User Manual

Panorama™ Operating Instructions 0070-10-0690-01 4 - 3
Arrhythmia and ST Analysis Lead Placement Procedures
2. Attach the electrode patch to the skin at the prepared site. Smooth the electrode patch
down in a circular motion to ensure proper skin contact. If using soft gel electrodes,
never push down directly over the contact gel medium as this may displace the gel and
cause monitoring artifact. If using hard gel electrodes, it is recommended that during
application, the center of the electrode should be slightly pressed onto the skin to ensure
direct contact. Consult the electrode patch manufacturer’s instructions for specific use.
3. Secure the lead wires to the patient according to hospital practice. For additional
information, refer to “Lead Placement Methods: AHA and IEC” on page 4-3. If using a
Panorama Telepack, always secure the device to the patient according to hospital
standard.
WARNING: As with all medical equipment, carefully route cables and
connections to reduce the possibility of entanglement or
strangulation.
NOTE: It is recommended that electrode patches be changed at
least every 24-36 hours to maintain proper contact with the
skin. Some patients may require electrodes to be changed
more often. Electrode patches are disposable and should not
be reused or reapplied. Try to avoid reusing the exact same
electrode site during reapplication. If an electrode becomes
wet with fluid, change the electrode patch.
4.1.3 Lead Placement Methods: AHA and IEC
The lead placement procedure that is utilized has a direct impact on the quality of an ECG
waveform. The algorithm works best when a patient’s R wave is significantly larger than the P
or T waves to avoid difficulty in identifying the appropriate waves. On some patients,
electrode patch placement and/or the ECG lead viewed may need to be adjusted to obtain
a more significant R wave.
The following section outlines lead placement procedures for the American Heart Association
(AHA) and the International Electro-Technical Commission (IEC).