Instructions to User
Contents
1. O 5min Figure 8 5 8 6 Language Press navigation key lt 1 D gt WorA in the system setup screen shown in the figure 8 1 to select language icon press MW ok key to change the language as shown in the figure 8 7 It has Chinese Traditional Chinese and English language modes Setup Language 3min a mA Y Smin English D 10min Traditional Chinese 15min 60min d gt AV Select 4 gt av Figure 8 6 Figure 8 7 Select 21 User Manual for Prince 180D Easy ECG Monitor 9 Help On default menu screen select Help then press MW ok key to enter into help info screen In the info screen you can browse the FAQ How to ECG info and software version information As shown in 9 1 22 Help A EE FAQ How to ECG info BM ox Back Figure 9 1 User Manual for Prince 180D Easy ECG Monitor 10 Technical Specifications 10 1 ECG Measurement 1 Amplification channels 3 2 Signal input 3 embedded metal electrodes or external lead wire cable with 3 4 lead wires 3 Lead selections and measuring methods Quick measurement by embedded electrodes measurement by external electrodes with 3 lead wires single channel for Lead I II or II or 4 lead wires 3 simultaneous channels for Lead I II and III 4 ECG bandwidth 0 5H2 4 gg 5 Internal noise level 30uVp p 6 Heart Rate measuring range 30bpm 240bpm 7 Heart Rate measu2. lt gt WorA Move the cursor to Enter key press the OK key m to accomplish the operation During entering the ID number you can move the cursor to the Del button to correct the numbers or letters input error When the entering number exceeds 30 characters the cursor would move to the Enter button to prompt the user that the entering is 19 User Manual for Prince 180D Easy ECG Monitor finished 8 System Setup y On the default menu screen select Setting with Navigation Key then press W ok key Volume Display button to enter into system setup screen as shown in Figure 8 1 O 1 Press the navigation key lt l D gt WorA Move the cursor upwards backwards 2 Press W ok key Conform to option and enter into the corresponding parameter setting 3 Press the navigation key lt 1 D gt WorA Adjust parameter values 4 Press ok key Conform to option if you do not want to adjust parameter values or Auto off Energy Language the setting is accomplished please enter the Back button 8 1 Sound Setting On system setting screen select Volume to enter into the sound setting screen as shown in figure 8 2 Beep Setting the beeper and voice Open Close Move the slide icon to left means the beeper is disabled Move the slide icon to right means the beep is enabled z E igure 8 Speech Adjust the volume with the navigation key Move the slide icon to left mea
3. not including batteries 10 7 Additional Declaration 1 Electro surgical interference suppression Without the function of Electro surgical interference suppression 2 Defibrillator discharge protection Without protection against defibrillator discharge 3 Respiration or lead off detector and active noise suppressor The auxiliary leakage current is less than 0 1uA 4 Per minutes HR average calculation the latest 8 times R R intervals falling on the range of heartbeat average 5 Display updates speed 1 time second 6 Battery life Four AA alkaline batteries can be used for more than 2 hours measurement or Four AA NiMH rechargeable 24 User Manual for Prince 180D Easy ECG Monitor batteries Capability at least 2200mAH can be used for more than 8 hours Maximal input DC offset voltage 300mV 11 Maintenance 1 Please change the batteries when appears low voltage icon 2 It is recommended to wipe the metal electrode with medical alcohol when the measuring signal is too weak 3 Please wipe the surface of the unit with clean cloth or let it dry in air 4 Please take out the batteries if the unit will not be used for a long time 5 Storage and Transportation Ambient temperature 20 to 60 C Relative humidity 10 95 Atmospheric pressure 50 107 4KPa 6 In case any indication of damage about the function of the monitor it is not allowed to apply it to the patient for any monitoring Please contact the local dealer or
4. beat occurs frequently continuously or in multi focus it will indicate functional cardiovascular disease Please see a doctor as soon as possible Suggestion The character of premature beat needs professional to confirm so please save the temporal figure in time When seeing a doctor you can recall it to doctor to judge the character of premature Premature atrial Contraction Premature Nodal Contraction Premature Ventricular Contraction or multi focus premature beat and help cure 34 User Manual for Prince 180D Easy ECG Monitor Testee s Symptom Normal heart beat is followed by a premature beat 4 Bigeminy It is a type of PVC in which a normal beat is coupled with a premature beat Because of its trigger cardiac abnormal pacemaker in different position it divided into arial ventricular and node In the clinic medically the ventricular is the most common aria is more common but the node is rarely found Indication PVC occurs frequently Suggestion Please see the doctor 5 Trigeminy It is a type of PVC in which two normal beats are coupled with a premature beat Because of its trigger cardiac abnormal pacemaker in different position Figure 6 Trigeminy it divided into Arial ventricular and node If ventricular trigeminy occurs 3 times continuously please see a doctor as soon as possible Indication PVC occurs frequently Suggestion Please see the doctor 6 Short run of tachycardia PVC Prema
5. device will stop measuring automatically if the measuring time is over 10 User Manual for Prince 180D Easy ECG Monitor 2 Press the MW ok key or H return key to stop measuring and return to the default menu screen directly the measuring data would be saved Note If the storage is full the device will stop to measure and it prompts Fail to save this record because of full data memory at this moment you should delete some records to make sure enough storage space then measuring again 2 If the battery is low the battery icon fal flashes red the device stop to measure and it prompts low battery voltage gt measuring is interrupted return key to exit at this time connect to external power can continue to measure or exchanging a new battery to measure again 3 During measuring mode it will have regular pulse beep sound 4 During the measurement by external lead wires if HR alarm option is set to On and the HR value is out of the alarm limits the alarm sounds will occur with 3 short beeps and the HR value is reversely displayed 5 During the quick measurement if the device does not check well contact with the electrodes or the signal is poor it will not be calculate the average HR value the measuring result is poor signal measure again this data will not be saved 6 During the measurement if the placement of electrodes loose contact with th
6. enter into the measuring screen as shown in Figure 4 8 The measuring time lasts for about 30 seconds 4 2 3 Long term Measurement by External Lead Wires There are 2 options limb lead and chest lead for long term measurement by external electrodes The detail information about the electrodes placement is described in section l Figure 4 8 quick measurement 4 2 3 1 Chest lead measurement 00 00 59 X1 GM HR 65 mm Please refer to the section 4 1 Chest lead measurement to connect the lead wires enter Ey option setup menu to select chest lead for signal input return to default menu screen move i the cursor to the G measure icon press the W ok key to enter into external electrodes Li cr ra A measurement 3 lead wires preparing screen during 10 seconds preparation stage short time press A W key to choose V1 V6 circulately After 10 seconds it will enter into the chest lead measuring screen as shown in Figure 4 9 In this measuring mode it can measure Figure 4 9measuring chest lead and display the ECG signal of lead I lead II lead III or chest lead V4 respectively 0 00 01 X2MW HR 65 according to electrodes placement 4 2 3 2 Limb lead measurement dil Please refer to the section 4 1 Chest lead measurement to connect the lead wires enter ce option setup menu to select limb lead for signal input return to default men
7. User Manual for Prince 180D Easy ECG Monitor Instructions to User Dear Users Thank you very much for purchasing our product Please read the manual very carefully before using this device These instructions describe the operating procedures to be followed strictly Failure to follow these instructions may cause measuring abnormality device damage or personal injury The Manual is published in English and Shenzhen Creative Industry Co Ltd Creative has the ultimate right to explain the Manual No part of this manual may be photocopied reproduced or translated into another language without the prior written consent Creative reserves the right to improve and amend it at any time without prior notice Version of This Manual Verl 2 All rights reserved 3502 3430014 5 6 du 8 9 User Manual for Prince 180D Easy ECG Monitor WARNING Check the device to make sure that there is no visible damage that may affect user s safety and measurement performance Stop using the unit when there is obvious damage Stop using the ECG cable if it is damaged please change a new one Do NOT make diagnosis oneself by the measurement and measurement results always consult the doctor if abnormal information is presented frequently For patients with pacemaker the heart rate measurement may continue to count the pacemaker rate during occurrences of cardiac arrest or some arrhythmias since this device has no capability of pa
8. al short beat interval with baseline wander Suspected occasional irregular beat interval with baseline wander A little fast beat and suspected Premature beat A little slow beat and suspected Premature beat A little slow beat and suspected Bigeminy Trigeminy Signal saturation or lead wire off during measuring but the average HR still be calculated Fast beat and interval with waveform baseline wander A little slow beat and interval with waveform baseline wander Premature beat with waveform baseline wander Bigeminy Trigeminy with baseline wander 31 User Manual for Prince 180D Easy ECG Monitor Small waveform or baseline wander is larger Poor Signal measure again average HR can not be measured 32 User Manual for Prince 180D Easy ECG Monitor Appendix3 General Knowledge of ECG I Normal sinus rhythm In sinus conditions SA node paces the heart with the regularly rate and the normal rhythm The heart rate 1s in the range of 60 to 100 times per minute and the rhythm is regular P wave is normal and each one is followed by a QRS wave P R interval 0 12 0 20s QRS wave 0 06 0 10s No ectopic ECG activity Symptom Sinus rhythm heart rate 60 100bpm Q Indication Normal P wave Atrium excitement QRS wave Ventricles excitement T wave the reversion of Ventricles excitement II Several abnormal ECG waveforms Figure 1 Normal ECG Waveform 1 Tachycardia The heartbeat becomes f
9. aster Tachycardia is determined by the rhythm of the heart the average rhythm beats faster than 100 times a minute is considered as Tachycardia The result description Suspected fast beat in this device may be doubted as Tachycardia Symptom heart rate gt 100bpm Indication It may occur with the normal people who have these physiology conditions rage fatigue smoking drinking too much wine excessive coffee and strong tea etc Pathology anemia Hyperthyroidism blood hypoxia myocarditis hypokalemia fever influence of some medication such as atropine epinephrine etc Suggestion If it belongs to pathology condition please go to hospital 2 Bradycardia The heartbeat becomes more slowly It is determined by the rhythm Figure 2 Tachycardia Waveform Figure 3 Bradycardia Waveform of the heart the average rhythm is less than 60 beats per minute is considered as Bradycardia The result description Suspected slow beat in this device may be doubted as Bradycardia 33 User Manual for Prince 180D Easy ECG Monitor Symptom heart rate lt 60bpm Indication It occurs when healthy people fall asleep and it can be found in athlete or those who love doing sports frequently old people or vagus excitement person Pathology Sick sinus syndrome Ischemic heart disease Cardiomyopathy intracranial hypertension increased hypokalemia Low temperature period of convalescence of acute infectious disease or after
10. ca Redev ale Ea 16 O erro 17 O A A O ER ONO 18 6A Upload A A o E e E A 18 7 Measurement Option Setting score aca aa A e AR eee dca ida AA ADN EE ARANA A AAN AAA AAA A ci 18 AS ao l D SE E E S E E E E EEE 19 SOSTENER 20 A e ATA 20 02 Brightness Settings eane a a a n 20 8 3 me Date A A n a a a a aa 21 S AAU POWER QIP iaee e S E AE ES ecddesan E a OE E E a 21 Go Power SAVING a SA AA AOS mia 21 0 Lan ADE dan 21 O O IO 22 10 Technical Specifications A 23 TOA ECG Measurements sisan e E A a ld ess at A ee aie dads ta a ana ic dad lt nai aaa ah ued 23 10 2 POWer SUP Ply ei a a ate a a a a a iia aa eie etd 25 10 3 TAS SIMIC AION eda RO A E tcc atte 24 IOA DISplay est O RI TS 24 t05 Data A cw tanh AEAEE RA EEE EA seatbelts ah Alas ER aR rab deduced 24 10 6 Overall Dimension and Weights Gosche its Cdl YL a are ito od hal tiie ae estat lad hal et vale inet 24 User Manual for Prince 180D Easy ECG Monitor TO 7Addito nal Dec ara ON A A A ESA De 24 TD Maite AAA A E E E E 25 AS AAA II SevecusscsctelsacisacsesussuGls Sivecadecauseisadisacsesussavedacevacaducsutessadscacssiuesss 26 TS Key OS YMDO S aii E ARA ANAL EA AAA AAA AAA AA Ad 27 Appendix 1 Additional Measuring Method ici A A A A di 28 Appendix2 Measurement Result DeSCriptiOni c ccccccsiscscscscccssssceeessssososscedecsssscousnscevdsessccuasssseecesseccesessessocddesdsessocussseccesessdoucnsseocsasse 30 Appendix3 General Knowledge of ECG davis cicpsssccseccssccstcovenczdsseouasoncced
11. cemaker pulse inhibition Do not rely entirely upon the heart rate reading at this situation It is NOT designed or intended for medical diagnosis Itis NOT designed or intended for therapy purpose Do NOT use the device in the bathroom or moist circumstance Do NOT operate in the environment where strong electro magnetic interference exists Necessary service must be performed by qualified service engineers ONLY 10 Clinical ECG examination is suggested for normal examination of your heart condition 11 12 13 14 15 16 Connect Disconnect data cable to the monitor gently and carefully do NOT wring or shake the data cable plug with force to insert into or unplug from data interface port or the data interface port may be damaged When the ECG amplifier is overload or saturation due to lead off or poor contacts between electrode and the skin the monitor will prompt Contact to remind the operator Do not touch the metal electrodes or place the electrodes of lead wire on patient for ECG measurement while the USB cable is connected to PC electrical hazard will be caused by the leakage current ECG electrodes lead wires and cable are not allowed to contact any other conductive parts It is strongly recommended to use Ag AgCl Silver Chloride electrode to make sure the ECG signal quality is good Dispose of the expired device and its accessories according to applicable local regulations User Manua
12. d Figure 3 1 deletion 2011 12 15 18 18 18 option M t related setup including signal input selecti i g p easurement related setup including signal input selection measuring G A r time bandwidth HR alarm limit setting and user ID ID number Measure Review Memory Sd Setup System setup including date time language sound and display etc ae m 5 A A Option Setup Help wal Help Provide on line information about measuring methods and general knowledge of ECG Figure 3 2 User Manual for Prince 180D Easy ECG Monitor 4 ECG Measurements There are 2 measuring modes for the ECG measurement which includes quick measurement by built in electrodes and long term measurement by external lead wires Quick measurement press Oj measure key to enter into the quick measurement directly 1t can display single channel ECG signal measured by built in electrodes the signal can be lead I lead II or chest lead according to the electrode placement This measurement takes 30 seconds Long term measurement after selecting the signal input option in the measuring option menu move the cursor to the mm measure icon then press the W ok key to start the long term measurement For long term measurement the external lead wires will be used instead of built in electrodes there are two options for signal input Limb lead measurement it measures 3 channels ECG signal for lead I lead II and lead III simultaneously and displays them Chest lead m
13. e different chest lead At the same time you should set the lead information V1 V6 that you want on the option setup menu Figure 4 6 the location of chest lead measurement 2 Either adhesive electrode or sucking bulb electrode optional can be used to Chest Lead Measurement Please refer to appendix I for more details about measuring methods 4 2 Measuring Procedure 4 2 1 Preparing Phase The quick measurement is as following for details At default menu screen press O measure key to enter into the quick measuring screen directly as shown in figure 4 7 in addition at the beginning of measurement including quick and long term measurement the preparing phase shows on the screen with a heart beat icon and counting down seconds the beeper will sound with the counting down at the interval of one second During this period the device will check the signal quality and auto scale the display Please adjust your holding position if the detected waveform is not smooth or poor signal and it may Figure 4 7 quick measurement 8 User Manual for Prince 180D Easy ECG Monitor prompt Check well connection with lead wires 4 2 2 Quick Measurement by Built in Electrodes Please refer to the section 4 1 Hand measurement to make the electrodes well connection 00 00 01 a a with skin At default menu screen press measure key can enter into quick measurement preparing screen directly after 10 seconds it will
14. e electrodes it will prompt poor signal If it is 99 external lead wire measurement the HR value shows _ User Manual for Prince 180D Easy ECG Monitor 4 3 Data Analysis and Measurement Result Description When the measuring is finished the device will analyze the measurement result as shown in figure 4 11 4 12 4 13 the measurement result description refers to the index 2 Review Measure result 10 Review Measure result occasional short beat interval Miss beat No irregular rhythm found K No irregular rhythm found irregular beat interval W Save and Back B Delete Figure4 11 no irregularity found Figure 4 12 no irregularity found in Ext Figure 4 13 irregularity found in Ext Quick measurement 1 In the external lead wire measuring mode the current measurement result will be saved acquiescently as shown in figure 4 12 4 13 Press the m ok key or T back to return the default menu screen after reviewing the result 2 After the quick measurement by built in electrodes the device will be saved the result ioneina automatically and it prompts The result is saved successfully as shown in figure 4 14 Press the W ok key or L back to return the default menu screen If without any key operation in 6 seconds press CD back key return to default menu screen directly and the current WB Save and Back measurement result won t be sa
15. e it to doctor as a reference 36 User Manual for Prince 180D Easy ECG Monitor Quality Certificate Name __ Easy ECG Monitor _ Model Prince 180D Date oa fa The product has bean Insp ct d in accordance L MSpPEL with the standards specified in User s Manual Shenzhen Creative Industry Co Ltd 37
16. easurement it measures single channel ECG signal with different chest lead according to the electrode placement It is suitable for long term measurement 4 1 Methods of ECG Measurement It is recommended to clean your skin with SOAP and water to keep it moist without oily 1 Measurement by built in electrodes Easy and quick ECG measurement by built in electrodes can be done by putting electrodes on hand leg and chest respectively 1 Hand measurement It is convenient to take ECG measurement by hands or palms The ECG waveform detected Figure 4 1 palm placement by this method is equivalent to Lead I of regular ECG examination A Palm placement Hold the device with right hand make sure that the fingers touch the metal electrode II and III reliably Press the electrode I on the left palm as shown in figure 4 1 User Manual for Prince 180D Easy ECG Monitor B Wrist placement Hold the device with right hand make sure that the fingers touch the metal electrode II and III reliably Press the electrode I below the left wrist about 1 inch as shown in figure 4 2 When the ECG signal at palm placement is not good try to measure with wrist placement Note Keep at ease and make sure the skin contact well with the electrodes during ECG measurement Please place the device on correct position do not shake 1t during the measurement Dirty skin may cause poor signal quality so clean your skin before measuring 2 Leg Measurement Figu
17. he HR record in length of 20 minutes in one page press lt gt to review next page as shown in figure 5 10 if there is any irregularity found the result is as shown in the figure 5 11 it will display the statistical result of irregularity 15 User Manual for Prince 180D Easy ECG Monitor Review Measure result TO Review Measure result i occasional short beat interval Miss beat No irregular rhythm found irregular beat interval Figure 5 10 No irregularity found Ext Figure5 11 irregularity found in Ext 6 Data Management Select Memory icon on the default menu then press MW OK button to enter into data management screen as shown in Figure 6 1 6 1 Storage Status On data management screen select Statistic then press MW ok key to enter into the Storage status screen as shown in Figure 6 2 Memory Statistic w0 Records 158 B Available 34 4 B Occupied 66 4 statistic Delete Delete all Figure 6 1 Figure 6 2 16 User Manual for Prince 180D Easy ECG Monitor 6 2 Delete ID 1 On data management screen select Delete with Navigation Key then press MW ok key to enter into the ID list screen as shown in figure 6 3 2 Press the Navigation Key lt D gt Wor A to select the ID when pressing MW ok key there are two different prompts for two different situations lt gt Situation 1 this ID does not contain any da
18. icular line on the left anterior axillary line at the horizontal level of V4 Figure 4 F electrode location of chest lead on the left midaxillary line at the horizontal level of V4 29 User Manual for Prince 180D Easy ECG Monitor Appendix2 Measurement Result Description No ECG Measurement Result REIS Notes bpm time minute Descriptions j larity fi 1 No irregularity found 60 bpm lt HR lt 100 bpm No irregular HR found Suspected a little fast beat 100 bpm lt HR lt 110 bpm Suspected fast beat HR gt 110 bpm Suspected missing Beat No heart beat is detected within the period of twice of average R R interval Suspected arrest No heartbeat is detected within 4 seconds Suspected short run of fast beat More than 3 consecutive premature beats are found 7 Suspected a little slow beat 50 bpm lt HR lt 60 bpm Suspected slow beat HR lt 50 bpm Suspected occasional short beat Premature beat interval 10 Suspected occasional irregular beat Bigeminy and Trigeminy interval 30 User Manual for Prince 180D Easy ECG Monitor Suspected a little fast and interval with occasional short beat interval Suspected a little slow and interval with occasional short beat interval Suspected a little slow beat and interval with occasional irregular beat Waveform baseline wander Suspected fast beat with baseline wander Suspected slow beat with baseline wander Suspected occasion
19. ime it prompts that Delete all You can delete all data records stored in the device according to the prompt Connecting with PC 6 4 Upload Data tL D When measuring is finished on data management screen select Upload data to enter into upload data screen as shown in figure 6 5 On this screen you can transmit data to PC for data management and interpretation through Prince 180D data cable Please Figure 6 5 refer to the ECG Viewer Manager for detailed operation 7 Measurement Option Setting D On the default menu select the Option then press the MW ok key to enter into the Mode Limb bead optional parameters setting for measurement as shown in figure 7 1 Period continuc HE Hi La On screen display HE alarm Un HE Lo E User ID Displaying the established ID No or New ID At most 100 ID can be created E When creating a new ID at most 30 characters can be entered the default ID is 00000 Figure 7 1 the number of 00000 00004 is reserved already created at factory and can not be deleted Mode it is valid only for external lead wires Limb lead and Chest lead are optional The Limb lead is external electrodes measurement with 4 lead wires the Chest lead is the external electrodes measurement with 3 lead wires it is intended for 18 User Manual for Prince 180D Easy ECG Monitor professional use ie by doctor The limb lead or q
20. ion of using disposable ECG electrodes Tearing off the protective film to place it on the skin and then connecting the electrodes with lead wires It is recommended to put the electrodes on chest for longtime monitoring please refer appendix for more details Figure 4 5 the location of electrodes on limbs 2 Electrodes placement for Chest Lead Measurement On default menu screen enter Ei option setup menu to select chest lead for signal input ECG signal detected by this method is single channel measurement which is equivalent to the waveform of regular chest lead It is intended for professional User Manual for Prince 180D Easy ECG Monitor use 1e by doctor The location of the electrodes is shown in figure 4 6 R red place on interior of right arm between the wrist and the elbow L yellow place on interior of the left arm between the wrist and the elbow F green on the 5th intercostal space at the left anterior axillary line N black unused Operation Connecting the lead wires after placing the electrodes well and then insert the connector onto the device Power on the device to select the chest lead for signal input and to set the measuring time on option setup menu then press W ok key to start the measurement Note 1 The Chest Lead Measurement can obtain the ECG signal of Chest Lead V1 V6 Please refer to appendix I to select the location of F green electrode when you want to get th
21. ith 4 lead wires lI Indicates the Chest lead measurement by external electrodes With 3 lead wires Indicates the quick measurement by built in electrodes Note the ID list only display the ID which contains data 13 User Manual for Prince 180D Easy ECG Monitor The chest lead review screen is shown in figure5 7 the limb lead review screen is shown in figure 5 8 In the figure 5 7 5 8 5 9 screen press the MW ok key can review the result description for this ID record as shown in figure 5 10 5 11 In the measure result screen press the MW ok key can delete this record Lao 00 39 54 X2 HR 65 aH M q YA j j a pe nl am tn i ii i v a E an O E e de its da Figure 5 7 The Chest lead Figure 5 8 no irregular found in Limb lead Figure 5 9 irregular found in Limb lead Note 1 When in limb lead review screen press A W key can switch the three and single signal channel on screen display and if there is any irregular found in the review screen it will display the measuring HR value instantaneously and there is an inverted triangle shown on the irregular segment as shown in figure 5 9 2 For the external lead wire measurement record description if there is no irregular found it will display a smile face and prompts No irregularity found HR trend graph which shown below displays t
22. l for Prince 180D Easy ECG Monitor Table of contents E TO 1 A A LI 1 2 Namie and Modena ta a o 2 Me WIC AIS A IA as 2 l 4 CAMINO A cds A A a a dashes ass widas ca sagas cg dad iS di 2 Std cra o o E RE 3 LO Operan se My ome ld ad id dd it oleae 3 Z ISA COI i RE E E N AES E EES OEEO E E 3 ZA O 3 3 Default men SOC OS A aiaosa siais e ideas s iederien oss streseed enaa n tosis 4 A a costes E A ee a A A E E AE A E E E E he tau ctatas 4 A ECG MEASUPCMEMIS jacieccc secs scccdisdascscssesedddiacedsssecuucdddsedssedsancddseucedevesscccedusacedovwesceuvedacouatassceusdddcesscedsosnadedcducessssavcccevavecscouvacatsdsedsece 5 Al oMethods ot ECG Meana AGAR 5 4 De Meas nno Procedure sse Np cea sae et EE A 8 ACD APTS ANG St dde EE 8 4 2 2 Quick Measurement by Built in Electrodes aaa 9 4 2 3 Long term Measurement by External Lead WIres ccccccsssssscecsssssnscecesesssensececsessnsececsesscessecseseseeseceseesansecessesscessecesssaes 9 4 3 Data Analysis and Measurement Result Description ccoooooconcnononocnnonnnononnncnnnnnononnnncnnnonnnnnnnnnnnn nono nnnnnnn nn nnnnnnnn nn nnnnnnnannnnnnnnannnss 12 5 Waveform Review sacs civsssccsievesinccsssccesiss seeds aeeivsessudedssoadscevessedsduusdedccevsisecdstaudccudecceudvessdebassstuccessvucasdssoutadddssadessseuscdecdstecddcsusaccsesuseds 13 REO cies 13 A O turaeuaeet 14 User Manual for Prince 180D Easy ECG Monitor e o ARPA O OO E O O 16 SU AA A EE EEA EE A E NE E told vas E va
23. ld your breath for a moment to get stable and clean signal 2 Measurement by external lead wires The ECG signal which is detected by external lead wires is more stable than that by hand measurement ECG measurement by external lead wires can be done by placing the electrodes on limbs or chest respectively 1 Electrodes placement on limbs On default menu screen enter cw option setup menu to select limb lead for signal input By this way the 3 channels of limb lead I II and III can be measured and displayed simultaneously and continuously Either adhesive electrodes or limb clip type electrodes optional can be used to do the measurement The location of the electrodes is shown in figure 4 5 R red place on interior of right arm between the wrist and the elbow L yellow place on interior of the left arm between the wrist and the elbow F green place on interior of the left leg between the knee and the ankle N black place on interior of the right leg between the knee and the ankle Operation Connecting the lead wires after placing the electrodes well and then insert the connector onto the device Power on the device to select the limb lead for signal input and set the measuring time on option setup menu then press W ok key to start the measurement Note keep at ease when seating or lying down Clean the skin by using the wet cloth when selecting limb clip type electrodes optional to measure Direct
24. ment applies to long term measurement for ECG signal of limb lead I II or III The electrodes are adhesive ECG electrodes Figure limb lead paste on chest The location of the electrodes as shown in figure 1 R below the clavicle and close to right shoulder L below the clavicle and close to left shoulder N on the right lower abdomen F on the left lower abdomen 2 Chest lead measurement paste on chest R red below the clavicle and close to left shoulder BD chest lead paste och L yellow below the clavicle and close to right shoulder F green on chest please refer to the figure 4 location of V1 V6 is optional N black unused 3 Chest lead measurement limb clip type electrodes sucking bulb electrode R red place on interior of left arm between wrist and elbow L yellow place on interior of the right arm between wrist and elbow F sucking bulb electrode green on chest please refer to the figure 4 1 location of V1 V6 is optional N black unused Figure 3 chest lead Climb clip type electrodes sucking bulb electrode 28 User Manual for Prince 180D Easy ECG Monitor 4 F green electrode location of Chest lead measurement The location of ECG electrodes electrode location for V1 V6 on the 4 intercostal space at right border of sternum on the 4 intercostal space at left border of sternum midway between the V2 and V4 on the 5 intercostal space at the left midclav
25. ns the Setup Display speech volume is minimal Move the slide icon to right means the speech volume is maximal The factory default is off 8 2 Brightness Setting Brightness Brightness setting screen is shown in figure8 3 Adjust brightness with Navigation Key Figure 8 3 20 User Manual for Prince 180D Easy ECG Monitor 8 3 Time Date Setting Date and time setting screen is shown as figure 8 4 1 press navigation key lt 1 gt WorA and m ok key to select the date and time you need 2 press navigation key W A to adjust the time value 3 Press W ok key confirm the date and time setting value If you do not want to adjust the parameter value or the setting is finished please press the gt back button 8 4 Auto Power Off Date Time Figure 8 4 The timeout setting for auto power off is shown_in the figure 8 5 Press navigation key lt gt Wor to set the timeout time Press the T back button when setting is done 8 5 Power Saving 2908 The power saving setting screen is shown in figure 8 6 Press navigation key lt D gt WorA to set the timeout time for power saving Press the Cll back button when setting is done The sae display screen will be dark when the device works in power saving mode 15min Exit from power saving mode lt gt av gt Press any key to exit from power saving mode Power saving mode terminates automatically when lead off
26. onsconasasesensaseasacssssonsasaceducsseebadasevoudsceesanesdesaevavcosanesdonwaandscanass 33 User Manual for Prince 180D Easy ECG Monitor 1 Overview 1 1 Appearance 1 Power Long time press about 2 seconds makes the device power on or off short time press turns on off the backlight Back back to upper level of menu Metal Electrode I Measurement shortcut button for built in electrodes measuring press this button to start measuring 5 HB OK confirm selection or modification 6 Navigation key lt lLeft move the cursor forwards to the left or adjust parameter values Right move the cursor backwards to the right or adjust parameter values AUp move the cursor upward forward or adjust parameter values VW Down move the cursor downwards backward or adjust parameter values Display screen display ECG waveforms and data 8 I O cover 9 Lanyard hole 10 11 12 13 14 15 USB interface USB data socket DC input socket AVS Lead wire socket for connecting to lead wire Speaker Metal electrode II and III Battery cover nameplate Figure1 1 User Manual for Prince 180D Easy ECG Monitor 1 2 Name and Model Name Easy ECG Monitor Model Prince 180D 1 3 Structure Prince 180D Easy ECG Monitor mainly consists of circuit boards display screen and metal electrodes lead wires 1 4 Features Small in size light in weight and easy to carry One key mea
27. our company in case of any problems We are to offer you the best solution for your satisfaction 7 The maintenance is to extend the life of the electrodes on the surface of the electrodes you should clean it by wet cloth or medical alcohol if necessary It is recommended to protect the electrodes from ultraviolet radiation do not wipe the electrodes with hard and rough things Notes Keep it away from corrosive substances explosive substances high low temperature and moisture If the device gets wet or has water steam please stop operating it When it is taken from cold environment to warm and humid environment please do not use it immediately 1 2 3 4 DO NOT operate the button on front panel with sharp materials 5 DO NOT immerge the device into liquid Do NOT spray any liquid on it directly 6 The life of this unit is 5 years In order to ensure its long service life please pay attention to the use of maintenance 25 User Manual for Prince 180D Easy ECG Monitor 12 Troubleshooting Trouble The device can not turn on Possible Reason 1 The batteries are drained or almost drained 1 Change batteries 2 The batteries are not inserted 2 Reinstall batteries properly 3 Please contact the local service center 3 The device is broken out lt gt Trouble The device is failure in measuring heart rate Possible Reason 1 Electrode and body does not 1 Place the electrode correctly contac
28. rature 5 C 40 C Operating humidity 30 80 Atmospheric pressure 70 kPa 106kPa 2 Installation Figure 2 1 2 1 Batteries Installation 1 Open the battery cover by a screwdriver or a coin 2 Insert four AA size batteries directly as shown in figure 2 1 3 Close the batter cover and fasten it A Do NOT insert batteries with their polarities reversed Dispose of the used batteries according to applicable local regulations Note Protecting films are attached to the electrodes of device so please remove the protecting films before measurement User Manual for Prince 180D Easy ECG Monitor 3 Default Menu Screen 3 1 Menu Screen Long time press the Y Power key lasting for 2 seconds until a beep sound is heard to indicate the unit is turned on then the booting screen will appear as shown in the figure 3 1 after that the device enters into the default menu screen as shown in figure 3 2 There are 6 entries press navigation key to shift focus on them and press MW ok key to go into the selected entry Each entry has an icon and it is defined as following Q Measure Detect ECG signal mean while display waveform HR value and 0 Ld analyze the ECG waveform to prompt necessary information Review Recall and view the ECG records stored in this device including waveform data and measurement result Version 1 10 A ECG records management including storage status check and recor
29. re 4 2 wrist placement The ECG waveform detected by Leg Measurement is equivalent to Lead II of regular ECG examination Keep at ease when seating down and then lift your left leg on a bench figure 4 3 A or on the right knee figure 4 3B Hold the device with the right hand when measuring and make sure that the fingers touch the metal electrode II and II reliably place the electrode I on the left leg above the ankle as shown in figure 4 3A 4 3B Note Keep at ease and make sure the skin is clean and moist before measuring Do not make your hands and feet too stiff and trembling when measuring Pu Figure 4 3A Leg measurement Figure 4 3B Leg measurement Figure 4 4 Chest measurement 3 Chest Measurement It is recommended to take ECG measurement on chest since the signal detected by this way is stronger and with less interference The ECG waveform detected by Chest Measurement is similar to the Lead V4 or V5 of regular ECG examination Hold the device with the right hand make sure that the fingers touch the metal electrode II and III reliably as shown in figure 4 4 place User Manual for Prince 180D Easy ECG Monitor the electrode I on the left chest align with the midclavicular line V4 position or the anterior axillary line V5 position and on the level of the 5 intercostal space Note keep at ease and clean the electrode I by using the wet cloth before measuring If the waveform baseline wanders or noisy waveform appears ho
30. ring accuracy 2bpm or 2 whichever 1s greater 8 Display scale 5 0mm mV 10 9 Common mode rejection ratio CMRR gt 60dB 10 Waveform sweeping speed 20mm s 10 11 Input loop current S 0 1 pA 12 Input impedance gt 5 MQ single ended 13 Max input DC offset voltage 300mV 10 2 Power Supply Battery 4xAA alkaline batteries Cor 4xAA NiMH rechargeable batteries External DC input 5 0V 1 0A provided AC adapter input voltage a c 100 240V 50 60Hz Auto power off timeout setting from 90s to 15 minutes Threshold of low battery voltage indication 4 4V 0 2V 23 User Manual for Prince 180D Easy ECG Monitor 10 3 Classification 1 The type of protection against electric shock Internally powered equipment 2 The degree of protection against electric shock Type BF applied part 3 The degree of protection against harmful ingress of liquid Ordinary equipment without protection against ingress of liquid 4 Electro magnetic Compatibility Group I Class B 10 4 Display 1 LCD type Color LCD 2 Display area 70 08mm x 52 56mm 10 5 Data Memory 1 High capacity of built in memory up to 30 hours ECG waveform storage for single channel continuous measurement up to 16 hours ECG data records storage for short session measurement 2 Stored data records can be uploaded to the computer by data cable provided by the manufacturer 10 6 Overall Dimension and Weight Dimension L 130mm X W 98mm X H 36 mm Weight 400g
31. surement easy to operate ECG waveform and interpretation of results are displayed clearly on color dot matrix LCD screen 1 2 3 4 UP to 19 types of measurement results can be presented 5 High capacity of built in memory up to 30 hours ECG waveform storage for single channel continuous measurement 6 Quick measurement by built in metal electrodes external lead wires including limb lead and chest lead for long term measurements are optional 7 Voice prompt is available 8 With data management function data records can be reviewed and deleted locally uploaded to PC as well 9 Auto power off time can be set and with power saving feature 10 Four AA NiMH rechargeable batteries Capability at least 2200mAH can be used for more than 8 hours User Manual for Prince 180D Easy ECG Monitor 1 5 Intended Use This Easy ECG Monitor is intended for measuring and recording the ECG waveform and average heart rate of adult patient It is applicable for use in clinics and homes and convenient to operate by the patients themselves This device is not an ECG monitor used in clinical institution or hospital but is used for spot check purpose ONLY It can not be used to substitute the normal ECG examination or real time monitoring The measurement results are useful reference for doctor but do not make direct diagnostic or analytical decision based on the information provided by this device 1 6 Operating Environment Operating tempe
32. t well 2 When measuring please keep quiet and 2 Moved when measuring avoid moving 3 Electromagnetic interference 3 Keep away from interference source 4 Weak signal 4 Change a place chest to measure lt gt Trouble ECG waveform excursion strong irrelevant waveform or the ECG waveform displays on the screen but the prompt info is Contact Possible Reason 1 Clean skin with soap and water and eliminate 1 Skin is dry or oily gt Blectode and bod dbeedidk skin crumb and grease to make the skin wet and contact tightl greaseless a 2 Press the electrode with a certain force Pace 3 Keep hand relax while measuring 26 User Manual for Prince 180D Easy ECG Monitor 13 Key of Symbols Symbol Symbol ani Battery indicator Heart Rate Unit beats per minutes Power button shortcut button for ECG QO measuring Confirmation Back button button Navigation key USB Port y ES OS DC power supply por 27 User Manual for Prince 180D Easy ECG Monitor Appendix 1 Additional Measuring Method y Direction of using limb clip type electrodes clean the electrodes by using wet cloth plug the lead wires into socket or affix the lead wires to clip and then keep the clip in measuring position Direction of using sucking bulb electrode Squeeze the rubber bulb with your hand to make the metal dish place on the measuring position 1 Limb lead measurement paste on chest O O This measure
33. ta record 1 The ID number of 00000 00004 is reserved when pressing W ok key the device prompts This ID can t be removed 2 If it is a new ID press the MW ok key to delete the selected the record according to the prompt Are you sure to delete this ID lt gt Situation 2 there are data records under this ID Pressing MW ok key to enter into the record list screen as shown in figure 6 4 The record list screen display the date and time of all records for this ID Press the Navigation Key lt key to perform select this ID press it again to cancel selection the selected record will be labeled Y Press the Navigation Key gt key to select all the data records under this ID press it again to cancel selection the selected record will be labeled Y Press W ok key delete the selected record according to the prompt Note the ID list display the all ID numbers even if there is no record under this ID number 17 Memory ID list MNR 00000 WR 00001 pag 00003 MR 10360 Figure 6 3 Memory Record list 2011 12 13 14 45 19 3 2011 12 13 15 25 10 2011 12 13 16 05 32 d Sclect Esc P Select Al Esc MN Delete Figure 6 4 User Manual for Prince 180D Easy ECG Monitor 6 3 Delete All On data management screen select Delete all with Navigation Key then press MW ok TOTO pload Data key at this t
34. ture Ventricular Contraction occurs more than p KA M m oe NK NA p EIA Testee s Symptom PVC occurs More than 3 times continuously Figure 7 Tachycardia 3 times continuously The heart beat is fast and regularly but starts and stops suddenly According to the different of active original position it can be divided into Paroxysmal ventricular tachycardia Paroxysmal supraventricular tachycardia Needing professional to judge 1 Paroxysmal supraventricular tachycardia By atrial and nodal extrasystole cause to happen frequency gt 180Dpm time minute 35 User Manual for Prince 180D Easy ECG Monitor Indication Most commonly found in healthy people it causes by deep respiration tachypnea positional changes swallow rage etc It also appears in functional cardiac disease such as Wolff Parkinson White Syndrome rheumatic heart disease coronary heart disease Cardiomyopathy Congenital heart disease medicinal reaction digitalis toxicosis etc Suggestion Ifit occurs time after time please see the doctor as soon as possible 2 Paroxysmal ventricular tachycardia Caused by Premature Ventricular Contraction Heart Rate gt 140bpm Indication Most commonly found in heart disease patient it can cause ventricle fibrillation if it s serious so the tester needs to see a doctor immediately Suggestion The character of short run needs professional to confirm so please save the temporal figure in time And you can provid
35. u screen move the cursor to the EZ icon press the MW ok key to enter into external electrodes measurement 4 lead wires preparing screen After 10 seconds it will enter into the limd lead Figure 4 10 measuring limb lead gt User Manual for Prince 180D Easy ECG Monitor measuring screen as shown in Figure 4 10 On screen display 1 00 00 01 Measuring time 2 XI X1 ECG waveform amplitude scale X2 twice size of the nominal scale X4 four times size of the nominal scale 3 W gt Heart beat indicator It flashes while heart beats 4 HR 65 Current HR value It is displayed during measurement only when external lead wires are used if the ECG signal is poor this value could become 5 MA Enhanced filter mode indication It shows up only when the bandwidth is set to enhanced mode 6 Gi Status of battery capacity 7 ddr ECG waveform 8 Mark corresponding to 1mV amplitude 9 1 Status bar of measurement progress Operation When in the quick measurement by built in electrodes 1 Press lt key the measuring display screen will be made a quarter turn counterclockwise Press the EP ok key or _ return key to stop measuring and return to the default menu screen directly the measuring data won t be saved When in the external electrodes lead wire measurement 1 The
36. uick measurement by built in electrodes is recommended for normal use The default setting is limb lead Chest lead when the measuring mode is set to chest lead V lead is defaulted setting If you want to obtain specific Chest Lead V1 V6 select the lead name V1 V6 from the pull down menu Period 309S Imin Smin 10min 30min and continuous are optional The default measuring time is continuous HR alarm On and Off are optional The default setting is On HR Hi Lo 35 240bpm the default value is 120bpm the low alarm limit setting range 30 235bpm the default value is 60 bpm operation 1 Press the navigation key lt gt V or A Move the cursor upwards backwards Option 2 Press ok key Conform to option and enter into the corresponding parameter setting 3 Press the navigation key Y or A Adjust parameter values 4 Press ok key Conform the selection if you do not want to adjust parameter values or the setting is accomplished please enter the tT Back button 7 1Creating New ID On the Option setup menu selecting New ID item from the ID pull down menu as shown in figure7 2 Figure7 2 Operation 1 Press the navigation key lt gt WorA amp Move the cursor upwards backwards 2 Press the M l ok key Conform to select the corresponding numbers or letters 3 Press the navigation key
37. use some medicines such as digitalis Suggestion If it belongs to the pathology condition please see the doctor 3 Premature beat In a normal beat a QRS waveform appears prematurely and is followed by a comeback pause The result description Suspected occasional short beat interval in this device may be doubted as Premature beat What is premature beats It is premature contraction The normal heart beat is always regularly and each beat interval is also symmetrically Premature beat is out of this general regulation the heart beats prematurely and followed by a long time interval the phenomena of a premature beat between two heart beats is called inserting premature beat The display of early beat may be suspected Premature beat Figure 4 Premature According to different original positions it can be divided into Premature aerial Contraction Premature Nodal Contraction and Premature Ventricular Contraction PVC which needed to be judged by experts Symptom The heart beat is arrhythmic it occurs as the phenomenon that the heart suddenly beats and then stops for a while Some people have palpitation or have no symptom Indication The premature beat can be found occasionally in healthy people with no distinct symptom or sometimes with palpitation This may be caused by fatigue anxiety insomnia smoking too much or drinking too much wine coffee strong tea etc It can be recovered without treatment However if premature
38. ved Notes Figure 4 14 1 Voice prompts for working status and measuring result 2 The device can provide with 19 types ECG measurement result display when using the quick measurement the measurement result descriptions refer to the appendix 2 for detail 3 Up to 8 hours records can be stored in built in memory when the memory is full the device will prompt that Memory full 4 During the external lead wire measurement the measurement result screen will not be displayed if you press to stop measuring 12 User Manual for Prince 180D Easy ECG Monitor 5 Waveform Review 5 1 Record List Select s review key on the default menu screen then press MW ok key to enter into the user ID list screen as shown in Figure 5 1 Selecting a folder which contains the data for a given ID then press OK key the display screen is as shown in Figure 5 2 Review ID list 3 10 10 E 00000 FR 00001 rms 2011 08 06 08 23 02 2011 08 06 09 02 03 0030 ele 2011 08 06 11 11 11 ra 00003 HR 10360 3 2011 08 06 12 14 56 r5 Figure 5 1 waveform review ID list Figure 5 2 waveform review record list Figure 5 3 Review Quick measurement Legend of icons Indicates the measured result without irregularity found Indicates the measured result with irregularity found G Indicates that the waveform with much interference or lead off during measurement Indicates the Limb measurement by external electrodes W
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