equipment. Refer to Chapter 7, “Editing Protocols”.
• Check the cables.
Verify that the device is connected to the correct port, that the cable is seated
securely, and that the cable is not frayed or damaged.
• Check the system's input/output settings.
Refer to “Inputs and Outputs” on page 146.
170 MAC® 5500/MAC® 5500 HD 2046275-016B
Troubleshooting
• Check the Emergency Stop switch on the device.

Verify it is not depressed.
• Check the device settings.
Verify that it does not retain settings from the previous patient.
System Errors
The following errors may occur while you are operating this system. You may be
required to perform some action. If you perform the recommended actions and the
condition still remains, contact authorized service personnel.
Problem Cause Solution
The following icon appears: No battery is installed in the Install a battery and connect
system. the system to an AC wall outlet
to charge the battery. Refer to
“Battery Maintenance” on page
163.
The following icon flashes: The battery charge is low. Connect the system to an AC wall
outlet to charge the battery. Refer
to “Battery Maintenance” on page
163.
The following icon appears: The writer door is open. Close the writer door. Refer to
“Paper Maintenance” on page 161
The system does not power up The battery is fully discharged. Connect the system to an AC wall
when operating from battery. outlet to charge the battery. Refer
163.
Battery is discharged. Connect the system to an AC wall
outlet to charge the battery. Refer
The system shuts down when 163.
operating from battery. The Automatic Shutdown feature Power up the unit. Adjust the
is enabled. Automatic Shutdown settings if
necessary. Refer to Chapter 14,
“System Setup”.
The lead disconnected message Electrode(s) disconnected. Reconnect the electrode(s). Refer
appears. to Chapter 3, “Preparing the
Patient”.
Modem is not connected. (If using Connect the modem to a telephone
the wireless option, the client line and retry, or move back into
bridge is not connected or the range.
device is out of range.)
The following message appears:
(Wireless option only) The system Relocate the system to within
MODEM ERROR. The remote device is not within range of an access range of an access point and retry
is not responding. Would you like point. transmission.
to retry?
(Ethernet option only) Bad LAN Verify that the LAN cable is
connection. connected to the LAN port and
the Link LED (Green) lights up and
Activity LED (Yellow) blinks.
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Troubleshooting
Problem Cause Solution

Cannot use the system because Device Password has been Contact your administrator for the
Device Password does not work. changed or has not been Device Password.
adequately communicated to the
staff.
You are prompted to format to The internal storage has been Format the internal storage to
recover the file system. corrupted. restore the file system.
NOTE:
System recovery from internal
storage corruption will destroy
all ECG records in the system's
internal memory.
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Report Formats
C
The MAC system provides several report formats to provide the information you
need to analyze and evaluate the patient's ECG. The following sections describe the
available formats so you can choose the correct report for your needs.
Numeric Reports
Several reports use numeric titles that describe the way in which the data is presented.
For example, the report 4 by 2.5s + 1 rhythm ld presents the following information:
1 Four columns of data containing 3 leads with 2.5 seconds of data in each lead (4
by 2.5s).
2 One 10-second rhythm lead (1 rhythm ld).
The following numeric reports are available.

• 2 by 5
• 2.5s @ 50 mm/s (writer speed)
• 2 by 5s + 1 rhythm lead
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Report Formats
• 2 by 10s
• 3 by 5 @ 50mm/s
• 3 by 10s
• 4 by 2.5s
• 4 by 2.5s + 1 rhythm lead
• 4 by 2.5s + 3 rhythm leads
• 4 by 10s
• 5 by 2s
• 5 by 2s + 1 rhythm lead
• 5 by 2s + 3 rhythm leads
• 5 by 10s
Additional Reports
The following additional report formats are available.
Report 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 Doubles the speed and gain of the median complex.
Linked Median A 4 x 2.5 with 1 rhythm lead format. The rhythm lead printed across
the bottom of the report is the first lead of the 'Swedish format rhythm
leads' group that is configured in Exercise Setups (Report Leads).
Medians and A median complex for each of the standard 12 leads is displayed in
Rhythm the upper portion of this report. Below the medians are three rhythm
strips. These rhythm leads are the first three leads of the 'Swedish
format rhythm leads' group that is configured in Exercise Setups
(Report Leads).
6 Lead The baseline and current medians are compared side-by-side and
Comparative followed by real-time waveforms. The 6 leads used by this report
Medians and are the 'Swedish format rhythm leads' group that is configured in
Rhythm Exercise Setups (Report Leads).
12 Lead A one-page report for which the baseline and current medians are
Comparative compared side-by-side and followed by 2.5 seconds of real-time
Medians and rhythm for the standard 12 leads. ST level and ST slope are reported
Rhythm for each lead.
Hi-Res or PHi-Res Hi-Res or PHi-Res Signal Averaged Template
Signal Averaged
Template
Hi-Res or PHi-Res Vector magnitudes of X,Y,Z.
Signal Averaged
Standard
Hi-Res or PHi-Res 400mm/s of expanded X,Y,Z medians and a RMS voltage function/VM
Signal Averaged plot.
Expanded
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Report Formats
Report Description
ACI-TIPI The analysis of the acquired ECG data appears at the top of the report.
Hi-Res or PHi-Res X,Y,Z data at two different amplitudes.
Signal Overlapped
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.
2 by 5s Displays and prints ECG data in a 2 x 5 second simultaneous format.
Simultaneous This report format allows you to enable Auto Gain and/or Auto Shift
features.
NOTE:
The Auto Shift feature automatically shifts the waveforms
vertically to avoid (or minimize) waveform overlap between rows.
If enabled, this feature affects only the printed 2x5-second report.
The Auto Gain feature adjusts the gain to minimize waveform
overlap. Depending on the amount of overlap, the Auto Gain
may be applied to all leads or only the chest leads. If enabled, this
feature affects the printed 2x5-second report.
If both Auto Shift and Auto Gain are selected, the 2x5-second
printed report will be a 2- or a 3-page report.
• The first page will be in the 2x5 format with the default system
gain and with Auto Shift applied.
• In most cases, if waveforms overlap on the first page, the
second page will be in the 2x5 format with Auto Shift and
Auto Gain applied. This page is only printed if the first page
had waveform overlap.
• The third page will be the 10-second rhythm strip for the
first extra lead defined in the resting ECG lead setup with the
default gain.
Select Yes for Auto Gain and/or Auto Shift to enable these features.
Pharma 4 by 2.5s + Displays and prints clinical trial data in a 4 x 2.5s format with two
2 Rhythm Leads rhythm leads.
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.
In-Test Reports
The following formats are available for printing during the test.
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Report Formats
Report Description
12 or 15-Lead Based on Exercise report setups, a variety of 12 or 15 Lead report
Report formats will print without ECG analysis when the 12 ld key is pressed
or when 12/15 lead reports are configured in the protocol.
5 Second Rhythm This report can be chosen from the Edit Protocol application to print
Report at certain points during the test.
Rhythm Report A continuous, real-time recording of raw data - 3, 6, 12 leads. Leads
for rhythm report correspond to leads on the screen.
Arrhythmia Report Automatic documentation of arrhythmias with 2.5 seconds of raw
data prior to the ectopic beat. Leads of arrhythmia report correspond
to leads on the screen.
Recall Report A delayed recording of raw data 10 seconds in duration. Leads of
recall report correspond to leads on the screen.
Median Report Based on exercise setups, a Linked Median, Medians & Rhythms,
6 or 12 Lead Comparative Medians & Rhythm report will print. See
“Additional Reports” on page 174 for a description of these formats.
Exercise Final Reports

The following formats are available for the final exercise report.
Report Description
Summary Report One page overview of test with Resting and Max ST or peak median
morphologies. For Maximal ST Depression, report only prints when a
minimum of -.5 mm of ST depression occurs in one of the following
leads: I, II, III, aVF, V2-V6. (V1, aVR, aVL excluded. For elevation, - aVR
is excluded.)
Tabular Report Tabular summary of test by stage including time, speed, grade,
workload, MET level, heart rate, blood pressure, RPP, and comments.
Selected Medians Records median morphologies at Baseline, Maximum ST Depression,
Report Peak Exercise, and Test End for 12 leads. For Maximum ST medians,
the column only prints when a minimum of -.5 mm of ST depression
occurs in one of the following leads: I, II, III, aVF, V2-V6. (V1, aVR, aVL
excluded. For elevation, - aVR is excluded.)
Trends and Records a plot of the heart rate and blood pressure against time. Next
Medians to these trend graphs are channels of stored median data from the
various stages of an exercise test.
Median Report Records median morphologies for 3, 6 or 12 leads. The 3 and 6 lead
reports are configured using the 'Swedish format rhythm leads' of the
Exercise Setups (Report Leads). The 12-lead report uses the standard
12-lead set. The median storage intervals (also referred to as sample
cardiac cycles) can be configured using the Median (First and Repeat)
column of the Protocol Editor.
Trend Reports Records plots of PVCs, heart rate, and blood pressure. Also produces
a trend report of ST level and slope vs. time. The 3-lead trend report
will use the first three leads of the ‘Swedish format rhythm leads’.
ST/HR Loops Report A two-dimensional representation of ST Level vs. Heart Rate.
ST/HR Slope Report Records linear regression of heart rate-adjusted slope for all leads,
plus median morphology of the lead with the highest slope.
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Report Formats
Exercise Report Codes

The following report codes are printed in the lower left corner of the exercise reports.
Code Description
A+ Auto Arrhythmia Reporting is ON.
A- Auto Arrhythmia Reporting is OFF.
H+ Stag Hold is ON.
H- Stag Hold is OFF.
S+ Cubic Spline is ON.
S- Cubic Spline is OFF.
50 50Hz AC filter is ON.
60 60Hz AC filter is ON.
HR Binary encoded format for heart rate leads.
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Report Formats
178 MAC® 5500/MAC® 5500 HD 2046275-016B

Master's Step Data
D
The following sections provide the information you need to run a Master's Step stress
test.
NOTE:
The Master's Step is an option and is available only in Japan.
Master's Step Table

The following table identifies the number of steps to set according to the patient's
age, gender, and weight.
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180
Age (Years)
Weight (kg) Gender
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
Male 35 36
18–22
Female 35 35 33
Male 33 35 32
22–26
Female 33 33 32
Male 31 33 31
27–31
Female 31 32 30
Male 28 32 30
32–35
Female 28 30 29
Male 26 30 29 29 29 28 27 27 26 25 25 24 23 23 22
MAC® 5500/MAC® 5500 HD
36–40
Female 26 28 28 28 28 27 26 24 23 22 21 21 20 19 18
Male 24 29 28 28 28 27 27 26 25 24 23 22 22 21 22
41–44
Female 24 27 26 27 26 25 24 23 22 21 20 19 18 18 17
Male 22 27 27 28 28 27 26 25 25 24 23 22 22 21 20
45–49
Female 22 25 25 26 26 25 24 23 22 21 20 19 18 18 17
Male 20 26 26 27 27 26 25 25 24 23 22 22 22 21 20
50–53
Female 20 23 23 25 25 24 23 22 21 20 19 18 18 17 16
Male 18 24 25 26 27 26 25 24 23 22 22 21 21 20 19
54–58
Female 18 22 22 24 24 23 22 21 30 19 18 18 17 16 15
Male 16 23 24 25 26 25 24 23 23 22 21 20 20 19 18
59–63
Female 16 20 20 23 23 22 21 20 19 19 18 17 16 15 15
Male 21 23 24 25 24 24 23 22 21 20 20 19 18 18
64–67
Female 18 19 22 22 21 20 19 19 18 17 16 15 15 14
2046275-016B
Male 20 22 24 25 24 23 22 21 20 20 19 18 18 17
68–72
Female 17 17 21 20 20 19 19 18 17 16 16 15 14 13
2046275-016B
Age (Years)
Weight (kg) Gender
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
Male 18 21 23 24 23 22 22 21 20 19 18 18 17 17
73–76
Female 15 16 20 19 19 18 18 17 16 16 15 14 13 12
Male 20 22 23 23 22 21 20 19 18 18 17 17 16
77–81
Female 13 14 19 18 18 17 17 16 16 15 14 13 13 12
Male 19 21 23 22 21 20 19 19 18 17 16 16 15
82–85
Female 13 18 17 17 17 16 16 15 14 14 13 12 11
Male 18 29 22 21 21 29 18 17 17 16 15 15 14
86–90
Female 12 17 16 16 16 15 15 14 13 13 12 12 11
Male 19 21 21 20 19 18 17 16 16 15 14 14
MAC® 5500/MAC® 5500 HD
91–93
Female 16 15 15 15 14 14 13 13 12 11 11 10
Male 18 21 20 19 18 17 17 16 15 14 14 13
94–99
Female 15 14 14 14 13 13 13 12 11 11 11 10
Male 17 20 20 19 18 17 16 15 14 13 13 12
100–104
Female 14 13 13 13 13 12 12 11 11 10 10 09
Master's Step Data

181
Master's Step Data
ST-T Changes
The existence of any ST-T change is assessed by classifying ST-T into three assessment
levels:
• Positive
One of the following criteria must be met on 2 or more leads:
• ST Depression ≥ 0.1 mV
• ST Elevation≥ 0.2 mV
• T wave change ≥ 1.0 mV
• Borderline
One of the following criteria must be met on any lead:
• ST Depression ≥ 0.05 mV
• ST Elevation ≥ 0.1 mV
• T wave change ≥ 0.5 mV
• Negative
This is assessed if neither the Positive nor Borderline criteria are met.
To following formulas are used to calculate the values in the previous criteria:
• ST depression = (rest ST - post J) - (post exercise ST - post J)
• ST depression = (rest ST - post J) - (post exercise ST - post J)
• T wave change = absolute value of (rest T wave amplitude - post-exercise T wave
amplitude)
• (ST - post J: amplitude at the post J point)
When the assessment is positive or borderline, the lead with the largest change prints.
182 MAC® 5500/MAC® 5500 HD 2046275-016B

Creating Bar Codes and Magnetic
E
Cards
The following sections provide the information you need to configure bar codes and
magnetic patient ID cards.
The bar code reader can read Code 39, 39EX, 128, PDF-417 (2-D), Interleaved Code 2
of 5, and Data Matrix bar codes.
The card reader can read magnetic cards that adhere to ISO 7810 and 7811.
NOTE:
All data resides in fixed-width fields. The bar code or card generator must be
programmed to add “trailing spaces” after fields shorter than the fixed length of
the fields being used by your system.
Manual Reader Configuration

The following table identifies the available fields for configuring your magnetic
card reader and bar code reader. Refer to “Setting Up a Card Reader” on page 149
and “Setting Up a Bar Code Reader” on page 151 for instructions on accessing the
configuration window.
When instructed to enter a field's Offset and Length, keep in mind the following
information:
• For Offset, enter the field's beginning position.
For the first field in the bar code or magnetic card, the offset will be 0. For the
subsequent fields, the offset is typically the sum of the previous field's offset and
length. However, this is not always the case; there may be cases where fields may
have gaps between them.
• For Length, enter the total number of bytes for this field.
Where appropriate, maximum or required lengths are noted, along with any other
recommendations or restrictions.
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Creating Bar Codes and Magnetic Cards
Bar Code Reader and Magnetic Card Reader Configuration Fields
Field Byte Length

Total number of Enter the total number of bytes contained in the magnetic patient card
bytes or patient bar code. This is typically, but not necessarily, the sum of the
bytes listed in the following fields.
Patient ID The patient's identification number. Enter the field's Offset and Length.
Be aware of the following criteria when setting the length:
• can be from 0 to 16
• should equal the ID length set up on the Patient Question window
• should equal the patient ID length for the MUSE CV system with
which the MAC system communicates.
Visit The visit's identification number. Enter the field's Offset and Length.
• value can be from 0 to 19
• should equal the visit length from the ADT system
First name The patient's first name. Enter the field's Offset and Length.
• value can be from 0 to 10
• should equal the length from the MUSE CV system with which the
MAC system communicates.
NOTE:
The MAC system does not support “long” names; if the MUSE
system uses long names, this field should be set to its maximum
value.
Last Name The patient's last name. Enter the field's Offset and Length.
• value can be from 0 to 16.
• should equal the length from the MUSE CV system with which the
MAC system communicates
NOTE:
The MAC system does not support “long” names; if the MUSE
system uses long names, this field should be set to its maximum
value.
Year of birth The year the patient was born. Enter the field's Offset and Length.
The length must be set to 4.
Month of birth The month the patient was born. Enter the field's Offset and Length.
Day of birth The day the patient was born. Enter the field's Offset and Length.
Gender The patient's gender. Enter the field's Offset and Length.
184 MAC® 5500/MAC® 5500 HD 2046275-016B

Bar Code Reader and Magnetic Card Reader Configuration Fields (cont'd.)
Field Byte Length

Enable data Determines whether the system will issue a query for matching orders
retrieval or patient information when scanning the bard code or magnetic card.
To enable data retrieval, select Yes.
The following fields determine what information is used to conduct the
query, what information is retrieved, and where the information is
retrieved from.
Card Reader Value Selects the criteria used to query for additional information. Options
to Use are:
• Patient ID
This option uses the patient's ID number to retrieve order or ADT
information.
• Visit
This option uses the visit number to retrieve order or ADT
information.
SWEDEN ONLY: To enable support for Master Patient Index (MPI), you
MUST select Patient ID.
Data to Retrieve Selects the information retrieved. Options are:
• Orders
This option retrieves orders from the MUSE system or cart,
depending on the setting of the Retrieve Orders From field.
• Orders then ADT if no orders
This option first attempts to retrieve matching orders. If no orders
are found, it then attempts to retrieve patient demographics.
• ADT (Patient Demographics)
This option retrieves patient demographics from the associated
ADT system.
SWEDEN ONLY: To enable support for Master Patient Index (MPI), you
MUST select ADT (Patient Demographics).
Retrieve Orders Select the source from which to retrieve order information. Options are:
From • MUSE only
This option retrieves orders from the associated MUSE CV system.
• CART only
This option retrieves orders that have already been downloaded
to the cart.
• Cart then MUSE
This option retrieves orders that have already been downloaded to
the cart. If it cannot find matching orders on the cart, it attempts to
download them from the associated MUSE CV system.
Automatic Reader Configuration

If you are using the automatic configuration feature, use the following information to
create a configuration bar code or card.
2046275-016B MAC® 5500/MAC® 5500 HD 185

Automatic Configuration Settings
Field Character used to reserve byte space

Patient ID 9
First name 5
Last Name 6
Year of birth 3
Month of birth 1
Day of birth 2
Gender F
Visit Number 8
186 MAC® 5500/MAC® 5500 HD 2046275-016B

Asia Headquarters
GE Medical Systems GE Medical Systems GE Medical Systems
Information Technologies, Inc. Information Technologies GmbH Information Technologies, Inc.
8200 West Tower Avenue Munzinger Straße 5 Asia; GE (China) Co., Ltd.
Milwaukee, WI 53223 USA D-79111 Freiburg Germany 1 Huatuo Road
Tel: +1 414 355 5000 Tel: +49 761 45 43 -0 Zhangjiang Hi-tech Park Pudong
+1 800 558 7044 (US Only) Fax: +49 761 45 43 -233 Shanghai, People's Republic of China 201203
Fax: +1 414 355 3790 Tel: +86 21 3877 7888
Fax: +86 21 3877 7451
GE Medical Systems Information Technologies, Inc., a General Electric Company, going to market as
GE Healthcare.
www.gehealthcare.com
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GE Healthcare

MAC® 5500/MAC® 5500 HD

MAC® 5500/MAC® 5500 HD Resting ECG

2 MAC® 5500/MAC® 5500 HD 2046275-016B

Regulatory and Safety Information........................................................... 16

Manual Information .................................................................................. 22

Acquisition Equipment .............................................................................. 30

2046275-016B MAC® 5500/MAC® 5500 HD 3

3 Preparing the Patient

Electrode Placement ................................................................................. 47

4 Entering Patient Information

Reading a Patient Card (Option)................................................................ 56

Scanning a Bar Code (Option) ................................................................... 58

Standard ECGs .......................................................................................... 65

Signal Averaged ECGs ............................................................................... 67

Master's Step ECGs ................................................................................... 68

6 Exercise Stress Testing

Pretest Phase ............................................................................................ 70

Recovery Phase ......................................................................................... 73

4 MAC® 5500/MAC® 5500 HD 2046275-016B

Editing or Creating Protocols .................................................................... 77

8 Printing ECG Reports

Printing Stored ECGs ................................................................................. 81

Transmitting ECGs Locally ........................................................................ 84

Transmitting ECGs Wirelessly ................................................................... 85

Transmitting ECGs in XML Format............................................................. 86

Receiving ECGs from a MUSE CV System................................................... 88

Editing ECG Measurements....................................................................... 92

Editing Interpretive Statements................................................................ 93

12 Deleting ECGs and Orders

Preparing the SD Card............................................................................. 100

2046275-016B MAC® 5500/MAC® 5500 HD 5

Managing Files on the SD Card ............................................................... 101

Updating Software from the SD Card...................................................... 103

Process Overview.................................................................................... 107

Setting Up Automatic Tasks .................................................................... 108

Setting Up System Basics........................................................................ 111

Setting Up ECGs ...................................................................................... 123

Setting Up Signal Averaged ECGs............................................................ 139

Setting Up Exercise Tests ........................................................................ 139

6 MAC® 5500/MAC® 5500 HD 2046275-016B

Setting Up a Card Reader........................................................................ 149

Setting Up a Bar Code Reader ................................................................. 151

Setting Up Master's Step Test ................................................................. 152

Managing System Setup ......................................................................... 153

Paper Maintenance ................................................................................. 161

Battery Maintenance .............................................................................. 163

Replacing Leadwire Adapters ................................................................. 166

Visual Inspection ..................................................................................... 169

Performance Problems............................................................................ 169

System Errors.......................................................................................... 171

Additional Reports .................................................................................. 174

In-Test Reports........................................................................................ 175

Exercise Report Codes............................................................................. 177

D Master's Step Data

ST-T Changes .......................................................................................... 182

E Creating Bar Codes and Magnetic Cards

Automatic Reader Configuration ............................................................ 185

8 MAC® 5500/MAC® 5500 HD 2046275-016B