CASE Cardiac Assessment System for Exercise Testing
CASE Exercise Testing System
A broader perspective on cardiac patient management
GE’s CASE® Exercise Testing System helps you put data in motion, with powerful analysis and diagnostic tools that streamline the process of data acquisition and review.
Known for robust ECG signal quality and clinical accuracy, the CASE system also provides a suite of advanced measurements to help you manage a variety of CVD patient groups.
- Coronary artery disease (CAD) – CASE is the only stress solution to use ST/HR Hysteresis analysis, shown to improve the accuracy of CAD detection.
- Sudden cardiac death – The CASE system provides critical algorithms – including the patented T-wave Alternans (TWA) algorithm – to assist you in predicting patients at risk of sudden cardiac death Cardiovascular disease monitoring – Metabolic equivalent (METS) level achieved during exercise testing is an important predictor of adverse cardiac events after myocardial infarction. Failure to achieve METS during treadmill exercise is associated with a worse prognosis.
The T-2100 treadmill can be purchased with this system, and can interface with the CASE® Exercise Testing System and many legacy products. The T-2100 treadmill’s extra-long, 60-inch surface provides an extra margin of safety for patients. Its zero start feature slowly builds up speed for safe and smooth operation. And it can be slowed to a gradual stop, or stopped immediately with the standard emergency stop button. Full front and side handrails are also standard on the T-2100 treadmill.
CASE to MUSE workflow
The design of the MUSE® cardiology information system was an exercise in workflow efficiency.
The MUSE exercise testing module has been reconfigured to synchronize with the information delivered from GE’s CASE® exercise testing system for consistent data compatibility. What’s more, the MUSE system’s Stress Editor interface has been completely redesigned to support and display the familiar configured report formats that are generated in the CASE system.
This module allows clinicians to efficiently edit their stress reports on the MUSE system, freeing up their CASE system to do what it does best – perform exercise testing.
As a result, this new workflow boosts stress lab productivity. So editing and reporting are easier. More comfortable. Faster. In effect, stress free.
Stress Editing Workflow
The MUSE Stress Report Editor supports exercise testing data from both GE’s CASE and CardioSoft™ (CS) Diagnostic Systems. A report preview of the CASE configured report and ECG strips is displayed as part of the stress final report configuration.
CASE to MUSE communication
- ADT/orders download from the MUSE system to the CASE system
- Web browser access from the CASE system to studies stored in the MUSE system
- Network transmission of CASE data to the MUSE system
Stress Report Editor
- Synchronized terminology
- Dropdown boxes for editing
- Large diagnosis editing area with Stress Statement Library
- Clear identification of patient ID/name mismatch
- Supports non-physician editing-based workflow
- Synchronized with acquisition device, ADT and orders
Stress Report Preview
- Print preview screen
- CASE final configured report functionality
- Synchronized reports replicate data
- Augments CASE networking
Stress strip / trend review
- Graphical user interface emulates paper ECGs with red grid strip review and calipers
- Trend and tabular summary review
Features and Benefits
- The CASE system is the only exercise testing system that uses GE’s acclaimed Marquette 12SL interpretive ECG program for accurate pre-test and recovery 12-lead analysis.
- Digital signal processing at the point of acquisition and innovative noise-handling algorithms ensure clear, well-defined ECG tracings, accurate data and better patient care – even in the high-noise stress environment.
- The Marquette T-Wave Alternans analysis program (TWA) provides an additional tool for predicting sudden cardiac death.
- Not only does the CASE system store full disclosure data, it also allows clinicians to create 12-lead ECGs and analyze arrhythmias during post-test review.
- Using GE’s patented finite residual filter, customers obtain the highest quality ECG without sacrificing waveform fidelity.
- Bidirectional communication with the MUSE® cardiology information system streamlines workflow in the hospital between the CASE system and the Hospital Information System (HIS).
- A backlit keyboard, well-lit work surface and swiveling, full-size monitor make it easier than ever to manage patients in rooms darkened for stress echo studies.
- The highly-scalable CASE system can be readily configured to the requirements of any size facility today – and lets you add more capabilities as your needs and applications evolve.
- The CASE system seamlessly integrates with Centricity® Physician Office – EMR for improved workflow in the physician office.
- 60-inch walking surface
- Two stopping modes
- Standard full handrail set
- Optional pediatric handrail set
- Standard emergency stop switch
- Starts from 0 mph
- 0 to 13.5 mph speed range
- Weight capacity of 450 lbs.
- 0 to 25 percent grade range
- Enhanced tolerance to electrical changes for greater patient safety
- 3.0 horsepower motor
- Self-calibrating for speed and grade
- Digital control insures precise speed and grade control
- Technical Specifications
- ECG analysis frequency: 500 Hz
- ST measurements: ST amplitudes, slope, integral, index, ST/HR slope, ST/HR loops, ST/HR index up to 15 leads
- E, J and post-J point: Manual or computer selected
- Signal processing: Incremental median updating technique
- Baseline correction: Finite Residual Filter (FRF) and/or Cubic Spline analysis
- QRS detection and analysis: Automatic or manual lead selection
- ECG output: Real-time ECG/QRS beep/TTL synchronization output
- Heart rate: Automatic arrhythmia detection, documentation and annotation
- Full-disclosure ECG: Beat-to-beat ECG storage & event review
- Re-analysis: Post-test medians measurements from E, J and post-J point selections
- ECG interpretation: (Optional) Marquette® 12SL® resting ECG analysis program for adults and pediatrics
- Additional ECG function: XTI stress interpretation, vectorcardiography (15 lead)
- Technology: Active, “Type BF” floating isolated powered 14-channel acquisition module with built-in lead-fail detection and lead prep impedance measurement
- Sampling rate: Over-sampling @ 4000 Hz
- Dynamic range: 320 mV, ± 10 mV signal superimposed on ± 150 mV DC offset
- Resolution: 4.88 μV/LSB @ 500 Hz
- Noise: < 15 μV peak-to-peak noise over 0.01 to 150 Hz (-3 dB) bandwidth
- Frequency response: -3 dB, display and writer
- High-pass filter: 0.01 (or 0.05 Hz, special use) with DC offset control
- Low-pass filter: 20, 40, 100, 150 Hz (selectable)
- Line filter: 50.0 or 60.0 Hz notch filter (selectable)
- Baseline correction: Cubic Spline algorithm
- Artifact/baseline correction: Finite Residual Filter (FRF) analysis
- Common mode rejection: > 140 dB (123 dB with AC filter disabled)
- Input impedance: > 10 M Ohms @ 10 Hz, defibrillator protected
- Patient leakage: < 10 μA
- Pace detect: Orthogonal LA, LL and V6; 750 μV @ 50 μs
- Writer technology: “Instant” load, thermal dot array
- Writer leads: 3, 6, 12 or 15 leads (standard, NEHB, Cabrera, configurable)
- Writer speeds: 5, 12.5, 25 and 50 mm/sec (± 2%)
- Writer sensitivity/gain: 2.5, 5, 10 or 20 mm/mV (± 5%)
- Writer resolution: Horizontal 1000 lines/sec x 200 dpi dedicated local printing. 200 x 200 dpi generic printing
- Paper type: Thermal, perforated, fan-fold, 300 sheets/pack
- Paper size:
A size 214.63 x 280 mm (8.45 x 11 in)
A4 size 210 x 297.5 mm (8.27 x 11.0 in)
- Height: 148 cm (58 in) with no monitor installed (LCD display rotates vertical and horizontal for optimum viewing)
- Width: 62 cm (24 in) with paper tray removed
- Depth: 75 cm (30 in)
- Weight: 68 kg (150 lb) without monitor
- Weight: 400 lbs. (181.4 kg)
- Walking area: 18 x 60 in. (45.7 x 152.4 cm)
- Floor space required: 29 x 77 in. (73.7 x 195.6 cm)
- Walking surface height: 5.5 in. (14.0 cm)
- Handrail height above walking surface:
- Front – 40 in. (101.6 cm)
- Side – Maximum 35 in. (88.9 cm) descending at a 5° angle to 32 in. (81.3 cm)
- Maximum rated load: 450 lbs. (204 kg)
- Belt speed range: 0 to 13.5 mph at 220 VAC/60 Hz continuously variable; 0 mph start-up
- Driver motor: 3.0 hp
- Elevation motor: 1/10th hp
- Elevation range: 0 to 25% grade, continuously variable
- Maximum leakage current: 100μA, chassis to ground
For a free consultation or other information please contact ASG Wellness sales team: