Heartbeat EKG ECG embroidery machine. embroidery pattern . embroidery designs No: 476 3 x 3 4 x 4 5 x 5 This is not a patch you will need an embroidery machine to stitch the design Formats : PES DST EXP HUS JEF PEC VIP XXX TAP SEW VP3 ART This design is available for instant download after your payment is confirmed. These are machine embroidery designs. You need access to an embroidery machine to stitch these designs. and the appropriate hardware/software to view and transfer my designs to your embroidery machine. Due to the nature of item. All sales are final Thanks for your visit!