Mindray Passport V - Lead Placement: Pacemaker Patients

Preparation and Lead Placement ECG Monitoring
4 - 22 0070- 0-0704-02 Passport V Operating Instructions
4.5.3.8 Lead Placement: Pacemaker Patients
The recommended lead placement for monitoring a pacemaker patient is as follows.
A pacemaker patient usually requires a different electrode patch placement configuration
than a non-pacemaker patient.
Do not place an ECG electrode directly over the pacemaker generator. Place the electrode
patches 3 – 5 inches away from the pacemaker generator area. For example, if the
pacemaker generator is located in the right subclavian area, relocate the Right Arm
electrode closer in towards the center of the chest.
WARNING: Pacemaker patients’ rate meters may continue to count the
pacemaker rate during occurrences of cardiac arrest or
some arrhythmias. Do not rely entirely upon rate meter
alarms. Keep pacemaker patients under close surveillance.
See the Appendix section of this manual for disclosure of the
pacemaker pulse rejection capability of this instrument.
CAUTION: Some pacemakers may contain a respiratory sensor that
may produce artifact on an ECG waveform.
FIGURE 4-21 3-wire Lead Placement for a
Pacemaker Patient (AHA)
FIGURE 4-22 3-wire Lead Placement for a
Pacemaker Patient (IEC)
FIGURE 4-23 5-wire Lead Placement for a
Pacemaker Patient (AHA)
FIGURE 4-24 5-wire Lead Placement for a
Pacemaker Patient (IEC)
Pacer
Black
White
Red
Pacer
Yellow
Red
Green
White
Pacer
Brown
V
Green Red
Black
Pacer
White
V
Green
Red
Black
Yellow
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