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• Before defibrillation, the user must ensure both defibrillator and monitor have passed the system 
test and can be safely used together.
10.13 ECG Troubleshooting
This section lists the problems that might occur. If you encounter problems when using the monitor or 
accessories, check the table below before requesting for services. If the problem persists after you have taken 
corrective actions, contact your service personnel.
Problem Corrective Actions
Noisy ECG traces  1. Check that electrodes are not detached or dry. Replace with fresh and 
moist electrodes if necessary. 
2. Check that leadwires are not defective. Replace leadwires if necessary.
3. Check that patient cable or leadwires are routed too close to other 
electrical devices. Move the patient cable or leadwires away from electrical 
devices. 
Excessive electrosurgical Interference  Use ESU-proof ECG cables. For more information, see 
31.1ECG Accessories. 
Muscle Noise  Inadequate skin preparation, tremors, tense subject, and/or poor electrode 
placement. 
1. Perform skin preparation again and re-place the electrodes. For more 
information, see 
10.4.1Preparing the Patient Skin and 10.4.2Applying 
Electrodes
.
2. Apply fresh, moist electrodes. Avoid muscular areas. 
Intermittent Signal  1. Check that cables are properly connected. 
2. Check that electrodes are not detached or dry. Perform skin preparation 
again as described in 
10.4.1Preparing the Patient Skin and apply fresh and 
moist electrodes. 
3. Check that the patient cable or leadwires are not damaged. Change them 
if necessary. 
Excessive alarms: heart rate, lead fault  1.  Check that electrodes are not dry. Perform skin preparation again and 
re-place the electrodes. For more information, see 
10.4.1Preparing the 
Patient Skin
 and 10.4.2Applying Electrodes. 
2. Check for excessive patient movement or muscle tremor. Reposition the 
electrodes. Replace with fresh and moist electrodes if necessary. 
Low Amplitude ECG Signal  1. Check that the ECG gain is not set too low. Adjust the gain as required. 
For more information, see 
10.6Changing ECG Settings.
2. Perform skin preparation again and re-place the electrodes. For more 
information, see 
10.4.1Preparing the Patient Skin and 10.4.2Applying 
Electrodes
.
3. Check electrode application sites. Avoid bone or muscular area. 
4. Check that electrodes are not dry or used for a prolonged time. Replace 
with fresh and moist electrodes if necessary. 
No ECG Waveform  1. Check that the ECG gain is not set too low. Adjust the gain as required. 
For more information, see 
10.6.4Changing ECG Wave Settings. 
2. Check that the leadwires and patient cables are properly connected. 
3. Change cable and lead wires. 
4. Check that the patient cable or leadwires are not damaged. Change them 
if necessary. 
Base Line Wander  1. Check for excessive patient movement or muscle tremor. Secure 
leadwires and cable. 
2. Check that electrodes are not detached or dry and replace with fresh and 
moist electrodes if necessary. For more information, see 
10.4.1Preparing 
the Patient Skin
 and 10.4.2Applying Electrodes. 
3. Check for ECG filter setting. Set ECG Filter mode to 
Monitor to reduce 
baseline wander on the display.