NorthEast Monitoring DR181 Technical document

Patient Preparation
• Select area over bone, avoiding muscle areas and breast tissue.
• Clean electrode sites aggressively with alcohol and use a razor to
remove hair.
• Abrade electrode sites with a scrub pad or gauze. Allow sites to
dry before applying electrodes.
• Firmly snap electrodes to the lead wires.
• Apply electrodes to appropriate sites. Press adhesive border
rmly for consistent adhesion.
• To help alleviate tension, loop and tape lead wires down.
Electrode
Tape Electrode
NEMM034 - Rev-C - English - January 2016
DR181 Hook-Up Guide for OxyHolter
5-Electrode, 2-Channel for OxyHolter
Electrodes
-- +
WHITE RED
BLACK BROWN
GREEN (Ground)
Ch 1
mod. v5
Ch 2
mod. V1
How to attach the probe and nger wrap
1. Remove the paper backing from the nger wrap
2. Attach the oximetry probe with cable to its sticky side, lining up the two bumps on
the probe with the cutouts in the wrap
3. Position the patient’s nger on the probe. Be sure to line up the tip of the nger
with the center line on the wrap
4. Attach the wraps to the patient’s nger in the following order:
a. Attach the two small side wings
b. Fold the wrap and probe back over the ngernail
c. Wrap the third small wing
d. Wrap the long wing around the nger
5. Use tape around the base of the patient’s nger to secure the cable to the nger.
Apply additional tape to hand to secure cable.
Step 1 Step 5
Step 2 Step 3
Step 4a
Finger Wrap
Tape
advancing Holter technology
NorthEast Monitoring, Inc.
141 Parker Street, Suite 111 phone: [+1] 978-461-3992
Maynard, MA 01754 USA fax: [+1] 978-461-5991
www.nemon.com toll free USA: 866-346-5837
email: [email protected]
MediMark Eruope, SARL
11 rue Emile Zola
BP 2332
F-38033 Grenoble CEDEX 2
France 0143

SETTINGS:
Time and Date - Toggle between Date and Time in the lower right-hand section of screen.
Language - Choose from multiple languages
Display - Choose between Normal and Inverted displays
Lock Settings - Locks settings on the recorder
Contrast - Adjusts LCD screen contrast
General Settings:
Resolution - Choose between High and Normal resolution
Mark Diaries - Choose whether to mark diary entries on ECG with a 6-cycle square wave
Record Type - Choose Oximetry for OxyHolter recording.
TO START RECORDING:
1. Attach cable to recorder and then hook-up the patient leads and oximetry cable as shown on reverse.
2. Insert a formatted SD card and 2 AA batteries into the recorder. Erase SD card memory if prompted
to do so. The screen will display date, time, battery strength, “DR181”, software version and
“NorthEast Monitoring”. Press Next to continue to main menu.
3. If desired, adjust Settings by pressing the button on the keypad. In Settings, press More to see
additional setting options.
4. When settings are correct, go back to the main menu by pressing the Prev (Previous) button.
5. Press New Patient screen to verify or enter Patient ID. At least one character must be entered for
Patient ID. Press Next when nished entering Patient ID.
6. You will now see lead quality for 2 channels. Lead quality, or impedance, should be 4 or 5 for best
results. Adjust leads if required.
7. For SpO2you will should see an oximetry value. If no value is present or if recorder reads “No cable”
or “No sensor”, be sure that you are using the Oximetry cable and sensor, and adjust the oxymetry
sensor until a reading is visible.
8. Press “Record” to begin recording.
AFTER RECORDING:
To remove card after recording, gently push inward to release. Never pull card out of slot, as it may
damage the recorder.
NOTE: If you want to record a new patient and less than an hour has gone by since you nished your
last, the recorder may try to continue recording. You can interrupt the 5 second countdown by
pressing the 5-left hand buttons starting at the top. Erase the SD Card and you can now record a
new patient.
MESSAGES:
Battery LOW or FAILURE– Replace both batteries
before starting recorder.
Erase SD Card? YES/NO - If the SD card has been
used for a previous patient, you will need to erase now.
If the card should not be erased as it has ECG data that
you do not want to lose, you will need to remove it and
put in another formatted SD card.
SD Card is full - Recording has stopped because
memory is full.
SD Card errors - SD Cards must be formatted us-
ing HE/LX Analysis software. Also, the SD Card must
have a ash.dat le on it to record. Refer to your HE/
LX Analysis Operator’s Manual for details on SD Card
errors and how to format the card.
DR181 Quick-Start Guide for OxyHolter
Copyright 2011- 2016 Northeast Monitoring, Inc. NEMM034 - Rev-C - English - January 2016

Electrode
Tape Elektroder
NEMM034 - Rev-C - Dansk - januar 2016
DR181 Vejledning i tilslutning af OxyHolter
Placering af 5 elektroder med OxyHolter
Elektroder
-- +
WHITE RED
BLACK BROWN
GREEN (Jordede)
K 1
mod. v5
K 2
mod. V1
Sådan tilsluttes måleren og ngermanchetten
1.Tagpapiretafngermanchettensbagside
2.Lægoximetrimålerenmedkabletmodngermanchettensklæbendesideogret
detorkanterpåmålerenindmedhullerneimanchetten
3.Placerpatientensngerpåmåleren.Sørgforatlæggengerspidsenmod
midterlinjenpåmanchetten.
4.Fastgørmanchettenompatientensngerpåfølgendemåde:
 a.Klæbdetosmåsidevingerfast
 b.Foldmanchettenogmålerentilbageoverneglen
 c.Klæbdentredjelillevingefast
 d.Bukdenlangevingerundtomngeren
5.Brugtapenederstomngerenforatfastgørekablettilngeren.Sætogsåtape
omhåndenforatfastgørekablet.
Trin 1 Trin 5
Trin 2 Trin 3
Trin 4a
Fingermanchet
Tape
Forberedelse af patient
• Vælgområderoverknogler,ogundgåmusklerogbrystvæv.
• Rengørelektrodestedernegrundigtmedalkohol,ogbrugen
barberknivtilatfjernehår.
• Skrubelektrodestedernerenemedsvampellergaze.Lad
stedernetørre,indenelektrodernepåsættes.
• Klikelektrodernegodtfastpåaedningerne.
• Sætelektrodernefastpådekorrektesteder.Trykden
selvklæbendekantgodtfast,såelektrodenforbliver
fastklæbet.
• Trækielektroderneundgåsvedatlaveløkkerpå
aedningerneogtapedemfast.
advancing Holter technology
NorthEast Monitoring, Inc.
141 Parker Street, Suite 111 phone: [+1] 978-461-3992
Maynard, MA 01754 USA fax: [+1] 978-461-5991
www.nemon.com toll free USA: 866-346-5837
email: [email protected]
MediMarkEruope,SARL
11 rue Emile Zola
BP 2332
F-38033GrenobleCEDEX2
France 0143

INDSTILLINGER:
Kloks og Dato -SkiftmellemDatoogKloksinederstehøjredelafskærmen
Sprog - Vælgmellemeresprog
Display - Vælg mellem Normal og Omvendt display
Lås indst. - Låser alle indstillinger på monitoren
Kontrast - Juster LCD-skærm kontrast.
Gen. indstil.
Opløsning-VælgmellemHøjogNormalopløsning
Mærk dagsopt.-VælgomdagsoptagelserpåEKGskalmærkesmeden6-cyklusrkantbølge
Type optag. - Vælg Oximetri til OxyHolter-optagelse.
DR181 Kom godt i gang med OxyHolter
Copyright2011-2016NortheastMonitoring,Inc.NEMM034-Rev-C-Dansk-januar2016
MEDDELELSER:
Batteri LAVT eller FEJL –Udskiftbeggebatterier,
inden monitoren startes.
Slet SD-kort? JA/NEJ –HvisSD-korteterblevetbrugt
tilenandenpatient,skalhukommelsenslettes.Hvis
kortetikkeskalslettes,fordidetindeholderEKG-data,
somikkeskalgåtabt,skalkortettagesud,ogetnyt,
formateretSD-kortskalsættesi.
SD-kort fuldt - Optagelsen er stoppet, fordi der ikke er
merehukommelse.
SD-kort fejl–SD-korteneskalformateresmedLX
Holter-softwaren.SD-kortetskalogsåhaveenash.
dat-lforatkunneoptage.Derhenvisestilbrugerve-
jledningentilHolterLXvedrørendeoplysningeromfejl
vedSD-kort,samthvordandeskalformateres.
SÅDAN STARTES OPTAGELSE:
1.Sætkablettilmonitorenogtilslutsåpatientensomvistpåbagsiden.
2.SætetformateretSD-kortog2AA-batterierimonitoren.SletSD-kortetshukommelse,hvismonitoren
angiverdet.Displayetvilvisedatoen,klokkeslættet,batteristyrken,“DR181”,softwareversionenog
“NorthEastMonitoring”.TrykpåNæsteforatfortsættetilhovedmenuen.
3.Indstillingernekanjusteresefterbehovvedattrykkepåknappenpåtastaturet.UnderIndst.kandu
trykkepåFlereforatseereindstillinger.
4.Nårindstillingerneerkorrekte,gårdutilbagetilhovedmenuenvedattrykkepåknappenForrige.
5.TrykpåskærmenNypatientforatbekræfteellerindtastepatient-id’et.Derskalindtastesmindstét
tegnsompatient-id.TrykpåNæste,nårduharindtastetpatient-id’et.
6.Duvilnuseaedningskvalitetenfor2kanaler.Aedningskvaliteten,ellerimpedansen,skalvære4
eller5foratfådebedsteresultater.Justeraedningerneefterbehov.
7.ForSpO2børdukunneseenoximetriværdi.Hvisderikkeernogenværdi,ellerhvismonitorenviser
“Intetkabel”eller“Ingensensor”,skaldukontrollere,atdubrugeroximetrikabletog-sensoren,og
oximetrisensorenskaljusteres,indtilderkommerensynligaæsning.
8. Tryk på Optag for at starte optagelsen.
EFTER OPTAGELSEN:
Efteroptagelsenfjerneskortetvedattrykkedetletindforatløsnedet.Trækaldrigkortetudaf
åbningen,dadetkanbeskadigemonitoren.
BEMÆRK:Hvisduvillaveenoptagelseafennypatient,ogderergåetmindreendentime,sidendu
afsluttededensidsteoptagelse,vilmonitorenmuligvisforsøgeatfortsætteoptagelsen.Dukan
afbrydede5sekundersnedtællingvedattrykkepåde5venstrehåndsknapperogstarteovenfra.
SletSD-kortet,ognukandulaveenoptagelseafennypatient.

Patienten vorbereiten
• Anbringungsstelle über Knochenmasse wählen. Muskel- und Brustgewebe
sind zu vermeiden.
• Anbringungsstellen der Elektroden gründlich mit Alkohol reinigen und
rasieren.
• Anbringungsstellen mit einem Stück Gaze oder einem Scheuerbürstchen
aufrauen und vor Platzierung der Elektroden trocknen lassen.
• Elektroden fest an die Ableitungskabel anschließen.
• Elektroden an den entsprechenden Stellen anbringen.
Elektrodenkleberänder für einen sicheren Sitz fest andrücken.
• Zur Spannungsentlastung werden die Ableitungskabel in Schlaufen
festgeklebt.
NEMM034 - Rev-C - Deutsch - Januar 2016
DR181 Anschlussanleitung für OxyHolter
5-Elektroden, 2-Kanal OxyHolter
Elektroden
-- +
WHITE RED
BLACK BROWN
GREEN (Erde)
K. 1
mod. v5
K. 2
mod. V1
So werden Sonde und Fingerwickel angebracht
1.PapierlmvomFingerwickelabziehen.
2. Oximetriesonde mit Kabel an der Klebeseite anbringen. Dabei sind die beiden
erhöhten Stellen an der Sonde mit den Vertiefungen im Wickel auszurichten.
3.SensoramFingerdesPatientenpositionieren.DieFingerspitzemussander
Mittellinie des Wickels ausgerichtet sein.
4.WickelwiefolgtamFingerdesPatientenanbringen:
a. Zuerst die beiden seitlichen Laschen anbringen.
 b.WickelundSondenunnachhintenüberdenFingernagelfalten.
c. Dritte kleine Lasche nach hinten falten.
 d.LangeLascheumdenFingerwickeln.
5.KabelmitKlebebanduntenamFingersichern.Kabelmitzusätzlichem
Klebeband an der Hand befestigen.
Electrode
Tape
Klebeband Elektrode
Schritt 1 Schritt 5
Schritt 2 Schritt 3
Schritt 4a
Fingerwickel
advancing Holter technology
NorthEast Monitoring, Inc.
141 Parker Street, Suite 111 phone: [+1] 978-461-3992
Maynard, MA 01754 USA fax: [+1] 978-461-5991
www.nemon.com toll free USA: 866-346-5837
email: [email protected]
MediMark Eruope, SARL
11 rue Emile Zola
BP 2332
F-38033GrenobleCEDEX2
France 0143