3RAY Electronics ECG-2301G User manual

Digital Electrocardiograph
Operation Manual
for ECG-2301G/ECG-2303B/ECG-2303G
Guangzhou 3RAY Electronics Co., Ltd.
Date：2013-03-26
File No.：MNU-ECG3303B-USR-Rev.A1

Digital Electrocardiograph Operation Manual
Statement of the Manufacturer
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The company only considers itself responsible for any effects on safety, reliability and
performance of the equipment if:
Assembly operations, extensions, re-adjustments, modifications or repairs are carried out
by personnel authorized by the company, and the electrical installation of the relevant room
complies with safety standards.
Responsibility of User
---------------------------------------------------------------------
This product will perform in conformity with the description thereof contained in this
Operation Manual and accompanying labels and/or inserts, when assembled, operated,
maintained and repaired in accordance with the instructions provided. This product must be
checked periodically for it's safety and accuracy. A defective product should not be used.
This product or any of its parts should not be repaired other than in accordance with
instructions provided by the trained personnel by the manufacturer.
WARNING ： The machine uses environmentally friendly packaging
materials, the machine and its accessories in the use of end of life can
return to the manufacturer for recycling; or are to be properly handled
to comply with local regulations.
Using Labels Guide
Note This label advises against certain actions or situations that could
damage equipment, produce inaccurate data, or invalidate a procedure.
Warning
This label advises against certain actions or situations that could result
in personal injury or death.
NOTE ： This device is not intended for home use.
WARNING ： This device is not intended for treatment.

Digital Electrocardiograph Operation Manual
Contents
1、Safety Guidance.................................................................................................................................... 1
3 Structure & Function...........................................................................................................................4
3.1、Front Panel................................................................................................................................. 4
3.2、LCD display................................................................................................................................ 4
3.4、Control Keypad Panel.............................................................................................................. 5
3.5、Patient Cable Interface(DB15).............................................................................................. 5
3.6、Analog I/O and UART Interface (RJ11) ............................................................................ 5
3.7、USB/Host Interface (Optional) ............................................................................................ 6
3.8、USB or LAN Interface (USB/RJ45,Optional) ................................................................... 6
4、Operation Preparation......................................................................................................................... 7
4.1 Power supply and grounding................................................................................................. 7
4.2 Using Rechargeable Battery.....................................................................................................7
4.3 Loading Recording Paper.......................................................................................................... 8
4.4 Connecting Patient Cable.......................................................................................................... 8
4.5 Connecting Electrodes............................................................................................................... 8
5、Operation Instructions and Setting..................................................................................................9
5.1、Power On.....................................................................................................................................9
5.2、Recording Mode.........................................................................................................................9
5.3、Operation Menu Setting.........................................................................................................10
5.4、Patient Info. Setting................................................................................................................12
5.5、Record ECG.............................................................................................................................. 12
5.6、Freeze ECG...............................................................................................................................12
5.7、ECG File Management........................................................................................................... 13
5.8、UART/USB communication.................................................................................................. 13
5.9、ECG Explanation on measurement.....................................................................................13
6、Cleaning, Sterilization and Maintenance...................................................................................... 13
7、Troubleshooting and solution......................................................................................................... 15
8、Service Warranty................................................................................................................................16
9、Accessories..........................................................................................................................................17
Appendix A.2 : Classification................................................................................................................ 17
Appendix A.3 : Technical characteristics..........................................................................................18
Appendix A.4 : Model and Specification............................................................................................ 19

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1、Safety Guidance
THE design of the electrocardiograph (ECG) complies with IEC 60601-1 / GB 9706.1-2007
(Medical Electrical Equipment: General Requirements for Safety) and IEC 60601-2-25 /
GB10793-2000 ( Particular Requirements for Safety of Electrocardiographs ). The
classification of this equipment is Class І , type CF, which means a higher degree of
protection against electric shock and the patient connection is fully isolated and
defibrillation protected. The equipment is not explosion-proof. Do not use it in the
presence of flammable anesthetics.The equipment is designed for continuous operation but
it not drip or splash-proof.
THE device also strictly follows the standard IEC 60601-1-2/YY0505-2005 about the
electromagnetism compatibility of medical instrument. When the electromagnetism is
beyond the margin of the standard, the device may not work properly. When the abnormal
situation appears, please check and clear all the influence before the operation starts again.
POWER Supply and Environment Requirements of the equipment please refer to [Appendix
A : Specification and Electrical characteristics ]
1.2.1 Application environment and connection
WARNING :
♦ SHOCK HAZARD - The power receptacle must be a hospital grade grounded outlet.
Never try to adapt the three-prong plug to fit a two-slot outlet.
♦ EXPLOSION HAZARD - Do not use the ECG in the presence of flammable anesthetic
mixture with oxygen or other flammable agents.
♦ If the integrity of external protective conductor in installation or arrangement is in doubt,
the ECG should be operated by the built-in rechargeable battery.
♦ Do not use in the presence of high static electricity or high voltage equipment which may
generate sparks.
♦ This equipment is not designed for internal use and direct cardiac application.
♦ Only patient cable and other accessories supplied by the manufacturer can be used,
otherwise the performance or electric shock protection can not be guaranteed.
♦ Be sure that all electrodes have been connected to the patient properly before operation.
♦ Auxiliary equipment connected to the analog and digital interfaces must be certified
according to IEC standards (e.g. IEC 950 for data processing equipment and IEC 60601-1
for medical equipment). Furthermore all configurations shall comply with the valid version
of IEC 60601-1-1. If in doubt, consult our technical service department or your local
distributor.
♦ The summation of leakage current should never exceed leakage current limits while
several other units are used at the same time.
♦ The potential equalization conductor can be connected to that of other equipments when
necessary, to make sure that all these equipments are connected with the potential
equalization bus bar of the electrical installation.
1.2.2 Application simultaneously with defibrillator, pace-maker and
high-frequency electrosurgical unit
♦ Be sure that the conductive parts of electrodes and associated connectors, including
neutral electrode, do not contact with earth or any other conducting objects.
♦ There is no danger for patients with pacemaker.
♦ Do not touch the patient, bed, table or the equipment while using defibrillator or
pacemaker simultaneously.
♦ Before defibrillating, make sure the patient is completely isolated and avoid touching any
metal part of the ECG machine in case of electric shock.

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♦ Before defibrillating, remove all electrodes, gel or cloth pieces from the patient in case
of any possible burning.
♦ Apply patient cable appointed by manufacturer only. Otherwise there might be electric
burn of the patient or damage of ECG machine.
♦ Electrodes with defibrillator protection should be applied. To avoid any possible electric
burn, it is recommended that only the patient cable and electrodes supplied by the
manufacturer to be applied while defibrillating.
♦ In order to avoid burning, please keep the electrode far away from the radio knife while
using electrosurgical equipment simultaneously.
1.2.3 Battery maintenance
WARNING :
♦ Improper operation may cause the battery hot, ignited or exploded, and it may lead to
declination of battery capacity. It is necessary to read the Operation Manual carefully.
♦ Disassembling or replacing battery should be done according to the Operation Manual,
and only battery of same model and specification provided by manufacturer should be used.
♦ Danger of explosion -- Do not reverse the anode and cathode when connecting the
battery.
♦ Do not use battery around fire or place over 60℃. Do not heat or splash the battery. Do
not throw the battery into fire or water.
♦ When leakage or foul smell found, stop using the battery immediately. If skin or cloth
contact with the leakage liquid, cleanse it with clean water at once. If splashed into your
eyes, do not wipe them. Irrigate them with clean water first and go to see a doctor
immediately.
♦ When the battery’s cycle life is over, stop using it, and contact the manufacturer or local
distributor for disposal or dispose the battery according to local regulations.
1.2.4 Cleaning & Disinfection
NOTE :
♦ Turn off the power before cleaning and disinfection. If mains supply used, the power
cord should be pulled out from the outlet, too. Prevent detergent from seeping into the
equipment.
♦ Do not immerse the unit or patient cable into liquid under any circumstances.
♦ Do not clean the unit and accessories with abrasive fabric and avoid scratching the
electrodes.
♦ Any remainder of detergent should be removed from the unit after cleaning.
♦ Do not use chloric disinfectant such as chloride and sodium hypochlorite etc.
♦ Do not use high temperature, autoclaving or radiation sterilization processes.
WARNING :
♦ To prevent the spread of infection , the following precautions should be taken : (1) use
the disposable electrodes ; (2)regular cleaning of all components contacting with the
patient ; (3) avoid to examine ECG for the patients with infectious ulcers etc.
1.2.5 EMC declaration
NOTE :
1. Powerful electromagnetic interference produced by radio station, transformer substation,
X-ray machine, CT-scanner, micro-waver, high-frequency treatment equipment, mobile
phone, wireless receiver, etc.
Solution: keep enough distance from this equipment.
2. AC interference caused by other equipment nearby
Solution: activate HUM filter, change power cable or use built-in battery

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3. Static interference
Solution: make sure the operator and other equipment contacting with the patient has no
static. Tip: a moisture room will be helpful reducing such interference.
If the interference can’t be eliminated through all above ways, please contact our service
department or the nearby appointed maintenance center.
WARNING：Possible explosion or fire hazard if used in the presence of
flammable anesthetics, oxygen, hydrogen or other chemicals.
2、Introduction
ECG machine is digital 12 channel physiological function measurement equipment which
records the heart waveform during electro-biological movement. It provides sufficient
information on the analysis of arrhythmia and cardiovascular disease, helps to know the
pathological disorder caused by some drugs and electrolyte, or unbalance of PH value. It is
important equipment for cardiac disease examination, and its compact size makes it suitable
for use while visiting patients at home.
Standard Configuration: main unit and accessories, including patient cable, chest electrodes,
limb electrodes, thermo-sensitive print paper and power cord etc.
2.1、Intended for use：
The digital electrocardiograph is medical electrical equipment intended for the production
of detachable electrocardiograms for diagnosis purposes.
2.2、Symbols on the device body：
Debrillation-Protected Type CF Equipment.
Potential equalization
Equipment grounding end
Attention! Should See the User Manual
External Input
External Output
Information of European Representative
Meets or exceeds Council Directive 93/42/EEC, MDD, Class IIa.

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2.2、Symbols on the keypad panel：
DC Power AC Power
Recharging indicator Menu
Mode Sensitivity
Filter Patient
INST FILE
1mV Help
ECG File Power On/Off
Run/Stop

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3 Structure & Function
3.1、Front Panel
(1) Handle (2) Paper Switch (3) Paper Cover (4) LCD (5) Keypad
3.2、LCD display
(1)Time
(2)Patient Info.
(3)Rhythm Leaf
(4)ECG Lead
(5)Mode
(6)Senesitivity
(7)Speed
(8)HUM/EMG Filter
(9)Anti-Drift-Filter
(10)HR/Battery
3.3、Bottom/Lateral Panel
(1)Handle
(2)AC/SLOT
(3)GND
(4)Name Plate
(5)UART
(6)USB
(7)USB/HOST
(8)Patient Cable
(9)Battery Box
3.4、Control Keypad Panel
The functions of keypad are as following ：

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（1）[On/Off]：Power. Press 2-3sec. power-off; Power/Charge Indicator;
（2）[Mode]：Select MAN/AUTO/R-R/STOR working mode;
（3）[Menu]：for Main Menu、File Menu、ECG Review Menu;
（4）[Reset]:Reset ECG baseline; [1mV] for 1mv calibration; Select leads;
（5）[FILTER]：default is [FILTER].
（6）[PATEINT]：edit Patient Info.，Press again to return;
（7）[RUN/STOP]：default is [RUN/STOP] to capture/record ECG;
NOTE: [F1/F2/F3/F4/F5]：Select function in MENU/PATIENT mode
In [PATIENT] mode, Press[MENU+F2/F3/F4/F5] to select and input
digital or alphabetic;
3.5、Patient Cable Interface(DB15)
PIN NAME PIN NAME PIN NAME
1C2 6SHIELD 11 LF
2C3 7NC 12 NC
3C4 8NC 13 C1
4C5 9RL 14 NC
5C6 10 LL 15 RF(N)
3.6、Analog I/O and UART Interface (RJ11)：Used for
* Record analog External Input In [TEST] lead of [MAN] mode.
* Export the Rhythm Lead of the [BASIC] menu to Analog External Output.
* Communicate with personal computer for 12 lead real-time ECG transmission and ECG
files transmission.(Needs optional ECG Archive Software and UART/USB cable).
PIN Remark PIN Remark
1GND（COMMON） 4UART-Rxd
（3.3V）
2Ext..In：
10mm/V[±5％] 5UART-Txd
（3.3V）
3Ext.Out:
1V/mV[±5％]
6NC
3.7、USB/Host Interface (Optional)：Used for

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* Transmit ECG file to ECG Archive software based on personal computer, Please refer to
the ECG Software Operation Manual for more information.
* Save ECG files to a external USB disk via USB/Host interface; the files can be imported
into ECG Archive software, Please refer to the User Manual for more information.
* Print ECG report to a external USB printer(PCL command) via USB/Host interface; details
about the supported USB printer, please contact our service department.
CAUTION:The USB cable should be well shielded and can not be longer over 3 meters, It's
better to use the manufacturer's recommended USB cable.
3.8、USB or LAN Interface (USB/RJ45,Optional)：Used for
* Communicate with personal computer system（This need a optional ECG Archive software,
Please refer to the ECG Software Operation Manual for more information）.
CAUTION:The USB or LAN cable should be well shielded and can not be longer over 3
meters, It's better to use the manufacturer's recommended USB cable.

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4、Operation Preparation
4.1 Power supply and grounding
The ECG can be powered on by mains supply or built-in rechargeable battery pack.
1) Mains Supply : Rated Main Supply : 100V~230V, 50Hz/60Hz, 60VA
Properly connect the ECG with mains supply. Make sure the mains supply meets the above
requirements before power on. Then press the mains power switch to turn on the ECG. The
mains supply indicator lamp will be lit as well as the battery recharging indicator .
If the built-in rechargeable battery is in low capacity, it will be recharged automatically
when the ECG is powered on by mains supply. Both the mains supply indicator lamp and the
battery recharging indicator lamp will be lit.
2) Built-in Rechargeable Battery
NOTE : The battery is put into the battery compartment without connecting to the battery
socket at factory. After receiving the ECG, if built-in rechargeable battery is to be used,
connect the battery to the socket first.
NOTE : Please refer to Section 4.2 for how to recharge the battery. During recharging, the
ECG can be powered on by mains supply and continue operating.
NOTE : The battery should be recharged at leat 5 hours for first time application.
NOTE : The battery’s recycling life is about 500 times.
3) Equipotentiality Terminal
When used with other medical equipment, connect the equipotentiality of the ECG to the
grounding ends of these equipment with the grounding cable enclosed to protect patient
from electric shock in case any possible current leakage of other equipment.
WARNING : To avoid any possible electric shock, please use a three-slot electrical
outlet properly grounded. Don’t open the ECG while it is powered on.
WARNING : If the integrity of external protective conductor installation or
arrangement is in doubt, the ECG should be powered on by built-in rechargeable battery.
4.2 Using Rechargeable Battery
1) Capacity Identification
The battery capacity can be identified according to the battery symbol in the screen.
: Full capacity.
: Not full but enough.
: Capacity is limited, and recharge should be taken into account.
: Battery is weak; Note : The battery should be recharged immediately.
2) Recharge
The ECG is equipped with recharge circuit together with built-in rechargeable battery.
When connected with the mains supply, the battery will be recharged automatically. And
then the battery recharge indicator lamp on the control panel will flicker and the mains
supply indicator lamp will be lit. When the capacity of battery is full, the battery recharge
indicator lamp will be gone out all the time.
Because of the capacity consumption during storage, the capacity of battery is not full while
using at the first time. Battery recharge should be considered before first usage.
3) Replacement
NOTE : The battery is put into the battery compartment without connecting to the battery
socket at factory. After receiving the ECG, if built-in rechargeable battery is to be used,

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connect the battery to the socket first.
1. Open the battery compartment cover with the screw-driver enclosed;
2. Insert the battery into the battery pack, properly connected;
3. Close the battery cover.
When the useful life of battery is over, or foul smell and leakage has been found, please
contact with manufacturer or local distributor for replacement of battery.
WARNING :
♦ Inappropriate operation may lead battery to be hot, ignited, exploded, damaged or
capacity fade. Before using the rechargeable Ni-MH battery, read the Operation Manual
carefully.
♦ Only qualified service engineer can open the battery compartment and replace the
battery. And the battery of same model and specification provided by manufacturer must be
used.
♦ Danger of explosion -- Do not reverse the anode and cathode when connecting the
battery.
♦ When the battery’s useful life is over, contact with the manufacturer or local distributor
for disposal or dispose the battery according to local regulations.
4.3 Loading Recording Paper
Roll or Z-fold thermo-sensitive paper is used as recording paper. If the paper is unloaded
or used up, the ECG will remind the operator to replace paper.
◇Loading Procedures of Roll Paper:
1) Lift up the two ears of paper cover to open the paper compartment cover;
2) Take out the paper roller; Insert the roller into the new roll paper and put the roller with
paper back into the paper compartment. Be sure the paper is placed upside down.
3) Pull about 2cm of the paper out, and close the cover gently.
◇Loading Procedures of Z-fold Paper:
1) Push the Open Button to open the paper compartment cover;
2) Put the Z-fold paper to the paper compartment. Be sure the paper is placed upside down.
3) Pull about 2cm of the paper out, and close the cover gently.
4.4 Connecting Patient Cable
Patient cable includes two parts, main cable and lead wires with associated electrode
connectors. The electrode connectors can be distinguished from the color and identifier on
them.
4.5 Connecting Electrodes（as following）
The identifier and color code of electrodes used comply with IEC requirements. In order to
avoid incorrect connections, the electrode identifier and color code are specified in Table
4-1. The equivalent code of American standard is given too.
Electrodes Identifier Color code
European American European American
Right arm R RA Red White
Left arm L LA Yellow Black
Left leg F LL Green Red
Right leg N/RF RL Black Green
Chest
C1 VI White/Red Brown/Red
C2 V2 White/Yellow Brown/Yellow
C3 V3 White/Green Brown/Green
C4 V4 White/Brown Brown/Blue

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C5 V5 White/Black Brown/Orange
C6 V6 White/Violet Brown/Violet
The Limb/Chest electrode should be placed on body surface shown as following:
V1 : Fourth inter-costal space at right border of sternum.
V2 : Fourth inter-costal space at left border of sternum.
V3 : Fifth rib between V2 and V4.
V4 : Fifth inter-costal space at left mid-clavicular line.
V5 : Left anterior axillary line at the horizontal lever of V4.
V6 : Left anterior mid-axillary line at the horizontal lever of V4.
NOTE ： Tangling of electrodes or overlap from one place to another of ECG
cream is not allowed.
5、Operation Instructions and Setting
5.1、Power On
♦ When mains supply is applied, the mains supply indicator is lit. Press POWER key to turn
on the ECG, a logo information will be displayed on LCD screen after self-testing, Then the
ECG is ready for examination and recording.
♦ When using built-in rechargeable battery, press the key on the control panel directly to
turn on the ECG, then the mains supply indicator and the battery indicator are not bright.
Logo information will be displayed on LCD screen after self-testing. The ECG is ready for
examination and recording. When the battery symbol is low, and the equipment will be
automatically turned off in 1 minute. In this case, use mains supply to continue operation
and the battery will be simultaneously recharged.
NOTE : LCD back light will be turned off within 30 second without any operation,
and the device will be automatically turned off within 3 minutes without any
operation to save battery.
5.2、Recording Mode
MAN/AUTO/R-R/STOR Mode can be used to record ECG. When the power is turned on,

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AUTO mode is the default mode, and the sensitivity is seted as [Auto], anti-drift-filter and
stylus-printing is seted as [On].
5.2.1 Manual Mode
Under MAN Mode, the operator can choose which lead group needs to be recorded and
determine the record length. There is no automatic measurement or interpretation function
under this mode. Operation procedure as follows:
Press MODE key to choose MAN mode，Press Left or Right lead key to select leads to be
recorded; Press RUN/STOP to start recording; 1mV KEY can be pressed to print out 1mV
mark while recording; Press RUN/STOP during recording to stop recording at any time.
Patient ID is not changed in MAN mode.
5.2.2 Auto Mode
AUTO Mode have review recording mode and real-time recording mode; if REVIEW is
selected in “Auto Mode” of the BASIC Menu, Auto Mode is review recording mode, the
others is real-time recording mode.
(1).Review Recording Mode:
In Review recording mode, user can verify the ECG waveform displayed on the screen
before starting recording, When the “Run/Stop” key is pressed, 10 seconds ECG can be
recorded and saved before the RUN/STOP key is pressed.
(2).Real-time Recording Mode:
In Real-time recording mode, the lead is switched automatically while recording, and the
1mV calibration mark is printed on the paper. Recording time of each lead can be preset in
“Auto Rec. Length (Sec.)” in the BASIC menu. Operation procedures as follows:
Press MODE key to choose AUTO, then press “ RUN/STOP ” to print a complete ECG
waveform. There is a beep sound after printing a group of waveform. During printing, the
operator can press “RUN/STOP” key to stop recording any time. When the last lead group
is printed out, printing is paused to wait ECG measurement or interpretation for serval
second, the ECG report can be printed automatically.
If “Prompt to save ECG” in [ANDVANCE] menu is seted, [Press F1 to save ECG] is shown
on LCD screen after printing, User can press F1 to save ECG file, or press other key to
abort saving, Patient ID number will change automatically accordingly.
5.2.3 R-R Mode
Under R-R Mode, press RUN/STOP key to start ECG sampling for about 60 seconds, then
print out the all 60 seconds ECG waveform of Rhythm Lead preseted in the BASIC menu,
including arrhythmia analysis result and R-R histogram.
If “Prompt to save ECG” in [ANDVANCE] menu is seted, [Press F1 to save ECG] is shown
on LCD screen after printing, User can press F1 to save ECG file, or press other key to
abort saving, Patient ID number will change automatically accordingly.
5.2.4 STOR Mode
Under STOR Mode, press RUN/STOP key to start ECG sampling for 12-90 second, if the
operator press F1 to stop the sampling and the sampling time is greater than 12 second,
[Press F1 to save ECG] will be shown on LCD screen, User can press F1 to save ECG file,
or press other key to abort saving, Patient ID number will change automatically accordingly.
Nothing is printed in the STOR mode.

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5.3、Operation Menu Setting
5.3.1、Main Menu：
Main Menu has four items as DATE / BASIC / ANDVANCE / TOOLS. Press MENU key to
select item, Press [F2/F3] to select sub-menu item, Press[F4/F5] to change the selected
menu, Press [F1/MODE] to return;
5.3.2、Date/Time：5 items of the submenu shown as following:
[ DATE ] BASIC ANDVANCE TOOLS
1. Local date YYYY-MM-DD
2. Local Time HH:MI:SE
3.Date Format Y-M-D
4.Color Theme Theme1/2/3/4
5.LCD backlight Level1/2/3/4/5
[MENU]Item, [F2/F3]Select, [F4/F5]Change, [F1]Return
1. Local Date : Set current date. It will be recorded on the recording paper.
2. Local Time : Set current date and time. It will be recorded on the recording paper.
3. Date Format : year-month-date or date-month-year.
4. Color Theme : color theme for GUI.
5. LCD Backlight : brightness of LCD display.
5.3.3、Basic：12 items of the submenu shown as following:
DATE [ BASIC ] ANDVANCE TOOLS
1. Sensitivity (mm/mV) 2.5，5，10，20，40，[Auto]
2. Speed(mm/s) 6.25，12.5，[25] ，50
3. Man. Mode see Appendix A.4
4. Auto. Mode see Appendix A.4
5. Rhythm Lead І, [II], Ш, aVR/L/F, V1-V6
6. Auto Rec. Length Short，[Normal]，Long，Long+
7. Lead Mode [Standard], Cabera
8. AC Filter Freq. 50Hz, 60Hz
9. EMG Filter Freq. 25Hz, [45Hz]
10. Report Print Mode None, Param, [Par+Ana]
[MENU]Item, [F2/F3]Select, [F4/F5]Change, [F1]Return
1. Sensitivity : 2.5/5/10/20/40mm/mV，and Auto[Default].
2. Speed : select paper speed at 6.25/12.5/25/50mm/s. .
3. Man.Mode : select Record format of Man Mode.
4. Auto.Mode : select Record format of Auto Mode.
5. Rhythm Lead : select Rhythm Lead for 1ch+/3ch+/6ch+/3ch+++format.
6. Auto.Rec Length : Recording Length for each Lead(s) in Auto Mode as following.
Auto Rec. Length in Sec. Of different Record Format
FORMAT Short Normal Long Long+
1ch/1ch+ 18Sec. 27 Sec. 36 Sec. 45 Sec.
3ch/3ch+/3ch+++ 10 Sec. 15 Sec. 20 Sec. 25 Sec.
6ch/6ch+ 8 Sec. 12 Sec. 16 Sec. 24 Sec.
12ch 5 Sec. 7.5 Sec. 10 Sec. 12.5 Sec.

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7. Lead Mode : Standard or Cabera Mode; shown as following.
Lead Mode Definition
No. 1 2 3 4 5 6 7 8 9 10 11 12
Standard І II III aVR aVL aVF V1 V2 V3 V4 V5 V6
Cabera aVL I -aVR II AVF III V1 V2 V3 V4 V5 V6
8. AC Filter Freq. : AC filter frequency : 50Hz or 60Hz.
8. EMG Filter Freq. : EMG filter frequency : 25Hz or 45Hz.
10. Report Print Mode : None, Parameters, Parameters+Interpretion Report Mode.
11. R-R/Rhythm Mode : None, Parameters, Parameters+Interpretion Report Mode.
11. STOR/Storage Mode : None, Parameters, Parameters+Interpretion Report Mode.
NOTE：AC Filter Freq. : 50Hz or 60 Hz should comply with local power supply.
Otherwise, anti-interference effect will be seriously impacted.
5.3.4、Advance：15 items of the submenu shown as following:
DATE BASIC [ANDVANCE] TOOLS
1. Pen Heater [No], Yes
2. QRS Beeper [No], Yes
3. Keypad Beeper No, [Yes]
4. Lead-off Beeper No, [Yes]
5. Enable Ext. Input No, [Yes]
6. ADS Filter No, [Yes]
7. Stylus Printing No, [Yes]
8. ECG Simulator [No], Yes
9. Local Language No, [Yes]
10. View of 12 Lead ECG No, [Yes]
11. Prompt to save ECG [No], Yes
12. Grid(mm) printing [No], Yes
13. 210mm Z-Fold paper [No], Yes
14. ECG Aux.Analysis On [No], Yes
15. Prompt repeated patient ID [No], Yes
[MENU]Item, [F2/F3]Select, [F4/F5]Change, [F1]Return
(1).Pen Heater : to print thick waveforms. It is not recommend when the ECG is new.
(2).QRS Beeper : when QRS is detected, the machine will give a short Beep sound.
(3).Keypad Beeper : when Keypad is pressed, the machine will give a short Beep sound.
(4).Lead-off Beeper : If any electrode loose from patient body, beep will sounds and
corresponding indication on the screen will be generated to alarm.
(5).Enable Ext. Input : external analog signals can be input under MAN mode TEST.
(6).ADS Filter : ADS(Anti-Drift-System) is used to restrain the ECG baseline drifting.
(7).Stylus Printing : This option makes ECG printout more clear like stylus ECG recording.
(8).ECG Simulator : Demonstration of ECG waveform.
(9).Local Language : The default local language is English.
(10).View 12 Lead ECG : choose “Yes” to display 12 lead ECG waveform.
(11).Prompt to save ECG: Prompt to save ECG file after the ECG report is printed.
(12).Grid(mm) printing: Printing millimeter grids in the empty thermal paper.
(13).210mm Z-Fold paper: The option is for 210mm Z-Fold paper in 12-channel ECG.
(14).ECG Aux.Analysis On: The option will preview the ECG Analysis report.
(15).Prompt repeated patient ID.: The option will prompt user repeated patient ID found.

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5. 3.5、TOOLS：6 items of the submenu as shown as following:
DATE BASIC [ANDVANCE] TOOLS
1. Load Default--AC50Hz ◄►
2. Load Default--AC60Hz ◄►
3. ECG File(s) ◄►
4. Last Record Review ◄►
5. UART/Real-time ECG ◄►
6. Touch screen calibration ◄►
[MENU]Item, [F2/F3]Select, [F4/F5]Change, [F1]Return
(1).Load default-AC50Hz : The default setting for 50Hz AC frequency.
(2).Load default-AC60Hz : The default setting for 60Hz AC frequency.
(3).ECG File(s) : Show ECG file(s) of the machine, See 5.7、ECG File Management.
(4).Last Record Review : Review the last printed ECG record, user can preview/analysis
ECG waveform, then save or print as ECG report. This function should be executed
immediately after recording, otherwise the last ECG record may be cleared by the other
operation . For details, please refer to the ECG Software Operation Manual. –
-CAUTION---: Only the last 12 second ECG recorded waveform can be reviewed.
(5).UART/Real-time ECG : Transmit real-time ECG to UART (RJ11) interface. If a optional
UART/USB cable is connected the personal computer, ECG can be displayed and saved in
the computer (A optional ECG Archive software installed in computer is needed).
(6).Touch screen calibration : Touch label (1)(2)(3)(4) point of LCD screen in the order, A
[OK] button will be shown, then touch the [OK] button to confirm Touch Screen Calibration.
This resistor touch-screen need proper pressure on it when clicking, so cilcking the
touch-screen with a fingernail is recommended. The calibration is not necessary for the
models which touch-screen is not present.
NOTE：AC Filter Freq. : 50Hz or 60 Hz should comply with local power supply.
Otherwise, anti-interference effect will be seriously impacted.
5.4、Patient Info. Setting
Press “PATIENT” key to setup Patient Information.
----------------Clinical----------------
1. Name XXXXXXXXXXXXXXXX
2. I.D. 0-999999999999
3. Sex M/F/Empty
4. Age(Y) 0-255, 0 is Empty
5. Height (cm) 0-255, 0 is Empty
6. Weight (Kg) 0-255, 0 is Empty
7. Diastolic (KPa) 0-255, 0 is Empty
8. Systolic (KPa) 0-255, 0 is Empty
9. Hospital Name XXXXXXXXXXXXXXXX
[Q] [W] [E] [R] [T] [Y] [U] [I] [O] [P]
[A] [S] [D] [F] [G] [H] [J] [K] [L]
[F1] [Z] [X] [C] [V] [B] [N] [M] [ ] [CLR]
[F2/UP] [F3/DN] [F4/L] [F5/R] [BACK] [OK]
[*]：Cursor, [F2/F3/F4/F5]：Select，[Filter]：Back
Touch [CLR] or Press [Fn]+Z clear patient info.
(1) for NAME/HOSPITAL: Press [F1] to alter a-z/A-Z, next keep pressing [MENU], then
press [F2 or F3 or F4 or F5] key to select the Alphabet key;

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(2) for ID : 12 bit Patient ID, if >0, ID will auto increase after printing(High 8 Bit is fixed).
(3) for SEX : Male/Female/Empty, Press [MENU]+[F2/F3] to change the value.
(4) for Age/Ht./Wt./B.P. : 0-255, Press [MENU]+[F2/F3/F4/F5] to change the value.
CAUTION : Setting ID/Sex/Age/Ht./Wt./B.P. zero means Null or Empty(no printing out).
CAUTION : Interpretion for ECG classification and judgments is based on the patient SEX
and AGE. Empty SEX default is MALE, Zero AGE default is 18-YEARS-OLD.
5.5、Record ECG
Press [Run/Stop] to start ECG sampling or printing after filling the patient ’ s
NAME/ID/SEX/AGE(see SECTION5.4 patient info.) , Press the [Run/Stop] key again to stop
recording in MAN and AUTO mode.
5.6、Freeze ECG (*****some model only*****)
Touch [Freeze] button of keypad to start freezing ECG, this function freeze and preview
the 8 seconds after 4 second ECG sampling, user can preview/analysis ECG waveform, then
save or copy the ECG report to built-in thermal printer or external USB printer via
USB/Host interface.
The saved ECG file can be opened in ECG file function(see SECTION5.7 ECG file
mangement) .
5.7、ECG File Management
5.7.1 Press or touch [File] key shows the ECG Files Management window as below. The
ECG files can be previewed, edited, deleted or save as USB disk file. Press MENU to select
menu function, press F2/F3 to select file, press F4/F5 to preview ECG waveform, press F1
return to MAIN windows.
----------ECG Files----------
ID=0000000001113 M 28Y 2012-10-02 09:10 NAME1
ID=0000000001123 F 22Y 2012-10-02 09:11 NAME2
ID=0000000001124 F 29Y 2012-10-02 11:20 NAME3
ID=0000000001125 M 44Y 2012-10-02 13:22 NAME4
ID=0000000001128 M 61Y 2012-10-02 15:15 NAME5
[Fn]MENU, [F2]PgUp， [F3]PgDn， [F4/F5]Review， [F1]Return
(a) Edit Patient Info
Edit patient information(NAME,ID,SEX,AGE etc.) (see SECTION5.4 Patiente Info.) .
(b) Delete ECG file
Delete the choosed ECG file, Press F1 to delete this file.
(c) Save file To USB disk
Save ECG file as external USB disk file(FAT32) via USB/Host interface.
(d) Upload File
Upload ECG file to our ECG Archive software based on Personal Computer System.
5.7.2 ECG Review
======ECG File Menu=====
--------------------------------------
Edit Patient
Delete File
Delete All Files
Save File To U-Disk
Save All Files To U-Disk
Upload File
Upload All Files
--------------------------------------
[Fn]Rtn,[F2/3]Select,[F4/5]Exec

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Press F4/F5 to review the selected ECG data to REVIEW window, user can cine-loop, save,
analysis, save ECG report as bitmap to external USB disk, or copy ECG report to built-in
thermal printer or external USB printer via USB/Host interface.
(a) Save ECG
Save ECG wave of FREEZE or LAST PRINT REVIEW to the built-in flash memory.
(b) Analysis ECG
Calculate/Interprete the ECG waveform.
(c) Save BMP To USB disk
Save ECG bitmap report as external USB disk file(FAT32) via USB/Host interface.
(d) Print ECG Report
Print ECG Report to the built-in thermal printer.
(e) USB Print ECG Report
Print ECG Report to external USB printer via USB/Host interface.
(f) Print Sync. ECG Report
Print synchronous ECG Report to the built-in thermal printer.
----------------Using the USB disk and USB printer--------------
♦ The USB disk MUST be formatted as FAT32 file system before using;
♦ [-----R/W failure(TimeOut)-----] will be shown if something wrong, it can
be caused by bad file system or low speed( old USB disk or too many disk file or
low disk space), so user should re-format or change a new USB disk.
♦ Do not pull out the USB disk in working, Otherwise the file system of USB disk
may be damaged; CAUTION : Backup the USB disk data before using.
♦ This USB/HOST function is optional, Please check the machine configuration to
your distributor.
5.8、UART/USB communication
UART/USB Interface(RJ11) is used for transmitting real-time ECG and ECG file to personal
computer system. Note ： The UART / USB function needs the company ’ s optional
UART/USB cable connecting the ECG machine with personal computer and ECG Archive
software（ Optional ）installed in personal computer .
5.9、ECG Explanation on measurement
(1)ECG Parameter
(2)ECG Interpretion
(3)P Start Point
(4)P End Point
(5)QRS Start Point
(6)QRS end Point
(7)T Start Point
(8)T end Point
If setting [MENU]->[ADVANCE]->ECG Aux. Analysis is ON, a ECG ANALYSIS windows
will shown when ECG interpretations is completed. User can change the ECG parameters
and interpretations by pressing [F2/F3/F4/F5] to select/move P/QRS/T point.
The machine will measure the HR、PR Interval、QRS Interval、QT/ QTC Interval、P/QRS/T
Axis、RV1/SV5 Amp、RV5/SV1 Amp. after ECG recording. Pay attention to the following in

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measurement and interpretations:
(1) AC and EMG Interference might cause mistakes in reading P Wave and Q Wave;
baseline drift might cause misunderstanding in reading ST Segment and T Wave.
(2) Measuring error might occur due to blur endings of S Wave and T Wave.
(3) Low voltage might cause the measurement result of HR not reliable.
(4) Low voltage might cause the ECG coordinate axes calculation or QRS not reliable.
(5) Multi arrhythmia might make it difficult to recognize P Wave and the relative
parameters might be unreliable.