1. Introduction
The LEPU Medical ER1-LB Dynamic ECG Recorder is a compact and portable device designed for continuous ECG monitoring. It offers real-time waveform display, single-lead acquisition, and can monitor for up to 7 days (depending on the version). The device is compatible with both mobile applications (ViHealth) and PC analysis software (AI-ECG Analysis System) for comprehensive heart health tracking.

Overview of the DuoEK S for daily ECG monitoring, highlighting its compact design and continuous monitoring capabilities.
The ER1-LB ECG Patch features a compact design, weighing no more than 18g. It provides real-time waveform display and single-lead acquisition. Continuous monitoring is available for up to 7 days (with versions offering 24, 72, or 168 hours of recording). It can be worn using either a chest strap or disposable 3.5mm electrodes.
2. Setup
- Unpacking: Carefully remove the ER1-LB device and all accessories from the packaging. Verify that all components are present: the ER1-LB recorder, a USB charging/data cable, disposable electrode patches, and a chest strap.
- Charging: Before first use, fully charge the ER1-LB device using the provided USB cable and a standard USB power adapter (not included). The device's screen interface will indicate "Please Charge" if the battery is low.
- Software Installation:
- Mobile App (ViHealth): Download and install the "ViHealth" application from your smartphone's app store (iOS/Android).
- PC Software (AI-ECG Analysis System): Install the AI-ECG Analysis System software on your computer for detailed report generation and analysis.
- Device Pairing (Bluetooth): Follow the instructions in the ViHealth app to pair your ER1-LB device via Bluetooth. The device's screen interface will show a Bluetooth icon when connected.

Included accessories: ER1-LB device, USB charging cable, disposable electrode patches, and chest strap.
3. Operating Instructions
- Wearing the Device:
- Using the Chest Strap: Securely attach the ER1-LB device to the chest strap. Place the chest strap around your chest, ensuring the electrodes make good contact with your skin. Refer to the image for proper placement.
- Using Disposable Electrode Patches: Attach two disposable electrode patches to the ER1-LB device. Apply the patches to your chest, ensuring good skin contact. Refer to the image for proper placement, typically at a 45-degree angle.

Proper placement of the ER1-LB device using the chest strap for ECG measurement.

Proper placement of the ER1-LB device using disposable electrode patches for ECG measurement.
Important: Ensure clean, dry skin for optimal electrode contact.
- Starting Measurement: The ER1-LB features a "One Touch Test" for ease of use. Once properly worn and connected to the app, initiate recording through the ViHealth mobile application or the device itself.
- Monitoring:
- The device provides real-time waveform display on the connected mobile app.
- It supports continuous monitoring for durations of 24, 72, or 168 hours, depending on the device version.
- The device's screen interface provides status indicators such as ID, PC connection status, battery level, and alerts for "Missing Leads" or "Uninterpretable ECG."

ER1-LB device with a smartphone displaying the ViHealth app interface.

User wearing the ER1-LB device for continuous 72-hour ECG monitoring.
- Data Review and Analysis:
- Mobile App (ViHealth): View real-time ECG data and basic analysis directly on your smartphone.
- PC Software (AI-ECG Analysis System): For detailed reports and in-depth analysis, connect the ER1-LB device to a computer with the AI-ECG Analysis System software installed. The software can generate comprehensive reports including:
- Overview of ECG data
- Supraventricular rhythm analysis
- Ventricular rhythm analysis
- Heart Rate Variability (HRV)
- ECG report conclusion
- Hourly statistics table of ECG/EKG data
- ECG/EKG Fragment analysis
- Identification of events like Overall Max/Min Heart Rate, Premature Supraventricular Contraction (PAC), Couple of PAC, PAC Trigeminy, and Supraventricular Tachycardia.

ER1-LB device connected to a laptop, showing the AI-ECG Analysis System software with a detailed ECG report.
4. Maintenance
- Cleaning:
- Wipe the ER1-LB device with a soft, dry cloth. Do not use abrasive cleaners or immerse the device in water.
- Clean the chest strap and electrode contact points regularly with a mild disinfectant and allow to air dry completely.
- Storage:
- Store the device in a cool, dry place away from direct sunlight and extreme temperatures.
- Keep disposable electrode patches in their sealed packaging until use to maintain adhesive quality.
- Battery Care: Charge the device regularly, even if not in frequent use, to maintain battery health. Avoid fully discharging the battery for extended periods.
- Software Updates: Periodically check for updates to the ViHealth mobile app and the AI-ECG Analysis System PC software to ensure optimal performance and access to new features.
5. Troubleshooting
- Device Not Turning On: Ensure the device is fully charged. Connect it to the USB charging cable and a power source.
- No ECG Signal / "Missing Leads" Indicator:
- Check that the electrodes (either disposable patches or chest strap) are making firm and complete contact with your skin.
- Ensure your skin is clean and dry.
- Replace disposable electrode patches if they are old or have lost their adhesive quality.
- "Uninterpretable ECG" Indicator:
- Minimize movement during recording. Stay still and avoid talking.
- Ensure there is no strong electromagnetic interference nearby.
- Re-apply electrodes or adjust the chest strap for better contact.
- App Not Connecting via Bluetooth:
- Ensure Bluetooth is enabled on your smartphone.
- Make sure the ER1-LB device is powered on and within range of your phone.
- Try restarting both the device and the app.
- Check if the device is already paired with another phone or computer.
- PC Software Not Recognizing Device:
- Ensure the USB data cable is securely connected to both the ER1-LB device and the computer.
- Verify that the AI-ECG Analysis System software is correctly installed and running.
- Try restarting the computer and the device.
6. Specifications

The compact and portable design of the ER1-LB ECG Recorder.
| Feature | Detail |
|---|---|
| Product Model | ER1-LB |
| Leads Type | Single-Lead |
| Measurement Method | Electrode pads or Chest Strap |
| Storage Capacity | Up to 10 sets of data |
| Sampling Rate | 250 Hz |
| Sampling Accuracy | 16 bit |
| Working Time | 24 / 72 / 168 hours (version dependent) |
| Software Compatibility | AI-ECG Analysis System (PC) / ViHealth (APP) |
| Weight | Approximately 18g |
| Power Source | Electricity, USB Recharge |
| Material | Plastic |
| Quality Certification | CE, Class II |
| Safety Standard | GB9706.1-2007 |
| Display | OLED screen |

Display of various product certifications including CE, ISO13485, FCC, and RoHS.
7. Warranty & Support
- Warranty: The LEPU Medical ER1-LB Dynamic ECG Recorder comes with a 2-year warranty. Please retain your proof of purchase for warranty claims.
- Technical Support: Online technical support is available for any queries or issues you may encounter.
- Contact Support: For assistance, please contact our support team via email at AutomobileAccessory163@outlook.com.
8. User Tips
- For the most accurate readings, ensure the device is securely attached and electrodes have good contact with clean, dry skin.
- Minimize movement and stay relaxed during ECG recordings to avoid artifacts in the waveform.
- Regularly check the battery level, especially before starting a long monitoring session, to ensure uninterrupted recording.
- Familiarize yourself with the ViHealth mobile app and the AI-ECG Analysis System PC software to fully utilize the device's analysis capabilities.





