A&D TM-2440 Instruction Manual
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A&D TM-2440 Instruction Manual

Recorder for ambulatory blood pressure monitor
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English (Original)
2440
2440
Recorder for Ambulatory Blood
Pressure Monitor
Ambulatory Blood Pressure Monitor
1WMPD4003473E
2201

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Summary of Contents for A&D TM-2440

  • Page 1 English (Original) 2440 2440 Recorder for Ambulatory Blood Pressure Monitor Ambulatory Blood Pressure Monitor 1WMPD4003473E 2201...
  • Page 2 2018 A&D Company, Limited. All rights reserved. No part of this publication may be reproduced, transmitted, transcribed, or translated into any language in any form by any means without the written permission of A&D Company, Limited. The contents of this manual and the specifications for the instrument covered by this manual are subject to change for improvement without notice.

  • Page 3: Compliance With The Australian Emd Framework

    Compliance with the Australian EMD Framework The device conforms to the following requirements: EMD Emission standard for industrial, Scientific & Medical equipment AS/NZS 2064:1997, EMD Generic Immunity standard AS/NZS 4252. 1:1994. The above is shown by the C-Tick label. TM-2440 Manual de instrucciones...

  • Page 4: Warning Definitions

    Warning Definitions To prevent accidents due to inappropriate handling, this product and its manual contain the following warning signs and marks. The meanings of these warning signs and marks are as follows. Warning Definitions An imminently hazardous situation that will result in death Danger or serious injury, if not avoided.

  • Page 5: Precautions For Use

    Precautions for Use In order to use the TM-2440 (the recorder for the ambulatory blood pressure monitor) safely and correctly, read the following precautions carefully before using the monitor. The following content summarizes general matters affecting the safety of patients and operators, as well as safe handling of the monitor.
  • Page 6 Caution Operation conditions: Temperature: +10 °C to +40 °C, Humidity: 30 %RH to 85 %RH (no condensation). Transport and storage conditions: Temperature: -20 °C to +60 °C, Humidity: 10 %RH to 95 %RH (no condensation). 2. Precautions Before Using the Recorder. Caution Confirm that the recorder is operating safely and correctly.
  • Page 7 Note Preparation of the Recorder Delete the last data stored in the recorder before it is used by the next patient. Replace the batteries before the recorder is used by the next patient. Device Use the recorder for diagnosis and countermeasures only. Confirm that the air hose and cuff are worn correctly.
  • Page 8 Do not touch the battery and the patient at the same time. It may cause an electric shock. Do not mix old batteries with new ones. Do not use batteries of different type and manufacturer. If these are used, this may cause leakage, heat and explosion.
  • Page 9 Note Instructions for Patient If the temperature is low, battery power becomes lower and the measurement count is reduced. 5. Precautions After Using the Recorder. Caution Processing work of Measurement Data Be sure to process measurement data immediately using a dedicated peripheral. The Recorder After cleaning the accessories, arrange and store them.
  • Page 10 Note Precautions After Using the Recorder (TM-2440) Be sure to process measurement data immediately using a dedicated peripheral after finishing measurement. Backup Lithium Rechargeable Battery The recorder comes with a backup lithium battery. This battery supplies power to the built-in clock when replacing AA batteries used for blood pressure measurement.
  • Page 11 6. Remedies When the Device Has an Error Warning Stop the operation and remove the AA batteries. If the battery terminals are shorted, the battery may be hot. In the event of a failure, the recorder may get hot during measurement, please handle it with care.
  • Page 12 8. Precautions and Remedies for a Malfunction Due to a Strong Electromagnetic Field Caution The recorder complies with EMD-standard IEC60601-1-2: 2014. However, to prevent electromagnetic interference with other devices, do not use mobile phones near the recorder. If the recorder is located near strong electromagnetic fields, noise may affect the waveforms and malfunctions may occur.

  • Page 13: Precautions For Safe Measurement

    Precautions For Safe Measurement This section describes precautions for the measurement and the sensor. Notify the patient of following content and explain it to them. Guide the patient in the correct use of the device. Blood Pressure Measurement Warning Ensure the tube is not bent excessively and that air flows properly.
  • Page 14 Caution Wear the cuff at the same level as heart. (If the level is different, an error in the measurement value occurs.) The recorder responds to artifact and external impact. If there are any doubts in the measurement value, measure blood pressure by auscultation or palpation. A measurement error may occur if the cuff is not of the correct arm circumference for the patient.

  • Page 15: Cuff

    Cuff Warning Dispose of cuffs contaminated by blood to prevent infectious disease from spreading. Avoid storing the cuff folded or with a tightly twisted air hose for extended periods of time. Such treatment may shorten the life of the components. Measurement of Pulse Rate Warning Do not use the displayed pulse rate for the diagnosis of an...

  • Page 16: Packing List

    Packing List Caution The recorder is a precision instrument. Use with caution. Excessive shock may cause failure and malfunction. Note The recorder is shipped using a special packing box designed to protect it from damage during transport. When you open this box, make sure you have everything on the packing list.
  • Page 17 Blood pressure Recorder Adult cuff for left arm Carry holder Clip Adult cuff cover Belt Activity record sheet (10 sheets) ABPM Data Manager CD USB cable This instruction manual...
  • Page 18 [ Blank page ]...

  • Page 19: Table Of Contents

    Contents Compliance ....................i Compliance with European Directive ............i Compliance with the Australian EMD Framework........i Warning Definitions ..................ii Precautions for Use ................... iii Precautions For Safe Measurement ............xi Blood Pressure Measurement..............xi Cuff ....................xiii Measurement of Pulse Rate ..............xiii Packing List .....................
  • Page 20 6.1.2. Sleep Function and Interval time ........22 6.1.3. Stopping Measurement ............22 6.2. Measurement Result .............. 23 6.2.1. Displaying Measurement Results ........23 6.2.2. Storing Measurement Results ..........23 6.2.3. Outputting Measurement Results ........24 6.2.4. ID numbers................. 24 Preparing the Recorder..............
  • Page 21 8.6. Blood Pressure Measurement Operations ......48 8.6.1. A-BPM Operations ............. 48 8.6.2. Manual Measurement ............50 8.6.3. Stopping and Suspending Measurements ......51 8.7. Connecting the Recorder to a Dedicated Peripheral ....52 8.7.1. Connecting with a USB cable ..........52 Maintenance .................

  • Page 22: Introduction

    1. Introduction Thank you for your Purchase! The TM-2440 ambulatory blood pressure recorder enables accurate measurement of patient blood pressure automatically for preset times (e.g. 24-hours continuously). This manual explains the settings, operation, modes and programs for blood pressure measurement, as well as communication with a dedicated peripheral, maintenance, specifications and warnings.
  • Page 23 Purpose of use The recorder enables automatic blood pressure measurement and manual blood pressure measurement. Blood pressure readings can be used for consulting with doctors and for self-managing health. Automatic blood pressure measurement (A-BPM) This mode can specify six pairs of arbitrary start times and intervals for every 24 hours and can automatically measure and record blood pressure.

  • Page 24: Abbreviations & Symbols

    Shorter measurement time The deflation speed is controlled to minimize the measurement time. The pressurization value is controlled to minimize the measurement time. Simple convenience A dedicated peripheral can receive data over a USB cable. Data received can be analyzed and printed easily. 3.
  • Page 25 Symbols Meaning Alert mark Degree of protection against electric shock: Equipment type BF. Manufacturer of the CE Marking. Date of manufacture. Symbol for small cuff SMALL Arm circumference 15 to 22 cm 5.9" to 8.7" Symbol for adult cuff ADULT Arm circumference 20 to 31 cm 7.8"...
  • Page 26 Symbols Meaning Blood pressure measurement A-BPM Automatic blood pressure measurement. Sleep, Cycle, Hour, A-BPM symbols. START, Operation Not made with natural Caution for patient. This is printed on rubber latex. the cuff. Cautions on battery cover. Caution Use alkaline batteries or the •...
  • Page 27 Waiting mode The A-BPM waiting mode is a state where the blood pressure is not being measured during the interval time. Blood pressure measurement Start time Start time Time T: Interval time Section Section Dedicated peripheral A dedicated peripheral means the computer on which the ABPM Data Manager is installed.

  • Page 28: Specifications

    4. Specifications 4.1. Recorder Items Descriptions Measurement method Oscillometric measurement method Pressure detection Semiconductor pressure sensor method Pressure display range 0 to 299 mmHg Pressure: ±3 mmHg Measurement accuracy Pulse rate: ±5 % Pressure: 1 mmHg Minimum display division Pulse rate: 1 beat / minute Systolic pressure: 60 to 280 mmHg...
  • Page 29 Items Descriptions With the same type of batteries: 2 x 1.5V batteries (LR6 or AA size) Alkaline battery or nickel-hydride battery Power supply (Ni-MH) 1900 mAh or more Backup battery for built-in clock: Lithium rechargeable coin cell battery ML2016H 200 times or more. (when new alkaline batteries or nickel- Measurement count hydride batteries are used.
  • Page 30 Items Descriptions The certification trademark registered to the C-Tick Marking ACA by the Trademark office. Dimensions Approx. 95 (L) × 66 (W) × 24.5 (H) mm Mass Approx. 120 g (excluding batteries) Recorder: 5 years. Self-authentication with internal data. Proper operation and Useful life maintenance in the best conditions.

  • Page 31: Dimensions

    4.2. Dimensions 24.5 Unit: mm...

  • Page 32: Component Names

    5. Component Names 5.1. Recorder Adult cuff for left arm Artery position mark Air hose Air plug Air socket switch EVENT OLED START switch STOP Battery compartment and 2 LR6 (AA size) batteries for measurement Battery cover Micro USB port (at bottom), Data communication terminal...

  • Page 33: Display Of Oled (Organic Light Emitting Diode)

    5.2. OLED Display (Organic light emitting diode) Note To get accurate diagnosis, take care to accurately read the data displayed on the recorder and interpret it properly. The state of A-BPM is indicated on the OLED. Clock time. The state of settings and operation. The measurement value of A-BPM.

  • Page 34: Principal Switch Operations

    5.3. Principal Switch Operations 5.3.1. A-BPM Operations To start or suspend A-BPM. Step 1. Store the preset program (of start times and intervals) for A-BPM. Step 2. Press and hold the EVENT switch to switch between the following states. "ON" A-BPM is started and the mark is shown.
  • Page 35 To stop during A-BPM When the START/STOP switch is pressed during blood pressure measurement, the air is expelled immediately and the current measurement is stopped. However, A-BPM is continued. The next blood pressure measurement is performed in accordance with A-BPM settings. To set the program for A-BPM.
  • Page 36 To adjust the clock. To set the monitor function of A-BPM. Step 1. If the display is hidden, press the START/STOP or EVENT switch to return to waiting mode display. Step 2. If the mark is shown, press and hold the EVENT switch to suspend A-BPM.

  • Page 37: Other Operations

    5.3.2. Other Operations To return from the waiting mode and show the monitor. If the OLED display is hidden, press the START/STOP or EVENT switch to return to the waiting mode display. Deleting measurement data Step 1. If the display is hidden, press the START/STOP or EVENT switch to return to the waiting mode display.

  • Page 38: Blood Pressure Measurement Functions

    6. Blood Pressure Measurement Functions The recorder is equipped with automatic blood pressure measurement (A-BPM) and can store measurement states and measurement results. 6.1. Automatic Blood Pressure Measurement (A-BPM) Caution When the A-BPM function is not used, suspend the function by pressing and holding the EVENT switch, so that the mark turns off.

  • Page 39: A-Bpm Waiting Mode

    When you delete data from the memory or suspend A-BPM, the pressurization value is reset to the initial pressurization value. When a measurement error occurs and the waiting time until the next start time is longer than 8 minutes, blood pressure is measured once after 120 seconds.

  • Page 40: Sleep Function And Interval Time

    6.1.2. Sleep Function and Interval time Set the sleep mode to "ON" in the preset program. When the EVENT switch is pressed during A-BPM, the interval time doubles. When the EVENT switch is pressed again in A-BPM, the interval time returns to its original length. Refer to "8.3.

  • Page 41: Measurement Result

    6.2. Measurement Results 6.2.1. Displaying Measurement Results The monitor function can select "Display ON" or "Display OFF" for the A-BPM measurement result. The content of the "Display ON" command includes "Pressure value during the measurement", "Measurement result" and "Error code for the measurement result". When "Display OFF"...

  • Page 42: Outputting Measurement Results

    6.2.3. Outputting Measurement Results The measurement data stored in the memory can be output to the peripheral using USB data transfer. Refer to "8.7 Connecting the Recorder to a Dedicated Peripheral". Caution Do not remove the cable while using USB communication. It may cause damage to the data.

  • Page 43: Preparing The Recorder

    7. Preparing the Recorder 7.1. Installing the Batteries (Replacing Batteries) Caution Install two new batteries with the correct "+" and "-" direction inside the battery compartment before attaching the recorder. Replace both batteries at the same time. Remove batteries from the recorder if it will not be used for a long period of time.
  • Page 44 Procedure Step 1. Open the battery cover. Install batteries. Step 2. Remove the used batteries. Step 3. Refer to the direction symbol ( ) inside of the battery compartment. Insert two new batteries in Open. the proper "+" and "-" direction.

  • Page 45: How To Replace Batteries

    7.1.1. How to Replace Batteries Measurement results and setting parameters are saved when the batteries are removed. When the built-in battery runs out charge, the date is reset to 01/01/2017 00:00. Check and adjust the current time when the batteries are replaced.

  • Page 46: Inspection For Use

    7.3. Inspection for Use Caution Inspect the recorder to maintain its performance, safety and effectiveness before use. Confirm the following checklist before/after installing the batteries. If a problem is found, stop using the recorder and attach a "Malfunction" or "Do not use" message. Contact your local dealer to repair it.

  • Page 47: Battery Post-Installation Checklists

    7.3.2. Battery Post-installation Checklists Portion Description Check that there is no fire, smoke and strong smells. Battery Check that there is no strange sound. Display Check that there is no strange display. Operation Check that the recorder operates correctly. Check that the measurement can be performed correctly and that the attachment of the cuff, the Measurement measurement, display and results are correct.
  • Page 48 Installing the batteries. The initial settings of the built-in clock, measurement monitor function and pressurization value. A-BPM Save A-BPM preset program. Attach the recorder and cuff. Start A-BPM by pressing and holding the EVENT switch. A-BPM Suspend A-BPM by pressing and holding the EVENT switch again.

  • Page 49: Initial Settings

    8.2. Initial Settings 8.2.1. Factory Settings The factory settings (initial settings) are described below: Common items of the settings Item Factory setting Monitor function ON (indicated) Year, Month, Day, Hour, Minute Date of shipment Items of A-BPM Item Factory setting Sleep mode Interval time when the sleep mode is ON 30 minutes...

  • Page 50: The Clock And The Monitor Function Of Measurement

    8.2.2. The Clock and the Monitor Function of Measurement The initial settings can be configured using the following methods. Using switches on the recorder. Using a dedicated peripheral that is connected to the recorder using the USB cable. Procedure of operation using switches Step 1.

  • Page 51: Initial Pressurization Value

    : Factory settings and initial settings when Enclosed characters batteries are consumed completely. 8.2.3. Initial Pressurization Value When the mark is displayed on the OLED, the initial pressurization value is set to AUTO, so that a proper pressurization value is selected automatically. When the mark is hidden, the initial pressurization value is set to 180 mmHg.
  • Page 52 Operation using switches Step 1. If the display is hidden, press the START/STOP or EVENT switch to return to the waiting mode display. Step 2. If the mark is shown, press and hold the EVENT switch to suspend A-BPM. The mark turns off.

  • Page 53: A-Bpm Items And Parameters

    8.3.1. A-BPM Items and Parameters The preset program for A-BPM is as follows: Item OLED Parameter Sleep Sleep mode xx xx = ON, OFF Interval Cycle xx xx = OFF, 5, 10, 15, 20, 30 , 60, 120 minutes time Hour Start time xx xx...
  • Page 54 : When the sleep mode is set to "ON", the start time and operation time of the automated measurement and the interval time of the sleep mode can be used. The interval time for these sections (1 to 6) cannot be used. : When the sleep mode is set to "OFF", the interval time for the sleep mode is not displayed.
  • Page 55 Note When the start time is specified and the EVENT switch is pressed and held during the automated measurement, it stops. When the EVENT switch is pressed and held again, the automated measurement is started immediately. The content of the item Sleep mode: The interval time for the automated measurement can be specified.

  • Page 56: A-Bpm Program Examples

    8.3.2. A-BPM Program Examples Example Start times and intervals. Simplified input. Double sections The start time for section 1 = 7:00 The interval time for section 1 = The start time for section 2 = 22:00 The interval time for section 2 = The start time for section 3 = 7:00 ....
  • Page 57 Example 2 Automatic measurement The start time for the automated measurement = 7:00, The operation time for the automated measurement = OFF. After A-BPM is started, blood pressure measurement is started at 7:00. A-BPM is continued according to the start time and interval of each section until it is suspended.

  • Page 58: Deleting Measurement Data

    8.4. Deleting Measurement Data Purpose of operation and explanation of function Measurement data is deleted but the settings are not deleted. The initial settings can be configured using the following methods. Using switches on the recorder. Using a dedicated peripheral that is connected to the recorder using the USB cable.

  • Page 59: Attaching The Product To The Patient

    8.5. Attaching the Product to the Patient 8.5.1. Information for Patients Explain the following to the patient so that they can use the recorder safely. Precautions during the blood pressure measurement Relax the arm and stay quiet when inflation begins. Stay in the same position throughout measurement.
  • Page 60 How to stop or suspend the measurement Press the START/STOP switch to stop blood pressure measurement. An error code is stored in the memory. Blood pressure is measured again after 120 seconds. For A-BPM, only the current blood pressure measurement is stopped, and measurement will be performed at the next start time.
  • Page 61 How to use manual measurement during A-BPM The procedure for temporary measurement that is not included in preset program. Step 1. If the OLED display is hidden, press the START/STOP or EVENT switch to return to the A-BPM waiting mode display. Step 2.

  • Page 62: Cuff Cover

    8.5.2. Cuff Cover Note Keep the cuff and cuff cover clean. Change the cuff cover for each person. Use the appropriate optional cuff covers.

  • Page 63: Attaching The Cuff, Carrying Holder And Recorder

    8.5.3. Attaching the Cuff, Carry holder and Recorder Caution Do not attach the cuff if the patient has dermatitis, external wounds, etc. Remove the cuff and cease use if dermatitis or other symptoms appear on the patient. Prevent the air hose from coiling around the neck and body. Take care when using around infants, as there is a danger of suffocation.
  • Page 64 How to put on the cuff, recorder and holder Step 1. Pass the end of the cuff through the ring and make a bracelet shape. Step 2. Find the brachial artery in the left arm using palpation. Step 3. Attach the cuff directly against the skin, so that the white mark is directly over the brachial artery and the lower edge of the cuff is put on approximately 1 - 2 cm above the inside of the elbow.
  • Page 65 Air hose Tape Clip Air hose Cuff Belt Carry holder Air plug Air socket Insert Carry holder Belt...

  • Page 66: Blood Pressure Measurement Operations

    8.6. Blood Pressure Measurement Operations 8.6.1. A-BPM Operations When A-BPM is started, the blood pressure is measured in accordance with the preset parameters. Note Set the built-in clock and initial pressurization value before measurement, as A-BPM uses them. Refer to "8.2.2.
  • Page 67 To suspend A-BPM Step 1. Press and hold the EVENT switch. Step 2. The mark is hidden. A-BPM is suspended. To Stop during A-BPM When the START/STOP switch is pressed during blood pressure measurement, the air is expelled immediately and the current measurement is stopped.

  • Page 68: Manual Measurement

    8.6.2. Manual Measurement Use manual blood pressure measurement for a tentative test measurement and immediate blood pressure measurement. Note Manual blood pressure measurement can start immediately in a waiting mode. The measurement result is stored in the memory. To measure blood pressure during A-BPM immediately. (Manual blood pressure measurement for A-BPM) Step 1.

  • Page 69: Stopping And Suspending Measurements

    8.6.3. Stopping and Suspending Measurements The A-BPM function can be suspended when necessary. Ongoing A-BPM or manual blood pressure measurement can be stopped immediately. Note When blood pressure measurement is stopped, the stop code E07 is displayed on the OLED and is stored in the memory. To suspend A-BPM Step 1.

  • Page 70: Connecting The Recorder To A Dedicated Peripheral

    Preparation of a dedicated peripheral Remove the recorder and cuff from the patient before connecting the recorder (TM-2440) to a dedicated peripheral. If the level 1 is displayed, connect the recorder (TM-2440) to the peripherals after replacing the batteries.
  • Page 71 To connect the recorder to a dedicated peripheral using the USB cable Step 1. Open the micro USB terminal on the recorder. Connect the accessory USB cable. Micro USB terminal USB cable To start data communication with a dedicated peripheral Step 1.

  • Page 72: Maintenance

    9. Maintenance 9.1. Product Storage, Inspection and Safety Management Medical instruments, such as this recorder, must be managed so that they function properly when necessary and reliably ensure the safety of the patient and the operator. As a basic rule, the operator should inspect this instrument daily, such as by following the "Inspection before use".

  • Page 73: Cleaning The Product

    9.2. Cleaning the Product Caution Clean the recorder before use and after use. Clean the recorder before attaching to the next patient. Do not spray water and immerse in water to clean the recorder. This may cause a malfunction. Dry the recorder after wiping it with water and the antiseptic solution, so that the liquid does not penetrate the recorder.
  • Page 74 Cleaning the cuff When you clean and disinfect the cuff cover and cuff cloth, remove the cuff bladder inside the cuff cloth. Clean the dirt and dust using gauze moistened with water or warm water and squeezed well. Refer to the antiseptic solutions in the table (Example of useable antiseptic solution (ingredient name)) when disinfecting.

  • Page 75: Periodic Inspection

    9.3. Periodic Inspection Perform the daily periodic inspection to use the recorder correctly. The inspection is described below: 9.3.1. Battery Pre-installation Inspection Items Description No damage or deformation from dropping. Exterior No dirt, rust and scratches on any part. No cracking or rattling of the panel. Operation No damage or rattling of switches and buttons.

  • Page 76: Battery Post-Installation Inspection

    9.3.2. Battery Post-installation Inspection Item Description No fire, smoke or strong smells. Exterior No strange sounds. No trouble with the functioning of switches Operation and buttons. Measurement values are close to the usual Measurement value. Cuff No strange sounds or actions during measurement.

  • Page 77: Disposal

    9.4. Disposal Follow the laws of the local government for environment protection for the disposal and recycling of the product. Disposal of the cuff The cuff worn on the patient is medical waste. Dispose of it properly as medical waste. Disposal of the rechargeable built-in battery Caution The recorder is equipped with a backup battery inside.

  • Page 78: Troubleshooting

    9.5. Troubleshooting Consult the following checklist and error code list before contacting your local dealer. If these measures do not rectify the problem or the problem occurs again, contact your local dealer. Problem Main cause Treatment No display after Battery power has Replace with new pressing any switches.

  • Page 79: Error Codes

    9.6. Error Codes Measurement error codes Code Meaning Cause and treatment Pressure zero error Release the air left in the cuff. Low battery Replace with new batteries. Inflation does not reach the target pressure. Check the cuff connection. Failure of If there are no problems with the cuff pressurization connection, the recorder may have...
  • Page 80 Code Meaning Cause and treatment Out of range, If these errors occur multiple times, try Out of range, another blood pressure measurement. PP = SYS - DIA SYS: Systolic blood pressure Out of range, DIA: Diastolic blood pressure Pulse pressure Out of range, Measurement is If the inflation speed or exhaust speed is...
  • Page 81 Code Meaning Cause and treatment Body motion may be detected during pressurization. Relax and do not move during the measurement. Safety circuit detects over load pressure. If this error occurs even when relaxed and not moving, contact your dealer for inspection. Hardware error codes on the recorder Code Meaning...

  • Page 82: Optional Items (Requiring Order)

    10. Optional Items (requiring order) Cuffs Name Description Order code Small cuff Arm circumference TM-CF202B for left arm 15 to 22 cm 5.9" to 8.7" Adult cuff Arm circumference TM-CF302B for left arm 20 to 31 cm 7.8" to 12.2" Large cuff Arm circumference TM-CF402B...
  • Page 83 Data analysis Name Description Order code USB cable AX-KOUSB4C Others Name Description Order code Activity record sheet 10 sheets AX-PP181-S Carry holder AX-133025995 Belt AX-00U44189 Clips 5 pieces AX-110B-20-S...

  • Page 84: Appendix

    11. Appendix 11.1. Principle of Blood Pressure Measurement Measurement procedure: Wrap the cuff around the upper arm. Inflate the cuff to a pressure exceeding the systolic blood pressure. Then, exhaust the air from the cuff gradually. While the pressure is detected in the cuff in the air exhaustion stage, the pulse waveform appears in synchronization with the heartbeat.
  • Page 85 Cuff pressure (Left arm) mmHg Direct method (Left arm) Time Cuff pressure (Left arm) Direct method (Left arm) Time Systolic blood pressure Average blood pressure Diastolic blood pressure Microphone method Oscillometric measurement method Blood pressure measurement error factors The pulse graph can be an objective indicator of the reliability of the measurement accuracy.

  • Page 86: Emd Information

    Proper cuff size Use a cuff of adequate size. If it is too small or too big, a measurement error occurs. Measurements with a cuff that is too small tend to be evaluated as high blood pressure, regardless of the proper blood pressure and normal arteries.
  • Page 87 Accessories compliant with EMD standards The accessories and options for this recorder meet the conditions of IEC60601-1-2:2014. If an unauthorized accessory is used, it may cause increasing emissions and lower noise immunity. Warning Use accessories designated by the A&D company. Unauthorized accessories may be influenced by electromagnetic emission and have reduced immunity against disturbances.
  • Page 88 IMMUNITY TEST LEVELS: PATIENT COUPLING Port Phenomenon Immunity test levels Electrostatic discharge ±8 kV contact IEC 61000-4-2 ±2 kV, ±4 kV, ±8 kV, ±15 kV air IMMUNITY TEST LEVELS: Signal input/output Port Phenomenon Immunity test levels Electrostatic discharge ±8 kV contact IEC 61000-4-2 ±2 kV, ±4 kV, ±8 kV, ±15 kV air Electrical fast transients/bursts...
  • Page 89 Test specifications for ENCLOSURE PORT IMMUNITY to RF wireless communications equipment Pulse modulation 380 - 390 TETRA 400 18 Hz GMRS 460 430 - 470 ±5 kHz deviation FRS 460 1 kHz sine Pulse modulation 704 - 787 LTE Band 13,17 217 Hz GSM 800/900 TETRA 800...
  • Page 90 MEMO...
  • Page 92 Back cover: A&D grobal A&D Company, Limited http://www.aandd.jp 1-243 Asahi , Kitamoto-shi, Saitama-ken 364-8585, JAPAN Telephone: [81] (48) 593-1111 Fax: [81] (48) 593-1119 Emergo Europe B.V. Prinsessegracht 20, 2514 AP The Hague, THE NETHERLANDS A&D INSTRUMENTS LIMITED http://www.andmedical.co.uk/ Unit 24/26 Blacklands Way, Abingdon Business Park, Abingdon, Oxfordshire OX14 1DY United Kingdom Telephone: [44] (1235) 550420 Fax: [44] (1235) 550485...

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