GE MAC VU360 User manual

GE Healthcare
MAC VU360™ Resting ECG Analysis System
Operator's Manual
Version 1.02
2088531-370-2
Keep this manual with your Regulatory and Safety
Manual and equipment at all times, and periodically
review it.
MAC VU360™ Resting ECG Analysis System
Operator's Manual
English
© 2020-2021 General Electric Company
All Rights Reserved.

Publication Information
Publication Information
This document describes version 1.02 of the MAC VU360™ Resting ECG Analysis System, also referred to as the “product” or "system" or
"device". It does not apply to earlier product versions. Due to continuing product innovation, specifications in this document are subject to
change without notice.
12SL, CASE, CardioSoft, InSite ExC, MAC, MACCRA, MARS, MUSE, Marquette, MobileLink, and MULTI-LINK are trademarks owned by GE
Medical Systems Information Technologies, Inc., a General Electric Company going to market as GE Healthcare. All other trademarks
contained herein are the property of their respective owners.
This product complies with the requirements concerning medical devices from the following regulatory bodies.
Date of first CE mark - 2018.
For more information about compliance, refer to the Regulatory and Safety Manual for this product.
The document part number and revision are on each page of the document. The revision identifies the document’s update level. The
revision history of this document is summarized in the following table.
Revision Date Comment
1 30 April 2020 Customer Release
2 28 February 2021 Update content for Software SP01
To access other GE Healthcare Diagnostic Cardiology documents, go to https://www.gehealthcare.com/en/support/support-documentation-
library, and click Enter Customer Documentation Portal.
To access Original Equipment Manufacturer (OEM) documents, go to the device manufacturer's website.
This document describes the MAC VU360™ Resting ECG Analysis System, also referred to as the” product”, “system”, or “device”. This
document is intended to be used by an operator of the MAC VU360™ Resting ECG Analysis system.
Installation should be performed by a qualified personnel.
The MAC VU360™ Resting ECG Analysis System is intended to be used under the direct supervision of a licensed healthcare practitioner, by
trained operators in a hospital or facility providing patient care.
This document provides information required for the proper use of the system. Familiarize yourself with this information and read and
understand all instructions before attempting to use this system. Keep this document with the Regulatory and Safety manual, and with the
equipment at all times, and periodically review it.
Illustrations in this document are provided as examples only. Depending on system configuration, screens in the document may differ from
the screens on your system. Patient names and data are fictitious. Any similarity to actual persons is coincidental.
Third-party Licenses
This product includes software developed by:
• Linux Kernel organization (https://www.kernel.org)
• NXP Semiconductors (https://www.nxp.com)
• Apache Software Foundation (http://www.apache.org)
• OpenSSL.org (http://www.openssl.org)
• OpenSSH (https://www.openssh.com/)
• GNU Foundation packages (https://www.gnu.org)
• Gentoo software (https://packages.gentoo.org)
• Boost Libraries (http://www.boost.org)
• POCO Project (https://pocoproject.org)
2 MAC VU360™ Resting ECG Analysis System 2088531-370-2

Publication Information
• Debian packages (https://packages.debian.org)
• Yocto project packages (https://www.yoctoproject.org)
• Freedesktop.org (https://www.freedesktop.org)
• Busybox project (https://busybox.net)
• bzip.org (http://www.bzip.org)
• FreeType project (https://www.freetype.org)
• OpenBSD Project (https://www.openbsd.org)
• netfilter.org project (http://www.netfilter.org)
• netcat (http://netcat.sourceforge.net/)
• OpenLDAP Project (https://www.openldap.org)
• ws4d.org (http://ws4d.org/projects)
• JS Foundation (https://js.foundation)
• ANGULARJS (https://angularjs.org)
• QT-labs (https://github.com/qt-labs)
• Massachusetts Institute of Technology (https://web.mit.edu)
• Cyrus IMAP org (https://www.cyrusimap.org)
• rsyslog (https://www.rsyslog.com)
• sshpass (https://sourceforge.net/projects/sshpass/)
License details of the software used in the product can be viewed in the online help in the Open Source Licenses section. Contact GE Service
to obtain the source code of the open-source software used in the product, if required.
Support
GE Healthcare maintains a trained staff of application and technical experts to answer questions and to respond to issues and problems
that may arise during the installation, maintenance, and use of this product.
If you require additional assistance, contact your GE Healthcare representative or GE Healthcare support at one of the following numbers:
• North America: 1-800-558-7044
• Europe: +49 761 45 43 -0
• Asia: +86 21 3877 7888
Training
This document is intended as a supplement to, not a substitute for, thorough product training. If you have not received training on the use
of the product, you should request training assistance from GE Healthcare.
To see available training, go to the GE Healthcare training website www.gehealthcare.com/training.
For more self-paced course offerings, tools, and reference guides you may find useful, please visit the GE Healthcare Education Store at
www.gehealthcare.com/educationstore.
2088531-370-2 MAC VU360™ Resting ECG Analysis System 3

Table of Contents
Publication Information...........................................................................................2
1:Product Overview................................................................................................. 8
Front and Rear View............................................................................................................................................ 8
Keyboard..................................................................................................................................................................10
Acquisition Screen Overview......................................................................................................................... 11
User Menu Options Description................................................................................................................... 14
Battery Status....................................................................................................................................................... 16
Show Battery Status..........................................................................................................................................17
Show Network Connection Status.............................................................................................................. 18
Changing the Brightness of the Screen...................................................................................................19
2:Login and Security............................................................................................. 20
Power On the ECG Device.............................................................................................................................. 20
Power Off the ECG Device.............................................................................................................................. 20
User Authentication........................................................................................................................................... 21
Log On to the Device............................................................................................................................ 22
Log On the Device as a STAT User................................................................................................. 24
Access the Device using a Technician ID....................................................................................24
Log Out of the Device...........................................................................................................................24
Change the User Password............................................................................................................................25
Activate or Deactivate Privacy Mode........................................................................................................25
Lock the Device....................................................................................................................................................26
Unlock the Device...............................................................................................................................................26
Put the Device on Standby.............................................................................................................................27
Perform System Reset...................................................................................................................................... 27
3:Patient Information............................................................................................29
Patient Information Screen Overview....................................................................................................... 29
Start a Test for a New Patient......................................................................................................................31
Enter Patient Information................................................................................................................................32
Update Patient Information with a Barcode Reader............................................................. 32
Query Orders or ADT for Patient Demographics......................................................................33
Enter or Edit Patient Information Using the Keyboard..........................................................39
4:Recording an ECG or Rhythm.......................................................................... 41
Hookup Advisor Overview...............................................................................................................................41
Acquire an ECG based on the Hookup Advisor status in Post-Acquisition Mode......44
Acquire an ECG based on the Hookup Advisor status in Pre-Acquisition Mode....... 44
Change Lead Sets and Lead Formats...................................................................................................... 44
Enable ACS Interpretation...............................................................................................................................45
Change Speed, Gain, and Filter....................................................................................................................46
ECG Acquisition Overview...............................................................................................................................47
Automatically Acquire an ECG..........................................................................................................47
Record an ECG Manually.....................................................................................................................48
Cancel an ECG..........................................................................................................................................50
Accept or Reject an ECG Patient Report......................................................................................50
Review an ECG Patient Report......................................................................................................... 54

Automatically Print an ECG Patient Report................................................................................ 56
Record a Rhythm.................................................................................................................................................57
Review a Digital Rhythm Report......................................................................................................59
Transmit a Patient Report to a Configured Destination...................................................................60
Print a Patient Report........................................................................................................................................63
Edit Patient Information in a Patient Report..........................................................................................65
Delete a Patient Report....................................................................................................................................66
View the Patient Report...................................................................................................................................66
Close a Patient Report......................................................................................................................................67
Full Disclosure Overview..................................................................................................................................67
Record a Full Disclosure ECG............................................................................................................ 68
Review a Full Disclosure Report.......................................................................................................69
5:Work with Orders...............................................................................................72
Automatically Update the Orders List.......................................................................................................75
Manually Update the Orders List.................................................................................................................75
Sort Orders in the Orders List....................................................................................................................... 76
Filter Orders in the Orders List..................................................................................................................... 76
Attach an Order when the Patient Test is Not Started..................................................................... 79
Attach an Order to a New Patient Test....................................................................................................79
Attach an Order when the Patient Test is Completed.......................................................................80
Attach an Order that is Attached to a Different Patient Test.........................................................81
Change the Order Attached to a Patient Test.......................................................................................82
Detach an Order from a Patient Test........................................................................................................82
Order Status...........................................................................................................................................................83
6:Work with the Files List.................................................................................... 85
Review a Stored Patient Report................................................................................................................... 87
Transmit a Stored Patient Report to a Configured Destination.................................................... 89
Print a Stored Patient Report........................................................................................................................ 91
Print a List of Stored Records....................................................................................................................... 93
Edit Patient Information in a Stored Patient Report...........................................................................94
Delete Stored Patient Reports from the Files List................................................................................95
7:Work with the Queue List.................................................................................97
Display the Report Queue...............................................................................................................................99
Delete Jobs from the Queue.......................................................................................................................100
Retry Transmission of a Patient Report.................................................................................................100
8:Work with the Patients List............................................................................102
Open the Patients List....................................................................................................................................104
Select a Patient from the Patients List...................................................................................................104
9:Working with Remote Applications.............................................................. 105
Launching a Remote Application..............................................................................................................105
Viewing a PDF in a Remote Application................................................................................................106
10:Maintenance................................................................................................... 107
Adjust the Paper Tray for Paper Size......................................................................................................107
Store Thermal Paper....................................................................................................................................... 108
Clean the Printhead.........................................................................................................................................109
Charge the Battery.......................................................................................................................................... 110
Replace the Battery.........................................................................................................................................111

11:Cleaning and Disinfection............................................................................ 113
Clean and Disinfect Guidelines..................................................................................................................113
Inspect the Device........................................................................................................................................... 114
Care at the Point of Use............................................................................................................................... 114
Preparation for Cleaning...............................................................................................................................114
Visual Inspection, Cleaning and Disinfection Frequency...............................................................114
Cleaning and Disinfecting the Acquisition Module...........................................................................115
Pre-Cleaning Inspection and Functional Testing...................................................................115
Cleaning the Acquisition Module.................................................................................................. 115
Post-Clean Inspection.........................................................................................................................116
Disinfecting the Acquisition Module............................................................................................116
Clean and Disinfect the Device and Trolley.........................................................................................116
Pre-Clean Inspection and Functional Test................................................................................117
Clean the Device and Trolley..........................................................................................................117
Post-Clean Inspection.........................................................................................................................118
Disinfect the Device and Trolley....................................................................................................118
Clean and Disinfect Leadwires and Reusable Electrodes............................................................. 118
Storage...................................................................................................................................................................119
Other Cleaning and Disinfection Agents...............................................................................................119
Additional Information................................................................................................................................... 120
12:Troubleshooting..............................................................................................121
System Errors......................................................................................................................................................121
ECG Acquisition Errors....................................................................................................................................122
Printing Errors.....................................................................................................................................................123
Report Transmission Errors......................................................................................................................... 126
Wireless Network Connectivity Errors.................................................................................................... 128
A:Report Formats................................................................................................ 130
ECG Report Formats........................................................................................................................................130
Rhythm Report Format..................................................................................................................................137
Full Disclosure (FD) Report Format...........................................................................................................140
B:Patient Preparation......................................................................................... 143
Prepare the Patient’s Skin............................................................................................................................ 143
Electrode Placement....................................................................................................................................... 144
Standard 12–Lead Electrode Placement...................................................................................144
Standard 15–Lead Electrode Placement...................................................................................145
Pediatric Electrode Placement.......................................................................................................146
NEHB Electrode Placement..............................................................................................................147
Vector Loops Electrode Placement..............................................................................................148
C:Patient Information Fields..............................................................................150
Patient Information Text Box Names......................................................................................................150
D:Technical Specifications................................................................................. 160
System Specifications.....................................................................................................................................160
ECG Specifications............................................................................................................................................163
Environmental Specifications......................................................................................................................164
Safety Specifications.......................................................................................................................................164
Network Specifications.................................................................................................................................. 165

Product Overview
1
Product Overview
The MAC VU360™ Resting ECG Analysis System, (referred to as "the device"
throughout this document), supplies 12-lead or 15-lead ECG measurement and
interpretative analysis, prints 12-leads or 15-leads of ECG, and transmits ECG data to
and from a central ECG cardiovascular information system.
Front and Rear View
Item Part Name Description
1 Acquisition Module Used to acquire, digitize, and transmit analog ECG signals to the ECG
device.
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Product Overview
Item Part Name Description
2 Display and
Touchscreen
Presents waveform and text data. The touchscreen enables you to
interact directly with the device through touch gestures without the
use of the keyboard.
3 Standard Keyboard Used to enter data on the screen or perform functions such as
recording or printing an ECG or rhythm.
4 Sliding Tray Used for storage.
5 Integrated Trolley Used to move the device from one location to another.
6 Front Bin Used for storage.
7 Front Wheels and
Lock
Used to mobilize and lock the trolley in position. The front wheels are
fixed wheels and non-conductive.
8 Acquisition Module
Cable
Connects the Acquisition Module to the device.
9 Leadwire Cables Connects the leadwires to the Acquisition Module.
10 AC Power Inlet Slot to connect the AC power cord.
11 Rear Bin Mounting
Bracket
Used to mount the rear bin.
12 Accessory Track Used to change the position of the rear bin.
13 Rear Wheels and
Lock
Used to mobilize and lock the trolley in position. The rear wheels are
swivel wheels and conductive.
2088531-370-2 MAC VU360™ Resting ECG Analysis System 9

Product Overview
Keyboard
Item Name of Key Description
1 Power button Powers the device on or off.
2ECG Records an ECG.
3Rhythm Starts recording or printing a real-time, continuous rhythm.
4Stop Stops printing an ECG or rhythm report.
5 Trimpad Provides movement through menus and windows.
6Enter Use to advance the focus in a window or to select items from the screen.
7Shift Use to type a capital letter. For example, press Shift + p to type a capital P.
8 Space bar Enters a space in the text.
9Alt Switches between different international methods of entry (IME) for the
Chinese keyboard language.
10 Caps Lock Capitalizes the letters in a text.
11 Tab Moves to the next field in a screen.
Shift + Tab key moves to the previous field in a screen.
12 Esc Closes a window on a screen.
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Product Overview
Item Name of Key Description
13 Battery LED Indicates various battery states:
• Flashing amber light at two-second intervals indicates that the battery is
charging.
• Flashing amber light at one-second intervals indicates that the battery is
critically low.
• Flashing amber light at half-second intervals indicates that the battery has
a communication failure.
• No light indicates the battery is fully charged, not present, or discharging.
14 AC Power LED Indicates various AC power states:
• Green light indicates the device is plugged in and receiving power.
• No light indicates the device is not plugged into AC power.
15 Power on LED Indicates if the device is powered on or off:
• Green light indicates the device is powered on.
• No light indicates the device is off.
• Flashing green light indicates the device is in standby mode.
16 Backspace Deletes characters or text.
Acquisition Screen Overview
The Acquisition screen is the main screen that displays when you first log on to the
device. You can acquire and ECG from the Acquisition screen.
2088531-370-2 MAC VU360™ Resting ECG Analysis System 11

Product Overview
Table 1: Acquisition Screen
Item Name Description
1Live tab Displays the live waveform for the current patient connected
to the device.
2Full Disclosure tab Displays a Full Disclosure ECG.
NOTE:
The Full Disclosure tab displays after you purchase and
enable the Full Disclosure option.
3 Date and Time Current local date and time in the configured date and time
format. To configure a date and time format, refer to the MAC
VU360™ Resting ECG Analysis System Setup and Configuration
Manual.
4Patient Information Banner Displays Patient Information such as the patient first name,
surname, and gender. Select anywhere on the banner to add
or edit patient information.
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Product Overview
Item Name Description
5Orders/Patients, Files, and
Queue tabs
• The Orders tab displays when you enable order
management. Select Orders to open the Orders list and
view a list of the available orders.
• The Orders tab does not display if you disable order
management, the Patients tab displays. Select Patients
to open the Patients list. View a list of the last 500
patients with ECGs that were acquired on the device.
• Select Files to open the Files list and view the list of
stored patient reports.
• Select Queue to open the Queue list to view the list
of reports in the queue to transmit to a configured
destination.
6 Battery or AC Power Icon Displays the battery status.
7 Network Status Icon Displays the wireless or LAN connection status.
8 User Menu Displays the name of the user logged on to the device. When
you select the name, the user menu expands and displays
the available menu options. You do not have access to some
menu options. Your administrator can assign the proper
privileges.
If you disable user authentication or configure with
Technician ID access, the Default user must to log on as a
user with sufficient privileges to access a menu option.
9Start New Patient
icon
Select to enter the patient data for a new patient test.
10 Expand icon Select the tab (Orders/Patients, Files, or Queue) that you
want to expand, and select the Expand icon to open the list.
11 Electrode Placement Picture Select the arrow to expand and view the picture that shows
the placement of electrodes and the electrode quality of each
lead. Each lead quality indicator on the picture changes to
yellow, red and green, based on its connection status.
You can enable or disable the auto-expansion of the picture.
If you enable auto-expansion of the picture:
• The picture automatically expands if the Hookup Advisor
Lead Quality Indicator is yellow or red.
• The picture automatically collapses if the Hookup Advisor
Lead Quality Indicator is consistently green for some
seconds.
12 Hookup Advisor Lead
Quality Status Indicator
Displays the lead quality status indicator in three circles that
change to yellow, red, or green, based on the lead quality.
2088531-370-2 MAC VU360™ Resting ECG Analysis System 13

Product Overview
Item Name Description
13 Notification Area Displays messages:
• printing status and progress
• report transmission status
•Hookup Advisor lead quality status
The messages display one at a time in the sequence of
occurrence. The messages do not display when a patient is
connected and hookup advisor is evaluating the waveform.
14 Remote Applications Panel Displays remote applications. Select the buttons to open the
application.
15 Filter, Speed and Gain Displays the default waveform filter, speed, and gain. Select
anywhere around the ellipsis icon and select a different value.
You can only make a change before you record an ECG. You
can make a change before and during the recording of a
rhythm.
NOTE:
A change to the filter, speed or gain is applicable to the
current patient. For a new patient, the values are reset to
default settings.
16 Start Rhythm icon Select to print or digitally record the rhythm report.
17 Start ECG icon Select to record an ECG.
18 Lead Set and Display Format Displays the default test type and display format. Select
anywhere around the ellipsis icon and select a different value.
You can only make a change before you record an ECG. You
can make a change before and during the recording of a
rhythm.
NOTE:
Any change to the test type and display format only
applies to the current patient. For a new patient, the
values are reset to the default settings.
User Menu Options Description
The User Menu is located at the top right corner of the Acquisition screen.
14 MAC VU360™ Resting ECG Analysis System 2088531-370-2

Product Overview
Table 2: User Menu Options
Item Option Description
1<User> Displays the name of the user logged into the device as configured by your
administrator. Pre-defined users display as follows:
• Admin
• STAT
• Service
• Default
2Settings Displays the Settings screen used to configure the device. The administrator
must grant you privileges to access this screen.
If the user does not have access to the screen and if user authentication
is disabled or configured with Technician ID access, the Default user is
prompted to log on as a user with sufficient privileges.
3Service Displays the Service screen used to service the device. Your administrator
must grant you privileges to access this screen.
If the user does not have access to the screen and if user authentication
is disabled or configured with Technician ID access, the Default user is
prompted to log on as a user with sufficient privileges.
4Service
Snapshot
The user can get a service snapshot without the Service privileges.
Complete the snapshot to help identify a problem on the device.
2088531-370-2 MAC VU360™ Resting ECG Analysis System 15

Product Overview
Item Option Description
5Change
Password
The Admin user or a local user can change their password. Displays only if
full user authentication is enabled.
6Lock (Alt+L) Locks the device. Displays only if full user authentication is enabled.
7Log Out Logs off the user. Displays only when you are logged on to the device.
8Standby Puts the device in standby mode to save battery power without turning it
off.
9Power Off Powers off the device.
NOTE:
You can also power off the device by pressing the Power button on the
keyboard.
10 About Displays the device software information.
11 Help Displays help information about the device.
Battery Status
The battery icon shows the stored power of each battery. The power levels are shown
in 10% increments. The color of the icons change to show the level of battery life.
You may operate the device connected to the AC Mains power when the batteries
are removed. The device can also operate with a single battery installed to allow hot
swapping of the batteries without plugging into AC Power.
Table 3: Examples of Battery and Power Icon Status
Icon Status Description
Green Connected to AC
Mains
The device is connected to the AC Mains power and the
batteries are charging.
White Operating on
Battery
The device is only using batteries and the batteries are
discharging. The device is not connected to the AC Mains
power.
White Batteries – Fully
Charged
Disconnected
from AC Mains
Shows that the batteries are fully charged and the device
is disconnected from the AC Mains power. When the device
is connected to the AC Mains power and the battery icon is
solid green, shows that the battery is fully charged.
16 MAC VU360™ Resting ECG Analysis System 2088531-370-2

Product Overview
Icon Status Description
Red Batteries – Low
or Critically Low
Shows that the batteries are at low capacity and the device
is disconnected from the AC Mains power.
If the charge level is below 15%, an error tone sounds
meaing that the battery is low.
If the charge level is below 10%, the error tone is louder,
longer, and sounds every minute. A message opens, the
battery is critically low and you should connect to AC power
immediately.
No color but
crossed out
Battery Not
Present, AC
Mains Power
Shows that batteryB is not in the device and the AC Mains
power is connected.
A message opens, the battery is not present.
The following image illustrates the batteries A and B in the battery compartment:
Show Battery Status
To show the status of the two batteries, use the following steps.
1. Select the battery icon on the Status Bar of the Acquisition screen.
2. An image opens, showing the battery life.
2088531-370-2 MAC VU360™ Resting ECG Analysis System 17

Product Overview
Show Network Connection Status
When the wireless and wired connection is set to Enable, the device uses a the wired
connection when you connect a LAN cable. If you remove the LAN cable, the device
uses the wireless connection.
To view the status of your device's connection to your Local Area Network (LAN) or
Wireless Local Area Network (WLAN), perform the procedure as follows:
1. Select the Network Status icon on the status bar.
2. Review the tables for the description of the network status icon when connected
to a LAN or WLAN network.
Table 4: LAN Icons
Network
Status
Icon
Status Description
LAN Active The device is connected to a LAN.
LAN Connected The device is connected to a remote server through a
LAN and is in the process of obtaining an IP address.
If this icon is blinking, the device is acquiring an IP
address from DHCP.
LAN Disconnected The device is not connected to a LAN; no LAN (Ethernet)
cable is attached to the device.
Table 5: WLAN Icons
Icon Status Description
WLAN Active The device is connected to a WLAN and has a valid IP
address.
The icon shows a number of wireless bars to indicate the
strength of the wireless signal.
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Product Overview
Icon Status Description
WLAN Connected The device is connected to an access point and is in the
process of obtaining an IP address.
If this icon is blinking, the device is acquiring an IP
address from DHCP.
WLAN Disconnected The device is not connected to a WLAN.
For more information about wireless certificate errors, see Wireless Network
Connectivity Errors on page 128.
3. Close the Network Status window by selecting something on the screen outside
of the window.
Changing the Brightness of the Screen
Perform one of the following steps to change the brightness level of the screen
from 10% to 100%:
NOTE:
The specified keys combination works only for English keyboard.
• To increase the brightness of the screen, select Alt + Arrow up keys on the
keyboard.
• To decrease the brightness of the screen, select Alt + Arrow down keys on the
keyboard.
Continue to select the keys to reach the desired level of brightness.
Table 6: Brightness Level
Condition When the device is powered
by A/C Power
When the device is powered
by the battery
Brightness level on initial
power up
80% 50%
Brightness level when you
change the power source
when the device is on
Resets to the saved
brightness value when the
device was last used on AC
Power.
Resets to the saved
brightness value when the
device was last used on the
battery.
The changes you make are automatically saved to your device and will not
change when you turn the device on or off.
2088531-370-2 MAC VU360™ Resting ECG Analysis System 19

Login and Security
2
Login and Security
Power On the ECG Device
1. Press the Power button on the keyboard for a few seconds to start the device.
The device is powered on. The Power on LED on the keyboard is green.
A notification message displays, if it is configured by the administrator.
2. Click Accept.
• If user authentication is enabled, you are prompted to log on to the device.
• If user authentication is disabled, you are automatically logged on to the
device as the Default User.
• If the user authentication mode is Technician ID, enter the Technician ID to
log on as a Default User.
Power Off the ECG Device
1. Before you stop the device, complete pending tasks, for example, acquire an ECG
and save configuration settings.
2. Do one of these steps to remove power from the ECG device:
a) From the User Menu on the screen, select Power Off.
The Power off window opens and displays a message. Select Power Off.
The device is off. The Power on LED on the keyboard is off.
b) Press the Power button on the keyboard for a few seconds:
20 MAC VU360™ Resting ECG Analysis System 2088531-370-2
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