Spacelabs Ultraview Care Network Reference guide

Ultraview® Care Network
Reference Guides
Refer to the Operations Manual for full instructions
073-1001-17 Rev. E
To set alarm limits:
1 Touch a parameter key (ECG,
TEMP, etc.). 2 Touch ALARM LIMITS. 3 Ensure ALARMS ON is set. 4 Select HI = or LO =. 5 Use arrow keys to adjust.
To silence an alarm tone for 45 seconds at any monitor, touch the TONE RESET/ALM SUSPEND key once.
To set local alarm tones or key tones:
1Touch MONITOR SETUP. 2 Touch TONES. 3 Select LOCAL ALARMS or
KEY TONE.
4 Select TONES ON. 5Use VOLUME↑ and VOLUME↓
keys to adjust.
To suspend alarms at a bedside monitor when no alarm is sounding, touch the TONE RESET/ALM SUSPEND key once.
To set alarm watch tones or remote view tones:
1 Touch MONITOR SETUP. 2 Touch TONES. 3 Select ALARM WATCH or
REMOTE ALARMS.
4 Select TONES ON. 5Use VOLUME↑ and VOLUME↓
keys to adjust.
To resume normal alarm operation at a bedside monitor within the 3-minute period, touch the TONE RESET/ALM SUSPEND or RESUME ALARMS
To resume alarm tones at a central monitor, touch the TONE RESET/ALM SUSPEND key again.
To enable Alarm Watch:
1 Touch SPECIAL FUNCTIONS. 2 Touch ALARM WATCH. 3a Select a bed or a subnet. 3b If you selected a subnet, then
select a bed. 4 Ensure that the key for the
desired bed(s) has the ON
segment highlighted or is
indented. 5 Touch ALARM WATCH
ENABLE for the UCW and
Ultraview 1700.
This guide is intended as an abbreviated reference only; it is not intended to replace the full operational
!
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
instructions documented in the operations manual that accompanied your product. Please read your operations manual prior to operating your system and refer to it for full instructions.
To disable Alarm Watch:
1 Touch SPECIAL FUNCTIONS. 2 Select RV/AW OFF.
To de-select beds for Alarm Watc h:
1 Touch SPECIAL FUNCTIONS. 2 Touch ALARM WATCH. 3a Touch the bed to de-select.
-OR-
3b Touch DESELECT ALL.
(Ultraview 1030, 1050, 1500, and 1600 monitors) key again.
To select parameters for alarm recording and generate automatic recordings on a bedside recorder:
1 Touch MONITOR SETUP. 2 Touch RECORDER CONFIG. 3 Select RECORDING
DESTINATION.
4 Select a destination for the
alarm recording. 5 Touch PREVIOUS MENU. 6 Touch ALARM PARAMS. 7 Select parameter key(s) ON to
initiate a recording in case of
alarm. If the parameter key is
OFF, no alarm recording is
produced for that parameter in
an alarm condition.
Alarms Troubleshooting Guide
Clinical Situation Possible Cause Solution
Duplicate alarm recordings print at the bedside and system printer
Alarm recording directed to both bedside and network printers under the RECORDING DESTINATION key.
Select THIS MONITOR or NETWORK for alarm recordings.
No alarm recordings are printed
Alarms continue to violate after touching TONE RESET
No alarm notification occurs at a central monitor
CANNOT INTERACT WITH ALARM WATCH parameter displayed
Parameters for alarm recordings are set to OFF.
Bedside printer is OFF.
The alarms have not been directed
to the bedside printer.
ALARMS SUSPENDED for 3-minutes.
System printer is not identified as one of two network printers.
Printer is out of paper. Load paper into printer.
More than one alarm may be in
violation.
The Alarm Watch function is not active.
Parameters not displayed. Display the desired parameters using
The monitor may not be configured
to allow interaction with remote parameters.
Select parameters for alarm recordings from the Alarm Parameters menu or Record Alarm Parameters menu.
Turn bedside printer ON.
Ensure that THIS MONITOR or BOTH
is selected.
Ensure that alarms are not suspended.
Have your system administrator verify configuration.
Touch TONE RESET/ALM SUSPEND again.
Activate Alarm Watch for the desired beds at the central.
SCREEN FORMAT under MONITOR SETUP.
Contact your system administrator.
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 5150 220th Ave SE · Issaquah WA 98029 · 800.522.702 5
Admit Reference Guide
To enter new patient information (Ultraview 1030/1050/1500/1600):
1 Touch MONITOR SETUP. 2 Touch ADMIT/DISCHARGE. 3 Touch ADMIT. 4 Select YES to purge the
existing data.
5 Select ID and/or NAME. 6 Enter information using the
on-screen keyboard.
7 Touch ENTER. 8 Touch PREVIOUS MENU
(if necessary).
9 Select DATE OF BIRTH and
enter MONTH, DAY, and YEAR.
10 Touch ENTER. 11 Touch PREVIOUS MENU. 12 Select HEIGHT, WEIGHT, or
BSA and enter information using the on-screen keypad.
13 Touch ENTER. 14 Touch MALE/FEMALE until the
correct gender is highlighted.
15 Touch ADULT/NEONATE until
the relevant selection is highlighted.
To enter new patient information (UCW/ Ultraview 1700):
1 Touch MONITOR SETUP. 2 Touch ADMIT/DISCHARGE. 3a Select a subnet or a bed
(central only).
3b If you selected a subnet, then
select a bed.
4 Touch ADMIT. 5 Select YES to purge the
existing data.
6 Select a field on the on-screen
keyboard.
7 Enter information using the
on-screen keyboard.
8 Touch ENTER after completing
each field.
9 Select ADULT or NEONATE. 10 Select MALE or FEMALE. 11 Touch ACCEPT to store the
new patient data.
To change patient information:
1 Touch MONITOR SETUP. 2 Touch ADMIT/DISCHARGE. 3a Select a subnet or a bed
(central only).
3b If you selected a subnet, then
select a bed.
4 Touch CHANGE DATA. 5 Make desired changes as
described under Entering New Patient Information in the Admit chapter of the UCN Operations Manual.
To discharge a patient:
1 Touch MONITOR SETUP. 2 Touch ADMIT/DISCHARGE. 3a Select a subnet or a bed
(central only).
3b If you selected a subnet, then
select a bed.
4 Touch DISCHARGE. 5 Select YES to purge the
existing data.
This guide is intended as an abbreviated reference only; it is not intended to replace the full operational
!
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
instructions documented in the operations manual that accompanied your product. Please read your operations manual prior to operating your system and refer to it for full instructions.
Admit Troubleshooting Guide
Clinical Situation Possible Cause Solution
Patient name incorrect as entered on keyboard menu
Name exceeds 40 character maximum and system has written over some characters.
No patient name or ID number stored in system.
Re-enter name using 40 characters or less.
Enter name or ID number.
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 5150 220th Ave SE · Issaquah WA 98029 · 800.522.702 5
Printing Reference Guide
To start a manual recording via the monitor:
1 Touch RECORD. 2 Touch up to four flashing
parameter keys.
3a Touch CANCEL RECORD
SELECTION(S) to terminate.
-OR-
3b Touch STOP RECORDING in
the PRINTER CONTROLS menu to terminate.
To print group recordings via the monitor:
1 Touch RECORD twice. 2a Touch RECORD ALL.
-OR-
2b Touch RECORD
PRESELECTED A or B.
To load paper in the Ultraview 1030/1050 printer:
1 Press release button on door. 2 Open paper tray door all the
way.
3 Snap new roll into place. 4 Pull out 6 to 12 inches of paper. 5 Close door.
To start a continuous recording via the monitor:
1 Touch RECORD. 2 Touch CONTINUOUS
RECORD, then touch the desired parameter key (up to four, for each parameter to be continuously recorded.
3 Touch CANCEL RECORD
SELECTION to restart the selection process.
To load paper in a bedside printer module (2-channel only):
1 Press eject button next to
PAPER OUT light.
2 Withdraw plastic paper tray. 3 Discard old cardboard retainer
inside tray.
4 Remove label from new paper
but keep cardboard retainer in place around one end.
5 Start inserting paper into tray,
beginning with cardboard retainer end.
6 With paper halfway into tray, lift
up spring-loaded roller.
7 Bring out top fold of paper from
under top end of cardboard retainer.
8 Bring top fold over top of
spring-loaded roller.
9 Release spring-loaded roller
onto remainder of paper.
10 Insert stack fully. 11 Unfold paper and position over
top of black roller at end of tray.
12 Slide tray completely back into
printer module.
To stop a continuous recording via the monitor:
1 Touch RECORD. 2a Touch STOP CONT.
RECORD.
-OR-
2b Touch STOP RECORDING in
PRINTER CONTROLS.
To load paper in a system printer module (2- or 4-channel):
1 Press eject button next to
PAPER OUT light.
2 Withdraw plastic paper tray. 3 Discard old cardboard retainer
inside tray (2-channel only).
4 Remove label from new paper
but keep cardboard retainer in place around one end (2-channel only).
5 Discard 4-channel container. 6 Start inserting paper into tray,
beginning with cardboard retainer end (2-channel only).
7 Make sure black squares are in
the top left corner of the pages (4-channel).
8 Insert stack fully. 9 Unfold paper and position over
top of black roller at end of tray.
10 Slide tray completely back into
printer module.
This guide is intended as an abbreviated reference only; it is not intended to replace the full operational
!
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
instructions documented in the operations manual that accompanied your product. Please read your operations manual prior to operating your system and refer to it for full instructions.
Printing Troubleshooting Guide
Clinical Situation Possible Cause Solution
Printer displays PAPER OUT message
Printer is out of paper. Load paper (refer to Loading Paper in
Printer door is open.
Paper was loaded improperly.
the Printing chapter of the UCN Operations Manual P/N 070-1001-xx).
Printer fails to print self-test strip
Message UNABLE TO RECORD THE REQUESTED CHANNEL is displayed
CONTINUOUS RECORD key not displayed
Failed internal diagnostics. Notify qualified service person.
Printer not active.
Printer not selected by a system
administrator.
Printer is out of paper.
Menu is at the bottom of the screen. Touch NORMAL SCREEN, then
Toggle PRINTER ON/OFF key.
Check with your hospital biomed or
system administrator.
Load paper.
RECORD.
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 5150 220th Ave SE · Issaquah WA 98029 · 800.522.702 5
Bedside Monitors Reference Guide
To adjust screen clarity:
1 Touch MONITOR SETUP. 2 Touch MONITOR CONFIG. 3a Touch BRIGHTNESS.
-OR-
3b Touch CONTRAST.
-OR-
3c Touch
BRIGHTNESS/CONTRAST (for Ultraview 1500 only).
4 Use arrow keys to adjust.
To access the clock menu (UCW and Ultraview 1700 only):
1 Touch MONITOR SETUP. 2 Touch MONITOR
CONFIGURATION.
3 Select CLOCK ON. 4 Touch the clock that appears in
the lower right of the screen.
5 Select DIGITAL,
STOPWATCH, or TIMER.
To connect to an external power supply (Ultraview 1030 and 1050 only):
NOTE: Charging takes place only
when plugged into an AC outlet. 1 Attach the DC outlet cable to
J1.
2 Connect the power cord of the
external power supply to an AC outlet.
This guide is intended as an abbreviated reference only; it is not intended to replace the full operational
!
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
instructions documented in the operations manual that accompanied your product. Please read your operations manual prior to operating your system and refer to it for full instructions.
To transfer data:
1 Touch ECG. 2 Touch SETUP. 3 Select TRANSFER DATA. 4 Remove module after DATA
TRANSFER COMPLETED is displayed.
5 Insert module into a monitor to
retrieve the data.
6 Touch RETRIEVE DATA. 7 Touch YES.
To select parameters for display at remote monitors:
1 Touch MONITOR SETUP. 2 Touch OUTBOUND
PARAMETERS.
3 Select the parameters you wish
to display (up to five).
To change parameters for display at remote monitors:
1 Touch MONITOR SETUP. 2 Touch OUTBOUND
PARAMETERS.
3 Deselect the parameter key
that you wish to stop displaying.
4 Select the parameter you wish
to display.
To start capnography monitoring (Ultraview 1030 and 1050 only):
1 Plug the mainstream EtCO2
sensor cable into the EtCO2 receptacle on the capnogra phy panel.
2 If necessary, perform the
sensor calibration:
2a Place the sensor on the zero
cell and wait for the completion message to display on the screen. Sensor cells are located on the sensor cable and are labelled “O” and “REF”.
2b Place the sensor on the
reference cell and wait for the completion message to display on the screen.
3 Prepare the patient according
to hospital procedures.
4 Select the appropriate airway
adapter (neonate or adult).
5 Verify that the windows are
clean and dry.
6 Place the sensor head over the
airway adapter and perform an adapter calibration, if necessary.
7 Remove the airway adapter
from the sensor head.
8 Insert the airway adapter into
the ventilator circuit and Ballard style tracheal suction system (if present) as shown.
9 Attach the sensor head to the
airway adapter.
10 Make the other connections as
shown in Figure 5-13 in the UCN Operations Manual.
11 Ensure that the sensor head is
always positioned above the ventilator circuit so that moisture will not enter the adapter.
Bedside Monitors Troubleshooting Guide
Clinical Situation Possible Cause Solution
Cannot change parameter priority or colors
Monitor may not be set up to allow the user to change priority or colors.
Contact your system administrator.
Changed parameter priority or colors are lost
Transport monitor has no DC power
The STORE key was not touched after the selection was made.
The monitor was not plugged into an AC outlet while not in use.
No batteries installed.
Touch the STORE key to make
changes permanent.
Plug the monitor into an AC outlet to recharge the batteries.
Install one or two batteries.
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 5150 220th Ave SE · Issaquah WA 98029 · 800.522.702 5
Central Monitors Reference Guide
To select remote parameters for display:
1 Touch MONITOR SETUP. 2 Touch SCREEN FORMAT. 3 Select a bed (or a subnet, then
a bed).
4 Select the parameter(s) to be
displayed.
5 Select a zone.
To change the network or internal system time and date:
1 Touch MONITOR SETUP. 2 Touch PRIVILEGED ACCESS. 3 Enter Clinical password. 4 Touch TIME/DATE. 5a Select TIME.
-OR-
5b Select DATE. 6a Select 24 HOURS or AM/PM
(12 hours).
-OR-
6b Select MONTH, DAY, and
YEAR.
7 Use arrow keys to set time or
date.
8 Touch ENTER.
To assign color to a zone:
1 Touch MONITOR SETUP. 2 Touch SCREEN FORMAT. 3 Touch the desired color. 4 Touch the zone to be colored.
To enable/disable the clock:
1 Touch MONITOR SETUP. 2 Touch MONITOR
CONFIGURATION.
3a Select CLOCK ON to enable
the clock.
-OR-
3b Select CLOCK OFF to disable
the clock.
To activate the screen saver:
1 Touch MONITOR SETUP. 2 Touch MONITOR
CONFIGURATION.
3 Touch ACTIVATE SCREEN
SAVER.
To access the clock menu:
1 Touch MONITOR SETUP. 2 Touch MONITOR
CONFIGURATION.
3 Select CLOCK ON. 4 Touch the clock that appears in
the lower right of the screen.
5 Select DIGITAL,
STOPWATCH, or TIMER.
To enable Data Communications Watch (must have system administrator menu access):
1 Touch MONITOR SETUP. 2 Touch PRIVILEGED ACCESS. 3 Enter Biomed password. 4 Touch MORE. 5 Touch DATA COMM WATCH. 6 Select COMM WATCH ON. 7 Select ALARM ON to enable
DCW alarms.
8 Select ADMIT REQUIRED ON
to enable DCW for admitted patients only.
This guide is intended as an abbreviated reference only; it is not intended to replace the full operational
!
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
instructions documented in the operations manual that accompanied your product. Please read your operations manual prior to operating your system and refer to it for full instructions.
Central Monitors Troubleshooting Guide
Clinical Situation Possible Cause Solution
Cannot assign color to a zone
Monitor may not be set up to allow you to assign colors.
Contact your system administrator.
Cannot assign a parameter to a zone
Cannot access the clock menu
CANNOT deselect ALARM WATCH
Zone may not have been cleared of previous assigned waveforms.
Clock may have been left in STOPWATCH or TIMER mode.
The Ultraview Central Monitor is configured with Central Alarm Watch Manager to prevent de-selection of automatically alarm watched beds.
Select CLEAR ZONE, then touch the zone in which to display the new parameter. Repeat the initial SCREEN FORMAT steps.
Touch the clock/timer display, then touch PREVIOUS MENU to restore the clock.
Contact your system administrator.
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 5150 220th Ave SE · Issaquah WA 98029 · 800.522.702 5
Module Configuration Manager Reference Guide
To review or change settings:
Module Configurations with ECG
1 Touch ECG. 2 Touch SETUP. 3 Touch CONFIG. 4 Touch the hidden key 3 times. 5 Touch USER SETTINGS. 6a Select ECG.
-OR-
6b Select RESP.
-OR-
6c Select VARITREND.
-OR-
6d Select PRESSURE.
-OR-
6e Select SPO2.
-OR-
6f Select NIBP.
-OR-
6g Select TEMP. 7 Use CURSOR and
CURSOR to scroll through the parameter description list.
8 Use ↑ and to change the
settings.
9 Touch NEXT PAGE to continue
to next screen of parameters.
10 Touch STORE to save the new
settings.
11 Touch YES when the STORE
ALL CHANNEL DEFAULTS message is displayed.
To review or change settings:
Module Configurations without ECG
1 Touch TEMP. 2 Touch the hidden key 3 times. 3 Touch USER SETTINGS. 4a Select PRESSURE.
-OR-
4b Select SPO2.
-OR-
4c Select TEMP. 5 Use CURSOR and
CURSOR to scroll through the parameter description list.
6 Use ↑ and to change the
settings.
7 Touch NEXT PAGE to continue
to next screen of parameters.
8 Touch STORE to save the new
settings.
9 Touch YES when the STORE
ALL CHANNEL DEFAULTS message is displayed.
To transfer user-defined settings from the module into the monitor:
Module Configurations with ECG
1 Touch ECG. 2 Touch SETUP. 3 Touch CONFIG. 4 Touch the hidden key 3 times. 5 Touch TRANSFER
SETTINGS.
6 Select YES.
Module Configurations without ECG
1 Touch TEMP. 2 Refer to steps 4 through 6
above.
To retrieve user-defined settings from the monitor into another module:
Module Configurations with ECG
1 Touch ECG. 2 Touch SETUP. 3 Touch CONFIG. 4 Touch the hidden key 3 times. 5 Touch RETRIEVE SETTINGS. 6 Select YES.
Module Configurations without ECG
1 Touch TEMP. 2 Refer to steps 4 through 6
above.
This guide is intended as an abbreviated reference only; it is not intended to replace the full operational
!
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
instructions documented in the operations manual that accompanied your product. Please read your operations manual prior to operating your system and refer to it for full instructions.
ECG Reference Guide
To prepare the patient:
1 Wash the area where you plan
to place an electrode with soap and water.
2 If necessary, shave the area
where you plan to position the electrodes.
3 Clean the skin with alcohol. 4 Dry the skin thoroughly. 5 Abrade the skin.
To apply ECG electrodes:
1 Attach electrode to lead wire. 2 Apply electrode to patient skin. 3 Stress loop the wires as
necessary.
To specify the patient type:
1 Touch ECG. 2 Touch SETUP. 3 Touch CONFIG. 4 Select ADULT or INFANT.
To monitor paced patients:
1 Touch ECG. 2 Touch SETUP. 3 Select PACED YES.
To change the lead selection:
1 Touch ECG. 2 Touch LEAD CONTROL. 3 Touch 1ST LEAD or 2ND
LEAD.
4 Select lead.
To display six traces (requires a 12-lead cable):
1 Touch ECG. 2 Touch DISPLAY FORMAT. 3 Select SPLIT VIEW ON.
To display twelve traces (requires a 12-lead cable):
1 Touch ECG. 2 Touch DISPLAY FORMAT. 3 Select FULL VIEW ON.
To check the ECG amplitude:
1 Touch ECG. 2 Touch SIZE. 3 Touch 1 mV CAL.
To select a primary heart rate source:
1 Touch ECG. 2 Touch SETUP. 3 Touch RATE SOURCE. 4 Select the desired primary rate
source (ECG, ART, UA, or SPO2).
To enable alternate rate sources:
1 Touch ECG. 2 Touch SETUP. 3 Touch RATE SOURCE. 4 Set the desired alternate
source(s) to ON (ECG, ART, UA, and/or SPO2).
To print recordings of all leads:
1 Touch ECG. 2 Touch PRINT. 3 Touch ALL LEADS.
To restore default settings:
1 Touch ECG. 2 Touch SETUP. 3 Touch RESTORE SETTINGS. 4 Select YES.
This guide is intended as an abbreviated reference only; it is not intended to replace the full operational
!
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
instructions documented in the operations manual that accompanied your product. Please read your operations manual prior to operating your system and refer to it for full instructions.
ECG Troubleshooting Guide
Clinical Situation Possible Cause Solution
AC noise Display resolution set to extended
Baseline wanders Patient moving excessively. Use stress loops to secure lead wires
Low amplitude ECG Skin improperly prepared. Abrade skin and reapply electrodes.
Module won’t learn ECG signal too noisy for
No ECG trace Improper attachment of ECG
Excessive alarms Electrodes dry. Repeat skin preparation and apply
mode (0.05 to 150 Hz).
Electrodes dry. Repeat skin preparation and apply
Patient cable entwined with other
electrical devices.
Respiration artifact. Select another lead or reposition the
Electrodes dry. Repeat skin preparation and apply
Lead selected not showing QR S
complex with greatest amplitude.
Electrodes could be positioned too near bone or muscle mass.
initialization.
ECG voltage below threshold. ECG VOLTAGE TOO LOW message may be displayed.
connector cable to the module/or leads off.
Module is not seated into the monitor or remote housing.
Alarm limits set too close to patient's normal heart rate.
Excessive interference: patient cable or wires routed too close to other electrical devices.
Excessive patient movement or muscle tremor.
Select monitor mode (0.5–40 Hz).
new moist electrodes.
Separate patient cable from all other cables.
and cable to the patient.
electrodes.
new moist electrodes.
Check 12-lead ECG to determine better monitoring lead and reposition electrodes.
Select another lead or reposition electrodes.
Improve signal quality by repeating skin preparation and/or repositioning electrodes.
Perform the following steps as needed.
1. Check cables, lead wires and
electrodes, then relearn patient rhythm.
2. Change lead or reposition
electrodes.
Remove, then re-plug the connector into the module or reconnect the leads.
Remove, then reinsert the module or exchange the module.
new moist electrodes.
Readjust alarm limit.
Reroute cables and leads.
Reposition electrodes and use stress
loops to secure lead wires and cable to the patient.
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 5150 220th Ave SE · Issaquah WA 98029 · 800.522.702 5
Precordial Leads: V1 - V Limb Leads: I, II, III, Augmented Leads: aVR, aVL, aVF
RA
V
1
RL
V14th intercostal space, right sternal margin V
4th intercostal space, left sternal margin
2
V
Midway between V2 and V
3
V45th intercostal space, midclavicular line V
Same level as V4 at anterior axillary line
5
V
Same level as V4 at midaxillary line
6
6
V2V
3
V
4
LA
V
5
V
6
LL
4
Adult Lead Placement
Limb Leads: I, II, III
RA LA
LL
With some cables, the chest electrode must be repositioned on the patient’s
chest to view alternate precordial leads
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
Neonate Lead Placement
RA
LA
LL
Maximum Impedance Change:
Position RA and LA electrodes at the nipple level, midaxillary line. Position LL below the diaphragm, preferably below the umbilicus.
RA
Alternate Method:
Position RA and LA electrodes at the 2nd intercostal space, midclavicular line. Position LL below the diaphragm, preferably below the umbilicus.
LA
LL
This guide is intended as an abbreviated reference only; it is not intended to replace the full operational
!
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
instructions documented in the operations manual that accompanied your product. Please read your operations manual prior to operating your system.
Skin Preparation
Select a flat, nonmuscular area for electrode placement.
Shave or clip hair — even fine hair.
Wash skin with soap and water to
remove dirt, oil, surgical scrub solutions and dead skin.
Do not use soaps containing lotion.
Dry skin thoroughly.
Wipe skin with alcohol and let it dry
thoroughly.
Gently abrade the skin using the scratch pad on the back of the electrode or a dry towel.
If the patient is diaphoretic, apply tincture of benzoin or other “skin prep” solution where the electrode patch will be adhered, leaving a hole so the electrode gel will directly contact the skin.
Electrode Application
Verify electrode expiration date has not passed and gel is moist.
Attach lead wires to electrodes prior to applying to the patient.
Affix electrodes to the patient by pressing around the circumference of the patch.
Do not apply pressure directly over the electrode gel to avoid dispersement or air trapping.
Stress-loop lead wire to the chest if the patient is active or ambulatory.
Secure the ECG cable to the patient’s gown.
Keep the ECG cable off the patient’s chest and clear of other electrical devices or wires.
Reprep the skin and apply fresh, moist electrodes every 24 hours.
Left Ventricular Wall Affected
Anterior V
Leads Monitored
1-4
Coronary Artery Involved
Left Coronary Artery
Anteroseptal V
2-4
Left Anterior Descending
Inferior (Diaphragmatic)
Lateral I, aVL,
Posterior V
073-1001-17 Rev. E ©2004 Spacelabs Medical, Inc. · www.spacelabs.com · 51 50 220th Ave SE · Issaquah WA 98029 · 800.522.7025
II, III, aVF Right Coronary
Artery
Left Anterior Descending
V
, V
5
6
1-2
(Reciprocal Changes)
Circumflex
Right Coronary Artery Circumflex
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