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MAC ® 1200 Operations Manual - Jaken Medical...

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Preparations for ECG Recording<br />

4.3 Artifact Due to Poor Electrode Application<br />

The resting ECG analysis system is equipped with<br />

state-of-the-art electronic utilities that ensure artifact-free<br />

recordings. Among these are the automatic<br />

baseline adjustment and the anti-drift system (ADS<br />

or cubic spline).<br />

At the beginning of the recording the automatic<br />

baseline adjustment algorithm verifies the incoming<br />

signal and adjusts the baseline position accordingly.<br />

During the recording, the anti-drift system (cubic<br />

spline) continuously checks the baseline position<br />

and returns it to the normal level, if required (Figure<br />

4-6).<br />

For the 6 Lead Mode, the anti-drift system (cubic<br />

spline) can be enabled and disabled from the setup<br />

menu, in the 12 Lead and Arrhythmia Modes, it is<br />

always enabled.<br />

When electrodes are not properly applied, these<br />

measures may not fully compensate for artifact.<br />

High polarization voltages induced by electrodes<br />

applied without conductive gel may cause the amplifier<br />

to overrange, so that a straight line will be<br />

recorded instead of the ECG (see Figure 4-6). The<br />

device will then automatically block and return the<br />

baseline to its normal position. A baseline is then<br />

recorded for approx. 1 second. It is possible to block<br />

the amplifiers manually by disconnecting the RL<br />

electrode.<br />

On the display this condition is indicated by ****<br />

instead of the electrode label (e.g. at i, Figure 5-1).<br />

Remedy<br />

• Apply the electrodes according to instructions.<br />

• Do not apply the electrodes on top of clothing.<br />

• Use a contact agent with reusable electrodes (e.g.<br />

moistened electrode paper, electrode cream,<br />

spray, etc.).<br />

• Wait approx. 10 seconds before initiating a<br />

recording. After the 10-second period, the automatic<br />

functions are enabled and the polarization<br />

voltages have stabilized, provided the electrodes<br />

are properly applied. In case of improper electrode<br />

application, an error message will appear<br />

on the display (RL, LL, LA, LL, V1 to V6).<br />

• If required, the ADS (cubic spline) and the filters<br />

(20/40 Hz, 60 Hz) can be disabled to verify the<br />

“raw” ECG signal.<br />

approx.1 s<br />

Figure 4-6. Sample recording<br />

227 492 04-F <strong>MAC</strong>® <strong>1200</strong> 23

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