NorthEast Monitoring DR200/HE Operator's Manual

NorthEast Monitoring DR200/HE Operator's Manual

Digital holter/event recorder
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DR200/HE and DR300
Digital Holter/Event Recorder
Operator's Manual
Part number:NEMM019-Rev-O
Last updated: September 2018
Copyright 2006-2018
All rights reserved

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Summary of Contents for NorthEast Monitoring DR200/HE

  • Page 1 DR200/HE and DR300 Digital Holter/Event Recorder Operator’s Manual Part number:NEMM019-Rev-O Last updated: September 2018 Copyright 2006-2018 All rights reserved...
  • Page 2: Table Of Contents

    DR200/HE & DR300 Operator’s Manual Table of Contents Table of Contents Chapter 1 - Introduction...3 Specifications...3 Intended Use...4 Indications for Use...4 Warning Symbols...5 LCD Display...5 Instructions to the User About Electrical Interference...5 Patient Leads...6 Storage Capacity...6 Warranty Repairs...6 Operating the Recorder...7 Online help...7...
  • Page 3: Chapter 1 -Introduction

    Chapter 1 -Introduction The NorthEast Monitoring DR200/HE and DR300 Digital Recorders can be used as either a Holter monitor or a loop- ing Event recorder. The DR200/HE and DR300 Digital Recorders are designed to facilitate ambulatory cardiac moni- toring, on order of a physician, of those patients (including infants weighing less than 10 kg.) who may benefit from...
  • Page 4: Intended Use

    DR200/HE & DR300 Operator’s Manual Introduction: Intended Use Power Supply Wireless Specifications The DR200/HE & DR300 Digital Recorder is The DR300 recorder is equipped with wireless powered by one 1.5 volt AA battery, not Bluetooth transmitter. A NorthEast Monitoring included. An AA alkaline battery (MN1500 or...
  • Page 5: Warning Symbols

    (during the Holter hook-up proce- dure). For details about the information dis- The DR200/HE & DR300 Digital Recorder played on the LCD, refer to the hook-up is to be used only on the order of a physi- directions that follow.
  • Page 6: Patient Leads

    3-channel Holter recording, battery prematurely. If you purchase cards from or three leads for 2-channel Holter recording. a supplier other than NorthEast Monitoring, it For event recording, a 2- or 3-lead shielded is recommended that you first test the SD card patient cable is used.
  • Page 7: Operating The Recorder

    In order for wireless trans- changes its performance, stop using immediately mission to occur, the DR300 needs to come in and contact NorthEast Monitoring or your dealer. range of a NorthEast Monitoring transceiver - either a Gateway or a paired USB Bluetooth The DR200/HE and DR300 Digital Recorders adapter.
  • Page 8: Chapter 2 -Holter Recording

    Chapter 2 -Holter Recording The Holter Recording Procedure To use a DR200/HE or a DR300 digital recorder to record a patient’s long-term ECG (Holter), follow the appropriate steps listed below: Step 1 - Hook-up patient; Step 2 - Prepare the recorder Step 3 - Enter patient ID on recorder;...
  • Page 9 DR200/HE & DR300 Operator’s Manual Holter Recording: The Holter Recording Procedure 5-LEAD PLACEMENT Channel 1: + Brown 5th rib, left anterior axillary line centered Channel 2: + Black 5th rib, left of mid-clavicular line Channel 3: + Black White right manubrium...
  • Page 10 Replace the battery cover by sliding it into relieve the card slot until it clicks. stress on “DR200/HE” or “DR300” will first appear each lead on the screen and then the NorthEast Moni- Using a clip lock electrode wire; refer toring information will appear.
  • Page 11 DR200/HE & DR300 Operator’s Manual Holter Recording: The Holter Recording Procedure Step 3: Enter Patient ID Step 4: Start Recording You will now see a screen with two choices: Once the LCD displays satisfactory lead “New Patient” and “Settings”. Since the...
  • Page 12: Power Loss Protection Feature

    DR200/HE & DR300 Operator’s Manual Holter Recording: Power Loss Protection Feature The Holter signal is now ready to be ana- lyzed. Note: For a DR300, instead of removing the SD card, you could choose to wirelessly transmit the recording using a paired Bluetooth adapter.
  • Page 13: Chapter 3 -Event Recording

    Chapter 3 -Event Recording The Event Recording Procedure The DR200/HE and DR300 digital recorders can be used as a looping event recorder to capture events automatically or when activated by the patient. Based upon your settings, the recorder can capture up to 90 minutes of event recordings. When one or more events are captured, the patient may transmit his/her recordings transtelephonically.
  • Page 14 15 second count- The text “DR200/HE” or “DR300” will first down: ENTER, down arrow, up arrow, appear on the screen and then after 10 sec- EVENT.
  • Page 15: To Transmit Or Save Events

    Orient the recorder on the and type of each event. The digital signal can patient so that the EVENT button is acces- only be read by the NorthEast Monitoring LX sible and the LCD is visible. Event software. If you are using a different...
  • Page 16 DR200/HE & DR300 Operator’s Manual Event Recording: To Transmit or Save Events 2. SD Card storage the word “Sent” on the screen above the Event tally. You should now erase the events LX Event users can choose to store events on an from the recorder by pressing either green SD Card.
  • Page 17: Event Recording: Patient Operating Instructions

    DR200/HE & DR300 Operator’s Manual Event Recording: Event Recording: Patient Operating Instructions Step 1: If the recorder is in a pouch, remove the Event Recording: Patient cable from the recorder and remove the Operating Instructions recorder from the pouch. If the recorder is not...
  • Page 18 DR200/HE & DR300 Operator’s Manual Event Recording: Event Recording: Patient Operating Instructions Step 5: At this time the your next transmission is successful, be 12:45 technician may ask you sure to replace the battery before you send to erase your events by any transmissions to the receiving center.
  • Page 19: Chapter 4 -Recorder Settings, Error Messages And Troubleshooting

    If your recorder is in Event mode, the 15-second countdown will begin when you put in a new battery. To interrupt the 15-second countdown, quickly press ENTER, down arrow, up arrow and then EVENT, in that order. You should now see the NorthEast Monitoring screen. Press ENTER to continue to move to the main menu.
  • Page 20 DR200/HE & DR300 Operator’s Manual Recorder Settings, Error Messages and Troubleshooting: To Update General Settings Hi Res / ch: For release 4.46, only 3 channel and Hi Res recording function correctly. Holter 1 & 2 channel should not be used.
  • Page 21 DR200/HE & DR300 Operator’s Manual Recorder Settings, Error Messages and Troubleshooting: Auto Detect Settings Channels. For event recording, the recorder can record either one or two channels. If two channel recording is selected, the recorder will Auto Detect. Turns auto detection On/Off for transmit both channels sequentially during the all event types, including AF.
  • Page 22: Error Messages And Troubleshooting

    DR200/HE & DR300 Operator’s Manual Recorder Settings, Error Messages and Troubleshooting: Error Messages Explorer to identify and delete these files. The Error Messages and only file allowed is flash.dat. Troubleshooting Short recording: There are some SD Card If you see the time-of-day on the recorder types that may draw excessive power, and will screen, the recorder is recording.
  • Page 23: Chapter 5 -Dr300 Tablet App

    Shortly thereafter, you should see “Found Tablet” appear on the DR300 recorder. Now, restart the recorder by removing and reinserting the battery. Once you see the initial splash screen, with “NorthEast Monitoring” at the top, you can start using the DR300 Tablet App with the DR300 recorder.
  • Page 24: To Update Settings On Dr300 Recorder

    DR200/HE & DR300 Operator’s Manual DR300 Tablet App: To Update Settings on DR300 Recorder To Update Settings on DR300 Recorder From the initial screen, press the CONFIGURE DR300 button on the tablet to update the settings on the connected recorder.
  • Page 25: Live Ecg Viewing

    DR200/HE & DR300 Operator’s Manual DR300 Tablet App: Live ECG Viewing Troubleshooting • Save Recorder Settings on Tablet - Saves the settings you just entered onto the Tablet for If DR300 Android App is not connecting with the future use DR300 recorder that you want to configure and/or •...
  • Page 26: Chapter 6 -Appendices

    Do not submerge the recorder or its cables in water. Replace the cable on a regular basis or at the first sign of damage. At the end of their useful lives, all NorthEast Monitoring Inc. products should be disposed of following local ordinances.
  • Page 27: Appendix B: Batteries

    DR200/HE & DR300 Operator’s Manual Appendices: Appendix B: Batteries storage at a temperature below freezing will Appendix B: Batteries reduce battery life. The recorder uses one AA-size battery. This Heavy Duty requirement may be fulfilled in a number of ways. Battery types available on the market are: Batteries that are labeled "Heavy Duty"...
  • Page 28: Appendix C: Pacemaker Detection

    DR200/HE & DR300 Operator’s Manual Appendices: Appendix C: Pacemaker Detection Most chargers for NiMH batteries depend on a Appendix C: Pacemaker property of these batteries that causes them to heat Detection up when they have reached full charge. This has two consequences.
  • Page 29 DR200/HE & DR300 Operator’s Manual Appendices: Appendix C: Pacemaker Detection False pacemaker detections are primarily caused by electrical events. Any external electrical signal that is coupled to the patient electrodes which looks like a pacemaker pulse will of necessity be stored by the recorder.
  • Page 30: Appendix D: Emc Information

    Guidance and manufacturer’s declaration – electromagnetic emissions The Northeast Monitoring DR200/HE and DR300 Digital Recorders are intended for use in the electromagnetic environment specified below. The customer or user of the Northeast Monitoring DR200/ HE and DR300 Digital Recorder should ensure that it is used in such an environment.
  • Page 31 Appendices: Appendix D: EMC Information Guidance and manufacturer’s declaration – electromagnetic immunity The Northeast Monitoring DR200/HE and DR300 Digital Recorders are intended for use in the electromagnetic environment specified below. The customer or user of the recorder should ensure that it is used in such an environment.
  • Page 32 Appendices: Appendix D: EMC Information Guidance and manufacturer’s declaration – electromagnetic immunity The Northeast Monitoring DR200/HE and DR300 Digital Recorders are intended for use in the electromagnetic environment specified below. The customer or user of the recorder should ensure that it is used in such an environment.
  • Page 33 Recommended separation distances between portable and mobile RF communications equipment and the Northeast Monitoring DR200/HE and DR300 Digital Recorder The Northeast Monitoring DR200/HE and DR300 Digital Recorders are intended for use in the electromagnetic environment in which radiated RF disturbances are controlled. The customer of the user...
  • Page 34: Appendix E: Extraction Of Ecg Data On 3-Channel

    DR200/HE & DR300 Operator’s Manual Appendices: Appendix E: Extraction of ECG data on 3-channel Appendix E: Extraction of Appendix F: Accessories ECG data on 3-channel NEMCA158 - 2-Lead Patient Cable, Adult Small - 24” It is possible to retrieve the raw ECG files from the Holter files.
  • Page 35: Appendix G: Test Issues

    DR200/HE & DR300 Operator’s Manual Appendices: Appendix G: Test Issues Appendix G: Test Issues Problem Version Impact on device Plan to correct, if applicable Found safety or effectiveness 1054 Find Gateway does not work after the 4.42 There is no impact on There is no plan to recorder has been left on for a while.

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Dr300

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