OPERATORS MANUAL

DMS HOLTER RECORDER

300-3 and 300-4

October 2005

Table of Contents
Patient Hookup Preparation

Enroll Patient Data on Recorder

Lead Wire Hookups

Checking the Holter Hookup

11

Download Patient Data

14

CP2101 Driver Installation

15

This mini-recorder is 25% the size of the standard digital Holter recorder and
provides 1 day of continuous ECG data. Use the 300-3 with the Premier 10, 11 or
12 Holter analysis software.
The 300-3 has a read-in sample rate of 1024 samples per second and a write-to
memory at 512 samples per second which allows for clearer pacemaker spikes,
P-Waves and diagnostic quality SAECG and Vectorcardiography. .
The unit is powered by a single AAA battery and its onboard memory is 256MB.
This recorder uses a 7 lead wire patient cable for 3 channels of continuous ECG
data.
The recorder can be worn around the neck on a necklace, placed in the pocket or
placed in a carrier case that can clip onto your belt.

PATIENT HOOK-UP PREPARATION

Digital recorders record at a very high frequency. Due to this fact, patient
preparation is a very important part of the hookup.

Remember to do the following when hooking up the patient:

1. Scrub the site with an abrasive pad to remove dead skin, oil and any dirt.
2. Clean the scrubbed site with alcohol.
3. Snap the electrode on the lead wire.
4. Place the electrode on the prepared site.
5. Place a tape over the snap over the electrode to help prevent any
movement.
6. Make a stress loop about 1 inches below the electrode. Place a tape
over the X in the stress loop where the wires cross (Do not tape over the
entire stress loop!). Taping over the X allows the wire to move freely
through the loop without tugging on the electrode.

ENROLL THE PATIENT DATA ON THE RECORDER

Prior to hooking up the patient, you may want to enroll all of the patients data on
the recorder. This will encode all of the patient information on the memory chip
inside the recorder. Once the recorder is plugged into the computer after the
recording period, all of the patient data will be automatically downloaded.

1. Make sure the gray download cable is attached to the computer at a USB
port. There are no drivers to load for this cable. The computer will
automatically recognize the cable.

2. Connect the 15 pin connector of the gray download cable to the digital
Holter recorder. Make sure there is NO battery in the recorder.

3. Double click on the Holter icon on the Windows XP desktop. Click on

ENROLL. The Patient Data Menu will appear. Enter all of the patient
data. Click on NEXT. The patients data will be written directly onto the
memory of the recorder.

4. Unplug the gray download cable from the recorder.

LEAD WIRE HOOKUPS

Standard 7-Lead 3 Channel Hookup

The above photo shows a standard 7-Lead 3 Channel Hookup. The leads are as
follows:
Channel 1
Channel 2
Channel 3
Ground

V5
V1
V3

1 - Red (+)
5 -Brown (+)
7 - Orange (+)
3 - Green

2 - White (-)
4 - Black (-)
6 - Blue (-)

Standard 7-Lead 3 Channel Hookup

The above photo shows a standard 7-Lead 3 Channel hookup. The leads are as
follows:
Channel 1
Channel 2
Channel 3
Ground

V5
V1
aVF

1 - Red (+)
5 - Brown (+)
7 - Orange (+)
3 - Green

2 - White (-)
4 - Black (-)
6 - Blue (-)

7-Lead 3 Channel Orthogonal Hookup

The above photo shows a 7-Lead 3 Channel Orthogonal hookup. This is the only
hookup you should use if you are acquiring data for SAECG or 12-Lead ECG
information. The leads are as follows:
Channel 1
Channel 2
Channel 3
Ground

X
Y
Z

1 - Red (+)
5 - Brown (+)
7 - Orange (+)
3 - Green

2 - White (-)
4 - Black (-)
6 - Blue (-)

10 Lead 12 Channel Hookup 300-4 recorder

The above hookup is the standard 10 lead wire 12 channel hook-up to be used
with the 300-4 recorder. Note the top of the electrode on each lead wire is
labeled with the placement location, using the standard ECG hook-up.

10

CHECK THE HOOKUP

NOTE: Prior to this step you must make sure that you have installed the CP2101
Driver on your Holter Software CD. This driver is located in the Security Key
Driver file! For detailed loading instructions see page 15 in this manual.

After you have hooked the patient up, verify that you have a good hookup before
the patient leaves the facility.

1. Plug the USB end of the black isolation cable into the computer (We
recommend you leave this cable in the computer at all times). Connect the
black isolation cable into the patient cable. Make sure that the computer
is turned on and you are at the main page of the Holter program.

11

2. Insert the AAA battery into the battery compartment of the recorder.
There is a diagram for proper placement of the battery on the side of the
battery compartment. The positive side of the battery should be facing up
towards the top of the battery compartment.

3. Press down and turn on the battery compartment cover to close the
battery compartment. The green light on the top of the recorder will blink.

4. Press and hold the event button for a count of 10. Press the F5 key on
the keyboard and release the event button.

12

5. The above screen will appear on your computer. Tap each electrode site
on the snap of the lead wire. If you see any artifact on the computer
screen, remove the tapes and electrode. Prep the site again following the
directions on page 4 of this manual.

6. Once you have verified the ECG tracings are of good quality, press the
ESC key on the computer. Your computer will be returned to the Holter
main page. Disconnect the black isolation cable from the patient cable.

7. You may screw the recorder onto the necklace or place the recorder in the
recorder pouch. Note the start time on the patient diary and advise the
patient to note any symptoms on the diary.

13

DOWNLOADING THE PATIENT DATA

Once the patient has returned with the Holter do the following:
1. Remove the battery from the recorder.
2. Remove the lead wires, electrodes and tapes from the patient.
3. Disconnect the patient cable from the Holter recorder.
4. Connect the 15 pin connector of the gray download cable to the Holter
recorder.
5. At the main Holter screen click on New Patient. If you used the ENROLL
feature prior to hooking up the patient, all of the patients information will
be automatically displayed on the screen.
6. If you did not use the ENROLL feature, enter all of the patients data on
the screen.
7. Click on NEXT and process the Holter accordingly.

14

CP2101 DRIVER

1. The CP2101 driver is located on the software CD in the SecKey Drivers

and Jet Fix file.
2. You MUST load this driver for the computer to recognize the black
isolation cable.
3. Double click on the CP2101 Driver icon. Click on the CP2101 file. Click
on the Setup file. The following will appear:

4. Click on the Install button.

5. The following will appear.

6. Click on OK.
7. Insert the black Patient Isolation cable into a USB port in the computer.
The computer will recognize the cable.

15

8. Go to My Computer. Click on Control Panel. Click on System. Click on

Hardware. Click on Device Manager. The following screen will appear

9. In the above example the Patient Isolation cable is located in COM4.

10. Exit back to your Windows desktop.
11. Double click on the Holter icon. Click on System Settings. Click on Other
B tab. Assign the same COM port Device Manager has assigned the
black Patient Isolation cable (in our example it would be COM4).
12. Exit back to the Windows desktop.

16

17