7. Customizing Mini Holter Event ECG System
Contents
1. 26 deo 262. Recordings Information Information No Date amp Time Duration Card ID D 1 12 8 2003 9 59 06 0 30 min 1234567890 Q 2 12 8 2003 9 59 51 Impedance Card Capacity 3 12 8 2003 10 10 37 50k 50k 44 40 minutes DC Offset Number of Recordings 2mV 2mV 3 44 Battery Voltage E eae 2 58 V Recorder Info 30118 v8 1 Preview Progress Clear If you want to preview the recordings before you transfer them to your computer click the Preview button Click the Retrieve button to transfer the recordings to your computer MID ONNA 7n War DIR 80017003 Ver Welch Allyn Mini Holter Event ECG System User Manual Note e f you click Cancel the recordings not transferred but left on the card e lf you click Clear the recordings not the test settings are deleted from the card The recordings are not transferred to the computer 7 Now you can view the recordings 3 1 Welch Allyn Viewing a Event ECG System test View a Event ECG System test To view an Event ECG System test Mini Holter Event ECG System User Manual 1 Select a patient The tests that belong to the patient are shown in the Test list 2 Select the Event ECG System test you want to view Event ECG System tests are indicated with Event ECG System is started automatically the recordings displayed in the workspace on the Recordings tab Recordings Over
3. 12 Recorder preparation 16 Recorder time AIDS e dieit cutem E 17 C 17 Recording duration 14 Recordings at specific times 15 200 26 Retrieve 21 Retrospective test 11 12 Save battery 16 Save recording times settingS 16 Sensitivity eeeeeeseeeeeeernnnneen 27 oet chart speed and sensitivity 27 oet ECG recording times 14 Settings M 32 33 C E E E E S 34 Start 20 Test muc 12 Interpreting eeeseeeeeeee e 29 12 21 Retrospective 11 Test settings sese 28 Timed recordings 15 Tools menu 29 Two channel test 12 13 View Information about a test 28 e 23 Test settings bxvintes x vla Kran 28 View menu
4. a 20 14 4 _ ERES BR p c E Eu Epp pr 6 ITIITITIT o tu Hx 0 01 d Hu t pepe WOLLE EE To view another recording Choose a recording from the Recordings list at the top of the tab Alternatively you can use the arrows on the right of the list to scroll through the recordings of the test To view all recordings at the same time Click the Overview tab Available actions on the Details tab Zoom in or out on the recordings see section O for details Set chart speed and sensitivity see section O for details Make measurements see section O for details Add a comment to a recording see section O for details Apply anti aliasing see section O for details Zoom in or out on a ECG recording If you want to take a closer look at the recording you can adjust size of the curve by zooming in and out To see the recording in more detail Click the Zoom In button on the toolbar To see a larger part of the recording Click the Zoom Out button on the toolbar To reset the zoom function and return to the standard curve size In the View menu click Reset zoom DIR 80017003 Ver B 26 42 Welch Allyn Mini Holter Event ECG System User Manual Set chart speed and sensitivity Mini Holter Event ECG System
5. e by using the clock button located within the battery compartment e storing the correct time and date on the Memory Card with the Event ECG System software To adjust the time and date using the clock button 1 Remove the Memory Card if fitted 2 Hold the recorder with its underside facing you 3 Remove the battery compartment cover by pressing down on the finger grip and sliding it sideways The clock set button is the triangular button next to the batteries Press the record button The time is now displayed Press the clock set button to scroll to the parameter you want to change To change the Press the clock set button eS ee hour twice day three times month four times year five times Welch Allyn Mini Holter Event ECG System User Manual Change the value of the selected parameter by pressing the record button Repeat this for all parameters you want to change Note If you change the minute first you can only change the hour directly after that not the date If you also want to change the date you need to step through the sequence twice Press the clock set button repeatedly until the time is displayed again The changes you have made are now stored Replace the battery compartment cover The seconds value is automatically set to zero whenever the time or date is changed The recorder switches off if more than ten seconds has elapsed since the last button press To adjust the time
6. View information about a 1 28 View the SES NG Sonne uequ uad seas UU RNRUREGU NEU IU RUBER sees TUI RUBRA UU PU RR RU 28 INTERPRETING A TEST 29 Edit and confirm an interpretation 29 PRINTING A LES T 2nd oon teenie EU rcu REM UE 30 About printing a nnne nnnm nnn nnne nnns 30 MAINTAINING THE RECORDER nennen rnnt 31 About maintaining the 31 Clean the recorder case ssssssssssssssssesee senem nnn nnne nnns 31 CUSTOMIZING MINI HOLTER EVENT ECG SYSTEM 32 About customizing Mini Holter Event ECG System 32 Event ECG System settings General 32 Event ECG System settings Hookup 33 Event ECG System Settings Printing tab 34 Card overview eesssssssssseeseseeee nennen nennen nenne nnne nnn enn inns snas n rennes n rsen nnns 35 INSTALLING MINI HOLTER EVENT ECG SYSTEM 36 Memory arte QE esaet mui aime ia aate 3
7. and date by using the Memory Card and the Event ECG System software 1 2 9 SU d Place the Memory Card in the card reader In the Tools menu select Set recorder Date time The Configure the Recollect recording device dialog box is displayed Configure the Recollect recording device x Configure the Recollect Recorder 1 Insert an empty MemoryCard into the reader Y E IN 3 Remove the Card from the Reader and msertinto Recorder LH Ear mes ax ver 4 At the date and time Speciied above turn the Recorder on 5 Done mea Insert an empty Memory Card into the reader Click Next Set a date and a time in the near future Click Next Put the card in the recorder Click Next Start the recorder at the specified time see section 0 Start the recorder The recorder now displays the correct time and date Click Next Click OK Welch Allyn Mini Holter Event ECG System User Manual Adjust the bleep level The recorder has a bleeper to indicate its function when the display is not visible for instance when the recorder is worn under clothing It only operates in retrospective mode When a recording is initiated by the patient a long bleep is emitted If the recorder switches off because of a fault e g low battery level a series of short bleeps is emitted The bleeper can be set to one of four levels Level 0 is off level
8. and pull firmly 2 Place the new card in the recorder note the arrow Push the card fully in DIR 80017003 Ver B 41 42 Welch Allyn Mini Holter Event ECG System User Manual Index Add Comment to a recording 27 Comment to a 28 Adjust Bleep 19 Recorder 17 Anti aliased 27 Apply anti aliasing 27 Bleep level 19 Card 35 Chart 27 Check recorder time 17 Chest electrode placement 19 Clean 31 So INSURERS TREE 27 e 36 Connect recorder to 19 Connection quality 23 33 Create new retrospective test 13 Customize Event ECG 32 DC OGE MANENTE 24 Details 25 Event ECG System recorder 9 Event ECG System settings 32 Event ECG System window 8 Event leSL i e iei tor erbe 12 21 Full disclosure 26 32
9. details Full disclosure 10mm s Full disclosure 25bmm s Full disclosure 5rmm s CH1 ECG Full Disclosure lead F Exercise ECG Recordings Spirometry a Print after retrieving test data from card Ambulatory blood Print after interpretation confirmed pressure pe anu Recollect Cancel Apply Help The Printing tab contains the following information Default report templates Here you can select the formats that you want to print when you use the Print selected formats function You can select multiple formats Grid From the list you can select the grid style in which the selected templates should be printed Full Disclosure Lead From the list you can select the default lead that appears in the Full disclosure view and print Print after retrieving test If this option is selected the results are automatically data from card printed when the test data is retrieved from the memory card The software prints the templates that you selected in the Default report templates area Print after interpretation If this option is selected the results are automatically confirmed printed when the interpretation of the test has been confirmed The software prints the templates that you selected in the Default report templates area DIR 80017003 Ver B 34 42 7 9 Welch Allyn Mini Holter Event ECG System User Manual Card overview The card overview displays the Memory Cards that are curren
10. for details Details tab On the Details tab you can view one single recording in different ways You can view a detail of a recording or a whole recording When you view a recording in detail all used channels are shown When you view a whole recording you view the used channels separately Recordings Overview Details Recording 1 09 03 1998 16 12 53 sj ul gt Details Full Disclosure BEE EL HEH EEE FRH T SH SE HEE EE E BE EE EEE eS HES EE BEH DE SEE BE REY EE SELBE ES BEES a RSS Sa EH HE E Sf AS AB tn SB EB t ou oo uL FTO es odes enmt nm prenons denm peer d spes pep e qeu E E EECITIITETIITTS Eee pepe pep pp pp tu DOER EE a Ba Ra FA EE dd EE US ERES EE ERR ERE ED RE EE EG Exe sess d ibi LH Eggs He ee E XXE 255 00 05 B pos BE pr ism il A en 1711 DIR 80017003 Ver 25 42 Welch Allyn Mini Holter Event ECG System User Manual To view a whole recording Click the Full Disclosure button at the top of the tab The whole curve of one channel is displayed When two channels are recorded you can choose another in the Lead list on the top right of the tab Recordings Overview Details Recording 1 09 03 1998 16 12 53 gt ised CH2 Details Full Disclosure
11. has come off the skin or that the cable or connector has broken e High impedance does not necessarily result in bad ECGs However the poor connection it implies will make the recordings more susceptible to interference due to external electrical sources or patient movement e Both impedance and DC offset may vary unpredictably over time influenced by temperature humidity and patient activity Overview tab On the Overview tab you can view all recordings of one test Use the horizontal and vertical scrollbars to see all curves completely WelchAllyn Mini Holter Event ECG System User Manual oe am sl EE Ed c i Jj X ELEME Ms n E amam ter m rt wv Fu XU Bes J PEE 1 dd HH ae L PAA ATA Em E CM E GE EGE pee HER Li DRE a tpe I gl a leu c EH SEPA T ER ES E ia E E E enl Bid UNITE 0 dst e at Sashes 189 EB ECL To view one recording in detail e Double click the curve of that recording The Details tab is displayed It shows the recording in detail starting at the point you double clicked Available actions on the Overview tab e Zoom in or out on the recordings see section 0 for details e Set chart speed and sensitivity see section 0 for details e Apply anti aliasing see section O
12. offers a wide range of speed and sensitivity You can adjust the scale of the ECG by adjusting the chart speed and the sensitivity To set chart speed 1 Inthe View menu point to Chart speed and select a value The higher the chart speed the more curve will be visible Or 2 Choose the chart speed from the list mm sec in the toolbar To set sensitivity 1 Inthe View menu point to Sensitivity and select a value The lower the value the lower the peaks in the curve will be Or 2 Choose the chart speed from the list mm mV in the toolbar Make measurements When you view a single recording on the Details tab you can make measurements between two points To make a measurement between two points 1 Move the crosshair pointer to the starting point of your measurement 2 Double click on the starting point Event ECG System inserts a mark 3 Move the crosshair pointer to the end point of your measurement 4 Double click on the end point Event ECG System draws a line between the two points and displays the measured values Add a comment to a recording On the Details tab you can enter a comment for a single recording To add a comment e Start typing in the Recording Comment area at the bottom of the workspace Your comment is saved automatically Apply anti aliasing When you view an ECG on a monitor the signal can look ragged especially when you zoom in on acomplex You can use anti aliasing to make the signal lo
13. 6 Configure Welch Allyn Mini Holter Event ECG System 36 Formatting HeartCard memory cards ccccccccseececeeeeeceeeeseeeeeseeeeseeeesseeeesaaees 36 TROUBLESHOOTING ccce ras ews cases 38 Welch Allyn Mini Holter Event ECG System User Manual APPENDIX Using the Mini Holter Event ECG System recorder Instructions for the patient 1 Retrospective test 2 One channel event test 3 Two channel event test Welch Allyn Mini Holter Event ECG System User Manual Welcome Welcome to Mini Holter Event ECG System a versatile ambulatory ECG recording and analysis system With this system patients can be monitored over a week or longer This allows you to capture ECG traces accompanying intermittent or infrequent symptoms not usually captured by conventional Holter systems Intended use Mini Holter Event ECG monitoring is used to capture symptomatic episodes related to rhythm rate conduction and ischemia It may be useful as a diagnostic tool for patients with chest pain palpitations neurologic symptoms shortness of breath or to monitor response to treatment of cardiac disorders Indications The clinical indications for mini Holter Event electrocardiography include e assessment of symptoms that may be related to arrhythmias e assessment of risk in patients with or without symptoms of arrhythmia e assessment of efficacy of antiarrhythmic therapy e detection of
14. 82848 55050080022852828 1 Press down and hold the record button 2 Release the button when the green light comes on If the bleeper is switched on there will be a long bleep When the green light goes out the recording is finished The recorder reverts to displaying the number of recordings available and continues as before ready for the next recording Note e f the record button is pressed again too soon the beginning of the next recording will be blank e When a card is full the bleeper sounds and the recorder switches off Replace the batteries 4505585505055 5555552055255020525525050550554550550525255528 In this test the recorder constantly records ECG Because of that the batteries do not last very long You have to replace both batteries when the recorder displays this signal L 4 E The recorder will switch off automatically approximately eight hours after the warning starts Do not remove the Memory Card 1 Hold the recorder with its underside facing you Remove the battery cover by pressing down on the finger grip and sliding it sideways 2 Lift out the old batteries Replace with two AA MN1500 alkaline batteries Note the correct polarity when inserting them Replace the battery cover by sliding it until the catch engages 4 Press the record button once when the bleep starts Replace the Memory Card If you need a large series of recordings you have received more than one Memor
15. Allyn Mini Holter Event ECG System User Manual Association for the Advancement of Medical Instrumentation When you read back recordings from the Memory Card you can view connection quality for each recording in the Retrieve test from Memory Card dialog box The impedance and DC offset are shown also on printouts DC offset This is the voltage between the two electrodes used to record each channel of ECG It is measured in millivolts mV Ideally DC offset should be zero but small polarization effects due to the half cell potential of each electrode are normal Impedance This is the total impedance of the two skins to electrode interfaces per channel plus the effect of any discontinuities in the wires or connectors It is expressed in kilohms k and is measured using a 10Hz frequency Good connection quality depends on achieving both low impedance and a low DC offset e Inthe majority of patients impedance should ideally be lower than 50k and DC offset lower than 10mV e impossible to achieve these low values in some patients e Impedance for females is about 50 higher than for males e High impedance higher than 200k indicates poor contact between the electrode and the skin e Both impedance and DC offset may improve during the first few minutes after electrode application as the interface between the skin and the electrode stabilizes e Extremely high impedance higher than 1450k suggests an electrode
16. Edit and confirm an interpretation You can edit an interpretation in the Interpretation editor In this editor you can enter your own texts Alternatively you can use the statement tree to select and enter common interpretation statements Once you edit an interpretation you must confirm it Otherwise your changes will not be saved 1 2 3 In the Tools menu click Interpretation The Interpretation editor is displayed Interpretation editor ll Confirm E Cancel Clear E Conduction defects ce Ventricular hypertrophy E Myocardial infarction Conclusion normal ECG ECG within normal limits for ag possibly normal ECG borderline ECG abnormal ECG In the right hand pane at the pointer start typing Click the Confirm button to save your comments and to return to the test To edit and confirm an interpretation with the statement tree js 2 In the Tools menu click Interpretation The Interpretation editor is displayed From the statement tree click on one of the categories to display all possible statements for that category From a category click on the statement that you want to include in the interpretation The statement is added To delete a statement from the interpretation select the statement text and press BACKSPACE to delete it Click the Confirm button to save your comments and to return to the test Tips for editing and confirming an interpretation You can automati
17. HeartCard formatting 36 HOOKUP settings 33 Impedance 24 AS TAMIA Ec 36 Instructions for the patient 13 Interpreting a 29 Maintaining the recorder 31 Make measurements 27 Measurements 27 Memory Card Formatting 36 11 Mini Holter Event ECG System 7 New te St cccccececcsseeseeseeseseeseeeeeeeeeees 13 OmniDrive installation 36 One channel test 13 Overview 24 Patient connection 19 Patient connection quality 23 33 Patient instructions 13 Power 16 Prepare 16 Print SOLAS wi 34 Print 1691 30 PANINO TAD PD PTS 34 Read back recordings 21 Record CVC IBS ton 21 retrospective test
18. NV 008 Onymous 16 3 2000 15 15 0 Status bar Comments area Interpretation area Title bar The title bar displays the name of the program The title bar Workspace contains three buttons that you can use to maximize minimize and close the mini Holter Event ECG System window Menu bar Each menu in the menu bar contains a number of tasks that you can perform Sometimes menus are gray This means that you cannot access that functionality at that particular point either because it is not available or because you are not authorized to use it Tool bar The tool bar contains buttons that give you easy access to the most common tasks Search area The search area on the left hand side contains search and display functionality that lets you easily retrieve patients and tests In the search area you can find a patient see which tests were recorded for that patient and see the kind of tests that were recorded You can also create search patterns an easy way of finding information that you need frequently Workspace The workspace displays the test and the recordings of a test This is where you do the actual recording viewing and interpreting The workspace contains a viewing area with a number of tabs that let you see the test in different ways The tabs that are available are Recordings Overview and Details 1 2 WelchAllyn Mini Holter Event ECG System User Manual Status bar The status bar at the bottom o
19. WelchAllyn Mini Holter Event ECG System User Manual 0297 DIR 80017003 Ver B i LT IL LIE i i i ji ipm red LLLI LE IZEN CIBIESI Regulatory Affairs Representative Welch Allyn Limited Navan Business Park Dublin Road Navan County Meath Republic of Ireland Welch Allyn 4341 State Street Road Skaneateles Falls NY 13153 0220 USA www welchallyn com Welch Allyn Mini Holter Event ECG System User Manual Instructions for use Copyright 2012 Welch Allyn All rights are reserved To support the intended use of the product described in this publication the purchaser of the product is permitted to copy this publication for internal distribution only from the media provided by Welch Allyn No other use reproduction or distribution of this publication or any part of it is permitted without written permission from Welch Allyn Welch Allyn assumes no responsibility for any injury to anyone or for any illegal or improper use of the product that may result from failure to use this product in accordance with the instructions cautions warnings or statement of intended use published in this manual Unauthorized copying of this publication may not only infringe copyright but also reduce the ability of Welch Allyn to provide accurate and up to date information to users and operators alike Welch Allyn CardioPerfect Workstation and SpiroPerfect are registered trademarks
20. ance improper repair damage or alteration by anyone other than Welch Allyn Cardio Control BV or their authorized service personnel Welch Allyn Mini Holter Event ECG System User Manual Warranty Service and Spare Parts Warranty All repairs on products under warranty must be performed or approved by Welch Allyn Unauthorized repairs will void the warranty In addition whether or not covered under warranty any product repair shall exclusively be performed by Welch Allyn certified service personnel Assistance and Parts If the product fails to function properly or if assistance service or spare parts are required contact the nearest Welch Allyn Technical Support Center USA 1 800 535 6663 Canada 1 800 561 8797 Latin America 1 305 669 9003 South Africa 27 11 777 7555 European Call Center 353 46 90 67790 Australia 61 2 9638 3000 United Kingdom 44 207 365 6780 Singapore 65 6419 8100 France 33 1 55 69 58 49 Japan 81 42 703 6084 Germany 49 695 098 5132 China 86 21 6327 9631 Netherlands 31 202 061 360 Sweden 46 85 853 65 51 Before contacting Welch Allyn it is helpful to attempt to duplicate the problem and to check all accessories to ensure that they are not the cause of the problem When calling please be prepared to provide Product name and model number and complete description of the problem The serial number of your product if applicable The complete name address and phone number of yo
21. cally insert the current date and time by clicking the Date time button You can clear the interpretation editor by clicking the Clear button The statements in the statement tree can be changed Contact your system administrator or local dealer for new or changed statements 5 1 Welch Allyn Mini Holter Event ECG System User Manual Printing a test About printing a test With Mini Holter Event ECG System you can print the ECG recordings of a test on plain paper with a regular inkjet or laser printer Note You can print one recording at a time it is not possible to print the whole test at the same time Print formats Mini Holter Event ECG System can print the following reports e Details e Complete details e Full disclosure 25 mm s e Full disclosure 10 mm s e Full disclosure 5 mm s e Recordings e Overview Each report contains the view and a header that displays additional information For more information about printing recordings please refer to the Workstation manual 6 1 6 2 Welch Allyn Mini Holter Event ECG System User Manual Maintaining the recorder About maintaining the recorder To keep the recorder in good working condition please observe the following Remove the battery when the recorder is not used for a longer period of time When the recorder is being used it should not be exposed to temperatures below 0 C or above 45 C and to prolonged direct sunlight When you store the record
22. ch Allyn to return your Product before you send it to Welch Allyn s designated service center for repair THIS WARRANTY IS IN LIEU OF ALL OTHER WARRANTIES EXPRESS OR IMPLIED INCLUDING BUT NOT LIMITED TO THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE WELCH ALLYN S OBLIGATION UNDER THIS WARRANTY IS LIMITED TO REPAIR OR REPLACEMENT OF PRODUCTS CONTAINING A DEFECT WELCH ALLYN IS NOT RESPONSIBLE FOR ANY INDIRECT OR CONSEQUENTIAL DAMAGES RESULTING FROM A PRODUCT DEFECT COVERED BY THE WARRANTY Welch Allyn Mini Holter Event ECG System User Manual Table of Contents 1 1 1 1 2 2 2 1 2 2 2 3 2 4 3 1 3 2 3 3 4 1 5 1 6 1 6 2 7 1 7 2 7 3 7 4 7 5 8 1 8 2 8 3 GE FING STARTED aaea EEEE EEE EEE 8 The Event ECG System window esses nennen nnns 8 The Event ECG System FreCO Ider euo mo ptr dex ce pee HE e duDVS 9 RECORDING A MINI HOLTER EVENT ECG TEST 11 About recording a test seeesssssssssssssseeeeeee nennen nennen 11 Recording a retrospective test A denen DER dud 12 Recording an event test seesseesssessseseeeeeen nennen nennen nnne 21 PAC ACL AG TECON MERE TT 21 VIEWING A EVENT ECG SYSTEM TEST 23 Event EGG Dt ME ITIN UD ER 23
23. des are attached for a longer time the connection may become poor due to transpiration If this happens often check whether proper long lasting electrodes are used if the skin is prepared properly and if the threshold values for DC offset and Impedance are not set too low If the patient symbol flashes already at the initialization check the following Was the skin well prepared 5 the patient cable in good condition visible inspection Is the cable connector pushed into the recorder correctly it has to click when inserting it Are the threshold values for DC offset and Impedance not set too low Appendix Using the Mini Holter Event ECG System recorder Instructions for the patient 1 Retrospective test 2 One channel event test 3 Two channel event test Using the Event ECG System recorder retrospective test Keep the recorder in good working condition 4n54u05555555 5 5505555050505055055005205500095550555554228 You will wear this recorder for some time To ensure that the recorder stays in good working condition please observe the following e Do not expose the recorder to temperatures below 0 C or above 45 e expose the recorder to prolonged direct sunlight e Protect the recorder against water e Do not attempt to remove the covers of the recorder When it is malfunctioning refer to the hospital Make a recording 4o0o505058005805832m50550558850050205805050580950805505
24. e recorder place it in the card reader again and read back the stored measurements Memory Card A Memory Card is a removable card which is used to store a patient s ECG recordings The Memory Card is available in two capacities 90 and 180 minutes If a patient needs a very large series of recordings he can be supplied with more than one card Retrospective mode 4 fP a You can use retrospective mode if e the patient has rather frequent symptoms e you want to record the onset of an event Monitoring can last from a few days up to a few weeks You can freely adjust the amount of ECG recorded before and after activation It is only limited by the capacity of the Memory Card that is used In a retrospective test the patient wears the recorder for a certain period The recorder is connected to the patient with special long term electrodes It continuously records ECG into a loop of memory until the patient feels an irregularity in his heartbeat and chooses to make a recording When the patient activates the recorder by pressing the button ECG is stored from both before and after activation One or two channel retrospective tests Retrospective mode is commonly used to record two channels of ECG enabling better discrimination of cardiac rhythm and conduction The recorder can however operate on one channel only giving twice the available recording time and using only two electrodes 2 2 Welch Allyn M
25. ent card identifier 4 Press Start to start the formatting process DIR 80017003 Ver B Welch Allyn Mini Holter Event ECG System User Manual Troubleshooting When I use the Format utility cannot set the recording time to correspond with the size of the Card The actual size may differ slightly from the size as mentioned on the card e g a 90 minute card may in reality be a 88 53 card or so Check if the header in the format utility displays the correct drive letter The actual drive letter of the card reader can be found with the use of Windows Explorer to set the correct drive letter in the WACP settings menu go to the Recollect settings General tab Is formatting the card with the Recollect Format utility the same as formatting with the Windows formatting program The Windows formatting program really puts a new data structure on the card normally this is not required and should be avoided In some cases especially with Windows XP this can make the card unsuitable for use with the Recollect recorder Recollect Format utility creates a file called Recollect bin on the card in this file the ECG recordings are stored This allows you to reserve a certain amount of space on the card The patient symbol flashes almost each time a measurement is performed telling me the electrode quality is not good although at the initialization the connections were tested O K If the electro
26. er make sure it is not exposed to temperatures below than 20 C or above 65 Protect the recorder against water Do not attempt to remove the covers of the recorder In the event of a malfunction refer servicing to the manufacturer or an approved distributor Clean the recorder case regularly Clean the recorder case To minimize the possibility of cross infection the case should be cleaned each time the recorder is returned by a patient To clean the recorder case Clean the exterior surface of the recorder with a cloth dampened with a non abrasive detergent Note Do not immerse the instrument in any liquid 7 1 7 2 WelchAllyn Mini Holter Event ECG System User Manual Customizing Mini Holter Event ECG System About customizing Mini Holter Event ECG System You can customize Event ECG System to your own preferences The features that you can customize are located in File gt Settings gt Recollect Important When you change the settings in the General tab they are only changed on the computer that you are currently working on Other computers remain unchanged Event ECG System settings General Tab Use the General tab to customize general settings of Event ECG System Settings 101 xl Recollect General Hookup Printing PC Card Driv Overvie E c lt Number of Rows 5 Detail Background ECG trace ial Number of Rows 2 Gidines Grid dots Ed F
27. f the window shows information about the patient and test that are currently selected such as the test and patient name and recording date The Event ECG System recorder This section describes the Event ECG recorder 1 Memory Card WelchAllyn Mini Holter Event ECG System User Manual 15 Battery compartment label Note the meaning of the following symbols AN Attention consult accompanying documents AR Defibrillator proof type BF electrocardiograph DIR 80017003 Ver B 10 42 2 1 Welch Allyn Mini Holter Event ECG System User Manual Recording a mini Holter Event ECG test About recording a test With Welch Allyn Mini Holter Event ECG System you can easily record ambulatory ECG tests You can choose between two test modes retrospective or event In both modes you can record one or two channels of ECG A mini Holter Event ECG test consists of anumber of ECG recordings made by the patient These recordings are stored on the Memory Card To start a test you place this card in the card reader that is connected to your computer You create a new test and prepare the recorder for use After placing the Memory Card in the recorder you connect the recorder to the patient except when you record an event test with one channel of ECG In that case the patient carries the recorder with him and attaches the electrodes when he wants to make a recording When the patient returns you take the Memory Card from th
28. horoughly clean and dry so that the electrodes will adhere well for a long period without causing irritation Place the electrodes and attach the snap connectors on the lead wires at the positions indicated by the illustrations Note Use Medicotest VLC 00 S electrodes and other soft gel types These electrodes give good results particularly when the patient is active Welch Allyn Mini Holter Event ECG System User Manual One channel Two channels 5 Hook the neck cord into the cable yoke stress relief molding to support the cable This helps avoid the need for adhesive tape 6 You can now start the recorder Start the recorder During a retrospective test the patient wears the recorder constantly Therefore you have connected the recorder to the patient Now you have to start the recorder so that a continuous loop of ECG will be recorded To start the recorder 1 Press the record button briefly The recorder automatically tests the quality of the connection to the patient e If the connection is good The recorder will display You have to the patient symbol Continue with step 2 continuously the heartbeat symbol flashing at each heartbeat e lf the connection is bad The recorder will display You have to m n 8 EEME 1 77 flashing To solve connection problems e Check the e plug e leads e electrodes e skin preparation When the patient symbol stops flashing the prob
29. igure Welch Allyn Mini Holter Event ECG System After making sure the card reader is present you need to configure Welch Allyn Mini Holter Event ECG System To configure Welch Allyn Mini Holter Event ECG System for use with the card reader 1 Start Welch Allyn Mini Holter Event ECG System 2 Inthe File menu click Settings and click Recollect Set the PC Card drive letter to the letter assigned to the card reader by the operating System 4 Click OK to save the settings Formatting HeartCard memory cards In the following circumstances it might be necessary to format the HeartCard 1 Card was used with Recollect software 2 03 or earlier 2 Card s back up battery was replaced WelchAllyn Mini Holter Event ECG System User Manual To format a HeartCard proceed as follows 1 Insert the card into the card reader 2 Start the Recollect format utility which was installed in the Cardio Control group on your Start menu The program s caption will indicate at which drive letter it will expect the HeartCard gt Format ERCOLLECT BIN a 4 X Card Identifier 10 characters 23456590 Load current data from card Lapacit File Size Recording 503 kB 44 40 min 3 Enter the card identifier to be programmed onto the card The identifier can be any text you like just make sure the card can be easily recognized with the text used and that all cards you use have a differ
30. ini Holter Event ECG System User Manual Recordings at specific times In retrospective mode you can also set Event ECG System to make automatic recordings at specific times during day and night Event mode You can use event mode if e the patient has rather infrequent and irregular symptoms e you do not need to record the onset of an event With an event test patients can be monitored over several weeks or even months Event tests can be conducted with one or two channels You can freely adjust the amount of ECG that is stored It is only limited by the capacity of the Memory Card that is used One channel event test In a one channel event test the patient carries the recorder with him during the test period If he feels an irregularity in his heartbeat he attaches a pair of electrodes to the wrists and activates the recorder After the ECG recording is made the electrodes are removed and the recorder is put away Two channel event test In a two channel event test the recorder is constantly connected to the patient During the whole test period the electrodes are attached to the patient s chest If the patient feels an irregularity he activates the recorder and ECG is recorded Recording a retrospective test To record a test in retrospective mode you need to follow these global steps Steps 2 3 4 6 and 7 are explained in more detail on the following pages 1 Select a Memory Card of appropriate duration and place i
31. ive Mode Event Mod Default Impedence Threshold 800 kOhm Default Impedence Threshold ECG 500 hi kOhm Default DC Offset Threshold Default DC Offset Threshold 80 1 150 mV 0 Recorder Default v Exercise ECG 80 1 150 mv 0 Recorder Default Reset to Recommended Values Spirometry Ambulatory blood pressure Cancel Apply Help When the recorder is connected to the patient it tests the quality of the connection The recorder checks if the impedance and the DC offset are acceptable To determine this the recorder needs a threshold You can set this threshold on the Hookup tab The threshold values are then stored on the Memory Card and read by the recorder when it checks the connection quality DIR 80017003 Ver B 33 42 7 4 WelchAllyn Mini Holter Event ECG System User Manual As a default the impedance threshold is 800 kOhm and the DC offset threshold 80 mV for both retrospective and event mode These are the recommended values You can change these values by choosing other values from the lists The next time a new test is created the changed settings are stored on the Memory Card Event ECG System Settings Printing tab Use the Printing tab to select the reports that you want to use for the Print selected formats function 5 Recollect General Hookup Printing General Default report templates Selected _ Details 5 mm dots Complete
32. ization field shows how much of the card capacity will be used 15 On the Times tab you can set timed recordings if you also want the recorder to make automatic recordings 16 On the Times tab you can activate the Power Save function if you want to extend battery life 17 Click OK The test settings are now stored on the Memory Card Tip for creating a new Event ECG test e f you want to use the test settings again for another test you can save them on your computer e You can use test settings you have saved by choosing the proper settings from the Scheme field Set ECG recording times When you create a retrospective Event ECG test you need to set these ECG recording times You can do this in the New Recollect Test dialog box 1 In the Recording Duration field enter the total time ECG is stored when the patient makes a recording You can enter the time value in two ways the number of seconds or the number of minutes Example The total recording duration is one minute If you want to enter the value in seconds 60 minutes WelchAllyn 2 Mini Holter Event ECG System User Manual In the Pre Trigger Time field enter the time ECG is stored before the patient presses the record button You can also set the pre and post trigger time by using the slide bar Note The total amount of time before and after the button press always equals the total recording duration When you have entered the pre trigger
33. lem is solved Fai Note The recorder displays the symbol 2 if the fault is on channel two 2 Press the record button again briefly to complete the quality test and start retrospective monitoring The recorder will now display the following symbols 2 3 2 4 WelchAllyn Mini Holter Event ECG System User Manual heartbeat symbol 23 looping symbol retrospective test with one or 5 two channels 31 number of recordings available Recording an event test To record a test in event mode you can follow the steps of recording a retrospective test Please follow the instructions on page12 and further Instead of selecting the Retrospective mode you select the Event mode Read back recordings When the patient has returned with the recorder you need to read back the recordings from the Memory Card and transfer them to your computer Once you have transferred them to your computer you can view them with Mini Holter Event ECG System To read back recordings 1 Remove the Memory Card from the recorder and put it in the card reader that is connected to your computer Select the patient who made the recordings From the test list select the test the recordings belong to Event ECG System shows that the test is in progress Click Actions gt Retrieve Data The Retrieve test from Memory Card dialog box is displayed Retrieve Test from MemoryCard _ TEST 00000000 1 test test
34. myocardial ischemia Contraindications There are no known contraindications for the recording of mini Holter Event ECG tests Operator knowledge To use this device extensive Holter knowledge is required that allows proper identification of sinus and paced rhythms abnormal rhythms supraventricular and ventricular arrhythmias artifact ST segment changes and pacemaker failures In addition all instructions assume a working knowledge of computers and specifically Windows software 1 1 WelchAllyn Mini Holter Event ECG System User Manual Getting started The Event ECG System window This section will guide you around the various parts of the Event ECG System software Search Toolbar Menu bar Title bar Welch Allyn CardioPerfect inl o xj File Edit Mail View Action Help E ew gt A Preview Zoom In Zoom Qut Go To Trigger Send eReply VE Fonwerd X Delete Fj Send Receive f amp Interpretation i Info 25 mm sec mmn 3 Mail la Pocket PC Patient Test date E Patients Q Search CCNV 008 Ann Onymous 16 3 2000 15 15 01 Recordings Overview Details Nodal tachycardia CCNV 008 Onymous Ann 29 39 1951 009 Pacing problem CCNY 004 Recording Long 1 1 1963 00 test test Bui XE 011 WPW mm b Anonymous ICC
35. o create a new retrospective test you need to follow these global steps Step 5 6 and 7 are explained below in more detail 10 In the File menu point to New and click Recollect test The New Recollect Test dialog box is displayed New Recollect Test EET Ioj x TEST 00000000 1 test test Data Card Information Specialty Card ID fan 1234567890 Referring physician Card Capacity None 44 40 minutes Cancel Help 11 Select the physician that ordered the test and a specialty Click Next The Recording tab is displayed WelchAllyn Mini Holter Event ECG System User Manual New Recollect Test TEST 00000000 1 test test Ad O x Recording Times gt Recorder Mode Number of Channels Cardlnfommation Retrospective Mode C Channel Card ID C Event Mode 1234567890 Card Capacity ECG Recording Times 44 40 minutes Recording Duration Possible Recordings Utilization 0 30 55 TN 98 Pre Trigger Time Post Trigger Time jor 2 3 Stored Settings Scheme z Save s Delete Cancel Help 12 Select Retrospective Mode as recorder mode 13 Select the number of channels you want to use 14 Set the ECG Recording Times The Possible Recordings field shows how many recordings of the selected duration can be stored on the Memory Card and the Util
36. of Welch Allyn Software in this product is Copyright 2012 Welch Allyn All rights are reserved The software is protected by United States of America copyright laws and international treaty provisions applicable worldwide Under such laws the licensee is entitled to use the copy of the software provided on the original distribution medium The software may not be copied decompiled reverse engineered disassembled or otherwise reduced to human perceivable form This is not a sale of the software or any copy of the software all right title and ownership of the software remains with Welch Allyn The information contained in this manual is subject to change without notice All changes will be in compliance with regulations governing manufacture of medical equipment User responsibility This product is designed to perform in conformity with the description thereof contained in this operation manual and accompanying labels and inserts when assembled operated maintained and repaired in accordance with the instructions provided A defective product should not be used Parts that are broken plainly worn missing or incomplete distorted or contaminated should be replaced immediately Should any repair or replacement become necessary we recommend that service be performed at the nearest factory approved service center The user of the product shall have the sole responsibility for any malfunction which results from improper use faulty mainten
37. ok smoother Anti aliasing does not change the signal itself It only affects how the signal is displayed on the monitor To apply anti aliasing e Inthe View menu click Anti aliasing 3 2 3 3 Welch Allyn Mini Holter Event ECG System User Manual View information about a test The Information window gives you all kinds of information about the ECG that you are currently viewing You can see the name of the referring physician the name of the technician that recorded the ECG and any comments that were entered If you wish you can add some comments to the test To view information about a test e Click the Info button on the toolbar The Information dialog box is displayed x Referring physician Unknown Recorded by Unknown Location Unknown Comment Male patient 35 years old E Cancel Help To add a comment to a test 1 Click the Info button on the toolbar The Information dialog box is displayed 2 Click in the Comment field and start typing 3 Click OK to save you comment View the test settings You can view the settings of the test which were entered when the test was created such as the type of test retrospective or event the number of channels and the duration of the recordings To view the test settings e Inthe View menu click Card The Card Settings window is displayed 4 1 Welch Allyn Mini Holter Event ECG System User Manual Interpreting a test
38. ont Color schemes Current Gridstyle Full grid bi General ECG P Exercise ECG Spirometry Ambulatory blood pressure Cancel Apply Help DIR 80017003 Ver B 32 42 7 3 WelchAllyn Mini Holter Event ECG System User Manual The General tab contains the following information PC Card Drive From this list you can select the drive to which the Memory Card reader is connected Appearance Here you can specify individual colors for the background grid lines grid dots trace and the font that is used in displaying the ECG Click on the color to select another color Color schemes This list lets you choose from a number of predefined color formats Gridstyle From this list you can select the style of the grid in which the ECG recordings are displayed You can either leave out the grid use lines to represent the grid or display a full grid Overview With this option you can determine how many rows of ECG trace are shown on the Overview tab The more rows are shown the less you have to scroll horizontally Details With this option you can determine how many rows of ECG trace are shown on the Details tab The more rows are shown the less you have to scroll horizontally Event ECG System settings Hookup tab Use the Hookup tab to set the thresholds the recorder uses to test patient connection quality setenas M uini Recollect Retrospect
39. or Procell Note the correct polarity when inserting the batteries 3 Replace the battery cover by sliding it until the catch engages 4 Press the record button once when the bleep starts Make a recording o55056506550555 0550502055508055050250520055505000505 25 25 25 25m9 1 Remove the electrodes from the backing strip and firmly press an electrode onto the inside of each wrist e black on the left e white on the right 2 Press down and hold the record button 3 Release the record button when the green light comes on Try to relax with your hands and the recorder resting on the lap 4 When the green light goes out the recording is complete Remove the electrodes and replace them onto the backing strip Remove the batteries from the recorder Note e You do not have to unplug the cable from the recorder However do not wrap it around the recorder this can cause the cable to break e subsequent recording cannot be made until the recorder display goes blank e Replace the electrodes after 10 applications or sooner if they do no stick well any longer Replace the Memory Card If you need large series of recordings you have received more than Memory Card When a card is full you have to replace it Note Do not remove the full Memory Card directly after the last recording is made The recorder needs a few seconds to store the recording 1 Grip the exposed part of the Memory Card
40. s 1 to 3 are different types of sound To adjust the bleep level 1 7 8 Remove the Memory Card Hold the recorder with its underside facing you Remove the battery compartment cover by pressing down on the finger grip and Sliding it sideways The bleep set button is the semicircular one next to the batteries Press the record button Press the bleep set button once The display shows the current bleep level Press the record button repeatedly until the correct level is displayed Each time the record button is pressed the recorder bleeps once at the new level except at level 0 Press the bleep set button The time will be displayed Replace the battery compartment cover Note The recorder switches off if more than ten seconds have elapsed since the last button press Connect the recorder to the patient In a retrospective test the patient wears the recorder constantly during a certain period Therefore you have to connect the recorder to the patient To connect the recorder to the patient Put recorder into the carrying case The record button should be visible through the cut out in the case Note Do not press the record button when inserting the recorder If the two channel cable is being used fit the neck cord around the patient s neck to support the cable yoke This prevents signal artifact which can result from the leads pulling on the electrodes Prepare the patient s skin Make sure it is t
41. sideways 3 Putin two AA MN1500 alkaline batteries Duracell or Procell Note the correct polarity when inserting the batteries Welch Allyn Mini Holter Event ECG System User Manual 4 Replace the battery cover by sliding it until the catch engages Attach the patient cable 1 Select the appropriate chest cable and the neck cord The cable you choose must match the number of channels you selected when you created the test 2 Align the marks on the cable grip and recorder and push the plug firmly into the recorder socket until it clicks into place If the plug is difficult to insert try rotating it slightly as you insert it The plug cannot be removed by pulling on the cable only by pulling back the metal sleeve so it is unlikely that the patient disconnects the cable accidentally Note e Do not attach any other type of cable to the recorder e Do not attach the patient cable electrodes to any other electrical device Check the time and date The recorder has a built in calendar and clock that are used to record the time and date on the Memory Card each time a recording is made Therefore make sure the recorder is set at the correct time and date 1 Remove the Memory if fitted 2 Press the record button briefly and check the time The display switches off automatically after a few seconds 3 Adgjust the time if necessary Adjust the time and date You can agjust the calendar and clock in two ways
42. t in the card reader that is connected to your computer Select a patient or create a new one 3 Create a new test Note If the patient s symptoms require a large series of recordings you can supply him with more than one Memory Card You then need to store the test settings on all cards which means that you have to create the same test more than once each time with a new card in the card reader Prepare the recorder before connecting it to the patient Place the Memory Card in the recorder note the arrow Push the card fully in Connect the recorder to the patient QU S oO Start the recorder WelchAllyn Mini Holter Event ECG System User Manual 8 The patient carries the recorder with him for some time To ensure that the recorder will record properly you need to give the patient a sheet with a few instructions See the appendix you can make a copy of it 9 When the patient returns place the Memory Card in the card reader again and read back the recordings Create a new retrospective test Before you can record a retrospective test you first need to create a new test The test settings are stored on the Memory Card that you put in the card reader that is connected to your computer Note If the patient s symptoms require a large series of recordings you can supply him with two Memory Cards You then need to store the test settings on two cards which means that you have to create the same test twice T
43. the Welch Allyn CardioPerfect Workstation computer based product you have purchased meets the labeled specifications of the Product and will be free from defects in materials and workmanship that occur within 1 year after the date of purchase Accessories used with the Product are warranted for 90 days after the date of purchase The date of purchase is 1 the date specified in our records if you purchased the Product directly from us 2 the date specified in the warranty registration card that we ask you to send to us or 3 if you don t return the warranty registration card 120 days after the date on which the Product was sold to the dealer from whom you bought the Product as documented in our records This warranty does not cover damage caused by 1 handling during shipping 2 use or maintenance contrary to labeled instructions 3 alteration or repair by anyone not authorized by Welch Allyn and 4 accidents You assume all responsibility for use of the Product with any hardware or software that does not meet the system requirements described in the Product documentation If a Product or accessory covered by this warranty is determined to be defective because of defective materials components or workmanship and the warranty claim is made within the warranty period described above Welch Allyn will at its discretion repair or replace the defective Product or accessory free of charge You must obtain a return authorization from Wel
44. time the post trigger time is automatically determined Set timed recordings Note Unless you only want to record timed recordings ensure that the ECG duration and timed recordings that you choose will not fill the Memory Card prematurely For example if the ECG duration single channel is set to 3 minutes and 15 timed recordings per day are selected a 90 minute Memory Card will be filled in 48 hours Either use a card with more capacity or shorter ECG duration 1 In the New Recollect Test dialog box click the Times tab New Recollect Test E Bl x 00000000 1 test test Recording Times C Timed Recordings Power Save Timed Recordings Mode Power Save Mode On Hour Every 1 00 hh mm Starting at 7 00 Time Insert Time gt Delete All Mute Bleep OK Cancel Help 2 Select the Timed Recordings Mode box 3 You can now set the timed recordings in two ways by entering all specific times or by setting a recording cycle To enter specific times 1 Inthe Time field enter a time in the format hh mm 2 Click the Set button to set the entered time 3 Repeat these steps for all times you want to set To set a cycle 1 Inthe Every hours field enter a number of hours in the format hh mm 2 Inthe Starting at field enter the first time of the day a recording must be made 3 Click the Set button
45. tly in use the patients to whom they are assigned and the times when recordings have started To view the card overview e Inthe Tools menu click Card overview The Card overview is displayed 8 1 8 2 8 3 Welch Allyn Mini Holter Event ECG System User Manual Installing Mini Holter Event ECG System Mini Holter Event ECG System is made up of four elements the Event ECG System recorder the software that runs on the computer the SRAM memory card on which ECG data is recorded and the memory card reader Before you can start recording Recollect tests you need to e Install the memory card reader if it is not a built in part of the computer e Configure the software e Configure the memory card e Insert the card into the Event ECG System recorder Memory card reader On most laptop systems the built in PC Card slots can be used for the Mini Holter Event ECG System HeartCard memory cards If you are using a desktop machine it may be necessary to install an external PC Card reader Welch Allyn Cardio Control BV actively supports the OmniDrive external parallel port card reader and the OmniDrive PRO USB card reader Please refer to the documentation that came with the drive for instructions on how to install After installing the card reader please make a note of the drive letter that the operating system has assigned to this card drive This information will be necessary for Event ECG System software configuration Conf
46. to set the cycle Welch Allyn Mini Holter Event ECG System User Manual 4 The recorder will bleep when an automatic recording is made To mute this bleep select the Mute Bleep box Activate Power Save You can extend battery life by switching off the loop recording and the display functions while the patient is asleep 1 In the New Recollect Test dialog box click the Times tab 2 Select the Power Save Mode box 3 Enter the time you want the recorder to turn off and the time you want the recorder to turn on again Save test settings After setting the test settings you can save them The settings are saved on your computer so that you can use them again for another test To save the test settings 1 In the New Recollect Test dialog box click the Save As button The Save Scheme dialog box is displayed x Save the current settings as p _ _ _ Cancel 2 Enter a name for the settings 3 Click OK Prepare the recorder Before you can place the Memory Card with the stored settings in the recorder you have to prepare the recorder e provide the recorder with a fresh set of batteries e attach the patient cable e Check if the recorder displays the correct time and date e adjust the bleep level if necessary Fit the batteries 1 Remove the Memory Card if fitted 2 Hold the recorder with its underside facing you Remove the battery cover by pressing down on the finger grip and sliding it
47. ur facility For out of warranty repairs or spare parts orders a purchase order or credit card number e For parts order the required spare or replacement part number s Repairs If your product requires warranty extended warranty or non warranty repair service please call first the nearest Welch Allyn Technical Support Center A representative will assist you troubleshooting the problem and will make every effort to solve it over the phone avoiding potential unnecessary return In case the return cannot be avoided the representative will record all necessary information and will provide a Return Material Authorization RMA number as well as the appropriate return address A Return Material Authorization RMA number must be obtained prior to any return Packing Instructions If you have to return goods for service follow these recommended packing instructions e Remove all hoses cables sensors power cords and ancillary products as appropriate before packing unless you suspect they are associated with the problem e Wherever possible use the original shipping carton and packing materials e Include a packing list and the Welch Allyn Return Material Authorization RMA number It is recommended that all returned goods be insured Claims for loss or damage to the product must be initiated by the sender Welch Allyn Mini Holter Event ECG System User Manual Limited Warranty Statement Welch Allyn Inc warrants that
48. view Details No Date amp Time Duration Impedance DC Offset Battery Voltage _ Recorder Info 09 03 1998 16 12 53 09 03 1998 17 57 51 09 03 1998 18 08 21 09 03 1998 20 57 56 09 03 1998 21 02 30 09 03 1998 21 14 34 09 03 1998 22 58 36 Ay indicates that the recording was made by the patient 1 30 min 1 30 min 1 30 min 1 30 min 1 30 min 1 30 min 1 30 min lt 50k 50k lt 50k lt 50k lt 50k 50k lt 50k 50k 50k 50k lt 50k 50k 50k 50k 14mV 2 27mV 20mV 32mV 20m 31mV 18mV 26mV 18m 27mV 18mV 27mV 16mV 24mV 3 09 V 106 v6 0 106 v6 0 106 v6 0 106 v6 0 106 v6 0 106 v5 0 106 v6 0 indicates that the recording was made automatically at a specific time e Impedance and DC offset give information about the patient connection quality 3 You can now view all recordings or one single recording To view all recordings at the same time e Click the Overview tab in the workspace To view one single recording at a time 1 Select the recording you want to view 2 Click the Details tab in the workspace The recording is displayed in detail Patient connection quality The Event ECG System recorder automatically measures patient connection quality impedance and DC offset These measurements are made and stored at the end of each recording using a method recommended by the American Heart Association and the Welch
49. y When a card is full you have to replace it Note Do not remove the full Memory Card directly after the last recording is made The recorder needs a few seconds to store the recording 1 Grip the exposed part of the Memory Card and pull firmly 2 Place the new card in the recorder note the arrow Push the card fully in DIR 80017003 Ver B 40 42 Using the Event ECG System recorder event test one channel Keep the recorder in good working condition SSseGesese esses ESTES ERSESCESCECE SEES E EES You will wear this recorder for some time To ensure that the recorder stays in good working condition please observe the following e Do not expose the recorder to temperatures below 0 C or above 45 C e Do not expose the recorder to prolonged direct sunlight e Protect the recorder against water e Do not attempt to remove the covers of the recorder When it is malfunctioning refer to the hospital Fit the batteries SSCSRS ESSE SSSESESCESSESHCESHCESHSESEESB ECE E SEES In this test you do not use the recorder very often Therefore it is better that you do not leave the batteries in the recorder Take them out after a recording and put them in again when you want to make a recording Do not remove the Memory Card 1 Hold the recorder with its underside facing you Remove the battery cover by pressing down on the finger grip and sliding it sideways 2 Putin two AA MN1500 alkaline batteries Duracell
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