Electrocardiograph

Operation Manual
 Digital Electrocardiograph Operation Manual

Table of contents
1. Notice for operation............................................................................................................................................... 2
1.1 Notice for use............................................................................................................................................... 2
1.2 Notice for safety...........................................................................................................................................2
1.3 Manufacturer's Declaration........................................................................................................................ 2
1.4 Icons for safety.............................................................................................................................................3
1.5 Explanation of the symbols........................................................................................................................3
1.6 Precautions...................................................................................................................................................4
2. Summary......................................................................................................................................................... 6
2.1 Features........................................................................................................................................................ 6
2.2 safety classification..................................................................................................................................... 7
3. General Information...............................................................................................................................................8
3.2 Content on LCD as follows........................................................................................................................ 9
3.3 Content on keyboard as follows..............................................................................................................11
4. Operation preparation......................................................................................................................................... 13
4.1Connecting to power.................................................................................................................................. 13
4.2 Paper loading............................................................................................................................................. 14
4.3 Connection of patient cable..................................................................................................................... 14
6. Daily maintenance............................................................................................................................................... 28
6.1 Battery charging, capacity indicator and replacement........................................................................ 28
6.2 Recording paper........................................................................................................................................ 28
6.3 Maintenance Following Operation..........................................................................................................29
6.4 Patient cable maintenance...................................................................................................................... 29
6.5 Silicon rubber axis maintenance.............................................................................................................29
6.6 Thermal Printer Maintenance.................................................................................................................. 29
7. Troubleshooting and solution.............................................................................................................................30
7.1 Some lead without waveform.................................................................................................................. 30
7.2 Vertical broken track of printed waveform.............................................................................................30
7.3 Control Panel Failure................................................................................................................................ 30
7.4 AC Interference.......................................................................................................................................... 30
7.5 EMG interference...................................................................................................................................... 31
7.6 Baseline drift...............................................................................................................................................31
8.Common faults and troubleshooting..................................................................................................................33
8.1 individual leads cannot print waveforms........................................................................................................33
8.2 print head failure................................................................................................................................................ 33
8.3 AC interference.................................................................................................................................................. 33
Ac interference showed that the recorded ECG was regularly superimposed with a certain amplitude of
50Hz/60Hz sine wave interference waveform, and the base line was obviously jitter. The possible
causes of AC interference are as follows: please check and eliminate in turn:............................................ 33
8.4 EMG interference.............................................................................................................................................. 33
8.5 baseline drift....................................................................................................................................................... 33
9. Specifications....................................................................................................................................................... 35
10. Accessory List.................................................................................................................................................... 36
11.After-sales service contact................................................................................................错误！未定义书签。

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 Digital Electrocardiograph Operation Manual

1. Notice for operation

1.1 Notice for use

Thank you for purchasing medical electrical product made by us.
This manual is provided necessary illumination for your first use of electrocardiograph, andry of this manual which is
protected by The People's Republic of copyright law. All the information cannot be copied, amended or translated without
permission. The content of this manual is subject to change without notice. Please read the manual carefully before using
and get to know how to use the machine correctly.

1.2 Notice for safety

If ignore this symbol, it may cause die or severe injured, otherwise the device
would be partly damaged or resulted in fire hazard.
Danger
If ignore this symbol, it may cause human die or severe injured, otherwise the
device would be partly or entirely damaged.
Warning
If ignore this symbol, it may cause human injured or the device damaged.
Attention
Although it is not indication of warning, it provide the right method of use and
Notice operation in order to avoid error operation.

Example of the symbol

Indicating the contents of danger, warning and attention, which are illustrated
on the corresponding area.
 Warning and Attention
 Precaution of using thermal paper
 Don’t exposure thermal paper under the direct sunshine and high temperature.
 Don’t put into the fluorescence light for a long time.
 Don’t store thermal paper with PVC.
 Don’t pile up thermal paper in long period to avoid waveform transfer.

1.3 Manufacturer's Declaration

As a specialized manufacturer of production and sa electronics, we takes every effort, is dedicating on the precise
security and reliability for each device.
In order to ensure the reliable operation of the medical device, the user of ECG must take the responsibilities to guarantee
the details as follows:
1. For the sake of guarantee the safety of the device, maintenance, repair and replacing the accessories should be
operated by our company staff or the person who we have trained.
2. This unit only use or replace the accessories we recommend, which is the requirement for the safety of the device.
3. Insure to use the proper voltage and frequency according to the demand of the icons.
4. The device only can be used according to the user manual, and other purpose cannot be satisfied.
5. All the technical data (circuit diagram, list of components etc.) only are provided to the specialized staff that passed
our technical training. For improving the technique, we will not notice in advance, and apologize to cause your
inconvenience.
6. When an electrosurgical device (ESU) is used, the ECG electrode is placed in an intermediate position between the
electrosurgical device ground plate and the electrosurgical blade to avoid burns. The cable of the electrosurgical
device cannot be entangled with the ECG cable. The electrosurgical unit should be kept away from the ECG electrode
as much as possible. The recommended distance is at least 15 cm (6 inch).
7. If using with a cardiac defibrillator or other electrical stimulation equipment, you must use the silver-silver chloride
chest electrode provided by the company and the ECG lead wire provided by the company (see the specifications and
model of the patient cable), if A disposable chest electrode must be used when the tremor time exceeds 5 seconds or
when used with a high frequency surgical device to prevent the metal electrode from burning the patient's skin. It is
best not to use it with other electrical stimulators. If you must use them at the same time, you must have a
professional technician to be present.
8. When the electrocardiograph is used together with the high-frequency electrosurgical unit, the electrodes of the
electrocardiograph should be kept away from the electrosurgical contact to prevent burns caused by high-frequency
sparks and burning of the electrode wires. Plate electrodes can be used if necessary, with a large contact area and
limiting the current density to an acceptable range.
9. This product should not be used where there is electromagnetic interference or where the power load is caused by
electrosurgical equipment or diathermy.
10. This product is not directly applicable to the heart.
11. To protect the patient's safety, do not place the instrument where it may fall and reach the patient.
12. When the machine is in operation, the medical staff should not leave the operation site, should carefully observe the
patient, turn off the power supply or remove the electrode if necessary, in order to ensure the safety of the patient.
Electrodes can only contact patients, absolutely not other conductor components or medical personnel. In the event of
an accident in the course of use, the machine must be shut down immediately.
13. Before using this device, please ensure that all requirements for EMC in this specification have been met.
14. As described in the IEC60601-1-2 table listed in the attachment, the user is responsible for ensuring that the device

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and its nearby devices comply with the RF interference parameters indicated in the general security requirements.
15. In an electromagnetic environment that exceeds the standard limit or level, it will interfere with the instrument or
degrade its performance. Therefore, if abnormal interference occurs in the process of use, it is important to confirm
and eliminate the adverse effects of electromagnetic interference before continuing to use it.
16. Strong electromagnetic interference from nearby sources (such as radio, substation, CT scanning, microwave / high
frequency therapeutic machines, as well as mobile phones, cellular phones, etc.). If there is interference from
high-power equipment, please switch to somewhere else to place the equipment.
17. RF interference from other devices / systems will be transmitted to ECG machines through the power line: if such
interference occurs, identify the cause of interference and remove possible sources of RF interference. If not, please
switch to another AC power supply.
18. The effect of direct or indirect electrostatic discharge: before use, it is determined that all operators and patients are
exposed to equipment and / or systems that do not have direct or indirect electrostatic energy. Tip: wetter rooms can
effectively reduce this kind of interference.
19. The electromagnetic interference of a radio receiver, such as a television, radio, etc.: keep the instrument away from
the radio receiver as much as possible.
20. This product should not be close to or superimposed with other equipment, if it must be close to or superimposed, it
should observe and verify that it can function normally under the configuration it uses.
21. The use of accessories and cables outside the regulations may lead to an increase in the launch of this product or a
reduction in immunity;
22. When the input signal amplitude is below the minimum amplitude specified in the technical specification, it may lead to
inaccurate measurement.
23. We shall not be responsible for any interference caused by the use of unrecommended internal connection cables or
unauthorized changes or modifications to the equipment.
24. It is forbidden to repair or maintain the instrument when connected to the patient.
25. Do not place the device in a location that is difficult for the operator to disconnect.
1.4 Icons for safety
ECG device strictly follows the standardIEC60601-1 that is the electromagnetism compatibility of medical
equipment, corresponding to Type CF, ClassⅡ.

For sake of the patient’s safety, please the electrodes connected with the body of
patient and other unconnected electrodes don’t touch electric conducting products,
Attention for example, your hands don’t touch the ground.

Connected with other equipments increases leakage current may cause latent
danger, please strictly operate according to the requirements. Connect with our
Attention company if necessary.

While using synchronously with cardiac pacemaker and other electric stimulator,
these equipments occur baleful current, should adopting necessary measures to
reduce the influence on the diagnosis which are resulted from these devices.
Attention

If non-isolating signal enters from external input, the end of this signal is not
connected with protection ground, it will cause malfunction because of difference of
is potential point.
Attention

Only the devices under IEC 60601-1 Type I can be connected with the input and
Attention
output port of this device, please consult to the technical staff if necessary.

 Explosion-proof requirements
Don’t use ECG device in the presence of inflammable gas and flammable gas such as
anesthesia gas, oxygen, hydrogen, otherwise may be caused explosion and fire
Danger
hazard.

 Magnetic resonance interference

Don’t use ECG device during magnetic resonance imaging. Magnetic conduction can
lead burning. ECG device can interfere magnetic resonance equipments meanwhile
Danger
can be interfered by magnetic resonance equipments.

 Defibrillation protection
Don’t touch the device during defibrillation, which may cause electric short circuit for the patient and operator.
When the device is used synchronously with defibrillator, to avoid danger, please confirm the sort of lead cable, electrode
fixing condition, and sort of electro cardio-electrodes, conductive gel used for defibrillator and the output energy of
defibrillator. Besides, please confirm whether other devices are connected with ground.

1.5 Explanation of the symbols

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Remarks for special attention

Type CF equipment equipped with
(see operating instructions for
protector against defibrillation
details)

Output of the analog signal Iso-potential point

Input of the analog signal Protective earth terminal

POWER 1mV Scaling/ Function setting

Forward and backward Printing /Recording Mode
Start/End record

1.6 Precautions

 For the sake of improving the quality of product, specifications and design is subject to change without notice.
 AC power cable must be connected to medical three-cord electrical outlet. Using the power cable in the accessories
to connect with medical three-cord electrical outlet can insure gounding reliably. Please use suitable sockets which
can supply sufficient power to load for this device.
 Upgrading the procedure and maintenance should be operated by our technical staff, error operation may occur error.
User doesn’t do it without allowance.
 All the accessories must be used the appointed ones. If use other accessories, maybe cannot correspond to the
device properly.
 Don’t open the shell of the device.
 Must switch off the power while doing connection.
 Don’t leak any liquid such as alcohol to the internal of the device and socket.
 Don’t use any abstergent and dilution containing organic liquid, methyl benzene, gasoline etc., which is harmful to the
BAL shell.
 Don’t scrape shell with grinding ointment and chemical detergent.
 Don’t touch input signal connector and output signal connector simultaneously, for example RS-232 and patient isn’t
allowed to touch at the same time.
 Don’t apply vapor sterilization to the device and accessories. Don’t sterilize with high-temperature or γ-Ray or apply
electrical beam.
 While using sprayer of physic liquor to sterilize, please don’t spray the liquid to the internal device and socket.
 Don’t install the device near to the interfere source such as wireless transistor, hypercator, mobile phone or wireless
telephone. Otherwise, the interference will impact on the device.
 After effective life time is over, please deal with the device according to the local law or return to the manufacturer for
recycle in order to protect environment.

 Pay attention to the following ECG measurement and interpretations:

(1) AC/EMG Interference might cause mistakes in reading P Wave and Q Wave.
(2) Measuring error might occur due to blur endings of S wave and T Wave.
(3) Low voltage of QRS might cause the measurement result of HR not reliable.
(4) Low voltage of QRS might cause the ECG coordinate axes calculation or QRS not reliable.
(5) With frequent ventricular systole, at accidental situation, will be inspected out as heartbeat.
(6) This device has self-interpretation function, which only analyze automatically the

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obtaining ECG trace, but don’t reflect on all the conditions of patient. Maybe the analyzing result is
different with the diagnosis by doctor, so the final conclusion must be made out by doctor to combine
with patient clinic data and other analysis result.

 Precautions for using electrode

 Whether clean the axunge on the skin of patient (where connect with electrodes) and wipe conductive gel on it.
 When electrodes are sterilized and disinfected, please use cotton cloth to wipe and clean with medical alcohol or
Glutamyl acetaldehyde disinfection.
 If the electrodes are too dirty to clean, please use emery-paper to abrade gently, and repeat the above disinfecting
method.
 Whether the assembly of electrodes is loose. If it is too loose, please clamp closer.
 Whether mix to use together different sorts of electrodes.
 While the device is used synchronously with defibrillator, there will be super-voltage resulted from defibrillation which
causes polarized voltage on the electrodes, so it can’t measure in several seconds.

 Precaution for cable lines

 Please use ECG cable line assembled with device.(or the accessories our factory provide)
 Please use three-cord power line assembled with device, which can connect to the three-cord
socket and realize grounding well.
 When the device is used synchronously with defibrillator, please make sure to use the patient
Cable. line which we assembled with defibrillating function.
 Please check whether the connection of patient cable is loose or not.
 Please notice whether patient cable is too closed to power cord during measuring. Please check
whether the connection between each patient cable end and corresponding electrode is right or not.
 Periodic inspect patient cable, and clean and disinfect it if it is necessary. Please use cotton with
medical alcohol wipe gently, don’t drag forcibly patient cable.

 Precaution for rechargeable batteries

 The batteries built in the device are rechargeable batteries specialized for ECG-301.Please don’t use for other
equipments. Otherwise, maybe cause batteries to weep heat or rupture.
 Don’t throw the batteries into fire.
 Don’t weld directly the batteries to the device.
 Don’t disassemble and reconstruct battery. There is protecting circuit in the batteries to avoid danger. Maybe cause
batteries weep or rupture after it is damaged.
 Batteries contain the structure for discharging internal waste gas, which must be not obstructed, otherwise, will
damage of batteries.
 The liquid of batteries is harmful for your eyes. When it is splashed into your eyes, don’t knead or wipe, please clean
with water and see a doctor immediately.
 Don’t contact metal to the “+””-”polar of battery.
 Don’t flake or scrape the shell of batteries.
 During charging, the process of charging isn’t finish but exceeds rated charging time; please switch off AC power in
time. Otherwise the batteries will heat severely until damage.
 Internal liquid of batteries is rubbed to skin, which may cause burn, please clean with cleaner immediately.

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 Don’t use or put battery in homeothermic places. Otherwise may cause battery weep, decrease life time and function.
 Don’t immerge battery into water, and moisten with medical liquid. Otherwise maybe cause battery heat or go moldy.
 If any abnormality is found during using battery, please stop using immediately.

 Don’t store battery in the places out of touch by children.

 Don’t impact strongly or throw battery.
 While battery is not used for a long period, please switch off the device, and pull out power cable from socket.
 Please paste isolated belt on the ends and connection cable of scrap battery, and hand in them to our service staff to
deal with.
 The normal function of the product may be disturbed by strong Electro-Magnetic Interference. If so, simply reset the
product to resume normal operation by following the instruction manual. In case the function could not resume,
please use the product in other location.
 Rechargeable lithium-ion battery.
Charging time (normal temperature 25±5°C shutdown charging):
The battery is charged to 90% for no more than 2 hours and full for no more than 3 hours.
Power supply time (normal temperature 25±5°C, when new battery is full):
a. At least 50 automatic reports can be printed;
b. At least 1 hour of continuous recording;
c. At least 2 hours of unrecorded measurements can be taken.

2. Summary

Electrocardiograms are primarily used to record physiological electrical signals, caused by cardiac activity, to analyze
rhythms and configurations for clinical diagnosis and research.
Intended use: Suitable for adult and child patients who need to have an electrocardiogram,Electrocardiogram and heart
rate recorded by ECG can help doctors analyze and diagnose clinically. Its compact size makes it suitable for use in

patients visiting homes.

Brief description of the principle
The electrocardiograph is a physiological function test instrument that records the waveform of cardiac electrical activity (ie,
electrocardiogram). It provides basic information for various types of heart disease diagnosis and treatment, helps to
analyze various types of heart diseases, understand certain drug and electrolyte disorders, and acid and alkali. The effect
of imbalance on the myocardium plays an important role in routine examination of heart disease.
This series of electrocardiographs is a 12-lead synchronous digital electrocardiograph with LCD display and automatic
analysis options. Thanks to the advanced high-performance processor and integrated thermal array printing system, the
performance and reliability of the machine are greatly improved, and the operation is simple, the function is rich and
practical, and it is suitable for routine diagnosis of electrocardiogram of various medical units. This machine has dual AC
and DC, built-in rechargeable battery and safe charging circuit, with over-current and over-voltage protection,
under-voltage shutdown and other functions.
NOTE :
 The patient who has a heart disease may have a normal electrocardiogram, so other tests are
required for a full heart appraisal. This equipment cannot be connected to the heart directly

2.1 Features

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 Digital signal processor for effective inhibition of baseline drift, AC interference filter, EMG interference filter and the
heart rate, to guarantee the authenticity and dependability.
 Auto-regulation of baseline drift can effectively inhibit baseline drift, optimizing the printing position to achieve
high-quality ECG.
 Have regular automatically measuring and analyzing function for ECG parameters to lessen doctor’s load.
 With a high –resolution thermal printer to print out ECG trace, describing the trace clear and accurate, annotation as
well as related parameters for diagnostic reference.
 Roll recording paper for ECG is 80mm in width, simultaneous 12 lead acquisitions and 3 lead live record, high
affectivity of ECG examination, good effect and economic utility.
 Function of rhythm lead for observing abnormal ECG trace & heart rate.
 Supported by AC/Rechargeable battery for continuous examination whenever necessary. For Battery operation, ECG
is equipped with a battery charger and a system for battery capacity management and protection.
 Safety level for ECG corresponds to Type CF, ClassⅡ according to the IEC60601-1 criterion. The amplifier is floating
input circuit which can examine human cordis directly with safety and reliability.

2.2 safety classification

 Shock proof type :ClassⅡ, internal power device
 Shock proof degree : CF device
 Anti-splash degree :common device
 Safety degree used in the presence of atmosphere(or oxygen, lachgas)mixed with flammable anesthesia gas: not
suitable to be used in the presence of atmosphere(or oxygen, lachgas)mixed with flammable anesthesia gas

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3. General Information
3.1 Name of components

1
3 1. LCD display screen
2. List button
3. Recorder

Fig. 1 top panel

4
5

Fig. 2 bottom panel

Fig. 3 right side panel of ECG

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Fig. 4 left side panel of ECG

Fig. 5 Upper side panel of ECG

3.2 Content on LCD as follows

Display on LCD is as follows after power on:

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No Icon name Description

Display the ID of the currently inspected patient;
ID is automatically generated by the system according to the printing
Patient ID time. The format of the ID number is the year, month, day, hour, minute,
and second. For example, printing at 12:00:44 on January 11, 2019, the ID
will be generated: 20190111120044.
The gender of the patient being examined is entered by the operator
② Gender & Age Gender : Male, Female;
The age of the patient being examined is entered by the operator.
Heart rate❤& Displays the actual heart rate; the heart rate icon flashes when the ECG
③
Heart icon detecting the heart rate
Display battery capacity when the device is in internal battery powered mode
④ Battery capacity
This flag is not displayed when the device uses the network power mode.
Display the current time.
⑤ System time
System time can be set by the operator

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No Icon name Description

Displays the current analysis mode:
a. In the automatic redirection mode, the automatic redirection time of each
lead is displayed, for example, the retransmission time is 3 seconds, shows
⑥ Operation mode “automatic 3 s”;
b. In manual redirection mode, shows "manual";
c. In 1 lead 1 minute mode, shows "1 lead 1 minute"
d. In rhythm analysis mode, shows "rhythm analysis".
Displays current sensitivity(2.5,5,10,20mm/mV):
Example 1: The sensitivity of the system setting is 2.5mm/mV, shows
2.5mm/mV;
⑦ Sensitivity Example 2: The sensitivity is automatically adjusted in the automatic
commutation mode. When the signal is normal, the sensitivity is
10mm/mV, shows 10mm/mV; when the signal amplitude is too large, it
will be automatically halved, the sensitivity is 5mm/mV, shows 5mm/mV.
AC Filter Freq：50Hz/60Hz
⑧ Filters setting EMG Filter：25Hz/35Hz/45Hz/75Hz/100Hz/150Hz
High pass filter：0, 0.05, 0.5Hz
Press this key to enter menu settings.
⑨ Function setup

Display the current lead (I, II, Ⅲ, aVR, aVL, aVF, V1, V2, V3, V4, V5, V6)
⑩ Current lead If the C1 lead falls off, the line mark of the off lead wire is displayed in the
interface, which is displayed as “lead off V1”

3.3 Content on keyboard as follows

Button
Function
Symbol

ON/OFF
Being used for power switch on and charging in standby condition.

Mark/ Function Keys:

Under MAN mode, press this key to record a 1mV calibration pulse at any time
while recording.
You can combine this key with the left and right direction keys to set automatic
redirection mode and interval.
Forward/backward switch key:
Use to switch or exit settings between different functions on the button during
function setting. It can be used to select different leads during manual redirection, 1
lead 1 minute or rhythm analysis.

Recording mode:
Transform from different recording mode: automatic, manual, 1 lead 1 minute or
rhythm analysis.

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Start/stop button:
Start or stop recording.

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4. Operation preparation
WARNING :
Check the main unit and its accessories carefully before operating the ECG. Replacement should be taken if
there is any evident defectiveness or aging symptom which may impair the safety or performance. Make sure
that the equipment is in proper working condition.

4.1Connecting to power
WARNING :
To avoid any possible electric shock, please connect the ECG with AC power by a three-phase power cable.
Don’t open the ECG while it is powered on.

WARNING :
If the integrity of external protective conductor in installation or arrangement is in doubt, the ECG should be
operated from the built-in rechargeable battery.

Insert one end of the 3-cord power cable into the device and the other end into the power socket in wall. Then bridge the
grounding cable between the grounding terminal of the device and ground.
1) Mains Supply
The mains socket is on the left upper side of the ECG. Properly connect the ECG with mains supply.
Rated voltage: 100V-120V/220V-240V
Rated frequency: 50Hz/60Hz
Rated input power: 60A
Make sure the mains supply meets the above requirements before power on.
2) Built-in Rechargeable Battery
The built-in rechargeable battery pack is used, because of the consumption during storage and transport, the capacity of
battery may not be full. In this case please recharge the battery first. Replace the battery when the battery has been
recharged over 300 times.

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.

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4.2 Paper loading

Fig. 1 Fig. 2 Fig.3

Step 1: Push the Open Button to open the paper compartment cover.
Step 2: Take out the paper rollers, remove remaining paper if necessary. Insert the rollers into the new roll paper and put
the paper with rollers back into the paper compartment. Be sure that the paper is installed with the paper’s grid side
facing downward.
Step 3: Pull about 2cm of the paper out, and close the cover gently.
 The recording paper applied to the device is 80mm three channel roll thermal paper.
 Cover the paper cabinet, and leave the beginning of paper.
 Make the square side downward.

4.3 Connection of patient cable

Connection of patient cable is involved whether record ECG is accurate or not. Please ensure to connect the
patient cable well. New and old electrodes or reusable and disposable electrodes can’t be used synchronously.
Different type of electrodes can’t be used together, which will have great influence on ECG record. Electrodes or
cable plug can’t touch other surface or conductor, such as metal bed. Renovate all the electrodes together.
1) Patient Cable Socket

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Definition of corresponding pins:

Pin Signal Pin Signal Pin Signal

1 C2 (input) 6 SHIELD 11 F (input)

2 C3 (input) 7 RF 12 NC

3 C4 (input) 8 FG 13 C1 (input)

4 C5 (input) 9 R (input) 14 NC

5 C6 (input) 10 L (input) 15 Lead Check (input)

Patient Cable Definition of Pins

2) Placement of limb electrodes
a) Ensure the electrodes are clean;
b) Align lead wires of patient cable to avoid twisting, and connect the electrode connectors to corresponding
electrodes according to the color and identifier;
c) Clean electrode area on a short distance above the ankle or wrist with alcohol;
d) Daub the electrode area on limb with gel evenly;
e) Place a small amount of gel on the metal part of limb electrode clamp;
f) Connect the electrode to limb, and be sure that the metal part be placed on the electrode area above the ankle or
wrist. Attach all limb electrodes in the same way.

R(RA) for right arm

L(LA) for left arm
RF(RL) for right leg
F(LL) for left leg
It shows as the right picture:

3) Placement of chest electrodes

a) Ensure the electrodes are clean;
b) Align all lead wires of patient cable to avoid twisting, and connect the associated electrodeconnectors with
corresponding electrodes according to the color and identifier;
c) Clean electrode area on chest surface with alcohol;
d) Daub the round area of 25mm diameter on each electrode site with gel evenly;
e) Place a small amount of gel on the brim of chest electrode’s metal cup;
f) Place the electrode on chest electrode site and squeeze the suction bulb. Unclench it and
then the electrode is adsorbed on chest. Attach all chest electrodes in the same way.

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The chest electrode should be placed on body surface as shown below.

V1: Fourth inter-costal space at right border of sternum.
V2: Fourth inter-costal space at left border of sternum.

V3: Midway between V2 and V4.

V4: Fifth inter-costal space at left mid-clavicles line.
V5: Left anterior axillary line at the horizontal lever of V4.
V6: Left mid-axillary line at the horizontal lever of V4.

Attention
Tangling of electrodes or overlap from one place to another of ECG cream is not
allowed to avoid short circuit. If there is no ECG scream, inspecting ECG can be used
75% alcohol to clean each electrodes, and connect the electrodes to related position
immediately to ensure that the attached skin is wet. Don’t use normal saline instead
of ECG scream to avoid rusting electrodes.

Attention

Patient cable plug should be screwed down to insert to the

socket!

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4) Electrode connection definitions and color code

European American

Socket
Electrodes Identifier Color code Identifier Color code Number

9
Right arm R Red RA White

10
Left arm L Yellow LA Black

Right leg RF Black RL Green 14

11
Left leg F Green LL Red

Chest 1 C1 White/red V1 Brown/red 12

1
Chest 2 C2 White/yellow V2 Brown/yellow

2
Chest 3 C3 White/green V3 Brown/green

3
Chest 4 C4 White/brown V4 Brown/Blue

Chest 5 C5 White/black V5 Brown/orange 4

Chest 6 C6 White/violet V6 Brown/ violet 5

5) ECG lead sequence:

two options for lead mode: standard lead, European lead.
The lead mode is defined as follows:

No. 1 2 3 4 5 6 7 8 9 10 11 12

Standard leads I II III aVR aVF aVF V1 V2 V3 V4 V5 V6

European lead aVL I -aVR II aVF III V1 V2 V3 V4 V5 V6

CABRERA

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4.4 Inspection before Startup

In order to avoid safety hazards and get good ECG record, the following inspection procedures are recommended
before turning on the ECG and beginning operation.

1) Environment:
 Check and make sure that there is no electromagnetic interference source around the equipment, especially
large medical electrical equipment such as electrosurgical equipment, radiological equipment and magnetic
resonance imaging equipment etc. Switch off these devices when necessary.
 Keep the examination room warm to avoid muscle action voltages in ECG signal caused by cold.
2) Power Supply:
 If mains power used, please check whether the power cord has been connected to the ECG and it is properly
grounded.
 Recharge the battery first before use when the battery capacity is low.
3) Grounding:
 Check the grounding cable is properly connected.
4) Patient Cable:
 Check whether the patient cable has been connected to the ECG firmly, and keep it far away
from the power cord.
5) Electrodes:
 Check whether all electrodes have been connected with lead wires of patient cable correctly according to the
identifier and color.
 Be sure that all electrodes have been connected to the patient correctly.
 Ensure that the chest electrodes haven’t contacted with each other.
6) Recorder Paper:
 Ensure that there is enough recording paper loaded.
 Make sure the case of the recorder has been secured.
7) Patient:
 The patient should not contact with conducting object such as earth, and metal part of bed etc.
 Ensure the patient is warm and relaxed, and breathe calmly.
8) AC Filter Frequency
 Check the setup of AC Filter Frequency and make sure is identical with the local regulations, or it will influence the
anti-jamming effect.
WARNING :
The ECG is provided for the use of qualified physicians or personnel professionally trained. The operator is supposed
to be familiar with the contents of this Operation Manual before use.

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5. Operation Instructions

NOTE :
 Whether boot or shutdown should hold down the ON / OFF key a few seconds. Hold the boot until the display
shows information on manufacturers, equipment model and version, shut down until the screen display closed.
5.1 Operation mode
5.1.1 Manual Mode

 Press key to choose “Manual Mode”, which will be displayed in the lower left corner of the LCD screen.

 Set the recording format of the “Manual Mode” in the menu.

 Press the “Manual Mode” to select the sensitivity (wave gain), filter according to the requirement before recording.

 Press arrow key to select the leads to be recorded.

 Press RUN/STOP to start recording; manually switch the leads while recording.

 Press during recording to stop recording at any time.

Patient ID will be changed automatically if the recording is interrupted. If the ID number needs to be unchanged, the
operator should adjust patient ID before continuing recording.
5.1.2 Auto Mode (Auto 3s Mode)

 Press key to choose “Auto 3s Mode”, which will be displayed in the lower left corner of the LCD screen.

 Set the recording format of the “Auto 3s Mode” in the menu.

 Press the “Auto 3s Mode” to select the sensitivity (wave gain), filter according to the requirement before recording.

 After the waveform and heart rate are stabilized, press to print a complete ECG waveform.

 During printing, the operator can press key to stop recording any time.

5.1.3 One channel one minute mode ( 1ch 1min Mode)

 Press key to choose “1ch 1min Mode”, which will be displayed in the lower left corner of the LCD screen.

 Set the recording format of the “1ch 1min Mode” mode in the menu.
 Touch the “1ch 1min Mode” to select the sensitivity (wave gain), filter according to the requirement before recording.

 Press arrow key to select the leads to be recorded.

 Press to start collecting ECG data for 48 seconds then print it out.

 Automatic stop after printing. During printing, the operator can press key to stop recording any time.

5.1.4 Rhythm Mode

 Press key to choose “Rhythm Mode”, which will be displayed in the lower left corner of the LCD screen.

 Set the recording format of the “Rhythm Mode” mode in the menu.
 Press the “Rhythm Mode” to select the sensitivity (wave gain), filter according to the requirement before recording.

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 Press arrow key to select the leads to be recorded.

 Press to start collecting ECG data for 240 seconds then print it out.

 Automatic stop after printing. During printing, the operator can press key to stop recording any time.

5.2 Operation Menu

5.2.1 Function Setup
Press or touch “Function Setup” in the lower right corner of the LCD screen go to main menu. Touch the
corresponding position of the screen then go to the submenu.

5.2.2 Save ECG

Extended storage can be supported. Select “SAVE ECG” from the Function setup. Only the ECG which has been
printed out the report normally can be saved. The saved cases can be played back or print it out.

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Enter the corresponding patient information to save the ECG report.

5.2.3 Open ECG

Press “ Open ECG”, all saved ECG reports can be viewed, printed, and deleted.

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5.2.4 Set filter

Press “Set filter”, AC Filter, EMG Filter and DFT Filter can be setup.

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5.2.5 Working Mode

Press “Working Mode”, wave speed, wave gain, load sequence, sampling mode, open demo and priority storage
can be setup.

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5.2.6 System setup

Press “System setup”, beat vol, language, server IP and local IP can be setup.

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5.2.7 Printer setup

Press “Printer setup”, auto REC format, analysis result, avg wave, rhythm lead can be setup.

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5.2.8 Version
Press “Version” can check the ECG info.

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5.2.9 Load default

Press “Load default” can restore the factory settings.

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6. Daily maintenance
6.1 Battery charging, capacity indicator and replacement
ECG device is built in rechargeable battery to realize AC/DC operation. The illustration on charging, indicating capacity and

replacement are as follows:

 Charging battery
ECG device is designed with a charger and protector for the rechargeable battery. It is required to charge & discharge
the battery at least every 3 months, and device is in spare condition. Charging indicator will blink while charging, and
keep in light when charging is completed.
 Capacity indicator
Whenever the machine is powered by DC battery, there will be a prompt, in the middle of first line on the LCD screen,
to indicate battery capacity as follows.

Sufficient battery capacity

Insufficient battery capacity, charging is required.

Battery capacity is running out, immediate charging is demanded.

 Battery replacement
Battery replacement shall be carried out by a service engineer as follows.
a. Power switches off and disconnects power cable.
b. According to the bottom figure of device, open the cover of battery cabinet.
c. Pull out the plug of battery and remove the damaged battery.
d. Replace the battery with a new one and plug in the battery socket to connect well.
e. Reassemble the instrument.
Notice:
 Don’t connect directly anode and cathode of the battery with lead otherwise may cause fire hazard.
 Don’t put battery near to open fire, otherwise may cause explosion hazard.
 Don’t disassemble battery without allowance.
 Please take and put battery gently, don’t fall it to the ground or strike on other items.
6.2 Recording paper
For the sake of recording quality of ECG trace, please use the recommended or provided thermal paper. If purchase other
thermal paper, maybe shorten the life time of thermal lattice printing head, cause recording trace to blur, or bad paper
running.
Please do notice!
a. Avoid use of grayish and blackish paper or with wax; otherwise may cause printer head damaged.
b. High temperature, high humidity and direct sunshine will cause paper color to change. Please keep the paper in a dry
and cool place;
c. Do not expose the paper in fluorescent light for a long time, otherwise will have influence on recording quality.
d. Do not store the paper with PVC to avoid color change;

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e. Do not pile up the recorded paper for a long time to avoid waveform transfer.
f. Please pay highly attention to the specification of recording paper. The thermal lattice printing head or the silicon-rubber
axis will damage by the wrong paper.

6.3 Maintenance Following Operation

After using ECG device, please notice:
A. While pulling out the leads and power cable, please grasp the plug to pull out, don’t grasp the cable.
B. Clean the machine as well as accessories and cover the instrument with a shade.
C. Place the device in a dry and shading environment. Vibration in the process of transportation should be avoided.
D. Don’t immerse the device into cleaner while cleaning the device, please cut off power supply while cleaning the shell of
device. Please use neutral solvent to clean which doesn’t contain alcohol or bactericide.
6.4 Patient cable maintenance
 Check the patient cable continuity with a multi-meter. The resistance should be less than 10
ohms.
Following table is the continuity of the patient cable.

Electrode R L F RF C1 C2 C3 C4 C5 C6
Patient Lead 9 10 11 14 12 1 2 3 4 5

Please periodic inspecting patient cable to keep it well, any piece of the cable is damaged will occur corresponding or
all lead to appear false wave. Patient cable can be cleaned with water or soap, or disinfected by 75% alcohol. (Don’t
immerse patient cable into the liquid).
 Curve or tie patient cable will shorten its life time, please make it in line and then connect with electrodes.
 All the electrodes should be kept well, after being used for a long time, the surface of electrodes will be oxidized to

effect on recording the trace, and please renew electrodes.

6.5 Silicon rubber axis maintenance
Silicon rubber axis should be kept smooth and clean, otherwise will have an influence on the effect of ECG record. Please
use clean and soft cotton with few alcohols to clean the smear on the silicon rubber axis along portrait, and rotate to the
direction of conveying the recording paper until make it clean.
6.6 Thermal Printer Maintenance
Residue and dirt on the thermal printer could affect the clarity of printing out ECG trace.
To clean the thermal printer, you are required to open the paper magazine and clean the printer with cotton dipped with
alcohol. It is not permitted to operate on the printer with a sharp object. Otherwise, permanent damage could be resulted.
After the alcohol is volatilized completely, close the cabinet. Thermal printer maintenance should be done at least once a
month.

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7. Troubleshooting and solution
7.1 Some lead without waveform

 When the cables are connected well with the patient, the device usually needs several seconds to get ready.Press

RESET and start recording after 2~3 seconds to solve the problem.
 Patient cabel is at fault.checking the patient cable according to 5.4,if patient cable breaks down,please connect with
our after-sale department or appointed maitenance center.
 Excluded the above cause,the device still exist problem,normally it is resulted from the problem of signal channel,
please connect with our after-sale department or appointed maitenance center.
7.2 Vertical broken track of printed waveform
Whenever a printer fault occurs, which manifests itself as not continuous trace on the recording paper; you are required to

clean the thermal printer with soft cotton with alcohol. If this action does not work, certain thermal emitting component is
probable damaged, and you are required to contact the manufacturer or the local agent for help.

7.3 Control Panel Failure

Control panel failure is probably caused by bad continuity between the panel and the Keyboard Control Module due to
transportation or vibration. If a reconnection of the control panel to the Keyboard Control Module does not work, you are
required to contact a service engineer.

7.4 AC Interference
In the process of recording ECG trace,there are some interference and apparent wobble of baseline as follows:

Please check the following:

1. Make sure that the unit is properly grounded according to instructions.
2. Check for good electrode attachment and patient cable connection.
3. Check the cleaning of electrode and patient body surface.
4. Make sure that the exam bed is properly grounded.
5. The patient shall not be in touch with the metal parts of the exam bed.
6. The patient shall not be in touch with anybody else.

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7. There shall be no large power electric equipment working nearby.

8. The patient shall put off such things as ring and the like.
Please use AC filter if still exists above-mentioned interference.

7.5 EMG interference

EMG interference may cause irregular wobble of waveform.

Please check the following:

 Make sure that the exam room is comfortable for examination.
 Soothe the patient from irritation or excitement.
 Make sure the exam bed shall be in suitable size.
 Never have talks with the patient during ECG trace is recorded.
Please apply EMG filter if still exists above-mentioned interference. The waveform will be weakened a little more, which will
decline obviously on R wave.
7.6 Baseline drift
There is irregular movement on the baseline of wave, shown as below:

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Check the following:

 Verify the electrode attachment and lead wire performance.
 Check the connection between patient cable and electrodes.

 Check the cleaning of electrode and patient body surface.

 Is there enough ECG cream on skin and electrodes?
 Keep the patient from motion or hyperventilation.
 Old electrodes and new ones mixed up
If still exists, Please contact with our service department or appointed maitenance center.

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8.Common faults and troubleshooting
8.1 individual leads cannot print waveforms

In the printing process, the reasons why individual leads are unable to draw are as follows:

Do not start recording immediately after connecting the lead line. Due to the stable time of about 2 seconds for baseline drift
detection, individual leads cannot be drawn. At this time, you can press the reset key, can quickly stabilize each lead
waveform, or re-record it once.
If the lead line is not in contact or the internal line is broken, it will also produce the phenomenon that individual leads can
not draw out the diagram. The lead line can be checked as described in 6.3 lead maintenance. If the lead line does fail,
please contact our after-sales service department or designated maintenance point.
After eliminating the above two reasons, if there is still a fault in this machine, it is generally caused by the fault of the signal

channel amplification unit. At this time, we must contact our after-sales service department or designated maintenance
point.
8.2 print head failure

The principal fault of the print head is that the printed ECG waveform or the character breaks the breakpoint in the vertical
direction. It is generally due to dust or stains on the surface of the thermal print head, which must be cleaned to correct the
problem. After cleaning, there is still such a phenomenon that the part of the heating unit of the print head may be damaged,
and it shall be in contact with the after-sales service department of the company or the designated maintenance point.
8.3 AC interference.
Ac interference showed that the recorded ECG was regularly superimposed with a certain amplitude of 50Hz/60Hz sine
wave interference waveform, and the base line was obviously jitter. The possible causes of AC interference are as follows:
please check and eliminate in turn:

There is no reliable grounding in the ECG machine.

The electrode or lead line is incorrectly connected.
There was no conductive ointment at the corresponding part of the electrode and the skin of the patient's body surface.
The patient touches the metal part of the wall or bed, or others.
There are X-ray machines, ultrasonic instruments and other high-power electrical equipment in the vicinity of the turbine.
The setting of AC filter frequency is inconsistent with the frequency of local AC power supply.
●The patient is wearing jewelry.
The above-mentioned measures can still not clear the AC interference. Use an AC filter, at which time the recording
waveform will be slightly attenuated.
8.4 EMG interference

EMG interference showed irregular jitter at the printed electrocardiogram (ECG) base line. EMG interference may be
caused by the following factors, please check and eliminate in turn:
The temperature in the room is too low and the patient feels uncomfortable.
The bed is narrow and the patient is nervous or nervous.
Talk to the patient during the recording.
The limb electrode or chest electrode is clamped too tightly.
The above measures still can not eliminate interference, please use EMG filter. However, the ECG waveform recorded at
this time will be attenuated, and the attenuation of R wave is more obvious.
8.5 baseline drift

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The electrocardiogram (ECG) base line was not stable and showed irregular up and down movement. The possible causes
of this phenomenon are described below. Please check, exclude, or correct it in turn:
The installation of skin electrodes is unstable.

During the recording process, the patient's body moves or breathes.

The skin of the patient's surface is not clean or is not coated with foot conductive ointment.
The old electrode is mixed with the new electrode.
If the above-mentioned measures are still unable to clear the base line drift, use the base line drift filter (ADS).

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9. Specifications

Main technical specification

Items specification

Lead standard 12 leads

lead acquisition synchronously 12 leads

Input Impedance ≥50MΩ

Input circuit current ≤0.0.05μA

Record mode Automatic: 3×4;3×2+2×3

Rhythm: Any lead selectable.

Filter EMG Filter: 25 Hz / 35 Hz / 45Hz/75 Hz / 100 Hz / 150Hz

DFT Filter: 0.05 Hz/ 0.5 Hz

AC Filter: 50 Hz / 60Hz

CMRR >100dB

Patient current leakage ＜10μA

Input Circuit Current ＜0.05µA

Frequency Response 0.05Hz~150Hz (-3dB)

Sensitivity 2.5mm/mV, 5 mm/mV, 10 mm/mV, 20 mm/mV

Anti-baseline Drift Automatic

Time constant ≥3.2s

Noise level ＜15μVp-p

Paper speed 12.5 mm/s, 25 mm/s, 50 mm/s

Recording mode Thermal printing system

Paper specification 80mmx20m paper roll

AD sampling rate 1000 samples/s

LCD display 7” graphic LCD

Safety classification IEC60601-1 class Ⅱ, type CF

Power supply AC: 100~240V, 50/60Hz, 30VA~100VA

DC: 7.4V/4400mAh, built-in lithium battery

Environment requirement
Storage
Temperature -10℃～+40℃ Humidity 30％～80％ Pressure 700hPa~1060hPa
Operation
Temperature +5℃~+40℃ Humidity 25％～95％ Pressure 860hPa~1060hPa

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10. Accessory List

In order to obtain a good ECG trace, you are required to use the accompanying accessories of this unit. Following is the
demonstration of the standard accessories for the unit.

Item Quantity pattern

序号

Patient Cable
1 1

Limb Electrode 4pcs/set

2

Chest Electrode 6pcs/set

3

Grounding
4 1
Cable
Thermal
5 Recording 1
Paper

6 Paper Shaft 1

Three plugged
7 1
power cable
Responsibility of Manufacturer
2. The device is strictly operated according to user manual.

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Electromagnetic Capability
GUIDANCE AND DECLARATION - ELECTROMAGNETIC EMISSION
The ECG is intended for use in the electromagnetic environment specified below. The customer or the
user of the device should assure that it is used in such an environment.
EMISSIONS TEST COMPLIANCE ELECTROMAGNETIC ENVIRONMENT - GUIDANCE
The ECG uses RF energy only for its internal
RF emissions function. Therefore, its RF emissions are very low and
Group 1
CISPR 11 are not likely to cause any interference in nearby
electronic equipment.
RF emission CISPR
Class B
11
The ECG is suitable for use in all
Harmonic emissions
Class A establishments, including domestic establishments and
IEC 61000-3-
those directly connected to the public low-voltage
Voltage
power supply network that supplies buildings used for
fluctuations/Flicker
Complies domestic purposes.
emissions IEC
61000-3-3

GUIDANCE AND DECLARATION - ELECTROMAGNETIC IMMUNITY

The ECG is intended for use in the electromagnetic environment specified below. The customer or the
user of the device should assure that it is used in such an environment.
IEC60601 TEST COMPLIANCE ELECTROMAGNETIC
IMMUNITY TEST
LEVEL LEVEL ENVIRONMENT - GUIDANCE
Floors should be wood,
concrete or ceramic tile. If
Electrostatic
± 6 kV contact ± 8 kV contact floor are covered with
discharge (ESD)
± 8 kV air ± 15 kV air synthetic material, the relative
IEC 61000-4-2
humidity should be at least
30%.
± 2 kV for ± 2 kV for
Electrical fast power power
transient/burst supply lines ±1 supply lines ±1
Mains power quality
IEC 61000-4-4 kV for input/output kV for input/output
should be that of a typical
lines lines
commercial or hospital
±1 kV ± 1 kV
environment.
Surge IEC differential differential
61000-4-5 mode ±2 kV mode ±2 kV
common mode common mode
Power frequency Power frequency
3A/m 3A/m
(50Hz/60Hz) magnetic fields should be at

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magnetic field levels characteristic of a

IEC61000-4-8 typical location in a typical
commercial or hospital
environment.
<5% UT <5% UT
(>95% dip in (>95% dip in
UT) for 0.5 cycle UT) for 0.5 cycle Mains power quality
should be that of atypical
Voltage dips,
40% UT (60% 40% UT (60% commercial or hospital
short
dip in UT) for dip in UT) for environment. If the user of
interruptions and
5 cycles 5 cycles the ECG requires continued
voltage
operation during power mains
variations on
70% UT(30% 70% UT(30% interruptions,it is
power supply
dip in UT) for dip in UT) for recommended that the ECG
input lines IEC
25 cycles 25 cycles be powered from an
61000-4-11
uninterruptible power supply
<5% UT(>95% <5% UT(>95% or a battery.
dip in UT) for 5 dip in UT) for 5
sec sec

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GUIDANCE AND DECLARATION - ELECTROMAGNETIC IMMUNITY

The ECG is intended for use in the electromagnetic environment specified below. The customer or
the user of the device should assure that it is used in such an environment.
IMMUNITY IEC60601 TEST COMPLIANCE ELECTROMAGNETIC ENVIRONMENT

TEST LEVEL LEVEL - GUIDANCE

3 Vrms Portable and mobile RF
150 kHz to 80 communications equipment should be used
3Vrms
MHz no closer to any part of the ECG, including
Conduct (V1)
outside ISM cables, than the recommended separation
ed RF
bands distance calculated from the equation
IEC610
10 Vrms applicable to the frequency of the transmitter.
00-4-6 10Vrm
150 kHz to 80 Recommended separation distance
s
MHz in
(V2)
ISM bands

Radiate
10V/m
d RF 30V/m
(80MHz ～
IEC610 (E1)
2.5GHz)
00-4-3
Interference may occur in the
vicinity of equipment marked with the

following symbol:
NOTE 1: At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is
affected by absorption and reflection from structures, objects and people.
Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless)
a

telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot
be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF
transmitters, an electromagnetic site survey should be considered. If the measured field strength in the
location in which the ECG is used exceeds the applicable RF compliance level above, the ECG should
be observed to verify normal operation. If abnormal performance is observed, additional measures may
be necessary, such as reorienting or relocating the ECG
b
Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/

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Recommended separation distances between portable and mobile RF communications equipment

and the ECG.

The ECG is intended for use in an electromagnetic environment in which radiated RF
disturbances are controlled. The customer or the user of the device can help prevent electromagnetic
interference by maintaining a minimum distance between portable and mobile RF communications
equipment (transmitters) and the ECG as recommended below, according to the maximum output power
of the communications equipment.
Separation distance (m)
Power(W)
0.01 0.1 1 10 100

Frequency(Hz)
Outside ISM bands

0.04 0.11 0.35 1.11 3.5

150KHz～80MHz
ISM bands

0.04 0.11 0.35 1.11 3.5

0.04 0.11 0.35 1.11 3.5

80MHz～800MHz

0.07 0.22 0.7 2.21 7.00

800MHz～2.5GHz
For transmitters rated at a maximum output power not listed above, the recommended separation
distances in meters (m) can be estimated using the equation applicable to the frequency of the
transmitter, where P is the maximum output power rating of the transmitter in watts (W) according to
the transmitter manufacturer.
NOTE 1: An additional factor of 10/3 is used in calculating the recommended separation distance
for transmitters in the ISM frequency bands between 150 kHz and 80 MHz and in the frequency range
80 MHz to 2,5 GHz to decrease the likelihood that mobile/portable communications equipment could
cause interference if it is inadvertently brought into patient areas.
NOTE 2: At 80 MHz and 800 MHz, the separation distance for the higher frequency range
applies.
NOTE 3: These guidelines may not apply in all situations. Electromagnetic propagation is
affected by absorption and reflection from structures, objects and people.

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