|1. Cut or tear 10
pieces of white tape approximately 2
|2. Snap the colored
ends of the patient cable to the
|3: Shave 5 spots
approximately 2 inches by 1.5 inches.
Start by shaving a spot directly in
between the shoulder blades, and then
make two more spots down each side of
the dog. Each spot should be an inch to
two inches away from each other with the
last spot being directly caudal (towards
the tail) to the elbow of the dog.
Make sure that each spot is well shaved
by shaving against the hair.
Try to keep the spots symmetrical on
either side of the dog.
|4. Prepare the monitor:
a. With the monitor face down, cable
connection towards you and the words
Trillium 5000 at the top, the left side
of the monitor is where the memory card
has been inserted for you. You will not
need to access this compartment.
b. The right side door is for the battery. Open the battery compartment
and insert an AA battery, observing the polarity diagram in the
compartment. Securely close the battery compartment.
|5. Remove the
white electrode from the
backing and stick between the shoulder
blades. If you are using electrode gel
or paste, a small dab of gel should be
placed on the sticky gel center of each
electrode before applying. Take two
pieces of white tape torn earlier and
place over the sides of the electrode.
Do not cover the colored part, just the
back of the sticky electrode.
|6. Proceed to the next
shaved patch down the left side of the
dog. Attach the red
colored electrode to this spot and place
two pieces of white tape to either side
of the electrode.
7. Continue down the left side of the
dog. The next electrode to be placed in
the same manner as before is the
|8. Go to the right side
of the dog. The colors on this side go
green then black,
with green being placed on the highest
patch and the black being placed on the
lowest patch. The green
electrode is the ground. It is very
important for this lead to be attached
well to the dog's skin to get a good
| 9. The lead wires
should then lay forward on the dog so
they are sticking out towards the neck
while the Elastikon is taped on, instead
of towards the tail. Place a strip of
Elastikon over all the electrodes and
the white tape. Start on the right side
of the dog and stick it approximately an
inch below the brown electrode. Hold the
end against the dog's body while
unrolling the Elastikon and continue to
stick it to the dog while unrolling it
over the dog's back. Wrap the Elastikon
all the way around the dog by going
under the dog's chest.
| Note: Do not
pull too tightly as Elastikon stretches
and you could make it too tight around
your dog. Lay the tape loosely onto the
dog, do not pull or tug it tightly.
|10. Now it is time to
put the vest on. For an orange
Place the vest on the floor with the
pockets down. Place your dog's feet into
the holes and lift the vest up on either
side of the dog. The zipper should be on
the back. The leads should be forward,
along the neck, not sticking out the
For a black vest: open
the Velcro along the top, insert the
dog's legs into the bottom holes and
re-fasten the Velcro along the dog's
back. You will need to unclick the
monitor from the cables so you can feed
the cable through the hole on the top
and then re-attach the monitor. It does
not click together easily so please use
care not to break it.
|11. Turn on the monitor
by pushing any keypad button. The first
screen will ask you to input a patient
ID number. Ignore this screen and scroll
to the right using the
button. You should be able to see the
ECG tracing on CH1, push the
button again to see CH2, again past CH3
and the SETTINGS menu until you get to
the DATE/TIME menu. If the date and time
are incorrect, press the
button. Use the up and down arrows to
move to the item that needs to be
corrected. Use the left and right arrow
key to change the time or date. Press
key again to accept the changes.
the holter recording by using the right
arrow key to move over to the START
menu, then press the
key to start the recording.
|13. Place the monitor
into it's protective pouch and then
place it in one of the pockets on the
back of the dog. Try not to “kink” the
patient cord as this too can add
artifact to the reading.
14. For the orange vest, cut a piece of
Elastikon to cover the exposed patient
cable. This will help protect the
patient cable from being chewed by your
dog. (Or any other dogs that will be in
contact with your dog during the 24
|15. For the black vest,
only pull through enough cable to attach
it to the monitor, the rest should stay
safely tucked into the vest. Tuck the
monitor into the pocket and stick it the
the side of your dog (it is Velcro too)
and then wrap the Velcro belt around it
as well to secure it in place.
Remember: These monitors were designed for human use
so it is important to secure everything that can open, move, or
disconnect. This will allow your dog to perform normal daily activities
without the likelihood of disturbances in the reading.
The monitor needs to remain running for at least 24 hours. While wearing
the monitor we encourage you to let your dog participate in normal daily
activity. The only things your dog cannot do is go swimming, get a bath,
or stay out in the rain/snow for prolonged periods.
To remove the monitor
Remove the monitor from the pocket, and if using an orange vest, pull
the tape off that is securing the patient cable. If using a black vest,
you will need to unclick the cable from the monitor again to pull it
through the hole in the vest. Remove the vest and carefully remove the
Elastikon. (This can be somewhat painful. It is like a giant Band-Aid
coming off. There are sprays that you can purchase to alleviate this
process if your dog is really sensitive.)
DO NOT USE SCISSORS to cut the Elastikon, peel
it down from the top
the fur – not up/against the fur. Or front to back with the grain
instead of up or forwards.
If the patient ECG patches did not
come off with the Elastikon, carefully
remove them from the patient. Discard
any tape, Elastikon and the ECG patches.
You do not need to remove the flash
card from the monitor, please leave it
in place. Please remove and discard the
When returning the monitor,
place the monitor and patient cable in
the pockets of vest and wrap the vest
around the monitor for padding. Please
return any unused supplies. By returning
the supplies you keep the cost of the
service down for everyone.