Fitting the Holter to the patient.

1. Complete full skin preparation with your patient and ensure the skin is clean and dry.
   
2.  To see a placement guide for the patient leads and electrodes, go into the software and click Leads Placement.
   
3. The most common lead type in use is Standard Lead C – (5 Leads) 
   
4. Apply electrodes suitable for long term or Holter monitoring to the patient. Numed recommends using Ambu VLC or VL electrodes available from our website.
5. Plug the dark grey patient leads onto each electrode and plug the lead into the bottom of the Holter recorder.
6. Insert a brand-new high-quality alkaline AAA battery into the Holter recorder. Do not insert the battery at any point before this. 
7. The LED light on the device will start flashing, then will beep after approximately 30 seconds, and the green LED light will stay on.  The device is now ready to leave with the patient.
8. Give the following advice to the patient. 
1. Do not get the recorder wet, avoid showers, bathing or swimming.
2. Do not pull or jerk the lead wires; do not remove the leads from the Holter recorder. 
3. Avoid electric blankets, heating pads and waterbed heaters.
4. Do not remove the recorder from the carry pouch.
5. Do not remove the battery – if the battery is removed and replaced, the recordings will be lost. 

Optional - how to check the CardioScan recorder is detecting a trace.

1. Plug the black Hook Up (Isolation) cable into the top of the Holter recorder and into the PC. 
2. In the software, click Help, then click Show Realtime Holter ECG 
   
   
1. Alternatively, press F5 on your keyboard  
3. This will show a 3-channel ECG on the screen so you can verify the device is recording correctly.  
   
   
4. To leave the screen, press ESC on your keyboard.