GE CARESCAPE - ECG troubleshooting; 12 lead analysis; Intended use of 12 RL Interpolated 12 lead ECG analysis; Intended use of 12 SL ECG analysis

ECG
ECGtroubleshooting
ProblemSolution
ECGsignalisnoisyornoQRSisdetected●Ensurethatthepatientisnotshivering.
●SelectthecorrectlterbyselectingtheHR
parameterwindow>Advanced>Waveform
Filter.
●Checktheelectrodequalityandpositioning.Do
notplaceelectrodesonbodyhair,bonescloseto
skin,layersoffatandmajormuscles.Pre-gelled
electrodesarerecommended.
●ChangetheleadinECG1tothebestavailable
signalandconsiderusingtheSingleleadmode.
●ConsiderusingECGSize>2x.
●TryanalternativelocationfortheValeadto
improvesignalquality.Insomecases,likeifthe
patienthasasignicantheartfailure,changingfor
examplefromV5toV1canresultinaconsiderable
differenceinthesignalamplitude.
●Checkallcableconnectors.
12leadanalysis
Intendeduseof12RLInterpolated12leadECGanalysis
TheGE12RLprogramgeneratesa12leadECGreportfromasubsetoftheelectrodes
usedtoacquireastandard12leadECG.Fouroftheprecordialchannelsofthe12lead
ECG(V2,V3,V4,V6)arenotacquiredfromthepatient;rather,theyarereconstructed
frominformationthatisdirectlyrecordedintheotherchannelsofthe12leadECG.
ThefoursignalsgeneratedbytheGE12RLprogramaresimilarbutnotidenticalto
thestandard12leadECG.AllECGdatageneratedvia12RLareclearlyidentiedasto
whichchannelshavebeensynthesized.
TheGE12RLprogramisintendedforuseinamonitoringenvironment.Computerized
measurementsmaybegeneratedfromthesedata;however,acomputerized
interpretationwillnot.
Theproductisintendedforuseinthegeneraladultpopulationrangingfromhealthy
subjectstopatientswithcardiacand/ornon-cardiacabnormalities.
Theproductistobeusedinconjunctionwiththepatient'sclinicalhistory,symptoms,
andotherdiagnostictestsfornalclinicaljudgment.
Intendeduseof12SLECGanalysis
The12SLAnalysisProgramassiststhephysicianinmeasuringandinterpretingresting
12leadECGsforrhythmandcontourinformationbyprovidinganinitialautomated
interpretation.Interpretationbytheproductisthenconrmed,edited,ordeletedbythe
physician.Theanalysisprogramisintendedforuseinthegeneralpopulation,ranging
fromhealthysubjectstopatientswithcardiacand/ornon-cardiacabnormalities.The
166CARESCAPEModularMonitors2062971-001