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P/N: 01.54.456085
MPN: 01.54.456085011
Statement
This manual will help you understand the operation and maintenance of the product better. It is
reminded that the product shall be used strictly complying with this manual. User’s operation
failing to comply with this manual may result in malfunction or accident for which the
manufacturer can not be held liable.
The manufacturer owns the copyrights of this manual. Without prior written consent of the
manufacturer, any materials contained in this manual shall not be photocopied, reproduced or
translated into other languages.
Materials protected by the copyright law, including but not limited to confidential information
such as technical information and patent information are contained in this manual, the user shall
not disclose such information to any irrelevant third party.
The user shall understand that nothing in this manual grants him, expressly or implicitly, any
right or license to use any of the intellectual properties of the manufacturer.
The manufacturer holds the rights to modify, update, and ultimately explain this manual.
Product Information
Product Name: Electrocardiograph
The electrical installation of the relevant room complies with national standards, and
I
The instrument is used in accordance with the instructions for use.
Upon request, the manufacturer may provide, with compensation, necessary circuit diagrams, and
other information to help qualified technician to maintain and repair some parts, which the
manufacturer may define as user serviceable.
WARNING
A WARNING label advises against certain actions or situations that could result in personal
injury or death.
CAUTION
A CAUTION label advises against actions or situations that could damage equipment, produce
inaccurate data, or invalidate a procedure.
NOTE
II
Table of Contents
Chapter 1 Safety Guidance ....................................................................................................... 1
1.1 Indications for Use/Intended Use ..................................................................................... 1
1.2 Warnings and Cautions ..................................................................................................... 1
1.2.1 Safety Warnings ........................................................................................................ 2
1.2.2 Lithium Battery Care Warnings ................................................................................ 6
1.2.3 General Cautions ...................................................................................................... 7
1.2.4 Cleaning & Disinfection Cautions ............................................................................ 8
1.3 List of Symbols ................................................................................................................. 9
Chapter 2 Introduction ............................................................................................................ 13
2.1 Top Panel ........................................................................................................................ 13
2.2 Control Panel and Keys .................................................................................................. 14
2.3 Patient Cable Socket and Signal Interface ...................................................................... 18
2.4 Mains Connection and Switch ........................................................................................ 21
2.5 Bottom Panel................................................................................................................... 21
2.6 Features ........................................................................................................................... 23
Chapter 3 About the Application Interface ........................................................................... 24
3.1 About the Main Screen ................................................................................................... 24
3.2 About the System Setup Screen ...................................................................................... 25
3.3 About the File Manager screen ....................................................................................... 26
Chapter 4 Operation Preparations ......................................................................................... 27
4.1 Power and Earthing ......................................................................................................... 27
4.2 Loading/Replacing Recorder Paper ................................................................................ 28
4.3 Preparing the Patient ....................................................................................................... 30
4.3.1 Instructing the Patient ............................................................................................. 30
4.3.2 Preparing the Skin .................................................................................................. 30
4.4 Connecting the Patient Cable to the Electrocardiograph and Electrodes ....................... 31
4.5 Attaching Electrodes to the Patient ................................................................................. 32
4.5.1 Reusable Electrodes ................................................................................................ 32
4.5.2 Disposable Electrodes............................................................................................. 35
4.6 Inspection Before Power On ........................................................................................... 36
Chapter 5 Switching On the Electrocardiograph.................................................................. 38
Chapter 6 Sampling and Printing ECG ................................................................................. 39
6.1 Entering Patient Information .......................................................................................... 39
6.2 Printing ECG Reports ..................................................................................................... 40
6.2.1 AUTO Mode ........................................................................................................... 40
6.2.2 MANU Mode .......................................................................................................... 41
6.2.3 RHYT mode............................................................................................................ 41
III
6.2.4 R-R mode ................................................................................................................ 42
6.3 Sample ECG Reports ...................................................................................................... 42
6.3.1 ECG Reports in the AUTO Mode ........................................................................... 42
6.3.2 PDF Report ............................................................................................................. 44
Chapter 7 Managing ECG Records ........................................................................................ 45
7.1 Transmitting ECG Records to the PC ............................................................................. 45
7.1.1 Transmitting ECG Records through the Serial Port ............................................... 45
7.1.2 Transmitting ECG Records through the Net Port (Optional, Only for Net Type) .. 46
7.2 Copying ECG Records between the ECG Machine and U Disk .................................... 48
7.3 Deleting Patient Records ................................................................................................ 49
7.4 Printing a Patient Record in the File Manager screen..................................................... 49
7.5 ECG Copy ....................................................................................................................... 50
Chapter 8 Settings .................................................................................................................... 51
8.1 Work Mode ..................................................................................................................... 51
8.2 Filter & Lead ................................................................................................................... 52
8.3 Record Info Setup ........................................................................................................... 54
8.3.1 Setup 1 .................................................................................................................... 54
8.3.2 Setup 2 .................................................................................................................... 56
8.4 Patient Information Setup ............................................................................................... 59
8.5 Transmission Setup ......................................................................................................... 60
8.6 File Setup ........................................................................................................................ 61
8.7 Date&Sound Setup ......................................................................................................... 62
8.8 Other Setup ..................................................................................................................... 64
Chapter 9 Switching Off the Electrocardiograph ................................................................. 66
Chapter 10 Hint Information .................................................................................................. 67
Chapter 11 Troubleshooting .................................................................................................... 68
Chapter 12 Cleaning, Care and Maintenance ....................................................................... 71
12.1 General Points ............................................................................................................... 71
12.2 Cleaning ........................................................................................................................ 71
12.2.1 Cleaning the Main Unit ........................................................................................ 72
12.2.2 Cleaning the Patient Cable ................................................................................... 72
12.2.3 Cleaning the Reusable Electrodes ........................................................................ 72
12.3 Disinfection ................................................................................................................... 73
12.3.1 Disinfecting the Main Unit ................................................................................... 73
12.3.2 Disinfecting the Patient Cable .............................................................................. 74
12.3.3 Disinfecting the Reusable Electrodes ................................................................... 74
12.4 Care and Maintenance .................................................................................................. 74
12.4.1 Recharge and Replacement of Battery ................................................................. 74
IV
12.4.2 Recorder Paper ..................................................................................................... 75
12.4.3 Maintenance of the Main Unit, the Patient Cable and Electrodes ........................ 76
Chapter 13 Accessories ............................................................................................................ 78
13.1 Standard Accessories .................................................................................................... 78
13.2 Optional Accessories..................................................................................................... 78
Chapter 14 Warranty and Service .......................................................................................... 80
14.1 Warranty ........................................................................................................................ 80
14.2 Contact information ...................................................................................................... 80
Appendix 1 Technical Specifications ...................................................................................... 81
A1.1 Safety Specifications .................................................................................................... 81
A1.2 Environment Specifications ......................................................................................... 82
A1.3 Physical Specifications ................................................................................................ 82
A1.4 Power Supply Specifications ....................................................................................... 82
A1.5 Performance Specifications ......................................................................................... 83
Appendix 2 EMC Information ................................................................................................ 85
Appendix 3 Abbreviation ......................................................................................................... 89
V
ECG-3 Series Electrocardiograph User Manual Safety Guidance
WARNING
1. This equipment is not designed for intracardiac use or direct cardiac application.
4. This equipment is intended for use on adult and pediatric patients only.
5. The results given by the equipment should be examined based on the overall clinical
condition of the patient, and they can not substitute for regular checking.
In order to use the electrocardiograph safely and effectively, and avoid possible dangers caused
by improper operations, please read through the user manual and be sure to be familiar with all
functions of the equipment and proper operation procedures before use.
Please pay more attention to the following warning and caution information.
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ECG-3 Series Electrocardiograph User Manual Safety Guidance
WARNING
2. Only qualified service engineers can install this equipment, and only service
engineers authorized by the manufacturer can open the shell. Otherwise, safety
hazards may happen.
3. Only qualified installation or service engineers can shift the mains supply shift switch
(100V-115V~/220V-240V~) according to local mains supply specifications.
4. The results given by the equipment should be examined based on the overall clinical
condition of the patient, and it can not substitute for regular checking.
7. Electrodes of dissimilar metals should not be used; it may cause a high polarization
voltage.
9. SHOCK HAZARD - The power receptacle must be a hospital grade grounded outlet.
Never try to adapt the three-prong plug to fit a two-slot outlet.
10. If the integrity of the external protective conductor is in doubt, the equipment should
be operated by using the built-in rechargeable battery.
11. Do not use this equipment in the presence of high static electricity or high voltage
equipment which may generate sparks.
13. Only the patient cable and other accessories supplied by the manufacturer can be
used. Or else, the performance and electric shock protection can not be guaranteed.
The electrocardiograph has been safety tested with the recommended accessories,
peripherals, and leads, and no hazard is found when the electrocardiograph is
operated with cardiac pacemakers or other stimulators.
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ECG-3 Series Electrocardiograph User Manual Safety Guidance
WARNING
14. The use of patient cable and other accessories not supplied by the manufacturer may
result in increased emissions or decreased immunity of the equipment.
15. Make sure that all electrodes are connected to the patient correctly before operation.
16. Ensure that the conductive parts of electrodes and associated connectors, including
neutral electrode, do not come into contact with earth or any other conducting
objects.
18. There is no danger for patients with pacemakers. However, if a pacemaker is used,
the results given by the equipment may be invalid, or lose the clinical significance.
19. Do not touch the patient, bed, table or the equipment while using the ECG together
with a defibrillator.
20. Do not touch accessible parts of electrical equipment and the patient simultaneously.
21. In order to avoid being burned, please keep the electrodes far away from the radio
knife while using electrosurgical equipment.
22. If reusable electrodes with electrode gel are used during defibrillation, ECG recovery
will take more than 10 seconds. The manufacturer recommends the use of
disposable electrodes at all times.
23. Accessory equipment connected to the analog and digital interfaces must be certified
according to the respective IEC/EN standards (e.g. IEC/EN 60950 for data
processing equipment and IEC/EN 60601-1 for medical equipment). Furthermore all
configurations shall comply with the valid version of the standard IEC/EN 60601-1-1.
Therefore anybody, who connects additional equipment to the signal input or output
connector to configure a medical system, must make sure that it complies with the
requirements of the valid version of the system standard IEC/EN 60601-1-1. If in
doubt, consult our technical service department or your local distributor.
24. All the accessories connected to system must be installed outside the patient vicinity,
if they do not meet the requirement of IEC/EN 60601-1.
25. The summation of leakage current should never exceed leakage current limits while
several other units are used at the same time; otherwise, electric shock may happen.
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ECG-3 Series Electrocardiograph User Manual Safety Guidance
WARNING
26. The potential equalization conductor can be connected to that of other equipment
when necessary, to make sure that all these devices are connected to the potential
equalization bus bar of the electrical installation.
27. If the wireless AP technology is used, in order to maintain compliance with the FCC
RF exposure guidelines, the wireless AP should be installed and operated with a
minimum distance of 20cm between the radiator and the human body. Use the
supplied antenna only. There should be no shield in or around the room where the
wireless AP is used.
28. Fix attention on the examination to avoid missing important ECG waves.
29. The disposable electrodes can only be used for one time.
31. Connecting any accessory (such as external printer) or other device (such as the
computer) to this electrocardiograph makes a medical system. In that case,
additional safety measures should be taken during installation of the system, and the
system shall provide:
b) Outside the patient environment, the level of safety appropriate for non-medical
electrical equipment complying with other IEC or ISO safety standards.
32. All the accessories connected to system must be installed outside the patient vicinity,
if they do not meet the requirement of IEC/EN 60601-1.
33. SHOCK HAZARD - Don't connect non-medical electrical equipment, which has been
supplied as a part of the system, directly to the wall outlet when the non-medical
equipment is intended to be supplied by a multiple portable socket-outlet with an
isolation transformer.
34. SHOCK HAZARD - Don't connect electrical equipment, which has not been supplied
as a part of the system, to the multiple portable socket-outlet supplying the system.
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ECG-3 Series Electrocardiograph User Manual Safety Guidance
WARNING
35. Do not connect any equipment or accessories that are not approved by the
manufacturer or that are not IEC/EN 60601-1 approved to the electrocardiograph.
The operation or use of non-approved equipment or accessories with the
electrocardiograph is not tested or supported, and electrocardiograph operation and
safety are not guaranteed.
36. Do not use the additional multiple portable socket-outlet or extension cord in the
medical electrical system, unless it's specified as part of the system by manufacturer.
And the multiple portable socket-outlets provided with the system shall only be used
for supplying power to equipment which is intended to form part of the system.
37. The electrocardiograph shall not be serviced or maintained while in use with a
patient.
38. The appliance coupler or mains plug is used as isolation means from supply mains.
Position the electrocardiograph in a location where the operator can easily access
the disconnection device.
39. The medical electrical equipment needs to be installed and put into service according
to Appendix 2 EMC Information.
40. The equipment should not be used adjacent to or stacked with other equipment, refer
to the recommended separation distances provided in Appendix 2 EMC Information.
41. Portable and mobile RF communications equipment can affect medical electrical
equipment, refer to the recommended separation distances provided in Appendix 2
EMC Information.
42. Assembly of the electrocardiograph and modifications during actual service life shall
be evaluated based on the requirements of IEC60601-1.
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ECG-3 Series Electrocardiograph User Manual Safety Guidance
WARNING
1. Improper operation may cause the lithium battery (hereinafter called battery) to be
hot, ignited or exploded, and it may lead to the declination of the battery capacity. It is
necessary to read the user manual carefully and pay more attention to warning
messages.
2. Only qualified service engineer authorized by the manufacturer can open the battery
compartment and replace the battery, and batteries of the same model and
specification as manufacturer configuration should be used.
3. Danger of explosion -- Do not reverse the anode and the cathode when installing the
battery.
5. When leakage or foul smell is found, stop using the battery immediately. If your skin
or cloth comes into contact with the leakage liquid, cleanse it with clean water at once.
If the leakage liquid splashes into your eyes, do not wipe them. Irrigate them with
clean water first and go to see a doctor immediately.
6. The device and accessories are to be disposed of according to local regulations after
their useful lives. Alternatively, they can be returned to the dealer or the manufacturer
for recycling or proper disposal. Batteries are hazardous waste. Do NOT dispose of
them together with house-hold garbage. At the end of their lives hand the batteries
over to the applicable collection points for the recycling of waste batteries. For more
detailed information about recycling of this product or the battery, please contact your
local Civic Office, or the shop where you purchased the product.
7. Remove the battery from the electrocardiograph when the electrocardiograph is not
used for a long time.
8. If the battery is stored alone and not used for a long time, we recommend that the
battery should be charged at least once every 6 months to prevent over-discharge.
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ECG-3 Series Electrocardiograph User Manual Safety Guidance
CAUTION
1. Federal (U.S.) law restricts this device to sale by or on the order of a physician.
2. Avoid liquid splash and excessive temperature. The temperature must be kept
between 5 ºC and 40 ºC during operation, and it should be kept between -20 ºC and
55 ºC during transportation and storage.
3. Do not use the equipment in a dusty environment with bad ventilation or in the
presence of corrosive.
4. Make sure that there is no intense electromagnetic interference source around the
equipment, such as radio transmitters, mobile phones etc. Attention: large medical
electrical equipment such as electrosurgical equipment, radiological equipment and
magnetic resonance imaging equipment is likely to bring electromagnetic
interference.
5. Before use, the equipment, the patient cable and electrodes etc. should be checked.
Replacement should be taken if there is any evident defectiveness or aging symptom
which may impair the safety or the performance.
a) Inspect the equipment and accessories for mechanical and functional damage.
c) Inspect the fuse to verify compliance with rated current and breaking
characteristics.
d) Verify the device functions properly as described in the instructions for use.
e) Test the protection earth resistance according to IEC/EN 60601-1: Limit: 0.1ohm.
f) Test the earth leakage current according to IEC/EN 60601-1: Limit: NC 500 μA,
SFC 1000μA.
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ECG-3 Series Electrocardiograph User Manual Safety Guidance
CAUTION
h) Test the patient leakage current according to IEC/EN 60601-1: Limit: NC a.c.
10μA, d.c. 10μA; SFC a.c. 50μA, d.c. 50μA.
i) Test the patient auxiliary current according to IEC/EN 60601-1: Limit: NC a.c.
10μA, d.c. 10μA; SFC a.c. 50μA, d.c. 50μA.
j) Test the patient leakage current under single fault condition with mains voltage on
the applied part according to IEC/EN 60601-1: Limit: 50μA (CF).
The data should be recorded in an equipment log. If the device is not functioning
properly or fails any of the above tests, the device has to be repaired.
7. Ruptured fuse must only be replaced with that of the same type and rating as the
original.
CAUTION
1. Turn off the power before cleaning and disinfection. If the mains supply is used, the
power cord should be dragged out of the outlet. Prevent the detergent from seeping
into the equipment during cleaning.
2. Do not immerse the unit or the patient cable into liquid under any circumstances.
3. Do not clean the unit and accessories with abrasive fabric and avoid scratching the
electrodes.
4. Any remainder of detergent should be removed from the unit and the patient cable
after cleaning.
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ECG-3 Series Electrocardiograph User Manual Safety Guidance
1 Output
2 Input
DEFIBRILLATION-PROOF TYPE CF
3
APPLIED PART
5 Operating instructions
6 Equipotential grounding
7 Alternating Current
8 "ON" (power)
9 "OFF" (power)
10 Battery check
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ECG-3 Series Electrocardiograph User Manual Safety Guidance
13 Recall key
ECG-3F ECG-3
ECG-3F Plus ECG-3 Plus
17 ON/OFF key
ECG-3F ECG-3
18 Menu key
ECG-3F
ECG-3
ECG-3F Plus
ECG-3 Plus
ECG-3 Plus
- 10 -
ECG-3 Series Electrocardiograph User Manual Safety Guidance
21 Print/Stop key
23 Part Number
24 SERIAL NUMBER
25 Date of manufacture
26 MANUFACTURER
28 CE marking
29 Disposal method
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ECG-3 Series Electrocardiograph User Manual Safety Guidance
32 Warning
Background: Yellow
Symbol&Outline: Black
- 12 -
ECG-3 Series Electrocardiograph User Manual Introduction
Chapter 2 Introduction
ECG-3 series Electrocardiograph gathers ECG signals of 12 leads simultaneously. It displays the
operation menu, ECG parameters as well as electrocardiograms.
3-channel ECG waves can be viewed on the LCD screen and printed out by using a high-quality
thermal recorder. The screen of ECG-3F and ECG-3 is black and white screen, and the screen of
ECG-3F Plus and ECG-3 Plus is color screen.
The AUTO, MANU, OFF-AUTO, RHYT, OFF- RHYT and R-R modes can be chosen freely.
ECG-3 series can be powered by the mains supply or a built-in rechargeable lithium battery.
Basic type and Net type are optional for each model, only the Net type electrocardiograph can
support network transmission function. The DE12 ECG board is optional for all the models. With
the DE12 ECG board, ECG-3 series can support full-scale pacemaker detection function.
With a high resolution thermal recorder, a 32-bit processor and a large-capacity memorizer,
ECG-3 series has advanced performance and high reliability. The compact size makes it suitable
for clinic, hospital and ambulance use.
Configuration: main unit, power cord, earth wire, patient cable, electrodes, thermal recorder
paper, fuses and lithium battery
- 13 -
ECG-3 Series Electrocardiograph User Manual Introduction
- 14 -
ECG-3 Series Electrocardiograph User Manual Introduction
1) Indicator Lamp
Mains supply indicator lamp: when the device is powered by the mains supply,
the lamp will be lit.
Battery recharging indicator lamp: when the battery is being recharged, this lamp
will be lit.
3) Recall Key
- 15 -
ECG-3 Series Electrocardiograph User Manual Introduction
4) 1mV/COPY Key
In the Manual mode, press this key to print a 1mV calibration mark while printing ECG
reports.
In the AUTO or RHYT mode, press this key to copy and print the recent report.
5) MODE/RST Key
Press this key to select a printing mode among AUTO, MANU, OFF-AUTO, RHYT,
OFF- RHYT and R-R.
The switch order of lead groups in each mode is listed in Table 2-1.
In the MANUAL mode, press this key to reset the waveform quickly while printing ECG
reports.
WARNING
When using the device with a defibrillator, after the defibrillator discharges, you should
press the MODE/RST key to reset the waveform quickly.
NOTE: The detailed information of the automatic mode can be set on the System Setup
Screen.
Table 2–1 Switch Order of Lead Groups in Different Modes
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ECG-3 Series Electrocardiograph User Manual Introduction
In the MANU mode, press these two keys to switch the lead groups.
In System Setup Record Info window, press these two keys to switch Setup 1 and Setup
2.
On the File Manager screen, press these two keys to go to the prev or next page of
records.
7) PRINT/STOP Key
8) ON/OFF Key
9) MENU Key
(ECG-3F&ECG-3F Plus)
(ECG-3&ECG-3 Plus)
Press the Up or Down arrow to select an item on the Main Screen and the System Setup
Screen.
- 17 -
ECG-3 Series Electrocardiograph User Manual Introduction
As shown in Figure 2-1 and Figure 2-5, on the right side of the main unit are the patient cable
socket, the RS232 socket, the external input/output socket and the USB interface.
USB Interface
The net port (optional, only for Net type) is on the back of the main unit shown in the following
figure. Only the electrocardiograph with net port can support network transmission function.
Net Port
- 18 -
ECG-3 Series Electrocardiograph User Manual Introduction
2) RS232 Socket
- 19 -
ECG-3 Series Electrocardiograph User Manual Introduction
4) USB Interface
WARNING
Only the USB equipment recommended by the manufacturer can be connected to the
USB interface.
WARNING
1. Accessory equipment connected to the analog and digital interfaces must be certified
according to the respective IEC/EN standards (e.g. IEC/EN 60950 for data processing
equipment and IEC/EN 60601-1 for medical equipment). Furthermore all
configurations shall comply with the valid version of the standard IEC/EN 60601-1-1.
Therefore anybody, who connects additional equipment to the input or output
connector to configure a medical system, must make sure that it complies with the
requirements of the valid version of the system standard IEC/EN 60601-1-1. If in
doubt, consult our technical service department or your local distributor.
2. The summation of leakage current should never exceed the leakage current limit
while several other units are used at the same time.
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ECG-3 Series Electrocardiograph User Manual Introduction
Potential Equalization
Terminal
Mains Switch
Mains Socket
The potential equalization conductor provides a connection between the unit and the
potential equalization bus bar of the electrical installation.
2) Mains Socket
3) Mains Switch
: On
: Off
Fuse Label
Label
1) Battery Compartment
The battery label indicates the rated voltage and the rated capacity of the rechargeable
lithium battery.
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ECG-3 Series Electrocardiograph User Manual Introduction
WARNING
1. Improper operation may cause the battery to be hot, ignited or exploded, and it may
lead to the decrease of the battery capacity. Therefore, it is necessary to read the user
manual carefully and pay more attention to warning messages.
2. When leakage or foul smell is found, stop using the battery immediately. If your skin or
cloth comes into contact with the leakage liquid, cleanse it with clean water at once. If
the leakage liquid splashes into your eyes, do not wipe them. Irrigate them with clean
water first and go to see a doctor immediately.
3. Only qualified service engineer authorized by the manufacturer can open the battery
compartment and replace the battery. The battery of the same model and
specification provided by the manufacturer must be used.
Mains supply with rated input voltage 230V (220-240V) or 115V (100-115V) can be chosen
by using the shift switch according to local mains supply specifications.
WARNING
Only qualified installation or service engineer can shift the mains supply shift switch
according to local mains supply specifications.
3) Fuse
There are two fuses of the same specifications installed on the bottom of the main unit. The
specifications are shown on the fuse label: T400mAH250V, Ø5×20mm.
WARNING
Ruptured fuses must only be replaced with those of the same type and rating as the
original.
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ECG-3 Series Electrocardiograph User Manual Introduction
2.6 Features
♦ ECG signals of 12 leads are gathered and amplified simultaneously, 3-channel waves
are displayed and recorded simultaneously
♦ Offer AUTO, MANU, OFF-AUTO, RHYT, OFF- RHYT and R-R modes
♦ Hint information for lead off, lack of paper, low battery capacity etc.
♦ ECG data can be transmitted to the PC software through the serial cable, net cable
(optional, only for net type), or wireless AP (optional).
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ECG-3 Series Electrocardiograph User Manual About the Application Interface
On the main screen, press the up and down arrows to move the cursor to the items that need to be
modified, and press the left and right arrows to modify the value.
Select the symbol and press the left or right arrow to open Patient
A Patient Symbol
Information window
B ID Patient ID
C Gender Patient Gender, press the left and right arrows to switch male and
female
E Work Mode Include: AUTO, MANU, OFF-AUTO, RHYT, OFF-RHYT and R-R
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ECG-3 Series Electrocardiograph User Manual About the Application Interface
L 25mm/s Speed
M 10mm/mV Sensitivity
N 100Hz Filter
NOTE: The speed, sensitivity or filter value modified in the main screen is only valid for
the current exam.
Press MENU on the main screen to display the System Setup screen.
On the System Setup screen, move the cursor on an item, and then press MENU to open the
setup window of the item. And press Return or RECALL to exit the System Setup screen.
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ECG-3 Series Electrocardiograph User Manual About the Application Interface
Press the Up or Down arrow to select the patient record, press Lead( ) or Lead ( ) to switch
the prev or next page.
Press the Left or Right arrow to move the cursor among TransALL, ExportALL, Del All, Select,
Search, Import and Return buttons and then press the MENU key to conform the operation.
Press RECALL again to return to the main screen.
Press the Left or Right arrow to move the cursor to Select button and press MENU key to enter
File Manager screen (b).
Press the Left or Right arrow to move the cursor among Edit, Trans, Export, Delete and Return
buttons and then press the MENU key to conform the operation.
Press RECALL to return to the previous screen.
For details on managing patient records, please refer to chapter 7, “Managing ECG Records”.
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ECG-3 Series Electrocardiograph User Manual Operation Preparations
Before use, the equipment, the patient cable and electrodes should be checked. Replace
them if there is any evident defectiveness or aging which may impair the safety or the
performance. Make sure that the equipment is in proper working condition.
WARNING
If the integrity of the external protective conductor is in doubt, the equipment should be
powered by the built-in rechargeable lithium battery.
Power Supply
The electrocardiograph can be powered either by the mains supply or a built-in rechargeable
lithium battery.
♦ Mains supply
The mains socket is on the left side of the unit. If the mains supply is used, connect the
power cord to the socket first, and then connect the power cord to the hospital grade
outlet.
Make sure the mains supply meets the above requirements before power-on, and then
press the mains switch. Then the mains supply indicator lamp ( ) will be lit.
If the built-in rechargeable battery is weak when the mains supply is used, it will be
recharged automatically at the same time. Then both the mains supply indicator lamp
( ) and the battery recharging indicator lamp ( ) will be lit. The 3-channel
electrocardiograph can not be recharged when it is printing reports, and the battery
recharging indicator is black; when the 3-channel electrocardiograph is switched off,
the battery recharging indicator lamp ( ) is black if the battery is fully recharged.
- 27 -
ECG-3 Series Electrocardiograph User Manual Operation Preparations
When the built-in rechargeable lithium battery is used, turn on the unit by pressing the
ON/OFF key on the control panel directly. Then the battery indicator lamp ( ) will be
lit and the battery symbol will be displayed on the LCD screen. Because of the
consumption during the storage and transport course, the battery capacity may not be
full. If the symbol and the Hint information BAT WEAK are displayed, which
means the battery capacity is low, please recharge the battery first.
Please refer to the maintenance section for how to recharge the battery. When the
battery is being recharged, ECG-3 series can be powered by the mains supply at the
same time.
WARNING
The potential equalization conductor of the unit should be connected to the potential
equalization bus bar of the electrical installation when necessary.
There are two kinds of recorder paper. One is the rolled thermal paper with the width of 80mm,
and the other is the folded thermal paper with the width of 80mm.
NOTE: When the folded thermal paper is used, the paper roller is unnecessary and must
be taken out.
When the recorder paper runs out or is not loaded, warning message Paper? will appear on the
screen. Then you should load or replace the recorder paper immediately.
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ECG-3 Series Electrocardiograph User Manual Operation Preparations
Paper Roller
Groove
1) Place fingers under the two flanges of the recorder casing, pull them upwards directly to
release the casing.
2) Take out the paper roller, and remove remainder paper from the roller if necessary.
3) Take off the wrapper of the new thermal paper roll, and then put the paper roll through
the roller.
4) Place the paper and the roller gently in the recorder with the roller pin clicking into the
groove.
5) Pull about 2 cm of paper out with the grid side of the paper facing the thermal print
head, and shut the recorder casing.
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ECG-3 Series Electrocardiograph User Manual Operation Preparations
1) Place fingers under the two flanges of the recorder casing, pull them upwards directly to
release the casing.
Thorough skin preparation is very important. The skin is a poor conductor of electricity and
frequently creates artifact that distorts the ECG signal. By performing methodical skin
preparation, you can greatly reduce the possibility of the noise caused by muscle tremor and
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ECG-3 Series Electrocardiograph User Manual Operation Preparations
baseline drift, ensuring high-quality ECG waves. There is natural resistance on the skin surface
due to dry, dead epidermal cells, oils and dirt.
1. Shave hair from electrode sites, if necessary. Excessive hair prevents a good connection.
3. Dry the skin with a gauze pad to increase capillary blood flow to the tissues and to remove the
dead, dry skin cells and oils.
WARNING
The performance and electric shock protection can be guaranteed only if original patient
cable and electrodes of the manufacturer are used.
The patient cable includes main cable and lead wires which can be connected to electrodes
according to the colors and identifiers.
Screw
Main Cable
Lead Wires
Connecting to
Connecting to
Electrocardiograph
Electrodes
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ECG-3 Series Electrocardiograph User Manual Operation Preparations
There are two types of electrode for you to choose, one is the reusable electrodes, and the other is
the disposable electrodes. The uses of the two types of electrode are as shown below:
Suction Bulb
Chest Electrode
Electrode
Reed
Clamp
Limb Electrode
The identifiers and color codes of electrodes used comply with IEC/EN requirements. In order
to avoid incorrect connections, the electrode identifiers and color codes are specified in Table
4-1. Moreover the equivalent codes according to American requirements are given in Table 4-1
too.
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ECG-3 Series Electrocardiograph User Manual Operation Preparations
European American
As the following figure shows, the positions of chest electrodes on the body surface are
C1
C4
C2
C6
C3
C5
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ECG-3 Series Electrocardiograph User Manual Operation Preparations
- 34 -
ECG-3 Series Electrocardiograph User Manual Operation Preparations
The electrodes’ positions on body surface are as the following table and figures:
American European
Electrode placement
label label
RA R Right deltoid
LA L Left deltoid
Above right ankle (Alternate placement, upper leg as close to torso
RL N or RF
as possible)
Above left ankle (Alternate placement, upper leg as close to torso
LL F
as possible)
V1 C1 Fourth intercostals space at right border of sternum
V2 C2 Fourth intercostals space at left border of sternum
V3 C3 Fifth rib between V2 and V4
V4 C4 Fifth intercostals space on left midclavicular line
V5 C5 Left anterior axillary line at the horizontal level of V4
V6 C6 Left midaxillary line at the horizontal level of V4
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ECG-3 Series Electrocardiograph User Manual Operation Preparations
V1
V4
V2
V6
V3
V5
1) Align all lead wires of the patient cable to avoid twisting, and connect the alligator clips to
the lead wires.
2) Clean the electrode areas on the body surface with 75% alcohol.
The quality of ECG waveform will be affected by the contacting resistance between the patient
and the electrode. In order to get a high-quality ECG, the skin-electrode resistance must be
minimized when you attach electrodes to patients.
CAUTION
WARNING
1. Make sure that all electrodes are connected to the patient correctly before operation.
2. Make sure that the conductive parts of electrodes and associated connectors,
including neutral electrode, do not come in contact with earth or any other conducting
objects.
In order to avoid safety hazards and get good ECG records, the following inspection procedure is
recommended before power-on and operation.
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ECG-3 Series Electrocardiograph User Manual Operation Preparations
1) Environment:
♦ Make sure that there is no electromagnetic interference source around the equipment,
especially large medical electrical equipment such as electrosurgical equipment,
radiological equipment, magnetic resonance imaging equipment etc. Switch off these
devices when necessary.
♦ Keep the examination room warm to avoid muscle action voltages in ECG signals
caused by cold.
2) Power Supply:
♦ If the mains supply is used, please check whether the power cord is connected to the
unit well. The grounded three-phase outlet should be used.
♦ When the battery capacity is low, recharge the battery before use.
3) Patient Cable:
♦ Check whether the patient cable is connected to the unit firmly, and keep it far away
from the power cord.
4) Electrodes:
♦ Check whether all electrodes are connected to lead wires of the patient cable
correctly.
5) Recorder Paper:
6) Patient:
♦ The patient should not come into contact with conducting objects such as earth, metal
parts etc.
WARNING
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ECG-3 Series Electrocardiograph User Manual Switching On the Electrocardiograph
- 38 -
ECG-3 Series Electrocardiograph User Manual Sampling and Printing ECG
NOTE: The patient information cannot be set or changed during the printing course.
- 39 -
ECG-3 Series Electrocardiograph User Manual Sampling and Printing ECG
Pacemaker Select Yes to detect very small pacemaker pulses. However, when
(optional, with Pacemaker is set to Yes, the system is very sensitive, and should not be
DE12 ECG close to equipment emitting high frequency radiation. High frequency
board) radiation can interfere with pacemaker pulse detection and normal ECG
acquisition.
NOTE: Pacemaker is recommended to be set to No unless it is
known that the majority of the electrocardiograph usage
will be on patients with pacemakers.
In the AUTO mode, the lead groups are switched in order automatically during the printing
course. There is a blank area on the recorder paper before printing the ECG signals of the next
lead group. Moreover, a 1mV calibration mark will be printed at the beginning of ECG reports.
The switch orders of lead groups are listed in Table 2-1.
In the MANUAL mode, you should switch the lead group manually. You can determine the lead
group to be printed and set the printing settings or other parameters for different lead groups.
In the RHYTHM mode, you can print 60s rhythm-lead ECG waveforms.
In the USBPRT mode, ECG reports can be printed out through a USB printer.
NOTE: The printing mode cannot be changed during the printing course. Stop printing
reports before changing the printing mode.
In the AUTO mode, the lead groups are switched in order automatically during the printing
course. There is a blank area on the recorder paper before printing the ECG signals of the next
lead group. Moreover, a 1mV calibration mark will be printed at the beginning of ECG reports.
The switch orders of lead groups are listed in Table 2-1.
1) Press the MODE/RST key to select the AUTO mode, which will be displayed in the upper
right corner of the LCD screen.
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ECG-3 Series Electrocardiograph User Manual Sampling and Printing ECG
- 41 -
ECG-3 Series Electrocardiograph User Manual Sampling and Printing ECG
5) It will stop automatically after printing a complete report of rhythm-lead ECG waveforms.
Or press the PRINT/STOP key again to stop printing ECG reports.
Figure 6-1 and Figure 6-2 show an ECG report in the auto mode. Template is selected, and
Record Style is set to 3×4.
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ECG-3 Series Electrocardiograph User Manual Sampling and Printing ECG
Patient Information: ID, Name, Age, Gender, Height, Weight, BP, Race, Department,
Exam Room, Medication
Measure Information:
HR Heart Rate
PR P-R interval: the average P-R interval from several selected dominant beats;
QRS QRS complex duration: the average QRS complex duration from several
selected dominant beats;
QT/QTc Q-T interval: the average Q-T interval from several selected dominant beats /
Normalized QT interval;
Average Template: Average template shows the average value of 10s sampled ECG
signals of every lead.
The broken lines on the template are position markers. They
respectively mark the start and end points of the P and QRS waves,
and the end point of the T wave.
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ECG-3 Series Electrocardiograph User Manual Sampling and Printing ECG
- 44 -
ECG-3 Series Electrocardiograph User Manual Managing ECG Records
Press the RECALL key to open the File Manager where patient records are displayed. The File
Manager allows records to be stored, deleted, printed and transmitted. When there is no space for
more records to be stored in the File Manager, the message MemFull will be displayed.
NOTE: To transmit ECG records to the PC, Smart ECG Viewer software of the
manufacturer must be installed in the PC. You should log into the Smart ECG
Viewer software before the transmission.
Auto Transmission:
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ECG-3 Series Electrocardiograph User Manual Managing ECG Records
2) For details on configuring the wireless AP, please refer to the user manual
delivered with the wireless AP.
3) There should be no shield in or around the room where the wireless AP is used, or
else the wireless transmission may fail.
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ECG-3 Series Electrocardiograph User Manual Managing ECG Records
Auto Transmission:
2. Select the Transmission button, and then press the MENU key to enter the sub-window.
5. Set the first three numbers of the Local IP to the first three numbers of the IP of Smart
ECG Viewer. The last number of the Local IP item can be set at random, but it can’t be the
same as the last number of the IP of Smart ECG Viewer.
For example, check the IP on the System Setting interface of the Smart ECG Viewer
software.
Set the Server IP to the IP of Smart ECG Viewer. Set the first three numbers of the Local
IP to the first three numbers of the IP of Smart ECG Viewer. The last number of the Local
IP can be set at random, but it can’t be the same as the last number of the local IP of Smart
ECG Viewer.
6. In the AUTO, RHYT, OFF-AUTO or OFF-RHYT mode, ECG data can be transmitted
through the net automatically after an ECG report is printed out.
Manual Transmission:
2. Select the Transmission button, and then press the MENU key to enter the sub-window.
5. Other steps for transmission operation, refer to step 4 for manual transmission in section
7.1.1 “Transmitting ECG Record through the Serial Port”.
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ECG-3 Series Electrocardiograph User Manual Managing ECG Records
2. Press the RECALL key to open the File Manager screen (a).
3. Select the TransAll button, and then press the MENU key to confirm the operation. And
then the ECGDATA folder of all the records will be transmitted to the U disk automatically.
During the transmission, if something wrong happens, the electrocardiograph will give the
error information. Then you should check whether the U disk is connected to the
electrocardiograph well.
4. If you want to import records from the ECGDATA folder of the U disk to the
electrocardiograph, select the Import button, and then press the MENU key. The
extended-name of imported records should be “.dat”.
NOTE: To import records from the U disk to the electrocardiograph, there should be
some records in the folder named ECGDATA in the U disk. The folder name
ECGDATA must be capital letters. You should not change the name of records in
the ECGDATA folder.
During the transmission from the U disk to the electrocardiograph, if something wrong
happens, the electrocardiograph will give the error information. Then you should do the
following operations:
2) If the error information is still displayed, you should check whether records with the
extended-name of “.dat” in the ECGDATA folder of the U disk. If not, you should add
records to be imported to the ECGDATA folder.
3) If the error information is still displayed, you should check whether the total number of
records in the ECGDATA folder of the U disk and the File Manager of the
electrocardiograph exceeds the limit. The limit of the electrocardiograph is 500. If the
total number exceeds the limit, you should remove some records from the ECGDATA
folder of the U disk, and then continue to import the remainder records to the
electrocardiograph.
4) If the error information The same record found! Press PRINT/STOP return is displayed,
you should check whether there are cognominal records in the U disk and the
electrocardiograph. If it is true, you should remove these records from the U disk, or
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ECG-3 Series Electrocardiograph User Manual Managing ECG Records
delete these records in the electrocardiograph, and then continue to import records to the
electrocardiograph.
5. If you want to export only one record, choose the patient record in the table, press the MENU
key to enter the File Manager screen (b). Select the Export button and then press the MENU
key to confirm the operation.
NOTE:
1. The transmission process is long, and please be patient to wait.
1. Press the RECALL key to open the File Manager screen (a).
2. If you want to delete all the records, select the DEL ALL button, and then press the MENU
key.
3. If you want to delete a record, choose the patient record in the table, and then select Delete
button.
4. Press the RECALL key to return to the Main Screen.
1. Press the RECALL key to open the File Manager screen (a).
2. If you want to print the patient record, choose the patient record in the table, and then press
PRINT/STOP key.
NOTE: If you use USB printer to print the patient record, when the PRINT/STOP key is
pressed, the electrocardiograph begins to analyze data. Then the USB printer
begins to print the ECG record after 8 seconds.
3. Press the RECALL key to return to the Main Screen.
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ECG-3 Series Electrocardiograph User Manual Managing ECG Records
In the AUTO mode, after an ECG report is printed out, pressing the 1mV/Copy key can print
the ECG report which was printed out last time. Pressing the PRINT/STOP key can stop
printing the ECG report.
NOTE: After an ECG report is printed out in the AUTO mode, if you change the printing
mode or the printing format, the ECG report can not be printed again by
pressing the 1mV/Copy key.
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ECG-3 Series Electrocardiograph User Manual Settings
Chapter 8 Settings
Press the Up or Down or Left or Right arrow to select the function button, and then press the
MENU or PRINT/STOP to enter sub-window.
Item Description
Mode Options Including: AUTO, RHYT, R-R MANU, OFF-AUTO and OFF-RHYT.
Each item can be set to On. When set to On, it will be available on the
main screen, and you can press MODE/RST to switch to the mode.
In the MANU mode, you can press the lead switch button to switch the
lead group.
In the OFF-AUTO or OFF-RHYT mode, the electrocardiograph samples
ECG signal as well as save the patient record but doesn’t print ECG
report.
Display Style Choose from: 3 channels, 6 channels and 12 channels, the default value
is 12 channels
Sampling Mode Choose from: Pre-Sample and Real-time, the default value is Real-time
(Only available in Select Pre-Sample, 10s ECG data sampled before pressing the
the auto mode) PRINT/STOP key will be printed out.
NOTE: When Sampling Mode is set to Pre-Sample, if you press
the PRINT/STOP key before the electrocardiograph
samples for 10s, the recorder will not respond.
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ECG-3 Series Electrocardiograph User Manual Settings
Rhythm Style Choose from: Single Lead or Three Leads, the default value is Three
Leads
Item Description
DFT Filter Choose from: 0.05Hz, 0.15Hz, 0.25Hz, 0.32Hz, 0.5Hz or 0.67Hz, the
default value is 0.67Hz
DFT Filter greatly reduces the baseline fluctuations without affecting the
ECG signals. The purpose of this filter is to keep the ECG signals on the
baseline of the printout.
The set value is the low limit of the frequency range.
EMG Filter The cutoff frequency can be set to 25Hz, 35Hz, 45Hz or Off, the default
value is Off
EMG Filter suppresses disturbance caused by strong muscle tremor.
- 52 -
ECG-3 Series Electrocardiograph User Manual Settings
Lowpass Filter The cutoff frequency can be set to 75Hz, 100Hz or 150Hz, the default
value is 100Hz
Lowpass Filter restricts the bandwidth of input signals.
All the input signals whose frequency is higher than the set cutoff
frequency will be attenuated.
NOTE: Only when EMG Filter is set to Off, can the setting of
Lowpass Filter be effective.
Rhythm Lead1/2/3 Choose from: І, П, III, aVR, aVL, aVF, V1, V2, V3, V4, V5, or V6, the
default value is of Rhythm Lead 1 is II, the default value is of Rhythm
Lead 2 is V1, the default value is of Rhythm Lead 3 is V5
In the auto mode:
When Record Style is set to 3×4+1R or 6×2+1R, the rhythm lead
selected in the Rhythm Lead1 list box will be printed in the ECG reports;
In the rhythm mode:
When Rhythm Style is set to Single Lead, 60s wave of the rhythm lead
selected in the Rhythm Lead1 list box will be printed in the ECG reports;
When Rhythm Style is set to Three Leads, 20s waves of three rhythm
leads selected respectively in the Rhythm Lead1/2/3 list box will be
printed in the ECG reports.
In the R-R analysis mode:
The R-R analysis report of the rhythm lead selected in the Rhythm Lead1
list box will be printed.
NOTE: Rhythm Lead 1/2/3 must be different from each other.
Lead
Lead group 1 Lead group 2 Lead group 3 Lead group 4
Sequence
Standard І, II, III aVR, aVL, aVF V1, V2, V3 V4, V5, V6
Cabrera aVL, І, -aVR II, aVF, III V1, V2, V3 V4, V5, V6
NOTE: To pass the distortion test, the electrocardiograph has to be configured with the
highest bandwidth in filter settings. Otherwise, ECG signal may be distorted.
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ECG-3 Series Electrocardiograph User Manual Settings
8.3.1 Setup 1
Item Description
Record Style Choose from: 3Ch/3Ch, 3Ch/2Ch, 1Ch+1R, 1Ch or 3Ch+1R, the
default value is 3Ch/3Ch
Select a style to print the ECG waves of 12 leads in the auto mode.
When Record Style is set to 3Ch/3Ch, ECG waves of all leads will be
printed in 4 groups of 3.
When Record Style is set to 3Ch/2Ch, ECG waves of lead I, II, III, aVR,
aVL and aVF will be printed in 2 groups of 3, and ECG waves of lead V1,
V2, V3, V4, V5 and V6 will be printed in 3 groups of 2.
When Record Style is set to 1Ch+1R, ECG waves of all leads will be
printed one by one in a sequence, with ECG waves of one rhythm lead on
the bottom of the ECG reports.
When Record Style is set to 1Ch, ECG waves of all leads will be printed
one by one in a sequence.
When Record Style is set to 3Ch+1R, ECG waves of all leads will be
printed in 4 groups of 3, with one rhythm lead on the bottom of the ECG
reports.
NOTE: Record Style is corresponding with Work Mode.
- 54 -
ECG-3 Series Electrocardiograph User Manual Settings
sequence. The start time of a lead group is just the end time of the
previous lead group.
Select Synchronous, the lead group is printed one by one in a certain
sequence. All leads are printed with the same start time.
Auto Record Choose from: Short (2.5s), Medium (5s) and Long (10s), the default
Length value is Short (2.5s)
When Auto Record Length is set to Short (2.5s), ECG waves of each
lead group will be printed for about 2.5 seconds.
When RECORD LENGTH is set to Medium (5s), ECG waves of each
lead group will be printed for about 5 seconds.
When RECORD LENGTH is set to Long (10s) ECG waves of each lead
group will be printed for about 10 seconds.
NOTE: Auto Record Length is corresponding with Record
Device, Sampling Mode and Record Sequence.
Manual REC Style Choose from 3 channels, 6 channels and 12 channels, the default value
is 12 channels
Select a style to print the ECG waves in the manual mode.
Rhythm Record Choose from: Save Paper or Quickly, the default value is Save Paper
Mode Select Save Paper, 10s after pressing the PRINT/STOP key on the main
screen, an ECG report is printed in the RHYT mode.
Select Quickly, pressing the PRINT/STOP key on the main screen to
begin printing an ECG report immediately in the RHYT mode.
Gain You can set the indicated height of 1mV ECG on the paper.
Choose from: 2.5mm/mV, 5mm/mV, 10mm/mV, 20mm/mV or
10/5mm/mV, the default value is 10mm/mV
10/5mm/mV means that the gain of limb leads is set to 10mm/mV, while
the gain of chest leads is set to 5mm/mV.
- 55 -
ECG-3 Series Electrocardiograph User Manual Settings
Baseline Choose from: Horizontal, Auto or Off, the default value is Horizontal
Adjustment Select Horizontal, the baselines of the lead groups are adjusted
simultaneously, and the baselines of the leads in the same row are on the
same line.
Select Auto, the baselines of the lead groups are adjusted respectively.
Select Off, the baselines of the lead groups are adjusted equally in the
ECG reports.
Paper Marker Paper Marker is used to identify the start point of each page of the
recorder paper.
Choose from: Yes or No, the default value is No
Select Yes if the paper with black markers on the bottom is used, and the
device can identify the start point of each page of the recorder paper while
printing ECG reports.
8.3.2 Setup 2
Item Description
- 56 -
ECG-3 Series Electrocardiograph User Manual Settings
When it is set to On, the Analysis information will be printed in the ECG
report.
Template Choose from: 2×6+1R, 3×4 or Off, the default value is Off
When it is set to Off, the template will not be printed in the ECG report
WARNING
If the printer used is not the type listed above, additional safety
measures (such as applying an isolation transformer to supply the
medical system) should be taken when the safety of the medical
system has not been evaluated. If in doubt, consult our technical
service department or your local distributor.
CAUTION
It is forbidden to connect or disconnect a U disk or a USB printer
during the transmission course.
- 57 -
ECG-3 Series Electrocardiograph User Manual Settings
HP Deskjet 2010
HP
HP Deskjet 1050
2010/1050/2000
HP Deskjet 2000
HP Laserjet P2015
HP Laserjet P1525
NOTE:
1. During the USB printing course, pressing the PRINT/STOP key
again cannot stop printing ECG reports.
2. For details of the ECG report printed by the USB printer, please
refer to section 6.3.2 "PDF Report".
3. USB printing is ineffective in the auto mode, OFF-AUTO, RHYT
mode and OFF- RHYT mode.
4. Make sure that paper is installed in the USB printer before
printing. Error may occur if no paper is loaded in the USB
Printer.
5. Make sure the type of USB printer connected is matched with
the type you choose in the Record Device. Error may occur if
the USB printer type is not matched.
USB Record Style Choose from: 3×4, 3×4+1R, 3×4+3R, 6×2, 6×2+1R or 12×1, the
default value is 6×2
It defines the style of USB report.
- 58 -
ECG-3 Series Electrocardiograph User Manual Settings
Item Description
- 59 -
ECG-3 Series Electrocardiograph User Manual Settings
Select Age Group, the Age Group textbox appears in the Patient
Information window.
H/W Unit Choose from: cm/kg or inch/lb, the default value is cm/kg
BP Unit Choose from: mmHg or kPa, the default value is mmHg
NOTE:
1. To transmit ECG data to the PC in DAT format, the Smart ECG Viewer software
produced by the manufacturer must be installed in the PC. You should log into the
Smart ECG Viewer software before transmission.
2. To transmit ECG data to the PC in DICOM/SCP/FDA-XML/PDF format, the FTP
receiving software must be installed in the PC. You should log into the FTP receiving
software before transmission.
Item Description
- 60 -
ECG-3 Series Electrocardiograph User Manual Settings
Transmission Mode Choose from: Ethernet or UART, the default value is Ethernet
Select Ethernet, ECG data will be transmitted to the PC through the
net port.
Select UART, ECG data will be transmitted to the PC through the
serial port.
FTP Information Enter data in the FTP Path, FTP User Name textboxes.
IP Addresses Set Server IP, Local IP, Set Gateway, Set Subnet Mask
For details, please refer to Section 7.1.1 "Transmitting ECG Data in
DAT Format".
NOTE: If WIFI is enabled and Auto Get IP is selected in the
WIFI Setup window, IP addresses can be acquired
automatically.
Item Description
Auto Save Choose from: Off, To ECG or To U Disk, the default value is To ECG
Select Off, ECG data will not be saved.
Select To ECG, ECG data in the auto or rhythm mode will be saved in the
ECG automatically.
Select To U Disk, ECG data in the auto or rhythm mode will be
automatically saved to the directory of
ECGDATA\ECG-X\Store\Examination Date of the U disk after an ECG
report is printed out.
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ECG-3 Series Electrocardiograph User Manual Settings
NOTE:
1. Please insert the U disk recommended by the manufacturer.
Please set the format to FAT or FAT32 when formatting the U
disk.
2. X in the directory of ECGDATA\ECG-X\Store\Examination
Date can be set in the Device No. textbox in the Transmission
Setup window.
File Format Choose from: DAT, PDF, SCP, FDA-XML and DICOM, the default
value is DAT
To select SCP/FDA-XML/DICOM, you should first activate the
SCP/FDA-XML/DICOM function on the Advanced Setup screen. For
details, please contact the manufacturer or the local distributor.
Del. After Trans. Choose from: On or Off, the default value is Off
Or Export Select On, the files will be automatically deleted from the File Manager
screen after they are transmitted to the PC or exported to the U disk.
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ECG-3 Series Electrocardiograph User Manual Settings
NOTE: Please set DATE&TIME correctly when it’s the first time you use the
electrocardiograph.
Item Description
Time Mode Choose from: 24 Hours or 12 Hours, the default value is 24 Hours
Date&Time Enter the current date and time displayed on the main screen and in the
ECG reports.
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ECG-3 Series Electrocardiograph User Manual Settings
Item Description
Demo Setup Choose from: Normal, abnormal or Off, the default value is Off
When it is set to Normal, the main screen will display demo of normal
ECG signal.
When it is set to abnormal, the main screen will display demo of
abnormal ECG signal.
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ECG-3 Series Electrocardiograph User Manual Settings
External Input The external input socket is equipped in the electrocardiograph, through
which the electrocardiograph can receive signals from the external
equipment.
Choose from: On or Off, the default value is Off
Select On, the electrocardiograph will display the signals which it
receives from external input port.
External Output The external output socket is equipped in the electrocardiograph, through
which the electrocardiograph can send rhythm lead signals to the external
equipment.
Choose from: Off, Standard or Triggered, the default value is Off
Select Standard, the electrocardiograph sends ECG signals of rhythm
lead 1.
Select Triggered, the electrocardiograph sends pulses with the height of
5V and the width of 45ms, based on the data of rhythm lead 1.
Language Select the language displayed on the main screen and in the ECG reports.
System Password Type a password that allows you to access the System Setup window.
- 65 -
ECG-3 Series Electrocardiograph User Manual Switching Off the Electrocardiograph
- 66 -
ECG-3 Series Electrocardiograph User Manual Hint Information
Lead off Electrodes fall off the patient or the patient cable falls off the unit.
PaperErr The system doesn't detect any black signs while the paper style is
set as "Folded" on the System Setup Screen.
Sampling/Analyzing/
ECG signals are being sampled / analyzed / recorded.
Recording
ECG data is being transmitted from the electrocardiograph to the
Transmitting
PC through the net or serial cable in the auto or rhythm mode.
Transmitting fails! Transmitting ECG data fails.
Module Error There is something wrong with the signal sample module.
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ECG-3 Series Electrocardiograph User Manual Troubleshooting
Chapter 11 Troubleshooting
1) Operating Problems
Q1: I want to save the ECG data without any printing, could it be possible?
A1: Yes, set the current mode to OFF-AUTO or OFF-RHYT. In the same way, if the transmission
settings have been configured, the ECG data could be transmitted to the PC without printing.
2) Printing Problems
Q1: There was double impression in printing when I printed ECG reports by using an ink-jet
printer. What’s wrong with it?
A1: It may be the result of the coexisting black and color ink cartridges. Taking out the color ink
cartridge may solve the problem.
If the above-mentioned situation is not applicable, there might be some problem with the printing
module. Please contact the manufacturer or the local distributor for further disposal.
Q3: The hint PaperErr is displayed on the screen, what should I do?
A3: Check if the paper maker setting is right or might be the result of unsuccessful detection of
the black markers, first open the paper casing so as to clear the error information, and then check
whether the black marker is on the top of the paper. Reload the paper in the paper tray. If it
doesn’t work, change the paper.
If the problem still exists, please contact the manufacturer or the local distributor for further
disposal.
Q4: The hint Paper? is displayed on the screen, what should I do?
A4: Check whether the paper runs out, or the black marker is just facing the black maker
detection window on the thermal printing head, as the following figure shows.
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ECG-3 Series Electrocardiograph User Manual Troubleshooting
Reload the paper in the paper tray, close the paper casing firmly. If the problem still exists, please
contact the manufacturer or the local distributor for further disposal.
Q5: I pressed the PRINT/STOP key, but the ECG didn’t start printing, what’s wrong with it?
A5: Please check whether there is any error information displayed on the screen.
If the hint Paper? or PaperErr is shown on the screen, please deal with it according to the
above-mentioned measures.
If the hint Transfer is shown on the screen, which means that the ECG is transmitting the data to
the PC, please wait a few seconds. You can start the printing after the data has been transmitted.
If the problem still exists, please contact the manufacturer or the local distributor for further
disposal.
3) Transmitting Problems
Q1: The ECG doesn’t respond to any keys after a long time of transmitting. It transmits nothing
for there is no new data appearing on the interface of the PC software. What should I do?
A1: Some error may occur during the transmission course, for example, the connection between
the ECG and the net cable may loosen. In this case, please restart the ECG. If it doesn’t work,
please restart the PC.
If the problem still exists, please contact the manufacturer or the local distributor for further
disposal.
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ECG-3 Series Electrocardiograph User Manual Troubleshooting
A1: The leads are not connected well. Please check whether the electrodes are connected to the
patient skin well, and then make sure that the patient cable socket is connected to the patient
cable firmly.
If none of the above-mentioned measures take effect, please contact the manufacturer or the local
distributor for further disposal.
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ECG-3 Series Electrocardiograph User Manual Cleaning, Care and Maintenance
CAUTION
If you spill liquid on the equipment or accessories, or they are accidentally immersed in
liquid, contact your service personnel or the manufacturer's service engineer.
12.2 Cleaning
If the equipment or accessory has been in contact with the patient, then cleaning and disinfection
is required after each use.
The validated cleaning agents for cleaning the electrocardiograph and reusable accessories are:
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ECG-3 Series Electrocardiograph User Manual Cleaning, Care and Maintenance
WARNING
Turn off the power before cleaning. The mains supply must be switched off if it is used.
1. Switch off the main unit and disconnect it from the power cord.
2. Wipe the exterior surface of the equipment using a soft cloth dampened with the cleaning
solution until no visible contaminants remain.
3. Wipe off the cleaning solution with a fresh cloth or towel dampened with tap water after
cleaning until no visible cleaning agent remains.
4. Dry the main unit in a ventilated and cool place.
CAUTION
Any remainder of cleaning solution should be removed from the main unit and the patient
cable after cleaning.
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ECG-3 Series Electrocardiograph User Manual Cleaning, Care and Maintenance
12.3 Disinfection
To avoid permanent damage to the equipment, it is recommended that disinfection is performed
only when it is considered as necessary according to your hospital's regulations.
Clean the equipment and reusable accessories before they are disinfected. The validated
disinfectants for disinfecting the electrocardiograph and reusable accessories are:
Ethanol (75%)
Isopropanol (70%)
If Ethanol or Isopropanol is used for both cleaning and disinfecting, then a new cloth is required
to be used for the disinfection step.
CAUTION
1. Do not use high-temperature, high-pressure vapour or ionizing radiation as
disinfection methods.
WARNING
Turn off the power before disinfection. The mains supply must be switched off if it is used.
1. Switch off the main unit and disconnect it from the power cord.
2. Wipe the exterior surface of the equipment using a soft cloth dampened with the disinfectant
solution.
3. Wipe off the disinfectant solution with a dry cloth after disinfection if necessary.
4. Dry the main unit for at least 30 minutes in a ventilated and cool place.
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ECG-3 Series Electrocardiograph User Manual Cleaning, Care and Maintenance
1. Wipe the patient cable with a soft cloth dampened with the disinfectant solution.
2. Wipe off the disinfectant solution with a dry cloth after disinfection.
3. Leave the patient cable to air dry for at least 30 minutes.
1. Wipe the suction bulbs of chest electrodes and the clamps of limb electrodes with a soft cloth
dampened with the disinfectant solution.
2. Wipe off the disinfectant solution with a dry cloth after disinfection.
3. Leave the suction bulbs and clamps to air dry for at least 30 minutes.
1) Capacity Identification
The battery capacity can be identified according to the battery symbol in the top right corner
of the LCD screen.
-> -> ->
Capacity is from full to empty.
2) Recharge
ECG-3 series is equipped with the recharge control circuit together with the built-in
rechargeable lithium battery. When the unit is connected to the mains supply, the battery will
be recharged automatically. Then the battery recharging indicator lamp ( ) and the mains
supply indicator lamp ( ) will be lit at the same time. During the recharging course, the
symbol flashes in the top right corner of the LCD screen. When the battery capacity is
full, the symbol stops flashing, and the battery recharging indicator lamp ( ) is
black. When the 3-channel electrocardiograph is switched off, the battery recharging
indicator lamp ( ) is black if the battery is fully recharged.
Because of the capacity consumption during the storage and transport course, the battery
capacity is not full when it is used for the first time. Battery recharge should be considered
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ECG-3 Series Electrocardiograph User Manual Cleaning, Care and Maintenance
WARNING
1. Only qualified service engineer authorized by the manufacturer can open the battery
compartment and replace the battery, and the battery of the same model and
specification provided by the manufacturer must be used.
2. Danger of explosion -- Do not reverse the anode and the cathode when installing the
battery.
3. Remove the battery from the electrocardiograph when the electrocardiograph is not
used for a long time.
4. If the battery is stored alone and not used for a long time, we recommend that the
battery should be charged at least once every 6 months to prevent overdischarge.
5. When the battery’s useful life is over, contact the manufacturer or the local distributor
for disposal or dispose of the battery according to local regulations.
Storage Requirements:
♦ Recorder paper should be stored in a dry, dark and cool area, avoiding excessive
temperature, humidity and sunshine.
♦ Do not put the recorder paper under fluorescence for a long time.
♦ Make sure that there is no polyvinyl chloride or other chemicals in the storage
environment, which will lead to color change of the paper.
♦ Do not overlap the recorded paper for a long time, or else the ECG reports may
trans-print each other.
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ECG-3 Series Electrocardiograph User Manual Cleaning, Care and Maintenance
Electrodes
The following safety checks should be performed at least every 24 months by a qualified person
who has adequate training, knowledge, and practical experience to perform these tests.
a) Inspect the equipment and accessories for mechanical and functional damage.
b) Inspect the safety related labels for legibility.
c) Inspect the fuse to verify compliance with rated current and breaking characteristics.
d) Verify the device functions properly as described in the instructions for use.
e) Test the protection earth resistance according to IEC/EN 60601-1: Limit: 0.1ohm.
f) Test the earth leakage current according to IEC/EN 60601-1: Limit: NC 500 μA, SFC
1000μA.
g) Test the enclosure leakage current according to IEC/EN 60601-1: Limit: NC 100μA, SFC
500μA.
h) Test the patient leakage current according to IEC/EN 60601-1: Limit: NC a.c. 10μA, d.c.
10μA; SFC a.c. 50μA, d.c. 50μA.
i) Test the patient auxiliary current according to IEC/EN 60601-1: Limit: NC a.c. 10μA, d.c.
10μA; SFC a.c. 50μA, d.c. 50μA.
j) Test the patient leakage current under single fault condition with mains voltage on the
applied part according to IEC/EN 60601-1: Limit: 50μA (CF).
k) Test the essential performance according to IEC/EN 60601-2-25, or methods recommended
by the hospital or local distributor.
The leakage current should never exceed the limit. The data should be recorded in an equipment
log. If the device is not functioning properly or fails any of the above tests, the device has to be
repaired.
WARNING
Failure on the part of the responsible individual hospital or institution employing this
equipment to implement a satisfactory maintenance schedule may cause undue
equipment failures and possible health hazards.
1) Main Unit
♦ Avoid excessive temperature, sunshine, humidity or dirt.
♦ Put the dustproof coat on the main unit after use and prevent shaking it violently when
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ECG-3 Series Electrocardiograph User Manual Cleaning, Care and Maintenance
CAUTION
The device and accessories are to be disposed of according to local regulations after
their useful lives. Alternatively, they can be returned to the dealer or the manufacturer for
recycling or proper disposal.
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ECG-3 Series Electrocardiograph User Manual Accessories
Chapter 13 Accessories
WARNING
Only the patient cable and other accessories supplied by the manufacturer can be used.
Or else, the performance and electric shock protection cannot be guaranteed.
01.57.107402
Patient Cable (European)
01.57.471500
01.57.110375
Patient Cable (American)
01.57.471499
Fuse 21.21.064183
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ECG-3 Series Electrocardiograph User Manual Accessories
U Disk 01.18.052275
ECG-3 series and accessories are available by contacting the manufacturer or your local
distributor.
NOTE: The adult chest electrodes, adult limb electrodes, pediatric chest electrodes
and pediatric limb electrodes are not available in the U.S.
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ECG-3 Series Electrocardiograph User Manual Warranty and Service
The manufacturer warrants that the manufacturer’s products meet the labeled specifications of the
products and will be free from defects in materials and workmanship that occur within warranty
period.
The warranty is void in cases of:
a) damage caused by mishandling during shipping.
b) subsequent damage caused by improper use or maintenance.
c) damage caused by alteration or repair by anyone not authorized by the manufacturer.
d) damage caused by accidents.
e) replacement or removal of serial number label and manufacture label.
If a product covered by this warranty is determined to be defective because of defective materials,
components, or workmanship, and the warranty claim is made within the warranty period, the
manufacturer will, at its discretion, repair or replace the defective part(s) free of charge. The
manufacturer will not provide a substitute product for use when the defective product is being
repaired.
If you have any question about maintenance, technical specifications or malfunctions of devices,
contact your local distributor.
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ECG-3 Series Electrocardiograph User Manual Technical Specifications
IEC 60601-1:2005
EN 60601-1:2006
Comply with: EN 60601-1-2:2007
IEC 60601-1-2:2007
IEC/EN60601-2-25
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ECG-3 Series Electrocardiograph User Manual Technical Specifications
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ECG-3 Series Electrocardiograph User Manual Technical Specifications
Recording
HR Recognition
Accuracy: ±1BPM
ECG Unit
Resolution: 2.52uV/LSB
Input Circuit Current: ≤0.05μA / ≤0.01μA (optional, with DE12 ECG board)
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ECG-3 Series Electrocardiograph User Manual Technical Specifications
Noise: ≤12.5μVp-p
Multi-channel Crosstalk ≤0.5mm
AC Filter: On / Off
DFT Filter: 0.05Hz / 0.15Hz / 0.25Hz / 0.32Hz / 0.5Hz /
0.67Hz
Filter
EMG Filter: 25Hz / 35Hz / 45Hz / OFF
External Input/Output
≥100kΩ; Sensitivity 10mm/V±5%;
Input
Single ended
≤100Ω; Sensitivity 1V/mV±5%;
Output
Single ended
NOTE:
1 Operation of the equipment below the minimum amplitude may cause inaccurate
results.
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ECG-3 Series Electrocardiograph User Manual EMC Information
Electromagnetic
Immunity test IEC 60601 test level Compliance level
environment - guidance
Electrostatic ±6 kV contact ±6 kV contact It is recommended the use
discharge (ESD) ±8 kV air ±8 kV air of antistatic materials. If
IEC 61000-4-2 floor are covered with
synthetic material, the
relative humidity should
be at least 50%.
Electrical fast ±2 kV for power ±2 kV for power It is recommended the use
transient/burst supply lines supply lines of filters on power input
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ECG-3 Series Electrocardiograph User Manual EMC Information
<5% UT <5% UT
(>95% dip in UT) (>95% dip in UT)
for 5 sec for 5 sec
Power frequency 3A/m 3A/m Power frequency magnetic
(50Hz/60Hz) fields should be at levels
characteristic of a typical
magnetic field
location in a typical
IEC 61000-4-8
commercial or hospital
environment.
NOTE UT is the a.c. mains voltage prior to application of the test level.
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ECG-3 Series Electrocardiograph User Manual EMC Information
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.
a
Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless)
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
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ECG-3 Series Electrocardiograph User Manual EMC Information
NOTE 1 At 80 MHz and 800 MHz, the separation distance for 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.
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ECG-3 Series Electrocardiograph User Manual Abbreviation
Appendix 3 Abbreviation
Abbr English
BP Blood Pressure
ECG Electrocardiogram/Electrocardiograph
HR Heart Rate
LA Left Arm
LL Left Leg
RA Right Arm
RL Right Leg
ID Identification
AC Alternating Current
NC Normal Condition
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