2021337-035 F Mac3500 Om

GE Healthcare
MAC 3500™
Resting ECG Analysis System
Version 9D
Operator's Manual
2021337-035 Revision F
The information in this manual applies only to MAC 3500 resting ECG analysis systems running software
versions 9D. 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, MobileLink, and 12SL are trademarks owned by GE Medical
Systems Information Technologies, a General Electric Company going to market as GE Healthcare. All other
marks are owned by their respective owners.
© 2007-2008, 2013 General Electric Company. All rights reserved.
T-2 MAC 3500™ 2021337-035F

28 February 2013
CE Marking Information
Compliance
The MAC 3500 system bears the CE mark “CE-0459”, notified body
GMED, indicating its conformity with the provisions of the Council
Directive 93/42/EEC, concerning medical devices and fulfills the
essential requirements of Annex I of this directive.
Any other directive(s) and all the standards the product complies to are
listed in the general information of the operator manual for the product
following this page.
The country of manufacture can be found on the equipment labeling.
The safety and effectiveness of this device has been verified against
previously distributed devices. Although all standards applicable to
presently marketed devices may not be appropriate for prior devices (i.e.
electromagnetic compatibility standards), this device will not impair the
safe and effective use of those previously distributed devices.
Recommendations
Users should be aware of known RF sources, such as radio or TV stations
and hand-held or mobile two-way radios, and consider them when
installing a medical device or system.
Be aware that adding accessories or components, or modifying the

medical device or system may degrade the EMI performance. Consult
with qualified personnel regarding changes to the system configuration.
Operating the system near radio frequency (RF) electromagnetic

interference (EMI) above the conditions defined in the EMC Standard
EN60601-1-2 for Radiated Immunity (field strengths above 3 volts per
meter) may cause waveform distortions.
Medical Electrical Equipment needs special precautions regarding EMC

and needs to be installed and put into service according to the EMC
information provided in the accompanying service manual.
Portable and mobile RF communications equipment can affect medical

electrical equipment.
The use of accessories, transducers and cables other than those specified,
with the exception of transducers and cables sold by the manufacturer of
the system as replacement parts for internal components, may result in
increased emissions or decreased immunity of the system.
The system should not be used adjacent to or stacked with other

equipment and that if adjacent to or stacked use is necessary, the system
should be observed to verify normal operation in the configuration in
which it will be used.
2021337-035F MAC 3500™ CE-1

Review the AAMI Committee Technical Information Report (TIR) 18,

“Guidance on Electromagnetic Compatibility of Medical Devices for
Clinical/Biomedical Engineers”. This guidance document provides a
means to evaluate and manage the EMI environment in the hospital.
The following actions can be taken to reduce the risk of medical device
EMI and achieve EMC:
 Assess the EMC environment of the healthcare facility (e.g., identify

radio transmitters in around the facility) and identify areas where
critical medical devices are used (e.g., ER, ICU, CCU, NICU).
 Increase the distance between sources of EMI and susceptible
devices.
 Remove the devices that are highly susceptible to EMI.
 Lower power transmitted from electrical and electronic equipment
(EMI sources) under hospital control (i.e. paging systems).
 Label devices susceptible to EMI.
 Educate healthcare facility staff (nurses and doctors) to be aware of,
and to recognize, potential EMI related problems.
CE-2 MAC 3500™ 2021337-035F

Contents
1 Introduction
Manual Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Purpose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2
Intended Audience . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2
Revision History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2
Conventions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
Style . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-3
Product Reference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-3
Safety Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3

Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-3
Classification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-9
Underwriters Laboratories, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-10
Legal Notice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-10
Responsibility of the Manufacturer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-10
General Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-11
Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-11
Recording ECGs During Defibrillation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-11
Accuracy Of the Input Signal Reproduction . . . . . . . . . . . . . . . . . . . . . . . . .1-12
Modulating Effects in Digital Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-12
Installation and Connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-12
Parts and Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-12
Equipment Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-13
Service Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-14

Service Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-14
Equipment Identification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-14
2 Equipment Overview
Equipment Description. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
Front View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-2
Side View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-3
Back View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-4
Internal View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-5
Connectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6
Back Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-6
Keyboard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-7
Acquisition Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-8
Leadwire Adapters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-9
Getting Started . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9

Prepare the Equipment for Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9
LAN Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-9
Modem Option. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-10
2021337-035F MAC 3500™ i

MobileLink Wireless Option. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-10
Connect the Acquisition Module Cables . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-11
Verify Correct Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-11
Software Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-12
Start Up Screen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-12
Main Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-12
Main Menu Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-13
Selecting Menu Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-13
Pressing a Function Key . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-14
Using the Arrow Pad . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-14
Entering Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-15
Type Data into a Highlighted Field . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-15
Selecting Items from a List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-15
Configure the Device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-16
3 Preparing the Patient

Prepare the Patient’s Skin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Apply the Electrodes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3

Resting Electrodes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-4
4 Entering Patient Information

Enter Patient Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
Using a Patient Card Reader (Option). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2

Connect and Configure the Card Reader . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-2
Slide Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-3
Using a Bar Code Reader (Option) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3

Connect and Configure the Bar Code Reader . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-3
Scan the Bar Code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-3
Receive Orders from a MUSE System (Option) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4

Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-4
Load the Orders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-4
Select the Orders to Receive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-5
Select an Order to Complete . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-5
Complete the Order . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-5
Enter Orders Manually (Option) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
Selecting and Completing Manually Created Orders . . . . . . . . . . . . . . . . . . . . . . . 4-5
5 Recording an ECG
Hookup Advisor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
ii MAC 3500™ 2021337-035F

Record a Resting ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Record a Master’s Step Test (Option) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4
Run the Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
6 Printing an ECG Report

Print Stored ECG Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
Print Another Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
7 Transmitting an ECG
Transmit Stored ECGs by Modem (Option) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2
Transmit Stored ECGs Locally (Option) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3
Transmit Stored ECGs by Wireless (Option) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3
Transmit Stored ECGs to the Serial Port in XML Format . . . . . . . . . . . . . . . . . . . . 7-4
8 Receiving an ECG
Receive ECGs by Modem (Option) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2
Receive ECGs Locally (Option) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3
9 Deleting an ECG
Delete Stored ECGs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-2
Delete Stored ECG Orders (Option) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-2
10 Editing an ECG
Editing an ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-2
Edit Demographic and Interpretive Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-2
Enter the Overreader Password . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-2
Edit Resting Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-2
Edit Diagnostic Statements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-3
Insert or Append an Acronym . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-3
Insert or Append Free Text . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-3
Move a Statement to a New Line . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-3
Delete a Statement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-3
Join Two Statements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-3
Store the Edited ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-4
2021337-035F MAC 3500™ iii

11 Completing Other Tasks
Prepare a Secure Digital (SD) Card for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-2
Lock and Unlock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-2
Format . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-2
Eject an SD Card From the Drive Slot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-2
File Manager . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-2

Copy All (Option) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-2
Restore All (Option) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-3
Save XML . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-3
Print the ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-4
Display Measurement and Analysis Statements . . . . . . . . . . . . . . . . . . . . . . . . . . 11-4
Return to the Main Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-4
Software Update From Secure Digital Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-4
12 System Setup
Using the System Setup Function. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-2
Select the System Setup Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-2
Define the System Parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-2
Save Your Changes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-2
Program the System to Automatically Do a Task . . . . . . . . . . . . . . . . . . . . . . . . . 12-2

To Print a Resting ECG Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-2
Store an ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-2
Transmit an ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-3
Define the Basic System Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-3

Miscellaneous Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-3
Patient Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-6
Screen Colors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-8
Transmission . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-8
Network Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-9
Option Activation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-10
Date and Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-11
Language . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-11
Power Up Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-11
Order Manager Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-12
PS/2 Port . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-12
Define the ECG Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-13

ECG Acquisition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-13
ECG Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-15
Patient Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-16
Writer Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-17
iv MAC 3500™ 2021337-035F

Resting ECG Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-17
Analog Outputs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-19
CT Data Guard Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-19
Card Reader Option Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-21

Automatic Configuration of Card Reader . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-21
Manual Configuration of Card Reader . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-22
Bar Code Reader Option Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-22

Automatic Configuration of Bar Code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-22
Manual Configuration of Bar Code Reader . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-23
Creating Bar Codes and Magnetic Cards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-23
Master’s Step Setup (Option) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-25
Miscellaneous Setup. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-25

Print Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-25
Save Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-25
Restore Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12-26
A Maintenance
General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2
Inspecting and Cleaning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2

Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2
Visual Inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2
Cleaning Exterior Surfaces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-3
Cleaning, Disinfecting, and Storing ECG Cables and Leadwires . . . . . . . . . . . . . A-3
Cleaning/Disinfecting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-3
Sterilization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-4
Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-4
Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-5
Improper Cleaning Products and Processes Impact/Results . . . . . . . . . . . . A-5
Cleaning Products To Avoid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-5
Paper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-6
Changing the Paper Tray Size . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-6
Replacing Paper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-7
Storing Printouts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-7
Maintaining the Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-8

Battery Gauge Icon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-8
To Fully Charge the Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-8
When Should You Charge the Battery? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-9
Before Initial Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-9
Between Acquisitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-9
When the Battery is Low . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-9
When the Battery is Completely Discharged. . . . . . . . . . . . . . . . . . . . . . . . . A-9
Is the Battery Charging? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-9
Periodic Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-10
2021337-035F MAC 3500™ v

Replacing the Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-10
Replacing Acquisition Module Leadwire Adapters . . . . . . . . . . . . . . . . . . . . . . . . A-11
B Troubleshooting
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-2
First Things to Ask . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-2
Visual Inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-2
Equipment Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-2

Reducing ECG Data Noise . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-2
System Errors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-3
C Editing Acronyms
Resting ECG Acronyms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-2
D Report Formats
Format Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-2
4 by 2.5s + 1 Rhythm Lead Format . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-2
Additional Report Names . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-3
E Master’s Step Data

Master’s Step Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-2
ST-T Change . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-3
vi MAC 3500™ 2021337-035F

1 Introduction
2021337-035F MAC 3500™ 1-1

Introduction
Manual Information
Purpose
This manual contains the instructions necessary to operate the system in
accordance with its function and intended use.
Intended Audience
This manual is intended for the person who uses, maintains, or
troubleshoots this equipment.
Revision History
The document number and revision appear at the bottom of each page.
The following table describes the changes made with each revision.
Revision History, PN 2021337-035
Revision Date Comment
A 1 June 2006 Initial release of document.
B 24 July 2006 Added information about SD card recommended by

GE.
C 14 September 2007 Revised Document Assembly Worksheet to add Hg

Symbol Description Addendum to English and China
only manual.
D 26 March 2008 Revised Document Assembly Worksheet to add

RoHS addendum to English and Chinese manuals
only.
E 31 October 2008  Extended document to v9C software.

 Updated “Equipment Symbols.”
F 28 February 2013 Updated the following topics:
 Equipment Symbols
 Modem Options
 Store the ECG
 Save XML
 Software Update from Secure Digital Card
 Miscellaneous Setup
1-2 MAC 3500™ 2021337-035F

Introduction
Conventions
NOTE
Provides additional user information.
Style
Bold text Indicates keys on the keyboard, text to be entered, or hardware items
such as buttons or switches on the equipment.
Italicized text Indicates software terms that identify menu items, buttons, or options in
various windows.
Ctrl + Esc Indicates a keyboard operation. A (+) sign between the names of two
keys indicates that you must press and hold the first key while pressing
then releasing the second key.
For example, “Press Ctrl+esc” means to press and hold down the Ctrl
key while pressing the Esc key.
[Space] Indicates you must press the spacebar. When instructions are given for
typing a precise text string with one or more spaces, the point where
the spacebar must be pressed is indicated as: [Space]. The purpose of
the < > brackets is to ensure you press the spacebar when required.
Enter Indicates you must press the “Enter” or “Return” key on the keyboard.
Do not type “enter”.
Product Reference
The product described in this manual is MAC 3500 Resting ECG
Analysis System. It will be referred to as “the system” throughout this
document.
Safety Information
Definitions
The terms danger, warning, and caution are used throughout this
manual to point out hazards and to designate a degree or level of
seriousness. Familiarize yourself with their definitions and significance.
Hazard is defined as a source of potential injury to a person.
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.
2021337-035F MAC 3500™ 1-3

Introduction
CAUTION indicates a potential hazard or unsafe practice which, if not

avoided, could result in minor personal injury or product/property
damage.
NOTE provides application tips or other useful information to assure

that you get the most from your equipment.
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 have entered a
device, take it 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 patient's throat.
WARNING
CONNECTION TO MAINS — This is class I equipment.
The mains plug must be connected to an appropriate

power supply.
1-4 MAC 3500™ 2021337-035F

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 defibrillator 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 electrodes (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 (silver/silver chloride construction) electrodes
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.
2021337-035F MAC 3500™ 1-5

Introduction
WARNING
OPERATOR — Medical technical equipment such as this
system must only be used by qualified and trained
personnel.
WARNING
TREADMILLS — Avoid rapid changes in treadmill
speed and/or grade during a stress test.
WARNING
SITE REQUIREMENTS — Do not route cables in a way
that they may present a stumbling hazard.
For safety reasons, all connectors for patient cables and

leadwires are designed to prevent inadvertent
disconnection, should someone pull on them.
For devices installed above the patient, adequate

precautions must be taken to prevent them from dropping
on the patient.
WARNING
SHOCK HAZARD — Improper use of this device
presents a shock hazard. Strictly observe the following
warnings. Failure to do so may endanger the lives of the
patient, the user, and bystanders.
When disconnecting the device from the power line,

remove the plug from the wall outlet first, before
disconnecting the cable from the device.
Otherwise there is a risk of coming in 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, the operators, or the environment as a
result. Standards IEC 60601-1-1/EN60601-1-1 must be
complied with in all cases.
1-6 MAC 3500™ 2021337-035F

Introduction
CAUTION
ACCESSORIES (SUPPLIES) — To ensure patient
safety, use only parts and accessories manufactured or
recommended by GE Medical Systems Information
Technologies.
Parts and accessories used must meet the requirements of

the applicable IEC 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 standard.
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 (EQUIPMENT) — The use of
ACCESSORY equipment not complying with the
equivalent safety requirements of this equipment may
lead to a reduced level of safety of the resulting system.
Consideration relating to the choice shall include:
Use of the accessory in the PATIENT VICINITY; and
Evidence that the safety certification of the ACCESSORY

has been performed in accordance to the appropriate IEC
60601-1 and/or IEC 60601-1-1 harmonized national
standard.
CAUTION
BATTERY POWER — If a device equipped with an
optional battery pack will not be used or not be 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.
2021337-035F MAC 3500™ 1-7

Introduction
CAUTION
DISPOSABLES — Disposable devices are intended for
single use only. They should not be reused as performance
may degrade or contamination could occur.
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 disposal of the product,

please contact GE or its representatives.
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.
1-8 MAC 3500™ 2021337-035F

Introduction
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 U.S.A., if the installation of this equipment will use

240V rather than 120V, the source must be a center-
tapped, 240V, single-phase circuit.
This equipment is suitable for connection to public mains

as defined in CISPR 11.
CAUTION
RESTRICTED SALE — U.S. federal law restricts this
device to sale by or on the order of a physician.
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
practitioner.
Classification
The unit is classified, according to IEC 60601-1, as:
Type of protection against Class I internally powered equipment

electrical shock
Degree of protection Type BF defibrillation-proof applied part

against electrical shock
Degree of protection Ordinary Equipment (enclosed equipment without protection

against harmful ingress of against ingress of water)
water
2021337-035F MAC 3500™ 1-9

Introduction
Degree of safety of Equipment not suitable for use in the presence of a

application in the flammable anesthetic mixture with air or with oxygen or
presence of a flammable nitrous oxide
anesthetic mixture with
air or with oxygen or
nitrous oxide
Method(s) of sterilization Not applicable

or disinfection
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 UL 60601-1, and
CAN/CSA C22.2 NO. 601.1.
4P41
Legal Notice
Our equipment contains several fields which can be filled in before
performing an ECG. Some of these fields must be filled in before
performing an exam, some are optional and therefore left to the user to
assess whether they are needed to perform the exam. A field RACE is one
of these optional fields. It has been acknowledged by the medical
profession as useful to analyze some pathologies. You should be aware
that, in some jurisdictions, the processing of data revealing an
individual’s racial origin is subject to legal requirements, such as
obtaining the patient’s prior consent. If you elect to collect this type of
data, it is your responsibility to ensure that you comply with all
applicable legal requirements.
Responsibility of the Manufacturer

GE is responsible for the effects of safety, reliability, and performance
only if:
 Assembly operations, extensions, readjustments, modifications, or

repairs are carried out by persons authorized by GE.
 The electrical installation of the relevant room complies with the
requirements of the appropriate regulations.
 The equipment is used in accordance with the instructions for use.
1-10 MAC 3500™ 2021337-035F

Introduction
General Information
Intended Use
The intended use of this device is to record ECG signals from surface
ECG electrodes. This device can record, analyze, print, and store
electrocardiographic information from adult and pediatric populations.
This data can then be computer analyzed with various algorithms such
as interpretive ECG for presentation to the user.
This device is intended for use under the direct supervision of a licensed
health care practitioner.
This device is not intended for use with high frequency surgical units.
Disconnect the patient from the device before using the high frequency
surgical unit.
This equipment uses a computerized ECG analysis program which can

be used as a tool in ECG tracing interpretation. It is recommended that
all ECGs are confirmed by a qualified physician or cardiologist.
To ensure accuracy, only use printed tracings and not the display for
physician interpretation.
This equipment will not cause abnormal operation of a patient’s

pacemaker or other electronic stimulator.
This system is not intended to be used as a vital signs physiological

monitor.
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.
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 3.2.2.4. AAMI EC12 requires that the
2021337-035F MAC 3500™ 1-11

Introduction
polarization potential of an electrode pair does not exceed 100mV, 5

seconds after a defibrillation discharge.
Accuracy Of the Input Signal Reproduction

 Overall System Error is tested using the method described in AAMI
EC11 3.2.7.1. Overall System Error is +5%.
 Frequency Response is tested using the method described in AAMI
EC11 3.2.7.2 methods A and D.
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 for information before connecting any devices to this

equipment not recommended in this manual.
Parts and Accessories

To ensure patient safety, use only parts and accessories manufactured or
recommended by GE.
Parts and accessories used must meet the requirements of the applicable
IEC 601 series safety standards, and/or the system configuration must
meet the requirements of the IEC 60601-1-1 medical electrical systems
standard.
The use of ACCESSORY equipment not complying with the equivalent

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

 evidence that the safety certification of the ACCESSORY has been
performed in accordance to the appropriate IEC 60601-1 and/or IEC
60601-1-1 harmonized national standard.
1-12 MAC 3500™ 2021337-035F

Introduction
Equipment Symbols
Type BF equipment. The acquisition module is protected from defibrillation

shocks.
Alternating current.
Equipotential.
Charge the battery. The flashing amber LED next to this symbol indicates
you must connect the system to AC power to re-charge 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.
Do NOT throw the battery into the garbage.
Recycle the battery.
Consult accompanying documents.
This position of the switch removes battery power from the equipment.
Classified with respect to electric shock, fire, mechanical, and other

specified hazards only in accordance with UL 60601-1, CAN/CSA C22.2
No. 601-1, CAN/CSA C22.2 No. 601-2-25, EN 60601-2-25, EN 60601-1-1,
IEC 60601-1-2: 2001.
To reduce the risk of electric shock, do NOT remove cover (or back). Refer
servicing to qualified personnel.
This symbol indicates that the 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.
2021337-035F MAC 3500™ 1-13

Introduction
Service Information
Service Requirements
Refer equipment servicing to GE authorized service personnel only. Any
unauthorized attempt to repair equipment under warranty voids that
warranty.
It is the user’s responsibility to report the need for service to GE or to one

of their authorized agents.
Equipment Identification
Every GE device has a unique serial number for identification. The serial
number appears on the device label.
### ## ## #### # #
A B C D E F
A The product code for MAC 3500 systems is SCA.
B Year Manufactured (00-99)
00 = 2000
01 = 2001
02 = 2002
(and so on)
C Fiscal Week Manufactured
D Production Sequence Number
E Manufacturing Site
F Miscellaneous Characteristic
1-14 MAC 3500™ 2021337-035F

2 Equipment Overview
2021337-035F MAC 3500™ 2-1

Equipment Overview
Equipment Description
Front View
115B
Name Description
A display screen View the waveform and text data.
B keyboard Press the keyboard keys to control the system or to enter

data.
2-2 MAC 3500™ 2021337-035F

Equipment Overview
Side View
A B
F E D C
275A
Name Description
A keyboard Press the keyboard keys to control the system or to enter

data.
B display screen View the waveform and text data.
C modem port Connect the telephone cable here (optional feature).
D LAN port Connect to the LAN here (optional feature).
 The green LED right of this port indicates a good

Ethernet link.
 The amber LED left of this port flashes to indicate
network traffic.
E KISS pump Connect the KISS pump here (optional feature).

connector
F ECG signal input Connect the acquisition module here.

connector
2021337-035F MAC 3500™ 2-3

Equipment Overview
Back View
A B C D
117A
Name Description
A back panel connectors Connect peripheral devices here.
B secure data card slot Insert secure data card for external storage here.
C ground lug Connect non-grounded peripheral devices to ensure

equipotential.
D main AC power Insert the main AC power cable.
2-4 MAC 3500™ 2021337-035F

Equipment Overview
Internal View
F E
116A
Name Description
A latch for opening Press the latch to open the device and access the
paper tray and battery.
B battery space The battery snaps into place here. Recharge the
battery when the battery icon flashes onscreen.
C paper tray Place paper here.
D STD or A4 Indicates the size of paper (standard or A4) the tray

holds.
E Option activation code List of all option activation codes for this device;
label found underneath paper in tray next to the black
front roller.
F Serial number ID tag Indicates the serial number of the device.
2021337-035F MAC 3500™ 2-5

Equipment Overview
Connectors
Back Panel
A B C D E F G H I
117A
WARNING
LEAKAGE CURRENT — Keep leakage current within
acceptable limits when connecting auxiliary equipment to
this device.
Total system leakage current must comply with the

EN60601-1-1 type BF equipment system safety standard.
Name Description
A A Connect an optional card reader or optional bar code reader.
B 1 Connect a GE KISS pump.
C 2 Connect a local transmission cable, serial line, modem, or

client bridge (wireless option).
D ANA/TTL Connect a device requiring analog data or TTL trigger.
E EXT.VID. Connect an external video display.
F IR Point at a MAC 3500 or MUSE system’s IR transceiver to

transmit or receive ECG data.
G card slot Insert the system card into this slot to archive or restore data
from external media (optional feature) or to update software.
H ground lug Connect non-grounded peripheral devices to ensure

equipotential.
I main AC power Insert the main AC power cable.
2-6 MAC 3500™ 2021337-035F

Equipment Overview
Keyboard
NOTE
Your keyboard may be slightly different than that shown.
A
B
D
E
F
G
N M L K J I
152B
Name Description
A function keys Selects screen menu functions.
B Power Powers the system on or off.
C delete Erases typed characters.
D Leads Scrolls through the leads on display.
E ECG Acquires an ECG. Press to acquire a 12SL resting ECG,

including measurements and interpretation.
F Rhythm Prints continuous ECG data. This data cannot be stored or

transmitted.
G Stop Stops the writer from printing.
H arrow pad Moves the cursor left, right, up, or down. Press the center to
select a highlighted menu or screen item.
I return Enters information into the system. Throughout the manual,

this key is referred to as “the return key.”
J information Provides additional user information for the current screen.
K space bar Adds a space between typed characters or highlights screen

items.
L option Used to create special characters on non-English

keyboards.
2021337-035F MAC 3500™ 2-7

Equipment Overview
Name Description
M esc Returns you to a previous menu.
N shift Creates a capital letter. Press shift + p to type a capital P.
Acquisition Module
A B
161A, 276A
WARNING
BURN PROTECTION — To ensure defibrillator
protection and protection against high-frequency burns,
use only the Multi-Link acquisition module that ships
with this equipment.
Otherwise, serious injury could result.
CAUTION

label location.
Name Description
A acquisition module cable Insert into the system’s ECG signal input connectorr.
B leadwires Attach to the leadwire adapters. The acquisition module uses 10 or 12 leadwires.
2-8 MAC 3500™ 2021337-035F

Equipment Overview
Leadwire Adapters
The MULTI-LINK leadwires require an adapter to connect to an
electrode.
4 mm pin
Grabber Leadwire end
MACTRODE clip
119A
Getting Started
Prepare the Equipment for Use
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.
2021337-035F MAC 3500™ 2-9

Equipment Overview
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 internl modem, insert a standard phone line with an

RJ-11 jack to the modem port as shown in the following illustrtion.
To connect to the external modem, you must first install the external
modem kit. See the MAC 3500™ Field Service Manual for information
about 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 12-8 for more information.
MobileLink Wireless Option

See the MobileLink Installation and Troubleshooting Guide for
information about mounting, configuring, and connecting the wireless
option.
2-10 MAC 3500™ 2021337-035F

Equipment Overview
Connect the Acquisition Module Cables
ECG signal input

connector
MULTI-LINK
acquisition module
156A
1. Plug the cables into the front of the acquisition module. Refer to
“Acquisition Module” on page 2-8 for more information.
2. Plug the leadwires into the Multi-Link acquisition module.
Verify Correct Operation

Press power 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 Service.
2021337-035F MAC 3500™ 2-11

Equipment Overview
Software Description
Start Up Screen
B C D E
Press ECG to record an ECG

A
MAC3500 XXXX *** BPM
I aVR
II aVL
III aVF
F
157A
Name Description
A software version Displays the system’s software version during the first few seconds of power up.
B user prompts Provides additional information.
C Hookup Advisor Displays quality of patient hookup. This can be turned on or off.
D function icon Indicates the Main Menu function the system is using. This is the Resting ECG function.
E battery status icon Indicates how much charge the battery has available.
F menu Provides access to additional settings or functions.
Main Menu
Use the Main Menu to select the different functions available on this
system. The functions displayed in your Main Menu may vary due to the
installation of purchased software options.
1. Select More from the start up screen.
2. Select Main Menu to begin displaying the Main Menu functions.
2-12 MAC 3500™ 2021337-035F

Equipment Overview
Main Menu Functions
Function Description
Records a 12-lead ECG.
Resting ECG
Runs the Master’s Step exercise protocol. This is a purchased option

(Japan only).
Master's Step
Prints, edits, transmits, and deletes stored ECG data.
File Manager
Defines the operating parameters of the system.
System Setup
Receives ECG data from other devices. This is a purchased option.
Receive
Acquires, prints, and stores ECG orders received from a MUSE

system with a Hospital Information System (HIS) interface. This is a
purchased option.
Ord Mgr Int.
Return to the previous screen.
Return
Selecting Menu Functions

The following shows two methods for selecting a menu function.
2021337-035F MAC 3500™ 2-13

Equipment Overview
Pressing a Function Key

To select More, press the function key directly below More.
More
162A
Using the Arrow Pad

To select More:
1. Press the right arrow on the arrow pad until More is highlighted.
More
176A
2. Press the middle of the pad to select More. To select a menu function:
a. Use the arrow keys to highlight the desired item.
b. Press the middle of the pad to select the highlighted item.
c. Select the appropriate function.
2-14 MAC 3500™ 2021337-035F

Equipment Overview
Entering Data
Type Data into a Highlighted Field
1. Press the right or down arrow to highlight the First name field.
Last name
First name
163A
2. Type the patient’s first name.
3. Press the middle of the pad or the return key to enter the
information. The cursor goes to the next data field.
Selecting Items from a List

1. Press the right arrow to highlight Gender.
2. Press the middle of the pad to lock the list in place.
2021337-035F MAC 3500™ 2-15

Equipment Overview
167A
3. Press the down arrow to highlight Male or Female.
4. Press the middle of the arrow pad to confirm the selection. The
cursor goes to the next data field.
Configure the Device

When the device is ready for operation, configure the system settings
using the information in “System Setup” on page 12-1. Save the
configuration settings to the system. If these settings will be applied to
multiple devices at your site, save the configuration settings to SD card
for ease of transfer to other MAC 3500 systems.
2-16 MAC 3500™ 2021337-035F

3 Preparing the Patient
2021337-035F MAC 3500™ 3-1

Preparing the Patient
Prepare the Patient’s Skin

Careful skin preparation is the key to an interference-free ECG. The
signal quality is shown on the Hookup Advisor indicator.
NOTE
To use the KISS Electrode Application System, see the KISS
operator’s manual for instructions. (The KISS system is not available
for sale in the United States.)
39A
1. Shave any hair from each electrode site and degrease each electrode
site with alcohol. If conducting a stress test, proceed to steps 2 and 3.
If you are not conducting a stress test, skip ahead to step 4.
2. Mark each electrode site with a felt tip pen.
3. Remove the epidermal skin layer at each electrode site (i.e. remove
the mark left from the felt tip pen). Use an abrasive pad or skin prep
cream.
4. Apply electrode to prepared area.
WARNING
SHOCK HAZARD — Ensure that conductive parts of the
electrodes or lead wires do not come in contact with other
conductive parts.
This would cancel the protection provided by the isolated

signal input.
3-2 MAC 3500™ 2021337-035F

WARNING
CONDUCTIVE PARTS — Keep the conductive parts of
lead electrodes and associated parts away from other
conductive parts, including earth.
5. Look at the lead-check screen for indication of lead problems.
NOTE
Use only electrodes and contact agents recommended by GE. The
signal quality on the lead-check screen will not be indicated until
the RA/R electrode has been applied. When RA/R becomes
disconnected, the system will report that all electrodes are off the
patient.
Apply the Electrodes
CAUTION

label location.
2021337-035F MAC 3500™ 3-3

Resting Electrodes
Standard 12 Lead Placement
AHA
IEC Label Electrode Placement
Label
A V1 red C1 red Fourth intercostal space at the right sternal border.
B V2 yellow C2 yellow Fourth intercostal space at the left sternal border.
C V3 green C3 green Midway between location B and D.

J G D V4 blue C4 brown Mid-clavicular line in the fifth intercostal space.
A B E V5 orange C5 black Anterior axillary line on the same horizontal level as D.
C
DEF
F V6 purple C6 purple Mid-axillary line on the same horizontal level as D and E.
I H
G LA black L yellow Left deltoid.
01B
H LL red F green Above left ankle. (Alternate placement, upper leg as close to torso
as possible.)
I RL green N black Above right ankle. (Alternate placement, upper leg as close to
torso as possible.)
J RA white R red Right deltoid.
NEHB Placement
To acquire a NEHB ECG, use the Standard 12 Lead electrode placement
and items A and B shown below.
AHA Label IEC Label Electrode Placement
A A1 orange Nst white Attachment point of the 2nd rib to the right
sternal edge.
B A2 orange Nax white 5th intercostal space on the left posterior

axillary line. (Same position as V7 or C7.)
A
C V4 blue Nap white Mid-clavicular line in the fifth intercostal space.
B (Same position as C4.)
C
33A
3-4 MAC 3500™ 2021337-035F

4 Entering Patient
Information
2021337-035F MAC 3500™ 4-1

Entering Patient Information
Enter Patient Information

Select F1 (Patient Data) for each new patient.
CAUTION
ACCURATE PATIENT DATA — Patient data may be
retained from a previous patient. Be sure to check the
patient info screen for each new patient. Data assigned to
the wrong patient causes erroneous patient data that can
affect diagnosis and treatment of the patient(s).
Make sure that you enter patient data for the correct
patient.
NOTE
Our equipment contains several fields which can be filled in before
performing an ECG. Some of these fields must be filled in before
performing an exam, some are optional and therefore left to the user
to assess whether they are needed to perform the exam. A field
RACE is one of these optional fields. It has been acknowledged by the
medical profession as useful to analyze some pathologies. You should
be aware that, in some jurisdictions, the processing of data revealing
an individual’s racial origin is subject to legal requirements, such as
obtaining the patient's prior consent. If you elect to collect this type
of data, it is your responsibility to ensure that you comply with all
applicable legal requirements.
Clinical Trial Data (Option)

If the Clinical Trial Data feature is enabled in System Setup, the Clinical
Trial Data option will appear at the bottom of the Patient Data entry
screen. If the current patient is part of a clinical trial, select Yes, and
enter the appropriate clinical trial information. If this patient is not part
of a clinical trial, select No.
Refer to “CT Data Guard Setup” on page 12-19 for more information.
Using a Patient Card Reader (Option)

Connect and Configure the Card Reader
1. Connect the card reader to the A port on the back panel of the
system.
2. Configure the card reader. See “Card Reader Option Setup” on

page 12-21.
4-2 MAC 3500™ 2021337-035F

Slide Card
Slide the patient data card through the optional card reader when you
are prompted.
Using a Bar Code Reader (Option)

Connect and Configure the Bar Code Reader
1. Connect the bar code reader to the A port on the back panel of the
system.
2. Configure the bar code reader. See “Bar Code Reader Option Setup”
on page 12-22.
Scan the Bar Code

Scan the patient’s bar code with the bar code reader when you are
prompted.
272A
NOTE
Do not use the bar code reader for scanning the bar code that appears
on the ECG printout. The bar code on ECG printout is of a different
format and not readable by the bar code reader.
2021337-035F MAC 3500™ 4-3

Receive Orders from a MUSE System (Option)

Preparation
The MUSE system can communicate orders to this system in the
following ways:
 via modem (internal or external),

 via LAN,
 via infrared, and
1 – 3 ft
30.4 – 91.4 cm
) ) ) ) ) )) )) D MUSE infrared device
MAC 3500
265A
 via wireless communication (MobileLink or MobileLink UHS
wireless system). Instructions for mounting, configuration, and
connecting the client bridge to the system can be found in the
MobileLink or MobileLink UHS 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, re-initiate the process of
receiving from the MUSE system. Consult your hospital IT
department or your local GE Medical Systems networking
professional regarding modification of your wireless LAN to improve
system performance.
Load the Orders

1. Select Ord Mgr Int. The Order Manager interface opens.
2. Select Load Orders.
3. Choose to delete the old orders, load the new orders, or append new
orders to existing orders.
4. Enter the location(s) from which the device should retrieve the
orders.
4-4 MAC 3500™ 2021337-035F

Select the Orders to Receive

1. Select one or more orders.
2. Select Load Orders again. The system stores the orders.
Select an Order to Complete

1. Choose Select.
2. Select an order.
3. Select Continue to proceed with selecting this order. The system will
then go to the patient data screen, or
Select Cancel to abort the selection of this order. You can then select
a different order to complete.
Complete the Order

1. Select Patient Data. The patient data window for this patient
displays.
2. Enter patient data or modify the patient data that is displayed.
3. Select Return to proceed with completing this order. The system will
then go to the ECG test.
Enter Orders Manually (Option)

1. Select Ord Mgr Int. The Order Manager interface opens.
2. Select Create Order. A window opens to enter the manual order.
3. Enter the patient data.
4. Select Return to close the window. The system saves the order.
Selecting and Completing Manually Created Orders

Manually created orders are selected and completed the same way
downloaded orders are selected and completed.
 Refer to “Select an Order to Complete” on page 4-5 for information on

selecting an order.
 Refer to “Complete the Order” on page 4-5 for information on
completing an order.
2021337-035F MAC 3500™ 4-5

4-6 MAC 3500™ 2021337-035F

5 Recording an ECG
2021337-035F MAC 3500™ 5-1

Recording an ECG
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 Hookup Advisor is enabled, a three-circle indicator appears on the

display.
 Red indicates a lead-fail condition or extreme baseline shifts. The red

indicator is always the leftmost circle of the of the indicator.
 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 rightmost circle of the of the indicator.
Hookup Advisor indicator
Press ECG to record an ECG

***
BPM
I aVR
II aVL
III aVF
157A
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 12-13 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.
5-2 MAC 3500™ 2021337-035F

Recording an ECG
 If Pre-acquisition is enabled in the system setup, the lead quality

(circle) 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.
 When Pre-acquisition is not enabled, the Hookup Advisor level and
messages will respond to a fixed poor lead quality problem within 2 –
3 seconds.
When an ECG is acquired, Hookup Advisor will run a complete and more
comprehensive assessment of the full 10 seconds of ECG data and
possibly prompt the user regarding any poor lead quality conditions.
Then users may:
 select Continue to continue (print the ECG), or

 select Cancel to cancel.
Record a Resting ECG

Record the ECG
Press the ECG button to initiate the recording of the ECG.
Scroll Through Leads

Press the Leads button to scroll through the list of leads currently
defined in System Setup.
Store the ECG

For systems which are set up to store ECGs to internal memory:
 If the Saving file to Memory message appears, the ECG is being

saved to internal memory.
 If the Saving file to Memory message did not appear, select Store to
save the ECG to internal memory.
For systems which are set up to store ECGs to SD card (SD Card Storage
Only is enabled in Miscellaneous Setup):
 If the Saving file to SD card message appears, the ECG is being

saved to the SD card.
 If the Saving file to SD card message did not appear, select Store to
save the ECG to the SD card.
2021337-035F MAC 3500™ 5-3

Recording an ECG
NOTE
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. GE Healthcare
recommends the use of the following cards manufactured by
SanDisk:
 64 MB
 128 MB
 256 MB
 512 MB
 1 GB
 2 GB
The system does NOT support SDHC (High Capacity) SD cards.
Transmit the ECG

If the Establishing network connection message appeared, the ECG is
preparing to transmit.
If the Establishing network connection message did not appear, you will
need to manually initiate the transmission. Refer to “Transmitting an
ECG” on page 7-1 for more information.
Record a Master’s Step Test (Option)

1. Select Master’s Step.
2. Enter the patient’s demographics either manually with the keyboard

or by using the card reader/bar code reader.
3. In the Setup menu, confirm that the following parameters are

correct:
 Number of Steps,
 Test Type,
 Post J (ms),
 Step Counter Display,
 Sound Option
 Continuous Recording, and
 Post Exercise ECG Time.
Press the return key.
4. Press the ECG button to record a pre-exercise ECG.
5-4 MAC 3500™ 2021337-035F

Recording an ECG
Run the Test

1. Remove the leadwires from the patient (to prevent the patient from
tripping on the leadwires). Keep the electrodes on the patient.
2. Press Continue to begin the exercise test.
3. When the patient finishes the exercise, immediately reattach the

leadwires to the electrodes. Check the waveform quality on the
screen to confirm that all leadwires are correctly reattached.
4. The system automatically records additional ECGs requested.
5. Once you record all ECGs, a final report prints.
6. Select Store to store the ECG data.
7. Select Transmit to transmit the ECG data. Refer to “Transmitting an

ECG” on page 7-1 for more information.
2021337-035F MAC 3500™ 5-5

Recording an ECG
5-6 MAC 3500™ 2021337-035F

6 Printing an ECG Report
2021337-035F MAC 3500™ 6-1

Printing an ECG Report
Print Stored ECG Reports

1. Select File Manager. A list of stored ECG reports displays.
NOTE
If SD Card Storage Only is enabled, this is a list of ECGs on the
SD card which is currently inserted.
If SD Card Storage Only is not enabled, this is a list of ECGs in

internal memory.
2. Press Select.
3. Select one or more ECGs.
4. Select Print.
Print Another Report

To print another report of the same ECG in a different report format,
follow these steps:
1. Run the test. The system will automatically print 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 reports to print.
5. Select Return.
6. Select Print to initiate the extra reports.
NOTE
Changes here affect only the current ECG. Once another ECG is
recorded, the reports specified in the system setup are printed.
Refer to Chapter 14, “System Setup” for more information.
6-2 MAC 3500™ 2021337-035F

7 Transmitting an ECG
2021337-035F MAC 3500™ 7-1

Transmitting an ECG
Transmit Stored ECGs by Modem (Option)
75A
Connection to External Modem
Internal
modem
port
275A
Connection to Internal Modem
1. Select File Manager. A list of ECGs displays.
2. Select Location to display a list of devices to which the ECG report

can be transmitted.
3. Select the receiving device.
4. If this is the correct receiving device, select and transmit the ECGs
as described in the next steps.
If this is not the correct receiving device, follow these steps:
7-2 MAC 3500™ 2021337-035F

Transmitting an ECG
 Select Location.
 Select Manual Dial.
 Enter the telephone number of the receiving device.
 Press the return key.
 Select a modem type.
 Select Return.
5. Select the ECGs to be transmitted.
6. Select Transmit to transmit the ECGs.
Transmit Stored ECGs Locally (Option)

1. Select File Manager. A list of ECGs displays.
2. Select Location to determine the method of transmission. Choices are

Manual Line, Serial Line, MUSE Network, or Ethernet Line.
3. Choose Select. A list of available ECGs displays.
Transmit Stored ECGs by Wireless (Option)

Connect and configure the MobileLink wireless option as described in the
MobileLink Installation and Troubleshooting Guide.
1. Select Location to determine the receiving device. The choice for

wireless communication is Serial Line — MUSE Network.
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 networking professional regarding modification of
your wireless LAN to improve system performance.
2021337-035F MAC 3500™ 7-3

Transmitting an ECG
Transmit Stored ECGs to the Serial Port in XML

Format
1. Connect one end of the serial cable to the serial port on the MAC
3500. Connect the other end of the serial cable to the serial port of a
PC running a terminal emulation program.
2. Select the Location. From the Main Menu, select File Manager
Location  XML Output.
6. Select Transmit to transmit the XML files.
7-4 MAC 3500™ 2021337-035F

8 Receiving an ECG
2021337-035F MAC 3500™ 8-1

Receiving an ECG
Receive ECGs by Modem (Option)

Be sure that the system is connected to the modem as shown below.
75A
Connection to External Modem
Internal
modem
port
275A
Connection to Internal Modem
1. Select Receive to prepare the system for receiving ECG reports.
2. Select Phone Line. The system will check the telephone line and then
display the message Ready to Receive to indicate that it is ready to
receive ECGs.
3. When all of the ECGs are received, they will print.
a. Select Cancel to take the system out of receiving mode.
b. Select Main Menu.
8-2 MAC 3500™ 2021337-035F

Receiving an ECG
Receive ECGs Locally (Option)
) ) ) ) ) )) ))
1-3ft
30.4-91.4cm
MAC 3500 MAC 3500

106A
Receive via Infrared
1. Select Receive to prepare the system for receiving ECG reports.
2. Select Local Line. The system will check the telephone line and then
display the message Ready to Receive to indicate that it is ready to
receive ECGs.
3. When all of the ECGs are received, they will print.
a. Select Cancel to take the system out of receiving mode.
b. Select Main Menu.
2021337-035F MAC 3500™ 8-3

Receiving an ECG
8-4 MAC 3500™ 2021337-035F

9 Deleting an ECG
2021337-035F MAC 3500™ 9-1

Deleting an ECG
Delete Stored ECGs

1. Select File Manager. A list of ECG reports is displayed.
2. Choose Select.
3. Highlight one or more ECG reports.
4. Select Delete to delete the ECGs.
5. Type the System or Overread password.
NOTE
The System password should only be used by the system
administrator or by qualified service personnel. All other users
should use the Overread password.
6. A warning message displays.
7. Select Yes to delete the selected ECG reports.
or
Select No to cancel this delete request. Select a different ECG report

to delete.
Delete Stored ECG Orders (Option)

1. Select Ord Mgr Int to enable the order manager interface.
2. Select Load Orders.
3. Select Delete. A list of orders displays.
4. Select an order to delete.
NOTE
Only orders that have not been completed may be deleted.
5. Select Delete. The system deletes the orders.
6. Enter the location(s) from which the device should retrieve the
orders. Refer to “Receive Orders from a MUSE System (Option)” on
page 4-4 for more information.
7. Select Cancel to return to the Main Menu.
9-2 MAC 3500™ 2021337-035F

10 Editing an ECG
2021337-035F MAC 3500™ 10-1

Editing an ECG
Editing an ECG
Edit Demographic and Interpretive Data
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.
NOTE
Before transmitting an EGG report, be sure that the unit is powered
on.
1. Select File Manager. A list of ECG reports is displayed.
2. Choose Select.
3. Highlight one or more ECG reports.
4. Select Edit to display the list of data that can be edited:
Editing Option Special Considerations
Patient Information
Medications Demographic data; can be edited without

overreader password.
Test Information
ECG Measurements Interpretive data; requires overreader

password to edit.
Diagnostic Statements
Editing interpretive data “confirms,” or
acknowledges, the ECG.
Return Return to the previous menu.
Enter the Overreader Password

1. Type the overreader password
2. Press the return key.
3. Type the reviewer information.
4. Select Return.
Edit Resting Measurements

1. Select ECG Measurements.
2. Edit the data.
3. Select Return.
10-2 MAC 3500™ 2021337-035F

Editing an ECG
Edit Diagnostic Statements

Insert or Append an Acronym
Insert allows you to add text before the current statement. Append
allows you to add to the end of the current line.
1. Select Diagnostic Statements.
2. Select a statement.
3. Select Append or Insert.
4. Type an acronym.
6. Select Return.
Insert or Append Free Text

3. Select Append or Insert.
4. Type a statement.
6. Select Return.
Move a Statement to a New Line

3. Select New Line.
Delete a Statement
3. Select Delete.
Join Two Statements

2. Select a statement to join with the preceding statement.
3. Select Join.
2021337-035F MAC 3500™ 10-3

Editing an ECG
Store the Edited ECG

A maximum of 50 ECG records can be stored on the MAC 3500.
1. Select Return.
2. Select Return.
3. The message Select Store to Save the Edited File. This will replace
the original file. displays.
4. Select Store to save the edited file, or press esc to discard the
changes to the file.
10-4 MAC 3500™ 2021337-035F

11 Completing Other Tasks
2021337-035F MAC 3500™ 11-1

Completing Other Tasks
Prepare a Secure Digital (SD) Card for Use

Lock and Unlock
To prevent accidental deletion of data, protect the SD card by moving the
lock panel into locked position.
Move the lock panel back into the original (unlocked) position to allow
you to store data to the SD card or to delete data from the SD card.
Format
Most Secure Digital cards do not require formatting. In the event an
unformatted SD card is used with the system, the following message will
display:
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?
Select Yes to format the SD card.
Eject an SD Card From the Drive Slot
SD Card
Drive Slot
117A
Press the SD card into the drive slot to eject it. The drive slot is spring-
loaded, and it will eject the SD card.
File Manager
Copy All (Option)
This option allows you to copy ECGs from internal memory to an SD
card. The external storage option must be enabled and SD Card Storage
Only must be set to No in Miscellaneous Setup.
1. Select File Manager to open the list of stored ECGs to view.
2. Select Copy All to begin copying all of the files to the SD card.
The following message displays:
11-2 MAC 3500™ 2021337-035F

Existing records (if any) in SD card will be deleted. Continue?
3. Select No to cancel the Copy All request.
or
Select Yes to continue with the Copy All request.
4. If Yes was selected in step 3, the following message displays:
Deleting existing records (if any) in SD card. ... Please wait.
An indicator shows the progress/completion of the copying procedure.
Restore All (Option)

The Restore All command can only be used when all records in the File
Manager have been transmitted.
1. Insert an SD card with ECGs to be restored to the internal of the

MAC 3500 device.
NOTE
The MAC 3500 cannot store more than 50 ECGs. The SD card
must not contain more than 50 ECGs.
2. Select Restore All in File Manager to begin restoring all of the files
from the SD card to internal memory.
The following message displays:
Existing records (if any) in File Manager will be deleted. Continue?
3. Select No to cancel the Restore All request.
or
Select Yes to continue with the Restore All request.
4. If Yes was selected in step 3, the following message displays:
Deleting existing records (if any) in File Manager. ... Please wait.
An indicator shows the progress/completion of the restoration

procedure.
Save XML
Use the following procedure to save ECGs in XML format to 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. Select File Manager to open the list of stored ECGs to view.
2. Highlight the record(s) to be saved as XML.
3. Select Save XML to generate the XML data.
2021337-035F MAC 3500™ 11-3

The resulting XML file(s) will be saved to the SD card.
Print the ECG

Select Print to print the selected ECGs.
Display Measurement and Analysis Statements

Select Text to display measurement and analysis statements (text)
information for the selected ECGs.
Return to the Main Menu

Select Return to return to the Main Menu from the current screen.
Software Update From Secure Digital Card

Software updates are provided on an SD card.
NOTE
Before applying a software update, do the following:
 Confirm the updated 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 lower 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 updaate.
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.
The following message is displayed.
Please Insert SD Card
Press ‘Esc’ to cancel
5. Insert the SD card.
The following message is displayed.
11-4 MAC 3500™ 2021337-035F

Current Version: xx.xx
New Software Version: yy.yy
Press ‘Enter’ to start installation
6. Press Enter.
NOTE
If the device is not connected to AC power, the messagePlease
switch on AC Power! is displayed. Connect the device to AC
power.
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 system. Skip tostep 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.
Proceed to step 7.
7. Do one of the following
 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 turn on the device.
9. Verify the software version has been updated.
2021337-035F MAC 3500™ 11-5

11-6 MAC 3500™ 2021337-035F

12 System Setup
2021337-035F MAC 3500™ 12-1

System Setup
Using the System Setup Function

Select the System Setup Function
1. Select System Setup to access the system setup function.
2. Enter the system setup password.
3. Verify that the password is correct. Retype the password if necessary.
4. Select a menu function.
Define the System Parameters

Use the information contained in this chapter to define your system’s operating
parameters.
Save Your Changes

After making a change to the system’s operating parameters, save your changes:
1. Select Save Setup.
2. Select To system, To SD card, or Do not save setup.
3. Select Main Menu.
Program the System to Automatically Do a Task

To Print a Resting ECG Report
1. Within the system setup function, select ECG.
2. Select Resting ECG Reports.
3. Select Unconfirmed Reports.
4. Select the type and quantity of formats printed.
5. Select Return.
Store an ECG
2. Select ECG Analysis.
3. In Auto ECG Storage, select the type of ECGs stored.
4. Select Return.
12-2 MAC 3500™ 2021337-035F

System Setup
Transmit an ECG
Before programming your system to automatically transmit an ECG, you must
define the receiving device and its default location. See “Transmission” on page 12-
8 to define the transmission parameters of the default receiving device
2. Select ECG Analysis.
3. In Auto ECG transmission, select the type of ECGs transmitted:
 All ECGs
 No ECGs
 Only ABNORMAL ECGs
4. Select Return.
Define the Basic System Setup

Miscellaneous Setup
1. Within the system setup function, select Basic System.
2. Select Miscellaneous Setup to define your system’s basic setup items.

Miscellaneous Setup menu items are defined in the table below.
Miscellaneous Setup
Item Description
Institution Type the name of your hospital, clinic, etc. as you want it to appear on printed reports. On
name most reports the institution name appears at the top (40 character maximum).
Text entry Select Uppercase only to type text in uppercase letters.
Select Upper and lowercase to type text in upper and lowercase letters.
Speaker Select Low to set the system’s speaker to low volume.

volume
Select High to set the system’s speaker to high volume.
External video Select Option 1 to enable this port. Most remote monitors function using Option 1.
port Otherwise, select Option 2.
Information line Select Yes to enable the help information line on the screen.
Cart number Type a number that uniquely identifies this system.
Site number Type a number from 1-32 to identify where the data will be stored in the MUSE system.
The Site number used must be compatible with the site number for the MUSE system to
which the system is communicating.
2021337-035F MAC 3500™ 12-3

System Setup
Miscellaneous Setup
Item Description
Location Type a number to identify the location of this system to a MUSE system. Use a value from
number 1-99 for MUSE systems using software version 002B-004 or 3A/CLM-1B. Use a value
from 0-599 for a MUSE system using software version 4A or later. Use a value from 0-
9999 for a MUSE system using software version 7 or later. The Location number used
must be compatible with the location number for the MUSE system to which the system is
communicating.
File Manager Select the sorting method your system uses to display stored ECGs.
sort
Delete after Select Yes to delete an ECG after transmitting it to a receiving device.
transmit
Text on bottom Select Yes to print the ECG test information on the bottom of the ECG reports.
Print barcodes Select Yes if you want the patient information printed in a barcode format on printed
reports.
Automatic Type a number of minutes (x) greater than zero to enable the battery conservation mode.
Shutdown If a key is not pressed within (x) minutes, your system will automatically power off. Only
patient data is saved when the system powers off.
Serial power Select Yes to enable continuous power to the serial ports.
always on
KISS pump Select Yes to enable power for the unit’s internal KISS pump.
power on
System Type a 6-character password that allows you to access the System Setup and Delete
password functions. The default System password is system.
Keep track of all assigned passwords.
Overread Type a 6-character password that allows you to access the Delete function. The default
password Overread password is overread.
12-4 MAC 3500™ 2021337-035F

System Setup
Miscellaneous Setup
Item Description
Device Type a 6-character password. The system has no default Device Password. If a Device
password Password is entered here, users will be required to enter it in order to use the system. See
“Appendix B, Troubleshooting” for Device Password override.
SD Card  Select Yes if you want ECGs stored to SD card only.

Storage Only  Select No if you want ECGs stored to internal memory.
See “Internal Storage Mode vs. SD Card Storage Only Mode” for more details about
the differences between the internal storage mode and the SD Card Storage Only
mode.
NOTE
This item appears only if the External Storage option is activated.
Any ECGs which 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. GE Healthcare recommends the use of the following cards
manufactured by SanDisk:
 64 MB
 128 MB
 256 MB
 512 MB
 1 GB
 2 GB
The system does NOT support SDHC (High Capacity) SD cards.
Internal Storage Mode vs. SD Card Storage Only Mode

Internal Storage SD Card Storage Only
Delete XML file when deleting corresponding ECG file1 No Yes
Memory Status Messaging 70%...90%...Full SD Card full only
Copy/Restore ECG files to/from SD card Yes Not Applicable
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 will overwrite XML file with same name.
2021337-035F MAC 3500™ 12-5

System Setup
Patient Questions
2. Select Patient Questions to define what patient prompts appear when you select
Patient Data in the Resting ECG application. Patient Questions items are
defined in the table below.
Patient Questions
Item Description
ID Required Select Yes to require the user to enter the patient’s identification number before an ECG
can be recorded.
ID length Type the number of alpha-numeric characters used in the patient identification number.
Use from 3-16 characters.
Use a format that is compatible with the MUSE system to which the system is
communicating.
Age Choose the method to enter the patient’s age:
 Select Date of birth to enter age in day-month-year-order. With this setting, the
patient’s date of birth will be printed.
 Select Age in years to enter age in years, months, weeks, days, or hours. With this
setting, the patient’s age in years, months, weeks, days, or hours will be printed.
In addition to affecting the method the patient’s age is asked in the patient information
screen, this selection affects the way the age/date of birth is printed on the report if the
information is transferred from the card reader or order manager.
Gender Select Yes to display a prompt asking whether the patient is male or female.
Height Select Yes to display a prompt asking the patient’s height.
Weight Select Yes to display a prompt asking the patient’s weight.
Height/Weight Choose the units of measurement defining the patient’s weight:

in
Select in./lb. to enter the patient’s height and weight in inches and pounds.
Select cm./kg. to enter the patient’s height and weight in centimeters and kilograms.
Race Select Yes to display a prompt asking the patient’s race.
Our equipment contains several fields which can be filled in before performing an ECG.
Some of these fields must be filled in before performing an exam, some are optional and
therefore left to the user to assess whether they are needed to perform the exam. A field
RACE is one of these optional fields. It has been acknowledged by the medical profession
as useful to analyze some pathologies. You should be aware that, in some jurisdictions,
the processing of data revealing an individual’s racial origin is subject to legal
requirements, such as obtaining the patient's prior consent. If you elect to collect this type
of data, it is your responsibility to ensure that you comply with all applicable legal
requirements.
Blood pressure Select Yes to display a prompt asking the patient’s systolic and diastolic blood pressures.
12-6 MAC 3500™ 2021337-035F

System Setup
Patient Questions
Item Description
Medications Select Yes to display a prompt asking what medications a patient is taking.
Referred by Select Yes to display a prompt asking who referred the patient.
name and
number Use the numbers that are compatible with those used for the MUSE system to which the
system is communicating.
Test indication Select Yes to display a prompt asking the reason for the test.
Patient History Select Yes to display a prompt asking the patient’s history.
Technician Select Yes to display a prompt asking the name of the technician who recorded the ECG.
Use the technician identifiers that are compatible with those used for the MUSE system to
Technician Select Yes to require entry of the name/identifier of the technician who recorded the ECG.
Required
Location Select Yes to display a prompt asking the this system’s location number.
Use the location numbers that are compatible with those used for the MUSE system to
Room number Select Yes to display a prompt asking the patient’s room number.
Options Select Yes to prompt the user to enter an options number for this ECG. You can define this
number to mean whatever you want.
Order number Select Yes to prompt the user to enter an order number for this ECG.
Secondary ID Select Yes to prompt the user to enter a second ID for this ECG.
Extra Prompt — Type the text you want for the patient question.
questions
Select the type of response you want entered for the patient question:
 Select Numbers and letters to answer the prompt using numbers and letters.
 Select Numbers only to answer the prompt using only numbers.
 Select Yes or No to answer the prompt using either yes or no.
2021337-035F MAC 3500™ 12-7

System Setup
Screen Colors
2. Select Screen Colors to display one of three color options.
Screen Colors
Item Description
Screen colors Define the screen colors you want the system to display.
Select Monochrome to view white screen elements.
Select Option 1 to view white, green, yellow, and red screen elements.
Select Option 2 to view white, yellow, and red screen elements.
Transmission
2. Select Transmission to define your system’s transmission parameters.

Transmission menu items are defined in the table below.
Transmission
Item Description
Modem Choose when you want to hear the modem tones:

Speaker
Select On to hear the modem tones.
Select Off to prevent hearing the modem tones.
Select Dialing only to hear the modem tones while your system dials a telephone number.
Dialtone Select Yes when the system is connected to telephone lines that have a dialtone.
required
Dialing method Select the dialing method used by your telephone line.
Fax error Select Yes if the facsimile machine to which you transmit ECGs uses an error correction
correction factor.
Modem Set the type of modem to be used for ECG transmission. Choices are Auto detect,
Options INTRENAL, and EXTERNAL.
, - Two second Type a comma (,) in a telephone number to create a 2-second pause. This can be used to
pause wait for a dialtone. For example, the telephone number 9,3216788 will have a 2-second
pause between the numbers 9 and 3, as when dialing an outside line.
Phone number Type from one to six telephone numbers you frequently transmit to.
Location Type the name of location(s) you transmit to.
12-8 MAC 3500™ 2021337-035F

System Setup
Transmission
Item Description
Type Choose the type of modem your system uses to transmit data to a receiving device.
Select Fax machine to transmit to facsimile machine.
Select the MUSE NETWORK modem to transmit to another cart or to the MUSE system.
Use IR for Select Yes to enable the local infrared communication.

serial line
Serial line Select 9600 baud rate to transmit or receive data between another system or a MUSE
baud rate system. Other serial line baud rates are available for communicating with other devices.
Default Select the default receiving device to which your system transmits ECGs.
Location
 To transmit by local infrared communication or by local cable, select Serial line
(MUSE).1
 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). The PC which
receives XML data through the serial line must be running a terminal emulator
program (for example, HyperTerminal).
 To transmit by LAN, select Ethernet (MUSE).1
1
Purchasable option
Network Setup
2. Select Network Setup to define your system’s LAN parameters. Network Setup
menu items are defined in the table below.
Network Setup
Item Description
IP Address Enter the IP Address. The format is _ _ _._ _ _._ _ _._ _ _
Subnet Mask Enter the Subnet Mask information. The format is _ _ _._ _ _._ _ _._ _ _
Gateway Enter the gateway information. The format is _ _ _._ _ _._ _ _._ _ _
Port Number Enter the 4-digit port number.
2021337-035F MAC 3500™ 12-9

System Setup
Option Activation
2. Select Option Activation to activate one or more new options. Options are
defined in the table below.
Option Activation
4-Letter
Item Description
Option Name
AT Modem MODM This option allows you to send and receive data over the external AT modem.
FAX Modem FAXM This option allows you to send and receive data over the external Fax modem.
Interpretation DIAG This option allows you to print the 12SL diagnosis on resting ECG reports.
Color COLR This option allows you to select one of two color options for the display screen.
Gen-12SL GN12 This option applies gender and age specific interpretation criteria when generating the
12SL diagnosis.
Wireless WIFI This option allows you to transmit reports to the MUSE system over a wireless network.
Master’s Step MAST This option allows you to perform a Master’s Step stress test.
Card Reader MGRD This option allows you to enter patient information using the patient card reader.
Bar Code BCRD This option allows you to enter patient information using a bar code reader.
Reader
Ethernet LAN ELAN This option allows you to enable Ethernet LAN connectivity.
CT Data Guard CTDG This option allows you to enable and configure clinical trial features and data guard
features.
GE CSIP This option allows you to connect to other devices via serial lines, modems, wireless
Connectivity connectivity, LAN, and infrared connections.
External EXST This option allows you to save to/copy from SD cards.
Storage
NOTE
An asterisk (*) appears next to each option which is currently activated on
the system.
3. Type the 12-digit option activation code and press the Enter key.
If you typed the code for an option which has been purchased for the system, an
asterisk will now appear next to that option in the list.
4. Repeat step 3 for each option which needs to be activated.
5. Highlight Return and press Enter to return to the Basic System menu.
12-10 MAC 3500™ 2021337-035F

System Setup
Date and Time

2. Select Date and Time to set the date and time that appears on the ECG reports.
Date and Time options are defined in the table below.
Date and Time
Item Description
Current date Enter the current date:
 Type the day.

 Select the month.
 Type the year.
Current time Enter the current time:
 Type the hour.

 Type the minutes.
Language
2. Select Language to choose the language displayed on screen and in ECG

reports
Language
Item Description
Select new Select the language of displayed or printed data.

language
Power the system off then on to view the new language.
Power Up Options
2. Select Power Up Options to program your system to power up into the resting
ECG function.
Power Up Options
Item Description
Power Up Select the resting ECG function you want your system to start up in every time you power
Application on the system.
2021337-035F MAC 3500™ 12-11

System Setup
Order Manager Interface

2. Select Order Manager Interface to acquire, and store ECG orders received from
a MUSE system, or to create an order.
The MUSE system must use a Hospital Information System (HIS).
While within the Order Management Interface, select Print to print a directory
of the orders listed. Individual orders do not print.
Order Manager Interface
Item Description
Initial sort Select how you want to sort displayed ECG orders. Orders can be sorted by Patient name,
value Patient ID, Location, Time, or Stat.
Create orders Select Yes to allow ECG orders to be entered manually into the system.
locally
PS/2 Port
2. Select PS/2 Port Select to select the optional card reader or bar code reader. PS/
2 Port Select options are defined in the table below.
PS/2 Port
Item Description
PS/2 Port Select the input device connected to the PS/2 port (Keyboard, Card Reader, or Bar Code
Device Reader).
See “Card Reader Option Setup” on page 12-21for details on how to configure the card
reader.
See “Bar Code Reader Option Setup” on page 14-33 for details on how to configure the
bar code reader.
Card Reader None, Manual, or Automatic (See “Card Reader Option Setup” on page 14-31 for more
Configuration information.)
Bar Code None, Manual, or Automatic (See “Bar Code Reader Option Setup” on page 14-33 for
Configuration more information.)
12-12 MAC 3500™ 2021337-035F

System Setup
Define the ECG Setup

ECG Acquisition
2. Select ECG Acquisition to define the ECG acquisition parameters. ECG

Acquisition options are defined in the table below.
ECG Acquisition
Item Description
Baseline roll filter Use this filter to remove baseline sway.
The higher the setting, the more the filter smooths out a wandering baseline. This filter
does NOT distort the ST segment displayed on the ECG reports.
AC filter Use this filter to remove AC line artifact.
Disable auto gain check Select No, to display a prompt after the user presses ECG if the gain of the recorded ECG
data is either too high or too low. The user can then manually adjust the gain.
Disable lead off check Select No to display a screen message when the system detects a disconnected leadwire.
Pacemaker pulse Select Yes to detect very small pacemaker pulses. However, when Pacemaker pulse
enhancer enhancer is on, the system is very sensitive, and should NOT be close to equipment
emitting 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 warning1 Select Yes to display a screen message when the system detects a wandering baseline.
Muscle tremor warning1 Select Yes to display a screen message when the system detects muscle tremor.
AC noise level warning11 Select Yes to program the system to check for powerline interference when recording an
ECG.
Hookup Advisor Select Yes to enable the Hookup Advisor option, which monitors the quality of resting ECG
signals and Master’s Step ECG measurements.
2021337-035F MAC 3500™ 12-13

System Setup
ECG Acquisition
Item Description
Prompt level If Hookup Advisor is enabled, set the sensitivity at which the system will prompt users
regarding patient hookup quality. Choices are Yellow, Red (default), and Never.
When the Prompt level is set to Yellow, the expected behavior for both yellow and red lead
quality situations is as follows:
 Users are prompted to Continue or Cancel the recording.

 The statement ***Poor data quality, interpretation may be adversely affected is
automatically printed on the report.
When the Prompt level is set to Red, the expected behavior for red lead quality situations
is as follows:
 Users are prompted to Continue or Cancel the recording.

automatically printed on the report.
When the Prompt level is set to Never, the expected behavior is as follows:
 The prompt does not display on the device for either yellow or red lead quality
situations.
automatically printed on the report for red lead quality situations.
 The Prompt level control is not active if the Hookup Advisor option is turned off.
NOTE
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 Select Yes to begin acquiring ECG data as soon as the leadwires are connected to a
patient. The system does not wait until the user presses ecg before it starts acquiring
ECG data. The latest 10 seconds of ECG data is ready for analysis when Pre-acquisition
is turned on.
1
If Hookup Advisor is turned ON, this option is overridden by Hookup Advisor.
12-14 MAC 3500™ 2021337-035F

System Setup
ECG Analysis
2. Select ECG Analysis to define the ECG analysis parameters. ECG Analysis
options are defined in the table below.
ECG Analysis
Item Description
Screening Select Yes to prevent specific 12SL analysis statements from appearing on ECG reports.
criteria
See Appendix C to identify these statements.
Suppress Select Yes to prevent the Normal ECG 12SL analysis statement from appearing on
NORMAL printed, stored, and transmitted ECG reports.
statement
Suppress Select Yes to prevent the Abnormal ECG and Borderline ECG 12SL analysis statements
ABNORMAL from appearing on printed, stored, and transmitted ECGs.
and
BORDERLINE
statements
Storage format Choose the data compression format of the ECGs stored on a MUSE system:
250Hz
 Select 500Hz (MUSE Network) if sending ECGs to a MUSE system using MUSE
software versions 004A or later.
 Select 500Hz DVS (MUSE Network) to store ECGs so that they can be reprinted at
the same full original resolution by the receiving device. The MUSE system must be
using software version 5D.04 or later.
Store XML Select Yes to automatically save each ECG in XML format in addition to the standard GE
format proprietary format. XML files are stored to the following path: SD Card Drive:\XML\*.XML.
Use a blank SD card to save the XML output.
 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.
2021337-035F MAC 3500™ 12-15

System Setup
ECG Analysis
Item Description
Auto ECG Choose the ECGs you want your system to automatically store:
storage
 Select All ECGs to automatically store a recorded ECG.
 Select No ECGs to disable automatic storage of a recorded ECG.
 Select Only ABNORMAL ECGs to automatically store a recorded ECG that the 12SL
analysis program has classified as abnormal.
Auto ECG Choose the ECGs you want your system to automatically transmit:
transmission
 Select All ECGS to automatically transmit all recorded ECG upon completion.
 Select No ECGS to disable automatic transmission of a recorded ECG.
 Select Only ABNORMAL ECGs to automatically transmit a recorded ECG that the
12SL analysis program has classified as abnormal.
Patient Questions
2. Select Patient Questions to define two alpha-numeric or Yes/No patient data

prompts.
Patient Questions
Item Description
Prompt Type the text you want for the patient question.
Type Select the type of response you want entered for the patient question.
Select Numbers and letters to answer the prompt using numbers and letters.
Select Numbers only to answer the prompt using numbers.
Select Yes or No to answer the prompt using either yes or no.
12-16 MAC 3500™ 2021337-035F

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

2. Select Resting ECG Reports to:
 Specify the leads displayed on reports.

 Choose the unconfirmed and confirmed report formats.
Report Leads
Item Description
Standard leads Select the standard leads you want to appear on the ECG reports.
When you change a channel’s lead, the new lead appears on all the ECG reports
displaying that channel.
Rhythm reports Choose the type of data displayed in the Rhythm reports.
Select Real time to print current ECG data on the Rhythm reports. This allows you to print
the data you see on the screen.
Select 10 sec delayed to print ECG data delayed by 10 seconds.
Rhythm leads Choose a lead option for each group to determine the rhythm leads that print when you
select the rhythm key in an application. The six defined groups make up the display list
when you select Leads in the Resting 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.
Autorhythm Select the group of Rhythm leads printed in the Autorhythm report.
2021337-035F MAC 3500™ 12-17

System Setup
Report Leads
Item Description
RMR/CGR/ Select the rhythm lead(s) you want printed in the RMR and CGR reports.
extra rhythm
leads When you change a rhythm lead, the new lead appears on all reports displaying that lead.
For example, if you select V5 for RMR/CGR/extra rhythm lead 1, then the V5 waveform
appears on all reports that include RMR/CGR/extra rhythm lead 1.
Swedish Select the rhythm lead(s) you want printed in the Swedish format reports.
format rhythm
leads When you change a rhythm lead, the new lead appears on all reports displaying that lead.
For example, if you select V5 for the Swedish format rhythm lead 1, then the V5 waveform
appears on all reports that include Swedish format rhythm lead 1.
Confirmed Reports
Item Description
Report formats Choose the report formats you want to print after an ECG has been confirmed.
Select whether you want the report to print with or without interpretation (12SL analysis
statements).
Enter the number of copies you want to print for each report (0 - 10 copies).
Unconfirmed Reports
Item Description
Normal ECG Choose the report formats your system automatically prints after you press ECG.
Reports
 Select whether you want the report to print with or without interpretation (12SL
analysis statements).
 Enter the number of copies you want to print for each report (0 - 10 copies).
Abnormal ECG Choose the report formats your system automatically prints when an abnormal ECG is
Reports detected.
 Select whether you want the report to print with or without interpretation (12SL
analysis statements).
 Type in the number of copies you want printed.
Confirmation Choose the text that appears on an ECG report that indicates the status of the ECG.
text
 Select Unconfirmed to indicate that the ECG report is not confirmed by a physician.
Once an ECG is confirmed, the word Confirmed appears on the ECG report.
 Select Reviewed by to display the reviewer’s name on a confirmed ECG report. If the
ECG report is not confirmed, then no name appears.
12-18 MAC 3500™ 2021337-035F

System Setup
Analog Outputs
2. Select Analog Outputs to define the system’s output signals when connecting
additional equipment to the system. Analog Outputs options are defined in the
table below.
Analog Outputs
Item Description
Fast Analog Select Not Used, I, II, or V1-V6.

Output
TTL Output Select Not Used or QRS Detect to define TTL Output.
Polarity Select Positive or Negative to define TTL Output polarity.
Width Type a value between 4 and 48 to define TTL Output signal width in milliseconds.
Delay Type a value between 0 and 100 to set a delay in milliseconds for the TTL Output QRS
detector signal.
QRS Beep Select On to hear a beep for each QRS complex.
CT Data Guard Setup

CT Data Guard stands for Clinical Trial Data Guard. The CT elements configured in
this menu pertain specifically to clinical trial usage of the system. The Data Guard
elements configured in this menu pertain specifically to data protection features.
2. Select CT Data Guard Setup to define the system’s settings for data security. CT
Data Guard Setup options are defined in the table below.
CT Data Guard
Item Description
CT Data Guard Setup
NOTE
The clinical trial options described below pertain only to 12-lead resting ECG records.
Enable Clinical Select Yes to enable clinical trial features.

Trial Data
Project Code If Clinical Trial Data is enabled, the clinical trial administrator will enter the Project Code in
this field. Up to 32 characters are allowed.
Trial ID If Clinical Trial Data is enabled, the clinical trial administrator will enter the Trial ID in this
field. Up to 10 characters are allowed.
2021337-035F MAC 3500™ 12-19

System Setup
CT Data Guard
Item Description
Investigator ID Select Yes to require entry of the investigator ID on every test. Up to 16 characters are
allowed.
Select No to perform tests without requiring entry of the investigator ID on every test.
Visit Number Select Yes to require entry of the patient visit number on every test. Up to six characters
are allowed.
Select No to perform tests without requiring entry of the patient visit number on every test.
Visit Type Select Yes to require entry of the patient visit type on every test.
Select No to perform tests without requiring entry of the patient visit type on every test.
If Yes is selected for Visit Type, you can edit the list of visit types. Up to six entries are
allowed (including preconfigured visit types).
Preconfigured visit type selections are Unknown, Scheduled, Unscheduled, Repeat, Early
Termination, and Follow Up.
Dose Type Select Yes to require entry of the medication dose type on every test.
Select No to perform tests without requiring entry of the medication dose type on every
test.
If Yes is selected for Dose Type, you can edit the list of dose types. Up to 20 entries can
be configured, with capacity for 32 characters per each dose type entry.
Additional Select Yes to require responses to additional questions on every test.

Questions
Select No to perform tests without requiring responses to additional questions on every
test.
If Yes is selected for Additional Questions, you can enter prompts for up to five questions.
Each prompt has an associated response.
 Prompts have capacity for 10 characters, and response types must be designated as
Numbers and Letters or Yes or No.
 A Numbers and Letters response type has capacity for 17 characters.
Data Guard Features
NOTE
The data guard features described below pertain to all types of records in the File Manager.
Prevent editing Select Yes to prevent editing of records.

of records
Select No to allow records to be edited.
12-20 MAC 3500™ 2021337-035F

System Setup
CT Data Guard
Item Description
Prevent Select Yes to prevent deletion of untrasmitted records.

deleting of
untransmitted Select No to allow untransmitted records to be deleted.
records
Enable record If enabled, this option will display a notification if users attempt to retransmit records which
re-transmit have already been transmitted to the MUSE system.
notification
Select Yes to enable the notification of retransmission.
Card Reader Option Setup

NOTE
When configured for 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.
Automatic Configuration of Card Reader

1. Obtain a configuration card. For details on creating a configuration card, see
“Creating Bar Codes and Magnetic Cards” on page 12-23.
2. With the card reader properly mounted, connect it to the A port on the back of
the system.
3. From the Main Menu, select System Setup  Basic System  PS/2 Port Select
 PS/2 Port Device  Card Reader  Return.
4. Press esc when the Manual Card Reader Configuration window appears. The
items in this window will be automatically configured.
5. Press esc when the Basic System menu appears.
6. Select Save Setup  To System.
7. Reboot the device.
 Card Reader Configuration  Automatic  Return.
The following message is displayed:
Slide the Configuration Card
9. Slide the configuration card through the card reader.
The Manual Card Reader Configuration window appears with numbers entered
for the various configuration items.
10. Press esc twice.
2021337-035F MAC 3500™ 12-21

System Setup
11. Select Save Setup  To system.
Manual Configuration of Card Reader

1. With the card reader properly mounted, connect it to the A port on the back of
the MAC 3500.
 PS/2 Port Device  Card Reader  Return.
The Manual Card Reader Configuration window is displayed.
3. Enter the magnetic card code configuration information in this window. See
“Creating Bar Codes and Magnetic Cards” on page 12-23.
4. Press esc twice.
Bar Code Reader Option Setup

NOTE
When configured for 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. The bar code on ECG printout is of a different format and not readable by
the bar code reader.
Automatic Configuration of Bar Code

1. Obtain a configuration bar code. For details on creating a configuration bar
code, see “Creating Bar Codes and Magnetic Cards” on page 12-23.
2. Connect to the bar code reader to the A port on the back of the MAC 3500.
 PS/2 Port Device Bar Code Reader  Return.
4. Press esc when the Manual Bar Code Configuration window appears. The
items in this window will be automatically configured.
5. Press esc when the Basic System menu appears.
6. Select Save Setup  To System.
7. Reboot the device.
 Bar Code Configuration  Automatic  Return.
The following message is displayed:
Scan the Configuration Bar Code
12-22 MAC 3500™ 2021337-035F

System Setup
9. Scan the configuration bar code.
The Manual Bar Code Configuration window appears with numbers entered for
the various configuration items.
10. Press esc twice.
Manual Configuration of Bar Code Reader

1. Connect the bar code reader to the A port on the back of the system.
 PS/2 Port Device  Bar Code Reader  Return.
The Manual Bar Code Configuration window is displayed.
3. Enter the bar code configuration information in this window. See “Creating Bar
Codes and Magnetic Cards” on page 12-23.
4. Press esc twice.
Creating Bar Codes and Magnetic Cards

The bar code reader can read Code 39, 39EX, 128, PDF-417 (2-D), Data Matrix, and
2 of 5 bar codes.
The card reader can read magnetic cards which adhere to ISO 7810 and 7811.
Use the following rules to set up a scheme including patient demographic data in bar
codes or magnetic cards.
Item Byte Length
Patient ID The Patient ID length should not exceed the 16-character

maximum and should be equal to the ID length which is set
up on the system in the Patient Questions window. This
should also be compatible with the patient ID length for the
MUSE system to which the system is communicating.
Last Name 16 (maximum)
First Name 10 (maximum)
Year of birth 4
Month of birth 2
Day of birth 2
Gender 1
Once a scheme has been determined, the following information must be provided to
the system to properly set up the bar code reader or the card reader.
2021337-035F MAC 3500™ 12-23

System Setup
Total number of bytes ________
Patient ID offset ________
Patient ID length ________
First name offset ________
First name length ________
Last name offset ________
Last name length ________
Year of birth offset ________
Year of birth length ________
Month of birth offset ________
Month of birth length ________
Day of birth offset ________
Day of birth length ________
Gender offset ________
Gender length ________
Get order from MUSE Select Yes to get orders from the MUSE.
The system will call MUSE. If an order for the PID exists on
the MUSE system, the patient’s information will display after
reading the bar code or card.
PID must be included in bar code or magnetic strip for this

feature to function properly.
If a message appears indicating there are multiple orders for

this PID, you must use the Order Manager feature to select
the order.
If you are using the automatic configuration feature, use the following information
to create a configuration bar code or card.
Item Character used to reserve byte space
Patient ID 9
First name 5
Last name 6
Year of birth 3
Month of birth 1
12-24 MAC 3500™ 2021337-035F

System Setup
Item Character used to reserve byte space
Day of birth 2
Gender F
NOTE
All data resides in fixed width fields. The bar code or card generator must be
programmed to add “trailing spaces” after patient names shorter than the fixed
width of the patient names being used by your system.
Master’s Step Setup (Option)

Within the system setup function, select Master’s Step to define the parameters for
the Master’s Step option.
Master’s Step Setup (Option)
Item Description
Number of The number of steps required during the exercise portion of the test. This is calculated
Steps from the patient weight, sex and age, but can be changed here.
Test Type Test length. Select Single for 1.5 minute test, Double for 3 minute test or Triple for a 4.5
minute test.
Post J(ms) Number of ms after J point used to determine the ST level.
Step Counter Select Up to display steps taken so far. Select Down to display steps to go during
Display exercise.
Continuous Continuously prints rhythm between post exercise ECGs.

Recording
Post Exercise The time, in minutes, after the 1st post exercise ECG when a additional ECG should be
ECG Time taken (up to 9 are available). Set any undesired tests to 0.
Miscellaneous Setup
Print Setup
Within the system setup function, select Print Setup to print a report of your
system’s System Setup parameters.
Save Setup
Select Save Setup to save the changes you made to the System Setup.
2021337-035F MAC 3500™ 12-25

System Setup
Restore Setup
Select Restore Setup to change your system’s System Setup parameters.
Restore Setup
Item Description
Restore Setup Choose the method for changing all of your System Setup parameters.
Select To Original Factory Settings to restore the system to the default GE settings.
Select From SD card to install System Setup parameters stored on an SD card.
Select Do Not Restore Setup to exit this function.
12-26 MAC 3500™ 2021337-035F

A Maintenance
2021337-035F MAC 3500™ A-1

Maintenance
General
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.
NOTE
Regular maintenance, irrespective of usage, is essential to ensure
that the equipment will always be functional when required.
See the documentation provided with your peripheral equipment for

appropriate maintenance procedures.
Inspecting and Cleaning

Precautions
 Turn off the system before inspecting or cleaning.
 Do NOT immerse any part of the equipment in water.
 Do NOT use organic solvents, ammonia based solutions, or abrasive
cleaning agents which may damage equipment surfaces.
Visual Inspection
Perform a visual inspection of all equipment and peripheral devices
daily. If you notice any items that need repair, contact an authorized
service person to make the repairs.
 Check the case and display screen for cracks or other damage.
 Regularly inspect all plugs, cords, cables, and connectors for fraying
or other damage.
 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.
A-2 MAC 3500™ 2021337-035F

Maintenance
Cleaning Exterior Surfaces

Clean the exterior surfaces of all equipment and peripheral devices
monthly, or more frequently if needed.
1. Use a clean, soft cloth and a mild dishwashing detergent diluted in

water.
NOTE
Do not use Virex, alcohol, or Sani-Master to clean the device.
2. Wring the excess water from the cloth. Do NOT drip water or any
liquid on the writer assembly, and avoid contact with open vents,
plugs, or connectors.
3. Dry the surfaces with a clean cloth or paper towel.
Cleaning, Disinfecting, and Storing ECG Cables and Leadwires
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/Disinfecting
1. Remove cables and leadwires from the handheld 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.
3. For general cleaning of cables and leadwires, wipe using a lightly

moistened cloth with a mild soap and water solution. Then wipe and
air dry.
4. For disinfecting the cables and leadwires, wipe exterior with a soft
lint-free cloth, using the following solution 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 above
guidelines of can be used.
NOTE
Wring excess disinfectant from wipe before using.
NOTE
Any contact of disinfectant solutions with metal parts may cause
corrosion.
2021337-035F MAC 3500™ A-3

Maintenance
5. 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.
6. Wipe off cleaning solutions with a clean, lightly moistened cloth.
7. Dry thoroughly with a dry lint-free cloth and let air dry for at least
30 minutes.
NOTE
Drying times may vary based on the environmental conditions.
8. Take care not to let fluid “pool” around connection pins. If this should
happen, blot dry with a soft, lint-free cloth.
9. DO NOT use excessive drying techniques, such as oven, forced heat

or sun drying.
Sterilization
NOTE
EtO sterilization is NOT RECOMMENDED, but may be required for
cables and leadwires. Frequent sterilization will reduce the useful
life of cables and leadwires.
Sterilize with ethylene oxide gas (EtO) at a maximum temperature of 50°

C/122° F. After EtO sterilization, follow the recommendations from the
sterilizer manufacturer for required aeration.
Cautions
 Never immerse the handheld device, cables, or leadwires in any
liquid.
 Do not pour or spray any liquid directly on the device or permit fluid
to seep into connections or openings.
 Never use conductive solutions, solutions that contain chlorides, wax,
or wax compounds to clean the device, cables, or leadwires.
 Never use solutions or products that contain the following:
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 cables or leadwires.
A-4 MAC 3500™ 2021337-035F

Maintenance
Storage
 Store in a dry well-ventilated area.
 Vertically hang cables and leadwires.
 Do not coil leadwires or cables tightly around the device.
Improper Cleaning Products and Processes Impact/Results

 Product discoloration
 Metal part corrosion.
 Brittle wires.
 Brittle and breaking connectors.
 Reduced cables and leadwires life.
 Unit malfunction.
 Void warranty.
Cleaning Products To Avoid

Cleaning products known to cause the types of problems listed above
include, but are not limited to:
 Sani-Cloth® Wipes
 Ascepti® Wipes
 HB Quat®
 Clorox® Wipes (they do not contain bleach)
 Over-the-counter detergents (e.g. Fantastic®, Tilex®, etc.).
Products that contain active ingredients and solutions similar to these
products should also be avoided.
2021337-035F MAC 3500™ A-5

Maintenance
Paper
Changing the Paper Tray Size
Paper guide changes

paper tray size from
Standard to A4.
187A
Change to A4 Paper Size

Slide the paper guide toward the rear of the device to accommodate A4
size paper.
Change to Standard Paper Size

Slide the paper guide toward the front of the device to accommodate
standard size paper.
A-6 MAC 3500™ 2021337-035F

Maintenance
Replacing Paper
92A, 93A, 94A, 95A

1. Open the unit.
2. Place the pad of paper so the holes are on the left side.
3. Advance the first sheet of paper.
4. Close the unit’s lid securely.
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 lights, and germicidal lamps.
 Avoid contact with: cleaning fluids and solvents.
2021337-035F MAC 3500™ A-7

Maintenance
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.
Maintaining the Battery

Battery Gauge Icon
The battery gauge icon appears in the upper right corner of the active
screen display. The battery gauge tells you how much charge your
system’s battery has available and when the system is charging the
battery.
Battery
gauge icon
*** BPM
Empty/Charging 1/4 Full 1/2 Full Full
160C, 270C
To Fully Charge the Battery

1. Power off the system.
2. Connect the system to an AC wall outlet.
3. Charge the system’s battery 4-5 hours or until the battery gauge icon
indicates a full charge.
A-8 MAC 3500™ 2021337-035F

Maintenance
When Should You Charge the Battery?

Before Initial Use
To ensure a fully charged battery, charge the system before you use it for
the first time.
Between Acquisitions
To ensure a fully charged battery, power off the system and connect it to
an AC wall outlet until you use the system again. This prolongs battery
runtime.
When the Battery is Low

The amber battery light and the “empty” battery gauge icon flash
intermittently.
Battery light
Empty battery icon
*** BPM
158A, 268A
NOTE
The system may run for a long period of time after the “empty”
battery icon appears.
When the Battery is Completely Discharged

Your system powers off when the battery is completely discharged. To
operate your system, you must connect the system to an AC wall outlet.
Is the Battery Charging?

NOTE
If the battery is fully charged or exceeds safe charging temperature,
the system will not charge the battery.
The system’s battery is charging when:
 the amber battery light glows, and

 the battery gauge icon shows the battery charging icon.
2021337-035F MAC 3500™ A-9

Maintenance
Battery light
Charging battery icon
*** BPM
158A, 268A
Periodic Maintenance
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 the battery is charged until it is full.
NOTE
For optimal battery life, GE recommends one deep discharge cycle
once every three months, but does not recommend over-exercising
the battery with multiple deep discharge cycles. See the MAC 3500
Service Manual for more battery maintenance and diagnostic
information.
Replacing the Battery
WARNING
BATTERY PACK DISPOSAL — Do NOT dispose of the
battery pack by fire or burning.
Follow local environmental guidelines concerning disposal

and recycling.
NOTE
If battery fluid contacts your skin, eyes, or clothing, immediately
wash the area with clean water and see a doctor.
A-10 MAC 3500™ 2021337-035F

Maintenance
112A, 114A, 113A
Replacing Acquisition Module Leadwire Adapters
27B
2021337-035F MAC 3500™ A-11

Maintenance
A-12 MAC 3500™ 2021337-035F

B Troubleshooting
2021337-035F MAC 3500™ B-1

Troubleshooting
Introduction
First Things to Ask
If the system is not working properly, save yourself some time
troubleshooting by asking yourself 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”.
Equipment Problems
Reducing ECG Data Noise
If the acquired ECG data displays unacceptable noise levels:
 Verify proper electrode placement.

 Verify proper electrode application. Perspiration, excessive hair,
lotions, and dead skin cells must be removed from the electrode site.
 Check for defective or date expired electrodes.
 Check for defective, broken, or disconnected leadwires.
 Check the patient’s position. The patient should remain motionless
during the acquisition of a resting ECG.
Refer to Chapter 3, “Preparing the Patient” for more information.
B-2 MAC 3500™ 2021337-035F

Troubleshooting
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. See “How to Reach Us” to find out
how to contact GE.
Problem Cause Solution
appears on the screen. No battery is installed in the system. Install a battery and connect the system to
an AC wall outlet to charge the battery.
flashes intermittently. The battery charge is low. Connect the system to an AC wall outlet to
charge the battery.
appears on the screen. The writer door is open. Close the writer door.
The system does not power up when The battery is fully discharged. Connect the system to an AC wall outlet to
operating from battery power. charge the battery.
The system shuts down when operating Battery is empty, or the Automatic Connect the system to an AC wall outlet to
from battery power. Shutdown feature is enabled. charge the battery, or power on the system.
“__” Lead disconnected message appears. Electrode(s) disconnected. Reconnect the electrode(s).
MODEM ERROR. The remote device is Modem not connected. (If wireless option, Connect and retry, or move back into
not responding. Would you like to retry? client bridge not connected or device is out range.
of range.)
(Wireless option only) The system is not Relocate the system to within range of
within range of access point. access point and retry transmission.
(Ethernet option only) Bad LAN Verify that the LAN cable is connected to
connection. LAN port and the Link LED (Green) lights
up and Activity LED (Yellow) blinks.
Cannot use the system because Device Device Password has been changed or Contact your administrator for Device
Password does not work. has not been adequately communicated to Password.
the staff.
2021337-035F MAC 3500™ B-3

Troubleshooting
Internal Storage
If there is corruption to file system, the system will display a prompt for
formatting to recover the file system.
NOTE
System recovery from internal storage corruption will destroy the
ECG records present in the system’s internal memory.
For systems which are set up for SD Card Storage Only, system
recovery from corruption of SD card file system will destroy the
ECGs on the SD card.
B-4 MAC 3500™ 2021337-035F

C Editing Acronyms
2021337-035F MAC 3500™ C-1

Editing Acronyms
Resting ECG Acronyms

NOTE
The statements preceded by “#” do not appear on ECG reports when
the Screening criteria item is enabled in System Setup. To enable or
disable Screening criteria, see “ECG Analysis” on page 12-15.
Statement Acronym
# Aberant conduction ABCOND
Abnormal ECG AB
Abnormal left axis deviation ALAD
# Abnormal QRS-T angle, consider primary T wave abnormality QRST
Abnormal right axis deviation ARAD
Abnormal right superior axis deviation RSAD
Accelerated ACCEL
Acute pericarditis PCARD
** ACUTE MI ** ACUMI
, Age undetermined AU
, and consecutive CSEC
and AND
Anterior infarct AMI
Anterior injury pattern AINJ
Anterior leads ANT
Anterolateral infarct ALMI
Anterolateral injury pattern ALINJ
Anterolateral leads ANTLAT
Anteroseptal infarct ASMI
Anteroseptal leads ANTSEP
Anteroseptal injury pattern ASINJ
Atrial fibrillation AFIB
Atrial flutter FLUT
(Atrial rate= ARAT
Atrial tachycardia ATAC
AV sequential or dual chamber electronic pacemaker AVPCK
C-2 MAC 3500™ 2021337-035F

Editing Acronyms
Statement Acronym
Biatrial enlargement BAE
*** Bifascicular block*** BIFB
Biventricular hypertrophy BIVH
Blocked BLKED
Borderline ECG BORDE
Borderline BO
# Cannot rule out CRO
Clockwise rotation of the heart, may invalidate criteria for CWRT

ventricular hypertrophy
Coarse CRS
Consider right ventricular involvement in CRVI
acute inferior infarct
Counterclockwise rotation of the heart, may invalidate criteria for CCWRT

v. hypertrophy
# Deep Q wave in lead V6, QV6
Demand pacemaker; interpretation is based on intrinsic rhythm DPCK
Dextrocardia DXTRO
# Early repolarization REPOL
Electronic atrial pacemaker APCK
Electronic ventricular pacemaker PCK
Fusion complexes FUS
In a pattern of bigeminy BIGEM
Incomplete left bundle branch block ILBBB
# Incomplete right bundle branch block IRBBB
Increased R/S ratio in V1, consider early transition or QESPMI

posterior infarct
Idioventricular rhythm IVR
Indeterminate axis INDAX
Inferior infarct IMI
Inferior injury pattern IINJ
Inferior leads INF
Inferior-posterior infarct IPMI
2021337-035F MAC 3500™ C-3

Editing Acronyms
Statement Acronym
Inferolateral leads IFLAT
Inferolateral injury pattern ILINJ
Inferoposterior leads INFPOS
Irregular IRR
Junctional bradycardia JUNBRAD
Junctional rhythm JUNCTR
# Junctional ST depression, probably abnormal JST
# Junctional ST depression, probably normal JSTN
Large LARG
Lateral infarct LMI
Lateral injury pattern LINJ
Lateral leads LAT
Left anterior fascicular block AFB
Left atrial bradycardia LABRAD
Left atrial enlargement LAE
Left atrial rhythm LAR
Left atrial tachycardia LATACH
Left axis deviation LAD3
Left bundle branch block LBBB
Left posterior fascicular block PFB
Left ventricular hypertrophy LVH2
Leftward axis LAD
** Less than 4 QRS complexes detected, no ANLERR3

interpretation possible **
Low right atrial bradycardia RABRAD
Low right atrial rhythm RAR
Low right atrial tachycardia RATACH
Low voltage QRS LOWV
Marked sinus bradycardia MSBRAD
Marked ST abnormality, possible anterior subendocardial injury ASBINJ
Marked ST abnormality, possible anterolateral MSTDAL

subendocardial injury
C-4 MAC 3500™ 2021337-035F

Editing Acronyms
Statement Acronym
Marked ST abnormality, possible anteroseptal MSTDAS

Marked ST abnormality, possible inferior subendocardial injury ISBINJ
Marked ST abnormality, possible inferolateral MSTDIL

Marked ST abnormality, possible lateral subendocardial injury LSBINJ
Marked ST abnormality, possible septal subendocardial injury SSBINJ
Marked T wave abnormality, consider anterior ischemia MAT
Marked T wave abnormality, consider anterolateral ischemia MALT
Marked T wave abnormality, consider inferior ischemia MIT
Marked T wave abnormality, consider inferolateral ischemia MILT
Marked T wave abnormality, consider lateral ischemia MLT
# (masked by fascicular block?) MAFB
, maybe secondary to QRS abnormality SNDQA
** Memory allocation failure, no ECG interpretation possible ** ANLERR1
# Minimal voltage criteria for LVH, may be normal variant QRSV
# Moderate voltage criteria for LVH, may be normal variant LVH3
Moderate MOD
Narrow QRS tachycardia NQTACH
(No P- waves found) NOPF
** No QRS complexes found, no ECG analysis possible ** ANLERR2
Nonspecific intraventricular block IVCB
# Nonspecific intraventricular conduction delay IVCD
Nonspecific ST abnormality NST
Nonspecific ST and T wave abnormality NSTT
Nonspecific T wave abnormality NT
Normal ECG NML
Normal sinus rhythm NSR
# Northwest axis NWA
or OR
or digitalis effect ODIG
Otherwise normal ECG ABR
2021337-035F MAC 3500™ C-5

Editing Acronyms
Statement Acronym
*** Pediatric ECG analysis *** PEDANL
# , plus right ventricular enlargement RVE+
*** Poor data quality, interpretation may be adversely affected QCERR
# Possible PO
, possibly acute AC
Posterior infarct POSTMI
Posterior leads POS
premature atrial complexes PAC
premature ectopic complexes PEC
premature junctional complexes PJC
premature supraventricular complexes PSVC
premature ventricular and fusion complexes PVCF
premature ventricular complexes PVC
, probably digitalis effect PDIG
Prolonged QT LNGQT
Prominent lateral voltage PLV
# Prominent mid-precordial voltage, PMDPV
Prominent posterior voltage PPV
# Pulmonary disease pattern PULD
*** QRS contour suggests infarct size is probably MISIZ
Right atrial enlargement RAE
# Right axis deviation RAD4
Right bundle branch block -or-right ventricular hypertrophy RBBRVH
Right bundle branch block RBBB
# Right superior axis deviation RAD5
Right ventricular hypertrophy RVH
# Rightward axis RAD
# RSR’ or QR pattern in V1 suggests right ventricular RSR

conduction delay
# S1-S2-S3 pattern, consider pulmonary disease, RVH, or S1S2S3

normal variant
Septal infarct SMI
C-6 MAC 3500™ 2021337-035F

Editing Acronyms
Statement Acronym
Septal injury pattern SINJ
Septal leads SEP
Sinus/Atrial capture CAPUR
Sinus bradycardia SBRAD
Sinus rhythm SRTH
Sinus tachycardia STACH
Small SMA
ST & ST&
ST abnormality and STABAND
ST abnormality, possible digitalis effect STDIG
ST depression in STDPIN
ST depression, consider subendocardial injury or digitalis effect STDEP
ST elevation consider anterior injury or acute infarct AIOHAI
ST elevation consider anterolateral injury or acute infarct ALIHAI
ST elevation consider inferior injury or acute infarct IIOHAI
ST elevation consider inferolateral injury or acute infarct ILIHAI
ST elevation consider lateral injury or acute infarct LIOHAI
ST elevation in STELIN
# ST elevation, consider early repolarization, pericarditis, or injury SERYR1
# ST elevation, probably due to early repolarization SERYR2
ST elevation, consider injury or variant associated with LVH INJONV
Statement not found SNF
Supraventricular tachycardia SVT
*** Suspect arm lead reversal, interpretation assumes ARM

no reversal
T wave abnormality, consider anterior ischemia AT
T wave abnormality, consider anterolateral ischemia ALT
T wave abnormality, consider inferior ischemia IT
T wave abnormality, consider inferolateral ischemia ILT
T wave abnormality, consider lateral ischemia LT
T wave inversion in TINVIN
2021337-035F MAC 3500™ C-7

Editing Acronyms
Statement Acronym
Undetermined rhythm UR
Unusual P axis and short PR, probable junctional bradycardia JBRAD
Unusual P axis and short PR, probable junctional rhythm JR
Unusual P axis and short PR, probable junctional tachycardia JTACH
Unusual P axis, possible ectopic atrial bradycardia EABRAD
Unusual P axis, possible ectopic atrial rhythm EAR
Unusual P axis, possible ectopic atrial tachycardia EATACH
Ventricular pre-excitation, WPW pattern type A WPWA
Ventricular fibrillation VFIB
Ventricular tachycardia VTACH
Ventricular pre-excitation, WPW pattern type B WPWB
very large VLAR
very small VSMA
Voltage criteria for left ventricular hypertrophy LVH
with WITH
wide QRS rhythm WQR
wide QRS tachycardia WQTACH
with 1st degree AV block FAV
# with 2:1 AV conduction W2T1
with 2nd degree AV block (Mobitz I) MBZI
with 2nd degree AV block (Mobitz II) MBZII
with 2nd degree AV block SAV
with 2nd degree SA block (Mobitz I) SABI
with 2nd degree SA block (Mobitz II) SABII
# with a competing junctional pacemaker CJP
with AV dissociation AVDIS
with complete heart block CHB
with frequent FREQ
C-8 MAC 3500™ 2021337-035F

Editing Acronyms
Statement Acronym
with fusion or intermittent ventricular pre-excitation (WPW) ALTWPW
with junctional escape complexes JESC
with marked sinus arrhythmia MSAR
with occasional OCC
with premature aberantly conducted complexes ABER
, with posterior extension PXT
with QRS widening and repolarization abnormality QRSW-2ST
with QRS widening QRSW
# with rapid ventricular response RVR
# with retrograde conduction RETC
with repolarization abnormality 2ST
with right ventricular involvement RVI
with short PR SPR
with sinus arrhythmia SAR
with sinus pause PAUSE
# with slow ventricular response SVR
with strain pattern WSTR
# with undetermined rhythm irregularity IRREG
with variable AV block VAVB
with ventricular escape complexes VESC
Wolffe-Parkinson-White WPW
2021337-035F MAC 3500™ C-9

Editing Acronyms
C-10 MAC 3500™ 2021337-035F

D Report Formats
2021337-035F MAC 3500™ D-1

Report Formats
Format Description
Numeric report names are used to describe how the ECG data is
displayed.
4 by 2.5s + 1 rhythm ld
A B
4 by 2.5s + 1 Rhythm Lead Format
Description
A Four columns of data containing 3 leads with 2.5 seconds of data in each lead.
B One 10 second rhythm lead.
A A A A
147A
The following reports also use numeric names:
 2 by 5
 2. 5s @ 50 mm/s (writer speed)
 2 by 5s + 1 rhythm lead
 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
D-2 MAC 3500™ 2021337-035F

Report Formats
Additional Report Names
Report Name Description
12 Rhythm Leads 10 seconds of 12-lead rhythm.
Autorhythm 10 seconds of 3, 6, or 12 leads of rhythm.
CGR One median complex for each of the 12 leads combined with 10 seconds of 3-lead rhythm.
Expanded Median Each median complex can be expanded by double the speed and double the gain.
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 Rhythm A median complex for each of the standard 12 leads is displayed in 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 Comparative The baseline and current medians are compared side-by-side and followed by real-time waveforms. The 6
Medians and Rhythm leads used by this report are the 'Swedish format rhythm leads' group that is configured in Exercise Setups
(Report Leads).
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 Simultaneous Displays and prints ECG data in a 2 x 5 second simultaneous format.
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 + 2 Displays and prints clinical trial data in a 4 x 2.5s format with two rhythm leads.
Rhythm Leads
2021337-035F MAC 3500™ D-3

Report Formats
D-4 MAC 3500™ 2021337-035F

E Master’s Step Data
2021337-035F MAC 3500™ E-1

Master’s Step Data
Master’s Step Table

The table below shows the number of steps to set according to the age,
sex, and weight settings for the patient as they reside or are entered into
the system.
Age
10- 15- 20- 25- 30- 35- 40- 45- 50- 55- 60- 65- 70- 75-
5-9
Weight 14 19 24 29 34 39 44 49 54 59 64 69 74 79
Sex
(kg)
18-22 Male 35 36
Female 35 35 33
23-26 Male 33 35 32
Female 33 33 32
27-31 Male 31 33 31
Female 31 32 30
32-35 Male 28 32 30
Female 28 30 29
36-40 Male 26 30 29 29 29 28 27 27 26 25 25 24 23 23 22
Female 26 28 28 28 28 27 26 24 23 22 21 21 20 19 18
41-44 Male 24 29 28 28 28 27 27 26 25 24 23 22 22 21 20
Female 24 27 26 27 26 25 24 23 22 21 20 19 18 18 17
45-49 Male 22 27 27 28 28 27 26 25 25 24 23 22 22 21 20
Female 22 25 25 26 26 25 24 23 22 21 20 19 18 18 17
50-53 Male 20 26 26 27 27 26 25 25 24 23 22 22 21 21 20
Female 20 23 23 25 25 24 23 22 21 20 19 18 18 17 16
54-58 Male 18 24 25 26 27 26 25 24 23 22 22 21 21 20 19
Female 18 22 22 24 24 23 22 21 20 19 18 18 17 16 15
59-63 Male 16 23 24 25 26 25 24 23 23 22 21 20 20 19 18
Female 16 20 20 23 23 22 21 20 19 19 18 17 16 15 15
64-67 Male 21 23 24 25 24 24 23 22 21 20 20 19 18 18
Female 18 19 22 22 21 20 19 19 18 17 16 15 15 14
68-72 Male 20 22 24 25 24 23 22 21 20 20 19 18 18 17
Female 17 17 21 20 20 19 19 18 17 16 16 15 14 13
E-2 MAC 3500™ 2021337-035F

Age
10- 15- 20- 25- 30- 35- 40- 45- 50- 55- 60- 65- 70- 75-
5-9
Weight 14 19 24 29 34 39 44 49 54 59 64 69 74 79
Sex
(kg)
73-76 Male 18 21 23 24 23 22 22 21 20 19 18 18 17 17
Female 15 16 20 19 19 18 18 17 16 16 15 14 13 12
77-81 Male 20 22 23 23 22 21 20 19 18 18 17 17 16
Female 13 14 19 18 18 17 17 16 16 15 14 13 13 12
82-85 Male 19 21 23 22 21 20 19 19 18 17 16 16 15
Female 13 18 17 17 17 16 16 15 14 14 13 12 11
86-90 Male 18 20 22 21 21 20 19 18 17 16 15 15 14
Female 12 17 16 16 16 15 15 14 13 13 12 12 11
91-93 Male 19 21 21 20 19 18 17 16 16 15 14 14
Female 16 15 15 15 14 14 13 13 12 11 11 10
94-99 Male 18 21 20 19 18 17 17 16 15 14 14 13
Female 15 14 14 14 13 13 13 12 11 11 11 10
100-104 Male 17 20 20 19 18 17 16 15 14 13 13 12
Female 14 13 13 13 13 12 12 11 11 10 10 09
ST-T Change
The existence of any ST-T change is assessed by classifying ST-T into
three assessment levels: positive, borderline, and negative. The following
criteria is used:
Positive
 ST depression  0.1mV (2 or more leads).
 ST elevation  0.2mV (2 or more leads).
 T wave change  1.0mV (2 or more leads).
One of these three criteria must be met.
Borderline
 ST depression  0.05mV (any leads).
 ST elevation  0.1mV (any leads).
 T wave change  0.5mV (any leads).
One of these three criteria must be met.
2021337-035F MAC 3500™ E-3

Negative
Positive and borderline criteria are NOT satisfied.
Calculation
 ST depression = (rest ST - post J) - (post exercise ST - post J)
 ST elevation = (post exercise ST - post J) - (rest 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.
E-4 MAC 3500™ 2021337-035F

Index
Index
A C
abnormal ECG report 12-18 cable
abrasive cleaning agents A-2 acquisition module 2-8
AC filter 12-13 card reader option 12-12
AC noise level warning 12-13 card slot 2-6
AC power connector 2-4, 2-6 cart number 12-3
acquisition module cleaning
cable 2-8 what to use A-2
leadwire adapters 2-8 Clinical trial data option 4-2
leadwires 2-8 Clinical trial setup 12-19
age 12-6 colors
ANA/TTL 2-6 screen 12-8
analog outputs setup 12-19 confirmation text 12-18
arrow pad 2-7 connector
authorized service 1-14 1 2-6
automatic 2 2-6
ECG storage to diskette 12-16 A 2-6
ECG transmission 12-16 acquisition module 2-8
shutdown 12-4 ANA/TTL 2-6
autorhythm 12-17 back panel 2-4
EXT.VID 2-6
B ground lug 2-4, 2-6
IR 2-6
bar code reader 12-12
mains AC power 2-4, 2-6
baseline roll filter 12-13
copy all 11-2, 11-3
baseline wander warning 12-13
create orders locally setup 12-12
Basic System setup
CT data guard setup 12-19
date and time 12-11
language 12-11
D
network setup 12-9
option activation 12-10 Data guard setup 12-19
power up options 12-11 date setup 12-11
screen colors 12-8 default location 12-9
transmission 12-8 delay 12-19
battery delete 2-7
conserving power 12-4 dialing
location 2-5 two second pause 12-8
switch 1-13 dialtone method 12-8
battery status icon 2-12 dialtone required 12-8
blood pressure 12-6 disable
Borderline E-3 auto gain check 12-13
lead off check 12-13
display screen 2-2, 2-3
2021337-035F MAC 3500™ Index-1

Index
E H
ECG 2-7 height 12-6
abnormal report 12-18 height/weight in 12-6
normal report 12-18 how to
report formats D-2 automatically print a resting report 12-2
ECG acquisition/analysis 12-13, 12-15 automatically store an ECG 12-2
ECG setup automatically transmit an ECG 12-3
analog outputs 12-19 clean A-2
ECG acquisition/analysis 12-13, 12-15 delete stored ECG orders 9-2
patient questions 12-16 delete stored ECGs 9-2
writer 12-17 edit demographic and interpretive data 10-2
edit eject a secure data card from the drive slot 11-2
demographic and interpretive data 10-2 enter orders manually 4-5
electrode application 3-3 format a secure data card 11-2
12 lead 3-4 lock and unlock a secure data card 11-2
NEHB 3-4 print another report 6-2
equipment print stored ECG reports 6-2
identification 1-14 receive ECGs locally 8-3
safety information 1-3 select items from a list 2-15
service requirements 1-14 select menu functions 2-13
symbols 1-11 select the system setup function 12-2
type BF 1-13 use the arrow pad 2-14
esc 2-8 verify correct operation 2-11
Ethernet link 2-3
EXT.VID. 2-6 I
external video port 12-3
ID length 12-6
extra questions 12-7
ID number 12-6
immersion in water A-2
F
information 2-7
fading traces A-7 information line 12-3
fast analog output 12-19 institution name 12-3
fax error correction 12-8 IP address 12-9
file manage sort 12-4 IR 2-6
filter
AC filter 12-13 K
formats
keyboard 2-2, 2-3
report 12-18
KISS pump power 12-4
function keys 2-7
L
G
LAN port 2-3
gateway 12-9
language selection 12-11
gender 12-6
leads 2-7
ground lug 2-4, 2-6
rhythm 12-17
RMR/CGR/extra 12-18
standard 12-17
Index-2 MAC 3500™ 2021337-035F

Index
swedish format 12-18 device 12-5

leadwire adapters 2-8 overread 12-4
location 12-7, 12-8 system 12-4
location number 12-4 patient
history 12-7
M ID number length 12-6
ID number required 12-6
Main Menu 2-12
questions function 12-16
Main Menu functions 2-13
skin preparation 3-2
mains AC power connector 2-4, 2-6
polarity 12-19
manual
port number 12-9
conventions used 1-3
Positive E-3
intended audience 1-2
power
purpose 1-2
mains AC power connector 2-4, 2-6
revision history 1-2
serial connector 12-4
Master’s Step E-2
power up options 12-11
medications 12-7
print
modem options 12-8
setup parameters 12-25
Modem port 2-3
product code 1-14
modem speaker 12-8
purpose of manual 1-2
muscle tremor warning 12-13
Q
N
QRS Beep 12-19
Negative E-4
network
R
setup 12-9
New in Chap 1, page 2 1-2 Race 12-6
normal ECG reports 12-18 Referred by 12-7
report
O abnormal ECG 12-18
confirmation text 12-18
operation
formats setup 12-18
ready for use 2-11
normal ECG 12-18
option 2-7
print barcodes 12-4
option activation 12-10
print location of ECG test information 12-4
Option activation code 2-5
reports
options 12-7
description D-2
order number 12-7
responsibility of the manufacturer 1-10
overread password 12-4
restore all 11-3
restore setup 12-26
P
return 2-7
pacemaker pulse enhancer 12-13 rhythm 2-7
paper leads 12-17
tray size 2-5 reports 12-17
paper storage A-7 RMR/CGR/extra rhythm lead 12-18
paper tray 2-5 room number 12-7
password
2021337-035F MAC 3500™ Index-3

Index
S suppress NORMAL statement 12-15

swedish format rhythm leads 12-18
safety
system password 12-4
equipment symbols 1-11
system setup
general information 1-11
print parameters 12-25
save setup changes 12-25
restore setup 12-26
screen 2-2, 2-3
save changes 12-25
screen colors 12-8
screening criteria 12-15
T
secondary ID 12-7
Secure data card technician 12-7
eject 11-2 telephone number 12-8
formatting 11-2 test Indication 12-7
lock and unlock 11-2 text entry 12-3
software update from 11-4 thermal paper storage A-7
Secure data card slot 2-4 time setup 12-10
select new language 12-11 transmission
serial line baud rate 12-9 delete ECG after transmission 12-4
serial number 2-5 setup 12-8
description 1-14 transmit
where to find 1-14 automatic transmission 12-3
serial power always on 12-4 via modem 7-3
service requirements 1-14 troubleshooting
shift 2-8 basic questions B-2
shutdown of system 12-4 operator error B-2
Site number 12-3 visual inspection B-2
skin preparation 3-2 TTL Output 12-19
Software update from secure data card 11-4 two second pause 12-8
sort type 12-9
ECG orders 12-12 BF equipment 1-13
file manager 12-4
space bar 2-7 V
speaker volume 12-3
visual inspection A-2, B-2
standard leads 12-17
stop 2-7
W
store
data compression format 12-15 weight 12-6
ECGs automatically 12-2 width 12-19
ST-T E-3 writer
subnet mask 12-9 filter 12-17
suppress ABNORMAL and BORDERLINE state- gain 12-17
ments 12-15 speed 12-17
Index-4 MAC 3500™ 2021337-035F

Asia Headquarters
GE Medical Systems GE Medical Systems GE Medical Systems
Information Technologies, Inc. Information Technologies GmbH Information Technologies Asia; GE (China) Co., Ltd.
8200 West Tower Avenue Munzinger Straße 3-5 No. 1 Huatuo Road,
Milwaukee, WI 53223 USA D-79111 Freiburg Zhangjiang Hi-tech Park Pudong
Tel: + 1 414 355 5000 Germany Shanghai, People’s Republic of China 201203
1 800 558 7044 (US Only) Tel: + 49 761 45 43 - 0 Tel: + 86 21 5257 4650
Fax: + 1 414 355 3790 Fax: + 49 761 45 43 - 233 Fax: + 86 21 5208 2008
www.gehealthcare.com

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GE Healthcare

© 2007-2008, 2013 General Electric Company. All rights reserved.

T-2 MAC 3500™ 2021337-035F

The country of manufacture can be found on the equipment labeling.

Be aware that adding accessories or components, or modifying the

Operating the system near radio frequency (RF) electromagnetic

Medical Electrical Equipment needs special precautions regarding EMC

Portable and mobile RF communications equipment can affect medical

The system should not be used adjacent to or stacked with other

2021337-035F MAC 3500™ CE-1

Review the AAMI Committee Technical Information Report (TIR) 18,

 Assess the EMC environment of the healthcare facility (e.g., identify

CE-2 MAC 3500™ 2021337-035F

Safety Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3

Service Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-14

Getting Started . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9

2021337-035F MAC 3500™ i

3 Preparing the Patient

Apply the Electrodes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3

4 Entering Patient Information

Using a Patient Card Reader (Option). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2

Using a Bar Code Reader (Option) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3

Receive Orders from a MUSE System (Option) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4

Enter Orders Manually (Option) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5

Selecting and Completing Manually Created Orders . . . . . . . . . . . . . . . . . . . . . . . 4-5

ii MAC 3500™ 2021337-035F

Record a Master’s Step Test (Option) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4

Run the Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5

6 Printing an ECG Report

Print Another Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2

Transmit Stored ECGs Locally (Option) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3

Transmit Stored ECGs by Wireless (Option) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3

Transmit Stored ECGs to the Serial Port in XML Format . . . . . . . . . . . . . . . . . . . . 7-4

Receive ECGs Locally (Option) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3

Delete Stored ECG Orders (Option) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-2

2021337-035F MAC 3500™ iii

Eject an SD Card From the Drive Slot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-2

File Manager . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-2

Print the ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-4

Display Measurement and Analysis Statements . . . . . . . . . . . . . . . . . . . . . . . . . . 11-4

Return to the Main Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-4

Software Update From Secure Digital Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-4

Program the System to Automatically Do a Task . . . . . . . . . . . . . . . . . . . . . . . . . 12-2

Define the Basic System Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-3

Define the ECG Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-13

iv MAC 3500™ 2021337-035F

Card Reader Option Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-21

Bar Code Reader Option Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-22

Master’s Step Setup (Option) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-25

Miscellaneous Setup. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-25

Inspecting and Cleaning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2

Maintaining the Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-8

2021337-035F MAC 3500™ v

Replacing Acquisition Module Leadwire Adapters . . . . . . . . . . . . . . . . . . . . . . . . A-11

Equipment Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-2

System Errors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-3

E Master’s Step Data

ST-T Change . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-3

vi MAC 3500™ 2021337-035F