GE Healthcare

SEER® Light
Ambulatory Recorder/Controller

Operator's Manual

2040604-012 Revision D
The information in this manual only applies to SEER® Light devices. Due to continuing product innovation,
specifications in this manual are subject to change without notice.

Marquette®, MARS®, MUSE®, and SEER® 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.

© 2008-2009 General Electric Company. All rights reserved.

T-2 SEER® Light 2040604-012D

14 April 2009
 CE Marking Information

CE Marking Information
Compliance
NOTE
This CE mark information is part of the operator manual and is
applicable for all products marketed and distributed by GE Medical
Systems Information Technologies in the European community.

These SEER® Light devices bear the CE mark 0459, notified body GMED,
indicating its conformity with the provisions of the Council Directive 93/
42/EEC, concerning medical device and fulfills the essential
requirements of Annex I of this directive.

The product is in radio-interference protection class A in accordance with

EN 55011.

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

The product complies with the requirements of standard EN 60601-1-2

“Electromagnetic Compatibility - Medical Electrical Equipment”.

NOTE
Refer to the SEER Light service manual for additional compliance
and exception information.

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. 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.

2040604-012D SEER® Light CE-1

CE Marking Information

CE-2 SEER® Light 2040604-012D

 Contents
1 Manual Information
Manual Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Revision History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2

Manual Purpose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2

Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3

Intended Audience . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3

Product References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3

Conventions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3

Safety Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4

Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-4
Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-5
Warnings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-5
Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-9

Responsibility of the Manufacturer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-10

General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-10

Classification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-11

Underwriters Laboratories, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-12

Information Technology Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-12

Equipment Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-12

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

Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-14

Serial Number . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-14

2 Equipment Overview
General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2

SEER Light Device Compatibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3

SEER Light/SEER Light Extend Compact Digital Holter Recorder . . . . . . . . . . . . 2-3

2040604-012D SEER® Light i

 SEER Light Extend Controller . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5

SEER Light Connect . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-7

Installing SEER Light Hookup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9

Pouch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-11

Operating Modes - SEER Light Controller . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-11

SEER mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-11
Transfer mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-12
Set-up Condition Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-12
Selecting a Language . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-12
Parameter Descriptions and Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-13

Battery Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-14

Battery Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-16

Care and Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-16

Storage and Operating Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-16

3 Preparing the Patient

Placing Electrodes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Two Channel, Five Electrode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-2
Three Channel, Seven Electrode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-3

Preparing the Skin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6

Hooking Up the Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7

Pouch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9

Holter ECG Patient Diary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9

Setting Up the Patient Diary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-9

Instructing the Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9

Audible Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-9
Activity Restrictions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-10
Keeping Track . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-10
Shorter Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-10

4 Entering Patient Data

Entering Patient Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
Using the SEER Light Extend Controller . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-2
Using the SEER Light Connect . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-4

ii SEER® Light 2040604-012D

 5 Recording Data
Operating . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
Before Recording . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-2
After Recording . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-2

Connecting the Patient Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3

Checking the Leads . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3

Confirming ECG Recording . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7

Starting the SEER Light Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-11

Inserting Batteries in the SEER Light Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12

Begin Recording with SEER Light Extend Controller . . . . . . . . . . . . . . . . . . . . . . 5-13

Begin Recording with SEER Light Connect . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-14

Begin Recording with SEER Light Recorder Button . . . . . . . . . . . . . . . . . . . . . . 5-14

Disconnecting the SEER Light Recorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-15

6 Transferring Data
Transferring Data to the Holter Analysis System. . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
Transferring to the Flash Card using the SEER Light Extend Controller . . . . . . . .6-2
Confirming Flash Card Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-5
Confirming Patient Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-5
Displaying the ECG Waveform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-6
Transferring Data to the Holter Analysis System via Flash Card . . . . . . . . . . . . . .6-6
Transferring Data to the Holter Analysis System via Connect . . . . . . . . . . . . . . . .6-7
Analyzing Waveforms and Patient Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-8

A Troubleshooting
Troubleshooting Chart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2

B Accessories
Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-2

2040604-012D SEER® Light iii

iv SEER® Light 2040604-012D
 1 Manual Information

2040604-012D SEER® Light 1-1

Manual Information

Manual Information
This manual includes operator’s instructions for:

„ SEER Light/SEER Light Extend Compact Digital Holter Recorder

„ SEER Light Extend Controller
„ SEER Light Connect

Revision History
Each page of the document has the document part number followed by a
revision letter at the bottom of the page. The revision letter identifies the
document’s update level.

Revision History PN 2040604-012

Revision Date Comment

A 30 April 2008 Initial release of this document.

B 11 August 2008 Revised to include the word "Greece" to Greek

address on backcover.

C 19 September 2008 Revised manual to reflect Suzuken responsibility

and new controller configuration.

D 14 April 2009 Revised to change CF Card part number.

Manual Purpose
This manual contains the instructions necessary to operate the
equipment safely in accordance with its function and intended use. These
instructions include but are not limited to:

„ an explanation of the function of controls and indicators

„ the sequence of operation
„ connection and disconnection of detachable parts and accessories
„ instructions for operator cleaning, preventive inspection and
maintenance
Where necessary, the manual identifies additional sources of relevant
information and/or technical assistance.

1-2 SEER® Light 2040604-012D

 Manual Information

Intended Use
The SEER Light recorder/SEER Light Extend recorders are designed to
acquire 2 or 3 channels of ECG signal from the chest surface of pediatric
or adult patients. The devices store data along with patient demographic
information to on-board flash memory; they do not perform any analysis
on the ECG data. These devices are intended to be used under the direct
supervision of a licensed healthcare practitioner, by trained operators in
a hospital or medical professional facility.

This device is not intended for use on patients weighing less than 10 kg
(22 lbs.).

Intended Audience
This manual is intended for an operator of the SEER Light devices. The
SEER Light operator requires some training to become familiar with the
capabilities and operations of the devices.

Product References
Regardless of the Holter analysis system (MARS PC workstation or
MARS Unity workstation) used, the product will be referred to as SEER
Light throughout this document. Instances where functionality differs
due to Holter analysis system will be called out specifically.

Conventions
These are the conventions used in this manual.

Styles

Style Definition

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.

2040604-012D SEER® Light 1-3

Manual Information

Styles

Style Definition

Ctrl+Esc Indicates a keyboard operation. A (+) sign between the

names of two keys indicates, you press and hold the first
key while pressing the second key once.

For example, “Press Ctrl+Esc” means to press and hold

down the Ctrl key while pressing the Esc key.
<Space> Indicates that 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 that you must press the “Enter” or “Return” key
on the keyboard. Do not type “enter”.

Illustrations
All illustrations in the manual are provided as examples only. All patient
names and data are fictitious, and any similarity to actual persons is
coincidental.

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.

1-4 SEER® Light 2040604-012D

 Manual Information

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.

Messages
Additional safety messages may be found throughout this manual that
provide appropriate safe operation information.

Warnings

WARNING
ACCIDENTAL SPILLS — To avoid electric shock or
device malfunction, liquids must not be allowed to enter
the device.

If liquids have entered a device, take it out of service and

have it checked by a technician before it is used again.

2040604-012D SEER® Light 1-5

Manual Information

WARNING
CARDIAC APPLICATION — This device cannot be used
for direct cardiac application.

WARNING
LEAKAGE CURRENT — Electrical shock to patient
could result from component failure and lack of power
isolation.

In the event this system is used in the patient vicinity/

environment, it must be configured in such a way that it
and all of its electrically-connected peripheral devices are
isolated from mains power to prevent excessive leakage
current to the patient. Use of isolated mains power, or a
medical grade isolation transformer (in compliance with
UL 60601, CAN/CSA C22.2 No. 601.1, EN/IEC 60601-1)
with this system will support compliance with EN/IEC
60601-1-1. All nonmedical peripheral devices shall
comply with applicable EN/IEC/ISO and UL safety
standards that are relevant to that equipment (i.e., EN/
IEC 60950, UL 60950). The overall system (device and all
of its connected peripheral devices) must comply with EN/
IEC 60601-1.

Use of SEER Light Connect device in the patient vicinity

requires that these measures are observed.

Patient vicinity/environment defined as:

„ Any volume in which intentional or unintentional

contact can occur between patient and parts of the
system or between patient and other persons touching
parts of the system (IEC 60601-1-1).
„ A space (volume), within a location intended for the
examination and treatment of patients, extending 6 ft
(1.83 m) beyond the normal location of the bed, chair,
table, treadmill, or other device that supports the
patient during examination and treatment and
extending vertically to 8 ft 2.4 in. (2.5 m) above the
floor.
„ Areas where healthcare staff members monitor
patients remotely and perform charting and
administrative tasks are not considered to be Patient
Vicinity/environment areas.

1-6 SEER® Light 2040604-012D

 Manual Information

WARNING
PACEMAKER PATIENTS — Take precautions to avoid
risks of hazard due to the operation of a cardiac
pacemaker or other electrical stimulators.

WARNING
RF INTERFERENCE — Known RF sources, such as cell
phones, radio or TV stations, and two-way radios, may
cause unexpected or adverse operation of this device.

Consult qualified personnel regarding system

configuration.

WARNING
CABLES — Cables present a possible strangulation
hazard.

To avoid possible strangulation, route all cables away

from patient's throat.

Use short version of cables for pediatric patients.

WARNING
CONDUCTIVITY — Electric shock or device malfunction
may occur if electrodes contact conductive materials.

Keep the conductive parts of lead electrodes and

associated parts away from other conductive parts,
including earth.

2040604-012D SEER® Light 1-7

Manual Information

WARNING
DEFIBRILLATION — Do NOT contact unit or patient
during defibrillation. 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
ELECTROSURGERY — Take precautions to reduce
risks of burns and injury to the patient.

If an electrosurgery device is used, it is necessary to

disconnect the patient cable from the SEER Light
recorder.

WARNING
OXYGEN RICH ENVIRONMENT — An oxygen rich
environment may be flammable.

Do not use device in an oxygen rich environment or

around other flammable or explosive gases.

WARNING
SUPERVISED USE — This device is intended for use
under the direct supervision of a licensed health care
practitioner.

1-8 SEER® Light 2040604-012D

 Manual Information

Cautions

CAUTION
BEFORE OPERATION — Check that the instrument
operates properly.

See Chapter 5 of the SEER™ Light Ambulatory Recorder/

Controller Service Manual for proper maintenance
practices.

When using with other instruments, request the

assistance of a specialist.

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 the guidelines
regulating the disposal of such products.

If you have questions concerning the disposal of this

product, contact GE or its representatives.

Dispose of the packaging material, observing the

applicable waste regulations.

Keep the packaging material out of children’s reach.

CAUTION
EQUIPMENT CONFIGURATION — The equipment or
system should not be used adjacent to, or stacked with
other equipment.

If adjacent or stacked use is necessary, test the equipment

or system to verify normal operation.

CAUTION
INTERFERENCE — Electrical emissions from an
electric blanket may degrade signal quality.

Do not use in conjunction with an electric blanket.

2040604-012D SEER® Light 1-9

Manual Information

CAUTION
INSTRUCTIONS FOR USE — For continued safe use of
this equipment, it is necessary that the listed instructions
are followed. However, instructions listed in this manual
IN NO WAY supersede established medical practices
concerning patient care.

CAUTION
MODIFICATIONS — Do not make any modifications to
the device. You will void the device’s warranty. See
“Responsibility of the Manufacturer” on page 1-10.

CAUTION
RESTRICTED SALE — U.S. Federal law restricts this
device to sale by or on the order of a physician.

Responsibility of the Manufacturer

Suzuken Company, Ltd 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 Suzuken Company,
Ltd.
„ The equipment is used in accordance with the instructions for use.

General
To ensure patient safety, use only parts and accessories manufactured or
recommended by GE Medical Systems Information Technologies, and
Suzuken Company, Ltd.

Contact GE Medical Systems Information Technologies for information

before connecting any devices to this equipment that are not
recommended in this manual.

Parts and accessories used must meet the requirements of the applicable
EN/IEC/UL 60601 or EN/IEC/UL 60950 series safety standards, and the

1-10 SEER® Light 2040604-012D

 Manual Information

system configuration must meet the requirements of the EN/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/ENVIRONMENT;

and
„ evidence that the safety certification of the ACCESSORY has been
performed in accordance with the appropriate EN/IEC/UL 60601-1
(medical) or EN/IEC/UL 60950 (information technology), and EN/
IEC 60601-1-1 safety standard(s).

Classification
The SEER Light Connect is classified according to EN/IEC 60950.

The SEER Light recorders and controllers are classified, according to

EN/IEC/UL 60601-1, as:

Type of protection against electrical shock Internally Powered Equipment

Degree of protection against electrical Type B Equipment

shock

Degree of protection against harmful Ordinary Equipment (enclosed equipment without protection against ingress of water)
ingress of water

Degree of safety of application in the Equipment not suitable for use in the presence of a flammable anesthetic mixture with
presence of a flammable anesthetic air or with oxygen or nitrous oxide
mixture with air or with oxygen or nitrous
oxide

Method(s) of sterilization or disinfection Not applicable

recommended by the manufacturer

Mode of operation Continuous operation

2040604-012D SEER® Light 1-11

Manual Information

Underwriters Laboratories, Inc.

Classified by Underwriters Laboratories Inc. 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, EN/IEC 60601-1, and IEC 60601-2-47.

Information Technology Equipment

The hardware components supplied by GE for the MARS® Holter
analysis workstation, on which the SEER Light Connect application
runs, are considered to be Information Technology Equipment (ITE).
These individual components have been found to comply with the
standard for Safety of Information Technology Equipment, including
Electrical Business Equipment EN/IEC/UL 60950.

The software used in the MARS® Holter analysis workstation is

considered as medical software. The software has been designed and
manufactured to the appropriate medical regulations and controls.

In order for the MARS® Holter analysis workstation to comply with

medical equipment leakage current requirements, a medical grade
uninterruptible power supply (UPS) must be used (EN/IEC/UL 60601-1)
to power all non-medical equipment.

In addition, non-medical electrical equipment must comply with EN/IEC/

UL safety standards that are relevant to that equipment (i.e., IEC 60950,
Safety of Information Technology Equipment).

Equipment Symbols
The following symbols may appear on the equipment.

Attention. Consult accompanying documents.

Manufacturer name and address.

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 Manual Information

European authorized representative.

Serial Number.

RX Only USA only. For use by or on the order of a physician, or person licensed by state law.

Type B applied Part.

Event.

This symbol indicates the polarity orientation that each battery should have when you insert it
into the unit. This unit requires you to insert the batteries so that the polarities are oriented in
alternating directions.

Power.

Stop.

Input connector.

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Manual Information

Output connector.

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.

Service Information
Requirements
Refer equipment servicing to GE Medical Systems Information
Technologies’ 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 Medical

Systems Information Technologies or to one of their authorized agents.

Serial Number
The serial number is a unique number used for identification. The serial
number appears on the device label located on the back of the device,
similar to the following.

089A

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 Manual Information

2040604-012D SEER® Light 1-15

Manual Information

1-16 SEER® Light 2040604-012D

 2 Equipment Overview

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Equipment Overview

General Information
For safe and effective operation, read this manual thoroughly prior to
use.

NOTE
It is unsafe to start using the device before reading this entire
manual.

1A
SEER Light/SEER Light Extend Compact Digital Holter Recorder

2B
SEER Light Extend Controller with Compact Flash Card

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 Equipment Overview

084A
SEER Light Connect

SEER Light Device Compatibility

There are two types of recorders and controllers, with different
capabilities: SEER Light and SEER Light Extend.

„ The SEER Light recorder acquires, stores and transfers up to 24

hours of ECG data.
„ The SEER Light Extend recorder and SEER Light Extend controller
acquires, stores and transfers up to 48 hours of ECG data.

CAUTION
DATA TRANSFER — The SEER Light Extend recorder
works with the 24-hour SEER Light controller for setup,
but not for transferring data. The 24-hour SEER Light
controller is no longer available.

Always use the SEER Light Extend recorder with the

SEER Light Extend controller when transferring data.

NOTE
The 24-hour SEER Light recorder can be used with the SEER Light
Extend controller.

SEER Light/SEER Light Extend Compact Digital

Holter Recorder
The SEER Light/SEER Light Extend Compact Digital Holter Recorder is
shown and described below. This device is also referred to as “the
recorder” in this document.

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Equipment Overview

NOTE
There are two recorders available: The SEER Light recorder that
records up to 24 hours of ECG data, and the SEER Light Extend
recorder that records up to 48 hours of ECG data. The stenciled label
on each device identifies the recorder name.

3A

Name Function

A Battery box cover Slide the cover to open and set the batteries in the
battery box.

NOTE
Do not open in patient vicinity.

B Battery box Holds the batteries.

C REC LED To display operation conditions:

„ After pressing the Start/Event button, the

LED will flash twice per second for three
minutes. During this time data is not recorded.
„ During recording, the LED will flash every
second.

D „ Use to start recording.

„ Use mark events during recording.
Start/event button

E Patient cable connector Used to connect patient cable.

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 Equipment Overview

Name Function

F DATA LED The LED lights while transferring data to the SEER
Light controller or SEER Light connect.

G For transfer of data to the SEER Light controller or

SEER Light connect.

A data output connector

H Not used.

NOTE
B output connector Do not connect to any unauthorized device.

I Access LED Will flash during communication with the SEER

Light controller.

J Infrared terminal (IR Window) „ Used to receive the signal from the SEER
Light controller to begin ECG recording.
„ Used to receive patient information and ECG
recording starting time.
„ Used to confirm the ECG waveform recorded
by the recorder (ECG preview).

K Push this button with a ball point pen to stop the

recording before 24 hours have elapsed (or 48
hours with the SEER Light Extend recorder).
Stop button

SEER Light Extend Controller

The SEER Light Extend Controller is shown and described below. This
device is also referred to as “the controller” in this document.

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Equipment Overview

4A

Name Function

1 Battery box Holds the batteries.

2 Battery box cover In direction indicated, lift the cover open and place
four new alkaline AAA type batteries in the battery
box.

3 Data transfer cable Used to transfer data from the SEER Light
recorder. When not in use, store the cable in the
guide on the backside panel.

4 Function buttons Used to enter controller modes. Press F1 to enter

Preview mode to confirm the quality of ECG
recording. Press F2 to enter Data Transfer mode to
transmit data to SEER card. Press F3 to enter
Review mode to confirm SEER card contents.
Press F4 to return to SEER mode.

5 F6 button Used to start recording of the SEER Light recorder

and to start transferring data to a SEER card.

6 Select (ENT) button Used to select items and navigate around the
display panel.

7 Patient information entry Enter the patient’s alphanumeric information.

keypad

8 F5 button Used to enter Set-up condition mode to change

certain settings on the controller and recorder.

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 Equipment Overview

Name Function

9 LCD (liquid crystal Displays operating conditions.

display)

10 Used to turn the power on and off.

Power button

11 Infrared terminal (IR Used to communicate with the SEER Light

Window) recorder.
„ Transfer the instructions to a SEER Light
recorder before recording.
„ Receive ECG waveform recording data from a
SEER Light recorder to preview.

12 SEER card slot Used to insert a SEER card.

13 Eject button Used to eject a SEER card.

SEER Light Connect

The SEER Light Connect is used as a direct interface connection between
the recorder and the Holter analysis system. This device is also referred
to as “the connect” in this document.

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Equipment Overview

WARNING
LEAKAGE CURRENT — Electrical shock to patient
could result from component failure and lack of power
isolation.

In the event this system is used in the patient vicinity/

environment, it must be configured in such a way that it
and all of its electrically-connected peripheral devices are
isolated from mains power to prevent excessive leakage
current to the patient. Use of isolated mains power, or a
medical grade isolation transformer (in compliance with
UL 60601, CAN/CSA C22.2 No. 601.1, EN/IEC 60601-1)
with this system will support compliance with EN/IEC
60601-1-1. All nonmedical peripheral devices shall
comply with applicable EN/IEC/ISO and UL safety
standards that are relevant to that equipment (i.e., EN/
IEC 60950, UL 60950). The overall system (device and all
of its connected peripheral devices) must comply with EN/
IEC 60601-1.

Use of SEER Light Connect device in the patient vicinity

requires that these measures are observed.

Patient vicinity/environment defined as:

„ Any volume in which intentional or unintentional

contact can occur between patient and parts of the
system or between patient and other persons touching
parts of the system (IEC 60601-1-1).
„ A space (volume), within a location intended for the
examination and treatment of patients, extending 6 ft
(1.83 m) beyond the normal location of the bed, chair,
table, treadmill, or other device that supports the
patient during examination and treatment and
extending vertically to 8 ft 2.4 in. (2.5 m) above the
floor.
„ Areas where healthcare staff members monitor
patients remotely and perform charting and
administrative tasks are not considered to be Patient
Vicinity/environment areas.

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 Equipment Overview

B
084A

Name Function

A Data transfer cable Used to transfer data from the SEER Light recorder
to the SEER Light Connect.

B Infrared terminal Used to communicate with the SEER Light

(IR Window) recorder.

„ Receives ECG waveform data from a SEER

Light recorder to preview.
„ Transfers patient demographics to the SEER
Light recorder.
„ Starts the SEER Light recorder.

C USB Connection Uses a USB patch cord to transfer data from the
SEER Light Connect to the Holter analysis system.

D LED indicator „ Flashes when data is transferring.

„ Lights without flashing when a proper
connection exists.

Installing SEER Light Hookup

This software is used in conjunction with the SEER Light Connect
device. If you do not have a SEER Light Connect device, you may skip
this section.

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Equipment Overview

Before you connect the SEER Light Connect device to your Holter
analysis workstation, follow these steps to install the SEER Light
Hookup software.

NOTE
You must have administrator privileges to install the SEER Light
Hookup software.

1. Insert the SEER Light Hookup software CD in the CD drive of your

workstation.

NOTE
The computer you install the SEER Light Hookup software must
be running Windows 2000, 2000 server, XP or 2003 server.

The software cannot be installed on Windows NT, 98 or ME.

2. The SEER Light Hookup InstallShield Wizard appears. Choose the

appropriate language and select Next.

3. The SEER Light Hookup Setup welcome window appears. Select

Next.

4. The license agreement window appears. Review the license

agreement and select Yes.

5. The Destination Disk window appears. Highlight the disk in which

the SEER Light Hookup application will be installed. Select Next.

6. The software is now being installed. When finished, a message

appears asking if you would like to view the installation report.
Select Yes to view the report or No to continue.

If you select Yes, the Installation Report appears.

„ To print the report, select the Print button.

„ To view previous installation reports, select the View History
button. This button will be grayed out if no prior installations
were done on your computer.
7. Select Next when finished.

8. At the InstallShield Wizard Complete window, select Yes, I want to

restart my computer now.

9. Select Finish. Your computer will restart.

10. Log back in as Administrator.

11. Plug the Universal Serial Bus (USB) cable into the USB port of your
computer to load the USB drivers. Connect the USB cable to the
SEER Light Connect device.

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 Equipment Overview

The Found New Hardware window appears.

12. If you are on a Windows 2000 operating system, the Insert Disk
window will appear. Select OK.

Two additional files need to be loaded: the WinRTUSB.dll and the

WinRTUSB.sys. The Files Needed window appears. In the dropdown
box, type in D:\drivers\ (or the letter assigned to the CD drive if it
is not D). Select OK.

The Files Needed window appears again. In the dropdown box, type
in D:\drivers\ (or the letter assigned to the CD drive if it is not D).
Select OK.

13. If you are on a Windows XP system the Found New Hardware

Wizard window appears. Select the button next to Install the
software automatically. Select Next.

The Found New Hardware Wizard window appears again. Select

Finish.

The SEER Light Hookup installation is now complete.

Pouch
It is recommended that the recorder be used in combination with the
SEER Light pouch (PN 2008596-001) for the entire duration of the
recording. The pouch protects the connection between the patient cable
and the recorder.

Operating Modes - SEER Light Controller

There are three operating modes for the controller:

„ SEER mode
„ Transfer mode
„ Set-up Condition mode

SEER mode
This is the main user mode of operation; patient information and
recording occurs from within SEER mode. Refer to “Entering Patient
Data” on page 4-1 and “Recording Data” on page 5-1 for more
information.

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Equipment Overview

The controller starts up in SEER mode automatically.

Transfer mode
Recorded data is transferred from the recorder to the controller from
within Transfer mode. Refer to “Transferring Data” on page 6-1 for more
information.

Press F2 to enter Transfer mode.

Set-up Condition Mode

Use the Set-up Condition mode to configure operating parameters for the
recorder and controller. Once configured, the settings will be saved if the
power is turned off.

1. Press the Power button and the F5 button simultaneously.

Continue to hold the F5 button while releasing the Power button.
The Set-up condition display mode opens.

2. Press the buttons to select a parameter.

3. Press the buttons to set the parameter’s conditions.

4. Press the F1 button to exit the Set-up Condition mode.

Selecting a Language
Follow these steps to change the language that the SEER Light
controller displays.

1. Press the Power button and the F5 button simultaneously.

Continue to hold the F5 button while releasing the Power button.
The Set-up condition display mode opens.

2. Press the 0 button to open the Language Selection display.

3. Use the Patient Information Entry keypad or the buttons to

select the desired language.

4. Press ENT to select the language.

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 Equipment Overview

Parameter Descriptions and Configuration

The following operating parameters can be configured for the recorder

and the controller.

Parameter Description

Heart rate synchronizing sound (controller) Heart rate synchronizing (shown as HR sound) can be set ON or OFF during the preview
of ECG waveforms. (OFF is the initial setting.)

Press the buttons to turn the selection ON or OFF.

Heart rate detection channel (controller) Used to select a recording channel to detect heart rate to calculate the heart rate and the
heart rate synchronizing sound during the preview of ECG waveform.

Selections are CH1, CH2, or CH3 (CH1 is the initial setting).

Press the buttons to select CH1, CH2, or CH3.

Auto start (recorder) If auto start is set to on, the controller will program the SEER Light recorder so it
automatically starts 30 minutes after batteries are installed.

Once the recorder is setup this way it will always automatically start in this manner unless
is it reprogrammed.
If auto start is set to off it will program the SEER Light recorder so it does not automatically
start 30 minutes after the batteries are installed
Press the buttons to turn the selection ON or OFF.

NOTE
The recorder will not Auto start if there is untransferred data in the recorder.

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Equipment Overview

Parameter Description

Date and Time (controller) Used to set the date and time of the controller. The start time of the recorder is calculated
based on the date and time of the controller. The recorder does not have a time clock.

„ The recorder receives the date and time information from the controller when the
recorder is started by the controller.
„ Or, in instances when recording is initiated from the recorder, the recording start time
will be calculated from the time clock of the controller when the ECG data is
transferred to a SEER card from the recorder using the controller.
Setting the Date

1. Press the alphanumeric buttons to enter DD, MON (the 3-letter code for the month),
and YYYY in order. The Hungarian language version displays the date using the
yyyy-MON-dd format.
2. Press to confirm the new date.
Setting the Time

1. Press the alphanumeric buttons to enter HH and MM in order.

2. Press to confirm the new time.

Accelerometer Check Not used

Battery Power
The controller and the recorder use AAA alkaline batteries. Always
remove the batteries when storing either device.

SEER Light Controller

According to the battery power level, the battery icon will change.

The following table describes the battery power level icon(s).

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 Equipment Overview

Battery Symbol Mark Battery Power Level

Sufficient power for normal operation.

Battery power sufficient for 6 normal recording

operations, including preview of the ECG
waveform for 5 minutes, start recorder, and
data transfer. It is recommended to replace the
batteries.

Battery power sufficient for 3 normal recording

operations, including preview of the ECG
waveform for 5 minutes, start recorder, and
data transfer. Replace with new batteries

No power for operation. Replace the batteries.

NOTE
The Auto Power OFF function will be activated to save the battery
power if no button is pressed for 15 minutes. The Auto Power OFF
function will not be activated if any error message is displayed.

SEER Light Recorder

Always remove the batteries when not in use, and replace with new AAA
alkaline batteries when ready for use. See “Inserting Batteries in the
SEER Light Recorder” on page 5-12 for details.

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Equipment Overview

Battery Disposal
Do not burn the batteries, or dispose of batteries with other medical
wastes. Contact your local recycling center for information on proper
disposal of used batteries.

Care and Cleaning

Follow these cleaning instructions for the recorder, controller and the
connect device.

„ Keep the device clean between each use to prevent infection.

„ Remove the batteries and disconnect any power and USB cords
before cleaning the device.
„ Use a piece of cloth dampened with alcohol to clean the device and
the patient cable.
NOTE
Do not clean and reuse electrodes. Use new electrodes for each
use.

„ The devices cannot be sterilized.

„ Do not immerse the device in any liquid, or allow liquids to enter
through connections, ports or buttons.
„ Do not use xylene or petroleum-based solvents for cleaning the
device.
„ In case of a malfunction, call a service technician and precisely
describe the problem.
„ Check the patient cable and connectors every month by connecting to
an ECG simulator.

Storage and Operating Conditions

Follow these guidelines when storing and operating the SEER Light
devices.

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 Equipment Overview

Storage and Operation Environmental Conditions

Storage Conditions „ Remove batteries from the recorder and

controller
„ Temperature, SEER Light Recorder and
SEER Light Connect: -4°F to 149°F (-20°C to
65°C)
„ Temperature, SEER Light Controller: -4°F to
140°F (-20°C to 60°C)
„ Relative Humidity, SEER Light Recorder 5-
90% RH non-condensing
„ Relative Humidity, SEER Light Controller 30-
90% RH non-condensing

Operating Conditions for SEER „ Temperature 50°F to 95°F (10°C to 35°C)

Light Controller and SEER Light „ Relative Humidity 30-80% RH non-
Connect condensing

Operating Conditions for SEER „ Temperature 32°F to 113°F (0°C to 45°C)

Light Recorder and SEER Light „ Relative Humidity 10-95% RH non-
Extend Recorder condensing

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Equipment Overview

2-18 SEER® Light 2040604-012D

 3 Preparing the Patient

2040604-012D SEER® Light 3-1

Preparing the Patient

Placing Electrodes
Two Channel, Five Electrode
In the two channel, five electrode configuration, two channels of ECG
data are bipolar. Red positive (+) is referenced to white negative (–) and
brown positive (+) is referenced to black negative (–).

B C
D

045A

AHA IEC
Channel Lead Location
Color Color

A Red Yellow CH 1(+) II (+) Fifth intercostal space,

anterior axillary line.

B White Red CH 1 (-) II (-) Below the right clavicle, just

lateral to the midclavicular
line.

C Brown Green CH 2 (+) mV1 (+) Fourth intercostal space, right

sternal edge.

D Black White CH 2 (-) mV1 (-) Below the left clavicle, just
lateral to the midclavicular
line.

E Green Black Ground On the lower right chest wall,

on a rib.

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 Preparing the Patient

Three Channel, Seven Electrode

There are three possible electrode configurations for three channel, seven
electrode recording.

Modified V3 Leads
A modified V3 lead may be helpful in identifying ST segment changes in
ischemic episodes associated with the left anterior descending coronary
artery. The following are the recommended electrode locations to record
the modified V5 (mV5) on channel 1, the modified V1 (mV1) on channel 2,
and the modified V3 (mV3) on channel 3.

F
D

B E

G
046A

AHA IEC
Channel Lead Location
Color Color

A Red Yellow CH 1(+) mV5 (+) Fifth intercostal space at the left axillary line.
B White Red CH 1 (-) mV5 (-) Right clavicle, just lateral to the sternum.
C Brown Green CH 2 (+) mV1 (+) Fourth intercostal space at the right sternal
edge.
D Black White CH 2 (-) mV1 (-) Left clavicle, just lateral to the sternum.
E Orange Orange CH 3 (+) mV3 (+) Equidistant between the normal locations
for precordial leads V2 and V4.

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Preparing the Patient

AHA IEC
Channel Lead Location
Color Color

F Blue Blue CH 3 (-) mV3 (-) Mid-sternum, at the level of the clavicles.
G Green Black Ground Lower right chest wall.

Modified aVF Leads

A modified aVF lead may be helpful in identifying ST segment changes
in ischemic episodes associated with the right coronary or circumflex
arteries. The following are the recommended electrode locations to record
the modified V5 (mV5) on channel 1, the modified V1 (mV1) on channel 2,
and the modified aVF (maVF) on channel 3.

F
B

A
C
E

047A

AHA IEC
Channel Lead Location
Color Color

A Red Yellow CH 1(+) mV5 (+) Fifth intercostal space at the

left axillary line.
B White Red CH 1 (-) mV5 (-) Right clavicle, just lateral to
the sternum.
C Brown Green CH 2 (+) mV1 (+) Fourth intercostal space at the
right sternal edge.
D Black White CH 2 (-) mV1 (-) Left clavicle, just lateral to the
sternum.

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 Preparing the Patient

AHA IEC
Channel Lead Location
Color Color

E Orange Orange CH 3 (+) maVF (+) Sixth rib, at the left mid-
clavicular line.
F Blue Blue CH 3 (-) maVF (-) Left clavicle, at the mid-
clavicular line.
G Green Black Ground Lower right chest wall.

Modified Z Leads
A modified Z lead (mZ) may be helpful in identifying ST segment changes
in ischemic episodes with an anteroposterior axis. The following are the
recommended electrode locations to record the modified V5 (mV5) leads
on channel 1, modified V1 (mV1) leads on channel 2, and Z leads on
channel 3.

D E
C B

A
G F
Front Back
048A & 049A

AHA IEC
Channel Lead Location
Color Color

A Red Yellow CH 1(+) mV5 (+) Fifth intercostal space at the

left axillary line.
B White Red CH 1 (-) mV5 (-) Right clavicle, just lateral to
the sternum.
C Brown Green CH 2 (+) mV1 (+) Fourth intercostal space at the
right sternal edge.

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Preparing the Patient

AHA IEC
Channel Lead Location
Color Color

D Black White CH 2 (-) mV1 (-) Left clavicle, just lateral to the
sternum.
E Orange Orange CH 3 (+) Z (+) Posterior, just right of the
spine, at the same level as the
anterior lead.
F Blue Blue CH 3 (-) Z (-) Mid-sternum, at the level of
the fourth intercostal space.
G Green Black Ground Lower right chest wall.

Preparing the Skin

Determine electrode placement according to one of the configurations
shown in this chapter. Use this procedure to insure good quality ECG
data.

CAUTION
ELECTRODES — Make sure that the electrodes
conducting elements do not make contact with each other
or other metal parts.

Make sure that the device is not subject to disturbances

from the electric mains.

Use only the specified electrodes for safety. Any other

electrode may not give proper recording and may cause
problems with the patient.

1. To minimize electrode problems, be sure to use the proper type of

electrode. Check the expiration date on any pregelled electrode
before using it. Also, check for dry gel pads on any pregelled
electrodes that have been left out of their foil package.

2. Shave hair from each electrode site. This improves conductivity,

helps hold the electrode to the skin, and makes the removal of the
electrode easier.

3. Rub each electrode site thoroughly with alcohol. This removes oil
from the skin.

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4. Mark each electrode site with a felt tip pen. This provides an easy
way to determine when the epidermis has been sufficiently abraded.

5. Use an abrasive pad to remove the epidermal skin layer at each

electrode site. The epidermal skin layer has been removed when the
mark left from the felt tip pen has been erased.

WARNING
ELECTRODE CONDUCTIVITY — Keep the conductive
parts of lead electrodes and associated parts away from
other conductive parts, including earth.

6. Place an electrode on each prepared site.

Hooking Up the Patient

Complete patient hookup and prepare the patient for ECG data
recording.

NOTE
Use only the 5- or 7-electrode patient cable designed for use with the
recorder.

1. Connect each cable lead wire to the correct patient electrode per the
electrode placement tables.

2. Use stress loops to reduce the movement of the electrodes caused by

tension from the lead wires.

Form a stress loop in each lead wire using an electrode clip as shown
below. This prevents a lead wire from pulling directly on the
electrode contact points. Each loop should be about 1 or 2 inches in
diameter, about 2 inches from the electrode.

Electrode Clip

3. Secure the electrodes with tape to prevent movement and maintain

electrical contact.

If you are using wet gel electrodes, apply the tape loosely enough so
that no gel squeezes onto the adhesive surfaces of the electrodes.

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Preparing the Patient

NOTE
Special T-shirts (PN 9812-011/012/013) are available from GE
Medical Systems Information Technologies that minimize
movement and increase comfort during the data recording
period.

4. Connect the patient cable to the connector on the recorder.

21A

An example of the completed hookup is shown below.

51A

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 Preparing the Patient

Pouch
It is recommended that the recorder be used in combination with the
SEER Light pouch (PN 2008596-001) for the entire duration of the
recording. The pouch protects the connection between the patient cable
and the recorder.

Holter ECG Patient Diary

Setting Up the Patient Diary
Enter the following items in the patient’s diary:

„ Patient name
„ Patient identification number
„ Data card number
„ Recorder type and number, and
„ Hook-up date and time

Instructing the Patient

Inform the patient of the recorder’s audible alarms to prevent patient
anxiety when alarms sound. The recorder does NOT interfere with the
patient’s normal routine, but there are a few restrictions while wearing
it.

Describe the diary to the patient and emphasize the importance of

keeping track of activities and symptoms.

Audible Alarms
The patient must understand that the recorder beeps under normal
operation, and is NOT an indication of cardiac problems for the patient.
Describe these instances of audible alarms to prevent patient anxiety.

„ In case of insufficient battery level, an audible alarm will

continuously sound. This indicates that new batteries are required.
„ A beep sounds for one minute when beginning a recording.

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Preparing the Patient

Activity Restrictions
„ Do NOT tamper with the recorder, electrodes, or lead wires.
„ Do NOT take the recorder from the case and do not touch the cable or
switch unnecessarily during Holter ECG checking.
„ Do NOT drop or hit the recorder as the Holter recorder is precision
equipment.
„ Do NOT use other low frequency medical equipment at the same
time.

„ Do NOT push the Stop button.

„ Do NOT take a shower or bath, or get the electrodes or recorder wet.
„ Do NOT submerge the recorder in water or other liquids, otherwise
you may damage the recorder.
„ When wearing the recorder at night, do NOT use an electric blanket.
It may interfere with the recording.

Keeping Track
„ Record all diary entries with the date and time.
„ Record any physical signs and symptoms. When a symptom is felt,
press the (Start/Event) button, describe it in the diary, and
correlate it with the patient’s activity and position.
„ Press the (Start/Event) button for about one second to mark
the beginning of an event. For prolonged events, you can also press
the button to signal the end of an event.
„ Record activities throughout the test period. Make notations about
physical activities, rest periods, meals, strong emotional conditions,
and sleep.

Shorter Test
If you perform a test shorter than 24 hours (or 48 hours with SEER Light
Extend recorder), instruct the patient to disconnect the recorder when
the test is complete.

„ Make sure the patient understands at what time the recording is

complete.
„ Instruct the patient how to remove the lead wires from the electrodes
and how to remove the electrodes.

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 Preparing the Patient

NOTE
The recorder continues to record even if you remove the cable or
electrodes. Reconnect the patient to continue testing. Noise
recorded during disconnection can be handled by the Holter
analysis system.

„ To stop recording before 24 hours have elapsed (or 48 hours with

SEER Light Extend recorder), press the (Stop) button with a
ball point pen.

2040604-012D SEER® Light 3-11

Preparing the Patient

3-12 SEER® Light 2040604-012D

 4 Entering Patient Data

2040604-012D SEER® Light 4-1

Entering Patient Data

Entering Patient Data

Patient data can be entered via the controller or the connect device.

WARNING
MIXING PATIENT DATA — Accidental mixing of
patient data can result in misdiagnosis and incorrect
treatment.

Always transfer or delete old data before beginning a new

recording session, and promptly enter patient
demographics.

Using the SEER Light Extend Controller

Be sure that all information from previous patient recordings has been
transmitted to the controller.

If data remains on the recorder that has not been transmitted to the
controller, the controller will display the message Recorder still contains
untransmitted data. Press F6 to start a new recording. A beep will sound
from the recorder.

Deleting Old Data

Press the F6 button to delete any old data remaining on the recorder and
to begin entering patient data for this test.

Entering Patient Information

The controller displays the patient information screen when you press
the POWER button. Use this screen to enter the followingpatient
information:

„ ID number (up to 10 digits)

„ Age
„ Gender
„ Last Name [Displayed as NAME(L)]
„ First Name [Displayed as NAME(F)]
Items can be selected by pressing the buttons.

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 Entering Patient Data

Press CLR to correct error input.

Alphanumeric Entry
Each patient information field accepts alphabetic or numeric data. ID#
and Age are numeric-only fields. The bottom of the display panel shows
{1}. Name(L) and Name(F), which are alphabetic fields by default, and
the bottom of the display planel shows {A}. Press F5 before entering
numbers in these fields. Press F5 again to return to entering letters. The
8 and 9 buttons are used in the Gender field.

Choosing a Letter to Enter

Each numbered button represents specific letters listed above the button.
Each time you press the button the letter displayed will change in the
order they appear, first in UPPERCASE, then in lowercase. For example,

if the button is pressed three times in the alphabet entry mode, the

capital letter “C” will display. If the button is pressed four times in
the alphabet entry mode, the lowercase letter “a” will be displayed.
Pressing F4 while in an information field will display a hyphen (-).

NOTE
Press the button to advance the cursor to enter the next letter in
the name.

Button Alphabet Number

1

ABC abc 2

DEF def 3

GHI ghi 4

2040604-012D SEER® Light 4-3

Entering Patient Data

Button Alphabet Number

JKL jkl 5

MNO mno 6

PQRS pqrs 7

TUV tuv 8
This button is also used to enter gender
for male patients.
WXYZ wxyz 9
This button is used to enter gender for
female patients.
.- 0

Space

Using the SEER Light Connect

To enter patient data using the SEER Light Connect device.

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 Entering Patient Data

WARNING
LEAKAGE CURRENT — Electrical shock to patient
could result from component failure and lack of power
isolation.

In the event this system is used in the patient vicinity/

environment, it must be configured in such a way that it
and all of its electrically-connected peripheral devices are
isolated from mains power to prevent excessive leakage
current to the patient. Use of isolated mains power, or a
medical grade isolation transformer (in compliance with
UL 60601, CAN/CSA C22.2 No. 601.1, EN/IEC 60601-1)
with this system will support compliance with EN/IEC
60601-1-1. All nonmedical peripheral devices shall
comply with applicable EN/IEC/ISO and UL safety
standards that are relevant to that equipment (i.e., EN/
IEC 60950, UL 60950). The overall system (device and all
of its connected peripheral devices) must comply with EN/
IEC 60601-1.

Use of SEER Light Connect device in the patient vicinity

requires that these measures are observed.

Patient vicinity/environment defined as:

„ Any volume in which intentional or unintentional

contact can occur between patient and parts of the
system or between patient and other persons touching
parts of the system (IEC 60601-1-1).
„ A space (volume), within a location intended for the
examination and treatment of patients, extending 6 ft
(1.83 m) beyond the normal location of the bed, chair,
table, treadmill, or other device that supports the
patient during examination and treatment and
extending vertically to 8 ft 2.4 in. (2.5 m) above the
floor.
„ Areas where healthcare staff members monitor
patients remotely and perform charting and
administrative tasks are not considered to be Patient
Vicinity/environment areas.

1. Select the SEER Light Hookup icon on your desktop . The GE

SEER Light Hookup window appears.

2040604-012D SEER® Light 4-5

Entering Patient Data

2. Enter the patient’s information. The Last Name and First Name
fields are limited to a maximum of 14 characters. The ID field is
limited to a maximum of 10 numeric characters.

Enter Patient
Information Here

080A

3. Refer to “Begin Recording with SEER Light Connect” on page 5-14.

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 5 Recording Data

2040604-012D SEER® Light 5-1

Recording Data

Operating
Before Recording
Follow these steps before recording. For information on each operation,
see the page(s) indicated.

1. Prepare the patient by performing skin preparation and attaching

the electrodes. Refer to “Placing Electrodes” on page 3-2 and
“Preparing the Skin” on page 3-6 for more information.

2. Prepare the controller by checking the battery status. If necessary,

replace the controller’s batteries. Install new batteries in the
recorder. Refer to “Battery Power” on page 2-14.

3. Connect the electrode lead wires. Refer to “Hooking Up the Patient”

on page 3-7 for more information.

4. Do a lead check. Refer to “Checking the Leads” on page 5-3 for more
information.

5. Enter patient information. Refer to Chapter 4, “Entering Patient

Data” on page 4-1 for more information.

6. Start the recorder. Refer to “Starting the SEER Light Recorder” on

page 5-11 for more information.

After Recording
Follow these steps after recording. For information on each operation,
see the page indicated.

1. Disconnect the patient from the recorder. Refer to “Disconnecting the

SEER Light Recorder” on page 5-15 for more information.

2. Transfer the patient’s Holter data from the recorder/controller/

connect to the MARS system for analysis. Refer to Chapter 6,
“Transferring Data” for more information.

3. Clean and store the SEER Light devices. Refer to “Care and
Cleaning” on page 2-16 and “Storage and Operating Conditions” on
page 2-16 for more information.

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 Recording Data

Connecting the Patient Cable

marks indicate
placement

9A
Connect the patient cable to the connector of the recorder with the
mark facing up. Make sure it is connected properly.

Checking the Leads

After the patient is hooked up to the recorder, check the quality of the
connections using the controller or the connect.

Check Leads Using the SEER Light Extend Controller

1. Turn the controller’s power on. Confirm the date and time; adjust if
necessary. Refer to “Set-up Condition Mode” on page 2-12 for more
information.

2. Align the infrared terminals on the controller and the recorder.

Press the F1
button
Waveforms or lead
quality information is
displayed here.

43A
3. Press the F1 button on the controller.

2040604-012D SEER® Light 5-3

Recording Data

The Preview screen is displayed on the controller, showing the

following elements:

„ The patient’s heart rate is displayed in the upper right corner

„ Two or three channels of waveform data are displayed
„ Adjust patient hookup if waveform height/quality are not
satisfactory or if messages are displayed instead of waveforms.

CAUTION
WAVEFORM DIAGNOSTIC QUALITY — The ECG
waveforms shown on the preview screen are used for
assessing the quality of the connections only.

Do not use these preview waveforms for diagnostic

purposes.

CAUTION
WAVEFORM DISPLAY — Fluorescent lights in the
room may interfere with infrared communication between
the recorder and controller. In this case, normal ECG
waveform will not be displayed on the LCD.

Keep the device away from fluorescent lights. Turn off

fluorescent lights when device is used. Cover the infrared
window with a hand to shield the display from the
fluorescent lights.

4. Select the F4 button to exit the Preview screen and return to the
SEER screen.

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 Recording Data

Checking Leads Using the SEER Light Connect

WARNING
LEAKAGE CURRENT — Electrical shock to patient
could result from component failure and lack of power
isolation.

In the event this system is used in the patient vicinity/

environment, it must be configured in such a way that it
and all of its electrically-connected peripheral devices are
isolated from mains power to prevent excessive leakage
current to the patient. Use of isolated mains power, or a
medical grade isolation transformer (in compliance with
UL 60601, CAN/CSA C22.2 No. 601.1, EN/IEC 60601-1)
with this system will support compliance with EN/IEC
60601-1-1. All nonmedical peripheral devices shall
comply with applicable EN/IEC/ISO and UL safety
standards that are relevant to that equipment (i.e., EN/
IEC 60950, UL 60950). The overall system (device and all
of its connected peripheral devices) must comply with EN/
IEC 60601-1.

Use of SEER Light Connect device in the patient vicinity

requires that these measures are observed.

Patient vicinity/environment defined:

„ Any volume in which intentional or unintentional

contact can occur between patient and parts of the
system or between patient and other persons touching
parts of the system (IEC 60601-1-1).
„ A space (volume), within a location intended for the
examination and treatment of patients, extending 6 ft
(1.83 m) beyond the normal location of the bed, chair,
table, treadmill, or other device that supports the
patient during examination and treatment and
extending vertically to 8 ft 2.4 in. (2.5 m) above the
floor.
„ Areas where healthcare staff members monitor
patients remotely and perform charting and
administrative tasks are not considered to be Patient
Vicinity/environment areas.

2040604-012D SEER® Light 5-5

Recording Data

1. Select the SEER Light Hookup icon on your desktop. The GE

SEER Light Hookup window appears.

2. Connect the USB cable to the connect and the Holter analysis PC.
When properly connected, the LED on the connect turns amber.

NOTE
The following picture shows a USB port on the front of the PC.
Some PCs have the USB port(s) located on the back. The connect
can be connected to either a front or back USB port.

Connect rectangular
USB connection to
the computer’s USB
port.
When the LED turns
amber, the USB
cable is properly
connected.
Connect square
USB connection
here.
086A
3. Align the infrared terminals on the connect and the recorder.

4. At the GE SEER Light Hookup window, select the Start Preview

button.

„ Up to three channels of waveform data are displayed.

„ Adjust patient hookup if waveform height/quality are not
satisfactory or if messages are displayed instead of waveforms.

CAUTION
WAVEFORM DIAGNOSTIC QUALITY — The ECG
waveforms shown on the preview screen are used for
assessing the quality of the connections only.

Do not use these preview waveforms for diagnostic

purposes.

5. Select the Stop Preview button to stop the lead preview.

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 Recording Data

Confirming ECG Recording

The quality of a Holter ECG recording is very important. To record ECG
without artifact, confirm the recording conditions before starting the
recording. To improve the ECG quality, adjust the electrode
attachments.

Wireless Data Transfer

The controller and the connect use infrared wireless data transfer to
confirm the ECG waveform recorded by the recorder. In preview mode,
the controller displays two channels of real-time ECG waveforms at a
time, and the connect displays up to three channels of real-time ECG
waveforms.

Considerations Using the SEER Light Extend Controller

„ Insert the batteries in the recorder before entering the preview mode.
The ECG waveform cannot be checked without inserting the
batteries.
„ By entering the preview mode, infrared data transfer will be checked
automatically. Point the controller to the infrared terminal of the
recorder, and press the F1 button.
„ As the preview mode of the controller consumes battery power,
return to the SEER mode after checking the ECG waveform.
„ Preview mode by remote wireless operation can only be done before
starting the recorder (pressing the F6 button) and during the first
three minutes of the recording phase (after pressing the F6 button).
The recorder will beep for the first minute of the recording phase.
„ The recorder will enter Power Save mode after setting the batteries.

Confirming ECG Recording Using the SEER Light Extend

Controller
1. From the SEER screen, point the controller to the infrared terminal
of the recorder, and press the F1 button. The Preview screen will
display.
2. By pressing the or F4 button after checking the ECG waveform, it
will return to the SEER screen.

2040604-012D SEER® Light 5-7

Recording Data

Considerations Using the SEER Light Connect

„ Insert the batteries in the recorder before entering the preview mode.
The ECG waveform cannot be checked without inserting the
batteries.
„ By entering the preview mode, infrared data transfer will be checked
automatically.
„ You can only enter preview mode by remote wireless operation before
starting the recorder (selecting the Record button) and during the
first three minutes of the recording phase (after pressing the Record
button). The recorder will beep for the first minute of the recording
phase.
„ The recorder will enter Power Save mode after setting the batteries.

Confirming ECG Recording Using the SEER Light Connect

1. At the GE SEER Light Hookup window, select the Start Preview
button.
NOTE
Selecting the Start Preview button will cause the button text to
change to Stop Preview.

2. At the Lead Preview screen, review the displayed channels for ECG
waveform confirmation.
NOTE
You may continue to enter patient demographics while the
waveform is scrolling.

3. Select the Stop Preview button after checking the ECG waveforms.

Interruption of Infrared Communication

Distance, direction, objects, and so on. between the recorder and
controller or connect can interrupt the infrared communication, causing
the ECG waveform to become a bold line on the LCD display.

5-8 SEER® Light 2040604-012D

 Recording Data

CAUTION
SIGNAL QUALITY — If there is a severe muscle
interference or artifact on the ECG when you tap the top
of the electrodes lightly or when the patient moves, it is
possible that the electrodes are not attached properly.

To increase the accuracy of analysis, make sure that the

channel has a high amplitude of QRS complex (greater
than 10 mV). If the amplitude of QRS is small, shift the
electrodes to find a suitable location for electrode
attachment.

Confirming Pacemaker Pulses

When viewing the ECGs of pacemaker patients, it can be difficult to see
the pacemaker pulses on the ECG waveform. If the pacemaker pulse of
CH1 is small, it may not be detected. Verify accurate pace detection
before starting to record.

To verify accurate pace detection using the controller:

1. While in SEER mode, point the controller to the infrared terminal of

the recorder, and press the F1 button. The Preview screen will
display.
2. A down pointing arrow mark is displayed above the pacemaker pulse
detected by the recorder. If the down pointing arrow mark is not
shown on the pacemaker waveform, change CH1 to another lead that
produces big pacemaker pulses.
3. By pressing the F4 button after checking the ECG waveform, it will
return to SEER mode.

2040604-012D SEER® Light 5-9

Recording Data

CAUTION
PACEMAKER PATIENTS — Pacemaker pulses are only
detected on CH1. Before attaching the recorder, check the
patient’s ECG to predict which lead will produce a big
pacemaker pulse. That is the lead that should be assigned
to CH1 (refer to table below).

If the pacemaker pulse of CH1 is small, there is a

possibility that the pacemaker pulse may not be detected.
Change the lead of CH1 to another lead that has a bigger
pacemaker pulse.

The down pointing arrow mark of the pacemaker pulse

location for the preview mode is only displayed when
using the remote method.

Holter ECG Leads Similar 12-Leads

CM5, CC5 V5

CM1 II, III, aV1

NASA V1

To verify accurate pace detection using the connect:

At the Lead Preview window, the position of the pacemaker spikes are
displayed with vertical bars. Refer to the following illustration.

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 Recording Data

Bars indicate dual

pacemaker spikes

081A

Starting the SEER Light Recorder

There are three ways to start the recorder.

„ Startup with the controller:

The recorder can be started remotely by the controller. The controller
starts the recorder and at the same time the patient information (ID
number, age, gender, and name) and the recording date and time are
transmitted to the recorder memory. The recording date and time
information remains in the recorder if the batteries are removed
before transferring the data. See “Begin Recording with SEER Light
Extend Controller” on page 5-13.
„ Startup with the connect:
In the SEER Light Hookup application, you will enter the patient
information (ID number, age, gender, and name) and then select the
Record button to start the recorder. See “Begin Recording with SEER
Light Connect” on page 5-14.
„ Startup with the recorder button:

2040604-012D SEER® Light 5-11

Recording Data

The recorder can also be started by pressing the record button. In

this case, do not remove the batteries from the recorder. Otherwise,
the recording date and time information will be erased from the
recorder memory.“Begin Recording with SEER Light Recorder
Button” on page 5-14.

Inserting Batteries in the SEER Light Recorder

If you are recording up to 24 hours of ECG data, use the SEER Light
recorder. If you are recording up to 48 hours of ECG data, use the SEER
Light Extend recorder.

8A
1. Slide the battery box cover to open.

NOTE
Install new batteries for each use to prevent loss of power and data.

2. Insert two new AAA type alkaline batteries.

3. Confirm the audible beep sounds for approximately 2 seconds.

In case of insufficient battery level, an audible alarm will

continuously sound. This indicates that new batteries are required.

4. Hold the battery string and slide the battery box cover to close.

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 Recording Data

CAUTION
BATTERIES — Do not use any battery other than new
alkaline batteries. Use of other types of batteries,
including manganese, rechargeable, or used alkaline
batteries will not ensure ECG recording for the life of the
recorder (24 hours for the SEER Light recorder, 48 hours
with the SEER Light Extend recorder).

Do not leave the batteries in the recorder for a long time.

This may cause leakage of battery liquid.

If the recorder (with batteries inserted) is not started for

over one hour when the power is ON, the battery Power
Save mode will be activated. In this case, the batteries
must be removed to deactivate the Power Save mode. To
reset the recorder, leave the recorder without the
batteries for 30 seconds.

Make sure the batteries are set in the correct directions.

Then begin the recording process again.

Begin Recording with SEER Light Extend Controller

1. Press the F6 button on the controller to start recording. Refer to
“Entering Patient Data” on page 4-1.

NOTE
Recording can be started without entering patient information.

NOTE
If data remains on the recorder that has not been transmitted to
the controller, the message Recorder still contains untransmitted
data. Press F6 to start a new recording. will be displayed, and a
beep will sound from the recorder. Press the F6 button to delete
the data and start recording.

If the data is needed, transfer the remaining data to the

controller. Refer to Chapter 6, “Transferring Data”.

2. Confirm that the beep sounds for one minute and that the LED
flashes (twice per second) for three minutes.

The recording date and time will be displayed on the LCD of the
controller.

2040604-012D SEER® Light 5-13

Recording Data

3. Put the recorder in the carrying pouch with the button facing
up.

Begin Recording with SEER Light Connect

1. Select the SEER Light Hookup icon located on your desktop.

The GE SEER Light Hookup window appears.

NOTE
If data remains on the recorder that has not been transmitted to
the connect, the message Recorder contains untransmitted data.
Press the “Record” button to start a new recording is displayed.

If the data is needed, transfer the remaining data to the connect.

Refer to Chapter 6, “Transferring Data”.

2. Point the infrared terminal of the recorder to the connect.

3. At the GE SEER Light Hookup window, select Record.

A message appears stating the Holter recording started successfully.

Select OK.

NOTE
If the infrared sensors are not aligned properly, or if the cables
are not connected, a message will appear stating Error occurred
while starting the recorder. Check the connections and infrared
sensor alignment.

4. Confirm that the beep sounds for one minute and that the LED
flashes (twice per second) for three minutes.

NOTE
If you press the Record button after the recording has already
started, a message appears stating Holter recording has already
started.

5. Put the recorder in the carrying pouch with the button facing
up.

Begin Recording with SEER Light Recorder Button

1. Insert the batteries. Refer to “Inserting Batteries in the SEER Light
Recorder” on page 5-12 for more information.

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 Recording Data

2. Connect the patient cable to the connector of the recorder with

the mark facing up.

3. Press and hold the button on the recorder. Confirm beep

sounds for one minute and that the LED flashes (twice per second)
for three minutes.

4. Put the recorder in the carry case with the button facing up.
Attach the case to the patient belt.

Disconnecting the SEER Light Recorder

NOTE
ECG recording will stop after 24 hours (48 hours if using the SEER
Light Extend recorder) and the LED will stop flashing. To stop
recording before 24 (48) hours, press the (Stop) button with a
ball point pen and disconnect the patient cable.

If the batteries are removed from the recorder before recording of 24

(48) hours or before the (Stop) button is pressed, the recorder
may not transmit data correctly.

1. Disconnect the patient cable from the recorder.

2. Remove the electrodes.

3. Clean the skin with alcohol. Adhesive material remaining on the skin
may cause itchiness.

4. After transferring data from the recorder (with controller or connect

and Holter analysis system), remove the batteries from the recorder.

NOTE
Do not remove the batteries from the recorder before transferring
the data from the recorder, or before analyzing the data with the
Holter analysis system as the time will be erased when the
battery is removed from the recorder.

The recorder retains the data for about one week after recording.
Transfer the data to the Holter analysis system or copy it to a
flash card within one week to prevent loss of data.

2040604-012D SEER® Light 5-15

Recording Data

5-16 SEER® Light 2040604-012D

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2040604-012D SEER® Light 6-1

Transferring Data

Transferring Data to the Holter Analysis System

The procedure for transferring data from the recorder to the Holter
analysis system depends on which device is used to transfer the data: the
controller, or the connect.

„ If using the controller, the transfer must undergo a two-step process:

1. Data is transferred from the recorder to a compact flash card via
the controller. See “Transferring to the Flash Card using the
SEER Light Extend Controller” on page 6-2.
2. Data is transferred from the compact flash card to the Holter
analysis system. See “Transferring Data to the Holter Analysis
System via Flash Card” on page 6-6.
„ If using the connect, the data is acquired directly into the Holter
analysis system. See “Transferring Data to the Holter Analysis
System via Connect” on page 6-7.

Transferring to the Flash Card using the SEER Light Extend

Controller
Follow these steps to transfer data from the recorder to a compact flash
card via the controller. See the matrix below for SEER Light recorder
and controller compatibility.

CAUTION
EQUIPMENT DAMAGE — To avoid equipment damage,
follow the considerations below when using a flash card:

„ Do not place the patient label over another label.

„ Do not touch the connector with your hand, or scratch
it with a hard object.
„ Do not get the card wet.
„ Do not subject the card to any external force or shock.
„ Use only the flash card specified by GE Medical
Systems Information Technologies.

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 Transferring Data

SEER Light Recorder/Controller Compatibility

SEER Light Controller (24 SEER Light Extend

Hour) Controller (48 Hour)

SEER Light Recorder (24 YES YES

Hour)

SEER Light Extend NO YES

Recorder (48 Hour)

NOTE
The SEER Light Controller (24 hour) is no longer available. The
SEER Light Extend Controller is compatible with both SEER Light
(24 hour) and SEER Light Extend (48 hour) recorders.

NOTE
The SEER Light Extend Recorder (48 hours) is compatible with
MARS v7.x and higher only. It is not compatible with MARS v4, v5,
or v6.

1. Remove the data transfer cable from the back side of the controller.
Switch on the controller’s power supply by pressing the POWER
button, as in the following graphic.

32A

2. Confirm the date and time. Change the date and time if it is not
correct. Refer to “Set-up Condition Mode” on page 2-12.

3. Insert flash card with the mark facing up into the controller. Pivot
the EJECT button to prevent inadvertent ejection of the flash card.

33Z

2040604-012D SEER® Light 6-3

Transferring Data

4. Connect the cable to the data output connector of the recorder ( ).

5. Press the F2 button to enter the data transfer mode. Press the F6
button. The data will be transferred to the flash card.

6. You will be asked to confirm transfers under the following conditions.

Refer to “Confirming Flash Card Contents” on page 6-5 if this occurs.

„ The flash card contains any data that has not been analyzed by
the Holter analysis system.

„ The recording is stopped by pressing the button on the

recorder with a ball point pen, or removing the recorder’s
batteries, before recording 24 hours (48 hours if using the SEER
Light Extend recorder).
NOTE
An error message will appear on the screen if a flash card is
not inserted into the controller. Make sure the card is
inserted before attempting to transfer.

7. Data transfer is completed when the transfer progress bar on the

controller reaches 100%. Confirm the time displayed on the screen.

8. Remove the flash card by pressing the EJECT button.

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 Transferring Data

35A

9. Disconnect the data transfer cable from the recorder. Switch off the
power supply by pressing the controller’s POWER button.

Confirming Flash Card Contents

You can confirm that the data transferred to the flash card through the
controller. This data includes:

„ Patient information (ID, age, gender, and name)

„ ECG waveform (close to the event point, close to the starting point,
close to the ending point, specific times) copied into the card
By confirming the contents of the flash card, the patient information can
be edited.

Confirming Patient Information

1. Insert the flash card into the controller.

NOTE
If the flash card is not inserted into the controller before starting the
operation, error messages will appear on the screen.

2. Press the F3 button to open Review mode, where you can confirm the
flash card contents.

3. Select Patient Information. Press ENT.

4. The patient information to be transferred from the recorder will be

displayed on the screen of the controller.

„ Patient information can be edited. Refer to “Entering Patient

Data” on page 4-1.
„ By pressing the F4 button after editing the data, a message
appears prompting you whether or not to save the edited data.

2040604-012D SEER® Light 6-5

Transferring Data

Press the ENT button to save the data and return to the screen
in Step 3.
5. Press the F4 button to return to SEER mode.

Displaying the ECG Waveform

1. Insert the flash card into the controller.

NOTE
If the flash card is not inserted into the controller before starting the
operation, error messages will appear on the screen.

2. Press the F3 button under SEER mode. It will proceed to the

confirmation of flash card contents.

3. Select ECG Display. Press ENT.

4. Select the ECG waveform that you want to display by using the
and buttons. Choices are Event, Start, End and Time. Press the
ENT button.

„ If you select Time, the starting time of the recording will be

displayed first. By entering the time you want to review in this
screen and pressing the ENT button, the ECG waveform
corresponding to that specified time will be displayed on the
screen.
„ Scroll forward through the ECG waveform by pressing the or
F1 button. You cannot scroll backward through the waveform.
5. Press the or F4 button until you are returned to the screen in Step
4. Press the or F4 button again to return to SEER mode.

Transferring Data to the Holter Analysis System via Flash Card

Follow these steps to transfer data from the flash card to the Holter
analysis system.

1. Insert the flash card into the flash card adapter.

NOTE
ECG data recorded by the recorder can only be analyzed by the
Holter analysis system.

2. Insert the flash card adapter into the acquisition unit. Proceed with
data transfer as outlined in the operator’s manual for the Holter
analysis system.

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Transferring Data to the Holter Analysis System via Connect

Follow these steps to transfer data from the recorder through the
connect.

088A
1. Connect the cable on the connect to the USB port of your MARS
workstation. (The USB port may be located on the front or the back
of the PC.)

2. Remove the lead wires.

3. Connect the recorder to the connect device.

4. Refer to the Holter analysis system Operator Manual for instructions

on acquiring the data.

2040604-012D SEER® Light 6-7

Transferring Data

Analyzing Waveforms and Patient Treatment

Refer to the Holter analysis system Operator Manual for instructions on
viewing and analyzing waveform data.

CAUTION
PATIENT TREATMENT — Various clinical persons may
view, analyze and make recommendations based on
patient waveforms, but a plan of treatment requires
confirmation from a qualified physician or cardiologist.

A qualified physician or cardiologist MUST confirm all

information pertaining to treatment of a patient.

6-8 SEER® Light 2040604-012D

 A Troubleshooting

2040604-012D SEER® Light A-1

Troubleshooting

Troubleshooting Chart
Use the chart below to troubleshoot problems.

Trouble Cause Recommendation

Alarm sound continues when batteries are Battery power is low. Replace with new alkaline batteries.
inserted.
Wrong type of batteries, or batteries other
(Recorder) than alkaline are inserted.
No beeping sound when batteries are Battery power is low. Replace with new alkaline batteries.
inserted.

(Recorder)
Batteries are reinserted quickly right after Reposition batteries 30 seconds after
completing the data transfer. replacement, and resume the function.

This may occur because the condenser in

the recorder has power reserve function.
The damage may be caused by physical Check with service, or open a service call.
shock.

No beep sound for start-up when is The button was pressed too rapidly. Press gently and slowly.
pressed.
(Recorder)
The recorder is already in the recording Press again 30 seconds after
process. batteries are reset.
It has been more than 1 hour after batteries
are inserted.

The recorder automatically cancels start-

ready mode in order to reduce battery
power loss. This function makes the
button inactive.
The recorder does not start up when the The recorder is already in the recording Press F6 again 30 seconds after batteries
controller sends a start up command process. are replaced.
through infrared, and The recording has
already started. is displayed.

(Recorder and controller)

A-2 SEER® Light 2040604-012D

 Troubleshooting

Trouble Cause Recommendation

The recorder does not start up when the Infrared transfer does not work due to the Adjust the position of the infrared terminal
controller sends a start up command distance or an obstruction between the part of the recorder. Set both devices
through infrared, and Communication Error recorder and controller. within 1 meter and adjust the direction so
is displayed. that the terminal of infrared between the
recorder and controller are aligned. Press
(Recorder and controller) F6 button again.
It has been more than 1 hour after batteries Press the F6 button again 30 seconds after
are inserted. batteries are replaced.

The recorder automatically cancels start-

ready mode in order to reduce battery
power loss. This function makes the F6
button not work.
The SEER Light Hookup window displays The recorder is already in the recording Select OK. The dialog box closes and the
a dialog box stating Holter recording has process. recording continues.
already started. when the Record button is
selected.

(Recorder and connect)

The SEER Light Hookup window displays Infrared transfer does not work due to the Select the OK button to close the dialog
a dialog box stating Error occurred while distance or an obstruction between the box. Set both devices within 1 meter and
starting the recorder. Check the recorder and connect. adjust the direction so that the terminal of
connections and the infrared sensor infrared between the recorder and connect
alignment. when the Record button is are aligned. Select the Record button
selected. again.

(Recorder and connect)

Patient data not available because cables Select the OK button to close the dialog
are not properly connected. box. Connect the cables. Select the
Record button again.
The recorder does not start up when the Data remains in the recorder and was not If the data is not needed, press the F6
controller sends a start up command transferred to the controller. button. Otherwise, transfer the old data to
through infrared, and Recorder still the controller.
contains untransmitted data. Press the F6
button to start a new recording. is
displayed.

(Recorder and controller)

2040604-012D SEER® Light A-3

Troubleshooting

Trouble Cause Recommendation

The SEER Light Hookup window displays The recorder contains untransmitted data. Select the OK button to close the dialog
a dialog box stating Recorder contains box. If the data is not needed, select the
untransmitted data. Press the Record Record button again. If the data is needed,
button to start a new recording. when the transfer the data before beginning a new
Record button is selected. recording.

(Recorder and connect)

The recorder starts using the controller The controller does not receive a response Align the infrared terminals then repeat the
command through infrared. However, the back to start recording from the recorder. process. If the Communication Error
controller displays Communication Error. condition persists, check with service, or
open a service call.
(Recorder and controller)
Patient data is not transferring between the An Extend device is used with a non- Always transfer data from the SEER Light
recorder and the controller. Extend device. Extend recorder to a SEER Light Extend
controller.
(Recorder and controller)
Beep sound is heard. However, LED does The recorder is malfunctioning internally. Check with service, or open a service call.
not blink.

(Recorder)
LED blinking stops before 24- or 48-hour May be using rechargeable or manganese Use new alkaline batteries.
period. type batteries.

(Recorder)
The batteries were removed while Do not touch or remove the batteries while
recording. recording.
Damage to unit caused by physical shock. Check with service, or open a service call.
When the F1 button on the controller is Infrared transfer does not work due to the Set both devices within 1 meter and adjust
pressed for preview through infrared, distance or an obstruction between the the direction so that the terminal of infrared
transfer error occurs. recorder and controller. between the recorder and controller are
directly facing each other. Press the F1
(Recorder and controller) button again.
The F1 button was pressed 1 hour after the Reset the batteries 30 seconds after the
batteries are inserted. batteries are removed. Press the F1 button
within 1 hour.
The recorder beeps the first minute after After the beeping sound, the controller
the recording has started. For the cannot preview using infrared. Otherwise,
remaining 2 minutes of calibration, the the recorder and controller must be
recorder’s LED flashes twice per second. connected by the cable.

A-4 SEER® Light 2040604-012D

 Troubleshooting

Trouble Cause Recommendation

The batteries are not inserted in the Insert the batteries and press the F1
recorder. button.
The batteries in the recorder do not have Replace the batteries and press F1 button.
enough power.
The SEER Light Hookup Lead Preview Infrared transfer does not work due to the Set both devices within 1 meter and adjust
window displays no waveforms when the distance or an obstruction between the the direction so that the terminal of infrared
Start Preview button is selected. recorder and connect. between the recorder and connect are
aligned. Select the Start Preview button
(Recorder and connect) again.
Patient data not available because cables Connect the cables properly. Select the
are not properly connected. Start Preview button again.
The notched waveform is displayed while Infrared transfer does not work due to the Set both devices within 1 meter and adjust
using infrared preview. distance or an obstruction between the the direction so that the terminal of infrared
recorder and controller/connect. between the devices are aligned.
(Recorder and controller/connect)
When the flash card is set in the slot of the The flash card is inserted upside down. Place the flash card with mark facing
controller, CARD ERROR Insert the SEER up on the card into the controller. Press the
card properly displays. power switch to on.
(Controller)
The flash card is not completely inserted Place the flash card all the way into the slot
into the slot of the controller of the controller. Press the power switch to
on. If the flash card is correctly positioned,
it should not protrude from the side of the
controller.
When flash card is set in the slot of the The flash card has not been initialized. Follow the initialization instructions
controller, CARD ERROR Press F6 to provided by the flash card manufacturer.
format the card is displayed on the
controller screen.

(Controller)
CARD ERROR Press F6 to format the card A different type of card other than the flash Insert the correct flash card.
is displayed on the controller screen when card is inserted.
the data transfer starts.

(Controller)
Card contains unanalyzed data. Pressing The data is not transferred to the Holter If necessary, transfer the data to the Holter
F6 will overwrite this data. is displayed on analysis system, and remains on the flash analysis system. Otherwise, press the F6
the controller screen when the data card. button to overwrite the old data with the
transfer to the flash card does not start. new recording.

(Controller)

2040604-012D SEER® Light A-5

Troubleshooting

Trouble Cause Recommendation

Data Error No data in the recorder is The recorder is shut down within three No data in the recorder. Record the data
displayed on the controller screen when minutes of when recording was started. again.
the data transfer starts.

(Recorder)
Controller/connect transfers the data from The batteries are removed before the 24- The data recorded before the batteries
the recorder up to 100% (progress bar or 48-hour recording is completed. were removed remains. If the data is
scans through twice) and completes the needed, proceed with the transfer.
transfer.

(Recorder)
DATA ERROR Recorder contains data Files are damaged and cannot be Check with service, or open a service call.
error(s) is displayed on the controller transferred from the recorder.
screen/SEER Light Hookup window after
the data is transferred from the recorder.

(Recorder)
Data LED does not blink while the data is LED may be broken. Check with service, or open a service call.
transferred from the recorder.

(Recorder)
Data LED does not blink while the data is LED may be broken. Check with service, or open a service call.
transferred through connect.

(Connect)
Wrong date and time on the report. Date and time settings are wrong on the Reset date and time on the controller.
controller.
(Controller)
The backup battery for the clock in the Check with service, or open a service call.
controller is worn out.
Wrong date and time on the report. Date and time setting are wrong on the Have the IT department or biomed reset
SEER Light Hookup dialog box when date and time on the MARS PC, or
(Connect) starting a recording, stating Holter network.
recording started successfully. Hook-up
date and time are: dd/mm/yyyy hh:mm:ss
AM/PM.

A-6 SEER® Light 2040604-012D

 B Accessories

2040604-012D SEER® Light B-1

Accessories

Accessories
The following are accessories that may be included with the system.
Information is subject to change without notice.

CAUTION
— Use only the specified accessories. Use of any other
accessories may cause problems.

Description GE Part Number

Electrodes, ECG, SilverTRACE, MULTI P20MO, Ad, Foam Oval, 2014768-001

Tab, 300/bx

Electrodes, ECG, SilverTRACE, FIRST P28MO, Ad, Foam Rect, 2014775-001

300/bx

Electrodes, ECG, SilverTRACE, FIRST P28MO,Ad, Foam Rect, 2014776-001

300/bx

Electrodes, ECG, SilverTRACE, SOFT STRESS PS50MO, Ad, 2014780-001

Foam Rnd, 300/cs

Electrodes, ECG, SilverTRACE, SOFT STRESS PS50MO, Ad, 2014781-001

Foam Rnd, 600/cs

Electrodes, ECG, SilverTRACE, WINDOW P50TR Vinyl Tape 2014783-001

Rnd, 30/pch 300/cs

Electrodes, ECG, SilverTRACE, WINDOW P50TR, Vinyl Tape 2014784-001

Rnd, 5/strip 300/cs

Electrodes, ECG, SilverTRACE WINDOW P50TR Vinyl Tape 2014785-001

Rnd, 7/pch, 350/cs

Electrodes, ECG, SilverTRACE Disposable, Foam Oval, 5/strip, 900703-205

600/cs

Electrodes, ECG, SilverTRACE Disposable, Foam Oval, 30/pch, 900703-230

300/cs

Electrodes, ECG, SilverTRACE Disposable, Ad, Clear Vinyl 9653-305

Tape, 5/strip, 300/cs

B-2 SEER® Light 2040604-012D

 Accessories

Description GE Part Number

Electrodes, ECG, SilverTRACE Disposable, Ad, Clear Vinyl 9653-507

Tape, 7/pch, 350/cs

SEER Light Cable/lead wires, 2 Channel, AHA 2008594-001

SEER Light Cable/lead wires, 3 Channel, AHA 2008594-002

SEER Light Cable/lead wires, 2 Channel, IEC 2008594-003

SEER Light Cable/lead wires, 3 Channel, IEC 2008594-004

SEER Light Patient Cable/lead wires 2ch AHA - Short 2008594-005

SEER Light Patient Cable/lead wires 3ch AHA - Short 2008594-006

SEER Light Patient Cable/lead wires 2ch IEC - Short 2008594-007

SEER Light Patient Cable/lead wires 3ch IEC - Short 2008594-008

Holter Kit, 5-Lead, 24 kits/case 400068-026

Holter Kit, 7-Lead, 24 kits/case 400068-027

Prep Razors, Disposable 3704-901

Pre-Cut Tape Strips for Stress Loops, 100/pack 4829-002

SEER Light Carrying Case, Belt and Strap 2008596-001

Holter Patient Diary 90026-902

Holter/Exercise/Stress Vests, Medium 9812-011

Holter/Exercise/Stress Vests, Large 9812-012

Holter/Exercise/Stress Vests, Extra Large 9812-013

SEER Light 64MB Memory Card 2008750-003

SEER Light Memory Card Adapter 2008751-001

Alcohol/Pumice Prep Pads 4828-004

Sandpaper Prep Strips 4828-005

Dry Skin Prep Pads 9386-001

2040604-012D SEER® Light B-3

Accessories

B-4 SEER® Light 2040604-012D

 Index

Index
A Entering patient information .................................... 4-2
Access LED ............................................................ 2-5 Event..................................................................... 1-13
Accessories.................................................... 1-10, B-2
F
ACCIDENTAL SPILLS ............................................ 1-5
Flash card ............................................................... 6-3
Acquisition unit ........................................................ 6-6
adapter ............................................................. 6-6
Adapter, flash card .................................................. 6-6
AHA H
American Heart Association ............................. 3-2 Heart rate
Alphanumeric detection channel, controller........................... 2-13
entry.................................................................. 4-3 synchronizing sound....................................... 2-13
keypad .............................................................. 2-6 Holter analysis system ............................................ 6-6
Holter card slot ........................................................ 2-7
B
Battery box I
controller........................................................... 2-6 IEC ........................................................................ 1-11
cover .......................................................... 2-6 International Electrotechnical Commission....... 3-2
recorder ............................................................ 2-4 Infrared terminal............................................... 2-5, 2-7
cover .......................................................... 2-4 Input connector ..................................................... 1-13
Battery status, checking .......................................... 5-2 Instructions for use caution ................................... 1-10
C L
Cardiac application warning .................................... 1-6 Language
Caution definition .................................................... 1-5 selecting ......................................................... 2-12
CH LCD......................................................................... 2-7
channel ............................................................. 3-2 Lead check.............................................................. 5-2
Cleaning
M
cleaning instructions ................................ 2-16, 3-6
Modifications caution ............................................ 1-10
cleaning the recorder........................................ 5-2
Conductivity warning ............................................... 1-7 N
Note definition ......................................................... 1-5
D
Danger definition ..................................................... 1-4 O
DATA LED .............................................................. 2-5 Output connector ........................................... 1-14, 2-5
Data transfer
P
data transfer cable............................................ 2-6
Parameter descriptions ......................................... 2-13
Defibrillation warning............................................... 1-8
Patient
Delete old data ........................................................ 4-2
hookup.............................................................. 3-7
Disconnect the patient ............................................ 5-2
Patient cable
Disconnecting the recorder ................................... 5-15
connect ............................................................. 5-2
Disposal
connector.......................................................... 2-4
caution .............................................................. 1-9
Polarity of batteries ............................................... 1-13
E Power.................................................................... 1-13
Eject button ............................................................. 2-7 button on controller........................................... 2-7
Electrode
R
attaching ........................................................... 5-2
REC LED ................................................................ 2-4
placement
Recorder, disconnection ....................................... 5-15
modified aVF lead ...................................... 3-4
Restricted sale caution.......................................... 1-10
modified V3 lead ........................................ 3-3
modified Z lead........................................... 3-5 S
problems........................................................... 3-6 SEER card slot........................................................ 2-7
Electrosurgery warning ........................................... 1-8 SEER Light controller, diagram............................... 2-5

2040604-012D SEER® Light Index-1

Index

SEER Light recorder, diagram ................................ 2-3 Supervised use warning.......................................... 1-8
Set-up button .......................................................... 2-6
T
Skin preparation ...................................................... 5-2
Transfer data........................................................... 5-2
ST segment changes ................................ 3-3, 3-4, 3-5
from recorder to controller ................................ 6-2
Start
Transfer mode....................................................... 2-12
recorder .......................................................... 5-11
T-shirts .................................................................... 3-8
start/event button .................................................... 2-4
Stop....................................................................... 1-13 W
button................................................................ 2-5 Warning definition ................................................... 1-4
recording......................................................... 3-11 Wet gel electrodes .................................................. 3-7
Stress loops ............................................................ 3-7

Index-2 SEER® Light 2040604-012D

Suzuken Company, Limited ANTISEL A. Selidis bros S.A.,
8 Higashikataha-machi, Higashi- ku 6, I.P. Karatasiou Street
Nagoya, Aichi-Ken Japan 54250, Harilaou, Thessaloniki Greece

DISTRIBUTOR DISTRIBUTOR DISTRIBUTOR

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 5 11th Floor, Shanghai MAXDO Center,
Milwaukee, WI 53223 USA D-79111 Freiburg 8 Xing Yi Road, Hong Qiao Development Zone
Tel: + 1 414 355 5000 Germany Shanghai 200336, People’s Republic of China
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