Philips Cardiac Monitoring Portfolio: An End-to-End, Skin-to-Screen Solution

Introduction

Philips provides an end-to-end, ECG-based monitoring system that spans the continuum of care, from diagnostic to bedside monitoring, for patients of all ages. The product-validated portfolio is designed to deliver quality signals from the electrode-skin interface to the display on the monitor, focusing on signal quality for clinical decision-making, workflow efficiency through standardization, sustainability, and tested performance.

Electrodes

Philips offers a versatile range of Ag/AgCl* disposable electrodes designed for a continuous electrical path from skin to ECG monitor. Options include foam, solid, wet gel, and solid adhesive gel types, catering to various patient needs, including sensitive neonates, and suitable for use in MRI radiolucent applications.

Features:

• Meets AAMI and IEC specifications.
• Radiolucent electrodes for X-ray applications available for adults and children.
• Convenient shapes and sizes.
• Packaging configurations available.
• Disposables not manufactured with natural rubber latex.
• Shelf life of at least six months for disposable electrodes unless otherwise noted.

Benefits:

• Standard snap connectors ensure a secure connection.
• Biocompatibility tests passed for skin sensitivity and irritation for patient comfort.
• Electrodes with pre-attached lead wires available for quick, easy application and optimal patient comfort for pediatric/neonatal patients.

Best Practices:

• Skin Preparation: Remove dry, dead epidermal layers, natural oils, and dirt to ensure good electrical flow and reduce resistance.
• Proper Electrode Application: Apply by pressing around the entire edge, avoiding the center to prevent gel spreading and air pockets that cause noise.
• Standardization: Using the same brand and type of electrodes helps reduce noise.

Product Overview: Electrodes

Single-Patient Use Solid Gel ECG Monitoring Electrodes

Single-Patient Use Wet Gel ECG Monitoring Electrodes

Single-Patient Use Radiotranslucent Foam ECG Monitoring Electrodes

Single-Patient Use Metallic ECG Lead Wire Electrodes - IEC Color Coding

Single-Patient Use Radiolucent ECG Lead Wire Electrodes - IEC Color Coding

Lead Sets and Cables

Philips' lead sets are designed for clinical performance and durability, with reusable or disposable options. They feature electrical safety connectors and support various monitoring configurations, including direct-connect solutions for the IntelliVue MX40 wearable patient monitor. The portfolio includes limb reusable lead wires color-coded using IEC standards for rapid identification and placement.

Benefits of Reusable Lead Sets:

• Interchangeable with Philips monitors and cables.
• Direct connection to IntelliVue MX40 offers time-saving efficiencies, enhanced patient comfort, and reduced soil/liquid accumulation.
• One lead set per patient.

Benefits of Disposable Lead Sets:

• Plug directly into trunk cables to streamline workflow.
• Pre-attached electrodes save steps.

Benefits of Both Reusable and Disposable:

• Compatibility with Philips devices and many competitor monitors via adapters, allowing a single lead set to stay with a patient throughout their hospital stay.
• Tested and validated for use on a variety of Philips monitoring and telemetry devices.
• Support a blend of reusable, single-use, and reprocessed lead sets for cost-conscious decision-making.

Best Practices:

• Infection Prevention: Use approved disinfectants for cleaning reusable lead sets and regularly inspect leads for cracks.
• Storage: Keep lead sets organized to prevent damage.
• Standardization: Using one supplier for a mix of single-patient use and reusable lead sets streamlines processes.

Bedside Monitoring Cables

Philips cables are built for clinical performance and durability, with layers of shielding to reduce electrical noise and movement artifact for a clear signal.

Features:

• Compatible with 3-lead and 5-lead sets (6-lead and 10-lead trunk cables).
• Support standard 3-lead, 5-lead, 6-lead, and 12-lead monitoring.
• Electrical safety connector on all leads and trunk cables.
• Designed for durability.

Benefits:

• Environmentally friendly cadmium-free and PVC-free medical-grade polyurethane wire coating helps reduce cable tangling.
• Resist exposure to high voltage defibrillator charges, protecting the monitor and maintaining reliable performance.
• Lead placement diagrams are included as stickers or pre-placed on premium ECG trunk cables for quicker, uniform placement.
• MX40 trunk cable facilitates workflow transitions from telemetry to bedside using the same lead set.

Philips OR Trunk Cable

The OR trunk cable allows the use of standard ECG lead sets, including unshielded ones like neonatal electrodes, in the operating room without needing OR-specific lead sets, providing necessary protective shielding. It is also available in IEC color-compliant versions.

Best Practices:

• Infection Prevention: Use approved disinfectants for cleaning cables and regularly inspect them for cracks.
• Standardization: Standardize with fewer cables for Philips patient monitors to simplify purchasing, staff education, and workflow.

Product Overview: Bedside Lead Sets and Cables

3-Lead Monitoring - IEC Color Coding

4-Lead Monitoring - IEC Color Coding

5-Lead Monitoring - IEC Color Coding

6-Lead Monitoring - IEC Color Coding

10-Lead Monitoring Cables

Efficia 3/5-Lead Sets

Telemetry

Telemetry Cables and Lead Sets - IEC Color Coding

Telemetry Supplies

Telemetry Adapters

Monitors

Philips' continuous monitoring portfolio supports a broad patient population, from basic screening and triage to complex surveillance in critical care. The portfolio allows selection of the appropriate level of continuous patient monitoring technology for each care setting, patient condition, staff skills, and budget. Monitors share a common look and feel, minimizing training for clinicians transitioning between different acuity levels. Clinical consultants are available to help develop enterprise capabilities for caregiver mobility, data sharing, clinical decision support, and alarm management.

Services to Support Your Team

Philips Clinical Professional Services can assist with monitor and supply setup, staff education, clinical workflow assessment, and maximizing patient care efficiency.

For ECG needs, contact your Philips Account Manager or visit: www.philips.com/healthcarestore.

Why the Philips ECG Portfolio?

• Signal Quality for Clinical Decision-Making: ECG signal quality is vital for diagnostic accuracy. Philips' portfolio is tested and validated with Philips monitors. The Philips DXL ECG algorithm analyzes up to 18 leads of simultaneously acquired ECG waveforms for interpretation of rhythm and morphology across various patient populations.
• Workflow Efficiency Through Standardization: Standardizing with Philips for monitoring and ECG supplies simplifies purchasing, staff education, and workflow, while ensuring timely data acquisition.
• A Focus on Sustainability: Philips is committed to environmental and social responsibility, developing meaningful technology, implementing ethical practices, creating resource-efficient products, preventing pollution, conserving resources, reducing hazardous substances, and complying with environmental legislation.
• Tested and Validated for Performance: Products are designed to high-quality standards, manufactured with rigorous verification and validation tests, and strict quality control. Testing includes flex, vibration, and pull force tests to demonstrate durability and signal continuity.

ECG Lead Placements

Accurate lead placement is crucial for obtaining reliable ECG readings. Philips provides guidance for various lead placement methods.

Conventional Lead Placement

Limb Electrode Placement:

• R (Right Arm): Inside of right arm, halfway between elbow and wrist.
• L (Left Arm): Inside of left arm, halfway between elbow and wrist.
• N (Right Leg): Inside of right calf, halfway between knee and ankle.
• F (Left Leg): Inside of left calf, halfway between knee and ankle.

Chest Electrode Placement:

• C1: Fourth intercostal space at right border of sternum.
• C2: Fourth intercostal space at left border of sternum.
• C3: Midway between V2 and V4.
• C4: Fifth intercostal space at left midclavicular line.
• C5: Same level as V4, anterior axillary line.
• C6: Same level as V4 and V5, left midaxillary line.

Mason-Likar Lead Placement

Limb Electrode Placement:

• R: Directly below the clavicle, near the left shoulder.
• L: Directly below the clavicle, near the right shoulder.
• N: Just below the umbilicus, right midclavicular line.
• F: Just below the umbilicus, left midclavicular line.

Chest Electrode Placement: (Same as Conventional)

• C1: Fourth intercostal space at right border of sternum.
• C2: Fourth intercostal space at left border of sternum.
• C3: Midway between V2 and V4.
• C4: Fifth intercostal space at left midclavicular line.
• C5: Same level as V4, anterior axillary line.
• C6: Same level as V4 and V5, left midaxillary line.

Hexad Lead Placement**

Limb Electrode Placement:

• R: Directly below the clavicle, near the right shoulder.
• L: Directly below the clavicle, near the left shoulder.
• Va: Just below the umbilicus, right midclavicular line.
• Vb: Just below the umbilicus, left midclavicular line.

Chest Electrode Placement:

• C2: Fourth intercostal space at left border of sternum.
• C4: Fifth intercostal space at left midclavicular line.

**Note: Hexad lead placement uses a 6-lead set for adult patients. Electrodes are placed in Mason-Likar positions with 2 chest leads (Va and Vb). The Hexad algorithm derives the four additional leads. Available chest position combinations include (V1,V3), (V1, V4), (V1,V5), (V2,V4), (V2,V5), (V3,V5), (V3,V6).

EASI Lead Placement

Chest Electrode Placement:

• E: On the lower sternum at the level of the 5th intercostal space.
• A: On the left midaxillary line at the same level as the E electrode.
• S: On the upper sternum.
• I: On the right midaxillary line at the same level as the E electrode.
• REF (Reference electrode): Can be anywhere, usually below the 6th rib on the right hip.

5-Lead Placement

Limb Electrode Placement:

• R: Directly below the clavicle, near the right shoulder.
• L: Directly below the clavicle, near the left shoulder.
• N: Just below the umbilicus, right midclavicular line.
• F: Just below the umbilicus, left midclavicular line.

Chest Electrode Placement:

• C1: Fourth intercostal space at right border of sternum.

3-Lead Placement

Limb Electrode Placement:

• R: Directly below the clavicle, near the right shoulder.
• L: Directly below the clavicle, near the left shoulder.
• F: Just below the umbilicus, left midclavicular line.

Preparation for Lead Placement

• Shave areas with dense hair if necessary and permitted by hospital procedures. Cut hair close to the skin to minimize risk of skin injuries.
• Wash the isolated area with soap and water.
• Wipe the electrode area with a rough washcloth or gauze, and/or use fine-grain sandpaper to roughen a small area of the skin. Do not use alcohol as it can dry the skin.
• Apply a full set of fresh disposable electrodes to prepared sites. Change daily or as often as needed.

Diagnostic Leads and Cables

Diagnostic ECG 12-Lead Patient Cables - IEC Color Coding

Diagnostic ECG 15/16/18-Lead Extended Lead Sets - IEC Color Coding

Diagnostic ECG 12-Lead Replacement Lead Sets

Digitrak Diagnostic Patient Cables

Diagnostic ECG Supplies

• 989803101691: Limb clamp electrode
• 989803185251: Reusable welsh bulb electrode
• 989803164281: USB patient data cable
• 989803209691: Clear tab/snap adapter 10/bag