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CASE V6.7
GE CASE V6.7 User Manual
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Revision C
CASE
3-11
2060290-201
Applying Electrodes
CM5, CC5, ML (CML) Auxiliar
y Lead Electrode Placement
In addition to the standard elec
trodes, apply one
electrode on the
sternum (A1) and one in
locatio
n V5R/C5R (A2).
Electrode
Electrode Placement
A1 (Nst)
Mid-sternum at the second intercostal space.
A2 (Nax)
In the fifth intercostal space
in the rig
ht, anterior axillary line (V5F/
C5R).
37A
60
62
Table of Contents
Default Chapter
5
Default Chapter
5
Table of Contents
5
Illustrations
17
Safety Information
18
Intended Use
18
General Information
19
Definition
20
Classification
25
Equipment Symbols
25
Supplies and Accessories
27
Biocompatibility
27
Technical Maintenance
27
Legal Notice
27
Security Patches
27
Service Information
29
Service Requirements
29
Equipment Identification
29
2 Equipment Overview
31
CASE System
33
Front View
33
Rear View
34
Putting the CASE System into Service
35
Connecting the System Components
35
Mains Connection, Power Up, Functional Test
36
Switching the System off
38
Function Keypad
39
Desk Light
42
Preparing the Acquisition Module
42
Loading Writer Paper
44
Initial Screen
46
Viewing and Printing the Operator's Manual
47
Online Help
47
Software Options
48
Preparing the Patient
51
Applying Electrodes - the Basics
53
Preparing the Patient's Skin
54
Applying Electrodes
55
Lead Labels on the Acquisition Module
55
Standard 12 Lead Electrode Placement
56
Standard 15 Lead Electrode Placement
57
MASON-LIKAR Lead Electrode Placement
58
(Modified Standard Leads for Exercise Tests)
58
FRANK X, Y, Z Lead Electrode Placement
59
NEHB Lead Electrode Placement
60
CM5, CC5, ML (CML) Auxiliary Lead Electrode Placement
61
CM5, CC5, CH (CMH) Auxiliary Lead Electrode Placement
62
Attaching the Acquisition Module
63
Selecting a Patient Record and Test Type
65
Selecting a Patient Record from the Local Database
67
Overview
67
Selecting a Patient Record
68
Retrieving a Patient Record from the MUSE System Database
69
Orders from the MUSE System
70
Entering a New Patient
71
Patient Records of External Programs
72
Resting ECG
73
Entering Test Information
75
Overview
75
Patient Information Tab
75
Test/Personnel Tab
76
Medications Tab
77
Recording a Resting ECG
78
Overview
78
10-Second ECG with Analysis
79
Operating Steps
80
Full Disclosure ECG
82
Operating Steps
82
Post Test Review
83
Test Summary
83
ECG Traces
85
Zoom Mode
86
Measuring the ECG
87
Medians
88
Reanalysis
89
Performing Reanalysis
90
Arrhythmia Review
92
Determining the Heart Rate
93
Vector Loops
94
Full Disclosure ECG
95
Printing the Full Disclosure ECG
96
Enabling the Zoom Mode
96
Analyzing Full Disclosure ECG Segments, Save as Resting Ecgs
97
Report Printout
98
Generating the Interpretation
99
Copying Diagnostic Statements Using Acronyms
100
Comparing Resting Ecgs
101
Comparing Two Resting Ecgs
101
Comparing Median Complexes from Multiple Resting Ecgs
105
Exercise Test
109
Patient Education
111
Entering Test Information
112
Overview
112
Patient Information Tab
112
Test/Personnel Tab
114
Medications Tab
115
Calculating Patient Risk
115
Before the Test
117
Pre-Acquisition Screen
117
Overview
117
Operating Steps
120
During the Test
121
Acquisition Screen
121
Overview
121
Pretest Phase
123
Overview
123
Operating Steps
123
Exercise Phase
124
Overview
124
Operating Steps
124
Manual Control
125
ECG Data Windows
126
St/Arrhy Window
126
Medians Window
126
Waterfall Window
128
Tabular Summary Window
129
METS Formula (Metabolic Equivalents)
130
Trends Window
131
ECG Strips Window
132
12SL Window
133
Interpretation Window
134
Comparing Previous Test Data
135
Recovery Phase
136
Overview
136
Test End Phase
137
Overview
137
Operating Steps
137
After the Test - Post Test Review
139
Test Summary
139
Overview
139
Tabular Summary
141
METS Formula
141
Graphic Trends
143
Overview
143
Viewing the Full Disclosure ECG
144
Viewing Medians, Replacing Max. ST Changes
145
Viewing TWA Medians, Replacing Max. TWA Values
146
Sample Cardiac Cycles
147
Overview
147
Reanalysis
149
Performing Reanalysis
150
Performing Measurements on the Median Complex
150
Sample TWA Cycles
151
Overview
151
ECG Strips
152
Arrhythmia Review
153
Full Disclosure ECG
155
Overview
155
Printing the Full Disclosure ECG
157
Enabling the Zoom Mode
158
Audio ECG
159
Waterfall
160
12Sl
162
Vector Loops
163
Report Printout
164
3 D Graph
161
Report Formats
166
In-Test Reports
166
Final Reports
167
Monitoring of Remote Exercise Test Workstations
168
7 Ambulatory Blood Pressure Measurement
171
Ambulatory Blood Pressure Monitors
173
Connecting the Ambulatory BP Monitor
173
Setting up the Ambulatory Blood Pressure Monitor
174
Acquisition Screen
174
Operating Steps
175
Post Test Review
177
Downloading Data
177
Test Summary
178
Patient Information
179
Test Information
179
Measurement Results
181
Generating or Editing the Interpretation
182
Graphics
183
Tabular Summary
184
Hourly Averages
185
Statistics Summary
186
Report Printout
187
8 Spirometry Test
189
Sensors
191
Entering Test Information
192
Overview
192
Patient Information Tab
192
Test/Personnel Tab
193
Medications
194
Conducting Spirometry Tests
195
Overview
195
Flow-Volume Measurement - Operating Steps
197
Bronchodilator Test
200
Spirometry Tests with the LF 501
200
Post Test Review
202
Test Summary
202
Patient Information
203
Test Information
203
FVC Measurement
203
Generating or Editing the Interpretation
204
Report Printout
205
Comparing Two Spirograms
206
File Management
209
Overview
211
Selecting Patient Records
212
Viewing, Editing, Printing Patient Records
214
Printing a Combined Report
214
Viewing and Printing Patient Records from the MUSE System
215
Archiving, Exporting, Deleting Patient Records
216
Save to Archive
216
Transfer to MUSE
217
Send
217
Export
218
Working Temporarily with the Local Database
220
10 Operation with Administrative Tools
223
Overview
225
Description
226
11 DICOM Interface
227
Overview
229
Performing Procedures with the Order List (Scheduled Procedures)
230
Elements of the Order List - Explanation
232
Performing Procedures Without the Order List (Unscheduled Procedures)
232
12 System Settings
233
Resting ECG Setup
235
Acquisition Tab
235
Editing the Reason for Test Library
236
Editing the Interpretation Library
237
Editing Medication Groups, Assigning Drug Names
238
Lead Sequence Tab
239
Modifying the Lead Sequence
239
Configuring Leads Ex1, Ex2, Ex3
239
Miscellaneous Tab
240
Final Report Tab
241
Report Editor
242
Exercise Test Setup
244
Writer Tab
244
Screen Tab
245
Configuring the Tabular Summary
246
Configuring Trends
247
Configuring the Vital Signs
248
Lead Sequence Tab
249
Modifying the Lead Sequence
249
Configuring Leads Ex1, Ex2, Ex3
250
Protocol Editor Tab
251
Selecting the Default Protocol
251
Protocol Editor Screen
252
Creating a New Phase
254
Editing Stage or Phase Information
254
Final Report Tab
255
Miscellaneous 1 Tab
256
Miscellaneous 2 Tab
258
Editing the Comments, Test Types, Reason for Test, Reasons for Termination, Medications Library
258
Configuring the Measurement Results
258
Editing the Interpretation Library
259
Entering Extra Questions
260
St/Medians / 12SL Tab
261
TWA Tab
262
Ambulatory Blood Pressure Measurement Setup
263
Acquisition Tab
263
Editing the BP Protocol
264
Miscellaneous Tab
265
Editing the Reason for Test, Medication Library
265
Editing the Interpretation Library
266
Spirometry Setup
267
Acquisition Tab
267
Miscellaneous Tab
268
Editing the Reason for Test, Medication Library
268
Editing the Interpretation Library
269
Custom Setups, Factory Setup
270
Save
270
Load or Delete
271
Load the Factory Setup
271
System Configuration
272
General Tab
272
Adjusting the Screen Size for Widescreen Monitors
274
User Administration
275
Receiving Resting Ecgs from Other ECG Devices
277
Copying Patient Records
280
Archiving Patient Records
281
Compressing Patient Records
282
Changing System Date and Time
282
Procedure Statistics
283
Printer Settings
284
Devices Tab
285
Modem Tab
286
MUSE Tab
287
Option Code Tab
290
Country Settings Tab
291
EMR Tab
292
Connectivity Server Tab
293
Adding Inbound Connections
294
DICOM Tab
295
Cleaning and Maintenance
297
Cleaning, Disinfection, and Maintenance
299
Equipment Surface
299
Cables
299
Monitor
299
Maintenance
300
Before each Use
300
Technical Inspections
300
Disposal at the End of Its Service Life
300
Miscellaneous
301
Connecting Peripheral Devices
303
Bicycle Ergometers
303
Connecting ERGOLINE 900/900 L/900 el Ergometers to the System
303
Treadmills
303
Blood Pressure Monitor
304
Spo2 Monitor
305
ECG Recorder
305
Modem
305
Laser Printer
305
Printers in a Network Environment
306
Application Tips
306
General Application
306
Recording Ecgs of Pacemaker Patients
306
Recording Ecgs During Defibrillation
307
Exercise Test Interpretation (XTI
308
Duke Treadmill Score
309
References
310
Risk Factors
311
Spirometry Reference Value Equations, Interpretation Modes, Measurements
313
Reference Value Equations
313
Eccs/Zapletal
313
Nhanesiii
313
Knudson
314
Forche
314
Finland
314
Brazil
315
Interpretation Modes
316
Europe
316
Chs
318
Definition of Spirometry Test Values
319
Installing the Program in a Network Environment
320
Troubleshooting
320
Remote Service
322
Virus Protection
322
Direct Fax Transmission of Printer Documents
323
Related Physician's Guides
324
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GE CASE V6.7 Specifications
General
Brand
GE
Model
CASE V6.7
Category
Medical Equipment
Language
English
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