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ECG paper size guide: which paper fits your machine

Match ECG and CTG paper to your machine: width, Z-fold or roll and sheets per pack, for Fukuda, Nihon Kohden, Schiller, Philips, Mortara and more.

In short: ECG paper must match the recorder’s width, format (Z-fold pack or roll), fold length and sensing marks. The fastest way to order correctly is by machine model. The tables below list the cardiographs and fetal monitors each EchoGrand™ format is made for; if your model is not listed, send the old pack’s label or the machine model to the desk.

Three things that must match

  • Width. From 50 mm single-channel rolls to 210–216 mm full-page 12-lead paper.
  • Format. Z-fold packs give separate pages for filing; rolls are used by smaller recorders. A machine built for one format will not accept the other.
  • Fold length and sensing marks. Z-fold packs carry black marks the recorder reads to find the start of each page. Wrong spacing makes the recorder stop, skip or print across the fold.

Grid colour and the printed scale also matter: diagnostic ECGs are read at a standard 25 mm/s and 10 mm/mV, and the paper grid must match what the recorder expects.

Z-fold packs for 12-lead and multi-channel cardiographs

Made forSize and countEchoGrand™ product
Welch Allyn CP 100, CP 150 and CP 200 electrocardiographs210 × 280 mm, 180 sheetsECG CP-200
Welch Allyn CP 50 and CP 50 Plus electrocardiographs114 × 70 mm, 250 sheetsECG CP-50
Fukuda Denshi cardiographs specified for OP-621 packs210 × 295 mm, 200 sheetsFukuda OP-621
Fukuda Denshi Cardimax FX-7202 and FX-8200; Edan SE-601 series110 × 140 mm, 200 sheetsFukuda OP-222
Nihon Kohden Cardiofax cardiographs specified for FQW-110-2-140110 × 140 mm, 200 sheetsNihon Kohden FQW-110-2140
Schiller Cardiovit AT-1 electrocardiograph and SP-1 spirometer90 × 90 mm, 400 sheetsSchiller AT-1 SP-1
Schiller Cardiovit AT-101 electrocardiograph80 × 70 mm, 315 sheetsSchiller AT-101
Schiller Cardiovit AT-10 Plus electrocardiograph210 × 140 mm, 215 sheetsSchiller AT-10 Plus
HP / Philips cardiographs specified for M1709 packs210 × 300 mm, 200 sheetsPhilips M1709
Mortara ELI 250 / 250c electrocardiographs210 × 300 mm, 200 sheetsMortara ELI-250
Cardioline AR600 / AR600 ADV electrocardiographs60 × 75 mm, 250 sheetsECG AR-600 Sheets Form
Quinton Q4500 stress system; Mortara ELI 200; Burdick, Siemens and Philips recorders using 215 × 280 mm packs215 × 280 mm, 200 sheetsQuinton Q4500
Mortara ELI 150 / 150c electrocardiographs108 × 140 mm, 120 sheetsMortara ELI-150

Thermal rolls

Made forSize and countEchoGrand™ product
Single-channel electrocardiographs and patient-monitor recorders taking 50 mm rolls50 mm × 30 mECG 50x30 Paper Roll
Single-channel electrocardiographs and monitors taking 58 mm rolls58 mm × 30 mECG 58x30
Cardioline AR600 / AR600 ADV electrocardiographs60 mm × 15 mCardioline AR600 60x15
Single-channel electrocardiographs taking 63 mm rolls, incl63 mm × 30 mECG 63x30 Paper
3-channel electrocardiographs taking 80 mm rolls80 mm × 30 mECG 80x30
6-channel electrocardiographs taking 110 mm rolls110 mm × 20 mECG 6-Channel 110x20 Roll Paper
Mortara ELI 230 12-channel electrocardiograph210 mm × 30 mMortara ELI-230 12-Channel Roll
12-channel electrocardiographs taking 215 mm rolls215 mm × 25 mECG 215x25 Roll
12-channel electrocardiographs taking 215 mm rolls215 mm × 30 mECG 215x30 Roll
Quinton Q2000 recorders and 216 mm roll-fed systems216 mm × 45 mECG Quinton Q2000 216x45

CTG paper for fetal monitors

Made forSize and countEchoGrand™ product
Philips FM-2 and Series 50 fetal monitors — M1350A/B/C, M1351A, M1353A, M2702A–M2705A, M2922A, M2925A150 × 100 mm, 150 sheetsCTG Recording Paper M1911A
Huntleigh Sonicaid Team and FM800 series; Oxford Meridian 800143 × 150 mm, 300 sheetsSonicaid 8400-8003

CTG monitors print at a set paper speed, commonly 1, 2 or 3 cm per minute. Pre-gridded paper must match the monitor’s scale; some monitors, such as the Sonicaid units above, print their own grid on plain thermal paper. See cardiotocography for the basics.

How to identify your paper

  1. Check the machine’s model plate or start-up screen for the model number.
  2. Look at the current pack label: the OEM part number (for example OP-621, FQW-110 or M1911A) identifies the format.
  3. Measure the paper width and, for Z-fold, the length of one page between folds.
  4. Send those details on WhatsApp or through the recording paper catalogue and the desk will confirm the match before dispatch.

Keeping records readable

Thermal records fade with heat, light and contact with some plastics. Read how to store thermal ECG and CTG paper before filing originals.