NorthEast Monitoring DR181 Technical document

Electrode
Tape
Electrodes
-- +
WHITE RED
BLACK BROWN
BLUE ORANGE
GREEN (Ground)
7-Electrode, 3-Channel
Ch 1
mod.V5
Ch 2
mod.V1
Ch 3
lead III
NEMM033 - Rev-C - English - January 2016
DR181 Hook-Up Guide for Holter
Patient Preparation
• Select area over bone, where appropriate, 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
5-Electrode, 3-Channel
Electrodes
-- +
RED BROWN
RED BLACK
WHITE BLACK
GREEN (Ground)
Ch 1
CM5
Ch 2
aVF
Ch 3
lead II
10-Electrode, 12-Lead
RA right mid-clavicular
LA left mid-clavicular
RL right iliac crest
LL left iliac crest
V1 4th intercostal space, right of sternum
V2 4th intercostal space, left of sternum
V3 between V2 and V4
V4 5th intercostal space, mid-clavicular line
V5 5th intercostal space, anterior axillary line
V6 5th intercostal space, mid-axillary line
Precordial Leads
V1 V2
V3 V4
V5 V6
Holter Leads
RA V5
LA V1
LA V1
Ch 1
Ch 3
Ch 2
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]

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 all settings on the recorder
Contrast - Adjusts LCD screen contrast
General Settings
Resolution - Choose between High and Normal resolution
Mark Diaries - Choose whether to denote diary entries on ECG with a 6-cycle square wave
Record Type - Choose between 3-channel and Oximetry. 12-Lead and SAECG are optional.
12-Lead Settings
Interval - How often an interval is saved. Number denotes seconds between saves
Length - Length of 12-Lead strip that is saved
Sample Rate - Choose between 720 and 1440 samples per second
TO START RECORDING:
1. Attach cable to recorder and then hook-up the patient 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 3 channels. Lead quality, or impedance, should be 4 or 5 for best
results. Adjust leads if required.
7. Press Record to start recording. (For 12-Lead, press Next to see all four screens of lead quality.)
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 using
your 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 Holter
Copyright 2011 - 2016 Northeast Monitoring, Inc. NEMM033 - Rev-C - English - January 2016
MediMark Eruope, SARL
11 rue Emile Zola
BP 2332
F-38033 Grenoble CEDEX 2
France 0143